code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
APC,2040,"Endo, single, urinary tract",,,,,0
APC,2042,"Endo, single, pulmonary",,,,,0
APC,5012,Clinic Visits and Related Services,,,,,0
APC,5021,Level 1 Type A ED Visits,,,,,0
APC,5022,Level 2 Type A ED Visits,,,,,0
APC,5023,Level 3 Type A ED Visits,,,,,0
APC,5024,Level 4 Type A ED Visits,,,,,0
APC,5025,Level 5 Type A ED Visits,,,,,0
APC,5041,Critical Care,,,,,0
APC,5051,Level 1 Skin Procedures,,,,,0
APC,5052,Level 2 Skin Procedures,,,,,0
APC,5053,Level 3 Skin Procedures,,,,,0
APC,5054,Level 4 Skin Procedures,,,,,0
APC,5055,Level 5 Skin Procedures,,,,,0
APC,5071,Level 1 Excision/ Biopsy/ Incision and Drainage,,,,,0
APC,5072,Level 2 Excision/ Biopsy/ Incision and Drainage,,,,,0
APC,5073,Level 3 Excision/ Biopsy/ Incision and Drainage,,,,,0
APC,5091,Level 1 Breast/Lymphatic Surgery and Related Procedures,,,,,0
APC,5092,Level 2 Breast/Lymphatic Surgery and Related Procedures,,,,,0
APC,5093,Level 3 Breast/Lymphatic Surgery and Related Procedures,,,,,0
APC,5101,Level 1 Strapping and Cast Application,,,,,0
APC,5102,Level 2 Strapping and Cast Application,,,,,0
APC,5111,Level 1 Musculoskeletal Procedures,,,,,0
APC,5112,Level 2 Musculoskeletal Procedures,,,,,0
APC,5113,Level 3 Musculoskeletal Procedures,,,,,0
APC,5114,Level 4 Musculoskeletal Procedures,,,,,0
APC,5115,Level 5 Musculoskeletal Procedures,,,,,0
APC,5151,Level 1 Airway Endoscopy,,,,,0
APC,5152,Level 2 Airway Endoscopy,,,,,0
APC,5153,Level 3 Airway Endoscopy,,,,,0
APC,5154,Level 4 Airway Endoscopy,,,,,0
APC,5155,Level 5 Airway Endoscopy,,,,,0
APC,5161,Level 1 ENT Procedures,,,,,0
APC,5162,Level 2 ENT Procedures,,,,,0
APC,5163,Level 3 ENT Procedures,,,,,0
APC,5164,Level 4 ENT Procedures,,,,,0
APC,5165,Level 5 ENT Procedures,,,,,0
APC,5166,Cochlear Implant Procedure,,,,,0
APC,5181,Level 1 Vascular Procedures,,,,,0
APC,5182,Level 2 Vascular Procedures,,,,,0
APC,5183,Level 3 Vascular Procedures,,,,,0
APC,5184,Level 4 Vascular Procedures,,,,,0
APC,5191,Level 1 Endovascular Procedures,,,,,0
APC,5193,Level 3 Endovascular Procedures,,,,,0
APC,5194,Level 4 Endovascular Procedures,,,,,0
APC,5222,Level 2 Pacemaker and Similar Procedures,,,,,0
APC,5223,Level 3 Pacemaker and Similar Procedures,,,,,0
APC,5231,Level 1 ICD and Similar Procedures,,,,,0
APC,5232,Level 2 ICD and Similar Procedures,,,,,0
APC,5241,Level 1 Blood Product Exchange and Related Services,,,,,0
APC,5242,Level 2 Blood Product Exchange and Related Services,,,,,0
APC,5301,Level 1 Upper GI Procedures,,,,,0
APC,5302,Level 2 Upper GI Procedures,,,,,0
APC,5303,Level 3 Upper GI Procedures,,,,,0
APC,5311,Level 1 Lower GI Procedures,,,,,0
APC,5312,Level 2 Lower GI Procedures,,,,,0
APC,5313,Level 3 Lower GI Procedures,,,,,0
APC,5331,Complex GI Procedures,,,,,0
APC,5341,Level 1 Abdominal/Peritoneal/Biliary and Related Procedures,,,,,0
APC,5342,Level 2 Abdominal/Peritoneal/Biliary and Related Procedures,,,,,0
APC,5361,Level 1 Laparoscopy and Related Services,,,,,0
APC,5362,Level 2 Laparoscopy and Related Services,,,,,0
APC,5371,Level 1 Urology and Related Services,,,,,0
APC,5372,Level 2 Urology and Related Services,,,,,0
APC,5373,Level 3 Urology and Related Services,,,,,0
APC,5374,Level 4 Urology and Related Services,,,,,0
APC,5375,Level 5 Urology and Related Services,,,,,0
APC,5376,Level 6 Urology and Related Services,,,,,0
APC,5412,Level 2 Gynecologic Procedures,,,,,0
APC,5414,Level 4 Gynecologic Procedures,,,,,0
APC,5415,Level 5 Gynecologic Procedures,,,,,0
APC,5431,Level 1 Nerve Procedures,,,,,0
APC,5432,Level 2 Nerve Procedures,,,,,0
APC,5441,Level 1 Nerve Injections,,,,,0
APC,5442,Level 2 Nerve Injections,,,,,0
APC,5443,Level 3 Nerve Injections,,,,,0
APC,5464,Level 4 Neurostimulator and Related Procedures,,,,,0
APC,5465,Level 5 Neurostimulator and Related Procedures,,,,,0
APC,5471,Implantation of Drug Infusion Device,,,,,0
APC,5481,Laser Eye Procedures,,,,,0
APC,5491,Level 1 Intraocular Procedures,,,,,0
APC,5492,Level 2 Intraocular Procedures,,,,,0
APC,5493,Level 3 Intraocular Procedures,,,,,0
APC,5501,"Level 1 Extraocular, Repair, and Plastic Eye Procedures",,,,,0
APC,5502,"Level 2 Extraocular, Repair, and Plastic Eye Procedures",,,,,0
APC,5503,"Level 3 Extraocular, Repair, and Plastic Eye Procedures",,,,,0
APC,5504,"Level 4 Extraocular, Repair, and Plastic Eye Procedures",,,,,0
APC,5521,Level 1 Imaging without Contrast,,,,,0
APC,5522,Level 2 Imaging without Contrast,,,,,0
APC,5523,Level 3 Imaging without Contrast,,,,,0
APC,5524,Level 4 Imaging without Contrast,,,,,0
APC,5571,Level 1 Imaging with Contrast,,,,,0
APC,5572,Level 2 Imaging with Contrast,,,,,0
APC,5573,Level 3 Imaging with Contrast,,,,,0
APC,5591,Level 1 Nuclear Medicine and Related Services,,,,,0
APC,5592,Level 2 Nuclear Medicine and Related Services,,,,,0
APC,5593,Level 3 Nuclear Medicine and Related Services,,,,,0
APC,5594,Level 4 Nuclear Medicine and Related Services,,,,,0
APC,5671,Level 1 Pathology,,,,,0
APC,5672,Level 2 Pathology,,,,,0
APC,5673,Level 3 Pathology,,,,,0
APC,5674,Level 4 Pathology,,,,,0
APC,5691,Level 1 Drug Administration,,,,,0
APC,5692,Level 2 Drug Administration,,,,,0
APC,5693,Level 3 Drug Administration,,,,,0
APC,5694,Level 4 Drug Administration,,,,,0
APC,5721,Level 1 Diagnostic Tests and Related Services,,,,,0
APC,5722,Level 2 Diagnostic Tests and Related Services,,,,,0
APC,5723,Level 3 Diagnostic Tests and Related Services,,,,,0
APC,5724,Level 4 Diagnostic Tests and Related Services,,,,,0
APC,5731,Level 1 Minor Procedures,,,,,0
APC,5732,Level 2 Minor Procedures,,,,,0
APC,5733,Level 3 Minor Procedures,,,,,0
APC,5734,Level 4 Minor Procedures,,,,,0
APC,5735,Level 5 Minor Procedures,,,,,0
APC,5743,Level 3 Electronic Analysis of Devices,,,,,0
APC,5791,Pulmonary Treatment,,,,,0
APC,5801,Ventilation Initiation and Management,,,,,0
APC,9511,Cryoprecipitate each unit,,,,,0
APC,9512,RBC leukocytes reduced,,,,,0
APC,9520,Blood split unit,,,,,0
APC,9522,RBC leukoreduced irradiated,,,,,0
APC,9530,Plate pheres leukoredu irrad,,,,,0
APC,9536,Platelets pheresis path redu,,,,,0
APC,N700,Non-OPPS Clinic Services,,,,,0
APC,N800,Clinical Diagnostic Lab Services,,,,,0
APC,N801,Therapy Services,,,,,0
APC,N805,Durable Medical Equipment,,,,,0
APC,N811,"Observation, Other",,,,,0
APC,N900,Non-covered Services,,,,,0
APC,N902,Packaged Services,,,,,0
APC,N905,Not Recognized by OPPS,,,,,0
APR-DRG,11,Liver Transplant And/Or Intestinal Transplant,,,45918.89,45918.89,11
APR-DRG,1101,"Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies",,,6861.51,6861.51,11
APR-DRG,1102,"Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies",,,7841.82,7841.82,11
APR-DRG,1103,"Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies",,,10794.07,10794.07,11
APR-DRG,1104,"Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies",,,18539.2,18539.2,11
APR-DRG,111,Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies,,,68240.32,68240.32,11
APR-DRG,1111,Vertigo And Other Labyrinth Disorders,,,4977.8,4977.8,11
APR-DRG,1112,Vertigo And Other Labyrinth Disorders,,,5548.77,5548.77,11
APR-DRG,1113,Vertigo And Other Labyrinth Disorders,,,7264.5,7264.5,11
APR-DRG,1114,Vertigo And Other Labyrinth Disorders,,,12611.43,12611.43,11
APR-DRG,112,Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies,,,138558.42,138558.42,11
APR-DRG,113,Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies,,,174290.21,174290.21,11
APR-DRG,1131,Infections Of Upper Respiratory Tract,,,2852.73,2852.73,11
APR-DRG,1132,Infections Of Upper Respiratory Tract,,,4122.41,4122.41,11
APR-DRG,1133,Infections Of Upper Respiratory Tract,,,6421.81,6421.81,11
APR-DRG,1134,Infections Of Upper Respiratory Tract,,,12368.64,12368.64,11
APR-DRG,114,Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies,,,234193.96,234193.96,11
APR-DRG,1141,Dental Diseases And Disorders,,,3464.63,3464.63,11
APR-DRG,1142,Dental Diseases And Disorders,,,4785.13,4785.13,11
APR-DRG,1143,Dental Diseases And Disorders,,,7174.87,7174.87,11
APR-DRG,1144,Dental Diseases And Disorders,,,19893.57,19893.57,11
APR-DRG,1151,"Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses",,,4024.31,4024.31,11
APR-DRG,1152,"Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses",,,5893.9,5893.9,11
APR-DRG,1153,"Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses",,,8791.79,8791.79,11
APR-DRG,1154,"Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses",,,16349.9,16349.9,11
APR-DRG,12,Liver Transplant And/Or Intestinal Transplant,,,52268.01,52268.01,11
APR-DRG,1201,Major Respiratory And Chest Procedures,,,13866.29,13866.29,11
APR-DRG,1202,Major Respiratory And Chest Procedures,,,17173.53,17173.53,11
APR-DRG,1203,Major Respiratory And Chest Procedures,,,25849.58,25849.58,11
APR-DRG,1204,Major Respiratory And Chest Procedures,,,40979.2,40979.2,11
APR-DRG,1211,Other Respiratory And Chest Procedures,,,10730.55,10730.55,11
APR-DRG,1212,Other Respiratory And Chest Procedures,,,14064.61,14064.61,11
APR-DRG,1213,Other Respiratory And Chest Procedures,,,21751.16,21751.16,11
APR-DRG,1214,Other Respiratory And Chest Procedures,,,34349.18,34349.18,11
APR-DRG,13,Liver Transplant And/Or Intestinal Transplant,,,67633.35,67633.35,11
APR-DRG,1301,Respiratory System Diagnosis With Ventilator Support > 96 Hours,,,20747.56,20747.56,11
APR-DRG,1302,Respiratory System Diagnosis With Ventilator Support > 96 Hours,,,25044.29,25044.29,11
APR-DRG,1303,Respiratory System Diagnosis With Ventilator Support > 96 Hours,,,30551.43,30551.43,11
APR-DRG,1304,Respiratory System Diagnosis With Ventilator Support > 96 Hours,,,40497.15,40497.15,11
APR-DRG,1311,Cystic Fibrosis - Pulmonary Disease,,,8006.27,8006.27,11
APR-DRG,1312,Cystic Fibrosis - Pulmonary Disease,,,13106.17,13106.17,11
APR-DRG,1313,Cystic Fibrosis - Pulmonary Disease,,,17508.07,17508.07,11
APR-DRG,1314,Cystic Fibrosis - Pulmonary Disease,,,20592.29,20592.29,11
APR-DRG,1321,Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period,,,3350.3,3350.3,11
APR-DRG,1322,Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period,,,5606.65,5606.65,11
APR-DRG,1323,Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period,,,9439.69,9439.69,11
APR-DRG,1324,Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period,,,13193.69,13193.69,11
APR-DRG,1331,Respiratory Failure,,,4442.12,4442.12,11
APR-DRG,1332,Respiratory Failure,,,5918.6,5918.6,11
APR-DRG,1333,Respiratory Failure,,,8708.51,8708.51,11
APR-DRG,1334,Respiratory Failure,,,14280.58,14280.58,11
APR-DRG,1341,Pulmonary Embolism,,,4236.04,4236.04,11
APR-DRG,1342,Pulmonary Embolism,,,5668.75,5668.75,11
APR-DRG,1343,Pulmonary Embolism,,,8994.35,8994.35,11
APR-DRG,1344,Pulmonary Embolism,,,14682.87,14682.87,11
APR-DRG,1351,Major Chest And Respiratory Trauma,,,5098.49,5098.49,11
APR-DRG,1352,Major Chest And Respiratory Trauma,,,6456.4,6456.4,11
APR-DRG,1353,Major Chest And Respiratory Trauma,,,9403.7,9403.7,11
APR-DRG,1354,Major Chest And Respiratory Trauma,,,16650.56,16650.56,11
APR-DRG,1361,Respiratory Malignancy,,,6004.7,6004.7,11
APR-DRG,1362,Respiratory Malignancy,,,7203.81,7203.81,11
APR-DRG,1363,Respiratory Malignancy,,,9993.02,9993.02,11
APR-DRG,1364,Respiratory Malignancy,,,15331.47,15331.47,11
APR-DRG,1371,Major Respiratory Infections And Inflammations,,,4276.97,4276.97,11
APR-DRG,1372,Major Respiratory Infections And Inflammations,,,5271.41,5271.41,11
APR-DRG,1373,Major Respiratory Infections And Inflammations,,,7780.42,7780.42,11
APR-DRG,1374,Major Respiratory Infections And Inflammations,,,14641.93,14641.93,11
APR-DRG,1381,Bronchiolitis And Rsv Pneumonia,,,2479.37,2479.37,11
APR-DRG,1382,Bronchiolitis And Rsv Pneumonia,,,4079.36,4079.36,11
APR-DRG,1383,Bronchiolitis And Rsv Pneumonia,,,7115.59,7115.59,11
APR-DRG,1384,Bronchiolitis And Rsv Pneumonia,,,13932.63,13932.63,11
APR-DRG,1391,Other Pneumonia,,,3584.61,3584.61,11
APR-DRG,1392,Other Pneumonia,,,4912.17,4912.17,11
APR-DRG,1393,Other Pneumonia,,,7399.31,7399.31,11
APR-DRG,1394,Other Pneumonia,,,12099.04,12099.04,11
APR-DRG,14,Liver Transplant And/Or Intestinal Transplant,,,130271.26,130271.26,11
APR-DRG,1401,Chronic Obstructive Pulmonary Disease,,,4017.25,4017.25,11
APR-DRG,1402,Chronic Obstructive Pulmonary Disease,,,4888.17,4888.17,11
APR-DRG,1403,Chronic Obstructive Pulmonary Disease,,,6626.49,6626.49,11
APR-DRG,1404,Chronic Obstructive Pulmonary Disease,,,11746.15,11746.15,11
APR-DRG,1411,Asthma,,,3336.89,3336.89,11
APR-DRG,1412,Asthma,,,4780.19,4780.19,11
APR-DRG,1413,Asthma,,,6568.61,6568.61,11
APR-DRG,1414,Asthma,,,11106.02,11106.02,11
APR-DRG,1421,Interstitial And Alveolar Lung Diseases,,,5099.2,5099.2,11
APR-DRG,1422,Interstitial And Alveolar Lung Diseases,,,6586.96,6586.96,11
APR-DRG,1423,Interstitial And Alveolar Lung Diseases,,,9977.49,9977.49,11
APR-DRG,1424,Interstitial And Alveolar Lung Diseases,,,15541.79,15541.79,11
APR-DRG,1431,"Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses",,,4229.69,4229.69,11
APR-DRG,1432,"Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses",,,6004.0,6004.0,11
APR-DRG,1433,"Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses",,,9278.77,9278.77,11
APR-DRG,1434,"Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses",,,15314.53,15314.53,11
APR-DRG,1441,"Respiratory Signs, Symptoms And Miscellaneous Diagnoses",,,4328.5,4328.5,11
APR-DRG,1442,"Respiratory Signs, Symptoms And Miscellaneous Diagnoses",,,6037.17,6037.17,11
APR-DRG,1443,"Respiratory Signs, Symptoms And Miscellaneous Diagnoses",,,8603.35,8603.35,11
APR-DRG,1444,"Respiratory Signs, Symptoms And Miscellaneous Diagnoses",,,13719.49,13719.49,11
APR-DRG,1451,Acute Bronchitis And Related Symptoms,,,3919.85,3919.85,11
APR-DRG,1452,Acute Bronchitis And Related Symptoms,,,4828.18,4828.18,11
APR-DRG,1453,Acute Bronchitis And Related Symptoms,,,6555.91,6555.91,11
APR-DRG,1454,Acute Bronchitis And Related Symptoms,,,10839.94,10839.94,11
APR-DRG,1601,Major Cardiothoracic Repair Of Heart Anomaly,,,24620.83,24620.83,11
APR-DRG,1602,Major Cardiothoracic Repair Of Heart Anomaly,,,34815.7,34815.7,11
APR-DRG,1603,Major Cardiothoracic Repair Of Heart Anomaly,,,46470.1,46470.1,11
APR-DRG,1604,Major Cardiothoracic Repair Of Heart Anomaly,,,100259.04,100259.04,11
APR-DRG,1611,Implantable Heart Assist Systems,,,100625.34,100625.34,11
APR-DRG,1612,Implantable Heart Assist Systems,,,100625.34,100625.34,11
APR-DRG,1613,Implantable Heart Assist Systems,,,136755.88,136755.88,11
APR-DRG,1614,Implantable Heart Assist Systems,,,174650.86,174650.86,11
APR-DRG,1621,Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,,,31048.99,31048.99,11
APR-DRG,1622,Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,,,37261.19,37261.19,11
APR-DRG,1623,Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,,,49286.83,49286.83,11
APR-DRG,1624,Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,,,67377.86,67377.86,11
APR-DRG,1631,Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,,,26216.58,26216.58,11
APR-DRG,1632,Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,,,31281.9,31281.9,11
APR-DRG,1633,Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,,,42385.09,42385.09,11
APR-DRG,1634,Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,,,58958.01,58958.01,11
APR-DRG,1651,Coronary Bypass With Ami Or Complex Principal Diagnosis,,,28439.76,28439.76,11
APR-DRG,1652,Coronary Bypass With Ami Or Complex Principal Diagnosis,,,31737.83,31737.83,11
APR-DRG,1653,Coronary Bypass With Ami Or Complex Principal Diagnosis,,,39361.57,39361.57,11
APR-DRG,1654,Coronary Bypass With Ami Or Complex Principal Diagnosis,,,52968.13,52968.13,11
APR-DRG,1661,Coronary Bypass Without Ami Or Complex Principal Diagnosis,,,23885.42,23885.42,11
APR-DRG,1662,Coronary Bypass Without Ami Or Complex Principal Diagnosis,,,27740.34,27740.34,11
APR-DRG,1663,Coronary Bypass Without Ami Or Complex Principal Diagnosis,,,34643.49,34643.49,11
APR-DRG,1664,Coronary Bypass Without Ami Or Complex Principal Diagnosis,,,47220.33,47220.33,11
APR-DRG,1671,Other Cardiothoracic And Thoracic Vascular Procedures,,,19065.7,19065.7,11
APR-DRG,1672,Other Cardiothoracic And Thoracic Vascular Procedures,,,24162.78,24162.78,11
APR-DRG,1673,Other Cardiothoracic And Thoracic Vascular Procedures,,,32942.58,32942.58,11
APR-DRG,1674,Other Cardiothoracic And Thoracic Vascular Procedures,,,51898.89,51898.89,11
APR-DRG,1691,Major Abdominal Vascular Procedures,,,19549.86,19549.86,11
APR-DRG,1692,Major Abdominal Vascular Procedures,,,23310.21,23310.21,11
APR-DRG,1693,Major Abdominal Vascular Procedures,,,29428.54,29428.54,11
APR-DRG,1694,Major Abdominal Vascular Procedures,,,42100.67,42100.67,11
APR-DRG,1701,"Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock",,,16173.45,16173.45,11
APR-DRG,1702,"Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock",,,17355.62,17355.62,11
APR-DRG,1703,"Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock",,,23559.35,23559.35,11
APR-DRG,1704,"Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock",,,34725.36,34725.36,11
APR-DRG,1711,"Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock",,,11216.82,11216.82,11
APR-DRG,1712,"Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock",,,13584.69,13584.69,11
APR-DRG,1713,"Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock",,,18413.57,18413.57,11
APR-DRG,1714,"Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock",,,28238.61,28238.61,11
APR-DRG,1741,Percutaneous Cardiac Intervention With Ami,,,13459.06,13459.06,11
APR-DRG,1742,Percutaneous Cardiac Intervention With Ami,,,17054.96,17054.96,11
APR-DRG,1743,Percutaneous Cardiac Intervention With Ami,,,20027.67,20027.67,11
APR-DRG,1744,Percutaneous Cardiac Intervention With Ami,,,28408.7,28408.7,11
APR-DRG,1751,Percutaneous Cardiac Intervention Without Ami,,,15380.17,15380.17,11
APR-DRG,1752,Percutaneous Cardiac Intervention Without Ami,,,20325.51,20325.51,11
APR-DRG,1753,Percutaneous Cardiac Intervention Without Ami,,,23317.98,23317.98,11
APR-DRG,1754,Percutaneous Cardiac Intervention Without Ami,,,31962.26,31962.26,11
APR-DRG,1761,"Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices",,,12945.26,12945.26,11
APR-DRG,1762,"Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices",,,17648.52,17648.52,11
APR-DRG,1763,"Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices",,,23718.15,23718.15,11
APR-DRG,1764,"Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices",,,33436.62,33436.62,11
APR-DRG,1771,Cardiac Pacemaker And Defibrillator Revision Except Device Replacement,,,9863.86,9863.86,11
APR-DRG,1772,Cardiac Pacemaker And Defibrillator Revision Except Device Replacement,,,14960.23,14960.23,11
APR-DRG,1773,Cardiac Pacemaker And Defibrillator Revision Except Device Replacement,,,18686.71,18686.71,11
APR-DRG,1774,Cardiac Pacemaker And Defibrillator Revision Except Device Replacement,,,26753.67,26753.67,11
APR-DRG,1781,External Heart Assist Systems,,,33150.08,33150.08,11
APR-DRG,1782,External Heart Assist Systems,,,36833.5,36833.5,11
APR-DRG,1783,External Heart Assist Systems,,,45237.82,45237.82,11
APR-DRG,1784,External Heart Assist Systems,,,56064.35,56064.35,11
APR-DRG,1791,Defibrillator Implants,,,24804.33,24804.33,11
APR-DRG,1792,Defibrillator Implants,,,29343.85,29343.85,11
APR-DRG,1793,Defibrillator Implants,,,35491.82,35491.82,11
APR-DRG,1794,Defibrillator Implants,,,46604.9,46604.9,11
APR-DRG,1801,Other Circulatory System Procedures,,,10751.01,10751.01,11
APR-DRG,1802,Other Circulatory System Procedures,,,12230.31,12230.31,11
APR-DRG,1803,Other Circulatory System Procedures,,,17684.51,17684.51,11
APR-DRG,1804,Other Circulatory System Procedures,,,28484.93,28484.93,11
APR-DRG,1811,Lower Extremity Arterial Procedures,,,12972.78,12972.78,11
APR-DRG,1812,Lower Extremity Arterial Procedures,,,17823.55,17823.55,11
APR-DRG,1813,Lower Extremity Arterial Procedures,,,23807.78,23807.78,11
APR-DRG,1814,Lower Extremity Arterial Procedures,,,34648.43,34648.43,11
APR-DRG,1821,Other Peripheral Vascular Procedures,,,12223.96,12223.96,11
APR-DRG,1822,Other Peripheral Vascular Procedures,,,15032.93,15032.93,11
APR-DRG,1823,Other Peripheral Vascular Procedures,,,19206.15,19206.15,11
APR-DRG,1824,Other Peripheral Vascular Procedures,,,29976.93,29976.93,11
APR-DRG,1831,Percutaneous Structural Cardiac Procedures,,,27062.09,27062.09,11
APR-DRG,1832,Percutaneous Structural Cardiac Procedures,,,29391.14,29391.14,11
APR-DRG,1833,Percutaneous Structural Cardiac Procedures,,,36666.23,36666.23,11
APR-DRG,1834,Percutaneous Structural Cardiac Procedures,,,50459.12,50459.12,11
APR-DRG,1901,Acute Myocardial Infarction,,,6123.27,6123.27,11
APR-DRG,1902,Acute Myocardial Infarction,,,7081.71,7081.71,11
APR-DRG,1903,Acute Myocardial Infarction,,,9460.16,9460.16,11
APR-DRG,1904,Acute Myocardial Infarction,,,15812.8,15812.8,11
APR-DRG,1911,Cardiac Catheterization For Coronary Artery Disease,,,7450.12,7450.12,11
APR-DRG,1912,Cardiac Catheterization For Coronary Artery Disease,,,8860.25,8860.25,11
APR-DRG,1913,Cardiac Catheterization For Coronary Artery Disease,,,12075.04,12075.04,11
APR-DRG,1914,Cardiac Catheterization For Coronary Artery Disease,,,17983.76,17983.76,11
APR-DRG,1921,Cardiac Catheterization For Other Non-Coronary Conditions,,,7786.07,7786.07,11
APR-DRG,1922,Cardiac Catheterization For Other Non-Coronary Conditions,,,9982.43,9982.43,11
APR-DRG,1923,Cardiac Catheterization For Other Non-Coronary Conditions,,,14561.47,14561.47,11
APR-DRG,1924,Cardiac Catheterization For Other Non-Coronary Conditions,,,23795.78,23795.78,11
APR-DRG,1931,Acute And Subacute Endocarditis,,,8213.77,8213.77,11
APR-DRG,1932,Acute And Subacute Endocarditis,,,8963.29,8963.29,11
APR-DRG,1933,Acute And Subacute Endocarditis,,,12276.19,12276.19,11
APR-DRG,1934,Acute And Subacute Endocarditis,,,18038.81,18038.81,11
APR-DRG,1941,Heart Failure,,,3924.09,3924.09,11
APR-DRG,1942,Heart Failure,,,5489.49,5489.49,11
APR-DRG,1943,Heart Failure,,,8954.12,8954.12,11
APR-DRG,1944,Heart Failure,,,17246.23,17246.23,11
APR-DRG,1961,Cardiac Arrest And Shock,,,3564.14,3564.14,11
APR-DRG,1962,Cardiac Arrest And Shock,,,4382.13,4382.13,11
APR-DRG,1963,Cardiac Arrest And Shock,,,7349.2,7349.2,11
APR-DRG,1964,Cardiac Arrest And Shock,,,14567.82,14567.82,11
APR-DRG,1971,Peripheral And Other Vascular Disorders,,,4418.83,4418.83,11
APR-DRG,1972,Peripheral And Other Vascular Disorders,,,5795.09,5795.09,11
APR-DRG,1973,Peripheral And Other Vascular Disorders,,,9125.62,9125.62,11
APR-DRG,1974,Peripheral And Other Vascular Disorders,,,16220.04,16220.04,11
APR-DRG,1981,Angina Pectoris And Coronary Atherosclerosis,,,4227.57,4227.57,11
APR-DRG,1982,Angina Pectoris And Coronary Atherosclerosis,,,4991.92,4991.92,11
APR-DRG,1983,Angina Pectoris And Coronary Atherosclerosis,,,6567.91,6567.91,11
APR-DRG,1984,Angina Pectoris And Coronary Atherosclerosis,,,12133.62,12133.62,11
APR-DRG,1991,Hypertension,,,4363.08,4363.08,11
APR-DRG,1992,Hypertension,,,5129.55,5129.55,11
APR-DRG,1993,Hypertension,,,7670.32,7670.32,11
APR-DRG,1994,Hypertension,,,14430.2,14430.2,11
APR-DRG,2001,Cardiac Structural And Valvular Disorders,,,4871.23,4871.23,11
APR-DRG,2002,Cardiac Structural And Valvular Disorders,,,6535.44,6535.44,11
APR-DRG,2003,Cardiac Structural And Valvular Disorders,,,9650.72,9650.72,11
APR-DRG,2004,Cardiac Structural And Valvular Disorders,,,16932.16,16932.16,11
APR-DRG,201,Open Craniotomy For Trauma,,,14871.31,14871.31,11
APR-DRG,2011,Cardiac Arrhythmia And Conduction Disorders,,,3515.45,3515.45,11
APR-DRG,2012,Cardiac Arrhythmia And Conduction Disorders,,,4729.37,4729.37,11
APR-DRG,2013,Cardiac Arrhythmia And Conduction Disorders,,,7064.06,7064.06,11
APR-DRG,2014,Cardiac Arrhythmia And Conduction Disorders,,,12914.2,12914.2,11
APR-DRG,202,Open Craniotomy For Trauma,,,19228.74,19228.74,11
APR-DRG,203,Open Craniotomy For Trauma,,,27479.2,27479.2,11
APR-DRG,2031,Chest Pain,,,4405.42,4405.42,11
APR-DRG,2032,Chest Pain,,,4988.39,4988.39,11
APR-DRG,2033,Chest Pain,,,6179.03,6179.03,11
APR-DRG,2034,Chest Pain,,,9845.51,9845.51,11
APR-DRG,204,Open Craniotomy For Trauma,,,39799.15,39799.15,11
APR-DRG,2041,Syncope And Collapse,,,4928.4,4928.4,11
APR-DRG,2042,Syncope And Collapse,,,5589.0,5589.0,11
APR-DRG,2043,Syncope And Collapse,,,7169.93,7169.93,11
APR-DRG,2044,Syncope And Collapse,,,11571.83,11571.83,11
APR-DRG,2051,Cardiomyopathy,,,4326.38,4326.38,11
APR-DRG,2052,Cardiomyopathy,,,5363.86,5363.86,11
APR-DRG,2053,Cardiomyopathy,,,8425.5,8425.5,11
APR-DRG,2054,Cardiomyopathy,,,15737.99,15737.99,11
APR-DRG,2061,"Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure",,,5509.96,5509.96,11
APR-DRG,2062,"Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure",,,6606.72,6606.72,11
APR-DRG,2063,"Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure",,,9925.26,9925.26,11
APR-DRG,2064,"Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure",,,17289.28,17289.28,11
APR-DRG,2071,Other Circulatory System Diagnoses,,,4252.27,4252.27,11
APR-DRG,2072,Other Circulatory System Diagnoses,,,5570.65,5570.65,11
APR-DRG,2073,Other Circulatory System Diagnoses,,,8052.85,8052.85,11
APR-DRG,2074,Other Circulatory System Diagnoses,,,15128.21,15128.21,11
APR-DRG,21,Heart And/Or Lung Transplant,,,85322.8,85322.8,11
APR-DRG,211,Open Craniotomy Except Trauma,,,17547.59,17547.59,11
APR-DRG,212,Open Craniotomy Except Trauma,,,23209.29,23209.29,11
APR-DRG,213,Open Craniotomy Except Trauma,,,32060.37,32060.37,11
APR-DRG,214,Open Craniotomy Except Trauma,,,45556.83,45556.83,11
APR-DRG,22,Heart And/Or Lung Transplant,,,96536.8,96536.8,11
APR-DRG,2201,"Major Stomach, Esophageal And Duodenal Procedures",,,11417.97,11417.97,11
APR-DRG,2202,"Major Stomach, Esophageal And Duodenal Procedures",,,16395.77,16395.77,11
APR-DRG,2203,"Major Stomach, Esophageal And Duodenal Procedures",,,24043.51,24043.51,11
APR-DRG,2204,"Major Stomach, Esophageal And Duodenal Procedures",,,40363.76,40363.76,11
APR-DRG,221,Ventricular Shunt Procedures,,,10643.03,10643.03,11
APR-DRG,222,Ventricular Shunt Procedures,,,13402.6,13402.6,11
APR-DRG,2221,"Other Stomach, Esophageal And Duodenal Procedures",,,6325.83,6325.83,11
APR-DRG,2222,"Other Stomach, Esophageal And Duodenal Procedures",,,10992.39,10992.39,11
APR-DRG,2223,"Other Stomach, Esophageal And Duodenal Procedures",,,17608.99,17608.99,11
APR-DRG,2224,"Other Stomach, Esophageal And Duodenal Procedures",,,29936.7,29936.7,11
APR-DRG,223,Ventricular Shunt Procedures,,,19674.08,19674.08,11
APR-DRG,2231,Other Small And Large Bowel Procedures,,,8866.6,8866.6,11
APR-DRG,2232,Other Small And Large Bowel Procedures,,,11315.63,11315.63,11
APR-DRG,2233,Other Small And Large Bowel Procedures,,,15930.67,15930.67,11
APR-DRG,2234,Other Small And Large Bowel Procedures,,,28602.79,28602.79,11
APR-DRG,224,Ventricular Shunt Procedures,,,35599.1,35599.1,11
APR-DRG,2241,Peritoneal Adhesiolysis,,,9737.53,9737.53,11
APR-DRG,2242,Peritoneal Adhesiolysis,,,12243.72,12243.72,11
APR-DRG,2243,Peritoneal Adhesiolysis,,,18330.29,18330.29,11
APR-DRG,2244,Peritoneal Adhesiolysis,,,28160.98,28160.98,11
APR-DRG,2261,Anal Procedures,,,6481.8,6481.8,11
APR-DRG,2262,Anal Procedures,,,8162.24,8162.24,11
APR-DRG,2263,Anal Procedures,,,12734.23,12734.23,11
APR-DRG,2264,Anal Procedures,,,18985.95,18985.95,11
APR-DRG,2271,"Hernia Procedures Except Inguinal, Femoral And Umbilical",,,9026.81,9026.81,11
APR-DRG,2272,"Hernia Procedures Except Inguinal, Femoral And Umbilical",,,11018.5,11018.5,11
APR-DRG,2273,"Hernia Procedures Except Inguinal, Femoral And Umbilical",,,16337.19,16337.19,11
APR-DRG,2274,"Hernia Procedures Except Inguinal, Femoral And Umbilical",,,28691.01,28691.01,11
APR-DRG,2281,"Inguinal, Femoral And Umbilical Hernia Procedures",,,7623.74,7623.74,11
APR-DRG,2282,"Inguinal, Femoral And Umbilical Hernia Procedures",,,9539.91,9539.91,11
APR-DRG,2283,"Inguinal, Femoral And Umbilical Hernia Procedures",,,13303.08,13303.08,11
APR-DRG,2284,"Inguinal, Femoral And Umbilical Hernia Procedures",,,23774.61,23774.61,11
APR-DRG,2291,Other Digestive System And Abdominal Procedures,,,8800.26,8800.26,11
APR-DRG,2292,Other Digestive System And Abdominal Procedures,,,12503.44,12503.44,11
APR-DRG,2293,Other Digestive System And Abdominal Procedures,,,18551.9,18551.9,11
APR-DRG,2294,Other Digestive System And Abdominal Procedures,,,29720.73,29720.73,11
APR-DRG,23,Heart And/Or Lung Transplant,,,127485.58,127485.58,11
APR-DRG,2301,Major Small Bowel Procedures,,,9025.4,9025.4,11
APR-DRG,2302,Major Small Bowel Procedures,,,14631.34,14631.34,11
APR-DRG,2303,Major Small Bowel Procedures,,,21512.61,21512.61,11
APR-DRG,2304,Major Small Bowel Procedures,,,34143.1,34143.1,11
APR-DRG,231,Spinal Procedures,,,12830.92,12830.92,11
APR-DRG,2311,Major Large Bowel Procedures,,,11009.33,11009.33,11
APR-DRG,2312,Major Large Bowel Procedures,,,14114.72,14114.72,11
APR-DRG,2313,Major Large Bowel Procedures,,,20299.39,20299.39,11
APR-DRG,2314,Major Large Bowel Procedures,,,30139.96,30139.96,11
APR-DRG,232,Spinal Procedures,,,18152.44,18152.44,11
APR-DRG,2321,Gastric Fundoplication,,,9018.35,9018.35,11
APR-DRG,2322,Gastric Fundoplication,,,11223.17,11223.17,11
APR-DRG,2323,Gastric Fundoplication,,,17892.71,17892.71,11
APR-DRG,2324,Gastric Fundoplication,,,28707.95,28707.95,11
APR-DRG,233,Spinal Procedures,,,28610.56,28610.56,11
APR-DRG,2331,Appendectomy With Complex Principal Diagnosis,,,7886.29,7886.29,11
APR-DRG,2332,Appendectomy With Complex Principal Diagnosis,,,10178.63,10178.63,11
APR-DRG,2333,Appendectomy With Complex Principal Diagnosis,,,14332.8,14332.8,11
APR-DRG,2334,Appendectomy With Complex Principal Diagnosis,,,22503.52,22503.52,11
APR-DRG,234,Spinal Procedures,,,41538.17,41538.17,11
APR-DRG,2341,Appendectomy Without Complex Principal Diagnosis,,,7371.78,7371.78,11
APR-DRG,2342,Appendectomy Without Complex Principal Diagnosis,,,8994.35,8994.35,11
APR-DRG,2343,Appendectomy Without Complex Principal Diagnosis,,,13848.64,13848.64,11
APR-DRG,2344,Appendectomy Without Complex Principal Diagnosis,,,19982.5,19982.5,11
APR-DRG,24,Heart And/Or Lung Transplant,,,234039.39,234039.39,11
APR-DRG,2401,Digestive Malignancy,,,5904.48,5904.48,11
APR-DRG,2402,Digestive Malignancy,,,7347.78,7347.78,11
APR-DRG,2403,Digestive Malignancy,,,10708.67,10708.67,11
APR-DRG,2404,Digestive Malignancy,,,17084.6,17084.6,11
APR-DRG,241,Open Extracranial Vascular Procedures,,,7479.76,7479.76,11
APR-DRG,2411,Peptic Ulcer And Gastritis,,,5202.24,5202.24,11
APR-DRG,2412,Peptic Ulcer And Gastritis,,,6263.72,6263.72,11
APR-DRG,2413,Peptic Ulcer And Gastritis,,,9289.36,9289.36,11
APR-DRG,2414,Peptic Ulcer And Gastritis,,,17673.22,17673.22,11
APR-DRG,242,Open Extracranial Vascular Procedures,,,9914.67,9914.67,11
APR-DRG,2421,Major Esophageal Disorders,,,4884.64,4884.64,11
APR-DRG,2422,Major Esophageal Disorders,,,6241.84,6241.84,11
APR-DRG,2423,Major Esophageal Disorders,,,9307.71,9307.71,11
APR-DRG,2424,Major Esophageal Disorders,,,18100.21,18100.21,11
APR-DRG,243,Open Extracranial Vascular Procedures,,,17660.51,17660.51,11
APR-DRG,2431,Other Esophageal Disorders,,,4758.31,4758.31,11
APR-DRG,2432,Other Esophageal Disorders,,,6108.45,6108.45,11
APR-DRG,2433,Other Esophageal Disorders,,,8659.11,8659.11,11
APR-DRG,2434,Other Esophageal Disorders,,,15998.42,15998.42,11
APR-DRG,244,Open Extracranial Vascular Procedures,,,27618.24,27618.24,11
APR-DRG,2441,Diverticulitis And Diverticulosis,,,3897.97,3897.97,11
APR-DRG,2442,Diverticulitis And Diverticulosis,,,5373.04,5373.04,11
APR-DRG,2443,Diverticulitis And Diverticulosis,,,8429.73,8429.73,11
APR-DRG,2444,Diverticulitis And Diverticulosis,,,15501.56,15501.56,11
APR-DRG,2451,Inflammatory Bowel Disease,,,4430.13,4430.13,11
APR-DRG,2452,Inflammatory Bowel Disease,,,5982.82,5982.82,11
APR-DRG,2453,Inflammatory Bowel Disease,,,9234.31,9234.31,11
APR-DRG,2454,Inflammatory Bowel Disease,,,15848.09,15848.09,11
APR-DRG,2461,Gastrointestinal Vascular Insufficiency,,,4580.46,4580.46,11
APR-DRG,2462,Gastrointestinal Vascular Insufficiency,,,5850.14,5850.14,11
APR-DRG,2463,Gastrointestinal Vascular Insufficiency,,,8848.25,8848.25,11
APR-DRG,2464,Gastrointestinal Vascular Insufficiency,,,14304.57,14304.57,11
APR-DRG,2471,Intestinal Obstruction,,,3595.9,3595.9,11
APR-DRG,2472,Intestinal Obstruction,,,4807.71,4807.71,11
APR-DRG,2473,Intestinal Obstruction,,,7708.43,7708.43,11
APR-DRG,2474,Intestinal Obstruction,,,13830.29,13830.29,11
APR-DRG,2481,Major Gastrointestinal And Peritoneal Infections,,,4166.87,4166.87,11
APR-DRG,2482,Major Gastrointestinal And Peritoneal Infections,,,5681.46,5681.46,11
APR-DRG,2483,Major Gastrointestinal And Peritoneal Infections,,,8609.7,8609.7,11
APR-DRG,2484,Major Gastrointestinal And Peritoneal Infections,,,15036.46,15036.46,11
APR-DRG,2491,"Other Gastroenteritis, Nausea And Vomiting",,,3850.69,3850.69,11
APR-DRG,2492,"Other Gastroenteritis, Nausea And Vomiting",,,4783.01,4783.01,11
APR-DRG,2493,"Other Gastroenteritis, Nausea And Vomiting",,,7122.64,7122.64,11
APR-DRG,2494,"Other Gastroenteritis, Nausea And Vomiting",,,13108.29,13108.29,11
APR-DRG,2511,Abdominal Pain,,,4240.27,4240.27,11
APR-DRG,2512,Abdominal Pain,,,5303.17,5303.17,11
APR-DRG,2513,Abdominal Pain,,,6971.61,6971.61,11
APR-DRG,2514,Abdominal Pain,,,10947.92,10947.92,11
APR-DRG,2521,"Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure",,,4805.6,4805.6,11
APR-DRG,2522,"Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure",,,6270.07,6270.07,11
APR-DRG,2523,"Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure",,,9510.97,9510.97,11
APR-DRG,2524,"Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure",,,17668.28,17668.28,11
APR-DRG,2531,Other And Unspecified Gastrointestinal Hemorrhage,,,4540.23,4540.23,11
APR-DRG,2532,Other And Unspecified Gastrointestinal Hemorrhage,,,5849.43,5849.43,11
APR-DRG,2533,Other And Unspecified Gastrointestinal Hemorrhage,,,8805.91,8805.91,11
APR-DRG,2534,Other And Unspecified Gastrointestinal Hemorrhage,,,15154.32,15154.32,11
APR-DRG,2541,Other Digestive System Diagnoses,,,4484.47,4484.47,11
APR-DRG,2542,Other Digestive System Diagnoses,,,5857.9,5857.9,11
APR-DRG,2543,Other Digestive System Diagnoses,,,8711.33,8711.33,11
APR-DRG,2544,Other Digestive System Diagnoses,,,14708.27,14708.27,11
APR-DRG,2601,"Major Pancreas, Liver And Shunt Procedures",,,13886.05,13886.05,11
APR-DRG,2602,"Major Pancreas, Liver And Shunt Procedures",,,18971.84,18971.84,11
APR-DRG,2603,"Major Pancreas, Liver And Shunt Procedures",,,25147.34,25147.34,11
APR-DRG,2604,"Major Pancreas, Liver And Shunt Procedures",,,42505.78,42505.78,11
APR-DRG,261,Other Nervous System And Related Procedures,,,10421.42,10421.42,11
APR-DRG,2611,Major Biliary Tract Procedures,,,12030.58,12030.58,11
APR-DRG,2612,Major Biliary Tract Procedures,,,16980.86,16980.86,11
APR-DRG,2613,Major Biliary Tract Procedures,,,20816.72,20816.72,11
APR-DRG,2614,Major Biliary Tract Procedures,,,39523.19,39523.19,11
APR-DRG,262,Other Nervous System And Related Procedures,,,15514.26,15514.26,11
APR-DRG,263,Other Nervous System And Related Procedures,,,20626.16,20626.16,11
APR-DRG,2631,Cholecystectomy,,,8923.07,8923.07,11
APR-DRG,2632,Cholecystectomy,,,11041.79,11041.79,11
APR-DRG,2633,Cholecystectomy,,,15197.37,15197.37,11
APR-DRG,2634,Cholecystectomy,,,25582.8,25582.8,11
APR-DRG,264,Other Nervous System And Related Procedures,,,32310.21,32310.21,11
APR-DRG,2641,"Other Hepatobiliary, Pancreas And Abdominal Procedures",,,9928.08,9928.08,11
APR-DRG,2642,"Other Hepatobiliary, Pancreas And Abdominal Procedures",,,12475.21,12475.21,11
APR-DRG,2643,"Other Hepatobiliary, Pancreas And Abdominal Procedures",,,18749.52,18749.52,11
APR-DRG,2644,"Other Hepatobiliary, Pancreas And Abdominal Procedures",,,33694.93,33694.93,11
APR-DRG,271,Other Open Craniotomy,,,13487.29,13487.29,11
APR-DRG,272,Other Open Craniotomy,,,18526.5,18526.5,11
APR-DRG,273,Other Open Craniotomy,,,26924.47,26924.47,11
APR-DRG,274,Other Open Craniotomy,,,38341.73,38341.73,11
APR-DRG,2791,Hepatic Coma And Other Major Acute Liver Disorders,,,3855.63,3855.63,11
APR-DRG,2792,Hepatic Coma And Other Major Acute Liver Disorders,,,5569.95,5569.95,11
APR-DRG,2793,Hepatic Coma And Other Major Acute Liver Disorders,,,9565.32,9565.32,11
APR-DRG,2794,Hepatic Coma And Other Major Acute Liver Disorders,,,18177.84,18177.84,11
APR-DRG,2801,Alcoholic Liver Disease,,,4658.8,4658.8,11
APR-DRG,2802,Alcoholic Liver Disease,,,6202.32,6202.32,11
APR-DRG,2803,Alcoholic Liver Disease,,,9755.88,9755.88,11
APR-DRG,2804,Alcoholic Liver Disease,,,19179.33,19179.33,11
APR-DRG,2811,Malignancy Of Hepatobiliary System And Pancreas,,,5761.92,5761.92,11
APR-DRG,2812,Malignancy Of Hepatobiliary System And Pancreas,,,7703.49,7703.49,11
APR-DRG,2813,Malignancy Of Hepatobiliary System And Pancreas,,,10449.65,10449.65,11
APR-DRG,2814,Malignancy Of Hepatobiliary System And Pancreas,,,15896.79,15896.79,11
APR-DRG,2821,Disorders Of Pancreas Except Malignancy,,,4040.54,4040.54,11
APR-DRG,2822,Disorders Of Pancreas Except Malignancy,,,5603.12,5603.12,11
APR-DRG,2823,Disorders Of Pancreas Except Malignancy,,,9161.62,9161.62,11
APR-DRG,2824,Disorders Of Pancreas Except Malignancy,,,19470.11,19470.11,11
APR-DRG,2831,Other Disorders Of The Liver,,,4344.73,4344.73,11
APR-DRG,2832,Other Disorders Of The Liver,,,6051.99,6051.99,11
APR-DRG,2833,Other Disorders Of The Liver,,,9225.14,9225.14,11
APR-DRG,2834,Other Disorders Of The Liver,,,17272.34,17272.34,11
APR-DRG,2841,Disorders Of Gallbladder And Biliary Tract,,,5317.28,5317.28,11
APR-DRG,2842,Disorders Of Gallbladder And Biliary Tract,,,7143.11,7143.11,11
APR-DRG,2843,Disorders Of Gallbladder And Biliary Tract,,,9928.79,9928.79,11
APR-DRG,2844,Disorders Of Gallbladder And Biliary Tract,,,16662.55,16662.55,11
APR-DRG,291,Other Percutaneous Intracranial Procedures,,,13519.05,13519.05,11
APR-DRG,292,Other Percutaneous Intracranial Procedures,,,16956.86,16956.86,11
APR-DRG,293,Other Percutaneous Intracranial Procedures,,,24350.52,24350.52,11
APR-DRG,294,Other Percutaneous Intracranial Procedures,,,32512.06,32512.06,11
APR-DRG,2991,Description Not Available,,,27635.18,27635.18,11
APR-DRG,2992,Description Not Available,,,33223.48,33223.48,11
APR-DRG,2993,Description Not Available,,,45172.89,45172.89,11
APR-DRG,2994,Description Not Available,,,57768.79,57768.79,11
APR-DRG,3001,Description Not Available,,,20790.61,20790.61,11
APR-DRG,3002,Description Not Available,,,23616.52,23616.52,11
APR-DRG,3003,Description Not Available,,,30814.68,30814.68,11
APR-DRG,3004,Description Not Available,,,44071.18,44071.18,11
APR-DRG,301,Percutaneous Intracranial And Extracranial Vascular Procedures,,,11717.92,11717.92,11
APR-DRG,302,Percutaneous Intracranial And Extracranial Vascular Procedures,,,20124.36,20124.36,11
APR-DRG,303,Percutaneous Intracranial And Extracranial Vascular Procedures,,,25788.88,25788.88,11
APR-DRG,3031,Dorsal And Lumbar Fusion Procedure For Curvature Of Back,,,29337.5,29337.5,11
APR-DRG,3032,Dorsal And Lumbar Fusion Procedure For Curvature Of Back,,,33843.85,33843.85,11
APR-DRG,3033,Dorsal And Lumbar Fusion Procedure For Curvature Of Back,,,46534.32,46534.32,11
APR-DRG,3034,Dorsal And Lumbar Fusion Procedure For Curvature Of Back,,,67052.5,67052.5,11
APR-DRG,304,Percutaneous Intracranial And Extracranial Vascular Procedures,,,34752.18,34752.18,11
APR-DRG,3041,Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,,,18381.81,18381.81,11
APR-DRG,3042,Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,,,25044.29,25044.29,11
APR-DRG,3043,Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,,,34860.87,34860.87,11
APR-DRG,3044,Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,,,47288.09,47288.09,11
APR-DRG,3051,Amputation Of Lower Limb Except Toes,,,8225.76,8225.76,11
APR-DRG,3052,Amputation Of Lower Limb Except Toes,,,11199.18,11199.18,11
APR-DRG,3053,Amputation Of Lower Limb Except Toes,,,17142.48,17142.48,11
APR-DRG,3054,Amputation Of Lower Limb Except Toes,,,28247.79,28247.79,11
APR-DRG,3081,Hip And Femur Fracture Repair,,,9757.99,9757.99,11
APR-DRG,3082,Hip And Femur Fracture Repair,,,12583.2,12583.2,11
APR-DRG,3083,Hip And Femur Fracture Repair,,,15975.84,15975.84,11
APR-DRG,3084,Hip And Femur Fracture Repair,,,23020.14,23020.14,11
APR-DRG,3091,Other Significant Hip And Femur Surgery,,,11397.5,11397.5,11
APR-DRG,3092,Other Significant Hip And Femur Surgery,,,14931.3,14931.3,11
APR-DRG,3093,Other Significant Hip And Femur Surgery,,,20364.32,20364.32,11
APR-DRG,3094,Other Significant Hip And Femur Surgery,,,29272.57,29272.57,11
APR-DRG,3101,Intervertebral Disc Excision And Decompression,,,9476.39,9476.39,11
APR-DRG,3102,Intervertebral Disc Excision And Decompression,,,12996.78,12996.78,11
APR-DRG,3103,Intervertebral Disc Excision And Decompression,,,18731.17,18731.17,11
APR-DRG,3104,Intervertebral Disc Excision And Decompression,,,27322.52,27322.52,11
APR-DRG,3121,"Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses",,,11362.21,11362.21,11
APR-DRG,3122,"Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses",,,16383.77,16383.77,11
APR-DRG,3123,"Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses",,,25075.35,25075.35,11
APR-DRG,3124,"Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses",,,40835.22,40835.22,11
APR-DRG,3131,Knee And Lower Leg Procedures Except Foot,,,10484.23,10484.23,11
APR-DRG,3132,Knee And Lower Leg Procedures Except Foot,,,13967.92,13967.92,11
APR-DRG,3133,Knee And Lower Leg Procedures Except Foot,,,19839.23,19839.23,11
APR-DRG,3134,Knee And Lower Leg Procedures Except Foot,,,29347.38,29347.38,11
APR-DRG,3141,Foot And Toe Procedures,,,7287.09,7287.09,11
APR-DRG,3142,Foot And Toe Procedures,,,9605.55,9605.55,11
APR-DRG,3143,Foot And Toe Procedures,,,14452.78,14452.78,11
APR-DRG,3144,Foot And Toe Procedures,,,23183.88,23183.88,11
APR-DRG,3151,"Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement",,,9361.35,9361.35,11
APR-DRG,3152,"Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement",,,13601.62,13601.62,11
APR-DRG,3153,"Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement",,,18404.4,18404.4,11
APR-DRG,3154,"Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement",,,28825.82,28825.82,11
APR-DRG,3161,Hand And Wrist Procedures,,,7354.84,7354.84,11
APR-DRG,3162,Hand And Wrist Procedures,,,9837.75,9837.75,11
APR-DRG,3163,Hand And Wrist Procedures,,,14704.04,14704.04,11
APR-DRG,3164,Hand And Wrist Procedures,,,23361.73,23361.73,11
APR-DRG,3171,"Tendon, Muscle And Other Soft Tissue Procedures",,,8051.44,8051.44,11
APR-DRG,3172,"Tendon, Muscle And Other Soft Tissue Procedures",,,10726.31,10726.31,11
APR-DRG,3173,"Tendon, Muscle And Other Soft Tissue Procedures",,,15303.94,15303.94,11
APR-DRG,3174,"Tendon, Muscle And Other Soft Tissue Procedures",,,26141.77,26141.77,11
APR-DRG,3201,Other Musculoskeletal System And Connective Tissue Procedures,,,8899.07,8899.07,11
APR-DRG,3202,Other Musculoskeletal System And Connective Tissue Procedures,,,12431.45,12431.45,11
APR-DRG,3203,Other Musculoskeletal System And Connective Tissue Procedures,,,17884.95,17884.95,11
APR-DRG,3204,Other Musculoskeletal System And Connective Tissue Procedures,,,27309.11,27309.11,11
APR-DRG,3211,Decompression,,,12531.67,12531.67,11
APR-DRG,3212,Decompression,,,17039.44,17039.44,11
APR-DRG,3213,Decompression,,,26692.97,26692.97,11
APR-DRG,3214,Decompression,,,35622.39,35622.39,11
APR-DRG,3221,Shoulder And Elbow Joint Replacement,,,11789.2,11789.2,11
APR-DRG,3222,Shoulder And Elbow Joint Replacement,,,14250.93,14250.93,11
APR-DRG,3223,Shoulder And Elbow Joint Replacement,,,19461.64,19461.64,11
APR-DRG,3224,Shoulder And Elbow Joint Replacement,,,24960.31,24960.31,11
APR-DRG,3231,Non-Elective Or Complex Hip Joint Replacement,,,11620.52,11620.52,11
APR-DRG,3232,Non-Elective Or Complex Hip Joint Replacement,,,14033.56,14033.56,11
APR-DRG,3233,Non-Elective Or Complex Hip Joint Replacement,,,18873.03,18873.03,11
APR-DRG,3234,Non-Elective Or Complex Hip Joint Replacement,,,26391.61,26391.61,11
APR-DRG,3241,Elective Hip Joint Replacement,,,9949.96,9949.96,11
APR-DRG,3242,Elective Hip Joint Replacement,,,12123.74,12123.74,11
APR-DRG,3243,Elective Hip Joint Replacement,,,18071.27,18071.27,11
APR-DRG,3244,Elective Hip Joint Replacement,,,25244.03,25244.03,11
APR-DRG,3251,Non-Elective Or Complex Knee Joint Replacement,,,15342.06,15342.06,11
APR-DRG,3252,Non-Elective Or Complex Knee Joint Replacement,,,19001.48,19001.48,11
APR-DRG,3253,Non-Elective Or Complex Knee Joint Replacement,,,23018.73,23018.73,11
APR-DRG,3254,Non-Elective Or Complex Knee Joint Replacement,,,28785.59,28785.59,11
APR-DRG,3261,Elective Knee Joint Replacement,,,9808.81,9808.81,11
APR-DRG,3262,Elective Knee Joint Replacement,,,11082.73,11082.73,11
APR-DRG,3263,Elective Knee Joint Replacement,,,15227.01,15227.01,11
APR-DRG,3264,Elective Knee Joint Replacement,,,23974.34,23974.34,11
APR-DRG,3401,Fracture Of Femur,,,3835.87,3835.87,11
APR-DRG,3402,Fracture Of Femur,,,4848.65,4848.65,11
APR-DRG,3403,Fracture Of Femur,,,7337.2,7337.2,11
APR-DRG,3404,Fracture Of Femur,,,11312.81,11312.81,11
APR-DRG,3411,Fracture Of Pelvis Or Dislocation Of Hip,,,4156.99,4156.99,11
APR-DRG,3412,Fracture Of Pelvis Or Dislocation Of Hip,,,5232.59,5232.59,11
APR-DRG,3413,Fracture Of Pelvis Or Dislocation Of Hip,,,7777.6,7777.6,11
APR-DRG,3414,Fracture Of Pelvis Or Dislocation Of Hip,,,14221.29,14221.29,11
APR-DRG,3421,"Fractures And Dislocations Except Femur, Pelvis And Back",,,4533.17,4533.17,11
APR-DRG,3422,"Fractures And Dislocations Except Femur, Pelvis And Back",,,5815.56,5815.56,11
APR-DRG,3423,"Fractures And Dislocations Except Femur, Pelvis And Back",,,8321.75,8321.75,11
APR-DRG,3424,"Fractures And Dislocations Except Femur, Pelvis And Back",,,15089.39,15089.39,11
APR-DRG,3431,Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy,,,6823.4,6823.4,11
APR-DRG,3432,Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy,,,8084.61,8084.61,11
APR-DRG,3433,Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy,,,12211.25,12211.25,11
APR-DRG,3434,Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy,,,19022.65,19022.65,11
APR-DRG,3441,"Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections",,,5446.44,5446.44,11
APR-DRG,3442,"Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections",,,7352.02,7352.02,11
APR-DRG,3443,"Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections",,,10864.64,10864.64,11
APR-DRG,3444,"Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections",,,17306.22,17306.22,11
APR-DRG,3461,Connective Tissue Disorders,,,5855.08,5855.08,11
APR-DRG,3462,Connective Tissue Disorders,,,8225.76,8225.76,11
APR-DRG,3463,Connective Tissue Disorders,,,12271.95,12271.95,11
APR-DRG,3464,Connective Tissue Disorders,,,22472.46,22472.46,11
APR-DRG,3471,"Other Back And Neck Disorders, Fractures And Injuries",,,5340.57,5340.57,11
APR-DRG,3472,"Other Back And Neck Disorders, Fractures And Injuries",,,6795.17,6795.17,11
APR-DRG,3473,"Other Back And Neck Disorders, Fractures And Injuries",,,9636.6,9636.6,11
APR-DRG,3474,"Other Back And Neck Disorders, Fractures And Injuries",,,15910.2,15910.2,11
APR-DRG,3491,"Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure",,,4827.48,4827.48,11
APR-DRG,3492,"Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure",,,6596.14,6596.14,11
APR-DRG,3493,"Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure",,,9497.56,9497.56,11
APR-DRG,3494,"Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure",,,15687.18,15687.18,11
APR-DRG,3511,Other Musculoskeletal System And Connective Tissue Diagnoses,,,4360.25,4360.25,11
APR-DRG,3512,Other Musculoskeletal System And Connective Tissue Diagnoses,,,5461.26,5461.26,11
APR-DRG,3513,Other Musculoskeletal System And Connective Tissue Diagnoses,,,8035.21,8035.21,11
APR-DRG,3514,Other Musculoskeletal System And Connective Tissue Diagnoses,,,14181.77,14181.77,11
APR-DRG,3611,Skin Graft For Skin And Subcutaneous Tissue Diagnoses,,,12175.97,12175.97,11
APR-DRG,3612,Skin Graft For Skin And Subcutaneous Tissue Diagnoses,,,16236.97,16236.97,11
APR-DRG,3613,Skin Graft For Skin And Subcutaneous Tissue Diagnoses,,,22370.13,22370.13,11
APR-DRG,3614,Skin Graft For Skin And Subcutaneous Tissue Diagnoses,,,39730.69,39730.69,11
APR-DRG,3621,Mastectomy Procedures,,,11664.99,11664.99,11
APR-DRG,3622,Mastectomy Procedures,,,17546.88,17546.88,11
APR-DRG,3623,Mastectomy Procedures,,,18172.9,18172.9,11
APR-DRG,3624,Mastectomy Procedures,,,22758.3,22758.3,11
APR-DRG,3631,Breast Procedures Except Mastectomy,,,9911.85,9911.85,11
APR-DRG,3632,Breast Procedures Except Mastectomy,,,15807.16,15807.16,11
APR-DRG,3633,Breast Procedures Except Mastectomy,,,21601.54,21601.54,11
APR-DRG,3634,Breast Procedures Except Mastectomy,,,23448.54,23448.54,11
APR-DRG,3641,"Other Skin, Subcutaneous Tissue And Related Procedures",,,6231.96,6231.96,11
APR-DRG,3642,"Other Skin, Subcutaneous Tissue And Related Procedures",,,8225.06,8225.06,11
APR-DRG,3643,"Other Skin, Subcutaneous Tissue And Related Procedures",,,13578.33,13578.33,11
APR-DRG,3644,"Other Skin, Subcutaneous Tissue And Related Procedures",,,22792.18,22792.18,11
APR-DRG,3801,Skin Ulcers,,,4304.5,4304.5,11
APR-DRG,3802,Skin Ulcers,,,5514.19,5514.19,11
APR-DRG,3803,Skin Ulcers,,,8488.31,8488.31,11
APR-DRG,3804,Skin Ulcers,,,14804.96,14804.96,11
APR-DRG,3811,Major Skin Disorders,,,3521.09,3521.09,11
APR-DRG,3812,Major Skin Disorders,,,6289.13,6289.13,11
APR-DRG,3813,Major Skin Disorders,,,10429.89,10429.89,11
APR-DRG,3814,Major Skin Disorders,,,21633.3,21633.3,11
APR-DRG,3821,Malignant Breast Disorders,,,5356.1,5356.1,11
APR-DRG,3822,Malignant Breast Disorders,,,6855.16,6855.16,11
APR-DRG,3823,Malignant Breast Disorders,,,9232.19,9232.19,11
APR-DRG,3824,Malignant Breast Disorders,,,15379.46,15379.46,11
APR-DRG,3831,Cellulitis And Other Skin Infections,,,3541.56,3541.56,11
APR-DRG,3832,Cellulitis And Other Skin Infections,,,4763.96,4763.96,11
APR-DRG,3833,Cellulitis And Other Skin Infections,,,7388.01,7388.01,11
APR-DRG,3834,Cellulitis And Other Skin Infections,,,14146.48,14146.48,11
APR-DRG,3841,"Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue",,,5230.47,5230.47,11
APR-DRG,3842,"Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue",,,6430.28,6430.28,11
APR-DRG,3843,"Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue",,,9146.8,9146.8,11
APR-DRG,3844,"Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue",,,14730.86,14730.86,11
APR-DRG,3851,"Other Skin, Subcutaneous Tissue And Breast Disorders",,,3993.96,3993.96,11
APR-DRG,3852,"Other Skin, Subcutaneous Tissue And Breast Disorders",,,5176.13,5176.13,11
APR-DRG,3853,"Other Skin, Subcutaneous Tissue And Breast Disorders",,,8419.15,8419.15,11
APR-DRG,3854,"Other Skin, Subcutaneous Tissue And Breast Disorders",,,14061.79,14061.79,11
APR-DRG,401,Spinal Disorders And Injuries,,,7966.75,7966.75,11
APR-DRG,4011,Adrenal Procedures,,,9269.6,9269.6,11
APR-DRG,4012,Adrenal Procedures,,,12668.59,12668.59,11
APR-DRG,4013,Adrenal Procedures,,,23529.0,23529.0,11
APR-DRG,4014,Adrenal Procedures,,,37606.32,37606.32,11
APR-DRG,402,Spinal Disorders And Injuries,,,10880.88,10880.88,11
APR-DRG,403,Spinal Disorders And Injuries,,,15038.57,15038.57,11
APR-DRG,4031,Procedures For Obesity,,,8214.47,8214.47,11
APR-DRG,4032,Procedures For Obesity,,,10156.05,10156.05,11
APR-DRG,4033,Procedures For Obesity,,,16751.48,16751.48,11
APR-DRG,4034,Procedures For Obesity,,,33263.71,33263.71,11
APR-DRG,404,Spinal Disorders And Injuries,,,21088.45,21088.45,11
APR-DRG,4041,"Thyroid, Parathyroid And Thyroglossal Procedures",,,8275.87,8275.87,11
APR-DRG,4042,"Thyroid, Parathyroid And Thyroglossal Procedures",,,11658.64,11658.64,11
APR-DRG,4043,"Thyroid, Parathyroid And Thyroglossal Procedures",,,19317.67,19317.67,11
APR-DRG,4044,"Thyroid, Parathyroid And Thyroglossal Procedures",,,33356.87,33356.87,11
APR-DRG,4051,"Other Procedures For Endocrine, Nutritional And Metabolic Disorders",,,9779.17,9779.17,11
APR-DRG,4052,"Other Procedures For Endocrine, Nutritional And Metabolic Disorders",,,11878.84,11878.84,11
APR-DRG,4053,"Other Procedures For Endocrine, Nutritional And Metabolic Disorders",,,17687.33,17687.33,11
APR-DRG,4054,"Other Procedures For Endocrine, Nutritional And Metabolic Disorders",,,33760.57,33760.57,11
APR-DRG,41,Tracheostomy With Mv >96 Hours With Extensive Procedure,,,40115.33,40115.33,11
APR-DRG,411,Nervous System Malignancy,,,6489.57,6489.57,11
APR-DRG,412,Nervous System Malignancy,,,7577.16,7577.16,11
APR-DRG,413,Nervous System Malignancy,,,10410.83,10410.83,11
APR-DRG,414,Nervous System Malignancy,,,14999.05,14999.05,11
APR-DRG,42,Tracheostomy With Mv >96 Hours With Extensive Procedure,,,57982.64,57982.64,11
APR-DRG,4201,Diabetes,,,3797.76,3797.76,11
APR-DRG,4202,Diabetes,,,4971.45,4971.45,11
APR-DRG,4203,Diabetes,,,7524.23,7524.23,11
APR-DRG,4204,Diabetes,,,14130.25,14130.25,11
APR-DRG,421,Degenerative Nervous System Disorders Except Multiple Sclerosis,,,5761.21,5761.21,11
APR-DRG,4211,"Malnutrition, Failure To Thrive And Other Nutritional Disorders",,,3834.46,3834.46,11
APR-DRG,4212,"Malnutrition, Failure To Thrive And Other Nutritional Disorders",,,5637.7,5637.7,11
APR-DRG,4213,"Malnutrition, Failure To Thrive And Other Nutritional Disorders",,,8784.73,8784.73,11
APR-DRG,4214,"Malnutrition, Failure To Thrive And Other Nutritional Disorders",,,15061.16,15061.16,11
APR-DRG,422,Degenerative Nervous System Disorders Except Multiple Sclerosis,,,7375.31,7375.31,11
APR-DRG,4221,Hypovolemia And Related Electrolyte Disorders,,,3223.96,3223.96,11
APR-DRG,4222,Hypovolemia And Related Electrolyte Disorders,,,4348.96,4348.96,11
APR-DRG,4223,Hypovolemia And Related Electrolyte Disorders,,,6345.59,6345.59,11
APR-DRG,4224,Hypovolemia And Related Electrolyte Disorders,,,10371.31,10371.31,11
APR-DRG,423,Degenerative Nervous System Disorders Except Multiple Sclerosis,,,10455.3,10455.3,11
APR-DRG,4231,Inborn Errors Of Metabolism,,,5091.43,5091.43,11
APR-DRG,4232,Inborn Errors Of Metabolism,,,7157.93,7157.93,11
APR-DRG,4233,Inborn Errors Of Metabolism,,,10953.57,10953.57,11
APR-DRG,4234,Inborn Errors Of Metabolism,,,28088.99,28088.99,11
APR-DRG,424,Degenerative Nervous System Disorders Except Multiple Sclerosis,,,19262.61,19262.61,11
APR-DRG,4241,Other Endocrine Disorders,,,4437.18,4437.18,11
APR-DRG,4242,Other Endocrine Disorders,,,6428.16,6428.16,11
APR-DRG,4243,Other Endocrine Disorders,,,9664.83,9664.83,11
APR-DRG,4244,Other Endocrine Disorders,,,15679.41,15679.41,11
APR-DRG,4251,Other Non-Hypovolemic Electrolyte Disorders,,,3530.97,3530.97,11
APR-DRG,4252,Other Non-Hypovolemic Electrolyte Disorders,,,4713.85,4713.85,11
APR-DRG,4253,Other Non-Hypovolemic Electrolyte Disorders,,,6977.25,6977.25,11
APR-DRG,4254,Other Non-Hypovolemic Electrolyte Disorders,,,13655.97,13655.97,11
APR-DRG,4261,Non-Hypovolemic Sodium Disorders,,,3683.42,3683.42,11
APR-DRG,4262,Non-Hypovolemic Sodium Disorders,,,4982.04,4982.04,11
APR-DRG,4263,Non-Hypovolemic Sodium Disorders,,,7636.44,7636.44,11
APR-DRG,4264,Non-Hypovolemic Sodium Disorders,,,13485.17,13485.17,11
APR-DRG,4271,Thyroid Disorders,,,4049.01,4049.01,11
APR-DRG,4272,Thyroid Disorders,,,5478.2,5478.2,11
APR-DRG,4273,Thyroid Disorders,,,8920.24,8920.24,11
APR-DRG,4274,Thyroid Disorders,,,16122.64,16122.64,11
APR-DRG,4281,Description Not Available,,,5464.79,5464.79,11
APR-DRG,4282,Description Not Available,,,8499.6,8499.6,11
APR-DRG,4283,Description Not Available,,,23398.43,23398.43,11
APR-DRG,4284,Description Not Available,,,39683.4,39683.4,11
APR-DRG,43,Tracheostomy With Mv >96 Hours With Extensive Procedure,,,90734.66,90734.66,11
APR-DRG,431,"Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies",,,7949.81,7949.81,11
APR-DRG,432,"Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies",,,11673.46,11673.46,11
APR-DRG,433,"Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies",,,17186.94,17186.94,11
APR-DRG,434,"Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies",,,30509.08,30509.08,11
APR-DRG,44,Tracheostomy With Mv >96 Hours With Extensive Procedure,,,131580.46,131580.46,11
APR-DRG,4401,Kidney Transplant,,,35773.43,35773.43,11
APR-DRG,4402,Kidney Transplant,,,38226.69,38226.69,11
APR-DRG,4403,Kidney Transplant,,,44856.0,44856.0,11
APR-DRG,4404,Kidney Transplant,,,65976.2,65976.2,11
APR-DRG,441,Intracranial Hemorrhage,,,6445.1,6445.1,11
APR-DRG,4411,Major Bladder Procedures,,,15821.27,15821.27,11
APR-DRG,4412,Major Bladder Procedures,,,19712.9,19712.9,11
APR-DRG,4413,Major Bladder Procedures,,,25466.34,25466.34,11
APR-DRG,4414,Major Bladder Procedures,,,37089.69,37089.69,11
APR-DRG,442,Intracranial Hemorrhage,,,8340.1,8340.1,11
APR-DRG,4421,Kidney And Urinary Tract Procedures For Malignancy,,,10521.64,10521.64,11
APR-DRG,4422,Kidney And Urinary Tract Procedures For Malignancy,,,12335.47,12335.47,11
APR-DRG,4423,Kidney And Urinary Tract Procedures For Malignancy,,,18966.9,18966.9,11
APR-DRG,4424,Kidney And Urinary Tract Procedures For Malignancy,,,31559.27,31559.27,11
APR-DRG,443,Intracranial Hemorrhage,,,11819.55,11819.55,11
APR-DRG,4431,Kidney And Urinary Tract Procedures For Non-Malignancy,,,9982.43,9982.43,11
APR-DRG,4432,Kidney And Urinary Tract Procedures For Non-Malignancy,,,11992.47,11992.47,11
APR-DRG,4433,Kidney And Urinary Tract Procedures For Non-Malignancy,,,16359.78,16359.78,11
APR-DRG,4434,Kidney And Urinary Tract Procedures For Non-Malignancy,,,26931.53,26931.53,11
APR-DRG,444,Intracranial Hemorrhage,,,18226.54,18226.54,11
APR-DRG,4441,Renal Dialysis Access Device Procedures And Vessel Repair,,,9497.56,9497.56,11
APR-DRG,4442,Renal Dialysis Access Device Procedures And Vessel Repair,,,13087.82,13087.82,11
APR-DRG,4443,Renal Dialysis Access Device Procedures And Vessel Repair,,,18599.9,18599.9,11
APR-DRG,4444,Renal Dialysis Access Device Procedures And Vessel Repair,,,29646.63,29646.63,11
APR-DRG,4451,Other Bladder Procedures,,,8163.66,8163.66,11
APR-DRG,4452,Other Bladder Procedures,,,11266.23,11266.23,11
APR-DRG,4453,Other Bladder Procedures,,,15293.36,15293.36,11
APR-DRG,4454,Other Bladder Procedures,,,22938.98,22938.98,11
APR-DRG,4461,Urethral And Transurethral Procedures,,,7067.59,7067.59,11
APR-DRG,4462,Urethral And Transurethral Procedures,,,9187.73,9187.73,11
APR-DRG,4463,Urethral And Transurethral Procedures,,,13785.12,13785.12,11
APR-DRG,4464,Urethral And Transurethral Procedures,,,22000.3,22000.3,11
APR-DRG,4471,"Other Kidney, Urinary Tract And Related Procedures",,,9811.63,9811.63,11
APR-DRG,4472,"Other Kidney, Urinary Tract And Related Procedures",,,12172.44,12172.44,11
APR-DRG,4473,"Other Kidney, Urinary Tract And Related Procedures",,,18107.27,18107.27,11
APR-DRG,4474,"Other Kidney, Urinary Tract And Related Procedures",,,31658.08,31658.08,11
APR-DRG,4481,Description Not Available,,,10314.85,10314.85,11
APR-DRG,4482,Description Not Available,,,15392.17,15392.17,11
APR-DRG,4483,Description Not Available,,,18609.78,18609.78,11
APR-DRG,4484,Description Not Available,,,31392.71,31392.71,11
APR-DRG,451,Cva And Precerebral Occlusion With Infarction,,,5868.49,5868.49,11
APR-DRG,452,Cva And Precerebral Occlusion With Infarction,,,7549.64,7549.64,11
APR-DRG,453,Cva And Precerebral Occlusion With Infarction,,,10520.93,10520.93,11
APR-DRG,454,Cva And Precerebral Occlusion With Infarction,,,17442.43,17442.43,11
APR-DRG,461,Nonspecific Cva And Precerebral Occlusion Without Infarction,,,5987.06,5987.06,11
APR-DRG,4611,Kidney And Urinary Tract Malignancy,,,5627.11,5627.11,11
APR-DRG,4612,Kidney And Urinary Tract Malignancy,,,6719.65,6719.65,11
APR-DRG,4613,Kidney And Urinary Tract Malignancy,,,10216.04,10216.04,11
APR-DRG,4614,Kidney And Urinary Tract Malignancy,,,17573.0,17573.0,11
APR-DRG,462,Nonspecific Cva And Precerebral Occlusion Without Infarction,,,7419.07,7419.07,11
APR-DRG,4621,Nephritis And Nephrosis,,,4294.62,4294.62,11
APR-DRG,4622,Nephritis And Nephrosis,,,6098.57,6098.57,11
APR-DRG,4623,Nephritis And Nephrosis,,,11409.5,11409.5,11
APR-DRG,4624,Nephritis And Nephrosis,,,20350.91,20350.91,11
APR-DRG,463,Nonspecific Cva And Precerebral Occlusion Without Infarction,,,9599.19,9599.19,11
APR-DRG,4631,Kidney And Urinary Tract Infections,,,3832.34,3832.34,11
APR-DRG,4632,Kidney And Urinary Tract Infections,,,4919.93,4919.93,11
APR-DRG,4633,Kidney And Urinary Tract Infections,,,6717.53,6717.53,11
APR-DRG,4634,Kidney And Urinary Tract Infections,,,11184.36,11184.36,11
APR-DRG,464,Nonspecific Cva And Precerebral Occlusion Without Infarction,,,17326.68,17326.68,11
APR-DRG,4651,Urinary Stones And Acquired Upper Urinary Tract Obstruction,,,4761.13,4761.13,11
APR-DRG,4652,Urinary Stones And Acquired Upper Urinary Tract Obstruction,,,5833.91,5833.91,11
APR-DRG,4653,Urinary Stones And Acquired Upper Urinary Tract Obstruction,,,8532.07,8532.07,11
APR-DRG,4654,Urinary Stones And Acquired Upper Urinary Tract Obstruction,,,15366.05,15366.05,11
APR-DRG,4661,"Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure",,,4278.39,4278.39,11
APR-DRG,4662,"Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure",,,5506.43,5506.43,11
APR-DRG,4663,"Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure",,,8633.7,8633.7,11
APR-DRG,4664,"Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure",,,14565.0,14565.0,11
APR-DRG,4681,"Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms",,,4123.12,4123.12,11
APR-DRG,4682,"Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms",,,5361.04,5361.04,11
APR-DRG,4683,"Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms",,,8302.69,8302.69,11
APR-DRG,4684,"Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms",,,14649.69,14649.69,11
APR-DRG,4691,Acute Kidney Injury,,,3680.6,3680.6,11
APR-DRG,4692,Acute Kidney Injury,,,5205.77,5205.77,11
APR-DRG,4693,Acute Kidney Injury,,,8923.07,8923.07,11
APR-DRG,4694,Acute Kidney Injury,,,17169.3,17169.3,11
APR-DRG,4701,Chronic Kidney Disease,,,3990.43,3990.43,11
APR-DRG,4702,Chronic Kidney Disease,,,5495.84,5495.84,11
APR-DRG,4703,Chronic Kidney Disease,,,8652.05,8652.05,11
APR-DRG,4704,Chronic Kidney Disease,,,15744.35,15744.35,11
APR-DRG,471,Transient Ischemia,,,5503.6,5503.6,11
APR-DRG,472,Transient Ischemia,,,6290.54,6290.54,11
APR-DRG,473,Transient Ischemia,,,7877.11,7877.11,11
APR-DRG,474,Transient Ischemia,,,12713.06,12713.06,11
APR-DRG,481,"Peripheral, Cranial And Autonomic Nerve Disorders",,,5352.57,5352.57,11
APR-DRG,482,"Peripheral, Cranial And Autonomic Nerve Disorders",,,6486.74,6486.74,11
APR-DRG,4821,Transurethral Prostatectomy,,,6153.62,6153.62,11
APR-DRG,4822,Transurethral Prostatectomy,,,8704.28,8704.28,11
APR-DRG,4823,Transurethral Prostatectomy,,,14162.71,14162.71,11
APR-DRG,4824,Transurethral Prostatectomy,,,19408.0,19408.0,11
APR-DRG,483,"Peripheral, Cranial And Autonomic Nerve Disorders",,,9305.59,9305.59,11
APR-DRG,4831,"Penis, Testes And Scrotal Procedures",,,7340.73,7340.73,11
APR-DRG,4832,"Penis, Testes And Scrotal Procedures",,,11199.18,11199.18,11
APR-DRG,4833,"Penis, Testes And Scrotal Procedures",,,16898.28,16898.28,11
APR-DRG,4834,"Penis, Testes And Scrotal Procedures",,,29511.83,29511.83,11
APR-DRG,484,"Peripheral, Cranial And Autonomic Nerve Disorders",,,16116.99,16116.99,11
APR-DRG,4841,Other Male Reproductive System And Related Procedures,,,9001.41,9001.41,11
APR-DRG,4842,Other Male Reproductive System And Related Procedures,,,11072.85,11072.85,11
APR-DRG,4843,Other Male Reproductive System And Related Procedures,,,17745.91,17745.91,11
APR-DRG,4844,Other Male Reproductive System And Related Procedures,,,32509.94,32509.94,11
APR-DRG,4851,Description Not Available,,,10674.79,10674.79,11
APR-DRG,4852,Description Not Available,,,12288.18,12288.18,11
APR-DRG,4853,Description Not Available,,,19667.02,19667.02,11
APR-DRG,4854,Description Not Available,,,32433.72,32433.72,11
APR-DRG,491,Bacterial And Tuberculous Infections Of Nervous System,,,8876.49,8876.49,11
APR-DRG,492,Bacterial And Tuberculous Infections Of Nervous System,,,10892.17,10892.17,11
APR-DRG,493,Bacterial And Tuberculous Infections Of Nervous System,,,15682.94,15682.94,11
APR-DRG,494,Bacterial And Tuberculous Infections Of Nervous System,,,24289.12,24289.12,11
APR-DRG,5001,"Malignancy, Male Reproductive System",,,5380.8,5380.8,11
APR-DRG,5002,"Malignancy, Male Reproductive System",,,6371.7,6371.7,11
APR-DRG,5003,"Malignancy, Male Reproductive System",,,9629.54,9629.54,11
APR-DRG,5004,"Malignancy, Male Reproductive System",,,15080.92,15080.92,11
APR-DRG,501,Non-Bacterial Infections Of Nervous System Except Viral Meningitis,,,6019.52,6019.52,11
APR-DRG,5011,Male Reproductive System Diagnoses Except Malignancy,,,4055.36,4055.36,11
APR-DRG,5012,Male Reproductive System Diagnoses Except Malignancy,,,5183.18,5183.18,11
APR-DRG,5013,Male Reproductive System Diagnoses Except Malignancy,,,7687.26,7687.26,11
APR-DRG,5014,Male Reproductive System Diagnoses Except Malignancy,,,15829.04,15829.04,11
APR-DRG,502,Non-Bacterial Infections Of Nervous System Except Viral Meningitis,,,10818.06,10818.06,11
APR-DRG,503,Non-Bacterial Infections Of Nervous System Except Viral Meningitis,,,16455.76,16455.76,11
APR-DRG,504,Non-Bacterial Infections Of Nervous System Except Viral Meningitis,,,28170.86,28170.86,11
APR-DRG,51,Tracheostomy With Mv >96 Hours Without Extensive Procedure,,,23295.39,23295.39,11
APR-DRG,511,Viral Meningitis,,,4816.18,4816.18,11
APR-DRG,5111,Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy,,,10620.45,10620.45,11
APR-DRG,5112,Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy,,,12829.51,12829.51,11
APR-DRG,5113,Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy,,,19631.03,19631.03,11
APR-DRG,5114,Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy,,,35890.59,35890.59,11
APR-DRG,512,Viral Meningitis,,,6533.32,6533.32,11
APR-DRG,5121,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy,,,10551.99,10551.99,11
APR-DRG,5122,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy,,,12119.5,12119.5,11
APR-DRG,5123,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy,,,20024.14,20024.14,11
APR-DRG,5124,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy,,,34335.77,34335.77,11
APR-DRG,513,Viral Meningitis,,,10240.74,10240.74,11
APR-DRG,5131,Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma,,,7906.05,7906.05,11
APR-DRG,5132,Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma,,,9735.41,9735.41,11
APR-DRG,5133,Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma,,,16057.71,16057.71,11
APR-DRG,5134,Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma,,,28955.68,28955.68,11
APR-DRG,514,Viral Meningitis,,,16263.09,16263.09,11
APR-DRG,5141,Female Reproductive System Reconstructive Procedures,,,7826.3,7826.3,11
APR-DRG,5142,Female Reproductive System Reconstructive Procedures,,,11718.63,11718.63,11
APR-DRG,5143,Female Reproductive System Reconstructive Procedures,,,14625.7,14625.7,11
APR-DRG,5144,Female Reproductive System Reconstructive Procedures,,,30354.52,30354.52,11
APR-DRG,5171,Dilation And Curettage For Non-Obstetric Diagnoses,,,6140.92,6140.92,11
APR-DRG,5172,Dilation And Curettage For Non-Obstetric Diagnoses,,,8340.1,8340.1,11
APR-DRG,5173,Dilation And Curettage For Non-Obstetric Diagnoses,,,12542.26,12542.26,11
APR-DRG,5174,Dilation And Curettage For Non-Obstetric Diagnoses,,,19150.4,19150.4,11
APR-DRG,5181,Other Female Reproductive System And Related Procedures,,,6774.7,6774.7,11
APR-DRG,5182,Other Female Reproductive System And Related Procedures,,,11356.57,11356.57,11
APR-DRG,5183,Other Female Reproductive System And Related Procedures,,,17896.95,17896.95,11
APR-DRG,5184,Other Female Reproductive System And Related Procedures,,,29673.45,29673.45,11
APR-DRG,5191,Uterine And Adnexa Procedures For Leiomyoma,,,7346.37,7346.37,11
APR-DRG,5192,Uterine And Adnexa Procedures For Leiomyoma,,,9662.71,9662.71,11
APR-DRG,5193,Uterine And Adnexa Procedures For Leiomyoma,,,17561.71,17561.71,11
APR-DRG,5194,Uterine And Adnexa Procedures For Leiomyoma,,,29060.84,29060.84,11
APR-DRG,52,Tracheostomy With Mv >96 Hours Without Extensive Procedure,,,44357.02,44357.02,11
APR-DRG,5201,Description Not Available,,,10157.46,10157.46,11
APR-DRG,5202,Description Not Available,,,12948.79,12948.79,11
APR-DRG,5203,Description Not Available,,,19919.69,19919.69,11
APR-DRG,5204,Description Not Available,,,37467.98,37467.98,11
APR-DRG,521,Alteration In Consciousness,,,4766.07,4766.07,11
APR-DRG,522,Alteration In Consciousness,,,6110.57,6110.57,11
APR-DRG,523,Alteration In Consciousness,,,8852.49,8852.49,11
APR-DRG,524,Alteration In Consciousness,,,15481.8,15481.8,11
APR-DRG,53,Tracheostomy With Mv >96 Hours Without Extensive Procedure,,,66523.18,66523.18,11
APR-DRG,5301,Female Reproductive System Malignancy,,,5337.04,5337.04,11
APR-DRG,5302,Female Reproductive System Malignancy,,,6709.77,6709.77,11
APR-DRG,5303,Female Reproductive System Malignancy,,,10292.26,10292.26,11
APR-DRG,5304,Female Reproductive System Malignancy,,,16282.14,16282.14,11
APR-DRG,531,Seizure,,,4260.74,4260.74,11
APR-DRG,5311,Female Reproductive System Infections,,,3945.97,3945.97,11
APR-DRG,5312,Female Reproductive System Infections,,,5206.47,5206.47,11
APR-DRG,5313,Female Reproductive System Infections,,,8736.04,8736.04,11
APR-DRG,5314,Female Reproductive System Infections,,,16197.45,16197.45,11
APR-DRG,532,Seizure,,,5809.91,5809.91,11
APR-DRG,5321,Menstrual And Other Female Reproductive System Disorders,,,3876.1,3876.1,11
APR-DRG,5322,Menstrual And Other Female Reproductive System Disorders,,,5142.25,5142.25,11
APR-DRG,5323,Menstrual And Other Female Reproductive System Disorders,,,7215.1,7215.1,11
APR-DRG,5324,Menstrual And Other Female Reproductive System Disorders,,,11588.76,11588.76,11
APR-DRG,533,Seizure,,,9179.26,9179.26,11
APR-DRG,534,Seizure,,,17314.69,17314.69,11
APR-DRG,5391,Cesarean Section With Sterilization,,,4291.8,4291.8,11
APR-DRG,5392,Cesarean Section With Sterilization,,,5601.0,5601.0,11
APR-DRG,5393,Cesarean Section With Sterilization,,,11398.18,11398.18,11
APR-DRG,5394,Cesarean Section With Sterilization,,,25339.59,25339.59,11
APR-DRG,54,Tracheostomy With Mv >96 Hours Without Extensive Procedure,,,91663.45,91663.45,11
APR-DRG,5401,Cesarean Section Without Sterilization,,,4276.97,4276.97,11
APR-DRG,5402,Cesarean Section Without Sterilization,,,5465.49,5465.49,11
APR-DRG,5403,Cesarean Section Without Sterilization,,,8620.79,8620.79,11
APR-DRG,5404,Cesarean Section Without Sterilization,,,22010.06,22010.06,11
APR-DRG,541,Migraine And Other Headaches,,,5244.59,5244.59,11
APR-DRG,5411,Vaginal Delivery With Sterilization And/Or D&C,,,4247.33,4247.33,11
APR-DRG,5412,Vaginal Delivery With Sterilization And/Or D&C,,,4722.32,4722.32,11
APR-DRG,5413,Vaginal Delivery With Sterilization And/Or D&C,,,7259.34,7259.34,11
APR-DRG,5414,Vaginal Delivery With Sterilization And/Or D&C,,,17214.04,17214.04,11
APR-DRG,542,Migraine And Other Headaches,,,6290.54,6290.54,11
APR-DRG,5421,Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C,,,2900.01,2900.01,11
APR-DRG,5422,Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C,,,3541.56,3541.56,11
APR-DRG,5423,Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C,,,6947.14,6947.14,11
APR-DRG,5424,Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C,,,22014.3,22014.3,11
APR-DRG,543,Migraine And Other Headaches,,,8028.85,8028.85,11
APR-DRG,5431,"Abortion With D&C, Aspiration Curettage Or Hysterotomy",,,4206.4,4206.4,11
APR-DRG,5432,"Abortion With D&C, Aspiration Curettage Or Hysterotomy",,,5344.81,5344.81,11
APR-DRG,5433,"Abortion With D&C, Aspiration Curettage Or Hysterotomy",,,9070.68,9070.68,11
APR-DRG,5434,"Abortion With D&C, Aspiration Curettage Or Hysterotomy",,,20121.54,20121.54,11
APR-DRG,544,Migraine And Other Headaches,,,11729.21,11729.21,11
APR-DRG,5471,Antepartum With O.R. Procedure,,,4303.79,4303.79,11
APR-DRG,5472,Antepartum With O.R. Procedure,,,7876.41,7876.41,11
APR-DRG,5473,Antepartum With O.R. Procedure,,,12858.29,12858.29,11
APR-DRG,5474,Antepartum With O.R. Procedure,,,28489.95,28489.95,11
APR-DRG,5481,Postpartum And Post Abortion Diagnosis With O.R. Procedure,,,3332.65,3332.65,11
APR-DRG,5482,Postpartum And Post Abortion Diagnosis With O.R. Procedure,,,8144.6,8144.6,11
APR-DRG,5483,Postpartum And Post Abortion Diagnosis With O.R. Procedure,,,13364.88,13364.88,11
APR-DRG,5484,Postpartum And Post Abortion Diagnosis With O.R. Procedure,,,29263.53,29263.53,11
APR-DRG,551,Head Trauma With Coma > 1 Hour Or Hemorrhage,,,5466.2,5466.2,11
APR-DRG,552,Head Trauma With Coma > 1 Hour Or Hemorrhage,,,7651.97,7651.97,11
APR-DRG,553,Head Trauma With Coma > 1 Hour Or Hemorrhage,,,11846.37,11846.37,11
APR-DRG,554,Head Trauma With Coma > 1 Hour Or Hemorrhage,,,20509.71,20509.71,11
APR-DRG,5601,Vaginal Delivery,,,2548.54,2548.54,11
APR-DRG,5602,Vaginal Delivery,,,2952.24,2952.24,11
APR-DRG,5603,Vaginal Delivery,,,4655.73,4655.73,11
APR-DRG,5604,Vaginal Delivery,,,10715.47,10715.47,11
APR-DRG,561,"Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or No Coma",,,5295.4,5295.4,11
APR-DRG,5611,Postpartum And Post Abortion Diagnoses Without Procedure,,,2042.5,2042.5,11
APR-DRG,5612,Postpartum And Post Abortion Diagnoses Without Procedure,,,3353.83,3353.83,11
APR-DRG,5613,Postpartum And Post Abortion Diagnoses Without Procedure,,,6289.61,6289.61,11
APR-DRG,5614,Postpartum And Post Abortion Diagnoses Without Procedure,,,15169.28,15169.28,11
APR-DRG,562,"Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or No Coma",,,7335.79,7335.79,11
APR-DRG,563,"Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or No Coma",,,11185.06,11185.06,11
APR-DRG,564,"Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or No Coma",,,19959.92,19959.92,11
APR-DRG,5641,"Abortion Without D&C, Aspiration Curettage Or Hysterotomy",,,2570.42,2570.42,11
APR-DRG,5642,"Abortion Without D&C, Aspiration Curettage Or Hysterotomy",,,3601.55,3601.55,11
APR-DRG,5643,"Abortion Without D&C, Aspiration Curettage Or Hysterotomy",,,6326.43,6326.43,11
APR-DRG,5644,"Abortion Without D&C, Aspiration Curettage Or Hysterotomy",,,15808.69,15808.69,11
APR-DRG,5661,Antepartum Without O.R. Procedure,,,2233.06,2233.06,11
APR-DRG,5662,Antepartum Without O.R. Procedure,,,3238.08,3238.08,11
APR-DRG,5663,Antepartum Without O.R. Procedure,,,6231.45,6231.45,11
APR-DRG,5664,Antepartum Without O.R. Procedure,,,15086.06,15086.06,11
APR-DRG,571,Hour Or No Coma,,,5231.88,5231.88,11
APR-DRG,572,Hour Or No Coma,,,7566.57,7566.57,11
APR-DRG,573,Hour Or No Coma,,,10572.45,10572.45,11
APR-DRG,574,Hour Or No Coma,,,17860.25,17860.25,11
APR-DRG,5801,"Neonate, Transferred < 5 Days Old, Not Born Here",,,2205.54,2205.54,11
APR-DRG,5802,"Neonate, Transferred < 5 Days Old, Not Born Here",,,3463.93,3463.93,11
APR-DRG,5803,"Neonate, Transferred < 5 Days Old, Not Born Here",,,6836.81,6836.81,11
APR-DRG,5804,"Neonate, Transferred < 5 Days Old, Not Born Here",,,8736.04,8736.04,11
APR-DRG,581,Other Disorders Of Nervous System,,,6044.23,6044.23,11
APR-DRG,5811,"Neonate, Transferred < 5 Days Old, Born Here",,,765.76,765.76,11
APR-DRG,5812,"Neonate, Transferred < 5 Days Old, Born Here",,,1196.99,1196.99,11
APR-DRG,5813,"Neonate, Transferred < 5 Days Old, Born Here",,,2266.94,2266.94,11
APR-DRG,5814,"Neonate, Transferred < 5 Days Old, Born Here",,,4152.05,4152.05,11
APR-DRG,582,Other Disorders Of Nervous System,,,8809.44,8809.44,11
APR-DRG,583,Other Disorders Of Nervous System,,,12223.25,12223.25,11
APR-DRG,5831,Neonate With Ecmo,,,160553.08,160553.08,11
APR-DRG,5832,Neonate With Ecmo,,,178865.02,178865.02,11
APR-DRG,5833,Neonate With Ecmo,,,232953.21,232953.21,11
APR-DRG,5834,Neonate With Ecmo,,,409024.79,409024.79,11
APR-DRG,584,Other Disorders Of Nervous System,,,16460.0,16460.0,11
APR-DRG,5881,Neonate Birth Weight < 1500 Grams With Major Procedure,,,122545.18,122545.18,11
APR-DRG,5882,Neonate Birth Weight < 1500 Grams With Major Procedure,,,142968.79,142968.79,11
APR-DRG,5883,Neonate Birth Weight < 1500 Grams With Major Procedure,,,166845.74,166845.74,11
APR-DRG,5884,Neonate Birth Weight < 1500 Grams With Major Procedure,,,250519.86,250519.86,11
APR-DRG,5891,"Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining",,,116776.91,116776.91,11
APR-DRG,5892,"Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining",,,116776.91,116776.91,11
APR-DRG,5893,"Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining",,,116776.91,116776.91,11
APR-DRG,5894,"Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining",,,2420.09,2420.09,11
APR-DRG,591,Anoxic And Other Severe Brain Damage,,,5293.99,5293.99,11
APR-DRG,5911,Neonate Birth Weight 500-749 Grams Without Major Procedure,,,22567.04,22567.04,11
APR-DRG,5912,Neonate Birth Weight 500-749 Grams Without Major Procedure,,,106265.86,106265.86,11
APR-DRG,5913,Neonate Birth Weight 500-749 Grams Without Major Procedure,,,123894.62,123894.62,11
APR-DRG,5914,Neonate Birth Weight 500-749 Grams Without Major Procedure,,,164278.85,164278.85,11
APR-DRG,592,Anoxic And Other Severe Brain Damage,,,8579.36,8579.36,11
APR-DRG,593,Anoxic And Other Severe Brain Damage,,,11864.72,11864.72,11
APR-DRG,5931,Neonate Birth Weight 750-999 Grams Without Major Procedure,,,64674.76,64674.76,11
APR-DRG,5932,Neonate Birth Weight 750-999 Grams Without Major Procedure,,,84982.62,84982.62,11
APR-DRG,5933,Neonate Birth Weight 750-999 Grams Without Major Procedure,,,105656.78,105656.78,11
APR-DRG,5934,Neonate Birth Weight 750-999 Grams Without Major Procedure,,,144432.56,144432.56,11
APR-DRG,594,Anoxic And Other Severe Brain Damage,,,17531.36,17531.36,11
APR-DRG,6021,Respiratory Condition Or Major Anomaly,,,44968.22,44968.22,11
APR-DRG,6022,Respiratory Condition Or Major Anomaly,,,60365.32,60365.32,11
APR-DRG,6023,Respiratory Condition Or Major Anomaly,,,75545.76,75545.76,11
APR-DRG,6024,Respiratory Condition Or Major Anomaly,,,108805.93,108805.93,11
APR-DRG,6031,Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition,,,6011.76,6011.76,11
APR-DRG,6032,Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition,,,36768.57,36768.57,11
APR-DRG,6033,Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition,,,45063.49,45063.49,11
APR-DRG,6034,Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition,,,79581.36,79581.36,11
APR-DRG,6071,Respiratory Condition Or Major Anomaly,,,30789.98,30789.98,11
APR-DRG,6072,Respiratory Condition Or Major Anomaly,,,43070.4,43070.4,11
APR-DRG,6073,Respiratory Condition Or Major Anomaly,,,57665.75,57665.75,11
APR-DRG,6074,Respiratory Condition Or Major Anomaly,,,84107.47,84107.47,11
APR-DRG,6081,Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition,,,16495.29,16495.29,11
APR-DRG,6082,Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition,,,28607.73,28607.73,11
APR-DRG,6083,Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition,,,41409.72,41409.72,11
APR-DRG,6084,Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition,,,47971.98,47971.98,11
APR-DRG,6091,Neonate Birth Weight 1500-2499 Grams With Major Procedure,,,31735.0,31735.0,11
APR-DRG,6092,Neonate Birth Weight 1500-2499 Grams With Major Procedure,,,39507.66,39507.66,11
APR-DRG,6093,Neonate Birth Weight 1500-2499 Grams With Major Procedure,,,60547.41,60547.41,11
APR-DRG,6094,Neonate Birth Weight 1500-2499 Grams With Major Procedure,,,174543.58,174543.58,11
APR-DRG,61,Pancreas Transplant,,,39268.41,39268.41,11
APR-DRG,6111,Neonate Birth Weight 1500-1999 Grams With Major Anomaly,,,12022.11,12022.11,11
APR-DRG,6112,Neonate Birth Weight 1500-1999 Grams With Major Anomaly,,,22917.8,22917.8,11
APR-DRG,6113,Neonate Birth Weight 1500-1999 Grams With Major Anomaly,,,37306.36,37306.36,11
APR-DRG,6114,Neonate Birth Weight 1500-1999 Grams With Major Anomaly,,,69953.22,69953.22,11
APR-DRG,6121,Respiratory Condition,,,18443.92,18443.92,11
APR-DRG,6122,Respiratory Condition,,,26722.62,26722.62,11
APR-DRG,6123,Respiratory Condition,,,38159.64,38159.64,11
APR-DRG,6124,Respiratory Condition,,,55104.5,55104.5,11
APR-DRG,6131,Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection,,,14138.72,14138.72,11
APR-DRG,6132,Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection,,,22046.18,22046.18,11
APR-DRG,6133,Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection,,,37453.87,37453.87,11
APR-DRG,6134,Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection,,,69310.27,69310.27,11
APR-DRG,6141,Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition,,,9307.71,9307.71,11
APR-DRG,6142,Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition,,,18040.92,18040.92,11
APR-DRG,6143,Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition,,,31233.91,31233.91,11
APR-DRG,6144,Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition,,,46246.37,46246.37,11
APR-DRG,62,Pancreas Transplant,,,56535.81,56535.81,11
APR-DRG,6211,Neonate Birth Weight 2000-2499 Grams With Major Anomaly,,,4502.82,4502.82,11
APR-DRG,6212,Neonate Birth Weight 2000-2499 Grams With Major Anomaly,,,13622.8,13622.8,11
APR-DRG,6213,Neonate Birth Weight 2000-2499 Grams With Major Anomaly,,,27196.9,27196.9,11
APR-DRG,6214,Neonate Birth Weight 2000-2499 Grams With Major Anomaly,,,54040.2,54040.2,11
APR-DRG,6221,Respiratory Condition,,,11631.11,11631.11,11
APR-DRG,6222,Respiratory Condition,,,16769.83,16769.83,11
APR-DRG,6223,Respiratory Condition,,,23965.87,23965.87,11
APR-DRG,6224,Respiratory Condition,,,35734.61,35734.61,11
APR-DRG,6231,Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection,,,8404.32,8404.32,11
APR-DRG,6232,Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection,,,14571.35,14571.35,11
APR-DRG,6233,Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection,,,29034.02,29034.02,11
APR-DRG,6234,Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection,,,38603.57,38603.57,11
APR-DRG,6251,Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,,,9071.28,9071.28,11
APR-DRG,6252,Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,,,13219.8,13219.8,11
APR-DRG,6253,Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,,,22003.12,22003.12,11
APR-DRG,6254,Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,,,47902.11,47902.11,11
APR-DRG,6261,"Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem",,,1144.06,1144.06,11
APR-DRG,6262,"Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem",,,2443.38,2443.38,11
APR-DRG,6263,"Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem",,,7361.69,7361.69,11
APR-DRG,6264,"Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem",,,17010.24,17010.24,11
APR-DRG,63,Pancreas Transplant,,,65577.44,65577.44,11
APR-DRG,6301,Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure,,,19850.52,19850.52,11
APR-DRG,6302,Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure,,,38247.86,38247.86,11
APR-DRG,6303,Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure,,,83923.26,83923.26,11
APR-DRG,6304,Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure,,,152249.68,152249.68,11
APR-DRG,6311,Neonate Birth Weight > 2499 Grams With Other Major Procedure,,,5695.57,5695.57,11
APR-DRG,6312,Neonate Birth Weight > 2499 Grams With Other Major Procedure,,,28422.82,28422.82,11
APR-DRG,6313,Neonate Birth Weight > 2499 Grams With Other Major Procedure,,,49342.59,49342.59,11
APR-DRG,6314,Neonate Birth Weight > 2499 Grams With Other Major Procedure,,,167879.69,167879.69,11
APR-DRG,6331,Neonate Birth Weight > 2499 Grams With Major Anomaly,,,1839.95,1839.95,11
APR-DRG,6332,Neonate Birth Weight > 2499 Grams With Major Anomaly,,,8061.32,8061.32,11
APR-DRG,6333,Neonate Birth Weight > 2499 Grams With Major Anomaly,,,20906.36,20906.36,11
APR-DRG,6334,Neonate Birth Weight > 2499 Grams With Major Anomaly,,,54959.82,54959.82,11
APR-DRG,6341,Respiratory Condition,,,5338.45,5338.45,11
APR-DRG,6342,Respiratory Condition,,,8716.28,8716.28,11
APR-DRG,6343,Respiratory Condition,,,17412.08,17412.08,11
APR-DRG,6344,Respiratory Condition,,,33337.11,33337.11,11
APR-DRG,6361,Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection,,,5795.09,5795.09,11
APR-DRG,6362,Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection,,,9381.82,9381.82,11
APR-DRG,6363,Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection,,,19527.28,19527.28,11
APR-DRG,6364,Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection,,,19527.28,19527.28,11
APR-DRG,6391,Neonate Birth Weight > 2499 Grams With Other Significant Condition,,,2723.57,2723.57,11
APR-DRG,6392,Neonate Birth Weight > 2499 Grams With Other Significant Condition,,,5238.94,5238.94,11
APR-DRG,6393,Neonate Birth Weight > 2499 Grams With Other Significant Condition,,,15468.39,15468.39,11
APR-DRG,6394,Neonate Birth Weight > 2499 Grams With Other Significant Condition,,,23211.41,23211.41,11
APR-DRG,64,Pancreas Transplant,,,85092.72,85092.72,11
APR-DRG,6401,"Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem",,,821.52,821.52,11
APR-DRG,6402,"Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem",,,1221.69,1221.69,11
APR-DRG,6403,"Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem",,,2877.52,2877.52,11
APR-DRG,6404,"Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem",,,18368.04,18368.04,11
APR-DRG,6501,Splenectomy,,,10896.4,10896.4,11
APR-DRG,6502,Splenectomy,,,15875.62,15875.62,11
APR-DRG,6503,Splenectomy,,,19704.43,19704.43,11
APR-DRG,6504,Splenectomy,,,31267.78,31267.78,11
APR-DRG,6511,Other Procedures Of Blood And Blood-Forming Organs,,,9444.63,9444.63,11
APR-DRG,6512,Other Procedures Of Blood And Blood-Forming Organs,,,13421.65,13421.65,11
APR-DRG,6513,Other Procedures Of Blood And Blood-Forming Organs,,,18196.19,18196.19,11
APR-DRG,6514,Other Procedures Of Blood And Blood-Forming Organs,,,35126.24,35126.24,11
APR-DRG,6601,Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation,,,5151.42,5151.42,11
APR-DRG,6602,Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation,,,6570.73,6570.73,11
APR-DRG,6603,Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation,,,10393.89,10393.89,11
APR-DRG,6604,Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation,,,19683.96,19683.96,11
APR-DRG,6611,Coagulation And Platelet Disorders,,,6100.69,6100.69,11
APR-DRG,6612,Coagulation And Platelet Disorders,,,8326.69,8326.69,11
APR-DRG,6613,Coagulation And Platelet Disorders,,,12069.39,12069.39,11
APR-DRG,6614,Coagulation And Platelet Disorders,,,19220.27,19220.27,11
APR-DRG,6621,Sickle Cell Anemia Crisis,,,4524.7,4524.7,11
APR-DRG,6622,Sickle Cell Anemia Crisis,,,6205.85,6205.85,11
APR-DRG,6623,Sickle Cell Anemia Crisis,,,9926.67,9926.67,11
APR-DRG,6624,Sickle Cell Anemia Crisis,,,17993.64,17993.64,11
APR-DRG,6631,Other Anemia And Disorders Of Blood And Blood-Forming Organs,,,4162.64,4162.64,11
APR-DRG,6632,Other Anemia And Disorders Of Blood And Blood-Forming Organs,,,5783.09,5783.09,11
APR-DRG,6633,Other Anemia And Disorders Of Blood And Blood-Forming Organs,,,8116.37,8116.37,11
APR-DRG,6634,Other Anemia And Disorders Of Blood And Blood-Forming Organs,,,14281.99,14281.99,11
APR-DRG,6801,"Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms",,,12203.49,12203.49,11
APR-DRG,6802,"Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms",,,16796.65,16796.65,11
APR-DRG,6803,"Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms",,,26636.51,26636.51,11
APR-DRG,6804,"Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms",,,48902.18,48902.18,11
APR-DRG,6811,"Other  O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms",,,9723.41,9723.41,11
APR-DRG,6812,"Other  O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms",,,13051.83,13051.83,11
APR-DRG,6813,"Other  O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms",,,20513.95,20513.95,11
APR-DRG,6814,"Other  O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms",,,40912.15,40912.15,11
APR-DRG,6901,Acute Leukemia,,,10573.86,10573.86,11
APR-DRG,6902,Acute Leukemia,,,19050.18,19050.18,11
APR-DRG,6903,Acute Leukemia,,,29528.06,29528.06,11
APR-DRG,6904,Acute Leukemia,,,43711.94,43711.94,11
APR-DRG,6911,"Lymphoma, Myeloma And Non-Acute Leukemia",,,7942.75,7942.75,11
APR-DRG,6912,"Lymphoma, Myeloma And Non-Acute Leukemia",,,10904.17,10904.17,11
APR-DRG,6913,"Lymphoma, Myeloma And Non-Acute Leukemia",,,16225.68,16225.68,11
APR-DRG,6914,"Lymphoma, Myeloma And Non-Acute Leukemia",,,27522.26,27522.26,11
APR-DRG,6921,Radiotherapy,,,8751.56,8751.56,11
APR-DRG,6922,Radiotherapy,,,13320.02,13320.02,11
APR-DRG,6923,Radiotherapy,,,19230.86,19230.86,11
APR-DRG,6924,Radiotherapy,,,24150.08,24150.08,11
APR-DRG,6941,Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior,,,5377.27,5377.27,11
APR-DRG,6942,Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior,,,7009.01,7009.01,11
APR-DRG,6943,Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior,,,10659.26,10659.26,11
APR-DRG,6944,Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior,,,17593.47,17593.47,11
APR-DRG,6951,Chemotherapy For Acute Leukemia,,,6397.82,6397.82,11
APR-DRG,6952,Chemotherapy For Acute Leukemia,,,10197.69,10197.69,11
APR-DRG,6953,Chemotherapy For Acute Leukemia,,,20369.26,20369.26,11
APR-DRG,6954,Chemotherapy For Acute Leukemia,,,40231.78,40231.78,11
APR-DRG,6961,Other Chemotherapy,,,5798.62,5798.62,11
APR-DRG,6962,Other Chemotherapy,,,7241.92,7241.92,11
APR-DRG,6963,Other Chemotherapy,,,11738.39,11738.39,11
APR-DRG,6964,Other Chemotherapy,,,21646.71,21646.71,11
APR-DRG,71,Allogeneic Bone Marrow Transplant,,,54478.48,54478.48,11
APR-DRG,7101,Infectious And Parasitic Diseases Including Hiv With O.R. Procedure,,,9986.66,9986.66,11
APR-DRG,7102,Infectious And Parasitic Diseases Including Hiv With O.R. Procedure,,,14729.45,14729.45,11
APR-DRG,7103,Infectious And Parasitic Diseases Including Hiv With O.R. Procedure,,,21837.97,21837.97,11
APR-DRG,7104,Infectious And Parasitic Diseases Including Hiv With O.R. Procedure,,,33573.54,33573.54,11
APR-DRG,7111,"Post-Operative, Post-Trauma, Other Device Infections With O.R. Procedure",,,8472.78,8472.78,11
APR-DRG,7112,"Post-Operative, Post-Trauma, Other Device Infections With O.R. Procedure",,,12036.93,12036.93,11
APR-DRG,7113,"Post-Operative, Post-Trauma, Other Device Infections With O.R. Procedure",,,19446.12,19446.12,11
APR-DRG,7114,"Post-Operative, Post-Trauma, Other Device Infections With O.R. Procedure",,,32732.26,32732.26,11
APR-DRG,72,Allogeneic Bone Marrow Transplant,,,61715.46,61715.46,11
APR-DRG,7201,Septicemia And Disseminated Infections,,,4855.71,4855.71,11
APR-DRG,7202,Septicemia And Disseminated Infections,,,6817.75,6817.75,11
APR-DRG,7203,Septicemia And Disseminated Infections,,,10839.23,10839.23,11
APR-DRG,7204,Septicemia And Disseminated Infections,,,19988.15,19988.15,11
APR-DRG,7211,"Post-Operative, Post-Traumatic, Other Device Infections",,,4821.83,4821.83,11
APR-DRG,7212,"Post-Operative, Post-Traumatic, Other Device Infections",,,6735.88,6735.88,11
APR-DRG,7213,"Post-Operative, Post-Traumatic, Other Device Infections",,,11089.08,11089.08,11
APR-DRG,7214,"Post-Operative, Post-Traumatic, Other Device Infections",,,18916.79,18916.79,11
APR-DRG,7221,Fever And Inflammatory Conditions,,,3442.05,3442.05,11
APR-DRG,7222,Fever And Inflammatory Conditions,,,4731.49,4731.49,11
APR-DRG,7223,Fever And Inflammatory Conditions,,,6482.51,6482.51,11
APR-DRG,7224,Fever And Inflammatory Conditions,,,10107.35,10107.35,11
APR-DRG,7231,Viral Illness,,,3231.73,3231.73,11
APR-DRG,7232,Viral Illness,,,4653.86,4653.86,11
APR-DRG,7233,Viral Illness,,,7683.03,7683.03,11
APR-DRG,7234,Viral Illness,,,14826.14,14826.14,11
APR-DRG,7241,Other Infectious And Parasitic Diseases,,,4063.83,4063.83,11
APR-DRG,7242,Other Infectious And Parasitic Diseases,,,5845.9,5845.9,11
APR-DRG,7243,Other Infectious And Parasitic Diseases,,,9213.14,9213.14,11
APR-DRG,7244,Other Infectious And Parasitic Diseases,,,18083.98,18083.98,11
APR-DRG,73,Allogeneic Bone Marrow Transplant,,,87637.73,87637.73,11
APR-DRG,731,Orbit And Eye Procedures,,,7594.8,7594.8,11
APR-DRG,732,Orbit And Eye Procedures,,,10294.38,10294.38,11
APR-DRG,733,Orbit And Eye Procedures,,,15398.52,15398.52,11
APR-DRG,734,Orbit And Eye Procedures,,,27279.47,27279.47,11
APR-DRG,74,Allogeneic Bone Marrow Transplant,,,137793.37,137793.37,11
APR-DRG,7401,Mental Illness Diagnosis With O.R. Procedure,,,6490.98,6490.98,11
APR-DRG,7402,Mental Illness Diagnosis With O.R. Procedure,,,10889.34,10889.34,11
APR-DRG,7403,Mental Illness Diagnosis With O.R. Procedure,,,19073.47,19073.47,11
APR-DRG,7404,Mental Illness Diagnosis With O.R. Procedure,,,41425.24,41425.24,11
APR-DRG,7501,Schizophrenia,,,4414.6,4414.6,11
APR-DRG,7502,Schizophrenia,,,6105.63,6105.63,11
APR-DRG,7503,Schizophrenia,,,9151.74,9151.74,11
APR-DRG,7504,Schizophrenia,,,17685.22,17685.22,11
APR-DRG,7511,Major Depressive Disorders And Other Or Unspecified Psychoses,,,2739.8,2739.8,11
APR-DRG,7512,Major Depressive Disorders And Other Or Unspecified Psychoses,,,3680.6,3680.6,11
APR-DRG,7513,Major Depressive Disorders And Other Or Unspecified Psychoses,,,7473.41,7473.41,11
APR-DRG,7514,Major Depressive Disorders And Other Or Unspecified Psychoses,,,14308.81,14308.81,11
APR-DRG,7521,Disorders Of Personality And Impulse Control,,,2869.67,2869.67,11
APR-DRG,7522,Disorders Of Personality And Impulse Control,,,3779.41,3779.41,11
APR-DRG,7523,Disorders Of Personality And Impulse Control,,,8419.85,8419.85,11
APR-DRG,7524,Disorders Of Personality And Impulse Control,,,20043.9,20043.9,11
APR-DRG,7531,Bipolar Disorders,,,3157.62,3157.62,11
APR-DRG,7532,Bipolar Disorders,,,4204.28,4204.28,11
APR-DRG,7533,Bipolar Disorders,,,7722.55,7722.55,11
APR-DRG,7534,Bipolar Disorders,,,13387.77,13387.77,11
APR-DRG,7551,Adjustment Disorders And Neuroses Except Depressive Diagnoses,,,2034.74,2034.74,11
APR-DRG,7552,Adjustment Disorders And Neuroses Except Depressive Diagnoses,,,2835.08,2835.08,11
APR-DRG,7553,Adjustment Disorders And Neuroses Except Depressive Diagnoses,,,5627.11,5627.11,11
APR-DRG,7554,Adjustment Disorders And Neuroses Except Depressive Diagnoses,,,7756.43,7756.43,11
APR-DRG,7561,Acute Anxiety And Delirium States,,,3381.35,3381.35,11
APR-DRG,7562,Acute Anxiety And Delirium States,,,5184.6,5184.6,11
APR-DRG,7563,Acute Anxiety And Delirium States,,,7257.45,7257.45,11
APR-DRG,7564,Acute Anxiety And Delirium States,,,12883.15,12883.15,11
APR-DRG,7571,Organic Mental Health Disturbances,,,4063.83,4063.83,11
APR-DRG,7572,Organic Mental Health Disturbances,,,6102.8,6102.8,11
APR-DRG,7573,Organic Mental Health Disturbances,,,8720.51,8720.51,11
APR-DRG,7574,Organic Mental Health Disturbances,,,21451.21,21451.21,11
APR-DRG,7581,Behavioral Disorders,,,3367.23,3367.23,11
APR-DRG,7582,Behavioral Disorders,,,4308.03,4308.03,11
APR-DRG,7583,Behavioral Disorders,,,7047.83,7047.83,11
APR-DRG,7584,Behavioral Disorders,,,23752.03,23752.03,11
APR-DRG,7591,Eating Disorders,,,7919.46,7919.46,11
APR-DRG,7592,Eating Disorders,,,10573.16,10573.16,11
APR-DRG,7593,Eating Disorders,,,14951.76,14951.76,11
APR-DRG,7594,Eating Disorders,,,25065.47,25065.47,11
APR-DRG,7601,Other Mental Health Disorders,,,4037.01,4037.01,11
APR-DRG,7602,Other Mental Health Disorders,,,4847.94,4847.94,11
APR-DRG,7603,Other Mental Health Disorders,,,7613.86,7613.86,11
APR-DRG,7604,Other Mental Health Disorders,,,15579.19,15579.19,11
APR-DRG,7611,Description Not Available,,,5697.69,5697.69,11
APR-DRG,7612,Description Not Available,,,6027.99,6027.99,11
APR-DRG,7613,Description Not Available,,,11063.67,11063.67,11
APR-DRG,7614,Description Not Available,,,18997.24,18997.24,11
APR-DRG,7621,Description Not Available,,,4483.76,4483.76,11
APR-DRG,7622,Description Not Available,,,5348.33,5348.33,11
APR-DRG,7623,Description Not Available,,,8532.07,8532.07,11
APR-DRG,7624,Description Not Available,,,9839.16,9839.16,11
APR-DRG,7701,"Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice",,,2053.79,2053.79,11
APR-DRG,7702,"Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice",,,3219.73,3219.73,11
APR-DRG,7703,"Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice",,,5552.3,5552.3,11
APR-DRG,7704,"Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice",,,11891.54,11891.54,11
APR-DRG,7721,Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy,,,3873.27,3873.27,11
APR-DRG,7722,Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy,,,5097.79,5097.79,11
APR-DRG,7723,Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy,,,7891.23,7891.23,11
APR-DRG,7724,Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy,,,16238.39,16238.39,11
APR-DRG,7731,Opioid Abuse And Dependence,,,2333.99,2333.99,11
APR-DRG,7732,Opioid Abuse And Dependence,,,3462.51,3462.51,11
APR-DRG,7733,Opioid Abuse And Dependence,,,6717.53,6717.53,11
APR-DRG,7734,Opioid Abuse And Dependence,,,14389.26,14389.26,11
APR-DRG,7741,Cocaine Abuse And Dependence,,,2593.71,2593.71,11
APR-DRG,7742,Cocaine Abuse And Dependence,,,3466.75,3466.75,11
APR-DRG,7743,Cocaine Abuse And Dependence,,,6066.81,6066.81,11
APR-DRG,7744,Cocaine Abuse And Dependence,,,15084.45,15084.45,11
APR-DRG,7751,Alcohol Abuse And Dependence,,,2987.53,2987.53,11
APR-DRG,7752,Alcohol Abuse And Dependence,,,4542.34,4542.34,11
APR-DRG,7753,Alcohol Abuse And Dependence,,,8237.76,8237.76,11
APR-DRG,7754,Alcohol Abuse And Dependence,,,18599.9,18599.9,11
APR-DRG,7761,Other Drug Abuse And Dependence,,,2705.93,2705.93,11
APR-DRG,7762,Other Drug Abuse And Dependence,,,3723.65,3723.65,11
APR-DRG,7763,Other Drug Abuse And Dependence,,,7043.6,7043.6,11
APR-DRG,7764,Other Drug Abuse And Dependence,,,13371.54,13371.54,11
APR-DRG,7921,Extensive O.R. Procedures For Other Complications Of Treatment,,,11241.52,11241.52,11
APR-DRG,7922,Extensive O.R. Procedures For Other Complications Of Treatment,,,14253.05,14253.05,11
APR-DRG,7923,Extensive O.R. Procedures For Other Complications Of Treatment,,,20912.0,20912.0,11
APR-DRG,7924,Extensive O.R. Procedures For Other Complications Of Treatment,,,35493.24,35493.24,11
APR-DRG,7931,Moderately Extensive O.R. Procedures For Other Complications Of Treatment,,,8424.09,8424.09,11
APR-DRG,7932,Moderately Extensive O.R. Procedures For Other Complications Of Treatment,,,11259.17,11259.17,11
APR-DRG,7933,Moderately Extensive O.R. Procedures For Other Complications Of Treatment,,,16068.29,16068.29,11
APR-DRG,7934,Moderately Extensive O.R. Procedures For Other Complications Of Treatment,,,28010.65,28010.65,11
APR-DRG,7941,Non-Extensive O.R. Procedures For Other Complications Of Treatment,,,6741.53,6741.53,11
APR-DRG,7942,Non-Extensive O.R. Procedures For Other Complications Of Treatment,,,9127.03,9127.03,11
APR-DRG,7943,Non-Extensive O.R. Procedures For Other Complications Of Treatment,,,13111.11,13111.11,11
APR-DRG,7944,Non-Extensive O.R. Procedures For Other Complications Of Treatment,,,27201.13,27201.13,11
APR-DRG,81,Autologous Bone Marrow Transplant Or T-Cell Immunotherapy,,,28597.15,28597.15,11
APR-DRG,8101,Hemorrhage Or Hematoma Due To Complication,,,3997.49,3997.49,11
APR-DRG,8102,Hemorrhage Or Hematoma Due To Complication,,,5559.36,5559.36,11
APR-DRG,8103,Hemorrhage Or Hematoma Due To Complication,,,8839.78,8839.78,11
APR-DRG,8104,Hemorrhage Or Hematoma Due To Complication,,,16926.51,16926.51,11
APR-DRG,8111,Allergic Reactions,,,2877.43,2877.43,11
APR-DRG,8112,Allergic Reactions,,,4180.99,4180.99,11
APR-DRG,8113,Allergic Reactions,,,8072.61,8072.61,11
APR-DRG,8114,Allergic Reactions,,,15710.47,15710.47,11
APR-DRG,8121,Poisoning Of Medicinal Agents,,,3075.75,3075.75,11
APR-DRG,8122,Poisoning Of Medicinal Agents,,,4595.28,4595.28,11
APR-DRG,8123,Poisoning Of Medicinal Agents,,,7318.14,7318.14,11
APR-DRG,8124,Poisoning Of Medicinal Agents,,,14359.62,14359.62,11
APR-DRG,8131,Other Complications Of Treatment,,,4494.35,4494.35,11
APR-DRG,8132,Other Complications Of Treatment,,,6125.39,6125.39,11
APR-DRG,8133,Other Complications Of Treatment,,,8976.0,8976.0,11
APR-DRG,8134,Other Complications Of Treatment,,,15805.04,15805.04,11
APR-DRG,8151,"Other Injury, Poisoning And Toxic Effect Diagnoses",,,3391.23,3391.23,11
APR-DRG,8152,"Other Injury, Poisoning And Toxic Effect Diagnoses",,,5172.6,5172.6,11
APR-DRG,8153,"Other Injury, Poisoning And Toxic Effect Diagnoses",,,8647.11,8647.11,11
APR-DRG,8154,"Other Injury, Poisoning And Toxic Effect Diagnoses",,,18386.05,18386.05,11
APR-DRG,8161,Toxic Effects Of Non-Medicinal Substances,,,3610.73,3610.73,11
APR-DRG,8162,Toxic Effects Of Non-Medicinal Substances,,,4986.27,4986.27,11
APR-DRG,8163,Toxic Effects Of Non-Medicinal Substances,,,9405.81,9405.81,11
APR-DRG,8164,Toxic Effects Of Non-Medicinal Substances,,,18011.99,18011.99,11
APR-DRG,8171,Intentional Self-Harm And Attempted Suicide,,,3063.05,3063.05,11
APR-DRG,8172,Intentional Self-Harm And Attempted Suicide,,,4471.06,4471.06,11
APR-DRG,8173,Intentional Self-Harm And Attempted Suicide,,,8369.04,8369.04,11
APR-DRG,8174,Intentional Self-Harm And Attempted Suicide,,,17042.26,17042.26,11
APR-DRG,82,Autologous Bone Marrow Transplant Or T-Cell Immunotherapy,,,33857.26,33857.26,11
APR-DRG,821,Eye Infections And Other Eye Disorders,,,4641.15,4641.15,11
APR-DRG,822,Eye Infections And Other Eye Disorders,,,6015.29,6015.29,11
APR-DRG,823,Eye Infections And Other Eye Disorders,,,8848.25,8848.25,11
APR-DRG,824,Eye Infections And Other Eye Disorders,,,15183.96,15183.96,11
APR-DRG,83,Autologous Bone Marrow Transplant Or T-Cell Immunotherapy,,,43136.03,43136.03,11
APR-DRG,84,Autologous Bone Marrow Transplant Or T-Cell Immunotherapy,,,61286.35,61286.35,11
APR-DRG,8411,Extensive Third Degree Burns With Skin Graft,,,33104.91,33104.91,11
APR-DRG,8412,Extensive Third Degree Burns With Skin Graft,,,33104.91,33104.91,11
APR-DRG,8413,Extensive Third Degree Burns With Skin Graft,,,50524.05,50524.05,11
APR-DRG,8414,Extensive Third Degree Burns With Skin Graft,,,155356.49,155356.49,11
APR-DRG,8421,Burns With Skin Graft Except Extensive Third Degree Burns,,,12523.91,12523.91,11
APR-DRG,8422,Burns With Skin Graft Except Extensive Third Degree Burns,,,18875.85,18875.85,11
APR-DRG,8423,Burns With Skin Graft Except Extensive Third Degree Burns,,,35132.59,35132.59,11
APR-DRG,8424,Burns With Skin Graft Except Extensive Third Degree Burns,,,86977.13,86977.13,11
APR-DRG,8431,Extensive Third Degree Burns Without Skin Graft,,,5394.92,5394.92,11
APR-DRG,8432,Extensive Third Degree Burns Without Skin Graft,,,7666.09,7666.09,11
APR-DRG,8433,Extensive Third Degree Burns Without Skin Graft,,,13793.59,13793.59,11
APR-DRG,8434,Extensive Third Degree Burns Without Skin Graft,,,19882.28,19882.28,11
APR-DRG,8441,Partial Thickness Burns Without Skin Graft,,,4002.43,4002.43,11
APR-DRG,8442,Partial Thickness Burns Without Skin Graft,,,6714.0,6714.0,11
APR-DRG,8443,Partial Thickness Burns Without Skin Graft,,,10533.64,10533.64,11
APR-DRG,8444,Partial Thickness Burns Without Skin Graft,,,18765.05,18765.05,11
APR-DRG,8501,Services,,,10928.16,10928.16,11
APR-DRG,8502,Services,,,17191.18,17191.18,11
APR-DRG,8503,Services,,,25717.6,25717.6,11
APR-DRG,8504,Services,,,45621.05,45621.05,11
APR-DRG,8511,Gender Related Procedures,,,14533.95,14533.95,11
APR-DRG,8512,Gender Related Procedures,,,24816.33,24816.33,11
APR-DRG,8513,Gender Related Procedures,,,80258.9,80258.9,11
APR-DRG,8514,Gender Related Procedures,,,80258.9,80258.9,11
APR-DRG,8601,Rehabilitation,,,8378.92,8378.92,11
APR-DRG,8602,Rehabilitation,,,10846.29,10846.29,11
APR-DRG,8603,Rehabilitation,,,14394.91,14394.91,11
APR-DRG,8604,Rehabilitation,,,17820.72,17820.72,11
APR-DRG,8611,"Signs, Symptoms And Other Factors Influencing Health Status",,,3943.85,3943.85,11
APR-DRG,8612,"Signs, Symptoms And Other Factors Influencing Health Status",,,5162.72,5162.72,11
APR-DRG,8613,"Signs, Symptoms And Other Factors Influencing Health Status",,,7559.52,7559.52,11
APR-DRG,8614,"Signs, Symptoms And Other Factors Influencing Health Status",,,12336.88,12336.88,11
APR-DRG,8621,Other Aftercare And Convalescence,,,2868.96,2868.96,11
APR-DRG,8622,Other Aftercare And Convalescence,,,6558.73,6558.73,11
APR-DRG,8623,Other Aftercare And Convalescence,,,8350.69,8350.69,11
APR-DRG,8624,Other Aftercare And Convalescence,,,8350.69,8350.69,11
APR-DRG,8631,Neonatal Aftercare,,,9887.86,9887.86,11
APR-DRG,8632,Neonatal Aftercare,,,18055.04,18055.04,11
APR-DRG,8633,Neonatal Aftercare,,,34999.2,34999.2,11
APR-DRG,8634,Neonatal Aftercare,,,68416.76,68416.76,11
APR-DRG,8901,HIV With Multiple Major HIV Related Conditions,,,5848.02,5848.02,11
APR-DRG,8902,HIV With Multiple Major HIV Related Conditions,,,8242.7,8242.7,11
APR-DRG,8903,HIV With Multiple Major HIV Related Conditions,,,14213.53,14213.53,11
APR-DRG,8904,HIV With Multiple Major HIV Related Conditions,,,25328.01,25328.01,11
APR-DRG,891,Major Cranial Or Facial Bone Procedures,,,13220.51,13220.51,11
APR-DRG,892,Major Cranial Or Facial Bone Procedures,,,17284.34,17284.34,11
APR-DRG,8921,HIV With Major HIV Related Condition,,,5776.74,5776.74,11
APR-DRG,8922,HIV With Major HIV Related Condition,,,7104.29,7104.29,11
APR-DRG,8923,HIV With Major HIV Related Condition,,,10170.87,10170.87,11
APR-DRG,8924,HIV With Major HIV Related Condition,,,16642.79,16642.79,11
APR-DRG,893,Major Cranial Or Facial Bone Procedures,,,29659.33,29659.33,11
APR-DRG,8931,HIV With Multiple Significant HIV Related Conditions,,,5426.68,5426.68,11
APR-DRG,8932,HIV With Multiple Significant HIV Related Conditions,,,7666.79,7666.79,11
APR-DRG,8933,HIV With Multiple Significant HIV Related Conditions,,,9289.36,9289.36,11
APR-DRG,8934,HIV With Multiple Significant HIV Related Conditions,,,15891.85,15891.85,11
APR-DRG,894,Major Cranial Or Facial Bone Procedures,,,39775.15,39775.15,11
APR-DRG,8941,HIV With One Significant HIV Condition Or Without Significant Related Conditions,,,4967.92,4967.92,11
APR-DRG,8942,HIV With One Significant HIV Condition Or Without Significant Related Conditions,,,6262.31,6262.31,11
APR-DRG,8943,HIV With One Significant HIV Condition Or Without Significant Related Conditions,,,8287.17,8287.17,11
APR-DRG,8944,HIV With One Significant HIV Condition Or Without Significant Related Conditions,,,13752.66,13752.66,11
APR-DRG,91,Extracorporeal Membrane Oxygenation (Ecmo),,,42290.52,42290.52,11
APR-DRG,9101,Craniotomy For Multiple Significant Trauma,,,18404.4,18404.4,11
APR-DRG,9102,Craniotomy For Multiple Significant Trauma,,,19740.42,19740.42,11
APR-DRG,9103,Craniotomy For Multiple Significant Trauma,,,32476.06,32476.06,11
APR-DRG,9104,Craniotomy For Multiple Significant Trauma,,,50310.2,50310.2,11
APR-DRG,911,Other Major Head And Neck Procedures,,,12984.78,12984.78,11
APR-DRG,9111,Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,,,13830.29,13830.29,11
APR-DRG,9112,Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,,,18066.33,18066.33,11
APR-DRG,9113,Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,,,27690.94,27690.94,11
APR-DRG,9114,Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,,,47852.7,47852.7,11
APR-DRG,912,Other Major Head And Neck Procedures,,,20724.97,20724.97,11
APR-DRG,9121,Musculoskeletal And Other Procedures For Multiple Significant Trauma,,,14941.18,14941.18,11
APR-DRG,9122,Musculoskeletal And Other Procedures For Multiple Significant Trauma,,,20137.77,20137.77,11
APR-DRG,9123,Musculoskeletal And Other Procedures For Multiple Significant Trauma,,,28221.68,28221.68,11
APR-DRG,9124,Musculoskeletal And Other Procedures For Multiple Significant Trauma,,,44492.53,44492.53,11
APR-DRG,913,Other Major Head And Neck Procedures,,,30958.66,30958.66,11
APR-DRG,914,Other Major Head And Neck Procedures,,,46333.18,46333.18,11
APR-DRG,92,Extracorporeal Membrane Oxygenation (Ecmo),,,57751.85,57751.85,11
APR-DRG,921,Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures,,,11727.1,11727.1,11
APR-DRG,922,Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures,,,14690.63,14690.63,11
APR-DRG,923,Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures,,,21545.78,21545.78,11
APR-DRG,924,Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures,,,37916.15,37916.15,11
APR-DRG,93,Extracorporeal Membrane Oxygenation (Ecmo),,,115066.83,115066.83,11
APR-DRG,9301,Multiple Significant Trauma Without O.R. Procedure,,,6680.12,6680.12,11
APR-DRG,9302,Multiple Significant Trauma Without O.R. Procedure,,,8413.5,8413.5,11
APR-DRG,9303,Multiple Significant Trauma Without O.R. Procedure,,,13020.07,13020.07,11
APR-DRG,9304,Multiple Significant Trauma Without O.R. Procedure,,,23097.07,23097.07,11
APR-DRG,94,Extracorporeal Membrane Oxygenation (Ecmo),,,171214.46,171214.46,11
APR-DRG,9501,Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,11770.85,11770.85,11
APR-DRG,9502,Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,15319.47,15319.47,11
APR-DRG,9503,Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,23740.03,23740.03,11
APR-DRG,9504,Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,39517.54,39517.54,11
APR-DRG,951,Cleft Lip And Palate Repair,,,7021.72,7021.72,11
APR-DRG,9511,Moderately Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,8784.73,8784.73,11
APR-DRG,9512,Moderately Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,12730.7,12730.7,11
APR-DRG,9513,Moderately Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,18690.23,18690.23,11
APR-DRG,9514,Moderately Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,30985.48,30985.48,11
APR-DRG,952,Cleft Lip And Palate Repair,,,7448.0,7448.0,11
APR-DRG,9521,Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,7567.99,7567.99,11
APR-DRG,9522,Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,10667.03,10667.03,11
APR-DRG,9523,Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,16224.27,16224.27,11
APR-DRG,9524,Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis,,,28222.38,28222.38,11
APR-DRG,953,Cleft Lip And Palate Repair,,,11888.01,11888.01,11
APR-DRG,954,Cleft Lip And Palate Repair,,,24745.75,24745.75,11
APR-DRG,971,Tonsil And Adenoid Procedures,,,4905.11,4905.11,11
APR-DRG,972,Tonsil And Adenoid Procedures,,,7651.27,7651.27,11
APR-DRG,973,Tonsil And Adenoid Procedures,,,12075.04,12075.04,11
APR-DRG,974,Tonsil And Adenoid Procedures,,,19541.39,19541.39,11
APR-DRG,981,"Other Ear, Nose, Mouth And Throat Procedures",,,7030.89,7030.89,11
APR-DRG,982,"Other Ear, Nose, Mouth And Throat Procedures",,,11692.51,11692.51,11
APR-DRG,983,"Other Ear, Nose, Mouth And Throat Procedures",,,17903.3,17903.3,11
APR-DRG,984,"Other Ear, Nose, Mouth And Throat Procedures",,,28718.54,28718.54,11
CDM,1230001,GENERAL PEDS ROOM DAILY,4528.16,4528.16,,,0
CDM,1720001,HC NEWBORN 2 ROOM DAILY,12596.0,12596.0,,,0
CDM,1730001,HC NEWBORN 3 ROOM DAILY,14968.0,14968.0,,,0
CDM,1740001,HC NEWBORN 4 ROOM DAILY,17813.0,17813.0,,,0
CDM,2030001,HC MUSCLE BIOPSY PERCUTANEOUS NEEDLE,13735.0,13735.0,,,0
CDM,20600001,"HC EVAL CENTRAL AUDITORY FUNC W/REP, INIT 60 MIN",11076.0,11076.0,,,0
CDM,20800001,HC HEARING AID CHECK MONAURAL,18895.0,18895.0,,,0
CDM,22000001,HC MT-DNA GENOME LG DELETION ANALYSIS,221.0,221.0,,,0
CDM,22000002,HC PROSTAGLANDIN EACH,221.0,221.0,,,0
CDM,22000003,HC SUGARS; SINGLE QUAL EA SPECIMEN,221.0,221.0,,,0
CDM,22000004,HC SUGARS; SINGLE QUAN EA SPECIMEN,276.0,276.0,,,0
CDM,22000005,HC UREA NITROGEN CLEARANCE,221.0,221.0,,,0
CDM,22000006,HC LAB IMMUNOLOGY,243.0,243.0,,,0
CDM,22000007,HC AB ID; LEUKOCYTE AB,243.0,243.0,,,0
CDM,22200001,"HC TOTAL VOL,UR,STONE RISK PROFIL",5384.28,5384.28,,,0
CDM,22200002,"HC CK ISOENZY, MB FRACT QST",2848.56,2848.56,,,0
CDM,22200003,"HC HA DIGITAL, ADVANCED, MONAURAL, ITE",3800.0,3800.0,,,0
CDM,26000001,HC INFUSION DRUG THERAPY EA ADDL HOUR,708.0,708.0,,,0
CDM,26000002,"HC IV INFUSION, ADDL SEQ UP TO 1 HOUR",213.0,213.0,,,0
CDM,26000003,"HC IV INFUSION, CONCURRENT",923.0,923.0,,,0
CDM,26000004,"HC THER/PROPH/DIAG INJ, SC/IM",213.0,213.0,,,0
CDM,26000005,"HC THER/PROPH/DIAG INJ, IV PUSH",351.0,351.0,,,0
CDM,26000006,"HC TX/PRO/DX INJ EA ADDL SEQ, NEW",684.0,684.0,,,0
CDM,26000007,"HC TX/PRO/DX INJ EA ADDL SEQ, SAME",294.0,294.0,,,0
CDM,26000008,"HC CHEMOTHERAPY ADMIN, IM/SQ, NON-HORMONAL",424.0,424.0,,,0
CDM,26000009,"HC CHEMOTHERAPY ADMIN, IM/SQ, HORMONAL",213.0,213.0,,,0
CDM,26000010,"HC CHEMOTHERAPY ADMIN, IVP, SINGLE/INITIAL",286.0,286.0,,,0
CDM,26000012,HC IONTOPHORESIS THERAPY EA 15 MINS,402.0,402.0,,,0
CDM,26000054,HC DESSICANT BLOCK - EACH,923.0,923.0,,,0
CDM,26000055,DEAC 10/3/2022 HC MINI WAX BRUSH,923.0,923.0,,,0
CDM,26000056,DEAC 10/3/2022 HC SUPER SEAL (REFILLS),1484.0,1484.0,,,0
CDM,27000060,HC PERQ DEV BREAST ADD STEREOTACTIC GUIDANCE,3150.0,3150.0,,,0
CDM,27000061,HC PERQ DEV BREAST 1ST US IMAG,6300.0,6300.0,,,0
CDM,27000062,HC PERQ DEV BREAST ADD US IMAG,3150.0,3150.0,,,0
CDM,27000063,HC PERQ DEV BREAST 1ST MR GUIDE,3064.29,3064.29,,,0
CDM,27000064,HC PERQ DEV BREAST ADD MR GUIDE,3500.0,3500.0,,,0
CDM,27000065,HC OPEN/PERQ PLACE STENT SAME INITIAL ARTERY,3500.0,3500.0,,,0
CDM,27000066,"HC GENOMIC SEQ ANALYSIS, SOLID ORGAN NEOPLASM, 5-50 GENES",7000.0,7000.0,,,0
CDM,27000067,HC VASC EMBOLIZE/OCCLUDE ARTERY,4500.0,4500.0,,,0
CDM,27000068,HC VASC EMBOLIZE/OCCLUDE ORGAN,4500.0,4500.0,,,0
CDM,27000071,"HC STREP PNEUMONIAE IGG AB, 14 SEROTYPES, MULTI IA, QUANT",6300.0,6300.0,,,0
CDM,27000073,"HC UNLISTED PROC, DENTOALVEOLAR STRUCTURES",5816.16,5816.16,,,0
CDM,27000074,"HC UNLISTED PROC, TONGUE OR FLOOR OF MOUTH",6000.0,6000.0,,,0
CDM,27000079,HC CLONOSEQ MRD ASSAY - PCR & NGS,6037.5,6037.5,,,0
CDM,27000155,HC EVALUATION OF SPEECH SOUND  PRODUCTION W/LANGUAGE COMPREHENSION,2100.0,2100.0,,,0
CDM,27000156,HC BEHAVIORAL & QUALIT ANALYSIS VOICE/RESONANCE,2100.0,2100.0,,,0
CDM,27000157,HC AUTOLOG BLOOD OP SALVAGE,2100.0,2100.0,,,0
CDM,27000158,HC CYP2C19 GENE COM VARIANTS,2100.0,2100.0,,,0
CDM,27000159,HC ALPHA-1-ANTITRYPSIN; PHENOTYPE (40),2100.0,2100.0,,,0
CDM,27000160,HC CHOLINESTERASE; SERUM,4200.0,4200.0,,,0
CDM,27000161,HC DIBUCAINE NUMBER,4200.0,4200.0,,,0
CDM,27000162,HC GLUCOSE; BLD BY MONITOR DEVICE,4200.0,4200.0,,,0
CDM,27000163,HC FREE INSULIN,4200.0,4200.0,,,0
CDM,27000164,HC SUGARS; MULTI QUAL EA SPECIMEN,4000.0,4000.0,,,0
CDM,27061002,HC MITOCHONDRIAL GENOME ANALYSIS,6192.0,6192.0,,,0
CDM,27061003,"HC BLOOD OCCULT,QLT FECES",1573.0,1573.0,,,0
CDM,27061004,HC URINE STONE ANALYSIS,2084.0,2084.0,,,0
CDM,27061005,HC CREATINE(UR)      MAYO,4109.0,4109.0,,,0
CDM,27061006,"HC CREATINE, PLASMA",1688.0,1688.0,,,0
CDM,27061007,HC DEOXYCORTICOSTERONE  ENDO,1238.0,1238.0,,,0
CDM,27061008,HC GALACTOSYLCERAMIDE B-GAL MAYO,150.0,150.0,,,0
CDM,27080021,"HC HA, DIGITAL, PREMIUM, BINAURAL, CIC",3500.0,3500.0,,,0
CDM,27080022,"HC HA, DIGITAL, ADVANCED,  BINAURAL, ITC",4500.0,4500.0,,,0
CDM,27080023,"HC HA, DIGITAL, PREMIUM, BINAURAL, ITC",3150.0,3150.0,,,0
CDM,27080024,"HC HA, DIGITAL, ADVANCED, BINAURAL, ITE",3000.0,3000.0,,,0
CDM,27080026,"HC HA, DIGITAL, PREMIUM, BINAURAL, ITE",3500.0,3500.0,,,0
CDM,27080027,"HC HA, DIGITAL, STANDARD BINAURAL, ITE",4500.0,4500.0,,,0
CDM,27080028,"HC HA, DIGITAL, STANDARD BINAURAL, BTE",3040.68,3040.68,,,0
CDM,27080030,"HC HA, DIGITAL, STANDARD BINAURAL, BTE, RITE (RECEIVER IN THE EAR)",6300.0,6300.0,,,0
CDM,27080031,"HC HA, DIGITAL, ADVANCED, BINAURAL, BTE",9000.0,9000.0,,,0
CDM,27080032,"HC HA, DIGITAL, ADVANCED, BINAURAL, BTE, RITE",7000.0,7000.0,,,0
CDM,27080033,"HC HA, DIGITAL, PREMIUM, BINAURAL, BTE",9000.0,9000.0,,,0
CDM,27080034,"HC HA, DIGITAL, PREMIUM, BINAURAL, BTE, RITE",7000.0,7000.0,,,0
CDM,27080035,"HC EAR MOLD/INSERT NON DISP, EA",9000.0,9000.0,,,0
CDM,27080036,"HC BATTERY FOR HEARING DEVICE, EA",6300.0,6300.0,,,0
CDM,27080037,"HC HEARING SERVICE, MISC",6300.0,6300.0,,,0
CDM,27080039,HC IONM IN OPERATNG ROOM 15 MIN,6300.0,6300.0,,,0
CDM,27080040,HC IONM REMOTE/>1 PT OR PER HR,6333.33,6333.33,,,0
CDM,27080042,HC TRAUMA ALERT CONSULT W/CC,6500.0,6500.0,,,0
CDM,27080044,HC MISCELLANEOUS DIALYSIS-ULTRAFILTRATION,7000.0,7000.0,,,0
CDM,27080045,HC O/P HEMODIALYSIS URR,9000.0,9000.0,,,0
CDM,27080046,DEAC 6/1/2020 HC O/P HEMODIALYSIS URR 75%>,160.0,160.0,,,0
CDM,27080047,HC TRAUMA ALERT 2 W/CRITICAL CARE,2.0,2.0,,,0
CDM,27080050,HC STRESS TTE COMPLETE,4050.0,4050.0,,,0
CDM,27080051,HC DONOR HUMAN MILK (PREP/STORE/DISTRIBUTION),1655.0,1655.0,,,0
CDM,27080052,HC PTEN GENE FULL SEQUENCE,4500.0,4500.0,,,0
CDM,27160009,HC FORTIFIED EBM (PREP/STORE/DISTRIBUTION),442.05,442.05,,,0
CDM,27160010,HC FORTIFIED DHM (PREP/STORE/DISTRIBUTION),254.89,254.89,,,0
CDM,27160011,HC ORAL CARE (PREP/STORE/DISTRIBUTION),134.0,134.0,,,0
CDM,27160012,HC CUSTOM FORMULA (PREP/STORE/DISTRIBUTION),141.0,141.0,,,0
CDM,27160013,HC UNIT DOSE FORMULA (PREP/STORE/DISTRIBUTION),147.0,147.0,,,0
CDM,27160014,HC DRUG SCREENING FENTANYL (38),12.6,12.6,,,0
CDM,27290081,HC PRT PLATELETS,73.66,73.66,,,0
CDM,27490009,HC PRETREAT RBC; CHEM OR DRUGS,421.0,421.0,,,0
CDM,27490081,HC WASHED RED BLOOD CELLS EA UNIT,367.57,367.57,,,0
CDM,30000000,DEAC 11/01/2023 HC ADM SARSCOV2 30MCG/0.3ML; BOOSTER DOSE,594.0,594.0,,,0
CDM,30000001,HC COMPREHENSIVE METABOLIC PANEL,61.82,61.82,,,0
CDM,30000001,HC LIPID PANEL,32.5,32.5,,,0
CDM,30000004,HC RENAL FUNCTION PANEL,420.0,420.0,,,0
CDM,30000005,HC HEPATIC FUNCTION PANEL,525.0,525.0,,,0
CDM,30000006,"HC BENZODIAZEPINES, 1-12",179.0,179.0,,,0
CDM,30000007,HC CARBAMAZEPINE; FREE,255.0,255.0,,,0
CDM,30000009,HC CERULOPLASMIN,541.0,541.0,,,0
CDM,30000009,HC CHLORIDE; BLOOD,120.0,120.0,,,0
CDM,30000010,HC COLLAGEN CROSS LINKS,128.0,128.0,,,0
CDM,30000011,HC GALACTOKINASE RBC,855.0,855.0,,,0
CDM,30000012,HC HEMOGLOBIN-OXYGEN AFFINITY,330.0,330.0,,,0
CDM,30000013,HC LDH; ISOENZYMES,211.0,211.0,,,0
CDM,30000014,HC FREE THYROXINE,410.0,410.0,,,0
CDM,30000015,HC URIC ACID; NOT BLOOD,302.0,302.0,,,0
CDM,30000017,HC ALLERG SP IGE; QUAN OR SEMIQUAN,123.0,123.0,,,0
CDM,30000018,HC ANTINUCLEAR AB (ANA); TITER,84.0,84.0,,,0
CDM,30000018,HC C-REACTIVE PROTEIN,15.0,15.0,,,0
CDM,30000020,HC CCP ANTIBODY,27.0,27.0,,,0
CDM,30000021,HC DNA AB,115.0,115.0,,,0
CDM,30000022,HC INSULIN AB,177.0,177.0,,,0
CDM,30000023,HC T CELLS; ABSOL CD4 AND CD8,601.0,601.0,,,0
CDM,30000025,HC AB; HIV-1,251.0,251.0,,,0
CDM,30000026,HC AB; HAAB - TOTAL,190.0,190.0,,,0
CDM,30000027,HC BLOOD TYPING; ABO,487.0,487.0,,,0
CDM,30000028,HC BLOOD TYPING; RH D,665.0,665.0,,,0
CDM,30000029,HC BLOOD TYPE ANTIGEN DONOR EA,402.0,402.0,,,0
CDM,30000030,HC BLD TYPE; RH PHENOTYPE,822.0,822.0,,,0
CDM,30000031,HC COMPATIBILITY TEST SPIN,244.0,244.0,,,0
CDM,30000032,HC COMPATIBILITY TEST ANTIGLOB,244.0,244.0,,,0
CDM,30000033,HC COMPATIBILITY TEST ELECTRIC,665.0,665.0,,,0
CDM,30000034,HC FFP THAWING EA UNIT,664.0,664.0,,,0
CDM,30000035,HC IRRADIATE BLD PRODUCT EA UNIT,496.0,496.0,,,0
CDM,30000036,HC POOL PLATELETS OR BLD PRODUCT,558.0,558.0,,,0
CDM,30000037,HC PRETREAT RBC; ENZYMES,508.0,508.0,,,0
CDM,30000038,HC CONCENTRATION FOR INFECT AGNT,340.0,340.0,,,0
CDM,30000039,HC AEROB BACTERIAL BLOOD CULTURE,708.0,708.0,,,0
CDM,30000040,HC AEROB BACTERIA CULTURE STOOL,708.0,708.0,,,0
CDM,30000041,HC AEROBIC STOOL CULTR ADDTL PATHOG EA PLATE,105.0,105.0,,,0
CDM,30000042,HC BACTERIAL CULTURE - OTHR SOURCE,614.0,614.0,,,0
CDM,30000045,HC PLASMA 1 DONOR FRZ W/IN 8 HR,150.0,150.0,,,0
CDM,30000047,HC ECHOCARDIO FETAL CARDIOVASCULAR F/U STUDY,418.0,418.0,,,0
CDM,30000048,HC DOPPLER ECHOCARDIOLOGY FETAL COMPLETE,211.0,211.0,,,0
CDM,30000101,HC MICROALBUMIN; URINE SEMIQUAN,633.0,633.0,,,0
CDM,30000102,HC BILE ACIDS; TOTAL,106.0,106.0,,,0
CDM,30000103,HC CHEMILUMINESCENT ASSAY,374.0,374.0,,,0
CDM,30000105,HC CHOLINESTERASE; RBC,20.0,20.0,,,0
CDM,30000106,HC CPK: ISOENZYMES,38.0,38.0,,,0
CDM,30000108,HC CYTOGEN M ARRAY COPY NO&SNP,881.0,881.0,,,0
CDM,30000160,HC FFP (FROZ WITH 8 HRS) (AUTOLOGOUS/DIRECTED),47.0,47.0,,,0
CDM,30000165,HC QUANTITATIVE ASSAY DRUG (30),349.0,349.0,,,0
CDM,30000166,HC QUANTITATIVE ASSAY DRUG (35),93.0,93.0,,,0
CDM,30000167,HC QUANTITATIVE ASSAY DRUG (55),93.0,93.0,,,0
CDM,30000168,HC QUANTITATIVE ASSAY DRUG (75),93.0,93.0,,,0
CDM,30000169,HC QUANTITATIVE ASSAY DRUG (80),93.0,93.0,,,0
CDM,30000170,HC DRUG SCREENING COCAINE,93.0,93.0,,,0
CDM,30000171,HC OPIOID &OPIATE ANALOG 5/MORE,349.0,349.0,,,0
CDM,30000174,HC CHARGING BASE,93.0,93.0,,,0
CDM,30000179,HC MUSC TEST DONE W/NERVE TEST NON EXTREMITY,93.0,93.0,,,0
CDM,30000180,HC PREGABALIN,93.0,93.0,,,0
CDM,30000182,"HC PERQ PLMT BILE DUCT STENT, NEW ACCESS, W/ SEPAR CATH",1369.0,1369.0,,,0
CDM,30000183,"HC INFECT AGENT DET,GI 3-5 TARGET",1235.0,1235.0,,,0
CDM,30000184,HC US ABDOMINAL AORTA SCREEN AAA,805.0,805.0,,,0
CDM,30000185,"HC MONONUCLEAR CELL ANTIGEN, QUANTITATIVE, NOS, EA AG",53.0,53.0,,,0
CDM,30001856,HC COMBINED CARDIAC  PANEL ANALYSIS AT LEAST 2 GENES (148),233.0,233.0,,,0
CDM,30001857,HC WHOLE MITO GENOME SEQUENCING & DELETION TESTING (148),50.0,50.0,,,0
CDM,30001860,HC IMMUNOASSAY QUANT NOS NONAB (184),510.0,510.0,,,0
CDM,30060001,"HC GASES,BLD,W/SAT O2, MEASURED",1307.0,1307.0,,,0
CDM,30060002,HC RBC ENZYME GLUTATHIONE    MAYO,346.0,346.0,,,0
CDM,30060003,"HC GLUTATHIONE,BLOOD",56.0,56.0,,,0
CDM,30060004,HC UR 17 OH CORTICOSTEROIDS  NIC,245.0,245.0,,,0
CDM,30060005,HC SOLUBLE IL-2R LEVEL     CINCH,482.0,482.0,,,0
CDM,30060006,HC INHIBIN-B       QUEST,96.0,96.0,,,0
CDM,30060007,HC STRIATED MUSCLE AB,357.0,357.0,,,0
CDM,30060008,HC ASCA IGA IMMUNOASSAY    PROM,302.0,302.0,,,0
CDM,30060009,HC ASCA IGG IMMUNOASSAY    PROM,212.0,212.0,,,0
CDM,30060010,HC OMPC IGG IMMUNOASSAY    PROM,64.0,64.0,,,0
CDM,30060011,HC CBIR1 IGG IMMUNOASSAY    PROM,506.0,506.0,,,0
CDM,30060012,HC FLA2 IGG IMMUNOASSAY    PROM,464.0,464.0,,,0
CDM,30060013,HC FLAX IGG IMMUNOASSAY    PROM,47.0,47.0,,,0
CDM,30060014,HC SOLUBLE LIVER ANTIGEN   QUEST,30.0,30.0,,,0
CDM,30070004,HC MAGNETIC RESONANCE ELASTOGRAPHY,151.0,151.0,,,0
CDM,30070007,HC MRI GUIDANCE & MONITORING FOR PARENCHYMAL TISSUE ABLATION,27.0,27.0,,,0
CDM,30070009,HC HA DISPENSING FEE UNSPECIFIED,28.0,28.0,,,0
CDM,30100000,"HC PLASMA, CRYOPRECIPITATE REDUCED, EA UNIT",159.0,159.0,,,0
CDM,30100001,HC ACUTE HEPATITIS PANEL,157.0,157.0,,,0
CDM,30100002,HC AMIKACIN,264.0,264.0,,,0
CDM,30100003,HC CYCLOSPORINE,314.0,314.0,,,0
CDM,30100005,HC DIGOXIN QUANTITATIVE,325.0,325.0,,,0
CDM,30100006,HC DIPROPYLACETIC ACID,342.0,342.0,,,0
CDM,30100007,HC ETHOSUXIMIDE,59.0,59.0,,,0
CDM,30100008,HC GENTAMICIN,313.0,313.0,,,0
CDM,30100010,HC HALOPERIDOL ASSAY,193.0,193.0,,,0
CDM,30100011,HC LIDOCAINE,326.0,326.0,,,0
CDM,30100012,HC PHENOBARBITAL,323.0,323.0,,,0
CDM,30100013,HC PHENYTOIN; TOTAL,70.0,70.0,,,0
CDM,30100015,HC PHENYTOIN; FREE,199.0,199.0,,,0
CDM,30100016,HC PRIMIDONE,138.0,138.0,,,0
CDM,30100018,HC PROCAINAMIDE W METABOLITES,273.0,273.0,,,0
CDM,30100019,HC ASSAY OF SIROLIMUS,297.0,297.0,,,0
CDM,30100020,HC TACROLIMUS,194.0,194.0,,,0
CDM,30100021,HC THEOPHYLLINE,266.0,266.0,,,0
CDM,30100022,HC TOBRAMYCIN,193.0,193.0,,,0
CDM,30100024,HC TOPIRAMATE,156.0,156.0,,,0
CDM,30100026,HC VANCOMYCIN,177.0,177.0,,,0
CDM,30100027,HC QUANTITATION OF DRUG NES,271.0,271.0,,,0
CDM,30100028,HC AUTOM URINE DIP W MICRO,337.0,337.0,,,0
CDM,30100029,HC AUTOM URINALYSIS WO MICRO,102.0,102.0,,,0
CDM,30100030,HC URINALYSIS; QUAL NOT IA,309.0,309.0,,,0
CDM,30100038,HC QUANT SERUM ACETONES/KETONES,407.0,407.0,,,0
CDM,30100039,HC ACYLCARNITINES; QUAN,90.0,90.0,,,0
CDM,30100041,HC ACTH,60.0,60.0,,,0
CDM,30100042,HC ASSAY OF SERUM ALBUMIN,48.0,48.0,,,0
CDM,30100045,HC ALBUMIN; QUAN,222.0,222.0,,,0
CDM,30100047,HC ALBUMIN; URINE QUANT,930.0,930.0,,,0
CDM,30100048,HC ALDOLASE,561.0,561.0,,,0
CDM,30100049,HC ALDOSTERONE,114.0,114.0,,,0
CDM,30100050,HC ALPHA-1-ANTITRYPSIN; TOTAL,45.0,45.0,,,0
CDM,30100051,HC ALPHA-FETOPROTEIN SERUM,53.0,53.0,,,0
CDM,30100053,HC AMINO ACIDS; MULTI QUAL EA,592.0,592.0,,,0
CDM,30100054,HC AMINO ACIDS; SGL QUAN EA,254.0,254.0,,,0
CDM,30100056,HC AMINO ACIDS 6/>  QUAN EA,170.0,170.0,,,0
CDM,30100057,HC ANDROSTENEDIONE,168.0,168.0,,,0
CDM,30100057,HC ANGIOTENSIN II,210.0,210.0,,,0
CDM,30100058,HC ANGIOTENSIN I - CONVERTING ENZYME,392.0,392.0,,,0
CDM,30100059,HC APOLIPOPROTEIN EACH,192.0,192.0,,,0
CDM,30100060,HC DIRECT BILIRUBIN,203.0,203.0,,,0
CDM,30100061,HC BIOTINIDASE EA SPECIMEN,308.0,308.0,,,0
CDM,30100062,HC OCCULT BLOOD FECES,235.0,235.0,,,0
CDM,30100063,HC OCCULT BLOOD OTHER SOURCES,143.0,143.0,,,0
CDM,30100064,HC CADMIUM,131.0,131.0,,,0
CDM,30100065,HC CALCITONIN,62.0,62.0,,,0
CDM,30100067,HC CALCIUM; IONIZED,139.0,139.0,,,0
CDM,30100068,HC CALCIUM; URINE QUAN TIMED,689.0,689.0,,,0
CDM,30100069,HC STONE; IR SPECTROSCOPY,339.0,339.0,,,0
CDM,30100070,HC CARBON DIOXIDE (CO2),130.0,130.0,,,0
CDM,30100071,HC ASSAY CARBOXYHB QUANT,320.0,320.0,,,0
CDM,30100072,HC CEA,162.0,162.0,,,0
CDM,30100073,HC CARNITINE QUAN EA,102.0,102.0,,,0
CDM,30100074,HC CARNITINE QUAN EA,125.0,125.0,,,0
CDM,30100075,HC CAROTENE,276.0,276.0,,,0
CDM,30100076,HC CATECHOLAMINES FRACTIONATED,318.0,318.0,,,0
CDM,30100077,HC CHROMIUM,123.0,123.0,,,0
CDM,30100078,HC CITRATE,96.0,96.0,,,0
CDM,30100079,HC COPPER,100.0,100.0,,,0
CDM,30100085,HC CORTICOSTERONE,410.0,410.0,,,0
CDM,30100086,HC CORTISOL; TOTAL,237.0,237.0,,,0
CDM,30100087,HC CC/MS; QUAN SS & MP,198.0,198.0,,,0
CDM,30100088,HC CPK; TOTAL,106.0,106.0,,,0
CDM,30100089,HC CPK: MB FRACTION ONLY,353.0,353.0,,,0
CDM,30100090,HC CREATININE; BLOOD,381.0,381.0,,,0
CDM,30100091,HC CREATININE; NOT BLOOD,592.0,592.0,,,0
CDM,30100094,HC CREATININE; CLEARANCE,192.0,192.0,,,0
CDM,30100095,HC CRYOGLOBULIN - QUAL/SEMI QUAN,270.0,270.0,,,0
CDM,30100096,HC CYANIDE,119.0,119.0,,,0
CDM,30100097,HC VITAMIN B-12 LEVEL,150.0,150.0,,,0
CDM,30100098,HC VIT  B-12; UNSATURATED BC,240.0,240.0,,,0
CDM,30100100,HC CYSTATIN C,83.0,83.0,,,0
CDM,30100101,HC DHEA-S,388.0,388.0,,,0
CDM,30100102,HC VIT D 1 25-DIHYDROXY,174.0,174.0,,,0
CDM,30100103,HC ESTRADIOL; TOTAL,560.0,560.0,,,0
CDM,30100104,HC ESTROGENS; FRACTIONATED,292.0,292.0,,,0
CDM,30100105,HC ESTRIOL UNCONJUGATED,513.0,513.0,,,0
CDM,30100106,HC ETHYLENE GLYCOL,407.0,407.0,,,0
CDM,30100107,HC FAT/LIPIDS FECES; QUAN,480.0,480.0,,,0
CDM,30100108,HC FOLIC ACID; SERUM,324.0,324.0,,,0
CDM,30100109,HC GALACTOSEMIA; QUAN,365.0,365.0,,,0
CDM,30100111,HC ASSAY IGA/IGD/IGG/IGM EACH,396.0,396.0,,,0
CDM,30100112,HC ASSAY OF IGE,60.0,60.0,,,0
CDM,30100114,HC BLOOD GASES O2 SAT ONLY,250.0,250.0,,,0
CDM,30100115,HC GASTRIN,246.0,246.0,,,0
CDM,30100116,HC GLUCAGON,520.0,520.0,,,0
CDM,30100118,HC GLUCOSE BODY FLUID NOT BLOOD,139.0,139.0,,,0
CDM,30100119,HC GLUCOSE; QUAN BLOOD,91.0,91.0,,,0
CDM,30100120,HC GTT-ADDED SAMPLES,56.0,56.0,,,0
CDM,30100121,HC G6PD; QUAN,114.0,114.0,,,0
CDM,30100122,HC GLUTAMYLTRANSFERASE GAMMA,97.0,97.0,,,0
CDM,30100123,HC GLYCATED PROTEIN,227.0,227.0,,,0
CDM,30100124,HC GONADOTROPIN; FSH,66.0,66.0,,,0
CDM,30100126,HC GROWTH HORMONE HUMAN,192.0,192.0,,,0
CDM,30100127,HC HGB CHROMATOGRAPHY,320.0,320.0,,,0
CDM,30100128,HC HGB; FETAL QUAL,243.0,243.0,,,0
CDM,30100129,HC GLYCOSYLATED HEMOGLOBIN TEST,397.0,397.0,,,0
CDM,30100130,HC HBG; METHEMOGLOBIN QUAN,345.0,345.0,,,0
CDM,30100131,HC HGB; PLASMA,300.0,300.0,,,0
CDM,30100133,HC HEMOGLOBIN; UNSTABLE SCREEN,100.0,100.0,,,0
CDM,30100134,HC HEMOSIDERIN; QUAL,230.0,230.0,,,0
CDM,30100135,HC B-HEXOSAMINIDASE EA ASSAY,100.0,100.0,,,0
CDM,30100136,HC ASSAY OF HOMOCYSTINE,157.0,157.0,,,0
CDM,30100137,HC HOMOVANILLIC ACID,23.0,23.0,,,0
CDM,30100138,HC 5-HIAA,91.0,91.0,,,0
CDM,30100139,HC IMMUNOASSAY NONANTIBODY,216.0,216.0,,,0
CDM,30100140,HC IMMUNOASSAY QUANT NOS NONAB (20),284.0,284.0,,,0
CDM,30100141,HC GROWTH HORMONE BINDING PROTEIN,308.0,308.0,,,0
CDM,30100142,HC SUBSTANCE P,330.0,330.0,,,0
CDM,30100143,HC PROTHROMBIN FRAGMENT 1.2,93.0,93.0,,,0
CDM,30100144,HC RNA POLYMERASE I-III IGG,349.0,349.0,,,0
CDM,30100146,HC SMALL FIBER AXONAL PROFILE,349.0,349.0,,,0
CDM,30100147,"HC ANTI IGA, TRANSFUSION MED",93.0,93.0,,,0
CDM,30100149,HC IMMUNOASSAY QUANT NOS NONAB,93.0,93.0,,,0
CDM,30100155,HC INSULIN; TOTAL,93.0,93.0,,,0
CDM,30100157,HC IRON,93.0,93.0,,,0
CDM,30100162,HC LACTATE,93.0,93.0,,,0
CDM,30100174,HC LACTATE DEHYDROGENASE,722.0,722.0,,,0
CDM,30100175,HC LACTOFERRIN FECAL (QUAL),174.0,174.0,,,0
CDM,30100176,HC LEAD,366.0,366.0,,,0
CDM,30100177,HC LIPASE,162.0,162.0,,,0
CDM,30100178,HC LIPOPROTEIN; HDL,93.0,93.0,,,0
CDM,30100179,HC ASSAY OF BLOOD LIPOPROTEIN LDL,180.0,180.0,,,0
CDM,30100182,HC MAGNESIUM,187.0,187.0,,,0
CDM,30100183,HC MANGANESE,124.0,124.0,,,0
CDM,30100186,HC MERCURY QUAN,157.0,157.0,,,0
CDM,30100187,HC METANEPHRINES,143.0,143.0,,,0
CDM,30100188,HC MUCOPOLYSACCH ACID; QUAN,196.0,196.0,,,0
CDM,30100190,HC MYOGLOBIN,358.0,358.0,,,0
CDM,30100191,HC NEPHELOMETRY EA ANALYTE NES,244.0,244.0,,,0
CDM,30100193,HC ASSAY OF NUCLEOTIDASE,393.0,393.0,,,0
CDM,30100195,HC QUANTITATIVE ORGANIC ACIDS EA SPECIMEN,253.0,253.0,,,0
CDM,30100196,HC ORGANIC ACID  SINGLE QUANTITATIVE,436.0,436.0,,,0
CDM,30100412,HC BLOOD OSMOLALITY,102.0,102.0,,,0
CDM,30100413,HC OSMOLALITY; URINE,388.0,388.0,,,0
CDM,30100414,HC OSTEOCALCIN,692.0,692.0,,,0
CDM,30100415,HC OXALATE,315.0,315.0,,,0
CDM,30100416,HC PARATHORMONE,96.0,96.0,,,0
CDM,30100417,HC ASSAY PH BODY FLUID NOS,174.0,174.0,,,0
CDM,30100418,HC ASSAY FOR CALPROTECTIN FECAL,185.0,185.0,,,0
CDM,30100419,HC PHENYLALANINE BLOOD,664.0,664.0,,,0
CDM,30100420,HC ALKALINE PHOSPHATASE,250.0,250.0,,,0
CDM,30100421,HC ALKALINE PHOSPHATASE ISOENZYM,73.0,73.0,,,0
CDM,30100422,HC PHOSPHATE,121.0,121.0,,,0
CDM,30100422,HC URINE PHOSPHATE,47.0,47.0,,,0
CDM,30100423,HC PORPHOBILINOGEN URINE; QUAN,91.0,91.0,,,0
CDM,30100424,HC QUAN URINE PORPHYRINS,138.0,138.0,,,0
CDM,30100426,HC URINE POTASSIUM,140.0,140.0,,,0
CDM,30100427,HC PREALBUMIN,87.0,87.0,,,0
CDM,30100429,HC PROGESTERONE ASSAY,137.0,137.0,,,0
CDM,30100430,HC PROLACTIN ASSAY,109.0,109.0,,,0
CDM,30100431,HC PSA; TOTAL,354.0,354.0,,,0
CDM,30100432,HC TOTAL PROTEIN OTHER SPECIMEN,506.0,506.0,,,0
CDM,30100433,HC PROTEIN; EP FRACT & QUAN,297.0,297.0,,,0
CDM,30100434,HC PROTEIN E-PHORESIS/URINE/CSF,233.0,233.0,,,0
CDM,30100435,HC PROTEIN WESTERN BLOT,74.0,74.0,,,0
CDM,30100436,HC PROTEIN WB; IM ID FOR BANDS,54.0,54.0,,,0
CDM,30100437,HC PROTOPORPHYRIN RBC; QUAN,67.0,67.0,,,0
CDM,30100438,HC PROINSULIN,187.0,187.0,,,0
CDM,30100439,HC VITAMIN B6,149.0,149.0,,,0
CDM,30100440,HC PYRUVATE,254.0,254.0,,,0
CDM,30100441,HC ASSAY NONENDOCRINE RECEPTOR,438.0,438.0,,,0
CDM,30100442,HC ASSAY OF SERUM SODIUM,383.0,383.0,,,0
CDM,30100443,HC SODIUM; URINE,307.0,307.0,,,0
CDM,30100444,HC SODIUM OTHER SOURCE,489.0,489.0,,,0
CDM,30100445,HC TESTOSTERONE; FREE,140.0,140.0,,,0
CDM,30100446,HC TESTOSTERONE; TOTAL,130.0,130.0,,,0
CDM,30100447,HC ASSAY OF THIAMINE (VITAMIN B-1),47.0,47.0,,,0
CDM,30100448,HC THROMBOXANE URINE,374.0,374.0,,,0
CDM,30100449,HC THYROGLOBULIN,226.0,226.0,,,0
CDM,30100452,HC THYROXINE; TOTAL,397.0,397.0,,,0
CDM,30100454,HC THYROID STIMULATING HORMONE,168.0,168.0,,,0
CDM,30100455,HC TOCOPHEROL ALPHA (VIT E),234.0,234.0,,,0
CDM,30100456,HC AST OR SGOT,187.0,187.0,,,0
CDM,30100457,HC TRANSFERASE; ALANINE AMINO,239.0,239.0,,,0
CDM,30100458,HC TRANSFERRIN,324.0,324.0,,,0
CDM,30100460,HC TRIGLYCERIDES,452.0,452.0,,,0
CDM,30100461,HC T3; FREE,150.0,150.0,,,0
CDM,30100462,HC T3; REVERSE,153.0,153.0,,,0
CDM,30100463,HC TROPONIN QUAN,188.0,188.0,,,0
CDM,30100464,HC UREA NITROGEN; QUAN,136.0,136.0,,,0
CDM,30100466,HC UREA NITROGEN URINE,377.0,377.0,,,0
CDM,30100467,HC VMA URINE,143.0,143.0,,,0
CDM,30100468,HC VIP - VASOACTIVE INTESTINAL PEPTIDE,104.0,104.0,,,0
CDM,30100469,HC VASOPRESSIN,101.0,101.0,,,0
CDM,30100470,HC VITAMIN A,134.0,134.0,,,0
CDM,30100471,HC VITAMIN NOS,105.0,105.0,,,0
CDM,30100473,HC VITAMIN K,332.0,332.0,,,0
CDM,30100474,HC C-PEPTIDE,222.0,222.0,,,0
CDM,30100475,HC HCG; QUAN,306.0,306.0,,,0
CDM,30100476,HC HCG; QUAL,343.0,343.0,,,0
CDM,30100477,HC UNLISTED CHEMISTRY TEST,91.0,91.0,,,0
CDM,30100478,HC BL SMEAR W/DIFF WBC COUNT,226.0,226.0,,,0
CDM,30100479,HC HEMATOCRIT,273.0,273.0,,,0
CDM,30100480,HC HEMOGLOBIN,404.0,404.0,,,0
CDM,30100483,HC COMPL AUTOM CBC W PLT,102.0,102.0,,,0
CDM,30100485,HC LYMPHOCYTE MITOGEN RESPONSE,63.0,63.0,,,0
CDM,30100494,HC PTEN GENE DUP/DELET VARIANT,126.0,126.0,,,0
CDM,30100496,HC PTEN GENE DUP/DELET VARIANT,369.0,369.0,,,0
CDM,30100497,HC SMPD1 GENE COMMON VARIANTS,103.0,103.0,,,0
CDM,30100498,HC SNRPN/UBE3A GENE,103.0,103.0,,,0
CDM,30100499,HC SNRPN/UBE3A GENE,61.0,61.0,,,0
CDM,30100500,HC SERPINA1 GENE,153.0,153.0,,,0
CDM,30100501,HC VKORC1 GENE,80.0,80.0,,,0
CDM,30100503,HC HLA I TYPING COMPLETE LR (150),142.0,142.0,,,0
CDM,30100507,HC HLA I TYPING COMPLETE LR (150),155.0,155.0,,,0
CDM,30100512,HC HLA I TYPING 1 ANTIGEN LR (150),307.0,307.0,,,0
CDM,30100515,HC HLA II TYPING AG EQUIV LR (170),400.0,400.0,,,0
CDM,30100519,HC HLA II TYPING 1 LOCUS LR (40),1471.0,1471.0,,,0
CDM,30100520,HC HLA I TYPING COMPLETE HR (290),571.0,571.0,,,0
CDM,30100522,HC  HLA II TYPING 1 LOCUS HR (40),1397.0,1397.0,,,0
CDM,30100522,HC HLA I TYPING 1 ALLELE HR,3537.0,3537.0,,,0
CDM,30100525,HC MOPATH PROCEDURE LEVEL 4,500.0,500.0,,,0
CDM,30100525,HC MOPATH PROCEDURE LEVEL 5,260.0,260.0,,,0
CDM,30100532,HC MOPATH PROCEDURE LEVEL 6,381.0,381.0,,,0
CDM,30100532,HC UNLISTED MOLECULAR PATHOLOGY,600.0,600.0,,,0
CDM,30100534,"HC AUDITORY EVOKED POTENTIALS; SCRN AUDIT POTENT W/STIMULI, AUTO ANALYS",334.0,334.0,,,0
CDM,30100536,"HC AUDITORY EVOKED POTENTIALS; HEARING STATUS DETER, BBAND STIMULI, I&R",961.0,961.0,,,0
CDM,30100542,"HC AUDITORY EVOKED POTENTIALS; THRESHOLD ESTIM AT MULTI FREQ, I & R",631.0,631.0,,,0
CDM,30100546,DEAC 7/1/25 HC SARSCOV2 &INF A&B & RSV,128.0,128.0,,,0
CDM,30100553,HC ELECTROPHORESIS NES,148.0,148.0,,,0
CDM,30100555,HC ESTROGENS; TOTAL,389.0,389.0,,,0
CDM,30100558,"HC VENTILATOR MGT, SUBSEQ DAY - ADULT",338.0,338.0,,,0
CDM,30100559,HC THYROID STIMULATING IMMUNOGLOBULINS,90.0,90.0,,,0
CDM,30100560,"HC POS AIRWAY PRESSURE CPAP, PER DAY",102.0,102.0,,,0
CDM,30100562,HC PA; SCREEN EA AB,159.0,159.0,,,0
CDM,30100563,"HC CHEST PT, SUBSEQ TX",149.0,149.0,,,0
CDM,30100573,HC CO2 EXPIRED GAS BY IR / PER DAY,313.0,313.0,,,0
CDM,30100576,HC AB; EB EARLY AG VIRUS,353.0,353.0,,,0
CDM,30100581,HC FMR1 GENE DETECTION,637.0,637.0,,,0
CDM,30100585,HC FMR1 GENE DETECTION,243.0,243.0,,,0
CDM,30100592,HC HFE GENE,95.0,95.0,,,0
CDM,30100594,HC HFE GENE,178.0,178.0,,,0
CDM,30100595,HC IKBKAP GENE,85.0,85.0,,,0
CDM,30100598,HC IGH VARI REGIONAL MUTATION,267.0,267.0,,,0
CDM,30100601,DEAC 11/01/2023 HC ADM SARSCOV2 30MCG/0.3ML 1ST DOSE,1243.0,1243.0,,,0
CDM,30100603,HC KRAS GENE,418.0,418.0,,,0
CDM,30100610,DEAC 11/01/2023 HC ADM SARSCOV2 30MCG/0.3ML 2ND DOSE,223.0,223.0,,,0
CDM,30100612,DEAC 11/01/2023 HC ADM SARSCOV2 100MCG/0.5ML 1ST DOSE,534.0,534.0,,,0
CDM,30100613,DEAC 11/01/2023 HC IMMUN ADM SARSCOV2 100MCG/0.5ML 2ND DOSE,446.0,446.0,,,0
CDM,30100619,HC ABLATE BONE TUMOR PERQ,404.0,404.0,,,0
CDM,30100620,HC ACETOMINOPHEN,607.0,607.0,,,0
CDM,30100624,HC AMIODARONE,30.0,30.0,,,0
CDM,30100625,"HC CARBAMAZEPINE;10,11-EPOXIDE",1114.0,1114.0,,,0
CDM,30100631,HC FELBAMATE,163.0,163.0,,,0
CDM,30100655,HC EL-1 FECAL QUANTITATIVE,1957.0,1957.0,,,0
CDM,30100657,HC ACTIN ANTIBODY EACH,500.0,500.0,,,0
CDM,30100657,HC ASSAY OF INTERLEUKIN-6 (IL-6),428.0,428.0,,,0
CDM,30100661,HC ANCA SCREEN EACH ANTIBODY,154.0,154.0,,,0
CDM,30100662,HC DGP ANTIBODY EACH IG CLASS,500.0,500.0,,,0
CDM,30100662,HC EMA EACH IG CLASS,1347.0,1347.0,,,0
CDM,30100663,HC TISS TRNSGL TMNASE EA IG CLASS,336.0,336.0,,,0
CDM,30100665,HC MITOCHONDRIAL ANTIBODY EACH,571.0,571.0,,,0
CDM,30100666,HC CUL TYP D BLD PTHGN 6+TRGT,1427.0,1427.0,,,0
CDM,30100666,HC MOG-IGG1 ANTB CBA EACH,233.0,233.0,,,0
CDM,30100667,DEAC 11/01/2023 HC ADM SARSCOV2 30MCG/0.3 ML; TRIS-SUCROSE FORM; 1ST DOSE,317.0,317.0,,,0
CDM,30100668,DEAC 11/01/2023 HC ADM SARSCOV2 30MCG/0.3 ML; TRIS-SUCROSE FORM; 2ND DOSE,964.0,964.0,,,0
CDM,30100669,DEAC 11/01/2023 HC ADM SARSCOV2 30MCG/0.3 ML; TRIS-SUCROSE FORM; 3RD DOSE,534.0,534.0,,,0
CDM,30100670,DEAC 11/01/2023 HC ADM SARSCOV2 30MCG/0.3 ML; TRIS-SUCROSE FORM; BOOSTER,1094.0,1094.0,,,0
CDM,30100671,HC CLOTTING ASSAY WHOLE BLOOD PER DAY,601.0,601.0,,,0
CDM,30100672,"DEAC 4/1/2025 HC IV INFUSION SOTROVIMAB, INCL INFUSION & POST ADMIN MONITORING",403.0,403.0,,,0
CDM,30100677,HC ACTIN ANTIBODY EACH,604.0,604.0,,,0
CDM,30100678,"HC ANCA SCREEN EACH ANTIBODY,TITER",825.0,825.0,,,0
CDM,30100679,HC AQAPRN-4 ANTB FLO CYTMTRY EA,969.0,969.0,,,0
CDM,30100683,HC VOLTAGE-GTD CA CHNL ANTB EA,445.0,445.0,,,0
CDM,30100684,HC PERCUT TRANSHEPATIC PORTOGRAM W/HDM,94.0,94.0,,,0
CDM,30100687,HC HEPATIC VENOGRAPHY W/O HDM,73.0,73.0,,,0
CDM,30100688,HC VENOUS SAMPLING THRU CATH W/W/O ANGIO,287.0,287.0,,,0
CDM,30100692,HC ALCOHOL,60.0,60.0,,,0
CDM,30100693,HC DNA/RNA; MULTI ORG - AMP PR,180.0,180.0,,,0
CDM,30100694,HC BUPRENORPHINE,219.0,219.0,,,0
CDM,30100695,HC  ALKALOIDS NOS,72.0,72.0,,,0
CDM,30100696,HC CYTOPATH FL NONGYN SMEARS,15.0,15.0,,,0
CDM,30100697,HC CP CONCENTR TECH SMEAR,334.0,334.0,,,0
CDM,30100698,HC CP CONCENTR TECH SMEAR,210.0,210.0,,,0
CDM,30100700,HC CYTP DX EVAL FNA 1ST EA SITE,491.0,491.0,,,0
CDM,30100702,HC F2 GENE (40),516.0,516.0,,,0
CDM,30100703,HC F5 GENE (40),15.0,15.0,,,0
CDM,30100707,HC IMMUMOASSAY QUANT NOS NONAB (100),93.0,93.0,,,0
CDM,30100709,HC QUANTITATIVE ASSAY DRUG (85),287.0,287.0,,,0
CDM,30100710,HC RESP VIRUS 3-5 TARGETS,94.0,94.0,,,0
CDM,30100711,HC CFTR GENE COM VARIAN (300),287.0,287.0,,,0
CDM,30100712,HC CFTR DEL/DUP PART OF PANEL,94.0,94.0,,,0
CDM,30100714,HC CFTR DEL/DUP PART OF PANEL,94.0,94.0,,,0
CDM,30100715,HC CFTR GENE FULL SEQUENCE (1630),295.0,295.0,,,0
CDM,30100719,HC FANCC GENE  (70),308.0,308.0,,,0
CDM,30100720,HC STR MARKERS SPECIMEN ANAL (200),131.0,131.0,,,0
CDM,30100721,HC PTEN GENE PART OF PANEL,94.0,94.0,,,0
CDM,30100723,HC CUSTOM SWIM PLUG SINGLE,102.0,102.0,,,0
CDM,30100724,"HC INJECTION FOR CHOLANGIOGRAM, NEW ACCESS",102.0,102.0,,,0
CDM,30100726,"HC PLACEMENT BILIARY DRAINAGE CATH, EXTERNAL",73.0,73.0,,,0
CDM,30100727,"HC PLACEMENT BILIARY DRAINAGE CATH, INTERNAL-EXTERNAL",73.0,73.0,,,0
CDM,30100731,HC CONVERSION EXTERNAL BILIARY  DRAINAGE CATH,73.0,73.0,,,0
CDM,30100735,HC EXCHANGE BILIARY DRAINAGE CATH,15.0,15.0,,,0
CDM,30100736,HC REMOVAL BILIARY DRAINAGE CATH,73.0,73.0,,,0
CDM,30100738,"HC SYNTHETIC GLUCOCORTICOID SCREEN, SERUM(91)",73.0,73.0,,,0
CDM,30100740,DEAC 10/1/2025 HC INFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SAVSCOV2,15.0,15.0,,,0
CDM,30100741,HC CELL DONOR SEARCH MANAGEMENT,91.0,91.0,,,0
CDM,30100742,HC HARVEST ALLOGENEIC STEM CELL,91.0,91.0,,,0
CDM,30100747,"HC MICROSOMAL ANTIBODIES, EACH",762.0,762.0,,,0
CDM,30100748,"HC  DRUG SCREEN, INSTRUMENT SINGLE DRUG",370.0,370.0,,,0
CDM,30100752,"HC DRUG SCREEN, INSTRUMENT 5 DRUG",234.0,234.0,,,0
CDM,30100757,HC CFTR GENE COM VARIANTS (70),93.0,93.0,,,0
CDM,30100761,HC METABOLIC PANEL TOTAL CA,67.0,67.0,,,0
CDM,30100763,HC ELECTROLYTE PANEL,73.0,73.0,,,0
CDM,30100764,HC LUMEN  MECH REM OBSTR CVAD,73.0,73.0,,,0
CDM,30100766,HC DRAIN/INJ INTERMEDIATE JOINT/BURSA W/US,96.0,96.0,,,0
CDM,30100767,"HC REVSC, ENDOVSC, OPEN/PERQ, TIB/PERON ARTERY, UNI, INITIAL; W/TLA",73.0,73.0,,,0
CDM,30100768,"HC ENZYME EVAL; ALPHA GALA, EACH SPECIMEN",537.0,537.0,,,0
CDM,30100771,"HC MRI, FETAL, INCL PLACENTL MATERNL PELVIC IMG, SINGLE/1ST GESTATION",176.0,176.0,,,0
CDM,30100773,HC SARSCOV2 &INF A&B & RSV (39),16.0,16.0,,,0
CDM,30100781,"HC SUGARS; MULTIPLE QUANTITATIVE, EACH SPECIMEN",15.0,15.0,,,0
CDM,30100785,HC RESP VIRUS 12-25 TARGETS,125.0,125.0,,,0
CDM,30100786,HC RESP VIRUS 12-25 TARGETS,222.0,222.0,,,0
CDM,30100787,"HC RADIOPHARM LOCALIZE TUMOR, SPECT, W/CT 1 AREA 1 DAY IMAGE",145.0,145.0,,,0
CDM,30100788,"HC RADIOPHARM LOCAL TUMOR, SPECT, MIN 2 AREA 1 DAY IMG /1 AREA OR IMG 2+ DAYS",222.0,222.0,,,0
CDM,30100789,HC NFCT DS CHRNC HCV 6 ASSAYS (55),222.0,222.0,,,0
CDM,30100790,DEAC 7/1/25 HC SARS-COV-2 (120),349.0,349.0,,,0
CDM,30100793,HC SKIN TEST; TB ID,52.0,52.0,,,0
CDM,30100794,HC DETERGENT TX FROZEN PLASMA EA UNIT,131.0,131.0,,,0
CDM,30100795,"HC ANTI-PSYCHOTIC ,NOS 1-3 (70)",491.0,491.0,,,0
CDM,30100796,"HC ANTI-DEPRESS, NOS (60)",222.0,222.0,,,0
CDM,30100797,"HC DRUG/SUBS, DEFIN,NOS, 1-3 (95)",264.0,264.0,,,0
CDM,30100798,HC BCR/ABL MJR BP (275),94.0,94.0,,,0
CDM,30100799,HC HLA II LOW RESOLUTION ONE ANTIGEN EQUIVALENT EA,491.0,491.0,,,0
CDM,30100800,HC DRUG SCREEN QUANT AMPHETAMINES 3 OR 4,94.0,94.0,,,0
CDM,30100801,HC VON WILLEBRAND FACTOR TYPE 2N FACTOR VIII PLASMA,266.0,266.0,,,0
CDM,30100802,HC HEM VW DS VW FACTOR & COLLAGEN III BINDING ELISA,409.0,409.0,,,0
CDM,30100803,HC VON WILLEBRAND FACTOR TYPE 2B PLASMA,289.0,289.0,,,0
CDM,30100804,HC HEM VW DS VW PROPEPTIDE ELISA AG LEVEL,223.0,223.0,,,0
CDM,30100805,HC ACTIVAIR BATTERY TESTER,233.0,233.0,,,0
CDM,30100810,DEAC 10/3/2022 HC SUPER SEAL (STARTER SET),366.0,366.0,,,0
CDM,30100812,DEAC 11/01/2023 HC ADM SARSCOV2 3MCG TRS-SUCR-1ST DOSE,309.0,309.0,,,0
CDM,30100814,DEAC 11/01/2023 HC ADM SARSCOV2 3MCG TRS-SUCR-2 DOSE,362.0,362.0,,,0
CDM,30100817,HC MOD SED OTHER PHYS/QHP <5 YRS; INITL 15 MIN,503.0,503.0,,,0
CDM,30100818,HC INTR CATH DIALYS CIRCT W/TRLUML BAL ANGIOPLASTY,212.0,212.0,,,0
CDM,30100819,HC INTR CATH DIAL CIRC W/TRCATH PLC INTRVSC STENT(S),212.0,212.0,,,0
CDM,30100820,HC GENOMEXPRESS (1109),577.0,577.0,,,0
CDM,30100821,HC PROCEDURE ENDO LEVEL 1 EA ADDL 15 MINUTE,1044.0,1044.0,,,0
CDM,30100823,HC ANTI-MULLERIAN HORMONE (AMH),138.0,138.0,,,0
CDM,30100831,"HC PROGRAM DEVICE EVAL, W/ ITERATIVE ADJ, IMPLANT SUBQ LEAD DEFIB SYS",505.0,505.0,,,0
CDM,30100834,HC X-RAY EXAM SACROILIAC JOINTS <3 VIEWS,102.0,102.0,,,0
CDM,30100843,"HC AMINO ACID, MSUD PANEL, BLOOD SPOT, EACH SPECIMEN",66.32,66.32,,,0
CDM,30100844,"HC AMINO ACIDS, MSUD PANEL, PLASMA, SERUM, EACH SPECIMEN",7.0,7.0,,,0
CDM,30100845,"HC AMINO ACIDS, MSUD PANEL, PLASMA, SERUM, EACH SPECIMEN",471.0,471.0,,,0
CDM,30100846,"HC AMINO ACIDS, 6 OR MORE AMINO ACIDS, QNT, BLD SPOT, EACH SPECIMEN",236.0,236.0,,,0
CDM,30100846,"HC AMINO ACIDS, 6 OR MORE AMINO ACIDS, QNT,  SERUM, EACH SPECIMEN",365.0,365.0,,,0
CDM,30100847,"HC AMINO ACIDS, 6 OR MORE AMINO ACIDS, QNT, BLD SPOT, EACH SPECIMEN",317.0,317.0,,,0
CDM,30100847,"HC AMINO ACIDS, 6 OR MORE AMINO ACIDS, QNT, URINE, EACH SPECIMEN",442.0,442.0,,,0
CDM,30100848,"HC AMINO ACIDS, 6 OR MORE AMINO ACIDS, QNT, CSF, EACH SPECIMEN",140.0,140.0,,,0
CDM,30100848,"HC AMINO ACIDS, 6 OR MORE AMINO ACIDS, QNT, URINE, EACH SPECIMEN",218.0,218.0,,,0
CDM,30100849,"HC AMINO ACIDS, 6 OR MORE AMINO ACIDS, QNT, CSF, EACH SPECIMEN",167.0,167.0,,,0
CDM,30100849,"HC CARNITINE PLASMA SERUM, EACH SPECIMEN",233.0,233.0,,,0
CDM,30100850,"HC CARNITINE (TOTAL AND FREE), QNT, EACH SPECIMEN",37.0,37.0,,,0
CDM,30100850,"HC CARNITINE PLASMA SERUM, EACH SPECIMEN",58.0,58.0,,,0
CDM,30100851,"HC CARNITINE (TOTAL AND FREE), QNT, EACH SPECIMEN",167.0,167.0,,,0
CDM,30100851,"HC FATTY ACIDS COMPREHENSIVE, PLASMA/SERUM",233.0,233.0,,,0
CDM,30100852,"HC FATTY ACIDS COMPREHENSIVE, PLASMA/SERUM",353.0,353.0,,,0
CDM,30100852,"HC FATTY ACIDS PROFILE, ESSENTIAL, PLASMA/SERUM",253.0,253.0,,,0
CDM,30100853,"HC FATTY ACID, MITOCHONDRIAL, PLASMA/SERUM",195.0,195.0,,,0
CDM,30100853,"HC FATTY ACIDS PROFILE, ESSENTIAL, PLASMA/SERUM",126.0,126.0,,,0
CDM,30100854,"HC FATTY ACID, MITOCHONDRIAL, PLASMA/SERUM",275.0,275.0,,,0
CDM,30100854,HC VERY LONG CHAIN FATTY ACIDS,177.0,177.0,,,0
CDM,30100855,"HC ORGANIC ACIDS; TOTAL, QUANTITATIVE, EACH SPECIMEN",220.0,220.0,,,0
CDM,30100855,HC VERY LONG CHAIN FATTY ACIDS,158.0,158.0,,,0
CDM,30100856,"HC ORGANIC ACID, SINGLE, QUANTITATIVE, PLASMA/SERUM",150.0,150.0,,,0
CDM,30100856,"HC ORGANIC ACIDS; TOTAL, QUANTITATIVE, EACH SPECIMEN",209.0,209.0,,,0
CDM,30100857,"HC ORGANIC ACID, SINGLE, QUANTITATIVE, PLASMA/SERUM",257.0,257.0,,,0
CDM,30100857,"HC ORGANIC ACID, SINGLE, QUANTITATIVE, URINE",317.0,317.0,,,0
CDM,30100858,"HC ORGANIC ACID, SINGLE, QUANTITATIVE, URINE",374.0,374.0,,,0
CDM,30100858,"HC PHENYLALANINE (PKU), BLOOD",241.0,241.0,,,0
CDM,30100859,"HC PHENYLALANINE (PKU), BLOOD",275.0,275.0,,,0
CDM,30100859,HC TYROSINE,426.0,426.0,,,0
CDM,30100860,HC RBC AG DNA GT 10 BLD GRPS W/PHEN PREDICT 37 RBC AG,95.0,95.0,,,0
CDM,30100860,HC TYROSINE,147.0,147.0,,,0
CDM,30100861,HC AIRWAY RESISTANCE BY OSCILLOMETRY,135.0,135.0,,,0
CDM,30100861,HC RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,210.0,210.0,,,0
CDM,30100862,HC PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED,62.0,62.0,,,0
CDM,30100862,HC PERQ PRCRD DRAIN 6YR+ W/O CONGENITAL CARD ANOMALY,40.0,40.0,,,0
CDM,30100863,HC HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT,119.0,119.0,,,0
CDM,30100863,HC PERQ PRCRD DRAIN 0-5YR/ANY AGE W/CGEN CARD ANOMALY,77.0,77.0,,,0
CDM,30160001,HC MANGANESE SUPEROXIDE DISMUTASE,227.0,227.0,,,0
CDM,30160002,"HC REG-3-ALPHA BIOMARKER,QNT VCOR",287.0,287.0,,,0
CDM,30160003,"HC ELAFIN, SERUM, QNT VCOR",287.0,287.0,,,0
CDM,30160004,HC COLLAGEN BINDING FACTOR,287.0,287.0,,,0
CDM,30160005,HC VW PROPEPTIDE AG,287.0,287.0,,,0
CDM,30160006,HC THROMBIN-ANTITHROMBIN COMPLEX,279.0,279.0,,,0
CDM,30160007,"HC IMMUNOASSAY,QNT,TLRF",234.0,234.0,,,0
CDM,30160008,HC IGE AB (IGE: IGG AB),185.0,185.0,,,0
CDM,30160009,"HC INTERLEUKIN-6,HIGHLY SENSITIVE",56.0,56.0,,,0
CDM,30160011,HC FIBROBLAST GROWTH FACTOR-23,500.0,500.0,,,0
CDM,30160012,HC THROMBOPOIETIN (TPO),1735.0,1735.0,,,0
CDM,30160013,"HC INTERLEUKIN-10 (IL10), SERUM",2816.0,2816.0,,,0
CDM,30160014,"HC TRYPTASE, SERUM",1843.0,1843.0,,,0
CDM,30160015,"HC CYTOKINE,GM-CSF",2662.0,2662.0,,,0
CDM,30160016,"HC CYTOKINE,INTERLEUKIN-2 (IL-2)",433.0,433.0,,,0
CDM,30160017,"HC CYTOKINE,INTERLEUKIN-4 (IL-4)",3713.0,3713.0,,,0
CDM,30160018,"HC CYTOKINE,INTERLEUKIN-8 (IL-8)",39.0,39.0,,,0
CDM,30160019,"HC CYTOKINE,INTERLEUKIN-10(IL-10)",196.0,196.0,,,0
CDM,30160020,"HC CYTOKINE,IFN-Y",113.0,113.0,,,0
CDM,30160021,"HC CYTOKINE,TNF-ALPHA",291.0,291.0,,,0
CDM,30160022,"HC GANGLIOSIDE GM-1 AB,IGG",401.0,401.0,,,0
CDM,30160023,"HC GANGLIOSIDE GM-1 AB,IGM",500.0,500.0,,,0
CDM,30160024,"HC GANGLIOSIDE ASIALO-GM-1 AB,IGG",760.0,760.0,,,0
CDM,30160025,"HC GANGLIOSIDE ASIALO-GM-1 AB,IGM",393.0,393.0,,,0
CDM,30160026,"HC HEPCIDIN IDX ASSAY, SERUM",262.0,262.0,,,0
CDM,30160027,"HC LACTOFERRIN,QNT,STOOL",288.0,288.0,,,0
CDM,30160028,"HC ORGANIC ACID SCREEN, URINE",1099.0,1099.0,,,0
CDM,30160029,"HC ORGANIC ACID SCREEN, URINE",449.0,449.0,,,0
CDM,30160030,HC PIVKA-2 (AKA DCP),349.0,349.0,,,0
CDM,30160031,"HC RBC ENZYME, GLU-PHOS-ISO  MAYO",349.0,349.0,,,0
CDM,30160032,"HC RBC ENZYME, PY KINASE     MAYO",349.0,349.0,,,0
CDM,30160033,"HC PYRUVATE KINASE, RBCS   MAYO",349.0,349.0,,,0
CDM,30160034,"HC REDUCING SUBSTANCES, FECAL",349.0,349.0,,,0
CDM,30160035,"HC TESTOSTERONE,BIOAVAILABLE",349.0,349.0,,,0
CDM,30160036,HC CBG(CORTICOSTER BIND GLOB) NIC,349.0,349.0,,,0
CDM,30160037,HC THYROID UPTAKE (T4 UPTAKE),349.0,349.0,,,0
CDM,30160038,"HC TYROSINE,FILTER CARD",349.0,349.0,,,0
CDM,30160039,"HC TYROSINE,FILTER CARD",711.0,711.0,,,0
CDM,30160040,HC INTRACELLULAR CYSTINE   UCA@SD,711.0,711.0,,,0
CDM,30160041,HC CHITOTRIOSIDASE ASSAY  GENZYME,591.0,591.0,,,0
CDM,30160042,"HC POTASSIUM,BODY FLUID",591.0,591.0,,,0
CDM,30160043,HC ASPERGILLUS IGG SPECIFIC AB,349.0,349.0,,,0
CDM,30160044,HC HISTAMINE RELEASE,349.0,349.0,,,0
CDM,30160045,HC HISTAMINE RELEASE(C.URTICARIA),349.0,349.0,,,0
CDM,30160046,HC RHEUMATOID FACTOR,349.0,349.0,,,0
CDM,30160047,HC HTLV 1 & 2 AB              SLI,449.0,449.0,,,0
CDM,30160048,HC HERPES SIMPLEX AB IGM 1/2,349.0,349.0,,,0
CDM,30160049,HC T. CRUZI (CONFIRMATION),349.0,349.0,,,0
CDM,30160050,HC STOOL/ROTOVIRUS,349.0,349.0,,,0
CDM,30160051,"HC CROSSMATCH,FINAL(DONOR/REC)",349.0,349.0,,,0
CDM,30160052,HC SERUM STORAGE,349.0,349.0,,,0
CDM,30160053,"HC PT, PLASMA FRACTION #2",349.0,349.0,,,0
CDM,30160054,HC PTT (1:1 DILUTION),349.0,349.0,,,0
CDM,30160055,"HC PTT, PLASMA FRACTION #2",349.0,349.0,,,0
CDM,30160056,HC ADAMTS-13 ANTIBODY BCW,349.0,349.0,,,0
CDM,30160057,"HC PERIPHERAL SMEAR,MORPHOLOGY",349.0,349.0,,,0
CDM,30160058,HC PT (1:1 DILUTION),349.0,349.0,,,0
CDM,30160059,"HC CULTURE STOOL/RECTAL, EACH",349.0,349.0,,,0
CDM,30160060,"HC MYCOBACTERIUM ID,ADD,MOLECULAR",349.0,349.0,,,0
CDM,30160061,"HC PAM,WET-PREP IDENT,CSF",349.0,349.0,,,0
CDM,30160062,HC CLOSTRIDIUM DIFFICILE TOXIN/ST,376.0,376.0,,,0
CDM,30160063,HC CHLAMYDIA DETECTION DFA  QUEST,304.0,304.0,,,0
CDM,30160064,DEAC 1/1/2025 HC C.DIFFICILE TOXIN A/B ASSAY,363.0,363.0,,,0
CDM,30160064,"HC RSV, RAPID TEST ONLY",170.0,170.0,,,0
CDM,30160065,HC B-D-GLUCANS(FUNGITELL) VIRACOR,796.0,796.0,,,0
CDM,30160066,"HC BARTONELLA, DNA PROBE  UWASH",431.0,431.0,,,0
CDM,30160067,HC BARTONELLA HENSELAE/PCR/TISSUE,476.0,476.0,,,0
CDM,30160068,"HC BARTONELLA HENSELEA,BLOOD PCR",476.0,476.0,,,0
CDM,30160069,"HC BARTONELLA QUINTANA, BLOOD PCR",136.0,136.0,,,0
CDM,30160070,HC MENINIGITIS-ENCEPH CSF BY PCR,350.0,350.0,,,0
CDM,30160071,HC GARDNERELLA VAGINALIS,189.0,189.0,,,0
CDM,30160072,"HC MYCOBACTERIUM SP,DNA PROBE",133.0,133.0,,,0
CDM,30160073,"HC M.AVIUM,INTRACELL DNA PROBETGH",188.0,188.0,,,0
CDM,30160073,HC WEST NILE VIRUS (NAT),47.0,47.0,,,0
CDM,30160074,"HC RALTEGRAVIR RESISITANCE, HIV-1",2488.0,2488.0,,,0
CDM,30160075,HC CMV ANTIVIRAL RESISTANCE SEQ,1534.0,1534.0,,,0
CDM,30160076,DEAC 1/1/2022 HC RBC ENZYME PATH INTERP    MAYO,29.0,29.0,,,0
CDM,30160077,HC MANUAL CELL COUNT EACH,1896.0,1896.0,,,0
CDM,30160078,HC RETICYTE/HGB CONCENTRATE,2229.0,2229.0,,,0
CDM,30160079,HC EUGLOBULIN LYSIS,407.0,407.0,,,0
CDM,30160080,HC NERVE TEASING PREP,168.0,168.0,,,0
CDM,30160081,HC HUGGIE AIDS - PAIR,234.0,234.0,,,0
CDM,30200000,HC SALICYLATE,161.0,161.0,,,0
CDM,30200001,HC CARBAMAZEPINE; TOTAL,923.0,923.0,,,0
CDM,30200003,HC LITHIUM,81.0,81.0,,,0
CDM,30200004,HC ALUMINUM ASSAY,142.0,142.0,,,0
CDM,30200005,HC AMINO ACIDS; SGL QUAN EA,203.0,203.0,,,0
CDM,30200006,HC DELTA ALA,508.0,508.0,,,0
CDM,30200007,HC AMINO ACIDS 6/>  QUAN EA,69.0,69.0,,,0
CDM,30200007,HC AMMONIA,122.0,122.0,,,0
CDM,30200008,HC AMYLASE,316.0,316.0,,,0
CDM,30200009,HC ARSENIC,543.0,543.0,,,0
CDM,30200010,HC ASCORBIC ACID BLOOD,98.0,98.0,,,0
CDM,30200011,HC BARBITURATES,338.0,338.0,,,0
CDM,30200012,HC BETA-2 MICROGLOBULIN,101.0,101.0,,,0
CDM,30200013,HC TOTAL BILIRUBIN,384.0,384.0,,,0
CDM,30200014,HC VITAMIN D 25 HYDROXY,342.0,342.0,,,0
CDM,30200016,HC CHLORIDE; URINE,155.0,155.0,,,0
CDM,30200017,HC CHLORIDE; OTHER,372.0,372.0,,,0
CDM,30200018,HC SERUM/WB TOT CHOLEST,180.0,180.0,,,0
CDM,30200019,HC CORTISOL; FREE,427.0,427.0,,,0
CDM,30200020,HC DHEA,93.0,93.0,,,0
CDM,30200021,HC DEOXYCORTISOL 11,91.0,91.0,,,0
CDM,30200022,HC PANCREATIC ELASTASE FECAL,564.0,564.0,,,0
CDM,30200023,"HC ENZYME ACTIVITY BC; NOT RA, EACH SPECIMEN",372.0,372.0,,,0
CDM,30200024,HC ERYTHROPOIETIN,739.0,739.0,,,0
CDM,30200026,HC ESTRONE,273.0,273.0,,,0
CDM,30200027,HC FAT/LIPIDS FECES; QUAL,148.0,148.0,,,0
CDM,30200028,HC FATTY ACIDS NONESTERIFIED,329.0,329.0,,,0
CDM,30200029,HC VERY LONG FATTY ACID CHAINS,151.0,151.0,,,0
CDM,30200030,HC FERRITIN,114.0,114.0,,,0
CDM,30200031,HC FOLIC ACID; RBC,123.0,123.0,,,0
CDM,30200032,HC IGG 1 2 3 OR 4 EACH,774.0,774.0,,,0
CDM,30200033,HC BLOOD GAS MIXED WO O2 SAT,685.0,685.0,,,0
CDM,30200034,HC GLUCOSE; POST GLUCOSE DOSE,372.0,372.0,,,0
CDM,30200035,HC GLUCOSE TOLERANCE TEST (GTT) 3 SPECM,69.0,69.0,,,0
CDM,30200036,HC GONADOTROPIN; LUTEINIZING HORMONE,292.0,292.0,,,0
CDM,30200037,HC HAPTOGLOBIN; QUAN,262.0,262.0,,,0
CDM,30200038,HC HYDROXYPROGESTERONE 17-D,656.0,656.0,,,0
CDM,30200039,HC RIA NONANTIBODY,267.0,267.0,,,0
CDM,30200041,HC IMMUNOASSAY QUANT NOS NONAB (25),520.0,520.0,,,0
CDM,30200042,HC ASSAY OF LIPOPROTEIN(A),203.0,203.0,,,0
CDM,30200043,HC MYELIN BASIC PROTEIN CSF,342.0,342.0,,,0
CDM,30200044,HC NATRIURETIC PEPTIDE,337.0,337.0,,,0
CDM,30200046,HC OLIGOCLONAL BANDS,347.0,347.0,,,0
CDM,30200047,HC OPIATES 1 OR MORE,299.0,299.0,,,0
CDM,30200049,"HC ANTIPSYCHOTIC, NOS 1-3",446.0,446.0,,,0
CDM,30200050,HC PHENYLALANINE BLOOD,251.0,251.0,,,0
CDM,30200051,HC ASSAY OF SERUM POTASSIUM,315.0,315.0,,,0
CDM,30200052,HC PREGNENOLONE,102.0,102.0,,,0
CDM,30200053,HC 17-HYDROXYPREGNENOLONE,330.0,330.0,,,0
CDM,30200054,HC PSA; FREE,298.0,298.0,,,0
CDM,30200055,HC ASSAY OF PROTEIN SERUM,422.0,422.0,,,0
CDM,30200056,HC RENIN,128.0,128.0,,,0
CDM,30200057,HC ASSAY OF RIBOFLAVIN (VITAMIN B-2),260.0,260.0,,,0
CDM,30200058,HC SELENIUM,262.0,262.0,,,0
CDM,30200059,HC SEROTONIN,244.0,244.0,,,0
CDM,30200060,HC SEX HORMONE BINDING GLOBULIN,480.0,480.0,,,0
CDM,30200061,HC SOMATOMEDIN,311.0,311.0,,,0
CDM,30200062,HC SPECTROPHOTOMETRY ANALYTE NES,150.0,150.0,,,0
CDM,30200063,HC THYROXINE BINDING GLOBULIN,149.0,149.0,,,0
CDM,30200064,HC T3; TOTAL,254.0,254.0,,,0
CDM,30200065,HC URIC ACID; BLOOD,222.0,222.0,,,0
CDM,30200066,HC VOLATILES,418.0,418.0,,,0
CDM,30200067,HC XYLOSE ABSORPTION BLOOD &/OR URINE,399.0,399.0,,,0
CDM,30200068,HC ZINC,232.0,232.0,,,0
CDM,30200069,HC NONAUTO ERYTHROCYTE SED RATE,446.0,446.0,,,0
CDM,30200070,HC ANTINUCLEAR AB (ANA);,108.0,108.0,,,0
CDM,30200073,HC C-REACTIVE PROTEIN HS,354.0,354.0,,,0
CDM,30200074,HC CARDIOLIPIN AB EA IG CLASS,189.0,189.0,,,0
CDM,30200075,HC COLD AGGLUTININ; SCREEN,132.0,132.0,,,0
CDM,30200076,HC COLD AGGLUTININ; TITER,87.0,87.0,,,0
CDM,30200077,HC COMPLEMENT; AG EA,107.0,107.0,,,0
CDM,30200078,HC COMPLEMENT; FCN ACTIVITY EA,136.0,136.0,,,0
CDM,30200079,HC COMPLEMENT; TOT HEMOLYTIC (CH50),238.0,238.0,,,0
CDM,30200080,HC DNA AB; NATIVE OR DS,54.0,54.0,,,0
CDM,30200081,HC ENA ANY METHOD,54.0,54.0,,,0
CDM,30200082,HC FLUORESCENT AB; SCRN EA AB,199.0,199.0,,,0
CDM,30200083,HC FLUORESCENT AB; TITER EA AB,104.0,104.0,,,0
CDM,30200084,HC IA QUANT; CA 19-9,185.0,185.0,,,0
CDM,30200085,HC IA QUANT; CA 125,169.0,169.0,,,0
CDM,30200086,HC QUAL HETEROPHILE AB,165.0,165.0,,,0
CDM,30200087,HC IA; OTHER TUMOR AG QUAN EA,233.0,233.0,,,0
CDM,30200088,HC IA INFECTIOUS AGENT AB QUAN,152.0,152.0,,,0
CDM,30200089,HC ID; GEL QUAL; EA AB/AG,144.0,144.0,,,0
CDM,30200090,HC IMMUNE COMPLEX ASSAY;,166.0,166.0,,,0
CDM,30200091,HC SERUM IMMUNOFIXATION ELECTROPHORES,104.0,104.0,,,0
CDM,30200092,HC IMMUNFIX E-PHORSIS/URINE/CSF,193.0,193.0,,,0
CDM,30200093,HC INHIBIN A,138.0,138.0,,,0
CDM,30200095,HC INTRINSIC FACTOR  AB,326.0,326.0,,,0
CDM,30200096,HC ISLET CELL AB,282.0,282.0,,,0
CDM,30200097,HC CELL FUNCTION ASSAY W/STIM,469.0,469.0,,,0
CDM,30200098,HC B CELLS TOTAL COUNT,274.0,274.0,,,0
CDM,30200099,HC MONONUCLEAR CELL ANTIGEN,166.0,166.0,,,0
CDM,30200100,HC NK CELLS TOTAL COUNT,240.0,240.0,,,0
CDM,30200101,HC T CELLS; TOTAL COUNT,827.0,827.0,,,0
CDM,30200102,HC MICROSOMAL AB EACH,55.0,55.0,,,0
CDM,30200103,HC PA; TITER EA AB,265.0,265.0,,,0
CDM,30200104,HC QUAL RHEUM FACTOR,117.0,117.0,,,0
CDM,30200105,HC TB TEST CELL IMMUN MEASURE,302.0,302.0,,,0
CDM,30200106,HC SYPHILIS TEST NON-TREP QUAL,213.0,213.0,,,0
CDM,30200107,HC SYPHILIS TEST NON-TREP QUANT,161.0,161.0,,,0
CDM,30200108,HC AB; ADENOVIRUS,185.0,185.0,,,0
CDM,30200109,HC AB; ASPERGILLUS,91.0,91.0,,,0
CDM,30200110,HC AB; BARTONELLA,319.0,319.0,,,0
CDM,30200111,HC AB; BLASTOMYCES,96.0,96.0,,,0
CDM,30200112,HC AB; BORDETELLA,61.0,61.0,,,0
CDM,30200113,HC AB; LYME'S (WB) CONFIRM,42.0,42.0,,,0
CDM,30200114,HC AB; LYME'S DISEASE,185.0,185.0,,,0
CDM,30200116,HC AB; BRUCELLA,42.0,42.0,,,0
CDM,30200117,HC AB; CANDIDA,42.0,42.0,,,0
CDM,30200118,HC AB; CHLAMYDIA,185.0,185.0,,,0
CDM,30200119,HC AB; CHLAMYDIA IGM,219.0,219.0,,,0
CDM,30200120,HC AB; COCCIDIOIDES,55.0,55.0,,,0
CDM,30200121,HC AB; CMV,104.0,104.0,,,0
CDM,30200122,HC AB; CMV  IGM,95.0,95.0,,,0
CDM,30200123,HC AB; DIPHTHERIA,165.0,165.0,,,0
CDM,30200124,HC AB; ENCEPHALITIS CALIF,179.0,179.0,,,0
CDM,30200125,HC AB; ENCEPHALITIS E EQUINE,128.0,128.0,,,0
CDM,30200127,HC AB; ENCEPHALITIS ST. LOUIS,245.0,245.0,,,0
CDM,30200128,HC AB; ENCEPHALITIS W EQUINE,274.0,274.0,,,0
CDM,30200129,HC AB; ENTEROVIRUS,169.0,169.0,,,0
CDM,30200130,HC AB; EPSTEIN BARR VCA,128.0,128.0,,,0
CDM,30200131,HC AB; ERLICHIA,153.0,153.0,,,0
CDM,30200132,HC AB; HELICOBACTER PYLORI,153.0,153.0,,,0
CDM,30200133,HC AB; HELMINTH NES,128.0,128.0,,,0
CDM,30200134,HC AB; HEMOPHILUS INFLUENZA,125.0,125.0,,,0
CDM,30200135,HC AB; HTLV OR HIV WB,199.0,199.0,,,0
CDM,30200136,HC AB; HEPATITIS D,51.0,51.0,,,0
CDM,30200138,HC AB; HSV 1,149.0,149.0,,,0
CDM,30200139,HC AB; HSV TYPE 2,169.0,169.0,,,0
CDM,30200142,HC AB; HIV-2,287.0,287.0,,,0
CDM,30200143,HC AB; HBCAB - TOTAL,56.0,56.0,,,0
CDM,30200144,HC AB: HBCAB -  IGM AB,131.0,131.0,,,0
CDM,30200145,HC AB: HBSAB,98.0,98.0,,,0
CDM,30200146,HC AB; HBEAB,107.0,107.0,,,0
CDM,30200147,HC AB: HAAB - IGM,199.0,199.0,,,0
CDM,30200148,HC AB; INFLUENZA VIRUS,146.0,146.0,,,0
CDM,30200149,HC AB; LEISHMANIA,177.0,177.0,,,0
CDM,30200150,HC AB; LEPTOSPIRA,125.0,125.0,,,0
CDM,30200151,HC AB; LCM,139.0,139.0,,,0
CDM,30200152,HC AB; MUMPS,136.0,136.0,,,0
CDM,30200153,HC AB; MYCOPLASMA,192.0,192.0,,,0
CDM,30200155,HC AB; NEISSERIA MENINGITIDIS,40.0,40.0,,,0
CDM,30200156,HC AB; PARVOVIRUS,153.0,153.0,,,0
CDM,30200157,HC TRYPANOSOMA CRUZI IGG,42.0,42.0,,,0
CDM,30200158,HC AB; RICKETTSIA,138.0,138.0,,,0
CDM,30200159,HC AB; RUBELLA,146.0,146.0,,,0
CDM,30200160,HC AB; RUBEOLA,43.0,43.0,,,0
CDM,30200161,HC AB; SALMONELLA,183.0,183.0,,,0
CDM,30200163,HC AB; TETANUS,177.0,177.0,,,0
CDM,30200166,HC AB; TOXOPLASMA,90.0,90.0,,,0
CDM,30200167,HC AB; TOXOPLASMA IGM,162.0,162.0,,,0
CDM,30200168,HC TREPONEMA PALLIDUM,158.0,158.0,,,0
CDM,30200169,HC AB; TRICHINELLA,43.0,43.0,,,0
CDM,30200170,HC AB; VARICELLA-ZOSTER,144.0,144.0,,,0
CDM,30200171,HC WEST NILE VIRUS AB IGM,213.0,213.0,,,0
CDM,30200172,HC WEST NILE VIRUS ANTIBODY,209.0,209.0,,,0
CDM,30200173,"HC DENGUE FEVER ANTIBODY, IGG",121.0,121.0,,,0
CDM,30200174,HC HEPATITIS E ANTIBODY IGG,41.0,41.0,,,0
CDM,30200175,HC HEPATITIS E ANTIBODY IGM,190.0,190.0,,,0
CDM,30200176,"HC HERPES 8 IGG AB, IFA",107.0,107.0,,,0
CDM,30200177,HC AB: THYROGLOBULIN,92.0,92.0,,,0
CDM,30200178,HC HEPATITIS C AB,156.0,156.0,,,0
CDM,30200179,HC HEPATITIS C CONFIRMATION,42.0,42.0,,,0
CDM,30200180,HC LYMPHOCYTOTOX VC;  W TITRATE,42.0,42.0,,,0
CDM,30200183,HC HLA TYPE; A B C SGL AG,42.0,42.0,,,0
CDM,30200186,HC HLA X-MATCH NON-CYTOTOXIC,175.0,175.0,,,0
CDM,30200187,HC RBC AB SCRN EA TECHIQ,215.0,215.0,,,0
CDM,30200188,HC RBC AB ELUTION EA,281.0,281.0,,,0
CDM,30200189,HC COOMBS; DIRECT,85.0,85.0,,,0
CDM,30200191,HC BLD TYPE; RBC AG NOT ABO/RHD,495.0,495.0,,,0
CDM,30200192,HC SPLIT BLD PRODUCT EA UNIT,418.0,418.0,,,0
CDM,30200196,HC LEGIONELLA AMPLIF NA PROBE,425.0,425.0,,,0
CDM,30200198,HC NEISSERIA AMPLIF NA PROBE,612.0,612.0,,,0
CDM,30200199,"HC  IHC ADD SINGLE AB STN,EACH",143.5,143.5,,,0
CDM,30200258,HC AB; FRANCISELLA TULARENSIS,92.0,92.0,,,0
CDM,30200260,HC HIV-1/HIV-2 SINGLE RESULT,47.0,47.0,,,0
CDM,30200261,HC FIBRIN DEGRADATION PRODUCTS,146.0,146.0,,,0
CDM,30200262,"HC HEAT HF NASAL CANNULA, PER DAY",173.0,173.0,,,0
CDM,30200263,"HC INHALED NITRIC OXIDE THERAPY, PER DAY",507.0,507.0,,,0
CDM,30200265,HC CRYPTOSPOR AG BY IFA,177.0,177.0,,,0
CDM,30200266,HC CLOSTRIDIUM AG EIA,179.0,179.0,,,0
CDM,30200268,HC MCOLN1 GENE,103.0,103.0,,,0
CDM,30200275,HC FLECAINIDE,255.0,255.0,,,0
CDM,30200280,HC ITRACONAZOLE,145.0,145.0,,,0
CDM,30200286,HC LEFLUNOMIDE,682.0,682.0,,,0
CDM,30200289,HC TRANSCATHETER THERAPY EMBOLIZATION,174.0,174.0,,,0
CDM,30200290,"HC ANGIO F/U TRANSCATH TX, EMBOLIZ/INFUSION",177.0,177.0,,,0
CDM,30200292,HC EXTENDED WARRANTY FROM FACTORY,156.0,156.0,,,0
CDM,30200300,HC DUPLEX UE ART/BPG; BILAT,156.0,156.0,,,0
CDM,30200302,HC IMMUMOASSAY QUANT NOS NONAB (50),156.0,156.0,,,0
CDM,30200304,HC GJB2 GENE FULL SEQUENCE (470),177.0,177.0,,,0
CDM,30200305,"HC ANTIBODY; ZIKA VIRUS, IGM",61.0,61.0,,,0
CDM,30200306,HC RENAL BIOPSY PERCUTANEOUS,40.0,40.0,,,0
CDM,30200307,"HC HA DIGITAL, ADVANCED, BINAURAL CIC",116.0,116.0,,,0
CDM,30200308,DEAC 11/01/2023 HC ADM SARSCOV2 25MCG/0.25ML 1ST DOSE,211.0,211.0,,,0
CDM,30200309,DEAC 11/01/2023 HC ADM SARSCOV2 25MCG/0.25ML 2ND DOSE,257.0,257.0,,,0
CDM,30200311,DEAC 11/01/2023 HC ADM SARSCOV2 3MCG TRS-SUCR-3 DOSE,235.0,235.0,,,0
CDM,30200312,HC IADNA CNS PTHGN NEXT GEN SEQ(780),215.0,215.0,,,0
CDM,30200313,"HC INFECTIOUS AGENT DETECTION BY NUCLEIC ACID; ORTHOPOXVIRUS, AMPLIFIED PROBE TECHNIQUE, EA",40.0,40.0,,,0
CDM,30200314,DEAC 11/01/2023 HC ADM SARSCOV2 50 MCG/0.5 ML 1ST DOSE 6-11,196.0,196.0,,,0
CDM,30200315,DEAC 11/01/2023 HC ADM SARSCOV2 50 MCG/0.5 ML 2ND DOSE 6-11,235.0,235.0,,,0
CDM,30200316,HC AIR BLOWER,165.0,165.0,,,0
CDM,30200317,HC EAR BANDITS,257.0,257.0,,,0
CDM,30200318,HC OTOEASE BOTTLE,235.0,235.0,,,0
CDM,30200320,HC CRITTER CLIPS,210.0,210.0,,,0
CDM,30200322,HC FMR1 GENE ANALYSIS; CHARACTERIZATION OF ALLELES,245.0,245.0,,,0
CDM,30200323,HC MOD SEDATION SAME PHYS/QHP 5/>YRS; INITL 15 MIN,514.0,514.0,,,0
CDM,30200324,"HC DXA BONE DENSITY STDY, 1+ SITES; AXIAL SKEL, INCL VERTEB FRACTURE ASSESS",34.0,34.0,,,0
CDM,30200325,HC PROCEDURE ENDO LEVEL 2 EA ADDL 15 MINUTE,258.0,258.0,,,0
CDM,30200326,HC FLUORESCENT NONINFECT AB; SCRN EA AB,840.0,840.0,,,0
CDM,30200333,HC ACETYLCHOLINE RECEPTOR (ACHR); BINDING ANTIBODY,65.0,65.0,,,0
CDM,30200334,HC ACETYLCHOLINE RECEPTOR (ACHR); BLOCKING ANTIBODY,208.0,208.0,,,0
CDM,30200335,HC ACETYLCHOLINE RECEPTOR (ACHR); MODULATING ANTIBODY,208.0,208.0,,,0
CDM,30200336,HC MUSCLE-SPECIFIC KINASE (MUSK) ANTIBODY,1088.0,1088.0,,,0
CDM,30200341,"HC RADIOLOGIC EXAM, SPINE, LUMBOSACRAL; BENDING VIEWS ONLY, 2 OR 3 VIEWS",123.0,123.0,,,0
CDM,30200342,HC MRA PELVIS,153.0,153.0,,,0
CDM,30200343,HC X-RAY EXAM OF FOOT; 2 VIEWS,198.0,198.0,,,0
CDM,30200344,"HC HEARING AID, MONAURAL,BEHIND THE EAR (BTE)",104.0,104.0,,,0
CDM,30200346,HC PROLACTIN,100.0,100.0,,,0
CDM,30260001,DEAC 1/1/2022 HC PATH INTERP PERF GRANZ-B   CCH,41.0,41.0,,,0
CDM,30260002,"DEAC 1/1/2022 HC PATH INTERP, HB CASCADE   MAYO",133.0,133.0,,,0
CDM,30260003,DEAC 1/1/2022 HC PATH INTERPRETATION,133.0,133.0,,,0
CDM,30260004,HC DUCHENNE/DMD MUSCULAR DYSTROPH,85.0,85.0,,,0
CDM,30260005,HC ANDROGEN INSENSITIVITY SYNDROM,118.0,118.0,,,0
CDM,30260006,HC CFTR FULL GENE SEQUENCE,148.0,148.0,,,0
CDM,30260007,HC CFTR FULL GENE SEQUENCE,177.0,177.0,,,0
CDM,30260008,"HC CFTR GENE SEQ,PANCREATITIS",245.0,245.0,,,0
CDM,30260009,"HC CYSTIC FIBROSIS,INTRON-8,POLYT",1347.0,1347.0,,,0
CDM,30260010,"HC CYSTIC FIBROSIS,INTRON-8,POLYT",73.0,73.0,,,0
CDM,30260011,HC EVALUATION OF SPEECH FLUENCY,156.0,156.0,,,0
CDM,30260013,HC RESP VIRUS 6-11 TARGETS,156.0,156.0,,,0
CDM,30260014,HC INTR CATH DIAL CIRC W/INTRAPROC PHARM THRMB INJ,319.0,319.0,,,0
CDM,30500000,HC METHOTREXATE,222.0,222.0,,,0
CDM,30500001,HC CALCIUM; TOTAL,69.0,69.0,,,0
CDM,30500002,HC HEAVY METAL; QUAN,407.0,407.0,,,0
CDM,30500003,HC HGB FRACT & QUAN; EP,362.0,362.0,,,0
CDM,30500004,HC HISTAMINE,162.0,162.0,,,0
CDM,30500005,HC PROSTATIC ACID PHOSPHATASE,82.0,82.0,,,0
CDM,30500006,HC URINE TOTAL PROTEIN,401.0,401.0,,,0
CDM,30500007,HC COMPL CBC  W PLT W AUTOM DIFF,40.0,40.0,,,0
CDM,30500009,HC AUTOMATED RETICULOCYTE COUNT,86.0,86.0,,,0
CDM,30500012,HC AUTOMATED WBC,62.0,62.0,,,0
CDM,30500013,HC AUTOMATED PLATELET COUNT,62.0,62.0,,,0
CDM,30500014,HC RETICULATED PLATELET ASSAY,320.0,320.0,,,0
CDM,30500015,HC BM SMR INTERP,300.0,300.0,,,0
CDM,30500016,HC CHROMOGENIC SUBSTRATE ASSAY,91.0,91.0,,,0
CDM,30500017,"HC INFEC AGENT DET,GI  6-11 TARGETS",49.0,49.0,,,0
CDM,30500018,HC CLOTTING; FACTOR II PROTHROMBIN SPECIF,58.0,58.0,,,0
CDM,30500019,HC CLOTTING; FACTOR V,152.0,152.0,,,0
CDM,30500020,"HC INFEC AGENT DET,GI  12-25 TARGETS",1733.0,1733.0,,,0
CDM,30500021,"HC INFEC AGENT DET,GI  12-25 TARGETS",234.0,234.0,,,0
CDM,30500022,HC BLOOD CLOT FACTOR VIII TEST,115.0,115.0,,,0
CDM,30500023,HC CLOTTING; FACTOR VIII RISTOCETIN COFACT,381.0,381.0,,,0
CDM,30500024,HC CLOTTING; FACTOR IX,392.0,392.0,,,0
CDM,30500025,HC CLOTTING; FACTOR X,430.0,430.0,,,0
CDM,30500026,HC CLOTTING; FACTOR XI,110.0,110.0,,,0
CDM,30500027,HC CLOTTING; FACTOR XII,516.0,516.0,,,0
CDM,30500028,HC CLOTTING; FACTOR XIII SCREEN SOLUBLE,376.0,376.0,,,0
CDM,30500029,HC ANTITHROMBIN III ACTIVITY ASSAY,456.0,456.0,,,0
CDM,30500030,HC ANTITHROMBIN III ANTIGEN ASSAY,354.0,354.0,,,0
CDM,30500031,HC CLOTTING INHIBITOR; PROTEIN C AG,376.0,376.0,,,0
CDM,30500032,HC CLOTTING INHIBITOR; PROTEIN C ACTIVITY,421.0,421.0,,,0
CDM,30500033,HC CLOTTING INHIBITOR; PROTEIN S TOTAL,306.0,306.0,,,0
CDM,30500035,HC CLOTTING INHIBITOR PROTEIN S FREE,153.0,153.0,,,0
CDM,30500036,HC ACTIVATED PROTEIN C RESISTANCE,47.0,47.0,,,0
CDM,30500037,HC FACTOR INHIBITOR TEST,221.0,221.0,,,0
CDM,30500038,HC D-DIMER - QUAN,335.0,335.0,,,0
CDM,30500039,HC FIBRINOGEN; ACTIVITY,239.0,239.0,,,0
CDM,30500040,HC FIBRINOGEN; ANTIGEN,316.0,316.0,,,0
CDM,30500041,HC FIBRINOLYSINS OR COAG SCREEN,92.0,92.0,,,0
CDM,30500042,HC CLOTTING FUNCT ACTIVITY,383.0,383.0,,,0
CDM,30500043,HC ALPHA-2-ANTIPLASMIN,268.0,268.0,,,0
CDM,30500044,HC PLASMINOGEN ACTIVATOR,206.0,206.0,,,0
CDM,30500045,HC FUNCTIONAL PLASMINOGEN,184.0,184.0,,,0
CDM,30500046,HC PLASMINOGEN ANTIGEN LEVEL,94.0,94.0,,,0
CDM,30500047,HC K-B STAIN FOR FETAL HGB,379.0,379.0,,,0
CDM,30500048,HC HEPARIN ASSAY,180.0,180.0,,,0
CDM,30500049,HC HEPARIN NEUTRALIZATION,246.0,246.0,,,0
CDM,30500050,HC MURAMIDASE,130.0,130.0,,,0
CDM,30500051,HC PLT AGGREGATION (IN VITRO) EA AGENT,44.0,44.0,,,0
CDM,30500053,HC PROTHROMBIN TIME;,42.0,42.0,,,0
CDM,30500055,HC RUSSELL VIPER VENOM TIME; DILUTED,255.0,255.0,,,0
CDM,30500056,HC REPTILASE TEST,177.0,177.0,,,0
CDM,30500060,HC AUTOM ERYTHROCYTE SED RATE,367.0,367.0,,,0
CDM,30500062,HC SICKLING OF RBC REDUCTION,102.0,102.0,,,0
CDM,30500064,HC THROMBIN TIME; PLASMA,175.0,175.0,,,0
CDM,30500065,HC PTT; PLASMA OR WHOLE BLOOD,196.0,196.0,,,0
CDM,30500066,HC AGGLUTININS FEBRILE,17.0,17.0,,,0
CDM,30500067,HC ALLERG SP IGE; QUAN OR SEMIQUAN,40.0,40.0,,,0
CDM,30500068,HC AB ID; PLATELET AB,143.0,143.0,,,0
CDM,30500069,HC AB ID; PLATELET IG ASSAY,159.0,159.0,,,0
CDM,30500075,HC BETA 2 GLYCOPROTEIN I AB EA,41.0,41.0,,,0
CDM,30500076,HC T CELLS; ABSOL CD4 COUNT,265.0,265.0,,,0
CDM,30500077,HC VIRAL NEUTRALIZATION,250.0,250.0,,,0
CDM,30500079,HC COOMBS TEST INDIRECT TITER,244.0,244.0,,,0
CDM,30500080,HC BACT CULT; QUAN AEROBIC,26.0,26.0,,,0
CDM,30500153,HC INFLUENZA A/B AG EIA,147.0,147.0,,,0
CDM,30500155,"HC OXYGEN THERAPY, PER DAY",168.0,168.0,,,0
CDM,30500161,HC RUFINAMIDE,26.0,26.0,,,0
CDM,30500163,HC ASSAY SPEC XCP UR&BREATH IA,28.0,28.0,,,0
CDM,30500165,HC EXTERNAL ECG REC > 48 HR UP TO 7 DAYS RECORD; INCL CONNECT & INITIAL REC,88.0,88.0,,,0
CDM,30500168,HC EXTERNAL ECG REC > 7 DAYS  UP TO 15 DAYS  RECORDING; INCL CONNECT & INITIAL REC,112.0,112.0,,,0
CDM,30500169,DEAC 05/12/2023 HC COV-19 AMP PRB HGH THRUPUT WITHIN 2 DAYS COLLECT,239.0,239.0,,,0
CDM,30500172,"DEAC 4/1/2025 HC IV INFUSION, CASIRIVIMAB & IMDEVIMAB, INCL INFUSION & POST ADM MONITOR",42.0,42.0,,,0
CDM,30500174,DEAC 11/01/2023 HC IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML BOOSTER,758.0,758.0,,,0
CDM,30506003,HC CYTOGENOMIC NEOPLASIA MICROARRAY ANALYSIS,86.0,86.0,,,0
CDM,30506004,HC CYTOGENOMIC NEOPLASIA MICROARRAY ANALYSIS,153.0,153.0,,,0
CDM,30506005,HC PROTHROMBIN GENE ANALYSIS,153.0,153.0,,,0
CDM,30506006,HC FLT3 GENE (TKD) VARIANT,605.0,605.0,,,0
CDM,30560001,"HC BONE MARROW TRANSPLANT,STR",147.0,147.0,,,0
CDM,30560002,"HC BONE MARROW TRANSPLANT,STR",86.0,86.0,,,0
CDM,30600000,"DEAC 11/01/2023 HC ADM SARSCOV2 5X1010VP/.5ML, 1ST DOSE",178.0,178.0,,,0
CDM,30600002,HC ANAEROB BACT CULTURE W ID,245.0,245.0,,,0
CDM,30600003,HC BC - ANAEROBE - ADDTL ID,199.0,199.0,,,0
CDM,30600004,HC BC - AEROBIC - ADDTL ID,107.0,107.0,,,0
CDM,30600005,HC CULTURE P PATHOG - SCREEN,206.0,206.0,,,0
CDM,30600006,HC BACT CULTURE - URINE; QUAN COUNT,40.0,40.0,,,0
CDM,30600007,HC URINE BACTERIA CULTURE,225.0,225.0,,,0
CDM,30600008,HC CULT FUNGUS W P ID; SKIN HR NL,33.0,33.0,,,0
CDM,30600009,HC FUNGUS CULTURE NOT BLOOD,141.0,141.0,,,0
CDM,30600010,HC FUNGUS CULTURE BLOOD,161.0,161.0,,,0
CDM,30600011,HC FUNGUS CULTURE DEF I.D YEAST,193.0,193.0,,,0
CDM,30600012,HC FUNGUS CULTURE DEF ID  MOLD,34.0,34.0,,,0
CDM,30600013,HC CULTURE MYCOPLASMA,146.0,146.0,,,0
CDM,30600014,HC CHLAMYDIA CULTURE,172.0,172.0,,,0
CDM,30600015,HC CULTURE AFB - ISOL & ID,194.0,194.0,,,0
CDM,30600016,HC CULT MYCOBACTERIA DEFIN ID EA,43.0,43.0,,,0
CDM,30600017,HC PINWORM EXAM,43.0,43.0,,,0
CDM,30600018,HC OVA & PARASITES DIR SMR W ID,250.0,250.0,,,0
CDM,30600019,HC SENSITIVITY - AGAR DILUTION/AGENT,164.0,164.0,,,0
CDM,30600020,HC SENSITIVITY - DISK PER PLATE,222.0,222.0,,,0
CDM,30600021,HC SENSTITIVITY - ENZYME DETECT,60.0,60.0,,,0
CDM,30600029,HC MICROBE SUSCEPTIBILITIES MIC,25.0,25.0,,,0
CDM,30600030,HC SMEAR - GRAM OR GIEMSA,151.0,151.0,,,0
CDM,30600031,HC SMEAR; FLUORESCENT OR AFB STAIN,79.0,79.0,,,0
CDM,30600032,HC SMEAR SPECIAL STAIN,144.0,144.0,,,0
CDM,30600033,HC SMEAR - INFECTIOUS WET MOUNT,19.0,19.0,,,0
CDM,30600034,HC KOH FOR FUNGI/PARASITES/MITES,311.0,311.0,,,0
CDM,30600037,HC VIRUS ISOLATE; TISSUE CULT INOC,87.0,87.0,,,0
CDM,30600038,HC ASPERGILLUS AG EIA,111.0,111.0,,,0
CDM,30600039,HC GIARDIA AG EIA,121.0,121.0,,,0
CDM,30600040,HC HPYLORI STOOL EIA,23.0,23.0,,,0
CDM,30600041,HC HEPATITIS B SURFACE AG EIA,72.0,72.0,,,0
CDM,30600042,HC HEPATITIS B SURFACE AG EIA NEUTRALIZATION,344.0,344.0,,,0
CDM,30600059,HC HEPATITIS BE AG EIA,139.0,139.0,,,0
CDM,30600061,HC HISTOPLASMA CAPSUL AG EIA,114.0,114.0,,,0
CDM,30600063,HC ROTAVIRUS AG EIA,121.0,121.0,,,0
CDM,30600064,HC STREP A AG EIA,206.0,206.0,,,0
CDM,30600065,HC CHLAMYDIA T AMPLIF NA PROBE,108.0,108.0,,,0
CDM,30600066,HC C DIFF AMPLIFIED PROBE,132.0,132.0,,,0
CDM,30600067,HC CYTOMEGALOV AMPLIF NA PROBE,260.0,260.0,,,0
CDM,30600068,HC CYTOMEGALOVIRUS NA QUAN,49.0,49.0,,,0
CDM,30600069,HC ENTEROVIRUS DNA AMP PROBE,68.0,68.0,,,0
CDM,30600071,HC HEP-B NA QUAN,232.0,232.0,,,0
CDM,30600072,HC HEP-C AMPLIF NA PROBE,294.0,294.0,,,0
CDM,30600073,HC HEP-C NA QUAN,243.0,243.0,,,0
CDM,30600074,HC HERPES S AMPLIF NA PROBE,425.0,425.0,,,0
CDM,30600075,HC HERPES S AMPLIF NA PROBE,268.0,268.0,,,0
CDM,30600076,HC HIV-1 AMPLIF NA PROBE,378.0,378.0,,,0
CDM,30600077,HC HIV-1 NA QUAN,366.0,366.0,,,0
CDM,30600078,HC MYCOBACTERIA T AMPLIF NA PROBE,260.0,260.0,,,0
CDM,30600078,HC MYCOPLASMA AMPLIF NA PROBE,115.0,115.0,,,0
CDM,30600079,HC MYCOPLASMA AMPLIF NA PROBE,288.0,288.0,,,0
CDM,30600080,HC VALPROIC ACID FREE,184.0,184.0,,,0
CDM,30600082,HC MR-STAPH DNA AMP PROBE,258.0,258.0,,,0
CDM,30600083,HC MULTIPLEX AB STN EACH,233.0,233.0,,,0
CDM,30600084,HC AMPLIF NA PROBE NOS AGENT,294.0,294.0,,,0
CDM,30600087,HC AGENT NOS ASSAY W/OPTIC,53.0,53.0,,,0
CDM,30600087,HC PROPOXYPHENE,549.0,549.0,,,0
CDM,30600088,HC GENOTYPE DNA HIV REVERSE T,532.0,532.0,,,0
CDM,30600089,HC HEPATITIS C - DNA OR RNA,616.0,616.0,,,0
CDM,30600090,HC METHADONE,160.0,160.0,,,0
CDM,30600091,HC CYTOPATH FL NONGYN SMEARS,1373.0,1373.0,,,0
CDM,30600092,"HC ANALGESICS,NON-OPIOD 1 OR 2",1593.0,1593.0,,,0
CDM,30600095,HC REMOVE OBSTRUCT FROM CENTRAL VENOUS DEV,468.0,468.0,,,0
CDM,30600097,HC REMOVE INTRALUMIN OBSTRUCT FROM CVD,243.0,243.0,,,0
CDM,30600098,HC CHG PERC TUBE/ DRAIN CATH W/CON MONITOR,49.0,49.0,,,0
CDM,30600099,HC ECHOCARDIO FETAL CARDIOVASCULAR W/2-D,243.0,243.0,,,0
CDM,30600151,HC CHLAMYDIA P AMPLIF NA PROBE,44.0,44.0,,,0
CDM,30600152,HC GENERAL PROCEDURAL ASSIST,49.0,49.0,,,0
CDM,30600153,HC MYCOBACTERIA A AMPLIF NA PROBE,104.0,104.0,,,0
CDM,30600155,HC INFLUENZA IA W DO,239.0,239.0,,,0
CDM,30600156,HC UNLISTED MICROBIOLOGY PROCEDURE,53.0,53.0,,,0
CDM,30600157,HC INJECTION OF SINUS TRACT; THERAPEUTIC,53.0,53.0,,,0
CDM,30600157,HC INSERT CATHETER RENAL ARTERY 1ST BILATERAL,166.0,166.0,,,0
CDM,30600159,"HC ARTHROCENTESIS, INTERMEDIATE JOINT OR BURSA",282.0,282.0,,,0
CDM,30600160,HC INJECTION FOR SHOULDER X-RAY,124.0,124.0,,,0
CDM,30600162,HC INJECTION FOR ELBOW ARTHROGRAPHY,44.0,44.0,,,0
CDM,30600171,HC H PYLORI (C-13) BREATH TEST,274.0,274.0,,,0
CDM,30600172,"HC ANTIEPILEPTICS, NOS 1-3",245.0,245.0,,,0
CDM,30600173,HC ONCOPROTEIN DCP,475.0,475.0,,,0
CDM,30600173,HC TOTAL ACID PHOSPHATASE,225.0,225.0,,,0
CDM,30600182,"DEAC 11/01/2023 HC ADM SARSCOV2 5X1010VP/.5ML, 2ND DOSE",169.0,169.0,,,0
CDM,30600185,"DEAC 11/01/2023 HC ADM SARSCOV2 VAC AD26 /.5ML, SINGLE DOSE",342.0,342.0,,,0
CDM,30600189,HC DRUG TEST PRSMV CHEM ANLYZR,448.0,448.0,,,0
CDM,30600196,"HC PLATELETS, EACH UNIT",120.0,120.0,,,0
CDM,30600202,HC PTEN GENE PART OF PANEL,557.0,557.0,,,0
CDM,30600211,HC ADM RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX,96.0,96.0,,,0
CDM,30600213,HC ROUTINE VENIPUNCTURE,78.0,78.0,,,0
CDM,30600214,HC CLOTTING; FACTOR VII,1048.0,1048.0,,,0
CDM,30600215,HC CLOTTING: FACTOR VIII VW FACTOR AG,3207.0,3207.0,,,0
CDM,30600215,HC FACTOR 8 VWF MULTIMRIC,951.0,951.0,,,0
CDM,30600218,"HC ABLATION 1 OR MORE RENAL TUMORS PERCUTANEOUS, UNIL, RADIOFREQ",310.0,310.0,,,0
CDM,30600219,HC CHANGE OF CYSTOSTOMY TUBE; SIMPLE,220.0,220.0,,,0
CDM,30600225,"HC STENGER TEST, PURE TONE",272.0,272.0,,,0
CDM,30600227,HC MRA UPPER EXTREMITY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST,792.0,792.0,,,0
CDM,30600227,HC MRA W/O CONTRAST SPINAL CANAL,2382.0,2382.0,,,0
CDM,30600230,HC UNLISTED FLUOROSCOPIC PROCEDURE,292.0,292.0,,,0
CDM,30600232,HC LR IRRAD WHOLE BLD EA UNIT,169.0,169.0,,,0
CDM,30600234,HC IMMUMOASSAY QUANT NOS NONAB (170),640.0,640.0,,,0
CDM,30600236,DEAC 10/3/2022 HC HA CARE KIT (PED),52.0,52.0,,,0
CDM,30600238,DEAC 11/01/2023 HC ADM SARSCOV2 50 MCG/0.5 ML 3RD DOSE 6-11,455.0,455.0,,,0
CDM,30600239,HC ENDO LEVEL 3 INIT MIN,527.0,527.0,,,0
CDM,30600241,"HC INFEC AGENT DET,GI 12-25 TARGETS",171.0,171.0,,,0
CDM,30600242,"HC FFP HIGH TITER COVID-19 CONVALESCENT, FROZEN - 8 HR COLLECT, EA UNIT (439)",174.0,174.0,,,0
CDM,30600243,"HC HBB (HEMOGLOBIN, SUBUNIT BETA); FULL GENE SEQ",174.0,174.0,,,0
CDM,30600244,"HC INFEC AGENT DET,GI 12-25 TARGETS",1821.0,1821.0,,,0
CDM,30600245,HC MENNIGITIS-ENCEPH CSF BY PCR,1792.0,1792.0,,,0
CDM,30600246,HC CARDIAC MRI FOR VELOCITY FLOW MAPPING (ADD-ON),172.0,172.0,,,0
CDM,30600247,"HC HEARING AID, MONAURAL, IN THE EAR (ITE)",442.0,442.0,,,0
CDM,30600248,"HC ACYLCARNITINES; QUANTITATIVE, EACH SPECIMEN",292.0,292.0,,,0
CDM,30600249,"HC AMINO ACID, MSUD PANEL, BLOOD SPOT, EACH SPECIMEN",640.0,640.0,,,0
CDM,30660001,HC CYTOGENOMIC NEO MICRORA ALYS (715),225.0,225.0,,,0
CDM,30660002,HC CYTOGENOMIC NEO MICRORA ALYS (715),864.0,864.0,,,0
CDM,30660003,"HC AUTISM PANEL,MECP2,SEQ",66.0,66.0,,,0
CDM,30660004,"HC AUTISM PANEL,MECP2,SEQ",334.0,334.0,,,0
CDM,30660005,HC CHARCOT-MARIE-TOOTH TYPE 1E,101.0,101.0,,,0
CDM,30660006,HC SPINAL MUSCULAR ATROPHY,63.0,63.0,,,0
CDM,30660007,HC T-CELL GENE REARRANGEMENT   TG,94.0,94.0,,,0
CDM,30660008,HC UGT1A1 GENE MUTATION   MAYO,243.0,243.0,,,0
CDM,30660009,"HC HEMOGLOBIN B, FULL GENE SEQ",274.0,274.0,,,0
CDM,30660010,HC PLATELET ANTIGEN 1 GENOTYPE,274.0,274.0,,,0
CDM,30660011,HC PLATELET ANTIGEN 1 GENOTYPE,274.0,274.0,,,0
CDM,30660012,HC GALACTOSEMIA GENE SEQUENCE,274.0,274.0,,,0
CDM,30660013,HC MITO-DNA POINT MUTATIONS,2848.0,2848.0,,,0
CDM,30660014,"HC MOL PATH,PANCREATITIS,LEVEL-2",240.0,240.0,,,0
CDM,30660015,"HC MOL PATH,LEVEL-2,ABCC8,DEL-DUP",294.0,294.0,,,0
CDM,30660016,HC 21-OH(CAH) GENE SEQUENCING QST,282.0,282.0,,,0
CDM,30660017,HC CKIT (TARGET) GENE MUTATION,218.0,218.0,,,0
CDM,30660018,"HC DUAL GENOME,TIS,MOL PATH,L4 AD",731.0,731.0,,,0
CDM,30660019,"HC DUAL GENOME,TIS,MOL PATH,LVL 4",2104.0,2104.0,,,0
CDM,30660055,HC MOD SED OTHER PHYS/QHP 5/>YRS; INITL 15 MIN,847.0,847.0,,,0
CDM,30900000,HC CARDIOMYOPATHY  PANEL (296),1342.0,1342.0,,,0
CDM,30900001,HC AB ID RBC EA PANEL EA TECHN,620.0,620.0,,,0
CDM,30900004,HC COOMBS TEST INDIRECT QUAL,743.0,743.0,,,0
CDM,30900006,HC TISSUE CULTURE; BM BLD CELLS,1233.5,1233.5,,,0
CDM,30900009,HC MCG; IP SITU 25-99 CELLS,60.0,60.0,,,0
CDM,30900009,HC MCG; SITU HYBRID 10-30 CELLS,96.0,96.0,,,0
CDM,30900010,HC IMMUMOASSAY QUANT NOS NONAB (130),456.0,456.0,,,0
CDM,30900032,HC MOPATH PROCEDUR LEVEL 2 (400),1815.0,1815.0,,,0
CDM,30900033,HC MOPATH PROCEDUR LEVEL 3 (95),892.0,892.0,,,0
CDM,30900033,HC MOPATH PROCEDUR LEVEL 4 (115),500.0,500.0,,,0
CDM,30900035,HC MOPATH PROCEDUR LEVEL 4 (220),2521.0,2521.0,,,0
CDM,30900041,HC MOPATH PROCEDUR LEVEL 6 (140),1124.0,1124.0,,,0
CDM,30900050,HC MOPATH PROCEDUR LEVEL 6 (240),761.0,761.0,,,0
CDM,30900061,HC MOPATH PROCEDUR LEVEL 8 (165),3393.0,3393.0,,,0
CDM,30900061,HC UNLISTED MOL PATH (205),800.0,800.0,,,0
CDM,30900087,HC UNLISTED MOL PATH (220),403.0,403.0,,,0
CDM,30900090,HC UNLISTED MOL PATH (500),483.0,483.0,,,0
CDM,30900092,HC UNLISTED MOL PATH (825),604.0,604.0,,,0
CDM,30900100,HC NERVE CONDUCT STUDIES 1-2,596.0,596.0,,,0
CDM,30900138,HC NERVE CONDUCT STUDIES 3-4,969.0,969.0,,,0
CDM,30900142,HC NERVE CONDUCT STUDIES 5-6,1332.0,1332.0,,,0
CDM,30900195,HC NERVE CONDUCT STUDIES 7-8,2761.0,2761.0,,,0
CDM,30900227,HC NERVE CONDUCT STUDIES 9-10,445.0,445.0,,,0
CDM,30900229,HC NERVE CONDUCT STUDIES 11-12,445.0,445.0,,,0
CDM,30900252,HC NERVE CONDUCT STUDIES 13 OR MORE,1472.0,1472.0,,,0
CDM,30900273,HC PROCEDURE ENDO LEVEL 3 INIT 15 MIN,445.0,445.0,,,0
CDM,30900315,"HC COMPLEMENT; ANTIGEN, EACH COMPONENT",9386.0,9386.0,,,0
CDM,30900320,"HC PERQ PLMT BILE DUCT STENT(S), EXISTING ACCESS",1262.0,1262.0,,,0
CDM,30900327,HC ENDO LEVEL 3 EA ADDL MIN,556.0,556.0,,,0
CDM,30900342,HC ILIAC REVASC ARTERY; ANGIOPLASTY INIT VESSEL,155.0,155.0,,,0
CDM,30900344,"HC PERCUT MECH THROMBECTOMY, VENOUS",1015.0,1015.0,,,0
CDM,30900349,HC THRMB/INFUS DIAL CIRC&INTRPRC PHAR INJ W/STENT(S),398.0,398.0,,,0
CDM,30900350,HC BALLOON  ANGIOPLASTY CTR DIALYSIS SEGMENT,493.0,493.0,,,0
CDM,30900351,HC TRLUML BALLOON ANGIOPLASTY; INITIAL ARTERY,406.0,406.0,,,0
CDM,30900352,HC TRLUML BALLOON ANGIOPLASTY; ADDL ART,347.0,347.0,,,0
CDM,30900353,HC TRLUML BALLOON ANGIOPLASTY;  INITIAL VEIN,415.0,415.0,,,0
CDM,30900354,HC TRLUML BALLOON ANGIOPLASTY; ADDL VEIN,369.0,369.0,,,0
CDM,30900355,HC INJECT INTERLAMINAR LMBR/SAC; W/IMG,500.0,500.0,,,0
CDM,30900355,"HC TPMT, NUDT15 GENE ANALYSIS, COMMON VARIANTS",1555.0,1555.0,,,0
CDM,30900364,DEAC 11/01/2023 HC ADM SARSCV2 BVL 30MCG/0.3ML 1ST DOSE,500.0,500.0,,,0
CDM,30900364,"HC PERQ ABLATION 1 + LIVER TUMOR(S), RADIOFREQ",799.0,799.0,,,0
CDM,30900373,HC BRAF GENE (205),1001.0,1001.0,,,0
CDM,30900377,HC IGH GENE REARRANGE AMP METH (180),866.0,866.0,,,0
CDM,30900380,HC CHIMERISM ANAL NO CELL SELEC (170),1316.0,1316.0,,,0
CDM,30900382,HC CHIMERISM ANAL WI/CELL SELECT (245),1330.0,1330.0,,,0
CDM,30900388,HC TRG GENE REARRANGEMENT ANAL (230),758.0,758.0,,,0
CDM,30900394,HC CAR ION CHNNLPATH INC 2 GN (2675),3291.0,3291.0,,,0
CDM,30900395,HC HPA-6  GENOTYPING (35),2979.0,2979.0,,,0
CDM,30900395,HC TTE CONG ABN; COMPLETE,900.0,900.0,,,0
CDM,30900396,HC 2D TTE W OR W/O FOL W/CON FU,533.0,533.0,,,0
CDM,30900399,HC HLA I & II TYPE VERIFY LR (150),931.0,931.0,,,0
CDM,30900400,HC HEART TRANSPLANT ORGAN ACQUISITION,989.0,989.0,,,0
CDM,30900404,HC NEONATAL RESUSCITATION,1431.0,1431.0,,,0
CDM,30900410,HC MTHFR GENE (85),2315.0,2315.0,,,0
CDM,30900417,HC MTHFR GENE (85),3479.0,3479.0,,,0
CDM,30900432,HC  STERILE ONE-TIME SUPPLY,600.0,600.0,,,0
CDM,30900432,HC ACTIONABLE PHARMACOGENOMICS PANEL (284),215.0,215.0,,,0
CDM,30900434,"HC IMMUNIZATION ADMIN, NASAL/ORAL, EA ADDL",9386.0,9386.0,,,0
CDM,30900436,"HC LYMPHANGIOGRAPHY, EXTREMITY ONLY, BILATERAL",1142.0,1142.0,,,0
CDM,30900440,HC MECHANICAL CHEST WALL OSCILLATION,1087.0,1087.0,,,0
CDM,30900440,HC SURFACTANT ADMIN THRU TUBE,400.0,400.0,,,0
CDM,30900442,HC GUIDE NERVE DESTRUCTION ELECTRICAL STIM,403.0,403.0,,,0
CDM,30900446,HC DRAIN CEREBRO SPINAL FLUID; W/O IMG,562.0,562.0,,,0
CDM,30900447,HC HPA-2  GENOTYPING (35),399.0,399.0,,,0
CDM,30900448,HC ECG UP TO 48 HRS SCANNING ANALYSIS REPORT,399.0,399.0,,,0
CDM,30900449,"HC PM DEVICE PROGR EVAL, SNGL",399.0,399.0,,,0
CDM,30900450,HC CAR ION CHNNLPATH INC 10 GNS ADDON,399.0,399.0,,,0
CDM,30900451,HC ICD DEVICE INTERROGATE,399.0,399.0,,,0
CDM,30900452,HC TTE F-UP OR LMTD,399.0,399.0,,,0
CDM,30900453,HC DUPLEX FLOW PENILE V; COMPL,399.0,399.0,,,0
CDM,30900454,"HC MNT, INDIV, EA 15 MIN, RE-ASSESS, 2ND REF",399.0,399.0,,,0
CDM,30900457,HC BONE MARROW ACQUISITION FEE,213.0,213.0,,,0
CDM,30900458,HC INF AGENT NA PROBE NOS AGENT; EA ORG,466.0,466.0,,,0
CDM,30900460,HC CRITICAL CARE ADDL 30 MIN,923.0,923.0,,,0
CDM,30900462,HC CONTINUOUS PULSE OX,7986.0,7986.0,,,0
CDM,30900464,DEAC 01/01/2025 HC CAR-T; INFUSION CELL ADMINISTRATION; AUTOLOGOUS,205.0,205.0,,,0
CDM,30900464,"HC STREP PNEUMONIAE IGG AB, 23 SEROTYPES, MULTI IA, QUANT",484.0,484.0,,,0
CDM,30900469,HC MRA W/CONTRAST UPPER EXTREMITY,3537.0,3537.0,,,0
CDM,30900469,HC MRA W/O CONTRAST UPPER EXTREMITY,1497.0,1497.0,,,0
CDM,30900475,HC DEAC 01/01/2021 HC US STUDY FOLLOW UP,5986.0,5986.0,,,0
CDM,30900485,HC OT EVAL LOW COMPLEXITY,573.0,573.0,,,0
CDM,30960002,HC DRUG SCREEN QUANT CAFFEINE,9386.0,9386.0,,,0
CDM,31000000,HC LAB GENERAL,323.0,323.0,,,0
CDM,31000001,HC CP CERV/VAG; ATL; MANUAL SCRN,76.0,76.0,,,0
CDM,31000001,HC CYTP DX EVAL FNA 1ST EA SITE,93.0,93.0,,,0
CDM,31000003,HC TISSUE CULTURE; AMNIOTIC FLUID,205.0,205.0,,,0
CDM,31000003,HC TISSUE CULTURE; SKIN OR SOLID BX,20.0,20.0,,,0
CDM,31000004,HC CHROM ANALY; 15-20 CELLS,232.0,232.0,,,0
CDM,31000004,HC CRYOPRESERVATION EA CELL LINE,1606.0,1606.0,,,0
CDM,31000005,HC CHROM ANALY; 15-20 CELLS,270.0,270.0,,,0
CDM,31000005,HC CHROM ANALY; 20-25 CELLS,2616.0,2616.0,,,0
CDM,31000007,HC MCG; IP SITU 100-300 CELLS,92.0,92.0,,,0
CDM,31000007,HC MCG; IP SITU 25-99 CELLS,77.0,77.0,,,0
CDM,31000008,HC CHROM ANALY; ADDTL KARYOT EA STUDY,97.0,97.0,,,0
CDM,31000008,HC MCG; IP SITU 100-300 CELLS,137.0,137.0,,,0
CDM,31000009,HC CHROM ANALY; ADDTL CELL COUNTS,156.0,156.0,,,0
CDM,31000009,HC CHROM ANALY; ADDTL KARYOT EA STUDY,97.0,97.0,,,0
CDM,31000011,HC SURG PATH LVL 2,80.0,80.0,,,0
CDM,31000012,HC DECALCIFICATION,799.0,799.0,,,0
CDM,31000012,HC TISSUE EXAM BY PATHOLOGIST LVL 6,208.0,208.0,,,0
CDM,31000013,HC INTRAOP CYTO PATH CONSULT 1,153.0,153.0,,,0
CDM,31000013,HC PATH CONSULT INTRAOP ADDL,1592.0,1592.0,,,0
CDM,31000015,HC ELECTRON MICRO; DX,1973.0,1973.0,,,0
CDM,31000016,HC ISH SINGLE PROBE 1ST,140.0,140.0,,,0
CDM,31000017,HC INSITU HYBRIDIZATION MANUAL,167.0,167.0,,,0
CDM,31000017,HC ISH SINGLE PROBE 1ST,524.0,524.0,,,0
CDM,31000018,HC UNLISTED SURG PATH,438.0,438.0,,,0
CDM,31000040,HC CRYOPRECIPITATE EA UNIT,175.0,175.0,,,0
CDM,31000040,HC LEUKOCYTE POOR BLOOD EA UNIT,89.0,89.0,,,0
CDM,31000041,HC ISH PROBE ADDITIONAL,56.0,56.0,,,0
CDM,31000043,"HC IAD BY NUCLEIC ACID (DNA OR RNA); BORRELIA MIYAMOTOI, APT (41)",171.0,171.0,,,0
CDM,31000112,"DEAC 4/1/2025 HC IV INFUSION, BAMLANIVIMAB AND ETESEVIMAB, INCLUDES INFUSION AND POST ADMIN MONITORING",157.0,157.0,,,0
CDM,31000112,HC EPILEPSY GENOMIC SEQUENCE ANALYSIS PANEL,1592.0,1592.0,,,0
CDM,31000114,HC AMPLIF NA PROBE NOS AGENT,390.0,390.0,,,0
CDM,31000114,HC ANTIDEPRESSANT 1 OR 2,150.0,150.0,,,0
CDM,31000115,HC NA QUAN NOS AGENT,167.0,167.0,,,0
CDM,31000116,"HC INJECTION FOR CHOLANGIOGRAM, EXISTING ACCESS",469.0,469.0,,,0
CDM,31000124,HC STETHOSET,556.0,556.0,,,0
CDM,31000126,"HC PERQ PLMT BILE DUCT STENT(S), NEW ACCESS, W/O SEPAR CATH",364.0,364.0,,,0
CDM,31000127,HC REMOVAL DUCT GALLBLADDER CALCULI,631.0,631.0,,,0
CDM,31000128,"HC INJ PROC NEPHROSTOGRM &/ URETEROGRM, NEW ACCESS",497.0,497.0,,,0
CDM,31000129,"HC INJ PROC NEPHROSTOGRM &/ URETEROGRM, EXIST ACCESS",703.0,703.0,,,0
CDM,31000130,"HC PLACEMENT NEPHROURETERAL CATHETER, NEW ACCESS",557.0,557.0,,,0
CDM,31000136,HC DRUG/SUBST DEFINITIVE QUAL/QUANT,945.0,945.0,,,0
CDM,31000139,HC  LAB OTHER,7739.0,7739.0,,,0
CDM,31000141,HC MOD SED OTHER PHYS/QHP; EA ADDL 15 MIN,2468.0,2468.0,,,0
CDM,31000142,DEAC 11/01/2023 HC ADM SRSCV2 BVL 25MCG/0.25ML 1ST DOSE,1092.0,1092.0,,,0
CDM,31000143,DEAC 11/01/2023 HC ADM SRSCV2 BVL 25 MCG/0.25ML 2ND DOSE,965.0,965.0,,,0
CDM,31000144,"HC CYTOKINE, INTERLEUKIN-18 (IL-18 - IL-18BPA)",760.0,760.0,,,0
CDM,31000145,"HC GENOMEXPRESS SEQUENCE ANALYSIS, EA COMPARATOR GENOME (554)",222.0,222.0,,,0
CDM,31000146,HC CHROMOSOMAL MICROARRAY (MICROARRAYDX) (296),4659.0,4659.0,,,0
CDM,31000147,HC MOPATH PROCEDURE LEVEL 7 (49),248.0,248.0,,,0
CDM,31000148,HC CHIMERISM ANAL WI/CELL SELECT (245),592.0,592.0,,,0
CDM,31000149,HC PROCEDURE ENDO LEVEL 1 INIT 15 MIN,95.0,95.0,,,0
CDM,31000150,HC INFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,680.0,680.0,,,0
CDM,31000151,"HC HBB (HEMOGLOBIN, SUBUNIT BETA); FULL GENE SEQ",383.0,383.0,,,0
CDM,31000152,HC FLT3 GENE (795),2275.0,2275.0,,,0
CDM,31000153,HC CARDIOMYOPATHY  PANEL (296),600.0,600.0,,,0
CDM,31000154,HC COMBINED CARDIAC  PANEL SEQUENCING AT LEAST 10 GENES (148),300.0,300.0,,,0
CDM,31000155,HC COMBINED CARDIAC  PANEL ANALYSIS AT LEAST 2 GENES (148),300.0,300.0,,,0
CDM,31000156,HC GENOMEXPRESS (1109),2250.0,2250.0,,,0
CDM,31000157,"HC GENOMEXPRESS SEQUENCE ANALYSIS, EA COMPARATOR GENOME (554)",1125.0,1125.0,,,0
CDM,31000158,HC WHOLE MITO GENOME SEQUENCING & DELETION TESTING (148),300.0,300.0,,,0
CDM,31000159,"HC MITO GENOME SEQUENCING HETEROPLASMY DETECTION, IF PERFRMD (148)",300.0,300.0,,,0
CDM,31000160,HC NOONAN AND COMPREHENSIVE RASOPATHIES  PANEL (296),600.0,600.0,,,0
CDM,31000161,HC ONE KNOWN FAMILIAL VARIANT (136),276.0,276.0,,,0
CDM,31000162,HC PRENATAL KNOWN FAMILIAL MUTATION (INCLUDES MCC) (370),750.0,750.0,,,0
CDM,31000163,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE (370),750.0,750.0,,,0
CDM,31000164,HC TWO KNOWN FAMILIAL VARIANTS IN A NUCLEAR GENE (98),198.0,198.0,,,0
CDM,31000165,HC CHROMOSOMAL MICROARRAY (MICROARRAYDX) (296),600.0,600.0,,,0
CDM,31000166,HC XOMEDXXPRESS (739),1500.0,1500.0,,,0
CDM,31000167,"HC XOMEDXXPRESS SEQ ANALYSIS, EA COMPARATOR EXOME (370)",750.0,750.0,,,0
CDM,31000168,HC CYTOKINE 13 PANEL (13),29.0,29.0,,,0
CDM,31000169,"HC MOLECULAR PATH PROC, LEVEL 4  (71)",1625.0,1625.0,,,0
CDM,31000172,HC MOPATH PROCEDURE LEVEL 5 (246),500.0,500.0,,,0
CDM,31000173,HC MOPATH PROCEDURE LEVEL 6 (123),250.0,250.0,,,0
CDM,31000174,HC MOPATH PROCEDURE LEVEL 7 (83),167.0,167.0,,,0
CDM,31000175,HC COMPARATOR EXOME (247),500.0,500.0,,,0
CDM,31000176,HC COMPARATOR EXOME (493),1000.0,1000.0,,,0
CDM,31000177,HC EXOME SEQUENCE ANALYSIS (1232),2500.0,2500.0,,,0
CDM,31000178,HC EXOME RE-EVALUATION (493),1000.0,1000.0,,,0
CDM,31000179,HC GENOME SEQUENCE ANALYSIS (1970),4000.0,4000.0,,,0
CDM,31000180,HC GENOME SEQUENCE ANALYSIS (985),2000.0,2000.0,,,0
CDM,31000181,"HC GENOME SEQ ANALYSIS, EA CMPRTR (493)",1000.0,1000.0,,,0
CDM,31000182,"HC GENOME SEQ ANALYSIS, EA CMPRTR (985)",2000.0,2000.0,,,0
CDM,31000183,HC MOPATH PROCEDURE LEVEL 6 (99),200.0,200.0,,,0
CDM,31000184,HC MOPATH PROCEDURE LEVEL 7 (49),100.0,100.0,,,0
CDM,31000185,HC MOPATH PROCEDURE LEVEL 2 (99),200.0,200.0,,,0
CDM,31000186,HC MOPATH PROCEDURE LEVEL 2 (49),100.0,100.0,,,0
CDM,31000187,HC CHEMICAL CAUTERIZATION OF GRANULATION TISSUE,1544.0,1544.0,,,0
CDM,31000194,"HC ACYLCARNITINES; QUANTITATIVE, EACH SPECIMEN",2315.0,2315.0,,,0
CDM,31000196,HC HEALTH BEHAVIOR INTERV INDIV FACE TO FACE; 1ST 30 MIN,797.0,797.0,,,0
CDM,31060001,"HC EPILEPSY,ARX GENE,DEL-DUP",989.0,989.0,,,0
CDM,31060002,HC FACTOR VIII INVERSION/DNA,989.0,989.0,,,0
CDM,31060003,"HC MOL PATH,LEVEL-4,KCNJ11 GENE",989.0,989.0,,,0
CDM,31060004,"HC MOL PATH,LEVEL-4,CEL,SEQ",989.0,989.0,,,0
CDM,31060005,"HC MOL PATH,LEVEL-4,KCNJ11,SEQ",500.0,500.0,,,0
CDM,31060006,"HC AUTISM PANEL,MOL PATH,LEVEL-4",1000.0,1000.0,,,0
CDM,31060008,"HC BM FAILURE,MPL GENE SEQ",1500.0,1500.0,,,0
CDM,31060008,"HC EPILEPSY PANEL,NHRLC1 GENE SEQ",2183.0,2183.0,,,0
CDM,31060009,"HC DUAL GENOME,TIS,MOL PATH,LVL 5",1023.0,1023.0,,,0
CDM,31060010,"HC EPILEPSY,PLP1 GENE,DEL-DUP",400.0,400.0,,,0
CDM,31060010,"HC EPILEPSY,ZEB2 GENE,DEL-DUP",1067.0,1067.0,,,0
CDM,31060011,HC AQP2 GENE SEQUENCING,3537.0,3537.0,,,0
CDM,31060011,"HC MOL PATH LEVEL 5, FMF",1397.0,1397.0,,,0
CDM,31060013,HC AVPR2 GENE SEQUENCING,215.0,215.0,,,0
CDM,31060014,"HC MOL PATH,PANCREATITIS,LEVEL-5",267.0,267.0,,,0
CDM,31060016,"HC MOL PATH,LEVEL-5,INS GENE",650.0,650.0,,,0
CDM,31060016,"HC MOL PATH,LEVEL-5,TWIST1 GENE",1907.0,1907.0,,,0
CDM,31060019,"HC MOL PATH,LEVEL-5,HNF1B,SEQ",1065.0,1065.0,,,0
CDM,31060019,"HC MOL PATH,LEVEL-5,PDX1 GENE",1397.0,1397.0,,,0
CDM,31060023,"HC MOL PATH,LEVEL-5,INS,SEQ",1397.0,1397.0,,,0
CDM,31060023,"HC MOL PATH,LEVEL-5,PDX1,SEQ",600.0,600.0,,,0
CDM,31060026,"HC MOL PATH,LEVEL-5,CD40L,SEQ",600.0,600.0,,,0
CDM,31060028,"HC MOL PATH,LEVEL-5,MEFV,SEQ",500.0,500.0,,,0
CDM,31060029,"HC AUTISM PANEL,MOL PATH,LEVEL-5",1219.0,1219.0,,,0
CDM,31060030,"HC CD40L GENE SEQ,IBD PANEL",1906.0,1906.0,,,0
CDM,31060031,"HC MEFV GENE SEQ,IBD PANEL",956.0,956.0,,,0
CDM,31060034,"HC EPILEPSY PANEL,ARX GENE SEQ",206.0,206.0,,,0
CDM,31060034,"HC EPILEPSY PANEL,CSTB GENE SEQ",400.0,400.0,,,0
CDM,31060037,"HC EPILEPSY PANEL,EPM2A GENE SEQ",1665.0,1665.0,,,0
CDM,31060038,HC MEFV GENE SEQUENCING,987.0,987.0,,,0
CDM,31060039,"HC DUAL GENOME,TIS,MOL PATH,LVL 6",528.0,528.0,,,0
CDM,31060040,HC CARDIOMYOPATHY DEL-DUP (ONLY),528.0,528.0,,,0
CDM,31060041,"HC EPILEPSY,CDKL5 GENE,DEL-DUP",667.0,667.0,,,0
CDM,31060042,"HC EPILEPSY,PDHA1 GENE,DEL-DUP",483.0,483.0,,,0
CDM,31060043,"HC EPILEPSY,TSC1 GENE,DEL-DUP",1284.0,1284.0,,,0
CDM,31060044,HC ZEB2 GENE SEQUENCING DEL/DUP,1284.0,1284.0,,,0
CDM,31060050,"HC MOL PATH,PANCREATITIS,LEVEL-6",596.0,596.0,,,0
CDM,31060051,HC STK11 GENE SEQUENCE,596.0,596.0,,,0
CDM,31060053,HC ENG GENE DEL-DUP,596.0,596.0,,,0
CDM,31060054,HC SMAD4 GENE DEL-DUP,596.0,596.0,,,0
CDM,31060055,"HC MOL PATH,LEVEL-6,FGFR1 GENE",596.0,596.0,,,0
CDM,31060056,"HC MOL PATH,LEVEL-6,TGFBR1 GENE",596.0,596.0,,,0
CDM,31060057,"HC MOL PATH,LEVEL-6,HNF1A GENE",596.0,596.0,,,0
CDM,31060058,"HC MOL PATH,LEVEL-6,HNF1A,SEQ",596.0,596.0,,,0
CDM,31060059,"HC MOL PATH,LEVEL-6,STAT3,SEQ",1710.0,1710.0,,,0
CDM,31060067,"HC MOL PATH,LEVEL-6,IL2RG,SEQ",883.0,883.0,,,0
CDM,31060068,"HC AUTISM PANEL,MOL PATH,LEVEL-6",883.0,883.0,,,0
CDM,31060069,"HC BM FAILURE,RPS19 GENE SEQ",1247.0,1247.0,,,0
CDM,31060070,"HC IL2RG GENE SEQ,IBD PANEL",3326.0,3326.0,,,0
CDM,31060071,"HC STAT3 GENE SEQ,IBD PANEL",3238.0,3238.0,,,0
CDM,31060073,"HC EPILEPSY PANEL,CHRNA4 GENE SEQ",883.0,883.0,,,0
CDM,31060074,"HC EPILEPSY PANEL,PCDH19 GENE SEQ",883.0,883.0,,,0
CDM,31060075,"HC DUAL GENOME,TIS,MOL PATH,L7 AD",883.0,883.0,,,0
CDM,31060076,"HC DUAL GENOME,TIS,MOL PATH,LVL 7",883.0,883.0,,,0
CDM,31060077,"HC EPILEPSY,TSC2 GENE,DEL-DUP",883.0,883.0,,,0
CDM,31060078,HC AIRE GENE ANALYSIS,883.0,883.0,,,0
CDM,31060079,HC ENG GENE SEQUENCE,883.0,883.0,,,0
CDM,31060080,HC SMAD4 GENE SEQUENCE,883.0,883.0,,,0
CDM,31060081,"HC MOL PATH,LEVEL-7,GCK GENE",883.0,883.0,,,0
CDM,31060082,"HC MOL PATH,LEVEL-7,GLUD1 GENE",883.0,883.0,,,0
CDM,31060083,"HC MOL PATH,LEVEL-7,HNF4A GENE",883.0,883.0,,,0
CDM,31060084,"HC MOL PATH,LEVEL-7,GCK,SEQ",883.0,883.0,,,0
CDM,31060085,"HC MOL PATH,LEVEL-7,HNF4A,SEQ",883.0,883.0,,,0
CDM,31060086,"HC MOL PATH,LEVEL-7,GLUD1,SEQ",883.0,883.0,,,0
CDM,31060087,"HC MOL PATH,LEVEL-7,SLC37A4,SEQ",883.0,883.0,,,0
CDM,31060088,"HC MOL PATH,LEVEL-7,BTK,SEQ",883.0,883.0,,,0
CDM,31060089,"HC MOL PATH,LEVEL-7,AIRE,SEQ",2564.0,2564.0,,,0
CDM,31060100,"HC AUTISM PANEL,MOL PATH,LEVEL-7",969.0,969.0,,,0
CDM,31060101,"HC BM FAILURE,PALB2 GENE SEQ",969.0,969.0,,,0
CDM,31060102,"HC BM FAILURE,WAS GENE SEQ",969.0,969.0,,,0
CDM,31060103,"HC BTK GENE SEQ,IBD PANEL",969.0,969.0,,,0
CDM,31060105,"HC SLC37A4 GENE SEQ,IBD PANEL",2942.0,2942.0,,,0
CDM,31060106,"HC WAS GENE SEQ,IBD PANEL",969.0,969.0,,,0
CDM,31060107,"HC EPILEPSY PANEL,ALDH7A1 SEQ",1204.0,1204.0,,,0
CDM,31060108,"HC EPILEPSY PANEL,ATP1A2 GENE SEQ",969.0,969.0,,,0
CDM,31060109,"HC EPILEPSY PANEL,KCNQ2 GENE SEQ",969.0,969.0,,,0
CDM,31060110,"HC CHD,JAG-1,DEL-DUP",969.0,969.0,,,0
CDM,31060111,"HC DUAL GENOME,TIS,MOL PATH,LVL 8",969.0,969.0,,,0
CDM,31060112,HC SCN1A DNA GENE SEQUENCE,969.0,969.0,,,0
CDM,31060113,HC JAUNDICECHIP GENE (JAG-1),969.0,969.0,,,0
CDM,31060114,HC FACTOR VIII SEQUENCE ANALYSIS,969.0,969.0,,,0
CDM,31060115,"HC MOL PATH,LEVEL-8,ABCC8 GENE",969.0,969.0,,,0
CDM,31060116,"HC MOL PATH,LEVEL-8,ABCC8,SEQ",969.0,969.0,,,0
CDM,31060117,"HC MOL PATH,LEVEL-8,CHD7,SEQ",969.0,969.0,,,0
CDM,31060118,"HC AUTISM PANEL,MOL PATH,LEVEL-8",969.0,969.0,,,0
CDM,31060119,"HC EPILEPSY PANEL,CACNA1A SEQ",969.0,969.0,,,0
CDM,31060120,HC ATM GENE SEQUENCE,969.0,969.0,,,0
CDM,31060121,"HC MOL PATH,LEVEL-9,ATM,SEQ",969.0,969.0,,,0
CDM,31060124,"HC MOL PATH,LEVEL-9,VPS13B,SEQ",4936.0,4936.0,,,0
CDM,31060125,"HC AUTISM PANEL,MOL PATH,LEVEL-9",4936.0,4936.0,,,0
CDM,31060142,"HC STICKLER SYN,AORTIC DYS,SEQ",1225.0,1225.0,,,0
CDM,31060143,"HC STICKLER SYN,AORTIC DYS,SEQ",1222.0,1222.0,,,0
CDM,31060145,"HC STICKLER SYN,AORTIC DYS,D/D",1225.0,1225.0,,,0
CDM,31060146,"HC STICKLER SYN,AORTIC DYS,D/D",1225.0,1225.0,,,0
CDM,31060147,HC WHOLE EXOME SEQUENCING     GDX,1225.0,1225.0,,,0
CDM,31060148,"HC CARDIOMYOPATHY,MOL LEVEL-8",1225.0,1225.0,,,0
CDM,31060149,HC NOONAN'S SYNDROME GENE SEQ,1225.0,1225.0,,,0
CDM,31060150,HC MITOCHONDRIAL GENOME SEQUENCE,1225.0,1225.0,,,0
CDM,31060151,HC MITOCHONDRIAL GENOME LG DEL,1225.0,1225.0,,,0
CDM,31060152,"HC DUAL GENOME,TIS,UNLISTED MOL P",1225.0,1225.0,,,0
CDM,31060153,"HC NOONAN'S SYN,DEL-DUP ONLY",1225.0,1225.0,,,0
CDM,31060154,"HC EPILEPSY,UNLISTED GENE,DEL-DUP",1225.0,1225.0,,,0
CDM,31060155,HC ATG16L GENE,1225.0,1225.0,,,0
CDM,31060156,HC ECM-1 GENE,1225.0,1225.0,,,0
CDM,31060157,HC NKX2 GENE,1225.0,1225.0,,,0
CDM,31060158,HC STAT3 GENE,1225.0,1225.0,,,0
CDM,31060159,HC T-CELL RECEPTOR (TREC),1225.0,1225.0,,,0
CDM,31060160,HC ELA2 GENE SEQ ANALYSIS,1225.0,1225.0,,,0
CDM,31060161,HC JAUNDICECHIP GENE (ABCB11),1225.0,1225.0,,,0
CDM,31060162,"HC MOL PATHOLOGY, UNLISTED, FMF",1225.0,1225.0,,,0
CDM,31060163,HC MITO-DNA DELETIONS,1225.0,1225.0,,,0
CDM,31060164,HC JAUNDICECHIP GENE (ABCB4),1225.0,1225.0,,,0
CDM,31060167,HC JAUNDICECHIP GENE (AKR1D1),1225.0,1225.0,,,0
CDM,31060168,HC JAUNDICECHIP GENE (ATP8B1),5506.0,5506.0,,,0
CDM,31060175,"HC MOLECULAR PATH PROC, UNLISTED",2721.0,2721.0,,,0
CDM,31060176,HC MYH9 GENE MUTATION      BCW,6685.0,6685.0,,,0
CDM,31060178,HC JAUNDICECHIP GENE (SERP1NA1),3862.0,3862.0,,,0
CDM,31060179,HC JAUNDICECHIP GENE (SLC25A13),2721.0,2721.0,,,0
CDM,31060180,HC EXOME SLICE,2721.0,2721.0,,,0
CDM,31060181,"HC UNLISTED MOL/PATH,PANCREATITIS",2721.0,2721.0,,,0
CDM,31060182,HC ACVRL1 GENE SEQUENCE,2721.0,2721.0,,,0
CDM,31060183,HC RASA1 GENE SEQUENCE,2721.0,2721.0,,,0
CDM,31060189,HC ATM GENE DEL-DUP,6430.0,6430.0,,,0
CDM,31060190,HC ACVRL1 GENE DEL-DUP,6430.0,6430.0,,,0
CDM,31060191,HC RASA1 GENE DEL-DUP,6430.0,6430.0,,,0
CDM,31060192,HC IGF1R GENE SEQUENCING,6430.0,6430.0,,,0
CDM,31060194,"HC MOL PATH,UNLIST,HYPERINS GENE",2000.0,2000.0,,,0
CDM,31060194,"HC MOL PATH,UNLISTED CRANIO GENES",4181.0,4181.0,,,0
CDM,31060195,"HC MOL PATH,UNLISTED,POLR1C GENE",2768.0,2768.0,,,0
CDM,31060195,"HC MOL PATH,UNLISTED,POLR1D GENE",900.0,900.0,,,0
CDM,31060197,"HC MOL PATH,UNLISTED SEQ/DEL-DUP",16903.0,16903.0,,,0
CDM,31060198,HC PERIODIC FEVER SYNDROME,2000.0,2000.0,,,0
CDM,31060199,"HC MOL PATH,UNLISTED GENE SEQ",2000.0,2000.0,,,0
CDM,31060201,"HC MOL PATH,UNLISTED GENE DEL-DUP",3713.0,3713.0,,,0
CDM,31060202,"HC AUTISM PANEL,MOL PATH,UNLISTED",3009.0,3009.0,,,0
CDM,31060203,"HC BM FAILURE,UNLIST GENE DEL-DUP",950.0,950.0,,,0
CDM,31060224,"HC BM FAILURE,UNLIST GENE SEQ",1596.0,1596.0,,,0
CDM,31060225,"HC UNLISTED GENE SEQ,IBD PANEL",1596.0,1596.0,,,0
CDM,31060226,"HC UNLISTED DEL-DUP,IBD PANEL",312.0,312.0,,,0
CDM,31060227,"HC EPILEPSY PANEL,UNLISTED SEQ",312.0,312.0,,,0
CDM,31060228,"HC EPILEPSY PANEL,UNLIST DEL-DUP",312.0,312.0,,,0
CDM,31060229,"HC STICKLER SYN,UNLISTED,SEQ",312.0,312.0,,,0
CDM,31060230,"HC STICKLER SYN,UNLISTED,DEL-DUP",2499.0,2499.0,,,0
CDM,31060231,HC SALL1 GENE SEQUENCING,1692.0,1692.0,,,0
CDM,31060232,HC SALL1 GENE DELETION-DUP,38.0,38.0,,,0
CDM,31060233,"HC CHD,UNLISTED GENE,DEL-DUP",563.0,563.0,,,0
CDM,31060234,HC ALLOMAP GENE EXPRESSION(IP),953.0,953.0,,,0
CDM,31060235,HC LIVER FIBROSIS (FIBROTEST) PAN,38.0,38.0,,,0
CDM,31060236,HC THAW AND EXPANSION-FROZEN CELL,38.0,38.0,,,0
CDM,31060237,HC THAW AND EXPANSION-FROZEN CELL,38.0,38.0,,,0
CDM,31060238,"HC SCORE 100 CELLS,FANC-DEB",991.0,991.0,,,0
CDM,31060239,"HC COUNT 5 CELLS, 1 KARYOTYPE",2505.0,2505.0,,,0
CDM,31060241,"HC COUNT 5 CELLS, 1 KARYOTYPE",38.0,38.0,,,0
CDM,31060242,"HC CNT 45 CELLS,MOSAIC,2 KARYOTYP",38.0,38.0,,,0
CDM,31060243,"HC CNT 45 CELLS,MOSAIC,2 KARYOTYP",6108.0,6108.0,,,0
CDM,31060244,HC COMPLEX CYTO INTERP & REPORT,353.0,353.0,,,0
CDM,31060245,HC COMPLEX CYTO INTERP & REPORT,509.0,509.0,,,0
CDM,31060246,"HC CYTOGENETICS INTERP, FANCONI A",509.0,509.0,,,0
CDM,31060247,"DEAC 4/1/2025 HC NKC,INTERPRETATION CCH",509.0,509.0,,,0
CDM,31060248,"DEAC 4/1/2025 HC FLOW CYTOMETRY, INTERPRETATION; 2 TO 8 MARKERS",509.0,509.0,,,0
CDM,31060249,"DEAC 4/1/2025 HC XIAP,INTERPRETATION,FLOW",509.0,509.0,,,0
CDM,31060250,"DEAC 4/1/2025 HC TH17 CYTOKINE,INTERPRETATION",1952.0,1952.0,,,0
CDM,31060251,"DEAC 4/1/2025 HC APOPTOSIS,FLOW,INTERPRETATION",266.0,266.0,,,0
CDM,31060252,"DEAC 4/1/2025 HC DOCK8,PROTEIN EXP(FLOW),INTERP",212.0,212.0,,,0
CDM,31060253,"DEAC 4/1/2025 HC CD107A,INTERPRETATION",1472.0,1472.0,,,0
CDM,31060254,"DEAC 4/1/2025 HC WASP,FLOW CYTOMETRY,INTERP",1472.0,1472.0,,,0
CDM,31060255,"DEAC 4/1/2025 HC INTERPRETATION, FLOW, XLP1",765.0,765.0,,,0
CDM,31060256,"DEAC 4/1/2025 HC INTERPRETATION,MRD FLOW PANEL",1344.0,1344.0,,,0
CDM,31060257,"HC CONSULT/REPORT,REFERRED SPEC",254.0,254.0,,,0
CDM,31060258,"HC CONSULTATION,EM    (STANFORD)",254.0,254.0,,,0
CDM,31060259,"HC CONSULTATION, COMP, (STANFORF)",443.0,443.0,,,0
CDM,31060260,"HC BLOCK RECUT,H&E STAIN",1065.0,1065.0,,,0
CDM,31060261,"HC BLOCK RECUT,UNSTAINED",1065.0,1065.0,,,0
CDM,31060262,HC DX BRONCHOSCOPE/WASH INCL FLUORO,1065.0,1065.0,,,0
CDM,31060263,HC INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS,1065.0,1065.0,,,0
CDM,31060264,HC REMOVAL LT HEART VENT BY THORACIC INCIS ECMO/ECLS,1015.0,1015.0,,,0
CDM,31060265,HC INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S&I,1114.0,1114.0,,,0
CDM,31060266,HC ABLATE L/R ATRIAL FIBRIL W/ISOLATED PULM VEIN ADDL,1015.0,1015.0,,,0
CDM,31060267,HC INTRACARD CATH ABLATION ARRHYTHMIA ADD ON,1114.0,1114.0,,,0
CDM,31060268,HC COMPRE ELECTROPHYSIOL XM W/LEFT ATRIAL PACNG/REC,1114.0,1114.0,,,0
CDM,31060269,HC INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING,1065.0,1065.0,,,0
CDM,31060273,HC COMPRE ELECTROPHYSIOL XM W/LEFT VENTR PACNG/REC,1596.0,1596.0,,,0
CDM,31060274,HC MAP TACHYCARDIA W/CATH MANIPULATION ADD-ON,13124.0,13124.0,,,0
CDM,31060275,HC LEFT HEART CATH BY TRANSEPTAL PUNCTURE,874.0,874.0,,,0
CDM,31060276,HC JOINT SURVEY SINGLE VIEW 2+ JOINTS,62.0,62.0,,,0
CDM,31060276,HC TEETH; COMPLETE; FULL MOUTH,87.0,87.0,,,0
CDM,31060277,HC NONSELECTIVE CATH PLACEMENT IN VEIN,2704.0,2704.0,,,0
CDM,31060278,HC CT ANGIO ABD&PELV W/O&W/DYE,607.0,607.0,,,0
CDM,31060278,HC LYMPHANGIOGRAM PELVIC/ABD; BILAT,96.0,96.0,,,0
CDM,31060279,HC MAGNETIC RESONANCE SPECTROSCOPY,346.0,346.0,,,0
CDM,31060279,HC REPLACE CATH ONLY OF VAD,238.0,238.0,,,0
CDM,31060280,HC PLACE CATH XTRNL CAROTID,22.0,22.0,,,0
CDM,31060280,HC US GUIDE -  ENDOMYOCARDIAL BX,254.0,254.0,,,0
CDM,31060281,HC PLACE CATH CAROTID/INOM ART W/ ANGIO EXTRACRANIAL,254.0,254.0,,,0
CDM,31060285,HC CLOTTING; FACTOR VIII RELATED ANTIGEN,2315.0,2315.0,,,0
CDM,31060286,HC COAG TIME; ACTIVATED,10686.0,10686.0,,,0
CDM,31060287,HC OSMOTIC FRAGILITY RBC; UNINCUBATED,3861.0,3861.0,,,0
CDM,31060288,HC LAB BACTERIOLOY AND MICROBIOLOGY,2808.0,2808.0,,,0
CDM,31060289,HC HIV-1 AG W/HIV-1 & HIV-2 AB,2742.0,2742.0,,,0
CDM,31060290,HC HERPES 6 NA QUAN,2742.0,2742.0,,,0
CDM,31060300,HC CHEMODENERV 1 EXTREM 5/> MUS,1124.0,1124.0,,,0
CDM,31060302,HC CHEMODENERV 1 EXTREM 5/> EA,1922.0,1922.0,,,0
CDM,31060303,HC HUGGIE AND CATCHER,5020.0,5020.0,,,0
CDM,31060308,HC THRMB/INFUS DIAL CIRC & INTRAPRC PHARM THRMB INJ,185.0,185.0,,,0
CDM,31060309,HC THRMB/INFUS DIAL CIRC W/TRNSLUM BAL ANGIOPLASTY,146.0,146.0,,,0
CDM,31100002,HC FLOW CYTOMETRY TC 1ST MARKER,66.0,66.0,,,0
CDM,31100004,HC FLOW CYTOMETRY EA ADDTL MARKER,174.0,174.0,,,0
CDM,31100004,HC FLOW CYTOMETRY TC 1ST MARKER,323.0,323.0,,,0
CDM,31100005,HC FLOW CYTOMETRY EA ADDTL MARKER,93.0,93.0,,,0
CDM,31100005,HC TISSUE CULTURE; LYMPHOCYTE,322.0,322.0,,,0
CDM,31100006,HC TISSUE CULTURE; LYMPHOCYTE,665.0,665.0,,,0
CDM,31100006,HC TISSUE CULTURE; SKIN OR SOLID BX,50.0,50.0,,,0
CDM,31100007,HC CHROM ANALY; 20-25 CELLS,174.0,174.0,,,0
CDM,31100007,HC DRAIN/INJ MAJOR JOINT/BURSA W/US,123.0,123.0,,,0
CDM,31100009,HC CELL COUNT NOT BLOOD,2183.0,2183.0,,,0
CDM,31100009,HC DIFF CELL COUNT NOT BLOOD,755.0,755.0,,,0
CDM,31100010,HC COLLECT SWEAT FOR TEST,162.0,162.0,,,0
CDM,31100010,HC PHLEBOTOMY THERAPEUTIC,388.0,388.0,,,0
CDM,31100051,HC INJECTION FOR WRIST ARTHROGRAPHY,750.0,750.0,,,0
CDM,31100061,HC CALC GENE COM VARIANTS (210),259.0,259.0,,,0
CDM,31100063,HC DRUG TEST(S); READ BY DIRECT OPTICAL OBSER ONLY,232.0,232.0,,,0
CDM,31100064,HC UNLISTED CARDIOVASCULAR SERVICE,74.0,74.0,,,0
CDM,31160001,HC PLACE CATH CAROTID/INOM ART W/ ANGIO INTRACRANIAL,334.0,334.0,,,0
CDM,31160002,HC PLACE CATH CAROTD ART,358.0,358.0,,,0
CDM,31160003,HC PLACE CATH SUBCLAVIAN ART,358.0,358.0,,,0
CDM,31160004,HC PLACE CATH VERTEBRAL ART,358.0,358.0,,,0
CDM,31160005,HC THROMBOLYTIC ART THERAPY,358.0,358.0,,,0
CDM,31160006,HC THROMBOLYTIC VENOUS THERAPY,358.0,358.0,,,0
CDM,31160007,HC THROMBLYTIC ART/VEN THERAPY,358.0,358.0,,,0
CDM,31160008,HC CESSJ THERAPY CATH REMOVAL,358.0,358.0,,,0
CDM,31160009,HC PERQ&IC ALLG TEST DRUGS/BIOL,358.0,358.0,,,0
CDM,31160010,HC INGEST CHALLENGE INIITIAL 120 MIN,558.0,558.0,,,0
CDM,31200000,HC AMINO ACIDS; SINGLE QUAL EA,1.2,1.2,,,0
CDM,31200001,HC EVAL OF FNA; INT & REP,134.5,134.5,,,0
CDM,31200002,HC TISSUE EXAM BY PATHOLOGIST LVL 3,114.5,114.5,,,0
CDM,31200003,HC TISSUE EXAM BY PATHOLOGIST LVL 4,149.5,149.5,,,0
CDM,31200004,HC TISSUE EXAM BY PATHOLOGIST LVL 5,323.0,323.0,,,0
CDM,31200004,HC TISSUE EXAM BY PATHOLOGIST LVL 6,152.0,152.0,,,0
CDM,31200005,HC DECALCIFICATION,1091.0,1091.0,,,0
CDM,31200005,HC SPECIAL STAINS GROUP 1,341.0,341.0,,,0
CDM,31200006,HC SPECIAL STAINS GROUP 1,444.0,444.0,,,0
CDM,31200006,HC SPECIAL STAINS GROUP 2,1596.0,1596.0,,,0
CDM,31200007,HC HISTOCHEMICAL STAINS ADD-ON,56.0,56.0,,,0
CDM,31200007,HC SPECIAL STAINS GROUP 2,126.0,126.0,,,0
CDM,31200008,HC ENZYME HISTOCHEMISTRY,371.0,371.0,,,0
CDM,31200008,HC HISTOCHEMICAL STAINS ADD-ON,98.0,98.0,,,0
CDM,31200009,HC ENZYME HISTOCHEMISTRY,388.0,388.0,,,0
CDM,31200009,HC SP CONSULT; 1ST TB W FS SGL SP,98.0,98.0,,,0
CDM,31200010,HC PATH CONSULT INTRAOP ADDL,345.0,345.0,,,0
CDM,31200010,HC SP CONSULT; 1ST TB W FS SGL SP,98.0,98.0,,,0
CDM,31200011,"HC IF STAIN , INITIAL",714.0,714.0,,,0
CDM,31200011,HC INTRAOP CYTO PATH CONSULT 2,189.0,189.0,,,0
CDM,31200012,HC ELECTRON MICRO; DX,178.0,178.0,,,0
CDM,31200012,"HC IF STAIN , INITIAL",222.0,222.0,,,0
CDM,31260001,HC INGEST CHALLENGE ADDL 60 MIN,122.0,122.0,,,0
CDM,31260002,"HC HA DIGITIAL, STANDARD, MONAURAL, ITC",646.0,646.0,,,0
CDM,31260003,"HC HA DIGITIAL, STANDARD, BINAURAL, ITC",646.0,646.0,,,0
CDM,31260005,"HC HA DIGITAL, STANDARD, MONAURAL, CIC",33.0,33.0,,,0
CDM,31260006,"HC HA DIGITAL, STANDARD, MONAURAL, RITE",33.0,33.0,,,0
CDM,31900001,HC TISSUE CULTURE; OTHER TISSUE,334.0,334.0,,,0
CDM,31900002,HC CRYOPRESERVATION EA CELL LINE,649.0,649.0,,,0
CDM,31900004,HC MCG; DNA PROBE EA,364.5,364.5,,,0
CDM,31900005,HC MCG; SITU HYBRID 3-5 CELLS,402.0,402.0,,,0
CDM,31900007,HC CHROM ANALY; ADDTL CELL COUNTS,277.0,277.0,,,0
CDM,31900007,HC CHROM ANALY; ADDTL HI RESOLN,230.0,230.0,,,0
CDM,31900008,HC SURG PATH LEVEL-I GROSS ONLY,78.5,78.5,,,0
CDM,31900009,"HC ULTRASOUND BREAST UNILAT, LIMITED",196.0,196.0,,,0
CDM,31900011,HC BLOOD SPLIT UNIT,904.0,904.0,,,0
CDM,32000001,"HC X-RAY EXAM OF EYE, DETECTION OF FOREIGN BODY",2541.0,2541.0,,,0
CDM,32000002,"HC MANDIBLE, MIN 4 VIEWS",270.0,270.0,,,0
CDM,32000004,"HC  FACIAL BONES, MIN 3 VIEWS",549.0,549.0,,,0
CDM,32000006,"HC  NASAL BONES, MIN 3 VIEWS",549.0,549.0,,,0
CDM,32000007,"HC  ORBITS, MIN 4 VIEWS",347.0,347.0,,,0
CDM,32000008,"HC  SINUSES, PARANASAL, LESS THAN 3 VIEWS",618.0,618.0,,,0
CDM,32000009,"HC  SINUSES, PARANASAL, MIN 3 VIEWS",428.0,428.0,,,0
CDM,32000010,"HC  SKULL, LESS THAN 4 VIEWS",602.0,602.0,,,0
CDM,32000011,"HC  SKULL, MIN 4 VIEWS",692.0,692.0,,,0
CDM,32000012,HC MRI OF TEMPOROMANDIBULAR JOINT(S),800.0,800.0,,,0
CDM,32000014,"HC CT HEAD OR BRAIN, W/O CONTRAST",445.0,445.0,,,0
CDM,32000015,"HC  SPINE, CERVICAL, MIN 4 VIEWS",414.0,414.0,,,0
CDM,32000016,"HC  SPINE, CERVICAL, COMPLETE",551.0,551.0,,,0
CDM,32000017,"HC  SPINE, THORAX, 2 VIEWS",662.0,662.0,,,0
CDM,32000018,"HC  SPINE, THORAX, MIN 4 VIEWS",1092.0,1092.0,,,0
CDM,32000019,"HC  SPINE, THORACOLUMBAR, 2 VIEWS",662.0,662.0,,,0
CDM,32000021,"HC  SPINE, LUMBOSACRAL, 2 OR 3 VIEWS",694.0,694.0,,,0
CDM,32000022,"HC  SPINE, LUMBOSACRAL, MIN 4 VIEWS",313.0,313.0,,,0
CDM,32000024,"HC CT CERVICAL SPINE, W/O CONTRAST",563.0,563.0,,,0
CDM,32000025,"HC CT CERVICAL SPINE, W CONTRAST",626.0,626.0,,,0
CDM,32000027,HC CTA PELVIS W & W/O CONTRAST,631.0,631.0,,,0
CDM,32000028,HC CT PELVIS W/O CONTRAST,428.0,428.0,,,0
CDM,32000029,"HC MYELOGRAPHY, CERVICAL S & I",549.0,549.0,,,0
CDM,32000030,"HC MYELOGRAPHY, THORACIC S & I",362.0,362.0,,,0
CDM,32000031,"HC MYELOGRAPHY, LUMBOSACRAL S & I",2023.0,2023.0,,,0
CDM,32000032,"HC MYELOGRAPHY, 2 OR MORE REGIONS S & I",1519.0,1519.0,,,0
CDM,32000033,"HC RAD EXAM CLAVICLE, COMPLETE",2023.0,2023.0,,,0
CDM,32000034,"HC RAD EXAM SCAPULA, COMPLETE",1759.0,1759.0,,,0
CDM,32000038,"HC RAD EXAM SHOULDER, MIN 2 VIEWS",410.0,410.0,,,0
CDM,32000039,"HC RAD EXAM SHOULDER, ARTHROGRAPHY",347.0,347.0,,,0
CDM,32000041,"HC RAD EXAM ACROMIOCLAVICULAR JOINTS, BILAT",631.0,631.0,,,0
CDM,32000042,"HC RAD EXAM ELBOW, 2 VIEWS",457.0,457.0,,,0
CDM,32000043,"HC RAD EXAM ELBOW, MIN 3 VIEWS",414.0,414.0,,,0
CDM,32000044,"HC RAD EXAM ELBOW, ARTHROGRAPHY",414.0,414.0,,,0
CDM,32000045,"HC RAD EXAM FOREARM, 2 VIEWS",456.0,456.0,,,0
CDM,32000046,"HC RAD EXAM WRIST, 2 VIEWS",414.0,414.0,,,0
CDM,32000047,"HC RAD EXAM WRIST, MIN 3 VIEWS",414.0,414.0,,,0
CDM,32000048,HC RAD EXAM WRIST ARTHROGRAPHY,414.0,414.0,,,0
CDM,32000049,"HC RAD EXAM HAND, 2 VIEWS",414.0,414.0,,,0
CDM,32000050,"HC RAD EXAM FINGER(S), MIN 2 VIEWS",428.0,428.0,,,0
CDM,32000051,HC CT UPPER EXT W/O CONTRAST,414.0,414.0,,,0
CDM,32000052,HC CT UPPER EXT W CONTRAST,414.0,414.0,,,0
CDM,32000059,HC RAD EXAM KNEE 4 OR MORE VIEWS,414.0,414.0,,,0
CDM,32000060,HC RAD EXAM BOTH KNEES STANDING AP MIN 3 VIEWS,662.0,662.0,,,0
CDM,32000061,HC RAD EXAM KNEE ARTHROGRAPHY,729.0,729.0,,,0
CDM,32000062,HC RAD EXAM TIBIA AND FIBULA 2 VIEWS,345.0,345.0,,,0
CDM,32000063,HC RAD EXAM ANKLE 2 VIEWS,414.0,414.0,,,0
CDM,32000064,HC RAD EXAM ANKLE MIN 3 VIEWS,623.0,623.0,,,0
CDM,32000065,HC RAD EXAM ANKLE ARTHROGRAPHY,305.0,305.0,,,0
CDM,32000067,HC RAD EXAM FOOT MIN 3 VIEWS,662.0,662.0,,,0
CDM,32000068,HC RAD EXAM TOE(S) MIN 2 VIEWS,414.0,414.0,,,0
CDM,32000069,HC CT LOWER EXT W/O CONTRAST,345.0,345.0,,,0
CDM,32000070,HC CT LOWER EXT W CONTRAST,431.0,431.0,,,0
CDM,32000074,HC CT ABDOMEN W CONTRAST,879.0,879.0,,,0
CDM,32000075,"HC RAD EX, SWALL FUNC W/CIN/VID RAD, INCL SCOUT RAD(S)&IMG(S), CONTR STDY",842.0,842.0,,,0
CDM,32000077,"HC RAD EXM, SM INT,INCL MULTI IMGS&SCOUT ABD RAD(S), SNGL-CONTR STDY",672.0,672.0,,,0
CDM,32000078,"HC RAD EXM, SM INT,INCL MULTI IMGS&SCOUT ABD RAD(S), DBL- CONTR STDY",672.0,672.0,,,0
CDM,32000082,"HC RAD EXM, COLON, W/SCOUT ABD RAD(S) & DELAY IMG(S); WHEN PERF; SNGL STDY",633.0,633.0,,,0
CDM,32000083,HC THERAPEUTIC ENEMA CONTRAST OR AIR FOR OBSTRC,611.0,611.0,,,0
CDM,32000084,HC CHOLANGIOGRAPHY/PANCREATOGRAPHY INTRAOP,1130.0,1130.0,,,0
CDM,32000086,HC INTRO LONG GI TUBE INC MULTI FLUORO & FILMS,886.0,886.0,,,0
CDM,32000087,HC PERC TRANSHEPATIC DILATION BILIARY DUCT,325.0,325.0,,,0
CDM,32000092,HC UROGRAPHY IV W OR W/O KUB/TOMOGRAPH,998.0,998.0,,,0
CDM,32000093,HC UROGRAPHY RETROGRADE W OR W/O KUB,5022.0,5022.0,,,0
CDM,32000094,HC CYSTOGRAPHY MIN 3 VIEWS,1644.0,1644.0,,,0
CDM,32000095,HC URETHROCYSTOGRAPHY RETROGRADE S & I,1827.0,1827.0,,,0
CDM,32000097,HC URETHROCYSTOGRAPHY VOIDING S & I,1494.0,1494.0,,,0
CDM,32000098,HC DILATE URETER(S) OR URETHRA,1644.0,1644.0,,,0
CDM,32000099,HC PERINEOGRAM FOR SEX DETERMIN/ANOMALY,1619.0,1619.0,,,0
CDM,32000102,HC CARDIAC MRI FOR MORPH & FUNC W/O CONTRAST,4142.0,4142.0,,,0
CDM,32000104,HC CARDIAC MRI FOR MORPH & FUNC W/W/O CON,1484.0,1484.0,,,0
CDM,32000106,HC VENOGRAPHY EXT UNILATERAL,1993.0,1993.0,,,0
CDM,32000107,HC VENOGRAPHY EXT BILATERAL,4316.0,4316.0,,,0
CDM,32000109,HC VENOGRAPHY CAVAL INFERIOR W/SERIALOGRAPHY,3276.0,3276.0,,,0
CDM,32000110,HC VENOGRAPHY CAVAL SUPERIOR W/SERIALOGRAPH,3712.0,3712.0,,,0
CDM,32000111,HC VENOGRAPHY RENAL UNILATERAL SELECTIVE,5144.0,5144.0,,,0
CDM,32000112,HC VENOGRAPHY RENAL BILATERAL SELECTIVE,3072.0,3072.0,,,0
CDM,32000113,HC VENOGRAPHY VENOUS SINUS/JUGULAR CATHETER,11947.0,11947.0,,,0
CDM,32000114,HC DISOPYRAMIDE,19951.0,19951.0,,,0
CDM,32000115,HC VENOGRAPHY SUPERIOR SAGITTAL SINUS,5273.0,5273.0,,,0
CDM,32000116,HC PERCUT TRANSHEPATIC PORTOGRAM W/O HDM,4180.0,4180.0,,,0
CDM,32000117,HC HEPATIC VENOGRAPHY W/ HDM,4874.0,4874.0,,,0
CDM,32000118,HC AMIODARONE,4838.0,4838.0,,,0
CDM,32000119,HC  S CEREVISIAE AB,4918.0,4918.0,,,0
CDM,32000120,HC E HISTOLYTICA AB,4950.0,4950.0,,,0
CDM,32000121,HC IDENT BY DNA SEQUENCE,8876.0,8876.0,,,0
CDM,32000122,HC LEGIONELLA AG,14393.0,14393.0,,,0
CDM,32000124,HC STREP PNUMO AG,3309.0,3309.0,,,0
CDM,32000126,HC TRANSCATHETER BIOPSY,1458.0,1458.0,,,0
CDM,32000127,HC PERC DRAINAGE CATH PLACEMENT W/ RAD GUID,700.0,700.0,,,0
CDM,32000135,HC FLUOROSCOPE EXAMINATION UP TO 1 HOUR,6056.0,6056.0,,,0
CDM,32000139,HC RAD EX FISTULA OR SINUS TRACT STUDY S & I,1142.0,1142.0,,,0
CDM,32000140,HC 3D RENDERING W/O POSTPROCESS,1309.0,1309.0,,,0
CDM,32000141,HC 3D RENDERING W POSTPROCESS,948.0,948.0,,,0
CDM,32000143,HC CT LIMITED OR LOCALIZED FOLLOW-UP STUDY,1658.0,1658.0,,,0
CDM,32000145,HC ULTRASOUND CHEST INCLS MEDIASTINUM,1375.0,1375.0,,,0
CDM,32000146,HC CT SCAN FOR NEEDLE BIOPSY,1377.0,1377.0,,,0
CDM,32000147,HC CT GUIDANCE TISSUE ABLATION,684.0,684.0,,,0
CDM,32000148,HC BONE AGE STUDIES,824.0,824.0,,,0
CDM,32000152,HC RAD EXAM OSSEOUS SURVEY COMPLETE,545.0,545.0,,,0
CDM,32000153,HC RAD EXAM OSSEOUS SURVEY INFANT,454.0,454.0,,,0
CDM,32000154,"HC DXA BONE DENSITY STUDY, AXIAL 1+ SITES",523.0,523.0,,,0
CDM,32000155,HC LYMPHATICS AND LYMPH NODE IMAGING,920.0,920.0,,,0
CDM,32000156,HC HEPATOBILIARY SYSTEM IMAG INC GALLBLADDER,1101.0,1101.0,,,0
CDM,32000157,HC GASTROESOPHAGEAL REFLUX SCAN,1039.0,1039.0,,,0
CDM,32000161,HC REPOSITIONING CENTRAL VENOUS CATHETER W/FLOURO,8541.0,8541.0,,,0
CDM,32000162,HC REPLACE GASTRO/CECO TUBE PERCUTANEOUS,6107.0,6107.0,,,0
CDM,32000202,HC MRI LEXTREM W&WO CONTR,989.0,989.0,,,0
CDM,32000203,HC INSERT CATHETER RENAL ARTERY 1ST UNILATERAL,549.0,549.0,,,0
CDM,32000204,HC US INFANT HIPS; DYNAMIC,350.0,350.0,,,0
CDM,32000206,HC LIVER & SPLEEN; STATIC ONLY,261.0,261.0,,,0
CDM,32000207,HC HEPATOBIL SYST IMAGE W/DRUG,977.0,977.0,,,0
CDM,32000208,HC ESOPHAGEAL MOTILITY,447.0,447.0,,,0
CDM,32000215,HC MRA ABDOMEN WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST,423.0,423.0,,,0
CDM,32000218,"HC FINE NEEDLE ASPIRATION BIOPSY, W/US GUIDANCE, 1ST LESION",1173.0,1173.0,,,0
CDM,32000226,"HC FINE NEEDLE ASPIRATION BIOPSY, W/FLUORO GUIDANCE, 1ST LESION",2015.0,2015.0,,,0
CDM,32000250,HC FINGER CAST MATERIAL,166.0,166.0,,,0
CDM,32000252,HC AUTO CELL PROC/PREP/STORE,523.0,523.0,,,0
CDM,32000255,"DEAC 9/1/2020 HC LEUKOCYTE POOR BLOOD, PEDS, EA UNIT",8492.0,8492.0,,,0
CDM,32000258,HC DRAIN/INJ SMALL JOINT/BURSA W/US,260.0,260.0,,,0
CDM,32000262,HC INFECTIOUS AGENT DRUG SUSCEPTIBILITY PHENOTYPE,422.0,422.0,,,0
CDM,32000263,HC SOMATOSENSORY TESTING; UPPER & LOWER LIMBS,701.0,701.0,,,0
CDM,32000264,HC CENTRAL MOTOR EVOKED UPPER & LOWER LIMBS,416.0,416.0,,,0
CDM,32000265,"HC INFECTIOUS AGENT GENOTYPE ANALYSIS BY NUCLEIC ACID, RT/PR",845.0,845.0,,,0
CDM,32000266,"HC INFECTIOUS AGENT GENOTYPE ANALYSIS BY NUCLEIC ACID, OTHER REGION",229.0,229.0,,,0
CDM,32000267,HC INSERTION/REPLACEMENT SUBCUTANEOUS DEFIBRILLATOR,464.0,464.0,,,0
CDM,32000269,HC INSERT SUBCUTANEOUS IMPLANTABLE DEFIBRILLATOR ELECTRODE,673.0,673.0,,,0
CDM,32000272,HC REMOVAL OF SUBCUTANEOUS IMPLANTABLE DEFIBRILLATOR,205.0,205.0,,,0
CDM,32000273,HC REPOSITIONING PREVIOUS  IMPLANTED SUBQ DEFIB ELECTRODE,603.0,603.0,,,0
CDM,32000274,DEAC 11/01/2023 HC ADM SARSCV2 BVL 3 MCG/0.2ML 2ND DOSE,379.0,379.0,,,0
CDM,32000276,"HC DXA BONE DENSITY STDY, 1+ SITES; AXIAL SKEL, INCL VERTEB FRACTURE ASSESS",886.0,886.0,,,0
CDM,32000277,HC MUSCLE TEST DONE W/NERVE TEST LIMITED,3516.0,3516.0,,,0
CDM,32000278,HC X-RAY EXAM CHEST 2 VIEWS,423.0,423.0,,,0
CDM,32000279,HC X-RAY EXAM CHEST 3 VIEWS,678.0,678.0,,,0
CDM,32000280,HC X-RAY EXAM CHEST 4 OR MORE VIEWS,755.0,755.0,,,0
CDM,32000281,HC HEALTH BEHAVIOR INTERV GROUP FACE TO FACE; 1ST 30 MIN,135.0,135.0,,,0
CDM,32000283,HC CYTOGENOMIC NEO MICRORA ALYS (350),397.0,397.0,,,0
CDM,32000284,HC COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION,993.0,993.0,,,0
CDM,32000285,HC ELECTROPHYSIOLOGY EVALUATION,2885.0,2885.0,,,0
CDM,32000286,HC ESOPHAGEAL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG,3815.0,3815.0,,,0
CDM,32200001,"HC RAD EXAM HUMERUS, MIN 2 VIEWS",1970.0,1970.0,,,0
CDM,32200002,HC RAD EXAM UPPER EXT INFANT MIN 2 VIEWS,1584.0,1584.0,,,0
CDM,32200003,"HC RAD EXAM HAND, MIN 3 VIEWS",2334.0,2334.0,,,0
CDM,32200004,HC RAD EXAM KNEE 3 VIEWS,1642.0,1642.0,,,0
CDM,32200005,HC RAD EXAM LOWER EXT INFANT MIN 2 VIEWS,1791.0,1791.0,,,0
CDM,32200006,HC RAD EXAM CALCANEUS MIN 2 VIEWS,1477.0,1477.0,,,0
CDM,32300001,HC AORTOGRAM ABDOMINAL W/ BILATERAL RUNOFF,8848.0,8848.0,,,0
CDM,32300002,HC ANGIOGRAPHY SPINAL SELECTIVE,7274.0,7274.0,,,0
CDM,32300003,HC ANGIOGRAPHY EXT UNILATERAL S & I,5064.0,5064.0,,,0
CDM,32300012,HC ANGIOGRAPHY EXT BILATERAL S & I,10054.0,10054.0,,,0
CDM,32300013,HC ANGIOGRAPHY VISCERAL SELECT/SUPRASELECT,4534.0,4534.0,,,0
CDM,32300014,HC ANGIOGRAPHY ADRENAL UNILATERAL SELECTIVE,5280.0,5280.0,,,0
CDM,32300015,HC ANGIOGRAPHY ADRENAL BILATERAL SELECTIVE,8099.0,8099.0,,,0
CDM,32300016,HC ANGIOGRAPHY PELVIC SELECT/SUPRASELECT,3981.0,3981.0,,,0
CDM,32300017,HC ANGIOGRAPHY PULMONARY UNILAT SELECTIVE,6107.0,6107.0,,,0
CDM,32300018,HC ANGIOGRAPHY PULMONARY BILAT  SELECTIVE,7934.0,7934.0,,,0
CDM,32300019,HC ANGIOGRAPHY PULMONARY NONSEL CATH/INJECT,3948.0,3948.0,,,0
CDM,32300020,HC ANGIOGRAPHY SELECTIVE EA ADDTL VESSEL,5648.0,5648.0,,,0
CDM,32300021,HC LYMPHANGIOGRAPHY EXT ONLY UNILAT,4929.0,4929.0,,,0
CDM,32300023,HC LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT,2000.0,2000.0,,,0
CDM,32400009,"HC RIBS X-RAY, BILAT, MIN 4 VIEWS INCL CHEST",538.0,538.0,,,0
CDM,32400010,HC STERNUM X-RAY MIN 2 VIEWS,619.0,619.0,,,0
CDM,32400011,HC STERNOCLAVICULAR JT(S) X-RAY MIN 3 VIEWS,305.0,305.0,,,0
CDM,32400012,HC DX CT THORAX W/O CONTRAST,355.0,355.0,,,0
CDM,32400020,"HC RAD EXM, UGI, W/SCOUT ABD RAD(S) & DELAY IMG(S); WHEN PERF; SNGL STDY",361.0,361.0,,,0
CDM,32400022,"HC RAD EXM, UGI, W/SCOUT ABD RAD(S) & DELAY IMG(S); WHEN PERF; DBL STDY",604.0,604.0,,,0
CDM,32400025,"HC IMMUNOGLOBULIN; IGA, IGD, IGG, IGM EACH",795.0,795.0,,,0
CDM,32400026,HC CINE OR VIDEO SPEECH EVAL,15.0,15.0,,,0
CDM,32400026,"HC ENDOMYSIAL AB (EMA), EA IMMUNOGLOBULIN (IG) CLASS",1118.0,1118.0,,,0
CDM,32400027,HC X-RAY EXAM OF RIBS 2 VIEWS UNILAT,1440.0,1440.0,,,0
CDM,32400028,HC X-RAY EXAM OF RIBS 3 VIEWS BILAT,1536.0,1536.0,,,0
CDM,33100001,"HC CHEMOTHERAPY ADMIN, IVP EA ADDL",513.0,513.0,,,0
CDM,33100002,"HC CHEMOTHERAPY IV INFUSION, 1ST HR",521.0,521.0,,,0
CDM,33100003,"HC CHEMOTHERAPY IV INFUSION, EA ADDL HR",838.0,838.0,,,0
CDM,33100004,"HC CHEMOTHERAPY IV INFUSION, EA ADDL SEQ",267.0,267.0,,,0
CDM,33100005,HC PARAFFIN BATH THERAPY,2785.0,2785.0,,,0
CDM,33100006,HC ELECTRICAL STIMULATION EA 15 MINS,629.0,629.0,,,0
CDM,33500001,"HC CHEMOTHERAPY ADMIN, CNS W/LP",1320.0,1320.0,,,0
CDM,33500002,HC CHEMOTHERAPY INJ VIA SQ RESERVOIR,319.0,319.0,,,0
CDM,33500003,HC IRRIGATION OF IMPLANTED VAD,634.0,634.0,,,0
CDM,33500005,"HC ABLATE, 1 OR MORE PULM TUMOR, PERQ, UNIL; RF",1403.0,1403.0,,,0
CDM,34100009,HC ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING,1741.0,1741.0,,,0
CDM,34100013,HC INTESTINE IMAGING E.G. MECKEL'S LOCALIZATION,1936.0,1936.0,,,0
CDM,34100014,"HC BONE AND/OR JOINT IMAGING, LIMITED AREA",1949.0,1949.0,,,0
CDM,34100018,"HC BONE AND/OR JOINT IMAGING, WHOLE BODY",1698.0,1698.0,,,0
CDM,34100019,"HC BONE AND/OR JOINT IMAGING , 3 PHASE STUDY",1713.0,1713.0,,,0
CDM,34100021,HC PULMONARY PERFUSION IMAGING PARTICULATE,1724.0,1724.0,,,0
CDM,34100022,"HC BRAIN IMAGING, PET, METABOLIC EVALUATION",2081.0,2081.0,,,0
CDM,34100023,HC CEREBROSPINAL FLUID FLOW IMG CISTERNOGRAM,1294.0,1294.0,,,0
CDM,34100031,HC CEREBROSPINAL FLUID FLOW IMG SHUNT EVAL,1490.0,1490.0,,,0
CDM,34100035,HC KIDNEY IMAGING W/VASC FLOW & FUNCTION,2741.0,2741.0,,,0
CDM,34100036,HC KIDNEY IMAGING W/VASC FLOW & FUNC W/DRUG,2878.0,2878.0,,,0
CDM,34100037,HC KIDNEY STUDY NON-IMAGING RADIOISOTOPIC,3952.0,3952.0,,,0
CDM,34100038,HC URETER REFLUX STUDY RADIOPHARM CYSTOGRAM,1817.0,1817.0,,,0
CDM,34100039,"HC RADIOPHARM LOCAL TUMOR; PLANAR, SINGLE AREA, SINGLE DAY IMG",2182.0,2182.0,,,0
CDM,34100041,"HC RADIOPHARM LOCAL TUMOR ; PLANAR, WHOLE BODY, SINGLE DAY IMG",1399.0,1399.0,,,0
CDM,34100042,HC PET IMAGING W/CT SKULL BASE TO MID-THIGH,2389.0,2389.0,,,0
CDM,34100044,HC PET IMAGING W/CT WHOLE BODY,2040.0,2040.0,,,0
CDM,34100045,HC UNLISTED MISC PROC DIAGNOSTIC NUCLEAR MED,2719.0,2719.0,,,0
CDM,34100063,HC MRA LOWER EXTREMITY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST,1936.0,1936.0,,,0
CDM,34100064,HC MRA PELVIS WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST,1332.0,1332.0,,,0
CDM,34100065,HC PREFAB AFO,1955.0,1955.0,,,0
CDM,34100066,HC BREATHING RESPONSE TO CO2,1340.0,1340.0,,,0
CDM,34100085,"HC INTRO NEEDLE OR INTRACATHETER, UPPER OR LOWER EXTREMITY ARTERY",2456.0,2456.0,,,0
CDM,34100120,HC INSERT SWAN GANZ CATH BEDSIDE,2509.0,2509.0,,,0
CDM,34100130,"HC INSERT CATHETER RENAL ARTERY 2ND, UNILAT",5201.0,5201.0,,,0
CDM,34100136,HC PLEURA CATHETER INSERTION W/IMAGE,1251.0,1251.0,,,0
CDM,34100141,HC HA DISPENSING FEE UNSPECIFIED,893.0,893.0,,,0
CDM,34100142,"HC HA, DIGITAL,  ADVANCED, MONAURAL, ITC",1593.0,1593.0,,,0
CDM,34100157,HC MRA SPINAL CANAL WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST,3878.0,3878.0,,,0
CDM,34100159,HC TARGETED GENOMIC SEQ ANALYSIS (467),3878.0,3878.0,,,0
CDM,34100203,HC IH BRONCHIAL CHALLENGE; W HISTAMINE,1279.0,1279.0,,,0
CDM,34100205,HC INJECT INTERLAMINAR CRV/THRC; W/IMG,2046.0,2046.0,,,0
CDM,35000001,HC CT SOFT TISSUE NECK W/CONTRAST,1643.0,1643.0,,,0
CDM,35000002,HC CT SOFT TISSUE NECK W/O & W/CONTRAST,2374.0,2374.0,,,0
CDM,35000003,HC CT ANGIO HEAD W/CONTRAST MATERIAL(S),2579.0,2579.0,,,0
CDM,35000004,HC MRI ORBIT/FACE/NECK W/O CONTRAST,1456.0,1456.0,,,0
CDM,35000005,HC CT HEART W/CON FOR CONGENTIAL HEART DIS,545.0,545.0,,,0
CDM,35000006,HC CTA HEART W/CON W/3D IMAGE POSTPROCESS,1300.0,1300.0,,,0
CDM,35000007,HC AORTOGRAPHY THORACIC BY SERIALOGRAPHY,1129.0,1129.0,,,0
CDM,35000008,HC AORTOGRAPHY ABDOMINAL BY SERIALOGRAPHY,1349.0,1349.0,,,0
CDM,35000009,HC UNLISTED CT PROCEDURE,1167.0,1167.0,,,0
CDM,35000010,HC UNLISTED MAGNETIC RESONANCE PROCEDURE,1397.0,1397.0,,,0
CDM,35000011,HC UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE,1214.0,1214.0,,,0
CDM,35000013,HC BONE LENGTH STUDIES,3417.0,3417.0,,,0
CDM,35000014,HC RAD EXAM OSSEOUS SURVEY LIMITED,1890.0,1890.0,,,0
CDM,35000016,HC INTRACARDIAC CATH ABLATION ATRIOVENTR NODE FUNCTION,3680.0,3680.0,,,0
CDM,35100001,"HC CT HEAD OR BRAIN, W CONTRAST",1983.0,1983.0,,,0
CDM,35100002,"HC CT HEAD OR BRAIN, W & W/O CONTRAST",2056.0,2056.0,,,0
CDM,35100003,"HC CT ORBIT, SELLA, POSTERIOR FOSSA W/O CONTRAST",2455.0,2455.0,,,0
CDM,35100004,"HC CT ORBIT, SELLA, POSTERIOR FOSSA W CONTRAST",2160.0,2160.0,,,0
CDM,35100005,"HC CT ORBIT, SELLA, P. FOSSA W/O & W CONTRAST",2238.0,2238.0,,,0
CDM,35100006,HC CT MAXILLOFACIAL W/O CONTRAST,2455.0,2455.0,,,0
CDM,35100007,HC CT MAXILLOFACIAL W/CONTRAST,1983.0,1983.0,,,0
CDM,35100008,HC CT MAXILLOFACIAL W/O & W/CONTRAST,2351.0,2351.0,,,0
CDM,35100009,HC CT SOFT TISSUE NECK W/O CONTRAST,2455.0,2455.0,,,0
CDM,35100010,HC CT ANGIO NECK W/CONTRAST MATERIAL(S),1472.0,1472.0,,,0
CDM,35200001,HC DX CT THORAX W CONTRAST,2476.0,2476.0,,,0
CDM,35200002,HC DX CT THORAX W & W/O CONTRAST,2965.0,2965.0,,,0
CDM,35200003,HC MRI CHEST W/O CONTRAST,3064.0,3064.0,,,0
CDM,35200004,HC MRI CHEST W & W/O CONTRAST,1759.0,1759.0,,,0
CDM,35200005,"HC CT  THORACIC SPINE, W/O CONTRAST",2574.0,2574.0,,,0
CDM,35200006,"HC CT THORACIC SPINE, W CONTRAST",2696.0,2696.0,,,0
CDM,35200008,"HC CT LUMBAR SPINE, W/O CONTRAST",2451.0,2451.0,,,0
CDM,35200009,"HC CT  LUMBAR SPINE, W CONTRAST",2696.0,2696.0,,,0
CDM,35200011,"HC MRI SPINE CERVICAL, W/O CONTRAST",2152.0,2152.0,,,0
CDM,35200012,"HC MRI SPINE CERVICAL, W CONTRAST",2364.0,2364.0,,,0
CDM,35200014,HC CT PELVIS W CONTRAST,1303.0,1303.0,,,0
CDM,35200015,HC CT PELVIS W & W/O CONTRAST,2358.0,2358.0,,,0
CDM,35200016,HC MRI PELVIS W/O CONTRAST,2698.0,2698.0,,,0
CDM,35200017,HC MRI PELVIS W CONTRAST,2940.0,2940.0,,,0
CDM,35200019,HC CTA UPPER EXT W & W/O CONTRAST,1723.0,1723.0,,,0
CDM,35200020,HC MRI UPPER EXT NOT JOINT W/O CONTRAST,2052.0,2052.0,,,0
CDM,35200021,HC MRI UPPER EXT NOT JOINT W & W/O CONTRAST,1456.0,1456.0,,,0
CDM,35200022,HC CT LOWER EXT W & W/O CONTRAST,2162.0,2162.0,,,0
CDM,35200023,HC CTA LOWER EXT W/O & W CONTRAST,2264.0,2264.0,,,0
CDM,35200024,HC MRI LOWER EXT NOT JOINT W/O CONTRAST,2488.0,2488.0,,,0
CDM,35200025,HC MRI ANY JOINT LOWER EXT W/O CONTRAST,2488.0,2488.0,,,0
CDM,35200026,HC CT ABDOMEN W & W/O CONTRAST,1285.0,1285.0,,,0
CDM,35200027,HC CTA ABDOMEN W/O AND W CONTRAST,2614.0,2614.0,,,0
CDM,35200028,HC CT ABDOMEN AND PELVIS W/O CONTRAST,2787.0,2787.0,,,0
CDM,35200029,HC CT ABDOMEN AND PELVIS W CONTRAST,1520.0,1520.0,,,0
CDM,35200030,HC CT ABDOMEN AND PELVIS W & W/O CONTRAST,4852.0,4852.0,,,0
CDM,35200031,HC MRI ABDOMEN W/O CONTRAST,5727.0,5727.0,,,0
CDM,35200032,HC MRI ABDOMEN W CONTRAST,6001.0,6001.0,,,0
CDM,35200041,"HC FINE NEEDLE ASPIRATION BIOPSY, W/US GUIDANCE, EA ADDL LESION",2342.0,2342.0,,,0
CDM,35200050,"DEAC 9/1/2020 HC PLATELETS PHERESIS LR, PEDS, EA UNIT",1692.0,1692.0,,,0
CDM,36000005,"HC ABLATE BONE TUMOR, PERQ, W/IMAG PERF,  CRYO",35901.6,35901.6,,,0
CDM,36000124,"HC HA DIGITAL, PREMIUM, MONAURAL BTE",2704.0,2704.0,,,0
CDM,36000125,"HC HA DIGITAL, PREMIUM, MONAURAL CIC",2704.0,2704.0,,,0
CDM,36000129,"DEAC 7/1/2023 HC APPLY CAST, FINGER",12155.36,12155.36,,,0
CDM,36000130,HC INSERTION PICC W/O GUIDE <5 YRS,15471.68,15471.68,,,0
CDM,36000131,HC INSERTION PICC W/GUIDE <5 YRS,12155.36,12155.36,,,0
CDM,36000132,HC REPAIR CVA CATH W/O SUBQ PORT/PUMP,210.0,210.0,,,0
CDM,36000133,HC CSF SHUNT REPROGRAMMING,83.0,83.0,,,0
CDM,36000134,HC ALPHA-GLOBIN GENE ANALYSIS,243.0,243.0,,,0
CDM,36000135,HC RETINAL RPGR GENE SEQUENCE,98.0,98.0,,,0
CDM,36000136,HC HSV-6 IGG AB,279.0,279.0,,,0
CDM,36000137,HC DIALYSIS TRAINING/COMPLETE,119.0,119.0,,,0
CDM,36000138,"HC HA DIGITAL, BASIC MONAURAL, CIC",314.0,314.0,,,0
CDM,36000139,"HC HA DIGITAL, BASIC MONAURAL, ITC",167.0,167.0,,,0
CDM,36000140,"HC HA DIGITAL, BASIC MONAURAL, ITE",348.0,348.0,,,0
CDM,36000141,"HC HA DIGITAL, BASIC MONAURAL, BTE",188.0,188.0,,,0
CDM,36000144,HC X-LINKED INTELLECTUAL (AUTISM) DUP/DEL GENE ANAL,8672.16,8672.16,,,0
CDM,36100002,HC DRUG/SUBSTANCE NOS 7/MORE (135),224.0,224.0,,,0
CDM,36100053,HC EXTEMITY VENOGRAPHY INJECTION,3577.0,3577.0,,,0
CDM,36100055,"HC NONSELECTIVE CATH, SUPERIOR/INFERIOR VENA CAVA",2631.0,2631.0,,,0
CDM,36100058,"HC SELECTIVE CATHETER, FIRST ORDER FAMILY",1948.0,1948.0,,,0
CDM,36100065,"HC SELECTIVE CATHETER, SECOND ORDER FAMILY",750.0,750.0,,,0
CDM,36100066,"HC SELECTIVE CATH ARTERY, BRACH-CEPH, FIRST ORDER",4985.0,4985.0,,,0
CDM,36100067,HC INSERT CATHETER ABD/L-EXT ART 2ND,5045.0,5045.0,,,0
CDM,36100068,HC INSERT CATHETER ABD/L-EXT ART 3RD,7989.0,7989.0,,,0
CDM,36100073,"HC INJECTION(S) OF SCLEROSANT FOR  SPIDER VEINS, LIMB OR TRUNK",3552.0,3552.0,,,0
CDM,36100074,"HC INSERT NON-TUNNELED CV CATHETER, AGE 5 OR OLDER",643.0,643.0,,,0
CDM,36100075,"HC INSERT TUNNELED CV CATHETER, AGE 5 OR OLDER",1075.0,1075.0,,,0
CDM,36100076,"HC INSERT TUNNELED CVAD W/PORT, 5YRS OR OLDER",1075.0,1075.0,,,0
CDM,36100078,"HC REPLACE TUNNELED CV CATHETER, SAME VENOUS",2204.0,2204.0,,,0
CDM,36100080,HC REPLACE TUNNELED CVAD WITH PORT,2510.0,2510.0,,,0
CDM,36100081,"HC REPLACE PICC CATHETER, INCL IMAGE GUIDE",2510.0,2510.0,,,0
CDM,36100082,"HC REMOVE TUNNELED CV CATHETER, WO PORT",953.0,953.0,,,0
CDM,36100085,"HC REMOVE TUNNELED CVAD, WITH PORT OR PUMP",7349.0,7349.0,,,0
CDM,36100086,HC INSERT ENDOVASCULAR VENA CAVA FILTER,11015.0,11015.0,,,0
CDM,36100087,HC REMOVE ENDOVASCULAR VENA CAVE FILTER,14245.0,14245.0,,,0
CDM,36100088,HC TRANSCATHETER BIOPSY,5552.0,5552.0,,,0
CDM,36100089,"HC REVASC, ILIAC ARTERY, UNIL, 1ST VESSEL; W STENT",5940.0,5940.0,,,0
CDM,36100090,"HC REVASC, OPEN/PERCUT, FEMORAL/POPLITEAL W/TLA; UNIL",6238.0,6238.0,,,0
CDM,36100091,HC UNLISTED VASCULAR SURGERY PROCEDURE,1483.0,1483.0,,,0
CDM,36100092,HC REPOSITION GASTROSTOMY TUBE,3808.0,3808.0,,,0
CDM,36100094,HC PERCUT DILATION BILARY STRICTURE WO STENT,13240.0,13240.0,,,0
CDM,36100095,HC PERCUT DILATION BILARY STRICTURE WITH STENT,5780.0,5780.0,,,0
CDM,36100096,"HC CONTRAST INJECTION, ASSESS CYST VIA EXIST CATH",9167.0,9167.0,,,0
CDM,36100101,"HC PLACE GASTROSTOMY TUBE, PERCUT, UNDER FLUORO GUIDE",16455.0,16455.0,,,0
CDM,36100102,HC REMOVE RENAL TUBE W/FLUORO,8310.0,8310.0,,,0
CDM,36100105,HC INJECT ILEAL CONDUIT/URETEROPYELOGRAM,13343.0,13343.0,,,0
CDM,36100108,HC INJECTION CYSTOGRAPHY OR VOIDING URETHROCYSTOGRAPHY,5261.0,5261.0,,,0
CDM,36100114,"HC MYELOGRAM INJECT, SPINAL NOT C1-C2",5691.0,5691.0,,,0
CDM,36100115,"HC INJECTION DISCOGRAPHY, EACH LEVEL; LUMBAR",6126.0,6126.0,,,0
CDM,36100118,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; TRIGEMINAL NERVE, EA BRCH",4439.0,4439.0,,,0
CDM,36100119,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; GREATER OCCIPITAL NERVE",5342.0,5342.0,,,0
CDM,36100123,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; INTERCOSTAL NERVE, SNGL LEVEL",2829.0,2829.0,,,0
CDM,36100129,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; INTERCOSTAL NERVE EA ADDL LEVEL",1988.0,1988.0,,,0
CDM,36100130,"HC INJ PARAVERTEBRAL FACET, LUMBAR/SACRAL, 1 LEVEL",797.0,797.0,,,0
CDM,36100133,"HC INJ PARAVERTEBRAL FACET, LUMBAR/SACRAL, 2 LEVEL",4388.0,4388.0,,,0
CDM,36100135,"HC NERVE BLOCK INJ, CELIAC PLEXUS",6399.0,6399.0,,,0
CDM,36100143,HC RBC DEGLYCEROLIZED EACH UNIT,2448.0,2448.0,,,0
CDM,36100144,HC RBC LR IRRADIATED EACH UNIT,2448.0,2448.0,,,0
CDM,36100145,HC FFP 8-24 HRS OF COLLECT EA UNIT,2410.0,2410.0,,,0
CDM,36100146,HC PLATELETS PHERESIS LR EA UNIT,2983.0,2983.0,,,0
CDM,36100155,HC PLATELETS PHERESIS LR IRRAD EA UNIT,4338.0,4338.0,,,0
CDM,36100156,"HC CONTINUOUS INHALATION TX, 1ST HOUR",2631.0,2631.0,,,0
CDM,36100161,"HC CONTINUOUS INHALATION TX, EA ADD HOUR",3084.0,3084.0,,,0
CDM,36100200,HC BX BREAST 1ST LESION US IMAG,11490.0,11490.0,,,0
CDM,36100201,HC BX BREAST ADD LESION US IMAG,11490.0,11490.0,,,0
CDM,36100202,HC BX BREAST 1ST LESION MR IMAG,10756.0,10756.0,,,0
CDM,36100203,HC BX BREAST ADD LESION MR IMAG,10756.0,10756.0,,,0
CDM,36100252,DEAC 5/15/2025 HC NASOGASTRIC TUBING WITH STYLET,225.0,225.0,,,0
CDM,36100254,"HC WHOLE BLD,LEUKO-REDUCED,PEDS",5929.0,5929.0,,,0
CDM,36100261,"HC HA DIGITAL, PREMIUM, MONAURAL, ITE",76330.0,76330.0,,,0
CDM,36100266,HC DRUG SCREEN QUANT EVEROLIMUS,70657.0,70657.0,,,0
CDM,36100267,HC DRUG SCREEN QUANT GABAPENTIN,52568.0,52568.0,,,0
CDM,36100268,HC DRUG SCREEN QUAN LAMOTRIGINE,52568.0,52568.0,,,0
CDM,36100269,HC DRUG SCRN QUAN LEVETIRACETAM,4761.0,4761.0,,,0
CDM,36100270,HC DRUG SCRN QUAN MYCOPHENOLATE,4761.0,4761.0,,,0
CDM,36100272,HC DRUG SCRN QUANT OXCARBAZEPIN,2401.0,2401.0,,,0
CDM,36100273,HC DRUG SCREEN QUANT ZONISAMIDE,2401.0,2401.0,,,0
CDM,36100274,HC ASPA GENE,2401.0,2401.0,,,0
CDM,36100275,HC BLM GENE,2401.0,2401.0,,,0
CDM,36100279,"HC ANTI-DEPRESS,SEROTO 1-2 (70)",27633.0,27633.0,,,0
CDM,36100280,HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC; W/O IMG,4761.0,4761.0,,,0
CDM,36100282,HC DUPLEX LE ART/BPG; BILAT,5025.0,5025.0,,,0
CDM,36100285,"HC VENOGRAM, ORBIT",41545.0,41545.0,,,0
CDM,36100286,HC EP EVAL & TX ATRIAL FIB PULM VEIN ISOLATION,18283.0,18283.0,,,0
CDM,36100287,HC EPHYS EVAL W/ABLATION VENTRICULAR TACHYCARDIA,18283.0,18283.0,,,0
CDM,36100300,HC IMAGE CATH FLUID COLXN VISC,5053.0,5053.0,,,0
CDM,36100301,HC IMAGE CATH FLUID PERI/RETRO,5615.0,5615.0,,,0
CDM,36100302,HC CHEMODENERV 1 EXTREMITY 1-4,5445.0,5445.0,,,0
CDM,36100303,HC CHEMODENERV 1 EXTREM 1-4 EA,727.0,727.0,,,0
CDM,36200001,DEAC 9/1/2020 HC FRESH FROZ PLASMA/PED FBS,8707.0,8707.0,,,0
CDM,37000006,HC COMPARATOR EXOME (247),71.5,71.5,,,0
CDM,37000008,HC COMPARATOR EXOME (493),531.3,531.3,,,0
CDM,37000009,HC EXOME SEQUENCE ANALYSIS (1232),250.0,250.0,,,0
CDM,37000010,HC EXOME RE-EVALUATION (493),531.3,531.3,,,0
CDM,37000013,"HC HA DIGITAL, BASIC MONAURAL, RITE",176.96,176.96,,,0
CDM,37000014,"HC HA DIGITAL, BASIC BINAURAL, CIC",78.4,78.4,,,0
CDM,38100001,HC AQUATIC THERAPY/EXERCISE EA 15 MINS,1193.0,1193.0,,,0
CDM,38100003,"HC WOUND CARE NON-SELECTIVE, WO ANES, PER SESSION",1153.0,1153.0,,,0
CDM,38100010,"HC FLUCONAZOLE, SERUM QUEST",1510.0,1510.0,,,0
CDM,38100015,"HC MASS SPECT, EACH ANALYTE",312.0,312.0,,,0
CDM,38100016,HC MT-DNA GENOME FULL SEQUENCE,455.0,455.0,,,0
CDM,38120004,"DEAC 4/1/2025 HC IV INFUS/SUBSQ INJ, CASIRIVIMAB & IMDEVIMAB W/POST ADM MONITOR, REPEAT DOSES",1098.0,1098.0,,,0
CDM,38200002,HC EYE EXAM W ANESTH; COMPLETE,936.0,936.0,,,0
CDM,38200004,HC ECMO/ECLS INITIATION VENOUS - DAILY MGMT,1087.0,1087.0,,,0
CDM,38200006,HC METHOTREXATE,773.0,773.0,,,0
CDM,38200007,"HC CLOSEQ,BMA,IN-PATIENT ONLY",563.0,563.0,,,0
CDM,38300002,HC CANDIDA NA AMPLIFIED PROBE,360.0,360.0,,,0
CDM,38300003,HC ECMO/ECLS INITIATION ARTERY - DAILY MGMT,897.0,897.0,,,0
CDM,38360001,HC PRA SCREEN; QUICK METHOD,86.0,86.0,,,0
CDM,38400002,"HC PHYSICAL PERFORMANCE TEST, EA 15 MINS",1766.0,1766.0,,,0
CDM,38400003,"HC SLV TREATMENT GROUP, 2 OR MORE 2-4",2106.0,2106.0,,,0
CDM,38400013,"HC SULFATE,UR STONE RISK",2405.0,2405.0,,,0
CDM,38400014,"HC ENZYME ACTIVITY, LYSOSOMAL GGC, EACH SPECIMEN",789.0,789.0,,,0
CDM,38460001,HC LAB HEMATOLOGY,1185.0,1185.0,,,0
CDM,38600001,HC ECMO/ECLS DAILY MGMT-VENOUS,3166.8,3166.8,,,0
CDM,39000001,HC VOL REDUCTION OF BLOOD/PROD,487.0,487.0,,,0
CDM,39000003,HC VERTEBRAL FRACTURE ASSESSMENT VIA DXA,1479.0,1479.0,,,0
CDM,39000004,HC OPIOIDS AND OPIATE ANALOGS 1/2 (30),340.0,340.0,,,0
CDM,39000005,HC TRAMADOL (30),813.0,813.0,,,0
CDM,39000006,"HC  CANNABINOIDS,NATURAL",360.0,360.0,,,0
CDM,39000009,DEAC 11/01/2023 HC ADM SARSCOV2 10MCG/0.2 ML; TRIS-SUCROSE FORM; 2ND DOSE,345.0,345.0,,,0
CDM,39000010,HC ECMO/ECLS DAILY MGMT ARTERY,235.0,235.0,,,0
CDM,39000206,DEAC 11/01/2023 HC ADM SARSCOV2 10MCG/0.2 ML; TRIS-SUCROSE FORM; 1ST DOSE,279.0,279.0,,,0
CDM,39000214,HC MITOCHONDRIAL NUCLEAR GENE,455.0,455.0,,,0
CDM,39000215,"HC DAPTOMYCIN, SERUM",959.0,959.0,,,0
CDM,39000216,"HC FFP HIGH TITER COVID-19 CONVALESCENT, FROZEN - 8 HR COLLECT, EA UNIT (439)",2391.0,2391.0,,,0
CDM,39100001,HC THERAPEUTIC APHERESIS,1814.0,1814.0,,,0
CDM,40200001,HC ULTRASOUND ABDOMEN COMPLETE,659.0,659.0,,,0
CDM,40200002,"HC ULTRASOUND ABDOMEN LIMITED - 1 ORGAN, QUAD",920.0,920.0,,,0
CDM,40200003,HC ULTRASOUND RETROPERITONEAL COMPLETE,876.0,876.0,,,0
CDM,40200005,HC ULTRASOUND RETROPERITONEAL LIMITED,920.0,920.0,,,0
CDM,40200006,HC ULTRASOUND TRANSPLANTED KIDNEY W/DOPPLER,920.0,920.0,,,0
CDM,40200007,HC ULTRASOUND SPINAL CANAL AND CONTENTS,920.0,920.0,,,0
CDM,40200008,HC CRYPT AG TITER,467.0,467.0,,,0
CDM,40200009,HC LEUKOREDUCTION,665.0,665.0,,,0
CDM,40200010,HC TRICH. VAGINALIS AMP PROBE,622.0,622.0,,,0
CDM,40200025,HC DOPPLER ECHOCARDIOLOGY FETAL F/U,1648.0,1648.0,,,0
CDM,40200026,"HC ULTRASOUND TRANSVAGINAL, NON OB",1404.0,1404.0,,,0
CDM,40200027,HC ULTRASOUND PELVIC EXAM COMPLETE NON OB,724.0,724.0,,,0
CDM,40200028,HC ULTRASOUND PELVIC EXAM LIMITED NON OB,568.0,568.0,,,0
CDM,40200029,HC ULTRASOUND SCROTUM AND CONTRASTENTS,920.0,920.0,,,0
CDM,40200030,HC US COMPLETE JOINT,920.0,920.0,,,0
CDM,40200031,"HC US LIMITED, JOINT OR FOCAL EVAL OF OTHER NONVASCULAR EXTREMITY STRUCTURE(S)",625.0,625.0,,,0
CDM,40200032,HC US INFANT HIPS; LIMITED/STATIC,920.0,920.0,,,0
CDM,40200035,HC US GUIDANCE VASCULAR ACCESS,761.0,761.0,,,0
CDM,40200036,HC US GUIDANCE TISSUE ABLATION,575.0,575.0,,,0
CDM,40200037,HC US GUIDED NEEDLE PLACEMENT,420.0,420.0,,,0
CDM,40200039,HC US GUIDANCE INTRAOPERATIVE,1288.0,1288.0,,,0
CDM,40200040,HC FLUOROGUIDE CENTRAL VEN ACCESS DEV PLCMNT,1675.0,1675.0,,,0
CDM,40200042,HC FLUOROSCOPIC GUIDANCE FOR NEEDLE PLCMNT,706.0,706.0,,,0
CDM,40200047,HC FLUOROSCOPIC GUIDANCE FOR SPINE INJECTION,1001.0,1001.0,,,0
CDM,40200051,HC MRA LEXTREM W CONT,725.0,725.0,,,0
CDM,40200061,"DEAC 9/1/2020 HC PLATELETS PHERESIS LR IRRAD, PEDS, EA UNIT",3193.0,3193.0,,,0
CDM,40200063,HC TISSUE EXAM BY PATHOLOGIST LVL 5,625.0,625.0,,,0
CDM,40200066,HC GENOME SEQUENCE ANALYSIS (1970),609.0,609.0,,,0
CDM,40200068,"HC INFECTIOUS AGENT DETECTION BY DNA/RNA PNEUMOCYSTIS JIROVECII, AMP PROBE",369.0,369.0,,,0
CDM,40200073,HC EPHYS EVAL SUBQ IMPLANTABLE DEFIBRILLATOR,325.0,325.0,,,0
CDM,40400003,HC CEREBROSPINAL FLUID LEAKAGE IMAGING,13892.0,13892.0,,,0
CDM,40400005,"HC IMMUNIZATION ADMIN SQ/IM, SINGLE",12316.0,12316.0,,,0
CDM,40400006,"HC IMMUNIZATION ADMIN SQ/IM, EA ADDL",10479.0,10479.0,,,0
CDM,41000001,HC CATHETER ASPIRATION: NASOTRACHEAL,727.0,727.0,,,0
CDM,41000002,HC TRANSFUSION BLOOD OR BLOOD COMPONENTS,355.0,355.0,,,0
CDM,41000026,HC PULMONARY FUNCTION TST PLETHYSMOGRAPHY,989.0,989.0,,,0
CDM,41000031,HC CO/MEMBRANE DIFFUSE CAPACITY,1158.0,1158.0,,,0
CDM,41000037,HC X-RAY EXAM ABDOMEN 1 VIEW,924.0,924.0,,,0
CDM,41000038,"HC CYP2D6, GENE ANALYSIS, COMMON VARIANTS(30)",52173.0,52173.0,,,0
CDM,41000039,"HC CYP3A4, GENE ANALYSIS, COMMON VARIANTS(30)",52173.0,52173.0,,,0
CDM,41000040,"HC CYP3A5, GENE ANALYSIS, COMMON VARIANTS(30)",52173.0,52173.0,,,0
CDM,41000041,"HC DPYD, GENE ANALYSIS, COMMON VARIANTS(30)",52173.0,52173.0,,,0
CDM,41000042,"HC CHEST PT,  INITIAL TX",3361.0,3361.0,,,0
CDM,41000044,HC AB; CRYPTOCOCCUS,3200.0,3200.0,,,0
CDM,41000048,HC AB; EBNA,1424.0,1424.0,,,0
CDM,41000049,"HC ALTERNATIVE GAS THERAPY, PER DAY",1017.0,1017.0,,,0
CDM,41000050,HC AB; HISTOPLASMA,324.0,324.0,,,0
CDM,41000052,HC ATTENDANCE AT DELIVERY  INIT STABILIZATION OF NB,1990.0,1990.0,,,0
CDM,41000200,"HC PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA, BULLA, OR CYST",725.0,725.0,,,0
CDM,41000201,HC MOPATH PROCEDURE LEVEL 7 (1490),95.0,95.0,,,0
CDM,41000203,HC LAB CYCTOLOGY,2165.0,2165.0,,,0
CDM,41060001,"HC HA DIGITAL, ADVANCED, MONAURAL, CIC",492.0,492.0,,,0
CDM,41060002,HC X-LINKED INTELLECTUAL (AUTISM) SEQ ANAL,137.0,137.0,,,0
CDM,42000004,HC THERAPEUTIC EXERCISES EA 15 MINS,115.0,115.0,,,0
CDM,42000005,HC NEUROMUSCULAR REEDUCATION EA 15 MINS,184.0,184.0,,,0
CDM,42000006,HC GAIT TRAINING THERAPY EA 15 MINS,76.0,76.0,,,0
CDM,42000007,HC MASSAGE THERAPY EA 15 MINS,194.0,194.0,,,0
CDM,42000008,HC MANUAL THERAPY EA 15 MINS,215.0,215.0,,,0
CDM,42000009,HC THERAPEUTIC REHAB GROUP 2 OR MORE,172.0,172.0,,,0
CDM,42000010,HC THERAPEUTIC ACTIVITY DIR EA 15 MINS,162.0,162.0,,,0
CDM,42000011,HC ADL/SELF HOME MGMT EA 15 MINS,207.0,207.0,,,0
CDM,42000012,HC ASSISTIVE TECHNOLOGY ASSESSMENT EA 15 MIN,745.0,745.0,,,0
CDM,42000013,"HC ORTHOTIC MGMT & TRAINING, INITIAL ENCOUNTER, EA 15 MINS",58.0,58.0,,,0
CDM,42000014,"HC PROSTHETIC TRAINING, INITIAL ENCOUNTER,  EA 15 MINS",711.0,711.0,,,0
CDM,42000015,"HC MNT, INDIV, EA 15 MIN, INITIAL ASSESSMENT",1266.0,1266.0,,,0
CDM,42000017,HC OFFICE/OUTPATIENT VISIT EST LVL 2,189.0,189.0,,,0
CDM,42000018,HC EMERGENCY DEPT VISIT LVL 1,174.0,174.0,,,0
CDM,42000022,"HC MNT, INDIV, EA 15 MIN, RE-ASSESSMENT",208.0,208.0,,,0
CDM,42000051,HC ASHKENAZI JEWISH ASSOC DIS (730),268.0,268.0,,,0
CDM,42000052,"DEAC 7/1/2023 HC APPLY CAST, HAND AND LOWER FOREARM (GAUNTLET)",599.0,599.0,,,0
CDM,42000053,"HC INJECTION, EPIDURAL, OF BLOOD OR CLOT PATCH",198.0,198.0,,,0
CDM,42000060,"HC REMOVAL INDWELLING URETERAL STENT, PERQ  APPROACH",617.0,617.0,,,0
CDM,42000061,"HC TISSUE TRANSGLUTAMINASE, EACH IG CLASS",208.0,208.0,,,0
CDM,42400003,HC XOMEDXXPRESS (739),355.0,355.0,,,0
CDM,42400004,"HC XOMEDXXPRESS SEQ ANALYSIS, EA COMPARATOR EXOME (370)",475.0,475.0,,,0
CDM,42400005,HC CYTOKINE 13 PANEL (13),711.0,711.0,,,0
CDM,42400006,"HC MOLECULAR PATH PROC, LEVEL 4  (71)",323.0,323.0,,,0
CDM,43000010,HC ULTRASOUND THERAPY EA 15 MINS,74.0,74.0,,,0
CDM,43000014,HC SELECTIVE DEBRIDEMENT 20 SQ CM OR LESS,209.0,209.0,,,0
CDM,43000017,"HC NEG PRESSURE WOUND TX W/DME, LESS THAN 50 SQ CM",205.0,205.0,,,0
CDM,43000019,"HC NEG PRESSURE WOUND TX W/DME, GREATER THAN 50 SQ CM",198.0,198.0,,,0
CDM,43000020,HC WHEELCHAIR MGMT TRAINING EA 15 MINS,101.0,101.0,,,0
CDM,43000028,HC DRUG ASSAY LACOSAMIDE (80),92.0,92.0,,,0
CDM,43000029,HC DRUG ASSAY VORICONAZOLE (45),88.0,88.0,,,0
CDM,43400003,HC FLUORESCENT NONINFECT AB; SCRN EA AB,347.0,347.0,,,0
CDM,43400004,HC MOPATH PROCEDURE LEVEL 5 (246),460.0,460.0,,,0
CDM,43400005,HC MOPATH PROCEDURE LEVEL 6 (123),691.0,691.0,,,0
CDM,43400006,HC MOPATH PROCEDURE LEVEL 7 (83),302.0,302.0,,,0
CDM,44000001,HC TYMPANOMETRY & REFLEX THRESH,509.0,509.0,,,0
CDM,44000003,"HC SCREENING TEST, PURE TONE AIR ONLY",641.0,641.0,,,0
CDM,44000004,HC COCHLEAR IMPLT EXAM 7 > W PROG,344.0,344.0,,,0
CDM,44000006,HC EVALUATE SWALLOWING FUNCTION,742.0,742.0,,,0
CDM,44000007,"HC MOTION FLUORO SWALLOW FCN, CINE/VIDEO",301.0,301.0,,,0
CDM,44000008,"HC EVAL AUDITORY FUNCTION, 1ST HR",658.0,658.0,,,0
CDM,44000009,"HC EVAL AUDITORY FUNCTION, EA ADDL 15 MIN",659.0,659.0,,,0
CDM,44000010,HC AUD REHAB PRE-LING HEAR LOSS,522.0,522.0,,,0
CDM,44000014,HC DUPLEX EXT VEINS; BILAT,517.0,517.0,,,0
CDM,44000015,HC DUPLEX EXT VEINS; UNIL/LIMIT,69.0,69.0,,,0
CDM,44000016,HC DUPLEX ARTERIAL FLOW; COMPL,784.0,784.0,,,0
CDM,44000050,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; OTHER PERIPHER NERVE OR BRCH",134.0,134.0,,,0
CDM,44400002,HC CFTR GENE KNOWN FAM VARIANTS,678.0,678.0,,,0
CDM,44400003,HC CYP2D6 GENE COM VARIANTS,671.0,671.0,,,0
CDM,44400004,HC CYP2C9 GENE COM VARIANTS,892.0,892.0,,,0
CDM,44400005,HC CYTOGEN M ARRAY COPY NO&SNP,584.0,584.0,,,0
CDM,45000107,HC CRITICAL CARE FIRST HOUR,937.0,937.0,,,0
CDM,45000245,HC HEARING AID EXAM ONE EAR,718.0,718.0,,,0
CDM,45000272,HC HEARING AID EXAM BOTH EARS,678.0,678.0,,,0
CDM,45000277,HC TILT TABLE EVALUATION - STANDARD,1640.0,1640.0,,,0
CDM,45000278,HC ECG UP TO 48 HRS RECORDING,3119.0,3119.0,,,0
CDM,45000293,HC ESOPHAGUS MOTILITY STUDY,6362.0,6362.0,,,0
CDM,45000294,HC GASTROESOPHAGEAL REFLUX TEST,1184.0,1184.0,,,0
CDM,45000318,HC MUSC TEST DONE W/NERVE TEST COMP,1187.0,1187.0,,,0
CDM,45000325,HC HEARING AID CHECK MONAURAL,909.44,909.44,,,0
CDM,45000326,HC HEARING AID CHECK BINAURAL,2629.76,2629.76,,,0
CDM,45000327,HC HEARING AID CHECK BINAURAL,10178.56,10178.56,,,0
CDM,45000329,"HC CC/MS, NON-DRUG ANALYTE(S) NES, QUAL OR QNT, EA SP",890.0,890.0,,,0
CDM,45000330,"HC LACTATION CLASSES, NON-PHYSICIAN PROVIDER, PER SESSION",7695.0,7695.0,,,0
CDM,45100001,HC EMERGENCY DEPT VISIT LVL 5,736.0,736.0,,,0
CDM,45200002,HC ARTHROCENTESIS MAJOR JOINT OR BURSA,1221.0,1221.0,,,0
CDM,45200003,HC ASPIRATION & INJ TX OF BONE CYST,1840.0,1840.0,,,0
CDM,45200004,HC PLEURA BIOSPY; PERCUTANEOUS NEEDLE,2821.0,2821.0,,,0
CDM,45200005,HC DEAC 01/01/2021 PERCUTANEOUS BIOPSY LUNG/MEDIASTINUM,4874.0,4874.0,,,0
CDM,46000003,HB RESPIRATORY FLOW VOLUME LOOP - NON-MARYLAND,335.0,335.0,,,0
CDM,46000004,"HC CARDIOPULM EXERCISE TEST, INCL MEASURE MIN VENT, CO2, O2  & ECG",1080.0,1080.0,,,0
CDM,46000005,HC AEROSOL PENTAMIDINE FOR P. CARINII,1306.0,1306.0,,,0
CDM,46000008,HC EVALUATE PT USE OF INHALER/PER DAY,898.0,898.0,,,0
CDM,46000009,"HC OXYGEN UPTAKE, % O2",643.0,643.0,,,0
CDM,46000011,HC PULSE OXIMETRY,974.0,974.0,,,0
CDM,46000013,"HC PULSE OX MULTIPLE, EG EXERCISE",698.0,698.0,,,0
CDM,46000014,HC MSLT- SLEEP LATENCY,735.0,735.0,,,0
CDM,46000015,HC POLYSOMNOGRAPHY W/4> PARAM,112.0,112.0,,,0
CDM,46000016,"HC CPAP- SLEEP STAGING, >4 PAR",607.0,607.0,,,0
CDM,46000053,HC ANORECTAL MANOMETRY,748.0,748.0,,,0
CDM,46000054,HC X-RAY EXAM ABDOMEN 2 VIEWS,1403.0,1403.0,,,0
CDM,46000060,DEAC 11/01/2023 HC ADMN SARSCOV2 BIVALENT 3 MCG/0.2ML ADDL DOSE,698.0,698.0,,,0
CDM,46000061,HC F5 GENE ANALYSIS,638.0,638.0,,,0
CDM,46000063,"HC DGP ANTIBODY, EACH IMMUNOGLOBULIN (IG) CLASS",665.0,665.0,,,0
CDM,46000065,"HC CONTINOUS AEROSOL MIST W/WO OXYGEN, PER DAY",1023.0,1023.0,,,0
CDM,46000066,HC HEXAGNAL PHOSPH PLTLT NEUTRL,1236.0,1236.0,,,0
CDM,46000067,HC CRYPTOSPORIDIUM AG EIA,332.0,332.0,,,0
CDM,46000068,HC RESP SYNCYTIAL AG EIA,332.0,332.0,,,0
CDM,46000069,HC CHLAMYDIA P AMPLIF NA PROBE,14461.0,14461.0,,,0
CDM,46000070,HC CELL MARKER STUDY,332.0,332.0,,,0
CDM,46000071,HC INJECTION; SINGLE TENDON SHEATH/LIGAMENT,332.0,332.0,,,0
CDM,46000072,HC SERUM PRETX; RC ABSORPT,332.0,332.0,,,0
CDM,46000073,HC FECAL LEUKO CNT QUAL/SEMIQUAN,2070.0,2070.0,,,0
CDM,46000075,HC EXAM SYNOVIAL FLUID CRYSTALS,332.0,332.0,,,0
CDM,46000076,HC DRUG ADMINISTRATION (NITRIC OXIDE) & HEMODYNMIC MEASURES,874.0,874.0,,,0
CDM,46000078,"HC VENTILATOR MGT, INITIAL DAY - ADULT",357.0,357.0,,,0
CDM,46000087,HC HEALTH BEHAVIOR INTERV INDIV FACE TO FACE; EA ADDL 15 MIN,837.0,837.0,,,0
CDM,47000001,HC REPROGRAM COCHLEAR IMPLT 7 YRS & OLDER,641.0,641.0,,,0
CDM,47000002,"HC EVAL FOR SPEECH DEVICE RX, 1ST HR",771.0,771.0,,,0
CDM,47000003,"HC EVAL FOR SPEECH DEVICE RX, EA ADDL 30 MIN",668.0,668.0,,,0
CDM,47000004,HC THERAPEUTIC SP DEVICE SERVICE,639.0,639.0,,,0
CDM,47000013,"HC PURE TONE AUDIOMETRY, AIR ONLY",316.5,316.5,,,0
CDM,47000016,HC ASO ; TITER,120.0,120.0,,,0
CDM,47000017,HC 3D ECHOCARDIOGRAPHIC IMAGING  & POSTPROCESSING DURING TEE/TTE (ADD-ON CODE),280.0,280.0,,,0
CDM,47000018,HC UNLISTED CHEM PROC (25),567.0,567.0,,,0
CDM,47000019,"HC AB, VRUS NES (50)",981.0,981.0,,,0
CDM,47080003,"HC HA, DIGITAL,  STANDARD MONAURAL, ITE",34.0,34.0,,,0
CDM,47080003,"HC HA, DIGITAL, PREMIUM, MONAURAL, ITC",156.0,156.0,,,0
CDM,47080008,"HC HA, DIGITAL, ADVANCED,  MONAURAL, BTE, RITE",625.2,625.2,,,0
CDM,47080008,"HC HA, DIGITAL, ADVANCED, MONAURAL, BTE",304.0,304.0,,,0
CDM,47080009,"HC HA, DIGITAL, PREMIUM, MONAURAL, BTE, RITE",938.4,938.4,,,0
CDM,47080010,"HC HA, DIGITAL,  STANDARD MONAURAL, BTE",256.8,256.8,,,0
CDM,47080010,"HC HA, DIGITIAL, STANDARD BINAURAL, CIC",200.0,200.0,,,0
CDM,47080012,HC TRAUMA ALERT 1 W/CRITICAL CARE,109.0,109.0,,,0
CDM,47080013,HC LAB HISTOLOGY,480.0,480.0,,,0
CDM,47080015,HC WHOLE BLD FOR TRANSFUSION/UNIT,480.0,480.0,,,0
CDM,47100001,"HC PURE TONE AUDIOMETRY, AIR & BONE",79.0,79.0,,,0
CDM,47100002,"HC PURE TONE AUDIOMETRY, AIR & BONE",480.0,480.0,,,0
CDM,47100002,HC SPEECH AUDIOMETRY THRESHOLD,235.0,235.0,,,0
CDM,47100003,HC SPEECH AUDIOMETRY THESHOLD W/SR,480.0,480.0,,,0
CDM,47100003,HC SPEECH AUDIOMETRY THRESHOLD,235.0,235.0,,,0
CDM,47100004,"HC SPEECH AUDIOMETRY W/SR, COMPREHENSIVE",105.0,105.0,,,0
CDM,47100004,HC TYMPANOMETRY (IMP TESTING),392.0,392.0,,,0
CDM,47100005,HC ACOUSTIC REFLEX TESTING,340.0,340.0,,,0
CDM,47100005,HC TYMPANOMETRY (IMP TESTING),652.0,652.0,,,0
CDM,47100006,HC ACOUSTIC IMMITTANCE TESTING,216.0,216.0,,,0
CDM,47100007,HC VISUAL REINFORCE AUDIOMETRY,176.0,176.0,,,0
CDM,47100008,HC CONDITIONING PLAY AUDIOMETRY,235.0,235.0,,,0
CDM,47100008,HC SELECT PICTURE AUDIOMETRY,525.0,525.0,,,0
CDM,47100009,HC DEAC 01/01/2021  AUDITORY EP - COMPREHENSIVE,235.0,235.0,,,0
CDM,47100009,HC SELECT PICTURE AUDIOMETRY,599.0,599.0,,,0
CDM,47100010,HC DEAC 01/01/2021  AUDITORY EP - LIMITED,1411.0,1411.0,,,0
CDM,47100010,HC EVOKED AUDITORY TEST LIMITED,238.0,238.0,,,0
CDM,47100011,HC EVOKED AUDITORY TEST COMPLETE,752.0,752.0,,,0
CDM,47100011,HC EVOKED AUDITORY TEST LIMITED,238.0,238.0,,,0
CDM,47100012,"HC ELECTRO HEARING AID TEST, MONAURAL",132.0,132.0,,,0
CDM,47100012,HC EVOKED AUDITORY TEST COMPLETE,250.0,250.0,,,0
CDM,47100013,"HC ELECTRO HEARING AID TEST, BINAURAL",65.0,65.0,,,0
CDM,47100013,HC EVAL TO USE/FIT VOICE PROSTHETIC,52.0,52.0,,,0
CDM,47100014,HC COCHLEAR IMPLT EXAM < 7 W PROG,52.0,52.0,,,0
CDM,47100014,HC REPROGRAM COCHLEAR IMPLT UNDER AGE 7,87.0,87.0,,,0
CDM,47100015,HC SPEECH AUDIOMETRY THESHOLD W/SR,227.0,227.0,,,0
CDM,47100015,"HC SPEECH AUDIOMETRY W/SR, COMPREHENSIVE",105.0,105.0,,,0
CDM,47100016,HC CONDITIONING PLAY AUDIOMETRY,142.0,142.0,,,0
CDM,47100016,HC VISUAL REINFORCE AUDIOMETRY,581.0,581.0,,,0
CDM,47100017,HC DEAC 01/01/2021  AUDITORY EP - COMPREHENSIVE,95.0,95.0,,,0
CDM,47100017,HC DEAC 01/01/2021  AUDITORY EP - LIMITED,852.0,852.0,,,0
CDM,47100019,"HC ELECTRO HEARING AID TEST, BINAURAL",290.0,290.0,,,0
CDM,47100019,"HC ELECTRO HEARING AID TEST, MONAURAL",132.0,132.0,,,0
CDM,47100151,HC HEMODIALYSIS ONE EVALUATION,208.0,208.0,,,0
CDM,47100152,HC MOTOR SENSORY NERVE CONDUCT TEST,208.0,208.0,,,0
CDM,47100153,HC SARS-COV-2 (24),216.0,216.0,,,0
CDM,47100163,HC HERPES S NA QUAN,290.0,290.0,,,0
CDM,47100165,"HC LINEZOLID, SERUM",207.0,207.0,,,0
CDM,47100166,HC URINE DRUG SCREEN (QLT),992.0,992.0,,,0
CDM,47100167,"HC DRUG SCREEN,QLT,HAIR",748.0,748.0,,,0
CDM,47100167,"HC PREGNANCY SCREEN,URINE,QLT",595.0,595.0,,,0
CDM,47100168,HC MECP2 DELETION/DUPLICATION ASS,120.0,120.0,,,0
CDM,47100168,HC URINE TOTAL VOLUME,96.0,96.0,,,0
CDM,47100169,HC TCR V-BETA SPECTRATYPING,115.0,115.0,,,0
CDM,47100169,"HC TRANSPLANT, TISSUE TYPING, HLA",52.0,52.0,,,0
CDM,47100170,HC HLA-DQB1,52.0,52.0,,,0
CDM,47100170,"HC SPECIAL AB IDENTIFICATION, ADD",134.0,134.0,,,0
CDM,47100171,HC CONVERT NEPHROSTOMY CATHETER,28.0,28.0,,,0
CDM,47100172,HC EXCHANGE NEPHROSTOMY CATHETER,12.0,12.0,,,0
CDM,47100173,"HC PLMT URETERAL STENT PRQ,  PRE-EXISTING NEPHR TRACT",48.0,48.0,,,0
CDM,47100174,"HC PLMT URETERAL STENT PRQ, NEW ACCESS, W/O SEPAR CATH",62.0,62.0,,,0
CDM,47100175,"HC PLMT URETERAL STENT PRQ, NEW ACCESS, W/ SEPAR CATH",6.0,6.0,,,0
CDM,47100176,HC ENDOVASC PROLONG ADMIN RX AGENT 1ST,20.0,20.0,,,0
CDM,47100177,HC ENDOVASC PROLONG ADMIN RX AGENT ADD,10.0,10.0,,,0
CDM,47100178,"HC X-RAY EXAM ENTIRE SPINE, 1 VW",20.0,20.0,,,0
CDM,47100179,"HC X-RAY EXAM ENTIRE SPINE,  2/3 VW",14.0,14.0,,,0
CDM,47100180,"HC X-RAY EXAM ENTIRE SPINE,  4/5 VW",24.0,24.0,,,0
CDM,47100181,"HC X-RAY EXAM ENTIRE SPINE,  6/> VW",3.0,3.0,,,0
CDM,47100182,"HC X-RAY EXAM HIP UNIL, W/PELVIS WHEN PERFORMED,  1 VW",38.0,38.0,,,0
CDM,47100183,"HC X-RAY EXAM HIP UNIL, W/PELVIS WHEN PERFORMED, 2-3 VW",25.0,25.0,,,0
CDM,47100184,"HC X-RAY EXAM HIPS BIL, W/PELVIS WHEN PERFORMED, 2 VW",14.0,14.0,,,0
CDM,47100185,"HC MOG-IGG1 ANTIBODY FLOW CYTOMETRY, EA",7.0,7.0,,,0
CDM,47100186,HC DRUG ASSAY ADALIMUMAB,6.0,6.0,,,0
CDM,47100187,HC TARGETED GENOMIC SEQ ANALYSIS (263),12.0,12.0,,,0
CDM,47100188,"HC INFECT DS (BACTERIAL/VIRAL), TRAIL IP-10 C-REACT PRTN SERUM (41)",5.0,5.0,,,0
CDM,47100189,HC IMMUMOASSAY QUANT NOS NONAB,17.0,17.0,,,0
CDM,47100190,HC FENTANYL DRUG SCREEN,78.0,78.0,,,0
CDM,47100191,HC BUPRENORPHINE DRUG SCREEN,40.0,40.0,,,0
CDM,47100192,HC COMPLEMENT; AG EA,180.0,180.0,,,0
CDM,47100193,HC FMR1 GENE ANALYSIS; EVAL TO DETECT ABN ALLELES,72.0,72.0,,,0
CDM,48000001,HC DRUG/SUBSTANCE NOS 7/MORE (40),303.6,303.6,,,0
CDM,48000003,HC IMMUMOASSAY QUANT NOS NONAB (90),168.0,168.0,,,0
CDM,48100011,HC FLUORO EXAM GASTRO/COLON TUBE,10615.0,10615.0,,,0
CDM,48100012,HC ASPIRATE PLEURA W/IMAGING,7605.0,7605.0,,,0
CDM,48100014,HC EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED,3839.0,3839.0,,,0
CDM,48100015,HC VEEG BY TECH 2-12 HOURS UNMONITORED,2912.0,2912.0,,,0
CDM,48100017,HC MRA ABD W CONTRAST,4446.0,4446.0,,,0
CDM,48100018,HC INJECTION HIP ARTHROGRAPHY; WO ANESTHESIA,5339.0,5339.0,,,0
CDM,48100050,"HC VISUAL EVOKED POTENTIAL, CHECKERBD/FLASH TEST, CNS, EXCEPT GLAUCOMA",36889.0,36889.0,,,0
CDM,48100052,HC LUNG PERFUSION DIFFERENTIAL,2510.0,2510.0,,,0
CDM,48100053,HC BONE MARROW IMAGING; WHOLE BODY,1961.0,1961.0,,,0
CDM,48100054,"HC SELECTIVE ADRENAL VENOGRAM, BILATERAL",1961.0,1961.0,,,0
CDM,48100055,"HC SELECTIVE ADRENAL VENOGRAM, UNILATERAL",1961.0,1961.0,,,0
CDM,48100056,"HC INSERT CATHETER RENAL ARTERY 2ND, BILAT",3880.0,3880.0,,,0
CDM,48100058,HC BARTONELLA AMPLIF NAP,1901.0,1901.0,,,0
CDM,48100075,HC COMPLEMENT C3A,31081.0,31081.0,,,0
CDM,48100076,HC ELECTROPHYSIOLOGY EVALUATION,10106.0,10106.0,,,0
CDM,48100078,HC HA REPAIR MONAURAL OUT WA,7407.0,7407.0,,,0
CDM,48100110,"DEAC 9/1/2020 HC RBC FROZ LEUK REDUC IRRAD, PEDS, EA UNIT",9817.0,9817.0,,,0
CDM,48100112,HC EXPRESSED BREAST MILK PREP/STORE/DISTRIBUTION,11775.0,11775.0,,,0
CDM,48100113,DEAC 09/24/2022 HC INITIATE RESCUE EQUIP-BAG/MASK,22097.0,22097.0,,,0
CDM,48100114,"HC CYSTO W/REM FB, STENT,CALCULS",13232.0,13232.0,,,0
CDM,48100115,HC BX BREAST 1ST LESION STEREOTACTIC GUIDANCE,11775.0,11775.0,,,0
CDM,48100116,HC BX BREAST ADD LESION STEREOTACTIC GUIDANCE,13232.0,13232.0,,,0
CDM,48100118,"HC EVOKED AUDITORY TEST QUAL, SCREENING",11188.0,11188.0,,,0
CDM,48100119,HC ALD FM/DM TRANSMITTER,36002.0,36002.0,,,0
CDM,48100120,HC INTRAVENTRICULAR PACING,86975.0,86975.0,,,0
CDM,48100121,"HC ALD FM/DM RECEIVER, NOS",36002.0,36002.0,,,0
CDM,48100122,HC INTRA-ATRIAL PACING,100877.0,100877.0,,,0
CDM,48100123,HC RIGHT VENTRICULAR RECORDING,73502.0,73502.0,,,0
CDM,48100124,HC INTRA-ATRIAL RECORDING,49385.0,49385.0,,,0
CDM,48100125,HC PERQ TRANSCATH CLOSURE PDA,4412.0,4412.0,,,0
CDM,48100126,HC ELBOW-FINGER CAST MATERIAL,22152.0,22152.0,,,0
CDM,48100127,HC LONG LEG CASTING MATERIAL,26384.0,26384.0,,,0
CDM,48100128,HC TRANSCATH CLOSURE OF VSD,20478.0,20478.0,,,0
CDM,48100129,HC TRANSCATH CLOSURE OF ASD,9342.0,9342.0,,,0
CDM,48100130,HC INJECT HEART CONGENITAL ART/GRFT,3736.0,3736.0,,,0
CDM,48100131,HC SHORT LEG CASTING MATERIAL,15958.0,15958.0,,,0
CDM,48100132,DEAC 1/1/2022 HC CMBN RT/LT HEART CATH THRU OPEN SEPTUM,12516.0,12516.0,,,0
CDM,48100133,DEAC 1/1/2022 HC CMBN RT/LT HEART CATH THRU INTACT SEPTUM,13195.0,13195.0,,,0
CDM,48100134,HC SHOULDER-HAND CAST MATERIAL,10930.0,10930.0,,,0
CDM,48100135,DEAC 1/1/2022 HC RT/LT HEART & RETROGR CATH COGENITAL ANOMALY,3560.0,3560.0,,,0
CDM,48100136,DEAC 1/1/2022 HC RT HRT CATH CONGENITAL CARDIAC ANOMALY,11855.0,11855.0,,,0
CDM,48100137,HC ENDOMYOCARDIAL BIOPSY,122784.0,122784.0,,,0
CDM,48100138,HC RT & LT HEART CATH WINJX HRT ART& L VENTR IMG,22039.0,22039.0,,,0
CDM,48100139,HC  CATH PLMT LT HEART & ARTS W/NJX & ANGIO IMG S&I,45913.0,45913.0,,,0
CDM,48100144,HC CATH PLACEMENT & NJX CORONARY ART ANGIO IMG S&I,476.0,476.0,,,0
CDM,48100147,HC RT & LT HEART CATH W/VENTRICULOGRAPHY,10089.0,10089.0,,,0
CDM,48100148,HC LEFT HEART CATH W/NJX L VENTRICULOGRAPHY IMG S&I,9568.0,9568.0,,,0
CDM,48100149,HC RIGHT HEART CATH O2 SATURATION & CARDIAC OUTPUT,14132.0,14132.0,,,0
CDM,48100150,HC PRQ TRLUML PULMONARY ART BALLOON ANGIOP SINGLE VSL,13318.0,13318.0,,,0
CDM,48100151,HC PRQ BALLOON VALVULOPLASTY PULMONARY VALVE,7078.0,7078.0,,,0
CDM,48100152,HC FOREARM-HAND CAST MATERIAL,22465.0,22465.0,,,0
CDM,48100153,HC PRQ BALLOON VALVULOPLASTY MITRAL VALVE,22970.0,22970.0,,,0
CDM,48100154,HC PRQ BALLOON VALVULOPLASTY AORTIC VALVE,22313.0,22313.0,,,0
CDM,48100155,HC PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH,11816.0,11816.0,,,0
CDM,48100156,HC PRQ CARDIAC ANGIOPLAST SINGLE ART/BRANCH,29301.0,29301.0,,,0
CDM,48100157,HC EEG DURING NONINTRACRANIAL SURGERY,21970.0,21970.0,,,0
CDM,48100158,HC SLEEP STUDY; ATTENDED,18548.0,18548.0,,,0
CDM,48100160,HC STIMULATION & PACING S/P IV DRUG,20386.0,20386.0,,,0
CDM,48100163,HC ARRHYTHMIA INDUCTION,20806.0,20806.0,,,0
CDM,48100164,HC ACTIGRAPHY TESTING 73 HRS-14 CONS DAYS,17892.0,17892.0,,,0
CDM,48100165,HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE,16593.0,16593.0,,,0
CDM,48100169,HC FUNCTIONAL BRAIN MAPPING,45870.0,45870.0,,,0
CDM,48100170,"HC EYE MUSCLE EVAL 1+ MUSC, 1-2 EYES",33369.0,33369.0,,,0
CDM,48200001,"HC PM DEVICE PROGR EVAL, DUAL",1945.0,1945.0,,,0
CDM,48300001,"HC ICD DEVICE PROGR EVAL, DUAL",114.0,114.0,,,0
CDM,48300002,HC ILR DEVICE EVAL PROGR,145.0,145.0,,,0
CDM,48300004,HC HPA-5  GENOTYPING (35),124.0,124.0,,,0
CDM,48300005,HC PM DEVICE EVAL IN PERSON,315.0,315.0,,,0
CDM,48300007,HC CAR ION CHNNLPATH INC 2 GN (2675),125.0,125.0,,,0
CDM,48300010,HC ILR DEVICE INTERROGATE,136.0,136.0,,,0
CDM,48300011,HC TTE CONG ABN; LIMITED/F-UP,139.0,139.0,,,0
CDM,48300012,HC TTE W/DOPPLER COMPLETE,58.0,58.0,,,0
CDM,48300014,HC ECHO TRANSESOPHAGEAL COMPLETE,2946.0,2946.0,,,0
CDM,48300015,HC TEE CONGENITAL; GLOBAL,1829.0,1829.0,,,0
CDM,48300016,HC DOPPLER ECHO; COMPLETE,4673.0,4673.0,,,0
CDM,48300018,HC DOPPLER ECHO; LIMITED/ F-UP,1515.0,1515.0,,,0
CDM,48300019,HC DOPPLER COLOR FLOW,4068.0,4068.0,,,0
CDM,48300020,HC STRESS TTE ONLY,2935.0,2935.0,,,0
CDM,48300022,HC INTERROGATION VAD IN PERSON,1337.0,1337.0,,,0
CDM,48300023,HC IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE,703.0,703.0,,,0
CDM,48300024,HC CAROTID DUPLEX SCAN; BILAT,896.0,896.0,,,0
CDM,48300025,HC INTRACRANIAL ARTERY DOPPLER; COMPL,2934.0,2934.0,,,0
CDM,48300027,HC HLA CLAS II HIGH DEFIN QUAL,3352.0,3352.0,,,0
CDM,48300028,HC HOSPITAL OBSERVATION SERVICE PER HR,1715.0,1715.0,,,0
CDM,48300031,HC PROCALCITONIN (PCT),3074.0,3074.0,,,0
CDM,48300039,HC CUSTOM SWIM PLUG SET,116.0,116.0,,,0
CDM,48900002,HC IMMUMOASSAY QUANT NOS NONAB (115),6326.0,6326.0,,,0
CDM,48900003,"HC MITO GENOME SEQUENCING HETEROPLASMY DETECTION, IF PERFRMD (148)",11873.0,11873.0,,,0
CDM,49000003,"HC CISTERNOGRAPHY, POSITIVE CONTRAST, S & I",3861.0,3861.0,,,0
CDM,51000007,HC EMERGENCY DEPT VISIT LVL 4,486.0,486.0,,,0
CDM,61000001,"HC  NECK, SOFT TISSUE",3541.0,3541.0,,,0
CDM,61000002,HC MRI ORBIT/FACE/NECK W/CONTRAST,4420.0,4420.0,,,0
CDM,61000003,HC MRI ORBIT/FACE/NECK W/O & W/CONTRAST,4863.0,4863.0,,,0
CDM,61000004,HC MRA HEAD W/O CONTRAST,6796.0,6796.0,,,0
CDM,61000005,HC MRA CHEST W OR W/O CONTRAST,3595.0,3595.0,,,0
CDM,61000007,"HC  SPINE, SINGLE VIEW, SPECIFY LEVEL",6859.0,6859.0,,,0
CDM,61000008,HC MRI PELVIS W & W/O CONTRAST,3577.0,3577.0,,,0
CDM,61000009,"HC RAD EXAM SACROILIAC JOINTS, 3 OR MORE VIEWS",3935.0,3935.0,,,0
CDM,61000010,"HC RAD EXAM SACRUM AND COCCYX, MIN 2 VIEWS",5763.0,5763.0,,,0
CDM,61000011,HC MRI UPPER EXT ANY JOINT W/O CONTRAST,3422.0,3422.0,,,0
CDM,61000013,HC MRI UPPER EXT ANY JOINT W CONTRAST,6843.0,6843.0,,,0
CDM,61000014,HC MRI UPPER EXT ANY JOINT W & W/O CONTRAST,3774.0,3774.0,,,0
CDM,61000015,HC MRA UPPER EXT W OR W/O CONTRAST,3894.0,3894.0,,,0
CDM,61000016,HC RAD EXAM HIP ARTHROGRAPHY,6843.0,6843.0,,,0
CDM,61000017,HC MRI ANY JOINT LOWER EXT W/CONTRAST,3267.0,3267.0,,,0
CDM,61000019,HC MRI ANY JOINT LOWER EXT W/O & W CON,3125.0,3125.0,,,0
CDM,61000020,HC MRA LOWER EXT W/W/O CONTRAST,3749.0,3749.0,,,0
CDM,61000021,"HC RAD EXM; COMPL ACUTE ABD SERIES, INCL 2+ VIEWS ABD, & SNGL VIEW CHEST",5929.0,5929.0,,,0
CDM,61000022,HC MRI ABDOMEN W & W/O CONTRAST,3577.0,3577.0,,,0
CDM,61000023,HC MRA ABDOMEN W OR W/O CONTRAST,4329.0,4329.0,,,0
CDM,61000024,HC PERITONEOGRAM AFTER INJECTION S & I,5508.0,5508.0,,,0
CDM,61000025,HC CARDIAC MRI W & W/O CONTRAST W/STRESS,3098.0,3098.0,,,0
CDM,61000026,HC CT HEART W/O CONTRAST W/CALCIUM QUANT,4131.0,4131.0,,,0
CDM,61000027,HC CT HEART W/CONTRAST INC W/3 D POSTPROC,8590.0,8590.0,,,0
CDM,61000028,"HC ULTRASOUND, SOFT TISSUES HEAD & NECK",7172.0,7172.0,,,0
CDM,61000040,HC LIVER & SPLEEN; W VASC FLOW,5290.0,5290.0,,,0
CDM,61000045,"DEAC 9/1/2020 HC WASHED RED BLOOD CELLS, PEDS, EA UNIT",3706.0,3706.0,,,0
CDM,61000046,HC GJB2 GENE FULL SEQUENCE (470),2682.0,2682.0,,,0
CDM,61000054,"HC HEARING AID, BINAURAL, BTE/BTE",3460.0,3460.0,,,0
CDM,61000056,HC METHYLENEDIOXYAMPHETAMINES (29),2813.0,2813.0,,,0
CDM,61000057,HC DRUG SCREENING COCAINE (39),1736.0,1736.0,,,0
CDM,61100001,HC MRI BRAIN W CONTRAST,3952.0,3952.0,,,0
CDM,61100002,HC MRI BRAIN W & W/O CONTRAST,4680.0,4680.0,,,0
CDM,61100003,"HC MRI BRAIN,  FUNCTIONAL, BY TECH",6287.0,6287.0,,,0
CDM,61100004,"HC MRI BRAIN,  FUNCTIONAL, BY PHYSICIAN/PSYCH",1013.0,1013.0,,,0
CDM,61100005,"HC RIBS X-RAY, UNILAT, MIN 3 VIEWS INCL CHEST",1424.0,1424.0,,,0
CDM,61200001,"HC MRI SPINE THORACIC, W/O CONTRAST",4466.0,4466.0,,,0
CDM,61200002,"HC MRI SPINE THORACIC, W CONTRAST",4663.0,4663.0,,,0
CDM,61200003,"HC MRI SPINE LUMBAR, W/O CONTRAST",4588.0,4588.0,,,0
CDM,61200004,"HC MRI SPINE LUMBAR, W CONTRAST",4806.0,4806.0,,,0
CDM,61200005,"HC MRI SPINE CERVICAL, W & W/O CONTRAST",4027.0,4027.0,,,0
CDM,61200006,"HC MRI SPINE THORACIC, W & W/O CONTRAST",4370.0,4370.0,,,0
CDM,61200007,"HC MRI SPINE LUMBAR, W & W/O CONTRAST",7250.0,7250.0,,,0
CDM,61200008,HC MRA SPINE W OR W/O CONTRAST,6807.0,6807.0,,,0
CDM,61200009,"HC RAD EXAM PELVIS, 1 OR 2 VIEWS",6141.0,6141.0,,,0
CDM,61500001,HC MRA HEAD W CONTRAST,4202.0,4202.0,,,0
CDM,61500002,HC MRA HEAD W & W/O CONTRAST,4622.0,4622.0,,,0
CDM,61500003,HC MRA NECK W/O CONTRAST,7398.0,7398.0,,,0
CDM,61500004,HC MRA NECK W CONTRAST,3927.0,3927.0,,,0
CDM,61500005,HC MRA NECK W & W/O CONTRAST,4114.0,4114.0,,,0
CDM,61500006,HC MRI BRAIN W/O CONTRAST,7398.0,7398.0,,,0
CDM,61600001,HC CT ABDOMEN W/O CONTRAST,6814.0,6814.0,,,0
CDM,61600005,HC RAPID RESPONSE TEAM,6814.0,6814.0,,,0
CDM,61600006,"HC TRANSCUTANEOUS BEDSIDE MONITORING, PER DAY",6814.0,6814.0,,,0
CDM,61800001,"HC  SPINE, CERVICAL, 2 OR 3 VIEWS",7608.0,7608.0,,,0
CDM,61800002,"HC RAD EXAM PELVIS, MIN 3 VIEWS",5460.0,5460.0,,,0
CDM,61800003,HC RAD EXAM KNEE 1 OR 2 VIEWS,6814.0,6814.0,,,0
CDM,61800004,"HC RAD EXM; ESOPH, INCL SCOUT RAD(S)&DLY IMG(S), SNGL-CONTRAST STDY",7608.0,7608.0,,,0
CDM,61800010,HC NOSE TO RECTUM FOR FB CHILD,8658.0,8658.0,,,0
CDM,61800011,HC CONTINUOUS NEG PRESSURE VENTILATION/PER DAY,10317.0,10317.0,,,0
CDM,61800012,"HC CONT AEROSOL TX W/O BRONCHODILATION, PER DAY",7636.0,7636.0,,,0
CDM,61800014,HC COMPATIBILITY TEST INCUBATE,8658.0,8658.0,,,0
CDM,61800015,HC TUMOR IMAGING WHOLE BODY 2+ DAYS,8658.0,8658.0,,,0
CDM,61800016,HC KIDNEY IMAGING MORPHOLOGY,7608.0,7608.0,,,0
CDM,61800025,HC HEP-B AMPLIF NA PROBE,971.0,971.0,,,0
CDM,61800026,HC HERPES S NA QUAN,7608.0,7608.0,,,0
CDM,61800027,HC INS IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD,6814.0,6814.0,,,0
CDM,61800028,HC REMOVE TRANSVNS PM ELTRD DUAL LEAD SYS,6814.0,6814.0,,,0
CDM,61800029,HC REMOVE TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR,6814.0,6814.0,,,0
CDM,61800031,HC RADIOLOGY MISCELLANEOUS,818.0,818.0,,,0
CDM,61800032,HC CEREBRAL PERFUSION ANALYS CT W/BLOOD FLOW&VOLUME,699.0,699.0,,,0
CDM,68200001,"HC ASSISTIVE LISTENING DEVICE, NOT OTHERWISE SPECIFIED",8841.0,8841.0,,,0
CDM,68200002,"HC AMPHETAMINE:CONFIRMATION,URINE",14734.0,14734.0,,,0
CDM,68200003,"HC OPIATES,CONFIRMATION,URINE",11788.0,11788.0,,,0
CDM,68200004,HC HERPES-6 (HHV-6) PCR SLI,12788.0,12788.0,,,0
CDM,68200005,HC SEP&HAND ONLY/BLOOD&COMP,15395.0,15395.0,,,0
CDM,68200006,HC MISCELLANEOUS LAB TEST,8841.0,8841.0,,,0
CDM,70000001,HC APPLY SHORT ARM CAST,1586.0,1586.0,,,0
CDM,70000002,HC APPLY LONG LEG CAST,1586.0,1586.0,,,0
CDM,70000005,"HC ENDOTRACHEAL, INTUBATION EMERGENCY",1188.0,1188.0,,,0
CDM,70000010,HC VASC EMBOLIZE/OCCLUDE BLEED,718.0,718.0,,,0
CDM,71000362,"HC HA DIGITAL, BASIC BINAURAL, ITC",203.84,203.84,,,0
CDM,71000363,"HC HA DIGITAL, BASIC BINAURAL, ITE",80.64,80.64,,,0
CDM,71000364,"HC HA DIGITAL, BASIC BINAURAL, BTE",100.8,100.8,,,0
CDM,71000365,"HC HA DIGITAL, BASIC BINAURAL, RITE",53.76,53.76,,,0
CDM,72000025,HC ROUTINE VENIPUNCTURE,3051.0,3051.0,,,0
CDM,72000065,HC CPR PER SESSION,894.0,894.0,,,0
CDM,73000001,HC REMOTE PT 30 DAY ECG REV/REPORT,545.0,545.0,,,0
CDM,73000003,HC NONSELECTIVE CATHETER - AORTA,310.0,310.0,,,0
CDM,73100001,HC HPA-4  GENOTYPING (35),1440.0,1440.0,,,0
CDM,73100002,"HC ICD DEVICE PROG EVAL, 1 SINGLE",208.0,208.0,,,0
CDM,73100010,HC KEY CHAIN BAT TESTER,132.0,132.0,,,0
CDM,73100011,HC HA CARE KIT (ADULT),217.0,217.0,,,0
CDM,73100100,"HC MEDICAL NUTRITION THERAPY, GROUP, EA 30 MIN",683.0,683.0,,,0
CDM,74000001,HC EXTENDED EEG 41-60 MIN,4045.0,4045.0,,,0
CDM,74000002,HC EEG EXTENDED MONITORING; 61-119 MIN,7624.0,7624.0,,,0
CDM,74000003,HC EEG AWAKE & DROWSY,9508.0,9508.0,,,0
CDM,74000004,HC EEG AWAKE & ASLEEP,1222.0,1222.0,,,0
CDM,74000005,HC EEG-SLEEP ONLY,1350.0,1350.0,,,0
CDM,74000006,HC EEG; CEREBRAL SILENCE,1093.0,1093.0,,,0
CDM,74000007,HC EMG- ONE EXTREMITY,1093.0,1093.0,,,0
CDM,74000008,HC EMG-TWO EXTREMITIES,912.0,912.0,,,0
CDM,74000009,HC EMG-THREE EXTREMITIES,992.0,992.0,,,0
CDM,74000011,HC HYDRATION IV INFUSION 1ST HOUR,594.0,594.0,,,0
CDM,74000012,HC HYDRATION IV INFUSION EACH ADDL HOUR,5044.0,5044.0,,,0
CDM,74000013,HC IV INFUSION DRUG THERAPY 1ST HOUR,1916.0,1916.0,,,0
CDM,74000060,HC HA REPAIR BINAURAL OUT WA,7941.0,7941.0,,,0
CDM,74000061,HC HA REPAIR MONAURAL OUT WA,4833.0,4833.0,,,0
CDM,74000064,HC IMMUMOASSAY QUANT NOS NONAB (190),568.0,568.0,,,0
CDM,74000066,DEAC 11/01/2023 HC ADM SARSCV2 BVL 10 MCG/0.2ML 1ST DOSE,1581.0,1581.0,,,0
CDM,74000067,HC TWO KNOWN FAMILIAL VARIANTS IN A NUCLEAR GENE (98),6031.0,6031.0,,,0
CDM,74000068,HC INSERT 1 ELECTRODE PM-DEFIB,1028.0,1028.0,,,0
CDM,74000069,HC INSERT 2 ELECTRODE PM-DEFIB,3086.0,3086.0,,,0
CDM,74000072,HC THER INTERV COG FUNCT/COMP STRATG; DIR CONTACT; 1ST 15 MIN,5915.0,5915.0,,,0
CDM,74000075,HC THER INTERV COG FUNCT/COMP STRATG; DIR CONTACT; EA ADDL 15 MIN,4501.0,4501.0,,,0
CDM,74000076,HC UNLISTED PROCEDURE MUSCULOSKELETAL SYSTEM GENERAL,4886.0,4886.0,,,0
CDM,74000077,"HC DUPLEX SCAN ARTERIAL INFLOW & VENOUS OUTFLOW, PREOP, COMPLT UNI STUDY",5658.0,5658.0,,,0
CDM,74000078,HC DRUG ASSAY ADALIMUMAB (265),7330.0,7330.0,,,0
CDM,74000079,HC DRUG ASSAY POSACONAZOLE (30),7716.0,7716.0,,,0
CDM,74000080,HC DRUG ASSAY INFLIXIMAB (165),8488.0,8488.0,,,0
CDM,74000081,HC NEEDLE ELECTROMYOGRAPHY LARYNX,1352.0,1352.0,,,0
CDM,74000082,HC MYOCRD STRAIN IMG USING SPECKLE TRCK ASSMT OF MYOCRD MECHAN,2074.0,2074.0,,,0
CDM,74000083,HC SLEEP STUDY UNATTENDED & RESP EFFORT,258.0,258.0,,,0
CDM,75000025,HC PROCEDURE ENDO LEVEL 1 INIT 15 MIN,217.0,217.0,,,0
CDM,75000026,HC PROCEDURE ENDO LEVEL 2 INIT 15 MIN,239.0,239.0,,,0
CDM,75000102,HC LITHOTRIPSY-KIDNEY-ESWL,3446.24,3446.24,,,0
CDM,75000103,HC CHEMO PROLONG 8+ HRS INFUSE W/PUMP,7266.56,7266.56,,,0
CDM,75000106,HC REMOVAL TUNNELED INTRAPERITONEAL CATHETER,3446.24,3446.24,,,0
CDM,75000125,HC PROCEDURE ENDO LEVEL 1 EA ADDL 15 MINUTE,110.0,110.0,,,0
CDM,75000126,HC PROCEDURE ENDO LEVEL 2 EA ADDL 15 MINUTE,121.0,121.0,,,0
CDM,75000127,HC HA REPAIR/MODIFICATION COMPLETE,261.0,261.0,,,0
CDM,75000128,HC HA REPAIR/MODIFICATION COMPLETE,134.0,134.0,,,0
CDM,75000340,HC ELECTROCORTICOGRAM AT SURGERY,217.0,217.0,,,0
CDM,75000341,HC GENE TEST FOR HEART DISORDER,110.0,110.0,,,0
CDM,75000342,HC PT EVAL LOW COMPLEXITY,239.0,239.0,,,0
CDM,75000343,HC PT EVAL MODERATE COMPLEXITY,121.0,121.0,,,0
CDM,75000344,HC PT EVAL HIGH COMPLEXITY,261.0,261.0,,,0
CDM,75000345,HC PT RE-EVAL EST PLAN CARE,134.0,134.0,,,0
CDM,76100001,HC COLLECTION OF BLOOD VIA PICC,418.0,418.0,,,0
CDM,76100002,HC DECLOTTING VAD OR CATHETER,508.0,508.0,,,0
CDM,76100003,HC NEEDLE EMG ANAL/URETHRAL SPHINCTER,1259.0,1259.0,,,0
CDM,76100026,HC BONE BIOPSY TROCAR/NEEDLE; SUPERFICIAL,3845.0,3845.0,,,0
CDM,76100027,HC BONE BIOPSY TROCAR/NEEDLE; DEEP,3745.0,3745.0,,,0
CDM,76100028,HC APPLY LONG ARM CAST,3945.0,3945.0,,,0
CDM,76100030,HC APHERESIS WBC,2356.0,2356.0,,,0
CDM,76100031,HC APHERESIS RBC,2471.0,2471.0,,,0
CDM,76100035,HC PHOTOPHERESIS EXTRACORPOREAL,3033.0,3033.0,,,0
CDM,76100036,"HC INSERT PICC AGE 5 YRS/>, W/O IMAGE GUIDE",2350.0,2350.0,,,0
CDM,76100038,HC CONTRAST INJ W/FLUORO EVAL CV DEVICE,8000.0,8000.0,,,0
CDM,76100039,HC HARVEST STEM CELLS AUTOLOGOUS,6813.0,6813.0,,,0
CDM,76100040,HC THAW PRESERVED STEM CELLS,16105.0,16105.0,,,0
CDM,76100041,HC DIAGNOSTIC BONE MARROW; ASPIRATION(S),5053.0,5053.0,,,0
CDM,76100043,HC DIAGNOSTIC BONE MARROW: BIOPSY(IES),745.0,745.0,,,0
CDM,76100045,"HC BONE MARROW STEM TRANSPLANT, AUTOLOGOUS",6608.0,6608.0,,,0
CDM,76100047,HC ALLG SPEC IGE RECOMB EA,1969.0,1969.0,,,0
CDM,76100051,HC BIOPSY LYMPH NODES; SUPERFICIAL,3819.0,3819.0,,,0
CDM,76100052,HC BIOPSY SALIVARY GLAND; NEEDLE,3798.0,3798.0,,,0
CDM,76100055,HC BIOPSY LIVER; PERCUTANEOUS NEEDLE,4527.0,4527.0,,,0
CDM,76100057,HC BIOPSY PANCREAS PERCUTANEOUS NEEDLE,3799.0,3799.0,,,0
CDM,76100058,HC ABD PARACENTESIS W/IMAGING,2741.0,2741.0,,,0
CDM,76100060,HC PERC NDL BIOPSY ABD/RETROPERITONEAL MASS,8950.0,8950.0,,,0
CDM,76100061,HC ASP &/OR INJ OF RENAL CYST/PELVIS; PERC,3067.0,3067.0,,,0
CDM,76100064,HC DRAIN BLADDER W/CATH INSERTION,1666.0,1666.0,,,0
CDM,76100065,HC INSERT NON-DWELL BLADDER CATH,3840.0,3840.0,,,0
CDM,76100066,HC INSERT TEMP BLADDER CATHETER,8603.0,8603.0,,,0
CDM,76100067,HC INSERT BLADDER CATHETER COMPLEX,4452.0,4452.0,,,0
CDM,76100068,HC PROSTATE NDL/PUNCH BIOPSY;SGL/MULT,5594.0,5594.0,,,0
CDM,76100070,HC IMAGE GUIDED CATH ABSCESS TRANSVAGINAL,614.0,614.0,,,0
CDM,76100071,HC TPMT  GENE COM VARIANTS,3078.0,3078.0,,,0
CDM,76100072,HC HPA-1  GENOTYPING (35),3078.0,3078.0,,,0
CDM,76100077,HC BIOPSY THYROID PERC CORE NEEDLE,4764.0,4764.0,,,0
CDM,76100106,HC 12 LEAD EKG; TRACING ONLY,1665.0,1665.0,,,0
CDM,76100108,HC HPA-3  GENOTYPING (35),4757.0,4757.0,,,0
CDM,76100109,HC 12 CVSLR STRESS TEST; TRACING,2759.0,2759.0,,,0
CDM,76100118,HC COLLECTION OF BLOOD VIA VAD,6813.0,6813.0,,,0
CDM,76100152,HC VEEG BY TECH 2-12 HR INTERMITTENT MONITORING,11536.0,11536.0,,,0
CDM,76100153,HC VEEG BY TECH 2-12 HR CONTINUOUS REAL-TIME MONITORING,5445.0,5445.0,,,0
CDM,76100154,HC VEEG BY TECH EA INCR 12-26 HR UNMONITORED,4285.0,4285.0,,,0
CDM,76100155,HC VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR,1021.0,1021.0,,,0
CDM,76100156,HC VEEG BY TECH EA INCR 12-26 HR CONT REAL-TIME MNTR,6895.0,6895.0,,,0
CDM,76100300,HC REPAIR LEAD PACE-DEFIB ONE,62275.0,62275.0,,,0
CDM,76100301,HC REPAIR LEAD PACE-DEFIB DUAL,62275.0,62275.0,,,0
CDM,76100302,HC REVISE POCKET FOR DEFIB,89592.0,89592.0,,,0
CDM,76100303,HC REMOVE&REPLACE PM GEN SINGL,16928.0,16928.0,,,0
CDM,76100306,HC REMV&REPLC PM GEN DUAL LEAD,57279.0,57279.0,,,0
CDM,76100309,HC INSRT PULSE GEN W/DUAL LEADS,23696.0,23696.0,,,0
CDM,76100310,HC REMOVE PULSE GENERATOR,19747.0,19747.0,,,0
CDM,76100311,HC REM SC/DC CARD-DEFIBR ELECTROD OPEN,8599.0,8599.0,,,0
CDM,76100312,HC REM SC/DC ICD LEAD; TV EXTRACT,8617.0,8617.0,,,0
CDM,76100315,HC INSERT PACE-DEFIB W/LEAD,8049.0,8049.0,,,0
CDM,76100319,HC REMV&REPLC CVD GEN SING LEAD,12487.0,12487.0,,,0
CDM,76100320,HC REMV&REPLC CVD GEN DUAL LEAD,14794.0,14794.0,,,0
CDM,76100322,HC TEMPORARY TRANSCUTANEOUS PACING,43474.0,43474.0,,,0
CDM,76100325,"HC ESOPHAGUS, REFLUX TEST; WITH MUCOSAL",11351.0,11351.0,,,0
CDM,76100326,HC EXCHANGE PREVIOUS DRAINAGE CATHETER,8599.0,8599.0,,,0
CDM,76100327,HC INSERT TUNNELED INTRAPERITONEAL CATH; PERC,8599.0,8599.0,,,0
CDM,76100328,HC PERCUTANEOUS CHOLECYSTOSTOMY,109604.0,109604.0,,,0
CDM,76100329,HC NG TUBE PLACEMENT W/FLOURO,16930.0,16930.0,,,0
CDM,76100330,"HC SA MECH REMOVAL, OBSTRUCTIVE CVAD",21049.0,21049.0,,,0
CDM,76100337,HC INSERT NON-TUNNEL CV CATH <5 YRS,2586.0,2586.0,,,0
CDM,76100338,"HC INSTILLATION, AGENT FOR PLEURODESIS",8326.08,8326.08,,,0
CDM,76100346,HC INJECTION SINUS TRACT; DIAGNOSTIC (SINOGRAM),4354.0,4354.0,,,0
CDM,76100347,HC RHYTHM ECG 1-3 LEADS TRACING,13074.0,13074.0,,,0
CDM,76100351,"HC MRA W CONTRAST, PELVIS",6401.0,6401.0,,,0
CDM,76100353,HC MRA ABD WO CONTRAST,1240.0,1240.0,,,0
CDM,76100357,HC SEL CATH ARTERIAL; ABD-LWR EXTREMITY; EA ADDL,12274.0,12274.0,,,0
CDM,76100358,"HC SEL CATH ARTERIAL, BRACH-CEPH; EA ADDL",7381.0,7381.0,,,0
CDM,76100359,"HC SEL CATH ARTERIAL, BRACH-CEPH; 3RD ORDER",2035.0,2035.0,,,0
CDM,76100368,"HC SEL CATH ARTERIAL, BRACH-CEPH; 2ND ORDER",715.0,715.0,,,0
CDM,76100377,HC HSV-6 IGM AB,4438.0,4438.0,,,0
CDM,76100378,"HC CARNITINE, FREE & TOTAL, SERUM",3764.0,3764.0,,,0
CDM,76100379,"HC CARNITINE, FREE & TOTAL, SERUM",5068.0,5068.0,,,0
CDM,76100380,HC VENTILATION ASSIST/MGMT SLP/SN,4392.0,4392.0,,,0
CDM,76100381,HC DISPENSING FEE BINAURAL,5903.0,5903.0,,,0
CDM,76100382,HC ANKLE GAUNTLET PREFAB OTS,5229.0,5229.0,,,0
CDM,76100383,"HC DISPENSING FEE, CONTRALATERAL ROUTING SYSTEM, BINAURAL",3395.0,3395.0,,,0
CDM,76100384,HC INFLUENZA DNA AMP PROBE,2720.0,2720.0,,,0
CDM,76100385,"HC BENZODIAZEPINE CONFIRMATION,UR",3395.0,3395.0,,,0
CDM,76100386,HC CVVH INITIAL SET UP AND USE,2720.0,2720.0,,,0
CDM,76100387,HC STREP A ASSAY W/OPTIC,4019.0,4019.0,,,0
CDM,76100388,HC LAB PATHOLOGY,3345.0,3345.0,,,0
CDM,76100389,HC SPECIMEN HANDLING PT-LAB,4809.0,4809.0,,,0
CDM,76100390,HC LAB CHEMISTRY,4183.0,4183.0,,,0
CDM,76100409,HC MCG; SITU HYBRID 10-30 CELLS,2592.0,2592.0,,,0
CDM,76100417,HC STREP A AMPLIF NA PROBE,6427.0,6427.0,,,0
CDM,76100419,"HC HC AB, VIRUS NES (20)",1770.0,1770.0,,,0
CDM,76100420,HC UNLISTED MOLE PROC (900),2143.0,2143.0,,,0
CDM,76100423,HC QUANTITATIVE ASSAY DRUG (25),3756.0,3756.0,,,0
CDM,76100427,HC HLA II TYPING  1 LOC LR (120),7081.0,7081.0,,,0
CDM,76100428,HC HLA II TYPING  1 LOC HR (290),11206.0,11206.0,,,0
CDM,76100429,HC HLA CLASS I PHENOTYPE QUAL,14057.0,14057.0,,,0
CDM,76100430,HC HLA CLASS II PHENOTYPE QUAL,14057.0,14057.0,,,0
CDM,76100431,HC HLA I TYPING 1 LOCUS LR (55),12327.0,12327.0,,,0
CDM,76100432,HC HLA CLASS I&II ANTIBODY QUAL,12327.0,12327.0,,,0
CDM,76100433,"HC GASTRIC EMPTYING IMAGING STUDY  (SOLID, LIQUID OR BOTH)",2734.0,2734.0,,,0
CDM,76100434,HC PMP22 GENE DUP/DELET (505),26589.0,26589.0,,,0
CDM,76100435,HC PMP22 GENE DUP/DELET (505),23316.0,23316.0,,,0
CDM,76100436,HC CARB DEFICIENT TRANSFERRIN (30),23316.0,23316.0,,,0
CDM,76100437,HC GJB6 GENE COM VAR (1),4964.0,4964.0,,,0
CDM,76100438,HC GJB6 GENE COM VAR (1),2699.0,2699.0,,,0
CDM,76100439,HC TARGETED GENOMIC ANALYSIS(170),2699.0,2699.0,,,0
CDM,76100441,HC VERSITI HEPARININDUCED THROMBOCYTOPENIA EVALUATION  PEA(170),8528.0,8528.0,,,0
CDM,76100442,HC ELECTRODE STIM BRAIN ADD-ON,2969.0,2969.0,,,0
CDM,76100443,HC NEEDLE EMG; FOUR EXTREMITIES,3771.0,3771.0,,,0
CDM,76100445,HC PANORAMIC X-RAY OF JAWS,14486.0,14486.0,,,0
CDM,76100446,HC HIGH ALTITUDE SIMULATION TEST,14486.0,14486.0,,,0
CDM,76100447,HC HIGH ALTITUDE SIMULATION TEST WITH OXYGEN TITRATION,14486.0,14486.0,,,0
CDM,76100448,HC HGB FRACTIONATION & QUANTITATION; ELECTROPHORESIS,9334.0,9334.0,,,0
CDM,76100449,"HC UGT1A1, GENE ANALYSIS, COMMON VARIANTS(85)",4668.0,4668.0,,,0
CDM,76100459,HC IMMUNOASSAY QUANT NOS NONAB (184),237784.0,237784.0,,,0
CDM,76100460,HC FLT3 GENE (795),50502.0,50502.0,,,0
CDM,76100461,"HC IMM ADMN SARSCOV2 VACCINE, SINGLE DOSE",18110.0,18110.0,,,0
CDM,76100462,HC ADM RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP,18110.0,18110.0,,,0
CDM,76100466,HC ONE KNOWN FAMILIAL VARIANT (136),5604.0,5604.0,,,0
CDM,76100467,HC PRENATAL KNOWN FAMILIAL MUTATION (INCLUDES MCC) (370),9584.0,9584.0,,,0
CDM,76100468,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE (370),12133.0,12133.0,,,0
CDM,76100475,HC GENOME SEQUENCE ANALYSIS (985),4794.0,4794.0,,,0
CDM,76100476,"HC GENOME SEQ ANALYSIS, EA CMPRTR (493)",33815.0,33815.0,,,0
CDM,76100477,"HC GENOME SEQ ANALYSIS, EA CMPRTR (985)",68340.0,68340.0,,,0
CDM,76100478,HC MOPATH PROCEDURE LEVEL 6 (99),33815.0,33815.0,,,0
CDM,76100479,HC MOPATH PROCEDURE LEVEL 2 (99),68340.0,68340.0,,,0
CDM,76100480,HC MOPATH PROCEDURE LEVEL 2 (49),103589.0,103589.0,,,0
CDM,76100481,"HC  DRUG SCREEN, INSTRUMENT SINGLE DRUG",935.0,935.0,,,0
CDM,76100484,"HC DRUG SCREEN, INSTRUMENT 5 DRUG",33797.0,33797.0,,,0
CDM,76100485,HC BRAF GENE (205),16733.0,16733.0,,,0
CDM,76100486,HC IGH GENE REARRANGE AMP METH (180),33797.0,33797.0,,,0
CDM,76100487,HC CHIMERISM ANAL NO CELL SELEC (170),16733.0,16733.0,,,0
CDM,76100489,HC CHIMERISM ANAL WI/CELL SELECT (245),3432.0,3432.0,,,0
CDM,76100491,HC TRG GENE REARRANGEMENT ANAL (230),3432.0,3432.0,,,0
CDM,76100496,"HC SCLEROTX FLUID COLLECT, PERC, INCL CONTRAST INJ(S), SCLERO INJ(S)",16013.0,16013.0,,,0
CDM,76100498,"HC SCLEROTX FLUID COLLECT, PERC, INCL CONTRAST INJ(S), SCLERO INJ(S)",6082.0,6082.0,,,0
CDM,76100501,HC PARATHYRD PLANAR W/SPECT&CT,9725.0,9725.0,,,0
CDM,76100524,HC RBC DNA HEA 35 AG 11 BLD GRP,18568.0,18568.0,,,0
CDM,76100526,HC AB; PROTOZOA NES (20),18260.0,18260.0,,,0
CDM,76100528,"HC DEVELOPMENTAL TEST EXTEND, FIRST HOUR",10142.0,10142.0,,,0
CDM,76100529,"HC DEVELOPMENTAL TEST EXTEND, EA ADDL 30 MINUTES",1503.0,1503.0,,,0
CDM,76100530,"HC FINE NEEDLE ASPIRATION BIOPSY, W/FLUORO GUIDANCE, EA ADDL LESION",25284.0,25284.0,,,0
CDM,76100536,"HC FINE NEEDLE ASPIRATION BIOPSY, W/CT GUIDANCE, 1ST LESION",11892.0,11892.0,,,0
CDM,76100538,"HC INSERTION, SUBQ CARDIAC RHYTHM MONITOR, INCL PROGRAM",2570.0,2570.0,,,0
CDM,76100539,"HC REMOVAL, SUBQ CARDIAC RHYTHM MONITOR",1285.0,1285.0,,,0
CDM,76100540,"HC INSERT PICC, INCLUDING IMAGING, 5 YR+",2827.0,2827.0,,,0
CDM,76100541,"HC ULTRASOUND, ELASTOGRAPHY; PARENCHYMA (EG, ORGAN)",1413.0,1413.0,,,0
CDM,76100542,HC HTT GENE DETC ABNOR ALLELES (225),3109.0,3109.0,,,0
CDM,76100543,HC HTT GENE DETC ABNOR ALLELES (225),1556.0,1556.0,,,0
CDM,76100547,HC DIHYDROTESTOSTERONE (DHT),960.0,960.0,,,0
CDM,76100552,HC CAR-T; INFUSION CELL ADMINISTRATION; AUTOLOGOUS,56629.0,56629.0,,,0
CDM,76100553,HC POCT URINE HCG VISUAL COLOR,9337.0,9337.0,,,0
CDM,76100559,HC POCT GLUCOSE; BLOOD REAGENT STRIP,5615.0,5615.0,,,0
CDM,76100571,HC HEALTH BEHAVIOR INTERV GROUP FACE TO FACE;  EA ADDL 15 MIN,7488.0,7488.0,,,0
CDM,76100572,HC HEALTH BEHAVIOR INTERV FAM W/PT FACE TO FACE;  1ST 30 MIN,7738.0,7738.0,,,0
CDM,76100573,HC HEALTH BEHAVIOR INTERV FAM W/PT FACE TO FACE; EA ADD 15 MIN,8772.0,8772.0,,,0
CDM,76100579,HC CYTOGENOMIC NEO MICRORA ALYS (350),5333.0,5333.0,,,0
CDM,76100584,"HC DISPENSING FEE, CONTRALATERAL MONAURAL",4036.0,4036.0,,,0
CDM,76100596,"HC CARDIOVERSION ELECTRICAL CONVERSION, EXTERNAL",2056.0,2056.0,,,0
CDM,76100597,HC MRA CHEST WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST,2056.0,2056.0,,,0
CDM,76200001,HC IRC SURGICAL PRICE PER MINUTE,276.64,276.64,,,0
CDM,77100001,HC CCPD OUTPATIENT OR HOME,173.0,173.0,,,0
CDM,77100002,"HC SLV THERAPY, INDIVIDUAL",379.0,379.0,,,0
CDM,77100003,HC TX SWALLOWING DYSFUNCTION,379.0,379.0,,,0
CDM,77100007,HC MOPATH PROCEDURE LEVEL 2 (555),116.0,116.0,,,0
CDM,77100009,HC TARGETED GENOMIC SEQ ANALYSIS (1000),86.0,86.0,,,0
CDM,77100010,"HC CYTOPATH, ISH, URIN C MORPHOM (140)",91.3,91.3,,,0
CDM,77100011,HC ASSAY C-D TGREANSFER MEASURE (155),50.0,50.0,,,0
CDM,77100012,"HC ANTI-DEPRESS,SEROTO 1-2 (50)",91.3,91.3,,,0
CDM,77100013,HC DRI-AID KIT SUPER (JAR),171.0,171.0,,,0
CDM,77100014,HC DRI-AID KIT  (MINI),171.0,171.0,,,0
CDM,77100015,HC HEARING AID RETAINER,171.0,171.0,,,0
CDM,77100021,"HC NUDT15, GENE ANALYSIS, COMMON VARIANTS(30)",189.0,189.0,,,0
CDM,77100022,"HC SLCO1BI, GENE ANALYSIS, COMMON VARIANTS(30)",189.0,189.0,,,0
CDM,77100023,"DEAC 4/1/2023 HC TPMT, GENE ANALYSIS, COMMON VARIANTS(30)",189.0,189.0,,,0
CDM,77100026,HC JAK2 GENE (125),189.0,189.0,,,0
CDM,77100027,DEAC 11/01/2023 HC IMM ADMN SARSCOV2 BIVALENT 30 MCG/0.3 ML BOOSTER,189.0,189.0,,,0
CDM,77100028,DEAC 11/01/2023 HC IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML BOOSTER,189.0,189.0,,,0
CDM,77100029,DEAC 11/01/2023 HC IMM ADMN SARSCOV2 BIVALENT 50 MCG/0.5 ML BOOSTER,189.0,189.0,,,0
CDM,77100030,HC HEARING AID RETAINER - CLIP DOUBLE,1484.0,1484.0,,,0
CDM,77100034,HC FLOW CYTOMETRY EA ADDTL MARKER,171.0,171.0,,,0
CDM,77100035,HC PAPPA SERUM,171.0,171.0,,,0
CDM,77100036,HC PTN GENE KNOWN (505),171.0,171.0,,,0
CDM,77100037,HC HCG FREE BETA CHAIN,171.0,171.0,,,0
CDM,77100038,HC GBA GENE (65),171.0,171.0,,,0
CDM,77100039,HC ENDO LEVEL 1 EA ADDL MIN,171.0,171.0,,,0
CDM,77100040,HC ENDO LEVEL 2 INIT MIN,171.0,171.0,,,0
CDM,77100041,HC ENDO LEVEL 2 EA ADDL MIN,171.0,171.0,,,0
CDM,77100045,DEAC 12/31/2023 HC LIVER DISEASE ALYS 3 BMRK SRM ALG (171),171.0,171.0,,,0
CDM,77100046,DEAC 11/01/2023 HC ADMN SARSCOV2 5 MCG/0.5 ML BOOSTER DOSE,171.0,171.0,,,0
CDM,77100047,DEAC 11/01/2023 HC ADMN SARSCOV2 5 MCG/0.5 ML BOOSTER DOSE,171.0,171.0,,,0
CDM,77100048,DEAC 11/01/2023 HC ADMN SARSCOV2 BIVALENT 3 MCG/0.2 ML 3RD DOSE,171.0,171.0,,,0
CDM,77100049,HC OT EVAL MOD COMPLEXITY,130.0,130.0,,,0
CDM,77100050,HC OT EVAL HIGH COMPLEXITY,130.0,130.0,,,0
CDM,77100051,HC OT RE-EVAL EST PLAN CARE,130.0,130.0,,,0
CDM,77100052,HC COMBINED CARDIAC  PANEL SEQUENCING AT LEAST 10 GENES (148),189.0,189.0,,,0
CDM,77100053,HC ANTI-MULLERIAN HORMONE (AMH),171.0,171.0,,,0
CDM,77100054,HC ACETYLCHOLINE RECEPTOR (ACHR); BINDING ANTIBODY,171.0,171.0,,,0
CDM,77100055,HC ACETYLCHOLINE RECEPTOR (ACHR); BLOCKING ANTIBODY,171.0,171.0,,,0
CDM,77100056,HC ACETYLCHOLINE RECEPTOR (ACHR); MODULATING ANTIBODY,171.0,171.0,,,0
CDM,77100057,HC MUSCLE-SPECIFIC KINASE (MUSK) ANTIBODY,171.0,171.0,,,0
CDM,77100058,HC PROCEDURE ENDO LEVEL 2 INIT 15 MIN,171.0,171.0,,,0
CDM,77100059,"HC IMM ADMN SARSCOV2 VACCINE, SINGLE DOSE",201.0,201.0,,,0
CDM,77100060,HC ADM RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP,327.0,327.0,,,0
CDM,77100061,HC ADM RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX,283.0,283.0,,,0
CDM,79000001,"HC INJ PROC, ANKLE ARTHROGRAPHY",19750.0,19750.0,,,0
CDM,80000001,HC GROWTH HORMONE AB ENDO,2847.0,2847.0,,,0
CDM,80100050,"HC INSTILL (S), VIA CHEST TUBE/CATH,  FIBRINOLYSIS AGENT, INIT DAY",2169.0,2169.0,,,0
CDM,80300002,HC PERTUSSIS AG DETECTION BY DFA,2069.0,2069.0,,,0
CDM,81500001,HC APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES),11756.0,11756.0,,,0
CDM,82000001,"HC CIPROFLOXACIN,SERUM",2847.0,2847.0,,,0
CDM,82100001,HC FACTOR XIII QUEST,2847.0,2847.0,,,0
CDM,82100002,HC OSMOTIC FRAGILITY/INTERP,2620.0,2620.0,,,0
CDM,82100003,HC EVALUATION OF SPEECH SOUND  PRODUCTION,782.0,782.0,,,0
CDM,84100001,"HC AMOXICILLIN, SERUM",2069.0,2069.0,,,0
CDM,85100001,HC TYMPANOMETRY & REFLEX THRESH,2069.0,2069.0,,,0
CDM,85500001,"HC LYME(B.BURGDORFERI)PCR,CSF QST",124.0,124.0,,,0
CDM,87400001,"HC HEARING AID, BINAURAL, ITE/ITE",1987.0,1987.0,,,0
CDM,87400008,HC DNA/RNA AMPLIFIED PROBE,1774.0,1774.0,,,0
CDM,88000001,"HC EVAL CENTRAL AUDITORY FUNC W/REP, INIT 60 MIN",6273.96,6273.96,,,0
CDM,88000002,"HC EVAL CENTRAL AUDITORY FUNC W/REP, EA ADL 15 MIN",6273.96,6273.96,,,0
CDM,88000003,"HC EVAL CENTRAL AUDITORY FUNC W/REP, EA ADL 15 MIN",1697.52,1697.52,,,0
CDM,88000004,HC GRANULOCYTES PHERESIS UNIT,10455.72,10455.72,,,0
CDM,88100001,HC TUMOR NECROSIS FACTOR-ALPHAQST,2069.0,2069.0,,,0
CDM,89200006,HC SMEAR COMPLEX STAIN,569546.4,569546.4,,,0
CDM,91400064,HC HEALTH BEHAVIOR INTERV FAM W/O PT FACE TO FACE; 1ST 30 MIN,813.0,813.0,,,0
CDM,91400065,HC HEALTH BEHAVIOR INTERV FAM W/O PT FACE TO FACE; EA ADDL 15,561.0,561.0,,,0
CDM,91400066,HC EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS,194.0,194.0,,,0
CDM,91500004,HC EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED,132.0,132.0,,,0
CDM,91500005,HC INSERT HEART PM ATRIAL,19.0,19.0,,,0
CDM,91600006,HC INSERT HEART PM VENTRICULAR,600.0,600.0,,,0
CDM,91600007,HC INSRT HEART PM ATRIAL & VENT,213.0,213.0,,,0
CDM,91600008,HC INSERT ELECTRD/PM CATH SNGL,581.0,581.0,,,0
CDM,91600009,HC INSERT PULSE GEN DUAL LEADS,209.0,209.0,,,0
CDM,91800026,"HC FINE NEEDLE ASPIRATION BIOPSY, W/CT GUIDANCE, EA ADDL LESION",721.0,721.0,,,0
CDM,91800027,"HC PUNCH BIOSPY OF SKIN, SINGLE LESION",270.0,270.0,,,0
CDM,92000016,HC AB; VIRUS NES (35),333.0,333.0,,,0
CDM,92000020,HC DIGITAL ANALYSIS OF EEG,691.0,691.0,,,0
CDM,92000021,HC WADA ACTIVATION TEST,1188.0,1188.0,,,0
CDM,92000022,HC HPA-15  GENOTYPING (35),1547.0,1547.0,,,0
CDM,92000023,HC HLA CLASS I HIGH DEFIN QUAL,818.0,818.0,,,0
CDM,92000070,HC TRANSIENT O/P HEMODIALYSIS,439.0,439.0,,,0
CDM,92000071,HC STENGER TEST SPEECH,2027.0,2027.0,,,0
CDM,92000089,"HC CYP2C9, GENE ANALYSIS, COMMON VARIANTS(30)",5424.0,5424.0,,,0
CDM,92000093,HC TARGETED GENOMIC SEQ ANALYSIS 51+ (795),187.0,187.0,,,0
CDM,92000101,HC IMMUMOASSAY QUANT NOS NONAB (25),963.0,963.0,,,0
CDM,92000102,HC IMMUMOASSAY QUANT NOS NONAB (35),286.0,286.0,,,0
CDM,92100001,HC DUPLEX LE ART/BPG; UNIL/LIMIT,1855.0,1855.0,,,0
CDM,92100003,HC HPA-9  GENOTYPING (35),1340.0,1340.0,,,0
CDM,92100008,HC DUPLEX UE ART/BPG; UNIL/LIMIT,1456.0,1456.0,,,0
CDM,92100009,HC DUPLEX A IVC IL/BPG; UNIL/LIM,1113.0,1113.0,,,0
CDM,92100010,HC DUPLEX HEMODIALYSIS ACCESS,860.0,860.0,,,0
CDM,92100011,HC CENTRAL MOTOR EVOKED UPP LIMBS,959.0,959.0,,,0
CDM,92100012,HC DUPLEX ARTERIAL FLOW; LIMITED,2029.0,2029.0,,,0
CDM,92100013,HC DUPLEX A IVC IL/BPG; COMPL,1357.0,1357.0,,,0
CDM,92100014,HC SPIROMETRY,2051.0,2051.0,,,0
CDM,92100015,HC SPIROMETRY W/BRONCHODILATOR,1399.0,1399.0,,,0
CDM,92100016,HC BRONCHOSPASM PROVOCATION EVAL,805.0,805.0,,,0
CDM,92100017,HC FLT3 GENE (100),1042.0,1042.0,,,0
CDM,92100018,HC CENTRAL MOTOR EVOKED LWR LIMBS,408.0,408.0,,,0
CDM,92100019,HC 2D TTE W OR W/O FOL W/CONTRAST,627.0,627.0,,,0
CDM,92200001,HC EMG CRANIAL NERVE - UNILAT,587.0,587.0,,,0
CDM,92200002,HC EMG CRANIAL NERVE; BILAT,979.0,979.0,,,0
CDM,92200003,HC EMG THORACIC PARASPINAL,640.0,640.0,,,0
CDM,92200004,HC MUSCLE TEST NONPARASPINAL 1 EXT,771.0,771.0,,,0
CDM,92200005,HC SLS-EPS; PERIPH NRV; UPPER LIMBS,771.0,771.0,,,0
CDM,92200006,HC SLS-EPS; PERIPH NRV; LOWER LIMBS,566.0,566.0,,,0
CDM,92200007,HC NEUROMUSC JUNCTION TEST EA NRV,312.0,312.0,,,0
CDM,92200013,HC FUNCTION CORTICAL MAP; 1ST HR,995.0,995.0,,,0
CDM,92200015,HC PROCEDURE ENDO LEVEL 3 EA ADDL 15 MINUTE,874.0,874.0,,,0
CDM,92200016,"HC NS CATH, THORACIC AORTA W/ANGIO",874.0,874.0,,,0
CDM,92200017,HC POLYSOM <6 YRS CPAP/BILVL,1505.0,1505.0,,,0
CDM,92200018,HC POLYSOM <6 YRS 4> PARAMETERS,1505.0,1505.0,,,0
CDM,92200019,HC TRANSCUTANEOUS BILIRUBIN,1505.0,1505.0,,,0
CDM,92200020,HC THYROID IMAGING W/BLOOD FLOW,1711.0,1711.0,,,0
CDM,92200021,HC THYROID IMAGING W/BLOOD FLOW & 1+ UPTAKES,1505.0,1505.0,,,0
CDM,92200050,HC X-RAY SIALOGRAM,868.0,868.0,,,0
CDM,92200051,HC CT UPR EXTREMITY W/WO CONTRAST,874.0,874.0,,,0
CDM,92200052,HC X-RAY EXAM ABDOMEN 3 OR MORE VIEWS,316.0,316.0,,,0
CDM,92200053,"HC ORTH/PROST MGMT, UP/LOW EXT, AND/OR TRUNK, SUBSQ ENC, EA 15 MIN",497.0,497.0,,,0
CDM,92200054,"HC PULM STRESS TEST(6 MINUTE WALK) INC HR,OXIMET,OXY TITR, WHEN PERF",382.0,382.0,,,0
CDM,92200055,HC X-RAY EXAM CHEST 1 VIEW,307.0,307.0,,,0
CDM,92200056,DEAC 11/01/2023 HC ADM SARSCV2 BVL 3 MCG/0.2ML 1ST DOSE,1014.0,1014.0,,,0
CDM,92200057,HC MENNIGITIS-ENCEPH CSF BY PCR,1505.0,1505.0,,,0
CDM,92200058,HC INFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,1820.0,1820.0,,,0
CDM,92200060,HC IMMUMOASSAY QUANT NOS NONAB (40),347.0,347.0,,,0
CDM,92400015,HC PERQ DEVICE BREAST 1ST IMAG,83.0,83.0,,,0
CDM,92400020,HC PERQ DEVICE BREAST EA IMAG,1497.0,1497.0,,,0
CDM,92400025,HC PERQ DEV BREAST 1ST STEREOTACTIC GUIDANCE,242.0,242.0,,,0
CDM,92400028,HC X-RAY EXAM CHEST 2 VIEWS,1213.0,1213.0,,,0
CDM,94000012,HC PCP QUAN ASSAY,1864.0,1864.0,,,0
CDM,94030001,HC HEROIN METABOLITE (25),438.0,438.0,,,0
CDM,94200001,HC EMERGENCY DEPT VISIT LVL 2,139.0,139.0,,,0
CDM,94200002,HC EMERGENCY DEPT VISIT LVL 3,132.0,132.0,,,0
CDM,94200005,HC IRC CARDIOLOGY PRICE PER MINUTE,125.0,125.0,,,0
CDM,94200051,HC X-RAY RENAL CYST STUDY,96.0,96.0,,,0
CDM,94200064,"HC AMINO ACIDS, 6 OR MORE AMINO ACIDS, QNT,  SERUM, EACH SPECIMEN",113.0,113.0,,,0
HCPCS,0001U,Rbc dna hea 35 ag 11 bld grp,,,1080.0,3003.84,3
HCPCS,0002M,Liver dis 10 assays w/ash,,,2100.18,2100.18,1
HCPCS,0002U,Onc clrct 3 ur metab alg plp,,,37.5,104.3,3
HCPCS,0003M,Liver dis 10 assays w/nash,,,2100.18,2100.18,1
HCPCS,0003U,Onc ovar 5 prtn ser alg scor,,,1425.0,3963.4,3
HCPCS,0004M,Scoliosis dna alys,,,329.59,329.59,1
HCPCS,0005U,Onco prst8 3 gene ur alg,,,1140.0,3170.72,3
HCPCS,0006M,Onc hep gene risk classifier,,,625.8,625.8,1
HCPCS,0007M,Onc gastro 51 gene nomogram,,,1564.5,1564.5,1
HCPCS,0007U,Rx test prsmv ur w/def conf,,,171.65,477.4,3
HCPCS,0008U,Hpylori detcj abx rstnc dna,,,896.87,2494.48,3
HCPCS,0009U,Onc brst ca erbb2 amp/nonamp,,,160.5,446.4,3
HCPCS,0010U,Nfct ds strn typ whl gen seq,,,640.89,1782.53,3
HCPCS,0011M,Onc prst8 ca mrna 12 gen alg,,,1140.0,3170.72,3
HCPCS,0011U,Rx mntr lc-ms/ms oral fluid,,,171.65,477.4,3
HCPCS,0012M,Onc mrna 5 gen rsk urthl ca,,,1140.0,3170.72,3
HCPCS,0013M,Onc mrna 5 gen recr urthl ca,,,1140.0,3170.72,3
HCPCS,0015M,Adrnl cortcl tum bchm asy 25,,,1958.06,5446.0,3
HCPCS,0016M,Onc bladder mrna 209 gen alg,,,5234.45,14558.74,3
HCPCS,0016U,Onc hmtlmf neo rna bcr/abl1,,,245.94,684.04,3
HCPCS,0017M,Onc dlbcl mrna 20 genes alg,,,3765.32,10472.6,3
HCPCS,0017U,Onc hmtlmf neo jak2 mut dna,,,137.49,382.41,3
HCPCS,0018M,Trnsplj rnl meas cd154+cll,,,961.1,2673.13,3
HCPCS,0018U,Onc thyr 10 microrna seq alg,,,4503.14,12524.72,3
HCPCS,0019M,Cv ds plasma alys prtn bmrk,,,1068.6,2972.13,3
HCPCS,0019U,Onc rna tiss predict alg,,,5512.5,15332.1,3
HCPCS,0020M,Onc cns alys 30000 dna loci,,,10430.0,10430.0,1
HCPCS,0021U,Onc prst8 detcj 8 autoantb,,,1140.0,3170.72,3
HCPCS,0022U,Trgt gen seq dna&rna 23 gene,,,2925.0,8135.4,3
HCPCS,0023U,Onc aml dna detcj/nondetcj,,,372.77,1036.78,3
HCPCS,0024U,Glyca nuc mr spectrsc quan,,,51.29,142.64,3
HCPCS,0025U,Tenofovir liq chrom ur quan,,,128.66,477.4,3
HCPCS,0026U,Onc thyr dna&mrna 112 genes,,,5400.0,15019.2,3
HCPCS,0027U,Jak2 gene trgt seq alys,,,203.19,508.61,3
HCPCS,0029U,Rx metab advrs trgt seq alys,,,1113.41,3096.75,3
HCPCS,0030U,Rx metab warf trgt seq alys,,,201.2,559.59,3
HCPCS,0031U,Cyp1a2 gene,,,262.22,729.31,3
HCPCS,0032U,Comt gene,,,262.22,729.31,3
HCPCS,0033U,Htr2a htr2c genes,,,524.43,524.43,2
HCPCS,0034U,Tpmt nudt15 genes,,,699.26,1944.86,3
HCPCS,0035U,Neuro csf prion prtn qual,,,811.49,2257.01,3
HCPCS,0036U,Xome tum & nml spec seq alys,,,7170.0,19942.16,3
HCPCS,0037U,Trgt gen seq dna 324 genes,,,5250.0,14602.0,3
HCPCS,0038U,Vitamin d srm microsamp quan,,,44.4,123.49,3
HCPCS,0039U,Dna antb 2strand hi avidity,,,20.61,57.32,3
HCPCS,0040U,Bcr/abl1 gene major bp quan,,,614.85,1710.1,3
HCPCS,0041U,B brgdrferi antb 5 prtn igm,,,25.82,71.8,3
HCPCS,0042U,B brgdrferi antb 12 prtn igg,,,25.82,71.8,3
HCPCS,0043U,Tbrf b grp antb 4 prtn igm,,,22.29,62.0,3
HCPCS,0044U,Tbrf b grp antb 4 prtn igg,,,22.29,62.0,3
HCPCS,0045U,Onc brst dux carc is 12 gene,,,5809.5,16158.16,3
HCPCS,0046U,Flt3 gene itd variants quan,,,248.48,1699.8,3
HCPCS,0047U,Onc prst8 mrna 17 gene alg,,,5809.5,16158.16,3
HCPCS,0048U,Onc sld org neo dna 468 gene,,,4379.4,12180.57,3
HCPCS,0049U,Npm1 gene analysis quan,,,369.74,1699.8,3
HCPCS,0050U,Trgt gen seq dna 194 genes,,,4374.9,12168.06,3
HCPCS,0051U,Rx mntr lc-ms/ms ur 31 pnl,,,290.57,1030.15,3
HCPCS,0052U,Lpoprtn bld w/5 maj classes,,,50.79,141.26,3
HCPCS,0054T,Bone srgry cmptr fluor image,,,2505.0,3195.0,3
HCPCS,0054U,Rx mntr 14+ drugs & sbsts,,,223.44,829.14,3
HCPCS,0055T,Bone srgry cmptr ct/mri imag,,,2505.0,3195.0,3
HCPCS,0055U,Card hrt trnspl 96 dna seq,,,4860.0,13517.28,3
HCPCS,0058U,Onc merkel cll carc srm quan,,,484.44,1347.39,3
HCPCS,0059U,Onc merkel cll carc srm +/-,,,484.44,1347.39,3
HCPCS,0060U,Twn zyg gen seq alys chrms2,,,1138.58,3166.76,3
HCPCS,0061U,Tc meas 5 bmrk sfdi m-s alys,,,37.65,104.72,3
HCPCS,0062U,Ai sle igg&igm alys 80 bmrk,,,571.08,1588.36,3
HCPCS,0063U,Neuro autism 32 amines alg,,,1125.0,3129.0,3
HCPCS,0064U,Antb tp total&rpr ia qual,,,47.0,130.71,3
HCPCS,0065U,Syfls tst nontreponemal antb,,,27.14,75.47,3
HCPCS,0067U,Onc brst imhchem prfl 4 bmrk,,,2845.5,7914.28,3
HCPCS,0068U,Candida species pnl amp prb,,,213.95,595.05,3
HCPCS,0069U,Onc clrct microrna mir-31-3p,,,570.0,1585.36,3
HCPCS,0070U,Cyp2d6 gen com&slct rar vrnt,,,1014.56,2821.82,3
HCPCS,0071T,Us leiomyomata ablate <200,,,9846.0,10940.0,2
HCPCS,0071U,Cyp2d6 full gene sequence,,,452.03,2503.2,3
HCPCS,0072T,Us leiomyomata ablate >200,,,9846.0,10940.0,2
HCPCS,0072U,Cyp2d6 gen cyp2d6-2d7 hybrid,,,676.37,1881.2,3
HCPCS,0073U,Cyp2d6 gen cyp2d7-2d6 hybrid,,,676.37,1881.2,3
HCPCS,0074U,Cyp2d6 nonduplicated gene,,,676.37,1881.2,3
HCPCS,0075T,Perq Stent/Chest Vert Art,,,5097.0,5664.0,2
HCPCS,0075U,Cyp2d6 5' gene dup/mlt,,,676.37,1881.2,3
HCPCS,0076T,S&I Stent/Chest Vert Art,,,5097.0,5664.0,2
HCPCS,0076U,Cyp2d6 3' gene dup/mlt,,,676.37,1881.2,3
HCPCS,0077U,Ig paraprotein qual bld/ur,,,65.15,181.19,3
HCPCS,0080U,Onc lng 5 clin rsk factr alg,,,5280.0,14685.44,3
HCPCS,0082U,Rx test def 90+ rx/sbsts ur,,,370.38,1030.15,3
HCPCS,0083U,Onc rspse chemo cntrst tomog,,,251.03,698.18,3
HCPCS,0084U,Rbc dna gnotyp 10 bld groups,,,1080.0,3003.84,3
HCPCS,0086U,Nfct ds bact&fng org id 6+,,,300.0,834.4,3
HCPCS,0087U,Crd hrt trnspl mrna 1283 gen,,,4739.13,13181.1,3
HCPCS,0088U,Trnsplj kdn algrft rej 1494,,,4739.13,13181.1,3
HCPCS,0089U,Onc mlnma prame & linc00518,,,1140.0,3170.72,3
HCPCS,0090U,Onc cutan mlnma mrna 23 gene,,,2925.0,8135.4,3
HCPCS,0092U,Onc lng 3 prtn bmrk plsm alg,,,3732.0,10379.94,3
HCPCS,0093U,Rx mntr 65 com drugs urine,,,93.21,259.25,3
HCPCS,0094U,Genome rapid sequence alys,,,11373.3,31632.94,3
HCPCS,0095T,Rmvl artific disc addl crvcl,,,3195.0,3195.0,1
HCPCS,0095U,Inflm ee elisa alys alg,,,1157.97,3220.7,3
HCPCS,0096U,Hpv hi risk types male urine,,,52.64,146.4,3
HCPCS,0098T,Rev Artific Disc Addl,,,3195.0,3195.0,1
HCPCS,0100T,Prosth Retina Receive&Gen,,,8406.0,46177.0,3
HCPCS,0101T,Extracorp shockwv tx hi enrg,,,11539.0,12821.0,2
HCPCS,0101U,Hered colon ca do 15 genes,,,1754.7,7275.76,3
HCPCS,0102T,Extracorp shockwv tx anesth,,,11539.0,12821.0,2
HCPCS,0102U,Hered brst ca rltd do 17 gen,,,1676.97,5440.08,3
HCPCS,0103U,Hered ova ca pnl 24 genes,,,1676.97,7275.76,3
HCPCS,0105U,Neph ckd mult eclia tum nec,,,1425.0,3963.4,3
HCPCS,0106U,Gstr emptg 7 timed brth spec,,,1311.74,3648.37,3
HCPCS,0107U,C diff tox ag detcj ia stool,,,24.0,66.75,3
HCPCS,0108U,Gi barrett esoph 9 prtn bmrk,,,3769.88,20651.4,3
HCPCS,0109U,Id aspergillus dna 4 species,,,213.95,595.05,3
HCPCS,0110U,Rx mntr 1+oral onc rx&sbsts,,,40.67,113.1,3
HCPCS,0111U,Onc colon ca kras&nras alys,,,1023.44,2846.51,3
HCPCS,0112U,Iadi 16s&18s rrna genes,,,534.2,1485.77,3
HCPCS,0113U,Onc prst8 pca3&tmprss2-erg,,,1140.0,3170.72,3
HCPCS,0114U,Gi barretts esoph vim&ccna1,,,2907.02,8085.38,3
HCPCS,0115U,Respir iadna 18 viral&2 bact,,,413.03,1148.76,3
HCPCS,0116U,Rx mntr nzm ia 35+oral flu,,,370.38,1030.15,3
HCPCS,0117U,Pain mgmt 11 endogenous anal,,,1260.98,3507.19,3
HCPCS,0118U,Trnsplj don-drv cll-fr dna,,,4129.88,11486.56,3
HCPCS,0119U,Crd ceramides liq chrom plsm,,,125.64,349.45,3
HCPCS,0120U,Onc b cll lymphm mrna 58 gen,,,4183.68,10472.6,3
HCPCS,0121U,Sc dis vcam-1 whole blood,,,763.8,2124.38,3
HCPCS,0122U,Sc dis p-selectin whl blood,,,789.35,2195.43,3
HCPCS,0123U,Mchnl fragility rbc prflg,,,536.45,1492.03,3
HCPCS,0129U,Hered brst ca rltd do panel,,,1676.97,5440.08,3
HCPCS,0130U,Hered colon ca do mrna pnl,,,877.35,2440.2,3
HCPCS,0131U,Hered brst ca rltd do pnl 13,,,1065.0,1065.0,2
HCPCS,0132U,Hered ova ca rltd do pnl 17,,,1112.46,1112.46,2
HCPCS,0133U,Hered prst8 ca rltd do 11,,,1035.44,2879.89,3
HCPCS,0134U,Hered pan ca mrna pnl 18 gen,,,1122.59,3122.28,3
HCPCS,0135U,Hered gyn ca mrna pnl 12 gen,,,1050.84,1050.84,2
HCPCS,0136U,Atm mrna seq alys,,,611.15,1699.8,3
HCPCS,0137U,Palb2 mrna seq alys,,,424.32,1180.18,3
HCPCS,0138U,Brca1 brca2 mrna seq alys,,,702.5,1953.87,3
HCPCS,0140U,Nfct ds fungi dna 15 trgt,,,235.13,653.96,3
HCPCS,0141U,Nfct ds bact&fng gram pos,,,235.13,653.96,3
HCPCS,0142U,Nfct ds bact&fng gram neg,,,235.13,653.96,3
HCPCS,0152U,Nfct bct fng prst dna >1000,,,3189.3,8870.51,3
HCPCS,0153U,Onc breast mrna 101 genes,,,4739.13,13181.1,3
HCPCS,0154U,Fgfr3 gene analysis,,,310.97,2011.49,3
HCPCS,0155U,Pik3ca gene analysis,,,412.25,1146.59,3
HCPCS,0156U,Copy number sequence alys,,,2610.0,7259.28,3
HCPCS,0157U,Apc mrna seq alys,,,424.32,1180.18,3
HCPCS,0158U,Mlh1 mrna seq alys,,,424.32,1180.18,3
HCPCS,0159U,Msh2 mrna seq alys,,,424.32,1180.18,3
HCPCS,0160U,Msh6 mrna seq alys,,,424.32,1180.18,3
HCPCS,0161U,Pms2 mrna seq alys,,,424.32,1180.18,3
HCPCS,0162U,Hered colon ca trgt mrna pnl,,,729.81,2029.84,3
HCPCS,0163U,Onc clrct scr 3 prtn alg,,,586.13,1630.21,3
HCPCS,0164T,Remove Lumb Artif Disc Addl,,,2505.0,3195.0,3
HCPCS,0164U,Gi ibs ia anti-cdtb&vinculin,,,168.03,467.35,3
HCPCS,0165T,Revise Lumb Artif Disc Addl,,,2505.0,3195.0,3
HCPCS,0165U,Peanut allg spec asmt 64 epi,,,695.64,1934.81,3
HCPCS,0166U,Liver ds 10 biochem asy srm,,,755.1,2100.18,3
HCPCS,0169U,Nudt15&tpmt gene com vrnt,,,699.26,1944.86,3
HCPCS,0170U,Neuro asd rna next gen seq,,,2632.5,8135.4,3
HCPCS,0171U,Trgt gen seq alys pnl dna 23,,,2278.59,6337.52,3
HCPCS,0172U,Onc sld tum alys brca1 brca2,,,4545.0,12641.16,3
HCPCS,0173U,Psyc gen alys panel 14 genes,,,699.26,1944.86,3
HCPCS,0174U,Onc solid tumor 30 prtn trgt,,,1958.06,5446.0,3
HCPCS,0175U,Psyc gen alys panel 15 genes,,,2004.14,5574.17,3
HCPCS,0176U,Cdtb&vinculin igg antb ia,,,96.29,267.8,3
HCPCS,0177U,Onc brst ca dna pik3ca 11,,,369.78,1146.59,3
HCPCS,0178U,Peanut allg asmt epi clin rx,,,689.79,1918.54,3
HCPCS,0179U,Onc nonsm cll lng ca alys 23,,,2914.82,8107.07,3
HCPCS,0180U,Abo gnotyp abo 7 exons,,,412.25,1146.59,3
HCPCS,0181U,Co gnotyp aqp1 exon 1,,,277.8,772.65,3
HCPCS,0182U,Crom gnotyp cd55 exons 1-10,,,452.03,1257.23,3
HCPCS,0183U,Di gnotyp slc4a1 exon 19,,,277.8,772.65,3
HCPCS,0184T,Exc rectal tumor endoscopic,,,5248.0,12821.0,3
HCPCS,0184U,Do gnotyp art4 exon 2,,,277.8,772.65,3
HCPCS,0185U,Fut1 gnotyp fut1 exon 4,,,277.8,772.65,3
HCPCS,0186U,Fut2 gnotyp fut2 exon 2,,,277.8,772.65,3
HCPCS,0187U,Fy gnotyp ackr1 exons 1-2,,,412.25,1146.59,3
HCPCS,0188U,Ge gnotyp gypc exons 1-4,,,412.25,1146.59,3
HCPCS,0189U,Gypa gnotyp ntrns 1 5 exon 2,,,412.25,1146.59,3
HCPCS,0190U,Gypb gnotyp ntrns 1 5 seux 3,,,412.25,1146.59,3
HCPCS,0191U,In gnotyp cd44 exons 2 3 6,,,412.25,1146.59,3
HCPCS,0192U,Jk gnotyp slc14a1 exon 9,,,412.25,1146.59,3
HCPCS,0193U,Jr gnotyp abcg2 exons 2-26,,,424.32,1180.18,3
HCPCS,0194U,Kel gnotyp kel exon 8,,,277.8,772.65,3
HCPCS,0195U,Klf1 targeted sequencing,,,562.88,1565.54,3
HCPCS,0196U,Lu gnotyp bcam exon 3,,,277.8,772.65,3
HCPCS,0197U,Lw gnotyp icam4 exon 1,,,277.8,772.65,3
HCPCS,0198U,Rhd&rhce gntyp rhd1-10&rhce5,,,424.32,1180.18,3
HCPCS,0199U,Sc gnotyp ermap exons 4 12,,,412.25,1146.59,3
HCPCS,0200T,Perq sacral augmt unilat inj,,,11539.0,12821.0,2
HCPCS,0200U,Xk gnotyp xk exons 1-3,,,412.25,1146.59,3
HCPCS,0201T,Perq sacral augmt bilat inj,,,11539.0,12821.0,2
HCPCS,0201U,Yt gnotyp ache exon 2,,,277.8,772.65,3
HCPCS,0202T,Post vert arthrplst 1 lumbar,,,6979.0,22111.0,3
HCPCS,0202U,Nfct ds 22 trgt sars-cov-2,,,625.17,1738.81,3
HCPCS,0203U,Ai ibd mrna xprsn prfl 17,,,1140.0,3170.72,3
HCPCS,0205U,Oph amd alys 3 gene variants,,,70.5,196.08,3
HCPCS,0206U,Neuro alzheimer cell aggregj,,,3323.1,9242.65,3
HCPCS,0207T,Clear eyelid gland w/heat,,,2505.0,3195.0,3
HCPCS,0207U,Neuro alzheimer quan imaging,,,766.8,2132.73,3
HCPCS,0209U,Cytog const alys interrog,,,1180.73,3283.99,3
HCPCS,0210U,Syphilis tst antb ia quan,,,27.95,77.72,3
HCPCS,0211U,Onc pan-tum dna&rna gnrj seq,,,5512.5,35274.26,3
HCPCS,0212U,Rare ds gen dna alys proband,,,8212.8,22842.53,3
HCPCS,0213T,Njx paravert w/us cer/thor,,,4047.0,4497.0,2
HCPCS,0213U,Rare ds gen dna alys ea comp,,,4064.93,11305.91,3
HCPCS,0214T,Njx paravert w/us cer/thor,,,2505.0,2782.0,2
HCPCS,0214U,Rare ds xom dna alys proband,,,7836.9,21797.03,3
HCPCS,0215T,Njx paravert w/us cer/thor,,,2505.0,2782.0,2
HCPCS,0215U,Rare ds xom dna alys ea comp,,,3861.98,10741.44,3
HCPCS,0216T,Njx paravert w/us lumb/sac,,,3195.0,4497.0,3
HCPCS,0216U,Neuro inh ataxia dna 12 com,,,2305.53,6412.45,3
HCPCS,0217T,Njx paravert w/us lumb/sac,,,2505.0,3195.0,3
HCPCS,0217U,Neuro inh ataxia dna 51 gene,,,3297.53,9171.52,3
HCPCS,0218T,Njx paravert w/us lumb/sac,,,2505.0,3195.0,3
HCPCS,0218U,Neuro musc dys dmd seq alys,,,3418.5,9507.99,3
HCPCS,0219T,Plmt post facet implt cerv,,,6044.0,22111.0,3
HCPCS,0219U,Nfct agt hiv gnrj seq alys,,,1087.5,3024.7,3
HCPCS,0220T,Plmt post facet implt thor,,,6044.0,22111.0,3
HCPCS,0220U,Onc brst ca ai assmt 12 feat,,,1059.38,2946.48,3
HCPCS,0221T,Plmt post facet implt lumb,,,6044.0,12821.0,3
HCPCS,0221U,Abo gnotyp next gnrj seq abo,,,412.25,1146.59,3
HCPCS,0222T,Plmt post facet implt addl,,,2505.0,3195.0,3
HCPCS,0222U,Rhd&rhce gntyp next gnrj seq,,,424.32,1180.18,3
HCPCS,0223U,Nfct ds 22 trgt sars-cov-2,,,625.16,1738.81,3
HCPCS,0224U,Antibody sars-cov-2 titer(s),,,63.2,214.57,3
HCPCS,0225U,Nfct ds dna&rna 21 sarscov2,,,625.16,1738.81,3
HCPCS,0226U,Svnt sarscov2 elisa plsm srm,,,63.2,176.39,3
HCPCS,0227U,Rx asy prsmv 30+rx/metablt,,,93.21,259.25,3
HCPCS,0228U,Onc prst8 ma molec prfl alg,,,259.55,721.88,3
HCPCS,0229U,Bcat1 promoter mthyltn alys,,,288.0,1602.05,3
HCPCS,0230U,Ar full sequence analysis,,,452.03,1257.23,3
HCPCS,0231U,Cacna1a full gene analysis,,,1269.41,3530.64,3
HCPCS,0232T,Njx platelet plasma,,,2505.0,3195.0,3
HCPCS,0232U,Cstb full gene analysis,,,412.25,1146.59,3
HCPCS,0233U,Fxn gene analysis,,,412.25,1146.59,3
HCPCS,0234T,Trluml perip athrc renal art,,,5248.0,25393.0,3
HCPCS,0234U,Mecp2 full gene analysis,,,791.81,2202.27,3
HCPCS,0235T,Trluml perip athrc visceral,,,5097.0,5664.0,2
HCPCS,0235U,Pten full gene analysis,,,900.0,2503.2,3
HCPCS,0236T,Trluml perip athrc abd aorta,,,5248.0,25393.0,3
HCPCS,0236U,Smn1&smn2 full gene analysis,,,904.05,2514.46,3
HCPCS,0237T,Trluml perip athrc brchiocph,,,5248.0,25393.0,3
HCPCS,0237U,Car ion chnlpthy gen seq pnl,,,877.35,2440.2,3
HCPCS,0238T,Trluml perip athrc iliac art,,,8406.0,25393.0,3
HCPCS,0238U,Onc lnch syn gen dna seq aly,,,877.35,2440.2,3
HCPCS,0239U,Trgt gen seq alys pnl 311+,,,5250.0,14602.0,3
HCPCS,0242U,Trgt gen seq alys pnl 55-74,,,7500.0,20860.0,3
HCPCS,0243U,Ob pe biochem assay pgf alg,,,96.62,268.72,3
HCPCS,0244U,Onc solid orgn dna 257 genes,,,5250.0,14602.0,3
HCPCS,0245U,Onc thyr mut alys 10 gen&37,,,1899.11,5282.04,3
HCPCS,0246U,Rbc dna gnotyp 16 bld groups,,,1080.0,3003.84,3
HCPCS,0247U,Ob prtrm brth ibp4 shbg meas,,,1125.0,3129.0,3
HCPCS,0248U,Onc brn sphrd cll 12 rx pnl,,,4550.79,12657.26,3
HCPCS,0249U,Onc brst alys 32 phsprtn alg,,,3328.7,9258.21,3
HCPCS,0250U,Onc sld org neo dna 505 gene,,,4379.4,12180.57,3
HCPCS,0251U,Hepcidin-25 elisa serum/plsm,,,25.91,72.05,3
HCPCS,0252U,Ftl aneuploidy str alys dna,,,1138.58,3166.76,3
HCPCS,0253T,Insert aqueous drain device,,,13011.0,14456.0,2
HCPCS,0253U,Rprdtve med rna gen prfl 238,,,4739.13,13181.1,3
HCPCS,0254U,Reprdtve med alys 24 chrmsm,,,1138.58,3166.76,3
HCPCS,0255U,Andrology infertility assmt,,,47.4,131.84,3
HCPCS,0256U,Tma/tmao prfl ms/ms ur alg,,,239.93,667.31,3
HCPCS,0257U,Vlcad leuk nzm actv whl bld,,,1068.71,2972.42,3
HCPCS,0258U,Ai psor mrna 50-100 gen alg,,,5512.5,15332.1,3
HCPCS,0259U,Neph ckd nuc mrs meas gfr,,,79.07,219.91,3
HCPCS,0260U,Rare ds id opt genome mapg,,,1895.3,5271.45,3
HCPCS,0261U,Onc clrct ca img alys w/ai,,,3769.88,10485.28,3
HCPCS,0262U,Onc sld tum rt-pcr 7 gen,,,4800.0,13350.4,3
HCPCS,0263T,Im b1 mrw cel ther cmpl,,,13011.0,14456.0,2
HCPCS,0263U,Neuro asd meas 16 c metblt,,,1125.0,3129.0,3
HCPCS,0264T,Im b1 mrw cel ther xcl hrvst,,,13011.0,14456.0,2
HCPCS,0264U,Rare ds id opt genome mapg,,,1895.3,5271.45,3
HCPCS,0265T,Im b1 mrw cel ther hrvst onl,,,13011.0,14456.0,2
HCPCS,0265U,Rar do whl gn&mtcdrl dna als,,,8213.7,22845.04,3
HCPCS,0266T,Implt/rpl crtd sns dev total,,,35325.0,39251.0,2
HCPCS,0266U,Unxpl cnst hrtbl do gn xprsn,,,4800.0,13350.4,3
HCPCS,0267T,Implt/rpl crtd sns dev lead,,,11539.0,12821.0,2
HCPCS,0267U,Rare do id opt gen mapg&seq,,,10109.0,28116.48,3
HCPCS,0268T,Implt/rpl crtd sns dev gen,,,35325.0,39251.0,2
HCPCS,0268U,Hem ahus gen seq alys 15 gen,,,912.26,2537.29,3
HCPCS,0269T,Rev/remvl crtd sns dev total,,,19899.0,22111.0,2
HCPCS,0269U,Hem aut dm cgen trmbctpna 14,,,912.26,2537.29,3
HCPCS,0270T,Rev/remvl crtd sns dev lead,,,11539.0,12821.0,2
HCPCS,0270U,Hem cgen coagj do 20 genes,,,912.26,2537.29,3
HCPCS,0271T,Rev/remvl crtd sns dev gen,,,11539.0,12821.0,2
HCPCS,0271U,Hem cgen neutropenia 23 gen,,,912.26,2537.29,3
HCPCS,0272U,Hem genetic bld do 51 genes,,,912.26,2537.29,3
HCPCS,0273U,Hem gen hyprfibrnlysis 8 gen,,,912.26,2537.29,3
HCPCS,0274T,Perq lamot/lam crv/thrc,,,19899.0,22111.0,2
HCPCS,0274U,Hem gen pltlt do 43 genes,,,912.26,2537.29,3
HCPCS,0275T,Perq lamot/lam lumbar,,,19899.0,22111.0,2
HCPCS,0275U,Hem heprn nduc trmbctpna srm,,,27.56,76.64,3
HCPCS,0276U,Hem inh thrombocytopenia 23,,,3672.84,10215.39,3
HCPCS,0277U,Hem gen pltlt funcj do 31,,,912.26,2537.29,3
HCPCS,0278T,Tempr,,,2505.0,2782.0,2
HCPCS,0278U,Hem gen thrombosis 12 genes,,,912.26,2537.29,3
HCPCS,0279U,Hem vw factor&clgn iii bndg,,,17.3,48.1,3
HCPCS,0280U,Hem vw factor&clgn iv bndg,,,25.91,72.05,3
HCPCS,0281U,Hem vwd propeptide ag lvl,,,25.91,72.05,3
HCPCS,0282U,Rbc dna gntyp 12 bld grp gen,,,1080.0,3003.84,3
HCPCS,0283U,Vw factor type 2b eval plsm,,,27.6,76.76,3
HCPCS,0284U,Vw factor type 2n eval plsm,,,25.91,72.05,3
HCPCS,0285U,Onc rsps radj cll fr dna tox,,,664.97,1849.49,3
HCPCS,0286U,Cep72 nudt15&tpmt gene alys,,,201.2,559.59,3
HCPCS,0287U,Onc thyr dna&mrna 112 genes,,,5400.0,15019.2,3
HCPCS,0288U,Onc lung mrna quan pcr 11&3,,,5809.5,16158.16,3
HCPCS,0289U,Neuro alzheimer mrna 24 gen,,,1140.0,3170.72,3
HCPCS,0290U,Pain mgmt mrna gen xprsn 36,,,1140.0,3170.72,3
HCPCS,0291U,Psyc mood do mrna 144 genes,,,2632.5,7321.86,3
HCPCS,0292U,Psyc strs do mrna 72 genes,,,2632.5,7321.86,3
HCPCS,0293U,Psyc suicidal idea mrna 54,,,1140.0,3170.72,3
HCPCS,0294U,Lngvty&mrtlty rsk mrna 18gen,,,1140.0,3170.72,3
HCPCS,0295U,Onc brst dux carc 7 proteins,,,2845.5,22674.82,3
HCPCS,0296U,Onc orl&/orop ca 20 mlc feat,,,2632.5,8135.4,3
HCPCS,0297U,Onc pan tum whl gen seq dna,,,4379.4,12180.57,3
HCPCS,0298U,Onc pan tum whl trns seq rna,,,4379.4,12180.57,3
HCPCS,0299U,Onc pan tum whl gen opt mapg,,,2794.83,7773.35,3
HCPCS,0300U,Onc pan tum whl gen seq&opt,,,6274.7,17452.02,3
HCPCS,0301U,Iadna bartonella ddpcr,,,394.08,1096.07,3
HCPCS,0302U,Iadna brtnla ddpcr flwg liq,,,542.06,1507.64,3
HCPCS,0303U,Hem rbc ads whl bld hypoxic,,,3302.43,9185.16,3
HCPCS,0304U,Hem rbc ads whl bld normoxic,,,3113.7,8660.24,3
HCPCS,0305U,Hem rbc fnclty&dfrm shr strs,,,993.87,2764.28,3
HCPCS,0306U,Onc mrd nxt-gnrj alys 1st,,,5817.68,16180.89,3
HCPCS,0307U,Onc mrd nxt-gnrj alys sbsq,,,1191.74,3314.61,3
HCPCS,0308T,Insj ocular telescope prosth,,,4108.0,39251.0,3
HCPCS,0308U,Crd cad alys 3 prtn plsm alg,,,586.13,1630.21,3
HCPCS,0309U,Crd cv ds aly 4 prtn plm alg,,,586.13,1630.21,3
HCPCS,0310U,Ped vsclts kd alys 3 bmrks,,,586.13,1630.21,3
HCPCS,0311U,Nfct ds bct quan antmcrb sc,,,12.12,33.71,3
HCPCS,0312U,Ai ds sle alys 8 igg autoant,,,1260.98,3507.19,3
HCPCS,0313U,Onc pncrs dna&mrna seq 74,,,5400.0,15019.2,3
HCPCS,0314U,Onc cutan mlnma mrna 35 gene,,,2925.0,8135.4,3
HCPCS,0315U,Onc cutan sq cll ca mrna 40,,,12750.0,35462.0,3
HCPCS,0316U,B brgdrferi lyme ds ospa evl,,,27.99,77.85,3
HCPCS,0317U,Onc lung ca 4-prb fish assay,,,3045.0,8469.16,3
HCPCS,0318U,Ped whl gen mthyltn alys 50+,,,2655.72,7386.44,3
HCPCS,0319U,Neph rna pretrnspl perph bld,,,3975.0,11055.8,3
HCPCS,0320U,Neph rna psttrnspl perph bld,,,3975.0,11055.8,3
HCPCS,0321U,Iadna gu pthgn 20bct&fng org,,,952.26,2648.55,3
HCPCS,0322U,Neuro asd meas 14 acyl carn,,,1125.0,3129.0,3
HCPCS,0323U,Iadna cns pthgn next gen seq,,,3189.3,8870.51,3
HCPCS,0326U,Trgt gen seq alys pnl 83+,,,7500.0,20860.0,3
HCPCS,0327U,Ftl aneuploidy trsmy dna seq,,,1192.5,3316.74,3
HCPCS,0328U,Drug assay 120+ rx&metablt,,,171.65,477.4,3
HCPCS,0329U,Onc neo xome&trns seq alys,,,5156.97,14343.25,3
HCPCS,0330U,Iadna vag pthgn panel 27 org,,,625.17,1738.81,3
HCPCS,0331U,Onc hl neo opt gen mapping,,,2794.83,7773.35,3
HCPCS,0332U,Onc pan tum gen prflg 8 dna,,,1713.09,4764.67,3
HCPCS,0333U,Onc lvr surveilanc hcc cfdna,,,993.48,2763.2,3
HCPCS,0334U,Onc sld orgn tgsa dna 84/+,,,4379.4,14602.0,3
HCPCS,0335T,Extraosseous joint stblztion,,,5248.0,10940.0,3
HCPCS,0335U,Rare ds whl gen seq fetal,,,7836.9,21797.03,3
HCPCS,0336U,Rare ds whl gen seq bld/slv,,,3861.98,10741.44,3
HCPCS,0337U,Onc plsm cell do&myeloma id,,,3652.5,10158.82,3
HCPCS,0338T,Trnscth renal symp denrv unl,,,8406.0,12821.0,3
HCPCS,0338U,Onc sld tum crcg tum cl slct,,,3652.5,10158.82,3
HCPCS,0339T,Trnscth renal symp denrv bil,,,8406.0,12821.0,3
HCPCS,0339U,Onc prst8 mrna hoxc6 & dlx1,,,1140.0,3170.72,3
HCPCS,0340U,Onc pan ca alys mrd plasma,,,5880.0,14977.48,3
HCPCS,0341U,Ftl aneup dna seq cmpr alys,,,2850.3,7927.63,3
HCPCS,0342T,Thxp apheresis w/hdl delip,,,13011.0,14456.0,2
HCPCS,0342U,Onc pncrtc ca mult ia eclia,,,1345.5,3742.28,3
HCPCS,0343U,Onc prst8 xom aly 442 sncrna,,,1140.0,3170.72,3
HCPCS,0344U,Hep nafld semiq evl 28 lipid,,,1188.26,3304.93,3
HCPCS,0345T,Transcath mtral vlve repair,,,5097.0,5664.0,2
HCPCS,0345U,Psyc genom alys pnl 15 gen,,,2004.14,5574.17,3
HCPCS,0347T,Ins bone device for rsa,,,2505.0,4108.0,3
HCPCS,0347U,Rx metab/pcx dna 16 gen alys,,,2004.14,5574.17,3
HCPCS,0348T,RSA spine exam,,,252.18,252.18,2
HCPCS,0348U,Rx metab/pcx dna 25 gen alys,,,1113.41,3096.75,3
HCPCS,0349T,RSA upper extr exam,,,252.18,252.18,2
HCPCS,0349U,Rx metab/pcx dna 27gen rx ia,,,1113.41,3096.75,3
HCPCS,0350T,RSA lower extr exam,,,179.57,179.57,2
HCPCS,0350U,Rx metab/pcx dna 27 gen alys,,,2004.14,5574.17,3
HCPCS,0351U,Nfct ds bct/viral trail ip10,,,390.75,1086.81,3
HCPCS,0352T,Oct brst/node i&r per spec,,,2185.7,2185.7,2
HCPCS,0354T,Oct breast surg cavity i&r,,,2185.7,2185.7,2
HCPCS,0355U,Apol1 risk variants,,,205.5,571.56,3
HCPCS,0356U,Onc orop 17 dna ddpcr alg,,,2700.0,7509.6,3
HCPCS,0358U,Neuro alys b-amyl 1-42&1-40,,,390.75,1086.81,3
HCPCS,0359U,Onc prst8 ca alys all psa,,,1140.0,3170.72,3
HCPCS,0360U,Onc lung elisa 7 autoant alg,,,1260.98,3507.19,3
HCPCS,0361U,Neurflmnt lt chn dig ia quan,,,174.35,174.35,2
HCPCS,0362U,Onc pap thyr ca rna 82&10,,,5400.0,15019.2,3
HCPCS,0363U,Onc urthl mrna 5 gen alg,,,1140.0,3170.72,3
HCPCS,0364U,Onc hl neo gen seq alys alg,,,3010.88,8374.25,3
HCPCS,0365U,Onc bldr 10 prb bldr ca,,,1345.5,3742.28,3
HCPCS,0366U,Onc bldr 10 prb recr bldr ca,,,1345.5,3742.28,3
HCPCS,0367U,Onc bldr 10 flwg trurl rescj,,,1353.27,3763.89,3
HCPCS,0368U,Onc clrct ca mut&mthyltn mrk,,,625.17,1738.81,3
HCPCS,0371U,Iadna gu pthgn semiq dna16&1,,,625.17,1738.81,3
HCPCS,0372U,Nfct ds gu pthgn arg detcj,,,625.17,1738.81,3
HCPCS,0375U,Onc ovrn bchm asy 7 prtn alg,,,1345.5,3742.28,3
HCPCS,0376U,Onc prst8 ca img alys 128,,,1059.38,2946.48,3
HCPCS,0377U,Cv ds quan advsrm/plsm lprtn,,,71.37,198.5,3
HCPCS,0378U,Rfc1 repeat xpnsj vrnt alys,,,205.5,571.56,3
HCPCS,0379U,Tgsap sl or neo dna523&rna55,,,4932.77,13719.66,3
HCPCS,0381U,Maple syrup ur ds mntr quan,,,66.18,184.07,3
HCPCS,0382U,Hyprphenylalninmia mntr quan,,,77.46,215.44,3
HCPCS,0383U,Tyrosinemia typ i mntr quan,,,78.08,217.15,3
HCPCS,0384U,Neph ckd rsk hi stg kdn ds,,,1125.0,3129.0,3
HCPCS,0385U,Neph ckd alg rsk dbtc kdn ds,,,586.13,1630.21,3
HCPCS,0387U,Onc mlnma ambra1&amlo,,,1422.75,3957.14,3
HCPCS,0388U,Onc nonsm cll lng ca 37 gen,,,5250.0,14602.0,3
HCPCS,0389U,Ped fbrl kd ifi27&mcemp1 rna,,,105.3,292.87,3
HCPCS,0390U,Ob pe kdr eng&rbp4 ia alg,,,96.62,268.72,3
HCPCS,0391U,Onc sld tum dna&rna 437 gen,,,5400.0,15019.2,3
HCPCS,0392U,Rx metab genrx ia 16 genes,,,2004.14,5574.17,3
HCPCS,0393U,Neu prksn msfl ?-syncln prtn,,,811.49,2257.01,3
HCPCS,0394U,Pfas 16 pfas compnd lc ms/ms,,,298.11,829.14,3
HCPCS,0395U,Onc lng multiomics plsm alg,,,1196.18,3326.96,3
HCPCS,0397T,Ercp w/optical endomicroscpy,,,2505.0,3195.0,3
HCPCS,0398U,Gi baret esph dna mthyln aly,,,2632.5,7321.86,3
HCPCS,0399U,Neuro cere folate defncy srm,,,450.0,1251.6,3
HCPCS,0400U,Ob xpnd car scr 145 genes,,,2185.32,6078.1,3
HCPCS,0401U,Crd c hrt ds 9 gen 12 vrnts,,,734.52,2042.94,3
HCPCS,0402T,Collagen crosslinking cornea,,,3195.0,10940.0,3
HCPCS,0402U,Nfct agt sti mult amp prb tq,,,213.95,595.05,3
HCPCS,0403U,Onc prst8 mrna 18 gen dre ur,,,1140.0,3170.72,3
HCPCS,0404U,Onc brst semiq meas thym kn,,,484.44,1347.39,3
HCPCS,0405U,Onc pncrtc 59 mthltn blk mrk,,,2655.72,7386.44,3
HCPCS,0406U,Onc lung flow cytmtry 5 mrk,,,1140.0,3170.72,3
HCPCS,0407U,Neph dbtc ckd mult eclia alg,,,1425.0,3963.4,3
HCPCS,0408T,Insj/rplc cardiac modulj sys,,,8406.0,46177.0,3
HCPCS,0408U,Iaad blk ac wv bsnsr sarscv2,,,21.2,58.95,3
HCPCS,0409T,Insj/rplc car modulj pls gn,,,8406.0,46177.0,3
HCPCS,0409U,Onc sld tum dna 80 & rna 36,,,4379.4,12180.57,3
HCPCS,0410T,Insj/rplc car modulj atr elt,,,5363.0,25393.0,3
HCPCS,0410U,Onc pncrtc dna whl gn seq 5-,,,1740.0,4839.52,3
HCPCS,0411T,Insj/rplc car modulj vnt elt,,,5363.0,25393.0,3
HCPCS,0411U,Psyc genom alys pnl 15 gen,,,2004.14,5574.17,3
HCPCS,0412T,Rmvl cardiac modulj pls gen,,,5248.0,12821.0,3
HCPCS,0412U,Beta amyloid a?42/40 imprcip,,,1125.0,3129.0,3
HCPCS,0413T,Rmvl car modulj tranvns elt,,,5248.0,12821.0,3
HCPCS,0413U,Onc hl neo opt gen mapg dna,,,1895.3,5271.45,3
HCPCS,0414T,Rmvl & rpl car modulj pls gn,,,8406.0,46177.0,3
HCPCS,0414U,Onc lng aug alg aly whl sld8,,,1059.38,2946.48,3
HCPCS,0415T,Repos car modulj tranvns elt,,,4047.0,4497.0,3
HCPCS,0415U,Cv ds acs bld alg 5 yr score,,,586.13,1630.21,3
HCPCS,0416T,Reloc skin pocket pls gen,,,4108.0,5664.0,3
HCPCS,0417U,Rare ds alys 335 nuc genes,,,4263.8,11859.04,3
HCPCS,0418U,Onc brst aug alg aly whl sl8,,,1059.38,2946.48,3
HCPCS,0419T,Dstrj neurofibroma xtnsv,,,2505.0,3195.0,3
HCPCS,0419U,Nrpsyc gen seq vrnt aly 13,,,2004.14,5574.17,3
HCPCS,0420T,Dstrj neurofibroma xtnsv,,,2505.0,3195.0,3
HCPCS,0420U,Onc urthl mrna xprsn 6 snp,,,5541.75,5541.75,1
HCPCS,0421T,Waterjet prostate abltj cmpl,,,4108.0,14456.0,3
HCPCS,0421U,Onc clrct scr sgl amp 8 rna,,,763.31,2123.01,3
HCPCS,0422T,Tactile breast img uni/bi,,,179.57,179.57,2
HCPCS,0422U,Onc pan solid tum alys dna,,,8107.07,8107.07,1
HCPCS,0423U,Psyc genomic alys pnl 26 gen,,,625.17,1738.81,3
HCPCS,0424U,Onc prst8 xom alys 53 sncrna,,,1140.0,3170.72,3
HCPCS,0425U,Genom rpd seq alys ea cmprtr,,,17081.8,17081.8,1
HCPCS,0426U,Genome ultra-rapid seq alys,,,31632.94,31632.94,1
HCPCS,0427U,Monocyte dstrbj wdth whl bld,,,6.72,18.69,3
HCPCS,0429U,Hpv orop swab 14 hi-risk typ,,,52.64,146.4,3
HCPCS,0430U,Gi malabs aat calpro pncrtc,,,92.31,256.74,3
HCPCS,0431U,Gly rcptr alpha1 igg srm/csf,,,54.86,152.57,3
HCPCS,0432U,Klhl11 antb sr/csf asy qual,,,54.86,152.57,3
HCPCS,0433U,Onc prst8 5 dna reg mrk pcr,,,1140.0,3170.72,3
HCPCS,0434U,Rx metab advrs vrnt alys 25,,,625.17,1738.81,3
HCPCS,0435U,Onc chemo rx cytox csc 14 rx,,,4550.79,12657.26,3
HCPCS,0436U,Onc lng plsm alys 388 prtn,,,6275.69,6275.69,1
HCPCS,0437T,Impltj synth rnfcmt abdl wal,,,2505.0,3195.0,3
HCPCS,0437U,Psyc anxiety do mrna 15 bmrk,,,1140.0,3170.72,3
HCPCS,0438U,Rx metab advrs vrnt alys 33,,,625.17,1738.81,3
HCPCS,0439U,Crd chd dna alys 5 snp 3 dna,,,3562.89,3562.89,1
HCPCS,0440T,Abltj perc uxtr/perph nrv,,,3195.0,14456.0,3
HCPCS,0440U,Crd chd dna alys 10 snp 6dna,,,3562.89,3562.89,1
HCPCS,0441T,Abltj perc lxtr/perph nrv,,,3195.0,14456.0,3
HCPCS,0441U,Nfct ds bct fngl/viral semiq,,,1852.7,1852.7,1
HCPCS,0442T,Abltj perc plex/trncl nrv,,,4108.0,14456.0,3
HCPCS,0442U,Nfct ds respir nfctj mxa&crp,,,62.07,172.64,3
HCPCS,0443T,R-t spctrl alys prst8 tiss,,,2505.0,2782.0,2
HCPCS,0443U,Neurflmnt lt chn ultrsens ia,,,484.91,484.91,1
HCPCS,0444T,1st plmt drug elut oc ins,,,2505.0,5248.0,3
HCPCS,0444U,Onc sld orgn neo tgsap 361,,,4379.4,12180.57,3
HCPCS,0445T,Sbsqt plmt drug elut oc ins,,,2505.0,5248.0,3
HCPCS,0445U,Abeta42 & ptau181 eclia csf,,,390.75,1086.81,3
HCPCS,0446T,Insj impltbl glucose sensor,,,269.26,4108.0,4
HCPCS,0446U,Ai ds sle alys 10 cytokine,,,1260.98,3507.19,3
HCPCS,0447T,Rmvl impltbl glucose sensor,,,309.46,3195.0,4
HCPCS,0447U,Ai ds sle alys 11 cytokine,,,1260.98,3507.19,3
HCPCS,0448T,Remvl insj impltbl gluc sens,,,455.37,4108.0,4
HCPCS,0449T,Insj aqueous drain dev 1st,,,5248.0,14456.0,3
HCPCS,0449U,Car scr sev inh cond 5 genes,,,2737.32,7613.4,3
HCPCS,0450T,Insj aqueous drain dev each,,,2505.0,3195.0,3
HCPCS,0450U,Onc mm lc-ms/ms monoc p-prtn,,,65.15,65.15,2
HCPCS,0451U,Onc mm lc-ms/ms pep ion quan,,,65.15,65.15,2
HCPCS,0452U,Onc bldr mthyl penk lte-qmsp,,,288.0,801.02,3
HCPCS,0453U,Onc clrct ca cfdna qpcr asy,,,288.0,801.02,3
HCPCS,0454U,U rare ds id opt genome mapg,,,1895.3,5271.45,3
HCPCS,0455U,Nfct agt sti mult amp prb ur,,,213.95,595.05,3
HCPCS,0457U,Pfas 9 cmpnd lcms/ms pls/sr,,,298.11,829.14,3
HCPCS,0458U,Onc brst ca s100 a8&a9 elisa,,,390.75,1086.81,3
HCPCS,0459U,Abeta42 & ttau eclia csf,,,390.75,1086.81,3
HCPCS,0460U,Onc whl bld/bucc rtpcr 24gen,,,3826.06,3826.06,1
HCPCS,0461U,Onc rxgenom alys rtpcr 24gen,,,3826.06,3826.06,1
HCPCS,0462U,Melatonin lvl tst slp std7/9,,,25.91,72.05,3
HCPCS,0463U,Onc crvx mrna genxprsn 14bmk,,,3170.72,3170.72,1
HCPCS,0464U,Onc clrct scr qrtsa dna mrk,,,887.88,2469.49,3
HCPCS,0465U,Onc urthl carc dna qmsp 2gen,,,2907.02,8085.38,3
HCPCS,0466U,Crd cad dna gwas 564856 snp,,,1441.13,1441.13,1
HCPCS,0467U,Onc bldr dna ngs 60gen&aneup,,,2278.59,6337.52,3
HCPCS,0468U,Hep nash mir34a5p ?2m ykl40,,,377.55,1050.09,3
HCPCS,0469U,Rare ds whl gen seq ftl samp,,,1796.91,4997.81,3
HCPCS,0470U,Onc orop detcj mrd 8 dna hpv,,,2494.48,2494.48,1
HCPCS,0471U,Onc clrc ca 35 vrn kras&nras,,,1140.0,3170.72,3
HCPCS,0472U,Ca vi psp&sp1 antb sj?gren,,,116.4,116.4,1
HCPCS,0473U,Onc sld tum bld/slv 648 gene,,,6750.0,18774.0,3
HCPCS,0474T,Insj aqueous drg dev io rsvr,,,5248.0,14456.0,3
HCPCS,0474U,Hered pan ca gsap 88gene ngs,,,1955.93,5440.08,3
HCPCS,0475U,Hered prst8 ca gsap 23 genes,,,1955.93,5440.08,3
HCPCS,0476U,Rx metab psyc 14gen&cyp2d6,,,625.17,1738.81,3
HCPCS,0477U,Rx metab psy 14&cyp2d6 gn-rx,,,625.17,1738.81,3
HCPCS,0478U,Onc nsclc dna&rna dpcr 9 gen,,,2307.07,2307.07,1
HCPCS,0479T,Fxjl abl lsr 1st 100 sq cm,,,3195.0,4497.0,3
HCPCS,0479U,Tau phosphorylated ptau217,,,25.91,72.05,3
HCPCS,0480T,Fxjl abl lsr ea addl 100sqcm,,,2505.0,3195.0,3
HCPCS,0480U,Nfct ds csf metag ngs alys,,,3189.3,8870.51,3
HCPCS,0481T,Njx autol wbc concentrate,,,2505.0,3195.0,3
HCPCS,0481U,Idh1 idh2&tert promoter ngs,,,1011.36,2812.93,3
HCPCS,0482U,Ob pe biochem asy sfit1&pigf,,,193.23,537.44,3
HCPCS,0483T,Tmvi percutaneous approach,,,5097.0,6979.0,3
HCPCS,0483U,Nfct ds ng gyra s91f pt mut,,,146.4,146.4,1
HCPCS,0484T,Tmvi transthoracic exposure,,,5097.0,6979.0,3
HCPCS,0484U,Nfct ds mgen 23s rrna pt mut,,,146.4,146.4,1
HCPCS,0485U,Onc sol tum cfdna&rna ngs gm,,,15225.63,15225.63,1
HCPCS,0486U,Onc pan sol tum ngs cfctdna,,,6859.81,6859.81,1
HCPCS,0487U,Onc sol tum cfcdna tgsap 84,,,4379.4,12180.57,3
HCPCS,0488U,Ob fetal ag nipt cfdna alys,,,1138.58,3166.76,3
HCPCS,0489T,Regn cell tx scldr hands,,,3195.0,5664.0,3
HCPCS,0489U,Ob sgnipt cfdna seq alys 1+,,,4812.9,4812.9,1
HCPCS,0490T,Regn cell tx scldr h mlt inj,,,3195.0,5664.0,3
HCPCS,0490U,Onc cutan/uveal mlnma cd146,,,3652.5,10158.82,3
HCPCS,0491U,Onc sol tum ctc slct er prtn,,,3652.5,10158.82,3
HCPCS,0492U,Onc sol tum ctc slctn pd-l1,,,3652.5,10158.82,3
HCPCS,0493U,Trnspl med quan dd-cfdna ngs,,,4129.88,11486.56,3
HCPCS,0494T,Prep & cannulj cdvr don lung,,,5097.0,6979.0,3
HCPCS,0494U,Rbc ag ftl rhd gene alys ngs,,,1138.58,3166.76,3
HCPCS,0495T,Mntr cdvr don lng 1st 2 hrs,,,5097.0,5664.0,2
HCPCS,0495U,Onc prst8 alys crcg plsm prt,,,1140.0,3170.72,3
HCPCS,0496T,Mntr cdvr don lng ea addl hr,,,5097.0,5664.0,2
HCPCS,0496U,Onc clrct cfdna 8/7 genes,,,2027.01,2027.01,1
HCPCS,0497U,Onc prst8 mrna rt-pcr 6 gene,,,5809.5,16158.16,3
HCPCS,0498U,Onc clrct ngs mut detc 43gen,,,5612.63,5612.63,1
HCPCS,0499U,Onc clrct&lng dna ngs 8gene,,,896.87,2494.48,3
HCPCS,0500U,Autoinflam ds vexas synd dna,,,263.1,731.77,3
HCPCS,0501U,Onc clrc bld quan meas cfdna,,,801.02,801.02,1
HCPCS,0502U,Hpv e6/e7 mrk hi-rsk typ crv,,,52.64,146.4,3
HCPCS,0503U,Neuro alz ds ?amyl&tau prtn,,,1125.0,3129.0,3
HCPCS,0504U,Nfct ds uti id 17 path orgs,,,625.17,1738.81,3
HCPCS,0505T,Ev fempop artl revsc,,,5363.0,25393.0,3
HCPCS,0505U,Nfct ds vag infctj id 32orgs,,,1019.66,2836.0,3
HCPCS,0506U,Gi barretts esophgl cell 89,,,2907.02,8085.38,3
HCPCS,0507U,Onc ovr dna whole gen w/5hmc,,,1740.0,4839.52,3
HCPCS,0509T,Pattern erg w/i&r,,,293.92,293.92,1
HCPCS,0510T,Rmvl sinus tarsi implant,,,5248.0,12821.0,3
HCPCS,0510U,Onc pncrtc ca alg alys 16gen,,,1977.15,1977.15,1
HCPCS,0511T,Rmvl&rinsj sinus tarsi implt,,,5248.0,10940.0,3
HCPCS,0511U,Onc sol tum 3dmicroenvir 36+,,,4550.79,12657.26,3
HCPCS,0512T,Esw integ wnd hlg 1st wnd,,,2505.0,6979.0,3
HCPCS,0512U,Onc prst8 alys dgtz img msi,,,1059.38,2946.48,3
HCPCS,0513T,Esw integ wnd hlg ea addl,,,2505.0,2782.0,2
HCPCS,0513U,Onc prst8 alg alys msi&hrd,,,1059.38,2946.48,3
HCPCS,0514U,Gi ibd ia quan deter adl lvl,,,57.86,160.91,3
HCPCS,0515T,Insj wcs lv compl sys,,,5363.0,46177.0,3
HCPCS,0515U,Gi ibd ia quan deter ifx lvl,,,57.86,160.91,3
HCPCS,0516T,Insj wcs lv eltrd only,,,5363.0,25393.0,3
HCPCS,0516U,Rx metab rxgenomic gnotyp 40,,,625.17,1738.81,3
HCPCS,0517T,Insj wcs lv pg compnt,,,5363.0,25393.0,3
HCPCS,0517U,Ther rx mntr 80+ psyactiv rx,,,370.38,1030.15,3
HCPCS,0518T,Rmvl pg compnt wcs,,,5363.0,12821.0,3
HCPCS,0518U,Ther rx mntr 90+ pn&mtl hlth,,,370.38,1030.15,3
HCPCS,0519T,Rmvl & rplcmt pg compnt wcs,,,5363.0,12821.0,3
HCPCS,0519U,Ther rx mntr meds p/d/a 110+,,,370.38,1030.15,3
HCPCS,0520T,Rmvl&rplcmt pg wcs new eltrd,,,5363.0,46177.0,3
HCPCS,0520U,Ther rx mntr 200+ rx/sbsts,,,370.38,1030.15,3
HCPCS,0521U,Rf iga&igm ccp antb sr-a ia,,,216.11,216.11,1
HCPCS,0522U,Ca vi psp&sp1 antb cl semiql,,,1086.81,1086.81,1
HCPCS,0523T,Ntrapx c ffr w/3d funcjl map,,,2505.0,2782.0,2
HCPCS,0523U,Onc soltum dna ngs snv 22gen,,,5640.92,5640.92,1
HCPCS,0524T,Ev cath dir chem abltj w/img,,,5248.0,12821.0,3
HCPCS,0524U,Ob pe sflt-1/plgf ia srm/pls,,,537.44,537.44,1
HCPCS,0525T,Insj/rplcmt compl iims,,,8212.0,25393.0,3
HCPCS,0525U,Onc sphrd cell cul 11-rx pnl,,,12657.26,12657.26,1
HCPCS,0526T,Insj/rplcmt iims eltrd only,,,5363.0,25393.0,3
HCPCS,0527T,Insj/rplcmt iims implt mntr,,,5363.0,25393.0,3
HCPCS,0527U,Hsv 1&2 vzv amp prb tq pthgn,,,595.05,595.05,1
HCPCS,0528U,Lrt iad 18bct/8vir&7arg rna,,,2648.55,2648.55,1
HCPCS,0530T,Removal complete iims,,,5248.0,12821.0,3
HCPCS,0530U,Onc pan-sol tum ctdna 77 gen,,,12180.57,12180.57,1
HCPCS,0531T,Removal iims electrode only,,,5248.0,12821.0,3
HCPCS,0532T,Removal iims implt mntr only,,,5248.0,12821.0,3
HCPCS,0532U,Rare ds whlgen&mitochdrl dna,,,20990.17,20990.17,1
HCPCS,0533U,Rx metab advrs gnotyp 16gens,,,1738.81,1738.81,1
HCPCS,0535U,Pfas lc-ms/ms plsm/srm quan,,,259.25,259.25,1
HCPCS,0536U,Rbcag ftl rhd pcr alys exon4,,,801.02,801.02,1
HCPCS,0537U,Onc clrct ca cfdna >2500 dmr,,,2242.5,6237.14,3
HCPCS,0538U,Onc sol tum ngts ffpe 600gen,,,12472.4,12472.4,1
HCPCS,0539U,Onc sol tumor cfctdna 152gen,,,13719.66,13719.66,1
HCPCS,0540U,Trnsplj med quan dd-cfdna,,,11486.56,11486.56,1
HCPCS,0543T,Ta mv rpr w/artif chord tend,,,5097.0,5664.0,2
HCPCS,0543U,Onc sol tum ngs dna 517 gens,,,12472.4,12472.4,1
HCPCS,0544T,Tcat mv annulus rcnstj,,,5097.0,5664.0,2
HCPCS,0545T,Tcat tv annulus rcnstj,,,5097.0,5664.0,2
HCPCS,0545U,Achr antb id imfluor livecll,,,157.41,157.41,1
HCPCS,0546U,Ldns lrp4 antb imflr livecll,,,157.41,157.41,1
HCPCS,0547T,B1 matrl qual tst mcrind tib,,,591.95,3195.0,3
HCPCS,0547U,Neurflmnt lt chn cleia plsm,,,484.91,484.91,1
HCPCS,0548U,Gfap cleia plasma,,,484.91,484.91,1
HCPCS,0549U,Onc urthl dna mthyltd rt pcr,,,3170.72,3170.72,1
HCPCS,0553U,Repr med pga embry te strux,,,3166.76,3166.76,1
HCPCS,0554T,B1 str & fx rsk analysis,,,87.71,87.71,2
HCPCS,0554U,Repr med pga 24chrm te bx qc,,,3166.76,3166.76,1
HCPCS,0555T,B1 str&fx rsk transmis data,,,51.73,51.73,2
HCPCS,0555U,Repr med pga embryonic te qc,,,3166.76,3166.76,1
HCPCS,0556T,B1 str & fx rsk assessment,,,524.34,524.34,2
HCPCS,0556U,Nfct ds p-s dna&rna 12 trgts,,,595.05,595.05,1
HCPCS,0557T,B1 str & fx rsk i&r,,,21.92,21.92,2
HCPCS,0557U,Nfct ds bv dna mrk vag fluid,,,1097.19,1097.19,1
HCPCS,0558T,Ct scan f/biomchn ct alys,,,179.57,179.57,2
HCPCS,0558U,Onc clrct elisa bf7 ag serum,,,86.82,86.82,1
HCPCS,0559T,Antmc mdl 3d print 1st cmpnt,,,123.77,123.77,2
HCPCS,0559U,Onc brs quan elisa bf9ag srm,,,86.82,86.82,1
HCPCS,0560U,Onc mrd gsa cfdna baseline,,,16180.89,16180.89,1
HCPCS,0561T,Antmc guide 3d print 1st gd,,,123.77,123.77,2
HCPCS,0561U,Onc mrd gsa cfdna subsequent,,,3314.61,3314.61,1
HCPCS,0562U,Onc sol tum tgsa 33gens snvs,,,2494.48,2494.48,1
HCPCS,0563T,Evac meibomian glnd heat bi,,,2505.0,3195.0,3
HCPCS,0563U,Nfct ds pthgn-sna 11vir&4bct,,,1738.81,1738.81,1
HCPCS,0564U,Nfct ds pthgn-sna 10vir&4bct,,,1738.81,1738.81,1
HCPCS,0565T,Autol cell implt adps hrvg,,,2505.0,5248.0,3
HCPCS,0565U,Onc hcc ngs detc 6626epigalt,,,4839.52,4839.52,1
HCPCS,0566T,Autol cell implt adps njx,,,2505.0,3195.0,3
HCPCS,0566U,Onc lng qpcr-bsd alys 13dmrs,,,1738.81,1738.81,1
HCPCS,0567U,Rare ds whl gen seq srs&lrs,,,20990.17,20990.17,1
HCPCS,0568U,Neurol dementia ?amyl ptau,,,3742.28,3742.28,1
HCPCS,0569T,Ttvr perq appr 1st prosth,,,5097.0,5664.0,2
HCPCS,0570T,Ttvr perq ea addl prosth,,,5097.0,5664.0,2
HCPCS,0570U,Neurol tbi alys gfap&uch-l1,,,1086.81,1086.81,1
HCPCS,0571T,Insj/rplcmt icds ss eltrd,,,8406.0,46177.0,3
HCPCS,0571U,Onc sol tum dna80&rna10g ngs,,,12180.57,12180.57,1
HCPCS,0572T,Insertion ss dfb electrode,,,5248.0,25393.0,3
HCPCS,0573T,Removal ss dfb electrode,,,5248.0,12821.0,3
HCPCS,0574T,Repos prev ss impl dfb eltrd,,,5248.0,12821.0,3
HCPCS,0575U,Trnsplj med lar rtpcr 4genes,,,1585.36,1585.36,1
HCPCS,0576U,Trnsplj med lar quan ddcfdna,,,13517.28,13517.28,1
HCPCS,0577U,Onc ovr serum alys 39 gps,,,1030.15,1030.15,1
HCPCS,0578U,Onc cutan mln rna qpcr 10gen,,,16158.16,16158.16,1
HCPCS,0579U,Nfro dbtc ckd elisa apoa4,,,1630.21,1630.21,1
HCPCS,0580T,Rmvl ss impl dfb pg only,,,5248.0,12821.0,3
HCPCS,0580U,Bbrgdrferi antb detc 24rprtn,,,71.8,71.8,1
HCPCS,0581T,Abltj mal brst tum perq crtx,,,5363.0,10940.0,3
HCPCS,0581U,Trnspl med antb nohla 39trgt,,,1359.24,1359.24,1
HCPCS,0582T,Trurl abltj mal prst8 tiss,,,4108.0,5664.0,3
HCPCS,0582U,Rare ds rpd whlgen dna vrnts,,,31632.94,31632.94,1
HCPCS,0583T,Tmpst auto tube dlvr sys,,,684.48,5664.0,4
HCPCS,0583U,Rare ds rpd whlgen cmptr dna,,,15816.47,15816.47,1
HCPCS,0584T,Perq islet cell transplant,,,5097.0,5664.0,2
HCPCS,0584U,Neuro csf prion prtn qual,,,2257.01,2257.01,1
HCPCS,0585T,Laps islet cell transplant,,,5097.0,5664.0,2
HCPCS,0585U,Tgsap so neo cfdna 521 genes,,,12180.57,12180.57,1
HCPCS,0586T,Open islet cell transplant,,,5097.0,5664.0,2
HCPCS,0586U,Onc mrna gen xprsn 216 genes,,,12180.57,12180.57,1
HCPCS,0587T,Perq impltj/rplcmt isdns ptn,,,3195.0,4497.0,3
HCPCS,0587U,Ther rx mntr 60-150rx&metabl,,,477.4,477.4,1
HCPCS,0588T,Revision/removal isdns ptn,,,3195.0,12821.0,3
HCPCS,0588U,Nfct ds bct/vir 32genes mrna,,,3170.72,3170.72,1
HCPCS,0589U,Pfas24cmpnd hi-perf lc-ms/ms,,,829.14,829.14,1
HCPCS,0591U,Onc prst8 ca 3prtns plsm srm,,,3170.72,3170.72,1
HCPCS,0592U,Onc hl neo dna tgs 417 genes,,,12180.57,12180.57,1
HCPCS,0593U,Nfct ds gu pthgn dna 46trgt,,,2648.55,2648.55,1
HCPCS,0594T,Osteot hum xtrnl lngth dev,,,5363.0,22111.0,3
HCPCS,0595U,Nfct ds tfp vctrbrn&zoonotic,,,1097.19,1097.19,1
HCPCS,0596T,Temp fml iu vlv-pmp 1st insj,,,609.05,4497.0,4
HCPCS,0597T,Temp fml iu valve-pmp rplcmt,,,289.71,4497.0,4
HCPCS,0598T,Ncntc r-t fluor wnd img 1st,,,569.48,569.48,2
HCPCS,0598U,Gi ibs igg antb 18food items,,,1251.6,1251.6,1
HCPCS,0599U,Onc pncrtc ca mult ia serum,,,3742.28,3742.28,1
HCPCS,0600T,Ire abltj 1+tum organ perq,,,5363.0,22111.0,3
HCPCS,0601T,Ire abltj 1+tumors open,,,6044.0,22111.0,3
HCPCS,0602T,Transdermal gfr measurements,,,452.99,452.99,2
HCPCS,0603T,Transdermal gfr monitoring,,,1143.09,1143.09,2
HCPCS,0604T,Rem oct rta dev setup&educaj,,,260.84,260.84,2
HCPCS,0605T,Rem oct rta techl sprt min 8,,,81.56,3919.87,3
HCPCS,0606T,Rem oct rta phys/qhp ea 30d,,,65.16,65.16,2
HCPCS,0609T,Mrs disc pain acquisj data,,,517.79,517.79,2
HCPCS,0610T,Mrs disc pain transmis data,,,386.26,386.26,2
HCPCS,0611T,Mrs disc pain alg alys data,,,517.79,517.79,2
HCPCS,0612T,Mrs discogenic pain i&r,,,63.59,63.59,2
HCPCS,0613T,Perq tcat intratrl septl sht,,,5097.0,5664.0,2
HCPCS,0614T,Rmvl&rplcmt ss impl dfb pg,,,6979.0,46177.0,3
HCPCS,0616T,Insertion of iris prosthesis,,,6979.0,6979.0,1
HCPCS,0617T,Insj iris prosth w/rmvl&insj,,,6979.0,6979.0,1
HCPCS,0618T,Insj iris prosth sec io lens,,,6979.0,6979.0,1
HCPCS,0619T,Cysto w/prst8 commissurotomy,,,5248.0,10940.0,3
HCPCS,0620T,Evasc ven artlz tibl/prnl vn,,,5363.0,25393.0,3
HCPCS,0621T,Trabeculostomy interno laser,,,5363.0,14456.0,3
HCPCS,0622T,Trabeculostomy int lsr w/scp,,,5097.0,5664.0,3
HCPCS,0627T,Perq njx algc fluor lmbr 1st,,,3195.0,22111.0,3
HCPCS,0628T,Perq njx algc fluor lmbr ea,,,2505.0,3195.0,3
HCPCS,0629T,Perq njx algc ct lmbr 1st,,,3195.0,22111.0,3
HCPCS,0630T,Perq njx algc ct lmbr ea,,,2505.0,3195.0,3
HCPCS,0632T,Perq tcat us abltj nrv p-art,,,8406.0,25393.0,3
HCPCS,0633T,Ct breast w/3d uni c-,,,245.18,245.18,2
HCPCS,0634T,Ct breast w/3d uni c+,,,401.74,401.74,2
HCPCS,0635T,Ct breast w/3d uni c-/c+,,,401.74,401.74,2
HCPCS,0636T,Ct breast w/3d bi c-,,,517.79,517.79,2
HCPCS,0637T,Ct breast w/3d bi c+,,,828.27,828.27,2
HCPCS,0638T,Ct breast w/3d bi c-/c+,,,828.27,828.27,2
HCPCS,0639T,Wrls skn snr anisotropy meas,,,189.2,3195.0,3
HCPCS,0643T,Tcat l ventr rstrj dev implt,,,5097.0,5664.0,2
HCPCS,0644T,Tcat rmvl/dblk icar mas perq,,,8406.0,22111.0,3
HCPCS,0645T,Tcat impltj c sins rdctj dev,,,8212.0,25393.0,3
HCPCS,0646T,Ttvi/rplcmt w/prstc vlv perq,,,5097.0,5664.0,2
HCPCS,0647T,Insj gtube perq mag gastrpxy,,,5097.0,5664.0,3
HCPCS,0648T,Quan mr alys tiss w/o mri,,,517.79,517.79,2
HCPCS,0651T,Mag ctrld capsule endoscopy,,,5097.0,6979.0,3
HCPCS,0652T,Egd flx transnasal dx br/wa,,,3195.0,5664.0,3
HCPCS,0653T,Egd flx transnasal bx 1/ml,,,4108.0,5664.0,3
HCPCS,0654T,Egd flx transnasal tube/cath,,,4108.0,5664.0,3
HCPCS,0655T,Tprnl focal abltj mal prst8,,,4108.0,10940.0,3
HCPCS,0656T,Vrt bdy tethering ant,,,5097.0,6979.0,3
HCPCS,0657T,Vrt bdy tethering ant 8+ seg,,,5097.0,6979.0,3
HCPCS,0658T,Elec impd spectrsc 1+skn les,,,125.24,6979.0,3
HCPCS,0659T,Tcat intra-c nfs supersat o2,,,5097.0,5664.0,2
HCPCS,0660T,Implt ant sgm io nbio rx sys,,,5248.0,14456.0,3
HCPCS,0661T,Rmvl&Rimpltj ant sgm implt,,,5248.0,14456.0,3
HCPCS,0662T,Scalp cool 1st meas&calbrj,,,6979.0,6979.0,1
HCPCS,0664T,Don hysterectomy open cdvr,,,5097.0,8406.0,3
HCPCS,0665T,Don hysterectomy open liv,,,5097.0,8406.0,3
HCPCS,0666T,Don hysterectomy laps liv,,,5097.0,6044.0,3
HCPCS,0667T,Don hysterectomy rcp uter,,,5097.0,5664.0,2
HCPCS,0668T,Bkbench prep don uter algrft,,,5097.0,5664.0,2
HCPCS,0669T,Bkbench rcnstj don uter ven,,,5097.0,5664.0,2
HCPCS,0670T,Bkbench rcnstj don uter artl,,,5097.0,5664.0,2
HCPCS,0671T,Insj ant sgm aq drg dev 1+,,,5248.0,10940.0,3
HCPCS,0672T,Ndovag cryg rf remdl tiss,,,5097.0,5664.0,3
HCPCS,0673T,Abltj b9 thyr ndul perq lasr,,,3195.0,5664.0,3
HCPCS,0674T,Laps insj nw/rpcmt prm isdss,,,5248.0,39251.0,3
HCPCS,0675T,Laps insj nw/rpcmt isdss 1ld,,,5248.0,25393.0,3
HCPCS,0676T,Laps insj nw/rpcmt isdss ea,,,2505.0,3195.0,3
HCPCS,0677T,Laps repos lead isdss 1st ld,,,4108.0,22111.0,3
HCPCS,0678T,Laps repos lead isdss ea add,,,2505.0,3195.0,3
HCPCS,0679T,Laps rmvl lead isdss,,,4108.0,22111.0,3
HCPCS,0680T,Insj/rplcmt pg only isdss,,,5248.0,25393.0,3
HCPCS,0681T,Rlcj pulse gen only isdss,,,4108.0,12821.0,3
HCPCS,0682T,Removal pulse gen only isdss,,,4108.0,12821.0,3
HCPCS,0686T,Histotripsy mal hepatcel tis,,,5363.0,28126.13,3
HCPCS,0689T,Quan us tis charac w/o dx us,,,185.87,185.87,2
HCPCS,0691T,Auto alys xst ct std vrt fx,,,19.06,19.06,2
HCPCS,0693T,Compre ful bdy 3d mtn alys,,,788.63,788.63,2
HCPCS,0697T,Quan mr tis wo mri mlt orgn,,,528.75,528.75,2
HCPCS,0699T,Njx pst chmbr eye medication,,,6979.0,10940.0,3
HCPCS,0700T,Molec fluor img sus nev 1st,,,80.06,80.06,2
HCPCS,0701T,Molec fluor img sus nev ea,,,23.65,23.65,2
HCPCS,0707T,Njx b1 sub mtrl sbchdrl dfct,,,4108.0,12821.0,3
HCPCS,0708T,Id ca immntx prep & 1st njx,,,5097.0,5664.0,2
HCPCS,0709T,Id ca immntx each addl njx,,,5097.0,5664.0,2
HCPCS,0714T,Tprnl lsr ablt b9 prst8 hypr,,,4108.0,10940.0,3
HCPCS,0716T,Car acous wavfrm rec cad rsk,,,2505.0,2782.0,2
HCPCS,0717T,Adrc ther prtl rc tear,,,5248.0,12821.0,3
HCPCS,0718T,Adrc ther prtl rc tear njx,,,3195.0,12821.0,3
HCPCS,0719T,Pst vrt jt rplcmt lmbr 1 sgm,,,5097.0,6979.0,3
HCPCS,0720T,Prq elc nrv stim cn wo implt,,,5097.0,5664.0,2
HCPCS,0721T,Quan ct tiss charac w/o ct,,,1463.63,1463.63,2
HCPCS,0723T,Qmrcp w/o dx mri sm anat ses,,,2138.63,2138.63,2
HCPCS,0725T,Vestibular dev impltj uni,,,5097.0,8406.0,3
HCPCS,0726T,Rmvl implt vstibular dev uni,,,5097.0,5664.0,3
HCPCS,0727T,Rmvl&rplcmt implt vstblr dev,,,5097.0,8406.0,3
HCPCS,0730T,Trabeculotomy lsr w/oct gdn,,,5097.0,5664.0,3
HCPCS,0732T,Immntx admn electroporatn im,,,5097.0,5664.0,2
HCPCS,0735T,Prep tum cav iort prim crnot,,,2505.0,3195.0,3
HCPCS,0736T,Colonic lavage 35+l water,,,2505.0,3195.0,3
HCPCS,0737T,Xenograft impltj artclr surf,,,4108.0,22111.0,3
HCPCS,0739T,Abltj mal prst8 mag fld ndct,,,4108.0,5664.0,3
HCPCS,0743T,B1 str & fx rsk vrt fx assmt,,,543.87,543.87,2
HCPCS,0744T,Insj bioprostc vlv fem vn,,,6979.0,22111.0,3
HCPCS,0745T,Car ablt rad arr n-invas loc,,,5097.0,5664.0,2
HCPCS,0746T,Car ablt rad arr cnv loc map,,,5097.0,5664.0,2
HCPCS,0747T,Car ablt rad arrhyt dlvr rad,,,5097.0,5664.0,2
HCPCS,0748T,Njx stm cl prdct anl sft tis,,,3195.0,5664.0,3
HCPCS,0777T,R-t prs sensing edrl gdn sys,,,3195.0,3195.0,1
HCPCS,0778T,Smmg cncrnt appl imu snr,,,327.22,327.22,2
HCPCS,0780T,Instlj fecal microbiota ssp,,,2505.0,3195.0,3
HCPCS,0781T,Brnchsc rf dstrj pulm nrv bi,,,5097.0,5664.0,3
HCPCS,0782T,Brnchsc rf dstrj plm nrv uni,,,5097.0,5664.0,3
HCPCS,0784T,Ins/rplmt eltrd ra spi nstim,,,5248.0,25393.0,3
HCPCS,0785T,Revj/rmvl nea spi w/nstim,,,3195.0,12821.0,3
HCPCS,0786T,Insj/rplcmt prq ra sac nstim,,,5248.0,25393.0,3
HCPCS,0787T,Revj/rmvl nea sac w/nstim,,,3195.0,12821.0,3
HCPCS,0790T,Revj rplcmt/rmvl vrt tethrg,,,5097.0,6979.0,3
HCPCS,0793T,Prq tcat thrm ablt nrv p-art,,,8406.0,25393.0,3
HCPCS,0794T,Pt spec alg rx-onc tx option,,,2505.0,2782.0,2
HCPCS,0795T,Tcat ins 2chmbr ldls pm cmpl,,,6979.0,25393.0,3
HCPCS,0796T,Tcat ins 2chmbr ldls pm ra,,,5363.0,25393.0,3
HCPCS,0797T,Tcat ins 2chmbr ldls pm rv,,,5363.0,25393.0,3
HCPCS,0798T,Tcat rmv 2chmbr ldls pm cmpl,,,6044.0,12821.0,3
HCPCS,0799T,Tcat rmvl 2chmbr ldls pm ra,,,5363.0,12821.0,3
HCPCS,0800T,Tcat rmvl 2chmbr ldls pm rv,,,5363.0,12821.0,3
HCPCS,0801T,Tcat rmv&rpl 2chmbr ldls pm,,,8406.0,25393.0,3
HCPCS,0802T,Tcat rmv&rpl2chmb ldls pm ra,,,6044.0,25393.0,3
HCPCS,0803T,Tcat rmv&rpl2chmb ldls pm rv,,,6044.0,25393.0,3
HCPCS,0805T,Tcat s&ivc prstc vl impl prq,,,5097.0,6979.0,3
HCPCS,0806T,Tcat s&ivc prstc vl impl opn,,,5097.0,6979.0,3
HCPCS,0807T,Pulm tiss vntj alys prev ct,,,327.22,327.22,2
HCPCS,0808T,Pulm tiss vntj alys w/ct,,,630.14,630.14,2
HCPCS,0810T,Subrta njx rx agt w/vtrc,,,6044.0,14456.0,3
HCPCS,0813T,Egd vol adjmt bariatric balo,,,4108.0,5664.0,3
HCPCS,0814T,Prq njx biod osteo matrl fem,,,3195.0,5664.0,3
HCPCS,0816T,Opn insj/rplcmt ins ptn subq,,,4108.0,25393.0,3
HCPCS,0817T,Opn insj/rplcmt ins ptn subf,,,4108.0,25393.0,3
HCPCS,0818T,Revj/rmvl ins ptn subq,,,3195.0,12821.0,3
HCPCS,0819T,Revj/rmvl ins ptn subf,,,3195.0,12821.0,3
HCPCS,0823T,Tcat ins 1chmbr ldls pm ra,,,6979.0,25393.0,3
HCPCS,0824T,Tcat rmv 1chmbr ldls pm ra,,,5363.0,12821.0,3
HCPCS,0825T,Tcat rmv&rpl1chmb ldls pm ra,,,6979.0,25393.0,3
HCPCS,0857T,Opto-acoustic img breast uni,,,235.69,235.69,2
HCPCS,0861T,Rmvl pg wcs lv both compnt,,,5363.0,12821.0,3
HCPCS,0862T,Rlcj pg wcs lv battery only,,,4108.0,5664.0,3
HCPCS,0863T,Rlcj pg wcs lv trnsmtr only,,,4108.0,5664.0,3
HCPCS,0864T,Low ntsty eswt corpus cvrnsm,,,3195.0,3195.0,1
HCPCS,0865T,Quan mri alys brn w/o dx mri,,,525.31,525.31,2
HCPCS,0866T,Quan mri alys brn w/dx mri,,,525.31,525.31,2
HCPCS,0867T,Tpla b9 prst8 hyprplsa>=50ml,,,4108.0,10940.0,3
HCPCS,0869T,Njx b1 sub mtrl hw fixj aug,,,4108.0,12821.0,3
HCPCS,0870T,Imp subq prtl ascts pmp sys,,,4108.0,5664.0,3
HCPCS,0871T,Rplcmt subq prtl ascites pmp,,,4108.0,5664.0,3
HCPCS,0872T,Rplcmt ndwllg bldr&prtl cath,,,4108.0,5664.0,3
HCPCS,0873T,Revj subq prtl asct pmp sys,,,4108.0,5664.0,3
HCPCS,0874T,Rmvl pertl ascites pmp sys,,,3195.0,5664.0,3
HCPCS,0882T,Intraop ther estim pn ue 1st,,,2505.0,3195.0,3
HCPCS,0883T,Intraop ther estim pn ue ea,,,2505.0,3195.0,3
HCPCS,0884T,Esphgsc flx 1st tndsc dilat,,,5248.0,10940.0,3
HCPCS,0885T,Colsc flx 1st tndsc dilat,,,5248.0,10940.0,3
HCPCS,0886T,Sgmdsc flx 1st tndsc dilat,,,4108.0,10940.0,3
HCPCS,0888T,Histotripsy mal renal tissue,,,5363.0,39376.13,3
HCPCS,0894T,Cannulation liver allograft,,,5097.0,5664.0,2
HCPCS,0901T,Plmt bone marrow smplg port,,,3195.0,5664.0,3
HCPCS,0908T,Opn imp int nstm sys vgs nrv,,,4108.0,5664.0,3
HCPCS,0909T,Rplcmt int nstim sys vgs nrv,,,4108.0,5664.0,3
HCPCS,0910T,Rmvl int nstim sys vagus nrv,,,3195.0,5664.0,3
HCPCS,0913T,Prq tcat ther rx ntrac balo1,,,8406.0,22111.0,3
HCPCS,0914T,Prq tcat thr rx ntrc bal sep,,,2505.0,3195.0,3
HCPCS,0915T,Insj perm ccm-d sys pg&eltrd,,,8406.0,46177.0,3
HCPCS,0916T,Insj perm ccm-d sys pg only,,,5248.0,46177.0,3
HCPCS,0917T,Insj perm ccm-d sys 1 lead,,,5363.0,25393.0,3
HCPCS,0918T,Insj perm ccm-d sys dual ld,,,5363.0,25393.0,3
HCPCS,0919T,Rmvl perm ccm-d sys pg only,,,5363.0,12821.0,3
HCPCS,0920T,Rmvl perm ccm-d sys 1 pac ld,,,5363.0,12821.0,3
HCPCS,0921T,Rmvl perm ccm-d sys 1 dfb ld,,,5363.0,12821.0,3
HCPCS,0922T,Rmvl perm ccm-d sys dual ld,,,5363.0,12821.0,3
HCPCS,0923T,Rmvl&rplcmt perm ccm-d pg,,,5248.0,46177.0,3
HCPCS,0924T,Rpos prv ccm-d trnsvns eltrd,,,4047.0,4497.0,3
HCPCS,0925T,Rlcj skin pocket ccm-d pg,,,4108.0,5664.0,3
HCPCS,0930T,Ephys eval ccm-d ld 1st impl,,,3195.0,5664.0,3
HCPCS,0931T,Ephys eval ccm-d ld separate,,,4108.0,5664.0,3
HCPCS,0933T,Tcat impl wrls l atr prs snr,,,8406.0,14456.0,3
HCPCS,0935T,Cysto w/rnl pel symp dnrvtj,,,5097.0,5664.0,3
HCPCS,0941T,Cysto flx ins&xpns urtl scaf,,,5097.0,5664.0,3
HCPCS,0942T,Cysto flx rmv&rplc urtl scaf,,,5097.0,5664.0,3
HCPCS,0943T,Cysto flx rmvl urtl scaffold,,,4108.0,5664.0,3
HCPCS,0944T,3d cntr simula trgt lvr les,,,543.87,543.87,2
HCPCS,0945T,Intraop assmt abnl tum tiss,,,3195.0,5664.0,3
HCPCS,0946T,Ortho impl mvmt alys pair ct,,,239.27,239.27,2
HCPCS,0947T,Mrgfus strtctc bl-br disrpj,,,5248.0,5248.0,1
HCPCS,0950T,Abltj b9 prst8 tissue hifu,,,6979.0,6979.0,1
HCPCS,0956T,Prt crn ch cr&tun elt s-sclp,,,6979.0,6979.0,1
HCPCS,0957T,Rev s-sclp eltr ra rcvr&tlmt,,,6979.0,6979.0,1
HCPCS,0958T,Rmv s-sclp eltr ra rcvr&tlmt,,,6979.0,6979.0,1
HCPCS,0959T,Rmv/rplc magnet coil assem,,,6979.0,6979.0,1
HCPCS,0960T,Rpl s-sclp eltr ra rcvr&tlmt,,,6979.0,6979.0,1
HCPCS,0963T,Anosc sbmcsl njx bulking agt,,,6979.0,6979.0,1
HCPCS,0964T,I&cust prep jaw xpnsj 1arch,,,6979.0,6979.0,1
HCPCS,0965T,I&cst prp jw xpn dl arch non,,,6979.0,6979.0,1
HCPCS,0966T,I&cst prp jw xpn dl arch fxd,,,6979.0,6979.0,1
HCPCS,0967T,Tranal ins tmp clrc anst dev,,,6979.0,6979.0,1
HCPCS,0970T,Ablt b9 brst tum perq lsr ea,,,6979.0,6979.0,1
HCPCS,0971T,Ablt mal brst tum pq lsr uni,,,6979.0,6979.0,1
HCPCS,0973T,Slctv nzmtc dbrdmt t/a/l 1st,,,6979.0,6979.0,1
HCPCS,0975T,Slctv nzmtc dbrdmt s/n/hf 1,,,6979.0,6979.0,1
HCPCS,0981T,Tcat impl wrls ivc snr,,,6979.0,6979.0,1
HCPCS,0988T,Opn ins/rplc ins ptn sbq&sbf,,,6979.0,6979.0,1
HCPCS,0989T,Revj/rmvl ins ptn subq&subf,,,6979.0,6979.0,1
HCPCS,0990T,Trncrv inst biod hydrgl mtrl,,,6979.0,6979.0,1
HCPCS,0991T,Cysto lo-nrg lithtrp&mcrsphr,,,6979.0,6979.0,1
HCPCS,0994T,Evasc dlvr a-wal stbl rx prq,,,6979.0,6979.0,1
HCPCS,0995T,Evasc dlvr a-wal stbl rx opn,,,6979.0,6979.0,1
HCPCS,0996T,Ins&sclr fix caps bag prosth,,,6979.0,6979.0,1
HCPCS,10004,Fna bx w/o img gdn ea addl,,,208.56,3195.0,4
HCPCS,10005,Fna bx w/us gdn 1st les,,,350.2,4497.0,4
HCPCS,10005,"HC INSERTION, SUBQ CARDIAC RHYTHM MONITOR, INCL PROGRAM",2570.0,2570.0,,,0
HCPCS,10006,Fna bx w/us gdn ea addl,,,240.88,3195.0,4
HCPCS,10006,"HC REMOVAL, SUBQ CARDIAC RHYTHM MONITOR",1285.0,1285.0,,,0
HCPCS,10007,Fna bx w/fluor gdn 1st les,,,454.07,4497.0,4
HCPCS,10007,"HC INSERT PICC, INCLUDING IMAGING, 5 YR+",2827.0,2827.0,,,0
HCPCS,10008,Fna bx w/fluor gdn ea addl,,,266.83,3195.0,4
HCPCS,10008,"HC ULTRASOUND, ELASTOGRAPHY; PARENCHYMA (EG, ORGAN)",1413.0,1413.0,,,0
HCPCS,10009,Fna bx w/ct gdn 1st les,,,520.82,4497.0,4
HCPCS,10009,HC HTT GENE DETC ABNOR ALLELES (225),3109.0,3109.0,,,0
HCPCS,10010,Fna bx w/ct gdn ea addl,,,372.92,3195.0,4
HCPCS,10010,HC HTT GENE DETC ABNOR ALLELES (225),1556.0,1556.0,,,0
HCPCS,10011,Fna bx w/mr gdn 1st les,,,3195.0,4497.0,3
HCPCS,10012,Fna bx w/mr gdn ea addl,,,2505.0,3195.0,3
HCPCS,10021,Fna w/o image,,,259.49,3195.0,4
HCPCS,10030,Guide cathet fluid drainage,,,665.7,4497.0,4
HCPCS,10030,HC DUPLEX LE ART/BPG; BILAT,5025.0,5025.0,,,0
HCPCS,10035,Perq dev soft tiss 1st imag,,,396.93,4497.0,4
HCPCS,10036,Perq dev soft tiss add imag,,,206.94,3195.0,4
HCPCS,1003T,Arthrp 1st crp/mtcrpl prostc,,,6979.0,6979.0,1
HCPCS,10040,Acne surgery,,,233.75,6979.0,4
HCPCS,10060,Drainage of skin abscess,,,540.9,3195.0,4
HCPCS,10061,Drainage of skin abscess,,,945.7,3195.0,4
HCPCS,10080,Drainage of pilonidal cyst,,,571.92,4497.0,4
HCPCS,10081,Drainage of pilonidal cyst,,,936.8,4497.0,4
HCPCS,10120,Remove foreign body,,,550.5,3195.0,4
HCPCS,10121,Remove foreign body,,,944.25,5664.0,4
HCPCS,1012T,Mtrz ab ntrno trph scl/tr mw,,,6979.0,6979.0,1
HCPCS,1013T,Lap srg imp/rpl eso nea&pg/r,,,6979.0,6979.0,1
HCPCS,10140,Drainage of hematoma/fluid,,,629.07,5664.0,4
HCPCS,1014T,Lap rv/rmv eso sph nstm eltr,,,6979.0,6979.0,1
HCPCS,1015T,Rev/rmv lw esoph sphnc npg/r,,,6979.0,6979.0,1
HCPCS,10160,HC CRITICAL CARE FIRST HOUR,937.0,937.0,,,0
HCPCS,10160,Puncture drainage of lesion,,,497.57,3195.0,4
HCPCS,10180,Complex drainage wound,,,973.38,10940.0,4
HCPCS,1019T,Lymphovenous bypass per xtr,,,6979.0,6979.0,1
HCPCS,11000,Debride infected skin,,,135.39,3195.0,4
HCPCS,11001,Debride infected skin add-on,,,70.74,3195.0,4
HCPCS,11004,Debride genitalia & perineum,,,2895.98,6979.0,4
HCPCS,11005,Debride abdom wall,,,4023.74,6979.0,4
HCPCS,11006,Debride genit/per/abdom wall,,,3597.89,6979.0,4
HCPCS,11008,Remove mesh from abd wall,,,1423.2,12821.0,4
HCPCS,11010,Debride skin at fx site,,,1393.46,4497.0,4
HCPCS,11011,Debride skin musc at fx site,,,1498.25,4497.0,4
HCPCS,11012,Deb skin bone at fx site,,,2052.75,4497.0,4
HCPCS,11042,Deb subq tissue 20 sq cm/<,,,308.33,4108.0,4
HCPCS,11043,Deb musc/fascia 20 sq cm/<,,,775.57,4108.0,4
HCPCS,11044,Deb bone 20 sq cm/<,,,1132.08,4497.0,4
HCPCS,11045,Deb subq tissue add-on,,,124.49,3195.0,4
HCPCS,11046,Deb musc/fascia add-on,,,273.04,3195.0,4
HCPCS,11047,Deb bone add-on,,,487.85,3195.0,4
HCPCS,11050,Description Not Available,,,6979.0,6979.0,1
HCPCS,11051,Description Not Available,,,6979.0,6979.0,1
HCPCS,11052,Description Not Available,,,6979.0,6979.0,1
HCPCS,11055,Trim skin lesion,,,76.3,3195.0,4
HCPCS,11056,Trim skin lesions 2 to 4,,,109.48,3195.0,4
HCPCS,11057,Trim skin lesions over 4,,,140.89,3195.0,4
HCPCS,11102,Tangntl bx skin single les,,,166.03,3195.0,4
HCPCS,11103,Tangntl bx skin ea sep/addl,,,98.21,3195.0,4
HCPCS,11104,HC DIHYDROTESTOSTERONE (DHT),960.0,960.0,,,0
HCPCS,11104,Punch bx skin single lesion,,,211.74,3195.0,4
HCPCS,11105,Punch bx skin ea sep/addl,,,120.65,3195.0,4
HCPCS,11106,Incal bx skn single les,,,259.12,4497.0,4
HCPCS,11107,Incal bx skn ea sep/addl,,,139.32,3195.0,4
HCPCS,11200,Removal of skin tags <w/15,,,370.92,3195.0,4
HCPCS,11201,Remove skin tags add-on,,,72.36,2782.0,3
HCPCS,11300,Shave skin lesion 0.5 cm/<,,,153.62,6979.0,4
HCPCS,11301,Shave skin lesion 0.6-1.0 cm,,,230.25,6979.0,4
HCPCS,11302,Shave skin lesion 1.1-2.0 cm,,,266.78,6979.0,4
HCPCS,11303,Shave skin lesion >2.0 cm,,,320.58,6979.0,4
HCPCS,11305,Shave skin lesion 0.5 cm/<,,,181.95,6979.0,4
HCPCS,11306,Shave skin lesion 0.6-1.0 cm,,,225.55,6979.0,4
HCPCS,11307,Shave skin lesion 1.1-2.0 cm,,,285.45,6979.0,4
HCPCS,11308,Shave skin lesion >2.0 cm,,,332.5,6979.0,4
HCPCS,11310,Shave skin lesion 0.5 cm/<,,,200.89,6979.0,4
HCPCS,11311,Shave skin lesion 0.6-1.0 cm,,,281.24,6979.0,4
HCPCS,11312,Shave skin lesion 1.1-2.0 cm,,,334.77,6979.0,4
HCPCS,11313,Shave skin lesion >2.0 cm,,,427.79,6979.0,4
HCPCS,11400,Exc tr-ext b9+marg 0.5 cm<,,,412.42,4497.0,4
HCPCS,11401,Exc tr-ext b9+marg 0.6-1 cm,,,513.32,3195.0,4
HCPCS,11402,Exc tr-ext b9+marg 1.1-2 cm,,,557.89,4497.0,4
HCPCS,11403,Exc tr-ext b9+marg 2.1-3cm/<,,,738.39,4497.0,4
HCPCS,11404,Exc tr-ext b9+marg 3.1-4 cm,,,835.79,5664.0,4
HCPCS,11406,Exc tr-ext b9+marg >4.0 cm,,,1265.42,5664.0,4
HCPCS,11420,Exc h-f-nk-sp b9+marg 0.5/<,,,411.61,4497.0,4
HCPCS,11421,Exc h-f-nk-sp b9+marg 0.6-1,,,538.09,4497.0,4
HCPCS,11422,Exc h-f-nk-sp b9+marg 1.1-2,,,674.66,4497.0,4
HCPCS,11423,Exc h-f-nk-sp b9+marg 2.1-3,,,783.45,5664.0,4
HCPCS,11424,Exc h-f-nk-sp b9+marg 3.1-4,,,906.85,5664.0,4
HCPCS,11426,Exc h-f-nk-sp b9+marg >4 cm,,,1357.69,10940.0,4
HCPCS,11440,Exc face-mm b9+marg 0.5 cm/<,,,523.79,4497.0,4
HCPCS,11441,Exc face-mm b9+marg 0.6-1 cm,,,650.81,4497.0,4
HCPCS,11442,Exc face-mm b9+marg 1.1-2 cm,,,716.0,4497.0,4
HCPCS,11443,Exc face-mm b9+marg 2.1-3 cm,,,869.51,4497.0,4
HCPCS,11444,Exc face-mm b9+marg 3.1-4 cm,,,1099.17,4497.0,4
HCPCS,11446,Exc face-mm b9+marg >4 cm,,,1561.82,10940.0,4
HCPCS,11450,Removal sweat gland lesion,,,1410.51,10940.0,4
HCPCS,11451,Removal sweat gland lesion,,,1783.49,10940.0,4
HCPCS,11462,Removal sweat gland lesion,,,1338.96,10940.0,4
HCPCS,11463,Removal sweat gland lesion,,,1749.28,10940.0,4
HCPCS,11470,Removal sweat gland lesion,,,1555.88,10940.0,4
HCPCS,11471,Removal sweat gland lesion,,,1839.5,10940.0,4
HCPCS,11600,Exc tr-ext mal+marg 0.5 cm/<,,,593.29,4497.0,4
HCPCS,11601,Exc tr-ext mal+marg 0.6-1 cm,,,701.32,4497.0,4
HCPCS,11602,Exc tr-ext mal+marg 1.1-2 cm,,,744.92,3195.0,4
HCPCS,11603,Exc tr-ext mal+marg 2.1-3 cm,,,896.87,4497.0,4
HCPCS,11604,Exc tr-ext mal+marg 3.1-4 cm,,,997.83,4497.0,4
HCPCS,11606,Exc tr-ext mal+marg >4 cm,,,1541.37,5664.0,4
HCPCS,11620,Exc h-f-nk-sp mal+marg 0.5/<,,,596.8,4497.0,4
HCPCS,11621,Exc s/n/h/f/g mal+mrg 0.6-1,,,706.55,4497.0,4
HCPCS,11622,Exc s/n/h/f/g mal+mrg 1.1-2,,,786.9,4497.0,4
HCPCS,11623,Exc s/n/h/f/g mal+mrg 2.1-3,,,978.13,4497.0,4
HCPCS,11624,Exc s/n/h/f/g mal+mrg 3.1-4,,,1122.91,5664.0,4
HCPCS,11626,Exc s/n/h/f/g mal+mrg >4 cm,,,1421.74,10940.0,4
HCPCS,11640,Exc f/e/e/n/l mal+mrg 0.5cm<,,,604.68,4497.0,4
HCPCS,11641,Exc f/e/e/n/l mal+mrg 0.6-1,,,736.82,4497.0,4
HCPCS,11642,Exc f/e/e/n/l mal+mrg 1.1-2,,,847.55,4497.0,4
HCPCS,11643,Exc f/e/e/n/l mal+mrg 2.1-3,,,1066.41,4497.0,4
HCPCS,11644,Exc f/e/e/n/l mal+mrg 3.1-4,,,1328.82,5664.0,4
HCPCS,11646,Exc f/e/e/n/l mal+mrg >4 cm,,,1859.89,10940.0,4
HCPCS,11700,Description Not Available,,,6979.0,6979.0,1
HCPCS,11701,Description Not Available,,,6979.0,6979.0,1
HCPCS,11710,Description Not Available,,,6979.0,6979.0,1
HCPCS,11711,Description Not Available,,,6979.0,6979.0,1
HCPCS,11719,Trim nail(s) any number,,,36.8,6979.0,4
HCPCS,11720,Debride nail 1-5,,,70.9,3195.0,4
HCPCS,11721,Debride nail 6 or more,,,119.41,3195.0,4
HCPCS,11730,Removal of nail plate,,,267.53,3195.0,4
HCPCS,11731,Description Not Available,,,6979.0,6979.0,1
HCPCS,11732,Remove nail plate add-on,,,83.42,3195.0,4
HCPCS,11740,Drain blood from under nail,,,167.76,3195.0,4
HCPCS,11750,Removal of nail bed,,,511.92,3195.0,4
HCPCS,11755,Biopsy nail unit,,,301.37,4497.0,4
HCPCS,11760,Repair of nail bed,,,567.17,3195.0,4
HCPCS,11762,Reconstruction of nail bed,,,959.14,5664.0,4
HCPCS,11765,Excision of nail fold toe,,,478.36,3195.0,4
HCPCS,11770,Remove pilonidal cyst simple,,,1014.56,10940.0,4
HCPCS,11771,Remove pilonidal cyst exten,,,2467.64,10940.0,4
HCPCS,11772,Remove pilonidal cyst compl,,,3182.88,10940.0,4
HCPCS,11900,Inject skin lesions <=w 7,,,133.01,3195.0,4
HCPCS,11901,Inject skin lesions >7,,,200.89,3195.0,4
HCPCS,11920,Correct skin color 6.0 cm/<,,,569.01,3195.0,4
HCPCS,11921,Correct skn color 6.1-20.0cm,,,647.3,3195.0,4
HCPCS,11922,Correct skin color ea 20.0cm,,,137.49,3195.0,4
HCPCS,11950,Tx contour defects 1 cc/<,,,250.43,6979.0,4
HCPCS,11951,Tx contour defects 1.1-5.0cc,,,350.36,6979.0,4
HCPCS,11952,Tx contour defects 5.1-10cc,,,494.11,6979.0,4
HCPCS,11954,Tx contour defects >10.0 cc,,,545.0,6979.0,4
HCPCS,11960,Insert tissue expander(s),,,4108.0,12821.0,4
HCPCS,11970,Replace tissue expander,,,2859.93,14456.0,4
HCPCS,11971,Remove tissue expander(s),,,2840.78,10940.0,4
HCPCS,11976,Remove contraceptive capsule,,,456.88,4497.0,4
HCPCS,11980,Implant hormone pellet(s),,,273.09,3195.0,4
HCPCS,11981,Insert drug implant device,,,312.1,3195.0,4
HCPCS,11982,Remove drug implant device,,,358.73,3195.0,4
HCPCS,11983,Remove/insert drug implant,,,506.58,3195.0,4
HCPCS,12001,Rpr s/n/ax/gen/trnk 2.5cm/<,,,251.67,3195.0,4
HCPCS,12002,Rpr s/n/ax/gen/trnk2.6-7.5cm,,,328.83,6979.0,4
HCPCS,12004,Rpr s/n/ax/gen/trk7.6-12.5cm,,,415.82,3195.0,4
HCPCS,12005,Rpr s/n/a/gen/trk12.6-20.0cm,,,521.09,4108.0,4
HCPCS,12006,Rpr s/n/a/gen/trk20.1-30.0cm,,,632.2,4108.0,4
HCPCS,12007,Rpr s/n/ax/gen/trnk >30.0 cm,,,774.49,4108.0,4
HCPCS,12011,Rpr f/e/e/n/l/m 2.5 cm/<,,,311.78,6979.0,4
HCPCS,12013,Rpr f/e/e/n/l/m 2.6-5.0 cm,,,323.81,6979.0,4
HCPCS,12014,Rpr f/e/e/n/l/m 5.1-7.5 cm,,,419.81,3195.0,4
HCPCS,12015,Rpr f/e/e/n/l/m 7.6-12.5 cm,,,523.9,3195.0,4
HCPCS,12016,Rpr fe/e/en/l/m 12.6-20.0 cm,,,711.46,4108.0,4
HCPCS,12017,Rpr fe/e/en/l/m 20.1-30.0 cm,,,897.52,4108.0,4
HCPCS,12018,Rpr f/e/e/n/l/m >30.0 cm,,,1012.34,4108.0,4
HCPCS,12020,Closure of split wound,,,984.82,3195.0,4
HCPCS,12021,Closure of split wound,,,741.52,3195.0,4
HCPCS,12031,Intmd rpr s/a/t/ext 2.5 cm/<,,,725.6,3195.0,4
HCPCS,12032,Intmd rpr s/a/t/ext 2.6-7.5,,,896.33,3195.0,4
HCPCS,12034,Intmd rpr s/tr/ext 7.6-12.5,,,990.17,4108.0,4
HCPCS,12035,Intmd rpr s/a/t/ext 12.6-20,,,1246.04,4108.0,4
HCPCS,12036,Intmd rpr s/a/t/ext 20.1-30,,,1515.3,4108.0,4
HCPCS,12037,Intmd rpr s/tr/ext >30.0 cm,,,1731.09,5664.0,4
HCPCS,12041,Intmd rpr n-hf/genit 2.5cm/<,,,707.69,3195.0,4
HCPCS,12042,Intmd rpr n-hf/genit2.6-7.5,,,919.53,3195.0,4
HCPCS,12044,Intmd rpr n-hf/genit7.6-12.5,,,1051.9,4108.0,4
HCPCS,12045,Intmd rpr n-hf/genit12.6-20,,,1483.36,4108.0,4
HCPCS,12046,Intmd rpr n-hf/genit20.1-30,,,1759.85,4497.0,4
HCPCS,12047,Intmd rpr n-hf/genit >30.0cm,,,1948.82,5664.0,4
HCPCS,12051,Intmd rpr face/mm 2.5 cm/<,,,816.79,3195.0,4
HCPCS,12052,Intmd rpr face/mm 2.6-5.0 cm,,,946.51,3195.0,4
HCPCS,12053,Intmd rpr face/mm 5.1-7.5 cm,,,1027.83,3195.0,4
HCPCS,12054,Intmd rpr face/mm 7.6-12.5cm,,,1093.88,4108.0,4
HCPCS,12055,Intmd rpr face/mm 12.6-20 cm,,,1639.52,4108.0,4
HCPCS,12056,Intmd rpr face/mm 20.1-30.0,,,1934.47,4108.0,4
HCPCS,12057,Intmd rpr face/mm >30.0 cm,,,2126.67,4108.0,4
HCPCS,13100,Cmplx rpr trunk 1.1-2.5 cm,,,942.63,4108.0,4
HCPCS,13101,Cmplx rpr trunk 2.6-7.5 cm,,,1150.27,5248.0,4
HCPCS,13102,Cmplx rpr trunk addl 5cm/<,,,337.74,3195.0,4
HCPCS,13120,Cmplx rpr s/a/l 1.1-2.5 cm,,,1085.89,4108.0,4
HCPCS,13121,Cmplx rpr s/a/l 2.6-7.5 cm,,,1185.66,5248.0,4
HCPCS,13122,Cmplx rpr s/a/l addl 5 cm/>,,,381.55,3195.0,4
HCPCS,13131,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,1124.04,4108.0,4
HCPCS,13132,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,1382.94,5248.0,4
HCPCS,13133,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,570.84,3195.0,4
HCPCS,13151,Cmplx rpr e/n/e/l 1.1-2.5 cm,,,1285.49,5248.0,4
HCPCS,13152,Cmplx rpr e/n/e/l 2.6-7.5 cm,,,1538.45,5248.0,4
HCPCS,13153,Cmplx rpr e/n/e/l addl 5cm/<,,,639.7,5248.0,4
HCPCS,13160,Late closure of wound,,,4108.0,5664.0,4
HCPCS,13300,Description Not Available,,,6979.0,6979.0,1
HCPCS,14000,Tis trnfr trunk 10 sq cm/<,,,2556.84,5664.0,4
HCPCS,14001,Tis trnfr trunk 10.1-30sqcm,,,3333.43,5664.0,4
HCPCS,14020,Tis trnfr s/a/l 10 sq cm/<,,,2757.9,5664.0,4
HCPCS,14021,Tis trnfr s/a/l 10.1-30 sqcm,,,3403.96,5664.0,4
HCPCS,14040,Tis trnfr f/c/c/m/n/a/g/h/f,,,2989.17,5664.0,4
HCPCS,14041,Tis trnfr f/c/c/m/n/a/g/h/f,,,3576.68,5664.0,4
HCPCS,14060,Tis trnfr e/n/e/l 10 sq cm/<,,,3135.29,5664.0,4
HCPCS,14061,Tis trnfr e/n/e/l10.1-30sqcm,,,3824.42,5664.0,4
HCPCS,14301,Tis trnfr any 30.1-60 sq cm,,,4261.81,12821.0,4
HCPCS,14302,Tis trnfr addl 30 sq cm/<,,,1036.41,3195.0,4
HCPCS,14350,Filleted finger/toe flap,,,3366.89,5664.0,4
HCPCS,15002,Wound prep trk/arm/leg,,,1108.88,5664.0,4
HCPCS,15003,Wound prep addl 100 cm,,,228.95,3195.0,4
HCPCS,15004,Wound prep f/n/hf/g,,,1276.86,4108.0,4
HCPCS,15005,Wnd prep f/n/hf/g addl cm,,,449.06,3195.0,4
HCPCS,15011,Hrv skn cll ssp agrft 1st 25,,,4108.0,5664.0,3
HCPCS,15012,Hrv skn cll ssp agrft ea add,,,2505.0,3195.0,3
HCPCS,15013,Prepj skn cll ssp agrft 1st,,,6979.0,22111.0,3
HCPCS,15014,Prepj skn cll ssp agrft ea,,,2505.0,2782.0,2
HCPCS,15015,App skn cl ssp agrft t/a/l 1,,,4108.0,5664.0,3
HCPCS,15016,App skn cl ssp agrf t/a/l ea,,,2505.0,3195.0,3
HCPCS,15017,App skn cll ssp f/n/g/hf 1st,,,4108.0,5664.0,3
HCPCS,15018,App skn cll ssp f/n/g/hf ea,,,2505.0,3195.0,3
HCPCS,15040,Harvest cultured skin graft,,,640.45,5664.0,4
HCPCS,15050,Skin pinch graft,,,2344.4,4108.0,4
HCPCS,15100,Skin splt grft trnk/arm/leg,,,3671.22,5664.0,4
HCPCS,15101,Skin splt grft t/a/l add-on,,,569.39,5248.0,4
HCPCS,15110,Epidrm autogrft trnk/arm/leg,,,3764.03,5664.0,4
HCPCS,15111,Epidrm autogrft t/a/l add-on,,,522.6,3195.0,4
HCPCS,15115,Epidrm a-grft face/nck/hf/g,,,3633.67,5664.0,4
HCPCS,15116,Epidrm a-grft f/n/hf/g addl,,,706.93,3195.0,4
HCPCS,15120,Skn splt a-grft fac/nck/hf/g,,,3411.24,12821.0,4
HCPCS,15121,Skn splt a-grft f/n/hf/g add,,,671.96,5248.0,4
HCPCS,15130,Derm autograft trnk/arm/leg,,,3030.83,10940.0,4
HCPCS,15131,Derm autograft t/a/l add-on,,,424.88,3195.0,4
HCPCS,15135,Derm autograft face/nck/hf/g,,,3721.03,12821.0,4
HCPCS,15136,Derm autograft f/n/hf/g add,,,424.88,3195.0,4
HCPCS,15150,Cult skin grft t/arm/leg,,,3499.31,5664.0,4
HCPCS,15151,Cult skin grft t/a/l addl,,,567.88,3195.0,4
HCPCS,15152,Cult skin graft t/a/l +%,,,714.81,3195.0,4
HCPCS,15155,Cult skin graft f/n/hf/g,,,3648.02,12821.0,4
HCPCS,15156,Cult skin grft f/n/hfg add,,,787.33,3195.0,4
HCPCS,15157,Cult epiderm grft f/n/hfg +%,,,864.44,3195.0,4
HCPCS,15200,Skin full graft trunk,,,3340.72,10940.0,4
HCPCS,15201,Skin full graft trunk add-on,,,367.14,4108.0,4
HCPCS,15220,Skin full graft sclp/arm/leg,,,2947.03,5664.0,4
HCPCS,15221,Skin full graft add-on,,,327.0,4108.0,4
HCPCS,15240,Skin full grft face/genit/hf,,,3812.71,5664.0,4
HCPCS,15241,Skin full graft add-on,,,504.69,5248.0,4
HCPCS,15260,Skin full graft een & lips,,,3971.89,5664.0,4
HCPCS,15261,Skin full graft add-on,,,627.45,4108.0,4
HCPCS,15271,Skin sub graft trnk/arm/leg,,,419.97,5664.0,4
HCPCS,15272,Skin sub graft t/a/l add-on,,,83.26,3195.0,4
HCPCS,15273,Skin sub grft t/arm/lg child,,,973.82,12821.0,4
HCPCS,15274,Skn sub grft t/a/l child add,,,224.53,3195.0,4
HCPCS,15275,Skin sub graft face/nk/hf/g,,,468.05,5664.0,4
HCPCS,15276,Skin sub graft f/n/hf/g addl,,,124.49,3195.0,4
HCPCS,15277,Skn sub grft f/n/hf/g child,,,1119.24,5664.0,4
HCPCS,15278,Skn sub grft f/n/hf/g ch add,,,279.03,3195.0,4
HCPCS,15570,Skin pedicle flap trunk,,,3745.26,5664.0,4
HCPCS,15572,Skin pedicle flap arms/legs,,,3708.13,12821.0,4
HCPCS,15574,Pedcle fh/ch/ch/m/n/ax/g/h/f,,,3533.14,5664.0,4
HCPCS,15576,Pedicle e/n/e/l/ntroral,,,3090.61,5664.0,4
HCPCS,15580,Description Not Available,,,6979.0,6979.0,1
HCPCS,15600,Delay flap trunk,,,1149.56,12821.0,4
HCPCS,15610,Delay flap arms/legs,,,1275.61,10940.0,4
HCPCS,15620,Delay flap f/c/c/n/ax/g/h/f,,,1657.6,5664.0,4
HCPCS,15625,Description Not Available,,,6979.0,6979.0,1
HCPCS,15630,Delay flap eye/nos/ear/lip,,,1690.62,5664.0,4
HCPCS,15650,Transfer skin pedicle flap,,,2097.21,6044.0,4
HCPCS,15730,Mdfc flap w/prsrv vasc pedcl,,,4286.53,12821.0,4
HCPCS,15731,Forehead Flap w/Vasc Pedicle,,,4848.52,12821.0,4
HCPCS,15733,Musc myoq/fscq flp h&n pedcl,,,5060.48,12821.0,4
HCPCS,15734,Muscle-skin graft trunk,,,5248.0,12821.0,4
HCPCS,15736,Muscle-skin graft arm,,,5097.0,6190.51,4
HCPCS,15738,Muscle-skin graft leg,,,5248.0,12821.0,4
HCPCS,15740,Island pedicle flap graft,,,4108.0,5664.0,4
HCPCS,15750,Neurovascular pedicle flap,,,4108.0,12821.0,4
HCPCS,15755,Description Not Available,,,6979.0,6979.0,1
HCPCS,15756,Free myo/skin flap microvasc,,,5248.0,10987.28,4
HCPCS,15757,Free skin flap microvasc,,,5248.0,10940.0,4
HCPCS,15758,Free fascial flap microvasc,,,5248.0,10940.0,4
HCPCS,15760,Composite skin graft,,,3360.41,5664.0,4
HCPCS,15769,Grfg autol soft tiss dir exc,,,2527.76,12821.0,4
HCPCS,15770,Derma-fat-fascia graft,,,3335.59,12821.0,4
HCPCS,15771,Grfg autol fat lipo 50 cc/<,,,2616.52,12821.0,4
HCPCS,15772,Grfg autol fat lipo ea addl,,,715.02,3195.0,4
HCPCS,15773,Grfg autol fat lipo 25 cc/<,,,2506.55,5664.0,4
HCPCS,15774,Gfrg autol fat lipo ea addl,,,688.21,3195.0,4
HCPCS,15775,Hair trnspl 1-15 punch grfts,,,1251.49,5248.0,4
HCPCS,15776,Hair trnspl >15 punch grafts,,,1709.51,5248.0,4
HCPCS,15777,Acellular derm matrix implt,,,1035.06,3195.0,4
HCPCS,15778,Impl absrb msh/prsth dly cls,,,2045.03,5664.0,4
HCPCS,15780,Dermabrasion total face,,,3060.45,10940.0,4
HCPCS,15781,Dermabrasion segmental face,,,1996.47,6979.0,4
HCPCS,15782,Dermabrasion other than face,,,1729.09,6979.0,4
HCPCS,15783,Dermabrasion suprfl any site,,,1659.92,6979.0,4
HCPCS,15786,Abrasion lesion single,,,649.19,6979.0,4
HCPCS,15787,Abrasion lesions add-on,,,78.62,2782.0,3
HCPCS,15788,Chemical peel face epiderm,,,1047.53,6979.0,4
HCPCS,15789,Chemical peel face dermal,,,1932.63,6979.0,4
HCPCS,15792,Chemical peel nonfacial,,,1025.78,6979.0,4
HCPCS,15793,Chemical peel nonfacial,,,1715.28,6979.0,4
HCPCS,15819,Plastic surgery neck,,,6979.0,6979.0,1
HCPCS,15820,Revision of lower eyelid,,,2420.11,5664.0,4
HCPCS,15821,Revision of lower eyelid,,,2611.88,5664.0,4
HCPCS,15822,Revision of upper eyelid,,,1918.98,5664.0,4
HCPCS,15823,Revision of upper eyelid,,,2594.4,6044.0,4
HCPCS,15824,Removal of forehead wrinkles,,,5097.0,5664.0,3
HCPCS,15825,Removal of neck wrinkles,,,5248.0,12821.0,3
HCPCS,15826,Removal of brow wrinkles,,,5248.0,12821.0,3
HCPCS,15828,Removal of face wrinkles,,,5248.0,12821.0,3
HCPCS,15829,Removal of skin wrinkles,,,6044.0,12821.0,3
HCPCS,15830,Exc Skin Abd,,,5248.0,14456.0,4
HCPCS,15832,Excise excessive skin thigh,,,4677.47,10940.0,4
HCPCS,15833,Excise excessive skin leg,,,4420.24,10940.0,4
HCPCS,15834,Excise excessive skin hip,,,4496.97,10940.0,4
HCPCS,15835,Excise excessive skin buttck,,,4689.66,10940.0,4
HCPCS,15836,Excise excessive skin arm,,,4030.92,5664.0,4
HCPCS,15837,Excise excess skin arm/hand,,,3640.47,5664.0,4
HCPCS,15838,Excise excess skin fat pad,,,3304.19,5664.0,4
HCPCS,15839,Excise excess skin & tissue,,,3789.88,5664.0,4
HCPCS,15840,Nerve palsy fascial graft,,,4912.63,12821.0,4
HCPCS,15841,Nerve palsy muscle graft,,,5363.0,12821.0,4
HCPCS,15842,Nerve palsy microsurg graft,,,5097.0,13243.29,4
HCPCS,15845,Skin and muscle repair face,,,5357.58,12821.0,4
HCPCS,15847,Exc Skin Abd Add-on,,,2505.0,5248.0,3
HCPCS,15851,Remove sutures diff surgeon,,,322.84,5664.0,4
HCPCS,15852,Dressing change not for burn,,,218.38,3195.0,4
HCPCS,15853,Removal sutr/stapl xreq anes,,,69.93,3195.0,4
HCPCS,15854,Removal sutr&stapl xreq anes,,,92.33,3195.0,4
HCPCS,15860,Test for blood flow in graft,,,532.26,3195.0,4
HCPCS,15876,Suction lipectomy head&neck,,,5248.0,12821.0,3
HCPCS,15877,Suction lipectomy trunk,,,5248.0,12821.0,3
HCPCS,15878,Suction lipectomy upr extrem,,,5097.0,5664.0,3
HCPCS,15879,Suction lipectomy lwr extrem,,,5248.0,12821.0,3
HCPCS,15920,Removal of tail bone ulcer,,,3518.03,5664.0,4
HCPCS,15922,Removal of tail bone ulcer,,,4037.29,12821.0,4
HCPCS,15931,Remove sacrum pressure sore,,,3789.07,10940.0,4
HCPCS,15933,Remove sacrum pressure sore,,,4597.77,10940.0,4
HCPCS,15934,Remove sacrum pressure sore,,,4933.51,12821.0,4
HCPCS,15935,Remove sacrum pressure sore,,,5363.0,12821.0,4
HCPCS,15936,Remove sacrum pressure sore,,,4718.59,5664.0,4
HCPCS,15937,Remove sacrum pressure sore,,,5097.0,5664.0,4
HCPCS,15940,Remove hip pressure sore,,,3729.77,10940.0,4
HCPCS,15941,Remove hip pressure sore,,,4785.55,10940.0,4
HCPCS,15944,Remove hip pressure sore,,,4708.23,12821.0,4
HCPCS,15945,Remove hip pressure sore,,,5097.0,5664.0,4
HCPCS,15946,Remove hip pressure sore,,,5363.0,10940.0,4
HCPCS,15950,Remove thigh pressure sore,,,3241.0,10940.0,4
HCPCS,15951,Remove thigh pressure sore,,,4544.51,10940.0,4
HCPCS,15952,Remove thigh pressure sore,,,4611.21,10940.0,4
HCPCS,15953,Remove thigh pressure sore,,,5084.97,12821.0,4
HCPCS,15956,Remove thigh pressure sore,,,5097.0,6129.05,4
HCPCS,15958,Remove thigh pressure sore,,,5363.0,12821.0,4
HCPCS,15999,Removal of pressure sore,,,4047.0,6979.0,3
HCPCS,16000,Initial treatment of burn(s),,,238.77,6979.0,4
HCPCS,16020,Dress/debrid p-thick burn s,,,298.13,3195.0,4
HCPCS,16025,Dress/debrid p-thick burn m,,,565.61,4108.0,4
HCPCS,16030,Dress/debrid p-thick burn l,,,692.58,4108.0,4
HCPCS,16035,Incision of burn scab initi,,,1014.83,4108.0,4
HCPCS,16036,Escharotomy addl incision,,,426.12,6979.0,4
HCPCS,16040,Description Not Available,,,6979.0,6979.0,1
HCPCS,16041,Description Not Available,,,6979.0,6979.0,1
HCPCS,16042,Description Not Available,,,6979.0,6979.0,1
HCPCS,17000,Destruct premalg lesion,,,257.01,3195.0,4
HCPCS,17001,Description Not Available,,,6979.0,6979.0,1
HCPCS,17002,Description Not Available,,,6979.0,6979.0,1
HCPCS,17003,Destruct premalg les 2-14,,,8.96,3195.0,4
HCPCS,17004,Destroy premal lesions 15/>,,,450.73,3195.0,4
HCPCS,17100,Description Not Available,,,6979.0,6979.0,1
HCPCS,17101,Description Not Available,,,6979.0,6979.0,1
HCPCS,17102,Description Not Available,,,6979.0,6979.0,1
HCPCS,17104,Description Not Available,,,6979.0,6979.0,1
HCPCS,17105,Description Not Available,,,6979.0,6979.0,1
HCPCS,17106,Destruction of skin lesions,,,1305.35,3195.0,4
HCPCS,17107,Destruction of skin lesions,,,1679.13,3195.0,4
HCPCS,17108,Destruction of skin lesions,,,2487.45,5664.0,4
HCPCS,17110,Destruct b9 lesion 1-14,,,334.5,3195.0,4
HCPCS,17111,Destruct lesion 15 or more,,,396.23,3195.0,4
HCPCS,17200,Description Not Available,,,6979.0,6979.0,1
HCPCS,17201,Description Not Available,,,6979.0,6979.0,1
HCPCS,17250,Chemical cautery tissue,,,193.45,3195.0,4
HCPCS,17250,HC MUSC TEST DONE W/NERVE TEST COMP,1187.0,1187.0,,,0
HCPCS,17260,Destruction of skin lesions,,,320.31,3195.0,4
HCPCS,17261,Destruction of skin lesions,,,405.51,3195.0,4
HCPCS,17262,Destruction of skin lesions,,,509.11,3195.0,4
HCPCS,17263,Destruction of skin lesions,,,560.91,3195.0,4
HCPCS,17264,Destruction of skin lesions,,,597.55,3195.0,4
HCPCS,17266,Destruction of skin lesions,,,699.32,4108.0,4
HCPCS,17270,Destruction of skin lesions,,,442.15,3195.0,4
HCPCS,17271,Destruction of skin lesions,,,486.72,3195.0,4
HCPCS,17272,Destruction of skin lesions,,,555.57,3195.0,4
HCPCS,17273,Destruction of skin lesions,,,626.96,3195.0,4
HCPCS,17274,Destruction of skin lesions,,,761.81,3195.0,4
HCPCS,17276,Destruction of skin lesions,,,923.63,4108.0,4
HCPCS,17280,Destruction of skin lesions,,,405.51,3195.0,4
HCPCS,17281,Destruction of skin lesions,,,543.92,3195.0,4
HCPCS,17282,Destruction of skin lesions,,,623.45,3195.0,4
HCPCS,17283,Destruction of skin lesions,,,772.55,3195.0,4
HCPCS,17284,Destruction of skin lesions,,,910.14,3195.0,4
HCPCS,17286,Destruction of skin lesions,,,1237.84,4108.0,4
HCPCS,17311,Mohs 1 stage h/n/hf/g,,,1586.21,4108.0,4
HCPCS,17312,Mohs Addl Stage,,,847.23,3195.0,4
HCPCS,17313,Mohs 1 stage t/a/l,,,1423.68,4108.0,4
HCPCS,17314,Mohs addl stage t/a/l,,,772.44,3195.0,4
HCPCS,17315,Mohs surg addl block,,,220.43,3195.0,4
HCPCS,17340,Cryotherapy of skin,,,229.92,6979.0,4
HCPCS,17360,Skin peel therapy,,,424.83,6979.0,4
HCPCS,17380,Hair removal by electrolysis,,,2505.0,6979.0,3
HCPCS,17999,Skin tissue procedure,,,2505.0,3195.0,3
HCPCS,19000,Drainage of breast lesion,,,205.16,4497.0,4
HCPCS,19001,Drain breast lesion add-on,,,101.23,3195.0,4
HCPCS,19020,Incision of breast lesion,,,1751.97,10940.0,4
HCPCS,19030,Injection for breast x-ray,,,357.43,3195.0,4
HCPCS,19081,Bx breast 1st lesion strtctc,,,773.3,5664.0,4
HCPCS,19081,HC HSV-6 IGM AB,4438.0,4438.0,,,0
HCPCS,19082,Bx breast add lesion strtctc,,,387.92,3195.0,4
HCPCS,19082,"HC CARNITINE, FREE & TOTAL, SERUM",3764.0,3764.0,,,0
HCPCS,19083,Bx breast 1st lesion us imag,,,731.16,5664.0,4
HCPCS,19083,"HC CARNITINE, FREE & TOTAL, SERUM",5068.0,5068.0,,,0
HCPCS,19084,Bx breast add lesion us imag,,,363.74,3195.0,4
HCPCS,19084,HC VENTILATION ASSIST/MGMT SLP/SN,4392.0,4392.0,,,0
HCPCS,19085,Bx breast 1st lesion mr imag,,,843.18,5664.0,4
HCPCS,19085,HC DISPENSING FEE BINAURAL,5903.0,5903.0,,,0
HCPCS,19086,Bx breast add lesion mr imag,,,420.19,3195.0,4
HCPCS,19086,HC ANKLE GAUNTLET PREFAB OTS,5229.0,5229.0,,,0
HCPCS,19100,Bx breast percut w/o image,,,358.19,5664.0,4
HCPCS,19101,Biopsy of breast open,,,1219.39,10940.0,4
HCPCS,19105,Cryosurg ablate fa each,,,1124.53,12821.0,4
HCPCS,19110,Nipple exploration,,,1980.76,10940.0,4
HCPCS,19112,Excise breast duct fistula,,,1836.47,10940.0,4
HCPCS,19120,Removal of breast lesion,,,2292.49,10940.0,4
HCPCS,19125,Excision breast lesion,,,2551.98,10940.0,4
HCPCS,19126,Excision addl breast lesion,,,837.24,5248.0,4
HCPCS,19281,"HC DISPENSING FEE, CONTRALATERAL ROUTING SYSTEM, BINAURAL",3395.0,3395.0,,,0
HCPCS,19281,Perq device breast 1st imag,,,463.25,5664.0,4
HCPCS,19282,HC INFLUENZA DNA AMP PROBE,2720.0,2720.0,,,0
HCPCS,19282,Perq device breast ea imag,,,229.33,3195.0,4
HCPCS,19283,"HC BENZODIAZEPINE CONFIRMATION,UR",3395.0,3395.0,,,0
HCPCS,19283,Perq dev breast 1st strtctc,,,470.37,4497.0,4
HCPCS,19284,HC CVVH INITIAL SET UP AND USE,2720.0,2720.0,,,0
HCPCS,19284,Perq dev breast add strtctc,,,237.42,3195.0,4
HCPCS,19285,HC STREP A ASSAY W/OPTIC,4019.0,4019.0,,,0
HCPCS,19285,Perq dev breast 1st us imag,,,401.35,4497.0,4
HCPCS,19286,HC LAB PATHOLOGY,3345.0,3345.0,,,0
HCPCS,19286,Perq dev breast add us imag,,,201.54,3195.0,4
HCPCS,19287,HC SPECIMEN HANDLING PT-LAB,4809.0,4809.0,,,0
HCPCS,19287,Perq dev breast 1st mr guide,,,588.6,5248.0,4
HCPCS,19288,HC LAB CHEMISTRY,4183.0,4183.0,,,0
HCPCS,19288,Perq dev breast add mr guide,,,297.43,3195.0,4
HCPCS,19294,Prep tum cav iort prtl mast,,,861.47,3195.0,4
HCPCS,19296,Place po breast cath for rad,,,1116.16,22111.0,4
HCPCS,19297,Place breast cath for rad,,,482.78,22111.0,4
HCPCS,19298,Place breast rad tube/caths,,,1447.32,22111.0,4
HCPCS,19300,Removal of Breast Tissue,,,2357.19,10940.0,4
HCPCS,19301,Partial Mastectomy,,,3592.12,10940.0,4
HCPCS,19302,P-Mastectomy w/LN Removal,,,4928.87,14456.0,4
HCPCS,19303,Mast simple complete,,,5210.22,12821.0,4
HCPCS,19305,Mast radical,,,5097.0,6979.0,4
HCPCS,19306,Mast rad urban type,,,5097.0,6979.0,4
HCPCS,19307,Mast mod rad,,,6044.0,14456.0,4
HCPCS,19316,Suspension of breast,,,4057.04,12821.0,4
HCPCS,19318,Reduction of large breast,,,5363.0,14456.0,4
HCPCS,19325,Enlarge breast with implant,,,3129.19,22111.0,4
HCPCS,19328,Removal of breast implant,,,2843.8,12821.0,4
HCPCS,19330,Removal of implant material,,,3195.0,12821.0,4
HCPCS,19340,Immediate breast prosthesis,,,3895.8,14456.0,4
HCPCS,19342,Delayed breast prosthesis,,,3851.5,22111.0,4
HCPCS,19350,Breast reconstruction,,,3412.27,10940.0,4
HCPCS,19355,Correct inverted nipple(s),,,3116.57,12821.0,4
HCPCS,19357,Breast reconstruction,,,5917.2,22111.0,4
HCPCS,19361,Breast reconstr w/lat flap,,,5097.0,7733.39,4
HCPCS,19364,Breast reconstruction,,,6044.0,14456.0,4
HCPCS,19367,Breast reconstruction,,,6979.0,14456.0,4
HCPCS,19368,Breast reconstruction,,,6979.0,14456.0,4
HCPCS,19369,Breast reconstruction,,,6979.0,14456.0,4
HCPCS,19370,Surgery of breast capsule,,,3413.78,12821.0,4
HCPCS,19371,Removal of breast capsule,,,3608.09,12821.0,4
HCPCS,19380,Revise breast reconstruction,,,4084.23,14456.0,4
HCPCS,19396,Design custom breast implant,,,706.55,12821.0,4
HCPCS,19499,Breast surgery procedure,,,3195.0,10940.0,3
HCPCS,20100,Explore wound neck,,,2505.0,6979.0,4
HCPCS,20101,Explore wound chest,,,1148.48,6979.0,4
HCPCS,20102,Explore wound abdomen,,,1393.09,6979.0,4
HCPCS,20103,Explore wound extremity,,,1776.26,4497.0,4
HCPCS,20150,Excise epiphyseal bar,,,5165.05,14456.0,4
HCPCS,20200,Muscle biopsy,,,512.94,5664.0,4
HCPCS,20205,Deep muscle biopsy,,,840.37,5664.0,4
HCPCS,20206,HC BONE BIOPSY TROCAR/NEEDLE; SUPERFICIAL,3845.0,3845.0,,,0
HCPCS,20206,Needle biopsy muscle,,,282.16,5664.0,4
HCPCS,20220,Bone biopsy trocar/needle,,,424.07,4497.0,4
HCPCS,20220,HC BONE BIOPSY TROCAR/NEEDLE; DEEP,3745.0,3745.0,,,0
HCPCS,20225,Bone biopsy trocar/needle,,,628.69,5664.0,4
HCPCS,20225,HC APPLY LONG ARM CAST,3945.0,3945.0,,,0
HCPCS,20240,Bone biopsy open superficial,,,702.72,10940.0,4
HCPCS,20245,Bone biopsy open deep,,,1714.42,10940.0,4
HCPCS,20250,Open bone biopsy,,,2182.74,12821.0,4
HCPCS,20251,Open bone biopsy,,,2380.61,12821.0,4
HCPCS,20500,HC EXTEMITY VENOGRAPHY INJECTION,3577.0,3577.0,,,0
HCPCS,20500,Injection of sinus tract,,,455.48,5664.0,4
HCPCS,20501,"HC SEL CATH ARTERIAL, BRACH-CEPH; 2ND ORDER",715.0,715.0,,,0
HCPCS,20501,Inject sinus tract for x-ray,,,173.0,3195.0,4
HCPCS,20520,Removal of foreign body,,,773.57,4497.0,4
HCPCS,20525,Removal of foreign body,,,1295.09,10940.0,4
HCPCS,20526,Ther injection carp tunnel,,,279.08,3195.0,4
HCPCS,20527,Inj dupuytren cord w/enzyme,,,328.02,3195.0,4
HCPCS,20550,"HC NONSELECTIVE CATH, SUPERIOR/INFERIOR VENA CAVA",2631.0,2631.0,,,0
HCPCS,20550,Inj tendon sheath/ligament,,,186.97,3195.0,4
HCPCS,20551,Inj tendon origin/insertion,,,184.27,3195.0,4
HCPCS,20552,Inj trigger point 1/2 muscl,,,196.36,3195.0,4
HCPCS,20553,Inject trigger points 3/>,,,223.88,3195.0,4
HCPCS,20555,Place ndl musc/tis for rt,,,1533.92,10940.0,4
HCPCS,20560,Ndl insj w/o njx 1 or 2 musc,,,67.18,3195.0,4
HCPCS,20561,Ndl insj w/o njx 3+ musc,,,108.35,3195.0,4
HCPCS,20600,Drain/inj joint/bursa w/o us,,,174.94,3195.0,4
HCPCS,20604,Drain/inj joint/bursa w/us,,,222.8,3195.0,4
HCPCS,20604,"HC HC AB, VIRUS NES (20)",1770.0,1770.0,,,0
HCPCS,20605,Drain/inj joint/bursa w/o us,,,178.55,3195.0,4
HCPCS,20605,"HC SELECTIVE CATHETER, FIRST ORDER FAMILY",1948.0,1948.0,,,0
HCPCS,20606,Drain/inj joint/bursa w/us,,,250.48,4497.0,4
HCPCS,20606,HC UNLISTED MOLE PROC (900),2143.0,2143.0,,,0
HCPCS,20610,Drain/inj joint/bursa w/o us,,,223.93,3195.0,4
HCPCS,20610,HC APHERESIS WBC,2356.0,2356.0,,,0
HCPCS,20611,Drain/inj joint/bursa w/us,,,280.75,3195.0,4
HCPCS,20611,HC MCG; SITU HYBRID 10-30 CELLS,2592.0,2592.0,,,0
HCPCS,20612,Aspirate/inj ganglion cyst,,,203.81,3195.0,4
HCPCS,20615,HC APHERESIS RBC,2471.0,2471.0,,,0
HCPCS,20615,Treatment of bone cyst,,,787.01,4497.0,4
HCPCS,20650,Insert and remove bone pin,,,880.41,12821.0,4
HCPCS,20660,Apply rem fixation device,,,1263.04,5664.0,4
HCPCS,20661,Application of head brace,,,2505.0,5248.0,4
HCPCS,20662,Application of pelvis brace,,,2763.99,10940.0,4
HCPCS,20663,Application of thigh brace,,,2562.13,12821.0,4
HCPCS,20664,Application of halo,,,5097.0,5664.0,4
HCPCS,20665,Removal of fixation device,,,464.22,3195.0,4
HCPCS,20670,Removal of support implant,,,762.45,5664.0,4
HCPCS,20680,Removal of support implant,,,2185.43,10940.0,4
HCPCS,20690,Apply bone fixation device,,,3053.81,12821.0,4
HCPCS,20692,Apply bone fixation device,,,5248.0,12821.0,4
HCPCS,20693,Adjust bone fixation device,,,2367.87,12821.0,4
HCPCS,20694,Remove bone fixation device,,,1804.69,5664.0,4
HCPCS,20696,Comp multiplane ext fixation,,,5248.0,12821.0,4
HCPCS,20697,Comp ext fixate strut change,,,4047.0,9858.6,4
HCPCS,20700,Mnl prep&insj dp rx dlvr dev,,,402.49,3195.0,4
HCPCS,20701,Rmvl deep rx delivery device,,,312.0,3195.0,4
HCPCS,20702,Mnl prep&insj imed rx dev,,,701.75,3195.0,4
HCPCS,20703,Rmvl imed rx delivery device,,,516.61,3195.0,4
HCPCS,20704,Mnl prep&insj i-artic rx dev,,,733.8,3195.0,4
HCPCS,20705,Rmvl i-artic rx delivery dev,,,606.94,3195.0,4
HCPCS,20802,Replantation arm complete,,,6979.0,25393.0,4
HCPCS,20805,Replant forearm complete,,,6979.0,25393.0,4
HCPCS,20808,Replantation hand complete,,,6979.0,25393.0,4
HCPCS,20816,Replantation digit complete,,,6979.0,22111.0,4
HCPCS,20822,Replantation digit complete,,,6979.0,10940.0,4
HCPCS,20824,Replantation thumb complete,,,6979.0,22111.0,4
HCPCS,20827,Replantation thumb complete,,,6979.0,22111.0,4
HCPCS,20838,Replantation foot complete,,,6979.0,25393.0,4
HCPCS,20900,Removal of bone for graft,,,899.35,12821.0,4
HCPCS,20902,Removal of bone for graft,,,1364.76,12821.0,4
HCPCS,20910,Remove cartilage for graft,,,2505.0,5248.0,4
HCPCS,20912,Remove cartilage for graft,,,2394.26,12821.0,4
HCPCS,20920,Removal of fascia for graft,,,1965.82,5664.0,4
HCPCS,20922,Removal of fascia for graft,,,2630.17,10940.0,4
HCPCS,20924,Removal of tendon for graft,,,2597.15,12821.0,4
HCPCS,20930,Sp bone algrft morsel add-on,,,2505.0,3195.0,3
HCPCS,20931,Sp bone algrft struct add-on,,,578.67,3195.0,4
HCPCS,20932,Osteoart algrft w/surf & b1,,,2505.0,3712.83,4
HCPCS,20933,Hemicrt intrclry algrft prtl,,,2505.0,3408.92,4
HCPCS,20934,Intercalary algrft compl,,,2505.0,3712.83,4
HCPCS,20936,Sp bone agrft local add-on,,,3195.0,12821.0,3
HCPCS,20937,Sp bone agrft morsel add-on,,,859.31,12821.0,4
HCPCS,20938,Sp bone agrft struct add-on,,,960.49,12821.0,4
HCPCS,20939,Bone marrow aspir bone grfg,,,359.54,3195.0,4
HCPCS,20950,Fluid pressure muscle,,,462.22,4497.0,4
HCPCS,20955,Fibula bone graft microvasc,,,5363.0,14456.0,4
HCPCS,20956,Iliac bone graft microvasc,,,5363.0,22111.0,4
HCPCS,20957,Mt bone graft microvasc,,,5363.0,22111.0,4
HCPCS,20960,Description Not Available,,,6979.0,6979.0,1
HCPCS,20962,Other bone graft microvasc,,,5363.0,14456.0,4
HCPCS,20969,Bone/skin graft microvasc,,,5363.0,14456.0,4
HCPCS,20970,Bone/skin graft iliac crest,,,5363.0,14456.0,4
HCPCS,20971,Description Not Available,,,6979.0,6979.0,1
HCPCS,20972,Bone/skin graft metatarsal,,,5363.0,22111.0,4
HCPCS,20973,Bone/skin graft great toe,,,5363.0,22111.0,4
HCPCS,20974,Electrical bone stimulation,,,282.43,6979.0,4
HCPCS,20975,Electrical bone stimulation,,,964.21,4108.0,4
HCPCS,20979,Us bone stimulation,,,147.8,6979.0,4
HCPCS,20982,Ablate bone tumor(s) perq,,,1819.96,14456.0,4
HCPCS,20982,"HC ANTI-DEPRESS,SEROTO 1-2 (70)",27633.0,27633.0,,,0
HCPCS,20983,Ablate bone tumor(s) perq,,,1696.07,22111.0,4
HCPCS,20983,"HC FINE NEEDLE ASPIRATION BIOPSY, W/FLUORO GUIDANCE, EA ADDL LESION",25284.0,25284.0,,,0
HCPCS,20985,Cptr-asst dir ms px,,,707.9,3195.0,4
HCPCS,20999,HC CYTOGENOMIC NEO MICRORA ALYS (350),5333.0,5333.0,,,0
HCPCS,20999,Musculoskeletal surgery,,,2505.0,3195.0,3
HCPCS,21010,Incision of jaw joint,,,3709.26,10940.0,4
HCPCS,21011,Exc face les sc <2 cm,,,1365.94,4497.0,4
HCPCS,21012,Exc face les sbq 2 cm/>,,,1795.47,4497.0,4
HCPCS,21013,Exc face tum deep < 2 cm,,,2056.2,4497.0,4
HCPCS,21014,Exc face tum deep 2 cm/>,,,2662.93,4497.0,4
HCPCS,21015,Resect face/scalp tum < 2 cm,,,3542.64,5664.0,4
HCPCS,21016,Resect face/scalp tum 2 cm/>,,,4108.0,10940.0,4
HCPCS,21025,Excision of bone lower jaw,,,3371.85,14456.0,4
HCPCS,21026,Excision of facial bone(s),,,2251.1,10940.0,4
HCPCS,21029,Contour of face bone lesion,,,3144.3,10940.0,4
HCPCS,21030,Excise max/zygoma b9 tumor,,,1832.97,10940.0,4
HCPCS,21031,Remove exostosis mandible,,,1373.98,10940.0,4
HCPCS,21032,Remove exostosis maxilla,,,1327.74,10940.0,4
HCPCS,21034,Excise max/zygoma mal tumor,,,5248.0,14456.0,4
HCPCS,21040,Excise mandible lesion,,,1838.09,10940.0,4
HCPCS,21044,Removal of jaw bone lesion,,,4227.06,14456.0,4
HCPCS,21045,Extensive jaw surgery,,,5363.0,14456.0,4
HCPCS,21046,Remove mandible cyst complex,,,4108.0,14456.0,4
HCPCS,21047,Excise lwr jaw cyst w/repair,,,4108.0,14456.0,4
HCPCS,21048,Remove maxilla cyst complex,,,4108.0,14456.0,4
HCPCS,21049,Excis uppr jaw cyst w/repair,,,4108.0,14456.0,4
HCPCS,21050,Removal of jaw joint,,,4360.56,14456.0,4
HCPCS,21060,Remove jaw joint cartilage,,,3940.38,14456.0,4
HCPCS,21070,Remove coronoid process,,,2974.01,14456.0,4
HCPCS,21073,Mnpj of tmj w/anesth,,,1226.67,5664.0,4
HCPCS,21076,Prepare face/oral prosthesis,,,3509.29,6979.0,4
HCPCS,21077,Prepare face/oral prosthesis,,,6979.0,14456.0,4
HCPCS,21079,Prepare face/oral prosthesis,,,5768.65,14456.0,4
HCPCS,21080,Prepare face/oral prosthesis,,,6480.16,14456.0,4
HCPCS,21081,Prepare face/oral prosthesis,,,5939.0,14456.0,4
HCPCS,21082,Prepare face/oral prosthesis,,,5522.0,14456.0,4
HCPCS,21083,Prepare face/oral prosthesis,,,5084.49,14456.0,4
HCPCS,21084,Prepare face/oral prosthesis,,,5871.93,14456.0,4
HCPCS,21085,Prepare face/oral prosthesis,,,2392.53,6979.0,4
HCPCS,21086,Prepare face/oral prosthesis,,,6276.2,14456.0,4
HCPCS,21087,Prepare face/oral prosthesis,,,6276.2,14456.0,4
HCPCS,21088,Prepare face/oral prosthesis,,,6979.0,14456.0,3
HCPCS,21089,Prepare face/oral prosthesis,,,2505.0,6979.0,3
HCPCS,21100,Maxillofacial fixation,,,1801.24,14456.0,4
HCPCS,21110,Interdental fixation,,,3195.0,5664.0,4
HCPCS,21116,Injection jaw joint x-ray,,,217.94,3195.0,4
HCPCS,21120,Reconstruction of chin,,,2650.89,10940.0,4
HCPCS,21121,Reconstruction of chin,,,2658.29,10940.0,4
HCPCS,21122,Reconstruction of chin,,,3833.53,10940.0,4
HCPCS,21123,Reconstruction of chin,,,4259.33,10940.0,4
HCPCS,21125,Augmentation lower jaw bone,,,3326.63,10940.0,4
HCPCS,21127,Augmentation lower jaw bone,,,3822.26,14456.0,4
HCPCS,21137,Reduction of forehead,,,3795.44,10940.0,4
HCPCS,21138,Reduction of forehead,,,4594.69,14456.0,4
HCPCS,21139,Reduction of forehead,,,5461.94,14456.0,4
HCPCS,21141,Lefort i-1 piece w/o graft,,,5363.0,14456.0,4
HCPCS,21142,Lefort i-2 piece w/o graft,,,5363.0,14456.0,4
HCPCS,21143,Lefort i-3/> piece w/o graft,,,5363.0,14456.0,4
HCPCS,21145,Lefort i-1 piece w/ graft,,,5363.0,14456.0,4
HCPCS,21146,Lefort i-2 piece w/ graft,,,5363.0,14456.0,4
HCPCS,21147,Lefort i-3/> piece w/ graft,,,5363.0,14456.0,4
HCPCS,21150,Lefort ii anterior intrusion,,,5363.0,14456.0,4
HCPCS,21151,Lefort ii w/bone grafts,,,5363.0,14456.0,4
HCPCS,21154,Lefort iii w/o lefort i,,,5363.0,14456.0,4
HCPCS,21155,Lefort iii w/ lefort i,,,5363.0,14456.0,4
HCPCS,21159,Lefort iii w/fhdw/o lefort i,,,5363.0,14456.0,4
HCPCS,21160,Lefort iii w/fhd w/ lefort i,,,5363.0,14456.0,4
HCPCS,21172,Reconstruct orbit/forehead,,,6044.0,14456.0,4
HCPCS,21175,Reconstruct orbit/forehead,,,6044.0,14456.0,4
HCPCS,21179,Reconstruct entire forehead,,,6044.0,14456.0,4
HCPCS,21180,Reconstruct entire forehead,,,6044.0,14456.0,4
HCPCS,21181,Contour cranial bone lesion,,,3732.95,10940.0,4
HCPCS,21182,Reconstruct cranial bone,,,5363.0,14456.0,4
HCPCS,21183,Reconstruct cranial bone,,,5363.0,14456.0,4
HCPCS,21184,Reconstruct cranial bone,,,5363.0,14456.0,4
HCPCS,21188,Reconstruction of midface,,,5363.0,14456.0,4
HCPCS,21193,Reconst lwr jaw w/o graft,,,6044.0,14456.0,4
HCPCS,21194,Reconst lwr jaw w/graft,,,5363.0,14456.0,4
HCPCS,21195,Reconst lwr jaw w/o fixation,,,6044.0,14456.0,4
HCPCS,21196,Reconst lwr jaw w/fixation,,,5363.0,14456.0,4
HCPCS,21198,Reconstr lwr jaw segment,,,5007.97,10940.0,4
HCPCS,21199,Reconstr Lwr Jaw W/Advance,,,5037.54,14456.0,4
HCPCS,21206,Reconstruct upper jaw bone,,,4799.74,14456.0,4
HCPCS,21208,Augmentation of facial bones,,,3677.21,14456.0,4
HCPCS,21209,Reduction of facial bones,,,3007.14,14456.0,4
HCPCS,21210,Face bone graft,,,3797.76,14456.0,4
HCPCS,21215,Lower jaw bone graft,,,3950.09,14456.0,4
HCPCS,21230,Rib cartilage graft,,,3661.83,14456.0,4
HCPCS,21235,Ear cartilage graft,,,2768.9,8406.0,4
HCPCS,21240,Reconstruction of jaw joint,,,5198.78,14456.0,4
HCPCS,21242,Reconstruction of jaw joint,,,5078.34,14456.0,4
HCPCS,21243,Reconstruction of jaw joint,,,6044.0,14456.0,4
HCPCS,21244,Reconstruction of lower jaw,,,4926.28,14456.0,4
HCPCS,21245,Reconstruction of jaw,,,4755.01,14456.0,4
HCPCS,21246,Reconstruction of jaw,,,4241.53,14456.0,4
HCPCS,21247,Reconstruct lower jaw bone,,,5363.0,14456.0,4
HCPCS,21248,Reconstruction of jaw,,,3989.75,14456.0,4
HCPCS,21249,Reconstruction of jaw,,,5584.97,14456.0,4
HCPCS,21255,Reconstruct lower jaw bone,,,5363.0,14456.0,4
HCPCS,21256,Reconstruction of orbit,,,6202.43,14456.0,4
HCPCS,21260,Revise eye sockets,,,6914.65,14456.0,4
HCPCS,21261,Revise eye sockets,,,6979.0,14456.0,4
HCPCS,21263,Revise eye sockets,,,6979.0,14456.0,4
HCPCS,21267,Revise eye sockets,,,8095.4,14456.0,4
HCPCS,21268,Revise eye sockets,,,5363.0,14456.0,4
HCPCS,21270,Augmentation cheek bone,,,3755.35,14456.0,4
HCPCS,21275,Revision orbitofacial bones,,,4243.2,14456.0,4
HCPCS,21280,Revision of eyelid,,,2830.26,14456.0,4
HCPCS,21282,Revision of eyelid,,,1988.91,6044.0,4
HCPCS,21295,Revision of jaw muscle/bone,,,994.86,5664.0,4
HCPCS,21296,Revision of jaw muscle/bone,,,2010.39,10940.0,4
HCPCS,21299,Cranio/maxillofacial surgery,,,2505.0,6979.0,3
HCPCS,21315,Closed tx nose fx w/o stablj,,,300.61,5664.0,4
HCPCS,21320,Closed tx nose fx w/ stablj,,,457.1,5664.0,4
HCPCS,21325,Open tx nose fx uncomplicatd,,,2223.58,10940.0,4
HCPCS,21330,Open tx nose fx w/skele fixj,,,2656.02,10940.0,4
HCPCS,21335,Open tx nose & septal fx,,,3548.63,10940.0,4
HCPCS,21336,Open tx septal fx w/wo stabj,,,3157.31,10940.0,4
HCPCS,21337,Closed tx septal&nose fx,,,1529.77,5664.0,4
HCPCS,21338,Open nasoethmoid fx w/o fixj,,,3384.8,10940.0,4
HCPCS,21339,Open nasoethmoid fx w/ fixj,,,3796.46,10940.0,4
HCPCS,21340,Perq tx nasoethmoid fx,,,3654.17,14456.0,4
HCPCS,21343,Open tx dprsd front sinus fx,,,5340.53,14456.0,4
HCPCS,21344,Open tx compl front sinus fx,,,6044.0,14456.0,4
HCPCS,21345,Closed tx nose/jaw fx,,,3128.06,8406.0,4
HCPCS,21346,Opn tx nasomax fx w/fixj,,,4963.35,10940.0,4
HCPCS,21347,Opn tx nasomax fx multple,,,5138.99,14456.0,4
HCPCS,21348,Opn tx nasomax fx w/graft,,,5270.81,14456.0,4
HCPCS,21355,Perq tx malar fracture,,,1613.51,14456.0,4
HCPCS,21356,Opn tx dprsd zygomatic arch,,,2083.18,10940.0,4
HCPCS,21360,Opn tx dprsd malar fracture,,,2575.51,10940.0,4
HCPCS,21365,Opn tx complx malar fx,,,5350.73,14456.0,4
HCPCS,21366,Opn tx complx malar w/grft,,,6044.0,14456.0,4
HCPCS,21385,Opn tx orbit fx transantral,,,3723.29,14456.0,4
HCPCS,21386,Opn tx orbit fx periorbital,,,3499.31,14456.0,4
HCPCS,21387,Opn tx orbit fx combined,,,3880.37,14456.0,4
HCPCS,21390,Opn tx orbit periorbtl implt,,,3886.25,14456.0,4
HCPCS,21395,Opn tx orbit periorbt w/grft,,,5001.17,14456.0,4
HCPCS,21400,Closed tx orbit w/o manipulj,,,930.49,4108.0,4
HCPCS,21401,Closed tx orbit w/manipulj,,,1721.76,5664.0,4
HCPCS,21406,Opn tx orbit fx w/o implant,,,2986.63,14456.0,4
HCPCS,21407,Opn tx orbit fx w/implant,,,3168.1,14456.0,4
HCPCS,21408,Opn tx orbit fx w/bone grft,,,4528.22,14456.0,4
HCPCS,21421,Treat mouth roof fracture,,,2761.62,10940.0,4
HCPCS,21422,Treat mouth roof fracture,,,3234.31,14456.0,4
HCPCS,21423,Treat mouth roof fracture,,,4000.54,14456.0,4
HCPCS,21431,Treat craniofacial fracture,,,3485.28,14456.0,4
HCPCS,21432,Treat craniofacial fracture,,,3691.67,14456.0,4
HCPCS,21433,Treat craniofacial fracture,,,5363.0,14456.0,4
HCPCS,21435,Treat craniofacial fracture,,,5363.0,14456.0,4
HCPCS,21436,Treat craniofacial fracture,,,5363.0,14456.0,4
HCPCS,21440,Treat dental ridge fracture,,,3177.06,10940.0,4
HCPCS,21445,Treat dental ridge fracture,,,3040.32,14456.0,4
HCPCS,21450,Treat lower jaw fracture,,,2441.69,5248.0,4
HCPCS,21451,Treat lower jaw fracture,,,3242.4,5664.0,4
HCPCS,21452,Treat lower jaw fracture,,,2422.21,5664.0,4
HCPCS,21453,Treat lower jaw fracture,,,4748.37,14456.0,4
HCPCS,21454,Treat lower jaw fracture,,,2462.14,10940.0,4
HCPCS,21461,Treat lower jaw fracture,,,5206.49,14456.0,4
HCPCS,21462,Treat lower jaw fracture,,,5952.17,14456.0,4
HCPCS,21465,Treat lower jaw fracture,,,3979.12,14456.0,4
HCPCS,21470,Treat lower jaw fracture,,,5749.98,14456.0,4
HCPCS,21480,Reset dislocated jaw,,,174.29,3195.0,4
HCPCS,21485,Reset dislocated jaw,,,4081.37,5664.0,4
HCPCS,21490,Repair dislocated jaw,,,3922.46,14456.0,4
HCPCS,21497,Interdental wiring,,,2983.23,5664.0,4
HCPCS,21499,Head surgery procedure,,,2505.0,6979.0,3
HCPCS,21501,Drain neck/chest lesion,,,1802.86,10940.0,4
HCPCS,21502,Drain chest lesion,,,2880.38,10940.0,4
HCPCS,21510,Drainage of bone lesion,,,2584.95,14456.0,4
HCPCS,21550,Biopsy of neck/chest,,,786.79,5664.0,4
HCPCS,21552,Exc neck les sc 3 cm/>,,,2412.12,10940.0,4
HCPCS,21554,Exc neck tum deep 5 cm/>,,,3833.16,10940.0,4
HCPCS,21555,Exc neck les sc < 3 cm,,,1646.64,5664.0,4
HCPCS,21556,Exc neck tum deep < 5 cm,,,2739.71,10940.0,4
HCPCS,21557,Resect neck thorax tumor<5cm,,,4108.0,5664.0,4
HCPCS,21558,Resect neck tumor 5 cm/>,,,5248.0,10940.0,4
HCPCS,21600,Partial removal of rib,,,3150.89,12821.0,4
HCPCS,21601,Exc chest wall tumor w/ribs,,,6044.0,10940.0,4
HCPCS,21602,Exc ch wal tum w/o lymphadec,,,6044.0,22111.0,4
HCPCS,21603,Exc ch wal tum w/lymphadec,,,6044.0,22111.0,4
HCPCS,21610,Partial removal of rib,,,4108.0,12821.0,4
HCPCS,21615,Removal of rib,,,3336.13,22111.0,4
HCPCS,21616,Removal of rib and nerves,,,3845.3,22111.0,4
HCPCS,21620,Partial removal of sternum,,,2806.95,14456.0,4
HCPCS,21627,Sternal debridement,,,3089.43,22111.0,4
HCPCS,21630,Extensive sternum surgery,,,6044.0,22111.0,4
HCPCS,21632,Extensive sternum surgery,,,6979.0,6979.0,1
HCPCS,21685,Hyoid myotomy & suspension,,,4108.0,10940.0,4
HCPCS,21700,Revision of neck muscle,,,1917.95,10940.0,4
HCPCS,21705,Revision of neck muscle/rib,,,2871.21,22111.0,4
HCPCS,21720,Revision of neck muscle,,,3243.1,10940.0,4
HCPCS,21725,Revision of neck muscle,,,2860.1,5248.0,4
HCPCS,21740,Reconstruction of sternum,,,5363.0,22111.0,4
HCPCS,21742,Repair stern/nuss w/o scope,,,6979.0,14456.0,3
HCPCS,21743,Repair sternum/nuss w/scope,,,6979.0,14456.0,3
HCPCS,21750,Repair of sternum separation,,,3765.44,22111.0,4
HCPCS,21811,Optx of rib fx w/fixj scope,,,3149.97,10940.0,4
HCPCS,21812,Treatment of rib fracture,,,3783.78,10940.0,4
HCPCS,21813,Treatment of rib fracture,,,5188.36,10940.0,4
HCPCS,21820,Treat sternum fracture,,,911.01,3195.0,4
HCPCS,21825,Treat sternum fracture,,,3152.83,22111.0,4
HCPCS,21899,Neck/chest surgery procedure,,,2505.0,6979.0,3
HCPCS,21920,Biopsy soft tissue of back,,,779.94,4497.0,4
HCPCS,21925,Biopsy soft tissue of back,,,2060.19,10940.0,4
HCPCS,21930,Exc back les sc < 3 cm,,,1956.32,5664.0,4
HCPCS,21931,Exc back les sc 3 cm/>,,,2556.73,10940.0,4
HCPCS,21932,Exc back tum deep < 5 cm,,,3533.52,5664.0,4
HCPCS,21933,Exc back tum deep 5 cm/>,,,3957.75,10940.0,4
HCPCS,21935,Resect back tum < 5 cm,,,5097.0,5664.0,4
HCPCS,21936,Resect back tum 5 cm/>,,,5248.0,10940.0,4
HCPCS,22010,I&d p-spine c/t/cerv-thor,,,5397.35,22111.0,4
HCPCS,22015,I&d abscess p-spine l/s/ls,,,5210.11,22111.0,4
HCPCS,22100,Remove part of neck vertebra,,,5248.0,22111.0,4
HCPCS,22101,Remove part thorax vertebra,,,4900.16,22111.0,4
HCPCS,22102,Remove part lumbar vertebra,,,3879.94,22111.0,4
HCPCS,22103,Remove extra spine segment,,,665.27,5248.0,4
HCPCS,22110,Remove part of neck vertebra,,,5798.92,22111.0,4
HCPCS,22112,Remove part thorax vertebra,,,6044.0,22111.0,4
HCPCS,22114,Remove part lumbar vertebra,,,6044.0,22111.0,4
HCPCS,22116,Remove extra spine segment,,,742.44,3195.0,4
HCPCS,22206,Incis spine 3 column thorac,,,6044.0,22111.0,4
HCPCS,22207,Incis spine 3 column lumbar,,,6044.0,22111.0,4
HCPCS,22208,Incis spine 3 column adl seg,,,2505.0,3195.0,4
HCPCS,22210,Incis 1 vertebral seg cerv,,,6044.0,22111.0,4
HCPCS,22212,Incis 1 vertebral seg thorac,,,6044.0,22111.0,4
HCPCS,22214,Incis 1 vertebral seg lumbar,,,6044.0,22111.0,4
HCPCS,22216,Incis addl spine segment,,,1875.22,3195.0,4
HCPCS,22220,Incis w/discectomy cervical,,,6044.0,22111.0,4
HCPCS,22222,Incis w/discectomy thoracic,,,6044.0,22111.0,4
HCPCS,22224,Incis w/discectomy lumbar,,,6044.0,22111.0,4
HCPCS,22226,Revise extra spine segment,,,1869.07,3195.0,4
HCPCS,22310,Closed tx vert fx w/o manj,,,1608.71,3195.0,4
HCPCS,22315,Closed tx vert fx w/manj,,,4108.0,5664.0,4
HCPCS,22318,Treat odontoid fx w/o graft,,,6979.0,22111.0,4
HCPCS,22319,Treat odontoid fx w/graft,,,6979.0,22111.0,4
HCPCS,22325,Treat spine fracture,,,6979.0,22111.0,4
HCPCS,22326,Treat neck spine fracture,,,6979.0,22111.0,4
HCPCS,22327,Treat thorax spine fracture,,,6979.0,22111.0,4
HCPCS,22328,Treat each add spine fx,,,1491.99,3195.0,4
HCPCS,22505,Manipulation of spine,,,883.92,5664.0,4
HCPCS,22510,Perq cervicothoracic inject,,,2151.71,12821.0,4
HCPCS,22511,Perq lumbosacral injection,,,2026.47,12821.0,4
HCPCS,22512,Vertebroplasty addl inject,,,1037.49,3195.0,4
HCPCS,22513,Perq vertebral augmentation,,,2561.48,22111.0,4
HCPCS,22514,Perq vertebral augmentation,,,2391.94,22111.0,4
HCPCS,22515,Perq vertebral augmentation,,,1084.06,3195.0,4
HCPCS,22526,Idet single level,,,5248.0,12821.0,3
HCPCS,22527,Idet 1 or more levels,,,5248.0,12821.0,3
HCPCS,22532,Lat thorax spine fusion,,,6979.0,25393.0,4
HCPCS,22533,Lat lumbar spine fusion,,,6979.0,25393.0,4
HCPCS,22534,Lat thor/lumb addl seg,,,1904.19,3195.0,4
HCPCS,22548,Neck spine fusion,,,6979.0,25393.0,4
HCPCS,22551,Neck spine fuse&remov bel c2,,,6979.0,22111.0,4
HCPCS,22552,Addl neck spine fusion,,,2078.54,14456.0,4
HCPCS,22554,Neck spine fusion,,,6979.0,22111.0,4
HCPCS,22556,Thorax spine fusion,,,6979.0,25393.0,4
HCPCS,22558,Lumbar spine fusion,,,6979.0,25393.0,4
HCPCS,22585,Additional spinal fusion,,,1684.9,22111.0,3
HCPCS,22586,Prescrl fuse w/ instr l5-s1,,,6979.0,25393.0,4
HCPCS,22590,Spine & skull spinal fusion,,,6979.0,25393.0,4
HCPCS,22595,Neck spinal fusion,,,6979.0,25393.0,4
HCPCS,22600,Neck spine fusion,,,6979.0,25393.0,4
HCPCS,22610,Thorax spine fusion,,,6979.0,25393.0,4
HCPCS,22612,Lumbar spine fusion,,,6979.0,22111.0,4
HCPCS,22614,Spine fusion extra segment,,,2057.06,3195.0,4
HCPCS,22630,Lumbar spine fusion,,,6979.0,25393.0,4
HCPCS,22632,Spine fusion extra segment,,,1700.33,3195.0,4
HCPCS,22633,Lumbar spine fusion combined,,,6979.0,34630.0,4
HCPCS,22634,Spine fusion extra segment,,,2505.0,3195.0,4
HCPCS,22800,Post fusion <=6 vert seg,,,6979.0,25393.0,4
HCPCS,22802,Post fusion 7-12 vert seg,,,6979.0,25393.0,4
HCPCS,22804,Post fusion 13/> vert seg,,,6979.0,25393.0,4
HCPCS,22808,Ant fusion 2-3 vert seg,,,6979.0,25393.0,4
HCPCS,22810,Ant fusion 4-7 vert seg,,,6979.0,25393.0,4
HCPCS,22812,Ant fusion 8/> vert seg,,,6979.0,25393.0,4
HCPCS,22818,Kyphectomy 1-2 segments,,,6979.0,25393.0,4
HCPCS,22819,Kyphectomy 3 or more,,,6979.0,25393.0,4
HCPCS,22830,Exploration of spinal fusion,,,4499.56,22111.0,4
HCPCS,22836,Ant thrc vrt body tethrg <7,,,5097.0,10235.56,4
HCPCS,22837,Ant thrc vrt body tethrg 8+,,,5097.0,9211.94,4
HCPCS,22838,Rev rplc/rmv thrc vrt tethrg,,,5097.0,9335.46,4
HCPCS,22840,Insert spine fixation device,,,2505.0,3915.28,4
HCPCS,22841,Insert spine fixation device,,,2505.0,3195.0,3
HCPCS,22842,Insert spine fixation device,,,2505.0,4000.54,4
HCPCS,22843,Insert spine fixation device,,,2505.0,4286.69,4
HCPCS,22844,Insert spine fixation device,,,2505.0,5121.34,4
HCPCS,22845,Insert spine fixation device,,,3195.0,22111.0,4
HCPCS,22846,Insert spine fixation device,,,3195.0,22111.0,4
HCPCS,22847,Insert spine fixation device,,,3195.0,22111.0,4
HCPCS,22848,Insert pelv fixation device,,,1856.44,3195.0,4
HCPCS,22849,Reinsert spinal fixation,,,6979.0,25393.0,4
HCPCS,22850,Remove spine fixation device,,,4070.2,22111.0,4
HCPCS,22852,Remove spine fixation device,,,3923.54,22111.0,4
HCPCS,22853,Insj biomechanical device,,,1344.2,3195.0,4
HCPCS,22854,Insj biomechanical device,,,1774.64,3195.0,4
HCPCS,22855,Remove spine fixation device,,,6026.25,22111.0,4
HCPCS,22856,Cerv artific diskectomy,,,6979.0,22111.0,4
HCPCS,22857,Lumbar Artif Diskectomy,,,6979.0,25393.0,4
HCPCS,22858,Second level cer diskectomy,,,2505.0,3195.0,4
HCPCS,22859,Insj biomechanical device,,,1770.91,3195.0,4
HCPCS,22860,Tot disc arthrp 2ntrspc lmbr,,,1995.28,5664.0,4
HCPCS,22861,Revise cerv artific disc,,,6979.0,25393.0,4
HCPCS,22862,Revise Lumbar Artif Disc,,,6979.0,25393.0,4
HCPCS,22864,Remove cerv artif disc,,,6979.0,22111.0,4
HCPCS,22865,Remove Lumb Artif Disc,,,6979.0,22111.0,4
HCPCS,22867,Insj stablj dev w/dcmprn,,,5763.63,22111.0,4
HCPCS,22868,Insj stablj dev w/dcmprn,,,1259.1,3195.0,4
HCPCS,22869,Insj stablj dev w/o dcmprn,,,2157.7,22111.0,4
HCPCS,22870,Insj stablj dev w/o dcmprn,,,559.13,3195.0,4
HCPCS,22899,Spine surgery procedure,,,2505.0,3195.0,3
HCPCS,22900,Exc abdl tum deep < 5 cm,,,3083.54,10940.0,4
HCPCS,22901,Exc abdl tum deep 5 cm/>,,,3631.62,10940.0,4
HCPCS,22902,Exc abd les sc < 3 cm,,,1848.89,5664.0,4
HCPCS,22903,Exc abd les sc 3 cm/>,,,2415.52,10940.0,4
HCPCS,22904,Radical resect abd tumor<5cm,,,4108.0,5664.0,4
HCPCS,22905,Rad resect abd tumor 5 cm/>,,,5248.0,10940.0,4
HCPCS,22999,Abdomen surgery procedure,,,2505.0,3195.0,3
HCPCS,23000,Removal of calcium deposits,,,1837.01,5664.0,4
HCPCS,23020,Release shoulder joint,,,3617.15,12821.0,4
HCPCS,23030,Drain shoulder lesion,,,1353.59,10940.0,4
HCPCS,23031,Drain shoulder bursa,,,1190.84,10940.0,4
HCPCS,23035,Drain shoulder bone lesion,,,3525.96,10940.0,4
HCPCS,23040,Exploratory shoulder surgery,,,3740.51,12821.0,4
HCPCS,23044,Exploratory shoulder surgery,,,3021.98,12821.0,4
HCPCS,23065,Biopsy shoulder tissues,,,808.64,4497.0,4
HCPCS,23066,Biopsy shoulder tissues,,,2014.06,10940.0,4
HCPCS,23071,Exc shoulder les sc 3 cm/>,,,2281.11,10940.0,4
HCPCS,23073,Exc shoulder tum deep 5 cm/>,,,3699.93,10940.0,4
HCPCS,23075,Exc shoulder les sc < 3 cm,,,1780.73,5664.0,4
HCPCS,23076,Exc shoulder tum deep < 5 cm,,,2917.89,5664.0,4
HCPCS,23077,Resect shoulder tumor < 5 cm,,,5097.0,5948.06,4
HCPCS,23078,Resect shoulder tumor 5 cm/>,,,5248.0,10940.0,4
HCPCS,23100,Biopsy of shoulder joint,,,2709.71,10940.0,4
HCPCS,23101,Shoulder joint surgery,,,2450.7,12821.0,4
HCPCS,23105,Remove shoulder joint lining,,,3357.23,12821.0,4
HCPCS,23106,Incision of collarbone joint,,,2690.93,12821.0,4
HCPCS,23107,Explore treat shoulder joint,,,3476.7,12821.0,4
HCPCS,23120,Partial removal collar bone,,,3116.68,12821.0,4
HCPCS,23125,Removal of collar bone,,,3722.92,12821.0,4
HCPCS,23130,Remove shoulder bone part,,,3264.85,14456.0,4
HCPCS,23140,Removal of bone lesion,,,2941.25,10940.0,4
HCPCS,23145,Removal of bone lesion,,,3654.12,12821.0,4
HCPCS,23146,Removal of bone lesion,,,3303.7,12821.0,4
HCPCS,23150,Removal of humerus lesion,,,3514.68,12821.0,4
HCPCS,23155,Removal of humerus lesion,,,4167.06,12821.0,4
HCPCS,23156,Removal of humerus lesion,,,3572.8,12821.0,4
HCPCS,23170,Remove collar bone lesion,,,2991.22,12821.0,4
HCPCS,23172,Remove shoulder blade lesion,,,3019.82,12821.0,4
HCPCS,23174,Remove humerus lesion,,,4022.72,12821.0,4
HCPCS,23180,Remove collar bone lesion,,,3631.72,12821.0,4
HCPCS,23182,Remove shoulder blade lesion,,,3548.46,12821.0,4
HCPCS,23184,Remove humerus lesion,,,3870.12,12821.0,4
HCPCS,23190,Partial removal of scapula,,,3038.76,12821.0,4
HCPCS,23195,Removal of head of humerus,,,3953.43,12821.0,4
HCPCS,23200,Resect clavicle tumor,,,6044.0,22111.0,4
HCPCS,23210,Resect scapula tumor,,,6044.0,22111.0,4
HCPCS,23220,Resect prox humerus tumor,,,6044.0,22111.0,4
HCPCS,23330,Remove shoulder foreign body,,,912.14,4497.0,4
HCPCS,23333,Remove shoulder fb deep,,,2540.49,4497.0,4
HCPCS,23334,Shoulder prosthesis removal,,,5248.0,10940.0,4
HCPCS,23335,Shoulder prosthesis removal,,,5248.0,10940.0,4
HCPCS,23350,"HC SELECTIVE CATHETER, SECOND ORDER FAMILY",750.0,750.0,,,0
HCPCS,23350,Injection for shoulder x-ray,,,233.75,3195.0,4
HCPCS,23395,Muscle transfer shoulder/arm,,,6044.0,14456.0,4
HCPCS,23397,Muscle transfers,,,5851.91,14456.0,4
HCPCS,23400,Fixation of shoulder blade,,,5028.75,12821.0,4
HCPCS,23405,Incision of tendon & muscle,,,3183.42,12821.0,4
HCPCS,23406,Incise tendon(s) & muscle(s),,,3708.02,12821.0,4
HCPCS,23410,Repair rotator cuff acute,,,4260.57,14456.0,4
HCPCS,23412,Repair rotator cuff chronic,,,4413.33,14456.0,4
HCPCS,23415,Release of shoulder ligament,,,3649.8,14456.0,4
HCPCS,23420,Repair of shoulder,,,5054.0,14456.0,4
HCPCS,23430,Repair biceps tendon,,,3867.31,14456.0,4
HCPCS,23440,Remove/transplant tendon,,,3914.47,12821.0,4
HCPCS,23450,Repair shoulder capsule,,,4883.97,22111.0,4
HCPCS,23455,Repair shoulder capsule,,,4924.39,22111.0,4
HCPCS,23460,Repair shoulder capsule,,,5607.79,22111.0,4
HCPCS,23462,Repair shoulder capsule,,,5484.49,14456.0,4
HCPCS,23465,Repair shoulder capsule,,,5745.44,14456.0,4
HCPCS,23466,Repair shoulder capsule,,,5769.67,14456.0,4
HCPCS,23470,Reconstruct shoulder joint,,,6044.0,25393.0,4
HCPCS,23472,Reconstruct shoulder joint,,,6044.0,25393.0,4
HCPCS,23473,Revis reconst shoulder joint,,,6044.0,14456.0,4
HCPCS,23474,Revis reconst shoulder joint,,,6044.0,22111.0,4
HCPCS,23480,Revision of collar bone,,,4266.35,14456.0,4
HCPCS,23485,Revision of collar bone,,,4874.96,22111.0,4
HCPCS,23490,Reinforce clavicle,,,4473.55,22111.0,4
HCPCS,23491,Reinforce shoulder bones,,,5246.69,22111.0,4
HCPCS,23500,Treat clavicle fracture,,,1326.12,3195.0,4
HCPCS,23505,Treat clavicle fracture,,,1891.03,4497.0,4
HCPCS,23515,Treat clavicle fracture,,,3769.05,22111.0,4
HCPCS,23520,Treat clavicle dislocation,,,1335.62,5664.0,4
HCPCS,23525,Treat clavicle dislocation,,,2000.84,3195.0,4
HCPCS,23530,Treat clavicle dislocation,,,3042.26,22111.0,4
HCPCS,23532,Treat clavicle dislocation,,,3311.8,10940.0,4
HCPCS,23540,Treat clavicle dislocation,,,1391.52,3195.0,4
HCPCS,23545,Treat clavicle dislocation,,,2306.9,3195.0,4
HCPCS,23550,Treat clavicle dislocation,,,2992.19,22111.0,4
HCPCS,23552,Treat clavicle dislocation,,,3393.11,22111.0,4
HCPCS,23570,Treat shoulder blade fx,,,1368.91,3195.0,4
HCPCS,23575,Treat shoulder blade fx,,,2075.03,3195.0,4
HCPCS,23585,Treat scapula fracture,,,5007.38,22111.0,4
HCPCS,23600,Treat humerus fracture,,,1796.06,3195.0,4
HCPCS,23605,Treat humerus fracture,,,2419.94,10940.0,4
HCPCS,23615,Treat humerus fracture,,,4589.51,22111.0,4
HCPCS,23616,Treat humerus fracture,,,5363.0,22111.0,4
HCPCS,23620,Treat humerus fracture,,,1469.87,3195.0,4
HCPCS,23625,Treat humerus fracture,,,2065.48,5664.0,4
HCPCS,23630,Treat humerus fracture,,,4076.95,22111.0,4
HCPCS,23650,Treat shoulder dislocation,,,2005.15,3195.0,4
HCPCS,23655,Treat shoulder dislocation,,,2297.99,5664.0,4
HCPCS,23660,Treat shoulder dislocation,,,3048.09,22111.0,4
HCPCS,23665,Treat dislocation/fracture,,,2283.21,4497.0,4
HCPCS,23670,Treat dislocation/fracture,,,4561.29,22111.0,4
HCPCS,23675,Treat dislocation/fracture,,,2505.0,4108.0,4
HCPCS,23680,Treat dislocation/fracture,,,4833.41,22111.0,4
HCPCS,23700,Fixation of shoulder,,,1021.03,5664.0,4
HCPCS,23800,Fusion of shoulder joint,,,5297.58,22111.0,4
HCPCS,23802,Fusion of shoulder joint,,,6619.49,22111.0,4
HCPCS,23900,Amputation of arm & girdle,,,6979.0,22111.0,4
HCPCS,23920,Amputation at shoulder joint,,,5792.88,22111.0,4
HCPCS,23921,Amputation follow-up surgery,,,2531.7,5664.0,4
HCPCS,23929,Shoulder surgery procedure,,,2505.0,3195.0,3
HCPCS,23930,Drainage of arm lesion,,,1141.2,10940.0,4
HCPCS,23931,Drainage of arm bursa,,,867.14,5664.0,4
HCPCS,23935,Drain arm/elbow bone lesion,,,2732.7,10940.0,4
HCPCS,24000,Exploratory elbow surgery,,,2546.8,12821.0,4
HCPCS,24006,Release elbow joint,,,3692.7,12821.0,4
HCPCS,24065,Biopsy arm/elbow soft tissue,,,810.86,5664.0,4
HCPCS,24066,Biopsy arm/elbow soft tissue,,,2304.85,5664.0,4
HCPCS,24071,Exc arm/elbow les sc 3 cm/>,,,2194.34,10940.0,4
HCPCS,24073,Ex arm/elbow tum deep 5 cm/>,,,3670.36,10940.0,4
HCPCS,24075,Exc arm/elbow les sc < 3 cm,,,1775.55,5664.0,4
HCPCS,24076,Ex arm/elbow tum deep < 5 cm,,,2898.95,5664.0,4
HCPCS,24077,Resect arm/elbow tum < 5 cm,,,5097.0,5664.0,4
HCPCS,24079,Resect arm/elbow tum 5 cm/>,,,5248.0,10940.0,4
HCPCS,24100,Biopsy elbow joint lining,,,2265.67,10940.0,4
HCPCS,24101,Explore/treat elbow joint,,,2661.68,12821.0,4
HCPCS,24102,Remove elbow joint lining,,,3209.54,12821.0,4
HCPCS,24105,Removal of elbow bursa,,,1950.28,10940.0,4
HCPCS,24110,Remove humerus lesion,,,3133.89,10940.0,4
HCPCS,24115,Remove/graft bone lesion,,,3860.57,12821.0,4
HCPCS,24116,Remove/graft bone lesion,,,4461.2,12821.0,4
HCPCS,24120,Remove elbow lesion,,,2802.09,10940.0,4
HCPCS,24125,Remove/graft bone lesion,,,3296.52,12821.0,4
HCPCS,24126,Remove/graft bone lesion,,,3427.97,12821.0,4
HCPCS,24130,Removal of head of radius,,,2674.42,12821.0,4
HCPCS,24134,Removal of arm bone lesion,,,3914.91,12821.0,4
HCPCS,24136,Remove radius bone lesion,,,3334.46,12821.0,4
HCPCS,24138,Remove elbow bone lesion,,,3649.1,12821.0,4
HCPCS,24140,Partial removal of arm bone,,,3646.13,12821.0,4
HCPCS,24145,Partial removal of radius,,,3141.55,12821.0,4
HCPCS,24147,Partial removal of elbow,,,3288.7,12821.0,4
HCPCS,24149,Radical resection of elbow,,,5363.0,12821.0,4
HCPCS,24150,Resect distal humerus tumor,,,5248.0,14456.0,4
HCPCS,24152,Resect radius tumor,,,5248.0,14456.0,4
HCPCS,24155,Removal of elbow joint,,,4422.78,12821.0,4
HCPCS,24160,Remove elbow joint implant,,,4108.0,12821.0,4
HCPCS,24164,Remove radius head implant,,,3802.51,12821.0,4
HCPCS,24200,Removal of arm foreign body,,,788.63,6979.0,4
HCPCS,24201,Removal of arm foreign body,,,2158.45,5664.0,4
HCPCS,24220,"HC SELECTIVE CATH ARTERY, BRACH-CEPH, FIRST ORDER",4985.0,4985.0,,,0
HCPCS,24220,Injection for elbow x-ray,,,312.43,3195.0,4
HCPCS,24300,Manipulate elbow w/anesth,,,2408.13,5664.0,4
HCPCS,24301,Muscle/tendon transfer,,,3903.14,12821.0,4
HCPCS,24305,Arm tendon lengthening,,,2987.5,12821.0,4
HCPCS,24310,Revision of arm tendon,,,2441.96,10940.0,4
HCPCS,24320,Repair of arm tendon,,,4068.85,12821.0,4
HCPCS,24330,Revision of arm muscles,,,3769.38,22111.0,4
HCPCS,24331,Revision of arm muscles,,,4095.67,14456.0,4
HCPCS,24332,Tenolysis triceps,,,3265.66,12821.0,4
HCPCS,24340,Repair of biceps tendon,,,3232.31,14456.0,4
HCPCS,24341,Repair arm tendon/muscle,,,3906.54,14456.0,4
HCPCS,24342,Repair of ruptured tendon,,,3986.13,14456.0,4
HCPCS,24343,Repr elbow lat ligmnt w/tiss,,,3737.11,12821.0,4
HCPCS,24344,Reconstruct elbow lat ligmnt,,,5744.64,14456.0,4
HCPCS,24345,Repr elbw med ligmnt w/tissu,,,3730.74,12821.0,4
HCPCS,24346,Reconstruct elbow med ligmnt,,,5363.0,14456.0,4
HCPCS,24357,Repair elbow perc,,,2086.36,10940.0,4
HCPCS,24358,Repair elbow w/deb open,,,2756.98,12821.0,4
HCPCS,24359,Repair elbow deb/attch open,,,3423.38,12821.0,4
HCPCS,24360,Reconstruct elbow joint,,,4677.52,14456.0,4
HCPCS,24361,Reconstruct elbow joint,,,5207.46,25393.0,4
HCPCS,24362,Reconstruct elbow joint,,,5466.63,14456.0,4
HCPCS,24363,Replace elbow joint,,,7306.4,25393.0,4
HCPCS,24365,Reconstruct head of radius,,,3365.92,14456.0,4
HCPCS,24366,Reconstruct head of radius,,,3531.95,25393.0,4
HCPCS,24370,Revise reconst elbow joint,,,6044.0,25393.0,4
HCPCS,24371,Revise reconst elbow joint,,,8406.0,25393.0,4
HCPCS,24400,Revision of humerus,,,4315.72,14456.0,4
HCPCS,24410,Revision of humerus,,,5363.0,14456.0,4
HCPCS,24420,Revision of humerus,,,5248.0,14456.0,4
HCPCS,24430,Repair of humerus,,,5248.0,22111.0,4
HCPCS,24435,Repair humerus with graft,,,5363.0,22111.0,4
HCPCS,24470,Revision of elbow joint,,,3545.87,14456.0,4
HCPCS,24495,Decompression of forearm,,,4108.0,12821.0,4
HCPCS,24498,Reinforce humerus,,,4482.03,22111.0,4
HCPCS,24500,Treat humerus fracture,,,1894.16,3195.0,4
HCPCS,24505,Treat humerus fracture,,,2505.0,3195.0,4
HCPCS,24515,Treat humerus fracture,,,4579.32,22111.0,4
HCPCS,24516,Treat humerus fracture,,,4455.32,22111.0,4
HCPCS,24530,Treat humerus fracture,,,1956.43,3195.0,4
HCPCS,24535,Treat humerus fracture,,,2505.0,3195.0,4
HCPCS,24538,Treat humerus fracture,,,4108.0,10940.0,4
HCPCS,24545,Treat humerus fracture,,,4803.36,22111.0,4
HCPCS,24546,Treat humerus fracture,,,5330.28,22111.0,4
HCPCS,24560,Treat humerus fracture,,,1734.87,3195.0,4
HCPCS,24565,Treat humerus fracture,,,2505.0,4108.0,4
HCPCS,24566,Treat humerus fracture,,,3818.53,10940.0,4
HCPCS,24575,Treat humerus fracture,,,3850.21,22111.0,4
HCPCS,24576,Treat humerus fracture,,,1828.7,3195.0,4
HCPCS,24577,Treat humerus fracture,,,2505.0,3195.0,4
HCPCS,24579,Treat humerus fracture,,,4340.11,22111.0,4
HCPCS,24582,Treat humerus fracture,,,4108.0,10940.0,4
HCPCS,24586,Treat elbow fracture,,,5363.0,22111.0,4
HCPCS,24587,Treat elbow fracture,,,5599.75,22111.0,4
HCPCS,24600,Treat elbow dislocation,,,2208.85,3195.0,4
HCPCS,24605,Treat elbow dislocation,,,2634.44,5664.0,4
HCPCS,24615,Treat elbow dislocation,,,3697.99,22111.0,4
HCPCS,24620,Treat elbow fracture,,,3131.84,5664.0,4
HCPCS,24635,Treat elbow fracture,,,3540.86,22111.0,4
HCPCS,24640,Treat elbow dislocation,,,385.27,6979.0,4
HCPCS,24650,Treat radius fracture,,,1395.84,3195.0,4
HCPCS,24655,Treat radius fracture,,,2416.76,3195.0,4
HCPCS,24665,Treat radius fracture,,,3436.28,22111.0,4
HCPCS,24666,Treat radius fracture,,,3802.35,22111.0,4
HCPCS,24670,Treat ulnar fracture,,,1526.53,3195.0,4
HCPCS,24675,Treat ulnar fracture,,,2322.33,3195.0,4
HCPCS,24685,Treat ulnar fracture,,,3439.3,22111.0,4
HCPCS,24800,Fusion of elbow joint,,,4350.26,14456.0,4
HCPCS,24802,Fusion/graft of elbow joint,,,5184.1,22111.0,4
HCPCS,24900,Amputation of upper arm,,,4001.57,22111.0,4
HCPCS,24920,Amputation of upper arm,,,3829.6,22111.0,4
HCPCS,24925,Amputation follow-up surgery,,,3018.04,10940.0,4
HCPCS,24930,Amputation follow-up surgery,,,4030.7,22111.0,4
HCPCS,24931,Amputate upper arm & implant,,,4804.38,22111.0,4
HCPCS,24935,Revision of amputation,,,6330.21,22111.0,4
HCPCS,24940,Revision of upper arm,,,5363.0,22111.0,3
HCPCS,24999,Upper arm/elbow surgery,,,2505.0,3195.0,3
HCPCS,25000,Incision of tendon sheath,,,1848.24,10940.0,4
HCPCS,25001,Incise flexor carpi radialis,,,1858.27,10940.0,4
HCPCS,25020,Decompress forearm 1 space,,,3882.69,12821.0,4
HCPCS,25023,Decompress forearm 1 space,,,5248.0,12821.0,4
HCPCS,25024,Decompress forearm 2 spaces,,,4048.62,12821.0,4
HCPCS,25025,Decompress forearm 2 spaces,,,5248.0,10940.0,4
HCPCS,25028,Drainage of forearm lesion,,,3195.0,10940.0,4
HCPCS,25031,Drainage of forearm bursa,,,1998.73,10940.0,4
HCPCS,25035,Treat forearm bone lesion,,,3122.61,10940.0,4
HCPCS,25040,Explore/treat wrist joint,,,2907.8,12821.0,4
HCPCS,25065,Biopsy forearm soft tissues,,,796.34,4497.0,4
HCPCS,25066,Biopsy forearm soft tissues,,,1962.63,10940.0,4
HCPCS,25071,Exc forearm les sc 3 cm/>,,,2258.44,10940.0,4
HCPCS,25073,Exc forearm tum deep 3 cm/>,,,2820.76,10940.0,4
HCPCS,25075,Exc forearm les sc < 3 cm,,,1692.19,5664.0,4
HCPCS,25076,Exc forearm tum deep < 3 cm,,,2713.11,5664.0,4
HCPCS,25077,Resect forearm/wrist tum<3cm,,,4716.37,5664.0,4
HCPCS,25078,Resect forarm/wrist tum 3cm>,,,5248.0,10940.0,4
HCPCS,25085,Incision of wrist capsule,,,2346.67,10940.0,4
HCPCS,25100,Biopsy of wrist joint,,,1904.09,10940.0,4
HCPCS,25101,Explore/treat wrist joint,,,2150.85,12821.0,4
HCPCS,25105,Remove wrist joint lining,,,2553.93,12821.0,4
HCPCS,25107,Remove wrist joint cartilage,,,3235.01,12821.0,4
HCPCS,25109,Excise tendon forearm/wrist,,,2791.24,10940.0,4
HCPCS,25110,Remove wrist tendon lesion,,,1850.13,10940.0,4
HCPCS,25111,Remove wrist tendon lesion,,,1748.14,10940.0,4
HCPCS,25112,Reremove wrist tendon lesion,,,2068.12,10940.0,4
HCPCS,25115,Remove wrist/forearm lesion,,,3892.03,10940.0,4
HCPCS,25116,Remove wrist/forearm lesion,,,3143.82,10940.0,4
HCPCS,25118,Excise wrist tendon sheath,,,2025.06,10940.0,4
HCPCS,25119,Partial removal of ulna,,,2686.56,12821.0,4
HCPCS,25120,Removal of forearm lesion,,,2618.62,12821.0,4
HCPCS,25125,Remove/graft forearm lesion,,,3160.71,10940.0,4
HCPCS,25126,Remove/graft forearm lesion,,,3182.18,12821.0,4
HCPCS,25130,Removal of wrist lesion,,,2364.2,12821.0,4
HCPCS,25135,Remove & graft wrist lesion,,,2990.89,12821.0,4
HCPCS,25136,Remove & graft wrist lesion,,,2666.87,12821.0,4
HCPCS,25145,Remove forearm bone lesion,,,2774.08,12821.0,4
HCPCS,25150,Partial removal of ulna,,,2957.6,12821.0,4
HCPCS,25151,Partial removal of radius,,,3017.77,12821.0,4
HCPCS,25170,Resect radius/ulnar tumor,,,5248.0,12821.0,4
HCPCS,25210,Removal of wrist bone,,,2571.19,12821.0,4
HCPCS,25215,Removal of wrist bones,,,3192.65,12821.0,4
HCPCS,25230,Partial removal of radius,,,2275.22,12821.0,4
HCPCS,25240,Partial removal of ulna,,,2258.23,12821.0,4
HCPCS,25246,HC INSERT CATHETER ABD/L-EXT ART 2ND,5045.0,5045.0,,,0
HCPCS,25246,Injection for wrist x-ray,,,342.0,3195.0,4
HCPCS,25248,Remove forearm foreign body,,,2257.04,10940.0,4
HCPCS,25250,Removal of wrist prosthesis,,,2840.35,5664.0,4
HCPCS,25251,Removal of wrist prosthesis,,,3195.0,12821.0,4
HCPCS,25259,Manipulate wrist w/anesthes,,,2364.53,5664.0,4
HCPCS,25260,Repair forearm tendon/muscle,,,3302.14,12821.0,4
HCPCS,25263,Repair forearm tendon/muscle,,,3362.68,12821.0,4
HCPCS,25265,Repair forearm tendon/muscle,,,3808.93,12821.0,4
HCPCS,25270,Repair forearm tendon/muscle,,,2594.5,12821.0,4
HCPCS,25272,Repair forearm tendon/muscle,,,2965.37,12821.0,4
HCPCS,25274,Repair forearm tendon/muscle,,,3408.06,12821.0,4
HCPCS,25275,Repair forearm tendon sheath,,,3451.55,12821.0,4
HCPCS,25280,Revise wrist/forearm tendon,,,2942.65,12821.0,4
HCPCS,25290,Incise wrist/forearm tendon,,,2279.76,12821.0,4
HCPCS,25295,Release wrist/forearm tendon,,,2739.98,10940.0,4
HCPCS,25300,Fusion of tendons at wrist,,,3639.76,12821.0,4
HCPCS,25301,Fusion of tendons at wrist,,,3318.22,12821.0,4
HCPCS,25310,Transplant forearm tendon,,,3682.01,12821.0,4
HCPCS,25312,Transplant forearm tendon,,,3686.6,14456.0,4
HCPCS,25315,Revise palsy hand tendon(s),,,4018.67,12821.0,4
HCPCS,25316,Revise palsy hand tendon(s),,,4752.47,22111.0,4
HCPCS,25320,Repair/revise wrist joint,,,5120.97,14456.0,4
HCPCS,25330,Description Not Available,,,6979.0,6979.0,1
HCPCS,25331,Description Not Available,,,6979.0,6979.0,1
HCPCS,25332,Revise wrist joint,,,4307.03,14456.0,4
HCPCS,25335,Realignment of hand,,,4889.21,14456.0,4
HCPCS,25337,Reconstruct ulna/radioulnar,,,4579.69,14456.0,4
HCPCS,25350,Revision of radius,,,3473.94,14456.0,4
HCPCS,25355,Revision of radius,,,4003.56,14456.0,4
HCPCS,25360,Revision of ulna,,,3378.44,14456.0,4
HCPCS,25365,Revise radius & ulna,,,4754.31,14456.0,4
HCPCS,25370,Revise radius or ulna,,,5248.0,14456.0,4
HCPCS,25375,Revise radius & ulna,,,4938.42,14456.0,4
HCPCS,25390,Shorten radius or ulna,,,3915.45,14456.0,4
HCPCS,25391,Lengthen radius or ulna,,,5144.92,14456.0,4
HCPCS,25392,Shorten radius & ulna,,,5230.72,12821.0,4
HCPCS,25393,Lengthen radius & ulna,,,5363.0,14456.0,4
HCPCS,25394,Repair carpal bone shorten,,,4099.77,14456.0,4
HCPCS,25400,Repair radius or ulna,,,4102.85,14456.0,4
HCPCS,25405,Repair/graft radius or ulna,,,5244.05,22111.0,4
HCPCS,25415,Repair radius & ulna,,,5009.05,22111.0,4
HCPCS,25420,Repair/graft radius & ulna,,,5363.0,22111.0,4
HCPCS,25425,Repair/graft radius or ulna,,,4984.07,14456.0,4
HCPCS,25426,Repair/graft radius & ulna,,,5363.0,14456.0,4
HCPCS,25430,Vasc graft into carpal bone,,,3861.54,14456.0,4
HCPCS,25431,Repair nonunion carpal bone,,,4118.34,14456.0,4
HCPCS,25440,Repair/graft wrist bone,,,3915.28,14456.0,4
HCPCS,25441,Reconstruct wrist joint,,,4857.16,25393.0,4
HCPCS,25442,Reconstruct wrist joint,,,4107.97,25393.0,4
HCPCS,25443,Reconstruct wrist joint,,,4103.71,14456.0,4
HCPCS,25444,Reconstruct wrist joint,,,4218.38,22111.0,4
HCPCS,25445,Reconstruct wrist joint,,,3685.09,14456.0,4
HCPCS,25446,Wrist replacement,,,5882.88,25393.0,4
HCPCS,25447,Repair wrist joints,,,4111.59,14456.0,4
HCPCS,25448,Arthrp ntrcrpl/crp/mtcrp ssp,,,4535.01,12821.0,4
HCPCS,25449,Remove wrist joint implant,,,5201.47,14456.0,4
HCPCS,25450,Revision of wrist joint,,,3271.54,14456.0,4
HCPCS,25455,Revision of wrist joint,,,3840.87,14456.0,4
HCPCS,25490,Reinforce radius,,,3775.58,14456.0,4
HCPCS,25491,Reinforce ulna,,,3870.39,14456.0,4
HCPCS,25492,Reinforce radius and ulna,,,4706.77,14456.0,4
HCPCS,25500,Treat fracture of radius,,,1478.13,3195.0,4
HCPCS,25505,Treat fracture of radius,,,2691.52,4497.0,4
HCPCS,25515,Treat fracture of radius,,,3509.88,22111.0,4
HCPCS,25520,Treat fracture of radius,,,2505.0,3195.0,4
HCPCS,25525,Treat fracture of radius,,,4085.64,22111.0,4
HCPCS,25526,Treat fracture of radius,,,4988.49,22111.0,4
HCPCS,25530,Treat fracture of ulna,,,1371.88,3195.0,4
HCPCS,25535,Treat fracture of ulna,,,2486.1,3195.0,4
HCPCS,25545,Treat fracture of ulna,,,3283.84,22111.0,4
HCPCS,25560,Treat fracture radius & ulna,,,1481.47,3195.0,4
HCPCS,25565,Treat fracture radius & ulna,,,2505.0,4108.0,4
HCPCS,25574,Treat fracture radius & ulna,,,3547.01,22111.0,4
HCPCS,25575,Treat fracture radius/ulna,,,4702.18,22111.0,4
HCPCS,25600,Treat fracture radius/ulna,,,1840.09,3195.0,4
HCPCS,25605,Treat fracture radius/ulna,,,3017.71,5248.0,4
HCPCS,25606,Treat Fx Distal Radial,,,3540.75,10940.0,4
HCPCS,25607,Treat Fx Rad Extra-Articul,,,3856.9,22111.0,4
HCPCS,25608,Treat Fx Rad Intra-Articul,,,4281.4,22111.0,4
HCPCS,25609,Treat Fx Radial 3+ Frag,,,5377.28,22111.0,4
HCPCS,25622,Treat wrist bone fracture,,,1601.37,6979.0,4
HCPCS,25624,Treat wrist bone fracture,,,2437.43,4497.0,4
HCPCS,25628,Treat wrist bone fracture,,,3703.44,22111.0,4
HCPCS,25630,Treat wrist bone fracture,,,1579.57,3195.0,4
HCPCS,25635,Treat wrist bone fracture,,,2313.32,3195.0,4
HCPCS,25645,Treat wrist bone fracture,,,3025.32,22111.0,4
HCPCS,25650,Treat wrist bone fracture,,,1766.54,6979.0,4
HCPCS,25651,Pin ulnar styloid fracture,,,2599.58,10940.0,4
HCPCS,25652,Treat fracture ulnar styloid,,,3265.12,22111.0,4
HCPCS,25660,Treat wrist dislocation,,,2442.28,3195.0,4
HCPCS,25670,Treat wrist dislocation,,,3221.09,10940.0,4
HCPCS,25671,Pin radioulnar dislocation,,,2877.58,10940.0,4
HCPCS,25675,Treat wrist dislocation,,,2505.0,3195.0,4
HCPCS,25676,Treat wrist dislocation,,,3293.18,10940.0,4
HCPCS,25680,Treat wrist fracture,,,2505.0,4108.0,4
HCPCS,25685,Treat wrist fracture,,,3850.69,10940.0,4
HCPCS,25690,Treat wrist dislocation,,,2650.57,5664.0,4
HCPCS,25695,Treat wrist dislocation,,,3339.04,10940.0,4
HCPCS,25800,Fusion of wrist joint,,,3736.78,22111.0,4
HCPCS,25805,Fusion/graft of wrist joint,,,4418.24,22111.0,4
HCPCS,25810,Fusion/graft of wrist joint,,,4404.86,22111.0,4
HCPCS,25820,Fusion of hand bones,,,3375.79,14456.0,4
HCPCS,25825,Fuse hand bones with graft,,,4088.55,22111.0,4
HCPCS,25830,Fusion radioulnar jnt/ulna,,,5296.28,14456.0,4
HCPCS,25900,Amputation of forearm,,,3716.01,22111.0,4
HCPCS,25905,Amputation of forearm,,,3675.0,22111.0,4
HCPCS,25907,Amputation follow-up surgery,,,3248.61,10940.0,4
HCPCS,25909,Amputation follow-up surgery,,,3594.6,10940.0,4
HCPCS,25915,Amputation of forearm,,,5958.69,22111.0,4
HCPCS,25920,Amputate hand at wrist,,,3851.77,22111.0,4
HCPCS,25922,Amputate hand at wrist,,,3434.5,10940.0,4
HCPCS,25924,Amputation follow-up surgery,,,3765.22,22111.0,4
HCPCS,25927,Amputation of hand,,,4590.97,12821.0,4
HCPCS,25929,Amputation follow-up surgery,,,3170.91,5664.0,4
HCPCS,25931,Amputation follow-up surgery,,,4262.08,10940.0,4
HCPCS,25999,Forearm or wrist surgery,,,2505.0,3195.0,3
HCPCS,26010,Drainage of finger abscess,,,787.71,6979.0,4
HCPCS,26011,Drainage of finger abscess,,,1000.42,5664.0,4
HCPCS,26020,Drain hand tendon sheath,,,2926.79,5664.0,4
HCPCS,26025,Drainage of palm bursa,,,2223.42,5664.0,4
HCPCS,26030,Drainage of palm bursas,,,2569.2,5664.0,4
HCPCS,26034,Treat hand bone lesion,,,2889.18,5664.0,4
HCPCS,26035,Decompress fingers/hand,,,4526.49,5664.0,4
HCPCS,26037,Decompress fingers/hand,,,2919.4,5664.0,4
HCPCS,26040,Release palm contracture,,,1679.94,5664.0,4
HCPCS,26045,Release palm contracture,,,2491.87,12821.0,4
HCPCS,26055,Incise finger tendon sheath,,,1564.73,5664.0,4
HCPCS,26060,Incision of finger tendon,,,1322.94,5664.0,4
HCPCS,26070,Explore/treat hand joint,,,1710.91,5664.0,4
HCPCS,26075,Explore/treat finger joint,,,1804.53,5664.0,4
HCPCS,26080,Explore/treat finger joint,,,2117.82,5664.0,4
HCPCS,26100,Biopsy hand joint lining,,,1854.34,5664.0,4
HCPCS,26105,Biopsy finger joint lining,,,1864.21,5664.0,4
HCPCS,26110,Biopsy finger joint lining,,,1735.57,5664.0,4
HCPCS,26111,Exc hand les sc 1.5 cm/>,,,2172.38,10940.0,4
HCPCS,26113,Exc hand tum deep 1.5 cm/>,,,2825.62,10940.0,4
HCPCS,26115,Exc hand les sc < 1.5 cm,,,1762.06,5664.0,4
HCPCS,26116,Exc hand tum deep < 1.5 cm,,,2723.68,5664.0,4
HCPCS,26117,Rad resect hand tumor < 3 cm,,,3855.71,5664.0,4
HCPCS,26118,Rad resect hand tumor 3 cm/>,,,5248.0,10940.0,4
HCPCS,26121,Release palm contracture,,,3099.84,12821.0,4
HCPCS,26123,Release palm contracture,,,4313.4,12821.0,4
HCPCS,26125,Release palm contracture,,,1297.2,5363.0,4
HCPCS,26130,Remove wrist joint lining,,,2524.25,5664.0,4
HCPCS,26135,Revise finger joint each,,,2864.52,12821.0,4
HCPCS,26140,Revise finger joint each,,,2645.71,5664.0,4
HCPCS,26145,Tendon excision palm/finger,,,2681.65,5664.0,4
HCPCS,26160,Remove tendon sheath lesion,,,1684.74,5664.0,4
HCPCS,26170,Removal of palm tendon each,,,2149.77,5664.0,4
HCPCS,26180,Removal of finger tendon,,,2364.37,5664.0,4
HCPCS,26185,Remove finger bone,,,3006.54,5664.0,4
HCPCS,26200,Remove hand bone lesion,,,2364.26,5664.0,4
HCPCS,26205,Remove/graft bone lesion,,,3195.19,12821.0,4
HCPCS,26210,Removal of finger lesion,,,2350.39,5664.0,4
HCPCS,26215,Remove/graft finger lesion,,,3005.73,5664.0,4
HCPCS,26230,Partial removal of hand bone,,,2603.19,8406.0,4
HCPCS,26235,Partial removal finger bone,,,2562.94,5664.0,4
HCPCS,26236,Partial removal finger bone,,,2322.6,5664.0,4
HCPCS,26250,Extensive hand surgery,,,5097.0,5664.0,4
HCPCS,26260,Resect prox finger tumor,,,4163.45,5664.0,4
HCPCS,26262,Resect distal finger tumor,,,3340.23,5664.0,4
HCPCS,26320,Removal of implant from hand,,,1850.56,5664.0,4
HCPCS,26340,Manipulate finger w/anesth,,,1955.94,3195.0,4
HCPCS,26341,Manipulat palm cord post inj,,,401.14,3195.0,4
HCPCS,26350,Repair finger/hand tendon,,,3195.0,12821.0,4
HCPCS,26352,Repair/graft hand tendon,,,4357.49,12821.0,4
HCPCS,26356,Repair finger/hand tendon,,,4137.49,12821.0,4
HCPCS,26357,Repair finger/hand tendon,,,4712.16,12821.0,4
HCPCS,26358,Repair/graft hand tendon,,,5168.88,12821.0,4
HCPCS,26370,Repair finger/hand tendon,,,4108.24,12821.0,4
HCPCS,26372,Repair/graft hand tendon,,,4885.43,12821.0,4
HCPCS,26373,Repair finger/hand tendon,,,4716.37,12821.0,4
HCPCS,26390,Revise hand/finger tendon,,,4658.04,12821.0,4
HCPCS,26392,Repair/graft hand tendon,,,5248.0,12821.0,4
HCPCS,26410,Repair hand tendon,,,3213.26,5664.0,4
HCPCS,26412,Repair/graft hand tendon,,,3756.7,12821.0,4
HCPCS,26415,Excision hand/finger tendon,,,4538.25,12821.0,4
HCPCS,26416,Graft hand or finger tendon,,,4897.14,12821.0,4
HCPCS,26418,Repair finger tendon,,,3355.93,5664.0,4
HCPCS,26420,Repair/graft finger tendon,,,3884.36,12821.0,4
HCPCS,26426,Repair finger/hand tendon,,,2619.49,12821.0,4
HCPCS,26428,Repair/graft finger tendon,,,4278.6,12821.0,4
HCPCS,26432,Repair finger tendon,,,2909.95,5664.0,4
HCPCS,26433,Repair finger tendon,,,3053.16,5664.0,4
HCPCS,26434,Repair/graft finger tendon,,,3754.48,12821.0,4
HCPCS,26437,Realignment of tendons,,,3507.99,5664.0,4
HCPCS,26440,Release palm/finger tendon,,,3449.61,5664.0,4
HCPCS,26442,Release palm & finger tendon,,,5213.94,12821.0,4
HCPCS,26445,Release hand/finger tendon,,,3236.63,5664.0,4
HCPCS,26449,Release forearm/hand tendon,,,3628.38,12821.0,4
HCPCS,26450,Incision of palm tendon,,,2464.78,5664.0,4
HCPCS,26455,Incision of finger tendon,,,2464.57,5664.0,4
HCPCS,26460,Incise hand/finger tendon,,,2405.75,5664.0,4
HCPCS,26471,Fusion of finger tendons,,,3471.35,5664.0,4
HCPCS,26474,Fusion of finger tendons,,,3533.62,5664.0,4
HCPCS,26476,Tendon lengthening,,,3195.0,5664.0,4
HCPCS,26477,Tendon shortening,,,3195.0,5664.0,4
HCPCS,26478,Lengthening of hand tendon,,,3195.0,5664.0,4
HCPCS,26479,Shortening of hand tendon,,,3195.0,5664.0,4
HCPCS,26480,Transplant hand tendon,,,3679.32,12821.0,4
HCPCS,26483,Transplant/graft hand tendon,,,4527.89,12821.0,4
HCPCS,26485,Transplant palm tendon,,,4108.0,12821.0,4
HCPCS,26489,Transplant/graft palm tendon,,,5130.3,12821.0,4
HCPCS,26490,Revise thumb tendon,,,4477.92,12821.0,4
HCPCS,26492,Tendon transfer with graft,,,4933.72,12821.0,4
HCPCS,26494,Hand tendon/muscle transfer,,,4494.06,12821.0,4
HCPCS,26496,Revise thumb tendon,,,4820.35,12821.0,4
HCPCS,26497,Finger tendon transfer,,,4815.01,12821.0,4
HCPCS,26498,Finger tendon transfer,,,5363.0,12821.0,4
HCPCS,26499,Revision of finger,,,4645.96,10940.0,4
HCPCS,26500,Hand tendon reconstruction,,,3717.84,5664.0,4
HCPCS,26502,Hand tendon reconstruction,,,4048.46,12821.0,4
HCPCS,26508,Release thumb contracture,,,3458.51,5664.0,4
HCPCS,26510,Thumb tendon transfer,,,3384.37,12821.0,4
HCPCS,26516,Fusion of knuckle joint,,,3195.0,12821.0,4
HCPCS,26517,Fusion of knuckle joints,,,4616.44,12821.0,4
HCPCS,26518,Fusion of knuckle joints,,,4671.86,12821.0,4
HCPCS,26520,Release knuckle contracture,,,3602.64,5664.0,4
HCPCS,26525,Release finger contracture,,,3637.61,5664.0,4
HCPCS,26530,Revise knuckle joint,,,2808.73,14456.0,4
HCPCS,26531,Revise knuckle with implant,,,3244.02,14456.0,4
HCPCS,26535,Revise finger joint,,,2306.2,14456.0,4
HCPCS,26536,Revise/implant finger joint,,,3942.7,14456.0,4
HCPCS,26540,Repair hand joint,,,3677.91,5664.0,4
HCPCS,26541,Repair hand joint with graft,,,4355.65,12821.0,4
HCPCS,26542,Repair hand joint with graft,,,3776.12,5664.0,4
HCPCS,26545,Reconstruct finger joint,,,3833.43,12821.0,4
HCPCS,26546,Repair nonunion hand,,,5363.0,12821.0,4
HCPCS,26548,Reconstruct finger joint,,,4165.23,12821.0,4
HCPCS,26550,Construct thumb replacement,,,4108.0,12821.0,4
HCPCS,26551,Great toe-hand transfer,,,5363.0,16719.18,4
HCPCS,26552,Description Not Available,,,6979.0,6979.0,1
HCPCS,26553,Single transfer toe-hand,,,5363.0,16606.73,4
HCPCS,26554,Double transfer toe-hand,,,5363.0,19284.87,4
HCPCS,26555,Positional change of finger,,,5248.0,12821.0,4
HCPCS,26556,Toe joint transfer,,,5363.0,22111.0,4
HCPCS,26557,Description Not Available,,,6979.0,6979.0,1
HCPCS,26558,Description Not Available,,,6979.0,6979.0,1
HCPCS,26559,Description Not Available,,,6979.0,6979.0,1
HCPCS,26560,Repair of web finger,,,3446.96,5664.0,4
HCPCS,26561,Repair of web finger,,,5194.84,12821.0,4
HCPCS,26562,Repair of web finger,,,5363.0,12821.0,4
HCPCS,26565,Correct metacarpal flaw,,,3744.07,12821.0,4
HCPCS,26567,Correct finger deformity,,,3796.63,12821.0,4
HCPCS,26568,Lengthen metacarpal/finger,,,4961.35,12821.0,4
HCPCS,26580,Repair hand deformity,,,5097.0,8026.17,4
HCPCS,26587,Reconstruct extra finger,,,5097.0,6044.0,4
HCPCS,26590,Repair finger deformity,,,5097.0,7437.85,4
HCPCS,26591,Repair muscles of hand,,,2626.99,10940.0,4
HCPCS,26593,Release muscles of hand,,,3423.92,5664.0,4
HCPCS,26596,Excision constricting tissue,,,4108.0,5664.0,4
HCPCS,26600,Treat metacarpal fracture,,,1619.18,6979.0,4
HCPCS,26605,Treat metacarpal fracture,,,1692.83,4108.0,4
HCPCS,26607,Treat metacarpal fracture,,,2720.29,5664.0,4
HCPCS,26608,Treat metacarpal fracture,,,2543.35,10940.0,4
HCPCS,26615,Treat metacarpal fracture,,,3011.51,22111.0,4
HCPCS,26641,Treat thumb dislocation,,,2098.18,6979.0,4
HCPCS,26645,Treat thumb fracture,,,2151.17,3195.0,4
HCPCS,26650,Treat thumb fracture,,,2571.63,10940.0,4
HCPCS,26665,Treat thumb fracture,,,3172.31,22111.0,4
HCPCS,26670,Treat hand dislocation,,,1957.99,6979.0,4
HCPCS,26675,Treat hand dislocation,,,2300.31,4108.0,4
HCPCS,26676,Pin hand dislocation,,,2672.37,10940.0,4
HCPCS,26685,Treat hand dislocation,,,2933.97,10940.0,4
HCPCS,26686,Treat hand dislocation,,,3286.43,22111.0,4
HCPCS,26700,Treat knuckle dislocation,,,1908.51,6979.0,4
HCPCS,26705,Treat knuckle dislocation,,,2168.81,4108.0,4
HCPCS,26706,Pin knuckle dislocation,,,2286.02,5664.0,4
HCPCS,26715,Treat knuckle dislocation,,,2996.4,10940.0,4
HCPCS,26720,Treat finger fracture each,,,1107.04,3195.0,4
HCPCS,26725,Treat finger fracture each,,,1758.83,4108.0,4
HCPCS,26727,Treat finger fracture each,,,2501.48,10940.0,4
HCPCS,26735,Treat finger fracture each,,,3107.23,10940.0,4
HCPCS,26740,Treat finger fracture each,,,1220.95,3195.0,4
HCPCS,26742,Treat finger fracture each,,,1867.18,4108.0,4
HCPCS,26746,Treat finger fracture each,,,3806.34,10940.0,4
HCPCS,26750,Treat finger fracture each,,,1125.61,6979.0,4
HCPCS,26755,Treat finger fracture each,,,1635.85,6979.0,4
HCPCS,26756,Pin finger fracture each,,,2261.19,10940.0,4
HCPCS,26765,Treat finger fracture each,,,2666.11,10940.0,4
HCPCS,26770,Treat finger dislocation,,,1679.29,6979.0,4
HCPCS,26775,Treat finger dislocation,,,1948.66,6979.0,4
HCPCS,26776,Pin finger dislocation,,,2373.65,10940.0,4
HCPCS,26785,Treat finger dislocation,,,2879.41,10940.0,4
HCPCS,26820,Thumb fusion with graft,,,4436.86,12821.0,4
HCPCS,26841,Fusion of thumb,,,4070.9,12821.0,4
HCPCS,26842,Thumb fusion with graft,,,4448.52,12821.0,4
HCPCS,26843,Fusion of hand joint,,,4189.72,12821.0,4
HCPCS,26844,Fusion/graft of hand joint,,,4589.68,12821.0,4
HCPCS,26850,Fusion of knuckle,,,3829.49,12821.0,4
HCPCS,26852,Fusion of knuckle with graft,,,4328.56,12821.0,4
HCPCS,26860,Fusion of finger joint,,,3256.43,12821.0,4
HCPCS,26861,Fusion of finger jnt add-on,,,494.98,4108.0,4
HCPCS,26862,Fusion/graft of finger joint,,,3999.89,12821.0,4
HCPCS,26863,Fuse/graft added joint,,,1088.05,5248.0,4
HCPCS,26910,Amputate metacarpal bone,,,4027.09,12821.0,4
HCPCS,26951,Amputation of finger/thumb,,,3770.02,5664.0,4
HCPCS,26952,Amputation of finger/thumb,,,3615.7,5664.0,4
HCPCS,26989,Hand/finger surgery,,,2505.0,3195.0,3
HCPCS,26990,Drainage of pelvis lesion,,,3195.0,10940.0,4
HCPCS,26991,Drainage of pelvis bursa,,,2729.84,10940.0,4
HCPCS,26992,Drainage of bone lesion,,,4108.0,14456.0,4
HCPCS,27000,Incision of hip tendon,,,1971.05,10940.0,4
HCPCS,27001,Incision of hip tendon,,,2851.84,12821.0,4
HCPCS,27003,Incision of hip tendon,,,3169.12,12821.0,4
HCPCS,27005,Incision of hip tendon,,,3753.08,22111.0,4
HCPCS,27006,Incision of hip tendons,,,3590.88,12821.0,4
HCPCS,27025,Incision of hip/thigh fascia,,,4108.0,22111.0,4
HCPCS,27027,Buttock fasciotomy,,,4108.0,12821.0,4
HCPCS,27030,Drainage of hip joint,,,4823.75,14456.0,4
HCPCS,27033,Exploration of hip joint,,,5005.06,14456.0,4
HCPCS,27035,Denervation of hip joint,,,5363.0,12821.0,4
HCPCS,27036,Excision of hip joint/muscle,,,5268.06,14456.0,4
HCPCS,27040,Biopsy of soft tissues,,,1007.49,4497.0,4
HCPCS,27041,Biopsy of soft tissues,,,3655.74,4497.0,4
HCPCS,27043,Exc hip pelvis les sc 3 cm/>,,,2557.43,10940.0,4
HCPCS,27045,Exc hip/pelv tum deep 5 cm/>,,,3893.97,10940.0,4
HCPCS,27047,Exc hip/pelvis les sc < 3 cm,,,1963.98,5664.0,4
HCPCS,27048,Exc hip/pelv tum deep < 5 cm,,,3293.93,5664.0,4
HCPCS,27049,Resect hip/pelv tum < 5 cm,,,5097.0,7271.92,4
HCPCS,27050,Biopsy of sacroiliac joint,,,2197.68,10940.0,4
HCPCS,27052,Biopsy of hip joint,,,3078.69,10940.0,4
HCPCS,27054,Removal of hip joint lining,,,3619.37,12821.0,4
HCPCS,27057,Buttock fasciotomy w/dbrdmt,,,4108.0,10940.0,4
HCPCS,27059,Resect hip/pelv tum 5 cm/>,,,5248.0,10940.0,4
HCPCS,27060,Removal of ischial bursa,,,2489.98,10940.0,4
HCPCS,27062,Remove femur lesion/bursa,,,2387.95,10940.0,4
HCPCS,27065,Remove hip bone les super,,,2806.19,10940.0,4
HCPCS,27066,Remove hip bone les deep,,,4222.37,12821.0,4
HCPCS,27067,Remove/graft hip bone lesion,,,5352.62,12821.0,4
HCPCS,27070,Part remove hip bone super,,,4572.19,22111.0,4
HCPCS,27071,Part removal hip bone deep,,,5073.43,22111.0,4
HCPCS,27075,Resect hip tumor,,,6044.0,22111.0,4
HCPCS,27076,Resect hip tum incl acetabul,,,6044.0,22111.0,4
HCPCS,27077,Resect hip tum w/innom bone,,,6044.0,22111.0,4
HCPCS,27078,Rsect hip tum incl femur,,,6044.0,22111.0,4
HCPCS,27080,Removal of tail bone,,,2802.68,12821.0,4
HCPCS,27086,Remove hip foreign body,,,917.48,5664.0,4
HCPCS,27087,Remove hip foreign body,,,3341.74,10940.0,4
HCPCS,27090,Removal of hip prosthesis,,,4314.8,10940.0,4
HCPCS,27091,Removal of hip prosthesis,,,5248.0,10940.0,4
HCPCS,27093,HC INSERT CATHETER ABD/L-EXT ART 3RD,7989.0,7989.0,,,0
HCPCS,27093,Injection for hip x-ray,,,322.95,3195.0,4
HCPCS,27095,Injection for hip x-ray,,,393.37,3195.0,4
HCPCS,27096,Inject sacroiliac joint,,,406.0,3195.0,4
HCPCS,27097,Revision of hip tendon,,,3582.94,12821.0,4
HCPCS,27098,Transfer tendon to pelvis,,,3656.71,10940.0,4
HCPCS,27100,Transfer of abdominal muscle,,,4335.09,14456.0,4
HCPCS,27105,Transfer of spinal muscle,,,4531.67,14456.0,4
HCPCS,27110,Transfer of iliopsoas muscle,,,5026.81,14456.0,4
HCPCS,27111,Transfer of iliopsoas muscle,,,4691.61,14456.0,4
HCPCS,27120,Reconstruction of hip socket,,,6044.0,22111.0,4
HCPCS,27122,Reconstruction of hip socket,,,5666.56,22111.0,4
HCPCS,27125,Partial hip replacement,,,5809.82,22111.0,4
HCPCS,27130,Total hip arthroplasty,,,6545.19,25393.0,4
HCPCS,27132,Total hip arthroplasty,,,6979.0,25393.0,4
HCPCS,27134,Revise hip joint replacement,,,6979.0,25393.0,4
HCPCS,27137,Revise hip joint replacement,,,6979.0,25393.0,4
HCPCS,27138,Revise hip joint replacement,,,6979.0,25393.0,4
HCPCS,27140,Transplant femur ridge,,,4643.47,22111.0,4
HCPCS,27146,Incision of hip bone,,,6044.0,22111.0,4
HCPCS,27147,Revision of hip bone,,,6044.0,22111.0,4
HCPCS,27151,Incision of hip bones,,,6044.0,22111.0,4
HCPCS,27156,Revision of hip bones,,,6044.0,22111.0,4
HCPCS,27158,Revision of pelvis,,,6044.0,22111.0,4
HCPCS,27161,Incision of neck of femur,,,6044.0,22111.0,4
HCPCS,27165,Incision/fixation of femur,,,6044.0,22111.0,4
HCPCS,27170,Repair/graft femur head/neck,,,5363.0,22111.0,4
HCPCS,27175,Treat slipped epiphysis,,,3467.9,22111.0,4
HCPCS,27176,Treat slipped epiphysis,,,4783.66,22111.0,4
HCPCS,27177,Treat slipped epiphysis,,,5748.52,22111.0,4
HCPCS,27178,Treat slipped epiphysis,,,4783.66,22111.0,4
HCPCS,27179,Revise head/neck of femur,,,5057.35,22111.0,4
HCPCS,27181,Treat slipped epiphysis,,,5781.22,22111.0,4
HCPCS,27185,Revision of femur epiphysis,,,3769.38,22111.0,4
HCPCS,27187,Reinforce hip bones,,,5145.03,22111.0,4
HCPCS,27197,Clsd tx pelvic ring fx,,,678.92,3195.0,4
HCPCS,27198,Clsd tx pelvic ring fx,,,1600.62,3195.0,4
HCPCS,27200,Treat tail bone fracture,,,1088.8,3195.0,4
HCPCS,27202,Treat tail bone fracture,,,2766.53,22111.0,4
HCPCS,27215,Treat pelvic fracture(s),,,4047.0,6979.0,3
HCPCS,27216,Treat pelvic ring fracture,,,6979.0,12821.0,3
HCPCS,27217,Treat pelvic ring fracture,,,5097.0,6979.0,3
HCPCS,27218,Treat pelvic ring fracture,,,5097.0,6979.0,3
HCPCS,27220,Treat hip socket fracture,,,2169.08,6979.0,4
HCPCS,27222,Treat hip socket fracture,,,2505.0,5124.69,4
HCPCS,27226,Treat hip wall fracture,,,5429.62,14456.0,4
HCPCS,27227,Treat hip fracture(s),,,6044.0,14456.0,4
HCPCS,27228,Treat hip fracture(s),,,6044.0,14456.0,4
HCPCS,27230,Treat thigh fracture,,,2505.0,3195.0,4
HCPCS,27232,Treat thigh fracture,,,3195.0,5664.0,4
HCPCS,27235,Treat thigh fracture,,,4675.26,12821.0,4
HCPCS,27236,Treat thigh fracture,,,6044.0,22111.0,4
HCPCS,27238,Treat thigh fracture,,,2505.0,3195.0,4
HCPCS,27240,Treat thigh fracture,,,3195.0,5664.0,4
HCPCS,27244,Treat thigh fracture,,,6044.0,22111.0,4
HCPCS,27245,Treat thigh fracture,,,6044.0,14456.0,4
HCPCS,27246,Treat thigh fracture,,,2083.94,3195.0,4
HCPCS,27248,Treat thigh fracture,,,3838.55,22111.0,4
HCPCS,27250,Treat hip dislocation,,,1019.36,3195.0,4
HCPCS,27252,Treat hip dislocation,,,4024.12,4497.0,4
HCPCS,27253,Treat hip dislocation,,,4870.7,12821.0,4
HCPCS,27254,Treat hip dislocation,,,5363.0,12821.0,4
HCPCS,27256,Treat hip dislocation,,,1487.41,4108.0,4
HCPCS,27257,Treat hip dislocation,,,1852.66,5248.0,4
HCPCS,27258,Treat hip dislocation,,,5363.0,12821.0,4
HCPCS,27259,Treat hip dislocation,,,5363.0,12821.0,4
HCPCS,27265,Treat hip dislocation,,,2505.0,3195.0,4
HCPCS,27266,Treat hip dislocation,,,3097.3,5664.0,4
HCPCS,27267,Cltx thigh fx,,,2377.32,5664.0,4
HCPCS,27268,Cltx thigh fx w/mnpj,,,2863.71,12821.0,4
HCPCS,27269,Optx thigh fx,,,4108.0,6313.7,4
HCPCS,27275,Manipulation of hip joint,,,985.09,5664.0,4
HCPCS,27278,Arthrd si jt prq wo tfxj dev,,,2410.29,25393.0,4
HCPCS,27279,Arthrodesis sacroiliac joint,,,4265.05,25393.0,4
HCPCS,27280,Fusion of sacroiliac joint,,,6979.0,25393.0,4
HCPCS,27282,Fusion of pubic bones,,,4478.95,22111.0,4
HCPCS,27284,Fusion of hip joint,,,6979.0,25393.0,4
HCPCS,27286,Fusion of hip joint,,,6979.0,25393.0,4
HCPCS,27290,Amputation of leg at hip,,,6979.0,25393.0,4
HCPCS,27295,Amputation of leg at hip,,,6486.86,25393.0,4
HCPCS,27299,Pelvis/hip joint surgery,,,2505.0,3195.0,3
HCPCS,27301,Drain thigh/knee lesion,,,2696.22,10940.0,4
HCPCS,27303,Drainage of bone lesion,,,3353.45,14456.0,4
HCPCS,27305,Incise thigh tendon & fascia,,,2566.01,10940.0,4
HCPCS,27306,Incision of thigh tendon,,,1759.47,10940.0,4
HCPCS,27307,Incision of thigh tendons,,,2043.2,12821.0,4
HCPCS,27310,Exploration of knee joint,,,3833.97,12821.0,4
HCPCS,27323,Biopsy thigh soft tissues,,,860.82,4497.0,4
HCPCS,27324,Biopsy thigh soft tissues,,,2226.55,10940.0,4
HCPCS,27325,Neurectomy hamstring,,,2989.38,5664.0,4
HCPCS,27326,Neurectomy popliteal,,,2782.88,5664.0,4
HCPCS,27327,Exc thigh/knee les sc < 3 cm,,,1710.15,10940.0,4
HCPCS,27328,Exc thigh/knee tum deep <5cm,,,3306.24,5664.0,4
HCPCS,27329,Resect thigh/knee tum < 5 cm,,,5097.0,5664.0,4
HCPCS,27330,Biopsy knee joint lining,,,2274.63,12821.0,4
HCPCS,27331,Explore/treat knee joint,,,2538.66,12821.0,4
HCPCS,27332,Removal of knee cartilage,,,3410.0,12821.0,4
HCPCS,27333,Removal of knee cartilage,,,3124.07,12821.0,4
HCPCS,27334,Remove knee joint lining,,,3611.33,12821.0,4
HCPCS,27335,Remove knee joint lining,,,4007.12,12821.0,4
HCPCS,27337,Exc thigh/knee les sc 3 cm/>,,,2288.23,10940.0,4
HCPCS,27339,Exc thigh/knee tum dep 5cm/>,,,4020.02,10940.0,4
HCPCS,27340,Removal of kneecap bursa,,,2027.49,10940.0,4
HCPCS,27345,Removal of knee cyst,,,2587.0,10940.0,4
HCPCS,27347,Remove knee cyst,,,2804.84,10940.0,4
HCPCS,27350,Removal of kneecap,,,3440.06,12821.0,4
HCPCS,27355,Remove femur lesion,,,3202.63,12821.0,4
HCPCS,27356,Remove femur lesion/graft,,,3878.27,12821.0,4
HCPCS,27357,Remove femur lesion/graft,,,4268.34,12821.0,4
HCPCS,27358,Remove femur lesion/fixation,,,1355.04,6044.0,4
HCPCS,27360,Partial removal leg bone(s),,,4742.76,12821.0,4
HCPCS,27364,Resect thigh/knee tum 5 cm/>,,,5248.0,10940.0,4
HCPCS,27365,Resect femur/knee tumor,,,5248.0,22111.0,4
HCPCS,27369,Njx cntrst kne arthg/ct/mri,,,189.56,3195.0,4
HCPCS,27372,Removal of foreign body,,,2165.15,10940.0,4
HCPCS,27380,Repair of kneecap tendon,,,3195.0,12821.0,4
HCPCS,27381,Repair/graft kneecap tendon,,,4298.18,12821.0,4
HCPCS,27385,Repair of thigh muscle,,,3224.6,12821.0,4
HCPCS,27386,Repair/graft of thigh muscle,,,4469.4,12821.0,4
HCPCS,27390,Incision of thigh tendon,,,2317.26,10940.0,4
HCPCS,27391,Incision of thigh tendons,,,3054.14,10940.0,4
HCPCS,27392,Incision of thigh tendons,,,3746.93,12821.0,4
HCPCS,27393,Lengthening of thigh tendon,,,2636.65,12821.0,4
HCPCS,27394,Lengthening of thigh tendons,,,3441.84,12821.0,4
HCPCS,27395,Lengthening of thigh tendons,,,4587.09,14456.0,4
HCPCS,27396,Transplant of thigh tendon,,,3265.61,12821.0,4
HCPCS,27397,Transplants of thigh tendons,,,4773.95,14456.0,4
HCPCS,27400,Revise thigh muscles/tendons,,,3662.91,14456.0,4
HCPCS,27403,Repair of knee cartilage,,,3389.77,12821.0,4
HCPCS,27405,Repair of knee ligament,,,3535.14,14456.0,4
HCPCS,27407,Repair of knee ligament,,,4165.28,22111.0,4
HCPCS,27409,Repair of knee ligaments,,,5009.86,14456.0,4
HCPCS,27412,Autochondrocyte implant knee,,,5248.0,22111.0,4
HCPCS,27415,Osteochondral knee allograft,,,5248.0,22111.0,4
HCPCS,27416,Osteochondral knee autograft,,,5054.92,14456.0,4
HCPCS,27418,Repair degenerated kneecap,,,4249.57,14456.0,4
HCPCS,27420,Revision of unstable kneecap,,,3926.56,14456.0,4
HCPCS,27422,Revision of unstable kneecap,,,3888.52,14456.0,4
HCPCS,27424,Revision/removal of kneecap,,,3921.22,14456.0,4
HCPCS,27425,Lat retinacular release open,,,2435.86,12821.0,4
HCPCS,27427,Reconstruction knee,,,3678.56,22111.0,4
HCPCS,27428,Reconstruction knee,,,5363.0,22111.0,4
HCPCS,27429,Reconstruction knee,,,5363.0,22111.0,4
HCPCS,27430,Revision of thigh muscles,,,3891.87,14456.0,4
HCPCS,27435,Incision of knee joint,,,4225.34,12821.0,4
HCPCS,27437,Revise kneecap,,,3474.21,14456.0,4
HCPCS,27438,Revise kneecap with implant,,,4365.04,22111.0,4
HCPCS,27440,Revision of knee joint,,,4160.96,14456.0,4
HCPCS,27441,Revision of knee joint,,,4290.47,14456.0,4
HCPCS,27442,Revision of knee joint,,,4497.51,14456.0,4
HCPCS,27443,Revision of knee joint,,,4252.05,14456.0,4
HCPCS,27445,Revision of knee joint,,,6979.0,22111.0,3
HCPCS,27446,Revision of knee joint,,,5883.8,25393.0,4
HCPCS,27447,Total knee arthroplasty,,,6528.46,25393.0,4
HCPCS,27448,Incision of thigh,,,4260.9,22111.0,4
HCPCS,27450,Incision of thigh,,,5191.76,22111.0,4
HCPCS,27454,Realignment of thigh bone,,,6044.0,22111.0,4
HCPCS,27455,Realignment of knee,,,4982.02,22111.0,4
HCPCS,27457,Realignment of knee,,,4935.51,14456.0,4
HCPCS,27458,Osteot femur imed lngth dev,,,6979.0,9649.18,2
HCPCS,27465,Shortening of thigh bone,,,6044.0,22111.0,4
HCPCS,27466,Lengthening of thigh bone,,,6044.0,22111.0,4
HCPCS,27468,Shorten/lengthen thighs,,,6044.0,22111.0,3
HCPCS,27470,Repair of thigh,,,6044.0,22111.0,4
HCPCS,27472,Repair/graft of thigh,,,6044.0,22111.0,4
HCPCS,27475,Surgery to stop leg growth,,,3487.27,12821.0,4
HCPCS,27477,Surgery to stop leg growth,,,3831.43,12821.0,4
HCPCS,27479,Surgery to stop leg growth,,,4752.53,12821.0,4
HCPCS,27485,Surgery to stop leg growth,,,3524.72,12821.0,4
HCPCS,27486,Revise/replace knee joint,,,6979.0,25393.0,4
HCPCS,27487,Revise/replace knee joint,,,6979.0,25393.0,4
HCPCS,27488,Removal of knee prosthesis,,,6044.0,22111.0,4
HCPCS,27495,Reinforce thigh,,,5809.12,22111.0,4
HCPCS,27496,Decompression of thigh/knee,,,2930.03,12821.0,4
HCPCS,27497,Decompression of thigh/knee,,,3066.38,10940.0,4
HCPCS,27498,Decompression of thigh/knee,,,3467.15,12821.0,4
HCPCS,27499,Decompression of thigh/knee,,,3689.73,12821.0,4
HCPCS,27500,Treatment of thigh fracture,,,2505.0,3195.0,4
HCPCS,27501,Treatment of thigh fracture,,,2505.0,4108.0,4
HCPCS,27502,Treatment of thigh fracture,,,4108.0,5664.0,4
HCPCS,27503,Treatment of thigh fracture,,,2505.0,5248.0,4
HCPCS,27506,Treatment of thigh fracture,,,6044.0,14456.0,4
HCPCS,27507,Treatment of thigh fracture,,,4964.1,14456.0,4
HCPCS,27508,Treatment of thigh fracture,,,2505.0,3195.0,4
HCPCS,27509,Treatment of thigh fracture,,,3593.36,10940.0,4
HCPCS,27510,Treatment of thigh fracture,,,2505.0,3755.94,4
HCPCS,27511,Treatment of thigh fracture,,,5070.35,14456.0,4
HCPCS,27513,Treatment of thigh fracture,,,6044.0,14456.0,4
HCPCS,27514,Treatment of thigh fracture,,,4922.99,14456.0,4
HCPCS,27516,Treat thigh fx growth plate,,,2505.0,3195.0,4
HCPCS,27517,Treat thigh fx growth plate,,,2505.0,3629.73,4
HCPCS,27519,Treat thigh fx growth plate,,,4557.03,14456.0,4
HCPCS,27520,Treat kneecap fracture,,,1687.76,3195.0,4
HCPCS,27524,Treat kneecap fracture,,,3925.48,22111.0,4
HCPCS,27530,Treat knee fracture,,,1625.17,3195.0,4
HCPCS,27532,Treat knee fracture,,,3077.28,5664.0,4
HCPCS,27535,Treat knee fracture,,,4580.61,14456.0,4
HCPCS,27536,Treat knee fracture,,,6044.0,14456.0,4
HCPCS,27538,Treat knee fracture(s),,,2468.18,3195.0,4
HCPCS,27540,Treat knee fracture,,,4250.75,14456.0,4
HCPCS,27550,Treat knee dislocation,,,2505.0,3195.0,4
HCPCS,27552,Treat knee dislocation,,,3195.0,5664.0,4
HCPCS,27556,Treat knee dislocation,,,4486.45,14456.0,4
HCPCS,27557,Treat knee dislocation,,,5315.01,14456.0,4
HCPCS,27558,Treat knee dislocation,,,6026.52,14456.0,4
HCPCS,27560,Treat kneecap dislocation,,,2174.37,3195.0,4
HCPCS,27562,Treat kneecap dislocation,,,2505.0,3195.0,4
HCPCS,27566,Treat kneecap dislocation,,,4108.0,22111.0,4
HCPCS,27570,Fixation of knee joint,,,823.97,5664.0,4
HCPCS,27580,Fusion of knee,,,6044.0,22111.0,4
HCPCS,27590,Amputate leg at thigh,,,4146.5,25393.0,4
HCPCS,27591,Amputate leg at thigh,,,4981.32,25393.0,4
HCPCS,27592,Amputate leg at thigh,,,3583.21,25393.0,4
HCPCS,27594,Amputation follow-up surgery,,,2686.67,10940.0,4
HCPCS,27596,Amputation follow-up surgery,,,3752.27,22111.0,4
HCPCS,27598,Amputate lower leg at knee,,,3678.83,22111.0,4
HCPCS,27599,Leg surgery procedure,,,2505.0,3195.0,3
HCPCS,27600,Decompression of lower leg,,,2105.3,10940.0,4
HCPCS,27601,Decompression of lower leg,,,2314.4,10940.0,4
HCPCS,27602,Decompression of lower leg,,,2535.63,12821.0,4
HCPCS,27603,Drain lower leg lesion,,,2047.13,10940.0,4
HCPCS,27604,Drain lower leg bursa,,,1749.76,10940.0,4
HCPCS,27605,Incision of achilles tendon,,,944.46,10940.0,4
HCPCS,27606,Incision of achilles tendon,,,1411.11,10940.0,4
HCPCS,27607,Treat lower leg bone lesion,,,3154.93,10940.0,4
HCPCS,27610,Explore/treat ankle joint,,,3376.76,12821.0,4
HCPCS,27612,Exploration of ankle joint,,,2979.29,12821.0,4
HCPCS,27613,Biopsy lower leg soft tissue,,,828.45,4497.0,4
HCPCS,27614,Biopsy lower leg soft tissue,,,2156.67,10940.0,4
HCPCS,27615,Resect leg/ankle tum < 5 cm,,,5097.0,5664.0,4
HCPCS,27616,Resect leg/ankle tum 5 cm/>,,,5248.0,10940.0,4
HCPCS,27618,Exc leg/ankle tum < 3 cm,,,1646.16,5664.0,4
HCPCS,27619,Exc leg/ankle tum deep <5 cm,,,2415.09,5664.0,4
HCPCS,27620,Explore/treat ankle joint,,,2395.93,12821.0,4
HCPCS,27625,Remove ankle joint lining,,,3025.21,12821.0,4
HCPCS,27626,Remove ankle joint lining,,,3111.6,12821.0,4
HCPCS,27630,Removal of tendon lesion,,,1897.67,10940.0,4
HCPCS,27632,Exc leg/ankle les sc 3 cm/>,,,2193.96,10940.0,4
HCPCS,27634,Exc leg/ankle tum dep 5 cm/>,,,3482.79,10940.0,4
HCPCS,27635,Remove lower leg bone lesion,,,3014.53,12821.0,4
HCPCS,27637,Remove/graft leg bone lesion,,,3927.91,12821.0,4
HCPCS,27638,Remove/graft leg bone lesion,,,3880.8,12821.0,4
HCPCS,27640,Partial removal of tibia,,,4108.0,12821.0,4
HCPCS,27641,Partial removal of fibula,,,3374.06,12821.0,4
HCPCS,27645,Resect tibia tumor,,,6044.0,22111.0,4
HCPCS,27646,Resect fibula tumor,,,6044.0,22111.0,4
HCPCS,27647,Resect talus/calcaneus tum,,,5001.93,12821.0,4
HCPCS,27648,HC QUANTITATIVE ASSAY DRUG (25),3756.0,3756.0,,,0
HCPCS,27648,Injection for ankle x-ray,,,246.97,3195.0,4
HCPCS,27650,Repair achilles tendon,,,3434.45,14456.0,4
HCPCS,27652,Repair/graft achilles tendon,,,3401.04,14456.0,4
HCPCS,27654,Repair of achilles tendon,,,3728.53,14456.0,4
HCPCS,27656,Repair leg fascia defect,,,1752.35,10940.0,4
HCPCS,27658,Repair of leg tendon each,,,1956.37,10940.0,4
HCPCS,27659,Repair of leg tendon each,,,2456.15,10940.0,4
HCPCS,27664,Repair of leg tendon each,,,1881.26,12821.0,4
HCPCS,27665,Repair of leg tendon each,,,2189.53,12821.0,4
HCPCS,27675,Repair lower leg tendons,,,2583.17,10940.0,4
HCPCS,27676,Repair lower leg tendons,,,3175.28,12821.0,4
HCPCS,27680,Release of lower leg tendon,,,2247.33,12821.0,4
HCPCS,27681,Release of lower leg tendons,,,2702.64,12821.0,4
HCPCS,27685,Revision of lower leg tendon,,,2430.57,12821.0,4
HCPCS,27686,Revise lower leg tendons,,,2775.11,12821.0,4
HCPCS,27687,Revision of calf tendon,,,2386.11,12821.0,4
HCPCS,27690,Revise lower leg tendon,,,3342.55,14456.0,4
HCPCS,27691,Revise lower leg tendon,,,3878.11,14456.0,4
HCPCS,27692,Revise additional leg tendon,,,510.73,5248.0,4
HCPCS,27695,Repair of ankle ligament,,,2559.16,12821.0,4
HCPCS,27696,Repair of ankle ligaments,,,2809.54,12821.0,4
HCPCS,27698,Repair of ankle ligament,,,3301.22,12821.0,4
HCPCS,27700,Revision of ankle joint,,,3724.8,14456.0,4
HCPCS,27702,Reconstruct ankle joint,,,4937.77,22111.0,4
HCPCS,27703,Reconstruction ankle joint,,,5689.6,22111.0,4
HCPCS,27704,Removal of ankle implant,,,2920.48,12821.0,4
HCPCS,27705,Incision of tibia,,,3850.75,14456.0,4
HCPCS,27707,Incision of fibula,,,2149.23,12821.0,4
HCPCS,27709,Incision of tibia & fibula,,,4108.0,12821.0,4
HCPCS,27712,Realignment of lower leg,,,5691.86,22111.0,4
HCPCS,27713,Osteot tibia imed lngth dev,,,6979.0,9782.25,2
HCPCS,27715,Revision of lower leg,,,5363.0,22111.0,4
HCPCS,27720,Repair of tibia,,,4518.34,22111.0,4
HCPCS,27722,Repair/graft of tibia,,,4650.54,22111.0,4
HCPCS,27724,Repair/graft of tibia,,,6044.0,22111.0,4
HCPCS,27725,Repair of lower leg,,,6044.0,22111.0,4
HCPCS,27726,Repair fibula nonunion,,,4897.25,22111.0,4
HCPCS,27727,Repair of lower leg,,,5358.01,22111.0,4
HCPCS,27730,Repair of tibia epiphysis,,,3112.95,12821.0,4
HCPCS,27732,Repair of fibula epiphysis,,,2434.14,12821.0,4
HCPCS,27734,Repair lower leg epiphyses,,,3458.67,12821.0,4
HCPCS,27740,Repair of leg epiphyses,,,3713.04,12821.0,4
HCPCS,27742,Repair of leg epiphyses,,,4067.29,14456.0,4
HCPCS,27745,Reinforce tibia,,,3770.56,22111.0,4
HCPCS,27750,Treatment of tibia fracture,,,1814.41,3195.0,4
HCPCS,27752,Treatment of tibia fracture,,,2763.35,5664.0,4
HCPCS,27756,Treatment of tibia fracture,,,3120.29,10940.0,4
HCPCS,27758,Treatment of tibia fracture,,,4649.25,22111.0,4
HCPCS,27759,Treatment of tibia fracture,,,5141.09,22111.0,4
HCPCS,27760,Cltx medial ankle fx,,,1731.9,3195.0,4
HCPCS,27762,Cltx med ankle fx w/mnpj,,,2692.66,5664.0,4
HCPCS,27766,Optx medial ankle fx,,,3199.02,22111.0,4
HCPCS,27767,Cltx post ankle fx,,,1618.42,3195.0,4
HCPCS,27768,Cltx post ankle fx w/mnpj,,,2426.47,3195.0,4
HCPCS,27769,Optx post ankle fx,,,3758.31,22111.0,4
HCPCS,27780,Treatment of fibula fracture,,,1614.0,3195.0,4
HCPCS,27781,Treatment of fibula fracture,,,2231.03,4497.0,4
HCPCS,27784,Treatment of fibula fracture,,,3730.04,22111.0,4
HCPCS,27786,Treatment of ankle fracture,,,1591.06,3195.0,4
HCPCS,27788,Treatment of ankle fracture,,,2269.99,3195.0,4
HCPCS,27792,Treatment of ankle fracture,,,3362.25,22111.0,4
HCPCS,27808,Treatment of ankle fracture,,,1731.2,3195.0,4
HCPCS,27810,Treatment of ankle fracture,,,2551.5,4497.0,4
HCPCS,27814,Treatment of ankle fracture,,,3968.7,22111.0,4
HCPCS,27816,Treatment of ankle fracture,,,1702.76,3195.0,4
HCPCS,27818,Treatment of ankle fracture,,,2624.24,4497.0,4
HCPCS,27822,Treatment of ankle fracture,,,4560.38,22111.0,4
HCPCS,27823,Treatment of ankle fracture,,,5113.57,22111.0,4
HCPCS,27824,Treat lower leg fracture,,,1728.28,3195.0,4
HCPCS,27825,Treat lower leg fracture,,,2655.59,5664.0,4
HCPCS,27826,Treat lower leg fracture,,,4485.64,22111.0,4
HCPCS,27827,Treat lower leg fracture,,,5248.0,22111.0,4
HCPCS,27828,Treat lower leg fracture,,,5363.0,22111.0,4
HCPCS,27829,Treat lower leg joint,,,3700.58,22111.0,4
HCPCS,27830,Treat lower leg dislocation,,,1973.26,3195.0,4
HCPCS,27831,Treat lower leg dislocation,,,2213.12,4497.0,4
HCPCS,27832,Treat lower leg dislocation,,,3984.24,22111.0,4
HCPCS,27840,Treat ankle dislocation,,,2479.73,3195.0,4
HCPCS,27842,Treat ankle dislocation,,,2711.92,5664.0,4
HCPCS,27846,Treat ankle dislocation,,,3749.95,22111.0,4
HCPCS,27848,Treat ankle dislocation,,,4108.41,22111.0,4
HCPCS,27860,Fixation of ankle joint,,,850.73,5664.0,4
HCPCS,27870,Fusion of ankle joint open,,,5170.82,22111.0,4
HCPCS,27871,Fusion of tibiofibular joint,,,3593.63,22111.0,4
HCPCS,27880,Amputation of lower leg,,,4724.47,25393.0,4
HCPCS,27881,Amputation of lower leg,,,4332.29,22111.0,4
HCPCS,27882,Amputation of lower leg,,,3160.22,22111.0,4
HCPCS,27884,Amputation follow-up surgery,,,3095.58,10940.0,4
HCPCS,27886,Amputation follow-up surgery,,,3415.02,22111.0,4
HCPCS,27888,Amputation of foot at ankle,,,3084.46,22111.0,4
HCPCS,27889,Amputation of foot at ankle,,,3393.22,12821.0,4
HCPCS,27892,Decompression of leg,,,2894.47,12821.0,4
HCPCS,27893,Decompression of leg,,,3253.52,12821.0,4
HCPCS,27894,Decompression of leg,,,4279.08,12821.0,4
HCPCS,27899,Leg/ankle surgery procedure,,,2505.0,3195.0,3
HCPCS,28001,Drainage of bursa of foot,,,481.22,5664.0,4
HCPCS,28002,Treatment of foot infection,,,702.67,10940.0,4
HCPCS,28003,Treatment of foot infection,,,1284.68,10940.0,4
HCPCS,28005,Treat foot bone lesion,,,2926.14,10940.0,4
HCPCS,28008,Incision of foot fascia,,,1502.84,10940.0,4
HCPCS,28010,Incision of toe tendon,,,1070.35,10940.0,4
HCPCS,28011,Incision of toe tendons,,,1438.09,10940.0,4
HCPCS,28020,Exploration of foot joint,,,1919.68,10940.0,4
HCPCS,28022,Exploration of foot joint,,,1711.07,10940.0,4
HCPCS,28024,Exploration of toe joint,,,1620.2,10940.0,4
HCPCS,28035,Decompression of tibia nerve,,,1878.51,10940.0,4
HCPCS,28039,Exc foot/toe tum sc 1.5 cm/>,,,1726.56,10940.0,4
HCPCS,28041,Exc foot/toe tum dep 1.5cm/>,,,2309.65,10940.0,4
HCPCS,28043,Exc foot/toe tum sc < 1.5 cm,,,1346.79,5664.0,4
HCPCS,28045,Exc foot/toe tum deep <1.5cm,,,1794.22,5664.0,4
HCPCS,28046,Resect foot/toe tumor < 3 cm,,,3652.93,5664.0,4
HCPCS,28047,Resect foot/toe tumor 3 cm/>,,,5248.0,10940.0,4
HCPCS,28050,Biopsy of foot joint lining,,,1428.16,10940.0,4
HCPCS,28052,Biopsy of foot joint lining,,,1316.84,10940.0,4
HCPCS,28054,Biopsy of toe joint lining,,,1203.69,10940.0,4
HCPCS,28055,Neurectomy foot,,,2034.35,10940.0,4
HCPCS,28060,Partial removal foot fascia,,,1874.89,10940.0,4
HCPCS,28062,Removal of foot fascia,,,2098.23,10940.0,4
HCPCS,28070,Removal of foot joint lining,,,1788.72,10940.0,4
HCPCS,28072,Removal of foot joint lining,,,1701.74,10940.0,4
HCPCS,28080,Removal of foot lesion,,,1999.16,10940.0,4
HCPCS,28086,Excise foot tendon sheath,,,1833.78,10940.0,4
HCPCS,28088,Excise foot tendon sheath,,,1551.51,10940.0,4
HCPCS,28090,Removal of foot lesion,,,1602.23,10940.0,4
HCPCS,28092,Removal of toe lesions,,,1413.37,10940.0,4
HCPCS,28100,Removal of ankle/heel lesion,,,2214.19,10940.0,4
HCPCS,28102,Remove/graft foot lesion,,,3231.29,22111.0,4
HCPCS,28103,Remove/graft foot lesion,,,1971.81,22111.0,4
HCPCS,28104,Removal of foot lesion,,,1854.34,10940.0,4
HCPCS,28106,Remove/graft foot lesion,,,2162.93,22111.0,4
HCPCS,28107,Remove/graft foot lesion,,,1767.14,22111.0,4
HCPCS,28108,Removal of toe lesions,,,1489.24,10940.0,4
HCPCS,28110,Part removal of metatarsal,,,1533.87,10940.0,4
HCPCS,28111,Part removal of metatarsal,,,1653.33,10940.0,4
HCPCS,28112,Part removal of metatarsal,,,1615.83,10940.0,4
HCPCS,28113,Part removal of metatarsal,,,2203.29,10940.0,4
HCPCS,28114,Removal of metatarsal heads,,,4373.94,10940.0,4
HCPCS,28116,Revision of foot,,,2650.84,10940.0,4
HCPCS,28118,Removal of heel bone,,,2225.69,10940.0,4
HCPCS,28119,Removal of heel spur,,,1886.17,10940.0,4
HCPCS,28120,Part removal of ankle/heel,,,2568.55,10940.0,4
HCPCS,28122,Partial removal of foot bone,,,2274.79,10940.0,4
HCPCS,28124,Partial removal of toe,,,1725.32,10940.0,4
HCPCS,28126,Partial removal of toe,,,1294.12,10940.0,4
HCPCS,28130,Removal of ankle bone,,,3299.82,10940.0,4
HCPCS,28140,Removal of metatarsal,,,2186.41,10940.0,4
HCPCS,28150,Removal of toe,,,1444.83,10940.0,4
HCPCS,28153,Partial removal of toe,,,1358.87,10940.0,4
HCPCS,28160,Partial removal of toe,,,1386.5,10940.0,4
HCPCS,28171,Resect tarsal tumor,,,5248.0,10940.0,4
HCPCS,28173,Resect metatarsal tumor,,,3660.81,10940.0,4
HCPCS,28175,Resect phalanx of toe tumor,,,2384.82,10940.0,4
HCPCS,28190,Removal of foot foreign body,,,694.41,4497.0,4
HCPCS,28192,Removal of foot foreign body,,,1596.84,5664.0,4
HCPCS,28193,Removal of foot foreign body,,,1857.03,5363.0,4
HCPCS,28200,Repair of foot tendon,,,1706.32,10940.0,4
HCPCS,28202,Repair/graft of foot tendon,,,2227.2,10940.0,4
HCPCS,28208,Repair of foot tendon,,,1687.33,10940.0,4
HCPCS,28210,Repair/graft of foot tendon,,,2177.72,22111.0,4
HCPCS,28220,Release of foot tendon,,,1568.13,10940.0,4
HCPCS,28222,Release of foot tendons,,,1906.24,10940.0,4
HCPCS,28225,Release of foot tendon,,,1363.41,10940.0,4
HCPCS,28226,Release of foot tendons,,,2148.63,10940.0,4
HCPCS,28230,Incision of foot tendon(s),,,1468.31,10940.0,4
HCPCS,28232,Incision of toe tendon,,,1252.95,10940.0,4
HCPCS,28234,Incision of foot tendon,,,1409.49,10940.0,4
HCPCS,28238,Revision of foot tendon,,,2524.36,22111.0,4
HCPCS,28240,Release of big toe,,,1506.4,10940.0,4
HCPCS,28250,Revision of foot fascia,,,2123.92,10940.0,4
HCPCS,28260,Release of midfoot joint,,,2811.48,10940.0,4
HCPCS,28261,Revision of foot tendon,,,4371.52,10940.0,4
HCPCS,28262,Revision of foot and ankle,,,5363.0,10940.0,4
HCPCS,28264,Release of midfoot joint,,,3195.0,14456.0,4
HCPCS,28270,Release of foot contracture,,,1727.75,10940.0,4
HCPCS,28272,Release of toe joint each,,,1300.22,10940.0,4
HCPCS,28280,Fusion of toes,,,1755.48,10940.0,4
HCPCS,28285,Repair of hammertoe,,,2017.13,10940.0,4
HCPCS,28286,Repair of hammertoe,,,1509.32,10940.0,4
HCPCS,28288,Partial removal of foot bone,,,2262.17,10940.0,4
HCPCS,28289,Corrj halux rigdus w/o implt,,,2400.19,10940.0,4
HCPCS,28291,Corrj halux rigdus w/implt,,,2417.62,22111.0,4
HCPCS,28292,Correction hallux valgus,,,2506.98,12821.0,4
HCPCS,28295,Correction hallux valgus,,,3089.86,12821.0,4
HCPCS,28296,Correction hallux valgus,,,2642.96,12821.0,4
HCPCS,28297,Correction hallux valgus,,,3080.36,12821.0,4
HCPCS,28298,Correction hallux valgus,,,2650.73,12821.0,4
HCPCS,28299,Correction hallux valgus,,,3089.97,12821.0,4
HCPCS,28300,Incision of heel bone,,,3387.07,22111.0,4
HCPCS,28302,Incision of ankle bone,,,3751.52,10940.0,4
HCPCS,28304,Incision of midfoot bones,,,3216.39,22111.0,4
HCPCS,28305,Incise/graft midfoot bones,,,3458.62,22111.0,4
HCPCS,28306,Incision of metatarsal,,,2117.34,10940.0,4
HCPCS,28307,Incision of metatarsal,,,2747.97,10940.0,4
HCPCS,28308,Incision of metatarsal,,,2027.12,10940.0,4
HCPCS,28309,Incision of metatarsals,,,4642.29,22111.0,4
HCPCS,28310,Revision of big toe,,,1913.1,10940.0,4
HCPCS,28312,Revision of toe,,,1895.72,10940.0,4
HCPCS,28313,Repair deformity of toe,,,1897.29,10940.0,4
HCPCS,28315,Removal of sesamoid bone,,,1696.07,10940.0,4
HCPCS,28320,Repair of foot bones,,,3190.33,22111.0,4
HCPCS,28322,Repair of metatarsals,,,2982.96,10940.0,4
HCPCS,28340,Resect enlarged toe tissue,,,2077.68,10940.0,4
HCPCS,28341,Resect enlarged toe,,,2462.73,10940.0,4
HCPCS,28344,Repair extra toe(s),,,1431.67,10940.0,4
HCPCS,28345,Repair webbed toe(s),,,1842.57,10940.0,4
HCPCS,28360,Reconstruct cleft foot,,,5707.94,22111.0,4
HCPCS,28400,Treatment of heel fracture,,,1262.12,3195.0,4
HCPCS,28405,Treatment of heel fracture,,,2197.68,4108.0,4
HCPCS,28406,Treatment of heel fracture,,,3004.38,10940.0,4
HCPCS,28415,Treat heel fracture,,,5248.0,22111.0,4
HCPCS,28420,Treat/graft heel fracture,,,5363.0,22111.0,4
HCPCS,28430,Treatment of ankle fracture,,,1171.85,3195.0,4
HCPCS,28435,Treatment of ankle fracture,,,1796.49,5664.0,4
HCPCS,28436,Treatment of ankle fracture,,,2703.29,10940.0,4
HCPCS,28445,Treat ankle fracture,,,5248.0,22111.0,4
HCPCS,28446,Osteochondral talus autogrft,,,5363.0,22111.0,4
HCPCS,28450,Treat midfoot fracture each,,,1046.12,3195.0,4
HCPCS,28455,Treat midfoot fracture each,,,1191.33,3195.0,4
HCPCS,28456,Treat midfoot fracture,,,2058.3,10940.0,4
HCPCS,28465,Treat midfoot fracture each,,,3398.29,22111.0,4
HCPCS,28470,Treat metatarsal fracture,,,1121.18,3195.0,4
HCPCS,28475,Treat metatarsal fracture,,,1219.55,3195.0,4
HCPCS,28476,Treat metatarsal fracture,,,2082.48,10940.0,4
HCPCS,28485,Treat metatarsal fracture,,,2954.47,22111.0,4
HCPCS,28490,Treat big toe fracture,,,708.12,3195.0,4
HCPCS,28495,Treat big toe fracture,,,828.77,3195.0,4
HCPCS,28496,Treat big toe fracture,,,1517.52,10940.0,4
HCPCS,28505,Treat big toe fracture,,,2578.86,10940.0,4
HCPCS,28510,Treatment of toe fracture,,,668.24,3195.0,4
HCPCS,28515,Treatment of toe fracture,,,777.56,3195.0,4
HCPCS,28525,Treat toe fracture,,,2101.58,10940.0,4
HCPCS,28530,Treat sesamoid bone fracture,,,552.82,3195.0,4
HCPCS,28531,Treat sesamoid bone fracture,,,941.76,10940.0,4
HCPCS,28540,Treat foot dislocation,,,916.89,3195.0,4
HCPCS,28545,Treat foot dislocation,,,1502.52,10940.0,4
HCPCS,28546,Treat foot dislocation,,,1940.67,10940.0,4
HCPCS,28555,Repair foot dislocation,,,3378.06,22111.0,4
HCPCS,28570,Treat foot dislocation,,,1108.07,3195.0,4
HCPCS,28575,Treat foot dislocation,,,1860.59,5664.0,4
HCPCS,28576,Treat foot dislocation,,,2123.76,10940.0,4
HCPCS,28585,Repair foot dislocation,,,3720.54,10940.0,4
HCPCS,28600,Treat foot dislocation,,,847.39,3195.0,4
HCPCS,28605,Treat foot dislocation,,,1691.54,3195.0,4
HCPCS,28606,Treat foot dislocation,,,2127.0,10940.0,4
HCPCS,28615,Repair foot dislocation,,,4356.24,22111.0,4
HCPCS,28630,Treat toe dislocation,,,614.17,3195.0,4
HCPCS,28635,Treat toe dislocation,,,670.88,5664.0,4
HCPCS,28636,Treat toe dislocation,,,1199.26,10940.0,4
HCPCS,28645,Repair toe dislocation,,,2525.71,10940.0,4
HCPCS,28660,Treat toe dislocation,,,554.92,3195.0,4
HCPCS,28665,Treat toe dislocation,,,652.54,3195.0,4
HCPCS,28666,Treat toe dislocation,,,887.26,10940.0,4
HCPCS,28675,Repair of toe dislocation,,,2145.61,10940.0,4
HCPCS,28705,Fusion of foot bones,,,5363.0,22111.0,4
HCPCS,28715,Fusion of foot bones,,,4895.47,22111.0,4
HCPCS,28725,Fusion of foot bones,,,4030.49,22111.0,4
HCPCS,28730,Fusion of foot bones,,,3741.86,22111.0,4
HCPCS,28735,Fusion of foot bones,,,4031.84,22111.0,4
HCPCS,28737,Revision of foot bones,,,3477.29,22111.0,4
HCPCS,28740,Fusion of foot bones,,,3178.14,22111.0,4
HCPCS,28750,Fusion of big toe joint,,,2950.16,22111.0,4
HCPCS,28755,Fusion of big toe joint,,,2558.19,10940.0,4
HCPCS,28760,Fusion of big toe joint,,,2943.03,22111.0,4
HCPCS,28800,Amputation of midfoot,,,2703.07,12821.0,4
HCPCS,28805,Amputation thru metatarsal,,,3601.56,10940.0,4
HCPCS,28810,Amputation toe & metatarsal,,,2192.88,10940.0,4
HCPCS,28820,Amputation of toe,,,902.48,10940.0,4
HCPCS,28825,Partial amputation of toe,,,871.13,10940.0,4
HCPCS,28890,Hi enrgy eswt plantar fascia,,,1116.59,12821.0,4
HCPCS,28899,Foot/toes surgery procedure,,,2505.0,3195.0,3
HCPCS,29000,Application of body cast,,,1193.54,6979.0,4
HCPCS,29010,Application of body cast,,,849.17,6979.0,4
HCPCS,29015,Application of body cast,,,942.95,6979.0,4
HCPCS,29035,Application of body cast,,,766.99,6979.0,4
HCPCS,29040,Application of body cast,,,912.68,6979.0,4
HCPCS,29044,Application of body cast,,,885.86,6979.0,4
HCPCS,29046,Application of body cast,,,987.79,6979.0,4
HCPCS,29049,Application of figure eight,,,371.95,6979.0,4
HCPCS,29055,Application of shoulder cast,,,727.43,6979.0,4
HCPCS,29058,Application of shoulder cast,,,487.2,6979.0,4
HCPCS,29065,Application of long arm cast,,,356.03,6979.0,4
HCPCS,29065,HC APPLY SHORT ARM CAST,1586.0,1586.0,,,0
HCPCS,29075,Application of forearm cast,,,323.0,6979.0,4
HCPCS,29075,HC APPLY LONG LEG CAST,1586.0,1586.0,,,0
HCPCS,29085,Apply hand/wrist cast,,,349.88,6979.0,4
HCPCS,29085,HC HEARING AID EXAM ONE EAR,718.0,718.0,,,0
HCPCS,29086,Apply finger cast,,,247.46,6979.0,4
HCPCS,29086,HC VASC EMBOLIZE/OCCLUDE BLEED,718.0,718.0,,,0
HCPCS,29105,Apply long arm splint,,,217.62,6979.0,4
HCPCS,29125,Apply forearm splint,,,224.69,6979.0,4
HCPCS,29126,Apply forearm splint,,,248.43,6979.0,4
HCPCS,29130,Application of finger splint,,,144.45,6979.0,4
HCPCS,29131,Application of finger splint,,,172.4,6979.0,4
HCPCS,29200,Strapping of chest,,,83.26,6979.0,4
HCPCS,29240,Strapping of shoulder,,,83.26,6979.0,4
HCPCS,29260,Strapping of elbow or wrist,,,85.96,6979.0,4
HCPCS,29280,Strapping of hand or finger,,,94.81,6979.0,4
HCPCS,29305,Application of hip cast,,,839.35,3195.0,4
HCPCS,29325,Application of hip casts,,,932.64,4108.0,4
HCPCS,29345,Application of long leg cast,,,508.63,3195.0,4
HCPCS,29345,"HC ENDOTRACHEAL, INTUBATION EMERGENCY",1188.0,1188.0,,,0
HCPCS,29355,Application of long leg cast,,,539.11,6979.0,4
HCPCS,29358,Apply long leg cast brace,,,534.1,6979.0,4
HCPCS,29365,Application of long leg cast,,,455.64,6979.0,4
HCPCS,29405,Apply short leg cast,,,306.76,6979.0,4
HCPCS,29405,"HC REMOVAL INDWELLING URETERAL STENT, PERQ  APPROACH",617.0,617.0,,,0
HCPCS,29425,Apply short leg cast,,,278.7,6979.0,4
HCPCS,29435,Apply short leg cast,,,451.48,6979.0,4
HCPCS,29440,Addition of walker to cast,,,142.02,6979.0,4
HCPCS,29445,Apply rigid leg cast,,,500.43,6979.0,4
HCPCS,29450,Application of leg cast,,,551.96,6979.0,4
HCPCS,29505,Application long leg splint,,,300.72,6979.0,4
HCPCS,29515,Application lower leg splint,,,274.17,6979.0,4
HCPCS,29520,Strapping of hip,,,83.26,6979.0,4
HCPCS,29530,Strapping of knee,,,83.26,6979.0,4
HCPCS,29540,Strapping of ankle and/or ft,,,85.2,6979.0,4
HCPCS,29550,Strapping of toes,,,53.85,6979.0,4
HCPCS,29580,Application of paste boot,,,131.77,6979.0,4
HCPCS,29581,Apply multlay comprs lwr leg,,,124.54,6979.0,4
HCPCS,29584,Appl multlay comprs arm/hand,,,72.58,6979.0,4
HCPCS,29700,Removal/revision of cast,,,168.41,6979.0,4
HCPCS,29705,Removal/revision of cast,,,228.9,6979.0,4
HCPCS,29710,Removal/revision of cast,,,410.91,6979.0,4
HCPCS,29720,Repair of body cast,,,218.92,6979.0,4
HCPCS,29730,Windowing of cast,,,217.51,6979.0,4
HCPCS,29740,Wedging of cast,,,342.21,6979.0,4
HCPCS,29750,Wedging of clubfoot cast,,,382.47,6979.0,4
HCPCS,29799,Casting/strapping procedure,,,2505.0,2782.0,2
HCPCS,29800,Jaw arthroscopy/surgery,,,2817.04,12821.0,4
HCPCS,29804,Jaw arthroscopy/surgery,,,2975.73,12821.0,4
HCPCS,29805,Shoulder arthroscopy dx,,,2481.62,12821.0,4
HCPCS,29806,Shoulder arthroscopy/surgery,,,5248.0,22111.0,4
HCPCS,29807,Shoulder arthroscopy/surgery,,,5248.0,22111.0,4
HCPCS,29819,Shoulder arthroscopy/surgery,,,3045.93,22111.0,4
HCPCS,29820,Shoulder arthroscopy/surgery,,,2776.78,22111.0,4
HCPCS,29821,Shoulder arthroscopy/surgery,,,3088.51,22111.0,4
HCPCS,29822,Shoulder arthroscopy/surgery,,,2855.4,12821.0,4
HCPCS,29823,Shoulder arthroscopy/surgery,,,3098.11,22111.0,4
HCPCS,29824,Shoulder arthroscopy/surgery,,,3539.07,22111.0,4
HCPCS,29825,Shoulder arthroscopy/surgery,,,3065.14,22111.0,4
HCPCS,29826,Shoulder arthroscopy/surgery,,,841.99,5248.0,4
HCPCS,29827,Arthroscop rotator cuff repr,,,5457.57,22111.0,4
HCPCS,29828,Arthroscopy biceps tenodesis,,,4708.44,22111.0,4
HCPCS,29830,Elbow arthroscopy,,,2432.46,22111.0,4
HCPCS,29834,Elbow arthroscopy/surgery,,,2591.27,12821.0,4
HCPCS,29835,Elbow arthroscopy/surgery,,,2697.35,22111.0,4
HCPCS,29836,Elbow arthroscopy/surgery,,,3030.12,22111.0,4
HCPCS,29837,Elbow arthroscopy/surgery,,,2810.94,12821.0,4
HCPCS,29838,Elbow arthroscopy/surgery,,,3093.58,12821.0,4
HCPCS,29840,Wrist arthroscopy,,,2437.37,12821.0,4
HCPCS,29843,Wrist arthroscopy/surgery,,,2596.34,12821.0,4
HCPCS,29844,Wrist arthroscopy/surgery,,,2603.03,12821.0,4
HCPCS,29845,Wrist arthroscopy/surgery,,,3023.0,12821.0,4
HCPCS,29846,Wrist arthroscopy/surgery,,,2697.78,12821.0,4
HCPCS,29847,Wrist arthroscopy/surgery,,,2869.92,22111.0,4
HCPCS,29848,Wrist endoscopy/surgery,,,2673.93,12821.0,4
HCPCS,29850,Knee arthroscopy/surgery,,,3294.31,12821.0,4
HCPCS,29851,Knee arthroscopy/surgery,,,4819.01,14456.0,4
HCPCS,29855,Tibial arthroscopy/surgery,,,4060.92,22111.0,4
HCPCS,29856,Tibial arthroscopy/surgery,,,5138.02,22111.0,4
HCPCS,29860,Hip arthroscopy dx,,,3410.0,22111.0,4
HCPCS,29861,Hip arthro w/fb removal,,,3648.45,22111.0,4
HCPCS,29862,Hip arthr0 w/debridement,,,4220.16,22111.0,4
HCPCS,29863,Hip arthr0 w/synovectomy,,,4201.43,22111.0,4
HCPCS,29866,Autgrft implnt knee w/scope,,,5248.0,22111.0,4
HCPCS,29867,Allgrft implnt knee w/scope,,,5248.0,22111.0,4
HCPCS,29868,Meniscal trnspl knee w/scpe,,,5248.0,22111.0,4
HCPCS,29870,Knee arthroscopy dx,,,2204.1,12821.0,4
HCPCS,29871,Knee arthroscopy/drainage,,,2719.37,12821.0,4
HCPCS,29873,Knee arthroscopy/surgery,,,2860.31,12821.0,4
HCPCS,29874,Knee arthroscopy/surgery,,,2805.92,12821.0,4
HCPCS,29875,Knee arthroscopy/surgery,,,2625.69,12821.0,4
HCPCS,29876,Knee arthroscopy/surgery,,,3415.18,12821.0,4
HCPCS,29877,Knee arthroscopy/surgery,,,3255.14,12821.0,4
HCPCS,29879,Knee arthroscopy/surgery,,,3464.12,12821.0,4
HCPCS,29880,Knee arthroscopy/surgery,,,2952.04,12821.0,4
HCPCS,29881,Knee arthroscopy/surgery,,,2852.65,12821.0,4
HCPCS,29882,Knee arthroscopy/surgery,,,3569.24,12821.0,4
HCPCS,29883,Knee arthroscopy/surgery,,,4382.9,12821.0,4
HCPCS,29884,Knee arthroscopy/surgery,,,3251.52,12821.0,4
HCPCS,29885,Knee arthroscopy/surgery,,,3963.09,22111.0,4
HCPCS,29886,Knee arthroscopy/surgery,,,3359.55,12821.0,4
HCPCS,29887,Knee arthroscopy/surgery,,,3951.44,12821.0,4
HCPCS,29888,Knee arthroscopy/surgery,,,4969.07,22111.0,4
HCPCS,29889,Knee arthroscopy/surgery,,,5248.0,22111.0,4
HCPCS,29891,Ankle arthroscopy/surgery,,,3499.85,22111.0,4
HCPCS,29892,Ankle arthroscopy/surgery,,,3286.06,14456.0,4
HCPCS,29893,Scope plantar fasciotomy,,,2259.52,10940.0,4
HCPCS,29894,Ankle arthroscopy/surgery,,,2625.26,12821.0,4
HCPCS,29895,Ankle arthroscopy/surgery,,,2389.19,12821.0,4
HCPCS,29897,Ankle arthroscopy/surgery,,,2569.41,12821.0,4
HCPCS,29898,Ankle arthroscopy/surgery,,,2891.55,12821.0,4
HCPCS,29899,Ankle arthroscopy/surgery,,,5137.37,22111.0,4
HCPCS,29900,Mcp joint arthroscopy dx,,,2715.05,12821.0,4
HCPCS,29901,Mcp joint arthroscopy surg,,,2885.78,22111.0,4
HCPCS,29902,Mcp joint arthroscopy surg,,,3051.11,12821.0,4
HCPCS,29904,Subtalar arthro w/fb rmvl,,,3348.92,12821.0,4
HCPCS,29905,Subtalar arthro w/exc,,,2611.77,12821.0,4
HCPCS,29906,Subtalar arthro w/deb,,,3460.29,12821.0,4
HCPCS,29907,Subtalar arthro w/fusion,,,4573.65,22111.0,4
HCPCS,29914,Hip arthro w/femoroplasty,,,5113.47,22111.0,4
HCPCS,29915,Hip arthro acetabuloplasty,,,5211.83,22111.0,4
HCPCS,29916,Hip arthro w/labral repair,,,5202.23,22111.0,4
HCPCS,29999,Arthroscopy of joint,,,2505.0,3195.0,3
HCPCS,30000,Drainage of nose lesion,,,602.46,3195.0,4
HCPCS,30020,Drainage of nose lesion,,,607.59,3195.0,4
HCPCS,30100,Intranasal biopsy,,,335.42,5664.0,4
HCPCS,30110,Removal of nose polyp(s),,,654.27,5664.0,4
HCPCS,30115,Removal of nose polyp(s),,,2331.94,10940.0,4
HCPCS,30117,Removal of intranasal lesion,,,2015.95,5664.0,4
HCPCS,30118,Removal of intranasal lesion,,,3451.71,10940.0,4
HCPCS,30120,Revision of nose,,,2047.13,10940.0,4
HCPCS,30124,Removal of nose lesion,,,1511.26,5664.0,4
HCPCS,30125,Removal of nose lesion,,,3207.98,14456.0,4
HCPCS,30130,Excise inferior turbinate,,,2102.12,10940.0,4
HCPCS,30140,Resect inferior turbinate,,,856.51,10940.0,4
HCPCS,30150,Partial removal of nose,,,3913.88,14456.0,4
HCPCS,30160,Removal of nose,,,3973.4,14456.0,4
HCPCS,30200,Injection treatment of nose,,,296.02,6979.0,4
HCPCS,30210,Nasal sinus therapy,,,521.47,6979.0,4
HCPCS,30220,Insert nasal septal button,,,631.87,5664.0,4
HCPCS,30300,Remove nasal foreign body,,,620.32,6979.0,4
HCPCS,30310,Remove nasal foreign body,,,1025.24,5664.0,4
HCPCS,30320,Remove nasal foreign body,,,2438.07,5664.0,4
HCPCS,30400,Reconstruction of nose,,,5363.0,10940.0,4
HCPCS,30410,Reconstruction of nose,,,6044.0,14456.0,4
HCPCS,30420,Reconstruction of nose,,,6044.0,14456.0,4
HCPCS,30430,Revision of nose,,,5248.0,10940.0,4
HCPCS,30435,Revision of nose,,,6044.0,14456.0,4
HCPCS,30450,Revision of nose,,,8406.0,14456.0,4
HCPCS,30460,Revision of nose,,,4223.61,14456.0,4
HCPCS,30462,Revision of nose,,,8058.49,14456.0,4
HCPCS,30465,Repair Nasal Stenosis,,,5032.69,14456.0,4
HCPCS,30468,Rpr nsl vlv collapse w/implt,,,812.31,14456.0,4
HCPCS,30469,Rpr nsl vlv collapse w/rmdlg,,,722.9,14456.0,4
HCPCS,30520,Repair of nasal septum,,,3317.19,10940.0,4
HCPCS,30540,Repair nasal defect,,,3642.79,14456.0,4
HCPCS,30545,Repair nasal defect,,,4906.37,14456.0,4
HCPCS,30560,Release of nasal adhesions,,,749.13,4108.0,4
HCPCS,30580,Repair upper jaw fistula,,,2303.82,14456.0,4
HCPCS,30600,Repair mouth/nose fistula,,,2120.79,14456.0,4
HCPCS,30620,Intranasal reconstruction,,,3320.27,14456.0,4
HCPCS,30630,Repair nasal septum defect,,,3297.77,10940.0,4
HCPCS,30801,Ablate inf turbinate superf,,,748.26,5664.0,4
HCPCS,30802,Ablate inf turbinate submuc,,,990.6,5664.0,4
HCPCS,30901,Control of nosebleed,,,283.94,3195.0,4
HCPCS,30903,Control of nosebleed,,,399.63,3195.0,4
HCPCS,30905,Control of nosebleed,,,565.39,3195.0,4
HCPCS,30906,Repeat control of nosebleed,,,676.44,3195.0,4
HCPCS,30915,Ligation nasal sinus artery,,,2952.53,12821.0,4
HCPCS,30920,Ligation upper jaw artery,,,4244.44,12821.0,4
HCPCS,30930,Ther fx nasal inf turbinate,,,589.62,10940.0,4
HCPCS,30999,Nasal surgery procedure,,,2505.0,3195.0,3
HCPCS,31000,Irrigation maxillary sinus,,,552.28,3195.0,4
HCPCS,31002,Irrigation sphenoid sinus,,,897.09,5664.0,4
HCPCS,31020,Exploration maxillary sinus,,,1747.01,10940.0,4
HCPCS,31030,Exploration maxillary sinus,,,2570.06,14456.0,4
HCPCS,31032,Explore sinus remove polyps,,,2989.82,14456.0,4
HCPCS,31040,Exploration behind upper jaw,,,3940.0,10940.0,4
HCPCS,31050,Exploration sphenoid sinus,,,2578.91,14456.0,4
HCPCS,31051,Sphenoid sinus surgery,,,3436.77,14456.0,4
HCPCS,31070,Exploration of frontal sinus,,,2379.85,10940.0,4
HCPCS,31075,Exploration of frontal sinus,,,4072.04,14456.0,4
HCPCS,31080,Removal of frontal sinus,,,5345.06,14456.0,4
HCPCS,31081,Removal of frontal sinus,,,5363.0,14456.0,4
HCPCS,31084,Removal of frontal sinus,,,5363.0,14456.0,4
HCPCS,31085,Removal of frontal sinus,,,5363.0,14456.0,4
HCPCS,31086,Removal of frontal sinus,,,5363.0,14456.0,4
HCPCS,31087,Removal of frontal sinus,,,5363.0,14456.0,4
HCPCS,31090,Exploration of sinuses,,,5460.37,14456.0,4
HCPCS,31200,Removal of ethmoid sinus,,,3095.69,14456.0,4
HCPCS,31201,Removal of ethmoid sinus,,,3847.46,6044.0,4
HCPCS,31205,Removal of ethmoid sinus,,,4511.06,10940.0,4
HCPCS,31225,Removal of upper jaw,,,5097.0,8718.86,4
HCPCS,31230,Removal of upper jaw,,,5097.0,9669.42,4
HCPCS,31231,Nasal endoscopy dx,,,306.82,4108.0,4
HCPCS,31233,Nasal/sinus endoscopy dx,,,651.24,4108.0,4
HCPCS,31235,Nasal/sinus endoscopy dx,,,768.44,5664.0,4
HCPCS,31237,Nasal/sinus endoscopy surg,,,769.96,5664.0,4
HCPCS,31238,Nasal/sinus endoscopy surg,,,803.95,5664.0,4
HCPCS,31239,Nasal/sinus endoscopy surg,,,2874.34,10940.0,4
HCPCS,31240,Nasal/sinus endoscopy surg,,,761.32,10940.0,4
HCPCS,31241,Nsl/sins ndsc w/artery lig,,,2098.83,10940.0,4
HCPCS,31242,Nsl/sinus ndsc rf abltj pnn,,,755.39,14456.0,4
HCPCS,31243,Nsl/sinus ndsc cryoabltj pnn,,,755.39,14456.0,4
HCPCS,31253,Nsl/sins ndsc total,,,2364.37,12821.0,4
HCPCS,31254,Revision of ethmoid sinus,,,1153.5,10940.0,4
HCPCS,31255,Removal of ethmoid sinus,,,1534.73,12821.0,4
HCPCS,31256,Exploration maxillary sinus,,,853.86,10940.0,4
HCPCS,31257,Nsl/sins ndsc tot w/sphendt,,,2109.19,12821.0,4
HCPCS,31259,Nsl/sins ndsc sphn tiss rmvl,,,2234.54,12821.0,4
HCPCS,31267,Endoscopy maxillary sinus,,,1257.38,10940.0,4
HCPCS,31276,Sinus endoscopy surgical,,,1787.16,12821.0,4
HCPCS,31287,Nasal/sinus endoscopy surg,,,953.1,12821.0,4
HCPCS,31288,Nasal/sinus endoscopy surg,,,1110.66,12821.0,4
HCPCS,31290,Nasal/sinus endoscopy surg,,,5097.0,5664.0,4
HCPCS,31291,Nasal/sinus endoscopy surg,,,5097.0,6068.02,4
HCPCS,31292,Nasal/sinus endoscopy surg,,,4755.17,12821.0,4
HCPCS,31293,Nasal/sinus endoscopy surg,,,5142.93,12821.0,4
HCPCS,31294,Nasal/sinus endoscopy surg,,,5248.0,12821.0,4
HCPCS,31295,Sinus endo w/balloon dil,,,755.39,12821.0,4
HCPCS,31296,Sinus endo w/balloon dil,,,852.03,12821.0,4
HCPCS,31297,Sinus endo w/balloon dil,,,691.88,10940.0,4
HCPCS,31298,Nsl/sins ndsc w/sins dilat,,,1209.03,12821.0,4
HCPCS,31299,Sinus surgery procedure,,,2505.0,6979.0,3
HCPCS,31300,Removal of larynx lesion,,,6044.0,10940.0,4
HCPCS,31360,Removal of larynx,,,5097.0,9969.76,4
HCPCS,31365,Removal of larynx,,,5097.0,12293.22,4
HCPCS,31367,Partial removal of larynx,,,5097.0,10578.48,4
HCPCS,31368,Partial removal of larynx,,,5097.0,11673.54,4
HCPCS,31370,Partial removal of larynx,,,5097.0,9950.39,4
HCPCS,31375,Partial removal of larynx,,,5097.0,9470.9,4
HCPCS,31380,Partial removal of larynx,,,5097.0,9342.9,4
HCPCS,31382,Partial removal of larynx,,,5097.0,10206.32,4
HCPCS,31390,Removal of larynx & pharynx,,,5097.0,13465.23,4
HCPCS,31395,Reconstruct larynx & pharynx,,,5097.0,14129.75,4
HCPCS,31400,Revision of larynx,,,4108.0,14456.0,4
HCPCS,31420,Removal of epiglottis,,,4074.14,14456.0,4
HCPCS,31500,HC CATHETER ASPIRATION: NASOTRACHEAL,727.0,727.0,,,0
HCPCS,31500,Insert emergency airway,,,756.3,3195.0,4
HCPCS,31502,Change of windpipe airway,,,169.65,3195.0,4
HCPCS,31505,Diagnostic laryngoscopy,,,242.44,6979.0,4
HCPCS,31510,Laryngoscopy with biopsy,,,583.2,5664.0,4
HCPCS,31511,Remove foreign body larynx,,,647.63,4108.0,4
HCPCS,31512,Removal of larynx lesion,,,625.29,10940.0,4
HCPCS,31513,Injection into vocal cord,,,630.68,4108.0,4
HCPCS,31515,Laryngoscopy for aspiration,,,563.4,3195.0,4
HCPCS,31520,Dx laryngoscopy newborn,,,752.42,3195.0,4
HCPCS,31525,Dx laryngoscopy excl nb,,,767.63,5664.0,4
HCPCS,31526,Dx laryngoscopy w/oper scope,,,754.2,5664.0,4
HCPCS,31527,Laryngoscopy for treatment,,,930.43,10940.0,4
HCPCS,31528,Laryngoscopy and dilation,,,697.22,10940.0,4
HCPCS,31529,Laryngoscopy and dilation,,,769.74,10940.0,4
HCPCS,31530,Laryngoscopy w/fb removal,,,968.96,5664.0,4
HCPCS,31531,Laryngoscopy w/fb & op scope,,,1014.29,5664.0,4
HCPCS,31535,Laryngoscopy w/biopsy,,,904.42,10940.0,4
HCPCS,31536,Laryngoscopy w/bx & op scope,,,999.29,10940.0,4
HCPCS,31540,Laryngoscopy w/exc of tumor,,,1148.7,10940.0,4
HCPCS,31541,Larynscop w/tumr exc + scope,,,1250.74,10940.0,4
HCPCS,31545,Remove vc lesion w/scope,,,1713.99,10940.0,4
HCPCS,31546,Remove vc lesion scope/graft,,,2586.36,12821.0,4
HCPCS,31551,Laryngoplasty laryngeal sten,,,6044.0,14456.0,4
HCPCS,31552,Laryngoplasty laryngeal sten,,,6044.0,14456.0,4
HCPCS,31553,Laryngoplasty laryngeal sten,,,6044.0,14456.0,4
HCPCS,31554,Laryngoplasty laryngeal sten,,,6044.0,14456.0,4
HCPCS,31560,Laryngoscop w/arytenoidectom,,,1481.15,12821.0,4
HCPCS,31561,Larynscop remve cart + scop,,,1615.35,10940.0,4
HCPCS,31570,Laryngoscope w/vc inj,,,1102.08,5664.0,4
HCPCS,31571,Laryngoscop w/vc inj + scope,,,1182.75,10940.0,4
HCPCS,31572,Largsc w/laser dstrj les,,,865.09,10940.0,4
HCPCS,31573,Largsc w/ther injection,,,719.39,5664.0,4
HCPCS,31574,Largsc w/njx augmentation,,,721.07,5664.0,4
HCPCS,31575,Diagnostic laryngoscopy,,,335.42,4108.0,4
HCPCS,31576,Laryngoscopy with biopsy,,,576.08,5664.0,4
HCPCS,31577,Largsc w/rmvl foreign bdy(s),,,663.87,4108.0,4
HCPCS,31578,Largsc w/removal lesion,,,721.07,5664.0,4
HCPCS,31579,Laryngoscopy telescopic,,,574.03,4108.0,4
HCPCS,31580,Laryngoplasty laryngeal web,,,6044.0,14456.0,4
HCPCS,31584,Laryngoplasty fx rdctj fixj,,,5363.0,12821.0,4
HCPCS,31587,Laryngoplasty cricoid split,,,5363.0,14456.0,4
HCPCS,31590,Reinnervate larynx,,,4721.55,14456.0,4
HCPCS,31591,Laryngoplasty medialization,,,5363.0,14456.0,4
HCPCS,31592,Cricotracheal resection,,,5363.0,14456.0,4
HCPCS,31599,Larynx surgery procedure,,,2505.0,3195.0,3
HCPCS,31600,Incision of windpipe,,,1557.88,10940.0,4
HCPCS,31601,Incision of windpipe,,,2131.58,10940.0,4
HCPCS,31603,Incision of windpipe,,,1589.88,5664.0,4
HCPCS,31605,Incision of windpipe,,,1745.98,3195.0,4
HCPCS,31610,Incision of windpipe,,,4722.26,10940.0,4
HCPCS,31611,Surgery/speech prosthesis,,,2664.98,10940.0,4
HCPCS,31612,Puncture/clear windpipe,,,236.24,10940.0,4
HCPCS,31613,Repair windpipe opening,,,2153.81,10940.0,4
HCPCS,31614,Repair windpipe opening,,,3501.3,14456.0,4
HCPCS,31615,Visualization of windpipe,,,564.37,3195.0,4
HCPCS,31622,Dx bronchoscope/wash,,,669.43,5664.0,4
HCPCS,31622,"HC DISPENSING FEE, CONTRALATERAL MONAURAL",4036.0,4036.0,,,0
HCPCS,31623,Dx bronchoscope/brush,,,659.07,5664.0,4
HCPCS,31624,Dx bronchoscope/lavage,,,667.7,5664.0,4
HCPCS,31625,Bronchoscopy w/biopsy(s),,,778.97,5664.0,4
HCPCS,31626,Bronchoscopy w/markers,,,991.95,12821.0,4
HCPCS,31627,Navigational bronchoscopy,,,474.52,3195.0,4
HCPCS,31628,Bronchoscopy/lung bx each,,,878.41,5664.0,4
HCPCS,31629,Bronchoscopy/needle bx each,,,932.91,12821.0,4
HCPCS,31630,Bronchoscopy dilate/fx repr,,,984.28,12821.0,4
HCPCS,31631,Bronchoscopy dilate w/stent,,,1111.36,12821.0,4
HCPCS,31632,Bronchoscopy/lung bx addl,,,238.07,4108.0,4
HCPCS,31633,Bronchoscopy/needle bx addl,,,311.51,4108.0,4
HCPCS,31634,Bronch w/balloon occlusion,,,943.27,12821.0,4
HCPCS,31635,Bronchoscopy w/fb removal,,,878.63,5664.0,4
HCPCS,31636,Bronchoscopy bronch stents,,,1084.54,12821.0,4
HCPCS,31637,Bronchoscopy stent add-on,,,373.35,3195.0,4
HCPCS,31638,Bronchoscopy revise stent,,,1215.34,12821.0,4
HCPCS,31640,Bronchoscopy w/tumor excise,,,1206.65,12821.0,4
HCPCS,31641,Bronchoscopy treat blockage,,,1244.97,12821.0,4
HCPCS,31643,Diag bronchoscope/catheter,,,840.27,5664.0,4
HCPCS,31645,Bronchoscopy clear airways,,,738.33,5664.0,4
HCPCS,31646,Bronchoscopy reclear airway,,,713.19,3195.0,4
HCPCS,31647,Bronchial valve init insert,,,1024.11,12821.0,4
HCPCS,31648,Bronchial valve remov init,,,980.18,12821.0,4
HCPCS,31649,Bronchial valve remov addl,,,343.67,5664.0,4
HCPCS,31651,Bronchial valve addl insert,,,373.35,3195.0,4
HCPCS,31652,Bronch ebus samplng 1/2 node,,,1098.63,10940.0,4
HCPCS,31653,Bronch ebus samplng 3/> node,,,1215.02,10940.0,4
HCPCS,31654,Bronch ebus ivntj perph les,,,332.12,3195.0,4
HCPCS,31660,Bronch thermoplsty 1 lobe,,,939.71,12821.0,4
HCPCS,31661,Bronch thermoplsty 2/> lobes,,,990.11,12821.0,4
HCPCS,31717,Bronchial brush biopsy,,,532.1,3195.0,4
HCPCS,31720,Clearance of airways,,,251.35,3195.0,4
HCPCS,31720,HC TRANSFUSION BLOOD OR BLOOD COMPONENTS,355.0,355.0,,,0
HCPCS,31725,Clearance of airways,,,390.62,5664.0,4
HCPCS,31730,Intro windpipe wire/tube,,,763.75,5664.0,4
HCPCS,31750,Repair of windpipe,,,6044.0,14456.0,4
HCPCS,31755,Repair of windpipe,,,4108.0,14456.0,4
HCPCS,31760,Repair of windpipe,,,5097.0,7526.72,4
HCPCS,31766,Reconstruction of windpipe,,,5097.0,9619.07,4
HCPCS,31770,Repair/graft of bronchus,,,5097.0,7215.59,4
HCPCS,31775,Reconstruct bronchus,,,5097.0,7607.01,4
HCPCS,31780,Reconstruct windpipe,,,5097.0,6979.0,4
HCPCS,31781,Reconstruct windpipe,,,5097.0,6979.0,4
HCPCS,31785,Remove windpipe lesion,,,5139.2,10940.0,4
HCPCS,31786,Remove windpipe lesion,,,5097.0,7831.21,4
HCPCS,31800,Repair of windpipe injury,,,3504.05,5664.0,4
HCPCS,31805,Repair of windpipe injury,,,4528.86,6979.0,4
HCPCS,31820,Closure of windpipe lesion,,,1652.85,10940.0,4
HCPCS,31825,Repair of windpipe defect,,,2376.4,10940.0,4
HCPCS,31830,Revise windpipe scar,,,1807.28,10940.0,4
HCPCS,31899,Airways surgical procedure,,,2505.0,3195.0,3
HCPCS,32001,Description Not Available,,,6979.0,6979.0,1
HCPCS,32035,Thoracostomy w/rib resection,,,4112.13,6979.0,4
HCPCS,32036,Thoracostomy w/flap drainage,,,4388.46,6979.0,4
HCPCS,32096,Open wedge/bx lung infiltr,,,4376.91,6979.0,4
HCPCS,32097,Open wedge/bx lung nodule,,,4405.19,6979.0,4
HCPCS,32098,Open biopsy of lung pleura,,,4123.25,6979.0,4
HCPCS,32100,Exploration of chest,,,4442.1,6979.0,4
HCPCS,32110,Explore/repair chest,,,5097.0,7997.3,4
HCPCS,32120,Re-exploration of chest,,,4835.25,6979.0,4
HCPCS,32124,Explore chest free adhesions,,,5097.0,6979.0,4
HCPCS,32140,Removal of lung lesion(s),,,5097.0,6979.0,4
HCPCS,32141,Remove/treat lung lesions,,,5097.0,8253.99,4
HCPCS,32150,Removal of lung lesion(s),,,5097.0,6979.0,4
HCPCS,32151,Remove lung foreign body,,,5097.0,6979.0,4
HCPCS,32160,Open chest heart massage,,,4390.51,6979.0,4
HCPCS,32200,Drain open lung lesion,,,5097.0,6979.0,4
HCPCS,32215,Treat chest lining,,,4457.53,6979.0,4
HCPCS,32220,Release of lung,,,5097.0,8780.05,4
HCPCS,32225,Partial release of lung,,,5097.0,6979.0,4
HCPCS,32310,Removal of chest lining,,,5076.23,6979.0,4
HCPCS,32320,Free/remove chest lining,,,5097.0,8768.28,4
HCPCS,32400,HC PHOTOPHERESIS EXTRACORPOREAL,3033.0,3033.0,,,0
HCPCS,32400,Needle biopsy chest lining,,,405.29,5664.0,4
HCPCS,32405,"HC INSERT PICC AGE 5 YRS/>, W/O IMAGE GUIDE",2350.0,2350.0,,,0
HCPCS,32408,Core ndl bx lng/med perq,,,731.81,5664.0,4
HCPCS,32440,Remove lung pneumonectomy,,,5097.0,8555.09,4
HCPCS,32442,Sleeve pneumonectomy,,,5097.0,16386.14,4
HCPCS,32445,Removal of lung extrapleural,,,5097.0,19037.9,4
HCPCS,32480,Partial removal of lung,,,5097.0,8054.61,4
HCPCS,32482,Bilobectomy,,,5097.0,8631.39,4
HCPCS,32484,Segmentectomy,,,5097.0,7788.42,4
HCPCS,32486,Sleeve lobectomy,,,5097.0,12597.07,4
HCPCS,32488,Completion pneumonectomy,,,5097.0,12925.58,4
HCPCS,32491,Lung volume reduction,,,5097.0,8067.18,4
HCPCS,32501,Repair bronchus add-on,,,1288.46,6979.0,4
HCPCS,32503,Resect apical lung tumor,,,5097.0,9749.33,4
HCPCS,32504,Resect apical lung tum/chest,,,5097.0,11070.97,4
HCPCS,32505,Wedge resect of lung initial,,,5097.0,6979.0,4
HCPCS,32506,Wedge resect of lung add-on,,,823.05,6979.0,4
HCPCS,32507,Wedge resect of lung diag,,,823.05,6979.0,4
HCPCS,32540,Removal of lung lesion,,,5097.0,9396.38,4
HCPCS,32550,Insert pleural cath,,,1016.17,12821.0,4
HCPCS,32551,Insertion of chest tube,,,815.12,4497.0,4
HCPCS,32552,Remove lung catheter,,,816.63,4497.0,4
HCPCS,32553,Ins mark thor for rt perq,,,848.84,5664.0,4
HCPCS,32554,Aspirate pleura w/o imaging,,,443.12,4497.0,4
HCPCS,32555,Aspirate pleura w/ imaging,,,523.36,4497.0,4
HCPCS,32555,HC VEEG BY TECH EA INCR 12-26 HR CONT REAL-TIME MNTR,6895.0,6895.0,,,0
HCPCS,32556,Insert cath pleura w/o image,,,633.06,5664.0,4
HCPCS,32557,HC VEEG BY TECH 2-12 HR INTERMITTENT MONITORING,11536.0,11536.0,,,0
HCPCS,32557,Insert cath pleura w/ image,,,723.44,4497.0,4
HCPCS,32560,"HC SEL CATH ARTERIAL, BRACH-CEPH; 3RD ORDER",2035.0,2035.0,,,0
HCPCS,32560,Treat pleurodesis w/agent,,,387.81,4497.0,4
HCPCS,32561,"HC DEVELOPMENTAL TEST EXTEND, EA ADDL 30 MINUTES",1503.0,1503.0,,,0
HCPCS,32561,Lyse chest fibrin init day,,,335.74,4497.0,4
HCPCS,32562,Lyse chest fibrin subq day,,,299.8,4497.0,4
HCPCS,32601,Thoracoscopy diagnostic,,,1658.62,14456.0,4
HCPCS,32604,Thoracoscopy wbx sac,,,2579.99,14456.0,4
HCPCS,32606,Thoracoscopy w/bx med space,,,2477.57,14456.0,4
HCPCS,32607,Thoracoscopy w/bx infiltrate,,,1665.75,14456.0,4
HCPCS,32608,Thoracoscopy w/bx nodule,,,2038.77,14456.0,4
HCPCS,32609,Thoracoscopy w/bx pleura,,,1361.03,14456.0,4
HCPCS,32650,Thoracoscopy w/pleurodesis,,,3690.81,25393.0,4
HCPCS,32651,Thoracoscopy remove cortex,,,5957.51,25393.0,4
HCPCS,32652,Thoracoscopy rem totl cortex,,,6979.0,25393.0,4
HCPCS,32653,Thoracoscopy remov fb/fibrin,,,5748.95,22111.0,4
HCPCS,32654,Thoracoscopy contrl bleeding,,,5097.0,6979.0,4
HCPCS,32655,Thoracoscopy resect bullae,,,5238.98,25393.0,4
HCPCS,32656,Thoracoscopy w/pleurectomy,,,4441.72,25393.0,4
HCPCS,32658,Thoracoscopy w/sac fb remove,,,3960.83,6979.0,4
HCPCS,32659,Thoracoscopy w/sac drainage,,,4075.06,6979.0,4
HCPCS,32661,Thoracoscopy w/pericard exc,,,4404.65,6979.0,4
HCPCS,32662,Thoracoscopy w/mediast exc,,,4916.94,6979.0,4
HCPCS,32663,Thoracoscopy w/lobectomy,,,5097.0,7587.42,4
HCPCS,32664,Thoracoscopy w/ th nrv exc,,,4108.0,12821.0,4
HCPCS,32665,Thoracoscop w/esoph musc exc,,,5097.0,6979.0,4
HCPCS,32666,Thoracoscopy w/wedge resect,,,4791.32,6979.0,4
HCPCS,32667,Thoracoscopy w/w resect addl,,,825.75,6979.0,4
HCPCS,32668,Thoracoscopy w/w resect diag,,,827.48,6979.0,4
HCPCS,32669,Thoracoscopy remove segment,,,5097.0,7289.56,4
HCPCS,32670,Thoracoscopy bilobectomy,,,5097.0,8642.77,4
HCPCS,32671,Thoracoscopy pneumonectomy,,,5097.0,9584.05,4
HCPCS,32672,Thoracoscopy for lvrs,,,5097.0,8223.88,4
HCPCS,32673,Thoracoscopy w/thymus resect,,,5097.0,6979.0,4
HCPCS,32674,Thoracoscopy lymph node exc,,,1140.39,6979.0,4
HCPCS,32701,Thorax stereo rad targetw/tx,,,1074.4,6979.0,2
HCPCS,32800,Repair lung hernia,,,5097.0,6979.0,4
HCPCS,32810,Close chest after drainage,,,4983.85,6979.0,4
HCPCS,32815,Close bronchial fistula,,,5097.0,15163.25,4
HCPCS,32820,Reconstruct injured chest,,,5097.0,7493.64,4
HCPCS,32850,Donor pneumonectomy,,,5097.0,6979.0,3
HCPCS,32851,Lung transplant single,,,5097.0,17627.38,4
HCPCS,32852,Lung transplant with bypass,,,5097.0,19184.13,4
HCPCS,32853,Lung transplant double,,,5097.0,24550.83,4
HCPCS,32854,Lung transplant with bypass,,,5097.0,26051.35,4
HCPCS,32855,Prepare donor lung single,,,5097.0,6979.0,3
HCPCS,32856,Prepare donor lung double,,,5097.0,6979.0,3
HCPCS,32900,Removal of rib(s),,,5097.0,7425.38,4
HCPCS,32905,Revise & repair chest wall,,,5097.0,7282.82,4
HCPCS,32906,Revise & repair chest wall,,,5097.0,8940.74,4
HCPCS,32940,Revision of lung,,,5097.0,6979.0,4
HCPCS,32960,Therapeutic pneumothorax,,,452.83,6979.0,4
HCPCS,32994,Ablate pulm tumor perq crybl,,,2132.61,22111.0,4
HCPCS,32997,Total lung lavage,,,1663.69,6979.0,4
HCPCS,32998,"HC FINE NEEDLE ASPIRATION BIOPSY, W/CT GUIDANCE, 1ST LESION",11892.0,11892.0,,,0
HCPCS,32998,Perq rf ablate tx pul tumor,,,2134.55,22111.0,4
HCPCS,32999,Chest surgery procedure,,,4047.0,6979.0,3
HCPCS,33016,HC HEALTH BEHAVIOR INTERV GROUP FACE TO FACE;  EA ADDL 15 MIN,7488.0,7488.0,,,0
HCPCS,33016,Pericardiocentesis w/imaging,,,1184.37,4497.0,4
HCPCS,33017,HC HEALTH BEHAVIOR INTERV FAM W/PT FACE TO FACE;  1ST 30 MIN,7738.0,7738.0,,,0
HCPCS,33017,Prcrd drg 6yr+ w/o cgen car,,,1242.64,6979.0,4
HCPCS,33018,HC HEALTH BEHAVIOR INTERV FAM W/PT FACE TO FACE; EA ADD 15 MIN,8772.0,8772.0,,,0
HCPCS,33018,Prcrd drg 0-5yr or w/anomly,,,1464.42,6979.0,4
HCPCS,33019,Perq prcrd drg insj cath ct,,,1008.67,6979.0,4
HCPCS,33020,Incision of heart sac,,,4488.99,6979.0,4
HCPCS,33025,Incision of heart sac,,,4233.76,6979.0,4
HCPCS,33030,Partial removal of heart sac,,,5097.0,10822.81,4
HCPCS,33031,Partial removal of heart sac,,,5097.0,13345.55,4
HCPCS,33050,Resect heart sac lesion,,,5097.0,6979.0,4
HCPCS,33120,Removal of heart lesion,,,5097.0,11275.81,4
HCPCS,33130,Removal of heart lesion,,,5097.0,7499.63,4
HCPCS,33140,Heart revascularize (tmr),,,5097.0,8470.96,4
HCPCS,33141,Heart Tmr W/Other Procedure,,,697.65,6979.0,4
HCPCS,33202,Insert epicard eltrd open,,,4237.96,6979.0,4
HCPCS,33203,Insert epicard eltrd endo,,,4424.61,6979.0,4
HCPCS,33206,HC REPAIR LEAD PACE-DEFIB ONE,62275.0,62275.0,,,0
HCPCS,33206,Insert heart pm atrial,,,2290.39,25393.0,4
HCPCS,33207,HC REPAIR LEAD PACE-DEFIB DUAL,62275.0,62275.0,,,0
HCPCS,33207,Insert heart pm ventricular,,,2413.74,25393.0,4
HCPCS,33208,HC REVISE POCKET FOR DEFIB,89592.0,89592.0,,,0
HCPCS,33208,Insrt heart pm atrial & vent,,,2610.05,34630.0,4
HCPCS,33210,HC REMOVE&REPLACE PM GEN SINGL,16928.0,16928.0,,,0
HCPCS,33210,Insert electrd/pm cath sngl,,,813.02,22111.0,4
HCPCS,33211,Insert card electrodes dual,,,841.56,22111.0,4
HCPCS,33212,Insert pulse gen sngl lead,,,1660.67,25393.0,4
HCPCS,33213,HC REMV&REPLC PM GEN DUAL LEAD,57279.0,57279.0,,,0
HCPCS,33213,Insert pulse gen dual leads,,,1727.31,25393.0,4
HCPCS,33214,Upgrade of pacemaker system,,,2422.37,34630.0,4
HCPCS,33215,Reposition pacing-defib lead,,,1570.24,12821.0,4
HCPCS,33216,HC INSRT PULSE GEN W/DUAL LEADS,23696.0,23696.0,,,0
HCPCS,33216,Insert 1 electrode pm-defib,,,1879.86,22111.0,4
HCPCS,33217,HC REMOVE PULSE GENERATOR,19747.0,19747.0,,,0
HCPCS,33217,Insert 2 electrode pm-defib,,,1874.46,22111.0,4
HCPCS,33218,HC REM SC/DC CARD-DEFIBR ELECTROD OPEN,8599.0,8599.0,,,0
HCPCS,33218,Repair lead pace-defib one,,,1973.21,12821.0,4
HCPCS,33220,HC REM SC/DC ICD LEAD; TV EXTRACT,8617.0,8617.0,,,0
HCPCS,33220,Repair lead pace-defib dual,,,1940.62,12821.0,4
HCPCS,33221,Insert pulse gen mult leads,,,1813.81,25393.0,4
HCPCS,33222,Relocation pocket pacemaker,,,1748.63,5664.0,4
HCPCS,33223,HC INSERT PACE-DEFIB W/LEAD,8049.0,8049.0,,,0
HCPCS,33223,Relocate pocket for defib,,,2068.72,5664.0,4
HCPCS,33224,Insert pacing lead & connect,,,2552.74,34630.0,4
HCPCS,33225,L ventric pacing lead add-on,,,2287.58,34630.0,4
HCPCS,33226,Reposition l ventric lead,,,2448.33,12821.0,4
HCPCS,33227,HC REMV&REPLC CVD GEN SING LEAD,12487.0,12487.0,,,0
HCPCS,33227,Remove&replace pm gen singl,,,1717.49,25393.0,4
HCPCS,33228,HC REMV&REPLC CVD GEN DUAL LEAD,14794.0,14794.0,,,0
HCPCS,33228,Remv&replc pm gen dual lead,,,1795.36,25393.0,4
HCPCS,33229,Remv&replc pm gen mult leads,,,1876.51,25393.0,4
HCPCS,33230,HC TEMPORARY TRANSCUTANEOUS PACING,43474.0,43474.0,,,0
HCPCS,33230,Insrt pulse gen w/dual leads,,,1903.82,46177.0,4
HCPCS,33231,Insrt pulse gen w/mult leads,,,2023.5,46177.0,4
HCPCS,33233,Removal of pm generator,,,1191.06,12821.0,4
HCPCS,33234,HC EPHYS EVAL W/ABLATION VENTRICULAR TACHYCARDIA,18283.0,18283.0,,,0
HCPCS,33234,Removal of pacemaker system,,,2446.82,12821.0,4
HCPCS,33235,HC EP EVAL & TX ATRIAL FIB PULM VEIN ISOLATION,18283.0,18283.0,,,0
HCPCS,33235,Removal pacemaker electrode,,,3230.42,12821.0,4
HCPCS,33236,Remove electrode/thoracotomy,,,4405.83,6979.0,4
HCPCS,33237,Remove electrode/thoracotomy,,,4707.85,6979.0,4
HCPCS,33238,Remove electrode/thoracotomy,,,5097.0,6979.0,4
HCPCS,33240,"HC VENOGRAM, ORBIT",41545.0,41545.0,,,0
HCPCS,33240,Insrt pulse gen w/singl lead,,,1829.35,46177.0,4
HCPCS,33241,"HC ESOPHAGUS, REFLUX TEST; WITH MUCOSAL",11351.0,11351.0,,,0
HCPCS,33241,Remove pulse generator,,,1112.49,12821.0,4
HCPCS,33242,Description Not Available,,,6979.0,6979.0,1
HCPCS,33243,HC EXCHANGE PREVIOUS DRAINAGE CATHETER,8599.0,8599.0,,,0
HCPCS,33243,Remove eltrd/thoracotomy,,,6979.0,14456.0,4
HCPCS,33244,HC INSERT TUNNELED INTRAPERITONEAL CATH; PERC,8599.0,8599.0,,,0
HCPCS,33244,Remove elctrd transvenously,,,4374.11,12821.0,4
HCPCS,33247,Description Not Available,,,6979.0,6979.0,1
HCPCS,33249,HC PERCUTANEOUS CHOLECYSTOSTOMY,109604.0,109604.0,,,0
HCPCS,33249,Insj/rplcmt defib w/lead(s),,,4569.82,46177.0,4
HCPCS,33250,Ablate heart dysrhythm focus,,,5097.0,7976.48,4
HCPCS,33251,Ablate heart dysrhythm focus,,,5097.0,8832.23,4
HCPCS,33254,Ablate atria lmtd,,,5097.0,7414.81,4
HCPCS,33255,Ablate atria w/o bypass ext,,,5097.0,8890.13,4
HCPCS,33256,Ablate atria w/bypass exten,,,5097.0,10498.19,4
HCPCS,33257,Ablate atria lmtd add-on,,,3240.19,6979.0,4
HCPCS,33258,Ablate atria x10sv add-on,,,3620.77,6979.0,4
HCPCS,33259,Ablate atria w/bypass add-on,,,4675.74,6979.0,4
HCPCS,33261,Ablate heart dysrhythm focus,,,5097.0,8801.15,4
HCPCS,33262,HC NG TUBE PLACEMENT W/FLOURO,16930.0,16930.0,,,0
HCPCS,33262,Rmvl& replc pulse gen 1 lead,,,1874.89,46177.0,4
HCPCS,33263,"HC SA MECH REMOVAL, OBSTRUCTIVE CVAD",21049.0,21049.0,,,0
HCPCS,33263,Rmvl & rplcmt dfb gen 2 lead,,,1951.14,46177.0,4
HCPCS,33264,Rmvl & rplcmt dfb gen mlt ld,,,2026.31,46177.0,4
HCPCS,33265,Ablate atria lmtd endo,,,5097.0,7420.96,4
HCPCS,33266,Ablate atria x10sv endo,,,5097.0,10022.48,4
HCPCS,33267,Excl laa open any method,,,5097.0,6979.0,4
HCPCS,33268,Excl laa opn oth px any meth,,,682.27,6979.0,4
HCPCS,33269,Excl laa thrscp any method,,,4560.38,6979.0,4
HCPCS,33270,HC IMMUNOASSAY QUANT NOS NONAB (184),237784.0,237784.0,,,0
HCPCS,33270,Ins/rep subq defibrillator,,,2818.55,46177.0,4
HCPCS,33271,HC FLT3 GENE (795),50502.0,50502.0,,,0
HCPCS,33271,Insj subq impltbl dfb elctrd,,,2325.68,25393.0,4
HCPCS,33272,"HC IMM ADMN SARSCOV2 VACCINE, SINGLE DOSE",18110.0,18110.0,,,0
HCPCS,33272,Rmvl of subq defibrillator,,,1763.79,12821.0,4
HCPCS,33273,HC ADM RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP,18110.0,18110.0,,,0
HCPCS,33273,Repos prev impltbl subq dfb,,,2050.37,12821.0,4
HCPCS,33274,Tcat insj/rpl perm ldls pm,,,2398.95,39251.0,4
HCPCS,33275,Tcat rmvl perm ldls pm,,,2570.76,12821.0,4
HCPCS,33276,Insj phrnc nrv stim sys,,,2888.37,46177.0,4
HCPCS,33277,Insj phrnc nrv stim transvns,,,1485.25,3195.0,4
HCPCS,33278,Rmvl phrnc nrv stim sys,,,2840.78,12821.0,4
HCPCS,33279,Rmvl phrnc nrv stim transvns,,,1761.09,12821.0,4
HCPCS,33280,Rmvl phrnc nrv stim pg only,,,1083.19,12821.0,4
HCPCS,33281,Reposg phrnc nrv stim trnsvn,,,1931.55,12821.0,4
HCPCS,33285,HC CAR-T; INFUSION CELL ADMINISTRATION; AUTOLOGOUS,56629.0,56629.0,,,0
HCPCS,33285,Insj subq car rhythm mntr,,,438.43,25393.0,4
HCPCS,33286,HC POCT URINE HCG VISUAL COLOR,9337.0,9337.0,,,0
HCPCS,33286,Rmvl subq car rhythm mntr,,,433.03,4497.0,4
HCPCS,33287,Rmv&rplcmt phrnc nrv stim pg,,,1938.08,39251.0,4
HCPCS,33288,Rmv&rplcmt phrnc nrv stim ld,,,2600.87,25393.0,4
HCPCS,33289,Tcat impl wrls p-art prs snr,,,1629.97,46177.0,4
HCPCS,33300,Repair of heart wound,,,5097.0,13121.83,4
HCPCS,33305,Repair of heart wound,,,5097.0,21870.04,4
HCPCS,33310,Exploratory heart surgery,,,5097.0,6979.0,4
HCPCS,33315,Exploratory heart surgery,,,5097.0,10294.76,4
HCPCS,33320,Repair major blood vessel(s),,,5097.0,6979.0,4
HCPCS,33321,Repair major vessel,,,5097.0,6979.0,4
HCPCS,33322,Repair major blood vessel(s),,,5097.0,7625.84,4
HCPCS,33330,Insert major vessel graft,,,5097.0,7811.52,4
HCPCS,33335,Insert major vessel graft,,,5097.0,10169.03,4
HCPCS,33340,Perq clsr tcat l atr apndge,,,3501.9,14456.0,3
HCPCS,33361,Replace aortic valve perq,,,5097.0,6979.0,4
HCPCS,33362,Replace aortic valve open,,,5097.0,6979.0,4
HCPCS,33363,Replace aortic valve open,,,5097.0,7089.75,4
HCPCS,33364,Replace aortic valve open,,,5097.0,7324.26,4
HCPCS,33365,Replace aortic valve open,,,5097.0,7398.02,4
HCPCS,33366,Trcath replace aortic valve,,,5097.0,8127.83,4
HCPCS,33367,Replace aortic valve w/byp,,,3244.83,6979.0,4
HCPCS,33368,Replace aortic valve w/byp,,,3932.34,6979.0,4
HCPCS,33369,Replace aortic valve w/byp,,,5097.0,6979.0,4
HCPCS,33370,Tcat plmt&rmvl cepd perq,,,673.42,3195.0,4
HCPCS,33390,Valvuloplasty aortic valve,,,5097.0,10232.22,3
HCPCS,33391,Valvuloplasty aortic valve,,,5097.0,12210.61,3
HCPCS,33404,Prepare heart-aorta conduit,,,5097.0,9552.7,4
HCPCS,33405,Replacement aortic valve opn,,,5097.0,12270.34,4
HCPCS,33406,Replacement aortic valve opn,,,5097.0,15507.94,4
HCPCS,33410,Replacement aortic valve opn,,,5097.0,13768.0,4
HCPCS,33411,Replacement of aortic valve,,,5097.0,18035.37,4
HCPCS,33412,Replacement of aortic valve,,,5097.0,16950.19,4
HCPCS,33413,Replacement of aortic valve,,,5097.0,17396.7,4
HCPCS,33414,Repair of aortic valve,,,5097.0,11560.88,4
HCPCS,33415,Revision subvalvular tissue,,,5097.0,10998.34,4
HCPCS,33416,Revise ventricle muscle,,,5097.0,10959.87,4
HCPCS,33417,Repair of aortic valve,,,5097.0,9090.16,4
HCPCS,33418,Repair tcat mitral valve,,,5097.0,9136.83,4
HCPCS,33419,Repair tcat mitral valve,,,2139.46,2782.0,3
HCPCS,33420,Revision of mitral valve,,,5097.0,7948.58,4
HCPCS,33422,Revision of mitral valve,,,5097.0,9108.99,4
HCPCS,33425,Repair of mitral valve,,,5097.0,14721.8,4
HCPCS,33426,Repair of mitral valve,,,5097.0,12876.04,4
HCPCS,33427,Repair of mitral valve,,,5097.0,13109.58,4
HCPCS,33430,Replacement of mitral valve,,,5097.0,15132.33,4
HCPCS,33440,Rplcmt a-valve tlcj autol pv,,,5097.0,18314.4,4
HCPCS,33460,Revision of tricuspid valve,,,5097.0,12953.75,4
HCPCS,33463,Valvuloplasty tricuspid,,,5097.0,16559.84,4
HCPCS,33464,Valvuloplasty tricuspid,,,5097.0,13099.28,4
HCPCS,33465,Replace tricuspid valve,,,5097.0,14810.89,4
HCPCS,33468,Revision of tricuspid valve,,,5097.0,13163.38,4
HCPCS,33471,Valvotomy pulmonary valve,,,6979.0,6979.0,1
HCPCS,33474,Revision of pulmonary valve,,,5097.0,11774.02,4
HCPCS,33475,Replacement pulmonary valve,,,5097.0,12378.1,4
HCPCS,33476,Revision of heart chamber,,,5097.0,8321.93,4
HCPCS,33477,Implant tcat pulm vlv perq,,,5097.0,6979.0,4
HCPCS,33478,Revision of heart chamber,,,5097.0,8581.96,4
HCPCS,33496,Repair prosth valve clot,,,5097.0,9103.11,4
HCPCS,33500,Repair heart vessel fistula,,,5097.0,8535.82,4
HCPCS,33501,Repair heart vessel fistula,,,5097.0,6979.0,4
HCPCS,33502,Coronary artery correction,,,5097.0,7017.34,4
HCPCS,33503,Coronary artery graft,,,5097.0,7309.75,4
HCPCS,33504,Coronary artery graft,,,5097.0,8018.62,4
HCPCS,33505,Repair artery w/tunnel,,,5097.0,11018.47,4
HCPCS,33506,Repair artery translocation,,,5097.0,11014.15,4
HCPCS,33507,Repair art intramural,,,5097.0,9276.1,4
HCPCS,33508,Endoscopic vein harvest,,,83.37,2782.0,3
HCPCS,33509,Ndsc hrv uxtr art 1 sgm cab,,,920.67,6979.0,4
HCPCS,33510,Cabg vein single,,,5097.0,10456.8,4
HCPCS,33511,Cabg vein two,,,5097.0,11500.01,4
HCPCS,33512,Cabg vein three,,,5097.0,13026.43,4
HCPCS,33513,Cabg vein four,,,5097.0,13295.2,4
HCPCS,33514,Cabg vein five,,,5097.0,14133.2,4
HCPCS,33516,Cabg vein six or more,,,5097.0,14636.06,4
HCPCS,33517,Cabg artery-vein single,,,992.43,6979.0,4
HCPCS,33518,Cabg artery-vein two,,,2177.66,6979.0,4
HCPCS,33519,Cabg artery-vein three,,,2877.9,6979.0,4
HCPCS,33521,Cabg artery-vein four,,,3456.19,6979.0,4
HCPCS,33522,Cabg artery-vein five,,,3875.78,6979.0,4
HCPCS,33523,Cabg art-vein six or more,,,4396.66,6979.0,4
HCPCS,33530,Coronary artery bypass/reop,,,2779.1,6979.0,4
HCPCS,33533,Cabg arterial single,,,5097.0,10130.72,4
HCPCS,33534,Cabg arterial two,,,5097.0,11888.47,4
HCPCS,33535,Cabg arterial three,,,5097.0,13193.38,4
HCPCS,33536,Cabg arterial four or more,,,5097.0,14216.41,4
HCPCS,33542,Removal of heart lesion,,,5097.0,14185.87,4
HCPCS,33545,Repair of heart damage,,,5097.0,16553.74,4
HCPCS,33548,Restore/remodel ventricle,,,5097.0,15986.95,4
HCPCS,33572,Open coronary endarterectomy,,,1220.14,6979.0,4
HCPCS,33600,Closure of valve,,,5097.0,9353.7,4
HCPCS,33602,Closure of valve,,,5097.0,9091.99,4
HCPCS,33606,Anastomosis/artery-aorta,,,5097.0,9659.81,4
HCPCS,33608,Repair anomaly w/conduit,,,5097.0,9789.53,4
HCPCS,33610,Repair by enlargement,,,5097.0,9656.84,4
HCPCS,33611,Repair double ventricle,,,5097.0,10506.39,4
HCPCS,33612,Repair double ventricle,,,5097.0,10786.17,4
HCPCS,33615,Repair modified fontan,,,5097.0,10806.19,4
HCPCS,33617,Repair single ventricle,,,5097.0,11690.33,4
HCPCS,33619,Repair single ventricle,,,5097.0,14851.36,4
HCPCS,33620,Apply r&l pulm art bands,,,5097.0,8890.56,4
HCPCS,33621,Transthor cath for stent,,,5082.49,6979.0,4
HCPCS,33622,Redo compl cardiac anomaly,,,5097.0,18342.84,4
HCPCS,33641,Repair heart septum defect,,,5097.0,8860.18,4
HCPCS,33645,Revision of heart veins,,,5097.0,9348.14,4
HCPCS,33647,Repair heart septum defects,,,5097.0,9799.03,4
HCPCS,33660,Repair of heart defects,,,5097.0,9479.69,4
HCPCS,33665,Repair of heart defects,,,5097.0,10312.78,4
HCPCS,33670,Repair of heart chambers,,,5097.0,10552.26,4
HCPCS,33675,Close Mult Vsd,,,5097.0,10617.39,4
HCPCS,33676,Close mult vsd w/resection,,,5097.0,10892.74,4
HCPCS,33677,Cl mult vsd w/rem pul band,,,5097.0,11300.68,4
HCPCS,33681,Repair heart septum defect,,,5097.0,10039.96,4
HCPCS,33684,Repair heart septum defect,,,5097.0,10180.04,4
HCPCS,33688,Repair heart septum defect,,,5097.0,10100.56,4
HCPCS,33690,Reinforce pulmonary artery,,,5097.0,6979.0,4
HCPCS,33692,Repair of heart defects,,,5097.0,10488.8,4
HCPCS,33694,Repair of heart defects,,,5097.0,10506.39,4
HCPCS,33697,Repair of heart defects,,,5097.0,11058.78,4
HCPCS,33702,Repair of heart defects,,,5097.0,8419.43,4
HCPCS,33710,Repair of heart defects,,,5097.0,11039.03,4
HCPCS,33720,Repair of heart defect,,,5097.0,8427.47,4
HCPCS,33724,Repair Venous Anomaly,,,5097.0,8320.31,4
HCPCS,33726,Repair Pul Venous Stenosis,,,5097.0,10940.34,4
HCPCS,33730,Repair heart-vein defect(s),,,5097.0,10847.85,4
HCPCS,33732,Repair heart-vein defect,,,5097.0,8983.42,4
HCPCS,33735,Revision of heart chamber,,,5097.0,7122.02,4
HCPCS,33736,Revision of heart chamber,,,5097.0,7707.54,4
HCPCS,33737,Revision of heart chamber,,,6979.0,6979.0,1
HCPCS,33741,Tas congenital car anomal,,,3780.87,5664.0,3
HCPCS,33745,Tis cgen car anomal 1st shnt,,,5097.0,5664.0,3
HCPCS,33746,Tis cgen car anomal ea addl,,,2159.48,5664.0,3
HCPCS,33750,Major vessel shunt,,,5097.0,6979.0,4
HCPCS,33755,Major vessel shunt,,,5097.0,7233.18,4
HCPCS,33762,Major vessel shunt,,,5097.0,6979.0,4
HCPCS,33764,Major vessel shunt & graft,,,5097.0,7233.18,4
HCPCS,33766,Major vessel shunt,,,5097.0,7237.49,4
HCPCS,33767,Major vessel shunt,,,5097.0,7715.42,4
HCPCS,33768,Cavopulmonary shunting,,,2202.11,6979.0,4
HCPCS,33770,Repair great vessels defect,,,5097.0,11356.64,4
HCPCS,33771,Repair great vessels defect,,,5097.0,11643.49,4
HCPCS,33774,Repair great vessels defect,,,5097.0,9802.7,4
HCPCS,33775,Repair great vessels defect,,,5097.0,10066.02,4
HCPCS,33776,Repair great vessels defect,,,5097.0,10653.65,4
HCPCS,33777,Repair great vessels defect,,,5097.0,10209.56,4
HCPCS,33778,Repair great vessels defect,,,5097.0,12668.89,4
HCPCS,33779,Repair great vessels defect,,,5097.0,12438.05,4
HCPCS,33780,Repair great vessels defect,,,5097.0,12686.43,4
HCPCS,33781,Repair great vessels defect,,,5097.0,12349.02,4
HCPCS,33782,Nikaidoh proc,,,5097.0,17267.79,4
HCPCS,33783,Nikaidoh proc w/ostia implt,,,5097.0,18641.4,4
HCPCS,33786,Repair arterial trunk,,,5097.0,12217.25,4
HCPCS,33788,Revision of pulmonary artery,,,5097.0,8292.79,4
HCPCS,33800,Aortic suspension,,,5097.0,6979.0,4
HCPCS,33802,Repair vessel defect,,,5097.0,6979.0,4
HCPCS,33803,Repair vessel defect,,,5097.0,6979.0,4
HCPCS,33813,Repair septal defect,,,6979.0,6979.0,1
HCPCS,33814,Repair septal defect,,,5097.0,8327.11,4
HCPCS,33820,Revise major vessel,,,5304.97,34630.0,4
HCPCS,33822,Revise major vessel,,,5582.97,25393.0,4
HCPCS,33824,Revise major vessel,,,6480.22,34630.0,4
HCPCS,33840,Remove aorta constriction,,,5097.0,6979.0,4
HCPCS,33845,Remove aorta constriction,,,5097.0,7320.16,4
HCPCS,33851,Remove aorta constriction,,,5097.0,6979.0,4
HCPCS,33852,Repair septal defect,,,5097.0,7644.73,4
HCPCS,33853,Repair septal defect,,,5097.0,9962.58,4
HCPCS,33858,As-aort grf f/aortic dsj,,,5097.0,18164.88,4
HCPCS,33859,As-aort grf f/ds oth/thn dsj,,,5097.0,13087.78,4
HCPCS,33863,Ascending aortic graft,,,5097.0,16838.76,4
HCPCS,33864,Ascending aortic graft,,,5097.0,17188.2,4
HCPCS,33866,Aortic hemiarch graft,,,2505.0,4874.37,3
HCPCS,33871,Transvrs a-arch grf hypthrm,,,5097.0,17415.27,4
HCPCS,33875,Thoracic aortic graft,,,5097.0,14694.01,4
HCPCS,33877,Thoracoabdominal graft,,,5097.0,19199.29,4
HCPCS,33880,Endovasc taa repr incl subcl,,,5097.0,7497.96,4
HCPCS,33881,Endovasc taa repr w/o subcl,,,5097.0,6979.0,4
HCPCS,33882,Evasc rpr ta dplmt mltpc sys,,,6979.0,10167.2,2
HCPCS,33883,Insert endovasc prosth taa,,,5097.0,6979.0,4
HCPCS,33884,Endovasc prosth taa add-on,,,5097.0,6979.0,3
HCPCS,33886,Endovasc prosth delayed,,,5097.0,6979.0,4
HCPCS,33889,Artery transpose/endovas taa,,,5097.0,6979.0,3
HCPCS,33891,Car-car bp grft/endovas taa,,,5097.0,6979.0,3
HCPCS,33894,Evasc st rpr thrc/aa acrs br,,,4935.94,6979.0,4
HCPCS,33895,Evasc st rpr thrc/aa x crsg,,,3928.88,6979.0,4
HCPCS,33897,Perq trluml angp nt/recr coa,,,2919.99,6979.0,4
HCPCS,33900,Perq p-art revsc 1 nm nt uni,,,2978.27,25393.0,4
HCPCS,33901,Perq p-art revsc 1 nm nt bi,,,3917.23,25393.0,4
HCPCS,33902,Perq p-art revsc 1 abnor uni,,,3780.87,25393.0,4
HCPCS,33903,Perq p-art revsc 1 abnor bi,,,4462.44,25393.0,4
HCPCS,33904,Perq p-art revsc each addl,,,1497.61,3195.0,4
HCPCS,33910,Remove lung artery emboli,,,5097.0,14148.15,4
HCPCS,33915,Remove lung artery emboli,,,5097.0,7490.89,4
HCPCS,33916,Surgery of great vessel,,,5097.0,22341.81,4
HCPCS,33917,Repair pulmonary artery,,,5097.0,7975.56,4
HCPCS,33920,Repair pulmonary atresia,,,5097.0,9765.2,4
HCPCS,33922,Transect pulmonary artery,,,5097.0,7592.77,4
HCPCS,33924,Remove pulmonary shunt,,,1507.16,6979.0,4
HCPCS,33925,Rpr pul art unifocal w/o cpb,,,5097.0,9246.48,4
HCPCS,33926,Repr pul art unifocal w/cpb,,,5097.0,12949.59,4
HCPCS,33927,Impltj tot rplcmt hrt sys,,,5097.0,13501.44,4
HCPCS,33928,Rmvl & rplcmt tot hrt sys,,,5097.0,6979.0,3
HCPCS,33929,Rmvl rplcmt hrt sys f/trnspl,,,5097.0,6979.0,3
HCPCS,33930,Removal of donor heart/lung,,,5097.0,6979.0,3
HCPCS,33933,Prepare donor heart/lung,,,5097.0,6979.0,3
HCPCS,33935,Transplantation heart/lung,,,5097.0,26585.66,4
HCPCS,33940,Removal of donor heart,,,5097.0,6979.0,3
HCPCS,33944,Prepare donor heart,,,5097.0,6979.0,3
HCPCS,33945,Transplantation of heart,,,5097.0,26119.77,4
HCPCS,33946,Ecmo/ecls initiation venous,,,1612.76,6979.0,4
HCPCS,33946,"HC CYP2D6, GENE ANALYSIS, COMMON VARIANTS(30)",52173.0,52173.0,,,0
HCPCS,33947,Ecmo/ecls initiation artery,,,1780.57,6979.0,4
HCPCS,33947,"HC CYP3A4, GENE ANALYSIS, COMMON VARIANTS(30)",52173.0,52173.0,,,0
HCPCS,33948,Ecmo/ecls daily mgmt-venous,,,1236.39,6979.0,4
HCPCS,33948,"HC CYP3A5, GENE ANALYSIS, COMMON VARIANTS(30)",52173.0,52173.0,,,0
HCPCS,33949,Ecmo/ecls daily mgmt artery,,,1188.15,6979.0,4
HCPCS,33949,"HC DPYD, GENE ANALYSIS, COMMON VARIANTS(30)",52173.0,52173.0,,,0
HCPCS,33951,Ecmo/ecls insj prph cannula,,,2258.66,6979.0,4
HCPCS,33952,Ecmo/ecls insj prph cannula,,,2227.36,6979.0,4
HCPCS,33953,Ecmo/ecls insj prph cannula,,,2514.16,6979.0,4
HCPCS,33954,Ecmo/ecls insj prph cannula,,,2505.31,6979.0,4
HCPCS,33955,Ecmo/ecls insj ctr cannula,,,4401.95,6979.0,4
HCPCS,33956,Ecmo/ecls insj ctr cannula,,,4395.31,6979.0,4
HCPCS,33957,Ecmo/ecls repos perph cnula,,,984.99,6979.0,4
HCPCS,33958,Ecmo/ecls repos perph cnula,,,984.99,6979.0,4
HCPCS,33959,Ecmo/ecls repos perph cnula,,,1253.87,6979.0,4
HCPCS,33962,Ecmo/ecls repos perph cnula,,,1253.87,6979.0,4
HCPCS,33963,Ecmo/ecls repos perph cnula,,,2487.29,6979.0,4
HCPCS,33964,Ecmo/ecls repos perph cnula,,,2620.84,6979.0,4
HCPCS,33965,Ecmo/ecls rmvl perph cannula,,,984.99,6979.0,4
HCPCS,33966,Ecmo/ecls rmvl prph cannula,,,1249.44,6979.0,4
HCPCS,33967,Insert i-aort percut device,,,1304.48,39251.0,4
HCPCS,33968,Remove aortic assist device,,,172.08,39251.0,4
HCPCS,33969,Ecmo/ecls rmvl perph cannula,,,1452.87,6979.0,4
HCPCS,33970,Aortic circulation assist,,,1828.22,6979.0,4
HCPCS,33971,Aortic circulation assist,,,3829.06,6979.0,4
HCPCS,33973,Insert balloon device,,,2664.92,6979.0,4
HCPCS,33974,Remove intra-aortic balloon,,,4958.28,6979.0,4
HCPCS,33975,Implant ventricular device,,,5097.0,6979.0,4
HCPCS,33976,Implant ventricular device,,,5097.0,8413.39,4
HCPCS,33977,Remove ventricular device,,,5097.0,6979.0,4
HCPCS,33978,Remove ventricular device,,,5097.0,7149.38,4
HCPCS,33979,Insert intracorporeal device,,,5097.0,10301.56,4
HCPCS,33980,Remove intracorporeal device,,,5097.0,9495.61,4
HCPCS,33981,Replace vad pump ext,,,4403.78,6979.0,4
HCPCS,33982,Replace vad intra w/o bp,,,5097.0,10354.01,4
HCPCS,33983,Replace vad intra w/bp,,,5097.0,12192.42,4
HCPCS,33984,Ecmo/ecls rmvl prph cannula,,,1504.94,6979.0,4
HCPCS,33985,Ecmo/ecls rmvl ctr cannula,,,2732.91,6979.0,4
HCPCS,33986,Ecmo/ecls rmvl ctr cannula,,,2777.11,6979.0,4
HCPCS,33987,Artery expos/graft artery,,,1107.04,6979.0,4
HCPCS,33988,"HC CARDIOVERSION ELECTRICAL CONVERSION, EXTERNAL",2056.0,2056.0,,,0
HCPCS,33988,Insertion of left heart vent,,,4126.64,6979.0,4
HCPCS,33989,HC MRA CHEST WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST,2056.0,2056.0,,,0
HCPCS,33989,Removal of left heart vent,,,2620.84,6979.0,4
HCPCS,33990,Insert vad artery access,,,1817.48,6979.0,4
HCPCS,33991,Insert vad art&vein access,,,2416.6,6979.0,4
HCPCS,33992,Remove vad different session,,,959.46,6979.0,4
HCPCS,33993,Reposition vad diff session,,,815.12,6979.0,4
HCPCS,33995,Insj perq vad r hrt venous,,,1812.79,5664.0,3
HCPCS,33997,Rmvl perq right heart vad,,,809.51,5664.0,3
HCPCS,33999,Cardiac surgery procedure,,,4047.0,6979.0,3
HCPCS,34001,Removal of artery clot,,,4885.43,6979.0,4
HCPCS,34051,Removal of artery clot,,,5097.0,6979.0,4
HCPCS,34101,Removal of artery clot,,,3157.74,22111.0,4
HCPCS,34111,Removal of arm artery clot,,,3157.52,22111.0,4
HCPCS,34151,Removal of artery clot,,,5097.0,7368.24,4
HCPCS,34201,Removal of artery clot,,,5410.84,22111.0,4
HCPCS,34203,Removal of leg artery clot,,,5024.59,22111.0,4
HCPCS,34401,Removal of vein clot,,,5097.0,7143.01,4
HCPCS,34421,Removal of vein clot,,,3707.86,12821.0,4
HCPCS,34451,Removal of vein clot,,,5097.0,7660.16,4
HCPCS,34471,Removal of vein clot,,,4047.0,6979.0,4
HCPCS,34490,Removal of vein clot,,,3074.91,12821.0,4
HCPCS,34501,Repair valve femoral vein,,,4776.81,22111.0,4
HCPCS,34502,Reconstruct vena cava,,,5097.0,8157.24,4
HCPCS,34510,Transposition of vein valve,,,5447.42,22111.0,4
HCPCS,34520,Cross-over vein graft,,,5277.56,22111.0,4
HCPCS,34530,Leg vein fusion,,,5018.5,12821.0,4
HCPCS,34701,Evasc rpr a-ao ndgft,,,5097.0,6979.0,4
HCPCS,34702,Evasc rpr a-ao ndgft rpt,,,5097.0,9560.85,4
HCPCS,34703,Evasc rpr a-unilac ndgft,,,5097.0,7230.37,4
HCPCS,34704,Evasc rpr a-unilac ndgft rpt,,,5097.0,11874.38,4
HCPCS,34705,Evac rpr a-biiliac ndgft,,,5097.0,8032.43,4
HCPCS,34706,Evasc rpr a-biiliac rpt,,,5097.0,12019.59,4
HCPCS,34707,Evasc rpr ilio-iliac ndgft,,,5097.0,8212.0,4
HCPCS,34708,Evasc rpr ilio-iliac rpt,,,5097.0,9689.6,4
HCPCS,34709,Plmt xtn prosth evasc rpr,,,1695.69,5664.0,4
HCPCS,34710,Dlyd plmt xtn prosth 1st vsl,,,4202.73,5664.0,4
HCPCS,34711,Dlyd plmt xtn prosth ea addl,,,1553.24,5664.0,4
HCPCS,34712,Tcat dlvr enhncd fixj dev,,,3443.19,5664.0,4
HCPCS,34713,Perq access & clsr fem art,,,647.09,3195.0,4
HCPCS,34714,Opn fem art expos cndt crtj,,,1431.5,3195.0,4
HCPCS,34715,Opn ax/subcla art expos,,,1582.75,3195.0,4
HCPCS,34716,Opn ax/subcla art expos cndt,,,1971.54,3195.0,4
HCPCS,34717,Evasc rpr a-iliac ndgft,,,2334.42,6979.0,4
HCPCS,34718,Evasc rpr n/a a-iliac ndgft,,,5097.0,6979.0,4
HCPCS,34808,Endovas iliac a device addon,,,1070.73,6979.0,4
HCPCS,34812,Xpose for endoprosth femorl,,,1089.02,6979.0,4
HCPCS,34813,Femoral endovas graft add-on,,,1248.69,6979.0,4
HCPCS,34820,Xpose for endoprosth iliac,,,1795.36,6979.0,4
HCPCS,34830,Open Aortic Tube Prosth Repr,,,5097.0,9399.08,4
HCPCS,34831,Open Aortoiliac Prosth Repr,,,5097.0,10271.61,4
HCPCS,34832,Open Aortofemor Prosth Repr,,,5097.0,10102.5,4
HCPCS,34833,Xpose for endoprosth iliac,,,2095.81,8212.0,4
HCPCS,34834,Xpose endoprosth brachial,,,685.89,8212.0,4
HCPCS,34839,Plnning pt spec fenest graft,,,6979.0,6979.0,1
HCPCS,34841,Endovasc visc aorta 1 graft,,,5097.0,6979.0,3
HCPCS,34842,Endovasc visc aorta 2 graft,,,5097.0,6979.0,3
HCPCS,34843,Endovasc visc aorta 3 graft,,,5097.0,6979.0,3
HCPCS,34844,Endovasc visc aorta 4 graft,,,5097.0,6979.0,3
HCPCS,34845,Visc & infraren abd 1 prosth,,,5097.0,6979.0,3
HCPCS,34846,Visc & infraren abd 2 prosth,,,5097.0,6979.0,3
HCPCS,34847,Visc & infraren abd 3 prosth,,,5097.0,6979.0,3
HCPCS,34848,Visc & infraren abd 4+ prost,,,5097.0,6979.0,3
HCPCS,35001,Repair defect of artery,,,5097.0,6979.0,4
HCPCS,35002,Repair artery rupture neck,,,5097.0,6979.0,4
HCPCS,35005,Repair defect of artery,,,5097.0,6979.0,4
HCPCS,35011,Repair defect of artery,,,5321.97,22111.0,4
HCPCS,35013,Repair artery rupture arm,,,5097.0,6979.0,4
HCPCS,35021,Repair defect of artery,,,5097.0,6979.0,4
HCPCS,35022,Repair artery rupture chest,,,5097.0,7888.3,4
HCPCS,35045,Repair defect of arm artery,,,5066.63,22111.0,4
HCPCS,35081,Repair defect of artery,,,5097.0,9199.32,4
HCPCS,35082,Repair artery rupture aorta,,,5097.0,11438.22,4
HCPCS,35091,Repair defect of artery,,,5097.0,9409.87,4
HCPCS,35092,Repair artery rupture aorta,,,5097.0,13467.01,4
HCPCS,35102,Repair defect of artery,,,5097.0,9950.22,4
HCPCS,35103,Repair artery rupture aorta,,,5097.0,11554.24,4
HCPCS,35111,Repair defect of artery,,,5097.0,7082.79,4
HCPCS,35112,Repair artery rupture spleen,,,5097.0,8716.32,4
HCPCS,35121,Repair defect of artery,,,5097.0,8431.95,4
HCPCS,35122,Repair artery rupture belly,,,5097.0,10078.16,4
HCPCS,35131,Repair defect of artery,,,5097.0,7346.6,4
HCPCS,35132,Repair artery rupture groin,,,5097.0,8716.32,4
HCPCS,35141,Repair defect of artery,,,5097.0,6979.0,4
HCPCS,35142,Repair artery rupture thigh,,,5097.0,6979.0,4
HCPCS,35151,Repair defect of artery,,,5097.0,6979.0,4
HCPCS,35152,Repair ruptd popliteal art,,,5097.0,7447.24,4
HCPCS,35180,Repair blood vessel lesion,,,4047.0,6979.0,4
HCPCS,35182,Repair blood vessel lesion,,,5097.0,9722.03,4
HCPCS,35184,Repair blood vessel lesion,,,5146.27,12821.0,4
HCPCS,35188,Repair blood vessel lesion,,,5363.0,22111.0,4
HCPCS,35189,Repair blood vessel lesion,,,5097.0,8047.11,4
HCPCS,35190,Repair blood vessel lesion,,,3972.05,22111.0,4
HCPCS,35201,Repair blood vessel lesion,,,4889.91,22111.0,4
HCPCS,35206,Repair blood vessel lesion,,,4151.03,12821.0,4
HCPCS,35207,Repair blood vessel lesion,,,3812.98,12821.0,4
HCPCS,35211,Repair blood vessel lesion,,,5097.0,7585.75,4
HCPCS,35216,Repair blood vessel lesion,,,5097.0,10970.99,4
HCPCS,35221,Repair blood vessel lesion,,,5097.0,7757.34,4
HCPCS,35226,Repair blood vessel lesion,,,4047.0,5363.0,4
HCPCS,35231,Repair blood vessel lesion,,,6135.31,12821.0,4
HCPCS,35236,Repair blood vessel lesion,,,5287.76,22111.0,4
HCPCS,35241,Repair blood vessel lesion,,,5097.0,7855.12,4
HCPCS,35246,Repair blood vessel lesion,,,5097.0,8523.25,4
HCPCS,35251,Repair blood vessel lesion,,,5097.0,9096.36,4
HCPCS,35256,Repair blood vessel lesion,,,5377.76,22111.0,4
HCPCS,35261,Repair blood vessel lesion,,,5242.7,12821.0,4
HCPCS,35266,Repair blood vessel lesion,,,4573.38,22111.0,4
HCPCS,35271,Repair blood vessel lesion,,,5097.0,7576.36,4
HCPCS,35276,Repair blood vessel lesion,,,5097.0,7987.75,4
HCPCS,35281,Repair blood vessel lesion,,,5097.0,8632.84,4
HCPCS,35286,Repair blood vessel lesion,,,4894.87,22111.0,4
HCPCS,35301,Rechanneling of artery,,,5097.0,6979.0,4
HCPCS,35302,Rechanneling of Artery,,,5097.0,6979.0,4
HCPCS,35303,Rechanneling of Artery,,,5097.0,6979.0,4
HCPCS,35304,Rechanneling of Artery,,,5097.0,6979.0,4
HCPCS,35305,Rechanneling of Artery,,,5097.0,6979.0,4
HCPCS,35306,Rechanneling of Artery,,,2375.48,6979.0,4
HCPCS,35311,Rechanneling of artery,,,5097.0,8420.35,4
HCPCS,35321,Rechanneling of artery,,,4797.48,22111.0,4
HCPCS,35331,Rechanneling of artery,,,5097.0,7450.63,4
HCPCS,35341,Rechanneling of artery,,,5097.0,7256.0,4
HCPCS,35351,Rechanneling of artery,,,5097.0,6979.0,4
HCPCS,35355,Rechanneling of artery,,,5097.0,6979.0,4
HCPCS,35361,Rechanneling of artery,,,5097.0,8117.26,4
HCPCS,35363,Rechanneling of artery,,,5097.0,8659.72,4
HCPCS,35371,Rechanneling of artery,,,4309.52,6979.0,4
HCPCS,35372,Rechanneling of artery,,,5166.89,22111.0,4
HCPCS,35390,Reoperation carotid add-on,,,841.72,6979.0,4
HCPCS,35400,Angioscopy,,,772.6,6979.0,4
HCPCS,35500,Harvest vein for bypass,,,1685.66,2782.0,3
HCPCS,35501,Art byp grft ipsilat carotid,,,5097.0,7786.16,4
HCPCS,35506,Art byp grft subclav-carotid,,,5097.0,6979.0,4
HCPCS,35508,Art byp grft carotid-vertbrl,,,5097.0,7089.21,4
HCPCS,35509,Art byp grft contral carotid,,,5097.0,7534.97,4
HCPCS,35510,Art byp grft carotid-brchial,,,5097.0,6979.0,4
HCPCS,35511,Art byp grft subclav-subclav,,,5097.0,6979.0,4
HCPCS,35512,Art byp grft subclav-brchial,,,5097.0,6979.0,4
HCPCS,35515,Art byp grft subclav-vertbrl,,,5097.0,7089.21,4
HCPCS,35516,Art byp grft subclav-axilary,,,5097.0,6979.0,4
HCPCS,35518,Art byp grft axillary-axilry,,,5097.0,6979.0,4
HCPCS,35521,Art byp grft axill-femoral,,,5097.0,6979.0,4
HCPCS,35522,Art byp grft axill-brachial,,,5097.0,6979.0,4
HCPCS,35523,Art byp grft brchl-ulnr-rdl,,,5097.0,6979.0,4
HCPCS,35525,Art byp grft brachial-brchl,,,5097.0,6979.0,4
HCPCS,35526,Art byp grft aor/carot/innom,,,5097.0,9403.93,4
HCPCS,35531,Art byp grft aorcel/aormesen,,,5097.0,10397.5,4
HCPCS,35533,Art byp grft axill/fem/fem,,,5097.0,8031.84,4
HCPCS,35535,Art byp grft hepatorenal,,,5097.0,10148.26,4
HCPCS,35536,Art byp grft splenorenal,,,5097.0,9009.65,4
HCPCS,35537,Art byp grft aortoiliac,,,5097.0,11114.14,4
HCPCS,35538,Art byp grft aortobi-iliac,,,5097.0,12449.33,4
HCPCS,35539,Art byp grft aortofemoral,,,5097.0,11685.31,4
HCPCS,35540,Art byp grft aortbifemoral,,,5097.0,13030.91,4
HCPCS,35556,Art byp grft fem-popliteal,,,5097.0,7368.99,4
HCPCS,35558,Art byp grft fem-femoral,,,5097.0,6979.0,4
HCPCS,35560,Art byp grft aortorenal,,,5097.0,9092.42,4
HCPCS,35563,Art byp grft ilioiliac,,,5097.0,7055.97,4
HCPCS,35565,Art byp grft iliofemoral,,,5097.0,6979.0,4
HCPCS,35566,Art byp fem-ant-post tib/prl,,,5097.0,8791.38,4
HCPCS,35570,Art byp tibial-tib/peroneal,,,5097.0,7859.27,4
HCPCS,35571,Art byp pop-tibl-prl-other,,,5097.0,7017.82,4
HCPCS,35572,Harvest femoropopliteal vein,,,1801.72,2782.0,3
HCPCS,35583,Vein byp grft fem-popliteal,,,5097.0,7610.14,4
HCPCS,35585,Vein byp fem-tibial peroneal,,,5097.0,8824.13,4
HCPCS,35587,Vein byp pop-tibl peroneal,,,5097.0,7100.92,4
HCPCS,35600,Harvest art for cabg add-on,,,984.39,6979.0,4
HCPCS,35601,Art byp common ipsi carotid,,,5097.0,7426.3,4
HCPCS,35602,Bpg crtd-clat crtd,,,6736.53,6979.0,2
HCPCS,35606,Art byp carotid-subclavian,,,5097.0,6979.0,4
HCPCS,35612,Art byp subclav-subclavian,,,5097.0,6979.0,4
HCPCS,35616,Art byp subclav-axillary,,,5097.0,6979.0,4
HCPCS,35621,Art byp axillary-femoral,,,5097.0,6979.0,4
HCPCS,35623,Art byp axillary-pop-tibial,,,5097.0,7004.66,4
HCPCS,35626,Art byp aorsubcl/carot/innom,,,5097.0,8561.89,4
HCPCS,35631,Art byp aor-celiac-msn-renal,,,5097.0,9794.71,4
HCPCS,35632,Art byp ilio-celiac,,,5097.0,9631.05,4
HCPCS,35633,Art byp ilio-mesenteric,,,5097.0,10558.03,4
HCPCS,35634,Art byp iliorenal,,,5097.0,9426.0,4
HCPCS,35636,Art byp spenorenal,,,5097.0,8505.93,4
HCPCS,35637,Art byp aortoiliac,,,5097.0,8846.53,4
HCPCS,35638,Art byp aortobi-iliac,,,5097.0,9232.83,4
HCPCS,35642,Art byp carotid-vertebral,,,5097.0,6979.0,4
HCPCS,35645,Art byp subclav-vertebrl,,,5055.13,6979.0,4
HCPCS,35646,Art byp aortobifemoral,,,5097.0,9020.82,4
HCPCS,35647,Art byp aortofemoral,,,5097.0,7972.32,4
HCPCS,35650,Art byp axillary-axillary,,,5097.0,6979.0,4
HCPCS,35654,Art byp axill-fem-femoral,,,5097.0,7224.54,4
HCPCS,35656,Art byp femoral-popliteal,,,5097.0,6979.0,4
HCPCS,35661,Art byp femoral-femoral,,,5097.0,6979.0,4
HCPCS,35663,Art byp ilioiliac,,,5097.0,6979.0,4
HCPCS,35665,Art byp iliofemoral,,,5097.0,6979.0,4
HCPCS,35666,Art byp fem-ant-post tib/prl,,,5097.0,6979.0,4
HCPCS,35671,Art byp pop-tibl-prl-other,,,5097.0,6979.0,4
HCPCS,35681,Composite byp grft pros&vein,,,422.24,6979.0,4
HCPCS,35682,Composite byp grft 2 veins,,,1857.57,6979.0,4
HCPCS,35683,Composite byp grft 3/> segmt,,,2177.61,6979.0,4
HCPCS,35685,Bypass graft patency/patch,,,1053.62,2782.0,3
HCPCS,35686,Bypass graft/av fist patency,,,857.21,2782.0,3
HCPCS,35691,Art trnsposj vertbrl carotid,,,5046.12,6979.0,4
HCPCS,35693,Art trnsposj subclavian,,,4466.59,6979.0,4
HCPCS,35694,Art trnsposj subclav carotid,,,5097.0,6979.0,4
HCPCS,35695,Art trnsposj carotid subclav,,,5097.0,6979.0,4
HCPCS,35697,Reimplant artery each,,,775.78,6979.0,4
HCPCS,35700,Reoperation bypass graft,,,805.41,6979.0,4
HCPCS,35701,Exploration carotid artery,,,2164.17,6979.0,4
HCPCS,35702,Expl n/flwd surg uxtr art,,,2137.14,5664.0,4
HCPCS,35703,Expl n/flwd surg lxtr art,,,2190.56,5664.0,4
HCPCS,35800,Explore neck vessels,,,3735.06,22111.0,4
HCPCS,35820,Explore chest vessels,,,5097.0,10805.38,4
HCPCS,35840,Explore abdominal vessels,,,5097.0,6979.0,4
HCPCS,35860,Explore limb vessels,,,4482.51,12821.0,4
HCPCS,35870,Repair vessel graft defect,,,5097.0,6979.0,4
HCPCS,35875,Removal of clot in graft,,,3120.61,22111.0,4
HCPCS,35876,Removal of clot in graft,,,4982.45,22111.0,4
HCPCS,35879,Revise graft w/vein,,,4899.03,22111.0,4
HCPCS,35881,Revise graft w/vein,,,5439.92,22111.0,4
HCPCS,35883,Revise Graft w/Nonauto Graft,,,5363.0,22111.0,4
HCPCS,35884,Revise graft w/vein,,,5363.0,22111.0,4
HCPCS,35901,Excision graft neck,,,2533.91,6979.0,4
HCPCS,35903,Excision graft extremity,,,2979.73,12821.0,4
HCPCS,35905,Excision graft thorax,,,5097.0,8956.5,4
HCPCS,35907,Excision graft abdomen,,,5097.0,10088.15,4
HCPCS,36000,DEAC 5/15/2025 HC NASOGASTRIC TUBING WITH STYLET,225.0,225.0,,,0
HCPCS,36000,Place needle in vein,,,2505.0,2782.0,2
HCPCS,36002,Pseudoaneurysm injection trt,,,518.56,4497.0,4
HCPCS,36005,"HC INJECTION(S) OF SCLEROSANT FOR  SPIDER VEINS, LIMB OR TRUNK",3552.0,3552.0,,,0
HCPCS,36005,Injection ext venography,,,238.5,3195.0,4
HCPCS,36010,"HC INSERT NON-TUNNELED CV CATHETER, AGE 5 OR OLDER",643.0,643.0,,,0
HCPCS,36010,Place catheter in vein,,,548.4,3195.0,4
HCPCS,36011,"HC INSERT TUNNELED CV CATHETER, AGE 5 OR OLDER",1075.0,1075.0,,,0
HCPCS,36011,Place catheter in vein,,,782.2,3195.0,4
HCPCS,36012,"HC INSERT TUNNELED CVAD W/PORT, 5YRS OR OLDER",1075.0,1075.0,,,0
HCPCS,36012,Place catheter in vein,,,880.84,3195.0,4
HCPCS,36013,Place catheter in artery,,,637.86,3195.0,4
HCPCS,36014,Place catheter in artery,,,744.32,3195.0,4
HCPCS,36015,Place catheter in artery,,,843.88,3195.0,4
HCPCS,36100,Establish access to artery,,,783.23,3195.0,4
HCPCS,36140,Establish access to artery,,,456.77,3195.0,4
HCPCS,36140,HC VEEG BY TECH 2-12 HOURS UNMONITORED,2912.0,2912.0,,,0
HCPCS,36160,Establish access to aorta,,,606.35,4108.0,4
HCPCS,36200,"HC INSERT CATHETER RENAL ARTERY 2ND, BILAT",3880.0,3880.0,,,0
HCPCS,36200,Place catheter in aorta,,,716.59,4108.0,4
HCPCS,36215,"HC REPLACE TUNNELED CV CATHETER, SAME VENOUS",2204.0,2204.0,,,0
HCPCS,36215,Place catheter in artery,,,1063.44,4108.0,4
HCPCS,36216,"HC SELECTIVE ADRENAL VENOGRAM, UNILATERAL",1961.0,1961.0,,,0
HCPCS,36216,Place catheter in artery,,,1408.25,4108.0,4
HCPCS,36217,"HC SELECTIVE ADRENAL VENOGRAM, BILATERAL",1961.0,1961.0,,,0
HCPCS,36217,Place catheter in artery,,,1755.32,4108.0,4
HCPCS,36218,HC BONE MARROW IMAGING; WHOLE BODY,1961.0,1961.0,,,0
HCPCS,36218,Place catheter in artery,,,267.97,4108.0,4
HCPCS,36221,HC HA REPAIR MONAURAL OUT WA,7407.0,7407.0,,,0
HCPCS,36221,Place cath thoracic aorta,,,1037.38,12821.0,4
HCPCS,36222,HC EXPRESSED BREAST MILK PREP/STORE/DISTRIBUTION,11775.0,11775.0,,,0
HCPCS,36222,Place cath carotid/inom art,,,1472.57,12821.0,4
HCPCS,36223,DEAC 09/24/2022 HC INITIATE RESCUE EQUIP-BAG/MASK,22097.0,22097.0,,,0
HCPCS,36223,Place cath carotid/inom art,,,1746.58,22111.0,4
HCPCS,36224,"HC CYSTO W/REM FB, STENT,CALCULS",13232.0,13232.0,,,0
HCPCS,36224,Place cath carotd art,,,1954.22,22111.0,4
HCPCS,36225,HC BX BREAST 1ST LESION STEREOTACTIC GUIDANCE,11775.0,11775.0,,,0
HCPCS,36225,Place cath subclavian art,,,1729.09,12821.0,4
HCPCS,36226,HC BX BREAST ADD LESION STEREOTACTIC GUIDANCE,13232.0,13232.0,,,0
HCPCS,36226,Place cath vertebral art,,,1936.46,22111.0,4
HCPCS,36227,"DEAC 9/1/2020 HC RBC FROZ LEUK REDUC IRRAD, PEDS, EA UNIT",9817.0,9817.0,,,0
HCPCS,36227,Place cath xtrnl carotid,,,638.51,3195.0,4
HCPCS,36228,Place cath intracranial art,,,1333.41,3195.0,4
HCPCS,36245,Ins cath abd/l-ext art 1st,,,1188.95,4108.0,4
HCPCS,36246,HC REPLACE TUNNELED CVAD WITH PORT,2510.0,2510.0,,,0
HCPCS,36246,Ins cath abd/l-ext art 2nd,,,1284.63,4108.0,4
HCPCS,36247,"HC REPLACE PICC CATHETER, INCL IMAGE GUIDE",2510.0,2510.0,,,0
HCPCS,36247,Ins cath abd/l-ext art 3rd,,,1479.64,4108.0,4
HCPCS,36248,HC LUNG PERFUSION DIFFERENTIAL,2510.0,2510.0,,,0
HCPCS,36248,Ins cath abd/l-ext art addl,,,233.27,4108.0,4
HCPCS,36251,HC MRA ABD W CONTRAST,4446.0,4446.0,,,0
HCPCS,36251,Ins cath ren art 1st unilat,,,1290.94,12821.0,4
HCPCS,36252,HC INJECTION HIP ARTHROGRAPHY; WO ANESTHESIA,5339.0,5339.0,,,0
HCPCS,36252,Ins cath ren art 1st bilat,,,1795.25,12821.0,4
HCPCS,36253,HC ASPIRATE PLEURA W/IMAGING,7605.0,7605.0,,,0
HCPCS,36253,Ins cath ren art 2nd+ unilat,,,1716.31,22111.0,4
HCPCS,36254,HC FLUORO EXAM GASTRO/COLON TUBE,10615.0,10615.0,,,0
HCPCS,36254,Ins cath ren art 2nd+ bilat,,,2101.09,12821.0,4
HCPCS,36260,Insertion of infusion pump,,,3597.78,22111.0,4
HCPCS,36261,Revision of infusion pump,,,2289.52,12821.0,4
HCPCS,36262,Removal of infusion pump,,,1769.94,12821.0,4
HCPCS,36299,Vessel injection procedure,,,2505.0,2782.0,2
HCPCS,36400,Bl draw < 3 yrs fem/jugular,,,85.9,85.9,1
HCPCS,36405,Bl draw <3 yrs scalp vein,,,69.82,69.82,1
HCPCS,36406,Bl draw <3 yrs other vein,,,42.03,42.03,1
HCPCS,36410,Non-routine bl draw 3/> yrs,,,44.73,44.73,1
HCPCS,36415,HC COMPREHENSIVE METABOLIC PANEL,61.82,61.82,,,0
HCPCS,36415,HC LIPID PANEL,32.5,32.5,,,0
HCPCS,36415,Routine venipuncture,,,4.5,38.97,3
HCPCS,36416,Capillary blood draw,,,4.34,4.34,2
HCPCS,36420,Vein access cutdown < 1 yr,,,269.21,3195.0,4
HCPCS,36425,Vein access cutdown > 1 yr,,,185.3,3195.0,4
HCPCS,36430,Blood transfusion service,,,247.62,3195.0,4
HCPCS,36430,HC THERAPEUTIC APHERESIS,1814.0,1814.0,,,0
HCPCS,36440,Bl push transfuse 2 yr/<,,,230.95,3195.0,4
HCPCS,36450,Bl exchange/transfuse nb,,,790.35,3195.0,4
HCPCS,36455,Bl exchange/transfuse non-nb,,,666.24,3195.0,4
HCPCS,36456,Prtl exchange transfuse nb,,,451.16,3195.0,4
HCPCS,36460,Transfusion service fetal,,,1697.53,3195.0,4
HCPCS,36465,Njx noncmpnd sclrsnt 1 vein,,,609.96,5664.0,4
HCPCS,36466,Njx noncmpnd sclrsnt mlt vn,,,768.88,5664.0,4
HCPCS,36468,"HC REMOVE TUNNELED CV CATHETER, WO PORT",953.0,953.0,,,0
HCPCS,36468,Injection(s) spider veins,,,2505.0,3195.0,3
HCPCS,36470,Injection therapy of vein,,,194.58,3195.0,4
HCPCS,36471,Injection therapy of veins,,,384.79,3195.0,4
HCPCS,36473,Endovenous mchnchem 1st vein,,,917.7,12821.0,4
HCPCS,36474,Endovenous mchnchem add-on,,,454.18,3195.0,4
HCPCS,36475,Endovenous rf 1st vein,,,1425.95,12821.0,4
HCPCS,36476,Endovenous rf vein add-on,,,683.13,3195.0,4
HCPCS,36478,Endovenous laser 1st vein,,,1421.74,12821.0,4
HCPCS,36479,Endovenous laser vein addon,,,688.8,3195.0,4
HCPCS,36481,Insertion of catheter vein,,,1576.71,3195.0,4
HCPCS,36482,Endoven ther chem adhes 1st,,,919.42,22111.0,4
HCPCS,36483,Endoven ther chem adhes sbsq,,,463.08,3195.0,4
HCPCS,36500,Insertion of catheter vein,,,920.23,3195.0,4
HCPCS,36510,Insertion of catheter vein,,,247.89,2782.0,3
HCPCS,36511,Apheresis wbc,,,498.64,5664.0,4
HCPCS,36511,HC CONTRAST INJ W/FLUORO EVAL CV DEVICE,8000.0,8000.0,,,0
HCPCS,36512,Apheresis rbc,,,470.1,5664.0,4
HCPCS,36512,HC HARVEST STEM CELLS AUTOLOGOUS,6813.0,6813.0,,,0
HCPCS,36513,Apheresis platelets,,,486.13,4108.0,4
HCPCS,36514,Apheresis plasma,,,432.92,5664.0,4
HCPCS,36514,HC COLLECTION OF BLOOD VIA VAD,6813.0,6813.0,,,0
HCPCS,36516,Apheresis selective,,,430.82,14456.0,4
HCPCS,36522,HC THAW PRESERVED STEM CELLS,16105.0,16105.0,,,0
HCPCS,36522,Photopheresis,,,429.58,14456.0,4
HCPCS,36555,"HC SEL CATH ARTERIAL, BRACH-CEPH; EA ADDL",7381.0,7381.0,,,0
HCPCS,36555,Insert non-tunnel cv cath,,,439.02,4497.0,4
HCPCS,36556,"HC REMOVE TUNNELED CVAD, WITH PORT OR PUMP",7349.0,7349.0,,,0
HCPCS,36556,Insert non-tunnel cv cath,,,436.0,4497.0,4
HCPCS,36557,Insert tunneled cv cath,,,1754.35,22111.0,4
HCPCS,36558,HC INSERT ENDOVASCULAR VENA CAVA FILTER,11015.0,11015.0,,,0
HCPCS,36558,Insert tunneled cv cath,,,1297.85,12821.0,4
HCPCS,36560,Insert tunneled cv cath,,,2081.29,12821.0,4
HCPCS,36561,HC REMOVE ENDOVASCULAR VENA CAVE FILTER,14245.0,14245.0,,,0
HCPCS,36561,Insert tunneled cv cath,,,1685.71,12821.0,4
HCPCS,36563,Insert tunneled cv cath,,,1951.41,22111.0,4
HCPCS,36565,Insert tunneled cv cath,,,1779.55,12821.0,4
HCPCS,36566,Insert tunneled cv cath,,,1888.92,22111.0,4
HCPCS,36568,HC IMAGE CATH FLUID COLXN VISC,5053.0,5053.0,,,0
HCPCS,36568,Insert picc cath,,,474.47,4497.0,4
HCPCS,36569,HC DIAGNOSTIC BONE MARROW; ASPIRATION(S),5053.0,5053.0,,,0
HCPCS,36569,Insert picc cath,,,491.74,4497.0,4
HCPCS,36570,Insert picvad cath,,,1814.35,12821.0,4
HCPCS,36571,Insert picvad cath,,,1661.05,12821.0,4
HCPCS,36572,HC IMAGE CATH FLUID PERI/RETRO,5615.0,5615.0,,,0
HCPCS,36572,Insj picc rs&i <5 yr,,,414.79,4497.0,4
HCPCS,36573,HC POCT GLUCOSE; BLOOD REAGENT STRIP,5615.0,5615.0,,,0
HCPCS,36573,Insj picc rs&i 5 yr+,,,403.08,5664.0,4
HCPCS,36575,HC CHEMODENERV 1 EXTREMITY 1-4,5445.0,5445.0,,,0
HCPCS,36575,Repair tunneled cv cath,,,165.39,4497.0,4
HCPCS,36576,Repair tunneled cv cath,,,959.79,4497.0,4
HCPCS,36578,"HC WHOLE BLD,LEUKO-REDUCED,PEDS",5929.0,5929.0,,,0
HCPCS,36578,Replace tunneled cv cath,,,1064.74,12821.0,4
HCPCS,36580,Replace cvad cath,,,324.25,4497.0,4
HCPCS,36581,HC TRANSCATHETER BIOPSY,5552.0,5552.0,,,0
HCPCS,36581,Replace tunneled cv cath,,,916.83,12821.0,4
HCPCS,36582,"HC REVASC, ILIAC ARTERY, UNIL, 1ST VESSEL; W STENT",5940.0,5940.0,,,0
HCPCS,36582,Replace tunneled cv cath,,,1457.51,12821.0,4
HCPCS,36583,Replace tunneled cv cath,,,1794.6,22111.0,4
HCPCS,36584,"HC REVASC, OPEN/PERCUT, FEMORAL/POPLITEAL W/TLA; UNIL",6238.0,6238.0,,,0
HCPCS,36584,Replace picc cath,,,283.99,4497.0,4
HCPCS,36585,Replace picvad cath,,,1671.09,12821.0,4
HCPCS,36589,HC UNLISTED VASCULAR SURGERY PROCEDURE,1483.0,1483.0,,,0
HCPCS,36589,Removal tunneled cv cath,,,698.24,4497.0,4
HCPCS,36590,HC REPOSITION GASTROSTOMY TUBE,3808.0,3808.0,,,0
HCPCS,36590,Removal tunneled cv cath,,,967.02,5664.0,4
HCPCS,36591,Draw blood off venous device,,,157.78,2782.0,3
HCPCS,36591,HC COLLECTION OF BLOOD VIA PICC,418.0,418.0,,,0
HCPCS,36592,Collect blood from picc,,,174.99,2782.0,3
HCPCS,36592,HC DECLOTTING VAD OR CATHETER,508.0,508.0,,,0
HCPCS,36593,Declot vascular device,,,198.41,3195.0,4
HCPCS,36593,HC NEEDLE EMG ANAL/URETHRAL SPHINCTER,1259.0,1259.0,,,0
HCPCS,36595,HC SEL CATH ARTERIAL; ABD-LWR EXTREMITY; EA ADDL,12274.0,12274.0,,,0
HCPCS,36595,Mech remov tunneled cv cath,,,882.41,12821.0,4
HCPCS,36596,HC STREP A AMPLIF NA PROBE,6427.0,6427.0,,,0
HCPCS,36596,Mech remov tunneled cv cath,,,228.57,4497.0,4
HCPCS,36597,HC VEEG BY TECH 2-12 HR CONTINUOUS REAL-TIME MONITORING,5445.0,5445.0,,,0
HCPCS,36597,Reposition venous catheter,,,292.95,4497.0,4
HCPCS,36598,HC DIAGNOSTIC BONE MARROW: BIOPSY(IES),745.0,745.0,,,0
HCPCS,36598,Inj w/fluor eval cv device,,,169.38,4108.0,4
HCPCS,36600,Withdrawal of arterial blood,,,71.6,2782.0,3
HCPCS,36620,Insertion catheter artery,,,225.88,3195.0,4
HCPCS,36625,Insertion catheter artery,,,541.65,2782.0,3
HCPCS,36640,Insertion catheter artery,,,550.39,12821.0,4
HCPCS,36660,Insertion catheter artery,,,314.1,6979.0,4
HCPCS,36680,Insert needle bone cavity,,,330.02,3195.0,4
HCPCS,36800,Insertion of cannula,,,600.2,22111.0,4
HCPCS,36810,Insertion of cannula,,,979.05,12821.0,4
HCPCS,36815,Insertion of cannula,,,719.12,22111.0,4
HCPCS,36818,Av fuse uppr arm cephalic,,,3639.17,22111.0,4
HCPCS,36819,Av fuse uppr arm basilic,,,3852.74,22111.0,4
HCPCS,36820,Av fusion/forearm vein,,,3844.06,22111.0,4
HCPCS,36821,Av fusion direct any site,,,3482.52,12821.0,4
HCPCS,36823,Insertion of cannula(s),,,6979.0,10940.0,4
HCPCS,36825,Artery-vein autograft,,,4179.58,22111.0,4
HCPCS,36830,Artery-vein nonautograft,,,3521.21,22111.0,4
HCPCS,36831,Open thrombect av fistula,,,3274.99,22111.0,4
HCPCS,36832,Av fistula revision open,,,3982.79,22111.0,4
HCPCS,36833,Av fistula revision,,,4267.26,22111.0,4
HCPCS,36835,Artery to vein shunt,,,2698.16,12821.0,4
HCPCS,36836,Prq av fstl crtj uxtr 1 acs,,,1775.12,25393.0,4
HCPCS,36837,Prq av fstl crt uxtr sep acs,,,2278.57,25393.0,4
HCPCS,36838,Dist revas ligation hemo,,,5363.0,22111.0,4
HCPCS,36860,External cannula declotting,,,572.41,4497.0,4
HCPCS,36861,Cannula declotting,,,721.12,22111.0,4
HCPCS,36901,HC GENOME SEQUENCE ANALYSIS (985),4794.0,4794.0,,,0
HCPCS,36901,Intro cath dialysis circuit,,,836.16,5664.0,4
HCPCS,36902,"HC GENOME SEQ ANALYSIS, EA CMPRTR (493)",33815.0,33815.0,,,0
HCPCS,36902,Intro cath dialysis circuit,,,1192.08,22111.0,4
HCPCS,36903,"HC GENOME SEQ ANALYSIS, EA CMPRTR (985)",68340.0,68340.0,,,0
HCPCS,36903,Intro cath dialysis circuit,,,1582.75,25393.0,4
HCPCS,36904,HC MOPATH PROCEDURE LEVEL 6 (99),33815.0,33815.0,,,0
HCPCS,36904,Thrmbc/nfs dialysis circuit,,,1823.47,22111.0,4
HCPCS,36905,HC MOPATH PROCEDURE LEVEL 2 (99),68340.0,68340.0,,,0
HCPCS,36905,Thrmbc/nfs dialysis circuit,,,2186.89,25393.0,4
HCPCS,36906,HC MOPATH PROCEDURE LEVEL 2 (49),103589.0,103589.0,,,0
HCPCS,36906,Thrmbc/nfs dialysis circuit,,,2525.22,39251.0,4
HCPCS,36907,Balo angiop ctr dialysis seg,,,725.82,3195.0,4
HCPCS,36907,"HC  DRUG SCREEN, INSTRUMENT SINGLE DRUG",935.0,935.0,,,0
HCPCS,36908,Stent plmt ctr dialysis seg,,,1038.19,3195.0,4
HCPCS,36909,Dialysis circuit embolj,,,1004.25,3195.0,4
HCPCS,37140,Revision of circulation,,,5097.0,12366.77,4
HCPCS,37145,Revision of circulation,,,5097.0,11482.74,4
HCPCS,37160,Revision of circulation,,,5097.0,11791.77,4
HCPCS,37180,Revision of circulation,,,5097.0,11340.29,4
HCPCS,37181,Splice spleen/kidney veins,,,5097.0,12366.77,4
HCPCS,37182,Insert hepatic shunt (tips),,,3930.23,25393.0,4
HCPCS,37183,Remove hepatic shunt (tips),,,1804.64,25393.0,4
HCPCS,37184,Prim art m-thrmbc 1st vsl,,,2155.7,22111.0,4
HCPCS,37185,Prim art m-thrmbc sbsq vsl,,,812.37,4108.0,4
HCPCS,37186,Sec art thrombectomy add-on,,,1265.96,3195.0,4
HCPCS,37187,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE (370),12133.0,12133.0,,,0
HCPCS,37187,Venous mech thrombectomy,,,1972.67,22111.0,4
HCPCS,37188,Venous m-thrombectomy add-on,,,1438.95,12821.0,4
HCPCS,37191,HC PERCUT DILATION BILARY STRICTURE WO STENT,13240.0,13240.0,,,0
HCPCS,37191,Ins endovas vena cava filtr,,,1083.14,22111.0,4
HCPCS,37192,Redo endovas vena cava filtr,,,1834.21,12821.0,4
HCPCS,37193,HC PERCUT DILATION BILARY STRICTURE WITH STENT,5780.0,5780.0,,,0
HCPCS,37193,Rem endovas vena cava filter,,,1717.98,12821.0,4
HCPCS,37195,Thrombolytic therapy stroke,,,2505.0,6979.0,3
HCPCS,37197,Remove intrvas foreign body,,,1515.84,12821.0,4
HCPCS,37200,"HC CONTRAST INJECTION, ASSESS CYST VIA EXIST CATH",9167.0,9167.0,,,0
HCPCS,37200,Transcatheter biopsy,,,1037.06,22111.0,4
HCPCS,37211,HC BX BREAST 1ST LESION US IMAG,11490.0,11490.0,,,0
HCPCS,37211,Thrombolytic art therapy,,,1953.24,22111.0,4
HCPCS,37212,HC BX BREAST ADD LESION US IMAG,11490.0,11490.0,,,0
HCPCS,37212,Thrombolytic venous therapy,,,1691.65,12821.0,4
HCPCS,37213,HC BX BREAST 1ST LESION MR IMAG,10756.0,10756.0,,,0
HCPCS,37213,Thromblytic art/ven therapy,,,1164.67,5248.0,4
HCPCS,37214,Cessj therapy cath removal,,,618.71,5248.0,4
HCPCS,37214,HC BX BREAST ADD LESION MR IMAG,10756.0,10756.0,,,0
HCPCS,37215,Transcath stent cca w/eps,,,5097.0,5664.0,4
HCPCS,37216,Transcath stent cca w/o eps,,,5097.0,5664.0,3
HCPCS,37217,Stent placemt retro carotid,,,5097.0,5704.33,4
HCPCS,37218,Stent placemt ante carotid,,,4293.76,5664.0,4
HCPCS,37220,HC PRENATAL KNOWN FAMILIAL MUTATION (INCLUDES MCC) (370),9584.0,9584.0,,,0
HCPCS,37220,Iliac revasc,,,5363.0,22111.0,3
HCPCS,37221,"HC PLACE GASTROSTOMY TUBE, PERCUT, UNDER FLUORO GUIDE",16455.0,16455.0,,,0
HCPCS,37221,Iliac revasc w/stent,,,5363.0,25393.0,3
HCPCS,37222,Iliac revasc add-on,,,3195.0,22111.0,3
HCPCS,37223,Iliac revasc w/stent add-on,,,3195.0,22111.0,3
HCPCS,37224,Fem/popl revas w/tla,,,5363.0,22111.0,3
HCPCS,37224,HC REMOVE RENAL TUBE W/FLUORO,8310.0,8310.0,,,0
HCPCS,37225,Fem/popl revas w/ather,,,5363.0,25393.0,3
HCPCS,37226,Fem/popl revasc w/stent,,,5363.0,25393.0,3
HCPCS,37227,Fem/popl revasc stnt & ather,,,5363.0,39251.0,3
HCPCS,37228,HC RBC DNA HEA 35 AG 11 BLD GRP,18568.0,18568.0,,,0
HCPCS,37228,Tib/per revasc w/tla,,,5363.0,22111.0,3
HCPCS,37229,Tib/per revasc w/ather,,,5363.0,25393.0,3
HCPCS,37230,Tib/per revasc w/stent,,,5363.0,25393.0,3
HCPCS,37231,Tib/per revasc stent & ather,,,5363.0,39251.0,3
HCPCS,37232,Tib/per revasc add-on,,,3195.0,22111.0,3
HCPCS,37233,Tibper revasc w/ather add-on,,,3195.0,25393.0,3
HCPCS,37234,Revsc opn/prq tib/pero stent,,,3195.0,22111.0,3
HCPCS,37235,Tib/per revasc stnt & ather,,,3195.0,22111.0,3
HCPCS,37236,"HC HA DIGITAL, PREMIUM, MONAURAL, ITE",76330.0,76330.0,,,0
HCPCS,37236,Open/perq place stent 1st,,,2274.36,25393.0,4
HCPCS,37237,Open/perq place stent ea add,,,1099.76,22111.0,4
HCPCS,37238,Open/perq place stent same,,,1566.3,25393.0,4
HCPCS,37239,Open/perq place stent ea add,,,760.03,22111.0,4
HCPCS,37241,Vasc embolize/occlude venous,,,2107.14,25393.0,4
HCPCS,37242,HC DRUG SCREEN QUANT EVEROLIMUS,70657.0,70657.0,,,0
HCPCS,37242,Vasc embolize/occlude artery,,,2354.81,25393.0,4
HCPCS,37243,HC DRUG SCREEN QUANT GABAPENTIN,52568.0,52568.0,,,0
HCPCS,37243,Vasc embolize/occlude organ,,,2707.01,25393.0,4
HCPCS,37244,HC DRUG SCREEN QUAN LAMOTRIGINE,52568.0,52568.0,,,0
HCPCS,37244,Vasc embolize/occlude bleed,,,3177.7,25393.0,4
HCPCS,37246,"HC DRUG SCREEN, INSTRUMENT 5 DRUG",33797.0,33797.0,,,0
HCPCS,37246,Trluml balo angiop 1st art,,,1776.63,22111.0,4
HCPCS,37247,HC BRAF GENE (205),16733.0,16733.0,,,0
HCPCS,37247,Trluml balo angiop addl art,,,872.16,3195.0,4
HCPCS,37248,HC IGH GENE REARRANGE AMP METH (180),33797.0,33797.0,,,0
HCPCS,37248,Trluml balo angiop 1st vein,,,1480.28,22111.0,4
HCPCS,37249,HC CHIMERISM ANAL NO CELL SELEC (170),16733.0,16733.0,,,0
HCPCS,37249,Trluml balo angiop addl vein,,,737.85,3195.0,4
HCPCS,37252,Intrvasc us noncoronary 1st,,,458.77,3195.0,4
HCPCS,37253,Intrvasc us noncoronary addl,,,360.88,3195.0,4
HCPCS,37254,Revsc evasc ivt angio sf 1st,,,1958.1,6979.0,2
HCPCS,37255,Revsc evasc ivt angio sf ea,,,795.05,795.05,1
HCPCS,37256,Revsc evasc ivt angio cplx 1,,,2870.67,6979.0,2
HCPCS,37257,Revsc evsc ivt angio cplx ea,,,1029.56,1029.56,1
HCPCS,37258,Revsc evasc ivt stent sf 1st,,,2344.78,6979.0,2
HCPCS,37259,Revsc evasc ivt stent sf ea,,,1063.93,1063.93,1
HCPCS,37260,Revsc evasc ivt st cplx 1st,,,3389.5,6979.0,2
HCPCS,37261,Revsc evasc ivt st cplx ea,,,1130.41,1130.41,1
HCPCS,37262,Iv lithotrp ivt w/in sm art,,,784.2,784.2,1
HCPCS,37263,Revsc evasc fpvt angio sf 1,,,2078.59,6979.0,2
HCPCS,37264,Revsc evasc fpvt angio sf ea,,,795.8,795.8,1
HCPCS,37265,Revsc evsc fpvt angio cplx 1,,,2812.34,6979.0,2
HCPCS,37266,Rvsc evsc fpvt angio cplx ea,,,1059.02,1059.02,1
HCPCS,37267,Revsc evsc fpvt stent sf 1st,,,2346.5,6979.0,2
HCPCS,37268,Revsc evasc fpvt stent sf ea,,,992.59,992.59,1
HCPCS,37269,Revsc evasc fpvt st cplx 1st,,,3945.45,6979.0,2
HCPCS,37270,Revsc evasc fpvt st cplx ea,,,1333.03,1333.03,1
HCPCS,37271,Revsc evsc fpvt athrc sf 1st,,,2391.29,6979.0,2
HCPCS,37272,Revsc evsc fpvt athrc sf ea,,,1055.08,1055.08,1
HCPCS,37273,Revsc evsc fpvt athrc cplx 1,,,3349.41,6979.0,2
HCPCS,37274,Rvsc evsc fpvt athrc cplx ea,,,1453.68,1453.68,1
HCPCS,37275,Rvsc evsc fpvt st athrc sf 1,,,2920.91,6979.0,2
HCPCS,37276,Rvsc evsc fpvt st athr sf ea,,,1124.47,1124.47,1
HCPCS,37277,Rvsc evsc fpvt st athr cpx 1,,,3971.78,6979.0,2
HCPCS,37278,Rvsc evsc fpvt st ath cpx ea,,,1578.06,1578.06,1
HCPCS,37279,Iv lithotrp fpvt w/in sm art,,,1048.87,1048.87,1
HCPCS,37280,Revsc evsc tpvt angio sf 1st,,,2614.31,6979.0,2
HCPCS,37281,Revsc evsc tpvt angio sf ea,,,783.23,783.23,1
HCPCS,37282,Rvsc evsc tpvt angio cplx 1,,,3279.9,6979.0,2
HCPCS,37283,Rvsc evsc tpvt angio cplx ea,,,1116.43,1116.43,1
HCPCS,37284,Revsc evasc tpvt st sf 1st,,,2687.26,6979.0,2
HCPCS,37285,Revsc evasc tpvt st sf ea,,,884.13,884.13,1
HCPCS,37286,Revsc evasc tpvt st cplx 1st,,,3602.15,6979.0,2
HCPCS,37287,Revsc evasc tpvt st cplx ea,,,1332.06,1332.06,1
HCPCS,37288,Revsc evsc tpvt athrc sf 1st,,,3531.52,6979.0,2
HCPCS,37289,Revsc evsc tpvt athrc sf ea,,,1245.13,1245.13,1
HCPCS,37290,Revsc evsc tpvt athrc cplx 1,,,4443.77,6979.0,2
HCPCS,37291,Revsc evsc tpvt athr cplx ea,,,1695.69,1695.69,1
HCPCS,37292,Rvsc evsc tpvt st athrc sf 1,,,3921.54,6979.0,2
HCPCS,37293,Rvsc evsc tpvt st athr sf ea,,,1724.02,1724.02,1
HCPCS,37294,Rvsc evsc tpvt st athr cpx 1,,,4701.53,6979.0,2
HCPCS,37295,Rvsc evsc tpvt st ath cpx ea,,,2176.1,2176.1,1
HCPCS,37296,Revsc evasc imvt angio sf 1,,,2926.84,6979.0,2
HCPCS,37297,Revsc evasc imvt angio sf ea,,,1045.48,1045.48,1
HCPCS,37298,Revsc evsc imvt angio cplx 1,,,3600.37,6979.0,2
HCPCS,37299,Revsc evsc imvt angio cpx ea,,,1299.57,1299.57,1
HCPCS,37500,Endoscopy ligate perf veins,,,5248.0,22111.0,3
HCPCS,37501,Vascular endoscopy procedure,,,4047.0,6979.0,3
HCPCS,37565,Ligation of neck vein,,,3697.56,6979.0,4
HCPCS,37600,Ligation of neck artery,,,3722.75,12821.0,4
HCPCS,37605,Ligation of neck artery,,,3945.29,12821.0,4
HCPCS,37606,Ligation of neck artery,,,4342.16,12821.0,4
HCPCS,37607,Ligation of a-v fistula,,,1979.25,12821.0,4
HCPCS,37609,Temporal artery procedure,,,1057.67,5664.0,4
HCPCS,37615,Ligation of neck artery,,,2587.71,6979.0,4
HCPCS,37616,Ligation of chest artery,,,5097.0,6979.0,4
HCPCS,37617,Ligation of abdomen artery,,,6938.39,12821.0,4
HCPCS,37618,Ligation of extremity artery,,,2092.3,6979.0,4
HCPCS,37619,Ligation of inf vena cava,,,5248.0,22111.0,4
HCPCS,37650,Revision of major vein,,,2458.47,12821.0,4
HCPCS,37660,Revision of major vein,,,5097.0,7042.64,4
HCPCS,37700,Revise leg vein,,,1298.28,12821.0,4
HCPCS,37718,Ligate/strip short leg vein,,,2099.8,12821.0,4
HCPCS,37722,Ligate/strip long leg vein,,,2452.48,12821.0,4
HCPCS,37735,Removal of leg veins/lesion,,,3109.98,12821.0,4
HCPCS,37760,Ligate leg veins radical,,,3078.53,12821.0,4
HCPCS,37761,Ligate leg veins open,,,2805.06,5248.0,4
HCPCS,37765,Stab phleb veins xtr 10-20,,,1411.0,12821.0,4
HCPCS,37766,Phleb veins - extrem 20+,,,1737.35,12821.0,4
HCPCS,37780,Revision of leg vein,,,1266.87,5248.0,4
HCPCS,37785,Ligate/divide/excise vein,,,1332.87,12821.0,4
HCPCS,37788,Revascularization penis,,,5097.0,6979.0,4
HCPCS,37790,Penile venous occlusion,,,2451.94,12821.0,4
HCPCS,37799,HC INJECT ILEAL CONDUIT/URETEROPYELOGRAM,13343.0,13343.0,,,0
HCPCS,37799,Vascular surgery procedure,,,4047.0,4497.0,3
HCPCS,38100,Removal of spleen total,,,5097.0,6979.0,4
HCPCS,38101,Removal of spleen partial,,,5097.0,6979.0,4
HCPCS,38102,Removal of spleen total,,,1366.59,6979.0,4
HCPCS,38115,Repair of ruptured spleen,,,5097.0,6979.0,4
HCPCS,38120,Laparoscopy splenectomy,,,5701.79,22111.0,4
HCPCS,38129,Laparoscope proc spleen,,,5248.0,14456.0,3
HCPCS,38200,Injection for spleen x-ray,,,607.48,3195.0,4
HCPCS,38205,HC ONE KNOWN FAMILIAL VARIANT (136),5604.0,5604.0,,,0
HCPCS,38205,Harvest allogeneic stem cell,,,374.43,6979.0,4
HCPCS,38206,"HC BONE MARROW STEM TRANSPLANT, AUTOLOGOUS",6608.0,6608.0,,,0
HCPCS,38206,Harvest auto stem cells,,,368.49,6979.0,4
HCPCS,38207,Cryopreserve stem cells,,,2505.0,6979.0,3
HCPCS,38208,HC ALLG SPEC IGE RECOMB EA,1969.0,1969.0,,,0
HCPCS,38208,Thaw preserved stem cells,,,2505.0,6979.0,3
HCPCS,38209,Wash harvest stem cells,,,2505.0,6979.0,3
HCPCS,38210,T-cell depletion of harvest,,,2505.0,6979.0,3
HCPCS,38211,Tumor cell deplete of harvst,,,2505.0,6979.0,3
HCPCS,38212,Rbc depletion of harvest,,,2505.0,6979.0,3
HCPCS,38213,Platelet deplete of harvest,,,2505.0,6979.0,3
HCPCS,38214,Volume deplete of harvest,,,2505.0,6979.0,3
HCPCS,38215,Harvest stem cell concentrte,,,2505.0,6979.0,3
HCPCS,38220,Bone marrow aspiration,,,304.17,4497.0,4
HCPCS,38220,HC BIOPSY LYMPH NODES; SUPERFICIAL,3819.0,3819.0,,,0
HCPCS,38221,Bone marrow biopsy,,,318.85,4497.0,4
HCPCS,38221,HC BIOPSY SALIVARY GLAND; NEEDLE,3798.0,3798.0,,,0
HCPCS,38222,Dx bone marrow bx & aspir,,,346.1,5664.0,4
HCPCS,38225,Car-t hrv bld-drv t lymphcyt,,,5097.0,5664.0,2
HCPCS,38226,Car-t prep t lymphcyt f/trns,,,5097.0,5664.0,2
HCPCS,38227,Car-t receipt&prepj admn,,,5097.0,5664.0,2
HCPCS,38228,Car-t admn autologous,,,817.12,2782.0,3
HCPCS,38228,HC DNA/RNA AMPLIFIED PROBE,1774.0,1774.0,,,0
HCPCS,38230,Bone marrow harvest allogen,,,995.72,6044.0,4
HCPCS,38232,Bone marrow harvest autolog,,,886.4,14456.0,4
HCPCS,38240,Transplt allo hct/donor,,,1096.25,14456.0,4
HCPCS,38241,HC BIOPSY LIVER; PERCUTANEOUS NEEDLE,4527.0,4527.0,,,0
HCPCS,38241,Transplt autol hct/donor,,,811.4,6044.0,4
HCPCS,38242,Transplt allo lymphocytes,,,576.35,6979.0,4
HCPCS,38243,Transplj hematopoietic boost,,,554.12,5664.0,4
HCPCS,38300,Drainage lymph node lesion,,,1193.16,5664.0,4
HCPCS,38305,Drainage lymph node lesion,,,2757.73,10940.0,4
HCPCS,38308,Incision of lymph channels,,,2510.38,10940.0,4
HCPCS,38380,Thoracic duct procedure,,,2870.67,6979.0,4
HCPCS,38381,Thoracic duct procedure,,,4400.11,6979.0,4
HCPCS,38382,Thoracic duct procedure,,,3811.52,6979.0,4
HCPCS,38500,Biopsy/removal lymph nodes,,,1384.51,10940.0,4
HCPCS,38505,HC BIOPSY PANCREAS PERCUTANEOUS NEEDLE,3799.0,3799.0,,,0
HCPCS,38505,Needle biopsy lymph nodes,,,415.01,5664.0,4
HCPCS,38510,Biopsy/removal lymph nodes,,,2127.75,10940.0,4
HCPCS,38520,Biopsy/removal lymph nodes,,,2475.58,10940.0,4
HCPCS,38525,Biopsy/removal lymph nodes,,,2429.39,10940.0,4
HCPCS,38530,Biopsy/removal lymph nodes,,,2971.9,10940.0,4
HCPCS,38531,Open bx/exc inguinofem nodes,,,2444.12,12821.0,4
HCPCS,38542,Explore deep node(s) neck,,,2615.12,22111.0,4
HCPCS,38550,Removal neck/armpit lesion,,,2908.01,10940.0,4
HCPCS,38555,Removal neck/armpit lesion,,,5363.0,10940.0,4
HCPCS,38562,Removal pelvic lymph nodes,,,3761.93,22111.0,4
HCPCS,38564,Removal abdomen lymph nodes,,,3748.28,6979.0,4
HCPCS,38570,Laparoscopy lymph node biop,,,2715.64,22111.0,4
HCPCS,38571,Laparoscopy lymphadenectomy,,,3334.73,22111.0,4
HCPCS,38572,Laparoscopy lymphadenectomy,,,4667.76,22111.0,4
HCPCS,38573,Laps pelvic lymphadec,,,6146.31,22111.0,4
HCPCS,38589,Laparoscope proc lymphatic,,,5248.0,14456.0,3
HCPCS,38700,Removal of lymph nodes neck,,,3952.46,10940.0,4
HCPCS,38720,Removal of lymph nodes neck,,,5363.0,10940.0,4
HCPCS,38724,Removal of lymph nodes neck,,,5363.0,10940.0,4
HCPCS,38740,Remove armpit lymph nodes,,,3822.26,22111.0,4
HCPCS,38745,Remove armpit lymph nodes,,,4776.76,22111.0,4
HCPCS,38746,Remove thoracic lymph nodes,,,1140.39,6979.0,4
HCPCS,38747,Remove abdominal lymph nodes,,,1390.44,6979.0,4
HCPCS,38760,Remove groin lymph nodes,,,4108.0,10940.0,4
HCPCS,38765,Remove groin lymph nodes,,,5097.0,6979.0,4
HCPCS,38770,Remove pelvis lymph nodes,,,4149.47,6979.0,4
HCPCS,38780,Remove abdomen lymph nodes,,,5097.0,6979.0,4
HCPCS,38790,Inject for lymphatic x-ray,,,420.83,3195.0,4
HCPCS,38792,Ra tracer id of sentinl node,,,153.19,3195.0,4
HCPCS,38794,Access thoracic lymph duct,,,1421.52,2782.0,3
HCPCS,38900,Io map of sent lymph node,,,711.57,3195.0,4
HCPCS,38999,Blood/lymph system procedure,,,2505.0,3195.0,3
HCPCS,39000,Exploration of chest,,,2763.13,6979.0,4
HCPCS,39010,Exploration of chest,,,4343.46,6979.0,4
HCPCS,39200,Resect mediastinal cyst,,,4771.74,6979.0,4
HCPCS,39220,Resect mediastinal tumor,,,5097.0,6979.0,4
HCPCS,39401,Mediastinoscpy w/medstnl bx,,,1681.5,14456.0,4
HCPCS,39402,Mediastinoscpy w/lmph nod bx,,,2178.31,14456.0,4
HCPCS,39499,Chest procedure,,,5097.0,6979.0,3
HCPCS,39501,Repair diaphragm laceration,,,4612.72,6979.0,4
HCPCS,39503,Repair of diaphragm hernia,,,5097.0,31092.51,4
HCPCS,39540,Repair of diaphragm hernia,,,4689.99,6979.0,4
HCPCS,39541,Repair of diaphragm hernia,,,5095.66,6979.0,4
HCPCS,39545,Revision of diaphragm,,,4969.55,6979.0,4
HCPCS,39560,Resect diaphragm simple,,,4314.37,6979.0,4
HCPCS,39561,Resect diaphragm complex,,,5097.0,6979.0,4
HCPCS,39599,Diaphragm surgery procedure,,,5097.0,6979.0,3
HCPCS,40490,Biopsy of lip,,,310.76,6979.0,4
HCPCS,40500,Partial excision of lip,,,1808.63,5664.0,4
HCPCS,40510,Partial excision of lip,,,1742.15,10940.0,4
HCPCS,40520,Partial excision of lip,,,1794.82,5664.0,4
HCPCS,40525,Reconstruct lip with flap,,,2747.05,10940.0,4
HCPCS,40527,Reconstruct lip with flap,,,3057.27,10940.0,4
HCPCS,40530,Partial removal of lip,,,2021.18,10940.0,4
HCPCS,40650,Repair lip,,,1914.07,5248.0,4
HCPCS,40652,Repair lip,,,1982.87,5248.0,4
HCPCS,40654,Repair lip,,,2165.47,5664.0,4
HCPCS,40700,Repair cleft lip/nasal,,,5065.06,14456.0,4
HCPCS,40701,Repair cleft lip/nasal,,,5934.52,14456.0,4
HCPCS,40702,Repair cleft lip/nasal,,,5004.74,14456.0,4
HCPCS,40720,Repair cleft lip/nasal,,,5135.97,14456.0,4
HCPCS,40761,Repair cleft lip/nasal,,,5248.0,14456.0,4
HCPCS,40799,Lip surgery procedure,,,2505.0,6979.0,3
HCPCS,40800,Drainage of mouth lesion,,,623.18,6979.0,4
HCPCS,40801,Drainage of mouth lesion,,,1030.74,4108.0,4
HCPCS,40804,Removal foreign body mouth,,,624.96,6979.0,4
HCPCS,40805,Removal foreign body mouth,,,1000.53,4108.0,4
HCPCS,40806,Incision of lip fold,,,156.48,3195.0,4
HCPCS,40808,Biopsy of mouth lesion,,,447.49,3195.0,4
HCPCS,40810,Excision of mouth lesion,,,621.03,5664.0,4
HCPCS,40812,Excise/repair mouth lesion,,,915.32,5664.0,4
HCPCS,40814,Excise/repair mouth lesion,,,1435.23,10940.0,4
HCPCS,40816,Excision of mouth lesion,,,1521.35,10940.0,4
HCPCS,40818,Excise oral mucosa for graft,,,1327.96,3195.0,4
HCPCS,40819,Excise lip or cheek fold,,,1019.57,5664.0,4
HCPCS,40820,Treatment of mouth lesion,,,816.04,5664.0,4
HCPCS,40830,Repair mouth laceration,,,751.77,6979.0,4
HCPCS,40831,Repair mouth laceration,,,1051.03,3195.0,4
HCPCS,40840,Reconstruction of mouth,,,3109.82,10940.0,4
HCPCS,40842,Reconstruction of mouth,,,3010.37,10940.0,4
HCPCS,40843,Reconstruction of mouth,,,4343.94,10940.0,4
HCPCS,40844,Reconstruction of mouth,,,5896.69,14456.0,4
HCPCS,40845,Reconstruction of mouth,,,5832.81,14456.0,4
HCPCS,40899,Mouth surgery procedure,,,2505.0,6044.0,3
HCPCS,41000,Drainage of mouth lesion,,,558.92,3195.0,4
HCPCS,41005,Drainage of mouth lesion,,,603.11,3195.0,4
HCPCS,41006,Drainage of mouth lesion,,,1174.66,5664.0,4
HCPCS,41007,Drainage of mouth lesion,,,1125.07,5664.0,4
HCPCS,41008,Drainage of mouth lesion,,,1337.99,5664.0,4
HCPCS,41009,Drainage of mouth lesion,,,1438.95,3195.0,4
HCPCS,41010,Incision of tongue fold,,,553.31,5664.0,4
HCPCS,41015,Drainage of mouth lesion,,,1519.78,3195.0,4
HCPCS,41016,Drainage of mouth lesion,,,1765.84,10940.0,4
HCPCS,41017,Drainage of mouth lesion,,,1744.2,5664.0,4
HCPCS,41018,Drainage of mouth lesion,,,2043.57,5664.0,4
HCPCS,41019,Place needles h&n for rt,,,2228.87,10940.0,4
HCPCS,41100,Biopsy of tongue,,,532.8,3195.0,4
HCPCS,41105,Biopsy of tongue,,,549.69,5664.0,4
HCPCS,41108,Biopsy of floor of mouth,,,457.47,4497.0,4
HCPCS,41110,Excision of tongue lesion,,,646.17,5664.0,4
HCPCS,41112,Excision of tongue lesion,,,1224.08,5664.0,4
HCPCS,41113,Excision of tongue lesion,,,1330.82,5664.0,4
HCPCS,41114,Excision of tongue lesion,,,3021.6,10940.0,4
HCPCS,41115,Excision of tongue fold,,,726.03,5664.0,4
HCPCS,41116,Excision of mouth lesion,,,1093.99,10940.0,4
HCPCS,41120,Partial removal of tongue,,,5288.08,14456.0,4
HCPCS,41130,Partial removal of tongue,,,5097.0,6979.0,4
HCPCS,41135,Tongue and neck surgery,,,6979.0,10940.0,4
HCPCS,41140,Removal of tongue,,,5097.0,10575.3,4
HCPCS,41145,Tongue removal neck surgery,,,5097.0,13289.86,4
HCPCS,41150,Tongue mouth jaw surgery,,,5097.0,10675.07,4
HCPCS,41153,Tongue mouth neck surgery,,,5097.0,11578.04,4
HCPCS,41155,Tongue jaw & neck surgery,,,5097.0,14458.26,4
HCPCS,41250,Repair tongue laceration,,,916.35,4108.0,4
HCPCS,41251,Repair tongue laceration,,,1242.05,4108.0,4
HCPCS,41252,Repair tongue laceration,,,1080.55,4108.0,4
HCPCS,41510,Tongue to lip surgery,,,2297.13,5664.0,4
HCPCS,41512,Tongue suspension,,,3343.42,14456.0,4
HCPCS,41520,Reconstruction tongue fold,,,1250.2,14456.0,4
HCPCS,41530,Tongue base vol reduction,,,1940.4,10940.0,4
HCPCS,41599,"HC LACTATION CLASSES, NON-PHYSICIAN PROVIDER, PER SESSION",7695.0,7695.0,,,0
HCPCS,41599,Tongue and mouth surgery,,,2505.0,6979.0,3
HCPCS,41800,Drainage of gum lesion,,,1010.67,3195.0,4
HCPCS,41805,Removal foreign body gum,,,1018.12,5664.0,4
HCPCS,41806,Removal foreign body jawbone,,,1415.32,5664.0,4
HCPCS,41820,Excision gum each quadrant,,,3195.0,10940.0,3
HCPCS,41821,Excision of gum flap,,,3195.0,5664.0,3
HCPCS,41822,Excision of gum lesion,,,1032.79,5664.0,4
HCPCS,41823,Excision of gum lesion,,,1936.41,10940.0,4
HCPCS,41825,Excision of gum lesion,,,600.63,5664.0,4
HCPCS,41826,Excision of gum lesion,,,970.74,10940.0,4
HCPCS,41827,Excision of gum lesion,,,1438.84,14456.0,4
HCPCS,41828,Excision of gum lesion,,,1113.3,5664.0,4
HCPCS,41830,Removal of gum tissue,,,1609.2,10940.0,4
HCPCS,41850,Treatment of gum lesion,,,3195.0,5664.0,3
HCPCS,41870,Gum graft,,,4108.0,5664.0,3
HCPCS,41872,Repair gum,,,1618.58,14456.0,4
HCPCS,41874,Repair tooth socket,,,1228.13,5664.0,4
HCPCS,41899,Dental surgery procedure,,,2505.0,3195.0,3
HCPCS,41899,"HC CC/MS, NON-DRUG ANALYTE(S) NES, QUAL OR QNT, EA SP",890.0,890.0,,,0
HCPCS,42000,Drainage mouth roof lesion,,,539.38,4108.0,4
HCPCS,42100,Biopsy roof of mouth,,,552.06,5664.0,4
HCPCS,42104,Excision lesion mouth roof,,,667.11,5664.0,4
HCPCS,42106,Excision lesion mouth roof,,,816.9,5664.0,4
HCPCS,42107,Excision lesion mouth roof,,,1664.83,10940.0,4
HCPCS,42120,Remove palate/lesion,,,4963.83,10940.0,4
HCPCS,42140,Excision of uvula,,,819.81,5664.0,4
HCPCS,42145,Repair palate pharynx/uvula,,,3352.0,10940.0,4
HCPCS,42160,Treatment mouth roof lesion,,,701.05,5664.0,4
HCPCS,42180,Repair palate,,,925.36,3195.0,4
HCPCS,42182,Repair palate,,,1258.24,10940.0,4
HCPCS,42200,Reconstruct cleft palate,,,4667.86,14456.0,4
HCPCS,42205,Reconstruct cleft palate,,,4828.23,14456.0,4
HCPCS,42210,Reconstruct cleft palate,,,5389.69,14456.0,4
HCPCS,42215,Reconstruct cleft palate,,,3578.03,14456.0,4
HCPCS,42220,Reconstruct cleft palate,,,2966.18,14456.0,4
HCPCS,42225,Reconstruct cleft palate,,,5249.28,14456.0,4
HCPCS,42226,Lengthening of palate,,,4530.75,14456.0,4
HCPCS,42227,Lengthening of palate,,,4211.96,14456.0,4
HCPCS,42235,Repair palate,,,3732.36,14456.0,4
HCPCS,42260,Repair nose to lip fistula,,,3250.98,10940.0,4
HCPCS,42280,Preparation palate mold,,,540.57,3195.0,4
HCPCS,42281,Insertion palate prosthesis,,,834.49,5664.0,4
HCPCS,42299,Palate/uvula surgery,,,2505.0,6979.0,3
HCPCS,42300,Drainage of salivary gland,,,771.52,5664.0,4
HCPCS,42305,Drainage of salivary gland,,,2122.41,10940.0,4
HCPCS,42310,Drainage of salivary gland,,,694.03,3195.0,4
HCPCS,42320,Drainage of salivary gland,,,888.72,3195.0,4
HCPCS,42330,Removal of salivary stone,,,825.32,5664.0,4
HCPCS,42335,Removal of salivary stone,,,1309.07,10940.0,4
HCPCS,42340,Removal of salivary stone,,,1695.32,5664.0,4
HCPCS,42400,Biopsy of salivary gland,,,260.3,4497.0,4
HCPCS,42400,HC ABD PARACENTESIS W/IMAGING,2741.0,2741.0,,,0
HCPCS,42405,Biopsy of salivary gland,,,1113.63,5664.0,4
HCPCS,42408,Excision of salivary cyst,,,1773.13,10940.0,4
HCPCS,42409,Drainage of salivary cyst,,,1149.4,10940.0,4
HCPCS,42410,Excise parotid gland/lesion,,,3090.94,14456.0,4
HCPCS,42415,Excise parotid gland/lesion,,,5127.01,14456.0,4
HCPCS,42420,Excise parotid gland/lesion,,,5721.38,14456.0,4
HCPCS,42425,Excise parotid gland/lesion,,,4063.19,14456.0,4
HCPCS,42426,Excise parotid gland/lesion,,,6533.31,10940.0,4
HCPCS,42440,Excise submaxillary gland,,,2046.06,14456.0,4
HCPCS,42450,Excise sublingual gland,,,1800.59,10940.0,4
HCPCS,42500,Repair salivary duct,,,1711.5,10940.0,4
HCPCS,42505,Repair salivary duct,,,2253.42,14456.0,4
HCPCS,42507,Parotid duct diversion,,,2413.85,14456.0,4
HCPCS,42509,Parotid duct diversion,,,3963.52,14456.0,4
HCPCS,42510,Parotid duct diversion,,,2955.17,14456.0,4
HCPCS,42550,Injection for salivary x-ray,,,290.3,3195.0,4
HCPCS,42600,Closure of salivary fistula,,,1754.46,5664.0,4
HCPCS,42650,Dilation of salivary duct,,,292.46,5664.0,4
HCPCS,42660,Dilation of salivary duct,,,386.35,3195.0,4
HCPCS,42665,Ligation of salivary duct,,,1076.07,10940.0,4
HCPCS,42699,Salivary surgery procedure,,,2505.0,3195.0,3
HCPCS,42700,Drainage of tonsil abscess,,,700.18,3195.0,4
HCPCS,42720,Drainage of throat abscess,,,1861.51,5664.0,4
HCPCS,42725,Drainage of throat abscess,,,3938.0,14456.0,4
HCPCS,42800,Biopsy of throat,,,579.75,4497.0,4
HCPCS,42804,Biopsy of upper nose/throat,,,610.13,5664.0,4
HCPCS,42806,Biopsy of upper nose/throat,,,697.65,10940.0,4
HCPCS,42808,Excise pharynx lesion,,,817.66,10940.0,4
HCPCS,42809,Remove pharynx foreign body,,,645.04,3195.0,4
HCPCS,42810,Excision of neck cyst,,,1402.69,10940.0,4
HCPCS,42815,Excision of neck cyst,,,2627.42,14456.0,4
HCPCS,42820,Remove tonsils and adenoids,,,1436.42,10940.0,4
HCPCS,42821,Remove tonsils and adenoids,,,1498.09,10940.0,4
HCPCS,42825,Removal of tonsils,,,1330.49,10940.0,4
HCPCS,42826,Removal of tonsils,,,1268.01,10940.0,4
HCPCS,42830,Removal of adenoids,,,1065.87,10940.0,4
HCPCS,42831,Removal of adenoids,,,1158.74,10940.0,4
HCPCS,42835,Removal of adenoids,,,998.85,10940.0,4
HCPCS,42836,Removal of adenoids,,,1219.82,10940.0,4
HCPCS,42842,Extensive surgery of throat,,,4967.67,10940.0,4
HCPCS,42844,Extensive surgery of throat,,,6732.05,14456.0,4
HCPCS,42845,Extensive surgery of throat,,,5097.0,10664.76,4
HCPCS,42860,Excision of tonsil tags,,,978.24,10940.0,4
HCPCS,42870,Excision of lingual tonsil,,,2949.72,10940.0,4
HCPCS,42880,Description Not Available,,,6979.0,6979.0,1
HCPCS,42890,Partial removal of pharynx,,,6895.06,14456.0,4
HCPCS,42892,Revision of pharyngeal walls,,,8406.0,14456.0,4
HCPCS,42894,Revision of pharyngeal walls,,,5097.0,11430.67,4
HCPCS,42900,Repair throat wound,,,1606.23,5664.0,4
HCPCS,42950,Reconstruction of throat,,,3964.23,10940.0,4
HCPCS,42953,Repair throat esophagus,,,4826.51,6979.0,4
HCPCS,42955,Surgical opening of throat,,,3768.51,5664.0,4
HCPCS,42960,Control throat bleeding,,,806.11,3195.0,4
HCPCS,42961,Control throat bleeding,,,2048.38,10940.0,4
HCPCS,42962,Control throat bleeding,,,2523.98,10940.0,4
HCPCS,42970,Control nose/throat bleeding,,,2006.61,3195.0,4
HCPCS,42971,Control nose/throat bleeding,,,2205.18,6979.0,4
HCPCS,42972,Control nose/throat bleeding,,,2458.47,5664.0,4
HCPCS,42975,Dise eval slp do brth flx dx,,,463.68,4108.0,4
HCPCS,42999,Throat surgery procedure,,,2505.0,3195.0,3
HCPCS,43020,Incision of esophagus,,,3120.99,6979.0,4
HCPCS,43030,Throat muscle surgery,,,2589.11,14456.0,4
HCPCS,43045,Incision of esophagus,,,5097.0,7190.87,4
HCPCS,43100,Excision of esophagus lesion,,,3087.91,6979.0,4
HCPCS,43101,Excision of esophagus lesion,,,5097.0,6979.0,4
HCPCS,43107,Removal of esophagus,,,5097.0,15898.4,4
HCPCS,43108,Removal of esophagus,,,5097.0,23797.22,4
HCPCS,43112,Removal of esophagus,,,5097.0,18483.13,4
HCPCS,43113,Removal of esophagus,,,5097.0,23356.21,4
HCPCS,43116,Partial removal of esophagus,,,5097.0,26591.97,4
HCPCS,43117,Partial removal of esophagus,,,5097.0,17460.11,4
HCPCS,43118,Partial removal of esophagus,,,5097.0,19446.7,4
HCPCS,43121,Partial removal of esophagus,,,5097.0,15464.29,4
HCPCS,43122,Partial removal of esophagus,,,5097.0,13465.72,4
HCPCS,43123,Partial removal of esophagus,,,5097.0,24198.09,4
HCPCS,43124,Removal of esophagus,,,5097.0,20539.28,4
HCPCS,43130,Removal of esophagus pouch,,,4001.3,14456.0,4
HCPCS,43135,Removal of esophagus pouch,,,5097.0,7998.87,4
HCPCS,43180,Esophagoscopy rigid trnso,,,2669.72,10940.0,4
HCPCS,43191,Esophagoscopy rigid trnso dx,,,755.28,5664.0,4
HCPCS,43192,Esophagoscp rig trnso inject,,,819.11,5664.0,4
HCPCS,43193,Esophagoscp rig trnso biopsy,,,825.26,5664.0,4
HCPCS,43194,Esophagoscp rig trnso rem fb,,,908.36,5664.0,4
HCPCS,43195,Esophagoscopy rigid balloon,,,887.97,5664.0,4
HCPCS,43196,Esophagoscp guide wire dilat,,,955.63,5664.0,4
HCPCS,43197,Esophagoscopy flex dx brush,,,385.65,5664.0,4
HCPCS,43198,Esophagosc flex trnsn biopsy,,,460.82,5664.0,4
HCPCS,43200,Esophagoscopy flexible brush,,,441.72,5664.0,4
HCPCS,43201,Esoph scope w/submucous inj,,,510.57,5664.0,4
HCPCS,43202,Esophagoscopy flex biopsy,,,514.72,5664.0,4
HCPCS,43204,Esoph scope w/sclerosis inj,,,664.68,5664.0,4
HCPCS,43205,Esophagus endoscopy/ligation,,,694.09,5664.0,4
HCPCS,43206,Esoph optical endomicroscopy,,,653.02,5664.0,4
HCPCS,43210,Egd esophagogastrc fndoplsty,,,2125.75,12821.0,4
HCPCS,43211,Esophagoscop mucosal resect,,,1143.41,5664.0,4
HCPCS,43212,Esophagoscop stent placement,,,951.91,12821.0,4
HCPCS,43213,Esophagoscopy retro balloon,,,1264.88,5664.0,4
HCPCS,43214,Esophagosc dilate balloon 30,,,944.03,5664.0,4
HCPCS,43215,Esophagoscopy flex remove fb,,,712.54,5664.0,4
HCPCS,43216,Esophagoscopy lesion removal,,,656.53,10940.0,4
HCPCS,43217,Esophagoscopy snare les remv,,,785.23,5664.0,4
HCPCS,43220,Esophagoscopy balloon <30mm,,,587.3,5664.0,4
HCPCS,43226,Esoph endoscopy dilation,,,657.56,5664.0,4
HCPCS,43227,Esophagoscopy control bleed,,,815.98,5664.0,4
HCPCS,43229,Esophagoscopy lesion ablate,,,968.53,10940.0,4
HCPCS,43231,Esophagoscop ultrasound exam,,,759.86,5664.0,4
HCPCS,43232,Esophagoscopy w/us needle bx,,,981.1,5664.0,4
HCPCS,43233,Egd balloon dil esoph30 mm/>,,,1145.35,5664.0,4
HCPCS,43235,Egd diagnostic brush wash,,,610.18,5664.0,4
HCPCS,43236,Uppr gi scope w/submuc inj,,,682.59,5664.0,4
HCPCS,43237,Endoscopic us exam esoph,,,956.76,5664.0,4
HCPCS,43238,Egd us fine needle bx/aspir,,,1130.03,5664.0,4
HCPCS,43239,Egd biopsy single/multiple,,,682.59,5664.0,4
HCPCS,43240,Egd w/transmural drain cyst,,,1897.5,10940.0,4
HCPCS,43241,Egd tube/cath insertion,,,703.58,5664.0,4
HCPCS,43242,Egd us fine needle bx/aspir,,,1270.27,5664.0,4
HCPCS,43243,Egd injection varices,,,1163.86,5664.0,4
HCPCS,43244,Egd varices ligation,,,1191.71,5664.0,4
HCPCS,43245,Egd dilate stricture,,,875.02,5664.0,4
HCPCS,43246,Egd place gastrostomy tube,,,999.88,5664.0,4
HCPCS,43247,Egd remove foreign body,,,873.02,5664.0,4
HCPCS,43248,Egd guide wire insertion,,,819.33,5664.0,4
HCPCS,43249,Esoph egd dilation <30 mm,,,753.17,5664.0,4
HCPCS,43250,Egd cautery tumor polyp,,,851.81,5664.0,4
HCPCS,43251,Egd remove lesion snare,,,957.79,5664.0,4
HCPCS,43252,Egd optical endomicroscopy,,,831.04,5664.0,4
HCPCS,43253,Egd us transmural injxn/mark,,,1273.02,5664.0,4
HCPCS,43254,Egd endo mucosal resection,,,1311.55,5664.0,4
HCPCS,43255,Egd control bleeding any,,,979.16,5664.0,4
HCPCS,43257,Egd w/thrml txmnt gerd,,,1130.95,10940.0,4
HCPCS,43259,Egd us exam duodenum/jejunum,,,1098.84,5664.0,4
HCPCS,43260,Ercp w/specimen collection,,,1555.4,10940.0,4
HCPCS,43261,Endo cholangiopancreatograph,,,1638.5,10940.0,4
HCPCS,43262,Endo cholangiopancreatograph,,,1725.16,10940.0,4
HCPCS,43263,Ercp sphincter pressure meas,,,1728.55,10940.0,4
HCPCS,43264,Ercp remove duct calculi,,,1759.1,10940.0,4
HCPCS,43265,Ercp lithotripsy calculi,,,2090.63,10940.0,4
HCPCS,43266,Egd endoscopic stent place,,,1070.08,12821.0,4
HCPCS,43270,Egd lesion ablation,,,1094.42,5664.0,4
HCPCS,43273,Endoscopic pancreatoscopy,,,565.5,4108.0,4
HCPCS,43274,Ercp duct stent placement,,,2230.76,10940.0,4
HCPCS,43275,Ercp remove forgn body duct,,,1821.69,5664.0,4
HCPCS,43276,Ercp stent exchange w/dilate,,,2327.35,10940.0,4
HCPCS,43277,Ercp ea duct/ampulla dilate,,,1829.62,10940.0,4
HCPCS,43278,Ercp lesion ablate w/dilate,,,2088.85,10940.0,4
HCPCS,43279,Lap myotomy heller,,,6910.06,22111.0,4
HCPCS,43280,Laparoscopy fundoplasty,,,5814.19,22111.0,4
HCPCS,43281,Lap paraesophag hern repair,,,6044.0,22111.0,4
HCPCS,43282,Lap paraesoph her rpr w/mesh,,,6044.0,22111.0,4
HCPCS,43283,Lap esoph lengthening,,,827.1,6979.0,4
HCPCS,43284,Laps esophgl sphnctr agmntj,,,3569.99,22111.0,4
HCPCS,43285,Rmvl esophgl sphnctr dev,,,3670.36,22111.0,4
HCPCS,43286,Esphg tot w/laps moblj,,,5097.0,16970.42,4
HCPCS,43287,Esphg dstl 2/3 w/laps moblj,,,5097.0,19011.51,4
HCPCS,43288,Esphg thrsc moblj,,,5097.0,20002.92,4
HCPCS,43289,Laparoscope proc esoph,,,5248.0,14456.0,3
HCPCS,43290,Egd flx trnsorl dplmnt balo,,,871.08,5664.0,4
HCPCS,43291,Egd flx trnsorl rmvl balo,,,785.23,5664.0,4
HCPCS,43300,Repair of esophagus,,,3048.69,6979.0,4
HCPCS,43305,Repair esophagus and fistula,,,5097.0,6979.0,4
HCPCS,43310,Repair of esophagus,,,5097.0,8062.49,4
HCPCS,43312,Repair esophagus and fistula,,,5097.0,8563.78,4
HCPCS,43313,Esophagoplasty congenital,,,5097.0,15598.06,4
HCPCS,43314,Tracheo-esophagoplasty cong,,,5097.0,16602.09,4
HCPCS,43320,Fuse esophagus & stomach,,,5097.0,7526.99,4
HCPCS,43325,Revise esophagus & stomach,,,5097.0,7321.83,4
HCPCS,43327,Esoph fundoplasty lap,,,4527.14,6979.0,4
HCPCS,43328,Esoph fundoplasty thor,,,5097.0,6979.0,4
HCPCS,43330,Esophagomyotomy abdominal,,,5097.0,7200.04,4
HCPCS,43331,Esophagomyotomy thoracic,,,5097.0,7350.92,4
HCPCS,43332,Transab esoph hiat hern rpr,,,5097.0,6979.0,4
HCPCS,43333,Transab esoph hiat hern rpr,,,5097.0,6979.0,4
HCPCS,43334,Transthor diaphrag hern rpr,,,5097.0,6979.0,4
HCPCS,43335,Transthor diaphrag hern rpr,,,5097.0,7228.05,4
HCPCS,43336,Thorabd diaphr hern repair,,,5097.0,7861.32,4
HCPCS,43337,Thorabd diaphr hern repair,,,5097.0,8366.98,4
HCPCS,43338,Esoph lengthening,,,603.43,6979.0,4
HCPCS,43340,Fuse esophagus & intestine,,,5097.0,7435.63,4
HCPCS,43341,Fuse esophagus & intestine,,,5097.0,7675.54,4
HCPCS,43351,Surgical opening esophagus,,,5097.0,7284.01,4
HCPCS,43352,Surgical opening esophagus,,,5097.0,6979.0,4
HCPCS,43360,Gastrointestinal repair,,,5097.0,12227.77,4
HCPCS,43361,Gastrointestinal repair,,,5097.0,14466.68,4
HCPCS,43400,Ligate esophagus veins,,,6979.0,22111.0,4
HCPCS,43405,Ligate/staple esophagus,,,5097.0,8022.83,4
HCPCS,43410,Repair esophagus wound,,,5011.43,6979.0,4
HCPCS,43415,Repair esophagus wound,,,5097.0,13888.12,4
HCPCS,43420,Repair esophagus opening,,,4108.0,10940.0,4
HCPCS,43425,Repair esophagus opening,,,5097.0,7897.96,4
HCPCS,43450,Dilate esophagus 1/mult pass,,,402.06,5664.0,4
HCPCS,43453,Dilate esophagus,,,428.33,5664.0,4
HCPCS,43460,Pressure treatment esophagus,,,1039.05,6979.0,4
HCPCS,43496,Free jejunum flap microvasc,,,5097.0,6979.0,3
HCPCS,43497,Transorl lwr esophgl myotomy,,,3986.4,10940.0,4
HCPCS,43499,Esophagus surgery procedure,,,3195.0,5664.0,3
HCPCS,43500,Surgical opening of stomach,,,4297.81,6979.0,4
HCPCS,43501,Surgical repair of stomach,,,5097.0,7293.56,4
HCPCS,43502,Surgical repair of stomach,,,5097.0,8199.92,4
HCPCS,43510,Surgical opening of stomach,,,5097.0,6979.0,4
HCPCS,43520,Incision of pyloric muscle,,,3890.35,6979.0,4
HCPCS,43605,Biopsy of stomach,,,4589.08,10940.0,4
HCPCS,43610,Excision of stomach lesion,,,5097.0,6979.0,4
HCPCS,43611,Excision of stomach lesion,,,5097.0,6979.0,4
HCPCS,43620,Removal of stomach,,,5097.0,10602.44,4
HCPCS,43621,Removal of stomach,,,5097.0,12059.3,4
HCPCS,43622,Removal of stomach,,,5097.0,12324.95,4
HCPCS,43631,Removal of stomach partial,,,5097.0,7788.53,4
HCPCS,43632,Removal of stomach partial,,,5097.0,10806.08,4
HCPCS,43633,Removal of stomach partial,,,5097.0,10226.88,4
HCPCS,43634,Removal of stomach partial,,,5097.0,11347.68,4
HCPCS,43635,Removal of stomach partial,,,588.54,6979.0,4
HCPCS,43640,Vagotomy & pylorus repair,,,5097.0,6979.0,4
HCPCS,43641,Vagotomy & pylorus repair,,,5097.0,6979.0,4
HCPCS,43644,Lap gastric bypass/roux-en-y,,,6979.0,22111.0,4
HCPCS,43645,Lap gastr bypass incl smll i,,,6979.0,22111.0,4
HCPCS,43647,Lap impl electrode antrum,,,5248.0,25393.0,3
HCPCS,43648,Lap revise/remv eltrd antrum,,,5248.0,14456.0,3
HCPCS,43651,Laparoscopy vagus nerve,,,3607.93,22111.0,4
HCPCS,43652,Laparoscopy vagus nerve,,,4183.9,22111.0,4
HCPCS,43653,Laparoscopy gastrostomy,,,3193.84,22111.0,4
HCPCS,43659,Laparoscope proc stom,,,5248.0,14456.0,3
HCPCS,43752,HC MRA ABD WO CONTRAST,1240.0,1240.0,,,0
HCPCS,43752,Nasal/orogastric w/tube plmt,,,192.58,4108.0,4
HCPCS,43753,Tx gastro intub w/asp,,,116.5,3195.0,4
HCPCS,43754,Dx gastr intub w/asp spec,,,260.73,3195.0,4
HCPCS,43755,Dx gastr intub w/asp specs,,,300.45,3195.0,4
HCPCS,43756,Dx duod intub w/asp spec,,,255.77,5664.0,4
HCPCS,43757,Dx duod intub w/asp specs,,,385.38,5664.0,4
HCPCS,43761,HC INJECTION CYSTOGRAPHY OR VOIDING URETHROCYSTOGRAPHY,5261.0,5261.0,,,0
HCPCS,43761,Reposition gastrostomy tube,,,499.72,3195.0,4
HCPCS,43762,Rplc gtube no revj trc,,,198.03,3195.0,4
HCPCS,43763,Rplc gtube  revj gstrst trc,,,467.51,3195.0,4
HCPCS,43770,Lap place gastr adj device,,,5248.0,22111.0,4
HCPCS,43771,Lap revise gastr adj device,,,5248.0,12821.0,4
HCPCS,43772,Lap rmvl gastr adj device,,,5128.74,12821.0,4
HCPCS,43773,Lap replace gastr adj device,,,5248.0,14456.0,4
HCPCS,43774,Lap rmvl gastr adj all parts,,,5204.55,25393.0,4
HCPCS,43775,Lap sleeve gastrectomy,,,5834.86,22111.0,4
HCPCS,43800,Reconstruction of pylorus,,,4981.59,6979.0,4
HCPCS,43810,Fusion of stomach and bowel,,,5097.0,6979.0,4
HCPCS,43820,Fusion of stomach and bowel,,,5097.0,7202.36,4
HCPCS,43825,Fusion of stomach and bowel,,,5097.0,7075.83,4
HCPCS,43830,Place gastrostomy tube,,,3835.48,10940.0,4
HCPCS,43831,Place gastrostomy tube,,,3371.91,6979.0,4
HCPCS,43832,Place gastrostomy tube,,,5097.0,6979.0,4
HCPCS,43840,Repair of stomach lesion,,,6979.0,12821.0,4
HCPCS,43842,V-band gastroplasty,,,5097.0,6979.0,3
HCPCS,43843,Gastroplasty w/o v-band,,,6932.67,14456.0,4
HCPCS,43845,Gastroplasty duodenal switch,,,5097.0,10527.27,4
HCPCS,43846,Gastric bypass for obesity,,,5097.0,8900.49,4
HCPCS,43847,Gastric bypass incl small i,,,5097.0,9721.0,4
HCPCS,43848,Revision gastroplasty,,,5097.0,10317.42,4
HCPCS,43860,Revise stomach-bowel fusion,,,5097.0,8717.62,4
HCPCS,43865,Revise stomach-bowel fusion,,,5097.0,9163.81,4
HCPCS,43870,Repair stomach opening,,,3195.0,10940.0,4
HCPCS,43880,Repair stomach-bowel fistula,,,5097.0,8629.93,4
HCPCS,43881,Impl/redo electrd antrum,,,5097.0,6979.0,3
HCPCS,43882,Revise/remove electrd antrum,,,5097.0,6979.0,3
HCPCS,43886,Revise gastric port open,,,2078.0,12821.0,4
HCPCS,43887,Remove gastric port open,,,1874.68,5664.0,4
HCPCS,43888,Change gastric port open,,,2593.91,12821.0,4
HCPCS,43889,Gstr rstcv px trnsorl esg,,,4008.9,6979.0,2
HCPCS,43999,Stomach surgery procedure,,,3195.0,5664.0,3
HCPCS,44005,Freeing of bowel adhesion,,,5097.0,8406.0,4
HCPCS,44010,Incision of small bowel,,,4407.51,6979.0,4
HCPCS,44015,Insert needle cath bowel,,,734.34,6979.0,4
HCPCS,44020,Explore small intestine,,,5097.0,6979.0,4
HCPCS,44021,Decompress small bowel,,,5097.0,6979.0,4
HCPCS,44025,Incision of large bowel,,,5097.0,6979.0,4
HCPCS,44050,Reduce bowel obstruction,,,5048.55,6979.0,4
HCPCS,44055,Correct malrotation of bowel,,,5097.0,8406.0,4
HCPCS,44100,Biopsy of bowel,,,508.36,5664.0,4
HCPCS,44110,Excise intestine lesion(s),,,4534.91,6979.0,4
HCPCS,44111,Excision of bowel lesion(s),,,5097.0,6979.0,4
HCPCS,44120,Removal of small intestine,,,5097.0,6979.0,4
HCPCS,44121,Removal of small intestine,,,1256.35,6979.0,4
HCPCS,44125,Removal of small intestine,,,5097.0,6979.0,4
HCPCS,44126,Enterectomy w/o taper cong,,,5097.0,13204.71,4
HCPCS,44127,Enterectomy w/taper cong,,,5097.0,15204.96,4
HCPCS,44128,Enterectomy cong add-on,,,1275.56,6979.0,4
HCPCS,44130,Bowel to bowel fusion,,,5097.0,7046.74,4
HCPCS,44132,Enterectomy cadaver donor,,,5097.0,6979.0,3
HCPCS,44133,Enterectomy live donor,,,5097.0,6979.0,3
HCPCS,44135,Intestine transplnt cadaver,,,5097.0,6979.0,3
HCPCS,44136,Intestine transplant live,,,5097.0,6979.0,3
HCPCS,44137,Remove intestinal allograft,,,5097.0,6979.0,3
HCPCS,44139,Mobilization of colon,,,616.87,6979.0,4
HCPCS,44140,Partial removal of colon,,,5097.0,7156.28,4
HCPCS,44141,Partial removal of colon,,,5097.0,9660.73,4
HCPCS,44143,Partial removal of colon,,,5097.0,8762.13,4
HCPCS,44144,Partial removal of colon,,,5097.0,9355.75,4
HCPCS,44145,Partial removal of colon,,,5097.0,8646.6,4
HCPCS,44146,Partial removal of colon,,,5097.0,11069.35,4
HCPCS,44147,Partial removal of colon,,,5097.0,10058.47,4
HCPCS,44150,Removal of colon,,,5097.0,9829.73,4
HCPCS,44151,Removal of colon/ileostomy,,,5097.0,11544.36,4
HCPCS,44155,Removal of colon/ileostomy,,,5097.0,10908.18,4
HCPCS,44156,Removal of colon/ileostomy,,,5097.0,12333.42,4
HCPCS,44157,Colectomy w/Ileoanal Anast,,,5097.0,11729.34,4
HCPCS,44158,Colectomy w/Neo-Rectum Pouch,,,5097.0,12015.97,4
HCPCS,44160,Removal of colon,,,5097.0,6979.0,4
HCPCS,44180,Lap enterolysis,,,4950.88,22111.0,4
HCPCS,44186,Lap jejunostomy,,,3559.36,22111.0,4
HCPCS,44187,Lap ileo/jejuno-stomy,,,5097.0,5755.97,4
HCPCS,44188,Lap colostomy,,,5097.0,6443.58,4
HCPCS,44202,Lap enterectomy,,,6044.0,14456.0,4
HCPCS,44203,Lap resect s/intestine addl,,,1254.62,14456.0,4
HCPCS,44204,Laparo partial colectomy,,,6979.0,14456.0,4
HCPCS,44205,Lap colectomy part w/ileum,,,5097.0,6979.0,4
HCPCS,44206,Lap part colectomy w/stoma,,,5097.0,9133.76,4
HCPCS,44207,L colectomy/coloproctostomy,,,5097.0,9382.03,4
HCPCS,44208,L colectomy/coloproctostomy,,,5097.0,10219.97,4
HCPCS,44210,Laparo total proctocolectomy,,,5097.0,9174.06,4
HCPCS,44211,Lap colectomy w/proctectomy,,,5097.0,10740.09,4
HCPCS,44212,Laparo total proctocolectomy,,,5097.0,10466.68,4
HCPCS,44213,Lap mobil splenic fl add-on,,,947.21,5664.0,4
HCPCS,44227,Lap close enterostomy,,,5097.0,8670.45,4
HCPCS,44238,Laparoscope proc intestine,,,6979.0,14456.0,3
HCPCS,44300,Open bowel to skin,,,4108.0,5664.0,4
HCPCS,44310,Ileostomy/jejunostomy,,,5097.0,6979.0,4
HCPCS,44312,Revision of ileostomy,,,3195.0,12821.0,4
HCPCS,44314,Revision of ileostomy,,,5286.84,12821.0,4
HCPCS,44316,Devise bowel pouch,,,5097.0,7621.42,4
HCPCS,44320,Colostomy,,,5097.0,6979.0,4
HCPCS,44322,Colostomy with biopsies,,,5097.0,6979.0,4
HCPCS,44340,Revision of colostomy,,,3402.34,12821.0,4
HCPCS,44345,Revision of colostomy,,,5363.0,12821.0,4
HCPCS,44346,Revision of colostomy,,,5363.0,12821.0,4
HCPCS,44360,Small bowel endoscopy,,,703.1,5664.0,4
HCPCS,44361,Small bowel endoscopy/biopsy,,,775.41,5664.0,4
HCPCS,44363,Small bowel endoscopy,,,939.01,5664.0,4
HCPCS,44364,Small bowel endoscopy,,,996.96,5664.0,4
HCPCS,44365,Small bowel endoscopy,,,889.8,5664.0,4
HCPCS,44366,Small bowel endoscopy,,,1163.11,5664.0,4
HCPCS,44369,Small bowel endoscopy,,,1193.49,5664.0,4
HCPCS,44370,Small Bowel Endoscopy/Stent,,,1299.25,12821.0,4
HCPCS,44372,Small bowel endoscopy,,,1181.56,5664.0,4
HCPCS,44373,Small bowel endoscopy,,,947.38,5664.0,4
HCPCS,44376,Small bowel endoscopy,,,1374.95,5664.0,4
HCPCS,44377,Small bowel endoscopy/biopsy,,,1445.7,5664.0,4
HCPCS,44378,Small bowel endoscopy,,,1857.36,5664.0,4
HCPCS,44379,S Bowel Endoscope W/Stent,,,1987.29,12821.0,4
HCPCS,44380,Small bowel endoscopy br/wa,,,289.55,5664.0,4
HCPCS,44381,Small bowel endoscopy br/wa,,,427.2,5664.0,4
HCPCS,44382,Small bowel endoscopy,,,371.62,5664.0,4
HCPCS,44384,Small bowel endoscopy,,,753.66,5664.0,4
HCPCS,44385,Endoscopy of bowel pouch,,,374.1,5664.0,4
HCPCS,44386,Endoscopy bowel pouch/biop,,,448.03,5664.0,4
HCPCS,44388,Colonoscopy thru stoma spx,,,396.55,5664.0,5
HCPCS,44389,Colonoscopy with biopsy,,,855.32,5664.0,4
HCPCS,44390,Colonoscopy for foreign body,,,1027.34,5664.0,4
HCPCS,44391,Colonoscopy for bleeding,,,1125.82,5664.0,4
HCPCS,44392,Colonoscopy & polypectomy,,,1012.45,5664.0,4
HCPCS,44394,Colonoscopy w/snare,,,1111.79,5664.0,4
HCPCS,44401,Colonoscopy with ablation,,,1179.19,5664.0,4
HCPCS,44402,Colonoscopy w/stent plcmt,,,1267.57,5664.0,4
HCPCS,44403,Colonoscopy w/resection,,,1472.19,5664.0,4
HCPCS,44404,Colonoscopy w/injection,,,850.9,5664.0,4
HCPCS,44405,Colonoscopy w/dilation,,,899.57,5664.0,4
HCPCS,44406,Colonoscopy w/ultrasound,,,1117.51,5664.0,4
HCPCS,44407,Colonoscopy w/ndl aspir/bx,,,1334.65,5664.0,4
HCPCS,44408,Colonoscopy w/decompression,,,1126.47,5664.0,4
HCPCS,44500,Intro gastrointestinal tube,,,91.41,6979.0,4
HCPCS,44602,Suture small intestine,,,6979.0,10940.0,4
HCPCS,44603,Suture small intestine,,,5097.0,8531.4,4
HCPCS,44604,Suture large intestine,,,5097.0,6979.0,4
HCPCS,44605,Repair of bowel lesion,,,5097.0,7019.71,4
HCPCS,44615,Intestinal stricturoplasty,,,5097.0,6979.0,4
HCPCS,44620,Repair bowel opening,,,4558.54,6979.0,4
HCPCS,44625,Repair bowel opening,,,5097.0,6979.0,4
HCPCS,44626,Repair bowel opening,,,5097.0,8341.24,4
HCPCS,44640,Repair bowel-skin fistula,,,5097.0,7345.74,4
HCPCS,44650,Repair bowel fistula,,,5097.0,7562.98,4
HCPCS,44660,Repair bowel-bladder fistula,,,5097.0,6979.0,4
HCPCS,44661,Repair bowel-bladder fistula,,,5097.0,8080.51,4
HCPCS,44680,Surgical revision intestine,,,5097.0,6979.0,4
HCPCS,44700,Suspend bowel w/prosthesis,,,5097.0,6979.0,4
HCPCS,44701,Intraop colon lavage add-on,,,889.48,2782.0,3
HCPCS,44705,Prepare fecal microbiota,,,3195.0,3195.0,1
HCPCS,44715,Prepare donor intestine,,,5097.0,6979.0,3
HCPCS,44720,Prep donor intestine/venous,,,1437.71,6979.0,4
HCPCS,44721,Prep donor intestine/artery,,,2010.01,6979.0,4
HCPCS,44799,Unlisted px small intestine,,,3195.0,5664.0,3
HCPCS,44800,Excision of bowel pouch,,,4196.52,6979.0,4
HCPCS,44820,Excision of mesentery lesion,,,4628.8,6979.0,4
HCPCS,44850,Repair of mesentery,,,4040.2,6979.0,4
HCPCS,44899,Bowel surgery procedure,,,5097.0,6979.0,3
HCPCS,44900,Drain appendix abscess open,,,4256.74,6979.0,4
HCPCS,44950,Appendectomy,,,3463.15,12821.0,4
HCPCS,44955,Appendectomy add-on,,,433.24,2782.0,3
HCPCS,44960,Appendectomy,,,4730.78,6979.0,4
HCPCS,44970,Laparoscopy appendectomy,,,3290.21,22111.0,4
HCPCS,44979,Laparoscope proc app,,,5248.0,14456.0,3
HCPCS,45000,Drainage of pelvic abscess,,,2289.74,5664.0,4
HCPCS,45005,Drainage of rectal abscess,,,961.89,5664.0,4
HCPCS,45020,Drainage of rectal abscess,,,3073.35,5664.0,4
HCPCS,45100,Biopsy of rectum,,,1667.47,5664.0,4
HCPCS,45108,Removal of anorectal lesion,,,2093.59,10940.0,4
HCPCS,45110,Removal of rectum,,,5097.0,9410.14,4
HCPCS,45111,Partial removal of rectum,,,5097.0,6979.0,4
HCPCS,45112,Removal of rectum,,,5097.0,9179.41,4
HCPCS,45113,Partial proctectomy,,,5097.0,9462.26,4
HCPCS,45114,Partial removal of rectum,,,5097.0,9739.51,4
HCPCS,45116,Partial removal of rectum,,,5097.0,7855.17,4
HCPCS,45119,Remove rectum w/reservoir,,,5097.0,9531.22,4
HCPCS,45120,Removal of rectum,,,5097.0,8609.1,4
HCPCS,45121,Removal of rectum and colon,,,5097.0,9383.1,4
HCPCS,45123,Partial proctectomy,,,5796.76,22111.0,4
HCPCS,45126,Pelvic exenteration,,,5097.0,14005.05,4
HCPCS,45130,Excision of rectal prolapse,,,5097.0,6979.0,4
HCPCS,45135,Excision of rectal prolapse,,,5097.0,6979.0,4
HCPCS,45136,Excise ileoanal reservior,,,5097.0,9098.36,4
HCPCS,45150,Excision of rectal stricture,,,2351.25,5664.0,4
HCPCS,45160,Excision of rectal lesion,,,4108.0,10940.0,4
HCPCS,45171,Exc rect tum transanal part,,,3195.0,10940.0,4
HCPCS,45172,Exc rect tum transanal full,,,4108.0,12821.0,4
HCPCS,45190,Destruction rectal tumor,,,3691.94,10940.0,4
HCPCS,45300,Proctosigmoidoscopy dx,,,251.62,4497.0,4
HCPCS,45303,Proctosigmoidoscopy dilate,,,447.06,5664.0,4
HCPCS,45305,Proctosigmoidoscopy w/bx,,,385.27,5664.0,4
HCPCS,45307,Proctosigmoidoscopy fb,,,548.29,10940.0,4
HCPCS,45308,Proctosigmoidoscopy removal,,,464.97,5664.0,4
HCPCS,45309,Proctosigmoidoscopy removal,,,491.9,5664.0,4
HCPCS,45315,Proctosigmoidoscopy removal,,,572.46,5664.0,4
HCPCS,45317,Proctosigmoidoscopy bleed,,,573.22,5664.0,4
HCPCS,45320,Proctosigmoidoscopy ablate,,,568.85,10940.0,4
HCPCS,45321,Proctosigmoidoscopy volvul,,,561.72,10940.0,4
HCPCS,45327,Proctosigmoidoscopy W/Stent,,,628.85,12821.0,4
HCPCS,45330,Diagnostic sigmoidoscopy,,,295.75,4497.0,4
HCPCS,45331,Sigmoidoscopy and biopsy,,,367.2,4497.0,4
HCPCS,45332,Sigmoidoscopy w/fb removal,,,529.83,5664.0,4
HCPCS,45333,Sigmoidoscopy & polypectomy,,,479.92,4497.0,4
HCPCS,45334,Sigmoidoscopy for bleeding,,,583.36,5664.0,4
HCPCS,45335,Sigmoidoscopy w/submuc inj,,,344.0,4497.0,4
HCPCS,45337,Sigmoidoscopy & decompress,,,555.09,5664.0,4
HCPCS,45338,Sigmoidoscopy w/tumr remove,,,602.19,5664.0,4
HCPCS,45340,Sig w/tndsc balloon dilation,,,400.33,5664.0,4
HCPCS,45341,Sigmoidoscopy W/Ultrasound,,,614.55,5664.0,4
HCPCS,45342,Sigmoidoscopy W/Us Guide Bx,,,840.8,5664.0,4
HCPCS,45346,Sigmoidoscopy w/ablation,,,794.4,5664.0,4
HCPCS,45347,Sigmoidoscopy w/plcmt stent,,,755.28,5664.0,4
HCPCS,45349,Sigmoidoscopy w/resection,,,970.25,5664.0,4
HCPCS,45350,Sgmdsc w/band ligation,,,507.55,5664.0,4
HCPCS,45378,Diagnostic colonoscopy,,,458.88,5664.0,5
HCPCS,45379,Colonoscopy w/fb removal,,,1165.16,5664.0,4
HCPCS,45380,Colonoscopy and biopsy,,,985.58,5664.0,4
HCPCS,45381,Colonoscopy submucous njx,,,985.58,5664.0,4
HCPCS,45382,Colonoscopy w/control bleed,,,1255.22,5664.0,4
HCPCS,45384,Colonoscopy w/lesion removal,,,1140.93,5664.0,4
HCPCS,45385,Colonoscopy w/lesion removal,,,1238.33,5664.0,4
HCPCS,45386,Colonoscopy w/balloon dilat,,,1039.16,5664.0,4
HCPCS,45388,Colonoscopy w/ablation,,,1327.15,5664.0,4
HCPCS,45389,Colonoscopy w/stent plcmt,,,1403.77,5664.0,4
HCPCS,45390,Colonoscopy w/resection,,,1608.06,5664.0,4
HCPCS,45391,Colonoscopy w/endoscope us,,,1250.63,5664.0,4
HCPCS,45392,Colonoscopy w/endoscopic fnb,,,1474.13,5664.0,4
HCPCS,45393,Colonoscopy w/decompression,,,1218.2,5664.0,4
HCPCS,45395,Lap removal of rectum,,,5097.0,10128.56,4
HCPCS,45397,Lap remove rectum w/pouch,,,5097.0,10907.1,4
HCPCS,45398,Colonoscopy w/band ligation,,,1172.01,5664.0,4
HCPCS,45399,Unlisted procedure colon,,,3195.0,5664.0,3
HCPCS,45400,Laparoscopic proc,,,5248.0,12821.0,4
HCPCS,45402,Lap proctopexy w/sig resect,,,5097.0,7883.88,4
HCPCS,45499,Laparoscope proc rectum,,,5248.0,14456.0,3
HCPCS,45500,Repair of rectum,,,3199.13,10940.0,4
HCPCS,45505,Repair of rectum,,,3273.81,12821.0,4
HCPCS,45520,Treatment of rectal prolapse,,,205.86,4497.0,4
HCPCS,45540,Correct rectal prolapse,,,5097.0,6979.0,4
HCPCS,45541,Correct rectal prolapse,,,4108.0,12821.0,4
HCPCS,45550,Repair rectum/remove sigmoid,,,5097.0,7619.75,4
HCPCS,45560,Repair of rectocele,,,3546.74,12821.0,4
HCPCS,45562,Exploration/repair of rectum,,,5097.0,6979.0,4
HCPCS,45563,Exploration/repair of rectum,,,5097.0,8978.4,4
HCPCS,45800,Repair rect/bladder fistula,,,5097.0,6979.0,4
HCPCS,45805,Repair fistula w/colostomy,,,5097.0,7966.44,4
HCPCS,45820,Repair rectourethral fistula,,,5097.0,6979.0,4
HCPCS,45825,Repair fistula w/colostomy,,,5097.0,8352.36,4
HCPCS,45900,Reduction of rectal prolapse,,,1191.71,4497.0,4
HCPCS,45905,Dilation of anal sphincter,,,931.4,5664.0,4
HCPCS,45910,Dilation of rectal narrowing,,,1039.43,5664.0,4
HCPCS,45915,Remove rectal obstruction,,,1281.55,5664.0,4
HCPCS,45990,Surg dx exam anorectal,,,561.94,5664.0,4
HCPCS,45999,Rectum surgery procedure,,,4047.0,6979.0,3
HCPCS,46020,Placement of seton,,,621.89,10940.0,4
HCPCS,46030,Removal of rectal marker,,,450.35,5664.0,4
HCPCS,46040,Incision of rectal abscess,,,2403.22,5664.0,4
HCPCS,46045,Incision of rectal abscess,,,2477.41,10940.0,4
HCPCS,46050,Incision of anal abscess,,,567.39,4497.0,4
HCPCS,46060,Incision of rectal abscess,,,2703.83,5664.0,4
HCPCS,46070,Incision of anal septum,,,1586.42,5664.0,4
HCPCS,46080,Incision of anal sphincter,,,841.45,5664.0,4
HCPCS,46083,Incise external hemorrhoid,,,593.61,3195.0,4
HCPCS,46200,Removal of anal fissure,,,1880.56,10940.0,4
HCPCS,46220,Excise anal ext tag/papilla,,,657.88,5664.0,4
HCPCS,46221,Ligation of hemorrhoid(s),,,1070.3,4497.0,4
HCPCS,46230,Removal of anal tags,,,925.58,5664.0,4
HCPCS,46250,Remove ext hem groups 2+,,,1759.42,10940.0,4
HCPCS,46255,Remove int/ext hem 1 group,,,1937.27,10940.0,4
HCPCS,46257,Remove in/ex hem grp & fiss,,,2269.56,10940.0,4
HCPCS,46258,Remove in/ex hem grp w/fistu,,,2695.36,10940.0,4
HCPCS,46260,Remove in/ex hem groups 2+,,,2658.39,10940.0,4
HCPCS,46261,Remove in/ex hem grps & fiss,,,2860.58,10940.0,4
HCPCS,46262,Remove in/ex hem grps w/fist,,,3296.74,10940.0,4
HCPCS,46270,Remove anal fist subq,,,2241.17,10940.0,4
HCPCS,46275,Remove anal fist inter,,,2331.88,10940.0,4
HCPCS,46280,Remove anal fist complex,,,2653.54,10940.0,4
HCPCS,46285,Remove anal fist 2 stage,,,2341.49,10940.0,4
HCPCS,46288,Repair anal fistula,,,3051.17,12821.0,4
HCPCS,46320,Removal of hemorrhoid clot,,,598.52,5664.0,4
HCPCS,46500,Injection into hemorrhoid(s),,,1042.88,6979.0,4
HCPCS,46505,Chemodenervation anal musc,,,1350.4,5664.0,4
HCPCS,46600,Diagnostic anoscopy spx,,,220.64,3195.0,4
HCPCS,46601,Diagnostic anoscopy,,,474.15,3195.0,4
HCPCS,46604,Anoscopy and dilation,,,347.88,5664.0,4
HCPCS,46606,Anoscopy and biopsy,,,396.01,5664.0,4
HCPCS,46607,Diagnostic anoscopy & biopsy,,,630.74,5664.0,4
HCPCS,46608,Anoscopy remove for body,,,464.97,5664.0,4
HCPCS,46610,Anoscopy remove lesion,,,425.42,10940.0,4
HCPCS,46611,Anoscopy,,,415.76,5664.0,4
HCPCS,46612,Anoscopy remove lesions,,,516.94,10940.0,4
HCPCS,46614,Anoscopy control bleeding,,,340.6,5664.0,4
HCPCS,46615,Anoscopy,,,464.76,10940.0,4
HCPCS,46700,Repair of anal stricture,,,3532.11,10940.0,4
HCPCS,46705,Repair of anal stricture,,,3221.63,6979.0,4
HCPCS,46706,Repr of anal fistula w/glue,,,998.37,10940.0,4
HCPCS,46707,Repair anorectal fist w/plug,,,2861.34,12821.0,4
HCPCS,46710,Repr per/vag pouch sngl proc,,,5097.0,6080.7,4
HCPCS,46712,Repr per/vag pouch dbl proc,,,5097.0,11934.06,4
HCPCS,46715,Rep perf anoper fistu,,,3112.57,6979.0,4
HCPCS,46716,Rep perf anoper/vestib fistu,,,5097.0,6979.0,4
HCPCS,46730,Construction of absent anus,,,5097.0,10865.76,4
HCPCS,46735,Construction of absent anus,,,5097.0,12438.75,4
HCPCS,46740,Construction of absent anus,,,5097.0,11824.15,4
HCPCS,46742,Repair of imperforated anus,,,5097.0,13595.17,4
HCPCS,46744,Repair of cloacal anomaly,,,5097.0,19017.01,4
HCPCS,46746,Repair of cloacal anomaly,,,5097.0,20908.58,4
HCPCS,46748,Repair of cloacal anomaly,,,5097.0,22627.59,4
HCPCS,46750,Repair of anal sphincter,,,3841.3,12821.0,4
HCPCS,46751,Repair of anal sphincter,,,3735.87,6979.0,4
HCPCS,46753,Reconstruction of anus,,,3468.82,10940.0,4
HCPCS,46754,Removal of suture from anus,,,1301.79,5664.0,4
HCPCS,46760,Repair of anal sphincter,,,4108.0,12821.0,4
HCPCS,46761,Repair of anal sphincter,,,4654.27,12821.0,4
HCPCS,46900,Destruction anal lesion(s),,,722.69,3195.0,4
HCPCS,46910,Destruction anal lesion(s),,,714.59,5664.0,4
HCPCS,46916,Cryosurgery anal lesion(s),,,665.11,4108.0,4
HCPCS,46917,Laser surgery anal lesions,,,667.05,10940.0,4
HCPCS,46922,Excision of anal lesion(s),,,742.87,10940.0,4
HCPCS,46924,Destruction anal lesion(s),,,951.48,10940.0,4
HCPCS,46930,Destroy internal hemorrhoids,,,847.39,4497.0,4
HCPCS,46940,Treatment of anal fissure,,,757.38,5664.0,4
HCPCS,46942,Treatment of anal fissure,,,682.11,4497.0,4
HCPCS,46945,Remove by ligat int hem grp,,,1897.13,10940.0,4
HCPCS,46946,Remove by ligat int hem grps,,,2080.59,10940.0,4
HCPCS,46947,Hemorrhoidopexy by stapling,,,2120.68,12821.0,4
HCPCS,46948,Int hrhc tranal dartlzj 2+,,,2449.03,10940.0,4
HCPCS,46999,Anus surgery procedure,,,3195.0,4497.0,3
HCPCS,47000,HC PERC NDL BIOPSY ABD/RETROPERITONEAL MASS,8950.0,8950.0,,,0
HCPCS,47000,Needle biopsy of liver,,,424.07,5664.0,4
HCPCS,47001,Needle biopsy liver add-on,,,538.3,3195.0,4
HCPCS,47010,Open drainage liver lesion,,,5097.0,6979.0,4
HCPCS,47015,Inject/aspirate liver cyst,,,5097.0,6979.0,4
HCPCS,47100,Wedge biopsy of liver,,,4615.79,10940.0,4
HCPCS,47120,Partial removal of liver,,,5097.0,12418.3,4
HCPCS,47122,Extensive removal of liver,,,5097.0,18158.84,4
HCPCS,47125,Partial removal of liver,,,5097.0,16298.46,4
HCPCS,47130,Partial removal of liver,,,5097.0,17436.09,4
HCPCS,47133,Removal of donor liver,,,5097.0,6979.0,3
HCPCS,47135,Transplantation of liver,,,5097.0,28976.41,4
HCPCS,47140,Partial removal donor liver,,,5097.0,19245.32,4
HCPCS,47141,Partial removal donor liver,,,5097.0,22952.37,4
HCPCS,47142,Partial removal donor liver,,,5097.0,25230.29,4
HCPCS,47143,Prep donor liver whole,,,5097.0,6979.0,3
HCPCS,47144,Prep donor liver 3-segment,,,5097.0,6979.0,3
HCPCS,47145,Prep donor liver lobe split,,,5097.0,6979.0,3
HCPCS,47146,Prep donor liver/venous,,,1721.59,6979.0,4
HCPCS,47147,Prep donor liver/arterial,,,2003.59,6979.0,4
HCPCS,47300,Surgery for liver lesion,,,5097.0,6979.0,4
HCPCS,47350,Repair liver wound,,,5097.0,7332.25,4
HCPCS,47360,Repair liver wound,,,5097.0,10047.57,4
HCPCS,47361,Repair liver wound,,,5097.0,15976.53,4
HCPCS,47362,Repair liver wound,,,5097.0,7633.51,4
HCPCS,47370,Laparo ablate liver tumor rf,,,5363.0,25393.0,4
HCPCS,47371,Laparo ablate liver cryosurg,,,5363.0,25393.0,4
HCPCS,47379,Laparoscope procedure liver,,,6044.0,14456.0,3
HCPCS,47380,Open ablate liver tumor rf,,,5097.0,7702.79,4
HCPCS,47381,Open ablate liver tumor cryo,,,5097.0,7964.5,4
HCPCS,47382,"HC SCLEROTX FLUID COLLECT, PERC, INCL CONTRAST INJ(S), SCLERO INJ(S)",16013.0,16013.0,,,0
HCPCS,47382,Percut ablate liver rf,,,3582.19,22111.0,4
HCPCS,47383,Perq abltj lvr cryoablation,,,2258.77,22111.0,4
HCPCS,47384,Abltj ire liver 1+ tum perq,,,2373.27,6979.0,2
HCPCS,47399,Liver surgery procedure,,,4047.0,6979.0,3
HCPCS,47400,Incision of liver duct,,,5097.0,11499.63,4
HCPCS,47420,Incision of bile duct,,,5097.0,7091.37,4
HCPCS,47425,Incision of bile duct,,,5097.0,7372.93,4
HCPCS,47460,Incise bile duct sphincter,,,5097.0,6979.0,4
HCPCS,47480,Incision of gallbladder,,,4737.26,6979.0,4
HCPCS,47490,"HC MRA W CONTRAST, PELVIS",6401.0,6401.0,,,0
HCPCS,47490,Incision of gallbladder,,,1623.76,12821.0,4
HCPCS,47531,HC HLA II TYPING  1 LOC LR (120),7081.0,7081.0,,,0
HCPCS,47531,Injection for cholangiogram,,,342.65,12821.0,4
HCPCS,47532,HC HLA II TYPING  1 LOC HR (290),11206.0,11206.0,,,0
HCPCS,47532,Injection for cholangiogram,,,1023.62,12821.0,4
HCPCS,47533,HC HLA CLASS I PHENOTYPE QUAL,14057.0,14057.0,,,0
HCPCS,47533,Plmt biliary drainage cath,,,1267.74,12821.0,4
HCPCS,47534,HC HLA CLASS II PHENOTYPE QUAL,14057.0,14057.0,,,0
HCPCS,47534,Plmt biliary drainage cath,,,1774.74,12821.0,4
HCPCS,47535,Conversion ext bil drg cath,,,946.51,12821.0,4
HCPCS,47535,HC HLA I TYPING 1 LOCUS LR (55),12327.0,12327.0,,,0
HCPCS,47536,Exchange biliary drg cath,,,638.72,12821.0,4
HCPCS,47536,HC HLA CLASS I&II ANTIBODY QUAL,12327.0,12327.0,,,0
HCPCS,47537,"HC GASTRIC EMPTYING IMAGING STUDY  (SOLID, LIQUID OR BOTH)",2734.0,2734.0,,,0
HCPCS,47537,Removal biliary drg cath,,,466.38,5664.0,4
HCPCS,47538,HC PMP22 GENE DUP/DELET (505),26589.0,26589.0,,,0
HCPCS,47538,Perq plmt bile duct stent,,,1128.41,22111.0,4
HCPCS,47539,HC PMP22 GENE DUP/DELET (505),23316.0,23316.0,,,0
HCPCS,47539,Perq plmt bile duct stent,,,2057.12,22111.0,4
HCPCS,47540,HC CARB DEFICIENT TRANSFERRIN (30),23316.0,23316.0,,,0
HCPCS,47540,Perq plmt bile duct stent,,,2106.27,22111.0,4
HCPCS,47541,Plmt access bil tree sm bwl,,,1650.53,12821.0,4
HCPCS,47542,Dilate biliary duct/ampulla,,,659.34,3195.0,4
HCPCS,47543,Endoluminal bx biliary tree,,,689.82,3195.0,4
HCPCS,47544,HC GJB6 GENE COM VAR (1),4964.0,4964.0,,,0
HCPCS,47544,Removal duct glbldr calculi,,,756.25,3195.0,4
HCPCS,47550,Bile duct endoscopy add-on,,,841.07,2782.0,3
HCPCS,47552,Biliary endo perq dx w/speci,,,1438.2,12821.0,4
HCPCS,47553,Biliary endoscopy thru skin,,,1431.45,22111.0,4
HCPCS,47554,Biliary endoscopy thru skin,,,2238.37,22111.0,4
HCPCS,47555,Biliary endoscopy thru skin,,,1703.73,12821.0,4
HCPCS,47555,"HC MYELOGRAM INJECT, SPINAL NOT C1-C2",5691.0,5691.0,,,0
HCPCS,47556,Biliary endoscopy thru skin,,,1931.07,22111.0,4
HCPCS,47556,"HC INJECTION DISCOGRAPHY, EACH LEVEL; LUMBAR",6126.0,6126.0,,,0
HCPCS,47562,Laparoscopic cholecystectomy,,,3604.15,22111.0,4
HCPCS,47563,Laparo cholecystectomy/graph,,,3908.97,22111.0,4
HCPCS,47564,Laparo cholecystectomy/explr,,,6068.4,22111.0,4
HCPCS,47570,Laparo cholecystoenterostomy,,,4217.03,8406.0,4
HCPCS,47579,Laparoscope proc biliary,,,5248.0,14456.0,3
HCPCS,47600,Removal of gallbladder,,,5363.0,14456.0,4
HCPCS,47605,Removal of gallbladder,,,5097.0,6078.05,4
HCPCS,47610,Removal of gallbladder,,,5097.0,6979.0,4
HCPCS,47612,Removal of gallbladder,,,5097.0,6979.0,4
HCPCS,47620,Removal of gallbladder,,,5097.0,8406.0,4
HCPCS,47700,Exploration of bile ducts,,,5097.0,6979.0,4
HCPCS,47701,Bile duct revision,,,5097.0,9317.87,4
HCPCS,47711,Excision of bile duct tumor,,,5097.0,8290.09,4
HCPCS,47712,Excision of bile duct tumor,,,5097.0,10687.59,4
HCPCS,47715,Excision of bile duct cyst,,,5097.0,7187.85,4
HCPCS,47720,Fuse gallbladder & bowel,,,5097.0,6979.0,4
HCPCS,47721,Fuse upper gi structures,,,5097.0,7316.81,4
HCPCS,47740,Fuse gallbladder & bowel,,,5097.0,7098.28,4
HCPCS,47741,Fuse gallbladder & bowel,,,5097.0,7952.84,4
HCPCS,47760,Fuse bile ducts and bowel,,,5097.0,11943.83,4
HCPCS,47765,Fuse liver ducts & bowel,,,5097.0,16157.84,4
HCPCS,47780,Fuse bile ducts and bowel,,,5097.0,13147.52,4
HCPCS,47785,Fuse bile ducts and bowel,,,5097.0,17150.75,4
HCPCS,47800,Reconstruction of bile ducts,,,5097.0,8380.58,4
HCPCS,47801,Placement bile duct support,,,5097.0,6979.0,4
HCPCS,47802,Fuse liver duct & intestine,,,6979.0,6979.0,1
HCPCS,47900,Suture bile duct injury,,,5097.0,7445.89,4
HCPCS,47999,Bile tract surgery procedure,,,5097.0,6979.0,3
HCPCS,48000,Drainage of abdomen,,,5097.0,10079.62,4
HCPCS,48001,Placement of drain pancreas,,,5097.0,12310.0,4
HCPCS,48020,Removal of pancreatic stone,,,5097.0,6979.0,4
HCPCS,48100,Biopsy of pancreas open,,,4816.85,6979.0,4
HCPCS,48102,HC ASP &/OR INJ OF RENAL CYST/PELVIS; PERC,3067.0,3067.0,,,0
HCPCS,48102,Needle biopsy pancreas,,,1135.64,5664.0,4
HCPCS,48105,Resect/Debride Pancreas,,,5097.0,14591.65,4
HCPCS,48120,Removal of pancreas lesion,,,5097.0,6979.0,4
HCPCS,48140,Partial removal of pancreas,,,5097.0,8352.41,4
HCPCS,48145,Partial removal of pancreas,,,5097.0,8772.65,4
HCPCS,48146,Pancreatectomy,,,5097.0,10143.24,4
HCPCS,48148,Removal of pancreatic duct,,,5097.0,6979.0,4
HCPCS,48150,Partial removal of pancreas,,,5097.0,16493.31,4
HCPCS,48152,Pancreatectomy,,,5097.0,15417.45,4
HCPCS,48153,Pancreatectomy,,,5097.0,16491.26,4
HCPCS,48154,Pancreatectomy,,,5097.0,15483.77,4
HCPCS,48155,Removal of pancreas,,,5097.0,9775.07,4
HCPCS,48160,Pancreas removal/transplant,,,5097.0,6979.0,3
HCPCS,48400,Injection intraop add-on,,,554.44,6979.0,4
HCPCS,48500,Surgery of pancreatic cyst,,,5097.0,6979.0,4
HCPCS,48510,Drain pancreatic pseudocyst,,,5097.0,6979.0,4
HCPCS,48520,Fuse pancreas cyst and bowel,,,5097.0,6979.0,4
HCPCS,48540,Fuse pancreas cyst and bowel,,,5097.0,7029.42,4
HCPCS,48545,Pancreatorrhaphy,,,5097.0,7259.83,4
HCPCS,48547,Duodenal exclusion,,,5097.0,9605.91,4
HCPCS,48548,Fuse Pancreas and Bowel,,,5097.0,8972.52,4
HCPCS,48550,Donor pancreatectomy,,,6979.0,6979.0,1
HCPCS,48551,Prep donor pancreas,,,6979.0,6979.0,1
HCPCS,48552,Prep donor pancreas/venous,,,1234.34,6979.0,2
HCPCS,48554,Transpl allograft pancreas,,,6979.0,14461.87,2
HCPCS,48556,Removal allograft pancreas,,,6979.0,7077.93,2
HCPCS,48999,Pancreas surgery procedure,,,4047.0,6979.0,3
HCPCS,49000,Exploration of abdomen,,,4153.36,12821.0,4
HCPCS,49002,Reopening of abdomen,,,5097.0,6979.0,4
HCPCS,49010,Exploration behind abdomen,,,4965.83,12821.0,4
HCPCS,49013,Prpertl pel pack hemrrg trma,,,2394.37,6979.0,4
HCPCS,49014,Reexploration pelvic wound,,,2009.58,6979.0,4
HCPCS,49020,Drainage abdom abscess open,,,5097.0,8507.23,4
HCPCS,49040,Drain open abdom abscess,,,5097.0,6979.0,4
HCPCS,49060,Drain open retroperi abscess,,,5097.0,6979.0,4
HCPCS,49062,Drain to peritoneal cavity,,,4191.67,6979.0,4
HCPCS,49082,Abd paracentesis,,,396.34,5664.0,4
HCPCS,49083,Abd paracentesis w/imaging,,,515.16,5664.0,4
HCPCS,49083,HC DRAIN BLADDER W/CATH INSERTION,1666.0,1666.0,,,0
HCPCS,49084,Peritoneal lavage,,,555.3,5664.0,4
HCPCS,49180,Biopsy abdominal mass,,,398.17,5664.0,4
HCPCS,49180,HC INSERT NON-DWELL BLADDER CATH,3840.0,3840.0,,,0
HCPCS,49185,"HC SCLEROTX FLUID COLLECT, PERC, INCL CONTRAST INJ(S), SCLERO INJ(S)",6082.0,6082.0,,,0
HCPCS,49185,Sclerotx fluid collection,,,590.48,4497.0,4
HCPCS,49186,Opn exc/dstr ntra-abd 5 cm/<,,,6948.32,10940.0,4
HCPCS,49187,Opn exc/dstr ntra-abd 5.1-10,,,6979.0,10940.0,4
HCPCS,49188,Opn exc/dst ntra-abd 10.1-20,,,6979.0,10940.0,4
HCPCS,49189,Opn exc/dst ntra-abd 20.1-30,,,6979.0,12821.0,4
HCPCS,49190,Opn exc/dstr ntra-abd >30 cm,,,6979.0,15095.42,4
HCPCS,49203,Exc abd tum 5 cm or less,,,6979.0,6979.0,1
HCPCS,49204,Exc abd tum over 5 cm,,,6979.0,6979.0,1
HCPCS,49205,Exc abd tum over 10 cm,,,6979.0,6979.0,1
HCPCS,49215,Excise sacral spine tumor,,,5097.0,11423.49,4
HCPCS,49250,Excision of umbilicus,,,3207.49,12821.0,4
HCPCS,49255,Removal of omentum,,,4257.61,10940.0,4
HCPCS,49320,Diag laparo separate proc,,,1792.66,14456.0,4
HCPCS,49321,Laparoscopy biopsy,,,1865.13,14456.0,4
HCPCS,49322,Laparoscopy aspiration,,,2019.72,14456.0,4
HCPCS,49323,Laparo drain lymphocele,,,3425.7,14456.0,4
HCPCS,49324,Lap insert tunnel ip cath,,,2095.97,14456.0,4
HCPCS,49325,Lap Revision Perm IP Cath,,,2228.87,14456.0,4
HCPCS,49326,Lap w/Omentopexy Add-on,,,989.36,3195.0,4
HCPCS,49327,Lap ins device for rt,,,679.84,3195.0,4
HCPCS,49329,Laparo proc abdm/per/oment,,,3195.0,14456.0,3
HCPCS,49400,Air injection into abdomen,,,440.1,3195.0,4
HCPCS,49402,Remove foreign body adbomen,,,4108.0,12821.0,4
HCPCS,49405,HC DRUG SCRN QUAN LEVETIRACETAM,4761.0,4761.0,,,0
HCPCS,49405,Image cath fluid colxn visc,,,932.11,5664.0,4
HCPCS,49406,HC DRUG SCRN QUAN MYCOPHENOLATE,4761.0,4761.0,,,0
HCPCS,49406,Image cath fluid peri/retro,,,932.11,5664.0,4
HCPCS,49407,HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC; W/O IMG,4761.0,4761.0,,,0
HCPCS,49407,Image cath fluid trns/vgnl,,,1011.8,5664.0,4
HCPCS,49411,Ins mark abd/pel for rt perq,,,879.82,5664.0,4
HCPCS,49412,Ins device for rt guide open,,,430.82,6979.0,4
HCPCS,49418,HC RHYTHM ECG 1-3 LEADS TRACING,13074.0,13074.0,,,0
HCPCS,49418,Insert tun ip cath perc,,,975.11,12821.0,4
HCPCS,49419,Insert tun ip cath w/port,,,2230.81,22111.0,4
HCPCS,49421,Ins tun ip cath for dial opn,,,1200.61,12821.0,4
HCPCS,49422,"HC DEVELOPMENTAL TEST EXTEND, FIRST HOUR",10142.0,10142.0,,,0
HCPCS,49422,Remove tunneled ip cath,,,1166.29,12821.0,4
HCPCS,49423,Exchange drainage catheter,,,340.65,5664.0,4
HCPCS,49423,HC INJECTION SINUS TRACT; DIAGNOSTIC (SINOGRAM),4354.0,4354.0,,,0
HCPCS,49424,Assess cyst contrast inject,,,178.18,3195.0,4
HCPCS,49424,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; TRIGEMINAL NERVE, EA BRCH",4439.0,4439.0,,,0
HCPCS,49425,Insert abdomen-venous drain,,,4108.0,5664.0,4
HCPCS,49426,Revise abdomen-venous shunt,,,3662.75,12821.0,4
HCPCS,49427,Injection abdominal shunt,,,200.41,3195.0,4
HCPCS,49428,Ligation of shunt,,,2351.36,6979.0,4
HCPCS,49429,Removal of shunt,,,2490.36,12821.0,4
HCPCS,49435,Insert Subq Exten to IP Cath,,,619.73,5664.0,4
HCPCS,49436,Embedded IP Cath Exit-Site,,,1004.68,5664.0,4
HCPCS,49440,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; GREATER OCCIPITAL NERVE",5342.0,5342.0,,,0
HCPCS,49440,Place gastrostomy tube perc,,,992.86,5664.0,4
HCPCS,49441,Place duod/jej tube perc,,,1226.67,5664.0,4
HCPCS,49442,Place cecostomy tube perc,,,984.61,5664.0,4
HCPCS,49446,Change g-tube to g-j perc,,,709.41,5664.0,4
HCPCS,49450,HC VEEG BY TECH EA INCR 12-26 HR UNMONITORED,4285.0,4285.0,,,0
HCPCS,49450,Replace g/c tube perc,,,316.53,5664.0,4
HCPCS,49451,Replace duod/jej tube perc,,,427.74,5664.0,4
HCPCS,49452,Replace g-j tube perc,,,654.75,5664.0,4
HCPCS,49460,Fix g/colon tube w/device,,,239.85,5664.0,4
HCPCS,49465,Fluoro exam of g/colon tube,,,143.37,3195.0,4
HCPCS,49465,HC VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR,1021.0,1021.0,,,0
HCPCS,49491,Rpr hern preemie reduc,,,4358.83,12821.0,4
HCPCS,49492,Rpr ing hern premie blocked,,,5215.94,12821.0,4
HCPCS,49495,Rpr ing hernia baby reduc,,,2268.42,12821.0,4
HCPCS,49496,Rpr ing hernia baby blocked,,,3390.9,12821.0,4
HCPCS,49500,Rpr ing hernia init reduce,,,2321.9,12821.0,4
HCPCS,49501,Rpr ing hernia init blocked,,,3338.56,12821.0,4
HCPCS,49505,Prp i/hern init reduc >5 yr,,,2884.32,12821.0,4
HCPCS,49507,Prp i/hern init block >5 yr,,,3229.83,12821.0,4
HCPCS,49520,Rerepair ing hernia reduce,,,3467.2,12821.0,4
HCPCS,49521,Rerepair ing hernia blocked,,,3910.48,12821.0,4
HCPCS,49525,Repair ing hernia sliding,,,3154.07,12821.0,4
HCPCS,49540,Repair lumbar hernia,,,3669.44,12821.0,4
HCPCS,49550,Rpr rem hernia init reduce,,,3177.16,12821.0,4
HCPCS,49553,Rpr fem hernia init blocked,,,3466.17,12821.0,4
HCPCS,49555,Rerepair fem hernia reduce,,,3325.29,12821.0,4
HCPCS,49557,Rerepair fem hernia blocked,,,3952.46,12821.0,4
HCPCS,49591,Rpr aa hrn 1st < 3 cm rdc,,,1821.2,12821.0,4
HCPCS,49592,Rpr aa hrn 1st < 3 ncr/strn,,,2532.07,22111.0,4
HCPCS,49593,Rpr aa hrn 1st 3-10 rdc,,,3045.18,12821.0,4
HCPCS,49594,Rpr aa hrn 1st 3-10 ncr/strn,,,3964.28,22111.0,4
HCPCS,49595,Rpr aa hrn 1st > 10 rdc,,,4083.69,12821.0,4
HCPCS,49596,Rpr aa hrn 1st > 10 ncr/strn,,,5363.0,22111.0,4
HCPCS,49600,Repair umbilical lesion,,,4016.4,12821.0,4
HCPCS,49605,Repair umbilical lesion,,,5097.0,26082.81,4
HCPCS,49606,Repair umbilical lesion,,,5097.0,6979.0,4
HCPCS,49610,Repair umbilical lesion,,,3782.81,6979.0,4
HCPCS,49611,Repair umbilical lesion,,,3356.37,6979.0,4
HCPCS,49613,Rpr aa hrn rcr < 3 rdc,,,2237.67,12821.0,4
HCPCS,49614,Rpr aa hrn rcr < 3 ncr/strn,,,3039.94,22111.0,4
HCPCS,49615,Rpr aa hrn rcr 3-10 rdc,,,3387.29,12821.0,4
HCPCS,49616,Rpr aa hrn rcr 3-10 ncr/strn,,,4550.12,22111.0,4
HCPCS,49617,Rpr aa hrn rcr > 10 rdc,,,4687.99,22111.0,4
HCPCS,49618,Rpr aa hrn rcr > 10 ncr/strn,,,6044.0,22111.0,4
HCPCS,49621,Rpr parastomal hernia rdc,,,3942.75,22111.0,4
HCPCS,49622,Rpr parastomal hrna ncr/strn,,,4919.43,22111.0,4
HCPCS,49623,Rmvl ninfct mesh hernia rpr,,,1072.08,3195.0,4
HCPCS,49650,Lap ing hernia repair init,,,2398.09,22111.0,4
HCPCS,49651,Lap ing hernia repair recur,,,3114.57,22111.0,4
HCPCS,49659,Laparo proc hernia repair,,,6044.0,14456.0,3
HCPCS,49900,Repair of abdominal wall,,,4524.01,6979.0,4
HCPCS,49904,Omental flap extra-abdom,,,5097.0,7312.39,4
HCPCS,49905,Omental flap intra-abdom,,,1821.31,14456.0,4
HCPCS,49906,Free omental flap microvasc,,,5097.0,6979.0,3
HCPCS,49999,Abdomen surgery procedure,,,3195.0,5664.0,3
HCPCS,50010,Exploration of kidney,,,3553.97,6979.0,4
HCPCS,50020,Renal abscess open drain,,,4108.0,10940.0,4
HCPCS,50040,Drainage of kidney,,,4632.2,10940.0,4
HCPCS,50045,Exploration of kidney,,,4667.97,6979.0,4
HCPCS,50060,Removal of kidney stone,,,5097.0,6979.0,4
HCPCS,50065,Incision of kidney,,,5097.0,6979.0,4
HCPCS,50070,Incision of kidney,,,5097.0,6979.0,4
HCPCS,50075,Removal of kidney stone,,,5097.0,7232.37,4
HCPCS,50080,Removal of kidney stone,,,3492.45,14456.0,4
HCPCS,50081,Removal of kidney stone,,,5586.32,14456.0,4
HCPCS,50100,Revise kidney blood vessels,,,5097.0,6979.0,4
HCPCS,50120,Exploration of kidney,,,4748.32,6979.0,4
HCPCS,50125,Explore and drain kidney,,,4907.07,6979.0,4
HCPCS,50130,Removal of kidney stone,,,5097.0,6979.0,4
HCPCS,50135,Exploration of kidney,,,6979.0,6979.0,1
HCPCS,50200,HC INSERT TEMP BLADDER CATHETER,8603.0,8603.0,,,0
HCPCS,50200,Renal biopsy perq,,,610.67,5664.0,4
HCPCS,50205,Renal biopsy open,,,4067.4,6979.0,4
HCPCS,50220,Remove kidney open,,,5097.0,6979.0,4
HCPCS,50225,Removal kidney open complex,,,5097.0,6979.0,4
HCPCS,50230,Removal kidney open radical,,,5097.0,6979.0,4
HCPCS,50234,Removal of kidney & ureter,,,5097.0,6979.0,4
HCPCS,50236,Removal of kidney & ureter,,,5097.0,7284.44,4
HCPCS,50240,Partial removal of kidney,,,5097.0,6979.0,4
HCPCS,50250,Cryoablate renal mass open,,,5097.0,8406.0,4
HCPCS,50280,Removal of kidney lesion,,,4731.59,6979.0,4
HCPCS,50290,Removal of kidney lesion,,,4502.37,6979.0,4
HCPCS,50300,Remove cadaver donor kidney,,,5097.0,6979.0,3
HCPCS,50320,Remove kidney living donor,,,5097.0,8400.33,4
HCPCS,50323,Prep cadaver renal allograft,,,5097.0,6979.0,3
HCPCS,50325,Prep donor renal graft,,,5097.0,6979.0,3
HCPCS,50327,Prep renal graft/venous,,,1134.02,6979.0,4
HCPCS,50328,Prep renal graft/arterial,,,988.82,6979.0,4
HCPCS,50329,Prep renal graft/ureteral,,,946.78,6979.0,4
HCPCS,50340,Removal of kidney,,,5097.0,6979.0,4
HCPCS,50360,Transplantation of kidney,,,5097.0,13127.33,4
HCPCS,50365,Transplantation of kidney,,,5097.0,15987.92,4
HCPCS,50370,Remove transplanted kidney,,,5097.0,6979.0,4
HCPCS,50380,Reimplantation of kidney,,,5097.0,11215.8,4
HCPCS,50382,Change ureter stent percut,,,1215.02,10940.0,4
HCPCS,50384,HC PARATHYRD PLANAR W/SPECT&CT,9725.0,9725.0,,,0
HCPCS,50384,Remove ureter stent percut,,,1102.08,10940.0,4
HCPCS,50385,Change stent via transureth,,,1058.7,10940.0,4
HCPCS,50386,Remove stent via transureth,,,803.63,10940.0,4
HCPCS,50387,Change nephroureteral cath,,,402.76,5664.0,4
HCPCS,50389,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; INTERCOSTAL NERVE, SNGL LEVEL",2829.0,2829.0,,,0
HCPCS,50389,Remove renal tube w/fluoro,,,256.36,4497.0,4
HCPCS,50390,Drainage of kidney lesion,,,452.83,4497.0,4
HCPCS,50390,HC INSERT BLADDER CATHETER COMPLEX,4452.0,4452.0,,,0
HCPCS,50391,Instll rx agnt into rnal tub,,,476.47,3195.0,4
HCPCS,50396,Measure kidney pressure,,,552.82,4497.0,4
HCPCS,50400,Revision of kidney/ureter,,,5756.99,12821.0,4
HCPCS,50405,Revision of kidney/ureter,,,6934.13,12821.0,4
HCPCS,50430,HC GJB6 GENE COM VAR (1),2699.0,2699.0,,,0
HCPCS,50430,Njx px nfrosgrm &/urtrgrm,,,755.49,4497.0,4
HCPCS,50431,HC TARGETED GENOMIC ANALYSIS(170),2699.0,2699.0,,,0
HCPCS,50431,Njx px nfrosgrm &/urtrgrm,,,325.27,4497.0,4
HCPCS,50432,Plmt nephrostomy catheter,,,989.95,10940.0,4
HCPCS,50433,HC VERSITI HEPARININDUCED THROMBOCYTOPENIA EVALUATION  PEA(170),8528.0,8528.0,,,0
HCPCS,50433,Plmt nephroureteral catheter,,,1223.27,10940.0,4
HCPCS,50434,Convert nephrostomy catheter,,,929.25,4497.0,4
HCPCS,50434,HC ELECTRODE STIM BRAIN ADD-ON,2969.0,2969.0,,,0
HCPCS,50435,Exchange nephrostomy cath,,,486.88,4497.0,4
HCPCS,50435,HC NEEDLE EMG; FOUR EXTREMITIES,3771.0,3771.0,,,0
HCPCS,50436,Dilat xst trc ndurlgc px,,,759.0,10940.0,4
HCPCS,50437,Dilat xst trc new access rcs,,,1249.82,12821.0,4
HCPCS,50500,Repair of kidney wound,,,5097.0,6979.0,4
HCPCS,50520,Close kidney-skin fistula,,,3195.0,6279.81,4
HCPCS,50525,Close nephrovisceral fistula,,,5097.0,7928.18,4
HCPCS,50526,Close nephrovisceral fistula,,,5097.0,8477.22,4
HCPCS,50540,Revision of horseshoe kidney,,,5097.0,6979.0,4
HCPCS,50541,Laparo ablate renal cyst,,,4577.48,14456.0,4
HCPCS,50542,Laparo ablate renal mass,,,5822.93,25393.0,4
HCPCS,50543,Laparo partial nephrectomy,,,7412.32,22111.0,4
HCPCS,50544,Laparoscopy pyeloplasty,,,6044.0,22111.0,4
HCPCS,50545,Laparo Radical Nephrectomy,,,5097.0,6979.0,4
HCPCS,50546,Laparoscopic nephrectomy,,,5097.0,6044.0,4
HCPCS,50547,Laparo removal donor kidney,,,5097.0,8770.55,4
HCPCS,50548,Laparo remove w/ureter,,,5097.0,6657.8,4
HCPCS,50549,Laparoscope proc renal,,,5248.0,14456.0,3
HCPCS,50551,Kidney endoscopy,,,1450.98,5664.0,4
HCPCS,50553,Kidney endoscopy,,,1546.82,10940.0,4
HCPCS,50555,Kidney endoscopy & biopsy,,,1678.53,5664.0,4
HCPCS,50557,Kidney endoscopy & treatment,,,1699.09,10940.0,4
HCPCS,50561,Kidney endoscopy & treatment,,,1940.02,10940.0,4
HCPCS,50562,Renal scope w/tumor resect,,,2860.47,4497.0,4
HCPCS,50570,Kidney endoscopy,,,2412.17,4497.0,4
HCPCS,50572,Kidney endoscopy,,,2603.03,4497.0,4
HCPCS,50574,Kidney endoscopy & biopsy,,,2765.02,4497.0,4
HCPCS,50575,Kidney endoscopy,,,3488.68,14456.0,4
HCPCS,50576,Kidney endoscopy & treatment,,,2755.2,5664.0,4
HCPCS,50580,Kidney endoscopy & treatment,,,2970.12,5664.0,4
HCPCS,50590,Fragmenting of kidney stone,,,2884.76,22111.0,4
HCPCS,50590,"HC INJ PROC, ANKLE ARTHROGRAPHY",19750.0,19750.0,,,0
HCPCS,50592,HC AB; PROTOZOA NES (20),18260.0,18260.0,,,0
HCPCS,50592,Perc rf ablate renal tumor,,,1653.93,22111.0,4
HCPCS,50593,Perc cryo ablate renal tum,,,2219.59,22111.0,4
HCPCS,50600,Exploration of ureter,,,4679.79,6044.0,4
HCPCS,50605,Insert ureteral support,,,5097.0,6044.0,4
HCPCS,50606,Endoluminal bx urtr rnl plvs,,,713.46,3195.0,4
HCPCS,50610,Removal of ureter stone,,,4714.16,6044.0,4
HCPCS,50620,Removal of ureter stone,,,4515.32,6044.0,4
HCPCS,50630,Removal of ureter stone,,,4461.63,6044.0,4
HCPCS,50650,Removal of ureter,,,5097.0,6979.0,4
HCPCS,50660,Removal of ureter,,,5097.0,6979.0,4
HCPCS,50684,Injection for ureter x-ray,,,254.96,3195.0,4
HCPCS,50686,Measure ureter pressure,,,445.66,6979.0,4
HCPCS,50688,Change of ureter tube/stent,,,389.11,5664.0,4
HCPCS,50690,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; INTERCOSTAL NERVE EA ADDL LEVEL",1988.0,1988.0,,,0
HCPCS,50690,Injection for ureter x-ray,,,341.3,3195.0,4
HCPCS,50693,HC PANORAMIC X-RAY OF JAWS,14486.0,14486.0,,,0
HCPCS,50693,Plmt ureteral stent prq,,,981.75,12821.0,4
HCPCS,50694,HC HIGH ALTITUDE SIMULATION TEST,14486.0,14486.0,,,0
HCPCS,50694,Plmt ureteral stent prq,,,1276.8,12821.0,4
HCPCS,50695,HC HIGH ALTITUDE SIMULATION TEST WITH OXYGEN TITRATION,14486.0,14486.0,,,0
HCPCS,50695,Plmt ureteral stent prq,,,1635.37,12821.0,4
HCPCS,50700,Revision of ureter,,,4633.98,6979.0,4
HCPCS,50705,Ureteral embolization/occl,,,903.07,3195.0,4
HCPCS,50706,Balloon dilate urtrl strix,,,871.02,3195.0,4
HCPCS,50715,Release of ureter,,,5097.0,6979.0,4
HCPCS,50722,Release of ureter,,,5097.0,6979.0,4
HCPCS,50725,Release/revise ureter,,,5097.0,6979.0,4
HCPCS,50727,Revise ureter,,,2616.68,10940.0,4
HCPCS,50728,Revise ureter,,,3528.88,6979.0,4
HCPCS,50740,Fusion of ureter & kidney,,,5097.0,6979.0,4
HCPCS,50750,Fusion of ureter & kidney,,,5097.0,6979.0,4
HCPCS,50760,Fusion of ureters,,,5097.0,6979.0,4
HCPCS,50770,Splicing of ureters,,,5097.0,6979.0,4
HCPCS,50780,Reimplant ureter in bladder,,,5648.1,10940.0,4
HCPCS,50782,Reimplant ureter in bladder,,,5097.0,6979.0,4
HCPCS,50783,Reimplant ureter in bladder,,,5097.0,6979.0,4
HCPCS,50785,Reimplant ureter in bladder,,,5097.0,6979.0,4
HCPCS,50800,Implant ureter in bowel,,,4623.72,6979.0,4
HCPCS,50810,Fusion of ureter & bowel,,,5097.0,7614.78,4
HCPCS,50815,Urine shunt to intestine,,,5097.0,6979.0,4
HCPCS,50820,Construct bowel bladder,,,5097.0,6979.0,4
HCPCS,50825,Construct bowel bladder,,,5097.0,8170.41,4
HCPCS,50830,Revise urine flow,,,5097.0,8924.5,4
HCPCS,50840,Replace ureter by bowel,,,5097.0,6979.0,4
HCPCS,50845,Appendico-vesicostomy,,,5097.0,6979.0,4
HCPCS,50860,Transplant ureter to skin,,,4729.81,6979.0,4
HCPCS,50900,Repair of ureter,,,4228.36,6979.0,4
HCPCS,50920,Closure ureter/skin fistula,,,4418.19,6979.0,4
HCPCS,50930,Closure ureter/bowel fistula,,,5097.0,6979.0,4
HCPCS,50940,Release of ureter,,,4450.4,6979.0,4
HCPCS,50945,Laparoscopy ureterolithotomy,,,4833.68,22111.0,4
HCPCS,50947,Laparo New Ureter/Bladder,,,6891.45,22111.0,4
HCPCS,50948,Laparo New Ureter/Bladder,,,6317.69,22111.0,4
HCPCS,50949,Laparoscope proc ureter,,,6044.0,14456.0,3
HCPCS,50951,Endoscopy of ureter,,,1504.78,4497.0,4
HCPCS,50953,Endoscopy of ureter,,,1609.52,5664.0,4
HCPCS,50955,Ureter endoscopy & biopsy,,,1733.14,10940.0,4
HCPCS,50957,Ureter endoscopy & treatment,,,1742.04,10940.0,4
HCPCS,50961,Ureter endoscopy & treatment,,,1562.09,10940.0,4
HCPCS,50970,Ureter endoscopy,,,1820.34,4497.0,4
HCPCS,50972,Ureter endoscopy & catheter,,,1760.34,4497.0,4
HCPCS,50974,Ureter endoscopy & biopsy,,,2317.26,5664.0,4
HCPCS,50976,Ureter endoscopy & treatment,,,2285.96,5664.0,4
HCPCS,50980,Ureter endoscopy & treatment,,,1748.68,10940.0,4
HCPCS,51020,Incise & treat bladder,,,2402.89,10940.0,4
HCPCS,51030,Incise & treat bladder,,,6979.0,6979.0,1
HCPCS,51040,Incise & drain bladder,,,1497.66,10940.0,4
HCPCS,51045,Incise bladder/drain ureter,,,2535.96,5363.0,4
HCPCS,51050,Removal of bladder stone,,,2399.39,10940.0,4
HCPCS,51060,Removal of ureter stone,,,2950.1,14456.0,4
HCPCS,51065,Remove ureter calculus,,,2934.56,10940.0,4
HCPCS,51080,Drainage of bladder abscess,,,2088.58,5664.0,4
HCPCS,51100,Drain bladder by needle,,,188.91,3195.0,4
HCPCS,51101,Drain bladder by trocar/cath,,,249.83,5664.0,4
HCPCS,51102,Drain bl w/cath insertion,,,702.99,10940.0,4
HCPCS,51102,HC PROSTATE NDL/PUNCH BIOPSY;SGL/MULT,5594.0,5594.0,,,0
HCPCS,51500,Removal of bladder cyst,,,3213.32,12821.0,4
HCPCS,51520,Removal of bladder lesion,,,3014.58,10940.0,4
HCPCS,51525,Removal of bladder lesion,,,4305.14,12821.0,4
HCPCS,51530,Removal of bladder lesion,,,3868.07,12821.0,4
HCPCS,51535,Repair of ureter lesion,,,3912.8,10940.0,4
HCPCS,51550,Partial removal of bladder,,,4874.04,6979.0,4
HCPCS,51555,Partial removal of bladder,,,5097.0,6979.0,4
HCPCS,51565,Revise bladder & ureter(s),,,5097.0,6979.0,4
HCPCS,51570,Removal of bladder,,,5097.0,7280.77,4
HCPCS,51575,Removal of bladder & nodes,,,5097.0,8987.74,4
HCPCS,51580,Remove bladder/revise tract,,,5097.0,9395.19,4
HCPCS,51585,Removal of bladder & nodes,,,5097.0,10434.03,4
HCPCS,51590,Remove bladder/revise tract,,,5097.0,9575.63,4
HCPCS,51595,Remove bladder/revise tract,,,5097.0,10822.43,4
HCPCS,51596,Remove bladder/create pouch,,,5097.0,11675.43,4
HCPCS,51597,Removal of pelvic structures,,,5097.0,11420.47,4
HCPCS,51600,"HC INJ PARAVERTEBRAL FACET, LUMBAR/SACRAL, 1 LEVEL",797.0,797.0,,,0
HCPCS,51600,Injection for bladder x-ray,,,208.66,2782.0,3
HCPCS,51605,Preparation for bladder xray,,,192.75,2782.0,3
HCPCS,51610,Injection for bladder x-ray,,,317.99,2782.0,3
HCPCS,51700,Irrigation of bladder,,,145.96,3195.0,4
HCPCS,51701,HC IMAGE GUIDED CATH ABSCESS TRANSVAGINAL,614.0,614.0,,,0
HCPCS,51701,Insert bladder catheter,,,124.49,3195.0,4
HCPCS,51702,HC TPMT  GENE COM VARIANTS,3078.0,3078.0,,,0
HCPCS,51702,Insert temp bladder cath,,,127.94,3195.0,4
HCPCS,51703,HC HPA-1  GENOTYPING (35),3078.0,3078.0,,,0
HCPCS,51703,Insert bladder cath complex,,,378.1,3195.0,4
HCPCS,51705,Change of bladder tube,,,261.76,3195.0,4
HCPCS,51705,HC HEARING AID EXAM BOTH EARS,678.0,678.0,,,0
HCPCS,51710,Change of bladder tube,,,404.59,4497.0,4
HCPCS,51715,Endoscopic injection/implant,,,990.87,12821.0,4
HCPCS,51720,Treatment of bladder lesion,,,214.01,3195.0,4
HCPCS,51721,Ins trurl ablt trnsdc thr us,,,1070.35,5664.0,4
HCPCS,51725,Simple cystometrogram,,,632.57,3195.0,4
HCPCS,51726,Complex cystometrogram,,,965.13,3195.0,4
HCPCS,51727,Cystometrogram w/up,,,1163.27,4497.0,4
HCPCS,51728,Cystometrogram w/vp,,,1201.2,4497.0,4
HCPCS,51729,Cystometrogram w/vp&up,,,1179.78,4497.0,4
HCPCS,51736,Urine flow measurement,,,32.0,6979.0,4
HCPCS,51741,Electro-uroflowmetry first,,,35.45,6979.0,4
HCPCS,51784,Anal/urinary muscle study,,,152.6,6979.0,4
HCPCS,51785,Anal/urinary muscle study,,,1545.04,3195.0,4
HCPCS,51785,"HC CISTERNOGRAPHY, POSITIVE CONTRAST, S & I",3861.0,3861.0,,,0
HCPCS,51792,Urinary reflex study,,,988.49,6979.0,4
HCPCS,51797,Intraabdominal pressure test,,,596.15,3195.0,4
HCPCS,51798,Us urine capacity measure,,,67.45,6979.0,4
HCPCS,51800,Revision of bladder/urethra,,,5097.0,8406.0,4
HCPCS,51820,Revision of urinary tract,,,5097.0,8406.0,4
HCPCS,51840,Attach bladder/urethra,,,3458.51,10940.0,4
HCPCS,51841,Attach bladder/urethra,,,3980.58,10940.0,4
HCPCS,51845,Repair bladder neck,,,2940.82,14456.0,4
HCPCS,51860,Repair of bladder wound,,,3812.06,10940.0,4
HCPCS,51865,Repair of bladder wound,,,4518.39,12821.0,4
HCPCS,51880,Repair of bladder opening,,,2386.06,10940.0,4
HCPCS,51900,Repair bladder/vagina lesion,,,4137.54,12821.0,4
HCPCS,51920,Close bladder-uterus fistula,,,3842.82,10940.0,4
HCPCS,51925,Hysterectomy/bladder repair,,,5097.0,6979.0,4
HCPCS,51940,Correction of bladder defect,,,5097.0,8132.37,4
HCPCS,51960,Revision of bladder & bowel,,,5097.0,6979.0,4
HCPCS,51980,Construct bladder opening,,,3589.47,10940.0,4
HCPCS,51990,Laparo urethral suspension,,,3733.44,22111.0,4
HCPCS,51992,Laparo sling operation,,,4200.57,22111.0,4
HCPCS,51999,Laparoscope proc bla,,,5248.0,14456.0,3
HCPCS,52000,Cystoscopy,,,398.55,4497.0,4
HCPCS,52001,Cystoscopy removal of clots,,,1413.37,5664.0,4
HCPCS,52005,Cystoscopy & ureter catheter,,,663.76,10940.0,4
HCPCS,52007,Cystoscopy and biopsy,,,826.02,10940.0,4
HCPCS,52010,Cystoscopy & duct catheter,,,820.62,4497.0,4
HCPCS,52204,Cystoscopy w/biopsy(s),,,708.33,10940.0,4
HCPCS,52214,Cystoscopy and treatment,,,853.38,10940.0,4
HCPCS,52224,Cystoscopy and treatment,,,985.96,10940.0,4
HCPCS,52234,Cystoscopy and treatment,,,1210.11,10940.0,4
HCPCS,52235,Cystoscopy and treatment,,,1422.01,10940.0,4
HCPCS,52240,Cystoscopy and treatment,,,1928.04,10940.0,4
HCPCS,52250,Cystoscopy and radiotracer,,,1182.32,10940.0,4
HCPCS,52260,Cystoscopy and treatment,,,1038.46,5664.0,4
HCPCS,52265,Cystoscopy and treatment,,,808.48,4497.0,4
HCPCS,52270,Cystoscopy & revise urethra,,,904.05,5664.0,4
HCPCS,52275,Cystoscopy & revise urethra,,,1223.7,10940.0,4
HCPCS,52276,Cystoscopy and treatment,,,1304.11,10940.0,4
HCPCS,52277,Cystoscopy and treatment,,,1597.0,10940.0,4
HCPCS,52281,Cystoscopy and treatment,,,761.43,5664.0,4
HCPCS,52282,Cystoscopy implant stent,,,1664.94,10940.0,4
HCPCS,52283,Cystoscopy and treatment,,,997.02,10940.0,4
HCPCS,52284,Cysto rx balo cath urtl strx,,,815.34,10940.0,4
HCPCS,52285,Cystoscopy and treatment,,,970.36,5664.0,4
HCPCS,52287,Cystoscopy chemodenervation,,,835.57,5664.0,4
HCPCS,52290,Cystoscopy and treatment,,,1202.98,10940.0,4
HCPCS,52300,Cystoscopy and treatment,,,1381.11,10940.0,4
HCPCS,52301,Cystoscopy and treatment,,,1425.95,10940.0,4
HCPCS,52305,Cystoscopy and treatment,,,1369.02,10940.0,4
HCPCS,52310,Cystoscopy and treatment,,,751.61,5664.0,4
HCPCS,52315,Cystoscopy and treatment,,,1357.15,10940.0,4
HCPCS,52317,Remove bladder stone,,,1705.3,10940.0,4
HCPCS,52318,Remove bladder stone,,,2321.84,10940.0,4
HCPCS,52320,Cystoscopy and treatment,,,1209.95,10940.0,4
HCPCS,52325,Cystoscopy stone removal,,,1576.98,10940.0,4
HCPCS,52327,Cystoscopy inject material,,,1264.44,14456.0,4
HCPCS,52330,Cystoscopy and treatment,,,1292.29,10940.0,4
HCPCS,52332,Cystoscopy and treatment,,,777.51,10940.0,4
HCPCS,52334,Create passage to kidney,,,911.06,10940.0,4
HCPCS,52341,Cysto W/Ureter Stricture Tx,,,1398.7,10940.0,4
HCPCS,52342,Cysto W/Up Stricture Tx,,,1521.4,10940.0,4
HCPCS,52343,Cysto W/Renal Stricture Tx,,,1692.56,10940.0,4
HCPCS,52344,Cysto/uretero stricture tx,,,1817.0,10940.0,4
HCPCS,52345,Cysto/Uretero W/Up Stricture,,,1938.78,10940.0,4
HCPCS,52346,Cystouretero W/Renal Strict,,,2192.23,10940.0,4
HCPCS,52351,Cystouretero & or pyeloscope,,,1489.46,10940.0,4
HCPCS,52352,Cystouretero w/stone remove,,,1743.56,10940.0,4
HCPCS,52353,Cystouretero W/Lithotripsy,,,1922.65,14456.0,4
HCPCS,52354,Cystouretero W/Biopsy,,,2052.53,10940.0,4
HCPCS,52355,Cystouretero W/Excise Tumor,,,2295.19,10940.0,4
HCPCS,52356,Cysto/uretero w/lithotripsy,,,2045.68,14456.0,4
HCPCS,52400,Cystouretero W/Congen Repr,,,2383.52,10940.0,4
HCPCS,52402,Cystourethro cut ejacul duct,,,1295.42,10940.0,4
HCPCS,52441,Cystourethro w/implant,,,1027.61,5248.0,4
HCPCS,52442,Cystourethro w/addl implant,,,248.0,3195.0,4
HCPCS,52443,Cysto 1st trurl prst8 comis,,,963.13,6979.0,2
HCPCS,52450,Incision of prostate,,,2416.65,10940.0,4
HCPCS,52500,Revision of bladder neck,,,1939.11,10940.0,4
HCPCS,52597,Trurl rbtc wtrjt rescj prst8,,,3040.59,6979.0,2
HCPCS,52601,Prostatectomy (TURP),,,2915.3,14456.0,4
HCPCS,52630,Remove prostate regrowth,,,2072.6,14456.0,4
HCPCS,52640,Relieve bladder contracture,,,1654.52,10940.0,4
HCPCS,52647,Laser surgery of prostate,,,6044.0,14456.0,3
HCPCS,52648,Laser surgery of prostate,,,2928.73,14456.0,4
HCPCS,52649,Prostate laser enucleation,,,3650.39,14456.0,4
HCPCS,52700,Drainage of prostate abscess,,,2241.34,10940.0,4
HCPCS,53000,Incision of urethra,,,760.67,10940.0,4
HCPCS,53010,Incision of urethra,,,1541.37,10940.0,4
HCPCS,53020,Incision of urethra,,,478.95,10940.0,4
HCPCS,53025,Incision of urethra,,,346.48,10940.0,4
HCPCS,53040,Drainage of urethra abscess,,,2001.0,10940.0,4
HCPCS,53060,Drainage of urethra abscess,,,833.52,10940.0,4
HCPCS,53080,Drainage of urinary leakage,,,2148.31,10940.0,4
HCPCS,53085,Drainage of urinary leakage,,,3272.46,10940.0,4
HCPCS,53200,Biopsy of urethra,,,717.45,10940.0,4
HCPCS,53210,Removal of urethra,,,3864.72,12821.0,4
HCPCS,53215,Removal of urethra,,,4635.76,10940.0,4
HCPCS,53220,Treatment of urethra lesion,,,2298.8,12821.0,4
HCPCS,53230,Removal of urethra lesion,,,3084.14,12821.0,4
HCPCS,53235,Removal of urethra lesion,,,3198.16,10940.0,4
HCPCS,53240,Surgery for urethra pouch,,,2165.25,12821.0,4
HCPCS,53250,Removal of urethra gland,,,2026.58,10940.0,4
HCPCS,53260,Treatment of urethra lesion,,,920.4,10940.0,4
HCPCS,53265,Treatment of urethra lesion,,,948.56,10940.0,4
HCPCS,53270,Removal of urethra gland,,,937.29,10940.0,4
HCPCS,53275,Repair of urethra defect,,,1326.71,10940.0,4
HCPCS,53400,Revise urethra stage 1,,,4023.47,12821.0,4
HCPCS,53405,Revise urethra stage 2,,,4108.0,12821.0,4
HCPCS,53410,Reconstruction of urethra,,,4108.0,12821.0,4
HCPCS,53415,Reconstruction of urethra,,,5634.61,14456.0,4
HCPCS,53420,Reconstruct urethra stage 1,,,4213.36,12821.0,4
HCPCS,53425,Reconstruct urethra stage 2,,,4108.0,12821.0,4
HCPCS,53430,Reconstruction of urethra,,,4108.0,12821.0,4
HCPCS,53431,Reconstruct urethra/bladder,,,4108.0,12821.0,4
HCPCS,53440,Male sling procedure,,,3782.92,25393.0,4
HCPCS,53442,Remove/revise male sling,,,3195.0,12821.0,4
HCPCS,53444,Insert tandem cuff,,,3981.82,25393.0,4
HCPCS,53445,Insert uro/ves nck sphincter,,,3195.0,34630.0,4
HCPCS,53446,Remove uro sphincter,,,3195.0,22111.0,4
HCPCS,53447,Remove/replace ur sphincter,,,3195.0,34630.0,4
HCPCS,53448,Remov/replc ur sphinctr comp,,,4047.0,6979.0,4
HCPCS,53449,Repair uro sphincter,,,3098.87,12821.0,4
HCPCS,53450,Revision of urethra,,,2092.73,12821.0,4
HCPCS,53451,Tprnl balo cntnc dev bi,,,5363.0,25393.0,3
HCPCS,53452,Tprnl balo cntnc dev uni,,,5248.0,10940.0,3
HCPCS,53453,Tprnl balo cntnc dev rmvl ea,,,4108.0,10940.0,3
HCPCS,53454,Tprnl balo cntnc dev adjmt,,,2505.0,3195.0,3
HCPCS,53460,Revision of urethra,,,2331.99,10940.0,4
HCPCS,53500,Urethrlys transvag w/ scope,,,3760.96,12821.0,4
HCPCS,53502,Repair of urethra injury,,,2472.72,10940.0,4
HCPCS,53505,Repair of urethra injury,,,2471.04,12821.0,4
HCPCS,53510,Repair of urethra injury,,,3191.03,10940.0,4
HCPCS,53515,Repair of urethra injury,,,3987.16,12821.0,4
HCPCS,53520,Repair of urethra defect,,,2834.68,12821.0,4
HCPCS,53600,Dilate urethra stricture,,,313.62,3195.0,4
HCPCS,53601,Dilate urethra stricture,,,265.81,3195.0,4
HCPCS,53605,Dilate urethra stricture,,,313.45,5664.0,4
HCPCS,53620,Dilate urethra stricture,,,430.28,4497.0,4
HCPCS,53621,Dilate urethra stricture,,,356.3,3195.0,4
HCPCS,53640,Description Not Available,,,6979.0,6979.0,1
HCPCS,53660,Dilation of urethra,,,206.34,3195.0,4
HCPCS,53661,Dilation of urethra,,,199.54,6979.0,4
HCPCS,53665,Dilation of urethra,,,185.3,10940.0,4
HCPCS,53850,Prostatic microwave thermotx,,,1815.43,10675.0,4
HCPCS,53852,Prostatic rf thermotx,,,1944.45,14456.0,4
HCPCS,53854,Trurl dstrj prst8 tiss rf wv,,,1946.18,10940.0,4
HCPCS,53855,Insert prost urethral stent,,,403.84,4497.0,4
HCPCS,53860,Transurethral rf treatment,,,1118.7,5664.0,4
HCPCS,53865,Cysto insj dev ischmc rmdlg,,,813.61,10940.0,4
HCPCS,53866,Cathj rmvl dev ischmc rmdlg,,,410.96,3195.0,4
HCPCS,53899,Urology surgery procedure,,,2505.0,3195.0,3
HCPCS,54000,Slitting of prepuce,,,573.06,10940.0,4
HCPCS,54001,Slitting of prepuce,,,712.43,10940.0,4
HCPCS,54015,Drain penis lesion,,,1536.62,5664.0,4
HCPCS,54050,Destruction penis lesion(s),,,523.47,6979.0,4
HCPCS,54055,Destruction penis lesion(s),,,471.45,6979.0,4
HCPCS,54056,Cryosurgery penis lesion(s),,,534.53,6979.0,4
HCPCS,54057,Laser surg penis lesion(s),,,496.16,5664.0,4
HCPCS,54060,Excision of penis lesion(s),,,671.32,5664.0,4
HCPCS,54065,Destruction penis lesion(s),,,820.84,5664.0,4
HCPCS,54100,Biopsy of penis,,,570.25,5664.0,4
HCPCS,54105,Biopsy of penis,,,1078.71,10940.0,4
HCPCS,54110,Treatment of penis lesion,,,3151.1,14456.0,4
HCPCS,54111,Treat penis lesion graft,,,4005.5,14456.0,4
HCPCS,54112,Treat penis lesion graft,,,4108.0,14456.0,4
HCPCS,54115,Treatment of penis lesion,,,2184.03,10940.0,4
HCPCS,54120,Partial removal of penis,,,3196.05,12821.0,4
HCPCS,54125,Removal of penis,,,4108.0,5664.0,4
HCPCS,54130,Remove penis & nodes,,,5097.0,6979.0,4
HCPCS,54135,Remove penis & nodes,,,5097.0,7501.95,4
HCPCS,54150,Circumcision w/regionl block,,,472.53,10940.0,4
HCPCS,54160,Circumcision neonate,,,734.45,10940.0,4
HCPCS,54161,Circum 28 days or older,,,1000.96,10940.0,4
HCPCS,54162,Lysis penil circumic lesion,,,1018.23,10940.0,4
HCPCS,54163,Repair of circumcision,,,1135.37,10940.0,4
HCPCS,54164,Frenulotomy of penis,,,1013.58,10940.0,4
HCPCS,54200,Treatment of penis lesion,,,453.1,6979.0,4
HCPCS,54205,Treatment of penis lesion,,,2699.83,12821.0,4
HCPCS,54220,Treatment of penis lesion,,,729.65,3195.0,4
HCPCS,54230,Prepare penis study,,,404.48,3195.0,4
HCPCS,54231,Dynamic cavernosometry,,,581.47,6979.0,4
HCPCS,54235,Penile injection,,,375.51,6979.0,4
HCPCS,54240,Penis study,,,243.2,3195.0,4
HCPCS,54250,Penis study,,,76.79,3195.0,4
HCPCS,54300,Revision of penis,,,3263.5,14456.0,4
HCPCS,54304,Revision of penis,,,3753.73,14456.0,4
HCPCS,54308,Reconstruction of urethra,,,3601.13,14456.0,4
HCPCS,54312,Reconstruction of urethra,,,4113.26,12821.0,4
HCPCS,54316,Reconstruction of urethra,,,4967.99,12821.0,4
HCPCS,54318,Reconstruction of urethra,,,3589.1,12821.0,4
HCPCS,54322,Reconstruction of urethra,,,3916.15,12821.0,4
HCPCS,54324,Reconstruction of urethra,,,4838.32,14456.0,4
HCPCS,54326,Reconstruction of urethra,,,4714.54,12821.0,4
HCPCS,54328,Revise penis/urethra,,,4686.75,14456.0,4
HCPCS,54332,Revise penis/urethra,,,5047.74,12821.0,4
HCPCS,54336,Revise penis/urethra,,,5925.56,12821.0,4
HCPCS,54340,Secondary urethral surgery,,,2881.57,12821.0,4
HCPCS,54344,Secondary urethral surgery,,,4724.47,12821.0,4
HCPCS,54348,Secondary urethral surgery,,,5052.49,12821.0,4
HCPCS,54352,Reconstruct urethra/penis,,,5248.0,14456.0,4
HCPCS,54360,Penis plastic surgery,,,3626.0,14456.0,4
HCPCS,54380,Repair penis,,,4016.19,12821.0,4
HCPCS,54385,Repair penis,,,4666.51,12821.0,4
HCPCS,54390,Repair penis and bladder,,,6185.27,14456.0,4
HCPCS,54400,Insert semi-rigid prosthesis,,,2686.07,25393.0,4
HCPCS,54401,Insert self-contd prosthesis,,,3395.7,34630.0,4
HCPCS,54405,Insert multi-comp penis pros,,,4051.32,34630.0,4
HCPCS,54406,Remove muti-comp penis pros,,,3685.74,12821.0,4
HCPCS,54408,Repair multi-comp penis pros,,,3984.51,14456.0,4
HCPCS,54410,Remove/replace penis prosth,,,4340.97,34630.0,4
HCPCS,54411,Remov/replc penis pros comp,,,2505.0,6044.0,4
HCPCS,54415,Remove self-contd penis pros,,,2705.99,12821.0,4
HCPCS,54416,Remv/repl penis contain pros,,,3620.12,34630.0,4
HCPCS,54417,Remv/replc penis pros compl,,,4047.0,5363.0,4
HCPCS,54420,Revision of penis,,,3529.96,12821.0,4
HCPCS,54430,Revision of penis,,,3220.33,6979.0,4
HCPCS,54435,Revision of penis,,,2117.17,12821.0,4
HCPCS,54437,Repair corporeal tear,,,3427.05,10940.0,4
HCPCS,54438,Replantation of penis,,,6979.0,6979.0,1
HCPCS,54440,Repair of penis,,,5363.0,12821.0,3
HCPCS,54450,Preputial stretching,,,283.61,3195.0,4
HCPCS,54500,Biopsy of testis,,,372.27,5664.0,4
HCPCS,54505,Biopsy of testis,,,1065.33,10940.0,4
HCPCS,54512,Excise Lesion Testis,,,2718.88,10940.0,4
HCPCS,54520,Removal of testis,,,1689.54,12821.0,4
HCPCS,54522,Orchiectomy partial,,,2966.67,10940.0,4
HCPCS,54530,Removal of testis,,,2595.69,12821.0,4
HCPCS,54535,Extensive testis surgery,,,3739.97,12821.0,4
HCPCS,54550,Exploration for testis,,,2500.02,12821.0,4
HCPCS,54560,Exploration for testis,,,3456.57,10940.0,4
HCPCS,54600,Reduce testis torsion,,,2305.76,10940.0,4
HCPCS,54620,Suspension of testis,,,1510.34,10940.0,4
HCPCS,54640,Suspension of testis,,,2194.72,12821.0,4
HCPCS,54650,Orchiopexy (Fowler-Stephens),,,3590.28,12821.0,4
HCPCS,54660,Revision of testis,,,1839.12,10940.0,4
HCPCS,54670,Repair testis injury,,,2088.09,10940.0,4
HCPCS,54680,Relocation of testis(es),,,3953.81,10940.0,4
HCPCS,54690,Laparoscopy orchiectomy,,,3294.47,22111.0,4
HCPCS,54692,Laparoscopy orchiopexy,,,3787.34,22111.0,4
HCPCS,54699,Laparoscope proc testis,,,5248.0,14456.0,3
HCPCS,54700,Drainage of scrotum,,,1106.23,10940.0,4
HCPCS,54800,Biopsy of epididymis,,,619.35,4497.0,4
HCPCS,54830,Remove epididymis lesion,,,1917.04,10940.0,4
HCPCS,54840,Remove epididymis lesion,,,1646.21,10940.0,4
HCPCS,54860,Removal of epididymis,,,2140.92,10940.0,4
HCPCS,54861,Removal of epididymis,,,2878.01,10940.0,4
HCPCS,54865,Explore Epididymis,,,1848.99,10940.0,4
HCPCS,54900,Fusion of spermatic ducts,,,4023.26,10940.0,4
HCPCS,54901,Fusion of spermatic ducts,,,5291.43,10940.0,4
HCPCS,55000,Drainage of hydrocele,,,426.77,6979.0,4
HCPCS,55040,Removal of hydrocele,,,1736.92,12821.0,4
HCPCS,55041,Removal of hydroceles,,,2603.95,12821.0,4
HCPCS,55060,Repair of hydrocele,,,1951.84,10940.0,4
HCPCS,55100,Drainage of scrotum abscess,,,902.43,5664.0,4
HCPCS,55110,Explore scrotum,,,2006.61,10940.0,4
HCPCS,55120,Removal of scrotum lesion,,,1823.47,10940.0,4
HCPCS,55150,Removal of scrotum,,,2519.61,10940.0,4
HCPCS,55175,Revision of scrotum,,,1871.6,14456.0,4
HCPCS,55180,Revision of scrotum,,,3457.59,10940.0,4
HCPCS,55200,Incision of sperm duct,,,1422.33,10940.0,4
HCPCS,55250,Removal of sperm duct(s),,,1192.62,10940.0,4
HCPCS,55300,Prepare sperm duct x-ray,,,920.61,4108.0,4
HCPCS,55400,Repair of sperm duct,,,2528.35,10940.0,4
HCPCS,55500,Removal of hydrocele,,,2036.77,12821.0,4
HCPCS,55520,Removal of sperm cord lesion,,,2532.34,10940.0,4
HCPCS,55530,Revise spermatic cord veins,,,1801.56,10940.0,4
HCPCS,55535,Revise spermatic cord veins,,,2197.41,12821.0,4
HCPCS,55540,Revise hernia & sperm veins,,,3063.2,12821.0,4
HCPCS,55550,Laparo ligate spermatic vein,,,2192.34,22111.0,4
HCPCS,55559,Laparo proc spermatic cord,,,5248.0,14456.0,3
HCPCS,55600,Incise sperm duct pouch,,,2151.66,10940.0,4
HCPCS,55605,Incise sperm duct pouch,,,2662.49,4497.0,4
HCPCS,55650,Remove sperm duct pouch,,,3195.0,4497.0,4
HCPCS,55680,Remove sperm pouch lesion,,,1773.83,10940.0,4
HCPCS,55700,Biopsy of prostate,,,4108.0,5664.0,3
HCPCS,55700,HC BIOPSY THYROID PERC CORE NEEDLE,4764.0,4764.0,,,0
HCPCS,55705,Biopsy of prostate,,,552.77,5664.0,4
HCPCS,55706,Prostate saturation sampling,,,1134.56,5664.0,4
HCPCS,55707,Bx prst8 trct us guided,,,758.35,6979.0,2
HCPCS,55708,Bx prst8 trct us w/mri fus 1,,,944.57,6979.0,2
HCPCS,55709,Bx prst8 tprnl us guided,,,907.88,6979.0,2
HCPCS,55710,Bx prst8 tprn us w/mri fus 1,,,1049.31,6979.0,2
HCPCS,55711,Bx prst8 trct mri-us 1st,,,754.74,6979.0,2
HCPCS,55712,Bx prst8 tprnl mri-us 1st,,,879.98,6979.0,2
HCPCS,55713,Bx prst8 in-bore ct/mri bx 1,,,1039.0,6979.0,2
HCPCS,55714,Bx prst8 in-bore ct/mri 1,,,945.92,6979.0,2
HCPCS,55715,Bx prst8 ea add mri-us/ct/mr,,,265.05,265.05,1
HCPCS,55720,Drainage of prostate abscess,,,2298.1,10940.0,4
HCPCS,55725,Drainage of prostate abscess,,,3023.49,10940.0,4
HCPCS,55801,Removal of prostate,,,5097.0,6979.0,4
HCPCS,55810,Extensive prostate surgery,,,5097.0,6979.0,4
HCPCS,55812,Extensive prostate surgery,,,5097.0,7980.41,4
HCPCS,55815,Extensive prostate surgery,,,5097.0,8729.11,4
HCPCS,55821,Removal of prostate,,,4201.38,6979.0,4
HCPCS,55831,Removal of prostate,,,4315.18,6979.0,4
HCPCS,55840,Extensive prostate surgery,,,5097.0,6979.0,4
HCPCS,55842,Extensive prostate surgery,,,5097.0,6979.0,4
HCPCS,55845,Extensive prostate surgery,,,5097.0,8406.0,4
HCPCS,55860,Surgical exposure prostate,,,3195.0,10940.0,4
HCPCS,55862,Extensive prostate surgery,,,5097.0,6979.0,4
HCPCS,55865,Extensive prostate surgery,,,5097.0,6979.0,4
HCPCS,55866,Laparo radical prostatectomy,,,6033.48,25393.0,4
HCPCS,55867,Laps surg prst8ect smpl stot,,,5273.08,22111.0,4
HCPCS,55868,Lap srg prst8ct lymph nod bx,,,6178.53,6979.0,2
HCPCS,55869,Lap srg prst8ct bi pl lmphad,,,6979.0,7421.5,2
HCPCS,55870,Electroejaculation,,,710.71,4497.0,4
HCPCS,55873,Cryoablate Prostate,,,3822.9,25393.0,4
HCPCS,55874,Tprnl plmt biodegrdabl matrl,,,791.65,22111.0,4
HCPCS,55875,Transperi needle place pros,,,3791.72,14456.0,4
HCPCS,55876,Place rt device/marker pros,,,500.8,5664.0,4
HCPCS,55877,Abltj ire prst8 1+ tum perq,,,3729.01,6979.0,2
HCPCS,55880,Abltj mal prst8 tiss hifu,,,4108.0,10940.0,4
HCPCS,55881,Ablt trurl prst8 tis thrm us,,,2413.85,5664.0,4
HCPCS,55882,Ablt trurl prst8 tis trnsdcr,,,2967.04,25393.0,4
HCPCS,55899,Genital surgery procedure,,,2505.0,4108.0,3
HCPCS,55920,Place needles pelvic for rt,,,2113.72,12821.0,4
HCPCS,55970,Sex transformation m to f,,,6979.0,6979.0,1
HCPCS,55980,Sex transformation f to m,,,6979.0,6979.0,1
HCPCS,56300,Description Not Available,,,6979.0,6979.0,1
HCPCS,56301,Description Not Available,,,6979.0,6979.0,1
HCPCS,56302,Description Not Available,,,6979.0,6979.0,1
HCPCS,56303,Description Not Available,,,6979.0,6979.0,1
HCPCS,56304,Description Not Available,,,6979.0,6979.0,1
HCPCS,56305,Description Not Available,,,6979.0,6979.0,1
HCPCS,56306,Description Not Available,,,6979.0,6979.0,1
HCPCS,56307,Description Not Available,,,6979.0,6979.0,1
HCPCS,56308,Description Not Available,,,6979.0,6979.0,1
HCPCS,56309,Description Not Available,,,6979.0,6979.0,1
HCPCS,56310,Description Not Available,,,6979.0,6979.0,1
HCPCS,56311,Description Not Available,,,6979.0,6979.0,1
HCPCS,56312,Description Not Available,,,6979.0,6979.0,1
HCPCS,56313,Description Not Available,,,6979.0,6979.0,1
HCPCS,56314,Description Not Available,,,6979.0,6979.0,1
HCPCS,56315,Description Not Available,,,6979.0,6979.0,1
HCPCS,56316,Description Not Available,,,6979.0,6979.0,1
HCPCS,56317,Description Not Available,,,6979.0,6979.0,1
HCPCS,56318,Description Not Available,,,6979.0,6979.0,1
HCPCS,56320,Description Not Available,,,6979.0,6979.0,1
HCPCS,56322,Description Not Available,,,6979.0,6979.0,1
HCPCS,56323,Description Not Available,,,6979.0,6979.0,1
HCPCS,56324,Description Not Available,,,6979.0,6979.0,1
HCPCS,56340,Description Not Available,,,6979.0,6979.0,1
HCPCS,56341,Description Not Available,,,6979.0,6979.0,1
HCPCS,56342,Description Not Available,,,6979.0,6979.0,1
HCPCS,56343,Description Not Available,,,6979.0,6979.0,1
HCPCS,56344,Description Not Available,,,6979.0,6979.0,1
HCPCS,56345,Description Not Available,,,6979.0,6979.0,1
HCPCS,56346,Description Not Available,,,6979.0,6979.0,1
HCPCS,56347,Description Not Available,,,6979.0,6979.0,1
HCPCS,56348,Description Not Available,,,6979.0,6979.0,1
HCPCS,56349,Description Not Available,,,6979.0,6979.0,1
HCPCS,56350,Description Not Available,,,6979.0,6979.0,1
HCPCS,56351,Description Not Available,,,6979.0,6979.0,1
HCPCS,56352,Description Not Available,,,6979.0,6979.0,1
HCPCS,56353,Description Not Available,,,6979.0,6979.0,1
HCPCS,56354,Description Not Available,,,6979.0,6979.0,1
HCPCS,56355,Description Not Available,,,6979.0,6979.0,1
HCPCS,56356,Description Not Available,,,6979.0,6979.0,1
HCPCS,56360,Description Not Available,,,6979.0,6979.0,1
HCPCS,56361,Description Not Available,,,6979.0,6979.0,1
HCPCS,56362,Description Not Available,,,6979.0,6979.0,1
HCPCS,56363,Description Not Available,,,6979.0,6979.0,1
HCPCS,56399,Description Not Available,,,6979.0,6979.0,1
HCPCS,56405,I & D of vulva/perineum,,,640.18,4108.0,4
HCPCS,56420,Drainage of gland abscess,,,551.69,3195.0,4
HCPCS,56440,Surgery for vulva lesion,,,913.97,10940.0,4
HCPCS,56441,Lysis of labial lesion(s),,,774.54,10940.0,4
HCPCS,56442,Hymenotomy,,,242.77,10940.0,4
HCPCS,56501,Destroy vulva lesions sim,,,655.4,5664.0,4
HCPCS,56515,Destroy vulva lesion/s compl,,,1054.49,5664.0,4
HCPCS,56605,Biopsy of vulva/perineum,,,294.3,4497.0,4
HCPCS,56606,Biopsy of vulva/perineum,,,144.13,3195.0,4
HCPCS,56620,Partial removal of vulva,,,3027.64,10940.0,4
HCPCS,56625,Complete removal of vulva,,,3474.86,10940.0,4
HCPCS,56630,Extensive vulva surgery,,,5059.4,12821.0,4
HCPCS,56631,Extensive vulva surgery,,,6269.99,25393.0,4
HCPCS,56632,Extensive vulva surgery,,,6979.0,25393.0,4
HCPCS,56633,Extensive vulva surgery,,,6500.56,25393.0,4
HCPCS,56634,Extensive vulva surgery,,,6958.09,25393.0,4
HCPCS,56637,Extensive vulva surgery,,,6979.0,25393.0,4
HCPCS,56640,Extensive vulva surgery,,,5097.0,8130.96,4
HCPCS,56700,Partial removal of hymen,,,1006.62,10940.0,4
HCPCS,56740,Remove vagina gland lesion,,,1582.92,10940.0,4
HCPCS,56800,Repair of vagina,,,1267.09,10940.0,4
HCPCS,56805,Repair clitoris,,,5770.64,10940.0,4
HCPCS,56810,Repair of perineum,,,1347.17,10940.0,4
HCPCS,56820,Exam of vulva w/scope,,,427.58,3195.0,4
HCPCS,56821,Exam/biopsy of vulva w/scope,,,575.38,3195.0,4
HCPCS,57000,Exploration of vagina,,,992.7,10940.0,4
HCPCS,57010,Drainage of pelvic abscess,,,2275.49,10940.0,4
HCPCS,57020,Drainage of pelvic fluid,,,391.16,10940.0,4
HCPCS,57022,I & d vaginal hematoma pp,,,890.07,5664.0,4
HCPCS,57023,I & d vag hematoma non-ob,,,1588.91,10940.0,4
HCPCS,57061,Destroy vag lesions simple,,,576.24,10940.0,4
HCPCS,57065,Destroy vag lesions complex,,,921.26,10940.0,4
HCPCS,57100,Biopsy of vagina,,,332.5,4497.0,4
HCPCS,57105,Biopsy of vagina,,,745.57,10940.0,4
HCPCS,57106,Remove vagina wall partial,,,2730.75,10940.0,4
HCPCS,57107,Remove vagina tissue part,,,4108.0,10940.0,4
HCPCS,57108,Description Not Available,,,6979.0,6979.0,1
HCPCS,57109,Vaginectomy partial w/nodes,,,3195.0,10940.0,4
HCPCS,57110,Remove vagina wall complete,,,4487.31,5664.0,4
HCPCS,57111,Remove vagina tissue compl,,,5248.0,12821.0,4
HCPCS,57120,Closure of vagina,,,2638.32,12821.0,4
HCPCS,57130,Remove vagina lesion,,,854.73,10940.0,4
HCPCS,57135,Remove vagina lesion,,,934.59,10940.0,4
HCPCS,57150,Treat vagina infection,,,126.21,6979.0,4
HCPCS,57155,Insert uteri tandem/ovoids,,,1315.38,4497.0,4
HCPCS,57156,Ins vag brachytx device,,,696.25,4108.0,4
HCPCS,57160,Insert pessary/other device,,,230.19,6979.0,4
HCPCS,57170,Fitting of diaphragm/cap,,,236.51,6979.0,4
HCPCS,57180,Treat vaginal bleeding,,,590.59,6979.0,4
HCPCS,57200,Repair of vagina,,,1684.42,10940.0,4
HCPCS,57210,Repair vagina/perineum,,,1975.31,10940.0,4
HCPCS,57220,Revision of urethra,,,1724.94,14456.0,4
HCPCS,57230,Repair of urethral lesion,,,2078.05,10940.0,4
HCPCS,57240,Repair bladder & vagina,,,3048.63,12821.0,4
HCPCS,57250,Repair rectum & vagina,,,3054.3,12821.0,4
HCPCS,57260,Repair of vagina,,,3862.35,12821.0,4
HCPCS,57265,Extensive repair of vagina,,,4323.44,14456.0,4
HCPCS,57267,Insert mesh/pelvic flr addon,,,1244.97,8406.0,4
HCPCS,57268,Repair of bowel bulge,,,2539.09,10940.0,4
HCPCS,57270,Repair of bowel pouch,,,4050.72,10940.0,4
HCPCS,57280,Suspension of vagina,,,4813.99,10940.0,4
HCPCS,57282,Colpopexy extraperitoneal,,,3448.04,14456.0,4
HCPCS,57283,Colpopexy intraperitoneal,,,3475.13,14456.0,4
HCPCS,57284,Repair paravag defect open,,,4161.18,14456.0,4
HCPCS,57285,Repair paravag defect vag,,,3449.07,14456.0,4
HCPCS,57287,Revise/Remove Sling Repair,,,3660.43,12821.0,4
HCPCS,57288,Repair bladder defect,,,3705.76,14456.0,4
HCPCS,57289,Repair bladder & vagina,,,3924.56,12821.0,4
HCPCS,57291,Construction of vagina,,,2730.75,10940.0,4
HCPCS,57292,Construct vagina with graft,,,4117.36,12821.0,4
HCPCS,57295,Revise vag graft via vagina,,,2496.68,10940.0,4
HCPCS,57296,Revise vag graft open abd,,,4755.93,6979.0,4
HCPCS,57300,Repair rectum-vagina fistula,,,3136.21,10940.0,4
HCPCS,57305,Repair rectum-vagina fistula,,,5049.85,6044.0,4
HCPCS,57307,Fistula repair & colostomy,,,5097.0,6979.0,4
HCPCS,57308,Fistula repair transperine,,,3480.85,10940.0,4
HCPCS,57310,Repair urethrovaginal lesion,,,2469.53,14456.0,4
HCPCS,57311,Repair urethrovaginal lesion,,,2779.37,12821.0,4
HCPCS,57320,Repair bladder-vagina lesion,,,2804.52,12821.0,4
HCPCS,57330,Repair bladder-vagina lesion,,,3817.67,12821.0,4
HCPCS,57335,Repair vagina,,,5248.0,10940.0,4
HCPCS,57400,Dilation of vagina,,,652.16,10940.0,4
HCPCS,57410,Pelvic examination,,,541.11,10940.0,4
HCPCS,57415,Remove vaginal foreign body,,,866.06,10940.0,4
HCPCS,57420,Exam of vagina w/scope,,,460.66,3195.0,4
HCPCS,57421,Exam/biopsy of vag w/scope,,,621.89,4497.0,4
HCPCS,57423,Repair paravag defect lap,,,4622.75,22111.0,4
HCPCS,57425,Laparoscopy surg colpopexy,,,4839.51,22111.0,4
HCPCS,57426,Revise prosth vag graft lap,,,4342.81,12821.0,4
HCPCS,57452,Exam of cervix w/scope,,,462.81,4108.0,4
HCPCS,57454,Bx/curett of cervix w/scope,,,670.83,4108.0,4
HCPCS,57455,Biopsy of cervix w/scope,,,548.83,3195.0,4
HCPCS,57456,Endocerv curettage w/scope,,,506.85,3195.0,4
HCPCS,57460,Bx of cervix w/scope leep,,,799.74,10940.0,4
HCPCS,57461,Conz of cervix w/scope leep,,,919.59,10940.0,4
HCPCS,57465,Cam cervix uteri drg colp,,,209.58,2782.0,3
HCPCS,57500,Biopsy of cervix,,,383.22,4497.0,4
HCPCS,57505,Endocervical curettage,,,543.38,4497.0,4
HCPCS,57510,Cauterization of cervix,,,575.43,10940.0,4
HCPCS,57511,Cryocautery of cervix,,,727.43,3195.0,4
HCPCS,57513,Laser surgery of cervix,,,723.98,10940.0,4
HCPCS,57520,Conization of cervix,,,1520.81,10940.0,4
HCPCS,57522,Conization of cervix,,,1285.54,10940.0,4
HCPCS,57530,Removal of cervix,,,1886.71,10940.0,4
HCPCS,57531,Removal of cervix radical,,,5097.0,9580.81,4
HCPCS,57540,Removal of residual cervix,,,3936.27,6979.0,4
HCPCS,57545,Remove cervix/repair pelvis,,,4145.85,6979.0,4
HCPCS,57550,Removal of residual cervix,,,2148.26,10940.0,4
HCPCS,57555,Remove cervix/repair vagina,,,3080.52,12821.0,4
HCPCS,57556,Remove cervix repair bowel,,,2927.65,14456.0,4
HCPCS,57558,D&C oF Cervical Stump,,,629.44,10940.0,4
HCPCS,57700,Revision of cervix,,,1751.33,10940.0,4
HCPCS,57720,Revision of cervix,,,1657.33,10940.0,4
HCPCS,57800,Dilation of cervical canal,,,243.74,10940.0,4
HCPCS,58100,Biopsy of uterus lining,,,314.37,3195.0,4
HCPCS,58110,Bx done w/colposcopy add-on,,,202.4,3195.0,4
HCPCS,58120,Dilation and curettage,,,1173.9,10940.0,4
HCPCS,58140,Myomectomy abdom method,,,4582.12,12821.0,4
HCPCS,58145,Myomectomy vag method,,,2791.94,10940.0,4
HCPCS,58146,Myomectomy abdom complex,,,5733.84,12821.0,4
HCPCS,58150,Total hysterectomy,,,5284.14,12821.0,4
HCPCS,58152,Total hysterectomy,,,5097.0,8406.0,4
HCPCS,58180,Partial hysterectomy,,,4898.33,12821.0,4
HCPCS,58200,Extensive hysterectomy,,,5097.0,8406.0,4
HCPCS,58210,Extensive hysterectomy,,,5097.0,9537.48,4
HCPCS,58240,Removal of pelvis contents,,,5097.0,15162.92,4
HCPCS,58260,Vaginal hysterectomy,,,4172.83,12821.0,4
HCPCS,58262,Vag hyst including t/o,,,4610.56,12821.0,4
HCPCS,58263,Vag hyst w/t/o & vag repair,,,4947.43,12821.0,4
HCPCS,58267,Vag hyst w/urinary repair,,,5299.09,12821.0,4
HCPCS,58270,Vag hyst w/enterocele repair,,,4473.45,12821.0,4
HCPCS,58275,Hysterectomy/revise vagina,,,4937.23,12821.0,4
HCPCS,58280,Hysterectomy/revise vagina,,,5260.94,12821.0,4
HCPCS,58285,Extensive hysterectomy,,,5097.0,7554.51,4
HCPCS,58290,Vag hyst complex,,,5717.82,14456.0,4
HCPCS,58291,Vag hyst incl t/o complex,,,6044.0,14456.0,4
HCPCS,58292,Vag hyst t/o & repair compl,,,6044.0,14456.0,4
HCPCS,58294,Vag hyst w/enterocele compl,,,6044.0,14456.0,4
HCPCS,58300,Insert intrauterine device,,,2505.0,3195.0,3
HCPCS,58301,Remove intrauterine device,,,328.62,3195.0,4
HCPCS,58321,Artificial insemination,,,238.29,6979.0,4
HCPCS,58322,Artificial insemination,,,283.94,6979.0,4
HCPCS,58323,Sperm washing,,,59.09,6979.0,4
HCPCS,58340,Catheter for hysterography,,,289.39,3195.0,4
HCPCS,58345,Reopen fallopian tube,,,1432.53,10940.0,4
HCPCS,58346,Insert heyman uteri capsule,,,2281.43,10940.0,4
HCPCS,58350,Reopen fallopian tube,,,458.39,12821.0,4
HCPCS,58353,Endometr ablate thermal,,,1138.99,12821.0,4
HCPCS,58356,Endometrial cryoablation,,,1734.54,14456.0,4
HCPCS,58400,Suspension of uterus,,,2311.75,12821.0,4
HCPCS,58410,Suspension of uterus,,,4055.96,6979.0,4
HCPCS,58520,Repair of ruptured uterus,,,3972.64,6044.0,4
HCPCS,58540,Revision of uterus,,,4561.56,8406.0,4
HCPCS,58541,Lsh uterus 250 g or less,,,3634.31,22111.0,4
HCPCS,58542,Lsh w/t/o ut 250 g or less,,,4125.89,22111.0,4
HCPCS,58543,LSH Uterus Above 250 g,,,4185.03,22111.0,4
HCPCS,58544,LSH w/t/o Uterus Above 250 g,,,4516.83,22111.0,4
HCPCS,58545,Laparoscopic myomectomy,,,4570.14,14456.0,4
HCPCS,58546,Laparo-myomectomy complex,,,5542.93,22111.0,4
HCPCS,58548,Lap Radical Hyst,,,6979.0,14456.0,4
HCPCS,58550,Laparo-asst vag hysterectomy,,,4432.71,22111.0,4
HCPCS,58552,Laparo-vag hyst incl t/o,,,4954.82,22111.0,4
HCPCS,58553,Laparo-vag hyst complex,,,5577.85,22111.0,4
HCPCS,58554,Laparo-vag hyst w/t/o compl,,,6577.45,22111.0,4
HCPCS,58555,Hysteroscopy dx sep proc,,,759.22,10940.0,4
HCPCS,58558,Hysteroscopy biopsy,,,1157.77,10940.0,4
HCPCS,58559,Hysteroscopy lysis,,,1413.32,10940.0,4
HCPCS,58560,Hysteroscopy resect septum,,,1561.12,12821.0,4
HCPCS,58561,Hysteroscopy remove myoma,,,1784.08,12821.0,4
HCPCS,58562,Hysteroscopy remove fb,,,1104.18,10940.0,4
HCPCS,58563,Hysteroscopy ablation,,,1231.42,12821.0,4
HCPCS,58565,Hysteroscopy sterilization,,,2260.17,14456.0,4
HCPCS,58570,Tlh uterus 250 g or less,,,4098.8,22111.0,4
HCPCS,58571,Tlh w/t/o 250 g or less,,,4683.62,22111.0,4
HCPCS,58572,Tlh uterus over 250 g,,,5356.88,22111.0,4
HCPCS,58573,Tlh w/t/o uterus over 250 g,,,6267.13,22111.0,4
HCPCS,58575,Laps tot hyst resj mal,,,6979.0,12821.0,4
HCPCS,58578,Laparo proc uterus,,,5248.0,14456.0,3
HCPCS,58579,Hysteroscope procedure,,,2505.0,5248.0,3
HCPCS,58580,Transcrv abltj utrn fibrd rf,,,2038.82,14456.0,4
HCPCS,58600,Division of fallopian tube,,,1860.65,10940.0,4
HCPCS,58605,Division of fallopian tube,,,1689.87,5664.0,4
HCPCS,58611,Ligate oviduct(s) add-on,,,370.81,5664.0,4
HCPCS,58615,Occlude fallopian tube(s),,,1261.26,10940.0,4
HCPCS,58660,Laparoscopy lysis,,,3560.82,22111.0,4
HCPCS,58661,Laparoscopy remove adnexa,,,3321.67,22111.0,4
HCPCS,58662,Laparoscopy excise lesions,,,3656.49,22111.0,4
HCPCS,58670,Laparoscopy tubal cautery,,,1864.1,22111.0,4
HCPCS,58671,Laparoscopy tubal block,,,1864.1,22111.0,4
HCPCS,58672,Laparoscopy fimbrioplasty,,,3642.14,22111.0,4
HCPCS,58673,Laparoscopy salpingostomy,,,3954.89,22111.0,4
HCPCS,58674,Laps abltj uterine fibroids,,,4063.03,22111.0,4
HCPCS,58679,Laparo proc oviduct-ovary,,,5248.0,14456.0,3
HCPCS,58700,Removal of fallopian tube,,,4113.86,12821.0,4
HCPCS,58720,Removal of ovary/tube(s),,,3936.44,14456.0,4
HCPCS,58740,Adhesiolysis tube ovary,,,4658.96,10940.0,4
HCPCS,58750,Repair oviduct,,,4521.09,12821.0,4
HCPCS,58752,Revise ovarian tube(s),,,4507.33,12821.0,4
HCPCS,58760,Fimbrioplasty,,,4079.54,12821.0,4
HCPCS,58770,Create new tubal opening,,,4285.18,10940.0,4
HCPCS,58800,Drainage of ovarian cyst(s),,,1566.08,10940.0,4
HCPCS,58805,Drainage of ovarian cyst(s),,,2124.03,10940.0,4
HCPCS,58820,Drain ovary abscess open,,,1682.42,10940.0,4
HCPCS,58822,Drain ovary abscess percut,,,3553.81,12821.0,4
HCPCS,58825,Transposition ovary(s),,,3526.83,12821.0,4
HCPCS,58900,Biopsy of ovary(s),,,2169.68,10940.0,4
HCPCS,58920,Partial removal of ovary(s),,,3551.0,12821.0,4
HCPCS,58925,Removal of ovarian cyst(s),,,3934.82,12821.0,4
HCPCS,58940,Removal of ovary(s),,,2886.75,12821.0,4
HCPCS,58943,Removal of ovary(s),,,6411.9,12821.0,4
HCPCS,58950,Resect ovarian malignancy,,,6039.42,12821.0,4
HCPCS,58951,Resect ovarian malignancy,,,5097.0,7556.77,4
HCPCS,58952,Resect ovarian malignancy,,,5097.0,8624.48,4
HCPCS,58953,Tah rad dissect for debulk,,,5097.0,10497.32,4
HCPCS,58954,Tah rad debulk/lymph remove,,,5097.0,11349.78,4
HCPCS,58956,Bso omentectomy w/tah,,,5097.0,7148.19,4
HCPCS,58957,Resect Recurrent Gyn Mal,,,6979.0,6979.0,1
HCPCS,58958,Resect Recur Gyn Mal w/Lym,,,5097.0,8214.71,4
HCPCS,58960,Exploration of abdomen,,,5341.61,22111.0,4
HCPCS,58970,Retrieval of oocyte,,,976.14,4497.0,4
HCPCS,58974,Transfer of embryo,,,3195.0,4497.0,3
HCPCS,58976,Transfer of embryo,,,1055.03,3195.0,4
HCPCS,58999,Genital surgery procedure,,,2505.0,3195.0,3
HCPCS,59000,Amniocentesis diagnostic,,,426.12,4497.0,4
HCPCS,59001,Amniocentesis therapeutic,,,938.53,3195.0,4
HCPCS,59012,Fetal cord puncture prenatal,,,1060.04,6979.0,4
HCPCS,59015,Chorion biopsy,,,690.58,6979.0,4
HCPCS,59020,Fetal contract stress test,,,187.08,6979.0,4
HCPCS,59025,Fetal non-stress test,,,109.54,6979.0,4
HCPCS,59030,Fetal scalp blood sample,,,585.52,6979.0,4
HCPCS,59050,Fetal monitor w/report,,,262.68,6979.0,4
HCPCS,59051,Fetal monitor/interpret only,,,215.19,6979.0,4
HCPCS,59070,Transabdom amnioinfus w/us,,,1622.69,3195.0,4
HCPCS,59072,Umbilical cord occlud w/us,,,2505.0,3195.0,4
HCPCS,59074,Fetal fluid drainage w/us,,,1622.69,3195.0,4
HCPCS,59076,Fetal shunt placement w/us,,,2505.0,3195.0,4
HCPCS,59100,Remove uterus lesion,,,4490.5,10940.0,4
HCPCS,59120,Treat ectopic pregnancy,,,4278.0,12821.0,4
HCPCS,59121,Treat ectopic pregnancy,,,4283.24,12821.0,4
HCPCS,59130,Treat ectopic pregnancy,,,4979.05,6979.0,4
HCPCS,59136,Treat ectopic pregnancy,,,4717.83,6979.0,4
HCPCS,59140,Treat ectopic pregnancy,,,2189.1,6979.0,4
HCPCS,59150,Treat ectopic pregnancy,,,4152.22,22111.0,4
HCPCS,59151,Treat ectopic pregnancy,,,4048.46,22111.0,4
HCPCS,59160,D & c after delivery,,,972.04,10940.0,4
HCPCS,59200,Insert cervical dilator,,,353.17,3195.0,4
HCPCS,59300,Episiotomy or vaginal repair,,,782.74,10940.0,4
HCPCS,59320,Revision of cervix,,,805.25,10940.0,4
HCPCS,59325,Revision of cervix,,,1267.95,5664.0,4
HCPCS,59350,Repair of uterus,,,1458.92,6979.0,2
HCPCS,59400,Obstetrical care,,,6979.0,12756.09,2
HCPCS,59409,Obstetrical care,,,3195.0,10940.0,4
HCPCS,59410,Obstetrical care,,,3195.0,5711.56,2
HCPCS,59412,Antepartum manipulation,,,552.71,10940.0,4
HCPCS,59414,Deliver placenta,,,485.91,10940.0,4
HCPCS,59425,Antepartum care only,,,2302.8,6979.0,2
HCPCS,59426,Antepartum care only,,,4223.83,6979.0,2
HCPCS,59430,Care after delivery,,,950.18,3195.0,2
HCPCS,59510,Cesarean delivery,,,6979.0,14366.04,2
HCPCS,59514,Cesarean delivery only,,,4870.75,6979.0,2
HCPCS,59515,Cesarean delivery,,,6044.0,7214.72,2
HCPCS,59525,Remove uterus after cesarean,,,2527.76,6979.0,2
HCPCS,59610,Vbac delivery,,,6979.0,13556.59,2
HCPCS,59612,Vbac delivery only,,,4882.52,10940.0,4
HCPCS,59614,Vbac care after delivery,,,6311.7,6979.0,2
HCPCS,59618,Attempted vbac delivery,,,6979.0,14545.24,2
HCPCS,59620,Attempted vbac delivery only,,,5054.7,6979.0,2
HCPCS,59622,Attempted vbac after care,,,6979.0,7437.79,2
HCPCS,59812,Treatment of miscarriage,,,1611.57,10940.0,4
HCPCS,59820,Care of miscarriage,,,1997.92,10940.0,4
HCPCS,59821,Treatment of miscarriage,,,1970.78,10940.0,4
HCPCS,59830,Treat uterus infection,,,2416.44,5664.0,4
HCPCS,59840,Abortion,,,1153.88,10940.0,4
HCPCS,59841,Abortion,,,1952.27,10940.0,4
HCPCS,59850,Abortion,,,2056.85,5664.0,4
HCPCS,59851,Abortion,,,2223.37,5664.0,4
HCPCS,59852,Abortion,,,3049.66,5664.0,4
HCPCS,59855,Abortion,,,2237.94,6979.0,4
HCPCS,59856,Abortion,,,2615.55,5664.0,4
HCPCS,59857,Abortion,,,3053.11,5664.0,4
HCPCS,59866,Abortion (mpr),,,1255.11,6979.0,4
HCPCS,59870,Evacuate mole of uterus,,,2742.68,10940.0,4
HCPCS,59871,Remove cerclage suture,,,703.58,12821.0,4
HCPCS,59897,Fetal invas px w/us,,,2505.0,3195.0,3
HCPCS,59898,Laparo proc ob care/deliver,,,5248.0,14456.0,3
HCPCS,59899,Maternity care procedure,,,2505.0,4108.0,3
HCPCS,60000,Drain thyroid/tongue cyst,,,789.81,5664.0,4
HCPCS,60100,Biopsy of thyroid,,,366.55,4497.0,4
HCPCS,60100,HC 12 LEAD EKG; TRACING ONLY,1665.0,1665.0,,,0
HCPCS,60200,Remove thyroid lesion,,,3485.11,22111.0,4
HCPCS,60210,Partial thyroid excision,,,3650.83,22111.0,4
HCPCS,60212,Partial thyroid excision,,,5363.0,22111.0,4
HCPCS,60220,Partial removal of thyroid,,,3599.51,22111.0,4
HCPCS,60225,Partial removal of thyroid,,,4781.88,22111.0,4
HCPCS,60240,Removal of thyroid,,,4694.95,22111.0,4
HCPCS,60252,Removal of thyroid,,,6671.67,14456.0,4
HCPCS,60254,Extensive thyroid surgery,,,8406.0,10940.0,4
HCPCS,60260,Repeat thyroid surgery,,,5486.87,14456.0,4
HCPCS,60270,Removal of thyroid,,,5097.0,6980.7,4
HCPCS,60271,Removal of thyroid,,,5361.36,14456.0,4
HCPCS,60280,Remove thyroid duct lesion,,,2253.48,22111.0,4
HCPCS,60281,Remove thyroid duct lesion,,,2902.72,22111.0,4
HCPCS,60300,Aspir/inj thyroid cyst,,,233.75,4497.0,4
HCPCS,60500,Explore parathyroid glands,,,5053.52,14456.0,4
HCPCS,60502,Re-explore parathyroids,,,6848.17,14456.0,4
HCPCS,60505,Explore parathyroid glands,,,5097.0,6979.0,4
HCPCS,60512,Autotransplant parathyroid,,,1213.02,5248.0,4
HCPCS,60520,Removal of thymus gland,,,5363.0,14456.0,4
HCPCS,60521,Removal of thymus gland,,,5097.0,6979.0,4
HCPCS,60522,Removal of thymus gland,,,5097.0,7447.18,4
HCPCS,60540,Explore adrenal gland,,,5097.0,8406.0,4
HCPCS,60545,Explore adrenal gland,,,5097.0,6979.0,4
HCPCS,60600,Remove carotid body lesion,,,5097.0,7060.88,4
HCPCS,60605,Remove carotid body lesion,,,5097.0,8770.87,4
HCPCS,60650,Laparoscopy adrenalectomy,,,5363.0,14456.0,4
HCPCS,60659,Laparo proc endocrine,,,5248.0,14456.0,3
HCPCS,60660,Abltj 1/+thyr ndul 1lobe prq,,,1575.15,5664.0,4
HCPCS,60661,Abltj 1/+thyr ndul addl prq,,,1082.98,3195.0,4
HCPCS,60699,Endocrine surgery procedure,,,3195.0,22111.0,3
HCPCS,61000,Remove cranial cavity fluid,,,649.08,4497.0,4
HCPCS,61001,Remove cranial cavity fluid,,,616.87,4497.0,4
HCPCS,61020,Remove brain cavity fluid,,,570.25,4497.0,4
HCPCS,61026,Injection into brain canal,,,601.44,4497.0,4
HCPCS,61050,Remove brain canal fluid,,,382.14,3195.0,4
HCPCS,61055,Injection into brain canal,,,550.18,3195.0,4
HCPCS,61070,Brain canal shunt procedure,,,287.01,4497.0,4
HCPCS,61105,Twist drill hole,,,2832.68,6979.0,4
HCPCS,61106,Description Not Available,,,6979.0,6979.0,1
HCPCS,61107,Drill skull for implantation,,,1723.27,6979.0,4
HCPCS,61108,Drill skull for drainage,,,5097.0,6979.0,4
HCPCS,61120,Burr hole for puncture,,,4452.19,6979.0,4
HCPCS,61130,Description Not Available,,,6979.0,6979.0,1
HCPCS,61140,Pierce skull for biopsy,,,5097.0,7365.86,4
HCPCS,61150,Pierce skull for drainage,,,5097.0,7804.94,4
HCPCS,61151,Pierce skull for drainage,,,5097.0,6979.0,4
HCPCS,61154,Pierce skull & remove clot,,,5097.0,7458.14,4
HCPCS,61156,Pierce skull for drainage,,,5097.0,7151.64,4
HCPCS,61210,Pierce skull implant device,,,2011.31,6979.0,4
HCPCS,61215,Insert brain-fluid device,,,3157.52,14456.0,4
HCPCS,61250,Pierce skull & explore,,,5097.0,6979.0,4
HCPCS,61253,Pierce skull & explore,,,5097.0,6979.0,4
HCPCS,61304,Open skull for exploration,,,5097.0,9420.23,4
HCPCS,61305,Open skull for exploration,,,5097.0,11496.34,4
HCPCS,61312,Open skull for drainage,,,5097.0,11795.06,4
HCPCS,61313,Open skull for drainage,,,5097.0,11397.81,4
HCPCS,61314,Open skull for drainage,,,5097.0,10475.69,4
HCPCS,61315,Open skull for drainage,,,5097.0,11839.26,4
HCPCS,61316,Implt cran bone flap to abdo,,,477.82,5664.0,4
HCPCS,61320,Open skull for drainage,,,5097.0,10789.52,4
HCPCS,61321,Open skull for drainage,,,5097.0,12150.34,4
HCPCS,61322,Decompressive craniotomy,,,5097.0,13532.63,4
HCPCS,61323,Decompressive lobectomy,,,5097.0,13550.44,4
HCPCS,61330,Decompress eye socket,,,6979.0,14456.0,4
HCPCS,61333,Explore orbit/remove lesion,,,5097.0,11512.15,4
HCPCS,61340,Subtemporal decompression,,,5097.0,8337.68,4
HCPCS,61343,Incise skull (press relief),,,5097.0,12399.63,4
HCPCS,61345,Relieve cranial pressure,,,5097.0,11676.94,4
HCPCS,61450,Incise skull for surgery,,,5097.0,10963.7,4
HCPCS,61458,Incise skull for brain wound,,,5097.0,11518.84,4
HCPCS,61460,Incise skull for surgery,,,5097.0,12027.68,4
HCPCS,61500,Removal of skull lesion,,,6881.3,22111.0,4
HCPCS,61501,Remove infected skull bone,,,5097.0,6979.0,4
HCPCS,61510,Removal of brain lesion,,,5097.0,12634.14,4
HCPCS,61512,Remove brain lining lesion,,,5097.0,14495.6,4
HCPCS,61514,Removal of brain abscess,,,5097.0,10881.57,4
HCPCS,61516,Removal of brain lesion,,,5097.0,10671.29,4
HCPCS,61517,Implt brain chemotx add-on,,,475.98,6979.0,4
HCPCS,61518,Removal of brain lesion,,,5097.0,15774.56,4
HCPCS,61519,Remove brain lining lesion,,,5097.0,16643.15,4
HCPCS,61520,Removal of brain lesion,,,5097.0,20578.73,4
HCPCS,61521,Removal of brain lesion,,,5097.0,17750.95,4
HCPCS,61522,Removal of brain abscess,,,5097.0,12473.23,4
HCPCS,61524,Removal of brain lesion,,,5097.0,11907.78,4
HCPCS,61526,Removal of brain lesion,,,5097.0,17573.48,4
HCPCS,61530,Removal of brain lesion,,,5097.0,17331.52,4
HCPCS,61531,Implant brain electrodes,,,5097.0,7171.66,4
HCPCS,61533,Implant brain electrodes,,,5097.0,8800.28,4
HCPCS,61534,Removal of brain lesion,,,5097.0,9519.79,4
HCPCS,61535,Remove brain electrodes,,,5097.0,6979.0,4
HCPCS,61536,Removal of brain lesion,,,5097.0,14616.09,4
HCPCS,61537,Removal of brain tissue,,,5097.0,13910.56,4
HCPCS,61538,Removal of brain tissue,,,5097.0,15030.23,4
HCPCS,61539,Removal of brain tissue,,,5097.0,13425.25,4
HCPCS,61540,Removal of brain tissue,,,5097.0,12424.61,4
HCPCS,61541,Incision of brain tissue,,,5097.0,12269.21,4
HCPCS,61543,Removal of brain tissue,,,5097.0,12397.15,4
HCPCS,61544,Remove & treat brain lesion,,,5097.0,10850.17,4
HCPCS,61545,Excision of brain tumor,,,5097.0,18071.31,4
HCPCS,61546,Removal of pituitary gland,,,5097.0,13132.68,4
HCPCS,61548,Removal of pituitary gland,,,5097.0,8651.08,4
HCPCS,61550,Release of skull seams,,,5097.0,7038.0,4
HCPCS,61552,Release of skull seams,,,5097.0,8613.37,4
HCPCS,61556,Incise skull/sutures,,,5097.0,9818.94,4
HCPCS,61557,Incise skull/sutures,,,5097.0,9757.26,4
HCPCS,61558,Excision of skull/sutures,,,5097.0,10821.79,4
HCPCS,61559,Excision of skull/sutures,,,5097.0,13733.63,4
HCPCS,61563,Excision of skull tumor,,,5097.0,11327.45,4
HCPCS,61564,Excision of skull tumor,,,5097.0,13713.61,4
HCPCS,61566,Removal of brain tissue,,,5097.0,12777.19,4
HCPCS,61567,Incision of brain tissue,,,5097.0,14548.21,4
HCPCS,61570,Remove foreign body brain,,,5097.0,10738.42,4
HCPCS,61571,Incise skull for brain wound,,,5097.0,11401.37,4
HCPCS,61575,Skull base/brainstem surgery,,,5097.0,14213.44,4
HCPCS,61576,Skull base/brainstem surgery,,,5097.0,24308.06,4
HCPCS,61580,Craniofacial approach skull,,,5097.0,12403.19,4
HCPCS,61581,Craniofacial approach skull,,,5097.0,13024.76,4
HCPCS,61582,Craniofacial approach skull,,,5097.0,17481.37,4
HCPCS,61583,Craniofacial approach skull,,,5097.0,16894.5,4
HCPCS,61584,Orbitocranial approach/skull,,,5097.0,16311.19,4
HCPCS,61585,Orbitocranial approach/skull,,,5097.0,18848.88,4
HCPCS,61586,Resect nasopharynx skull,,,5097.0,14943.68,4
HCPCS,61590,Infratemporal approach/skull,,,5097.0,15019.06,4
HCPCS,61591,Infratemporal approach/skull,,,5097.0,15809.79,4
HCPCS,61592,Orbitocranial approach/skull,,,5097.0,17570.67,4
HCPCS,61595,Transtemporal approach/skull,,,5097.0,12375.02,4
HCPCS,61596,Transcochlear approach/skull,,,5097.0,11636.1,4
HCPCS,61597,Transcondylar approach/skull,,,5097.0,17271.46,4
HCPCS,61598,Transpetrosal approach/skull,,,5097.0,16455.59,4
HCPCS,61600,Resect/excise cranial lesion,,,5097.0,10749.91,4
HCPCS,61601,Resect/excise cranial lesion,,,5097.0,13802.16,4
HCPCS,61605,Resect/excise cranial lesion,,,5097.0,10666.97,4
HCPCS,61606,Resect/excise cranial lesion,,,5097.0,15785.78,4
HCPCS,61607,Resect/excise cranial lesion,,,5097.0,14287.15,4
HCPCS,61608,Resect/excise cranial lesion,,,5097.0,18443.85,4
HCPCS,61611,Transect artery sinus,,,2560.67,6979.0,4
HCPCS,61613,Remove aneurysm sinus,,,5097.0,18728.87,4
HCPCS,61615,Resect/excise lesion skull,,,5097.0,16268.51,4
HCPCS,61616,Resect/excise lesion skull,,,5097.0,18286.02,4
HCPCS,61618,Repair dura,,,5097.0,7029.42,4
HCPCS,61619,Repair dura,,,5097.0,9144.76,4
HCPCS,61623,Endovasc tempory vessel occl,,,3041.89,25393.0,4
HCPCS,61624,Transcath occlusion cns,,,6172.21,25393.0,4
HCPCS,61626,Transcath occlusion non-cns,,,4408.21,25393.0,4
HCPCS,61630,Intracranial angioplasty,,,5097.0,7314.66,4
HCPCS,61635,Intracran angioplsty w/stent,,,5097.0,7902.55,4
HCPCS,61640,Dilate ic vasospasm init,,,5097.0,6979.0,3
HCPCS,61641,Dilate ic vasospasm add-on,,,5097.0,6979.0,3
HCPCS,61642,Dilate ic vasospasm add-on,,,5097.0,6979.0,3
HCPCS,61645,Perq art m-thrombect &/nfs,,,4440.1,6979.0,4
HCPCS,61650,Evasc prlng admn rx agnt 1st,,,3091.75,6979.0,4
HCPCS,61650,HC HGB FRACTIONATION & QUANTITATION; ELECTROPHORESIS,9334.0,9334.0,,,0
HCPCS,61651,Evasc prlng admn rx agnt add,,,1322.29,6979.0,4
HCPCS,61651,"HC UGT1A1, GENE ANALYSIS, COMMON VARIANTS(85)",4668.0,4668.0,,,0
HCPCS,61680,Intracranial vessel surgery,,,5097.0,12962.11,4
HCPCS,61682,Intracranial vessel surgery,,,5097.0,23038.17,4
HCPCS,61684,Intracranial vessel surgery,,,5097.0,16099.83,4
HCPCS,61686,Intracranial vessel surgery,,,5097.0,25177.3,4
HCPCS,61690,Intracranial vessel surgery,,,5097.0,12469.02,4
HCPCS,61692,Intracranial vessel surgery,,,5097.0,20520.5,4
HCPCS,61697,Brain aneurysm repr complx,,,5097.0,23712.61,4
HCPCS,61698,Brain aneurysm repr complx,,,5097.0,25916.34,4
HCPCS,61700,Brain aneurysm repr simple,,,5097.0,18932.3,4
HCPCS,61702,Inner skull vessel surgery,,,5097.0,22598.77,4
HCPCS,61703,Clamp neck artery,,,5097.0,7876.0,4
HCPCS,61705,Revise circulation to head,,,5097.0,14743.06,4
HCPCS,61708,Revise circulation to head,,,5097.0,14437.97,4
HCPCS,61710,Revise circulation to head,,,5097.0,12206.45,4
HCPCS,61711,Fusion of skull arteries,,,5097.0,14690.83,4
HCPCS,61712,Description Not Available,,,6979.0,6979.0,1
HCPCS,61715,Mrgfus strtctc ablt trgt icr,,,5248.0,25393.0,3
HCPCS,61720,Incise skull/brain surgery,,,6979.0,14456.0,4
HCPCS,61735,Incise skull/brain surgery,,,5097.0,9183.83,4
HCPCS,61736,Litt icr 1 traj 1 smpl les,,,5097.0,6979.0,4
HCPCS,61737,Litt icr mlt trj mlt/cplx ls,,,5097.0,8059.47,4
HCPCS,61750,Incise skull/brain biopsy,,,5097.0,8100.85,4
HCPCS,61751,Brain biopsy w/ct/mr guide,,,5097.0,8056.61,4
HCPCS,61760,Implant brain electrodes,,,5097.0,9098.25,4
HCPCS,61770,Incise skull for treatment,,,6979.0,14456.0,4
HCPCS,61781,Scan proc cranial intra,,,1287.49,3195.0,4
HCPCS,61782,Scan proc cranial extra,,,814.26,3195.0,4
HCPCS,61783,Scan proc spinal,,,1228.18,3195.0,4
HCPCS,61790,Treat trigeminal nerve,,,5182.53,10940.0,4
HCPCS,61791,Treat trigeminal tract,,,5248.0,10940.0,4
HCPCS,61796,Srs cranial lesion simple,,,5891.84,22111.0,4
HCPCS,61797,Srs cran les simple addl,,,1198.94,6979.0,4
HCPCS,61798,Srs cranial lesion complex,,,6979.0,22111.0,4
HCPCS,61799,Srs cran les complex addl,,,1648.96,6979.0,4
HCPCS,61800,Apply srs headframe add-on,,,859.31,3195.0,4
HCPCS,61850,Implant neuroelectrodes,,,5097.0,6979.0,4
HCPCS,61855,Description Not Available,,,6979.0,6979.0,1
HCPCS,61860,Implant neuroelectrodes,,,5097.0,8974.41,4
HCPCS,61863,Implant neuroelectrode,,,5097.0,8718.43,4
HCPCS,61864,Implant neuroelectrde addl,,,1553.18,6979.0,4
HCPCS,61865,Description Not Available,,,6979.0,6979.0,1
HCPCS,61867,Implant neuroelectrode,,,5097.0,12978.35,4
HCPCS,61868,Implant neuroelectrde addl,,,2732.48,6979.0,4
HCPCS,61880,Revise/remove neuroelectrode,,,3529.96,12821.0,4
HCPCS,61885,Insrt/redo neurostim 1 array,,,3156.12,39251.0,4
HCPCS,61886,Implant neurostim arrays,,,5248.0,46177.0,4
HCPCS,61888,Revise/remove neuroreceiver,,,2321.25,12821.0,4
HCPCS,61889,Ins sk-mnt crnl nstm pg/rcvr,,,5097.0,10273.71,4
HCPCS,61891,Rev/rplcmt sk-mnt crnl nstm,,,4826.56,25393.0,4
HCPCS,61892,Rmv sk-mnt crnl nstm pg/rcvr,,,4108.0,12821.0,4
HCPCS,62000,Treat skull fracture,,,6040.5,14456.0,4
HCPCS,62005,Treat skull fracture,,,5097.0,7370.23,4
HCPCS,62010,Treatment of head injury,,,5097.0,8863.58,4
HCPCS,62100,Repair brain fluid leakage,,,5097.0,8426.72,4
HCPCS,62115,Reduction of skull defect,,,5097.0,9777.77,4
HCPCS,62117,Reduction of skull defect,,,5097.0,11205.87,4
HCPCS,62120,Repair skull cavity lesion,,,5097.0,12252.32,4
HCPCS,62121,Incise skull repair,,,5097.0,8157.08,4
HCPCS,62140,Repair of skull defect,,,5097.0,6979.0,4
HCPCS,62141,Repair of skull defect,,,5097.0,6979.0,4
HCPCS,62142,Remove skull plate/flap,,,5097.0,6979.0,4
HCPCS,62143,Replace skull plate/flap,,,5097.0,6979.0,4
HCPCS,62145,Repair of skull & brain,,,5097.0,7965.52,4
HCPCS,62146,Repair of skull with graft,,,5097.0,7246.61,4
HCPCS,62147,Repair of skull with graft,,,5097.0,7961.85,4
HCPCS,62148,Retr bone flap to fix skull,,,690.74,5664.0,3
HCPCS,62160,Neuroendoscopy add-on,,,1031.61,3195.0,4
HCPCS,62161,Dissect brain w/scope,,,5097.0,8767.74,4
HCPCS,62162,Remove colloid cyst w/scope,,,5097.0,10857.56,4
HCPCS,62164,Remove brain tumor w/scope,,,5097.0,12049.16,4
HCPCS,62165,Remove pituit tumor w/scope,,,5097.0,8056.82,4
HCPCS,62180,Establish brain cavity shunt,,,5097.0,9203.15,4
HCPCS,62190,Establish brain cavity shunt,,,5097.0,6979.0,4
HCPCS,62192,Establish brain cavity shunt,,,5097.0,6979.0,4
HCPCS,62194,Replace/irrigate catheter,,,2993.59,10940.0,4
HCPCS,62200,Establish brain cavity shunt,,,5097.0,7943.61,4
HCPCS,62201,Brain cavity shunt w/scope,,,5097.0,7096.66,4
HCPCS,62220,Establish brain cavity shunt,,,5097.0,6979.0,4
HCPCS,62223,Establish brain cavity shunt,,,5097.0,6979.0,4
HCPCS,62225,Replace/irrigate catheter,,,3195.0,5664.0,4
HCPCS,62230,Replace/revise brain shunt,,,4108.0,14456.0,4
HCPCS,62252,Csf Shunt Reprogram,,,281.83,6979.0,4
HCPCS,62252,HC CHEMODENERV 1 EXTREM 1-4 EA,727.0,727.0,,,0
HCPCS,62256,Remove brain cavity shunt,,,3652.17,5664.0,4
HCPCS,62258,Replace brain cavity shunt,,,5097.0,6979.0,4
HCPCS,62263,Epidural lysis mult sessions,,,1622.69,4497.0,4
HCPCS,62264,Epidural lysis on single day,,,1180.05,4497.0,4
HCPCS,62267,Interdiscal perq aspir dx,,,751.88,4497.0,4
HCPCS,62268,Drain spinal cord cyst,,,1869.82,4497.0,4
HCPCS,62269,Needle biopsy spinal cord,,,1229.86,5664.0,4
HCPCS,62270,HC HPA-3  GENOTYPING (35),4757.0,4757.0,,,0
HCPCS,62270,Spinal fluid tap diagnostic,,,341.3,4497.0,4
HCPCS,62272,Drain cerebro spinal fluid,,,496.22,4497.0,4
HCPCS,62272,HC 12 CVSLR STRESS TEST; TRACING,2759.0,2759.0,,,0
HCPCS,62273,HC TILT TABLE EVALUATION - STANDARD,1640.0,1640.0,,,0
HCPCS,62273,Inject epidural patch,,,564.58,4497.0,4
HCPCS,62274,Description Not Available,,,6979.0,6979.0,1
HCPCS,62275,Description Not Available,,,6979.0,6979.0,1
HCPCS,62276,Description Not Available,,,6979.0,6979.0,1
HCPCS,62277,Description Not Available,,,6979.0,6979.0,1
HCPCS,62278,Description Not Available,,,6979.0,6979.0,1
HCPCS,62279,Description Not Available,,,6979.0,6979.0,1
HCPCS,62280,Treat spinal cord lesion,,,748.91,4497.0,4
HCPCS,62281,Treat spinal cord lesion,,,743.25,4497.0,4
HCPCS,62282,Treat spinal canal lesion,,,707.25,4497.0,4
HCPCS,62284,"HC INJ PARAVERTEBRAL FACET, LUMBAR/SACRAL, 2 LEVEL",4388.0,4388.0,,,0
HCPCS,62284,Injection for myelogram,,,398.12,3195.0,4
HCPCS,62287,Percutaneous diskectomy,,,2916.65,12821.0,4
HCPCS,62288,Description Not Available,,,6979.0,6979.0,1
HCPCS,62289,Description Not Available,,,6979.0,6979.0,1
HCPCS,62290,"HC NERVE BLOCK INJ, CELIAC PLEXUS",6399.0,6399.0,,,0
HCPCS,62290,Inject for spine disk x-ray,,,784.58,3195.0,4
HCPCS,62291,Inject for spine disk x-ray,,,735.37,3195.0,4
HCPCS,62292,Injection into disk lesion,,,2798.96,10940.0,4
HCPCS,62294,Injection into spinal artery,,,4047.0,5548.87,4
HCPCS,62298,Description Not Available,,,6979.0,6979.0,1
HCPCS,62302,Myelography lumbar injection,,,566.63,4497.0,4
HCPCS,62303,Myelography lumbar injection,,,563.88,4497.0,4
HCPCS,62304,Myelography lumbar injection,,,559.4,4497.0,4
HCPCS,62305,Myelography lumbar injection,,,580.88,4497.0,4
HCPCS,62320,Njx interlaminar crv/thrc,,,487.8,4497.0,4
HCPCS,62321,HC CHIMERISM ANAL WI/CELL SELECT (245),3432.0,3432.0,,,0
HCPCS,62321,Njx interlaminar crv/thrc,,,525.57,4497.0,4
HCPCS,62322,Njx interlaminar lmbr/sac,,,409.29,4497.0,4
HCPCS,62323,HC TRG GENE REARRANGEMENT ANAL (230),3432.0,3432.0,,,0
HCPCS,62323,Njx interlaminar lmbr/sac,,,490.77,4497.0,4
HCPCS,62324,Njx interlaminar crv/thrc,,,474.9,4497.0,4
HCPCS,62325,Njx interlaminar crv/thrc,,,556.11,4497.0,4
HCPCS,62326,Njx interlaminar lmbr/sac,,,452.45,4497.0,4
HCPCS,62327,Njx interlaminar lmbr/sac,,,514.13,4497.0,4
HCPCS,62328,Dx lmbr spi pnxr w/fluor/ct,,,410.2,4497.0,4
HCPCS,62329,Ther spi pnxr csf fluor/ct,,,529.19,4497.0,4
HCPCS,62330,Dcmprn prq rmv lig flv 1lmbr,,,2605.94,6979.0,2
HCPCS,62331,Dcmprn prq rmv lig flv addl,,,1046.39,1046.39,1
HCPCS,62350,Implant spinal canal cath,,,2110.86,14456.0,4
HCPCS,62351,Implant spinal canal cath,,,4108.0,22111.0,4
HCPCS,62355,Remove spinal canal catheter,,,1561.28,10940.0,4
HCPCS,62360,Insert spine infusion device,,,1733.47,14456.0,4
HCPCS,62361,Implant spine infusion pump,,,2639.24,39251.0,4
HCPCS,62362,Implant spine infusion pump,,,2085.23,39251.0,4
HCPCS,62365,Remove spine infusion device,,,1653.55,22111.0,4
HCPCS,62367,Analyze spine infus pump,,,118.93,4108.0,4
HCPCS,62368,Analyze sp inf pump w/reprog,,,163.66,4108.0,4
HCPCS,62369,Anal sp inf pmp w/reprg&fill,,,165.39,6979.0,4
HCPCS,62370,Anl sp inf pmp w/mdreprg&fil,,,218.16,4108.0,4
HCPCS,62380,Ndsc dcmprn 1 ntrspc lumbar,,,6044.0,22111.0,3
HCPCS,63001,Remove spine lamina 1/2 crvl,,,6930.08,22111.0,4
HCPCS,63003,Remove spine lamina 1/2 thrc,,,6954.53,22111.0,4
HCPCS,63005,Remove spine lamina 1/2 lmbr,,,6044.0,22111.0,4
HCPCS,63011,Remove spine lamina 1/2 scrl,,,5734.11,22111.0,4
HCPCS,63012,Remove lamina/facets lumbar,,,6044.0,22111.0,4
HCPCS,63015,Remove spine lamina >2 crvcl,,,6979.0,22111.0,4
HCPCS,63016,Remove spine lamina >2 thrc,,,6979.0,22111.0,4
HCPCS,63017,Remove spine lamina >2 lmbr,,,5363.0,22111.0,4
HCPCS,63020,Neck spine disk surgery,,,5248.0,22111.0,4
HCPCS,63030,Low back disk surgery,,,5104.51,22111.0,4
HCPCS,63032,Lamot rpr anulr dfct 1 lmbr,,,800.71,6979.0,2
HCPCS,63035,Spinal disk surgery add-on,,,1210.0,6044.0,4
HCPCS,63040,Laminotomy single cervical,,,6044.0,22111.0,4
HCPCS,63042,Laminotomy single lumbar,,,6044.0,22111.0,4
HCPCS,63043,Laminotomy addl cervical,,,3195.0,12821.0,3
HCPCS,63044,Laminotomy addl lumbar,,,3195.0,12821.0,3
HCPCS,63045,Remove spine lamina 1 crvl,,,6044.0,22111.0,4
HCPCS,63046,Remove spine lamina 1 thrc,,,6044.0,22111.0,4
HCPCS,63047,Remove spine lamina 1 lmbr,,,6044.0,22111.0,4
HCPCS,63048,Remove spinal lamina add-on,,,1101.86,6044.0,4
HCPCS,63050,Cervical laminoplsty 2/> seg,,,5097.0,8073.55,4
HCPCS,63051,C-laminoplasty w/graft/plate,,,5097.0,9065.55,4
HCPCS,63052,Lam facetc/frmt arthrd lum 1,,,1351.37,3195.0,4
HCPCS,63053,Lam factc/frmt arthrd lum ea,,,1204.76,3195.0,4
HCPCS,63055,Decompress spinal cord thrc,,,6044.0,22111.0,4
HCPCS,63056,Decompress spinal cord lmbr,,,6979.0,22111.0,4
HCPCS,63057,Decompress spine cord add-on,,,1697.64,3195.0,4
HCPCS,63064,Decompress spinal cord thrc,,,6979.0,22111.0,4
HCPCS,63066,Decompress spine cord add-on,,,1124.69,2782.0,3
HCPCS,63075,Neck spine disk surgery,,,6044.0,22111.0,4
HCPCS,63076,Neck spine disk surgery,,,1275.4,5363.0,4
HCPCS,63077,Spine disk surgery thorax,,,5097.0,7411.46,4
HCPCS,63078,Spine disk surgery thorax,,,1129.98,6979.0,4
HCPCS,63081,Remove vert body dcmprn crvl,,,6979.0,22111.0,4
HCPCS,63082,Remove vertebral body add-on,,,1399.72,6979.0,4
HCPCS,63085,Remove vert body dcmprn thrc,,,5097.0,10565.91,4
HCPCS,63086,Remove vertebral body add-on,,,1008.4,6979.0,4
HCPCS,63087,Remov vertbr dcmprn thrclmbr,,,5097.0,13167.32,4
HCPCS,63088,Remove vertebral body add-on,,,1384.88,6979.0,4
HCPCS,63090,Remove vert body dcmprn lmbr,,,5097.0,10498.84,4
HCPCS,63091,Remove vertebral body add-on,,,922.18,6979.0,4
HCPCS,63101,Remove vert body dcmprn thrc,,,5097.0,12907.45,4
HCPCS,63102,Remove vert body dcmprn lmbr,,,5097.0,12618.44,4
HCPCS,63103,Remove vertebral body add-on,,,1550.05,6979.0,4
HCPCS,63170,Incise spinal cord tract(s),,,5097.0,9205.63,4
HCPCS,63172,Drainage of spinal cyst,,,5097.0,8170.3,4
HCPCS,63173,Drainage of spinal cyst,,,5097.0,9930.42,4
HCPCS,63185,Incise spine nrv half segmnt,,,6979.0,25393.0,4
HCPCS,63190,Incise spine nrv >2 segmnts,,,6335.66,25393.0,4
HCPCS,63191,Incise spine accessory nerve,,,6979.0,25393.0,4
HCPCS,63197,Incise spine&cord 2 trx thrc,,,5097.0,9849.86,4
HCPCS,63200,Release spinal cord lumbar,,,6979.0,25393.0,4
HCPCS,63250,Revise spinal cord vsls crvl,,,5097.0,16740.06,4
HCPCS,63251,Revise spinal cord vsls thrc,,,5097.0,17139.48,4
HCPCS,63252,Revise spine cord vsl thrlmb,,,6979.0,25393.0,4
HCPCS,63265,Excise intraspinl lesion crv,,,6044.0,22111.0,4
HCPCS,63266,Excise intrspinl lesion thrc,,,6044.0,22111.0,4
HCPCS,63267,Excise intrspinl lesion lmbr,,,6044.0,10940.0,4
HCPCS,63268,Excise intrspinl lesion scrl,,,6044.0,22111.0,4
HCPCS,63270,Excise intrspinl lesion crvl,,,5097.0,11877.35,4
HCPCS,63271,Excise intrspinl lesion thrc,,,5097.0,11800.4,4
HCPCS,63272,Excise intrspinl lesion lmbr,,,6979.0,25393.0,4
HCPCS,63273,Excise intrspinl lesion scrl,,,5097.0,10721.37,4
HCPCS,63275,Bx/exc xdrl spine lesn crvl,,,5097.0,10097.91,4
HCPCS,63276,Bx/exc xdrl spine lesn thrc,,,5097.0,10076.44,4
HCPCS,63277,Bx/exc xdrl spine lesn lmbr,,,6979.0,25393.0,4
HCPCS,63278,Bx/exc xdrl spine lesn scrl,,,5097.0,9218.26,4
HCPCS,63280,Bx/exc idrl spine lesn crvl,,,5097.0,12084.4,4
HCPCS,63281,Bx/exc idrl spine lesn thrc,,,5097.0,11991.53,4
HCPCS,63282,Bx/exc idrl spine lesn lmbr,,,6979.0,25393.0,4
HCPCS,63283,Bx/exc idrl spine lesn scrl,,,5097.0,10952.53,4
HCPCS,63285,Bx/exc idrl imed lesn cervl,,,5097.0,14858.86,4
HCPCS,63286,Bx/exc idrl imed lesn thrc,,,5097.0,14675.56,4
HCPCS,63287,Bx/exc idrl imed lesn thrlmb,,,6979.0,25393.0,4
HCPCS,63290,Bx/exc xdrl/idrl lsn any lvl,,,6979.0,25393.0,4
HCPCS,63295,Repair laminectomy defect,,,1813.6,6979.0,4
HCPCS,63300,Remove vert xdrl body crvcl,,,5097.0,10128.78,4
HCPCS,63301,Remove vert xdrl body thrc,,,5097.0,12614.01,4
HCPCS,63302,Remove vert xdrl body thrlmb,,,5097.0,12472.69,4
HCPCS,63303,Remov vert xdrl bdy lmbr/sac,,,5097.0,13172.93,4
HCPCS,63304,Remove vert idrl body crvcl,,,5097.0,13403.18,4
HCPCS,63305,Remove vert idrl body thrc,,,5097.0,14235.3,4
HCPCS,63306,Remov vert idrl bdy thrclmbr,,,5097.0,13994.63,4
HCPCS,63307,Remov vert idrl bdy lmbr/sac,,,5097.0,13684.58,4
HCPCS,63308,Remove vertebral body add-on,,,1711.34,6979.0,4
HCPCS,63600,Remove spinal cord lesion,,,4108.0,10940.0,4
HCPCS,63610,Stimulation of spinal cord,,,3195.0,5664.0,4
HCPCS,63620,Srs spinal lesion,,,6494.36,22111.0,4
HCPCS,63621,Srs spinal lesion addl,,,1383.21,6979.0,4
HCPCS,63650,Implant neuroelectrodes,,,2069.8,22111.0,4
HCPCS,63655,Implant neuroelectrodes,,,4788.52,25393.0,4
HCPCS,63661,Remove spine eltrd perq aray,,,1729.63,10940.0,4
HCPCS,63662,Remove spine eltrd plate,,,3195.0,12821.0,4
HCPCS,63663,Revise spine eltrd perq aray,,,2278.84,22111.0,4
HCPCS,63664,Revise spine eltrd plate,,,3195.0,22111.0,4
HCPCS,63685,Insrt/redo spine n generator,,,1787.37,39251.0,4
HCPCS,63688,Revise/remove neuroreceiver,,,1714.69,12821.0,4
HCPCS,63690,Description Not Available,,,6979.0,6979.0,1
HCPCS,63691,Description Not Available,,,6979.0,6979.0,1
HCPCS,63700,Repair of spinal herniation,,,5097.0,7670.47,4
HCPCS,63702,Repair of spinal herniation,,,5097.0,8338.82,4
HCPCS,63704,Repair of spinal herniation,,,5097.0,9700.17,4
HCPCS,63706,Repair of spinal herniation,,,5097.0,10713.92,4
HCPCS,63707,Repair spinal fluid leakage,,,5097.0,6979.0,4
HCPCS,63709,Repair spinal fluid leakage,,,5097.0,6979.0,4
HCPCS,63710,Graft repair of spine defect,,,5097.0,6979.0,4
HCPCS,63740,Install spinal shunt,,,5097.0,6979.0,4
HCPCS,63741,Install spinal shunt,,,4079.38,14456.0,4
HCPCS,63744,Revision of spinal shunt,,,4228.47,14456.0,4
HCPCS,63746,Removal of spinal shunt,,,3671.98,10940.0,4
HCPCS,64400,HC RBC DEGLYCEROLIZED EACH UNIT,2448.0,2448.0,,,0
HCPCS,64400,N block inj trigeminal,,,271.15,3195.0,4
HCPCS,64405,HC RBC LR IRRADIATED EACH UNIT,2448.0,2448.0,,,0
HCPCS,64405,N block inj occipital,,,265.75,3195.0,4
HCPCS,64408,N block inj vagus,,,216.49,3195.0,4
HCPCS,64415,N block inj brachial plexus,,,366.28,4497.0,4
HCPCS,64416,N block cont infuse b plex,,,402.65,4497.0,4
HCPCS,64417,N block inj axillary,,,340.0,4497.0,4
HCPCS,64418,N block inj suprascapular,,,267.43,4497.0,4
HCPCS,64420,HC FFP 8-24 HRS OF COLLECT EA UNIT,2410.0,2410.0,,,0
HCPCS,64420,N block inj intercost sng,,,287.71,4497.0,4
HCPCS,64421,HC PLATELETS PHERESIS LR EA UNIT,2983.0,2983.0,,,0
HCPCS,64421,N block inj intercost mlt,,,120.82,4497.0,4
HCPCS,64425,N block inj ilio-ing/hypogi,,,273.36,4497.0,4
HCPCS,64430,N block inj pudendal,,,270.18,4497.0,4
HCPCS,64435,N block inj paracervical,,,218.48,4497.0,4
HCPCS,64440,Description Not Available,,,6979.0,6979.0,1
HCPCS,64441,Description Not Available,,,6979.0,6979.0,1
HCPCS,64442,Description Not Available,,,6979.0,6979.0,1
HCPCS,64443,Description Not Available,,,6979.0,6979.0,1
HCPCS,64445,N block inj sciatic sng,,,366.71,4497.0,4
HCPCS,64446,N blk inj sciatic cont inf,,,393.64,6979.0,4
HCPCS,64447,N block inj fem single,,,335.79,6979.0,4
HCPCS,64448,N block inj fem cont inf,,,376.59,6979.0,4
HCPCS,64449,N block inj lumbar plexus,,,335.52,4497.0,4
HCPCS,64450,HC ECG UP TO 48 HRS RECORDING,3119.0,3119.0,,,0
HCPCS,64450,N block other peripheral,,,210.82,4497.0,4
HCPCS,64451,Njx aa&/strd nrv nrvtg si jt,,,399.41,4497.0,4
HCPCS,64454,Njx aa&/strd gnclr nrv brnch,,,401.89,4497.0,4
HCPCS,64455,N block inj plantar digit,,,167.76,3195.0,4
HCPCS,64461,Pvb thoracic single inj site,,,399.79,4497.0,4
HCPCS,64462,Pvb thoracic 2nd+ inj site,,,245.52,3195.0,4
HCPCS,64463,Pvb thoracic cont infusion,,,424.99,4497.0,4
HCPCS,64466,Thrc fascial pln blk uni njx,,,342.43,3195.0,4
HCPCS,64467,Thrc fascial pln blk uni nfs,,,396.28,3195.0,4
HCPCS,64468,Thrc fascial pln blk bi njx,,,379.23,3195.0,4
HCPCS,64469,Thrc fascial pln blk bi nfs,,,416.84,3195.0,4
HCPCS,64473,Lwr xtr fscl pln blk uni njx,,,304.77,3195.0,4
HCPCS,64474,Lwr xtr fscl pln blk uni nfs,,,379.23,3195.0,4
HCPCS,64479,Inj foramen epidural c/t,,,638.72,4497.0,4
HCPCS,64480,Inj foramen epidural add-on,,,294.08,3195.0,4
HCPCS,64483,Inj foramen epidural l/s,,,544.89,4497.0,4
HCPCS,64484,Inj foramen epidural add-on,,,241.36,3195.0,4
HCPCS,64486,Tap block unil by injection,,,267.97,4108.0,4
HCPCS,64487,Tap block uni by infusion,,,311.08,4108.0,4
HCPCS,64488,Tap block bi injection,,,315.61,4108.0,4
HCPCS,64489,Tap block bi by infusion,,,393.64,4108.0,4
HCPCS,64490,Inj paravert f jnt c/t 1 lev,,,516.67,4497.0,4
HCPCS,64491,Inj paravert f jnt c/t 2 lev,,,281.73,3195.0,4
HCPCS,64492,Inj paravert f jnt c/t 3 lev,,,281.46,3195.0,4
HCPCS,64493,HC PLATELETS PHERESIS LR IRRAD EA UNIT,4338.0,4338.0,,,0
HCPCS,64493,Inj paravert f jnt l/s 1 lev,,,445.98,4497.0,4
HCPCS,64494,"HC CONTINUOUS INHALATION TX, 1ST HOUR",2631.0,2631.0,,,0
HCPCS,64494,Inj paravert f jnt l/s 2 lev,,,241.36,3195.0,4
HCPCS,64495,Inj paravert f jnt l/s 3 lev,,,248.27,3195.0,4
HCPCS,64505,N block spenopalatine gangl,,,551.15,3195.0,4
HCPCS,64510,N block stellate ganglion,,,380.36,4497.0,4
HCPCS,64517,N block inj hypogas plxs,,,624.32,4497.0,4
HCPCS,64520,N block lumbar/thoracic,,,418.57,4497.0,4
HCPCS,64530,"HC CONTINUOUS INHALATION TX, EA ADD HOUR",3084.0,3084.0,,,0
HCPCS,64530,N block inj celiac pelus,,,468.1,4497.0,4
HCPCS,64553,Implant neuroelectrodes,,,2621.92,22111.0,4
HCPCS,64555,Implant neuroelectrodes,,,1617.99,22111.0,4
HCPCS,64561,Implant neuroelectrodes,,,1515.03,22111.0,4
HCPCS,64566,Neuroeltrd stim post tibial,,,145.96,3195.0,4
HCPCS,64567,Perq elec nrv field stimj cn,,,370.54,6979.0,2
HCPCS,64568,Inc for vagus n elect impl,,,3779.9,46177.0,4
HCPCS,64569,Revise/repl vagus n eltrd,,,4108.0,22111.0,4
HCPCS,64570,Remove vagus n eltrd,,,3195.0,22111.0,4
HCPCS,64575,Implant neuroelectrodes,,,1616.75,25393.0,4
HCPCS,64580,Implant neuroelectrodes,,,1765.68,25393.0,4
HCPCS,64581,Implant neuroelectrodes,,,3297.44,25393.0,4
HCPCS,64582,Opn mpltj hpglsl nstm ary pg,,,4033.02,39251.0,4
HCPCS,64583,Rev/rplct hpglsl nstm ary pg,,,4108.0,25393.0,4
HCPCS,64584,Rmvl hpglsl nstim ary pg,,,3195.0,22111.0,4
HCPCS,64585,Revise/remove neuroelectrode,,,746.21,12821.0,4
HCPCS,64590,Insrt/redo pn/gastr stimul,,,1488.05,39251.0,4
HCPCS,64595,Revise/rmv pn/gastr stimul,,,1165.59,12821.0,4
HCPCS,64596,Ins/rplcmt prq eltrd ra pn 1,,,4108.0,25393.0,3
HCPCS,64597,Ins/rplcm prq eltrd ra pn ea,,,2505.0,3195.0,3
HCPCS,64598,Revj/rmvl nea pn w/int nstim,,,3195.0,12821.0,3
HCPCS,64600,Injection treatment of nerve,,,1289.32,4497.0,4
HCPCS,64605,Injection treatment of nerve,,,2459.93,10940.0,4
HCPCS,64610,Injection treatment of nerve,,,2590.03,10940.0,4
HCPCS,64611,Chemodenerv saliv glands,,,604.62,3195.0,4
HCPCS,64612,Destroy nerve face muscle,,,597.71,3195.0,4
HCPCS,64615,Chemodenerv musc migraine,,,638.83,3195.0,4
HCPCS,64616,Chemodenerv musc neck dyston,,,574.57,3195.0,4
HCPCS,64617,Chemodener muscle larynx emg,,,514.13,4497.0,4
HCPCS,64620,Injection treatment of nerve,,,921.1,4497.0,4
HCPCS,64624,Dstrj nulyt agt gnclr nrv,,,728.51,10940.0,4
HCPCS,64625,Rf abltj nrv nrvtg si jt,,,970.25,10940.0,4
HCPCS,64628,Trml dstrj ios bvn 1st 2 l/s,,,2007.8,22111.0,4
HCPCS,64629,Trml dstrj ios bvn ea addl,,,930.86,3195.0,4
HCPCS,64630,Injection treatment of nerve,,,1025.46,4497.0,4
HCPCS,64632,N block inj common digit,,,337.14,3195.0,4
HCPCS,64633,Destroy cerv/thor facet jnt,,,946.08,10940.0,4
HCPCS,64634,Destroy c/th facet jnt addl,,,320.14,3195.0,4
HCPCS,64635,Destroy lumb/sac facet jnt,,,946.78,10940.0,4
HCPCS,64636,Destroy l/s facet jnt addl,,,281.73,3195.0,4
HCPCS,64640,Injection treatment of nerve,,,612.5,4497.0,4
HCPCS,64642,Chemodenerv 1 extremity 1-4,,,547.42,4497.0,4
HCPCS,64642,HC DRUG SCRN QUANT OXCARBAZEPIN,2401.0,2401.0,,,0
HCPCS,64643,Chemodenerv 1 extrem 1-4 ea,,,340.54,3195.0,4
HCPCS,64643,HC DRUG SCREEN QUANT ZONISAMIDE,2401.0,2401.0,,,0
HCPCS,64644,Chemodenerv 1 extrem 5/> mus,,,587.62,4497.0,4
HCPCS,64644,HC ASPA GENE,2401.0,2401.0,,,0
HCPCS,64645,Chemodenerv 1 extrem 5/> ea,,,407.88,3195.0,4
HCPCS,64645,HC BLM GENE,2401.0,2401.0,,,0
HCPCS,64646,Chemodenerv trunk musc 1-5,,,597.12,4497.0,4
HCPCS,64647,Chemodenerv trunk musc 6/>,,,665.22,4497.0,4
HCPCS,64650,Chemodenerv eccrine glands,,,188.54,3195.0,4
HCPCS,64653,Chemodenerv eccrine glands,,,245.84,3195.0,4
HCPCS,64654,1st opn implt bat modulj sys,,,3248.34,6979.0,2
HCPCS,64655,Revj/rplcmt bat mod sys lead,,,3668.63,6979.0,2
HCPCS,64656,Revj/rplcmt bat mod sys pg,,,2462.46,6979.0,2
HCPCS,64657,Rmvl bat modulj sys tot sys,,,3657.57,6979.0,2
HCPCS,64658,Rmvl bat modul sys lead only,,,2750.07,6979.0,2
HCPCS,64659,Rmvl bat modulj sys pg only,,,2549.12,6979.0,2
HCPCS,64680,Injection treatment of nerve,,,802.66,4497.0,4
HCPCS,64681,Injection treatment of nerve,,,1054.76,4497.0,4
HCPCS,64702,Revise finger/toe nerve,,,2676.58,10940.0,4
HCPCS,64704,Revise hand/foot nerve,,,1681.77,10940.0,4
HCPCS,64708,Revise arm/leg nerve,,,2527.97,10940.0,4
HCPCS,64712,Revision of sciatic nerve,,,3103.73,10940.0,4
HCPCS,64713,Revision of arm nerve(s),,,4108.0,10940.0,4
HCPCS,64714,Revise low back nerve(s),,,4011.6,10940.0,4
HCPCS,64716,Revision of cranial nerve,,,2591.75,10940.0,4
HCPCS,64718,Revise ulnar nerve at elbow,,,3164.16,10940.0,4
HCPCS,64719,Revise ulnar nerve at wrist,,,2133.52,10940.0,4
HCPCS,64721,Carpal tunnel surgery,,,2319.09,10940.0,4
HCPCS,64722,Relieve pressure on nerve(s),,,2071.31,10940.0,4
HCPCS,64726,Release foot/toe nerve,,,1407.28,10940.0,4
HCPCS,64727,Internal nerve revision,,,797.37,3195.0,4
HCPCS,64728,Dcmprn median nrv carpl tunl,,,677.41,6979.0,2
HCPCS,64732,Incision of brow nerve,,,2786.06,5664.0,4
HCPCS,64734,Incision of cheek nerve,,,3141.66,5664.0,4
HCPCS,64736,Incision of chin nerve,,,1671.46,5664.0,4
HCPCS,64738,Incision of jaw nerve,,,2284.77,5664.0,4
HCPCS,64740,Incision of tongue nerve,,,2355.79,10940.0,4
HCPCS,64742,Incision of facial nerve,,,2298.37,10940.0,4
HCPCS,64744,Incise nerve back of head,,,3072.37,10940.0,4
HCPCS,64746,Incise diaphragm nerve,,,2448.65,5664.0,4
HCPCS,64755,Incision of stomach nerves,,,4991.25,6979.0,4
HCPCS,64760,Incision of vagus nerve,,,2888.37,6979.0,4
HCPCS,64763,Incise hip/thigh nerve,,,2854.43,6979.0,4
HCPCS,64766,Incise hip/thigh nerve,,,3508.7,12821.0,4
HCPCS,64771,Sever cranial nerve,,,3090.56,10940.0,4
HCPCS,64772,Incision of spinal nerve,,,2865.33,10940.0,4
HCPCS,64774,Remove skin nerve lesion,,,2286.66,10940.0,4
HCPCS,64776,Remove digit nerve lesion,,,2064.51,10940.0,4
HCPCS,64778,Digit nerve surgery add-on,,,886.62,4108.0,4
HCPCS,64782,Remove limb nerve lesion,,,2407.8,10940.0,4
HCPCS,64783,Limb nerve surgery add-on,,,1061.88,4108.0,4
HCPCS,64784,Remove nerve lesion,,,3759.02,10940.0,4
HCPCS,64786,Remove sciatic nerve lesion,,,5248.0,14456.0,4
HCPCS,64787,Implant nerve end,,,1158.14,4108.0,4
HCPCS,64788,Remove skin nerve lesion,,,2163.63,10940.0,4
HCPCS,64790,Removal of nerve lesion,,,4547.48,10940.0,4
HCPCS,64792,Removal of nerve lesion,,,5248.0,14456.0,4
HCPCS,64795,Biopsy of nerve,,,1071.43,10940.0,4
HCPCS,64802,Sympathectomy cervical,,,4108.0,5664.0,4
HCPCS,64804,Remove sympathetic nerves,,,5097.0,6979.0,4
HCPCS,64809,Remove sympathetic nerves,,,5097.0,6979.0,4
HCPCS,64818,Remove sympathetic nerves,,,4030.0,6979.0,4
HCPCS,64820,Sympathectomy digital artery,,,3892.13,10940.0,4
HCPCS,64821,Remove sympathetic nerves,,,3669.82,12821.0,4
HCPCS,64822,Remove sympathetic nerves,,,3669.82,12821.0,4
HCPCS,64823,Sympathectomy supfc palmar,,,4108.0,12821.0,4
HCPCS,64830,Description Not Available,,,6979.0,6979.0,1
HCPCS,64831,Repair of digit nerve,,,3558.66,12821.0,4
HCPCS,64832,Repair nerve add-on,,,1601.69,3195.0,4
HCPCS,64834,Repair of hand or foot nerve,,,3668.15,14456.0,4
HCPCS,64835,Repair of hand or foot nerve,,,4227.01,14456.0,4
HCPCS,64836,Repair of hand or foot nerve,,,4227.01,14456.0,4
HCPCS,64837,Repair nerve add-on,,,1784.03,3195.0,4
HCPCS,64840,Repair of leg nerve,,,4108.0,14456.0,4
HCPCS,64856,Repair/transpose nerve,,,4108.0,14456.0,4
HCPCS,64857,Repair arm/leg nerve,,,4108.0,14456.0,4
HCPCS,64858,Repair sciatic nerve,,,4108.0,12821.0,4
HCPCS,64859,Nerve surgery,,,1214.69,3195.0,4
HCPCS,64861,Repair of arm nerves,,,5248.0,12821.0,4
HCPCS,64862,Repair of low back nerves,,,5248.0,14456.0,4
HCPCS,64864,Repair of facial nerve,,,4215.3,14456.0,4
HCPCS,64865,Repair of facial nerve,,,5241.08,14456.0,4
HCPCS,64866,Fusion of facial/other nerve,,,5097.0,6979.0,4
HCPCS,64868,Fusion of facial/other nerve,,,4802.33,6979.0,4
HCPCS,64872,Subsequent repair of nerve,,,570.25,4108.0,4
HCPCS,64874,Repair & revise nerve add-on,,,849.98,5248.0,4
HCPCS,64876,Repair nerve/shorten bone,,,960.81,5248.0,4
HCPCS,64885,Nerve graft head/neck <=4 cm,,,4108.0,14456.0,4
HCPCS,64886,Nerve graft head/neck >4 cm,,,4108.0,14456.0,4
HCPCS,64890,Nerve graft hand/foot <=4 cm,,,4108.0,14456.0,4
HCPCS,64891,Nerve graft hand/foot >4 cm,,,4108.0,14456.0,4
HCPCS,64892,Nerve graft arm/leg <4 cm,,,4108.0,14456.0,4
HCPCS,64893,Nerve graft arm/leg >4 cm,,,4108.0,14456.0,4
HCPCS,64895,Nerve graft hand/foot <=4 cm,,,5248.0,14456.0,4
HCPCS,64896,Nerve graft hand/foot >4 cm,,,5248.0,14456.0,4
HCPCS,64897,Nerve graft arm/leg <=4 cm,,,5248.0,14456.0,4
HCPCS,64898,Nerve graft arm/leg >4 cm,,,5248.0,14456.0,4
HCPCS,64901,Nerve graft add-on,,,2505.0,4108.0,4
HCPCS,64902,Nerve graft add-on,,,2505.0,4108.0,4
HCPCS,64905,Nerve pedicle transfer,,,4108.0,14456.0,4
HCPCS,64907,Nerve pedicle transfer,,,3195.0,14456.0,4
HCPCS,64910,Nerve repair w/allograft,,,3850.8,14456.0,4
HCPCS,64911,Neurorraphy w/vein autograft,,,4108.0,14456.0,4
HCPCS,64912,Nrv rpr w/nrv algrft 1st,,,4108.0,14456.0,4
HCPCS,64913,Nrv rpr w/nrv algrft ea addl,,,832.87,3195.0,4
HCPCS,64999,Nervous system surgery,,,2505.0,3195.0,3
HCPCS,65091,Revise eye,,,3529.79,12821.0,4
HCPCS,65093,Revise eye with implant,,,3511.55,12821.0,4
HCPCS,65101,Removal of eye,,,4045.38,12821.0,4
HCPCS,65103,Remove eye/insert implant,,,4162.1,12821.0,4
HCPCS,65105,Remove eye/attach implant,,,4527.68,12821.0,4
HCPCS,65110,Removal of eye,,,6044.0,12821.0,4
HCPCS,65112,Remove eye/revise socket,,,7025.54,12821.0,4
HCPCS,65114,Remove eye/revise socket,,,7311.74,12821.0,4
HCPCS,65125,Revise ocular implant,,,1395.62,10940.0,4
HCPCS,65130,Insert ocular implant,,,4057.63,12821.0,4
HCPCS,65135,Insert ocular implant,,,4104.85,12821.0,4
HCPCS,65140,Attach ocular implant,,,4399.2,12821.0,4
HCPCS,65150,Revise ocular implant,,,3346.65,12821.0,4
HCPCS,65155,Reinsert ocular implant,,,4566.9,12821.0,4
HCPCS,65175,Removal of ocular implant,,,3195.0,12821.0,4
HCPCS,65205,Remove foreign body from eye,,,131.55,6979.0,4
HCPCS,65210,Remove foreign body from eye,,,162.69,6979.0,4
HCPCS,65220,Remove foreign body from eye,,,209.04,6979.0,4
HCPCS,65222,Remove foreign body from eye,,,225.82,6979.0,4
HCPCS,65235,Remove foreign body from eye,,,3418.53,10940.0,4
HCPCS,65260,Remove foreign body from eye,,,2505.0,5248.0,4
HCPCS,65265,Remove foreign body from eye,,,5080.17,10940.0,4
HCPCS,65270,Repair of eye wound,,,641.53,10940.0,4
HCPCS,65272,Repair of eye wound,,,1616.7,10940.0,4
HCPCS,65273,Repair of eye wound,,,1735.14,5664.0,4
HCPCS,65275,Repair of eye wound,,,2101.53,12821.0,4
HCPCS,65280,Repair of eye wound,,,3058.13,10940.0,4
HCPCS,65285,Repair of eye wound,,,5031.5,10940.0,4
HCPCS,65286,Repair of eye wound,,,2266.32,5664.0,4
HCPCS,65290,Repair of eye socket wound,,,2240.53,12821.0,4
HCPCS,65400,Removal of eye lesion,,,2817.09,5664.0,4
HCPCS,65410,Biopsy of cornea,,,468.43,4497.0,4
HCPCS,65420,Removal of eye lesion,,,1794.66,10940.0,4
HCPCS,65426,Removal of eye lesion,,,2223.48,10940.0,4
HCPCS,65430,Corneal smear,,,463.3,6979.0,4
HCPCS,65435,Curette/treat cornea,,,325.92,5664.0,4
HCPCS,65436,Curette/treat cornea,,,1715.06,10940.0,4
HCPCS,65450,Treatment of corneal lesion,,,1542.82,3195.0,4
HCPCS,65600,Revision of cornea,,,1612.32,10940.0,4
HCPCS,65710,Corneal transplant,,,5293.96,14456.0,4
HCPCS,65730,Corneal transplant,,,5761.04,14456.0,4
HCPCS,65750,Corneal transplant,,,5778.63,14456.0,4
HCPCS,65755,Corneal transplant,,,5751.92,14456.0,4
HCPCS,65756,Corneal trnspl endothelial,,,5374.96,14456.0,4
HCPCS,65757,Prep corneal endo allograft,,,2505.0,2782.0,2
HCPCS,65760,Revision of cornea,,,8406.0,10940.0,3
HCPCS,65765,Revision of cornea,,,8406.0,10940.0,3
HCPCS,65767,Corneal tissue transplant,,,8406.0,10940.0,3
HCPCS,65770,Revise cornea with implant,,,6402.95,22111.0,4
HCPCS,65771,Radial keratotomy,,,8406.0,10940.0,3
HCPCS,65772,Correction of astigmatism,,,1889.68,5664.0,4
HCPCS,65775,Correction of astigmatism,,,2679.87,10940.0,4
HCPCS,65778,Cover eye w/membrane,,,194.8,5664.0,4
HCPCS,65779,Cover eye w/membrane suture,,,465.03,12821.0,4
HCPCS,65780,Ocular reconst transplant,,,2769.6,12821.0,4
HCPCS,65781,Ocular reconst transplant,,,6044.0,14456.0,4
HCPCS,65782,Ocular reconst transplant,,,5261.15,12821.0,4
HCPCS,65785,Impltj ntrstrml crnl rng seg,,,2074.92,14456.0,4
HCPCS,65800,Drainage of eye,,,390.67,3195.0,4
HCPCS,65810,Drainage of eye,,,2155.97,10940.0,4
HCPCS,65815,Drainage of eye,,,2214.46,10940.0,4
HCPCS,65820,Relieve inner eye pressure,,,3195.0,10940.0,4
HCPCS,65850,Incision of eye,,,3858.68,10940.0,4
HCPCS,65855,Trabeculoplasty laser surg,,,928.81,4497.0,4
HCPCS,65860,Incise inner eye adhesions,,,1133.0,5363.0,4
HCPCS,65865,Incise inner eye adhesions,,,2222.83,10940.0,4
HCPCS,65870,Incise inner eye adhesions,,,2759.89,10940.0,4
HCPCS,65875,Incise inner eye adhesions,,,2946.97,10940.0,4
HCPCS,65880,Incise inner eye adhesions,,,3086.13,10940.0,4
HCPCS,65900,Remove eye lesion,,,4577.7,10940.0,4
HCPCS,65920,Remove implant of eye,,,3668.36,10940.0,4
HCPCS,65930,Remove blood clot from eye,,,2953.72,10940.0,4
HCPCS,66020,Injection treatment of eye,,,613.04,5664.0,4
HCPCS,66030,Injection treatment of eye,,,522.06,5664.0,4
HCPCS,66130,Remove eye lesion,,,2580.37,10940.0,4
HCPCS,66150,Glaucoma surgery,,,4089.03,10940.0,4
HCPCS,66155,Glaucoma surgery,,,4087.2,10940.0,4
HCPCS,66160,Glaucoma surgery,,,4108.0,10940.0,4
HCPCS,66170,Glaucoma surgery,,,5055.19,10940.0,4
HCPCS,66172,Incision of eye,,,5363.0,10940.0,4
HCPCS,66174,Translum dil eye canal,,,2903.91,14456.0,4
HCPCS,66175,Trnslum dil eye canal w/stnt,,,3342.88,14456.0,4
HCPCS,66179,Aqueous shunt eye w/o graft,,,4979.81,14456.0,4
HCPCS,66180,Aqueous shunt eye w/graft,,,5238.44,14456.0,4
HCPCS,66183,Insert ant drainage device,,,4751.61,14456.0,4
HCPCS,66184,Revision of aqueous shunt,,,3690.54,10940.0,4
HCPCS,66185,Revise aqueous shunt eye,,,3947.39,10940.0,4
HCPCS,66225,Repair/graft eye lesion,,,4288.36,10940.0,4
HCPCS,66250,Follow-up surgery of eye,,,2574.7,10940.0,4
HCPCS,66500,Incision of iris,,,1875.92,3195.0,4
HCPCS,66505,Incision of iris,,,2040.66,5664.0,4
HCPCS,66600,Remove iris and lesion,,,4237.96,10940.0,4
HCPCS,66605,Removal of iris,,,4998.96,14456.0,4
HCPCS,66625,Removal of iris,,,1993.98,5664.0,4
HCPCS,66630,Removal of iris,,,2620.19,5664.0,4
HCPCS,66635,Removal of iris,,,2644.31,10940.0,4
HCPCS,66680,Repair iris & ciliary body,,,2739.01,10940.0,4
HCPCS,66682,Repair iris & ciliary body,,,3055.86,10940.0,4
HCPCS,66683,Implantation iris prosthesis,,,3574.15,14456.0,4
HCPCS,66700,Destruction ciliary body,,,1809.06,5664.0,4
HCPCS,66710,Ciliary transsleral therapy,,,1809.06,10940.0,4
HCPCS,66711,Ciliary endoscopic ablation,,,2387.78,10940.0,4
HCPCS,66720,Destruction ciliary body,,,1939.21,10940.0,4
HCPCS,66740,Destruction ciliary body,,,1809.06,10940.0,4
HCPCS,66761,Revision of iris,,,1087.35,4497.0,4
HCPCS,66762,Revision of iris,,,1976.61,4497.0,4
HCPCS,66770,Removal of inner eye lesion,,,2237.18,4497.0,4
HCPCS,66820,Incision secondary cataract,,,2232.33,3195.0,4
HCPCS,66821,After cataract laser surgery,,,1470.84,4497.0,4
HCPCS,66825,Reposition intraocular lens,,,3904.17,10940.0,4
HCPCS,66830,Removal of lens lesion,,,3255.95,10940.0,4
HCPCS,66840,Removal of lens material,,,3187.26,10940.0,4
HCPCS,66850,Removal of lens material,,,3618.83,10940.0,4
HCPCS,66852,Removal of lens material,,,3839.04,14456.0,4
HCPCS,66920,Extraction of lens,,,3431.69,10940.0,4
HCPCS,66930,Extraction of lens,,,3925.32,10940.0,4
HCPCS,66940,Extraction of lens,,,3606.04,6044.0,4
HCPCS,66982,Cataract surgery complex,,,3410.16,10940.0,4
HCPCS,66983,Cataract surg w/iol 1 stage,,,6044.0,10940.0,3
HCPCS,66984,Cataract surg w/iol 1 stage,,,2496.46,10940.0,4
HCPCS,66985,Insert lens prosthesis,,,3552.83,10940.0,4
HCPCS,66986,Exchange lens prosthesis,,,4130.69,10940.0,4
HCPCS,66987,Xcapsl ctrc rmvl cplx w/ecp,,,6979.0,14456.0,3
HCPCS,66988,Xcapsl ctrc rmvl w/ecp,,,6979.0,14456.0,3
HCPCS,66989,Xcpsl ctrc rmvl cplx insj 1+,,,3892.46,14456.0,4
HCPCS,66990,Ophthalmic endoscope add-on,,,387.06,3195.0,4
HCPCS,66991,Xcapsl ctrc rmvl insj 1+,,,3142.63,14456.0,4
HCPCS,66999,Eye surgery procedure,,,3195.0,5664.0,3
HCPCS,67005,Partial removal of eye fluid,,,2222.99,10940.0,4
HCPCS,67010,Partial removal of eye fluid,,,2523.44,10940.0,4
HCPCS,67015,Release of eye fluid,,,2814.55,10940.0,4
HCPCS,67025,Replace eye fluid,,,2909.95,10940.0,4
HCPCS,67027,Implant eye drug system,,,3868.55,14456.0,4
HCPCS,67028,Injection eye drug,,,411.34,3195.0,4
HCPCS,67030,Incise inner eye strands,,,2626.45,10940.0,4
HCPCS,67031,Laser surgery eye strands,,,1645.62,4497.0,4
HCPCS,67036,Removal of inner eye fluid,,,4103.87,14456.0,4
HCPCS,67039,Laser treatment of retina,,,4379.45,14456.0,4
HCPCS,67040,Laser treatment of retina,,,4710.28,14456.0,4
HCPCS,67041,Vit for macular pucker,,,5177.52,14456.0,4
HCPCS,67042,Vit for macular hole,,,5175.84,14456.0,4
HCPCS,67043,Vit for membrane dissect,,,5449.47,14456.0,4
HCPCS,67101,Repair detached retina crtx,,,1320.83,10940.0,4
HCPCS,67105,Repair detached retina pc,,,1274.21,6044.0,4
HCPCS,67107,Repair detached retina,,,5093.77,14456.0,4
HCPCS,67108,Repair detached retina,,,5380.89,14456.0,4
HCPCS,67110,Repair detached retina,,,3760.9,10940.0,4
HCPCS,67113,Repair retinal detach cplx,,,6019.13,14456.0,4
HCPCS,67115,Release encircling material,,,2323.19,10940.0,4
HCPCS,67120,Remove eye implant material,,,2563.42,10940.0,4
HCPCS,67121,Remove eye implant material,,,4108.0,12821.0,4
HCPCS,67141,Treatment of retina,,,1012.83,4108.0,4
HCPCS,67145,Treatment of retina,,,1012.83,4497.0,4
HCPCS,67208,Treatment of retinal lesion,,,2505.0,6044.0,4
HCPCS,67210,Treatment of retinal lesion,,,2306.36,6044.0,4
HCPCS,67218,Treatment of retinal lesion,,,6044.0,12821.0,4
HCPCS,67220,Treatment of choroid lesion,,,2303.66,4497.0,4
HCPCS,67221,Ocular Photodynamic Ther,,,920.67,4497.0,4
HCPCS,67225,Eye photodynamic ther add-on,,,121.3,3195.0,4
HCPCS,67227,Dstrj extensive retinopathy,,,1162.3,12821.0,4
HCPCS,67228,Treatment x10sv retinopathy,,,1377.92,4497.0,4
HCPCS,67229,Tr retinal les preterm inf,,,4047.0,5254.84,4
HCPCS,67250,Reinforce eye wall,,,4252.48,10940.0,4
HCPCS,67255,Reinforce/graft eye wall,,,3206.14,10940.0,4
HCPCS,67299,Eye surgery procedure,,,5097.0,6979.0,3
HCPCS,67311,Revise eye muscle,,,2107.84,10940.0,4
HCPCS,67312,Revise two eye muscles,,,3024.57,12821.0,4
HCPCS,67314,Revise eye muscle,,,2107.84,10940.0,4
HCPCS,67316,Revise two eye muscles,,,3235.12,10940.0,4
HCPCS,67318,Revise eye muscle(s),,,3136.69,10940.0,4
HCPCS,67320,Revise eye muscle(s) add-on,,,765.15,5363.0,4
HCPCS,67331,Eye surgery follow-up add-on,,,551.58,5363.0,4
HCPCS,67332,Rerevise eye muscles add-on,,,890.07,5363.0,4
HCPCS,67334,Revise eye muscle w/suture,,,545.16,5363.0,4
HCPCS,67335,Eye suture during surgery,,,820.57,5363.0,4
HCPCS,67340,Revise eye muscle add-on,,,1281.55,5363.0,4
HCPCS,67343,Release eye tissue,,,3138.21,10940.0,4
HCPCS,67345,Destroy nerve of eye muscle,,,1059.34,3195.0,4
HCPCS,67346,Biopsy eye muscle,,,873.4,12821.0,4
HCPCS,67399,Unlisted px extraocular musc,,,2505.0,6979.0,3
HCPCS,67400,Explore/biopsy eye socket,,,4874.69,12821.0,4
HCPCS,67405,Explore/drain eye socket,,,4276.33,10940.0,4
HCPCS,67412,Explore/treat eye socket,,,4669.81,10940.0,4
HCPCS,67413,Explore/treat eye socket,,,4527.57,10940.0,4
HCPCS,67414,Explr/decompress eye socket,,,6044.0,12821.0,4
HCPCS,67415,Aspiration orbital contents,,,451.32,10940.0,4
HCPCS,67420,Explore/treat eye socket,,,6044.0,12821.0,4
HCPCS,67430,Explore/treat eye socket,,,6044.0,12821.0,4
HCPCS,67440,Explore/drain eye socket,,,6044.0,12821.0,4
HCPCS,67445,Explr/decompress eye socket,,,6044.0,12821.0,4
HCPCS,67450,Explore/biopsy eye socket,,,6044.0,12821.0,4
HCPCS,67500,Inject/treat eye socket,,,301.31,6979.0,4
HCPCS,67505,Inject/treat eye socket,,,316.8,3195.0,4
HCPCS,67515,Inject/treat eye socket,,,209.85,3195.0,4
HCPCS,67516,Sprchoroidal spc njx rx agt,,,435.46,6979.0,4
HCPCS,67550,Insert eye socket implant,,,5118.92,12821.0,4
HCPCS,67560,Revise eye socket implant,,,4108.0,12821.0,4
HCPCS,67570,Decompress optic nerve,,,5363.0,12821.0,4
HCPCS,67599,Orbit surgery procedure,,,2505.0,6979.0,3
HCPCS,67700,Drainage of eyelid abscess,,,550.66,3195.0,4
HCPCS,67710,Incision of eyelid,,,464.11,5664.0,4
HCPCS,67715,Incision of eyelid fold,,,554.82,10940.0,4
HCPCS,67800,Remove eyelid lesion,,,469.67,3195.0,4
HCPCS,67801,Remove eyelid lesions,,,598.15,5664.0,4
HCPCS,67805,Remove eyelid lesions,,,750.31,3195.0,4
HCPCS,67808,Remove eyelid lesion(s),,,1719.27,10940.0,4
HCPCS,67810,Biopsy eyelid & lid margin,,,304.28,3195.0,4
HCPCS,67820,Revise eyelashes,,,102.63,6979.0,4
HCPCS,67825,Revise eyelashes,,,576.67,6979.0,4
HCPCS,67830,Revise eyelashes,,,642.5,5664.0,4
HCPCS,67835,Revise eyelashes,,,2043.84,10940.0,4
HCPCS,67840,Remove eyelid lesion,,,725.6,5664.0,4
HCPCS,67850,Treat eyelid lesion,,,608.94,5664.0,4
HCPCS,67875,Closure of eyelid by suture,,,439.99,5664.0,4
HCPCS,67880,Revision of eyelid,,,1721.97,10940.0,4
HCPCS,67882,Revision of eyelid,,,2185.38,10940.0,4
HCPCS,67900,Repair brow defect,,,2344.89,10940.0,4
HCPCS,67901,Repair eyelid defect,,,2711.22,10940.0,4
HCPCS,67902,Repair eyelid defect,,,3326.58,12821.0,4
HCPCS,67903,Repair eyelid defect,,,2206.91,10940.0,4
HCPCS,67904,Repair eyelid defect,,,2746.4,10940.0,4
HCPCS,67906,Repair eyelid defect,,,2311.32,12821.0,4
HCPCS,67908,Repair eyelid defect,,,2017.35,10940.0,4
HCPCS,67909,Revise eyelid defect,,,2044.27,10940.0,4
HCPCS,67911,Revise eyelid defect,,,2579.29,10940.0,4
HCPCS,67912,Correction eyelid w/implant,,,2302.69,10940.0,4
HCPCS,67914,Repair eyelid defect,,,1566.73,10940.0,4
HCPCS,67915,Repair eyelid defect,,,960.16,10940.0,4
HCPCS,67916,Repair eyelid defect,,,2004.4,10940.0,4
HCPCS,67917,Repair eyelid defect,,,2115.99,10940.0,4
HCPCS,67921,Repair eyelid defect,,,1479.1,10940.0,4
HCPCS,67922,Repair eyelid defect,,,960.16,10940.0,4
HCPCS,67923,Repair eyelid defect,,,1999.0,10940.0,4
HCPCS,67924,Repair eyelid defect,,,2114.96,10940.0,4
HCPCS,67930,Repair eyelid wound,,,1075.64,10940.0,4
HCPCS,67935,Repair eyelid wound,,,2005.86,10940.0,4
HCPCS,67938,Remove eyelid foreign body,,,533.5,3195.0,4
HCPCS,67950,Revision of eyelid,,,2145.99,10940.0,4
HCPCS,67961,Revision of eyelid,,,2105.84,10940.0,4
HCPCS,67966,Revision of eyelid,,,3003.25,10940.0,4
HCPCS,67971,Reconstruction of eyelid,,,3291.4,10940.0,4
HCPCS,67973,Reconstruction of eyelid,,,4214.71,10940.0,4
HCPCS,67974,Reconstruction of eyelid,,,4204.89,12821.0,4
HCPCS,67975,Reconstruction of eyelid,,,3134.48,10940.0,4
HCPCS,67999,Revision of eyelid,,,2505.0,6979.0,3
HCPCS,68020,Incise/drain eyelid lining,,,509.17,5664.0,4
HCPCS,68040,Treatment of eyelid lesions,,,215.57,6979.0,4
HCPCS,68100,Biopsy of eyelid lining,,,439.99,4497.0,4
HCPCS,68110,Remove eyelid lining lesion,,,692.9,10940.0,4
HCPCS,68115,Remove eyelid lining lesion,,,847.17,10940.0,4
HCPCS,68130,Remove eyelid lining lesion,,,1924.21,10940.0,4
HCPCS,68135,Remove eyelid lining lesion,,,699.65,10940.0,4
HCPCS,68200,Treat eyelid by injection,,,157.67,6979.0,4
HCPCS,68320,Revise/graft eyelid lining,,,2517.23,10940.0,4
HCPCS,68325,Revise/graft eyelid lining,,,3022.95,12821.0,4
HCPCS,68326,Revise/graft eyelid lining,,,2979.29,12821.0,4
HCPCS,68328,Revise/graft eyelid lining,,,3234.36,10940.0,4
HCPCS,68330,Revise eyelid lining,,,2138.49,10940.0,4
HCPCS,68335,Revise/graft eyelid lining,,,2986.52,12821.0,4
HCPCS,68340,Separate eyelid adhesions,,,1941.97,10940.0,4
HCPCS,68360,Revise eyelid lining,,,1910.94,12821.0,4
HCPCS,68362,Revise eyelid lining,,,3017.66,10940.0,4
HCPCS,68371,Harvest eye tissue alograft,,,1929.29,10940.0,4
HCPCS,68399,Eyelid lining surgery,,,2505.0,6979.0,3
HCPCS,68400,Incise/drain tear gland,,,609.64,5664.0,4
HCPCS,68420,Incise/drain tear sac,,,762.99,4497.0,4
HCPCS,68440,Incise tear duct opening,,,483.27,3195.0,4
HCPCS,68500,Removal of tear gland,,,4950.34,12821.0,4
HCPCS,68505,Partial removal tear gland,,,4929.79,12821.0,4
HCPCS,68510,Biopsy of tear gland,,,1282.36,10940.0,4
HCPCS,68520,Removal of tear sac,,,3458.13,12821.0,4
HCPCS,68525,Biopsy of tear sac,,,1134.51,10940.0,4
HCPCS,68530,Clearance of tear duct,,,1153.77,3195.0,4
HCPCS,68540,Remove tear gland lesion,,,4559.13,10940.0,4
HCPCS,68550,Remove tear gland lesion,,,5248.0,12821.0,4
HCPCS,68700,Repair tear ducts,,,2785.74,10940.0,4
HCPCS,68705,Revise tear duct opening,,,772.28,3195.0,4
HCPCS,68720,Create tear sac drain,,,3783.08,12821.0,4
HCPCS,68745,Create tear duct drain,,,3795.87,12821.0,4
HCPCS,68750,Create tear duct drain,,,4021.96,12821.0,4
HCPCS,68760,Close tear duct opening,,,685.78,3195.0,4
HCPCS,68761,Close tear duct opening,,,551.9,3195.0,4
HCPCS,68770,Close tear system fistula,,,2889.18,5363.0,4
HCPCS,68800,Description Not Available,,,6979.0,6979.0,1
HCPCS,68801,Dilate tear duct opening,,,381.71,6979.0,4
HCPCS,68810,Probe nasolacrimal duct,,,602.68,3195.0,4
HCPCS,68811,Probe nasolacrimal duct,,,634.79,10940.0,4
HCPCS,68815,Probe nasolacrimal duct,,,1037.43,10940.0,4
HCPCS,68816,Probe nl duct w/balloon,,,722.96,10940.0,4
HCPCS,68820,Description Not Available,,,6979.0,6979.0,1
HCPCS,68825,Description Not Available,,,6979.0,6979.0,1
HCPCS,68830,Description Not Available,,,6979.0,6979.0,1
HCPCS,68840,Explore/irrigate tear ducts,,,558.27,3195.0,4
HCPCS,68841,Insj rx elut implt lac canal,,,149.04,10940.0,4
HCPCS,68850,Injection for tear sac x-ray,,,249.13,3195.0,4
HCPCS,68899,Tear duct system surgery,,,2505.0,6979.0,3
HCPCS,69000,Drain external ear lesion,,,640.78,4497.0,4
HCPCS,69005,Drain external ear lesion,,,803.95,5664.0,4
HCPCS,69020,Drain outer ear canal lesion,,,718.26,4497.0,4
HCPCS,69090,Pierce earlobes,,,5097.0,6979.0,3
HCPCS,69100,Biopsy of external ear,,,206.13,6979.0,4
HCPCS,69105,Biopsy of external ear canal,,,313.78,6979.0,4
HCPCS,69110,Remove external ear partial,,,1627.27,5664.0,4
HCPCS,69120,Removal of external ear,,,1949.09,10940.0,4
HCPCS,69140,Remove ear canal lesion(s),,,4108.0,10940.0,4
HCPCS,69145,Remove ear canal lesion(s),,,1282.63,5664.0,4
HCPCS,69150,Extensive ear canal surgery,,,4951.86,10940.0,4
HCPCS,69155,Extensive ear/neck surgery,,,5097.0,7891.0,4
HCPCS,69200,Clear outer ear canal,,,232.19,6979.0,4
HCPCS,69205,Clear outer ear canal,,,477.55,5664.0,4
HCPCS,69209,Remove impacted ear wax uni,,,88.87,3195.0,4
HCPCS,69210,Remove impacted ear wax uni,,,151.14,3195.0,4
HCPCS,69220,Clean out mastoid cavity,,,247.41,6979.0,4
HCPCS,69222,Clean out mastoid cavity,,,681.46,4108.0,4
HCPCS,69300,Revise external ear,,,2346.5,10940.0,4
HCPCS,69310,Rebuild outer ear canal,,,5248.0,14456.0,4
HCPCS,69320,Rebuild outer ear canal,,,7732.36,14456.0,4
HCPCS,69399,Outer ear surgery procedure,,,2505.0,6979.0,3
HCPCS,69420,Incision of eardrum,,,600.74,5248.0,4
HCPCS,69421,Incision of eardrum,,,750.04,5664.0,4
HCPCS,69424,Remove ventilating tube,,,301.47,12821.0,4
HCPCS,69433,Create eardrum opening,,,649.68,5248.0,4
HCPCS,69436,Create eardrum opening,,,789.22,5664.0,4
HCPCS,69440,Exploration of middle ear,,,3389.39,10940.0,4
HCPCS,69450,Eardrum revision,,,2687.69,14456.0,4
HCPCS,69501,Mastoidectomy,,,3479.23,14456.0,4
HCPCS,69502,Mastoidectomy,,,4609.69,10940.0,4
HCPCS,69505,Remove mastoid structures,,,6106.49,14456.0,4
HCPCS,69511,Extensive mastoid surgery,,,6244.31,14456.0,4
HCPCS,69530,Extensive mastoid surgery,,,8310.76,14456.0,4
HCPCS,69535,Remove part of temporal bone,,,5097.0,13006.52,4
HCPCS,69540,Remove ear lesion,,,647.68,5664.0,4
HCPCS,69550,Remove ear lesion,,,5292.13,14456.0,4
HCPCS,69552,Remove ear lesion,,,7802.18,14456.0,4
HCPCS,69554,Remove ear lesion,,,5097.0,12312.27,4
HCPCS,69601,Mastoid surgery revision,,,4961.62,14456.0,4
HCPCS,69602,Mastoid surgery revision,,,5284.3,14456.0,4
HCPCS,69603,Mastoid surgery revision,,,6372.24,14456.0,4
HCPCS,69604,Mastoid surgery revision,,,5397.03,14456.0,4
HCPCS,69610,Repair of eardrum,,,1382.78,10940.0,4
HCPCS,69620,Repair of eardrum,,,2463.65,10940.0,4
HCPCS,69631,Repair eardrum structures,,,4342.86,14456.0,4
HCPCS,69632,Rebuild eardrum structures,,,5288.73,14456.0,4
HCPCS,69633,Rebuild eardrum structures,,,5144.33,14456.0,4
HCPCS,69635,Repair eardrum structures,,,6400.84,14456.0,4
HCPCS,69636,Rebuild eardrum structures,,,6985.99,14456.0,4
HCPCS,69637,Rebuild eardrum structures,,,6960.08,14456.0,4
HCPCS,69641,Revise middle ear & mastoid,,,5070.3,14456.0,4
HCPCS,69642,Revise middle ear & mastoid,,,6482.97,14456.0,4
HCPCS,69643,Revise middle ear & mastoid,,,5954.43,14456.0,4
HCPCS,69644,Revise middle ear & mastoid,,,7450.42,14456.0,4
HCPCS,69645,Revise middle ear & mastoid,,,7335.59,14456.0,4
HCPCS,69646,Revise middle ear & mastoid,,,7794.25,14456.0,4
HCPCS,69650,Release middle ear bone,,,3913.88,10940.0,4
HCPCS,69660,Revise middle ear bone,,,4487.42,14456.0,4
HCPCS,69661,Revise middle ear bone,,,5837.12,14456.0,4
HCPCS,69662,Revise middle ear bone,,,5613.14,14456.0,4
HCPCS,69666,Repair middle ear structures,,,3934.44,10940.0,4
HCPCS,69667,Repair middle ear structures,,,3952.25,10940.0,4
HCPCS,69670,Remove mastoid air cells,,,4588.76,14456.0,4
HCPCS,69676,Remove middle ear nerve,,,4061.68,10940.0,4
HCPCS,69700,Close mastoid fistula,,,3269.92,5664.0,4
HCPCS,69705,Nps surg dilat eust tube uni,,,830.66,14456.0,4
HCPCS,69706,Nps surg dilat eust tube bi,,,1151.78,14456.0,4
HCPCS,69710,Implant/replace hearing aid,,,5248.0,14456.0,3
HCPCS,69711,Remove/repair hearing aid,,,3195.0,14456.0,4
HCPCS,69714,Implant Temple Bone W/Stimul,,,2403.43,25393.0,4
HCPCS,69716,Impltj oi implt skl tc esp,,,3007.46,22111.0,4
HCPCS,69717,Temple Bone Implant Revision,,,2713.97,14456.0,4
HCPCS,69719,Revj/rplcmt oi implt tc esp,,,3104.05,22111.0,4
HCPCS,69720,Release facial nerve,,,5805.61,14456.0,4
HCPCS,69725,Release facial nerve,,,6044.0,14456.0,4
HCPCS,69726,Rmvl oi implt skl perq esp,,,2318.5,12821.0,4
HCPCS,69727,Rmvl oi implt skl tc esp,,,2582.42,12821.0,4
HCPCS,69728,Rmv ntr oi imp sktc esp>=100,,,2866.03,12821.0,4
HCPCS,69729,Impl oi implt sk tc esp>=100,,,3257.94,22111.0,4
HCPCS,69730,Rplc oi implt sk tc esp>=100,,,3308.07,22111.0,4
HCPCS,69740,Repair facial nerve,,,5611.41,14456.0,4
HCPCS,69745,Repair facial nerve,,,5980.28,14456.0,4
HCPCS,69799,Middle ear surgery procedure,,,2505.0,3195.0,3
HCPCS,69801,Incise inner ear,,,599.33,6044.0,4
HCPCS,69805,Explore inner ear,,,4997.72,14456.0,4
HCPCS,69806,Explore inner ear,,,4480.68,14456.0,4
HCPCS,69905,Remove inner ear,,,4468.91,14456.0,4
HCPCS,69910,Remove inner ear & mastoid,,,4811.83,14456.0,4
HCPCS,69915,Incise inner ear nerve,,,7245.26,14456.0,4
HCPCS,69930,Implant cochlear device,,,5854.66,97285.0,4
HCPCS,69949,Inner ear surgery procedure,,,2505.0,3195.0,3
HCPCS,69950,Incise inner ear nerve,,,5097.0,8395.96,4
HCPCS,69955,Release facial nerve,,,5363.0,14456.0,4
HCPCS,69960,Release inner ear canal,,,6979.0,14456.0,4
HCPCS,69970,Remove inner ear lesion,,,5363.0,14456.0,4
HCPCS,69979,Temporal bone surgery,,,2505.0,3195.0,3
HCPCS,69990,Microsurgery add-on,,,1185.5,3195.0,4
HCPCS,70010,Contrast x-ray of brain,,,275.03,859.16,3
HCPCS,70015,Contrast x-ray of brain,,,545.48,1531.85,3
HCPCS,70015,"HC X-RAY EXAM OF EYE, DETECTION OF FOREIGN BODY",2541.0,2541.0,,,0
HCPCS,70030,"HC MANDIBLE, MIN 4 VIEWS",270.0,270.0,,,0
HCPCS,70030,X-ray eye for foreign body,,,125.03,179.57,3
HCPCS,70100,X-ray exam of jaw <4views,,,162.96,179.57,3
HCPCS,70110,"HC  FACIAL BONES, MIN 3 VIEWS",549.0,549.0,,,0
HCPCS,70110,X-ray exam of jaw 4/> views,,,162.96,252.18,3
HCPCS,70120,X-ray exam of mastoids,,,156.05,252.18,3
HCPCS,70130,X-ray exam of mastoids,,,233.59,252.18,3
HCPCS,70134,X-ray exam of middle ear,,,230.14,1083.56,3
HCPCS,70140,X-ray exam of facial bones,,,114.72,179.57,3
HCPCS,70150,"HC  NASAL BONES, MIN 3 VIEWS",549.0,549.0,,,0
HCPCS,70150,X-ray exam of facial bones,,,178.45,252.18,3
HCPCS,70160,"HC  ORBITS, MIN 4 VIEWS",347.0,347.0,,,0
HCPCS,70160,X-ray exam of nasal bones,,,150.87,179.57,3
HCPCS,70170,X-ray exam of tear duct,,,524.34,524.34,2
HCPCS,70190,X-ray exam of eye sockets,,,137.11,179.57,3
HCPCS,70200,"HC  SINUSES, PARANASAL, LESS THAN 3 VIEWS",618.0,618.0,,,0
HCPCS,70200,X-ray exam of eye sockets,,,174.99,252.18,3
HCPCS,70210,"HC  SINUSES, PARANASAL, MIN 3 VIEWS",428.0,428.0,,,0
HCPCS,70210,X-ray exam of sinuses,,,125.03,179.57,3
HCPCS,70220,"HC  SKULL, LESS THAN 4 VIEWS",602.0,602.0,,,0
HCPCS,70220,X-ray exam of sinuses,,,142.29,179.57,3
HCPCS,70240,X-ray exam pituitary saddle,,,119.9,179.57,3
HCPCS,70250,"HC  SKULL, MIN 4 VIEWS",692.0,692.0,,,0
HCPCS,70250,X-ray exam of skull,,,140.57,252.18,3
HCPCS,70260,HC MRI OF TEMPOROMANDIBULAR JOINT(S),800.0,800.0,,,0
HCPCS,70260,X-ray exam of skull,,,159.51,252.18,3
HCPCS,70300,X-ray exam of teeth,,,47.48,179.57,3
HCPCS,70310,X-ray exam of teeth,,,180.17,524.34,3
HCPCS,70320,Full mouth x-ray of teeth,,,235.32,524.34,3
HCPCS,70320,HC FINGER CAST MATERIAL,166.0,166.0,,,0
HCPCS,70328,X-ray exam of jaw joint,,,131.93,179.57,3
HCPCS,70330,X-ray exam of jaw joints,,,179.57,218.11,3
HCPCS,70332,X-ray exam of jaw joint,,,283.56,524.34,3
HCPCS,70336,"HC  NECK, SOFT TISSUE",3541.0,3541.0,,,0
HCPCS,70336,Magnetic image jaw joint,,,524.34,994.43,3
HCPCS,70350,X-ray head for orthodontia,,,50.94,179.57,3
HCPCS,70355,DEAC 11/01/2023 HC ADM SARSCV2 BVL 3 MCG/0.2ML 2ND DOSE,379.0,379.0,,,0
HCPCS,70355,Panoramic x-ray of jaws,,,49.21,179.57,3
HCPCS,70360,"HC CT HEAD OR BRAIN, W/O CONTRAST",445.0,445.0,,,0
HCPCS,70360,X-ray exam of neck,,,116.45,179.57,3
HCPCS,70370,Throat x-ray & fluoroscopy,,,179.57,438.64,3
HCPCS,70371,HC MRI LEXTREM W&WO CONTR,989.0,989.0,,,0
HCPCS,70371,Speech evaluation complex,,,362.83,524.34,3
HCPCS,70380,X-ray exam of salivary gland,,,149.15,179.57,3
HCPCS,70390,"HC FINE NEEDLE ASPIRATION BIOPSY, W/US GUIDANCE, 1ST LESION",1173.0,1173.0,,,0
HCPCS,70390,X-ray exam of salivary duct,,,481.7,524.34,3
HCPCS,70450,Ct head/brain w/o dye,,,252.18,347.29,3
HCPCS,70450,"HC CT HEAD OR BRAIN, W CONTRAST",1983.0,1983.0,,,0
HCPCS,70460,Ct head/brain w/dye,,,410.0,498.21,3
HCPCS,70460,"HC CT HEAD OR BRAIN, W & W/O CONTRAST",2056.0,2056.0,,,0
HCPCS,70470,Ct head/brain w/o & w/dye,,,410.0,592.97,3
HCPCS,70470,"HC CT ORBIT, SELLA, POSTERIOR FOSSA W/O CONTRAST",2455.0,2455.0,,,0
HCPCS,70471,Cta h&n c+ w/noncontrast img,,,1336.59,1336.59,1
HCPCS,70472,Ct cere prfu alys c+w/ct/cta,,,619.57,619.57,1
HCPCS,70473,Ct cere prfu aly c+wo ct/cta,,,1002.31,1002.31,1
HCPCS,70480,Ct orbit/ear/fossa w/o dye,,,252.18,513.7,3
HCPCS,70480,"HC CT ORBIT, SELLA, POSTERIOR FOSSA W CONTRAST",2160.0,2160.0,,,0
HCPCS,70481,Ct orbit/ear/fossa w/dye,,,410.0,660.15,3
HCPCS,70481,"HC CT ORBIT, SELLA, P. FOSSA W/O & W CONTRAST",2238.0,2238.0,,,0
HCPCS,70482,Ct orbit/ear/fossa w/o&w/dye,,,410.0,780.75,3
HCPCS,70482,HC CT MAXILLOFACIAL W/O CONTRAST,2455.0,2455.0,,,0
HCPCS,70486,Ct maxillofacial w/o dye,,,252.18,457.58,3
HCPCS,70486,HC CT MAXILLOFACIAL W/CONTRAST,1983.0,1983.0,,,0
HCPCS,70487,Ct maxillofacial w/dye,,,410.0,515.43,3
HCPCS,70487,HC CT MAXILLOFACIAL W/O & W/CONTRAST,2351.0,2351.0,,,0
HCPCS,70488,Ct maxillofacial w/o & w/dye,,,410.0,649.84,3
HCPCS,70488,HC CT SOFT TISSUE NECK W/O CONTRAST,2455.0,2455.0,,,0
HCPCS,70490,Ct soft tissue neck w/o dye,,,252.18,467.94,3
HCPCS,70490,HC CT SOFT TISSUE NECK W/CONTRAST,1643.0,1643.0,,,0
HCPCS,70491,Ct soft tissue neck w/dye,,,410.0,620.54,3
HCPCS,70491,HC CT SOFT TISSUE NECK W/O & W/CONTRAST,2374.0,2374.0,,,0
HCPCS,70492,Ct sft tsue nck w/o & w/dye,,,410.0,754.95,3
HCPCS,70492,HC CT ANGIO HEAD W/CONTRAST MATERIAL(S),2579.0,2579.0,,,0
HCPCS,70496,Ct angiography head,,,410.0,1002.31,3
HCPCS,70496,HC CT ANGIO NECK W/CONTRAST MATERIAL(S),1472.0,1472.0,,,0
HCPCS,70498,Ct angiography neck,,,410.0,1002.31,3
HCPCS,70498,HC MRI ORBIT/FACE/NECK W/O CONTRAST,1456.0,1456.0,,,0
HCPCS,70540,HC MRI ORBIT/FACE/NECK W/CONTRAST,4420.0,4420.0,,,0
HCPCS,70540,Mri orbit/face/neck w/o dye,,,524.34,841.07,3
HCPCS,70542,HC MRI ORBIT/FACE/NECK W/O & W/CONTRAST,4863.0,4863.0,,,0
HCPCS,70542,Mri Orbit/Face/Neck W/Dye,,,859.16,993.67,3
HCPCS,70543,HC MRA HEAD W/O CONTRAST,6796.0,6796.0,,,0
HCPCS,70543,Mri orbt/fac/nck w/o &w/dye,,,859.16,1231.48,3
HCPCS,70544,HC MRA HEAD W CONTRAST,4202.0,4202.0,,,0
HCPCS,70544,Mr Angiography Head W/O Dye,,,524.34,826.56,3
HCPCS,70545,HC MRA HEAD W & W/O CONTRAST,4622.0,4622.0,,,0
HCPCS,70545,Mr Angiography Head W/Dye,,,859.16,886.89,3
HCPCS,70546,HC MRA NECK W/O CONTRAST,7398.0,7398.0,,,0
HCPCS,70546,Mr angiograph head w/o&w/dye,,,859.16,1344.47,3
HCPCS,70547,HC MRA NECK W CONTRAST,3927.0,3927.0,,,0
HCPCS,70547,Mr Angiography Neck W/O Dye,,,524.34,826.56,3
HCPCS,70548,HC MRA NECK W & W/O CONTRAST,4114.0,4114.0,,,0
HCPCS,70548,Mr Angiography Neck W/Dye,,,859.16,914.41,3
HCPCS,70549,HC MRI BRAIN W/O CONTRAST,7398.0,7398.0,,,0
HCPCS,70549,Mr angiograph neck w/o&w/dye,,,859.16,1349.59,3
HCPCS,70551,HC MRI BRAIN W CONTRAST,3952.0,3952.0,,,0
HCPCS,70551,Mri brain stem w/o dye,,,524.34,660.15,3
HCPCS,70552,HC MRI BRAIN W & W/O CONTRAST,4680.0,4680.0,,,0
HCPCS,70552,Mri brain stem w/dye,,,859.16,967.83,3
HCPCS,70553,"HC MRI BRAIN,  FUNCTIONAL, BY TECH",6287.0,6287.0,,,0
HCPCS,70553,Mri brain stem w/o & w/dye,,,859.16,1095.33,3
HCPCS,70554,Fmri brain by tech,,,524.34,1447.8,3
HCPCS,70554,"HC MRI BRAIN,  FUNCTIONAL, BY PHYSICIAN/PSYCH",1013.0,1013.0,,,0
HCPCS,70555,Fmri brain by phys/psych,,,524.34,524.34,2
HCPCS,70555,"HC RIBS X-RAY, UNILAT, MIN 3 VIEWS INCL CHEST",1424.0,1424.0,,,0
HCPCS,70557,Mri brain w/o dye,,,1083.56,1083.56,2
HCPCS,70558,Mri brain w/dye,,,410.0,410.0,2
HCPCS,70559,Mri brain w/o & w/dye,,,410.0,410.0,2
HCPCS,71045,"HC IMMUNOGLOBULIN; IGA, IGD, IGG, IGM EACH",795.0,795.0,,,0
HCPCS,71045,X-ray exam chest 1 view,,,88.87,179.57,3
HCPCS,71046,HC CINE OR VIDEO SPEECH EVAL,15.0,15.0,,,0
HCPCS,71046,"HC ENDOMYSIAL AB (EMA), EA IMMUNOGLOBULIN (IG) CLASS",1118.0,1118.0,,,0
HCPCS,71046,X-ray exam chest 2 views,,,119.9,179.57,3
HCPCS,71047,HC X-RAY EXAM OF RIBS 2 VIEWS UNILAT,1440.0,1440.0,,,0
HCPCS,71047,X-ray exam chest 3 views,,,147.42,179.57,3
HCPCS,71048,HC X-RAY EXAM OF RIBS 3 VIEWS BILAT,1536.0,1536.0,,,0
HCPCS,71048,X-ray exam chest 4+ views,,,157.78,252.18,3
HCPCS,71100,"HC RAD EXM, UGI, W/SCOUT ABD RAD(S) & DELAY IMG(S); WHEN PERF; SNGL STDY",361.0,361.0,,,0
HCPCS,71100,X-ray exam ribs uni 2 views,,,133.66,179.57,3
HCPCS,71101,"HC RIBS X-RAY, BILAT, MIN 4 VIEWS INCL CHEST",538.0,538.0,,,0
HCPCS,71101,X-ray exam unilat ribs/chest,,,150.87,252.18,3
HCPCS,71110,"HC RAD EXM, UGI, W/SCOUT ABD RAD(S) & DELAY IMG(S); WHEN PERF; DBL STDY",604.0,604.0,,,0
HCPCS,71110,X-ray exam ribs bil 3 views,,,152.6,252.18,3
HCPCS,71111,HC STERNUM X-RAY MIN 2 VIEWS,619.0,619.0,,,0
HCPCS,71111,X-ray exam ribs/chest4/> vws,,,188.81,252.18,3
HCPCS,71120,HC STERNOCLAVICULAR JT(S) X-RAY MIN 3 VIEWS,305.0,305.0,,,0
HCPCS,71120,X-ray exam breastbone 2/>vws,,,123.3,179.57,3
HCPCS,71130,HC DX CT THORAX W/O CONTRAST,355.0,355.0,,,0
HCPCS,71130,X-ray strenoclavic jt 3/>vws,,,161.23,179.57,3
HCPCS,71250,Ct thorax w/o dye,,,252.18,430.01,3
HCPCS,71250,HC DX CT THORAX W CONTRAST,2476.0,2476.0,,,0
HCPCS,71260,Ct thorax w/dye,,,410.0,584.33,3
HCPCS,71260,HC DX CT THORAX W & W/O CONTRAST,2965.0,2965.0,,,0
HCPCS,71270,Ct thorax w/o & w/dye,,,410.0,715.29,3
HCPCS,71270,HC MRI CHEST W/O CONTRAST,3064.0,3064.0,,,0
HCPCS,71271,Ct thorax lung cancer scr c-,,,182.03,449.97,3
HCPCS,71275,Ct angiography chest,,,410.0,1019.52,3
HCPCS,71275,HC MRI CHEST W & W/O CONTRAST,1759.0,1759.0,,,0
HCPCS,71550,HC MRA CHEST W OR W/O CONTRAST,3595.0,3595.0,,,0
HCPCS,71550,Mri chest w/o dye,,,524.34,1377.92,3
HCPCS,71551,Mri Chest W/Dye,,,1508.88,1531.85,3
HCPCS,71552,"HC  SPINE, SINGLE VIEW, SPECIFY LEVEL",6859.0,6859.0,,,0
HCPCS,71552,Mri chest w/o & w/dye,,,859.16,1871.71,3
HCPCS,71555,"HC  SPINE, CERVICAL, 2 OR 3 VIEWS",7608.0,7608.0,,,0
HCPCS,71555,Mri angio chest w or w/o dye,,,671.54,1303.08,3
HCPCS,72020,"HC  SPINE, CERVICAL, MIN 4 VIEWS",414.0,414.0,,,0
HCPCS,72020,X-ray exam of spine 1 view,,,83.69,179.57,3
HCPCS,72040,"HC  SPINE, CERVICAL, COMPLETE",551.0,551.0,,,0
HCPCS,72040,X-ray exam neck spine 2-3 vw,,,152.6,179.57,3
HCPCS,72050,"HC  SPINE, THORAX, 2 VIEWS",662.0,662.0,,,0
HCPCS,72050,X-ray exam neck spine 4/5vws,,,218.11,252.18,3
HCPCS,72052,"HC  SPINE, THORAX, MIN 4 VIEWS",1092.0,1092.0,,,0
HCPCS,72052,X-ray exam neck spine 6/>vws,,,250.81,252.18,3
HCPCS,72070,"HC  SPINE, THORACOLUMBAR, 2 VIEWS",662.0,662.0,,,0
HCPCS,72070,X-ray exam thorac spine 2vws,,,121.57,252.18,3
HCPCS,72072,X-ray exam thorac spine 3vws,,,147.42,252.18,3
HCPCS,72074,"HC  SPINE, LUMBOSACRAL, 2 OR 3 VIEWS",694.0,694.0,,,0
HCPCS,72074,X-ray exam thorac spine4/>vw,,,169.87,252.18,3
HCPCS,72080,"HC  SPINE, LUMBOSACRAL, MIN 4 VIEWS",313.0,313.0,,,0
HCPCS,72080,X-ray exam thoracolmb 2/> vw,,,130.21,179.57,3
HCPCS,72081,HC INFECTIOUS AGENT DRUG SUSCEPTIBILITY PHENOTYPE,422.0,422.0,,,0
HCPCS,72081,X-ray exam entire spi 1 vw,,,162.96,179.57,3
HCPCS,72082,HC SOMATOSENSORY TESTING; UPPER & LOWER LIMBS,701.0,701.0,,,0
HCPCS,72082,X-ray exam entire spi 2/3 vw,,,252.18,293.92,3
HCPCS,72083,HC CENTRAL MOTOR EVOKED UPPER & LOWER LIMBS,416.0,416.0,,,0
HCPCS,72083,X-ray exam entire spi 4/5 vw,,,252.18,324.89,3
HCPCS,72084,"HC INFECTIOUS AGENT GENOTYPE ANALYSIS BY NUCLEIC ACID, RT/PR",845.0,845.0,,,0
HCPCS,72084,X-ray exam entire spi 6/> vw,,,252.18,408.59,3
HCPCS,72100,"HC CT CERVICAL SPINE, W/O CONTRAST",563.0,563.0,,,0
HCPCS,72100,X-ray exam l-s spine 2/3 vws,,,154.33,252.18,3
HCPCS,72110,"HC CT CERVICAL SPINE, W CONTRAST",626.0,626.0,,,0
HCPCS,72110,X-ray exam l-2 spine 4/>vws,,,211.2,252.18,3
HCPCS,72114,X-ray exam l-s spine bending,,,245.68,252.18,3
HCPCS,72120,HC INSERT CATHETER RENAL ARTERY 1ST UNILATERAL,549.0,549.0,,,0
HCPCS,72120,X-ray bend only l-s spine,,,162.96,252.18,3
HCPCS,72125,Ct neck spine w/o dye,,,252.18,435.19,3
HCPCS,72125,"HC CT  THORACIC SPINE, W/O CONTRAST",2574.0,2574.0,,,0
HCPCS,72126,Ct neck spine w/dye,,,580.88,859.16,3
HCPCS,72126,"HC CT THORACIC SPINE, W CONTRAST",2696.0,2696.0,,,0
HCPCS,72127,Ct neck spine w/o & w/dye,,,410.0,713.57,3
HCPCS,72128,Ct chest spine w/o dye,,,252.18,433.46,3
HCPCS,72128,"HC CT LUMBAR SPINE, W/O CONTRAST",2451.0,2451.0,,,0
HCPCS,72129,Ct chest spine w/dye,,,410.0,586.06,3
HCPCS,72129,"HC CT  LUMBAR SPINE, W CONTRAST",2696.0,2696.0,,,0
HCPCS,72130,Ct chest spine w/o & w/dye,,,410.0,722.2,3
HCPCS,72131,Ct lumbar spine w/o dye,,,252.18,431.73,3
HCPCS,72131,"HC MRI SPINE CERVICAL, W/O CONTRAST",2152.0,2152.0,,,0
HCPCS,72132,Ct lumbar spine w/dye,,,582.61,859.16,3
HCPCS,72132,"HC MRI SPINE CERVICAL, W CONTRAST",2364.0,2364.0,,,0
HCPCS,72133,Ct lumbar spine w/o & w/dye,,,410.0,715.29,3
HCPCS,72141,"HC MRI SPINE THORACIC, W/O CONTRAST",4466.0,4466.0,,,0
HCPCS,72141,Mri neck spine w/o dye,,,524.34,634.3,3
HCPCS,72142,"HC MRI SPINE THORACIC, W CONTRAST",4663.0,4663.0,,,0
HCPCS,72142,Mri neck spine w/dye,,,859.16,988.49,3
HCPCS,72146,"HC MRI SPINE LUMBAR, W/O CONTRAST",4588.0,4588.0,,,0
HCPCS,72146,Mri chest spine w/o dye,,,524.34,632.57,3
HCPCS,72147,"HC MRI SPINE LUMBAR, W CONTRAST",4806.0,4806.0,,,0
HCPCS,72147,Mri chest spine w/dye,,,859.16,978.19,3
HCPCS,72148,"HC MRI SPINE CERVICAL, W & W/O CONTRAST",4027.0,4027.0,,,0
HCPCS,72148,Mri lumbar spine w/o dye,,,524.34,637.75,3
HCPCS,72149,"HC MRI SPINE THORACIC, W & W/O CONTRAST",4370.0,4370.0,,,0
HCPCS,72149,Mri lumbar spine w/dye,,,859.16,969.55,3
HCPCS,72156,"HC MRI SPINE LUMBAR, W & W/O CONTRAST",7250.0,7250.0,,,0
HCPCS,72156,Mri neck spine w/o & w/dye,,,859.16,1098.79,3
HCPCS,72157,HC MRA SPINE W OR W/O CONTRAST,6807.0,6807.0,,,0
HCPCS,72157,Mri chest spine w/o & w/dye,,,859.16,1102.24,3
HCPCS,72158,"HC RAD EXAM PELVIS, 1 OR 2 VIEWS",6141.0,6141.0,,,0
HCPCS,72158,Mri lumbar spine w/o & w/dye,,,859.16,1100.51,3
HCPCS,72159,"HC RAD EXAM PELVIS, MIN 3 VIEWS",5460.0,5460.0,,,0
HCPCS,72159,Mr angio spine w/o&w/dye,,,703.22,1318.62,3
HCPCS,72170,HC CTA PELVIS W & W/O CONTRAST,631.0,631.0,,,0
HCPCS,72170,X-ray exam of pelvis,,,102.63,252.18,3
HCPCS,72190,HC CT PELVIS W/O CONTRAST,428.0,428.0,,,0
HCPCS,72190,X-ray exam of pelvis,,,161.23,252.18,3
HCPCS,72191,Ct angiograph pelv w/o&w/dye,,,410.0,1145.3,3
HCPCS,72191,HC CT PELVIS W CONTRAST,1303.0,1303.0,,,0
HCPCS,72192,Ct pelvis w/o dye,,,252.18,428.28,3
HCPCS,72192,HC CT PELVIS W & W/O CONTRAST,2358.0,2358.0,,,0
HCPCS,72193,Ct pelvis w/dye,,,410.0,891.04,3
HCPCS,72193,HC MRI PELVIS W/O CONTRAST,2698.0,2698.0,,,0
HCPCS,72194,Ct pelvis w/o & w/dye,,,410.0,1004.79,3
HCPCS,72194,HC MRI PELVIS W CONTRAST,2940.0,2940.0,,,0
HCPCS,72195,HC MRI PELVIS W & W/O CONTRAST,3577.0,3577.0,,,0
HCPCS,72195,Mri Pelvis W/O Dye,,,524.34,830.71,3
HCPCS,72196,"HC RAD EXAM SACROILIAC JOINTS, 3 OR MORE VIEWS",3935.0,3935.0,,,0
HCPCS,72196,Mri pelvis w/dye,,,859.16,976.46,3
HCPCS,72197,"HC RAD EXAM SACRUM AND COCCYX, MIN 2 VIEWS",5763.0,5763.0,,,0
HCPCS,72197,Mri pelvis w/o & w/dye,,,859.16,1203.9,3
HCPCS,72198,HC NOSE TO RECTUM FOR FB CHILD,8658.0,8658.0,,,0
HCPCS,72198,Mr angio pelvis w/o & w/dye,,,677.23,1315.17,3
HCPCS,72200,HC US INFANT HIPS; DYNAMIC,350.0,350.0,,,0
HCPCS,72200,X-ray exam si joints,,,131.93,252.18,3
HCPCS,72202,"HC MYELOGRAPHY, CERVICAL S & I",549.0,549.0,,,0
HCPCS,72202,X-ray exam si joints 3/> vws,,,147.42,252.18,3
HCPCS,72220,"HC MYELOGRAPHY, THORACIC S & I",362.0,362.0,,,0
HCPCS,72220,X-ray exam sacrum tailbone,,,123.3,179.57,3
HCPCS,72240,"HC MYELOGRAPHY, LUMBOSACRAL S & I",2023.0,2023.0,,,0
HCPCS,72240,Myelography neck spine,,,355.92,1531.85,3
HCPCS,72255,"HC MYELOGRAPHY, 2 OR MORE REGIONS S & I",1519.0,1519.0,,,0
HCPCS,72255,Myelography thoracic spine,,,321.44,1531.85,3
HCPCS,72265,"HC RAD EXAM CLAVICLE, COMPLETE",2023.0,2023.0,,,0
HCPCS,72265,Myelography l-s spine,,,362.83,1531.85,3
HCPCS,72270,"HC RAD EXAM SCAPULA, COMPLETE",1759.0,1759.0,,,0
HCPCS,72270,Myelogphy 2/> spine regions,,,380.04,1531.85,3
HCPCS,72285,Discography cerv/thor spine,,,454.13,3868.54,3
HCPCS,72295,X-ray of lower spine disk,,,423.1,3868.54,3
HCPCS,73000,"HC RAD EXAM SHOULDER, MIN 2 VIEWS",410.0,410.0,,,0
HCPCS,73000,X-ray exam of collar bone,,,131.93,179.57,3
HCPCS,73010,"HC RAD EXAM SHOULDER, ARTHROGRAPHY",347.0,347.0,,,0
HCPCS,73010,X-ray exam of shoulder blade,,,83.69,252.18,3
HCPCS,73020,X-ray exam of shoulder,,,75.06,179.57,3
HCPCS,73030,"HC RAD EXAM ACROMIOCLAVICULAR JOINTS, BILAT",631.0,631.0,,,0
HCPCS,73030,X-ray exam of shoulder,,,138.84,179.57,3
HCPCS,73040,Contrast x-ray of shoulder,,,557.51,859.16,3
HCPCS,73040,"HC RAD EXAM HUMERUS, MIN 2 VIEWS",1970.0,1970.0,,,0
HCPCS,73050,"HC RAD EXAM ELBOW, 2 VIEWS",457.0,457.0,,,0
HCPCS,73050,X-ray exam of shoulders,,,109.54,179.57,3
HCPCS,73060,"HC RAD EXAM ELBOW, MIN 3 VIEWS",414.0,414.0,,,0
HCPCS,73060,X-ray exam of humerus,,,125.03,179.57,3
HCPCS,73070,"HC RAD EXAM ELBOW, ARTHROGRAPHY",414.0,414.0,,,0
HCPCS,73070,X-ray exam of elbow,,,111.27,179.57,3
HCPCS,73080,"HC RAD EXAM FOREARM, 2 VIEWS",456.0,456.0,,,0
HCPCS,73080,X-ray exam of elbow,,,128.48,179.57,3
HCPCS,73085,Contrast x-ray of elbow,,,368.01,859.16,3
HCPCS,73085,HC RAD EXAM UPPER EXT INFANT MIN 2 VIEWS,1584.0,1584.0,,,0
HCPCS,73090,"HC RAD EXAM WRIST, 2 VIEWS",414.0,414.0,,,0
HCPCS,73090,X-ray exam of forearm,,,111.27,179.57,3
HCPCS,73092,"HC RAD EXAM WRIST, MIN 3 VIEWS",414.0,414.0,,,0
HCPCS,73092,X-ray exam of arm infant,,,119.9,252.18,3
HCPCS,73100,HC RAD EXAM WRIST ARTHROGRAPHY,414.0,414.0,,,0
HCPCS,73100,X-ray exam of wrist,,,135.39,179.57,3
HCPCS,73110,"HC RAD EXAM HAND, 2 VIEWS",414.0,414.0,,,0
HCPCS,73110,X-ray exam of wrist,,,176.72,179.57,3
HCPCS,73115,Contrast x-ray of wrist,,,548.88,859.16,3
HCPCS,73115,"HC RAD EXAM HAND, MIN 3 VIEWS",2334.0,2334.0,,,0
HCPCS,73120,"HC RAD EXAM FINGER(S), MIN 2 VIEWS",428.0,428.0,,,0
HCPCS,73120,X-ray exam of hand,,,121.57,252.18,3
HCPCS,73130,HC CT UPPER EXT W/O CONTRAST,414.0,414.0,,,0
HCPCS,73130,X-ray exam of hand,,,152.6,179.57,3
HCPCS,73140,HC CT UPPER EXT W CONTRAST,414.0,414.0,,,0
HCPCS,73140,X-ray exam of finger(s),,,169.87,179.57,3
HCPCS,73200,Ct upper extremity w/o dye,,,252.18,591.24,3
HCPCS,73200,HC CTA UPPER EXT W & W/O CONTRAST,1723.0,1723.0,,,0
HCPCS,73201,Ct upper extremity w/dye,,,754.95,859.16,3
HCPCS,73201,HC MRI UPPER EXT NOT JOINT W/O CONTRAST,2052.0,2052.0,,,0
HCPCS,73202,Ct uppr extremity w/o&w/dye,,,410.0,984.07,3
HCPCS,73202,"HC FINE NEEDLE ASPIRATION BIOPSY, W/US GUIDANCE, EA ADDL LESION",2342.0,2342.0,,,0
HCPCS,73206,Ct angio upr extrm w/o&w/dye,,,410.0,1102.24,3
HCPCS,73206,HC MRI UPPER EXT NOT JOINT W & W/O CONTRAST,1456.0,1456.0,,,0
HCPCS,73218,HC MRI UPPER EXT ANY JOINT W/O CONTRAST,3422.0,3422.0,,,0
HCPCS,73218,Mri Upper Extremity W/O Dye,,,524.34,1243.51,3
HCPCS,73219,Mri Upper Extremity W/Dye,,,859.16,1317.6,3
HCPCS,73220,HC MRI UPPER EXT ANY JOINT W CONTRAST,6843.0,6843.0,,,0
HCPCS,73220,Mri uppr extremity w/o&w/dye,,,859.16,1589.12,3
HCPCS,73221,HC MRI UPPER EXT ANY JOINT W & W/O CONTRAST,3774.0,3774.0,,,0
HCPCS,73221,Mri joint upr extrem w/o dye,,,524.34,734.23,3
HCPCS,73222,HC MRA UPPER EXT W OR W/O CONTRAST,3894.0,3894.0,,,0
HCPCS,73222,Mri joint upr extrem w/dye,,,1228.02,1531.85,3
HCPCS,73223,HC RAD EXAM HIP ARTHROGRAPHY,6843.0,6843.0,,,0
HCPCS,73223,Mri joint upr extr w/o&w/dye,,,859.16,1465.77,3
HCPCS,73225,HC RAD EXAM KNEE 1 OR 2 VIEWS,6814.0,6814.0,,,0
HCPCS,73225,Mr angio upr extr w/o&w/dye,,,703.22,1270.38,3
HCPCS,73501,"HC INFECTIOUS AGENT GENOTYPE ANALYSIS BY NUCLEIC ACID, OTHER REGION",229.0,229.0,,,0
HCPCS,73501,X-ray exam hip uni 1 view,,,128.48,179.57,3
HCPCS,73502,HC INSERTION/REPLACEMENT SUBCUTANEOUS DEFIBRILLATOR,464.0,464.0,,,0
HCPCS,73502,X-ray exam hip uni 2-3 views,,,179.57,197.39,3
HCPCS,73503,X-ray exam hip uni 4/> views,,,252.18,255.99,3
HCPCS,73521,HC INSERT SUBCUTANEOUS IMPLANTABLE DEFIBRILLATOR ELECTRODE,673.0,673.0,,,0
HCPCS,73521,X-ray exam hips bi 2 views,,,161.23,252.18,3
HCPCS,73522,X-ray exam hips bi 3-4 views,,,209.47,252.18,3
HCPCS,73523,X-ray exam hips bi 5/> views,,,242.23,252.18,3
HCPCS,73525,Contrast x-ray of hip,,,542.03,859.16,3
HCPCS,73525,HC RAD EXAM KNEE 3 VIEWS,1642.0,1642.0,,,0
HCPCS,73551,HC REMOVAL OF SUBCUTANEOUS IMPLANTABLE DEFIBRILLATOR,205.0,205.0,,,0
HCPCS,73551,X-ray exam of femur 1,,,111.27,179.57,3
HCPCS,73552,HC REPOSITIONING PREVIOUS  IMPLANTED SUBQ DEFIB ELECTRODE,603.0,603.0,,,0
HCPCS,73552,X-ray exam of femur 2/>,,,140.57,179.57,3
HCPCS,73560,HC RAD EXAM KNEE 4 OR MORE VIEWS,414.0,414.0,,,0
HCPCS,73560,X-ray exam of knee 1 or 2,,,137.11,179.57,3
HCPCS,73562,HC RAD EXAM BOTH KNEES STANDING AP MIN 3 VIEWS,662.0,662.0,,,0
HCPCS,73562,X-ray exam of knee 3,,,171.54,179.57,3
HCPCS,73564,HC RAD EXAM KNEE ARTHROGRAPHY,729.0,729.0,,,0
HCPCS,73564,X-ray exam knee 4 or more,,,199.11,252.18,3
HCPCS,73565,HC RAD EXAM TIBIA AND FIBULA 2 VIEWS,345.0,345.0,,,0
HCPCS,73565,X-ray exam of knees,,,174.99,179.57,3
HCPCS,73580,Contrast x-ray of knee joint,,,442.09,859.16,3
HCPCS,73580,HC RAD EXAM LOWER EXT INFANT MIN 2 VIEWS,1791.0,1791.0,,,0
HCPCS,73590,HC RAD EXAM ANKLE 2 VIEWS,414.0,414.0,,,0
HCPCS,73590,X-ray exam of lower leg,,,123.3,179.57,3
HCPCS,73592,HC RAD EXAM ANKLE MIN 3 VIEWS,623.0,623.0,,,0
HCPCS,73592,X-ray exam of leg infant,,,119.9,179.57,3
HCPCS,73600,HC RAD EXAM ANKLE ARTHROGRAPHY,305.0,305.0,,,0
HCPCS,73600,X-ray exam of ankle,,,126.75,179.57,3
HCPCS,73610,HC RAD EXAM FOOT MIN 3 VIEWS,662.0,662.0,,,0
HCPCS,73610,X-ray exam of ankle,,,149.15,179.57,3
HCPCS,73615,Contrast x-ray of ankle,,,542.03,859.16,3
HCPCS,73615,HC RAD EXAM CALCANEUS MIN 2 VIEWS,1477.0,1477.0,,,0
HCPCS,73620,HC LIVER & SPLEEN; STATIC ONLY,261.0,261.0,,,0
HCPCS,73620,X-ray exam of foot,,,109.54,179.57,3
HCPCS,73630,HC RAD EXAM TOE(S) MIN 2 VIEWS,414.0,414.0,,,0
HCPCS,73630,X-ray exam of foot,,,135.39,179.57,3
HCPCS,73650,HC CT LOWER EXT W/O CONTRAST,345.0,345.0,,,0
HCPCS,73650,X-ray exam of heel,,,107.81,179.57,3
HCPCS,73660,HC CT LOWER EXT W CONTRAST,431.0,431.0,,,0
HCPCS,73660,X-ray exam of toe(s),,,116.45,179.57,3
HCPCS,73700,Ct lower extremity w/o dye,,,252.18,433.46,3
HCPCS,73700,HC CT LOWER EXT W & W/O CONTRAST,2162.0,2162.0,,,0
HCPCS,73701,Ct lower extremity w/dye,,,410.0,582.61,3
HCPCS,73701,HC CTA LOWER EXT W/O & W CONTRAST,2264.0,2264.0,,,0
HCPCS,73702,Ct lwr extremity w/o&w/dye,,,410.0,718.75,3
HCPCS,73702,HC MRI LOWER EXT NOT JOINT W/O CONTRAST,2488.0,2488.0,,,0
HCPCS,73706,Ct angio lwr extr w/o&w/dye,,,410.0,1215.23,3
HCPCS,73706,HC MRI ANY JOINT LOWER EXT W/O CONTRAST,2488.0,2488.0,,,0
HCPCS,73718,HC MRI ANY JOINT LOWER EXT W/CONTRAST,3267.0,3267.0,,,0
HCPCS,73718,Mri Lower Extremity W/O Dye,,,524.34,829.04,3
HCPCS,73719,Mri Lower Extremity W/Dye,,,859.16,967.83,3
HCPCS,73720,HC LIVER & SPLEEN; W VASC FLOW,5290.0,5290.0,,,0
HCPCS,73720,Mri lwr extremity w/o&w/dye,,,859.16,1219.39,3
HCPCS,73721,HC MRI ANY JOINT LOWER EXT W/O & W CON,3125.0,3125.0,,,0
HCPCS,73721,Mri jnt of lwr extre w/o dye,,,524.34,732.51,3
HCPCS,73722,HC MRA LOWER EXT W/W/O CONTRAST,3749.0,3749.0,,,0
HCPCS,73722,Mri Joint Of Lwr Extr W/Dye,,,1240.05,1531.85,3
HCPCS,73723,"HC RAD EXM; COMPL ACUTE ABD SERIES, INCL 2+ VIEWS ABD, & SNGL VIEW CHEST",5929.0,5929.0,,,0
HCPCS,73723,Mri joint lwr extr w/o&w/dye,,,859.16,1458.92,3
HCPCS,73725,HC CT ABDOMEN W/O CONTRAST,6814.0,6814.0,,,0
HCPCS,73725,Mr ang lwr ext w or w/o dye,,,676.42,1315.17,3
HCPCS,74018,HC X-RAY EXAM CHEST 2 VIEWS,423.0,423.0,,,0
HCPCS,74018,X-ray exam abdomen 1 view,,,109.54,179.57,3
HCPCS,74019,HC X-RAY EXAM CHEST 3 VIEWS,678.0,678.0,,,0
HCPCS,74019,X-ray exam abdomen 2 views,,,131.93,252.18,3
HCPCS,74021,HC X-RAY EXAM CHEST 4 OR MORE VIEWS,755.0,755.0,,,0
HCPCS,74021,X-ray exam abdomen 3+ views,,,154.33,252.18,3
HCPCS,74022,HC CT ABDOMEN W CONTRAST,879.0,879.0,,,0
HCPCS,74022,X-ray exam series abdomen,,,178.45,252.18,3
HCPCS,74150,Ct abdomen w/o dye,,,252.18,421.37,3
HCPCS,74150,HC CT ABDOMEN W & W/O CONTRAST,1285.0,1285.0,,,0
HCPCS,74160,Ct abdomen w/dye,,,410.0,887.59,3
HCPCS,74160,HC CTA ABDOMEN W/O AND W CONTRAST,2614.0,2614.0,,,0
HCPCS,74170,Ct abdomen w/o & w/dye,,,410.0,1006.46,3
HCPCS,74170,HC CT ABDOMEN AND PELVIS W/O CONTRAST,2787.0,2787.0,,,0
HCPCS,74174,Ct angio abd&pelv w/o&w/dye,,,859.16,1435.77,3
HCPCS,74174,"DEAC 9/1/2020 HC PLATELETS PHERESIS LR, PEDS, EA UNIT",1692.0,1692.0,,,0
HCPCS,74175,Ct angio abdom w/o & w/dye,,,410.0,1143.57,3
HCPCS,74175,HC CT ABDOMEN AND PELVIS W CONTRAST,1520.0,1520.0,,,0
HCPCS,74176,Ct abd & pelvis w/o contrast,,,524.34,534.37,3
HCPCS,74176,HC CT ABDOMEN AND PELVIS W & W/O CONTRAST,4852.0,4852.0,,,0
HCPCS,74177,Ct abd & pelv w/contrast,,,859.16,1118.48,3
HCPCS,74177,HC MRI ABDOMEN W/O CONTRAST,5727.0,5727.0,,,0
HCPCS,74178,Ct abd & pelv 1/> regns,,,859.16,1267.63,3
HCPCS,74178,HC MRI ABDOMEN W CONTRAST,6001.0,6001.0,,,0
HCPCS,74181,HC MRI ABDOMEN W & W/O CONTRAST,3577.0,3577.0,,,0
HCPCS,74181,Mri abdomen w/o dye,,,524.34,658.42,3
HCPCS,74182,HC MRA ABDOMEN W OR W/O CONTRAST,4329.0,4329.0,,,0
HCPCS,74182,Mri Abdomen W/Dye,,,859.16,1143.57,3
HCPCS,74183,HC PERITONEOGRAM AFTER INJECTION S & I,5508.0,5508.0,,,0
HCPCS,74183,Mri abdomen w/o & w/dye,,,859.16,1212.54,3
HCPCS,74185,"HC RAD EXM; ESOPH, INCL SCOUT RAD(S)&DLY IMG(S), SNGL-CONTRAST STDY",7608.0,7608.0,,,0
HCPCS,74185,Mri angio abdom w orw/o dye,,,680.47,1309.99,3
HCPCS,74190,"HC RAD EX, SWALL FUNC W/CIN/VID RAD, INCL SCOUT RAD(S)&IMG(S), CONTR STDY",842.0,842.0,,,0
HCPCS,74190,X-ray exam of peritoneum,,,1083.56,1083.56,2
HCPCS,74210,Contrst x-ray exam of throat,,,331.8,410.0,3
HCPCS,74220,Contrast x-ray esophagus,,,343.89,410.0,3
HCPCS,74220,"HC RAD EXM, SM INT,INCL MULTI IMGS&SCOUT ABD RAD(S), SNGL-CONTR STDY",672.0,672.0,,,0
HCPCS,74221,X-ray xm esophagus 2cntrst,,,380.04,410.0,3
HCPCS,74230,Cine/vid x-ray throat/esoph,,,410.0,493.79,3
HCPCS,74230,"HC RAD EXM, SM INT,INCL MULTI IMGS&SCOUT ABD RAD(S), DBL- CONTR STDY",672.0,672.0,,,0
HCPCS,74240,HC HEPATOBIL SYST IMAGE W/DRUG,977.0,977.0,,,0
HCPCS,74240,X-ray upper gi delay w/o kub,,,410.0,435.19,3
HCPCS,74246,Contrst x-ray uppr gi tract,,,410.0,479.97,3
HCPCS,74246,HC ESOPHAGEAL MOTILITY,447.0,447.0,,,0
HCPCS,74248,HC HEALTH BEHAVIOR INTERV GROUP FACE TO FACE; 1ST 30 MIN,135.0,135.0,,,0
HCPCS,74248,X-ray sm int f-thru std,,,245.68,245.68,1
HCPCS,74250,"HC RAD EXM, COLON, W/SCOUT ABD RAD(S) & DELAY IMG(S); WHEN PERF; SNGL STDY",633.0,633.0,,,0
HCPCS,74250,X-ray exam of small bowel,,,410.0,417.97,3
HCPCS,74251,HC THERAPEUTIC ENEMA CONTRAST OR AIR FOR OBSTRC,611.0,611.0,,,0
HCPCS,74251,X-ray exam of small bowel,,,410.0,1496.58,3
HCPCS,74261,Ct colonography dx,,,252.18,1541.58,3
HCPCS,74262,Ct colonography dx w/dye,,,410.0,1777.66,3
HCPCS,74263,Ct colonography screening,,,1453.5,3690.22,3
HCPCS,74270,Contrast x-ray exam of colon,,,410.0,521.36,3
HCPCS,74270,HC CHOLANGIOGRAPHY/PANCREATOGRAPHY INTRAOP,1130.0,1130.0,,,0
HCPCS,74280,Contrast x-ray exam of colon,,,410.0,794.56,3
HCPCS,74283,Contrast x-ray exam of colon,,,410.0,915.92,3
HCPCS,74283,HC INTRO LONG GI TUBE INC MULTI FLUORO & FILMS,886.0,886.0,,,0
HCPCS,74290,Contrast x-ray gallbladder,,,343.89,410.0,3
HCPCS,74300,HC PERC TRANSHEPATIC DILATION BILIARY DUCT,325.0,325.0,,,0
HCPCS,74340,HC UROGRAPHY IV W OR W/O KUB/TOMOGRAPH,998.0,998.0,,,0
HCPCS,74363,HC UROGRAPHY RETROGRADE W OR W/O KUB,5022.0,5022.0,,,0
HCPCS,74400,Contrst x-ray urinary tract,,,410.0,565.39,3
HCPCS,74400,HC CYSTOGRAPHY MIN 3 VIEWS,1644.0,1644.0,,,0
HCPCS,74410,Contrst x-ray urinary tract,,,410.0,629.17,3
HCPCS,74415,Contrst x-ray urinary tract,,,410.0,667.05,3
HCPCS,74420,Contrst x-ray urinary tract,,,292.19,859.16,3
HCPCS,74420,HC URETHROCYSTOGRAPHY RETROGRADE S & I,1827.0,1827.0,,,0
HCPCS,74425,Contrst x-ray urinary tract,,,569.6,859.16,3
HCPCS,74430,Contrast x-ray bladder,,,138.84,859.16,3
HCPCS,74430,HC URETHROCYSTOGRAPHY VOIDING S & I,1494.0,1494.0,,,0
HCPCS,74440,X-ray male genital tract,,,428.28,524.34,3
HCPCS,74445,X-ray exam of penis,,,252.18,252.18,2
HCPCS,74450,HC DILATE URETER(S) OR URETHRA,1644.0,1644.0,,,0
HCPCS,74450,X-ray urethra/bladder,,,524.34,524.34,2
HCPCS,74455,HC PERINEOGRAM FOR SEX DETERMIN/ANOMALY,1619.0,1619.0,,,0
HCPCS,74455,X-ray urethra/bladder,,,464.49,524.34,3
HCPCS,74470,"HC FINE NEEDLE ASPIRATION BIOPSY, W/FLUORO GUIDANCE, 1ST LESION",2015.0,2015.0,,,0
HCPCS,74470,X-ray exam of kidney lesion,,,1083.56,1083.56,2
HCPCS,74485,HC CARDIAC MRI FOR MORPH & FUNC W/O CONTRAST,4142.0,4142.0,,,0
HCPCS,74485,X-ray guide gu dilation,,,435.19,3985.99,3
HCPCS,74712,"HC HEARING AID, BINAURAL, BTE/BTE",3460.0,3460.0,,,0
HCPCS,74712,Mri fetal sngl/1st gestation,,,524.34,1381.38,3
HCPCS,74713,Mri fetal ea addl gestation,,,576.45,576.45,1
HCPCS,74740,X-ray female genital tract,,,374.86,524.34,3
HCPCS,74775,HC CARDIAC MRI FOR MORPH & FUNC W/W/O CON,1484.0,1484.0,,,0
HCPCS,74775,X-ray exam of perineum,,,524.34,524.34,2
HCPCS,75557,Cardiac mri for morph,,,524.34,889.31,3
HCPCS,75557,HC CARDIAC MRI W & W/O CONTRAST W/STRESS,3098.0,3098.0,,,0
HCPCS,75559,Cardiac mri w/stress img,,,1083.56,1264.93,3
HCPCS,75561,Cardiac mri for morph w/dye,,,859.16,1267.63,3
HCPCS,75561,HC CT HEART W/O CONTRAST W/CALCIUM QUANT,4131.0,4131.0,,,0
HCPCS,75563,Card mri w/stress img & dye,,,1508.88,1531.85,3
HCPCS,75563,HC CT HEART W/CONTRAST INC W/3 D POSTPROC,8590.0,8590.0,,,0
HCPCS,75565,Card mri veloc flow mapping,,,175.75,175.75,1
HCPCS,75565,HC GJB2 GENE FULL SEQUENCE (470),2682.0,2682.0,,,0
HCPCS,75571,Ct hrt w/o dye w/ca test,,,179.57,377.61,3
HCPCS,75571,HC CT HEART W/CON FOR CONGENTIAL HEART DIS,545.0,545.0,,,0
HCPCS,75572,Ct hrt w/3d image,,,410.0,773.14,3
HCPCS,75572,HC CTA HEART W/CON W/3D IMAGE POSTPROCESS,1300.0,1300.0,,,0
HCPCS,75573,Ct hrt w/3d image congen,,,410.0,989.52,3
HCPCS,75573,HC AORTOGRAPHY THORACIC BY SERIALOGRAPHY,1129.0,1129.0,,,0
HCPCS,75574,Ct angio hrt w/3d image,,,410.0,1113.57,3
HCPCS,75574,HC AORTOGRAPHY ABDOMINAL BY SERIALOGRAPHY,1349.0,1349.0,,,0
HCPCS,75577,Quan&char c athrosclrtc plaq,,,5008.08,5008.08,1
HCPCS,75580,N-invas est c ffr sw aly cta,,,2241.41,4403.03,3
HCPCS,75600,Contrast exam thoracic aorta,,,794.56,6235.38,3
HCPCS,75605,Contrast exam thoracic aorta,,,356.89,10341.43,3
HCPCS,75605,HC AORTOGRAM ABDOMINAL W/ BILATERAL RUNOFF,8848.0,8848.0,,,0
HCPCS,75625,Contrast exam abdominl aorta,,,307.68,6235.38,3
HCPCS,75625,HC ANGIOGRAPHY SPINAL SELECTIVE,7274.0,7274.0,,,0
HCPCS,75630,HC ANGIOGRAPHY EXT UNILATERAL S & I,5064.0,5064.0,,,0
HCPCS,75630,X-ray aorta leg arteries,,,334.5,6235.38,3
HCPCS,75635,Ct Angio Abdominal Arteries,,,410.0,1560.79,3
HCPCS,75705,Artery x-rays spine,,,869.62,10341.43,3
HCPCS,75705,HC ANGIOGRAPHY EXT BILATERAL S & I,10054.0,10054.0,,,0
HCPCS,75710,Artery x-rays arm/leg,,,356.89,6235.38,3
HCPCS,75710,HC ANGIOGRAPHY VISCERAL SELECT/SUPRASELECT,4534.0,4534.0,,,0
HCPCS,75716,Artery x-rays arms/legs,,,375.89,6235.38,3
HCPCS,75716,HC ANGIOGRAPHY ADRENAL UNILATERAL SELECTIVE,5280.0,5280.0,,,0
HCPCS,75726,Artery x-rays abdomen,,,398.28,10341.43,3
HCPCS,75726,HC ANGIOGRAPHY ADRENAL BILATERAL SELECTIVE,8099.0,8099.0,,,0
HCPCS,75731,Artery x-rays adrenal gland,,,511.27,3670.04,3
HCPCS,75731,HC ANGIOGRAPHY PELVIC SELECT/SUPRASELECT,3981.0,3981.0,,,0
HCPCS,75733,Artery x-rays adrenals,,,598.36,6235.38,3
HCPCS,75733,HC ANGIOGRAPHY PULMONARY UNILAT SELECTIVE,6107.0,6107.0,,,0
HCPCS,75736,Artery x-rays pelvis,,,483.7,10341.43,3
HCPCS,75736,HC ANGIOGRAPHY PULMONARY BILAT  SELECTIVE,7934.0,7934.0,,,0
HCPCS,75741,Artery x-rays lung,,,360.34,6235.38,3
HCPCS,75741,HC ANGIOGRAPHY PULMONARY NONSEL CATH/INJECT,3948.0,3948.0,,,0
HCPCS,75743,Artery x-rays lungs,,,370.71,6235.38,3
HCPCS,75743,HC ANGIOGRAPHY SELECTIVE EA ADDTL VESSEL,5648.0,5648.0,,,0
HCPCS,75746,Artery x-rays lung,,,430.98,3670.04,3
HCPCS,75746,HC LYMPHANGIOGRAPHY EXT ONLY UNILAT,4929.0,4929.0,,,0
HCPCS,75756,Artery x-rays chest,,,587.08,6235.38,3
HCPCS,75774,Artery x-ray each vessel,,,262.89,262.89,1
HCPCS,75774,HC LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT,2000.0,2000.0,,,0
HCPCS,75801,HC VENOGRAPHY EXT UNILATERAL,1993.0,1993.0,,,0
HCPCS,75801,Lymph vessel x-ray arm/leg,,,1418.65,1418.65,2
HCPCS,75803,HC MUSCLE TEST DONE W/NERVE TEST LIMITED,3516.0,3516.0,,,0
HCPCS,75803,Lymph vessel x-ray arms/legs,,,3670.04,3670.04,2
HCPCS,75805,HC VENOGRAPHY EXT BILATERAL,4316.0,4316.0,,,0
HCPCS,75805,Lymph vessel x-ray trunk,,,3670.04,3670.04,2
HCPCS,75807,"DEAC 9/1/2020 HC LEUKOCYTE POOR BLOOD, PEDS, EA UNIT",8492.0,8492.0,,,0
HCPCS,75807,Lymph vessel x-ray trunk,,,6235.38,6235.38,2
HCPCS,75809,Nonvascular shunt x-ray,,,252.18,319.77,3
HCPCS,75810,Vein x-ray spleen/liver,,,3670.04,3670.04,2
HCPCS,75820,HC VENOGRAPHY CAVAL INFERIOR W/SERIALOGRAPHY,3276.0,3276.0,,,0
HCPCS,75820,Vein x-ray arm/leg,,,305.95,1418.65,3
HCPCS,75822,HC VENOGRAPHY CAVAL SUPERIOR W/SERIALOGRAPH,3712.0,3712.0,,,0
HCPCS,75822,Vein x-ray arms/legs,,,340.43,3670.04,3
HCPCS,75825,HC VENOGRAPHY RENAL UNILATERAL SELECTIVE,5144.0,5144.0,,,0
HCPCS,75825,Vein x-ray trunk,,,318.04,6235.38,3
HCPCS,75827,HC VENOGRAPHY RENAL BILATERAL SELECTIVE,3072.0,3072.0,,,0
HCPCS,75827,Vein x-ray chest,,,342.16,1418.65,3
HCPCS,75831,HC VENOGRAPHY VENOUS SINUS/JUGULAR CATHETER,11947.0,11947.0,,,0
HCPCS,75831,Vein x-ray kidney,,,356.89,6235.38,3
HCPCS,75833,HC DISOPYRAMIDE,19951.0,19951.0,,,0
HCPCS,75833,Vein x-ray kidneys,,,439.61,6235.38,3
HCPCS,75840,HC REPLACE GASTRO/CECO TUBE PERCUTANEOUS,6107.0,6107.0,,,0
HCPCS,75840,Vein x-ray adrenal gland,,,379.28,6235.38,3
HCPCS,75842,HC REPOSITIONING CENTRAL VENOUS CATHETER W/FLOURO,8541.0,8541.0,,,0
HCPCS,75842,Vein x-ray adrenal glands,,,10341.43,10341.43,2
HCPCS,75860,HC VENOGRAPHY SUPERIOR SAGITTAL SINUS,5273.0,5273.0,,,0
HCPCS,75860,Vein x-ray neck,,,394.83,6235.38,3
HCPCS,75870,HC PERCUT TRANSHEPATIC PORTOGRAM W/O HDM,4180.0,4180.0,,,0
HCPCS,75870,Vein x-ray skull,,,629.17,3670.04,3
HCPCS,75872,HC ESOPHAGEAL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG,3815.0,3815.0,,,0
HCPCS,75872,Vein x-ray skull epidural,,,379.28,1418.65,3
HCPCS,75880,HC ELECTROPHYSIOLOGY EVALUATION,2885.0,2885.0,,,0
HCPCS,75880,Vein x-ray eye socket,,,377.61,1418.65,3
HCPCS,75885,HC HEPATIC VENOGRAPHY W/ HDM,4874.0,4874.0,,,0
HCPCS,75885,Vein x-ray liver w/hemodynam,,,372.43,6235.38,3
HCPCS,75887,HC AMIODARONE,4838.0,4838.0,,,0
HCPCS,75887,Vein x-ray liver w/o hemodyn,,,374.16,3670.04,3
HCPCS,75889,HC  S CEREVISIAE AB,4918.0,4918.0,,,0
HCPCS,75889,Vein x-ray liver w/hemodynam,,,374.16,6235.38,3
HCPCS,75891,HC E HISTOLYTICA AB,4950.0,4950.0,,,0
HCPCS,75891,Vein x-ray liver,,,375.89,6235.38,3
HCPCS,75893,HC IDENT BY DNA SEQUENCE,8876.0,8876.0,,,0
HCPCS,75893,Venous sampling by catheter,,,437.89,10341.43,3
HCPCS,75894,HC LEGIONELLA AG,14393.0,14393.0,,,0
HCPCS,75894,X-rays transcath therapy,,,978.19,978.19,1
HCPCS,75898,Follow-up angiography,,,861.74,3670.04,3
HCPCS,75898,HC STREP PNUMO AG,3309.0,3309.0,,,0
HCPCS,75901,HC TRANSCATHETER BIOPSY,1458.0,1458.0,,,0
HCPCS,75901,Remove cva device obstruct,,,1061.61,1061.61,1
HCPCS,75902,HC PERC DRAINAGE CATH PLACEMENT W/ RAD GUID,700.0,700.0,,,0
HCPCS,75902,Remove cva lumen obstruct,,,352.47,352.47,1
HCPCS,75970,HC FLUOROSCOPE EXAMINATION UP TO 1 HOUR,6056.0,6056.0,,,0
HCPCS,75984,HC RAD EX FISTULA OR SINUS TRACT STUDY S & I,1142.0,1142.0,,,0
HCPCS,75984,Xray control catheter change,,,293.92,293.92,1
HCPCS,75989,Abscess drainage under x-ray,,,300.77,300.77,1
HCPCS,75989,HC 3D RENDERING W/O POSTPROCESS,1309.0,1309.0,,,0
HCPCS,76000,Fluoroscope examination,,,149.15,524.34,3
HCPCS,76000,HC 3D RENDERING W POSTPROCESS,948.0,948.0,,,0
HCPCS,76010,HC MRA ABDOMEN WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST,423.0,423.0,,,0
HCPCS,76010,X-ray nose to rectum,,,106.09,179.57,3
HCPCS,76014,Mr sfty implt&/fb asmt stf 1,,,55.1,57.85,3
HCPCS,76015,Mr sfty mplt&/fb asmt stf ea,,,279.89,279.89,1
HCPCS,76016,Mr safety deter phys/qhp,,,198.11,229.38,3
HCPCS,76017,Mr sfty med physics xm cstmz,,,543.87,971.77,3
HCPCS,76018,Mr safety implant elec prepj,,,206.53,416.25,3
HCPCS,76019,Mr safety implt pos&/immoblj,,,133.65,647.09,3
HCPCS,76080,HC CT LIMITED OR LOCALIZED FOLLOW-UP STUDY,1658.0,1658.0,,,0
HCPCS,76080,X-ray exam of fistula,,,180.17,1083.56,3
HCPCS,76098,X-ray exam breast specimen,,,147.42,1083.56,3
HCPCS,76100,X-ray exam of body section,,,252.18,305.95,3
HCPCS,76120,Cine/video x-rays,,,252.18,490.33,3
HCPCS,76145,Med physic dos eval rad exps,,,285.46,5410.57,3
HCPCS,76376,3d render w/intrp postproces,,,83.69,83.69,1
HCPCS,76376,HC UNLISTED CT PROCEDURE,1167.0,1167.0,,,0
HCPCS,76377,3d render w/intrp postproces,,,217.35,217.35,1
HCPCS,76377,HC UNLISTED MAGNETIC RESONANCE PROCEDURE,1397.0,1397.0,,,0
HCPCS,76380,CAT scan follow-up study,,,179.57,452.4,3
HCPCS,76380,HC UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE,1214.0,1214.0,,,0
HCPCS,76390,"DEAC 9/1/2020 HC WASHED RED BLOOD CELLS, PEDS, EA UNIT",3706.0,3706.0,,,0
HCPCS,76390,Mr spectroscopy,,,810.38,810.38,2
HCPCS,76391,HC METHYLENEDIOXYAMPHETAMINES (29),2813.0,2813.0,,,0
HCPCS,76391,Mr elastography,,,524.34,761.81,3
HCPCS,76496,Fluoroscopic procedure,,,179.57,179.57,2
HCPCS,76496,HC COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION,993.0,993.0,,,0
HCPCS,76497,Ct procedure,,,179.57,179.57,2
HCPCS,76498,"HC ULTRASOUND, SOFT TISSUES HEAD & NECK",7172.0,7172.0,,,0
HCPCS,76498,Mri procedure,,,179.57,179.57,2
HCPCS,76499,HC ULTRASOUND CHEST INCLS MEDIASTINUM,1375.0,1375.0,,,0
HCPCS,76499,Radiographic procedure,,,179.57,179.57,2
HCPCS,76506,Echo exam of head,,,252.18,411.07,3
HCPCS,76506,HC ULTRASOUND ABDOMEN COMPLETE,659.0,659.0,,,0
HCPCS,76510,Ophth us b & quant a,,,157.78,245.32,3
HCPCS,76511,Ophth us quant a only,,,116.45,252.18,3
HCPCS,76512,Ophth us b w/non-quant a,,,95.73,252.18,3
HCPCS,76513,Echo exam of eye water bath,,,228.41,252.18,3
HCPCS,76514,Echo exam of eye thickness,,,21.64,51.73,3
HCPCS,76516,Echo exam of eye,,,131.93,252.18,3
HCPCS,76519,Echo exam of eye,,,204.29,252.18,3
HCPCS,76529,Echo exam of eye,,,179.57,285.29,3
HCPCS,76536,"HC ULTRASOUND ABDOMEN LIMITED - 1 ORGAN, QUAD",920.0,920.0,,,0
HCPCS,76536,Us exam of head and neck,,,252.18,424.83,3
HCPCS,76604,HC ULTRASOUND RETROPERITONEAL COMPLETE,876.0,876.0,,,0
HCPCS,76604,Us exam chest,,,173.27,252.18,3
HCPCS,76641,Ultrasound breast complete,,,252.18,343.89,3
HCPCS,76642,HC TISSUE EXAM BY PATHOLOGIST LVL 5,625.0,625.0,,,0
HCPCS,76642,Ultrasound breast limited,,,179.57,269.8,3
HCPCS,76700,HC ULTRASOUND RETROPERITONEAL LIMITED,920.0,920.0,,,0
HCPCS,76700,Us exam abdom complete,,,252.18,398.28,3
HCPCS,76705,Echo exam of abdomen,,,252.18,304.23,3
HCPCS,76705,HC ULTRASOUND TRANSPLANTED KIDNEY W/DOPPLER,920.0,920.0,,,0
HCPCS,76706,HC GENOME SEQUENCE ANALYSIS (1970),609.0,609.0,,,0
HCPCS,76706,Us abdl aorta screen aaa,,,252.18,414.52,3
HCPCS,76770,HC ULTRASOUND SPINAL CANAL AND CONTENTS,920.0,920.0,,,0
HCPCS,76770,Us exam abdo back wall comp,,,252.18,373.13,3
HCPCS,76775,HC CRYPT AG TITER,467.0,467.0,,,0
HCPCS,76775,Us exam abdo back wall lim,,,174.99,252.18,3
HCPCS,76776,HC LEUKOREDUCTION,665.0,665.0,,,0
HCPCS,76776,Us exam k transpl w/doppler,,,252.18,561.94,3
HCPCS,76800,HC TRICH. VAGINALIS AMP PROBE,622.0,622.0,,,0
HCPCS,76800,Us exam spinal canal,,,252.18,650.54,3
HCPCS,76801,Ob us < 14 wks single fetus,,,252.18,364.55,3
HCPCS,76802,Ob us < 14 wks addl fetus,,,108.57,108.57,1
HCPCS,76805,Ob us >/= 14 wks sngl fetus,,,252.18,460.28,3
HCPCS,76810,Ob us >/= 14 wks addl fetus,,,214.65,214.65,1
HCPCS,76811,Ob us detailed sngl fetus,,,475.06,524.34,3
HCPCS,76812,Ob us detailed addl fetus,,,563.67,563.67,1
HCPCS,76813,Ob us nuchal meas 1 gest,,,252.18,305.95,3
HCPCS,76814,Ob us nuchal meas add-on,,,141.27,141.27,1
HCPCS,76815,Ob us limited fetus(s),,,252.18,262.89,3
HCPCS,76816,Ob us follow-up per fetus,,,252.18,364.55,3
HCPCS,76817,Transvaginal us obstetric,,,252.18,297.32,3
HCPCS,76818,Fetal biophys profile w/nst,,,252.18,372.43,3
HCPCS,76819,Fetal biophys profil w/o nst,,,252.18,265.59,3
HCPCS,76820,Umbilical artery echo,,,109.54,252.18,3
HCPCS,76821,Middle cerebral artery echo,,,252.18,293.92,3
HCPCS,76825,Echo exam of fetal heart,,,947.16,1083.56,3
HCPCS,76825,HC DOPPLER ECHOCARDIOLOGY FETAL F/U,1648.0,1648.0,,,0
HCPCS,76826,Echo exam of fetal heart,,,524.34,615.36,3
HCPCS,76826,"HC ULTRASOUND TRANSVAGINAL, NON OB",1404.0,1404.0,,,0
HCPCS,76827,Echo exam of fetal heart,,,219.83,252.18,3
HCPCS,76827,HC ULTRASOUND PELVIC EXAM COMPLETE NON OB,724.0,724.0,,,0
HCPCS,76828,Echo exam of fetal heart,,,118.17,252.18,3
HCPCS,76828,HC ULTRASOUND PELVIC EXAM LIMITED NON OB,568.0,568.0,,,0
HCPCS,76830,HC ULTRASOUND SCROTUM AND CONTRASTENTS,920.0,920.0,,,0
HCPCS,76830,Transvaginal us non-ob,,,252.18,441.34,3
HCPCS,76831,Echo exam uterus,,,426.55,524.34,3
HCPCS,76856,HC US COMPLETE JOINT,920.0,920.0,,,0
HCPCS,76856,Us exam pelvic complete,,,252.18,376.59,3
HCPCS,76857,"HC US LIMITED, JOINT OR FOCAL EVAL OF OTHER NONVASCULAR EXTREMITY STRUCTURE(S)",625.0,625.0,,,0
HCPCS,76857,Us exam pelvic limited,,,142.29,252.18,3
HCPCS,76870,HC US INFANT HIPS; LIMITED/STATIC,920.0,920.0,,,0
HCPCS,76870,Us exam scrotum,,,252.18,355.92,3
HCPCS,76872,Us transrectal,,,252.18,458.55,3
HCPCS,76873,Echograp trans r pros study,,,252.18,530.91,3
HCPCS,76881,HC US GUIDANCE VASCULAR ACCESS,761.0,761.0,,,0
HCPCS,76881,Us xtr non-vasc complete,,,57.85,252.18,3
HCPCS,76882,HC US GUIDANCE TISSUE ABLATION,575.0,575.0,,,0
HCPCS,76882,Us xtr non-vasc lmtd,,,166.41,252.18,3
HCPCS,76883,Us nrv&acc strux 1xtr compre,,,85.42,240.48,3
HCPCS,76885,HC MRA LEXTREM W CONT,725.0,725.0,,,0
HCPCS,76885,Us exam infant hips dynamic,,,179.57,505.07,3
HCPCS,76886,HC US GUIDED NEEDLE PLACEMENT,420.0,420.0,,,0
HCPCS,76886,Us exam infant hips static,,,179.57,354.19,3
HCPCS,76932,"DEAC 9/1/2020 HC PLATELETS PHERESIS LR IRRAD, PEDS, EA UNIT",3193.0,3193.0,,,0
HCPCS,76936,Echo guide for artery repair,,,569.48,890.29,3
HCPCS,76937,HC US GUIDANCE INTRAOPERATIVE,1288.0,1288.0,,,0
HCPCS,76937,Us guide vascular access,,,138.84,138.84,1
HCPCS,76940,HC FLUOROGUIDE CENTRAL VEN ACCESS DEV PLCMNT,1675.0,1675.0,,,0
HCPCS,76942,Echo guide for biopsy,,,169.87,169.87,1
HCPCS,76942,HC FLUOROSCOPIC GUIDANCE FOR NEEDLE PLCMNT,706.0,706.0,,,0
HCPCS,76946,Echo guide for amniocentesis,,,81.97,81.97,1
HCPCS,76948,Echo guide ova aspiration,,,259.44,259.44,1
HCPCS,76965,Echo guidance radiotherapy,,,149.15,149.15,1
HCPCS,76970,HC EPHYS EVAL SUBQ IMPLANTABLE DEFIBRILLATOR,325.0,325.0,,,0
HCPCS,76975,GI endoscopic ultrasound,,,524.34,524.34,2
HCPCS,76977,Us bone density measure,,,26.82,252.18,3
HCPCS,76978,Us trgt dyn mbubb 1st les,,,410.0,501.67,3
HCPCS,76979,Us trgt dyn mbubb ea addl,,,349.01,349.01,1
HCPCS,76981,"HC INFECTIOUS AGENT DETECTION BY DNA/RNA PNEUMOCYSTIS JIROVECII, AMP PROBE",369.0,369.0,,,0
HCPCS,76981,Use parenchyma,,,252.18,431.73,3
HCPCS,76982,Use 1st target lesion,,,252.18,333.53,3
HCPCS,76983,Use ea addl target lesion,,,190.53,190.53,1
HCPCS,76998,HC FLUOROSCOPIC GUIDANCE FOR SPINE INJECTION,1001.0,1001.0,,,0
HCPCS,76999,Echo examination procedure,,,179.57,179.57,2
HCPCS,77001,Fluoroguide for Vein Device,,,417.97,417.97,1
HCPCS,77001,HC CT SCAN FOR NEEDLE BIOPSY,1377.0,1377.0,,,0
HCPCS,77002,HC CT GUIDANCE TISSUE ABLATION,684.0,684.0,,,0
HCPCS,77002,Needle localization by xray,,,486.88,486.88,1
HCPCS,77003,Fluoroguide for Spine Inject,,,393.85,393.85,1
HCPCS,77003,HC BONE AGE STUDIES,824.0,824.0,,,0
HCPCS,77011,CT Scan for Localization,,,833.2,833.2,1
HCPCS,77012,Ct scan for needle biopsy,,,288.74,288.74,1
HCPCS,77012,HC BONE LENGTH STUDIES,3417.0,3417.0,,,0
HCPCS,77013,HC RAD EXAM OSSEOUS SURVEY LIMITED,1890.0,1890.0,,,0
HCPCS,77021,MR Guidance for Needle Place,,,1842.14,1842.14,1
HCPCS,77022,HC DRUG SCREENING COCAINE (39),1736.0,1736.0,,,0
HCPCS,77046,Mri breast c- unilateral,,,524.34,760.08,3
HCPCS,77047,Mri breast c- bilateral,,,524.34,741.14,3
HCPCS,77048,Mri breast c-+ w/cad uni,,,646.36,1226.29,3
HCPCS,77049,Mri breast c-+ w/cad bi,,,643.93,1209.08,3
HCPCS,77053,X-Ray of Mammary Duct,,,188.81,524.34,3
HCPCS,77054,X-ray of mammary ducts,,,245.68,524.34,3
HCPCS,77061,Breast tomosynthesis uni,,,212.74,212.74,2
HCPCS,77062,Breast tomosynthesis bi,,,271.22,271.22,2
HCPCS,77063,Breast tomosynthesis bi,,,56.84,120.6,3
HCPCS,77065,Dx mammo incl cad uni,,,212.74,445.55,3
HCPCS,77066,Dx mammo incl cad bi,,,271.22,572.3,3
HCPCS,77067,Scr mammo bi incl cad,,,224.93,471.39,3
HCPCS,77071,X-Ray Stress View,,,179.57,311.62,3
HCPCS,77072,HC RAD EXAM OSSEOUS SURVEY COMPLETE,545.0,545.0,,,0
HCPCS,77072,X-Rays for Bone Age,,,85.42,252.18,3
HCPCS,77073,HC RAD EXAM OSSEOUS SURVEY INFANT,454.0,454.0,,,0
HCPCS,77073,X-rays bone length studies,,,173.27,252.18,3
HCPCS,77074,"HC DXA BONE DENSITY STUDY, AXIAL 1+ SITES",523.0,523.0,,,0
HCPCS,77074,X-rays bone survey limited,,,228.41,252.18,3
HCPCS,77075,HC LYMPHATICS AND LYMPH NODE IMAGING,920.0,920.0,,,0
HCPCS,77075,X-rays bone survey complete,,,252.18,374.16,3
HCPCS,77076,HC HEPATOBILIARY SYSTEM IMAG INC GALLBLADDER,1101.0,1101.0,,,0
HCPCS,77076,X-rays bone survey infant,,,252.18,375.89,3
HCPCS,77077,HC AUTO CELL PROC/PREP/STORE,523.0,523.0,,,0
HCPCS,77077,Joint survey single view,,,161.23,252.18,3
HCPCS,77078,Ct bone density axial,,,179.57,452.4,3
HCPCS,77080,Dxa bone density axial,,,156.05,252.18,3
HCPCS,77080,HC GASTROESOPHAGEAL REFLUX SCAN,1039.0,1039.0,,,0
HCPCS,77081,Dxa bone density/peripheral,,,116.45,179.57,3
HCPCS,77084,Magnetic image bone marrow,,,524.34,1241.78,3
HCPCS,77085,Dxa bone density study,,,208.72,252.18,3
HCPCS,77085,"HC DXA BONE DENSITY STDY, 1+ SITES; AXIAL SKEL, INCL VERTEB FRACTURE ASSESS",886.0,886.0,,,0
HCPCS,77086,Fracture assessment via dxa,,,138.84,179.57,3
HCPCS,77086,HC DRAIN/INJ SMALL JOINT/BURSA W/US,260.0,260.0,,,0
HCPCS,77089,Tbs dxa cal w/i&r fx risk,,,93.44,209.58,3
HCPCS,77090,Tbs techl prep&transmis data,,,16.51,185.87,3
HCPCS,77091,Tbs techl calculation only,,,138.84,185.87,3
HCPCS,77092,Tbs i&r fx rsk qhp,,,23.36,54.28,3
HCPCS,77261,Radiation therapy planning,,,377.07,377.07,1
HCPCS,77262,Radiation therapy planning,,,580.39,580.39,1
HCPCS,77263,Radiation therapy planning,,,916.35,916.35,1
HCPCS,77280,Set radiation therapy field,,,1200.18,1200.18,1
HCPCS,77285,Set radiation therapy field,,,2050.64,2050.64,1
HCPCS,77290,Set radiation therapy field,,,1858.65,1858.65,1
HCPCS,77293,Respirator motion mgmt simul,,,1538.18,1538.18,1
HCPCS,77295,3-d radiotherapy plan,,,1350.83,1350.83,1
HCPCS,77300,Radiation therapy dose plan,,,178.45,178.45,1
HCPCS,77301,Radiotherapy dose plan imrt,,,7985.49,7985.49,1
HCPCS,77306,Telethx isodose plan simple,,,396.55,396.55,1
HCPCS,77307,Telethx isodose plan cplx,,,717.29,717.29,1
HCPCS,77316,Brachytx isodose plan simple,,,909.5,909.5,1
HCPCS,77317,Brachytx isodose intermed,,,1193.06,1193.06,1
HCPCS,77318,Brachytx isodose complex,,,1611.03,1611.03,1
HCPCS,77321,Special teletx port plan,,,231.87,231.87,1
HCPCS,77331,Special radiation dosimetry,,,100.91,100.91,1
HCPCS,77332,Radiation treatment aid(s),,,88.87,88.87,1
HCPCS,77333,Radiation treatment aid(s),,,509.27,509.27,1
HCPCS,77334,Radiation treatment aid(s),,,342.16,342.16,1
HCPCS,77336,Radiation physics consult,,,482.46,482.46,1
HCPCS,77338,Design mlc device for imrt,,,1295.69,1295.69,1
HCPCS,77370,Radiation physics consult,,,793.59,793.59,1
HCPCS,77372,Srs linear based,,,4838.22,4838.22,1
HCPCS,77373,SBRT Delivery,,,5073.05,5073.05,1
HCPCS,77387,Guidance for radiaj tx dlvr,,,196.14,196.14,1
HCPCS,77402,Radiation treatment delivery,,,425.85,425.85,1
HCPCS,77407,Radiation treatment delivery,,,1604.88,1604.88,1
HCPCS,77412,Radiation treatment delivery,,,2295.08,2295.08,1
HCPCS,77427,Radiation tx management x5,,,1060.31,1060.31,1
HCPCS,77431,Radiation therapy management,,,577.43,577.43,1
HCPCS,77432,Stereotactic radiation trmt,,,2309.6,2309.6,1
HCPCS,77435,SBRT Management,,,3490.62,3490.62,1
HCPCS,77436,Surf radj ther tx planning,,,190.53,190.53,1
HCPCS,77437,Surf radj ther supfc<=150kv,,,566.15,566.15,1
HCPCS,77438,Surf rad thr orthvlt>150-500,,,571.33,571.33,1
HCPCS,77439,Surf rad thr img gdn us plmt,,,85.09,85.09,1
HCPCS,77469,Io radiation tx management,,,1462.86,1462.86,1
HCPCS,77470,Special radiation treatment,,,201.86,201.86,1
HCPCS,77600,Hyperthermia treatment,,,2472.56,2472.56,1
HCPCS,77605,Hyperthermia treatment,,,4810.64,4810.64,1
HCPCS,77610,Hyperthermia treatment,,,3127.25,3127.25,1
HCPCS,77615,Hyperthermia treatment,,,4996.75,4996.75,1
HCPCS,77620,Hyperthermia treatment,,,3330.57,3330.57,1
HCPCS,77750,Infuse radioactive materials,,,690.69,690.69,1
HCPCS,77761,Apply intrcav radiat simple,,,1154.42,1154.42,1
HCPCS,77762,Apply intrcav radiat interm,,,1329.41,1329.41,1
HCPCS,77763,Apply intrcav radiat compl,,,1756.51,1756.51,1
HCPCS,77767,Hdr rdncl skn surf brachytx,,,1016.34,1016.34,1
HCPCS,77768,Hdr rdncl skn surf brachytx,,,1530.04,1530.04,1
HCPCS,77770,Hdr rdncl ntrstl/icav brchtx,,,1282.68,1282.68,1
HCPCS,77771,Hdr rdncl ntrstl/icav brchtx,,,2133.58,2133.58,1
HCPCS,77772,Hdr rdncl ntrstl/icav brchtx,,,3287.03,3287.03,1
HCPCS,77778,Apply interstit radiat compl,,,2455.56,2455.56,1
HCPCS,77789,Apply surf ldr radionuclide,,,379.28,379.28,1
HCPCS,77790,Radiation handling,,,98.48,98.48,1
HCPCS,78012,Thyroid uptake measurement,,,371.68,828.29,3
HCPCS,78013,HC HA DISPENSING FEE UNSPECIFIED,893.0,893.0,,,0
HCPCS,78013,Thyroid imaging w/blood flow,,,773.14,828.29,3
HCPCS,78014,"HC HA, DIGITAL,  ADVANCED, MONAURAL, ITC",1593.0,1593.0,,,0
HCPCS,78014,Thyroid imaging w/blood flow,,,828.29,973.98,3
HCPCS,78015,Thyroid met imaging,,,828.29,896.44,3
HCPCS,78016,Thyroid met imaging/studies,,,828.29,1137.91,3
HCPCS,78018,Thyroid met imaging body,,,1061.96,1229.96,3
HCPCS,78020,Thyroid met uptake,,,275.95,275.95,1
HCPCS,78070,Parathyroid planar imaging,,,828.29,1161.81,3
HCPCS,78071,Parathyrd planar w/wo subtrj,,,828.29,1323.05,3
HCPCS,78072,HC IH BRONCHIAL CHALLENGE; W HISTAMINE,1279.0,1279.0,,,0
HCPCS,78072,Parathyrd planar w/spect&ct,,,1061.96,1615.94,3
HCPCS,78075,Adrenal cortex & medulla img,,,1829.84,2862.43,3
HCPCS,78099,Endocrine nuclear procedure,,,828.29,828.29,2
HCPCS,78102,Bone marrow imaging ltd,,,687.99,828.29,3
HCPCS,78103,Bone marrow imaging mult,,,732.78,828.29,3
HCPCS,78104,Bone marrow imaging body,,,828.29,960.22,3
HCPCS,78104,HC PLEURA CATHETER INSERTION W/IMAGE,1251.0,1251.0,,,0
HCPCS,78110,Plasma volume single,,,331.31,2862.43,3
HCPCS,78111,Plasma volume multiple,,,450.19,2862.43,3
HCPCS,78120,Red cell mass single,,,331.31,828.29,3
HCPCS,78121,Red cell mass multiple,,,431.25,1061.96,3
HCPCS,78122,Blood volume,,,419.22,1061.96,3
HCPCS,78130,Red cell survival study,,,538.3,828.29,3
HCPCS,78140,Red cell sequestration,,,448.46,828.29,3
HCPCS,78185,Spleen imaging,,,719.02,828.29,3
HCPCS,78191,Platelet survival,,,538.3,828.29,3
HCPCS,78195,HC ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING,1741.0,1741.0,,,0
HCPCS,78195,Lymph system imaging,,,1061.96,1336.81,3
HCPCS,78199,Blood/lymph nuclear exam,,,828.29,828.29,2
HCPCS,78201,Liver imaging,,,787.92,2862.43,3
HCPCS,78202,Liver imaging with flow,,,875.77,2862.43,3
HCPCS,78215,HC MRA LOWER EXTREMITY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST,1936.0,1936.0,,,0
HCPCS,78215,Liver and spleen imaging,,,806.86,828.29,3
HCPCS,78216,HC MRA PELVIS WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST,1332.0,1332.0,,,0
HCPCS,78216,Liver & spleen image/flow,,,548.4,828.29,3
HCPCS,78226,HC INTESTINE IMAGING E.G. MECKEL'S LOCALIZATION,1936.0,1936.0,,,0
HCPCS,78226,Hepatobiliary system imaging,,,828.29,1300.65,3
HCPCS,78227,HC PREFAB AFO,1955.0,1955.0,,,0
HCPCS,78227,Hepatobil syst image w/drug,,,1061.96,1769.56,3
HCPCS,78230,Salivary gland imaging,,,710.38,828.29,3
HCPCS,78231,Serial salivary imaging,,,439.88,828.29,3
HCPCS,78232,Salivary gland function exam,,,441.61,828.29,3
HCPCS,78258,Esophageal motility study,,,828.29,889.58,3
HCPCS,78258,HC BREATHING RESPONSE TO CO2,1340.0,1340.0,,,0
HCPCS,78261,Gastric mucosa imaging,,,813.77,828.29,3
HCPCS,78262,Gastroesophageal reflux exam,,,828.29,963.67,3
HCPCS,78262,"HC BONE AND/OR JOINT IMAGING, LIMITED AREA",1949.0,1949.0,,,0
HCPCS,78264,Gastric emptying imag study,,,828.29,1316.14,3
HCPCS,78264,HC INJECT INTERLAMINAR CRV/THRC; W/IMG,2046.0,2046.0,,,0
HCPCS,78265,Gastric emptying imag study,,,828.29,1568.67,3
HCPCS,78266,Gastric emptying imag study,,,1061.96,1798.81,3
HCPCS,78267,Breath tst attain/anal c-14,,,24.89,46.14,3
HCPCS,78268,Breath test analysis c-14,,,212.42,393.88,3
HCPCS,78278,Acute GI blood loss imaging,,,828.29,1348.89,3
HCPCS,78278,"HC BONE AND/OR JOINT IMAGING, WHOLE BODY",1698.0,1698.0,,,0
HCPCS,78282,GI protein loss exam,,,828.29,828.29,2
HCPCS,78290,"HC BONE AND/OR JOINT IMAGING , 3 PHASE STUDY",1713.0,1713.0,,,0
HCPCS,78290,Meckels divert exam,,,828.29,1345.44,3
HCPCS,78291,Leveen/shunt patency exam,,,828.29,994.7,3
HCPCS,78299,GI nuclear procedure,,,828.29,828.29,2
HCPCS,78300,Bone imaging limited area,,,828.29,886.89,3
HCPCS,78300,HC PULMONARY PERFUSION IMAGING PARTICULATE,1724.0,1724.0,,,0
HCPCS,78305,Bone imaging multiple areas,,,828.29,1060.15,3
HCPCS,78306,Bone imaging whole body,,,828.29,1141.15,3
HCPCS,78306,"HC BRAIN IMAGING, PET, METABOLIC EVALUATION",2081.0,2081.0,,,0
HCPCS,78315,Bone imaging 3 phase,,,828.29,1331.62,3
HCPCS,78315,HC CEREBROSPINAL FLUID FLOW IMG CISTERNOGRAM,1294.0,1294.0,,,0
HCPCS,78350,Bone mineral single photon,,,48.71,48.71,2
HCPCS,78351,Bone mineral dual photon,,,35.73,35.73,2
HCPCS,78399,Musculoskeletal nuclear exam,,,828.29,828.29,2
HCPCS,78414,Non-imaging heart function,,,1061.96,1061.96,2
HCPCS,78428,Cardiac shunt imaging,,,705.2,828.29,3
HCPCS,78429,Myocrd img pet 1 std w/ct,,,3246.95,3246.95,2
HCPCS,78430,Myocrd img pet rst/strs w/ct,,,3246.95,3246.95,2
HCPCS,78431,Myocrd img pet rst&strs ct,,,5063.63,5063.63,2
HCPCS,78432,Myocrd img pet 2rtracer,,,6188.63,6188.63,2
HCPCS,78433,Myocrd img pet 2rtracer ct,,,6188.63,6188.63,2
HCPCS,78445,Vascular flow imaging,,,748.26,828.29,3
HCPCS,78451,Ht muscle image spect sing,,,1285.11,2862.43,3
HCPCS,78452,Ht muscle image spect mult,,,1829.84,2862.43,3
HCPCS,78453,Ht muscle image planar sing,,,1126.63,2862.43,3
HCPCS,78454,Ht musc image planar mult,,,1662.72,2862.43,3
HCPCS,78456,Acute venous thrombus image,,,1235.14,2862.43,3
HCPCS,78457,Venous thrombosis imaging,,,684.54,2862.43,3
HCPCS,78458,Ven thrombosis images bilat,,,748.26,828.29,3
HCPCS,78459,Heart muscle imaging (PET),,,2862.43,2862.43,2
HCPCS,78466,Heart infarct image,,,662.14,828.29,3
HCPCS,78468,Heart infarct image (ef),,,758.62,1061.96,3
HCPCS,78469,Heart infarct image (3D),,,836.16,2862.43,3
HCPCS,78472,Gated heart planar single,,,828.29,843.07,3
HCPCS,78473,Gated heart multiple,,,828.29,1031.82,3
HCPCS,78481,Heart first pass single,,,611.2,1061.96,3
HCPCS,78483,Heart first pass multiple,,,788.63,1061.96,3
HCPCS,78491,Heart image (pet) single,,,3246.95,3246.95,2
HCPCS,78492,Heart image (pet) multiple,,,3246.95,3246.95,2
HCPCS,78494,Heart image spect,,,812.04,828.29,3
HCPCS,78496,Heart first pass add-on,,,100.91,100.91,1
HCPCS,78499,Cardiovascular nuclear exam,,,828.29,828.29,2
HCPCS,78579,Lung ventilation imaging,,,745.57,828.29,3
HCPCS,78580,HC CEREBROSPINAL FLUID FLOW IMG SHUNT EVAL,1490.0,1490.0,,,0
HCPCS,78580,Lung perfusion imaging,,,828.29,910.25,3
HCPCS,78582,Lung ventilat&perfus imaging,,,1061.96,1254.14,3
HCPCS,78597,"HC INTRO NEEDLE OR INTRACATHETER, UPPER OR LOWER EXTREMITY ARTERY",2456.0,2456.0,,,0
HCPCS,78597,Lung perfusion differential,,,761.11,828.29,3
HCPCS,78598,Lung perf&ventilat diferentl,,,1061.96,1176.6,3
HCPCS,78599,Respiratory nuclear exam,,,828.29,828.29,2
HCPCS,78600,Brain image < 4 views,,,760.35,828.29,3
HCPCS,78601,Brain image w/flow < 4 views,,,828.29,877.5,3
HCPCS,78605,Brain image 4+ views,,,801.68,1061.96,3
HCPCS,78606,Brain image w/flow 4 + views,,,1061.96,1341.99,3
HCPCS,78608,Brain imaging (PET),,,3246.95,3246.95,2
HCPCS,78608,HC CEREBROSPINAL FLUID LEAKAGE IMAGING,13892.0,13892.0,,,0
HCPCS,78610,Brain flow imaging only,,,741.41,1061.96,3
HCPCS,78630,Cerebrospinal fluid scan,,,1061.96,1367.08,3
HCPCS,78630,HC KIDNEY IMAGING W/VASC FLOW & FUNCTION,2741.0,2741.0,,,0
HCPCS,78635,CSF ventriculography,,,1061.96,1379.87,3
HCPCS,78645,CSF shunt evaluation,,,1061.96,1343.71,3
HCPCS,78645,HC KIDNEY IMAGING W/VASC FLOW & FUNC W/DRUG,2878.0,2878.0,,,0
HCPCS,78650,CSF leakage imaging,,,1148.27,2862.43,3
HCPCS,78650,HC KIDNEY STUDY NON-IMAGING RADIOISOTOPIC,3952.0,3952.0,,,0
HCPCS,78660,Nuclear exam of tear flow,,,581.15,828.29,3
HCPCS,78699,Nervous system nuclear exam,,,828.29,828.29,2
HCPCS,78700,HC INSERT SWAN GANZ CATH BEDSIDE,2509.0,2509.0,,,0
HCPCS,78700,Kidney imaging morphol,,,691.44,828.29,3
HCPCS,78701,Kidney imaging with flow,,,828.29,932.64,3
HCPCS,78707,HC URETER REFLUX STUDY RADIOPHARM CYSTOGRAM,1817.0,1817.0,,,0
HCPCS,78707,K flow/funct image w/o drug,,,860.28,1061.96,3
HCPCS,78708,"HC RADIOPHARM LOCAL TUMOR; PLANAR, SINGLE AREA, SINGLE DAY IMG",2182.0,2182.0,,,0
HCPCS,78708,K flow/funct image w/drug,,,614.87,1061.96,3
HCPCS,78709,K flow/funct image multiple,,,1061.96,1363.62,3
HCPCS,78725,"HC RADIOPHARM LOCAL TUMOR ; PLANAR, WHOLE BODY, SINGLE DAY IMG",1399.0,1399.0,,,0
HCPCS,78725,Kidney function study,,,429.52,828.29,3
HCPCS,78730,Urinary bladder retention,,,338.71,338.71,1
HCPCS,78740,HC PET IMAGING W/CT SKULL BASE TO MID-THIGH,2389.0,2389.0,,,0
HCPCS,78740,Ureteral reflux study,,,828.29,1003.28,3
HCPCS,78761,Testicular imaging w/flow,,,815.5,828.29,3
HCPCS,78799,Genitourinary nuclear exam,,,828.29,828.29,2
HCPCS,78800,HC PET IMAGING W/CT WHOLE BODY,2040.0,2040.0,,,0
HCPCS,78800,Tumor imaging limited area,,,828.29,1040.19,3
HCPCS,78801,Tumor imaging mult areas,,,828.29,1072.19,3
HCPCS,78802,HC UNLISTED MISC PROC DIAGNOSTIC NUCLEAR MED,2719.0,2719.0,,,0
HCPCS,78802,Tumor imaging whole body,,,1213.51,2862.43,3
HCPCS,78803,Tumor imaging (3D),,,1483.25,2862.43,3
HCPCS,78804,"HC INSERT CATHETER RENAL ARTERY 2ND, UNILAT",5201.0,5201.0,,,0
HCPCS,78804,Tumor imaging whole body,,,2669.94,2862.43,3
HCPCS,78808,Iv inj ra drug dx study,,,216.33,828.29,3
HCPCS,78811,Pet image ltd area,,,2862.43,2862.43,2
HCPCS,78812,Pet image skull-thigh,,,3246.95,3246.95,2
HCPCS,78813,Pet image full body,,,3246.95,3246.95,2
HCPCS,78814,Pet image w/ct lmtd,,,3246.95,3246.95,2
HCPCS,78815,"HC IMMUNIZATION ADMIN SQ/IM, SINGLE",12316.0,12316.0,,,0
HCPCS,78815,Pet image w/ct skull-thigh,,,3246.95,3246.95,2
HCPCS,78816,"HC IMMUNIZATION ADMIN SQ/IM, EA ADDL",10479.0,10479.0,,,0
HCPCS,78816,Pet image w/ct full body,,,3246.95,3246.95,2
HCPCS,78830,HC MRA SPINAL CANAL WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST,3878.0,3878.0,,,0
HCPCS,78830,Rp loclzj tum spect w/ct 1,,,1840.9,2862.43,3
HCPCS,78831,Rp loclzj tum spect 2 areas,,,2804.36,2862.43,3
HCPCS,78832,HC TARGETED GENOMIC SEQ ANALYSIS (467),3878.0,3878.0,,,0
HCPCS,78832,Rp loclzj tum spect w/ct 2,,,3246.95,3604.8,3
HCPCS,78835,Rp quan meas single area,,,354.19,354.19,1
HCPCS,78999,Nuclear diagnostic exam,,,828.29,828.29,2
HCPCS,79005,Nuclear rx oral admin,,,263.86,534.15,3
HCPCS,79101,Nuclear rx iv admin,,,275.95,534.15,3
HCPCS,79200,Nuclear rx intracav admin,,,275.95,534.15,3
HCPCS,79300,Nuclr rx interstit colloid,,,534.15,534.15,2
HCPCS,79403,Hematopoietic nuclear tx,,,362.34,534.15,3
HCPCS,79440,Nuclear rx intra-articular,,,206.99,534.15,3
HCPCS,79445,Nuclear rx intra-arterial,,,534.15,534.15,2
HCPCS,79999,Nuclear medicine therapy,,,534.15,534.15,2
HCPCS,80047,Metabolic panel ionized ca,,,20.6,57.28,3
HCPCS,80048,HC RENAL FUNCTION PANEL,420.0,420.0,,,0
HCPCS,80048,Metabolic panel total ca,,,12.69,35.3,3
HCPCS,80050,General health panel,,,70.92,70.92,2
HCPCS,80051,Electrolyte panel,,,10.52,29.25,3
HCPCS,80051,HC ACUTE HEPATITIS PANEL,157.0,157.0,,,0
HCPCS,80053,Comprehen metabolic panel,,,15.84,44.06,3
HCPCS,80053,HC HEPATIC FUNCTION PANEL,525.0,525.0,,,0
HCPCS,80055,Obstetric panel,,,71.72,199.46,3
HCPCS,80061,HC AMIKACIN,264.0,264.0,,,0
HCPCS,80061,Lipid panel,,,20.09,55.86,3
HCPCS,80069,"HC BENZODIAZEPINES, 1-12",179.0,179.0,,,0
HCPCS,80069,Renal function panel,,,13.02,36.21,3
HCPCS,80074,Acute hepatitis panel,,,71.45,198.71,3
HCPCS,80074,HC CARBAMAZEPINE; TOTAL,923.0,923.0,,,0
HCPCS,80076,HC CARBAMAZEPINE; FREE,255.0,255.0,,,0
HCPCS,80076,Hepatic function panel,,,12.26,34.09,3
HCPCS,80081,Obstetric panel,,,112.29,312.32,3
HCPCS,80143,Drug assay acetaminophen,,,27.96,77.77,3
HCPCS,80143,"HC ANTI-PSYCHOTIC ,NOS 1-3 (70)",491.0,491.0,,,0
HCPCS,80145,Drug assay adalimumab,,,57.86,160.91,3
HCPCS,80145,HC MOD SED OTHER PHYS/QHP <5 YRS; INITL 15 MIN,503.0,503.0,,,0
HCPCS,80145,HC RESP VIRUS 12-25 TARGETS,125.0,125.0,,,0
HCPCS,80150,Assay of amikacin,,,22.62,62.91,3
HCPCS,80150,HC CYCLOSPORINE,314.0,314.0,,,0
HCPCS,80151,Drug assay amiodarone,,,27.96,77.77,3
HCPCS,80151,"HC ANTI-DEPRESS, NOS (60)",222.0,222.0,,,0
HCPCS,80155,Drug assay caffeine,,,57.86,160.91,3
HCPCS,80155,HC PTEN GENE DUP/DELET VARIANT,126.0,126.0,,,0
HCPCS,80156,Assay carbamazepine total,,,21.86,60.79,3
HCPCS,80156,HC DIPROPYLACETIC ACID,342.0,342.0,,,0
HCPCS,80157,Assay carbamazepine free,,,19.88,55.28,3
HCPCS,80157,HC ETHOSUXIMIDE,59.0,59.0,,,0
HCPCS,80158,Drug assay cyclosporine,,,27.08,75.3,3
HCPCS,80158,HC GENTAMICIN,313.0,313.0,,,0
HCPCS,80159,Drug assay clozapine,,,30.23,84.07,3
HCPCS,80161,"Asy carbamazepin 10,11-epxid",,,27.96,77.77,3
HCPCS,80161,"HC DRUG/SUBS, DEFIN,NOS, 1-3 (95)",264.0,264.0,,,0
HCPCS,80162,Assay of digoxin total,,,19.92,55.4,3
HCPCS,80162,HC HALOPERIDOL ASSAY,193.0,193.0,,,0
HCPCS,80163,Assay of digoxin free,,,19.92,55.4,3
HCPCS,80164,Assay dipropylacetic acd tot,,,20.31,56.49,3
HCPCS,80164,HC LIDOCAINE,326.0,326.0,,,0
HCPCS,80165,Dipropylacetic acid free,,,20.31,56.49,3
HCPCS,80165,HC ALCOHOL,60.0,60.0,,,0
HCPCS,80167,Drug assay felbamate,,,27.96,77.77,3
HCPCS,80167,HC BCR/ABL MJR BP (275),94.0,94.0,,,0
HCPCS,80168,Assay of ethosuximide,,,24.51,68.17,3
HCPCS,80168,HC LITHIUM,81.0,81.0,,,0
HCPCS,80169,Drug assay everolimus,,,20.6,57.28,3
HCPCS,80169,HC PTEN GENE DUP/DELET VARIANT,369.0,369.0,,,0
HCPCS,80170,Assay of gentamicin,,,24.57,68.34,3
HCPCS,80170,HC PHENOBARBITAL,323.0,323.0,,,0
HCPCS,80171,Drug screen quant gabapentin,,,32.51,90.41,3
HCPCS,80171,HC SMPD1 GENE COMMON VARIANTS,103.0,103.0,,,0
HCPCS,80173,Assay Of Haloperidol,,,23.67,65.83,3
HCPCS,80173,HC PHENYTOIN; TOTAL,70.0,70.0,,,0
HCPCS,80175,Drug screen quan lamotrigine,,,19.88,55.28,3
HCPCS,80175,HC SNRPN/UBE3A GENE,103.0,103.0,,,0
HCPCS,80176,Assay of lidocaine,,,22.04,61.29,3
HCPCS,80176,HC PHENYTOIN; FREE,199.0,199.0,,,0
HCPCS,80177,Drug scrn quan levetiracetam,,,19.88,55.28,3
HCPCS,80177,HC SNRPN/UBE3A GENE,61.0,61.0,,,0
HCPCS,80178,Assay of lithium,,,9.92,27.58,3
HCPCS,80178,HC PRIMIDONE,138.0,138.0,,,0
HCPCS,80179,Drug assay salicylate,,,27.96,77.77,3
HCPCS,80179,HC HLA II LOW RESOLUTION ONE ANTIGEN EQUIVALENT EA,491.0,491.0,,,0
HCPCS,80180,Drug scrn quan mycophenolate,,,27.08,75.3,3
HCPCS,80180,HC SERPINA1 GENE,153.0,153.0,,,0
HCPCS,80181,Drug assay flecainide,,,27.96,77.77,3
HCPCS,80181,HC DRUG SCREEN QUANT AMPHETAMINES 3 OR 4,94.0,94.0,,,0
HCPCS,80183,Drug scrn quant oxcarbazepin,,,19.88,55.28,3
HCPCS,80183,HC VKORC1 GENE,80.0,80.0,,,0
HCPCS,80184,Assay of phenobarbital,,,22.95,63.83,3
HCPCS,80184,HC PROCAINAMIDE W METABOLITES,273.0,273.0,,,0
HCPCS,80185,Assay of phenytoin total,,,19.88,55.28,3
HCPCS,80185,HC ASSAY OF SIROLIMUS,297.0,297.0,,,0
HCPCS,80186,Assay of phenytoin free,,,20.64,57.41,3
HCPCS,80186,HC TACROLIMUS,194.0,194.0,,,0
HCPCS,80187,Drug assay posaconazole,,,40.67,113.1,3
HCPCS,80187,HC RESP VIRUS 12-25 TARGETS,222.0,222.0,,,0
HCPCS,80188,Assay of primidone,,,24.89,69.21,3
HCPCS,80188,HC THEOPHYLLINE,266.0,266.0,,,0
HCPCS,80189,Drug assay itraconzaole,,,40.67,113.1,3
HCPCS,80189,HC VON WILLEBRAND FACTOR TYPE 2N FACTOR VIII PLASMA,266.0,266.0,,,0
HCPCS,80190,Assay of procainamide,,,90.0,250.32,3
HCPCS,80192,Assay of procainamide,,,25.13,69.88,3
HCPCS,80192,HC TOBRAMYCIN,193.0,193.0,,,0
HCPCS,80193,Drug assay leflunomide,,,57.86,160.91,3
HCPCS,80193,HC HEM VW DS VW FACTOR & COLLAGEN III BINDING ELISA,409.0,409.0,,,0
HCPCS,80194,Assay of quinidine,,,21.9,60.91,3
HCPCS,80195,Assay of sirolimus,,,20.6,57.28,3
HCPCS,80195,HC TOPIRAMATE,156.0,156.0,,,0
HCPCS,80197,Assay of tacrolimus,,,20.6,57.28,3
HCPCS,80197,HC VANCOMYCIN,177.0,177.0,,,0
HCPCS,80198,Assay of theophylline,,,21.21,58.99,3
HCPCS,80198,HC QUANTITATION OF DRUG NES,271.0,271.0,,,0
HCPCS,80199,Drug screen quant tiagabine,,,40.67,113.1,3
HCPCS,80200,Assay of tobramycin,,,24.2,67.29,3
HCPCS,80200,HC AUTOM URINE DIP W MICRO,337.0,337.0,,,0
HCPCS,80201,Assay of topiramate,,,17.88,49.73,3
HCPCS,80201,HC AUTOM URINALYSIS WO MICRO,102.0,102.0,,,0
HCPCS,80202,Assay of vancomycin,,,20.31,56.49,3
HCPCS,80202,HC URINALYSIS; QUAL NOT IA,309.0,309.0,,,0
HCPCS,80203,Drug screen quant zonisamide,,,19.88,55.28,3
HCPCS,80203,HC HLA I TYPING COMPLETE LR (150),142.0,142.0,,,0
HCPCS,80204,Drug assay methotrexate,,,57.86,160.91,3
HCPCS,80204,HC VON WILLEBRAND FACTOR TYPE 2B PLASMA,289.0,289.0,,,0
HCPCS,80210,Drug assay rufinamide,,,40.67,113.1,3
HCPCS,80210,HC HEM VW DS VW PROPEPTIDE ELISA AG LEVEL,223.0,223.0,,,0
HCPCS,80220,Drug asy hydroxychloroquine,,,27.96,77.77,3
HCPCS,80230,Drug assay infliximab,,,57.86,160.91,3
HCPCS,80230,"HC RADIOPHARM LOCALIZE TUMOR, SPECT, W/CT 1 AREA 1 DAY IMAGE",145.0,145.0,,,0
HCPCS,80235,Drug assay lacosamide,,,40.67,113.1,3
HCPCS,80235,"HC RADIOPHARM LOCAL TUMOR, SPECT, MIN 2 AREA 1 DAY IMG /1 AREA OR IMG 2+ DAYS",222.0,222.0,,,0
HCPCS,80280,Drug assay vedolizumab,,,57.86,160.91,3
HCPCS,80285,Drug assay voriconazole,,,40.67,113.1,3
HCPCS,80285,HC NFCT DS CHRNC HCV 6 ASSAYS (55),222.0,222.0,,,0
HCPCS,80299,HC CFTR DEL/DUP PART OF PANEL,94.0,94.0,,,0
HCPCS,80299,HC CFTR GENE COM VARIAN (300),287.0,287.0,,,0
HCPCS,80299,HC CFTR GENE FULL SEQUENCE (1630),295.0,295.0,,,0
HCPCS,80299,HC COLLAGEN BINDING FACTOR,287.0,287.0,,,0
HCPCS,80299,"HC ELAFIN, SERUM, QNT VCOR",287.0,287.0,,,0
HCPCS,80299,HC EUGLOBULIN LYSIS,407.0,407.0,,,0
HCPCS,80299,HC GENOMEXPRESS (1109),577.0,577.0,,,0
HCPCS,80299,HC MANGANESE SUPEROXIDE DISMUTASE,227.0,227.0,,,0
HCPCS,80299,HC PERCUT TRANSHEPATIC PORTOGRAM W/HDM,94.0,94.0,,,0
HCPCS,80299,HC PTEN GENE PART OF PANEL,94.0,94.0,,,0
HCPCS,80299,HC QUANT SERUM ACETONES/KETONES,407.0,407.0,,,0
HCPCS,80299,HC QUANTITATIVE ASSAY DRUG (85),287.0,287.0,,,0
HCPCS,80299,"HC REG-3-ALPHA BIOMARKER,QNT VCOR",287.0,287.0,,,0
HCPCS,80299,HC RESP VIRUS 3-5 TARGETS,94.0,94.0,,,0
HCPCS,80299,HC VENOUS SAMPLING THRU CATH W/W/O ANGIO,287.0,287.0,,,0
HCPCS,80299,HC VW PROPEPTIDE AG,287.0,287.0,,,0
HCPCS,80299,Quantitative assay drug,,,27.96,77.77,3
HCPCS,80305,Drug test prsmv dir opt obs,,,18.9,52.57,3
HCPCS,80305,HC WHOLE MITO GENOME SEQUENCING & DELETION TESTING (148),50.0,50.0,,,0
HCPCS,80306,Drug test prsmv instrmnt,,,25.71,71.51,3
HCPCS,80306,HC THROMBIN-ANTITHROMBIN COMPLEX,279.0,279.0,,,0
HCPCS,80307,Drug test prsmv chem anlyzr,,,93.21,259.25,3
HCPCS,80307,"HC  DRUG SCREEN, INSTRUMENT SINGLE DRUG",370.0,370.0,,,0
HCPCS,80307,"HC DRUG SCREEN, INSTRUMENT 5 DRUG",234.0,234.0,,,0
HCPCS,80307,HC HUGGIE AIDS - PAIR,234.0,234.0,,,0
HCPCS,80307,"HC IMMUNOASSAY,QNT,TLRF",234.0,234.0,,,0
HCPCS,80320,HC DNA/RNA; MULTI ORG - AMP PR,180.0,180.0,,,0
HCPCS,80323,HC CP CONCENTR TECH SMEAR,334.0,334.0,,,0
HCPCS,80325,"HC PERQ PLMT BILE DUCT STENT, NEW ACCESS, W/ SEPAR CATH",1369.0,1369.0,,,0
HCPCS,80326,"HC GASES,BLD,W/SAT O2, MEASURED",1307.0,1307.0,,,0
HCPCS,80329,HC CYTP DX EVAL FNA 1ST EA SITE,491.0,491.0,,,0
HCPCS,80332,HC HEPATIC VENOGRAPHY W/O HDM,73.0,73.0,,,0
HCPCS,80332,"HC PLACEMENT BILIARY DRAINAGE CATH, EXTERNAL",73.0,73.0,,,0
HCPCS,80332,"HC PLACEMENT BILIARY DRAINAGE CATH, INTERNAL-EXTERNAL",73.0,73.0,,,0
HCPCS,80335,HC BUPRENORPHINE,219.0,219.0,,,0
HCPCS,80338,HC EXCHANGE BILIARY DRAINAGE CATH,15.0,15.0,,,0
HCPCS,80339,DEAC 11/01/2023 HC ADM SARSCOV2 30MCG/0.3ML 2ND DOSE,223.0,223.0,,,0
HCPCS,80342,HC ALKALINE PHOSPHATASE ISOENZYM,73.0,73.0,,,0
HCPCS,80342,HC CONVERSION EXTERNAL BILIARY  DRAINAGE CATH,73.0,73.0,,,0
HCPCS,80345,HC BIOTINIDASE EA SPECIMEN,308.0,308.0,,,0
HCPCS,80346,HC DIGOXIN QUANTITATIVE,325.0,325.0,,,0
HCPCS,80347,HC DETERGENT TX FROZEN PLASMA EA UNIT,131.0,131.0,,,0
HCPCS,80348,HC CYTOPATH FL NONGYN SMEARS,15.0,15.0,,,0
HCPCS,80348,HC INTR CATH DIAL CIRC W/TRCATH PLC INTRVSC STENT(S),212.0,212.0,,,0
HCPCS,80349,HC F2 GENE (40),516.0,516.0,,,0
HCPCS,80353,HC FANCC GENE  (70),308.0,308.0,,,0
HCPCS,80353,"HC SUGARS; MULTIPLE QUANTITATIVE, EACH SPECIMEN",15.0,15.0,,,0
HCPCS,80354,HC INTR CATH DIALYS CIRCT W/TRLUML BAL ANGIOPLASTY,212.0,212.0,,,0
HCPCS,80354,HC SKIN TEST; TB ID,52.0,52.0,,,0
HCPCS,80356,HC LUMEN  MECH REM OBSTR CVAD,73.0,73.0,,,0
HCPCS,80358,HC CP CONCENTR TECH SMEAR,210.0,210.0,,,0
HCPCS,80359,HC SARSCOV2 &INF A&B & RSV (39),16.0,16.0,,,0
HCPCS,80361,HC PARATHORMONE,96.0,96.0,,,0
HCPCS,80361,HC RBC ENZYME GLUTATHIONE    MAYO,346.0,346.0,,,0
HCPCS,80362,HC DRAIN/INJ INTERMEDIATE JOINT/BURSA W/US,96.0,96.0,,,0
HCPCS,80364,HC STR MARKERS SPECIMEN ANAL (200),131.0,131.0,,,0
HCPCS,80365,DEAC 10/1/2025 HC INFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SAVSCOV2,15.0,15.0,,,0
HCPCS,80366,HC F5 GENE (40),15.0,15.0,,,0
HCPCS,80367,HC  ALKALOIDS NOS,72.0,72.0,,,0
HCPCS,80373,"HC REVSC, ENDOVSC, OPEN/PERQ, TIB/PERON ARTERY, UNI, INITIAL; W/TLA",73.0,73.0,,,0
HCPCS,80375,HC REMOVAL BILIARY DRAINAGE CATH,73.0,73.0,,,0
HCPCS,80375,"HC SYNTHETIC GLUCOCORTICOID SCREEN, SERUM(91)",73.0,73.0,,,0
HCPCS,80377,HC ELECTROLYTE PANEL,73.0,73.0,,,0
HCPCS,80377,HC METABOLIC PANEL TOTAL CA,67.0,67.0,,,0
HCPCS,80400,Acth stimulation panel,,,48.93,136.09,3
HCPCS,80402,Acth stimulation panel,,,130.44,362.8,3
HCPCS,80406,Acth stimulation panel,,,117.39,326.5,3
HCPCS,80408,Aldosterone suppression eval,,,188.25,523.59,3
HCPCS,80410,Calcitonin stimul panel,,,120.56,335.3,3
HCPCS,80412,CRH stimulation panel,,,1202.43,3344.36,3
HCPCS,80414,Testosterone response,,,77.46,215.44,3
HCPCS,80415,Estradiol response panel,,,83.84,233.17,3
HCPCS,80416,Renin stimulation panel,,,313.98,873.28,3
HCPCS,80417,Renin stimulation panel,,,65.99,183.53,3
HCPCS,80418,Pituitary evaluation panel,,,869.22,2417.59,3
HCPCS,80420,Dexamethasone panel,,,242.82,675.36,3
HCPCS,80422,Glucagon tolerance panel,,,69.11,192.2,3
HCPCS,80424,Glucagon tolerance panel,,,75.75,210.69,3
HCPCS,80426,Gonadotropin hormone panel,,,222.62,619.17,3
HCPCS,80428,Growth hormone panel,,,100.05,278.27,3
HCPCS,80430,Growth hormone panel,,,194.0,539.56,3
HCPCS,80432,Insulin suppression panel,,,248.42,690.92,3
HCPCS,80434,Insulin tolerance panel,,,427.55,1189.15,3
HCPCS,80435,Insulin tolerance panel,,,154.5,429.72,3
HCPCS,80436,Metyrapone panel,,,136.74,380.32,3
HCPCS,80438,TRH stimulation panel,,,75.62,210.31,3
HCPCS,80439,TRH stimulation panel,,,100.82,280.4,3
HCPCS,80500,"HC EPILEPSY,ARX GENE,DEL-DUP",989.0,989.0,,,0
HCPCS,80500,HC FACTOR VIII INVERSION/DNA,989.0,989.0,,,0
HCPCS,80500,"HC MOL PATH,LEVEL-4,CEL,SEQ",989.0,989.0,,,0
HCPCS,80500,"HC MOL PATH,LEVEL-4,KCNJ11 GENE",989.0,989.0,,,0
HCPCS,80503,Path clin consltj sf 5-20,,,76.13,100.15,4
HCPCS,80504,Path clin consltj mod 21-40,,,163.92,228.48,4
HCPCS,80505,Path clin consltj high 41-60,,,228.48,401.52,4
HCPCS,80506,Path clin consltj prolng svc,,,64.89,226.63,4
HCPCS,81000,Urinalysis nonauto w/scope,,,6.03,16.77,3
HCPCS,81001,HC ACYLCARNITINES; QUAN,90.0,90.0,,,0
HCPCS,81001,Urinalysis auto w/scope,,,4.76,13.23,3
HCPCS,81002,Urinalysis nonauto w/o scope,,,5.22,14.52,3
HCPCS,81003,HC ACTH,60.0,60.0,,,0
HCPCS,81003,Urinalysis auto w/o scope,,,3.38,9.39,3
HCPCS,81005,HC ASSAY OF SERUM ALBUMIN,48.0,48.0,,,0
HCPCS,81005,Urinalysis,,,3.26,9.05,3
HCPCS,81007,Urine screen for bacteria,,,44.97,125.08,3
HCPCS,81015,Microscopic exam of urine,,,4.58,12.72,3
HCPCS,81020,Urinalysis glass test,,,7.05,19.61,3
HCPCS,81025,HC MAGNETIC RESONANCE ELASTOGRAPHY,151.0,151.0,,,0
HCPCS,81025,Urine pregnancy test,,,12.92,35.92,3
HCPCS,81050,"HC GLUTATHIONE,BLOOD",56.0,56.0,,,0
HCPCS,81050,"HC INTERLEUKIN-6,HIGHLY SENSITIVE",56.0,56.0,,,0
HCPCS,81050,Urinalysis volume measure,,,5.46,15.19,3
HCPCS,81105,HC HPA-2  GENOTYPING (35),399.0,399.0,,,0
HCPCS,81105,Hpa-1 genotyping,,,183.33,509.9,3
HCPCS,81106,HC ECG UP TO 48 HRS SCANNING ANALYSIS REPORT,399.0,399.0,,,0
HCPCS,81106,Hpa-2 genotyping,,,183.33,509.9,3
HCPCS,81107,"HC PM DEVICE PROGR EVAL, SNGL",399.0,399.0,,,0
HCPCS,81107,Hpa-3 genotyping,,,183.33,509.9,3
HCPCS,81108,HC CAR ION CHNNLPATH INC 10 GNS ADDON,399.0,399.0,,,0
HCPCS,81108,Hpa-4 genotyping,,,183.33,509.9,3
HCPCS,81109,HC ICD DEVICE INTERROGATE,399.0,399.0,,,0
HCPCS,81109,Hpa-5 genotyping,,,183.33,509.9,3
HCPCS,81110,HC TTE F-UP OR LMTD,399.0,399.0,,,0
HCPCS,81110,Hpa-6 genotyping,,,183.33,509.9,3
HCPCS,81111,HC DUPLEX FLOW PENILE V; COMPL,399.0,399.0,,,0
HCPCS,81111,Hpa-9 genotyping,,,183.33,509.9,3
HCPCS,81112,"HC MNT, INDIV, EA 15 MIN, RE-ASSESS, 2ND REF",399.0,399.0,,,0
HCPCS,81112,Hpa-15 genotyping,,,183.33,509.9,3
HCPCS,81120,Idh1 common variants,,,289.88,806.24,3
HCPCS,81121,Idh2 common variants,,,443.69,1234.04,3
HCPCS,81161,DMD dup/delet analysis,,,418.5,1163.99,3
HCPCS,81161,"HC MOL PATH,LEVEL-4,KCNJ11,SEQ",500.0,500.0,,,0
HCPCS,81162,Brca1&2 seq & full dup/del,,,2737.32,7613.4,3
HCPCS,81163,Brca1&2 gene full seq alys,,,1404.0,1952.5,3
HCPCS,81164,Brca1&2 gen ful dup/del alys,,,876.35,2437.41,3
HCPCS,81165,Brca1 gene full seq alys,,,848.64,1180.18,3
HCPCS,81166,Brca1 gene full dup/del alys,,,452.03,1257.23,3
HCPCS,81167,Brca2 gene full dup/del alys,,,424.32,1180.18,3
HCPCS,81168,Ccnd1/igh translocation alys,,,310.97,864.9,3
HCPCS,81170,Abl1 gene,,,450.0,1251.6,3
HCPCS,81171,Aff2 gene detc abnor alleles,,,205.5,571.56,3
HCPCS,81172,Aff2 gene charac alleles,,,412.25,1146.59,3
HCPCS,81173,Ar gene full gene sequence,,,452.03,1257.23,3
HCPCS,81173,"HC AUTISM PANEL,MOL PATH,LEVEL-4",1000.0,1000.0,,,0
HCPCS,81174,Ar gene known famil variant,,,277.8,772.65,3
HCPCS,81175,Asxl1 full gene sequence,,,1014.75,2822.36,3
HCPCS,81176,Asxl1 gene target seq alys,,,362.85,1009.21,3
HCPCS,81177,Atn1 gene detc abnor alleles,,,205.5,571.56,3
HCPCS,81178,Atxn1 gene detc abnor allele,,,205.5,571.56,3
HCPCS,81179,Atxn2 gene detc abnor allele,,,205.5,571.56,3
HCPCS,81180,Atxn3 gene detc abnor allele,,,205.5,571.56,3
HCPCS,81181,Atxn7 gene detc abnor allele,,,205.5,571.56,3
HCPCS,81182,Atxn8os gen detc abnor allel,,,205.5,571.56,3
HCPCS,81183,Atxn10 gene detc abnor allel,,,205.5,571.56,3
HCPCS,81184,Cacna1a gen detc abnor allel,,,205.5,571.56,3
HCPCS,81185,Cacna1a gene full gene seq,,,1269.41,3530.64,3
HCPCS,81186,Cacna1a gen known famil vrnt,,,277.8,772.65,3
HCPCS,81187,Cnbp gene detc abnor allele,,,205.5,571.56,3
HCPCS,81188,Cstb gene detc abnor allele,,,205.5,571.56,3
HCPCS,81189,Cstb gene full gene sequence,,,412.25,1146.59,3
HCPCS,81190,Cstb gene known famil vrnt,,,277.8,772.65,3
HCPCS,81191,Ntrk1 translocation analysis,,,310.97,864.9,3
HCPCS,81192,Ntrk2 translocation analysis,,,310.97,864.9,3
HCPCS,81193,Ntrk3 translocation analysis,,,310.97,864.9,3
HCPCS,81194,Ntrk translocation analysis,,,777.42,2162.26,3
HCPCS,81195,Cytog genom-wid alys hem mal,,,1895.3,7773.35,3
HCPCS,81200,Aspa gene,,,70.88,197.13,3
HCPCS,81200,HC HLA I TYPING COMPLETE LR (150),155.0,155.0,,,0
HCPCS,81201,Apc gene full sequence,,,1170.0,3254.16,3
HCPCS,81202,Apc gene known fam variants,,,420.0,1168.16,3
HCPCS,81203,Apc gene dup/delet variants,,,300.0,834.4,3
HCPCS,81204,Ar gene charac alleles,,,205.5,571.56,3
HCPCS,81205,Bckdhb gene,,,142.49,396.3,3
HCPCS,81206,Bcr/abl1 gene major bp,,,245.94,684.04,3
HCPCS,81206,"HC PERQ PLMT BILE DUCT STENT(S), EXISTING ACCESS",1262.0,1262.0,,,0
HCPCS,81207,Bcr/abl1 gene minor bp,,,217.26,604.27,3
HCPCS,81208,Bcr/abl1 gene other bp,,,321.93,895.39,3
HCPCS,81209,Blm gene,,,58.97,164.0,3
HCPCS,81209,HC HLA I TYPING 1 ANTIGEN LR (150),307.0,307.0,,,0
HCPCS,81210,Braf gene,,,263.1,731.77,3
HCPCS,81210,HC BRAF GENE (205),1001.0,1001.0,,,0
HCPCS,81212,Brca1&2 185&5385&6174 var,,,660.0,1835.68,3
HCPCS,81215,Brca1 gene known fam variant,,,562.88,1565.54,3
HCPCS,81216,Brca2 gene full sequence,,,277.68,772.32,3
HCPCS,81217,Brca2 gene known fam variant,,,562.88,1565.54,3
HCPCS,81218,Cebpa gene full sequence,,,362.85,1009.21,3
HCPCS,81219,Calr gene com variants,,,182.45,507.44,3
HCPCS,81219,"HC ENZYME EVAL; ALPHA GALA, EACH SPECIMEN",537.0,537.0,,,0
HCPCS,81220,Cftr gene com variants,,,834.9,2322.14,3
HCPCS,81220,"HC LYMPHANGIOGRAPHY, EXTREMITY ONLY, BILATERAL",1142.0,1142.0,,,0
HCPCS,81220,HC MOPATH PROCEDUR LEVEL 2 (400),1815.0,1815.0,,,0
HCPCS,81221,Cftr gene known fam variants,,,145.83,405.6,3
HCPCS,81221,HC HLA II TYPING AG EQUIV LR (170),400.0,400.0,,,0
HCPCS,81222,Cftr gene dup/delet variants,,,652.61,1815.11,3
HCPCS,81222,HC MOPATH PROCEDUR LEVEL 3 (95),892.0,892.0,,,0
HCPCS,81222,HC MOPATH PROCEDUR LEVEL 4 (115),500.0,500.0,,,0
HCPCS,81223,Cftr gene full sequence,,,748.5,2081.83,3
HCPCS,81223,"HC BM FAILURE,MPL GENE SEQ",1500.0,1500.0,,,0
HCPCS,81223,"HC DUAL GENOME,TIS,MOL PATH,LVL 5",1023.0,1023.0,,,0
HCPCS,81223,"HC EPILEPSY PANEL,NHRLC1 GENE SEQ",2183.0,2183.0,,,0
HCPCS,81223,HC MOPATH PROCEDUR LEVEL 4 (220),2521.0,2521.0,,,0
HCPCS,81224,Cftr gene intron poly t,,,253.13,704.03,3
HCPCS,81224,"HC EPILEPSY,PLP1 GENE,DEL-DUP",400.0,400.0,,,0
HCPCS,81224,"HC EPILEPSY,ZEB2 GENE,DEL-DUP",1067.0,1067.0,,,0
HCPCS,81225,Cyp2c19 gene com variants,,,437.04,1215.55,3
HCPCS,81225,HC FMR1 GENE DETECTION,637.0,637.0,,,0
HCPCS,81226,Cyp2d6 gene com variants,,,676.37,1881.2,3
HCPCS,81226,HC HLA II TYPING 1 LOCUS LR (40),1471.0,1471.0,,,0
HCPCS,81227,Cyp2c9 gene com variants,,,262.22,729.31,3
HCPCS,81227,HC HLA I TYPING COMPLETE HR (290),571.0,571.0,,,0
HCPCS,81228,Cytogen micrarray copy nmbr,,,1350.0,3754.8,3
HCPCS,81229,Cytogen m array copy no&snp,,,1740.0,4839.52,3
HCPCS,81229,HC  HLA II TYPING 1 LOCUS HR (40),1397.0,1397.0,,,0
HCPCS,81229,HC AQP2 GENE SEQUENCING,3537.0,3537.0,,,0
HCPCS,81229,HC CHROMOSOMAL MICROARRAY (MICROARRAYDX) (296),600.0,600.0,,,0
HCPCS,81229,HC HLA I TYPING 1 ALLELE HR,3537.0,3537.0,,,0
HCPCS,81229,"HC MOL PATH LEVEL 5, FMF",1397.0,1397.0,,,0
HCPCS,81230,Cyp3a4 gene common variants,,,262.22,729.31,3
HCPCS,81231,Cyp3a5 gene common variants,,,262.22,729.31,3
HCPCS,81232,Dpyd gene common variants,,,262.22,729.31,3
HCPCS,81233,Btk gene common variants,,,263.1,731.77,3
HCPCS,81234,Dmpk gene detc abnor allele,,,205.5,571.56,3
HCPCS,81235,Egfr gene com variants,,,486.87,1354.15,3
HCPCS,81236,Ezh2 gene full gene sequence,,,424.32,1180.18,3
HCPCS,81237,Ezh2 gene common variants,,,263.1,731.77,3
HCPCS,81238,F9 full gene sequence,,,900.0,2503.2,3
HCPCS,81239,Dmpk gene charac alleles,,,412.25,1146.59,3
HCPCS,81240,F2 gene,,,98.54,274.06,3
HCPCS,81240,HC AVPR2 GENE SEQUENCING,215.0,215.0,,,0
HCPCS,81240,HC BONE MARROW ACQUISITION FEE,213.0,213.0,,,0
HCPCS,81241,F5 gene,,,110.06,306.1,3
HCPCS,81241,HC INF AGENT NA PROBE NOS AGENT; EA ORG,466.0,466.0,,,0
HCPCS,81241,HC PROCEDURE ENDO LEVEL 1 INIT 15 MIN,95.0,95.0,,,0
HCPCS,81242,Fancc gene,,,54.93,152.78,3
HCPCS,81242,HC MOPATH PROCEDUR LEVEL 6 (140),1124.0,1124.0,,,0
HCPCS,81243,Fmr1 gene detection,,,85.56,237.97,3
HCPCS,81243,HC MOPATH PROCEDURE LEVEL 4,500.0,500.0,,,0
HCPCS,81243,HC MOPATH PROCEDURE LEVEL 5,260.0,260.0,,,0
HCPCS,81243,HC THRMB/INFUS DIAL CIRC & INTRAPRC PHARM THRMB INJ,185.0,185.0,,,0
HCPCS,81244,Fmr1 gene characterization,,,67.34,187.28,3
HCPCS,81244,HC THRMB/INFUS DIAL CIRC W/TRNSLUM BAL ANGIOPLASTY,146.0,146.0,,,0
HCPCS,81245,Flt3 gene,,,248.27,690.51,3
HCPCS,81245,HC 2D TTE W OR W/O FOL W/CON FU,533.0,533.0,,,0
HCPCS,81245,HC FLT3 GENE (795),2275.0,2275.0,,,0
HCPCS,81246,Flt3 gene analysis,,,124.5,346.28,3
HCPCS,81246,"HC MOL PATH,PANCREATITIS,LEVEL-5",267.0,267.0,,,0
HCPCS,81247,G6pd gene alys cmn variant,,,262.22,729.31,3
HCPCS,81248,G6pd known familial variant,,,562.88,1565.54,3
HCPCS,81249,G6pd full gene sequence,,,900.0,2503.2,3
HCPCS,81250,G6pc gene,,,87.74,244.02,3
HCPCS,81251,Gba gene,,,70.88,197.13,3
HCPCS,81251,HC ILIAC REVASC ARTERY; ANGIOPLASTY INIT VESSEL,155.0,155.0,,,0
HCPCS,81252,Gjb2 gene full sequence,,,151.68,421.87,3
HCPCS,81252,HC MECHANICAL CHEST WALL OSCILLATION,1087.0,1087.0,,,0
HCPCS,81252,HC SURFACTANT ADMIN THRU TUBE,400.0,400.0,,,0
HCPCS,81253,Gjb2 gene known fam variants,,,92.28,256.66,3
HCPCS,81254,DEAC 11/01/2023 HC ADM SARSCV2 BVL 30MCG/0.3ML 1ST DOSE,500.0,500.0,,,0
HCPCS,81254,Gjb6 gene com variants,,,52.5,146.02,3
HCPCS,81254,"HC PERQ ABLATION 1 + LIVER TUMOR(S), RADIOFREQ",799.0,799.0,,,0
HCPCS,81255,Hexa gene,,,77.18,214.65,3
HCPCS,81256,HC MOPATH PROCEDURE LEVEL 6,381.0,381.0,,,0
HCPCS,81256,HC UNLISTED MOLECULAR PATHOLOGY,600.0,600.0,,,0
HCPCS,81256,Hfe gene,,,98.04,272.68,3
HCPCS,81257,Hba1/hba2 gene,,,153.39,426.63,3
HCPCS,81258,Hba1/hba2 gene fam vrnt,,,562.88,1565.54,3
HCPCS,81259,Hba1/hba2 full gene sequence,,,900.0,2503.2,3
HCPCS,81260,"HC AUDITORY EVOKED POTENTIALS; SCRN AUDIT POTENT W/STIMULI, AUTO ANALYS",334.0,334.0,,,0
HCPCS,81260,Ikbkap gene,,,58.97,164.0,3
HCPCS,81261,HC IGH GENE REARRANGE AMP METH (180),866.0,866.0,,,0
HCPCS,81261,Igh gene rearrange amp meth,,,296.99,826.01,3
HCPCS,81262,Igh gene rearrang dir probe,,,102.83,285.99,3
HCPCS,81263,"HC AUDITORY EVOKED POTENTIALS; HEARING STATUS DETER, BBAND STIMULI, I&R",961.0,961.0,,,0
HCPCS,81263,Igh vari regional mutation,,,441.78,1228.74,3
HCPCS,81264,Igk rearrangeabn clonal pop,,,259.1,720.63,3
HCPCS,81265,"HC MOL PATH,LEVEL-5,INS GENE",650.0,650.0,,,0
HCPCS,81265,"HC MOL PATH,LEVEL-5,TWIST1 GENE",1907.0,1907.0,,,0
HCPCS,81265,HC MOPATH PROCEDUR LEVEL 6 (240),761.0,761.0,,,0
HCPCS,81265,HC PRENATAL KNOWN FAMILIAL MUTATION (INCLUDES MCC) (370),750.0,750.0,,,0
HCPCS,81265,Str markers specimen anal,,,349.61,972.37,3
HCPCS,81266,Str markers spec anal addl,,,457.22,1271.67,3
HCPCS,81267,Chimerism anal no cell selec,,,311.19,865.52,3
HCPCS,81267,HC CHIMERISM ANAL NO CELL SELEC (170),1316.0,1316.0,,,0
HCPCS,81268,Chimerism anal w/cell select,,,391.19,1088.02,3
HCPCS,81268,HC CHIMERISM ANAL WI/CELL SELECT (245),1330.0,1330.0,,,0
HCPCS,81269,HC CHEMODENERV 1 EXTREM 5/> MUS,1124.0,1124.0,,,0
HCPCS,81269,Hba1/hba2 gene dup/del vrnts,,,303.6,844.41,3
HCPCS,81270,HC ENDO LEVEL 3 EA ADDL MIN,556.0,556.0,,,0
HCPCS,81270,Jak2 gene,,,137.49,382.41,3
HCPCS,81271,DEAC 01/01/2025 HC CAR-T; INFUSION CELL ADMINISTRATION; AUTOLOGOUS,205.0,205.0,,,0
HCPCS,81271,"HC STREP PNEUMONIAE IGG AB, 23 SEROTYPES, MULTI IA, QUANT",484.0,484.0,,,0
HCPCS,81271,Htt gene detc abnor alleles,,,205.5,571.56,3
HCPCS,81272,Kit gene targeted seq analys,,,494.27,1374.72,3
HCPCS,81273,Kit gene analys d816 variant,,,187.31,520.96,3
HCPCS,81274,Htt gene charac alleles,,,412.25,1146.59,3
HCPCS,81275,"HC AUDITORY EVOKED POTENTIALS; THRESHOLD ESTIM AT MULTI FREQ, I & R",631.0,631.0,,,0
HCPCS,81275,Kras gene variants exon 2,,,289.88,806.24,3
HCPCS,81276,Kras gene addl variants,,,289.88,806.24,3
HCPCS,81277,Cytogenomic neo microra alys,,,1740.0,4839.52,3
HCPCS,81277,"HC MOL PATH,LEVEL-5,HNF1B,SEQ",1065.0,1065.0,,,0
HCPCS,81277,"HC MOL PATH,LEVEL-5,PDX1 GENE",1397.0,1397.0,,,0
HCPCS,81277,HC MRA W/CONTRAST UPPER EXTREMITY,3537.0,3537.0,,,0
HCPCS,81277,HC MRA W/O CONTRAST UPPER EXTREMITY,1497.0,1497.0,,,0
HCPCS,81278,Igh@/bcl2 translocation alys,,,310.97,864.9,3
HCPCS,81279,HC STETHOSET,556.0,556.0,,,0
HCPCS,81279,Jak2 gene trgt sequence alys,,,277.8,772.65,3
HCPCS,81283,Ifnl3 gene,,,110.06,306.1,3
HCPCS,81284,Fxn gene detc abnor alleles,,,205.5,571.56,3
HCPCS,81285,Fxn gene charac alleles,,,412.25,1146.59,3
HCPCS,81286,Fxn gene full gene sequence,,,412.25,1146.59,3
HCPCS,81287,Mgmt gene methylation anal,,,186.96,520.0,3
HCPCS,81288,Mlh1 gene,,,288.48,802.36,3
HCPCS,81289,Fxn gene known famil variant,,,277.8,772.65,3
HCPCS,81290,DEAC 7/1/25 HC SARSCOV2 &INF A&B & RSV,128.0,128.0,,,0
HCPCS,81290,Mcoln1 gene,,,58.97,164.0,3
HCPCS,81291,HC  STERILE ONE-TIME SUPPLY,600.0,600.0,,,0
HCPCS,81291,HC ACTIONABLE PHARMACOGENOMICS PANEL (284),215.0,215.0,,,0
HCPCS,81291,Mthfr gene,,,98.01,272.6,3
HCPCS,81292,Mlh1 gene full seq,,,1013.1,2817.77,3
HCPCS,81293,Mlh1 gene known variants,,,496.5,1380.93,3
HCPCS,81294,Mlh1 gene dup/delete variant,,,303.6,844.41,3
HCPCS,81295,Msh2 gene full seq,,,572.55,1592.45,3
HCPCS,81296,Msh2 gene known variants,,,506.6,1409.01,3
HCPCS,81297,Msh2 gene dup/delete variant,,,319.95,889.89,3
HCPCS,81298,Msh6 gene full seq,,,962.78,2677.8,3
HCPCS,81299,Msh6 gene known variants,,,462.0,1284.98,3
HCPCS,81300,Msh6 gene dup/delete variant,,,357.0,992.94,3
HCPCS,81301,Microsatellite instability,,,522.84,1454.19,3
HCPCS,81302,"HC MOL PATH,LEVEL-5,INS,SEQ",1397.0,1397.0,,,0
HCPCS,81302,"HC MOL PATH,LEVEL-5,PDX1,SEQ",600.0,600.0,,,0
HCPCS,81302,Mecp2 gene full seq,,,791.81,2202.27,3
HCPCS,81303,Mecp2 gene known variant,,,180.0,500.64,3
HCPCS,81304,HC FIBROBLAST GROWTH FACTOR-23,500.0,500.0,,,0
HCPCS,81304,Mecp2 gene dup/delet variant,,,225.0,625.8,3
HCPCS,81305,Myd88 gene p.leu265pro vrnt,,,263.1,731.77,3
HCPCS,81306,HC DRUG/SUBST DEFINITIVE QUAL/QUANT,945.0,945.0,,,0
HCPCS,81306,Nudt15 gene common variants,,,437.04,1215.55,3
HCPCS,81307,Palb2 gene full gene seq,,,424.32,2822.36,3
HCPCS,81308,Palb2 gene known famil vrnt,,,452.03,1257.23,3
HCPCS,81309,Pik3ca gene trgt seq alys,,,412.25,1146.59,3
HCPCS,81310,Npm1 gene,,,369.78,1028.48,3
HCPCS,81311,Nras gene variants exon 2&3,,,443.69,1234.04,3
HCPCS,81312,Pabpn1 gene detc abnor allel,,,205.5,571.56,3
HCPCS,81313,Pca3/klk3 antigen,,,382.58,1064.07,3
HCPCS,81314,Pdgfra gene,,,494.27,1374.72,3
HCPCS,81315,Pml/raralpha com breakpoints,,,310.97,864.9,3
HCPCS,81316,Pml/raralpha 1 breakpoint,,,310.97,864.9,3
HCPCS,81317,Pms2 gene full seq analysis,,,1014.75,2822.36,3
HCPCS,81318,Pms2 known familial variants,,,496.5,1380.93,3
HCPCS,81319,Pms2 gene dup/delet variants,,,305.25,849.0,3
HCPCS,81320,Plcg2 gene common variants,,,437.04,1215.55,3
HCPCS,81321,HC EL-1 FECAL QUANTITATIVE,1957.0,1957.0,,,0
HCPCS,81321,HC MOPATH PROCEDUR LEVEL 8 (165),3393.0,3393.0,,,0
HCPCS,81321,HC UNLISTED MOL PATH (205),800.0,800.0,,,0
HCPCS,81321,Pten gene full sequence,,,900.0,2503.2,3
HCPCS,81322,"HC PERCUT MECH THROMBECTOMY, VENOUS",1015.0,1015.0,,,0
HCPCS,81322,Pten gene known fam variant,,,69.9,194.42,3
HCPCS,81323,HC ACTIN ANTIBODY EACH,500.0,500.0,,,0
HCPCS,81323,HC ASSAY OF INTERLEUKIN-6 (IL-6),428.0,428.0,,,0
HCPCS,81323,Pten gene dup/delet variant,,,450.0,1251.6,3
HCPCS,81324,HC INJECT INTERLAMINAR LMBR/SAC; W/IMG,500.0,500.0,,,0
HCPCS,81324,"HC TPMT, NUDT15 GENE ANALYSIS, COMMON VARIANTS",1555.0,1555.0,,,0
HCPCS,81324,Pmp22 gene dup/delet,,,1137.54,3163.88,3
HCPCS,81325,"HC MOL PATH,LEVEL-5,CD40L,SEQ",600.0,600.0,,,0
HCPCS,81325,Pmp22 gene full sequence,,,1154.37,3210.69,3
HCPCS,81326,Pmp22 gene known fam variant,,,69.9,194.42,3
HCPCS,81327,Sept9 methylation analysis,,,288.0,801.02,3
HCPCS,81328,Slco1b1 gene com variants,,,262.22,729.31,3
HCPCS,81329,"HC MOL PATH,LEVEL-5,MEFV,SEQ",500.0,500.0,,,0
HCPCS,81329,Smn1 gene dos/deletion alys,,,205.5,571.56,3
HCPCS,81330,HC ANCA SCREEN EACH ANTIBODY,154.0,154.0,,,0
HCPCS,81330,Smpd1 gene common variants,,,70.5,196.08,3
HCPCS,81331,HC DGP ANTIBODY EACH IG CLASS,500.0,500.0,,,0
HCPCS,81331,HC EMA EACH IG CLASS,1347.0,1347.0,,,0
HCPCS,81331,Snrpn/ube3a gene,,,76.61,213.06,3
HCPCS,81332,HC TISS TRNSGL TMNASE EA IG CLASS,336.0,336.0,,,0
HCPCS,81332,Serpina1 gene,,,65.48,182.11,3
HCPCS,81333,Tgfbi gene common variants,,,205.5,571.56,3
HCPCS,81334,Runx1 gene targeted seq alys,,,494.27,1374.72,3
HCPCS,81335,HC DRAIN CEREBRO SPINAL FLUID; W/O IMG,562.0,562.0,,,0
HCPCS,81335,HC MOPATH PROCEDURE LEVEL 7 (49),248.0,248.0,,,0
HCPCS,81335,Tpmt gene com variants,,,262.22,729.31,3
HCPCS,81336,Smn1 gene full gene sequence,,,452.03,1257.23,3
HCPCS,81337,Smn1 gen nown famil seq vrnt,,,277.8,772.65,3
HCPCS,81338,Mpl gene common variants,,,225.5,627.18,3
HCPCS,81339,Mpl gene seq alys exon 10,,,277.8,772.65,3
HCPCS,81340,"HC AUTISM PANEL,MOL PATH,LEVEL-5",1219.0,1219.0,,,0
HCPCS,81340,HC THROMBOPOIETIN (TPO),1735.0,1735.0,,,0
HCPCS,81340,Trb@ gene rearrange amplify,,,313.38,871.61,3
HCPCS,81341,Trb@ gene rearrange dirprobe,,,74.39,206.89,3
HCPCS,81342,HC TRG GENE REARRANGEMENT ANAL (230),758.0,758.0,,,0
HCPCS,81342,Trg gene rearrangement anal,,,302.25,840.66,3
HCPCS,81343,Ppp2r2b gen detc abnor allel,,,205.5,571.56,3
HCPCS,81344,Tbp gene detc abnor alleles,,,205.5,571.56,3
HCPCS,81345,Tert gene targeted seq alys,,,277.8,772.65,3
HCPCS,81346,Tyms gene com variants,,,262.22,729.31,3
HCPCS,81347,Sf3b1 gene common variants,,,289.88,806.24,3
HCPCS,81348,Srsf2 gene common variants,,,263.1,731.77,3
HCPCS,81349,Cytog alys chrml abnr lw-ps,,,1740.0,4997.81,3
HCPCS,81350,"HC CD40L GENE SEQ,IBD PANEL",1906.0,1906.0,,,0
HCPCS,81350,"HC CYTOKINE, INTERLEUKIN-18 (IL-18 - IL-18BPA)",760.0,760.0,,,0
HCPCS,81350,Ugt1a1 gene,,,351.0,976.25,3
HCPCS,81351,Tp53 gene full gene sequence,,,962.78,2677.8,3
HCPCS,81352,Tp53 gene trgt sequence alys,,,494.27,1374.72,3
HCPCS,81353,Tp53 gene known famil vrnt,,,462.0,1284.98,3
HCPCS,81354,Cytog alys chrml abnor ogm,,,5271.45,5271.45,1
HCPCS,81355,HC MITOCHONDRIAL ANTIBODY EACH,571.0,571.0,,,0
HCPCS,81355,Vkorc1 gene,,,132.3,367.97,3
HCPCS,81357,U2af1 gene common variants,,,289.88,806.24,3
HCPCS,81360,Zrsr2 gene common variants,,,289.88,806.24,3
HCPCS,81361,Hbb gene com variants,,,262.22,729.31,3
HCPCS,81362,Hbb gene known fam variant,,,562.88,1565.54,3
HCPCS,81363,Hbb gene dup/del variants,,,303.6,844.41,3
HCPCS,81364,"HC HBB (HEMOGLOBIN, SUBUNIT BETA); FULL GENE SEQ",383.0,383.0,,,0
HCPCS,81364,"HC MEFV GENE SEQ,IBD PANEL",956.0,956.0,,,0
HCPCS,81364,Hbb full gene sequence,,,486.87,1354.15,3
HCPCS,81370,"HC INTERLEUKIN-10 (IL10), SERUM",2816.0,2816.0,,,0
HCPCS,81370,"HC TRYPTASE, SERUM",1843.0,1843.0,,,0
HCPCS,81370,Hla i & ii typing lr,,,603.18,1677.64,3
HCPCS,81371,HC NEONATAL RESUSCITATION,1431.0,1431.0,,,0
HCPCS,81371,Hla i & ii type verify lr,,,606.78,1687.66,3
HCPCS,81372,HC CUL TYP D BLD PTHGN 6+TRGT,1427.0,1427.0,,,0
HCPCS,81372,HC MOG-IGG1 ANTB CBA EACH,233.0,233.0,,,0
HCPCS,81372,Hla i typing complete lr,,,605.39,1683.78,3
HCPCS,81373,HC TRLUML BALLOON ANGIOPLASTY;  INITIAL VEIN,415.0,415.0,,,0
HCPCS,81373,Hla i typing 1 locus lr,,,191.15,531.64,3
HCPCS,81374,DEAC 11/01/2023 HC ADM SARSCOV2 30MCG/0.3 ML; TRIS-SUCROSE FORM; 1ST DOSE,317.0,317.0,,,0
HCPCS,81374,Hla i typing 1 antigen lr,,,111.5,310.1,3
HCPCS,81375,DEAC 11/01/2023 HC ADM SARSCOV2 30MCG/0.3 ML; TRIS-SUCROSE FORM; 2ND DOSE,964.0,964.0,,,0
HCPCS,81375,Hla ii typing ag equiv lr,,,331.11,920.93,3
HCPCS,81376,DEAC 11/01/2023 HC ADM SARSCOV2 30MCG/0.3 ML; TRIS-SUCROSE FORM; 3RD DOSE,534.0,534.0,,,0
HCPCS,81376,HC THRMB/INFUS DIAL CIRC&INTRPRC PHAR INJ W/STENT(S),398.0,398.0,,,0
HCPCS,81376,Hla ii typing 1 locus lr,,,183.33,509.9,3
HCPCS,81377,"HC PERQ PLMT BILE DUCT STENT(S), NEW ACCESS, W/O SEPAR CATH",364.0,364.0,,,0
HCPCS,81377,Hla ii type 1 ag equiv lr,,,142.11,395.26,3
HCPCS,81378,"HC CYTOKINE,GM-CSF",2662.0,2662.0,,,0
HCPCS,81378,Hla i & ii typing hr,,,518.36,1441.72,3
HCPCS,81379,DEAC 11/01/2023 HC ADM SARSCOV2 30MCG/0.3 ML; TRIS-SUCROSE FORM; BOOSTER,1094.0,1094.0,,,0
HCPCS,81379,Hla i typing complete hr,,,503.07,1399.21,3
HCPCS,81380,Hla i typing 1 locus hr,,,265.88,739.49,3
HCPCS,81381,HC CLOTTING ASSAY WHOLE BLOOD PER DAY,601.0,601.0,,,0
HCPCS,81381,Hla i typing 1 allele hr,,,254.85,708.82,3
HCPCS,81382,"DEAC 4/1/2025 HC IV INFUSION SOTROVIMAB, INCL INFUSION & POST ADMIN MONITORING",403.0,403.0,,,0
HCPCS,81382,HC BALLOON  ANGIOPLASTY CTR DIALYSIS SEGMENT,493.0,493.0,,,0
HCPCS,81382,Hla ii typing 1 loc hr,,,185.52,515.99,3
HCPCS,81383,"HC CYTOKINE,INTERLEUKIN-2 (IL-2)",433.0,433.0,,,0
HCPCS,81383,Hla ii typing 1 allele hr,,,163.7,455.29,3
HCPCS,81400,"HC EPILEPSY PANEL,ARX GENE SEQ",206.0,206.0,,,0
HCPCS,81400,"HC EPILEPSY PANEL,CSTB GENE SEQ",400.0,400.0,,,0
HCPCS,81400,Mopath procedure level 1,,,95.94,266.84,3
HCPCS,81401,HC CARDIOMYOPATHY DEL-DUP (ONLY),528.0,528.0,,,0
HCPCS,81401,"HC DUAL GENOME,TIS,MOL PATH,LVL 6",528.0,528.0,,,0
HCPCS,81401,"HC EPILEPSY PANEL,EPM2A GENE SEQ",1665.0,1665.0,,,0
HCPCS,81401,HC GUIDE NERVE DESTRUCTION ELECTRICAL STIM,403.0,403.0,,,0
HCPCS,81401,HC MEFV GENE SEQUENCING,987.0,987.0,,,0
HCPCS,81401,HC MOPATH PROCEDURE LEVEL 2 (49),100.0,100.0,,,0
HCPCS,81401,HC MOPATH PROCEDURE LEVEL 2 (99),200.0,200.0,,,0
HCPCS,81401,HC UNLISTED MOL PATH (220),403.0,403.0,,,0
HCPCS,81401,Mopath procedure level 2,,,205.5,571.56,3
HCPCS,81402,"HC EPILEPSY,CDKL5 GENE,DEL-DUP",667.0,667.0,,,0
HCPCS,81402,"HC EPILEPSY,PDHA1 GENE,DEL-DUP",483.0,483.0,,,0
HCPCS,81402,HC UNLISTED MOL PATH (500),483.0,483.0,,,0
HCPCS,81402,Mopath procedure level 3,,,225.5,627.18,3
HCPCS,81403,HC ACTIN ANTIBODY EACH,604.0,604.0,,,0
HCPCS,81403,HC ENG GENE DEL-DUP,596.0,596.0,,,0
HCPCS,81403,"HC EPILEPSY,TSC1 GENE,DEL-DUP",1284.0,1284.0,,,0
HCPCS,81403,"HC MOL PATH,LEVEL-6,FGFR1 GENE",596.0,596.0,,,0
HCPCS,81403,"HC MOL PATH,LEVEL-6,HNF1A GENE",596.0,596.0,,,0
HCPCS,81403,"HC MOL PATH,LEVEL-6,HNF1A,SEQ",596.0,596.0,,,0
HCPCS,81403,"HC MOL PATH,LEVEL-6,TGFBR1 GENE",596.0,596.0,,,0
HCPCS,81403,"HC MOL PATH,PANCREATITIS,LEVEL-6",596.0,596.0,,,0
HCPCS,81403,"HC MOLECULAR PATH PROC, LEVEL 4  (71)",1625.0,1625.0,,,0
HCPCS,81403,HC NERVE CONDUCT STUDIES 1-2,596.0,596.0,,,0
HCPCS,81403,HC SMAD4 GENE DEL-DUP,596.0,596.0,,,0
HCPCS,81403,HC STK11 GENE SEQUENCE,596.0,596.0,,,0
HCPCS,81403,HC UNLISTED MOL PATH (825),604.0,604.0,,,0
HCPCS,81403,HC ZEB2 GENE SEQUENCING DEL/DUP,1284.0,1284.0,,,0
HCPCS,81403,Mopath procedure level 4,,,277.8,772.65,3
HCPCS,81404,HC AIRE GENE ANALYSIS,883.0,883.0,,,0
HCPCS,81404,"HC ANCA SCREEN EACH ANTIBODY,TITER",825.0,825.0,,,0
HCPCS,81404,"HC AUTISM PANEL,MOL PATH,LEVEL-6",883.0,883.0,,,0
HCPCS,81404,"HC BM FAILURE,RPS19 GENE SEQ",1247.0,1247.0,,,0
HCPCS,81404,"HC DUAL GENOME,TIS,MOL PATH,L7 AD",883.0,883.0,,,0
HCPCS,81404,"HC DUAL GENOME,TIS,MOL PATH,LVL 7",883.0,883.0,,,0
HCPCS,81404,HC ENG GENE SEQUENCE,883.0,883.0,,,0
HCPCS,81404,"HC EPILEPSY PANEL,CHRNA4 GENE SEQ",883.0,883.0,,,0
HCPCS,81404,"HC EPILEPSY PANEL,PCDH19 GENE SEQ",883.0,883.0,,,0
HCPCS,81404,"HC EPILEPSY,TSC2 GENE,DEL-DUP",883.0,883.0,,,0
HCPCS,81404,"HC IL2RG GENE SEQ,IBD PANEL",3326.0,3326.0,,,0
HCPCS,81404,"HC MOL PATH,LEVEL-6,IL2RG,SEQ",883.0,883.0,,,0
HCPCS,81404,"HC MOL PATH,LEVEL-6,STAT3,SEQ",1710.0,1710.0,,,0
HCPCS,81404,"HC MOL PATH,LEVEL-7,BTK,SEQ",883.0,883.0,,,0
HCPCS,81404,"HC MOL PATH,LEVEL-7,GCK GENE",883.0,883.0,,,0
HCPCS,81404,"HC MOL PATH,LEVEL-7,GCK,SEQ",883.0,883.0,,,0
HCPCS,81404,"HC MOL PATH,LEVEL-7,GLUD1 GENE",883.0,883.0,,,0
HCPCS,81404,"HC MOL PATH,LEVEL-7,GLUD1,SEQ",883.0,883.0,,,0
HCPCS,81404,"HC MOL PATH,LEVEL-7,HNF4A GENE",883.0,883.0,,,0
HCPCS,81404,"HC MOL PATH,LEVEL-7,HNF4A,SEQ",883.0,883.0,,,0
HCPCS,81404,"HC MOL PATH,LEVEL-7,SLC37A4,SEQ",883.0,883.0,,,0
HCPCS,81404,HC MOPATH PROCEDURE LEVEL 5 (246),500.0,500.0,,,0
HCPCS,81404,HC SMAD4 GENE SEQUENCE,883.0,883.0,,,0
HCPCS,81404,"HC STAT3 GENE SEQ,IBD PANEL",3238.0,3238.0,,,0
HCPCS,81404,Mopath procedure level 5,,,412.25,1146.59,3
HCPCS,81405,HC AQAPRN-4 ANTB FLO CYTMTRY EA,969.0,969.0,,,0
HCPCS,81405,HC ATM GENE SEQUENCE,969.0,969.0,,,0
HCPCS,81405,"HC AUTISM PANEL,MOL PATH,LEVEL-7",969.0,969.0,,,0
HCPCS,81405,"HC AUTISM PANEL,MOL PATH,LEVEL-8",969.0,969.0,,,0
HCPCS,81405,"HC BM FAILURE,PALB2 GENE SEQ",969.0,969.0,,,0
HCPCS,81405,"HC BM FAILURE,WAS GENE SEQ",969.0,969.0,,,0
HCPCS,81405,"HC BTK GENE SEQ,IBD PANEL",969.0,969.0,,,0
HCPCS,81405,"HC CHD,JAG-1,DEL-DUP",969.0,969.0,,,0
HCPCS,81405,"HC DUAL GENOME,TIS,MOL PATH,LVL 8",969.0,969.0,,,0
HCPCS,81405,"HC EPILEPSY PANEL,ALDH7A1 SEQ",1204.0,1204.0,,,0
HCPCS,81405,"HC EPILEPSY PANEL,ATP1A2 GENE SEQ",969.0,969.0,,,0
HCPCS,81405,"HC EPILEPSY PANEL,CACNA1A SEQ",969.0,969.0,,,0
HCPCS,81405,"HC EPILEPSY PANEL,KCNQ2 GENE SEQ",969.0,969.0,,,0
HCPCS,81405,HC FACTOR VIII SEQUENCE ANALYSIS,969.0,969.0,,,0
HCPCS,81405,HC JAUNDICECHIP GENE (JAG-1),969.0,969.0,,,0
HCPCS,81405,"HC MOL PATH,LEVEL-7,AIRE,SEQ",2564.0,2564.0,,,0
HCPCS,81405,"HC MOL PATH,LEVEL-8,ABCC8 GENE",969.0,969.0,,,0
HCPCS,81405,"HC MOL PATH,LEVEL-8,ABCC8,SEQ",969.0,969.0,,,0
HCPCS,81405,"HC MOL PATH,LEVEL-8,CHD7,SEQ",969.0,969.0,,,0
HCPCS,81405,"HC MOL PATH,LEVEL-9,ATM,SEQ",969.0,969.0,,,0
HCPCS,81405,HC MOPATH PROCEDURE LEVEL 6 (123),250.0,250.0,,,0
HCPCS,81405,HC MOPATH PROCEDURE LEVEL 6 (99),200.0,200.0,,,0
HCPCS,81405,HC NERVE CONDUCT STUDIES 3-4,969.0,969.0,,,0
HCPCS,81405,HC NERVE CONDUCT STUDIES 5-6,1332.0,1332.0,,,0
HCPCS,81405,HC SCN1A DNA GENE SEQUENCE,969.0,969.0,,,0
HCPCS,81405,"HC SLC37A4 GENE SEQ,IBD PANEL",2942.0,2942.0,,,0
HCPCS,81405,"HC WAS GENE SEQ,IBD PANEL",969.0,969.0,,,0
HCPCS,81405,Mopath procedure level 6,,,452.03,1257.23,3
HCPCS,81406,HC ATG16L GENE,1225.0,1225.0,,,0
HCPCS,81406,"HC AUTISM PANEL,MOL PATH,LEVEL-9",4936.0,4936.0,,,0
HCPCS,81406,"HC CARDIOMYOPATHY,MOL LEVEL-8",1225.0,1225.0,,,0
HCPCS,81406,HC CRITICAL CARE ADDL 30 MIN,923.0,923.0,,,0
HCPCS,81406,"HC DUAL GENOME,TIS,UNLISTED MOL P",1225.0,1225.0,,,0
HCPCS,81406,HC ECM-1 GENE,1225.0,1225.0,,,0
HCPCS,81406,HC ELA2 GENE SEQ ANALYSIS,1225.0,1225.0,,,0
HCPCS,81406,"HC EPILEPSY,UNLISTED GENE,DEL-DUP",1225.0,1225.0,,,0
HCPCS,81406,HC JAUNDICECHIP GENE (ABCB11),1225.0,1225.0,,,0
HCPCS,81406,HC JAUNDICECHIP GENE (ABCB4),1225.0,1225.0,,,0
HCPCS,81406,HC JAUNDICECHIP GENE (AKR1D1),1225.0,1225.0,,,0
HCPCS,81406,HC MITO-DNA DELETIONS,1225.0,1225.0,,,0
HCPCS,81406,HC MITOCHONDRIAL GENOME LG DEL,1225.0,1225.0,,,0
HCPCS,81406,HC MITOCHONDRIAL GENOME SEQUENCE,1225.0,1225.0,,,0
HCPCS,81406,"HC MOL PATH,LEVEL-9,VPS13B,SEQ",4936.0,4936.0,,,0
HCPCS,81406,"HC MOL PATHOLOGY, UNLISTED, FMF",1225.0,1225.0,,,0
HCPCS,81406,HC MOPATH PROCEDURE LEVEL 7 (49),100.0,100.0,,,0
HCPCS,81406,HC MOPATH PROCEDURE LEVEL 7 (83),167.0,167.0,,,0
HCPCS,81406,HC NKX2 GENE,1225.0,1225.0,,,0
HCPCS,81406,"HC NOONAN'S SYN,DEL-DUP ONLY",1225.0,1225.0,,,0
HCPCS,81406,HC NOONAN'S SYNDROME GENE SEQ,1225.0,1225.0,,,0
HCPCS,81406,HC STAT3 GENE,1225.0,1225.0,,,0
HCPCS,81406,"HC STICKLER SYN,AORTIC DYS,D/D",1225.0,1225.0,,,0
HCPCS,81406,"HC STICKLER SYN,AORTIC DYS,SEQ",1223.5,1223.5,,,0
HCPCS,81406,HC T-CELL RECEPTOR (TREC),1225.0,1225.0,,,0
HCPCS,81406,HC WHOLE EXOME SEQUENCING     GDX,1225.0,1225.0,,,0
HCPCS,81406,Mopath procedure level 7,,,424.32,1180.18,3
HCPCS,81407,HC ACVRL1 GENE SEQUENCE,2721.0,2721.0,,,0
HCPCS,81407,HC EXOME SLICE,2721.0,2721.0,,,0
HCPCS,81407,HC JAUNDICECHIP GENE (ATP8B1),5506.0,5506.0,,,0
HCPCS,81407,HC JAUNDICECHIP GENE (SERP1NA1),3862.0,3862.0,,,0
HCPCS,81407,HC JAUNDICECHIP GENE (SLC25A13),2721.0,2721.0,,,0
HCPCS,81407,"HC MOLECULAR PATH PROC, UNLISTED",2721.0,2721.0,,,0
HCPCS,81407,HC MYH9 GENE MUTATION      BCW,6685.0,6685.0,,,0
HCPCS,81407,HC NERVE CONDUCT STUDIES 7-8,2761.0,2761.0,,,0
HCPCS,81407,HC RASA1 GENE SEQUENCE,2721.0,2721.0,,,0
HCPCS,81407,"HC UNLISTED MOL/PATH,PANCREATITIS",2721.0,2721.0,,,0
HCPCS,81407,Mopath procedure level 8,,,1269.41,3530.64,3
HCPCS,81408,HC ACVRL1 GENE DEL-DUP,6430.0,6430.0,,,0
HCPCS,81408,HC ATM GENE DEL-DUP,6430.0,6430.0,,,0
HCPCS,81408,HC IGF1R GENE SEQUENCING,6430.0,6430.0,,,0
HCPCS,81408,HC RASA1 GENE DEL-DUP,6430.0,6430.0,,,0
HCPCS,81408,Mopath procedure level 9,,,3000.0,8344.0,3
HCPCS,81410,Aortic dysfunction/dilation,,,756.0,2102.69,3
HCPCS,81410,"HC MOL PATH,UNLIST,HYPERINS GENE",2000.0,2000.0,,,0
HCPCS,81410,"HC MOL PATH,UNLISTED CRANIO GENES",4181.0,4181.0,,,0
HCPCS,81411,Aortic dysfunction/dilation,,,2025.29,5632.99,3
HCPCS,81411,"HC MOL PATH,UNLISTED,POLR1C GENE",2768.0,2768.0,,,0
HCPCS,81411,"HC MOL PATH,UNLISTED,POLR1D GENE",900.0,900.0,,,0
HCPCS,81412,Ashkenazi jewish assoc dis,,,3672.84,10215.39,3
HCPCS,81412,HC CONTINUOUS PULSE OX,7986.0,7986.0,,,0
HCPCS,81413,Car ion chnnlpath inc 10 gns,,,877.35,2440.2,3
HCPCS,81413,HC CAR ION CHNNLPATH INC 2 GN (2675),3291.0,3291.0,,,0
HCPCS,81413,HC COMBINED CARDIAC  PANEL SEQUENCING AT LEAST 10 GENES (148),300.0,300.0,,,0
HCPCS,81414,Car ion chnnlpath inc 2 gns,,,877.35,2440.2,3
HCPCS,81414,HC COMBINED CARDIAC  PANEL ANALYSIS AT LEAST 2 GENES (148),300.0,300.0,,,0
HCPCS,81414,HC HPA-6  GENOTYPING (35),2979.0,2979.0,,,0
HCPCS,81414,HC TTE CONG ABN; COMPLETE,900.0,900.0,,,0
HCPCS,81415,Exome sequence analysis,,,7170.0,19942.16,3
HCPCS,81415,HC EXOME SEQUENCE ANALYSIS (1232),2500.0,2500.0,,,0
HCPCS,81415,"HC MOL PATH,UNLISTED SEQ/DEL-DUP",16903.0,16903.0,,,0
HCPCS,81415,HC XOMEDXXPRESS (739),1500.0,1500.0,,,0
HCPCS,81416,Exome sequence analysis,,,18000.0,50064.0,3
HCPCS,81416,HC COMPARATOR EXOME (247),500.0,500.0,,,0
HCPCS,81416,HC COMPARATOR EXOME (493),1000.0,1000.0,,,0
HCPCS,81416,"HC XOMEDXXPRESS SEQ ANALYSIS, EA COMPARATOR EXOME (370)",750.0,750.0,,,0
HCPCS,81417,Exome re-evaluation,,,480.0,1335.04,3
HCPCS,81417,HC EXOME RE-EVALUATION (493),1000.0,1000.0,,,0
HCPCS,81418,HC CHEMICAL CAUTERIZATION OF GRANULATION TISSUE,1544.0,1544.0,,,0
HCPCS,81418,Rx metab gen seq alys pnl 6,,,1375.62,3826.06,3
HCPCS,81419,Epilepsy gen seq alys panel,,,3672.84,10215.39,3
HCPCS,81419,HC HUGGIE AND CATCHER,5020.0,5020.0,,,0
HCPCS,81420,Fetal chrmoml aneuploidy,,,1138.58,3166.76,3
HCPCS,81422,Fetal chrmoml microdeltj,,,1138.58,3166.76,3
HCPCS,81425,Genome sequence analysis,,,7546.8,20990.17,3
HCPCS,81425,HC GENOME SEQUENCE ANALYSIS (1970),4000.0,4000.0,,,0
HCPCS,81425,HC GENOME SEQUENCE ANALYSIS (985),2000.0,2000.0,,,0
HCPCS,81425,HC GENOMEXPRESS (1109),2250.0,2250.0,,,0
HCPCS,81426,Genome sequence analysis,,,4064.93,11305.91,3
HCPCS,81426,"HC GENOME SEQ ANALYSIS, EA CMPRTR (493)",1000.0,1000.0,,,0
HCPCS,81426,"HC GENOME SEQ ANALYSIS, EA CMPRTR (985)",2000.0,2000.0,,,0
HCPCS,81426,"HC GENOMEXPRESS SEQUENCE ANALYSIS, EA COMPARATOR GENOME (554)",1125.0,1125.0,,,0
HCPCS,81427,Genome re-evaluation,,,3506.48,9752.68,3
HCPCS,81430,Hearing loss sequence analys,,,2437.5,6779.5,3
HCPCS,81431,Hearing loss dup/del analys,,,1019.36,2835.17,3
HCPCS,81432,Hrdtry brst ca-rlatd dsordrs,,,1018.58,5440.08,3
HCPCS,81434,HC CHEMODENERV 1 EXTREM 5/> EA,1922.0,1922.0,,,0
HCPCS,81434,Hereditary retinal disorders,,,896.87,2494.48,3
HCPCS,81435,Hereditary colon ca dsordrs,,,877.35,5440.08,3
HCPCS,81437,Heredtry nurondcrn tum dsrdr,,,658.4,5440.08,3
HCPCS,81439,HC CARDIOMYOPATHY  PANEL (296),600.0,600.0,,,0
HCPCS,81439,HC PERIODIC FEVER SYNDROME,2000.0,2000.0,,,0
HCPCS,81439,Inherited cardmypthy 5 gns,,,877.35,2440.2,3
HCPCS,81440,HC COAG TIME; ACTIVATED,10686.0,10686.0,,,0
HCPCS,81440,Mitochondrial gene,,,4986.0,13867.73,3
HCPCS,81441,Ibmfs seq alys pnl 30 genes,,,3672.84,10215.39,3
HCPCS,81442,"HC MOL PATH,UNLISTED GENE SEQ",2000.0,2000.0,,,0
HCPCS,81442,HC NOONAN AND COMPREHENSIVE RASOPATHIES  PANEL (296),600.0,600.0,,,0
HCPCS,81442,Noonan spectrum disorders,,,3215.4,8943.1,3
HCPCS,81443,Genetic tstg severe inh cond,,,3672.84,10215.39,3
HCPCS,81445,HC DRUG SCREEN QUANT CAFFEINE,9386.0,9386.0,,,0
HCPCS,81445,Targeted genomic seq analys,,,896.87,2494.48,3
HCPCS,81448,Hrdtry perph neurphy panel,,,877.35,2440.2,3
HCPCS,81449,Tgsap so neo 5-50 rna alys,,,896.87,2494.48,3
HCPCS,81450,Targeted genomic seq analys,,,1139.3,3168.76,3
HCPCS,81451,Tgsap hl neo 5-50 rna alys,,,1139.3,3168.76,3
HCPCS,81455,"HC COMPLEMENT; ANTIGEN, EACH COMPONENT",9386.0,9386.0,,,0
HCPCS,81455,HC DEAC 01/01/2021 HC US STUDY FOLLOW UP,5986.0,5986.0,,,0
HCPCS,81455,"HC IMMUNIZATION ADMIN, NASAL/ORAL, EA ADDL",9386.0,9386.0,,,0
HCPCS,81455,HC MOD SED OTHER PHYS/QHP; EA ADDL 15 MIN,2468.0,2468.0,,,0
HCPCS,81455,HC ONE KNOWN FAMILIAL VARIANT (136),276.0,276.0,,,0
HCPCS,81455,HC TWO KNOWN FAMILIAL VARIANTS IN A NUCLEAR GENE (98),198.0,198.0,,,0
HCPCS,81455,Targeted genomic seq analys,,,4379.4,12180.57,3
HCPCS,81456,DEAC 11/01/2023 HC ADM SRSCV2 BVL 25MCG/0.25ML 1ST DOSE,1092.0,1092.0,,,0
HCPCS,81456,Tgsap so/hl 51/< rna alys,,,4379.4,12180.57,3
HCPCS,81457,So neo gsap dna mcrstl ins,,,1345.31,3741.74,3
HCPCS,81458,So gsap dna cpy nmbr&mcrstl,,,1569.53,4365.37,3
HCPCS,81459,So neo gsap dna/dna&rna,,,4484.33,12472.4,3
HCPCS,81460,"HC CYTOKINE,INTERLEUKIN-4 (IL-4)",3713.0,3713.0,,,0
HCPCS,81460,"HC MOL PATH,UNLISTED GENE DEL-DUP",3713.0,3713.0,,,0
HCPCS,81460,HC OSMOTIC FRAGILITY RBC; UNINCUBATED,3861.0,3861.0,,,0
HCPCS,81460,HC WHOLE MITO GENOME SEQUENCING & DELETION TESTING (148),300.0,300.0,,,0
HCPCS,81460,Whole mitochondrial genome,,,1930.5,5369.36,3
HCPCS,81462,So gsap cll fr dna/dna&rna,,,1793.75,4989.0,3
HCPCS,81463,So gsap cl fr cpy nmbr&mcrst,,,2017.97,5612.63,3
HCPCS,81464,So gsap cll fr mcrstl ins,,,4932.77,13719.66,3
HCPCS,81465,"HC AUTISM PANEL,MOL PATH,UNLISTED",3009.0,3009.0,,,0
HCPCS,81465,HC LAB BACTERIOLOY AND MICROBIOLOGY,2808.0,2808.0,,,0
HCPCS,81465,"HC MITO GENOME SEQUENCING HETEROPLASMY DETECTION, IF PERFRMD (148)",300.0,300.0,,,0
HCPCS,81465,Whole mitochondrial genome,,,1404.0,3904.99,3
HCPCS,81470,HC HIV-1 AG W/HIV-1 & HIV-2 AB,2742.0,2742.0,,,0
HCPCS,81470,X-linked intellectual dblt,,,1371.0,3813.21,3
HCPCS,81471,HC HERPES 6 NA QUAN,2742.0,2742.0,,,0
HCPCS,81471,X-linked intellectual dblt,,,1371.0,3813.21,3
HCPCS,81479,"DEAC 4/1/2025 HC APOPTOSIS,FLOW,INTERPRETATION",266.0,266.0,,,0
HCPCS,81479,"DEAC 4/1/2025 HC CD107A,INTERPRETATION",1472.0,1472.0,,,0
HCPCS,81479,"DEAC 4/1/2025 HC DOCK8,PROTEIN EXP(FLOW),INTERP",212.0,212.0,,,0
HCPCS,81479,"DEAC 4/1/2025 HC FLOW CYTOMETRY, INTERPRETATION; 2 TO 8 MARKERS",509.0,509.0,,,0
HCPCS,81479,"DEAC 4/1/2025 HC INTERPRETATION, FLOW, XLP1",765.0,765.0,,,0
HCPCS,81479,"DEAC 4/1/2025 HC INTERPRETATION,MRD FLOW PANEL",1344.0,1344.0,,,0
HCPCS,81479,"DEAC 4/1/2025 HC NKC,INTERPRETATION CCH",509.0,509.0,,,0
HCPCS,81479,"DEAC 4/1/2025 HC TH17 CYTOKINE,INTERPRETATION",1952.0,1952.0,,,0
HCPCS,81479,"DEAC 4/1/2025 HC WASP,FLOW CYTOMETRY,INTERP",1472.0,1472.0,,,0
HCPCS,81479,"DEAC 4/1/2025 HC XIAP,INTERPRETATION,FLOW",509.0,509.0,,,0
HCPCS,81479,HC ABLATE L/R ATRIAL FIBRIL W/ISOLATED PULM VEIN ADDL,1015.0,1015.0,,,0
HCPCS,81479,HC ALLOMAP GENE EXPRESSION(IP),953.0,953.0,,,0
HCPCS,81479,"HC BLOCK RECUT,H&E STAIN",1065.0,1065.0,,,0
HCPCS,81479,"HC BLOCK RECUT,UNSTAINED",1065.0,1065.0,,,0
HCPCS,81479,"HC BM FAILURE,UNLIST GENE DEL-DUP",950.0,950.0,,,0
HCPCS,81479,"HC BM FAILURE,UNLIST GENE SEQ",1596.0,1596.0,,,0
HCPCS,81479,"HC CHD,UNLISTED GENE,DEL-DUP",563.0,563.0,,,0
HCPCS,81479,HC CLOTTING; FACTOR VIII RELATED ANTIGEN,2315.0,2315.0,,,0
HCPCS,81479,"HC CNT 45 CELLS,MOSAIC,2 KARYOTYP",3073.0,3073.0,,,0
HCPCS,81479,HC COMPLEX CYTO INTERP & REPORT,431.0,431.0,,,0
HCPCS,81479,HC COMPRE ELECTROPHYSIOL XM W/LEFT ATRIAL PACNG/REC,1114.0,1114.0,,,0
HCPCS,81479,HC COMPRE ELECTROPHYSIOL XM W/LEFT VENTR PACNG/REC,1596.0,1596.0,,,0
HCPCS,81479,"HC CONSULT/REPORT,REFERRED SPEC",254.0,254.0,,,0
HCPCS,81479,"HC CONSULTATION, COMP, (STANFORF)",443.0,443.0,,,0
HCPCS,81479,"HC CONSULTATION,EM    (STANFORD)",254.0,254.0,,,0
HCPCS,81479,"HC COUNT 5 CELLS, 1 KARYOTYPE",1271.5,1271.5,,,0
HCPCS,81479,"HC CYTOGENETICS INTERP, FANCONI A",509.0,509.0,,,0
HCPCS,81479,HC DX BRONCHOSCOPE/WASH INCL FLUORO,1065.0,1065.0,,,0
HCPCS,81479,"HC EPILEPSY PANEL,UNLIST DEL-DUP",312.0,312.0,,,0
HCPCS,81479,"HC EPILEPSY PANEL,UNLISTED SEQ",312.0,312.0,,,0
HCPCS,81479,HC INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS,1065.0,1065.0,,,0
HCPCS,81479,HC INTRACARD CATH ABLATION ARRHYTHMIA ADD ON,1114.0,1114.0,,,0
HCPCS,81479,HC INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S&I,1114.0,1114.0,,,0
HCPCS,81479,HC INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING,1065.0,1065.0,,,0
HCPCS,81479,HC LIVER FIBROSIS (FIBROTEST) PAN,38.0,38.0,,,0
HCPCS,81479,HC MTHFR GENE (85),2315.0,2315.0,,,0
HCPCS,81479,HC NERVE CONDUCT STUDIES 11-12,445.0,445.0,,,0
HCPCS,81479,HC NERVE CONDUCT STUDIES 13 OR MORE,1472.0,1472.0,,,0
HCPCS,81479,HC NERVE CONDUCT STUDIES 9-10,445.0,445.0,,,0
HCPCS,81479,HC PROCEDURE ENDO LEVEL 3 INIT 15 MIN,445.0,445.0,,,0
HCPCS,81479,HC REMOVAL LT HEART VENT BY THORACIC INCIS ECMO/ECLS,1015.0,1015.0,,,0
HCPCS,81479,HC SALL1 GENE DELETION-DUP,38.0,38.0,,,0
HCPCS,81479,HC SALL1 GENE SEQUENCING,1692.0,1692.0,,,0
HCPCS,81479,"HC SCORE 100 CELLS,FANC-DEB",991.0,991.0,,,0
HCPCS,81479,"HC STICKLER SYN,UNLISTED,DEL-DUP",2499.0,2499.0,,,0
HCPCS,81479,"HC STICKLER SYN,UNLISTED,SEQ",312.0,312.0,,,0
HCPCS,81479,HC THAW AND EXPANSION-FROZEN CELL,38.0,38.0,,,0
HCPCS,81479,"HC UNLISTED DEL-DUP,IBD PANEL",312.0,312.0,,,0
HCPCS,81479,"HC UNLISTED GENE SEQ,IBD PANEL",1596.0,1596.0,,,0
HCPCS,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE (370),750.0,750.0,,,0
HCPCS,81479,HC VOLTAGE-GTD CA CHNL ANTB EA,445.0,445.0,,,0
HCPCS,81490,Autoimmune rheumatoid arthr,,,1260.98,3507.19,3
HCPCS,81493,Cor artery disease mrna,,,1575.0,4380.6,3
HCPCS,81500,Onco (ovar) two proteins,,,390.75,1086.81,3
HCPCS,81503,Onco (ovar) five proteins,,,1345.5,3742.28,3
HCPCS,81504,Oncology tissue of origin,,,780.0,2169.44,3
HCPCS,81506,Endo assay seven anal,,,103.38,287.53,3
HCPCS,81507,Fetal aneuploidy trisom risk,,,1192.5,3316.74,3
HCPCS,81508,Ftl cgen abnor two proteins,,,81.45,226.54,3
HCPCS,81509,Ftl cgen abnor 3 proteins,,,2231.06,6205.31,3
HCPCS,81510,Ftl cgen abnor three anal,,,83.31,231.71,3
HCPCS,81511,Ftl cgen abnor four anal,,,230.25,640.4,3
HCPCS,81512,Ftl cgen abnor five anal,,,104.28,290.04,3
HCPCS,81513,Nfct ds bv rna vag flu alg,,,213.95,595.05,3
HCPCS,81514,Nfct ds bv&vaginitis dna alg,,,394.49,1097.19,3
HCPCS,81515,Nfct ds bv&vaginitis dna alg,,,394.49,1097.19,3
HCPCS,81517,Liver ds alys 3 bmrk srm alg,,,264.29,735.06,3
HCPCS,81518,Onc brst mrna 11 genes,,,5809.5,16158.16,3
HCPCS,81519,Oncology breast mrna,,,5809.5,16158.16,3
HCPCS,81520,Onc breast mrna 58 genes,,,3765.32,10472.6,3
HCPCS,81521,Onc breast mrna 70 genes,,,5809.5,16158.16,3
HCPCS,81522,Onc breast mrna 12 genes,,,5809.5,16158.16,3
HCPCS,81523,Onc brst mrna 70 cnt 31 gene,,,5809.5,16158.16,3
HCPCS,81525,Oncology colon mrna,,,4674.0,12999.95,3
HCPCS,81528,Oncology colorectal scr,,,763.31,2123.01,3
HCPCS,81529,Onc cutan mlnma mrna 31 gene,,,10789.5,30009.2,3
HCPCS,81535,Oncology gynecologic,,,869.19,2417.51,3
HCPCS,81536,Oncology gynecologic,,,266.34,740.78,3
HCPCS,81538,Oncology lung,,,4306.5,11977.81,3
HCPCS,81539,Oncology prostate prob score,,,1140.0,3170.72,3
HCPCS,81540,Oncology tum unknown origin,,,5625.0,15645.0,3
HCPCS,81541,Onc prostate mrna 46 genes,,,5809.5,16158.16,3
HCPCS,81542,Onc prostate mrna 22 cnt gen,,,5809.5,16158.16,3
HCPCS,81546,"Onc thyr mrna 10,196 gen alg",,,5400.0,15019.2,3
HCPCS,81551,Onc prostate 3 genes,,,3045.0,8469.16,3
HCPCS,81552,Onc uveal mlnma mrna 15 gene,,,11664.0,32441.47,3
HCPCS,81554,Pulm ds ipf mrna 190 gen alg,,,8250.0,22568.85,3
HCPCS,81558,Trnspl rej kdn mrna qpcr 139,,,4860.0,13517.28,3
HCPCS,81560,Trnsplj pd lvr&bwl cd154+cll,,,961.1,2673.13,3
HCPCS,81595,Cardiology hrt trnspl mrna,,,4860.0,13517.28,3
HCPCS,81595,HC MAP TACHYCARDIA W/CATH MANIPULATION ADD-ON,13124.0,13124.0,,,0
HCPCS,81596,DEAC 7/1/25 HC SARS-COV-2 (120),349.0,349.0,,,0
HCPCS,81596,HC LEFT HEART CATH BY TRANSEPTAL PUNCTURE,874.0,874.0,,,0
HCPCS,81596,Nfct ds chrnc hcv 6 assays,,,108.29,301.18,3
HCPCS,82009,Test for acetone/ketones,,,6.78,18.86,3
HCPCS,82010,Acetone assay,,,12.26,34.09,3
HCPCS,82010,HC ALBUMIN; QUAN,222.0,222.0,,,0
HCPCS,82013,Acetylcholinesterase assay,,,18.44,51.27,3
HCPCS,82016,Acylcarnitines qual,,,24.74,68.8,3
HCPCS,82017,Acylcarnitines quant,,,25.31,70.38,3
HCPCS,82017,HC ALBUMIN; URINE QUANT,930.0,930.0,,,0
HCPCS,82017,"HC AMINO ACIDS, 6 OR MORE AMINO ACIDS, QNT, BLD SPOT, EACH SPECIMEN",236.0,236.0,,,0
HCPCS,82017,"HC AMINO ACIDS, 6 OR MORE AMINO ACIDS, QNT,  SERUM, EACH SPECIMEN",365.0,365.0,,,0
HCPCS,82024,Assay of acth,,,57.93,161.12,3
HCPCS,82024,HC ALDOLASE,561.0,561.0,,,0
HCPCS,82030,Assay of adp & amp,,,38.7,107.64,3
HCPCS,82040,Assay of serum albumin,,,7.43,20.65,3
HCPCS,82040,HC ALDOSTERONE,114.0,114.0,,,0
HCPCS,82042,Assay of urine albumin,,,11.67,32.46,3
HCPCS,82042,HC ALPHA-1-ANTITRYPSIN; TOTAL,45.0,45.0,,,0
HCPCS,82043,HC ALPHA-FETOPROTEIN SERUM,53.0,53.0,,,0
HCPCS,82043,Microalbumin quantitative,,,8.67,24.11,3
HCPCS,82044,HC ELECTROPHORESIS NES,148.0,148.0,,,0
HCPCS,82044,Microalbumin semiquant,,,9.35,25.99,3
HCPCS,82045,Albumin ischemia modified,,,50.91,141.6,3
HCPCS,82075,Assay of breath ethanol,,,45.0,125.16,3
HCPCS,82077,Assay spec xcp ur&breath ia,,,25.91,72.05,3
HCPCS,82077,HC ACTIVAIR BATTERY TESTER,233.0,233.0,,,0
HCPCS,82085,Assay of aldolase,,,14.57,40.51,3
HCPCS,82085,HC ALUMINUM ASSAY,142.0,142.0,,,0
HCPCS,82088,Assay of aldosterone,,,61.13,170.01,3
HCPCS,82088,HC AMINO ACIDS; MULTI QUAL EA,592.0,592.0,,,0
HCPCS,82103,Alpha-1-antitrypsin total,,,20.16,56.07,3
HCPCS,82103,HC AMINO ACIDS; SGL QUAN EA,203.0,203.0,,,0
HCPCS,82104,Alpha-1-antitrypsin pheno,,,21.69,60.33,3
HCPCS,82104,HC FMR1 GENE DETECTION,243.0,243.0,,,0
HCPCS,82105,Alpha-fetoprotein serum,,,25.16,69.96,3
HCPCS,82105,HC AMINO ACIDS; SGL QUAN EA,254.0,254.0,,,0
HCPCS,82106,Alpha-fetoprotein amniotic,,,25.5,70.92,3
HCPCS,82107,Alpha-Fetoprotein L3,,,96.62,268.72,3
HCPCS,82108,Assay of aluminum,,,38.22,106.3,3
HCPCS,82108,HC DELTA ALA,508.0,508.0,,,0
HCPCS,82120,Amines vaginal fluid qual,,,8.99,24.99,3
HCPCS,82127,Amino acid single qual,,,21.27,59.16,3
HCPCS,82127,DEAC 10/3/2022 HC SUPER SEAL (STARTER SET),366.0,366.0,,,0
HCPCS,82128,Amino acids mult qual,,,20.81,57.87,3
HCPCS,82128,HC AMINO ACIDS 6/>  QUAN EA,170.0,170.0,,,0
HCPCS,82131,Amino acids single quant,,,34.47,95.87,3
HCPCS,82131,HC AMINO ACIDS 6/>  QUAN EA,69.0,69.0,,,0
HCPCS,82131,HC AMMONIA,122.0,122.0,,,0
HCPCS,82135,Assay aminolevulinic acid,,,24.68,68.63,3
HCPCS,82135,HC AMYLASE,316.0,316.0,,,0
HCPCS,82136,Amino acids quant 2-5,,,29.42,81.81,3
HCPCS,82136,"HC AMINO ACIDS, 6 OR MORE AMINO ACIDS, QNT, BLD SPOT, EACH SPECIMEN",317.0,317.0,,,0
HCPCS,82136,"HC AMINO ACIDS, 6 OR MORE AMINO ACIDS, QNT, CSF, EACH SPECIMEN",140.0,140.0,,,0
HCPCS,82136,"HC AMINO ACIDS, 6 OR MORE AMINO ACIDS, QNT, URINE, EACH SPECIMEN",330.0,330.0,,,0
HCPCS,82139,Amino acids quan 6 or more,,,25.31,70.38,3
HCPCS,82139,"HC AMINO ACIDS, 6 OR MORE AMINO ACIDS, QNT, CSF, EACH SPECIMEN",167.0,167.0,,,0
HCPCS,82139,HC ANDROSTENEDIONE,168.0,168.0,,,0
HCPCS,82139,HC ANGIOTENSIN II,210.0,210.0,,,0
HCPCS,82139,"HC CARNITINE (TOTAL AND FREE), QNT, EACH SPECIMEN",102.0,102.0,,,0
HCPCS,82139,"HC CARNITINE PLASMA SERUM, EACH SPECIMEN",145.5,145.5,,,0
HCPCS,82139,"HC FATTY ACIDS COMPREHENSIVE, PLASMA/SERUM",293.0,293.0,,,0
HCPCS,82139,"HC FATTY ACIDS PROFILE, ESSENTIAL, PLASMA/SERUM",253.0,253.0,,,0
HCPCS,82140,Assay of ammonia,,,21.86,60.79,3
HCPCS,82140,HC ANGIOTENSIN I - CONVERTING ENZYME,392.0,392.0,,,0
HCPCS,82143,Amniotic fluid scan,,,14.03,39.01,3
HCPCS,82150,Assay of amylase,,,9.72,27.03,3
HCPCS,82150,HC APOLIPOPROTEIN EACH,192.0,192.0,,,0
HCPCS,82154,Androstanediol glucuronide,,,43.25,120.28,3
HCPCS,82157,Assay of androstenedione,,,43.92,122.16,3
HCPCS,82157,HC ARSENIC,543.0,543.0,,,0
HCPCS,82160,Assay of androsterone,,,38.33,106.59,3
HCPCS,82163,Assay of angiotensin II,,,30.78,85.61,3
HCPCS,82163,HC ASCORBIC ACID BLOOD,98.0,98.0,,,0
HCPCS,82164,Angiotensin I enzyme test,,,21.9,60.91,3
HCPCS,82164,HC BARBITURATES,338.0,338.0,,,0
HCPCS,82166,Assay anti-mullerian horm,,,57.93,161.12,3
HCPCS,82166,HC ANTI-MULLERIAN HORMONE (AMH),138.0,138.0,,,0
HCPCS,82172,Assay of apolipoprotein,,,31.64,87.99,3
HCPCS,82172,HC BETA-2 MICROGLOBULIN,101.0,101.0,,,0
HCPCS,82175,Assay of arsenic,,,28.46,79.14,3
HCPCS,82175,HC TOTAL BILIRUBIN,384.0,384.0,,,0
HCPCS,82180,Assay of ascorbic acid,,,14.84,41.26,3
HCPCS,82180,HC DIRECT BILIRUBIN,203.0,203.0,,,0
HCPCS,82190,Atomic absorption,,,23.85,66.33,3
HCPCS,82232,Assay of beta-2 protein,,,24.27,67.5,3
HCPCS,82232,HC OCCULT BLOOD FECES,235.0,235.0,,,0
HCPCS,82233,Beta-amyloid 1-40 (abeta 40),,,537.85,537.85,1
HCPCS,82234,Beta-amyloid 1-42 (abeta 42),,,537.85,537.85,1
HCPCS,82239,Bile acids total,,,25.68,71.42,3
HCPCS,82239,HC ESTROGENS; TOTAL,389.0,389.0,,,0
HCPCS,82240,Bile acids cholylglycine,,,39.87,110.89,3
HCPCS,82247,Bilirubin total,,,7.53,20.94,3
HCPCS,82247,HC OCCULT BLOOD OTHER SOURCES,143.0,143.0,,,0
HCPCS,82248,Bilirubin direct,,,7.53,20.94,3
HCPCS,82248,HC CADMIUM,131.0,131.0,,,0
HCPCS,82252,Fecal bilirubin test,,,6.84,19.02,3
HCPCS,82261,Assay of biotinidase,,,25.31,70.38,3
HCPCS,82261,HC VITAMIN D 25 HYDROXY,342.0,342.0,,,0
HCPCS,82270,HC CALCITONIN,62.0,62.0,,,0
HCPCS,82270,Occult blood feces,,,6.57,18.27,3
HCPCS,82271,HC CALCIUM; TOTAL,69.0,69.0,,,0
HCPCS,82271,Occult blood other sources,,,7.98,22.2,3
HCPCS,82272,"HC CYTOKINE,INTERLEUKIN-8 (IL-8)",39.0,39.0,,,0
HCPCS,82272,Occult bld feces 1-3 tests,,,6.35,17.65,3
HCPCS,82274,Assay test for blood fecal,,,23.88,66.42,3
HCPCS,82286,Assay of bradykinin,,,7.74,21.53,3
HCPCS,82300,Assay of cadmium,,,35.46,98.63,3
HCPCS,82300,HC CALCIUM; IONIZED,139.0,139.0,,,0
HCPCS,82306,HC CALCIUM; URINE QUAN TIMED,689.0,689.0,,,0
HCPCS,82306,Vitamin d 25 hydroxy,,,44.4,123.49,3
HCPCS,82308,Assay of calcitonin,,,40.19,111.77,3
HCPCS,82308,HC STONE; IR SPECTROSCOPY,339.0,339.0,,,0
HCPCS,82310,Assay of calcium,,,7.74,21.53,3
HCPCS,82310,HC CARBON DIOXIDE (CO2),130.0,130.0,,,0
HCPCS,82330,Assay of calcium,,,20.52,57.07,3
HCPCS,82330,HC ASSAY CARBOXYHB QUANT,320.0,320.0,,,0
HCPCS,82331,Calcium infusion test,,,20.01,55.65,3
HCPCS,82340,Assay of calcium in urine,,,9.05,25.16,3
HCPCS,82340,HC CEA,162.0,162.0,,,0
HCPCS,82355,Calculus analysis qual,,,17.37,48.31,3
HCPCS,82360,Calculus assay quant,,,19.31,53.69,3
HCPCS,82360,"HC CYTOKINE,INTERLEUKIN-10(IL-10)",196.0,196.0,,,0
HCPCS,82365,Calculus spectroscopy,,,19.35,53.82,3
HCPCS,82365,HC CARNITINE QUAN EA,102.0,102.0,,,0
HCPCS,82370,X-ray assay calculus,,,18.78,52.23,3
HCPCS,82373,Assay c-d transfer measure,,,27.09,75.35,3
HCPCS,82373,"HC INJECTION FOR CHOLANGIOGRAM, NEW ACCESS",102.0,102.0,,,0
HCPCS,82373,"HC MICROSOMAL ANTIBODIES, EACH",762.0,762.0,,,0
HCPCS,82374,Assay blood carbon dioxide,,,7.32,20.36,3
HCPCS,82374,HC CARNITINE QUAN EA,125.0,125.0,,,0
HCPCS,82375,Assay carboxyhb quant,,,18.48,51.4,3
HCPCS,82375,HC CAROTENE,276.0,276.0,,,0
HCPCS,82376,Assay carboxyhb qual,,,21.11,58.7,3
HCPCS,82378,Carcinoembryonic antigen,,,28.44,79.1,3
HCPCS,82378,HC CATECHOLAMINES FRACTIONATED,318.0,318.0,,,0
HCPCS,82379,Assay of carnitine,,,25.31,70.38,3
HCPCS,82379,HC CERULOPLASMIN,541.0,541.0,,,0
HCPCS,82379,HC CHLORIDE; BLOOD,120.0,120.0,,,0
HCPCS,82379,"HC FATTY ACID, MITOCHONDRIAL, PLASMA/SERUM",235.0,235.0,,,0
HCPCS,82379,"HC FATTY ACIDS PROFILE, ESSENTIAL, PLASMA/SERUM",126.0,126.0,,,0
HCPCS,82379,HC NERVE TEASING PREP,168.0,168.0,,,0
HCPCS,82379,HC VERY LONG CHAIN FATTY ACIDS,177.0,177.0,,,0
HCPCS,82380,Assay of carotene,,,13.83,38.47,3
HCPCS,82380,HC CHLORIDE; URINE,155.0,155.0,,,0
HCPCS,82382,Assay urine catecholamines,,,40.95,113.9,3
HCPCS,82383,Assay blood catecholamines,,,43.62,121.32,3
HCPCS,82384,Assay three catecholamines,,,37.88,105.34,3
HCPCS,82384,HC CHLORIDE; OTHER,372.0,372.0,,,0
HCPCS,82387,Assay of cathepsin-d,,,27.09,75.35,3
HCPCS,82390,Assay of ceruloplasmin,,,16.11,44.81,3
HCPCS,82390,HC SERUM/WB TOT CHOLEST,180.0,180.0,,,0
HCPCS,82397,Chemiluminescent assay,,,21.18,58.91,3
HCPCS,82397,"HC VENTILATOR MGT, SUBSEQ DAY - ADULT",338.0,338.0,,,0
HCPCS,82415,Assay of chloramphenicol,,,19.01,52.86,3
HCPCS,82435,Assay of blood chloride,,,6.9,19.19,3
HCPCS,82435,HC CHROMIUM,123.0,123.0,,,0
HCPCS,82436,Assay of urine chloride,,,8.63,23.99,3
HCPCS,82436,HC CITRATE,96.0,96.0,,,0
HCPCS,82438,Assay other fluid chlorides,,,7.5,20.86,3
HCPCS,82438,HC COLLAGEN CROSS LINKS,128.0,128.0,,,0
HCPCS,82441,Test for chlorohydrocarbons,,,9.02,25.07,3
HCPCS,82465,Assay bld/serum cholesterol,,,6.53,18.15,3
HCPCS,82465,HC COPPER,100.0,100.0,,,0
HCPCS,82480,Assay serum cholinesterase,,,11.81,32.83,3
HCPCS,82480,HC HFE GENE,95.0,95.0,,,0
HCPCS,82482,Assay rbc cholinesterase,,,14.72,40.93,3
HCPCS,82482,HC THYROID STIMULATING IMMUNOGLOBULINS,90.0,90.0,,,0
HCPCS,82485,Assay chondroitin sulfate,,,30.98,86.15,3
HCPCS,82495,Assay of chromium,,,30.42,84.61,3
HCPCS,82495,HC CORTICOSTERONE,410.0,410.0,,,0
HCPCS,82507,Assay of citrate,,,41.7,115.98,3
HCPCS,82507,HC CORTISOL; FREE,427.0,427.0,,,0
HCPCS,82523,Collagen crosslinks,,,28.02,77.93,3
HCPCS,82523,HC CORTISOL; TOTAL,237.0,237.0,,,0
HCPCS,82525,Assay of copper,,,18.62,51.77,3
HCPCS,82525,HC CC/MS; QUAN SS & MP,198.0,198.0,,,0
HCPCS,82528,Assay of corticosterone,,,33.78,93.95,3
HCPCS,82528,HC CPK; TOTAL,106.0,106.0,,,0
HCPCS,82530,Cortisol free,,,25.07,69.71,3
HCPCS,82530,HC CPK: MB FRACTION ONLY,353.0,353.0,,,0
HCPCS,82533,HC CREATININE; BLOOD,381.0,381.0,,,0
HCPCS,82533,Total cortisol,,,24.45,68.0,3
HCPCS,82540,Assay of creatine,,,6.96,19.36,3
HCPCS,82540,"HC CYTOKINE,IFN-Y",113.0,113.0,,,0
HCPCS,82540,"HC CYTOKINE,TNF-ALPHA",291.0,291.0,,,0
HCPCS,82542,Col chromotography qual/quan,,,36.14,100.5,3
HCPCS,82542,"HC AMINO ACIDS, MSUD PANEL, PLASMA, SERUM, EACH SPECIMEN",471.0,471.0,,,0
HCPCS,82542,HC CREATININE; NOT BLOOD,592.0,592.0,,,0
HCPCS,82550,Assay of ck (cpk),,,9.77,27.16,3
HCPCS,82550,HC CREATININE; CLEARANCE,192.0,192.0,,,0
HCPCS,82552,Assay of cpk in blood,,,20.09,55.86,3
HCPCS,82552,"HC POS AIRWAY PRESSURE CPAP, PER DAY",102.0,102.0,,,0
HCPCS,82552,HC UR 17 OH CORTICOSTEROIDS  NIC,245.0,245.0,,,0
HCPCS,82553,Creatine mb fraction,,,17.33,48.19,3
HCPCS,82553,HC CRYOGLOBULIN - QUAL/SEMI QUAN,270.0,270.0,,,0
HCPCS,82554,Creatine isoforms,,,17.81,49.52,3
HCPCS,82565,Assay of creatinine,,,7.68,21.36,3
HCPCS,82565,HC CYANIDE,119.0,119.0,,,0
HCPCS,82570,Assay of urine creatinine,,,7.77,21.61,3
HCPCS,82570,HC VITAMIN B-12 LEVEL,150.0,150.0,,,0
HCPCS,82575,Creatinine clearance test,,,14.19,39.47,3
HCPCS,82575,HC VIT  B-12; UNSATURATED BC,240.0,240.0,,,0
HCPCS,82585,Assay of cryofibrinogen,,,21.21,58.99,3
HCPCS,82595,Assay of cryoglobulin,,,9.71,26.99,3
HCPCS,82595,HC CYSTATIN C,83.0,83.0,,,0
HCPCS,82600,Assay of cyanide,,,29.1,80.94,3
HCPCS,82600,HC DHEA,93.0,93.0,,,0
HCPCS,82607,HC DHEA-S,388.0,388.0,,,0
HCPCS,82607,Vitamin B-12,,,22.62,62.91,3
HCPCS,82608,B-12 binding capacity,,,21.48,59.74,3
HCPCS,82608,HC DEOXYCORTISOL 11,91.0,91.0,,,0
HCPCS,82610,Cystatin c,,,27.78,77.27,3
HCPCS,82610,HC VIT D 1 25-DIHYDROXY,174.0,174.0,,,0
HCPCS,82615,Test for urine cystines,,,14.33,39.84,3
HCPCS,82626,Dehydroepiandrosterone,,,37.91,105.43,3
HCPCS,82626,HC PANCREATIC ELASTASE FECAL,564.0,564.0,,,0
HCPCS,82627,Dehydroepiandrosterone,,,33.35,92.74,3
HCPCS,82627,"HC ENZYME ACTIVITY BC; NOT RA, EACH SPECIMEN",372.0,372.0,,,0
HCPCS,82633,Desoxycorticosterone,,,46.47,129.25,3
HCPCS,82633,"HC GANGLIOSIDE GM-1 AB,IGG",401.0,401.0,,,0
HCPCS,82634,Deoxycortisol,,,43.92,122.16,3
HCPCS,82634,HC ERYTHROPOIETIN,739.0,739.0,,,0
HCPCS,82638,Assay of dibucaine number,,,18.38,51.11,3
HCPCS,82638,HC HFE GENE,178.0,178.0,,,0
HCPCS,82642,Dihydrotestosterone,,,43.92,122.16,3
HCPCS,82642,"HC MRI, FETAL, INCL PLACENTL MATERNL PELVIC IMG, SINGLE/1ST GESTATION",176.0,176.0,,,0
HCPCS,82652,HC ESTRADIOL; TOTAL,560.0,560.0,,,0
HCPCS,82652,Vit d 1 25-dihydroxy,,,57.75,160.62,3
HCPCS,82653,DEAC 11/01/2023 HC ADM SARSCOV2 3MCG TRS-SUCR-1ST DOSE,309.0,309.0,,,0
HCPCS,82653,El-1 fecal quantitative,,,34.46,95.83,3
HCPCS,82656,HC ESTROGENS; FRACTIONATED,292.0,292.0,,,0
HCPCS,82656,Pancreatic elastase fecal,,,17.3,48.1,3
HCPCS,82657,Enzyme cell activity,,,33.26,92.49,3
HCPCS,82657,HC ESTRIOL UNCONJUGATED,513.0,513.0,,,0
HCPCS,82657,HC MANUAL CELL COUNT EACH,1896.0,1896.0,,,0
HCPCS,82657,"HC PROGRAM DEVICE EVAL, W/ ITERATIVE ADJ, IMPLANT SUBQ LEAD DEFIB SYS",505.0,505.0,,,0
HCPCS,82658,Enzyme cell activity ra,,,66.05,183.69,3
HCPCS,82658,"HC GANGLIOSIDE GM-1 AB,IGM",500.0,500.0,,,0
HCPCS,82664,Electrophoretic test,,,92.25,256.58,3
HCPCS,82664,HC PA; SCREEN EA AB,159.0,159.0,,,0
HCPCS,82668,Assay of erythropoietin,,,28.19,78.39,3
HCPCS,82668,HC ESTRONE,273.0,273.0,,,0
HCPCS,82670,Assay of estradiol,,,41.91,116.57,3
HCPCS,82670,HC ETHYLENE GLYCOL,407.0,407.0,,,0
HCPCS,82671,Assay of estrogens,,,48.45,134.76,3
HCPCS,82671,HC FAT/LIPIDS FECES; QUAL,148.0,148.0,,,0
HCPCS,82672,Assay of estrogen,,,32.55,90.53,3
HCPCS,82672,"HC CHEST PT, SUBSEQ TX",149.0,149.0,,,0
HCPCS,82677,Assay of estriol,,,36.27,100.88,3
HCPCS,82677,HC FAT/LIPIDS FECES; QUAN,480.0,480.0,,,0
HCPCS,82679,Assay of estrone,,,37.43,104.09,3
HCPCS,82679,HC FATTY ACIDS NONESTERIFIED,329.0,329.0,,,0
HCPCS,82681,Assay dir meas fr estradiol,,,41.91,116.57,3
HCPCS,82693,Assay of ethylene glycol,,,22.35,62.16,3
HCPCS,82693,HC VERY LONG FATTY ACID CHAINS,151.0,151.0,,,0
HCPCS,82696,Assay of etiocholanolone,,,39.36,109.47,3
HCPCS,82705,Fats/lipids feces qual,,,7.65,21.28,3
HCPCS,82705,HC FERRITIN,114.0,114.0,,,0
HCPCS,82710,Fats/lipids feces quant,,,25.2,70.09,3
HCPCS,82710,HC FOLIC ACID; SERUM,324.0,324.0,,,0
HCPCS,82715,Assay of fecal fat,,,34.46,95.83,3
HCPCS,82725,Assay of blood fatty acids,,,28.16,78.31,3
HCPCS,82725,HC FOLIC ACID; RBC,123.0,123.0,,,0
HCPCS,82725,"HC ORGANIC ACID, SINGLE, QUANTITATIVE, PLASMA/SERUM",203.5,203.5,,,0
HCPCS,82725,"HC ORGANIC ACID, SINGLE, QUANTITATIVE, URINE",317.0,317.0,,,0
HCPCS,82725,"HC ORGANIC ACIDS; TOTAL, QUANTITATIVE, EACH SPECIMEN",214.5,214.5,,,0
HCPCS,82725,HC VERY LONG CHAIN FATTY ACIDS,158.0,158.0,,,0
HCPCS,82726,HC GALACTOKINASE RBC,855.0,855.0,,,0
HCPCS,82726,"HC ORGANIC ACID, SINGLE, QUANTITATIVE, URINE",374.0,374.0,,,0
HCPCS,82726,"HC PHENYLALANINE (PKU), BLOOD",241.0,241.0,,,0
HCPCS,82726,Long chain fatty acids,,,29.63,82.4,3
HCPCS,82728,Assay of ferritin,,,20.45,56.86,3
HCPCS,82728,HC GALACTOSEMIA; QUAN,365.0,365.0,,,0
HCPCS,82731,Assay of fetal fibronectin,,,96.62,268.72,3
HCPCS,82735,Assay of fluoride,,,27.81,77.35,3
HCPCS,82746,Assay of folic acid serum,,,22.05,61.33,3
HCPCS,82746,HC ASSAY IGA/IGD/IGG/IGM EACH,396.0,396.0,,,0
HCPCS,82747,Assay of folic acid rbc,,,26.48,73.64,3
HCPCS,82747,HC ASSAY OF IGE,60.0,60.0,,,0
HCPCS,82757,Assay of semen fructose,,,26.01,72.34,3
HCPCS,82759,Assay of rbc galactokinase,,,32.22,89.61,3
HCPCS,82759,HC IGG 1 2 3 OR 4 EACH,774.0,774.0,,,0
HCPCS,82760,Assay of galactose,,,16.8,46.73,3
HCPCS,82775,Assay galactose transferase,,,31.61,87.9,3
HCPCS,82775,HC BLOOD GAS MIXED WO O2 SAT,685.0,685.0,,,0
HCPCS,82776,Galactose transferase test,,,17.61,48.98,3
HCPCS,82777,Galectin-3,,,66.38,184.61,3
HCPCS,82784,Assay iga/igd/igg/igm each,,,13.95,38.8,3
HCPCS,82784,HC BLOOD GASES O2 SAT ONLY,250.0,250.0,,,0
HCPCS,82784,HC X-RAY EXAM SACROILIAC JOINTS <3 VIEWS,102.0,102.0,,,0
HCPCS,82785,Assay of ige,,,24.69,68.67,3
HCPCS,82785,HC HEMOGLOBIN-OXYGEN AFFINITY,330.0,330.0,,,0
HCPCS,82787,HC GASTRIN,246.0,246.0,,,0
HCPCS,82787,Igg 1 2 3 or 4 each,,,12.03,33.46,3
HCPCS,82800,Blood pH,,,16.5,45.89,3
HCPCS,82803,Blood gases any combination,,,39.11,108.76,3
HCPCS,82803,HC GLUCAGON,520.0,520.0,,,0
HCPCS,82805,Blood gases w/o2 saturation,,,118.16,328.63,3
HCPCS,82805,"HC GANGLIOSIDE ASIALO-GM-1 AB,IGG",760.0,760.0,,,0
HCPCS,82810,Blood gases o2 sat only,,,14.66,40.76,3
HCPCS,82810,HC GLUCOSE BODY FLUID NOT BLOOD,139.0,139.0,,,0
HCPCS,82820,HC GLUCOSE; QUAN BLOOD,91.0,91.0,,,0
HCPCS,82820,Hemoglobin-oxygen affinity,,,20.01,55.65,3
HCPCS,82930,Gastric analy w/ph ea spec,,,10.07,27.99,3
HCPCS,82938,Gastrin test,,,26.54,73.8,3
HCPCS,82941,Assay of gastrin,,,26.45,73.55,3
HCPCS,82941,HC GLUCOSE; POST GLUCOSE DOSE,372.0,372.0,,,0
HCPCS,82943,Assay of glucagon,,,21.44,59.62,3
HCPCS,82943,HC GLUCOSE TOLERANCE TEST (GTT) 3 SPECM,69.0,69.0,,,0
HCPCS,82945,Glucose Other Fluid,,,5.9,16.4,3
HCPCS,82945,HC GTT-ADDED SAMPLES,56.0,56.0,,,0
HCPCS,82946,Glucagon tolerance test,,,26.66,74.14,3
HCPCS,82947,Assay glucose blood quant,,,5.9,16.4,3
HCPCS,82947,HC G6PD; QUAN,114.0,114.0,,,0
HCPCS,82948,HC MRI GUIDANCE & MONITORING FOR PARENCHYMAL TISSUE ABLATION,27.0,27.0,,,0
HCPCS,82948,Reagent strip/blood glucose,,,7.56,21.03,3
HCPCS,82950,Glucose test,,,7.13,19.82,3
HCPCS,82950,HC GLUTAMYLTRANSFERASE GAMMA,97.0,97.0,,,0
HCPCS,82951,Glucose tolerance test (GTT),,,19.31,53.69,3
HCPCS,82951,HC GLYCATED PROTEIN,227.0,227.0,,,0
HCPCS,82952,GTT-added samples,,,5.88,16.35,3
HCPCS,82952,HC GONADOTROPIN; FSH,66.0,66.0,,,0
HCPCS,82955,Assay of g6pd enzyme,,,14.55,40.47,3
HCPCS,82955,HC GONADOTROPIN; LUTEINIZING HORMONE,292.0,292.0,,,0
HCPCS,82960,Test for G6PD enzyme,,,9.08,25.24,3
HCPCS,82962,Glucose blood test,,,4.92,13.68,3
HCPCS,82962,HC IKBKAP GENE,85.0,85.0,,,0
HCPCS,82963,Assay of glucosidase,,,32.22,89.61,3
HCPCS,82965,Assay of gdh enzyme,,,19.73,54.86,3
HCPCS,82977,Assay of GGT,,,10.8,30.04,3
HCPCS,82977,HC GROWTH HORMONE HUMAN,192.0,192.0,,,0
HCPCS,82978,Assay of glutathione,,,23.18,64.46,3
HCPCS,82978,"HC GANGLIOSIDE ASIALO-GM-1 AB,IGM",393.0,393.0,,,0
HCPCS,82978,"HC HEPCIDIN IDX ASSAY, SERUM",262.0,262.0,,,0
HCPCS,82979,Assay rbc glutathione,,,14.16,39.38,3
HCPCS,82985,Assay of glycated protein,,,25.14,69.92,3
HCPCS,82985,HC HAPTOGLOBIN; QUAN,262.0,262.0,,,0
HCPCS,83001,Assay of gonadotropin (fsh),,,27.87,77.52,3
HCPCS,83001,HC HEAVY METAL; QUAN,407.0,407.0,,,0
HCPCS,83002,Assay of gonadotropin (lh),,,27.78,77.27,3
HCPCS,83002,HC HGB FRACT & QUAN; EP,362.0,362.0,,,0
HCPCS,83003,Assay growth hormone (hgh),,,25.01,69.55,3
HCPCS,83003,HC HGB CHROMATOGRAPHY,320.0,320.0,,,0
HCPCS,83006,Growth stimulation gene 2,,,113.4,315.4,3
HCPCS,83009,H pylori (c-13) blood,,,101.04,281.03,3
HCPCS,83010,Assay of haptoglobin quant,,,18.87,52.48,3
HCPCS,83010,HC HGB; FETAL QUAL,243.0,243.0,,,0
HCPCS,83012,Assay of haptoglobins,,,40.34,112.19,3
HCPCS,83013,DEAC 11/01/2023 HC ADM SARSCOV2 30MCG/0.3ML 1ST DOSE,1243.0,1243.0,,,0
HCPCS,83013,H pylori (c-13) breath,,,101.04,281.03,3
HCPCS,83014,H pylori drug admin,,,11.79,32.79,3
HCPCS,83015,Heavy metal qual any anal,,,31.41,87.36,3
HCPCS,83018,HC GLYCOSYLATED HEMOGLOBIN TEST,397.0,397.0,,,0
HCPCS,83018,Heavy metal quant each nes,,,32.94,91.62,3
HCPCS,83020,HC HBG; METHEMOGLOBIN QUAN,345.0,345.0,,,0
HCPCS,83020,"HC MONONUCLEAR CELL ANTIGEN, QUANTITATIVE, NOS, EA AG",53.0,53.0,,,0
HCPCS,83020,Hemoglobin electrophoresis,,,19.31,53.69,3
HCPCS,83021,HC HGB; PLASMA,300.0,300.0,,,0
HCPCS,83021,Hemoglobin chromotography,,,27.09,75.35,3
HCPCS,83026,Hemoglobin copper sulfate,,,6.02,16.73,3
HCPCS,83030,Fetal hemoglobin chemical,,,16.11,44.81,3
HCPCS,83033,Fetal hemoglobin assay qual,,,12.0,33.38,3
HCPCS,83033,HC HEMOGLOBIN; UNSTABLE SCREEN,100.0,100.0,,,0
HCPCS,83036,Glycosylated hemoglobin test,,,14.57,40.51,3
HCPCS,83036,HC HEMOSIDERIN; QUAL,230.0,230.0,,,0
HCPCS,83037,Glycosylated hb home device,,,14.57,40.51,3
HCPCS,83045,Blood methemoglobin test,,,9.74,27.08,3
HCPCS,83050,Blood methemoglobin assay,,,12.3,34.21,3
HCPCS,83050,HC B-HEXOSAMINIDASE EA ASSAY,100.0,100.0,,,0
HCPCS,83051,Assay of plasma hemoglobin,,,10.97,30.5,3
HCPCS,83051,HC HISTAMINE,162.0,162.0,,,0
HCPCS,83060,Blood sulfhemoglobin assay,,,13.2,36.71,3
HCPCS,83065,Assay of hemoglobin heat,,,13.5,37.55,3
HCPCS,83068,HC ASSAY OF HOMOCYSTINE,157.0,157.0,,,0
HCPCS,83068,Hemoglobin stability screen,,,14.21,39.51,3
HCPCS,83069,Assay of urine hemoglobin,,,5.93,16.48,3
HCPCS,83070,Assay of hemosiderin qual,,,7.13,19.82,3
HCPCS,83070,HC HOMOVANILLIC ACID,23.0,23.0,,,0
HCPCS,83080,Assay of b hexosaminidase,,,25.31,70.38,3
HCPCS,83080,HC 5-HIAA,91.0,91.0,,,0
HCPCS,83088,Assay of histamine,,,44.3,123.2,3
HCPCS,83088,HC HYDROXYPROGESTERONE 17-D,656.0,656.0,,,0
HCPCS,83090,Assay Of Homocystine,,,26.88,74.76,3
HCPCS,83090,HC IMMUNOASSAY NONANTIBODY,216.0,216.0,,,0
HCPCS,83150,Assay of homovanillic acid,,,33.62,93.49,3
HCPCS,83150,HC RIA NONANTIBODY,267.0,267.0,,,0
HCPCS,83491,Assay of corticosteroids 17,,,26.85,74.68,3
HCPCS,83491,"HC LACTOFERRIN,QNT,STOOL",288.0,288.0,,,0
HCPCS,83497,Assay of 5-hiaa,,,19.35,53.82,3
HCPCS,83497,HC IMMUNOASSAY QUANT NOS NONAB (20),284.0,284.0,,,0
HCPCS,83498,Assay of progesterone 17-d,,,40.76,113.35,3
HCPCS,83498,HC IMMUNOASSAY QUANT NOS NONAB (25),520.0,520.0,,,0
HCPCS,83500,Assay free hydroxyproline,,,33.98,94.5,3
HCPCS,83505,Assay total hydroxyproline,,,36.45,101.38,3
HCPCS,83516,HC GROWTH HORMONE BINDING PROTEIN,308.0,308.0,,,0
HCPCS,83516,Immunoassay nonantibody,,,17.3,48.1,3
HCPCS,83518,Immunoassay dipstick,,,14.46,40.22,3
HCPCS,83519,HC SUBSTANCE P,330.0,330.0,,,0
HCPCS,83519,Ria nonantibody,,,27.6,76.76,3
HCPCS,83520,HC ADAMTS-13 ANTIBODY BCW,349.0,349.0,,,0
HCPCS,83520,"HC ANTI IGA, TRANSFUSION MED",93.0,93.0,,,0
HCPCS,83520,HC ASPERGILLUS IGG SPECIFIC AB,349.0,349.0,,,0
HCPCS,83520,HC CBG(CORTICOSTER BIND GLOB) NIC,349.0,349.0,,,0
HCPCS,83520,HC CFTR GENE COM VARIANTS (70),93.0,93.0,,,0
HCPCS,83520,HC CHARGING BASE,93.0,93.0,,,0
HCPCS,83520,HC CHITOTRIOSIDASE ASSAY  GENZYME,591.0,591.0,,,0
HCPCS,83520,HC CLOSTRIDIUM DIFFICILE TOXIN/ST,376.0,376.0,,,0
HCPCS,83520,"HC CROSSMATCH,FINAL(DONOR/REC)",349.0,349.0,,,0
HCPCS,83520,"HC CULTURE STOOL/RECTAL, EACH",349.0,349.0,,,0
HCPCS,83520,HC CYTOKINE 13 PANEL (13),29.0,29.0,,,0
HCPCS,83520,HC DRUG SCREENING COCAINE,93.0,93.0,,,0
HCPCS,83520,HC HERPES SIMPLEX AB IGM 1/2,349.0,349.0,,,0
HCPCS,83520,HC HISTAMINE RELEASE,349.0,349.0,,,0
HCPCS,83520,HC HISTAMINE RELEASE(C.URTICARIA),349.0,349.0,,,0
HCPCS,83520,HC HTLV 1 & 2 AB              SLI,449.0,449.0,,,0
HCPCS,83520,HC IMMUMOASSAY QUANT NOS NONAB (100),93.0,93.0,,,0
HCPCS,83520,HC IMMUNOASSAY QUANT NOS NONAB,93.0,93.0,,,0
HCPCS,83520,HC IMMUNOASSAY QUANT NOS NONAB (184),510.0,510.0,,,0
HCPCS,83520,"HC INFECT AGENT DET,GI 3-5 TARGET",1235.0,1235.0,,,0
HCPCS,83520,HC INSULIN; TOTAL,93.0,93.0,,,0
HCPCS,83520,HC INTRACELLULAR CYSTINE   UCA@SD,711.0,711.0,,,0
HCPCS,83520,HC IRON,93.0,93.0,,,0
HCPCS,83520,HC LACTATE,93.0,93.0,,,0
HCPCS,83520,HC LACTATE DEHYDROGENASE,722.0,722.0,,,0
HCPCS,83520,HC MUSC TEST DONE W/NERVE TEST NON EXTREMITY,93.0,93.0,,,0
HCPCS,83520,"HC MYCOBACTERIUM ID,ADD,MOLECULAR",349.0,349.0,,,0
HCPCS,83520,HC OPIOID &OPIATE ANALOG 5/MORE,349.0,349.0,,,0
HCPCS,83520,"HC ORGANIC ACID SCREEN, URINE",774.0,774.0,,,0
HCPCS,83520,"HC PAM,WET-PREP IDENT,CSF",349.0,349.0,,,0
HCPCS,83520,"HC PERIPHERAL SMEAR,MORPHOLOGY",349.0,349.0,,,0
HCPCS,83520,HC PIVKA-2 (AKA DCP),349.0,349.0,,,0
HCPCS,83520,"HC POTASSIUM,BODY FLUID",591.0,591.0,,,0
HCPCS,83520,HC PREGABALIN,93.0,93.0,,,0
HCPCS,83520,HC PROCEDURE ENDO LEVEL 1 EA ADDL 15 MINUTE,1044.0,1044.0,,,0
HCPCS,83520,HC PROTHROMBIN FRAGMENT 1.2,93.0,93.0,,,0
HCPCS,83520,HC PT (1:1 DILUTION),349.0,349.0,,,0
HCPCS,83520,"HC PT, PLASMA FRACTION #2",349.0,349.0,,,0
HCPCS,83520,HC PTT (1:1 DILUTION),349.0,349.0,,,0
HCPCS,83520,"HC PTT, PLASMA FRACTION #2",349.0,349.0,,,0
HCPCS,83520,"HC PYRUVATE KINASE, RBCS   MAYO",349.0,349.0,,,0
HCPCS,83520,HC QUANTITATIVE ASSAY DRUG (30),349.0,349.0,,,0
HCPCS,83520,HC QUANTITATIVE ASSAY DRUG (35),93.0,93.0,,,0
HCPCS,83520,HC QUANTITATIVE ASSAY DRUG (55),93.0,93.0,,,0
HCPCS,83520,HC QUANTITATIVE ASSAY DRUG (75),93.0,93.0,,,0
HCPCS,83520,HC QUANTITATIVE ASSAY DRUG (80),93.0,93.0,,,0
HCPCS,83520,"HC RBC ENZYME, GLU-PHOS-ISO  MAYO",349.0,349.0,,,0
HCPCS,83520,"HC RBC ENZYME, PY KINASE     MAYO",349.0,349.0,,,0
HCPCS,83520,"HC REDUCING SUBSTANCES, FECAL",349.0,349.0,,,0
HCPCS,83520,HC RHEUMATOID FACTOR,349.0,349.0,,,0
HCPCS,83520,HC RNA POLYMERASE I-III IGG,349.0,349.0,,,0
HCPCS,83520,HC SERUM STORAGE,349.0,349.0,,,0
HCPCS,83520,HC SMALL FIBER AXONAL PROFILE,349.0,349.0,,,0
HCPCS,83520,HC SOLUBLE IL-2R LEVEL     CINCH,482.0,482.0,,,0
HCPCS,83520,HC STOOL/ROTOVIRUS,349.0,349.0,,,0
HCPCS,83520,HC T. CRUZI (CONFIRMATION),349.0,349.0,,,0
HCPCS,83520,"HC TESTOSTERONE,BIOAVAILABLE",349.0,349.0,,,0
HCPCS,83520,HC THYROID UPTAKE (T4 UPTAKE),349.0,349.0,,,0
HCPCS,83520,"HC TYROSINE,FILTER CARD",530.0,530.0,,,0
HCPCS,83520,HC US ABDOMINAL AORTA SCREEN AAA,805.0,805.0,,,0
HCPCS,83520,Immunoassay quant nos nonab,,,25.91,72.05,3
HCPCS,83521,Ig light chains free each,,,25.91,72.05,3
HCPCS,83525,Assay of insulin,,,17.15,47.69,3
HCPCS,83525,HC LDH; ISOENZYMES,211.0,211.0,,,0
HCPCS,83527,Assay of insulin,,,19.43,54.03,3
HCPCS,83527,HC IGH VARI REGIONAL MUTATION,267.0,267.0,,,0
HCPCS,83528,Assay of intrinsic factor,,,29.73,82.69,3
HCPCS,83529,Asay of interleukin-6 (il-6),,,25.91,72.05,3
HCPCS,83529,DEAC 11/01/2023 HC ADM SARSCOV2 3MCG TRS-SUCR-2 DOSE,362.0,362.0,,,0
HCPCS,83540,Assay of iron,,,9.71,26.99,3
HCPCS,83540,HC LACTOFERRIN FECAL (QUAL),174.0,174.0,,,0
HCPCS,83550,Iron binding test,,,13.11,36.46,3
HCPCS,83570,Assay of idh enzyme,,,13.28,36.92,3
HCPCS,83582,Assay of ketogenic steroids,,,23.21,64.54,3
HCPCS,83586,Assay 17- ketosteroids,,,19.2,53.4,3
HCPCS,83593,Fractionation ketosteroids,,,42.75,118.9,3
HCPCS,83605,Assay of lactic acid,,,17.36,48.27,3
HCPCS,83605,HC LEAD,366.0,366.0,,,0
HCPCS,83615,HC LIPASE,162.0,162.0,,,0
HCPCS,83615,Lactate (LD) (LDH) enzyme,,,9.06,25.2,3
HCPCS,83625,Assay of ldh enzymes,,,19.19,53.36,3
HCPCS,83625,HC ASSAY OF LIPOPROTEIN(A),203.0,203.0,,,0
HCPCS,83630,HC LIPOPROTEIN; HDL,93.0,93.0,,,0
HCPCS,83630,Lactoferrin fecal (qual),,,29.55,82.19,3
HCPCS,83631,HC CHLAMYDIA DETECTION DFA  QUEST,304.0,304.0,,,0
HCPCS,83631,Lactoferrin fecal (quant),,,29.45,81.9,3
HCPCS,83632,Placental lactogen,,,30.33,84.36,3
HCPCS,83633,Test urine for lactose,,,16.88,46.94,3
HCPCS,83655,Assay of lead,,,18.17,50.52,3
HCPCS,83655,HC ASSAY OF BLOOD LIPOPROTEIN LDL,180.0,180.0,,,0
HCPCS,83661,L/s ratio fetal lung,,,32.99,91.74,3
HCPCS,83662,Foam stability fetal lung,,,28.37,78.89,3
HCPCS,83663,Fluoro polarize fetal lung,,,28.37,78.89,3
HCPCS,83664,Lamellar bdy fetal lung,,,28.98,80.6,3
HCPCS,83670,Assay of lap enzyme,,,14.72,40.93,3
HCPCS,83690,Assay of lipase,,,10.34,28.75,3
HCPCS,83690,HC MAGNESIUM,187.0,187.0,,,0
HCPCS,83695,Assay of lipoprotein(a),,,21.48,59.74,3
HCPCS,83695,HC MANGANESE,124.0,124.0,,,0
HCPCS,83698,Assay Lipoprotein Pla2,,,69.47,193.21,3
HCPCS,83700,Lipopro bld electrophoretic,,,16.89,46.98,3
HCPCS,83701,Lipoprotein bld hr fraction,,,50.79,141.26,3
HCPCS,83704,Lipoprotein bld quan part,,,51.29,142.64,3
HCPCS,83718,Assay of lipoprotein,,,12.29,34.17,3
HCPCS,83718,HC MERCURY QUAN,157.0,157.0,,,0
HCPCS,83719,Assay of blood lipoprotein,,,19.13,53.19,3
HCPCS,83721,Assay of blood lipoprotein,,,15.75,43.81,3
HCPCS,83721,HC METANEPHRINES,143.0,143.0,,,0
HCPCS,83722,Lipoprtn dir meas sd ldl chl,,,51.29,142.64,3
HCPCS,83727,Assay of lrh hormone,,,25.79,71.72,3
HCPCS,83735,Assay of magnesium,,,10.05,27.95,3
HCPCS,83735,HC MUCOPOLYSACCH ACID; QUAN,196.0,196.0,,,0
HCPCS,83775,Assay malate dehydrogenase,,,11.06,30.75,3
HCPCS,83785,Assay of manganese,,,39.98,111.18,3
HCPCS,83785,HC MYELIN BASIC PROTEIN CSF,342.0,342.0,,,0
HCPCS,83789,HC MYOGLOBIN,358.0,358.0,,,0
HCPCS,83789,HC RETICYTE/HGB CONCENTRATE,2229.0,2229.0,,,0
HCPCS,83789,Mass spectrometry qual/quan,,,36.17,100.59,3
HCPCS,83825,Assay of mercury,,,24.39,67.84,3
HCPCS,83825,HC NATRIURETIC PEPTIDE,337.0,337.0,,,0
HCPCS,83835,Assay of metanephrines,,,25.41,70.67,3
HCPCS,83835,HC NEPHELOMETRY EA ANALYTE NES,244.0,244.0,,,0
HCPCS,83857,Assay of methemalbumin,,,16.11,44.81,3
HCPCS,83861,Microfluid analy tears,,,33.72,93.79,3
HCPCS,83864,HC ASSAY OF NUCLEOTIDASE,393.0,393.0,,,0
HCPCS,83864,Mucopolysaccharides,,,42.75,118.9,3
HCPCS,83872,Assay synovial fluid mucin,,,8.79,24.45,3
HCPCS,83873,Assay of csf protein,,,25.8,71.76,3
HCPCS,83873,HC OLIGOCLONAL BANDS,347.0,347.0,,,0
HCPCS,83874,Assay of myoglobin,,,19.38,53.9,3
HCPCS,83874,HC QUANTITATIVE ORGANIC ACIDS EA SPECIMEN,253.0,253.0,,,0
HCPCS,83876,Assay myeloperoxidase,,,76.29,212.19,3
HCPCS,83880,Assay of natriuretic peptide,,,58.89,163.79,3
HCPCS,83880,HC ORGANIC ACID  SINGLE QUANTITATIVE,436.0,436.0,,,0
HCPCS,83883,Assay nephelometry not spec,,,20.4,56.74,3
HCPCS,83883,HC OPIATES 1 OR MORE,299.0,299.0,,,0
HCPCS,83884,Assay neurflmnt light chain,,,484.91,484.91,1
HCPCS,83885,Assay of nickel,,,36.77,102.26,3
HCPCS,83915,Assay of nucleotidase,,,16.73,46.52,3
HCPCS,83915,HC BLOOD OSMOLALITY,102.0,102.0,,,0
HCPCS,83916,HC OSMOLALITY; URINE,388.0,388.0,,,0
HCPCS,83916,Oligoclonal bands,,,41.09,114.27,3
HCPCS,83918,HC OSTEOCALCIN,692.0,692.0,,,0
HCPCS,83918,"HC PHENYLALANINE (PKU), BLOOD",275.0,275.0,,,0
HCPCS,83918,HC TYROSINE,426.0,426.0,,,0
HCPCS,83918,Organic acids total quant,,,35.4,98.46,3
HCPCS,83919,DEAC 1/1/2025 HC C.DIFFICILE TOXIN A/B ASSAY,363.0,363.0,,,0
HCPCS,83919,"HC RSV, RAPID TEST ONLY",170.0,170.0,,,0
HCPCS,83919,Organic acids qual each,,,24.68,68.63,3
HCPCS,83921,HC AIRWAY RESISTANCE BY OSCILLOMETRY,135.0,135.0,,,0
HCPCS,83921,HC OXALATE,315.0,315.0,,,0
HCPCS,83921,HC RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,210.0,210.0,,,0
HCPCS,83921,HC RBC AG DNA GT 10 BLD GRPS W/PHEN PREDICT 37 RBC AG,95.0,95.0,,,0
HCPCS,83921,HC TYROSINE,147.0,147.0,,,0
HCPCS,83921,Organic acid single quant,,,31.82,88.49,3
HCPCS,83930,Assay of blood osmolality,,,9.92,27.58,3
HCPCS,83930,HC ASSAY PH BODY FLUID NOS,174.0,174.0,,,0
HCPCS,83935,Assay of urine osmolality,,,10.23,28.45,3
HCPCS,83935,HC ASSAY FOR CALPROTECTIN FECAL,185.0,185.0,,,0
HCPCS,83937,Assay of osteocalcin,,,44.78,124.53,3
HCPCS,83937,"HC ANTIPSYCHOTIC, NOS 1-3",446.0,446.0,,,0
HCPCS,83945,Assay of oxalate,,,21.68,60.29,3
HCPCS,83945,HC PHENYLALANINE BLOOD,251.0,251.0,,,0
HCPCS,83950,Oncoprotein her-2/neu,,,96.62,268.72,3
HCPCS,83951,DEAC 11/01/2023 HC ADM SARSCOV2 100MCG/0.5ML 1ST DOSE,534.0,534.0,,,0
HCPCS,83951,HC B-D-GLUCANS(FUNGITELL) VIRACOR,796.0,796.0,,,0
HCPCS,83951,Oncoprotein dcp,,,96.62,268.72,3
HCPCS,83970,Assay of parathormone,,,61.92,172.22,3
HCPCS,83970,HC PHENYLALANINE BLOOD,664.0,664.0,,,0
HCPCS,83986,Assay ph body fluid nos,,,5.37,14.94,3
HCPCS,83986,HC PROSTATIC ACID PHOSPHATASE,82.0,82.0,,,0
HCPCS,83987,Exhaled breath condensate,,,5.37,14.94,3
HCPCS,83992,Assay for phencyclidine,,,64.97,64.97,2
HCPCS,83992,HC CO2 EXPIRED GAS BY IR / PER DAY,313.0,313.0,,,0
HCPCS,83993,Assay for calprotectin fecal,,,29.45,81.9,3
HCPCS,83993,HC ALKALINE PHOSPHATASE,250.0,250.0,,,0
HCPCS,84030,Assay of blood pku,,,8.25,22.95,3
HCPCS,84030,HC PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED,62.0,62.0,,,0
HCPCS,84030,HC PERQ PRCRD DRAIN 6YR+ W/O CONGENITAL CARD ANOMALY,40.0,40.0,,,0
HCPCS,84030,HC PHOSPHATE,121.0,121.0,,,0
HCPCS,84030,HC URINE PHOSPHATE,47.0,47.0,,,0
HCPCS,84035,Assay of phenylketones,,,5.97,16.6,3
HCPCS,84060,Assay acid phosphatase,,,11.46,31.87,3
HCPCS,84060,DEAC 11/01/2023 HC IMMUN ADM SARSCOV2 100MCG/0.5ML 2ND DOSE,446.0,446.0,,,0
HCPCS,84066,Assay prostate phosphatase,,,14.49,40.3,3
HCPCS,84066,HC PORPHOBILINOGEN URINE; QUAN,91.0,91.0,,,0
HCPCS,84075,Assay alkaline phosphatase,,,7.77,21.61,3
HCPCS,84075,HC QUAN URINE PORPHYRINS,138.0,138.0,,,0
HCPCS,84078,Assay alkaline phosphatase,,,12.39,34.46,3
HCPCS,84080,Assay alkaline phosphatases,,,22.17,61.66,3
HCPCS,84080,HC ASSAY OF SERUM POTASSIUM,315.0,315.0,,,0
HCPCS,84081,Assay phosphatidylglycerol,,,24.78,68.92,3
HCPCS,84085,Assay of rbc pg6d enzyme,,,14.16,39.38,3
HCPCS,84087,Assay phosphohexose enzymes,,,16.1,44.77,3
HCPCS,84087,"HC BARTONELLA, DNA PROBE  UWASH",431.0,431.0,,,0
HCPCS,84100,Assay of phosphorus,,,7.11,19.78,3
HCPCS,84100,HC URINE POTASSIUM,140.0,140.0,,,0
HCPCS,84105,Assay of urine phosphorus,,,8.67,24.11,3
HCPCS,84105,HC PREALBUMIN,87.0,87.0,,,0
HCPCS,84106,Test for porphobilinogen,,,8.73,24.28,3
HCPCS,84110,Assay of porphobilinogen,,,12.66,35.21,3
HCPCS,84110,HC PREGNENOLONE,102.0,102.0,,,0
HCPCS,84112,Eval amniotic fluid protein,,,147.17,409.31,3
HCPCS,84119,Test urine for porphyrins,,,20.04,55.74,3
HCPCS,84120,Assay of urine porphyrins,,,22.07,61.37,3
HCPCS,84120,HC 17-HYDROXYPREGNENOLONE,330.0,330.0,,,0
HCPCS,84126,Assay of feces porphyrins,,,58.67,163.17,3
HCPCS,84132,Assay of serum potassium,,,7.14,19.86,3
HCPCS,84132,HC PROGESTERONE ASSAY,137.0,137.0,,,0
HCPCS,84133,Assay of urine potassium,,,7.1,19.73,3
HCPCS,84133,HC PROLACTIN ASSAY,109.0,109.0,,,0
HCPCS,84134,Assay of prealbumin,,,21.89,60.87,3
HCPCS,84134,HC PSA; TOTAL,354.0,354.0,,,0
HCPCS,84135,Assay of pregnanediol,,,31.91,88.74,3
HCPCS,84138,Assay of pregnanetriol,,,31.58,87.82,3
HCPCS,84140,Assay of pregnenolone,,,31.01,86.24,3
HCPCS,84140,HC PSA; FREE,298.0,298.0,,,0
HCPCS,84143,Assay of 17-hydroxypregneno,,,34.22,95.16,3
HCPCS,84143,HC ASSAY OF PROTEIN SERUM,422.0,422.0,,,0
HCPCS,84144,Assay of progesterone,,,31.29,87.03,3
HCPCS,84144,HC URINE TOTAL PROTEIN,401.0,401.0,,,0
HCPCS,84145,HC ABLATE BONE TUMOR PERQ,404.0,404.0,,,0
HCPCS,84145,Procalcitonin (PCT),,,40.83,113.56,3
HCPCS,84146,Assay of prolactin,,,29.07,80.85,3
HCPCS,84146,"HC AMINO ACIDS, MSUD PANEL, PLASMA, SERUM, EACH SPECIMEN",7.0,7.0,,,0
HCPCS,84146,HC TOTAL PROTEIN OTHER SPECIMEN,506.0,506.0,,,0
HCPCS,84150,Assay of prostaglandin,,,62.66,174.26,3
HCPCS,84150,HC ACETOMINOPHEN,607.0,607.0,,,0
HCPCS,84152,Assay of psa complexed,,,27.59,76.72,3
HCPCS,84153,Assay of psa total,,,27.59,76.72,3
HCPCS,84153,HC PROTEIN; EP FRACT & QUAN,297.0,297.0,,,0
HCPCS,84154,Assay of psa free,,,27.59,76.72,3
HCPCS,84154,HC PROTEIN E-PHORESIS/URINE/CSF,233.0,233.0,,,0
HCPCS,84155,Assay of protein serum,,,5.51,15.31,3
HCPCS,84155,HC PROTEIN WESTERN BLOT,74.0,74.0,,,0
HCPCS,84156,Assay of protein urine,,,5.51,15.31,3
HCPCS,84156,HC PROTEIN WB; IM ID FOR BANDS,54.0,54.0,,,0
HCPCS,84157,Assay of protein other,,,6.0,16.69,3
HCPCS,84157,HC PROTOPORPHYRIN RBC; QUAN,67.0,67.0,,,0
HCPCS,84160,Assay of protein any source,,,8.42,23.4,3
HCPCS,84163,HC CELL DONOR SEARCH MANAGEMENT,91.0,91.0,,,0
HCPCS,84163,Pappa serum,,,22.58,62.79,3
HCPCS,84165,HC PROINSULIN,187.0,187.0,,,0
HCPCS,84165,Protein e-phoresis serum,,,16.11,44.81,3
HCPCS,84166,HC VITAMIN B6,149.0,149.0,,,0
HCPCS,84166,Protein e-phoresis/urine/csf,,,26.75,74.39,3
HCPCS,84181,HC PYRUVATE,254.0,254.0,,,0
HCPCS,84181,Western blot test,,,25.55,71.05,3
HCPCS,84182,HC ASSAY NONENDOCRINE RECEPTOR,438.0,438.0,,,0
HCPCS,84182,Protein western blot test,,,43.82,121.86,3
HCPCS,84202,Assay RBC protoporphyrin,,,21.53,59.87,3
HCPCS,84202,HC RENIN,128.0,128.0,,,0
HCPCS,84203,Test RBC protoporphyrin,,,14.61,40.64,3
HCPCS,84206,Assay of proinsulin,,,40.04,111.35,3
HCPCS,84206,HC ASSAY OF RIBOFLAVIN (VITAMIN B-2),260.0,260.0,,,0
HCPCS,84207,Assay of vitamin b-6,,,42.15,117.23,3
HCPCS,84207,HC SELENIUM,262.0,262.0,,,0
HCPCS,84210,Assay of pyruvate,,,21.72,60.41,3
HCPCS,84210,HC SEROTONIN,244.0,244.0,,,0
HCPCS,84220,Assay of pyruvate kinase,,,14.16,39.38,3
HCPCS,84220,HC BARTONELLA HENSELAE/PCR/TISSUE,476.0,476.0,,,0
HCPCS,84220,"HC BARTONELLA HENSELEA,BLOOD PCR",476.0,476.0,,,0
HCPCS,84228,Assay of quinine,,,17.45,48.52,3
HCPCS,84233,Assay of estrogen,,,131.82,366.64,3
HCPCS,84234,Assay of progesterone,,,97.32,270.68,3
HCPCS,84235,Assay of endocrine hormone,,,106.85,297.17,3
HCPCS,84238,Assay nonendocrine receptor,,,54.86,152.57,3
HCPCS,84238,HC SEX HORMONE BINDING GLOBULIN,480.0,480.0,,,0
HCPCS,84244,Assay of renin,,,32.99,91.74,3
HCPCS,84244,HC ASSAY OF SERUM SODIUM,383.0,383.0,,,0
HCPCS,84252,Assay of vitamin b-2,,,30.36,84.44,3
HCPCS,84252,HC SODIUM; URINE,307.0,307.0,,,0
HCPCS,84255,Assay of selenium,,,38.3,106.51,3
HCPCS,84255,HC SODIUM OTHER SOURCE,489.0,489.0,,,0
HCPCS,84260,Assay of serotonin,,,46.47,129.25,3
HCPCS,84260,HC SOMATOMEDIN,311.0,311.0,,,0
HCPCS,84270,Assay of sex hormone globul,,,32.6,90.66,3
HCPCS,84270,HC SPECTROPHOTOMETRY ANALYTE NES,150.0,150.0,,,0
HCPCS,84275,Assay of sialic acid,,,20.16,56.07,3
HCPCS,84285,Assay of silica,,,37.82,105.18,3
HCPCS,84295,Assay of serum sodium,,,7.22,20.07,3
HCPCS,84295,HC TESTOSTERONE; FREE,140.0,140.0,,,0
HCPCS,84300,Assay of urine sodium,,,7.59,21.11,3
HCPCS,84300,HC TESTOSTERONE; TOTAL,130.0,130.0,,,0
HCPCS,84302,Assay of sweat sodium,,,7.29,20.28,3
HCPCS,84302,HC ASSAY OF THIAMINE (VITAMIN B-1),47.0,47.0,,,0
HCPCS,84305,Assay of somatomedin,,,31.89,88.7,3
HCPCS,84305,HC THROMBOXANE URINE,374.0,374.0,,,0
HCPCS,84307,Assay of somatostatin,,,27.42,76.26,3
HCPCS,84311,HC THYROGLOBULIN,226.0,226.0,,,0
HCPCS,84311,Spectrophotometry,,,12.15,33.79,3
HCPCS,84315,Body fluid specific gravity,,,4.92,13.68,3
HCPCS,84375,Chromatogram assay sugars,,,58.5,162.71,3
HCPCS,84376,HC AMIODARONE,30.0,30.0,,,0
HCPCS,84376,"HC BARTONELLA QUINTANA, BLOOD PCR",136.0,136.0,,,0
HCPCS,84376,Sugars single qual,,,8.25,22.95,3
HCPCS,84377,HC KRAS GENE,418.0,418.0,,,0
HCPCS,84377,Sugars multiple qual,,,8.25,22.95,3
HCPCS,84378,"HC CARBAMAZEPINE;10,11-EPOXIDE",1114.0,1114.0,,,0
HCPCS,84378,Sugars single quant,,,17.3,48.1,3
HCPCS,84379,"HC AMINO ACID, MSUD PANEL, BLOOD SPOT, EACH SPECIMEN",66.32,66.32,,,0
HCPCS,84379,Sugars multiple quant,,,17.3,48.1,3
HCPCS,84392,Assay of urine sulfate,,,8.24,22.9,3
HCPCS,84392,HC INHIBIN-B       QUEST,96.0,96.0,,,0
HCPCS,84393,Tau phosphorylated ea,,,537.85,537.85,1
HCPCS,84394,Total tau,,,537.85,537.85,1
HCPCS,84402,Assay of free testosterone,,,38.21,106.26,3
HCPCS,84402,HC THYROXINE; TOTAL,397.0,397.0,,,0
HCPCS,84403,Assay of total testosterone,,,38.72,107.68,3
HCPCS,84403,HC FREE THYROXINE,410.0,410.0,,,0
HCPCS,84410,HC MENINIGITIS-ENCEPH CSF BY PCR,350.0,350.0,,,0
HCPCS,84410,Testosterone bioavailable,,,76.92,213.94,3
HCPCS,84425,Assay of vitamin b-1,,,31.85,88.57,3
HCPCS,84425,HC THYROXINE BINDING GLOBULIN,149.0,149.0,,,0
HCPCS,84430,Assay of thiocyanate,,,17.45,48.52,3
HCPCS,84431,HC THYROID STIMULATING HORMONE,168.0,168.0,,,0
HCPCS,84431,Thromboxane urine,,,52.67,146.48,3
HCPCS,84432,Assay of thyroglobulin,,,24.09,67.0,3
HCPCS,84432,HC TOCOPHEROL ALPHA (VIT E),234.0,234.0,,,0
HCPCS,84433,Asy thiopurin s-mthyltrnsfrs,,,33.26,92.49,3
HCPCS,84436,Assay of total thyroxine,,,10.31,28.66,3
HCPCS,84436,HC AST OR SGOT,187.0,187.0,,,0
HCPCS,84437,Assay of neonatal thyroxine,,,9.71,26.99,3
HCPCS,84439,Assay of free thyroxine,,,13.53,37.63,3
HCPCS,84439,HC TRANSFERASE; ALANINE AMINO,239.0,239.0,,,0
HCPCS,84442,Assay of thyroid activity,,,22.17,61.66,3
HCPCS,84442,HC TRANSFERRIN,324.0,324.0,,,0
HCPCS,84443,Assay thyroid stim hormone,,,25.2,70.09,3
HCPCS,84443,HC TRIGLYCERIDES,452.0,452.0,,,0
HCPCS,84445,Assay of tsi globulin,,,76.29,212.19,3
HCPCS,84445,HC AB; EB EARLY AG VIRUS,353.0,353.0,,,0
HCPCS,84446,Assay of vitamin e,,,21.27,59.16,3
HCPCS,84446,HC T3; TOTAL,254.0,254.0,,,0
HCPCS,84449,Assay of transcortin,,,27.0,75.1,3
HCPCS,84449,HC GARDNERELLA VAGINALIS,189.0,189.0,,,0
HCPCS,84450,HC T3; FREE,150.0,150.0,,,0
HCPCS,84450,Transferase (AST) (SGOT),,,7.77,21.61,3
HCPCS,84460,Alanine amino (ALT) (SGPT),,,7.95,22.11,3
HCPCS,84460,HC T3; REVERSE,153.0,153.0,,,0
HCPCS,84466,Assay of transferrin,,,19.14,53.23,3
HCPCS,84466,HC TROPONIN QUAN,188.0,188.0,,,0
HCPCS,84478,Assay of triglycerides,,,8.61,23.95,3
HCPCS,84478,HC UREA NITROGEN; QUAN,136.0,136.0,,,0
HCPCS,84479,Assay of thyroid (t3 or t4),,,9.71,26.99,3
HCPCS,84479,"HC MYCOBACTERIUM SP,DNA PROBE",133.0,133.0,,,0
HCPCS,84480,Assay triiodothyronine (t3),,,21.27,59.16,3
HCPCS,84480,HC UREA NITROGEN URINE,377.0,377.0,,,0
HCPCS,84481,Free assay (FT-3),,,25.41,70.67,3
HCPCS,84481,HC URIC ACID; BLOOD,222.0,222.0,,,0
HCPCS,84482,HC URIC ACID; NOT BLOOD,302.0,302.0,,,0
HCPCS,84482,T3 reverse,,,23.64,65.75,3
HCPCS,84484,Assay of troponin quant,,,18.71,52.02,3
HCPCS,84484,HC VMA URINE,143.0,143.0,,,0
HCPCS,84485,Assay duodenal fluid trypsin,,,10.8,30.04,3
HCPCS,84488,Test feces for trypsin,,,10.95,30.46,3
HCPCS,84490,Assay of feces for trypsin,,,14.9,41.43,3
HCPCS,84510,Assay of tyrosine,,,15.95,44.35,3
HCPCS,84510,HC HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT,119.0,119.0,,,0
HCPCS,84510,"HC M.AVIUM,INTRACELL DNA PROBETGH",188.0,188.0,,,0
HCPCS,84510,HC PERQ PRCRD DRAIN 0-5YR/ANY AGE W/CGEN CARD ANOMALY,77.0,77.0,,,0
HCPCS,84510,HC WEST NILE VIRUS (NAT),47.0,47.0,,,0
HCPCS,84512,Assay of troponin qual,,,15.14,42.1,3
HCPCS,84520,Assay of urea nitrogen,,,5.93,16.48,3
HCPCS,84520,HC VIP - VASOACTIVE INTESTINAL PEPTIDE,104.0,104.0,,,0
HCPCS,84525,Urea nitrogen semi-quant,,,7.7,21.4,3
HCPCS,84540,Assay of urine/urea-n,,,8.34,23.2,3
HCPCS,84540,HC VASOPRESSIN,101.0,101.0,,,0
HCPCS,84545,HC FELBAMATE,163.0,163.0,,,0
HCPCS,84545,Urea-N clearance test,,,10.8,30.04,3
HCPCS,84550,Assay of blood/uric acid,,,6.78,18.86,3
HCPCS,84550,HC VITAMIN A,134.0,134.0,,,0
HCPCS,84560,Assay of urine/uric acid,,,7.62,21.19,3
HCPCS,84560,HC VITAMIN NOS,105.0,105.0,,,0
HCPCS,84577,Assay of feces/urobilinogen,,,25.2,70.09,3
HCPCS,84578,Test urine urobilinogen,,,6.71,18.65,3
HCPCS,84580,Assay of urine urobilinogen,,,14.33,39.84,3
HCPCS,84583,Assay of urine urobilinogen,,,9.08,25.24,3
HCPCS,84585,Assay of urine vma,,,23.25,64.67,3
HCPCS,84585,HC VITAMIN K,332.0,332.0,,,0
HCPCS,84586,Assay of vip,,,53.0,147.4,3
HCPCS,84586,HC VOLATILES,418.0,418.0,,,0
HCPCS,84588,Assay of vasopressin,,,50.91,141.6,3
HCPCS,84588,HC XYLOSE ABSORPTION BLOOD &/OR URINE,399.0,399.0,,,0
HCPCS,84590,Assay of vitamin a,,,17.42,48.44,3
HCPCS,84590,HC ZINC,232.0,232.0,,,0
HCPCS,84591,Assay Of Nos Vitamin,,,25.59,71.17,3
HCPCS,84591,HC C-PEPTIDE,222.0,222.0,,,0
HCPCS,84597,Assay of vitamin k,,,20.58,57.24,3
HCPCS,84597,HC HCG; QUAN,306.0,306.0,,,0
HCPCS,84600,Assay of volatiles,,,25.67,71.38,3
HCPCS,84600,HC HCG; QUAL,343.0,343.0,,,0
HCPCS,84620,HC UNLISTED CHEMISTRY TEST,91.0,91.0,,,0
HCPCS,84620,Xylose tolerance test,,,19.37,53.86,3
HCPCS,84630,Assay of zinc,,,17.09,47.52,3
HCPCS,84630,HC BL SMEAR W/DIFF WBC COUNT,226.0,226.0,,,0
HCPCS,84681,Assay of c-peptide,,,31.22,86.82,3
HCPCS,84681,HC HEMATOCRIT,273.0,273.0,,,0
HCPCS,84702,Chorionic gonadotropin test,,,22.58,62.79,3
HCPCS,84702,HC HEMOGLOBIN,404.0,404.0,,,0
HCPCS,84703,Chorionic gonadotropin assay,,,11.28,31.37,3
HCPCS,84703,HC COMPL CBC  W PLT W AUTOM DIFF,40.0,40.0,,,0
HCPCS,84703,HC IGE AB (IGE: IGG AB),185.0,185.0,,,0
HCPCS,84704,HC HARVEST ALLOGENEIC STEM CELL,91.0,91.0,,,0
HCPCS,84704,Hcg free betachain test,,,22.94,63.79,3
HCPCS,84830,Ovulation tests,,,19.05,52.98,3
HCPCS,84999,DEAC 1/1/2022 HC RBC ENZYME PATH INTERP    MAYO,29.0,29.0,,,0
HCPCS,84999,HC CMV ANTIVIRAL RESISTANCE SEQ,1534.0,1534.0,,,0
HCPCS,84999,HC COMPL AUTOM CBC W PLT,102.0,102.0,,,0
HCPCS,84999,HC CUSTOM SWIM PLUG SINGLE,102.0,102.0,,,0
HCPCS,84999,"HC RALTEGRAVIR RESISITANCE, HIV-1",2488.0,2488.0,,,0
HCPCS,85002,Bleeding time test,,,7.23,20.11,3
HCPCS,85004,Automated diff wbc count,,,9.71,26.99,3
HCPCS,85007,Bl smear w/diff wbc count,,,5.7,15.85,3
HCPCS,85007,HC AUTOMATED RETICULOCYTE COUNT,86.0,86.0,,,0
HCPCS,85008,Bl smear w/o diff wbc count,,,5.15,14.31,3
HCPCS,85009,Manual diff wbc count b-coat,,,7.61,21.15,3
HCPCS,85013,Spun microhematocrit,,,10.5,29.2,3
HCPCS,85014,HC AUTOMATED WBC,62.0,62.0,,,0
HCPCS,85014,Hematocrit,,,3.56,9.89,3
HCPCS,85018,HC AUTOMATED PLATELET COUNT,62.0,62.0,,,0
HCPCS,85018,Hemoglobin,,,3.56,9.89,3
HCPCS,85025,Complete cbc w/auto diff wbc,,,11.66,32.42,3
HCPCS,85025,HC RETICULATED PLATELET ASSAY,320.0,320.0,,,0
HCPCS,85027,Complete cbc automated,,,9.71,26.99,3
HCPCS,85027,HC BM SMR INTERP,300.0,300.0,,,0
HCPCS,85032,HC RUFINAMIDE,26.0,26.0,,,0
HCPCS,85032,Manual cell count each,,,6.47,17.98,3
HCPCS,85041,Automated rbc count,,,4.53,12.6,3
HCPCS,85044,Manual reticulocyte count,,,6.47,17.98,3
HCPCS,85045,Automated reticulocyte count,,,5.99,16.65,3
HCPCS,85045,HC CHROMOGENIC SUBSTRATE ASSAY,91.0,91.0,,,0
HCPCS,85046,HC ASSAY SPEC XCP UR&BREATH IA,28.0,28.0,,,0
HCPCS,85046,Reticyte/hgb concentrate,,,8.36,23.24,3
HCPCS,85048,Automated leukocyte count,,,3.81,10.6,3
HCPCS,85048,"HC INFEC AGENT DET,GI  6-11 TARGETS",49.0,49.0,,,0
HCPCS,85049,Automated platelet count,,,6.72,18.69,3
HCPCS,85049,HC CLOTTING; FACTOR II PROTHROMBIN SPECIF,58.0,58.0,,,0
HCPCS,85055,HC CLOTTING; FACTOR V,152.0,152.0,,,0
HCPCS,85055,Reticulated platelet assay,,,53.61,149.11,3
HCPCS,85060,Blood smear interpretation,,,37.89,103.66,4
HCPCS,85060,"HC BONE MARROW TRANSPLANT,STR",147.0,147.0,,,0
HCPCS,85097,Bone marrow interpretation,,,165.34,942.3,4
HCPCS,85097,"HC INFEC AGENT DET,GI  12-25 TARGETS",1733.0,1733.0,,,0
HCPCS,85130,Chromogenic substrate assay,,,17.84,49.61,3
HCPCS,85130,"HC INFEC AGENT DET,GI  12-25 TARGETS",234.0,234.0,,,0
HCPCS,85170,Blood clot retraction,,,24.45,68.0,3
HCPCS,85175,Blood clot lysis time,,,30.56,84.98,3
HCPCS,85210,Clot factor ii prothrom spec,,,19.47,54.15,3
HCPCS,85210,HC BLOOD CLOT FACTOR VIII TEST,115.0,115.0,,,0
HCPCS,85220,Blooc clot factor v test,,,26.48,73.64,3
HCPCS,85220,HC CLOTTING; FACTOR VIII RISTOCETIN COFACT,381.0,381.0,,,0
HCPCS,85230,Clot factor vii proconvertin,,,26.85,74.68,3
HCPCS,85230,HC CLOTTING; FACTOR IX,392.0,392.0,,,0
HCPCS,85240,Clot factor viii ahg 1 stage,,,26.85,74.68,3
HCPCS,85240,HC CLOTTING; FACTOR X,430.0,430.0,,,0
HCPCS,85244,Clot factor viii reltd antgn,,,30.63,85.19,3
HCPCS,85244,HC EXTERNAL ECG REC > 48 HR UP TO 7 DAYS RECORD; INCL CONNECT & INITIAL REC,88.0,88.0,,,0
HCPCS,85245,Clot factor viii vw ristoctn,,,34.41,95.71,3
HCPCS,85245,HC CLOTTING; FACTOR XI,110.0,110.0,,,0
HCPCS,85246,Clot factor viii vw antigen,,,34.41,95.71,3
HCPCS,85246,HC CLOTTING; FACTOR XII,516.0,516.0,,,0
HCPCS,85247,Clot factor viii multimetric,,,34.41,95.71,3
HCPCS,85247,HC CLOTTING; FACTOR XIII SCREEN SOLUBLE,376.0,376.0,,,0
HCPCS,85250,Clot factor ix ptc/chrstmas,,,28.56,79.43,3
HCPCS,85250,HC ANTITHROMBIN III ACTIVITY ASSAY,456.0,456.0,,,0
HCPCS,85260,Clot factor x stuart-power,,,26.85,74.68,3
HCPCS,85260,HC ANTITHROMBIN III ANTIGEN ASSAY,354.0,354.0,,,0
HCPCS,85270,Clot factor xi pta,,,26.85,74.68,3
HCPCS,85270,HC CLOTTING INHIBITOR; PROTEIN C AG,376.0,376.0,,,0
HCPCS,85280,Clot factor xii hageman,,,29.03,80.73,3
HCPCS,85280,HC CLOTTING INHIBITOR; PROTEIN C ACTIVITY,421.0,421.0,,,0
HCPCS,85290,Clot factor xiii fibrin stab,,,24.51,68.17,3
HCPCS,85290,HC STRIATED MUSCLE AB,357.0,357.0,,,0
HCPCS,85291,Clot factor xiii fibrin scrn,,,13.67,38.01,3
HCPCS,85291,HC CLOTTING INHIBITOR; PROTEIN S TOTAL,306.0,306.0,,,0
HCPCS,85292,Clot factor fletcher fact,,,28.4,78.98,3
HCPCS,85293,Clot factor wght kininogen,,,28.4,78.98,3
HCPCS,85300,Antithrombin iii activity,,,17.78,49.44,3
HCPCS,85300,HC CLOTTING INHIBITOR PROTEIN S FREE,153.0,153.0,,,0
HCPCS,85301,Antithrombin iii antigen,,,16.22,45.1,3
HCPCS,85301,HC ACTIVATED PROTEIN C RESISTANCE,47.0,47.0,,,0
HCPCS,85302,Clot inhibit prot c antigen,,,18.02,50.11,3
HCPCS,85302,HC FACTOR INHIBITOR TEST,221.0,221.0,,,0
HCPCS,85303,Clot inhibit prot c activity,,,20.76,57.74,3
HCPCS,85303,HC D-DIMER - QUAN,335.0,335.0,,,0
HCPCS,85305,Clot inhibit prot s total,,,17.42,48.44,3
HCPCS,85305,HC FIBRINOGEN; ACTIVITY,239.0,239.0,,,0
HCPCS,85306,Clot inhibit prot s free,,,22.98,63.92,3
HCPCS,85306,HC FIBRINOGEN; ANTIGEN,316.0,316.0,,,0
HCPCS,85307,Assay Activated Protein C,,,22.98,63.92,3
HCPCS,85307,HC FIBRINOLYSINS OR COAG SCREEN,92.0,92.0,,,0
HCPCS,85335,Factor inhibitor test,,,19.31,53.69,3
HCPCS,85335,HC CLOTTING FUNCT ACTIVITY,383.0,383.0,,,0
HCPCS,85337,Thrombomodulin,,,25.91,72.05,3
HCPCS,85345,Coagulation time lee & white,,,7.04,19.57,3
HCPCS,85347,Coagulation time activated,,,6.42,17.86,3
HCPCS,85347,HC EXTERNAL ECG REC > 7 DAYS  UP TO 15 DAYS  RECORDING; INCL CONNECT & INITIAL REC,112.0,112.0,,,0
HCPCS,85348,Coagulation time otr method,,,6.74,18.73,3
HCPCS,85360,DEAC 05/12/2023 HC COV-19 AMP PRB HGH THRUPUT WITHIN 2 DAYS COLLECT,239.0,239.0,,,0
HCPCS,85360,Euglobulin lysis,,,12.62,35.09,3
HCPCS,85362,Fibrin degradation products,,,10.34,28.75,3
HCPCS,85362,HC INFLUENZA A/B AG EIA,147.0,147.0,,,0
HCPCS,85366,Fibrinogen test,,,120.69,335.68,3
HCPCS,85370,Fibrinogen test,,,18.65,51.86,3
HCPCS,85378,Fibrin degrade semiquant,,,14.58,40.55,3
HCPCS,85379,Fibrin degradation quant,,,15.27,42.47,3
HCPCS,85379,HC ALPHA-2-ANTIPLASMIN,268.0,268.0,,,0
HCPCS,85380,Fibrin degradj d-dimer,,,15.27,42.47,3
HCPCS,85384,Fibrinogen activity,,,14.58,40.55,3
HCPCS,85384,HC PLASMINOGEN ACTIVATOR,206.0,206.0,,,0
HCPCS,85385,Fibrinogen antigen,,,21.69,60.33,3
HCPCS,85385,HC FUNCTIONAL PLASMINOGEN,184.0,184.0,,,0
HCPCS,85390,Fibrinolysins screen i&r,,,23.22,64.58,3
HCPCS,85390,HC PLASMINOGEN ANTIGEN LEVEL,94.0,94.0,,,0
HCPCS,85396,Clotting assay whole blood,,,31.4,85.8,4
HCPCS,85396,DEAC 11/01/2023 HC IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML BOOSTER,758.0,758.0,,,0
HCPCS,85397,Clotting funct activity,,,46.29,128.75,3
HCPCS,85397,HC K-B STAIN FOR FETAL HGB,379.0,379.0,,,0
HCPCS,85400,Fibrinolytic plasmin,,,11.57,32.17,3
HCPCS,85410,Fibrinolytic antiplasmin,,,11.57,32.17,3
HCPCS,85410,HC HEPARIN ASSAY,180.0,180.0,,,0
HCPCS,85415,Fibrinolytic plasminogen,,,25.79,71.72,3
HCPCS,85415,HC HEPARIN NEUTRALIZATION,246.0,246.0,,,0
HCPCS,85420,Fibrinolytic plasminogen,,,9.8,27.24,3
HCPCS,85420,HC MURAMIDASE,130.0,130.0,,,0
HCPCS,85421,Fibrinolytic plasminogen,,,15.27,42.47,3
HCPCS,85421,HC PLT AGGREGATION (IN VITRO) EA AGENT,44.0,44.0,,,0
HCPCS,85441,Heinz bodies direct,,,6.3,17.52,3
HCPCS,85445,Heinz bodies induced,,,10.23,28.45,3
HCPCS,85460,HC PROTHROMBIN TIME;,42.0,42.0,,,0
HCPCS,85460,Hemoglobin fetal,,,11.6,32.25,3
HCPCS,85461,Hemoglobin fetal,,,14.04,39.05,3
HCPCS,85475,Hemolysin acid,,,13.31,37.01,3
HCPCS,85520,HC RUSSELL VIPER VENOM TIME; DILUTED,255.0,255.0,,,0
HCPCS,85520,Heparin assay,,,19.64,54.61,3
HCPCS,85525,HC REPTILASE TEST,177.0,177.0,,,0
HCPCS,85525,Heparin neutralization,,,17.76,49.4,3
HCPCS,85530,Heparin-protamine tolerance,,,19.64,54.61,3
HCPCS,85536,Iron Stain Peripheral Blood,,,10.32,28.7,3
HCPCS,85540,Wbc alkaline phosphatase,,,12.9,35.88,3
HCPCS,85547,RBC mechanical fragility,,,12.9,35.88,3
HCPCS,85549,HC NONAUTO ERYTHROCYTE SED RATE,446.0,446.0,,,0
HCPCS,85549,Muramidase,,,28.13,78.23,3
HCPCS,85555,"DEAC 4/1/2025 HC IV INFUSION, CASIRIVIMAB & IMDEVIMAB, INCL INFUSION & POST ADM MONITOR",42.0,42.0,,,0
HCPCS,85555,RBC osmotic fragility,,,11.21,31.16,3
HCPCS,85557,HC ASCA IGA IMMUNOASSAY    PROM,302.0,302.0,,,0
HCPCS,85557,RBC osmotic fragility,,,20.04,55.74,3
HCPCS,85576,Blood platelet aggregation,,,37.37,103.92,3
HCPCS,85576,HC AUTOM ERYTHROCYTE SED RATE,367.0,367.0,,,0
HCPCS,85597,Phospholipid pltlt neutraliz,,,26.97,75.01,3
HCPCS,85598,"HC OXYGEN THERAPY, PER DAY",168.0,168.0,,,0
HCPCS,85598,Hexagnal phosph pltlt neutrl,,,26.97,75.01,3
HCPCS,85610,HC SICKLING OF RBC REDUCTION,102.0,102.0,,,0
HCPCS,85610,Prothrombin time,,,6.44,17.9,3
HCPCS,85611,"HC BONE MARROW TRANSPLANT,STR",86.0,86.0,,,0
HCPCS,85611,HC CYTOGENOMIC NEOPLASIA MICROARRAY ANALYSIS,86.0,86.0,,,0
HCPCS,85611,Prothrombin test,,,5.91,16.44,3
HCPCS,85612,Viper venom prothrombin time,,,26.24,72.97,3
HCPCS,85613,HC THROMBIN TIME; PLASMA,175.0,175.0,,,0
HCPCS,85613,Russell viper venom diluted,,,14.37,39.97,3
HCPCS,85635,HC PTT; PLASMA OR WHOLE BLOOD,196.0,196.0,,,0
HCPCS,85635,Reptilase test,,,14.78,41.09,3
HCPCS,85651,HC AGGLUTININS FEBRILE,17.0,17.0,,,0
HCPCS,85651,Rbc sed rate nonautomated,,,6.41,17.81,3
HCPCS,85652,HC ALLERG SP IGE; QUAN OR SEMIQUAN,40.0,40.0,,,0
HCPCS,85652,Rbc sed rate automated,,,4.05,11.26,3
HCPCS,85660,HC ALLERG SP IGE; QUAN OR SEMIQUAN,123.0,123.0,,,0
HCPCS,85660,RBC sickle cell test,,,8.27,22.99,3
HCPCS,85670,HC AB ID; PLATELET AB,143.0,143.0,,,0
HCPCS,85670,Thrombin time plasma,,,8.66,24.07,3
HCPCS,85675,Thrombin time titer,,,10.28,28.58,3
HCPCS,85705,Thromboplastin inhibition,,,14.45,40.18,3
HCPCS,85730,HC AB ID; PLATELET IG ASSAY,159.0,159.0,,,0
HCPCS,85730,Thromboplastin time partial,,,9.02,25.07,3
HCPCS,85732,HC CYTOGENOMIC NEOPLASIA MICROARRAY ANALYSIS,153.0,153.0,,,0
HCPCS,85732,HC PROTHROMBIN GENE ANALYSIS,153.0,153.0,,,0
HCPCS,85732,Thromboplastin time partial,,,9.71,26.99,3
HCPCS,85810,Blood viscosity examination,,,17.51,48.69,3
HCPCS,85999,HC FLT3 GENE (TKD) VARIANT,605.0,605.0,,,0
HCPCS,86000,Agglutinins febrile antigen,,,10.47,29.12,3
HCPCS,86000,HC ANTINUCLEAR AB (ANA);,108.0,108.0,,,0
HCPCS,86001,Allergen Specific Igg,,,11.73,32.63,3
HCPCS,86001,DEAC 1/1/2022 HC PATH INTERP PERF GRANZ-B   CCH,41.0,41.0,,,0
HCPCS,86003,Allergen specific IgE,,,7.83,21.78,3
HCPCS,86003,HC ANTINUCLEAR AB (ANA); TITER,84.0,84.0,,,0
HCPCS,86003,HC C-REACTIVE PROTEIN,15.0,15.0,,,0
HCPCS,86005,Allergen specific IgE,,,11.96,33.25,3
HCPCS,86008,Allg spec ige recomb ea,,,26.9,74.8,3
HCPCS,86008,"HC ANTIBODY; ZIKA VIRUS, IGM",61.0,61.0,,,0
HCPCS,86015,Actin antibody each,,,17.3,50.27,3
HCPCS,86015,DEAC 11/01/2023 HC ADM SARSCOV2 25MCG/0.25ML 1ST DOSE,211.0,211.0,,,0
HCPCS,86015,HC AIR BLOWER,165.0,165.0,,,0
HCPCS,86021,HC FLECAINIDE,255.0,255.0,,,0
HCPCS,86021,WBC antibody identification,,,22.58,62.79,3
HCPCS,86022,HC C-REACTIVE PROTEIN HS,354.0,354.0,,,0
HCPCS,86022,Platelet antibodies,,,27.56,76.64,3
HCPCS,86023,HC BETA 2 GLYCOPROTEIN I AB EA,41.0,41.0,,,0
HCPCS,86023,Immunoglobulin assay,,,18.69,51.98,3
HCPCS,86036,Anca screen each antibody,,,18.08,50.27,3
HCPCS,86036,DEAC 11/01/2023 HC ADM SARSCOV2 25MCG/0.25ML 2ND DOSE,257.0,257.0,,,0
HCPCS,86037,Anca titer each antibody,,,18.08,50.27,3
HCPCS,86037,HC EAR BANDITS,257.0,257.0,,,0
HCPCS,86038,Antinuclear antibodies,,,18.14,50.44,3
HCPCS,86038,HC CARDIOLIPIN AB EA IG CLASS,189.0,189.0,,,0
HCPCS,86039,Antinuclear antibodies (ANA),,,16.74,46.56,3
HCPCS,86039,HC COLD AGGLUTININ; SCREEN,132.0,132.0,,,0
HCPCS,86041,Acetylcholn rcptr bndng antb,,,27.6,76.76,3
HCPCS,86041,HC ACETYLCHOLINE RECEPTOR (ACHR); BINDING ANTIBODY,65.0,65.0,,,0
HCPCS,86042,Acetylcholn rcptr blckg antb,,,27.6,76.76,3
HCPCS,86042,HC ACETYLCHOLINE RECEPTOR (ACHR); BLOCKING ANTIBODY,208.0,208.0,,,0
HCPCS,86043,Acetylcholn rcptr modlg antb,,,18.08,50.27,3
HCPCS,86043,HC ACETYLCHOLINE RECEPTOR (ACHR); MODULATING ANTIBODY,208.0,208.0,,,0
HCPCS,86051,Aquaporin-4 antb elisa,,,17.3,48.1,3
HCPCS,86052,Aquaporin-4 antb cba each,,,18.08,50.27,3
HCPCS,86053,Aqaprn-4 antb flo cytmtry ea,,,18.08,157.41,3
HCPCS,86053,HC OTOEASE BOTTLE,235.0,235.0,,,0
HCPCS,86060,Antistreptolysin o titer,,,10.95,30.46,3
HCPCS,86060,HC MCOLN1 GENE,103.0,103.0,,,0
HCPCS,86063,Antistreptolysin o screen,,,8.66,24.07,3
HCPCS,86077,Phys blood bank serv xmatch,,,34.49,217.24,4
HCPCS,86078,Phys blood bank serv reactj,,,167.96,217.24,4
HCPCS,86079,Phys blood bank serv authrj,,,74.21,215.52,4
HCPCS,86140,C-reactive protein,,,7.77,21.61,3
HCPCS,86140,HC COLD AGGLUTININ; TITER,87.0,87.0,,,0
HCPCS,86141,C-reactive protein hs,,,19.43,54.03,3
HCPCS,86141,HC COMPLEMENT; AG EA,107.0,107.0,,,0
HCPCS,86146,Beta-2 glycoprotein antibody,,,38.18,106.18,3
HCPCS,86146,HC COMPLEMENT; FCN ACTIVITY EA,136.0,136.0,,,0
HCPCS,86147,Cardiolipin antibody ea ig,,,38.18,106.18,3
HCPCS,86147,HC COMPLEMENT; TOT HEMOLYTIC (CH50),238.0,238.0,,,0
HCPCS,86148,Anti-phospholipid antibody,,,24.11,67.04,3
HCPCS,86152,Cell enumeration & id,,,376.17,1046.25,3
HCPCS,86155,Chemotaxis assay,,,23.99,66.71,3
HCPCS,86156,Cold agglutinin screen,,,12.11,33.67,3
HCPCS,86156,HC CCP ANTIBODY,27.0,27.0,,,0
HCPCS,86157,Cold agglutinin titer,,,12.09,33.63,3
HCPCS,86157,HC DNA AB,115.0,115.0,,,0
HCPCS,86160,Complement antigen,,,18.0,50.06,3
HCPCS,86160,HC DNA AB; NATIVE OR DS,54.0,54.0,,,0
HCPCS,86160,HC FMR1 GENE ANALYSIS; CHARACTERIZATION OF ALLELES,245.0,245.0,,,0
HCPCS,86160,HC INTR CATH DIAL CIRC W/INTRAPROC PHARM THRMB INJ,319.0,319.0,,,0
HCPCS,86161,Complement/function activity,,,18.0,50.06,3
HCPCS,86161,HC ENA ANY METHOD,54.0,54.0,,,0
HCPCS,86162,Complement total (ch50),,,30.48,84.78,3
HCPCS,86162,HC FLUORESCENT AB; SCRN EA AB,199.0,199.0,,,0
HCPCS,86171,Complement fixation each,,,15.02,41.76,3
HCPCS,86200,Ccp antibody,,,19.43,54.03,3
HCPCS,86200,HC FLUORESCENT AB; TITER EA AB,104.0,104.0,,,0
HCPCS,86215,Deoxyribonuclease antibody,,,19.88,55.28,3
HCPCS,86215,HC IA QUANT; CA 19-9,185.0,185.0,,,0
HCPCS,86225,Dna antibody native,,,20.61,57.32,3
HCPCS,86225,HC IA QUANT; CA 125,169.0,169.0,,,0
HCPCS,86226,Dna antibody single strand,,,18.17,50.52,3
HCPCS,86231,DEAC 11/01/2023 HC ADM SARSCOV2 3MCG TRS-SUCR-3 DOSE,235.0,235.0,,,0
HCPCS,86231,Ema each ig class,,,18.14,50.44,3
HCPCS,86231,HC X-RAY EXAM OF FOOT; 2 VIEWS,198.0,198.0,,,0
HCPCS,86235,HC QUAL HETEROPHILE AB,165.0,165.0,,,0
HCPCS,86235,Nuclear antigen antibody,,,26.9,74.8,3
HCPCS,86255,Fluorescent antibody screen,,,18.08,50.27,3
HCPCS,86255,HC FLUORESCENT NONINFECT AB; SCRN EA AB,840.0,840.0,,,0
HCPCS,86255,HC IA; OTHER TUMOR AG QUAN EA,233.0,233.0,,,0
HCPCS,86256,Fluorescent antibody titer,,,18.08,50.27,3
HCPCS,86256,HC IA INFECTIOUS AGENT AB QUAN,152.0,152.0,,,0
HCPCS,86258,Dgp antibody each ig class,,,17.3,50.27,3
HCPCS,86258,HC IADNA CNS PTHGN NEXT GEN SEQ(780),215.0,215.0,,,0
HCPCS,86258,HC MRA PELVIS,153.0,153.0,,,0
HCPCS,86277,Growth hormone antibody,,,23.61,65.67,3
HCPCS,86277,HC ASCA IGG IMMUNOASSAY    PROM,212.0,212.0,,,0
HCPCS,86280,Hemagglutination inhibition,,,12.29,34.17,3
HCPCS,86294,Immunoassay tumor qual,,,38.36,106.68,3
HCPCS,86300,Immunoassay tumor ca 15-3,,,31.22,86.82,3
HCPCS,86301,HC ID; GEL QUAL; EA AB/AG,144.0,144.0,,,0
HCPCS,86301,Immunoassay tumor ca 19-9,,,31.22,86.82,3
HCPCS,86304,HC IMMUNE COMPLEX ASSAY;,166.0,166.0,,,0
HCPCS,86304,Immunoassay tumor ca 125,,,31.22,86.82,3
HCPCS,86305,Human epididymis protein 4,,,31.22,86.82,3
HCPCS,86308,HC SERUM IMMUNOFIXATION ELECTROPHORES,104.0,104.0,,,0
HCPCS,86308,Heterophile antibody screen,,,7.77,21.61,3
HCPCS,86309,Heterophile antibody titer,,,9.71,26.99,3
HCPCS,86310,Heterophile antibody absrbj,,,11.06,30.75,3
HCPCS,86316,HC IMMUNFIX E-PHORSIS/URINE/CSF,193.0,193.0,,,0
HCPCS,86316,Immunoassay tumor other,,,31.22,86.82,3
HCPCS,86317,HC INHIBIN A,138.0,138.0,,,0
HCPCS,86317,Immunoassay infectious agent,,,22.49,62.54,3
HCPCS,86318,Immunoassay infectious agent,,,27.14,75.47,3
HCPCS,86320,Serum immunoelectrophoresis,,,44.88,124.83,3
HCPCS,86325,Other immunoelectrophoresis,,,34.7,96.5,3
HCPCS,86328,Ia nfct ab sarscov2 covid19,,,67.92,188.91,3
HCPCS,86329,Immunodiffusion nes,,,21.08,58.62,3
HCPCS,86331,HC INSULIN AB,177.0,177.0,,,0
HCPCS,86331,Immunodiffusion ouchterlony,,,17.97,49.98,3
HCPCS,86332,HC INTRINSIC FACTOR  AB,326.0,326.0,,,0
HCPCS,86332,Immune complex assay,,,36.56,101.67,3
HCPCS,86334,HC ISLET CELL AB,282.0,282.0,,,0
HCPCS,86334,Immunofix e-phoresis serum,,,33.51,93.2,3
HCPCS,86335,HC CELL FUNCTION ASSAY W/STIM,469.0,469.0,,,0
HCPCS,86335,Immunfix e-phorsis/urine/csf,,,44.03,122.45,3
HCPCS,86336,HC LYMPHOCYTE MITOGEN RESPONSE,63.0,63.0,,,0
HCPCS,86336,Inhibin A,,,23.39,65.04,3
HCPCS,86337,HC B CELLS TOTAL COUNT,274.0,274.0,,,0
HCPCS,86337,Insulin antibodies,,,32.12,89.32,3
HCPCS,86340,HC MONONUCLEAR CELL ANTIGEN,166.0,166.0,,,0
HCPCS,86340,Intrinsic factor antibody,,,22.62,62.91,3
HCPCS,86341,HC NK CELLS TOTAL COUNT,240.0,240.0,,,0
HCPCS,86341,Islet cell antibody,,,35.36,98.33,3
HCPCS,86343,"DEAC 1/1/2022 HC PATH INTERP, HB CASCADE   MAYO",133.0,133.0,,,0
HCPCS,86343,DEAC 1/1/2022 HC PATH INTERPRETATION,133.0,133.0,,,0
HCPCS,86343,Leukocyte histamine release,,,18.69,51.98,3
HCPCS,86344,Leukocyte phagocytosis,,,15.59,43.35,3
HCPCS,86352,Cell function assay w/stim,,,203.79,566.81,3
HCPCS,86352,HC T CELLS; TOTAL COUNT,827.0,827.0,,,0
HCPCS,86353,HC T CELLS; ABSOL CD4 AND CD8,601.0,601.0,,,0
HCPCS,86353,Lymphocyte transformation,,,73.55,204.55,3
HCPCS,86355,B cells total count,,,56.6,157.41,3
HCPCS,86355,HC T CELLS; ABSOL CD4 COUNT,265.0,265.0,,,0
HCPCS,86356,HC MICROSOMAL AB EACH,55.0,55.0,,,0
HCPCS,86356,HC PROCEDURE ENDO LEVEL 2 EA ADDL 15 MINUTE,258.0,258.0,,,0
HCPCS,86356,Mononuclear cell antigen,,,40.17,111.73,3
HCPCS,86357,HC VIRAL NEUTRALIZATION,250.0,250.0,,,0
HCPCS,86357,Nk cells total count,,,56.6,157.41,3
HCPCS,86359,HC PA; TITER EA AB,265.0,265.0,,,0
HCPCS,86359,T cells total count,,,56.6,157.41,3
HCPCS,86360,HC QUAL RHEUM FACTOR,117.0,117.0,,,0
HCPCS,86360,T cell absolute count/ratio,,,70.47,196.0,3
HCPCS,86361,HC TB TEST CELL IMMUN MEASURE,302.0,302.0,,,0
HCPCS,86361,T cell absolute count,,,40.17,111.73,3
HCPCS,86362,"HC INFECTIOUS AGENT DETECTION BY NUCLEIC ACID; ORTHOPOXVIRUS, AMPLIFIED PROBE TECHNIQUE, EA",40.0,40.0,,,0
HCPCS,86362,Mog-igg1 antb cba each,,,18.08,50.27,3
HCPCS,86363,HC MOD SEDATION SAME PHYS/QHP 5/>YRS; INITL 15 MIN,514.0,514.0,,,0
HCPCS,86363,Mog-igg1 antb flo cytmtry ea,,,18.08,157.41,3
HCPCS,86364,DEAC 11/01/2023 HC ADM SARSCOV2 50 MCG/0.5 ML 1ST DOSE 6-11,196.0,196.0,,,0
HCPCS,86364,"HC RADIOLOGIC EXAM, SPINE, LUMBOSACRAL; BENDING VIEWS ONLY, 2 OR 3 VIEWS",123.0,123.0,,,0
HCPCS,86364,Tiss trnsgltmnase ea ig clas,,,17.3,48.1,3
HCPCS,86366,HC MUSCLE-SPECIFIC KINASE (MUSK) ANTIBODY,1088.0,1088.0,,,0
HCPCS,86366,Muscle-specific kinase antb,,,27.6,76.76,3
HCPCS,86367,Stem cells total count,,,116.67,324.5,3
HCPCS,86376,"HC DXA BONE DENSITY STDY, 1+ SITES; AXIAL SKEL, INCL VERTEB FRACTURE ASSESS",34.0,34.0,,,0
HCPCS,86376,HC SYPHILIS TEST NON-TREP QUAL,213.0,213.0,,,0
HCPCS,86376,Microsomal antibody each,,,21.83,60.7,3
HCPCS,86381,DEAC 11/01/2023 HC ADM SARSCOV2 50 MCG/0.5 ML 2ND DOSE 6-11,235.0,235.0,,,0
HCPCS,86381,Mitochondrial antibody each,,,38.18,106.18,3
HCPCS,86382,HC SYPHILIS TEST NON-TREP QUANT,161.0,161.0,,,0
HCPCS,86382,Neutralization test viral,,,25.37,70.55,3
HCPCS,86384,Nitroblue tetrazolium dye,,,20.42,56.78,3
HCPCS,86386,Nuclear matrix protein 22,,,32.67,90.87,3
HCPCS,86403,HC AB; FRANCISELLA TULARENSIS,92.0,92.0,,,0
HCPCS,86403,Particle agglut antbdy scrn,,,17.31,48.14,3
HCPCS,86406,HC AB; ADENOVIRUS,185.0,185.0,,,0
HCPCS,86406,Particle agglut antbdy titr,,,15.96,44.39,3
HCPCS,86408,Neutrlzg antb sarscov2 scr,,,63.2,175.77,3
HCPCS,86409,Neutrlzg antb sarscov2 titer,,,158.0,332.13,3
HCPCS,86413,Sars-cov-2 antb quantitative,,,63.2,214.57,3
HCPCS,86430,HC AB; ASPERGILLUS,91.0,91.0,,,0
HCPCS,86430,Rheumatoid factor test qual,,,9.21,25.62,3
HCPCS,86431,HC DUCHENNE/DMD MUSCULAR DYSTROPH,85.0,85.0,,,0
HCPCS,86431,Rheumatoid factor quant,,,8.51,23.66,3
HCPCS,86480,HC AB; BARTONELLA,319.0,319.0,,,0
HCPCS,86480,Tb test cell immun measure,,,92.97,258.58,3
HCPCS,86481,Tb ag response t-cell susp,,,150.0,417.2,3
HCPCS,86485,Skin test candida,,,34.49,34.49,2
HCPCS,86486,Skin test nos antigen,,,27.41,35.45,4
HCPCS,86510,Histoplasmosis skin test,,,34.09,82.52,4
HCPCS,86580,HC ITRACONAZOLE,145.0,145.0,,,0
HCPCS,86580,TB intradermal test,,,34.49,57.85,4
HCPCS,86581,"HC HEARING AID, MONAURAL,BEHIND THE EAR (BTE)",104.0,104.0,,,0
HCPCS,86581,HC PROLACTIN,100.0,100.0,,,0
HCPCS,86581,Strptcs pneum antb serot ia,,,383.95,383.95,1
HCPCS,86590,Streptokinase antibody,,,18.99,52.82,3
HCPCS,86592,HC AB; BLASTOMYCES,96.0,96.0,,,0
HCPCS,86592,Syphilis test non-trep qual,,,6.41,17.81,3
HCPCS,86593,HC AB; BORDETELLA,61.0,61.0,,,0
HCPCS,86593,Syphilis test non-trep quant,,,6.6,18.36,3
HCPCS,86596,HC CRITTER CLIPS,210.0,210.0,,,0
HCPCS,86596,Voltage-gtd ca chnl antb ea,,,27.6,50.27,3
HCPCS,86602,Antinomyces antibody,,,15.27,42.47,3
HCPCS,86603,Adenovirus antibody,,,19.31,53.69,3
HCPCS,86603,HC AB; LYME'S (WB) CONFIRM,42.0,42.0,,,0
HCPCS,86606,Aspergillus antibody,,,22.58,62.79,3
HCPCS,86606,HC AB; LYME'S DISEASE,185.0,185.0,,,0
HCPCS,86609,Bacterium antibody,,,19.32,53.74,3
HCPCS,86611,Bartonella Antibody,,,15.27,42.47,3
HCPCS,86611,HC AB; BRUCELLA,42.0,42.0,,,0
HCPCS,86612,Blastomyces antibody,,,19.35,53.82,3
HCPCS,86612,HC AB; CANDIDA,42.0,42.0,,,0
HCPCS,86615,Bordetella antibody,,,19.79,55.03,3
HCPCS,86615,HC AB; CHLAMYDIA,185.0,185.0,,,0
HCPCS,86617,HC AB; CHLAMYDIA IGM,219.0,219.0,,,0
HCPCS,86617,Lyme disease antibody,,,23.24,64.62,3
HCPCS,86618,HC AB; COCCIDIOIDES,55.0,55.0,,,0
HCPCS,86618,Lyme disease antibody,,,25.55,71.05,3
HCPCS,86619,Borrelia antibody,,,20.07,55.82,3
HCPCS,86622,Brucella antibody,,,13.4,37.26,3
HCPCS,86622,HC AB; CMV,104.0,104.0,,,0
HCPCS,86625,Campylobacter antibody,,,19.68,54.74,3
HCPCS,86628,Candida antibody,,,18.02,50.11,3
HCPCS,86628,HC AB; CMV  IGM,95.0,95.0,,,0
HCPCS,86631,Chlamydia antibody,,,17.73,49.31,3
HCPCS,86631,HC AB; DIPHTHERIA,165.0,165.0,,,0
HCPCS,86632,Chlamydia igm antibody,,,19.02,52.9,3
HCPCS,86632,HC AB; ENCEPHALITIS CALIF,179.0,179.0,,,0
HCPCS,86635,Coccidioides antibody,,,17.21,47.85,3
HCPCS,86635,HC AB; ENCEPHALITIS E EQUINE,128.0,128.0,,,0
HCPCS,86638,Q fever antibody,,,18.18,50.56,3
HCPCS,86641,Cryptococcus antibody,,,21.62,60.12,3
HCPCS,86641,HC HIV-1/HIV-2 SINGLE RESULT,47.0,47.0,,,0
HCPCS,86644,CMV antibody,,,21.59,60.04,3
HCPCS,86644,HC AB; ENCEPHALITIS ST. LOUIS,245.0,245.0,,,0
HCPCS,86645,Cmv antibody igm,,,25.28,70.3,3
HCPCS,86645,HC AB; ENCEPHALITIS W EQUINE,274.0,274.0,,,0
HCPCS,86648,Diphtheria antibody,,,22.82,63.46,3
HCPCS,86648,HC AB; ENTEROVIRUS,169.0,169.0,,,0
HCPCS,86651,Encephalitis californ antbdy,,,19.79,55.03,3
HCPCS,86651,HC AB; EPSTEIN BARR VCA,128.0,128.0,,,0
HCPCS,86652,Encephaltis east eqne anbdy,,,19.79,55.03,3
HCPCS,86652,HC AB; ERLICHIA,153.0,153.0,,,0
HCPCS,86653,Encephaltis st louis antbody,,,19.79,55.03,3
HCPCS,86653,HC AB; HELICOBACTER PYLORI,153.0,153.0,,,0
HCPCS,86654,Encephaltis west eqne antbdy,,,19.79,55.03,3
HCPCS,86654,HC AB; HELMINTH NES,128.0,128.0,,,0
HCPCS,86658,Enterovirus antibody,,,19.55,54.36,3
HCPCS,86658,HC AB; HEMOPHILUS INFLUENZA,125.0,125.0,,,0
HCPCS,86663,Epstein-barr antibody,,,19.68,54.74,3
HCPCS,86663,HC FIBRIN DEGRADATION PRODUCTS,146.0,146.0,,,0
HCPCS,86664,Epstein-barr nuclear antigen,,,22.94,63.79,3
HCPCS,86664,"HC HEAT HF NASAL CANNULA, PER DAY",173.0,173.0,,,0
HCPCS,86665,Epstein-barr capsid vca,,,27.21,75.68,3
HCPCS,86665,HC AB; HTLV OR HIV WB,199.0,199.0,,,0
HCPCS,86666,Ehrlichia Antibody,,,15.27,42.47,3
HCPCS,86666,HC AB; HEPATITIS D,51.0,51.0,,,0
HCPCS,86668,Francisella tularensis,,,21.24,59.08,3
HCPCS,86668,"HC INHALED NITRIC OXIDE THERAPY, PER DAY",507.0,507.0,,,0
HCPCS,86671,Fungus nes antibody,,,18.38,51.11,3
HCPCS,86671,HC TRANSCATHETER THERAPY EMBOLIZATION,174.0,174.0,,,0
HCPCS,86674,Giardia lamblia antibody,,,22.08,61.41,3
HCPCS,86677,HC AB; HSV 1,149.0,149.0,,,0
HCPCS,86677,Helicobacter pylori antibody,,,25.28,70.3,3
HCPCS,86682,HC AB; HSV TYPE 2,169.0,169.0,,,0
HCPCS,86682,Helminth antibody,,,19.52,54.28,3
HCPCS,86684,HC AB; HIV-1,251.0,251.0,,,0
HCPCS,86684,Hemophilus influenza antibdy,,,23.76,66.08,3
HCPCS,86687,HC ANDROGEN INSENSITIVITY SYNDROM,118.0,118.0,,,0
HCPCS,86687,Htlv-i antibody,,,13.64,37.92,3
HCPCS,86688,Htlv-ii antibody,,,21.0,58.41,3
HCPCS,86689,HC AB; HIV-2,287.0,287.0,,,0
HCPCS,86689,Htlv/hiv confirmj antibody,,,29.03,80.73,3
HCPCS,86692,HC AB; HBCAB - TOTAL,56.0,56.0,,,0
HCPCS,86692,Hepatitis delta agent antbdy,,,25.74,71.59,3
HCPCS,86694,HC CFTR FULL GENE SEQUENCE,148.0,148.0,,,0
HCPCS,86694,Herpes simplex nes antbdy,,,21.59,60.04,3
HCPCS,86695,HC AB: HBCAB -  IGM AB,131.0,131.0,,,0
HCPCS,86695,Herpes simplex type 1 test,,,19.79,55.03,3
HCPCS,86696,HC AB: HBSAB,98.0,98.0,,,0
HCPCS,86696,Herpes simplex type 2 test,,,29.03,80.73,3
HCPCS,86698,HC CRYPTOSPOR AG BY IFA,177.0,177.0,,,0
HCPCS,86698,Histoplasma antibody,,,20.69,57.53,3
HCPCS,86701,HC AB; HBEAB,107.0,107.0,,,0
HCPCS,86701,Hiv-1antibody,,,13.34,37.09,3
HCPCS,86702,HC AB; HAAB - TOTAL,190.0,190.0,,,0
HCPCS,86702,Hiv-2 antibody,,,20.28,56.41,3
HCPCS,86703,HC CLOSTRIDIUM AG EIA,179.0,179.0,,,0
HCPCS,86703,Hiv-1/hiv-2 1 result antbdy,,,20.57,57.2,3
HCPCS,86704,HC AB: HAAB - IGM,199.0,199.0,,,0
HCPCS,86704,Hep b core antibody total,,,18.08,50.27,3
HCPCS,86705,HC AB; INFLUENZA VIRUS,146.0,146.0,,,0
HCPCS,86705,Hep b core antibody igm,,,17.66,49.1,3
HCPCS,86706,HC AB; LEISHMANIA,177.0,177.0,,,0
HCPCS,86706,Hep b surface antibody,,,16.11,44.81,3
HCPCS,86707,HC AB; LEPTOSPIRA,125.0,125.0,,,0
HCPCS,86707,Hepatitis be antibody,,,17.36,48.27,3
HCPCS,86708,HC AB; LCM,139.0,139.0,,,0
HCPCS,86708,Hepatitis a antibody,,,18.59,51.69,3
HCPCS,86709,HC AB; MUMPS,136.0,136.0,,,0
HCPCS,86709,Hepatitis a igm antibody,,,16.89,46.98,3
HCPCS,86710,HC AB; MYCOPLASMA,192.0,192.0,,,0
HCPCS,86710,Influenza virus antibody,,,20.33,56.53,3
HCPCS,86711,John cunningham antibody,,,25.34,70.47,3
HCPCS,86713,Legionella antibody,,,22.95,63.83,3
HCPCS,86717,HC AB; NEISSERIA MENINGITIDIS,40.0,40.0,,,0
HCPCS,86717,Leishmania antibody,,,18.38,51.11,3
HCPCS,86720,HC AB; PARVOVIRUS,153.0,153.0,,,0
HCPCS,86720,Leptospira antibody,,,24.3,67.59,3
HCPCS,86723,Listeria monocytogenes,,,19.79,55.03,3
HCPCS,86727,HC TRYPANOSOMA CRUZI IGG,42.0,42.0,,,0
HCPCS,86727,Lymph choriomeningitis ab,,,19.31,53.69,3
HCPCS,86732,Mucormycosis antibody,,,22.5,62.58,3
HCPCS,86735,HC AB; RICKETTSIA,138.0,138.0,,,0
HCPCS,86735,Mumps antibody,,,19.58,54.44,3
HCPCS,86738,HC AB; RUBELLA,146.0,146.0,,,0
HCPCS,86738,Mycoplasma antibody,,,19.86,55.24,3
HCPCS,86741,HC AB; RUBEOLA,43.0,43.0,,,0
HCPCS,86741,Neisseria meningitidis,,,19.79,55.03,3
HCPCS,86744,Nocardia antibody,,,23.99,66.71,3
HCPCS,86747,HC AB; SALMONELLA,183.0,183.0,,,0
HCPCS,86747,Parvovirus antibody,,,22.55,62.71,3
HCPCS,86750,Malaria antibody,,,19.79,55.03,3
HCPCS,86753,HC AB; TETANUS,177.0,177.0,,,0
HCPCS,86753,"HC ANGIO F/U TRANSCATH TX, EMBOLIZ/INFUSION",177.0,177.0,,,0
HCPCS,86753,HC CFTR FULL GENE SEQUENCE,177.0,177.0,,,0
HCPCS,86753,HC GJB2 GENE FULL SEQUENCE (470),177.0,177.0,,,0
HCPCS,86753,Protozoa antibody nos,,,18.59,51.69,3
HCPCS,86756,Respiratory virus antibody,,,23.84,66.29,3
HCPCS,86757,HC AB; TOXOPLASMA,90.0,90.0,,,0
HCPCS,86757,Rickettsia Antibody,,,29.03,80.73,3
HCPCS,86759,"HC CFTR GENE SEQ,PANCREATITIS",245.0,245.0,,,0
HCPCS,86759,Rotavirus antibody,,,27.35,76.06,3
HCPCS,86762,HC AB; TOXOPLASMA IGM,162.0,162.0,,,0
HCPCS,86762,Rubella antibody,,,21.59,60.04,3
HCPCS,86765,HC TREPONEMA PALLIDUM,158.0,158.0,,,0
HCPCS,86765,Rubeola antibody,,,19.32,53.74,3
HCPCS,86768,HC AB; TRICHINELLA,43.0,43.0,,,0
HCPCS,86768,Salmonella antibody,,,19.79,55.03,3
HCPCS,86769,"HC HA DIGITAL, ADVANCED, BINAURAL CIC",116.0,116.0,,,0
HCPCS,86769,Sars-cov-2 covid-19 antibody,,,63.2,175.77,3
HCPCS,86771,Shigella antibody,,,36.72,102.13,3
HCPCS,86774,HC AB; VARICELLA-ZOSTER,144.0,144.0,,,0
HCPCS,86774,Tetanus antibody,,,22.2,61.75,3
HCPCS,86777,HC WEST NILE VIRUS AB IGM,213.0,213.0,,,0
HCPCS,86777,Toxoplasma antibody,,,21.59,60.04,3
HCPCS,86778,HC WEST NILE VIRUS ANTIBODY,209.0,209.0,,,0
HCPCS,86778,Toxoplasma antibody igm,,,21.62,60.12,3
HCPCS,86780,"HC DENGUE FEVER ANTIBODY, IGG",121.0,121.0,,,0
HCPCS,86780,Treponema pallidum,,,19.86,55.24,3
HCPCS,86784,HC HEPATITIS E ANTIBODY IGG,41.0,41.0,,,0
HCPCS,86784,Trichinella antibody,,,18.84,52.4,3
HCPCS,86787,HC HEPATITIS E ANTIBODY IGM,190.0,190.0,,,0
HCPCS,86787,Varicella-zoster antibody,,,19.32,53.74,3
HCPCS,86788,"HC HERPES 8 IGG AB, IFA",107.0,107.0,,,0
HCPCS,86788,West nile virus ab igm,,,25.28,70.3,3
HCPCS,86789,HC AB: THYROGLOBULIN,92.0,92.0,,,0
HCPCS,86789,West Nile Virus Antibody,,,21.59,60.04,3
HCPCS,86790,HC DUPLEX UE ART/BPG; BILAT,156.0,156.0,,,0
HCPCS,86790,HC EVALUATION OF SPEECH FLUENCY,156.0,156.0,,,0
HCPCS,86790,HC EXTENDED WARRANTY FROM FACTORY,156.0,156.0,,,0
HCPCS,86790,HC HEPATITIS C AB,156.0,156.0,,,0
HCPCS,86790,HC HEPATITIS C CONFIRMATION,42.0,42.0,,,0
HCPCS,86790,HC HLA TYPE; A B C SGL AG,42.0,42.0,,,0
HCPCS,86790,HC IMMUMOASSAY QUANT NOS NONAB (50),156.0,156.0,,,0
HCPCS,86790,HC LYMPHOCYTOTOX VC;  W TITRATE,42.0,42.0,,,0
HCPCS,86790,HC RESP VIRUS 6-11 TARGETS,156.0,156.0,,,0
HCPCS,86790,Virus antibody nos,,,19.32,53.74,3
HCPCS,86793,Yersinia antibody,,,19.79,55.03,3
HCPCS,86794,HC RENAL BIOPSY PERCUTANEOUS,40.0,40.0,,,0
HCPCS,86794,Zika virus igm antibody,,,25.28,70.3,3
HCPCS,86800,HC HLA X-MATCH NON-CYTOTOXIC,175.0,175.0,,,0
HCPCS,86800,Thyroglobulin antibody,,,23.87,66.38,3
HCPCS,86803,HC RBC AB SCRN EA TECHIQ,215.0,215.0,,,0
HCPCS,86803,Hepatitis c ab test,,,21.41,59.53,3
HCPCS,86804,HC RBC AB ELUTION EA,281.0,281.0,,,0
HCPCS,86804,Hep c ab test confirm,,,23.24,64.62,3
HCPCS,86805,HC AB ID RBC EA PANEL EA TECHN,620.0,620.0,,,0
HCPCS,86805,Lymphocytotoxicity assay,,,284.27,790.64,3
HCPCS,86806,Lymphocytotoxicity assay,,,71.39,198.55,3
HCPCS,86807,Cytotoxic antibody screening,,,117.98,328.13,3
HCPCS,86808,Cytotoxic antibody screening,,,44.52,123.82,3
HCPCS,86808,HC LEFLUNOMIDE,682.0,682.0,,,0
HCPCS,86812,HC COOMBS; DIRECT,85.0,85.0,,,0
HCPCS,86812,Hla typing a b or c,,,38.72,107.68,3
HCPCS,86813,Hla typing a b or c,,,87.0,241.98,3
HCPCS,86816,Hla typing dr/dq,,,45.26,125.87,3
HCPCS,86817,Hla typing dr/dq,,,159.21,442.82,3
HCPCS,86821,Lymphocyte culture mixed,,,54.84,152.53,3
HCPCS,86825,HC COOMBS TEST INDIRECT QUAL,743.0,743.0,,,0
HCPCS,86825,"HC CYSTIC FIBROSIS,INTRON-8,POLYT",1347.0,1347.0,,,0
HCPCS,86825,Hla x-math non-cytotoxic,,,164.24,456.79,3
HCPCS,86826,Hla x-match noncytotoxc addl,,,54.8,152.4,3
HCPCS,86828,HC TRLUML BALLOON ANGIOPLASTY; ADDL VEIN,369.0,369.0,,,0
HCPCS,86828,Hla class i&ii antibody qual,,,96.29,267.8,3
HCPCS,86829,Hla class i/ii antibody qual,,,96.29,267.8,3
HCPCS,86830,HC TRLUML BALLOON ANGIOPLASTY; INITIAL ARTERY,406.0,406.0,,,0
HCPCS,86830,Hla class i phenotype qual,,,143.28,398.51,3
HCPCS,86831,HC TRLUML BALLOON ANGIOPLASTY; ADDL ART,347.0,347.0,,,0
HCPCS,86831,Hla class ii phenotype qual,,,122.82,341.6,3
HCPCS,86832,HC HLA I & II TYPE VERIFY LR (150),931.0,931.0,,,0
HCPCS,86832,Hla class i high defin qual,,,485.63,1350.69,3
HCPCS,86833,HC HEART TRANSPLANT ORGAN ACQUISITION,989.0,989.0,,,0
HCPCS,86833,Hla class ii high defin qual,,,488.7,1359.24,3
HCPCS,86834,Hla class i semiquant panel,,,536.34,1491.74,3
HCPCS,86835,Hla class ii semiquant panel,,,484.44,1347.39,3
HCPCS,86849,"HC CYSTIC FIBROSIS,INTRON-8,POLYT",73.0,73.0,,,0
HCPCS,86850,HC COOMBS TEST INDIRECT TITER,244.0,244.0,,,0
HCPCS,86850,RBC antibody screen,,,14.66,40.76,3
HCPCS,86860,HC BLOOD TYPING; ABO,487.0,487.0,,,0
HCPCS,86860,RBC antibody elution,,,215.25,215.25,2
HCPCS,86870,HC BLOOD TYPING; RH D,665.0,665.0,,,0
HCPCS,86870,RBC antibody identification,,,425.12,425.12,2
HCPCS,86880,Coombs test direct,,,8.09,22.49,3
HCPCS,86880,HC BLOOD TYPE ANTIGEN DONOR EA,402.0,402.0,,,0
HCPCS,86885,Coombs test indirect qual,,,8.58,23.86,3
HCPCS,86885,HC BLD TYPE; RBC AG NOT ABO/RHD,495.0,495.0,,,0
HCPCS,86886,Coombs test indirect titer,,,7.77,21.61,3
HCPCS,86886,HC BLD TYPE; RH PHENOTYPE,822.0,822.0,,,0
HCPCS,86890,Autologous blood process,,,215.25,215.25,2
HCPCS,86891,Autologous blood op salvage,,,942.3,942.3,2
HCPCS,86891,HC CYTOGEN M ARRAY COPY NO&SNP,881.0,881.0,,,0
HCPCS,86900,Blood typing serologic abo,,,4.49,12.47,3
HCPCS,86900,HC COMPATIBILITY TEST SPIN,244.0,244.0,,,0
HCPCS,86901,Blood typing serologic rh(d),,,4.49,12.47,3
HCPCS,86901,HC COMPATIBILITY TEST ANTIGLOB,244.0,244.0,,,0
HCPCS,86902,Blood type antigen donor ea,,,9.53,26.49,3
HCPCS,86902,HC COMPATIBILITY TEST ELECTRIC,665.0,665.0,,,0
HCPCS,86904,Blood typing patient serum,,,24.51,68.17,3
HCPCS,86905,Blood typing rbc antigens,,,5.75,15.98,3
HCPCS,86905,HC FFP THAWING EA UNIT,664.0,664.0,,,0
HCPCS,86906,Bld typing serologic rh phnt,,,11.63,32.33,3
HCPCS,86906,HC IRRADIATE BLD PRODUCT EA UNIT,496.0,496.0,,,0
HCPCS,86910,Blood typing paternity test,,,40.07,40.07,2
HCPCS,86911,Blood typing antigen system,,,34.65,34.65,2
HCPCS,86920,Compatibility test spin,,,215.25,215.25,2
HCPCS,86920,HC VOL REDUCTION OF BLOOD/PROD,487.0,487.0,,,0
HCPCS,86921,Compatibility test incubate,,,215.25,215.25,2
HCPCS,86921,HC MICROALBUMIN; URINE SEMIQUAN,633.0,633.0,,,0
HCPCS,86922,Compatibility test antiglob,,,215.25,215.25,2
HCPCS,86922,HC POOL PLATELETS OR BLD PRODUCT,558.0,558.0,,,0
HCPCS,86923,Compatibility test electric,,,215.25,215.25,2
HCPCS,86923,HC PRETREAT RBC; ENZYMES,508.0,508.0,,,0
HCPCS,86927,HC SPLIT BLD PRODUCT EA UNIT,418.0,418.0,,,0
HCPCS,86927,Plasma fresh frozen,,,215.25,215.25,2
HCPCS,86930,Frozen blood prep,,,425.12,425.12,2
HCPCS,86931,Frozen blood thaw,,,425.12,425.12,2
HCPCS,86932,Frozen blood freeze/thaw,,,50.15,50.15,2
HCPCS,86940,Hemolysins/agglutinins auto,,,13.16,36.59,3
HCPCS,86941,Hemolysins/agglutinins,,,18.17,50.52,3
HCPCS,86945,Blood product/irradiation,,,50.15,50.15,2
HCPCS,86945,HC CONCENTRATION FOR INFECT AGNT,340.0,340.0,,,0
HCPCS,86950,Leukacyte transfusion,,,215.25,215.25,2
HCPCS,86960,HC AEROB BACTERIAL BLOOD CULTURE,708.0,708.0,,,0
HCPCS,86960,Vol reduction of blood/prod,,,215.25,215.25,2
HCPCS,86965,HC AEROB BACTERIA CULTURE STOOL,708.0,708.0,,,0
HCPCS,86965,Pooling blood platelets,,,215.25,215.25,2
HCPCS,86970,HC BILE ACIDS; TOTAL,106.0,106.0,,,0
HCPCS,86970,Rbc pretx incubatj w/chemicl,,,50.15,50.15,2
HCPCS,86971,HC AEROBIC STOOL CULTR ADDTL PATHOG EA PLATE,105.0,105.0,,,0
HCPCS,86971,Rbc pretx incubatj w/enzymes,,,425.12,425.12,2
HCPCS,86972,Rbc pretx incubatj w/density,,,215.25,215.25,2
HCPCS,86975,Rbc serum pretx incubj drugs,,,163.55,163.55,2
HCPCS,86976,Rbc serum pretx id dilution,,,34.49,34.49,2
HCPCS,86977,Rbc serum pretx incubj/inhib,,,215.25,215.25,2
HCPCS,86978,HC CHEMILUMINESCENT ASSAY,374.0,374.0,,,0
HCPCS,86978,Rbc pretreatment serum,,,50.15,50.15,2
HCPCS,86985,HC BACTERIAL CULTURE - OTHR SOURCE,614.0,614.0,,,0
HCPCS,86985,Split blood or products,,,215.25,215.25,2
HCPCS,86999,HC ECHOCARDIO FETAL CARDIOVASCULAR F/U STUDY,418.0,418.0,,,0
HCPCS,86999,Transfusion procedure,,,34.49,34.49,2
HCPCS,87003,Small animal inoculation,,,25.26,70.26,3
HCPCS,87015,HC BACT CULT; QUAN AEROBIC,26.0,26.0,,,0
HCPCS,87015,Specimen infect agnt concntj,,,10.02,27.87,3
HCPCS,87040,Blood culture for bacteria,,,15.48,43.06,3
HCPCS,87040,HC ANAEROB BACT CULTURE W ID,245.0,245.0,,,0
HCPCS,87045,Feces culture aerobic bact,,,14.16,39.38,3
HCPCS,87045,HC BC - ANAEROBE - ADDTL ID,199.0,199.0,,,0
HCPCS,87045,HC CYTOGENOMIC NEO MICRORA ALYS (715),225.0,225.0,,,0
HCPCS,87046,HC BC - AEROBIC - ADDTL ID,107.0,107.0,,,0
HCPCS,87046,Stool cultr aerobic bact ea,,,14.16,39.38,3
HCPCS,87070,Culture othr specimn aerobic,,,12.93,35.96,3
HCPCS,87070,HC CULTURE P PATHOG - SCREEN,206.0,206.0,,,0
HCPCS,87071,Culture aerobic quant other,,,14.84,41.26,3
HCPCS,87071,HC BACT CULTURE - URINE; QUAN COUNT,40.0,40.0,,,0
HCPCS,87073,Culture Bacteria Anaerobic,,,14.49,40.3,3
HCPCS,87075,Cultr bacteria except blood,,,14.21,39.51,3
HCPCS,87075,HC URINE BACTERIA CULTURE,225.0,225.0,,,0
HCPCS,87076,Culture anaerobe ident each,,,12.12,33.71,3
HCPCS,87076,HC CULT FUNGUS W P ID; SKIN HR NL,33.0,33.0,,,0
HCPCS,87077,Culture Aerobic Identify,,,12.12,33.71,3
HCPCS,87077,HC FUNGUS CULTURE NOT BLOOD,141.0,141.0,,,0
HCPCS,87081,Culture screen only,,,9.95,27.66,3
HCPCS,87081,HC FUNGUS CULTURE BLOOD,161.0,161.0,,,0
HCPCS,87084,Culture of specimen by kit,,,40.61,112.94,3
HCPCS,87086,HC FUNGUS CULTURE DEF I.D YEAST,193.0,193.0,,,0
HCPCS,87086,Urine culture/colony count,,,12.11,33.67,3
HCPCS,87088,HC FUNGUS CULTURE DEF ID  MOLD,34.0,34.0,,,0
HCPCS,87088,Urine bacteria culture,,,12.14,33.75,3
HCPCS,87101,HC CULTURE MYCOPLASMA,146.0,146.0,,,0
HCPCS,87101,Skin fungi culture,,,11.57,32.17,3
HCPCS,87102,Fungus isolation culture,,,12.62,35.09,3
HCPCS,87102,HC CHLAMYDIA CULTURE,172.0,172.0,,,0
HCPCS,87103,Blood fungus culture,,,30.69,85.36,3
HCPCS,87103,HC CULTURE AFB - ISOL & ID,194.0,194.0,,,0
HCPCS,87106,Fungi identification yeast,,,15.48,43.06,3
HCPCS,87106,HC CULT MYCOBACTERIA DEFIN ID EA,43.0,43.0,,,0
HCPCS,87107,Fungi identification mold,,,15.48,43.06,3
HCPCS,87107,HC PINWORM EXAM,43.0,43.0,,,0
HCPCS,87109,HC OVA & PARASITES DIR SMR W ID,250.0,250.0,,,0
HCPCS,87109,Mycoplasma,,,23.09,64.21,3
HCPCS,87110,Chlamydia culture,,,29.4,81.77,3
HCPCS,87110,HC SENSITIVITY - AGAR DILUTION/AGENT,164.0,164.0,,,0
HCPCS,87116,HC SENSITIVITY - DISK PER PLATE,222.0,222.0,,,0
HCPCS,87116,Mycobacteria culture,,,16.2,45.06,3
HCPCS,87118,HC SENSTITIVITY - ENZYME DETECT,60.0,60.0,,,0
HCPCS,87118,Mycobacteric identification,,,21.92,60.95,3
HCPCS,87140,Culture type immunofluoresc,,,8.36,23.24,3
HCPCS,87143,Culture typing glc/hplc,,,18.78,52.23,3
HCPCS,87147,Culture type immunologic,,,7.77,21.61,3
HCPCS,87149,Dna/rna direct probe,,,30.08,83.65,3
HCPCS,87150,Dna/rna amplified probe,,,52.64,146.4,3
HCPCS,87150,"HC STENGER TEST, PURE TONE",272.0,272.0,,,0
HCPCS,87152,Culture Type Pulse Field Gel,,,11.61,32.29,3
HCPCS,87153,Dna/rna sequencing,,,173.04,481.28,3
HCPCS,87153,HC CYTOGENOMIC NEO MICRORA ALYS (715),864.0,864.0,,,0
HCPCS,87153,HC REMOVE OBSTRUCT FROM CENTRAL VENOUS DEV,468.0,468.0,,,0
HCPCS,87154,Cul typ id bld pthgn 6+ trgt,,,327.09,909.75,3
HCPCS,87154,DEAC 11/01/2023 HC ADM SARSCOV2 50 MCG/0.5 ML 3RD DOSE 6-11,455.0,455.0,,,0
HCPCS,87158,Culture typing added method,,,11.61,32.29,3
HCPCS,87164,Dark field examination,,,16.11,44.81,3
HCPCS,87166,Dark field examination,,,16.95,47.14,3
HCPCS,87168,Macroscopic Exam Arthropod,,,6.41,17.81,3
HCPCS,87169,Macroscopic exam parasite,,,6.47,17.98,3
HCPCS,87172,HC MICROBE SUSCEPTIBILITIES MIC,25.0,25.0,,,0
HCPCS,87172,Pinworm Exam,,,6.41,17.81,3
HCPCS,87176,Tissue homogenization cultr,,,8.82,24.53,3
HCPCS,87177,HC SMEAR - GRAM OR GIEMSA,151.0,151.0,,,0
HCPCS,87177,Ova and parasites smears,,,13.35,37.13,3
HCPCS,87181,HC SMEAR; FLUORESCENT OR AFB STAIN,79.0,79.0,,,0
HCPCS,87181,Microbe susceptible diffuse,,,7.13,19.82,3
HCPCS,87183,Sc std carbapenem resist gen,,,146.4,146.4,1
HCPCS,87184,HC SMEAR SPECIAL STAIN,144.0,144.0,,,0
HCPCS,87184,Microbe susceptible disk,,,11.22,31.21,3
HCPCS,87185,HC SMEAR - INFECTIOUS WET MOUNT,19.0,19.0,,,0
HCPCS,87185,Microbe susceptible enzyme,,,7.13,19.82,3
HCPCS,87186,HC KOH FOR FUNGI/PARASITES/MITES,311.0,311.0,,,0
HCPCS,87186,Microbe susceptible mic,,,12.98,36.09,3
HCPCS,87187,Microbe susceptible mlc,,,60.26,167.59,3
HCPCS,87188,Microbe suscept macrobroth,,,9.96,27.7,3
HCPCS,87190,Microbe suscept mycobacteri,,,10.97,30.5,3
HCPCS,87197,Bactericidal level serum,,,22.53,62.66,3
HCPCS,87205,HC VIRUS ISOLATE; TISSUE CULT INOC,87.0,87.0,,,0
HCPCS,87205,Smear gram stain,,,6.41,17.81,3
HCPCS,87206,HC ASPERGILLUS AG EIA,111.0,111.0,,,0
HCPCS,87206,Smear fluorescent/acid stai,,,8.09,22.49,3
HCPCS,87207,HC GIARDIA AG EIA,121.0,121.0,,,0
HCPCS,87207,Smear special stain,,,8.99,24.99,3
HCPCS,87209,HC ROUTINE VENIPUNCTURE,78.0,78.0,,,0
HCPCS,87209,Smear complex stain,,,26.97,75.01,3
HCPCS,87210,"HC AUTISM PANEL,MECP2,SEQ",66.0,66.0,,,0
HCPCS,87210,HC HPYLORI STOOL EIA,23.0,23.0,,,0
HCPCS,87210,Smear wet mount saline/ink,,,8.73,24.28,3
HCPCS,87220,HC HEPATITIS B SURFACE AG EIA,72.0,72.0,,,0
HCPCS,87220,Tissue exam for fungi,,,6.41,17.81,3
HCPCS,87230,Assay toxin or antitoxin,,,29.61,82.36,3
HCPCS,87230,"HC AUTISM PANEL,MECP2,SEQ",334.0,334.0,,,0
HCPCS,87250,Virus inoculate eggs/animal,,,29.34,81.6,3
HCPCS,87252,HC HEPATITIS B SURFACE AG EIA NEUTRALIZATION,344.0,344.0,,,0
HCPCS,87252,Virus inoculation tissue,,,39.11,108.76,3
HCPCS,87253,Virus inoculate tissue addl,,,30.3,84.27,3
HCPCS,87254,Virus inoculation shell via,,,29.34,81.6,3
HCPCS,87255,Genet virus isolate hsv,,,50.79,141.26,3
HCPCS,87260,Adenovirus ag if,,,21.65,60.2,3
HCPCS,87265,HC OMPC IGG IMMUNOASSAY    PROM,64.0,64.0,,,0
HCPCS,87265,Pertussis ag if,,,17.97,49.98,3
HCPCS,87267,Enterovirus antibody dfa,,,20.13,55.99,3
HCPCS,87269,Giardia ag if,,,20.42,56.78,3
HCPCS,87270,Chlamydia trachomatis ag if,,,17.97,49.98,3
HCPCS,87270,HC CHARCOT-MARIE-TOOTH TYPE 1E,101.0,101.0,,,0
HCPCS,87271,Cytomegalovirus dfa,,,20.13,55.99,3
HCPCS,87272,Cryptosporidium ag if,,,17.97,49.98,3
HCPCS,87272,HC CHLAMYDIA P AMPLIF NA PROBE,44.0,44.0,,,0
HCPCS,87273,Herpes simplex 2 ag if,,,17.97,49.98,3
HCPCS,87274,Herpes simplex 1 ag if,,,17.97,49.98,3
HCPCS,87275,Influenza b ag if,,,18.38,51.11,3
HCPCS,87276,Influenza a ag if,,,24.11,67.04,3
HCPCS,87278,Legion pneumophilia ag if,,,23.4,65.08,3
HCPCS,87279,Parainfluenza ag if,,,24.65,68.55,3
HCPCS,87280,Respiratory syncytial ag if,,,20.13,55.99,3
HCPCS,87281,Pneumocystis carinii ag if,,,17.97,49.98,3
HCPCS,87283,Rubeola ag if,,,91.2,253.66,3
HCPCS,87285,Treponema pallidum ag if,,,18.27,50.81,3
HCPCS,87290,Varicella zoster ag if,,,20.13,55.99,3
HCPCS,87299,Antibody detection nos if,,,24.15,67.17,3
HCPCS,87300,Ag detection polyval if,,,17.97,49.98,3
HCPCS,87301,Adenovirus ag ia,,,17.97,49.98,3
HCPCS,87305,Aspergillus ag ia,,,17.97,49.98,3
HCPCS,87305,HC HEPATITIS BE AG EIA,139.0,139.0,,,0
HCPCS,87320,Chylmd trach ag ia,,,22.5,62.58,3
HCPCS,87324,Clostridium ag ia,,,17.97,49.98,3
HCPCS,87324,HC GENERAL PROCEDURAL ASSIST,49.0,49.0,,,0
HCPCS,87324,HC SPINAL MUSCULAR ATROPHY,63.0,63.0,,,0
HCPCS,87327,Cryptococcus neoform ag ia,,,20.13,55.99,3
HCPCS,87328,Cryptosporidium ag ia,,,20.73,57.66,3
HCPCS,87328,HC MYCOBACTERIA A AMPLIF NA PROBE,104.0,104.0,,,0
HCPCS,87329,Giardia ag ia,,,17.97,49.98,3
HCPCS,87329,HC HISTOPLASMA CAPSUL AG EIA,114.0,114.0,,,0
HCPCS,87332,Cytomegalovirus ag ia,,,17.97,49.98,3
HCPCS,87335,E coli 0157 ag ia,,,18.99,52.82,3
HCPCS,87336,Entamoeb hist dispr ag ia,,,24.0,66.75,3
HCPCS,87337,Entamoeb hist group ag ia,,,17.97,49.98,3
HCPCS,87338,HC ROTAVIRUS AG EIA,121.0,121.0,,,0
HCPCS,87338,Hpylori stool ia,,,21.57,59.99,3
HCPCS,87339,H pylori ag ia,,,24.0,66.75,3
HCPCS,87340,HC STREP A AG EIA,206.0,206.0,,,0
HCPCS,87340,Hepatitis b surface ag ia,,,15.5,43.1,3
HCPCS,87341,HC CHLAMYDIA T AMPLIF NA PROBE,108.0,108.0,,,0
HCPCS,87341,Hepatitis b surface ag ia,,,15.5,43.1,3
HCPCS,87350,HC C DIFF AMPLIFIED PROBE,132.0,132.0,,,0
HCPCS,87350,Hepatitis be ag ia,,,17.3,48.1,3
HCPCS,87380,Hepatitis delta ag ia,,,27.54,76.6,3
HCPCS,87385,HC CYTOMEGALOV AMPLIF NA PROBE,260.0,260.0,,,0
HCPCS,87385,Histoplasma capsul ag ia,,,19.88,55.28,3
HCPCS,87389,"DEAC 11/01/2023 HC ADM SARSCOV2 5X1010VP/.5ML, 2ND DOSE",169.0,169.0,,,0
HCPCS,87389,Hiv-1 ag w/hiv-1 & hiv-2 ab,,,36.12,100.46,3
HCPCS,87390,Hiv-1 ag ia,,,36.09,100.38,3
HCPCS,87391,Hiv-2 ag ia,,,32.85,91.37,3
HCPCS,87400,HC INFLUENZA IA W DO,239.0,239.0,,,0
HCPCS,87400,Influenza a/b ag ia,,,21.2,58.95,3
HCPCS,87420,HC T-CELL GENE REARRANGEMENT   TG,94.0,94.0,,,0
HCPCS,87420,HC UNLISTED MICROBIOLOGY PROCEDURE,53.0,53.0,,,0
HCPCS,87420,Resp syncytial ag ia,,,20.87,58.03,3
HCPCS,87425,HC CYTOMEGALOVIRUS NA QUAN,49.0,49.0,,,0
HCPCS,87425,Rotavirus ag ia,,,17.97,49.98,3
HCPCS,87426,Coronavirus ag ia,,,68.06,147.4,3
HCPCS,87427,Shiga-like toxin ag ia,,,17.97,49.98,3
HCPCS,87428,Sarscov & inf vir a&b ag ia,,,110.36,293.25,3
HCPCS,87430,HC ENTEROVIRUS DNA AMP PROBE,68.0,68.0,,,0
HCPCS,87430,Strep a ag ia,,,25.22,70.13,3
HCPCS,87449,Ag detect nos ia mult,,,17.97,49.98,3
HCPCS,87449,HC CHG PERC TUBE/ DRAIN CATH W/CON MONITOR,49.0,49.0,,,0
HCPCS,87449,HC ECHOCARDIO FETAL CARDIOVASCULAR W/2-D,243.0,243.0,,,0
HCPCS,87449,HC REMOVE INTRALUMIN OBSTRUCT FROM CVD,243.0,243.0,,,0
HCPCS,87449,HC UGT1A1 GENE MUTATION   MAYO,243.0,243.0,,,0
HCPCS,87451,Ag detect polyval ia mult,,,15.77,43.85,3
HCPCS,87467,Hepatitis b surface ag quan,,,22.58,105.64,3
HCPCS,87468,Anaplsma phgcytophlm amp prb,,,52.64,146.4,3
HCPCS,87469,Babesia microti amp prb,,,52.64,146.4,3
HCPCS,87471,Bartonella dna amp probe,,,52.64,146.4,3
HCPCS,87471,HC GALACTOSEMIA GENE SEQUENCE,274.0,274.0,,,0
HCPCS,87471,HC H PYLORI (C-13) BREATH TEST,274.0,274.0,,,0
HCPCS,87471,"HC HEMOGLOBIN B, FULL GENE SEQ",274.0,274.0,,,0
HCPCS,87471,HC PLATELET ANTIGEN 1 GENOTYPE,274.0,274.0,,,0
HCPCS,87472,Bartonella dna quant,,,64.26,178.73,3
HCPCS,87475,Lyme dis dna dir probe,,,30.08,83.65,3
HCPCS,87476,HC CBIR1 IGG IMMUNOASSAY    PROM,506.0,506.0,,,0
HCPCS,87476,Lyme dis dna amp probe,,,52.64,146.4,3
HCPCS,87478,Borrelia miyamotoi amp prb,,,52.64,146.4,3
HCPCS,87478,HC COMBINED CARDIAC  PANEL ANALYSIS AT LEAST 2 GENES (148),233.0,233.0,,,0
HCPCS,87480,Candida dna dir probe,,,30.08,83.65,3
HCPCS,87481,Candida dna amp probe,,,52.64,146.4,3
HCPCS,87481,HC CHANGE OF CYSTOSTOMY TUBE; SIMPLE,220.0,220.0,,,0
HCPCS,87482,Candida dna quant,,,83.61,232.55,3
HCPCS,87483,Cns dna amp probe type 12-25,,,625.17,1738.81,3
HCPCS,87483,HC MENNIGITIS-ENCEPH CSF BY PCR,1792.0,1792.0,,,0
HCPCS,87483,HC MITO-DNA POINT MUTATIONS,2848.0,2848.0,,,0
HCPCS,87484,Ehrlicha chaffeensis amp prb,,,52.64,146.4,3
HCPCS,87485,Chylmd pneum dna dir probe,,,30.08,83.65,3
HCPCS,87486,Chylmd pneum dna amp probe,,,52.64,146.4,3
HCPCS,87486,HC INJECTION OF SINUS TRACT; THERAPEUTIC,53.0,53.0,,,0
HCPCS,87486,HC INSERT CATHETER RENAL ARTERY 1ST BILATERAL,166.0,166.0,,,0
HCPCS,87487,Chylmd pneum dna quant,,,64.26,178.73,3
HCPCS,87490,Chylmd trach dna dir probe,,,34.13,94.91,3
HCPCS,87491,Chylmd trach dna amp probe,,,52.64,146.4,3
HCPCS,87491,HC HEP-B NA QUAN,232.0,232.0,,,0
HCPCS,87492,Chylmd trach dna quant,,,80.21,223.08,3
HCPCS,87493,C diff amplified probe,,,55.91,155.49,3
HCPCS,87493,HC HEP-C AMPLIF NA PROBE,294.0,294.0,,,0
HCPCS,87494,Chlmy trch&neisra gonor mult,,,292.79,292.79,1
HCPCS,87495,Cytomeg dna dir probe,,,45.05,125.29,3
HCPCS,87496,Cytomeg dna amp probe,,,52.64,146.4,3
HCPCS,87496,HC HEP-C NA QUAN,243.0,243.0,,,0
HCPCS,87497,Cytomeg dna quant,,,64.26,178.73,3
HCPCS,87497,HC HERPES S AMPLIF NA PROBE,425.0,425.0,,,0
HCPCS,87498,Enterovirus probe&revrs trns,,,52.64,146.4,3
HCPCS,87498,HC HERPES S AMPLIF NA PROBE,268.0,268.0,,,0
HCPCS,87500,Vanomycin dna amp probe,,,52.64,146.4,3
HCPCS,87501,Influenza dna amp prob 1+,,,76.97,214.07,3
HCPCS,87502,HC LR IRRAD WHOLE BLD EA UNIT,169.0,169.0,,,0
HCPCS,87502,Influenza dna amp probe,,,143.7,399.68,3
HCPCS,87503,Influenza dna amp prob addl,,,43.83,121.91,3
HCPCS,87505,HC ADM RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX,96.0,96.0,,,0
HCPCS,87505,Nfct agent detection gi,,,192.44,535.23,3
HCPCS,87506,HC CLOTTING; FACTOR VII,1048.0,1048.0,,,0
HCPCS,87506,Iadna-dna/rna probe tq 6-11,,,394.49,1097.19,3
HCPCS,87507,HC CLOTTING: FACTOR VIII VW FACTOR AG,3207.0,3207.0,,,0
HCPCS,87507,HC FACTOR 8 VWF MULTIMRIC,951.0,951.0,,,0
HCPCS,87507,"HC INFEC AGENT DET,GI 12-25 TARGETS",1821.0,1821.0,,,0
HCPCS,87507,Iadna-dna/rna probe tq 12-25,,,625.17,1738.81,3
HCPCS,87510,Gardner vag dna dir probe,,,30.08,83.65,3
HCPCS,87511,Gardner vag dna amp probe,,,52.64,146.4,3
HCPCS,87512,Gardner vag dna quant,,,62.64,174.22,3
HCPCS,87512,"HC MOL PATH,PANCREATITIS,LEVEL-2",240.0,240.0,,,0
HCPCS,87513,H pylri clrthmcn rst amp prb,,,52.64,146.4,3
HCPCS,87516,"HC ANTIEPILEPTICS, NOS 1-3",245.0,245.0,,,0
HCPCS,87516,Hepatitis b dna amp probe,,,52.64,146.4,3
HCPCS,87517,HC HIV-1 AMPLIF NA PROBE,378.0,378.0,,,0
HCPCS,87517,Hepatitis b dna quant,,,64.26,178.73,3
HCPCS,87520,Hepatitis c rna dir probe,,,46.83,130.25,3
HCPCS,87521,HC HIV-1 NA QUAN,366.0,366.0,,,0
HCPCS,87521,Hepatitis c probe&rvrs trnsc,,,52.64,146.4,3
HCPCS,87522,HC LEGIONELLA AMPLIF NA PROBE,425.0,425.0,,,0
HCPCS,87522,Hepatitis c revrs trnscrpj,,,64.26,178.73,3
HCPCS,87523,Hepatitis d quantification,,,64.26,178.73,3
HCPCS,87525,Hepatitis g dna dir probe,,,44.7,124.33,3
HCPCS,87526,Hepatitis g dna amp probe,,,58.89,163.79,3
HCPCS,87527,Hepatitis g dna quant,,,62.64,174.22,3
HCPCS,87528,Hsv dna dir probe,,,30.08,83.65,3
HCPCS,87529,HC MYCOBACTERIA T AMPLIF NA PROBE,260.0,260.0,,,0
HCPCS,87529,HC MYCOPLASMA AMPLIF NA PROBE,115.0,115.0,,,0
HCPCS,87529,Hsv dna amp probe,,,52.64,146.4,3
HCPCS,87530,HC ONCOPROTEIN DCP,475.0,475.0,,,0
HCPCS,87530,HC TOTAL ACID PHOSPHATASE,225.0,225.0,,,0
HCPCS,87530,Hsv dna quant,,,64.26,178.73,3
HCPCS,87531,Hhv-6 dna dir probe,,,87.0,241.98,3
HCPCS,87532,HC FLA2 IGG IMMUNOASSAY    PROM,464.0,464.0,,,0
HCPCS,87532,Hhv-6 dna amp probe,,,52.64,146.4,3
HCPCS,87533,"DEAC 11/01/2023 HC ADM SARSCOV2 VAC AD26 /.5ML, SINGLE DOSE",342.0,342.0,,,0
HCPCS,87533,Hhv-6 dna quant,,,62.64,174.22,3
HCPCS,87534,Hiv-1 dna dir probe,,,32.88,91.45,3
HCPCS,87535,HC MYCOPLASMA AMPLIF NA PROBE,288.0,288.0,,,0
HCPCS,87535,Hiv-1 probe&reverse trnscrpj,,,52.64,146.4,3
HCPCS,87536,HC NEISSERIA AMPLIF NA PROBE,612.0,612.0,,,0
HCPCS,87536,Hiv-1 quant&revrse trnscrpj,,,127.65,355.04,3
HCPCS,87537,Hiv-2 dna dir probe,,,32.88,91.45,3
HCPCS,87538,Hiv-2 probe&revrse trnscripj,,,52.64,146.4,3
HCPCS,87539,Hiv-2 quant&revrse trnscripj,,,87.93,244.56,3
HCPCS,87540,Legion pneumo dna dir prob,,,30.08,83.65,3
HCPCS,87541,HC VALPROIC ACID FREE,184.0,184.0,,,0
HCPCS,87541,Legion pneumo dna amp prob,,,52.64,146.4,3
HCPCS,87542,Legion pneumo dna quant,,,62.64,174.22,3
HCPCS,87550,Mycobacteria dna dir probe,,,30.08,83.65,3
HCPCS,87551,"HC MOL PATH,LEVEL-2,ABCC8,DEL-DUP",294.0,294.0,,,0
HCPCS,87551,Mycobacteria dna amp probe,,,72.36,201.26,3
HCPCS,87552,Mycobacteria dna quant,,,64.26,178.73,3
HCPCS,87555,M.tuberculo dna dir probe,,,40.32,112.14,3
HCPCS,87556,HC MR-STAPH DNA AMP PROBE,258.0,258.0,,,0
HCPCS,87556,M.tuberculo dna amp probe,,,62.52,173.89,3
HCPCS,87557,M.tuberculo dna quant,,,64.26,178.73,3
HCPCS,87560,M.avium-intra dna dir prob,,,40.94,113.85,3
HCPCS,87561,HC 21-OH(CAH) GENE SEQUENCING QST,282.0,282.0,,,0
HCPCS,87561,"HC ARTHROCENTESIS, INTERMEDIATE JOINT OR BURSA",282.0,282.0,,,0
HCPCS,87561,M.avium-intra dna amp prob,,,52.64,146.4,3
HCPCS,87562,M.avium-intra dna quant,,,64.26,178.73,3
HCPCS,87563,M. genitalium amp probe,,,52.64,146.4,3
HCPCS,87564,Mtb rifampin rst amp prb tq,,,115.16,320.28,3
HCPCS,87580,M.pneumon dna dir probe,,,30.08,83.65,3
HCPCS,87581,"HC  IHC ADD SINGLE AB STN,EACH",143.5,143.5,,,0
HCPCS,87581,M.pneumon dna amp probe,,,52.64,146.4,3
HCPCS,87582,M.pneumon dna quant,,,453.93,1262.53,3
HCPCS,87590,N.gonorrhoeae dna dir prob,,,40.32,112.14,3
HCPCS,87591,HC MULTIPLEX AB STN EACH,233.0,233.0,,,0
HCPCS,87591,N.gonorrhoeae dna amp prob,,,52.64,146.4,3
HCPCS,87592,N.gonorrhoeae dna quant,,,64.26,178.73,3
HCPCS,87593,HC ENDO LEVEL 3 INIT MIN,527.0,527.0,,,0
HCPCS,87593,Orthopoxvirus amp prb each,,,76.76,214.07,3
HCPCS,87594,"HC HEARING AID, MONAURAL, IN THE EAR (ITE)",442.0,442.0,,,0
HCPCS,87594,Pneumcysts jirovecii amp prb,,,52.64,146.4,3
HCPCS,87623,Hpv low-risk types,,,52.64,146.4,3
HCPCS,87624,Hpv high-risk types,,,52.64,146.4,3
HCPCS,87625,Hpv types 16 & 18 only,,,60.83,169.17,3
HCPCS,87626,Hpv sep hi-rsk typ&pool rslt,,,105.3,292.87,3
HCPCS,87627,Jt spc pthgn&rx rsist gen26+,,,2836.0,2836.0,1
HCPCS,87631,HC PTEN GENE PART OF PANEL,557.0,557.0,,,0
HCPCS,87631,Resp virus 3-5 targets,,,213.95,595.05,3
HCPCS,87632,HC DRUG TEST PRSMV CHEM ANLYZR,448.0,448.0,,,0
HCPCS,87632,Resp virus 6-11 targets,,,327.09,909.75,3
HCPCS,87633,HC MRA UPPER EXTREMITY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST,792.0,792.0,,,0
HCPCS,87633,HC MRA W/O CONTRAST SPINAL CANAL,2382.0,2382.0,,,0
HCPCS,87633,Resp virus 12-25 targets,,,625.17,1738.81,3
HCPCS,87634,Rsv dna/rna amp probe,,,105.3,292.87,3
HCPCS,87635,"HC ACYLCARNITINES; QUANTITATIVE, EACH SPECIMEN",292.0,292.0,,,0
HCPCS,87635,HC UNLISTED FLUOROSCOPIC PROCEDURE,292.0,292.0,,,0
HCPCS,87635,Sars-cov-2 covid-19 amp prb,,,76.97,214.07,3
HCPCS,87636,Sarscov2 & inf a&b amp prb,,,213.9,595.05,3
HCPCS,87637,"HC AMINO ACID, MSUD PANEL, BLOOD SPOT, EACH SPECIMEN",640.0,640.0,,,0
HCPCS,87637,HC IMMUMOASSAY QUANT NOS NONAB (170),640.0,640.0,,,0
HCPCS,87637,Sarscov2&inf a&b&rsv amp prb,,,213.9,595.05,3
HCPCS,87640,Staph a dna amp probe,,,52.64,146.4,3
HCPCS,87641,HC AMPLIF NA PROBE NOS AGENT,294.0,294.0,,,0
HCPCS,87641,Mr-staph dna amp probe,,,52.64,146.4,3
HCPCS,87650,Strep a dna dir probe,,,30.08,83.65,3
HCPCS,87651,"HC ABLATION 1 OR MORE RENAL TUMORS PERCUTANEOUS, UNIL, RADIOFREQ",310.0,310.0,,,0
HCPCS,87651,Strep a dna amp probe,,,52.64,146.4,3
HCPCS,87652,Strep a dna quant,,,62.64,174.22,3
HCPCS,87653,Strep b dna amp probe,,,52.64,146.4,3
HCPCS,87660,Trichomonas vagin dir probe,,,30.08,83.65,3
HCPCS,87661,HC DOPPLER ECHOCARDIOLOGY FETAL COMPLETE,211.0,211.0,,,0
HCPCS,87661,Trichomonas vaginalis amplif,,,52.64,146.4,3
HCPCS,87662,Zika virus dna/rna amp probe,,,76.97,214.07,3
HCPCS,87797,Detect agent nos dna dir,,,45.05,125.29,3
HCPCS,87797,HC CKIT (TARGET) GENE MUTATION,218.0,218.0,,,0
HCPCS,87798,Detect agent nos dna amp,,,52.64,146.4,3
HCPCS,87798,HC AGENT NOS ASSAY W/OPTIC,53.0,53.0,,,0
HCPCS,87798,HC CARDIAC MRI FOR VELOCITY FLOW MAPPING (ADD-ON),172.0,172.0,,,0
HCPCS,87798,HC PROPOXYPHENE,549.0,549.0,,,0
HCPCS,87799,Detect agent nos dna quant,,,64.26,178.73,3
HCPCS,87799,HC GENOTYPE DNA HIV REVERSE T,532.0,532.0,,,0
HCPCS,87800,Detect agnt mult dna direc,,,65.51,182.19,3
HCPCS,87801,Detect agnt mult dna ampli,,,105.3,292.87,3
HCPCS,87801,HC HEPATITIS C - DNA OR RNA,616.0,616.0,,,0
HCPCS,87802,Strep b assay w/optic,,,19.1,53.11,3
HCPCS,87803,Clostridium toxin a w/optic,,,24.0,66.75,3
HCPCS,87804,HC INJECTION FOR SHOULDER X-RAY,124.0,124.0,,,0
HCPCS,87804,Influenza assay w/optic,,,24.83,69.05,3
HCPCS,87806,Hiv antigen w/hiv antibodies,,,49.16,136.72,3
HCPCS,87807,Rsv assay w/optic,,,19.65,54.65,3
HCPCS,87808,Trichomonas assay w/optic,,,22.94,63.79,3
HCPCS,87809,Adenovirus assay w/optic,,,32.64,90.78,3
HCPCS,87810,Chylmd trach assay w/optic,,,52.94,147.23,3
HCPCS,87811,Sars-cov-2 covid19 w/optic,,,62.22,172.64,3
HCPCS,87812,Sarscov2&inf typ a&b w/optic,,,310.73,310.73,1
HCPCS,87850,N. gonorrhoeae assay w/optic,,,36.84,102.46,3
HCPCS,87880,"HC PLATELETS, EACH UNIT",120.0,120.0,,,0
HCPCS,87880,Strep a assay w/optic,,,24.8,68.96,3
HCPCS,87899,Agent nos assay w/optic,,,24.11,67.04,3
HCPCS,87899,HC METHADONE,160.0,160.0,,,0
HCPCS,87900,"HC INFEC AGENT DET,GI 12-25 TARGETS",171.0,171.0,,,0
HCPCS,87900,Phenotype infect agent drug,,,195.53,543.82,3
HCPCS,87901,Genotype dna hiv reverse t,,,386.18,1074.08,3
HCPCS,87901,HC CYTOPATH FL NONGYN SMEARS,1373.0,1373.0,,,0
HCPCS,87901,"HC FFP HIGH TITER COVID-19 CONVALESCENT, FROZEN - 8 HR COLLECT, EA UNIT (439)",174.0,174.0,,,0
HCPCS,87902,Genotype dna/rna hep c,,,386.18,1074.08,3
HCPCS,87902,"HC ANALGESICS,NON-OPIOD 1 OR 2",1593.0,1593.0,,,0
HCPCS,87903,Phenotype dna hiv w/culture,,,732.99,2038.69,3
HCPCS,87904,Phenotype dna hiv w/clt add,,,39.11,108.76,3
HCPCS,87905,Sialidase enzyme assay,,,18.33,50.98,3
HCPCS,87906,Genotype dna/rna hiv,,,193.1,537.06,3
HCPCS,87906,"HC DUAL GENOME,TIS,MOL PATH,L4 AD",731.0,731.0,,,0
HCPCS,87906,"HC HBB (HEMOGLOBIN, SUBUNIT BETA); FULL GENE SEQ",174.0,174.0,,,0
HCPCS,87910,Genotype cytomegalovirus,,,386.18,1074.08,3
HCPCS,87910,"HC DUAL GENOME,TIS,MOL PATH,LVL 4",2104.0,2104.0,,,0
HCPCS,87912,Genotype dna hepatitis b,,,386.18,1074.08,3
HCPCS,87913,Nfct agt gntyp alys sarscov2,,,386.18,1074.08,3
HCPCS,87999,HC INJECTION FOR ELBOW ARTHROGRAPHY,44.0,44.0,,,0
HCPCS,88000,Autopsy (necropsy) gross,,,310.73,310.73,2
HCPCS,88005,Autopsy (necropsy) gross,,,362.7,362.7,2
HCPCS,88007,Autopsy (necropsy) gross,,,380.03,380.03,2
HCPCS,88012,Autopsy (necropsy) gross,,,310.73,310.73,2
HCPCS,88014,Autopsy (necropsy) gross,,,284.75,284.75,2
HCPCS,88016,Autopsy (necropsy) gross,,,397.35,397.35,2
HCPCS,88020,Autopsy (necropsy) complete,,,535.4,535.4,2
HCPCS,88025,Autopsy (necropsy) complete,,,518.07,518.07,2
HCPCS,88027,Autopsy (necropsy) complete,,,552.71,552.71,2
HCPCS,88028,Autopsy (necropsy) complete,,,310.73,310.73,2
HCPCS,88029,Autopsy (necropsy) complete,,,310.73,310.73,2
HCPCS,88036,Limited autopsy,,,155.37,155.37,2
HCPCS,88037,Limited autopsy,,,138.05,138.05,2
HCPCS,88040,Forensic autopsy (necropsy),,,863.45,863.45,2
HCPCS,88045,Coroners autopsy (necropsy),,,86.61,86.61,2
HCPCS,88104,Cytopath fl nongyn smears,,,50.15,298.34,4
HCPCS,88104,HC CP CERV/VAG; ATL; MANUAL SCRN,76.0,76.0,,,0
HCPCS,88104,HC CYTP DX EVAL FNA 1ST EA SITE,93.0,93.0,,,0
HCPCS,88106,Cytopath fl nongyn filter,,,34.49,258.68,4
HCPCS,88108,Cytopath concentrate tech,,,50.15,245.68,4
HCPCS,88108,HC EVAL OF FNA; INT & REP,134.5,134.5,,,0
HCPCS,88112,Cytopath cell enhance tech,,,74.21,204.29,4
HCPCS,88120,Cytp urne 3-5 probes ea spec,,,215.25,2518.53,4
HCPCS,88120,"HC INJECTION FOR CHOLANGIOGRAM, EXISTING ACCESS",469.0,469.0,,,0
HCPCS,88121,Cytp urine 3-5 probes cmptr,,,425.12,1799.08,4
HCPCS,88125,Forensic cytopathology,,,60.7,78.51,4
HCPCS,88130,Sex chromatin identification,,,26.97,75.01,3
HCPCS,88140,Sex chromatin identification,,,11.99,33.33,3
HCPCS,88141,Cytopath c/v interpret,,,39.53,127.02,4
HCPCS,88142,Cytopath c/v thin layer,,,30.39,84.52,3
HCPCS,88142,HC FLOW CYTOMETRY TC 1ST MARKER,66.0,66.0,,,0
HCPCS,88143,Cytopath c/v thin layer redo,,,34.56,96.12,3
HCPCS,88147,Cytopath c/v automated,,,75.84,210.94,3
HCPCS,88148,Cytopath c/v auto rescreen,,,24.0,77.35,3
HCPCS,88150,Cytopath c/v manual,,,22.68,77.35,3
HCPCS,88152,Cytopath c/v auto redo,,,41.46,115.31,3
HCPCS,88153,Cytopath c/v redo,,,36.05,100.25,3
HCPCS,88155,Cytopath c/v index add-on,,,21.98,61.12,3
HCPCS,88160,Cytopath smear other source,,,34.49,298.34,4
HCPCS,88161,Cytopath smear other source,,,34.49,305.2,4
HCPCS,88162,Cytopath smear other source,,,74.21,471.61,4
HCPCS,88164,Cytopath tbs c/v manual,,,22.68,77.35,3
HCPCS,88165,Cytopath tbs c/v redo,,,63.33,176.14,3
HCPCS,88166,Cytopath tbs c/v auto redo,,,22.68,77.35,3
HCPCS,88167,Cytopath tbs c/v select,,,22.68,77.35,3
HCPCS,88172,Cytp dx eval fna 1st ea site,,,84.69,215.25,4
HCPCS,88172,HC FLOW CYTOMETRY EA ADDTL MARKER,174.0,174.0,,,0
HCPCS,88172,HC FLOW CYTOMETRY TC 1ST MARKER,323.0,323.0,,,0
HCPCS,88173,Cytopath eval fna report,,,74.21,525.03,4
HCPCS,88173,HC FLOW CYTOMETRY EA ADDTL MARKER,93.0,93.0,,,0
HCPCS,88173,HC TISSUE CULTURE; LYMPHOCYTE,322.0,322.0,,,0
HCPCS,88174,Cytopath c/v auto in fluid,,,38.06,105.84,3
HCPCS,88175,Cytopath c/v auto fluid redo,,,39.92,111.02,3
HCPCS,88177,Cytp fna eval ea addl,,,10.83,44.79,4
HCPCS,88182,Cell marker study,,,74.21,592.48,4
HCPCS,88182,HC INJECTION FOR WRIST ARTHROGRAPHY,750.0,750.0,,,0
HCPCS,88184,Flowcytometry/ tc 1 marker,,,325.25,425.12,4
HCPCS,88184,HC DRUG TEST(S); READ BY DIRECT OPTICAL OBSER ONLY,232.0,232.0,,,0
HCPCS,88184,HC TISSUE CULTURE; LYMPHOCYTE,665.0,665.0,,,0
HCPCS,88184,HC TISSUE CULTURE; SKIN OR SOLID BX,50.0,50.0,,,0
HCPCS,88185,Flowcytometry/tc add-on,,,33.57,118.87,4
HCPCS,88185,HC TISSUE CULTURE; AMNIOTIC FLUID,205.0,205.0,,,0
HCPCS,88185,HC TISSUE CULTURE; SKIN OR SOLID BX,20.0,20.0,,,0
HCPCS,88185,HC UNLISTED CARDIOVASCULAR SERVICE,74.0,74.0,,,0
HCPCS,88187,Flowcytometry/read 2-8,,,59.01,189.56,4
HCPCS,88187,HC CESSJ THERAPY CATH REMOVAL,358.0,358.0,,,0
HCPCS,88187,HC PERQ&IC ALLG TEST DRUGS/BIOL,358.0,358.0,,,0
HCPCS,88187,HC PLACE CATH CAROTD ART,358.0,358.0,,,0
HCPCS,88187,HC PLACE CATH CAROTID/INOM ART W/ ANGIO INTRACRANIAL,334.0,334.0,,,0
HCPCS,88187,HC PLACE CATH SUBCLAVIAN ART,358.0,358.0,,,0
HCPCS,88187,HC PLACE CATH VERTEBRAL ART,358.0,358.0,,,0
HCPCS,88187,HC THROMBLYTIC ART/VEN THERAPY,358.0,358.0,,,0
HCPCS,88187,HC THROMBOLYTIC ART THERAPY,358.0,358.0,,,0
HCPCS,88187,HC THROMBOLYTIC VENOUS THERAPY,358.0,358.0,,,0
HCPCS,88188,Flowcytometry/read 9-15,,,99.06,316.75,4
HCPCS,88189,Flowcytometry/read 16 & >,,,133.17,428.44,4
HCPCS,88189,HC INGEST CHALLENGE INIITIAL 120 MIN,558.0,558.0,,,0
HCPCS,88199,Cytopathology procedure,,,74.21,74.21,2
HCPCS,88230,HC TISSUE CULTURE; BM BLD CELLS,1233.5,1233.5,,,0
HCPCS,88230,Tissue culture lymphocyte,,,174.74,486.0,3
HCPCS,88233,HC TISSUE CULTURE; OTHER TISSUE,334.0,334.0,,,0
HCPCS,88233,Tissue culture skin/biopsy,,,211.1,587.13,3
HCPCS,88235,HC CRYOPRESERVATION EA CELL LINE,649.0,649.0,,,0
HCPCS,88235,Tissue culture placenta,,,225.45,627.05,3
HCPCS,88237,HC CHROM ANALY; 15-20 CELLS,232.0,232.0,,,0
HCPCS,88237,HC CRYOPRESERVATION EA CELL LINE,1606.0,1606.0,,,0
HCPCS,88237,Tissue culture bone marrow,,,215.63,599.73,3
HCPCS,88239,HC CHROM ANALY; 15-20 CELLS,270.0,270.0,,,0
HCPCS,88239,HC CHROM ANALY; 20-25 CELLS,2616.0,2616.0,,,0
HCPCS,88239,Tissue culture tumor,,,221.28,615.45,3
HCPCS,88240,Cell cryopreserve/storage,,,19.61,54.53,3
HCPCS,88240,HC CHROM ANALY; 20-25 CELLS,174.0,174.0,,,0
HCPCS,88240,HC DRAIN/INJ MAJOR JOINT/BURSA W/US,123.0,123.0,,,0
HCPCS,88241,Frozen cell preparation,,,18.14,50.44,3
HCPCS,88241,HC JOINT SURVEY SINGLE VIEW 2+ JOINTS,62.0,62.0,,,0
HCPCS,88241,HC TEETH; COMPLETE; FULL MOUTH,87.0,87.0,,,0
HCPCS,88245,Chromosome analysis 20-25,,,259.76,722.47,3
HCPCS,88248,Chromosome analysis 50-100,,,259.76,722.47,3
HCPCS,88249,Chromosome analysis 100,,,259.76,722.47,3
HCPCS,88249,HC NONSELECTIVE CATH PLACEMENT IN VEIN,2704.0,2704.0,,,0
HCPCS,88261,Chromosome analysis 5,,,396.51,1102.83,3
HCPCS,88261,HC CT ANGIO ABD&PELV W/O&W/DYE,607.0,607.0,,,0
HCPCS,88261,HC LYMPHANGIOGRAM PELVIC/ABD; BILAT,96.0,96.0,,,0
HCPCS,88262,Chromosome analysis 15-20,,,188.24,523.54,3
HCPCS,88262,HC MCG; DNA PROBE EA,364.5,364.5,,,0
HCPCS,88263,Chromosome analysis 45,,,225.44,627.01,3
HCPCS,88263,HC MAGNETIC RESONANCE SPECTROSCOPY,346.0,346.0,,,0
HCPCS,88263,HC REPLACE CATH ONLY OF VAD,238.0,238.0,,,0
HCPCS,88264,Chromosome analysis 20-25,,,216.92,603.31,3
HCPCS,88264,HC MCG; SITU HYBRID 3-5 CELLS,402.0,402.0,,,0
HCPCS,88267,Chromosome analys placenta,,,282.86,786.71,3
HCPCS,88269,Chromosome analys amniotic,,,260.49,724.51,3
HCPCS,88271,Cytogenetics dna probe,,,32.13,89.36,3
HCPCS,88271,HC MCG; IP SITU 25-99 CELLS,60.0,60.0,,,0
HCPCS,88271,HC MCG; SITU HYBRID 10-30 CELLS,96.0,96.0,,,0
HCPCS,88272,Cytogenetics 3-5,,,61.05,169.8,3
HCPCS,88272,HC MCG; IP SITU 100-300 CELLS,92.0,92.0,,,0
HCPCS,88272,HC MCG; IP SITU 25-99 CELLS,77.0,77.0,,,0
HCPCS,88273,Cytogenetics 10-30,,,52.22,145.23,3
HCPCS,88273,HC CHROM ANALY; ADDTL KARYOT EA STUDY,97.0,97.0,,,0
HCPCS,88273,HC MCG; IP SITU 100-300 CELLS,137.0,137.0,,,0
HCPCS,88274,Cytogenetics 25-99,,,63.57,176.81,3
HCPCS,88274,HC CHROM ANALY; ADDTL CELL COUNTS,156.0,156.0,,,0
HCPCS,88274,HC CHROM ANALY; ADDTL KARYOT EA STUDY,97.0,97.0,,,0
HCPCS,88275,Cytogenetics 100-300,,,76.79,213.56,3
HCPCS,88275,HC CHROM ANALY; ADDTL CELL COUNTS,277.0,277.0,,,0
HCPCS,88275,HC CHROM ANALY; ADDTL HI RESOLN,230.0,230.0,,,0
HCPCS,88280,Chromosome karyotype study,,,50.21,139.64,3
HCPCS,88280,HC SURG PATH LEVEL-I GROSS ONLY,78.5,78.5,,,0
HCPCS,88283,Chromosome banding study,,,102.9,286.2,3
HCPCS,88285,Chromosome count additional,,,40.37,112.27,3
HCPCS,88285,HC SURG PATH LVL 2,80.0,80.0,,,0
HCPCS,88289,Chromosome study additional,,,51.65,143.64,3
HCPCS,88289,"HC ULTRASOUND BREAST UNILAT, LIMITED",196.0,196.0,,,0
HCPCS,88291,Cyto/molecular report,,,51.98,176.61,4
HCPCS,88291,HC PLACE CATH CAROTID/INOM ART W/ ANGIO EXTRACRANIAL,254.0,254.0,,,0
HCPCS,88291,HC PLACE CATH XTRNL CAROTID,22.0,22.0,,,0
HCPCS,88291,HC US GUIDE -  ENDOMYOCARDIAL BX,254.0,254.0,,,0
HCPCS,88299,Cytogenetic study,,,74.21,74.21,2
HCPCS,88300,HC TISSUE EXAM BY PATHOLOGIST LVL 3,114.5,114.5,,,0
HCPCS,88300,Surgical path gross,,,34.49,63.03,4
HCPCS,88302,HC TISSUE EXAM BY PATHOLOGIST LVL 4,149.5,149.5,,,0
HCPCS,88302,Tissue exam by pathologist,,,34.49,133.66,4
HCPCS,88304,HC TISSUE EXAM BY PATHOLOGIST LVL 5,323.0,323.0,,,0
HCPCS,88304,HC TISSUE EXAM BY PATHOLOGIST LVL 6,152.0,152.0,,,0
HCPCS,88304,Tissue exam by pathologist,,,74.21,159.51,4
HCPCS,88305,HC DECALCIFICATION,799.0,799.0,,,0
HCPCS,88305,HC TISSUE EXAM BY PATHOLOGIST LVL 6,208.0,208.0,,,0
HCPCS,88305,Tissue exam by pathologist,,,74.21,181.9,4
HCPCS,88307,HC DECALCIFICATION,1091.0,1091.0,,,0
HCPCS,88307,HC SPECIAL STAINS GROUP 1,341.0,341.0,,,0
HCPCS,88307,Tissue exam by pathologist,,,425.12,1042.94,4
HCPCS,88309,HC SPECIAL STAINS GROUP 1,444.0,444.0,,,0
HCPCS,88309,HC SPECIAL STAINS GROUP 2,1596.0,1596.0,,,0
HCPCS,88309,Tissue exam by pathologist,,,942.3,1443.65,4
HCPCS,88311,Decalcify tissue,,,13.53,44.09,4
HCPCS,88311,HC HISTOCHEMICAL STAINS ADD-ON,56.0,56.0,,,0
HCPCS,88311,HC SPECIAL STAINS GROUP 2,126.0,126.0,,,0
HCPCS,88312,HC ENZYME HISTOCHEMISTRY,371.0,371.0,,,0
HCPCS,88312,HC HISTOCHEMICAL STAINS ADD-ON,98.0,98.0,,,0
HCPCS,88312,Special stains group 1,,,74.21,437.89,4
HCPCS,88313,HC ENZYME HISTOCHEMISTRY,388.0,388.0,,,0
HCPCS,88313,HC SP CONSULT; 1ST TB W FS SGL SP,98.0,98.0,,,0
HCPCS,88313,Special stains group 2,,,50.15,359.37,4
HCPCS,88314,HC PATH CONSULT INTRAOP ADDL,345.0,345.0,,,0
HCPCS,88314,HC SP CONSULT; 1ST TB W FS SGL SP,98.0,98.0,,,0
HCPCS,88314,Histochemical stains add-on,,,113.15,327.65,4
HCPCS,88319,Enzyme histochemistry,,,426.5,942.3,4
HCPCS,88319,HC INTRAOP CYTO PATH CONSULT 1,153.0,153.0,,,0
HCPCS,88319,HC PATH CONSULT INTRAOP ADDL,1592.0,1592.0,,,0
HCPCS,88321,HC INGEST CHALLENGE ADDL 60 MIN,122.0,122.0,,,0
HCPCS,88321,Microslide consultation,,,50.15,367.58,4
HCPCS,88323,Microslide consultation,,,74.21,154.33,4
HCPCS,88325,Comprehensive review of data,,,74.21,613.53,4
HCPCS,88325,"HC HA DIGITIAL, STANDARD, BINAURAL, ITC",646.0,646.0,,,0
HCPCS,88325,"HC HA DIGITIAL, STANDARD, MONAURAL, ITC",646.0,646.0,,,0
HCPCS,88329,Path consult introp,,,50.15,153.84,4
HCPCS,88331,"HC IF STAIN , INITIAL",714.0,714.0,,,0
HCPCS,88331,HC INTRAOP CYTO PATH CONSULT 2,189.0,189.0,,,0
HCPCS,88331,Path consult intraop 1 bloc,,,157.95,215.25,4
HCPCS,88332,HC ELECTRON MICRO; DX,178.0,178.0,,,0
HCPCS,88332,"HC IF STAIN , INITIAL",222.0,222.0,,,0
HCPCS,88332,Path consult intraop addl,,,34.65,126.75,4
HCPCS,88333,HC ELECTRON MICRO; DX,1973.0,1973.0,,,0
HCPCS,88333,Intraop cyto path consult 1,,,123.32,942.3,4
HCPCS,88334,HC ISH SINGLE PROBE 1ST,140.0,140.0,,,0
HCPCS,88334,Intraop cyto path consult 2,,,27.06,96.48,4
HCPCS,88341,HC AMPLIF NA PROBE NOS AGENT,390.0,390.0,,,0
HCPCS,88341,HC ANTIDEPRESSANT 1 OR 2,150.0,150.0,,,0
HCPCS,88341,Immunohisto antb addl slide,,,96.9,348.04,4
HCPCS,88342,HC INSITU HYBRIDIZATION MANUAL,167.0,167.0,,,0
HCPCS,88342,HC ISH SINGLE PROBE 1ST,524.0,524.0,,,0
HCPCS,88342,Immunohisto antb 1st stain,,,215.25,400.71,4
HCPCS,88344,HC NA QUAN NOS AGENT,167.0,167.0,,,0
HCPCS,88344,Immunohisto antibody slide,,,425.12,709.14,4
HCPCS,88346,HC UNLISTED SURG PATH,438.0,438.0,,,0
HCPCS,88346,Immunofluor antb 1st stain,,,414.49,536.09,4
HCPCS,88348,Electron microscopy,,,942.3,2102.34,4
HCPCS,88348,HC CELL COUNT NOT BLOOD,2183.0,2183.0,,,0
HCPCS,88348,HC DIFF CELL COUNT NOT BLOOD,755.0,755.0,,,0
HCPCS,88350,"HC IAD BY NUCLEIC ACID (DNA OR RNA); BORRELIA MIYAMOTOI, APT (41)",171.0,171.0,,,0
HCPCS,88350,Immunofluor antb addl stain,,,95.82,411.07,4
HCPCS,88355,Analysis skeletal muscle,,,215.25,320.74,4
HCPCS,88356,Analysis nerve,,,74.21,579.69,4
HCPCS,88358,Analysis tumor,,,215.25,435.19,4
HCPCS,88360,Tumor immunohistochem/manual,,,215.25,419.7,4
HCPCS,88361,Tumor immunohistochem/comput,,,296.5,425.12,4
HCPCS,88362,"DEAC 4/1/2025 HC IV INFUSION, BAMLANIVIMAB AND ETESEVIMAB, INCLUDES INFUSION AND POST ADMIN MONITORING",157.0,157.0,,,0
HCPCS,88362,HC EPILEPSY GENOMIC SEQUENCE ANALYSIS PANEL,1592.0,1592.0,,,0
HCPCS,88362,Nerve teasing preparations,,,453.91,942.3,4
HCPCS,88363,Xm archive tissue molec anal,,,34.49,84.07,4
HCPCS,88364,HC CALC GENE COM VARIANTS (210),259.0,259.0,,,0
HCPCS,88364,Insitu hybridization (fish),,,156.45,490.33,4
HCPCS,88365,HC COLLECT SWEAT FOR TEST,162.0,162.0,,,0
HCPCS,88365,HC PHLEBOTOMY THERAPEUTIC,388.0,388.0,,,0
HCPCS,88365,Insitu hybridization (fish),,,215.25,665.33,4
HCPCS,88366,Insitu hybridization (fish),,,425.12,1071.97,4
HCPCS,88367,Insitu hybridization auto,,,295.17,425.12,4
HCPCS,88368,HC BLOOD SPLIT UNIT,904.0,904.0,,,0
HCPCS,88368,Insitu hybridization manual,,,423.83,548.18,4
HCPCS,88369,M/phmtrc alysishquant/semiq,,,123.98,500.64,4
HCPCS,88371,Protein western blot tissue,,,33.35,92.74,3
HCPCS,88372,Protein analysis w/probe,,,39.33,109.39,3
HCPCS,88373,M/phmtrc alys ishquant/semiq,,,70.92,206.02,4
HCPCS,88374,M/phmtrc alys ishquant/semiq,,,215.25,1170.93,4
HCPCS,88375,Optical endomicroscpy interp,,,76.88,244.6,4
HCPCS,88377,M/phmtrc alys ishquant/semiq,,,215.25,1670.82,4
HCPCS,88380,Microdissection laser,,,120.18,359.64,4
HCPCS,88381,Microdissection manual,,,235.49,858.56,4
HCPCS,88387,Tiss exam molecular study,,,10.83,38.91,4
HCPCS,88399,HC CRYOPRECIPITATE EA UNIT,175.0,175.0,,,0
HCPCS,88399,"HC HA DIGITAL, STANDARD, MONAURAL, CIC",33.0,33.0,,,0
HCPCS,88399,"HC HA DIGITAL, STANDARD, MONAURAL, RITE",33.0,33.0,,,0
HCPCS,88399,HC LEUKOCYTE POOR BLOOD EA UNIT,89.0,89.0,,,0
HCPCS,88399,Surgical pathology procedure,,,74.21,74.21,2
HCPCS,88720,Bilirubin total transcut,,,7.53,20.94,3
HCPCS,88720,HC HA DISPENSING FEE UNSPECIFIED,28.0,28.0,,,0
HCPCS,88738,Hgb quant transcutaneous,,,7.53,20.94,3
HCPCS,88740,Transcutaneous carboxyhb,,,14.06,39.09,3
HCPCS,88741,Transcutaneous methb,,,14.06,39.09,3
HCPCS,89049,Chct for mal hyperthermia,,,215.25,330.13,4
HCPCS,89050,Body fluid cell count,,,7.08,19.69,3
HCPCS,89050,HC ISH PROBE ADDITIONAL,56.0,56.0,,,0
HCPCS,89051,Body fluid cell count,,,8.4,23.36,3
HCPCS,89051,HC PLASMA 1 DONOR FRZ W/IN 8 HR,150.0,150.0,,,0
HCPCS,89055,HC CHOLINESTERASE; RBC,20.0,20.0,,,0
HCPCS,89055,Leukocyte assessment fecal,,,6.41,17.81,3
HCPCS,89060,Exam synovial fluid crystals,,,11.0,30.58,3
HCPCS,89060,HC CPK: ISOENZYMES,38.0,38.0,,,0
HCPCS,89125,Specimen fat stain,,,8.82,24.53,3
HCPCS,89160,Exam feces for meat fibers,,,7.28,20.23,3
HCPCS,89190,Nasal smear for eosinophils,,,8.69,24.16,3
HCPCS,89220,Sputum specimen collection,,,84.69,215.25,4
HCPCS,89230,Collect sweat for test,,,12.77,74.21,4
HCPCS,89230,HC IMMUMOASSAY QUANT NOS NONAB (130),456.0,456.0,,,0
HCPCS,89240,Pathology lab procedure,,,74.21,74.21,2
HCPCS,89250,Cultr oocyte/embryo <4 days,,,215.25,215.25,2
HCPCS,89251,Cultr oocyte/embryo <4 days,,,215.25,215.25,2
HCPCS,89253,Embryo hatching,,,215.25,215.25,2
HCPCS,89254,Oocyte identification,,,215.25,215.25,2
HCPCS,89255,Prepare embryo for transfer,,,74.21,74.21,2
HCPCS,89257,Sperm identification,,,74.21,74.21,2
HCPCS,89258,Cryopreservation embryo(s),,,942.3,942.3,2
HCPCS,89259,Cryopreservation sperm,,,215.25,215.25,2
HCPCS,89260,Sperm isolation simple,,,74.21,74.21,2
HCPCS,89261,Sperm isolation complex,,,74.21,74.21,2
HCPCS,89264,Identify sperm tissue,,,74.21,74.21,2
HCPCS,89268,Insemination of oocytes,,,215.25,215.25,2
HCPCS,89272,Extended culture of oocytes,,,942.3,942.3,2
HCPCS,89280,Assist oocyte fertilization,,,942.3,942.3,2
HCPCS,89281,Assist oocyte fertilization,,,215.25,215.25,2
HCPCS,89290,Biopsy oocyte polar body,,,215.25,215.25,2
HCPCS,89291,Biopsy oocyte polar body,,,215.25,215.25,2
HCPCS,89300,Semen analysis w/huhner,,,14.76,41.05,3
HCPCS,89310,Semen analysis w/count,,,12.92,35.92,3
HCPCS,89320,Semen anal vol/count/mot,,,18.47,51.36,3
HCPCS,89321,Semen anal sperm detection,,,18.08,50.27,3
HCPCS,89322,Semen anal strict criteria,,,23.25,64.67,3
HCPCS,89325,Sperm antibody test,,,16.01,44.52,3
HCPCS,89329,Sperm evaluation test,,,29.39,81.73,3
HCPCS,89330,Evaluation cervical mucus,,,15.57,43.31,3
HCPCS,89331,Retrograde ejaculation anal,,,29.39,81.73,3
HCPCS,89335,Cryopreserve testicular tiss,,,74.21,74.21,2
HCPCS,89337,Cryopreservation oocyte(s),,,215.25,215.25,2
HCPCS,89342,Storage/year embryo(s),,,215.25,215.25,2
HCPCS,89343,Storage/year sperm/semen,,,215.25,215.25,2
HCPCS,89344,Storage/year reprod tissue,,,215.25,215.25,2
HCPCS,89346,Storage/year oocyte(s),,,425.12,425.12,2
HCPCS,89352,Thawing cryopresrved embryo,,,215.25,215.25,2
HCPCS,89353,Thawing cryopresrved sperm,,,74.21,74.21,2
HCPCS,89354,Thaw cryoprsvrd reprod tiss,,,215.25,215.25,2
HCPCS,89356,Thawing cryopresrved oocyte,,,215.25,215.25,2
HCPCS,89398,Unlisted reprod med lab proc,,,74.21,74.21,2
HCPCS,90281,Human ig im,,,145.75,145.75,2
HCPCS,90283,Human ig iv,,,113.31,113.31,2
HCPCS,90284,Human ig sc,,,28.79,28.79,2
HCPCS,90291,Cmv ig iv,,,2572.03,2572.03,2
HCPCS,90371,Hep b ig im,,,159.41,317.5,4
HCPCS,90375,Rabies ig im/sc,,,325.06,647.45,4
HCPCS,90376,Rabies ig heat treated,,,423.73,423.73,2
HCPCS,90377,Rabies ig ht&sol human im/sc,,,289.26,576.15,4
HCPCS,90378,Rsv mab im 50mg,,,791.86,791.86,2
HCPCS,90380,Rsv monoc antb seasn .5ml im,,,814.18,814.18,2
HCPCS,90381,Rsv monoc antb seasnl 1ml im,,,814.18,814.18,2
HCPCS,90384,Rh ig full-dose im,,,159.25,159.25,2
HCPCS,90385,Rh ig minidose im,,,73.52,73.52,2
HCPCS,90386,Rh ig iv,,,808.53,808.53,2
HCPCS,90389,Tetanus ig im,,,950.38,950.38,2
HCPCS,90396,Varicella-zoster ig im,,,2879.08,2879.08,2
HCPCS,90399,Immune globulin,,,522.03,522.03,2
HCPCS,90460,Im admin 1st/only component,,,124.43,124.43,1
HCPCS,90461,Im admin each addl component,,,47.22,47.22,1
HCPCS,90471,Flulaval 2025/2026: 10 Syringe In 1 Carton (19515-904-52)  / .5 Ml In 1 Syringe (19515-904-41),173.0,173.0,,,0
HCPCS,90471,HC CCPD OUTPATIENT OR HOME,173.0,173.0,,,0
HCPCS,90471,Immunization admin,,,116.07,116.07,1
HCPCS,90471,NDC Description Not Available,173.0,173.0,,,0
HCPCS,90471,"Rabavert: 1 Kit In 1 Carton (50632-010-01)  *  1 Ml In 1 Syringe (50632-011-01)  *  1 Ml In 1 Vial, Glass (50632-013-01)",173.0,173.0,,,0
HCPCS,90472,"HC SLV THERAPY, INDIVIDUAL",379.0,379.0,,,0
HCPCS,90472,Immunization admin each add,,,84.88,84.88,1
HCPCS,90473,HC TX SWALLOWING DYSFUNCTION,379.0,379.0,,,0
HCPCS,90473,Immune admin oral/nasal,,,91.95,91.95,1
HCPCS,90474,HC MOPATH PROCEDURE LEVEL 2 (555),116.0,116.0,,,0
HCPCS,90474,Immune admin oral/nasal addl,,,65.94,65.94,1
HCPCS,90480,"HC IMM ADMN SARSCOV2 VACCINE, SINGLE DOSE",201.0,201.0,,,0
HCPCS,90581,Anthrax vaccine sc or im,,,141.59,141.59,2
HCPCS,90585,Bcg vaccine percut,,,258.64,258.64,2
HCPCS,90586,Bcg vaccine intravesical,,,190.52,379.47,4
HCPCS,90587,Dengue vacc quad 3 dose subq,,,96.62,96.62,2
HCPCS,90593,Chikungunya vacc recomb im,,,503.25,503.25,2
HCPCS,90611,Smallpox&monkeypox vac 0.5ml,,,0.01,0.01,2
HCPCS,90619,Menacwy-tt vaccine im,,,251.58,251.58,2
HCPCS,90620,Menb rp w/omv vaccine im,,,346.97,346.97,2
HCPCS,90621,Menb rlp vaccine im,,,303.33,303.33,2
HCPCS,90622,Vaccinia vrs vac 0.3 ml perq,,,0.01,0.01,2
HCPCS,90623,Menacwy-tt menb-fhbp vacc im,,,346.82,346.82,2
HCPCS,90624,Menb-4c&menacwy vacc im,,,366.92,366.92,2
HCPCS,90632,Hepa vaccine adult im,,,88.67,176.61,4
HCPCS,90633,Hepa vacc ped/adol 2 dose im,,,51.63,51.63,2
HCPCS,90634,Hepa vacc ped/adol 3 dose,,,35.51,35.51,2
HCPCS,90636,Hep a/hep b vacc adult im,,,193.52,193.52,2
HCPCS,90644,Hib-mency vacc 6wk-18m0 im,,,26.84,26.84,2
HCPCS,90647,Hib prp-omp vacc 3 dose im,,,44.58,44.58,2
HCPCS,90648,Hib prp-t vaccine 4 dose im,,,19.26,19.26,2
HCPCS,90649,4vhpv vaccine 3 dose im,,,128.26,128.26,2
HCPCS,90651,9vhpv vaccine 3 dose im,,,450.16,450.16,2
HCPCS,90653,Iiv adjuvant vaccine im,,,101.86,202.88,4
HCPCS,90655,Iiv3 vacc no prsv 0.25 ml im,,,16.32,16.32,2
HCPCS,90656,Iiv3 vacc no prsv 0.5 ml im,,,27.27,54.31,4
HCPCS,90657,Iiv3 vaccine splt 0.25 ml im,,,13.33,26.56,4
HCPCS,90658,Iiv3 vaccine splt 0.5 ml im,,,26.67,53.12,4
HCPCS,90660,Laiv3 vaccine intranasal,,,35.22,70.15,4
HCPCS,90661,Cciiv3 vac no prsv 0.5 ml im,,,44.96,89.55,4
HCPCS,90662,Iiv no prsv increased ag im,,,101.86,202.88,4
HCPCS,90670,Pcv13 vaccine im,,,314.75,626.92,4
HCPCS,90671,Pcv15 vaccine im,,,318.6,634.59,4
HCPCS,90673,Riv3 vaccine no preserv im,,,101.86,202.88,4
HCPCS,90675,Rabies vaccine im,,,380.68,758.23,4
HCPCS,90676,Rabies vaccine id,,,322.65,322.65,2
HCPCS,90677,Pcv20 vaccine im,,,381.74,760.35,4
HCPCS,90678,Rsv vacc pref bivalent im,,,449.16,449.16,2
HCPCS,90679,Rsv vacc pref recomb adjt im,,,448.5,448.5,2
HCPCS,90680,Rv5 vacc 3 dose live oral,,,144.48,144.48,2
HCPCS,90681,Rv1 vacc 2 dose live oral,,,215.05,215.05,2
HCPCS,90683,Rsv vacc mrna lipid nano im,,,424.56,424.56,2
HCPCS,90684,Pcv21 vaccine im,,,400.03,796.77,4
HCPCS,90690,Typhoid vaccine oral,,,171.7,171.7,2
HCPCS,90691,Typhoid vaccine im,,,182.55,182.55,2
HCPCS,90696,Dtap-ipv vaccine 4-6 yrs im,,,93.43,93.43,2
HCPCS,90697,Dtap-ipv-hib-hepb vaccine im,,,228.25,228.25,2
HCPCS,90698,Dtap-ipv/hib vaccine im,,,164.69,164.69,2
HCPCS,90700,Dtap vaccine < 7 yrs im,,,43.55,43.55,2
HCPCS,90702,Dt vaccine under 7 yrs im,,,20.52,20.52,2
HCPCS,90707,Mmr vaccine sc,,,138.82,138.82,2
HCPCS,90710,Mmrv vaccine sc,,,406.49,406.49,2
HCPCS,90713,Poliovirus ipv sc/im,,,65.31,65.31,2
HCPCS,90714,Td vacc no presv 7 yrs+ im,,,44.37,88.35,4
HCPCS,90715,Tdap vaccine 7 yrs/> im,,,48.45,96.5,4
HCPCS,90716,Var vaccine live subq,,,267.73,267.73,2
HCPCS,90717,Yellow fever vaccine subq,,,344.27,344.27,2
HCPCS,90723,Dtap-hep b-ipv vaccine im,,,150.78,150.78,2
HCPCS,90732,Ppsv23 vacc 2 yrs+ subq/im,,,162.83,324.33,4
HCPCS,90733,Mpsv4 vaccine subq,,,101.42,101.42,2
HCPCS,90734,Mcv4 menacwy vaccine im,,,243.94,243.94,2
HCPCS,90736,Hzv vaccine live subq,,,162.19,162.19,2
HCPCS,90738,Inactivated je vacc im,,,372.97,372.97,2
HCPCS,90739,Hepb vacc 2 dose adult im,,,216.62,431.47,4
HCPCS,90740,Hepb vacc 3 dose immunsup im,,,200.59,399.54,4
HCPCS,90743,Hepb vacc 2 dose adolesc im,,,91.68,182.59,4
HCPCS,90744,Hepb vacc 3 dose ped/adol im,,,38.64,76.96,4
HCPCS,90746,Hepb vaccine 3 dose adult im,,,85.86,171.02,4
HCPCS,90747,Hepb vacc 4 dose immunsup im,,,171.72,342.02,4
HCPCS,90748,Hib-hepb vaccine im,,,56.44,56.44,2
HCPCS,90759,Hep b vac 3ag 10mcg 3 dos im,,,90.06,179.38,4
HCPCS,90785,Psytx complex interactive,,,62.92,62.92,1
HCPCS,90791,Psych diagnostic evaluation,,,740.6,740.6,1
HCPCS,90792,Psych diag eval w/med srvcs,,,871.62,871.62,1
HCPCS,90832,Psytx w pt 30 minutes,,,374.75,374.75,1
HCPCS,90833,Psytx w pt w e/m 30 min,,,359.91,359.91,1
HCPCS,90834,Psytx w pt 45 minutes,,,496.11,496.11,1
HCPCS,90836,Psytx w pt w e/m 45 min,,,454.13,454.13,1
HCPCS,90837,Psytx w pt 60 minutes,,,729.76,729.76,1
HCPCS,90838,Psytx w pt w e/m 60 min,,,603.11,603.11,1
HCPCS,90839,Psytx crisis initial 60 min,,,699.86,699.86,1
HCPCS,90840,Psytx crisis ea addl 30 min,,,337.74,337.74,1
HCPCS,90845,Psychoanalysis,,,477.87,477.87,1
HCPCS,90846,Family psytx w/o pt 50 min,,,536.42,536.42,1
HCPCS,90847,Family psytx w/pt 50 min,,,555.36,555.36,1
HCPCS,90849,Multiple family group psytx,,,162.37,162.37,1
HCPCS,90853,Group psychotherapy,,,132.09,132.09,1
HCPCS,90865,Narcosynthesis,,,626.31,626.31,1
HCPCS,90870,Electroconvulsive therapy,,,537.01,537.01,1
HCPCS,90880,Hypnotherapy,,,429.41,429.41,1
HCPCS,90901,Biofeedback train any meth,,,88.66,88.66,1
HCPCS,90912,Bfb training 1st 15 min,,,205.05,205.05,1
HCPCS,90913,Bfb training ea addl 15 min,,,115.47,115.47,1
HCPCS,90935,"HC INSTILL (S), VIA CHEST TUBE/CATH,  FIBRINOLYSIS AGENT, INIT DAY",2169.0,2169.0,,,0
HCPCS,90935,Hemodialysis one evaluation,,,336.33,336.33,1
HCPCS,90937,Hemodialysis repeated eval,,,485.75,485.75,1
HCPCS,90945,Dialysis one evaluation,,,418.95,418.95,1
HCPCS,90945,"HC AMOXICILLIN, SERUM",2069.0,2069.0,,,0
HCPCS,90945,HC PERTUSSIS AG DETECTION BY DFA,2069.0,2069.0,,,0
HCPCS,90945,HC TUMOR NECROSIS FACTOR-ALPHAQST,2069.0,2069.0,,,0
HCPCS,90945,HC TYMPANOMETRY & REFLEX THRESH,2069.0,2069.0,,,0
HCPCS,90947,Dialysis repeated eval,,,584.17,584.17,1
HCPCS,90951,Esrd serv 4 visits p mo <2yr,,,6439.96,6439.96,1
HCPCS,90954,Esrd serv 4 vsts p mo 2-11,,,5630.73,5630.73,1
HCPCS,90955,Esrd srv 2-3 vsts p mo 2-11,,,2922.42,2922.42,1
HCPCS,90956,Esrd srv 1 visit p mo 2-11,,,1984.92,1984.92,1
HCPCS,90957,Esrd srv 4 vsts p mo 12-19,,,4330.34,4330.34,1
HCPCS,90958,Esrd srv 2-3 vsts p mo 12-19,,,2814.23,2814.23,1
HCPCS,90959,Esrd serv 1 vst p mo 12-19,,,1836.37,1836.37,1
HCPCS,90960,Esrd srv 4 visits p mo 20+,,,2018.97,2018.97,1
HCPCS,90961,Esrd srv 2-3 vsts p mo 20+,,,1681.66,1681.66,1
HCPCS,90962,Esrd serv 1 visit p mo 20+,,,1159.6,1159.6,1
HCPCS,90963,Esrd home pt serv p mo <2yrs,,,3400.45,3400.45,1
HCPCS,90964,Esrd home pt serv p mo 2-11,,,2897.49,2897.49,1
HCPCS,90965,Esrd home pt serv p mo 12-19,,,2798.91,2798.91,1
HCPCS,90966,Esrd home pt serv p mo 20+,,,1679.94,1679.94,1
HCPCS,90967,Esrd home pt serv p day <2,,,99.5,99.5,1
HCPCS,90968,Esrd home pt srv p day 2-11,,,95.99,95.99,1
HCPCS,90969,Esrd home pt srv p day 12-19,,,94.16,94.16,1
HCPCS,90970,Esrd home pt serv p day 20+,,,54.12,54.12,1
HCPCS,90989,HC EVALUATION OF SPEECH SOUND  PRODUCTION,782.0,782.0,,,0
HCPCS,90993,"HC LYME(B.BURGDORFERI)PCR,CSF QST",124.0,124.0,,,0
HCPCS,90997,Hemoperfusion,,,417.87,417.87,1
HCPCS,90999,"HC CIPROFLOXACIN,SERUM",2847.0,2847.0,,,0
HCPCS,90999,HC FACTOR XIII QUEST,2847.0,2847.0,,,0
HCPCS,90999,HC GROWTH HORMONE AB ENDO,2847.0,2847.0,,,0
HCPCS,90999,HC OSMOTIC FRAGILITY/INTERP,2620.0,2620.0,,,0
HCPCS,91010,Esophagus motility study,,,920.34,3195.0,4
HCPCS,91013,Esophgl motil w/stim/perfus,,,96.48,2782.0,3
HCPCS,91020,Gastric motility studies,,,1202.17,3195.0,4
HCPCS,91022,Duodenal motility study,,,610.18,3195.0,4
HCPCS,91030,Acid perfusion of esophagus,,,592.97,2782.0,3
HCPCS,91034,Gastroesophageal reflux test,,,785.93,2782.0,3
HCPCS,91035,G-esoph reflx tst w/electrod,,,2154.03,2782.0,3
HCPCS,91037,Esoph imped function test,,,703.26,2782.0,3
HCPCS,91038,Esoph imped funct test > 1hr,,,1993.77,2782.0,3
HCPCS,91040,Esoph balloon distension tst,,,2505.0,2782.0,3
HCPCS,91065,Breath hydrogen/methane test,,,283.56,2782.0,3
HCPCS,91110,Gi tract capsule endoscopy,,,3531.41,5664.0,3
HCPCS,91111,Esophageal Capsule Endoscopy,,,4691.01,5664.0,3
HCPCS,91112,Gi wireless capsule measure,,,5097.0,8546.4,3
HCPCS,91113,Gi trc img intral colon i&r,,,4428.39,4428.39,1
HCPCS,91117,Colon motility 6 hr study,,,665.6,2782.0,3
HCPCS,91120,Rectal sensation test,,,2505.0,2782.0,2
HCPCS,91122,Anal pressure record,,,2505.0,2782.0,2
HCPCS,91124,Rct snsatn tone&cmplianc std,,,3124.34,3124.34,1
HCPCS,91125,Anrct mano rct snsatn&balo,,,1059.88,1059.88,1
HCPCS,91132,Electrogastrography,,,2363.23,2782.0,3
HCPCS,91133,Electrogastrography W/Test,,,2445.95,2782.0,3
HCPCS,91200,Liver elastography,,,118.17,118.17,1
HCPCS,91299,Gastroenterology procedure,,,2505.0,2782.0,2
HCPCS,91304,Coronavirus vaccine 5,,,197.08,392.54,4
HCPCS,91318,Sarscov2 vac 3mcg trs-suc im,,,79.97,159.29,4
HCPCS,91319,Sarscv2 vac 10mcg trs-suc im,,,107.09,213.31,4
HCPCS,91320,Sarscv2 vac 30mcg trs-suc im,,,190.2,378.84,4
HCPCS,91321,Sarscov2 vac 25 mcg/.25ml im,,,179.41,357.36,4
HCPCS,91322,Sarscov2 vac 50 mcg/0.5ml im,,,197.21,392.81,4
HCPCS,92002,Eye exam new patient,,,203.65,203.65,1
HCPCS,92004,Eye exam new patient,,,419.86,419.86,1
HCPCS,92012,Eye exam establish patient,,,223.88,223.88,1
HCPCS,92014,Eye exam&tx estab pt 1/>vst,,,335.69,335.69,1
HCPCS,92018,"HC CYP2C9, GENE ANALYSIS, COMMON VARIANTS(30)",5424.0,5424.0,,,0
HCPCS,92018,New eye exam & treatment,,,614.28,10940.0,3
HCPCS,92019,Eye exam & treatment,,,319.34,10940.0,3
HCPCS,92020,Special eye evaluation,,,88.28,88.28,1
HCPCS,92025,Corneal Topography,,,92.33,92.33,1
HCPCS,92060,Special eye evaluation,,,145.69,145.69,1
HCPCS,92065,Orthoptic/pleoptic training,,,147.74,147.74,1
HCPCS,92066,Orthop traing supvj phys/qhp,,,135.39,135.39,1
HCPCS,92071,Contact lens fitting for tx,,,141.05,141.05,1
HCPCS,92072,Fit contac lens for managmnt,,,410.8,410.8,1
HCPCS,92081,Visual field examination(s),,,94.05,94.05,1
HCPCS,92082,Visual field examination(s),,,140.57,140.57,1
HCPCS,92083,Visual field examination(s),,,193.99,193.99,1
HCPCS,92100,Serial tonometry exam(s),,,141.05,141.05,1
HCPCS,92132,Cmptr ophth dx img ant segmt,,,75.06,75.06,1
HCPCS,92133,Cmptr ophth img optic nerve,,,75.06,75.06,1
HCPCS,92134,Cptr ophth dx img post segmt,,,78.51,78.51,1
HCPCS,92136,Ophthalmic biometry,,,94.05,94.05,1
HCPCS,92137,Cptrz oph img pst sg rta oct,,,130.21,700.65,3
HCPCS,92145,Corneal hysteresis deter,,,42.36,42.36,1
HCPCS,92201,Opscpy extnd rta draw uni/bi,,,99.83,99.83,1
HCPCS,92202,Opscpy extnd on/mac draw,,,63.3,63.3,1
HCPCS,92227,Remote dx retinal imaging,,,97.45,97.45,1
HCPCS,92228,Remote retinal imaging mgmt,,,73.33,73.33,1
HCPCS,92229,Img rta detc/mntr ds poc aly,,,242.23,242.23,1
HCPCS,92230,Eye exam with photos,,,146.45,146.45,1
HCPCS,92235,Fluorescein angrph uni/bi,,,622.97,622.97,1
HCPCS,92240,Icg angiography uni/bi,,,1026.16,1026.16,1
HCPCS,92242,Fluorescein icg angiography,,,1458.65,1458.65,1
HCPCS,92250,Eye exam with photos,,,87.15,87.15,1
HCPCS,92260,Ophthalmoscopy/dynamometry,,,49.1,49.1,1
HCPCS,92265,Eye muscle evaluation,,,223.23,223.23,1
HCPCS,92265,HC IMMUMOASSAY QUANT NOS NONAB (35),286.0,286.0,,,0
HCPCS,92270,Electro-oculography,,,434.43,434.43,1
HCPCS,92273,Full field erg w/i&r,,,460.28,460.28,1
HCPCS,92274,Multifocal erg w/i&r,,,307.68,307.68,1
HCPCS,92283,Color vision examination,,,240.5,240.5,1
HCPCS,92284,Dark adaptation eye exam,,,100.91,100.91,1
HCPCS,92285,Eye photography,,,107.81,107.81,1
HCPCS,92286,Internal eye photography,,,95.73,95.73,1
HCPCS,92287,Internal eye photography,,,583.36,583.36,1
HCPCS,92311,Contact lens fitting,,,226.42,226.42,1
HCPCS,92312,Contact lens fitting,,,264.03,264.03,1
HCPCS,92313,Contact lens fitting,,,192.48,192.48,1
HCPCS,92315,Rx cntact lens aphakia 1 eye,,,95.78,95.78,1
HCPCS,92316,Rx cntact lens aphakia 2 eye,,,142.35,142.35,1
HCPCS,92317,Rx corneoscleral cntact lens,,,95.78,95.78,1
HCPCS,92325,Modification of contact lens,,,242.23,242.23,1
HCPCS,92326,Replacement of contact lens,,,202.57,202.57,1
HCPCS,92502,Ear and throat examination,,,468.75,2782.0,3
HCPCS,92504,Ear microscopy examination,,,42.03,42.03,1
HCPCS,92507,HC TYMPANOMETRY & REFLEX THRESH,509.0,509.0,,,0
HCPCS,92507,Speech/hearing therapy,,,404.16,404.16,1
HCPCS,92508,"HC INJ(S), ANESTH AGENT(S) &/OR STERIOD; OTHER PERIPHER NERVE OR BRCH",134.0,134.0,,,0
HCPCS,92508,Speech/hearing therapy,,,127.67,127.67,1
HCPCS,92511,Nasopharyngoscopy,,,177.47,3195.0,2
HCPCS,92512,Nasal function studies,,,128.86,128.86,1
HCPCS,92516,Facial nerve function test,,,102.79,102.79,1
HCPCS,92517,Vemp test i&r cervical,,,182.17,182.17,1
HCPCS,92518,Vemp test i&r ocular,,,189.35,189.35,1
HCPCS,92519,Vemp tst i&r cervical&ocular,,,275.84,275.84,1
HCPCS,92520,Laryngeal function studies,,,174.88,174.88,1
HCPCS,92521,Evaluation of speech fluency,,,706.23,706.23,1
HCPCS,92521,HC CFTR GENE KNOWN FAM VARIANTS,678.0,678.0,,,0
HCPCS,92522,Evaluate speech production,,,596.37,596.37,1
HCPCS,92522,HC CYP2D6 GENE COM VARIANTS,671.0,671.0,,,0
HCPCS,92523,HC CYP2C9 GENE COM VARIANTS,892.0,892.0,,,0
HCPCS,92523,Speech sound lang comprehen,,,1199.64,1199.64,1
HCPCS,92524,Behavral qualit analys voice,,,583.31,583.31,1
HCPCS,92524,HC CYTOGEN M ARRAY COPY NO&SNP,584.0,584.0,,,0
HCPCS,92526,"HC SCREENING TEST, PURE TONE AIR ONLY",641.0,641.0,,,0
HCPCS,92526,Oral function therapy,,,445.82,445.82,1
HCPCS,92537,Caloric vstblr test w/rec,,,47.48,47.48,1
HCPCS,92538,Caloric vstblr test w/rec,,,33.73,33.73,1
HCPCS,92540,Basic vestibular evaluation,,,150.87,150.87,1
HCPCS,92541,Spontaneous nystagmus test,,,23.36,23.36,1
HCPCS,92542,Positional nystagmus test,,,21.64,21.64,1
HCPCS,92544,Optokinetic nystagmus test,,,19.97,19.97,1
HCPCS,92545,Oscillating tracking test,,,19.97,19.97,1
HCPCS,92546,Sinusoidal rotational test,,,620.54,620.54,1
HCPCS,92547,Supplemental electrical test,,,56.87,56.87,1
HCPCS,92548,Posturography,,,75.06,75.06,1
HCPCS,92549,Cdp-sot 6 cond w/i&r mct&adt,,,100.91,100.91,1
HCPCS,92550,"HC PURE TONE AUDIOMETRY, AIR ONLY",316.5,316.5,,,0
HCPCS,92550,Tympanometry & reflex thresh,,,115.74,115.74,1
HCPCS,92551,"HC PURE TONE AUDIOMETRY, AIR & BONE",79.0,79.0,,,0
HCPCS,92552,"HC PURE TONE AUDIOMETRY, AIR & BONE",480.0,480.0,,,0
HCPCS,92552,HC SPEECH AUDIOMETRY THRESHOLD,235.0,235.0,,,0
HCPCS,92552,Pure tone audiometry air,,,209.47,209.47,1
HCPCS,92553,Audiometry air & bone,,,254.26,254.26,1
HCPCS,92553,HC SPEECH AUDIOMETRY THESHOLD W/SR,480.0,480.0,,,0
HCPCS,92553,HC SPEECH AUDIOMETRY THRESHOLD,235.0,235.0,,,0
HCPCS,92555,HC SPEECH AUDIOMETRY THESHOLD W/SR,227.0,227.0,,,0
HCPCS,92555,"HC SPEECH AUDIOMETRY W/SR, COMPREHENSIVE",105.0,105.0,,,0
HCPCS,92555,Speech threshold audiometry,,,154.33,154.33,1
HCPCS,92556,"HC SPEECH AUDIOMETRY W/SR, COMPREHENSIVE",105.0,105.0,,,0
HCPCS,92556,HC TYMPANOMETRY (IMP TESTING),392.0,392.0,,,0
HCPCS,92556,Speech audiometry complete,,,240.5,240.5,1
HCPCS,92557,Comprehensive hearing test,,,138.41,138.41,1
HCPCS,92557,HC ACOUSTIC REFLEX TESTING,340.0,340.0,,,0
HCPCS,92557,HC TYMPANOMETRY (IMP TESTING),652.0,652.0,,,0
HCPCS,92558,HC HERPES S NA QUAN,290.0,290.0,,,0
HCPCS,92562,Loudness balance test,,,254.26,254.26,1
HCPCS,92563,"HC LINEZOLID, SERUM",207.0,207.0,,,0
HCPCS,92563,Tone decay hearing test,,,185.35,185.35,1
HCPCS,92565,HC SARS-COV-2 (24),216.0,216.0,,,0
HCPCS,92565,Stenger test pure tone,,,116.45,116.45,1
HCPCS,92567,HC ACOUSTIC IMMITTANCE TESTING,216.0,216.0,,,0
HCPCS,92567,Tympanometry,,,47.38,47.38,1
HCPCS,92568,Acoustic refl threshold tst,,,68.75,68.75,1
HCPCS,92568,HC VISUAL REINFORCE AUDIOMETRY,176.0,176.0,,,0
HCPCS,92570,Acoustic immitance testing,,,127.67,127.67,1
HCPCS,92570,HC CONDITIONING PLAY AUDIOMETRY,142.0,142.0,,,0
HCPCS,92570,HC VISUAL REINFORCE AUDIOMETRY,581.0,581.0,,,0
HCPCS,92571,Filtered speech hearing test,,,161.23,161.23,1
HCPCS,92572,Staggered spondaic word test,,,312.86,312.86,1
HCPCS,92575,Sensorineural acuity test,,,382.74,382.74,1
HCPCS,92576,Synthetic sentence test,,,219.83,219.83,1
HCPCS,92577,HC URINE DRUG SCREEN (QLT),992.0,992.0,,,0
HCPCS,92577,Stenger test speech,,,118.17,118.17,1
HCPCS,92579,HC CONDITIONING PLAY AUDIOMETRY,235.0,235.0,,,0
HCPCS,92579,HC SELECT PICTURE AUDIOMETRY,525.0,525.0,,,0
HCPCS,92579,Visual audiometry (vra),,,159.72,159.72,1
HCPCS,92582,Conditioning play audiometry,,,448.95,448.95,1
HCPCS,92582,HC DEAC 01/01/2021  AUDITORY EP - COMPREHENSIVE,235.0,235.0,,,0
HCPCS,92582,HC SELECT PICTURE AUDIOMETRY,599.0,599.0,,,0
HCPCS,92583,HC DEAC 01/01/2021  AUDITORY EP - COMPREHENSIVE,95.0,95.0,,,0
HCPCS,92583,HC DEAC 01/01/2021  AUDITORY EP - LIMITED,852.0,852.0,,,0
HCPCS,92583,Select picture audiometry,,,318.04,318.04,1
HCPCS,92584,Electrocochleography,,,553.47,553.47,1
HCPCS,92585,HC DEAC 01/01/2021  AUDITORY EP - LIMITED,1411.0,1411.0,,,0
HCPCS,92585,HC EVOKED AUDITORY TEST LIMITED,238.0,238.0,,,0
HCPCS,92586,HC EVOKED AUDITORY TEST COMPLETE,752.0,752.0,,,0
HCPCS,92586,HC EVOKED AUDITORY TEST LIMITED,238.0,238.0,,,0
HCPCS,92587,Evoked auditory test limited,,,19.97,19.97,1
HCPCS,92587,"HC ELECTRO HEARING AID TEST, MONAURAL",132.0,132.0,,,0
HCPCS,92587,HC EVOKED AUDITORY TEST COMPLETE,250.0,250.0,,,0
HCPCS,92588,Evoked auditory tst complete,,,26.82,26.82,1
HCPCS,92588,"HC ELECTRO HEARING AID TEST, BINAURAL",290.0,290.0,,,0
HCPCS,92588,"HC ELECTRO HEARING AID TEST, MONAURAL",132.0,132.0,,,0
HCPCS,92590,HC HEMODIALYSIS ONE EVALUATION,208.0,208.0,,,0
HCPCS,92591,HC MOTOR SENSORY NERVE CONDUCT TEST,208.0,208.0,,,0
HCPCS,92592,HC TCR V-BETA SPECTRATYPING,115.0,115.0,,,0
HCPCS,92592,"HC TRANSPLANT, TISSUE TYPING, HLA",52.0,52.0,,,0
HCPCS,92593,HC HLA-DQB1,52.0,52.0,,,0
HCPCS,92593,"HC SPECIAL AB IDENTIFICATION, ADD",134.0,134.0,,,0
HCPCS,92594,"HC ELECTRO HEARING AID TEST, BINAURAL",65.0,65.0,,,0
HCPCS,92594,HC EVAL TO USE/FIT VOICE PROSTHETIC,52.0,52.0,,,0
HCPCS,92595,HC COCHLEAR IMPLT EXAM < 7 W PROG,52.0,52.0,,,0
HCPCS,92595,HC REPROGRAM COCHLEAR IMPLT UNDER AGE 7,87.0,87.0,,,0
HCPCS,92596,Ear protector evaluation,,,404.16,404.16,1
HCPCS,92597,HC COCHLEAR IMPLT EXAM 7 > W PROG,344.0,344.0,,,0
HCPCS,92597,Oral speech device eval,,,378.75,378.75,1
HCPCS,92601,Cochlear implt f/up exam <7,,,525.79,525.79,1
HCPCS,92601,HC REPROGRAM COCHLEAR IMPLT 7 YRS & OLDER,641.0,641.0,,,0
HCPCS,92602,"HC EVAL FOR SPEECH DEVICE RX, 1ST HR",771.0,771.0,,,0
HCPCS,92602,Reprogram cochlear implt 7/>,,,299.05,299.05,1
HCPCS,92603,Cochlear implt f/up exam 7/>,,,513.32,513.32,1
HCPCS,92603,"HC EVAL FOR SPEECH DEVICE RX, EA ADDL 30 MIN",668.0,668.0,,,0
HCPCS,92604,HC THERAPEUTIC SP DEVICE SERVICE,639.0,639.0,,,0
HCPCS,92604,Reprogram cochlear implt 7/>,,,286.58,286.58,1
HCPCS,92607,Ex for speech device rx 1hr,,,646.28,646.28,1
HCPCS,92607,HC EVALUATE SWALLOWING FUNCTION,742.0,742.0,,,0
HCPCS,92608,Ex for speech device rx addl,,,251.94,251.94,1
HCPCS,92608,"HC MOTION FLUORO SWALLOW FCN, CINE/VIDEO",301.0,301.0,,,0
HCPCS,92609,"HC EVAL AUDITORY FUNCTION, 1ST HR",658.0,658.0,,,0
HCPCS,92609,Use of speech device service,,,541.87,541.87,1
HCPCS,92610,Evaluate swallowing function,,,309.35,309.35,1
HCPCS,92610,"HC EVAL AUDITORY FUNCTION, EA ADDL 15 MIN",659.0,659.0,,,0
HCPCS,92611,HC AUD REHAB PRE-LING HEAR LOSS,522.0,522.0,,,0
HCPCS,92611,Motion fluoroscopy/swallow,,,487.42,487.42,1
HCPCS,92612,Endoscopy swallow (fees) vid,,,293.87,293.87,1
HCPCS,92613,Endoscopy swallow (fees) i&r,,,164.47,164.47,1
HCPCS,92614,Laryngoscopic sensory vid,,,294.89,294.89,1
HCPCS,92615,Laryngoscopic sensory i&r,,,146.61,146.61,1
HCPCS,92616,Fees w/laryngeal sense test,,,433.19,433.19,1
HCPCS,92617,Fees w/laryngeal sense i&r,,,185.08,185.08,1
HCPCS,92620,Auditory function 60 min,,,343.73,343.73,1
HCPCS,92620,"HC DRUG SCREEN,QLT,HAIR",748.0,748.0,,,0
HCPCS,92620,"HC PREGNANCY SCREEN,URINE,QLT",595.0,595.0,,,0
HCPCS,92621,Auditory function + 15 min,,,80.29,80.29,1
HCPCS,92621,HC MECP2 DELETION/DUPLICATION ASS,120.0,120.0,,,0
HCPCS,92621,HC URINE TOTAL VOLUME,96.0,96.0,,,0
HCPCS,92622,Dx aly aud oi snd prcsr 1st,,,288.31,288.31,1
HCPCS,92623,Dx aly aud oi snd prcsr each,,,75.0,75.0,1
HCPCS,92625,Tinnitus assessment,,,266.08,266.08,1
HCPCS,92626,Eval aud rehab status,,,320.52,320.52,1
HCPCS,92626,HC DUPLEX EXT VEINS; BILAT,517.0,517.0,,,0
HCPCS,92627,Eval aud status rehab add-on,,,75.0,75.0,1
HCPCS,92627,HC DUPLEX EXT VEINS; UNIL/LIMIT,69.0,69.0,,,0
HCPCS,92630,HC DUPLEX ARTERIAL FLOW; COMPL,784.0,784.0,,,0
HCPCS,92640,Aud brainstem implt programg,,,402.6,402.6,1
HCPCS,92650,HC 3D ECHOCARDIOGRAPHIC IMAGING  & POSTPROCESSING DURING TEE/TTE (ADD-ON CODE),280.0,280.0,,,0
HCPCS,92651,Aep hearing status deter i&r,,,425.26,425.26,1
HCPCS,92651,HC UNLISTED CHEM PROC (25),567.0,567.0,,,0
HCPCS,92652,Aep thrshld est mlt freq i&r,,,575.0,575.0,1
HCPCS,92652,"HC AB, VRUS NES (50)",981.0,981.0,,,0
HCPCS,92653,Aep neurodiagnostic i&r,,,426.55,426.55,1
HCPCS,92920,"HC EYE MUSCLE EVAL 1+ MUSC, 1-2 EYES",33369.0,33369.0,,,0
HCPCS,92920,Prq cardiac angioplast 1 art,,,2249.81,22111.0,4
HCPCS,92921,Prq cardiac angio addl art,,,3195.0,22111.0,3
HCPCS,92924,Prq card angio/athrect 1 art,,,2726.92,25393.0,4
HCPCS,92925,Prq card angio/athrect addl,,,3195.0,25393.0,3
HCPCS,92928,HC FUNCTIONAL BRAIN MAPPING,45870.0,45870.0,,,0
HCPCS,92928,Prq card stent w/angio 1 vsl,,,2697.35,22111.0,4
HCPCS,92929,Prq card stent w/angio addl,,,3195.0,22111.0,3
HCPCS,92930,Prq tcat plmt ntrac st 2+les,,,2786.87,6979.0,2
HCPCS,92933,Prq card stent/ath/angio,,,3216.5,22111.0,4
HCPCS,92934,Prq card stent/ath/angio,,,3195.0,22111.0,3
HCPCS,92937,Prq revasc byp graft 1 vsl,,,3044.42,22111.0,4
HCPCS,92938,Prq revasc byp graft addl,,,3195.0,22111.0,3
HCPCS,92941,Prq card revasc mi 1 vsl,,,3425.33,22111.0,3
HCPCS,92943,Prq card revasc chronic 1vsl,,,3683.74,22111.0,4
HCPCS,92944,Prq card revasc chronic addl,,,3195.0,22111.0,3
HCPCS,92945,Prq trl rvs ch occ ant&rtrgr,,,3485.38,6979.0,2
HCPCS,92950,HC PCP QUAN ASSAY,1864.0,1864.0,,,0
HCPCS,92950,Heart/lung resuscitation cpr,,,953.04,2782.0,3
HCPCS,92953,HC INSERT NON-TUNNEL CV CATH <5 YRS,2586.0,2586.0,,,0
HCPCS,92953,Temporary external pacing,,,6.26,4497.0,3
HCPCS,92960,Cardioversion electric ext,,,519.58,4497.0,3
HCPCS,92960,HC BARTONELLA AMPLIF NAP,1901.0,1901.0,,,0
HCPCS,92961,Cardioversion electric int,,,1241.51,4497.0,3
HCPCS,92970,Cardioassist internal,,,948.78,5664.0,3
HCPCS,92971,Cardioassist external,,,505.55,5664.0,3
HCPCS,92972,Perq trluml coronry lithotrp,,,674.34,3195.0,2
HCPCS,92973,Prq coronary mech thrombect,,,473.39,2782.0,3
HCPCS,92974,Cath place cardio brachytx,,,804.33,2782.0,3
HCPCS,92975,Dissolve clot heart vessel,,,5097.0,5664.0,2
HCPCS,92977,Dissolve clot heart vessel,,,2505.0,2782.0,2
HCPCS,92978,Endoluminl ivus oct c 1st,,,2505.0,2782.0,2
HCPCS,92979,Endoluminl ivus oct c ea,,,2505.0,2782.0,2
HCPCS,92986,HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE,16593.0,16593.0,,,0
HCPCS,92986,Revision of aortic valve,,,6709.82,22111.0,4
HCPCS,92987,HC ACTIGRAPHY TESTING 73 HRS-14 CONS DAYS,17892.0,17892.0,,,0
HCPCS,92987,Revision of mitral valve,,,6919.94,22111.0,4
HCPCS,92990,HC ARRHYTHMIA INDUCTION,20806.0,20806.0,,,0
HCPCS,92990,Revision of pulmonary valve,,,5544.17,22111.0,4
HCPCS,92997,HC STIMULATION & PACING S/P IV DRUG,20386.0,20386.0,,,0
HCPCS,92997,Pul art balloon repr percut,,,3148.3,22111.0,4
HCPCS,92998,Pul art balloon repr percut,,,1593.49,22111.0,3
HCPCS,93000,Electrocardiogram complete,,,82.56,82.56,1
HCPCS,93005,Electrocardiogram tracing,,,37.18,37.18,1
HCPCS,93005,HC REMOTE PT 30 DAY ECG REV/REPORT,545.0,545.0,,,0
HCPCS,93010,Electrocardiogram report,,,45.43,45.43,1
HCPCS,93015,Cardiovascular stress test,,,388.78,388.78,1
HCPCS,93016,Cardiovascular stress test,,,111.32,111.32,1
HCPCS,93017,Cardiovascular stress test,,,203.54,203.54,1
HCPCS,93017,"HC PM DEVICE PROGR EVAL, DUAL",1945.0,1945.0,,,0
HCPCS,93018,Cardiovascular stress test,,,73.93,73.93,1
HCPCS,93024,Cardiac drug stress test,,,318.26,318.26,1
HCPCS,93025,Microvolt t-wave assess,,,510.25,510.25,1
HCPCS,93040,Rhythm ECG with report,,,80.67,80.67,1
HCPCS,93041,HC NONSELECTIVE CATHETER - AORTA,310.0,310.0,,,0
HCPCS,93041,Rhythm ecg tracing,,,42.36,42.36,1
HCPCS,93042,Rhythm ecg report,,,38.37,38.37,1
HCPCS,93050,Art pressure waveform analys,,,45.76,45.76,1
HCPCS,93145,Interrog crtd sins bat ip wo,,,153.08,153.08,1
HCPCS,93146,Interrog crtd sins bat ip w/,,,214.65,214.65,1
HCPCS,93150,Therapy activation ipnss,,,201.27,201.27,1
HCPCS,93151,Interrog&prgrmg ipnss,,,189.56,189.56,1
HCPCS,93152,Interrog&prgrmg ipnss polysm,,,418.95,418.95,1
HCPCS,93153,Interrog w/o prgrmg ipnss,,,102.79,102.79,1
HCPCS,93224,Ecg monit/reprt up to 48 hrs,,,369.52,369.52,1
HCPCS,93225,Ecg monit/reprt up to 48 hrs,,,94.05,94.05,1
HCPCS,93225,"HC MEDICAL NUTRITION THERAPY, GROUP, EA 30 MIN",683.0,683.0,,,0
HCPCS,93226,Ecg monit/reprt up to 48 hrs,,,180.17,180.17,1
HCPCS,93226,HC HPA-4  GENOTYPING (35),1440.0,1440.0,,,0
HCPCS,93227,Ecg monit/reprt up to 48 hrs,,,95.29,95.29,1
HCPCS,93228,Remote 30 day ecg rev/report,,,135.93,135.93,1
HCPCS,93229,Remote 30 day ecg tech supp,,,3919.87,3919.87,1
HCPCS,93241,Ext ecg>48hr<7d rec scan a/r,,,1448.29,1448.29,1
HCPCS,93242,Ext ecg>48hr<7d recording,,,61.3,61.3,1
HCPCS,93242,HC KEY CHAIN BAT TESTER,132.0,132.0,,,0
HCPCS,93243,Ext ecg>48hr<7d scan a/r,,,1263.96,1263.96,1
HCPCS,93244,Ext ecg>48hr<7d rev&interpj,,,123.03,123.03,1
HCPCS,93245,Ext ecg>7d<15d rec scan a/r,,,1502.08,1502.08,1
HCPCS,93246,Ext ecg>7d<15d recording,,,61.3,61.3,1
HCPCS,93246,HC HA CARE KIT (ADULT),217.0,217.0,,,0
HCPCS,93247,Ext ecg>7d<15d scan a/r,,,1307.02,1307.02,1
HCPCS,93248,Ext ecg>7d<15d rev&interpj,,,133.77,133.77,1
HCPCS,93260,HC TARGETED GENOMIC SEQ ANALYSIS 51+ (795),187.0,187.0,,,0
HCPCS,93260,Prgrmg dev eval impltbl sys,,,180.17,180.17,1
HCPCS,93261,Interrogate subq defib,,,178.45,178.45,1
HCPCS,93264,Rem mntr wrls p-art prs snr,,,163.66,163.66,1
HCPCS,93268,ECG record/review,,,883.27,883.27,1
HCPCS,93270,"HC ICD DEVICE PROG EVAL, 1 SINGLE",208.0,208.0,,,0
HCPCS,93270,Remote 30 day ecg rev/report,,,44.09,44.09,1
HCPCS,93271,Ecg/monitoring and analysis,,,710.87,710.87,1
HCPCS,93272,Ecg/review interpret only,,,128.37,128.37,1
HCPCS,93278,ECG/signal-averaged,,,107.81,107.81,1
HCPCS,93279,"HC ICD DEVICE PROGR EVAL, DUAL",114.0,114.0,,,0
HCPCS,93279,Pm device progr eval sngl,,,187.08,187.08,1
HCPCS,93280,HC ILR DEVICE EVAL PROGR,145.0,145.0,,,0
HCPCS,93280,Pm device progr eval dual,,,216.38,216.38,1
HCPCS,93281,Pm device progr eval multi,,,218.11,218.11,1
HCPCS,93282,HC HPA-5  GENOTYPING (35),124.0,124.0,,,0
HCPCS,93282,Prgrmg eval implantable dfb,,,197.39,197.39,1
HCPCS,93283,HC PM DEVICE EVAL IN PERSON,315.0,315.0,,,0
HCPCS,93283,Prgrmg eval implantable dfb,,,218.11,218.11,1
HCPCS,93284,Prgrmg eval implantable dfb,,,233.59,233.59,1
HCPCS,93285,HC CAR ION CHNNLPATH INC 2 GN (2675),125.0,125.0,,,0
HCPCS,93285,Ilr device eval progr,,,178.45,178.45,1
HCPCS,93286,Peri-px pacemaker device evl,,,156.05,156.05,1
HCPCS,93287,Peri-px device eval & prgr,,,156.05,156.05,1
HCPCS,93288,HC ILR DEVICE INTERROGATE,136.0,136.0,,,0
HCPCS,93288,Pm device eval in person,,,183.63,183.63,1
HCPCS,93289,HC TTE CONG ABN; LIMITED/F-UP,139.0,139.0,,,0
HCPCS,93289,Interrog device eval heart,,,185.35,185.35,1
HCPCS,93290,Icm device eval,,,166.41,166.41,1
HCPCS,93291,HC TTE W/DOPPLER COMPLETE,58.0,58.0,,,0
HCPCS,93291,Ilr device interrogate,,,159.51,159.51,1
HCPCS,93292,Wcd device interrogate,,,161.23,161.23,1
HCPCS,93293,Pm phone r-strip device eval,,,137.11,137.11,1
HCPCS,93294,Pm device interrogate remote,,,160.26,160.26,1
HCPCS,93295,Dev interrog remote 1/2/mlt,,,196.74,196.74,1
HCPCS,93296,Pm/icd remote tech serv,,,164.69,164.69,1
HCPCS,93297,Icm device interrogat remote,,,188.81,188.81,1
HCPCS,93298,Ilr device interrogat remote,,,408.59,408.59,1
HCPCS,93303,Echo transthoracic,,,830.01,830.01,1
HCPCS,93303,HC ECHO TRANSESOPHAGEAL COMPLETE,2946.0,2946.0,,,0
HCPCS,93304,Echo transthoracic,,,615.36,615.36,1
HCPCS,93304,HC TEE CONGENITAL; GLOBAL,1829.0,1829.0,,,0
HCPCS,93306,HC DOPPLER ECHO; COMPLETE,4673.0,4673.0,,,0
HCPCS,93306,Tte w/doppler complete,,,669.75,669.75,1
HCPCS,93307,Tte w/o doppler complete,,,491.31,491.31,1
HCPCS,93308,HC DOPPLER ECHO; LIMITED/ F-UP,1515.0,1515.0,,,0
HCPCS,93308,Tte f-up or lmtd,,,396.55,396.55,1
HCPCS,93312,Echo transesophageal,,,695.6,695.6,1
HCPCS,93312,HC DOPPLER COLOR FLOW,4068.0,4068.0,,,0
HCPCS,93313,Echo transesophageal,,,57.36,57.36,1
HCPCS,93314,Echo transesophageal,,,740.39,740.39,1
HCPCS,93315,HC STRESS TTE ONLY,2935.0,2935.0,,,0
HCPCS,93316,Echo transesophageal,,,135.39,135.39,1
HCPCS,93319,3d echo img cgen car anomal,,,114.67,114.67,1
HCPCS,93319,HC CUSTOM SWIM PLUG SET,116.0,116.0,,,0
HCPCS,93320,Doppler echo exam heart,,,176.72,176.72,1
HCPCS,93320,HC INTERROGATION VAD IN PERSON,1337.0,1337.0,,,0
HCPCS,93321,Doppler echo exam heart,,,93.03,93.03,1
HCPCS,93321,HC IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE,703.0,703.0,,,0
HCPCS,93325,Doppler color flow add-on,,,105.11,105.11,1
HCPCS,93325,HC CAROTID DUPLEX SCAN; BILAT,896.0,896.0,,,0
HCPCS,93350,HC INTRACRANIAL ARTERY DOPPLER; COMPL,2934.0,2934.0,,,0
HCPCS,93350,Stress tte only,,,610.18,610.18,1
HCPCS,93351,HC PROCALCITONIN (PCT),3074.0,3074.0,,,0
HCPCS,93351,Stress tte complete,,,789.65,789.65,1
HCPCS,93352,Admin ecg contrast agent,,,187.83,187.83,1
HCPCS,93355,Echo transesophageal (tee),,,1060.26,1060.26,1
HCPCS,93356,HC IMMUMOASSAY QUANT NOS NONAB (90),168.0,168.0,,,0
HCPCS,93356,Myocrd strain img spckl trck,,,55.47,55.47,1
HCPCS,93451,HC SLEEP STUDY; ATTENDED,18548.0,18548.0,,,0
HCPCS,93451,Right heart cath,,,3195.0,14456.0,4
HCPCS,93452,HC EEG DURING NONINTRACRANIAL SURGERY,21970.0,21970.0,,,0
HCPCS,93452,Left hrt cath w/ventrclgrphy,,,3332.08,14456.0,4
HCPCS,93453,HC PRQ CARDIAC ANGIOPLAST SINGLE ART/BRANCH,29301.0,29301.0,,,0
HCPCS,93453,R&l hrt cath w/ventriclgrphy,,,4167.71,14456.0,4
HCPCS,93454,Coronary artery angio s&i,,,3330.36,14456.0,4
HCPCS,93454,HC PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH,11816.0,11816.0,,,0
HCPCS,93455,Coronary art/grft angio s&i,,,3654.28,14456.0,4
HCPCS,93456,R hrt coronary artery angio,,,4083.32,14456.0,4
HCPCS,93457,R hrt art/grft angio,,,4403.03,14456.0,4
HCPCS,93458,HC PRQ BALLOON VALVULOPLASTY AORTIC VALVE,22313.0,22313.0,,,0
HCPCS,93458,L hrt artery/ventricle angio,,,3733.55,14456.0,4
HCPCS,93459,L hrt art/grft angio,,,3934.39,14456.0,4
HCPCS,93460,HC PRQ BALLOON VALVULOPLASTY MITRAL VALVE,22970.0,22970.0,,,0
HCPCS,93460,R&l hrt art/ventricle angio,,,4349.61,14456.0,4
HCPCS,93461,R&l hrt art/ventricle angio,,,4789.98,14456.0,4
HCPCS,93462,HC FOREARM-HAND CAST MATERIAL,22465.0,22465.0,,,0
HCPCS,93462,L hrt cath trnsptl puncture,,,1026.86,3195.0,4
HCPCS,93463,Drug admin & hemodynmic meas,,,456.56,2782.0,3
HCPCS,93463,"HC VENTILATOR MGT, INITIAL DAY - ADULT",357.0,357.0,,,0
HCPCS,93464,Exercise w/hemodynamic meas,,,700.51,2782.0,3
HCPCS,93503,HC EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED,3839.0,3839.0,,,0
HCPCS,93503,Insert/place heart catheter,,,453.64,4497.0,4
HCPCS,93505,Biopsy of heart lining,,,2219.48,12821.0,4
HCPCS,93505,HC PRQ BALLOON VALVULOPLASTY PULMONARY VALVE,7078.0,7078.0,,,0
HCPCS,93530,HC PRQ TRLUML PULMONARY ART BALLOON ANGIOP SINGLE VSL,13318.0,13318.0,,,0
HCPCS,93531,HC RIGHT HEART CATH O2 SATURATION & CARDIAC OUTPUT,14132.0,14132.0,,,0
HCPCS,93532,HC LEFT HEART CATH W/NJX L VENTRICULOGRAPHY IMG S&I,9568.0,9568.0,,,0
HCPCS,93533,HC RT & LT HEART CATH W/VENTRICULOGRAPHY,10089.0,10089.0,,,0
HCPCS,93563,Inject congenital card cath,,,252.69,2782.0,3
HCPCS,93564,HC CATH PLACEMENT & NJX CORONARY ART ANGIO IMG S&I,476.0,476.0,,,0
HCPCS,93564,Inject hrt congntl art/grft,,,275.25,2782.0,3
HCPCS,93565,Inject l ventr/atrial angio,,,136.3,2782.0,3
HCPCS,93566,Inject r ventr/atrial angio,,,127.24,2782.0,3
HCPCS,93567,Inject suprvlv aortography,,,188.32,2782.0,3
HCPCS,93568,Inject pulm art hrt cath,,,233.05,2782.0,3
HCPCS,93569,Njx cth slct p-art angrp uni,,,179.09,2782.0,3
HCPCS,93571,Heart flow reserve measure,,,2505.0,2782.0,2
HCPCS,93572,Heart flow reserve measure,,,2505.0,2782.0,2
HCPCS,93573,Njx cath slct p-art angrp bi,,,291.92,2782.0,3
HCPCS,93574,Njx cath slct pulm vn angrph,,,323.22,2782.0,3
HCPCS,93575,Njx cath slct p angrph mapca,,,432.54,2782.0,3
HCPCS,93580,HC  CATH PLMT LT HEART & ARTS W/NJX & ANGIO IMG S&I,45913.0,45913.0,,,0
HCPCS,93580,Transcath closure of asd,,,4893.25,34630.0,4
HCPCS,93581,HC RT & LT HEART CATH WINJX HRT ART& L VENTR IMG,22039.0,22039.0,,,0
HCPCS,93581,Transcath closure of vsd,,,6660.44,34630.0,4
HCPCS,93582,HC ENDOMYOCARDIAL BIOPSY,122784.0,122784.0,,,0
HCPCS,93582,Perq transcath closure pda,,,3326.2,34630.0,4
HCPCS,93583,Perq transcath septal reduxn,,,3728.26,8212.0,4
HCPCS,93584,Vngrph chd anom/persist svc,,,267.75,3195.0,2
HCPCS,93585,Vngrph chd azygs/hemiazygs,,,253.4,3195.0,2
HCPCS,93586,Vngrph chd coronary sinus,,,325.59,3195.0,2
HCPCS,93587,Vngrph chd vnvn cltrl at/abv,,,477.38,3195.0,2
HCPCS,93588,Vngrph chd vnvn cltrl below,,,481.0,3195.0,2
HCPCS,93590,Perq transcath cls mitral,,,5048.61,39251.0,4
HCPCS,93591,Perq transcath cls aortic,,,4151.52,39251.0,4
HCPCS,93592,Perq transcath closure each,,,1801.94,3195.0,4
HCPCS,93593,R hrt cath chd nml nt cnj,,,8406.0,14456.0,3
HCPCS,93594,R hrt cath chd abnl nt cnj,,,8406.0,14456.0,3
HCPCS,93595,L hrt cath chd nm/abn nt cnj,,,8406.0,14456.0,3
HCPCS,93596,R&l hrt cath chd nml nt cnj,,,8406.0,14456.0,3
HCPCS,93597,R&l hrt cath chd abnl nt cnj,,,8406.0,14456.0,3
HCPCS,93598,Car outp meas drg cath chd,,,2505.0,2782.0,2
HCPCS,93600,Bundle of His recording,,,8406.0,12864.0,3
HCPCS,93602,DEAC 1/1/2022 HC RT HRT CATH CONGENITAL CARDIAC ANOMALY,11855.0,11855.0,,,0
HCPCS,93602,Intra-atrial recording,,,11577.0,12864.0,2
HCPCS,93603,DEAC 1/1/2022 HC RT/LT HEART & RETROGR CATH COGENITAL ANOMALY,3560.0,3560.0,,,0
HCPCS,93603,Right ventricular recording,,,11577.0,12864.0,2
HCPCS,93609,HC SHOULDER-HAND CAST MATERIAL,10930.0,10930.0,,,0
HCPCS,93609,Map tachycardia add-on,,,8406.0,12864.0,3
HCPCS,93610,DEAC 1/1/2022 HC CMBN RT/LT HEART CATH THRU INTACT SEPTUM,13195.0,13195.0,,,0
HCPCS,93610,Intra-atrial pacing,,,11577.0,12864.0,2
HCPCS,93612,DEAC 1/1/2022 HC CMBN RT/LT HEART CATH THRU OPEN SEPTUM,12516.0,12516.0,,,0
HCPCS,93612,Intraventricular pacing,,,11577.0,12864.0,2
HCPCS,93613,Electrophys map 3d add-on,,,1438.2,12864.0,3
HCPCS,93613,HC SHORT LEG CASTING MATERIAL,15958.0,15958.0,,,0
HCPCS,93615,Esophageal recording,,,11577.0,12864.0,2
HCPCS,93616,Esophageal recording,,,11577.0,12864.0,2
HCPCS,93616,HC INJECT HEART CONGENITAL ART/GRFT,3736.0,3736.0,,,0
HCPCS,93618,HC ELECTROPHYSIOLOGY EVALUATION,10106.0,10106.0,,,0
HCPCS,93618,Heart rhythm pacing,,,8406.0,12864.0,3
HCPCS,93619,Electrophysiology evaluation,,,8406.0,22111.0,3
HCPCS,93619,HC TRANSCATH CLOSURE OF ASD,9342.0,9342.0,,,0
HCPCS,93620,Electrophysiology evaluation,,,8406.0,22111.0,3
HCPCS,93620,HC TRANSCATH CLOSURE OF VSD,20478.0,20478.0,,,0
HCPCS,93621,Electrophysiology evaluation,,,8406.0,12864.0,3
HCPCS,93621,HC LONG LEG CASTING MATERIAL,26384.0,26384.0,,,0
HCPCS,93622,Electrophysiology evaluation,,,8406.0,12864.0,3
HCPCS,93622,HC ELBOW-FINGER CAST MATERIAL,22152.0,22152.0,,,0
HCPCS,93623,HC COMPLEMENT C3A,31081.0,31081.0,,,0
HCPCS,93623,Stimulation pacing heart,,,11577.0,12864.0,2
HCPCS,93624,Electrophysiologic study,,,19899.0,22111.0,2
HCPCS,93631,Heart pacing mapping,,,11577.0,12864.0,2
HCPCS,93640,Evaluation heart device,,,8406.0,12864.0,3
HCPCS,93641,Electrophysiology evaluation,,,8406.0,12864.0,3
HCPCS,93642,Electrophysiology evaluation,,,433.73,12864.0,4
HCPCS,93642,HC IMMUMOASSAY QUANT NOS NONAB (115),6326.0,6326.0,,,0
HCPCS,93644,Electrophysiology evaluation,,,261.17,12864.0,3
HCPCS,93644,HC PERQ TRANSCATH CLOSURE PDA,4412.0,4412.0,,,0
HCPCS,93650,Ablate heart dysrhythm focus,,,2874.67,53655.0,4
HCPCS,93650,HC INTRA-ATRIAL RECORDING,49385.0,49385.0,,,0
HCPCS,93653,Ep & ablate supravent arrhyt,,,4126.16,53655.0,4
HCPCS,93653,HC RIGHT VENTRICULAR RECORDING,73502.0,73502.0,,,0
HCPCS,93654,Ep & ablate ventric tachy,,,4972.09,53655.0,4
HCPCS,93654,HC INTRA-ATRIAL PACING,100877.0,100877.0,,,0
HCPCS,93655,Ablate arrhythmia add on,,,1513.36,53655.0,4
HCPCS,93655,"HC ALD FM/DM RECEIVER, NOS",36002.0,36002.0,,,0
HCPCS,93656,HC INTRAVENTRICULAR PACING,86975.0,86975.0,,,0
HCPCS,93656,Tx atrial fib pulm vein isol,,,4678.01,53655.0,4
HCPCS,93657,HC ALD FM/DM TRANSMITTER,36002.0,36002.0,,,0
HCPCS,93657,Tx l/r atrial fib addl,,,1513.36,53655.0,4
HCPCS,93660,"HC VISUAL EVOKED POTENTIAL, CHECKERBD/FLASH TEST, CNS, EXCEPT GLAUCOMA",36889.0,36889.0,,,0
HCPCS,93660,Tilt table evaluation,,,407.88,2782.0,3
HCPCS,93662,"HC EVOKED AUDITORY TEST QUAL, SCREENING",11188.0,11188.0,,,0
HCPCS,93662,Intracardiac Ecg (Ice),,,2505.0,2782.0,2
HCPCS,93668,Peripheral Vascular Rehab,,,80.24,80.24,1
HCPCS,93701,Bioimpedance cv analysis,,,140.57,140.57,1
HCPCS,93702,Bis xtracell fluid analysis,,,685.99,685.99,1
HCPCS,93724,Analyze pacemaker system,,,240.5,240.5,1
HCPCS,93745,Set-up cardiovert-defibrill,,,2505.0,2782.0,2
HCPCS,93750,HC AB; VIRUS NES (35),333.0,333.0,,,0
HCPCS,93750,Interrogation vad in person,,,188.59,2782.0,3
HCPCS,93784,Ambulatory BP monitoring,,,252.26,252.26,1
HCPCS,93786,Ambulatory BP recording,,,123.3,123.3,1
HCPCS,93788,Ambulatory BP analysis,,,32.0,32.0,1
HCPCS,93790,Review/report BP recording,,,96.97,96.97,1
HCPCS,93792,Pt/caregiver trainj home inr,,,376.86,376.86,1
HCPCS,93793,Anticoag mgmt pt warfarin,,,62.7,62.7,1
HCPCS,93797,Cardiac rehab,,,42.03,42.03,1
HCPCS,93798,Cardiac rehab/monitor,,,66.21,66.21,1
HCPCS,93799,Cardiovascular procedure,,,2505.0,2782.0,2
HCPCS,93799,"HC MITO GENOME SEQUENCING HETEROPLASMY DETECTION, IF PERFRMD (148)",11873.0,11873.0,,,0
HCPCS,93880,Extracranial bilat study,,,785.23,785.23,1
HCPCS,93880,HC DUPLEX LE ART/BPG; UNIL/LIMIT,1855.0,1855.0,,,0
HCPCS,93882,Extracranial uni/ltd study,,,520.61,520.61,1
HCPCS,93886,HC HPA-9  GENOTYPING (35),1340.0,1340.0,,,0
HCPCS,93886,Intracranial complete study,,,1160.84,1160.84,1
HCPCS,93888,Intracranial limited study,,,694.63,694.63,1
HCPCS,93892,Tcd emboli detect w/o inj,,,1282.41,1282.41,1
HCPCS,93893,Tcd emboli detect w/inj,,,1582.97,1582.97,1
HCPCS,93896,Vsrctv std tcd icr art compl,,,756.63,756.63,1
HCPCS,93897,Emboli detcj wo iv mbubb njx,,,1035.06,1035.06,1
HCPCS,93898,Ven-artl shunt det mbubb njx,,,1128.84,1128.84,1
HCPCS,93922,Upr/l xtremity art 2 levels,,,370.71,370.71,1
HCPCS,93923,Upr/lxtr art stdy 3+ lvls,,,581.9,581.9,1
HCPCS,93924,Lwr xtr vasc stdy bilat,,,733.53,733.53,1
HCPCS,93925,HC DUPLEX UE ART/BPG; UNIL/LIMIT,1456.0,1456.0,,,0
HCPCS,93925,Lower extremity study,,,1039.49,1039.49,1
HCPCS,93926,HC DUPLEX A IVC IL/BPG; UNIL/LIM,1113.0,1113.0,,,0
HCPCS,93926,Lower extremity study,,,609.48,609.48,1
HCPCS,93930,HC DUPLEX HEMODIALYSIS ACCESS,860.0,860.0,,,0
HCPCS,93930,Upper extremity study,,,836.92,836.92,1
HCPCS,93931,HC CENTRAL MOTOR EVOKED UPP LIMBS,959.0,959.0,,,0
HCPCS,93931,Upper extremity study,,,508.52,508.52,1
HCPCS,93970,Extremity study,,,786.95,786.95,1
HCPCS,93970,HC DUPLEX ARTERIAL FLOW; LIMITED,2029.0,2029.0,,,0
HCPCS,93971,Extremity study,,,496.49,496.49,1
HCPCS,93971,HC DUPLEX A IVC IL/BPG; COMPL,1357.0,1357.0,,,0
HCPCS,93975,HC SPIROMETRY,2051.0,2051.0,,,0
HCPCS,93975,Vascular study,,,1067.06,1067.06,1
HCPCS,93976,HC SPIROMETRY W/BRONCHODILATOR,1399.0,1399.0,,,0
HCPCS,93976,Vascular study,,,615.36,615.36,1
HCPCS,93978,HC BRONCHOSPASM PROVOCATION EVAL,805.0,805.0,,,0
HCPCS,93978,Vascular study,,,740.39,740.39,1
HCPCS,93979,HC FLT3 GENE (100),1042.0,1042.0,,,0
HCPCS,93979,Vascular study,,,484.4,484.4,1
HCPCS,93980,HC CENTRAL MOTOR EVOKED LWR LIMBS,408.0,408.0,,,0
HCPCS,93980,Penile vascular study,,,316.31,316.31,1
HCPCS,93981,Penile vascular study,,,271.47,271.47,1
HCPCS,93985,Dup-scan hemo compl bi std,,,1099.06,1099.06,1
HCPCS,93986,Dup-scan hemo compl uni std,,,649.08,649.08,1
HCPCS,93986,HC CYTOGENOMIC NEO MICRORA ALYS (350),397.0,397.0,,,0
HCPCS,93990,Doppler flow testing,,,631.87,631.87,1
HCPCS,93990,HC 2D TTE W OR W/O FOL W/CONTRAST,627.0,627.0,,,0
HCPCS,94002,"HC CHEST PT,  INITIAL TX",3361.0,3361.0,,,0
HCPCS,94002,Vent mgmt inpat init day,,,476.36,476.36,1
HCPCS,94003,HC AB; CRYPTOCOCCUS,3200.0,3200.0,,,0
HCPCS,94003,Vent mgmt inpat subq day,,,327.65,327.65,1
HCPCS,94004,Vent Mgmt NF per day,,,240.55,240.55,1
HCPCS,94010,Breathing capacity test,,,111.27,111.27,1
HCPCS,94010,HB RESPIRATORY FLOW VOLUME LOOP - NON-MARYLAND,335.0,335.0,,,0
HCPCS,94011,Spirometry up to 2 yrs old,,,392.88,392.88,1
HCPCS,94012,Spirmtry w/brnchdil inf-2 yr,,,643.58,643.58,1
HCPCS,94013,Meas lung vol thru 2 yrs,,,92.27,92.27,1
HCPCS,94014,Patient recorded spirometry,,,315.4,315.4,1
HCPCS,94015,Patient recorded spirometry,,,181.9,181.9,1
HCPCS,94016,Review patient spirometry,,,133.5,133.5,1
HCPCS,94060,Evaluation of wheezing,,,171.54,171.54,1
HCPCS,94060,"HC CARDIOPULM EXERCISE TEST, INCL MEASURE MIN VENT, CO2, O2  & ECG",1080.0,1080.0,,,0
HCPCS,94070,Evaluation of wheezing,,,213.9,213.9,1
HCPCS,94070,HC AEROSOL PENTAMIDINE FOR P. CARINII,1306.0,1306.0,,,0
HCPCS,94200,Lung function test (MBC/MVV),,,71.6,71.6,1
HCPCS,94375,HC EVALUATE PT USE OF INHALER/PER DAY,898.0,898.0,,,0
HCPCS,94375,Respiratory flow volume loop,,,144.02,144.02,1
HCPCS,94450,Hypoxia response curve,,,470.64,470.64,1
HCPCS,94452,DEAC 11/01/2023 HC ADMN SARSCOV2 BIVALENT 3 MCG/0.2ML ADDL DOSE,698.0,698.0,,,0
HCPCS,94452,Hast w/report,,,221.51,221.51,1
HCPCS,94453,HC F5 GENE ANALYSIS,638.0,638.0,,,0
HCPCS,94453,Hast w/oxygen titrate,,,294.89,294.89,1
HCPCS,94610,HC X-RAY EXAM ABDOMEN 2 VIEWS,1403.0,1403.0,,,0
HCPCS,94610,Surfactant Admin Thru Tube,,,262.25,262.25,1
HCPCS,94617,Exercise tst brncspsm,,,321.71,321.71,1
HCPCS,94618,"HC DGP ANTIBODY, EACH IMMUNOGLOBULIN (IG) CLASS",665.0,665.0,,,0
HCPCS,94618,Pulmonary stress testing,,,75.06,75.06,1
HCPCS,94619,Exercise tst brncspsm wo ecg,,,236.29,236.29,1
HCPCS,94621,"HC OXYGEN UPTAKE, % O2",643.0,643.0,,,0
HCPCS,94621,Pulm stress test/complex,,,507.82,507.82,1
HCPCS,94625,Phy/qhp op pulm rhb w/o mntr,,,92.22,92.22,1
HCPCS,94626,Phy/qhp op pulm rhb w/mntr,,,137.11,137.11,1
HCPCS,94640,Airway inhalation treatment,,,45.76,45.76,1
HCPCS,94640,"HC HA DIGITAL, ADVANCED, MONAURAL, CIC",492.0,492.0,,,0
HCPCS,94642,HC PULMONARY FUNCTION TST PLETHYSMOGRAPHY,989.0,989.0,,,0
HCPCS,94644,Cbt 1st hour,,,324.19,324.19,1
HCPCS,94644,"HC PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA, BULLA, OR CYST",725.0,725.0,,,0
HCPCS,94645,Cbt each addl hour,,,87.15,87.15,1
HCPCS,94645,HC MOPATH PROCEDURE LEVEL 7 (1490),95.0,95.0,,,0
HCPCS,94660,HC AB; EBNA,1424.0,1424.0,,,0
HCPCS,94660,Pos airway pressure cpap,,,178.93,178.93,1
HCPCS,94662,HC ATTENDANCE AT DELIVERY  INIT STABILIZATION OF NB,1990.0,1990.0,,,0
HCPCS,94664,Evaluate pt use of inhaler,,,105.33,105.33,1
HCPCS,94664,HC CO/MEMBRANE DIFFUSE CAPACITY,1158.0,1158.0,,,0
HCPCS,94667,Chest wall manipulation,,,143.26,143.26,1
HCPCS,94667,"HC ALTERNATIVE GAS THERAPY, PER DAY",1017.0,1017.0,,,0
HCPCS,94668,Chest wall manipulation,,,203.54,203.54,1
HCPCS,94668,HC AB; HISTOPLASMA,324.0,324.0,,,0
HCPCS,94669,HC X-RAY EXAM ABDOMEN 1 VIEW,924.0,924.0,,,0
HCPCS,94669,Mechanical chest wall oscill,,,134.63,134.63,1
HCPCS,94680,Exhaled air analysis o2,,,236.29,236.29,1
HCPCS,94681,Exhaled air analysis o2/co2,,,210.44,210.44,1
HCPCS,94681,HC PULSE OXIMETRY,974.0,974.0,,,0
HCPCS,94690,Exhaled air analysis,,,252.53,252.53,1
HCPCS,94726,"HC PULSE OX MULTIPLE, EG EXERCISE",698.0,698.0,,,0
HCPCS,94726,Pulm funct tst plethysmograp,,,269.04,269.04,1
HCPCS,94727,Pulm function test by gas,,,195.71,195.71,1
HCPCS,94728,HC HEALTH BEHAVIOR INTERV INDIV FACE TO FACE; EA ADDL 15 MIN,837.0,837.0,,,0
HCPCS,94728,Pulm funct test oscillometry,,,185.35,185.35,1
HCPCS,94729,Co/membane diffuse capacity,,,280.11,280.11,1
HCPCS,94729,HC MSLT- SLEEP LATENCY,735.0,735.0,,,0
HCPCS,94760,HC POLYSOMNOGRAPHY W/4> PARAM,112.0,112.0,,,0
HCPCS,94760,Measure blood oxygen level,,,21.64,21.64,1
HCPCS,94761,"HC CPAP- SLEEP STAGING, >4 PAR",607.0,607.0,,,0
HCPCS,94761,Measure blood oxygen level,,,23.36,23.36,1
HCPCS,94762,HC ANORECTAL MANOMETRY,748.0,748.0,,,0
HCPCS,94762,Measure blood oxygen level,,,125.03,125.03,1
HCPCS,94780,Car seat/bed test 60 min,,,111.86,111.86,1
HCPCS,94781,Car seat/bed test + 30 min,,,38.53,38.53,1
HCPCS,94799,HC CELL MARKER STUDY,332.0,332.0,,,0
HCPCS,94799,HC CHLAMYDIA P AMPLIF NA PROBE,14461.0,14461.0,,,0
HCPCS,94799,"HC CONTINOUS AEROSOL MIST W/WO OXYGEN, PER DAY",1023.0,1023.0,,,0
HCPCS,94799,HC CRYPTOSPORIDIUM AG EIA,332.0,332.0,,,0
HCPCS,94799,HC DRUG ADMINISTRATION (NITRIC OXIDE) & HEMODYNMIC MEASURES,874.0,874.0,,,0
HCPCS,94799,HC EXAM SYNOVIAL FLUID CRYSTALS,332.0,332.0,,,0
HCPCS,94799,HC FECAL LEUKO CNT QUAL/SEMIQUAN,2070.0,2070.0,,,0
HCPCS,94799,HC HEXAGNAL PHOSPH PLTLT NEUTRL,1236.0,1236.0,,,0
HCPCS,94799,HC INJECTION; SINGLE TENDON SHEATH/LIGAMENT,332.0,332.0,,,0
HCPCS,94799,HC LAB CYCTOLOGY,2165.0,2165.0,,,0
HCPCS,94799,HC RESP SYNCYTIAL AG EIA,332.0,332.0,,,0
HCPCS,94799,HC SERUM PRETX; RC ABSORPT,332.0,332.0,,,0
HCPCS,94799,HC X-LINKED INTELLECTUAL (AUTISM) SEQ ANAL,137.0,137.0,,,0
HCPCS,95004,Percut allergy skin tests,,,20.02,20.02,1
HCPCS,95012,Exhaled Nitric Oxide Meas,,,102.63,102.63,1
HCPCS,95017,Perq & icut allg test venoms,,,17.05,17.05,1
HCPCS,95018,HC PERQ DEVICE BREAST 1ST IMAG,83.0,83.0,,,0
HCPCS,95018,Perq&ic allg test drugs/biol,,,33.13,33.13,1
HCPCS,95024,Icut allergy test drug/bug,,,6.26,6.26,1
HCPCS,95027,Icut allergy titrate-airborn,,,25.2,25.2,1
HCPCS,95028,Icut allergy test-delayed,,,64.75,64.75,1
HCPCS,95044,Allergy patch tests,,,26.82,26.82,1
HCPCS,95052,Photo patch test,,,32.0,32.0,1
HCPCS,95056,Photosensitivity tests,,,269.04,269.04,1
HCPCS,95060,Eye allergy tests,,,211.2,211.2,1
HCPCS,95065,Nose allergy test,,,145.69,145.69,1
HCPCS,95070,Bronchial allergy tests,,,208.02,208.02,1
HCPCS,95070,HC X-RAY EXAM CHEST 2 VIEWS,1213.0,1213.0,,,0
HCPCS,95076,HC PERQ DEVICE BREAST EA IMAG,1497.0,1497.0,,,0
HCPCS,95076,Ingest challenge ini 120 min,,,340.0,340.0,1
HCPCS,95079,HC PERQ DEV BREAST 1ST STEREOTACTIC GUIDANCE,242.0,242.0,,,0
HCPCS,95079,Ingest challenge addl 60 min,,,312.21,312.21,1
HCPCS,95115,Immunotherapy one injection,,,54.39,54.39,1
HCPCS,95117,Immunotherapy injections,,,64.75,64.75,1
HCPCS,95144,Antigen therapy services,,,15.27,15.27,1
HCPCS,95145,Antigen therapy services,,,15.27,15.27,1
HCPCS,95146,Antigen therapy services,,,15.27,15.27,1
HCPCS,95147,Antigen therapy services,,,15.27,15.27,1
HCPCS,95148,Antigen therapy services,,,15.27,15.27,1
HCPCS,95149,Antigen therapy services,,,15.27,15.27,1
HCPCS,95165,Antigen therapy services,,,15.27,15.27,1
HCPCS,95170,Antigen therapy services,,,15.27,15.27,1
HCPCS,95180,Rapid desensitization,,,470.8,470.8,1
HCPCS,95249,Cont gluc mntr pt prov eqp,,,364.07,364.07,1
HCPCS,95250,Glucose monitoring cont,,,792.35,792.35,1
HCPCS,95251,Gluc monitor cont phys i&r,,,191.23,191.23,1
HCPCS,95700,HC INSERT 1 ELECTRODE PM-DEFIB,1028.0,1028.0,,,0
HCPCS,95705,HC INSERT 2 ELECTRODE PM-DEFIB,3086.0,3086.0,,,0
HCPCS,95708,HC THER INTERV COG FUNCT/COMP STRATG; DIR CONTACT; 1ST 15 MIN,5915.0,5915.0,,,0
HCPCS,95711,HC THER INTERV COG FUNCT/COMP STRATG; DIR CONTACT; EA ADDL 15 MIN,4501.0,4501.0,,,0
HCPCS,95712,HC UNLISTED PROCEDURE MUSCULOSKELETAL SYSTEM GENERAL,4886.0,4886.0,,,0
HCPCS,95713,"HC DUPLEX SCAN ARTERIAL INFLOW & VENOUS OUTFLOW, PREOP, COMPLT UNI STUDY",5658.0,5658.0,,,0
HCPCS,95714,HC DRUG ASSAY ADALIMUMAB (265),7330.0,7330.0,,,0
HCPCS,95715,HC DRUG ASSAY POSACONAZOLE (30),7716.0,7716.0,,,0
HCPCS,95716,HC DRUG ASSAY INFLIXIMAB (165),8488.0,8488.0,,,0
HCPCS,95717,Eeg phys/qhp 2-12 hr w/o vid,,,491.31,491.31,1
HCPCS,95718,Eeg phys/qhp 2-12 hr w/veeg,,,614.55,614.55,1
HCPCS,95719,Eeg phys/qhp ea incr w/o vid,,,736.82,736.82,1
HCPCS,95720,Eeg phy/qhp ea incr w/veeg,,,945.0,945.0,1
HCPCS,95721,Eeg phy/qhp>36<60 hr w/o vid,,,974.63,974.63,1
HCPCS,95722,Eeg phy/qhp>36<60 hr w/veeg,,,1179.19,1179.19,1
HCPCS,95723,Eeg phy/qhp>60<84 hr w/o vid,,,1182.8,1182.8,1
HCPCS,95724,Eeg phy/qhp>60<84 hr w/veeg,,,1495.45,1495.45,1
HCPCS,95725,Eeg phy/qhp>84 hr w/o vid,,,1358.5,1358.5,1
HCPCS,95726,Eeg phy/qhp>84 hr w/veeg,,,1902.58,1902.58,1
HCPCS,95782,HC HA REPAIR BINAURAL OUT WA,7941.0,7941.0,,,0
HCPCS,95782,Polysom <6 yrs 4/> paramtrs,,,4611.53,4611.53,1
HCPCS,95783,HC HA REPAIR MONAURAL OUT WA,4833.0,4833.0,,,0
HCPCS,95783,Polysom <6 yrs cpap/bilvl,,,4865.84,4865.84,1
HCPCS,95800,Slp stdy unattended,,,530.91,530.91,1
HCPCS,95801,Slp stdy unatnd w/anal,,,325.92,325.92,1
HCPCS,95803,Actigraphy testing,,,478.25,478.25,1
HCPCS,95803,HC SLEEP STUDY UNATTENDED & RESP EFFORT,258.0,258.0,,,0
HCPCS,95805,HC EXTENDED EEG 41-60 MIN,4045.0,4045.0,,,0
HCPCS,95805,Multiple sleep latency test,,,2187.97,2187.97,1
HCPCS,95806,HC IMMUMOASSAY QUANT NOS NONAB (190),568.0,568.0,,,0
HCPCS,95806,Sleep study unatt&resp efft,,,303.53,303.53,1
HCPCS,95807,HC MYOCRD STRAIN IMG USING SPECKLE TRCK ASSMT OF MYOCRD MECHAN,2074.0,2074.0,,,0
HCPCS,95807,Sleep study attended,,,1992.31,1992.31,1
HCPCS,95808,Polysom any age 1-3> param,,,2235.51,2235.51,1
HCPCS,95810,HC EEG EXTENDED MONITORING; 61-119 MIN,7624.0,7624.0,,,0
HCPCS,95810,Polysom 6/> yrs 4/> param,,,2873.26,2873.26,1
HCPCS,95811,HC EEG AWAKE & DROWSY,9508.0,9508.0,,,0
HCPCS,95811,Polysom 6/>yrs cpap 4/> parm,,,3028.56,3028.56,1
HCPCS,95812,Eeg 41-60 minutes,,,1678.7,1678.7,1
HCPCS,95812,HC EEG AWAKE & ASLEEP,1222.0,1222.0,,,0
HCPCS,95813,Eeg over 1 hour,,,2024.31,2024.31,1
HCPCS,95813,HC EEG-SLEEP ONLY,1350.0,1350.0,,,0
HCPCS,95816,Eeg awake and drowsy,,,1846.83,1846.83,1
HCPCS,95816,HC EEG; CEREBRAL SILENCE,1093.0,1093.0,,,0
HCPCS,95819,Eeg awake and asleep,,,2201.03,2201.03,1
HCPCS,95819,HC EMG- ONE EXTREMITY,1093.0,1093.0,,,0
HCPCS,95822,Eeg coma or sleep only,,,2017.4,2017.4,1
HCPCS,95822,HC EMG-TWO EXTREMITIES,912.0,912.0,,,0
HCPCS,95824,HC EMG-THREE EXTREMITIES,992.0,992.0,,,0
HCPCS,95829,HC TWO KNOWN FAMILIAL VARIANTS IN A NUCLEAR GENE (98),6031.0,6031.0,,,0
HCPCS,95829,Surgery electrocorticogram,,,8448.19,8448.19,1
HCPCS,95830,Insert electrodes for EEG,,,419.81,419.81,1
HCPCS,95836,Ecog impltd brn npgt <=30 d,,,487.69,487.69,1
HCPCS,95851,Range of motion measurements,,,36.69,36.69,1
HCPCS,95852,Range of motion measurements,,,27.68,27.68,1
HCPCS,95857,Cholinesterase challenge,,,130.42,130.42,1
HCPCS,95860,HC EMG CRANIAL NERVE - UNILAT,587.0,587.0,,,0
HCPCS,95860,Muscle test one limb,,,352.47,352.47,1
HCPCS,95861,HC EMG CRANIAL NERVE; BILAT,979.0,979.0,,,0
HCPCS,95861,Muscle test 2 limbs,,,417.97,417.97,1
HCPCS,95863,HC EMG THORACIC PARASPINAL,640.0,640.0,,,0
HCPCS,95863,Muscle test 3 limbs,,,628.15,628.15,1
HCPCS,95864,DEAC 11/01/2023 HC ADM SARSCV2 BVL 3 MCG/0.2ML 1ST DOSE,1014.0,1014.0,,,0
HCPCS,95864,Muscle test 4 limbs,,,700.51,700.51,1
HCPCS,95865,HC IMMUMOASSAY QUANT NOS NONAB (40),347.0,347.0,,,0
HCPCS,95865,Muscle test larynx,,,364.55,364.55,1
HCPCS,95866,Muscle test hemidiaphragm,,,361.1,361.1,1
HCPCS,95867,HC MUSCLE TEST NONPARASPINAL 1 EXT,771.0,771.0,,,0
HCPCS,95867,Muscle test cran nerv unilat,,,342.16,342.16,1
HCPCS,95868,HC SLS-EPS; PERIPH NRV; UPPER LIMBS,771.0,771.0,,,0
HCPCS,95868,Muscle test cran nerve bilat,,,349.01,349.01,1
HCPCS,95869,HC SLS-EPS; PERIPH NRV; LOWER LIMBS,566.0,566.0,,,0
HCPCS,95869,Muscle test thor paraspinal,,,390.4,390.4,1
HCPCS,95870,HC NEUROMUSC JUNCTION TEST EA NRV,312.0,312.0,,,0
HCPCS,95870,Muscle test nonparaspinal,,,345.61,345.61,1
HCPCS,95872,Muscle test one fiber,,,319.77,319.77,1
HCPCS,95873,Guide nerv destr elec stim,,,289.44,289.44,1
HCPCS,95873,HC X-RAY EXAM CHEST 1 VIEW,307.0,307.0,,,0
HCPCS,95874,Guide nerv destr needle emg,,,313.56,313.56,1
HCPCS,95875,Limb exercise test,,,355.92,355.92,1
HCPCS,95885,HC X-RAY EXAM ABDOMEN 3 OR MORE VIEWS,316.0,316.0,,,0
HCPCS,95885,Musc tst done w/nerv tst lim,,,237.8,237.8,1
HCPCS,95886,"HC ORTH/PROST MGMT, UP/LOW EXT, AND/OR TRUNK, SUBSQ ENC, EA 15 MIN",497.0,497.0,,,0
HCPCS,95886,Musc test done w/n test comp,,,280.86,280.86,1
HCPCS,95887,"HC PULM STRESS TEST(6 MINUTE WALK) INC HR,OXIMET,OXY TITR, WHEN PERF",382.0,382.0,,,0
HCPCS,95887,Musc tst done w/n tst nonext,,,263.59,263.59,1
HCPCS,95905,HC X-RAY SIALOGRAM,868.0,868.0,,,0
HCPCS,95905,Motor &/ sens nrve cndj test,,,159.51,159.51,1
HCPCS,95907,HC PROCEDURE ENDO LEVEL 3 EA ADDL 15 MINUTE,874.0,874.0,,,0
HCPCS,95907,Nvr cndj tst 1-2 studies,,,211.2,211.2,1
HCPCS,95908,"HC NS CATH, THORACIC AORTA W/ANGIO",874.0,874.0,,,0
HCPCS,95908,Nrv cndj tst 3-4 studies,,,264.62,264.62,1
HCPCS,95909,HC POLYSOM <6 YRS CPAP/BILVL,1505.0,1505.0,,,0
HCPCS,95909,Nrv cndj tst 5-6 studies,,,319.77,319.77,1
HCPCS,95910,HC POLYSOM <6 YRS 4> PARAMETERS,1505.0,1505.0,,,0
HCPCS,95910,Nrv cndj test 7-8 studies,,,405.89,405.89,1
HCPCS,95911,HC TRANSCUTANEOUS BILIRUBIN,1505.0,1505.0,,,0
HCPCS,95911,Nrv cndj test 9-10 studies,,,452.4,452.4,1
HCPCS,95912,HC THYROID IMAGING W/BLOOD FLOW,1711.0,1711.0,,,0
HCPCS,95912,Nrv cndj test 11-12 studies,,,499.94,499.94,1
HCPCS,95913,HC THYROID IMAGING W/BLOOD FLOW & 1+ UPTAKES,1505.0,1505.0,,,0
HCPCS,95913,Nrv cndj test 13/> studies,,,580.88,580.88,1
HCPCS,95919,Quan puplmtry phy/qhp uni/bi,,,35.45,35.45,1
HCPCS,95921,Autonomic nrv parasym inervj,,,238.77,238.77,1
HCPCS,95922,Autonomic nrv adrenrg inervj,,,235.32,235.32,1
HCPCS,95923,Autonomic nrv syst funj test,,,407.61,407.61,1
HCPCS,95924,Ans parasymp & symp w/tilt,,,346.59,346.59,1
HCPCS,95925,HC DIGITAL ANALYSIS OF EEG,691.0,691.0,,,0
HCPCS,95925,Somatosensory testing,,,643.9,643.9,1
HCPCS,95926,HC WADA ACTIVATION TEST,1188.0,1188.0,,,0
HCPCS,95926,Somatosensory testing,,,569.82,569.82,1
HCPCS,95927,Somatosensory testing,,,741.41,741.41,1
HCPCS,95928,C motor evoked uppr limbs,,,915.16,915.16,1
HCPCS,95928,HC HPA-15  GENOTYPING (35),1547.0,1547.0,,,0
HCPCS,95929,C motor evoked lwr limbs,,,887.59,887.59,1
HCPCS,95929,HC HLA CLASS I HIGH DEFIN QUAL,818.0,818.0,,,0
HCPCS,95930,HC CT UPR EXTREMITY W/WO CONTRAST,874.0,874.0,,,0
HCPCS,95930,Visual evoked potential test,,,257.71,257.71,1
HCPCS,95933,Blink reflex test,,,278.38,278.38,1
HCPCS,95937,HC FUNCTION CORTICAL MAP; 1ST HR,995.0,995.0,,,0
HCPCS,95937,Neuromuscular junction test,,,374.86,374.86,1
HCPCS,95938,HC MENNIGITIS-ENCEPH CSF BY PCR,1505.0,1505.0,,,0
HCPCS,95938,Somatosensory testing,,,1836.47,1836.47,1
HCPCS,95939,C motor evoked upr&lwr limbs,,,2438.83,2438.83,1
HCPCS,95939,HC INFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,1820.0,1820.0,,,0
HCPCS,95940,HC TRANSIENT O/P HEMODIALYSIS,439.0,439.0,,,0
HCPCS,95940,Ionm in operatng room 15 min,,,145.53,145.53,1
HCPCS,95941,HC STENGER TEST SPEECH,2027.0,2027.0,,,0
HCPCS,95954,EEG monitoring/giving drugs,,,1416.34,1416.34,1
HCPCS,95955,EEG during surgery,,,747.08,747.08,1
HCPCS,95955,HC NEEDLE ELECTROMYOGRAPHY LARYNX,1352.0,1352.0,,,0
HCPCS,95957,EEG digital analysis,,,1079.09,1079.09,1
HCPCS,95957,HC HYDRATION IV INFUSION 1ST HOUR,594.0,594.0,,,0
HCPCS,95958,EEG monitoring/function test,,,2790.54,2790.54,1
HCPCS,95958,HC HYDRATION IV INFUSION EACH ADDL HOUR,5044.0,5044.0,,,0
HCPCS,95961,Electrode stimulation brain,,,1009.92,1009.92,1
HCPCS,95961,HC IV INFUSION DRUG THERAPY 1ST HOUR,1916.0,1916.0,,,0
HCPCS,95962,DEAC 11/01/2023 HC ADM SARSCV2 BVL 10 MCG/0.2ML 1ST DOSE,1581.0,1581.0,,,0
HCPCS,95962,Electrode stim brain add-on,,,653.29,653.29,1
HCPCS,95970,Analyze neurostim no prog,,,88.44,88.44,1
HCPCS,95971,Analyze neurostim simple,,,190.53,190.53,1
HCPCS,95972,Analyze neurostim complex,,,194.15,194.15,1
HCPCS,95976,Alys smpl cn npgt prgrmg,,,175.21,175.21,1
HCPCS,95977,Alys cplx cn npgt prgrmg,,,234.24,234.24,1
HCPCS,95980,Io anal gast n-stim init,,,238.56,238.56,1
HCPCS,95981,Io anal gast n-stim subsq,,,94.38,94.38,1
HCPCS,95982,Io ga n-stim subsq w/reprog,,,188.37,188.37,1
HCPCS,95983,Alys brn npgt prgrmg 15 min,,,232.19,232.19,1
HCPCS,95984,Alys brn npgt prgrmg addl 15,,,204.51,204.51,1
HCPCS,95990,Spin/brain pump refil & main,,,511.49,2782.0,3
HCPCS,95991,Spin/brain pump refil & main,,,186.86,2782.0,3
HCPCS,95992,Canalith repositioning proc,,,161.12,161.12,1
HCPCS,96000,Motion analysis video/3d,,,382.47,382.47,1
HCPCS,96001,Motion test w/ft press meas,,,473.5,473.5,1
HCPCS,96002,Dynamic surface emg,,,99.18,99.18,1
HCPCS,96004,Phys review of motion tests,,,578.29,578.29,1
HCPCS,96020,HC IMMUMOASSAY QUANT NOS NONAB (25),963.0,963.0,,,0
HCPCS,96105,Assessment of aphasia,,,520.23,520.23,1
HCPCS,96112,Devel tst phys/qhp 1st hr,,,585.47,585.47,1
HCPCS,96112,"HC FINE NEEDLE ASPIRATION BIOPSY, W/CT GUIDANCE, EA ADDL LESION",721.0,721.0,,,0
HCPCS,96113,Devel tst phys/qhp ea addl,,,244.76,244.76,1
HCPCS,96113,"HC PUNCH BIOSPY OF SKIN, SINGLE LESION",270.0,270.0,,,0
HCPCS,96116,Neurobehavioral status exam,,,392.83,392.83,1
HCPCS,96121,Nubhvl xm phy/qhp ea addl hr,,,331.58,331.58,1
HCPCS,96125,Cognitive test by hc pro,,,548.13,548.13,1
HCPCS,96127,Brief emotional/behav assmt,,,26.82,26.82,1
HCPCS,96130,Psycl tst eval phys/qhp 1st,,,542.62,542.62,1
HCPCS,96131,Psycl tst eval phys/qhp ea,,,378.37,378.37,1
HCPCS,96132,Nrpsyc tst eval phys/qhp 1st,,,535.5,535.5,1
HCPCS,96133,Nrpsyc tst eval phys/qhp ea,,,381.07,381.07,1
HCPCS,96136,Psycl/nrpsyc tst phy/qhp 1st,,,116.61,116.61,1
HCPCS,96137,Psycl/nrpsyc tst phy/qhp ea,,,88.06,88.06,1
HCPCS,96138,Psycl/nrpsyc tech 1st,,,195.71,195.71,1
HCPCS,96139,Psycl/nrpsyc tst tech ea,,,182.65,182.65,1
HCPCS,96146,Psycl/nrpsyc tst auto result,,,13.06,13.06,1
HCPCS,96156,HC HEALTH BEHAVIOR INTERV FAM W/O PT FACE TO FACE; 1ST 30 MIN,813.0,813.0,,,0
HCPCS,96156,Hlth bhv assmt/reassessment,,,468.97,468.97,1
HCPCS,96158,HC HEALTH BEHAVIOR INTERV FAM W/O PT FACE TO FACE; EA ADDL 15,561.0,561.0,,,0
HCPCS,96158,Hlth bhv ivntj indiv 1st 30,,,322.57,322.57,1
HCPCS,96159,HC EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS,194.0,194.0,,,0
HCPCS,96159,Hlth bhv ivntj indiv ea addl,,,109.65,109.65,1
HCPCS,96160,Pt-focused hlth risk assmt,,,15.49,15.49,1
HCPCS,96161,Caregiver health risk assmt,,,17.21,17.21,1
HCPCS,96164,HC EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED,132.0,132.0,,,0
HCPCS,96164,Hlth bhv ivntj grp 1st 30,,,51.15,51.15,1
HCPCS,96165,HC INSERT HEART PM ATRIAL,19.0,19.0,,,0
HCPCS,96165,Hlth bhv ivntj grp ea addl,,,21.53,21.53,1
HCPCS,96167,HC INSERT HEART PM VENTRICULAR,600.0,600.0,,,0
HCPCS,96167,Hlth bhv ivntj fam 1st 30,,,340.65,340.65,1
HCPCS,96168,HC INSRT HEART PM ATRIAL & VENT,213.0,213.0,,,0
HCPCS,96168,Hlth bhv ivntj fam ea addl,,,123.14,123.14,1
HCPCS,96170,HC INSERT ELECTRD/PM CATH SNGL,581.0,581.0,,,0
HCPCS,96171,HC INSERT PULSE GEN DUAL LEADS,209.0,209.0,,,0
HCPCS,96202,Mlt fam grp bhv train 1st 60,,,94.0,94.0,1
HCPCS,96203,Mlt fam grp bhv train ea add,,,27.79,27.79,1
HCPCS,96360,HC INFUSION DRUG THERAPY EA ADDL HOUR,708.0,708.0,,,0
HCPCS,96360,Hydration iv infusion init,,,174.61,257.04,3
HCPCS,96361,"HC IV INFUSION, ADDL SEQ UP TO 1 HOUR",213.0,213.0,,,0
HCPCS,96361,Hydrate iv infusion add-on,,,56.29,68.91,3
HCPCS,96365,"HC IV INFUSION, CONCURRENT",923.0,923.0,,,0
HCPCS,96365,Ther/proph/diag iv inf init,,,351.93,351.93,1
HCPCS,96366,"HC THER/PROPH/DIAG INJ, SC/IM",213.0,213.0,,,0
HCPCS,96366,Ther/proph/diag iv inf addon,,,112.67,112.67,1
HCPCS,96367,"HC THER/PROPH/DIAG INJ, IV PUSH",351.0,351.0,,,0
HCPCS,96367,Tx/proph/dg addl seq iv inf,,,155.84,155.84,1
HCPCS,96368,"HC TX/PRO/DX INJ EA ADDL SEQ, NEW",684.0,684.0,,,0
HCPCS,96368,Ther/diag concurrent inf,,,109.16,109.16,1
HCPCS,96369,Sc ther infusion up to 1 hr,,,752.42,752.42,1
HCPCS,96370,Sc ther infusion addl hr,,,90.28,90.28,1
HCPCS,96371,Sc ther infusion reset pump,,,291.17,291.17,1
HCPCS,96372,"HC TX/PRO/DX INJ EA ADDL SEQ, SAME",294.0,294.0,,,0
HCPCS,96372,"Rabavert: 1 Kit In 1 Carton (50632-010-01)  *  1 Ml In 1 Syringe (50632-011-01)  *  1 Ml In 1 Vial, Glass (50632-013-01)",294.0,294.0,,,0
HCPCS,96372,Ther/proph/diag inj sc/im,,,81.59,81.59,1
HCPCS,96373,Ther/proph/diag inj ia,,,103.98,103.98,1
HCPCS,96374,"HC CHEMOTHERAPY ADMIN, IM/SQ, NON-HORMONAL",424.0,424.0,,,0
HCPCS,96374,Ther/proph/diag inj iv push,,,198.09,198.09,1
HCPCS,96375,"HC CHEMOTHERAPY ADMIN, IM/SQ, HORMONAL",213.0,213.0,,,0
HCPCS,96375,Tx/pro/dx inj new drug addon,,,82.77,82.77,1
HCPCS,96376,"HC CHEMOTHERAPY ADMIN, IVP, SINGLE/INITIAL",286.0,286.0,,,0
HCPCS,96377,Applicaton on-body injector,,,100.53,3195.0,2
HCPCS,96380,Admn rsv monoc antb im cnsl,,,159.29,159.29,1
HCPCS,96380,HC ADM RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP,327.0,327.0,,,0
HCPCS,96381,1 admn rsv monoc antb im njx,,,128.1,128.1,1
HCPCS,96381,HC ADM RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX,283.0,283.0,,,0
HCPCS,96401,Chemo anti-neopl sq/im,,,376.05,376.05,1
HCPCS,96401,"HC CHEMOTHERAPY ADMIN, IVP EA ADDL",513.0,513.0,,,0
HCPCS,96402,Chemo hormon antineopl sq/im,,,203.32,203.32,1
HCPCS,96402,"HC CHEMOTHERAPY IV INFUSION, 1ST HR",521.0,521.0,,,0
HCPCS,96405,Chemo intralesional up to 7,,,129.4,129.4,1
HCPCS,96406,Chemo intralesional over 7,,,205.21,205.21,1
HCPCS,96409,Chemo iv push sngl drug,,,547.1,547.1,1
HCPCS,96409,"HC CHEMOTHERAPY IV INFUSION, EA ADDL HR",838.0,838.0,,,0
HCPCS,96411,Chemo iv push addl drug,,,299.15,299.15,1
HCPCS,96411,"HC CHEMOTHERAPY IV INFUSION, EA ADDL SEQ",267.0,267.0,,,0
HCPCS,96413,Chemo iv infusion 1 hr,,,696.62,696.62,1
HCPCS,96413,"HC CHEMOTHERAPY ADMIN, CNS W/LP",1320.0,1320.0,,,0
HCPCS,96415,Chemo iv infusion addl hr,,,149.95,149.95,1
HCPCS,96415,HC CHEMOTHERAPY INJ VIA SQ RESERVOIR,319.0,319.0,,,0
HCPCS,96416,Chemo prolong infuse w/pump,,,696.03,696.03,1
HCPCS,96416,"HC ABLATE, 1 OR MORE PULM TUMOR, PERQ, UNIL; RF",1403.0,1403.0,,,0
HCPCS,96417,Chemo iv infus each addl seq,,,347.5,347.5,1
HCPCS,96417,HC IRRIGATION OF IMPLANTED VAD,634.0,634.0,,,0
HCPCS,96420,Chemo ia push tecnique,,,550.01,550.01,1
HCPCS,96422,Chemo ia infusion up to 1 hr,,,731.91,731.91,1
HCPCS,96423,Chemo ia infuse each addl hr,,,395.69,395.69,1
HCPCS,96425,Chemotherapy infusion method,,,909.87,909.87,1
HCPCS,96440,Chemotherapy intracavitary,,,630.2,630.2,1
HCPCS,96446,Chemotx admn prtl cavity,,,112.99,112.99,1
HCPCS,96450,Chemotherapy into cns,,,368.82,368.82,1
HCPCS,96450,HC PARAFFIN BATH THERAPY,2785.0,2785.0,,,0
HCPCS,96521,Refill/maint portable pump,,,749.45,749.45,1
HCPCS,96522,Refill/maint pump/resvr syst,,,654.7,654.7,1
HCPCS,96523,HC IONTOPHORESIS THERAPY EA 15 MINS,402.0,402.0,,,0
HCPCS,96523,Irrig drug delivery device,,,135.71,135.71,1
HCPCS,96542,Chemotherapy injection,,,196.2,196.2,1
HCPCS,96542,HC ELECTRICAL STIMULATION EA 15 MINS,629.0,629.0,,,0
HCPCS,96547,Intraop hipec px 1st 60 min,,,1902.25,2782.0,3
HCPCS,96548,Ntraop hipec px ea add 30min,,,874.04,2782.0,3
HCPCS,96567,Photodynamic tx skin,,,667.81,2782.0,3
HCPCS,96570,Photodynmc tx 30 min add-on,,,254.37,2782.0,3
HCPCS,96571,Photodynamic tx addl 15 min,,,129.88,2782.0,3
HCPCS,96573,Pdt dstr prmlg les phys/qhp,,,1127.39,2782.0,3
HCPCS,96574,Dbrdmt prmlg les w/pdt,,,1388.39,3195.0,4
HCPCS,96900,Ultraviolet light therapy,,,123.3,123.3,1
HCPCS,96904,Whole Body Photography,,,342.16,342.16,1
HCPCS,96910,Photochemotherapy with UV-B,,,594.69,594.69,1
HCPCS,96912,Photochemotherapy with UV-A,,,503.39,503.39,1
HCPCS,96913,Photochemotherapy uv-a or b,,,762.78,762.78,1
HCPCS,96920,Laser tx skin < 250 sq cm,,,222.32,3195.0,2
HCPCS,96921,Laser tx skin 250-500 sq cm,,,252.16,3195.0,2
HCPCS,96922,Laser tx skin >500 sq cm,,,401.46,3195.0,2
HCPCS,96931,Rcm celulr subcelulr img skn,,,859.58,859.58,1
HCPCS,96932,Rcm celulr subcelulr img skn,,,633.33,633.33,1
HCPCS,96933,Rcm celulr subcelulr img skn,,,226.25,226.25,1
HCPCS,96934,Rcm celulr subcelulr img skn,,,605.0,605.0,1
HCPCS,96935,Rcm celulr subcelulr img skn,,,392.83,392.83,1
HCPCS,96936,Rcm celulr subcelulr img skn,,,212.12,212.12,1
HCPCS,97007,Mchnl sclp cool meas fitg,,,8747.24,8747.24,1
HCPCS,97008,Mchnl sclp cool prep plmt,,,52.66,52.66,1
HCPCS,97009,Mchnl sclp cool after chemo,,,32.75,32.75,1
HCPCS,97012,Mechanical traction therapy,,,77.0,77.0,1
HCPCS,97016,Vasopneumatic device therapy,,,64.43,64.43,1
HCPCS,97018,HC ULTRASOUND THERAPY EA 15 MINS,74.0,74.0,,,0
HCPCS,97018,Paraffin bath therapy,,,32.48,32.48,1
HCPCS,97022,Whirlpool therapy,,,83.31,83.31,1
HCPCS,97024,Diathermy eg microwave,,,39.39,39.39,1
HCPCS,97026,Infrared therapy,,,35.94,35.94,1
HCPCS,97028,Ultraviolet therapy,,,44.68,44.68,1
HCPCS,97032,Electrical stimulation,,,78.78,78.78,1
HCPCS,97032,HC THERAPEUTIC EXERCISES EA 15 MINS,115.0,115.0,,,0
HCPCS,97033,Electric current therapy,,,101.28,101.28,1
HCPCS,97033,HC NEUROMUSCULAR REEDUCATION EA 15 MINS,184.0,184.0,,,0
HCPCS,97034,Contrast bath therapy,,,75.0,75.0,1
HCPCS,97035,HC GAIT TRAINING THERAPY EA 15 MINS,76.0,76.0,,,0
HCPCS,97035,Ultrasound therapy,,,76.73,76.73,1
HCPCS,97036,Hydrotherapy,,,182.38,182.38,1
HCPCS,97110,HC MASSAGE THERAPY EA 15 MINS,194.0,194.0,,,0
HCPCS,97110,Therapeutic exercises,,,154.43,154.43,1
HCPCS,97112,HC MANUAL THERAPY EA 15 MINS,215.0,215.0,,,0
HCPCS,97112,Neuromuscular reeducation,,,173.81,173.81,1
HCPCS,97113,Aquatic therapy/exercises,,,196.04,196.04,1
HCPCS,97113,HC ASHKENAZI JEWISH ASSOC DIS (730),268.0,268.0,,,0
HCPCS,97116,Gait training therapy,,,154.43,154.43,1
HCPCS,97116,HC THERAPEUTIC REHAB GROUP 2 OR MORE,172.0,172.0,,,0
HCPCS,97124,HC THERAPEUTIC ACTIVITY DIR EA 15 MINS,162.0,162.0,,,0
HCPCS,97124,Massage therapy,,,157.13,157.13,1
HCPCS,97129,HC DRUG ASSAY LACOSAMIDE (80),92.0,92.0,,,0
HCPCS,97129,Ther ivntj 1st 15 min,,,106.62,106.62,1
HCPCS,97130,HC DRUG ASSAY VORICONAZOLE (45),88.0,88.0,,,0
HCPCS,97130,Ther ivntj ea addl 15 min,,,98.58,98.58,1
HCPCS,97140,HC ADL/SELF HOME MGMT EA 15 MINS,207.0,207.0,,,0
HCPCS,97140,Manual therapy 1/> regions,,,147.42,147.42,1
HCPCS,97150,Group therapeutic procedures,,,96.32,96.32,1
HCPCS,97150,HC WHEELCHAIR MGMT TRAINING EA 15 MINS,101.0,101.0,,,0
HCPCS,97161,HC XOMEDXXPRESS (739),355.0,355.0,,,0
HCPCS,97161,Pt eval low complex 20 min,,,518.02,518.02,1
HCPCS,97162,"HC XOMEDXXPRESS SEQ ANALYSIS, EA COMPARATOR EXOME (370)",475.0,475.0,,,0
HCPCS,97162,Pt eval mod complex 30 min,,,518.02,518.02,1
HCPCS,97163,HC CYTOKINE 13 PANEL (13),711.0,711.0,,,0
HCPCS,97163,Pt eval high complex 45 min,,,518.02,518.02,1
HCPCS,97164,"HC MOLECULAR PATH PROC, LEVEL 4  (71)",323.0,323.0,,,0
HCPCS,97164,Pt re-eval est plan care,,,356.62,356.62,1
HCPCS,97165,HC FLUORESCENT NONINFECT AB; SCRN EA AB,347.0,347.0,,,0
HCPCS,97165,Ot eval low complex 30 min,,,531.83,531.83,1
HCPCS,97166,HC MOPATH PROCEDURE LEVEL 5 (246),460.0,460.0,,,0
HCPCS,97166,Ot eval mod complex 45 min,,,531.83,531.83,1
HCPCS,97167,HC MOPATH PROCEDURE LEVEL 6 (123),691.0,691.0,,,0
HCPCS,97167,Ot eval high complex 60 min,,,531.83,531.83,1
HCPCS,97168,HC MOPATH PROCEDURE LEVEL 7 (83),302.0,302.0,,,0
HCPCS,97168,Ot re-eval est plan care,,,361.8,361.8,1
HCPCS,97530,HC SELECTIVE DEBRIDEMENT 20 SQ CM OR LESS,209.0,209.0,,,0
HCPCS,97530,Therapeutic activities,,,185.41,185.41,1
HCPCS,97533,Sensory Integration,,,318.36,318.36,1
HCPCS,97535,"HC NEG PRESSURE WOUND TX W/DME, LESS THAN 50 SQ CM",205.0,205.0,,,0
HCPCS,97535,Self care mngment training,,,171.7,171.7,1
HCPCS,97537,Community/work reintegration,,,170.19,170.19,1
HCPCS,97542,"HC NEG PRESSURE WOUND TX W/DME, GREATER THAN 50 SQ CM",198.0,198.0,,,0
HCPCS,97542,Wheelchair mngment training,,,165.01,165.01,1
HCPCS,97550,Caregiver traing 1st 30 min,,,213.95,213.95,1
HCPCS,97551,Caregiver traing ea addl 15,,,112.83,112.83,1
HCPCS,97552,Group caregiver training,,,51.05,51.05,1
HCPCS,97597,HC ASSISTIVE TECHNOLOGY ASSESSMENT EA 15 MIN,745.0,745.0,,,0
HCPCS,97597,Rmvl devital tis 20 cm/<,,,171.11,3195.0,4
HCPCS,97598,"HC ORTHOTIC MGMT & TRAINING, INITIAL ENCOUNTER, EA 15 MINS",58.0,58.0,,,0
HCPCS,97598,Rmvl devital tis addl 20cm/<,,,121.79,3195.0,4
HCPCS,97602,"DEAC 7/1/2023 HC APPLY CAST, HAND AND LOWER FOREARM (GAUNTLET)",599.0,599.0,,,0
HCPCS,97605,"HC PROSTHETIC TRAINING, INITIAL ENCOUNTER,  EA 15 MINS",711.0,711.0,,,0
HCPCS,97605,Neg press wound tx <=50 cm,,,113.8,113.8,1
HCPCS,97606,"HC MNT, INDIV, EA 15 MIN, INITIAL ASSESSMENT",1266.0,1266.0,,,0
HCPCS,97606,Neg press wound tx >50 cm,,,124.54,124.54,1
HCPCS,97607,Neg press wnd tx <=50 sq cm,,,105.6,105.6,1
HCPCS,97608,Neg press wound tx >50 cm,,,123.46,123.46,1
HCPCS,97610,Low frequency non-thermal us,,,83.31,83.31,1
HCPCS,97750,"HC INJECTION, EPIDURAL, OF BLOOD OR CLOT PATCH",198.0,198.0,,,0
HCPCS,97750,Physical performance test,,,178.55,178.55,1
HCPCS,97755,Assistive technology assess,,,200.62,200.62,1
HCPCS,97755,"HC MNT, INDIV, EA 15 MIN, RE-ASSESSMENT",208.0,208.0,,,0
HCPCS,97760,HC OFFICE/OUTPATIENT VISIT EST LVL 2,189.0,189.0,,,0
HCPCS,97760,Orthotic mgmt and training,,,242.71,242.71,1
HCPCS,97761,HC EMERGENCY DEPT VISIT LVL 1,174.0,174.0,,,0
HCPCS,97761,Prosthetic training,,,213.41,213.41,1
HCPCS,97763,"HC TISSUE TRANSGLUTAMINASE, EACH IG CLASS",208.0,208.0,,,0
HCPCS,97763,Orthc/prostc mgmt sbsq enc,,,263.27,263.27,1
HCPCS,97802,HC EMERGENCY DEPT VISIT LVL 2,139.0,139.0,,,0
HCPCS,97802,Medical nutrition indiv in,,,141.32,141.32,1
HCPCS,97803,HC EMERGENCY DEPT VISIT LVL 3,132.0,132.0,,,0
HCPCS,97803,Med nutrition indiv subseq,,,118.28,118.28,1
HCPCS,97804,HC X-RAY RENAL CYST STUDY,96.0,96.0,,,0
HCPCS,97804,Medical nutrition group,,,66.69,66.69,1
HCPCS,97810,Acupunct w/o stimul 15 min,,,150.06,150.06,1
HCPCS,97811,Acupunct w/o stimul addl 15m,,,113.42,113.42,1
HCPCS,97813,Acupunct w/stimul 15 min,,,183.09,183.09,1
HCPCS,97814,Acupunct w/stimul addl 15m,,,115.26,115.26,1
HCPCS,98016,Brief comunicaj tech-bsd svc,,,71.55,71.55,1
HCPCS,98925,Osteopath manj 1-2 regions,,,108.19,108.19,1
HCPCS,98926,Osteopath manj 3-4 regions,,,162.74,162.74,1
HCPCS,98927,Osteopath manj 5-6 regions,,,220.16,220.16,1
HCPCS,98928,Osteopath manj 7-8 regions,,,274.71,274.71,1
HCPCS,98929,Osteopath manj 9-10 regions,,,324.84,324.84,1
HCPCS,98940,Chiropract manj 1-2 regions,,,99.34,99.34,1
HCPCS,98941,Chiropract manj 3-4 regions,,,151.2,151.2,1
HCPCS,98942,Chiropractic manj 5 regions,,,204.89,204.89,1
HCPCS,98966,Hc pro phone call 5-10 min,,,56.39,56.39,1
HCPCS,98967,Hc pro phone call 11-20 min,,,109.32,109.32,1
HCPCS,98968,Hc pro phone call 21-30 min,,,157.83,157.83,1
HCPCS,98970,Qnhp ol dig e/m svc 5-10min,,,56.39,56.39,1
HCPCS,98971,Qnhp ol dig em svc 11-20min,,,103.66,103.66,1
HCPCS,98972,Qnhp ol dig e/m svc 21+ min,,,158.32,158.32,1
HCPCS,98975,Rem ther mntr 1st setup&edu,,,113.96,113.96,1
HCPCS,98976,Rem ther mntr dev sply resp,,,269.8,269.8,1
HCPCS,98977,Rem ther mntr dv sply mscskl,,,266.35,266.35,1
HCPCS,98979,Rtm tx mgmt 1st 10 min,,,62.0,62.0,1
HCPCS,98980,Rem ther mntr 1st 20 min,,,140.57,140.57,1
HCPCS,98981,Rem ther mntr ea addl 20 min,,,138.73,138.73,1
HCPCS,98984,Rtm dev sply resp sys 2-15 d,,,269.8,269.8,1
HCPCS,98985,Rtm dev sply mscsk sys 2-15d,,,266.35,266.35,1
HCPCS,99000,Specimen handling office-lab,,,8.66,8.66,2
HCPCS,99001,HC FFP (FROZ WITH 8 HRS) (AUTOLOGOUS/DIRECTED),47.0,47.0,,,0
HCPCS,99001,HC FLAX IGG IMMUNOASSAY    PROM,47.0,47.0,,,0
HCPCS,99001,Specimen handling pt-lab,,,9.21,9.21,2
HCPCS,99091,Collect/review data from pt,,,260.3,260.3,1
HCPCS,99151,Mod sed same phys/qhp <5 yrs,,,115.47,115.47,1
HCPCS,99152,HC COMPARATOR EXOME (247),71.5,71.5,,,0
HCPCS,99152,Mod sed same phys/qhp 5/>yrs,,,61.78,61.78,1
HCPCS,99153,Mod sed same phys/qhp ea,,,65.72,65.72,1
HCPCS,99155,HC COMPARATOR EXOME (493),531.3,531.3,,,0
HCPCS,99155,Mod sed oth phys/qhp <5 yrs,,,459.15,459.15,1
HCPCS,99156,HC EXOME RE-EVALUATION (493),531.3,531.3,,,0
HCPCS,99156,Mod sed oth phys/qhp 5/>yrs,,,398.82,398.82,1
HCPCS,99157,HC EXOME SEQUENCE ANALYSIS (1232),250.0,250.0,,,0
HCPCS,99157,Mod sed other phys/qhp ea,,,302.82,302.82,1
HCPCS,99170,Anogenital exam child w imag,,,392.88,392.88,1
HCPCS,99175,Induction of vomiting,,,237.05,237.05,1
HCPCS,99183,Hyperbaric oxygen therapy,,,607.1,607.1,1
HCPCS,99184,Hypothermia ill neonate,,,1013.75,1013.75,1
HCPCS,99195,HC HEROIN METABOLITE (25),438.0,438.0,,,0
HCPCS,99195,Phlebotomy,,,511.49,511.49,1
HCPCS,99202,Office/outpatient visit new,,,226.2,226.2,1
HCPCS,99203,Office/outpatient visit new,,,397.2,397.2,1
HCPCS,99204,Office/outpatient visit new,,,647.36,647.36,1
HCPCS,99205,Office/outpatient visit new,,,890.29,890.29,1
HCPCS,99211,Office/outpatient visit est,,,42.03,42.03,1
HCPCS,99212,HC EMERGENCY DEPT VISIT LVL 4,486.0,486.0,,,0
HCPCS,99212,Office/outpatient visit est,,,171.7,171.7,1
HCPCS,99213,Office/outpatient visit est,,,315.56,315.56,1
HCPCS,99214,Office/outpatient visit est,,,464.97,464.97,1
HCPCS,99215,Office/outpatient visit est,,,690.74,690.74,1
HCPCS,99221,Initial hospital care,,,415.87,415.87,1
HCPCS,99222,Initial hospital care,,,646.33,646.33,1
HCPCS,99223,Initial hospital care,,,861.74,861.74,1
HCPCS,99231,Subsequent hospital care,,,243.25,243.25,1
HCPCS,99232,Subsequent hospital care,,,387.97,387.97,1
HCPCS,99233,Subsequent hospital care,,,588.16,588.16,1
HCPCS,99234,Observ/hosp same date,,,488.5,488.5,1
HCPCS,99235,Observ/hosp same date,,,787.76,787.76,1
HCPCS,99236,Observ/hosp same date,,,1048.28,1048.28,1
HCPCS,99238,Hospital discharge day,,,409.66,409.66,1
HCPCS,99239,Hospital discharge day,,,582.44,582.44,1
HCPCS,99281,Emergency dept visit,,,61.78,61.78,1
HCPCS,99281,HC EMERGENCY DEPT VISIT LVL 5,736.0,736.0,,,0
HCPCS,99282,Emergency dept visit,,,226.69,226.69,1
HCPCS,99282,HC ARTHROCENTESIS MAJOR JOINT OR BURSA,1221.0,1221.0,,,0
HCPCS,99283,Emergency dept visit,,,390.78,390.78,1
HCPCS,99283,HC ASPIRATION & INJ TX OF BONE CYST,1840.0,1840.0,,,0
HCPCS,99284,Emergency dept visit,,,666.19,666.19,1
HCPCS,99284,HC PLEURA BIOSPY; PERCUTANEOUS NEEDLE,2821.0,2821.0,,,0
HCPCS,99285,Emergency dept visit,,,962.97,962.97,1
HCPCS,99285,HC DEAC 01/01/2021 PERCUTANEOUS BIOPSY LUNG/MEDIASTINUM,4874.0,4874.0,,,0
HCPCS,99291,Critical care first hour,,,1107.96,1107.96,1
HCPCS,99291,HC ESOPHAGUS MOTILITY STUDY,6362.0,6362.0,,,0
HCPCS,99292,Critical care addl 30 min,,,557.41,557.41,1
HCPCS,99292,HC GASTROESOPHAGEAL REFLUX TEST,1184.0,1184.0,,,0
HCPCS,99304,Nursing facility care init,,,387.76,387.76,1
HCPCS,99305,Nursing facility care init,,,656.15,656.15,1
HCPCS,99306,Nursing facility care init,,,892.98,892.98,1
HCPCS,99307,Nursing fac care subseq,,,201.76,201.76,1
HCPCS,99308,Nursing fac care subseq,,,367.95,367.95,1
HCPCS,99309,Nursing fac care subseq,,,537.33,537.33,1
HCPCS,99310,Nursing fac care subseq,,,766.56,766.56,1
HCPCS,99315,Nursing fac discharge day,,,398.12,398.12,1
HCPCS,99316,Nursing fac discharge day,,,643.1,643.1,1
HCPCS,99341,Home visit new patient,,,265.16,265.16,1
HCPCS,99342,Home visit new patient,,,426.61,426.61,1
HCPCS,99344,Home visit new patient,,,794.94,794.94,1
HCPCS,99345,Home visit new patient,,,1139.2,1139.2,1
HCPCS,99347,Home visit est patient,,,248.86,248.86,1
HCPCS,99348,Home visit est patient,,,425.42,425.42,1
HCPCS,99349,Home visit est patient,,,717.45,717.45,1
HCPCS,99350,Home visit est patient,,,1048.12,1048.12,1
HCPCS,99406,Behav chng smoking 3-10 min,,,59.03,59.03,1
HCPCS,99407,Behav chng smoking > 10 min,,,121.63,121.63,1
HCPCS,99415,Prolong clincl staff svc,,,119.9,119.9,1
HCPCS,99416,Prolong clincl staff svc add,,,66.48,66.48,1
HCPCS,99421,Ol dig e/m svc 5-10 min,,,60.81,60.81,1
HCPCS,99422,Ol dig e/m svc 11-20 min,,,123.35,123.35,1
HCPCS,99423,Ol dig e/m svc 21+ min,,,192.21,192.21,1
HCPCS,99424,Prin care mgmt phys 1st 30,,,356.62,356.62,1
HCPCS,99425,Prin care mgmt phys ea addl,,,242.28,242.28,1
HCPCS,99426,Prin care mgmt staff 1st 30,,,242.28,242.28,1
HCPCS,99427,Prin care mgmt staff ea addl,,,172.51,172.51,1
HCPCS,99437,Chrnc care mgmt phys ea addl,,,240.55,240.55,1
HCPCS,99439,Chrnc care mgmt svc ea addl,,,169.0,169.0,1
HCPCS,99445,Rem mntr physiol param 2-15,,,269.8,269.8,1
HCPCS,99446,Interprof phone/online 5-10,,,89.41,89.41,1
HCPCS,99447,Interprof phone/online 11-20,,,177.85,177.85,1
HCPCS,99448,Interprof phone/online 21-30,,,263.59,263.59,1
HCPCS,99449,Interprof phone/online 31/>,,,350.31,350.31,1
HCPCS,99451,Ntrprof ph1/ntrnet/ehr 5/>,,,165.55,165.55,1
HCPCS,99452,Ntrprof ph1/ntrnet/ehr rfrl,,,170.73,170.73,1
HCPCS,99453,Rem mntr physiol param setup,,,113.96,113.96,1
HCPCS,99454,Rem mntr physiol param dev,,,269.8,269.8,1
HCPCS,99457,Rem physiol mntr 20 min mo,,,144.88,144.88,1
HCPCS,99458,Rem physiol mntr ea addl 20,,,144.88,144.88,1
HCPCS,99459,Pelvic examination,,,89.57,89.57,1
HCPCS,99460,Init nb em per day hosp,,,444.04,444.04,1
HCPCS,99461,Init nb em per day non-fac,,,290.84,290.84,1
HCPCS,99462,Sbsq nb em per day hosp,,,194.26,194.26,1
HCPCS,99463,Same day nb discharge,,,519.04,519.04,1
HCPCS,99464,Attendance at delivery,,,345.45,345.45,1
HCPCS,99464,HC CPR PER SESSION,894.0,894.0,,,0
HCPCS,99465,Nb resuscitation,,,678.49,678.49,1
HCPCS,99466,Ped crit care transport,,,1106.29,1106.29,1
HCPCS,99467,Ped crit care transport addl,,,555.9,555.9,1
HCPCS,99468,Neonate crit care initial,,,4275.14,4275.14,1
HCPCS,99469,Neonate crit care subsq,,,1847.48,1847.48,1
HCPCS,99470,Rpm tx mgmt 1st 10 min,,,73.33,73.33,1
HCPCS,99471,Ped critical care initial,,,3703.06,3703.06,1
HCPCS,99472,Ped critical care subsq,,,1934.9,1934.9,1
HCPCS,99473,Self-meas bp pt educaj/train,,,80.24,80.24,1
HCPCS,99474,Self-meas bp 2 readg bid 30d,,,43.76,43.76,1
HCPCS,99475,Ped crit care age 2-5 init,,,2601.2,2601.2,1
HCPCS,99476,Ped crit care age 2-5 subsq,,,1687.76,1687.76,1
HCPCS,99477,Init day hosp neonate care,,,1621.07,1621.07,1
HCPCS,99478,Ic lbw inf < 1500 gm subsq,,,636.46,636.46,1
HCPCS,99479,Ic lbw inf 1500-2500 g subsq,,,577.37,577.37,1
HCPCS,99480,Ic inf pbw 2501-5000 g subsq,,,555.9,555.9,1
HCPCS,99483,Assmt & care pln pt cog imp,,,932.37,932.37,1
HCPCS,99484,Care mgmt svc bhvl hlth cond,,,213.14,213.14,1
HCPCS,99487,Cmplx chron care w/o pt vsit,,,435.51,435.51,1
HCPCS,99489,Cmplx chron care addl 30 min,,,240.55,240.55,1
HCPCS,99490,Chron care mgmt srvc 20 min,,,240.55,240.55,1
HCPCS,99491,Chrnc care mgmt svc 30 min,,,358.46,358.46,1
HCPCS,99492,1st psyc collab care mgmt,,,452.56,452.56,1
HCPCS,99493,Sbsq psyc collab care mgmt,,,491.85,491.85,1
HCPCS,99494,1st/sbsq psyc collab care,,,198.52,198.52,1
HCPCS,99495,Trans care mgmt 14 day disch,,,671.42,671.42,1
HCPCS,99496,Trans care mgmt 7 day disch,,,911.76,911.76,1
HCPCS,99497,Advncd care plan 30 min,,,360.18,360.18,1
HCPCS,99498,Advncd care plan addl 30 min,,,347.34,347.34,1
HCPCS,A2001,Miscellaneous M >=66.50,,,656.48,1561.93,3
HCPCS,A2002,Miscellaneous M >=55.50 and M <66.50,,,418.3,656.48,3
HCPCS,A2004,Miscellaneous M <46.50 and A >=77.50,,,19.03,19.03,2
HCPCS,A2005,Miscellaneous M <46.50 and A <77.50,,,310.58,656.48,3
HCPCS,A2006,Novosorb synpath per sq cm,,,656.48,656.48,1
HCPCS,A2007,"Restrata, per sq cm",,,98.26,656.48,3
HCPCS,A2008,"Theragenesis, per sq cm",,,109.7,656.48,3
HCPCS,A2009,"Symphony, per sq cm",,,152.71,656.48,3
HCPCS,A2010,"Apis, per square centimeter",,,656.48,656.48,1
HCPCS,A2011,"Supra sdrm, per sq cm",,,656.48,656.48,1
HCPCS,A2012,"Suprathel, per sq cm",,,656.48,656.48,1
HCPCS,A2013,"Innovamatrix fs, per sq cm",,,656.48,1687.03,3
HCPCS,A2014,Omeza collag per 100 mg,,,187.58,187.58,2
HCPCS,A2015,"Phoenix wnd mtrx, per sq cm",,,656.48,1755.17,3
HCPCS,A2016,"Permeaderm b, per sq cm",,,656.48,656.48,1
HCPCS,A2018,"Permeaderm c, per sq cm",,,656.48,656.48,1
HCPCS,A2019,Kerecis marigen shld sq cm,,,656.48,860.89,3
HCPCS,A2021,Neomatrix per sq cm,,,656.48,1636.13,3
HCPCS,A2022,Innovabrn/innovamatx xl sqcm,,,656.48,1780.55,3
HCPCS,A2023,"Innovamatrix pd, 1 mg",,,20.13,20.13,2
HCPCS,A2024,Resolve matrix per sq cm,,,656.48,2367.76,3
HCPCS,A2025,Miro3d per cubic cm,,,366.15,656.48,3
HCPCS,A2027,Matriderm per sq cm,,,656.48,656.48,1
HCPCS,A2029,Mirotract matrix sheet,,,624.7,656.48,3
HCPCS,A2030,"Miro3d fibers, per mg",,,6.67,6.67,2
HCPCS,A2031,"Mirodry, per sq cm",,,656.48,732.13,3
HCPCS,A2032,"Myriad matrix, per sq cm",,,28.71,656.48,3
HCPCS,A2033,"Myriad morcells, 4 mg",,,16.1,16.1,2
HCPCS,A2034,"Found drs solo, per sq cm",,,656.48,1876.87,3
HCPCS,A2035,Corpl p therac p allac p mg,,,139.68,139.68,2
HCPCS,A2036,Cohealyx col dml mx pr sq cm,,,656.48,656.48,1
HCPCS,A2038,"Marigen pacto, per sq cm",,,656.48,656.48,1
HCPCS,A2039,"Innovamatrix fd, per sq cm",,,656.48,656.48,1
HCPCS,A4100,Skin sub fda clrd as dev nos,,,656.48,656.48,1
HCPCS,A4596,Ces system monthly supp,,,58.9,58.9,2
HCPCS,A4642,In111 satumomab,,,1980.63,1980.63,2
HCPCS,A9500,Tc99m sestamibi,,,549.71,549.71,2
HCPCS,A9502,Tc99m tetrofosmin,,,138.12,138.12,2
HCPCS,A9503,Tc99m medronate,,,72.21,72.21,2
HCPCS,A9504,Tc99m apcitide,,,621.14,621.14,2
HCPCS,A9505,Tl201 thallium,,,59.58,59.58,2
HCPCS,A9506,Tc-99m graphite crucible,,,400.89,400.89,2
HCPCS,A9507,In111 capromab,,,1602.58,1602.58,2
HCPCS,A9508,"I131 iodobenguate, dx",,,1257.28,1257.28,2
HCPCS,A9509,Iodine I-123 sod iodide mil,,,205.61,205.61,2
HCPCS,A9510,Tc99m disofenin,,,73.0,73.0,2
HCPCS,A9512,Tc99m pertechnetate,,,13.02,13.02,2
HCPCS,A9513,Lutetium lu 177 dotatat ther,,,381.48,381.48,2
HCPCS,A9515,Choline c-11,,,2516.79,2516.79,2
HCPCS,A9516,Iodine I-123 sod iodide mic,,,142.85,142.85,2
HCPCS,A9517,"I131 iodide cap, rx",,,28.22,28.22,2
HCPCS,A9521,Tc99m exametazime,,,978.85,978.85,2
HCPCS,A9524,"I131 serum albumin, dx",,,594.7,594.7,2
HCPCS,A9526,Nitrogen n-13 ammonia,,,897.38,897.38,2
HCPCS,A9527,Iodine I-125 sodium iodide,,,254.47,254.47,2
HCPCS,A9528,"Iodine i-131 iodide cap, dx",,,115.23,115.23,2
HCPCS,A9530,"I131 iodide sol, rx",,,25.47,25.47,2
HCPCS,A9531,I131 max 100uci,,,5.14,5.14,2
HCPCS,A9532,"I125 serum albumin, dx",,,250.2,250.2,2
HCPCS,A9536,Tc99m depreotide,,,945.93,945.93,2
HCPCS,A9537,Tc99m mebrofenin,,,138.42,138.42,2
HCPCS,A9538,Tc99m pyrophosphate,,,49.73,49.73,2
HCPCS,A9539,Tc99m pentetate,,,33.94,33.94,2
HCPCS,A9540,Tc99m maa,,,35.92,35.92,2
HCPCS,A9541,Tc99m sulfur colloid,,,916.71,916.71,2
HCPCS,A9542,"In111 ibritumomab, dx",,,973.58,973.58,2
HCPCS,A9543,"Y90 ibritumomab, rx",,,69325.95,69325.95,2
HCPCS,A9546,Co57/58,,,1.57,1.57,2
HCPCS,A9547,In111 oxyquinoline,,,942.62,942.62,2
HCPCS,A9548,In111 pentetate,,,872.65,872.65,2
HCPCS,A9551,Tc99m succimer,,,597.47,597.47,2
HCPCS,A9552,F18 fdg,,,509.46,509.46,2
HCPCS,A9553,Cr51 chromate,,,514.19,514.19,2
HCPCS,A9554,"I125 iothalamate, dx",,,47.36,47.36,2
HCPCS,A9555,Rb82 rubidium,,,632.19,632.19,2
HCPCS,A9556,Ga67 gallium,,,26.84,26.84,2
HCPCS,A9557,Tc99m bicisate,,,834.24,834.24,2
HCPCS,A9558,Xe133 xenon 10mci,,,361.88,361.88,2
HCPCS,A9559,Co57 cyano,,,196.53,196.53,2
HCPCS,A9560,Tc99m labeled rbc,,,128.65,128.65,2
HCPCS,A9561,Tc99m oxidronate,,,61.56,61.56,2
HCPCS,A9562,Tc99m mertiatide,,,937.24,937.24,2
HCPCS,A9563,P32 na phosphate,,,218.53,218.53,2
HCPCS,A9564,P32 chromic phosphate,,,184.68,184.68,2
HCPCS,A9567,Technetium tc-99m aerosol,,,24.86,24.86,2
HCPCS,A9568,Technetium tc99m arcitumomab,,,987.6,987.6,2
HCPCS,A9569,Technetium TC-99m auto WBC,,,1269.19,1269.19,2
HCPCS,A9570,Indium In-111 auto WBC,,,1258.3,1258.3,2
HCPCS,A9571,Indium IN-111 auto platelet,,,5668.03,5668.03,2
HCPCS,A9572,Indium In-111 pentetreotide,,,2335.82,2335.82,2
HCPCS,A9573,"Inj, gadopiclenol, 1 ml",,,4.16,4.16,2
HCPCS,A9575,Inj gadoterate meglumi 0.1ml,,,0.15,0.15,2
HCPCS,A9576,Inj prohance multipack,,,1.73,1.73,2
HCPCS,A9577,Inj multihance,,,2.12,2.12,2
HCPCS,A9578,Inj multihance multipack,,,2.09,2.09,2
HCPCS,A9579,"Gad-base MR contrast NOS,1ml",,,1.79,1.79,2
HCPCS,A9580,Sodium fluoride F-18,,,319.65,319.65,2
HCPCS,A9581,Gadoxetate disodium inj,,,17.93,17.93,2
HCPCS,A9582,Iodine I-123 iobenguane,,,2531.27,2531.27,2
HCPCS,A9584,Iodine i-123 ioflupane,,,1693.38,1693.38,2
HCPCS,A9585,Gadobutrol injection,,,0.32,0.32,2
HCPCS,A9586,Florbetapir F18,,,2677.44,2677.44,2
HCPCS,A9587,Gallium ga-68,,,62.33,62.33,2
HCPCS,A9588,Fluciclovine f-18,,,327.47,327.47,2
HCPCS,A9589,Insti hexaminolevulinate hcl,,,1737.68,1737.68,2
HCPCS,A9591,Fluoroestradiol f 18,,,608.38,608.38,2
HCPCS,A9592,Copper cu 64 dotatate diag,,,726.02,726.02,2
HCPCS,A9593,Gallium ga-68 psma-11 ucsf,,,652.59,652.59,2
HCPCS,A9594,"Gallium ga-68 psma-11, ucla",,,454.05,454.05,2
HCPCS,A9595,"Piflu f-18, dia 1 millicurie",,,405.58,405.58,2
HCPCS,A9596,Gallium illuccix 1 millicure,,,624.09,624.09,2
HCPCS,A9600,Sr89 strontium,,,5058.53,5058.53,2
HCPCS,A9601,Flortaucipir inj 1 millicuri,,,4526.2,4526.2,2
HCPCS,A9602,Fluorodopa f-18 diag per mci,,,608.32,608.32,2
HCPCS,A9604,Sm 153 lexidronam,,,5264.19,5264.19,2
HCPCS,A9606,Radium ra223 dichloride ther,,,209.57,209.57,2
HCPCS,A9607,Lutetium lu 177 vipivotide,,,308.88,308.88,2
HCPCS,A9608,Flotufolastat f18 diag 1 mci,,,818.89,818.89,2
HCPCS,A9611,"Flurpiridaz f18, diag, 1 mci",,,646.6,646.6,2
HCPCS,A9615,"Inj, pegulicianine, 1 mg",,,44.47,44.47,2
HCPCS,A9697,"Inj, magtrace per study dose",,,1388.35,1388.35,2
HCPCS,A9699,Radiopharm rx agent noc,,,55169.68,55169.68,2
HCPCS,A9800,Gallium locametz 1 millicuri,,,1065.6,1065.6,2
HCPCS,C5271,Low cost skin substitute app,,,2505.0,4108.0,3
HCPCS,C5272,Low cost skin substitute app,,,2505.0,3195.0,3
HCPCS,C5273,Low cost skin substitute app,,,4108.0,5664.0,3
HCPCS,C5274,Low cost skin substitute app,,,2505.0,3195.0,3
HCPCS,C5275,Low cost skin substitute app,,,2505.0,4108.0,3
HCPCS,C5276,Low cost skin substitute app,,,2505.0,3195.0,3
HCPCS,C5277,Low cost skin substitute app,,,2505.0,4108.0,3
HCPCS,C5278,Low cost skin substitute app,,,2505.0,3195.0,3
HCPCS,C7500,Deb bone 20 cm2 w/drug dev,,,4108.0,5664.0,3
HCPCS,C7501,Perc bx breast lesions stero,,,4108.0,5664.0,3
HCPCS,C7502,Perc bx breast lesions mr,,,5097.0,5664.0,3
HCPCS,C7503,Open exc cerv node(s) w/ id,,,4108.0,5664.0,3
HCPCS,C7504,Perq cvt&ls inj vert bodies,,,5097.0,5664.0,3
HCPCS,C7505,Perq ls&cvt inj vert bodies,,,5097.0,5664.0,3
HCPCS,C7506,Fusion of finger joints,,,5097.0,5664.0,3
HCPCS,C7507,Perq thor&lumb vert aug,,,5097.0,6044.0,3
HCPCS,C7508,Perq lumb&thor vert aug,,,5097.0,6044.0,3
HCPCS,C7509,Dx bronch w/ navigation,,,5097.0,5664.0,3
HCPCS,C7510,Bronch/lavag w/ navigation,,,5097.0,5664.0,3
HCPCS,C7511,Bronch/bpsy(s) w/ navigation,,,5097.0,5664.0,3
HCPCS,C7512,Bronch/bpsy(s) w/ ebus,,,5097.0,5664.0,3
HCPCS,C7513,Cath/angio dialcir w/aplasty,,,5097.0,8406.0,3
HCPCS,C7514,Cath/angio dial cir w/stents,,,5097.0,8406.0,3
HCPCS,C7515,Cath/angio dial cir w/embol,,,5097.0,8406.0,3
HCPCS,C7516,Cor angio w/ ivus or oct,,,5097.0,8212.0,3
HCPCS,C7517,Cor angio w/ilic/fem angio,,,5097.0,8406.0,3
HCPCS,C7518,Cor/gft angio w/ ivus or oct,,,5097.0,8212.0,3
HCPCS,C7519,Cor/gft angio w/ flow resrv,,,5097.0,8406.0,3
HCPCS,C7520,Cor/gft angio w/ilic/fem ang,,,5097.0,8406.0,3
HCPCS,C7521,R hrt angio w/ ivus or oct,,,5097.0,8212.0,3
HCPCS,C7522,R hrt angio w/flow resrv,,,5097.0,8406.0,3
HCPCS,C7523,L hrt angio w/ ivus or oct,,,5097.0,8212.0,3
HCPCS,C7524,L hrt angio w/flow resrv,,,5097.0,8406.0,3
HCPCS,C7525,L hrt gft ang w/ ivus or oct,,,5097.0,8212.0,3
HCPCS,C7526,L hrt gft ang w/flow resrv,,,5097.0,8406.0,3
HCPCS,C7527,R&l hrt angio w/ ivus or oct,,,5097.0,8212.0,3
HCPCS,C7528,R&l hrt angio w/flow resrv,,,5097.0,8406.0,3
HCPCS,C7529,R&l hrt gft ang w/flow resrv,,,5097.0,8406.0,3
HCPCS,C7530,Cath/aplasty dial cir w/stnt,,,5097.0,8406.0,3
HCPCS,C7531,Angio fem/pop w/ us,,,5097.0,6044.0,3
HCPCS,C7532,Angio w/ us non-coronary,,,5097.0,8406.0,3
HCPCS,C7533,Ptca w/ plcmt brachytx dev,,,5097.0,5664.0,2
HCPCS,C7534,Fem/pop revasc w/arthr & us,,,5097.0,6044.0,3
HCPCS,C7535,Fem/pop revasc w/stent & us,,,5097.0,6044.0,3
HCPCS,C7537,Insrt atril pm w/l vent lead,,,5097.0,8406.0,3
HCPCS,C7538,Insrt vent pm w/l vent lead,,,5097.0,8406.0,3
HCPCS,C7539,Insrt a & v pm w/l vent lead,,,5097.0,8406.0,3
HCPCS,C7540,Rmv&rplc pm dul w/l vnt lead,,,5097.0,8406.0,3
HCPCS,C7541,Ercp w/ pancreatoscopy,,,5097.0,5664.0,3
HCPCS,C7542,Ercp w/bx & pancreatoscopy,,,5097.0,5664.0,3
HCPCS,C7543,"Ercp w/otomy, pancreatoscopy",,,5097.0,5664.0,3
HCPCS,C7544,Ercp rmv calc pancreatoscopy,,,5097.0,5664.0,3
HCPCS,C7545,Exch bil cath w/ rmv calculi,,,5097.0,5664.0,3
HCPCS,C7546,Rep nph/urt cath w/dil stric,,,4108.0,5664.0,3
HCPCS,C7547,Cnvrt neph cath w/ dil stric,,,4108.0,5664.0,3
HCPCS,C7548,Exch neph cath w/ dil stric,,,4108.0,5664.0,3
HCPCS,C7549,Chge urtr stent w/ dil stric,,,4108.0,5664.0,3
HCPCS,C7550,Cysto w/ bx(s) w/ blue light,,,4108.0,5664.0,3
HCPCS,C7551,Exc neuroma w/ implnt nv end,,,5097.0,5664.0,3
HCPCS,C7552,R hrt art/grft ang hrt flow,,,5097.0,8406.0,3
HCPCS,C7553,R&l hrt art/vent ang drg ad,,,5097.0,8406.0,3
HCPCS,C7554,Cystureth blu li cyst fl img,,,4108.0,5664.0,3
HCPCS,C7555,Rmvl thyrd w/autotran parath,,,5097.0,8406.0,3
HCPCS,C7556,Bronch lavage w/ebus,,,4108.0,4108.0,1
HCPCS,C7557,Cor angio/vent w/ffr,,,5097.0,8212.0,3
HCPCS,C7560,Ercp remove forgn body&endo,,,5097.0,5664.0,3
HCPCS,C7562,R&l hrt angio w/ffr & 3d map,,,5097.0,8212.0,3
HCPCS,C7563,Trluml ballo angiop all art,,,5097.0,8406.0,3
HCPCS,C7564,Vein mech throm w/intrvas us,,,5097.0,8406.0,3
HCPCS,C7565,Rpr aa hrn < 3 rdc w/ rmvl,,,5097.0,5664.0,3
HCPCS,C7566,Fuse finger joints w/grafts,,,6979.0,6979.0,1
HCPCS,C7567,Bronch/needle bx(s) w/ nav,,,6979.0,6979.0,1
HCPCS,C7568,Cor angio w/flow resrv,,,6979.0,6979.0,1
HCPCS,C7569,Ptca w/ ivus or oct,,,6979.0,6979.0,1
HCPCS,C7570,Cor angio w/ffr & 3d map,,,6979.0,6979.0,1
HCPCS,C7571,Pcta w/ cor lithotrip,,,6979.0,6979.0,1
HCPCS,C8001,3d anat seg imaging preop,,,198.11,198.11,2
HCPCS,C8003,Imp extar knee shck absrb,,,5363.0,25393.0,3
HCPCS,C8900,"Mra w/cont, abd",,,859.16,859.16,2
HCPCS,C8901,"Mra w/o cont, abd",,,524.34,524.34,2
HCPCS,C8902,"Mra w/o fol w/cont, abd",,,859.16,859.16,2
HCPCS,C8903,"Mri w/cont, breast,  uni",,,410.0,410.0,2
HCPCS,C8905,"Mri w/o fol w/cont, brst, un",,,859.16,859.16,2
HCPCS,C8906,"Mri w/cont, breast,  bi",,,859.16,859.16,2
HCPCS,C8908,"Mri w/o fol w/cont, breast,",,,859.16,859.16,2
HCPCS,C8909,"MRA w/cont, chest",,,859.16,859.16,2
HCPCS,C8910,"MRA w/o cont, chest",,,524.34,524.34,2
HCPCS,C8911,"MRA w/o fol w/cont, chest",,,859.16,859.16,2
HCPCS,C8912,"Mra w/cont, lwr ext",,,859.16,859.16,2
HCPCS,C8913,"Mra w/o cont, lwr ext",,,524.34,524.34,2
HCPCS,C8914,"Mra w/o fol w/cont, lwr ext",,,859.16,859.16,2
HCPCS,C8918,"MRA w/cont, pelvis",,,859.16,859.16,2
HCPCS,C8919,"MRA w/o cont, pelvis",,,524.34,524.34,2
HCPCS,C8920,"Mra w/o fol w/cont, pelvis",,,859.16,859.16,2
HCPCS,C8931,"MRA, w/dye, spinal canal",,,859.16,859.16,2
HCPCS,C8932,"MRA, w/o dye, spinal canal",,,524.34,524.34,2
HCPCS,C8933,"MRA, w/o&w/dye, spinal canal",,,859.16,859.16,2
HCPCS,C8934,"MRA, w/dye, upper extremity",,,859.16,859.16,2
HCPCS,C8935,"MRA, w/o dye, upper extr",,,524.34,524.34,2
HCPCS,C8936,"MRA, w/o&w/dye, upper extr",,,859.16,859.16,2
HCPCS,C9067,Gallium ga-68 dotatoc,,,4.94,4.94,2
HCPCS,C9088,"Instill, bupivac and meloxic",,,0.99,0.99,2
HCPCS,C9101,"Inj, oliceridine 0.1 mg",,,1.59,1.59,2
HCPCS,C9144,"Inj, bupivacaine (posimir)",,,0.62,0.62,2
HCPCS,C9145,"Inj, aponvie, 1 mg",,,2.34,2.34,2
HCPCS,C9174,"Datopotamab deruxtecan, 1 mg",,,61.46,61.46,2
HCPCS,C9175,"Inj, treosulfan, 50 mg",,,38.33,38.33,2
HCPCS,C9248,"Inj, clevidipine butyrate",,,3.51,3.51,2
HCPCS,C9250,Artiss fibrin sealant,,,173.33,173.33,2
HCPCS,C9257,Bevacizumab injection,,,2.23,2.23,2
HCPCS,C9460,"Injection, cangrelor",,,24.17,24.17,2
HCPCS,C9482,Sotalol hydrochloride IV,,,30.56,30.56,2
HCPCS,C9600,Perc drug-el cor stent sing,,,8212.0,25393.0,3
HCPCS,C9601,Perc drug-el cor stent bran,,,2505.0,3195.0,3
HCPCS,C9602,Perc d-e cor stent ather s,,,8212.0,25393.0,3
HCPCS,C9603,Perc d-e cor stent ather br,,,2505.0,2782.0,2
HCPCS,C9604,Perc d-e cor revasc t cabg s,,,8212.0,25393.0,3
HCPCS,C9605,Perc d-e cor revasc t cabg b,,,2505.0,2782.0,2
HCPCS,C9606,Perc d-e cor revasc w AMI s,,,5097.0,6979.0,3
HCPCS,C9607,Perc d-e cor revasc chro sin,,,8212.0,25393.0,3
HCPCS,C9608,Perc d-e cor revasc chro add,,,2505.0,2782.0,2
HCPCS,C9725,Place endorectal app,,,4047.0,6979.0,3
HCPCS,C9726,Rxt breast appl place/remov,,,2505.0,2782.0,2
HCPCS,C9727,Insert palate implants,,,5097.0,6979.0,3
HCPCS,C9728,"Place device/marker, non pro",,,6979.0,6979.0,1
HCPCS,C9733,Non-ophthalmic FVA,,,859.16,859.16,2
HCPCS,C9738,Blue light cysto imag agent,,,2505.0,3195.0,3
HCPCS,C9739,Cystoscopy prostatic imp 1-3,,,5363.0,10940.0,3
HCPCS,C9740,Cysto impl 4 or more,,,6044.0,22111.0,3
HCPCS,C9751,"Microwave bronch, 3d, ebus",,,8406.0,12821.0,3
HCPCS,C9756,Fluorescence lymph map w/ICG,,,2505.0,3195.0,3
HCPCS,C9757,Spine/lumbar disk surgery,,,6044.0,22111.0,3
HCPCS,C9758,Interatrial shunt IDE,,,35325.0,39251.0,2
HCPCS,C9759,Transcath intraop microinf,,,2505.0,2782.0,2
HCPCS,C9760,Non-blind interatrial shunt,,,6979.0,46177.0,3
HCPCS,C9761,"Cysto, litho, vacuum kidney",,,5363.0,10940.0,3
HCPCS,C9762,Cardiac MRI seg dys strain,,,1083.56,1083.56,2
HCPCS,C9763,Cardiac MRI seg dys stress,,,1083.56,1083.56,2
HCPCS,C9764,Revasc intravasc lithotripsy,,,5363.0,22111.0,3
HCPCS,C9765,Revasc intra lithotrip-stent,,,5363.0,25393.0,3
HCPCS,C9766,Revasc intra lithotrip-ather,,,6044.0,25393.0,3
HCPCS,C9767,Revasc lithotrip-stent-ather,,,6044.0,25393.0,3
HCPCS,C9768,Endo us-guide hep porto grad,,,3195.0,3195.0,1
HCPCS,C9769,Cysto w/temp pros implant,,,5248.0,5248.0,1
HCPCS,C9772,Revasc lithotrip tibi/perone,,,5363.0,25393.0,3
HCPCS,C9773,Revasc lithotr-stent tib/per,,,5363.0,25393.0,3
HCPCS,C9774,Revasc lithotr-ather tib/per,,,5363.0,25393.0,3
HCPCS,C9775,Revasc lith-sten-ath tib/per,,,5363.0,25393.0,3
HCPCS,C9777,Esophag mucosal integ add-on,,,3195.0,10940.0,3
HCPCS,C9778,"Colpopexy, min/inv, ex-perit",,,6044.0,10940.0,3
HCPCS,C9779,ESD endoscopy or colonoscopy,,,5248.0,10940.0,3
HCPCS,C9780,Insert cv cath inf & sup app,,,5248.0,25393.0,3
HCPCS,C9781,Arthro/shoul surg; w/spacer,,,6044.0,22111.0,3
HCPCS,C9782,Blind myocar trpl bon marrow,,,6979.0,39251.0,3
HCPCS,C9783,Blind cor sinus reducer impl,,,8406.0,25393.0,3
HCPCS,C9784,Endo sleeve gastro w/tube,,,5248.0,22111.0,3
HCPCS,C9785,Endo outlet restrict w/tube,,,5248.0,22111.0,3
HCPCS,C9789,Instill pharm renal pelvis,,,4108.0,10940.0,3
HCPCS,C9790,Kidney histotripsy w/image,,,5363.0,5363.0,1
HCPCS,C9791,Mri hyperpolarized xenon129,,,2813.63,2813.63,2
HCPCS,C9792,Blind/nonblind trans atrial,,,8406.0,25393.0,3
HCPCS,C9796,Rpr intst excl anrect fist,,,4108.0,10940.0,3
HCPCS,C9797,Vasc emb/occ w/prs cath,,,5248.0,25393.0,3
HCPCS,C9901,Endo defect closure GI tract,,,5248.0,22111.0,3
HCPCS,D2956,Indirect rest remov,,,5097.0,5664.0,2
HCPCS,D2989,Excavate tooth non-restorabl,,,5097.0,5664.0,2
HCPCS,D3410,Apicoectomy - anterior,,,6979.0,6979.0,1
HCPCS,D3421,Root surgery bicuspid,,,6979.0,6979.0,1
HCPCS,D3425,Root surgery molar,,,6979.0,6979.0,1
HCPCS,D3428,Bone graft peri per tooth,,,6979.0,6979.0,1
HCPCS,D3432,Guided tissue regeneration,,,6979.0,6979.0,1
HCPCS,D3450,Root amputation,,,6979.0,6979.0,1
HCPCS,D3471,Surg rep root res anterior,,,5097.0,5664.0,2
HCPCS,D3472,Surg rep root res premolar,,,5097.0,5664.0,2
HCPCS,D3473,Surg rep root res molar,,,5097.0,5664.0,2
HCPCS,D3501,Surg exp root surf anterior,,,5097.0,5664.0,2
HCPCS,D3502,Surg exp root surf premolar,,,5097.0,5664.0,2
HCPCS,D3503,Surg exp root surf molar,,,5097.0,5664.0,2
HCPCS,D3910,Isolation- tooth w rubb dam,,,6979.0,6979.0,1
HCPCS,D3920,Tooth splitting,,,6979.0,6979.0,1
HCPCS,D3921,D?cor or submerg erupt tooth,,,5097.0,5664.0,2
HCPCS,D3999,Endodontic procedure,,,6979.0,6979.0,1
HCPCS,D4210,Gingivectomy/plasty 4 or mor,,,6979.0,6979.0,1
HCPCS,D4211,Gingivectomy/plasty 1 to 3,,,6979.0,6979.0,1
HCPCS,D4212,Gingivectomy/plasty rest,,,6979.0,6979.0,1
HCPCS,D4230,Ana crown exp 4 or> per quad,,,6979.0,6979.0,1
HCPCS,D4231,Ana crown exp 1-3 per quad,,,6979.0,6979.0,1
HCPCS,D4240,Gingival flap proc w/ planin,,,6979.0,6979.0,1
HCPCS,D4241,Gngvl flap w rootplan 1-3 th,,,6979.0,6979.0,1
HCPCS,D4245,Apically positioned flap,,,6979.0,6979.0,1
HCPCS,D4249,Crown lengthen hard tissue,,,6979.0,6979.0,1
HCPCS,D4260,Osseous surgery 4 or more,,,6979.0,6979.0,1
HCPCS,D4261,Osseous surg 1 to 3 teeth,,,6979.0,6979.0,1
HCPCS,D4263,Bone replce graft first site,,,6979.0,6979.0,1
HCPCS,D4266,Guided tiss regen resorble,,,6979.0,6979.0,1
HCPCS,D4267,Guided tiss regen nonresorb,,,6979.0,6979.0,1
HCPCS,D4268,Surgical revision procedure,,,6979.0,6979.0,1
HCPCS,D4270,Pedicle soft tissue graft pr,,,6979.0,6979.0,1
HCPCS,D4273,Auto tissue graft 1st tooth,,,6979.0,6979.0,1
HCPCS,D4274,Mesial/distal wedge proc,,,6979.0,6979.0,1
HCPCS,D4275,Non-auto graft 1st tooth,,,6979.0,6979.0,1
HCPCS,D4276,Con tissue w dble ped graft,,,6979.0,6979.0,1
HCPCS,D4277,Soft tissue graft firsttooth,,,6979.0,6979.0,1
HCPCS,D4286,Remove non-resorb barrier,,,5097.0,5664.0,2
HCPCS,D5995,"Peri medicament w/seal, max",,,5097.0,5664.0,2
HCPCS,D5996,"Peri medicament w/seal, mand",,,5097.0,5664.0,2
HCPCS,D6010,Odontics endosteal implant,,,6979.0,6979.0,1
HCPCS,D6011,Second stage implant surgery,,,6979.0,6979.0,1
HCPCS,D6012,Endosteal implant,,,6979.0,6979.0,1
HCPCS,D6013,Surgical place mini implant,,,6979.0,6979.0,1
HCPCS,D6040,Odontics eposteal implant,,,6979.0,6979.0,1
HCPCS,D6050,Odontics transosteal implnt,,,6979.0,6979.0,1
HCPCS,D6051,Interim abutment,,,6979.0,6979.0,1
HCPCS,D6089,Access/retorq implant screw,,,5097.0,5664.0,2
HCPCS,D6103,Bone graft repair perimplant,,,6979.0,6979.0,1
HCPCS,D6104,Bone graft time of implant,,,6979.0,6979.0,1
HCPCS,D6105,Remove implant body,,,5097.0,5664.0,2
HCPCS,D6106,Tissue regen resorbable,,,5097.0,5664.0,2
HCPCS,D6107,Tissue regen non-resorbable,,,5097.0,5664.0,2
HCPCS,D6191,Semi precision abutment,,,5097.0,5664.0,2
HCPCS,D6192,Semi precision attachment,,,5097.0,5664.0,2
HCPCS,D6193,Replace implnt screw,,,5097.0,5664.0,2
HCPCS,D6197,Replace material prosthesis,,,5097.0,5664.0,2
HCPCS,D6198,Remove interim implant,,,5097.0,5664.0,2
HCPCS,D7111,Extraction coronal remnants,,,6979.0,6979.0,1
HCPCS,D7140,Extraction erupted tooth/exr,,,6979.0,6979.0,1
HCPCS,D7210,Rem imp tooth w mucoper flp,,,6979.0,6979.0,1
HCPCS,D7220,Impact tooth remov soft tiss,,,6979.0,6979.0,1
HCPCS,D7230,Impact tooth remov part bony,,,6979.0,6979.0,1
HCPCS,D7240,Impact tooth remov comp bony,,,6979.0,6979.0,1
HCPCS,D7241,Impact tooth rem bony w/comp,,,6979.0,6979.0,1
HCPCS,D7250,Tooth root removal,,,6979.0,6979.0,1
HCPCS,D7251,Coronectomy,,,6979.0,6979.0,1
HCPCS,D7252,Part extract for implant,,,5097.0,5664.0,2
HCPCS,D7259,Nerve dissection,,,5097.0,5664.0,2
HCPCS,D7260,Oral antral fistula closure,,,6979.0,6979.0,1
HCPCS,D7261,Primary closure sinus perf,,,6979.0,6979.0,1
HCPCS,D7270,Tooth reimplantation,,,6979.0,6979.0,1
HCPCS,D7272,Tooth transplantation,,,6979.0,6979.0,1
HCPCS,D7280,Exposure of unerupted tooth,,,6979.0,6979.0,1
HCPCS,D7282,Mobilize erupted/malpos toot,,,6979.0,6979.0,1
HCPCS,D7283,Place device impacted tooth,,,6979.0,6979.0,1
HCPCS,D7284,Exc biopsy of saliv glands,,,5097.0,5664.0,2
HCPCS,D7285,Biopsy of oral tissue hard,,,6979.0,6979.0,1
HCPCS,D7286,Biopsy of oral tissue soft,,,6979.0,6979.0,1
HCPCS,D7287,Exfoliative cytolog collect,,,6979.0,6979.0,1
HCPCS,D7288,Brush biopsy,,,6979.0,6979.0,1
HCPCS,D7290,Repositioning of teeth,,,6979.0,6979.0,1
HCPCS,D7291,Transseptal fiberotomy,,,6979.0,6979.0,1
HCPCS,D7292,Screw retained plate,,,6979.0,6979.0,1
HCPCS,D7293,Temp anchorage dev w flap,,,6979.0,6979.0,1
HCPCS,D7294,Temp anchorage dev w/o flap,,,6979.0,6979.0,1
HCPCS,D7295,"Bone harvest,auto graft proc",,,6979.0,6979.0,1
HCPCS,D7298,Remove screw retained plate,,,5097.0,5664.0,2
HCPCS,D7299,Rem anchorage device w/flap,,,5097.0,5664.0,2
HCPCS,D7300,Rem anchorage dev w/o flap,,,5097.0,5664.0,2
HCPCS,D7310,Alveoplasty w/ extraction,,,6979.0,6979.0,1
HCPCS,D7311,Alveoloplasty w/extract 1-3,,,6979.0,6979.0,1
HCPCS,D7320,Alveoplasty w/o extraction,,,6979.0,6979.0,1
HCPCS,D7321,Alveoloplasty not w/extracts,,,6979.0,6979.0,1
HCPCS,D7340,Vestibuloplasty ridge extens,,,6979.0,6979.0,1
HCPCS,D7350,Vestibuloplasty exten graft,,,6979.0,6979.0,1
HCPCS,D7410,Rad exc lesion up to 1.25 cm,,,6979.0,6979.0,1
HCPCS,D7411,Excision benign lesion>1.25c,,,6979.0,6979.0,1
HCPCS,D7412,Excision benign lesion compl,,,6979.0,6979.0,1
HCPCS,D7413,Excision malig lesion<=1.25c,,,6979.0,6979.0,1
HCPCS,D7414,Excision malig lesion>1.25cm,,,6979.0,6979.0,1
HCPCS,D7415,Excision malig les complicat,,,6979.0,6979.0,1
HCPCS,D7440,Malig tumor exc to 1.25 cm,,,6979.0,6979.0,1
HCPCS,D7441,Malig tumor > 1.25 cm,,,6979.0,6979.0,1
HCPCS,D7450,Rem odontogen cyst to 1.25cm,,,6979.0,6979.0,1
HCPCS,D7451,Rem odontogen cyst > 1.25 cm,,,6979.0,6979.0,1
HCPCS,D7460,Rem nonodonto cyst to 1.25cm,,,6979.0,6979.0,1
HCPCS,D7461,Rem nonodonto cyst > 1.25 cm,,,6979.0,6979.0,1
HCPCS,D7465,Lesion destruction,,,6979.0,6979.0,1
HCPCS,D7471,Rem exostosis any site,,,6979.0,6979.0,1
HCPCS,D7472,Removal of torus palatinus,,,6979.0,6979.0,1
HCPCS,D7473,Remove torus mandibularis,,,6979.0,6979.0,1
HCPCS,D7485,Surg reduct osseoustuberosit,,,6979.0,6979.0,1
HCPCS,D7490,Maxilla or mandible resectio,,,6979.0,6979.0,1
HCPCS,D7509,Marsupialization odon cyst,,,5097.0,5664.0,2
HCPCS,D7510,I&d absc intraoral soft tiss,,,6979.0,6979.0,1
HCPCS,D7511,Incision/drain abscess intra,,,6979.0,6979.0,1
HCPCS,D7520,I&d abscess extraoral,,,6979.0,6979.0,1
HCPCS,D7521,Incision/drain abscess extra,,,6979.0,6979.0,1
HCPCS,D7530,Removal fb skin/areolar tiss,,,6979.0,6979.0,1
HCPCS,D7540,Removal of fb reaction,,,6979.0,6979.0,1
HCPCS,D7550,Removal of sloughed off bone,,,6979.0,6979.0,1
HCPCS,D7560,Maxillary sinusotomy,,,6979.0,6979.0,1
HCPCS,D7610,Maxilla open reduct simple,,,6979.0,6979.0,1
HCPCS,D7630,Open red simpl mandible fx,,,6979.0,6979.0,1
HCPCS,D7650,Open red simp malar/zygom fx,,,6979.0,6979.0,1
HCPCS,D7671,Alveolus open reduction,,,6979.0,6979.0,1
HCPCS,D7680,Reduct simple facial bone fx,,,6979.0,6979.0,1
HCPCS,D7710,Maxilla open reduct compound,,,6979.0,6979.0,1
HCPCS,D7730,Open reduct compd mandble fx,,,6979.0,6979.0,1
HCPCS,D7750,Open red comp malar/zygma fx,,,6979.0,6979.0,1
HCPCS,D7770,Open reduc compd alveolus fx,,,6979.0,6979.0,1
HCPCS,D7780,Reduct compnd facial bone fx,,,6979.0,6979.0,1
HCPCS,D7810,Tmj open reduct-dislocation,,,6979.0,6979.0,1
HCPCS,D7830,Tmj manipulation under anest,,,6979.0,6979.0,1
HCPCS,D7840,Removal of tmj condyle,,,6979.0,6979.0,1
HCPCS,D7850,Tmj meniscectomy,,,6979.0,6979.0,1
HCPCS,D7852,Tmj repair of joint disc,,,6979.0,6979.0,1
HCPCS,D7854,Tmj excisn of joint membrane,,,6979.0,6979.0,1
HCPCS,D7856,Tmj cutting of a muscle,,,6979.0,6979.0,1
HCPCS,D7858,Tmj reconstruction,,,6979.0,6979.0,1
HCPCS,D7860,Tmj cutting into joint,,,6979.0,6979.0,1
HCPCS,D7865,Tmj reshaping components,,,6979.0,6979.0,1
HCPCS,D7870,Tmj aspiration joint fluid,,,6979.0,6979.0,1
HCPCS,D7871,Lysis + lavage w catheters,,,6979.0,6979.0,1
HCPCS,D7872,Tmj diagnostic arthroscopy,,,6979.0,6979.0,1
HCPCS,D7873,Tmj arthroscopy lysis adhesn,,,6979.0,6979.0,1
HCPCS,D7874,Tmj arthroscopy disc reposit,,,6979.0,6979.0,1
HCPCS,D7875,Tmj arthroscopy synovectomy,,,6979.0,6979.0,1
HCPCS,D7876,Tmj arthroscopy discectomy,,,6979.0,6979.0,1
HCPCS,D7877,Tmj arthroscopy debridement,,,6979.0,6979.0,1
HCPCS,D7910,Dent sutur recent wnd to 5cm,,,6979.0,6979.0,1
HCPCS,D7911,Dental suture wound to 5 cm,,,6979.0,6979.0,1
HCPCS,D7912,Suture complicate wnd > 5 cm,,,6979.0,6979.0,1
HCPCS,D7920,Dental skin graft,,,6979.0,6979.0,1
HCPCS,D7921,Collect & appl blood product,,,6979.0,6979.0,1
HCPCS,D7939,Indexing for osteotomy,,,5097.0,5664.0,2
HCPCS,D7940,Reshaping bone orthognathic,,,6979.0,6979.0,1
HCPCS,D7941,Bone cutting ramus closed,,,6979.0,6979.0,1
HCPCS,D7943,Cutting ramus open w/graft,,,6979.0,6979.0,1
HCPCS,D7944,Bone cutting segmented,,,6979.0,6979.0,1
HCPCS,D7945,Bone cutting body mandible,,,6979.0,6979.0,1
HCPCS,D7946,Reconstruction maxilla total,,,6979.0,6979.0,1
HCPCS,D7947,Reconstruct maxilla segment,,,6979.0,6979.0,1
HCPCS,D7948,Reconstruct midface no graft,,,6979.0,6979.0,1
HCPCS,D7949,Reconstruct midface w/graft,,,6979.0,6979.0,1
HCPCS,D7950,Mandible graft,,,6979.0,6979.0,1
HCPCS,D7951,Sinus aug w bone or bone sub,,,6979.0,6979.0,1
HCPCS,D7952,Sinus augmentation vertical,,,6979.0,6979.0,1
HCPCS,D7953,Bone replacement graft,,,6979.0,6979.0,1
HCPCS,D7955,Repair maxillofacial defects,,,6979.0,6979.0,1
HCPCS,D7956,Tiss regen edent resorb,,,5097.0,5664.0,2
HCPCS,D7957,Tiss regen edent nonresorb,,,5097.0,5664.0,2
HCPCS,D7961,Buccal/labial frenectomy,,,5097.0,5664.0,2
HCPCS,D7962,Lingual frenectomy,,,5097.0,5664.0,2
HCPCS,D7963,Frenuloplasty,,,6979.0,6979.0,1
HCPCS,D7970,Excision hyperplastic tissue,,,6979.0,6979.0,1
HCPCS,D7971,Excision pericoronal gingiva,,,6979.0,6979.0,1
HCPCS,D7972,Surg redct fibrous tuberosit,,,6979.0,6979.0,1
HCPCS,D7980,Sialolithotomy,,,6979.0,6979.0,1
HCPCS,D7981,Excision of salivary gland,,,6979.0,6979.0,1
HCPCS,D7982,Sialodochoplasty,,,6979.0,6979.0,1
HCPCS,D7983,Closure of salivary fistula,,,6979.0,6979.0,1
HCPCS,D7990,Emergency tracheotomy,,,6979.0,6979.0,1
HCPCS,D7991,Dental coronoidectomy,,,6979.0,6979.0,1
HCPCS,D7993,Surg place craniofacial impl,,,5097.0,5664.0,2
HCPCS,D7994,Surg place zygomatic impl,,,5097.0,5664.0,2
HCPCS,D7995,Synthetic graft facial bones,,,6979.0,6979.0,1
HCPCS,D7996,Implant mandible for augment,,,6979.0,6979.0,1
HCPCS,D7997,Appliance removal,,,6979.0,6979.0,1
HCPCS,D7998,Intraoral place of fix dev,,,6979.0,6979.0,1
HCPCS,D7999,Oral surgery procedure,,,6979.0,6979.0,1
HCPCS,D9949,Repair sleep apnea appliance,,,5097.0,5664.0,2
HCPCS,G0011,"Hiv prep counsel, md 15-30m",,,119.52,119.52,1
HCPCS,G0012,Injection of hiv prep drug,,,81.59,81.59,1
HCPCS,G0013,"Hiv prep counsel, clin staff",,,42.03,42.03,1
HCPCS,G0017,Crisis psychotherapy 60m,,,929.57,929.57,1
HCPCS,G0018,Crisis psychotherapy add 30m,,,449.81,449.81,1
HCPCS,G0019,Comm hlth intg svs sdoh 60mn,,,242.28,242.28,1
HCPCS,G0022,Comm hlth intg svs add 30 m,,,169.0,169.0,1
HCPCS,G0023,Pin service 60m per month,,,244.01,244.01,1
HCPCS,G0024,Pin srv add 30 min pr m,,,170.73,170.73,1
HCPCS,G0027,Semen analysis,,,9.75,27.12,3
HCPCS,G0076,Care manag h vst new pt 20 m,,,266.94,266.94,1
HCPCS,G0077,Care manag h vst new pt 30 m,,,403.19,403.19,1
HCPCS,G0078,Care manag h vst new pt 45 m,,,652.16,652.16,1
HCPCS,G0079,Care manag h vst new pt 60 m,,,886.83,886.83,1
HCPCS,G0080,Care manag h vst new pt 75 m,,,1177.03,1177.03,1
HCPCS,G0081,Care man h v ext pt 20 mi,,,266.89,266.89,1
HCPCS,G0082,Care man h v ext pt 30 m,,,436.27,436.27,1
HCPCS,G0083,Care man h v ext pt 45 m,,,697.59,697.59,1
HCPCS,G0084,Care man h v ext pt 60 m,,,990.44,990.44,1
HCPCS,G0085,Care man h v ext pt 75 m,,,1177.03,1177.03,1
HCPCS,G0086,Care man home care plan 30 m,,,400.55,400.55,1
HCPCS,G0087,Care man home care plan 60 m,,,560.48,560.48,1
HCPCS,G0101,CA screen;pelvic/breast exam,,,137.87,137.87,1
HCPCS,G0102,Prostate ca screening; dre,,,42.03,42.03,1
HCPCS,G0103,PSA Screening,,,28.97,80.56,3
HCPCS,G0104,CA screen;flexi sigmoidscope,,,293.0,4497.0,4
HCPCS,G0105,Colorectal scrn; hi risk ind,,,456.18,4497.0,5
HCPCS,G0106,Colon CA screen;barium enema,,,6979.0,6979.0,1
HCPCS,G0108,Diab manage trn  per indiv,,,298.83,298.83,1
HCPCS,G0109,Diab manage trn ind/group,,,85.69,85.69,1
HCPCS,G0117,Glaucoma scrn hgh risk direc,,,338.01,338.01,1
HCPCS,G0118,Glaucoma scrn hgh risk direc,,,210.82,210.82,1
HCPCS,G0120,Colon ca scrn; barium enema,,,6979.0,6979.0,1
HCPCS,G0121,Colon ca scrn not hi rsk ind,,,458.88,4497.0,5
HCPCS,G0123,Screen cerv/vag thin layer,,,30.39,84.52,3
HCPCS,G0124,Screen c/v thin layer by MD,,,39.53,127.02,3
HCPCS,G0127,Trim nail(s),,,36.8,2782.0,3
HCPCS,G0128,CORF skilled nursing service,,,57.85,57.85,1
HCPCS,G0130,Single energy x-ray study,,,149.15,252.18,3
HCPCS,G0136,Adm of soc dtr assess 5-15 m,,,43.76,43.76,1
HCPCS,G0138,Iv cipaglucosidase alfa-atga,,,1019.74,1019.74,1
HCPCS,G0140,Nav srv peer sup 60 min pr m,,,244.01,244.01,1
HCPCS,G0141,"Scr c/v cyto,autosys and md",,,39.53,127.02,3
HCPCS,G0143,"Scr c/v cyto,thinlayer,rescr",,,40.58,112.85,3
HCPCS,G0144,"Scr c/v cyto,thinlayer,rescr",,,65.96,183.44,3
HCPCS,G0145,"Scr c/v cyto,thinlayer,rescr",,,39.74,110.52,3
HCPCS,G0146,Nav srv peer sup add 30 pr m,,,166.3,166.3,1
HCPCS,G0147,"Scr c/v cyto, automated sys",,,22.68,77.35,3
HCPCS,G0148,"Scr c/v cyto, autosys, rescr",,,47.91,133.25,3
HCPCS,G0166,"Extrnl counterpulse, per tx",,,534.64,534.64,1
HCPCS,G0168,Wound closure by adhesive,,,81.64,2782.0,3
HCPCS,G0179,MD recertification HHA PT,,,235.59,235.59,1
HCPCS,G0180,MD certification HHA patient,,,302.99,302.99,1
HCPCS,G0181,Home health care supervision,,,592.43,592.43,1
HCPCS,G0182,Hospice care supervision,,,585.52,585.52,1
HCPCS,G0186,"Dstry eye lesn,fdr vssl tech",,,3195.0,4497.0,3
HCPCS,G0235,PET not otherwise specified,,,848.52,848.52,2
HCPCS,G0237,Therapeutic procd strg endur,,,66.48,66.48,1
HCPCS,G0238,"Oth resp proc, indiv",,,59.57,59.57,1
HCPCS,G0239,"Oth resp proc, group",,,75.06,75.06,1
HCPCS,G0245,Initial foot exam pt lops,,,189.94,189.94,1
HCPCS,G0246,Followup eval of foot pt lop,,,95.08,95.08,1
HCPCS,G0247,Routine footcare pt w lops,,,104.09,104.09,1
HCPCS,G0248,Demonstrate use home inr mon,,,549.42,549.42,1
HCPCS,G0249,Provide INR test mater/equip,,,340.43,340.43,1
HCPCS,G0250,MD INR test revie inter mgmt,,,48.94,48.94,1
HCPCS,G0259,Inject for sacroiliac joint,,,2505.0,3195.0,3
HCPCS,G0260,Inj for sacroiliac jt anesth,,,3195.0,4497.0,3
HCPCS,G0268,Removal of impacted wax md,,,153.84,2782.0,3
HCPCS,G0269,Occlusive device in vein art,,,2505.0,2782.0,2
HCPCS,G0270,MNT subs tx for change dx,,,118.28,118.28,1
HCPCS,G0271,Group MNT 2 or more 30 mins,,,66.69,66.69,1
HCPCS,G0276,Pild/placebo control clin tr,,,1976.93,22111.0,4
HCPCS,G0277,"Hbot, full body chamber, 30m",,,1003.28,1003.28,1
HCPCS,G0278,"Iliac art angio,cardiac cath",,,68.1,68.1,1
HCPCS,G0279,"Tomosynthesis, mammo",,,56.84,65.45,3
HCPCS,G0281,Elec stim unattend for press,,,62.7,62.7,1
HCPCS,G0283,Elec stim other than wound,,,67.88,67.88,1
HCPCS,G0288,"Recon, CTA for surg plan",,,244.65,244.65,1
HCPCS,G0289,"Arthro, loose body + chondro",,,415.6,2782.0,3
HCPCS,G0296,Visit to determ ldct elig,,,122.54,122.54,1
HCPCS,G0306,CBC/diffwbc w/o platelet,,,11.66,32.42,3
HCPCS,G0307,CBC without platelet,,,9.71,26.99,3
HCPCS,G0316,Prolong inpt eval add15 m,,,152.76,152.76,1
HCPCS,G0317,Prolong nursin fac eval 15m,,,148.34,148.34,1
HCPCS,G0318,Prolong home eval add 15m,,,151.03,151.03,1
HCPCS,G0323,Care manage beh svs 20mins,,,206.02,206.02,1
HCPCS,G0328,Fecal blood scrn immunoassay,,,27.08,75.3,3
HCPCS,G0329,Electromagntic tx for ulcers,,,56.6,56.6,1
HCPCS,G0330,Facility svs dental rehab,,,5097.0,5664.0,2
HCPCS,G0339,"Robot lin-radsurg com, first",,,13011.0,14456.0,2
HCPCS,G0340,Robt lin-radsurg fractx 2-5,,,11539.0,12821.0,2
HCPCS,G0341,Percutaneous islet celltrans,,,1606.28,6979.0,2
HCPCS,G0342,Laparoscopy islet cell trans,,,4103.98,6979.0,2
HCPCS,G0343,Laparotomy islet cell transp,,,6671.02,6979.0,2
HCPCS,G0372,Md service required for pmd,,,41.98,41.98,1
HCPCS,G0396,Alcohol/subs interv 15-30mn,,,160.96,160.96,1
HCPCS,G0397,Alcohol/subs interv >30 min,,,301.53,301.53,1
HCPCS,G0402,Initial preventive exam,,,626.64,626.64,1
HCPCS,G0403,EKG for initial prevent exam,,,82.56,82.56,1
HCPCS,G0404,EKG tracing for initial prev,,,37.18,37.18,1
HCPCS,G0405,EKG interpret & report preve,,,45.43,45.43,1
HCPCS,G0406,Inpt/tele follow up 15,,,199.98,199.98,1
HCPCS,G0407,Inpt/tele follow up 25,,,351.93,351.93,1
HCPCS,G0408,Inpt/tele follow up 35,,,516.07,516.07,1
HCPCS,G0409,CORF related serv 15 mins ea,,,125.03,125.03,1
HCPCS,G0412,Open tx iliac spine uni/bil,,,3745.96,22111.0,4
HCPCS,G0413,Pelvic ring fracture uni/bil,,,5488.0,12821.0,4
HCPCS,G0414,Pelvic ring fx treat int fix,,,5180.54,22111.0,4
HCPCS,G0415,Open tx post pelvic fxcture,,,6979.0,22111.0,4
HCPCS,G0416,"Prostate biopsy, any mthd",,,425.12,981.86,3
HCPCS,G0420,Ed svc CKD ind per session,,,615.47,615.47,1
HCPCS,G0421,Ed svc CKD grp per session,,,148.23,148.23,1
HCPCS,G0422,Intens cardiac rehab w/exerc,,,706.93,706.93,1
HCPCS,G0423,Intens cardiac rehab no exer,,,706.93,706.93,1
HCPCS,G0425,Inpt/ed teleconsult30,,,468.16,468.16,1
HCPCS,G0426,Inpt/ed teleconsult50,,,648.17,648.17,1
HCPCS,G0427,Inpt/ed teleconsult70,,,926.6,926.6,1
HCPCS,G0428,Collagen Meniscus Implant,,,5097.0,6979.0,3
HCPCS,G0429,Dermal filler injection(s),,,311.46,6979.0,2
HCPCS,G0432,EIA HIV-1/HIV-2 screen,,,29.36,81.65,3
HCPCS,G0433,ELISA HIV-1/HIV-2 screen,,,27.44,76.31,3
HCPCS,G0435,Oral hiv-1/hiv-2 screen,,,17.97,49.98,3
HCPCS,G0438,"PPPS, initial visit",,,936.8,936.8,1
HCPCS,G0439,"PPPS, subseq visit",,,737.9,737.9,1
HCPCS,G0442,Annual alcohol screen 15 min,,,43.76,43.76,1
HCPCS,G0443,Brief alcohol misuse counsel,,,144.83,144.83,1
HCPCS,G0444,Depression Screen annual,,,43.76,43.76,1
HCPCS,G0445,High inten beh couns STD 30m,,,146.56,146.56,1
HCPCS,G0446,Intens behave ther cardio dx,,,144.83,144.83,1
HCPCS,G0447,Behavior counsel obesity 15m,,,144.83,144.83,1
HCPCS,G0448,Place perm pacing cardiovert,,,5097.0,5664.0,3
HCPCS,G0451,Devlopment test interpt&rep,,,64.75,64.75,1
HCPCS,G0452,Molecular pathology interpr,,,4.38,16.51,3
HCPCS,G0453,Cont intraop neuro monitor,,,150.98,2782.0,3
HCPCS,G0454,MD document visit by NPP,,,42.03,42.03,1
HCPCS,G0455,Fecal microbiota prep instil,,,341.24,3195.0,2
HCPCS,G0459,Telehealth inpt pharm mgmt,,,218.48,218.48,1
HCPCS,G0465,Autolog prp diab wound ulcer,,,461.36,461.36,1
HCPCS,G0471,Ven blood coll snf/hha,,,47.31,47.31,1
HCPCS,G0472,Hep c screen high risk/other,,,69.53,193.37,3
HCPCS,G0473,Group behave couns 2-10,,,54.5,54.5,1
HCPCS,G0475,Hiv combination assay,,,36.12,100.46,3
HCPCS,G0476,Hpv combo assay ca screen,,,52.64,146.4,3
HCPCS,G0480,Drug test def 1-7 classes,,,171.65,477.4,3
HCPCS,G0481,Drug test def 8-14 classes,,,234.89,653.29,3
HCPCS,G0482,Drug test def 15-21 classes,,,298.11,829.14,3
HCPCS,G0483,Drug test def 22+ classes,,,370.38,1030.15,3
HCPCS,G0499,Hepb screen high risk indiv,,,42.41,117.94,3
HCPCS,G0500,Mod sedat endo service >5yrs,,,31.3,31.3,1
HCPCS,G0506,Comp asses care plan ccm svc,,,210.98,210.98,1
HCPCS,G0508,Crit care telehea consult 60,,,1020.06,1020.06,1
HCPCS,G0509,Crit care telehea consult 50,,,975.87,975.87,1
HCPCS,G0513,"Prolong prev svcs, first 30m",,,278.06,278.06,1
HCPCS,G0514,"Prolong prev svcs, addl 30m",,,278.06,278.06,1
HCPCS,G0516,"Insert drug del implant, >4",,,466.48,3195.0,4
HCPCS,G0517,Remove drug implant,,,535.39,3195.0,4
HCPCS,G0518,Remove w insert drug implant,,,871.02,3195.0,4
HCPCS,G0537,Risk ascvd tst once pr 12 mo,,,43.76,43.76,1
HCPCS,G0538,Ascvd rsk mng clin stf pr mo,,,43.76,43.76,1
HCPCS,G0539,Initial care training 30 m,,,213.95,213.95,1
HCPCS,G0540,Train for caregiver add 15,,,112.83,112.83,1
HCPCS,G0541,No pt prsnt train initial 30,,,213.95,213.95,1
HCPCS,G0542,No pt prsnt train add 15,,,112.83,112.83,1
HCPCS,G0543,Group train w/o patient,,,51.05,51.05,1
HCPCS,G0544,Post d/c phone follow up,,,236.94,236.94,1
HCPCS,G0545,Inherent visit to inpt,,,222.42,222.42,1
HCPCS,G0546,Phone/internet ehr assess,,,89.41,89.41,1
HCPCS,G0547,Phone/internet svs 11-20 m,,,177.85,177.85,1
HCPCS,G0548,Phone/inter svs 21-30 m,,,263.59,263.59,1
HCPCS,G0549,Phone/inter for treat>31m,,,350.31,350.31,1
HCPCS,G0550,Phone/inter for dx/treat >5m,,,165.55,165.55,1
HCPCS,G0551,Phn/intr svs fr dx treat 30m,,,170.73,170.73,1
HCPCS,G0553,Monthly tx for dmht 20mins,,,142.29,142.29,1
HCPCS,G0554,Add 20 m of monthly tx,,,138.73,138.73,1
HCPCS,G0556,Adv prim care mgmt lvl 1,,,60.81,60.81,1
HCPCS,G0557,Adv prim care mgmt lvl 2,,,185.08,185.08,1
HCPCS,G0558,Adv prim care mgmt lvl 3,,,400.71,400.71,1
HCPCS,G0559,Unrelat prac follow up visit,,,45.6,45.6,1
HCPCS,G0560,Safety plan interven,,,212.93,212.93,1
HCPCS,G0561,"Temp tube delivery, unil",,,2505.0,3195.0,3
HCPCS,G0564,365 d implant glucose sensor,,,4108.0,12821.0,3
HCPCS,G0565,Rem/ins glu snsr 365 dif sit,,,4108.0,12821.0,3
HCPCS,G0566,3d bn img algor drvd fr mri,,,352.04,352.04,2
HCPCS,G0567,Screening Hep C detect,,,146.4,146.4,1
HCPCS,G0568,"Int psych care mng, 1 cal mo",,,451.86,451.86,1
HCPCS,G0569,"Subs psych care mng, subs mo",,,494.54,494.54,1
HCPCS,G0570,"Care manage serv, pr cal mo",,,213.14,213.14,1
HCPCS,G0571,Intraop nerve cryoablation,,,335.47,335.47,1
HCPCS,G0659,Drug test def simple all cl,,,93.21,259.25,3
HCPCS,G2001,Post d/c h vst new pt 20 m,,,266.94,266.94,1
HCPCS,G2002,Post-d/c h vst new pt 30 m,,,403.19,403.19,1
HCPCS,G2003,Post-d/c h vst new pt 45 m,,,652.16,652.16,1
HCPCS,G2004,Post-d/c h vst new pt 60 m,,,886.83,886.83,1
HCPCS,G2005,Post-d/c h vst new pt 75 m,,,1177.03,1177.03,1
HCPCS,G2006,Post-d/c h vst ext pt 20 m,,,266.89,266.89,1
HCPCS,G2007,Post-d/c h vst ext pt 30 m,,,436.27,436.27,1
HCPCS,G2008,Post-d/c h vst ext pt 45 m,,,697.59,697.59,1
HCPCS,G2009,Post-d/c h vst ext pt 60 m,,,990.44,990.44,1
HCPCS,G2010,Remot image submit by pt,,,43.76,43.76,1
HCPCS,G2011,Alcohol/sub abuse assess,,,81.37,81.37,1
HCPCS,G2013,Post-d/c h vst ext pt 75 m,,,1177.03,1177.03,1
HCPCS,G2014,Post-d/c care plan overs 30m,,,400.55,400.55,1
HCPCS,G2015,Post-d/c care plan overs 60m,,,560.48,560.48,1
HCPCS,G2082,Visit esketamine 56m or less,,,172.67,172.67,1
HCPCS,G2083,"Visit esketamine, > 56m",,,172.67,172.67,1
HCPCS,G2086,Off base opioid tx 70min,,,1998.62,1998.62,1
HCPCS,G2087,"Off base opioid tx, 60 m",,,1899.01,1899.01,1
HCPCS,G2088,"Off base opioid tx, add30",,,187.19,187.19,1
HCPCS,G2211,Complex e/m visit add on,,,78.67,78.67,1
HCPCS,G2212,Prolong outpt/office vis,,,151.03,151.03,1
HCPCS,G2213,Initiat med assist tx in er,,,304.71,304.71,1
HCPCS,G2214,Init/sub psych care m 1st 30,,,186.05,186.05,1
HCPCS,G2250,"Remot img sub by pt, non e/m",,,43.76,43.76,1
HCPCS,G2251,"Brief chkin, 5-10, non-e/m",,,58.11,58.11,1
HCPCS,G2252,"Brief chkin by md/qhp, 11-20",,,123.35,123.35,1
HCPCS,G3002,Chronic pain mgmt 30 mins,,,355.87,355.87,1
HCPCS,G3003,Chronic pain mgmt addl 15m,,,126.05,126.05,1
HCPCS,G9143,Warfarin respon genetic test,,,181.08,503.64,3
HCPCS,G9157,Transesoph doppl cardiac mon,,,491.41,491.41,1
HCPCS,G9187,BPCI home visit,,,268.02,268.02,1
HCPCS,G9481,Remote E/M new pt 10mins,,,102.74,102.74,1
HCPCS,G9482,Remote E/M new pt 20mins,,,186.59,186.59,1
HCPCS,G9483,Remote E/M new pt 30mins,,,299.26,299.26,1
HCPCS,G9484,Remote E/M new pt 45mins,,,502.96,502.96,1
HCPCS,G9485,Remote E/M new pt 60mins,,,668.83,668.83,1
HCPCS,G9486,Remote E/M est. pt 10mins,,,102.74,102.74,1
HCPCS,G9487,Remote E/M est. pt 15mins,,,199.22,199.22,1
HCPCS,G9488,Remote E/M est. pt 25mins,,,308.27,308.27,1
HCPCS,G9489,Remote E/M est. pt 40mins,,,437.18,437.18,1
HCPCS,G9490,Joint replac mod home visit,,,268.02,268.02,1
HCPCS,G9685,Acute Nursing Facility Care,,,864.44,864.44,1
HCPCS,G9868,Next Gen ACO model <10min,,,144.18,144.18,1
HCPCS,G9869,Next Gen ACO model 10-20min,,,192.85,192.85,1
HCPCS,G9870,Next Gen ACO model >20min,,,241.52,241.52,1
HCPCS,G9978,Remote E/M new pt 10mins,,,132.04,132.04,1
HCPCS,G9979,Remote E/M new pt 20mins,,,226.2,226.2,1
HCPCS,G9980,Remote E/M new pt 30 mins,,,364.77,364.77,1
HCPCS,G9981,Remote E/M new pt 45mins,,,616.71,616.71,1
HCPCS,G9982,Remote E/M new pt 60mins,,,830.82,830.82,1
HCPCS,G9983,Remote E/M est. pt 10mins,,,132.04,132.04,1
HCPCS,G9984,Remote E/M est. pt 15mins,,,256.04,256.04,1
HCPCS,G9985,Remote E/M est. pt 25mins,,,389.27,389.27,1
HCPCS,G9986,Remote E/M est. pt 40mins,,,566.42,566.42,1
HCPCS,G9987,BPCI Advanced In home visit,,,268.02,268.02,1
HCPCS,J0121,"Inj., omadacycline, 1 mg",,,4.89,9.74,4
HCPCS,J0122,"Inj., eravacycline, 1 mg",,,1.57,3.13,4
HCPCS,J0129,Abatacept injection,,,54.28,108.11,4
HCPCS,J0130,Abciximab injection,,,681.52,681.52,2
HCPCS,J0131,Acetaminophen injection,,,0.06,0.12,4
HCPCS,J0132,Acetylcysteine injection,,,0.45,0.9,4
HCPCS,J0133,Acyclovir injection,,,0.04,0.07,4
HCPCS,J0134,Inj acetaminophen -fresenius,,,0.07,0.15,4
HCPCS,J0136,"Inj, acetaminophen (b braun)",,,0.06,0.12,4
HCPCS,J0137,"Inj, acetaminophen (hikma)",,,0.06,0.12,4
HCPCS,J0138,"Injection, acetaminoph 10 mg",,,0.27,0.53,4
HCPCS,J0139,"Inj, adalimumab, 1 mg",,,111.91,111.91,2
HCPCS,J0153,Adenosine inj 1mg,,,0.56,1.12,4
HCPCS,J0165,Inj epinephrine nos 0.1 mg,,,0.71,1.41,4
HCPCS,J0166,Inj epinephrine (bpi),,,2.78,5.54,4
HCPCS,J0167,Inj epinephrine (hospira),,,0.9,1.8,4
HCPCS,J0168,Epinephrine (intl med sys),,,2.66,5.3,4
HCPCS,J0169,Inj epinephrine (adrenalin),,,1.61,3.21,4
HCPCS,J0172,"Inj, aducanumab-avwa, 2 mg",,,7.3,14.53,4
HCPCS,J0174,"Inj, lecanemab-irmb",,,1.62,3.23,4
HCPCS,J0175,"Inj, donanemab-azbt, 2 mg",,,5.05,10.06,4
HCPCS,J0177,"Inj, aflibercept hd, 1 mg",,,390.08,776.97,4
HCPCS,J0178,Aflibercept injection,,,963.85,1919.8,4
HCPCS,J0179,"Inj, brolucizumab-dbll, 1 mg",,,422.35,841.24,4
HCPCS,J0180,Agalsidase beta injection,,,280.92,559.53,4
HCPCS,J0184,"Inj, amisulpride, 1 mg",,,11.79,11.79,2
HCPCS,J0185,"Inj., aprepitant, 1 mg",,,2.16,4.3,4
HCPCS,J0202,"Injection, alemtuzumab",,,2977.65,5930.9,4
HCPCS,J0205,Alglucerase injection,,,36.7,36.7,2
HCPCS,J0206,Inj allopurinol sodium 1 mg,,,5.54,11.03,4
HCPCS,J0207,Amifostine,,,993.21,993.21,2
HCPCS,J0208,Inj sodium thiosulfate 100mg,,,116.07,116.07,2
HCPCS,J0209,"Inj, sod thiosulfate (hope)",,,1.13,1.13,2
HCPCS,J0210,Methyldopate hcl injection,,,61.0,61.0,2
HCPCS,J0211,"Inj, nithiodote, 3mg / 125mg",,,2.65,2.65,2
HCPCS,J0215,Alefacept,,,30.78,30.78,2
HCPCS,J0217,Inj velmanase alfa-tycv 1 mg,,,567.36,1130.07,4
HCPCS,J0218,Inj olipudase alfa-rpcp 1mg,,,480.46,956.98,4
HCPCS,J0219,Inj aval alfa-nqpt 4mg,,,98.52,196.22,4
HCPCS,J0221,Lumizyme injection,,,252.08,502.09,4
HCPCS,J0222,"Inj., patisiran, 0.1 mg",,,121.78,242.56,4
HCPCS,J0223,Inj givosiran 0.5 mg,,,142.97,284.77,4
HCPCS,J0224,"Inj. lumasiran, 0.5 mg",,,401.5,799.71,4
HCPCS,J0225,"Inj, vutrisiran, 1 mg",,,6080.31,12110.78,4
HCPCS,J0248,"Inj, remdesivir, 1 mg?",,,8.21,16.35,4
HCPCS,J0256,Alpha 1 proteinase inhibitor,,,6.33,12.59,4
HCPCS,J0257,Glassia injection,,,6.97,13.88,4
HCPCS,J0270,Alprostadil for injection,,,0.59,0.59,2
HCPCS,J0278,Amikacin sulfate injection,,,0.76,1.51,4
HCPCS,J0280,Aminophyllin 250 MG inj,,,10.13,20.17,4
HCPCS,J0281,Inj aminocaproic acid 1 gram,,,1.83,3.65,4
HCPCS,J0282,Amiodarone HCl,,,0.62,1.24,4
HCPCS,J0283,"Inj, amiodarone (nexterone)",,,3.18,6.34,4
HCPCS,J0285,Amphotericin B,,,41.63,82.91,4
HCPCS,J0287,Amphotericin b lipid complex,,,12.57,25.03,4
HCPCS,J0288,Ampho b cholesteryl sulfate,,,86.42,86.42,2
HCPCS,J0289,Amphotericin b liposome inj,,,27.6,54.97,4
HCPCS,J0290,Ampicillin 500 MG inj,,,0.6,1.19,4
HCPCS,J0291,"Inj., plazomicin, 5 mg",,,4.36,8.68,4
HCPCS,J0295,Ampicillin sodium per 1.5 gm,,,1.82,3.62,4
HCPCS,J0300,Amobarbital 125 MG inj,,,13.81,13.81,2
HCPCS,J0330,Succinycholine chloride inj,,,1.9,1.9,2
HCPCS,J0348,Anidulafungin injection,,,0.59,1.17,4
HCPCS,J0349,"Inj, rezafungin, 1 mg",,,12.96,25.81,4
HCPCS,J0360,Hydralazine hcl injection,,,6.33,12.61,4
HCPCS,J0364,Apomorphine hydrochloride,,,64.7,64.7,2
HCPCS,J0365,"Aprotonin, 10,000 kiu",,,3.16,3.16,2
HCPCS,J0380,Inj metaraminol bitartrate,,,1.18,1.18,2
HCPCS,J0391,"Inj, artesunate, 1mg",,,63.23,63.23,2
HCPCS,J0400,Aripiprazole injection,,,0.39,0.39,2
HCPCS,J0401,Inj aripiprazole ext rel 1mg,,,8.83,17.59,4
HCPCS,J0402,"Inj, abilify asimtufii, 1 mg",,,7.36,14.65,4
HCPCS,J0456,Azithromycin,,,3.18,6.34,4
HCPCS,J0457,"Injection, aztreonam, 100 mg",,,3.26,6.46,4
HCPCS,J0461,Atropine sulfate injection,,,0.09,0.17,4
HCPCS,J0475,Baclofen 10 mg injection,,,214.5,427.24,4
HCPCS,J0476,Baclofen intrathecal trial,,,81.98,163.3,4
HCPCS,J0480,Basiliximab,,,5700.41,11354.1,4
HCPCS,J0485,Belatacept injection,,,4.75,9.45,4
HCPCS,J0490,Belimumab injection,,,68.33,136.1,4
HCPCS,J0491,Inj anifrolumab-fnia 1mg,,,22.08,43.98,4
HCPCS,J0500,Dicyclomine injection,,,14.25,28.38,4
HCPCS,J0515,Inj benztropine mesylate,,,21.07,41.97,4
HCPCS,J0517,"Inj., benralizumab, 1 mg",,,205.12,408.56,4
HCPCS,J0558,PenG benzathine/procaine inj,,,21.19,42.21,4
HCPCS,J0561,Penicillin g benzathine inj,,,35.75,71.2,4
HCPCS,J0565,"Inj, bezlotoxumab, 10 mg",,,48.59,96.76,4
HCPCS,J0567,"Inj., cerliponase alfa 1 mg",,,114.9,114.9,2
HCPCS,J0571,Buprenorphine oral 1mg,,,1.54,1.54,2
HCPCS,J0572,Bupren/nal up to 3mg bupreno,,,7.94,7.94,2
HCPCS,J0573,Bupren/nal 3.1 to 6mg bupren,,,13.38,13.38,2
HCPCS,J0574,Bupren/nal 6.1 to 10mg bupre,,,12.13,12.13,2
HCPCS,J0575,Bupren/nal over 10mg bupreno,,,22.57,22.57,2
HCPCS,J0577,"Inj, brixadi, 7 days or less",,,515.85,1027.48,4
HCPCS,J0578,"Inj brixadi, more than 7 day",,,2063.4,4109.88,4
HCPCS,J0583,Bivalirudin,,,0.21,0.41,4
HCPCS,J0584,"Injection, burosumab-twza 1m",,,587.52,1170.22,4
HCPCS,J0585,"Injection,onabotulinumtoxina",,,7.15,15.8,4
HCPCS,J0586,Abobotulinumtoxina,,,10.09,22.28,4
HCPCS,J0587,"Inj, rimabotulinumtoxinb",,,14.67,32.42,4
HCPCS,J0588,Incobotulinumtoxin a,,,5.84,12.9,4
HCPCS,J0589,Inj daxibotulinumtoxina-lanm,,,3.79,7.56,4
HCPCS,J0592,Buprenorphine hydrochloride,,,5.04,10.04,4
HCPCS,J0593,"Inj., lanadelumab-flyo, 1 mg",,,106.07,211.26,4
HCPCS,J0594,Busulfan injection,,,2.24,4.47,4
HCPCS,J0595,Butorphanol tartrate 1 mg,,,6.16,12.27,4
HCPCS,J0596,"Injection, ruconest",,,44.82,89.28,4
HCPCS,J0597,"C-1 esterase, berinert",,,92.55,184.34,4
HCPCS,J0598,"C-1 esterase, cinryze",,,80.19,159.7,4
HCPCS,J0599,"Inj., haegarda 10 units",,,17.63,17.63,2
HCPCS,J0600,Edetate calcium disodium inj,,,7874.58,15684.61,4
HCPCS,J0601,Sevelamer carbonate 20 mg,,,0.13,0.13,2
HCPCS,J0602,Sevelamer carbonate pdr 20mg,,,0.38,0.38,2
HCPCS,J0603,Sevelamer hydrochloride 20mg,,,0.24,0.24,2
HCPCS,J0604,"Cinacalcet, esrd on dialysis",,,1.21,1.21,2
HCPCS,J0605,Sucroferric oxyhydroxide 5mg,,,0.26,0.26,2
HCPCS,J0606,"Inj, etelcalcetide, 0.1 mg",,,6.04,6.04,2
HCPCS,J0607,Lanthanum carbonate oral 5mg,,,0.11,0.11,2
HCPCS,J0608,Lanthanum carbonate pwdr 5mg,,,0.1,0.1,2
HCPCS,J0609,Ferric citrate orl 3 mg iron,,,0.04,0.04,2
HCPCS,J0612,Calcium glucon (fresenius),,,0.05,0.1,4
HCPCS,J0613,Calcium glucon (wg critical),,,0.1,0.19,4
HCPCS,J0615,"Calcium acetate, oral, 23 mg",,,0.04,0.04,2
HCPCS,J0616,Inj metoprolol tartrate 1 mg,,,0.16,0.32,4
HCPCS,J0618,"Inj, calcium chloride, 2 mg",,,0.05,0.05,2
HCPCS,J0620,Calcium glycer & lact/10 ML,,,13.42,13.42,2
HCPCS,J0630,Calcitonin salmon injection,,,1019.68,1019.68,2
HCPCS,J0636,Inj calcitriol per 0.1 mcg,,,1.45,1.45,2
HCPCS,J0637,Caspofungin acetate,,,2.77,5.52,4
HCPCS,J0638,Canakinumab injection,,,172.02,342.63,4
HCPCS,J0640,Leucovorin calcium injection,,,4.82,9.6,4
HCPCS,J0641,Levoleucovorin injection,,,0.05,0.1,4
HCPCS,J0642,"Injection, khapzory, 0.5 mg",,,1.37,2.72,4
HCPCS,J0650,"Inj, levothyroxine nos 10mcg",,,9.39,18.71,4
HCPCS,J0651,"Inj, levothyroxine, freskabi",,,8.66,17.25,4
HCPCS,J0652,"Inj, levothyroxine, hikma",,,6.27,12.49,4
HCPCS,J0665,"Inj, bupivacaine, nos, 0.5mg",,,0.01,0.02,4
HCPCS,J0666,"Inj, bupivacaine liposome",,,1.82,3.62,4
HCPCS,J0670,Inj mepivacaine HCL/10 ml,,,4.66,9.28,4
HCPCS,J0687,Inj cefazolin (wg crit care),,,1.22,2.43,4
HCPCS,J0688,"Inj cefazolin sodium, hikma",,,1.11,2.21,4
HCPCS,J0689,"Inj cefazolin sodium, baxter",,,1.62,3.23,4
HCPCS,J0690,Cefazolin sodium injection,,,1.02,2.04,4
HCPCS,J0691,Inj lefamulin 1 mg,,,1.0,1.0,2
HCPCS,J0692,Cefepime hcl for injection,,,1.5,2.99,4
HCPCS,J0694,Cefoxitin sodium injection,,,6.26,12.47,4
HCPCS,J0695,Inj ceftolozane tazobactam,,,11.14,22.19,4
HCPCS,J0696,Ceftriaxone sodium injection,,,0.59,1.17,4
HCPCS,J0697,Sterile cefuroxime injection,,,2.79,5.56,4
HCPCS,J0698,Cefotaxime sodium injection,,,8.69,8.69,2
HCPCS,J0699,"Inj, cefiderocol, 10 mg",,,2.93,5.83,4
HCPCS,J0701,Inj. cefepime hcl (baxter),,,7.16,14.26,4
HCPCS,J0702,Betamethasone acet&sod phosp,,,8.41,16.74,4
HCPCS,J0703,"Inj, cefepime hcl (b braun)",,,6.19,12.32,4
HCPCS,J0706,Caffeine citrate injection,,,2.48,2.48,2
HCPCS,J0712,Ceftaroline fosamil inj,,,5.17,10.3,4
HCPCS,J0713,Inj ceftazidime per 500 mg,,,2.0,3.99,4
HCPCS,J0714,Ceftazidime and avibactam,,,128.04,255.03,4
HCPCS,J0716,Centruroides immune f(ab),,,5927.99,5927.99,2
HCPCS,J0717,Certolizumab pegol inj 1mg,,,5.48,10.91,4
HCPCS,J0720,Chloramphenicol sodium injec,,,71.22,71.22,2
HCPCS,J0725,Chorionic gonadotropin/1000u,,,21.36,42.55,4
HCPCS,J0735,Clonidine hydrochloride,,,21.56,42.94,4
HCPCS,J0736,"Inj, clindamycin phosp 300mg",,,2.04,4.06,4
HCPCS,J0737,"Inj, clindamycin (baxter)",,,2.1,4.18,4
HCPCS,J0739,"Injection, cabotegravir 1 mg",,,8.58,17.08,4
HCPCS,J0740,Cidofovir injection,,,645.84,1286.39,4
HCPCS,J0741,"Inj, cabote rilpivir 2mg 3mg",,,28.83,57.42,4
HCPCS,J0742,Inj imip 4 cilas 4 releb 2mg,,,3.18,6.34,4
HCPCS,J0743,Cilastatin sodium injection,,,8.5,16.94,4
HCPCS,J0744,Ciprofloxacin iv,,,2.83,5.64,4
HCPCS,J0745,Inj codeine phosphate /30 MG,,,1.18,1.18,2
HCPCS,J0750,"Hiv prep, ftc/tdf 200/300mg",,,2.12,4.23,4
HCPCS,J0751,"Hiv prep, ftc/taf 200/25mg",,,86.95,173.19,4
HCPCS,J0770,Colistimethate sodium inj,,,13.9,27.68,4
HCPCS,J0775,"Collagenase, clost hist inj",,,80.48,177.78,4
HCPCS,J0780,Prochlorperazine injection,,,3.07,6.12,4
HCPCS,J0791,Inj crizanlizumab-tmca 5mg,,,158.09,314.88,4
HCPCS,J0795,Corticorelin ovine triflutal,,,5.14,5.14,2
HCPCS,J0801,Inj. acthar gel to 40 units,,,5108.66,10175.45,4
HCPCS,J0802,"Inj. (ani), up to 40 units",,,4327.73,8619.99,4
HCPCS,J0834,Cosyntropin cortrosyn inj,,,34.18,68.09,4
HCPCS,J0840,Crotalidae poly immune fab,,,2270.58,4522.55,4
HCPCS,J0841,Inj crotalidae im f(ab')2 eq,,,1273.85,2537.26,4
HCPCS,J0850,Cytomegalovirus imm IV /vial,,,2207.52,4396.94,4
HCPCS,J0870,"Injection, imetelstat, 1 mg",,,69.56,138.56,4
HCPCS,J0872,Daptomycin (xellia) unrefrig,,,0.06,0.12,4
HCPCS,J0873,"Inj, daptomycin (xellia)",,,0.05,0.1,4
HCPCS,J0874,"Inj, daptomycin (baxter)",,,0.07,0.15,4
HCPCS,J0875,"Injection, dalbavancin",,,18.97,37.79,4
HCPCS,J0877,"Inj, daptomycin (hospira)",,,0.07,0.15,4
HCPCS,J0878,Daptomycin injection,,,0.04,0.07,4
HCPCS,J0879,"Difelikefalin, esrd on dialy",,,0.1,0.1,2
HCPCS,J0881,"Darbepoetin alfa, non-esrd",,,3.66,7.29,4
HCPCS,J0882,"Darbepoetin alfa, esrd use",,,3.66,7.29,4
HCPCS,J0883,Argatroban nonesrd use 1mg,,,0.9,1.8,4
HCPCS,J0884,Argatroban esrd dialysis 1mg,,,0.9,1.8,4
HCPCS,J0885,"Epoetin alfa, non-esrd",,,9.37,18.66,4
HCPCS,J0887,Epoetin beta esrd use,,,1.72,3.43,4
HCPCS,J0888,Epoetin beta non esrd,,,1.72,3.43,4
HCPCS,J0891,Argatroban nonesrd (accord),,,2.22,2.22,2
HCPCS,J0892,Argatroban dialysis (accord),,,5.8,5.8,2
HCPCS,J0893,"Inj, decitabine (sun pharma)",,,0.95,1.9,4
HCPCS,J0894,Decitabine injection,,,1.94,3.86,4
HCPCS,J0895,Deferoxamine mesylate inj,,,11.0,21.92,4
HCPCS,J0896,Inj luspatercept-aamt 0.25mg,,,51.19,101.96,4
HCPCS,J0897,Denosumab injection,,,35.67,71.05,4
HCPCS,J0898,Argatroban nonesrd (auromed),,,1.77,3.52,4
HCPCS,J0899,"Argatroban dialysis, auromed",,,1.77,3.52,4
HCPCS,J0901,Vadadustat oral 1mg for esrd,,,0.21,0.21,2
HCPCS,J0911,Inst tauro 1.35mg/hep 100u,,,9.37,9.37,2
HCPCS,J0945,Brompheniramine maleate inj,,,0.39,0.39,2
HCPCS,J1000,Depo-estradiol cypionate inj,,,57.23,113.99,4
HCPCS,J1010,"Inj, methylpred acetate 1 mg",,,0.15,0.29,4
HCPCS,J1050,Medroxyprogesterone acetate,,,0.66,0.66,2
HCPCS,J1071,Inj testosterone cypionate,,,0.04,0.07,4
HCPCS,J1072,"Inj, testosterone, azmiro",,,1.62,3.21,4
HCPCS,J1095,"Injection, dexamethasone 9%",,,3.31,3.31,2
HCPCS,J1096,Dexametha opth insert 0.1 mg,,,123.82,246.62,4
HCPCS,J1097,Phenylep ketorolac opth soln,,,118.85,118.85,2
HCPCS,J1100,Dexamethasone sodium phos,,,0.15,0.29,4
HCPCS,J1105,"Dexmedetomidine film, 1 mcg",,,0.78,0.78,2
HCPCS,J1110,Inj dihydroergotamine mesylt,,,118.43,235.88,4
HCPCS,J1120,Acetazolamid sodium injectio,,,21.02,41.87,4
HCPCS,J1160,Digoxin injection,,,4.88,9.72,4
HCPCS,J1162,Digoxin immune fab (ovine),,,6061.67,12073.65,4
HCPCS,J1163,"Inj, diltiazem hcl, 0.5 mg",,,0.05,0.1,4
HCPCS,J1165,Phenytoin sodium injection,,,0.81,1.6,4
HCPCS,J1171,"Inj, hydromorphone, 0.1 mg",,,0.11,0.19,4
HCPCS,J1190,Dexrazoxane hcl injection,,,39.15,77.95,4
HCPCS,J1200,Diphenhydramine hcl injectio,,,1.1,2.19,4
HCPCS,J1201,Inj. cetirizine hcl 0.5mg,,,20.01,39.85,4
HCPCS,J1202,Miglustat oral 65 mg,,,49.07,49.07,2
HCPCS,J1203,"Inj, cipaglucosidase, 5 mg",,,109.56,218.21,4
HCPCS,J1205,Chlorothiazide sodium inj,,,49.26,98.12,4
HCPCS,J1212,Dimethyl sulfoxide 50% 50 ML,,,906.34,1805.25,4
HCPCS,J1230,Methadone injection,,,27.95,55.67,4
HCPCS,J1240,Dimenhydrinate injection,,,9.44,18.81,4
HCPCS,J1245,Dipyridamole injection,,,4.71,9.38,4
HCPCS,J1250,Inj dobutamine HCL/250 mg,,,9.74,19.39,4
HCPCS,J1260,Dolasetron mesylate,,,4.34,4.34,2
HCPCS,J1265,Dopamine injection,,,0.81,1.6,4
HCPCS,J1267,Doripenem injection,,,0.79,0.79,2
HCPCS,J1270,"Injection, doxercalciferol",,,0.45,0.9,4
HCPCS,J1271,Inj doxycycline hyclate 1 mg,,,0.15,0.29,4
HCPCS,J1290,Ecallantide injection,,,707.59,1409.38,4
HCPCS,J1299,"Inj, eculizumab, 2 mg",,,54.62,108.79,4
HCPCS,J1301,"Injection, edaravone, 1 mg",,,22.98,45.78,4
HCPCS,J1302,"Inj, sutimlimab-jome, 10 mg",,,22.09,44.01,4
HCPCS,J1303,"Inj., ravulizumab-cwvz 10 mg",,,274.73,547.21,4
HCPCS,J1304,Inj tofersen intrathec 1 mg,,,189.51,377.48,4
HCPCS,J1305,"Inj, evinacumab-dgnb, 5mg",,,231.5,461.09,4
HCPCS,J1306,"Injection, inclisiran, 1 mg",,,15.07,30.01,4
HCPCS,J1307,"Inj, crovalimab-akkz, 10 mg",,,672.84,672.84,2
HCPCS,J1308,"Inj, famotidine, 0.25 mg",,,0.01,0.02,4
HCPCS,J1322,"Elosulfase alfa, injection",,,374.3,745.52,4
HCPCS,J1323,"Inj, elranatamab-bcmm, 1 mg",,,226.08,450.3,4
HCPCS,J1324,Enfuvirtide injection,,,0.98,0.98,2
HCPCS,J1325,Epoprostenol injection,,,19.76,39.37,4
HCPCS,J1326,"Inj, zolbetuximab-clzb, 2 mg",,,40.94,81.55,4
HCPCS,J1327,Eptifibatide injection,,,27.83,27.83,2
HCPCS,J1335,Ertapenem injection,,,11.0,21.92,4
HCPCS,J1364,Erythro lactobionate /500 MG,,,91.56,182.37,4
HCPCS,J1380,Estradiol valerate 10 MG inj,,,9.41,18.74,4
HCPCS,J1410,Inj estrogen conjugate 25 MG,,,476.7,949.5,4
HCPCS,J1411,"Inj, hemgenix, per tx dose",,,4496025.34,4496025.34,2
HCPCS,J1412,Inj roctavian ml 2x10^13vc g,,,15089.22,15089.22,2
HCPCS,J1413,Inj delandistrogene mox rokl,,,4055977.72,4055977.72,2
HCPCS,J1414,"Inj, beqvez, per tx dose",,,4526200.0,4526200.0,2
HCPCS,J1426,"Injection, casimersen, 10 mg",,,234.24,234.24,2
HCPCS,J1427,Inj. viltolarsen,,,82.57,82.57,2
HCPCS,J1428,"Inj, eteplirsen, 10 mg",,,234.24,234.24,2
HCPCS,J1429,Inj golodirsen 10 mg,,,234.24,234.24,2
HCPCS,J1430,Ethanolamine oleate 100 mg,,,633.81,1262.43,4
HCPCS,J1434,"Inj, focinvez, 1mg",,,3.5,6.97,4
HCPCS,J1435,Injection estrone per 1 MG,,,0.39,0.39,2
HCPCS,J1437,Inj. fe derisomaltose 10 mg,,,23.12,46.05,4
HCPCS,J1438,Etanercept injection,,,1318.67,1318.67,2
HCPCS,J1439,Inj ferric carboxymaltos 1mg,,,1.39,2.77,4
HCPCS,J1440,Fecal?microbiota jslm 1 ml,,,78.12,155.59,4
HCPCS,J1442,Inj filgrastim excl biosimil,,,1.21,2.38,4
HCPCS,J1447,Inj tbo filgrastim 1 microg,,,0.37,0.73,4
HCPCS,J1448,"Injection, trilaciclib, 1mg",,,6.58,13.1,4
HCPCS,J1449,Inj eflapegrastim-xnst 0.1mg,,,25.77,51.32,4
HCPCS,J1450,Fluconazole,,,2.76,5.49,4
HCPCS,J1451,"Fomepizole, 15 mg",,,7.36,7.36,2
HCPCS,J1453,Fosaprepitant injection,,,0.13,0.27,4
HCPCS,J1454,"Inj fosnetupitant, palonoset",,,739.75,1473.43,4
HCPCS,J1455,Foscarnet sodium injection,,,19.01,37.86,4
HCPCS,J1456,"Inj, fosaprepitant (teva)",,,1.38,2.75,4
HCPCS,J1457,Gallium nitrate injection,,,1.57,1.57,2
HCPCS,J1458,Galsulfase injection,,,616.72,1228.37,4
HCPCS,J1459,Inj IVIG privigen 500 mg,,,61.52,122.54,4
HCPCS,J1460,Gamma globulin 1 CC inj,,,59.07,117.66,4
HCPCS,J1551,Inj cutaquig 100 mg,,,17.34,34.53,4
HCPCS,J1552,"Inj, alyglo, 500 mg",,,159.97,318.62,4
HCPCS,J1554,Inj. asceniv,,,605.74,1206.5,4
HCPCS,J1555,"Inj cuvitru, 100 mg",,,21.46,42.74,4
HCPCS,J1556,"Inj, imm glob bivigam, 500mg",,,94.27,187.77,4
HCPCS,J1557,Gammaplex injection,,,76.21,151.8,4
HCPCS,J1558,"Inj. xembify, 100 mg",,,18.19,36.23,4
HCPCS,J1559,Hizentra injection,,,17.23,34.31,4
HCPCS,J1560,Gamma globulin > 10 CC inj,,,203.81,405.96,4
HCPCS,J1561,Gamunex-c/gammaked,,,58.6,116.71,4
HCPCS,J1562,"Vivaglobin, inj",,,11.05,11.05,2
HCPCS,J1566,"Immune globulin, powder",,,99.67,198.53,4
HCPCS,J1568,Octagam injection,,,59.02,117.56,4
HCPCS,J1569,Gammagard liquid injection,,,58.32,116.15,4
HCPCS,J1570,Ganciclovir sodium injection,,,48.34,96.28,4
HCPCS,J1571,HepaGam B IM injection,,,87.43,174.13,4
HCPCS,J1572,Flebogamma injection,,,68.03,68.03,2
HCPCS,J1573,"Hepagam B intravenous, inj",,,87.43,174.13,4
HCPCS,J1574,"Inj, ganciclovir (exela)",,,73.2,73.2,2
HCPCS,J1575,Hyqvia 100mg immuneglobulin,,,22.44,44.69,4
HCPCS,J1576,"Inj, panzyga, 500 mg",,,90.84,180.94,4
HCPCS,J1580,Garamycin gentamicin inj,,,3.2,6.37,4
HCPCS,J1595,Injection glatiramer acetate,,,195.68,195.68,2
HCPCS,J1596,"Inj, glycopyrrolate, 0.1 mg",,,0.52,1.04,4
HCPCS,J1597,"Inj glycopyrrolate, glyrx-pf",,,2.39,2.39,2
HCPCS,J1598,Inj glycopyrrolate fres kabi,,,2.26,4.5,4
HCPCS,J1600,Gold sodium thiomaleate inj,,,16.18,16.18,2
HCPCS,J1602,Golimumab for iv use 1mg,,,13.46,26.8,4
HCPCS,J1610,Glucagon hydrochloride/1 mg,,,238.86,475.77,4
HCPCS,J1611,"Inj glucagon hcl, fresenius",,,176.75,352.06,4
HCPCS,J1626,Granisetron hcl injection,,,0.28,0.56,4
HCPCS,J1627,"Inj, granisetron, xr, 0.1 mg",,,6.05,12.05,4
HCPCS,J1628,"Inj., guselkumab, 1 mg",,,91.33,181.91,4
HCPCS,J1630,Haloperidol injection,,,1.02,2.04,4
HCPCS,J1631,Haloperidol decanoate inj,,,5.71,11.37,4
HCPCS,J1640,"Hemin, 1 mg",,,41.69,83.01,4
HCPCS,J1642,Inj heparin sodium per 10 u,,,0.02,0.05,4
HCPCS,J1643,"Inj heparin, pfizer, 1000u",,,3.67,7.31,4
HCPCS,J1644,Inj heparin sodium per 1000u,,,0.27,0.53,4
HCPCS,J1645,Dalteparin sodium,,,22.01,43.84,4
HCPCS,J1650,Inj enoxaparin sodium,,,0.7,1.39,4
HCPCS,J1652,Fondaparinux sodium,,,0.88,1.75,4
HCPCS,J1655,Tinzaparin sodium injection,,,4.34,4.34,2
HCPCS,J1670,Tetanus immune globulin inj,,,704.0,1402.23,4
HCPCS,J1675,Histrelin acetate,,,1.18,1.18,2
HCPCS,J1720,Hydrocortisone sodium succ i,,,25.86,51.52,4
HCPCS,J1726,"Makena, 10 mg",,,35.81,35.81,2
HCPCS,J1730,Diazoxide injection,,,119.96,119.96,2
HCPCS,J1738,Inj. meloxicam 1 mg,,,3.03,3.03,2
HCPCS,J1740,Ibandronate sodium injection,,,37.58,74.84,4
HCPCS,J1741,Ibuprofen injection,,,3.71,7.39,4
HCPCS,J1742,Ibutilide fumarate injection,,,267.25,267.25,2
HCPCS,J1743,Idursulfase injection,,,681.44,1357.3,4
HCPCS,J1744,Icatibant injection,,,142.02,142.02,2
HCPCS,J1745,Infliximab not biosimil 10mg,,,38.04,75.77,4
HCPCS,J1746,"Inj., ibalizumab-uiyk, 10 mg",,,96.86,192.92,4
HCPCS,J1747,"Inj, spesolimab-sbzo, 1 mg",,,80.19,159.72,4
HCPCS,J1748,"Inj, zymfentra, 10 mg",,,391.97,391.97,2
HCPCS,J1749,"Inj, iloprost, 0.1 mcg",,,6.97,13.88,4
HCPCS,J1750,Inj iron dextran,,,22.0,43.81,4
HCPCS,J1756,Iron sucrose injection,,,0.27,0.53,4
HCPCS,J1786,Imuglucerase injection,,,52.81,105.19,4
HCPCS,J1790,Droperidol injection,,,6.54,13.02,4
HCPCS,J1800,Propranolol injection,,,12.32,12.32,2
HCPCS,J1805,"Inj, esmolol hcl, 10mg",,,0.34,0.68,4
HCPCS,J1806,Inj esmolol hcl wg crit care,,,0.51,1.02,4
HCPCS,J1808,"Inj, folic acid, 0.1 mg",,,0.07,0.15,4
HCPCS,J1811,Fiasp for insulin pump use,,,9.47,18.86,4
HCPCS,J1812,Inj. Insulin (fiasp),,,2.34,2.34,2
HCPCS,J1813,Lyumjev for insulin pump use,,,18.63,37.11,4
HCPCS,J1814,Inj. insulin (lyumjev),,,2.44,2.44,2
HCPCS,J1815,Insulin injection,,,0.68,0.68,2
HCPCS,J1817,Insulin for insulin pump use,,,3.95,7.87,4
HCPCS,J1823,"Inj. inebilizumab-cdon, 1 mg",,,603.2,1201.46,4
HCPCS,J1826,Interferon Beta-1A inj,,,2687.83,2687.83,2
HCPCS,J1830,Interferon beta-1b / .25 MG,,,600.95,600.95,2
HCPCS,J1833,"Injection, isavuconazonium",,,1.23,1.23,2
HCPCS,J1835,Itraconazole injection,,,1109.69,1109.69,2
HCPCS,J1836,"Inj, metronidazole, 10 mg",,,0.04,0.07,4
HCPCS,J1885,Ketorolac tromethamine inj,,,0.43,0.85,4
HCPCS,J1920,"Inj, labetalol hcl, 5mg",,,0.48,0.95,4
HCPCS,J1921,"Inj labetalol hcl hikma, 5mg",,,1.68,3.35,4
HCPCS,J1930,Lanreotide injection,,,44.73,89.08,4
HCPCS,J1931,Laronidase injection,,,48.65,96.91,4
HCPCS,J1932,"Inj, lanreotide, (cipla) 1mg",,,29.83,59.41,4
HCPCS,J1938,"Inj, furosemide, 1 mg",,,0.02,0.05,4
HCPCS,J1939,"Inj, bumetanide, 0.5 mg",,,0.74,1.48,4
HCPCS,J1941,"Inj, furoscix, 20 mg",,,358.9,358.9,2
HCPCS,J1943,"Inj., aristada initio, 1 mg",,,3.98,7.92,4
HCPCS,J1944,Aripirazole lauroxil 1 mg,,,4.06,8.09,4
HCPCS,J1945,Lepirudin,,,177.19,177.19,2
HCPCS,J1950,Leuprolide acetate /3.75 mg,,,2119.26,4221.15,4
HCPCS,J1951,Inj fensolvi 0.25 mg,,,171.32,341.24,4
HCPCS,J1952,"Leuprolide inj, camcevi, 1mg",,,62.72,124.9,4
HCPCS,J1953,Levetiracetam injection,,,0.06,0.12,4
HCPCS,J1954,Leuprolide depot cipla 7.5mg,,,269.3,536.4,4
HCPCS,J1955,Inj levocarnitine per 1 gm,,,29.63,59.02,4
HCPCS,J1956,Levofloxacin injection,,,2.39,4.76,4
HCPCS,J1960,Levorphanol tartrate inj,,,3.55,3.55,2
HCPCS,J1961,"Inj, lenacapavir, 1 mg",,,26.86,53.51,4
HCPCS,J1980,Hyoscyamine sulfate inj,,,11.05,11.05,2
HCPCS,J1990,Chlordiazepoxide injection,,,24.46,24.46,2
HCPCS,J2002,"Inj, lidocaine in d5w, 1 mg",,,0.01,0.01,2
HCPCS,J2003,"Inj, lidocaine hcl, 1 mg",,,0.07,0.07,2
HCPCS,J2004,"Inj, lidocaine w epinephrine",,,0.05,0.05,2
HCPCS,J2010,Lincomycin injection,,,6.84,13.63,4
HCPCS,J2020,Linezolid injection,,,4.23,8.43,4
HCPCS,J2021,"Inj, linezolid (hospira)",,,7.73,15.41,4
HCPCS,J2060,Lorazepam injection,,,1.61,3.21,4
HCPCS,J2062,Loxapine for inhalation 1 mg,,,21.96,21.96,2
HCPCS,J2150,Mannitol injection,,,2.73,5.44,4
HCPCS,J2170,Mecasermin injection,,,538.2,538.2,2
HCPCS,J2175,Meperidine hydrochl /100 MG,,,19.14,38.13,4
HCPCS,J2180,Meperidine/promethazine inj,,,9.08,9.08,2
HCPCS,J2182,"Injection, mepolizumab, 1mg",,,38.22,76.13,4
HCPCS,J2183,Inj meropenem (wg crit care),,,1.98,3.94,4
HCPCS,J2184,"Inj, meropenem (b. braun)",,,2.54,5.05,4
HCPCS,J2185,Meropenem,,,0.54,1.07,4
HCPCS,J2186,"Inj., meropenem, vaborbactam",,,2.66,2.66,2
HCPCS,J2210,Methylergonovin maleate inj,,,26.91,53.61,4
HCPCS,J2212,Methylnaltrexone injection,,,2.33,2.33,2
HCPCS,J2246,"Inj, micafungin (baxter)",,,0.62,1.24,4
HCPCS,J2247,"Inj, micafungin (par pharm)",,,0.44,0.87,4
HCPCS,J2248,Micafungin sodium injection,,,0.38,0.75,4
HCPCS,J2249,"Inj, remimazolam, 1 mg",,,3.07,3.07,2
HCPCS,J2250,Inj midazolam hydrochloride,,,0.2,0.39,4
HCPCS,J2251,Inj midazolam (wg crit care),,,0.21,0.41,4
HCPCS,J2252,Inj midazolam in 0.8% nacl,,,0.1,0.1,2
HCPCS,J2260,Inj milrinone lactate / 5 mg,,,1.71,3.4,4
HCPCS,J2265,Minocycline hydrochloride,,,3.26,3.26,2
HCPCS,J2267,"Inj, mirikizumab-mrkz, 1 mg",,,58.89,117.3,4
HCPCS,J2270,Morphine sulfate injection,,,5.55,11.03,4
HCPCS,J2272,"Inj, morphine (fresenius)",,,9.92,19.76,4
HCPCS,J2274,In morphine preservativ free,,,13.16,26.22,4
HCPCS,J2277,"Inj, motixafortide, 0.25 mg",,,30.77,61.28,4
HCPCS,J2278,Ziconotide injection,,,12.36,24.62,4
HCPCS,J2280,"Inj, moxifloxacin 100 mg",,,10.63,21.17,4
HCPCS,J2281,Inj moxifloxacin (fres kabi),,,9.47,18.86,4
HCPCS,J2290,"Inj, nafcillin sodium, 20 mg",,,0.07,0.15,4
HCPCS,J2300,Inj nalbuphine hydrochloride,,,4.28,8.53,4
HCPCS,J2305,"Inj, nitroglycerin, 5 mg",,,1.73,3.45,4
HCPCS,J2312,"Inj naloxone hcl nos, 0.01mg",,,0.09,0.17,4
HCPCS,J2313,"Inj, naloxone (zimhi) 0.01mg",,,0.02,0.05,4
HCPCS,J2315,"Naltrexone, depot form",,,5.17,10.3,4
HCPCS,J2320,Nandrolone decanoate 50 MG,,,4.73,4.73,2
HCPCS,J2323,Natalizumab injection,,,29.44,58.64,4
HCPCS,J2325,Nesiritide injection,,,35.51,35.51,2
HCPCS,J2326,"Inj, nusinersen, 0.1mg",,,1190.63,1190.63,2
HCPCS,J2327,Inj risankizumab-rzaa 1 mg,,,18.1,36.06,4
HCPCS,J2329,"Inj ublituximab-xiiy, 1 mg",,,87.72,174.72,4
HCPCS,J2350,"Injection, ocrelizumab, 1 mg",,,72.83,145.07,4
HCPCS,J2351,Inj ocrelizumab 1mg hya-ocsq,,,57.63,114.79,4
HCPCS,J2353,"Octreotide injection, depot",,,258.88,515.65,4
HCPCS,J2354,"Octreotide inj, non-depot",,,0.74,1.48,4
HCPCS,J2355,Oprelvekin injection,,,292.02,292.02,2
HCPCS,J2356,"Inj tezepelumab-ekko, 1mg",,,22.33,44.47,4
HCPCS,J2357,Omalizumab injection,,,49.48,98.56,4
HCPCS,J2358,Olanzapine long-acting inj,,,3.56,7.1,4
HCPCS,J2359,"Inj. olanzapine, 0.5mg",,,1.11,2.21,4
HCPCS,J2360,Orphenadrine injection,,,11.53,22.96,4
HCPCS,J2371,Inj phenylephrine hcl 20 mcg,,,0.01,0.01,2
HCPCS,J2372,"Inj, biorphen, 20 micrograms",,,0.21,0.41,4
HCPCS,J2373,"Inj, immphentiv, 20 mcg",,,0.16,0.32,4
HCPCS,J2401,Chloroprocaine hcl injection,,,0.05,0.1,4
HCPCS,J2402,Chloroprocaine (clorotekal),,,0.45,0.45,2
HCPCS,J2403,"Chloroprocaine opht gel, 1mg",,,0.73,1.46,4
HCPCS,J2404,"Inj, nicardipine 0.1 mg",,,0.11,0.22,4
HCPCS,J2405,Ondansetron hcl injection,,,0.11,0.22,4
HCPCS,J2406,"Injection, oritavancin 10 mg",,,50.51,100.6,4
HCPCS,J2407,"Injection, oritavancin",,,34.79,69.3,4
HCPCS,J2410,Oxymorphone hcl injection,,,2.76,2.76,2
HCPCS,J2425,Palifermin injection,,,43.81,87.26,4
HCPCS,J2426,Paliperidone palmitate inj,,,18.4,36.64,4
HCPCS,J2427,"Inj, invega hafyera/trinza",,,15.81,31.49,4
HCPCS,J2428,"Inj, erzofri, 1 mg",,,20.92,20.92,2
HCPCS,J2430,Pamidronate disodium /30 mg,,,13.62,27.12,4
HCPCS,J2440,Papaverin hcl injection,,,56.05,56.05,2
HCPCS,J2468,"Inj, palonosetron (avyxa)",,,71.78,142.98,4
HCPCS,J2469,Palonosetron hcl,,,0.55,1.07,4
HCPCS,J2470,Inj pantoprazole sodium 40mg,,,11.64,11.64,2
HCPCS,J2471,Inj pantoprazole(hikma) 40mg,,,6.81,6.81,2
HCPCS,J2472,"Inj, pantoprazole sodium chl",,,11.69,11.69,2
HCPCS,J2501,Paricalcitol,,,0.82,1.63,4
HCPCS,J2502,"Inj, pasireotide long acting",,,687.82,1370.01,4
HCPCS,J2503,Pegaptanib sodium injection,,,1107.32,1107.32,2
HCPCS,J2504,"Pegademase bovine, 25 iu",,,188.64,188.64,2
HCPCS,J2506,Inj pegfilgrast ex bio 0.5mg,,,71.25,141.91,4
HCPCS,J2507,Pegloticase injection,,,4439.41,8842.43,4
HCPCS,J2508,Pegunigalsidase alfa-iwxj,,,280.94,559.58,4
HCPCS,J2510,Penicillin g procaine inj,,,57.57,57.57,2
HCPCS,J2515,Pentobarbital sodium inj,,,77.8,77.8,2
HCPCS,J2540,Penicillin g potassium inj,,,1.07,2.14,4
HCPCS,J2543,Piperacillin/tazobactam,,,1.35,2.7,4
HCPCS,J2545,Pentamidine non-comp unit,,,100.49,200.16,4
HCPCS,J2547,"Injection, peramivir",,,2.05,2.05,2
HCPCS,J2550,Promethazine hcl injection,,,3.5,6.97,4
HCPCS,J2560,Phenobarbital sodium inj,,,33.38,66.48,4
HCPCS,J2561,"Inj, sezaby, 1 mg",,,1.4,1.4,2
HCPCS,J2562,Plerixafor injection,,,145.75,290.31,4
HCPCS,J2590,Oxytocin injection,,,2.45,2.45,2
HCPCS,J2597,Inj desmopressin acetate,,,4.75,9.45,4
HCPCS,J2598,"Inj, vasopressin, 1 unit",,,1.54,3.06,4
HCPCS,J2599,Inj vasopressin (am reg) 1 u,,,0.59,1.17,4
HCPCS,J2601,"Inj, vasopressin (baxter)",,,3.59,7.14,4
HCPCS,J2675,Inj progesterone per 50 MG,,,0.77,1.53,4
HCPCS,J2679,Inj fluphenazine hcl 1.25 mg,,,9.06,18.05,4
HCPCS,J2680,Fluphenazine decanoate 25 MG,,,9.19,18.3,4
HCPCS,J2690,Procainamide hcl injection,,,237.07,472.2,4
HCPCS,J2700,Oxacillin sodium injeciton,,,1.0,1.99,4
HCPCS,J2704,"Inj, propofol, 10 mg",,,0.11,0.22,4
HCPCS,J2710,Neostigmine methylslfte inj,,,1.94,1.94,2
HCPCS,J2720,Inj protamine sulfate/10 MG,,,2.0,3.99,4
HCPCS,J2724,Protein C concentrate,,,3.38,18.34,4
HCPCS,J2730,Pralidoxime chloride inj,,,126.93,126.93,2
HCPCS,J2760,Phentolaine mesylate inj,,,532.54,1060.72,4
HCPCS,J2765,Metoclopramide hcl injection,,,1.22,2.43,4
HCPCS,J2770,Quinupristin/dalfopristin,,,5.2,5.2,2
HCPCS,J2777,"Inj, faricimab-svoa, 0.1mg",,,42.07,83.79,4
HCPCS,J2778,Ranibizumab injection,,,111.15,221.4,4
HCPCS,J2779,"Inj, susvimo 0.1 mg",,,95.68,190.58,4
HCPCS,J2781,"Inj, pegcetacoplan, 1mg",,,173.13,344.84,4
HCPCS,J2782,Inj avacincaptad pegol 0.1mg,,,129.2,257.34,4
HCPCS,J2783,Rasburicase,,,459.31,914.85,4
HCPCS,J2785,Regadenoson injection,,,3.53,7.02,4
HCPCS,J2786,"Injection, reslizumab, 1mg",,,12.91,25.71,4
HCPCS,J2787,Riboflavin 5?phos opth<=3ml,,,3337.92,3337.92,2
HCPCS,J2788,Rho d immune globulin 50 mcg,,,33.99,67.7,4
HCPCS,J2790,Rho d immune globulin inj,,,100.55,200.28,4
HCPCS,J2791,Rhophylac injection,,,6.06,12.08,4
HCPCS,J2792,"Rho(D) immune globulin h, sd",,,37.54,74.77,4
HCPCS,J2793,Rilonacept injection,,,32.94,32.94,2
HCPCS,J2794,"Risperidone, long acting",,,13.35,26.58,4
HCPCS,J2795,Ropivacaine HCl injection,,,0.07,0.15,4
HCPCS,J2798,"Inj., perseris, 0.5 mg",,,14.81,29.5,4
HCPCS,J2799,"Inj, uzedy, 1 mg",,,30.6,60.94,4
HCPCS,J2800,Methocarbamol injection,,,5.84,11.64,4
HCPCS,J2801,"Inj, rykindo, 0.5 mg",,,15.9,15.9,2
HCPCS,J2802,"Inj, romiplostim 1 microgram",,,13.42,26.73,4
HCPCS,J2804,"Inj, rifampin, 1 mg",,,0.2,0.39,4
HCPCS,J2805,Sincalide injection,,,165.88,330.41,4
HCPCS,J2810,Inj theophylline per 40 MG,,,1.28,1.28,2
HCPCS,J2820,Sargramostim injection,,,68.43,136.3,4
HCPCS,J2840,Inj sebelipase alfa 1 mg,,,658.42,658.42,2
HCPCS,J2850,Inj secretin synthetic human,,,53.42,53.42,2
HCPCS,J2860,"Injection, siltuximab",,,197.59,393.56,4
HCPCS,J2865,Inj sulfameth/trim 5 mg/1 mg,,,0.06,0.12,4
HCPCS,J2916,Na ferric gluconate complex,,,2.66,5.3,4
HCPCS,J2919,"Inj, methylpred sod succ 5mg",,,0.32,0.63,4
HCPCS,J2941,Somatropin injection,,,59.68,59.68,2
HCPCS,J2993,Reteplase injection,,,3543.59,3543.59,2
HCPCS,J2995,Inj streptokinase /250000 IU,,,86.82,86.82,2
HCPCS,J2997,Alteplase recombinant,,,114.86,228.78,4
HCPCS,J2998,Inj plasminogen tvmh 1mg,,,39.42,39.42,2
HCPCS,J3000,Streptomycin injection,,,38.25,76.18,4
HCPCS,J3010,Fentanyl citrate injeciton,,,1.17,2.33,4
HCPCS,J3030,Sumatriptan succinate / 6 MG,,,199.79,199.79,2
HCPCS,J3031,"Inj., fremanezumab-vfrm 1 mg",,,4.94,4.94,2
HCPCS,J3032,Inj. eptinezumab-jjmr 1 mg,,,24.22,48.24,4
HCPCS,J3055,Inj talquetamab-tgvs 0.25 mg,,,88.33,175.93,4
HCPCS,J3060,"Inj, taliglucerace alfa 10 u",,,50.09,99.78,4
HCPCS,J3070,Pentazocine injection,,,32.35,32.35,2
HCPCS,J3090,Inj tedizolid phosphate,,,2.33,4.64,4
HCPCS,J3095,Telavancin injection,,,9.11,18.15,4
HCPCS,J3101,Tenecteplase injection,,,209.77,417.81,4
HCPCS,J3105,Terbutaline sulfate inj,,,3.34,6.66,4
HCPCS,J3110,Teriparatide injection,,,92.51,92.51,2
HCPCS,J3111,Inj. romosozumab-aqqg 1 mg,,,14.64,29.16,4
HCPCS,J3121,Inj testostero enanthate 1mg,,,0.07,0.15,4
HCPCS,J3145,Testosterone undecanoate 1mg,,,2.43,4.84,4
HCPCS,J3230,Chlorpromazine hcl injection,,,33.03,65.78,4
HCPCS,J3240,Thyrotropin injection,,,2578.15,5135.17,4
HCPCS,J3241,Inj. teprotumumab-trbw 10 mg,,,438.09,872.59,4
HCPCS,J3243,Tigecycline injection,,,0.62,1.24,4
HCPCS,J3244,Inj. tigecycline (accord),,,4.12,4.12,2
HCPCS,J3245,"Inj., tildrakizumab, 1 mg",,,154.01,306.76,4
HCPCS,J3246,Tirofiban hcl,,,4.18,8.33,4
HCPCS,J3247,Inj secukinumab intrav 1mg,,,21.76,43.35,4
HCPCS,J3250,Trimethobenzamide hcl inj,,,65.15,129.76,4
HCPCS,J3260,Tobramycin sulfate injection,,,3.0,5.98,4
HCPCS,J3262,Tocilizumab injection,,,7.06,14.07,4
HCPCS,J3263,"Inj, toripalimab-tpzi, 1 mg",,,48.19,95.99,4
HCPCS,J3280,Thiethylperazine maleate inj,,,5.53,5.53,2
HCPCS,J3285,Treprostinil injection,,,67.69,134.82,4
HCPCS,J3299,Inj xipere 1 mg,,,58.56,116.64,4
HCPCS,J3300,Triamcinolone A inj PRS-free,,,29.9,59.56,4
HCPCS,J3301,Triamcinolone acet inj nos,,,1.05,2.09,4
HCPCS,J3302,Triamcinolone diacetate inj,,,0.39,0.39,2
HCPCS,J3303,Triamcinolone hexacetonl inj,,,11.9,11.9,2
HCPCS,J3304,Inj triamcinolone ace xr 1mg,,,22.22,44.25,4
HCPCS,J3315,Triptorelin pamoate,,,600.12,1195.32,4
HCPCS,J3316,"Inj., triptorelin xr 3.75 mg",,,4602.88,9168.03,4
HCPCS,J3355,"Urofollitropin, 75 iu",,,72.21,72.21,2
HCPCS,J3357,"Ustekinumab sub cu inj, 1 mg",,,192.37,192.37,2
HCPCS,J3358,"Ustekinumab, iv inject, 1 mg",,,16.21,32.29,4
HCPCS,J3360,Diazepam injection,,,7.53,14.99,4
HCPCS,J3373,"Inj, vancomycin hcl, 10 mg",,,0.04,0.07,4
HCPCS,J3374,"Inj, vancomycin (mylan) 10mg",,,0.15,0.29,4
HCPCS,J3375,Inj vancomycin (xellia) 10mg,,,0.16,0.32,4
HCPCS,J3380,"Injection, vedolizumab",,,26.91,53.61,4
HCPCS,J3385,Velaglucerase alfa,,,463.82,923.84,4
HCPCS,J3391,"Inj, atidarsagene autotemcel",,,5340550.0,5340550.0,2
HCPCS,J3392,"Inj, exagamglogene autotem",,,2845040.0,2845040.0,2
HCPCS,J3393,"Inj, betibeglogene autotemce",,,3599837.74,3599837.74,2
HCPCS,J3394,"Inj, lovotibeglogene autotem",,,3978853.1,3978853.1,2
HCPCS,J3396,Verteporfin injection,,,14.09,28.07,4
HCPCS,J3397,"Inj., vestronidase alfa-vjbk",,,397.62,397.62,2
HCPCS,J3398,Inj luxturna 1 billion vec g,,,3036.62,3036.62,2
HCPCS,J3399,Inj onase abepar-xioi treat,,,2260161.87,2260161.87,2
HCPCS,J3401,"Vyjuvek 5x10^9pfu/ml, 0.1 ml",,,1265.29,2520.2,4
HCPCS,J3410,Hydroxyzine hcl injection,,,20.65,41.14,4
HCPCS,J3411,Thiamine hcl 100 mg,,,2.18,4.35,4
HCPCS,J3415,Pyridoxine hcl 100 mg,,,15.62,31.1,4
HCPCS,J3420,Vitamin b12 injection,,,1.16,2.31,4
HCPCS,J3424,Inj hydroxocobalamin iv 25mg,,,6.32,6.32,2
HCPCS,J3425,"Inj, hydroxocobalamin",,,0.01,0.02,4
HCPCS,J3430,Vitamin k phytonadione inj,,,3.46,6.9,4
HCPCS,J3465,"Injection, voriconazole",,,0.95,1.9,4
HCPCS,J3470,Hyaluronidase injection,,,38.49,76.67,4
HCPCS,J3471,"Ovine, up to 999 usp units",,,0.61,1.22,4
HCPCS,J3472,"Ovine, 1000 USP units",,,129.83,129.83,2
HCPCS,J3473,Hyaluronidase recombinant,,,0.44,0.87,4
HCPCS,J3475,Inj magnesium sulfate,,,0.61,1.22,4
HCPCS,J3480,Inj potassium chloride,,,0.21,0.41,4
HCPCS,J3485,Zidovudine,,,1.84,3.67,4
HCPCS,J3486,Ziprasidone mesylate,,,3.83,7.63,4
HCPCS,J3489,Zoledronic acid 1mg,,,6.34,12.64,4
HCPCS,J3520,Edetate disodium per 150 mg,,,0.39,0.39,2
HCPCS,J7030,Normal saline solution infus,,,2.78,5.54,4
HCPCS,J7040,Normal saline solution infus,,,1.68,3.35,4
HCPCS,J7042,5% dextrose/normal saline,,,1.66,3.3,4
HCPCS,J7050,Normal saline solution infus,,,0.87,1.73,4
HCPCS,J7060,5% dextrose/water,,,2.48,4.93,4
HCPCS,J7070,D5w infusion,,,3.71,7.39,4
HCPCS,J7100,Dextran 40 infusion,,,97.45,97.45,2
HCPCS,J7120,Ringers lactate infusion,,,3.0,5.98,4
HCPCS,J7121,5% dextrose in lac ringers,,,7.38,7.38,2
HCPCS,J7131,Hypertonic saline sol,,,0.12,0.12,2
HCPCS,J7165,"Inj, human-lans, per i.u",,,1.54,1.54,2
HCPCS,J7168,Prothrombin complex kcentra,,,2.61,2.61,2
HCPCS,J7169,"Inj andexxa, 10 mg",,,160.5,160.5,2
HCPCS,J7170,"Inj., emicizumab-kxwh 0.5 mg",,,70.06,139.55,4
HCPCS,J7171,"Inj, adzynma, 10 iu",,,43.42,86.46,4
HCPCS,J7172,"Inj marstacim-hncq, 0.5 mg",,,61.87,123.23,4
HCPCS,J7175,"Inj, factor x, (human), 1iu",,,12.09,24.08,4
HCPCS,J7177,"Inj., fibryga, 1 mg",,,1.48,2.94,4
HCPCS,J7178,Human fibrinogen conc inj,,,1.85,3.69,4
HCPCS,J7179,Vonvendi inj 1 iu vwf:rco,,,2.26,4.5,4
HCPCS,J7180,Factor XIII anti-hem factor,,,13.15,26.2,4
HCPCS,J7181,Factor xiii recomb a-subunit,,,22.31,44.44,4
HCPCS,J7182,Factor viii recomb novoeight,,,1.85,3.69,4
HCPCS,J7183,Wilate injection,,,1.55,3.09,4
HCPCS,J7185,Xyntha inj,,,1.88,3.74,4
HCPCS,J7186,Antihemophilic viii/vwf comp,,,1.5,2.99,4
HCPCS,J7187,"Humate-P, inj",,,1.82,3.62,4
HCPCS,J7188,Factor viii recomb obizur,,,3.94,7.85,4
HCPCS,J7189,Factor viia,,,3.23,6.44,4
HCPCS,J7190,Factor viii,,,1.38,2.75,4
HCPCS,J7192,Factor viii recombinant nos,,,1.88,3.74,4
HCPCS,J7193,Factor ix non-recombinant,,,1.63,3.26,4
HCPCS,J7194,Factor ix complex,,,2.07,4.13,4
HCPCS,J7195,Factor ix recombinant nos,,,2.29,4.57,4
HCPCS,J7197,Antithrombin iii injection,,,4.99,9.94,4
HCPCS,J7198,Anti-inhibitor,,,2.99,5.95,4
HCPCS,J7200,Factor ix recombinan rixubis,,,1.92,3.82,4
HCPCS,J7201,Factor ix alprolix recomb,,,4.43,8.82,4
HCPCS,J7202,Factor ix idelvion inj,,,6.51,12.98,4
HCPCS,J7203,Factor ix recomb gly rebinyn,,,5.59,11.13,4
HCPCS,J7204,Inj recombin esperoct per iu,,,2.76,5.49,4
HCPCS,J7205,Factor viii fc fusion recomb,,,2.95,5.88,4
HCPCS,J7207,Factor viii pegylated recomb,,,2.62,5.22,4
HCPCS,J7208,Inj. jivi 1 iu,,,3.23,6.44,4
HCPCS,J7209,Factor viii nuwiq recomb 1iu,,,1.44,2.87,4
HCPCS,J7210,"Inj, afstyla, 1 i.u.",,,1.93,3.84,4
HCPCS,J7211,"Inj, kovaltry, 1 i.u.",,,1.93,3.84,4
HCPCS,J7212,Factor viia recomb sevenfact,,,2.93,5.83,4
HCPCS,J7213,"Inj, ixinity, 1 i.u.",,,2.33,4.64,4
HCPCS,J7214,Altuviiio per factor viii iu,,,5.7,11.35,4
HCPCS,J7294,Seg acet and eth estr yearly,,,3543.69,3543.69,2
HCPCS,J7295,Eth estr and eton monthly,,,228.26,228.26,2
HCPCS,J7296,"Kyleena, 19.5 mg",,,1778.22,1778.22,2
HCPCS,J7297,"Liletta, 52 mg",,,1364.06,1364.06,2
HCPCS,J7298,"Mirena, 52 mg",,,1778.22,1778.22,2
HCPCS,J7300,Intraut copper contraceptive,,,1666.52,1666.52,2
HCPCS,J7301,"Skyla, 13.5 mg",,,1480.67,1480.67,2
HCPCS,J7306,Levonorgestrel implant sys,,,458.56,458.56,2
HCPCS,J7307,Etonogestrel implant system,,,1778.22,1778.22,2
HCPCS,J7308,Aminolevulinic acid hcl top,,,480.52,957.1,4
HCPCS,J7310,Ganciclovir long act implant,,,5007.82,5007.82,2
HCPCS,J7311,Fluocinolone acetonide implt,,,414.51,825.62,4
HCPCS,J7312,Dexamethasone intra implant,,,250.44,498.83,4
HCPCS,J7313,Fluocinol acet intravit imp,,,607.32,1209.65,4
HCPCS,J7314,"Inj., yutiq, 0.01 mg",,,649.75,1294.17,4
HCPCS,J7318,"Inj, durolane 1 mg",,,8.15,16.23,4
HCPCS,J7320,"Genvisc 850, inj, 1mg",,,7.34,14.63,4
HCPCS,J7321,Hyalgan/supartz inj per dose,,,89.54,178.34,4
HCPCS,J7322,Hymovis injection 1 mg,,,21.28,42.38,4
HCPCS,J7323,Euflexxa inj per dose,,,139.67,278.19,4
HCPCS,J7324,Orthovisc inj per dose,,,119.19,237.41,4
HCPCS,J7325,Synvisc or Synvisc-One,,,11.09,22.09,4
HCPCS,J7326,Gel-one,,,639.3,1273.37,4
HCPCS,J7327,Monovisc inj per dose,,,644.87,1284.45,4
HCPCS,J7328,Gel-syn injection 0.1 mg,,,0.79,1.58,4
HCPCS,J7329,"Inj, trivisc 1 mg",,,6.65,13.22,4
HCPCS,J7330,Cultured chondrocytes implnt,,,96363.41,96363.41,2
HCPCS,J7331,"Synojoynt, inj., 1 mg",,,6.84,13.63,4
HCPCS,J7332,"Inj., triluron, 1 mg",,,12.4,24.69,4
HCPCS,J7336,Capsaicin 8% patch,,,4.12,8.21,4
HCPCS,J7340,Carbidopa levodopa ent 100ml,,,296.64,590.85,4
HCPCS,J7342,Ciprofloxacin otic susp 6 mg,,,41.46,41.46,2
HCPCS,J7345,"Aminolevulinic acid, 10% gel",,,2.21,4.4,4
HCPCS,J7351,Inj bimatoprost itc imp 1mcg,,,259.08,516.03,4
HCPCS,J7352,"Afamelanotide implant, 1 mg",,,3590.97,3590.97,2
HCPCS,J7353,Anacaulase-bcdb 8.8% gel 1 g,,,71.15,71.15,2
HCPCS,J7354,"Cantharidin top, applicator",,,816.9,1627.1,4
HCPCS,J7355,Inj travoprost intra impl,,,238.21,474.46,4
HCPCS,J7356,Inj foscarb/foslevodopa 5 mg,,,1.0,1.0,2
HCPCS,J7402,Mometasone sinus sinuva,,,13.85,27.56,4
HCPCS,J7500,Azathioprine oral 50mg,,,2.61,5.2,4
HCPCS,J7501,Azathioprine parenteral,,,274.46,274.46,2
HCPCS,J7502,Cyclosporine oral 100 mg,,,2.53,5.03,4
HCPCS,J7503,Tacrol envarsus ex rel oral,,,2.23,4.45,4
HCPCS,J7504,Lymphocyte immune globulin,,,6115.99,12181.86,4
HCPCS,J7505,Monoclonal antibodies,,,1059.57,1059.57,2
HCPCS,J7507,Tacrolimus imme rel oral 1mg,,,0.18,0.36,4
HCPCS,J7508,Tacrol astagraf ex rel oral,,,0.72,1.43,4
HCPCS,J7509,Methylprednisolone oral,,,0.28,0.56,4
HCPCS,J7510,Prednisolone oral per 5 mg,,,0.33,0.66,4
HCPCS,J7511,Antithymocyte globuln rabbit,,,1215.6,2421.23,4
HCPCS,J7512,Prednisone ir or dr oral 1mg,,,1.72,1.72,2
HCPCS,J7513,"Daclizumab, parenteral",,,457.38,457.38,2
HCPCS,J7514,Mycophenol (myhibbin) 100 mg,,,3.2,3.2,2
HCPCS,J7515,Cyclosporine oral 25 mg,,,0.94,1.87,4
HCPCS,J7516,Cyclosporin parenteral 250mg,,,88.68,176.64,4
HCPCS,J7517,Mycophenolate mofetil oral,,,0.2,0.39,4
HCPCS,J7518,Mycophenolic acid,,,0.45,0.9,4
HCPCS,J7519,Inj. mycophenolate mofetil,,,0.5,1.0,4
HCPCS,J7520,"Sirolimus, oral",,,1.17,2.33,4
HCPCS,J7521,Tacrolim granules oral susp,,,1.53,3.04,4
HCPCS,J7525,Tacrolimus injection,,,319.92,637.22,4
HCPCS,J7527,Oral everolimus,,,2.43,4.84,4
HCPCS,J7601,Ensifentrine inh 3 mg,,,63.59,126.65,4
HCPCS,J7605,Arformoterol non-comp unit,,,0.96,1.92,4
HCPCS,J7606,"Formoterol fumarate, inh",,,2.4,4.79,4
HCPCS,J7608,Acetylcysteine non-comp unit,,,10.85,21.6,4
HCPCS,J7611,Albuterol non-comp con,,,0.2,0.39,4
HCPCS,J7612,Levalbuterol non-comp con,,,0.37,0.73,4
HCPCS,J7613,Albuterol non-comp unit,,,0.1,0.19,4
HCPCS,J7614,Levalbuterol non-comp unit,,,0.11,0.22,4
HCPCS,J7615,Levalbuterol comp unit,,,2.37,2.37,2
HCPCS,J7620,Albuterol ipratrop non-comp,,,0.24,0.49,4
HCPCS,J7626,Budesonide non-comp unit,,,1.56,3.11,4
HCPCS,J7627,Budesonide comp unit,,,5.53,5.53,2
HCPCS,J7631,Cromolyn sodium noncomp unit,,,0.35,0.68,4
HCPCS,J7632,Cromolyn sodium comp unit,,,0.39,0.39,2
HCPCS,J7639,Dornase alfa non-comp unit,,,67.3,134.04,4
HCPCS,J7641,Flunisolide comp unit,,,12.24,12.24,2
HCPCS,J7644,Ipratropium bromide non-comp,,,0.48,0.95,4
HCPCS,J7665,Mannitol for inhaler,,,1.44,1.44,2
HCPCS,J7674,"Methacholine chloride, neb",,,2.11,4.2,4
HCPCS,J7677,Revefenacin inh non-com 1mcg,,,0.23,0.46,4
HCPCS,J7680,Terbutaline sulf comp con,,,15.4,15.4,2
HCPCS,J7681,Terbutaline sulf comp unit,,,15.4,15.4,2
HCPCS,J7682,Tobramycin non-comp unit,,,17.64,35.14,4
HCPCS,J7683,Triamcinolone comp con,,,5.53,5.53,2
HCPCS,J7685,Tobramycin comp unit,,,70.64,70.64,2
HCPCS,J7686,"Treprostinil, non-comp unit",,,976.18,1944.36,4
HCPCS,J8501,Oral aprepitant,,,3.32,6.61,4
HCPCS,J8510,Oral busulfan,,,102.74,102.74,2
HCPCS,J8515,"Cabergoline, oral 0.25mg",,,22.36,22.36,2
HCPCS,J8522,"Capecitabine, oral, 50 mg",,,0.06,0.12,4
HCPCS,J8530,Cyclophosphamide oral 25 MG,,,2.42,4.81,4
HCPCS,J8540,Oral dexamethasone,,,0.02,0.05,4
HCPCS,J8541,"Oral, hemady, 0.25 mg",,,0.5,0.5,2
HCPCS,J8560,Etoposide oral 50 mg,,,92.43,184.1,4
HCPCS,J8565,Gefitinib oral,,,355.02,355.02,2
HCPCS,J8600,Melphalan oral 2 MG,,,15.74,15.74,2
HCPCS,J8610,Methotrexate oral 2.5 MG,,,0.24,0.49,4
HCPCS,J8611,Oral methotrexate (jylamvo),,,22.61,45.03,4
HCPCS,J8612,Oral methotrexate (xatmep),,,27.65,55.06,4
HCPCS,J8650,Nabilone oral,,,18.54,18.54,2
HCPCS,J8655,Netupitant palonosetron oral,,,499.61,995.13,4
HCPCS,J8670,"Rolapitant, oral, 1mg",,,1.9,3.79,4
HCPCS,J8700,Temozolomide,,,0.44,0.87,4
HCPCS,J8705,Topotecan oral,,,152.38,303.51,4
HCPCS,J9000,Doxorubicin hcl injection,,,3.32,6.61,4
HCPCS,J9015,Aldesleukin injection,,,6467.54,6467.54,2
HCPCS,J9017,Arsenic trioxide injection,,,7.15,14.24,4
HCPCS,J9019,Erwinaze injection,,,590.11,590.11,2
HCPCS,J9020,"Asparaginase, nos",,,62.35,62.35,2
HCPCS,J9021,"Inj, aspara, rylaze, 0.1 mg",,,67.47,134.38,4
HCPCS,J9022,"Inj, atezolizumab,10 mg",,,111.04,221.18,4
HCPCS,J9023,"Injection, avelumab, 10 mg",,,122.37,243.73,4
HCPCS,J9024,Inj atezolizumb 5mg hya-tqjs,,,38.6,76.89,4
HCPCS,J9025,Azacitidine injection,,,0.26,0.51,4
HCPCS,J9026,"Inj, tarlatamab-dlle, 1 mg",,,1912.34,3809.0,4
HCPCS,J9027,Clofarabine injection,,,17.96,35.77,4
HCPCS,J9028,"Inj, nogapendekin pmln, 1mcg",,,114.83,228.71,4
HCPCS,J9029,"Inj, adstiladrin, per tx dos",,,77385.88,154137.45,4
HCPCS,J9030,Bcg live intravesical 1mg,,,3.81,7.58,4
HCPCS,J9032,"Injection, belinostat, 10mg",,,63.49,126.46,4
HCPCS,J9033,"Inj., treanda 1 mg",,,2.26,4.5,4
HCPCS,J9034,"Inj., bendeka 1 mg",,,16.01,31.88,4
HCPCS,J9035,Bevacizumab injection,,,89.12,177.51,4
HCPCS,J9036,Inj. belrapzo/bendamustine,,,14.63,29.14,4
HCPCS,J9038,Inj axatilimab-csfr 0.1 mg,,,65.98,65.98,2
HCPCS,J9039,"Injection, blinatumomab",,,199.12,396.6,4
HCPCS,J9040,Bleomycin sulfate injection,,,25.5,50.79,4
HCPCS,J9041,Bortezomib injection,,,1.94,3.86,4
HCPCS,J9042,Brentuximab vedotin inj,,,315.39,628.2,4
HCPCS,J9043,Cabazitaxel injection,,,277.06,551.85,4
HCPCS,J9045,Carboplatin injection,,,2.57,5.13,4
HCPCS,J9046,"Inj, bortezomib, dr. reddy's",,,5.99,5.99,2
HCPCS,J9047,"Injection, carfilzomib, 1 mg",,,67.21,133.87,4
HCPCS,J9048,"Inj, bortezomib freseniuskab",,,20.13,20.13,2
HCPCS,J9049,"Inj, bortezomib, hospira",,,1.89,3.77,4
HCPCS,J9050,Carmustine injection,,,211.84,421.95,4
HCPCS,J9052,"Inj, carmustine (accord)",,,316.83,316.83,2
HCPCS,J9054,Inj bortezomib boruzu 0.1 mg,,,31.98,31.98,2
HCPCS,J9055,Cetuximab injection,,,95.73,190.68,4
HCPCS,J9056,"Inj, bendamustine, 1 mg",,,34.23,68.19,4
HCPCS,J9060,Cisplatin 10 mg injection,,,2.38,4.74,4
HCPCS,J9061,"Inj, amivantamab-vmjw",,,27.1,53.97,4
HCPCS,J9063,"Inj, elahere, 1 mg",,,84.81,168.93,4
HCPCS,J9065,Inj cladribine per 1 mg,,,11.87,23.64,4
HCPCS,J9071,Inj cyclophosphamd auromedic,,,0.95,1.9,4
HCPCS,J9072,Inj cyclophos dr.reddy's 5mg,,,10.98,21.87,4
HCPCS,J9073,Inj cyclophosphamd (ingenus),,,1.42,2.82,4
HCPCS,J9074,"Inj, cyclophosphamd, sandoz",,,5.14,10.23,4
HCPCS,J9075,"Inj, cyclophosphamide, nos",,,0.76,1.51,4
HCPCS,J9076,"Inj, cyclophos (baxter) 5mg",,,6.14,12.22,4
HCPCS,J9098,Cytarabine liposome inj,,,498.81,498.81,2
HCPCS,J9100,Cytarabine hcl 100 mg inj,,,0.99,1.97,4
HCPCS,J9118,Inj. calaspargase pegol-mknl,,,99.93,199.04,4
HCPCS,J9119,"Inj., cemiplimab-rwlc, 1 mg",,,35.01,69.74,4
HCPCS,J9120,Dactinomycin injection,,,369.56,736.1,4
HCPCS,J9130,Dacarbazine 100 mg inj,,,4.66,9.28,4
HCPCS,J9144,"Daratumumab, hyaluronidase",,,66.7,132.85,4
HCPCS,J9145,"Injection, daratumumab 10 mg",,,85.2,169.71,4
HCPCS,J9150,Daunorubicin injection,,,24.11,48.02,4
HCPCS,J9151,Daunorubicin citrate inj,,,63.14,63.14,2
HCPCS,J9153,"Inj daunorubicin, cytarabine",,,311.21,619.87,4
HCPCS,J9155,Degarelix injection,,,5.32,10.59,4
HCPCS,J9171,Docetaxel injection,,,0.46,0.92,4
HCPCS,J9172,"Docetaxel (ingenus), 1 mg",,,59.88,119.26,4
HCPCS,J9173,"Inj., durvalumab, 10 mg",,,104.01,207.16,4
HCPCS,J9174,"Inj, docetaxel (beizray) 1mg",,,64.01,64.01,2
HCPCS,J9175,Elliotts b solution per ml,,,14.08,14.08,2
HCPCS,J9176,"Injection, elotuzumab, 1mg",,,9.61,19.15,4
HCPCS,J9177,Inj enfort vedo-ejfv 0.25mg,,,44.73,89.08,4
HCPCS,J9178,"Inj, epirubicin hcl, 2 mg",,,1.94,3.86,4
HCPCS,J9179,Eribulin mesylate injection,,,127.59,254.13,4
HCPCS,J9181,Etoposide injection,,,1.59,3.16,4
HCPCS,J9185,Fludarabine phosphate inj,,,87.41,174.11,4
HCPCS,J9190,Fluorouracil injection,,,2.1,4.18,4
HCPCS,J9196,Inj gemcitabine hcl (accord),,,6.45,12.85,4
HCPCS,J9200,Floxuridine injection,,,5033.17,10025.09,4
HCPCS,J9201,Gemcitabine hcl injection,,,3.61,7.19,4
HCPCS,J9202,Goserelin acetate implant,,,895.66,1783.98,4
HCPCS,J9203,Gemtuzumab ozogamicin 0.1 mg,,,288.68,574.99,4
HCPCS,J9204,"Inj mogamulizumab-kpkc, 1 mg",,,303.17,603.86,4
HCPCS,J9205,Inj irinotecan liposome 1 mg,,,79.62,158.58,4
HCPCS,J9206,Irinotecan injection,,,1.71,3.4,4
HCPCS,J9207,Ixabepilone injection,,,169.18,336.97,4
HCPCS,J9208,Ifosfamide injection,,,28.67,57.11,4
HCPCS,J9209,Mesna injection,,,1.62,3.23,4
HCPCS,J9210,"Inj., emapalumab-lzsg, 1 mg",,,347.29,927.39,4
HCPCS,J9211,Idarubicin hcl injection,,,45.2,90.03,4
HCPCS,J9212,Interferon alfacon-1 inj,,,7.5,7.5,2
HCPCS,J9213,Interferon alfa-2a inj,,,41.43,41.43,2
HCPCS,J9214,Interferon alfa-2b inj,,,15.4,15.4,2
HCPCS,J9215,Interferon alfa-n3 inj,,,44.09,44.09,2
HCPCS,J9216,Interferon gamma 1-b inj,,,12384.93,12384.93,2
HCPCS,J9217,Leuprolide acetate suspnsion,,,189.61,377.67,4
HCPCS,J9218,Leuprolide acetate injeciton,,,184.83,184.83,2
HCPCS,J9220,Indigotindisulfonate sod 1mg,,,12.15,12.15,2
HCPCS,J9223,"Inj. lurbinectedin, 0.1 mg",,,251.48,500.87,4
HCPCS,J9225,Vantas implant,,,5564.25,5564.25,2
HCPCS,J9226,Supprelin LA implant,,,55583.68,110711.75,4
HCPCS,J9227,Inj. isatuximab-irfc 10 mg,,,101.09,201.35,4
HCPCS,J9228,Ipilimumab injection,,,223.76,445.69,4
HCPCS,J9229,Inj inotuzumab ozogam 0.1 mg,,,3291.62,6556.26,4
HCPCS,J9230,Mechlorethamine hcl inj,,,154.7,154.7,2
HCPCS,J9245,Inj melphalan hydrochl 50 MG,,,131.8,262.51,4
HCPCS,J9246,"Inj., evomela, 1 mg",,,21.19,42.21,4
HCPCS,J9248,Inj melphalan (hepzato) 1 mg,,,961.1,1914.33,4
HCPCS,J9249,"Inj, melphalan (apotex) 1 mg",,,79.03,79.03,2
HCPCS,J9260,Methotrexate sodium inj,,,2.76,5.49,4
HCPCS,J9261,Nelarabine injection,,,77.32,154.01,4
HCPCS,J9263,Oxaliplatin,,,0.11,0.22,4
HCPCS,J9264,Paclitaxel protein bound,,,14.79,29.45,4
HCPCS,J9266,Pegaspargase injection,,,34677.35,69070.47,4
HCPCS,J9267,Paclitaxel injection,,,0.13,0.27,4
HCPCS,J9268,Pentostatin injection,,,3103.55,6181.65,4
HCPCS,J9269,Inj. tagraxofusp-erzs 10 mcg,,,425.32,847.15,4
HCPCS,J9271,Inj pembrolizumab,,,71.44,142.3,4
HCPCS,J9272,"Inj, dostarlimab-gxly, 10 mg",,,297.46,592.48,4
HCPCS,J9273,"Inj tisotu vedotin-tftv, 1mg",,,230.15,458.42,4
HCPCS,J9274,"Inj, tebentafusp-tebn, 1 mcg",,,264.85,527.53,4
HCPCS,J9276,"Inj zanidatamab-hrii, 2 mg",,,30.6,60.94,4
HCPCS,J9280,Mitomycin injection,,,34.49,68.7,4
HCPCS,J9281,Mitomycin instillation,,,387.25,771.33,4
HCPCS,J9285,"Inj, olaratumab, 10 mg",,,71.91,71.91,2
HCPCS,J9286,"Inj glofitamab gxbm, 2.5 mg",,,3380.1,6732.49,4
HCPCS,J9289,Inj nivolumab 2 mg hyaluron,,,32.62,32.62,2
HCPCS,J9292,"Inj, pemetrexed (avyxa) 10mg",,,101.6,202.37,4
HCPCS,J9293,Mitoxantrone hydrochl / 5 MG,,,36.11,71.93,4
HCPCS,J9294,"Inj pemetrexed, hospira 10mg",,,6.01,11.96,4
HCPCS,J9295,"Injection, necitumumab, 1 mg",,,6.99,13.92,4
HCPCS,J9296,Inj pemetrexed (accord) 10mg,,,11.88,23.67,4
HCPCS,J9297,Inj pemetrexed (sandoz) 10mg,,,1.48,2.94,4
HCPCS,J9298,Inj nivol relatlimab 3mg/1mg,,,241.13,480.29,4
HCPCS,J9299,"Injection, nivolumab",,,40.26,80.19,4
HCPCS,J9301,Obinutuzumab inj,,,95.72,190.66,4
HCPCS,J9302,Ofatumumab injection,,,75.92,75.92,2
HCPCS,J9303,Panitumumab injection,,,210.51,419.3,4
HCPCS,J9304,"Inj. pemetrexed, 10 mg",,,64.34,128.16,4
HCPCS,J9305,Pemetrexed injection,,,4.55,9.06,4
HCPCS,J9306,"Injection, pertuzumab, 1 mg",,,20.61,41.04,4
HCPCS,J9307,Pralatrexate injection,,,474.37,944.83,4
HCPCS,J9308,"Injection, ramucirumab",,,90.83,180.91,4
HCPCS,J9309,"Inj, polatuzumab vedotin 1mg",,,166.2,331.04,4
HCPCS,J9311,"Inj rituximab, hyaluronidase",,,45.09,89.81,4
HCPCS,J9312,"Inj., rituximab, 10 mg",,,92.63,184.51,4
HCPCS,J9313,"Inj., lumoxiti, 0.01 mg",,,28.54,28.54,2
HCPCS,J9314,Inj pemetrexed (teva) 10mg,,,4.62,9.21,4
HCPCS,J9316,"Pertuzu, trastuzu, 10 mg",,,77.34,154.04,4
HCPCS,J9317,Sacituzumab govitecan-hziy,,,44.24,88.11,4
HCPCS,J9318,Inj romidepsin non-lyo 0.1mg,,,34.79,69.3,4
HCPCS,J9319,Inj romidepsin lyophil 0.1mg,,,37.92,75.52,4
HCPCS,J9320,Streptozocin injection,,,207.18,207.18,2
HCPCS,J9321,Inj epcoritamab-bysp 0.16 mg,,,67.91,135.25,4
HCPCS,J9323,Inj pemetrexed ditromethamin,,,12.61,25.13,4
HCPCS,J9324,"Inj, pemrydi rtu, 10 mg",,,97.72,194.64,4
HCPCS,J9325,Inj talimogene laherparepvec,,,89.73,178.73,4
HCPCS,J9328,Temozolomide injection,,,12.68,25.25,4
HCPCS,J9329,"Inj, tislelizumab-jsgr",,,70.05,139.53,4
HCPCS,J9330,Temsirolimus injection,,,39.39,78.46,4
HCPCS,J9331,Inj sirolimus prot part 1 mg,,,103.13,205.41,4
HCPCS,J9332,Inj efgartigimod 2mg,,,39.53,78.73,4
HCPCS,J9333,Inj ronzanolixizum-noli 1 mg,,,28.26,56.28,4
HCPCS,J9334,Inj efgart-alfa 2mg hya-qvfc,,,41.16,81.99,4
HCPCS,J9341,Inj thiotepa (tepylute) 1 mg,,,54.38,54.38,2
HCPCS,J9342,Inj thiotepa nos 1 mg,,,14.93,29.74,4
HCPCS,J9345,"Inj, retifanlimab-dlwr, 1 mg",,,36.58,72.85,4
HCPCS,J9347,"Inj, tremelimumab-actl, 1 mg",,,172.23,343.02,4
HCPCS,J9348,"Inj. naxitamab-gqgk, 1 mg",,,836.81,1666.76,4
HCPCS,J9349,"Inj., tafasitamab-cxix",,,17.18,34.21,4
HCPCS,J9350,"Inj mosunetuzumab-axgb, 1 mg",,,796.36,1586.18,4
HCPCS,J9351,Topotecan injection,,,1.63,3.26,4
HCPCS,J9352,Injection trabectedin 0.1mg,,,467.35,930.86,4
HCPCS,J9353,"Inj. margetuximab-cmkb, 5 mg",,,61.55,122.59,4
HCPCS,J9354,"Inj, ado-trastuzumab emt 1mg",,,51.06,101.7,4
HCPCS,J9355,Trastuzumab injection,,,92.94,185.12,4
HCPCS,J9356,"Inj. herceptin hylecta, 10mg",,,76.82,153.02,4
HCPCS,J9357,Valrubicin injection,,,1679.68,3345.58,4
HCPCS,J9358,Inj fam-trastu deru-nxki 1mg,,,36.6,72.9,4
HCPCS,J9359,Inj lon tesirin-lpyl 0.075mg,,,264.42,526.68,4
HCPCS,J9360,Vinblastine sulfate inj,,,6.45,12.85,4
HCPCS,J9370,Vincristine sulfate 1 MG inj,,,9.59,19.1,4
HCPCS,J9376,"Inj pozelimab-bbfg, 1 mg",,,126.7,126.7,2
HCPCS,J9380,Inj teclistamab cqyv 0.5 mg,,,40.59,80.85,4
HCPCS,J9381,Inj teplizumab mzwv 5 mcg,,,45.93,91.49,4
HCPCS,J9382,Inj zenocutuzumab-zbco 1 mg,,,39.8,39.8,2
HCPCS,J9390,Vinorelbine tartrate inj,,,2.39,4.76,4
HCPCS,J9393,"Inj, fulvestrant (teva)",,,56.38,56.38,2
HCPCS,J9394,"Inj, fulvestrant (fresenius)",,,4.05,8.07,4
HCPCS,J9395,"Injection, Fulvestrant",,,8.52,16.96,4
HCPCS,J9400,"Inj, ziv-aflibercept, 1mg",,,9.74,19.39,4
HCPCS,J9600,Porfimer sodium injection,,,29558.67,29558.67,2
HCPCS,L8605,Inj bulking agent anal canal,,,1256.77,1256.77,2
HCPCS,L8607,Inj vocal cord bulking agent,,,75.26,75.26,2
HCPCS,P2028,Cephalin floculation test,,,7.43,20.65,3
HCPCS,P2029,Congo red blood test,,,7.43,20.65,3
HCPCS,P2031,Hair analysis,,,7.43,20.65,3
HCPCS,P2033,Blood thymol turbidity,,,7.43,20.65,3
HCPCS,P2038,Blood mucoprotein,,,7.43,20.65,3
HCPCS,P3000,Screen pap by tech w md supv,,,22.68,77.35,3
HCPCS,P3001,Screening pap smear by phys,,,39.53,127.02,3
HCPCS,P7001,Culture bacterial urine,,,29.24,29.24,2
HCPCS,P9041,"Albumin (human),5%, 50ml",,,12.96,12.96,2
HCPCS,P9045,"Albumin (human), 5%, 250 ml",,,64.76,64.76,2
HCPCS,P9046,"Albumin (human), 25%, 20 ml",,,25.9,25.9,2
HCPCS,P9047,"Albumin (human), 25%, 50ml",,,64.76,64.76,2
HCPCS,P9100,Pathogen test for platelets,,,53.25,53.25,2
HCPCS,P9612,Catheterize for urine spec,,,4.5,3195.0,4
HCPCS,P9615,Urine specimen collect mult,,,4.5,3195.0,4
HCPCS,Q0035,Cardiokymography,,,57.85,57.85,1
HCPCS,Q0091,Obtaining screen pap smear,,,34.49,86.77,3
HCPCS,Q0092,Set up port xray equipment,,,133.66,133.66,1
HCPCS,Q0111,Wet mounts/ w preparations,,,22.68,77.35,3
HCPCS,Q0112,Potassium hydroxide preps,,,8.75,24.32,3
HCPCS,Q0113,Pinworm examinations,,,6.41,17.81,3
HCPCS,Q0114,Fern test,,,14.61,40.64,3
HCPCS,Q0115,Post-coital mucous exam,,,37.5,104.3,3
HCPCS,Q0138,"Ferumoxytol, non-esrd",,,0.38,0.75,4
HCPCS,Q0139,"Ferumoxytol, esrd use",,,0.38,0.75,4
HCPCS,Q0144,"Azithromycin dihydrate, oral",,,15.4,15.4,2
HCPCS,Q0155,Dronabinol (syndros) 0.1 mg,,,4.75,4.75,2
HCPCS,Q0162,Ondansetron oral,,,0.01,0.02,4
HCPCS,Q0163,Diphenhydramine HCl 50mg,,,1.61,1.61,2
HCPCS,Q0164,Prochlorperazine maleate 5mg,,,0.9,0.9,2
HCPCS,Q0166,Granisetron HCl 1 mg oral,,,62.95,62.95,2
HCPCS,Q0167,Dronabinol 2.5mg oral,,,2.05,4.08,4
HCPCS,Q0169,Promethazine HCl 12.5mg oral,,,0.34,0.34,2
HCPCS,Q0173,Trimethobenzamide HCl 250mg,,,0.79,0.79,2
HCPCS,Q0174,Thiethylperazine maleate10mg,,,0.79,0.79,2
HCPCS,Q0175,Perphenazine 4mg oral,,,0.79,0.79,2
HCPCS,Q0177,Hydroxyzine pamoate 25mg,,,2.37,2.37,2
HCPCS,Q0180,Dolasetron mesylate oral,,,175.4,175.4,2
HCPCS,Q0224,"Inj, pemivibart, 4500 mg",,,8831.58,17590.77,4
HCPCS,Q0249,Tocilizumab for covid-19,,,9.24,18.4,4
HCPCS,Q0515,Sermorelin acetate injection,,,1.57,1.57,2
HCPCS,Q2004,Bladder calculi irrig sol,,,16.97,16.97,2
HCPCS,Q2009,Fosphenytoin inj pe,,,8.92,8.92,2
HCPCS,Q2017,"Teniposide, 50 mg",,,3654.07,3654.07,2
HCPCS,Q2026,Radiesse injection,,,406.77,406.77,2
HCPCS,Q2028,"Inj, sculptra, 0.5mg",,,1.22,1.22,2
HCPCS,Q2035,"Afluria vacc, 3 yrs & >, im",,,31.4,31.4,2
HCPCS,Q2037,"Fluvirin vacc, 3 yrs & >, im",,,14.6,14.6,2
HCPCS,Q2038,"Fluzone vacc, 3 yrs & >, im",,,58.65,58.65,2
HCPCS,Q2041,Axicabtagene ciloleucel car+,,,650353.31,1295375.85,4
HCPCS,Q2042,Tisagenlecleucel car-pos t,,,705555.99,1405328.73,4
HCPCS,Q2043,Sipuleucel-t auto cd54+,,,68254.08,135948.71,4
HCPCS,Q2049,Imported Lipodox inj,,,645.21,645.21,2
HCPCS,Q2050,Doxorubicin inj 10mg,,,133.32,265.55,4
HCPCS,Q2053,Brexucabtagene car pos t,,,597458.4,1190019.6,4
HCPCS,Q2054,Lisocabtagene mara car pos t,,,660795.51,1316174.65,4
HCPCS,Q2055,Idecabtagene vicleucel car,,,660337.75,1315262.89,4
HCPCS,Q2056,Ciltacabtagene car-pos t,,,675122.17,1344710.56,4
HCPCS,Q2057,Afamitresgene autoleucel,,,940156.4,1872606.6,4
HCPCS,Q2058,Obecbtge autol up to 400 mil,,,329857.5,329857.5,2
HCPCS,Q3001,Brachytherapy radioelements,,,73.0,73.0,2
HCPCS,Q3027,Inj beta interferon im 1 mcg,,,70.11,70.11,2
HCPCS,Q3028,Inj beta interferon sq 1 mcg,,,57.17,57.17,2
HCPCS,Q4074,Iloprost non-comp unit dose,,,193.88,386.18,4
HCPCS,Q4081,"Epoetin alfa, 100 units ESRD",,,0.94,1.87,4
HCPCS,Q4101,Apligraf,,,36.97,656.48,3
HCPCS,Q4102,Oasis wound matrix,,,14.27,656.48,3
HCPCS,Q4103,Oasis burn matrix,,,15.1,656.48,3
HCPCS,Q4104,Integra bmwd,,,65.59,656.48,3
HCPCS,Q4105,Integra drt or omnigraft,,,31.83,656.48,3
HCPCS,Q4106,Dermagraft,,,62.15,62.15,2
HCPCS,Q4107,Graftjacket,,,166.49,656.48,3
HCPCS,Q4108,Integra matrix,,,59.93,656.48,3
HCPCS,Q4110,Primatrix,,,79.8,656.48,3
HCPCS,Q4111,Gammagraft,,,8.69,656.48,3
HCPCS,Q4113,Graftjacket xpress,,,2436.95,2436.95,2
HCPCS,Q4114,Integra flowable wound matri,,,1881.53,1881.53,2
HCPCS,Q4115,Alloskin,,,17.67,656.48,3
HCPCS,Q4116,Alloderm,,,656.48,656.48,1
HCPCS,Q4117,Hyalomatrix,,,36.51,656.48,3
HCPCS,Q4118,Matristem micromatrix,,,3.12,3.12,2
HCPCS,Q4121,Theraskin,,,59.6,656.48,3
HCPCS,Q4122,Dermacell,,,147.66,656.48,3
HCPCS,Q4123,Alloskin,,,87.29,656.48,3
HCPCS,Q4124,Oasis tri-layer wound matrix,,,3.03,656.48,3
HCPCS,Q4125,Arthroflex,,,656.48,656.48,1
HCPCS,Q4126,Memoderm/derma/tranz/integup,,,72.97,656.48,3
HCPCS,Q4127,Talymed,,,83.56,656.48,3
HCPCS,Q4128,Flexhd/allopatchhd/matrixhd,,,37.45,656.48,3
HCPCS,Q4130,Strattice TM,,,656.48,656.48,1
HCPCS,Q4132,Grafix core,,,108.8,656.48,3
HCPCS,Q4133,Grafix prime,,,166.14,656.48,3
HCPCS,Q4134,hMatrix,,,656.48,656.48,1
HCPCS,Q4135,Mediskin,,,656.48,656.48,1
HCPCS,Q4136,EZderm,,,656.48,656.48,1
HCPCS,Q4137,"Amnioexcel or biodexcel, 1cm",,,122.88,656.48,3
HCPCS,Q4138,"Biodfence dryflex, 1cm",,,122.49,656.48,3
HCPCS,Q4140,Biodfence 1cm,,,201.1,656.48,3
HCPCS,Q4141,"Alloskin ac, 1 cm",,,79.0,656.48,3
HCPCS,Q4142,Xcm biologic tiss matrix 1cm,,,656.48,656.48,1
HCPCS,Q4143,"Repriza, 1cm",,,41.38,656.48,3
HCPCS,Q4145,"Epifix, inj, 1mg",,,23.77,23.77,2
HCPCS,Q4146,"Tensix, 1cm",,,656.48,656.48,1
HCPCS,Q4147,Architect ecm px fx 1 sq cm,,,656.48,1923.06,3
HCPCS,Q4148,"Neox 1k, 1cm",,,153.79,656.48,3
HCPCS,Q4149,"Excellagen, 0.1 cc",,,212.28,212.28,2
HCPCS,Q4150,Allowrap ds or dry 1 sq cm,,,103.53,656.48,3
HCPCS,Q4151,"Amnioband, guardian 1 sq cm",,,167.37,656.48,3
HCPCS,Q4152,Dermapure 1 square cm,,,55.4,656.48,3
HCPCS,Q4153,"Dermavest, plurivest sq cm",,,132.49,656.48,3
HCPCS,Q4154,Biovance 1 square cm,,,174.29,656.48,3
HCPCS,Q4155,Neoxflo or clarixflo 1 mg,,,33.32,33.32,2
HCPCS,Q4156,Neox 100 1 square cm,,,80.95,656.48,3
HCPCS,Q4157,Revitalon 1 square cm,,,247.54,656.48,3
HCPCS,Q4158,Marigen 1 square cm,,,80.91,656.48,3
HCPCS,Q4159,Affinity1 square cm,,,286.91,656.48,3
HCPCS,Q4160,Nushield 1 square cm,,,646.6,656.48,3
HCPCS,Q4161,Bio-connekt per square cm,,,656.48,2017.66,3
HCPCS,Q4162,Amnio bio and woundex flow,,,3131.34,3131.34,2
HCPCS,Q4163,Amnio bio and woundex sq cm,,,222.26,656.48,3
HCPCS,Q4164,"Helicoll, per square cm",,,656.48,2001.93,3
HCPCS,Q4165,"Keramatrix, per square cm",,,656.48,5124.34,3
HCPCS,Q4166,"Cytal, per square centimeter",,,25.44,656.48,3
HCPCS,Q4167,"Truskin, per sq centimeter",,,147.64,656.48,3
HCPCS,Q4169,"Artacent wound, per sq cm",,,656.48,2709.1,3
HCPCS,Q4170,"Cygnus, per sq cm",,,50.69,656.48,3
HCPCS,Q4171,"Interfyl, 1 mg",,,12.94,12.94,2
HCPCS,Q4173,Palingen or palingen xplus,,,434.99,656.48,3
HCPCS,Q4174,Palingen or promatrx,,,1758.63,1758.63,2
HCPCS,Q4175,Miroderm,,,82.62,656.48,3
HCPCS,Q4176,"Neopatch, per sq centimeter",,,216.67,656.48,3
HCPCS,Q4177,"Floweramnioflo, 0.1 cc",,,219.6,219.6,2
HCPCS,Q4178,"Floweramniopatch, per sq cm",,,113.59,656.48,3
HCPCS,Q4179,"Flowerderm, per sq cm",,,656.48,656.48,1
HCPCS,Q4180,"Revita, per sq cm",,,656.48,1329.89,3
HCPCS,Q4181,"Amnio wound, per square cm",,,243.46,656.48,3
HCPCS,Q4182,"Transcyte, per sq centimeter",,,656.48,656.48,1
HCPCS,Q4183,"Surgigraft, 1 sq cm",,,196.32,656.48,3
HCPCS,Q4184,"Cellesta, 1 sq cm",,,97.65,656.48,3
HCPCS,Q4186,Epifix 1 sq cm,,,183.4,656.48,3
HCPCS,Q4187,Epicord 1 sq cm,,,295.08,656.48,3
HCPCS,Q4188,Amnioarmor 1 sq cm,,,594.86,656.48,3
HCPCS,Q4190,Artacent ac 1 sq cm,,,157.89,656.48,3
HCPCS,Q4191,Restorigin 1 sq cm,,,656.48,891.12,3
HCPCS,Q4193,Coll-e-derm 1 sq cm,,,656.48,2090.08,3
HCPCS,Q4194,Novachor 1 sq cm,,,656.48,875.69,3
HCPCS,Q4195,Puraply 1 sq cm,,,131.66,656.48,3
HCPCS,Q4196,Puraply am 1 sq cm,,,120.22,656.48,3
HCPCS,Q4197,Puraply xt 1 sq cm,,,86.67,656.48,3
HCPCS,Q4198,Genesis amnio membrane 1sqcm,,,656.48,656.48,1
HCPCS,Q4199,"Cygnus matrix, per sq cm",,,158.92,656.48,3
HCPCS,Q4200,Skin te 1 sq cm,,,656.48,656.48,1
HCPCS,Q4201,Matrion 1 sq cm,,,96.66,656.48,3
HCPCS,Q4203,"Derma-gide, 1 sq cm",,,656.48,1063.07,3
HCPCS,Q4204,Xwrap 1 sq cm,,,656.48,4605.22,3
HCPCS,Q4205,Membrane graft or wrap sq cm,,,656.48,1452.34,3
HCPCS,Q4208,Novafix per sq cm,,,656.48,656.48,1
HCPCS,Q4209,Surgraft per sq cm,,,656.48,656.48,1
HCPCS,Q4211,Amnion bio or axobio sq cm,,,656.48,656.48,1
HCPCS,Q4213,"Ascent, 0.5 mg",,,84.16,84.16,2
HCPCS,Q4214,Cellesta cord per sq cm,,,656.48,656.48,1
HCPCS,Q4216,Artacent cord per sq cm,,,656.48,656.48,1
HCPCS,Q4217,Woundfix biowound plus xplus,,,387.96,656.48,3
HCPCS,Q4218,Surgicord per sq cm,,,656.48,656.48,1
HCPCS,Q4219,Surgigraft dual per sq cm,,,656.48,962.57,3
HCPCS,Q4220,"Bellacell HD, Surederm sq cm",,,656.48,656.48,1
HCPCS,Q4221,Amniowrap2 per sq cm,,,656.48,2392.42,3
HCPCS,Q4222,"Progenamatrix, per sq cm",,,155.61,656.48,3
HCPCS,Q4224,Hhf10-p per sq cm,,,656.48,656.48,1
HCPCS,Q4225,"Amniobind, per sq cm",,,656.48,1672.29,3
HCPCS,Q4227,Amniocore per sq cm,,,656.48,1421.78,3
HCPCS,Q4229,Cogenex amnio memb per sq cm,,,402.98,656.48,3
HCPCS,Q4232,"Corplex, per sq cm",,,158.73,656.48,3
HCPCS,Q4234,"Xcellerate, per sq cm",,,237.69,656.48,3
HCPCS,Q4235,Amniorepair or altiply sq cm,,,98.19,656.48,3
HCPCS,Q4236,Carepatch per sq cm,,,590.05,656.48,3
HCPCS,Q4237,"cryo-cord, per sq cm",,,609.29,656.48,3
HCPCS,Q4238,"Derm-maxx, per sq cm",,,656.48,2104.55,3
HCPCS,Q4239,Amnio-maxx or lite per sq cm,,,656.48,2486.97,3
HCPCS,Q4246,"Coretext or protext, per cc",,,3928.4,3928.4,2
HCPCS,Q4247,"Amniotext patch, per sq cm",,,656.48,4486.25,3
HCPCS,Q4248,Dermacyte Amn mem allo sq cm,,,656.48,3445.89,3
HCPCS,Q4249,"Amniply, per sq cm",,,656.48,2183.25,3
HCPCS,Q4250,AmnioAMP-MP per sq cm,,,656.48,3540.03,3
HCPCS,Q4251,"Vim, per square centimeter",,,219.6,656.48,3
HCPCS,Q4252,"Vendaje, per square centimet",,,64.66,656.48,3
HCPCS,Q4253,Zenith amniotic membrane psc,,,101.48,656.48,3
HCPCS,Q4254,Novafix dl per sq cm,,,656.48,656.48,1
HCPCS,Q4255,"Reguard, topical use per sq",,,656.48,656.48,1
HCPCS,Q4256,"Mlg complet, per sq cm",,,656.48,992.12,3
HCPCS,Q4257,"Relese, per sq cm",,,656.48,796.25,3
HCPCS,Q4258,"Enverse, per sq cm",,,100.54,656.48,3
HCPCS,Q4259,Celera per sq cm,,,656.48,1148.58,3
HCPCS,Q4260,"Signature apatch, per sq cm",,,656.48,656.48,1
HCPCS,Q4261,"Tag, per square centimeter",,,656.48,883.55,3
HCPCS,Q4262,"Dual layer impax, per sq cm",,,76.68,656.48,3
HCPCS,Q4263,"Surgraft tl, per sq cm",,,656.48,2089.86,3
HCPCS,Q4264,"Cocoon membrane, per sq cm",,,454.93,656.48,3
HCPCS,Q4265,Neostim tl per sq cm,,,656.48,2078.92,3
HCPCS,Q4266,Neostim per sq cm,,,656.48,683.9,3
HCPCS,Q4267,Neostim dl per sq cm,,,353.82,656.48,3
HCPCS,Q4268,Surgraft ft per sq cm,,,656.48,1458.0,3
HCPCS,Q4269,Surgraft xt per sq cm,,,656.48,2359.61,3
HCPCS,Q4270,Complete sl per sq cm,,,656.48,4112.38,3
HCPCS,Q4271,Complete ft per sq cm,,,656.48,1476.79,3
HCPCS,Q4272,"Esano a, per sq cm",,,427.12,656.48,3
HCPCS,Q4273,"Esano aaa, per sq cm",,,656.48,656.48,1
HCPCS,Q4274,"Esano ac, per sq cm",,,656.48,2235.43,3
HCPCS,Q4275,"Esano aca, per sq cm",,,656.48,3264.09,3
HCPCS,Q4276,"Orion, per sq cm",,,318.74,656.48,3
HCPCS,Q4278,"Epieffect, per sq cm",,,323.43,656.48,3
HCPCS,Q4279,"Vendaje ac, per sq cm",,,656.48,2909.7,3
HCPCS,Q4280,Xcell amnio matrix per sq cm,,,656.48,3529.28,3
HCPCS,Q4281,Barrera slor dl per sq cm,,,656.48,663.74,3
HCPCS,Q4282,Cygnus dual per sq cm,,,410.85,656.48,3
HCPCS,Q4283,"Biovance tri or 3l, sq cm",,,557.93,656.48,3
HCPCS,Q4284,"Dermabind sl, per sq cm",,,656.48,656.48,1
HCPCS,Q4285,Nudyn dl or dl mesh pr sq cm,,,234.55,656.48,3
HCPCS,Q4286,"Nudyn sl or slw, per sq cm",,,309.15,656.48,3
HCPCS,Q4287,"Dermabind dl, per sq cm",,,656.48,656.48,1
HCPCS,Q4288,"Dermabind ch, per sq cm",,,656.48,656.48,1
HCPCS,Q4289,"Revoshield+ amnio, per sq cm",,,656.48,1791.09,3
HCPCS,Q4290,Membrane wrap hydr per sq cm,,,656.48,2274.95,3
HCPCS,Q4291,"Lamellas xt, per sq cm",,,656.48,4254.09,3
HCPCS,Q4292,"Lamellas, per sq cm",,,656.48,1757.72,3
HCPCS,Q4293,"Acesso dl, per sq cm",,,656.48,1933.33,3
HCPCS,Q4294,"Amnio quad-core, per sq cm",,,656.48,3556.3,3
HCPCS,Q4295,"Amnio tri-core, per sq cm",,,656.48,3129.54,3
HCPCS,Q4296,"Rebound matrix, per sq cm",,,656.48,1775.27,3
HCPCS,Q4297,"Emerge matrix, per sq cm",,,656.48,2070.77,3
HCPCS,Q4298,"Amnicore pro, per sq cm",,,656.48,2712.27,3
HCPCS,Q4299,"Amnicore pro+, per sq cm",,,656.48,3485.17,3
HCPCS,Q4300,"Acesso tl, per sq cm",,,656.48,2579.93,3
HCPCS,Q4301,"Activate matrix, per sq cm",,,656.48,2203.73,3
HCPCS,Q4302,"Complete aca, per sq cm",,,656.48,1551.35,3
HCPCS,Q4303,"Complete aa, per sq cm",,,656.48,4108.96,3
HCPCS,Q4304,"Grafix plus, per sq cm",,,656.48,748.69,3
HCPCS,Q4305,Amer am ac tri-lay per sq cm,,,656.48,656.48,1
HCPCS,Q4306,Americ amnion ac per sq cm,,,656.48,656.48,1
HCPCS,Q4307,"American amnion, per sq cm",,,656.48,656.48,1
HCPCS,Q4308,"Sanopellis, per sq cm",,,656.48,656.48,1
HCPCS,Q4309,"Via matrix, per sq cm",,,656.48,1596.43,3
HCPCS,Q4310,"Procenta, per 100 mg",,,1607.18,1607.18,2
HCPCS,Q4311,"Acesso, per sq cm",,,656.48,3047.56,3
HCPCS,Q4312,"Acesso ac, per sq cm",,,656.48,3169.46,3
HCPCS,Q4313,"Dermabind fm, per sq cm",,,656.48,4295.24,3
HCPCS,Q4314,"Reeva, per sq cm",,,656.48,2680.69,3
HCPCS,Q4315,Regenelink amniotic mem allo,,,656.48,656.48,1
HCPCS,Q4316,"Amchoplast, per sq cm",,,656.48,5387.48,3
HCPCS,Q4317,"Vitograft, per sq cm",,,656.48,6581.91,3
HCPCS,Q4318,"E-graft, per sq cm",,,656.48,2437.97,3
HCPCS,Q4319,"Sanograft, per sq cm",,,656.48,3885.48,3
HCPCS,Q4320,"Pellograft, per sq cm",,,401.33,656.48,3
HCPCS,Q4321,"Renograft, per sq cm",,,656.48,5272.35,3
HCPCS,Q4322,"Caregraft, per sq cm",,,656.48,2185.37,3
HCPCS,Q4323,"Alloply, per sq cm",,,656.48,1920.94,3
HCPCS,Q4324,"Amniotx, per sq cm",,,656.48,2366.34,3
HCPCS,Q4325,"Acapatch, per sq cm",,,656.48,2495.95,3
HCPCS,Q4326,"Woundplus, per sq cm",,,656.48,1321.2,3
HCPCS,Q4327,"Duoamnion, per sq cm",,,656.48,656.48,1
HCPCS,Q4328,"Most, per sq cm",,,656.48,4481.44,3
HCPCS,Q4329,"Singlay, per sq cm",,,656.48,656.48,1
HCPCS,Q4330,"Total, per sq cm",,,656.48,656.48,1
HCPCS,Q4331,"Axolotl graft, per sq cm",,,656.48,1997.81,3
HCPCS,Q4332,"Axolotl dualgraft, per sq cm",,,656.48,2053.83,3
HCPCS,Q4333,"Ardeograft, per sq cm",,,656.48,1044.83,3
HCPCS,Q4334,"Amnioplast 1, per sq cm",,,656.48,656.48,1
HCPCS,Q4335,"Amnioplast 2, per sq cm",,,656.48,656.48,1
HCPCS,Q4336,"Artecent c, per sq cm",,,656.48,656.48,1
HCPCS,Q4337,"Artecent trident, per sq cm",,,656.48,656.48,1
HCPCS,Q4338,"Artacent velos, per sq cm",,,656.48,656.48,1
HCPCS,Q4339,"Artacent vericlen, per sq cm",,,656.48,2507.51,3
HCPCS,Q4340,"Simpligraft, per sq cm",,,656.48,3149.49,3
HCPCS,Q4341,"Simplimax, per sq cm",,,656.48,3746.96,3
HCPCS,Q4342,"Theramend, per sq cm",,,656.48,2595.07,3
HCPCS,Q4343,Dermacyte ac matrx per sq cm,,,656.48,3601.56,3
HCPCS,Q4344,"Tri membrane wrap, per sq cm",,,656.48,3281.17,3
HCPCS,Q4345,Matrix hd allogrft per sq cm,,,656.48,3660.98,3
HCPCS,Q4346,Shelter dm matrix per sq cm,,,656.48,5128.4,3
HCPCS,Q4347,Rampart dl matrix per sq cm,,,656.48,3609.61,3
HCPCS,Q4348,Sentry sl matrix per sq cm,,,656.48,2857.25,3
HCPCS,Q4349,Mantle dl matrix per sq cm,,,656.48,5128.4,3
HCPCS,Q4350,Palisade dm matrix per sq cm,,,656.48,5128.4,3
HCPCS,Q4351,"Enclose tl matrix, per sq cm",,,656.48,5494.72,3
HCPCS,Q4352,"Overlay sl matrix, per sq cm",,,656.48,2857.25,3
HCPCS,Q4353,Xceed tl matrix per sq cm,,,656.48,5567.98,3
HCPCS,Q4354,Palingen dual-layer sq cm,,,656.48,1494.15,3
HCPCS,Q4355,Abio xpl abio xpl hy p sq cm,,,656.48,4397.16,3
HCPCS,Q4356,Abio mem abio hyd per sq cm,,,656.48,3664.31,3
HCPCS,Q4357,"Xwrap plus, per sq cm",,,656.48,5819.4,3
HCPCS,Q4358,"Xwrap dual, per sq cm",,,656.48,8348.8,3
HCPCS,Q4359,"Choriply, per sq cm",,,656.48,3842.21,3
HCPCS,Q4360,Amchoplast fd per sq cm,,,656.48,3488.0,3
HCPCS,Q4361,"Epixpress, per sq cm",,,656.48,1939.8,3
HCPCS,Q4362,"Cygnus disk, per sq cm",,,656.48,803.63,3
HCPCS,Q4363,Am bur mem hydro per sq cm,,,656.48,656.48,1
HCPCS,Q4364,Am bur xp mem xpl hy p sq cm,,,656.48,5080.51,3
HCPCS,Q4365,Amnio bur dl mem per sq cm,,,656.48,656.48,1
HCPCS,Q4366,Dl amnio bur x-mem per sq cm,,,656.48,656.48,1
HCPCS,Q4367,"Amniocore sl, per sq cm",,,646.6,656.48,3
HCPCS,Q4368,Amchothick per sq cm,,,656.48,5696.29,3
HCPCS,Q4369,Amnioplast 3 per sq cm,,,656.48,656.48,1
HCPCS,Q4370,Aeroguard per sq cm,,,656.48,656.48,1
HCPCS,Q4371,Neoguard per sq cm,,,656.48,656.48,1
HCPCS,Q4372,Amchoplast excl per sq cm,,,656.48,656.48,1
HCPCS,Q4373,Membrane wrp lt per sq cm,,,656.48,5257.44,3
HCPCS,Q4375,Duograft ac per sq cm,,,656.48,656.48,1
HCPCS,Q4376,Duograft aa per sq cm,,,656.48,656.48,1
HCPCS,Q4377,Trigraft ft per sq cm,,,656.48,656.48,1
HCPCS,Q4378,Renew ft matrix per sq cm,,,656.48,5641.24,3
HCPCS,Q4379,Amniodefend ft per sq cm,,,656.48,4177.35,3
HCPCS,Q4380,Advograft one per sq cm,,,656.48,656.48,1
HCPCS,Q4382,Advograft dual per sq cm,,,656.48,656.48,1
HCPCS,Q4383,Axolotl graft ult per sq cm,,,656.48,656.48,1
HCPCS,Q4384,Axolotl dual ult per sq cm,,,656.48,656.48,1
HCPCS,Q4385,Apollo ft per sq cm,,,656.48,656.48,1
HCPCS,Q4386,Acesso trifaca per sq cm,,,656.48,656.48,1
HCPCS,Q4387,Neothelium ft per sq cm,,,656.48,656.48,1
HCPCS,Q4388,Neothelium 4l per sq cm,,,656.48,656.48,1
HCPCS,Q4389,Neothelium 4l+ per sq cm,,,656.48,656.48,1
HCPCS,Q4390,Ascendion per sq cm,,,656.48,656.48,1
HCPCS,Q4391,Amnioplast double per sq cm,,,656.48,656.48,1
HCPCS,Q4392,Grafix duo per sq cm,,,656.48,656.48,1
HCPCS,Q4393,Surgraft ac per sq cm,,,656.48,656.48,1
HCPCS,Q4394,Surgraft aca per sq cm,,,656.48,656.48,1
HCPCS,Q4395,Acelagraft per sq cm,,,656.48,656.48,1
HCPCS,Q4396,Natalin per sq cm,,,656.48,656.48,1
HCPCS,Q4397,Summit aaa per sq cm,,,656.48,656.48,1
HCPCS,Q4398,Summit ac per sq cm,,,656.48,656.48,1
HCPCS,Q4399,Summit fx per sq cm,,,656.48,656.48,1
HCPCS,Q4400,Polygon3 per sq cm,,,656.48,656.48,1
HCPCS,Q4401,Absolv3 per sq cm,,,656.48,656.48,1
HCPCS,Q4402,Xwrap 2.0 per sq cm,,,656.48,656.48,1
HCPCS,Q4403,Xwrap dual plus per sq cm,,,656.48,656.48,1
HCPCS,Q4404,Xwrap hydro plus per sq cm,,,656.48,656.48,1
HCPCS,Q4405,Xwrap fenestra plus sq cm,,,656.48,656.48,1
HCPCS,Q4406,Xwrap fenestra per sq cm,,,656.48,656.48,1
HCPCS,Q4407,Xwrap tribus per sq cm,,,656.48,656.48,1
HCPCS,Q4408,Xwrap hydro per sq cm,,,656.48,656.48,1
HCPCS,Q4409,Amniomatrixf3x per sq cm,,,656.48,656.48,1
HCPCS,Q4410,Amchomatrixdl per sq cm,,,656.48,656.48,1
HCPCS,Q4411,Amniomatrixf4x per sq cm,,,656.48,656.48,1
HCPCS,Q4412,Choriofix per sq cm,,,656.48,656.48,1
HCPCS,Q4413,Cygnus solo per sq cm,,,656.48,656.48,1
HCPCS,Q4414,Simplichor per sq cm,,,656.48,656.48,1
HCPCS,Q4415,Alexiguard st-l per sq cm,,,656.48,656.48,1
HCPCS,Q4416,Alexiguard tl-t per sq cm,,,656.48,656.48,1
HCPCS,Q4417,Alexiguard dl-t per sq cm,,,656.48,656.48,1
HCPCS,Q4420,Nuform per sq cm,,,656.48,656.48,1
HCPCS,Q5098,"Inj ustekinumab-srlf, 1 mg",,,77.14,77.14,2
HCPCS,Q5099,"Inj ustekinumab-stba, 1 mg",,,2.94,2.94,2
HCPCS,Q5100,"Inj ustekinumab-kfce, 1 mg",,,3.87,3.87,2
HCPCS,Q5101,Inj filgrastim gcsf biosimil,,,0.45,0.9,4
HCPCS,Q5103,"Injection, inflectra",,,24.01,47.82,4
HCPCS,Q5104,"Injection, renflexis",,,30.56,60.87,4
HCPCS,Q5105,Inj Retacrit esrd on dialysi,,,0.93,1.85,4
HCPCS,Q5106,Inj Retacrit non-esrd use,,,9.24,18.4,4
HCPCS,Q5107,Inj mvasi 10 mg,,,35.2,70.11,4
HCPCS,Q5108,"Injection, fulphila",,,126.53,251.99,4
HCPCS,Q5110,Nivestym,,,0.35,0.7,4
HCPCS,Q5111,"Injection, udenyca 0.5 mg",,,165.97,330.58,4
HCPCS,Q5112,Inj ontruzant 10 mg,,,26.83,53.41,4
HCPCS,Q5113,Inj herzuma 10 mg,,,94.54,188.3,4
HCPCS,Q5114,Inj  ogivri 10 mg,,,54.4,108.35,4
HCPCS,Q5115,Inj truxima 10 mg,,,38.04,75.77,4
HCPCS,Q5116,"Inj., trazimera, 10 mg",,,34.92,69.55,4
HCPCS,Q5117,"Inj., kanjinti, 10 mg",,,52.8,105.17,4
HCPCS,Q5118,"Inj., zirabev, 10 mg",,,29.19,58.15,4
HCPCS,Q5119,"Inj ruxience, 10 mg",,,32.33,64.4,4
HCPCS,Q5120,Inj pegfilgrastim-bmez 0.5mg,,,34.15,68.02,4
HCPCS,Q5121,"Inj. avsola, 10 mg",,,25.49,50.76,4
HCPCS,Q5122,"Inj, nyvepria",,,161.09,320.86,4
HCPCS,Q5123,"Inj. riabni, 10 mg",,,36.5,72.71,4
HCPCS,Q5124,"Inj. byooviz, 0.1 mg",,,75.82,151.02,4
HCPCS,Q5125,"Inj, releuko 1 mcg",,,0.5,1.0,4
HCPCS,Q5126,Inj alymsys 10 mg,,,51.97,103.52,4
HCPCS,Q5127,"Inj, stimufend, 0.5 mg",,,279.51,556.74,4
HCPCS,Q5128,"Inj, cimerli, 0.1 mg",,,105.54,210.22,4
HCPCS,Q5129,"Inj, vegzelma, 10 mg",,,53.22,106.0,4
HCPCS,Q5130,"Inj, fylnetra, 0.5 mg",,,182.04,362.58,4
HCPCS,Q5133,"Inj, tofidence, 1 mg",,,7.06,14.07,4
HCPCS,Q5135,"Inj, tyenne, 1 mg",,,5.72,11.4,4
HCPCS,Q5136,"Inj. denosumab-bbdz, 1 mg",,,33.6,33.6,2
HCPCS,Q5137,"Inj, wezlana, sub cu, 1 mg",,,269.22,269.22,2
HCPCS,Q5138,"Inj, wezlana, iv, 1 mg",,,15.96,15.96,2
HCPCS,Q5140,"Inj adalimumab-fkjp, 1 mg",,,106.31,106.31,2
HCPCS,Q5141,"Inj adalimumab-aaty, 1 mg",,,53.16,53.16,2
HCPCS,Q5142,"Inj adalimumab-ryvk, 1 mg",,,12.98,12.98,2
HCPCS,Q5143,"Inj adalimumab-adbm, 1 mg",,,12.72,12.72,2
HCPCS,Q5144,"Inj, idacio, 1 mg",,,10.88,10.88,2
HCPCS,Q5145,"Inj, abrilada, 1 mg",,,32.49,32.49,2
HCPCS,Q5146,"Inj, hercessi, 10 mg",,,92.94,185.12,4
HCPCS,Q5147,"Inj, aflibercept-ayyh, 1 mg",,,1060.28,2111.86,4
HCPCS,Q5148,"Inj, nyposi 1 mcg",,,0.67,0.67,2
HCPCS,Q5151,"Inj, eculizumab-aagh, 2 mg",,,38.25,38.25,2
HCPCS,Q5152,"Inj, eculizumab-aeeb, 2 mg?",,,50.62,50.62,2
HCPCS,Q9950,Inj sulf hexa lipid microsph,,,22.68,22.68,2
HCPCS,Q9956,"Inj octafluoropropane mic,ml",,,50.26,50.26,2
HCPCS,Q9957,"Inj perflutren lip micros,ml",,,50.26,50.26,2
HCPCS,Q9958,"HOCM <=149 mg/ml iodine, 1ml",,,0.09,0.09,2
HCPCS,Q9961,"HOCM 250-299mg/ml iodine,1ml",,,0.35,0.35,2
HCPCS,Q9963,"HOCM 350-399mg/ml iodine,1ml",,,0.27,0.27,2
HCPCS,Q9965,"LOCM 100-199mg/ml iodine,1ml",,,2.2,2.2,2
HCPCS,Q9966,"LOCM 200-299mg/ml iodine,1ml",,,0.55,0.55,2
HCPCS,Q9967,"LOCM 300-399mg/ml iodine,1ml",,,0.18,0.18,2
HCPCS,Q9968,Visualization adjunct,,,9.59,9.59,2
HCPCS,Q9969,Non-HEU TC-99M add-on/dose,,,12.2,12.2,2
HCPCS,Q9982,flutemetamol f18 diagnostic,,,2277.23,2277.23,2
HCPCS,Q9983,florbetaben f18 diagnostic,,,1553.99,1553.99,2
HCPCS,Q9991,Buprenorph xr 100 mg or less,,,2411.39,4803.02,4
HCPCS,Q9992,Buprenorphine xr over 100 mg,,,2411.39,4803.02,4
HCPCS,Q9998,Ustekinumab-aekn inj,,,58.32,58.32,2
HCPCS,Q9999,Inj ustekinumab-aauz 1 mg,,,45.54,45.54,2
HCPCS,S0601,Screening protoscopy,,,6979.0,6979.0,1
HCPCS,S0800,Laser in situ keratomileusis (LASIK),,,6979.0,6979.0,1
HCPCS,S0810,Photorefractive keratectomy (PRK),,,6979.0,6979.0,1
HCPCS,S0812,Phototherapeutic keratectomy (PTK),,,6979.0,6979.0,1
HCPCS,S2053,"transplant sm. Intest, liver, allograft",,,6979.0,6979.0,1
HCPCS,S2054,Transplant multivisceral organs,,,6979.0,6979.0,1
HCPCS,S2055,"harvesting organs, cadaver donor",,,6979.0,6979.0,1
HCPCS,S2060,Lobar lung transplantation,,,6979.0,6979.0,1
HCPCS,S2061,"Donor lobectomy, live donor",,,6979.0,6979.0,1
HCPCS,S2065,Sim Panc/renal transplant,,,6979.0,6979.0,1
HCPCS,S2066,"Breast reconstruct, GAP",,,6979.0,6979.0,1
HCPCS,S2067,"Breast reconstruct, stacked DEIP or GAP",,,6979.0,6979.0,1
HCPCS,S2068,"Breast reconstruct, DEIP",,,6979.0,6979.0,1
HCPCS,S2070,Cystoerethroscopy,,,6979.0,6979.0,1
HCPCS,S2079,Heller esophagomyotomy,,,6979.0,6979.0,1
HCPCS,S2080,LAUP,,,6979.0,6979.0,1
HCPCS,S2083,"gastric band adjustment, percutaneous",,,3195.0,3195.0,1
HCPCS,S2095,"percut occlusion tumor dest, yttrium-90",,,5248.0,5248.0,1
HCPCS,S2102,"Iselt cell transplant, allogeneic",,,6979.0,6979.0,1
HCPCS,S2103,Adrenal tissue transplant to brain,,,6979.0,6979.0,1
HCPCS,S2112,"arthroscopy, harvest cartilage",,,6979.0,6979.0,1
HCPCS,S2115,"Osteotomy, peracteabular, with internal fixation",,,6979.0,6979.0,1
HCPCS,S2117,"Arthroereisis, subtalar",,,6979.0,6979.0,1
HCPCS,S2205,Minimally invasive direct co,,,6979.0,6979.0,1
HCPCS,S2206,Minimally invasive direct co,,,6979.0,6979.0,1
HCPCS,S2207,Minimally invasive direct co,,,6979.0,6979.0,1
HCPCS,S2208,Minimally invasive direct co,,,6979.0,6979.0,1
HCPCS,S2209,Minimally invasive direct co,,,6979.0,6979.0,1
HCPCS,S2225,"Myringotomy, laser-assisted",,,5248.0,5248.0,1
HCPCS,S2230,Implant semi-imp hear,,,6979.0,6979.0,1
HCPCS,S2235,Implant auditory brain imp,,,6979.0,6979.0,1
HCPCS,S2300,"Arthroscopy, shoulder, surgi",,,6979.0,6979.0,1
HCPCS,S2350,"Diskectomy, anterior, with d",,,6979.0,6979.0,1
HCPCS,S2351,"Diskectomy, anterior, with d",,,6979.0,6979.0,1
HCPCS,S2400,Fetal surg congen hernia,,,6979.0,6979.0,1
HCPCS,S2401,Fetal surg urin trac obstr,,,6979.0,6979.0,1
HCPCS,S2402,Fetal surg cong cyst malf,,,6979.0,6979.0,1
HCPCS,S2403,Fetal surg pulmon sequest,,,6979.0,6979.0,1
HCPCS,S2404,Fetal surg myelomeningo,,,6979.0,6979.0,1
HCPCS,S2405,Fetal surg sacrococ teratoma,,,6979.0,6979.0,1
HCPCS,S2409,Fetal surg noc,,,6979.0,6979.0,1
HCPCS,S2900,Robotic surgical system,,,6979.0,6979.0,1
HCPCS,U0001,2019 nCoV diagnostic P,,,53.88,149.86,3
HCPCS,U0002,COVID-19 lab test non-CDC,,,76.97,214.07,3
MS-DRG,1,Heart Transplant Or Implant Of Heart Assist System With Mcc,,,763343.01,1145000.51,5
MS-DRG,10,Pancreas Transplant,,,195458.89,293184.75,5
MS-DRG,100,Seizures With Mcc,,,52756.5,79133.77,5
MS-DRG,101,Seizures Without Mcc,,,24585.92,36878.43,5
MS-DRG,102,Headaches With Mcc,,,30532.2,45797.73,5
MS-DRG,103,Headaches Without Mcc,,,22779.98,34169.55,5
MS-DRG,104,Cardiac Valve & Oth Major Cardiothoracic Proc w Cardiac Cath,,,,,0
MS-DRG,105,Cardiac Valve & Oth Major Cardiothoracic Proc w/o Cardiac Cath,,,,,0
MS-DRG,106,Coronary Bypass w PTCA,,,,,0
MS-DRG,107,No Longer Valid,,,,,0
MS-DRG,108,Other Cardiothoracic Procedures,,,,,0
MS-DRG,109,No Longer Valid,,,,,0
MS-DRG,11,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc",,,148564.23,222843.62,5
MS-DRG,110,Major Cardiovascular Procedures w CC,,,,,0
MS-DRG,111,Major Cardiovascular Procedures w/o CC,,,,,0
MS-DRG,112,No Longer Valid,,,,,0
MS-DRG,113,Orbital Procedures With Cc/Mcc,,,64041.61,96061.24,5
MS-DRG,114,Orbital Procedures Without Cc/Mcc,,,36854.37,55280.87,5
MS-DRG,115,Extraocular Procedures Except Orbit,,,41809.14,62712.94,5
MS-DRG,116,Intraocular Procedures With Cc/Mcc,,,49250.84,73875.35,5
MS-DRG,117,Intraocular Procedures Without Cc/Mcc,,,29551.59,44326.84,5
MS-DRG,118,Cardiac Pacemaker Device Replacement,,,,,0
MS-DRG,119,Vein ligation & stripping,,,,,0
MS-DRG,12,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc",,,114839.62,172257.33,5
MS-DRG,120,Other circulatory system O.R. procedures,,,,,0
MS-DRG,121,Acute Major Eye Infections With Cc/Mcc,,,31687.13,47530.11,5
MS-DRG,122,Acute Major Eye Infections Without Cc/Mcc,,,21404.41,32106.22,5
MS-DRG,123,Neurological Eye Disorders,,,21753.07,32629.2,5
MS-DRG,124,Other Disorders Of The Eye With Mcc Or Thrombolytic Agent,,,36039.92,54059.22,5
MS-DRG,125,Other Disorders Of The Eye Without Mcc,,,20914.1,31370.77,5
MS-DRG,126,Acute & Subacute Endocarditis,,,,,0
MS-DRG,127,Heart Failure & Shock,,,,,0
MS-DRG,128,Deep Vein Thrombophlebitis,,,,,0
MS-DRG,129,Major Head & Neck Procedures W Cc/Mcc Or Major Device,,,,,0
MS-DRG,13,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc",,,78497.35,117744.58,5
MS-DRG,130,Major Head & Neck Procedures W/O Cc/Mcc,,,,,0
MS-DRG,131,Cranial/Facial Procedures W Cc/Mcc,,,,,0
MS-DRG,132,Cranial/Facial Procedures W/O Cc/Mcc,,,,,0
MS-DRG,133,"Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/Mcc",,,,,0
MS-DRG,134,"Other Ear, Nose, Mouth & Throat O.R. Procedures W/O Cc/Mcc",,,,,0
MS-DRG,135,Sinus And Mastoid Procedures With Cc/Mcc,,,59108.63,88661.86,5
MS-DRG,136,Sinus And Mastoid Procedures Without Cc/Mcc,,,27655.76,41483.13,5
MS-DRG,137,Mouth Procedures With Cc/Mcc,,,40673.27,61009.17,5
MS-DRG,138,Mouth Procedures Without Cc/Mcc,,,24139.2,36208.36,5
MS-DRG,139,Salivary Gland Procedures,,,33659.23,50488.23,5
MS-DRG,14,Allogeneic Bone Marrow Transplant,,,327355.58,491027.36,5
MS-DRG,140,Major Head And Neck Procedures With Mcc,,,116182.51,174271.63,5
MS-DRG,141,Major Head And Neck Procedures With Cc,,,59410.98,89115.38,5
MS-DRG,142,Major Head And Neck Procedures Without Cc/Mcc,,,43484.34,65225.71,5
MS-DRG,143,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc",,,102053.64,153078.58,5
MS-DRG,144,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc",,,47202.46,70802.83,5
MS-DRG,145,"Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc",,,32749.45,49123.57,5
MS-DRG,146,"Ear, Nose, Mouth And Throat Malignancy With Mcc",,,57675.86,86512.73,5
MS-DRG,147,"Ear, Nose, Mouth And Throat Malignancy With Cc",,,34634.39,51950.95,5
MS-DRG,148,"Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc",,,21712.21,32567.91,5
MS-DRG,149,Dysequilibrium,,,20472.83,30708.87,5
MS-DRG,150,Epistaxis With Mcc,,,36268.73,54402.43,5
MS-DRG,151,Epistaxis Without Mcc,,,19993.43,29989.77,5
MS-DRG,152,Otitis Media And Uri With Mcc,,,32201.95,48302.33,5
MS-DRG,153,Otitis Media And Uri Without Mcc,,,20107.83,30161.38,5
MS-DRG,154,"Other Ear, Nose, Mouth And Throat Diagnoses With Mcc",,,42588.18,63881.48,5
MS-DRG,155,"Other Ear, Nose, Mouth And Throat Diagnoses With Cc",,,24964.54,37446.36,5
MS-DRG,156,"Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc",,,18824.87,28236.96,5
MS-DRG,157,Dental And Oral Diseases With Mcc,,,46763.92,70145.01,5
MS-DRG,158,Dental And Oral Diseases With Cc,,,24782.04,37172.61,5
MS-DRG,159,Dental And Oral Diseases Without Cc/Mcc,,,19298.83,28947.89,5
MS-DRG,16,Autologous Bone Marrow Transplant With Cc/Mcc,,,161519.1,242275.68,5
MS-DRG,160,Hernia Procedures Except Inguinal & Femoral Age >17 w/o CC,,,,,0
MS-DRG,161,Inguinal & Femoral Hernia Procedures Age >17 w CC,,,,,0
MS-DRG,162,Inguinal & Femoral Hernia Procedures Age >17 w/o CC,,,,,0
MS-DRG,163,Major Chest Procedures With Mcc,,,122079.75,183117.38,5
MS-DRG,164,Major Chest Procedures With Cc,,,68751.24,103125.59,5
MS-DRG,165,Major Chest Procedures Without Cc/Mcc,,,52140.89,78210.38,5
MS-DRG,166,Other Respiratory System O.R. Procedures With Mcc,,,101811.21,152714.95,5
MS-DRG,167,Other Respiratory System O.R. Procedures With Cc,,,49122.81,73683.32,5
MS-DRG,168,Other Respiratory System O.R. Procedures Without Cc/Mcc,,,37219.37,55828.37,5
MS-DRG,169,Mouth Procedures w/o CC,,,,,0
MS-DRG,17,Autologous Bone Marrow Transplant Without Cc/Mcc,,,147970.42,221952.91,5
MS-DRG,171,Other Digestive System O.R. Procedures w/o CC,,,,,0
MS-DRG,173,Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism,,,81074.16,121609.75,5
MS-DRG,174,G.I. hemorrhage w CC,,,,,0
MS-DRG,175,Pulmonary Embolism With Mcc Or Acute Cor Pulmonale,,,37415.49,56122.55,5
MS-DRG,176,Pulmonary Embolism Without Mcc,,,21927.4,32890.69,5
MS-DRG,177,Respiratory Infections And Inflammations With Mcc,,,42566.39,63848.8,5
MS-DRG,178,Respiratory Infections And Inflammations With Cc,,,26585.26,39877.41,5
MS-DRG,179,Respiratory Infections And Inflammations Without Cc/Mcc,,,20565.45,30847.79,5
MS-DRG,18,Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies,,,1176256.29,1764362.84,5
MS-DRG,180,Respiratory Neoplasms With Mcc,,,48104.07,72155.23,5
MS-DRG,181,Respiratory Neoplasms With Cc,,,29172.97,43758.92,5
MS-DRG,182,Respiratory Neoplasms Without Cc/Mcc,,,20532.76,30798.76,5
MS-DRG,183,Major Chest Trauma With Mcc,,,41672.95,62508.65,5
MS-DRG,184,Major Chest Trauma With Cc,,,28985.02,43477.0,5
MS-DRG,185,Major Chest Trauma Without Cc/Mcc,,,21423.47,32134.82,5
MS-DRG,186,Pleural Effusion With Mcc,,,42451.98,63677.19,5
MS-DRG,187,Pleural Effusion With Cc,,,26942.09,40412.65,5
MS-DRG,188,Pleural Effusion Without Cc/Mcc,,,19535.81,29303.36,5
MS-DRG,189,Pulmonary Edema And Respiratory Failure,,,33651.06,50475.97,5
MS-DRG,19,Simultaneous Pancreas And Kidney Transplant With Hemodialysis,,,194339.37,291505.49,5
MS-DRG,190,Chronic Obstructive Pulmonary Disease With Mcc,,,30172.64,45258.41,5
MS-DRG,191,Chronic Obstructive Pulmonary Disease With Cc,,,22962.48,34443.29,5
MS-DRG,192,Chronic Obstructive Pulmonary Disease Without Cc/Mcc,,,17487.44,26230.84,5
MS-DRG,193,Simple Pneumonia And Pleurisy With Mcc,,,35802.94,53703.76,5
MS-DRG,194,Simple Pneumonia And Pleurisy With Cc,,,21951.91,32927.46,5
MS-DRG,195,Simple Pneumonia And Pleurisy Without Cc/Mcc,,,17119.71,25679.25,5
MS-DRG,196,Interstitial Lung Disease With Mcc,,,51405.44,77107.22,5
MS-DRG,197,Interstitial Lung Disease With Cc,,,25852.53,38778.33,5
MS-DRG,198,Interstitial Lung Disease Without Cc/Mcc,,,19508.57,29262.5,5
MS-DRG,199,Pneumothorax With Mcc,,,48052.32,72077.6,5
MS-DRG,2,Heart Transplant Or Implant Of Heart Assist System Without Mcc,,,308666.9,462994.68,5
MS-DRG,20,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc,,,214338.24,321503.43,5
MS-DRG,200,Pneumothorax With Cc,,,29943.83,44915.2,5
MS-DRG,201,Pneumothorax Without Cc/Mcc,,,19478.61,29217.56,5
MS-DRG,202,Bronchitis And Asthma With Cc/Mcc,,,26454.52,39681.29,5
MS-DRG,203,Bronchitis And Asthma Without Cc/Mcc,,,18250.13,27374.86,5
MS-DRG,204,Respiratory Signs And Symptoms,,,21992.77,32988.75,5
MS-DRG,205,Other Respiratory System Diagnoses With Mcc,,,49874.61,74811.0,5
MS-DRG,206,Other Respiratory System Diagnoses Without Mcc,,,25634.62,38451.46,5
MS-DRG,207,Respiratory System Diagnosis With Ventilator Support >96 Hours,,,175274.79,262908.97,5
MS-DRG,208,Respiratory System Diagnosis With Ventilator Support <=96 Hours,,,74871.84,112306.38,5
MS-DRG,209,Complex Aortic Arch Procedures,,,308312.79,462463.53,5
MS-DRG,21,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc,,,144197.82,216294.08,5
MS-DRG,210,Hip & Femur Procedures Except Major Joint Age >17 w CC,,,,,0
MS-DRG,211,Hip & Femur Procedures Except Major Joint Age >17 w/o CC,,,,,0
MS-DRG,212,Concomitant Aortic And Mitral Valve Procedures,,,296199.61,444293.98,5
MS-DRG,213,Endovascular Abdominal Aorta With Iliac Branch Procedures,,,155450.25,233172.52,5
MS-DRG,214,No Longer Valid,,,,,0
MS-DRG,215,Other Heart Assist System Implant,,,271218.72,406823.11,5
MS-DRG,216,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc,,,266473.69,399705.64,5
MS-DRG,217,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc,,,179104.6,268653.61,5
MS-DRG,218,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc,,,179104.6,268653.61,5
MS-DRG,219,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc,,,209149.21,313719.98,5
MS-DRG,22,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc,,,86549.2,129822.21,5
MS-DRG,220,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc,,,145260.14,217887.54,5
MS-DRG,221,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M,,,137290.01,205932.49,5
MS-DRG,222,"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With Mcc",,,,,0
MS-DRG,223,"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without Mcc",,,,,0
MS-DRG,224,"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With Mcc",,,,,0
MS-DRG,225,"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without Mcc",,,,,0
MS-DRG,226,Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc,,,,,0
MS-DRG,227,Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc,,,,,0
MS-DRG,228,Other Cardiothoracic Procedures With Mcc,,,134762.23,202140.87,5
MS-DRG,229,Other Cardiothoracic Procedures Without Mcc,,,85789.23,128682.27,5
MS-DRG,23,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla,,,156087.64,234128.6,5
MS-DRG,230,Other cardiothoracic procedures w/o CC/MCC,,,,,0
MS-DRG,231,Coronary Bypass With Ptca With Mcc,,,229622.05,344428.85,5
MS-DRG,232,Coronary Bypass With Ptca Without Mcc,,,165139.16,247705.71,5
MS-DRG,233,Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc,,,208247.6,312367.58,5
MS-DRG,234,Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc,,,148798.49,223195.0,5
MS-DRG,235,Coronary Bypass Without Cardiac Catheterization With Mcc,,,159854.8,239779.26,5
MS-DRG,236,Coronary Bypass Without Cardiac Catheterization Without Mcc,,,114098.72,171145.99,5
MS-DRG,237,Major cardiovasc procedures w MCC,,,,,0
MS-DRG,238,Major cardiovasc procedures w/o MCC,,,,,0
MS-DRG,239,Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc,,,134062.19,201090.82,5
MS-DRG,24,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc,,,106556.24,159832.41,5
MS-DRG,240,Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc,,,77644.77,116465.73,5
MS-DRG,241,Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc,,,37709.67,56563.82,5
MS-DRG,242,Permanent Cardiac Pacemaker Implant With Mcc,,,86968.68,130451.42,5
MS-DRG,243,Permanent Cardiac Pacemaker Implant With Cc,,,58043.59,87064.31,5
MS-DRG,244,Permanent Cardiac Pacemaker Implant Without Cc/Mcc,,,49234.49,73850.84,5
MS-DRG,245,Aicd Generator Procedures,,,124275.21,186410.54,5
MS-DRG,246,Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents,,,,,0
MS-DRG,247,Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without Mcc,,,,,0
MS-DRG,248,Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents,,,,,0
MS-DRG,249,Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without Mcc,,,,,0
MS-DRG,25,Craniotomy And Endovascular Intracranial Procedures With Mcc,,,123847.56,185769.07,5
MS-DRG,250,Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc,,,59449.12,89172.59,5
MS-DRG,251,Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc,,,40708.69,61062.28,5
MS-DRG,252,Other Vascular Procedures With Mcc,,,95017.8,142524.96,5
MS-DRG,253,Other Vascular Procedures With Cc,,,70701.55,106051.02,5
MS-DRG,254,Other Vascular Procedures Without Cc/Mcc,,,48531.73,72796.7,5
MS-DRG,255,Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc,,,73474.48,110210.37,5
MS-DRG,256,Upper Limb And Toe Amputation For Circulatory System Disorders With Cc,,,46249.1,69372.8,5
MS-DRG,257,Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc,,,29750.44,44625.11,5
MS-DRG,258,Cardiac Pacemaker Device Replacement With Mcc,,,85587.66,128379.92,5
MS-DRG,259,Cardiac Pacemaker Device Replacement Without Mcc,,,55079.98,82618.96,5
MS-DRG,26,Craniotomy And Endovascular Intracranial Procedures With Cc,,,84691.5,127035.69,5
MS-DRG,260,Cardiac Pacemaker Revision Except Device Replacement With Mcc,,,88603.02,132902.9,5
MS-DRG,261,Cardiac Pacemaker Revision Except Device Replacement With Cc,,,51495.33,77242.05,5
MS-DRG,262,Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc,,,44396.85,66594.45,5
MS-DRG,263,Vein Ligation And Stripping,,,83280.52,124919.25,5
MS-DRG,264,Other Circulatory System O.R. Procedures,,,90994.6,136490.23,5
MS-DRG,265,Aicd Lead Procedures,,,98556.15,147832.42,5
MS-DRG,266,Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc,,,166931.49,250394.17,5
MS-DRG,267,Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc,,,129679.43,194516.77,5
MS-DRG,268,Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc,,,187347.12,281017.24,5
MS-DRG,269,Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc,,,115035.74,172551.51,5
MS-DRG,27,Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc,,,68721.27,103080.65,5
MS-DRG,270,Other Major Cardiovascular Procedures With Mcc,,,143721.14,215579.07,5
MS-DRG,271,Other Major Cardiovascular Procedures With Cc,,,96870.06,145303.31,5
MS-DRG,272,Other Major Cardiovascular Procedures Without Cc/Mcc,,,69541.17,104310.47,5
MS-DRG,273,Percutaneous And Other Intracardiac Procedures With Mcc,,,112374.49,168559.68,5
MS-DRG,274,Percutaneous And Other Intracardiac Procedures Without Mcc,,,89662.62,134492.28,5
MS-DRG,275,Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc,,,194224.97,291333.88,5
MS-DRG,276,Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator,,,163613.78,245417.66,5
MS-DRG,277,Cardiac Defibrillator Implant Without Mcc,,,125803.32,188702.67,5
MS-DRG,278,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc,,,151617.72,227423.8,5
MS-DRG,279,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc,,,98234.73,147350.29,5
MS-DRG,28,Spinal Procedures With Mcc,,,163660.08,245487.12,5
MS-DRG,280,"Acute Myocardial Infarction, Discharged Alive With Mcc",,,43694.08,65540.32,5
MS-DRG,281,"Acute Myocardial Infarction, Discharged Alive With Cc",,,25035.36,37552.59,5
MS-DRG,282,"Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc",,,19696.52,29544.42,5
MS-DRG,283,"Acute Myocardial Infarction, Expired With Mcc",,,53955.01,80931.53,5
MS-DRG,284,"Acute Myocardial Infarction, Expired With Cc",,,18854.84,28281.91,5
MS-DRG,285,"Acute Myocardial Infarction, Expired Without Cc/Mcc",,,16313.44,24469.86,5
MS-DRG,286,"Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc",,,60274.46,90410.58,5
MS-DRG,287,"Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc",,,29148.45,43722.15,5
MS-DRG,288,Acute And Subacute Endocarditis With Mcc,,,73714.18,110569.92,5
MS-DRG,289,Acute And Subacute Endocarditis With Cc,,,46494.25,69740.52,5
MS-DRG,29,Spinal Procedures With Cc Or Spinal Neurostimulators,,,92928.57,139391.15,5
MS-DRG,290,Acute And Subacute Endocarditis Without Cc/Mcc,,,25324.1,37985.68,5
MS-DRG,291,Heart Failure And Shock With Mcc,,,34969.43,52453.5,5
MS-DRG,292,Heart Failure And Shock With Cc,,,23125.91,34688.44,5
MS-DRG,293,Heart Failure And Shock Without Cc/Mcc,,,15417.27,23125.63,5
MS-DRG,294,Deep Vein Thrombophlebitis With Cc/Mcc,,,,,0
MS-DRG,295,Deep Vein Thrombophlebitis Without Cc/Mcc,,,,,0
MS-DRG,296,"Cardiac Arrest, Unexplained With Mcc",,,42544.59,63816.11,5
MS-DRG,297,"Cardiac Arrest, Unexplained With Cc",,,17269.53,25903.97,5
MS-DRG,298,"Cardiac Arrest, Unexplained Without Cc/Mcc",,,12396.47,18594.48,5
MS-DRG,299,Peripheral Vascular Disorders With Mcc,,,44473.12,66708.86,5
MS-DRG,3,"Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major",,,578153.22,867219.22,5
MS-DRG,30,Spinal Procedures Without Cc/Mcc,,,59795.05,89691.48,5
MS-DRG,300,Peripheral Vascular Disorders With Cc,,,29077.63,43615.92,5
MS-DRG,301,Peripheral Vascular Disorders Without Cc/Mcc,,,19603.91,29405.5,5
MS-DRG,302,Atherosclerosis With Mcc,,,32594.19,48890.68,5
MS-DRG,303,Atherosclerosis Without Mcc,,,18337.29,27505.61,5
MS-DRG,304,Hypertension With Mcc,,,32414.41,48621.02,5
MS-DRG,305,Hypertension Without Mcc,,,20568.17,30851.88,5
MS-DRG,306,Cardiac Congenital And Valvular Disorders With Mcc,,,42923.22,64384.04,5
MS-DRG,307,Cardiac Congenital And Valvular Disorders Without Mcc,,,24874.65,37311.53,5
MS-DRG,308,Cardiac Arrhythmia And Conduction Disorders With Mcc,,,32795.76,49193.03,5
MS-DRG,309,Cardiac Arrhythmia And Conduction Disorders With Cc,,,20039.73,30059.23,5
MS-DRG,31,Ventricular Shunt Procedures With Mcc,,,122044.34,183064.27,5
MS-DRG,310,Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc,,,15420.0,23129.71,5
MS-DRG,311,Angina Pectoris,,,19119.05,28678.23,5
MS-DRG,312,Syncope And Collapse,,,23741.51,35611.83,5
MS-DRG,313,Chest Pain,,,19612.08,29417.76,5
MS-DRG,314,Other Circulatory System Diagnoses With Mcc,,,56798.76,85197.1,5
MS-DRG,315,Other Circulatory System Diagnoses With Cc,,,26239.33,39358.51,5
MS-DRG,316,Other Circulatory System Diagnoses Without Cc/Mcc,,,18579.72,27869.24,5
MS-DRG,317,Concomitant Left Atrial Appendage Closure And Cardiac Ablation,,,182133.57,273197.02,5
MS-DRG,318,Percutaneous Coronary Atherectomy Without Intraluminal Device,,,65978.31,98966.25,5
MS-DRG,319,Other Endovascular Cardiac Valve Procedures With Mcc,,,121564.93,182345.17,5
MS-DRG,32,Ventricular Shunt Procedures With Cc,,,58046.31,87068.4,5
MS-DRG,320,Other Endovascular Cardiac Valve Procedures Without Mcc,,,65517.97,98275.75,5
MS-DRG,321,Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal,,,74111.87,111166.45,5
MS-DRG,322,Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc,,,48022.36,72032.65,5
MS-DRG,323,Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc,,,117874.05,176808.91,5
MS-DRG,324,Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc,,,85830.09,128743.56,5
MS-DRG,325,Coronary Intravascular Lithotripsy Without Intraluminal Device,,,87448.09,131170.52,5
MS-DRG,326,"Stomach, Esophageal And Duodenal Procedures With Mcc",,,135851.79,203775.19,5
MS-DRG,327,"Stomach, Esophageal And Duodenal Procedures With Cc",,,66577.56,99865.12,5
MS-DRG,328,"Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc",,,43645.05,65466.77,5
MS-DRG,329,Major Small And Large Bowel Procedures With Mcc,,,125204.06,187803.8,5
MS-DRG,33,Ventricular Shunt Procedures Without Cc/Mcc,,,45295.73,67942.77,5
MS-DRG,330,Major Small And Large Bowel Procedures With Cc,,,65297.33,97944.8,5
MS-DRG,331,Major Small And Large Bowel Procedures Without Cc/Mcc,,,45840.51,68759.93,5
MS-DRG,332,Rectal Resection With Mcc,,,98624.25,147934.56,5
MS-DRG,333,Rectal Resection With Cc,,,63799.19,95697.61,5
MS-DRG,334,Rectal Resection Without Cc/Mcc,,,44614.76,66921.32,5
MS-DRG,335,Peritoneal Adhesiolysis With Mcc,,,97267.75,145899.83,5
MS-DRG,336,Peritoneal Adhesiolysis With Cc,,,57438.88,86157.26,5
MS-DRG,337,Peritoneal Adhesiolysis Without Cc/Mcc,,,41811.87,62717.03,5
MS-DRG,338,Appendectomy With Complicated Principal Diagnosis With Mcc,,,,,0
MS-DRG,339,Appendectomy With Complicated Principal Diagnosis With Cc,,,,,0
MS-DRG,34,Carotid Artery Stent Procedures With Mcc,,,105434.0,158149.06,5
MS-DRG,340,Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc,,,,,0
MS-DRG,341,Appendectomy Without Complicated Principal Diagnosis With Mcc,,,,,0
MS-DRG,342,Appendectomy Without Complicated Principal Diagnosis With Cc,,,,,0
MS-DRG,343,Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc,,,,,0
MS-DRG,344,Minor Small And Large Bowel Procedures With Mcc,,,70352.89,105528.04,5
MS-DRG,345,Minor Small And Large Bowel Procedures With Cc,,,40986.52,61479.03,5
MS-DRG,346,Minor Small And Large Bowel Procedures Without Cc/Mcc,,,32310.9,48465.76,5
MS-DRG,347,Anal And Stomal Procedures With Mcc,,,62529.85,93793.62,5
MS-DRG,348,Anal And Stomal Procedures With Cc,,,35650.4,53474.95,5
MS-DRG,349,Anal And Stomal Procedures Without Cc/Mcc,,,23714.27,35570.97,5
MS-DRG,35,Carotid Artery Stent Procedures With Cc,,,65114.83,97671.05,5
MS-DRG,350,Inguinal And Femoral Hernia Procedures With Mcc,,,67876.86,101814.05,5
MS-DRG,351,Inguinal And Femoral Hernia Procedures With Cc,,,41525.86,62288.02,5
MS-DRG,352,Inguinal And Femoral Hernia Procedures Without Cc/Mcc,,,31809.7,47713.97,5
MS-DRG,353,Hernia Procedures Except Inguinal And Femoral With Mcc,,,79047.58,118569.92,5
MS-DRG,354,Hernia Procedures Except Inguinal And Femoral With Cc,,,45826.89,68739.5,5
MS-DRG,355,Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc,,,36636.46,54954.01,5
MS-DRG,356,Other Digestive System O.R. Procedures With Mcc,,,119655.48,179481.02,5
MS-DRG,357,Other Digestive System O.R. Procedures With Cc,,,63344.29,95015.28,5
MS-DRG,358,Other Digestive System O.R. Procedures Without Cc/Mcc,,,38077.4,57115.4,5
MS-DRG,359,Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc,,,93664.03,140494.32,5
MS-DRG,36,Carotid Artery Stent Procedures Without Cc/Mcc,,,52919.93,79378.92,5
MS-DRG,360,Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc,,,65763.12,98643.47,5
MS-DRG,361,Laparoscopy & Incisional Tubal Interruption,,,,,0
MS-DRG,362,Endoscopic Tubal Interruption,,,,,0
MS-DRG,363,"D&C, Conization & Radio-Implant, for Malignancy",,,,,0
MS-DRG,364,"D&C, Conization Except for Malignancy",,,,,0
MS-DRG,365,Other Female Reproductive System O.R. Procedures,,,,,0
MS-DRG,366,"Malignancy, female reproductive system w CC",,,,,0
MS-DRG,367,"Malignancy, Female Reproductive System w/o CC",,,,,0
MS-DRG,368,Major Esophageal Disorders With Mcc,,,43361.76,65041.85,5
MS-DRG,369,Major Esophageal Disorders With Cc,,,27244.45,40866.17,5
MS-DRG,37,Extracranial Procedures With Mcc,,,89673.51,134508.62,5
MS-DRG,370,Major Esophageal Disorders Without Cc/Mcc,,,19089.09,28633.29,5
MS-DRG,371,Major Gastrointestinal Disorders And Peritoneal Infections With Mcc,,,48297.47,72445.32,5
MS-DRG,372,Major Gastrointestinal Disorders And Peritoneal Infections With Cc,,,27811.02,41716.02,5
MS-DRG,373,Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc,,,19813.65,29720.11,5
MS-DRG,374,Digestive Malignancy With Mcc,,,58256.05,87383.0,5
MS-DRG,375,Digestive Malignancy With Cc,,,32948.29,49421.84,5
MS-DRG,376,Digestive Malignancy Without Cc/Mcc,,,25177.01,37765.05,5
MS-DRG,377,Gastrointestinal Hemorrhage With Mcc,,,49792.89,74688.42,5
MS-DRG,378,Gastrointestinal Hemorrhage With Cc,,,26713.29,40069.44,5
MS-DRG,379,Gastrointestinal Hemorrhage Without Cc/Mcc,,,17171.47,25756.88,5
MS-DRG,38,Extracranial Procedures With Cc,,,44198.0,66296.19,5
MS-DRG,380,Complicated Peptic Ulcer With Mcc,,,53448.37,80171.57,5
MS-DRG,381,Complicated Peptic Ulcer With Cc,,,29513.46,44269.64,5
MS-DRG,382,Complicated Peptic Ulcer Without Cc/Mcc,,,21807.54,32710.91,5
MS-DRG,383,Uncomplicated Peptic Ulcer With Mcc,,,37608.89,56412.64,5
MS-DRG,384,Uncomplicated Peptic Ulcer Without Mcc,,,23283.9,34925.42,5
MS-DRG,385,Inflammatory Bowel Disease With Mcc,,,43100.27,64649.61,5
MS-DRG,386,Inflammatory Bowel Disease With Cc,,,26593.44,39889.67,5
MS-DRG,387,Inflammatory Bowel Disease Without Cc/Mcc,,,18557.93,27836.56,5
MS-DRG,388,Gastrointestinal Obstruction With Mcc,,,40226.56,60339.09,5
MS-DRG,389,Gastrointestinal Obstruction With Cc,,,21513.36,32269.65,5
MS-DRG,39,Extracranial Procedures Without Cc/Mcc,,,32019.44,48028.58,5
MS-DRG,390,Gastrointestinal Obstruction Without Cc/Mcc,,,14818.02,22226.75,5
MS-DRG,391,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc",,,34547.22,51820.2,5
MS-DRG,392,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc",,,21235.52,31852.9,5
MS-DRG,393,Other Digestive System Diagnoses With Mcc,,,43563.33,65344.2,5
MS-DRG,394,Other Digestive System Diagnoses With Cc,,,25487.53,38230.83,5
MS-DRG,395,Other Digestive System Diagnoses Without Cc/Mcc,,,17678.11,26516.84,5
MS-DRG,396,Red Blood Cell Disorders Age 0-17,,,,,0
MS-DRG,397,Appendix Procedures With Mcc,,,65234.68,97850.82,5
MS-DRG,398,Appendix Procedures With Cc,,,41228.95,61842.67,5
MS-DRG,399,Appendix Procedures Without Cc/Mcc,,,31180.48,46770.15,5
MS-DRG,4,"Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R.",,,377298.28,565940.5,5
MS-DRG,40,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc",,,105175.23,157760.91,5
MS-DRG,400,No Longer Valid,,,,,0
MS-DRG,401,Lymphoma & non-acute leukemia w other O.R. proc w CC,,,,,0
MS-DRG,402,Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical,,,109514.4,164269.59,5
MS-DRG,403,Lymphoma & non-acute leukemia w CC,,,,,0
MS-DRG,404,Lymphoma & Non-Acute Leukemia w/o CC,,,,,0
MS-DRG,405,"Pancreas, Liver And Shunt Procedures With Mcc",,,149010.95,223513.69,5
MS-DRG,406,"Pancreas, Liver And Shunt Procedures With Cc",,,78998.55,118496.37,5
MS-DRG,407,"Pancreas, Liver And Shunt Procedures Without Cc/Mcc",,,60459.68,90688.42,5
MS-DRG,408,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc,,,97123.38,145683.28,5
MS-DRG,409,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc,,,59307.47,88960.12,5
MS-DRG,41,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator",,,59890.39,89834.48,5
MS-DRG,410,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc,,,43247.36,64870.25,5
MS-DRG,411,Cholecystectomy With C.D.E. With Mcc,,,89978.59,134966.23,5
MS-DRG,412,Cholecystectomy With C.D.E. With Cc,,,57270.0,85903.95,5
MS-DRG,413,Cholecystectomy With C.D.E. Without Cc/Mcc,,,45230.36,67844.71,5
MS-DRG,414,Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc,,,97041.66,145560.71,5
MS-DRG,415,Cholecystectomy Except By Laparoscope Without C.D.E. With Cc,,,56294.84,84441.23,5
MS-DRG,416,Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc,,,37134.93,55701.71,5
MS-DRG,417,Laparoscopic Cholecystectomy Without C.D.E. With Mcc,,,65003.15,97503.53,5
MS-DRG,418,Laparoscopic Cholecystectomy Without C.D.E. With Cc,,,46077.49,69115.39,5
MS-DRG,419,Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc,,,37203.03,55803.86,5
MS-DRG,42,"Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc",,,47060.82,70590.37,5
MS-DRG,420,Hepatobiliary Diagnostic Procedures With Mcc,,,92806.0,139207.29,5
MS-DRG,421,Hepatobiliary Diagnostic Procedures With Cc,,,47327.76,70990.78,5
MS-DRG,422,Hepatobiliary Diagnostic Procedures Without Cc/Mcc,,,38120.98,57180.77,5
MS-DRG,423,Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc,,,113123.57,169683.27,5
MS-DRG,424,Other Hepatobiliary Or Pancreas O.R. Procedures With Cc,,,59596.21,89393.22,5
MS-DRG,425,Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc,,,40866.67,61299.26,5
MS-DRG,426,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made,,,300206.47,450304.19,5
MS-DRG,427,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc,,,196627.45,294937.56,5
MS-DRG,428,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc,,,153137.66,229703.68,5
MS-DRG,429,Combined Anterior And Posterior Cervical Spinal Fusion With Mcc,,,245412.49,368114.24,5
MS-DRG,43,Hyphema,,,,,0
MS-DRG,430,Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc,,,157090.04,235632.17,5
MS-DRG,431,Childhood Mental Disorders,,,,,0
MS-DRG,432,Cirrhosis And Alcoholic Hepatitis With Mcc,,,53611.8,80416.72,5
MS-DRG,433,Cirrhosis And Alcoholic Hepatitis With Cc,,,28769.83,43154.22,5
MS-DRG,434,Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc,,,19407.79,29111.33,5
MS-DRG,435,Malignancy Of Hepatobiliary System Or Pancreas With Mcc,,,50029.87,75043.89,5
MS-DRG,436,Malignancy Of Hepatobiliary System Or Pancreas With Cc,,,30810.03,46214.48,5
MS-DRG,437,Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc,,,23243.04,34864.13,5
MS-DRG,438,Disorders Of Pancreas Except Malignancy With Mcc,,,44405.02,66606.71,5
MS-DRG,439,Disorders Of Pancreas Except Malignancy With Cc,,,22913.45,34369.75,5
MS-DRG,44,Acute Major Eye Infections,,,,,0
MS-DRG,440,Disorders Of Pancreas Except Malignancy Without Cc/Mcc,,,16926.31,25389.16,5
MS-DRG,441,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc",,,48885.83,73327.85,5
MS-DRG,442,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc",,,26293.81,39440.23,5
MS-DRG,443,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc",,,19059.13,28588.34,5
MS-DRG,444,Disorders Of The Biliary Tract With Mcc,,,45513.65,68269.63,5
MS-DRG,445,Disorders Of The Biliary Tract With Cc,,,29810.36,44715.0,5
MS-DRG,446,Disorders Of The Biliary Tract Without Cc/Mcc,,,22534.82,33801.82,5
MS-DRG,447,Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody,,,182000.1,272996.81,5
MS-DRG,448,Multiple Level Spinal Fusion Except Cervical Without Mcc,,,115515.15,173270.61,5
MS-DRG,449,Poisoning & toxic Effects of Drugs Age >17 w CC,,,,,0
MS-DRG,45,Neurological eye disorders,,,,,0
MS-DRG,450,Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F,,,145172.97,217756.8,5
MS-DRG,451,Single Level Spinal Fusion Except Cervical Without Mcc,,,87992.87,131987.68,5
MS-DRG,452,Complications of treatment w CC,,,,,0
MS-DRG,453,Combined Anterior And Posterior Spinal Fusion With Mcc,,,,,0
MS-DRG,454,Combined Anterior And Posterior Spinal Fusion With Cc,,,,,0
MS-DRG,455,Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc,,,,,0
MS-DRG,456,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,228900.21,343346.12,5
MS-DRG,457,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,162428.88,243640.34,5
MS-DRG,458,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,113657.45,170484.09,5
MS-DRG,459,Spinal Fusion Except Cervical With Mcc,,,,,0
MS-DRG,46,Other Disorders of the Eye Age >17 w CC,,,,,0
MS-DRG,460,Spinal Fusion Except Cervical Without Mcc,,,,,0
MS-DRG,461,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc,,,150441.0,225658.73,5
MS-DRG,462,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc,,,72455.74,108682.28,5
MS-DRG,463,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,155248.68,232870.17,5
MS-DRG,464,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,84841.31,127260.41,5
MS-DRG,465,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,49675.76,74512.73,5
MS-DRG,466,Revision Of Hip Or Knee Replacement With Mcc,,,141789.89,212682.23,5
MS-DRG,467,Revision Of Hip Or Knee Replacement With Cc,,,96061.06,144089.82,5
MS-DRG,468,Revision Of Hip Or Knee Replacement Without Cc/Mcc,,,74852.77,112277.78,5
MS-DRG,469,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl,,,82621.33,123930.49,5
MS-DRG,47,Other Disorders of the Eye Age >17 w/o CC,,,,,0
MS-DRG,470,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc,,,52541.31,78811.0,5
MS-DRG,471,Cervical Spinal Fusion With Mcc,,,131528.96,197291.02,5
MS-DRG,472,Cervical Spinal Fusion With Cc,,,80248.82,120371.75,5
MS-DRG,473,Cervical Spinal Fusion Without Cc/Mcc,,,66498.57,99746.64,5
MS-DRG,474,Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc,,,116934.3,175399.31,5
MS-DRG,475,Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc,,,61987.79,92980.55,5
MS-DRG,476,Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc,,,32147.47,48220.61,5
MS-DRG,477,Biopsies Of Musculoskeletal System And Connective Tissue With Mcc,,,94099.85,141148.05,5
MS-DRG,478,Biopsies Of Musculoskeletal System And Connective Tissue With Cc,,,66986.15,100477.99,5
MS-DRG,479,Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc,,,50634.58,75950.94,5
MS-DRG,48,Other Disorders of the Eye Age 0-17,,,,,0
MS-DRG,480,Hip And Femur Procedures Except Major Joint With Mcc,,,79328.14,118990.75,5
MS-DRG,481,Hip And Femur Procedures Except Major Joint With Cc,,,57052.09,85577.08,5
MS-DRG,482,Hip And Femur Procedures Except Major Joint Without Cc/Mcc,,,44426.81,66639.4,5
MS-DRG,483,Major Joint Or Limb Reattachment Procedures Of Upper Extremities,,,75503.78,113254.29,5
MS-DRG,484,Major joint & limb reattachment proc of upper extremity w/o CC/MCC,,,,,0
MS-DRG,485,Knee Procedures With Principal Diagnosis Of Infection With Mcc,,,87902.98,131852.85,5
MS-DRG,486,Knee Procedures With Principal Diagnosis Of Infection With Cc,,,56959.47,85438.16,5
MS-DRG,487,Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc,,,42661.72,63991.8,5
MS-DRG,488,Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc,,,48183.07,72273.72,5
MS-DRG,489,Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc,,,30420.52,45630.21,5
MS-DRG,49,Major Head & Neck Procedures,,,,,0
MS-DRG,490,Back & neck proc exc spinal fusion w CC/MCC or disc device/neurostim,,,,,0
MS-DRG,491,Back & neck proc exc spinal fusion w/o CC/MCC,,,,,0
MS-DRG,492,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc",,,100010.71,150014.23,5
MS-DRG,493,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc",,,69080.83,103619.97,5
MS-DRG,494,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc",,,54655.05,81981.58,5
MS-DRG,495,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc,,,98760.44,148138.85,5
MS-DRG,496,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc,,,49136.43,73703.75,5
MS-DRG,497,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc,,,32912.88,49368.72,5
MS-DRG,498,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc,,,82174.62,123260.41,5
MS-DRG,499,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc,,,54881.14,82320.7,5
MS-DRG,5,Liver Transplant With Mcc Or Intestinal Transplant,,,280847.71,421266.41,5
MS-DRG,50,Sialoadenectomy,,,,,0
MS-DRG,500,Soft Tissue Procedures With Mcc,,,86205.99,129307.4,5
MS-DRG,501,Soft Tissue Procedures With Cc,,,47616.5,71423.87,5
MS-DRG,502,Soft Tissue Procedures Without Cc/Mcc,,,36660.97,54990.78,5
MS-DRG,503,Foot Procedures With Mcc,,,76026.77,114038.76,5
MS-DRG,504,Foot Procedures With Cc,,,50915.14,76371.77,5
MS-DRG,505,Foot Procedures Without Cc/Mcc,,,48834.08,73250.22,5
MS-DRG,506,Major Thumb Or Joint Procedures,,,36750.86,55125.61,5
MS-DRG,507,Major Shoulder Or Elbow Joint Procedures With Cc/Mcc,,,49204.53,73805.89,5
MS-DRG,508,Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc,,,41250.74,61875.36,5
MS-DRG,509,Arthroscopy,,,,,0
MS-DRG,51,Salivary Gland Procedures Except Sialoadenectomy,,,,,0
MS-DRG,510,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc",,,82275.4,123411.59,5
MS-DRG,511,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc",,,56640.78,84960.13,5
MS-DRG,512,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc",,,45091.44,67636.33,5
MS-DRG,513,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc",,,42882.36,64322.75,5
MS-DRG,514,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc",,,27846.43,41769.13,5
MS-DRG,515,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc,,,86807.97,130210.36,5
MS-DRG,516,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc,,,56605.37,84907.01,5
MS-DRG,517,Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc,,,41858.17,62786.49,5
MS-DRG,518,Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator,,,101800.31,152698.6,5
MS-DRG,519,Back And Neck Procedures Except Spinal Fusion With Cc,,,54483.45,81724.17,5
MS-DRG,52,Spinal Disorders And Injuries With Cc/Mcc,,,49338.0,74006.1,5
MS-DRG,520,Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc,,,40692.34,61037.77,5
MS-DRG,521,Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc,,,78181.38,117270.63,5
MS-DRG,522,Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc,,,57684.03,86524.99,5
MS-DRG,523,Alc/Drug Abuse or Depend w/o Rehabilitation therapy w/o CC,,,,,0
MS-DRG,524,Transient ischemia,,,,,0
MS-DRG,525,Other heart assist system implant,,,,,0
MS-DRG,526,No Longer Valid,,,,,0
MS-DRG,527,No Longer Valid,,,,,0
MS-DRG,528,Intracranial Vascular Proc w Pdx Hemorrhage,,,,,0
MS-DRG,529,Ventricular shunt procedures w CC,,,,,0
MS-DRG,53,Spinal Disorders And Injuries Without Cc/Mcc,,,26672.43,40008.15,5
MS-DRG,530,Ventricular Shunt Procedures w/o CC,,,,,0
MS-DRG,531,Spinal Procedures w CC,,,,,0
MS-DRG,532,Spinal Procedures w/o CC,,,,,0
MS-DRG,533,Fractures Of Femur With Mcc,,,42702.58,64053.09,5
MS-DRG,534,Fractures Of Femur Without Mcc,,,21957.36,32935.63,5
MS-DRG,535,Fractures Of Hip And Pelvis With Mcc,,,34920.4,52379.96,5
MS-DRG,536,Fractures Of Hip And Pelvis Without Mcc,,,21998.22,32996.92,5
MS-DRG,537,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc",,,25994.18,38990.79,5
MS-DRG,538,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc",,,19620.25,29430.02,5
MS-DRG,539,Osteomyelitis With Mcc,,,53652.66,80478.0,5
MS-DRG,54,Nervous System Neoplasms With Mcc,,,41591.23,62386.08,5
MS-DRG,540,Osteomyelitis With Cc,,,35309.92,52964.23,5
MS-DRG,541,Osteomyelitis Without Cc/Mcc,,,21447.99,32171.59,5
MS-DRG,542,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc,,,48117.69,72175.66,5
MS-DRG,543,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc,,,28001.69,42002.02,5
MS-DRG,544,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc,,,20554.55,30831.45,5
MS-DRG,545,Connective Tissue Disorders With Mcc,,,67599.03,101397.3,5
MS-DRG,546,Connective Tissue Disorders With Cc,,,31417.46,47125.62,5
MS-DRG,547,Connective Tissue Disorders Without Cc/Mcc,,,22777.25,34165.46,5
MS-DRG,548,Septic Arthritis With Mcc,,,52595.79,78892.71,5
MS-DRG,549,Septic Arthritis With Cc,,,32882.92,49323.78,5
MS-DRG,55,Nervous System Neoplasms Without Mcc,,,27772.88,41658.82,5
MS-DRG,550,Septic Arthritis Without Cc/Mcc,,,23809.61,35713.98,5
MS-DRG,551,Medical Back Problems With Mcc,,,45655.29,68482.09,5
MS-DRG,552,Medical Back Problems Without Mcc,,,26184.85,39276.8,5
MS-DRG,553,Bone Diseases And Arthropathies With Mcc,,,35309.92,52964.23,5
MS-DRG,554,Bone Diseases And Arthropathies Without Mcc,,,22611.09,33916.23,5
MS-DRG,555,Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc,,,36004.51,54006.1,5
MS-DRG,556,Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc,,,22624.71,33936.65,5
MS-DRG,557,"Tendonitis, Myositis And Bursitis With Mcc",,,40501.67,60751.76,5
MS-DRG,558,"Tendonitis, Myositis And Bursitis Without Mcc",,,24329.87,36494.37,5
MS-DRG,559,"Aftercare, Musculoskeletal System And Connective Tissue With Mcc",,,50798.01,76196.08,5
MS-DRG,56,Degenerative Nervous System Disorders With Mcc,,,63278.92,94917.22,5
MS-DRG,560,"Aftercare, Musculoskeletal System And Connective Tissue With Cc",,,30673.84,46010.19,5
MS-DRG,561,"Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc",,,21897.43,32845.75,5
MS-DRG,562,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc",,,38810.13,58214.48,5
MS-DRG,563,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc",,,24392.52,36588.34,5
MS-DRG,564,Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc,,,42046.12,63068.41,5
MS-DRG,565,Other Musculoskeletal System And Connective Tissue Diagnoses With Cc,,,26541.68,39812.04,5
MS-DRG,566,Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc,,,20410.18,30614.9,5
MS-DRG,567,"Stomach, Esophageal & Duodenal Proc Age > 17 w CC w Major Gi Dx",,,,,0
MS-DRG,568,"Stomach, Esophageal & Duodenal Procedures Proc Age > 17 w CC w/o Major Gi Dx",,,,,0
MS-DRG,569,Major Small & Large Bowel Procedures w CC w Major Gi Dx,,,,,0
MS-DRG,57,Degenerative Nervous System Disorders Without Mcc,,,35290.85,52935.62,5
MS-DRG,570,Skin Debridement With Mcc,,,80112.62,120167.46,5
MS-DRG,571,Skin Debridement With Cc,,,46020.29,69029.59,5
MS-DRG,572,Skin Debridement Without Cc/Mcc,,,31224.07,46835.53,5
MS-DRG,573,Skin Graft For Skin Ulcer Or Cellulitis With Mcc,,,178453.58,267677.1,5
MS-DRG,574,Skin Graft For Skin Ulcer Or Cellulitis With Cc,,,94557.46,141834.46,5
MS-DRG,575,Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,48948.48,73421.83,5
MS-DRG,576,Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc,,,133503.79,200253.23,5
MS-DRG,577,Skin Graft Except For Skin Ulcer Or Cellulitis With Cc,,,72202.42,108302.3,5
MS-DRG,578,Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,43756.73,65634.29,5
MS-DRG,579,"Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc",,,88213.5,132318.63,5
MS-DRG,58,Multiple Sclerosis And Cerebellar Ataxia With Mcc,,,46565.07,69846.75,5
MS-DRG,580,"Other Skin, Subcutaneous Tissue And Breast Procedures With Cc",,,47068.99,70602.62,5
MS-DRG,581,"Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc",,,39308.6,58962.18,5
MS-DRG,582,Mastectomy For Malignancy With Cc/Mcc,,,52478.66,78717.02,5
MS-DRG,583,Mastectomy For Malignancy Without Cc/Mcc,,,46970.93,70455.54,5
MS-DRG,584,"Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc",,,58310.53,87464.72,5
MS-DRG,585,"Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc",,,52546.75,78819.17,5
MS-DRG,59,Multiple Sclerosis And Cerebellar Ataxia With Cc,,,33800.88,50700.69,5
MS-DRG,592,Skin Ulcers With Mcc,,,52715.64,79072.49,5
MS-DRG,593,Skin Ulcers With Cc,,,32313.63,48469.85,5
MS-DRG,594,Skin Ulcers Without Cc/Mcc,,,23610.77,35415.71,5
MS-DRG,595,Major Skin Disorders With Mcc,,,57765.75,86647.56,5
MS-DRG,596,Major Skin Disorders Without Mcc,,,29486.22,44228.79,5
MS-DRG,597,Malignant Breast Disorders With Mcc,,,45410.14,68114.37,5
MS-DRG,598,Malignant Breast Disorders With Cc,,,30815.48,46222.66,5
MS-DRG,599,Malignant Breast Disorders Without Cc/Mcc,,,20957.69,31436.15,5
MS-DRG,6,Liver Transplant Without Mcc,,,126307.24,189458.55,5
MS-DRG,60,Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc,,,25054.43,37581.19,5
MS-DRG,600,Non-Malignant Breast Disorders With Cc/Mcc,,,28372.14,42557.69,5
MS-DRG,601,Non-Malignant Breast Disorders Without Cc/Mcc,,,16479.6,24719.09,5
MS-DRG,602,Cellulitis With Mcc,,,38714.79,58071.48,5
MS-DRG,603,Cellulitis Without Mcc,,,23722.45,35583.23,5
MS-DRG,604,"Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc",,,40098.53,60147.06,5
MS-DRG,605,"Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc",,,24950.92,37425.93,5
MS-DRG,606,Minor Skin Disorders With Mcc,,,41218.05,61826.33,5
MS-DRG,607,Minor Skin Disorders Without Mcc,,,24689.43,37033.69,5
MS-DRG,61,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc",,,75100.65,112649.59,5
MS-DRG,614,Adrenal And Pituitary Procedures With Cc/Mcc,,,59702.44,89552.56,5
MS-DRG,615,Adrenal And Pituitary Procedures Without Cc/Mcc,,,38115.53,57172.6,5
MS-DRG,616,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,94993.29,142488.19,5
MS-DRG,617,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc",,,50945.1,76416.72,5
MS-DRG,618,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,38633.07,57948.9,5
MS-DRG,619,O.R. Procedures For Obesity With Mcc,,,78649.89,117973.39,5
MS-DRG,62,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc",,,47864.37,71795.68,5
MS-DRG,620,O.R. Procedures For Obesity With Cc,,,43590.57,65385.06,5
MS-DRG,621,O.R. Procedures For Obesity Without Cc/Mcc,,,41087.31,61630.21,5
MS-DRG,622,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,96949.05,145421.79,5
MS-DRG,623,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc",,,48864.04,73295.17,5
MS-DRG,624,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,34100.5,51150.13,5
MS-DRG,625,"Thyroid, Parathyroid And Thyroglossal Procedures With Mcc",,,82264.5,123395.25,5
MS-DRG,626,"Thyroid, Parathyroid And Thyroglossal Procedures With Cc",,,40842.16,61262.49,5
MS-DRG,627,"Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc",,,36181.56,54271.68,5
MS-DRG,628,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc",,,101514.31,152269.59,5
MS-DRG,629,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc",,,59348.33,89021.41,5
MS-DRG,63,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc",,,38238.11,57356.46,5
MS-DRG,630,"Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc",,,39755.32,59632.25,5
MS-DRG,637,Diabetes With Mcc,,,39134.27,58700.69,5
MS-DRG,638,Diabetes With Cc,,,24411.59,36616.94,5
MS-DRG,639,Diabetes Without Cc/Mcc,,,16920.87,25380.99,5
MS-DRG,64,Intracranial Hemorrhage Or Cerebral Infarction With Mcc,,,54777.63,82165.44,5
MS-DRG,640,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc",,,36380.41,54569.94,5
MS-DRG,641,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc",,,21197.39,31795.7,5
MS-DRG,642,Inborn And Other Disorders Of Metabolism,,,38736.58,58104.16,5
MS-DRG,643,Endocrine Disorders With Mcc,,,44838.12,67256.35,5
MS-DRG,644,Endocrine Disorders With Cc,,,27919.98,41879.45,5
MS-DRG,645,Endocrine Disorders Without Cc/Mcc,,,20927.72,31391.2,5
MS-DRG,65,Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours,,,27519.56,41278.84,5
MS-DRG,650,Kidney Transplant With Hemodialysis With Mcc,,,128061.43,192089.8,5
MS-DRG,651,Kidney Transplant With Hemodialysis Without Mcc,,,100942.29,151411.58,5
MS-DRG,652,Kidney Transplant,,,87968.35,131950.91,5
MS-DRG,653,Major Bladder Procedures With Mcc,,,141544.74,212314.51,5
MS-DRG,654,Major Bladder Procedures With Cc,,,76250.13,114373.8,5
MS-DRG,655,Major Bladder Procedures Without Cc/Mcc,,,57654.07,86480.04,5
MS-DRG,656,Kidney And Ureter Procedures For Neoplasm With Mcc,,,86723.53,130083.7,5
MS-DRG,657,Kidney And Ureter Procedures For Neoplasm With Cc,,,49847.37,74770.14,5
MS-DRG,658,Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc,,,42269.48,63403.44,5
MS-DRG,659,Kidney And Ureter Procedures For Non-Neoplasm With Mcc,,,69211.58,103816.09,5
MS-DRG,66,Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc,,,18642.37,27963.22,5
MS-DRG,660,Kidney And Ureter Procedures For Non-Neoplasm With Cc,,,36001.79,54002.02,5
MS-DRG,661,Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc,,,28203.26,42304.37,5
MS-DRG,662,Minor Bladder Procedures With Mcc,,,83392.2,125086.77,5
MS-DRG,663,Minor Bladder Procedures With Cc,,,41408.73,62112.33,5
MS-DRG,664,Minor Bladder Procedures Without Cc/Mcc,,,28516.51,42774.24,5
MS-DRG,665,Prostatectomy With Mcc,,,85018.37,127525.99,5
MS-DRG,666,Prostatectomy With Cc,,,47649.18,71472.9,5
MS-DRG,667,Prostatectomy Without Cc/Mcc,,,30131.78,45197.12,5
MS-DRG,668,Transurethral Procedures With Mcc,,,79537.88,119305.36,5
MS-DRG,669,Transurethral Procedures With Cc,,,42274.93,63411.62,5
MS-DRG,67,Precerebral Occlusion Without Infarction With Mcc,,,40005.92,60008.14,5
MS-DRG,670,Transurethral Procedures Without Cc/Mcc,,,26620.67,39930.52,5
MS-DRG,671,Urethral Procedures With Cc/Mcc,,,48894.01,73340.11,5
MS-DRG,672,Urethral Procedures Without Cc/Mcc,,,29404.5,44106.21,5
MS-DRG,673,Other Kidney And Urinary Tract Procedures With Mcc,,,114447.38,171668.97,5
MS-DRG,674,Other Kidney And Urinary Tract Procedures With Cc,,,63701.13,95550.52,5
MS-DRG,675,Other Kidney And Urinary Tract Procedures Without Cc/Mcc,,,44710.09,67064.32,5
MS-DRG,68,Precerebral Occlusion Without Infarction Without Mcc,,,23545.39,35317.66,5
MS-DRG,682,Renal Failure With Mcc,,,40340.96,60510.7,5
MS-DRG,683,Renal Failure With Cc,,,23855.92,35783.44,5
MS-DRG,684,Renal Failure Without Cc/Mcc,,,16351.57,24527.06,5
MS-DRG,685,Admit For Renal Dialysis,,,,,0
MS-DRG,686,Kidney And Urinary Tract Neoplasms With Mcc,,,49130.98,73695.57,5
MS-DRG,687,Kidney And Urinary Tract Neoplasms With Cc,,,28541.02,42811.01,5
MS-DRG,688,Kidney And Urinary Tract Neoplasms Without Cc/Mcc,,,21526.98,32290.08,5
MS-DRG,689,Kidney And Urinary Tract Infections With Mcc,,,31605.41,47407.54,5
MS-DRG,69,Transient Ischemia Without Thrombolytic,,,21758.51,32637.37,5
MS-DRG,690,Kidney And Urinary Tract Infections Without Mcc,,,22049.97,33074.55,5
MS-DRG,691,Urinary Stones W Esw Lithotripsy W Cc/Mcc,,,,,0
MS-DRG,692,Urinary Stones W Esw Lithotripsy W/O Cc/Mcc,,,,,0
MS-DRG,693,Urinary Stones With Mcc,,,36622.84,54933.58,5
MS-DRG,694,Urinary Stones Without Mcc,,,21292.73,31938.7,5
MS-DRG,695,Kidney And Urinary Tract Signs And Symptoms With Mcc,,,31155.97,46733.38,5
MS-DRG,696,Kidney And Urinary Tract Signs And Symptoms Without Mcc,,,18767.67,28151.16,5
MS-DRG,697,Urethral Stricture,,,29358.19,44036.75,5
MS-DRG,698,Other Kidney And Urinary Tract Diagnoses With Mcc,,,45064.2,67595.48,5
MS-DRG,699,Other Kidney And Urinary Tract Diagnoses With Cc,,,27647.59,41470.87,5
MS-DRG,7,Lung Transplant,,,352750.5,529119.27,5
MS-DRG,70,Other Cerebrovascular Disorders With Mcc,,,45347.49,68020.4,5
MS-DRG,700,Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc,,,18792.19,28187.93,5
MS-DRG,707,Major Male Pelvic Procedures With Cc/Mcc,,,54486.17,81728.26,5
MS-DRG,708,Major Male Pelvic Procedures Without Cc/Mcc,,,41790.07,62684.34,5
MS-DRG,709,Penis Procedures With Cc/Mcc,,,63387.88,95080.65,5
MS-DRG,71,Other Cerebrovascular Disorders With Cc,,,27947.21,41920.31,5
MS-DRG,710,Penis Procedures Without Cc/Mcc,,,38167.29,57250.23,5
MS-DRG,711,Testes Procedures With Cc/Mcc,,,56760.63,85139.9,5
MS-DRG,712,Testes Procedures Without Cc/Mcc,,,29954.73,44931.54,5
MS-DRG,713,Transurethral Prostatectomy With Cc/Mcc,,,40951.11,61425.92,5
MS-DRG,714,Transurethral Prostatectomy Without Cc/Mcc,,,28802.52,43203.25,5
MS-DRG,715,Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc,,,60941.81,91411.6,5
MS-DRG,716,Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc,,,40068.57,60102.12,5
MS-DRG,717,Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc,,,51495.33,77242.05,5
MS-DRG,718,Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc,,,36584.7,54876.38,5
MS-DRG,72,Other Cerebrovascular Disorders Without Cc/Mcc,,,20598.13,30896.82,5
MS-DRG,722,"Malignancy, Male Reproductive System With Mcc",,,49294.42,73940.72,5
MS-DRG,723,"Malignancy, Male Reproductive System With Cc",,,31126.01,46688.44,5
MS-DRG,724,"Malignancy, Male Reproductive System Without Cc/Mcc",,,17860.61,26790.59,5
MS-DRG,725,Benign Prostatic Hypertrophy With Mcc,,,31875.08,47812.03,5
MS-DRG,726,Benign Prostatic Hypertrophy Without Mcc,,,19666.56,29499.48,5
MS-DRG,727,Inflammation Of The Male Reproductive System With Mcc,,,40392.71,60588.33,5
MS-DRG,728,Inflammation Of The Male Reproductive System Without Mcc,,,22096.28,33144.01,5
MS-DRG,729,Other Male Reproductive System Diagnoses With Cc/Mcc,,,28837.93,43256.36,5
MS-DRG,73,Cranial And Peripheral Nerve Disorders With Mcc,,,43699.53,65548.49,5
MS-DRG,730,Other Male Reproductive System Diagnoses Without Cc/Mcc,,,18304.61,27456.58,5
MS-DRG,734,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc",,,58019.07,87027.54,5
MS-DRG,735,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc",,,36650.07,54974.44,5
MS-DRG,736,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc,,,97365.81,146046.92,5
MS-DRG,737,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc,,,56128.68,84191.99,5
MS-DRG,738,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc,,,40000.47,59999.97,5
MS-DRG,739,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc,,,97591.89,146386.04,5
MS-DRG,74,Cranial And Peripheral Nerve Disorders Without Mcc,,,28077.96,42116.43,5
MS-DRG,740,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc,,,49291.69,73936.64,5
MS-DRG,741,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc,,,38845.54,58267.59,5
MS-DRG,742,Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc,,,49978.12,74966.26,5
MS-DRG,743,Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc,,,33795.43,50692.52,5
MS-DRG,744,"D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc",,,55815.43,83722.13,5
MS-DRG,745,"D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc",,,30984.36,46475.98,5
MS-DRG,746,"Vagina, Cervix And Vulva Procedures With Cc/Mcc",,,47316.87,70974.43,5
MS-DRG,747,"Vagina, Cervix And Vulva Procedures Without Cc/Mcc",,,23417.37,35125.62,5
MS-DRG,748,Female Reproductive System Reconstructive Procedures,,,37788.66,56682.3,5
MS-DRG,749,Other Female Reproductive System O.R. Procedures With Cc/Mcc,,,69938.86,104907.0,5
MS-DRG,75,Viral Meningitis With Cc/Mcc,,,52230.78,78345.22,5
MS-DRG,750,Other Female Reproductive System O.R. Procedures Without Cc/Mcc,,,40199.32,60298.24,5
MS-DRG,754,"Malignancy, Female Reproductive System With Mcc",,,50166.07,75248.18,5
MS-DRG,755,"Malignancy, Female Reproductive System With Cc",,,29630.58,44445.33,5
MS-DRG,756,"Malignancy, Female Reproductive System Without Cc/Mcc",,,26163.06,39244.11,5
MS-DRG,757,"Infections, Female Reproductive System With Mcc",,,39003.52,58504.57,5
MS-DRG,758,"Infections, Female Reproductive System With Cc",,,26666.98,39999.98,5
MS-DRG,759,"Infections, Female Reproductive System Without Cc/Mcc",,,18075.8,27113.37,5
MS-DRG,76,Viral Meningitis Without Cc/Mcc,,,22477.62,33716.02,5
MS-DRG,760,Menstrual And Other Female Reproductive System Disorders With Cc/Mcc,,,27443.29,41164.44,5
MS-DRG,761,Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc,,,15539.85,23309.49,5
MS-DRG,765,Cesarean Section W Cc/Mcc,,,,,0
MS-DRG,766,Cesarean Section W/O Cc/Mcc,,,,,0
MS-DRG,767,Vaginal Delivery W Sterilization &/Or D&C,,,,,0
MS-DRG,768,Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C,,,29189.31,43783.43,5
MS-DRG,769,Postpartum And Post Abortion Diagnoses With O.R. Procedures,,,46028.46,69041.85,5
MS-DRG,77,Hypertensive Encephalopathy With Mcc,,,,,0
MS-DRG,770,"Abortion With D&C, Aspiration Curettage Or Hysterotomy",,,27312.55,40968.32,5
MS-DRG,774,Vaginal Delivery W Complicating Diagnoses,,,,,0
MS-DRG,775,Vaginal Delivery W/O Complicating Diagnoses,,,,,0
MS-DRG,776,Postpartum And Post Abortion Diagnoses Without O.R. Procedures,,,17833.37,26749.73,5
MS-DRG,777,Ectopic Pregnancy,,,,,0
MS-DRG,778,Threatened Abortion,,,,,0
MS-DRG,779,Abortion Without D&C,,,22916.17,34373.84,5
MS-DRG,78,Hypertensive Encephalopathy With Cc,,,,,0
MS-DRG,780,False Labor,,,,,0
MS-DRG,781,Other Antepartum Diagnoses W Medical Complications,,,,,0
MS-DRG,782,Other Antepartum Diagnoses W/O Medical Complications,,,,,0
MS-DRG,783,Cesarean Section With Sterilization With Mcc,,,66874.47,100310.48,5
MS-DRG,784,Cesarean Section With Sterilization With Cc,,,28876.06,43313.57,5
MS-DRG,785,Cesarean Section With Sterilization Without Cc/Mcc,,,26089.51,39133.79,5
MS-DRG,786,Cesarean Section Without Sterilization With Mcc,,,44930.73,67395.27,5
MS-DRG,787,Cesarean Section Without Sterilization With Cc,,,30420.52,45630.21,5
MS-DRG,788,Cesarean Section Without Sterilization Without Cc/Mcc,,,26116.75,39174.65,5
MS-DRG,789,"Neonates, Died Or Transferred To Another Acute Care Facility",,,49090.13,73634.29,5
MS-DRG,79,Hypertensive Encephalopathy Without Cc/Mcc,,,,,0
MS-DRG,790,"Extreme Immaturity Or Respiratory Distress Syndrome, Neonate",,,161895.0,242839.52,5
MS-DRG,791,Prematurity With Major Problems,,,110563.1,165842.62,5
MS-DRG,792,Prematurity Without Major Problems,,,66713.76,100069.41,5
MS-DRG,793,Full Term Neonate With Major Problems,,,113575.73,170361.52,5
MS-DRG,794,Neonate With Other Significant Problems,,,40202.04,60302.32,5
MS-DRG,795,Normal Newborn,,,5442.35,8163.43,5
MS-DRG,796,Vaginal Delivery With Sterilization And/Or D&C With Mcc,,,31787.91,47681.29,5
MS-DRG,797,Vaginal Delivery With Sterilization And/Or D&C With Cc,,,27249.9,40874.34,5
MS-DRG,798,Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc,,,26070.45,39105.19,5
MS-DRG,799,Splenic Procedures With Mcc,,,123362.71,185041.8,5
MS-DRG,8,Simultaneous Pancreas And Kidney Transplant,,,152663.7,228992.75,5
MS-DRG,80,Nontraumatic Stupor And Coma With Mcc,,,49302.59,73952.98,5
MS-DRG,800,Splenic Procedures With Cc,,,76525.25,114786.47,5
MS-DRG,801,Splenic Procedures Without Cc/Mcc,,,51996.53,77993.84,5
MS-DRG,802,Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc,,,108522.9,162782.36,5
MS-DRG,803,Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc,,,50634.58,75950.94,5
MS-DRG,804,Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc,,,36936.08,55403.45,5
MS-DRG,805,Vaginal Delivery Without Sterilization Or D&C With Mcc,,,29396.33,44093.95,5
MS-DRG,806,Vaginal Delivery Without Sterilization Or D&C With Cc,,,20538.21,30806.93,5
MS-DRG,807,Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc,,,18364.53,27546.46,5
MS-DRG,808,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,60140.99,90210.38,5
MS-DRG,809,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,34481.85,51722.14,5
MS-DRG,81,Nontraumatic Stupor And Coma Without Mcc,,,24395.25,36592.42,5
MS-DRG,810,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,28508.34,42761.98,5
MS-DRG,811,Red Blood Cell Disorders With Mcc,,,38251.73,57376.89,5
MS-DRG,812,Red Blood Cell Disorders Without Mcc,,,25010.85,37515.82,5
MS-DRG,813,Coagulation Disorders,,,41547.65,62320.71,5
MS-DRG,814,Reticuloendothelial And Immunity Disorders With Mcc,,,57929.18,86892.71,5
MS-DRG,815,Reticuloendothelial And Immunity Disorders With Cc,,,27620.35,41430.01,5
MS-DRG,816,Reticuloendothelial And Immunity Disorders Without Cc/Mcc,,,17215.05,25822.26,5
MS-DRG,817,Other Antepartum Diagnoses With O.R. Procedures With Mcc,,,62148.5,93221.61,5
MS-DRG,818,Other Antepartum Diagnoses With O.R. Procedures With Cc,,,31575.45,47362.59,5
MS-DRG,819,Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc,,,23422.82,35133.79,5
MS-DRG,82,Traumatic Stupor And Coma >1 Hour With Mcc,,,62257.46,93385.04,5
MS-DRG,820,Lymphoma And Leukemia With Major O.R. Procedures With Mcc,,,159751.29,239624.0,5
MS-DRG,821,Lymphoma And Leukemia With Major O.R. Procedures With Cc,,,60977.23,91464.72,5
MS-DRG,822,Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc,,,32795.76,49193.03,5
MS-DRG,823,Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc,,,124885.37,187325.76,5
MS-DRG,824,Lymphoma And Non-Acute Leukemia With Other Procedures With Cc,,,61712.68,92567.88,5
MS-DRG,825,Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc,,,36756.31,55133.79,5
MS-DRG,826,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc,,,127418.59,191125.55,5
MS-DRG,827,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc,,,62954.78,94431.01,5
MS-DRG,828,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C,,,46409.81,69613.86,5
MS-DRG,829,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc,,,86075.24,129111.28,5
MS-DRG,83,Traumatic Stupor And Coma >1 Hour With Cc,,,38020.2,57029.6,5
MS-DRG,830,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc,,,40994.7,61491.29,5
MS-DRG,831,Other Antepartum Diagnoses Without O.R. Procedures With Mcc,,,32754.9,49131.75,5
MS-DRG,832,Other Antepartum Diagnoses Without O.R. Procedures With Cc,,,19655.66,29483.13,5
MS-DRG,833,Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc,,,14243.27,21364.65,5
MS-DRG,834,Acute Leukemia With Mcc,,,149539.39,224306.33,5
MS-DRG,835,Acute Leukemia With Cc,,,56815.11,85221.62,5
MS-DRG,836,Acute Leukemia Without Cc/Mcc,,,33217.96,49826.33,5
MS-DRG,837,Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc,,,130864.33,196294.09,5
MS-DRG,838,Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent,,,56858.69,85286.99,5
MS-DRG,839,Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,39330.39,58994.87,5
MS-DRG,84,Traumatic Stupor And Coma >1 Hour Without Cc/Mcc,,,26035.04,39052.08,5
MS-DRG,840,Lymphoma And Non-Acute Leukemia With Mcc,,,88115.44,132171.54,5
MS-DRG,841,Lymphoma And Non-Acute Leukemia With Cc,,,44437.7,66655.74,5
MS-DRG,842,Lymphoma And Non-Acute Leukemia Without Cc/Mcc,,,27522.29,41282.92,5
MS-DRG,843,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc,,,54336.36,81503.54,5
MS-DRG,844,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc,,,33160.76,49740.53,5
MS-DRG,845,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc,,,23196.73,34794.67,5
MS-DRG,846,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc,,,70617.11,105924.37,5
MS-DRG,847,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc,,,35634.06,53450.44,5
MS-DRG,848,Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,23136.81,34704.79,5
MS-DRG,849,Radiotherapy,,,73804.07,110704.75,5
MS-DRG,85,Traumatic Stupor And Coma <1 Hour With Mcc,,,61884.28,92825.29,5
MS-DRG,850,Acute Leukemia With Other Procedures,,,235876.12,353809.85,5
MS-DRG,853,Infectious And Parasitic Diseases With O.R. Procedures With Mcc,,,134522.53,201781.32,5
MS-DRG,854,Infectious And Parasitic Diseases With O.R. Procedures With Cc,,,54426.25,81638.37,5
MS-DRG,855,Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc,,,40782.23,61172.6,5
MS-DRG,856,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc,,,123902.04,185850.78,5
MS-DRG,857,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc,,,58332.32,87497.41,5
MS-DRG,858,Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc,,,37941.2,56911.11,5
MS-DRG,86,Traumatic Stupor And Coma <1 Hour With Cc,,,35484.25,53225.72,5
MS-DRG,862,Postoperative And Post-Traumatic Infections With Mcc,,,49675.76,74512.73,5
MS-DRG,863,Postoperative And Post-Traumatic Infections Without Mcc,,,27181.8,40772.2,5
MS-DRG,864,Fever And Inflammatory Conditions,,,24180.06,36269.65,5
MS-DRG,865,Viral Illness With Mcc,,,40812.19,61217.54,5
MS-DRG,866,Viral Illness Without Mcc,,,23687.03,35530.12,5
MS-DRG,867,Other Infectious And Parasitic Diseases Diagnoses With Mcc,,,57016.67,85523.97,5
MS-DRG,868,Other Infectious And Parasitic Diseases Diagnoses With Cc,,,28086.13,42128.68,5
MS-DRG,869,Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc,,,19876.3,29814.08,5
MS-DRG,87,Traumatic Stupor And Coma <1 Hour Without Cc/Mcc,,,24915.51,37372.81,5
MS-DRG,870,Septicemia Or Severe Sepsis With Mv >96 Hours,,,188270.52,282402.32,5
MS-DRG,871,Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc,,,52911.76,79366.67,5
MS-DRG,872,Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc,,,27873.67,41809.99,5
MS-DRG,876,O.R. Procedures With Principal Diagnosis Of Mental Illness,,,105276.01,157912.08,5
MS-DRG,88,Concussion With Mcc,,,36821.68,55231.84,5
MS-DRG,880,Acute Adjustment Reaction And Psychosocial Dysfunction,,,26154.89,39231.85,5
MS-DRG,881,Depressive Neuroses,,,25629.18,38443.29,5
MS-DRG,882,Neuroses Except Depressive,,,29249.24,43873.32,5
MS-DRG,883,Disorders Of Personality And Impulse Control,,,53560.05,80339.09,5
MS-DRG,884,Organic Disturbances And Intellectual Disability,,,43824.83,65736.44,5
MS-DRG,885,Psychoses,,,38047.44,57070.45,5
MS-DRG,886,Behavioral And Developmental Disorders,,,56529.1,84792.61,5
MS-DRG,887,Other Mental Disorder Diagnoses,,,29170.25,43754.83,5
MS-DRG,89,Concussion With Cc,,,29924.77,44886.6,5
MS-DRG,894,"Alcohol, Drug Abuse Or Dependence, Left Ama",,,16803.74,25205.3,5
MS-DRG,895,"Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy",,,38559.53,57838.58,5
MS-DRG,896,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc",,,47534.78,71301.3,5
MS-DRG,897,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc",,,24046.59,36069.44,5
MS-DRG,9,Bone marrow transplant,,,,,0
MS-DRG,90,Concussion Without Cc/Mcc,,,22423.14,33634.31,5
MS-DRG,901,Wound Debridements For Injuries With Mcc,,,114311.19,171464.68,5
MS-DRG,902,Wound Debridements For Injuries With Cc,,,52149.07,78222.64,5
MS-DRG,903,Wound Debridements For Injuries Without Cc/Mcc,,,31858.73,47787.52,5
MS-DRG,904,Skin Grafts For Injuries With Cc/Mcc,,,100051.57,150075.52,5
MS-DRG,905,Skin Grafts For Injuries Without Cc/Mcc,,,40406.33,60608.76,5
MS-DRG,906,Hand Procedures For Injuries,,,53505.57,80257.37,5
MS-DRG,907,Other O.R. Procedures For Injuries With Mcc,,,104578.69,156866.12,5
MS-DRG,908,Other O.R. Procedures For Injuries With Cc,,,54347.25,81519.88,5
MS-DRG,909,Other O.R. Procedures For Injuries Without Cc/Mcc,,,35756.64,53634.3,5
MS-DRG,91,Other Disorders Of Nervous System With Mcc,,,47837.13,71754.82,5
MS-DRG,913,Traumatic Injury With Mcc,,,44524.87,66786.49,5
MS-DRG,914,Traumatic Injury Without Mcc,,,24120.13,36179.76,5
MS-DRG,915,Allergic Reactions With Mcc,,,45805.1,68706.81,5
MS-DRG,916,Allergic Reactions Without Mcc,,,18149.35,27223.69,5
MS-DRG,917,Poisoning And Toxic Effects Of Drugs With Mcc,,,42721.65,64081.69,5
MS-DRG,918,Poisoning And Toxic Effects Of Drugs Without Mcc,,,23346.55,35019.39,5
MS-DRG,919,Complications Of Treatment With Mcc,,,49869.16,74802.83,5
MS-DRG,92,Other Disorders Of Nervous System With Cc,,,27865.5,41797.73,5
MS-DRG,920,Complications Of Treatment With Cc,,,27301.65,40951.97,5
MS-DRG,921,Complications Of Treatment Without Cc/Mcc,,,18751.33,28126.65,5
MS-DRG,922,"Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc",,,47651.91,71476.99,5
MS-DRG,923,"Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc",,,27721.13,41581.19,5
MS-DRG,927,Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft,,,581566.27,872338.73,5
MS-DRG,928,Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc,,,195377.18,293062.18,5
MS-DRG,929,Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc,,,87731.37,131595.45,5
MS-DRG,93,Other Disorders Of Nervous System Without Cc/Mcc,,,21690.42,32535.23,5
MS-DRG,933,Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft,,,106074.11,159109.22,5
MS-DRG,934,Full Thickness Burn Without Skin Graft Or Inhalation Injury,,,60214.53,90320.69,5
MS-DRG,935,Non-Extensive Burns,,,56112.34,84167.48,5
MS-DRG,939,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc,,,98836.71,148253.25,5
MS-DRG,94,Bacterial And Tuberculous Infections Of Nervous System With Mcc,,,95864.94,143795.65,5
MS-DRG,940,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc,,,63654.82,95481.06,5
MS-DRG,941,O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc,,,55232.52,82847.77,5
MS-DRG,945,Rehabilitation With Cc/Mcc,,,42182.32,63272.7,5
MS-DRG,946,Rehabilitation Without Cc/Mcc,,,31237.69,46855.95,5
MS-DRG,947,Signs And Symptoms With Mcc,,,34577.19,51865.15,5
MS-DRG,948,Signs And Symptoms Without Mcc,,,21804.82,32706.83,5
MS-DRG,949,Aftercare With Cc/Mcc,,,32406.24,48608.76,5
MS-DRG,95,Bacterial And Tuberculous Infections Of Nervous System With Cc,,,70254.83,105380.95,5
MS-DRG,950,Aftercare Without Cc/Mcc,,,17097.92,25646.57,5
MS-DRG,951,Other Factors Influencing Health Status,,,15144.88,22717.05,5
MS-DRG,955,Craniotomy For Multiple Significant Trauma,,,183348.43,275019.28,5
MS-DRG,956,"Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma",,,102500.36,153748.65,5
MS-DRG,957,Other O.R. Procedures For Multiple Significant Trauma With Mcc,,,207558.46,311333.87,5
MS-DRG,958,Other O.R. Procedures For Multiple Significant Trauma With Cc,,,114782.42,172171.53,5
MS-DRG,959,Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc,,,80194.34,120290.04,5
MS-DRG,96,Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc,,,70254.83,105380.95,5
MS-DRG,963,Other Multiple Significant Trauma With Mcc,,,74465.98,111697.6,5
MS-DRG,964,Other Multiple Significant Trauma With Cc,,,41746.49,62618.97,5
MS-DRG,965,Other Multiple Significant Trauma Without Cc/Mcc,,,25618.28,38426.95,5
MS-DRG,969,Hiv With Extensive O.R. Procedures With Mcc,,,166738.09,250104.08,5
MS-DRG,97,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc,,,98381.82,147570.92,5
MS-DRG,970,Hiv With Extensive O.R. Procedures Without Mcc,,,71840.14,107758.89,5
MS-DRG,974,Hiv With Major Related Condition With Mcc,,,78611.75,117916.19,5
MS-DRG,975,Hiv With Major Related Condition With Cc,,,35274.51,52911.11,5
MS-DRG,976,Hiv With Major Related Condition Without Cc/Mcc,,,24588.65,36882.52,5
MS-DRG,977,Hiv With Or Without Other Related Condition,,,35348.05,53021.43,5
MS-DRG,98,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc,,,62510.78,93765.02,5
MS-DRG,981,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc,,,127799.94,191697.56,5
MS-DRG,982,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,66967.08,100449.39,5
MS-DRG,983,Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,46687.65,70030.61,5
MS-DRG,984,Prostatic O.R. Procedure Unrelated To Principal Diagnosis W Mcc,,,,,0
MS-DRG,985,Prostatic O.R. Procedure Unrelated To Principal Diagnosis W Cc,,,,,0
MS-DRG,986,Prostatic O.R. Procedure Unrelated To Principal Diagnosis W/O Cc/Mcc,,,,,0
MS-DRG,987,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc,,,93386.19,140077.57,5
MS-DRG,988,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,44770.02,67154.21,5
MS-DRG,989,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,32665.01,48996.91,5
MS-DRG,99,Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc,,,37110.41,55664.94,5
MS-DRG,998,Principal Diagnosis Invalid As Discharge Diagnosis,,,,,0
MS-DRG,999,Ungroupable,,,,,0
NDC,0002-1434-80,Trulicity: 4 Syringe In 1 Carton (0002-1434-80)  / .5 Ml In 1 Syringe (0002-1434-01),1678.59,1678.59,,,0
NDC,0002-4453-01,NDC Description Not Available,117.04,117.04,,,0
NDC,0002-8215-01,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-01)  / 10 Ml In 1 Vial, Multi-Dose",10.51,10.51,,,0
NDC,0003-0494-20,"Kenalog-10: 1 Vial, Multi-Dose In 1 Carton (0003-0494-20)  / 5 Ml In 1 Vial, Multi-Dose",27.08,27.08,,,0
NDC,0003-0527-11,Sprycel: 1 Bottle In 1 Carton (0003-0527-11)  / 60 Tablet In 1 Bottle,1047.3,1047.3,,,0
NDC,0003-0528-11,Sprycel: 1 Bottle In 1 Carton (0003-0528-11)  / 60 Tablet In 1 Bottle,2102.84,2102.84,,,0
NDC,0003-0893-31,"Eliquis: 10 Blister Pack In 1 Carton (0003-0893-31)  / 10 Tablet, Film Coated In 1 Blister Pack",15.785,15.785,,,0
NDC,0003-2187-13,"Orencia: 1 Vial, Single-Use In 1 Carton (0003-2187-13)  / 15 Ml In 1 Vial, Single-Use",364.74,364.74,,,0
NDC,0003-2188-11,"Orencia: 4 Syringe, Glass In 1 Carton (0003-2188-11)  / 1 Ml In 1 Syringe, Glass",704.75,704.75,,,0
NDC,0003-2327-11,"Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2327-11)  / 10 Ml In 1 Vial, Single-Use",1122.845,1122.845,,,0
NDC,0003-3774-12,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3774-12)  / 10 Ml In 1 Vial, Single-Dose",208.75,208.75,,,0
NDC,0004-0039-09,"Valcyte: 1 Bottle, Glass In 1 Carton (0004-0039-09)  / 100 Ml In 1 Bottle, Glass",61.44,61.44,,,0
NDC,0004-0298-09,Cellcept: 4 Vial In 1 Carton (0004-0298-09)  / 20 Ml In 1 Vial,8.95,8.95,,,0
NDC,0004-0800-85,Tamiflu: 1 Blister Pack In 1 Carton (0004-0800-85)  / 10 Capsule In 1 Blister Pack,112.89,112.89,,,0
NDC,0005-2000-01,NDC Description Not Available,1483.22,1483.22,,,0
NDC,0005-2000-02,Prevnar 20: 1 Syringe In 1 Carton (0005-2000-02)  / .5 Ml In 1 Syringe (0005-2000-01),1490.41,1490.41,,,0
NDC,0006-0227-61,"Isentress: 60 Tablet, Film Coated In 1 Bottle (0006-0227-61)",230.46,230.46,,,0
NDC,0006-3026-02,Keytruda: 1 Vial In 1 Carton (0006-3026-02)  / 4 Ml In 1 Vial (0006-3026-01),364.12,364.12,,,0
NDC,0006-3075-01,NDC Description Not Available,1627.05,1627.05,,,0
NDC,0006-3075-03,NDC Description Not Available,1760.1550000000002,1760.1550000000002,,,0
NDC,0006-3075-04,"Prevymis: 14 Blister Pack In 1 Carton (0006-3075-04)  / 1 Tablet, Film Coated In 1 Blister Pack (0006-3075-03)",1767.57,1767.57,,,0
NDC,0006-3076-03,NDC Description Not Available,1762.14,1762.14,,,0
NDC,0006-3516-59,"Primaxin Iv: 25 Vial, Single-Dose In 1 Tray (0006-3516-59)  / 100 Ml In 1 Vial, Single-Dose",126.64,126.64,,,0
NDC,0006-3603-01,NDC Description Not Available,13.91,13.91,,,0
NDC,0006-3603-61,"Isentress: 60 Packet In 1 Carton (0006-3603-61)  / 1 Granule, For Suspension In 1 Packet (0006-3603-01)",15.1,15.1,,,0
NDC,0006-4095-01,NDC Description Not Available,211.83,211.83,,,0
NDC,0006-4171-01,NDC Description Not Available,1680.39,1680.39,,,0
NDC,0006-4681-01,NDC Description Not Available,381.215,381.215,,,0
NDC,0006-4827-00,"Varivax: 10 Vial, Single-Dose In 1 Carton (0006-4827-00)  / .5 Ml In 1 Vial, Single-Dose (0006-4827-01)",1138.02,1138.02,,,0
NDC,0006-4837-01,NDC Description Not Available,463.115,463.115,,,0
NDC,0006-4897-01,NDC Description Not Available,212.48,212.48,,,0
NDC,0006-5003-01,"Prevymis: 1 Vial, Single-Dose In 1 Carton (0006-5003-01)  / 12 Ml In 1 Vial, Single-Dose (0006-5003-02)",1872.25,1872.25,,,0
NDC,0006-5003-02,NDC Description Not Available,1984.64,1984.64,,,0
NDC,0006-5085-01,Prevymis: 30 Packet In 1 Carton (0006-5085-01)  / 48 Pellet In 1 Packet,488.24,488.24,,,0
NDC,0006-5085-99,NDC Description Not Available,488.98,488.98,,,0
NDC,0006-5423-02,NDC Description Not Available,465.06,465.06,,,0
NDC,0008-0100-01,"Besponsa: 1 Vial, Single-Dose In 1 Carton (0008-0100-01)  / 4 Ml In 1 Vial, Single-Dose",15731.869999999999,15731.869999999999,,,0
NDC,0008-0923-51,Protonix I.V.: 1 Vial In 1 Carton (0008-0923-51)  / 10 Ml In 1 Vial,28.45,28.45,,,0
NDC,0008-1040-10,"Rapamune: 100 Blister Pack In 1 Carton (0008-1040-10)  / 1 Tablet, Sugar Coated In 1 Blister Pack",119.94,119.94,,,0
NDC,0008-4510-01,"Mylotarg: 1 Vial, Single-Dose In 1 Carton (0008-4510-01)  / 5 Ml In 1 Vial, Single-Dose",1421.33,1421.33,,,0
NDC,0009-0003-02,Solu-Medrol: 1 Vial In 1 Carton (0009-0003-02)  / 4 Ml In 1 Vial,3.075,3.075,,,0
NDC,0009-0011-03,NDC Description Not Available,90.85000000000001,90.85000000000001,,,0
NDC,0009-0011-04,"Solu-Cortef: 25 Vial, Single-Dose In 1 Carton (0009-0011-04)  / 2 Ml In 1 Vial, Single-Dose (0009-0011-03)",55.54,55.54,,,0
NDC,0009-0018-20,Solu-Medrol: 1 Vial In 1 Carton (0009-0018-20)  / 8 Ml In 1 Vial,2.0,2.0,,,0
NDC,0009-0039-28,Solu-Medrol: 25 Vial In 1 Carton (0009-0039-28)  / 1 Ml In 1 Vial (0009-0039-30),7.800000000000001,7.800000000000001,,,0
NDC,0009-0039-30,NDC Description Not Available,5.574999999999999,5.574999999999999,,,0
NDC,0009-0047-22,Solu-Medrol: 25 Vial In 1 Carton (0009-0047-22)  / 2 Ml In 1 Vial (0009-0047-25),2.7350000000000003,2.7350000000000003,,,0
NDC,0009-0047-25,NDC Description Not Available,4.54,4.54,,,0
NDC,0009-0436-01,R-Gene: 1 Container In 1 Carton (0009-0436-01)  / 300 Ml In 1 Container,70.56,70.56,,,0
NDC,0009-3169-01,NDC Description Not Available,487.54499999999996,487.54499999999996,,,0
NDC,0009-3169-06,Prostin Vr Pediatric: 5 Ampule In 1 Package (0009-3169-06)  / 1 Ml In 1 Ampule (0009-3169-01),790.91,790.91,,,0
NDC,0009-5136-04,Zyvox: 150 Ml In 1 Bottle (0009-5136-04),161.16,161.16,,,0
NDC,0009-5140-01,NDC Description Not Available,58.51,58.51,,,0
NDC,0009-7224-01,NDC Description Not Available,24812.77,24812.77,,,0
NDC,0013-0101-10,Azulfidine: 1 Bottle In 1 Carton (0013-0101-10)  / 100 Tablet In 1 Bottle,17.91,17.91,,,0
NDC,0013-1114-01,NDC Description Not Available,61.23,61.23,,,0
NDC,0013-1114-20,NDC Description Not Available,58.54,58.54,,,0
NDC,0013-1114-21,Cyklokapron: 10 Vial In 1 Box (0013-1114-21)  / 10 Ml In 1 Vial (0013-1114-20),55.94,55.94,,,0
NDC,0019-0862-50,"Cysto-Conray Ii: 12 Bottle, Glass In 1 Box (0019-0862-50)  / 250 Ml In 1 Bottle, Glass",0.72,0.72,,,0
NDC,0023-0240-04,1 TUBE in 1 CARTON (0023-0240-04)  / 3.5 g in 1 TUBE,63.26,63.26,,,0
NDC,0023-0312-04,Refresh Lacri-Lube: 1 Tube In 1 Carton (0023-0312-04)  / 3.5 G In 1 Tube,72.685,72.685,,,0
NDC,0023-0506-01,"Refresh Classic: 30 Vial, Single-Use In 1 Carton (0023-0506-01)  / .4 Ml In 1 Vial, Single-Use",14.34,14.34,,,0
NDC,0023-1145-01,"Botox: 1 Vial In 1 Carton (0023-1145-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",39.68,39.68,,,0
NDC,0023-6082-01,NDC Description Not Available,109.43,109.43,,,0
NDC,0023-6082-10,"Infed: 10 Vial, Single-Dose In 1 Carton (0023-6082-10)  / 2 Ml In 1 Vial, Single-Dose (0023-6082-01)",84.55,84.55,,,0
NDC,0023-9637-01,NDC Description Not Available,30.39,30.39,,,0
NDC,0024-5154-11,NDC Description Not Available,2232.7200000000003,2232.7200000000003,,,0
NDC,0032-0045-70,"Creon: 70 Capsule, Delayed Release In 1 Bottle (0032-0045-70)",22.54,22.54,,,0
NDC,0032-0046-70,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-0046-70)",23.595,23.595,,,0
NDC,0032-0047-70,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-0047-70)",33.0,33.0,,,0
NDC,0032-1203-70,"Creon: 1 Bottle In 1 Carton (0032-1203-70)  / 70 Capsule, Delayed Release In 1 Bottle",17.85,17.85,,,0
NDC,0032-1206-01,"Creon: 1 Bottle In 1 Carton (0032-1206-01)  / 100 Capsule, Delayed Release Pellets In 1 Bottle",23.759999999999998,23.759999999999998,,,0
NDC,0032-1212-01,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-1212-01)",31.95,31.95,,,0
NDC,0032-1224-01,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-1224-01)",60.45,60.45,,,0
NDC,0032-2636-01,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-2636-01)",62.595,62.595,,,0
NDC,0032-3016-13,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-3016-13)",97.07,97.07,,,0
NDC,0046-0872-21,"Premarin Vaginal: 1 Tube, With Applicator In 1 Carton (0046-0872-21)  / 30 G In 1 Tube, With Applicator",53.18,53.18,,,0
NDC,0049-0024-28,"Unasyn: 1 Vial, Pharmacy Bulk Package In 1 Carton (0049-0024-28)  / 100 Ml In 1 Vial, Pharmacy Bulk Package",47.96,47.96,,,0
NDC,0049-0520-83,"Pfizerpen: 10 Vial In 1 Carton (0049-0520-83)  / 1 Powder, For Solution In 1 Vial (0049-0520-84)",28.62,28.62,,,0
NDC,0049-0520-84,NDC Description Not Available,17.12,17.12,,,0
NDC,0049-3160-44,Vfend: 1 Bottle In 1 Carton (0049-3160-44)  / 75 Ml In 1 Bottle,277.57,277.57,,,0
NDC,0049-3190-28,"Vfend: 1 Vial, Single-Dose In 1 Carton (0049-3190-28)  / 20 Ml In 1 Vial, Single-Dose",16.31,16.31,,,0
NDC,0049-3450-19,Diflucan: 1 Bottle In 1 Carton (0049-3450-19)  / 35 Ml In 1 Bottle,19.825,19.825,,,0
NDC,0052-4330-01,Nexplanon: 1 BLISTER PACK in 1 CARTON (0052-4330-01)  / 1 IMPLANT in 1 BLISTER PACK,6203.36,6203.36,,,0
NDC,0054-0007-13,"Calcitriol: 30 Capsule In 1 Bottle, Plastic (0054-0007-13)",18.23,18.23,,,0
NDC,0054-0018-20,Prednisone: 10 Blister Pack In 1 Carton (0054-0018-20)  / 10 Tablet In 1 Blister Pack,0.24,0.24,,,0
NDC,0054-0235-24,Morphine Sulfate: 100 Blister Pack In 1 Carton (0054-0235-24)  / 1 Tablet In 1 Blister Pack,14.51,14.51,,,0
NDC,0054-0237-63,Morphine Sulfate: 500 Ml In 1 Bottle (0054-0237-63),12.07,12.07,,,0
NDC,0054-0319-50,Linezolid: 150 Ml In 1 Bottle (0054-0319-50),81.08,81.08,,,0
NDC,0054-0386-63,Hydromorphone Hydrochloride: 473 Ml In 1 Bottle (0054-0386-63),14.22,14.22,,,0
NDC,0054-0449-49,"Posaconazole: 1 Bottle, Glass In 1 Carton (0054-0449-49)  / 105 Ml In 1 Bottle, Glass",128.035,128.035,,,0
NDC,0054-0472-21,Everolimus: 60 Tablet In 1 Bottle (0054-0472-21),34.3,34.3,,,0
NDC,0054-0622-63,Dicyclomine Hydrochloride: 473 Ml In 1 Bottle (0054-0622-63),3.215,3.215,,,0
NDC,0054-0709-20,Methadone Hydrochloride: 1 Blister Pack In 1 Carton (0054-0709-20)  / 100 Tablet In 1 Blister Pack,12.095,12.095,,,0
NDC,0054-0709-25,"Methadone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0054-0709-25)",12.49,12.49,,,0
NDC,0054-3120-41,"Calcitriol: 1 Bottle, Glass In 1 Carton (0054-3120-41)  / 15 Ml In 1 Bottle, Glass",55.735,55.735,,,0
NDC,0054-3177-57,"Dexamethasone: 240 Ml In 1 Bottle, Plastic (0054-3177-57)",7.87,7.87,,,0
NDC,0054-3177-63,"Dexamethasone: 500 Ml In 1 Bottle, Plastic (0054-3177-63)",6.91,6.91,,,0
NDC,0054-3188-63,"Diazepam: 500 Ml In 1 Bottle, Plastic (0054-3188-63)",12.635,12.635,,,0
NDC,0054-3270-99,"Fluticasone Propionate: 1 Bottle, Glass In 1 Carton (0054-3270-99)  / 120 Spray, Metered In 1 Bottle, Glass",59.42,59.42,,,0
NDC,0054-3294-46,Furosemide: 60 Ml In 1 Bottle (0054-3294-46),12.605,12.605,,,0
NDC,0054-3294-50,Furosemide: 120 Ml In 1 Bottle (0054-3294-50),9.7,9.7,,,0
NDC,0054-3500-49,Lidocaine Viscous: 1 Bottle In 1 Carton (0054-3500-49)  / 100 Ml In 1 Bottle,12.485,12.485,,,0
NDC,0054-3532-44,Lorazepam: 1 Bottle In 1 Carton (0054-3532-44)  / 30 Ml In 1 Bottle,13.85,13.85,,,0
NDC,0054-3555-63,Methadone Hydrochloride: 500 Ml In 1 Bottle (0054-3555-63),12.815,12.815,,,0
NDC,0054-3556-63,Methadone Hydrochloride: 500 Ml In 1 Bottle (0054-3556-63),11.99,11.99,,,0
NDC,0054-3727-63,"Propranolol Hydrochloride: 500 Ml In 1 Bottle, Plastic (0054-3727-63)",12.57,12.57,,,0
NDC,0054-4182-25,"Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4182-25)",1.06,1.06,,,0
NDC,0054-4581-11,"Mercaptopurine: 25 Tablet In 1 Bottle, Plastic (0054-4581-11)",22.58,22.58,,,0
NDC,0054-8175-25,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8175-25)  / 1 Tablet In 1 Blister Pack,0.54,0.54,,,0
NDC,0054-8176-25,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8176-25)  / 1 Tablet In 1 Blister Pack,1.57,1.57,,,0
NDC,0054-8179-25,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8179-25)  / 1 Tablet In 1 Blister Pack,4.04,4.04,,,0
NDC,0054-8181-25,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8181-25)  / 1 Tablet In 1 Blister Pack,1.14,1.14,,,0
NDC,0054-8297-25,Furosemide: 10 Blister Pack In 1 Carton (0054-8297-25)  / 10 Tablet In 1 Blister Pack,10.375,10.375,,,0
NDC,0054-8496-19,Leucovorin Calcium: 5 Blister Pack In 1 Carton (0054-8496-19)  / 10 Tablet In 1 Blister Pack,12.37,12.37,,,0
NDC,0054-8526-25,"Lithium Carbonate: 10 Capsule, Gelatin Coated In 1 Blister Pack (0054-8526-25)",12.65,12.65,,,0
NDC,0054-8527-25,"Lithium Carbonate: 10 Capsule, Gelatin Coated In 1 Blister Pack (0054-8527-25)",10.9,10.9,,,0
NDC,0054-8724-25,Prednisone: 10 Blister Pack In 1 Carton (0054-8724-25)  / 10 Tablet In 1 Blister Pack,1.48,1.48,,,0
NDC,0065-0303-55,"1 BOTTLE, DROPPER in 1 CARTON (0065-0303-55)  / 5 mL in 1 BOTTLE, DROPPER",322.38,322.38,,,0
NDC,0065-0359-02,"Cyclomydril: 2 Ml In 1 Bottle, Plastic (0065-0359-02)",216.24,216.24,,,0
NDC,0065-0396-02,"Cyclogyl: 1 Bottle, Plastic In 1 Carton (0065-0396-02)  / 2 Ml In 1 Bottle, Plastic",195.01,195.01,,,0
NDC,0065-0397-02,"Cyclogyl: 1 Bottle, Plastic In 1 Carton (0065-0397-02)  / 2 Ml In 1 Bottle, Plastic",245.6,245.6,,,0
NDC,0065-0474-01,Systane: 1 Tube In 1 Carton (0065-0474-01)  / 10 G In 1 Tube,6.16,6.16,,,0
NDC,0065-0518-01,Genteal Tears Night-Time: 1 Tube In 1 Carton (0065-0518-01)  / 3.5 G In 1 Tube,54.655,54.655,,,0
NDC,0065-0648-35,TobraDex: 1 TUBE in 1 CARTON (0065-0648-35)  / 3.5 g in 1 TUBE,1372.71,1372.71,,,0
NDC,0065-0741-14,"Tetracaine Hydrochloride: 12 Blister Pack In 1 Carton (0065-0741-14)  / 1 Bottle, Dropper In 1 Blister Pack / 4 Ml In 1 Bottle, Dropper",86.46,86.46,,,0
NDC,0065-0795-15,Bss: 15 Ml In 1 Bottle (0065-0795-15),49.66,49.66,,,0
NDC,0065-0800-50,"Bss Plus: 1 Kit In 1 Package (0065-0800-50)  *  480 Ml In 1 Bottle, Glass *  20 Ml In 1 Vial, Single-Dose",397.43,397.43,,,0
NDC,0065-8064-01,Genteal Tears Severe: 1 Tube In 1 Carton (0065-8064-01)  / 10 G In 1 Tube,5.99,5.99,,,0
NDC,0068-0597-01,"Rifadin Iv: 1 Vial, Glass In 1 Carton (0068-0597-01)  / 10 Ml In 1 Vial, Glass",1.13,1.13,,,0
NDC,0069-0106-01,"Elelyso: 1 Vial, Glass In 1 Carton (0069-0106-01)  / 5 Ml In 1 Vial, Glass",281.36,281.36,,,0
NDC,0069-0234-01,1 VIAL in 1 CARTON (0069-0234-01)  / 50 mL in 1 VIAL,1.03,1.03,,,0
NDC,0069-0238-01,"Ruxience: 1 Vial, Single-Use In 1 Carton (0069-0238-01)  / 10 Ml In 1 Vial, Single-Use",358.9,358.9,,,0
NDC,0069-0248-01,1 VIAL in 1 CARTON (0069-0248-01)  / 100 mL in 1 VIAL,0.88,0.88,,,0
NDC,0069-0248-10,Propofol: 10 Vial In 1 Carton (0069-0248-10)  / 100 Ml In 1 Vial,0.88,0.88,,,0
NDC,0069-0249-01,"Ruxience: 1 Vial, Single-Use In 1 Carton (0069-0249-01)  / 50 Ml In 1 Vial, Single-Use",307.73,307.73,,,0
NDC,0069-0343-02,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-0343-02)  / 25 Ml In 1 Vial, Single-Dose",65.23,65.23,,,0
NDC,0069-0809-01,"Inflectra: 1 Vial, Single-Use In 1 Carton (0069-0809-01)  / 10 Ml In 1 Vial, Single-Use",275.025,275.025,,,0
NDC,0069-1001-01,"Xeljanz: 60 Tablet, Film Coated In 1 Bottle (0069-1001-01)",668.65,668.65,,,0
NDC,0069-1002-01,"Xeljanz: 60 Tablet, Film Coated In 1 Bottle (0069-1002-01)",636.62,636.62,,,0
NDC,0069-1305-01,NDC Description Not Available,8.29,8.29,,,0
NDC,0069-1306-01,NDC Description Not Available,6.48,6.48,,,0
NDC,0069-1307-01,NDC Description Not Available,6.62,6.62,,,0
NDC,0069-1308-01,NDC Description Not Available,6.28,6.28,,,0
NDC,0069-1311-01,NDC Description Not Available,7.35,7.35,,,0
NDC,0069-6001-10,NDC Description Not Available,88.55,88.55,,,0
NDC,0071-0007-40,"Dilantin Infatabs: 100 Blister Pack In 1 Box, Unit-Dose (0071-0007-40)  / 1 Tablet, Chewable In 1 Blister Pack",18.77,18.77,,,0
NDC,0071-0418-13,Nitrostat: 4 Bottle In 1 Carton (0071-0418-13)  / 25 Tablet In 1 Bottle,264.46,264.46,,,0
NDC,0074-0576-11,"Venclexta: 1 Blister Pack In 1 Carton (0074-0576-11)  / 1 Tablet, Film Coated In 1 Blister Pack",871.32,871.32,,,0
NDC,0074-1043-28,"Rinvoq: 28 Tablet, Extended Release In 1 Bottle (0074-1043-28)",2855.75,2855.75,,,0
NDC,0074-1658-01,"Zemplar: 25 Vial, Single-Dose In 1 Tray (0074-1658-01)  / 1 Ml In 1 Vial, Single-Dose",15.05,15.05,,,0
NDC,0074-2306-30,"Rinvoq: 30 Tablet, Extended Release In 1 Bottle (0074-2306-30)",1439.53,1439.53,,,0
NDC,0074-3663-03,Lupron Depot: 1 Kit In 1 Carton (0074-3663-03)  *  1.5 Ml In 1 Syringe *  1 Ml In 1 Packet,10101.85,10101.85,,,0
NDC,0074-4378-05,"Nimbex: 5 mL in 1 VIAL, SINGLE-DOSE (0074-4378-05)",90.2,90.2,,,0
NDC,0074-5015-01,"Skyrizi: 1 Vial, Single-Dose In 1 Carton (0074-5015-01)  / 10 Ml In 1 Vial, Single-Dose",104.305,104.305,,,0
NDC,0078-0248-61,NDC Description Not Available,81.37,81.37,,,0
NDC,0078-0274-22,Neoral: 1 Bottle In 1 Carton (0078-0274-22)  / 50 Ml In 1 Bottle,44.64,44.64,,,0
NDC,0078-0331-84,"Simulect: 1 Vial, Single-Use In 1 Carton (0078-0331-84)  / 5 Ml In 1 Vial, Single-Use",13673.9,13673.9,,,0
NDC,0078-0415-20,Zortress: 60 Blister Pack In 1 Box (0078-0415-20)  / 1 Tablet In 1 Blister Pack (0078-0415-61),67.78,67.78,,,0
NDC,0078-0417-20,Zortress: 60 Blister Pack In 1 Box (0078-0417-20)  / 1 Tablet In 1 Blister Pack (0078-0417-61),81.63,81.63,,,0
NDC,0078-0423-15,Diovan: 30 Tablet In 1 Bottle (0078-0423-15),63.22,63.22,,,0
NDC,0078-0430-05,"Focalin Xr: 100 Capsule, Extended Release In 1 Bottle (0078-0430-05)",35.91,35.91,,,0
NDC,0078-0568-45,Coartem: 24 Tablet In 1 Bottle (0078-0568-45),50.56,50.56,,,0
NDC,0078-0659-20,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0659-20)",70.92,70.92,,,0
NDC,0078-0666-15,"Mekinist: 30 TABLET, FILM COATED in 1 BOTTLE (0078-0666-15)",678.78,678.78,,,0
NDC,0078-0686-15,"Promacta: 30 Tablet, Film Coated In 1 Bottle (0078-0686-15)",3133.79,3133.79,,,0
NDC,0078-0686-55,"Promacta: 14 Tablet, Film Coated In 1 Bottle (0078-0686-55)",3140.54,3140.54,,,0
NDC,0078-0777-20,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0777-20)",79.38499999999999,79.38499999999999,,,0
NDC,0078-0876-01,Tobradex: 3.5 G In 1 Tube (0078-0876-01),1754.1,1754.1,,,0
NDC,0078-0972-19,NDC Description Not Available,1705.88,1705.88,,,0
NDC,0078-1105-15,"Mekinist: 30 Tablet, Film Coated In 1 Bottle (0078-1105-15)",1132.24,1132.24,,,0
NDC,0085-2224-01,NDC Description Not Available,670.38,670.38,,,0
NDC,0085-2224-02,"Noxafil: 8 Packet In 1 Carton (0085-2224-02)  / 1 Powder, For Suspension In 1 Packet (0085-2224-01)",696.18,696.18,,,0
NDC,0088-2160-30,"Arava: 1 Bottle In 1 Carton (0088-2160-30)  / 30 Tablet, Film Coated In 1 Bottle",241.34,241.34,,,0
NDC,0088-2220-33,"Lantus: 1 Vial, Glass In 1 Carton (0088-2220-33)  / 10 Ml In 1 Vial, Glass",15.95,15.95,,,0
NDC,0093-0053-01,Buspirone Hydrochloride: 100 Tablet In 1 Bottle (0093-0053-01),7.58,7.58,,,0
NDC,0093-0319-01,"Diltiazem Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-0319-01)",12.09,12.09,,,0
NDC,0093-0811-01,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (0093-0811-01),12.77,12.77,,,0
NDC,0093-1010-42,Mupirocin: 1 Tube In 1 Carton (0093-1010-42)  / 22 G In 1 Tube,43.3,43.3,,,0
NDC,0093-1712-01,Warfarin Sodium: 100 Tablet In 1 Bottle (0093-1712-01),5.83,5.83,,,0
NDC,0093-1716-01,Warfarin Sodium: 100 Tablet In 1 Bottle (0093-1716-01),12.67,12.67,,,0
NDC,0093-2268-01,"Amoxicillin: 100 Tablet, Chewable In 1 Bottle (0093-2268-01)",6.415,6.415,,,0
NDC,0093-2272-34,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Chewable In 1 Bottle (0093-2272-34)",40.28,40.28,,,0
NDC,0093-2274-34,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (0093-2274-34)",20.75,20.75,,,0
NDC,0093-3127-01,Disopyramide Phosphate: 100 Capsule In 1 Bottle (0093-3127-01),14.02,14.02,,,0
NDC,0093-3422-01,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-3422-01)",11.875,11.875,,,0
NDC,0093-3426-01,"Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3426-01)",6.79,6.79,,,0
NDC,0093-4067-01,Prazosin Hydrochloride: 100 Capsule In 1 Bottle (0093-4067-01),7.63,7.63,,,0
NDC,0093-4127-73,Penicillin V Potassium: 100 Ml In 1 Bottle (0093-4127-73),13.35,13.35,,,0
NDC,0093-4127-74,Penicillin V Potassium: 200 Ml In 1 Bottle (0093-4127-74),13.195,13.195,,,0
NDC,0093-4177-74,Cephalexin: 200 Ml In 1 Bottle (0093-4177-74),16.54,16.54,,,0
NDC,0093-5245-19,NDC Description Not Available,17.59,17.59,,,0
NDC,0093-5245-65,"Olanzapine: 30 Blister Pack In 1 Carton (0093-5245-65)  / 1 Tablet, Orally Disintegrating In 1 Blister Pack (0093-5245-19)",16.82,16.82,,,0
NDC,0093-5985-19,NDC Description Not Available,688.1700000000001,688.1700000000001,,,0
NDC,0093-7334-01,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (0093-7334-01),9.23,9.23,,,0
NDC,0093-7485-20,"Granisetron Hydrochloride: 20 BLISTER PACK in 1 BOX (0093-7485-20)  / 1 TABLET, FILM COATED in 1 BLISTER PACK (0093-7485-19)",56.31,56.31,,,0
NDC,0093-9290-19,NDC Description Not Available,15.965,15.965,,,0
NDC,0093-9291-19,NDC Description Not Available,10.885,10.885,,,0
NDC,0093-9291-67,"Clonazepam: 60 Blister Pack In 1 Carton (0093-9291-67)  / 1 Tablet, Orally Disintegrating In 1 Blister Pack",12.94,12.94,,,0
NDC,0093-9292-19,NDC Description Not Available,17.64,17.64,,,0
NDC,0093-9293-19,NDC Description Not Available,12.385,12.385,,,0
NDC,0115-1070-01,Dipyridamole: 100 Tablet In 1 Bottle (0115-1070-01),14.87,14.87,,,0
NDC,0115-1071-01,Dipyridamole: 100 Tablet In 1 Bottle (0115-1071-01),6.465,6.465,,,0
NDC,0115-1694-30,"Epinephrine: 1 Case In 1 Carton (0115-1694-30)  / 1 Syringe, Glass In 1 Case / .3 Ml In 1 Syringe, Glass",587.745,587.745,,,0
NDC,0115-1694-49,"Epinephrine: 2 Case In 1 Carton (0115-1694-49)  / 1 Syringe, Glass In 1 Case / .3 Ml In 1 Syringe, Glass",583.39,583.39,,,0
NDC,0115-3511-01,Pyridostigmine Bromide: 100 Tablet In 1 Bottle (0115-3511-01),14.41,14.41,,,0
NDC,0115-9918-01,"Dexmethylphenidate Hydrochloride: 100 Capsule, Extended Release In 1 Bottle, Plastic (0115-9918-01)",20.0,20.0,,,0
NDC,0116-4005-15,"Lactulose: 15 Ml In 1 Cup, Unit-Dose (0116-4005-15)",14.899999999999999,14.899999999999999,,,0
NDC,0116-4005-40,NDC Description Not Available,16.09,16.09,,,0
NDC,0121-0431-30,"Milk Of Magnesia: 10 Tray In 1 Case (0121-0431-30)  / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",13.515,13.515,,,0
NDC,0121-0489-05,NDC Description Not Available,33.14,33.14,,,0
NDC,0121-0576-16,Metoclopramide: 473 Ml In 1 Bottle (0121-0576-16),13.085,13.085,,,0
NDC,0121-0581-04,Haloperidol: 120 Ml In 1 Bottle (0121-0581-04),5.18,5.18,,,0
NDC,0121-0646-16,Amantadine Hydrochloride: 473 Ml In 1 Bottle (0121-0646-16),1.98,1.98,,,0
NDC,0121-0658-16,Trihexyphenidyl Hydrochloride: 473 Ml In 1 Bottle (0121-0658-16),12.04,12.04,,,0
NDC,0121-0670-16,Ethosuximide: 473 Ml In 1 Bottle (0121-0670-16),2.535,2.535,,,0
NDC,0121-0675-85,Valproic Acid: 473 Ml In 1 Bottle (0121-0675-85),13.379999999999999,13.379999999999999,,,0
NDC,0121-0766-16,Calcium Carbonate: 12 Bottle In 1 Case (0121-0766-16)  / 473 Ml In 1 Bottle,8.385,8.385,,,0
NDC,0121-0770-01,"Lorazepam: 1 Bottle, Dropper In 1 Carton (0121-0770-01)  / 30 Ml In 1 Bottle, Dropper",5.97,5.97,,,0
NDC,0121-0799-16,Levetiracetam: 473 Ml In 1 Bottle (0121-0799-16),12.815000000000001,12.815000000000001,,,0
NDC,0121-0865-00,"Diphenhydramine Hcl: 10 Tray In 1 Case (0121-0865-00)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0865-05)",22.45,22.45,,,0
NDC,0121-0865-05,NDC Description Not Available,13.84,13.84,,,0
NDC,0121-0868-05,NDC Description Not Available,15.9,15.9,,,0
NDC,0121-0868-50,"Nystatin: 5 Tray In 1 Case (0121-0868-50)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0868-05)",16.950000000000003,16.950000000000003,,,0
NDC,0121-0893-15,NDC Description Not Available,19.2,19.2,,,0
NDC,0121-0893-40,"Chlorhexidine Gluconate: 4 Tray In 1 Case (0121-0893-40)  / 10 Cup, Unit-Dose In 1 Tray / 15 Ml In 1 Cup, Unit-Dose (0121-0893-15)",18.29,18.29,,,0
NDC,0121-0903-40,"Lidocaine Viscous: 4 Tray In 1 Case (0121-0903-40)  / 10 Cup, Unit-Dose In 1 Tray / 15 Ml In 1 Cup, Unit-Dose (0121-0903-15)",19.53,19.53,,,0
NDC,0121-0904-05,NDC Description Not Available,11.74,11.74,,,0
NDC,0121-0905-05,NDC Description Not Available,18.295,18.295,,,0
NDC,0121-0905-94,"Diazepam: 3 Tray In 1 Case (0121-0905-94)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0905-05)",15.879999999999999,15.879999999999999,,,0
NDC,0121-0914-05,NDC Description Not Available,10.705,10.705,,,0
NDC,0121-0942-05,NDC Description Not Available,16.355,16.355,,,0
NDC,0121-0942-50,"Phenobarbital Oral Solution: 5 Tray In 1 Case (0121-0942-50)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0942-05)",15.905000000000001,15.905000000000001,,,0
NDC,0121-0948-16,Potassium Chloride: 473 Ml In 1 Bottle (0121-0948-16),14.95,14.95,,,0
NDC,0121-0972-51,"Lidocaine Hydrochloride: 1 Bottle, Glass In 1 Carton (0121-0972-51)  / 50 Ml In 1 Bottle, Glass",103.3,103.3,,,0
NDC,0121-0974-10,NDC Description Not Available,31.009999999999998,31.009999999999998,,,0
NDC,0121-0992-95,"Lacosamide: 1 Tray In 1 Case (0121-0992-95)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0992-05)",96.725,96.725,,,0
NDC,0121-1012-05,NDC Description Not Available,127.43,127.43,,,0
NDC,0121-1022-00,"Dye Free Childrens Ibuprofen: 10 Cup, Unit-Dose In 1 Case (0121-1022-00)  / 5 Ml In 1 Cup, Unit-Dose",11.875,11.875,,,0
NDC,0121-1022-05,"Dye Free Childrens Ibuprofen: 10 Cup, Unit-Dose In 1 Tray (0121-1022-05)  / 5 Ml In 1 Cup, Unit-Dose",9.955,9.955,,,0
NDC,0121-1045-16,Nystatin: 473 Ml In 1 Bottle (0121-1045-16),15.475,15.475,,,0
NDC,0121-1154-30,NDC Description Not Available,17.89,17.89,,,0
NDC,0121-1154-40,"Lactulose: 4 Tray In 1 Case (0121-1154-40)  / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose (0121-1154-30)",16.98,16.98,,,0
NDC,0121-1576-10,"Metoclopramide: 10 Tray In 1 Case (0121-1576-10)  / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose",14.585,14.585,,,0
NDC,0121-1680-16,473 mL in 1 BOTTLE (0121-1680-16),16.765,16.765,,,0
NDC,0121-1761-30,"Mag-Al Plus: 10 Tray In 1 Case (0121-1761-30)  / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",2.6550000000000002,2.6550000000000002,,,0
NDC,0121-1828-10,NDC Description Not Available,13.72,13.72,,,0
NDC,0121-1870-10,NDC Description Not Available,4.76,4.76,,,0
NDC,0121-1884-07,NDC Description Not Available,27.58,27.58,,,0
NDC,0121-2024-10,NDC Description Not Available,184.94,184.94,,,0
NDC,0121-4577-15,NDC Description Not Available,15.075,15.075,,,0
NDC,0121-4577-40,"Lactulose: 4 Tray In 1 Case (0121-4577-40)  / 10 Cup, Unit-Dose In 1 Tray / 15 Ml In 1 Cup, Unit-Dose (0121-4577-15)",16.95,16.95,,,0
NDC,0121-4766-05,"Calcium Carbonate: 4 Tray In 1 Case (0121-4766-05)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose",16.79,16.79,,,0
NDC,0121-4799-05,NDC Description Not Available,24.96,24.96,,,0
NDC,0121-4827-05,NDC Description Not Available,24.335,24.335,,,0
NDC,0121-4950-15,NDC Description Not Available,20.84,20.84,,,0
NDC,0131-2477-60,"Vimpat: 6 Blister Pack In 1 Carton (0131-2477-60)  / 10 Tablet, Film Coated In 1 Blister Pack",95.24000000000001,95.24000000000001,,,0
NDC,0131-2478-60,"Vimpat: 6 Blister Pack In 1 Carton (0131-2478-60)  / 10 Tablet, Film Coated In 1 Blister Pack",127.72,127.72,,,0
NDC,0132-0079-12,Fleet: 12 SUPPOSITORY in 1 JAR (0132-0079-12),12.425,12.425,,,0
NDC,0132-0081-12,Pedia-Lax: 12 Suppository In 1 Jar (0132-0081-12),12.28,12.28,,,0
NDC,0132-0190-12,Pedia-Lax: 6 Applicator In 1 Carton (0132-0190-12)  / 4 Ml In 1 Applicator,17.22,17.22,,,0
NDC,0132-0201-40,"Fleet: 133 Ml In 1 Bottle, With Applicator (0132-0201-40)",18.645,18.645,,,0
NDC,0132-0202-20,"Pedia-Lax: 66 Ml In 1 Bottle, With Applicator (0132-0202-20)",20.965,20.965,,,0
NDC,0143-9086-01,Doxorubicin Hydrochloride: 1 Vial In 1 Box (0143-9086-01)  / 25 Ml In 1 Vial,76.26,76.26,,,0
NDC,0143-9162-01,NDC Description Not Available,13.96,13.96,,,0
NDC,0143-9162-10,Vancomycin Hydrochloride: 10 Vial In 1 Package (0143-9162-10)  / 1025 Mg In 1 Vial (0143-9162-01),0.61,0.61,,,0
NDC,0143-9163-01,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0143-9163-01)  / 5.13 G In 1 Vial, Pharmacy Bulk Package",2.26,2.26,,,0
NDC,0143-9180-01,NDC Description Not Available,0.66,0.66,,,0
NDC,0143-9180-25,Calcium Gluconate: 25 Vial In 1 Carton (0143-9180-25)  / 10 Ml In 1 Vial (0143-9180-01),0.53,0.53,,,0
NDC,0143-9184-01,NDC Description Not Available,0.26,0.26,,,0
NDC,0143-9192-01,Foscarnet Sodium: 10 Carton In 1 Case (0143-9192-01)  / 1 Bottle In 1 Carton / 250 Ml In 1 Bottle,179.485,179.485,,,0
NDC,0143-9218-01,"Idarubicin Hydrochloride: 1 Vial, Glass In 1 Box (0143-9218-01)  / 10 Ml In 1 Vial, Glass",220.11,220.11,,,0
NDC,0143-9240-01,"Bleomycin: 1 Vial In 1 Box, Unit-Dose (0143-9240-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",264.24,264.24,,,0
NDC,0143-9241-01,"Bleomycin: 1 Vial In 1 Box, Unit-Dose (0143-9241-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",135.01999999999998,135.01999999999998,,,0
NDC,0143-9245-10,"Dacarbazine: 10 Vial In 1 Carton (0143-9245-10)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0143-9245-01)",42.405,42.405,,,0
NDC,0143-9247-01,"Dexrazoxane: 1 Vial In 1 Box (0143-9247-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",619.77,619.77,,,0
NDC,0143-9251-01,NDC Description Not Available,31.11,31.11,,,0
NDC,0143-9254-01,NDC Description Not Available,27.2,27.2,,,0
NDC,0143-9273-01,NDC Description Not Available,217.03,217.03,,,0
NDC,0143-9273-10,Dihydroergotamine Mesylate: 10 Ampule In 1 Carton (0143-9273-10)  / 1 Ml In 1 Ampule (0143-9273-01),212.62,212.62,,,0
NDC,0143-9292-01,"Thiotepa: 1 Vial In 1 Box, Unit-Dose (0143-9292-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",962.91,962.91,,,0
NDC,0143-9333-10,"Bupivacaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0143-9333-10)  / 30 Ml In 1 Vial, Single-Dose (0143-9333-01)",0.25,0.25,,,0
NDC,0143-9361-01,"Micafungin: 1 Vial In 1 Carton (0143-9361-01)  / 5 Injection, Powder, Lyophilized, For Solution In 1 Vial",1.75,1.75,,,0
NDC,0143-9383-01,NDC Description Not Available,22.42,22.42,,,0
NDC,0143-9384-01,"Fosaprepitant Dimeglumine: 1 Vial, Single-Dose In 1 Carton (0143-9384-01)  / 5 Ml In 1 Vial, Single-Dose",1.12,1.12,,,0
NDC,0143-9391-01,NDC Description Not Available,391.89,391.89,,,0
NDC,0143-9392-01,NDC Description Not Available,508.22,508.22,,,0
NDC,0143-9392-10,Remifentanil Hydrochloride: 10 Vial In 1 Carton (0143-9392-10)  / 5 Ml In 1 Vial (0143-9392-01),637.14,637.14,,,0
NDC,0143-9393-01,NDC Description Not Available,1508.25,1508.25,,,0
NDC,0143-9393-10,Remifentanil Hydrochloride: 10 Vial In 1 Carton (0143-9393-10)  / 10 Ml In 1 Vial (0143-9393-01),1528.45,1528.45,,,0
NDC,0143-9397-01,NDC Description Not Available,38.31,38.31,,,0
NDC,0143-9431-01,NDC Description Not Available,6.89,6.89,,,0
NDC,0143-9503-01,"Acetazolamide: 1 Vial In 1 Box, Unit-Dose (0143-9503-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",39.46,39.46,,,0
NDC,0143-9506-01,NDC Description Not Available,31.56,31.56,,,0
NDC,0143-9506-10,"Etomidate: 10 Vial, Single-Dose In 1 Carton (0143-9506-10)  / 10 Ml In 1 Vial, Single-Dose (0143-9506-01)",35.8,35.8,,,0
NDC,0143-9508-01,NDC Description Not Available,64.35,64.35,,,0
NDC,0143-9509-01,NDC Description Not Available,40.59,40.59,,,0
NDC,0143-9512-01,"Etoposide: 1 Vial In 1 Box, Unit-Dose (0143-9512-01)  / 50 Ml In 1 Vial",14.45,14.45,,,0
NDC,0143-9519-01,NDC Description Not Available,170.0,170.0,,,0
NDC,0143-9525-01,NDC Description Not Available,66.18,66.18,,,0
NDC,0143-9554-01,Leucovorin Calcium: 1 Vial In 1 Box (0143-9554-01)  / 10 Ml In 1 Vial,36.6,36.6,,,0
NDC,0143-9564-01,Phentolamine Mesylate: 1 Vial In 1 Box (0143-9564-01)  / 1 Ml In 1 Vial,265.73,265.73,,,0
NDC,0143-9565-01,"Thiotepa: 1 Vial In 1 Box, Unit-Dose (0143-9565-01)  / 1.5 Ml In 1 Vial",970.72,970.72,,,0
NDC,0143-9570-01,NDC Description Not Available,15.469999999999999,15.469999999999999,,,0
NDC,0143-9570-10,Sodium Ferric Gluconate Complex In Sucrose: 10 Vial In 1 Carton (0143-9570-10)  / 5 Ml In 1 Vial (0143-9570-01),14.84,14.84,,,0
NDC,0143-9594-01,NDC Description Not Available,1.49,1.49,,,0
NDC,0143-9595-01,NDC Description Not Available,27.91,27.91,,,0
NDC,0143-9606-01,"Azacitidine: 1 Vial In 1 Carton (0143-9606-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",3.15,3.15,,,0
NDC,0143-9633-01,NDC Description Not Available,228.36,228.36,,,0
NDC,0143-9633-10,Nicardipine Hydrochloride: 10 Bag In 1 Carton (0143-9633-10)  / 200 Ml In 1 Bag (0143-9633-01),338.28,338.28,,,0
NDC,0143-9681-01,NDC Description Not Available,8.459999999999999,8.459999999999999,,,0
NDC,0143-9681-25,Glycopyrrolate: 25 Vial In 1 Carton (0143-9681-25)  / 2 Ml In 1 Vial (0143-9681-01),7.05,7.05,,,0
NDC,0143-9689-01,NDC Description Not Available,85.51,85.51,,,0
NDC,0143-9708-01,Milrinone Lactate: 50 Ml In 1 Box (0143-9708-01),11.57,11.57,,,0
NDC,0143-9710-01,NDC Description Not Available,21.52,21.52,,,0
NDC,0143-9719-01,NDC Description Not Available,18.31,18.31,,,0
NDC,0143-9722-01,NDC Description Not Available,43.87,43.87,,,0
NDC,0143-9744-01,NDC Description Not Available,4.94,4.94,,,0
NDC,0143-9744-10,"Granisetron Hydrochloride: 10 Vial, Single-Use In 1 Package (0143-9744-10)  / 1 Ml In 1 Vial, Single-Use (0143-9744-01)",4.66,4.66,,,0
NDC,0143-9746-01,NDC Description Not Available,8.66,8.66,,,0
NDC,0143-9750-01,"Testosterone Enanthate: 5 Ml In 1 Vial, Multi-Dose (0143-9750-01)",70.76,70.76,,,0
NDC,0143-9784-01,NDC Description Not Available,32.05,32.05,,,0
NDC,0143-9785-01,NDC Description Not Available,31.6,31.6,,,0
NDC,0143-9785-10,"Valproate Sodium: 10 Vial, Single-Dose In 1 Carton (0143-9785-10)  / 5 Ml In 1 Vial, Single-Dose (0143-9785-01)",89.46,89.46,,,0
NDC,0143-9786-01,NDC Description Not Available,28.97,28.97,,,0
NDC,0143-9852-01,NDC Description Not Available,84.42,84.42,,,0
NDC,0143-9852-10,"Levocarnitine: 10 Vial, Single-Use In 1 Carton (0143-9852-10)  / 5 Ml In 1 Vial, Single-Use (0143-9852-01)",41.82,41.82,,,0
NDC,0143-9853-24,Amoxicillin And Clavulanate Potassium: 200 Ml In 1 Bottle (0143-9853-24),18.955,18.955,,,0
NDC,0143-9856-01,NDC Description Not Available,10.88,10.88,,,0
NDC,0143-9857-01,NDC Description Not Available,7.8,7.8,,,0
NDC,0143-9857-25,"Ceftriaxone: 25 Vial In 1 Box (0143-9857-25)  / 1 Injection, Powder, For Solution In 1 Vial (0143-9857-01)",7.98,7.98,,,0
NDC,0143-9875-01,NDC Description Not Available,11.52,11.52,,,0
NDC,0143-9924-90,Cefazolin: 3 Ml In 1 Vial (0143-9924-90),14.31,14.31,,,0
NDC,0143-9983-91,NDC Description Not Available,19.39,19.39,,,0
NDC,0168-0002-15,Triamcinolone Acetonide: 1 Tube In 1 Carton (0168-0002-15)  / 15 G In 1 Tube,40.125,40.125,,,0
NDC,0168-0003-15,Triamcinolone Acetonide: 1 Tube In 1 Carton (0168-0003-15)  / 15 G In 1 Tube,19.44,19.44,,,0
NDC,0168-0007-15,Nystatin: 15 g in 1 TUBE (0168-0007-15),92.65,92.65,,,0
NDC,0168-0020-31,Hydrocortisone: 1 Tube In 1 Carton (0168-0020-31)  / 28.35 G In 1 Tube,30.275,30.275,,,0
NDC,0168-0033-15,Betamethasone Valerate: 15 G In 1 Tube (0168-0033-15),57.644999999999996,57.644999999999996,,,0
NDC,0169-1833-11,Novolin R: 1 Vial In 1 Carton (0169-1833-11)  / 10 Ml In 1 Vial,14.18,14.18,,,0
NDC,0169-7201-01,"Novoseven Rt: 1 Kit In 1 Kit (0169-7201-01)  *  1 Ml In 1 Vial, Glass (0169-7211-11)  *  1 Ml In 1 Syringe, Glass (0169-7011-98)",14.765,14.765,,,0
NDC,0169-7202-01,"Novoseven Rt: 1 Kit In 1 Kit (0169-7202-01)  *  2 Ml In 1 Vial, Glass (0169-7212-11)  *  2 Ml In 1 Syringe, Glass (0169-7012-98)",14.754999999999999,14.754999999999999,,,0
NDC,0169-7205-01,"Novoseven Rt: 1 Kit In 1 Kit (0169-7205-01)  *  5 Ml In 1 Vial, Glass (0169-7215-11)  *  5 Ml In 1 Syringe, Glass (0169-7015-98)",14.75,14.75,,,0
NDC,0169-7211-11,NDC Description Not Available,14.76,14.76,,,0
NDC,0169-7501-11,"Novolog: 1 Vial, Glass In 1 Carton (0169-7501-11)  / 10 Ml In 1 Vial, Glass",1.1400000000000001,1.1400000000000001,,,0
NDC,0169-7704-21,"Norditropin: 1 Syringe, Plastic In 1 Carton (0169-7704-21)  / 1.5 Ml In 1 Syringe, Plastic",1582.475,1582.475,,,0
NDC,0172-3925-60,Diazepam: 100 Tablet In 1 Bottle (0172-3925-60),8.265,8.265,,,0
NDC,0172-4096-60,Baclofen: 100 Tablet In 1 Bottle (0172-4096-60),8.0,8.0,,,0
NDC,0172-5728-60,"Famotidine: 100 Tablet, Film Coated In 1 Bottle (0172-5728-60)",11.23,11.23,,,0
NDC,0172-7313-20,Cyclosporine: 1 Bottle In 1 Package (0172-7313-20)  / 50 Ml In 1 Bottle,15.35,15.35,,,0
NDC,0173-0682-24,"Ventolin Hfa: 1 Inhaler In 1 Carton (0173-0682-24)  / 60 Aerosol, Metered In 1 Inhaler",147.74,147.74,,,0
NDC,0173-0718-20,"Flovent Hfa: 1 Inhaler In 1 Carton (0173-0718-20)  / 120 Aerosol, Metered In 1 Inhaler",1233.98,1233.98,,,0
NDC,0173-0719-20,"Flovent Hfa: 1 Inhaler In 1 Carton (0173-0719-20)  / 120 Aerosol, Metered In 1 Inhaler",1738.4,1738.4,,,0
NDC,0173-0720-20,"Flovent Hfa: 1 Inhaler In 1 Carton (0173-0720-20)  / 120 Aerosol, Metered In 1 Inhaler",2560.03,2560.03,,,0
NDC,0173-0859-14,Breo Ellipta: 1 Tray In 1 Carton (0173-0859-14)  / 1 Inhaler In 1 Tray / 14 Powder In 1 Inhaler,406.32,406.32,,,0
NDC,0173-0874-14,Arnuity Ellipta: 1 Inhaler In 1 Carton (0173-0874-14)  / 14 Powder In 1 Inhaler,447.61,447.61,,,0
NDC,0186-0370-28,Symbicort: 1 Pouch In 1 Carton (0186-0370-28)  / 1 Canister In 1 Pouch / 60 Aerosol In 1 Canister,392.08,392.08,,,0
NDC,0186-0372-28,Symbicort: 1 Pouch In 1 Carton (0186-0372-28)  / 1 Canister In 1 Pouch / 60 Aerosol In 1 Canister,393.6,393.6,,,0
NDC,0186-4010-01,"Nexium: 30 Granule, Delayed Release In 1 Carton (0186-4010-01)",28.5,28.5,,,0
NDC,0206-8861-01,NDC Description Not Available,31.54,31.54,,,0
NDC,0206-8862-01,NDC Description Not Available,28.0,28.0,,,0
NDC,0223-1760-01,NDC Description Not Available,12.01,12.01,,,0
NDC,0228-2127-10,Clonidine Hydrochloride: 100 Tablet In 1 Bottle (0228-2127-10),9.204999999999998,9.204999999999998,,,0
NDC,0228-2128-10,Clonidine Hydrochloride: 100 Tablet In 1 Bottle (0228-2128-10),13.08,13.08,,,0
NDC,0245-0212-01,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (0245-0212-01)  / 1 Tablet In 1 Blister Pack (0245-0212-89),15.79,15.79,,,0
NDC,0245-0212-89,NDC Description Not Available,8.45,8.45,,,0
NDC,0245-5317-89,NDC Description Not Available,8.385,8.385,,,0
NDC,0245-5319-89,NDC Description Not Available,9.239999999999998,9.239999999999998,,,0
NDC,0254-3029-02,"Lubiprostone: 60 Capsule, Gelatin Coated In 1 Bottle (0254-3029-02)",16.47,16.47,,,0
NDC,0259-0501-16,Cuvposa: 1 Bottle In 1 Carton (0259-0501-16)  / 473 Ml In 1 Bottle,26.13,26.13,,,0
NDC,0264-1510-31,Dextrose: 84 Container In 1 Case (0264-1510-31)  / 50 Ml In 1 Container,35.645,35.645,,,0
NDC,0264-1510-32,Dextrose: 64 Container In 1 Case (0264-1510-32)  / 100 Ml In 1 Container,75.29,75.29,,,0
NDC,0264-1800-31,Sodium Chloride: 84 Container In 1 Case (0264-1800-31)  / 50 Ml In 1 Container,34.220000000000006,34.220000000000006,,,0
NDC,0264-1800-32,Sodium Chloride: 64 Container In 1 Case (0264-1800-32)  / 100 Ml In 1 Container,46.855000000000004,46.855000000000004,,,0
NDC,0264-1800-36,Sodium Chloride: 116 Container In 1 Case (0264-1800-36)  / 25 Ml In 1 Container,101.55,101.55,,,0
NDC,0264-1933-10,Trophamine: 12 Container In 1 Case (0264-1933-10)  / 500 Ml In 1 Container,1320.29,1320.29,,,0
NDC,0264-2101-00,Sterile Water: 16 Container In 1 Case (0264-2101-00)  / 1000 Ml In 1 Container,63.9,63.9,,,0
NDC,0264-2101-10,Sterile Water: 16 Container In 1 Case (0264-2101-10)  / 500 Ml In 1 Container,62.86,62.86,,,0
NDC,0264-2201-00,Sodium Chloride: 16 Container In 1 Case (0264-2201-00)  / 1000 Ml In 1 Container,9.44,9.44,,,0
NDC,0264-2201-10,Sodium Chloride: 16 Container In 1 Case (0264-2201-10)  / 500 Ml In 1 Container,34.75,34.75,,,0
NDC,0264-4100-90,Acetaminophen: 24 Container In 1 Case (0264-4100-90)  / 100 Ml In 1 Container,1.41,1.41,,,0
NDC,0264-4460-00,Nutrilipid I.V. Fat Emulsion: 8 Carton In 1 Case (0264-4460-00)  / 1 Container In 1 Carton / 1000 Ml In 1 Container,315.69,315.69,,,0
NDC,0264-5802-00,Sodium Chloride: 12 Container In 1 Case (0264-5802-00)  / 1000 Ml In 1 Container,28.825,28.825,,,0
NDC,0264-5802-10,Sodium Chloride: 24 Container In 1 Case (0264-5802-10)  / 500 Ml In 1 Container,47.14,47.14,,,0
NDC,0264-5804-00,Sodium Chloride: 12 Container In 1 Case (0264-5804-00)  / 1000 Ml In 1 Container,85.64,85.64,,,0
NDC,0264-7385-50,Sterile Water: 4 Container In 1 Case (0264-7385-50)  / 2000 Ml In 1 Container,65.77,65.77,,,0
NDC,0264-7388-60,Sodium Chloride For Irrigation: 4 Container In 1 Case (0264-7388-60)  / 3000 Ml In 1 Container,2.94,2.94,,,0
NDC,0264-7510-00,Dextrose: 12 Container In 1 Case (0264-7510-00)  / 1000 Ml In 1 Container,77.36,77.36,,,0
NDC,0264-7510-10,Dextrose: 24 Container In 1 Case (0264-7510-10)  / 500 Ml In 1 Container,64.53,64.53,,,0
NDC,0264-7510-20,Dextrose: 24 Container In 1 Case (0264-7510-20)  / 250 Ml In 1 Container,65.23,65.23,,,0
NDC,0264-7520-00,Dextrose: 12 Container In 1 Case (0264-7520-00)  / 1000 Ml In 1 Container,48.36,48.36,,,0
NDC,0264-7520-10,Dextrose: 24 Container In 1 Case (0264-7520-10)  / 500 Ml In 1 Container,82.13,82.13,,,0
NDC,0264-7520-20,Dextrose: 24 Container In 1 Case (0264-7520-20)  / 250 Ml In 1 Container,83.03,83.03,,,0
NDC,0264-7610-00,Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7610-00)  / 1000 Ml In 1 Container,42.79,42.79,,,0
NDC,0264-7610-10,Dextrose And Sodium Chloride: 24 Container In 1 Case (0264-7610-10)  / 500 Ml In 1 Container,81.24,81.24,,,0
NDC,0264-7612-00,Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7612-00)  / 1000 Ml In 1 Container,85.92,85.92,,,0
NDC,0264-7612-10,Dextrose And Sodium Chloride: 24 Container In 1 Case (0264-7612-10)  / 500 Ml In 1 Container,82.37,82.37,,,0
NDC,0264-7616-00,Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7616-00)  / 1000 Ml In 1 Container,92.97,92.97,,,0
NDC,0264-7622-00,Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7622-00)  / 1000 Ml In 1 Container,110.99,110.99,,,0
NDC,0264-7623-20,Dextrose And Sodium Chloride: 24 Container In 1 Case (0264-7623-20)  / 250 Ml In 1 Container,99.73,99.73,,,0
NDC,0264-7634-00,Potassium Chloride In Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7634-00)  / 1000 Ml In 1 Container,116.24,116.24,,,0
NDC,0264-7635-00,Potassium Chloride In Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7635-00)  / 1000 Ml In 1 Container,86.48,86.48,,,0
NDC,0264-7638-00,Potassium Chloride In Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7638-00)  / 1000 Ml In 1 Container,108.82,108.82,,,0
NDC,0264-7652-00,Potassium Chloride In Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7652-00)  / 1000 Ml In 1 Container,92.29,92.29,,,0
NDC,0264-7707-00,Isolyte S Ph 7.4: 12 Container In 1 Case (0264-7707-00)  / 1000 Ml In 1 Container,83.86,83.86,,,0
NDC,0264-7707-10,Isolyte S Ph 7.4: 24 Container In 1 Case (0264-7707-10)  / 500 Ml In 1 Container,78.0,78.0,,,0
NDC,0264-7750-00,Lactated Ringers: 12 Container In 1 Case (0264-7750-00)  / 1000 Ml In 1 Container,86.55,86.55,,,0
NDC,0264-7750-07,Lactated Ringers: 12 Container In 1 Case (0264-7750-07)  / 1000 Ml In 1 Container,69.85,69.85,,,0
NDC,0264-7751-00,Dextrose In Lactated Ringers: 12 Container In 1 Case (0264-7751-00)  / 1000 Ml In 1 Container,86.17,86.17,,,0
NDC,0264-7751-10,Dextrose In Lactated Ringers: 24 Container In 1 Case (0264-7751-10)  / 500 Ml In 1 Container,86.03,86.03,,,0
NDC,0264-7800-00,Sodium Chloride: 12 Container In 1 Case (0264-7800-00)  / 1000 Ml In 1 Container,75.36,75.36,,,0
NDC,0264-7800-09,Sodium Chloride: 12 Container In 1 Case (0264-7800-09)  / 1000 Ml In 1 Container,71.26,71.26,,,0
NDC,0264-7800-20,Sodium Chloride: 24 Container In 1 Case (0264-7800-20)  / 250 Ml In 1 Container,64.71,64.71,,,0
NDC,0264-7802-00,Sodium Chloride: 12 Container In 1 Case (0264-7802-00)  / 1000 Ml In 1 Container,84.54,84.54,,,0
NDC,0264-7802-10,Sodium Chloride: 24 Container In 1 Case (0264-7802-10)  / 500 Ml In 1 Container,81.79,81.79,,,0
NDC,0264-7850-00,Sterile Water: 12 Container In 1 Case (0264-7850-00)  / 1000 Ml In 1 Container,66.0,66.0,,,0
NDC,0264-7865-00,Potassium Chloride In Sodium Chloride: 12 Container In 1 Case (0264-7865-00)  / 1000 Ml In 1 Container,19.41,19.41,,,0
NDC,0264-9872-00,Heparin Sodium In Sodium Chloride: 12 Container In 1 Case (0264-9872-00)  / 1000 Ml In 1 Container,23.73,23.73,,,0
NDC,0264-9872-10,Heparin Sodium In Sodium Chloride: 24 Container In 1 Case (0264-9872-10)  / 500 Ml In 1 Container,52.23,52.23,,,0
NDC,0270-0083-20,"Choletec: 10 Vial In 1 Carton (0270-0083-20)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",200.01,200.01,,,0
NDC,0270-0445-35,Gastrografin: 24 Bottle In 1 Box (0270-0445-35)  / 30 Ml In 1 Bottle,2.865,2.865,,,0
NDC,0270-0445-40,Gastrografin: 12 Bottle In 1 Box (0270-0445-40)  / 120 Ml In 1 Bottle,1.16,1.16,,,0
NDC,0270-0556-15,Kinevac: 10 Vial In 1 Package (0270-0556-15)  / 5 Ml In 1 Vial,206.69,206.69,,,0
NDC,0281-0326-30,Nitro-Bid: 30 G In 1 Tube (0281-0326-30),216.96,216.96,,,0
NDC,0283-0679-02,Hurricaine Topical Anesthetic: 59.7 G In 1 Can (0283-0679-02),209.86,209.86,,,0
NDC,0310-0280-60,"Seroquel Xr: 60 Tablet, Extended Release In 1 Bottle (0310-0280-60)",62.27,62.27,,,0
NDC,0310-3040-00,"Saphnelo: 1 Vial, Glass In 1 Carton (0310-3040-00)  / 2 Ml In 1 Vial, Glass",110.62,110.62,,,0
NDC,0338-0003-47,Sterile Water: 4 Bag In 1 Carton (0338-0003-47)  / 3000 Ml In 1 Bag,167.25,167.25,,,0
NDC,0338-0004-02,"Sterile Water: 24 Bottle, Plastic In 1 Carton (0338-0004-02)  / 250 Ml In 1 Bottle, Plastic",62.42,62.42,,,0
NDC,0338-0004-03,"Sterile Water: 18 Bottle, Plastic In 1 Carton (0338-0004-03)  / 500 Ml In 1 Bottle, Plastic",61.25,61.25,,,0
NDC,0338-0004-04,"Sterile Water: 12 Bottle, Plastic In 1 Carton (0338-0004-04)  / 1000 Ml In 1 Bottle, Plastic",62.17,62.17,,,0
NDC,0338-0013-04,Sterile Water: 1000 Ml In 1 Bag (0338-0013-04),64.81,64.81,,,0
NDC,0338-0013-06,Sterile Water: 2000 Ml In 1 Bag (0338-0013-06),552.635,552.635,,,0
NDC,0338-0017-02,Dextrose: 250 Ml In 1 Bag (0338-0017-02),62.44,62.44,,,0
NDC,0338-0017-03,Dextrose: 500 Ml In 1 Bag (0338-0017-03),62.15,62.15,,,0
NDC,0338-0017-04,Dextrose: 1000 Ml In 1 Bag (0338-0017-04),67.82,67.82,,,0
NDC,0338-0017-10,Dextrose: 4 Bag In 1 Pouch (0338-0017-10)  / 25 Ml In 1 Bag,73.71,73.71,,,0
NDC,0338-0017-11,Dextrose: 4 Bag In 1 Pouch (0338-0017-11)  / 50 Ml In 1 Bag,66.36,66.36,,,0
NDC,0338-0017-41,Dextrose: 1 Bag In 1 Package (0338-0017-41)  / 50 Ml In 1 Bag,72.7,72.7,,,0
NDC,0338-0017-48,Dextrose: 1 Bag In 1 Package (0338-0017-48)  / 100 Ml In 1 Bag,68.7,68.7,,,0
NDC,0338-0023-02,Dextrose: 250 Ml In 1 Bag (0338-0023-02),71.14,71.14,,,0
NDC,0338-0023-03,Dextrose: 500 Ml In 1 Bag (0338-0023-03),84.09,84.09,,,0
NDC,0338-0023-04,Dextrose: 1000 Ml In 1 Bag (0338-0023-04),53.33,53.33,,,0
NDC,0338-0043-03,Sodium Chloride: 500 Ml In 1 Bag (0338-0043-03),71.525,71.525,,,0
NDC,0338-0043-04,Sodium Chloride: 1000 Ml In 1 Bag (0338-0043-04),81.9,81.9,,,0
NDC,0338-0047-44,Sodium Chloride: 14 Bag In 1 Carton (0338-0047-44)  / 1000 Ml In 1 Bag,69.89,69.89,,,0
NDC,0338-0047-46,Sodium Chloride: 6 Bag In 1 Carton (0338-0047-46)  / 2000 Ml In 1 Bag,123.085,123.085,,,0
NDC,0338-0047-47,Sodium Chloride: 4 Bag In 1 Carton (0338-0047-47)  / 3000 Ml In 1 Bag,62.625,62.625,,,0
NDC,0338-0048-02,"Sodium Chloride: 24 Bottle, Plastic In 1 Carton (0338-0048-02)  / 250 Ml In 1 Bottle, Plastic",70.66,70.66,,,0
NDC,0338-0048-03,"Sodium Chloride: 18 Bottle, Plastic In 1 Carton (0338-0048-03)  / 500 Ml In 1 Bottle, Plastic",61.42,61.42,,,0
NDC,0338-0049-02,Sodium Chloride: 250 Ml In 1 Bag (0338-0049-02),83.24,83.24,,,0
NDC,0338-0049-04,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),35.37,35.37,,,0
NDC,0338-0049-10,Sodium Chloride: 4 Bag In 1 Package (0338-0049-10)  / 25 Ml In 1 Bag,36.92,36.92,,,0
NDC,0338-0049-18,Sodium Chloride: 4 Bag In 1 Package (0338-0049-18)  / 100 Ml In 1 Bag,69.14,69.14,,,0
NDC,0338-0049-31,Sodium Chloride: 16 Bag In 1 Package (0338-0049-31)  / 50 Ml In 1 Bag,64.74,64.74,,,0
NDC,0338-0049-41,Sodium Chloride: 1 Bag In 1 Package (0338-0049-41)  / 50 Ml In 1 Bag,41.445,41.445,,,0
NDC,0338-0049-48,Sodium Chloride: 1 Bag In 1 Package (0338-0049-48)  / 100 Ml In 1 Bag,49.155,49.155,,,0
NDC,0338-0054-03,Sodium Chloride: 24 Bag In 1 Carton (0338-0054-03)  / 500 Ml In 1 Bag,73.37,73.37,,,0
NDC,0338-0062-30,Dextrose: 30 Bag In 1 Carton (0338-0062-30)  / 250 Ml In 1 Bag,73.17,73.17,,,0
NDC,0338-0066-20,Dextrose: 20 Bag In 1 Carton (0338-0066-20)  / 500 Ml In 1 Bag,64.75,64.75,,,0
NDC,0338-0077-04,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0077-04)  / 1000 Ml In 1 Bag,75.39,75.39,,,0
NDC,0338-0085-03,Dextrose And Sodium Chloride: 24 Bag In 1 Carton (0338-0085-03)  / 500 Ml In 1 Bag,71.91,71.91,,,0
NDC,0338-0085-04,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0085-04)  / 1000 Ml In 1 Bag,75.63,75.63,,,0
NDC,0338-0089-03,Dextrose And Sodium Chloride: 24 Bag In 1 Carton (0338-0089-03)  / 500 Ml In 1 Bag,70.86,70.86,,,0
NDC,0338-0089-04,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0089-04)  / 1000 Ml In 1 Bag,37.76,37.76,,,0
NDC,0338-0114-04,"Lactated Ringers: 12 Bottle, Plastic In 1 Carton (0338-0114-04)  / 1000 Ml In 1 Bottle, Plastic",17.04,17.04,,,0
NDC,0338-0117-04,Lactated Ringers: 1000 Ml In 1 Bag (0338-0117-04),62.6,62.6,,,0
NDC,0338-0125-03,Lactated Ringers And Dextrose: 500 Ml In 1 Bag (0338-0125-03),69.9,69.9,,,0
NDC,0338-0125-04,Lactated Ringers And Dextrose: 1000 Ml In 1 Bag (0338-0125-04),75.62,75.62,,,0
NDC,0338-0126-12,Myxredlin: 12 Container In 1 Carton (0338-0126-12)  / 100 Ml In 1 Container,8.05,8.05,,,0
NDC,0338-0137-27,Lactated Ringers: 3000 Ml In 1 Bag (0338-0137-27),124.84,124.84,,,0
NDC,0338-0221-03,Plasma-Lyte A: 500 Ml In 1 Bag (0338-0221-03),62.44,62.44,,,0
NDC,0338-0221-04,Plasma-Lyte A: 1000 Ml In 1 Bag (0338-0221-04),68.08,68.08,,,0
NDC,0338-0322-01,Recothrom: 1 Kit In 1 Kit (0338-0322-01)  *  5 Ml In 1 Vial (0338-0324-01)  *  5 Ml In 1 Syringe,426.27,426.27,,,0
NDC,0338-0324-01,NDC Description Not Available,413.48,413.48,,,0
NDC,0338-0328-01,NDC Description Not Available,1546.74,1546.74,,,0
NDC,0338-0330-01,Recothrom: 1 Kit In 1 Kit (0338-0330-01)  *  20 Ml In 1 Vial (0338-0328-01)  *  20 Ml In 1 Vial,1681.41,1681.41,,,0
NDC,0338-0357-02,Osmitrol: 250 Ml In 1 Bag (0338-0357-02),170.455,170.455,,,0
NDC,0338-0411-02,Lidocaine Hydrochloride And Dextrose: 24 Bag In 1 Carton (0338-0411-02)  / 250 Ml In 1 Bag,0.04,0.04,,,0
NDC,0338-0424-18,Heparin Sodium In Sodium Chloride: 1 Bag In 1 Carton (0338-0424-18)  / 500 Ml In 1 Bag,52.68,52.68,,,0
NDC,0338-0519-09,Intralipid: 250 Ml In 1 Bag (0338-0519-09),150.16,150.16,,,0
NDC,0338-0519-58,Intralipid: 100 Ml In 1 Bag (0338-0519-58),135.22,135.22,,,0
NDC,0338-0663-04,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0663-04),99.84,99.84,,,0
NDC,0338-0669-04,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0669-04),107.9,107.9,,,0
NDC,0338-0671-04,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0671-04),88.65,88.65,,,0
NDC,0338-0673-04,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0673-04),82.43,82.43,,,0
NDC,0338-0675-04,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0675-04),113.48,113.48,,,0
NDC,0338-0691-04,Potassium Chloride In Sodium Chloride: 14 Bag In 1 Carton (0338-0691-04)  / 1000 Ml In 1 Bag,8.91,8.91,,,0
NDC,0338-0704-34,Potassium Chloride In Sodium Chloride: 14 Bag In 1 Carton (0338-0704-34)  / 1000 Ml In 1 Bag,10.71,10.71,,,0
NDC,0338-0705-48,Potassium Chloride: 24 Bag In 1 Carton (0338-0705-48)  / 100 Ml In 1 Bag,8.79,8.79,,,0
NDC,0338-0803-04,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0803-04),96.08,96.08,,,0
NDC,0338-0807-04,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0807-04),91.45,91.45,,,0
NDC,0338-1005-02,Dopamine Hydrochloride And Dextrose: 18 Bag In 1 Carton (0338-1005-02)  / 250 Ml In 1 Bag,34.22,34.22,,,0
NDC,0338-1007-02,Dopamine Hydrochloride And Dextrose: 18 Bag In 1 Carton (0338-1007-02)  / 250 Ml In 1 Bag,23.96,23.96,,,0
NDC,0338-1009-02,Dopamine Hydrochloride And Dextrose: 18 Bag In 1 Carton (0338-1009-02)  / 250 Ml In 1 Bag,9.51,9.51,,,0
NDC,0338-1055-48,Metronidazole: 24 Bag In 1 Carton (0338-1055-48)  / 100 Ml In 1 Bag,0.5,0.5,,,0
NDC,0338-1077-02,Dobutamine Hydrochloride In Dextrose: 18 Bag In 1 Carton (0338-1077-02)  / 250 Ml In 1 Bag,49.89,49.89,,,0
NDC,0338-1301-48,Cefepime: 12 Bag In 1 Box (0338-1301-48)  / 100 Ml In 1 Bag,18.81,18.81,,,0
NDC,0338-1305-01,"Mesnex: 1 Vial, Multi-Dose In 1 Box (0338-1305-01)  / 10 Ml In 1 Vial, Multi-Dose",16.18,16.18,,,0
NDC,0338-3503-41,Cefazolin: 24 Bag In 1 Carton (0338-3503-41)  / 50 Ml In 1 Bag,37.02,37.02,,,0
NDC,0338-3552-48,Vancomycin Hydrochloride: 200 Ml In 1 Bag (0338-3552-48),1.66,1.66,,,0
NDC,0338-5003-41,Ceftriaxone: 24 Bag In 1 Case (0338-5003-41)  / 50 Ml In 1 Bag,31.85,31.85,,,0
NDC,0338-9541-24,Metronidazole: 24 Bag In 1 Carton (0338-9541-24)  / 100 Ml In 1 Bag,0.41,0.41,,,0
NDC,0338-9543-02,Sodium Chloride: 250 Ml In 1 Bag (0338-9543-02),48.615,48.615,,,0
NDC,0338-9543-04,Sodium Chloride: 500 Ml In 1 Bag (0338-9543-04),47.58,47.58,,,0
NDC,0338-9553-50,NDC Description Not Available,29.075,29.075,,,0
NDC,0338-9557-12,Dexmedetomidine Hydrochloride: 12 Bag In 1 Carton (0338-9557-12)  / 100 Ml In 1 Bag,81.81,81.81,,,0
NDC,0338-9632-01,NDC Description Not Available,14.81,14.81,,,0
NDC,0338-9636-01,NDC Description Not Available,31.55,31.55,,,0
NDC,0338-9638-01,NDC Description Not Available,27.85,27.85,,,0
NDC,0378-0045-01,"Diltiazem Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0378-0045-01)",11.94,11.94,,,0
NDC,0378-0871-16,NDC Description Not Available,88.42,88.42,,,0
NDC,0378-0872-99,Clonidine: 4 Pouch In 1 Carton (0378-0872-99)  / 1 Patch In 1 Pouch (0378-0872-16)  / 7 D In 1 Patch,144.46,144.46,,,0
NDC,0378-0873-16,NDC Description Not Available,180.57,180.57,,,0
NDC,0378-3266-32,NDC Description Not Available,476.87,476.87,,,0
NDC,0378-3547-52,"Mercaptopurine: 25 Tablet In 1 Bottle, Plastic (0378-3547-52)",21.57,21.57,,,0
NDC,0378-6985-01,NDC Description Not Available,14.43,14.43,,,0
NDC,0378-7272-53,Norethindrone: 3 Pouch In 1 Carton (0378-7272-53)  / 1 Blister Pack In 1 Pouch (0378-7272-85)  / 28 Tablet In 1 Blister Pack,0.82,0.82,,,0
NDC,0378-7272-85,NDC Description Not Available,1.055,1.055,,,0
NDC,0378-7732-93,"Ondansetron: 30 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE, PLASTIC (0378-7732-93)",7.12,7.12,,,0
NDC,0378-7970-31,NDC Description Not Available,12.61,12.61,,,0
NDC,0378-8023-35,"Olopatadine Hydrochloride: 1 BOTTLE, DROPPER in 1 CARTON (0378-8023-35)  / 5 mL in 1 BOTTLE, DROPPER",251.69,251.69,,,0
NDC,0378-8270-31,NDC Description Not Available,4.41,4.41,,,0
NDC,0378-8270-64,NDC Description Not Available,4.11,4.11,,,0
NDC,0378-8270-91,Albuterol Sulfate: 2 Pouch In 1 Carton (0378-8270-91)  / 30 Ampule In 1 Pouch (0378-8270-64)  / 3 Ml In 1 Ampule,4.2,4.2,,,0
NDC,0378-9691-52,Levalbuterol: 1 Pouch In 1 Carton (0378-9691-52)  / 25 Ampule In 1 Pouch (0378-9691-62)  / 3 Ml In 1 Ampule,13.6,13.6,,,0
NDC,0395-0413-96,"Humco Calamine: 177 Ml In 1 Bottle, Plastic (0395-0413-96)",34.83,34.83,,,0
NDC,0395-1003-92,"Humco Gentian Violet 1%: 59 Ml In 1 Bottle, Plastic (0395-1003-92)",48.5,48.5,,,0
NDC,0395-1031-16,NDC Description Not Available,8.959999999999999,8.959999999999999,,,0
NDC,0395-1031-96,NDC Description Not Available,3.795,3.795,,,0
NDC,0406-0127-01,"Methylphenidate Hydrochloride Extended-Release: 100 Tablet, Extended Release In 1 Bottle (0406-0127-01)",29.619999999999997,29.619999999999997,,,0
NDC,0406-0552-01,Oxycodone Hydrochloride: 100 Tablet In 1 Bottle (0406-0552-01),10.765,10.765,,,0
NDC,0406-0552-23,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-0552-23),13.085,13.085,,,0
NDC,0406-1236-01,Diphenoxylate Hydrochloride And Atropine Sulfate: 100 Tablet In 1 Bottle (0406-1236-01),8.594999999999999,8.594999999999999,,,0
NDC,0406-3243-01,Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle (0406-3243-01),8.715,8.715,,,0
NDC,0406-5755-23,Methadone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-5755-23),12.41,12.41,,,0
NDC,0406-5771-23,Methadone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-5771-23),11.015,11.015,,,0
NDC,0406-6225-05,Methadone Hydrochloride: 500 Ml In 1 Bottle (0406-6225-05),12.9,12.9,,,0
NDC,0406-8510-23,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-8510-23),14.93,14.93,,,0
NDC,0407-1411-10,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1411-10)  / 10 Ml In 1 Vial, Glass",18.82,18.82,,,0
NDC,0407-1412-10,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1412-10)  / 10 Ml In 1 Vial, Glass",21.85,21.85,,,0
NDC,0407-1412-20,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1412-20)  / 20 Ml In 1 Vial, Glass",11.56,11.56,,,0
NDC,0407-1412-30,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1412-30)  / 50 Ml In 1 Bottle, Plastic",1.54,1.54,,,0
NDC,0407-1413-10,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1413-10)  / 10 Ml In 1 Vial, Glass",17.855,17.855,,,0
NDC,0407-1413-61,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-61)  / 50 Ml In 1 Bottle, Plastic",1.45,1.45,,,0
NDC,0407-1413-63,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-63)  / 100 Ml In 1 Bottle, Plastic",1.4,1.4,,,0
NDC,0407-1414-91,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-91)  / 100 Ml In 1 Bottle, Plastic",1.27,1.27,,,0
NDC,0407-2223-16,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-16)  / 50 Ml In 1 Bottle, Plastic",2.6,2.6,,,0
NDC,0407-2223-17,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-17)  / 100 Ml In 1 Bottle, Plastic",2.27,2.27,,,0
NDC,0409-0007-01,NDC Description Not Available,32.05,32.05,,,0
NDC,0409-0007-10,"Lidocaine Hydrochloride And Epinephrine: 10 Vial, Multi-Dose In 1 Carton (0409-0007-10)  / 20 Ml In 1 Vial, Multi-Dose (0409-0007-01)",30.41,30.41,,,0
NDC,0409-0125-01,NDC Description Not Available,12.09,12.09,,,0
NDC,0409-0152-01,NDC Description Not Available,0.665,0.665,,,0
NDC,0409-0152-24,Metronidazole: 24 Pouch In 1 Carton (0409-0152-24)  / 1 Bag In 1 Pouch (0409-0152-01)  / 100 Ml In 1 Bag,0.56,0.56,,,0
NDC,0409-0212-03,"Milrinone Lactate: 1 Vial, Single-Dose In 1 Carton (0409-0212-03)  / 50 Ml In 1 Vial, Single-Dose",10.49,10.49,,,0
NDC,0409-0212-10,NDC Description Not Available,20.67,20.67,,,0
NDC,0409-0302-01,"Topotecan: 1 Vial, Single-Dose In 1 Carton (0409-0302-01)  / 4 Ml In 1 Vial, Single-Dose",22.805,22.805,,,0
NDC,0409-0367-01,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (0409-0367-01)  / 4 Ml In 1 Vial, Multi-Dose",13.29,13.29,,,0
NDC,0409-1005-01,NDC Description Not Available,61.42,61.42,,,0
NDC,0409-1005-20,Heparin Sodium: 20 Pouch In 1 Case (0409-1005-20)  / 1 Bag In 1 Pouch / 500 Ml In 1 Bag (0409-1005-01),51.33,51.33,,,0
NDC,0409-1141-02,"Sodium Chloride: 25 Vial, Pharmacy Bulk Package In 1 Case (0409-1141-02)  / 100 Ml In 1 Vial, Pharmacy Bulk Package (0409-1141-12)",13.09,13.09,,,0
NDC,0409-1141-12,NDC Description Not Available,50.56,50.56,,,0
NDC,0409-1159-01,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-01)  / 10 Ml In 1 Vial, Single-Dose (0409-1159-18)",0.84,0.84,,,0
NDC,0409-1159-18,NDC Description Not Available,1.7,1.7,,,0
NDC,0409-1162-01,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1162-01)  / 10 Ml In 1 Vial, Single-Dose (0409-1162-18)",0.27,0.27,,,0
NDC,0409-1162-02,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1162-02)  / 30 Ml In 1 Vial, Single-Dose (0409-1162-19)",0.14,0.14,,,0
NDC,0409-1162-18,NDC Description Not Available,2.19,2.19,,,0
NDC,0409-1207-13,NDC Description Not Available,23.19,23.19,,,0
NDC,0409-1209-01,Lidocaine Hydrochloride And Epinephrine: 10 Ampule In 1 Tray (0409-1209-01)  / 5 Ml In 1 Ampule (0409-1209-10),38.58,38.58,,,0
NDC,0409-1209-10,NDC Description Not Available,38.07,38.07,,,0
NDC,0409-1215-01,"Naloxone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0409-1215-01)  / 1 Ml In 1 Vial, Single-Dose (0409-1215-21)",3.66,3.66,,,0
NDC,0409-1219-01,"Naloxone Hydrochloride: 25 Carton In 1 Case (0409-1219-01)  / 1 Vial, Multi-Dose In 1 Carton / 10 Ml In 1 Vial, Multi-Dose (0409-1219-41)",0.34,0.34,,,0
NDC,0409-1219-41,NDC Description Not Available,1.64,1.64,,,0
NDC,0409-1273-03,NDC Description Not Available,45.49,45.49,,,0
NDC,0409-1323-05,"Lidocaine Hydrochloride: 10 Carton In 1 Container (0409-1323-05)  / 1 Syringe, Plastic In 1 Carton / 5 Ml In 1 Syringe, Plastic (0409-1323-15)",0.97,0.97,,,0
NDC,0409-1323-15,NDC Description Not Available,1.12,1.12,,,0
NDC,0409-1559-19,NDC Description Not Available,0.39,0.39,,,0
NDC,0409-1623-01,"Butorphanol Tartrate: 10 Vial, Single-Dose In 1 Carton (0409-1623-01)  / 1 Ml In 1 Vial, Single-Dose (0409-1623-21)",46.14,46.14,,,0
NDC,0409-1623-21,NDC Description Not Available,54.52,54.52,,,0
NDC,0409-1631-10,"Calcium Chloride: 10 Carton In 1 Container (0409-1631-10)  / 1 Syringe, Plastic In 1 Carton (0409-1631-40)  / 10 Ml In 1 Syringe, Plastic",50.18000000000001,50.18000000000001,,,0
NDC,0409-1631-40,NDC Description Not Available,55.19,55.19,,,0
NDC,0409-1632-01,Vecuronium Bromide: 10 Vial In 1 Carton (0409-1632-01)  / 10 Ml In 1 Vial (0409-1632-21),232.02,232.02,,,0
NDC,0409-1638-32,NDC Description Not Available,43.42,43.42,,,0
NDC,0409-1660-10,Precedex: 10 Bottle In 1 Tray (0409-1660-10)  / 100 Ml In 1 Bottle (0409-1660-35),34.6,34.6,,,0
NDC,0409-1746-10,"Marcaine With Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-1746-10)  / 10 Ml In 1 Vial, Single-Dose (0409-1746-70)",42.205,42.205,,,0
NDC,0409-1749-10,"Marcaine With Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-1749-10)  / 10 Ml In 1 Vial, Single-Dose (0409-1749-70)",42.89,42.89,,,0
NDC,0409-1749-70,NDC Description Not Available,46.165,46.165,,,0
NDC,0409-1890-01,Morphine Sulfate: 10 Cartridge In 1 Carton (0409-1890-01)  / 1 Ml In 1 Cartridge (0409-1890-03),29.57,29.57,,,0
NDC,0409-1890-03,NDC Description Not Available,32.89,32.89,,,0
NDC,0409-1890-13,NDC Description Not Available,35.29,35.29,,,0
NDC,0409-2045-01,NDC Description Not Available,35.97,35.97,,,0
NDC,0409-2051-15,NDC Description Not Available,49.65,49.65,,,0
NDC,0409-2300-01,NDC Description Not Available,34.11,34.11,,,0
NDC,0409-2305-16,NDC Description Not Available,16.43,16.43,,,0
NDC,0409-2305-17,"Midazolam: 25 Vial, Single-Dose In 1 Tray (0409-2305-17)  / 2 Ml In 1 Vial, Single-Dose (0409-2305-16)",16.89,16.89,,,0
NDC,0409-2308-01,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2308-01)  / 1 Ml In 1 Vial, Single-Dose (0409-2308-21)",9.97,9.97,,,0
NDC,0409-2308-21,NDC Description Not Available,16.07,16.07,,,0
NDC,0409-2308-22,NDC Description Not Available,18.685,18.685,,,0
NDC,0409-2634-10,NDC Description Not Available,0.365,0.365,,,0
NDC,0409-2634-25,NDC Description Not Available,0.155,0.155,,,0
NDC,0409-2634-50,"Hydromorphone Hydrochloride: 1 Vial, Single-Dose In 1 Box (0409-2634-50)  / 50 Ml In 1 Vial, Single-Dose",0.21,0.21,,,0
NDC,0409-2720-01,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2720-01)  / 1 Ml In 1 Vial, Single-Dose (0409-2720-30)",36.84,36.84,,,0
NDC,0409-2720-30,NDC Description Not Available,13.08,13.08,,,0
NDC,0409-2720-31,NDC Description Not Available,28.51,28.51,,,0
NDC,0409-2723-01,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2723-01)  / 1 Ml In 1 Vial, Single-Dose (0409-2723-30)",6.63,6.63,,,0
NDC,0409-2723-30,NDC Description Not Available,6.5,6.5,,,0
NDC,0409-3177-01,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3177-01)  / 50 Ml In 1 Vial, Multi-Dose (0409-3177-16)",29.52,29.52,,,0
NDC,0409-3177-16,NDC Description Not Available,29.51,29.51,,,0
NDC,0409-3178-01,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3178-01)  / 20 Ml In 1 Vial, Multi-Dose (0409-3178-16)",31.23,31.23,,,0
NDC,0409-3178-17,NDC Description Not Available,33.25,33.25,,,0
NDC,0409-3294-61,NDC Description Not Available,38.95,38.95,,,0
NDC,0409-3299-15,NDC Description Not Available,44.73,44.73,,,0
NDC,0409-3300-01,NDC Description Not Available,30.89,30.89,,,0
NDC,0409-3308-03,Acetylcysteine: 3 Vial In 1 Carton (0409-3308-03)  / 30 Ml In 1 Vial (0409-3308-11),21.95,21.95,,,0
NDC,0409-3308-11,NDC Description Not Available,21.74,21.74,,,0
NDC,0409-3365-01,"25 VIAL, SINGLE-DOSE in 1 TRAY (0409-3365-01)  / 1 mL in 1 VIAL, SINGLE-DOSE (0409-3365-11)",3.63,3.63,,,0
NDC,0409-3382-11,NDC Description Not Available,78.1,78.1,,,0
NDC,0409-3382-21,"Sufentanil Citrate: 10 Vial, Single-Dose In 1 Carton (0409-3382-21)  / 1 Ml In 1 Vial, Single-Dose (0409-3382-11)",74.37,74.37,,,0
NDC,0409-3414-01,"Metoclopramide: 25 Vial, Single-Dose In 1 Tray (0409-3414-01)  / 2 Ml In 1 Vial, Single-Dose (0409-3414-18)",31.77,31.77,,,0
NDC,0409-3414-18,NDC Description Not Available,29.59,29.59,,,0
NDC,0409-3414-21,NDC Description Not Available,31.59,31.59,,,0
NDC,0409-3815-11,NDC Description Not Available,103.65,103.65,,,0
NDC,0409-3815-12,"Morphine Sulfate: 5 Vial, Glass In 1 Carton (0409-3815-12)  / 10 Ml In 1 Vial, Glass (0409-3815-11)",40.06,40.06,,,0
NDC,0409-4031-01,"Mannitol: 25 Vial, Single-Dose In 1 Tray (0409-4031-01)  / 50 Ml In 1 Vial, Single-Dose (0409-4031-16)",6.46,6.46,,,0
NDC,0409-4092-01,"Copper: 25 Vial, Single-Dose In 1 Tray (0409-4092-01)  / 10 Ml In 1 Vial, Single-Dose (0409-4092-11)",1040.0,1040.0,,,0
NDC,0409-4277-01,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4277-01)  / 20 Ml In 1 Vial, Multi-Dose (0409-4277-16)",0.54,0.54,,,0
NDC,0409-4279-16,NDC Description Not Available,11.74,11.74,,,0
NDC,0409-4346-16,NDC Description Not Available,56.72,56.72,,,0
NDC,0409-4520-02,NDC Description Not Available,10.22,10.22,,,0
NDC,0409-4713-75,NDC Description Not Available,42.46,42.46,,,0
NDC,0409-4755-18,NDC Description Not Available,6.31,6.31,,,0
NDC,0409-4887-10,"Sterile Water: 25 Vial, Plastic In 1 Tray (0409-4887-10)  / 10 Ml In 1 Vial, Plastic (0409-4887-17)",28.72,28.72,,,0
NDC,0409-4887-23,NDC Description Not Available,29.06,29.06,,,0
NDC,0409-4887-24,NDC Description Not Available,33.19,33.19,,,0
NDC,0409-4887-25,NDC Description Not Available,43.51,43.51,,,0
NDC,0409-4888-02,NDC Description Not Available,19.44,19.44,,,0
NDC,0409-4888-03,NDC Description Not Available,48.545,48.545,,,0
NDC,0409-4933-01,"Epinephrine: 10 Carton In 1 Package (0409-4933-01)  / 1 Syringe, Glass In 1 Carton / 10 Ml In 1 Syringe, Glass (0409-4933-11)",9.68,9.68,,,0
NDC,0409-5084-13,NDC Description Not Available,16.08,16.08,,,0
NDC,0409-5534-14,Sodium Bicarbonate: 10 Carton In 1 Package (0409-5534-14)  / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe (0409-5534-24),122.14,122.14,,,0
NDC,0409-5820-01,"Dopamine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-5820-01)  / 5 Ml In 1 Vial, Single-Dose (0409-5820-11)",21.73,21.73,,,0
NDC,0409-5921-16,NDC Description Not Available,72.19,72.19,,,0
NDC,0409-6102-19,NDC Description Not Available,2.16,2.16,,,0
NDC,0409-6482-01,Erythrocin Lactobionate: 10 Vial In 1 Tray (0409-6482-01)  / 10 Ml In 1 Vial (0409-6482-11),517.52,517.52,,,0
NDC,0409-6482-11,NDC Description Not Available,153.4,153.4,,,0
NDC,0409-6509-01,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-6509-01)  / 100 Ml In 1 Vial, Pharmacy Bulk Package",1.28,1.28,,,0
NDC,0409-6533-11,NDC Description Not Available,24.01,24.01,,,0
NDC,0409-6562-01,Testosterone Cypionate: 1 Vial In 1 Carton (0409-6562-01)  / 1 Ml In 1 Vial,0.94,0.94,,,0
NDC,0409-6625-02,Sodium Bicarbonate: 25 VIAL in 1 TRAY (0409-6625-02)  / 50 mL in 1 VIAL,49.51,49.51,,,0
NDC,0409-6625-14,"Sodium Bicarbonate: 25 Vial, Single-Dose In 1 Tray (0409-6625-14)  / 50 Ml In 1 Vial, Single-Dose (0409-6625-22)",48.7,48.7,,,0
NDC,0409-6635-18,NDC Description Not Available,11.87,11.87,,,0
NDC,0409-6637-14,Sodium Bicarbonate: 10 Carton In 1 Package (0409-6637-14)  / 1 Syringe In 1 Carton / 50 Ml In 1 Syringe (0409-6637-24),88.08,88.08,,,0
NDC,0409-6637-34,Sodium Bicarbonate: 10 CARTON in 1 PACKAGE (0409-6637-34)  / 1 SYRINGE in 1 CARTON / 50 mL in 1 SYRINGE,59.59,59.59,,,0
NDC,0409-6648-02,"Dextrose: 25 Vial, Single-Dose In 1 Tray (0409-6648-02)  / 50 Ml In 1 Vial, Single-Dose (0409-6648-16)",67.18,67.18,,,0
NDC,0409-6651-19,NDC Description Not Available,7.32,7.32,,,0
NDC,0409-6653-18,NDC Description Not Available,4.2,4.2,,,0
NDC,0409-6729-11,NDC Description Not Available,13.9,13.9,,,0
NDC,0409-6729-24,Magnesium Sulfate In Water: 24 Pouch In 1 Case (0409-6729-24)  / 1 Bag In 1 Pouch / 50 Ml In 1 Bag (0409-6729-11),21.94,21.94,,,0
NDC,0409-7037-01,NDC Description Not Available,29.14,29.14,,,0
NDC,0409-7075-26,Potassium Chloride: 24 POUCH in 1 CASE (0409-7075-26)  / 1 BAG in 1 POUCH / 100 mL in 1 BAG,21.95,21.95,,,0
NDC,0409-7295-01,"Potassium Phosphates: 25 Vial, Single-Dose In 1 Tray (0409-7295-01)  / 15 Ml In 1 Vial, Single-Dose (0409-7295-11)",58.36,58.36,,,0
NDC,0409-7295-11,NDC Description Not Available,51.13,51.13,,,0
NDC,0409-7299-83,NDC Description Not Available,38.69,38.69,,,0
NDC,0409-7332-01,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7332-01)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7332-11)",6.65,6.65,,,0
NDC,0409-7332-11,NDC Description Not Available,7.51,7.51,,,0
NDC,0409-7334-10,"Ceftriaxone Sodium: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-7334-10)  / 100 Ml In 1 Vial, Pharmacy Bulk Package",10.19,10.19,,,0
NDC,0409-7335-03,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7335-03)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7335-13)",5.25,5.25,,,0
NDC,0409-7335-13,NDC Description Not Available,11.35,11.35,,,0
NDC,0409-7391-72,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (0409-7391-72)  / 15 Ml In 1 Vial, Single-Dose (0409-7391-82)",70.75,70.75,,,0
NDC,0409-7517-66,NDC Description Not Available,66.02,66.02,,,0
NDC,0409-7620-03,Heparin Sodium: 18 Pouch In 1 Case (0409-7620-03)  / 1 Bag In 1 Pouch / 500 Ml In 1 Bag (0409-7620-13),50.12,50.12,,,0
NDC,0409-7620-13,NDC Description Not Available,52.17,52.17,,,0
NDC,0409-7650-05,NDC Description Not Available,4.43,4.43,,,0
NDC,0409-7650-52,NDC Description Not Available,4.53,4.53,,,0
NDC,0409-7650-62,Heparin Sodium: 24 Pouch In 1 Case (0409-7650-62)  / 1 Bag In 1 Pouch / 250 Ml In 1 Bag (0409-7650-52),48.8,48.8,,,0
NDC,0409-7809-11,NDC Description Not Available,15.22,15.22,,,0
NDC,0409-7809-22,Dopamine Hydrochloride In Dextrose: 12 Bag In 1 Carton (0409-7809-22)  / 250 Ml In 1 Bag (0409-7809-11),10.98,10.98,,,0
NDC,0409-7810-11,NDC Description Not Available,8.62,8.62,,,0
NDC,0409-7811-24,Metronidazole: 24 POUCH in 1 CASE (0409-7811-24)  / 1 BAG in 1 POUCH / 100 mL in 1 BAG (0409-7811-31),0.7,0.7,,,0
NDC,0409-7990-09,Sterile Water: 12 POUCH in 1 CASE (0409-7990-09)  / 1 BAG in 1 POUCH / 1000 mL in 1 BAG,66.35,66.35,,,0
NDC,0409-8183-01,"Potassium Acetate: 25 Vial, Single-Dose In 1 Tray (0409-8183-01)  / 20 Ml In 1 Vial, Single-Dose (0409-8183-11)",36.78,36.78,,,0
NDC,0409-8183-11,NDC Description Not Available,35.9,35.9,,,0
NDC,0409-9042-01,"Bupivacaine Hydrochloride And Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-9042-01)  / 10 Ml In 1 Vial, Single-Dose (0409-9042-11)",39.44,39.44,,,0
NDC,0409-9094-12,NDC Description Not Available,28.86,28.86,,,0
NDC,0409-9094-16,NDC Description Not Available,13.42,13.42,,,0
NDC,0409-9094-17,NDC Description Not Available,10.03,10.03,,,0
NDC,0409-9094-18,NDC Description Not Available,8.34,8.34,,,0
NDC,0409-9094-22,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-22)  / 2 Ml In 1 Vial, Single-Dose (0409-9094-12)",32.55,32.55,,,0
NDC,0409-9094-25,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-25)  / 5 Ml In 1 Vial, Single-Dose (0409-9094-18)",10.7,10.7,,,0
NDC,0409-9094-31,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-31)  / 20 Ml In 1 Vial, Single-Dose (0409-9094-16)",11.15,11.15,,,0
NDC,0409-9094-41,NDC Description Not Available,5.06,5.06,,,0
NDC,0409-9094-61,"Fentanyl Citrate: 25 Carton In 1 Tray (0409-9094-61)  / 1 Vial, Single-Dose In 1 Carton / 50 Ml In 1 Vial, Single-Dose (0409-9094-41)",4.43,4.43,,,0
NDC,0409-9104-21,NDC Description Not Available,19.06,19.06,,,0
NDC,0409-9158-31,NDC Description Not Available,22.64,22.64,,,0
NDC,0409-9158-50,NDC Description Not Available,22.35,22.35,,,0
NDC,0430-0420-14,Lo Loestrin Fe: 5 Blister Pack In 1 Carton (0430-0420-14)  / 1 Kit In 1 Blister Pack,47.31,47.31,,,0
NDC,0456-0600-01,NDC Description Not Available,20.73,20.73,,,0
NDC,0456-1201-30,"Linzess: 1 Bottle In 1 Carton (0456-1201-30)  / 30 Capsule, Gelatin Coated In 1 Bottle",133.58,133.58,,,0
NDC,0456-1203-30,"Linzess: 1 Bottle In 1 Carton (0456-1203-30)  / 30 Capsule, Gelatin Coated In 1 Bottle",132.955,132.955,,,0
NDC,0456-2700-01,NDC Description Not Available,520.485,520.485,,,0
NDC,0456-2700-10,"Avycaz: 10 Vial, Single-Dose In 1 Carton (0456-2700-10)  / 1 Powder, For Solution In 1 Vial, Single-Dose (0456-2700-01)",252.57,252.57,,,0
NDC,0469-0420-01,"Cresemba: 1 Vial, Single-Dose In 1 Carton (0469-0420-01)  / 5 Ml In 1 Vial, Single-Dose",5.09,5.09,,,0
NDC,0469-0420-99,"Cresemba: 10 Carton In 1 Carton (0469-0420-99)  / 1 Vial, Single-Dose In 1 Carton (0469-0420-01)  / 5 Ml In 1 Vial, Single-Dose",0.68,0.68,,,0
NDC,0469-0520-02,Cresemba: 2 Blister Pack In 1 Carton (0469-0520-02)  / 7 Capsule In 1 Blister Pack,570.57,570.57,,,0
NDC,0469-1425-90,Xospata: 1 Bottle In 1 Carton (0469-1425-90)  / 90 Tablet In 1 Bottle,2098.04,2098.04,,,0
NDC,0469-3016-01,Prograf: 10 Ampule In 1 Box (0469-3016-01)  / 1 Ml In 1 Ampule,796.15,796.15,,,0
NDC,0469-3051-30,"Ambisome: 12.5 Ml In 1 Vial, Single-Dose (0469-3051-30)",163.45,163.45,,,0
NDC,0469-5020-99,Myrbetriq: 1 Bottle In 1 Carton (0469-5020-99)  / 100 Ml In 1 Bottle,118.535,118.535,,,0
NDC,0472-0013-04,Griseofulvin: 120 Ml In 1 Bottle (0472-0013-04),3.52,3.52,,,0
NDC,0472-0242-60,Permethrin: 1 Tube In 1 Carton (0472-0242-60)  / 60 G In 1 Tube,137.18,137.18,,,0
NDC,0472-0735-14,Antifungal: 1 TUBE in 1 CARTON (0472-0735-14)  / 14 g in 1 TUBE,16.11,16.11,,,0
NDC,0486-1134-01,"K-Phos No. 2: 100 Tablet, Coated In 1 Bottle (0486-1134-01)",17.935,17.935,,,0
NDC,0487-0201-01,"Ipratropium Bromide And Albuterol Sulfate: 30 Pouch In 1 Carton (0487-0201-01)  / 1 Vial, Single-Use In 1 Pouch / 3 Ml In 1 Vial, Single-Use",14.46,14.46,,,0
NDC,0487-0301-01,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-0301-01)  / 1 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",21.11,21.11,,,0
NDC,0487-2784-01,"Asthmanefrin: 30 Pouch In 1 Carton (0487-2784-01)  / 1 Vial, Single-Use In 1 Pouch / .5 Ml In 1 Vial, Single-Use",24.35,24.35,,,0
NDC,0487-5901-99,"S2: 30 Pouch In 1 Carton (0487-5901-99)  / 1 Vial, Single-Use In 1 Pouch / .5 Ml In 1 Vial, Single-Use",23.93,23.93,,,0
NDC,0487-9301-03,NDC Description Not Available,13.85,13.85,,,0
NDC,0487-9301-33,NDC Description Not Available,13.95,13.95,,,0
NDC,0487-9501-01,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-9501-01)  / 1 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",4.57,4.57,,,0
NDC,0487-9601-01,Budesonide: 6 Pouch In 1 Carton (0487-9601-01)  / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,40.98,40.98,,,0
NDC,0487-9701-01,Budesonide: 6 Pouch In 1 Carton (0487-9701-01)  / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,62.47,62.47,,,0
NDC,0487-9701-30,Budesonide: 30 Pouch In 1 Carton (0487-9701-30)  / 1 Ampule In 1 Pouch / 2 Ml In 1 Ampule,29.31,29.31,,,0
NDC,0487-9801-01,"Ipratropium Bromide: 30 Pouch In 1 Carton (0487-9801-01)  / 1 Vial, Single-Dose In 1 Pouch / 2.5 Ml In 1 Vial, Single-Dose",12.47,12.47,,,0
NDC,0487-9901-30,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-9901-30)  / 1 Vial, Single-Dose In 1 Pouch / .5 Ml In 1 Vial, Single-Dose",4.09,4.09,,,0
NDC,0487-9904-01,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-9904-01)  / 1 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",10.3,10.3,,,0
NDC,0496-0882-05,Lmx4: 5 G In 1 Tube (0496-0882-05),24.15,24.15,,,0
NDC,0496-0882-06,Lmx4: 5 Tube In 1 Carton (0496-0882-06)  / 5 G In 1 Tube (0496-0882-05),26.81,26.81,,,0
NDC,0517-0374-01,NDC Description Not Available,11.24,11.24,,,0
NDC,0517-0374-05,Provayblue: 5 Ampule In 1 Carton (0517-0374-05)  / 10 Ml In 1 Ampule (0517-0374-01),12.67,12.67,,,0
NDC,0517-0901-01,NDC Description Not Available,42.34,42.34,,,0
NDC,0517-1001-25,"Atropine Sulfate: 25 Vial, Glass In 1 Tray (0517-1001-25)  / 1 Ml In 1 Vial, Glass (0517-1001-01)",2.05,2.05,,,0
NDC,0517-1820-01,Chlorothiazide Sodium: 1 Vial In 1 Carton (0517-1820-01)  / 18 Ml In 1 Vial,58.68,58.68,,,0
NDC,0517-2310-01,NDC Description Not Available,2.29,2.29,,,0
NDC,0517-2310-05,"Venofer: 5 Vial, Single-Dose In 1 Box (0517-2310-05)  / 10 Ml In 1 Vial, Single-Dose (0517-2310-01)",2.27,2.27,,,0
NDC,0517-2340-01,"Venofer: 1 Vial, Single-Dose In 1 Box (0517-2340-01)  / 5 Ml In 1 Vial, Single-Dose",3.14,3.14,,,0
NDC,0517-2340-10,"Venofer: 10 Vial, Single-Dose In 1 Box (0517-2340-10)  / 5 Ml In 1 Vial, Single-Dose",2.48,2.48,,,0
NDC,0517-2340-25,"Venofer: 25 Vial, Single-Dose In 1 Tray (0517-2340-25)  / 5 Ml In 1 Vial, Single-Dose",2.37,2.37,,,0
NDC,0517-2502-01,NDC Description Not Available,152.51,152.51,,,0
NDC,0517-2502-10,"Caffeine And Sodium Benzoate: 10 Vial, Single-Dose In 1 Box (0517-2502-10)  / 2 Ml In 1 Vial, Single-Dose (0517-2502-01)",194.43,194.43,,,0
NDC,0517-4002-01,NDC Description Not Available,90.4,90.4,,,0
NDC,0517-4002-25,Papaverine Hydrochloride: 25 Vial In 1 Carton (0517-4002-25)  / 2 Ml In 1 Vial (0517-4002-01),108.92,108.92,,,0
NDC,0517-4810-25,"Nitroglycerin: 25 Vial, Single-Dose In 1 Tray (0517-4810-25)  / 10 Ml In 1 Vial, Single-Dose (0517-4810-01)",36.91,36.91,,,0
NDC,0517-5601-01,NDC Description Not Available,85.94,85.94,,,0
NDC,0517-5601-25,"Hydroxyzine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0517-5601-25)  / 1 Ml In 1 Vial, Single-Dose (0517-5601-01)",92.89,92.89,,,0
NDC,0517-6710-01,NDC Description Not Available,171.83,171.83,,,0
NDC,0517-6710-10,"Calcium Chloride: 10 Vial, Glass In 1 Box (0517-6710-10)  / 10 Ml In 1 Vial, Glass",58.19,58.19,,,0
NDC,0517-7504-25,"Acetylcysteine: 25 Vial, Glass In 1 Tray (0517-7504-25)  / 4 Ml In 1 Vial, Glass",49.78,49.78,,,0
NDC,0517-9120-01,NDC Description Not Available,30.35,30.35,,,0
NDC,0517-9120-25,"Aminocaproic Acid: 25 Vial, Multi-Dose In 1 Tray (0517-9120-25)  / 20 Ml In 1 Vial, Multi-Dose",27.64,27.64,,,0
NDC,0517-9702-01,NDC Description Not Available,50.75,50.75,,,0
NDC,0527-0586-01,Dicyclomine Hydrochloride: 100 Capsule In 1 Bottle (0527-0586-01),9.29,9.29,,,0
NDC,0527-1948-68,"Levofloxacin: 1 Bottle, Plastic In 1 Carton (0527-1948-68)  / 200 Ml In 1 Bottle, Plastic",146.32999999999998,146.32999999999998,,,0
NDC,0527-2133-35,"Posaconazole: 60 Tablet, Delayed Release In 1 Bottle (0527-2133-35)",35.86,35.86,,,0
NDC,0527-4591-13,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (0527-4591-13)  / 10 Capsule In 1 Blister Pack,12.1,12.1,,,0
NDC,0527-5137-62,"Oseltamivir Phosphate: 1 Bottle, Plastic In 1 Carton (0527-5137-62)  / 60 Ml In 1 Bottle, Plastic",17.85,17.85,,,0
NDC,0536-1046-10,Sodium Bicarbonate Antacid: 1000 Tablet In 1 Bottle (0536-1046-10),5.71,5.71,,,0
NDC,0536-1054-29,"Aspirin: 1 Bottle, Plastic In 1 Carton (0536-1054-29)  / 100 Tablet, Film Coated In 1 Bottle, Plastic",0.8200000000000001,0.8200000000000001,,,0
NDC,0536-1055-56,Rugby Benzoyl Peroxide Acne Medication: 1 Tube In 1 Carton (0536-1055-56)  / 42.5 Ml In 1 Tube,18.875,18.875,,,0
NDC,0536-1143-97,Rugby Petrolatum Hydrating Skin Protectant: 100 G In 1 Jar (0536-1143-97),38.66,38.66,,,0
NDC,0536-1143-98,Rugby Petrolatum Hydrating Skin Protectant: 454 G In 1 Jar (0536-1143-98),74.29,74.29,,,0
NDC,0536-1214-29,"Diphenhydramine Hcl: 100 Tablet, Film Coated In 1 Bottle, Plastic (0536-1214-29)",11.75,11.75,,,0
NDC,0536-1228-58,"Rugby Cherry Flavor: 177 Ml In 1 Bottle, Spray (0536-1228-58)",21.0,21.0,,,0
NDC,0536-1263-28,Bacitracin Zinc: 1 Tube In 1 Box (0536-1263-28)  / 28 G In 1 Tube,17.89,17.89,,,0
NDC,0536-1303-75,"Infants: 1 Bottle, Dropper In 1 Carton (0536-1303-75)  / 30 Ml In 1 Bottle, Dropper",12.665,12.665,,,0
NDC,0536-1325-94,Rugby Lubricating Drops: 15 Ml In 1 Bottle (0536-1325-94),40.75,40.75,,,0
NDC,0536-1349-57,Rugby Muscle Rub Cream: 1 Tube In 1 Carton (0536-1349-57)  / 85 G In 1 Tube,21.445,21.445,,,0
NDC,0536-1408-94,"Rugby Polyvinyl Alcohol 1.4% Lubricating Eye Drops: 1 Bottle, Dropper In 1 Box (0536-1408-94)  / 15 Ml In 1 Bottle, Dropper",40.63,40.63,,,0
NDC,0536-1995-53,"Rugby Anti-Dandruff: 207 Ml In 1 Bottle, Plastic (0536-1995-53)",19.685000000000002,19.685000000000002,,,0
NDC,0536-2525-25,Capsaicin: 1 Tube In 1 Carton (0536-2525-25)  / 60 G In 1 Tube,41.17,41.17,,,0
NDC,0536-7415-51,Ready-To-Use: 1 Bottle In 1 Carton (0536-7415-51)  / 133 Ml In 1 Bottle,16.22,16.22,,,0
NDC,0548-5400-00,"Medroxyprogesterone Acetate: 1 Vial, Single-Dose In 1 Carton (0548-5400-00)  / 1 Ml In 1 Vial, Single-Dose",1.19,1.19,,,0
NDC,0548-5602-00,Enoxaparin Sodium: 10 Syringe In 1 Carton (0548-5602-00)  / .4 Ml In 1 Syringe,16.46,16.46,,,0
NDC,0548-5608-00,Enoxaparin Sodium: 1 Vial In 1 Carton (0548-5608-00)  / 3 Ml In 1 Vial,29.47,29.47,,,0
NDC,0548-5701-00,Medroxyprogesterone Acetate: 1 Syringe In 1 Carton (0548-5701-00)  / 1 Ml In 1 Syringe,1.19,1.19,,,0
NDC,0548-5850-00,Glucagon: 1 Kit In 1 Kit (0548-5850-00)  *  1 Ml In 1 Vial (0548-5905-00)  *  1 Ml In 1 Syringe (0548-5831-00),1612.14,1612.14,,,0
NDC,0548-5900-00,Cortrosyn: 10 Vial In 1 Carton (0548-5900-00)  / 1 Ml In 1 Vial,48.08,48.08,,,0
NDC,0548-9502-00,Isoproterenol Hydrochloride: 10 Vial In 1 Carton (0548-9502-00)  / 5 Ml In 1 Vial,1205.34,1205.34,,,0
NDC,0555-0097-96,"Clonazepam: 10 BLISTER PACK in 1 CARTON (0555-0097-96)  / 6 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACK",12.76,12.76,,,0
NDC,0555-0484-02,Leucovorin Calcium: 100 Tablet In 1 Bottle (0555-0484-02),7.825,7.825,,,0
NDC,0555-0607-02,Megestrol Acetate: 100 Tablet In 1 Bottle (0555-0607-02),11.84,11.84,,,0
NDC,0555-0779-02,Medroxyprogesterone Acetate: 100 Tablet In 1 Bottle (0555-0779-02),12.42,12.42,,,0
NDC,0555-9010-79,NDC Description Not Available,3.2199999999999998,3.2199999999999998,,,0
NDC,0573-0179-20,"Junior Strength Advil: 1 Bottle In 1 Carton (0573-0179-20)  / 24 Tablet, Chewable In 1 Bottle",0.485,0.485,,,0
NDC,0573-2871-93,Preparation H: 1 Tube In 1 Carton (0573-2871-93)  / 28 G In 1 Tube,54.6,54.6,,,0
NDC,0574-0106-03,"Bromocriptine Mesylate: 30 Tablet In 1 Bottle, Plastic (0574-0106-03)",28.05,28.05,,,0
NDC,0574-0292-01,Amiloride Hydrochloride: 100 Tablet In 1 Bottle (0574-0292-01),5.22,5.22,,,0
NDC,0574-0520-74,Actidose: 120 Ml In 1 Tube (0574-0520-74),88.65,88.65,,,0
NDC,0574-1133-16,Spironolactone: 473 Ml In 1 Bottle (0574-1133-16),38.405,38.405,,,0
NDC,0574-2008-15,"Nystop: 15 G In 1 Bottle, Plastic (0574-2008-15)",40.545,40.545,,,0
NDC,0574-7034-12,Aspirin: 12 Packet In 1 Carton (0574-7034-12)  / 1 Suppository In 1 Packet,1.48,1.48,,,0
NDC,0574-7050-12,Bisacodyl: 12 Blister Pack In 1 Carton (0574-7050-12)  / 1 Suppository In 1 Blister Pack,1.2850000000000001,1.2850000000000001,,,0
NDC,0574-7050-50,Bisacodyl: 50 Blister Pack In 1 Carton (0574-7050-50)  / 1 Suppository In 1 Blister Pack,1.15,1.15,,,0
NDC,0575-6200-30,"Proglycem: 1 Bottle, Dropper In 1 Box (0575-6200-30)  / 30 Ml In 1 Bottle, Dropper",52.375,52.375,,,0
NDC,0591-0343-01,"Verapamil Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0591-0343-01)",11.665,11.665,,,0
NDC,0591-2405-30,"Ambrisentan: 30 Tablet, Film Coated In 1 Bottle (0591-2405-30)",436.595,436.595,,,0
NDC,0591-2464-01,"Desmopressin Acetate: 100 TABLET in 1 BOTTLE, PLASTIC (0591-2464-01)",30.21,30.21,,,0
NDC,0591-2888-30,"Hydroxocobalamin: 1 Vial, Multi-Dose In 1 Carton (0591-2888-30)  / 30 Ml In 1 Vial, Multi-Dose",0.33,0.33,,,0
NDC,0591-2998-01,Ursodiol: 100 Tablet In 1 Bottle (0591-2998-01),15.56,15.56,,,0
NDC,0591-3525-11,NDC Description Not Available,22.05,22.05,,,0
NDC,0591-3525-30,Lidocaine: 30 Pouch In 1 Carton (0591-3525-30)  / 1 G In 1 Pouch (0591-3525-11),20.96,20.96,,,0
NDC,0591-4012-01,"Valproic: 100 Capsule, Liquid Filled In 1 Bottle (0591-4012-01)",8.0,8.0,,,0
NDC,0591-5335-01,"Trihexyphenidyl Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0591-5335-01)",12.399999999999999,12.399999999999999,,,0
NDC,0591-5347-01,"Probenecid: 100 Tablet, Film Coated In 1 Bottle, Plastic (0591-5347-01)",14.485,14.485,,,0
NDC,0591-5443-01,Prednisone: 100 Tablet In 1 Bottle (0591-5443-01),0.36,0.36,,,0
NDC,0591-5555-01,"Propranolol Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0591-5555-01)",13.8,13.8,,,0
NDC,0597-0087-17,"Atrovent Hfa: 1 Canister In 1 Carton (0597-0087-17)  / 200 Aerosol, Metered In 1 Canister",2174.25,2174.25,,,0
NDC,0597-0100-51,"Spiriva Respimat: 1 Cartridge In 1 Carton (0597-0100-51)  / 10 Spray, Metered In 1 Cartridge",244.26,244.26,,,0
NDC,0597-0152-30,"Jardiance: 30 Tablet, Film Coated In 1 Bottle (0597-0152-30)",83.77,83.77,,,0
NDC,0597-0152-37,"Jardiance: 30 Blister Pack In 1 Carton (0597-0152-37)  / 1 Tablet, Film Coated In 1 Blister Pack",83.06,83.06,,,0
NDC,0597-0260-10,"GlucaGen: 1 KIT in 1 KIT (0597-0260-10)  *  1 mL in 1 VIAL, GLASS (0597-0053-01)  *  1 mL in 1 VIAL, GLASS (0597-0265-94)",631.75,631.75,,,0
NDC,0597-0425-78,Pradaxa: 1 Bag In 1 Carton (0597-0425-78)  / 60 Pellet In 1 Bag,568.45,568.45,,,0
NDC,0597-0425-84,NDC Description Not Available,566.14,566.14,,,0
NDC,0597-0450-16,Pradaxa: 1 Bag In 1 Carton (0597-0450-16)  / 60 Pellet In 1 Bag,577.06,577.06,,,0
NDC,0597-0450-26,NDC Description Not Available,551.56,551.56,,,0
NDC,0603-1161-58,"Dicyclomine Hydrochloride: 473 Ml In 1 Bottle, Plastic (0603-1161-58)",4.06,4.06,,,0
NDC,0603-3901-21,"Hydrocortisone: 100 TABLET in 1 BOTTLE, PLASTIC (0603-3901-21)",12.07,12.07,,,0
NDC,0603-4209-21,Lisinopril: 100 TABLET in 1 BOTTLE (0603-4209-21),11.84,11.84,,,0
NDC,0641-0376-21,NDC Description Not Available,30.21,30.21,,,0
NDC,0641-0376-25,Diphenhydramine Hydrochloride: 25 Vial In 1 Package (0641-0376-25)  / 1 Ml In 1 Vial (0641-0376-21),30.45,30.45,,,0
NDC,0641-0476-25,Phenobarbital Sodium: 25 Vial In 1 Carton (0641-0476-25)  / 1 Ml In 1 Vial (0641-0476-21),39.23,39.23,,,0
NDC,0641-0928-21,NDC Description Not Available,32.38,32.38,,,0
NDC,0641-0928-25,"Promethazine Hydrochloride: 25 Vial, Single-Dose In 1 Package (0641-0928-25)  / 1 Ml In 1 Vial, Single-Dose (0641-0928-21)",30.24,30.24,,,0
NDC,0641-1410-35,Digoxin: 25 Ampule In 1 Carton (0641-1410-35)  / 2 Ml In 1 Ampule (0641-1410-31),29.56,29.56,,,0
NDC,0641-1495-31,NDC Description Not Available,32.49,32.49,,,0
NDC,0641-6001-01,NDC Description Not Available,32.71,32.71,,,0
NDC,0641-6007-01,NDC Description Not Available,6.48,6.48,,,0
NDC,0641-6008-01,NDC Description Not Available,13.25,13.25,,,0
NDC,0641-6008-10,Bumetanide: 10 Vial In 1 Carton (0641-6008-10)  / 4 Ml In 1 Vial (0641-6008-01),12.1,12.1,,,0
NDC,0641-6022-01,NDC Description Not Available,0.645,0.645,,,0
NDC,0641-6027-01,NDC Description Not Available,26.31,26.31,,,0
NDC,0641-6027-25,Fentanyl Citrate: 25 Vial In 1 Carton (0641-6027-25)  / 2 Ml In 1 Vial (0641-6027-01),33.78,33.78,,,0
NDC,0641-6029-01,Fentanyl Citrate: 20 Ml In 1 Vial (0641-6029-01),9.98,9.98,,,0
NDC,0641-6040-01,Infumorph 500: 20 Ml In 1 Ampule (0641-6040-01),43.26,43.26,,,0
NDC,0641-6044-01,NDC Description Not Available,29.91,29.91,,,0
NDC,0641-6044-25,Lorazepam: 25 Vial In 1 Carton (0641-6044-25)  / 1 Ml In 1 Vial (0641-6044-01),29.19,29.19,,,0
NDC,0641-6052-01,NDC Description Not Available,38.64,38.64,,,0
NDC,0641-6057-01,NDC Description Not Available,22.88,22.88,,,0
NDC,0641-6057-25,Midazolam: 25 Vial In 1 Carton (0641-6057-25)  / 2 Ml In 1 Vial (0641-6057-01),15.16,15.16,,,0
NDC,0641-6059-01,NDC Description Not Available,11.04,11.04,,,0
NDC,0641-6060-01,NDC Description Not Available,0.62,0.62,,,0
NDC,0641-6061-01,NDC Description Not Available,12.93,12.93,,,0
NDC,0641-6078-01,NDC Description Not Available,7.345000000000001,7.345000000000001,,,0
NDC,0641-6078-25,Ondansetron: 25 Vial In 1 Carton (0641-6078-25)  / 2 Ml In 1 Vial (0641-6078-01),7.92,7.92,,,0
NDC,0641-6082-01,NDC Description Not Available,38.97,38.97,,,0
NDC,0641-6117-01,NDC Description Not Available,25.97,25.97,,,0
NDC,0641-6125-01,NDC Description Not Available,47.5,47.5,,,0
NDC,0641-6125-25,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Package (0641-6125-25)  / 1 Ml In 1 Vial, Single-Dose (0641-6125-01)",42.79,42.79,,,0
NDC,0641-6127-01,NDC Description Not Available,31.5,31.5,,,0
NDC,0641-6127-25,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Package (0641-6127-25)  / 1 Ml In 1 Vial, Single-Dose (0641-6127-01)",16.9,16.9,,,0
NDC,0641-6132-01,NDC Description Not Available,31.91,31.91,,,0
NDC,0641-6135-01,NDC Description Not Available,45.36,45.36,,,0
NDC,0641-6135-25,Prochlorperazine Edisylate: 25 Vial In 1 Carton (0641-6135-25)  / 2 Ml In 1 Vial (0641-6135-01),46.3,46.3,,,0
NDC,0641-6142-01,NDC Description Not Available,0.05,0.05,,,0
NDC,0641-6142-25,Phenylephrine Hydrochloride: 25 Vial In 1 Carton (0641-6142-25)  / 1 Ml In 1 Vial (0641-6142-01),2.385,2.385,,,0
NDC,0641-6145-01,NDC Description Not Available,7.74,7.74,,,0
NDC,0641-6147-01,NDC Description Not Available,30.91,30.91,,,0
NDC,0641-6149-01,NDC Description Not Available,6.98,6.98,,,0
NDC,0641-6149-10,"Neostigmine Methylsulfate: 10 Vial, Multi-Dose In 1 Carton (0641-6149-10)  / 10 Ml In 1 Vial, Multi-Dose (0641-6149-01)",5.37,5.37,,,0
NDC,0641-6151-01,NDC Description Not Available,4.9350000000000005,4.9350000000000005,,,0
NDC,0641-6151-25,"Hydromorphone Hydrochloride: 25 Vial, Single-Dose In 1 Carton (0641-6151-25)  / 1 Ml In 1 Vial, Single-Dose (0641-6151-01)",2.605,2.605,,,0
NDC,0641-6174-01,NDC Description Not Available,36.03,36.03,,,0
NDC,0641-6228-01,NDC Description Not Available,19.51,19.51,,,0
NDC,0641-6231-01,NDC Description Not Available,34.28,34.28,,,0
NDC,0641-6231-25,"Hydralazine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (0641-6231-25)  / 20 Ml In 1 Vial, Single-Dose (0641-6231-01)",34.3,34.3,,,0
NDC,0641-6244-01,NDC Description Not Available,43.74,43.74,,,0
NDC,0641-6246-01,NDC Description Not Available,2.61,2.61,,,0
NDC,0641-6267-01,NDC Description Not Available,11.99,11.99,,,0
NDC,0703-0018-01,Hydromorphone Hydrochloride: 1 Vial In 1 Carton (0703-0018-01)  / 50 Ml In 1 Vial,0.18,0.18,,,0
NDC,0703-0110-01,NDC Description Not Available,0.42,0.42,,,0
NDC,0703-0110-03,Hydromorphone Hydrochloride: 10 Vial In 1 Carton (0703-0110-03)  / 1 Ml In 1 Vial (0703-0110-01),0.49,0.49,,,0
NDC,0703-0113-01,NDC Description Not Available,0.17,0.17,,,0
NDC,0703-0686-01,"Treprostinil: 1 Vial, Multi-Dose In 1 Carton (0703-0686-01)  / 20 Ml In 1 Vial, Multi-Dose",134.55,134.55,,,0
NDC,0703-3675-01,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (0703-3675-01)  / 10 Ml In 1 Vial, Single-Dose",67.1,67.1,,,0
NDC,0703-4412-11,"Vincasar PFS: 1 VIAL, SINGLE-DOSE in 1 CARTON (0703-4412-11)  / 2 mL in 1 VIAL, SINGLE-DOSE",133.9,133.9,,,0
NDC,0703-4502-01,NDC Description Not Available,29.83,29.83,,,0
NDC,0703-5140-01,"Leucovorin Calcium: 1 VIAL, SINGLE-USE in 1 CARTON (0703-5140-01)  / 10 mL in 1 VIAL, SINGLE-USE",33.44,33.44,,,0
NDC,0703-5747-11,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (0703-5747-11)  / 50 Ml In 1 Vial, Multi-Dose",64.28,64.28,,,0
NDC,0703-9032-03,"Amikacin Sulfate: 10 VIAL, SINGLE-DOSE in 1 CARTON (0703-9032-03)  / 2 mL in 1 VIAL, SINGLE-DOSE (0703-9032-01)",20.98,20.98,,,0
NDC,0703-9514-01,NDC Description Not Available,1.3,1.3,,,0
NDC,0703-9514-03,"Sulfamethoxazole And Trimethoprim: 10 Vial, Multi-Dose In 1 Carton (0703-9514-03)  / 10 Ml In 1 Vial, Multi-Dose (0703-9514-01)",57.79,57.79,,,0
NDC,0713-0268-31,Triple Antibiotic: 1 Tube In 1 Carton (0713-0268-31)  / 28.4 G In 1 Tube,23.58,23.58,,,0
NDC,0713-0280-31,Bacitracin: 28.4 G In 1 Tube (0713-0280-31),16.4,16.4,,,0
NDC,0713-0351-02,NDC Description Not Available,44.93,44.93,,,0
NDC,0713-0634-15,Mometasone Furoate: 1 Tube In 1 Carton (0713-0634-15)  / 15 G In 1 Tube,80.065,80.065,,,0
NDC,0713-0635-15,Mometasone Furoate: 1 Tube In 1 Carton (0713-0635-15)  / 15 G In 1 Tube,35.79,35.79,,,0
NDC,0713-0850-04,"Griseofulvin: 118 Ml In 1 Bottle, Plastic (0713-0850-04)",5.445,5.445,,,0
NDC,0781-1943-82,"Amoxicillin And Clavulanate Potassium: 28 Tablet, Multilayer, Extended Release In 1 Bottle (0781-1943-82)",40.114999999999995,40.114999999999995,,,0
NDC,0781-2321-06,Aprepitant: 1 Blister Pack In 1 Carton (0781-2321-06)  / 1 Capsule In 1 Blister Pack,58.75,58.75,,,0
NDC,0781-2323-68,Aprepitant: 1 Blister Pack In 1 Carton (0781-2323-68)  / 6 Capsule In 1 Blister Pack (0781-2323-06),53.58,53.58,,,0
NDC,0781-3113-90,NDC Description Not Available,29.04,29.04,,,0
NDC,0781-3152-70,NDC Description Not Available,47.82,47.82,,,0
NDC,0781-3154-01,"Ferumoxytol: 1 Vial, Single-Dose In 1 Carton (0781-3154-01)  / 17 Ml In 1 Vial, Single-Dose",3.04,3.04,,,0
NDC,0781-3156-06,NDC Description Not Available,1.62,1.62,,,0
NDC,0781-3255-94,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3255-94)  / 100 Ml In 1 Vial, Single-Dose",2.61,2.61,,,0
NDC,0781-3269-71,NDC Description Not Available,33.58,33.58,,,0
NDC,0781-3312-75,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0781-3312-75)  / 5 Ml In 1 Vial, Single-Dose",18.9,18.9,,,0
NDC,0781-3404-85,NDC Description Not Available,13.85,13.85,,,0
NDC,0781-3407-78,NDC Description Not Available,30.12,30.12,,,0
NDC,0781-3407-95,"Ampicillin: 10 Vial, Glass In 1 Package (0781-3407-95)  / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-3407-78)",30.74,30.74,,,0
NDC,0781-3433-46,NDC Description Not Available,27.84,27.84,,,0
NDC,0781-3440-71,NDC Description Not Available,66.47,66.47,,,0
NDC,0781-3440-95,Cosyntropin: 10 Vial In 1 Carton (0781-3440-95)  / 1 Ml In 1 Vial (0781-3440-71),124.62,124.62,,,0
NDC,0781-3451-70,NDC Description Not Available,16.67,16.67,,,0
NDC,0781-3465-94,NDC Description Not Available,9.03,9.03,,,0
NDC,0781-3465-95,Fondaparinux Sodium: 10 Syringe In 1 Carton (0781-3465-95)  / .6 Ml In 1 Syringe (0781-3465-94),8.85,8.85,,,0
NDC,0781-3491-94,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (0781-3491-94)",2.77,2.77,,,0
NDC,0781-3540-10,NDC Description Not Available,27.47,27.47,,,0
NDC,0781-3545-10,NDC Description Not Available,7.29,7.29,,,0
NDC,0781-3555-25,"Heparin Sodium: 25 Vial, Single-Dose In 1 Carton (0781-3555-25)  / 2 Ml In 1 Vial, Single-Dose (0781-3555-10)",18.52,18.52,,,0
NDC,0781-4003-32,"Leuprolide Acetate: 1 Kit In 1 Carton (0781-4003-32)  *  1 Vial, Multi-Dose In 1 Carton (0781-3006-42)  / 2.8 Ml In 1 Vial, Multi-Dose *  1 Ml In 1 Packet",139.61,139.61,,,0
NDC,0781-5994-01,"Hydroxychloroquine Sulfate: 100 TABLET, FILM COATED in 1 BOTTLE (0781-5994-01)",14.33,14.33,,,0
NDC,0781-6023-52,Clarithromycin: 50 Ml In 1 Bottle (0781-6023-52),56.48,56.48,,,0
NDC,0832-0038-89,NDC Description Not Available,12.145,12.145,,,0
NDC,0832-0512-01,Bethanechol Chloride: 100 Blister Pack In 1 Carton (0832-0512-01)  / 1 Tablet In 1 Blister Pack (0832-0512-89),12.38,12.38,,,0
NDC,0832-0512-89,NDC Description Not Available,12.75,12.75,,,0
NDC,0832-1410-03,"Moxifloxacin Hydrochloride: 1 Bottle, Plastic In 1 Carton (0832-1410-03)  / 3 Ml In 1 Bottle, Plastic",165.21,165.21,,,0
NDC,0869-0831-43,"Oil: 473 Ml In 1 Bottle, Plastic (0869-0831-43)",13.165,13.165,,,0
NDC,0904-0430-06,"Doxycycline Hyclate: 50 Blister Pack In 1 Carton (0904-0430-06)  / 1 Tablet, Coated In 1 Blister Pack",20.36,20.36,,,0
NDC,0904-0734-31,Triple Antibiotic: 1 Tube In 1 Carton (0904-0734-31)  / 28 G In 1 Tube,19.64,19.64,,,0
NDC,0904-1315-46,"Bismatrol: 5 BLISTER PACK in 1 CARTON (0904-1315-46)  / 6 TABLET, CHEWABLE in 1 BLISTER PACK",6.46,6.46,,,0
NDC,0904-1453-61,Metronidazole: 100 BLISTER PACK in 1 CARTON (0904-1453-61)  / 1 TABLET in 1 BLISTER PACK,7.635,7.635,,,0
NDC,0904-2056-61,Diphenhydramine Hydrochloride: 10 Blister Pack In 1 Box (0904-2056-61)  / 10 Capsule In 1 Blister Pack,1.04,1.04,,,0
NDC,0904-2725-61,Sulfamethoxazole And Trimethoprim: 100 Blister Pack In 1 Carton (0904-2725-61)  / 1 Tablet In 1 Blister Pack,9.344999999999999,9.344999999999999,,,0
NDC,0904-3865-75,NDC Description Not Available,10.21,10.21,,,0
NDC,0904-5045-61,Captopril: 100 BLISTER PACK in 1 CARTON (0904-5045-61)  / 1 TABLET in 1 BLISTER PACK,13.07,13.07,,,0
NDC,0904-5522-61,Doxazosin: 100 Blister Pack In 1 Carton (0904-5522-61)  / 1 Tablet In 1 Blister Pack,7.58,7.58,,,0
NDC,0904-5529-52,"Heartburn Relief Original Strength: 1 Bottle In 1 Carton (0904-5529-52)  / 60 Tablet, Film Coated In 1 Bottle",8.885000000000002,8.885000000000002,,,0
NDC,0904-5551-59,"Banophen: 1 Bottle, Plastic In 1 Carton (0904-5551-59)  / 100 Tablet, Film Coated In 1 Bottle, Plastic",12.31,12.31,,,0
NDC,0904-5784-61,Fluoxetine: 100 Blister Pack In 1 Carton (0904-5784-61)  / 1 Capsule In 1 Blister Pack,12.12,12.12,,,0
NDC,0904-5785-61,Fluoxetine: 100 Blister Pack In 1 Carton (0904-5785-61)  / 1 Capsule In 1 Blister Pack,8.969999999999999,8.969999999999999,,,0
NDC,0904-5789-61,Acyclovir: 100 Blister Pack In 1 Carton (0904-5789-61)  / 1 Capsule In 1 Blister Pack,7.44,7.44,,,0
NDC,0904-5791-46,"Childrens Mapap: 1 Bottle, Plastic In 1 Carton (0904-5791-46)  / 30 Tablet, Chewable In 1 Bottle, Plastic",3.135,3.135,,,0
NDC,0904-5854-61,Ibuprofen: 100 Blister Pack In 1 Carton (0904-5854-61)  / 1 Tablet In 1 Blister Pack,11.965,11.965,,,0
NDC,0904-5891-61,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5891-61)  / 1 Tablet In 1 Blister Pack",9.32,9.32,,,0
NDC,0904-5921-61,Digoxin: 100 Blister Pack In 1 Carton (0904-5921-61)  / 1 Tablet In 1 Blister Pack,13.035,13.035,,,0
NDC,0904-5922-61,Digoxin: 100 Blister Pack In 1 Carton (0904-5922-61)  / 1 Tablet In 1 Blister Pack,17.85,17.85,,,0
NDC,0904-5929-61,"Labetalol hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-5929-61)  / 1 TABLET, FILM COATED in 1 BLISTER PACK",12.17,12.17,,,0
NDC,0904-5959-61,Clindamycin Hydrochloride: 100 Blister Pack In 1 Carton (0904-5959-61)  / 1 Capsule In 1 Blister Pack,5.46,5.46,,,0
NDC,0904-6007-61,Lorazepam: 100 Blister Pack In 1 Carton (0904-6007-61)  / 1 Tablet In 1 Blister Pack,10.99,10.99,,,0
NDC,0904-6008-61,Lorazepam: 100 Blister Pack In 1 Carton (0904-6008-61)  / 1 Tablet In 1 Blister Pack,10.91,10.91,,,0
NDC,0904-6084-61,"Citalopram: 100 Blister Pack In 1 Carton (0904-6084-61)  / 1 Tablet, Film Coated In 1 Blister Pack",12.14,12.14,,,0
NDC,0904-6085-61,"Citalopram: 100 Blister Pack In 1 Carton (0904-6085-61)  / 1 Tablet, Film Coated In 1 Blister Pack",11.235,11.235,,,0
NDC,0904-6221-61,Ursodiol: 100 Blister Pack In 1 Carton (0904-6221-61)  / 1 Capsule In 1 Blister Pack,24.995,24.995,,,0
NDC,0904-6269-08,Ziprasidone: 40 Blister Pack In 1 Carton (0904-6269-08)  / 1 Capsule In 1 Blister Pack,34.85,34.85,,,0
NDC,0904-6270-45,Ziprasidone: 80 Blister Pack In 1 Carton (0904-6270-45)  / 1 Capsule In 1 Blister Pack,24.03,24.03,,,0
NDC,0904-6290-61,"Atorvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6290-61)  / 1 Tablet, Film Coated In 1 Blister Pack",9.865,9.865,,,0
NDC,0904-6294-61,"Clopidogrel: 100 Blister Pack In 1 Carton (0904-6294-61)  / 1 Tablet, Film Coated In 1 Blister Pack",11.57,11.57,,,0
NDC,0904-6300-61,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6300-61)",5.26,5.26,,,0
NDC,0904-6303-61,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6303-61)",11.96,11.96,,,0
NDC,0904-6305-21,"Sore Throat Cherry: 177 Ml In 1 Bottle, Spray (0904-6305-21)",18.740000000000002,18.740000000000002,,,0
NDC,0904-6322-61,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6322-61)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",10.600000000000001,10.600000000000001,,,0
NDC,0904-6351-61,"Levofloxacin: 100 Blister Pack In 1 Carton (0904-6351-61)  / 1 Tablet, Film Coated In 1 Blister Pack",6.3100000000000005,6.3100000000000005,,,0
NDC,0904-6359-61,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6359-61)",4.32,4.32,,,0
NDC,0904-6369-61,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6369-61)  / 1 Tablet In 1 Blister Pack,11.75,11.75,,,0
NDC,0904-6370-61,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6370-61)  / 1 Tablet In 1 Blister Pack,9.43,9.43,,,0
NDC,0904-6371-61,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6371-61)  / 1 Tablet In 1 Blister Pack,11.985,11.985,,,0
NDC,0904-6407-61,"Bisacodyl: 10 Blister Pack In 1 Box (0904-6407-61)  / 10 Tablet, Delayed Release In 1 Blister Pack",0.5700000000000001,0.5700000000000001,,,0
NDC,0904-6412-92,"Major Regular Strength Assorted Flavors: 150 Tablet, Chewable In 1 Bottle, Plastic (0904-6412-92)",7.225,7.225,,,0
NDC,0904-6426-61,"Escitalopram: 100 Blister Pack In 1 Carton (0904-6426-61)  / 1 Tablet, Film Coated In 1 Blister Pack",9.465,9.465,,,0
NDC,0904-6440-61,"Hydralazine Hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-6440-61)  / 1 TABLET, FILM COATED in 1 BLISTER PACK",12.24,12.24,,,0
NDC,0904-6441-61,"Hydralazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6441-61)  / 1 Tablet, Film Coated In 1 Blister Pack",12.55,12.55,,,0
NDC,0904-6474-61,"Pantoprazole Sodium: 100 Blister Pack In 1 Carton (0904-6474-61)  / 1 Tablet, Delayed Release In 1 Blister Pack",13.09,13.09,,,0
NDC,0904-6476-61,Baclofen: 100 Blister Pack In 1 Carton (0904-6476-61)  / 1 Tablet In 1 Blister Pack,12.625,12.625,,,0
NDC,0904-6488-38,Major Lubrifresh Pm: 1 Tube In 1 Carton (0904-6488-38)  / 3.5 G In 1 Tube,33.78,33.78,,,0
NDC,0904-6502-61,Celecoxib: 100 Blister Pack In 1 Carton (0904-6502-61)  / 1 Capsule In 1 Blister Pack,16.155,16.155,,,0
NDC,0904-6505-06,"Memantine Hydrochloride: 50 Blister Pack In 1 Carton (0904-6505-06)  / 1 Tablet, Film Coated In 1 Blister Pack",7.945,7.945,,,0
NDC,0904-6505-61,"Memantine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6505-61)  / 1 Tablet, Film Coated In 1 Blister Pack",13.65,13.65,,,0
NDC,0904-6509-04,Aripiprazole: 30 Blister Pack In 1 Carton (0904-6509-04)  / 1 Tablet In 1 Blister Pack,150.05,150.05,,,0
NDC,0904-6519-61,"Mirtazapine: 100 Blister Pack In 1 Carton (0904-6519-61)  / 1 Tablet, Film Coated In 1 Blister Pack",12.745000000000001,12.745000000000001,,,0
NDC,0904-6550-61,Propranolol Hydrochloride: 100 Blister Pack In 1 Carton (0904-6550-61)  / 1 Tablet In 1 Blister Pack,8.094999999999999,8.094999999999999,,,0
NDC,0904-6565-61,"Valacyclovir Hydrochloride: 100 Blister Pack In 1 Carton (0904-6565-61)  / 1 Tablet, Film Coated In 1 Blister Pack",18.740000000000002,18.740000000000002,,,0
NDC,0904-6570-06,"Oxybutynin Chloride: 50 Blister Pack In 1 Carton (0904-6570-06)  / 1 Tablet, Extended Release In 1 Blister Pack",19.405,19.405,,,0
NDC,0904-6570-61,"Oxybutynin Chloride: 100 Blister Pack In 1 Carton (0904-6570-61)  / 1 Tablet, Extended Release In 1 Blister Pack",14.52,14.52,,,0
NDC,0904-6572-61,Allopurinol: 100 Blister Pack In 1 Carton (0904-6572-61)  / 1 Tablet In 1 Blister Pack,11.22,11.22,,,0
NDC,0904-6592-04,"Tolterodine Tartrate: 30 Blister Pack In 1 Carton (0904-6592-04)  / 1 Capsule, Extended Release In 1 Blister Pack",43.39,43.39,,,0
NDC,0904-6617-61,"Hydroxyzine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6617-61)  / 1 Tablet, Film Coated In 1 Blister Pack",12.08,12.08,,,0
NDC,0904-6623-61,Tacrolimus: 100 Blister Pack In 1 Carton (0904-6623-61)  / 1 Capsule In 1 Blister Pack,16.85,16.85,,,0
NDC,0904-6624-61,Tacrolimus: 100 Blister Pack In 1 Carton (0904-6624-61)  / 1 Capsule In 1 Blister Pack,13.22,13.22,,,0
NDC,0904-6627-35,Ear Drops Major: 1 Bottle In 1 Carton (0904-6627-35)  / 15 Ml In 1 Bottle,14.9,14.9,,,0
NDC,0904-6638-61,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6638-61)  / 1 Tablet, Film Coated In 1 Blister Pack",6.71,6.71,,,0
NDC,0904-6640-61,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6640-61)  / 1 Tablet, Film Coated In 1 Blister Pack",9.035,9.035,,,0
NDC,0904-6663-61,Acetazolamide: 100 Blister Pack In 1 Carton (0904-6663-61)  / 1 Tablet In 1 Blister Pack,15.14,15.14,,,0
NDC,0904-6665-61,Gabapentin: 100 Blister Pack In 1 Carton (0904-6665-61)  / 1 Capsule In 1 Blister Pack,8.16,8.16,,,0
NDC,0904-6667-61,Gabapentin: 100 Blister Pack In 1 Carton (0904-6667-61)  / 1 Capsule In 1 Blister Pack,7.87,7.87,,,0
NDC,0904-6717-61,"Cetirizine: 100 Blister Pack In 1 Carton (0904-6717-61)  / 1 Tablet, Film Coated In 1 Blister Pack",11.95,11.95,,,0
NDC,0904-6728-46,Pseudoephedrine Hydrochloride: 30 Tablet In 1 Bottle (0904-6728-46),12.145,12.145,,,0
NDC,0904-6730-61,"Acetaminophen: 10 Blister Pack In 1 Box, Unit-Dose (0904-6730-61)  / 10 Tablet In 1 Blister Pack",9.04,9.04,,,0
NDC,0904-6767-20,Childrens Loratadine Oral: 1 Bottle In 1 Carton (0904-6767-20)  / 120 Ml In 1 Bottle,12.985,12.985,,,0
NDC,0904-6773-61,"Acetaminophen: 10 Blister Pack In 1 Box, Unit-Dose (0904-6773-61)  / 10 Tablet In 1 Blister Pack",0.565,0.565,,,0
NDC,0904-6778-61,"Rosuvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6778-61)  / 1 Tablet, Coated In 1 Blister Pack",16.75,16.75,,,0
NDC,0904-6782-61,Haloperidol: 100 Blister Pack In 1 Carton (0904-6782-61)  / 1 Tablet In 1 Blister Pack,15.49,15.49,,,0
NDC,0904-6794-30,"Aspirin Low Dose Chewable Orange: 300 Blister Pack In 1 Carton (0904-6794-30)  / 1 Tablet, Chewable In 1 Blister Pack",0.88,0.88,,,0
NDC,0904-6797-61,Lisinopril: 100 Blister Pack In 1 Carton (0904-6797-61)  / 1 Tablet In 1 Blister Pack,11.690000000000001,11.690000000000001,,,0
NDC,0904-6798-61,Lisinopril: 100 Blister Pack In 1 Carton (0904-6798-61)  / 1 Tablet In 1 Blister Pack,7.055,7.055,,,0
NDC,0904-6808-61,"Montelukast Sodium: 100 Blister Pack In 1 Carton (0904-6808-61)  / 1 Tablet, Film Coated In 1 Blister Pack",13.21,13.21,,,0
NDC,0904-6828-05,NDC Description Not Available,19.705,19.705,,,0
NDC,0904-6828-94,"Oxycodone Hydrochloride: 4 Tray In 1 Carton (0904-6828-94)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0904-6828-05)",20.645,20.645,,,0
NDC,0904-6852-61,Loratadine: 100 Blister Pack In 1 Carton (0904-6852-61)  / 1 Tablet In 1 Blister Pack,12.600000000000001,12.600000000000001,,,0
NDC,0904-6860-61,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-6860-61)  / 1 Tablet, Delayed Release In 1 Blister Pack",12.344999999999999,12.344999999999999,,,0
NDC,0904-6868-61,Trazodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6868-61)  / 1 Tablet In 1 Blister Pack,8.025,8.025,,,0
NDC,0904-6888-06,Minocycline Hydrochloride: 50 Blister Pack In 1 Carton (0904-6888-06)  / 1 Capsule In 1 Blister Pack,13.26,13.26,,,0
NDC,0904-6907-06,Pseudoephedrine Hydrochloride: 5 Blister Pack In 1 Box (0904-6907-06)  / 10 Tablet In 1 Blister Pack,11.55,11.55,,,0
NDC,0904-6923-61,Prednisone: 100 Blister Pack In 1 Carton (0904-6923-61)  / 1 Tablet In 1 Blister Pack,0.64,0.64,,,0
NDC,0904-6927-61,"Spironolactone: 100 Blister Pack In 1 Carton (0904-6927-61)  / 1 Tablet, Film Coated In 1 Blister Pack",8.03,8.03,,,0
NDC,0904-6931-86,Polyethylene Glycol 3350: 17 G In 1 Packet (0904-6931-86),17.884999999999998,17.884999999999998,,,0
NDC,0904-6939-61,Hydroxyurea: 100 Blister Pack In 1 Carton (0904-6939-61)  / 1 Capsule In 1 Blister Pack,9.22,9.22,,,0
NDC,0904-6950-61,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6950-61)  / 1 Tablet In 1 Blister Pack,11.065000000000001,11.065000000000001,,,0
NDC,0904-6951-61,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6951-61)  / 1 Tablet In 1 Blister Pack,12.600000000000001,12.600000000000001,,,0
NDC,0904-6952-61,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6952-61)  / 1 Tablet In 1 Blister Pack,13.85,13.85,,,0
NDC,0904-6953-61,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6953-61)  / 1 Tablet In 1 Blister Pack,13.115,13.115,,,0
NDC,0904-6954-61,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6954-61)  / 1 Tablet In 1 Blister Pack,14.69,14.69,,,0
NDC,0904-6966-61,Oxycodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6966-61)  / 1 Tablet In 1 Blister Pack,11.975000000000001,11.975000000000001,,,0
NDC,0904-6990-61,"Pseudoephedrine Hcl: 10 Blister Pack In 1 Carton (0904-6990-61)  / 10 Tablet, Film Coated In 1 Blister Pack",12.41,12.41,,,0
NDC,0904-6992-61,Pregabalin: 100 Blister Pack In 1 Carton (0904-6992-61)  / 1 Capsule In 1 Blister Pack,13.88,13.88,,,0
NDC,0904-7000-61,Pregabalin: 100 Blister Pack In 1 Carton (0904-7000-61)  / 1 Capsule In 1 Blister Pack,11.649999999999999,11.649999999999999,,,0
NDC,0904-7007-61,Lamotrigine: 100 Blister Pack In 1 Carton (0904-7007-61)  / 1 Tablet In 1 Blister Pack,6.2,6.2,,,0
NDC,0904-7027-61,Oxybutynin Chloride: 100 Blister Pack In 1 Carton (0904-7027-61)  / 1 Tablet In 1 Blister Pack,14.95,14.95,,,0
NDC,0904-7041-61,Allopurinol: 100 Blister Pack In 1 Carton (0904-7041-61)  / 1 Tablet In 1 Blister Pack,6.695,6.695,,,0
NDC,0904-7043-04,"Duloxetine: 30 Blister Pack In 1 Carton (0904-7043-04)  / 1 Capsule, Delayed Release In 1 Blister Pack",17.14,17.14,,,0
NDC,0904-7044-61,"Duloxetine: 100 Blister Pack In 1 Carton (0904-7044-61)  / 1 Capsule, Delayed Release In 1 Blister Pack",16.005,16.005,,,0
NDC,0904-7046-06,"Hydroxychloroquine Sulfate: 50 Blister Pack In 1 Carton (0904-7046-06)  / 1 Tablet, Film Coated In 1 Blister Pack",16.175,16.175,,,0
NDC,0904-7046-61,"Hydroxychloroquine Sulfate: 100 Blister Pack In 1 Carton (0904-7046-61)  / 1 Tablet, Film Coated In 1 Blister Pack",17.82,17.82,,,0
NDC,0904-7052-61,Doxepin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7052-61)  / 1 Capsule In 1 Blister Pack,15.19,15.19,,,0
NDC,0904-7083-61,"Ciprofloxacin: 100 Blister Pack In 1 Carton (0904-7083-61)  / 1 Tablet, Film Coated In 1 Blister Pack",9.28,9.28,,,0
NDC,0904-7084-04,"Bupropion Hydrochloride Xl: 30 Blister Pack In 1 Carton (0904-7084-04)  / 1 Tablet, Extended Release In 1 Blister Pack",13.68,13.68,,,0
NDC,0904-7097-61,Tacrolimus: 100 Blister Pack In 1 Carton (0904-7097-61)  / 1 Capsule In 1 Blister Pack,11.0,11.0,,,0
NDC,0904-7106-61,Captopril: 100 Blister Pack In 1 Carton (0904-7106-61)  / 1 Tablet In 1 Blister Pack,13.504999999999999,13.504999999999999,,,0
NDC,0904-7111-61,"Labetalol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7111-61)  / 1 Tablet, Film Coated In 1 Blister Pack",12.97,12.97,,,0
NDC,0904-7120-04,"Colchicine: 30 Blister Pack In 1 Carton (0904-7120-04)  / 1 Tablet, Film Coated In 1 Blister Pack",33.275,33.275,,,0
NDC,0904-7122-61,Buspirone Hydrochloride: 100 Blister Pack In 1 Carton (0904-7122-61)  / 1 Tablet In 1 Blister Pack,5.1,5.1,,,0
NDC,0904-7124-61,"Levetiracetam: 100 Blister Pack In 1 Carton (0904-7124-61)  / 1 Tablet, Film Coated In 1 Blister Pack",6.140000000000001,6.140000000000001,,,0
NDC,0904-7127-61,Prednisone: 100 Blister Pack In 1 Carton (0904-7127-61)  / 1 Tablet In 1 Blister Pack,0.2,0.2,,,0
NDC,0904-7140-04,Guanfacine: 30 Blister Pack In 1 Carton (0904-7140-04)  / 1 Tablet In 1 Blister Pack,17.365000000000002,17.365000000000002,,,0
NDC,0904-7143-61,Sotalol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7143-61)  / 1 Tablet In 1 Blister Pack,10.12,10.12,,,0
NDC,0904-7153-61,Benzonatate: 100 Blister Pack In 1 Carton (0904-7153-61)  / 1 Capsule In 1 Blister Pack,13.815000000000001,13.815000000000001,,,0
NDC,0904-7156-61,Metronidazole: 100 Blister Pack In 1 Carton (0904-7156-61)  / 1 Tablet In 1 Blister Pack,8.84,8.84,,,0
NDC,0904-7162-61,Metformin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7162-61)  / 1 Tablet In 1 Blister Pack,11.225000000000001,11.225000000000001,,,0
NDC,0904-7168-61,Ursodiol: 100 Blister Pack In 1 Carton (0904-7168-61)  / 1 Capsule In 1 Blister Pack,21.055,21.055,,,0
NDC,0904-7183-61,"Docusate Sodium - Stool Softener Laxative: 10 Blister Pack In 1 Carton (0904-7183-61)  / 10 Capsule, Liquid Filled In 1 Blister Pack",11.004999999999999,11.004999999999999,,,0
NDC,0904-7187-61,Atenolol: 100 Blister Pack In 1 Carton (0904-7187-61)  / 1 Tablet In 1 Blister Pack,11.015,11.015,,,0
NDC,0904-7193-61,"Famotidine: 100 Blister Pack In 1 Carton (0904-7193-61)  / 1 Tablet, Film Coated In 1 Blister Pack",11.515,11.515,,,0
NDC,0904-7224-61,Folic Acid: 100 Blister Pack In 1 Carton (0904-7224-61)  / 1 Tablet In 1 Blister Pack,12.29,12.29,,,0
NDC,0904-7237-61,"Diphenhydramine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (0904-7237-61)  / 10 Capsule In 1 Blister Pack",1.03,1.03,,,0
NDC,0904-7243-61,"Ciprofloxacin: 100 Blister Pack In 1 Carton (0904-7243-61)  / 1 Tablet, Film Coated In 1 Blister Pack",10.125,10.125,,,0
NDC,0904-7244-68,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7244-68)  / 1 Tablet, Film Coated In 1 Blister Pack",12.67,12.67,,,0
NDC,0904-7245-68,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7245-68)  / 1 Tablet, Film Coated In 1 Blister Pack",16.16,16.16,,,0
NDC,0904-7252-61,"Sennosides: 10 Blister Pack In 1 Box, Unit-Dose (0904-7252-61)  / 10 Tablet, Film Coated In 1 Blister Pack",9.175,9.175,,,0
NDC,0904-7262-61,"Oxcarbazepine: 100 Blister Pack In 1 Carton (0904-7262-61)  / 1 Tablet, Film Coated In 1 Blister Pack",13.57,13.57,,,0
NDC,0904-7263-61,"Oxcarbazepine: 100 Blister Pack In 1 Carton (0904-7263-61)  / 1 Tablet, Film Coated In 1 Blister Pack",10.55,10.55,,,0
NDC,0904-7265-41,NDC Description Not Available,22.89,22.89,,,0
NDC,0904-7266-61,Dexamethasone: 100 Blister Pack In 1 Carton (0904-7266-61)  / 1 Tablet In 1 Blister Pack,0.53,0.53,,,0
NDC,0904-7276-41,NDC Description Not Available,14.635,14.635,,,0
NDC,0904-7279-66,NDC Description Not Available,5.395,5.395,,,0
NDC,0904-7279-72,"Docusate Sodium: 10 Tray In 1 Case (0904-7279-72)  / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (0904-7279-66)",1.285,1.285,,,0
NDC,0904-7289-61,Benztropine Mesylate: 100 Blister Pack In 1 Carton (0904-7289-61)  / 1 Tablet In 1 Blister Pack,12.985,12.985,,,0
NDC,0904-7293-61,"Potassium Chloride: 100 Blister Pack In 1 Carton (0904-7293-61)  / 1 Tablet, Extended Release In 1 Blister Pack",12.015,12.015,,,0
NDC,0904-7304-61,Promethazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7304-61)  / 1 Tablet In 1 Blister Pack,7.78,7.78,,,0
NDC,0904-7305-61,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7305-61)  / 1 Tablet, Film Coated In 1 Blister Pack",7.390000000000001,7.390000000000001,,,0
NDC,0904-7308-61,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7308-61)  / 1 Tablet, Film Coated In 1 Blister Pack",11.469999999999999,11.469999999999999,,,0
NDC,0904-7315-61,Rifampin: 100 Blister Pack In 1 Carton (0904-7315-61)  / 1 Capsule In 1 Blister Pack,12.165,12.165,,,0
NDC,0904-7323-41,NDC Description Not Available,23.54,23.54,,,0
NDC,0904-7323-70,"Diphenhydramine Hcl Oral Solution: 100 Cup, Unit-Dose In 1 Box, Unit-Dose (0904-7323-70)  / 5 Ml In 1 Cup, Unit-Dose (0904-7323-41)",19.83,19.83,,,0
NDC,0904-7337-06,Cephalexin: 50 Blister Pack In 1 Carton (0904-7337-06)  / 1 Capsule In 1 Blister Pack,13.01,13.01,,,0
NDC,0904-7337-35,NDC Description Not Available,12.94,12.94,,,0
NDC,0904-7346-61,Fluoxetine: 100 Blister Pack In 1 Carton (0904-7346-61)  / 1 Capsule In 1 Blister Pack,7.145,7.145,,,0
NDC,0904-7350-06,"Azithromycin: 50 Blister Pack In 1 Carton (0904-7350-06)  / 1 Tablet, Film Coated In 1 Blister Pack",11.075,11.075,,,0
NDC,0904-7350-61,"Azithromycin: 100 Blister Pack In 1 Carton (0904-7350-61)  / 1 Tablet, Film Coated In 1 Blister Pack",15.655,15.655,,,0
NDC,0904-7355-04,"Lurasidone Hydrochloride: 30 Blister Pack In 1 Carton (0904-7355-04)  / 1 Tablet, Film Coated In 1 Blister Pack",16.485,16.485,,,0
NDC,0904-7360-61,"Risperidone: 100 Blister Pack In 1 Carton (0904-7360-61)  / 1 Tablet, Film Coated In 1 Blister Pack",12.6,12.6,,,0
NDC,0904-7361-61,"Risperidone: 100 Blister Pack In 1 Carton (0904-7361-61)  / 1 Tablet, Film Coated In 1 Blister Pack",7.785,7.785,,,0
NDC,0904-7366-04,Aripiprazole: 30 Blister Pack In 1 Carton (0904-7366-04)  / 1 Tablet In 1 Blister Pack,18.22,18.22,,,0
NDC,0904-7376-61,Meclizine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7376-61)  / 1 Tablet In 1 Blister Pack,13.649999999999999,13.649999999999999,,,0
NDC,0904-7383-61,Tamsulosin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7383-61)  / 1 Capsule In 1 Blister Pack,12.93,12.93,,,0
NDC,0904-7427-30,"Major Nasal Decongestant: 1 Bottle, Pump In 1 Carton (0904-7427-30)  / 30 Ml In 1 Bottle, Pump",18.23,18.23,,,0
NDC,0904-7435-35,"Major Nasal Decongestant: 1 Bottle, Spray In 1 Carton (0904-7435-35)  / 15 Ml In 1 Bottle, Spray",14.35,14.35,,,0
NDC,0904-7442-61,Clonidine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7442-61)  / 1 Tablet In 1 Blister Pack,10.89,10.89,,,0
NDC,0904-7452-61,"Labetalol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7452-61)  / 1 Tablet, Film Coated In 1 Blister Pack",12.955,12.955,,,0
NDC,0904-7470-56,"Sucralfate: 20 Cup, Unit-Dose In 1 Case (0904-7470-56)  / 10 Ml In 1 Cup, Unit-Dose (0904-7470-66)",40.685,40.685,,,0
NDC,0904-7470-66,"Sucralfate: 10 Ml In 1 Cup, Unit-Dose (0904-7470-66)",27.605,27.605,,,0
NDC,0904-7725-24,"Anti Diarrheal: 24 Blister Pack In 1 Carton (0904-7725-24)  / 1 Tablet, Film Coated In 1 Blister Pack",10.045000000000002,10.045000000000002,,,0
NDC,0904-7728-61,Clonazepam: 100 Blister Pack In 1 Carton (0904-7728-61)  / 1 Tablet In 1 Blister Pack,13.195,13.195,,,0
NDC,0904-7914-61,"Ibuprofen: 10 Blister Pack In 1 Carton (0904-7914-61)  / 10 Tablet, Film Coated In 1 Blister Pack",0.505,0.505,,,0
NDC,0941-0409-01,Dianeal Low Calcium With Dextrose: 6000 Ml In 1 Bag (0941-0409-01),139.71,139.71,,,0
NDC,0941-0409-05,Dianeal Low Calcium With Dextrose: 3000 Ml In 1 Bag (0941-0409-05),153.35,153.35,,,0
NDC,0941-0409-06,Dianeal Low Calcium With Dextrose: 2000 Ml In 1 Bag (0941-0409-06),106.48,106.48,,,0
NDC,0941-0411-06,Dianeal Pd-2 With Dextrose: 2000 Ml In 1 Bag (0941-0411-06),68.29,68.29,,,0
NDC,0941-0413-06,Dianeal Pd-2 With Dextrose: 2000 Ml In 1 Bag (0941-0413-06),137.72,137.72,,,0
NDC,0941-0415-06,Dianeal Pd-2 With Dextrose: 2000 Ml In 1 Bag (0941-0415-06),122.11,122.11,,,0
NDC,0941-0457-01,Dianeal Low Calcium With Dextrose: 6000 Ml In 1 Bag (0941-0457-01),147.27,147.27,,,0
NDC,0941-0457-02,Dianeal Low Calcium With Dextrose: 3000 Ml In 1 Bag (0941-0457-02),152.11,152.11,,,0
NDC,0941-0457-08,Dianeal Low Calcium With Dextrose: 2000 Ml In 1 Bag (0941-0457-08),118.99,118.99,,,0
NDC,0941-0459-01,Dianeal Low Calcium With Dextrose: 6000 Ml In 1 Bag (0941-0459-01),130.94,130.94,,,0
NDC,0941-0459-08,Dianeal Low Calcium With Dextrose: 2000 Ml In 1 Bag (0941-0459-08),105.3,105.3,,,0
NDC,0941-0696-01,NDC Description Not Available,127.39,127.39,,,0
NDC,0942-0641-04,Acd-A: 1000 Ml In 1 Bag (0942-0641-04),75.98,75.98,,,0
NDC,0944-0493-01,Flexbumin: 12 Bag In 1 Carton (0944-0493-01)  / 50 Ml In 1 Bag (0944-0493-03),211.69,211.69,,,0
NDC,0944-0493-02,Flexbumin: 6 Bag In 1 Carton (0944-0493-02)  / 100 Ml In 1 Bag (0944-0493-04),228.05,228.05,,,0
NDC,0944-0493-03,NDC Description Not Available,215.365,215.365,,,0
NDC,0944-0493-04,NDC Description Not Available,220.89,220.89,,,0
NDC,0944-0495-05,Flexbumin: 2 Bag In 1 Carton (0944-0495-05)  / 250 Ml In 1 Bag (0944-0495-06),145.41,145.41,,,0
NDC,0944-0495-06,NDC Description Not Available,47.04,47.04,,,0
NDC,0944-2700-04,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-04)  / 50 Ml In 1 Bottle, Glass (0944-2700-10)",372.11,372.11,,,0
NDC,0944-2700-05,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-05)  / 100 Ml In 1 Bottle, Glass (0944-2700-11)",263.46,263.46,,,0
NDC,0944-2700-06,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-06)  / 200 Ml In 1 Bottle, Glass (0944-2700-12)",369.55,369.55,,,0
NDC,0944-2700-08,NDC Description Not Available,372.83,372.83,,,0
NDC,0944-2700-10,NDC Description Not Available,298.32,298.32,,,0
NDC,0944-2700-11,NDC Description Not Available,370.68,370.68,,,0
NDC,0944-2700-12,NDC Description Not Available,369.49,369.49,,,0
NDC,0944-3051-02,"Advate: 1 Blister Pack In 1 Carton (0944-3051-02)  / 1 Container In 1 Blister Pack (0944-3051-03)  / 1 Kit In 1 Container (0944-3051-04)  *  5 Ml In 1 Vial, Glass (0944-2941-01)  *  2 Ml In 1 Vial, Gl",9.09,9.09,,,0
NDC,0944-3052-02,"Advate: 1 Blister Pack In 1 Carton (0944-3052-02)  / 1 Container In 1 Blister Pack (0944-3052-03)  / 1 Kit In 1 Container (0944-3052-04)  *  5 Ml In 1 Vial, Glass (0944-2942-02)  *  2 Ml In 1 Vial, Gl",9.07,9.07,,,0
NDC,0944-3053-02,"Advate: 1 Blister Pack In 1 Carton (0944-3053-02)  / 1 Container In 1 Blister Pack (0944-3053-04)  / 1 Kit In 1 Container (0944-3053-03)  *  5 Ml In 1 Vial, Glass (0944-2943-02)  *  2 Ml In 1 Vial, Gl",9.035,9.035,,,0
NDC,0944-7552-01,NDC Description Not Available,13.02,13.02,,,0
NDC,0944-7553-02,"Vonvendi: 1 Kit In 1 Carton (0944-7553-02)  *  10 Ml In 1 Vial, Single-Dose (0944-7552-01)  *  10 Ml In 1 Vial, Glass (64764-516-10)",13.02,13.02,,,0
NDC,0990-6138-22,"Sodium Chloride: 24 Bottle, Plastic In 1 Case (0990-6138-22)  / 250 Ml In 1 Bottle, Plastic",92.89,92.89,,,0
NDC,0990-6141-09,"Physiosol: 12 Bottle, Plastic In 1 Case (0990-6141-09)  / 1000 Ml In 1 Bottle, Plastic",1.38,1.38,,,0
NDC,0990-7075-26,Potassium Chloride: 24 Pouch In 1 Case (0990-7075-26)  / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,8.52,8.52,,,0
NDC,0990-7115-09,Potassium Chloride In Sodium Chloride: 12 Pouch In 1 Case (0990-7115-09)  / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,11.15,11.15,,,0
NDC,0990-7120-07,Dextrose: 6 Pouch In 1 Case (0990-7120-07)  / 1 Bag In 1 Pouch / 2000 Ml In 1 Bag,68.08,68.08,,,0
NDC,0990-7715-02,Mannitol: 24 Pouch In 1 Case (0990-7715-02)  / 1 Bag In 1 Pouch / 250 Ml In 1 Bag (0990-7715-12),91.925,91.925,,,0
NDC,0990-7715-12,NDC Description Not Available,48.33,48.33,,,0
NDC,0990-7730-37,Sodium Chloride: 20 Pouch In 1 Case (0990-7730-37)  / 4 Bag In 1 Pouch / 100 Ml In 1 Bag,83.19999999999999,83.19999999999999,,,0
NDC,0990-7904-09,Potassium Chloride In Dextrose And Sodium Chloride: 12 Pouch In 1 Case (0990-7904-09)  / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,105.14,105.14,,,0
NDC,0990-7918-19,Dextrose: 12 Pouch In 1 Case (0990-7918-19)  / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,70.28,70.28,,,0
NDC,0990-7935-19,Dextrose: 12 Pouch In 1 Case (0990-7935-19)  / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,147.11,147.11,,,0
NDC,0990-7941-09,Dextrose And Sodium Chloride: 12 Pouch In 1 Case (0990-7941-09)  / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,54.41,54.41,,,0
NDC,0990-9257-39,Potassium Chloride In Sodium Chloride: 12 Pouch In 1 Case (0990-9257-39)  / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,11.07,11.07,,,0
NDC,0998-0016-15,Alcaine: 1 Bottle In 1 Carton (0998-0016-15)  / 15 Ml In 1 Bottle,197.06,197.06,,,0
NDC,1000670028,NDC Description Not Available,8.29,8.29,,,0
NDC,1000670038,NDC Description Not Available,7.96,7.96,,,0
NDC,1000673019,NDC Description Not Available,11.64,11.64,,,0
NDC,1000673051,NDC Description Not Available,5.88,5.88,,,0
NDC,10019-055-61,Brevibloc: 10 Bag In 1 Carton (10019-055-61)  / 250 Ml In 1 Bag,2.31,2.31,,,0
NDC,10019-075-87,Brevibloc: 10 Bag In 1 Carton (10019-075-87)  / 100 Ml In 1 Bag,430.75,430.75,,,0
NDC,10019-553-03,Transderm Scop: 10 Pouch In 1 Box (10019-553-03)  / 1 Patch In 1 Pouch / 3 D In 1 Patch,94.53,94.53,,,0
NDC,10019-926-02,"Ifosfamide: 1 Vial, Single-Dose In 1 Carton (10019-926-02)  / 60 Ml In 1 Vial, Single-Dose (10019-926-16)",222.76,222.76,,,0
NDC,10019-926-16,NDC Description Not Available,199.13,199.13,,,0
NDC,10019-953-01,"Mesna: 1 Vial, Multi-Dose In 1 Box (10019-953-01)  / 10 Ml In 1 Vial, Multi-Dose (10019-953-62)",16.71,16.71,,,0
NDC,10019-953-62,NDC Description Not Available,14.3,14.3,,,0
NDC,10019-957-01,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-957-01)  / 100 Ml In 1 Vial, Single-Dose (10019-957-11)",4.88,4.88,,,0
NDC,10122-160-01,NDC Description Not Available,1371.0349999999999,1371.0349999999999,,,0
NDC,10122-325-10,Cardene IV: 10 CARTON in 1 BOX (10122-325-10)  / 1 BAG in 1 CARTON (10122-325-01)  / 200 mL in 1 BAG,494.51,494.51,,,0
NDC,10122-510-01,"Curosurf: 1.5 Ml In 1 Vial, Glass (10122-510-01)",2857.83,2857.83,,,0
NDC,10122-510-03,"Curosurf: 3 Ml In 1 Vial, Glass (10122-510-03)",5958.14,5958.14,,,0
NDC,10135-701-04,Menthol And Zinc Oxide: 113 G In 1 Tube (10135-701-04),22.29,22.29,,,0
NDC,10135-735-01,Pyrazinamide: 100 Tablet In 1 Bottle (10135-735-01),27.41,27.41,,,0
NDC,10135-738-01,Rifabutin: 100 Capsule In 1 Bottle (10135-738-01),37.05500000000001,37.05500000000001,,,0
NDC,1013574901,NDC Description Not Available,6.41,6.41,,,0
NDC,1013578801,NDC Description Not Available,8.03,8.03,,,0
NDC,1043202931,NDC Description Not Available,6.81,6.81,,,0
NDC,10572-302-01,"Peg-3350, Sodium Chloride, Sodium Bicarbonate And Potassium Chloride: 4 L In 1 Bottle (10572-302-01)",177.64499999999998,177.64499999999998,,,0
NDC,10702-107-01,Dexmethylphenidate Hydrochloride: 100 Tablet In 1 Bottle (10702-107-01),9.05,9.05,,,0
NDC,1093920444,NDC Description Not Available,49.33,49.33,,,0
NDC,1093941233,NDC Description Not Available,17.99,17.99,,,0
NDC,1093941433,NDC Description Not Available,16.61,16.61,,,0
NDC,1093976744,NDC Description Not Available,17.155,17.155,,,0
NDC,1093988744,NDC Description Not Available,12.39,12.39,,,0
NDC,1093995732,NDC Description Not Available,11.76,11.76,,,0
NDC,11523-1167-6,"Afrin Original: 1 Bottle, Spray In 1 Carton (11523-1167-6)  / 15 Ml In 1 Bottle, Spray",46.6,46.6,,,0
NDC,11534-180-28,Polyethylene Glycol 3350 Nf: 238 G In 1 Bottle (11534-180-28),7.68,7.68,,,0
NDC,11701-067-23,Critic Aid Clear Af: 57 G In 1 Tube (11701-067-23),49.305,49.305,,,0
NDC,11701-083-33,Critic-Aid Clear: 71 G In 1 Tube (11701-083-33),42.39,42.39,,,0
NDC,11994-090-01,Technelite: 1 Vial In 1 Carton (11994-090-01)  / 12 Ml In 1 Vial,141.18,141.18,,,0
NDC,121059516,NDC Description Not Available,13.215,13.215,,,0
NDC,121067616,NDC Description Not Available,13.835,13.835,,,0
NDC,12870-0001-2,Silver Nitrate Applicators: 100 Applicator In 1 Vial (12870-0001-2)  / 100 Mg In 1 Applicator,13.59,13.59,,,0
NDC,132030140,NDC Description Not Available,19.15,19.15,,,0
NDC,13517-100-30,"Diazoxide: 1 Bottle, Dropper In 1 Carton (13517-100-30)  / 30 Ml In 1 Bottle, Dropper",17.47,17.47,,,0
NDC,13517-758-01,Phenobarbital: 100 Tablet In 1 Bottle (13517-758-01),14.59,14.59,,,0
NDC,13533-318-01,Hyperrab: 1 Vial In 1 Carton (13533-318-01)  / 1 Ml In 1 Vial (13533-318-10),1253.89,1253.89,,,0
NDC,13533-318-05,Hyperrab: 1 Vial In 1 Carton (13533-318-05)  / 5 Ml In 1 Vial (13533-318-50),1362.26,1362.26,,,0
NDC,13533-318-10,NDC Description Not Available,1303.66,1303.66,,,0
NDC,13533-335-04,Gamastan: 1 Vial In 1 Carton (13533-335-04)  / 2 Ml In 1 Vial (13533-335-40),316.56,316.56,,,0
NDC,13533-605-21,NDC Description Not Available,24.13,24.13,,,0
NDC,13533-606-12,"Thrombate Iii: 1 Kit In 1 Carton (13533-606-12)  *  10 Ml In 1 Vial, Glass (13533-605-21)  *  10 Ml In 1 Vial, Glass (76297-002-12)",24.14,24.14,,,0
NDC,13533-634-02,"Hypertet: 1 Syringe, Glass In 1 Box (13533-634-02)  / 1 Ml In 1 Syringe, Glass (13533-634-20)",3346.61,3346.61,,,0
NDC,13533-634-20,NDC Description Not Available,3346.61,3346.61,,,0
NDC,13533-636-03,"Hyperhep B: 1 Syringe, Glass In 1 Carton (13533-636-03)  / .5 Ml In 1 Syringe, Glass (13533-636-30)",509.85,509.85,,,0
NDC,13533-636-30,NDC Description Not Available,509.85,509.85,,,0
NDC,13533-636-50,NDC Description Not Available,596.23,596.23,,,0
NDC,13533-800-12,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-12)  / 10 Ml In 1 Vial, Glass (13533-800-13)",244.15,244.15,,,0
NDC,13533-800-13,NDC Description Not Available,247.33,247.33,,,0
NDC,13533-800-15,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-15)  / 25 Ml In 1 Vial, Glass (13533-800-16)",235.13,235.13,,,0
NDC,13533-800-16,NDC Description Not Available,233.5,233.5,,,0
NDC,13533-800-20,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-20)  / 50 Ml In 1 Vial, Glass (13533-800-21)",238.34,238.34,,,0
NDC,13533-800-21,NDC Description Not Available,235.58,235.58,,,0
NDC,13533-800-24,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-24)  / 200 Ml In 1 Vial, Glass (13533-800-25)",237.07999999999998,237.07999999999998,,,0
NDC,13533-800-25,NDC Description Not Available,233.64499999999998,233.64499999999998,,,0
NDC,13533-800-71,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-71)  / 100 Ml In 1 Vial, Glass (13533-800-72)",237.29500000000002,237.29500000000002,,,0
NDC,13533-800-72,NDC Description Not Available,234.06,234.06,,,0
NDC,13668-581-30,Tadalafil: 30 Tablet In 1 Bottle (13668-581-30),14.535,14.535,,,0
NDC,13668-593-80,NDC Description Not Available,46.56,46.56,,,0
NDC,13668-593-86,Aprepitant: 6 Blister Pack In 1 Carton (13668-593-86)  / 1 Capsule In 1 Blister Pack (13668-593-80),46.26,46.26,,,0
NDC,13668-606-30,"Erythromycin: 30 Tablet, Coated In 1 Bottle (13668-606-30)",36.55,36.55,,,0
NDC,13811-706-10,"Methylphenidate Hydrochloride: 100 Tablet, Extended Release In 1 Bottle (13811-706-10)",9.14,9.14,,,0
NDC,13925-515-01,NDC Description Not Available,404.61,404.61,,,0
NDC,13925-515-10,Pentamidine Isethionate: 10 Vial In 1 Tray (13925-515-10)  / 300 Mg In 1 Vial,355.26,355.26,,,0
NDC,14789-015-05,"Isoproterenol Hydrochloride: 10 Vial, Single-Dose In 1 Carton (14789-015-05)  / 5 Ml In 1 Vial, Single-Dose",1466.89,1466.89,,,0
NDC,14789-015-07,NDC Description Not Available,1146.11,1146.11,,,0
NDC,14789-121-05,"Papaverine Hydrochloride: 10 Vial, Single-Use In 1 Carton (14789-121-05)  / 2 Ml In 1 Vial, Single-Use (14789-121-07)",108.65,108.65,,,0
NDC,14789-121-07,NDC Description Not Available,77.61,77.61,,,0
NDC,14789-127-05,"Phenobarbital Sodium: 10 Vial, Glass In 1 Carton (14789-127-05)  / 1 Ml In 1 Vial, Glass (14789-127-07)",78.93,78.93,,,0
NDC,14789-127-07,NDC Description Not Available,62.29,62.29,,,0
NDC,14789-134-07,NDC Description Not Available,72.95,72.95,,,0
NDC,14789-330-08,NDC Description Not Available,0.93,0.93,,,0
NDC,14789-330-15,Levetiracetam In Sodium Chloride: 10 Bag In 1 Carton (14789-330-15)  / 100 Ml In 1 Bag (14789-330-08),0.57,0.57,,,0
NDC,1513702127,NDC Description Not Available,51.58,51.58,,,0
NDC,16252-539-01,Isradipine: 100 Capsule In 1 Bottle (16252-539-01),21.31,21.31,,,0
NDC,16252-540-01,Isradipine: 100 Capsule In 1 Bottle (16252-540-01),16.355,16.355,,,0
NDC,16571-401-10,Cetirizine Hydrochloride: 100 Tablet In 1 Bottle (16571-401-10),7.035,7.035,,,0
NDC,16571-669-01,Phenobarbital: 100 Tablet In 1 Bottle (16571-669-01),5.61,5.61,,,0
NDC,16571-671-01,Phenobarbital: 100 Tablet In 1 Bottle (16571-671-01),4.635,4.635,,,0
NDC,16571-698-09,"Lansoprazole: 90 Capsule, Delayed Release In 1 Bottle (16571-698-09)",12.07,12.07,,,0
NDC,16571-723-48,Sulfamylon: 453.6 G In 1 Jar (16571-723-48),2949.21,2949.21,,,0
NDC,16714-016-01,NDC Description Not Available,10.55,10.55,,,0
NDC,16714-052-10,Clopidogrel: 10 Tablet In 1 Blister Pack (16714-052-10),12.16,12.16,,,0
NDC,16714-082-10,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (16714-082-10),12.55,12.55,,,0
NDC,16714-087-01,"Clobazam: 1 Bottle, Glass In 1 Carton (16714-087-01)  / 120 Ml In 1 Bottle, Glass",25.439999999999998,25.439999999999998,,,0
NDC,16714-140-01,Triamcinolone Acetonide: 1 Vial In 1 Carton (16714-140-01)  / 5 Ml In 1 Vial,15.37,15.37,,,0
NDC,16714-166-01,Liothyronine Sodium: 100 Tablet In 1 Bottle (16714-166-01),14.36,14.36,,,0
NDC,16714-200-10,NDC Description Not Available,3.48,3.48,,,0
NDC,16714-248-01,"Fosaprepitant: 1 Vial, Single-Dose In 1 Carton (16714-248-01)  / 5 Ml In 1 Vial, Single-Dose",1.08,1.08,,,0
NDC,16714-293-01,Amoxicillin And Clavulanate Potassium: 50 Ml In 1 Bottle (16714-293-01),14.96,14.96,,,0
NDC,16714-294-01,Amoxicillin And Clavulanate Potassium: 75 Ml In 1 Bottle (16714-294-01),15.18,15.18,,,0
NDC,16714-294-02,Amoxicillin And Clavulanate Potassium: 125 Ml In 1 Bottle (16714-294-02),13.515,13.515,,,0
NDC,16714-298-01,Amoxicillin: 100 Capsule In 1 Bottle (16714-298-01),5.8950000000000005,5.8950000000000005,,,0
NDC,16714-299-03,Amoxicillin: 100 Capsule In 1 Bottle (16714-299-03),7.335,7.335,,,0
NDC,16714-309-01,NDC Description Not Available,8.15,8.15,,,0
NDC,16714-355-02,"Levetiracetam: 500 Tablet, Film Coated In 1 Bottle (16714-355-02)",0.69,0.69,,,0
NDC,16714-358-01,"Levetiracetam: 473 Ml In 1 Bottle, Plastic (16714-358-01)",12.190000000000001,12.190000000000001,,,0
NDC,16714-442-01,Enalapril Maleate: 100 Tablet In 1 Bottle (16714-442-01),12.92,12.92,,,0
NDC,16714-483-02,"Clindamycin Palmitate Hydrochloride (Pediatric): 1 Bottle, Plastic In 1 Carton (16714-483-02)  / 100 Ml In 1 Bottle, Plastic",2.135,2.135,,,0
NDC,16714-548-01,Lacosamide: 60 Tablet In 1 Bottle (16714-548-01),9.86,9.86,,,0
NDC,16714-601-02,"Sertraline Hydrochloride: 1 Bottle, Plastic In 1 Carton (16714-601-02)  / 60 Ml In 1 Bottle, Plastic",27.384999999999998,27.384999999999998,,,0
NDC,16714-663-01,Gabapentin: 100 Capsule In 1 Bottle (16714-663-01),6.22,6.22,,,0
NDC,16714-671-02,"Ondansetron: 1 Bottle, Plastic In 1 Carton (16714-671-02)  / 50 Ml In 1 Bottle, Plastic",6.06,6.06,,,0
NDC,16714-690-01,NDC Description Not Available,0.78,0.78,,,0
NDC,16714-720-02,Fluoxetine: 100 Capsule In 1 Bottle (16714-720-02),11.78,11.78,,,0
NDC,16714-757-01,Atomoxetine: 30 Capsule In 1 Bottle (16714-757-01),24.42,24.42,,,0
NDC,16714-758-01,Atomoxetine: 30 Capsule In 1 Bottle (16714-758-01),21.535,21.535,,,0
NDC,16714-765-01,"Valganciclovir: 60 TABLET, FILM COATED in 1 BOTTLE (16714-765-01)",35.05,35.05,,,0
NDC,16714-769-01,"Nystatin: 15 G In 1 Bottle, Plastic (16714-769-01)",113.25,113.25,,,0
NDC,16714-796-01,Sumatriptan: 1 Blister Pack In 1 Carton (16714-796-01)  / 9 Tablet In 1 Blister Pack,14.45,14.45,,,0
NDC,16714-817-01,Oseltamivir Phosphate: 10 CAPSULE in 1 CARTON (16714-817-01),70.37,70.37,,,0
NDC,16714-819-01,Oseltamivir Phosphate: 10 CAPSULE in 1 CARTON (16714-819-01),74.07,74.07,,,0
NDC,16714-829-01,"Budesonide: 100 Capsule, Coated Pellets In 1 Bottle (16714-829-01)",22.99,22.99,,,0
NDC,16714-834-01,"Palonosetron: 1 Vial, Single-Use In 1 Carton (16714-834-01)  / 5 Ml In 1 Vial, Single-Use",7.18,7.18,,,0
NDC,16714-857-01,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (16714-857-01)  / 50 Ml In 1 Vial, Single-Dose",4.83,4.83,,,0
NDC,16714-859-01,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (16714-859-01)  / 25 Ml In 1 Vial, Single-Dose",6.32,6.32,,,0
NDC,16714-886-01,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (16714-886-01)  / 15 Powder, For Solution In 1 Vial, Single-Dose",284.62,284.62,,,0
NDC,16714-908-01,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (16714-908-01)  / 30 Powder, For Solution In 1 Vial, Single-Dose",199.31,199.31,,,0
NDC,16714-950-01,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (16714-950-01)",14.14,14.14,,,0
NDC,16714-985-01,Triamcinolone Acetonide: 1 Tube In 1 Carton (16714-985-01)  / 15 G In 1 Tube,18.2,18.2,,,0
NDC,16714-986-01,Triamcinolone Acetonide: 1 Tube In 1 Carton (16714-986-01)  / 15 G In 1 Tube,13.469999999999999,13.469999999999999,,,0
NDC,16714-986-03,Triamcinolone Acetonide: 1 Tube In 1 Carton (16714-986-03)  / 80 G In 1 Tube,38.9,38.9,,,0
NDC,16714-987-01,Triamcinolone Acetonide: 1 Tube In 1 Carton (16714-987-01)  / 15 G In 1 Tube,39.54,39.54,,,0
NDC,16714-988-01,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (16714-988-01)",12.57,12.57,,,0
NDC,16729-043-01,Tacrolimus: 100 Capsule In 1 Bottle (16729-043-01),8.65,8.65,,,0
NDC,16729-081-10,"Naltrexone Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (16729-081-10)",18.63,18.63,,,0
NDC,16729-114-08,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-08)  / 25 Ml In 1 Vial, Multi-Dose",19.82,19.82,,,0
NDC,16729-114-11,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-11)  / 50 Ml In 1 Vial, Multi-Dose",16.46,16.46,,,0
NDC,16729-132-12,"Quetiapine Fumarate: 60 Tablet, Extended Release In 1 Bottle (16729-132-12)",7.0,7.0,,,0
NDC,16729-136-00,"Clonazepam: 100 Tablet In 1 Bottle, Plastic (16729-136-00)",10.88,10.88,,,0
NDC,16729-239-30,NDC Description Not Available,30.78,30.78,,,0
NDC,16729-239-93,Dexmedetomidine: 25 Vial In 1 Carton (16729-239-93)  / 2 Ml In 1 Vial (16729-239-30),29.02,29.02,,,0
NDC,16729-277-30,Methotrexate: 1 Vial In 1 Carton (16729-277-30)  / 2 Ml In 1 Vial,172.94,172.94,,,0
NDC,16729-288-11,Cisplatin: 50 Ml In 1 Vial (16729-288-11),43.02,43.02,,,0
NDC,16729-351-03,NDC Description Not Available,6.89,6.89,,,0
NDC,16729-351-92,"Busulfan: 8 Vial, Single-Dose In 1 Carton (16729-351-92)  / 10 Ml In 1 Vial, Single-Dose (16729-351-03)",4.6,4.6,,,0
NDC,16729-443-10,"Bupropion Hydrochloride: 30 Tablet, Extended Release In 1 Bottle (16729-443-10)",9.51,9.51,,,0
NDC,16729-526-08,"Atropine Sulfate: 25 Vial, Single-Dose In 1 Carton (16729-526-08)  / 1 Ml In 1 Vial, Single-Dose",1.34,1.34,,,0
NDC,16864-240-01,"Domeboro: 12 Powder, For Solution In 1 Box (16864-240-01)",16.175,16.175,,,0
NDC,17156-201-05,Sodium Iodide: 1 CAPSULE in 1 BOX (17156-201-05),399.87,399.87,,,0
NDC,17156-235-01,"Adreview: 1 Vial, Glass In 1 Container (17156-235-01)  / 5 Ml In 1 Vial, Glass",19475.519999999997,19475.519999999997,,,0
NDC,17238-900-11,Bioglo: 100 Packet In 1 Box (17238-900-11)  / 1 Mg In 1 Packet (17238-900-99),13.11,13.11,,,0
NDC,17238-900-99,NDC Description Not Available,12.93,12.93,,,0
NDC,17271-701-05,Sodium Chloride: 250 Ml In 1 Bag (17271-701-05),47.22,47.22,,,0
NDC,17478-062-35,Artificial Tears: 1 TUBE in 1 CARTON (17478-062-35)  / 3.5 g in 1 TUBE,49.31,49.31,,,0
NDC,17478-100-02,"Cyclopentolate Hydrochloride: 1 BOTTLE, DROPPER in 1 CARTON (17478-100-02)  / 2 mL in 1 BOTTLE, DROPPER",37.82,37.82,,,0
NDC,17478-201-02,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (17478-201-02)  / 2 Ml In 1 Bottle, Dropper",206.9,206.9,,,0
NDC,17478-380-20,"Methadone Hydrochloride: 20 mL in 1 VIAL, MULTI-DOSE (17478-380-20)",58.39,58.39,,,0
NDC,17478-403-03,FUL-GLO: 300 APPLICATOR in 1 CARTON (17478-403-03)  / 1 STRIP in 1 APPLICATOR,12.64,12.64,,,0
NDC,17478-420-20,"Labetalol Hydrochloride: 1 VIAL, MULTI-DOSE in 1 BOX (17478-420-20)  / 20 mL in 1 VIAL, MULTI-DOSE",35.66,35.66,,,0
NDC,17478-713-10,"Ofloxacin: 1 BOTTLE, DROPPER in 1 CARTON (17478-713-10)  / 5 mL in 1 BOTTLE, DROPPER",66.63,66.63,,,0
NDC,17856-0049-01,NDC Description Not Available,17.619999999999997,17.619999999999997,,,0
NDC,17856-0049-05,NDC Description Not Available,23.13,23.13,,,0
NDC,17856-0691-4,"Ondansetron: 2.5 Ml In 1 Syringe, Plastic (17856-0691-4)",13.41,13.41,,,0
NDC,17856-0691-8,"Ondansetron: 60 Syringe In 1 Box, Unit-Dose (17856-0691-8)  / 2.5 Ml In 1 Syringe",15.69,15.69,,,0
NDC,17856-0759-2,NDC Description Not Available,2.72,2.72,,,0
NDC,17856-0799-1,"Mylicon: 120 Syringe In 1 Box, Unit-Dose (17856-0799-1)  / .3 Ml In 1 Syringe",16.705,16.705,,,0
NDC,17856-1141-1,"Teeny Tummy Gas Relief Drops: 120 Syringe In 1 Box, Unit-Dose (17856-1141-1)  / .3 Ml In 1 Syringe (17856-1141-6)",18.89,18.89,,,0
NDC,17856-1303-1,"Infants: 120 Syringe In 1 Box, Unit-Dose (17856-1303-1)  / .3 Ml In 1 Syringe",12.615,12.615,,,0
NDC,1785600102,NDC Description Not Available,19.53,19.53,,,0
NDC,18657-117-01,NDC Description Not Available,1.92,1.92,,,0
NDC,1878777232,NDC Description Not Available,12.6,12.6,,,0
NDC,19515-810-41,NDC Description Not Available,148.175,148.175,,,0
NDC,19515-904-41,NDC Description Not Available,144.76,144.76,,,0
NDC,19515-904-52,Flulaval 2025/2026: 10 Syringe In 1 Carton (19515-904-52)  / .5 Ml In 1 Syringe (19515-904-41),144.76,144.76,,,0
NDC,2055503901,NDC Description Not Available,8.775,8.775,,,0
NDC,21922-011-05,Tacrolimus: 1 Tube In 1 Carton (21922-011-05)  / 30 G In 1 Tube,311.67,311.67,,,0
NDC,21922-029-04,Mupirocin: 1 Tube In 1 Carton (21922-029-04)  / 15 G In 1 Tube,162.32,162.32,,,0
NDC,225052848,NDC Description Not Available,37.225,37.225,,,0
NDC,23155-166-31,NDC Description Not Available,28.33,28.33,,,0
NDC,23155-216-31,"Cidofovir Dihydrate: 5 Ml In 1 Vial, Glass (23155-216-31)",403.805,403.805,,,0
NDC,23155-240-31,NDC Description Not Available,31.55,31.55,,,0
NDC,23155-290-31,NDC Description Not Available,8.67,8.67,,,0
NDC,23155-294-31,NDC Description Not Available,38.92,38.92,,,0
NDC,23155-313-31,"Acetazolamide: 5 Ml In 1 Vial, Glass (23155-313-31)",35.73,35.73,,,0
NDC,23155-489-01,Desmopressin Acetate: 100 Tablet In 1 Bottle (23155-489-01),13.969999999999999,13.969999999999999,,,0
NDC,23155-532-01,Ethosuximide: 100 Capsule In 1 Bottle (23155-532-01),19.38,19.38,,,0
NDC,23155-547-31,NDC Description Not Available,6.01,6.01,,,0
NDC,23155-600-31,NDC Description Not Available,23.5,23.5,,,0
NDC,23155-600-41,"Midazolam Hydrochloride: 25 Vial, Single-Dose In 1 Carton (23155-600-41)  / 2 Ml In 1 Vial, Single-Dose (23155-600-31)",20.05,20.05,,,0
NDC,23155-601-32,NDC Description Not Available,0.9,0.9,,,0
NDC,23155-606-01,Glycopyrrolate: 100 Tablet In 1 Bottle (23155-606-01),9.405,9.405,,,0
NDC,23155-649-41,"Carmustine: 1 Kit In 1 Carton (23155-649-41)  *  3 Ml In 1 Vial (23155-648-31)  *  30 Ml In 1 Vial, Single-Dose (23155-647-31)",1062.05,1062.05,,,0
NDC,23155-661-31,NDC Description Not Available,506.15,506.15,,,0
NDC,23155-748-31,NDC Description Not Available,132.3,132.3,,,0
NDC,23155-748-41,"Pentamidine Isethionate: 10 Vial, Single-Dose In 1 Carton (23155-748-41)  / 300 Mg In 1 Vial, Single-Dose (23155-748-31)",124.89,124.89,,,0
NDC,23155-771-31,"Foscarnet Sodium: 1 Bottle, Glass In 1 Carton (23155-771-31)  / 250 Ml In 1 Bottle, Glass",155.66,155.66,,,0
NDC,23155-833-01,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (23155-833-01),8.06,8.06,,,0
NDC,23155-848-51,"Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (23155-848-51)  / 225 Ml In 1 Bottle, Plastic",16.28,16.28,,,0
NDC,23155-858-78,Vancomycin Hydrochloride: 2 Blister Pack In 1 Carton (23155-858-78)  / 10 Capsule In 1 Blister Pack,24.465,24.465,,,0
NDC,24201-010-20,Pentobarbital Sodium: 1 Vial In 1 Carton (24201-010-20)  / 20 Ml In 1 Vial,196.67,196.67,,,0
NDC,24201-010-50,Pentobarbital Sodium: 1 Vial In 1 Carton (24201-010-50)  / 50 Ml In 1 Vial,121.23,121.23,,,0
NDC,24201-100-01,NDC Description Not Available,1.22,1.22,,,0
NDC,24201-100-24,"Acetaminophen: 24 Vial, Glass In 1 Carton (24201-100-24)  / 100 Ml In 1 Vial, Glass",0.64,0.64,,,0
NDC,24201-201-05,"Sodium Tetradecyl Sulfate: 5 Vial, Glass In 1 Carton (24201-201-05)  / 2 Ml In 1 Vial, Glass (24201-201-01)",389.29,389.29,,,0
NDC,24201-400-02,"Calcitonin Salmon: 1 Vial, Multi-Dose In 1 Carton (24201-400-02)  / 2 Ml In 1 Vial, Multi-Dose",109.05,109.05,,,0
NDC,24208-295-05,"Tobramycin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (24208-295-05)  / 5 Ml In 1 Bottle, Dropper",454.54,454.54,,,0
NDC,24208-485-10,"Dorzolamide Hcl: 1 Bottle, Dropper In 1 Carton (24208-485-10)  / 10 Ml In 1 Bottle, Dropper",81.02,81.02,,,0
NDC,24208-535-35,"Zirgan: 1 Tube, With Applicator In 1 Carton (24208-535-35)  / 5 G In 1 Tube, With Applicator",2868.64,2868.64,,,0
NDC,24208-539-20,Miochol E: 1 Kit In 1 Blister Pack (24208-539-20)  *  2 Ml In 1 Vial *  2 Ml In 1 Ampule,508.76,508.76,,,0
NDC,24208-555-55,Bacitracin Zinc And Polymyxin B Sulfate: 1 Tube In 1 Carton (24208-555-55)  / 3.5 G In 1 Tube,43.07,43.07,,,0
NDC,24208-670-04,"Sulfacetamide Sodium: 1 Bottle, Dropper In 1 Carton (24208-670-04)  / 15 Ml In 1 Bottle, Dropper",259.83,259.83,,,0
NDC,24208-720-02,"Dexamethasone Sodium Phosphate: 1 Bottle, Dropper In 1 Carton (24208-720-02)  / 5 Ml In 1 Bottle, Dropper",279.015,279.015,,,0
NDC,24208-730-06,"Proparacaine Hydrochloride: 1 Bottle, Dropper In 1 Carton (24208-730-06)  / 15 Ml In 1 Bottle, Dropper",210.8,210.8,,,0
NDC,24208-735-01,"Cyclopentolate Hydrochloride: 1 Bottle, Dropper In 1 Carton (24208-735-01)  / 2 Ml In 1 Bottle, Dropper",67.41,67.41,,,0
NDC,24208-780-55,Neomycin And Polymyxin B Sulfates And Bacitracin Zinc: 1 Tube In 1 Carton (24208-780-55)  / 3.5 G In 1 Tube,288.39,288.39,,,0
NDC,24208-790-62,"Neomycin And Polymyxin B Sulfates And Gramicidin: 1 Bottle, Dropper In 1 Carton (24208-790-62)  / 10 Ml In 1 Bottle, Dropper",241.33,241.33,,,0
NDC,24208-795-35,Neomycin And Polymyxin B Sulfates And Dexamethasone: 1 Tube In 1 Carton (24208-795-35)  / 3.5 G In 1 Tube,88.19,88.19,,,0
NDC,24208-910-19,Erythromycin: 50 Tube In 1 Box (24208-910-19)  / 1 G In 1 Tube,51.91,51.91,,,0
NDC,24338-130-13,Ery-Ped: 100 Ml In 1 Bottle (24338-130-13),32.54,32.54,,,0
NDC,24338-134-02,E.E.S: 100 Ml In 1 Bottle (24338-134-02),33.62,33.62,,,0
NDC,24338-530-25,Sotylize: 250 Ml In 1 Bottle (24338-530-25),55.59,55.59,,,0
NDC,24357-701-05,NDC Description Not Available,24.16,24.16,,,0
NDC,24478-321-02,Quillivant Xr: 1 Bottle In 1 Carton (24478-321-02)  / 60 Ml In 1 Bottle,195.18,195.18,,,0
NDC,24571-103-06,Prismasol Bgk2/3.5: 2 Bag In 1 Case (24571-103-06)  / 5 L In 1 Bag,275.28,275.28,,,0
NDC,24571-105-06,Prismasol Bgk4/2.5: 2 Bag In 1 Case (24571-105-06)  / 5 L In 1 Bag,273.28,273.28,,,0
NDC,24571-111-06,Prismasol B22Gk4/0: 2 Bag In 1 Case (24571-111-06)  / 5 L In 1 Bag,308.63,308.63,,,0
NDC,24571-113-06,Prismasol Bk0/0/1.2: 2 Bag In 1 Case (24571-113-06)  / 5 L In 1 Bag,279.64,279.64,,,0
NDC,25021-107-20,"Ceftriaxone: 25 Vial In 1 Carton (25021-107-20)  / 1 Injection, Powder, For Solution In 1 Vial",11.88,11.88,,,0
NDC,25021-114-87,Ciprofloxacin: 24 Pouch In 1 Carton (25021-114-87)  / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,23.2,23.2,,,0
NDC,25021-115-04,Clindamycin: 25 Vial In 1 Carton (25021-115-04)  / 4 Ml In 1 Vial,24.835,24.835,,,0
NDC,25021-132-81,Levofloxacin: 24 Pouch In 1 Carton (25021-132-81)  / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,38.12,38.12,,,0
NDC,25021-162-24,"Oxacillin: 10 Vial In 1 Carton (25021-162-24)  / 1 Injection, Powder, For Solution In 1 Vial",13.26,13.26,,,0
NDC,25021-184-82,Fluconazole: 10 Pouch In 1 Carton (25021-184-82)  / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,32.57,32.57,,,0
NDC,25021-184-87,Fluconazole: 10 Pouch In 1 Carton (25021-184-87)  / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,27.95,27.95,,,0
NDC,25021-190-10,Micafungin: 1 Vial In 1 Carton (25021-190-10)  / 5 Ml In 1 Vial,1.87,1.87,,,0
NDC,25021-192-82,Ciprofloxacin: 24 Pouch In 1 Carton (25021-192-82)  / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,29.72,29.72,,,0
NDC,25021-204-05,Vinorelbine: 1 Vial In 1 Carton (25021-204-05)  / 5 Ml In 1 Vial,73.105,73.105,,,0
NDC,25021-207-25,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (25021-207-25)  / 25 Ml In 1 Vial,28.53,28.53,,,0
NDC,25021-229-05,Cytarabine: 5 Vial In 1 Carton (25021-229-05)  / 5 Ml In 1 Vial,135.11,135.11,,,0
NDC,25021-241-10,Busulfan: 8 Vial In 1 Carton (25021-241-10)  / 10 Ml In 1 Vial,51.64,51.64,,,0
NDC,25021-245-04,Docetaxel: 1 Vial In 1 Carton (25021-245-04)  / 4 Ml In 1 Vial,3.41,3.41,,,0
NDC,25021-246-02,Thiotepa: 1 Vial In 1 Carton (25021-246-02)  / 1.5 Ml In 1 Vial,78.42,78.42,,,0
NDC,25021-247-50,Cyclophosphamide: 1 Vial In 1 Carton (25021-247-50)  / 25 Ml In 1 Vial,3.55,3.55,,,0
NDC,25021-248-51,Cyclophosphamide: 1 Vial In 1 Carton (25021-248-51)  / 50 Ml In 1 Vial,3.3,3.3,,,0
NDC,25021-249-51,Cyclophosphamide: 1 Vial In 1 Carton (25021-249-51)  / 100 Ml In 1 Vial,2.705,2.705,,,0
NDC,25021-253-50,Cisplatin: 1 Vial In 1 Carton (25021-253-50)  / 50 Ml In 1 Vial,49.04,49.04,,,0
NDC,25021-259-50,Nelarabine: 1 Vial In 1 Carton (25021-259-50)  / 50 Ml In 1 Vial,315.82,315.82,,,0
NDC,25021-305-20,Chlorothiazide Sodium: 1 Vial In 1 Carton (25021-305-20)  / 18 Ml In 1 Vial,43.79,43.79,,,0
NDC,25021-308-84,Esmolol Hydrochloride: 10 Bag In 1 Carton (25021-308-84)  / 250 Ml In 1 Bag,1.78,1.78,,,0
NDC,25021-313-82,Milrinone Lactate In Dextrose: 10 Bag In 1 Carton (25021-313-82)  / 100 Ml In 1 Bag,23.77,23.77,,,0
NDC,25021-321-04,Bumetanide: 10 Vial In 1 Carton (25021-321-04)  / 4 Ml In 1 Vial,19.865000000000002,19.865000000000002,,,0
NDC,25021-321-10,Bumetanide: 10 Vial In 1 Carton (25021-321-10)  / 10 Ml In 1 Vial,4.92,4.92,,,0
NDC,25021-401-02,Heparin Sodium: 25 Vial In 1 Carton (25021-401-02)  / 2 Ml In 1 Vial,26.28,26.28,,,0
NDC,25021-402-01,Heparin Sodium: 25 Vial In 1 Carton (25021-402-01)  / 1 Ml In 1 Vial,6.62,6.62,,,0
NDC,25021-410-70,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-410-70)  / .3 Ml In 1 Syringe,14.11,14.11,,,0
NDC,25021-410-78,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-410-78)  / .8 Ml In 1 Syringe,8.11,8.11,,,0
NDC,25021-601-03,Caffeine Citrate: 1 Vial In 1 Carton (25021-601-03)  / 3 Ml In 1 Vial,12.27,12.27,,,0
NDC,25021-602-03,Caffeine Citrate: 10 Vial In 1 Carton (25021-602-03)  / 3 Ml In 1 Vial,7.26,7.26,,,0
NDC,25021-612-81,Magnesium Sulfate: 10 Bag In 1 Carton (25021-612-81)  / 50 Ml In 1 Bag,11.76,11.76,,,0
NDC,25021-676-50,Pentobarbital Sodium: 1 Vial In 1 Carton (25021-676-50)  / 50 Ml In 1 Vial,126.05,126.05,,,0
NDC,25021-682-20,Ketamine Hydrochloride: 10 Vial In 1 Carton (25021-682-20)  / 20 Ml In 1 Vial,59.5,59.5,,,0
NDC,25021-686-20,Vecuronium Bromide: 10 Vial In 1 Carton (25021-686-20)  / 20 Ml In 1 Vial,113.91,113.91,,,0
NDC,25021-700-01,Ketorolac Tromethamine: 25 Vial In 1 Carton (25021-700-01)  / 1 Ml In 1 Vial,26.72,26.72,,,0
NDC,25021-790-02,Prochlorperazine Edisylate: 10 Vial In 1 Carton (25021-790-02)  / 2 Ml In 1 Vial,36.3,36.3,,,0
NDC,25021-791-20,"Lacosamide: 10 Vial, Glass In 1 Carton (25021-791-20)  / 20 Ml In 1 Vial, Glass",0.74,0.74,,,0
NDC,25021-812-30,Acetylcysteine: 4 Vial In 1 Carton (25021-812-30)  / 30 Ml In 1 Vial,2.365,2.365,,,0
NDC,25021-816-30,Leucovorin Calcium: 1 Vial In 1 Carton (25021-816-30)  / 17.5 Ml In 1 Vial,19.71,19.71,,,0
NDC,25021-829-02,Fomepizole: 1 Vial In 1 Carton (25021-829-02)  / 1.5 Ml In 1 Vial,44.44,44.44,,,0
NDC,25682-001-01,Soliris: 1 Vial In 1 Carton (25682-001-01)  / 30 Ml In 1 Vial,447.55,447.55,,,0
NDC,25682-007-01,"Kanuma: 1 Vial, Glass In 1 Carton (25682-007-01)  / 10 Ml In 1 Vial, Glass",3127.92,3127.92,,,0
NDC,25682-025-01,"Ultomiris: 1 Vial, Glass In 1 Carton (25682-025-01)  / 3 Ml In 1 Vial, Glass",1332.895,1332.895,,,0
NDC,27241-097-06,"Duloxetine: 60 Capsule, Delayed Release In 1 Bottle (27241-097-06)",10.989999999999998,10.989999999999998,,,0
NDC,27241-108-06,"Clonidine Hydrochloride: 60 Tablet, Extended Release In 1 Bottle (27241-108-06)",16.835,16.835,,,0
NDC,27241-139-09,Oseltamivir Phosphate: 1 Pouch In 1 Carton (27241-139-09)  / 1 Bottle In 1 Pouch / 60 Ml In 1 Bottle,28.59,28.59,,,0
NDC,27241-159-19,Valganciclovir Hydrochloride: 1 Pouch In 1 Carton (27241-159-19)  / 1 Bottle In 1 Pouch / 100 Ml In 1 Bottle,318.755,318.755,,,0
NDC,27437-056-01,"Xopenex Hfa: 1 Inhaler In 1 Carton (27437-056-01)  / 200 Aerosol, Metered In 1 Inhaler",160.88,160.88,,,0
NDC,27808-051-02,Promethazine Hydrochloride: 473 Ml In 1 Bottle (27808-051-02),12.8,12.8,,,0
NDC,29300-140-01,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle, Plastic (29300-140-01)",10.09,10.09,,,0
NDC,29300-355-01,"Tramadol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (29300-355-01)",12.29,12.29,,,0
NDC,29300-413-01,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (29300-413-01)",10.705,10.705,,,0
NDC,29300-419-01,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (29300-419-01)",10.805,10.805,,,0
NDC,3010304000,NDC Description Not Available,19.27,19.27,,,0
NDC,30698-144-01,"Rocaltrol: 100 Capsule, Gelatin Coated In 1 Bottle (30698-144-01)",29.81,29.81,,,0
NDC,31722-053-60,"Ivabradine: 60 Tablet, Film Coated In 1 Bottle (31722-053-60)",24.04,24.04,,,0
NDC,31722-063-31,Famotidine: 50 Ml In 1 Bottle (31722-063-31),9.115,9.115,,,0
NDC,31722-136-31,"Sildenafil: 1 Bottle, Glass In 1 Carton (31722-136-31)  / 112 Ml In 1 Bottle, Glass",15.92,15.92,,,0
NDC,31722-205-24,"Acetaminophen: 24 Vial, Single-Dose In 1 Carton (31722-205-24)  / 100 Ml In 1 Vial, Single-Dose (31722-205-31)",1.24,1.24,,,0
NDC,31722-205-31,NDC Description Not Available,1.51,1.51,,,0
NDC,31722-308-01,Olanzapine: 1 Vial In 1 Carton (31722-308-01)  / 2 Ml In 1 Vial,5.225,5.225,,,0
NDC,31722-542-01,Indomethacin: 12 Bottle In 1 Case (31722-542-01)  / 100 Capsule In 1 Bottle,8.635,8.635,,,0
NDC,31722-574-47,Levetiracetam: 473 Ml In 1 Bottle (31722-574-47),12.760000000000002,12.760000000000002,,,0
NDC,31722-598-12,"Rufinamide: 120 Tablet, Film Coated In 1 Bottle (31722-598-12)",13.31,13.31,,,0
NDC,31722-630-31,Oseltamivir Phosphate: 10 Capsule In 1 Carton (31722-630-31),26.4,26.4,,,0
NDC,31722-632-31,Oseltamivir Phosphate: 10 Capsule In 1 Carton (31722-632-31),28.130000000000003,28.130000000000003,,,0
NDC,31722-681-47,Acyclovir: 473 Ml In 1 Bottle (31722-681-47),10.09,10.09,,,0
NDC,31722-682-05,Naproxen: 500 Ml In 1 Bottle (31722-682-05),48.92,48.92,,,0
NDC,31722-717-30,Atomoxetine: 30 Capsule In 1 Bottle (31722-717-30),19.240000000000002,19.240000000000002,,,0
NDC,31722-727-90,"Montelukast Sodium: 90 Tablet, Chewable In 1 Bottle (31722-727-90)",11.26,11.26,,,0
NDC,31722-728-90,"Montelukast Sodium: 90 Tablet, Chewable In 1 Bottle (31722-728-90)",13.285,13.285,,,0
NDC,31722-843-30,"Eltrombopag: 30 Tablet, Film Coated In 1 Bottle (31722-843-30)",2418.76,2418.76,,,0
NDC,31722-935-02,"Albendazole 200 Mg: 2 Tablet, Film Coated In 1 Bottle (31722-935-02)",197.575,197.575,,,0
NDC,3172213747,NDC Description Not Available,10.465,10.465,,,0
NDC,3172293847,NDC Description Not Available,5.975,5.975,,,0
NDC,36000-009-24,Ciprofloxacin: 200 Ml In 1 Bag (36000-009-24),29.9,29.9,,,0
NDC,36000-063-01,NDC Description Not Available,22.94,22.94,,,0
NDC,36000-242-01,"Tobramycin: 1 Vial, Multi-Dose In 1 Carton (36000-242-01)  / 30 Ml In 1 Vial, Multi-Dose",21.18,21.18,,,0
NDC,36000-282-25,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-282-25)  / 2 Ml In 1 Vial, Single-Dose",8.615,8.615,,,0
NDC,36000-284-25,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-284-25)  / 10 Ml In 1 Vial, Single-Dose",1.04,1.04,,,0
NDC,36000-308-01,NDC Description Not Available,3.56,3.56,,,0
NDC,36000-320-01,NDC Description Not Available,18.22,18.22,,,0
NDC,36000-320-10,Labetalol Hydrochloride: 10 Vial In 1 Carton (36000-320-10)  / 4 Ml In 1 Vial (36000-320-01),13.58,13.58,,,0
NDC,3660207917,NDC Description Not Available,1.045,1.045,,,0
NDC,37000-023-10,Metamucil Therapy For Regularity: 12 G In 1 Packet (37000-023-10),14.8,14.8,,,0
NDC,38779-1938-5,NDC Description Not Available,10.97,10.97,,,0
NDC,3877905025,NDC Description Not Available,6.47,6.47,,,0
NDC,3877905108,NDC Description Not Available,5.82,5.82,,,0
NDC,3877915564,NDC Description Not Available,18.84,18.84,,,0
NDC,3877917791,NDC Description Not Available,5.48,5.48,,,0
NDC,39328-020-08,"Senna: 237 Ml In 1 Bottle, Plastic (39328-020-08)",12.84,12.84,,,0
NDC,39328-063-25,NDC Description Not Available,96.24,96.24,,,0
NDC,39328-530-16,"Amantadine Hydrochloride: 473 Ml In 1 Bottle, Plastic (39328-530-16)",2.35,2.35,,,0
NDC,3932806412,NDC Description Not Available,92.84,92.84,,,0
NDC,3932855750,NDC Description Not Available,13.18,13.18,,,0
NDC,395266116,NDC Description Not Available,5.435,5.435,,,0
NDC,395266216,NDC Description Not Available,5.66,5.66,,,0
NDC,395268594,NDC Description Not Available,5.82,5.82,,,0
NDC,39822-0190-1,"Acetazolamide: 1 Vial, Glass In 1 Carton (39822-0190-1)  / 5 Ml In 1 Vial, Glass",36.68,36.68,,,0
NDC,39822-1000-1,Tranexamic Acid: 10 Vial In 1 Carton (39822-1000-1)  / 10 Ml In 1 Vial,41.9,41.9,,,0
NDC,39822-1030-1,NDC Description Not Available,817.55,817.55,,,0
NDC,39822-1055-5,Amphotericin B: 10 Ml In 1 Vial (39822-1055-5),68.02,68.02,,,0
NDC,39822-1100-1,"Folic Acid: 1 Vial, Multi-Dose In 1 Carton (39822-1100-1)  / 10 Ml In 1 Vial, Multi-Dose",5.68,5.68,,,0
NDC,39822-2100-1,NDC Description Not Available,2141.59,2141.59,,,0
NDC,39822-2100-2,"Dactinomycin: 1 Vial, Single-Dose In 1 Carton (39822-2100-2)  / 1 Ml In 1 Vial, Single-Dose (39822-2100-1)",2029.125,2029.125,,,0
NDC,39822-3030-1,NDC Description Not Available,481.02,481.02,,,0
NDC,39822-3030-2,"Pentamidine Isethionate: 1 Vial, Single-Dose In 1 Carton (39822-3030-2)  / 6 Ml In 1 Vial, Single-Dose (39822-3030-1)",486.36,486.36,,,0
NDC,39822-4200-5,NDC Description Not Available,48.02,48.02,,,0
NDC,4009311213,NDC Description Not Available,12.08,12.08,,,0
NDC,4056511182,NDC Description Not Available,156.805,156.805,,,0
NDC,4110081123,NDC Description Not Available,35.64,35.64,,,0
NDC,4110081124,NDC Description Not Available,17.77,17.77,,,0
NDC,42023-103-01,NDC Description Not Available,1579.37,1579.37,,,0
NDC,42023-104-01,Aplisol: 1 Vial In 1 Carton (42023-104-01)  / 1 Ml In 1 Vial,95.28,95.28,,,0
NDC,42023-113-10,Ketalar: 10 Vial In 1 Carton (42023-113-10)  / 20 Ml In 1 Vial,64.49,64.49,,,0
NDC,42023-157-01,Ethacrynate Sodium: 1 Vial In 1 Carton (42023-157-01)  / 50 Ml In 1 Vial,2920.07,2920.07,,,0
NDC,42023-159-01,NDC Description Not Available,12.65,12.65,,,0
NDC,42023-159-25,Adrenalin: 25 Vial In 1 Carton (42023-159-25)  / 1 Ml In 1 Vial (42023-159-01),10.44,10.44,,,0
NDC,42023-164-25,Vasostrict: 25 Vial In 1 Carton (42023-164-25)  / 1 Ml In 1 Vial (42023-164-01),7.32,7.32,,,0
NDC,42023-168-01,Adrenalin: 1 Vial In 1 Carton (42023-168-01)  / 30 Ml In 1 Vial,3.96,3.96,,,0
NDC,42023-172-04,Mycophenolate Mofetil: 4 Vial In 1 Carton (42023-172-04)  / 20 Ml In 1 Vial,5.04,5.04,,,0
NDC,42023-173-25,"Ganciclovir: 25 Vial, Single-Dose In 1 Carton (42023-173-25)  / 10 Ml In 1 Vial, Single-Dose (42023-173-01)",70.72,70.72,,,0
NDC,42023-195-01,"Posaconazole: 1 Vial, Glass In 1 Carton (42023-195-01)  / 16.7 Ml In 1 Vial, Glass",1009.36,1009.36,,,0
NDC,42023-216-01,NDC Description Not Available,35.56,35.56,,,0
NDC,42023-229-01,NDC Description Not Available,2.06,2.06,,,0
NDC,42023-622-01,"Bivalirudin: 1 Vial, Single-Dose In 1 Carton (42023-622-01)  / 1 Injection, Solution In 1 Vial, Single-Dose",1.23,1.23,,,0
NDC,42023-622-10,"Bivalirudin: 10 Vial, Single-Dose In 1 Carton (42023-622-10)  / 1 Injection, Solution In 1 Vial, Single-Dose",1.23,1.23,,,0
NDC,42192-339-01,Hyoscyamine Sulfate Sl: 100 Tablet In 1 Bottle (42192-339-01),9.925,9.925,,,0
NDC,42192-608-16,Gabapentin: 470 Ml In 1 Bottle (42192-608-16),4.295,4.295,,,0
NDC,42291-064-30,Atomoxetine: 30 Capsule In 1 Bottle (42291-064-30),15.77,15.77,,,0
NDC,42291-065-30,Atomoxetine: 30 Capsule In 1 Bottle (42291-065-30),20.27,20.27,,,0
NDC,42291-066-30,Atomoxetine: 30 Capsule In 1 Bottle (42291-066-30),16.46,16.46,,,0
NDC,42291-076-15,Clobetasol Propionate: 1 Tube In 1 Carton (42291-076-15)  / 15 G In 1 Tube,19.235,19.235,,,0
NDC,42291-094-30,"Azelastine Hydrochloride: 1 Bottle, Spray In 1 Carton (42291-094-30)  / 30 Ml In 1 Bottle, Spray",76.63499999999999,76.63499999999999,,,0
NDC,42292-038-01,NDC Description Not Available,13.705,13.705,,,0
NDC,42457-420-01,NDC Description Not Available,171.29,171.29,,,0
NDC,42494-415-01,NDC Description Not Available,51.46,51.46,,,0
NDC,42571-161-42,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (42571-161-42)",15.265,15.265,,,0
NDC,42658-008-01,"Dactinomycin: 1 Vial In 1 Carton (42658-008-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",1641.21,1641.21,,,0
NDC,42658-021-01,Daunorubicin Hydrochloride: 1 Vial In 1 Box (42658-021-01)  / 4 Ml In 1 Vial,207.2,207.2,,,0
NDC,42658-021-02,Daunorubicin Hydrochloride: 10 Vial In 1 Carton (42658-021-02)  / 4 Ml In 1 Vial,146.93,146.93,,,0
NDC,42799-815-01,"Prednisolone Sodium Phosphate: 237 Ml In 1 Bottle, Plastic (42799-815-01)",4.96,4.96,,,0
NDC,42806-265-98,Cholestyramine: 9 G In 1 Pouch (42806-265-98),12.82,12.82,,,0
NDC,42806-266-98,NDC Description Not Available,17.46,17.46,,,0
NDC,42806-714-01,Benzonatate: 100 Capsule In 1 Bottle (42806-714-01),12.83,12.83,,,0
NDC,42858-001-10,Oxycodone Hydrochloride: 10 Blister Pack In 1 Carton (42858-001-10)  / 10 Tablet In 1 Blister Pack,13.135,13.135,,,0
NDC,42858-301-01,"Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-301-01)",8.08,8.08,,,0
NDC,42858-301-25,Hydromorphone Hydrochloride: 4 Blister Pack In 1 Carton (42858-301-25)  / 25 Tablet In 1 Blister Pack,8.92,8.92,,,0
NDC,43066-015-01,NDC Description Not Available,1.88,1.88,,,0
NDC,43066-016-10,Cardene Iv: 10 Bag In 1 Carton (43066-016-10)  / 200 Ml In 1 Bag,419.06,419.06,,,0
NDC,43066-090-01,NDC Description Not Available,40.28,40.28,,,0
NDC,43066-150-10,Nexterone: 100 Ml In 1 Bag (43066-150-10),35.28,35.28,,,0
NDC,43066-997-01,NDC Description Not Available,24.86,24.86,,,0
NDC,4329255538,NDC Description Not Available,7.08,7.08,,,0
NDC,43376-322-30,"Fintepla: 1 Bottle, Plastic In 1 Carton (43376-322-30)  / 30 Ml In 1 Bottle, Plastic",1073.875,1073.875,,,0
NDC,43547-397-10,"Hydrochlorothiazide: 100 Tablet In 1 Bottle, Plastic (43547-397-10)",12.69,12.69,,,0
NDC,43547-544-01,NDC Description Not Available,12.27,12.27,,,0
NDC,43547-544-25,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Carton (43547-544-25)  / 2 Ml In 1 Vial, Single-Dose (43547-544-01)",12.25,12.25,,,0
NDC,43547-688-10,Ciprofloxacin: 100 Tablet In 1 Bottle (43547-688-10),9.775,9.775,,,0
NDC,43553-3256-4,SENSI CARE PROTECTIVE BARRIER: 113 g in 1 TUBE (43553-3256-4),6.27,6.27,,,0
NDC,43598-051-11,"Calcitonin Salmon: 1 Vial, Multi-Dose In 1 Carton (43598-051-11)  / 2 Ml In 1 Vial, Multi-Dose",1013.85,1013.85,,,0
NDC,43598-053-11,Desmopressin Acetate: 1 Vial In 1 Carton (43598-053-11)  / 10 Ml In 1 Vial,21.545,21.545,,,0
NDC,43598-087-11,NDC Description Not Available,0.88,0.88,,,0
NDC,43598-087-58,"Lacosamide: 10 Vial, Single-Dose In 1 Carton (43598-087-58)  / 20 Ml In 1 Vial, Single-Dose (43598-087-11)",3.18,3.18,,,0
NDC,43598-106-10,"Diazepam: 10 Syringe, Glass In 1 Carton (43598-106-10)  / 2 Ml In 1 Syringe, Glass (43598-106-11)",41.51,41.51,,,0
NDC,43598-106-11,NDC Description Not Available,39.66,39.66,,,0
NDC,43598-142-11,"Nelarabine: 1 Vial, Single-Dose In 1 Carton (43598-142-11)  / 50 Ml In 1 Vial, Single-Dose",304.02,304.02,,,0
NDC,43598-164-30,"Olanzapine: 30 Tablet, Film Coated In 1 Bottle (43598-164-30)",9.24,9.24,,,0
NDC,43598-305-62,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (43598-305-62)",15.39,15.39,,,0
NDC,43598-326-75,"Ciprofloxacin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (43598-326-75)  / 7.5 Ml In 1 Bottle, Dropper",442.66999999999996,442.66999999999996,,,0
NDC,43598-394-67,Tetrabenazine: 112 Tablet In 1 Bottle (43598-394-67),20.81,20.81,,,0
NDC,43598-405-11,NDC Description Not Available,17.31,17.31,,,0
NDC,43598-413-11,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (43598-413-11)  / 10 Ml In 1 Vial, Single-Dose",0.72,0.72,,,0
NDC,43598-426-60,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (43598-426-60)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",11.69,11.69,,,0
NDC,43598-436-35,NDC Description Not Available,139.10000000000002,139.10000000000002,,,0
NDC,43598-446-70,Nicotine Transdermal System Step 3: 7 Patch In 1 Carton (43598-446-70)  / 24 H In 1 Patch,22.5,22.5,,,0
NDC,43598-446-71,NDC Description Not Available,21.64,21.64,,,0
NDC,43598-447-71,NDC Description Not Available,21.61,21.61,,,0
NDC,43598-447-74,Nicotine Transdermal System Step 2: 14 Patch In 1 Carton (43598-447-74)  / 24 H In 1 Patch,20.71,20.71,,,0
NDC,43598-448-71,NDC Description Not Available,19.41,19.41,,,0
NDC,43598-448-74,Nicotine Transdermal System Step 1: 14 Patch In 1 Carton (43598-448-74)  / 24 H In 1 Patch,20.51,20.51,,,0
NDC,43598-587-23,"Sodium Nitroprusside: 1 Vial, Single-Dose In 1 Carton (43598-587-23)  / 2 Ml In 1 Vial, Single-Dose",63.49,63.49,,,0
NDC,43598-637-10,Levetiracetam: 10 Bag In 1 Carton (43598-637-10)  / 100 Ml In 1 Bag (43598-637-52),0.83,0.83,,,0
NDC,43598-637-52,NDC Description Not Available,1.16,1.16,,,0
NDC,43598-650-11,"Thiotepa: 1 Vial In 1 Carton (43598-650-11)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",751.94,751.94,,,0
NDC,43598-697-11,NDC Description Not Available,458.355,458.355,,,0
NDC,43598-725-11,NDC Description Not Available,34.13,34.13,,,0
NDC,43598-725-25,"Ephedrine Sulfate: 25 Vial, Single-Dose In 1 Carton (43598-725-25)  / 1 Ml In 1 Vial, Single-Dose (43598-725-11)",33.38,33.38,,,0
NDC,43598-750-11,Naloxone Hydrochloride: 1 Syringe In 1 Box (43598-750-11)  / 2 Ml In 1 Syringe,0.37,0.37,,,0
NDC,43598-839-11,NDC Description Not Available,68.45,68.45,,,0
NDC,43598-839-36,Methocarbamol: 10 Vial In 1 Carton (43598-839-36)  / 10 Ml In 1 Vial (43598-839-11),39.81,39.81,,,0
NDC,43598-848-11,NDC Description Not Available,143.61,143.61,,,0
NDC,43598-901-11,NDC Description Not Available,45.91,45.91,,,0
NDC,43598-914-11,NDC Description Not Available,4.82,4.82,,,0
NDC,43598-931-11,NDC Description Not Available,39.485,39.485,,,0
NDC,43825-102-01,"Ofirmev: 24 VIAL, GLASS in 1 CARTON (43825-102-01)  / 100 mL in 1 VIAL, GLASS",1.1,1.1,,,0
NDC,44206-251-05,"Alburx: 1 Vial, Glass In 1 Carton (44206-251-05)  / 50 Ml In 1 Vial, Glass (44206-251-90)",252.11,252.11,,,0
NDC,44206-251-10,"Alburx: 1 Vial, Glass In 1 Carton (44206-251-10)  / 100 Ml In 1 Vial, Glass (44206-251-91)",230.66,230.66,,,0
NDC,44206-310-25,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-25)  / 250 Ml In 1 Vial, Glass (44206-310-90)",90.465,90.465,,,0
NDC,44206-310-50,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-50)  / 500 Ml In 1 Vial, Glass (44206-310-91)",125.23,125.23,,,0
NDC,44206-310-91,NDC Description Not Available,225.64499999999998,225.64499999999998,,,0
NDC,44206-436-05,"Privigen: 1 Vial, Glass In 1 Carton (44206-436-05)  / 50 Ml In 1 Vial, Glass (44206-436-90)",319.18,319.18,,,0
NDC,44206-451-90,NDC Description Not Available,866.02,866.02,,,0
NDC,44206-452-91,NDC Description Not Available,911.49,911.49,,,0
NDC,44206-454-92,NDC Description Not Available,1775.2749999999999,1775.2749999999999,,,0
NDC,44206-455-93,NDC Description Not Available,7144.67,7144.67,,,0
NDC,44206-455-97,NDC Description Not Available,7510.07,7510.07,,,0
NDC,44206-458-96,NDC Description Not Available,1862.875,1862.875,,,0
NDC,44567-101-10,"Ampicillin: 10 Vial In 1 Tray (44567-101-10)  / 1 Injection, Powder, For Solution In 1 Vial",31.76,31.76,,,0
NDC,44567-104-01,Ampicillin: 1 Vial In 1 Carton (44567-104-01)  / 100 Ml In 1 Vial,13.82,13.82,,,0
NDC,44567-236-10,"Ceftazidime: 10 Vial In 1 Carton (44567-236-10)  / 1 Injection, Powder, For Solution In 1 Vial",18.95,18.95,,,0
NDC,44567-237-06,Ceftazidime: 6 Vial In 1 Carton (44567-237-06)  / 100 Ml In 1 Vial,14.06,14.06,,,0
NDC,44567-420-24,Magnesium Sulfate In Water: 24 Pouch In 1 Carton (44567-420-24)  / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,21.1,21.1,,,0
NDC,44567-435-24,Levofloxacin: 24 Pouch In 1 Carton (44567-435-24)  / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,46.01,46.01,,,0
NDC,44567-450-01,NDC Description Not Available,1.92,1.92,,,0
NDC,44567-451-01,NDC Description Not Available,221.585,221.585,,,0
NDC,44567-620-01,NDC Description Not Available,0.685,0.685,,,0
NDC,44567-620-24,Calcium Gluconate In Sodium Chloride: 24 Pouch In 1 Carton (44567-620-24)  / 1 Bag In 1 Pouch (44567-620-01)  / 50 Ml In 1 Bag,0.67,0.67,,,0
NDC,44567-707-25,"Cefazolin: 25 Vial In 1 Carton (44567-707-25)  / 1 Injection, Powder, For Solution In 1 Vial",19.63,19.63,,,0
NDC,44567-802-10,"Piperacillin And Tazobactam: 10 Vial In 1 Box (44567-802-10)  / 1 Injection, Powder, For Solution In 1 Vial",25.87,25.87,,,0
NDC,45016604,NDC Description Not Available,2.84,2.84,,,0
NDC,45567-0030-1,Kit For The Prepartion Of Technetium Tc99M Sulfur Colloid: 1 Kit In 1 Package (45567-0030-1)  *  3 Ml In 1 Vial *  3 Ml In 1 Vial *  10 Ml In 1 Vial,475.2,475.2,,,0
NDC,45567-0040-1,"Kit For The Preparation Of Technetium Tc 99M Medronate: 5 Vial, Multi-Dose In 1 Kit (45567-0040-1)  / 10 Ml In 1 Vial, Multi-Dose",308.62,308.62,,,0
NDC,45802-048-11,Nystatin: 1 Tube In 1 Carton (45802-048-11)  / 30 G In 1 Tube,142.56,142.56,,,0
NDC,45802-048-35,Nystatin: 1 Tube In 1 Carton (45802-048-35)  / 15 G In 1 Tube,51.45,51.45,,,0
NDC,45802-054-35,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-054-35)  / 15 G In 1 Tube,29.23,29.23,,,0
NDC,45802-055-35,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-055-35)  / 15 G In 1 Tube,20.75,20.75,,,0
NDC,45802-055-36,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-055-36)  / 80 G In 1 Tube,33.73,33.73,,,0
NDC,45802-056-35,Gentamicin Sulfate: 1 Tube In 1 Carton (45802-056-35)  / 15 G In 1 Tube,210.69,210.69,,,0
NDC,45802-059-35,Nystatin: 1 Tube In 1 Carton (45802-059-35)  / 15 G In 1 Tube,87.88499999999999,87.88499999999999,,,0
NDC,45802-064-36,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-064-36)  / 80 G In 1 Tube,44.82,44.82,,,0
NDC,45802-112-22,Mupirocin: 1 Tube In 1 Carton (45802-112-22)  / 22 G In 1 Tube,46.81,46.81,,,0
NDC,45802-143-01,Triple Antibiotic: 1 Tube In 1 Carton (45802-143-01)  / 14 G In 1 Tube,14.93,14.93,,,0
NDC,45802-344-03,NDC Description Not Available,13.89,13.89,,,0
NDC,45802-357-58,NDC Description Not Available,10.65,10.65,,,0
NDC,45802-376-35,Betamethasone Dipropionate: 1 Tube In 1 Carton (45802-376-35)  / 15 G In 1 Tube,24.705,24.705,,,0
NDC,45802-395-04,vitamin a and d: 1 TUBE in 1 CARTON (45802-395-04)  / 113 g in 1 TUBE,24.759999999999998,24.759999999999998,,,0
NDC,45802-410-59,"Oxymetazoline Hcl: 1 Bottle, Spray In 1 Carton (45802-410-59)  / 30 Ml In 1 Bottle, Spray",19.64,19.64,,,0
NDC,45802-433-21,Dextromethorphan Polistirex Extended Release: 1 Bottle In 1 Carton (45802-433-21)  / 89 Ml In 1 Bottle,13.58,13.58,,,0
NDC,45802-438-03,Hydrocortisone: 1 Tube In 1 Carton (45802-438-03)  / 28 G In 1 Tube,16.18,16.18,,,0
NDC,45802-465-64,Ketoconazole: 120 Ml In 1 Bottle (45802-465-64),123.77,123.77,,,0
NDC,45802-730-00,Acetaminophen Pain Reliever Fever Reducer: 1 Suppository In 1 Blister Pack (45802-730-00),1.225,1.225,,,0
NDC,45802-730-32,Acetaminophen Pain Reliever Fever Reducer: 50 Blister Pack In 1 Carton (45802-730-32)  / 1 Suppository In 1 Blister Pack,1.125,1.125,,,0
NDC,45802-732-00,NDC Description Not Available,1.05,1.05,,,0
NDC,45802-732-30,Acetaminophen For Children: 12 Blister Pack In 1 Carton (45802-732-30)  / 1 Suppository In 1 Blister Pack,1.13,1.13,,,0
NDC,45802-732-33,Acetaminophen For Children: 100 Blister Pack In 1 Carton (45802-732-33)  / 1 Suppository In 1 Blister Pack,1.045,1.045,,,0
NDC,45802-758-00,NDC Description Not Available,3.89,3.89,,,0
NDC,45802-758-30,Promethazine Hydrochloride: 12 Blister Pack In 1 Carton (45802-758-30)  / 1 Suppository In 1 Blister Pack (45802-758-00),4.23,4.23,,,0
NDC,45802-868-02,Polyethylene Glycol 3350: 238 G In 1 Bottle (45802-868-02),7.63,7.63,,,0
NDC,45802-868-03,Polyethylene Glycol 3350: 510 G In 1 Bottle (45802-868-03),31.42,31.42,,,0
NDC,45802-952-26,Ibuprofen: 1 Bottle In 1 Carton (45802-952-26)  / 120 Ml In 1 Bottle,3.42,3.42,,,0
NDC,45963-609-55,"Fludarabine Phosphate: 1 Vial, Glass In 1 Carton (45963-609-55)  / 2 Ml In 1 Vial, Glass",474.29,474.29,,,0
NDC,45963-615-56,Topotecan Hydrochloride: 1 Vial In 1 Carton (45963-615-56)  / 4 Ml In 1 Vial,23.72,23.72,,,0
NDC,46287-006-60,"Sodium Polystyrene Sulfonate: 10 Bottle, Unit-Dose In 1 Carton (46287-006-60)  / 60 Ml In 1 Bottle, Unit-Dose",124.66499999999999,124.66499999999999,,,0
NDC,46287-009-01,Isoniazid: 473 Ml In 1 Bottle (46287-009-01),4.89,4.89,,,0
NDC,46287-020-01,Carospir: 473 Ml In 1 Bottle (46287-020-01),41.620000000000005,41.620000000000005,,,0
NDC,46287-045-15,Tadliq: 150 Ml In 1 Bottle (46287-045-15),304.23,304.23,,,0
NDC,47335-236-83,"Ambrisentan: 30 Tablet, Film Coated In 1 Bottle (47335-236-83)",57.03,57.03,,,0
NDC,47335-330-40,"Chlorothiazide Sodium: 1 Vial, Single-Dose In 1 Carton (47335-330-40)  / 18 Ml In 1 Vial, Single-Dose",46.88,46.88,,,0
NDC,47335-890-60,NDC Description Not Available,17.17,17.17,,,0
NDC,47335-891-60,NDC Description Not Available,8.19,8.19,,,0
NDC,47335-892-60,NDC Description Not Available,5.93,5.93,,,0
NDC,47335-931-40,NDC Description Not Available,54.26,54.26,,,0
NDC,47335-932-40,NDC Description Not Available,206.52,206.52,,,0
NDC,47335-993-01,Metronidazole: 1 Bag In 1 Pouch (47335-993-01)  / 100 Ml In 1 Bag,0.76,0.76,,,0
NDC,4746907402,NDC Description Not Available,14.98,14.98,,,0
NDC,47781-423-11,NDC Description Not Available,48.45,48.45,,,0
NDC,47781-562-01,Lisdexamfetamine Dimesylate: 100 Capsule In 1 Bottle (47781-562-01),58.86,58.86,,,0
NDC,4778164726,NDC Description Not Available,33.65,33.65,,,0
NDC,48433-202-30,"Mineral Oil: 30 Ml In 1 Cup, Unit-Dose (48433-202-30)",18.095,18.095,,,0
NDC,4858200155,NDC Description Not Available,37.74,37.74,,,0
NDC,487900330,NDC Description Not Available,16.27,16.27,,,0
NDC,487900760,NDC Description Not Available,13.73,13.73,,,0
NDC,49281-215-88,NDC Description Not Available,275.14,275.14,,,0
NDC,49281-286-10,Daptacel: 10 Vial In 1 Package (49281-286-10)  / .5 Ml In 1 Vial (49281-286-58),213.8,213.8,,,0
NDC,49281-286-58,NDC Description Not Available,213.17,213.17,,,0
NDC,49281-574-88,Beyfortus: 1 Syringe In 1 Carton (49281-574-88)  / 1 Ml In 1 Syringe,3269.82,3269.82,,,0
NDC,49281-575-00,Beyfortus: 1 Syringe In 1 Carton (49281-575-00)  / .5 Ml In 1 Syringe,3189.35,3189.35,,,0
NDC,49281-860-10,"Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10)  / 5 Ml In 1 Vial, Multi-Dose (49281-860-78)",291.62,291.62,,,0
NDC,49281-860-78,NDC Description Not Available,291.82,291.82,,,0
NDC,49348-154-72,Antibiotic Bacitracin Zinc: 1 Tube In 1 Carton (49348-154-72)  / 28.4 G In 1 Tube,20.8,20.8,,,0
NDC,49348-185-20,Sunmark Mineral Oil Laxative: 1 Bottle In 1 Carton (49348-185-20)  / 133 Ml In 1 Bottle,17.67,17.67,,,0
NDC,49401-101-01,Benlysta: 1 Vial In 1 Carton (49401-101-01)  / 1.5 Ml In 1 Vial,337.53499999999997,337.53499999999997,,,0
NDC,49401-102-01,Benlysta: 1 Vial In 1 Carton (49401-102-01)  / 5 Ml In 1 Vial,324.895,324.895,,,0
NDC,4945215801,NDC Description Not Available,6.06,6.06,,,0
NDC,49502-101-01,NDC Description Not Available,653.9,653.9,,,0
NDC,49502-101-02,"Epinephrine: 2 Container In 1 Carton (49502-101-02)  / 1 Syringe, Glass In 1 Container (49502-101-01)  / .3 Ml In 1 Syringe, Glass",653.875,653.875,,,0
NDC,49502-102-01,NDC Description Not Available,577.96,577.96,,,0
NDC,49609-101-01,"Fludeoxyglucose F 18: 30 Ml In 1 Vial, Multi-Dose (49609-101-01)",531.6800000000001,531.6800000000001,,,0
NDC,49702-205-48,Epivir: 240 Ml In 1 Bottle (49702-205-48),13.53,13.53,,,0
NDC,49702-213-01,NDC Description Not Available,32.57,32.57,,,0
NDC,49884-006-04,Sodium Phenylbutyrate: 1 Bottle In 1 Carton (49884-006-04)  / 250 G In 1 Bottle,38.9,38.9,,,0
NDC,49884-042-33,Glycopyrrolate: 16 Ml In 1 Bottle (49884-042-33),26.38,26.38,,,0
NDC,49884-256-01,Minoxidil: 100 Tablet In 1 Bottle (49884-256-01),8.63,8.63,,,0
NDC,49884-306-02,"Clonazepam: 60 Tablet, Orally Disintegrating In 1 Blister Pack (49884-306-02)",13.649999999999999,13.649999999999999,,,0
NDC,49884-306-52,NDC Description Not Available,13.175,13.175,,,0
NDC,49884-308-02,"Clonazepam: 60 Tablet, Orally Disintegrating In 1 Blister Pack (49884-308-02)",10.64,10.64,,,0
NDC,49884-308-52,NDC Description Not Available,12.18,12.18,,,0
NDC,49884-311-52,NDC Description Not Available,12.585,12.585,,,0
NDC,49884-412-01,"Ursodiol: 100 Tablet, Film Coated In 1 Bottle (49884-412-01)",21.515,21.515,,,0
NDC,49884-465-64,NDC Description Not Available,24.92,24.92,,,0
NDC,49884-465-65,Cholestyramine: 60 Packet In 1 Carton (49884-465-65)  / 9 G In 1 Packet (49884-465-64),53.3,53.3,,,0
NDC,49884-948-52,NDC Description Not Available,142.83,142.83,,,0
NDC,50102-240-01,NDC Description Not Available,1.67,1.67,,,0
NDC,50102-240-21,NDC Description Not Available,1.685,1.685,,,0
NDC,50102-240-23,Jasmiel: 3 Pouch In 1 Carton (50102-240-23)  / 1 Blister Pack In 1 Pouch (50102-240-21)  / 1 Kit In 1 Blister Pack,6.95,6.95,,,0
NDC,50111-433-01,Trazodone Hydrochloride: 100 TABLET in 1 BOTTLE (50111-433-01),6.05,6.05,,,0
NDC,50111-560-01,Trazodone Hydrochloride: 100 Tablet In 1 Bottle (50111-560-01),5.13,5.13,,,0
NDC,5019014263,NDC Description Not Available,15.68,15.68,,,0
NDC,50228-113-01,Fluoxetine: 100 Capsule In 1 Bottle (50228-113-01),11.895,11.895,,,0
NDC,50228-174-60,"Bupropion Hydrochloride Sr: 60 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (50228-174-60)",13.1,13.1,,,0
NDC,50228-228-01,Enalapril Maleate: 100 Tablet In 1 Bottle (50228-228-01),13.09,13.09,,,0
NDC,50228-229-01,Enalapril Maleate: 100 Tablet In 1 Bottle (50228-229-01),12.665,12.665,,,0
NDC,50228-482-01,Diltiazem Hydrochloride: 100 Tablet In 1 Bottle (50228-482-01),12.28,12.28,,,0
NDC,50242-041-10,Cathflo Activase: 10 Vial In 1 Carton (50242-041-10)  / 2 Ml In 1 Vial,573.3800000000001,573.3800000000001,,,0
NDC,50242-041-64,Cathflo Activase: 1 Vial In 1 Carton (50242-041-64)  / 2 Ml In 1 Vial,546.55,546.55,,,0
NDC,50242-044-06,NDC Description Not Available,546.9,546.9,,,0
NDC,50242-051-21,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-051-21)  / 10 Ml In 1 Vial, Single-Use",513.63,513.63,,,0
NDC,50242-053-06,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-053-06)  / 50 Ml In 1 Vial, Single-Use",513.63,513.63,,,0
NDC,50242-060-01,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-060-01)  / 4 Ml In 1 Vial, Single-Use",190.0,190.0,,,0
NDC,50242-074-01,Nutropin Aq Nuspin 10: 1 Cartridge In 1 Carton (50242-074-01)  / 2 Ml In 1 Cartridge,749.83,749.83,,,0
NDC,50242-100-39,NDC Description Not Available,304.54,304.54,,,0
NDC,50242-100-40,Pulmozyme: 5 Pouch In 1 Carton (50242-100-40)  / 6 Ampule In 1 Pouch (50242-100-39)  / 2.5 Ml In 1 Ampule,307.32,307.32,,,0
NDC,50242-136-01,"Actemra: 1 Vial, Single-Use In 1 Box (50242-136-01)  / 10 Ml In 1 Vial, Single-Use",41.165,41.165,,,0
NDC,50268-054-11,NDC Description Not Available,19.13,19.13,,,0
NDC,50268-054-15,Acetazolamide: 50 Blister Pack In 1 Box (50268-054-15)  / 1 Tablet In 1 Blister Pack (50268-054-11),26.76,26.76,,,0
NDC,50268-057-11,NDC Description Not Available,24.44,24.44,,,0
NDC,50268-062-11,NDC Description Not Available,14.655,14.655,,,0
NDC,50268-062-15,"Acyclovir: 50 Blister Pack In 1 Bottle, Unit-Dose (50268-062-15)  / 1 Tablet In 1 Blister Pack (50268-062-11)",14.58,14.58,,,0
NDC,50268-069-11,NDC Description Not Available,20.130000000000003,20.130000000000003,,,0
NDC,50268-074-11,NDC Description Not Available,10.085,10.085,,,0
NDC,50268-074-15,"Azithromycin Dihydrate: 50 Blister Pack In 1 Box (50268-074-15)  / 1 Tablet, Film Coated In 1 Blister Pack (50268-074-11)",10.434999999999999,10.434999999999999,,,0
NDC,50268-088-11,NDC Description Not Available,11.89,11.89,,,0
NDC,50268-088-15,"Aripiprazole: 50 Blister Pack In 1 Box, Unit-Dose (50268-088-15)  / 1 Tablet In 1 Blister Pack (50268-088-11)",14.42,14.42,,,0
NDC,50268-089-11,NDC Description Not Available,11.649999999999999,11.649999999999999,,,0
NDC,50268-089-15,"Aripiprazole: 50 Blister Pack In 1 Box, Unit-Dose (50268-089-15)  / 1 Tablet In 1 Blister Pack (50268-089-11)",11.435,11.435,,,0
NDC,50268-130-11,NDC Description Not Available,11.870000000000001,11.870000000000001,,,0
NDC,50268-131-11,NDC Description Not Available,12.49,12.49,,,0
NDC,50268-131-15,Bumetanide: 50 Blister Pack In 1 Box (50268-131-15)  / 1 Tablet In 1 Blister Pack (50268-131-11),12.75,12.75,,,0
NDC,50268-142-11,NDC Description Not Available,16.4,16.4,,,0
NDC,50268-151-11,NDC Description Not Available,7.79,7.79,,,0
NDC,50268-152-11,NDC Description Not Available,12.625,12.625,,,0
NDC,50268-163-11,NDC Description Not Available,3.19,3.19,,,0
NDC,50268-171-11,NDC Description Not Available,22.15,22.15,,,0
NDC,50268-172-11,NDC Description Not Available,19.68,19.68,,,0
NDC,50268-189-11,NDC Description Not Available,12.525,12.525,,,0
NDC,50268-189-15,Cyproheptadine Hydrochloride: 50 Blister Pack In 1 Box (50268-189-15)  / 1 Tablet In 1 Blister Pack (50268-189-11),14.735,14.735,,,0
NDC,50268-195-60,Capsaicin External Analgesic: 1 Tube In 1 Carton (50268-195-60)  / 60 G In 1 Tube,27.08,27.08,,,0
NDC,50268-259-11,NDC Description Not Available,9.02,9.02,,,0
NDC,50268-260-11,NDC Description Not Available,15.645,15.645,,,0
NDC,50268-269-15,"Duloxetine: 50 Blister Pack In 1 Box (50268-269-15)  / 1 Capsule, Delayed Release In 1 Blister Pack (50268-269-11)",12.65,12.65,,,0
NDC,50268-277-11,NDC Description Not Available,14.14,14.14,,,0
NDC,50268-297-11,NDC Description Not Available,19.32,19.32,,,0
NDC,50268-304-11,NDC Description Not Available,13.25,13.25,,,0
NDC,50268-304-15,"Famotidine: 50 Blister Pack In 1 Box, Unit-Dose (50268-304-15)  / 1 Tablet In 1 Blister Pack (50268-304-11)",13.63,13.63,,,0
NDC,50268-330-11,NDC Description Not Available,13.47,13.47,,,0
NDC,50268-337-11,NDC Description Not Available,15.870000000000001,15.870000000000001,,,0
NDC,50268-337-15,Fluconazole: 50 Blister Pack In 1 Box (50268-337-15)  / 1 Tablet In 1 Blister Pack (50268-337-11),19.1,19.1,,,0
NDC,50268-339-11,NDC Description Not Available,14.015,14.015,,,0
NDC,50268-350-11,NDC Description Not Available,12.719999999999999,12.719999999999999,,,0
NDC,50268-405-11,NDC Description Not Available,16.655,16.655,,,0
NDC,50268-405-15,Hydrocortisone: 50 Blister Pack In 1 Box (50268-405-15)  / 1 Tablet In 1 Blister Pack (50268-405-11),17.28,17.28,,,0
NDC,50268-447-11,NDC Description Not Available,6.73,6.73,,,0
NDC,50268-504-11,NDC Description Not Available,8.725000000000001,8.725000000000001,,,0
NDC,50268-520-11,NDC Description Not Available,12.61,12.61,,,0
NDC,50268-520-15,Methocarbamol: 50 Blister Pack In 1 Box (50268-520-15)  / 1 Tablet In 1 Blister Pack (50268-520-11),12.67,12.67,,,0
NDC,50268-521-11,NDC Description Not Available,13.219999999999999,13.219999999999999,,,0
NDC,50268-521-15,Methocarbamol: 50 Blister Pack In 1 Box (50268-521-15)  / 1 Tablet In 1 Blister Pack (50268-521-11),13.7,13.7,,,0
NDC,50268-534-11,NDC Description Not Available,7.6899999999999995,7.6899999999999995,,,0
NDC,50268-550-11,NDC Description Not Available,14.64,14.64,,,0
NDC,50268-557-11,NDC Description Not Available,7.81,7.81,,,0
NDC,50268-574-11,NDC Description Not Available,16.14,16.14,,,0
NDC,50268-574-15,"Montelukast Sodium: 50 Blister Pack In 1 Box (50268-574-15)  / 1 Tablet, Chewable In 1 Blister Pack (50268-574-11)",16.09,16.09,,,0
NDC,50268-585-11,NDC Description Not Available,9.565000000000001,9.565000000000001,,,0
NDC,50268-594-11,NDC Description Not Available,8.08,8.08,,,0
NDC,50268-594-15,"Naproxen: 50 Blister Pack In 1 Box, Unit-Dose (50268-594-15)  / 1 Tablet In 1 Blister Pack (50268-594-11)",6.67,6.67,,,0
NDC,50268-597-11,NDC Description Not Available,12.41,12.41,,,0
NDC,50268-597-15,"Nifedipine Er: 50 Blister Pack In 1 Box, Unit-Dose (50268-597-15)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack (50268-597-11)",16.75,16.75,,,0
NDC,50268-630-11,NDC Description Not Available,7.445,7.445,,,0
NDC,50268-630-15,Quetiapine Fumarate: 50 Blister Pack In 1 Box (50268-630-15)  / 1 Tablet In 1 Blister Pack (50268-630-11),13.02,13.02,,,0
NDC,50268-635-11,NDC Description Not Available,11.219999999999999,11.219999999999999,,,0
NDC,50268-652-11,NDC Description Not Available,17.13,17.13,,,0
NDC,50268-678-15,Polyvinyl Alcohol: 15 Ml In 1 Bottle (50268-678-15),59.33,59.33,,,0
NDC,50268-684-11,NDC Description Not Available,13.63,13.63,,,0
NDC,50268-717-11,NDC Description Not Available,15.63,15.63,,,0
NDC,50268-718-11,NDC Description Not Available,57.26,57.26,,,0
NDC,50268-718-13,Sirolimus: 30 Blister Pack In 1 Box (50268-718-13)  / 1 Tablet In 1 Blister Pack (50268-718-11),60.63,60.63,,,0
NDC,50268-720-11,NDC Description Not Available,11.915,11.915,,,0
NDC,50268-720-15,"Sevelamer Carbonate: 50 Blister Pack In 1 Box (50268-720-15)  / 1 Tablet, Film Coated In 1 Blister Pack (50268-720-11)",17.37,17.37,,,0
NDC,50268-728-11,NDC Description Not Available,7.955,7.955,,,0
NDC,50268-730-11,NDC Description Not Available,7.18,7.18,,,0
NDC,50268-759-11,NDC Description Not Available,13.385,13.385,,,0
NDC,50268-772-11,NDC Description Not Available,22.82,22.82,,,0
NDC,50268-787-11,NDC Description Not Available,94.52000000000001,94.52000000000001,,,0
NDC,50268-787-12,"Valganciclovir: 20 Blister Pack In 1 Box, Unit-Dose (50268-787-12)  / 1 Tablet, Film Coated In 1 Blister Pack (50268-787-11)",94.67,94.67,,,0
NDC,50268-788-11,NDC Description Not Available,20.475,20.475,,,0
NDC,50268-812-11,NDC Description Not Available,20.99,20.99,,,0
NDC,50268-816-11,NDC Description Not Available,7.83,7.83,,,0
NDC,5026885111,NDC Description Not Available,7.81,7.81,,,0
NDC,5026885115,NDC Description Not Available,12.68,12.68,,,0
NDC,50383-171-04,Levocarnitine: 118 mL in 1 BOTTLE (50383-171-04),19.42,19.42,,,0
NDC,50383-172-90,Levocarnitine: 9 BLISTER PACK in 1 CARTON (50383-172-90)  / 10 TABLET in 1 BLISTER PACK,11.09,11.09,,,0
NDC,50383-286-16,Levofloxacin: 1 BOTTLE in 1 CARTON (50383-286-16)  / 480 mL in 1 BOTTLE,51.55,51.55,,,0
NDC,50383-779-33,Lactulose: 10 TRAY in 1 CASE (50383-779-33)  / 10 CUP in 1 TRAY / 30 mL in 1 CUP,3.82,3.82,,,0
NDC,50383-810-16,Acyclovir: 473 mL in 1 BOTTLE (50383-810-16),9.73,9.73,,,0
NDC,50419-320-05,"Eovist: 5 Vial, Single-Dose In 1 Box (50419-320-05)  / 10 Ml In 1 Vial, Single-Dose",93.13,93.13,,,0
NDC,50419-325-01,NDC Description Not Available,1.87,1.87,,,0
NDC,50419-325-11,"Gadavist: 2 Carton In 1 Box (50419-325-11)  / 10 Vial, Single-Dose In 1 Carton / 7.5 Ml In 1 Vial, Single-Dose",1.725,1.725,,,0
NDC,50419-325-37,"Gadavist: 15 Carton In 1 Box (50419-325-37)  / 3 Vial, Single-Dose In 1 Carton / 2 Ml In 1 Vial, Single-Dose",18.02,18.02,,,0
NDC,50419-423-01,Mirena: 1 Intrauterine Device In 1 Carton (50419-423-01),7568.610000000001,7568.610000000001,,,0
NDC,50419-773-01,"Cipro: 1 Kit In 1 Kit (50419-773-01)  *  100 Ml In 1 Bottle, Glass *  100 Ml In 1 Bottle, Glass",12.645,12.645,,,0
NDC,50419-775-01,NDC Description Not Available,12.215,12.215,,,0
NDC,50458-575-01,"Xarelto: 1 Bottle In 1 Carton (50458-575-01)  / 1 Granule, For Suspension In 1 Bottle",110.43,110.43,,,0
NDC,50458-577-01,NDC Description Not Available,11.62,11.62,,,0
NDC,50458-578-01,NDC Description Not Available,11.719999999999999,11.719999999999999,,,0
NDC,50458-580-01,NDC Description Not Available,9.285,9.285,,,0
NDC,50458-580-30,"Xarelto: 30 Tablet, Film Coated In 1 Bottle (50458-580-30)",11.42,11.42,,,0
NDC,50458-596-01,Risperidone: 30 Ml In 1 Bottle (50458-596-01),25.375,25.375,,,0
NDC,50474-370-66,"Briviact: 1 Bottle In 1 Carton (50474-370-66)  / 60 Tablet, Film Coated In 1 Bottle",162.325,162.325,,,0
NDC,50474-470-66,"Briviact: 1 Bottle In 1 Carton (50474-470-66)  / 60 Tablet, Film Coated In 1 Bottle",165.52,165.52,,,0
NDC,50474-770-09,"Briviact: 100 Blister Pack In 1 Carton (50474-770-09)  / 1 Tablet, Film Coated In 1 Blister Pack",169.36,169.36,,,0
NDC,50474-870-15,Briviact: 1 Bottle In 1 Carton (50474-870-15)  / 300 Ml In 1 Bottle,59.940000000000005,59.940000000000005,,,0
NDC,50474-970-63,NDC Description Not Available,30.18,30.18,,,0
NDC,50484-010-30,Collagenase Santyl: 1 Tube In 1 Carton (50484-010-30)  / 30 G In 1 Tube,1850.21,1850.21,,,0
NDC,50580-177-08,Tylenol For Children Plus Adults: 1 Bottle In 1 Carton (50580-177-08)  / 240 Ml In 1 Bottle,6.305,6.305,,,0
NDC,50580-534-08,Childrens Benadryl Allergy: 1 Bottle In 1 Carton (50580-534-08)  / 236 Ml In 1 Bottle,12.33,12.33,,,0
NDC,50632-010-01,"Rabavert: 1 Kit In 1 Carton (50632-010-01)  *  1 Ml In 1 Syringe (50632-011-01)  *  1 Ml In 1 Vial, Glass (50632-013-01)",1037.725,1037.725,,,0
NDC,50632-013-01,NDC Description Not Available,1781.45,1781.45,,,0
NDC,50633-110-11,NDC Description Not Available,21294.13,21294.13,,,0
NDC,50742-239-01,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (50742-239-01),13.645,13.645,,,0
NDC,50742-240-01,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (50742-240-01),15.42,15.42,,,0
NDC,50742-247-60,"Clonidine: 60 Tablet, Extended Release In 1 Bottle (50742-247-60)",13.715,13.715,,,0
NDC,50742-447-45,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (50742-447-45)  / 45 Ml In 1 Vial, Multi-Dose",64.01,64.01,,,0
NDC,50742-505-01,NDC Description Not Available,65.63,65.63,,,0
NDC,50742-505-24,"Scopolamine: 24 Pouch In 1 Carton (50742-505-24)  / 1 Patch, Extended Release In 1 Pouch",44.015,44.015,,,0
NDC,50881-005-60,"Jakafi: 60 Tablet In 1 Bottle, Plastic (50881-005-60)",1320.69,1320.69,,,0
NDC,50881-034-12,"Niktimvo: 1 Vial, Single-Use In 1 Carton (50881-034-12)  / .18 Ml In 1 Vial, Single-Use",314.575,314.575,,,0
NDC,51079-024-01,NDC Description Not Available,21.32,21.32,,,0
NDC,51079-024-20,Metolazone: 100 Blister Pack In 1 Carton (51079-024-20)  / 1 Tablet In 1 Blister Pack (51079-024-01),12.37,12.37,,,0
NDC,51079-028-01,NDC Description Not Available,14.85,14.85,,,0
NDC,51079-074-01,NDC Description Not Available,8.01,8.01,,,0
NDC,51079-103-01,NDC Description Not Available,7.5600000000000005,7.5600000000000005,,,0
NDC,51079-164-01,NDC Description Not Available,39.22,39.22,,,0
NDC,51079-164-03,"Voriconazole: 30 Blister Pack In 1 Carton (51079-164-03)  / 1 Tablet, Film Coated In 1 Blister Pack (51079-164-01)",48.93,48.93,,,0
NDC,51079-165-01,NDC Description Not Available,95.08,95.08,,,0
NDC,51079-205-01,NDC Description Not Available,10.02,10.02,,,0
NDC,51079-205-20,Allopurinol: 100 Blister Pack In 1 Carton (51079-205-20)  / 1 Tablet In 1 Blister Pack (51079-205-01),13.19,13.19,,,0
NDC,51079-206-01,NDC Description Not Available,12.14,12.14,,,0
NDC,51079-255-01,NDC Description Not Available,6.655,6.655,,,0
NDC,51079-284-01,NDC Description Not Available,9.445,9.445,,,0
NDC,51079-284-20,Diazepam: 100 Blister Pack In 1 Carton (51079-284-20)  / 1 Tablet In 1 Blister Pack (51079-284-01),11.03,11.03,,,0
NDC,51079-285-01,NDC Description Not Available,7.39,7.39,,,0
NDC,51079-285-20,Diazepam: 100 Blister Pack In 1 Carton (51079-285-20)  / 1 Tablet In 1 Blister Pack (51079-285-01),3.18,3.18,,,0
NDC,51079-379-20,"Mycophenolate Mofetil: 100 Blister Pack In 1 Carton (51079-379-20)  / 1 Tablet, Film Coated In 1 Blister Pack (51079-379-01)",9.02,9.02,,,0
NDC,51079-440-20,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (51079-440-20)  / 1 Tablet In 1 Blister Pack (51079-440-01),14.14,14.14,,,0
NDC,51079-442-01,NDC Description Not Available,12.66,12.66,,,0
NDC,51079-442-20,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (51079-442-20)  / 1 Tablet In 1 Blister Pack (51079-442-01),13.57,13.57,,,0
NDC,51079-453-01,NDC Description Not Available,14.094999999999999,14.094999999999999,,,0
NDC,51079-508-20,"Mycophenolic Acid: 100 BLISTER PACK in 1 CARTON (51079-508-20)  / 1 TABLET, DELAYED RELEASE in 1 BLISTER PACK (51079-508-01)",38.69,38.69,,,0
NDC,51079-597-01,NDC Description Not Available,12.59,12.59,,,0
NDC,51079-630-01,NDC Description Not Available,14.48,14.48,,,0
NDC,51079-632-01,NDC Description Not Available,23.85,23.85,,,0
NDC,51079-670-01,NDC Description Not Available,15.44,15.44,,,0
NDC,51079-721-01,NDC Description Not Available,8.15,8.15,,,0
NDC,51079-733-01,NDC Description Not Available,5.2,5.2,,,0
NDC,51079-753-01,NDC Description Not Available,13.995000000000001,13.995000000000001,,,0
NDC,51079-753-20,Sucralfate: 100 Blister Pack In 1 Carton (51079-753-20)  / 1 Tablet In 1 Blister Pack (51079-753-01),14.145,14.145,,,0
NDC,51079-759-01,NDC Description Not Available,10.635,10.635,,,0
NDC,51079-759-20,Atenolol: 100 Blister Pack In 1 Carton (51079-759-20)  / 1 Tablet In 1 Blister Pack (51079-759-01),6.91,6.91,,,0
NDC,51079-821-01,NDC Description Not Available,11.695,11.695,,,0
NDC,51079-882-01,NDC Description Not Available,3.475,3.475,,,0
NDC,51079-985-01,NDC Description Not Available,8.05,8.05,,,0
NDC,51144-030-01,"Padcev Ejfv: 1 Vial, Single-Dose In 1 Box (51144-030-01)  / 3 Ml In 1 Vial, Single-Dose",212.56,212.56,,,0
NDC,51144-050-01,"Adcetris: 1 Vial, Single-Dose In 1 Box (51144-050-01)  / 10.5 Ml In 1 Vial, Single-Dose",1174.93,1174.93,,,0
NDC,51167-106-02,"Trikafta: 4 Blister Pack In 1 Carton (51167-106-02)  / 1 Kit In 1 Blister Pack *  14 Tablet, Film Coated In 1 Blister Pack (51167-206-14)  *  7 Tablet, Film Coated In 1 Blister Pack (51167-306-07)",2056.925,2056.925,,,0
NDC,51167-331-01,"Trikafta: 4 Blister Pack In 1 Carton (51167-331-01)  / 1 Kit In 1 Blister Pack *  14 Tablet, Film Coated In 1 Blister Pack (51167-431-14)  *  7 Tablet, Film Coated In 1 Blister Pack (51167-531-07)",2059.945,2059.945,,,0
NDC,51167-445-01,Trikafta: 4 Package In 1 Carton (51167-445-01)  / 1 Kit In 1 Package *  1 Granule In 1 Packet (51167-545-07)  *  1 Granule In 1 Packet (51167-645-07),3154.27,3154.27,,,0
NDC,51167-446-01,Trikafta: 4 Package In 1 Carton (51167-446-01)  / 1 Kit In 1 Package *  1 Granule In 1 Packet (51167-746-07)  *  1 Granule In 1 Packet (51167-846-07),3206.84,3206.84,,,0
NDC,51224-162-12,NDC Description Not Available,16.47,16.47,,,0
NDC,51293-811-01,Phenazopyridine Hydrochloride: 100 TABLET in 1 BOTTLE (51293-811-01),16.0,16.0,,,0
NDC,5155205946,NDC Description Not Available,5.76,5.76,,,0
NDC,51645-735-15,"Plus Pharma: 150 TABLET, CHEWABLE in 1 BOTTLE, PLASTIC (51645-735-15)",11.68,11.68,,,0
NDC,5164590901,NDC Description Not Available,6.960000000000001,6.960000000000001,,,0
NDC,51672-1260-3,"Clotrimazole: 1 Bottle, Plastic In 1 Carton (51672-1260-3)  / 30 Ml In 1 Bottle, Plastic",297.58,297.58,,,0
NDC,51672-1310-1,Betamethasone Dipropionate: 1 Tube In 1 Carton (51672-1310-1)  / 15 G In 1 Tube,137.38,137.38,,,0
NDC,51672-2001-1,Miconazole Nitrate: 1 Tube In 1 Carton (51672-2001-1)  / 15 G In 1 Tube,20.549999999999997,20.549999999999997,,,0
NDC,51672-2114-0,NDC Description Not Available,1.545,1.545,,,0
NDC,51672-2114-2,Feverall Infants: 6 Blister Pack In 1 Carton (51672-2114-2)  / 1 Suppository In 1 Blister Pack (51672-2114-0),1.53,1.53,,,0
NDC,51672-2115-0,NDC Description Not Available,1.74,1.74,,,0
NDC,51672-2116-0,NDC Description Not Available,17.73,17.73,,,0
NDC,51672-2116-2,Feverall Jr. Strength: 6 Blister Pack In 1 Carton (51672-2116-2)  / 1 Suppository In 1 Blister Pack (51672-2116-0),18.759999999999998,18.759999999999998,,,0
NDC,51672-2120-2,Triple Antibiotic: 1 Tube In 1 Carton (51672-2120-2)  / 28.4 G In 1 Tube,15.38,15.38,,,0
NDC,51672-2130-8,Ibuprofen: 1 Bottle In 1 Carton (51672-2130-8)  / 120 Ml In 1 Bottle,2.385,2.385,,,0
NDC,51672-4001-1,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (51672-4001-1),12.13,12.13,,,0
NDC,51672-4037-1,Enalapril Maleate: 100 Tablet In 1 Bottle (51672-4037-1),12.09,12.09,,,0
NDC,51672-4038-1,Enalapril Maleate: 100 Tablet In 1 Bottle (51672-4038-1),10.73,10.73,,,0
NDC,51672-4069-1,Phenytoin: 237 Ml In 1 Bottle (51672-4069-1),13.555,13.555,,,0
NDC,51754-0203-2,Verapamil Hydrochloride: 5 Vial In 1 Carton (51754-0203-2)  / 2 Ml In 1 Vial,43.57,43.57,,,0
NDC,51754-0500-1,Caffeine Citrate: 1 Vial In 1 Carton (51754-0500-1)  / 3 Ml In 1 Vial,7.04,7.04,,,0
NDC,51754-0501-3,Caffeine Citrate: 10 Vial In 1 Carton (51754-0501-3)  / 3 Ml In 1 Vial,6.9,6.9,,,0
NDC,51754-5001-1,NDC Description Not Available,39.75,39.75,,,0
NDC,51862-453-04,Clonidine: 4 Pouch In 1 Carton (51862-453-04)  / 1 Patch In 1 Pouch (51862-453-01)  / 24 H In 1 Patch,98.0,98.0,,,0
NDC,51862-458-01,NDC Description Not Available,7.87,7.87,,,0
NDC,5192726100,NDC Description Not Available,6.6,6.6,,,0
NDC,51991-381-99,NDC Description Not Available,13.12,13.12,,,0
NDC,51991-735-99,NDC Description Not Available,25.69,25.69,,,0
NDC,52015-080-01,"Dificid: 1 Bottle In 1 Carton (52015-080-01)  / 20 Tablet, Film Coated In 1 Bottle",799.28,799.28,,,0
NDC,52268-302-01,Nulytely: 4 L In 1 Package (52268-302-01),130.89,130.89,,,0
NDC,52276-400-01,Cystadane: 180 G In 1 Bottle (52276-400-01),63.13,63.13,,,0
NDC,52380-0126-2,Aplicare Povidone-Iodine: 1 G In 1 Packet (52380-0126-2),5.695,5.695,,,0
NDC,52536-600-11,Baclofen: 1 Bottle In 1 Carton (52536-600-11)  / 120 Ml In 1 Bottle,52.4,52.4,,,0
NDC,52565-007-07,Lidocaine and Prilocaine: 5 TUBE in 1 CARTON (52565-007-07)  / 5 g in 1 TUBE,36.3,36.3,,,0
NDC,52652-2001-1,Xatmep: 120 Ml In 1 Bottle (52652-2001-1),123.57,123.57,,,0
NDC,52652-3001-1,Qbrelis: 150 Ml In 1 Bottle (52652-3001-1),145.65,145.65,,,0
NDC,52652-4001-1,Epaned: 150 Ml In 1 Bottle (52652-4001-1),28.375,28.375,,,0
NDC,52652-8001-1,Zonisade: 1 Bottle In 1 Carton (52652-8001-1)  / 150 Ml In 1 Bottle,149.175,149.175,,,0
NDC,52652-9001-1,Eprontia: 473 Ml In 1 Bottle (52652-9001-1),30.985,30.985,,,0
NDC,52817-210-10,"Cyproheptadine Hydrochloride: 100 Tablet In 1 Bottle, Plastic (52817-210-10)",11.805,11.805,,,0
NDC,52817-362-10,"Metoprolol Tartrate: 100 Tablet, Film Coated In 1 Bottle (52817-362-10)",11.77,11.77,,,0
NDC,52817-610-04,"Clonidine Transdermal System Usp, 0.1 Mg/Day: 4 Pouch In 1 Carton (52817-610-04)  / 1 Patch In 1 Pouch / 1 D In 1 Patch",62.22,62.22,,,0
NDC,52817-611-04,"Clonidine Transdermal System Usp, 0.2 Mg/Day: 4 Pouch In 1 Carton (52817-611-04)  / 1 Patch In 1 Pouch / 1 D In 1 Patch",102.64,102.64,,,0
NDC,52817-612-04,"Clonidine Transdermal System Usp, 0.3 Mg/Day: 4 Pouch In 1 Carton (52817-612-04)  / 1 Patch In 1 Pouch / 1 D In 1 Patch",121.07,121.07,,,0
NDC,52817-815-08,"Aminocaproic Acid: 236.5 Ml In 1 Bottle, Plastic (52817-815-08)",145.9,145.9,,,0
NDC,53329-771-44,Sensi-Care: 113 G In 1 Tube (53329-771-44),51.4,51.4,,,0
NDC,53489-118-02,"Doxycycline Hyclate: 50 Capsule In 1 Bottle, Plastic (53489-118-02)",6.59,6.59,,,0
NDC,536135807,NDC Description Not Available,3.19,3.19,,,0
NDC,536344308,NDC Description Not Available,12.075,12.075,,,0
NDC,54092-381-01,"Adderall Xr: 100 Capsule, Extended Release In 1 Bottle (54092-381-01)",51.84,51.84,,,0
NDC,54092-383-01,"Adderall Xr: 100 Capsule, Extended Release In 1 Bottle (54092-383-01)",52.615,52.615,,,0
NDC,54092-701-04,"Vpriv: 1 Vial, Glass In 1 Box (54092-701-04)  / 4 Ml In 1 Vial, Glass",2763.855,2763.855,,,0
NDC,54162-600-02,NDC Description Not Available,24.77,24.77,,,0
NDC,54288-105-02,NDC Description Not Available,4167.75,4167.75,,,0
NDC,54288-119-01,NDC Description Not Available,12.03,12.03,,,0
NDC,54288-120-01,Epinephrine: 1 Vial In 1 Carton (54288-120-01)  / 10 Ml In 1 Vial,3.37,3.37,,,0
NDC,54288-123-01,Epinephrine Chloride Solution: 10 Ml In 1 Box (54288-123-01),402.405,402.405,,,0
NDC,54288-136-01,NDC Description Not Available,111.87,111.87,,,0
NDC,54288-141-01,NDC Description Not Available,4.55,4.55,,,0
NDC,54288-141-04,Mycophenolate Mofetil: 4 Vial In 1 Carton (54288-141-04)  / 20 Ml In 1 Vial,3.33,3.33,,,0
NDC,54288-142-01,NDC Description Not Available,79.32,79.32,,,0
NDC,54288-165-01,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-165-01)  / 15 Ml In 1 Vial, Multi-Dose",94.35,94.35,,,0
NDC,54288-166-01,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-166-01)  / 45 Ml In 1 Vial, Multi-Dose",74.43,74.43,,,0
NDC,54482-147-01,Carnitor: 5 Vial In 1 Carton (54482-147-01)  / 5 Ml In 1 Vial,625.985,625.985,,,0
NDC,54482-148-01,"Carnitor Sf: 24 Bottle, Plastic In 1 Case (54482-148-01)  / 118 Ml In 1 Bottle, Plastic",22.825000000000003,22.825000000000003,,,0
NDC,54629-0772-41,NDC Description Not Available,13.605,13.605,,,0
NDC,54643-5649-1,Infuvite Adult: 1 Kit In 1 Carton (54643-5649-1)  *  5 Ml In 1 Vial (54643-5657-1)  *  5 Ml In 1 Vial (54643-5659-1),1040.0,1040.0,,,0
NDC,54838-501-40,"Haloperidol: 120 Ml In 1 Bottle, Dropper (54838-501-40)",12.71,12.71,,,0
NDC,54838-502-80,"Hydroxyzine Hydrochloride: 473 Ml In 1 Bottle, Plastic (54838-502-80)",3.04,3.04,,,0
NDC,54838-506-15,"Hyosyne: 15 Ml In 1 Bottle, Plastic (54838-506-15)",19.08,19.08,,,0
NDC,54838-510-80,"Oxybutynin Chloride: 473 Ml In 1 Bottle, Plastic (54838-510-80)",12.64,12.64,,,0
NDC,54838-512-40,"Doxepin Hydrochloride: 120 Ml In 1 Bottle, Plastic (54838-512-40)",12.47,12.47,,,0
NDC,5483801150,NDC Description Not Available,11.915,11.915,,,0
NDC,5485951608,NDC Description Not Available,12.52,12.52,,,0
NDC,54879-001-01,"Ethambutol Hydrochloride: 12 Carton In 1 Box (54879-001-01)  / 12 Bottle In 1 Carton / 100 Tablet, Film Coated In 1 Bottle",8.67,8.67,,,0
NDC,55111-652-07,NDC Description Not Available,1.31,1.31,,,0
NDC,55111-685-07,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (55111-685-07)  / 5 Ml In 1 Vial, Glass",15.920000000000002,15.920000000000002,,,0
NDC,55111-789-48,NDC Description Not Available,43.82,43.82,,,0
NDC,55150-113-10,"Ampicillin: 10 Vial In 1 Box (55150-113-10)  / 1 Injection, Powder, For Solution In 1 Vial",14.85,14.85,,,0
NDC,55150-115-99,"Ampicillin: 10 Vial, Pharmacy Bulk Package In 1 Box (55150-115-99)  / 100 Ml In 1 Vial, Pharmacy Bulk Package",19.04,19.04,,,0
NDC,55150-117-20,"Ampicillin And Sulbactam: 10 Vial In 1 Carton (55150-117-20)  / 1 Injection, Powder, For Solution In 1 Vial",27.53,27.53,,,0
NDC,55150-118-99,"Ampicillin And Sulbactam: 1 Vial, Pharmacy Bulk Package In 1 Carton (55150-118-99)  / 100 Ml In 1 Vial, Pharmacy Bulk Package",28.87,28.87,,,0
NDC,55150-120-30,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-120-30)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",24.52,24.52,,,0
NDC,55150-128-24,"Oxacillin: 10 Vial In 1 Box (55150-128-24)  / 1 Injection, Powder, For Solution In 1 Vial",24.57,24.57,,,0
NDC,55150-129-99,"Oxacillin: 1 Vial, Pharmacy Bulk Package In 1 Box (55150-129-99)  / 100 Ml In 1 Vial, Pharmacy Bulk Package",30.41,30.41,,,0
NDC,55150-155-20,"Acyclovir Sodium: 10 Vial, Single-Dose In 1 Carton (55150-155-20)  / 20 Ml In 1 Vial, Single-Dose",0.91,0.91,,,0
NDC,55150-161-02,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-161-02)  / 2 Ml In 1 Vial, Single-Dose",26.09,26.09,,,0
NDC,55150-162-05,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-162-05)  / 5 Ml In 1 Vial, Single-Dose",28.49,28.49,,,0
NDC,55150-163-30,"Lidocaine Hydrochloride: 1 Vial, Single-Dose In 1 Carton (55150-163-30)  / 30 Ml In 1 Vial, Single-Dose",29.6,29.6,,,0
NDC,55150-165-05,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-165-05)  / 5 Ml In 1 Vial, Single-Dose",15.385,15.385,,,0
NDC,55150-166-13,"Sildenafil: 1 Vial, Single-Dose In 1 Carton (55150-166-13)  / 12.5 Ml In 1 Vial, Single-Dose",654.54,654.54,,,0
NDC,55150-167-10,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-167-10)  / 10 Ml In 1 Vial, Single-Dose",0.73,0.73,,,0
NDC,55150-174-10,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (55150-174-10)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",31.28,31.28,,,0
NDC,55150-183-01,NDC Description Not Available,80.61,80.61,,,0
NDC,55150-188-10,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (55150-188-10)  / 10 Ml In 1 Vial, Single-Dose",23.84,23.84,,,0
NDC,55150-192-01,"Adenosine: 1 Vial, Single-Dose In 1 Carton (55150-192-01)  / 20 Ml In 1 Vial, Single-Dose",3.09,3.09,,,0
NDC,55150-194-10,"Esmolol Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-194-10)  / 10 Ml In 1 Vial, Single-Dose",10.39,10.39,,,0
NDC,55150-197-20,"Ropivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-197-20)  / 20 Ml In 1 Vial, Single-Dose",0.44,0.44,,,0
NDC,55150-202-00,NDC Description Not Available,30.47,30.47,,,0
NDC,55150-202-10,"Pantoprazole Sodium: 10 Vial, Single-Dose In 1 Carton (55150-202-10)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (55150-202-00)",36.01,36.01,,,0
NDC,55150-208-30,"Meropenem: 10 Vial In 1 Carton (55150-208-30)  / 1 Injection, Powder, For Solution In 1 Vial",6.37,6.37,,,0
NDC,55150-209-02,Dexmedetomidine: 25 Vial In 1 Carton (55150-209-02)  / 2 Ml In 1 Vial,22.04,22.04,,,0
NDC,55150-223-10,"Methocarbamol: 25 Vial, Single-Dose In 1 Carton (55150-223-10)  / 10 Ml In 1 Vial, Single-Dose",41.9,41.9,,,0
NDC,55150-226-10,"Rocuronium Bromide: 10 Vial, Multi-Dose In 1 Carton (55150-226-10)  / 10 Ml In 1 Vial, Multi-Dose",33.53,33.53,,,0
NDC,55150-235-01,NDC Description Not Available,22.5,22.5,,,0
NDC,55150-235-10,"Vecuronium Bromide: 10 Vial In 1 Carton (55150-235-10)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (55150-235-01)",31.28,31.28,,,0
NDC,55150-236-01,NDC Description Not Available,79.78,79.78,,,0
NDC,55150-248-47,Levetiracetam: 10 Pouch In 1 Carton (55150-248-47)  / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,1.17,1.17,,,0
NDC,55150-259-30,"Acetylcysteine: 4 Vial, Single-Dose In 1 Carton (55150-259-30)  / 30 Ml In 1 Vial, Single-Dose",3.83,3.83,,,0
NDC,55150-282-20,"Ertapenem: 10 Vial, Single-Dose In 1 Carton (55150-282-20)  / 1 Injection In 1 Vial, Single-Dose",78.82,78.82,,,0
NDC,55150-287-01,NDC Description Not Available,19.42,19.42,,,0
NDC,55150-297-01,NDC Description Not Available,72.32,72.32,,,0
NDC,55150-307-01,NDC Description Not Available,1.33,1.33,,,0
NDC,55150-322-01,NDC Description Not Available,4.935,4.935,,,0
NDC,55150-328-01,NDC Description Not Available,0.8,0.8,,,0
NDC,55150-335-01,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (55150-335-01)  / 45 Ml In 1 Vial, Multi-Dose",31.21,31.21,,,0
NDC,55150-337-01,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (55150-337-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",10.35,10.35,,,0
NDC,55150-365-01,"Amphotericin B: 1 Vial, Single-Dose In 1 Carton (55150-365-01)  / 12.5 Ml In 1 Vial, Single-Dose",108.055,108.055,,,0
NDC,55150-370-01,"Vasopressin: 1 Vial, Multi-Dose In 1 Carton (55150-370-01)  / 1 Ml In 1 Vial, Multi-Dose",31.01,31.01,,,0
NDC,55150-400-01,NDC Description Not Available,33.96,33.96,,,0
NDC,55150-402-25,"Gentamicin: 25 Vial, Multi-Dose In 1 Carton (55150-402-25)  / 2 Ml In 1 Vial, Multi-Dose (55150-402-01)",38.01,38.01,,,0
NDC,55150-420-01,NDC Description Not Available,2.62,2.62,,,0
NDC,55150-431-01,"Dactinomycin: 1 Vial, Single-Dose In 1 Carton (55150-431-01)  / 1 Ml In 1 Vial, Single-Dose",2223.75,2223.75,,,0
NDC,55150-438-01,NDC Description Not Available,73.78,73.78,,,0
NDC,55150-478-01,"Leuprolide Acetate: 1 Kit In 1 Carton (55150-478-01)  *  1 Vial, Multi-Dose In 1 Carton (55150-338-01)  / 2.8 Ml In 1 Vial, Multi-Dose *  1 Ml In 1 Packet (60913-006-01)",141.01,141.01,,,0
NDC,55292-702-54,NDC Description Not Available,193.55,193.55,,,0
NDC,55513-003-01,NDC Description Not Available,48.54,48.54,,,0
NDC,55513-005-01,NDC Description Not Available,46.65,46.65,,,0
NDC,55513-005-04,"Aranesp: 4 Vial, Single-Dose In 1 Package (55513-005-04)  / 1 Ml In 1 Vial, Single-Dose (55513-005-01)",37.4,37.4,,,0
NDC,55513-073-30,"Sensipar: 30 Tablet, Coated In 1 Bottle, Plastic (55513-073-30)",12.035,12.035,,,0
NDC,55513-144-01,NDC Description Not Available,10.16,10.16,,,0
NDC,55513-160-01,Blincyto: 1 Kit In 1 Package (55513-160-01)  *  3.088 Ml In 1 Vial (55513-150-01)  *  10.6 Ml In 1 Vial (55513-155-01),952.08,952.08,,,0
NDC,55513-206-01,Mvasi: 1 Vial In 1 Carton (55513-206-01)  / 4 Ml In 1 Vial,321.2,321.2,,,0
NDC,55513-207-01,Mvasi: 1 Vial In 1 Carton (55513-207-01)  / 16 Ml In 1 Vial,312.5,312.5,,,0
NDC,55513-221-01,Nplate: 1 Vial In 1 Carton (55513-221-01)  / .5 Ml In 1 Vial,67.92,67.92,,,0
NDC,55513-223-01,"Nplate: 1 Vial, Single-Dose In 1 Carton (55513-223-01)  / .25 Ml In 1 Vial, Single-Dose",68.05,68.05,,,0
NDC,55513-224-01,"Riabni: 1 Vial, Single-Dose In 1 Carton (55513-224-01)  / 10 Ml In 1 Vial, Single-Dose",304.275,304.275,,,0
NDC,55513-481-01,Amjevita: 1 Syringe In 1 Carton (55513-481-01)  / .8 Ml In 1 Syringe,8255.12,8255.12,,,0
NDC,55513-481-02,Amjevita: 2 Syringe In 1 Carton (55513-481-02)  / .8 Ml In 1 Syringe,8248.59,8248.59,,,0
NDC,55513-482-01,Amjevita: 1 Syringe In 1 Carton (55513-482-01)  / .4 Ml In 1 Syringe,4145.76,4145.76,,,0
NDC,55513-482-02,Amjevita: 2 Syringe In 1 Carton (55513-482-02)  / .4 Ml In 1 Syringe,4145.76,4145.76,,,0
NDC,55513-670-01,"Avsola: 1 Vial, Single-Dose In 1 Carton (55513-670-01)  / 10 Ml In 1 Vial, Single-Dose",274.9,274.9,,,0
NDC,55513-730-01,"Xgeva: 1 Vial, Single-Use In 1 Carton (55513-730-01)  / 1.7 Ml In 1 Vial, Single-Use",169.26999999999998,169.26999999999998,,,0
NDC,55513-813-01,NDC Description Not Available,23.87,23.87,,,0
NDC,55513-813-28,Corlanor: 28 Ampule In 1 Carton (55513-813-28)  / 5 Ml In 1 Ampule (55513-813-01),19.36,19.36,,,0
NDC,57237-003-30,Fluconazole: 30 Tablet In 1 Bottle (57237-003-30),13.73,13.73,,,0
NDC,57237-005-11,Fluconazole: 12 Blister Pack In 1 Carton (57237-005-11)  / 1 Tablet In 1 Blister Pack,15.61,15.61,,,0
NDC,57237-040-01,"Penicillin V Potassium: 100 Tablet, Film Coated In 1 Bottle (57237-040-01)",10.805,10.805,,,0
NDC,57237-085-63,"Rizatriptan Benzoate: 3 Blister Pack In 1 Carton (57237-085-63)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack",21.375,21.375,,,0
NDC,57237-086-63,"Rizatriptan Benzoate: 3 Blister Pack In 1 Carton (57237-086-63)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack",16.955,16.955,,,0
NDC,57237-232-01,Sulfamethoxazole And Trimethoprim: 100 Tablet In 1 Bottle (57237-232-01),7.53,7.53,,,0
NDC,57237-233-01,Sulfamethoxazole And Trimethoprim: 100 Tablet In 1 Bottle (57237-233-01),9.895,9.895,,,0
NDC,574006915,NDC Description Not Available,28.05,28.05,,,0
NDC,574007015,NDC Description Not Available,27.095,27.095,,,0
NDC,574007030,NDC Description Not Available,26.46,26.46,,,0
NDC,574030216,NDC Description Not Available,6.085,6.085,,,0
NDC,574030316,NDC Description Not Available,12.04,12.04,,,0
NDC,574030416,NDC Description Not Available,11.955,11.955,,,0
NDC,574031116,NDC Description Not Available,11.629999999999999,11.629999999999999,,,0
NDC,574031216,NDC Description Not Available,11.84,11.84,,,0
NDC,57664-377-08,Tramadol Hydrochloride: 100 Tablet In 1 Bottle (57664-377-08),11.755,11.755,,,0
NDC,5777100702,NDC Description Not Available,21.71,21.71,,,0
NDC,57894-030-01,"Remicade: 1 Vial, Single-Use In 1 Box (57894-030-01)  / 10 Ml In 1 Vial, Single-Use",698.02,698.02,,,0
NDC,57894-054-27,"Stelara: 1 Vial, Single-Use In 1 Box (57894-054-27)  / 26 Ml In 1 Vial, Single-Use",100.63499999999999,100.63499999999999,,,0
NDC,57894-061-03,Stelara: 1 Syringe In 1 Carton (57894-061-03)  / 1 Ml In 1 Syringe,1815.83,1815.83,,,0
NDC,57894-350-01,"Simponi Aria: 1 Vial, Single-Dose In 1 Carton (57894-350-01)  / 4 Ml In 1 Vial, Single-Dose",244.84,244.84,,,0
NDC,57894-505-05,"Darzalex Iv: 1 Vial, Single-Dose In 1 Box (57894-505-05)  / 5 Ml In 1 Vial, Single-Dose",496.47,496.47,,,0
NDC,57896-101-01,Regular Strength Pain Relief: 100 TABLET in 1 BOTTLE (57896-101-01),0.5,0.5,,,0
NDC,57896-116-03,Analgesic Balm: 1 Tube In 1 Box (57896-116-03)  / 85 G In 1 Tube,25.505000000000003,25.505000000000003,,,0
NDC,57896-201-01,100 TABLET in 1 BOTTLE (57896-201-01),8.515,8.515,,,0
NDC,57896-204-01,Extra Strength Acetaminophen: 100 Tablet In 1 Bottle (57896-204-01),8.82,8.82,,,0
NDC,57896-490-01,NDC Description Not Available,14.940000000000001,14.940000000000001,,,0
NDC,57896-490-03,Polyethylene Glycol 3350: 30 Packet In 1 Carton (57896-490-03)  / 17 G In 1 Packet (57896-490-01),14.045,14.045,,,0
NDC,57896-629-12,Geri-Lanta Antacid Antigas: 355 Ml In 1 Bottle (57896-629-12),1.03,1.03,,,0
NDC,5789660501,NDC Description Not Available,12.39,12.39,,,0
NDC,5789675101,NDC Description Not Available,5.99,5.99,,,0
NDC,5789684401,NDC Description Not Available,13.425,13.425,,,0
NDC,5789687503,NDC Description Not Available,9.695,9.695,,,0
NDC,58151-110-32,NDC Description Not Available,17.13,17.13,,,0
NDC,58151-237-32,NDC Description Not Available,82.05,82.05,,,0
NDC,58160-820-43,NDC Description Not Available,165.56,165.56,,,0
NDC,58160-820-52,Engerix-B: 10 Syringe In 1 Carton (58160-820-52)  / .5 Ml In 1 Syringe (58160-820-43),159.13,159.13,,,0
NDC,58160-821-01,NDC Description Not Available,252.875,252.875,,,0
NDC,58160-825-43,NDC Description Not Available,220.72,220.72,,,0
NDC,58160-842-43,NDC Description Not Available,268.01,268.01,,,0
NDC,58160-842-52,Boostrix: 10 Syringe In 1 Carton (58160-842-52)  / .5 Ml In 1 Syringe (58160-842-43),265.73,265.73,,,0
NDC,58160-955-09,"Menveo: 1 Kit In 1 Carton (58160-955-09)  *  .5 Ml In 1 Vial, Single-Dose (58160-958-01)  *  .5 Ml In 1 Vial, Single-Dose (58160-959-01)",745.87,745.87,,,0
NDC,58160-958-01,NDC Description Not Available,741.23,741.23,,,0
NDC,58160-976-02,NDC Description Not Available,546.47,546.47,,,0
NDC,58181-3041-5,"Gleostine: 1 Bottle In 1 Carton (58181-3041-5)  / 5 Capsule, Gelatin Coated In 1 Bottle",2919.54,2919.54,,,0
NDC,58232-0721-3,Desitin Maximum Strength: 1 TUBE in 1 CARTON (58232-0721-3)  / 56 g in 1 TUBE,34.67,34.67,,,0
NDC,58394-134-03,NDC Description Not Available,6.875,6.875,,,0
NDC,58394-136-03,NDC Description Not Available,6.85,6.85,,,0
NDC,58394-634-03,"Benefix: 1 Kit In 1 Carton (58394-634-03)  *  5 Ml In 1 Syringe (58394-041-11)  *  1 Ml In 1 Packet (0069-1111-01)  *  5 Ml In 1 Vial, Single-Use (58394-134-03)",6.89,6.89,,,0
NDC,58394-636-03,"Benefix: 1 Kit In 1 Carton (58394-636-03)  *  5 Ml In 1 Syringe (58394-041-11)  *  1 Ml In 1 Packet (0069-1111-01)  *  5 Ml In 1 Vial, Single-Use (58394-136-03)",6.84,6.84,,,0
NDC,58406-055-01,NDC Description Not Available,6107.22,6107.22,,,0
NDC,58468-0070-1,"Aldurazyme: 5 Ml In 1 Vial, Glass (58468-0070-1)",241.23,241.23,,,0
NDC,58468-0080-1,"Thymoglobulin: 1 Vial, Glass In 1 Carton (58468-0080-1)  / 5 Ml In 1 Vial, Glass",5331.93,5331.93,,,0
NDC,58468-0426-1,"Nexviazyme: 1 Vial, Single-Dose In 1 Carton (58468-0426-1)  / 10 Ml In 1 Vial, Single-Dose",470.41999999999996,470.41999999999996,,,0
NDC,58468-4663-1,"Cerezyme: 1 Vial, Glass In 1 Carton (58468-4663-1)  / 10 Ml In 1 Vial, Glass",264.48,264.48,,,0
NDC,58602-006-40,"Olopatadine Hydrochloride: 1 Bottle, Plastic In 1 Carton (58602-006-40)  / 5 Ml In 1 Bottle, Plastic",53.97,53.97,,,0
NDC,58602-604-07,Diclofenac Sodium: 1 Tube In 1 Carton (58602-604-07)  / 100 G In 1 Tube,55.394999999999996,55.394999999999996,,,0
NDC,58602-701-76,Loperamide Hydrochloride: 4 Blister Pack In 1 Carton (58602-701-76)  / 6 Tablet In 1 Blister Pack,9.285,9.285,,,0
NDC,58602-702-04,Loratadine: 10 Blister Pack In 1 Carton (58602-702-04)  / 10 Tablet In 1 Blister Pack,12.79,12.79,,,0
NDC,58602-702-83,Loratadine: 1 Blister Pack In 1 Carton (58602-702-83)  / 10 Tablet In 1 Blister Pack,12.8,12.8,,,0
NDC,58657-675-01,"Ciprofloxacin: 100 Tablet, Coated In 1 Bottle (58657-675-01)",6.74,6.74,,,0
NDC,58790-002-28,Theratears: 7 Pouch In 1 Carton (58790-002-28)  / .6 Ml In 1 Pouch,11.8,11.8,,,0
NDC,58790-003-30,Theratears: 6 Pouch In 1 Carton (58790-003-30)  / 5 Vial In 1 Pouch / .6 Ml In 1 Vial,12.145,12.145,,,0
NDC,58980-011-10,Bacitracin Zinc: 1 Tube In 1 Box (58980-011-10)  / 28.35 G In 1 Tube,25.4,25.4,,,0
NDC,58980-409-25,Stratuscare Glycerin Laxative Pediatric: 25 Suppository In 1 Jar (58980-409-25),13.825,13.825,,,0
NDC,592800308,NDC Description Not Available,10.98,10.98,,,0
NDC,59310-304-80,"Qvar Redihaler: 1 Inhaler In 1 Carton (59310-304-80)  / 1 Canister In 1 Inhaler / 120 Aerosol, Metered In 1 Canister",1766.39,1766.39,,,0
NDC,59417-102-10,Vyvanse: 100 Capsule In 1 Bottle (59417-102-10),88.95,88.95,,,0
NDC,59651-008-30,Azithromycin: 1 Bottle In 1 Carton (59651-008-30)  / 30 Ml In 1 Bottle,21.76,21.76,,,0
NDC,59651-214-30,"Azelastine Hydrochloride: 1 Bottle, Spray In 1 Carton (59651-214-30)  / 200 Spray, Metered In 1 Bottle, Spray",10.65,10.65,,,0
NDC,59651-394-01,Baclofen: 100 Tablet In 1 Bottle (59651-394-01),7.85,7.85,,,0
NDC,59651-397-08,"Mesalamine: 120 Capsule, Extended Release In 1 Bottle (59651-397-08)",9.96,9.96,,,0
NDC,59651-401-12,Clobazam: 1 Bottle In 1 Carton (59651-401-12)  / 120 Ml In 1 Bottle,5.04,5.04,,,0
NDC,59651-414-01,Hydrocortisone: 100 Tablet In 1 Bottle (59651-414-01),7.36,7.36,,,0
NDC,59651-420-11,Sildenafil Citrate: 1 Bottle In 1 Carton (59651-420-11)  / 112 Ml In 1 Bottle,13.2,13.2,,,0
NDC,59651-444-01,"Valganciclovir: 1 Bottle, Glass In 1 Carton (59651-444-01)  / 100 Ml In 1 Bottle, Glass",131.0,131.0,,,0
NDC,59651-488-01,Prednisone: 100 Tablet In 1 Bottle (59651-488-01),0.35,0.35,,,0
NDC,59651-489-01,Prednisone: 100 Tablet In 1 Bottle (59651-489-01),0.08,0.08,,,0
NDC,59651-873-50,"Ciprofloxacin: 50 Tablet, Film Coated In 1 Bottle (59651-873-50)",12.9,12.9,,,0
NDC,59676-610-01,"Yondelis: 20 Ml In 1 Vial, Single-Use (59676-610-01)",2237.205,2237.205,,,0
NDC,59746-113-06,Prochlorperazine Maleate: 100 Tablet In 1 Bottle (59746-113-06),11.5,11.5,,,0
NDC,59762-0056-1,Medroxyprogesterone Acetate: 100 Tablet In 1 Bottle (59762-0056-1),13.28,13.28,,,0
NDC,59762-0075-1,Hydrocortisone: 100 Tablet In 1 Bottle (59762-0075-1),12.16,12.16,,,0
NDC,59762-0117-1,"Mesalamine: 180 Capsule, Delayed Release In 1 Bottle (59762-0117-1)",15.4,15.4,,,0
NDC,59762-0118-1,NDC Description Not Available,49.1,49.1,,,0
NDC,59762-0333-2,"Latanoprost: 1 Bottle, Dropper In 1 Carton (59762-0333-2)  / 2.5 Ml In 1 Bottle, Dropper",17.89,17.89,,,0
NDC,59762-0935-3,Voriconazole: 1 Bottle In 1 Carton (59762-0935-3)  / 75 Ml In 1 Bottle,374.44,374.44,,,0
NDC,59762-1001-1,"Sirolimus: 100 Tablet, Sugar Coated In 1 Bottle (59762-1001-1)",34.27,34.27,,,0
NDC,59762-1308-4,Linezolid: 150 Ml In 1 Bottle (59762-1308-4),113.32,113.32,,,0
NDC,59762-1350-1,Rifabutin: 100 Capsule In 1 Bottle (59762-1350-1),97.11,97.11,,,0
NDC,59762-2350-7,"Ethosuximide: 1 Bottle, Plastic In 1 Carton (59762-2350-7)  / 474 Ml In 1 Bottle, Plastic",2.2249999999999996,2.2249999999999996,,,0
NDC,59762-3120-1,Azithromycin: 1 Bottle In 1 Carton (59762-3120-1)  / 15 Ml In 1 Bottle,25.78,25.78,,,0
NDC,59762-3140-1,Azithromycin: 1 Bottle In 1 Carton (59762-3140-1)  / 30 Ml In 1 Bottle,18.4,18.4,,,0
NDC,59762-3720-1,Alprazolam: 100 Tablet In 1 Bottle (59762-3720-1),4.6,4.6,,,0
NDC,59762-5000-5,Sulfasalazine: 1 Bottle In 1 Carton (59762-5000-5)  / 100 Tablet In 1 Bottle,11.58,11.58,,,0
NDC,59923-615-01,NDC Description Not Available,120.71,120.71,,,0
NDC,60219-1749-3,"Atropine: 1 Bottle, Dropper In 1 Carton (60219-1749-3)  / 5 Ml In 1 Bottle, Dropper",221.38,221.38,,,0
NDC,6025800601,NDC Description Not Available,13.86,13.86,,,0
NDC,6025800615,NDC Description Not Available,13.145,13.145,,,0
NDC,6025816001,NDC Description Not Available,11.895,11.895,,,0
NDC,60267-705-50,"Sodium Thiosulfate: 50 Ml In 1 Vial, Single-Dose (60267-705-50)",557.51,557.51,,,0
NDC,60432-092-16,OXYBUTYNIN CHLORIDE: 473 mL in 1 BOTTLE (60432-092-16),12.43,12.43,,,0
NDC,60432-651-04,"DOXEPIN HYDROCHLORIDE: 118 mL in 1 BOTTLE, PLASTIC (60432-651-04)",12.67,12.67,,,0
NDC,60505-0165-1,Fluvoxamine Maleate: 100 Tablet In 1 Bottle (60505-0165-1),7.94,7.94,,,0
NDC,60505-0247-1,"Mirtazapine: 30 Tablet, Film Coated In 1 Bottle (60505-0247-1)",13.350000000000001,13.350000000000001,,,0
NDC,60505-0257-1,Desmopressin Acetate: 100 Tablet In 1 Bottle (60505-0257-1),15.745000000000001,15.745000000000001,,,0
NDC,60505-0404-5,Aripiprazole: 1 Bottle In 1 Carton (60505-0404-5)  / 150 Ml In 1 Bottle,52.11,52.11,,,0
NDC,60505-0560-1,"Ofloxacin: 1 Bottle, Dropper In 1 Carton (60505-0560-1)  / 10 Ml In 1 Bottle, Dropper",205.98,205.98,,,0
NDC,60505-0753-4,"Ceftriaxone: 10 VIAL in 1 CARTON (60505-0753-4)  / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL",9.48,9.48,,,0
NDC,60505-0815-0,"Desmopressin Acetate: 1 Bottle, Spray In 1 Carton (60505-0815-0)  / 50 Spray In 1 Bottle, Spray",553.23,553.23,,,0
NDC,60505-3110-0,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3110-0)  / 10 Tablet, Film Coated In 1 Blister Pack",9.555,9.555,,,0
NDC,60505-3275-0,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3275-0)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack",17.68,17.68,,,0
NDC,60505-3629-6,"Dasatinib: 60 Tablet, Film Coated In 1 Bottle (60505-3629-6)",483.07,483.07,,,0
NDC,60505-3847-6,Celecoxib: 60 Capsule In 1 Bottle (60505-3847-6),13.29,13.29,,,0
NDC,60505-3927-1,"Guanfacine Extended-Release: 100 Tablet, Extended Release In 1 Bottle (60505-3927-1)",8.485,8.485,,,0
NDC,60505-6128-1,"Irinotecan Hydrochloride: 1 Vial, Single-Use In 1 Carton (60505-6128-1)  / 5 Ml In 1 Vial, Single-Use",27.935,27.935,,,0
NDC,60505-6130-0,NDC Description Not Available,5.91,5.91,,,0
NDC,60505-6146-0,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6146-0)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",26.11,26.11,,,0
NDC,60505-6147-0,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6147-0)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",25.42,25.42,,,0
NDC,60505-6147-4,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6147-4)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",30.04,30.04,,,0
NDC,60505-6197-2,"Sirolimus: 1 Bottle, Glass In 1 Carton (60505-6197-2)  / 60 Ml In 1 Bottle, Glass",104.42,104.42,,,0
NDC,60505-6226-1,"Atropine: 1 Bottle, Dropper In 1 Carton (60505-6226-1)  / 5 Ml In 1 Bottle, Dropper",233.03,233.03,,,0
NDC,60687-100-11,NDC Description Not Available,27.97,27.97,,,0
NDC,60687-113-01,"Clonidine Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-113-01)  / 1 Tablet In 1 Blister Pack (60687-113-11)",10.219999999999999,10.219999999999999,,,0
NDC,60687-113-11,NDC Description Not Available,10.425,10.425,,,0
NDC,60687-122-11,NDC Description Not Available,1.64,1.64,,,0
NDC,60687-124-01,"Clonidine Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-124-01)  / 1 Tablet In 1 Blister Pack (60687-124-11)",12.83,12.83,,,0
NDC,60687-124-11,NDC Description Not Available,12.085,12.085,,,0
NDC,60687-134-11,NDC Description Not Available,0.69,0.69,,,0
NDC,60687-145-01,"Prednisone: 100 Blister Pack In 1 Box, Unit-Dose (60687-145-01)  / 1 Tablet In 1 Blister Pack (60687-145-11)",0.63,0.63,,,0
NDC,60687-145-11,NDC Description Not Available,0.14,0.14,,,0
NDC,60687-152-11,NDC Description Not Available,7.0600000000000005,7.0600000000000005,,,0
NDC,60687-155-01,"Metformin Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-155-01)  / 1 Tablet, Film Coated In 1 Blister Pack (60687-155-11)",12.85,12.85,,,0
NDC,60687-156-25,"Phenytoin: 30 Blister Pack In 1 Box, Unit-Dose (60687-156-25)  / 1 Tablet, Chewable In 1 Blister Pack (60687-156-95)",10.85,10.85,,,0
NDC,60687-156-95,NDC Description Not Available,11.13,11.13,,,0
NDC,60687-163-11,NDC Description Not Available,11.18,11.18,,,0
NDC,60687-211-11,NDC Description Not Available,15.44,15.44,,,0
NDC,60687-224-11,NDC Description Not Available,13.32,13.32,,,0
NDC,60687-231-01,"Sertraline Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-231-01)  / 1 Tablet In 1 Blister Pack (60687-231-11)",8.93,8.93,,,0
NDC,60687-231-11,NDC Description Not Available,9.71,9.71,,,0
NDC,60687-242-01,"Sertraline Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-242-01)  / 1 Tablet In 1 Blister Pack (60687-242-11)",11.605,11.605,,,0
NDC,60687-242-11,NDC Description Not Available,8.405,8.405,,,0
NDC,60687-312-11,NDC Description Not Available,21.7,21.7,,,0
NDC,60687-313-95,NDC Description Not Available,24.064999999999998,24.064999999999998,,,0
NDC,60687-315-11,NDC Description Not Available,13.67,13.67,,,0
NDC,60687-319-11,NDC Description Not Available,40.48,40.48,,,0
NDC,60687-326-95,NDC Description Not Available,43.565,43.565,,,0
NDC,60687-336-11,NDC Description Not Available,17.2,17.2,,,0
NDC,60687-345-01,"Calcitriol: 100 Blister Pack In 1 Box, Unit-Dose (60687-345-01)  / 1 Capsule In 1 Blister Pack (60687-345-11)",16.36,16.36,,,0
NDC,60687-345-11,NDC Description Not Available,16.55,16.55,,,0
NDC,60687-368-01,"Benztropine Mesylate: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (60687-368-01)  / 1 TABLET in 1 BLISTER PACK (60687-368-11)",14.1,14.1,,,0
NDC,60687-369-01,"Dicyclomine Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-369-01)  / 1 Capsule In 1 Blister Pack (60687-369-11)",10.57,10.57,,,0
NDC,60687-369-11,NDC Description Not Available,10.675,10.675,,,0
NDC,60687-375-11,NDC Description Not Available,55.22,55.22,,,0
NDC,60687-375-21,Dronabinol: 30 Blister Pack In 1 Carton (60687-375-21)  / 1 Capsule In 1 Blister Pack (60687-375-11),57.67,57.67,,,0
NDC,60687-381-11,NDC Description Not Available,261.445,261.445,,,0
NDC,60687-386-11,NDC Description Not Available,52.44,52.44,,,0
NDC,60687-386-94,Dronabinol: 20 Blister Pack In 1 Carton (60687-386-94)  / 1 Capsule In 1 Blister Pack (60687-386-11),52.44,52.44,,,0
NDC,60687-394-79,NDC Description Not Available,12.79,12.79,,,0
NDC,60687-423-11,NDC Description Not Available,20.130000000000003,20.130000000000003,,,0
NDC,60687-423-21,"Clobazam: 30 Blister Pack In 1 Box, Unit-Dose (60687-423-21)  / 1 Tablet In 1 Blister Pack (60687-423-11)",19.11,19.11,,,0
NDC,60687-433-11,NDC Description Not Available,6.835,6.835,,,0
NDC,60687-436-11,NDC Description Not Available,19.345,19.345,,,0
NDC,60687-438-11,NDC Description Not Available,6.91,6.91,,,0
NDC,60687-439-01,"Labetalol Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-439-01)  / 1 Tablet, Film Coated In 1 Blister Pack (60687-439-11)",13.59,13.59,,,0
NDC,60687-439-11,NDC Description Not Available,8.695,8.695,,,0
NDC,60687-443-11,NDC Description Not Available,7.620000000000001,7.620000000000001,,,0
NDC,60687-450-11,NDC Description Not Available,12.149999999999999,12.149999999999999,,,0
NDC,60687-451-11,NDC Description Not Available,29.295,29.295,,,0
NDC,60687-453-01,"Levothyroxine Sodium: 100 Blister Pack In 1 Box, Unit-Dose (60687-453-01)  / 1 Tablet In 1 Blister Pack (60687-453-11)",10.365,10.365,,,0
NDC,60687-453-11,NDC Description Not Available,8.370000000000001,8.370000000000001,,,0
NDC,60687-457-01,"Ibuprofen: 100 Blister Pack In 1 Box, Unit-Dose (60687-457-01)  / 1 Tablet In 1 Blister Pack (60687-457-11)",12.71,12.71,,,0
NDC,60687-457-11,NDC Description Not Available,13.129999999999999,13.129999999999999,,,0
NDC,60687-461-11,NDC Description Not Available,12.55,12.55,,,0
NDC,60687-473-11,NDC Description Not Available,14.605,14.605,,,0
NDC,60687-479-11,NDC Description Not Available,9.65,9.65,,,0
NDC,60687-484-11,NDC Description Not Available,8.08,8.08,,,0
NDC,60687-495-01,"Pregabalin: 100 Blister Pack In 1 Box, Unit-Dose (60687-495-01)  / 1 Capsule In 1 Blister Pack (60687-495-11)",14.27,14.27,,,0
NDC,60687-495-11,NDC Description Not Available,13.49,13.49,,,0
NDC,60687-497-11,NDC Description Not Available,12.43,12.43,,,0
NDC,60687-508-01,"Levothyroxine Sodium: 100 Blister Pack In 1 Box, Unit-Dose (60687-508-01)  / 1 Tablet In 1 Blister Pack (60687-508-11)",13.11,13.11,,,0
NDC,60687-508-11,NDC Description Not Available,8.38,8.38,,,0
NDC,60687-524-79,NDC Description Not Available,53.39,53.39,,,0
NDC,60687-530-11,NDC Description Not Available,14.99,14.99,,,0
NDC,60687-544-01,"Clonazepam: 100 Blister Pack In 1 Box, Unit-Dose (60687-544-01)  / 1 Tablet In 1 Blister Pack (60687-544-11)",13.41,13.41,,,0
NDC,60687-550-01,"Metronidazole: 100 Blister Pack In 1 Box, Unit-Dose (60687-550-01)  / 1 Tablet In 1 Blister Pack (60687-550-11)",13.72,13.72,,,0
NDC,60687-550-11,NDC Description Not Available,12.245000000000001,12.245000000000001,,,0
NDC,60687-555-01,"Clonazepam: 100 Blister Pack In 1 Box, Unit-Dose (60687-555-01)  / 1 Tablet In 1 Blister Pack (60687-555-11)",12.52,12.52,,,0
NDC,60687-555-11,NDC Description Not Available,12.235,12.235,,,0
NDC,60687-559-01,"Methocarbamol: 100 Blister Pack In 1 Box, Unit-Dose (60687-559-01)  / 1 Tablet In 1 Blister Pack (60687-559-11)",8.79,8.79,,,0
NDC,60687-576-03,NDC Description Not Available,29.87,29.87,,,0
NDC,60687-576-40,NDC Description Not Available,30.28,30.28,,,0
NDC,60687-576-86,"Midazolam Hydrochloride: 3 Tray In 1 Case (60687-576-86)  / 10 Cup, Unit-Dose In 1 Tray (60687-576-46)  / 5 Ml In 1 Cup, Unit-Dose (60687-576-40)",37.065,37.065,,,0
NDC,60687-580-11,NDC Description Not Available,9.01,9.01,,,0
NDC,60687-585-01,"Pantoprazole Sodium: 100 Blister Pack In 1 Box, Unit-Dose (60687-585-01)  / 1 Tablet, Delayed Release In 1 Blister Pack (60687-585-11)",13.5,13.5,,,0
NDC,60687-586-11,NDC Description Not Available,20.93,20.93,,,0
NDC,60687-587-01,"Propranolol Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-587-01)  / 1 Tablet In 1 Blister Pack (60687-587-11)",8.1,8.1,,,0
NDC,60687-587-11,NDC Description Not Available,10.325,10.325,,,0
NDC,60687-591-01,"Gabapentin: 100 Blister Pack In 1 Box, Unit-Dose (60687-591-01)  / 1 Capsule In 1 Blister Pack (60687-591-11)",7.425,7.425,,,0
NDC,60687-591-11,NDC Description Not Available,9.649999999999999,9.649999999999999,,,0
NDC,60687-593-01,"Hydrochlorothiazide: 100 Blister Pack In 1 Box, Unit-Dose (60687-593-01)  / 1 Tablet In 1 Blister Pack (60687-593-11)",12.51,12.51,,,0
NDC,60687-593-11,NDC Description Not Available,11.754999999999999,11.754999999999999,,,0
NDC,60687-596-33,NDC Description Not Available,81.95,81.95,,,0
NDC,60687-598-01,"Propranolol Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-598-01)  / 1 Tablet In 1 Blister Pack (60687-598-11)",13.865,13.865,,,0
NDC,60687-598-11,NDC Description Not Available,12.715,12.715,,,0
NDC,60687-609-01,"Propranolol Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-609-01)  / 1 Tablet In 1 Blister Pack (60687-609-11)",11.95,11.95,,,0
NDC,60687-609-11,NDC Description Not Available,11.885,11.885,,,0
NDC,60687-612-11,NDC Description Not Available,16.33,16.33,,,0
NDC,60687-620-01,"Metoclopramide: 100 Blister Pack In 1 Box, Unit-Dose (60687-620-01)  / 1 Tablet In 1 Blister Pack (60687-620-11)",15.7,15.7,,,0
NDC,60687-620-11,NDC Description Not Available,13.295,13.295,,,0
NDC,60687-627-11,NDC Description Not Available,8.62,8.62,,,0
NDC,60687-633-11,NDC Description Not Available,30.73,30.73,,,0
NDC,60687-633-65,Nitrofurantoin (Monohydrate/Macrocrystals): 50 Blister Pack In 1 Carton (60687-633-65)  / 1 Capsule In 1 Blister Pack (60687-633-11),27.69,27.69,,,0
NDC,60687-640-11,NDC Description Not Available,11.805,11.805,,,0
NDC,60687-650-33,NDC Description Not Available,29.65,29.65,,,0
NDC,60687-657-11,NDC Description Not Available,7.220000000000001,7.220000000000001,,,0
NDC,60687-660-01,Promethazine Hydrochloride: 100 Blister Pack In 1 Carton (60687-660-01)  / 1 Tablet In 1 Blister Pack (60687-660-11),13.31,13.31,,,0
NDC,60687-660-11,NDC Description Not Available,13.24,13.24,,,0
NDC,60687-661-11,NDC Description Not Available,7.5,7.5,,,0
NDC,60687-664-11,NDC Description Not Available,7.395,7.395,,,0
NDC,60687-669-01,Methimazole: 100 Blister Pack In 1 Carton (60687-669-01)  / 1 Tablet In 1 Blister Pack (60687-669-11),14.95,14.95,,,0
NDC,60687-669-11,NDC Description Not Available,11.33,11.33,,,0
NDC,60687-671-40,NDC Description Not Available,21.79,21.79,,,0
NDC,60687-681-01,Folic Acid: 100 Blister Pack In 1 Carton (60687-681-01)  / 1 Tablet In 1 Blister Pack (60687-681-11),12.65,12.65,,,0
NDC,60687-681-11,NDC Description Not Available,12.235,12.235,,,0
NDC,60687-699-11,NDC Description Not Available,27.57,27.57,,,0
NDC,60687-721-11,NDC Description Not Available,21.75,21.75,,,0
NDC,60687-721-21,Desmopressin Acetate: 30 Blister Pack In 1 Carton (60687-721-21)  / 1 Tablet In 1 Blister Pack (60687-721-11),22.71,22.71,,,0
NDC,60687-722-11,NDC Description Not Available,7.7299999999999995,7.7299999999999995,,,0
NDC,60687-725-11,NDC Description Not Available,8.03,8.03,,,0
NDC,60687-731-79,NDC Description Not Available,123.88,123.88,,,0
NDC,60687-731-83,Tobramycin: 30 Pouch In 1 Carton (60687-731-83)  / 1 Ampule In 1 Pouch (60687-731-79)  / 5 Ml In 1 Ampule,124.1,124.1,,,0
NDC,60687-732-11,NDC Description Not Available,28.965,28.965,,,0
NDC,60687-734-11,NDC Description Not Available,15.8,15.8,,,0
NDC,60687-736-11,NDC Description Not Available,12.74,12.74,,,0
NDC,60687-736-65,"Pantoprazole Sodium: 50 Blister Pack In 1 Carton (60687-736-65)  / 1 Tablet, Delayed Release In 1 Blister Pack (60687-736-11)",12.95,12.95,,,0
NDC,60687-743-40,NDC Description Not Available,9.614999999999998,9.614999999999998,,,0
NDC,60687-754-05,"Linezolid: 1 Bottle, Glass In 1 Carton (60687-754-05)  / 150 Ml In 1 Bottle, Glass",98.575,98.575,,,0
NDC,60687-755-40,NDC Description Not Available,18.8,18.8,,,0
NDC,60687-755-86,"Diazepam: 3 Tray In 1 Case (60687-755-86)  / 10 Cup, Unit-Dose In 1 Tray (60687-755-46)  / 5 Ml In 1 Cup, Unit-Dose (60687-755-40)",18.689999999999998,18.689999999999998,,,0
NDC,60687-758-11,NDC Description Not Available,27.564999999999998,27.564999999999998,,,0
NDC,60687-760-40,NDC Description Not Available,13.37,13.37,,,0
NDC,60687-818-40,NDC Description Not Available,16.89,16.89,,,0
NDC,60687-822-11,NDC Description Not Available,3.55,3.55,,,0
NDC,60687-847-40,NDC Description Not Available,143.69,143.69,,,0
NDC,60758-119-05,"Prednisolone Acetate: 1 Bottle, Dropper In 1 Carton (60758-119-05)  / 5 Ml In 1 Bottle, Dropper",257.38,257.38,,,0
NDC,60793-700-01,NDC Description Not Available,195.53,195.53,,,0
NDC,60793-701-02,NDC Description Not Available,153.57,153.57,,,0
NDC,61269-402-60,Droxia: 60 Capsule In 1 Bottle (61269-402-60),7.33,7.33,,,0
NDC,61314-227-05,"Timolol Maleate: 5 Ml In 1 Bottle, Plastic (61314-227-05)",36.2,36.2,,,0
NDC,61314-318-01,Zarxio: 1 Blister Pack In 1 Carton (61314-318-01)  / 1 Syringe In 1 Blister Pack / .5 Ml In 1 Syringe,4.175000000000001,4.175000000000001,,,0
NDC,61314-318-10,Zarxio: 2 Blister Pack In 1 Carton (61314-318-10)  / 5 Syringe In 1 Blister Pack (61314-318-05)  / .5 Ml In 1 Syringe,4.32,4.32,,,0
NDC,61314-355-01,"Tropicamide: 1 Bottle, Plastic In 1 Carton (61314-355-01)  / 3 Ml In 1 Bottle, Plastic",57.47,57.47,,,0
NDC,61314-630-06,"Neomycin And Polymyxin B Sulfates And Dexamethasone: 5 Ml In 1 Bottle, Plastic (61314-630-06)",78.82,78.82,,,0
NDC,61314-631-36,Neomycin And Polymyxin B Sulfates And Dexamethasone: 3.5 G In 1 Tube (61314-631-36),104.43,104.43,,,0
NDC,61314-633-05,"Gentamicin Sulfate: 1 Bottle, Dropper In 1 Carton (61314-633-05)  / 5 Ml In 1 Bottle, Dropper",37.64,37.64,,,0
NDC,61314-645-11,"Neomycin And Polymyxin B Sulfates And Hydrocortisone: 10 Ml In 1 Bottle, Plastic (61314-645-11)",425.86,425.86,,,0
NDC,61314-647-05,Tobramycin And Dexamethasone: 1 Bottle In 1 Carton (61314-647-05)  / 5 Ml In 1 Bottle,146.93,146.93,,,0
NDC,61314-656-25,"Ciprofloxacin Hydrochloride: 1 Bottle, Plastic In 1 Carton (61314-656-25)  / 2.5 Ml In 1 Bottle, Plastic",35.3,35.3,,,0
NDC,61570-131-20,Silvadene: 1 Tube In 1 Carton (61570-131-20)  / 20 G In 1 Tube,56.86,56.86,,,0
NDC,61703-305-38,"Cytarabine: 5 Vial, Single-Dose In 1 Carton (61703-305-38)  / 5 Ml In 1 Vial, Single-Dose (61703-305-58)",118.62,118.62,,,0
NDC,61703-309-06,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-06)  / 1 Ml In 1 Vial, Single-Dose",177.77,177.77,,,0
NDC,61703-309-16,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-16)  / 2 Ml In 1 Vial, Single-Dose",111.1,111.1,,,0
NDC,61703-324-18,"Pamidronate Disodium: 1 Vial, Single-Dose In 1 Carton (61703-324-18)  / 10 Ml In 1 Vial, Single-Dose",80.89,80.89,,,0
NDC,61703-332-18,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (61703-332-18)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",240.11,240.11,,,0
NDC,61703-339-22,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-22)  / 15 Ml In 1 Vial, Multi-Dose",59.43,59.43,,,0
NDC,61703-339-50,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-50)  / 45 Ml In 1 Vial, Multi-Dose",29.3,29.3,,,0
NDC,61703-408-41,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (61703-408-41)  / 40 Ml In 1 Vial, Single-Dose",4.7299999999999995,4.7299999999999995,,,0
NDC,61703-421-53,"M.V.I. Pediatric: 10 VIAL, SINGLE-DOSE in 1 BOX (61703-421-53)  / 5 mL in 1 VIAL, SINGLE-DOSE (61703-421-63)",1040.0,1040.0,,,0
NDC,61874-115-11,NDC Description Not Available,347.07,347.07,,,0
NDC,61958-0701-1,"Truvada: 30 Tablet, Film Coated In 1 Bottle, Plastic (61958-0701-1)",398.74,398.74,,,0
NDC,61958-2901-2,"Veklury: 1 Vial, Single-Dose In 1 Carton (61958-2901-2)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",42.370000000000005,42.370000000000005,,,0
NDC,62135-057-41,Cetirizine Hydrochloride Oral Solution: 120 Ml In 1 Bottle (62135-057-41),7.36,7.36,,,0
NDC,62135-308-01,"Ciprofloxacin: 100 Tablet, Film Coated In 1 Bottle, Plastic (62135-308-01)",29.07,29.07,,,0
NDC,62175-310-37,"Methylphenidate Hydrochloride: 100 Tablet, Extended Release In 1 Bottle (62175-310-37)",28.625,28.625,,,0
NDC,62332-054-31,Clonidine Hydrochloride: 100 Tablet In 1 Bottle (62332-054-31),12.34,12.34,,,0
NDC,62332-062-30,Leflunomide: 30 Tablet In 1 Bottle (62332-062-30),14.41,14.41,,,0
NDC,62332-364-06,"Clonazepam: 60 Blister Pack In 1 Carton (62332-364-06)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack",14.825,14.825,,,0
NDC,62332-365-06,"Clonazepam: 60 Blister Pack In 1 Carton (62332-365-06)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack",11.74,11.74,,,0
NDC,62332-366-06,"Clonazepam: 60 Blister Pack In 1 Carton (62332-366-06)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack",13.844999999999999,13.844999999999999,,,0
NDC,62332-367-06,"Clonazepam: 60 Blister Pack In 1 Carton (62332-367-06)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack",14.425,14.425,,,0
NDC,62332-582-04,Lidocaine And Prilocaine: 1 Tube In 1 Carton (62332-582-04)  / 5 G In 1 Tube,58.0,58.0,,,0
NDC,62332-618-31,Cyclophosphamide: 100 Capsule In 1 Bottle (62332-618-31),17.31,17.31,,,0
NDC,62332-745-31,"Guanfacine: 100 Tablet, Extended Release In 1 Bottle (62332-745-31)",6.92,6.92,,,0
NDC,62332-791-31,"Fluphenazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (62332-791-31)",14.87,14.87,,,0
NDC,62484-0020-1,NDC Description Not Available,132.39,132.39,,,0
NDC,62484-0020-2,Purixan: 1 Bottle In 1 Carton (62484-0020-2)  / 100 Ml In 1 Bottle (62484-0020-1),78.7,78.7,,,0
NDC,6248400202,NDC Description Not Available,70.35,70.35,,,0
NDC,62541-403-10,"Pancreaze: 1 Bottle, Glass In 1 Carton (62541-403-10)  / 100 Capsule, Delayed Release In 1 Bottle, Glass",34.26,34.26,,,0
NDC,62559-157-17,NDC Description Not Available,16.635,16.635,,,0
NDC,62559-190-16,"Metoclopramide: 473 Ml In 1 Bottle, Plastic (62559-190-16)",13.12,13.12,,,0
NDC,62559-204-12,Baclofen: 1 Bottle In 1 Carton (62559-204-12)  / 120 Ml In 1 Bottle,63.78,63.78,,,0
NDC,62559-266-16,Valproic Acid: 473 Ml In 1 Bottle (62559-266-16),13.43,13.43,,,0
NDC,62559-356-60,NDC Description Not Available,27.36,27.36,,,0
NDC,62559-381-01,Flecainide Acetate: 100 Tablet In 1 Bottle (62559-381-01),12.38,12.38,,,0
NDC,62584-267-11,NDC Description Not Available,11.86,11.86,,,0
NDC,62584-897-01,"Folic Acid: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (62584-897-01)  / 1 TABLET in 1 BLISTER PACK (62584-897-11)",12.05,12.05,,,0
NDC,62756-184-88,"Oxcarbazepine: 100 Tablet, Film Coated In 1 Bottle (62756-184-88)",15.14,15.14,,,0
NDC,62756-529-40,Desmopressin Acetate: 1 Vial In 1 Carton (62756-529-40)  / 10 Ml In 1 Vial,62.69,62.69,,,0
NDC,62756-796-88,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (62756-796-88)",6.33,6.33,,,0
NDC,63020-049-01,"Velcade: 1 Vial In 1 Carton (63020-049-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",285.88,285.88,,,0
NDC,63020-535-30,"Iclusig: 30 Tablet, Film Coated In 1 Bottle (63020-535-30)",4069.41,4069.41,,,0
NDC,63304-905-30,"Valacyclovir: 30 Tablet, Film Coated In 1 Bottle (63304-905-30)",22.06,22.06,,,0
NDC,63304-962-30,BROMOCRIPTINE MESYLATE: 30 TABLET in 1 BOTTLE (63304-962-30),18.82,18.82,,,0
NDC,63323-010-01,NDC Description Not Available,21.51,21.51,,,0
NDC,63323-010-02,Gentamicin: 25 Vial In 1 Tray (63323-010-02)  / 2 Ml In 1 Vial (63323-010-01),29.81,29.81,,,0
NDC,63323-010-03,NDC Description Not Available,30.29,30.29,,,0
NDC,63323-047-10,Heparin Sodium: 25 Vial In 1 Tray (63323-047-10)  / 10 Ml In 1 Vial (63323-047-01),6.56,6.56,,,0
NDC,63323-064-01,NDC Description Not Available,24.22,24.22,,,0
NDC,63323-064-04,NDC Description Not Available,19.15,19.15,,,0
NDC,63323-093-01,NDC Description Not Available,20.490000000000002,20.490000000000002,,,0
NDC,63323-102-13,"Gemcitabine: 1 Vial, Single-Dose In 1 Box (63323-102-13)  / 5 Ml In 1 Vial, Single-Dose",92.19,92.19,,,0
NDC,63323-103-51,Cisplatin: 1 Vial In 1 Carton (63323-103-51)  / 50 Ml In 1 Vial,37.11,37.11,,,0
NDC,63323-104-25,"Etoposide: 1 Vial, Multi-Dose In 1 Carton (63323-104-25)  / 25 Ml In 1 Vial, Multi-Dose",12.73,12.73,,,0
NDC,63323-106-02,NDC Description Not Available,15.29,15.29,,,0
NDC,63323-113-01,NDC Description Not Available,174.45,174.45,,,0
NDC,63323-113-10,Pentam 300: 10 Vial In 1 Tray (63323-113-10)  / 3 Ml In 1 Vial (63323-113-01),155.75,155.75,,,0
NDC,63323-117-10,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-10)  / 10 Ml In 1 Vial, Single-Dose (63323-117-00)",170.25,170.25,,,0
NDC,63323-120-20,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (63323-120-20)  / 20 Ml In 1 Vial, Single-Dose",12.59,12.59,,,0
NDC,63323-128-00,NDC Description Not Available,60.335,60.335,,,0
NDC,63323-128-20,"Dacarbazine: 10 Vial, Single-Dose In 1 Tray (63323-128-20)  / 20 Ml In 1 Vial, Single-Dose (63323-128-00)",55.535,55.535,,,0
NDC,63323-130-11,Doxy 100: 10 Vial In 1 Tray (63323-130-11)  / 10 Ml In 1 Vial (63323-130-02),127.62,127.62,,,0
NDC,63323-132-10,"Mitoxantrone: 1 Vial, Multi-Dose In 1 Box (63323-132-10)  / 10 Ml In 1 Vial, Multi-Dose",165.81,165.81,,,0
NDC,63323-161-00,NDC Description Not Available,25.205,25.205,,,0
NDC,63323-161-01,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-161-01)  / 1 Ml In 1 Vial, Single-Use (63323-161-00)",21.630000000000003,21.630000000000003,,,0
NDC,63323-162-00,NDC Description Not Available,16.42,16.42,,,0
NDC,63323-165-01,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-165-01)  / 1 Ml In 1 Vial (63323-165-02),29.15,29.15,,,0
NDC,63323-165-02,NDC Description Not Available,13.22,13.22,,,0
NDC,63323-180-00,NDC Description Not Available,69.42,69.42,,,0
NDC,63323-180-01,Pyridoxine Hydrochloride: 25 Vial In 1 Tray (63323-180-01)  / 1 Ml In 1 Vial (63323-180-00),49.89,49.89,,,0
NDC,63323-185-05,"Sterile Water: 25 Vial, Single-Dose In 1 Tray (63323-185-05)  / 5 Ml In 1 Vial, Single-Dose (63323-185-04)",40.02,40.02,,,0
NDC,63323-185-07,NDC Description Not Available,31.64,31.64,,,0
NDC,63323-185-09,NDC Description Not Available,36.54,36.54,,,0
NDC,63323-185-10,Sterile Water: 25 Vial In 1 Tray (63323-185-10)  / 10 Ml In 1 Vial (63323-185-07),40.89,40.89,,,0
NDC,63323-186-01,NDC Description Not Available,44.895,44.895,,,0
NDC,63323-186-03,NDC Description Not Available,48.62,48.62,,,0
NDC,63323-186-10,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-186-10)  / 10 Ml In 1 Vial, Single-Dose (63323-186-01)",31.4,31.4,,,0
NDC,63323-186-20,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-186-20)  / 20 Ml In 1 Vial, Single-Dose (63323-186-03)",9.44,9.44,,,0
NDC,63323-192-02,Fludarabine: 1 Vial In 1 Box (63323-192-02)  / 2 Ml In 1 Vial,343.53,343.53,,,0
NDC,63323-201-10,Lidocaine: 25 Vial In 1 Tray (63323-201-10)  / 10 Ml In 1 Vial (63323-201-03),34.07,34.07,,,0
NDC,63323-205-21,NDC Description Not Available,456.65,456.65,,,0
NDC,63323-205-31,NDC Description Not Available,611.85,611.85,,,0
NDC,63323-205-50,"Omegaven: 10 Vial, Single-Dose In 1 Carton (63323-205-50)  / 50 Ml In 1 Vial, Single-Dose (63323-205-21)",450.75,450.75,,,0
NDC,63323-229-01,NDC Description Not Available,25.15,25.15,,,0
NDC,63323-229-05,"Protamine Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-229-05)  / 5 Ml In 1 Vial, Single-Dose (63323-229-01)",18.06,18.06,,,0
NDC,63323-229-30,"Protamine Sulfate: 1 Vial, Single-Dose In 1 Box (63323-229-30)  / 25 Ml In 1 Vial, Single-Dose",9.59,9.59,,,0
NDC,63323-237-01,NDC Description Not Available,21.47,21.47,,,0
NDC,63323-262-03,NDC Description Not Available,6.88,6.88,,,0
NDC,63323-269-10,Diprivan: 10 Vial In 1 Box (63323-269-10)  / 10 Ml In 1 Vial (63323-269-01),2.75,2.75,,,0
NDC,63323-269-22,NDC Description Not Available,3.04,3.04,,,0
NDC,63323-269-29,Diprivan: 10 Vial In 1 Box (63323-269-29)  / 20 Ml In 1 Vial (63323-269-22),1.62,1.62,,,0
NDC,63323-269-30,NDC Description Not Available,1.2,1.2,,,0
NDC,63323-269-35,NDC Description Not Available,0.89,0.89,,,0
NDC,63323-269-50,Diprivan: 20 Vial In 1 Box (63323-269-50)  / 50 Ml In 1 Vial (63323-269-30),1.02,1.02,,,0
NDC,63323-269-65,Diprivan: 10 Vial In 1 Box (63323-269-65)  / 100 Ml In 1 Vial (63323-269-35),1.2,1.2,,,0
NDC,63323-276-01,NDC Description Not Available,23.71,23.71,,,0
NDC,63323-278-10,"Vinblastine Sulfate: 1 Vial, Multi-Dose In 1 Box (63323-278-10)  / 10 Ml In 1 Vial, Multi-Dose",54.02,54.02,,,0
NDC,63323-280-02,Furosemide: 25 Vial In 1 Tray (63323-280-02)  / 2 Ml In 1 Vial (63323-280-01),2.5450000000000004,2.5450000000000004,,,0
NDC,63323-284-20,Vancomycin Hydrochloride: 10 Vial In 1 Tray (63323-284-20)  / 20 Ml In 1 Vial (63323-284-01),21.06,21.06,,,0
NDC,63323-285-07,NDC Description Not Available,1.87,1.87,,,0
NDC,63323-285-10,Naropin: 5 Ampule In 1 Box (63323-285-10)  / 10 Ml In 1 Ampule (63323-285-01),2.93,2.93,,,0
NDC,63323-285-13,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-285-13)  / 10 Ml In 1 Vial, Single-Dose (63323-285-03)",2.58,2.58,,,0
NDC,63323-286-05,NDC Description Not Available,0.51,0.51,,,0
NDC,63323-288-03,NDC Description Not Available,0.34,0.34,,,0
NDC,63323-288-07,NDC Description Not Available,0.28,0.28,,,0
NDC,63323-288-11,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-288-11)  / 10 Ml In 1 Vial, Single-Dose (63323-288-03)",4.85,4.85,,,0
NDC,63323-306-01,NDC Description Not Available,24.8,24.8,,,0
NDC,63323-306-02,"Tobramycin: 25 Vial, Multi-Dose In 1 Tray (63323-306-02)  / 2 Ml In 1 Vial, Multi-Dose (63323-306-01)",22.79,22.79,,,0
NDC,63323-306-05,NDC Description Not Available,19.48,19.48,,,0
NDC,63323-314-61,Vancomycin Hydrochloride: 1 Bottle In 1 Carton (63323-314-61)  / 100 Ml In 1 Bottle,9.790000000000001,9.790000000000001,,,0
NDC,63323-322-01,NDC Description Not Available,42.23,42.23,,,0
NDC,63323-322-25,"Imipenem And Cilastatin: 25 Vial, Single-Dose In 1 Carton (63323-322-25)  / 20 Ml In 1 Vial, Single-Dose (63323-322-01)",40.88,40.88,,,0
NDC,63323-325-09,NDC Description Not Available,0.86,0.86,,,0
NDC,63323-325-10,"Acyclovir: 10 Vial, Single-Dose In 1 Tray (63323-325-10)  / 10 Ml In 1 Vial, Single-Dose (63323-325-03)",1.84,1.84,,,0
NDC,63323-356-01,NDC Description Not Available,41.03,41.03,,,0
NDC,63323-360-01,NDC Description Not Available,0.77,0.77,,,0
NDC,63323-360-03,NDC Description Not Available,0.37,0.37,,,0
NDC,63323-360-05,NDC Description Not Available,1040.0,1040.0,,,0
NDC,63323-360-19,"Calcium Gluconate: 25 Vial, Plastic In 1 Tray (63323-360-19)  / 10 Ml In 1 Vial, Plastic (63323-360-01)",0.8500000000000001,0.8500000000000001,,,0
NDC,63323-411-18,NDC Description Not Available,18.67,18.67,,,0
NDC,63323-411-25,Midazolam: 25 Vial In 1 Tray (63323-411-25)  / 5 Ml In 1 Vial (63323-411-18),15.13,15.13,,,0
NDC,63323-417-01,NDC Description Not Available,37.4,37.4,,,0
NDC,63323-424-05,"Flumazenil: 10 Vial, Multi-Dose In 1 Tray (63323-424-05)  / 5 Ml In 1 Vial, Multi-Dose (63323-424-01)",30.9,30.9,,,0
NDC,63323-434-41,NDC Description Not Available,1.25,1.25,,,0
NDC,63323-452-00,NDC Description Not Available,33.6,33.6,,,0
NDC,63323-466-17,"Sensorcaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-466-17)  / 10 Ml In 1 Vial, Single-Dose (63323-466-03)",0.47,0.47,,,0
NDC,63323-474-00,NDC Description Not Available,30.72,30.72,,,0
NDC,63323-474-01,Haloperidol: 25 Vial In 1 Tray (63323-474-01)  / 1 Ml In 1 Vial (63323-474-00),31.51,31.51,,,0
NDC,63323-481-01,NDC Description Not Available,30.84,30.84,,,0
NDC,63323-482-03,NDC Description Not Available,40.61,40.61,,,0
NDC,63323-483-03,NDC Description Not Available,34.57,34.57,,,0
NDC,63323-483-27,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-483-27)  / 20 Ml In 1 Vial, Multi-Dose (63323-483-03)",33.19,33.19,,,0
NDC,63323-484-57,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-484-57)  / 50 Ml In 1 Vial, Multi-Dose",4.71,4.71,,,0
NDC,63323-486-27,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-27)  / 20 Ml In 1 Vial, Multi-Dose (63323-486-02)",0.46,0.46,,,0
NDC,63323-488-07,NDC Description Not Available,40.86,40.86,,,0
NDC,63323-492-04,NDC Description Not Available,29.69,29.69,,,0
NDC,63323-492-07,NDC Description Not Available,42.5,42.5,,,0
NDC,63323-492-27,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-27)  / 2 Ml In 1 Vial, Single-Dose (63323-492-04)",30.12,30.12,,,0
NDC,63323-494-01,NDC Description Not Available,45.53,45.53,,,0
NDC,63323-495-07,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-495-07)  / 5 Ml In 1 Vial, Single-Dose (63323-495-04)",15.94,15.94,,,0
NDC,63323-506-01,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-506-01)  / 1 Ml In 1 Vial (63323-506-00),3.88,3.88,,,0
NDC,63323-508-30,Meropenem: 10 Vial In 1 Carton (63323-508-30)  / 20 Ml In 1 Vial (63323-508-01),9.68,9.68,,,0
NDC,63323-517-01,NDC Description Not Available,4.18,4.18,,,0
NDC,63323-530-21,NDC Description Not Available,71.81,71.81,,,0
NDC,63323-530-75,Sodium Chloride: 20 Bag In 1 Case (63323-530-75)  / 500 Ml In 1 Bag (63323-530-21),74.18,74.18,,,0
NDC,63323-540-01,Heparin Sodium: 25 Vial In 1 Tray (63323-540-01)  / 1 Ml In 1 Vial,29.45,29.45,,,0
NDC,63323-540-03,NDC Description Not Available,22.14,22.14,,,0
NDC,63323-540-05,NDC Description Not Available,29.1,29.1,,,0
NDC,63323-540-13,Heparin Sodium: 25 Vial In 1 Tray (63323-540-13)  / 1 Ml In 1 Vial (63323-540-03),10.78,10.78,,,0
NDC,63323-540-33,NDC Description Not Available,2.29,2.29,,,0
NDC,63323-545-05,NDC Description Not Available,0.78,0.78,,,0
NDC,63323-568-83,Enoxaparin sodium: 10 SYRINGE in 1 CARTON (63323-568-83)  / .3 mL in 1 SYRINGE,21.52,21.52,,,0
NDC,63323-593-03,"Glucagon: 1 Kit In 1 Carton (63323-593-03)  *  1 Ml In 1 Vial, Single-Dose (63323-596-03)  *  1 Ml In 1 Vial, Single-Dose (63323-185-03)",464.04,464.04,,,0
NDC,63323-596-03,NDC Description Not Available,690.34,690.34,,,0
NDC,63323-599-30,Deferoxamine: 1 Vial In 1 Box (63323-599-30)  / 21.1 Ml In 1 Vial,37.81,37.81,,,0
NDC,63323-604-00,NDC Description Not Available,22.16,22.16,,,0
NDC,63323-614-00,NDC Description Not Available,33.6,33.6,,,0
NDC,63323-616-03,"Amiodarone Hydrochloride: 25 Vial, Single-Dose In 1 Tray (63323-616-03)  / 3 Ml In 1 Vial, Single-Dose (63323-616-01)",9.9,9.9,,,0
NDC,63323-626-02,NDC Description Not Available,70.685,70.685,,,0
NDC,63323-655-21,NDC Description Not Available,7.06,7.06,,,0
NDC,63323-658-20,Chlorothiazide: 1 Vial In 1 Box (63323-658-20)  / 18 Ml In 1 Vial,46.09,46.09,,,0
NDC,63323-659-03,Indomethacin: 1 Vial In 1 Carton (63323-659-03)  / 1 Ml In 1 Vial,152.81,152.81,,,0
NDC,63323-665-00,NDC Description Not Available,11.0,11.0,,,0
NDC,63323-686-01,NDC Description Not Available,8.45,8.45,,,0
NDC,63323-690-30,Acetylcysteine: 3 Vial In 1 Carton (63323-690-30)  / 30 Ml In 1 Vial (63323-690-22),38.66,38.66,,,0
NDC,63323-691-30,Acetylcysteine: 3 Vial In 1 Carton (63323-691-30)  / 30 Ml In 1 Vial (63323-691-22),30.35,30.35,,,0
NDC,63323-692-10,Acetylcysteine: 3 Vial In 1 Carton (63323-692-10)  / 10 Ml In 1 Vial (63323-692-22),50.66,50.66,,,0
NDC,63323-704-08,"Ampicillin: 10 VIAL, GLASS in 1 PACKAGE (63323-704-08)  / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, GLASS",23.56,23.56,,,0
NDC,63323-723-01,NDC Description Not Available,453.08,453.08,,,0
NDC,63323-724-01,NDC Description Not Available,763.41,763.41,,,0
NDC,63323-728-10,"Micafungin: 10 Carton In 1 Carton (63323-728-10)  / 1 Vial, Single-Dose In 1 Carton (63323-728-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",3.45,3.45,,,0
NDC,63323-739-11,NDC Description Not Available,1.31,1.31,,,0
NDC,63323-751-00,NDC Description Not Available,0.04,0.04,,,0
NDC,63323-751-01,"Phenylephrine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (63323-751-01)  / 1 Ml In 1 Vial, Single-Dose (63323-751-00)",0.28,0.28,,,0
NDC,63323-762-10,Topotecan Hydrochloride: 1 Vial In 1 Box (63323-762-10)  / 4 Ml In 1 Vial,24.65,24.65,,,0
NDC,63323-811-00,"Oxacillin: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-811-00)  / 100 Ml In 1 Vial, Pharmacy Bulk Package",10.46,10.46,,,0
NDC,63323-812-01,NDC Description Not Available,18.25,18.25,,,0
NDC,63323-820-01,NDC Description Not Available,206.74,206.74,,,0
NDC,63323-820-03,NDC Description Not Available,273.87,273.87,,,0
NDC,63323-820-04,NDC Description Not Available,236.49,236.49,,,0
NDC,63323-820-05,NDC Description Not Available,421.72,421.72,,,0
NDC,63323-820-74,Smoflipid: 10 Bag In 1 Case (63323-820-74)  / 250 Ml In 1 Bag (63323-820-04),229.1,229.1,,,0
NDC,63323-851-03,NDC Description Not Available,0.48,0.48,,,0
NDC,63323-851-07,NDC Description Not Available,0.49,0.49,,,0
NDC,63323-853-03,NDC Description Not Available,5.605,5.605,,,0
NDC,63323-875-50,Foscarnet: 1 Bottle In 1 Carton (63323-875-50)  / 250 Ml In 1 Bottle,252.53,252.53,,,0
NDC,63323-877-15,"Nebupent: 1 Vial, Single-Dose In 1 Carton (63323-877-15)  / 6 Ml In 1 Vial, Single-Dose",583.16,583.16,,,0
NDC,63323-883-30,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (63323-883-30)  / 25 Ml In 1 Vial, Single-Dose",40.05,40.05,,,0
NDC,63323-884-01,NDC Description Not Available,52.43,52.43,,,0
NDC,63323-885-10,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (63323-885-10)  / 5 Ml In 1 Vial, Single-Dose",101.45,101.45,,,0
NDC,63323-930-00,NDC Description Not Available,4.13,4.13,,,0
NDC,63323-965-01,NDC Description Not Available,9.32,9.32,,,0
NDC,63323-965-02,NDC Description Not Available,2.83,2.83,,,0
NDC,63323-965-03,NDC Description Not Available,6.04,6.04,,,0
NDC,63323-965-20,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-965-20)  / 20 Ml In 1 Vial, Single-Dose (63323-965-02)",6.63,6.63,,,0
NDC,6332325410,NDC Description Not Available,154.755,154.755,,,0
NDC,63361-243-88,NDC Description Not Available,935.85,935.85,,,0
NDC,63402-202-30,Aptiom: 30 Tablet In 1 Bottle (63402-202-30),283.70000000000005,283.70000000000005,,,0
NDC,63402-206-60,Aptiom: 60 Tablet In 1 Bottle (63402-206-60),272.61,272.61,,,0
NDC,63459-103-10,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-103-10)  / 10 Ml In 1 Vial, Single-Use",322.615,322.615,,,0
NDC,63459-104-50,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-104-50)  / 50 Ml In 1 Vial, Single-Use",321.06,321.06,,,0
NDC,63481-687-06,Lidoderm: 30 Pouch In 1 Carton (63481-687-06)  / 1 G In 1 Pouch (63481-687-01),176.24,176.24,,,0
NDC,63736-024-03,Nix: 1 BOTTLE in 1 CARTON (63736-024-03)  / 59 mL in 1 BOTTLE,68.76,68.76,,,0
NDC,6373612002,NDC Description Not Available,54.815,54.815,,,0
NDC,63739-008-33,"Voriconazole: 3 Blister Pack In 1 Box, Unit-Dose (63739-008-33)  / 10 Tablet In 1 Blister Pack",117.11,117.11,,,0
NDC,63739-019-70,NDC Description Not Available,20.59,20.59,,,0
NDC,63739-052-74,"Sky Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (63739-052-74)",17.185000000000002,17.185000000000002,,,0
NDC,63739-077-10,"Valacyclovir: 10 Blister Pack In 1 Box, Unit-Dose (63739-077-10)  / 10 Tablet, Film Coated In 1 Blister Pack",16.97,16.97,,,0
NDC,63739-086-10,"Valproic Acid: 10 Blister Pack In 1 Box, Unit-Dose (63739-086-10)  / 10 Capsule In 1 Blister Pack",10.155,10.155,,,0
NDC,63739-128-10,"Hydrochlorothiazide: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-128-10)  / 10 TABLET in 1 BLISTER PACK",11.61,11.61,,,0
NDC,63739-145-10,"Midodrine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-145-10)  / 10 Tablet In 1 Blister Pack",12.155000000000001,12.155000000000001,,,0
NDC,63739-158-32,"Levetiracetam: 4 Tray In 1 Case (63739-158-32)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (63739-158-70)",26.79,26.79,,,0
NDC,63739-158-70,NDC Description Not Available,19.7,19.7,,,0
NDC,63739-159-77,NDC Description Not Available,2.025,2.025,,,0
NDC,63739-160-70,"Nystatin: 5 Ml In 1 Cup, Unit-Dose (63739-160-70)",15.045,15.045,,,0
NDC,63739-170-13,NDC Description Not Available,29.14,29.14,,,0
NDC,63739-170-24,Lidocaine Hydrochloride: 10 Vial In 1 Box (63739-170-24)  / 5 Ml In 1 Vial (63739-170-13),32.12,32.12,,,0
NDC,63739-193-51,"Sucralfate: 2 Tray In 1 Case (63739-193-51)  / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (63739-193-72)",16.37,16.37,,,0
NDC,63739-193-72,NDC Description Not Available,41.9,41.9,,,0
NDC,63739-198-62,NDC Description Not Available,14.285,14.285,,,0
NDC,63739-212-02,"Low Dose Aspirin: 30 Blister Pack In 1 Box (63739-212-02)  / 10 Tablet, Coated In 1 Blister Pack",1.04,1.04,,,0
NDC,63739-225-10,NDC Description Not Available,12.21,12.21,,,0
NDC,63739-354-01,NDC Description Not Available,8.1,8.1,,,0
NDC,63739-354-10,NDC Description Not Available,11.85,11.85,,,0
NDC,63739-411-10,"Levetiracetam: 10 Blister Pack In 1 Box, Unit-Dose (63739-411-10)  / 10 Tablet, Film Coated In 1 Blister Pack",5.98,5.98,,,0
NDC,63739-434-02,Aspirin Chewable: 30 Blister Pack In 1 Box (63739-434-02)  / 10 Tablet In 1 Blister Pack,0.88,0.88,,,0
NDC,63739-480-10,"Baclofen: 10 Blister Pack In 1 Box, Unit-Dose (63739-480-10)  / 10 Tablet In 1 Blister Pack",14.219999999999999,14.219999999999999,,,0
NDC,63739-483-10,"Hydroxyzine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-483-10)  / 10 Tablet In 1 Blister Pack",6.33,6.33,,,0
NDC,63739-486-10,"Hydroxyzine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-486-10)  / 10 Tablet In 1 Blister Pack",12.344999999999999,12.344999999999999,,,0
NDC,63739-544-10,"Spironolactone: 10 Blister Pack In 1 Box, Unit-Dose (63739-544-10)  / 10 Tablet In 1 Blister Pack",9.445,9.445,,,0
NDC,63739-567-10,"Tamsulosin Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-567-10)  / 10 Capsule In 1 Blister Pack",13.8,13.8,,,0
NDC,63739-631-10,"Amlodipine Besylate: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-631-10)  / 10 TABLET in 1 BLISTER PACK",12.84,12.84,,,0
NDC,63739-645-10,"Famotidine: 10 Blister Pack In 1 Box, Unit-Dose (63739-645-10)  / 10 Tablet In 1 Blister Pack",9.66,9.66,,,0
NDC,63739-673-10,"Losortan Potassium: 10 Blister Pack In 1 Box, Unit-Dose (63739-673-10)  / 10 Tablet, Film Coated In 1 Blister Pack",13.8,13.8,,,0
NDC,63739-795-10,"Levetiracetam: 10 Blister Pack In 1 Box, Unit-Dose (63739-795-10)  / 10 Tablet, Film Coated In 1 Blister Pack",9.955,9.955,,,0
NDC,63739-796-10,"Allopurinol: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-796-10)  / 10 TABLET in 1 BLISTER PACK",12.01,12.01,,,0
NDC,63739-798-01,"Childrens Ibuprofen Oral Suspension: 5 Ml In 1 Cup, Unit-Dose (63739-798-01)",9.835,9.835,,,0
NDC,63739-798-10,"Childrens Ibuprofen Oral Suspension: 100 Cup, Unit-Dose In 1 Case (63739-798-10)  / 5 Ml In 1 Cup, Unit-Dose (63739-798-01)",11.190000000000001,11.190000000000001,,,0
NDC,63739-888-10,"Paroxetine: 10 Blister Pack In 1 Box, Unit-Dose (63739-888-10)  / 10 Tablet, Film Coated In 1 Blister Pack",15.51,15.51,,,0
NDC,63739-902-10,Gabapentin: 10 Blister Pack In 1 Carton (63739-902-10)  / 10 Capsule In 1 Blister Pack,7.805,7.805,,,0
NDC,63739-904-10,Gabapentin: 10 Blister Pack In 1 Carton (63739-904-10)  / 10 Capsule In 1 Blister Pack,10.93,10.93,,,0
NDC,63739-976-01,NDC Description Not Available,5.33,5.33,,,0
NDC,63739-988-32,"Ziprasidone Hydrochloride: 4 Blister Pack In 1 Box, Unit-Dose (63739-988-32)  / 10 Capsule In 1 Blister Pack",29.69,29.69,,,0
NDC,63739-991-10,"Methocarbamol: 10 Blister Pack In 1 Box, Unit-Dose (63739-991-10)  / 10 Tablet, Coated In 1 Blister Pack",12.399999999999999,12.399999999999999,,,0
NDC,6380760051,NDC Description Not Available,3.47,3.47,,,0
NDC,63833-386-02,"Kcentra: 1 Kit In 1 Carton (63833-386-02)  *  20 Ml In 1 Vial, Single-Use (63833-396-01)  *  20 Ml In 1 Vial, Single-Use (63833-761-20)",14.75,14.75,,,0
NDC,63833-396-01,NDC Description Not Available,14.785,14.785,,,0
NDC,63833-615-02,"Humate-P: 1 Kit In 1 Carton (63833-615-02)  *  5 Ml In 1 Vial (63833-625-01)  *  5 Ml In 1 Vial, Single-Dose (63833-765-53)",7.39,7.39,,,0
NDC,63833-616-02,"Humate-P: 1 Kit In 1 Carton (63833-616-02)  *  10 Ml In 1 Vial (63833-626-01)  *  10 Ml In 1 Vial, Single-Dose (63833-765-54)",7.365,7.365,,,0
NDC,63833-617-02,"Humate-P: 1 Kit In 1 Carton (63833-617-02)  *  15 Ml In 1 Vial (63833-627-01)  *  15 Ml In 1 Vial, Single-Dose (63833-765-55)",7.355,7.355,,,0
NDC,63833-625-01,NDC Description Not Available,7.39,7.39,,,0
NDC,63833-626-01,NDC Description Not Available,7.37,7.37,,,0
NDC,63833-825-02,Berinert: 1 Kit In 1 Carton (63833-825-02)  *  10 Ml In 1 Vial (63833-835-01)  *  10 Ml In 1 Vial (63833-765-15),425.095,425.095,,,0
NDC,64253-400-30,NDC Description Not Available,1.575,1.575,,,0
NDC,64253-400-91,"Atropine Sulfate: 10 Syringe, Plastic In 1 Box (64253-400-91)  / 10 Ml In 1 Syringe, Plastic (64253-400-30)",1.02,1.02,,,0
NDC,64253-900-30,NDC Description Not Available,46.06,46.06,,,0
NDC,6425333323,NDC Description Not Available,1.71,1.71,,,0
NDC,6425333333,NDC Description Not Available,2.6,2.6,,,0
NDC,64281-110-06,"Provocholine Inhalation Solution: 6 Package In 1 Package (64281-110-06)  / 6 Carton In 1 Package (64281-110-05)  / 1 Kit In 1 Carton *  1 Vial, Plastic In 1 Kit / 3 Ml In 1 Vial, Plastic (64281-113-00",913.8,913.8,,,0
NDC,64380-160-01,"Megestrol Acetate: 240 Ml In 1 Bottle, Plastic (64380-160-01)",15.12,15.12,,,0
NDC,64380-724-06,Calcitriol: 100 Capsule In 1 Container (64380-724-06),7.725,7.725,,,0
NDC,64380-782-06,"Prednisone: 100 Tablet In 1 Bottle, Plastic (64380-782-06)",6.42,6.42,,,0
NDC,64380-799-01,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (64380-799-01),24.275,24.275,,,0
NDC,64380-878-06,Ethosuximide: 100 Capsule In 1 Bottle (64380-878-06),10.58,10.58,,,0
NDC,64380-883-04,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (64380-883-04)",11.030000000000001,11.030000000000001,,,0
NDC,64380-971-06,"Hydrocortisone: 100 Tablet In 1 Bottle, Plastic (64380-971-06)",7.25,7.25,,,0
NDC,64406-058-01,"Spinraza: 1 Vial, Single-Use In 1 Box (64406-058-01)  / 5 Ml In 1 Vial, Single-Use",7161.31,7161.31,,,0
NDC,64764-300-20,"Entyvio: 1 Vial, Single-Dose In 1 Carton (64764-300-20)  / 5 Ml In 1 Vial, Single-Dose",188.76,188.76,,,0
NDC,64764-543-11,"Prevacid Solutab: 10 Blister Pack In 1 Carton (64764-543-11)  / 10 Tablet, Orally Disintegrating, Delayed Release In 1 Blister Pack (64764-543-30)",101.74,101.74,,,0
NDC,64764-543-30,NDC Description Not Available,96.935,96.935,,,0
NDC,64850-500-01,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (64850-500-01)",8.01,8.01,,,0
NDC,64850-911-01,Isradipine: 100 Capsule In 1 Bottle (64850-911-01),20.965,20.965,,,0
NDC,64950-216-10,Isoniazid: 100 Tablet In 1 Bottle (64950-216-10),17.17,17.17,,,0
NDC,64980-133-01,"Dipyridamole: 100 Tablet, Film Coated In 1 Bottle (64980-133-01)",19.3,19.3,,,0
NDC,64980-205-01,"Lithium Carbonate: 100 Tablet, Extended Release In 1 Bottle (64980-205-01)",12.98,12.98,,,0
NDC,64980-447-15,"Calcitriol: 1 Bottle, Glass In 1 Carton (64980-447-15)  / 15 Ml In 1 Bottle, Glass",133.45499999999998,133.45499999999998,,,0
NDC,64980-504-48,Cyproheptadine Hydrochloride: 473 Ml In 1 Bottle (64980-504-48),13.66,13.66,,,0
NDC,64980-526-60,"Nitazoxanide: 6 Tablet, Film Coated In 1 Bottle (64980-526-60)",661.87,661.87,,,0
NDC,64980-528-10,Sodium Bicarbonate: 1000 Tablet In 1 Bottle (64980-528-10),11.96,11.96,,,0
NDC,6498010401,NDC Description Not Available,11.524999999999999,11.524999999999999,,,0
NDC,65162-465-10,Ibuprofen: 100 Tablet In 1 Bottle (65162-465-10),12.43,12.43,,,0
NDC,65162-649-78,Oxcarbazepine: 1 Bottle In 1 Carton (65162-649-78)  / 250 Ml In 1 Bottle,37.894999999999996,37.894999999999996,,,0
NDC,65162-681-10,Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle (65162-681-10),12.985,12.985,,,0
NDC,65162-682-10,Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle (65162-682-10),13.925,13.925,,,0
NDC,65162-686-88,Felbamate: 237 Ml In 1 Bottle (65162-686-88),8.19,8.19,,,0
NDC,65162-698-90,Gabapentin: 473 Ml In 1 Bottle (65162-698-90),4.345000000000001,4.345000000000001,,,0
NDC,65162-705-88,Escitalopram Oxalate: 240 Ml In 1 Bottle (65162-705-88),27.035,27.035,,,0
NDC,65162-893-74,Aripiprazole: 1 Bottle In 1 Carton (65162-893-74)  / 150 Ml In 1 Bottle,32.03,32.03,,,0
NDC,65174-200-05,"Drax Exametazime: 5 Vial In 1 Carton (65174-200-05)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (65174-200-01)",19578.165,19578.165,,,0
NDC,65174-270-30,"Draximage Maa: 30 Injection, Powder, For Solution In 1 Kit (65174-270-30)",1057.53,1057.53,,,0
NDC,65174-288-05,NDC Description Not Available,1325.55,1325.55,,,0
NDC,65219-016-01,NDC Description Not Available,36.87,36.87,,,0
NDC,65219-052-09,NDC Description Not Available,74.23,74.23,,,0
NDC,65219-054-09,NDC Description Not Available,96.17,96.17,,,0
NDC,65219-131-20,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (65219-131-20)  / 50 Ml In 1 Vial, Single-Dose",11.41,11.41,,,0
NDC,65219-184-01,NDC Description Not Available,55.8,55.8,,,0
NDC,65219-184-20,Ketamine Hydrochloride: 10 Vial In 1 Tray (65219-184-20)  / 20 Ml In 1 Vial (65219-184-01),78.28,78.28,,,0
NDC,65219-188-01,NDC Description Not Available,55.05,55.05,,,0
NDC,65219-188-10,Ketamine Hydrochloride: 10 Vial In 1 Tray (65219-188-10)  / 10 Ml In 1 Vial (65219-188-01),47.35,47.35,,,0
NDC,65219-200-05,"Temsirolimus: 1 Kit In 1 Kit (65219-200-05)  *  1 Ml In 1 Vial, Single-Dose (65219-205-05)  *  1.8 Ml In 1 Vial, Single-Dose (65219-202-05)",183.845,183.845,,,0
NDC,65219-281-03,NDC Description Not Available,1.57,1.57,,,0
NDC,65219-281-07,"Gadobutrol: 2 Carton In 1 Box (65219-281-07)  / 10 Vial, Single-Dose In 1 Carton / 7.5 Ml In 1 Vial, Single-Dose (65219-281-03)",1.4500000000000002,1.4500000000000002,,,0
NDC,65219-295-10,"Desmopressin Acetate: 1 Vial, Multi-Dose In 1 Carton (65219-295-10)  / 10 Ml In 1 Vial, Multi-Dose",24.435000000000002,24.435000000000002,,,0
NDC,65219-383-05,"Iodixanol: 10 Bottle, Plastic In 1 Box (65219-383-05)  / 50 Ml In 1 Bottle, Plastic (65219-383-02)",2.43,2.43,,,0
NDC,65219-468-05,NDC Description Not Available,66.89,66.89,,,0
NDC,65219-474-05,NDC Description Not Available,57.63,57.63,,,0
NDC,65219-531-01,NDC Description Not Available,149.27,149.27,,,0
NDC,65219-533-01,NDC Description Not Available,173.11,173.11,,,0
NDC,65219-535-01,NDC Description Not Available,199.32,199.32,,,0
NDC,65219-570-01,NDC Description Not Available,36.12,36.12,,,0
NDC,65219-572-01,NDC Description Not Available,11.18,11.18,,,0
NDC,65219-592-10,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-592-10)  / 10 Ml In 1 Vial, Single-Dose",29.58,29.58,,,0
NDC,65219-594-20,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-594-20)  / 20 Ml In 1 Vial, Single-Dose",29.61,29.61,,,0
NDC,65628-050-01,"Diphenhydramine Hydrochloride And Lidocaine Hydrochloride And Aluminum Hydroxide And Magnesium Hydro: 1 Kit In 1 Container (65628-050-01)  *  236 Ml In 1 Bottle, Plastic *  .2 G In 1 Bottle, Glass *  ",33.01,33.01,,,0
NDC,65628-080-10,"Lansoprazole: 1 Kit In 1 Container (65628-080-10)  *  300 Ml In 1 Bottle, Plastic *  .9 G In 1 Bottle, Plastic",24.72,24.72,,,0
NDC,65649-301-03,Xifaxan: 30 Tablet In 1 Bottle (65649-301-03),85.94,85.94,,,0
NDC,65649-303-03,Xifaxan: 6 Blister Pack In 1 Carton (65649-303-03)  / 10 Tablet In 1 Blister Pack,222.735,222.735,,,0
NDC,65649-311-12,Diuril: 1 Bottle In 1 Carton (65649-311-12)  / 237 Ml In 1 Bottle,14.59,14.59,,,0
NDC,65649-551-07,Relistor: 1 Blister Pack In 1 Carton (65649-551-07)  / 1 Syringe In 1 Blister Pack / .6 Ml In 1 Syringe,177.35,177.35,,,0
NDC,65649-552-04,Relistor: 7 Blister Pack In 1 Carton (65649-552-04)  / 1 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe,917.1,917.1,,,0
NDC,65862-016-01,Amoxicillin: 100 Capsule In 1 Bottle (65862-016-01),4.18,4.18,,,0
NDC,65862-019-01,Cephalexin: 100 Capsule In 1 Bottle (65862-019-01),11.489999999999998,11.489999999999998,,,0
NDC,65862-048-24,Zidovudine: 240 Ml In 1 Bottle (65862-048-24),12.68,12.68,,,0
NDC,65862-057-24,Nevirapine: 240 Ml In 1 Bottle (65862-057-24),15.7,15.7,,,0
NDC,65862-071-01,Amoxicillin: 100 Ml In 1 Bottle (65862-071-01),13.415,13.415,,,0
NDC,65862-078-50,"Ciprofloxacin: 50 Tablet, Film Coated In 1 Bottle (65862-078-50)",13.31,13.31,,,0
NDC,65862-079-30,Terbinafine: 30 Tablet In 1 Bottle (65862-079-30),13.19,13.19,,,0
NDC,65862-146-36,Sumatriptan: 1 Blister Pack In 1 Carton (65862-146-36)  / 9 Tablet In 1 Blister Pack,8.879999999999999,8.879999999999999,,,0
NDC,65862-219-60,Cefdinir: 1 Bottle In 1 Carton (65862-219-60)  / 60 Ml In 1 Bottle,18.805,18.805,,,0
NDC,65862-225-60,"Clarithromycin: 60 Tablet, Film Coated In 1 Bottle (65862-225-60)",10.555,10.555,,,0
NDC,65862-361-01,"Lamotrigine: 100 Tablet, Chewable In 1 Bottle (65862-361-01)",6.54,6.54,,,0
NDC,65862-362-01,"Lamotrigine: 100 Tablet, Chewable In 1 Bottle (65862-362-01)",5.800000000000001,5.800000000000001,,,0
NDC,65862-390-10,"Ondansetron: 3 Blister Pack In 1 Carton (65862-390-10)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack",3.72,3.72,,,0
NDC,65862-419-01,Sulfamethoxazole And Trimethoprim: 100 Tablet In 1 Bottle (65862-419-01),8.42,8.42,,,0
NDC,65862-496-47,Sulfamethoxazole And Trimethoprim: 473 Ml In 1 Bottle (65862-496-47),16.105,16.105,,,0
NDC,65862-503-20,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (65862-503-20)",14.085,14.085,,,0
NDC,65862-753-60,Valganciclovir Hydrochloride: 60 Tablet In 1 Bottle (65862-753-60),28.75,28.75,,,0
NDC,65862-898-28,NDC Description Not Available,1.4100000000000001,1.4100000000000001,,,0
NDC,65862-898-88,Nylia 1/35: 3 Pouch In 1 Carton (65862-898-88)  / 1 Blister Pack In 1 Pouch (65862-898-28)  / 1 Kit In 1 Blister Pack,1.36,1.36,,,0
NDC,65862-907-60,Celecoxib: 60 Capsule In 1 Bottle (65862-907-60),12.34,12.34,,,0
NDC,65862-930-08,NDC Description Not Available,19.54,19.54,,,0
NDC,65862-930-90,"Sevelamer Carbonate: 90 Pouch In 1 Carton (65862-930-90)  / 1 Powder, For Suspension In 1 Pouch (65862-930-08)",20.84,20.84,,,0
NDC,65862-931-08,NDC Description Not Available,12.61,12.61,,,0
NDC,65862-931-90,"Sevelamer Carbonate: 90 Pouch In 1 Carton (65862-931-90)  / 1 Powder, For Suspension In 1 Pouch (65862-931-08)",0.14,0.14,,,0
NDC,66215-501-15,"Opsumit: 1 Blister Pack In 1 Carton (66215-501-15)  / 15 Tablet, Film Coated In 1 Blister Pack",1603.28,1603.28,,,0
NDC,66215-602-06,"Uptravi: 1 Bottle In 1 Carton (66215-602-06)  / 60 Tablet, Coated In 1 Bottle",1829.1,1829.1,,,0
NDC,66220-637-31,Sancuso: 168 H In 1 Pouch (66220-637-31),4417.79,4417.79,,,0
NDC,66259-146-01,NDC Description Not Available,278.84,278.84,,,0
NDC,66302-014-01,"Unituxin: 1 Vial, Single-Dose In 1 Box (66302-014-01)  / 5 Ml In 1 Vial, Single-Dose",82777.25,82777.25,,,0
NDC,66553-001-01,NDC Description Not Available,1.08,1.08,,,0
NDC,66553-008-01,NDC Description Not Available,9.4,9.4,,,0
NDC,66658-234-01,NDC Description Not Available,1365.1,1365.1,,,0
NDC,66658-234-07,"Kineret: 7 Syringe, Glass In 1 Carton (66658-234-07)  / .67 Ml In 1 Syringe, Glass",1350.79,1350.79,,,0
NDC,66658-501-01,"Gamifant: 1 Vial, Single-Use In 1 Carton (66658-501-01)  / 2 Ml In 1 Vial, Single-Use",3783.53,3783.53,,,0
NDC,66658-505-01,"Gamifant: 1 Vial, Single-Use In 1 Carton (66658-505-01)  / 10 Ml In 1 Vial, Single-Use",2197.94,2197.94,,,0
NDC,66689-037-99,"Nystatin: 10 Tray In 1 Case (66689-037-99)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (66689-037-01)",12.65,12.65,,,0
NDC,66689-203-04,"Insta-Char Sorbitol: 120 Ml In 1 Bottle, Plastic (66689-203-04)",127.32,127.32,,,0
NDC,66689-307-08,"Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (66689-307-08)  / 250 Ml In 1 Bottle, Plastic",17.2,17.2,,,0
NDC,66689-327-02,"Digoxin: 1 Bottle, Glass In 1 Carton (66689-327-02)  / 60 Ml In 1 Bottle, Glass",17.4,17.4,,,0
NDC,66689-333-16,Cyproheptadine Hydrochloride: 473 mL in 1 BOTTLE (66689-333-16),15.8,15.8,,,0
NDC,66689-401-01,NDC Description Not Available,46.89,46.89,,,0
NDC,66689-775-08,Phenytoin: 237 Ml In 1 Bottle (66689-775-08),16.905,16.905,,,0
NDC,66794-219-63,NDC Description Not Available,29.6,29.6,,,0
NDC,66794-230-02,NDC Description Not Available,23.41,23.41,,,0
NDC,66993-019-68,"Albuterol Sulfate Hfa: 1 Inhaler In 1 Carton (66993-019-68)  / 200 Aerosol, Metered In 1 Inhaler",184.12,184.12,,,0
NDC,66993-022-35,NDC Description Not Available,29.79,29.79,,,0
NDC,66993-023-35,NDC Description Not Available,30.54,30.54,,,0
NDC,66993-078-96,"Fluticasone Propionate Hfa: 1 Inhaler In 1 Carton (66993-078-96)  / 120 Aerosol, Metered In 1 Inhaler",849.75,849.75,,,0
NDC,66993-079-96,"Fluticasone Propionate Hfa: 1 Inhaler In 1 Carton (66993-079-96)  / 120 Aerosol, Metered In 1 Inhaler",1197.01,1197.01,,,0
NDC,67066-005-01,"Chirhostim: 8 Ml In 1 Vial, Single-Use (67066-005-01)",226.66,226.66,,,0
NDC,67157-101-50,"Ascor: 1 Vial, Glass In 1 Carton (67157-101-50)  / 50 Ml In 1 Vial, Glass",129.38,129.38,,,0
NDC,67386-313-21,Onfi: 1 Bottle In 1 Carton (67386-313-21)  / 120 Ml In 1 Bottle,422.97,422.97,,,0
NDC,67457-153-00,NDC Description Not Available,18.27,18.27,,,0
NDC,67457-153-18,"Amiodarone Hydrochloride: 1 Vial, Glass In 1 Carton (67457-153-18)  / 18 Ml In 1 Vial, Glass",16.05,16.05,,,0
NDC,67457-217-20,"Methadone Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (67457-217-20)  / 20 Ml In 1 Vial, Multi-Dose",92.4,92.4,,,0
NDC,67457-218-10,Duraclon: 1 Vial In 1 Carton (67457-218-10)  / 10 Ml In 1 Vial,32.5,32.5,,,0
NDC,67457-227-02,Cosyntropin: 10 VIAL in 1 CARTON (67457-227-02)  / 1 mL in 1 VIAL (67457-227-00),120.52,120.52,,,0
NDC,67457-228-10,"Rocuronium Bromide: 10 Vial, Multi-Dose In 1 Carton (67457-228-10)  / 10 Ml In 1 Vial, Multi-Dose (67457-228-99)",59.06,59.06,,,0
NDC,67457-292-02,"Naloxone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (67457-292-02)  / 1 Ml In 1 Vial, Single-Dose (67457-292-00)",51.19,51.19,,,0
NDC,67457-297-50,"Ethacrynic Sodium: 1 Vial, Single-Dose In 1 Carton (67457-297-50)  / 50 Ml In 1 Vial, Single-Dose",805.65,805.65,,,0
NDC,67457-299-00,NDC Description Not Available,0.96,0.96,,,0
NDC,67457-340-00,NDC Description Not Available,29.09,29.09,,,0
NDC,67457-384-31,NDC Description Not Available,2.21,2.21,,,0
NDC,67457-384-99,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Carton (67457-384-99)  / 30 Ml In 1 Vial, Multi-Dose (67457-384-31)",1.5,1.5,,,0
NDC,67457-423-00,NDC Description Not Available,6.8,6.8,,,0
NDC,67457-423-12,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-423-12)  / 1 Ml In 1 Vial (67457-423-00),5.78,5.78,,,0
NDC,67457-426-00,NDC Description Not Available,31.13,31.13,,,0
NDC,67457-428-00,NDC Description Not Available,21.28,21.28,,,0
NDC,67457-430-10,Pamidronate Disodium: 1 Vial In 1 Carton (67457-430-10)  / 10 Ml In 1 Vial,62.93,62.93,,,0
NDC,67457-433-00,NDC Description Not Available,1.06,1.06,,,0
NDC,67457-433-22,Famotidine: 25 Vial In 1 Carton (67457-433-22)  / 2 Ml In 1 Vial (67457-433-00),31.25,31.25,,,0
NDC,67457-437-10,Doxycycline: 10 Vial In 1 Carton (67457-437-10)  / 10 Ml In 1 Vial (67457-437-00),646.4,646.4,,,0
NDC,67457-438-00,NDC Description Not Available,37.68,37.68,,,0
NDC,67457-457-00,NDC Description Not Available,0.43,0.43,,,0
NDC,67457-457-20,Famotidine: 10 Vial In 1 Carton (67457-457-20)  / 20 Ml In 1 Vial (67457-457-00),1040.0,1040.0,,,0
NDC,67457-473-00,NDC Description Not Available,24.8,24.8,,,0
NDC,67457-582-00,NDC Description Not Available,35.95,35.95,,,0
NDC,67457-584-00,NDC Description Not Available,28.95,28.95,,,0
NDC,67457-622-05,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (67457-622-05)  / 5 Ml In 1 Vial, Multi-Dose",18.7,18.7,,,0
NDC,67457-638-00,NDC Description Not Available,2.06,2.06,,,0
NDC,67457-657-25,Esmolol Hydrochloride In Sodium Chloride: 1 Bag In 1 Pouch (67457-657-25)  / 250 Ml In 1 Bag,7.45,7.45,,,0
NDC,67457-675-02,"Miacalcin: 1 Vial, Multi-Dose In 1 Carton (67457-675-02)  / 2 Ml In 1 Vial, Multi-Dose",2512.2,2512.2,,,0
NDC,67457-815-04,"Clindamycin: 25 VIAL, SINGLE-DOSE in 1 CARTON (67457-815-04)  / 4 mL in 1 VIAL, SINGLE-DOSE (67457-815-00)",23.75,23.75,,,0
NDC,67457-852-00,NDC Description Not Available,39.6,39.6,,,0
NDC,67457-853-50,Acetazolamide: 1 Vial In 1 Carton (67457-853-50)  / 5 Ml In 1 Vial,42.38,42.38,,,0
NDC,67457-855-00,NDC Description Not Available,17.07,17.07,,,0
NDC,67457-855-02,"Adenosine: 10 Vial, Single-Dose In 1 Carton (67457-855-02)  / 2 Ml In 1 Vial, Single-Dose (67457-855-00)",6.09,6.09,,,0
NDC,67457-863-01,Granisetron Hydrochloride: 1 Vial In 1 Carton (67457-863-01)  / 1 Ml In 1 Vial,4.19,4.19,,,0
NDC,67457-887-00,NDC Description Not Available,0.55,0.55,,,0
NDC,67457-940-10,Acetaminophen: 24 Bag In 1 Carton (67457-940-10)  / 100 Ml In 1 Bag,1.21,1.21,,,0
NDC,67492-105-15,Resinol: 50 G In 1 Tube (67492-105-15),55.735,55.735,,,0
NDC,67618-150-04,Betadine Solution: 118 Ml In 1 Bottle (67618-150-04),18.3,18.3,,,0
NDC,67618-300-50,"Senokot: 1 Bottle, Plastic In 1 Carton (67618-300-50)  / 50 Tablet In 1 Bottle, Plastic",10.870000000000001,10.870000000000001,,,0
NDC,67684-1901-2,Lipiodol: 1 Vial In 1 Carton (67684-1901-2)  / 10 Ml In 1 Vial,2247.8,2247.8,,,0
NDC,67777-211-01,PETROLATUM: 144 PACKET in 1 BOX (67777-211-01)  / 5 g in 1 PACKET,5.84,5.84,,,0
NDC,67871-4790-6,NDC Description Not Available,2629.945,2629.945,,,0
NDC,67877-124-20,Silver Sulfadiazine: 20 G In 1 Tube (67877-124-20),42.815,42.815,,,0
NDC,67877-220-01,Cephalexin: 100 Capsule In 1 Bottle (67877-220-01),10.89,10.89,,,0
NDC,67877-230-22,"Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (67877-230-22)  / 225 Ml In 1 Bottle, Plastic",26.42,26.42,,,0
NDC,67877-419-33,"Linezolid: 1 Blister Pack In 1 Carton (67877-419-33)  / 10 Tablet, Film Coated In 1 Blister Pack",30.37,30.37,,,0
NDC,67877-457-47,Pregabalin: 473 Ml In 1 Bottle (67877-457-47),16.94,16.94,,,0
NDC,67877-548-98,Cefdinir: 60 Ml In 1 Bottle (67877-548-98),15.485,15.485,,,0
NDC,67877-658-61,Clobazam: 1 Bottle In 1 Carton (67877-658-61)  / 120 Ml In 1 Bottle,18.990000000000002,18.990000000000002,,,0
NDC,67877-718-31,Everolimus: 6 Blister Pack In 1 Carton (67877-718-31)  / 10 Tablet In 1 Blister Pack (67877-718-33),31.52,31.52,,,0
NDC,67877-718-33,NDC Description Not Available,30.03,30.03,,,0
NDC,67877-732-95,Lacosamide Oral Solution: 200 Ml In 1 Bottle (67877-732-95),17.125,17.125,,,0
NDC,67877-753-60,Dronabinol: 60 Capsule In 1 Bottle (67877-753-60),18.31,18.31,,,0
NDC,67877-754-60,Dronabinol: 60 Capsule In 1 Bottle (67877-754-60),15.74,15.74,,,0
NDC,67877-882-71,"Rivaroxaban: 1 Bottle In 1 Carton (67877-882-71)  / 1 Granule, For Suspension In 1 Bottle",27.905,27.905,,,0
NDC,67919-030-01,"Zerbaxa: 10 Vial, Single-Dose In 1 Carton (67919-030-01)  / 10 Ml In 1 Vial, Single-Dose",52.03,52.03,,,0
NDC,68047-253-01,"Oscimin: 100 Tablet, Orally Disintegrating In 1 Bottle (68047-253-01)",11.435,11.435,,,0
NDC,68084-027-11,NDC Description Not Available,9.83,9.83,,,0
NDC,68084-149-11,NDC Description Not Available,14.2,14.2,,,0
NDC,68084-204-11,NDC Description Not Available,11.045,11.045,,,0
NDC,68084-205-11,NDC Description Not Available,14.8,14.8,,,0
NDC,68084-215-11,NDC Description Not Available,28.51,28.51,,,0
NDC,68084-220-01,"Ondansetron Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (68084-220-01)  / 1 Tablet, Film Coated In 1 Blister Pack (68084-220-11)",2.62,2.62,,,0
NDC,68084-220-11,NDC Description Not Available,2.55,2.55,,,0
NDC,68084-229-11,NDC Description Not Available,15.86,15.86,,,0
NDC,68084-248-11,NDC Description Not Available,14.02,14.02,,,0
NDC,68084-253-01,"Hydroxyzine Hydrochloride: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-253-01)  / 1 TABLET, FILM COATED in 1 BLISTER PACK (68084-253-11)",3.89,3.89,,,0
NDC,68084-269-11,NDC Description Not Available,18.455,18.455,,,0
NDC,68084-270-11,NDC Description Not Available,12.72,12.72,,,0
NDC,68084-272-11,NDC Description Not Available,8.645,8.645,,,0
NDC,68084-280-11,NDC Description Not Available,7.16,7.16,,,0
NDC,68084-284-01,"Hydroxyurea: 100 Blister Pack In 1 Box, Unit-Dose (68084-284-01)  / 1 Capsule In 1 Blister Pack (68084-284-11)",13.99,13.99,,,0
NDC,68084-284-11,NDC Description Not Available,9.39,9.39,,,0
NDC,68084-288-01,"Fludrocortisone Acetate: 100 Blister Pack In 1 Box, Unit-Dose (68084-288-01)  / 1 Tablet In 1 Blister Pack (68084-288-11)",14.83,14.83,,,0
NDC,68084-288-11,NDC Description Not Available,14.195,14.195,,,0
NDC,68084-291-11,NDC Description Not Available,29.955,29.955,,,0
NDC,68084-309-11,NDC Description Not Available,22.475,22.475,,,0
NDC,68084-309-21,"Valacyclovir Hydrochloride: 30 Blister Pack In 1 Box, Unit-Dose (68084-309-21)  / 1 Tablet, Film Coated In 1 Blister Pack (68084-309-11)",24.495,24.495,,,0
NDC,68084-313-01,"Divalproex Sodium: 100 Blister Pack In 1 Box, Unit-Dose (68084-313-01)  / 1 Capsule, Coated Pellets In 1 Blister Pack (68084-313-11)",10.71,10.71,,,0
NDC,68084-313-11,NDC Description Not Available,9.365,9.365,,,0
NDC,68084-318-01,"Lamotrigine: 100 Blister Pack In 1 Box, Unit-Dose (68084-318-01)  / 1 Tablet In 1 Blister Pack (68084-318-11)",6.74,6.74,,,0
NDC,68084-318-11,NDC Description Not Available,12.06,12.06,,,0
NDC,68084-319-11,NDC Description Not Available,5.02,5.02,,,0
NDC,68084-342-01,"Topiramate: 100 Blister Pack In 1 Box, Unit-Dose (68084-342-01)  / 1 Tablet, Film Coated In 1 Blister Pack (68084-342-11)",12.96,12.96,,,0
NDC,68084-342-11,NDC Description Not Available,11.4,11.4,,,0
NDC,68084-344-11,NDC Description Not Available,9.26,9.26,,,0
NDC,68084-345-11,NDC Description Not Available,16.14,16.14,,,0
NDC,68084-354-11,NDC Description Not Available,13.899999999999999,13.899999999999999,,,0
NDC,68084-358-01,"Rifampin: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-358-01)  / 1 CAPSULE in 1 BLISTER PACK (68084-358-11)",13.55,13.55,,,0
NDC,68084-388-11,NDC Description Not Available,13.6,13.6,,,0
NDC,68084-444-11,NDC Description Not Available,13.49,13.49,,,0
NDC,68084-450-01,"Tacrolimus: 100 Blister Pack In 1 Box, Unit-Dose (68084-450-01)  / 1 Capsule In 1 Blister Pack (68084-450-11)",18.74,18.74,,,0
NDC,68084-494-11,NDC Description Not Available,15.835,15.835,,,0
NDC,68084-597-01,"Nifedipine: 100 Blister Pack In 1 Box, Unit-Dose (68084-597-01)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack (68084-597-11)",13.16,13.16,,,0
NDC,68084-654-11,NDC Description Not Available,14.44,14.44,,,0
NDC,68084-655-11,NDC Description Not Available,14.82,14.82,,,0
NDC,68084-698-01,"Venlafaxine Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (68084-698-01)  / 1 Capsule, Extended Release In 1 Blister Pack (68084-698-11)",14.12,14.12,,,0
NDC,68084-698-11,NDC Description Not Available,10.45,10.45,,,0
NDC,68084-708-95,NDC Description Not Available,14.74,14.74,,,0
NDC,68084-709-11,NDC Description Not Available,9.485,9.485,,,0
NDC,68084-728-11,NDC Description Not Available,10.51,10.51,,,0
NDC,68084-762-01,"Gabapentin: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-762-01)  / 1 CAPSULE in 1 BLISTER PACK (68084-762-11)",6.7,6.7,,,0
NDC,68084-805-11,NDC Description Not Available,19.835,19.835,,,0
NDC,68084-808-11,NDC Description Not Available,11.96,11.96,,,0
NDC,68084-823-11,NDC Description Not Available,21.21,21.21,,,0
NDC,68084-844-01,"Venlafaxine: 100 Blister Pack In 1 Box, Unit-Dose (68084-844-01)  / 1 Tablet In 1 Blister Pack (68084-844-11)",9.49,9.49,,,0
NDC,68084-844-11,NDC Description Not Available,9.555,9.555,,,0
NDC,68084-859-11,NDC Description Not Available,6.17,6.17,,,0
NDC,68084-907-11,NDC Description Not Available,30.9,30.9,,,0
NDC,68084-918-25,"Mycophenolic Acid: 30 Blister Pack In 1 Box, Unit-Dose (68084-918-25)  / 1 Tablet, Delayed Release In 1 Blister Pack (68084-918-95)",20.96,20.96,,,0
NDC,68084-918-95,NDC Description Not Available,21.83,21.83,,,0
NDC,68084-996-01,"Prazosin Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (68084-996-01)  / 1 Capsule In 1 Blister Pack (68084-996-11)",19.31,19.31,,,0
NDC,68084-996-11,NDC Description Not Available,13.84,13.84,,,0
NDC,68094-001-59,NDC Description Not Available,13.835,13.835,,,0
NDC,68094-004-59,NDC Description Not Available,23.455,23.455,,,0
NDC,68094-018-59,NDC Description Not Available,13.91,13.91,,,0
NDC,68094-018-61,Diphenhydramine Hydrochloride: 10 Blister Pack In 1 Carton (68094-018-61)  / 10 Tablet In 1 Blister Pack (68094-018-59),13.25,13.25,,,0
NDC,68094-022-59,NDC Description Not Available,32.41,32.41,,,0
NDC,68094-031-59,NDC Description Not Available,15.504999999999999,15.504999999999999,,,0
NDC,68094-034-59,NDC Description Not Available,19.509999999999998,19.509999999999998,,,0
NDC,68094-074-01,NDC Description Not Available,34.745000000000005,34.745000000000005,,,0
NDC,68094-101-20,Phentolamine Mesylate: 1 Vial In 1 Carton (68094-101-20)  / 1 Injection In 1 Vial,257.56,257.56,,,0
NDC,68094-231-59,NDC Description Not Available,1.1150000000000002,1.1150000000000002,,,0
NDC,68094-231-61,"Acetaminophen: 10 Tray In 1 Case (68094-231-61)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-231-59)",1.165,1.165,,,0
NDC,68094-494-59,NDC Description Not Available,9.58,9.58,,,0
NDC,68094-503-59,NDC Description Not Available,64.765,64.765,,,0
NDC,68094-600-59,NDC Description Not Available,10.6,10.6,,,0
NDC,68094-750-59,NDC Description Not Available,22.075,22.075,,,0
NDC,68094-756-59,NDC Description Not Available,14.42,14.42,,,0
NDC,68094-756-62,"Furosemide: 3 Tray In 1 Case (68094-756-62)  / 10 Cup, Unit-Dose In 1 Tray / 4 Ml In 1 Cup, Unit-Dose (68094-756-59)",14.89,14.89,,,0
NDC,68094-762-59,NDC Description Not Available,35.614999999999995,35.614999999999995,,,0
NDC,68094-764-59,NDC Description Not Available,34.525,34.525,,,0
NDC,6809422401,NDC Description Not Available,14.95,14.95,,,0
NDC,6817600010,NDC Description Not Available,14.7,14.7,,,0
NDC,6817600011,NDC Description Not Available,15.925,15.925,,,0
NDC,6817600015,NDC Description Not Available,12.79,12.79,,,0
NDC,68180-150-01,Famotidine: 50 Ml In 1 Bottle (68180-150-01),10.075,10.075,,,0
NDC,68180-280-01,Ethambutol Hydrochloride: 100 Tablet In 1 Bottle (68180-280-01),7.39,7.39,,,0
NDC,68180-295-09,"Duloxetine: 90 Capsule, Delayed Release In 1 Bottle (68180-295-09)",10.73,10.73,,,0
NDC,68180-657-01,Doxycycline: 60 Ml In 1 Bottle (68180-657-01),32.085,32.085,,,0
NDC,68180-723-05,Cefdinir: 100 Ml In 1 Bottle (68180-723-05),16.73,16.73,,,0
NDC,68180-852-11,My Way: 1 Blister Pack In 1 Carton (68180-852-11)  / 1 Tablet In 1 Blister Pack,81.96,81.96,,,0
NDC,68180-963-01,"Albuterol Sulfate: 1 Canister In 1 Carton (68180-963-01)  / 200 Aerosol, Metered In 1 Canister",165.61,165.61,,,0
NDC,68308-152-15,"Nystatin: 15 G In 1 Bottle, Plastic (68308-152-15)",47.3,47.3,,,0
NDC,68382-004-14,"Topiramate: 60 Capsule, Coated Pellets In 1 Bottle (68382-004-14)",11.219999999999999,11.219999999999999,,,0
NDC,68382-005-14,"Topiramate: 60 Capsule, Coated Pellets In 1 Bottle (68382-005-14)",16.59,16.59,,,0
NDC,68382-095-01,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68382-095-01)",5.965,5.965,,,0
NDC,68382-446-14,"Bosentan: 60 Tablet, Coated In 1 Bottle (68382-446-14)",47.73,47.73,,,0
NDC,68382-452-19,"Mesalamine: 120 Capsule, Extended Release In 1 Bottle (68382-452-19)",11.04,11.04,,,0
NDC,68382-520-01,"Sirolimus: 100 Tablet, Film Coated In 1 Bottle (68382-520-01)",35.25,35.25,,,0
NDC,68382-771-30,NDC Description Not Available,33.230000000000004,33.230000000000004,,,0
NDC,68382-771-77,"Lansoprazole: 10 Blister Pack In 1 Carton (68382-771-77)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack (68382-771-30)",33.09,33.09,,,0
NDC,68382-772-30,NDC Description Not Available,43.225,43.225,,,0
NDC,68382-772-77,"Lansoprazole: 10 Blister Pack In 1 Carton (68382-772-77)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack (68382-772-30)",42.94,42.94,,,0
NDC,68382-860-02,NDC Description Not Available,87.97,87.97,,,0
NDC,68382-910-01,NDC Description Not Available,1.45,1.45,,,0
NDC,68382-910-10,Doxycycline: 10 Vial In 1 Carton (68382-910-10)  / 10 Ml In 1 Vial,2.67,2.67,,,0
NDC,68382-918-18,Methylprednisolone: 50 Tablet In 1 Bottle (68382-918-18),3.18,3.18,,,0
NDC,68403-1100-6,NDC Description Not Available,69300.0,69300.0,,,0
NDC,68462-128-01,Zonisamide: 100 Capsule In 1 Bottle (68462-128-01),7.27,7.27,,,0
NDC,68462-180-22,Mupirocin: 22 G In 1 Tube (68462-180-22),43.93,43.93,,,0
NDC,68462-229-01,"Lamotrigine: 100 Tablet, Chewable In 1 Bottle (68462-229-01)",4.300000000000001,4.300000000000001,,,0
NDC,68462-304-50,Norethindrone Acetate: 50 Tablet In 1 Bottle (68462-304-50),10.55,10.55,,,0
NDC,68462-469-40,NDC Description Not Available,14.19,14.19,,,0
NDC,68462-534-35,Tacrolimus: 1 Tube In 1 Carton (68462-534-35)  / 30 G In 1 Tube,513.44,513.44,,,0
NDC,68462-564-17,Mupirocin: 15 G In 1 Tube (68462-564-17),885.665,885.665,,,0
NDC,68462-583-40,Aprepitant: 1 Blister Pack In 1 Carton (68462-583-40)  / 1 Capsule In 1 Blister Pack,51.22,51.22,,,0
NDC,68462-584-40,NDC Description Not Available,39.94,39.94,,,0
NDC,68462-584-58,Aprepitant: 2 Capsule In 1 Dose Pack (68462-584-58),29.26,29.26,,,0
NDC,68462-585-40,NDC Description Not Available,41.16,41.16,,,0
NDC,68462-585-76,Aprepitant: 1 Blister Pack In 1 Carton (68462-585-76)  / 6 Capsule In 1 Blister Pack (68462-585-40),42.19,42.19,,,0
NDC,68462-622-10,"Fosphenytoin Sodium: 10 Vial, Single-Dose In 1 Carton (68462-622-10)  / 10 Ml In 1 Vial, Single-Dose (68462-622-64)",13.71,13.71,,,0
NDC,68462-639-25,NDC Description Not Available,18.93,18.93,,,0
NDC,68462-755-01,NDC Description Not Available,23.91,23.91,,,0
NDC,68462-756-01,NDC Description Not Available,16.86,16.86,,,0
NDC,68462-756-25,"Ketorolac Tromethamine: 25 Vial, Single-Dose In 1 Carton (68462-756-25)  / 1 Ml In 1 Vial, Single-Dose (68462-756-01)",16.92,16.92,,,0
NDC,68462-760-10,"Epinephrine: 1 Vial, Multi-Dose In 1 Carton (68462-760-10)  / 10 Ml In 1 Vial, Multi-Dose",3.35,3.35,,,0
NDC,68462-881-35,Tacrolimus: 1 Tube In 1 Carton (68462-881-35)  / 30 G In 1 Tube,241.065,241.065,,,0
NDC,68462-897-01,NDC Description Not Available,2.98,2.98,,,0
NDC,68462-897-10,Octreotide Acetate: 10 Vial In 1 Carton (68462-897-10)  / 1 Ml In 1 Vial (68462-897-01),3.85,3.85,,,0
NDC,68516-4606-1,NDC Description Not Available,6.17,6.17,,,0
NDC,68516-4612-1,"Alphanate: 1 Kit In 1 Carton (68516-4612-1)  *  5 Ml In 1 Vial (68516-4606-1)  *  5 Ml In 1 Vial, Single-Dose (68516-1001-1)",6.19,6.19,,,0
NDC,68516-4613-2,"Alphanate: 1 Kit In 1 Carton (68516-4613-2)  *  10 Ml In 1 Vial (68516-4607-2)  *  10 Ml In 1 Vial, Single-Dose (68516-1002-2)",6.15,6.15,,,0
NDC,68516-4617-1,"Alphanate: 1 Kit In 1 Carton (68516-4617-1)  *  5 Ml In 1 Vial (68516-4606-1)  *  5 Ml In 1 Vial, Glass (76297-002-02)",6.195,6.195,,,0
NDC,68516-4620-2,"Alphanate: 1 Kit In 1 Carton (68516-4620-2)  *  10 Ml In 1 Vial (68516-4610-2)  *  10 Ml In 1 Vial, Glass (76297-002-12)",6.135,6.135,,,0
NDC,68516-5214-1,Albutein: 1 Vial In 1 Carton (68516-5214-1)  / 250 Ml In 1 Vial (68516-5214-3),143.47,143.47,,,0
NDC,68516-5214-2,Albutein: 1 Vial In 1 Carton (68516-5214-2)  / 500 Ml In 1 Vial (68516-5214-4),55.644999999999996,55.644999999999996,,,0
NDC,68516-5214-3,NDC Description Not Available,297.88,297.88,,,0
NDC,68516-5214-4,NDC Description Not Available,215.43,215.43,,,0
NDC,68516-5214-5,Albutein: 1 Vial In 1 Carton (68516-5214-5)  / 50 Ml In 1 Vial (68516-5214-6),396.565,396.565,,,0
NDC,68516-5214-6,NDC Description Not Available,225.605,225.605,,,0
NDC,68516-5216-2,Albutein: 1 Vial In 1 Carton (68516-5216-2)  / 100 Ml In 1 Vial (68516-5216-4),269.62,269.62,,,0
NDC,68516-5216-4,NDC Description Not Available,277.56,277.56,,,0
NDC,68516-5216-5,Albutein: 1 Vial In 1 Carton (68516-5216-5)  / 20 Ml In 1 Vial (68516-5216-6),135.825,135.825,,,0
NDC,68516-5216-6,NDC Description Not Available,74.28,74.28,,,0
NDC,68516-5218-0,NDC Description Not Available,59.58,59.58,,,0
NDC,68682-302-10,Pyridostigmine Bromide: 100 Tablet In 1 Bottle (68682-302-10),16.92,16.92,,,0
NDC,68682-309-30,"Budesonide: 30 Tablet, Extended Release In 1 Bottle (68682-309-30)",240.77,240.77,,,0
NDC,68682-650-20,"Diazepam: 2 Syringe, Plastic In 1 Package (68682-650-20)  / .5 Ml In 1 Syringe, Plastic",962.35,962.35,,,0
NDC,68682-652-20,"Diazepam: 2 Syringe, Plastic In 1 Package (68682-652-20)  / 2 Ml In 1 Syringe, Plastic",533.12,533.12,,,0
NDC,68682-655-20,"Diazepam: 2 Syringe, Plastic In 1 Package (68682-655-20)  / 4 Ml In 1 Syringe, Plastic",597.19,597.19,,,0
NDC,68682-732-05,"Fluorescein Sodium And Benoxinate Hydrochloride: 1 Bottle, Glass In 1 Carton (68682-732-05)  / 5 Ml In 1 Bottle, Glass",204.17,204.17,,,0
NDC,68727-800-01,Defitelio: 2.5 Ml In 1 Vial (68727-800-01),5628.8,5628.8,,,0
NDC,68727-800-02,Defitelio: 25 Ml In 1 Carton (68727-800-02),4079.54,4079.54,,,0
NDC,68727-900-01,NDC Description Not Available,316.93,316.93,,,0
NDC,68727-900-03,"Rylaze: 3 Vial, Single-Dose In 1 Carton (68727-900-03)  / .5 Ml In 1 Vial, Single-Dose (68727-900-01)",316.75,316.75,,,0
NDC,68803-612-10,"Visionblue: 10 Pouch In 1 Carton (68803-612-10)  / 1 Syringe, Glass In 1 Pouch / .5 Ml In 1 Syringe, Glass",548.14,548.14,,,0
NDC,68982-182-01,Wilate - Von Willebrand Factor/Coagulation Factor Viii Complex (Human): 5 Ml In 1 Vial (68982-182-01),7.14,7.14,,,0
NDC,68982-182-02,Wilate - Von Willebrand Factor/Coagulation Factor Viii Complex (Human): 10 Ml In 1 Vial (68982-182-02),7.15,7.15,,,0
NDC,68982-347-01,"Fibryga: 1 Kit In 1 Carton (68982-347-01)  *  50 Ml In 1 Bottle, Glass (68982-348-01)",5.49,5.49,,,0
NDC,68982-349-01,"Fibryga: 1 Bottle, Glass In 1 Carton (68982-349-01)  / 50 Ml In 1 Bottle, Glass (68982-349-81)",5.505,5.505,,,0
NDC,68982-349-81,NDC Description Not Available,5.97,5.97,,,0
NDC,68982-623-02,"Albumin (Human): 250 Ml In 1 Bottle, Glass (68982-623-02)",102.96,102.96,,,0
NDC,68992-3010-3,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3010-3)  / 1 Bottle, Plastic In 1 Pouch / 30 Tablet, Extended Release In 1 Bottle, Plastic",2.32,2.32,,,0
NDC,68992-3040-3,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3040-3)  / 1 Bottle, Plastic In 1 Pouch / 30 Tablet, Extended Release In 1 Bottle, Plastic",1.5,1.5,,,0
NDC,69076-146-01,Acyclovir: 100 Capsule In 1 Bottle (69076-146-01),7.97,7.97,,,0
NDC,69097-123-03,Topiramate: 60 Tablet In 1 Bottle (69097-123-03),8.985,8.985,,,0
NDC,69097-237-72,Albendazole: 2 Tablet In 1 Bottle (69097-237-72),211.22,211.22,,,0
NDC,69097-319-32,NDC Description Not Available,28.36,28.36,,,0
NDC,69097-319-53,Budesonide Inhalation Suspension: 30 Pouch In 1 Carton (69097-319-53)  / 1 Ampule In 1 Pouch (69097-319-32)  / 2 Ml In 1 Ampule,28.13,28.13,,,0
NDC,69097-386-02,"Ambrisentan: 30 Tablet, Film Coated In 1 Bottle, Plastic (69097-386-02)",109.105,109.105,,,0
NDC,69097-516-07,Cyclophosphamide: 100 Capsule In 1 Bottle (69097-516-07),17.97,17.97,,,0
NDC,69097-708-31,NDC Description Not Available,15.74,15.74,,,0
NDC,69097-709-96,Phytonadione: 10 Vial In 1 Carton (69097-709-96)  / .5 Ml In 1 Vial,51.54,51.54,,,0
NDC,69097-862-83,Calcium Acetate: 200 Capsule In 1 Bottle (69097-862-83),13.19,13.19,,,0
NDC,69097-964-53,Vigabatrin: 50 Packet In 1 Carton (69097-964-53)  / 10 Ml In 1 Packet,47.48,47.48,,,0
NDC,69238-1124-9,Nadolol: 90 Tablet In 1 Bottle (69238-1124-9),12.93,12.93,,,0
NDC,69238-1126-1,Ethacrynic Acid: 100 Tablet In 1 Bottle (69238-1126-1),19.14,19.14,,,0
NDC,69238-1305-1,Clobazam: 100 Tablet In 1 Bottle (69238-1305-1),9.295,9.295,,,0
NDC,69238-1489-1,Bumetanide: 100 Tablet In 1 Bottle (69238-1489-1),10.39,10.39,,,0
NDC,69238-1574-1,"Sildenafil: 1 Bottle, Glass In 1 Carton (69238-1574-1)  / 112 Ml In 1 Bottle, Glass",16.4,16.4,,,0
NDC,69238-1594-3,"Sirolimus: 1 Carton In 1 Kit (69238-1594-3)  / 1 Bottle, Glass In 1 Carton (69238-1594-6)  / 60 Ml In 1 Bottle, Glass",50.28,50.28,,,0
NDC,69238-1729-7,Enalapril Maleate: 1 Bottle In 1 Carton (69238-1729-7)  / 150 Ml In 1 Bottle,14.975000000000001,14.975000000000001,,,0
NDC,69238-1746-8,Pilocarpine Hydrochloride: 1 Bottle In 1 Carton (69238-1746-8)  / 15 Ml In 1 Bottle,405.89,405.89,,,0
NDC,69238-2029-5,Mupirocin: 1 Tube In 1 Carton (69238-2029-5)  / 15 G In 1 Tube,191.71,191.71,,,0
NDC,69292-605-60,Digoxin: 1 Bottle In 1 Carton (69292-605-60)  / 60 Ml In 1 Bottle,15.315000000000001,15.315000000000001,,,0
NDC,69315-308-02,"Ciprofloxacin: 1 Bottle, Plastic In 1 Carton (69315-308-02)  / 2.5 Ml In 1 Bottle, Plastic",71.4,71.4,,,0
NDC,69315-904-01,Lorazepam: 100 Tablet In 1 Bottle (69315-904-01),10.375,10.375,,,0
NDC,69315-905-01,Lorazepam: 100 Tablet In 1 Bottle (69315-905-01),5.35,5.35,,,0
NDC,69339-136-03,NDC Description Not Available,35.38,35.38,,,0
NDC,69339-138-15,"Dash Chlorhexidine Gluconate 0.12% Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (69339-138-15)",19.240000000000002,19.240000000000002,,,0
NDC,69339-151-05,NDC Description Not Available,28.78,28.78,,,0
NDC,69339-151-19,"Diphenhydramine Hcl Oral Solution: 10 Tray In 1 Case (69339-151-19)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (69339-151-05)",29.6,29.6,,,0
NDC,69339-157-05,NDC Description Not Available,20.740000000000002,20.740000000000002,,,0
NDC,69344-101-01,"Indocin: 1 Bottle, Glass In 1 Carton (69344-101-01)  / 237 Ml In 1 Bottle, Glass",65.44,65.44,,,0
NDC,69367-192-01,Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle (69367-192-01),15.405000000000001,15.405000000000001,,,0
NDC,6936722001,NDC Description Not Available,10.61,10.61,,,0
NDC,6936725001,NDC Description Not Available,9.125,9.125,,,0
NDC,69374-544-10,NDC Description Not Available,30.68,30.68,,,0
NDC,69374-914-50,NDC Description Not Available,53.54,53.54,,,0
NDC,69452-125-50,"Oxcarbazepine: 1 Bottle, Glass In 1 Carton (69452-125-50)  / 250 Ml In 1 Bottle, Glass",20.015,20.015,,,0
NDC,69452-152-20,"Ethosuximide: 100 Capsule, Liquid Filled In 1 Bottle, Plastic (69452-152-20)",8.195,8.195,,,0
NDC,69452-156-74,NDC Description Not Available,16.55,16.55,,,0
NDC,69452-208-20,"Calcitriol: 100 Capsule, Liquid Filled In 1 Bottle, Plastic (69452-208-20)",8.54,8.54,,,0
NDC,69452-223-84,Rufinamide: 1 Bottle In 1 Carton (69452-223-84)  / 460 Ml In 1 Bottle,46.7,46.7,,,0
NDC,69452-252-87,Atovaquone: 1 Bottle In 1 Carton (69452-252-87)  / 210 Ml In 1 Bottle,11.09,11.09,,,0
NDC,69452-350-60,NDC Description Not Available,25.98,25.98,,,0
NDC,69452-350-92,"Granisetron Hydrochloride: 2 Blister Pack In 1 Carton (69452-350-92)  / 10 Tablet, Film Coated In 1 Blister Pack",17.02,17.02,,,0
NDC,69616-272-30,Fycompa: 30 Tablet In 1 Bottle (69616-272-30),137.24,137.24,,,0
NDC,69616-290-38,Fycompa: 340 Ml In 1 Bottle (69616-290-38),32.275,32.275,,,0
NDC,69618-064-01,Senna: 100 Tablet In 1 Bottle (69618-064-01),9.77,9.77,,,0
NDC,69618-067-82,Calprotect: 113 G In 1 Tube (69618-067-82),36.14,36.14,,,0
NDC,6961801854,NDC Description Not Available,12.14,12.14,,,0
NDC,69724-112-10,Sotalol Hydrochloride: 1 Vial In 1 Carton (69724-112-10)  / 10 Ml In 1 Vial,151.9,151.9,,,0
NDC,69784-180-10,Polyethylene Glycol 3350 Nf: 100 Pouch In 1 Carton (69784-180-10)  / 17 G In 1 Pouch (69784-180-01),24.025,24.025,,,0
NDC,69784-230-10,"Sodium Acetate: 50 Ml In 1 Vial, Pharmacy Bulk Package (69784-230-10)",88.92,88.92,,,0
NDC,69784-231-10,"Sodium Acetate: 100 Ml In 1 Vial, Pharmacy Bulk Package (69784-231-10)",81.24,81.24,,,0
NDC,69784-630-25,Tabloid: 1 Bottle In 1 Carton (69784-630-25)  / 25 Tablet In 1 Bottle,137.98,137.98,,,0
NDC,69794-050-50,"Dojolvi: 1 Bottle, Glass In 1 Carton (69794-050-50)  / 500 Ml In 1 Bottle, Glass",735.2,735.2,,,0
NDC,69800-0250-1,"Asceniv: 1 Vial, Single-Use In 1 Carton (69800-0250-1)  / 50 Ml In 1 Vial, Single-Use (69800-0250-2)",2900.12,2900.12,,,0
NDC,69800-0250-2,NDC Description Not Available,2954.385,2954.385,,,0
NDC,69918-301-30,Tranexamic Acid: 30 Tablet In 1 Bottle (69918-301-30),18.655,18.655,,,0
NDC,69918-735-01,NDC Description Not Available,361.98,361.98,,,0
NDC,69918-901-10,"Desmopressin Acetate: 1 Vial, Multi-Dose In 1 Carton (69918-901-10)  / 10 Ml In 1 Vial, Multi-Dose",27.42,27.42,,,0
NDC,69945-068-20,"Ultratag Rbc: 5 Cello Pack In 1 Box (69945-068-20)  / 1 Kit In 1 Cello Pack (69945-068-10)  *  .6 Ml In 1 Syringe, Glass *  1 Ml In 1 Syringe, Glass *  9.5 Mg In 1 Vial, Glass",228.0,228.0,,,0
NDC,69945-096-20,"Technescan Mag3: 5 Vial In 1 Cello Pack (69945-096-20)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",1872.7,1872.7,,,0
NDC,70069-012-01,NDC Description Not Available,16.8,16.8,,,0
NDC,70069-017-01,"Olopatadine: 1 Bottle, Plastic In 1 Carton (70069-017-01)  / 5 Ml In 1 Bottle, Plastic",43.0,43.0,,,0
NDC,70069-021-01,NDC Description Not Available,4.05,4.05,,,0
NDC,70069-021-25,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (70069-021-25)  / 1 Ml In 1 Vial (70069-021-01),3.93,3.93,,,0
NDC,70069-061-01,NDC Description Not Available,2.32,2.32,,,0
NDC,70069-061-10,Ropivacaine Hydrochloride: 10 Vial In 1 Carton (70069-061-10)  / 10 Ml In 1 Vial (70069-061-01),1.97,1.97,,,0
NDC,70069-067-01,NDC Description Not Available,0.19,0.19,,,0
NDC,70069-101-01,NDC Description Not Available,48.63,48.63,,,0
NDC,70069-101-25,Methocarbamol: 25 Vial In 1 Carton (70069-101-25)  / 10 Ml In 1 Vial,46.33,46.33,,,0
NDC,70069-131-01,Tobramycin: 1 Bottle In 1 Carton (70069-131-01)  / 5 Ml In 1 Bottle,30.83,30.83,,,0
NDC,70069-161-01,Cisatracurium Besylate: 1 Vial In 1 Carton (70069-161-01)  / 10 Ml In 1 Vial,60.68,60.68,,,0
NDC,70069-231-01,Brimonidine Tartrate: 1 Bottle In 1 Carton (70069-231-01)  / 5 Ml In 1 Bottle,34.265,34.265,,,0
NDC,70069-362-10,Sulfamethoxazole And Trimethoprim: 10 Vial In 1 Carton (70069-362-10)  / 10 Ml In 1 Vial (70069-362-01),0.56,0.56,,,0
NDC,70069-421-01,Latanoprost: 1 Bottle In 1 Carton (70069-421-01)  / 2.5 Ml In 1 Bottle,34.88,34.88,,,0
NDC,70069-501-01,Dorzolamide Hydrochloride: 1 Bottle In 1 Carton (70069-501-01)  / 10 Ml In 1 Bottle,60.23,60.23,,,0
NDC,70069-601-01,Proparacaine Hydrochloride: 1 Bottle In 1 Carton (70069-601-01)  / 15 Ml In 1 Bottle,187.6,187.6,,,0
NDC,70069-727-01,NDC Description Not Available,0.235,0.235,,,0
NDC,70069-746-25,Potassium Phosphate: 25 Bottle In 1 Carton (70069-746-25)  / 5 Ml In 1 Bottle,78.63,78.63,,,0
NDC,70069-788-01,NDC Description Not Available,2.42,2.42,,,0
NDC,70069-807-01,NDC Description Not Available,17.2,17.2,,,0
NDC,70069-807-10,Milrinone Lactate: 10 Vial In 1 Carton (70069-807-10)  / 10 Ml In 1 Vial (70069-807-01),24.4,24.4,,,0
NDC,70069-810-01,Valganciclovir Hydrochloride: 100 Ml In 1 Bottle (70069-810-01),51.57,51.57,,,0
NDC,70092-1009-44,NDC Description Not Available,23.06,23.06,,,0
NDC,70092-1046-46,NDC Description Not Available,14.955,14.955,,,0
NDC,70092-1114-50,NDC Description Not Available,117.27,117.27,,,0
NDC,70092-1125-48,NDC Description Not Available,56.364999999999995,56.364999999999995,,,0
NDC,70092-1175-46,NDC Description Not Available,58.43,58.43,,,0
NDC,70092-1400-43,NDC Description Not Available,48.06,48.06,,,0
NDC,70092-1443-43,NDC Description Not Available,40.77,40.77,,,0
NDC,70092-1475-50,NDC Description Not Available,50.01,50.01,,,0
NDC,70092-1486-46,NDC Description Not Available,35.805,35.805,,,0
NDC,70092-1573-43,NDC Description Not Available,55.89,55.89,,,0
NDC,70092-1617-46,NDC Description Not Available,40.3,40.3,,,0
NDC,70092-1688-46,NDC Description Not Available,41.07,41.07,,,0
NDC,70100-424-01,NDC Description Not Available,43.54,43.54,,,0
NDC,70121-1049-2,Triamcinolone Acetonide: 1 Vial In 1 Carton (70121-1049-2)  / 1 Ml In 1 Vial (70121-1049-1),8.65,8.65,,,0
NDC,70121-1168-1,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1168-1)  / 5 Ml In 1 Vial, Multi-Dose",9.93,9.93,,,0
NDC,70121-1238-1,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (70121-1238-1)  / 25 Ml In 1 Vial, Single-Dose",3.23,3.23,,,0
NDC,70121-1239-1,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (70121-1239-1)  / 50 Ml In 1 Vial, Single-Dose",3.0,3.0,,,0
NDC,70121-1568-1,Releuko: 1 Syringe In 1 Box (70121-1568-1)  / .5 Ml In 1 Syringe,1.48,1.48,,,0
NDC,70121-1570-1,Releuko: 1 Syringe In 1 Box (70121-1570-1)  / .8 Ml In 1 Syringe,1.3650000000000002,1.3650000000000002,,,0
NDC,70121-1631-1,"Tepadina: 1 Vial, Glass In 1 Box (70121-1631-1)  / 1 Injection, Powder, For Solution In 1 Vial, Glass",1451.36,1451.36,,,0
NDC,70121-1694-2,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (70121-1694-2)  / 1.2 Ml In 1 Vial, Single-Dose",49.575,49.575,,,0
NDC,70121-1712-1,NDC Description Not Available,103.16,103.16,,,0
NDC,70121-1712-3,Dexmedetomidine Hydrochloride: 12 Pouch In 1 Carton (70121-1712-3)  / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,102.3,102.3,,,0
NDC,70121-1716-1,NDC Description Not Available,2.25,2.25,,,0
NDC,70121-1719-1,NDC Description Not Available,13.83,13.83,,,0
NDC,70121-2495-1,NDC Description Not Available,818.5,818.5,,,0
NDC,70121-2496-5,Lioresal (Baclofen): 5 Ampule In 1 Box (70121-2496-5)  / 1 Ml In 1 Ampule,223.96,223.96,,,0
NDC,70121-2503-1,Lioresal (Baclofen): 1 Ampule In 1 Box (70121-2503-1)  / 1 Kit In 1 Ampule,818.5,818.5,,,0
NDC,70121-2537-6,"Leuprolide Acetate: 1 Kit In 1 Carton (70121-2537-6)  *  1 Vial, Multi-Dose In 1 Carton (70121-1695-2)  / 2.8 Ml In 1 Vial, Multi-Dose *  1 Ml In 1 Packet (70121-2538-9)",131.4,131.4,,,0
NDC,70127-100-01,NDC Description Not Available,296.555,296.555,,,0
NDC,70127-100-10,"Epidiolex: 1 Bottle, Glass In 1 Carton (70127-100-10)  / 100 Ml In 1 Bottle, Glass (70127-100-01)",328.0,328.0,,,0
NDC,70377-118-31,"Nitrofurantoin: 1 Bottle, Glass In 1 Carton (70377-118-31)  / 230 Ml In 1 Bottle, Glass",191.885,191.885,,,0
NDC,70408-239-32,"Nitrofurantoin: 240 Ml In 1 Bottle, Plastic (70408-239-32)",504.42,504.42,,,0
NDC,70436-021-82,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (70436-021-82)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",34.59,34.59,,,0
NDC,70436-029-80,"Voriconazole: 1 Injection, Powder, Lyophilized, For Solution In 1 Box (70436-029-80)",5.65,5.65,,,0
NDC,70436-089-55,Ganciclovir: 25 Vial In 1 Carton (70436-089-55)  / 10 Ml In 1 Vial,52.65,52.65,,,0
NDC,70436-101-09,Tetrabenazine: 112 Tablet In 1 Bottle (70436-101-09),17.415,17.415,,,0
NDC,70436-203-80,"Dobutamine: 1 Vial, Single-Dose In 1 Carton (70436-203-80)  / 20 Ml In 1 Vial, Single-Dose",38.49,38.49,,,0
NDC,70436-230-39,Voriconazole: 1 Bottle In 1 Carton (70436-230-39)  / 75 Ml In 1 Bottle,42.28,42.28,,,0
NDC,70515-262-10,Lanoxin: 10 Ampule In 1 Box (70515-262-10)  / 1 Ml In 1 Ampule,118.87,118.87,,,0
NDC,70515-263-10,Lanoxin: 10 Vial In 1 Box (70515-263-10)  / 1 Ml In 1 Vial,167.97,167.97,,,0
NDC,70594-023-01,"Colistimethate: 1 Vial, Glass In 1 Vial (70594-023-01)  / 1 Injection, Powder, For Solution In 1 Vial, Glass",92.22,92.22,,,0
NDC,70594-047-01,"Vancomycin Hydrochloride: 1 Vial, Glass In 1 Carton (70594-047-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",24.65,24.65,,,0
NDC,70677-0054-1,Sunmark Anti Diarrheal: 120 Ml In 1 Bottle (70677-0054-1),1.04,1.04,,,0
NDC,70677-0072-1,"Sunmark Childrens Ibuprofen Ib: 1 Bottle In 1 Carton (70677-0072-1)  / 24 Tablet, Chewable In 1 Bottle",0.52,0.52,,,0
NDC,70677-1037-1,"Foster And Thrive Nasal: 1 Bottle, Spray In 1 Carton (70677-1037-1)  / 30 Ml In 1 Bottle, Spray",17.02,17.02,,,0
NDC,70677-1107-1,Foster And Thrive Anti-Diarrheal: 120 Ml In 1 Bottle (70677-1107-1),1.15,1.15,,,0
NDC,70677-1111-1,"Magnesium Citrate: 296 Ml In 1 Bottle, Plastic (70677-1111-1)",17.575,17.575,,,0
NDC,70677-1126-1,Stay Awake: 2 Blister Pack In 1 Carton (70677-1126-1)  / 8 Tablet In 1 Blister Pack,11.805,11.805,,,0
NDC,70677-1145-1,"Foster And Thrive Childrens Ibuprofen Ib: 1 Bottle In 1 Carton (70677-1145-1)  / 24 Tablet, Chewable In 1 Bottle",0.45,0.45,,,0
NDC,70677-1154-1,Foster And Thrive Earwax Removal Drops: 1 Bottle In 1 Box (70677-1154-1)  / 15 Ml In 1 Bottle,19.52,19.52,,,0
NDC,70700-186-23,Fluorouracil: 10 Vial In 1 Carton (70700-186-23)  / 10 Ml In 1 Vial (70700-186-22),183.55,183.55,,,0
NDC,70700-263-30,"Lansoprazole: 30 Capsule, Delayed Release In 1 Bottle (70700-263-30)",11.755,11.755,,,0
NDC,70700-269-30,"Deferasirox: 30 Tablet In 1 Bottle, Plastic (70700-269-30)",11.67,11.67,,,0
NDC,70700-271-30,"Deferasirox: 30 Tablet In 1 Bottle, Plastic (70700-271-30)",16.71,16.71,,,0
NDC,70700-317-84,NDC Description Not Available,6.48,6.48,,,0
NDC,70710-1110-1,Cyproheptadine Hydrochloride: 100 Tablet In 1 Bottle (70710-1110-1),13.08,13.08,,,0
NDC,70710-1179-3,"Ambrisentan: 30 Tablet, Film Coated In 1 Bottle (70710-1179-3)",38.99,38.99,,,0
NDC,70710-1359-1,NDC Description Not Available,1.07,1.07,,,0
NDC,70710-1460-2,Azithromycin: 1 Bottle In 1 Carton (70710-1460-2)  / 30 Ml In 1 Bottle,21.5,21.5,,,0
NDC,70710-1643-7,Verapamil Hydrochloride: 25 Carton In 1 Carton (70710-1643-7)  / 5 Vial In 1 Carton (70710-1643-5)  / 2 Ml In 1 Vial,39.46,39.46,,,0
NDC,70710-1724-1,Micafungin: 1 Vial In 1 Carton (70710-1724-1)  / 5 Ml In 1 Vial,2.28,2.28,,,0
NDC,70710-1724-6,Micafungin: 10 Vial In 1 Carton (70710-1724-6)  / 5 Ml In 1 Vial,3.35,3.35,,,0
NDC,70710-1726-1,"Nelarabine: 1 Vial, Single-Dose In 1 Carton (70710-1726-1)  / 50 Ml In 1 Vial, Single-Dose",231.64,231.64,,,0
NDC,70710-1726-8,"Nelarabine: 6 Vial, Single-Dose In 1 Carton (70710-1726-8)  / 50 Ml In 1 Vial, Single-Dose",221.77,221.77,,,0
NDC,70710-1838-1,NDC Description Not Available,10.55,10.55,,,0
NDC,70710-1926-1,Sodium Phenylacetate And Sodium Benzoate: 1 Vial In 1 Carton (70710-1926-1)  / 20 Ml In 1 Vial,4670.97,4670.97,,,0
NDC,70748-129-06,"Leflunomide: 30 Tablet, Film Coated In 1 Bottle (70748-129-06)",7.74,7.74,,,0
NDC,70748-130-06,"Leflunomide: 30 Tablet, Film Coated In 1 Bottle (70748-130-06)",13.03,13.03,,,0
NDC,70748-258-07,"Posaconazole: 60 Tablet, Delayed Release In 1 Bottle (70748-258-07)",42.58,42.58,,,0
NDC,70752-101-12,"Cyproheptadine Hydrochloride: 473 Ml In 1 Bottle, Glass (70752-101-12)",14.54,14.54,,,0
NDC,70756-201-11,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (70756-201-11)",11.83,11.83,,,0
NDC,70756-404-11,Nitrofurantoin (Monohydrate/Macrocrystals): 100 Capsule In 1 Bottle (70756-404-11),14.165,14.165,,,0
NDC,70756-604-44,NDC Description Not Available,43.19,43.19,,,0
NDC,70756-614-30,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (70756-614-30)  / 5 Ml In 1 Bottle, Dropper",191.76,191.76,,,0
NDC,70756-629-25,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (70756-629-25)  / 2 Ml In 1 Bottle, Dropper",165.28,165.28,,,0
NDC,70756-640-82,Lidocaine Hydrochloride: 1 Vial In 1 Carton (70756-640-82)  / 2 Ml In 1 Vial,25.44,25.44,,,0
NDC,70756-807-90,"Lansoprazole: 90 Capsule, Delayed Release In 1 Bottle (70756-807-90)",11.73,11.73,,,0
NDC,70842-160-01,NDC Description Not Available,15.49,15.49,,,0
NDC,70860-100-41,NDC Description Not Available,32.88,32.88,,,0
NDC,70860-605-03,Dexmedetomidine: 25 VIAL in 1 CARTON (70860-605-03)  / 2 mL in 1 VIAL (70860-605-41),42.26,42.26,,,0
NDC,70860-776-41,NDC Description Not Available,5.48,5.48,,,0
NDC,70954-051-10,Felbamate: 237 Ml In 1 Bottle (70954-051-10),9.629999999999999,9.629999999999999,,,0
NDC,70954-059-10,Prednisone: 100 Tablet In 1 Bottle (70954-059-10),0.7,0.7,,,0
NDC,70954-140-10,Levocarnitine: 118 Ml In 1 Bottle (70954-140-10),15.2,15.2,,,0
NDC,70954-148-10,Pyridostigmine: 473 Ml In 1 Bottle (70954-148-10),30.39,30.39,,,0
NDC,70954-151-10,Naproxen Oral Suspension: 500 Ml In 1 Bottle (70954-151-10),43.84,43.84,,,0
NDC,70954-188-10,Acyclovir: 473 Ml In 1 Bottle (70954-188-10),10.38,10.38,,,0
NDC,70954-319-10,Paroxetine: 250 Ml In 1 Bottle (70954-319-10),112.63,112.63,,,0
NDC,70954-492-10,Levocarnitine: 90 Blister Pack In 1 Carton (70954-492-10)  / 10 Tablet In 1 Blister Pack,9.995000000000001,9.995000000000001,,,0
NDC,70954-496-10,Nitrofurantoin: 230 Ml In 1 Bottle (70954-496-10),178.91,178.91,,,0
NDC,70954-565-10,Estradiol: 100 Tablet In 1 Bottle (70954-565-10),6.35,6.35,,,0
NDC,70954-600-10,"Fluoxetine Hydrochloride: 120 Ml In 1 Bottle, Plastic (70954-600-10)",18.29,18.29,,,0
NDC,70954-852-20,Levofloxacin: 200 Ml In 1 Bottle (70954-852-20),85.75,85.75,,,0
NDC,70954-934-10,Nitazoxanide: 6 Tablet In 1 Bottle (70954-934-10),687.0550000000001,687.0550000000001,,,0
NDC,71083-0020-5,"Nephroscan: 5 Vial, Single-Dose In 1 Carton (71083-0020-5)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (71083-0020-1)",3534.18,3534.18,,,0
NDC,71127-1000-1,"Sevenfact: 1 Kit In 1 Package (71127-1000-1)  *  1 Ml In 1 Vial, Single-Dose (71127-1100-1)  *  1.1 Ml In 1 Syringe (71127-1200-1)",12.81,12.81,,,0
NDC,71127-5000-1,"Sevenfact: 1 Kit In 1 Package (71127-5000-1)  *  5 Ml In 1 Vial, Single-Dose (71127-5100-1)  *  5.2 Ml In 1 Syringe (71127-5200-1)",12.81,12.81,,,0
NDC,71266-6290-1,NDC Description Not Available,61.545,61.545,,,0
NDC,71285-0202-1,NDC Description Not Available,197.22,197.22,,,0
NDC,71285-0419-1,NDC Description Not Available,383.72,383.72,,,0
NDC,71285-0422-1,NDC Description Not Available,321.45,321.45,,,0
NDC,71286-2010-2,NDC Description Not Available,105.35,105.35,,,0
NDC,71286-3022-1,NDC Description Not Available,48.86,48.86,,,0
NDC,71286-6011-1,NDC Description Not Available,30.17,30.17,,,0
NDC,71288-016-15,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (71288-016-15)  / 10 Ml In 1 Vial, Single-Dose",0.435,0.435,,,0
NDC,71288-028-10,NDC Description Not Available,2.08,2.08,,,0
NDC,71288-033-75,"Ampicillin And Sulbactam: 1 Bottle In 1 Carton (71288-033-75)  / 1 Injection, Powder, For Solution In 1 Bottle",28.07,28.07,,,0
NDC,71288-113-10,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-113-10)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",43.7,43.7,,,0
NDC,71288-115-30,"Azacitidine: 1 Vial, Single-Dose In 1 Carton (71288-115-30)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",3.2049999999999996,3.2049999999999996,,,0
NDC,71288-116-10,NDC Description Not Available,4.495,4.495,,,0
NDC,71288-116-11,"Busulfan: 8 Vial, Single-Dose In 1 Carton (71288-116-11)  / 10 Ml In 1 Vial, Single-Dose (71288-116-10)",4.42,4.42,,,0
NDC,71288-129-02,"Dactinomycin: 1 Vial, Single-Dose In 1 Carton (71288-129-02)  / 1 Ml In 1 Vial, Single-Dose",3076.07,3076.07,,,0
NDC,71288-157-10,"Thiotepa: 1 Vial, Single-Dose In 1 Carton (71288-157-10)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",32.83,32.83,,,0
NDC,71288-165-54,"Nelarabine: 1 Vial, Single-Dose In 1 Carton (71288-165-54)  / 50 Ml In 1 Vial, Single-Dose (71288-165-52)",193.98,193.98,,,0
NDC,71288-203-02,NDC Description Not Available,1.33,1.33,,,0
NDC,71288-203-10,NDC Description Not Available,1.37,1.37,,,0
NDC,71288-303-01,NDC Description Not Available,33.19,33.19,,,0
NDC,71288-400-02,NDC Description Not Available,16.19,16.19,,,0
NDC,71288-402-01,NDC Description Not Available,23.38,23.38,,,0
NDC,71288-402-02,"Heparin Sodium: 25 Vial, Single-Dose In 1 Carton (71288-402-02)  / 1 Ml In 1 Vial, Single-Dose (71288-402-01)",17.04,17.04,,,0
NDC,71288-402-11,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Carton (71288-402-11)  / 10 Ml In 1 Vial, Multi-Dose (71288-402-10)",4.19,4.19,,,0
NDC,71288-402-30,NDC Description Not Available,5.0,5.0,,,0
NDC,71288-403-01,NDC Description Not Available,6.85,6.85,,,0
NDC,71288-409-05,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (71288-409-05)  / 5 Ml In 1 Vial, Single-Dose",2.585,2.585,,,0
NDC,71288-426-03,"Enoxaparin Sodium: 1 Vial, Multi-Dose In 1 Carton (71288-426-03)  / 3 Ml In 1 Vial, Multi-Dose",23.82,23.82,,,0
NDC,71288-427-10,NDC Description Not Available,1.08,1.08,,,0
NDC,71288-432-80,NDC Description Not Available,13.39,13.39,,,0
NDC,71288-433-82,NDC Description Not Available,10.61,10.61,,,0
NDC,71288-433-83,Enoxaparin Sodium: 10 Syringe In 1 Carton (71288-433-83)  / .4 Ml In 1 Syringe (71288-433-82),10.74,10.74,,,0
NDC,71288-434-84,NDC Description Not Available,8.21,8.21,,,0
NDC,71288-435-86,NDC Description Not Available,7.14,7.14,,,0
NDC,71288-435-87,Enoxaparin Sodium: 10 Syringe In 1 Carton (71288-435-87)  / .8 Ml In 1 Syringe (71288-435-86),7.14,7.14,,,0
NDC,71288-505-02,NDC Description Not Available,42.63,42.63,,,0
NDC,71288-600-10,NDC Description Not Available,30.41,30.41,,,0
NDC,71288-700-05,NDC Description Not Available,32.03,32.03,,,0
NDC,71288-712-05,NDC Description Not Available,28.0,28.0,,,0
NDC,71288-718-10,NDC Description Not Available,30.39,30.39,,,0
NDC,71288-718-11,"Rocuronium Bromide: 10 Vial, Multi-Dose In 1 Carton (71288-718-11)  / 10 Ml In 1 Vial, Multi-Dose (71288-718-10)",36.3,36.3,,,0
NDC,71288-721-11,"Bupivacaine Hydrochloride: 1 Vial, Single-Dose In 1 Carton (71288-721-11)  / 10 Ml In 1 Vial, Single-Dose",0.7949999999999999,0.7949999999999999,,,0
NDC,71288-737-10,NDC Description Not Available,0.8,0.8,,,0
NDC,71288-803-20,NDC Description Not Available,3.48,3.48,,,0
NDC,71288-803-21,"Mycophenolate Mofetil: 4 Vial, Single-Dose In 1 Carton (71288-803-21)  / 20 Ml In 1 Vial, Single-Dose (71288-803-20)",2.75,2.75,,,0
NDC,7132180230,NDC Description Not Available,32.55,32.55,,,0
NDC,71390-011-00,NDC Description Not Available,14.77,14.77,,,0
NDC,71399-0122-2,Medpura Vitamin A And D Vitamin A And D: 1 Tube In 1 Carton (71399-0122-2)  / 56 G In 1 Tube,20.83,20.83,,,0
NDC,71399-0122-4,Medpura Vitamin A And D Vitamin A And D: 113 G In 1 Tube (71399-0122-4),23.59,23.59,,,0
NDC,71399-0125-8,"Diphenhydramine Hcl: 236 Ml In 1 Bottle, Plastic (71399-0125-8)",11.84,11.84,,,0
NDC,71399-1014-2,"Low Dose Aspirin: 120 Tablet, Coated In 1 Bottle (71399-1014-2)",1.02,1.02,,,0
NDC,71399-5101-2,Hydrophor: 100 G In 1 Jar (71399-5101-2),34.724999999999994,34.724999999999994,,,0
NDC,7139974015,NDC Description Not Available,14.13,14.13,,,0
NDC,7139974805,NDC Description Not Available,12.485,12.485,,,0
NDC,71656-061-16,Glycopyrrolate: 1 Bottle In 1 Bottle (71656-061-16)  / 473 Ml In 1 Bottle,17.885,17.885,,,0
NDC,71699-050-30,"Xcopri: 30 Tablet, Film Coated In 1 Bottle (71699-050-30)",258.235,258.235,,,0
NDC,71740-112-30,"Sski: 1 Bottle, With Applicator In 1 Carton (71740-112-30)  / 30 Ml In 1 Bottle, With Applicator",17.205,17.205,,,0
NDC,71837-5843-1,NDC Description Not Available,369.89,369.89,,,0
NDC,72078-034-00,NDC Description Not Available,162.06,162.06,,,0
NDC,72078-034-01,"Ultiva: 10 Vial, Glass In 1 Carton (72078-034-01)  / 3 Ml In 1 Vial, Glass (72078-034-00)",149.97,149.97,,,0
NDC,72078-035-00,NDC Description Not Available,315.34,315.34,,,0
NDC,72078-035-02,"Ultiva: 10 Vial, Glass In 1 Carton (72078-035-02)  / 5 Ml In 1 Vial, Glass (72078-035-00)",266.61,266.61,,,0
NDC,7214003147,NDC Description Not Available,102.91499999999999,102.91499999999999,,,0
NDC,7214003868,NDC Description Not Available,38.42,38.42,,,0
NDC,7214011047,NDC Description Not Available,11.879999999999999,11.879999999999999,,,0
NDC,7214045231,NDC Description Not Available,37.695,37.695,,,0
NDC,7214063386,NDC Description Not Available,108.24,108.24,,,0
NDC,72196-0419-1,NDC Description Not Available,383.72,383.72,,,0
NDC,72196-0422-1,NDC Description Not Available,374.63,374.63,,,0
NDC,72196-6011-1,NDC Description Not Available,31.09,31.09,,,0
NDC,72205-043-11,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (72205-043-11)  / 10 Capsule In 1 Blister Pack,22.31,22.31,,,0
NDC,72205-044-11,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (72205-044-11)  / 10 Capsule In 1 Blister Pack,24.235,24.235,,,0
NDC,72205-045-01,"Thiotepa: 1 Vial, Glass In 1 Box (72205-045-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",53.92,53.92,,,0
NDC,72205-046-01,"Thiotepa: 1 Vial, Glass In 1 Box (72205-046-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",204.59,204.59,,,0
NDC,72205-051-08,Albendazole: 2 Tablet In 1 Bottle (72205-051-08),158.625,158.625,,,0
NDC,72205-099-78,"Sirolimus: 1 Bottle, Glass In 1 Carton (72205-099-78)  / 60 Ml In 1 Bottle, Glass",45.32,45.32,,,0
NDC,72205-168-60,"Posaconazole: 60 Tablet, Coated In 1 Bottle (72205-168-60)",12.9,12.9,,,0
NDC,72266-101-01,Dexrazoxane: 1 Vial In 1 Carton (72266-101-01)  / 50 Ml In 1 Vial,406.475,406.475,,,0
NDC,72266-118-01,NDC Description Not Available,11.325,11.325,,,0
NDC,72266-131-01,"Voriconazole: 1 Vial, Single-Dose In 1 Carton (72266-131-01)  / 20 Ml In 1 Vial, Single-Dose",6.98,6.98,,,0
NDC,72266-159-01,NDC Description Not Available,76.88,76.88,,,0
NDC,72266-234-01,NDC Description Not Available,24.82,24.82,,,0
NDC,72266-234-25,Ketorolac Tromethamine: 25 Vial In 1 Carton (72266-234-25)  / 1 Ml In 1 Vial (72266-234-01),24.994999999999997,24.994999999999997,,,0
NDC,72266-235-01,Dexrazoxane: 1 Vial In 1 Carton (72266-235-01)  / 25 Ml In 1 Vial,348.27,348.27,,,0
NDC,72266-237-01,NDC Description Not Available,0.92,0.92,,,0
NDC,72266-237-05,Doxycycline: 5 Vial In 1 Carton (72266-237-05)  / 10 Ml In 1 Vial (72266-237-01),0.59,0.59,,,0
NDC,72266-253-01,Cisplatin: 1 Vial In 1 Carton (72266-253-01)  / 100 Ml In 1 Vial,26.34,26.34,,,0
NDC,72319-023-02,"Posaconazole: 60 Tablet, Delayed Release In 1 Bottle (72319-023-02)",43.0,43.0,,,0
NDC,72485-101-01,NDC Description Not Available,34.81,34.81,,,0
NDC,72485-105-01,"Sodium Nitroprusside: 1 Vial, Single-Dose In 1 Carton (72485-105-01)  / 2 Ml In 1 Vial, Single-Dose",69.26,69.26,,,0
NDC,72485-107-01,"Tranexamic Acid: 1 Vial, Glass In 1 Carton (72485-107-01)  / 10 Ml In 1 Vial, Glass",39.48,39.48,,,0
NDC,72485-107-10,"Tranexamic Acid: 10 Vial, Glass In 1 Carton (72485-107-10)  / 10 Ml In 1 Vial, Glass",33.18,33.18,,,0
NDC,72485-116-01,NDC Description Not Available,74.83,74.83,,,0
NDC,72485-415-01,NDC Description Not Available,2.89,2.89,,,0
NDC,72485-415-04,Mycophenolate Mofetil: 4 Vial In 1 Carton (72485-415-04)  / 20 Ml In 1 Vial,2.82,2.82,,,0
NDC,72485-423-01,NDC Description Not Available,11.58,11.58,,,0
NDC,72485-501-01,NDC Description Not Available,19.5,19.5,,,0
NDC,72485-501-10,Milrinone Lactate: 10 Vial In 1 Carton (72485-501-10)  / 10 Ml In 1 Vial (72485-501-01),19.89,19.89,,,0
NDC,72485-507-01,NDC Description Not Available,19.63,19.63,,,0
NDC,72485-507-25,"Thiamine: 25 Vial, Multi-Dose In 1 Carton (72485-507-25)  / 2 Ml In 1 Vial, Multi-Dose (72485-507-01)",37.11,37.11,,,0
NDC,72485-510-01,NDC Description Not Available,29.17,29.17,,,0
NDC,72485-670-31,Erythromycin: 50 Tube In 1 Carton (72485-670-31)  / 1 G In 1 Tube,40.89,40.89,,,0
NDC,72578-056-16,Felbamate: 90 Tablet In 1 Bottle (72578-056-16),13.225000000000001,13.225000000000001,,,0
NDC,72578-089-04,Nystatin: 30 G In 1 Tube (72578-089-04),86.62,86.62,,,0
NDC,72578-170-01,Dexamethasone: 100 Tablet In 1 Bottle (72578-170-01),1.19,1.19,,,0
NDC,72603-133-01,NDC Description Not Available,4.45,4.45,,,0
NDC,72603-152-01,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (72603-152-01)  / 10 Ml In 1 Vial, Single-Dose",0.31,0.31,,,0
NDC,72603-171-01,Famotidine: 50 Ml In 1 Bottle (72603-171-01),16.76,16.76,,,0
NDC,72603-180-01,NDC Description Not Available,33.53,33.53,,,0
NDC,72603-180-10,"Norepinephrine Bitartrate: 10 Vial, Single-Dose In 1 Carton (72603-180-10)  / 4 Ml In 1 Vial, Single-Dose (72603-180-01)",36.21,36.21,,,0
NDC,72603-192-01,"Ofloxacin: 5 Ml In 1 Bottle, Dropper (72603-192-01)",81.19,81.19,,,0
NDC,72603-212-01,Dexamethasone: 100 Mg In 1 Bottle (72603-212-01),3.07,3.07,,,0
NDC,72603-219-01,NDC Description Not Available,0.24,0.24,,,0
NDC,72603-221-01,NDC Description Not Available,31.84,31.84,,,0
NDC,72603-251-01,NDC Description Not Available,0.36,0.36,,,0
NDC,72603-305-01,"Lacosamide: 200 Ml In 1 Bottle, Plastic (72603-305-01)",16.585,16.585,,,0
NDC,72603-335-01,"Ampicillin And Sulbactam: 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (72603-335-01)",26.42,26.42,,,0
NDC,72603-363-01,NDC Description Not Available,15.37,15.37,,,0
NDC,72603-363-10,"Ampicillin: 10 Vial In 1 Carton (72603-363-10)  / 1 Injection, Powder, For Solution In 1 Vial (72603-363-01)",16.34,16.34,,,0
NDC,72603-387-01,NDC Description Not Available,25.24,25.24,,,0
NDC,72603-474-01,NDC Description Not Available,2.49,2.49,,,0
NDC,72603-578-01,"Ampicillin: 10 Vial, Pharmacy Bulk Package In 1 Box (72603-578-01)  / 100 Ml In 1 Vial, Pharmacy Bulk Package",15.04,15.04,,,0
NDC,72611-716-01,"Dexrazoxane: 1 Vial, Single-Dose In 1 Carton (72611-716-01)  / 50 Ml In 1 Vial, Single-Dose",382.6,382.6,,,0
NDC,72694-515-01,"Asparlas: 1 Vial, Single-Use In 1 Carton (72694-515-01)  / 5 Ml In 1 Vial, Single-Use",416.35,416.35,,,0
NDC,72789-326-77,"Tizanidine: 150 Tablet In 1 Bottle, Plastic (72789-326-77)",9.185,9.185,,,0
NDC,72888-026-01,Lamotrigine: 100 Tablet In 1 Bottle (72888-026-01),2.07,2.07,,,0
NDC,72888-125-26,Lidocaine Hydrochloride: 100 Ml In 1 Bottle (72888-125-26),12.97,12.97,,,0
NDC,72893-001-01,Evomela: 1 Vial In 1 Carton (72893-001-01)  / 20 Ml In 1 Vial,132.16,132.16,,,0
NDC,72990-103-03,NDC Description Not Available,53.33,53.33,,,0
NDC,73070-100-11,"Insulin Aspart: 1 Vial, Glass In 1 Carton (73070-100-11)  / 10 Ml In 1 Vial, Glass",1.26,1.26,,,0
NDC,73177-101-02,NDC Description Not Available,53.25,53.25,,,0
NDC,73177-102-01,NDC Description Not Available,53.15,53.15,,,0
NDC,73177-104-05,NDC Description Not Available,122.85,122.85,,,0
NDC,73177-105-01,NDC Description Not Available,46.48,46.48,,,0
NDC,73177-105-30,NDC Description Not Available,116.86,116.86,,,0
NDC,73177-108-03,NDC Description Not Available,6.685,6.685,,,0
NDC,73177-110-12,NDC Description Not Available,44.94,44.94,,,0
NDC,73177-116-02,NDC Description Not Available,27.51,27.51,,,0
NDC,73177-118-03,NDC Description Not Available,44.51,44.51,,,0
NDC,73177-123-02,NDC Description Not Available,68.62,68.62,,,0
NDC,73177-146-33,NDC Description Not Available,3.7,3.7,,,0
NDC,73177-149-02,NDC Description Not Available,185.3,185.3,,,0
NDC,73177-149-43,NDC Description Not Available,283.175,283.175,,,0
NDC,73177-156-02,NDC Description Not Available,49.27,49.27,,,0
NDC,73177-163-33,NDC Description Not Available,3.84,3.84,,,0
NDC,73562-104-10,Viokace: 1 Bottle In 1 Carton (73562-104-10)  / 100 Tablet In 1 Bottle,42.364999999999995,42.364999999999995,,,0
NDC,73562-110-01,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-110-01)",36.55,36.55,,,0
NDC,73562-111-01,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-111-01)",53.22,53.22,,,0
NDC,73562-112-01,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-112-01)",60.02,60.02,,,0
NDC,73562-113-01,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-113-01)",26.85,26.85,,,0
NDC,73562-114-01,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-114-01)",117.5,117.5,,,0
NDC,73562-116-01,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-116-01)",78.765,78.765,,,0
NDC,7430000070,NDC Description Not Available,27.09,27.09,,,0
NDC,7431200640,NDC Description Not Available,12.8,12.8,,,0
NDC,7431202832,NDC Description Not Available,5.095,5.095,,,0
NDC,7431207961,NDC Description Not Available,2.205,2.205,,,0
NDC,75826-114-10,"Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle, Plastic (75826-114-10)",13.47,13.47,,,0
NDC,75834-158-01,Verapamil Hydrochloride: 100 Tablet In 1 Bottle (75834-158-01),12.52,12.52,,,0
NDC,75834-295-01,Erythromycin Ethylsuccinate: 100 Ml In 1 Bottle (75834-295-01),23.27,23.27,,,0
NDC,7583401060,NDC Description Not Available,12.75,12.75,,,0
NDC,7583402001,NDC Description Not Available,9.115,9.115,,,0
NDC,75907-069-01,"Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle, Plastic (75907-069-01)",11.82,11.82,,,0
NDC,76014-003-10,"Bloxiverz: 10 CARTON in 1 PACKAGE (76014-003-10)  / 1 VIAL, MULTI-DOSE in 1 CARTON (76014-003-33)  / 10 mL in 1 VIAL, MULTI-DOSE",6.2,6.2,,,0
NDC,76045-004-01,NDC Description Not Available,39.31,39.31,,,0
NDC,76045-204-00,NDC Description Not Available,38.16,38.16,,,0
NDC,76125-792-25,Albuked: 1 Vial In 1 Carton (76125-792-25)  / 50 Ml In 1 Vial (76125-792-26),221.08,221.08,,,0
NDC,76204-011-05,NDC Description Not Available,7.33,7.33,,,0
NDC,76204-100-01,Ipratropium Bromide: 30 Pouch In 1 Carton (76204-100-01)  / 1 Ampule In 1 Pouch / 2.5 Ml In 1 Ampule,12.96,12.96,,,0
NDC,76204-200-01,Albuterol Sulfate: 30 Pouch In 1 Carton (76204-200-01)  / 1 Ampule In 1 Pouch / 3 Ml In 1 Ampule,4.45,4.45,,,0
NDC,76204-600-01,Ipratropium Bromide And Albuterol Sulfate: 30 Pouch In 1 Carton (76204-600-01)  / 1 Ampule In 1 Pouch / 3 Ml In 1 Ampule,14.54,14.54,,,0
NDC,76204-800-01,Levalbuterol: 30 Pouch In 1 Carton (76204-800-01)  / 1 Ampule In 1 Pouch (76204-800-11)  / 3 Ml In 1 Ampule,17.37,17.37,,,0
NDC,76204-800-11,NDC Description Not Available,17.26,17.26,,,0
NDC,76204-900-11,NDC Description Not Available,20.01,20.01,,,0
NDC,7620402260,NDC Description Not Available,14.58,14.58,,,0
NDC,76282-704-45,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (76282-704-45),22.825000000000003,22.825000000000003,,,0
NDC,76297-001-42,NDC Description Not Available,48.29,48.29,,,0
NDC,76310-024-15,NDC Description Not Available,211.85,211.85,,,0
NDC,76329-1240-1,Phytonadione: 1 Syringe In 1 Carton (76329-1240-1)  / .5 Ml In 1 Syringe,160.68,160.68,,,0
NDC,76329-3011-5,"Lidocaine Hydrochloride: 25 Vial, Single-Use In 1 Box (76329-3011-5)  / 5 Ml In 1 Vial, Single-Use",43.31,43.31,,,0
NDC,76329-3012-5,"Lidocaine Hydrochloride: 25 Vial, Single-Use In 1 Box (76329-3012-5)  / 5 Ml In 1 Vial, Single-Use",40.88,40.88,,,0
NDC,76329-3302-1,Dextrose Monohydrate: 1 Syringe In 1 Carton (76329-3302-1)  / 50 Ml In 1 Syringe,59.12,59.12,,,0
NDC,76329-3304-1,Calcium Chloride: 10 Syringe In 1 Package (76329-3304-1)  / 10 Ml In 1 Syringe,137.06,137.06,,,0
NDC,76329-3316-1,Epinephrine: 10 VIAL in 1 PACKAGE (76329-3316-1)  / 10 mL in 1 VIAL,13.74,13.74,,,0
NDC,76329-3318-1,Epinephrine: 10 Carton In 1 Package (76329-3318-1)  / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,13.84,13.84,,,0
NDC,76329-3352-1,Sodium Bicarbonate: 1 Syringe In 1 Carton (76329-3352-1)  / 50 Ml In 1 Syringe,52.13,52.13,,,0
NDC,76329-6300-5,Lidocaine Hydrochloride: 25 Vial In 1 Carton (76329-6300-5)  / 4 Ml In 1 Vial,157.78,157.78,,,0
NDC,76329-9060-0,Epinephrine: 1 Vial In 1 Carton (76329-9060-0)  / 30 Ml In 1 Vial,5.7,5.7,,,0
NDC,76388-880-25,Tabloid: 1 Bottle In 1 Carton (76388-880-25)  / 25 Tablet In 1 Bottle,141.81,141.81,,,0
NDC,77333-049-20,"Aspirin 81Mg: 150 Blister Pack In 1 Carton (77333-049-20)  / 1 Tablet, Chewable In 1 Blister Pack (77333-049-25)",1.06,1.06,,,0
NDC,77333-049-25,NDC Description Not Available,0.835,0.835,,,0
NDC,77333-812-10,"Simethicone 80Mg: 100 Blister Pack In 1 Box (77333-812-10)  / 1 Tablet, Chewable In 1 Blister Pack (77333-812-25)",12.364999999999998,12.364999999999998,,,0
NDC,77333-812-25,NDC Description Not Available,11.82,11.82,,,0
NDC,7733352025,NDC Description Not Available,11.4,11.4,,,0
NDC,7733386125,NDC Description Not Available,12.565000000000001,12.565000000000001,,,0
NDC,7733393425,NDC Description Not Available,13.01,13.01,,,0
NDC,7733393710,NDC Description Not Available,4.88,4.88,,,0
NDC,7733393725,NDC Description Not Available,6.01,6.01,,,0
NDC,7733394025,NDC Description Not Available,9.15,9.15,,,0
NDC,7733398310,NDC Description Not Available,12.54,12.54,,,0
NDC,7733398325,NDC Description Not Available,12.18,12.18,,,0
NDC,7811273623,NDC Description Not Available,32.58,32.58,,,0
NDC,78206-162-01,"Renflexis: 1 Vial In 1 Carton (78206-162-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (78206-162-99)",234.465,234.465,,,0
NDC,78206-162-99,NDC Description Not Available,240.26,240.26,,,0
NDC,79802-200-30,Rezurock: 1 Bottle In 1 Carton (79802-200-30)  / 30 Tablet In 1 Bottle,3981.03,3981.03,,,0
NDC,7985401163,NDC Description Not Available,12.32,12.32,,,0
NDC,80196-291-14,NDC Description Not Available,11.614999999999998,11.614999999999998,,,0
NDC,8065183085,NDC Description Not Available,1516.03,1516.03,,,0
NDC,8068101000,NDC Description Not Available,13.91,13.91,,,0
NDC,8068104100,NDC Description Not Available,5.91,5.91,,,0
NDC,8068104900,NDC Description Not Available,12.27,12.27,,,0
NDC,8068109700,NDC Description Not Available,3.355,3.355,,,0
NDC,8068111600,NDC Description Not Available,11.82,11.82,,,0
NDC,8068113100,NDC Description Not Available,6.6,6.6,,,0
NDC,8068114000,NDC Description Not Available,5.35,5.35,,,0
NDC,8068115500,NDC Description Not Available,19.36,19.36,,,0
NDC,8068116900,NDC Description Not Available,6.155,6.155,,,0
NDC,8068117400,NDC Description Not Available,6.779999999999999,6.779999999999999,,,0
NDC,80725-630-25,Tabloid: 1 Bottle In 1 Carton (80725-630-25)  / 25 Tablet In 1 Bottle,2777.945,2777.945,,,0
NDC,80830-1188-1,NDC Description Not Available,2.29,2.29,,,0
NDC,80830-1691-1,NDC Description Not Available,44.07,44.07,,,0
NDC,80830-2362-1,NDC Description Not Available,0.59,0.59,,,0
NDC,80830-2362-9,Calcium Gluconate: 24 Pouch In 1 Carton (80830-2362-9)  / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,0.59,0.59,,,0
NDC,80830-2365-1,NDC Description Not Available,0.8,0.8,,,0
NDC,81005-125-01,Metolazone: 100 Tablet In 1 Bottle (81005-125-01),12.3,12.3,,,0
NDC,81033-002-05,NDC Description Not Available,14.5,14.5,,,0
NDC,81033-220-52,"Potassium Chloride: 5 Tray In 1 Case (81033-220-52)  / 10 Cup, Unit-Dose In 1 Tray / 15 Ml In 1 Cup, Unit-Dose (81033-220-15)",28.365,28.365,,,0
NDC,81284-152-00,NDC Description Not Available,27.77,27.77,,,0
NDC,81284-411-00,NDC Description Not Available,224.53,224.53,,,0
NDC,81284-611-00,NDC Description Not Available,24.27,24.27,,,0
NDC,81284-611-10,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (81284-611-10)  / 10 Ml In 1 Vial, Single-Dose (81284-611-00)",28.58,28.58,,,0
NDC,81298-7500-1,"Methadone Hydrochloride: 1 Vial, Glass In 1 Carton (81298-7500-1)  / 20 Ml In 1 Vial, Glass",60.99,60.99,,,0
NDC,8137003601,NDC Description Not Available,41.785,41.785,,,0
NDC,8137003640,NDC Description Not Available,11.335,11.335,,,0
NDC,81964-221-14,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Coated In 1 Bottle (81964-221-14)",14.62,14.62,,,0
NDC,82260-734-05,"Fluorescein Sodium And Benoxinate Hydrochloride: 1 Bottle, Glass In 1 Carton (82260-734-05)  / 5 Ml In 1 Bottle, Glass",151.59,151.59,,,0
NDC,82347-0505-5,Lidocaine 5%: 30 Pouch In 1 Package (82347-0505-5)  / 14 G In 1 Pouch (82347-0505-4),24.715,24.715,,,0
NDC,8290306424,NDC Description Not Available,0.98,0.98,,,0
NDC,8290306499,NDC Description Not Available,65.73,65.73,,,0
NDC,8290306545,NDC Description Not Available,84.21,84.21,,,0
NDC,8290306546,NDC Description Not Available,29.1,29.1,,,0
NDC,8290306553,NDC Description Not Available,57.535,57.535,,,0
NDC,83090-011-01,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (83090-011-01)  / 10 Ml In 1 Vial, Single-Dose",0.23500000000000001,0.23500000000000001,,,0
NDC,83257-005-41,Fulphila: 1 Syringe In 1 Carton (83257-005-41)  / .6 Ml In 1 Syringe,799.745,799.745,,,0
NDC,8349030760,NDC Description Not Available,17.36,17.36,,,0
NDC,83634-100-99,Ampicillin: 1 Bottle In 1 Carton (83634-100-99)  / 100 Ml In 1 Bottle,17.93,17.93,,,0
NDC,83634-400-10,"Bivalirudin: 10 Vial, Single-Dose In 1 Carton (83634-400-10)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (83634-400-41)",1.03,1.03,,,0
NDC,83634-400-41,NDC Description Not Available,1.03,1.03,,,0
NDC,83634-500-41,NDC Description Not Available,14.31,14.31,,,0
NDC,83634-500-81,Magnesium Sulfate In Water: 24 Pouch In 1 Carton (83634-500-81)  / 1 Bag In 1 Pouch (83634-500-41)  / 50 Ml In 1 Bag,11.61,11.61,,,0
NDC,83634-777-05,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (83634-777-05)  / 5 Ml In 1 Vial, Single-Dose",8.63,8.63,,,0
NDC,83851-100-30,C20H10Na2O5 Fluorescein Sodium Ophthalmic Strips: 300 Packet In 1 Box (83851-100-30)  / 1 Mg In 1 Packet,14.58,14.58,,,0
NDC,87040203,NDC Description Not Available,12.805,12.805,,,0
NDC,87040501,NDC Description Not Available,12.030000000000001,12.030000000000001,,,0
NDC,87086644,NDC Description Not Available,23.55,23.55,,,0
NDC,8770140065,NDC Description Not Available,8.915000000000001,8.915000000000001,,,0
NDC,8770140072,NDC Description Not Available,5.57,5.57,,,0
NDC,8770140073,NDC Description Not Available,23.21,23.21,,,0
NDC,8770142917,NDC Description Not Available,12.75,12.75,,,0
NDC,904052361,NDC Description Not Available,11.145,11.145,,,0
NDC,904053061,NDC Description Not Available,12.0,12.0,,,0
NDC,904188361,NDC Description Not Available,12.11,12.11,,,0
NDC,904208560,NDC Description Not Available,5.37,5.37,,,0
NDC,904506260,NDC Description Not Available,5.95,5.95,,,0
NDC,904522452,NDC Description Not Available,9.235,9.235,,,0
NDC,904582360,NDC Description Not Available,7.414999999999999,7.414999999999999,,,0
NDC,904598463,NDC Description Not Available,35.13,35.13,,,0
NDC,904723961,NDC Description Not Available,10.04,10.04,,,0
NDC,904759161,NDC Description Not Available,10.94,10.94,,,0
NDC,97344038787,NDC Description Not Available,12.21,12.21,,,0
NDC,9999-1019-54,NDC Description Not Available,16.19,16.19,,,0
NDC,9999-1999-22,NDC Description Not Available,19.560000000000002,19.560000000000002,,,0
NDC,9999-2003-67,NDC Description Not Available,0.07,0.07,,,0
NDC,9999-2003-68,NDC Description Not Available,1.0,1.0,,,0
NDC,9999-2003-98,NDC Description Not Available,1.0,1.0,,,0
NDC,9999-2004-42,NDC Description Not Available,1.0,1.0,,,0
NDC,9999-2004-43,NDC Description Not Available,1.0,1.0,,,0
NDC,9999-2004-66,NDC Description Not Available,0.5,0.5,,,0
NDC,9999-2004-67,NDC Description Not Available,1.0,1.0,,,0
NDC,9999-2006-52,NDC Description Not Available,1.0,1.0,,,0
NDC,9999-6165-15,NDC Description Not Available,1.0,1.0,,,0
NDC,9999-6169-68,NDC Description Not Available,0.11,0.11,,,0
NDC,9999-6170-52,NDC Description Not Available,0.17,0.17,,,0
NDC,9999-6173-73,NDC Description Not Available,1.0,1.0,,,0
NDC,9999-6183-34,NDC Description Not Available,0.5,0.5,,,0
NDC,9999-6183-45,NDC Description Not Available,1.0,1.0,,,0
NDC,99999-1010-35,NDC Description Not Available,36.38,36.38,,,0
RC,250,"1 BOTTLE, DROPPER in 1 CARTON (0065-0303-55)  / 5 mL in 1 BOTTLE, DROPPER",322.38,322.38,,,0
RC,250,1 TUBE in 1 CARTON (0023-0240-04)  / 3.5 g in 1 TUBE,63.26,63.26,,,0
RC,250,100 TABLET in 1 BOTTLE (57896-201-01),9.37,9.37,,,0
RC,250,473 mL in 1 BOTTLE (0121-1680-16),15.38,15.38,,,0
RC,250,Acd-A: 1000 Ml In 1 Bag (0942-0641-04),75.98,75.98,,,0
RC,250,Acetaminophen For Children: 100 Blister Pack In 1 Carton (45802-732-33)  / 1 Suppository In 1 Blister Pack,1.06,1.06,,,0
RC,250,Acetaminophen For Children: 12 Blister Pack In 1 Carton (45802-732-30)  / 1 Suppository In 1 Blister Pack,1.11,1.11,,,0
RC,250,Acetaminophen Pain Reliever Fever Reducer: 1 Suppository In 1 Blister Pack (45802-730-00),1.22,1.22,,,0
RC,250,Acetaminophen Pain Reliever Fever Reducer: 50 Blister Pack In 1 Carton (45802-730-32)  / 1 Suppository In 1 Blister Pack,1.11,1.11,,,0
RC,250,"Acetaminophen: 10 Blister Pack In 1 Box, Unit-Dose (0904-6730-61)  / 10 Tablet In 1 Blister Pack",9.35,9.35,,,0
RC,250,"Acetaminophen: 10 Blister Pack In 1 Box, Unit-Dose (0904-6773-61)  / 10 Tablet In 1 Blister Pack",0.58,0.58,,,0
RC,250,"Acetaminophen: 10 Tray In 1 Case (68094-231-61)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-231-59)",1.17,1.17,,,0
RC,250,Acetazolamide: 100 Blister Pack In 1 Carton (0904-6663-61)  / 1 Tablet In 1 Blister Pack,15.14,15.14,,,0
RC,250,Acetazolamide: 50 Blister Pack In 1 Box (50268-054-15)  / 1 Tablet In 1 Blister Pack (50268-054-11),26.76,26.76,,,0
RC,250,Acetylcysteine: 3 Vial In 1 Carton (0409-3308-03)  / 30 Ml In 1 Vial (0409-3308-11),21.95,21.95,,,0
RC,250,Acetylcysteine: 3 Vial In 1 Carton (63323-690-30)  / 30 Ml In 1 Vial (63323-690-22),38.66,38.66,,,0
RC,250,Acetylcysteine: 3 Vial In 1 Carton (63323-692-10)  / 10 Ml In 1 Vial (63323-692-22),50.66,50.66,,,0
RC,250,Actidose: 120 Ml In 1 Tube (0574-0520-74),91.41,91.41,,,0
RC,250,Acyclovir: 100 Blister Pack In 1 Carton (0904-5789-61)  / 1 Capsule In 1 Blister Pack,8.4,8.4,,,0
RC,250,Acyclovir: 100 Capsule In 1 Bottle (69076-146-01),7.97,7.97,,,0
RC,250,"Acyclovir: 50 Blister Pack In 1 Bottle, Unit-Dose (50268-062-15)  / 1 Tablet In 1 Blister Pack (50268-062-11)",14.58,14.58,,,0
RC,250,"Adderall Xr: 100 Capsule, Extended Release In 1 Bottle (54092-381-01)",51.68,51.68,,,0
RC,250,"Adderall Xr: 100 Capsule, Extended Release In 1 Bottle (54092-383-01)",54.17,54.17,,,0
RC,250,"Afrin Original: 1 Bottle, Spray In 1 Carton (11523-1167-6)  / 15 Ml In 1 Bottle, Spray",46.6,46.6,,,0
RC,250,"Albendazole 200 Mg: 2 Tablet, Film Coated In 1 Bottle (31722-935-02)",194.94,194.94,,,0
RC,250,Albendazole: 2 Tablet In 1 Bottle (72205-051-08),158.2,158.2,,,0
RC,250,"Albuterol Sulfate Hfa: 1 Inhaler In 1 Carton (66993-019-68)  / 200 Aerosol, Metered In 1 Inhaler",184.12,184.12,,,0
RC,250,"Albuterol Sulfate: 1 Canister In 1 Carton (68180-963-01)  / 200 Aerosol, Metered In 1 Canister",165.61,165.61,,,0
RC,250,Alcaine: 1 Bottle In 1 Carton (0998-0016-15)  / 15 Ml In 1 Bottle,197.06,197.06,,,0
RC,250,"Allopurinol: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-796-10)  / 10 TABLET in 1 BLISTER PACK",12.01,12.01,,,0
RC,250,Allopurinol: 100 Blister Pack In 1 Carton (0904-6572-61)  / 1 Tablet In 1 Blister Pack,11.22,11.22,,,0
RC,250,Allopurinol: 100 Blister Pack In 1 Carton (0904-7041-61)  / 1 Tablet In 1 Blister Pack,6.4,6.4,,,0
RC,250,Allopurinol: 100 Blister Pack In 1 Carton (51079-205-20)  / 1 Tablet In 1 Blister Pack (51079-205-01),13.19,13.19,,,0
RC,250,Alprazolam: 100 Tablet In 1 Bottle (59762-3720-1),2.84,2.84,,,0
RC,250,Amantadine Hydrochloride: 473 Ml In 1 Bottle (0121-0646-16),1.24,1.24,,,0
RC,250,"Amantadine Hydrochloride: 473 Ml In 1 Bottle, Plastic (39328-530-16)",2.35,2.35,,,0
RC,250,"Ambrisentan: 30 Tablet, Film Coated In 1 Bottle (0591-2405-30)",212.33,212.33,,,0
RC,250,"Ambrisentan: 30 Tablet, Film Coated In 1 Bottle (47335-236-83)",57.03,57.03,,,0
RC,250,"Ambrisentan: 30 Tablet, Film Coated In 1 Bottle (70710-1179-3)",38.99,38.99,,,0
RC,250,"Ambrisentan: 30 Tablet, Film Coated In 1 Bottle, Plastic (69097-386-02)",67.28,67.28,,,0
RC,250,Amiloride Hydrochloride: 100 Tablet In 1 Bottle (0574-0292-01),5.22,5.22,,,0
RC,250,"Aminocaproic Acid: 236.5 Ml In 1 Bottle, Plastic (52817-815-08)",183.31,183.31,,,0
RC,250,"Aminocaproic Acid: 25 Vial, Multi-Dose In 1 Tray (0517-9120-25)  / 20 Ml In 1 Vial, Multi-Dose",27.64,27.64,,,0
RC,250,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (29300-419-01)",11.12,11.12,,,0
RC,250,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (70756-201-11)",11.68,11.68,,,0
RC,250,Amjevita: 1 Syringe In 1 Carton (55513-481-01)  / .8 Ml In 1 Syringe,8255.12,8255.12,,,0
RC,250,Amjevita: 1 Syringe In 1 Carton (55513-482-01)  / .4 Ml In 1 Syringe,4145.76,4145.76,,,0
RC,250,Amjevita: 2 Syringe In 1 Carton (55513-481-02)  / .8 Ml In 1 Syringe,8248.59,8248.59,,,0
RC,250,Amjevita: 2 Syringe In 1 Carton (55513-482-02)  / .4 Ml In 1 Syringe,4145.76,4145.76,,,0
RC,250,"Amlodipine Besylate: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-631-10)  / 10 TABLET in 1 BLISTER PACK",12.84,12.84,,,0
RC,250,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6369-61)  / 1 Tablet In 1 Blister Pack,11.14,11.14,,,0
RC,250,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6370-61)  / 1 Tablet In 1 Blister Pack,9.91,9.91,,,0
RC,250,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6371-61)  / 1 Tablet In 1 Blister Pack,11.92,11.92,,,0
RC,250,Amoxicillin And Clavulanate Potassium: 125 Ml In 1 Bottle (16714-294-02),13.19,13.19,,,0
RC,250,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Chewable In 1 Bottle (0093-2272-34)",40.28,40.28,,,0
RC,250,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Coated In 1 Bottle (81964-221-14)",14.62,14.62,,,0
RC,250,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (42571-161-42)",14.97,14.97,,,0
RC,250,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (65862-503-20)",14.1,14.1,,,0
RC,250,Amoxicillin And Clavulanate Potassium: 200 Ml In 1 Bottle (0143-9853-24),18.59,18.59,,,0
RC,250,"Amoxicillin And Clavulanate Potassium: 28 Tablet, Multilayer, Extended Release In 1 Bottle (0781-1943-82)",39.3,39.3,,,0
RC,250,Amoxicillin And Clavulanate Potassium: 50 Ml In 1 Bottle (16714-293-01),14.59,14.59,,,0
RC,250,Amoxicillin And Clavulanate Potassium: 75 Ml In 1 Bottle (16714-294-01),14.24,14.24,,,0
RC,250,Amoxicillin: 100 Capsule In 1 Bottle (16714-298-01),7.82,7.82,,,0
RC,250,Amoxicillin: 100 Capsule In 1 Bottle (16714-299-03),8.33,8.33,,,0
RC,250,Amoxicillin: 100 Capsule In 1 Bottle (65862-016-01),4.18,4.18,,,0
RC,250,Amoxicillin: 100 Ml In 1 Bottle (65862-071-01),12.86,12.86,,,0
RC,250,"Amoxicillin: 100 Tablet, Chewable In 1 Bottle (0093-2268-01)",5.98,5.98,,,0
RC,250,Analgesic Balm: 1 Tube In 1 Box (57896-116-03)  / 85 G In 1 Tube,26.05,26.05,,,0
RC,250,"Anti Diarrheal: 24 Blister Pack In 1 Carton (0904-7725-24)  / 1 Tablet, Film Coated In 1 Blister Pack",11.38,11.38,,,0
RC,250,Antibiotic Bacitracin Zinc: 1 Tube In 1 Carton (49348-154-72)  / 28.4 G In 1 Tube,20.8,20.8,,,0
RC,250,Antifungal: 1 TUBE in 1 CARTON (0472-0735-14)  / 14 g in 1 TUBE,16.11,16.11,,,0
RC,250,Aplicare Povidone-Iodine: 1 G In 1 Packet (52380-0126-2),5.71,5.71,,,0
RC,250,Aplisol: 1 Vial In 1 Carton (42023-104-01)  / 1 Ml In 1 Vial,95.28,95.28,,,0
RC,250,Aptiom: 30 Tablet In 1 Bottle (63402-202-30),279.22,279.22,,,0
RC,250,Aptiom: 60 Tablet In 1 Bottle (63402-206-60),267.7,267.7,,,0
RC,250,"Arava: 1 Bottle In 1 Carton (0088-2160-30)  / 30 Tablet, Film Coated In 1 Bottle",241.34,241.34,,,0
RC,250,Aripiprazole: 1 Bottle In 1 Carton (60505-0404-5)  / 150 Ml In 1 Bottle,59.14,59.14,,,0
RC,250,Aripiprazole: 1 Bottle In 1 Carton (65162-893-74)  / 150 Ml In 1 Bottle,32.03,32.03,,,0
RC,250,Aripiprazole: 30 Blister Pack In 1 Carton (0904-6509-04)  / 1 Tablet In 1 Blister Pack,150.05,150.05,,,0
RC,250,Aripiprazole: 30 Blister Pack In 1 Carton (0904-7366-04)  / 1 Tablet In 1 Blister Pack,18.22,18.22,,,0
RC,250,"Aripiprazole: 50 Blister Pack In 1 Box, Unit-Dose (50268-088-15)  / 1 Tablet In 1 Blister Pack (50268-088-11)",14.42,14.42,,,0
RC,250,"Aripiprazole: 50 Blister Pack In 1 Box, Unit-Dose (50268-089-15)  / 1 Tablet In 1 Blister Pack (50268-089-11)",7.37,7.37,,,0
RC,250,Arnuity Ellipta: 1 Inhaler In 1 Carton (0173-0874-14)  / 14 Powder In 1 Inhaler,447.61,447.61,,,0
RC,250,Artificial Tears: 1 TUBE in 1 CARTON (17478-062-35)  / 3.5 g in 1 TUBE,49.31,49.31,,,0
RC,250,"Ascor: 1 Vial, Glass In 1 Carton (67157-101-50)  / 50 Ml In 1 Vial, Glass",129.38,129.38,,,0
RC,250,"Aspirin 81Mg: 150 Blister Pack In 1 Carton (77333-049-20)  / 1 Tablet, Chewable In 1 Blister Pack (77333-049-25)",1.06,1.06,,,0
RC,250,Aspirin Chewable: 30 Blister Pack In 1 Box (63739-434-02)  / 10 Tablet In 1 Blister Pack,0.97,0.97,,,0
RC,250,"Aspirin Low Dose Chewable Orange: 300 Blister Pack In 1 Carton (0904-6794-30)  / 1 Tablet, Chewable In 1 Blister Pack",0.93,0.93,,,0
RC,250,"Aspirin: 1 Bottle, Plastic In 1 Carton (0536-1054-29)  / 100 Tablet, Film Coated In 1 Bottle, Plastic",0.62,0.62,,,0
RC,250,Aspirin: 12 Packet In 1 Carton (0574-7034-12)  / 1 Suppository In 1 Packet,1.48,1.48,,,0
RC,250,"Asthmanefrin: 30 Pouch In 1 Carton (0487-2784-01)  / 1 Vial, Single-Use In 1 Pouch / .5 Ml In 1 Vial, Single-Use",24.35,24.35,,,0
RC,250,Atenolol: 100 Blister Pack In 1 Carton (0904-7187-61)  / 1 Tablet In 1 Blister Pack,12.18,12.18,,,0
RC,250,Atenolol: 100 Blister Pack In 1 Carton (51079-759-20)  / 1 Tablet In 1 Blister Pack (51079-759-01),6.91,6.91,,,0
RC,250,Atomoxetine: 30 Capsule In 1 Bottle (16714-758-01),21.89,21.89,,,0
RC,250,Atomoxetine: 30 Capsule In 1 Bottle (31722-717-30),23.09,23.09,,,0
RC,250,Atomoxetine: 30 Capsule In 1 Bottle (42291-064-30),16.17,16.17,,,0
RC,250,Atomoxetine: 30 Capsule In 1 Bottle (42291-065-30),20.27,20.27,,,0
RC,250,Atomoxetine: 30 Capsule In 1 Bottle (42291-066-30),12.42,12.42,,,0
RC,250,"Atorvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6290-61)  / 1 Tablet, Film Coated In 1 Blister Pack",9.38,9.38,,,0
RC,250,Atovaquone: 1 Bottle In 1 Carton (69452-252-87)  / 210 Ml In 1 Bottle,11.09,11.09,,,0
RC,250,"Atropine: 1 Bottle, Dropper In 1 Carton (60219-1749-3)  / 5 Ml In 1 Bottle, Dropper",221.38,221.38,,,0
RC,250,"Atropine: 1 Bottle, Dropper In 1 Carton (60505-6226-1)  / 5 Ml In 1 Bottle, Dropper",233.03,233.03,,,0
RC,250,"Atrovent Hfa: 1 Canister In 1 Carton (0597-0087-17)  / 200 Aerosol, Metered In 1 Canister",2174.25,2174.25,,,0
RC,250,"Azelastine Hydrochloride: 1 Bottle, Spray In 1 Carton (42291-094-30)  / 30 Ml In 1 Bottle, Spray",77.02,77.02,,,0
RC,250,"Azelastine Hydrochloride: 1 Bottle, Spray In 1 Carton (59651-214-30)  / 200 Spray, Metered In 1 Bottle, Spray",15.09,15.09,,,0
RC,250,"Azithromycin Dihydrate: 50 Blister Pack In 1 Box (50268-074-15)  / 1 Tablet, Film Coated In 1 Blister Pack (50268-074-11)",11.75,11.75,,,0
RC,250,"Azithromycin: 100 Blister Pack In 1 Carton (0904-7350-61)  / 1 Tablet, Film Coated In 1 Blister Pack",16.13,16.13,,,0
RC,250,"Azithromycin: 50 Blister Pack In 1 Carton (0904-7350-06)  / 1 Tablet, Film Coated In 1 Blister Pack",12.62,12.62,,,0
RC,250,Azulfidine: 1 Bottle In 1 Carton (0013-0101-10)  / 100 Tablet In 1 Bottle,17.91,17.91,,,0
RC,250,BROMOCRIPTINE MESYLATE: 30 TABLET in 1 BOTTLE (63304-962-30),18.82,18.82,,,0
RC,250,Bacitracin Zinc And Polymyxin B Sulfate: 1 Tube In 1 Carton (24208-555-55)  / 3.5 G In 1 Tube,43.07,43.07,,,0
RC,250,Bacitracin Zinc: 1 Tube In 1 Box (0536-1263-28)  / 28 G In 1 Tube,17.89,17.89,,,0
RC,250,Bacitracin Zinc: 1 Tube In 1 Box (58980-011-10)  / 28.35 G In 1 Tube,25.4,25.4,,,0
RC,250,Bacitracin: 28.4 G In 1 Tube (0713-0280-31),16.4,16.4,,,0
RC,250,Baclofen: 1 Bottle In 1 Carton (52536-600-11)  / 120 Ml In 1 Bottle,56.91,56.91,,,0
RC,250,Baclofen: 1 Bottle In 1 Carton (62559-204-12)  / 120 Ml In 1 Bottle,63.78,63.78,,,0
RC,250,"Baclofen: 10 Blister Pack In 1 Box, Unit-Dose (63739-480-10)  / 10 Tablet In 1 Blister Pack",12.28,12.28,,,0
RC,250,Baclofen: 100 Blister Pack In 1 Carton (0904-6476-61)  / 1 Tablet In 1 Blister Pack,10.14,10.14,,,0
RC,250,Baclofen: 100 Tablet In 1 Bottle (0172-4096-60),8.0,8.0,,,0
RC,250,Baclofen: 100 Tablet In 1 Bottle (59651-394-01),7.54,7.54,,,0
RC,250,Benzonatate: 100 Blister Pack In 1 Carton (0904-7153-61)  / 1 Capsule In 1 Blister Pack,13.67,13.67,,,0
RC,250,Benzonatate: 100 Capsule In 1 Bottle (42806-714-01),12.83,12.83,,,0
RC,250,"Benztropine Mesylate: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (60687-368-01)  / 1 TABLET in 1 BLISTER PACK (60687-368-11)",13.01,13.01,,,0
RC,250,Benztropine Mesylate: 100 Blister Pack In 1 Carton (0904-7289-61)  / 1 Tablet In 1 Blister Pack,12.12,12.12,,,0
RC,250,Betadine Solution: 118 Ml In 1 Bottle (67618-150-04),18.3,18.3,,,0
RC,250,Betamethasone Dipropionate: 1 Tube In 1 Carton (45802-376-35)  / 15 G In 1 Tube,24.82,24.82,,,0
RC,250,Betamethasone Dipropionate: 1 Tube In 1 Carton (51672-1310-1)  / 15 G In 1 Tube,137.38,137.38,,,0
RC,250,Betamethasone Valerate: 15 G In 1 Tube (0168-0033-15),57.57,57.57,,,0
RC,250,Bethanechol Chloride: 100 Blister Pack In 1 Carton (0832-0512-01)  / 1 Tablet In 1 Blister Pack (0832-0512-89),12.38,12.38,,,0
RC,250,Bioglo: 100 Packet In 1 Box (17238-900-11)  / 1 Mg In 1 Packet (17238-900-99),13.11,13.11,,,0
RC,250,"Bisacodyl: 10 Blister Pack In 1 Box (0904-6407-61)  / 10 Tablet, Delayed Release In 1 Blister Pack",0.53,0.53,,,0
RC,250,Bisacodyl: 12 Blister Pack In 1 Carton (0574-7050-12)  / 1 Suppository In 1 Blister Pack,1.24,1.24,,,0
RC,250,Bisacodyl: 50 Blister Pack In 1 Carton (0574-7050-50)  / 1 Suppository In 1 Blister Pack,1.15,1.15,,,0
RC,250,"Bismatrol: 5 BLISTER PACK in 1 CARTON (0904-1315-46)  / 6 TABLET, CHEWABLE in 1 BLISTER PACK",6.46,6.46,,,0
RC,250,"Bosentan: 60 Tablet, Coated In 1 Bottle (68382-446-14)",47.73,47.73,,,0
RC,250,Breo Ellipta: 1 Tray In 1 Carton (0173-0859-14)  / 1 Inhaler In 1 Tray / 14 Powder In 1 Inhaler,406.32,406.32,,,0
RC,250,Brevibloc: 10 Bag In 1 Carton (10019-075-87)  / 100 Ml In 1 Bag,856.64,856.64,,,0
RC,250,Brimonidine Tartrate: 1 Bottle In 1 Carton (70069-231-01)  / 5 Ml In 1 Bottle,34.55,34.55,,,0
RC,250,"Briviact: 1 Bottle In 1 Carton (50474-370-66)  / 60 Tablet, Film Coated In 1 Bottle",161.13,161.13,,,0
RC,250,Briviact: 1 Bottle In 1 Carton (50474-870-15)  / 300 Ml In 1 Bottle,70.79,70.79,,,0
RC,250,"Briviact: 100 Blister Pack In 1 Carton (50474-770-09)  / 1 Tablet, Film Coated In 1 Blister Pack",167.1,167.1,,,0
RC,250,"Bromocriptine Mesylate: 30 Tablet In 1 Bottle, Plastic (0574-0106-03)",28.05,28.05,,,0
RC,250,"Bss Plus: 1 Kit In 1 Package (0065-0800-50)  *  480 Ml In 1 Bottle, Glass *  20 Ml In 1 Vial, Single-Dose",397.43,397.43,,,0
RC,250,Bss: 15 Ml In 1 Bottle (0065-0795-15),49.66,49.66,,,0
RC,250,"Budesonide: 100 Capsule, Coated Pellets In 1 Bottle (16714-829-01)",22.99,22.99,,,0
RC,250,"Budesonide: 30 Tablet, Extended Release In 1 Bottle (68682-309-30)",240.77,240.77,,,0
RC,250,Budesonide: 6 Pouch In 1 Carton (0487-9701-01)  / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,62.09,62.09,,,0
RC,250,Bumetanide: 100 Tablet In 1 Bottle (69238-1489-1),10.39,10.39,,,0
RC,250,Bumetanide: 50 Blister Pack In 1 Box (50268-131-15)  / 1 Tablet In 1 Blister Pack (50268-131-11),12.75,12.75,,,0
RC,250,"Bupropion Hydrochloride Sr: 60 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (50228-174-60)",13.1,13.1,,,0
RC,250,"Bupropion Hydrochloride Xl: 30 Blister Pack In 1 Carton (0904-7084-04)  / 1 Tablet, Extended Release In 1 Blister Pack",13.68,13.68,,,0
RC,250,"Bupropion Hydrochloride: 30 Tablet, Extended Release In 1 Bottle (16729-443-10)",9.51,9.51,,,0
RC,250,Buspirone Hydrochloride: 100 Blister Pack In 1 Carton (0904-7122-61)  / 1 Tablet In 1 Blister Pack,4.58,4.58,,,0
RC,250,Buspirone Hydrochloride: 100 Tablet In 1 Bottle (0093-0053-01),7.58,7.58,,,0
RC,250,C20H10Na2O5 Fluorescein Sodium Ophthalmic Strips: 300 Packet In 1 Box (83851-100-30)  / 1 Mg In 1 Packet,14.58,14.58,,,0
RC,250,"Caffeine And Sodium Benzoate: 10 Vial, Single-Dose In 1 Box (0517-2502-10)  / 2 Ml In 1 Vial, Single-Dose (0517-2502-01)",194.43,194.43,,,0
RC,250,"Calcitriol: 1 Bottle, Glass In 1 Carton (0054-3120-41)  / 15 Ml In 1 Bottle, Glass",38.36,38.36,,,0
RC,250,"Calcitriol: 1 Bottle, Glass In 1 Carton (64980-447-15)  / 15 Ml In 1 Bottle, Glass",102.72,102.72,,,0
RC,250,Calcitriol: 100 Capsule In 1 Container (64380-724-06),8.7,8.7,,,0
RC,250,"Calcitriol: 100 Capsule, Liquid Filled In 1 Bottle, Plastic (69452-208-20)",8.54,8.54,,,0
RC,250,Calcium Acetate: 200 Capsule In 1 Bottle (69097-862-83),13.19,13.19,,,0
RC,250,Calcium Carbonate: 12 Bottle In 1 Case (0121-0766-16)  / 473 Ml In 1 Bottle,5.11,5.11,,,0
RC,250,"Calcium Carbonate: 4 Tray In 1 Case (0121-4766-05)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose",17.28,17.28,,,0
RC,250,"Calcium Chloride: 10 Carton In 1 Container (0409-1631-10)  / 1 Syringe, Plastic In 1 Carton (0409-1631-40)  / 10 Ml In 1 Syringe, Plastic",34.88,34.88,,,0
RC,250,Capsaicin External Analgesic: 1 Tube In 1 Carton (50268-195-60)  / 60 G In 1 Tube,26.91,26.91,,,0
RC,250,Capsaicin: 1 Tube In 1 Carton (0536-2525-25)  / 60 G In 1 Tube,41.43,41.43,,,0
RC,250,Captopril: 100 BLISTER PACK in 1 CARTON (0904-5045-61)  / 1 TABLET in 1 BLISTER PACK,13.07,13.07,,,0
RC,250,Captopril: 100 Blister Pack In 1 Carton (0904-7106-61)  / 1 Tablet In 1 Blister Pack,12.53,12.53,,,0
RC,250,Cardene IV: 10 CARTON in 1 BOX (10122-325-10)  / 1 BAG in 1 CARTON (10122-325-01)  / 200 mL in 1 BAG,494.51,494.51,,,0
RC,250,Cardene Iv: 10 Bag In 1 Carton (43066-016-10)  / 200 Ml In 1 Bag,419.06,419.06,,,0
RC,250,"Carnitor Sf: 24 Bottle, Plastic In 1 Case (54482-148-01)  / 118 Ml In 1 Bottle, Plastic",19.73,19.73,,,0
RC,250,Carospir: 473 Ml In 1 Bottle (46287-020-01),41.71,41.71,,,0
RC,250,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7305-61)  / 1 Tablet, Film Coated In 1 Blister Pack",8.09,8.09,,,0
RC,250,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7308-61)  / 1 Tablet, Film Coated In 1 Blister Pack",11.1,11.1,,,0
RC,250,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68382-095-01)",11.58,11.58,,,0
RC,250,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6300-61)",5.26,5.26,,,0
RC,250,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6303-61)",11.96,11.96,,,0
RC,250,Cefdinir: 1 Bottle In 1 Carton (65862-219-60)  / 60 Ml In 1 Bottle,16.66,16.66,,,0
RC,250,Cefdinir: 100 Ml In 1 Bottle (68180-723-05),15.41,15.41,,,0
RC,250,Cefdinir: 60 Ml In 1 Bottle (67877-548-98),16.07,16.07,,,0
RC,250,Celecoxib: 100 Blister Pack In 1 Carton (0904-6502-61)  / 1 Capsule In 1 Blister Pack,14.77,14.77,,,0
RC,250,Celecoxib: 60 Capsule In 1 Bottle (60505-3847-6),13.29,13.29,,,0
RC,250,Celecoxib: 60 Capsule In 1 Bottle (65862-907-60),12.34,12.34,,,0
RC,250,Cephalexin: 100 Capsule In 1 Bottle (65862-019-01),10.03,10.03,,,0
RC,250,Cephalexin: 100 Capsule In 1 Bottle (67877-220-01),9.12,9.12,,,0
RC,250,Cephalexin: 200 Ml In 1 Bottle (0093-4177-74),15.84,15.84,,,0
RC,250,Cephalexin: 50 Blister Pack In 1 Carton (0904-7337-06)  / 1 Capsule In 1 Blister Pack,13.01,13.01,,,0
RC,250,Cetirizine Hydrochloride Oral Solution: 120 Ml In 1 Bottle (62135-057-41),7.36,7.36,,,0
RC,250,Cetirizine Hydrochloride: 100 Tablet In 1 Bottle (16571-401-10),6.7,6.7,,,0
RC,250,"Cetirizine: 100 Blister Pack In 1 Carton (0904-6717-61)  / 1 Tablet, Film Coated In 1 Blister Pack",11.59,11.59,,,0
RC,250,"Childrens Ibuprofen Oral Suspension: 100 Cup, Unit-Dose In 1 Case (63739-798-10)  / 5 Ml In 1 Cup, Unit-Dose (63739-798-01)",10.31,10.31,,,0
RC,250,"Childrens Ibuprofen Oral Suspension: 5 Ml In 1 Cup, Unit-Dose (63739-798-01)",10.59,10.59,,,0
RC,250,Childrens Loratadine Oral: 1 Bottle In 1 Carton (0904-6767-20)  / 120 Ml In 1 Bottle,13.07,13.07,,,0
RC,250,"Childrens Mapap: 1 Bottle, Plastic In 1 Carton (0904-5791-46)  / 30 Tablet, Chewable In 1 Bottle, Plastic",3.63,3.63,,,0
RC,250,"Chlorhexidine Gluconate: 4 Tray In 1 Case (0121-0893-40)  / 10 Cup, Unit-Dose In 1 Tray / 15 Ml In 1 Cup, Unit-Dose (0121-0893-15)",18.87,18.87,,,0
RC,250,Cholestyramine: 60 Packet In 1 Carton (49884-465-65)  / 9 G In 1 Packet (49884-465-64),52.75,52.75,,,0
RC,250,Cholestyramine: 9 G In 1 Pouch (42806-265-98),12.82,12.82,,,0
RC,250,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (64380-883-04)",13.3,13.3,,,0
RC,250,"Cipro: 1 Kit In 1 Kit (50419-773-01)  *  100 Ml In 1 Bottle, Glass *  100 Ml In 1 Bottle, Glass",12.74,12.74,,,0
RC,250,"Ciprofloxacin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (43598-326-75)  / 7.5 Ml In 1 Bottle, Dropper",283.78,283.78,,,0
RC,250,"Ciprofloxacin Hydrochloride: 1 Bottle, Plastic In 1 Carton (61314-656-25)  / 2.5 Ml In 1 Bottle, Plastic",35.3,35.3,,,0
RC,250,"Ciprofloxacin: 1 Bottle, Plastic In 1 Carton (69315-308-02)  / 2.5 Ml In 1 Bottle, Plastic",71.4,71.4,,,0
RC,250,"Ciprofloxacin: 100 Blister Pack In 1 Carton (0904-7243-61)  / 1 Tablet, Film Coated In 1 Blister Pack",8.4,8.4,,,0
RC,250,Ciprofloxacin: 100 Tablet In 1 Bottle (43547-688-10),9.89,9.89,,,0
RC,250,"Ciprofloxacin: 100 Tablet, Coated In 1 Bottle (58657-675-01)",6.74,6.74,,,0
RC,250,"Ciprofloxacin: 100 Tablet, Film Coated In 1 Bottle, Plastic (62135-308-01)",27.42,27.42,,,0
RC,250,"Ciprofloxacin: 50 Tablet, Film Coated In 1 Bottle (59651-873-50)",13.08,13.08,,,0
RC,250,"Ciprofloxacin: 50 Tablet, Film Coated In 1 Bottle (65862-078-50)",13.31,13.31,,,0
RC,250,Cisatracurium Besylate: 1 Vial In 1 Carton (70069-161-01)  / 10 Ml In 1 Vial,60.68,60.68,,,0
RC,250,"Citalopram: 100 Blister Pack In 1 Carton (0904-6084-61)  / 1 Tablet, Film Coated In 1 Blister Pack",11.84,11.84,,,0
RC,250,"Citalopram: 100 Blister Pack In 1 Carton (0904-6085-61)  / 1 Tablet, Film Coated In 1 Blister Pack",10.6,10.6,,,0
RC,250,Clarithromycin: 50 Ml In 1 Bottle (0781-6023-52),56.48,56.48,,,0
RC,250,"Clarithromycin: 60 Tablet, Film Coated In 1 Bottle (65862-225-60)",10.74,10.74,,,0
RC,250,Clindamycin Hydrochloride: 100 Blister Pack In 1 Carton (0904-5959-61)  / 1 Capsule In 1 Blister Pack,5.24,5.24,,,0
RC,250,"Clindamycin Palmitate Hydrochloride (Pediatric): 1 Bottle, Plastic In 1 Carton (16714-483-02)  / 100 Ml In 1 Bottle, Plastic",2.19,2.19,,,0
RC,250,Clobazam: 1 Bottle In 1 Carton (59651-401-12)  / 120 Ml In 1 Bottle,4.67,4.67,,,0
RC,250,Clobazam: 1 Bottle In 1 Carton (67877-658-61)  / 120 Ml In 1 Bottle,18.81,18.81,,,0
RC,250,"Clobazam: 1 Bottle, Glass In 1 Carton (16714-087-01)  / 120 Ml In 1 Bottle, Glass",25.08,25.08,,,0
RC,250,Clobazam: 100 Tablet In 1 Bottle (69238-1305-1),9.98,9.98,,,0
RC,250,"Clobazam: 30 Blister Pack In 1 Box, Unit-Dose (60687-423-21)  / 1 Tablet In 1 Blister Pack (60687-423-11)",19.11,19.11,,,0
RC,250,Clobetasol Propionate: 1 Tube In 1 Carton (42291-076-15)  / 15 G In 1 Tube,19.27,19.27,,,0
RC,250,"Clonazepam: 100 Blister Pack In 1 Box, Unit-Dose (60687-544-01)  / 1 Tablet In 1 Blister Pack (60687-544-11)",13.41,13.41,,,0
RC,250,"Clonazepam: 100 Blister Pack In 1 Box, Unit-Dose (60687-555-01)  / 1 Tablet In 1 Blister Pack (60687-555-11)",12.52,12.52,,,0
RC,250,Clonazepam: 100 Blister Pack In 1 Carton (0904-7728-61)  / 1 Tablet In 1 Blister Pack,13.02,13.02,,,0
RC,250,"Clonazepam: 100 Tablet In 1 Bottle, Plastic (16729-136-00)",10.88,10.88,,,0
RC,250,"Clonazepam: 60 Blister Pack In 1 Carton (0093-9291-67)  / 1 Tablet, Orally Disintegrating In 1 Blister Pack",12.52,12.52,,,0
RC,250,"Clonazepam: 60 Blister Pack In 1 Carton (62332-364-06)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack",17.07,17.07,,,0
RC,250,"Clonazepam: 60 Blister Pack In 1 Carton (62332-365-06)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack",13.57,13.57,,,0
RC,250,"Clonazepam: 60 Blister Pack In 1 Carton (62332-366-06)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack",15.4,15.4,,,0
RC,250,"Clonazepam: 60 Blister Pack In 1 Carton (62332-367-06)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack",14.1,14.1,,,0
RC,250,"Clonazepam: 60 Tablet, Orally Disintegrating In 1 Blister Pack (49884-306-02)",14.01,14.01,,,0
RC,250,"Clonazepam: 60 Tablet, Orally Disintegrating In 1 Blister Pack (49884-308-02)",10.64,10.64,,,0
RC,250,"Clonidine Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-113-01)  / 1 Tablet In 1 Blister Pack (60687-113-11)",11.24,11.24,,,0
RC,250,"Clonidine Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-124-01)  / 1 Tablet In 1 Blister Pack (60687-124-11)",12.48,12.48,,,0
RC,250,Clonidine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7442-61)  / 1 Tablet In 1 Blister Pack,11.21,11.21,,,0
RC,250,Clonidine Hydrochloride: 100 Tablet In 1 Bottle (0228-2127-10),9.62,9.62,,,0
RC,250,Clonidine Hydrochloride: 100 Tablet In 1 Bottle (62332-054-31),12.35,12.35,,,0
RC,250,"Clonidine Hydrochloride: 60 Tablet, Extended Release In 1 Bottle (27241-108-06)",19.87,19.87,,,0
RC,250,"Clonidine Transdermal System Usp, 0.1 Mg/Day: 4 Pouch In 1 Carton (52817-610-04)  / 1 Patch In 1 Pouch / 1 D In 1 Patch",57.84,57.84,,,0
RC,250,"Clonidine Transdermal System Usp, 0.2 Mg/Day: 4 Pouch In 1 Carton (52817-611-04)  / 1 Patch In 1 Pouch / 1 D In 1 Patch",103.47,103.47,,,0
RC,250,"Clonidine Transdermal System Usp, 0.3 Mg/Day: 4 Pouch In 1 Carton (52817-612-04)  / 1 Patch In 1 Pouch / 1 D In 1 Patch",109.49,109.49,,,0
RC,250,Clonidine: 4 Pouch In 1 Carton (0378-0872-99)  / 1 Patch In 1 Pouch (0378-0872-16)  / 7 D In 1 Patch,144.46,144.46,,,0
RC,250,Clonidine: 4 Pouch In 1 Carton (51862-453-04)  / 1 Patch In 1 Pouch (51862-453-01)  / 24 H In 1 Patch,98.0,98.0,,,0
RC,250,"Clonidine: 60 Tablet, Extended Release In 1 Bottle (50742-247-60)",13.02,13.02,,,0
RC,250,Clopidogrel: 10 Tablet In 1 Blister Pack (16714-052-10),12.05,12.05,,,0
RC,250,"Clopidogrel: 100 Blister Pack In 1 Carton (0904-6294-61)  / 1 Tablet, Film Coated In 1 Blister Pack",11.57,11.57,,,0
RC,250,"Clotrimazole: 1 Bottle, Plastic In 1 Carton (51672-1260-3)  / 30 Ml In 1 Bottle, Plastic",297.58,297.58,,,0
RC,250,Coartem: 24 Tablet In 1 Bottle (0078-0568-45),50.56,50.56,,,0
RC,250,"Colchicine: 30 Blister Pack In 1 Carton (0904-7120-04)  / 1 Tablet, Film Coated In 1 Blister Pack",39.36,39.36,,,0
RC,250,Collagenase Santyl: 1 Tube In 1 Carton (50484-010-30)  / 30 G In 1 Tube,1850.21,1850.21,,,0
RC,250,Corlanor: 28 Ampule In 1 Carton (55513-813-28)  / 5 Ml In 1 Ampule (55513-813-01),19.36,19.36,,,0
RC,250,"Creon: 1 Bottle In 1 Carton (0032-1203-70)  / 70 Capsule, Delayed Release In 1 Bottle",17.85,17.85,,,0
RC,250,"Creon: 1 Bottle In 1 Carton (0032-1206-01)  / 100 Capsule, Delayed Release Pellets In 1 Bottle",21.71,21.71,,,0
RC,250,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-0046-70)",20.48,20.48,,,0
RC,250,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-0047-70)",32.45,32.45,,,0
RC,250,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-1212-01)",31.95,31.95,,,0
RC,250,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-1224-01)",60.45,60.45,,,0
RC,250,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-2636-01)",62.48,62.48,,,0
RC,250,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-3016-13)",94.43,94.43,,,0
RC,250,"Creon: 70 Capsule, Delayed Release In 1 Bottle (0032-0045-70)",22.54,22.54,,,0
RC,250,Cresemba: 2 Blister Pack In 1 Carton (0469-0520-02)  / 7 Capsule In 1 Blister Pack,570.57,570.57,,,0
RC,250,Critic Aid Clear Af: 57 G In 1 Tube (11701-067-23),48.9,48.9,,,0
RC,250,Critic-Aid Clear: 71 G In 1 Tube (11701-083-33),42.39,42.39,,,0
RC,250,"Curosurf: 1.5 Ml In 1 Vial, Glass (10122-510-01)",2857.83,2857.83,,,0
RC,250,"Curosurf: 3 Ml In 1 Vial, Glass (10122-510-03)",5958.14,5958.14,,,0
RC,250,Cuvposa: 1 Bottle In 1 Carton (0259-0501-16)  / 473 Ml In 1 Bottle,21.93,21.93,,,0
RC,250,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-3422-01)",11.86,11.86,,,0
RC,250,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (29300-413-01)",10.69,10.69,,,0
RC,250,"Cyclogyl: 1 Bottle, Plastic In 1 Carton (0065-0396-02)  / 2 Ml In 1 Bottle, Plastic",195.01,195.01,,,0
RC,250,"Cyclogyl: 1 Bottle, Plastic In 1 Carton (0065-0397-02)  / 2 Ml In 1 Bottle, Plastic",245.6,245.6,,,0
RC,250,"Cyclomydril: 2 Ml In 1 Bottle, Plastic (0065-0359-02)",216.24,216.24,,,0
RC,250,"Cyclopentolate Hydrochloride: 1 BOTTLE, DROPPER in 1 CARTON (17478-100-02)  / 2 mL in 1 BOTTLE, DROPPER",37.82,37.82,,,0
RC,250,"Cyclopentolate Hydrochloride: 1 Bottle, Dropper In 1 Carton (24208-735-01)  / 2 Ml In 1 Bottle, Dropper",67.41,67.41,,,0
RC,250,Cyklokapron: 10 Vial In 1 Box (0013-1114-21)  / 10 Ml In 1 Vial (0013-1114-20),55.94,55.94,,,0
RC,250,Cyproheptadine Hydrochloride: 100 Tablet In 1 Bottle (70710-1110-1),12.21,12.21,,,0
RC,250,"Cyproheptadine Hydrochloride: 100 Tablet In 1 Bottle, Plastic (52817-210-10)",11.94,11.94,,,0
RC,250,Cyproheptadine Hydrochloride: 473 Ml In 1 Bottle (64980-504-48),13.8,13.8,,,0
RC,250,"Cyproheptadine Hydrochloride: 473 Ml In 1 Bottle, Glass (70752-101-12)",14.54,14.54,,,0
RC,250,Cyproheptadine Hydrochloride: 473 mL in 1 BOTTLE (66689-333-16),15.8,15.8,,,0
RC,250,Cyproheptadine Hydrochloride: 50 Blister Pack In 1 Box (50268-189-15)  / 1 Tablet In 1 Blister Pack (50268-189-11),14.22,14.22,,,0
RC,250,"DOXEPIN HYDROCHLORIDE: 118 mL in 1 BOTTLE, PLASTIC (60432-651-04)",12.67,12.67,,,0
RC,250,"Dasatinib: 60 Tablet, Film Coated In 1 Bottle (60505-3629-6)",483.07,483.07,,,0
RC,250,"Dash Chlorhexidine Gluconate 0.12% Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (69339-138-15)",17.31,17.31,,,0
RC,250,"Deferasirox: 30 Tablet In 1 Bottle, Plastic (70700-269-30)",11.67,11.67,,,0
RC,250,"Deferasirox: 30 Tablet In 1 Bottle, Plastic (70700-271-30)",17.82,17.82,,,0
RC,250,Defitelio: 2.5 Ml In 1 Vial (68727-800-01),5628.8,5628.8,,,0
RC,250,Defitelio: 25 Ml In 1 Carton (68727-800-02),4079.54,4079.54,,,0
RC,250,"Desmopressin Acetate: 1 Bottle, Spray In 1 Carton (60505-0815-0)  / 50 Spray In 1 Bottle, Spray",553.23,553.23,,,0
RC,250,"Desmopressin Acetate: 100 TABLET in 1 BOTTLE, PLASTIC (0591-2464-01)",36.43,36.43,,,0
RC,250,Desmopressin Acetate: 100 Tablet In 1 Bottle (23155-489-01),14.58,14.58,,,0
RC,250,Desmopressin Acetate: 100 Tablet In 1 Bottle (60505-0257-1),16.34,16.34,,,0
RC,250,Desmopressin Acetate: 30 Blister Pack In 1 Carton (60687-721-21)  / 1 Tablet In 1 Blister Pack (60687-721-11),22.71,22.71,,,0
RC,250,"Dexamethasone Sodium Phosphate: 1 Bottle, Dropper In 1 Carton (24208-720-02)  / 5 Ml In 1 Bottle, Dropper",278.13,278.13,,,0
RC,250,Dexmedetomidine Hydrochloride: 12 Bag In 1 Carton (0338-9557-12)  / 100 Ml In 1 Bag,81.81,81.81,,,0
RC,250,Dexmedetomidine Hydrochloride: 12 Pouch In 1 Carton (70121-1712-3)  / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,102.3,102.3,,,0
RC,250,Dexmedetomidine: 25 VIAL in 1 CARTON (70860-605-03)  / 2 mL in 1 VIAL (70860-605-41),42.26,42.26,,,0
RC,250,Dexmedetomidine: 25 Vial In 1 Carton (16729-239-93)  / 2 Ml In 1 Vial (16729-239-30),29.02,29.02,,,0
RC,250,Dexmedetomidine: 25 Vial In 1 Carton (55150-209-02)  / 2 Ml In 1 Vial,22.04,22.04,,,0
RC,250,"Dexmethylphenidate Hydrochloride: 100 Capsule, Extended Release In 1 Bottle, Plastic (0115-9918-01)",20.02,20.02,,,0
RC,250,Dexmethylphenidate Hydrochloride: 100 Tablet In 1 Bottle (10702-107-01),10.36,10.36,,,0
RC,250,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (16714-950-01)",14.14,14.14,,,0
RC,250,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (64850-500-01)",9.26,9.26,,,0
RC,250,Dextromethorphan Polistirex Extended Release: 1 Bottle In 1 Carton (45802-433-21)  / 89 Ml In 1 Bottle,14.01,14.01,,,0
RC,250,Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7622-00)  / 1000 Ml In 1 Container,110.99,110.99,,,0
RC,250,Dextrose And Sodium Chloride: 24 Container In 1 Case (0264-7623-20)  / 250 Ml In 1 Container,99.73,99.73,,,0
RC,250,Dextrose: 84 Container In 1 Case (0264-1510-31)  / 50 Ml In 1 Container,1.0,1.0,,,0
RC,250,Dianeal Low Calcium With Dextrose: 2000 Ml In 1 Bag (0941-0409-06),106.48,106.48,,,0
RC,250,Dianeal Low Calcium With Dextrose: 2000 Ml In 1 Bag (0941-0457-08),118.99,118.99,,,0
RC,250,Dianeal Low Calcium With Dextrose: 2000 Ml In 1 Bag (0941-0459-08),105.3,105.3,,,0
RC,250,Dianeal Low Calcium With Dextrose: 3000 Ml In 1 Bag (0941-0409-05),153.35,153.35,,,0
RC,250,Dianeal Low Calcium With Dextrose: 3000 Ml In 1 Bag (0941-0457-02),152.11,152.11,,,0
RC,250,Dianeal Low Calcium With Dextrose: 6000 Ml In 1 Bag (0941-0409-01),139.71,139.71,,,0
RC,250,Dianeal Low Calcium With Dextrose: 6000 Ml In 1 Bag (0941-0457-01),147.27,147.27,,,0
RC,250,Dianeal Low Calcium With Dextrose: 6000 Ml In 1 Bag (0941-0459-01),130.94,130.94,,,0
RC,250,Dianeal Pd-2 With Dextrose: 2000 Ml In 1 Bag (0941-0411-06),68.29,68.29,,,0
RC,250,Dianeal Pd-2 With Dextrose: 2000 Ml In 1 Bag (0941-0413-06),137.72,137.72,,,0
RC,250,Dianeal Pd-2 With Dextrose: 2000 Ml In 1 Bag (0941-0415-06),122.11,122.11,,,0
RC,250,Diazepam: 100 Blister Pack In 1 Carton (51079-284-20)  / 1 Tablet In 1 Blister Pack (51079-284-01),11.03,11.03,,,0
RC,250,Diazepam: 100 Blister Pack In 1 Carton (51079-285-20)  / 1 Tablet In 1 Blister Pack (51079-285-01),3.18,3.18,,,0
RC,250,Diazepam: 100 Tablet In 1 Bottle (0172-3925-60),9.47,9.47,,,0
RC,250,"Diazepam: 2 Syringe, Plastic In 1 Package (68682-650-20)  / .5 Ml In 1 Syringe, Plastic",962.35,962.35,,,0
RC,250,"Diazepam: 2 Syringe, Plastic In 1 Package (68682-652-20)  / 2 Ml In 1 Syringe, Plastic",548.64,548.64,,,0
RC,250,"Diazepam: 2 Syringe, Plastic In 1 Package (68682-655-20)  / 4 Ml In 1 Syringe, Plastic",597.19,597.19,,,0
RC,250,"Diazepam: 3 Tray In 1 Case (0121-0905-94)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0905-05)",15.13,15.13,,,0
RC,250,"Diazepam: 3 Tray In 1 Case (60687-755-86)  / 10 Cup, Unit-Dose In 1 Tray (60687-755-46)  / 5 Ml In 1 Cup, Unit-Dose (60687-755-40)",17.2,17.2,,,0
RC,250,"Diazepam: 500 Ml In 1 Bottle, Plastic (0054-3188-63)",12.68,12.68,,,0
RC,250,"Diazoxide: 1 Bottle, Dropper In 1 Carton (13517-100-30)  / 30 Ml In 1 Bottle, Dropper",17.47,17.47,,,0
RC,250,Diclofenac Sodium: 1 Tube In 1 Carton (58602-604-07)  / 100 G In 1 Tube,55.47,55.47,,,0
RC,250,"Dicyclomine Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-369-01)  / 1 Capsule In 1 Blister Pack (60687-369-11)",10.57,10.57,,,0
RC,250,Dicyclomine Hydrochloride: 100 Capsule In 1 Bottle (0527-0586-01),8.29,8.29,,,0
RC,250,Dicyclomine Hydrochloride: 473 Ml In 1 Bottle (0054-0622-63),3.31,3.31,,,0
RC,250,"Dicyclomine Hydrochloride: 473 Ml In 1 Bottle, Plastic (0603-1161-58)",4.06,4.06,,,0
RC,250,"Dificid: 1 Bottle In 1 Carton (52015-080-01)  / 20 Tablet, Film Coated In 1 Bottle",799.28,799.28,,,0
RC,250,Diflucan: 1 Bottle In 1 Carton (0049-3450-19)  / 35 Ml In 1 Bottle,17.02,17.02,,,0
RC,250,Digoxin: 1 Bottle In 1 Carton (69292-605-60)  / 60 Ml In 1 Bottle,15.91,15.91,,,0
RC,250,"Digoxin: 1 Bottle, Glass In 1 Carton (66689-327-02)  / 60 Ml In 1 Bottle, Glass",18.07,18.07,,,0
RC,250,Digoxin: 100 Blister Pack In 1 Carton (0904-5921-61)  / 1 Tablet In 1 Blister Pack,15.27,15.27,,,0
RC,250,Digoxin: 100 Blister Pack In 1 Carton (0904-5922-61)  / 1 Tablet In 1 Blister Pack,17.85,17.85,,,0
RC,250,"Dilantin Infatabs: 100 Blister Pack In 1 Box, Unit-Dose (0071-0007-40)  / 1 Tablet, Chewable In 1 Blister Pack",17.18,17.18,,,0
RC,250,"Diltiazem Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0378-0045-01)",11.94,11.94,,,0
RC,250,Diltiazem Hydrochloride: 100 Tablet In 1 Bottle (50228-482-01),12.28,12.28,,,0
RC,250,"Diltiazem Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-0319-01)",12.09,12.09,,,0
RC,250,Diovan: 30 Tablet In 1 Bottle (0078-0423-15),63.22,63.22,,,0
RC,250,"Diphenhydramine Hydrochloride And Lidocaine Hydrochloride And Aluminum Hydroxide And Magnesium Hydro: 1 Kit In 1 Container (65628-050-01)  *  236 Ml In 1 Bottle, Plastic *  .2 G In 1 Bottle, Glass *  ",29.9,29.9,,,0
RC,250,Diphenoxylate Hydrochloride And Atropine Sulfate: 100 Tablet In 1 Bottle (0406-1236-01),10.1,10.1,,,0
RC,250,Dipyridamole: 100 Tablet In 1 Bottle (0115-1070-01),14.87,14.87,,,0
RC,250,Dipyridamole: 100 Tablet In 1 Bottle (0115-1071-01),8.73,8.73,,,0
RC,250,Disopyramide Phosphate: 100 Capsule In 1 Bottle (0093-3127-01),14.02,14.02,,,0
RC,250,Diuril: 1 Bottle In 1 Carton (65649-311-12)  / 237 Ml In 1 Bottle,14.3,14.3,,,0
RC,250,"Divalproex Sodium: 100 Blister Pack In 1 Box, Unit-Dose (68084-313-01)  / 1 Capsule, Coated Pellets In 1 Blister Pack (68084-313-11)",10.71,10.71,,,0
RC,250,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-6860-61)  / 1 Tablet, Delayed Release In 1 Blister Pack",11.91,11.91,,,0
RC,250,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (62756-796-88)",6.33,6.33,,,0
RC,250,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle, Plastic (29300-140-01)",11.65,11.65,,,0
RC,250,"Docusate Sodium - Stool Softener Laxative: 10 Blister Pack In 1 Carton (0904-7183-61)  / 10 Capsule, Liquid Filled In 1 Blister Pack",11.98,11.98,,,0
RC,250,"Docusate Sodium: 10 Tray In 1 Case (0904-7279-72)  / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (0904-7279-66)",1.43,1.43,,,0
RC,250,"Dojolvi: 1 Bottle, Glass In 1 Carton (69794-050-50)  / 500 Ml In 1 Bottle, Glass",735.2,735.2,,,0
RC,250,"Domeboro: 12 Powder, For Solution In 1 Box (16864-240-01)",16.32,16.32,,,0
RC,250,"Dorzolamide Hcl: 1 Bottle, Dropper In 1 Carton (24208-485-10)  / 10 Ml In 1 Bottle, Dropper",81.02,81.02,,,0
RC,250,Dorzolamide Hydrochloride: 1 Bottle In 1 Carton (70069-501-01)  / 10 Ml In 1 Bottle,60.23,60.23,,,0
RC,250,Doxazosin: 100 Blister Pack In 1 Carton (0904-5522-61)  / 1 Tablet In 1 Blister Pack,7.58,7.58,,,0
RC,250,Doxepin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7052-61)  / 1 Capsule In 1 Blister Pack,15.19,15.19,,,0
RC,250,"Doxepin Hydrochloride: 120 Ml In 1 Bottle, Plastic (54838-512-40)",12.47,12.47,,,0
RC,250,"Doxycycline Hyclate: 50 Blister Pack In 1 Carton (0904-0430-06)  / 1 Tablet, Coated In 1 Blister Pack",20.36,20.36,,,0
RC,250,Doxycycline: 10 Vial In 1 Carton (67457-437-10)  / 10 Ml In 1 Vial (67457-437-00),646.4,646.4,,,0
RC,250,Doxycycline: 60 Ml In 1 Bottle (68180-657-01),30.58,30.58,,,0
RC,250,Droxia: 60 Capsule In 1 Bottle (61269-402-60),7.33,7.33,,,0
RC,250,"Duloxetine: 100 Blister Pack In 1 Carton (0904-7044-61)  / 1 Capsule, Delayed Release In 1 Blister Pack",14.77,14.77,,,0
RC,250,"Duloxetine: 30 Blister Pack In 1 Carton (0904-7043-04)  / 1 Capsule, Delayed Release In 1 Blister Pack",17.15,17.15,,,0
RC,250,"Duloxetine: 50 Blister Pack In 1 Box (50268-269-15)  / 1 Capsule, Delayed Release In 1 Blister Pack (50268-269-11)",12.65,12.65,,,0
RC,250,"Duloxetine: 60 Capsule, Delayed Release In 1 Bottle (27241-097-06)",8.2,8.2,,,0
RC,250,"Duloxetine: 90 Capsule, Delayed Release In 1 Bottle (68180-295-09)",13.76,13.76,,,0
RC,250,"Dye Free Childrens Ibuprofen: 10 Cup, Unit-Dose In 1 Case (0121-1022-00)  / 5 Ml In 1 Cup, Unit-Dose",10.76,10.76,,,0
RC,250,"Dye Free Childrens Ibuprofen: 10 Cup, Unit-Dose In 1 Tray (0121-1022-05)  / 5 Ml In 1 Cup, Unit-Dose",9.98,9.98,,,0
RC,250,E.E.S: 100 Ml In 1 Bottle (24338-134-02),33.62,33.62,,,0
RC,250,Ear Drops Major: 1 Bottle In 1 Carton (0904-6627-35)  / 15 Ml In 1 Bottle,14.9,14.9,,,0
RC,250,"Eliquis: 10 Blister Pack In 1 Carton (0003-0893-31)  / 10 Tablet, Film Coated In 1 Blister Pack",15.28,15.28,,,0
RC,250,"Eltrombopag: 30 Tablet, Film Coated In 1 Bottle (31722-843-30)",2418.76,2418.76,,,0
RC,250,Enalapril Maleate: 1 Bottle In 1 Carton (69238-1729-7)  / 150 Ml In 1 Bottle,12.63,12.63,,,0
RC,250,Enalapril Maleate: 100 Tablet In 1 Bottle (50228-228-01),13.09,13.09,,,0
RC,250,Enalapril Maleate: 100 Tablet In 1 Bottle (50228-229-01),12.24,12.24,,,0
RC,250,Enalapril Maleate: 100 Tablet In 1 Bottle (51672-4037-1),12.09,12.09,,,0
RC,250,Enalapril Maleate: 100 Tablet In 1 Bottle (51672-4038-1),10.73,10.73,,,0
RC,250,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0659-20)",78.07,78.07,,,0
RC,250,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0777-20)",66.21,66.21,,,0
RC,250,Epaned: 150 Ml In 1 Bottle (52652-4001-1),28.72,28.72,,,0
RC,250,"Ephedrine Sulfate: 25 Vial, Single-Dose In 1 Carton (43598-725-25)  / 1 Ml In 1 Vial, Single-Dose (43598-725-11)",33.38,33.38,,,0
RC,250,"Epidiolex: 1 Bottle, Glass In 1 Carton (70127-100-10)  / 100 Ml In 1 Bottle, Glass (70127-100-01)",269.23,269.23,,,0
RC,250,Epinephrine Chloride Solution: 10 Ml In 1 Box (54288-123-01),405.51,405.51,,,0
RC,250,"Epinephrine: 1 Case In 1 Carton (0115-1694-30)  / 1 Syringe, Glass In 1 Case / .3 Ml In 1 Syringe, Glass",910.9,910.9,,,0
RC,250,"Epinephrine: 2 Case In 1 Carton (0115-1694-49)  / 1 Syringe, Glass In 1 Case / .3 Ml In 1 Syringe, Glass",910.98,910.98,,,0
RC,250,"Epinephrine: 2 Container In 1 Carton (49502-101-02)  / 1 Syringe, Glass In 1 Container (49502-101-01)  / .3 Ml In 1 Syringe, Glass",885.83,885.83,,,0
RC,250,Epivir: 240 Ml In 1 Bottle (49702-205-48),13.53,13.53,,,0
RC,250,Eprontia: 473 Ml In 1 Bottle (52652-9001-1),29.59,29.59,,,0
RC,250,Ery-Ped: 100 Ml In 1 Bottle (24338-130-13),32.54,32.54,,,0
RC,250,Erythromycin Ethylsuccinate: 100 Ml In 1 Bottle (75834-295-01),22.86,22.86,,,0
RC,250,"Erythromycin: 30 Tablet, Coated In 1 Bottle (13668-606-30)",35.91,35.91,,,0
RC,250,Erythromycin: 50 Tube In 1 Box (24208-910-19)  / 1 G In 1 Tube,51.91,51.91,,,0
RC,250,Erythromycin: 50 Tube In 1 Carton (72485-670-31)  / 1 G In 1 Tube,40.89,40.89,,,0
RC,250,Escitalopram Oxalate: 240 Ml In 1 Bottle (65162-705-88),30.21,30.21,,,0
RC,250,"Escitalopram: 100 Blister Pack In 1 Carton (0904-6426-61)  / 1 Tablet, Film Coated In 1 Blister Pack",9.01,9.01,,,0
RC,250,Ethacrynate Sodium: 1 Vial In 1 Carton (42023-157-01)  / 50 Ml In 1 Vial,2920.07,2920.07,,,0
RC,250,Ethacrynic Acid: 100 Tablet In 1 Bottle (69238-1126-1),19.14,19.14,,,0
RC,250,"Ethacrynic Sodium: 1 Vial, Single-Dose In 1 Carton (67457-297-50)  / 50 Ml In 1 Vial, Single-Dose",805.65,805.65,,,0
RC,250,Ethambutol Hydrochloride: 100 Tablet In 1 Bottle (68180-280-01),7.39,7.39,,,0
RC,250,"Ethambutol Hydrochloride: 12 Carton In 1 Box (54879-001-01)  / 12 Bottle In 1 Carton / 100 Tablet, Film Coated In 1 Bottle",8.67,8.67,,,0
RC,250,"Ethosuximide: 1 Bottle, Plastic In 1 Carton (59762-2350-7)  / 474 Ml In 1 Bottle, Plastic",2.28,2.28,,,0
RC,250,Ethosuximide: 100 Capsule In 1 Bottle (23155-532-01),19.38,19.38,,,0
RC,250,Ethosuximide: 100 Capsule In 1 Bottle (64380-878-06),10.58,10.58,,,0
RC,250,"Ethosuximide: 100 Capsule, Liquid Filled In 1 Bottle, Plastic (69452-152-20)",7.44,7.44,,,0
RC,250,Ethosuximide: 473 Ml In 1 Bottle (0121-0670-16),2.82,2.82,,,0
RC,250,Extra Strength Acetaminophen: 100 Tablet In 1 Bottle (57896-204-01),9.27,9.27,,,0
RC,250,FUL-GLO: 300 APPLICATOR in 1 CARTON (17478-403-03)  / 1 STRIP in 1 APPLICATOR,12.64,12.64,,,0
RC,250,"Famotidine: 10 Blister Pack In 1 Box, Unit-Dose (63739-645-10)  / 10 Tablet In 1 Blister Pack",7.49,7.49,,,0
RC,250,"Famotidine: 100 Blister Pack In 1 Carton (0904-7193-61)  / 1 Tablet, Film Coated In 1 Blister Pack",11.72,11.72,,,0
RC,250,"Famotidine: 100 Tablet, Film Coated In 1 Bottle (0172-5728-60)",11.59,11.59,,,0
RC,250,Famotidine: 25 Vial In 1 Carton (67457-433-22)  / 2 Ml In 1 Vial (67457-433-00),31.25,31.25,,,0
RC,250,"Famotidine: 50 Blister Pack In 1 Box, Unit-Dose (50268-304-15)  / 1 Tablet In 1 Blister Pack (50268-304-11)",13.63,13.63,,,0
RC,250,Famotidine: 50 Ml In 1 Bottle (31722-063-31),10.1,10.1,,,0
RC,250,Famotidine: 50 Ml In 1 Bottle (68180-150-01),10.09,10.09,,,0
RC,250,Famotidine: 50 Ml In 1 Bottle (72603-171-01),16.76,16.76,,,0
RC,250,Felbamate: 237 Ml In 1 Bottle (65162-686-88),8.87,8.87,,,0
RC,250,Felbamate: 237 Ml In 1 Bottle (70954-051-10),11.83,11.83,,,0
RC,250,Felbamate: 90 Tablet In 1 Bottle (72578-056-16),13.24,13.24,,,0
RC,250,Feverall Infants: 6 Blister Pack In 1 Carton (51672-2114-2)  / 1 Suppository In 1 Blister Pack (51672-2114-0),1.59,1.59,,,0
RC,250,Feverall Jr. Strength: 6 Blister Pack In 1 Carton (51672-2116-2)  / 1 Suppository In 1 Blister Pack (51672-2116-0),18.52,18.52,,,0
RC,250,"Fintepla: 1 Bottle, Plastic In 1 Carton (43376-322-30)  / 30 Ml In 1 Bottle, Plastic",1116.91,1116.91,,,0
RC,250,Flecainide Acetate: 100 Tablet In 1 Bottle (62559-381-01),12.38,12.38,,,0
RC,250,Fleet: 12 SUPPOSITORY in 1 JAR (0132-0079-12),12.58,12.58,,,0
RC,250,"Fleet: 133 Ml In 1 Bottle, With Applicator (0132-0201-40)",19.0,19.0,,,0
RC,250,"Flovent Hfa: 1 Inhaler In 1 Carton (0173-0718-20)  / 120 Aerosol, Metered In 1 Inhaler",1233.98,1233.98,,,0
RC,250,"Flovent Hfa: 1 Inhaler In 1 Carton (0173-0719-20)  / 120 Aerosol, Metered In 1 Inhaler",1738.4,1738.4,,,0
RC,250,"Flovent Hfa: 1 Inhaler In 1 Carton (0173-0720-20)  / 120 Aerosol, Metered In 1 Inhaler",2560.03,2560.03,,,0
RC,250,Fluconazole: 12 Blister Pack In 1 Carton (57237-005-11)  / 1 Tablet In 1 Blister Pack,13.2,13.2,,,0
RC,250,Fluconazole: 30 Tablet In 1 Bottle (57237-003-30),13.73,13.73,,,0
RC,250,Fluconazole: 50 Blister Pack In 1 Box (50268-337-15)  / 1 Tablet In 1 Blister Pack (50268-337-11),19.1,19.1,,,0
RC,250,"Fludrocortisone Acetate: 100 Blister Pack In 1 Box, Unit-Dose (68084-288-01)  / 1 Tablet In 1 Blister Pack (68084-288-11)",14.83,14.83,,,0
RC,250,"Fluorescein Sodium And Benoxinate Hydrochloride: 1 Bottle, Glass In 1 Carton (68682-732-05)  / 5 Ml In 1 Bottle, Glass",204.17,204.17,,,0
RC,250,"Fluorescein Sodium And Benoxinate Hydrochloride: 1 Bottle, Glass In 1 Carton (82260-734-05)  / 5 Ml In 1 Bottle, Glass",151.59,151.59,,,0
RC,250,"Fluoxetine Hydrochloride: 120 Ml In 1 Bottle, Plastic (70954-600-10)",18.35,18.35,,,0
RC,250,Fluoxetine: 100 Blister Pack In 1 Carton (0904-5784-61)  / 1 Capsule In 1 Blister Pack,12.12,12.12,,,0
RC,250,Fluoxetine: 100 Blister Pack In 1 Carton (0904-5785-61)  / 1 Capsule In 1 Blister Pack,9.74,9.74,,,0
RC,250,Fluoxetine: 100 Blister Pack In 1 Carton (0904-7346-61)  / 1 Capsule In 1 Blister Pack,6.37,6.37,,,0
RC,250,Fluoxetine: 100 Capsule In 1 Bottle (16714-720-02),11.78,11.78,,,0
RC,250,Fluoxetine: 100 Capsule In 1 Bottle (50228-113-01),11.48,11.48,,,0
RC,250,"Fluphenazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (62332-791-31)",14.87,14.87,,,0
RC,250,"Fluticasone Propionate Hfa: 1 Inhaler In 1 Carton (66993-078-96)  / 120 Aerosol, Metered In 1 Inhaler",849.75,849.75,,,0
RC,250,"Fluticasone Propionate Hfa: 1 Inhaler In 1 Carton (66993-079-96)  / 120 Aerosol, Metered In 1 Inhaler",1197.01,1197.01,,,0
RC,250,"Fluticasone Propionate: 1 Bottle, Glass In 1 Carton (0054-3270-99)  / 120 Spray, Metered In 1 Bottle, Glass",59.41,59.41,,,0
RC,250,Fluvoxamine Maleate: 100 Tablet In 1 Bottle (60505-0165-1),8.06,8.06,,,0
RC,250,"Focalin Xr: 100 Capsule, Extended Release In 1 Bottle (0078-0430-05)",37.84,37.84,,,0
RC,250,"Folic Acid: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (62584-897-01)  / 1 TABLET in 1 BLISTER PACK (62584-897-11)",12.05,12.05,,,0
RC,250,Folic Acid: 100 Blister Pack In 1 Carton (0904-7224-61)  / 1 Tablet In 1 Blister Pack,11.58,11.58,,,0
RC,250,Folic Acid: 100 Blister Pack In 1 Carton (60687-681-01)  / 1 Tablet In 1 Blister Pack (60687-681-11),12.65,12.65,,,0
RC,250,Foster And Thrive Anti-Diarrheal: 120 Ml In 1 Bottle (70677-1107-1),1.34,1.34,,,0
RC,250,"Foster And Thrive Childrens Ibuprofen Ib: 1 Bottle In 1 Carton (70677-1145-1)  / 24 Tablet, Chewable In 1 Bottle",0.46,0.46,,,0
RC,250,Foster And Thrive Earwax Removal Drops: 1 Bottle In 1 Box (70677-1154-1)  / 15 Ml In 1 Bottle,19.7,19.7,,,0
RC,250,"Foster And Thrive Nasal: 1 Bottle, Spray In 1 Carton (70677-1037-1)  / 30 Ml In 1 Bottle, Spray",17.02,17.02,,,0
RC,250,Furosemide: 10 Blister Pack In 1 Carton (0054-8297-25)  / 10 Tablet In 1 Blister Pack,10.44,10.44,,,0
RC,250,Furosemide: 120 Ml In 1 Bottle (0054-3294-50),9.65,9.65,,,0
RC,250,"Furosemide: 3 Tray In 1 Case (68094-756-62)  / 10 Cup, Unit-Dose In 1 Tray / 4 Ml In 1 Cup, Unit-Dose (68094-756-59)",14.89,14.89,,,0
RC,250,Furosemide: 60 Ml In 1 Bottle (0054-3294-46),12.55,12.55,,,0
RC,250,Fycompa: 30 Tablet In 1 Bottle (69616-272-30),137.04,137.04,,,0
RC,250,Fycompa: 340 Ml In 1 Bottle (69616-290-38),32.32,32.32,,,0
RC,250,Gabapentin: 10 Blister Pack In 1 Carton (63739-902-10)  / 10 Capsule In 1 Blister Pack,7.79,7.79,,,0
RC,250,Gabapentin: 10 Blister Pack In 1 Carton (63739-904-10)  / 10 Capsule In 1 Blister Pack,10.93,10.93,,,0
RC,250,"Gabapentin: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-762-01)  / 1 CAPSULE in 1 BLISTER PACK (68084-762-11)",6.7,6.7,,,0
RC,250,"Gabapentin: 100 Blister Pack In 1 Box, Unit-Dose (60687-591-01)  / 1 Capsule In 1 Blister Pack (60687-591-11)",8.34,8.34,,,0
RC,250,Gabapentin: 100 Blister Pack In 1 Carton (0904-6665-61)  / 1 Capsule In 1 Blister Pack,8.62,8.62,,,0
RC,250,Gabapentin: 100 Blister Pack In 1 Carton (0904-6667-61)  / 1 Capsule In 1 Blister Pack,7.87,7.87,,,0
RC,250,Gabapentin: 100 Capsule In 1 Bottle (16714-663-01),6.22,6.22,,,0
RC,250,Gabapentin: 470 Ml In 1 Bottle (42192-608-16),4.78,4.78,,,0
RC,250,Gabapentin: 473 Ml In 1 Bottle (65162-698-90),4.69,4.69,,,0
RC,250,"Gentamicin Sulfate: 1 Bottle, Dropper In 1 Carton (61314-633-05)  / 5 Ml In 1 Bottle, Dropper",37.64,37.64,,,0
RC,250,Gentamicin Sulfate: 1 Tube In 1 Carton (45802-056-35)  / 15 G In 1 Tube,210.69,210.69,,,0
RC,250,Genteal Tears Night-Time: 1 Tube In 1 Carton (0065-0518-01)  / 3.5 G In 1 Tube,55.0,55.0,,,0
RC,250,Genteal Tears Severe: 1 Tube In 1 Carton (0065-8064-01)  / 10 G In 1 Tube,5.99,5.99,,,0
RC,250,Geri-Lanta Antacid Antigas: 355 Ml In 1 Bottle (57896-629-12),1.03,1.03,,,0
RC,250,"Gleostine: 1 Bottle In 1 Carton (58181-3041-5)  / 5 Capsule, Gelatin Coated In 1 Bottle",2919.54,2919.54,,,0
RC,250,Glycopyrrolate: 1 Bottle In 1 Bottle (71656-061-16)  / 473 Ml In 1 Bottle,17.17,17.17,,,0
RC,250,Glycopyrrolate: 100 Tablet In 1 Bottle (23155-606-01),9.02,9.02,,,0
RC,250,Glycopyrrolate: 16 Ml In 1 Bottle (49884-042-33),18.1,18.1,,,0
RC,250,"Granisetron Hydrochloride: 20 BLISTER PACK in 1 BOX (0093-7485-20)  / 1 TABLET, FILM COATED in 1 BLISTER PACK (0093-7485-19)",56.31,56.31,,,0
RC,250,"Griseofulvin: 118 Ml In 1 Bottle, Plastic (0713-0850-04)",5.21,5.21,,,0
RC,250,Griseofulvin: 120 Ml In 1 Bottle (0472-0013-04),3.52,3.52,,,0
RC,250,"Guanfacine Extended-Release: 100 Tablet, Extended Release In 1 Bottle (60505-3927-1)",7.63,7.63,,,0
RC,250,"Guanfacine: 100 Tablet, Extended Release In 1 Bottle (62332-745-31)",6.49,6.49,,,0
RC,250,Guanfacine: 30 Blister Pack In 1 Carton (0904-7140-04)  / 1 Tablet In 1 Blister Pack,17.03,17.03,,,0
RC,250,Haloperidol: 100 Blister Pack In 1 Carton (0904-6782-61)  / 1 Tablet In 1 Blister Pack,15.49,15.49,,,0
RC,250,Haloperidol: 120 Ml In 1 Bottle (0121-0581-04),5.18,5.18,,,0
RC,250,"Haloperidol: 120 Ml In 1 Bottle, Dropper (54838-501-40)",12.71,12.71,,,0
RC,250,"Heartburn Relief Original Strength: 1 Bottle In 1 Carton (0904-5529-52)  / 60 Tablet, Film Coated In 1 Bottle",8.88,8.88,,,0
RC,250,Heparin Sodium: 24 Pouch In 1 Case (0409-7650-62)  / 1 Bag In 1 Pouch / 250 Ml In 1 Bag (0409-7650-52),48.8,48.8,,,0
RC,250,"Humco Calamine: 177 Ml In 1 Bottle, Plastic (0395-0413-96)",34.83,34.83,,,0
RC,250,"Humco Gentian Violet 1%: 59 Ml In 1 Bottle, Plastic (0395-1003-92)",48.5,48.5,,,0
RC,250,Hurricaine Topical Anesthetic: 59.7 G In 1 Can (0283-0679-02),209.86,209.86,,,0
RC,250,"Hydralazine Hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-6440-61)  / 1 TABLET, FILM COATED in 1 BLISTER PACK",12.24,12.24,,,0
RC,250,"Hydralazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6441-61)  / 1 Tablet, Film Coated In 1 Blister Pack",12.55,12.55,,,0
RC,250,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (23155-833-01),8.06,8.06,,,0
RC,250,"Hydrochlorothiazide: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-128-10)  / 10 TABLET in 1 BLISTER PACK",11.61,11.61,,,0
RC,250,"Hydrochlorothiazide: 100 Blister Pack In 1 Box, Unit-Dose (60687-593-01)  / 1 Tablet In 1 Blister Pack (60687-593-11)",12.41,12.41,,,0
RC,250,"Hydrochlorothiazide: 100 Tablet In 1 Bottle, Plastic (43547-397-10)",12.51,12.51,,,0
RC,250,Hydrocortisone: 1 Tube In 1 Carton (0168-0020-31)  / 28.35 G In 1 Tube,30.35,30.35,,,0
RC,250,Hydrocortisone: 1 Tube In 1 Carton (45802-438-03)  / 28 G In 1 Tube,16.26,16.26,,,0
RC,250,"Hydrocortisone: 100 TABLET in 1 BOTTLE, PLASTIC (0603-3901-21)",12.07,12.07,,,0
RC,250,Hydrocortisone: 100 Tablet In 1 Bottle (59651-414-01),7.36,7.36,,,0
RC,250,Hydrocortisone: 100 Tablet In 1 Bottle (59762-0075-1),11.81,11.81,,,0
RC,250,"Hydrocortisone: 100 Tablet In 1 Bottle, Plastic (64380-971-06)",11.58,11.58,,,0
RC,250,Hydrocortisone: 50 Blister Pack In 1 Box (50268-405-15)  / 1 Tablet In 1 Blister Pack (50268-405-11),18.29,18.29,,,0
RC,250,Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle (0406-3243-01),8.47,8.47,,,0
RC,250,"Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-301-01)",8.08,8.08,,,0
RC,250,Hydromorphone Hydrochloride: 4 Blister Pack In 1 Carton (42858-301-25)  / 25 Tablet In 1 Blister Pack,8.92,8.92,,,0
RC,250,Hydromorphone Hydrochloride: 473 Ml In 1 Bottle (0054-0386-63),14.22,14.22,,,0
RC,250,Hydrophor: 100 G In 1 Jar (71399-5101-2),32.98,32.98,,,0
RC,250,"Hydroxychloroquine Sulfate: 100 Blister Pack In 1 Carton (0904-7046-61)  / 1 Tablet, Film Coated In 1 Blister Pack",17.65,17.65,,,0
RC,250,"Hydroxychloroquine Sulfate: 100 TABLET, FILM COATED in 1 BOTTLE (0781-5994-01)",14.33,14.33,,,0
RC,250,"Hydroxychloroquine Sulfate: 50 Blister Pack In 1 Carton (0904-7046-06)  / 1 Tablet, Film Coated In 1 Blister Pack",16.66,16.66,,,0
RC,250,"Hydroxyurea: 100 Blister Pack In 1 Box, Unit-Dose (68084-284-01)  / 1 Capsule In 1 Blister Pack (68084-284-11)",13.99,13.99,,,0
RC,250,Hydroxyurea: 100 Blister Pack In 1 Carton (0904-6939-61)  / 1 Capsule In 1 Blister Pack,9.22,9.22,,,0
RC,250,"Hydroxyzine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-483-10)  / 10 Tablet In 1 Blister Pack",6.85,6.85,,,0
RC,250,"Hydroxyzine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-486-10)  / 10 Tablet In 1 Blister Pack",12.33,12.33,,,0
RC,250,"Hydroxyzine Hydrochloride: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-253-01)  / 1 TABLET, FILM COATED in 1 BLISTER PACK (68084-253-11)",3.89,3.89,,,0
RC,250,"Hydroxyzine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6617-61)  / 1 Tablet, Film Coated In 1 Blister Pack",12.89,12.89,,,0
RC,250,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (16714-082-10),12.55,12.55,,,0
RC,250,"Hydroxyzine Hydrochloride: 473 Ml In 1 Bottle, Plastic (54838-502-80)",3.21,3.21,,,0
RC,250,Hyoscyamine Sulfate Sl: 100 Tablet In 1 Bottle (42192-339-01),7.04,7.04,,,0
RC,250,"Hyosyne: 15 Ml In 1 Bottle, Plastic (54838-506-15)",19.08,19.08,,,0
RC,250,Ibuprofen: 1 Bottle In 1 Carton (45802-952-26)  / 120 Ml In 1 Bottle,3.42,3.42,,,0
RC,250,Ibuprofen: 1 Bottle In 1 Carton (51672-2130-8)  / 120 Ml In 1 Bottle,3.02,3.02,,,0
RC,250,"Ibuprofen: 10 Blister Pack In 1 Carton (0904-7914-61)  / 10 Tablet, Film Coated In 1 Blister Pack",0.49,0.49,,,0
RC,250,"Ibuprofen: 100 Blister Pack In 1 Box, Unit-Dose (60687-457-01)  / 1 Tablet In 1 Blister Pack (60687-457-11)",12.64,12.64,,,0
RC,250,Ibuprofen: 100 Blister Pack In 1 Carton (0904-5854-61)  / 1 Tablet In 1 Blister Pack,11.97,11.97,,,0
RC,250,Ibuprofen: 100 Tablet In 1 Bottle (65162-465-10),12.42,12.42,,,0
RC,250,"Indocin: 1 Bottle, Glass In 1 Carton (69344-101-01)  / 237 Ml In 1 Bottle, Glass",65.44,65.44,,,0
RC,250,Indomethacin: 1 Vial In 1 Carton (63323-659-03)  / 1 Ml In 1 Vial,152.81,152.81,,,0
RC,250,Indomethacin: 12 Bottle In 1 Case (31722-542-01)  / 100 Capsule In 1 Bottle,10.64,10.64,,,0
RC,250,"Infants: 1 Bottle, Dropper In 1 Carton (0536-1303-75)  / 30 Ml In 1 Bottle, Dropper",12.96,12.96,,,0
RC,250,"Infants: 120 Syringe In 1 Box, Unit-Dose (17856-1303-1)  / .3 Ml In 1 Syringe",10.31,10.31,,,0
RC,250,"Insta-Char Sorbitol: 120 Ml In 1 Bottle, Plastic (66689-203-04)",137.88,137.88,,,0
RC,250,"Insulin Aspart: 1 Vial, Glass In 1 Carton (73070-100-11)  / 10 Ml In 1 Vial, Glass",1.23,1.23,,,0
RC,250,Intralipid: 100 Ml In 1 Bag (0338-0519-58),135.22,135.22,,,0
RC,250,Intralipid: 250 Ml In 1 Bag (0338-0519-09),150.16,150.16,,,0
RC,250,"Isentress: 60 Packet In 1 Carton (0006-3603-61)  / 1 Granule, For Suspension In 1 Packet (0006-3603-01)",15.1,15.1,,,0
RC,250,Isolyte S Ph 7.4: 12 Container In 1 Case (0264-7707-00)  / 1000 Ml In 1 Container,83.86,83.86,,,0
RC,250,Isolyte S Ph 7.4: 24 Container In 1 Case (0264-7707-10)  / 500 Ml In 1 Container,78.0,78.0,,,0
RC,250,Isoniazid: 100 Tablet In 1 Bottle (64950-216-10),17.17,17.17,,,0
RC,250,Isoniazid: 473 Ml In 1 Bottle (46287-009-01),4.89,4.89,,,0
RC,250,Isoproterenol Hydrochloride: 10 Vial In 1 Carton (0548-9502-00)  / 5 Ml In 1 Vial,1205.34,1205.34,,,0
RC,250,"Isoproterenol Hydrochloride: 10 Vial, Single-Dose In 1 Carton (14789-015-05)  / 5 Ml In 1 Vial, Single-Dose",1466.89,1466.89,,,0
RC,250,Isradipine: 100 Capsule In 1 Bottle (16252-539-01),21.31,21.31,,,0
RC,250,Isradipine: 100 Capsule In 1 Bottle (16252-540-01),16.2,16.2,,,0
RC,250,Isradipine: 100 Capsule In 1 Bottle (64850-911-01),20.49,20.49,,,0
RC,250,"Ivabradine: 60 Tablet, Film Coated In 1 Bottle (31722-053-60)",24.04,24.04,,,0
RC,250,"Jakafi: 60 Tablet In 1 Bottle, Plastic (50881-005-60)",1320.69,1320.69,,,0
RC,250,"Jardiance: 30 Blister Pack In 1 Carton (0597-0152-37)  / 1 Tablet, Film Coated In 1 Blister Pack",83.06,83.06,,,0
RC,250,"Jardiance: 30 Tablet, Film Coated In 1 Bottle (0597-0152-30)",83.77,83.77,,,0
RC,250,"Junior Strength Advil: 1 Bottle In 1 Carton (0573-0179-20)  / 24 Tablet, Chewable In 1 Bottle",0.5,0.5,,,0
RC,250,"K-Phos No. 2: 100 Tablet, Coated In 1 Bottle (0486-1134-01)",17.24,17.24,,,0
RC,250,Ketalar: 10 Vial In 1 Carton (42023-113-10)  / 20 Ml In 1 Vial,64.49,64.49,,,0
RC,250,Ketamine Hydrochloride: 10 Vial In 1 Carton (25021-682-20)  / 20 Ml In 1 Vial,59.5,59.5,,,0
RC,250,Ketamine Hydrochloride: 10 Vial In 1 Tray (65219-184-20)  / 20 Ml In 1 Vial (65219-184-01),78.28,78.28,,,0
RC,250,Ketamine Hydrochloride: 10 Vial In 1 Tray (65219-188-10)  / 10 Ml In 1 Vial (65219-188-01),47.35,47.35,,,0
RC,250,Ketoconazole: 120 Ml In 1 Bottle (45802-465-64),123.77,123.77,,,0
RC,250,"Kineret: 7 Syringe, Glass In 1 Carton (66658-234-07)  / .67 Ml In 1 Syringe, Glass",1350.79,1350.79,,,0
RC,250,"Labetalol Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-439-01)  / 1 Tablet, Film Coated In 1 Blister Pack (60687-439-11)",13.59,13.59,,,0
RC,250,"Labetalol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7111-61)  / 1 Tablet, Film Coated In 1 Blister Pack",12.97,12.97,,,0
RC,250,"Labetalol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7452-61)  / 1 Tablet, Film Coated In 1 Blister Pack",12.08,12.08,,,0
RC,250,"Labetalol hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-5929-61)  / 1 TABLET, FILM COATED in 1 BLISTER PACK",12.17,12.17,,,0
RC,250,Lacosamide Oral Solution: 200 Ml In 1 Bottle (67877-732-95),17.48,17.48,,,0
RC,250,"Lacosamide: 1 Tray In 1 Case (0121-0992-95)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0992-05)",100.62,100.62,,,0
RC,250,"Lacosamide: 200 Ml In 1 Bottle, Plastic (72603-305-01)",16.89,16.89,,,0
RC,250,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7244-68)  / 1 Tablet, Film Coated In 1 Blister Pack",12.43,12.43,,,0
RC,250,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7245-68)  / 1 Tablet, Film Coated In 1 Blister Pack",15.67,15.67,,,0
RC,250,Lacosamide: 60 Tablet In 1 Bottle (16714-548-01),7.11,7.11,,,0
RC,250,"Lactated Ringers: 12 Bottle, Plastic In 1 Carton (0338-0114-04)  / 1000 Ml In 1 Bottle, Plastic",17.04,17.04,,,0
RC,250,Lactated Ringers: 3000 Ml In 1 Bag (0338-0137-27),124.84,124.84,,,0
RC,250,"Lactulose: 15 Ml In 1 Cup, Unit-Dose (0116-4005-15)",15.43,15.43,,,0
RC,250,"Lactulose: 4 Tray In 1 Case (0121-1154-40)  / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose (0121-1154-30)",16.98,16.98,,,0
RC,250,"Lactulose: 4 Tray In 1 Case (0121-4577-40)  / 10 Cup, Unit-Dose In 1 Tray / 15 Ml In 1 Cup, Unit-Dose (0121-4577-15)",16.95,16.95,,,0
RC,250,"Lamotrigine: 100 Blister Pack In 1 Box, Unit-Dose (68084-318-01)  / 1 Tablet In 1 Blister Pack (68084-318-11)",6.74,6.74,,,0
RC,250,Lamotrigine: 100 Blister Pack In 1 Carton (0904-7007-61)  / 1 Tablet In 1 Blister Pack,5.96,5.96,,,0
RC,250,Lamotrigine: 100 Tablet In 1 Bottle (72888-026-01),2.07,2.07,,,0
RC,250,"Lamotrigine: 100 Tablet, Chewable In 1 Bottle (65862-361-01)",6.54,6.54,,,0
RC,250,"Lamotrigine: 100 Tablet, Chewable In 1 Bottle (65862-362-01)",6.7,6.7,,,0
RC,250,"Lamotrigine: 100 Tablet, Chewable In 1 Bottle (68462-229-01)",3.95,3.95,,,0
RC,250,"Lansoprazole: 1 Kit In 1 Container (65628-080-10)  *  300 Ml In 1 Bottle, Plastic *  .9 G In 1 Bottle, Plastic",23.65,23.65,,,0
RC,250,"Lansoprazole: 10 Blister Pack In 1 Carton (68382-771-77)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack (68382-771-30)",33.09,33.09,,,0
RC,250,"Lansoprazole: 10 Blister Pack In 1 Carton (68382-772-77)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack (68382-772-30)",42.94,42.94,,,0
RC,250,"Lansoprazole: 30 Capsule, Delayed Release In 1 Bottle (70700-263-30)",11.8,11.8,,,0
RC,250,"Lansoprazole: 90 Capsule, Delayed Release In 1 Bottle (16571-698-09)",12.08,12.08,,,0
RC,250,"Lansoprazole: 90 Capsule, Delayed Release In 1 Bottle (70756-807-90)",11.69,11.69,,,0
RC,250,"Lantus: 1 Vial, Glass In 1 Carton (0088-2220-33)  / 10 Ml In 1 Vial, Glass",17.18,17.18,,,0
RC,250,Latanoprost: 1 Bottle In 1 Carton (70069-421-01)  / 2.5 Ml In 1 Bottle,34.88,34.88,,,0
RC,250,"Latanoprost: 1 Bottle, Dropper In 1 Carton (59762-0333-2)  / 2.5 Ml In 1 Bottle, Dropper",17.89,17.89,,,0
RC,250,Leflunomide: 30 Tablet In 1 Bottle (62332-062-30),14.41,14.41,,,0
RC,250,"Leflunomide: 30 Tablet, Film Coated In 1 Bottle (70748-129-06)",7.74,7.74,,,0
RC,250,"Leflunomide: 30 Tablet, Film Coated In 1 Bottle (70748-130-06)",13.03,13.03,,,0
RC,250,Leucovorin Calcium: 100 Tablet In 1 Bottle (0555-0484-02),6.82,6.82,,,0
RC,250,Leucovorin Calcium: 5 Blister Pack In 1 Carton (0054-8496-19)  / 10 Tablet In 1 Blister Pack,12.37,12.37,,,0
RC,250,Levalbuterol: 1 Pouch In 1 Carton (0378-9691-52)  / 25 Ampule In 1 Pouch (0378-9691-62)  / 3 Ml In 1 Ampule,13.6,13.6,,,0
RC,250,Levalbuterol: 30 Pouch In 1 Carton (76204-800-01)  / 1 Ampule In 1 Pouch (76204-800-11)  / 3 Ml In 1 Ampule,17.37,17.37,,,0
RC,250,"Levetiracetam: 10 Blister Pack In 1 Box, Unit-Dose (63739-411-10)  / 10 Tablet, Film Coated In 1 Blister Pack",10.73,10.73,,,0
RC,250,"Levetiracetam: 10 Blister Pack In 1 Box, Unit-Dose (63739-795-10)  / 10 Tablet, Film Coated In 1 Blister Pack",7.08,7.08,,,0
RC,250,"Levetiracetam: 100 Blister Pack In 1 Carton (0904-7124-61)  / 1 Tablet, Film Coated In 1 Blister Pack",6.98,6.98,,,0
RC,250,Levetiracetam: 473 Ml In 1 Bottle (0121-0799-16),12.63,12.63,,,0
RC,250,Levetiracetam: 473 Ml In 1 Bottle (31722-574-47),12.55,12.55,,,0
RC,250,"Levetiracetam: 473 Ml In 1 Bottle, Plastic (16714-358-01)",12.15,12.15,,,0
RC,250,"Levetiracetam: 500 Tablet, Film Coated In 1 Bottle (16714-355-02)",0.69,0.69,,,0
RC,250,Levocarnitine: 118 Ml In 1 Bottle (70954-140-10),15.57,15.57,,,0
RC,250,Levocarnitine: 118 mL in 1 BOTTLE (50383-171-04),19.42,19.42,,,0
RC,250,Levocarnitine: 9 BLISTER PACK in 1 CARTON (50383-172-90)  / 10 TABLET in 1 BLISTER PACK,11.09,11.09,,,0
RC,250,Levocarnitine: 90 Blister Pack In 1 Carton (70954-492-10)  / 10 Tablet In 1 Blister Pack,9.72,9.72,,,0
RC,250,Levofloxacin: 1 BOTTLE in 1 CARTON (50383-286-16)  / 480 mL in 1 BOTTLE,51.55,51.55,,,0
RC,250,"Levofloxacin: 1 Bottle, Plastic In 1 Carton (0527-1948-68)  / 200 Ml In 1 Bottle, Plastic",141.76,141.76,,,0
RC,250,"Levofloxacin: 100 Blister Pack In 1 Carton (0904-6351-61)  / 1 Tablet, Film Coated In 1 Blister Pack",6.5,6.5,,,0
RC,250,Levofloxacin: 200 Ml In 1 Bottle (70954-852-20),85.38,85.38,,,0
RC,250,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (63323-885-10)  / 5 Ml In 1 Vial, Single-Dose",101.45,101.45,,,0
RC,250,"Levothyroxine Sodium: 100 Blister Pack In 1 Box, Unit-Dose (60687-453-01)  / 1 Tablet In 1 Blister Pack (60687-453-11)",6.32,6.32,,,0
RC,250,"Levothyroxine Sodium: 100 Blister Pack In 1 Box, Unit-Dose (60687-508-01)  / 1 Tablet In 1 Blister Pack (60687-508-11)",13.11,13.11,,,0
RC,250,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6950-61)  / 1 Tablet In 1 Blister Pack,13.75,13.75,,,0
RC,250,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6951-61)  / 1 Tablet In 1 Blister Pack,10.88,10.88,,,0
RC,250,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6952-61)  / 1 Tablet In 1 Blister Pack,13.85,13.85,,,0
RC,250,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6953-61)  / 1 Tablet In 1 Blister Pack,12.33,12.33,,,0
RC,250,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6954-61)  / 1 Tablet In 1 Blister Pack,14.26,14.26,,,0
RC,250,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (51079-440-20)  / 1 Tablet In 1 Blister Pack (51079-440-01),14.14,14.14,,,0
RC,250,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (51079-442-20)  / 1 Tablet In 1 Blister Pack (51079-442-01),13.57,13.57,,,0
RC,250,Lidocaine 5%: 30 Pouch In 1 Package (82347-0505-5)  / 14 G In 1 Pouch (82347-0505-4),23.1,23.1,,,0
RC,250,Lidocaine And Prilocaine: 1 Tube In 1 Carton (62332-582-04)  / 5 G In 1 Tube,58.0,58.0,,,0
RC,250,Lidocaine Hydrochloride And Epinephrine: 10 Ampule In 1 Tray (0409-1209-01)  / 5 Ml In 1 Ampule (0409-1209-10),38.58,38.58,,,0
RC,250,"Lidocaine Hydrochloride And Epinephrine: 10 Vial, Multi-Dose In 1 Carton (0409-0007-10)  / 20 Ml In 1 Vial, Multi-Dose (0409-0007-01)",30.41,30.41,,,0
RC,250,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3177-01)  / 50 Ml In 1 Vial, Multi-Dose (0409-3177-16)",29.52,29.52,,,0
RC,250,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3178-01)  / 20 Ml In 1 Vial, Multi-Dose (0409-3178-16)",31.23,31.23,,,0
RC,250,"Lidocaine Hydrochloride: 1 Bottle, Glass In 1 Carton (0121-0972-51)  / 50 Ml In 1 Bottle, Glass",103.3,103.3,,,0
RC,250,Lidocaine Hydrochloride: 1 Vial In 1 Carton (70756-640-82)  / 2 Ml In 1 Vial,25.44,25.44,,,0
RC,250,"Lidocaine Hydrochloride: 1 Vial, Single-Dose In 1 Carton (55150-163-30)  / 30 Ml In 1 Vial, Single-Dose",29.6,29.6,,,0
RC,250,Lidocaine Hydrochloride: 10 Vial In 1 Box (63739-170-24)  / 5 Ml In 1 Vial (63739-170-13),32.12,32.12,,,0
RC,250,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-161-02)  / 2 Ml In 1 Vial, Single-Dose",26.09,26.09,,,0
RC,250,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-162-05)  / 5 Ml In 1 Vial, Single-Dose",28.49,28.49,,,0
RC,250,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-165-05)  / 5 Ml In 1 Vial, Single-Dose",30.45,30.45,,,0
RC,250,Lidocaine Hydrochloride: 100 Ml In 1 Bottle (72888-125-26),12.89,12.89,,,0
RC,250,Lidocaine Hydrochloride: 25 Vial In 1 Carton (76329-6300-5)  / 4 Ml In 1 Vial,157.78,157.78,,,0
RC,250,"Lidocaine Hydrochloride: 25 Vial, Single-Use In 1 Box (76329-3011-5)  / 5 Ml In 1 Vial, Single-Use",43.31,43.31,,,0
RC,250,"Lidocaine Hydrochloride: 25 Vial, Single-Use In 1 Box (76329-3012-5)  / 5 Ml In 1 Vial, Single-Use",40.88,40.88,,,0
RC,250,Lidocaine Viscous: 1 Bottle In 1 Carton (0054-3500-49)  / 100 Ml In 1 Bottle,12.27,12.27,,,0
RC,250,"Lidocaine Viscous: 4 Tray In 1 Case (0121-0903-40)  / 10 Cup, Unit-Dose In 1 Tray / 15 Ml In 1 Cup, Unit-Dose (0121-0903-15)",17.14,17.14,,,0
RC,250,Lidocaine and Prilocaine: 5 TUBE in 1 CARTON (52565-007-07)  / 5 g in 1 TUBE,36.3,36.3,,,0
RC,250,Lidocaine: 25 Vial In 1 Tray (63323-201-10)  / 10 Ml In 1 Vial (63323-201-03),34.07,34.07,,,0
RC,250,Lidocaine: 30 Pouch In 1 Carton (0591-3525-30)  / 1 G In 1 Pouch (0591-3525-11),20.96,20.96,,,0
RC,250,Lidoderm: 30 Pouch In 1 Carton (63481-687-06)  / 1 G In 1 Pouch (63481-687-01),176.24,176.24,,,0
RC,250,"Linezolid: 1 Blister Pack In 1 Carton (67877-419-33)  / 10 Tablet, Film Coated In 1 Blister Pack",30.37,30.37,,,0
RC,250,"Linezolid: 1 Bottle, Glass In 1 Carton (60687-754-05)  / 150 Ml In 1 Bottle, Glass",100.73,100.73,,,0
RC,250,Linezolid: 150 Ml In 1 Bottle (0054-0319-50),81.08,81.08,,,0
RC,250,Linezolid: 150 Ml In 1 Bottle (59762-1308-4),113.32,113.32,,,0
RC,250,"Linzess: 1 Bottle In 1 Carton (0456-1201-30)  / 30 Capsule, Gelatin Coated In 1 Bottle",133.58,133.58,,,0
RC,250,"Linzess: 1 Bottle In 1 Carton (0456-1203-30)  / 30 Capsule, Gelatin Coated In 1 Bottle",135.05,135.05,,,0
RC,250,Liothyronine Sodium: 100 Tablet In 1 Bottle (16714-166-01),14.36,14.36,,,0
RC,250,Lisdexamfetamine Dimesylate: 100 Capsule In 1 Bottle (47781-562-01),58.57,58.57,,,0
RC,250,Lisinopril: 100 Blister Pack In 1 Carton (0904-6797-61)  / 1 Tablet In 1 Blister Pack,11.14,11.14,,,0
RC,250,Lisinopril: 100 Blister Pack In 1 Carton (0904-6798-61)  / 1 Tablet In 1 Blister Pack,9.62,9.62,,,0
RC,250,Lisinopril: 100 TABLET in 1 BOTTLE (0603-4209-21),11.84,11.84,,,0
RC,250,"Lithium Carbonate: 10 Capsule, Gelatin Coated In 1 Blister Pack (0054-8526-25)",12.34,12.34,,,0
RC,250,"Lithium Carbonate: 10 Capsule, Gelatin Coated In 1 Blister Pack (0054-8527-25)",11.63,11.63,,,0
RC,250,"Lithium Carbonate: 100 Tablet, Extended Release In 1 Bottle (64980-205-01)",12.8,12.8,,,0
RC,250,Lmx4: 5 G In 1 Tube (0496-0882-05),24.15,24.15,,,0
RC,250,Lmx4: 5 Tube In 1 Carton (0496-0882-06)  / 5 G In 1 Tube (0496-0882-05),26.81,26.81,,,0
RC,250,Lo Loestrin Fe: 5 Blister Pack In 1 Carton (0430-0420-14)  / 1 Kit In 1 Blister Pack,47.31,47.31,,,0
RC,250,Loperamide Hydrochloride: 4 Blister Pack In 1 Carton (58602-701-76)  / 6 Tablet In 1 Blister Pack,10.19,10.19,,,0
RC,250,Loratadine: 1 Blister Pack In 1 Carton (58602-702-83)  / 10 Tablet In 1 Blister Pack,12.86,12.86,,,0
RC,250,Loratadine: 10 Blister Pack In 1 Carton (58602-702-04)  / 10 Tablet In 1 Blister Pack,13.0,13.0,,,0
RC,250,Loratadine: 100 Blister Pack In 1 Carton (0904-6852-61)  / 1 Tablet In 1 Blister Pack,12.57,12.57,,,0
RC,250,Lorazepam: 1 Bottle In 1 Carton (0054-3532-44)  / 30 Ml In 1 Bottle,13.27,13.27,,,0
RC,250,"Lorazepam: 1 Bottle, Dropper In 1 Carton (0121-0770-01)  / 30 Ml In 1 Bottle, Dropper",5.97,5.97,,,0
RC,250,Lorazepam: 100 Blister Pack In 1 Carton (0904-6007-61)  / 1 Tablet In 1 Blister Pack,10.99,10.99,,,0
RC,250,Lorazepam: 100 Blister Pack In 1 Carton (0904-6008-61)  / 1 Tablet In 1 Blister Pack,9.66,9.66,,,0
RC,250,Lorazepam: 100 Tablet In 1 Bottle (69315-904-01),9.73,9.73,,,0
RC,250,Lorazepam: 100 Tablet In 1 Bottle (69315-905-01),8.4,8.4,,,0
RC,250,"Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3426-01)",8.5,8.5,,,0
RC,250,"Losortan Potassium: 10 Blister Pack In 1 Box, Unit-Dose (63739-673-10)  / 10 Tablet, Film Coated In 1 Blister Pack",13.8,13.8,,,0
RC,250,"Low Dose Aspirin: 120 Tablet, Coated In 1 Bottle (71399-1014-2)",1.02,1.02,,,0
RC,250,"Low Dose Aspirin: 30 Blister Pack In 1 Box (63739-212-02)  / 10 Tablet, Coated In 1 Blister Pack",1.04,1.04,,,0
RC,250,"Lubiprostone: 60 Capsule, Gelatin Coated In 1 Bottle (0254-3029-02)",16.47,16.47,,,0
RC,250,"Lurasidone Hydrochloride: 30 Blister Pack In 1 Carton (0904-7355-04)  / 1 Tablet, Film Coated In 1 Blister Pack",16.08,16.08,,,0
RC,250,"Mag-Al Plus: 10 Tray In 1 Case (0121-1761-30)  / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",2.9,2.9,,,0
RC,250,"Magnesium Citrate: 296 Ml In 1 Bottle, Plastic (70677-1111-1)",17.65,17.65,,,0
RC,250,Major Lubrifresh Pm: 1 Tube In 1 Carton (0904-6488-38)  / 3.5 G In 1 Tube,33.78,33.78,,,0
RC,250,"Major Nasal Decongestant: 1 Bottle, Pump In 1 Carton (0904-7427-30)  / 30 Ml In 1 Bottle, Pump",18.23,18.23,,,0
RC,250,"Major Nasal Decongestant: 1 Bottle, Spray In 1 Carton (0904-7435-35)  / 15 Ml In 1 Bottle, Spray",14.35,14.35,,,0
RC,250,"Major Regular Strength Assorted Flavors: 150 Tablet, Chewable In 1 Bottle, Plastic (0904-6412-92)",9.83,9.83,,,0
RC,250,Mannitol: 24 Pouch In 1 Case (0990-7715-02)  / 1 Bag In 1 Pouch / 250 Ml In 1 Bag (0990-7715-12),138.82,138.82,,,0
RC,250,"Marcaine With Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-1746-10)  / 10 Ml In 1 Vial, Single-Dose (0409-1746-70)",38.25,38.25,,,0
RC,250,"Marcaine With Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-1749-10)  / 10 Ml In 1 Vial, Single-Dose (0409-1749-70)",40.39,40.39,,,0
RC,250,Meclizine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7376-61)  / 1 Tablet In 1 Blister Pack,13.6,13.6,,,0
RC,250,Medpura Vitamin A And D Vitamin A And D: 1 Tube In 1 Carton (71399-0122-2)  / 56 G In 1 Tube,20.83,20.83,,,0
RC,250,Medpura Vitamin A And D Vitamin A And D: 113 G In 1 Tube (71399-0122-4),23.59,23.59,,,0
RC,250,Medroxyprogesterone Acetate: 100 Tablet In 1 Bottle (0555-0779-02),12.42,12.42,,,0
RC,250,Medroxyprogesterone Acetate: 100 Tablet In 1 Bottle (59762-0056-1),13.28,13.28,,,0
RC,250,Megestrol Acetate: 100 Tablet In 1 Bottle (0555-0607-02),11.84,11.84,,,0
RC,250,"Megestrol Acetate: 240 Ml In 1 Bottle, Plastic (64380-160-01)",15.12,15.12,,,0
RC,250,"Mekinist: 30 TABLET, FILM COATED in 1 BOTTLE (0078-0666-15)",678.78,678.78,,,0
RC,250,"Mekinist: 30 Tablet, Film Coated In 1 Bottle (0078-1105-15)",1132.24,1132.24,,,0
RC,250,"Memantine Hydrochloride: 50 Blister Pack In 1 Carton (0904-6505-06)  / 1 Tablet, Film Coated In 1 Blister Pack",7.94,7.94,,,0
RC,250,Menthol And Zinc Oxide: 113 G In 1 Tube (10135-701-04),22.29,22.29,,,0
RC,250,"Mercaptopurine: 25 Tablet In 1 Bottle, Plastic (0054-4581-11)",22.58,22.58,,,0
RC,250,"Mercaptopurine: 25 Tablet In 1 Bottle, Plastic (0378-3547-52)",21.57,21.57,,,0
RC,250,"Mesalamine: 120 Capsule, Extended Release In 1 Bottle (59651-397-08)",10.04,10.04,,,0
RC,250,"Mesalamine: 120 Capsule, Extended Release In 1 Bottle (68382-452-19)",11.04,11.04,,,0
RC,250,"Mesalamine: 180 Capsule, Delayed Release In 1 Bottle (59762-0117-1)",15.4,15.4,,,0
RC,250,Metamucil Therapy For Regularity: 12 G In 1 Packet (37000-023-10),14.8,14.8,,,0
RC,250,"Metformin Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-155-01)  / 1 Tablet, Film Coated In 1 Blister Pack (60687-155-11)",12.85,12.85,,,0
RC,250,Metformin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7162-61)  / 1 Tablet In 1 Blister Pack,11.89,11.89,,,0
RC,250,Methadone Hydrochloride: 1 Blister Pack In 1 Carton (0054-0709-20)  / 100 Tablet In 1 Blister Pack,11.38,11.38,,,0
RC,250,Methadone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-5755-23),12.41,12.41,,,0
RC,250,Methadone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-5771-23),8.65,8.65,,,0
RC,250,"Methadone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0054-0709-25)",12.49,12.49,,,0
RC,250,Methadone Hydrochloride: 500 Ml In 1 Bottle (0054-3555-63),12.27,12.27,,,0
RC,250,Methadone Hydrochloride: 500 Ml In 1 Bottle (0054-3556-63),11.99,11.99,,,0
RC,250,Methadone Hydrochloride: 500 Ml In 1 Bottle (0406-6225-05),12.9,12.9,,,0
RC,250,Methimazole: 100 Blister Pack In 1 Carton (60687-669-01)  / 1 Tablet In 1 Blister Pack (60687-669-11),14.95,14.95,,,0
RC,250,"Methocarbamol: 10 Blister Pack In 1 Box, Unit-Dose (63739-991-10)  / 10 Tablet, Coated In 1 Blister Pack",11.7,11.7,,,0
RC,250,"Methocarbamol: 100 Blister Pack In 1 Box, Unit-Dose (60687-559-01)  / 1 Tablet In 1 Blister Pack (60687-559-11)",8.79,8.79,,,0
RC,250,Methocarbamol: 50 Blister Pack In 1 Box (50268-520-15)  / 1 Tablet In 1 Blister Pack (50268-520-11),12.67,12.67,,,0
RC,250,Methocarbamol: 50 Blister Pack In 1 Box (50268-521-15)  / 1 Tablet In 1 Blister Pack (50268-521-11),13.7,13.7,,,0
RC,250,"Methylphenidate Hydrochloride Extended-Release: 100 Tablet, Extended Release In 1 Bottle (0406-0127-01)",27.84,27.84,,,0
RC,250,"Methylphenidate Hydrochloride: 100 Tablet, Extended Release In 1 Bottle (13811-706-10)",9.56,9.56,,,0
RC,250,"Methylphenidate Hydrochloride: 100 Tablet, Extended Release In 1 Bottle (62175-310-37)",28.63,28.63,,,0
RC,250,"Metoclopramide: 10 Tray In 1 Case (0121-1576-10)  / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose",14.0,14.0,,,0
RC,250,"Metoclopramide: 100 Blister Pack In 1 Box, Unit-Dose (60687-620-01)  / 1 Tablet In 1 Blister Pack (60687-620-11)",15.7,15.7,,,0
RC,250,Metoclopramide: 473 Ml In 1 Bottle (0121-0576-16),12.53,12.53,,,0
RC,250,"Metoclopramide: 473 Ml In 1 Bottle, Plastic (62559-190-16)",13.12,13.12,,,0
RC,250,Metolazone: 100 Blister Pack In 1 Carton (51079-024-20)  / 1 Tablet In 1 Blister Pack (51079-024-01),12.37,12.37,,,0
RC,250,Metolazone: 100 Tablet In 1 Bottle (81005-125-01),12.3,12.3,,,0
RC,250,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6322-61)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",12.38,12.38,,,0
RC,250,"Metoprolol Tartrate: 100 Tablet, Film Coated In 1 Bottle (52817-362-10)",11.75,11.75,,,0
RC,250,Metronidazole: 100 BLISTER PACK in 1 CARTON (0904-1453-61)  / 1 TABLET in 1 BLISTER PACK,7.37,7.37,,,0
RC,250,"Metronidazole: 100 Blister Pack In 1 Box, Unit-Dose (60687-550-01)  / 1 Tablet In 1 Blister Pack (60687-550-11)",17.835,17.835,,,0
RC,250,Metronidazole: 100 Blister Pack In 1 Carton (0904-7156-61)  / 1 Tablet In 1 Blister Pack,9.94,9.94,,,0
RC,250,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (50742-239-01),13.91,13.91,,,0
RC,250,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (50742-240-01),15.28,15.28,,,0
RC,250,Miconazole Nitrate: 1 Tube In 1 Carton (51672-2001-1)  / 15 G In 1 Tube,20.38,20.38,,,0
RC,250,"Midazolam Hydrochloride: 3 Tray In 1 Case (60687-576-86)  / 10 Cup, Unit-Dose In 1 Tray (60687-576-46)  / 5 Ml In 1 Cup, Unit-Dose (60687-576-40)",36.02,36.02,,,0
RC,250,"Midodrine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-145-10)  / 10 Tablet In 1 Blister Pack",10.56,10.56,,,0
RC,250,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (0245-0212-01)  / 1 Tablet In 1 Blister Pack (0245-0212-89),17.2,17.2,,,0
RC,250,"Milk Of Magnesia: 10 Tray In 1 Case (0121-0431-30)  / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",13.12,13.12,,,0
RC,250,"Mineral Oil: 30 Ml In 1 Cup, Unit-Dose (48433-202-30)",17.91,17.91,,,0
RC,250,Minocycline Hydrochloride: 50 Blister Pack In 1 Carton (0904-6888-06)  / 1 Capsule In 1 Blister Pack,13.26,13.26,,,0
RC,250,Minoxidil: 100 Tablet In 1 Bottle (49884-256-01),8.63,8.63,,,0
RC,250,Miochol E: 1 Kit In 1 Blister Pack (24208-539-20)  *  2 Ml In 1 Vial *  2 Ml In 1 Ampule,505.0,505.0,,,0
RC,250,"Mirtazapine: 100 Blister Pack In 1 Carton (0904-6519-61)  / 1 Tablet, Film Coated In 1 Blister Pack",12.67,12.67,,,0
RC,250,"Mirtazapine: 30 Tablet, Film Coated In 1 Bottle (60505-0247-1)",13.21,13.21,,,0
RC,250,Mometasone Furoate: 1 Tube In 1 Carton (0713-0634-15)  / 15 G In 1 Tube,82.02,82.02,,,0
RC,250,"Montelukast Sodium: 100 Blister Pack In 1 Carton (0904-6808-61)  / 1 Tablet, Film Coated In 1 Blister Pack",13.13,13.13,,,0
RC,250,"Montelukast Sodium: 50 Blister Pack In 1 Box (50268-574-15)  / 1 Tablet, Chewable In 1 Blister Pack (50268-574-11)",16.09,16.09,,,0
RC,250,"Montelukast Sodium: 90 Tablet, Chewable In 1 Bottle (31722-727-90)",10.53,10.53,,,0
RC,250,"Montelukast Sodium: 90 Tablet, Chewable In 1 Bottle (31722-728-90)",13.24,13.24,,,0
RC,250,Morphine Sulfate: 100 Blister Pack In 1 Carton (0054-0235-24)  / 1 Tablet In 1 Blister Pack,14.12,14.12,,,0
RC,250,Morphine Sulfate: 500 Ml In 1 Bottle (0054-0237-63),12.07,12.07,,,0
RC,250,"Moxifloxacin Hydrochloride: 1 Bottle, Plastic In 1 Carton (0832-1410-03)  / 3 Ml In 1 Bottle, Plastic",165.21,165.21,,,0
RC,250,Mupirocin: 1 Tube In 1 Carton (0093-1010-42)  / 22 G In 1 Tube,43.3,43.3,,,0
RC,250,Mupirocin: 1 Tube In 1 Carton (21922-029-04)  / 15 G In 1 Tube,163.93,163.93,,,0
RC,250,Mupirocin: 1 Tube In 1 Carton (45802-112-22)  / 22 G In 1 Tube,46.81,46.81,,,0
RC,250,Mupirocin: 1 Tube In 1 Carton (69238-2029-5)  / 15 G In 1 Tube,191.71,191.71,,,0
RC,250,Mupirocin: 15 G In 1 Tube (68462-564-17),888.01,888.01,,,0
RC,250,Mupirocin: 22 G In 1 Tube (68462-180-22),43.93,43.93,,,0
RC,250,My Way: 1 Blister Pack In 1 Carton (68180-852-11)  / 1 Tablet In 1 Blister Pack,81.96,81.96,,,0
RC,250,"Mylicon: 120 Syringe In 1 Box, Unit-Dose (17856-0799-1)  / .3 Ml In 1 Syringe",17.54,17.54,,,0
RC,250,Myrbetriq: 1 Bottle In 1 Carton (0469-5020-99)  / 100 Ml In 1 Bottle,105.07,105.07,,,0
RC,250,NDC Description Not Available,17.85,17.85,,,0
RC,250,Nadolol: 90 Tablet In 1 Bottle (69238-1124-9),12.93,12.93,,,0
RC,250,"Naltrexone Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (16729-081-10)",18.63,18.63,,,0
RC,250,Naproxen Oral Suspension: 500 Ml In 1 Bottle (70954-151-10),35.3,35.3,,,0
RC,250,"Naproxen: 50 Blister Pack In 1 Box, Unit-Dose (50268-594-15)  / 1 Tablet In 1 Blister Pack (50268-594-11)",6.67,6.67,,,0
RC,250,Naproxen: 500 Ml In 1 Bottle (31722-682-05),48.92,48.92,,,0
RC,250,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-288-11)  / 10 Ml In 1 Vial, Single-Dose (63323-288-03)",4.85,4.85,,,0
RC,250,Neomycin And Polymyxin B Sulfates And Bacitracin Zinc: 1 Tube In 1 Carton (24208-780-55)  / 3.5 G In 1 Tube,288.39,288.39,,,0
RC,250,Neomycin And Polymyxin B Sulfates And Dexamethasone: 1 Tube In 1 Carton (24208-795-35)  / 3.5 G In 1 Tube,88.19,88.19,,,0
RC,250,Neomycin And Polymyxin B Sulfates And Dexamethasone: 3.5 G In 1 Tube (61314-631-36),104.43,104.43,,,0
RC,250,"Neomycin And Polymyxin B Sulfates And Dexamethasone: 5 Ml In 1 Bottle, Plastic (61314-630-06)",78.82,78.82,,,0
RC,250,"Neomycin And Polymyxin B Sulfates And Gramicidin: 1 Bottle, Dropper In 1 Carton (24208-790-62)  / 10 Ml In 1 Bottle, Dropper",241.33,241.33,,,0
RC,250,"Neomycin And Polymyxin B Sulfates And Hydrocortisone: 10 Ml In 1 Bottle, Plastic (61314-645-11)",425.86,425.86,,,0
RC,250,Nevirapine: 240 Ml In 1 Bottle (65862-057-24),15.7,15.7,,,0
RC,250,"Nexium: 30 Granule, Delayed Release In 1 Carton (0186-4010-01)",28.5,28.5,,,0
RC,250,Nexplanon: 1 BLISTER PACK in 1 CARTON (0052-4330-01)  / 1 IMPLANT in 1 BLISTER PACK,6203.36,6203.36,,,0
RC,250,Nicardipine Hydrochloride: 10 Bag In 1 Carton (0143-9633-10)  / 200 Ml In 1 Bag (0143-9633-01),338.28,338.28,,,0
RC,250,Nicotine Transdermal System Step 1: 14 Patch In 1 Carton (43598-448-74)  / 24 H In 1 Patch,20.51,20.51,,,0
RC,250,Nicotine Transdermal System Step 2: 14 Patch In 1 Carton (43598-447-74)  / 24 H In 1 Patch,20.71,20.71,,,0
RC,250,Nicotine Transdermal System Step 3: 7 Patch In 1 Carton (43598-446-70)  / 24 H In 1 Patch,22.5,22.5,,,0
RC,250,"Nifedipine Er: 50 Blister Pack In 1 Box, Unit-Dose (50268-597-15)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack (50268-597-11)",16.75,16.75,,,0
RC,250,"Nifedipine: 100 Blister Pack In 1 Box, Unit-Dose (68084-597-01)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack (68084-597-11)",13.16,13.16,,,0
RC,250,"Nimbex: 5 mL in 1 VIAL, SINGLE-DOSE (0074-4378-05)",90.2,90.2,,,0
RC,250,Nitazoxanide: 6 Tablet In 1 Bottle (70954-934-10),686.96,686.96,,,0
RC,250,"Nitazoxanide: 6 Tablet, Film Coated In 1 Bottle (64980-526-60)",661.87,661.87,,,0
RC,250,Nitro-Bid: 30 G In 1 Tube (0281-0326-30),216.96,216.96,,,0
RC,250,Nitrofurantoin (Monohydrate/Macrocrystals): 100 Capsule In 1 Bottle (70756-404-11),14.58,14.58,,,0
RC,250,Nitrofurantoin (Monohydrate/Macrocrystals): 50 Blister Pack In 1 Carton (60687-633-65)  / 1 Capsule In 1 Blister Pack (60687-633-11),27.69,27.69,,,0
RC,250,"Nitrofurantoin: 1 Bottle, Glass In 1 Carton (70377-118-31)  / 230 Ml In 1 Bottle, Glass",177.45,177.45,,,0
RC,250,Nitrofurantoin: 230 Ml In 1 Bottle (70954-496-10),285.53,285.53,,,0
RC,250,"Nitrofurantoin: 240 Ml In 1 Bottle, Plastic (70408-239-32)",504.42,504.42,,,0
RC,250,Nitrostat: 4 Bottle In 1 Carton (0071-0418-13)  / 25 Tablet In 1 Bottle,259.65,259.65,,,0
RC,250,Nix: 1 BOTTLE in 1 CARTON (63736-024-03)  / 59 mL in 1 BOTTLE,68.76,68.76,,,0
RC,250,"Norditropin: 1 Syringe, Plastic In 1 Carton (0169-7704-21)  / 1.5 Ml In 1 Syringe, Plastic",2721.98,2721.98,,,0
RC,250,"Norepinephrine Bitartrate: 10 Vial, Single-Dose In 1 Carton (72603-180-10)  / 4 Ml In 1 Vial, Single-Dose (72603-180-01)",36.21,36.21,,,0
RC,250,Norethindrone Acetate: 50 Tablet In 1 Bottle (68462-304-50),8.73,8.73,,,0
RC,250,Norethindrone: 3 Pouch In 1 Carton (0378-7272-53)  / 1 Blister Pack In 1 Pouch (0378-7272-85)  / 28 Tablet In 1 Blister Pack,0.82,0.82,,,0
RC,250,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (0093-0811-01),12.77,12.77,,,0
RC,250,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (51672-4001-1),12.13,12.13,,,0
RC,250,"Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle, Plastic (75907-069-01)",11.51,11.51,,,0
RC,250,"Novolog: 1 Vial, Glass In 1 Carton (0169-7501-11)  / 10 Ml In 1 Vial, Glass",1.16,1.16,,,0
RC,250,"Noxafil: 8 Packet In 1 Carton (0085-2224-02)  / 1 Powder, For Suspension In 1 Packet (0085-2224-01)",696.18,696.18,,,0
RC,250,Nulytely: 4 L In 1 Package (52268-302-01),130.89,130.89,,,0
RC,250,Nutrilipid I.V. Fat Emulsion: 8 Carton In 1 Case (0264-4460-00)  / 1 Container In 1 Carton / 1000 Ml In 1 Container,315.69,315.69,,,0
RC,250,Nystatin: 1 Tube In 1 Carton (45802-048-11)  / 30 G In 1 Tube,142.56,142.56,,,0
RC,250,Nystatin: 1 Tube In 1 Carton (45802-048-35)  / 15 G In 1 Tube,51.45,51.45,,,0
RC,250,Nystatin: 1 Tube In 1 Carton (45802-059-35)  / 15 G In 1 Tube,89.85,89.85,,,0
RC,250,"Nystatin: 10 Tray In 1 Case (66689-037-99)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (66689-037-01)",12.65,12.65,,,0
RC,250,"Nystatin: 15 G In 1 Bottle, Plastic (16714-769-01)",113.25,113.25,,,0
RC,250,"Nystatin: 15 G In 1 Bottle, Plastic (68308-152-15)",47.3,47.3,,,0
RC,250,Nystatin: 15 g in 1 TUBE (0168-0007-15),92.65,92.65,,,0
RC,250,Nystatin: 30 G In 1 Tube (72578-089-04),86.38,86.38,,,0
RC,250,Nystatin: 473 Ml In 1 Bottle (0121-1045-16),14.48,14.48,,,0
RC,250,"Nystatin: 5 Ml In 1 Cup, Unit-Dose (63739-160-70)",14.24,14.24,,,0
RC,250,"Nystatin: 5 Tray In 1 Case (0121-0868-50)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0868-05)",17.51,17.51,,,0
RC,250,"Nystop: 15 G In 1 Bottle, Plastic (0574-2008-15)",40.28,40.28,,,0
RC,250,OXYBUTYNIN CHLORIDE: 473 mL in 1 BOTTLE (60432-092-16),12.43,12.43,,,0
RC,250,"Ofloxacin: 1 BOTTLE, DROPPER in 1 CARTON (17478-713-10)  / 5 mL in 1 BOTTLE, DROPPER",66.63,66.63,,,0
RC,250,"Ofloxacin: 1 Bottle, Dropper In 1 Carton (60505-0560-1)  / 10 Ml In 1 Bottle, Dropper",205.98,205.98,,,0
RC,250,"Ofloxacin: 5 Ml In 1 Bottle, Dropper (72603-192-01)",81.19,81.19,,,0
RC,250,"Oil: 473 Ml In 1 Bottle, Plastic (0869-0831-43)",13.14,13.14,,,0
RC,250,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3110-0)  / 10 Tablet, Film Coated In 1 Blister Pack",11.26,11.26,,,0
RC,250,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3275-0)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack",17.73,17.73,,,0
RC,250,"Olanzapine: 30 Blister Pack In 1 Carton (0093-5245-65)  / 1 Tablet, Orally Disintegrating In 1 Blister Pack (0093-5245-19)",16.82,16.82,,,0
RC,250,"Olanzapine: 30 Tablet, Film Coated In 1 Bottle (43598-164-30)",9.99,9.99,,,0
RC,250,"Olopatadine Hydrochloride: 1 Bottle, Plastic In 1 Carton (58602-006-40)  / 5 Ml In 1 Bottle, Plastic",53.83,53.83,,,0
RC,250,"Omegaven: 10 Vial, Single-Dose In 1 Carton (63323-205-50)  / 50 Ml In 1 Vial, Single-Dose (63323-205-21)",450.75,450.75,,,0
RC,250,Onfi: 1 Bottle In 1 Carton (67386-313-21)  / 120 Ml In 1 Bottle,422.97,422.97,,,0
RC,250,"Opsumit: 1 Blister Pack In 1 Carton (66215-501-15)  / 15 Tablet, Film Coated In 1 Blister Pack",1603.28,1603.28,,,0
RC,250,"Oscimin: 100 Tablet, Orally Disintegrating In 1 Bottle (68047-253-01)",9.16,9.16,,,0
RC,250,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (0527-4591-13)  / 10 Capsule In 1 Blister Pack,12.94,12.94,,,0
RC,250,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (72205-043-11)  / 10 Capsule In 1 Blister Pack,22.31,22.31,,,0
RC,250,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (72205-044-11)  / 10 Capsule In 1 Blister Pack,24.35,24.35,,,0
RC,250,"Oseltamivir Phosphate: 1 Bottle, Plastic In 1 Carton (0527-5137-62)  / 60 Ml In 1 Bottle, Plastic",18.05,18.05,,,0
RC,250,Oseltamivir Phosphate: 1 Pouch In 1 Carton (27241-139-09)  / 1 Bottle In 1 Pouch / 60 Ml In 1 Bottle,28.14,28.14,,,0
RC,250,Oseltamivir Phosphate: 10 CAPSULE in 1 CARTON (16714-817-01),70.37,70.37,,,0
RC,250,Oseltamivir Phosphate: 10 CAPSULE in 1 CARTON (16714-819-01),74.07,74.07,,,0
RC,250,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (64380-799-01),24.44,24.44,,,0
RC,250,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (76282-704-45),22.76,22.76,,,0
RC,250,Oseltamivir Phosphate: 10 Capsule In 1 Carton (31722-630-31),26.4,26.4,,,0
RC,250,Oseltamivir Phosphate: 10 Capsule In 1 Carton (31722-632-31),27.76,27.76,,,0
RC,250,Osmitrol: 250 Ml In 1 Bag (0338-0357-02),293.36,293.36,,,0
RC,250,Oxcarbazepine: 1 Bottle In 1 Carton (65162-649-78)  / 250 Ml In 1 Bottle,34.22,34.22,,,0
RC,250,"Oxcarbazepine: 1 Bottle, Glass In 1 Carton (69452-125-50)  / 250 Ml In 1 Bottle, Glass",20.25,20.25,,,0
RC,250,"Oxcarbazepine: 100 Blister Pack In 1 Carton (0904-7262-61)  / 1 Tablet, Film Coated In 1 Blister Pack",12.58,12.58,,,0
RC,250,"Oxcarbazepine: 100 Blister Pack In 1 Carton (0904-7263-61)  / 1 Tablet, Film Coated In 1 Blister Pack",11.02,11.02,,,0
RC,250,"Oxybutynin Chloride: 100 Blister Pack In 1 Carton (0904-6570-61)  / 1 Tablet, Extended Release In 1 Blister Pack",14.52,14.52,,,0
RC,250,Oxybutynin Chloride: 100 Blister Pack In 1 Carton (0904-7027-61)  / 1 Tablet In 1 Blister Pack,14.95,14.95,,,0
RC,250,"Oxybutynin Chloride: 473 Ml In 1 Bottle, Plastic (54838-510-80)",12.58,12.58,,,0
RC,250,"Oxybutynin Chloride: 50 Blister Pack In 1 Carton (0904-6570-06)  / 1 Tablet, Extended Release In 1 Blister Pack",18.2,18.2,,,0
RC,250,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-0552-23),12.85,12.85,,,0
RC,250,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-8510-23),14.3,14.3,,,0
RC,250,Oxycodone Hydrochloride: 10 Blister Pack In 1 Carton (42858-001-10)  / 10 Tablet In 1 Blister Pack,13.25,13.25,,,0
RC,250,Oxycodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6966-61)  / 1 Tablet In 1 Blister Pack,11.9,11.9,,,0
RC,250,Oxycodone Hydrochloride: 100 Tablet In 1 Bottle (0406-0552-01),9.41,9.41,,,0
RC,250,"Oxycodone Hydrochloride: 4 Tray In 1 Carton (0904-6828-94)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0904-6828-05)",19.96,19.96,,,0
RC,250,"Oxymetazoline Hcl: 1 Bottle, Spray In 1 Carton (45802-410-59)  / 30 Ml In 1 Bottle, Spray",19.64,19.64,,,0
RC,250,PETROLATUM: 144 PACKET in 1 BOX (67777-211-01)  / 5 g in 1 PACKET,5.84,5.84,,,0
RC,250,"Pancreaze: 1 Bottle, Glass In 1 Carton (62541-403-10)  / 100 Capsule, Delayed Release In 1 Bottle, Glass",34.26,34.26,,,0
RC,250,"Pantoprazole Sodium: 100 Blister Pack In 1 Box, Unit-Dose (60687-585-01)  / 1 Tablet, Delayed Release In 1 Blister Pack (60687-585-11)",13.5,13.5,,,0
RC,250,"Pantoprazole Sodium: 100 Blister Pack In 1 Carton (0904-6474-61)  / 1 Tablet, Delayed Release In 1 Blister Pack",13.0,13.0,,,0
RC,250,"Pantoprazole Sodium: 50 Blister Pack In 1 Carton (60687-736-65)  / 1 Tablet, Delayed Release In 1 Blister Pack (60687-736-11)",12.95,12.95,,,0
RC,250,"Paroxetine: 10 Blister Pack In 1 Box, Unit-Dose (63739-888-10)  / 10 Tablet, Film Coated In 1 Blister Pack",15.51,15.51,,,0
RC,250,Paroxetine: 250 Ml In 1 Bottle (70954-319-10),112.63,112.63,,,0
RC,250,Pedia-Lax: 12 Suppository In 1 Jar (0132-0081-12),12.27,12.27,,,0
RC,250,Pedia-Lax: 6 Applicator In 1 Carton (0132-0190-12)  / 4 Ml In 1 Applicator,17.22,17.22,,,0
RC,250,"Pedia-Lax: 66 Ml In 1 Bottle, With Applicator (0132-0202-20)",20.68,20.68,,,0
RC,250,"Peg-3350, Sodium Chloride, Sodium Bicarbonate And Potassium Chloride: 4 L In 1 Bottle (10572-302-01)",182.81,182.81,,,0
RC,250,Penicillin V Potassium: 100 Ml In 1 Bottle (0093-4127-73),12.92,12.92,,,0
RC,250,"Penicillin V Potassium: 100 Tablet, Film Coated In 1 Bottle (57237-040-01)",11.82,11.82,,,0
RC,250,Penicillin V Potassium: 200 Ml In 1 Bottle (0093-4127-74),13.02,13.02,,,0
RC,250,Pentam 300: 10 Vial In 1 Tray (63323-113-10)  / 3 Ml In 1 Vial (63323-113-01),155.75,155.75,,,0
RC,250,Pentamidine Isethionate: 10 Vial In 1 Tray (13925-515-10)  / 300 Mg In 1 Vial,355.26,355.26,,,0
RC,250,"Pentamidine Isethionate: 10 Vial, Single-Dose In 1 Carton (23155-748-41)  / 300 Mg In 1 Vial, Single-Dose (23155-748-31)",124.89,124.89,,,0
RC,250,Permethrin: 1 Tube In 1 Carton (0472-0242-60)  / 60 G In 1 Tube,137.18,137.18,,,0
RC,250,Phenazopyridine Hydrochloride: 100 TABLET in 1 BOTTLE (51293-811-01),15.45,15.45,,,0
RC,250,Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle (65162-681-10),12.42,12.42,,,0
RC,250,Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle (65162-682-10),13.46,13.46,,,0
RC,250,Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle (69367-192-01),15.6,15.6,,,0
RC,250,"Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle, Plastic (75826-114-10)",12.96,12.96,,,0
RC,250,"Phenobarbital Oral Solution: 5 Tray In 1 Case (0121-0942-50)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0942-05)",16.59,16.59,,,0
RC,250,Phenobarbital Sodium: 25 Vial In 1 Carton (0641-0476-25)  / 1 Ml In 1 Vial (0641-0476-21),39.23,39.23,,,0
RC,250,Phenobarbital: 100 Tablet In 1 Bottle (13517-758-01),14.59,14.59,,,0
RC,250,Phenobarbital: 100 Tablet In 1 Bottle (16571-669-01),5.61,5.61,,,0
RC,250,Phenobarbital: 100 Tablet In 1 Bottle (16571-671-01),5.02,5.02,,,0
RC,250,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (17478-201-02)  / 2 Ml In 1 Bottle, Dropper",206.9,206.9,,,0
RC,250,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (70756-614-30)  / 5 Ml In 1 Bottle, Dropper",191.76,191.76,,,0
RC,250,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (70756-629-25)  / 2 Ml In 1 Bottle, Dropper",165.28,165.28,,,0
RC,250,Phenytoin: 237 Ml In 1 Bottle (51672-4069-1),13.86,13.86,,,0
RC,250,Phenytoin: 237 Ml In 1 Bottle (66689-775-08),15.65,15.65,,,0
RC,250,"Phenytoin: 30 Blister Pack In 1 Box, Unit-Dose (60687-156-25)  / 1 Tablet, Chewable In 1 Blister Pack (60687-156-95)",10.85,10.85,,,0
RC,250,"Physiosol: 12 Bottle, Plastic In 1 Case (0990-6141-09)  / 1000 Ml In 1 Bottle, Plastic",1.38,1.38,,,0
RC,250,Pilocarpine Hydrochloride: 1 Bottle In 1 Carton (69238-1746-8)  / 15 Ml In 1 Bottle,405.89,405.89,,,0
RC,250,Plasma-Lyte A: 1000 Ml In 1 Bag (0338-0221-04),68.08,68.08,,,0
RC,250,Plasma-Lyte A: 500 Ml In 1 Bag (0338-0221-03),62.44,62.44,,,0
RC,250,"Plus Pharma: 150 TABLET, CHEWABLE in 1 BOTTLE, PLASTIC (51645-735-15)",11.68,11.68,,,0
RC,250,Polyethylene Glycol 3350 Nf: 100 Pouch In 1 Carton (69784-180-10)  / 17 G In 1 Pouch (69784-180-01),19.87,19.87,,,0
RC,250,Polyethylene Glycol 3350 Nf: 238 G In 1 Bottle (11534-180-28),7.68,7.68,,,0
RC,250,Polyethylene Glycol 3350: 17 G In 1 Packet (0904-6931-86),17.86,17.86,,,0
RC,250,Polyethylene Glycol 3350: 238 G In 1 Bottle (45802-868-02),7.75,7.75,,,0
RC,250,Polyethylene Glycol 3350: 30 Packet In 1 Carton (57896-490-03)  / 17 G In 1 Packet (57896-490-01),15.06,15.06,,,0
RC,250,Polyethylene Glycol 3350: 510 G In 1 Bottle (45802-868-03),31.42,31.42,,,0
RC,250,Polyvinyl Alcohol: 15 Ml In 1 Bottle (50268-678-15),59.33,59.33,,,0
RC,250,"Posaconazole: 1 Bottle, Glass In 1 Carton (0054-0449-49)  / 105 Ml In 1 Bottle, Glass",169.65,169.65,,,0
RC,250,"Posaconazole: 60 Tablet, Coated In 1 Bottle (72205-168-60)",12.9,12.9,,,0
RC,250,"Posaconazole: 60 Tablet, Delayed Release In 1 Bottle (0527-2133-35)",35.86,35.86,,,0
RC,250,"Posaconazole: 60 Tablet, Delayed Release In 1 Bottle (70748-258-07)",42.2,42.2,,,0
RC,250,"Posaconazole: 60 Tablet, Delayed Release In 1 Bottle (72319-023-02)",43.0,43.0,,,0
RC,250,"Potassium Acetate: 25 Vial, Single-Dose In 1 Tray (0409-8183-01)  / 20 Ml In 1 Vial, Single-Dose (0409-8183-11)",36.78,36.78,,,0
RC,250,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0663-04),99.84,99.84,,,0
RC,250,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0669-04),107.9,107.9,,,0
RC,250,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0671-04),88.65,88.65,,,0
RC,250,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0673-04),82.43,82.43,,,0
RC,250,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0675-04),113.48,113.48,,,0
RC,250,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0803-04),96.08,96.08,,,0
RC,250,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0807-04),91.45,91.45,,,0
RC,250,Potassium Chloride In Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7634-00)  / 1000 Ml In 1 Container,116.24,116.24,,,0
RC,250,Potassium Chloride In Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7635-00)  / 1000 Ml In 1 Container,86.48,86.48,,,0
RC,250,Potassium Chloride In Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7638-00)  / 1000 Ml In 1 Container,108.82,108.82,,,0
RC,250,Potassium Chloride In Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7652-00)  / 1000 Ml In 1 Container,92.29,92.29,,,0
RC,250,Potassium Chloride In Dextrose And Sodium Chloride: 12 Pouch In 1 Case (0990-7904-09)  / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,105.14,105.14,,,0
RC,250,"Potassium Chloride: 100 Blister Pack In 1 Carton (0904-7293-61)  / 1 Tablet, Extended Release In 1 Blister Pack",10.36,10.36,,,0
RC,250,Potassium Chloride: 473 Ml In 1 Bottle (0121-0948-16),13.54,13.54,,,0
RC,250,"Potassium Chloride: 5 Tray In 1 Case (81033-220-52)  / 10 Cup, Unit-Dose In 1 Tray / 15 Ml In 1 Cup, Unit-Dose (81033-220-15)",28.9,28.9,,,0
RC,250,Potassium Phosphate: 25 Bottle In 1 Carton (70069-746-25)  / 5 Ml In 1 Bottle,78.63,78.63,,,0
RC,250,"Potassium Phosphates: 25 Vial, Single-Dose In 1 Tray (0409-7295-01)  / 15 Ml In 1 Vial, Single-Dose (0409-7295-11)",58.36,58.36,,,0
RC,250,Pradaxa: 1 Bag In 1 Carton (0597-0425-78)  / 60 Pellet In 1 Bag,568.45,568.45,,,0
RC,250,Pradaxa: 1 Bag In 1 Carton (0597-0450-16)  / 60 Pellet In 1 Bag,577.06,577.06,,,0
RC,250,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5891-61)  / 1 Tablet In 1 Blister Pack",10.99,10.99,,,0
RC,250,"Prazosin Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (68084-996-01)  / 1 Capsule In 1 Blister Pack (68084-996-11)",19.31,19.31,,,0
RC,250,Prazosin Hydrochloride: 100 Capsule In 1 Bottle (0093-4067-01),7.63,7.63,,,0
RC,250,Precedex: 10 Bottle In 1 Tray (0409-1660-10)  / 100 Ml In 1 Bottle (0409-1660-35),34.6,34.6,,,0
RC,250,"Prednisolone Acetate: 1 Bottle, Dropper In 1 Carton (60758-119-05)  / 5 Ml In 1 Bottle, Dropper",257.38,257.38,,,0
RC,250,"Pregabalin: 100 Blister Pack In 1 Box, Unit-Dose (60687-495-01)  / 1 Capsule In 1 Blister Pack (60687-495-11)",14.27,14.27,,,0
RC,250,Pregabalin: 100 Blister Pack In 1 Carton (0904-6992-61)  / 1 Capsule In 1 Blister Pack,13.88,13.88,,,0
RC,250,Pregabalin: 100 Blister Pack In 1 Carton (0904-7000-61)  / 1 Capsule In 1 Blister Pack,12.02,12.02,,,0
RC,250,Pregabalin: 473 Ml In 1 Bottle (67877-457-47),16.94,16.94,,,0
RC,250,Preparation H: 1 Tube In 1 Carton (0573-2871-93)  / 28 G In 1 Tube,54.6,54.6,,,0
RC,250,"Prevacid Solutab: 10 Blister Pack In 1 Carton (64764-543-11)  / 10 Tablet, Orally Disintegrating, Delayed Release In 1 Blister Pack (64764-543-30)",101.74,101.74,,,0
RC,250,"Prevymis: 14 Blister Pack In 1 Carton (0006-3075-04)  / 1 Tablet, Film Coated In 1 Blister Pack (0006-3075-03)",1767.57,1767.57,,,0
RC,250,Prevymis: 30 Packet In 1 Carton (0006-5085-01)  / 48 Pellet In 1 Packet,488.24,488.24,,,0
RC,250,Prismasol B22Gk4/0: 2 Bag In 1 Case (24571-111-06)  / 5 L In 1 Bag,308.63,308.63,,,0
RC,250,Prismasol Bgk2/3.5: 2 Bag In 1 Case (24571-103-06)  / 5 L In 1 Bag,275.28,275.28,,,0
RC,250,Prismasol Bgk4/2.5: 2 Bag In 1 Case (24571-105-06)  / 5 L In 1 Bag,273.28,273.28,,,0
RC,250,Prismasol Bk0/0/1.2: 2 Bag In 1 Case (24571-113-06)  / 5 L In 1 Bag,279.64,279.64,,,0
RC,250,"Probenecid: 100 Tablet, Film Coated In 1 Bottle, Plastic (0591-5347-01)",15.09,15.09,,,0
RC,250,"Proglycem: 1 Bottle, Dropper In 1 Box (0575-6200-30)  / 30 Ml In 1 Bottle, Dropper",25.52,25.52,,,0
RC,250,"Promacta: 14 Tablet, Film Coated In 1 Bottle (0078-0686-55)",3140.54,3140.54,,,0
RC,250,"Promacta: 30 Tablet, Film Coated In 1 Bottle (0078-0686-15)",3133.79,3133.79,,,0
RC,250,Proparacaine Hydrochloride: 1 Bottle In 1 Carton (70069-601-01)  / 15 Ml In 1 Bottle,187.6,187.6,,,0
RC,250,"Proparacaine Hydrochloride: 1 Bottle, Dropper In 1 Carton (24208-730-06)  / 15 Ml In 1 Bottle, Dropper",210.8,210.8,,,0
RC,250,"Propranolol Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-587-01)  / 1 Tablet In 1 Blister Pack (60687-587-11)",9.06,9.06,,,0
RC,250,"Propranolol Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-598-01)  / 1 Tablet In 1 Blister Pack (60687-598-11)",13.59,13.59,,,0
RC,250,"Propranolol Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-609-01)  / 1 Tablet In 1 Blister Pack (60687-609-11)",11.95,11.95,,,0
RC,250,Propranolol Hydrochloride: 100 Blister Pack In 1 Carton (0904-6550-61)  / 1 Tablet In 1 Blister Pack,9.34,9.34,,,0
RC,250,"Propranolol Hydrochloride: 500 Ml In 1 Bottle, Plastic (0054-3727-63)",12.52,12.52,,,0
RC,250,Prostin Vr Pediatric: 5 Ampule In 1 Package (0009-3169-06)  / 1 Ml In 1 Ampule (0009-3169-01),790.91,790.91,,,0
RC,250,"Provocholine Inhalation Solution: 6 Package In 1 Package (64281-110-06)  / 6 Carton In 1 Package (64281-110-05)  / 1 Kit In 1 Carton *  1 Vial, Plastic In 1 Kit / 3 Ml In 1 Vial, Plastic (64281-113-00",913.8,913.8,,,0
RC,250,"Pseudoephedrine Hcl: 10 Blister Pack In 1 Carton (0904-6990-61)  / 10 Tablet, Film Coated In 1 Blister Pack",12.41,12.41,,,0
RC,250,Pseudoephedrine Hydrochloride: 30 Tablet In 1 Bottle (0904-6728-46),11.92,11.92,,,0
RC,250,Pseudoephedrine Hydrochloride: 5 Blister Pack In 1 Box (0904-6907-06)  / 10 Tablet In 1 Blister Pack,11.71,11.71,,,0
RC,250,Purixan: 1 Bottle In 1 Carton (62484-0020-2)  / 100 Ml In 1 Bottle (62484-0020-1),78.7,78.7,,,0
RC,250,Pyrazinamide: 100 Tablet In 1 Bottle (10135-735-01),27.41,27.41,,,0
RC,250,Pyridostigmine Bromide: 100 Tablet In 1 Bottle (0115-3511-01),14.41,14.41,,,0
RC,250,Pyridostigmine Bromide: 100 Tablet In 1 Bottle (68682-302-10),16.92,16.92,,,0
RC,250,Pyridostigmine: 473 Ml In 1 Bottle (70954-148-10),30.17,30.17,,,0
RC,250,Pyridoxine Hydrochloride: 25 Vial In 1 Tray (63323-180-01)  / 1 Ml In 1 Vial (63323-180-00),29.9,29.9,,,0
RC,250,Qbrelis: 150 Ml In 1 Bottle (52652-3001-1),145.65,145.65,,,0
RC,250,"Quetiapine Fumarate: 60 Tablet, Extended Release In 1 Bottle (16729-132-12)",7.0,7.0,,,0
RC,250,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6638-61)  / 1 Tablet, Film Coated In 1 Blister Pack",7.93,7.93,,,0
RC,250,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6640-61)  / 1 Tablet, Film Coated In 1 Blister Pack",10.55,10.55,,,0
RC,250,Quillivant Xr: 1 Bottle In 1 Carton (24478-321-02)  / 60 Ml In 1 Bottle,195.18,195.18,,,0
RC,250,"Qvar Redihaler: 1 Inhaler In 1 Carton (59310-304-80)  / 1 Canister In 1 Inhaler / 120 Aerosol, Metered In 1 Canister",1766.39,1766.39,,,0
RC,250,R-Gene: 1 Container In 1 Carton (0009-0436-01)  / 300 Ml In 1 Container,70.56,70.56,,,0
RC,250,Ready-To-Use: 1 Bottle In 1 Carton (0536-7415-51)  / 133 Ml In 1 Bottle,16.22,16.22,,,0
RC,250,Recothrom: 1 Kit In 1 Kit (0338-0322-01)  *  5 Ml In 1 Vial (0338-0324-01)  *  5 Ml In 1 Syringe,426.27,426.27,,,0
RC,250,Recothrom: 1 Kit In 1 Kit (0338-0330-01)  *  20 Ml In 1 Vial (0338-0328-01)  *  20 Ml In 1 Vial,1681.41,1681.41,,,0
RC,250,"Refresh Classic: 30 Vial, Single-Use In 1 Carton (0023-0506-01)  / .4 Ml In 1 Vial, Single-Use",14.27,14.27,,,0
RC,250,Refresh Lacri-Lube: 1 Tube In 1 Carton (0023-0312-04)  / 3.5 G In 1 Tube,72.91,72.91,,,0
RC,250,Regular Strength Pain Relief: 100 TABLET in 1 BOTTLE (57896-101-01),0.51,0.51,,,0
RC,250,Relistor: 1 Blister Pack In 1 Carton (65649-551-07)  / 1 Syringe In 1 Blister Pack / .6 Ml In 1 Syringe,177.35,177.35,,,0
RC,250,Relistor: 7 Blister Pack In 1 Carton (65649-552-04)  / 1 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe,917.1,917.1,,,0
RC,250,Remifentanil Hydrochloride: 10 Vial In 1 Carton (0143-9392-10)  / 5 Ml In 1 Vial (0143-9392-01),637.14,637.14,,,0
RC,250,Remifentanil Hydrochloride: 10 Vial In 1 Carton (0143-9393-10)  / 10 Ml In 1 Vial (0143-9393-01),1528.45,1528.45,,,0
RC,250,Resinol: 50 G In 1 Tube (67492-105-15),54.79,54.79,,,0
RC,250,Rezurock: 1 Bottle In 1 Carton (79802-200-30)  / 30 Tablet In 1 Bottle,3981.03,3981.03,,,0
RC,250,Rifabutin: 100 Capsule In 1 Bottle (10135-738-01),36.27,36.27,,,0
RC,250,Rifabutin: 100 Capsule In 1 Bottle (59762-1350-1),97.11,97.11,,,0
RC,250,"Rifampin: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-358-01)  / 1 CAPSULE in 1 BLISTER PACK (68084-358-11)",13.55,13.55,,,0
RC,250,Rifampin: 100 Blister Pack In 1 Carton (0904-7315-61)  / 1 Capsule In 1 Blister Pack,13.55,13.55,,,0
RC,250,"Rinvoq: 28 Tablet, Extended Release In 1 Bottle (0074-1043-28)",2855.75,2855.75,,,0
RC,250,"Rinvoq: 30 Tablet, Extended Release In 1 Bottle (0074-2306-30)",1413.03,1413.03,,,0
RC,250,"Risperidone: 100 Blister Pack In 1 Carton (0904-7360-61)  / 1 Tablet, Film Coated In 1 Blister Pack",12.6,12.6,,,0
RC,250,"Risperidone: 100 Blister Pack In 1 Carton (0904-7361-61)  / 1 Tablet, Film Coated In 1 Blister Pack",8.86,8.86,,,0
RC,250,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6359-61)",4.32,4.32,,,0
RC,250,Risperidone: 30 Ml In 1 Bottle (50458-596-01),23.77,23.77,,,0
RC,250,"Rivaroxaban: 1 Bottle In 1 Carton (67877-882-71)  / 1 Granule, For Suspension In 1 Bottle",38.77,38.77,,,0
RC,250,"Rizatriptan Benzoate: 3 Blister Pack In 1 Carton (57237-085-63)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack",21.89,21.89,,,0
RC,250,"Rizatriptan Benzoate: 3 Blister Pack In 1 Carton (57237-086-63)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack",16.81,16.81,,,0
RC,250,"Rocuronium Bromide: 10 Vial, Multi-Dose In 1 Carton (55150-226-10)  / 10 Ml In 1 Vial, Multi-Dose",33.53,33.53,,,0
RC,250,"Rocuronium Bromide: 10 Vial, Multi-Dose In 1 Carton (67457-228-10)  / 10 Ml In 1 Vial, Multi-Dose (67457-228-99)",59.06,59.06,,,0
RC,250,"Rocuronium Bromide: 10 Vial, Multi-Dose In 1 Carton (71288-718-11)  / 10 Ml In 1 Vial, Multi-Dose (71288-718-10)",36.3,36.3,,,0
RC,250,"Rosuvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6778-61)  / 1 Tablet, Coated In 1 Blister Pack",16.75,16.75,,,0
RC,250,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (16714-988-01)",12.57,12.57,,,0
RC,250,Rufinamide: 1 Bottle In 1 Carton (69452-223-84)  / 460 Ml In 1 Bottle,45.38,45.38,,,0
RC,250,"Rufinamide: 120 Tablet, Film Coated In 1 Bottle (31722-598-12)",13.14,13.14,,,0
RC,250,"Rugby Anti-Dandruff: 207 Ml In 1 Bottle, Plastic (0536-1995-53)",19.93,19.93,,,0
RC,250,Rugby Benzoyl Peroxide Acne Medication: 1 Tube In 1 Carton (0536-1055-56)  / 42.5 Ml In 1 Tube,20.55,20.55,,,0
RC,250,"Rugby Cherry Flavor: 177 Ml In 1 Bottle, Spray (0536-1228-58)",21.0,21.0,,,0
RC,250,Rugby Lubricating Drops: 15 Ml In 1 Bottle (0536-1325-94),40.75,40.75,,,0
RC,250,Rugby Muscle Rub Cream: 1 Tube In 1 Carton (0536-1349-57)  / 85 G In 1 Tube,21.59,21.59,,,0
RC,250,Rugby Petrolatum Hydrating Skin Protectant: 100 G In 1 Jar (0536-1143-97),36.14,36.14,,,0
RC,250,Rugby Petrolatum Hydrating Skin Protectant: 454 G In 1 Jar (0536-1143-98),74.29,74.29,,,0
RC,250,"Rugby Polyvinyl Alcohol 1.4% Lubricating Eye Drops: 1 Bottle, Dropper In 1 Box (0536-1408-94)  / 15 Ml In 1 Bottle, Dropper",40.59,40.59,,,0
RC,250,"S2: 30 Pouch In 1 Carton (0487-5901-99)  / 1 Vial, Single-Use In 1 Pouch / .5 Ml In 1 Vial, Single-Use",23.93,23.93,,,0
RC,250,SENSI CARE PROTECTIVE BARRIER: 113 g in 1 TUBE (43553-3256-4),6.27,6.27,,,0
RC,250,Sancuso: 168 H In 1 Pouch (66220-637-31),4417.79,4417.79,,,0
RC,250,"Scopolamine: 24 Pouch In 1 Carton (50742-505-24)  / 1 Patch, Extended Release In 1 Pouch",44.12,44.12,,,0
RC,250,Senna: 100 Tablet In 1 Bottle (69618-064-01),7.88,7.88,,,0
RC,250,"Senna: 237 Ml In 1 Bottle, Plastic (39328-020-08)",12.79,12.79,,,0
RC,250,"Sennosides: 10 Blister Pack In 1 Box, Unit-Dose (0904-7252-61)  / 10 Tablet, Film Coated In 1 Blister Pack",8.94,8.94,,,0
RC,250,"Senokot: 1 Bottle, Plastic In 1 Carton (67618-300-50)  / 50 Tablet In 1 Bottle, Plastic",8.75,8.75,,,0
RC,250,Sensi-Care: 113 G In 1 Tube (53329-771-44),51.4,51.4,,,0
RC,250,"Sensipar: 30 Tablet, Coated In 1 Bottle, Plastic (55513-073-30)",12.14,12.14,,,0
RC,250,"Seroquel Xr: 60 Tablet, Extended Release In 1 Bottle (0310-0280-60)",62.27,62.27,,,0
RC,250,"Sertraline Hydrochloride: 1 Bottle, Plastic In 1 Carton (16714-601-02)  / 60 Ml In 1 Bottle, Plastic",26.5,26.5,,,0
RC,250,"Sertraline Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-231-01)  / 1 Tablet In 1 Blister Pack (60687-231-11)",8.93,8.93,,,0
RC,250,"Sertraline Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-242-01)  / 1 Tablet In 1 Blister Pack (60687-242-11)",9.68,9.68,,,0
RC,250,"Sevelamer Carbonate: 50 Blister Pack In 1 Box (50268-720-15)  / 1 Tablet, Film Coated In 1 Blister Pack (50268-720-11)",17.37,17.37,,,0
RC,250,"Sevelamer Carbonate: 90 Pouch In 1 Carton (65862-930-90)  / 1 Powder, For Suspension In 1 Pouch (65862-930-08)",20.84,20.84,,,0
RC,250,"Sevelamer Carbonate: 90 Pouch In 1 Carton (65862-931-90)  / 1 Powder, For Suspension In 1 Pouch (65862-931-08)",0.14,0.14,,,0
RC,250,Sildenafil Citrate: 1 Bottle In 1 Carton (59651-420-11)  / 112 Ml In 1 Bottle,13.2,13.2,,,0
RC,250,"Sildenafil: 1 Bottle, Glass In 1 Carton (31722-136-31)  / 112 Ml In 1 Bottle, Glass",15.92,15.92,,,0
RC,250,"Sildenafil: 1 Bottle, Glass In 1 Carton (69238-1574-1)  / 112 Ml In 1 Bottle, Glass",16.4,16.4,,,0
RC,250,"Sildenafil: 1 Vial, Single-Dose In 1 Carton (55150-166-13)  / 12.5 Ml In 1 Vial, Single-Dose",654.54,654.54,,,0
RC,250,Silvadene: 1 Tube In 1 Carton (61570-131-20)  / 20 G In 1 Tube,57.15,57.15,,,0
RC,250,Silver Nitrate Applicators: 100 Applicator In 1 Vial (12870-0001-2)  / 100 Mg In 1 Applicator,14.72,14.72,,,0
RC,250,Silver Sulfadiazine: 20 G In 1 Tube (67877-124-20),39.75,39.75,,,0
RC,250,"Simethicone 80Mg: 100 Blister Pack In 1 Box (77333-812-10)  / 1 Tablet, Chewable In 1 Blister Pack (77333-812-25)",12.53,12.53,,,0
RC,250,"Sky Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (63739-052-74)",16.36,16.36,,,0
RC,250,Smoflipid: 10 Bag In 1 Case (63323-820-74)  / 250 Ml In 1 Bag (63323-820-04),229.1,229.1,,,0
RC,250,Sodium Bicarbonate Antacid: 1000 Tablet In 1 Bottle (0536-1046-10),5.71,5.71,,,0
RC,250,Sodium Bicarbonate: 1 Syringe In 1 Carton (76329-3352-1)  / 50 Ml In 1 Syringe,52.13,52.13,,,0
RC,250,Sodium Bicarbonate: 10 CARTON in 1 PACKAGE (0409-6637-34)  / 1 SYRINGE in 1 CARTON / 50 mL in 1 SYRINGE,59.59,59.59,,,0
RC,250,Sodium Bicarbonate: 10 Carton In 1 Package (0409-5534-14)  / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe (0409-5534-24),122.14,122.14,,,0
RC,250,Sodium Bicarbonate: 10 Carton In 1 Package (0409-6637-14)  / 1 Syringe In 1 Carton / 50 Ml In 1 Syringe (0409-6637-24),88.08,88.08,,,0
RC,250,Sodium Bicarbonate: 1000 Tablet In 1 Bottle (64980-528-10),11.96,11.96,,,0
RC,250,Sodium Bicarbonate: 25 VIAL in 1 TRAY (0409-6625-02)  / 50 mL in 1 VIAL,49.51,49.51,,,0
RC,250,"Sodium Bicarbonate: 25 Vial, Single-Dose In 1 Tray (0409-6625-14)  / 50 Ml In 1 Vial, Single-Dose (0409-6625-22)",48.7,48.7,,,0
RC,250,Sodium Chloride: 1 Bag In 1 Package (0338-0049-41)  / 50 Ml In 1 Bag,19.45,19.45,,,0
RC,250,Sodium Chloride: 1 Bag In 1 Package (0338-0049-48)  / 100 Ml In 1 Bag,30.01,30.01,,,0
RC,250,Sodium Chloride: 1000 Ml In 1 Bag (0338-0043-04),81.9,81.9,,,0
RC,250,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),1.0,1.0,,,0
RC,250,Sodium Chloride: 12 Container In 1 Case (0264-5802-00)  / 1000 Ml In 1 Container,1.0,1.0,,,0
RC,250,Sodium Chloride: 12 Container In 1 Case (0264-5804-00)  / 1000 Ml In 1 Container,85.64,85.64,,,0
RC,250,Sodium Chloride: 12 Container In 1 Case (0264-7802-00)  / 1000 Ml In 1 Container,84.54,84.54,,,0
RC,250,Sodium Chloride: 14 Bag In 1 Carton (0338-0047-44)  / 1000 Ml In 1 Bag,93.97,93.97,,,0
RC,250,Sodium Chloride: 16 Container In 1 Case (0264-2201-00)  / 1000 Ml In 1 Container,13.52,13.52,,,0
RC,250,Sodium Chloride: 16 Container In 1 Case (0264-2201-10)  / 500 Ml In 1 Container,50.22,50.22,,,0
RC,250,Sodium Chloride: 20 Pouch In 1 Case (0990-7730-37)  / 4 Bag In 1 Pouch / 100 Ml In 1 Bag,87.94,87.94,,,0
RC,250,Sodium Chloride: 24 Container In 1 Case (0264-5802-10)  / 500 Ml In 1 Container,28.44,28.44,,,0
RC,250,Sodium Chloride: 24 Container In 1 Case (0264-7802-10)  / 500 Ml In 1 Container,81.79,81.79,,,0
RC,250,"Sodium Chloride: 25 Vial, Pharmacy Bulk Package In 1 Case (0409-1141-02)  / 100 Ml In 1 Vial, Pharmacy Bulk Package (0409-1141-12)",13.09,13.09,,,0
RC,250,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-186-10)  / 10 Ml In 1 Vial, Single-Dose (63323-186-01)",31.4,31.4,,,0
RC,250,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-186-20)  / 20 Ml In 1 Vial, Single-Dose (63323-186-03)",9.44,9.44,,,0
RC,250,Sodium Chloride: 250 Ml In 1 Bag (0338-9543-02),30.14,30.14,,,0
RC,250,Sodium Chloride: 250 Ml In 1 Bag (17271-701-05),29.46,29.46,,,0
RC,250,Sodium Chloride: 4 Bag In 1 Carton (0338-0047-47)  / 3000 Ml In 1 Bag,108.82,108.82,,,0
RC,250,Sodium Chloride: 4 Bag In 1 Package (0338-0049-10)  / 25 Ml In 1 Bag,1.0,1.0,,,0
RC,250,Sodium Chloride: 500 Ml In 1 Bag (0338-0043-03),73.16,73.16,,,0
RC,250,Sodium Chloride: 500 Ml In 1 Bag (0338-9543-04),26.27,26.27,,,0
RC,250,Sodium Chloride: 6 Bag In 1 Carton (0338-0047-46)  / 2000 Ml In 1 Bag,197.88,197.88,,,0
RC,250,Sodium Chloride: 64 Container In 1 Case (0264-1800-32)  / 100 Ml In 1 Container,27.01,27.01,,,0
RC,250,Sodium Chloride: 84 Container In 1 Case (0264-1800-31)  / 50 Ml In 1 Container,3.15,3.15,,,0
RC,250,"Sodium Nitroprusside: 1 Vial, Single-Dose In 1 Carton (43598-587-23)  / 2 Ml In 1 Vial, Single-Dose",63.49,63.49,,,0
RC,250,"Sodium Nitroprusside: 1 Vial, Single-Dose In 1 Carton (72485-105-01)  / 2 Ml In 1 Vial, Single-Dose",69.26,69.26,,,0
RC,250,Sodium Phenylacetate And Sodium Benzoate: 1 Vial In 1 Carton (70710-1926-1)  / 20 Ml In 1 Vial,4670.97,4670.97,,,0
RC,250,Sodium Phenylbutyrate: 1 Bottle In 1 Carton (49884-006-04)  / 250 G In 1 Bottle,38.9,38.9,,,0
RC,250,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (0409-7391-72)  / 15 Ml In 1 Vial, Single-Dose (0409-7391-82)",70.75,70.75,,,0
RC,250,"Sodium Polystyrene Sulfonate: 10 Bottle, Unit-Dose In 1 Carton (46287-006-60)  / 60 Ml In 1 Bottle, Unit-Dose",74.44,74.44,,,0
RC,250,"Sodium Tetradecyl Sulfate: 5 Vial, Glass In 1 Carton (24201-201-05)  / 2 Ml In 1 Vial, Glass (24201-201-01)",389.29,389.29,,,0
RC,250,"Sodium Thiosulfate: 50 Ml In 1 Vial, Single-Dose (60267-705-50)",557.51,557.51,,,0
RC,250,"Sore Throat Cherry: 177 Ml In 1 Bottle, Spray (0904-6305-21)",18.79,18.79,,,0
RC,250,Sotalol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7143-61)  / 1 Tablet In 1 Blister Pack,10.12,10.12,,,0
RC,250,Sotylize: 250 Ml In 1 Bottle (24338-530-25),55.59,55.59,,,0
RC,250,"Spiriva Respimat: 1 Cartridge In 1 Carton (0597-0100-51)  / 10 Spray, Metered In 1 Cartridge",244.26,244.26,,,0
RC,250,"Spironolactone: 10 Blister Pack In 1 Box, Unit-Dose (63739-544-10)  / 10 Tablet In 1 Blister Pack",11.61,11.61,,,0
RC,250,"Spironolactone: 100 Blister Pack In 1 Carton (0904-6927-61)  / 1 Tablet, Film Coated In 1 Blister Pack",8.03,8.03,,,0
RC,250,Spironolactone: 473 Ml In 1 Bottle (0574-1133-16),34.32,34.32,,,0
RC,250,Sprycel: 1 Bottle In 1 Carton (0003-0527-11)  / 60 Tablet In 1 Bottle,1047.3,1047.3,,,0
RC,250,Sprycel: 1 Bottle In 1 Carton (0003-0528-11)  / 60 Tablet In 1 Bottle,2102.84,2102.84,,,0
RC,250,"Sski: 1 Bottle, With Applicator In 1 Carton (71740-112-30)  / 30 Ml In 1 Bottle, With Applicator",17.72,17.72,,,0
RC,250,Stay Awake: 2 Blister Pack In 1 Carton (70677-1126-1)  / 8 Tablet In 1 Blister Pack,11.13,11.13,,,0
RC,250,Sterile Water: 1000 Ml In 1 Bag (0338-0013-04),64.81,64.81,,,0
RC,250,"Sterile Water: 12 Bottle, Plastic In 1 Carton (0338-0004-04)  / 1000 Ml In 1 Bottle, Plastic",62.17,62.17,,,0
RC,250,Sterile Water: 12 Container In 1 Case (0264-7850-00)  / 1000 Ml In 1 Container,66.0,66.0,,,0
RC,250,Sterile Water: 12 POUCH in 1 CASE (0409-7990-09)  / 1 BAG in 1 POUCH / 1000 mL in 1 BAG,66.35,66.35,,,0
RC,250,Sterile Water: 16 Container In 1 Case (0264-2101-00)  / 1000 Ml In 1 Container,63.9,63.9,,,0
RC,250,Sterile Water: 16 Container In 1 Case (0264-2101-10)  / 500 Ml In 1 Container,62.86,62.86,,,0
RC,250,"Sterile Water: 18 Bottle, Plastic In 1 Carton (0338-0004-03)  / 500 Ml In 1 Bottle, Plastic",61.25,61.25,,,0
RC,250,Sterile Water: 2000 Ml In 1 Bag (0338-0013-06),65.27,65.27,,,0
RC,250,"Sterile Water: 24 Bottle, Plastic In 1 Carton (0338-0004-02)  / 250 Ml In 1 Bottle, Plastic",62.42,62.42,,,0
RC,250,Sterile Water: 25 Vial In 1 Tray (63323-185-10)  / 10 Ml In 1 Vial (63323-185-07),40.89,40.89,,,0
RC,250,"Sterile Water: 25 Vial, Plastic In 1 Tray (0409-4887-10)  / 10 Ml In 1 Vial, Plastic (0409-4887-17)",28.72,28.72,,,0
RC,250,"Sterile Water: 25 Vial, Single-Dose In 1 Tray (63323-185-05)  / 5 Ml In 1 Vial, Single-Dose (63323-185-04)",40.02,40.02,,,0
RC,250,Sterile Water: 4 Bag In 1 Carton (0338-0003-47)  / 3000 Ml In 1 Bag,167.25,167.25,,,0
RC,250,Sterile Water: 4 Container In 1 Case (0264-7385-50)  / 2000 Ml In 1 Container,65.77,65.77,,,0
RC,250,Stratuscare Glycerin Laxative Pediatric: 25 Suppository In 1 Jar (58980-409-25),13.69,13.69,,,0
RC,250,"Sucralfate: 10 Ml In 1 Cup, Unit-Dose (0904-7470-66)",20.65,20.65,,,0
RC,250,Sucralfate: 100 Blister Pack In 1 Carton (51079-753-20)  / 1 Tablet In 1 Blister Pack (51079-753-01),14.03,14.03,,,0
RC,250,"Sucralfate: 2 Tray In 1 Case (63739-193-51)  / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (63739-193-72)",16.37,16.37,,,0
RC,250,"Sucralfate: 20 Cup, Unit-Dose In 1 Case (0904-7470-56)  / 10 Ml In 1 Cup, Unit-Dose (0904-7470-66)",42.73,42.73,,,0
RC,250,"Sufentanil Citrate: 10 Vial, Single-Dose In 1 Carton (0409-3382-21)  / 1 Ml In 1 Vial, Single-Dose (0409-3382-11)",74.37,74.37,,,0
RC,250,"Sulfacetamide Sodium: 1 Bottle, Dropper In 1 Carton (24208-670-04)  / 15 Ml In 1 Bottle, Dropper",259.83,259.83,,,0
RC,250,Sulfamethoxazole And Trimethoprim: 100 Blister Pack In 1 Carton (0904-2725-61)  / 1 Tablet In 1 Blister Pack,9.67,9.67,,,0
RC,250,Sulfamethoxazole And Trimethoprim: 100 Tablet In 1 Bottle (57237-232-01),7.53,7.53,,,0
RC,250,Sulfamethoxazole And Trimethoprim: 100 Tablet In 1 Bottle (57237-233-01),10.51,10.51,,,0
RC,250,Sulfamethoxazole And Trimethoprim: 100 Tablet In 1 Bottle (65862-419-01),8.42,8.42,,,0
RC,250,Sulfamethoxazole And Trimethoprim: 473 Ml In 1 Bottle (65862-496-47),15.09,15.09,,,0
RC,250,Sulfamylon: 453.6 G In 1 Jar (16571-723-48),2949.21,2949.21,,,0
RC,250,Sulfasalazine: 1 Bottle In 1 Carton (59762-5000-5)  / 100 Tablet In 1 Bottle,10.77,10.77,,,0
RC,250,Sumatriptan: 1 Blister Pack In 1 Carton (16714-796-01)  / 9 Tablet In 1 Blister Pack,14.45,14.45,,,0
RC,250,Sumatriptan: 1 Blister Pack In 1 Carton (65862-146-36)  / 9 Tablet In 1 Blister Pack,9.4,9.4,,,0
RC,250,Sunmark Anti Diarrheal: 120 Ml In 1 Bottle (70677-0054-1),1.04,1.04,,,0
RC,250,"Sunmark Childrens Ibuprofen Ib: 1 Bottle In 1 Carton (70677-0072-1)  / 24 Tablet, Chewable In 1 Bottle",0.57,0.57,,,0
RC,250,Sunmark Mineral Oil Laxative: 1 Bottle In 1 Carton (49348-185-20)  / 133 Ml In 1 Bottle,17.67,17.67,,,0
RC,250,Symbicort: 1 Pouch In 1 Carton (0186-0370-28)  / 1 Canister In 1 Pouch / 60 Aerosol In 1 Canister,392.08,392.08,,,0
RC,250,Symbicort: 1 Pouch In 1 Carton (0186-0372-28)  / 1 Canister In 1 Pouch / 60 Aerosol In 1 Canister,393.6,393.6,,,0
RC,250,Systane: 1 Tube In 1 Carton (0065-0474-01)  / 10 G In 1 Tube,6.16,6.16,,,0
RC,250,Tabloid: 1 Bottle In 1 Carton (80725-630-25)  / 25 Tablet In 1 Bottle,2941.61,2941.61,,,0
RC,250,Tacrolimus: 1 Tube In 1 Carton (21922-011-05)  / 30 G In 1 Tube,311.67,311.67,,,0
RC,250,Tacrolimus: 1 Tube In 1 Carton (68462-534-35)  / 30 G In 1 Tube,513.44,513.44,,,0
RC,250,Tacrolimus: 1 Tube In 1 Carton (68462-881-35)  / 30 G In 1 Tube,238.28,238.28,,,0
RC,250,Tadalafil: 30 Tablet In 1 Bottle (13668-581-30),14.4,14.4,,,0
RC,250,Tadliq: 150 Ml In 1 Bottle (46287-045-15),374.02,374.02,,,0
RC,250,Tamiflu: 1 Blister Pack In 1 Carton (0004-0800-85)  / 10 Capsule In 1 Blister Pack,112.47,112.47,,,0
RC,250,"Tamsulosin Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-567-10)  / 10 Capsule In 1 Blister Pack",13.65,13.65,,,0
RC,250,Tamsulosin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7383-61)  / 1 Capsule In 1 Blister Pack,12.49,12.49,,,0
RC,250,"Teeny Tummy Gas Relief Drops: 120 Syringe In 1 Box, Unit-Dose (17856-1141-1)  / .3 Ml In 1 Syringe (17856-1141-6)",19.54,19.54,,,0
RC,250,Terbinafine: 30 Tablet In 1 Bottle (65862-079-30),13.19,13.19,,,0
RC,250,Tetrabenazine: 112 Tablet In 1 Bottle (43598-394-67),20.81,20.81,,,0
RC,250,Tetrabenazine: 112 Tablet In 1 Bottle (70436-101-09),18.8,18.8,,,0
RC,250,"Tetracaine Hydrochloride: 12 Blister Pack In 1 Carton (0065-0741-14)  / 1 Bottle, Dropper In 1 Blister Pack / 4 Ml In 1 Bottle, Dropper",86.46,86.46,,,0
RC,250,Theratears: 6 Pouch In 1 Carton (58790-003-30)  / 5 Vial In 1 Pouch / .6 Ml In 1 Vial,12.17,12.17,,,0
RC,250,Theratears: 7 Pouch In 1 Carton (58790-002-28)  / .6 Ml In 1 Pouch,11.8,11.8,,,0
RC,250,"Timolol Maleate: 5 Ml In 1 Bottle, Plastic (61314-227-05)",36.2,36.2,,,0
RC,250,"Tizanidine: 150 Tablet In 1 Bottle, Plastic (72789-326-77)",7.63,7.63,,,0
RC,250,TobraDex: 1 TUBE in 1 CARTON (0065-0648-35)  / 3.5 g in 1 TUBE,1372.71,1372.71,,,0
RC,250,Tobradex: 3.5 G In 1 Tube (0078-0876-01),1754.1,1754.1,,,0
RC,250,Tobramycin And Dexamethasone: 1 Bottle In 1 Carton (61314-647-05)  / 5 Ml In 1 Bottle,146.93,146.93,,,0
RC,250,"Tobramycin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (24208-295-05)  / 5 Ml In 1 Bottle, Dropper",454.54,454.54,,,0
RC,250,Tobramycin: 1 Bottle In 1 Carton (70069-131-01)  / 5 Ml In 1 Bottle,30.83,30.83,,,0
RC,250,"Tolterodine Tartrate: 30 Blister Pack In 1 Carton (0904-6592-04)  / 1 Capsule, Extended Release In 1 Blister Pack",43.39,43.39,,,0
RC,250,"Topiramate: 100 Blister Pack In 1 Box, Unit-Dose (68084-342-01)  / 1 Tablet, Film Coated In 1 Blister Pack (68084-342-11)",12.96,12.96,,,0
RC,250,"Topiramate: 60 Capsule, Coated Pellets In 1 Bottle (68382-004-14)",14.11,14.11,,,0
RC,250,"Topiramate: 60 Capsule, Coated Pellets In 1 Bottle (68382-005-14)",14.71,14.71,,,0
RC,250,Topiramate: 60 Tablet In 1 Bottle (69097-123-03),8.09,8.09,,,0
RC,250,Tramadol Hydrochloride: 100 Tablet In 1 Bottle (57664-377-08),11.8,11.8,,,0
RC,250,"Tramadol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (29300-355-01)",12.29,12.29,,,0
RC,250,"Tranexamic Acid: 1 Vial, Glass In 1 Carton (72485-107-01)  / 10 Ml In 1 Vial, Glass",39.48,39.48,,,0
RC,250,Tranexamic Acid: 10 Vial In 1 Carton (39822-1000-1)  / 10 Ml In 1 Vial,41.9,41.9,,,0
RC,250,"Tranexamic Acid: 10 Vial, Glass In 1 Carton (72485-107-10)  / 10 Ml In 1 Vial, Glass",33.18,33.18,,,0
RC,250,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (55150-188-10)  / 10 Ml In 1 Vial, Single-Dose",23.84,23.84,,,0
RC,250,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (81284-611-10)  / 10 Ml In 1 Vial, Single-Dose (81284-611-00)",28.58,28.58,,,0
RC,250,Tranexamic Acid: 30 Tablet In 1 Bottle (69918-301-30),18.45,18.45,,,0
RC,250,Transderm Scop: 10 Pouch In 1 Box (10019-553-03)  / 1 Patch In 1 Pouch / 3 D In 1 Patch,94.53,94.53,,,0
RC,250,Trazodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6868-61)  / 1 Tablet In 1 Blister Pack,7.95,7.95,,,0
RC,250,Trazodone Hydrochloride: 100 Tablet In 1 Bottle (50111-560-01),5.13,5.13,,,0
RC,250,Triamcinolone Acetonide: 1 Tube In 1 Carton (0168-0002-15)  / 15 G In 1 Tube,40.13,40.13,,,0
RC,250,Triamcinolone Acetonide: 1 Tube In 1 Carton (0168-0003-15)  / 15 G In 1 Tube,19.44,19.44,,,0
RC,250,Triamcinolone Acetonide: 1 Tube In 1 Carton (16714-985-01)  / 15 G In 1 Tube,17.93,17.93,,,0
RC,250,Triamcinolone Acetonide: 1 Tube In 1 Carton (16714-986-01)  / 15 G In 1 Tube,13.43,13.43,,,0
RC,250,Triamcinolone Acetonide: 1 Tube In 1 Carton (16714-986-03)  / 80 G In 1 Tube,38.9,38.9,,,0
RC,250,Triamcinolone Acetonide: 1 Tube In 1 Carton (16714-987-01)  / 15 G In 1 Tube,39.54,39.54,,,0
RC,250,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-054-35)  / 15 G In 1 Tube,29.35,29.35,,,0
RC,250,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-055-36)  / 80 G In 1 Tube,33.55,33.55,,,0
RC,250,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-064-36)  / 80 G In 1 Tube,44.82,44.82,,,0
RC,250,"Trihexyphenidyl Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0591-5335-01)",12.26,12.26,,,0
RC,250,Trihexyphenidyl Hydrochloride: 473 Ml In 1 Bottle (0121-0658-16),12.04,12.04,,,0
RC,250,"Trikafta: 4 Blister Pack In 1 Carton (51167-106-02)  / 1 Kit In 1 Blister Pack *  14 Tablet, Film Coated In 1 Blister Pack (51167-206-14)  *  7 Tablet, Film Coated In 1 Blister Pack (51167-306-07)",2107.05,2107.05,,,0
RC,250,"Trikafta: 4 Blister Pack In 1 Carton (51167-331-01)  / 1 Kit In 1 Blister Pack *  14 Tablet, Film Coated In 1 Blister Pack (51167-431-14)  *  7 Tablet, Film Coated In 1 Blister Pack (51167-531-07)",2064.84,2064.84,,,0
RC,250,Trikafta: 4 Package In 1 Carton (51167-445-01)  / 1 Kit In 1 Package *  1 Granule In 1 Packet (51167-545-07)  *  1 Granule In 1 Packet (51167-645-07),3154.27,3154.27,,,0
RC,250,Triple Antibiotic: 1 Tube In 1 Carton (0713-0268-31)  / 28.4 G In 1 Tube,23.58,23.58,,,0
RC,250,Triple Antibiotic: 1 Tube In 1 Carton (0904-0734-31)  / 28 G In 1 Tube,19.64,19.64,,,0
RC,250,Triple Antibiotic: 1 Tube In 1 Carton (45802-143-01)  / 14 G In 1 Tube,14.93,14.93,,,0
RC,250,Triple Antibiotic: 1 Tube In 1 Carton (51672-2120-2)  / 28.4 G In 1 Tube,15.38,15.38,,,0
RC,250,Trophamine: 12 Container In 1 Case (0264-1933-10)  / 500 Ml In 1 Container,1320.29,1320.29,,,0
RC,250,"Tropicamide: 1 Bottle, Plastic In 1 Carton (61314-355-01)  / 3 Ml In 1 Bottle, Plastic",57.47,57.47,,,0
RC,250,Trulicity: 4 Syringe In 1 Carton (0002-1434-80)  / .5 Ml In 1 Syringe (0002-1434-01),1678.59,1678.59,,,0
RC,250,Tylenol For Children Plus Adults: 1 Bottle In 1 Carton (50580-177-08)  / 240 Ml In 1 Bottle,11.24,11.24,,,0
RC,250,"Ultiva: 10 Vial, Glass In 1 Carton (72078-034-01)  / 3 Ml In 1 Vial, Glass (72078-034-00)",149.97,149.97,,,0
RC,250,"Ultiva: 10 Vial, Glass In 1 Carton (72078-035-02)  / 5 Ml In 1 Vial, Glass (72078-035-00)",266.61,266.61,,,0
RC,250,"Unituxin: 1 Vial, Single-Dose In 1 Box (66302-014-01)  / 5 Ml In 1 Vial, Single-Dose",82777.25,82777.25,,,0
RC,250,"Uptravi: 1 Bottle In 1 Carton (66215-602-06)  / 60 Tablet, Coated In 1 Bottle",1756.01,1756.01,,,0
RC,250,Ursodiol: 100 Blister Pack In 1 Carton (0904-6221-61)  / 1 Capsule In 1 Blister Pack,21.39,21.39,,,0
RC,250,Ursodiol: 100 Blister Pack In 1 Carton (0904-7168-61)  / 1 Capsule In 1 Blister Pack,18.93,18.93,,,0
RC,250,Ursodiol: 100 Tablet In 1 Bottle (0591-2998-01),15.56,15.56,,,0
RC,250,"Ursodiol: 100 Tablet, Film Coated In 1 Bottle (49884-412-01)",21.19,21.19,,,0
RC,250,"Valacyclovir Hydrochloride: 100 Blister Pack In 1 Carton (0904-6565-61)  / 1 Tablet, Film Coated In 1 Blister Pack",18.44,18.44,,,0
RC,250,"Valacyclovir Hydrochloride: 30 Blister Pack In 1 Box, Unit-Dose (68084-309-21)  / 1 Tablet, Film Coated In 1 Blister Pack (68084-309-11)",19.71,19.71,,,0
RC,250,"Valacyclovir: 10 Blister Pack In 1 Box, Unit-Dose (63739-077-10)  / 10 Tablet, Film Coated In 1 Blister Pack",16.97,16.97,,,0
RC,250,"Valacyclovir: 30 Tablet, Film Coated In 1 Bottle (63304-905-30)",22.06,22.06,,,0
RC,250,"Valcyte: 1 Bottle, Glass In 1 Carton (0004-0039-09)  / 100 Ml In 1 Bottle, Glass",61.44,61.44,,,0
RC,250,Valganciclovir Hydrochloride: 1 Pouch In 1 Carton (27241-159-19)  / 1 Bottle In 1 Pouch / 100 Ml In 1 Bottle,177.29,177.29,,,0
RC,250,Valganciclovir Hydrochloride: 100 Ml In 1 Bottle (70069-810-01),51.57,51.57,,,0
RC,250,Valganciclovir Hydrochloride: 60 Tablet In 1 Bottle (65862-753-60),28.75,28.75,,,0
RC,250,"Valganciclovir: 1 Bottle, Glass In 1 Carton (59651-444-01)  / 100 Ml In 1 Bottle, Glass",120.31,120.31,,,0
RC,250,"Valganciclovir: 20 Blister Pack In 1 Box, Unit-Dose (50268-787-12)  / 1 Tablet, Film Coated In 1 Blister Pack (50268-787-11)",94.67,94.67,,,0
RC,250,"Valganciclovir: 60 TABLET, FILM COATED in 1 BOTTLE (16714-765-01)",35.05,35.05,,,0
RC,250,"Valproate Sodium: 10 Vial, Single-Dose In 1 Carton (0143-9785-10)  / 5 Ml In 1 Vial, Single-Dose (0143-9785-01)",89.46,89.46,,,0
RC,250,"Valproic Acid: 10 Blister Pack In 1 Box, Unit-Dose (63739-086-10)  / 10 Capsule In 1 Blister Pack",14.35,14.35,,,0
RC,250,Valproic Acid: 473 Ml In 1 Bottle (0121-0675-85),13.48,13.48,,,0
RC,250,Valproic Acid: 473 Ml In 1 Bottle (62559-266-16),13.23,13.23,,,0
RC,250,"Valproic: 100 Capsule, Liquid Filled In 1 Bottle (0591-4012-01)",8.0,8.0,,,0
RC,250,Vancomycin Hydrochloride: 1 Bottle In 1 Carton (63323-314-61)  / 100 Ml In 1 Bottle,17.1,17.1,,,0
RC,250,Vancomycin Hydrochloride: 2 Blister Pack In 1 Carton (23155-858-78)  / 10 Capsule In 1 Blister Pack,23.78,23.78,,,0
RC,250,"Venclexta: 1 Blister Pack In 1 Carton (0074-0576-11)  / 1 Tablet, Film Coated In 1 Blister Pack",871.32,871.32,,,0
RC,250,"Venlafaxine Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (68084-698-01)  / 1 Capsule, Extended Release In 1 Blister Pack (68084-698-11)",14.12,14.12,,,0
RC,250,"Venlafaxine: 100 Blister Pack In 1 Box, Unit-Dose (68084-844-01)  / 1 Tablet In 1 Blister Pack (68084-844-11)",9.49,9.49,,,0
RC,250,"Ventolin Hfa: 1 Inhaler In 1 Carton (0173-0682-24)  / 60 Aerosol, Metered In 1 Inhaler",147.74,147.74,,,0
RC,250,Verapamil Hydrochloride: 100 Tablet In 1 Bottle (75834-158-01),12.52,12.52,,,0
RC,250,"Verapamil Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0591-0343-01)",11.68,11.68,,,0
RC,250,Verapamil Hydrochloride: 25 Carton In 1 Carton (70710-1643-7)  / 5 Vial In 1 Carton (70710-1643-5)  / 2 Ml In 1 Vial,39.46,39.46,,,0
RC,250,Verapamil Hydrochloride: 5 Vial In 1 Carton (51754-0203-2)  / 2 Ml In 1 Vial,43.57,43.57,,,0
RC,250,Vfend: 1 Bottle In 1 Carton (0049-3160-44)  / 75 Ml In 1 Bottle,277.57,277.57,,,0
RC,250,Vigabatrin: 50 Packet In 1 Carton (69097-964-53)  / 10 Ml In 1 Packet,47.48,47.48,,,0
RC,250,"Vimpat: 6 Blister Pack In 1 Carton (0131-2477-60)  / 10 Tablet, Film Coated In 1 Blister Pack",87.48,87.48,,,0
RC,250,"Vimpat: 6 Blister Pack In 1 Carton (0131-2478-60)  / 10 Tablet, Film Coated In 1 Blister Pack",127.72,127.72,,,0
RC,250,Viokace: 1 Bottle In 1 Carton (73562-104-10)  / 100 Tablet In 1 Bottle,42.18,42.18,,,0
RC,250,"Visionblue: 10 Pouch In 1 Carton (68803-612-10)  / 1 Syringe, Glass In 1 Pouch / .5 Ml In 1 Syringe, Glass",548.14,548.14,,,0
RC,250,Voriconazole: 1 Bottle In 1 Carton (59762-0935-3)  / 75 Ml In 1 Bottle,374.44,374.44,,,0
RC,250,Voriconazole: 1 Bottle In 1 Carton (70436-230-39)  / 75 Ml In 1 Bottle,42.28,42.28,,,0
RC,250,"Voriconazole: 3 Blister Pack In 1 Box, Unit-Dose (63739-008-33)  / 10 Tablet In 1 Blister Pack",117.11,117.11,,,0
RC,250,"Voriconazole: 30 Blister Pack In 1 Carton (51079-164-03)  / 1 Tablet, Film Coated In 1 Blister Pack (51079-164-01)",48.93,48.93,,,0
RC,250,Vyvanse: 100 Capsule In 1 Bottle (59417-102-10),88.14,88.14,,,0
RC,250,Warfarin Sodium: 100 Tablet In 1 Bottle (0093-1712-01),5.83,5.83,,,0
RC,250,Warfarin Sodium: 100 Tablet In 1 Bottle (0093-1716-01),12.67,12.67,,,0
RC,250,"Xarelto: 1 Bottle In 1 Carton (50458-575-01)  / 1 Granule, For Suspension In 1 Bottle",156.61,156.61,,,0
RC,250,"Xarelto: 30 Tablet, Film Coated In 1 Bottle (50458-580-30)",11.42,11.42,,,0
RC,250,"Xcopri: 30 Tablet, Film Coated In 1 Bottle (71699-050-30)",249.8,249.8,,,0
RC,250,"Xeljanz: 60 Tablet, Film Coated In 1 Bottle (0069-1001-01)",668.65,668.65,,,0
RC,250,"Xeljanz: 60 Tablet, Film Coated In 1 Bottle (0069-1002-01)",636.62,636.62,,,0
RC,250,Xifaxan: 30 Tablet In 1 Bottle (65649-301-03),85.94,85.94,,,0
RC,250,Xifaxan: 6 Blister Pack In 1 Carton (65649-303-03)  / 10 Tablet In 1 Blister Pack,251.95,251.95,,,0
RC,250,"Xopenex Hfa: 1 Inhaler In 1 Carton (27437-056-01)  / 200 Aerosol, Metered In 1 Inhaler",160.88,160.88,,,0
RC,250,Xospata: 1 Bottle In 1 Carton (0469-1425-90)  / 90 Tablet In 1 Bottle,2098.04,2098.04,,,0
RC,250,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-27)  / 2 Ml In 1 Vial, Single-Dose (63323-492-04)",30.12,30.12,,,0
RC,250,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-495-07)  / 5 Ml In 1 Vial, Single-Dose (63323-495-04)",30.99,30.99,,,0
RC,250,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-483-27)  / 20 Ml In 1 Vial, Multi-Dose (63323-483-03)",33.19,33.19,,,0
RC,250,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-110-01)",32.7,32.7,,,0
RC,250,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-112-01)",60.02,60.02,,,0
RC,250,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-114-01)",117.5,117.5,,,0
RC,250,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-116-01)",77.93,77.93,,,0
RC,250,Zidovudine: 240 Ml In 1 Bottle (65862-048-24),12.68,12.68,,,0
RC,250,"Ziprasidone Hydrochloride: 4 Blister Pack In 1 Box, Unit-Dose (63739-988-32)  / 10 Capsule In 1 Blister Pack",29.69,29.69,,,0
RC,250,Ziprasidone: 40 Blister Pack In 1 Carton (0904-6269-08)  / 1 Capsule In 1 Blister Pack,32.78,32.78,,,0
RC,250,Ziprasidone: 80 Blister Pack In 1 Carton (0904-6270-45)  / 1 Capsule In 1 Blister Pack,24.03,24.03,,,0
RC,250,"Zirgan: 1 Tube, With Applicator In 1 Carton (24208-535-35)  / 5 G In 1 Tube, With Applicator",2868.64,2868.64,,,0
RC,250,Zonisade: 1 Bottle In 1 Carton (52652-8001-1)  / 150 Ml In 1 Bottle,83.89,83.89,,,0
RC,250,Zonisamide: 100 Capsule In 1 Bottle (68462-128-01),6.47,6.47,,,0
RC,250,Zyvox: 150 Ml In 1 Bottle (0009-5136-04),161.16,161.16,,,0
RC,250,vitamin a and d: 1 TUBE in 1 CARTON (45802-395-04)  / 113 g in 1 TUBE,24.56,24.56,,,0
RC,255,"Cysto-Conray Ii: 12 Bottle, Glass In 1 Box (0019-0862-50)  / 250 Ml In 1 Bottle, Glass",0.72,0.72,,,0
RC,255,"Eovist: 5 Vial, Single-Dose In 1 Box (50419-320-05)  / 10 Ml In 1 Vial, Single-Dose",93.13,93.13,,,0
RC,255,"Gadavist: 15 Carton In 1 Box (50419-325-37)  / 3 Vial, Single-Dose In 1 Carton / 2 Ml In 1 Vial, Single-Dose",18.02,18.02,,,0
RC,255,"Gadavist: 2 Carton In 1 Box (50419-325-11)  / 10 Vial, Single-Dose In 1 Carton / 7.5 Ml In 1 Vial, Single-Dose",1.725,1.725,,,0
RC,255,"Gadobutrol: 2 Carton In 1 Box (65219-281-07)  / 10 Vial, Single-Dose In 1 Carton / 7.5 Ml In 1 Vial, Single-Dose (65219-281-03)",1.4500000000000002,1.4500000000000002,,,0
RC,255,Gastrografin: 12 Bottle In 1 Box (0270-0445-40)  / 120 Ml In 1 Bottle,1.16,1.16,,,0
RC,255,Gastrografin: 24 Bottle In 1 Box (0270-0445-35)  / 30 Ml In 1 Bottle,2.865,2.865,,,0
RC,255,"Iodixanol: 10 Bottle, Plastic In 1 Box (65219-383-05)  / 50 Ml In 1 Bottle, Plastic (65219-383-02)",2.43,2.43,,,0
RC,255,Lipiodol: 1 Vial In 1 Carton (67684-1901-2)  / 10 Ml In 1 Vial,2247.8,2247.8,,,0
RC,255,NDC Description Not Available,1.87,1.87,,,0
RC,255,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1412-30)  / 50 Ml In 1 Bottle, Plastic",1.54,1.54,,,0
RC,255,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-61)  / 50 Ml In 1 Bottle, Plastic",1.45,1.45,,,0
RC,255,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-63)  / 100 Ml In 1 Bottle, Plastic",1.4,1.4,,,0
RC,255,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-91)  / 100 Ml In 1 Bottle, Plastic",1.27,1.27,,,0
RC,255,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1411-10)  / 10 Ml In 1 Vial, Glass",18.82,18.82,,,0
RC,255,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1412-10)  / 10 Ml In 1 Vial, Glass",21.85,21.85,,,0
RC,255,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1412-20)  / 20 Ml In 1 Vial, Glass",11.56,11.56,,,0
RC,255,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1413-10)  / 10 Ml In 1 Vial, Glass",17.855,17.855,,,0
RC,255,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-16)  / 50 Ml In 1 Bottle, Plastic",2.6,2.6,,,0
RC,255,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-17)  / 100 Ml In 1 Bottle, Plastic",2.27,2.27,,,0
RC,258,Carnitor: 5 Vial In 1 Carton (54482-147-01)  / 5 Ml In 1 Vial,1040.0,1040.0,,,0
RC,258,"Copper: 25 Vial, Single-Dose In 1 Tray (0409-4092-01)  / 10 Ml In 1 Vial, Single-Dose (0409-4092-11)",1040.0,1040.0,,,0
RC,258,Famotidine: 10 Vial In 1 Carton (67457-457-20)  / 20 Ml In 1 Vial (67457-457-00),1040.0,1040.0,,,0
RC,258,Infuvite Adult: 1 Kit In 1 Carton (54643-5649-1)  *  5 Ml In 1 Vial (54643-5657-1)  *  5 Ml In 1 Vial (54643-5659-1),1040.0,1040.0,,,0
RC,258,"M.V.I. Pediatric: 10 VIAL, SINGLE-DOSE in 1 BOX (61703-421-53)  / 5 mL in 1 VIAL, SINGLE-DOSE (61703-421-63)",1040.0,1040.0,,,0
RC,258,NDC Description Not Available,1040.0,1040.0,,,0
RC,258,Sterile Water: 2000 Ml In 1 Bag (0338-0013-06),1040.0,1040.0,,,0
RC,260,"Rabavert: 1 Kit In 1 Carton (50632-010-01)  *  1 Ml In 1 Syringe (50632-011-01)  *  1 Ml In 1 Vial, Glass (50632-013-01)",294.0,294.0,,,0
RC,343,"Adreview: 1 Vial, Glass In 1 Container (17156-235-01)  / 5 Ml In 1 Vial, Glass",19475.519999999997,19475.519999999997,,,0
RC,343,"Choletec: 10 Vial In 1 Carton (0270-0083-20)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",200.01,200.01,,,0
RC,343,"Drax Exametazime: 5 Vial In 1 Carton (65174-200-05)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (65174-200-01)",19578.165,19578.165,,,0
RC,343,"Draximage Maa: 30 Injection, Powder, For Solution In 1 Kit (65174-270-30)",1057.53,1057.53,,,0
RC,343,"Fludeoxyglucose F 18: 30 Ml In 1 Vial, Multi-Dose (49609-101-01)",531.6800000000001,531.6800000000001,,,0
RC,343,"Kit For The Preparation Of Technetium Tc 99M Medronate: 5 Vial, Multi-Dose In 1 Kit (45567-0040-1)  / 10 Ml In 1 Vial, Multi-Dose",308.62,308.62,,,0
RC,343,Kit For The Prepartion Of Technetium Tc99M Sulfur Colloid: 1 Kit In 1 Package (45567-0030-1)  *  3 Ml In 1 Vial *  3 Ml In 1 Vial *  10 Ml In 1 Vial,475.2,475.2,,,0
RC,343,NDC Description Not Available,1325.55,1325.55,,,0
RC,343,"Nephroscan: 5 Vial, Single-Dose In 1 Carton (71083-0020-5)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (71083-0020-1)",3534.18,3534.18,,,0
RC,343,Sodium Iodide: 1 CAPSULE in 1 BOX (17156-201-05),399.87,399.87,,,0
RC,343,Technelite: 1 Vial In 1 Carton (11994-090-01)  / 12 Ml In 1 Vial,141.18,141.18,,,0
RC,343,"Technescan Mag3: 5 Vial In 1 Cello Pack (69945-096-20)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",1872.7,1872.7,,,0
RC,343,"Ultratag Rbc: 5 Cello Pack In 1 Box (69945-068-20)  / 1 Kit In 1 Cello Pack (69945-068-10)  *  .6 Ml In 1 Syringe, Glass *  1 Ml In 1 Syringe, Glass *  9.5 Mg In 1 Vial, Glass",228.0,228.0,,,0
RC,634,NDC Description Not Available,6.75,6.75,,,0
RC,635,NDC Description Not Available,6.225,6.225,,,0
RC,636,1 VIAL in 1 CARTON (0069-0234-01)  / 50 mL in 1 VIAL,1.03,1.03,,,0
RC,636,1 VIAL in 1 CARTON (0069-0248-01)  / 100 mL in 1 VIAL,0.88,0.88,,,0
RC,636,"25 VIAL, SINGLE-DOSE in 1 TRAY (0409-3365-01)  / 1 mL in 1 VIAL, SINGLE-DOSE (0409-3365-11)",3.63,3.63,,,0
RC,636,Acetaminophen: 24 Bag In 1 Carton (67457-940-10)  / 100 Ml In 1 Bag,1.21,1.21,,,0
RC,636,Acetaminophen: 24 Container In 1 Case (0264-4100-90)  / 100 Ml In 1 Container,1.41,1.41,,,0
RC,636,"Acetaminophen: 24 Vial, Glass In 1 Carton (24201-100-24)  / 100 Ml In 1 Vial, Glass",0.64,0.64,,,0
RC,636,"Acetaminophen: 24 Vial, Single-Dose In 1 Carton (31722-205-24)  / 100 Ml In 1 Vial, Single-Dose (31722-205-31)",1.24,1.24,,,0
RC,636,"Acetazolamide: 1 Vial In 1 Box, Unit-Dose (0143-9503-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",39.46,39.46,,,0
RC,636,Acetazolamide: 1 Vial In 1 Carton (67457-853-50)  / 5 Ml In 1 Vial,42.38,42.38,,,0
RC,636,"Acetazolamide: 1 Vial, Glass In 1 Carton (39822-0190-1)  / 5 Ml In 1 Vial, Glass",36.68,36.68,,,0
RC,636,"Acetazolamide: 5 Ml In 1 Vial, Glass (23155-313-31)",35.73,35.73,,,0
RC,636,"Acetylcysteine: 25 Vial, Glass In 1 Tray (0517-7504-25)  / 4 Ml In 1 Vial, Glass",49.78,49.78,,,0
RC,636,Acetylcysteine: 3 Vial In 1 Carton (63323-691-30)  / 30 Ml In 1 Vial (63323-691-22),30.35,30.35,,,0
RC,636,Acetylcysteine: 4 Vial In 1 Carton (25021-812-30)  / 30 Ml In 1 Vial,2.365,2.365,,,0
RC,636,"Acetylcysteine: 4 Vial, Single-Dose In 1 Carton (55150-259-30)  / 30 Ml In 1 Vial, Single-Dose",3.83,3.83,,,0
RC,636,"Actemra: 1 Vial, Single-Use In 1 Box (50242-136-01)  / 10 Ml In 1 Vial, Single-Use",41.165,41.165,,,0
RC,636,"Acyclovir Sodium: 10 Vial, Single-Dose In 1 Carton (55150-155-20)  / 20 Ml In 1 Vial, Single-Dose",0.91,0.91,,,0
RC,636,"Acyclovir: 10 Vial, Single-Dose In 1 Tray (63323-325-10)  / 10 Ml In 1 Vial, Single-Dose (63323-325-03)",1.84,1.84,,,0
RC,636,Acyclovir: 473 Ml In 1 Bottle (31722-681-47),10.09,10.09,,,0
RC,636,Acyclovir: 473 Ml In 1 Bottle (70954-188-10),10.38,10.38,,,0
RC,636,Acyclovir: 473 mL in 1 BOTTLE (50383-810-16),9.73,9.73,,,0
RC,636,"Adcetris: 1 Vial, Single-Dose In 1 Box (51144-050-01)  / 10.5 Ml In 1 Vial, Single-Dose",1174.93,1174.93,,,0
RC,636,"Adenosine: 1 Vial, Single-Dose In 1 Carton (55150-192-01)  / 20 Ml In 1 Vial, Single-Dose",3.09,3.09,,,0
RC,636,"Adenosine: 10 Vial, Single-Dose In 1 Carton (67457-855-02)  / 2 Ml In 1 Vial, Single-Dose (67457-855-00)",6.09,6.09,,,0
RC,636,Adrenalin: 1 Vial In 1 Carton (42023-168-01)  / 30 Ml In 1 Vial,3.96,3.96,,,0
RC,636,Adrenalin: 25 Vial In 1 Carton (42023-159-25)  / 1 Ml In 1 Vial (42023-159-01),10.44,10.44,,,0
RC,636,"Advate: 1 Blister Pack In 1 Carton (0944-3051-02)  / 1 Container In 1 Blister Pack (0944-3051-03)  / 1 Kit In 1 Container (0944-3051-04)  *  5 Ml In 1 Vial, Glass (0944-2941-01)  *  2 Ml In 1 Vial, Gl",9.09,9.09,,,0
RC,636,"Advate: 1 Blister Pack In 1 Carton (0944-3052-02)  / 1 Container In 1 Blister Pack (0944-3052-03)  / 1 Kit In 1 Container (0944-3052-04)  *  5 Ml In 1 Vial, Glass (0944-2942-02)  *  2 Ml In 1 Vial, Gl",9.07,9.07,,,0
RC,636,"Advate: 1 Blister Pack In 1 Carton (0944-3053-02)  / 1 Container In 1 Blister Pack (0944-3053-04)  / 1 Kit In 1 Container (0944-3053-03)  *  5 Ml In 1 Vial, Glass (0944-2943-02)  *  2 Ml In 1 Vial, Gl",9.035,9.035,,,0
RC,636,Albuked: 1 Vial In 1 Carton (76125-792-25)  / 50 Ml In 1 Vial (76125-792-26),221.08,221.08,,,0
RC,636,"Albumin (Human): 250 Ml In 1 Bottle, Glass (68982-623-02)",102.96,102.96,,,0
RC,636,"Alburx: 1 Vial, Glass In 1 Carton (44206-251-05)  / 50 Ml In 1 Vial, Glass (44206-251-90)",252.11,252.11,,,0
RC,636,"Alburx: 1 Vial, Glass In 1 Carton (44206-251-10)  / 100 Ml In 1 Vial, Glass (44206-251-91)",230.66,230.66,,,0
RC,636,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-25)  / 250 Ml In 1 Vial, Glass (44206-310-90)",90.465,90.465,,,0
RC,636,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-50)  / 500 Ml In 1 Vial, Glass (44206-310-91)",125.23,125.23,,,0
RC,636,Albutein: 1 Vial In 1 Carton (68516-5214-1)  / 250 Ml In 1 Vial (68516-5214-3),143.47,143.47,,,0
RC,636,Albutein: 1 Vial In 1 Carton (68516-5214-2)  / 500 Ml In 1 Vial (68516-5214-4),55.644999999999996,55.644999999999996,,,0
RC,636,Albutein: 1 Vial In 1 Carton (68516-5214-5)  / 50 Ml In 1 Vial (68516-5214-6),396.565,396.565,,,0
RC,636,Albutein: 1 Vial In 1 Carton (68516-5216-2)  / 100 Ml In 1 Vial (68516-5216-4),269.62,269.62,,,0
RC,636,Albutein: 1 Vial In 1 Carton (68516-5216-5)  / 20 Ml In 1 Vial (68516-5216-6),135.825,135.825,,,0
RC,636,Albuterol Sulfate: 2 Pouch In 1 Carton (0378-8270-91)  / 30 Ampule In 1 Pouch (0378-8270-64)  / 3 Ml In 1 Ampule,4.2,4.2,,,0
RC,636,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-0301-01)  / 1 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",21.11,21.11,,,0
RC,636,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-9501-01)  / 1 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",4.57,4.57,,,0
RC,636,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-9901-30)  / 1 Vial, Single-Dose In 1 Pouch / .5 Ml In 1 Vial, Single-Dose",4.09,4.09,,,0
RC,636,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-9904-01)  / 1 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",10.3,10.3,,,0
RC,636,Albuterol Sulfate: 30 Pouch In 1 Carton (76204-200-01)  / 1 Ampule In 1 Pouch / 3 Ml In 1 Ampule,4.45,4.45,,,0
RC,636,"Aldurazyme: 5 Ml In 1 Vial, Glass (58468-0070-1)",241.23,241.23,,,0
RC,636,"Alphanate: 1 Kit In 1 Carton (68516-4612-1)  *  5 Ml In 1 Vial (68516-4606-1)  *  5 Ml In 1 Vial, Single-Dose (68516-1001-1)",6.19,6.19,,,0
RC,636,"Alphanate: 1 Kit In 1 Carton (68516-4613-2)  *  10 Ml In 1 Vial (68516-4607-2)  *  10 Ml In 1 Vial, Single-Dose (68516-1002-2)",6.15,6.15,,,0
RC,636,"Alphanate: 1 Kit In 1 Carton (68516-4617-1)  *  5 Ml In 1 Vial (68516-4606-1)  *  5 Ml In 1 Vial, Glass (76297-002-02)",6.195,6.195,,,0
RC,636,"Alphanate: 1 Kit In 1 Carton (68516-4620-2)  *  10 Ml In 1 Vial (68516-4610-2)  *  10 Ml In 1 Vial, Glass (76297-002-12)",6.135,6.135,,,0
RC,636,"Ambisome: 12.5 Ml In 1 Vial, Single-Dose (0469-3051-30)",163.45,163.45,,,0
RC,636,"Amikacin Sulfate: 10 VIAL, SINGLE-DOSE in 1 CARTON (0703-9032-03)  / 2 mL in 1 VIAL, SINGLE-DOSE (0703-9032-01)",20.98,20.98,,,0
RC,636,"Amiodarone Hydrochloride: 1 Vial, Glass In 1 Carton (67457-153-18)  / 18 Ml In 1 Vial, Glass",16.05,16.05,,,0
RC,636,"Amiodarone Hydrochloride: 25 Vial, Single-Dose In 1 Tray (63323-616-03)  / 3 Ml In 1 Vial, Single-Dose (63323-616-01)",9.9,9.9,,,0
RC,636,"Amphotericin B: 1 Vial, Single-Dose In 1 Carton (55150-365-01)  / 12.5 Ml In 1 Vial, Single-Dose",108.055,108.055,,,0
RC,636,Amphotericin B: 10 Ml In 1 Vial (39822-1055-5),68.02,68.02,,,0
RC,636,"Ampicillin And Sulbactam: 1 Bottle In 1 Carton (71288-033-75)  / 1 Injection, Powder, For Solution In 1 Bottle",28.07,28.07,,,0
RC,636,"Ampicillin And Sulbactam: 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (72603-335-01)",26.42,26.42,,,0
RC,636,"Ampicillin And Sulbactam: 1 Vial, Pharmacy Bulk Package In 1 Carton (55150-118-99)  / 100 Ml In 1 Vial, Pharmacy Bulk Package",28.87,28.87,,,0
RC,636,"Ampicillin And Sulbactam: 10 Vial In 1 Carton (55150-117-20)  / 1 Injection, Powder, For Solution In 1 Vial",27.53,27.53,,,0
RC,636,Ampicillin: 1 Bottle In 1 Carton (83634-100-99)  / 100 Ml In 1 Bottle,17.93,17.93,,,0
RC,636,Ampicillin: 1 Vial In 1 Carton (44567-104-01)  / 100 Ml In 1 Vial,13.82,13.82,,,0
RC,636,"Ampicillin: 10 VIAL, GLASS in 1 PACKAGE (63323-704-08)  / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, GLASS",23.56,23.56,,,0
RC,636,"Ampicillin: 10 Vial In 1 Box (55150-113-10)  / 1 Injection, Powder, For Solution In 1 Vial",14.85,14.85,,,0
RC,636,"Ampicillin: 10 Vial In 1 Carton (72603-363-10)  / 1 Injection, Powder, For Solution In 1 Vial (72603-363-01)",16.34,16.34,,,0
RC,636,"Ampicillin: 10 Vial In 1 Tray (44567-101-10)  / 1 Injection, Powder, For Solution In 1 Vial",31.76,31.76,,,0
RC,636,"Ampicillin: 10 Vial, Glass In 1 Package (0781-3407-95)  / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-3407-78)",30.74,30.74,,,0
RC,636,"Ampicillin: 10 Vial, Pharmacy Bulk Package In 1 Box (55150-115-99)  / 100 Ml In 1 Vial, Pharmacy Bulk Package",19.04,19.04,,,0
RC,636,"Ampicillin: 10 Vial, Pharmacy Bulk Package In 1 Box (72603-578-01)  / 100 Ml In 1 Vial, Pharmacy Bulk Package",15.04,15.04,,,0
RC,636,Aprepitant: 1 Blister Pack In 1 Carton (0781-2321-06)  / 1 Capsule In 1 Blister Pack,58.75,58.75,,,0
RC,636,Aprepitant: 1 Blister Pack In 1 Carton (0781-2323-68)  / 6 Capsule In 1 Blister Pack (0781-2323-06),53.58,53.58,,,0
RC,636,Aprepitant: 1 Blister Pack In 1 Carton (68462-583-40)  / 1 Capsule In 1 Blister Pack,51.22,51.22,,,0
RC,636,Aprepitant: 1 Blister Pack In 1 Carton (68462-585-76)  / 6 Capsule In 1 Blister Pack (68462-585-40),42.19,42.19,,,0
RC,636,Aprepitant: 2 Capsule In 1 Dose Pack (68462-584-58),29.26,29.26,,,0
RC,636,Aprepitant: 6 Blister Pack In 1 Carton (13668-593-86)  / 1 Capsule In 1 Blister Pack (13668-593-80),46.26,46.26,,,0
RC,636,"Aranesp: 4 Vial, Single-Dose In 1 Package (55513-005-04)  / 1 Ml In 1 Vial, Single-Dose (55513-005-01)",37.4,37.4,,,0
RC,636,"Asceniv: 1 Vial, Single-Use In 1 Carton (69800-0250-1)  / 50 Ml In 1 Vial, Single-Use (69800-0250-2)",2900.12,2900.12,,,0
RC,636,"Asparlas: 1 Vial, Single-Use In 1 Carton (72694-515-01)  / 5 Ml In 1 Vial, Single-Use",416.35,416.35,,,0
RC,636,"Atropine Sulfate: 10 Syringe, Plastic In 1 Box (64253-400-91)  / 10 Ml In 1 Syringe, Plastic (64253-400-30)",1.02,1.02,,,0
RC,636,"Atropine Sulfate: 25 Vial, Glass In 1 Tray (0517-1001-25)  / 1 Ml In 1 Vial, Glass (0517-1001-01)",2.05,2.05,,,0
RC,636,"Atropine Sulfate: 25 Vial, Single-Dose In 1 Carton (16729-526-08)  / 1 Ml In 1 Vial, Single-Dose",1.34,1.34,,,0
RC,636,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-060-01)  / 4 Ml In 1 Vial, Single-Use",190.0,190.0,,,0
RC,636,"Avsola: 1 Vial, Single-Dose In 1 Carton (55513-670-01)  / 10 Ml In 1 Vial, Single-Dose",274.9,274.9,,,0
RC,636,"Avycaz: 10 Vial, Single-Dose In 1 Carton (0456-2700-10)  / 1 Powder, For Solution In 1 Vial, Single-Dose (0456-2700-01)",252.57,252.57,,,0
RC,636,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (0781-3491-94)",2.77,2.77,,,0
RC,636,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (43598-305-62)",15.39,15.39,,,0
RC,636,"Azacitidine: 1 Vial In 1 Carton (0143-9606-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",3.15,3.15,,,0
RC,636,"Azacitidine: 1 Vial, Single-Dose In 1 Carton (71288-115-30)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",3.2049999999999996,3.2049999999999996,,,0
RC,636,Azithromycin: 1 Bottle In 1 Carton (59651-008-30)  / 30 Ml In 1 Bottle,21.76,21.76,,,0
RC,636,Azithromycin: 1 Bottle In 1 Carton (59762-3120-1)  / 15 Ml In 1 Bottle,25.78,25.78,,,0
RC,636,Azithromycin: 1 Bottle In 1 Carton (59762-3140-1)  / 30 Ml In 1 Bottle,18.4,18.4,,,0
RC,636,Azithromycin: 1 Bottle In 1 Carton (70710-1460-2)  / 30 Ml In 1 Bottle,21.5,21.5,,,0
RC,636,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (55150-174-10)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",31.28,31.28,,,0
RC,636,"Banophen: 1 Bottle, Plastic In 1 Carton (0904-5551-59)  / 100 Tablet, Film Coated In 1 Bottle, Plastic",12.31,12.31,,,0
RC,636,"Benefix: 1 Kit In 1 Carton (58394-634-03)  *  5 Ml In 1 Syringe (58394-041-11)  *  1 Ml In 1 Packet (0069-1111-01)  *  5 Ml In 1 Vial, Single-Use (58394-134-03)",6.89,6.89,,,0
RC,636,"Benefix: 1 Kit In 1 Carton (58394-636-03)  *  5 Ml In 1 Syringe (58394-041-11)  *  1 Ml In 1 Packet (0069-1111-01)  *  5 Ml In 1 Vial, Single-Use (58394-136-03)",6.84,6.84,,,0
RC,636,Benlysta: 1 Vial In 1 Carton (49401-101-01)  / 1.5 Ml In 1 Vial,337.53499999999997,337.53499999999997,,,0
RC,636,Benlysta: 1 Vial In 1 Carton (49401-102-01)  / 5 Ml In 1 Vial,324.895,324.895,,,0
RC,636,Berinert: 1 Kit In 1 Carton (63833-825-02)  *  10 Ml In 1 Vial (63833-835-01)  *  10 Ml In 1 Vial (63833-765-15),425.095,425.095,,,0
RC,636,"Besponsa: 1 Vial, Single-Dose In 1 Carton (0008-0100-01)  / 4 Ml In 1 Vial, Single-Dose",15731.869999999999,15731.869999999999,,,0
RC,636,Beyfortus: 1 Syringe In 1 Carton (49281-574-88)  / 1 Ml In 1 Syringe,3269.82,3269.82,,,0
RC,636,Beyfortus: 1 Syringe In 1 Carton (49281-575-00)  / .5 Ml In 1 Syringe,3189.35,3189.35,,,0
RC,636,"Bivalirudin: 1 Vial, Single-Dose In 1 Carton (42023-622-01)  / 1 Injection, Solution In 1 Vial, Single-Dose",1.23,1.23,,,0
RC,636,"Bivalirudin: 10 Vial, Single-Dose In 1 Carton (42023-622-10)  / 1 Injection, Solution In 1 Vial, Single-Dose",1.23,1.23,,,0
RC,636,"Bivalirudin: 10 Vial, Single-Dose In 1 Carton (83634-400-10)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (83634-400-41)",1.03,1.03,,,0
RC,636,"Bleomycin: 1 Vial In 1 Box, Unit-Dose (0143-9240-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",264.24,264.24,,,0
RC,636,"Bleomycin: 1 Vial In 1 Box, Unit-Dose (0143-9241-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",135.01999999999998,135.01999999999998,,,0
RC,636,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (16714-886-01)  / 15 Powder, For Solution In 1 Vial, Single-Dose",284.62,284.62,,,0
RC,636,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (16714-908-01)  / 30 Powder, For Solution In 1 Vial, Single-Dose",199.31,199.31,,,0
RC,636,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (61703-332-18)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",240.11,240.11,,,0
RC,636,Blincyto: 1 Kit In 1 Package (55513-160-01)  *  3.088 Ml In 1 Vial (55513-150-01)  *  10.6 Ml In 1 Vial (55513-155-01),952.08,952.08,,,0
RC,636,"Bloxiverz: 10 CARTON in 1 PACKAGE (76014-003-10)  / 1 VIAL, MULTI-DOSE in 1 CARTON (76014-003-33)  / 10 mL in 1 VIAL, MULTI-DOSE",6.2,6.2,,,0
RC,636,Boostrix: 10 Syringe In 1 Carton (58160-842-52)  / .5 Ml In 1 Syringe (58160-842-43),265.73,265.73,,,0
RC,636,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (43598-426-60)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",11.69,11.69,,,0
RC,636,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (55150-337-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",10.35,10.35,,,0
RC,636,"Botox: 1 Vial In 1 Carton (0023-1145-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",39.68,39.68,,,0
RC,636,Brevibloc: 10 Bag In 1 Carton (10019-055-61)  / 250 Ml In 1 Bag,2.31,2.31,,,0
RC,636,Brevibloc: 10 Bag In 1 Carton (10019-075-87)  / 100 Ml In 1 Bag,4.86,4.86,,,0
RC,636,Budesonide Inhalation Suspension: 30 Pouch In 1 Carton (69097-319-53)  / 1 Ampule In 1 Pouch (69097-319-32)  / 2 Ml In 1 Ampule,28.13,28.13,,,0
RC,636,Budesonide: 30 Pouch In 1 Carton (0487-9701-30)  / 1 Ampule In 1 Pouch / 2 Ml In 1 Ampule,29.31,29.31,,,0
RC,636,Budesonide: 6 Pouch In 1 Carton (0487-9601-01)  / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,40.98,40.98,,,0
RC,636,Budesonide: 6 Pouch In 1 Carton (0487-9701-01)  / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,62.85,62.85,,,0
RC,636,Bumetanide: 10 Vial In 1 Carton (0641-6008-10)  / 4 Ml In 1 Vial (0641-6008-01),12.1,12.1,,,0
RC,636,Bumetanide: 10 Vial In 1 Carton (25021-321-04)  / 4 Ml In 1 Vial,19.865000000000002,19.865000000000002,,,0
RC,636,Bumetanide: 10 Vial In 1 Carton (25021-321-10)  / 10 Ml In 1 Vial,4.92,4.92,,,0
RC,636,"Bupivacaine Hydrochloride And Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-9042-01)  / 10 Ml In 1 Vial, Single-Dose (0409-9042-11)",39.44,39.44,,,0
RC,636,"Bupivacaine Hydrochloride: 1 Vial, Single-Dose In 1 Carton (71288-721-11)  / 10 Ml In 1 Vial, Single-Dose",0.7949999999999999,0.7949999999999999,,,0
RC,636,"Bupivacaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0143-9333-10)  / 30 Ml In 1 Vial, Single-Dose (0143-9333-01)",0.25,0.25,,,0
RC,636,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-167-10)  / 10 Ml In 1 Vial, Single-Dose",0.73,0.73,,,0
RC,636,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-01)  / 10 Ml In 1 Vial, Single-Dose (0409-1159-18)",0.84,0.84,,,0
RC,636,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1162-01)  / 10 Ml In 1 Vial, Single-Dose (0409-1162-18)",0.27,0.27,,,0
RC,636,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1162-02)  / 30 Ml In 1 Vial, Single-Dose (0409-1162-19)",0.14,0.14,,,0
RC,636,Busulfan: 8 Vial In 1 Carton (25021-241-10)  / 10 Ml In 1 Vial,51.64,51.64,,,0
RC,636,"Busulfan: 8 Vial, Single-Dose In 1 Carton (16729-351-92)  / 10 Ml In 1 Vial, Single-Dose (16729-351-03)",4.6,4.6,,,0
RC,636,"Busulfan: 8 Vial, Single-Dose In 1 Carton (71288-116-11)  / 10 Ml In 1 Vial, Single-Dose (71288-116-10)",4.42,4.42,,,0
RC,636,"Butorphanol Tartrate: 10 Vial, Single-Dose In 1 Carton (0409-1623-01)  / 1 Ml In 1 Vial, Single-Dose (0409-1623-21)",46.14,46.14,,,0
RC,636,Caffeine Citrate: 1 Vial In 1 Carton (25021-601-03)  / 3 Ml In 1 Vial,12.27,12.27,,,0
RC,636,Caffeine Citrate: 1 Vial In 1 Carton (51754-0500-1)  / 3 Ml In 1 Vial,7.04,7.04,,,0
RC,636,Caffeine Citrate: 10 Vial In 1 Carton (25021-602-03)  / 3 Ml In 1 Vial,7.26,7.26,,,0
RC,636,Caffeine Citrate: 10 Vial In 1 Carton (51754-0501-3)  / 3 Ml In 1 Vial,6.9,6.9,,,0
RC,636,"Calcitonin Salmon: 1 Vial, Multi-Dose In 1 Carton (24201-400-02)  / 2 Ml In 1 Vial, Multi-Dose",109.05,109.05,,,0
RC,636,"Calcitonin Salmon: 1 Vial, Multi-Dose In 1 Carton (43598-051-11)  / 2 Ml In 1 Vial, Multi-Dose",1013.85,1013.85,,,0
RC,636,"Calcium Chloride: 10 Carton In 1 Container (0409-1631-10)  / 1 Syringe, Plastic In 1 Carton (0409-1631-40)  / 10 Ml In 1 Syringe, Plastic",65.48,65.48,,,0
RC,636,Calcium Chloride: 10 Syringe In 1 Package (76329-3304-1)  / 10 Ml In 1 Syringe,137.06,137.06,,,0
RC,636,"Calcium Chloride: 10 Vial, Glass In 1 Box (0517-6710-10)  / 10 Ml In 1 Vial, Glass",58.19,58.19,,,0
RC,636,Calcium Gluconate In Sodium Chloride: 24 Pouch In 1 Carton (44567-620-24)  / 1 Bag In 1 Pouch (44567-620-01)  / 50 Ml In 1 Bag,0.67,0.67,,,0
RC,636,Calcium Gluconate: 24 Pouch In 1 Carton (80830-2362-9)  / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,0.59,0.59,,,0
RC,636,Calcium Gluconate: 25 Vial In 1 Carton (0143-9180-25)  / 10 Ml In 1 Vial (0143-9180-01),0.53,0.53,,,0
RC,636,"Calcium Gluconate: 25 Vial, Plastic In 1 Tray (63323-360-19)  / 10 Ml In 1 Vial, Plastic (63323-360-01)",0.8500000000000001,0.8500000000000001,,,0
RC,636,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (50742-447-45)  / 45 Ml In 1 Vial, Multi-Dose",64.01,64.01,,,0
RC,636,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-165-01)  / 15 Ml In 1 Vial, Multi-Dose",94.35,94.35,,,0
RC,636,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-166-01)  / 45 Ml In 1 Vial, Multi-Dose",74.43,74.43,,,0
RC,636,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (55150-335-01)  / 45 Ml In 1 Vial, Multi-Dose",31.21,31.21,,,0
RC,636,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-22)  / 15 Ml In 1 Vial, Multi-Dose",59.43,59.43,,,0
RC,636,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-50)  / 45 Ml In 1 Vial, Multi-Dose",29.3,29.3,,,0
RC,636,"Carmustine: 1 Kit In 1 Carton (23155-649-41)  *  3 Ml In 1 Vial (23155-648-31)  *  30 Ml In 1 Vial, Single-Dose (23155-647-31)",1062.05,1062.05,,,0
RC,636,Carnitor: 5 Vial In 1 Carton (54482-147-01)  / 5 Ml In 1 Vial,211.97,211.97,,,0
RC,636,Cathflo Activase: 1 Vial In 1 Carton (50242-041-64)  / 2 Ml In 1 Vial,546.55,546.55,,,0
RC,636,Cathflo Activase: 10 Vial In 1 Carton (50242-041-10)  / 2 Ml In 1 Vial,573.3800000000001,573.3800000000001,,,0
RC,636,Cefazolin: 24 Bag In 1 Carton (0338-3503-41)  / 50 Ml In 1 Bag,37.02,37.02,,,0
RC,636,"Cefazolin: 25 Vial In 1 Carton (44567-707-25)  / 1 Injection, Powder, For Solution In 1 Vial",19.63,19.63,,,0
RC,636,Cefazolin: 3 Ml In 1 Vial (0143-9924-90),14.31,14.31,,,0
RC,636,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6146-0)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",26.11,26.11,,,0
RC,636,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6147-0)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",25.42,25.42,,,0
RC,636,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6147-4)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",30.04,30.04,,,0
RC,636,Cefepime: 12 Bag In 1 Box (0338-1301-48)  / 100 Ml In 1 Bag,18.81,18.81,,,0
RC,636,"Ceftazidime: 10 Vial In 1 Carton (44567-236-10)  / 1 Injection, Powder, For Solution In 1 Vial",18.95,18.95,,,0
RC,636,Ceftazidime: 6 Vial In 1 Carton (44567-237-06)  / 100 Ml In 1 Vial,14.06,14.06,,,0
RC,636,"Ceftriaxone Sodium: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-7334-10)  / 100 Ml In 1 Vial, Pharmacy Bulk Package",10.19,10.19,,,0
RC,636,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7332-01)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7332-11)",6.65,6.65,,,0
RC,636,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7335-03)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7335-13)",5.25,5.25,,,0
RC,636,"Ceftriaxone: 10 VIAL in 1 CARTON (60505-0753-4)  / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL",9.48,9.48,,,0
RC,636,Ceftriaxone: 24 Bag In 1 Case (0338-5003-41)  / 50 Ml In 1 Bag,31.85,31.85,,,0
RC,636,"Ceftriaxone: 25 Vial In 1 Box (0143-9857-25)  / 1 Injection, Powder, For Solution In 1 Vial (0143-9857-01)",7.98,7.98,,,0
RC,636,"Ceftriaxone: 25 Vial In 1 Carton (25021-107-20)  / 1 Injection, Powder, For Solution In 1 Vial",11.88,11.88,,,0
RC,636,Cellcept: 4 Vial In 1 Carton (0004-0298-09)  / 20 Ml In 1 Vial,8.95,8.95,,,0
RC,636,"Cerezyme: 1 Vial, Glass In 1 Carton (58468-4663-1)  / 10 Ml In 1 Vial, Glass",264.48,264.48,,,0
RC,636,Childrens Benadryl Allergy: 1 Bottle In 1 Carton (50580-534-08)  / 236 Ml In 1 Bottle,12.33,12.33,,,0
RC,636,"Chirhostim: 8 Ml In 1 Vial, Single-Use (67066-005-01)",226.66,226.66,,,0
RC,636,Chlorothiazide Sodium: 1 Vial In 1 Carton (0517-1820-01)  / 18 Ml In 1 Vial,58.68,58.68,,,0
RC,636,Chlorothiazide Sodium: 1 Vial In 1 Carton (25021-305-20)  / 18 Ml In 1 Vial,43.79,43.79,,,0
RC,636,"Chlorothiazide Sodium: 1 Vial, Single-Dose In 1 Carton (47335-330-40)  / 18 Ml In 1 Vial, Single-Dose",46.88,46.88,,,0
RC,636,Chlorothiazide: 1 Vial In 1 Box (63323-658-20)  / 18 Ml In 1 Vial,46.09,46.09,,,0
RC,636,"Cidofovir Dihydrate: 5 Ml In 1 Vial, Glass (23155-216-31)",403.805,403.805,,,0
RC,636,Ciprofloxacin: 200 Ml In 1 Bag (36000-009-24),29.9,29.9,,,0
RC,636,Ciprofloxacin: 24 Pouch In 1 Carton (25021-114-87)  / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,23.2,23.2,,,0
RC,636,Ciprofloxacin: 24 Pouch In 1 Carton (25021-192-82)  / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,29.72,29.72,,,0
RC,636,Cisplatin: 1 Vial In 1 Carton (25021-253-50)  / 50 Ml In 1 Vial,49.04,49.04,,,0
RC,636,Cisplatin: 1 Vial In 1 Carton (63323-103-51)  / 50 Ml In 1 Vial,37.11,37.11,,,0
RC,636,Cisplatin: 1 Vial In 1 Carton (72266-253-01)  / 100 Ml In 1 Vial,26.34,26.34,,,0
RC,636,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (0703-5747-11)  / 50 Ml In 1 Vial, Multi-Dose",64.28,64.28,,,0
RC,636,Cisplatin: 50 Ml In 1 Vial (16729-288-11),43.02,43.02,,,0
RC,636,"Clindamycin: 25 VIAL, SINGLE-DOSE in 1 CARTON (67457-815-04)  / 4 mL in 1 VIAL, SINGLE-DOSE (67457-815-00)",23.75,23.75,,,0
RC,636,Clindamycin: 25 Vial In 1 Carton (25021-115-04)  / 4 Ml In 1 Vial,24.835,24.835,,,0
RC,636,"Colistimethate: 1 Vial, Glass In 1 Vial (70594-023-01)  / 1 Injection, Powder, For Solution In 1 Vial, Glass",92.22,92.22,,,0
RC,636,Cortrosyn: 10 Vial In 1 Carton (0548-5900-00)  / 1 Ml In 1 Vial,48.08,48.08,,,0
RC,636,Cosyntropin: 10 VIAL in 1 CARTON (67457-227-02)  / 1 mL in 1 VIAL (67457-227-00),120.52,120.52,,,0
RC,636,Cosyntropin: 10 Vial In 1 Carton (0781-3440-95)  / 1 Ml In 1 Vial (0781-3440-71),124.62,124.62,,,0
RC,636,"Cresemba: 1 Vial, Single-Dose In 1 Carton (0469-0420-01)  / 5 Ml In 1 Vial, Single-Dose",5.09,5.09,,,0
RC,636,"Cresemba: 10 Carton In 1 Carton (0469-0420-99)  / 1 Vial, Single-Dose In 1 Carton (0469-0420-01)  / 5 Ml In 1 Vial, Single-Dose",0.68,0.68,,,0
RC,636,Cyclophosphamide: 1 Vial In 1 Carton (25021-247-50)  / 25 Ml In 1 Vial,3.55,3.55,,,0
RC,636,Cyclophosphamide: 1 Vial In 1 Carton (25021-248-51)  / 50 Ml In 1 Vial,3.3,3.3,,,0
RC,636,Cyclophosphamide: 1 Vial In 1 Carton (25021-249-51)  / 100 Ml In 1 Vial,2.705,2.705,,,0
RC,636,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3255-94)  / 100 Ml In 1 Vial, Single-Dose",2.61,2.61,,,0
RC,636,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-957-01)  / 100 Ml In 1 Vial, Single-Dose (10019-957-11)",4.88,4.88,,,0
RC,636,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (16714-857-01)  / 50 Ml In 1 Vial, Single-Dose",4.83,4.83,,,0
RC,636,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (16714-859-01)  / 25 Ml In 1 Vial, Single-Dose",6.32,6.32,,,0
RC,636,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (65219-131-20)  / 50 Ml In 1 Vial, Single-Dose",11.41,11.41,,,0
RC,636,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (70121-1238-1)  / 25 Ml In 1 Vial, Single-Dose",3.23,3.23,,,0
RC,636,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (70121-1239-1)  / 50 Ml In 1 Vial, Single-Dose",3.0,3.0,,,0
RC,636,Cyclophosphamide: 100 Capsule In 1 Bottle (62332-618-31),17.31,17.31,,,0
RC,636,Cyclophosphamide: 100 Capsule In 1 Bottle (69097-516-07),17.97,17.97,,,0
RC,636,Cyclosporine: 1 Bottle In 1 Package (0172-7313-20)  / 50 Ml In 1 Bottle,15.35,15.35,,,0
RC,636,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (63323-120-20)  / 20 Ml In 1 Vial, Single-Dose",12.59,12.59,,,0
RC,636,Cytarabine: 5 Vial In 1 Carton (25021-229-05)  / 5 Ml In 1 Vial,135.11,135.11,,,0
RC,636,"Cytarabine: 5 Vial, Single-Dose In 1 Carton (61703-305-38)  / 5 Ml In 1 Vial, Single-Dose (61703-305-58)",118.62,118.62,,,0
RC,636,"Dacarbazine: 10 Vial In 1 Carton (0143-9245-10)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0143-9245-01)",42.405,42.405,,,0
RC,636,"Dacarbazine: 10 Vial, Single-Dose In 1 Tray (63323-128-20)  / 20 Ml In 1 Vial, Single-Dose (63323-128-00)",55.535,55.535,,,0
RC,636,"Dactinomycin: 1 Vial In 1 Carton (42658-008-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",1641.21,1641.21,,,0
RC,636,"Dactinomycin: 1 Vial, Single-Dose In 1 Carton (39822-2100-2)  / 1 Ml In 1 Vial, Single-Dose (39822-2100-1)",2029.125,2029.125,,,0
RC,636,"Dactinomycin: 1 Vial, Single-Dose In 1 Carton (55150-431-01)  / 1 Ml In 1 Vial, Single-Dose",2223.75,2223.75,,,0
RC,636,"Dactinomycin: 1 Vial, Single-Dose In 1 Carton (71288-129-02)  / 1 Ml In 1 Vial, Single-Dose",3076.07,3076.07,,,0
RC,636,Daptacel: 10 Vial In 1 Package (49281-286-10)  / .5 Ml In 1 Vial (49281-286-58),213.8,213.8,,,0
RC,636,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (43598-413-11)  / 10 Ml In 1 Vial, Single-Dose",0.72,0.72,,,0
RC,636,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (71288-016-15)  / 10 Ml In 1 Vial, Single-Dose",0.435,0.435,,,0
RC,636,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (72603-152-01)  / 10 Ml In 1 Vial, Single-Dose",0.31,0.31,,,0
RC,636,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (83090-011-01)  / 10 Ml In 1 Vial, Single-Dose",0.23500000000000001,0.23500000000000001,,,0
RC,636,"Darzalex Iv: 1 Vial, Single-Dose In 1 Box (57894-505-05)  / 5 Ml In 1 Vial, Single-Dose",496.47,496.47,,,0
RC,636,Daunorubicin Hydrochloride: 1 Vial In 1 Box (42658-021-01)  / 4 Ml In 1 Vial,207.2,207.2,,,0
RC,636,Daunorubicin Hydrochloride: 10 Vial In 1 Carton (42658-021-02)  / 4 Ml In 1 Vial,146.93,146.93,,,0
RC,636,Deferoxamine: 1 Vial In 1 Box (63323-599-30)  / 21.1 Ml In 1 Vial,37.81,37.81,,,0
RC,636,Desmopressin Acetate: 1 Vial In 1 Carton (43598-053-11)  / 10 Ml In 1 Vial,21.545,21.545,,,0
RC,636,Desmopressin Acetate: 1 Vial In 1 Carton (62756-529-40)  / 10 Ml In 1 Vial,62.69,62.69,,,0
RC,636,"Desmopressin Acetate: 1 Vial, Multi-Dose In 1 Carton (65219-295-10)  / 10 Ml In 1 Vial, Multi-Dose",24.435000000000002,24.435000000000002,,,0
RC,636,"Desmopressin Acetate: 1 Vial, Multi-Dose In 1 Carton (69918-901-10)  / 10 Ml In 1 Vial, Multi-Dose",27.42,27.42,,,0
RC,636,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-423-12)  / 1 Ml In 1 Vial (67457-423-00),5.78,5.78,,,0
RC,636,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (70069-021-25)  / 1 Ml In 1 Vial (70069-021-01),3.93,3.93,,,0
RC,636,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-165-01)  / 1 Ml In 1 Vial (63323-165-02),29.15,29.15,,,0
RC,636,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-506-01)  / 1 Ml In 1 Vial (63323-506-00),3.88,3.88,,,0
RC,636,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8175-25)  / 1 Tablet In 1 Blister Pack,0.54,0.54,,,0
RC,636,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8176-25)  / 1 Tablet In 1 Blister Pack,1.57,1.57,,,0
RC,636,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8179-25)  / 1 Tablet In 1 Blister Pack,4.04,4.04,,,0
RC,636,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8181-25)  / 1 Tablet In 1 Blister Pack,1.14,1.14,,,0
RC,636,Dexamethasone: 100 Blister Pack In 1 Carton (0904-7266-61)  / 1 Tablet In 1 Blister Pack,0.53,0.53,,,0
RC,636,Dexamethasone: 100 Mg In 1 Bottle (72603-212-01),3.07,3.07,,,0
RC,636,Dexamethasone: 100 Tablet In 1 Bottle (72578-170-01),1.19,1.19,,,0
RC,636,"Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4182-25)",1.06,1.06,,,0
RC,636,"Dexamethasone: 240 Ml In 1 Bottle, Plastic (0054-3177-57)",7.87,7.87,,,0
RC,636,"Dexamethasone: 500 Ml In 1 Bottle, Plastic (0054-3177-63)",6.91,6.91,,,0
RC,636,"Dexrazoxane: 1 Vial In 1 Box (0143-9247-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",619.77,619.77,,,0
RC,636,Dexrazoxane: 1 Vial In 1 Carton (72266-101-01)  / 50 Ml In 1 Vial,406.475,406.475,,,0
RC,636,Dexrazoxane: 1 Vial In 1 Carton (72266-235-01)  / 25 Ml In 1 Vial,348.27,348.27,,,0
RC,636,"Dexrazoxane: 1 Vial, Single-Dose In 1 Carton (72611-716-01)  / 50 Ml In 1 Vial, Single-Dose",382.6,382.6,,,0
RC,636,Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7610-00)  / 1000 Ml In 1 Container,42.79,42.79,,,0
RC,636,Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7612-00)  / 1000 Ml In 1 Container,85.92,85.92,,,0
RC,636,Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7616-00)  / 1000 Ml In 1 Container,92.97,92.97,,,0
RC,636,Dextrose And Sodium Chloride: 12 Pouch In 1 Case (0990-7941-09)  / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,54.41,54.41,,,0
RC,636,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0077-04)  / 1000 Ml In 1 Bag,75.39,75.39,,,0
RC,636,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0085-04)  / 1000 Ml In 1 Bag,75.63,75.63,,,0
RC,636,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0089-04)  / 1000 Ml In 1 Bag,37.76,37.76,,,0
RC,636,Dextrose And Sodium Chloride: 24 Bag In 1 Carton (0338-0085-03)  / 500 Ml In 1 Bag,71.91,71.91,,,0
RC,636,Dextrose And Sodium Chloride: 24 Bag In 1 Carton (0338-0089-03)  / 500 Ml In 1 Bag,70.86,70.86,,,0
RC,636,Dextrose And Sodium Chloride: 24 Container In 1 Case (0264-7610-10)  / 500 Ml In 1 Container,81.24,81.24,,,0
RC,636,Dextrose And Sodium Chloride: 24 Container In 1 Case (0264-7612-10)  / 500 Ml In 1 Container,82.37,82.37,,,0
RC,636,Dextrose In Lactated Ringers: 12 Container In 1 Case (0264-7751-00)  / 1000 Ml In 1 Container,86.17,86.17,,,0
RC,636,Dextrose In Lactated Ringers: 24 Container In 1 Case (0264-7751-10)  / 500 Ml In 1 Container,86.03,86.03,,,0
RC,636,Dextrose Monohydrate: 1 Syringe In 1 Carton (76329-3302-1)  / 50 Ml In 1 Syringe,59.12,59.12,,,0
RC,636,Dextrose: 1 Bag In 1 Package (0338-0017-41)  / 50 Ml In 1 Bag,72.7,72.7,,,0
RC,636,Dextrose: 1 Bag In 1 Package (0338-0017-48)  / 100 Ml In 1 Bag,68.7,68.7,,,0
RC,636,Dextrose: 1000 Ml In 1 Bag (0338-0017-04),67.82,67.82,,,0
RC,636,Dextrose: 1000 Ml In 1 Bag (0338-0023-04),53.33,53.33,,,0
RC,636,Dextrose: 12 Container In 1 Case (0264-7510-00)  / 1000 Ml In 1 Container,77.36,77.36,,,0
RC,636,Dextrose: 12 Container In 1 Case (0264-7520-00)  / 1000 Ml In 1 Container,48.36,48.36,,,0
RC,636,Dextrose: 12 Pouch In 1 Case (0990-7918-19)  / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,70.28,70.28,,,0
RC,636,Dextrose: 12 Pouch In 1 Case (0990-7935-19)  / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,147.11,147.11,,,0
RC,636,Dextrose: 20 Bag In 1 Carton (0338-0066-20)  / 500 Ml In 1 Bag,64.75,64.75,,,0
RC,636,Dextrose: 24 Container In 1 Case (0264-7510-10)  / 500 Ml In 1 Container,64.53,64.53,,,0
RC,636,Dextrose: 24 Container In 1 Case (0264-7510-20)  / 250 Ml In 1 Container,65.23,65.23,,,0
RC,636,Dextrose: 24 Container In 1 Case (0264-7520-10)  / 500 Ml In 1 Container,82.13,82.13,,,0
RC,636,Dextrose: 24 Container In 1 Case (0264-7520-20)  / 250 Ml In 1 Container,83.03,83.03,,,0
RC,636,"Dextrose: 25 Vial, Single-Dose In 1 Tray (0409-6648-02)  / 50 Ml In 1 Vial, Single-Dose (0409-6648-16)",67.18,67.18,,,0
RC,636,Dextrose: 250 Ml In 1 Bag (0338-0017-02),62.44,62.44,,,0
RC,636,Dextrose: 250 Ml In 1 Bag (0338-0023-02),71.14,71.14,,,0
RC,636,Dextrose: 30 Bag In 1 Carton (0338-0062-30)  / 250 Ml In 1 Bag,73.17,73.17,,,0
RC,636,Dextrose: 4 Bag In 1 Pouch (0338-0017-10)  / 25 Ml In 1 Bag,73.71,73.71,,,0
RC,636,Dextrose: 4 Bag In 1 Pouch (0338-0017-11)  / 50 Ml In 1 Bag,66.36,66.36,,,0
RC,636,Dextrose: 500 Ml In 1 Bag (0338-0017-03),62.15,62.15,,,0
RC,636,Dextrose: 500 Ml In 1 Bag (0338-0023-03),84.09,84.09,,,0
RC,636,Dextrose: 6 Pouch In 1 Case (0990-7120-07)  / 1 Bag In 1 Pouch / 2000 Ml In 1 Bag,68.08,68.08,,,0
RC,636,Dextrose: 64 Container In 1 Case (0264-1510-32)  / 100 Ml In 1 Container,75.29,75.29,,,0
RC,636,Dextrose: 84 Container In 1 Case (0264-1510-31)  / 50 Ml In 1 Container,70.29,70.29,,,0
RC,636,"Diazepam: 10 Syringe, Glass In 1 Carton (43598-106-10)  / 2 Ml In 1 Syringe, Glass (43598-106-11)",41.51,41.51,,,0
RC,636,Digoxin: 25 Ampule In 1 Carton (0641-1410-35)  / 2 Ml In 1 Ampule (0641-1410-31),29.56,29.56,,,0
RC,636,Dihydroergotamine Mesylate: 10 Ampule In 1 Carton (0143-9273-10)  / 1 Ml In 1 Ampule (0143-9273-01),212.62,212.62,,,0
RC,636,"Diphenhydramine Hcl Oral Solution: 10 Tray In 1 Case (69339-151-19)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (69339-151-05)",29.6,29.6,,,0
RC,636,"Diphenhydramine Hcl Oral Solution: 100 Cup, Unit-Dose In 1 Box, Unit-Dose (0904-7323-70)  / 5 Ml In 1 Cup, Unit-Dose (0904-7323-41)",19.83,19.83,,,0
RC,636,"Diphenhydramine Hcl: 10 Tray In 1 Case (0121-0865-00)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0865-05)",22.45,22.45,,,0
RC,636,"Diphenhydramine Hcl: 100 Tablet, Film Coated In 1 Bottle, Plastic (0536-1214-29)",11.75,11.75,,,0
RC,636,"Diphenhydramine Hcl: 236 Ml In 1 Bottle, Plastic (71399-0125-8)",11.84,11.84,,,0
RC,636,Diphenhydramine Hydrochloride: 10 Blister Pack In 1 Box (0904-2056-61)  / 10 Capsule In 1 Blister Pack,1.04,1.04,,,0
RC,636,"Diphenhydramine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (0904-7237-61)  / 10 Capsule In 1 Blister Pack",1.03,1.03,,,0
RC,636,Diphenhydramine Hydrochloride: 10 Blister Pack In 1 Carton (68094-018-61)  / 10 Tablet In 1 Blister Pack (68094-018-59),13.25,13.25,,,0
RC,636,Diphenhydramine Hydrochloride: 25 Vial In 1 Package (0641-0376-25)  / 1 Ml In 1 Vial (0641-0376-21),30.45,30.45,,,0
RC,636,Diprivan: 10 Vial In 1 Box (63323-269-10)  / 10 Ml In 1 Vial (63323-269-01),2.75,2.75,,,0
RC,636,Diprivan: 10 Vial In 1 Box (63323-269-29)  / 20 Ml In 1 Vial (63323-269-22),1.62,1.62,,,0
RC,636,Diprivan: 10 Vial In 1 Box (63323-269-65)  / 100 Ml In 1 Vial (63323-269-35),1.2,1.2,,,0
RC,636,Diprivan: 20 Vial In 1 Box (63323-269-50)  / 50 Ml In 1 Vial (63323-269-30),1.02,1.02,,,0
RC,636,Dobutamine Hydrochloride In Dextrose: 18 Bag In 1 Carton (0338-1077-02)  / 250 Ml In 1 Bag,49.89,49.89,,,0
RC,636,"Dobutamine: 1 Vial, Single-Dose In 1 Carton (70436-203-80)  / 20 Ml In 1 Vial, Single-Dose",38.49,38.49,,,0
RC,636,Docetaxel: 1 Vial In 1 Carton (25021-245-04)  / 4 Ml In 1 Vial,3.41,3.41,,,0
RC,636,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (0409-0367-01)  / 4 Ml In 1 Vial, Multi-Dose",13.29,13.29,,,0
RC,636,Dopamine Hydrochloride And Dextrose: 18 Bag In 1 Carton (0338-1005-02)  / 250 Ml In 1 Bag,34.22,34.22,,,0
RC,636,Dopamine Hydrochloride And Dextrose: 18 Bag In 1 Carton (0338-1007-02)  / 250 Ml In 1 Bag,23.96,23.96,,,0
RC,636,Dopamine Hydrochloride And Dextrose: 18 Bag In 1 Carton (0338-1009-02)  / 250 Ml In 1 Bag,9.51,9.51,,,0
RC,636,Dopamine Hydrochloride In Dextrose: 12 Bag In 1 Carton (0409-7809-22)  / 250 Ml In 1 Bag (0409-7809-11),10.98,10.98,,,0
RC,636,"Dopamine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-5820-01)  / 5 Ml In 1 Vial, Single-Dose (0409-5820-11)",21.73,21.73,,,0
RC,636,Doxorubicin Hydrochloride: 1 Vial In 1 Box (0143-9086-01)  / 25 Ml In 1 Vial,76.26,76.26,,,0
RC,636,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (25021-207-25)  / 25 Ml In 1 Vial,28.53,28.53,,,0
RC,636,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-0343-02)  / 25 Ml In 1 Vial, Single-Dose",65.23,65.23,,,0
RC,636,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (63323-883-30)  / 25 Ml In 1 Vial, Single-Dose",40.05,40.05,,,0
RC,636,Doxy 100: 10 Vial In 1 Tray (63323-130-11)  / 10 Ml In 1 Vial (63323-130-02),127.62,127.62,,,0
RC,636,Doxycycline: 10 Vial In 1 Carton (68382-910-10)  / 10 Ml In 1 Vial,2.67,2.67,,,0
RC,636,Doxycycline: 5 Vial In 1 Carton (72266-237-05)  / 10 Ml In 1 Vial (72266-237-01),0.59,0.59,,,0
RC,636,Dronabinol: 20 Blister Pack In 1 Carton (60687-386-94)  / 1 Capsule In 1 Blister Pack (60687-386-11),52.44,52.44,,,0
RC,636,Dronabinol: 30 Blister Pack In 1 Carton (60687-375-21)  / 1 Capsule In 1 Blister Pack (60687-375-11),57.67,57.67,,,0
RC,636,Dronabinol: 60 Capsule In 1 Bottle (67877-753-60),18.31,18.31,,,0
RC,636,Dronabinol: 60 Capsule In 1 Bottle (67877-754-60),15.74,15.74,,,0
RC,636,Duraclon: 1 Vial In 1 Carton (67457-218-10)  / 10 Ml In 1 Vial,32.5,32.5,,,0
RC,636,"Elelyso: 1 Vial, Glass In 1 Carton (0069-0106-01)  / 5 Ml In 1 Vial, Glass",281.36,281.36,,,0
RC,636,Engerix-B: 10 Syringe In 1 Carton (58160-820-52)  / .5 Ml In 1 Syringe (58160-820-43),159.13,159.13,,,0
RC,636,Enoxaparin Sodium: 1 Vial In 1 Carton (0548-5608-00)  / 3 Ml In 1 Vial,29.47,29.47,,,0
RC,636,"Enoxaparin Sodium: 1 Vial, Multi-Dose In 1 Carton (71288-426-03)  / 3 Ml In 1 Vial, Multi-Dose",23.82,23.82,,,0
RC,636,Enoxaparin Sodium: 10 Syringe In 1 Carton (0548-5602-00)  / .4 Ml In 1 Syringe,16.46,16.46,,,0
RC,636,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-410-70)  / .3 Ml In 1 Syringe,14.11,14.11,,,0
RC,636,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-410-78)  / .8 Ml In 1 Syringe,8.11,8.11,,,0
RC,636,Enoxaparin Sodium: 10 Syringe In 1 Carton (71288-433-83)  / .4 Ml In 1 Syringe (71288-433-82),10.74,10.74,,,0
RC,636,Enoxaparin Sodium: 10 Syringe In 1 Carton (71288-435-87)  / .8 Ml In 1 Syringe (71288-435-86),7.14,7.14,,,0
RC,636,Enoxaparin sodium: 10 SYRINGE in 1 CARTON (63323-568-83)  / .3 mL in 1 SYRINGE,21.52,21.52,,,0
RC,636,"Entyvio: 1 Vial, Single-Dose In 1 Carton (64764-300-20)  / 5 Ml In 1 Vial, Single-Dose",188.76,188.76,,,0
RC,636,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3010-3)  / 1 Bottle, Plastic In 1 Pouch / 30 Tablet, Extended Release In 1 Bottle, Plastic",2.32,2.32,,,0
RC,636,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3040-3)  / 1 Bottle, Plastic In 1 Pouch / 30 Tablet, Extended Release In 1 Bottle, Plastic",1.5,1.5,,,0
RC,636,"Epinephrine: 1 Case In 1 Carton (0115-1694-30)  / 1 Syringe, Glass In 1 Case / .3 Ml In 1 Syringe, Glass",264.59,264.59,,,0
RC,636,Epinephrine: 1 Vial In 1 Carton (54288-120-01)  / 10 Ml In 1 Vial,3.37,3.37,,,0
RC,636,Epinephrine: 1 Vial In 1 Carton (76329-9060-0)  / 30 Ml In 1 Vial,5.7,5.7,,,0
RC,636,"Epinephrine: 1 Vial, Multi-Dose In 1 Carton (68462-760-10)  / 10 Ml In 1 Vial, Multi-Dose",3.35,3.35,,,0
RC,636,"Epinephrine: 10 Carton In 1 Package (0409-4933-01)  / 1 Syringe, Glass In 1 Carton / 10 Ml In 1 Syringe, Glass (0409-4933-11)",9.68,9.68,,,0
RC,636,Epinephrine: 10 Carton In 1 Package (76329-3318-1)  / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,13.84,13.84,,,0
RC,636,Epinephrine: 10 VIAL in 1 PACKAGE (76329-3316-1)  / 10 mL in 1 VIAL,13.74,13.74,,,0
RC,636,"Epinephrine: 2 Case In 1 Carton (0115-1694-49)  / 1 Syringe, Glass In 1 Case / .3 Ml In 1 Syringe, Glass",255.8,255.8,,,0
RC,636,"Epinephrine: 2 Container In 1 Carton (49502-101-02)  / 1 Syringe, Glass In 1 Container (49502-101-01)  / .3 Ml In 1 Syringe, Glass",421.92,421.92,,,0
RC,636,"Ertapenem: 10 Vial, Single-Dose In 1 Carton (55150-282-20)  / 1 Injection In 1 Vial, Single-Dose",78.82,78.82,,,0
RC,636,Erythrocin Lactobionate: 10 Vial In 1 Tray (0409-6482-01)  / 10 Ml In 1 Vial (0409-6482-11),517.52,517.52,,,0
RC,636,Esmolol Hydrochloride In Sodium Chloride: 1 Bag In 1 Pouch (67457-657-25)  / 250 Ml In 1 Bag,7.45,7.45,,,0
RC,636,Esmolol Hydrochloride: 10 Bag In 1 Carton (25021-308-84)  / 250 Ml In 1 Bag,1.78,1.78,,,0
RC,636,"Esmolol Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-194-10)  / 10 Ml In 1 Vial, Single-Dose",10.39,10.39,,,0
RC,636,"Etomidate: 10 Vial, Single-Dose In 1 Carton (0143-9506-10)  / 10 Ml In 1 Vial, Single-Dose (0143-9506-01)",35.8,35.8,,,0
RC,636,"Etoposide: 1 Vial In 1 Box, Unit-Dose (0143-9512-01)  / 50 Ml In 1 Vial",14.45,14.45,,,0
RC,636,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-08)  / 25 Ml In 1 Vial, Multi-Dose",19.82,19.82,,,0
RC,636,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-11)  / 50 Ml In 1 Vial, Multi-Dose",16.46,16.46,,,0
RC,636,"Etoposide: 1 Vial, Multi-Dose In 1 Carton (63323-104-25)  / 25 Ml In 1 Vial, Multi-Dose",12.73,12.73,,,0
RC,636,Everolimus: 6 Blister Pack In 1 Carton (67877-718-31)  / 10 Tablet In 1 Blister Pack (67877-718-33),31.52,31.52,,,0
RC,636,Everolimus: 60 Tablet In 1 Bottle (0054-0472-21),34.3,34.3,,,0
RC,636,Evomela: 1 Vial In 1 Carton (72893-001-01)  / 20 Ml In 1 Vial,132.16,132.16,,,0
RC,636,Fentanyl Citrate: 20 Ml In 1 Vial (0641-6029-01),9.98,9.98,,,0
RC,636,"Fentanyl Citrate: 25 Carton In 1 Tray (0409-9094-61)  / 1 Vial, Single-Dose In 1 Carton / 50 Ml In 1 Vial, Single-Dose (0409-9094-41)",4.43,4.43,,,0
RC,636,Fentanyl Citrate: 25 Vial In 1 Carton (0641-6027-25)  / 2 Ml In 1 Vial (0641-6027-01),33.78,33.78,,,0
RC,636,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-22)  / 2 Ml In 1 Vial, Single-Dose (0409-9094-12)",32.55,32.55,,,0
RC,636,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-25)  / 5 Ml In 1 Vial, Single-Dose (0409-9094-18)",10.7,10.7,,,0
RC,636,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-31)  / 20 Ml In 1 Vial, Single-Dose (0409-9094-16)",11.15,11.15,,,0
RC,636,"Ferumoxytol: 1 Vial, Single-Dose In 1 Carton (0781-3154-01)  / 17 Ml In 1 Vial, Single-Dose",3.04,3.04,,,0
RC,636,"Fibryga: 1 Bottle, Glass In 1 Carton (68982-349-01)  / 50 Ml In 1 Bottle, Glass (68982-349-81)",5.505,5.505,,,0
RC,636,"Fibryga: 1 Kit In 1 Carton (68982-347-01)  *  50 Ml In 1 Bottle, Glass (68982-348-01)",5.49,5.49,,,0
RC,636,Flexbumin: 12 Bag In 1 Carton (0944-0493-01)  / 50 Ml In 1 Bag (0944-0493-03),211.69,211.69,,,0
RC,636,Flexbumin: 2 Bag In 1 Carton (0944-0495-05)  / 250 Ml In 1 Bag (0944-0495-06),145.41,145.41,,,0
RC,636,Flexbumin: 6 Bag In 1 Carton (0944-0493-02)  / 100 Ml In 1 Bag (0944-0493-04),228.05,228.05,,,0
RC,636,Fluconazole: 10 Pouch In 1 Carton (25021-184-82)  / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,32.57,32.57,,,0
RC,636,Fluconazole: 10 Pouch In 1 Carton (25021-184-87)  / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,27.95,27.95,,,0
RC,636,"Fludarabine Phosphate: 1 Vial, Glass In 1 Carton (45963-609-55)  / 2 Ml In 1 Vial, Glass",474.29,474.29,,,0
RC,636,Fludarabine: 1 Vial In 1 Box (63323-192-02)  / 2 Ml In 1 Vial,343.53,343.53,,,0
RC,636,Flulaval 2025/2026: 10 Syringe In 1 Carton (19515-904-52)  / .5 Ml In 1 Syringe (19515-904-41),116.52,116.52,,,0
RC,636,"Flumazenil: 10 Vial, Multi-Dose In 1 Tray (63323-424-05)  / 5 Ml In 1 Vial, Multi-Dose (63323-424-01)",30.9,30.9,,,0
RC,636,Fluorouracil: 10 Vial In 1 Carton (70700-186-23)  / 10 Ml In 1 Vial (70700-186-22),183.55,183.55,,,0
RC,636,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-10)  / 10 Ml In 1 Vial, Single-Dose (63323-117-00)",170.25,170.25,,,0
RC,636,"Folic Acid: 1 Vial, Multi-Dose In 1 Carton (39822-1100-1)  / 10 Ml In 1 Vial, Multi-Dose",5.68,5.68,,,0
RC,636,Fomepizole: 1 Vial In 1 Carton (25021-829-02)  / 1.5 Ml In 1 Vial,44.44,44.44,,,0
RC,636,Fondaparinux Sodium: 10 Syringe In 1 Carton (0781-3465-95)  / .6 Ml In 1 Syringe (0781-3465-94),8.85,8.85,,,0
RC,636,"Fosaprepitant Dimeglumine: 1 Vial, Single-Dose In 1 Carton (0143-9384-01)  / 5 Ml In 1 Vial, Single-Dose",1.12,1.12,,,0
RC,636,"Fosaprepitant: 1 Vial, Single-Dose In 1 Carton (16714-248-01)  / 5 Ml In 1 Vial, Single-Dose",1.08,1.08,,,0
RC,636,"Foscarnet Sodium: 1 Bottle, Glass In 1 Carton (23155-771-31)  / 250 Ml In 1 Bottle, Glass",155.66,155.66,,,0
RC,636,Foscarnet Sodium: 10 Carton In 1 Case (0143-9192-01)  / 1 Bottle In 1 Carton / 250 Ml In 1 Bottle,179.485,179.485,,,0
RC,636,Foscarnet: 1 Bottle In 1 Carton (63323-875-50)  / 250 Ml In 1 Bottle,252.53,252.53,,,0
RC,636,"Fosphenytoin Sodium: 10 Vial, Single-Dose In 1 Carton (68462-622-10)  / 10 Ml In 1 Vial, Single-Dose (68462-622-64)",13.71,13.71,,,0
RC,636,Fulphila: 1 Syringe In 1 Carton (83257-005-41)  / .6 Ml In 1 Syringe,799.745,799.745,,,0
RC,636,Furosemide: 25 Vial In 1 Tray (63323-280-02)  / 2 Ml In 1 Vial (63323-280-01),2.5450000000000004,2.5450000000000004,,,0
RC,636,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-282-25)  / 2 Ml In 1 Vial, Single-Dose",8.615,8.615,,,0
RC,636,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-284-25)  / 10 Ml In 1 Vial, Single-Dose",1.04,1.04,,,0
RC,636,Gamastan: 1 Vial In 1 Carton (13533-335-04)  / 2 Ml In 1 Vial (13533-335-40),316.56,316.56,,,0
RC,636,"Gamifant: 1 Vial, Single-Use In 1 Carton (66658-501-01)  / 2 Ml In 1 Vial, Single-Use",3783.53,3783.53,,,0
RC,636,"Gamifant: 1 Vial, Single-Use In 1 Carton (66658-505-01)  / 10 Ml In 1 Vial, Single-Use",2197.94,2197.94,,,0
RC,636,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-04)  / 50 Ml In 1 Bottle, Glass (0944-2700-10)",372.11,372.11,,,0
RC,636,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-05)  / 100 Ml In 1 Bottle, Glass (0944-2700-11)",263.46,263.46,,,0
RC,636,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-06)  / 200 Ml In 1 Bottle, Glass (0944-2700-12)",369.55,369.55,,,0
RC,636,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-12)  / 10 Ml In 1 Vial, Glass (13533-800-13)",244.15,244.15,,,0
RC,636,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-15)  / 25 Ml In 1 Vial, Glass (13533-800-16)",235.13,235.13,,,0
RC,636,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-20)  / 50 Ml In 1 Vial, Glass (13533-800-21)",238.34,238.34,,,0
RC,636,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-24)  / 200 Ml In 1 Vial, Glass (13533-800-25)",237.07999999999998,237.07999999999998,,,0
RC,636,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-71)  / 100 Ml In 1 Vial, Glass (13533-800-72)",237.29500000000002,237.29500000000002,,,0
RC,636,Ganciclovir: 25 Vial In 1 Carton (70436-089-55)  / 10 Ml In 1 Vial,52.65,52.65,,,0
RC,636,"Ganciclovir: 25 Vial, Single-Dose In 1 Carton (42023-173-25)  / 10 Ml In 1 Vial, Single-Dose (42023-173-01)",70.72,70.72,,,0
RC,636,"Gemcitabine: 1 Vial, Single-Dose In 1 Box (63323-102-13)  / 5 Ml In 1 Vial, Single-Dose",92.19,92.19,,,0
RC,636,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-113-10)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",43.7,43.7,,,0
RC,636,Gentamicin: 25 Vial In 1 Tray (63323-010-02)  / 2 Ml In 1 Vial (63323-010-01),29.81,29.81,,,0
RC,636,"Gentamicin: 25 Vial, Multi-Dose In 1 Carton (55150-402-25)  / 2 Ml In 1 Vial, Multi-Dose (55150-402-01)",38.01,38.01,,,0
RC,636,"GlucaGen: 1 KIT in 1 KIT (0597-0260-10)  *  1 mL in 1 VIAL, GLASS (0597-0053-01)  *  1 mL in 1 VIAL, GLASS (0597-0265-94)",631.75,631.75,,,0
RC,636,"Glucagon: 1 Kit In 1 Carton (63323-593-03)  *  1 Ml In 1 Vial, Single-Dose (63323-596-03)  *  1 Ml In 1 Vial, Single-Dose (63323-185-03)",464.04,464.04,,,0
RC,636,Glucagon: 1 Kit In 1 Kit (0548-5850-00)  *  1 Ml In 1 Vial (0548-5905-00)  *  1 Ml In 1 Syringe (0548-5831-00),1612.14,1612.14,,,0
RC,636,Glycopyrrolate: 25 Vial In 1 Carton (0143-9681-25)  / 2 Ml In 1 Vial (0143-9681-01),7.05,7.05,,,0
RC,636,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Carton (43547-544-25)  / 2 Ml In 1 Vial, Single-Dose (43547-544-01)",12.25,12.25,,,0
RC,636,Granisetron Hydrochloride: 1 Vial In 1 Carton (67457-863-01)  / 1 Ml In 1 Vial,4.19,4.19,,,0
RC,636,"Granisetron Hydrochloride: 10 Vial, Single-Use In 1 Package (0143-9744-10)  / 1 Ml In 1 Vial, Single-Use (0143-9744-01)",4.66,4.66,,,0
RC,636,"Granisetron Hydrochloride: 2 Blister Pack In 1 Carton (69452-350-92)  / 10 Tablet, Film Coated In 1 Blister Pack",17.02,17.02,,,0
RC,636,Haloperidol: 25 Vial In 1 Tray (63323-474-01)  / 1 Ml In 1 Vial (63323-474-00),31.51,31.51,,,0
RC,636,Heparin Sodium In Sodium Chloride: 1 Bag In 1 Carton (0338-0424-18)  / 500 Ml In 1 Bag,52.68,52.68,,,0
RC,636,Heparin Sodium In Sodium Chloride: 12 Container In 1 Case (0264-9872-00)  / 1000 Ml In 1 Container,23.73,23.73,,,0
RC,636,Heparin Sodium In Sodium Chloride: 24 Container In 1 Case (0264-9872-10)  / 500 Ml In 1 Container,52.23,52.23,,,0
RC,636,Heparin Sodium: 18 Pouch In 1 Case (0409-7620-03)  / 1 Bag In 1 Pouch / 500 Ml In 1 Bag (0409-7620-13),50.12,50.12,,,0
RC,636,Heparin Sodium: 20 Pouch In 1 Case (0409-1005-20)  / 1 Bag In 1 Pouch / 500 Ml In 1 Bag (0409-1005-01),51.33,51.33,,,0
RC,636,Heparin Sodium: 25 Vial In 1 Carton (25021-401-02)  / 2 Ml In 1 Vial,26.28,26.28,,,0
RC,636,Heparin Sodium: 25 Vial In 1 Carton (25021-402-01)  / 1 Ml In 1 Vial,6.62,6.62,,,0
RC,636,Heparin Sodium: 25 Vial In 1 Tray (63323-047-10)  / 10 Ml In 1 Vial (63323-047-01),6.56,6.56,,,0
RC,636,Heparin Sodium: 25 Vial In 1 Tray (63323-540-01)  / 1 Ml In 1 Vial,29.45,29.45,,,0
RC,636,Heparin Sodium: 25 Vial In 1 Tray (63323-540-13)  / 1 Ml In 1 Vial (63323-540-03),10.78,10.78,,,0
RC,636,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Carton (67457-384-99)  / 30 Ml In 1 Vial, Multi-Dose (67457-384-31)",1.5,1.5,,,0
RC,636,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Carton (71288-402-11)  / 10 Ml In 1 Vial, Multi-Dose (71288-402-10)",4.19,4.19,,,0
RC,636,"Heparin Sodium: 25 Vial, Single-Dose In 1 Carton (0781-3555-25)  / 2 Ml In 1 Vial, Single-Dose (0781-3555-10)",18.52,18.52,,,0
RC,636,"Heparin Sodium: 25 Vial, Single-Dose In 1 Carton (71288-402-02)  / 1 Ml In 1 Vial, Single-Dose (71288-402-01)",17.04,17.04,,,0
RC,636,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2720-01)  / 1 Ml In 1 Vial, Single-Dose (0409-2720-30)",36.84,36.84,,,0
RC,636,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2723-01)  / 1 Ml In 1 Vial, Single-Dose (0409-2723-30)",6.63,6.63,,,0
RC,636,"Humate-P: 1 Kit In 1 Carton (63833-615-02)  *  5 Ml In 1 Vial (63833-625-01)  *  5 Ml In 1 Vial, Single-Dose (63833-765-53)",7.39,7.39,,,0
RC,636,"Humate-P: 1 Kit In 1 Carton (63833-616-02)  *  10 Ml In 1 Vial (63833-626-01)  *  10 Ml In 1 Vial, Single-Dose (63833-765-54)",7.365,7.365,,,0
RC,636,"Humate-P: 1 Kit In 1 Carton (63833-617-02)  *  15 Ml In 1 Vial (63833-627-01)  *  15 Ml In 1 Vial, Single-Dose (63833-765-55)",7.355,7.355,,,0
RC,636,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-01)  / 10 Ml In 1 Vial, Multi-Dose",10.51,10.51,,,0
RC,636,"Hydralazine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (0641-6231-25)  / 20 Ml In 1 Vial, Single-Dose (0641-6231-01)",34.3,34.3,,,0
RC,636,Hydromorphone Hydrochloride: 1 Vial In 1 Carton (0703-0018-01)  / 50 Ml In 1 Vial,0.18,0.18,,,0
RC,636,"Hydromorphone Hydrochloride: 1 Vial, Single-Dose In 1 Box (0409-2634-50)  / 50 Ml In 1 Vial, Single-Dose",0.21,0.21,,,0
RC,636,Hydromorphone Hydrochloride: 10 Vial In 1 Carton (0703-0110-03)  / 1 Ml In 1 Vial (0703-0110-01),0.49,0.49,,,0
RC,636,"Hydromorphone Hydrochloride: 25 Vial, Single-Dose In 1 Carton (0641-6151-25)  / 1 Ml In 1 Vial, Single-Dose (0641-6151-01)",2.605,2.605,,,0
RC,636,"Hydroxocobalamin: 1 Vial, Multi-Dose In 1 Carton (0591-2888-30)  / 30 Ml In 1 Vial, Multi-Dose",0.33,0.33,,,0
RC,636,"Hydroxyzine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0517-5601-25)  / 1 Ml In 1 Vial, Single-Dose (0517-5601-01)",92.89,92.89,,,0
RC,636,"Hyperhep B: 1 Syringe, Glass In 1 Carton (13533-636-03)  / .5 Ml In 1 Syringe, Glass (13533-636-30)",509.85,509.85,,,0
RC,636,Hyperrab: 1 Vial In 1 Carton (13533-318-01)  / 1 Ml In 1 Vial (13533-318-10),1253.89,1253.89,,,0
RC,636,Hyperrab: 1 Vial In 1 Carton (13533-318-05)  / 5 Ml In 1 Vial (13533-318-50),1362.26,1362.26,,,0
RC,636,"Hypertet: 1 Syringe, Glass In 1 Box (13533-634-02)  / 1 Ml In 1 Syringe, Glass (13533-634-20)",3346.61,3346.61,,,0
RC,636,"Iclusig: 30 Tablet, Film Coated In 1 Bottle (63020-535-30)",4069.41,4069.41,,,0
RC,636,"Idarubicin Hydrochloride: 1 Vial, Glass In 1 Box (0143-9218-01)  / 10 Ml In 1 Vial, Glass",220.11,220.11,,,0
RC,636,"Ifosfamide: 1 Vial, Single-Dose In 1 Carton (10019-926-02)  / 60 Ml In 1 Vial, Single-Dose (10019-926-16)",222.76,222.76,,,0
RC,636,"Imipenem And Cilastatin: 25 Vial, Single-Dose In 1 Carton (63323-322-25)  / 20 Ml In 1 Vial, Single-Dose (63323-322-01)",40.88,40.88,,,0
RC,636,"Infed: 10 Vial, Single-Dose In 1 Carton (0023-6082-10)  / 2 Ml In 1 Vial, Single-Dose (0023-6082-01)",84.55,84.55,,,0
RC,636,"Inflectra: 1 Vial, Single-Use In 1 Carton (0069-0809-01)  / 10 Ml In 1 Vial, Single-Use",275.025,275.025,,,0
RC,636,Infumorph 500: 20 Ml In 1 Ampule (0641-6040-01),43.26,43.26,,,0
RC,636,"Insulin Aspart: 1 Vial, Glass In 1 Carton (73070-100-11)  / 10 Ml In 1 Vial, Glass",25.09,25.09,,,0
RC,636,"Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10)  / 5 Ml In 1 Vial, Multi-Dose (49281-860-78)",291.62,291.62,,,0
RC,636,"Ipratropium Bromide And Albuterol Sulfate: 30 Pouch In 1 Carton (0487-0201-01)  / 1 Vial, Single-Use In 1 Pouch / 3 Ml In 1 Vial, Single-Use",14.46,14.46,,,0
RC,636,Ipratropium Bromide And Albuterol Sulfate: 30 Pouch In 1 Carton (76204-600-01)  / 1 Ampule In 1 Pouch / 3 Ml In 1 Ampule,14.54,14.54,,,0
RC,636,"Ipratropium Bromide: 30 Pouch In 1 Carton (0487-9801-01)  / 1 Vial, Single-Dose In 1 Pouch / 2.5 Ml In 1 Vial, Single-Dose",12.47,12.47,,,0
RC,636,Ipratropium Bromide: 30 Pouch In 1 Carton (76204-100-01)  / 1 Ampule In 1 Pouch / 2.5 Ml In 1 Ampule,12.96,12.96,,,0
RC,636,"Irinotecan Hydrochloride: 1 Vial, Single-Use In 1 Carton (60505-6128-1)  / 5 Ml In 1 Vial, Single-Use",27.935,27.935,,,0
RC,636,"Kanuma: 1 Vial, Glass In 1 Carton (25682-007-01)  / 10 Ml In 1 Vial, Glass",3127.92,3127.92,,,0
RC,636,"Kcentra: 1 Kit In 1 Carton (63833-386-02)  *  20 Ml In 1 Vial, Single-Use (63833-396-01)  *  20 Ml In 1 Vial, Single-Use (63833-761-20)",14.75,14.75,,,0
RC,636,"Kenalog-10: 1 Vial, Multi-Dose In 1 Carton (0003-0494-20)  / 5 Ml In 1 Vial, Multi-Dose",27.08,27.08,,,0
RC,636,Ketorolac Tromethamine: 25 Vial In 1 Carton (25021-700-01)  / 1 Ml In 1 Vial,26.72,26.72,,,0
RC,636,Ketorolac Tromethamine: 25 Vial In 1 Carton (72266-234-25)  / 1 Ml In 1 Vial (72266-234-01),24.994999999999997,24.994999999999997,,,0
RC,636,"Ketorolac Tromethamine: 25 Vial, Single-Dose In 1 Carton (68462-756-25)  / 1 Ml In 1 Vial, Single-Dose (68462-756-01)",16.92,16.92,,,0
RC,636,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-161-01)  / 1 Ml In 1 Vial, Single-Use (63323-161-00)",21.630000000000003,21.630000000000003,,,0
RC,636,Keytruda: 1 Vial In 1 Carton (0006-3026-02)  / 4 Ml In 1 Vial (0006-3026-01),364.12,364.12,,,0
RC,636,Kinevac: 10 Vial In 1 Package (0270-0556-15)  / 5 Ml In 1 Vial,206.69,206.69,,,0
RC,636,"Labetalol Hydrochloride: 1 VIAL, MULTI-DOSE in 1 BOX (17478-420-20)  / 20 mL in 1 VIAL, MULTI-DOSE",35.66,35.66,,,0
RC,636,Labetalol Hydrochloride: 10 Vial In 1 Carton (36000-320-10)  / 4 Ml In 1 Vial (36000-320-01),13.58,13.58,,,0
RC,636,"Lacosamide: 10 Vial, Glass In 1 Carton (25021-791-20)  / 20 Ml In 1 Vial, Glass",0.74,0.74,,,0
RC,636,"Lacosamide: 10 Vial, Single-Dose In 1 Carton (43598-087-58)  / 20 Ml In 1 Vial, Single-Dose (43598-087-11)",3.18,3.18,,,0
RC,636,Lactated Ringers And Dextrose: 1000 Ml In 1 Bag (0338-0125-04),75.62,75.62,,,0
RC,636,Lactated Ringers And Dextrose: 500 Ml In 1 Bag (0338-0125-03),69.9,69.9,,,0
RC,636,Lactated Ringers: 1000 Ml In 1 Bag (0338-0117-04),62.6,62.6,,,0
RC,636,Lactated Ringers: 12 Container In 1 Case (0264-7750-00)  / 1000 Ml In 1 Container,86.55,86.55,,,0
RC,636,Lactated Ringers: 12 Container In 1 Case (0264-7750-07)  / 1000 Ml In 1 Container,69.85,69.85,,,0
RC,636,Lanoxin: 10 Ampule In 1 Box (70515-262-10)  / 1 Ml In 1 Ampule,118.87,118.87,,,0
RC,636,Lanoxin: 10 Vial In 1 Box (70515-263-10)  / 1 Ml In 1 Vial,167.97,167.97,,,0
RC,636,"Leucovorin Calcium: 1 VIAL, SINGLE-USE in 1 CARTON (0703-5140-01)  / 10 mL in 1 VIAL, SINGLE-USE",33.44,33.44,,,0
RC,636,Leucovorin Calcium: 1 Vial In 1 Box (0143-9554-01)  / 10 Ml In 1 Vial,36.6,36.6,,,0
RC,636,Leucovorin Calcium: 1 Vial In 1 Carton (25021-816-30)  / 17.5 Ml In 1 Vial,19.71,19.71,,,0
RC,636,"Leuprolide Acetate: 1 Kit In 1 Carton (0781-4003-32)  *  1 Vial, Multi-Dose In 1 Carton (0781-3006-42)  / 2.8 Ml In 1 Vial, Multi-Dose *  1 Ml In 1 Packet",139.61,139.61,,,0
RC,636,"Leuprolide Acetate: 1 Kit In 1 Carton (55150-478-01)  *  1 Vial, Multi-Dose In 1 Carton (55150-338-01)  / 2.8 Ml In 1 Vial, Multi-Dose *  1 Ml In 1 Packet (60913-006-01)",141.01,141.01,,,0
RC,636,"Leuprolide Acetate: 1 Kit In 1 Carton (70121-2537-6)  *  1 Vial, Multi-Dose In 1 Carton (70121-1695-2)  / 2.8 Ml In 1 Vial, Multi-Dose *  1 Ml In 1 Packet (70121-2538-9)",131.4,131.4,,,0
RC,636,Levetiracetam In Sodium Chloride: 10 Bag In 1 Carton (14789-330-15)  / 100 Ml In 1 Bag (14789-330-08),0.57,0.57,,,0
RC,636,Levetiracetam: 10 Bag In 1 Carton (43598-637-10)  / 100 Ml In 1 Bag (43598-637-52),0.83,0.83,,,0
RC,636,Levetiracetam: 10 Pouch In 1 Carton (55150-248-47)  / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,1.17,1.17,,,0
RC,636,"Levocarnitine: 10 Vial, Single-Use In 1 Carton (0143-9852-10)  / 5 Ml In 1 Vial, Single-Use (0143-9852-01)",41.82,41.82,,,0
RC,636,Levofloxacin: 24 Pouch In 1 Carton (25021-132-81)  / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,38.12,38.12,,,0
RC,636,Levofloxacin: 24 Pouch In 1 Carton (44567-435-24)  / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,46.01,46.01,,,0
RC,636,Lidocaine Hydrochloride And Dextrose: 24 Bag In 1 Carton (0338-0411-02)  / 250 Ml In 1 Bag,0.04,0.04,,,0
RC,636,"Lidocaine Hydrochloride: 10 Carton In 1 Container (0409-1323-05)  / 1 Syringe, Plastic In 1 Carton / 5 Ml In 1 Syringe, Plastic (0409-1323-15)",0.97,0.97,,,0
RC,636,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-165-05)  / 5 Ml In 1 Vial, Single-Dose",0.32,0.32,,,0
RC,636,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4277-01)  / 20 Ml In 1 Vial, Multi-Dose (0409-4277-16)",0.54,0.54,,,0
RC,636,Lioresal (Baclofen): 1 Ampule In 1 Box (70121-2503-1)  / 1 Kit In 1 Ampule,818.5,818.5,,,0
RC,636,Lioresal (Baclofen): 5 Ampule In 1 Box (70121-2496-5)  / 1 Ml In 1 Ampule,223.96,223.96,,,0
RC,636,Lorazepam: 25 Vial In 1 Carton (0641-6044-25)  / 1 Ml In 1 Vial (0641-6044-01),29.19,29.19,,,0
RC,636,Lupron Depot: 1 Kit In 1 Carton (0074-3663-03)  *  1.5 Ml In 1 Syringe *  1 Ml In 1 Packet,10101.85,10101.85,,,0
RC,636,Magnesium Sulfate In Water: 24 Pouch In 1 Carton (44567-420-24)  / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,21.1,21.1,,,0
RC,636,Magnesium Sulfate In Water: 24 Pouch In 1 Carton (83634-500-81)  / 1 Bag In 1 Pouch (83634-500-41)  / 50 Ml In 1 Bag,11.61,11.61,,,0
RC,636,Magnesium Sulfate In Water: 24 Pouch In 1 Case (0409-6729-24)  / 1 Bag In 1 Pouch / 50 Ml In 1 Bag (0409-6729-11),21.94,21.94,,,0
RC,636,Magnesium Sulfate: 10 Bag In 1 Carton (25021-612-81)  / 50 Ml In 1 Bag,11.76,11.76,,,0
RC,636,Mannitol: 24 Pouch In 1 Case (0990-7715-02)  / 1 Bag In 1 Pouch / 250 Ml In 1 Bag (0990-7715-12),45.03,45.03,,,0
RC,636,"Mannitol: 25 Vial, Single-Dose In 1 Tray (0409-4031-01)  / 50 Ml In 1 Vial, Single-Dose (0409-4031-16)",6.46,6.46,,,0
RC,636,"Marcaine With Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-1746-10)  / 10 Ml In 1 Vial, Single-Dose (0409-1746-70)",46.16,46.16,,,0
RC,636,"Marcaine With Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-1749-10)  / 10 Ml In 1 Vial, Single-Dose (0409-1749-70)",45.39,45.39,,,0
RC,636,Medroxyprogesterone Acetate: 1 Syringe In 1 Carton (0548-5701-00)  / 1 Ml In 1 Syringe,1.19,1.19,,,0
RC,636,"Medroxyprogesterone Acetate: 1 Vial, Single-Dose In 1 Carton (0548-5400-00)  / 1 Ml In 1 Vial, Single-Dose",1.19,1.19,,,0
RC,636,"Menveo: 1 Kit In 1 Carton (58160-955-09)  *  .5 Ml In 1 Vial, Single-Dose (58160-958-01)  *  .5 Ml In 1 Vial, Single-Dose (58160-959-01)",745.87,745.87,,,0
RC,636,"Meropenem: 10 Vial In 1 Carton (55150-208-30)  / 1 Injection, Powder, For Solution In 1 Vial",6.37,6.37,,,0
RC,636,Meropenem: 10 Vial In 1 Carton (63323-508-30)  / 20 Ml In 1 Vial (63323-508-01),9.68,9.68,,,0
RC,636,"Mesna: 1 Vial, Multi-Dose In 1 Box (10019-953-01)  / 10 Ml In 1 Vial, Multi-Dose (10019-953-62)",16.71,16.71,,,0
RC,636,"Mesnex: 1 Vial, Multi-Dose In 1 Box (0338-1305-01)  / 10 Ml In 1 Vial, Multi-Dose",16.18,16.18,,,0
RC,636,"Methadone Hydrochloride: 1 Vial, Glass In 1 Carton (81298-7500-1)  / 20 Ml In 1 Vial, Glass",60.99,60.99,,,0
RC,636,"Methadone Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (67457-217-20)  / 20 Ml In 1 Vial, Multi-Dose",92.4,92.4,,,0
RC,636,"Methadone Hydrochloride: 20 mL in 1 VIAL, MULTI-DOSE (17478-380-20)",58.39,58.39,,,0
RC,636,Methocarbamol: 10 Vial In 1 Carton (43598-839-36)  / 10 Ml In 1 Vial (43598-839-11),39.81,39.81,,,0
RC,636,Methocarbamol: 25 Vial In 1 Carton (70069-101-25)  / 10 Ml In 1 Vial,46.33,46.33,,,0
RC,636,"Methocarbamol: 25 Vial, Single-Dose In 1 Carton (55150-223-10)  / 10 Ml In 1 Vial, Single-Dose",41.9,41.9,,,0
RC,636,Methotrexate: 1 Vial In 1 Carton (16729-277-30)  / 2 Ml In 1 Vial,172.94,172.94,,,0
RC,636,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (0703-3675-01)  / 10 Ml In 1 Vial, Single-Dose",67.1,67.1,,,0
RC,636,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (61703-408-41)  / 40 Ml In 1 Vial, Single-Dose",4.7299999999999995,4.7299999999999995,,,0
RC,636,Methylprednisolone: 50 Tablet In 1 Bottle (68382-918-18),3.18,3.18,,,0
RC,636,"Metoclopramide: 25 Vial, Single-Dose In 1 Tray (0409-3414-01)  / 2 Ml In 1 Vial, Single-Dose (0409-3414-18)",31.77,31.77,,,0
RC,636,Metronidazole: 1 Bag In 1 Pouch (47335-993-01)  / 100 Ml In 1 Bag,0.76,0.76,,,0
RC,636,Metronidazole: 24 Bag In 1 Carton (0338-1055-48)  / 100 Ml In 1 Bag,0.5,0.5,,,0
RC,636,Metronidazole: 24 Bag In 1 Carton (0338-9541-24)  / 100 Ml In 1 Bag,0.41,0.41,,,0
RC,636,Metronidazole: 24 POUCH in 1 CASE (0409-7811-24)  / 1 BAG in 1 POUCH / 100 mL in 1 BAG (0409-7811-31),0.7,0.7,,,0
RC,636,Metronidazole: 24 Pouch In 1 Carton (0409-0152-24)  / 1 Bag In 1 Pouch (0409-0152-01)  / 100 Ml In 1 Bag,0.56,0.56,,,0
RC,636,"Miacalcin: 1 Vial, Multi-Dose In 1 Carton (67457-675-02)  / 2 Ml In 1 Vial, Multi-Dose",2512.2,2512.2,,,0
RC,636,"Micafungin: 1 Vial In 1 Carton (0143-9361-01)  / 5 Injection, Powder, Lyophilized, For Solution In 1 Vial",1.75,1.75,,,0
RC,636,Micafungin: 1 Vial In 1 Carton (25021-190-10)  / 5 Ml In 1 Vial,1.87,1.87,,,0
RC,636,Micafungin: 1 Vial In 1 Carton (70710-1724-1)  / 5 Ml In 1 Vial,2.28,2.28,,,0
RC,636,"Micafungin: 10 Carton In 1 Carton (63323-728-10)  / 1 Vial, Single-Dose In 1 Carton (63323-728-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",3.45,3.45,,,0
RC,636,Micafungin: 10 Vial In 1 Carton (70710-1724-6)  / 5 Ml In 1 Vial,3.35,3.35,,,0
RC,636,"Midazolam Hydrochloride: 25 Vial, Single-Dose In 1 Carton (23155-600-41)  / 2 Ml In 1 Vial, Single-Dose (23155-600-31)",20.05,20.05,,,0
RC,636,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2308-01)  / 1 Ml In 1 Vial, Single-Dose (0409-2308-21)",9.97,9.97,,,0
RC,636,Midazolam: 25 Vial In 1 Carton (0641-6057-25)  / 2 Ml In 1 Vial (0641-6057-01),15.16,15.16,,,0
RC,636,Midazolam: 25 Vial In 1 Tray (63323-411-25)  / 5 Ml In 1 Vial (63323-411-18),15.13,15.13,,,0
RC,636,"Midazolam: 25 Vial, Single-Dose In 1 Tray (0409-2305-17)  / 2 Ml In 1 Vial, Single-Dose (0409-2305-16)",16.89,16.89,,,0
RC,636,Milrinone Lactate In Dextrose: 10 Bag In 1 Carton (25021-313-82)  / 100 Ml In 1 Bag,23.77,23.77,,,0
RC,636,"Milrinone Lactate: 1 Vial, Single-Dose In 1 Carton (0409-0212-03)  / 50 Ml In 1 Vial, Single-Dose",10.49,10.49,,,0
RC,636,Milrinone Lactate: 10 Vial In 1 Carton (70069-807-10)  / 10 Ml In 1 Vial (70069-807-01),24.4,24.4,,,0
RC,636,Milrinone Lactate: 10 Vial In 1 Carton (72485-501-10)  / 10 Ml In 1 Vial (72485-501-01),19.89,19.89,,,0
RC,636,Milrinone Lactate: 50 Ml In 1 Box (0143-9708-01),11.57,11.57,,,0
RC,636,Miochol E: 1 Kit In 1 Blister Pack (24208-539-20)  *  2 Ml In 1 Vial *  2 Ml In 1 Ampule,512.52,512.52,,,0
RC,636,Mirena: 1 Intrauterine Device In 1 Carton (50419-423-01),7568.610000000001,7568.610000000001,,,0
RC,636,"Mitoxantrone: 1 Vial, Multi-Dose In 1 Box (63323-132-10)  / 10 Ml In 1 Vial, Multi-Dose",165.81,165.81,,,0
RC,636,Morphine Sulfate: 10 Cartridge In 1 Carton (0409-1890-01)  / 1 Ml In 1 Cartridge (0409-1890-03),29.57,29.57,,,0
RC,636,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Package (0641-6125-25)  / 1 Ml In 1 Vial, Single-Dose (0641-6125-01)",42.79,42.79,,,0
RC,636,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Package (0641-6127-25)  / 1 Ml In 1 Vial, Single-Dose (0641-6127-01)",16.9,16.9,,,0
RC,636,"Morphine Sulfate: 5 Vial, Glass In 1 Carton (0409-3815-12)  / 10 Ml In 1 Vial, Glass (0409-3815-11)",40.06,40.06,,,0
RC,636,Mvasi: 1 Vial In 1 Carton (55513-206-01)  / 4 Ml In 1 Vial,321.2,321.2,,,0
RC,636,Mvasi: 1 Vial In 1 Carton (55513-207-01)  / 16 Ml In 1 Vial,312.5,312.5,,,0
RC,636,"Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (23155-848-51)  / 225 Ml In 1 Bottle, Plastic",16.28,16.28,,,0
RC,636,"Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (66689-307-08)  / 250 Ml In 1 Bottle, Plastic",17.2,17.2,,,0
RC,636,"Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (67877-230-22)  / 225 Ml In 1 Bottle, Plastic",26.42,26.42,,,0
RC,636,"Mycophenolate Mofetil: 100 Blister Pack In 1 Carton (51079-379-20)  / 1 Tablet, Film Coated In 1 Blister Pack (51079-379-01)",9.02,9.02,,,0
RC,636,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (0093-7334-01),9.23,9.23,,,0
RC,636,Mycophenolate Mofetil: 4 Vial In 1 Carton (42023-172-04)  / 20 Ml In 1 Vial,5.04,5.04,,,0
RC,636,Mycophenolate Mofetil: 4 Vial In 1 Carton (54288-141-04)  / 20 Ml In 1 Vial,3.33,3.33,,,0
RC,636,Mycophenolate Mofetil: 4 Vial In 1 Carton (72485-415-04)  / 20 Ml In 1 Vial,2.82,2.82,,,0
RC,636,"Mycophenolate Mofetil: 4 Vial, Single-Dose In 1 Carton (71288-803-21)  / 20 Ml In 1 Vial, Single-Dose (71288-803-20)",2.75,2.75,,,0
RC,636,"Mycophenolic Acid: 100 BLISTER PACK in 1 CARTON (51079-508-20)  / 1 TABLET, DELAYED RELEASE in 1 BLISTER PACK (51079-508-01)",38.69,38.69,,,0
RC,636,"Mycophenolic Acid: 30 Blister Pack In 1 Box, Unit-Dose (68084-918-25)  / 1 Tablet, Delayed Release In 1 Blister Pack (68084-918-95)",20.96,20.96,,,0
RC,636,"Mylotarg: 1 Vial, Single-Dose In 1 Carton (0008-4510-01)  / 5 Ml In 1 Vial, Single-Dose",1421.33,1421.33,,,0
RC,636,Myxredlin: 12 Container In 1 Carton (0338-0126-12)  / 100 Ml In 1 Container,8.05,8.05,,,0
RC,636,NDC Description Not Available,24.27,24.27,,,0
RC,636,Naloxone Hydrochloride: 1 Syringe In 1 Box (43598-750-11)  / 2 Ml In 1 Syringe,0.37,0.37,,,0
RC,636,"Naloxone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0409-1215-01)  / 1 Ml In 1 Vial, Single-Dose (0409-1215-21)",3.66,3.66,,,0
RC,636,"Naloxone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (67457-292-02)  / 1 Ml In 1 Vial, Single-Dose (67457-292-00)",51.19,51.19,,,0
RC,636,"Naloxone Hydrochloride: 25 Carton In 1 Case (0409-1219-01)  / 1 Vial, Multi-Dose In 1 Carton / 10 Ml In 1 Vial, Multi-Dose (0409-1219-41)",0.34,0.34,,,0
RC,636,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-285-13)  / 10 Ml In 1 Vial, Single-Dose (63323-285-03)",2.58,2.58,,,0
RC,636,Naropin: 5 Ampule In 1 Box (63323-285-10)  / 10 Ml In 1 Ampule (63323-285-01),2.93,2.93,,,0
RC,636,"Nebupent: 1 Vial, Single-Dose In 1 Carton (63323-877-15)  / 6 Ml In 1 Vial, Single-Dose",583.16,583.16,,,0
RC,636,Nelarabine: 1 Vial In 1 Carton (25021-259-50)  / 50 Ml In 1 Vial,315.82,315.82,,,0
RC,636,"Nelarabine: 1 Vial, Single-Dose In 1 Carton (43598-142-11)  / 50 Ml In 1 Vial, Single-Dose",304.02,304.02,,,0
RC,636,"Nelarabine: 1 Vial, Single-Dose In 1 Carton (70710-1726-1)  / 50 Ml In 1 Vial, Single-Dose",231.64,231.64,,,0
RC,636,"Nelarabine: 1 Vial, Single-Dose In 1 Carton (71288-165-54)  / 50 Ml In 1 Vial, Single-Dose (71288-165-52)",193.98,193.98,,,0
RC,636,"Nelarabine: 6 Vial, Single-Dose In 1 Carton (70710-1726-8)  / 50 Ml In 1 Vial, Single-Dose",221.77,221.77,,,0
RC,636,Neoral: 1 Bottle In 1 Carton (0078-0274-22)  / 50 Ml In 1 Bottle,44.64,44.64,,,0
RC,636,"Neostigmine Methylsulfate: 10 Vial, Multi-Dose In 1 Carton (0641-6149-10)  / 10 Ml In 1 Vial, Multi-Dose (0641-6149-01)",5.37,5.37,,,0
RC,636,Nexterone: 100 Ml In 1 Bag (43066-150-10),35.28,35.28,,,0
RC,636,"Nexviazyme: 1 Vial, Single-Dose In 1 Carton (58468-0426-1)  / 10 Ml In 1 Vial, Single-Dose",470.41999999999996,470.41999999999996,,,0
RC,636,"Niktimvo: 1 Vial, Single-Use In 1 Carton (50881-034-12)  / .18 Ml In 1 Vial, Single-Use",314.575,314.575,,,0
RC,636,"Nitroglycerin: 25 Vial, Single-Dose In 1 Tray (0517-4810-25)  / 10 Ml In 1 Vial, Single-Dose (0517-4810-01)",36.91,36.91,,,0
RC,636,Novolin R: 1 Vial In 1 Carton (0169-1833-11)  / 10 Ml In 1 Vial,14.18,14.18,,,0
RC,636,"Novoseven Rt: 1 Kit In 1 Kit (0169-7201-01)  *  1 Ml In 1 Vial, Glass (0169-7211-11)  *  1 Ml In 1 Syringe, Glass (0169-7011-98)",14.765,14.765,,,0
RC,636,"Novoseven Rt: 1 Kit In 1 Kit (0169-7202-01)  *  2 Ml In 1 Vial, Glass (0169-7212-11)  *  2 Ml In 1 Syringe, Glass (0169-7012-98)",14.754999999999999,14.754999999999999,,,0
RC,636,"Novoseven Rt: 1 Kit In 1 Kit (0169-7205-01)  *  5 Ml In 1 Vial, Glass (0169-7215-11)  *  5 Ml In 1 Syringe, Glass (0169-7015-98)",14.75,14.75,,,0
RC,636,Nplate: 1 Vial In 1 Carton (55513-221-01)  / .5 Ml In 1 Vial,67.92,67.92,,,0
RC,636,"Nplate: 1 Vial, Single-Dose In 1 Carton (55513-223-01)  / .25 Ml In 1 Vial, Single-Dose",68.05,68.05,,,0
RC,636,Nutropin Aq Nuspin 10: 1 Cartridge In 1 Carton (50242-074-01)  / 2 Ml In 1 Cartridge,749.83,749.83,,,0
RC,636,Octreotide Acetate: 10 Vial In 1 Carton (68462-897-10)  / 1 Ml In 1 Vial (68462-897-01),3.85,3.85,,,0
RC,636,"Ofirmev: 24 VIAL, GLASS in 1 CARTON (43825-102-01)  / 100 mL in 1 VIAL, GLASS",1.1,1.1,,,0
RC,636,Olanzapine: 1 Vial In 1 Carton (31722-308-01)  / 2 Ml In 1 Vial,5.225,5.225,,,0
RC,636,"Ondansetron Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (68084-220-01)  / 1 Tablet, Film Coated In 1 Blister Pack (68084-220-11)",2.62,2.62,,,0
RC,636,"Ondansetron: 1 Bottle, Plastic In 1 Carton (16714-671-02)  / 50 Ml In 1 Bottle, Plastic",6.06,6.06,,,0
RC,636,"Ondansetron: 2.5 Ml In 1 Syringe, Plastic (17856-0691-4)",13.41,13.41,,,0
RC,636,Ondansetron: 25 Vial In 1 Carton (0641-6078-25)  / 2 Ml In 1 Vial (0641-6078-01),7.92,7.92,,,0
RC,636,"Ondansetron: 3 Blister Pack In 1 Carton (65862-390-10)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack",3.72,3.72,,,0
RC,636,"Ondansetron: 30 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE, PLASTIC (0378-7732-93)",7.12,7.12,,,0
RC,636,"Ondansetron: 60 Syringe In 1 Box, Unit-Dose (17856-0691-8)  / 2.5 Ml In 1 Syringe",15.69,15.69,,,0
RC,636,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3774-12)  / 10 Ml In 1 Vial, Single-Dose",208.75,208.75,,,0
RC,636,"Orencia: 1 Vial, Single-Use In 1 Carton (0003-2187-13)  / 15 Ml In 1 Vial, Single-Use",364.74,364.74,,,0
RC,636,"Orencia: 4 Syringe, Glass In 1 Carton (0003-2188-11)  / 1 Ml In 1 Syringe, Glass",704.75,704.75,,,0
RC,636,Osmitrol: 250 Ml In 1 Bag (0338-0357-02),47.55,47.55,,,0
RC,636,"Oxacillin: 1 Vial, Pharmacy Bulk Package In 1 Box (55150-129-99)  / 100 Ml In 1 Vial, Pharmacy Bulk Package",30.41,30.41,,,0
RC,636,"Oxacillin: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-811-00)  / 100 Ml In 1 Vial, Pharmacy Bulk Package",10.46,10.46,,,0
RC,636,"Oxacillin: 10 Vial In 1 Box (55150-128-24)  / 1 Injection, Powder, For Solution In 1 Vial",24.57,24.57,,,0
RC,636,"Oxacillin: 10 Vial In 1 Carton (25021-162-24)  / 1 Injection, Powder, For Solution In 1 Vial",13.26,13.26,,,0
RC,636,"Padcev Ejfv: 1 Vial, Single-Dose In 1 Box (51144-030-01)  / 3 Ml In 1 Vial, Single-Dose",212.56,212.56,,,0
RC,636,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0781-3312-75)  / 5 Ml In 1 Vial, Single-Dose",18.9,18.9,,,0
RC,636,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (71288-409-05)  / 5 Ml In 1 Vial, Single-Dose",2.585,2.585,,,0
RC,636,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (83634-777-05)  / 5 Ml In 1 Vial, Single-Dose",8.63,8.63,,,0
RC,636,"Palonosetron: 1 Vial, Single-Use In 1 Carton (16714-834-01)  / 5 Ml In 1 Vial, Single-Use",7.18,7.18,,,0
RC,636,Pamidronate Disodium: 1 Vial In 1 Carton (67457-430-10)  / 10 Ml In 1 Vial,62.93,62.93,,,0
RC,636,"Pamidronate Disodium: 1 Vial, Single-Dose In 1 Carton (61703-324-18)  / 10 Ml In 1 Vial, Single-Dose",80.89,80.89,,,0
RC,636,"Pantoprazole Sodium: 10 Vial, Single-Dose In 1 Carton (55150-202-10)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (55150-202-00)",36.01,36.01,,,0
RC,636,"Papaverine Hydrochloride: 10 Vial, Single-Use In 1 Carton (14789-121-05)  / 2 Ml In 1 Vial, Single-Use (14789-121-07)",108.65,108.65,,,0
RC,636,Papaverine Hydrochloride: 25 Vial In 1 Carton (0517-4002-25)  / 2 Ml In 1 Vial (0517-4002-01),108.92,108.92,,,0
RC,636,"Pentamidine Isethionate: 1 Vial, Single-Dose In 1 Carton (39822-3030-2)  / 6 Ml In 1 Vial, Single-Dose (39822-3030-1)",486.36,486.36,,,0
RC,636,Pentobarbital Sodium: 1 Vial In 1 Carton (24201-010-20)  / 20 Ml In 1 Vial,196.67,196.67,,,0
RC,636,Pentobarbital Sodium: 1 Vial In 1 Carton (24201-010-50)  / 50 Ml In 1 Vial,121.23,121.23,,,0
RC,636,Pentobarbital Sodium: 1 Vial In 1 Carton (25021-676-50)  / 50 Ml In 1 Vial,126.05,126.05,,,0
RC,636,"Pfizerpen: 10 Vial In 1 Carton (0049-0520-83)  / 1 Powder, For Solution In 1 Vial (0049-0520-84)",28.62,28.62,,,0
RC,636,"Phenobarbital Sodium: 10 Vial, Glass In 1 Carton (14789-127-05)  / 1 Ml In 1 Vial, Glass (14789-127-07)",78.93,78.93,,,0
RC,636,Phentolamine Mesylate: 1 Vial In 1 Box (0143-9564-01)  / 1 Ml In 1 Vial,265.73,265.73,,,0
RC,636,Phentolamine Mesylate: 1 Vial In 1 Carton (68094-101-20)  / 1 Injection In 1 Vial,257.56,257.56,,,0
RC,636,Phenylephrine Hydrochloride: 25 Vial In 1 Carton (0641-6142-25)  / 1 Ml In 1 Vial (0641-6142-01),2.385,2.385,,,0
RC,636,"Phenylephrine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (63323-751-01)  / 1 Ml In 1 Vial, Single-Dose (63323-751-00)",0.28,0.28,,,0
RC,636,Phytonadione: 1 Syringe In 1 Carton (76329-1240-1)  / .5 Ml In 1 Syringe,160.68,160.68,,,0
RC,636,Phytonadione: 10 Vial In 1 Carton (69097-709-96)  / .5 Ml In 1 Vial,51.54,51.54,,,0
RC,636,"Piperacillin And Tazobactam: 10 Vial In 1 Box (44567-802-10)  / 1 Injection, Powder, For Solution In 1 Vial",25.87,25.87,,,0
RC,636,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-120-30)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",24.52,24.52,,,0
RC,636,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (70121-1694-2)  / 1.2 Ml In 1 Vial, Single-Dose",49.575,49.575,,,0
RC,636,"Posaconazole: 1 Vial, Glass In 1 Carton (42023-195-01)  / 16.7 Ml In 1 Vial, Glass",1009.36,1009.36,,,0
RC,636,Potassium Chloride In Sodium Chloride: 12 Container In 1 Case (0264-7865-00)  / 1000 Ml In 1 Container,19.41,19.41,,,0
RC,636,Potassium Chloride In Sodium Chloride: 12 Pouch In 1 Case (0990-7115-09)  / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,11.15,11.15,,,0
RC,636,Potassium Chloride In Sodium Chloride: 12 Pouch In 1 Case (0990-9257-39)  / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,11.07,11.07,,,0
RC,636,Potassium Chloride In Sodium Chloride: 14 Bag In 1 Carton (0338-0691-04)  / 1000 Ml In 1 Bag,8.91,8.91,,,0
RC,636,Potassium Chloride In Sodium Chloride: 14 Bag In 1 Carton (0338-0704-34)  / 1000 Ml In 1 Bag,10.71,10.71,,,0
RC,636,Potassium Chloride: 24 Bag In 1 Carton (0338-0705-48)  / 100 Ml In 1 Bag,8.79,8.79,,,0
RC,636,Potassium Chloride: 24 POUCH in 1 CASE (0409-7075-26)  / 1 BAG in 1 POUCH / 100 mL in 1 BAG,21.95,21.95,,,0
RC,636,Potassium Chloride: 24 Pouch In 1 Case (0990-7075-26)  / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,8.52,8.52,,,0
RC,636,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-965-20)  / 20 Ml In 1 Vial, Single-Dose (63323-965-02)",6.63,6.63,,,0
RC,636,"Prednisolone Sodium Phosphate: 237 Ml In 1 Bottle, Plastic (42799-815-01)",4.96,4.96,,,0
RC,636,Prednisone: 10 Blister Pack In 1 Carton (0054-0018-20)  / 10 Tablet In 1 Blister Pack,0.24,0.24,,,0
RC,636,Prednisone: 10 Blister Pack In 1 Carton (0054-8724-25)  / 10 Tablet In 1 Blister Pack,1.48,1.48,,,0
RC,636,"Prednisone: 100 Blister Pack In 1 Box, Unit-Dose (60687-145-01)  / 1 Tablet In 1 Blister Pack (60687-145-11)",0.63,0.63,,,0
RC,636,Prednisone: 100 Blister Pack In 1 Carton (0904-6923-61)  / 1 Tablet In 1 Blister Pack,0.64,0.64,,,0
RC,636,Prednisone: 100 Blister Pack In 1 Carton (0904-7127-61)  / 1 Tablet In 1 Blister Pack,0.2,0.2,,,0
RC,636,Prednisone: 100 Tablet In 1 Bottle (0591-5443-01),0.36,0.36,,,0
RC,636,Prednisone: 100 Tablet In 1 Bottle (59651-488-01),0.35,0.35,,,0
RC,636,Prednisone: 100 Tablet In 1 Bottle (59651-489-01),0.08,0.08,,,0
RC,636,Prednisone: 100 Tablet In 1 Bottle (70954-059-10),0.7,0.7,,,0
RC,636,"Prednisone: 100 Tablet In 1 Bottle, Plastic (64380-782-06)",6.42,6.42,,,0
RC,636,Prevnar 20: 1 Syringe In 1 Carton (0005-2000-02)  / .5 Ml In 1 Syringe (0005-2000-01),1490.41,1490.41,,,0
RC,636,"Prevymis: 1 Vial, Single-Dose In 1 Carton (0006-5003-01)  / 12 Ml In 1 Vial, Single-Dose (0006-5003-02)",1872.25,1872.25,,,0
RC,636,"Primaxin Iv: 25 Vial, Single-Dose In 1 Tray (0006-3516-59)  / 100 Ml In 1 Vial, Single-Dose",126.64,126.64,,,0
RC,636,"Privigen: 1 Vial, Glass In 1 Carton (44206-436-05)  / 50 Ml In 1 Vial, Glass (44206-436-90)",319.18,319.18,,,0
RC,636,Prochlorperazine Edisylate: 10 Vial In 1 Carton (25021-790-02)  / 2 Ml In 1 Vial,36.3,36.3,,,0
RC,636,Prochlorperazine Edisylate: 25 Vial In 1 Carton (0641-6135-25)  / 2 Ml In 1 Vial (0641-6135-01),46.3,46.3,,,0
RC,636,Prochlorperazine Maleate: 100 Tablet In 1 Bottle (59746-113-06),11.5,11.5,,,0
RC,636,Prograf: 10 Ampule In 1 Box (0469-3016-01)  / 1 Ml In 1 Ampule,796.15,796.15,,,0
RC,636,Promethazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7304-61)  / 1 Tablet In 1 Blister Pack,7.78,7.78,,,0
RC,636,Promethazine Hydrochloride: 100 Blister Pack In 1 Carton (60687-660-01)  / 1 Tablet In 1 Blister Pack (60687-660-11),13.31,13.31,,,0
RC,636,Promethazine Hydrochloride: 12 Blister Pack In 1 Carton (45802-758-30)  / 1 Suppository In 1 Blister Pack (45802-758-00),4.23,4.23,,,0
RC,636,"Promethazine Hydrochloride: 25 Vial, Single-Dose In 1 Package (0641-0928-25)  / 1 Ml In 1 Vial, Single-Dose (0641-0928-21)",30.24,30.24,,,0
RC,636,Promethazine Hydrochloride: 473 Ml In 1 Bottle (27808-051-02),12.8,12.8,,,0
RC,636,Propofol: 10 Vial In 1 Carton (0069-0248-10)  / 100 Ml In 1 Vial,0.88,0.88,,,0
RC,636,"Protamine Sulfate: 1 Vial, Single-Dose In 1 Box (63323-229-30)  / 25 Ml In 1 Vial, Single-Dose",9.59,9.59,,,0
RC,636,"Protamine Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-229-05)  / 5 Ml In 1 Vial, Single-Dose (63323-229-01)",18.06,18.06,,,0
RC,636,Protonix I.V.: 1 Vial In 1 Carton (0008-0923-51)  / 10 Ml In 1 Vial,28.45,28.45,,,0
RC,636,Provayblue: 5 Ampule In 1 Carton (0517-0374-05)  / 10 Ml In 1 Ampule (0517-0374-01),12.67,12.67,,,0
RC,636,Pulmozyme: 5 Pouch In 1 Carton (50242-100-40)  / 6 Ampule In 1 Pouch (50242-100-39)  / 2.5 Ml In 1 Ampule,307.32,307.32,,,0
RC,636,Pyridoxine Hydrochloride: 25 Vial In 1 Tray (63323-180-01)  / 1 Ml In 1 Vial (63323-180-00),69.88,69.88,,,0
RC,636,"Rabavert: 1 Kit In 1 Carton (50632-010-01)  *  1 Ml In 1 Syringe (50632-011-01)  *  1 Ml In 1 Vial, Glass (50632-013-01)",1922.9650000000001,1922.9650000000001,,,0
RC,636,"Rapamune: 100 Blister Pack In 1 Carton (0008-1040-10)  / 1 Tablet, Sugar Coated In 1 Blister Pack",119.94,119.94,,,0
RC,636,Releuko: 1 Syringe In 1 Box (70121-1568-1)  / .5 Ml In 1 Syringe,1.48,1.48,,,0
RC,636,Releuko: 1 Syringe In 1 Box (70121-1570-1)  / .8 Ml In 1 Syringe,1.3650000000000002,1.3650000000000002,,,0
RC,636,"Remicade: 1 Vial, Single-Use In 1 Box (57894-030-01)  / 10 Ml In 1 Vial, Single-Use",698.02,698.02,,,0
RC,636,"Renflexis: 1 Vial In 1 Carton (78206-162-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (78206-162-99)",234.465,234.465,,,0
RC,636,"Riabni: 1 Vial, Single-Dose In 1 Carton (55513-224-01)  / 10 Ml In 1 Vial, Single-Dose",304.275,304.275,,,0
RC,636,"Rifadin Iv: 1 Vial, Glass In 1 Carton (0068-0597-01)  / 10 Ml In 1 Vial, Glass",1.13,1.13,,,0
RC,636,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-051-21)  / 10 Ml In 1 Vial, Single-Use",513.63,513.63,,,0
RC,636,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-053-06)  / 50 Ml In 1 Vial, Single-Use",513.63,513.63,,,0
RC,636,Ropivacaine Hydrochloride: 10 Vial In 1 Carton (70069-061-10)  / 10 Ml In 1 Vial (70069-061-01),1.97,1.97,,,0
RC,636,"Ropivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-197-20)  / 20 Ml In 1 Vial, Single-Dose",0.44,0.44,,,0
RC,636,"Ruxience: 1 Vial, Single-Use In 1 Carton (0069-0238-01)  / 10 Ml In 1 Vial, Single-Use",358.9,358.9,,,0
RC,636,"Ruxience: 1 Vial, Single-Use In 1 Carton (0069-0249-01)  / 50 Ml In 1 Vial, Single-Use",307.73,307.73,,,0
RC,636,"Rylaze: 3 Vial, Single-Dose In 1 Carton (68727-900-03)  / .5 Ml In 1 Vial, Single-Dose (68727-900-01)",316.75,316.75,,,0
RC,636,"Saphnelo: 1 Vial, Glass In 1 Carton (0310-3040-00)  / 2 Ml In 1 Vial, Glass",110.62,110.62,,,0
RC,636,"Sensorcaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-466-17)  / 10 Ml In 1 Vial, Single-Dose (63323-466-03)",0.47,0.47,,,0
RC,636,"Sevenfact: 1 Kit In 1 Package (71127-1000-1)  *  1 Ml In 1 Vial, Single-Dose (71127-1100-1)  *  1.1 Ml In 1 Syringe (71127-1200-1)",12.81,12.81,,,0
RC,636,"Sevenfact: 1 Kit In 1 Package (71127-5000-1)  *  5 Ml In 1 Vial, Single-Dose (71127-5100-1)  *  5.2 Ml In 1 Syringe (71127-5200-1)",12.81,12.81,,,0
RC,636,"Simponi Aria: 1 Vial, Single-Dose In 1 Carton (57894-350-01)  / 4 Ml In 1 Vial, Single-Dose",244.84,244.84,,,0
RC,636,"Simulect: 1 Vial, Single-Use In 1 Carton (0078-0331-84)  / 5 Ml In 1 Vial, Single-Use",13673.9,13673.9,,,0
RC,636,"Sirolimus: 1 Bottle, Glass In 1 Carton (60505-6197-2)  / 60 Ml In 1 Bottle, Glass",104.42,104.42,,,0
RC,636,"Sirolimus: 1 Bottle, Glass In 1 Carton (72205-099-78)  / 60 Ml In 1 Bottle, Glass",45.32,45.32,,,0
RC,636,"Sirolimus: 1 Carton In 1 Kit (69238-1594-3)  / 1 Bottle, Glass In 1 Carton (69238-1594-6)  / 60 Ml In 1 Bottle, Glass",50.28,50.28,,,0
RC,636,"Sirolimus: 100 Tablet, Film Coated In 1 Bottle (68382-520-01)",35.25,35.25,,,0
RC,636,"Sirolimus: 100 Tablet, Sugar Coated In 1 Bottle (59762-1001-1)",34.27,34.27,,,0
RC,636,Sirolimus: 30 Blister Pack In 1 Box (50268-718-13)  / 1 Tablet In 1 Blister Pack (50268-718-11),60.63,60.63,,,0
RC,636,"Skyrizi: 1 Vial, Single-Dose In 1 Carton (0074-5015-01)  / 10 Ml In 1 Vial, Single-Dose",104.305,104.305,,,0
RC,636,"Sodium Acetate: 100 Ml In 1 Vial, Pharmacy Bulk Package (69784-231-10)",81.24,81.24,,,0
RC,636,"Sodium Acetate: 50 Ml In 1 Vial, Pharmacy Bulk Package (69784-230-10)",88.92,88.92,,,0
RC,636,Sodium Chloride For Irrigation: 4 Container In 1 Case (0264-7388-60)  / 3000 Ml In 1 Container,2.94,2.94,,,0
RC,636,Sodium Chloride: 1 Bag In 1 Package (0338-0049-41)  / 50 Ml In 1 Bag,63.44,63.44,,,0
RC,636,Sodium Chloride: 1 Bag In 1 Package (0338-0049-48)  / 100 Ml In 1 Bag,68.3,68.3,,,0
RC,636,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),69.74,69.74,,,0
RC,636,Sodium Chloride: 116 Container In 1 Case (0264-1800-36)  / 25 Ml In 1 Container,101.55,101.55,,,0
RC,636,Sodium Chloride: 12 Container In 1 Case (0264-5802-00)  / 1000 Ml In 1 Container,56.65,56.65,,,0
RC,636,Sodium Chloride: 12 Container In 1 Case (0264-7800-00)  / 1000 Ml In 1 Container,75.36,75.36,,,0
RC,636,Sodium Chloride: 12 Container In 1 Case (0264-7800-09)  / 1000 Ml In 1 Container,71.26,71.26,,,0
RC,636,Sodium Chloride: 14 Bag In 1 Carton (0338-0047-44)  / 1000 Ml In 1 Bag,45.81,45.81,,,0
RC,636,Sodium Chloride: 16 Bag In 1 Package (0338-0049-31)  / 50 Ml In 1 Bag,64.74,64.74,,,0
RC,636,Sodium Chloride: 16 Container In 1 Case (0264-2201-00)  / 1000 Ml In 1 Container,5.36,5.36,,,0
RC,636,Sodium Chloride: 16 Container In 1 Case (0264-2201-10)  / 500 Ml In 1 Container,19.28,19.28,,,0
RC,636,"Sodium Chloride: 18 Bottle, Plastic In 1 Carton (0338-0048-03)  / 500 Ml In 1 Bottle, Plastic",61.42,61.42,,,0
RC,636,Sodium Chloride: 20 Bag In 1 Case (63323-530-75)  / 500 Ml In 1 Bag (63323-530-21),74.18,74.18,,,0
RC,636,Sodium Chloride: 20 Pouch In 1 Case (0990-7730-37)  / 4 Bag In 1 Pouch / 100 Ml In 1 Bag,78.46,78.46,,,0
RC,636,Sodium Chloride: 24 Bag In 1 Carton (0338-0054-03)  / 500 Ml In 1 Bag,73.37,73.37,,,0
RC,636,"Sodium Chloride: 24 Bottle, Plastic In 1 Carton (0338-0048-02)  / 250 Ml In 1 Bottle, Plastic",70.66,70.66,,,0
RC,636,"Sodium Chloride: 24 Bottle, Plastic In 1 Case (0990-6138-22)  / 250 Ml In 1 Bottle, Plastic",92.89,92.89,,,0
RC,636,Sodium Chloride: 24 Container In 1 Case (0264-5802-10)  / 500 Ml In 1 Container,65.84,65.84,,,0
RC,636,Sodium Chloride: 24 Container In 1 Case (0264-7800-20)  / 250 Ml In 1 Container,64.71,64.71,,,0
RC,636,Sodium Chloride: 250 Ml In 1 Bag (0338-0049-02),83.24,83.24,,,0
RC,636,Sodium Chloride: 250 Ml In 1 Bag (0338-9543-02),67.09,67.09,,,0
RC,636,Sodium Chloride: 250 Ml In 1 Bag (17271-701-05),64.98,64.98,,,0
RC,636,Sodium Chloride: 4 Bag In 1 Carton (0338-0047-47)  / 3000 Ml In 1 Bag,16.43,16.43,,,0
RC,636,Sodium Chloride: 4 Bag In 1 Package (0338-0049-10)  / 25 Ml In 1 Bag,72.84,72.84,,,0
RC,636,Sodium Chloride: 4 Bag In 1 Package (0338-0049-18)  / 100 Ml In 1 Bag,69.14,69.14,,,0
RC,636,Sodium Chloride: 500 Ml In 1 Bag (0338-0043-03),69.89,69.89,,,0
RC,636,Sodium Chloride: 500 Ml In 1 Bag (0338-9543-04),68.89,68.89,,,0
RC,636,Sodium Chloride: 6 Bag In 1 Carton (0338-0047-46)  / 2000 Ml In 1 Bag,48.29,48.29,,,0
RC,636,Sodium Chloride: 64 Container In 1 Case (0264-1800-32)  / 100 Ml In 1 Container,66.7,66.7,,,0
RC,636,Sodium Chloride: 84 Container In 1 Case (0264-1800-31)  / 50 Ml In 1 Container,65.29,65.29,,,0
RC,636,Sodium Ferric Gluconate Complex In Sucrose: 10 Vial In 1 Carton (0143-9570-10)  / 5 Ml In 1 Vial (0143-9570-01),14.84,14.84,,,0
RC,636,Soliris: 1 Vial In 1 Carton (25682-001-01)  / 30 Ml In 1 Vial,447.55,447.55,,,0
RC,636,"Solu-Cortef: 25 Vial, Single-Dose In 1 Carton (0009-0011-04)  / 2 Ml In 1 Vial, Single-Dose (0009-0011-03)",55.54,55.54,,,0
RC,636,Solu-Medrol: 1 Vial In 1 Carton (0009-0003-02)  / 4 Ml In 1 Vial,3.075,3.075,,,0
RC,636,Solu-Medrol: 1 Vial In 1 Carton (0009-0018-20)  / 8 Ml In 1 Vial,2.0,2.0,,,0
RC,636,Solu-Medrol: 25 Vial In 1 Carton (0009-0039-28)  / 1 Ml In 1 Vial (0009-0039-30),7.800000000000001,7.800000000000001,,,0
RC,636,Solu-Medrol: 25 Vial In 1 Carton (0009-0047-22)  / 2 Ml In 1 Vial (0009-0047-25),2.7350000000000003,2.7350000000000003,,,0
RC,636,Sotalol Hydrochloride: 1 Vial In 1 Carton (69724-112-10)  / 10 Ml In 1 Vial,151.9,151.9,,,0
RC,636,"Spinraza: 1 Vial, Single-Use In 1 Box (64406-058-01)  / 5 Ml In 1 Vial, Single-Use",7161.31,7161.31,,,0
RC,636,Stelara: 1 Syringe In 1 Carton (57894-061-03)  / 1 Ml In 1 Syringe,1815.83,1815.83,,,0
RC,636,"Stelara: 1 Vial, Single-Use In 1 Box (57894-054-27)  / 26 Ml In 1 Vial, Single-Use",100.63499999999999,100.63499999999999,,,0
RC,636,Sulfamethoxazole And Trimethoprim: 10 Vial In 1 Carton (70069-362-10)  / 10 Ml In 1 Vial (70069-362-01),0.56,0.56,,,0
RC,636,"Sulfamethoxazole And Trimethoprim: 10 Vial, Multi-Dose In 1 Carton (0703-9514-03)  / 10 Ml In 1 Vial, Multi-Dose (0703-9514-01)",57.79,57.79,,,0
RC,636,"Tacrolimus: 100 Blister Pack In 1 Box, Unit-Dose (68084-450-01)  / 1 Capsule In 1 Blister Pack (68084-450-11)",18.74,18.74,,,0
RC,636,Tacrolimus: 100 Blister Pack In 1 Carton (0904-6623-61)  / 1 Capsule In 1 Blister Pack,16.85,16.85,,,0
RC,636,Tacrolimus: 100 Blister Pack In 1 Carton (0904-6624-61)  / 1 Capsule In 1 Blister Pack,13.22,13.22,,,0
RC,636,Tacrolimus: 100 Blister Pack In 1 Carton (0904-7097-61)  / 1 Capsule In 1 Blister Pack,11.0,11.0,,,0
RC,636,Tacrolimus: 100 Capsule In 1 Bottle (16729-043-01),8.65,8.65,,,0
RC,636,"Temsirolimus: 1 Kit In 1 Kit (65219-200-05)  *  1 Ml In 1 Vial, Single-Dose (65219-205-05)  *  1.8 Ml In 1 Vial, Single-Dose (65219-202-05)",183.845,183.845,,,0
RC,636,"Tepadina: 1 Vial, Glass In 1 Box (70121-1631-1)  / 1 Injection, Powder, For Solution In 1 Vial, Glass",1451.36,1451.36,,,0
RC,636,Testosterone Cypionate: 1 Vial In 1 Carton (0409-6562-01)  / 1 Ml In 1 Vial,0.94,0.94,,,0
RC,636,"Testosterone Enanthate: 5 Ml In 1 Vial, Multi-Dose (0143-9750-01)",70.76,70.76,,,0
RC,636,"Thiamine: 25 Vial, Multi-Dose In 1 Carton (72485-507-25)  / 2 Ml In 1 Vial, Multi-Dose (72485-507-01)",37.11,37.11,,,0
RC,636,"Thiotepa: 1 Vial In 1 Box, Unit-Dose (0143-9292-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",962.91,962.91,,,0
RC,636,"Thiotepa: 1 Vial In 1 Box, Unit-Dose (0143-9565-01)  / 1.5 Ml In 1 Vial",970.72,970.72,,,0
RC,636,Thiotepa: 1 Vial In 1 Carton (25021-246-02)  / 1.5 Ml In 1 Vial,78.42,78.42,,,0
RC,636,"Thiotepa: 1 Vial In 1 Carton (43598-650-11)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",751.94,751.94,,,0
RC,636,"Thiotepa: 1 Vial, Glass In 1 Box (72205-045-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",53.92,53.92,,,0
RC,636,"Thiotepa: 1 Vial, Glass In 1 Box (72205-046-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",204.59,204.59,,,0
RC,636,"Thiotepa: 1 Vial, Single-Dose In 1 Carton (71288-157-10)  / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",32.83,32.83,,,0
RC,636,"Thrombate Iii: 1 Kit In 1 Carton (13533-606-12)  *  10 Ml In 1 Vial, Glass (13533-605-21)  *  10 Ml In 1 Vial, Glass (76297-002-12)",24.14,24.14,,,0
RC,636,"Thymoglobulin: 1 Vial, Glass In 1 Carton (58468-0080-1)  / 5 Ml In 1 Vial, Glass",5331.93,5331.93,,,0
RC,636,"Tobramycin: 1 Vial, Multi-Dose In 1 Carton (36000-242-01)  / 30 Ml In 1 Vial, Multi-Dose",21.18,21.18,,,0
RC,636,"Tobramycin: 25 Vial, Multi-Dose In 1 Tray (63323-306-02)  / 2 Ml In 1 Vial, Multi-Dose (63323-306-01)",22.79,22.79,,,0
RC,636,Tobramycin: 30 Pouch In 1 Carton (60687-731-83)  / 1 Ampule In 1 Pouch (60687-731-79)  / 5 Ml In 1 Ampule,124.1,124.1,,,0
RC,636,Topotecan Hydrochloride: 1 Vial In 1 Box (63323-762-10)  / 4 Ml In 1 Vial,24.65,24.65,,,0
RC,636,Topotecan Hydrochloride: 1 Vial In 1 Carton (45963-615-56)  / 4 Ml In 1 Vial,23.72,23.72,,,0
RC,636,"Topotecan: 1 Vial, Single-Dose In 1 Carton (0409-0302-01)  / 4 Ml In 1 Vial, Single-Dose",22.805,22.805,,,0
RC,636,"Treprostinil: 1 Vial, Multi-Dose In 1 Carton (0703-0686-01)  / 20 Ml In 1 Vial, Multi-Dose",134.55,134.55,,,0
RC,636,Triamcinolone Acetonide: 1 Vial In 1 Carton (16714-140-01)  / 5 Ml In 1 Vial,15.37,15.37,,,0
RC,636,Triamcinolone Acetonide: 1 Vial In 1 Carton (70121-1049-2)  / 1 Ml In 1 Vial (70121-1049-1),8.65,8.65,,,0
RC,636,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (67457-622-05)  / 5 Ml In 1 Vial, Multi-Dose",18.7,18.7,,,0
RC,636,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1168-1)  / 5 Ml In 1 Vial, Multi-Dose",9.93,9.93,,,0
RC,636,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-103-10)  / 10 Ml In 1 Vial, Single-Use",322.615,322.615,,,0
RC,636,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-104-50)  / 50 Ml In 1 Vial, Single-Use",321.06,321.06,,,0
RC,636,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-592-10)  / 10 Ml In 1 Vial, Single-Dose",29.58,29.58,,,0
RC,636,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-594-20)  / 20 Ml In 1 Vial, Single-Dose",29.61,29.61,,,0
RC,636,"Ultomiris: 1 Vial, Glass In 1 Carton (25682-025-01)  / 3 Ml In 1 Vial, Glass",1332.895,1332.895,,,0
RC,636,"Unasyn: 1 Vial, Pharmacy Bulk Package In 1 Carton (0049-0024-28)  / 100 Ml In 1 Vial, Pharmacy Bulk Package",47.96,47.96,,,0
RC,636,Vancomycin Hydrochloride: 1 Bottle In 1 Carton (63323-314-61)  / 100 Ml In 1 Bottle,2.48,2.48,,,0
RC,636,"Vancomycin Hydrochloride: 1 Vial, Glass In 1 Carton (70594-047-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",24.65,24.65,,,0
RC,636,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0143-9163-01)  / 5.13 G In 1 Vial, Pharmacy Bulk Package",2.26,2.26,,,0
RC,636,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-6509-01)  / 100 Ml In 1 Vial, Pharmacy Bulk Package",1.28,1.28,,,0
RC,636,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (70436-021-82)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",34.59,34.59,,,0
RC,636,Vancomycin Hydrochloride: 10 Vial In 1 Package (0143-9162-10)  / 1025 Mg In 1 Vial (0143-9162-01),0.61,0.61,,,0
RC,636,Vancomycin Hydrochloride: 10 Vial In 1 Tray (63323-284-20)  / 20 Ml In 1 Vial (63323-284-01),21.06,21.06,,,0
RC,636,Vancomycin Hydrochloride: 200 Ml In 1 Bag (0338-3552-48),1.66,1.66,,,0
RC,636,"Varivax: 10 Vial, Single-Dose In 1 Carton (0006-4827-00)  / .5 Ml In 1 Vial, Single-Dose (0006-4827-01)",1138.02,1138.02,,,0
RC,636,"Vasopressin: 1 Vial, Multi-Dose In 1 Carton (55150-370-01)  / 1 Ml In 1 Vial, Multi-Dose",31.01,31.01,,,0
RC,636,Vasostrict: 25 Vial In 1 Carton (42023-164-25)  / 1 Ml In 1 Vial (42023-164-01),7.32,7.32,,,0
RC,636,Vecuronium Bromide: 10 Vial In 1 Carton (0409-1632-01)  / 10 Ml In 1 Vial (0409-1632-21),232.02,232.02,,,0
RC,636,Vecuronium Bromide: 10 Vial In 1 Carton (25021-686-20)  / 20 Ml In 1 Vial,113.91,113.91,,,0
RC,636,"Vecuronium Bromide: 10 Vial In 1 Carton (55150-235-10)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (55150-235-01)",31.28,31.28,,,0
RC,636,"Veklury: 1 Vial, Single-Dose In 1 Carton (61958-2901-2)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",42.370000000000005,42.370000000000005,,,0
RC,636,"Velcade: 1 Vial In 1 Carton (63020-049-01)  / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",285.88,285.88,,,0
RC,636,"Venofer: 1 Vial, Single-Dose In 1 Box (0517-2340-01)  / 5 Ml In 1 Vial, Single-Dose",3.14,3.14,,,0
RC,636,"Venofer: 10 Vial, Single-Dose In 1 Box (0517-2340-10)  / 5 Ml In 1 Vial, Single-Dose",2.48,2.48,,,0
RC,636,"Venofer: 25 Vial, Single-Dose In 1 Tray (0517-2340-25)  / 5 Ml In 1 Vial, Single-Dose",2.37,2.37,,,0
RC,636,"Venofer: 5 Vial, Single-Dose In 1 Box (0517-2310-05)  / 10 Ml In 1 Vial, Single-Dose (0517-2310-01)",2.27,2.27,,,0
RC,636,"Vfend: 1 Vial, Single-Dose In 1 Carton (0049-3190-28)  / 20 Ml In 1 Vial, Single-Dose",16.31,16.31,,,0
RC,636,"Vinblastine Sulfate: 1 Vial, Multi-Dose In 1 Box (63323-278-10)  / 10 Ml In 1 Vial, Multi-Dose",54.02,54.02,,,0
RC,636,"Vincasar PFS: 1 VIAL, SINGLE-DOSE in 1 CARTON (0703-4412-11)  / 2 mL in 1 VIAL, SINGLE-DOSE",133.9,133.9,,,0
RC,636,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-06)  / 1 Ml In 1 Vial, Single-Dose",177.77,177.77,,,0
RC,636,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-16)  / 2 Ml In 1 Vial, Single-Dose",111.1,111.1,,,0
RC,636,Vinorelbine: 1 Vial In 1 Carton (25021-204-05)  / 5 Ml In 1 Vial,73.105,73.105,,,0
RC,636,"Vonvendi: 1 Kit In 1 Carton (0944-7553-02)  *  10 Ml In 1 Vial, Single-Dose (0944-7552-01)  *  10 Ml In 1 Vial, Glass (64764-516-10)",13.02,13.02,,,0
RC,636,"Voriconazole: 1 Injection, Powder, Lyophilized, For Solution In 1 Box (70436-029-80)",5.65,5.65,,,0
RC,636,"Voriconazole: 1 Vial, Single-Dose In 1 Carton (72266-131-01)  / 20 Ml In 1 Vial, Single-Dose",6.98,6.98,,,0
RC,636,"Vpriv: 1 Vial, Glass In 1 Box (54092-701-04)  / 4 Ml In 1 Vial, Glass",2763.855,2763.855,,,0
RC,636,Wilate - Von Willebrand Factor/Coagulation Factor Viii Complex (Human): 10 Ml In 1 Vial (68982-182-02),7.15,7.15,,,0
RC,636,Wilate - Von Willebrand Factor/Coagulation Factor Viii Complex (Human): 5 Ml In 1 Vial (68982-182-01),7.14,7.14,,,0
RC,636,Xatmep: 120 Ml In 1 Bottle (52652-2001-1),123.57,123.57,,,0
RC,636,"Xgeva: 1 Vial, Single-Use In 1 Carton (55513-730-01)  / 1.7 Ml In 1 Vial, Single-Use",169.26999999999998,169.26999999999998,,,0
RC,636,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-495-07)  / 5 Ml In 1 Vial, Single-Dose (63323-495-04)",0.89,0.89,,,0
RC,636,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-484-57)  / 50 Ml In 1 Vial, Multi-Dose",4.71,4.71,,,0
RC,636,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-27)  / 20 Ml In 1 Vial, Multi-Dose (63323-486-02)",0.46,0.46,,,0
RC,636,"Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2327-11)  / 10 Ml In 1 Vial, Single-Use",1122.845,1122.845,,,0
RC,636,"Yondelis: 20 Ml In 1 Vial, Single-Use (59676-610-01)",2237.205,2237.205,,,0
RC,636,Zarxio: 1 Blister Pack In 1 Carton (61314-318-01)  / 1 Syringe In 1 Blister Pack / .5 Ml In 1 Syringe,4.175000000000001,4.175000000000001,,,0
RC,636,Zarxio: 2 Blister Pack In 1 Carton (61314-318-10)  / 5 Syringe In 1 Blister Pack (61314-318-05)  / .5 Ml In 1 Syringe,4.32,4.32,,,0
RC,636,"Zemplar: 25 Vial, Single-Dose In 1 Tray (0074-1658-01)  / 1 Ml In 1 Vial, Single-Dose",15.05,15.05,,,0
RC,636,"Zerbaxa: 10 Vial, Single-Dose In 1 Carton (67919-030-01)  / 10 Ml In 1 Vial, Single-Dose",52.03,52.03,,,0
RC,636,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (55111-685-07)  / 5 Ml In 1 Vial, Glass",15.920000000000002,15.920000000000002,,,0
RC,636,Zortress: 60 Blister Pack In 1 Box (0078-0415-20)  / 1 Tablet In 1 Blister Pack (0078-0415-61),67.78,67.78,,,0
RC,636,Zortress: 60 Blister Pack In 1 Box (0078-0417-20)  / 1 Tablet In 1 Blister Pack (0078-0417-61),81.63,81.63,,,0
RC,637,100 TABLET in 1 BOTTLE (57896-201-01),7.66,7.66,,,0
RC,637,473 mL in 1 BOTTLE (0121-1680-16),18.15,18.15,,,0
RC,637,Acetaminophen For Children: 100 Blister Pack In 1 Carton (45802-732-33)  / 1 Suppository In 1 Blister Pack,1.03,1.03,,,0
RC,637,Acetaminophen For Children: 12 Blister Pack In 1 Carton (45802-732-30)  / 1 Suppository In 1 Blister Pack,1.15,1.15,,,0
RC,637,Acetaminophen Pain Reliever Fever Reducer: 1 Suppository In 1 Blister Pack (45802-730-00),1.23,1.23,,,0
RC,637,Acetaminophen Pain Reliever Fever Reducer: 50 Blister Pack In 1 Carton (45802-730-32)  / 1 Suppository In 1 Blister Pack,1.14,1.14,,,0
RC,637,"Acetaminophen: 10 Blister Pack In 1 Box, Unit-Dose (0904-6730-61)  / 10 Tablet In 1 Blister Pack",8.73,8.73,,,0
RC,637,"Acetaminophen: 10 Blister Pack In 1 Box, Unit-Dose (0904-6773-61)  / 10 Tablet In 1 Blister Pack",0.55,0.55,,,0
RC,637,"Acetaminophen: 10 Tray In 1 Case (68094-231-61)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-231-59)",1.16,1.16,,,0
RC,637,Actidose: 120 Ml In 1 Tube (0574-0520-74),85.89,85.89,,,0
RC,637,Acyclovir: 100 Blister Pack In 1 Carton (0904-5789-61)  / 1 Capsule In 1 Blister Pack,6.48,6.48,,,0
RC,637,"Adderall Xr: 100 Capsule, Extended Release In 1 Bottle (54092-381-01)",52.0,52.0,,,0
RC,637,"Adderall Xr: 100 Capsule, Extended Release In 1 Bottle (54092-383-01)",51.06,51.06,,,0
RC,637,"Albendazole 200 Mg: 2 Tablet, Film Coated In 1 Bottle (31722-935-02)",200.21,200.21,,,0
RC,637,Albendazole: 2 Tablet In 1 Bottle (69097-237-72),211.22,211.22,,,0
RC,637,Albendazole: 2 Tablet In 1 Bottle (72205-051-08),159.05,159.05,,,0
RC,637,Allopurinol: 100 Blister Pack In 1 Carton (0904-7041-61)  / 1 Tablet In 1 Blister Pack,6.99,6.99,,,0
RC,637,Alprazolam: 100 Tablet In 1 Bottle (59762-3720-1),6.36,6.36,,,0
RC,637,Amantadine Hydrochloride: 473 Ml In 1 Bottle (0121-0646-16),2.72,2.72,,,0
RC,637,"Ambrisentan: 30 Tablet, Film Coated In 1 Bottle (0591-2405-30)",660.86,660.86,,,0
RC,637,"Ambrisentan: 30 Tablet, Film Coated In 1 Bottle, Plastic (69097-386-02)",150.93,150.93,,,0
RC,637,"Aminocaproic Acid: 236.5 Ml In 1 Bottle, Plastic (52817-815-08)",108.49,108.49,,,0
RC,637,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (29300-419-01)",10.49,10.49,,,0
RC,637,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (70756-201-11)",11.98,11.98,,,0
RC,637,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6369-61)  / 1 Tablet In 1 Blister Pack,12.36,12.36,,,0
RC,637,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6370-61)  / 1 Tablet In 1 Blister Pack,8.95,8.95,,,0
RC,637,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6371-61)  / 1 Tablet In 1 Blister Pack,12.05,12.05,,,0
RC,637,Amoxicillin And Clavulanate Potassium: 125 Ml In 1 Bottle (16714-294-02),13.84,13.84,,,0
RC,637,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Coated In 1 Bottle (81964-221-14)",14.62,14.62,,,0
RC,637,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (0093-2274-34)",20.75,20.75,,,0
RC,637,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (42571-161-42)",15.56,15.56,,,0
RC,637,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (65862-503-20)",14.07,14.07,,,0
RC,637,Amoxicillin And Clavulanate Potassium: 200 Ml In 1 Bottle (0143-9853-24),19.32,19.32,,,0
RC,637,"Amoxicillin And Clavulanate Potassium: 28 Tablet, Multilayer, Extended Release In 1 Bottle (0781-1943-82)",40.93,40.93,,,0
RC,637,Amoxicillin And Clavulanate Potassium: 50 Ml In 1 Bottle (16714-293-01),15.33,15.33,,,0
RC,637,Amoxicillin And Clavulanate Potassium: 75 Ml In 1 Bottle (16714-294-01),16.12,16.12,,,0
RC,637,Amoxicillin: 100 Capsule In 1 Bottle (16714-298-01),3.97,3.97,,,0
RC,637,Amoxicillin: 100 Capsule In 1 Bottle (16714-299-03),6.34,6.34,,,0
RC,637,Amoxicillin: 100 Ml In 1 Bottle (65862-071-01),13.97,13.97,,,0
RC,637,"Amoxicillin: 100 Tablet, Chewable In 1 Bottle (0093-2268-01)",6.85,6.85,,,0
RC,637,Analgesic Balm: 1 Tube In 1 Box (57896-116-03)  / 85 G In 1 Tube,24.96,24.96,,,0
RC,637,"Anti Diarrheal: 24 Blister Pack In 1 Carton (0904-7725-24)  / 1 Tablet, Film Coated In 1 Blister Pack",8.71,8.71,,,0
RC,637,Aplicare Povidone-Iodine: 1 G In 1 Packet (52380-0126-2),5.68,5.68,,,0
RC,637,Aptiom: 30 Tablet In 1 Bottle (63402-202-30),288.18,288.18,,,0
RC,637,Aptiom: 60 Tablet In 1 Bottle (63402-206-60),277.52,277.52,,,0
RC,637,Aripiprazole: 1 Bottle In 1 Carton (60505-0404-5)  / 150 Ml In 1 Bottle,45.08,45.08,,,0
RC,637,"Aripiprazole: 50 Blister Pack In 1 Box, Unit-Dose (50268-089-15)  / 1 Tablet In 1 Blister Pack (50268-089-11)",15.5,15.5,,,0
RC,637,Aspirin Chewable: 30 Blister Pack In 1 Box (63739-434-02)  / 10 Tablet In 1 Blister Pack,0.79,0.79,,,0
RC,637,"Aspirin Low Dose Chewable Orange: 300 Blister Pack In 1 Carton (0904-6794-30)  / 1 Tablet, Chewable In 1 Blister Pack",0.83,0.83,,,0
RC,637,"Aspirin: 1 Bottle, Plastic In 1 Carton (0536-1054-29)  / 100 Tablet, Film Coated In 1 Bottle, Plastic",1.02,1.02,,,0
RC,637,Atenolol: 100 Blister Pack In 1 Carton (0904-7187-61)  / 1 Tablet In 1 Blister Pack,9.85,9.85,,,0
RC,637,Atomoxetine: 30 Capsule In 1 Bottle (16714-757-01),24.42,24.42,,,0
RC,637,Atomoxetine: 30 Capsule In 1 Bottle (16714-758-01),21.18,21.18,,,0
RC,637,Atomoxetine: 30 Capsule In 1 Bottle (31722-717-30),15.39,15.39,,,0
RC,637,Atomoxetine: 30 Capsule In 1 Bottle (42291-064-30),15.37,15.37,,,0
RC,637,Atomoxetine: 30 Capsule In 1 Bottle (42291-066-30),20.5,20.5,,,0
RC,637,"Atorvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6290-61)  / 1 Tablet, Film Coated In 1 Blister Pack",10.35,10.35,,,0
RC,637,"Azelastine Hydrochloride: 1 Bottle, Spray In 1 Carton (42291-094-30)  / 30 Ml In 1 Bottle, Spray",76.25,76.25,,,0
RC,637,"Azelastine Hydrochloride: 1 Bottle, Spray In 1 Carton (59651-214-30)  / 200 Spray, Metered In 1 Bottle, Spray",6.21,6.21,,,0
RC,637,"Azithromycin Dihydrate: 50 Blister Pack In 1 Box (50268-074-15)  / 1 Tablet, Film Coated In 1 Blister Pack (50268-074-11)",9.12,9.12,,,0
RC,637,"Azithromycin: 100 Blister Pack In 1 Carton (0904-7350-61)  / 1 Tablet, Film Coated In 1 Blister Pack",15.18,15.18,,,0
RC,637,"Azithromycin: 50 Blister Pack In 1 Carton (0904-7350-06)  / 1 Tablet, Film Coated In 1 Blister Pack",9.53,9.53,,,0
RC,637,Baclofen: 1 Bottle In 1 Carton (52536-600-11)  / 120 Ml In 1 Bottle,47.89,47.89,,,0
RC,637,"Baclofen: 10 Blister Pack In 1 Box, Unit-Dose (63739-480-10)  / 10 Tablet In 1 Blister Pack",16.16,16.16,,,0
RC,637,Baclofen: 100 Blister Pack In 1 Carton (0904-6476-61)  / 1 Tablet In 1 Blister Pack,15.11,15.11,,,0
RC,637,Baclofen: 100 Tablet In 1 Bottle (59651-394-01),8.16,8.16,,,0
RC,637,Benzonatate: 100 Blister Pack In 1 Carton (0904-7153-61)  / 1 Capsule In 1 Blister Pack,13.96,13.96,,,0
RC,637,"Benztropine Mesylate: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (60687-368-01)  / 1 TABLET in 1 BLISTER PACK (60687-368-11)",15.19,15.19,,,0
RC,637,Benztropine Mesylate: 100 Blister Pack In 1 Carton (0904-7289-61)  / 1 Tablet In 1 Blister Pack,13.85,13.85,,,0
RC,637,Betamethasone Dipropionate: 1 Tube In 1 Carton (45802-376-35)  / 15 G In 1 Tube,24.59,24.59,,,0
RC,637,Betamethasone Valerate: 15 G In 1 Tube (0168-0033-15),57.72,57.72,,,0
RC,637,"Bisacodyl: 10 Blister Pack In 1 Box (0904-6407-61)  / 10 Tablet, Delayed Release In 1 Blister Pack",0.61,0.61,,,0
RC,637,Bisacodyl: 12 Blister Pack In 1 Carton (0574-7050-12)  / 1 Suppository In 1 Blister Pack,1.33,1.33,,,0
RC,637,Brimonidine Tartrate: 1 Bottle In 1 Carton (70069-231-01)  / 5 Ml In 1 Bottle,33.98,33.98,,,0
RC,637,"Briviact: 1 Bottle In 1 Carton (50474-370-66)  / 60 Tablet, Film Coated In 1 Bottle",163.52,163.52,,,0
RC,637,"Briviact: 1 Bottle In 1 Carton (50474-470-66)  / 60 Tablet, Film Coated In 1 Bottle",165.52,165.52,,,0
RC,637,Briviact: 1 Bottle In 1 Carton (50474-870-15)  / 300 Ml In 1 Bottle,49.09,49.09,,,0
RC,637,"Briviact: 100 Blister Pack In 1 Carton (50474-770-09)  / 1 Tablet, Film Coated In 1 Blister Pack",171.62,171.62,,,0
RC,637,Buspirone Hydrochloride: 100 Blister Pack In 1 Carton (0904-7122-61)  / 1 Tablet In 1 Blister Pack,5.62,5.62,,,0
RC,637,"Calcitriol: 1 Bottle, Glass In 1 Carton (0054-3120-41)  / 15 Ml In 1 Bottle, Glass",73.11,73.11,,,0
RC,637,"Calcitriol: 1 Bottle, Glass In 1 Carton (64980-447-15)  / 15 Ml In 1 Bottle, Glass",164.19,164.19,,,0
RC,637,"Calcitriol: 100 Blister Pack In 1 Box, Unit-Dose (60687-345-01)  / 1 Capsule In 1 Blister Pack (60687-345-11)",16.36,16.36,,,0
RC,637,Calcitriol: 100 Capsule In 1 Container (64380-724-06),6.75,6.75,,,0
RC,637,"Calcitriol: 30 Capsule In 1 Bottle, Plastic (0054-0007-13)",18.23,18.23,,,0
RC,637,Calcium Carbonate: 12 Bottle In 1 Case (0121-0766-16)  / 473 Ml In 1 Bottle,11.66,11.66,,,0
RC,637,"Calcium Carbonate: 4 Tray In 1 Case (0121-4766-05)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose",16.3,16.3,,,0
RC,637,Calprotect: 113 G In 1 Tube (69618-067-82),36.14,36.14,,,0
RC,637,Capsaicin External Analgesic: 1 Tube In 1 Carton (50268-195-60)  / 60 G In 1 Tube,27.25,27.25,,,0
RC,637,Capsaicin: 1 Tube In 1 Carton (0536-2525-25)  / 60 G In 1 Tube,40.91,40.91,,,0
RC,637,Captopril: 100 Blister Pack In 1 Carton (0904-7106-61)  / 1 Tablet In 1 Blister Pack,14.48,14.48,,,0
RC,637,"Carnitor Sf: 24 Bottle, Plastic In 1 Case (54482-148-01)  / 118 Ml In 1 Bottle, Plastic",25.92,25.92,,,0
RC,637,Carospir: 473 Ml In 1 Bottle (46287-020-01),41.53,41.53,,,0
RC,637,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7305-61)  / 1 Tablet, Film Coated In 1 Blister Pack",6.69,6.69,,,0
RC,637,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7308-61)  / 1 Tablet, Film Coated In 1 Blister Pack",11.84,11.84,,,0
RC,637,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68382-095-01)",0.35,0.35,,,0
RC,637,Cefdinir: 1 Bottle In 1 Carton (65862-219-60)  / 60 Ml In 1 Bottle,20.95,20.95,,,0
RC,637,Cefdinir: 100 Ml In 1 Bottle (68180-723-05),18.05,18.05,,,0
RC,637,Cefdinir: 60 Ml In 1 Bottle (67877-548-98),14.9,14.9,,,0
RC,637,Celecoxib: 100 Blister Pack In 1 Carton (0904-6502-61)  / 1 Capsule In 1 Blister Pack,17.54,17.54,,,0
RC,637,Cephalexin: 100 Capsule In 1 Bottle (65862-019-01),12.95,12.95,,,0
RC,637,Cephalexin: 100 Capsule In 1 Bottle (67877-220-01),12.66,12.66,,,0
RC,637,Cephalexin: 200 Ml In 1 Bottle (0093-4177-74),17.24,17.24,,,0
RC,637,Cephalexin: 50 Blister Pack In 1 Carton (0904-7337-06)  / 1 Capsule In 1 Blister Pack,13.01,13.01,,,0
RC,637,Cetirizine Hydrochloride: 100 Tablet In 1 Bottle (16571-401-10),7.37,7.37,,,0
RC,637,"Cetirizine: 100 Blister Pack In 1 Carton (0904-6717-61)  / 1 Tablet, Film Coated In 1 Blister Pack",12.31,12.31,,,0
RC,637,"Childrens Ibuprofen Oral Suspension: 100 Cup, Unit-Dose In 1 Case (63739-798-10)  / 5 Ml In 1 Cup, Unit-Dose (63739-798-01)",12.07,12.07,,,0
RC,637,"Childrens Ibuprofen Oral Suspension: 5 Ml In 1 Cup, Unit-Dose (63739-798-01)",9.08,9.08,,,0
RC,637,Childrens Loratadine Oral: 1 Bottle In 1 Carton (0904-6767-20)  / 120 Ml In 1 Bottle,12.9,12.9,,,0
RC,637,"Childrens Mapap: 1 Bottle, Plastic In 1 Carton (0904-5791-46)  / 30 Tablet, Chewable In 1 Bottle, Plastic",2.64,2.64,,,0
RC,637,"Chlorhexidine Gluconate: 4 Tray In 1 Case (0121-0893-40)  / 10 Cup, Unit-Dose In 1 Tray / 15 Ml In 1 Cup, Unit-Dose (0121-0893-15)",17.71,17.71,,,0
RC,637,Cholestyramine: 60 Packet In 1 Carton (49884-465-65)  / 9 G In 1 Packet (49884-465-64),53.85,53.85,,,0
RC,637,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (64380-883-04)",8.76,8.76,,,0
RC,637,"Cipro: 1 Kit In 1 Kit (50419-773-01)  *  100 Ml In 1 Bottle, Glass *  100 Ml In 1 Bottle, Glass",12.55,12.55,,,0
RC,637,"Ciprofloxacin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (43598-326-75)  / 7.5 Ml In 1 Bottle, Dropper",601.56,601.56,,,0
RC,637,"Ciprofloxacin: 100 Blister Pack In 1 Carton (0904-7083-61)  / 1 Tablet, Film Coated In 1 Blister Pack",9.28,9.28,,,0
RC,637,"Ciprofloxacin: 100 Blister Pack In 1 Carton (0904-7243-61)  / 1 Tablet, Film Coated In 1 Blister Pack",11.85,11.85,,,0
RC,637,Ciprofloxacin: 100 Tablet In 1 Bottle (43547-688-10),9.66,9.66,,,0
RC,637,"Ciprofloxacin: 100 Tablet, Film Coated In 1 Bottle, Plastic (62135-308-01)",30.72,30.72,,,0
RC,637,"Ciprofloxacin: 50 Tablet, Film Coated In 1 Bottle (59651-873-50)",12.72,12.72,,,0
RC,637,"Citalopram: 100 Blister Pack In 1 Carton (0904-6084-61)  / 1 Tablet, Film Coated In 1 Blister Pack",12.44,12.44,,,0
RC,637,"Citalopram: 100 Blister Pack In 1 Carton (0904-6085-61)  / 1 Tablet, Film Coated In 1 Blister Pack",11.87,11.87,,,0
RC,637,"Clarithromycin: 60 Tablet, Film Coated In 1 Bottle (65862-225-60)",10.37,10.37,,,0
RC,637,Clindamycin Hydrochloride: 100 Blister Pack In 1 Carton (0904-5959-61)  / 1 Capsule In 1 Blister Pack,5.68,5.68,,,0
RC,637,"Clindamycin Palmitate Hydrochloride (Pediatric): 1 Bottle, Plastic In 1 Carton (16714-483-02)  / 100 Ml In 1 Bottle, Plastic",2.08,2.08,,,0
RC,637,Clobazam: 1 Bottle In 1 Carton (59651-401-12)  / 120 Ml In 1 Bottle,5.41,5.41,,,0
RC,637,Clobazam: 1 Bottle In 1 Carton (67877-658-61)  / 120 Ml In 1 Bottle,19.17,19.17,,,0
RC,637,"Clobazam: 1 Bottle, Glass In 1 Carton (16714-087-01)  / 120 Ml In 1 Bottle, Glass",25.8,25.8,,,0
RC,637,Clobazam: 100 Tablet In 1 Bottle (69238-1305-1),8.61,8.61,,,0
RC,637,Clobetasol Propionate: 1 Tube In 1 Carton (42291-076-15)  / 15 G In 1 Tube,19.2,19.2,,,0
RC,637,"Clonazepam: 10 BLISTER PACK in 1 CARTON (0555-0097-96)  / 6 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACK",12.76,12.76,,,0
RC,637,Clonazepam: 100 Blister Pack In 1 Carton (0904-7728-61)  / 1 Tablet In 1 Blister Pack,13.37,13.37,,,0
RC,637,"Clonazepam: 60 Blister Pack In 1 Carton (0093-9291-67)  / 1 Tablet, Orally Disintegrating In 1 Blister Pack",13.36,13.36,,,0
RC,637,"Clonazepam: 60 Blister Pack In 1 Carton (62332-364-06)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack",12.58,12.58,,,0
RC,637,"Clonazepam: 60 Blister Pack In 1 Carton (62332-365-06)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack",9.91,9.91,,,0
RC,637,"Clonazepam: 60 Blister Pack In 1 Carton (62332-366-06)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack",12.29,12.29,,,0
RC,637,"Clonazepam: 60 Blister Pack In 1 Carton (62332-367-06)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack",14.75,14.75,,,0
RC,637,"Clonazepam: 60 Tablet, Orally Disintegrating In 1 Blister Pack (49884-306-02)",13.29,13.29,,,0
RC,637,"Clonidine Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-113-01)  / 1 Tablet In 1 Blister Pack (60687-113-11)",9.2,9.2,,,0
RC,637,"Clonidine Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-124-01)  / 1 Tablet In 1 Blister Pack (60687-124-11)",13.18,13.18,,,0
RC,637,Clonidine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7442-61)  / 1 Tablet In 1 Blister Pack,10.57,10.57,,,0
RC,637,Clonidine Hydrochloride: 100 Tablet In 1 Bottle (0228-2127-10),8.79,8.79,,,0
RC,637,Clonidine Hydrochloride: 100 Tablet In 1 Bottle (0228-2128-10),13.08,13.08,,,0
RC,637,Clonidine Hydrochloride: 100 Tablet In 1 Bottle (62332-054-31),12.33,12.33,,,0
RC,637,"Clonidine Hydrochloride: 60 Tablet, Extended Release In 1 Bottle (27241-108-06)",13.8,13.8,,,0
RC,637,"Clonidine Transdermal System Usp, 0.1 Mg/Day: 4 Pouch In 1 Carton (52817-610-04)  / 1 Patch In 1 Pouch / 1 D In 1 Patch",66.6,66.6,,,0
RC,637,"Clonidine Transdermal System Usp, 0.2 Mg/Day: 4 Pouch In 1 Carton (52817-611-04)  / 1 Patch In 1 Pouch / 1 D In 1 Patch",101.81,101.81,,,0
RC,637,"Clonidine Transdermal System Usp, 0.3 Mg/Day: 4 Pouch In 1 Carton (52817-612-04)  / 1 Patch In 1 Pouch / 1 D In 1 Patch",132.65,132.65,,,0
RC,637,"Clonidine: 60 Tablet, Extended Release In 1 Bottle (50742-247-60)",14.41,14.41,,,0
RC,637,Clopidogrel: 10 Tablet In 1 Blister Pack (16714-052-10),12.27,12.27,,,0
RC,637,"Clopidogrel: 100 Blister Pack In 1 Carton (0904-6294-61)  / 1 Tablet, Film Coated In 1 Blister Pack",11.57,11.57,,,0
RC,637,"Colchicine: 30 Blister Pack In 1 Carton (0904-7120-04)  / 1 Tablet, Film Coated In 1 Blister Pack",27.19,27.19,,,0
RC,637,"Creon: 1 Bottle In 1 Carton (0032-1206-01)  / 100 Capsule, Delayed Release Pellets In 1 Bottle",25.81,25.81,,,0
RC,637,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-0046-70)",26.71,26.71,,,0
RC,637,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-0047-70)",33.55,33.55,,,0
RC,637,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-2636-01)",62.71,62.71,,,0
RC,637,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-3016-13)",99.71,99.71,,,0
RC,637,Critic Aid Clear Af: 57 G In 1 Tube (11701-067-23),49.71,49.71,,,0
RC,637,Cuvposa: 1 Bottle In 1 Carton (0259-0501-16)  / 473 Ml In 1 Bottle,30.33,30.33,,,0
RC,637,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-3422-01)",11.89,11.89,,,0
RC,637,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (29300-413-01)",10.72,10.72,,,0
RC,637,Cyproheptadine Hydrochloride: 100 Tablet In 1 Bottle (70710-1110-1),13.95,13.95,,,0
RC,637,"Cyproheptadine Hydrochloride: 100 Tablet In 1 Bottle, Plastic (52817-210-10)",11.67,11.67,,,0
RC,637,Cyproheptadine Hydrochloride: 473 Ml In 1 Bottle (64980-504-48),13.52,13.52,,,0
RC,637,Cyproheptadine Hydrochloride: 473 mL in 1 BOTTLE (66689-333-16),15.8,15.8,,,0
RC,637,Cyproheptadine Hydrochloride: 50 Blister Pack In 1 Box (50268-189-15)  / 1 Tablet In 1 Blister Pack (50268-189-11),15.25,15.25,,,0
RC,637,Cystadane: 180 G In 1 Bottle (52276-400-01),63.13,63.13,,,0
RC,637,"Dash Chlorhexidine Gluconate 0.12% Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (69339-138-15)",21.17,21.17,,,0
RC,637,"Deferasirox: 30 Tablet In 1 Bottle, Plastic (70700-271-30)",15.6,15.6,,,0
RC,637,Desitin Maximum Strength: 1 TUBE in 1 CARTON (58232-0721-3)  / 56 g in 1 TUBE,34.67,34.67,,,0
RC,637,"Desmopressin Acetate: 100 TABLET in 1 BOTTLE, PLASTIC (0591-2464-01)",23.99,23.99,,,0
RC,637,Desmopressin Acetate: 100 Tablet In 1 Bottle (23155-489-01),13.36,13.36,,,0
RC,637,Desmopressin Acetate: 100 Tablet In 1 Bottle (60505-0257-1),15.15,15.15,,,0
RC,637,"Dexamethasone Sodium Phosphate: 1 Bottle, Dropper In 1 Carton (24208-720-02)  / 5 Ml In 1 Bottle, Dropper",279.9,279.9,,,0
RC,637,"Dexmethylphenidate Hydrochloride: 100 Capsule, Extended Release In 1 Bottle, Plastic (0115-9918-01)",19.98,19.98,,,0
RC,637,Dexmethylphenidate Hydrochloride: 100 Tablet In 1 Bottle (10702-107-01),7.74,7.74,,,0
RC,637,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (64850-500-01)",6.76,6.76,,,0
RC,637,Dextromethorphan Polistirex Extended Release: 1 Bottle In 1 Carton (45802-433-21)  / 89 Ml In 1 Bottle,13.15,13.15,,,0
RC,637,Diazepam: 100 Tablet In 1 Bottle (0172-3925-60),7.06,7.06,,,0
RC,637,"Diazepam: 2 Syringe, Plastic In 1 Package (68682-652-20)  / 2 Ml In 1 Syringe, Plastic",517.6,517.6,,,0
RC,637,"Diazepam: 3 Tray In 1 Case (0121-0905-94)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0905-05)",16.63,16.63,,,0
RC,637,"Diazepam: 3 Tray In 1 Case (60687-755-86)  / 10 Cup, Unit-Dose In 1 Tray (60687-755-46)  / 5 Ml In 1 Cup, Unit-Dose (60687-755-40)",20.18,20.18,,,0
RC,637,"Diazepam: 500 Ml In 1 Bottle, Plastic (0054-3188-63)",12.59,12.59,,,0
RC,637,Diclofenac Sodium: 1 Tube In 1 Carton (58602-604-07)  / 100 G In 1 Tube,55.32,55.32,,,0
RC,637,Dicyclomine Hydrochloride: 100 Capsule In 1 Bottle (0527-0586-01),10.29,10.29,,,0
RC,637,Dicyclomine Hydrochloride: 473 Ml In 1 Bottle (0054-0622-63),3.12,3.12,,,0
RC,637,Diflucan: 1 Bottle In 1 Carton (0049-3450-19)  / 35 Ml In 1 Bottle,22.63,22.63,,,0
RC,637,Digoxin: 1 Bottle In 1 Carton (69292-605-60)  / 60 Ml In 1 Bottle,14.72,14.72,,,0
RC,637,"Digoxin: 1 Bottle, Glass In 1 Carton (66689-327-02)  / 60 Ml In 1 Bottle, Glass",16.73,16.73,,,0
RC,637,Digoxin: 100 Blister Pack In 1 Carton (0904-5921-61)  / 1 Tablet In 1 Blister Pack,10.8,10.8,,,0
RC,637,"Dilantin Infatabs: 100 Blister Pack In 1 Box, Unit-Dose (0071-0007-40)  / 1 Tablet, Chewable In 1 Blister Pack",20.36,20.36,,,0
RC,637,"Diphenhydramine Hydrochloride And Lidocaine Hydrochloride And Aluminum Hydroxide And Magnesium Hydro: 1 Kit In 1 Container (65628-050-01)  *  236 Ml In 1 Bottle, Plastic *  .2 G In 1 Bottle, Glass *  ",36.12,36.12,,,0
RC,637,Diphenoxylate Hydrochloride And Atropine Sulfate: 100 Tablet In 1 Bottle (0406-1236-01),7.09,7.09,,,0
RC,637,Dipyridamole: 100 Tablet In 1 Bottle (0115-1071-01),4.2,4.2,,,0
RC,637,"Dipyridamole: 100 Tablet, Film Coated In 1 Bottle (64980-133-01)",19.3,19.3,,,0
RC,637,Diuril: 1 Bottle In 1 Carton (65649-311-12)  / 237 Ml In 1 Bottle,14.88,14.88,,,0
RC,637,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-6860-61)  / 1 Tablet, Delayed Release In 1 Blister Pack",12.78,12.78,,,0
RC,637,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle, Plastic (29300-140-01)",8.53,8.53,,,0
RC,637,"Docusate Sodium - Stool Softener Laxative: 10 Blister Pack In 1 Carton (0904-7183-61)  / 10 Capsule, Liquid Filled In 1 Blister Pack",10.03,10.03,,,0
RC,637,"Docusate Sodium: 10 Tray In 1 Case (0904-7279-72)  / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (0904-7279-66)",1.14,1.14,,,0
RC,637,"Domeboro: 12 Powder, For Solution In 1 Box (16864-240-01)",16.03,16.03,,,0
RC,637,"Doxycycline Hyclate: 50 Capsule In 1 Bottle, Plastic (53489-118-02)",6.59,6.59,,,0
RC,637,Doxycycline: 60 Ml In 1 Bottle (68180-657-01),33.59,33.59,,,0
RC,637,"Duloxetine: 100 Blister Pack In 1 Carton (0904-7044-61)  / 1 Capsule, Delayed Release In 1 Blister Pack",17.24,17.24,,,0
RC,637,"Duloxetine: 30 Blister Pack In 1 Carton (0904-7043-04)  / 1 Capsule, Delayed Release In 1 Blister Pack",17.13,17.13,,,0
RC,637,"Duloxetine: 60 Capsule, Delayed Release In 1 Bottle (27241-097-06)",13.78,13.78,,,0
RC,637,"Duloxetine: 90 Capsule, Delayed Release In 1 Bottle (68180-295-09)",7.7,7.7,,,0
RC,637,"Dye Free Childrens Ibuprofen: 10 Cup, Unit-Dose In 1 Case (0121-1022-00)  / 5 Ml In 1 Cup, Unit-Dose",12.99,12.99,,,0
RC,637,"Dye Free Childrens Ibuprofen: 10 Cup, Unit-Dose In 1 Tray (0121-1022-05)  / 5 Ml In 1 Cup, Unit-Dose",9.93,9.93,,,0
RC,637,"Eliquis: 10 Blister Pack In 1 Carton (0003-0893-31)  / 10 Tablet, Film Coated In 1 Blister Pack",16.29,16.29,,,0
RC,637,Enalapril Maleate: 1 Bottle In 1 Carton (69238-1729-7)  / 150 Ml In 1 Bottle,17.32,17.32,,,0
RC,637,Enalapril Maleate: 100 Tablet In 1 Bottle (16714-442-01),12.92,12.92,,,0
RC,637,Enalapril Maleate: 100 Tablet In 1 Bottle (50228-228-01),13.09,13.09,,,0
RC,637,Enalapril Maleate: 100 Tablet In 1 Bottle (50228-229-01),13.09,13.09,,,0
RC,637,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0659-20)",63.77,63.77,,,0
RC,637,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0777-20)",92.56,92.56,,,0
RC,637,Epaned: 150 Ml In 1 Bottle (52652-4001-1),28.03,28.03,,,0
RC,637,"Epidiolex: 1 Bottle, Glass In 1 Carton (70127-100-10)  / 100 Ml In 1 Bottle, Glass (70127-100-01)",386.77,386.77,,,0
RC,637,Epinephrine Chloride Solution: 10 Ml In 1 Box (54288-123-01),399.3,399.3,,,0
RC,637,Eprontia: 473 Ml In 1 Bottle (52652-9001-1),32.38,32.38,,,0
RC,637,Erythromycin Ethylsuccinate: 100 Ml In 1 Bottle (75834-295-01),23.68,23.68,,,0
RC,637,"Erythromycin: 30 Tablet, Coated In 1 Bottle (13668-606-30)",37.19,37.19,,,0
RC,637,Escitalopram Oxalate: 240 Ml In 1 Bottle (65162-705-88),23.86,23.86,,,0
RC,637,"Escitalopram: 100 Blister Pack In 1 Carton (0904-6426-61)  / 1 Tablet, Film Coated In 1 Blister Pack",9.92,9.92,,,0
RC,637,Estradiol: 100 Tablet In 1 Bottle (70954-565-10),6.35,6.35,,,0
RC,637,"Ethosuximide: 1 Bottle, Plastic In 1 Carton (59762-2350-7)  / 474 Ml In 1 Bottle, Plastic",2.17,2.17,,,0
RC,637,"Ethosuximide: 100 Capsule, Liquid Filled In 1 Bottle, Plastic (69452-152-20)",8.95,8.95,,,0
RC,637,Ethosuximide: 473 Ml In 1 Bottle (0121-0670-16),2.25,2.25,,,0
RC,637,Extra Strength Acetaminophen: 100 Tablet In 1 Bottle (57896-204-01),8.37,8.37,,,0
RC,637,"Famotidine: 10 Blister Pack In 1 Box, Unit-Dose (63739-645-10)  / 10 Tablet In 1 Blister Pack",11.83,11.83,,,0
RC,637,"Famotidine: 100 Blister Pack In 1 Carton (0904-7193-61)  / 1 Tablet, Film Coated In 1 Blister Pack",11.31,11.31,,,0
RC,637,"Famotidine: 100 Tablet, Film Coated In 1 Bottle (0172-5728-60)",10.87,10.87,,,0
RC,637,Famotidine: 50 Ml In 1 Bottle (31722-063-31),8.13,8.13,,,0
RC,637,Famotidine: 50 Ml In 1 Bottle (68180-150-01),10.06,10.06,,,0
RC,637,Famotidine: 50 Ml In 1 Bottle (72603-171-01),16.76,16.76,,,0
RC,637,Felbamate: 237 Ml In 1 Bottle (65162-686-88),7.51,7.51,,,0
RC,637,Felbamate: 237 Ml In 1 Bottle (70954-051-10),7.43,7.43,,,0
RC,637,Felbamate: 90 Tablet In 1 Bottle (72578-056-16),13.21,13.21,,,0
RC,637,Feverall Infants: 6 Blister Pack In 1 Carton (51672-2114-2)  / 1 Suppository In 1 Blister Pack (51672-2114-0),1.47,1.47,,,0
RC,637,Feverall Jr. Strength: 6 Blister Pack In 1 Carton (51672-2116-2)  / 1 Suppository In 1 Blister Pack (51672-2116-0),19.0,19.0,,,0
RC,637,"Fintepla: 1 Bottle, Plastic In 1 Carton (43376-322-30)  / 30 Ml In 1 Bottle, Plastic",1030.84,1030.84,,,0
RC,637,Fleet: 12 SUPPOSITORY in 1 JAR (0132-0079-12),12.27,12.27,,,0
RC,637,"Fleet: 133 Ml In 1 Bottle, With Applicator (0132-0201-40)",18.29,18.29,,,0
RC,637,Fluconazole: 12 Blister Pack In 1 Carton (57237-005-11)  / 1 Tablet In 1 Blister Pack,18.02,18.02,,,0
RC,637,"Fluorescein Sodium And Benoxinate Hydrochloride: 1 Bottle, Glass In 1 Carton (68682-732-05)  / 5 Ml In 1 Bottle, Glass",204.17,204.17,,,0
RC,637,"Fluorescein Sodium And Benoxinate Hydrochloride: 1 Bottle, Glass In 1 Carton (82260-734-05)  / 5 Ml In 1 Bottle, Glass",151.59,151.59,,,0
RC,637,"Fluoxetine Hydrochloride: 120 Ml In 1 Bottle, Plastic (70954-600-10)",18.23,18.23,,,0
RC,637,Fluoxetine: 100 Blister Pack In 1 Carton (0904-5784-61)  / 1 Capsule In 1 Blister Pack,12.12,12.12,,,0
RC,637,Fluoxetine: 100 Blister Pack In 1 Carton (0904-5785-61)  / 1 Capsule In 1 Blister Pack,8.2,8.2,,,0
RC,637,Fluoxetine: 100 Blister Pack In 1 Carton (0904-7346-61)  / 1 Capsule In 1 Blister Pack,7.92,7.92,,,0
RC,637,Fluoxetine: 100 Capsule In 1 Bottle (16714-720-02),11.78,11.78,,,0
RC,637,Fluoxetine: 100 Capsule In 1 Bottle (50228-113-01),12.31,12.31,,,0
RC,637,"Fluticasone Propionate: 1 Bottle, Glass In 1 Carton (0054-3270-99)  / 120 Spray, Metered In 1 Bottle, Glass",59.43,59.43,,,0
RC,637,Fluvoxamine Maleate: 100 Tablet In 1 Bottle (60505-0165-1),7.82,7.82,,,0
RC,637,"Focalin Xr: 100 Capsule, Extended Release In 1 Bottle (0078-0430-05)",33.98,33.98,,,0
RC,637,Folic Acid: 100 Blister Pack In 1 Carton (0904-7224-61)  / 1 Tablet In 1 Blister Pack,13.0,13.0,,,0
RC,637,Foster And Thrive Anti-Diarrheal: 120 Ml In 1 Bottle (70677-1107-1),0.96,0.96,,,0
RC,637,"Foster And Thrive Childrens Ibuprofen Ib: 1 Bottle In 1 Carton (70677-1145-1)  / 24 Tablet, Chewable In 1 Bottle",0.44,0.44,,,0
RC,637,Foster And Thrive Earwax Removal Drops: 1 Bottle In 1 Box (70677-1154-1)  / 15 Ml In 1 Bottle,19.34,19.34,,,0
RC,637,Furosemide: 10 Blister Pack In 1 Carton (0054-8297-25)  / 10 Tablet In 1 Blister Pack,10.31,10.31,,,0
RC,637,Furosemide: 120 Ml In 1 Bottle (0054-3294-50),9.75,9.75,,,0
RC,637,Furosemide: 60 Ml In 1 Bottle (0054-3294-46),12.66,12.66,,,0
RC,637,Fycompa: 30 Tablet In 1 Bottle (69616-272-30),137.44,137.44,,,0
RC,637,Fycompa: 340 Ml In 1 Bottle (69616-290-38),32.23,32.23,,,0
RC,637,Gabapentin: 10 Blister Pack In 1 Carton (63739-902-10)  / 10 Capsule In 1 Blister Pack,7.82,7.82,,,0
RC,637,"Gabapentin: 100 Blister Pack In 1 Box, Unit-Dose (60687-591-01)  / 1 Capsule In 1 Blister Pack (60687-591-11)",6.51,6.51,,,0
RC,637,Gabapentin: 100 Blister Pack In 1 Carton (0904-6665-61)  / 1 Capsule In 1 Blister Pack,7.7,7.7,,,0
RC,637,Gabapentin: 470 Ml In 1 Bottle (42192-608-16),3.81,3.81,,,0
RC,637,Gabapentin: 473 Ml In 1 Bottle (65162-698-90),4.0,4.0,,,0
RC,637,Genteal Tears Night-Time: 1 Tube In 1 Carton (0065-0518-01)  / 3.5 G In 1 Tube,54.31,54.31,,,0
RC,637,Geri-Lanta Antacid Antigas: 355 Ml In 1 Bottle (57896-629-12),1.03,1.03,,,0
RC,637,Glycopyrrolate: 1 Bottle In 1 Bottle (71656-061-16)  / 473 Ml In 1 Bottle,18.6,18.6,,,0
RC,637,Glycopyrrolate: 100 Tablet In 1 Bottle (23155-606-01),9.79,9.79,,,0
RC,637,Glycopyrrolate: 16 Ml In 1 Bottle (49884-042-33),34.66,34.66,,,0
RC,637,"Griseofulvin: 118 Ml In 1 Bottle, Plastic (0713-0850-04)",5.68,5.68,,,0
RC,637,"Guanfacine Extended-Release: 100 Tablet, Extended Release In 1 Bottle (60505-3927-1)",9.34,9.34,,,0
RC,637,"Guanfacine: 100 Tablet, Extended Release In 1 Bottle (62332-745-31)",7.35,7.35,,,0
RC,637,Guanfacine: 30 Blister Pack In 1 Carton (0904-7140-04)  / 1 Tablet In 1 Blister Pack,17.7,17.7,,,0
RC,637,Haloperidol: 100 Blister Pack In 1 Carton (0904-6782-61)  / 1 Tablet In 1 Blister Pack,15.49,15.49,,,0
RC,637,"Heartburn Relief Original Strength: 1 Bottle In 1 Carton (0904-5529-52)  / 60 Tablet, Film Coated In 1 Bottle",8.89,8.89,,,0
RC,637,"Hydrochlorothiazide: 100 Blister Pack In 1 Box, Unit-Dose (60687-593-01)  / 1 Tablet In 1 Blister Pack (60687-593-11)",12.61,12.61,,,0
RC,637,"Hydrochlorothiazide: 100 Tablet In 1 Bottle, Plastic (43547-397-10)",12.87,12.87,,,0
RC,637,Hydrocortisone: 1 Tube In 1 Carton (0168-0020-31)  / 28.35 G In 1 Tube,30.2,30.2,,,0
RC,637,Hydrocortisone: 1 Tube In 1 Carton (45802-438-03)  / 28 G In 1 Tube,16.1,16.1,,,0
RC,637,Hydrocortisone: 100 Tablet In 1 Bottle (59762-0075-1),12.51,12.51,,,0
RC,637,"Hydrocortisone: 100 Tablet In 1 Bottle, Plastic (64380-971-06)",2.92,2.92,,,0
RC,637,Hydrocortisone: 50 Blister Pack In 1 Box (50268-405-15)  / 1 Tablet In 1 Blister Pack (50268-405-11),16.27,16.27,,,0
RC,637,Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle (0406-3243-01),8.96,8.96,,,0
RC,637,Hydrophor: 100 G In 1 Jar (71399-5101-2),36.47,36.47,,,0
RC,637,"Hydroxychloroquine Sulfate: 100 Blister Pack In 1 Carton (0904-7046-61)  / 1 Tablet, Film Coated In 1 Blister Pack",17.99,17.99,,,0
RC,637,"Hydroxychloroquine Sulfate: 50 Blister Pack In 1 Carton (0904-7046-06)  / 1 Tablet, Film Coated In 1 Blister Pack",15.69,15.69,,,0
RC,637,"Hydroxyzine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-483-10)  / 10 Tablet In 1 Blister Pack",5.81,5.81,,,0
RC,637,"Hydroxyzine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-486-10)  / 10 Tablet In 1 Blister Pack",12.36,12.36,,,0
RC,637,"Hydroxyzine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6617-61)  / 1 Tablet, Film Coated In 1 Blister Pack",11.27,11.27,,,0
RC,637,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (16714-082-10),12.55,12.55,,,0
RC,637,"Hydroxyzine Hydrochloride: 473 Ml In 1 Bottle, Plastic (54838-502-80)",2.87,2.87,,,0
RC,637,Hyoscyamine Sulfate Sl: 100 Tablet In 1 Bottle (42192-339-01),12.81,12.81,,,0
RC,637,Ibuprofen: 1 Bottle In 1 Carton (51672-2130-8)  / 120 Ml In 1 Bottle,1.75,1.75,,,0
RC,637,"Ibuprofen: 10 Blister Pack In 1 Carton (0904-7914-61)  / 10 Tablet, Film Coated In 1 Blister Pack",0.52,0.52,,,0
RC,637,"Ibuprofen: 100 Blister Pack In 1 Box, Unit-Dose (60687-457-01)  / 1 Tablet In 1 Blister Pack (60687-457-11)",12.78,12.78,,,0
RC,637,Ibuprofen: 100 Blister Pack In 1 Carton (0904-5854-61)  / 1 Tablet In 1 Blister Pack,11.96,11.96,,,0
RC,637,Ibuprofen: 100 Tablet In 1 Bottle (65162-465-10),12.44,12.44,,,0
RC,637,Indomethacin: 12 Bottle In 1 Case (31722-542-01)  / 100 Capsule In 1 Bottle,6.63,6.63,,,0
RC,637,"Infants: 1 Bottle, Dropper In 1 Carton (0536-1303-75)  / 30 Ml In 1 Bottle, Dropper",12.37,12.37,,,0
RC,637,"Infants: 120 Syringe In 1 Box, Unit-Dose (17856-1303-1)  / .3 Ml In 1 Syringe",14.92,14.92,,,0
RC,637,"Insta-Char Sorbitol: 120 Ml In 1 Bottle, Plastic (66689-203-04)",116.76,116.76,,,0
RC,637,"Insulin Aspart: 1 Vial, Glass In 1 Carton (73070-100-11)  / 10 Ml In 1 Vial, Glass",1.26,1.26,,,0
RC,637,"Isentress: 60 Tablet, Film Coated In 1 Bottle (0006-0227-61)",230.46,230.46,,,0
RC,637,Isradipine: 100 Capsule In 1 Bottle (16252-540-01),16.51,16.51,,,0
RC,637,Isradipine: 100 Capsule In 1 Bottle (64850-911-01),21.44,21.44,,,0
RC,637,Jasmiel: 3 Pouch In 1 Carton (50102-240-23)  / 1 Blister Pack In 1 Pouch (50102-240-21)  / 1 Kit In 1 Blister Pack,6.95,6.95,,,0
RC,637,"Junior Strength Advil: 1 Bottle In 1 Carton (0573-0179-20)  / 24 Tablet, Chewable In 1 Bottle",0.47,0.47,,,0
RC,637,"K-Phos No. 2: 100 Tablet, Coated In 1 Bottle (0486-1134-01)",18.63,18.63,,,0
RC,637,"Labetalol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7452-61)  / 1 Tablet, Film Coated In 1 Blister Pack",13.83,13.83,,,0
RC,637,Lacosamide Oral Solution: 200 Ml In 1 Bottle (67877-732-95),16.77,16.77,,,0
RC,637,"Lacosamide: 1 Tray In 1 Case (0121-0992-95)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0992-05)",92.83,92.83,,,0
RC,637,"Lacosamide: 200 Ml In 1 Bottle, Plastic (72603-305-01)",16.28,16.28,,,0
RC,637,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7244-68)  / 1 Tablet, Film Coated In 1 Blister Pack",12.91,12.91,,,0
RC,637,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7245-68)  / 1 Tablet, Film Coated In 1 Blister Pack",16.65,16.65,,,0
RC,637,Lacosamide: 60 Tablet In 1 Bottle (16714-548-01),12.61,12.61,,,0
RC,637,Lactulose: 10 TRAY in 1 CASE (50383-779-33)  / 10 CUP in 1 TRAY / 30 mL in 1 CUP,3.82,3.82,,,0
RC,637,"Lactulose: 15 Ml In 1 Cup, Unit-Dose (0116-4005-15)",14.37,14.37,,,0
RC,637,Lamotrigine: 100 Blister Pack In 1 Carton (0904-7007-61)  / 1 Tablet In 1 Blister Pack,6.44,6.44,,,0
RC,637,Lamotrigine: 100 Tablet In 1 Bottle (72888-026-01),2.07,2.07,,,0
RC,637,"Lamotrigine: 100 Tablet, Chewable In 1 Bottle (65862-362-01)",4.9,4.9,,,0
RC,637,"Lamotrigine: 100 Tablet, Chewable In 1 Bottle (68462-229-01)",4.65,4.65,,,0
RC,637,"Lansoprazole: 1 Kit In 1 Container (65628-080-10)  *  300 Ml In 1 Bottle, Plastic *  .9 G In 1 Bottle, Plastic",25.79,25.79,,,0
RC,637,"Lansoprazole: 30 Capsule, Delayed Release In 1 Bottle (70700-263-30)",11.71,11.71,,,0
RC,637,"Lansoprazole: 90 Capsule, Delayed Release In 1 Bottle (16571-698-09)",12.06,12.06,,,0
RC,637,"Lansoprazole: 90 Capsule, Delayed Release In 1 Bottle (70756-807-90)",11.77,11.77,,,0
RC,637,"Lantus: 1 Vial, Glass In 1 Carton (0088-2220-33)  / 10 Ml In 1 Vial, Glass",14.72,14.72,,,0
RC,637,Leucovorin Calcium: 100 Tablet In 1 Bottle (0555-0484-02),8.83,8.83,,,0
RC,637,"Levetiracetam: 10 Blister Pack In 1 Box, Unit-Dose (63739-411-10)  / 10 Tablet, Film Coated In 1 Blister Pack",1.23,1.23,,,0
RC,637,"Levetiracetam: 10 Blister Pack In 1 Box, Unit-Dose (63739-795-10)  / 10 Tablet, Film Coated In 1 Blister Pack",12.83,12.83,,,0
RC,637,"Levetiracetam: 100 Blister Pack In 1 Carton (0904-7124-61)  / 1 Tablet, Film Coated In 1 Blister Pack",5.3,5.3,,,0
RC,637,"Levetiracetam: 4 Tray In 1 Case (63739-158-32)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (63739-158-70)",26.79,26.79,,,0
RC,637,Levetiracetam: 473 Ml In 1 Bottle (0121-0799-16),13.0,13.0,,,0
RC,637,Levetiracetam: 473 Ml In 1 Bottle (31722-574-47),12.97,12.97,,,0
RC,637,"Levetiracetam: 473 Ml In 1 Bottle, Plastic (16714-358-01)",12.23,12.23,,,0
RC,637,Levocarnitine: 118 Ml In 1 Bottle (70954-140-10),14.83,14.83,,,0
RC,637,Levocarnitine: 118 mL in 1 BOTTLE (50383-171-04),19.42,19.42,,,0
RC,637,Levocarnitine: 90 Blister Pack In 1 Carton (70954-492-10)  / 10 Tablet In 1 Blister Pack,10.27,10.27,,,0
RC,637,"Levofloxacin: 1 Bottle, Plastic In 1 Carton (0527-1948-68)  / 200 Ml In 1 Bottle, Plastic",150.9,150.9,,,0
RC,637,"Levofloxacin: 100 Blister Pack In 1 Carton (0904-6351-61)  / 1 Tablet, Film Coated In 1 Blister Pack",6.12,6.12,,,0
RC,637,Levofloxacin: 200 Ml In 1 Bottle (70954-852-20),86.12,86.12,,,0
RC,637,"Levothyroxine Sodium: 100 Blister Pack In 1 Box, Unit-Dose (60687-453-01)  / 1 Tablet In 1 Blister Pack (60687-453-11)",14.41,14.41,,,0
RC,637,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6950-61)  / 1 Tablet In 1 Blister Pack,8.38,8.38,,,0
RC,637,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6951-61)  / 1 Tablet In 1 Blister Pack,14.32,14.32,,,0
RC,637,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6953-61)  / 1 Tablet In 1 Blister Pack,13.9,13.9,,,0
RC,637,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6954-61)  / 1 Tablet In 1 Blister Pack,15.12,15.12,,,0
RC,637,Lidocaine 5%: 30 Pouch In 1 Package (82347-0505-5)  / 14 G In 1 Pouch (82347-0505-4),26.33,26.33,,,0
RC,637,Lidocaine Hydrochloride: 100 Ml In 1 Bottle (72888-125-26),13.05,13.05,,,0
RC,637,Lidocaine Viscous: 1 Bottle In 1 Carton (0054-3500-49)  / 100 Ml In 1 Bottle,12.7,12.7,,,0
RC,637,"Lidocaine Viscous: 4 Tray In 1 Case (0121-0903-40)  / 10 Cup, Unit-Dose In 1 Tray / 15 Ml In 1 Cup, Unit-Dose (0121-0903-15)",21.92,21.92,,,0
RC,637,"Linezolid: 1 Bottle, Glass In 1 Carton (60687-754-05)  / 150 Ml In 1 Bottle, Glass",96.42,96.42,,,0
RC,637,"Linzess: 1 Bottle In 1 Carton (0456-1203-30)  / 30 Capsule, Gelatin Coated In 1 Bottle",130.86,130.86,,,0
RC,637,Lisdexamfetamine Dimesylate: 100 Capsule In 1 Bottle (47781-562-01),59.15,59.15,,,0
RC,637,Lisinopril: 100 Blister Pack In 1 Carton (0904-6797-61)  / 1 Tablet In 1 Blister Pack,12.24,12.24,,,0
RC,637,Lisinopril: 100 Blister Pack In 1 Carton (0904-6798-61)  / 1 Tablet In 1 Blister Pack,4.49,4.49,,,0
RC,637,"Lithium Carbonate: 10 Capsule, Gelatin Coated In 1 Blister Pack (0054-8526-25)",12.96,12.96,,,0
RC,637,"Lithium Carbonate: 10 Capsule, Gelatin Coated In 1 Blister Pack (0054-8527-25)",10.17,10.17,,,0
RC,637,"Lithium Carbonate: 100 Tablet, Extended Release In 1 Bottle (64980-205-01)",13.16,13.16,,,0
RC,637,Loperamide Hydrochloride: 4 Blister Pack In 1 Carton (58602-701-76)  / 6 Tablet In 1 Blister Pack,8.38,8.38,,,0
RC,637,Loratadine: 1 Blister Pack In 1 Carton (58602-702-83)  / 10 Tablet In 1 Blister Pack,12.74,12.74,,,0
RC,637,Loratadine: 10 Blister Pack In 1 Carton (58602-702-04)  / 10 Tablet In 1 Blister Pack,12.58,12.58,,,0
RC,637,Loratadine: 100 Blister Pack In 1 Carton (0904-6852-61)  / 1 Tablet In 1 Blister Pack,12.63,12.63,,,0
RC,637,Lorazepam: 1 Bottle In 1 Carton (0054-3532-44)  / 30 Ml In 1 Bottle,14.43,14.43,,,0
RC,637,Lorazepam: 100 Blister Pack In 1 Carton (0904-6008-61)  / 1 Tablet In 1 Blister Pack,12.16,12.16,,,0
RC,637,Lorazepam: 100 Tablet In 1 Bottle (69315-904-01),11.02,11.02,,,0
RC,637,Lorazepam: 100 Tablet In 1 Bottle (69315-905-01),2.3,2.3,,,0
RC,637,"Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3426-01)",5.08,5.08,,,0
RC,637,"Low Dose Aspirin: 120 Tablet, Coated In 1 Bottle (71399-1014-2)",1.02,1.02,,,0
RC,637,"Low Dose Aspirin: 30 Blister Pack In 1 Box (63739-212-02)  / 10 Tablet, Coated In 1 Blister Pack",1.04,1.04,,,0
RC,637,"Lurasidone Hydrochloride: 30 Blister Pack In 1 Carton (0904-7355-04)  / 1 Tablet, Film Coated In 1 Blister Pack",16.89,16.89,,,0
RC,637,"Mag-Al Plus: 10 Tray In 1 Case (0121-1761-30)  / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",2.41,2.41,,,0
RC,637,"Magnesium Citrate: 296 Ml In 1 Bottle, Plastic (70677-1111-1)",17.5,17.5,,,0
RC,637,"Major Regular Strength Assorted Flavors: 150 Tablet, Chewable In 1 Bottle, Plastic (0904-6412-92)",4.62,4.62,,,0
RC,637,Meclizine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7376-61)  / 1 Tablet In 1 Blister Pack,13.7,13.7,,,0
RC,637,Medroxyprogesterone Acetate: 100 Tablet In 1 Bottle (0555-0779-02),12.42,12.42,,,0
RC,637,"Memantine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6505-61)  / 1 Tablet, Film Coated In 1 Blister Pack",13.65,13.65,,,0
RC,637,"Memantine Hydrochloride: 50 Blister Pack In 1 Carton (0904-6505-06)  / 1 Tablet, Film Coated In 1 Blister Pack",7.95,7.95,,,0
RC,637,"Mesalamine: 120 Capsule, Extended Release In 1 Bottle (59651-397-08)",9.88,9.88,,,0
RC,637,"Metformin Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-155-01)  / 1 Tablet, Film Coated In 1 Blister Pack (60687-155-11)",12.85,12.85,,,0
RC,637,Metformin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7162-61)  / 1 Tablet In 1 Blister Pack,10.56,10.56,,,0
RC,637,Methadone Hydrochloride: 1 Blister Pack In 1 Carton (0054-0709-20)  / 100 Tablet In 1 Blister Pack,12.81,12.81,,,0
RC,637,Methadone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-5771-23),13.38,13.38,,,0
RC,637,Methadone Hydrochloride: 500 Ml In 1 Bottle (0054-3555-63),13.36,13.36,,,0
RC,637,"Methocarbamol: 10 Blister Pack In 1 Box, Unit-Dose (63739-991-10)  / 10 Tablet, Coated In 1 Blister Pack",13.1,13.1,,,0
RC,637,"Methylphenidate Hydrochloride Extended-Release: 100 Tablet, Extended Release In 1 Bottle (0406-0127-01)",31.4,31.4,,,0
RC,637,"Methylphenidate Hydrochloride: 100 Tablet, Extended Release In 1 Bottle (13811-706-10)",8.72,8.72,,,0
RC,637,"Methylphenidate Hydrochloride: 100 Tablet, Extended Release In 1 Bottle (62175-310-37)",28.62,28.62,,,0
RC,637,"Metoclopramide: 10 Tray In 1 Case (0121-1576-10)  / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose",15.17,15.17,,,0
RC,637,Metoclopramide: 473 Ml In 1 Bottle (0121-0576-16),13.64,13.64,,,0
RC,637,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6322-61)  / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",8.82,8.82,,,0
RC,637,"Metoprolol Tartrate: 100 Tablet, Film Coated In 1 Bottle (52817-362-10)",11.79,11.79,,,0
RC,637,Metronidazole: 100 BLISTER PACK in 1 CARTON (0904-1453-61)  / 1 TABLET in 1 BLISTER PACK,7.9,7.9,,,0
RC,637,"Metronidazole: 100 Blister Pack In 1 Box, Unit-Dose (60687-550-01)  / 1 Tablet In 1 Blister Pack (60687-550-11)",13.47,13.47,,,0
RC,637,Metronidazole: 100 Blister Pack In 1 Carton (0904-7156-61)  / 1 Tablet In 1 Blister Pack,7.74,7.74,,,0
RC,637,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (50742-239-01),13.38,13.38,,,0
RC,637,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (50742-240-01),15.56,15.56,,,0
RC,637,Miconazole Nitrate: 1 Tube In 1 Carton (51672-2001-1)  / 15 G In 1 Tube,20.72,20.72,,,0
RC,637,"Midazolam Hydrochloride: 3 Tray In 1 Case (60687-576-86)  / 10 Cup, Unit-Dose In 1 Tray (60687-576-46)  / 5 Ml In 1 Cup, Unit-Dose (60687-576-40)",38.11,38.11,,,0
RC,637,"Midodrine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-145-10)  / 10 Tablet In 1 Blister Pack",13.75,13.75,,,0
RC,637,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (0245-0212-01)  / 1 Tablet In 1 Blister Pack (0245-0212-89),14.38,14.38,,,0
RC,637,"Milk Of Magnesia: 10 Tray In 1 Case (0121-0431-30)  / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",13.91,13.91,,,0
RC,637,"Mineral Oil: 30 Ml In 1 Cup, Unit-Dose (48433-202-30)",18.28,18.28,,,0
RC,637,"Mirtazapine: 100 Blister Pack In 1 Carton (0904-6519-61)  / 1 Tablet, Film Coated In 1 Blister Pack",12.82,12.82,,,0
RC,637,"Mirtazapine: 30 Tablet, Film Coated In 1 Bottle (60505-0247-1)",13.49,13.49,,,0
RC,637,Mometasone Furoate: 1 Tube In 1 Carton (0713-0634-15)  / 15 G In 1 Tube,78.11,78.11,,,0
RC,637,Mometasone Furoate: 1 Tube In 1 Carton (0713-0635-15)  / 15 G In 1 Tube,35.79,35.79,,,0
RC,637,"Montelukast Sodium: 100 Blister Pack In 1 Carton (0904-6808-61)  / 1 Tablet, Film Coated In 1 Blister Pack",13.29,13.29,,,0
RC,637,"Montelukast Sodium: 90 Tablet, Chewable In 1 Bottle (31722-727-90)",11.99,11.99,,,0
RC,637,"Montelukast Sodium: 90 Tablet, Chewable In 1 Bottle (31722-728-90)",13.33,13.33,,,0
RC,637,Morphine Sulfate: 100 Blister Pack In 1 Carton (0054-0235-24)  / 1 Tablet In 1 Blister Pack,14.9,14.9,,,0
RC,637,Mupirocin: 1 Tube In 1 Carton (21922-029-04)  / 15 G In 1 Tube,160.71,160.71,,,0
RC,637,Mupirocin: 15 G In 1 Tube (68462-564-17),883.32,883.32,,,0
RC,637,"Mylicon: 120 Syringe In 1 Box, Unit-Dose (17856-0799-1)  / .3 Ml In 1 Syringe",15.87,15.87,,,0
RC,637,Myrbetriq: 1 Bottle In 1 Carton (0469-5020-99)  / 100 Ml In 1 Bottle,132.0,132.0,,,0
RC,637,NDC Description Not Available,12.735,12.735,,,0
RC,637,Naproxen Oral Suspension: 500 Ml In 1 Bottle (70954-151-10),52.38,52.38,,,0
RC,637,Nitazoxanide: 6 Tablet In 1 Bottle (70954-934-10),687.15,687.15,,,0
RC,637,Nitro-Bid: 30 G In 1 Tube (0281-0326-30),216.96,216.96,,,0
RC,637,Nitrofurantoin (Monohydrate/Macrocrystals): 100 Capsule In 1 Bottle (70756-404-11),13.75,13.75,,,0
RC,637,"Nitrofurantoin: 1 Bottle, Glass In 1 Carton (70377-118-31)  / 230 Ml In 1 Bottle, Glass",206.32,206.32,,,0
RC,637,Nitrofurantoin: 230 Ml In 1 Bottle (70954-496-10),72.29,72.29,,,0
RC,637,Nitrostat: 4 Bottle In 1 Carton (0071-0418-13)  / 25 Tablet In 1 Bottle,269.27,269.27,,,0
RC,637,"Norditropin: 1 Syringe, Plastic In 1 Carton (0169-7704-21)  / 1.5 Ml In 1 Syringe, Plastic",442.97,442.97,,,0
RC,637,Norethindrone Acetate: 50 Tablet In 1 Bottle (68462-304-50),12.37,12.37,,,0
RC,637,"Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle, Plastic (75907-069-01)",12.13,12.13,,,0
RC,637,"Novolog: 1 Vial, Glass In 1 Carton (0169-7501-11)  / 10 Ml In 1 Vial, Glass",1.12,1.12,,,0
RC,637,Nulytely: 4 L In 1 Package (52268-302-01),130.89,130.89,,,0
RC,637,Nylia 1/35: 3 Pouch In 1 Carton (65862-898-88)  / 1 Blister Pack In 1 Pouch (65862-898-28)  / 1 Kit In 1 Blister Pack,1.36,1.36,,,0
RC,637,Nystatin: 1 Tube In 1 Carton (45802-048-11)  / 30 G In 1 Tube,142.56,142.56,,,0
RC,637,Nystatin: 1 Tube In 1 Carton (45802-048-35)  / 15 G In 1 Tube,51.45,51.45,,,0
RC,637,Nystatin: 1 Tube In 1 Carton (45802-059-35)  / 15 G In 1 Tube,85.92,85.92,,,0
RC,637,"Nystatin: 15 G In 1 Bottle, Plastic (16714-769-01)",113.25,113.25,,,0
RC,637,Nystatin: 15 g in 1 TUBE (0168-0007-15),92.65,92.65,,,0
RC,637,Nystatin: 30 G In 1 Tube (72578-089-04),86.86,86.86,,,0
RC,637,Nystatin: 473 Ml In 1 Bottle (0121-1045-16),16.47,16.47,,,0
RC,637,"Nystatin: 5 Ml In 1 Cup, Unit-Dose (63739-160-70)",15.85,15.85,,,0
RC,637,"Nystatin: 5 Tray In 1 Case (0121-0868-50)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0868-05)",16.39,16.39,,,0
RC,637,"Nystop: 15 G In 1 Bottle, Plastic (0574-2008-15)",40.81,40.81,,,0
RC,637,"Oil: 473 Ml In 1 Bottle, Plastic (0869-0831-43)",13.19,13.19,,,0
RC,637,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3110-0)  / 10 Tablet, Film Coated In 1 Blister Pack",7.85,7.85,,,0
RC,637,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3275-0)  / 10 Tablet, Orally Disintegrating In 1 Blister Pack",17.63,17.63,,,0
RC,637,"Olanzapine: 30 Tablet, Film Coated In 1 Bottle (43598-164-30)",8.49,8.49,,,0
RC,637,"Olopatadine Hydrochloride: 1 BOTTLE, DROPPER in 1 CARTON (0378-8023-35)  / 5 mL in 1 BOTTLE, DROPPER",251.69,251.69,,,0
RC,637,"Olopatadine Hydrochloride: 1 Bottle, Plastic In 1 Carton (58602-006-40)  / 5 Ml In 1 Bottle, Plastic",54.11,54.11,,,0
RC,637,"Olopatadine: 1 Bottle, Plastic In 1 Carton (70069-017-01)  / 5 Ml In 1 Bottle, Plastic",43.0,43.0,,,0
RC,637,"Oscimin: 100 Tablet, Orally Disintegrating In 1 Bottle (68047-253-01)",13.71,13.71,,,0
RC,637,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (0527-4591-13)  / 10 Capsule In 1 Blister Pack,11.26,11.26,,,0
RC,637,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (72205-043-11)  / 10 Capsule In 1 Blister Pack,22.31,22.31,,,0
RC,637,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (72205-044-11)  / 10 Capsule In 1 Blister Pack,24.12,24.12,,,0
RC,637,"Oseltamivir Phosphate: 1 Bottle, Plastic In 1 Carton (0527-5137-62)  / 60 Ml In 1 Bottle, Plastic",17.65,17.65,,,0
RC,637,Oseltamivir Phosphate: 1 Pouch In 1 Carton (27241-139-09)  / 1 Bottle In 1 Pouch / 60 Ml In 1 Bottle,29.04,29.04,,,0
RC,637,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (64380-799-01),24.11,24.11,,,0
RC,637,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (76282-704-45),22.89,22.89,,,0
RC,637,Oseltamivir Phosphate: 10 Capsule In 1 Carton (31722-632-31),28.5,28.5,,,0
RC,637,Oxcarbazepine: 1 Bottle In 1 Carton (65162-649-78)  / 250 Ml In 1 Bottle,41.57,41.57,,,0
RC,637,"Oxcarbazepine: 1 Bottle, Glass In 1 Carton (69452-125-50)  / 250 Ml In 1 Bottle, Glass",19.78,19.78,,,0
RC,637,"Oxcarbazepine: 100 Blister Pack In 1 Carton (0904-7262-61)  / 1 Tablet, Film Coated In 1 Blister Pack",14.56,14.56,,,0
RC,637,"Oxcarbazepine: 100 Blister Pack In 1 Carton (0904-7263-61)  / 1 Tablet, Film Coated In 1 Blister Pack",10.08,10.08,,,0
RC,637,"Oxcarbazepine: 100 Tablet, Film Coated In 1 Bottle (62756-184-88)",15.14,15.14,,,0
RC,637,"Oxybutynin Chloride: 473 Ml In 1 Bottle, Plastic (54838-510-80)",12.7,12.7,,,0
RC,637,"Oxybutynin Chloride: 50 Blister Pack In 1 Carton (0904-6570-06)  / 1 Tablet, Extended Release In 1 Blister Pack",20.61,20.61,,,0
RC,637,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-0552-23),13.32,13.32,,,0
RC,637,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-8510-23),15.56,15.56,,,0
RC,637,Oxycodone Hydrochloride: 10 Blister Pack In 1 Carton (42858-001-10)  / 10 Tablet In 1 Blister Pack,13.02,13.02,,,0
RC,637,Oxycodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6966-61)  / 1 Tablet In 1 Blister Pack,12.05,12.05,,,0
RC,637,Oxycodone Hydrochloride: 100 Tablet In 1 Bottle (0406-0552-01),12.12,12.12,,,0
RC,637,"Oxycodone Hydrochloride: 4 Tray In 1 Carton (0904-6828-94)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0904-6828-05)",21.33,21.33,,,0
RC,637,"Pantoprazole Sodium: 100 Blister Pack In 1 Carton (0904-6474-61)  / 1 Tablet, Delayed Release In 1 Blister Pack",13.18,13.18,,,0
RC,637,Pedia-Lax: 12 Suppository In 1 Jar (0132-0081-12),12.29,12.29,,,0
RC,637,"Pedia-Lax: 66 Ml In 1 Bottle, With Applicator (0132-0202-20)",21.25,21.25,,,0
RC,637,"Peg-3350, Sodium Chloride, Sodium Bicarbonate And Potassium Chloride: 4 L In 1 Bottle (10572-302-01)",172.48,172.48,,,0
RC,637,Penicillin V Potassium: 100 Ml In 1 Bottle (0093-4127-73),13.78,13.78,,,0
RC,637,"Penicillin V Potassium: 100 Tablet, Film Coated In 1 Bottle (57237-040-01)",9.79,9.79,,,0
RC,637,Penicillin V Potassium: 200 Ml In 1 Bottle (0093-4127-74),13.37,13.37,,,0
RC,637,Permethrin: 1 Tube In 1 Carton (0472-0242-60)  / 60 G In 1 Tube,137.18,137.18,,,0
RC,637,Phenazopyridine Hydrochloride: 100 TABLET in 1 BOTTLE (51293-811-01),16.55,16.55,,,0
RC,637,Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle (65162-681-10),13.55,13.55,,,0
RC,637,Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle (65162-682-10),14.39,14.39,,,0
RC,637,Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle (69367-192-01),15.21,15.21,,,0
RC,637,"Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle, Plastic (75826-114-10)",13.98,13.98,,,0
RC,637,"Phenobarbital Oral Solution: 5 Tray In 1 Case (0121-0942-50)  / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0942-05)",15.22,15.22,,,0
RC,637,Phenobarbital: 100 Tablet In 1 Bottle (16571-671-01),4.25,4.25,,,0
RC,637,Phenytoin: 237 Ml In 1 Bottle (51672-4069-1),13.25,13.25,,,0
RC,637,Phenytoin: 237 Ml In 1 Bottle (66689-775-08),18.16,18.16,,,0
RC,637,Polyethylene Glycol 3350 Nf: 100 Pouch In 1 Carton (69784-180-10)  / 17 G In 1 Pouch (69784-180-01),28.18,28.18,,,0
RC,637,Polyethylene Glycol 3350: 17 G In 1 Packet (0904-6931-86),17.91,17.91,,,0
RC,637,Polyethylene Glycol 3350: 238 G In 1 Bottle (45802-868-02),7.51,7.51,,,0
RC,637,Polyethylene Glycol 3350: 30 Packet In 1 Carton (57896-490-03)  / 17 G In 1 Packet (57896-490-01),13.03,13.03,,,0
RC,637,Polyvinyl Alcohol: 15 Ml In 1 Bottle (50268-678-15),59.33,59.33,,,0
RC,637,"Posaconazole: 1 Bottle, Glass In 1 Carton (0054-0449-49)  / 105 Ml In 1 Bottle, Glass",86.42,86.42,,,0
RC,637,"Posaconazole: 60 Tablet, Delayed Release In 1 Bottle (70748-258-07)",42.96,42.96,,,0
RC,637,"Potassium Chloride: 100 Blister Pack In 1 Carton (0904-7293-61)  / 1 Tablet, Extended Release In 1 Blister Pack",13.67,13.67,,,0
RC,637,Potassium Chloride: 473 Ml In 1 Bottle (0121-0948-16),16.36,16.36,,,0
RC,637,"Potassium Chloride: 5 Tray In 1 Case (81033-220-52)  / 10 Cup, Unit-Dose In 1 Tray / 15 Ml In 1 Cup, Unit-Dose (81033-220-15)",27.83,27.83,,,0
RC,637,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5891-61)  / 1 Tablet In 1 Blister Pack",7.65,7.65,,,0
RC,637,Prazosin Hydrochloride: 100 Capsule In 1 Bottle (0093-4067-01),7.63,7.63,,,0
RC,637,Pregabalin: 100 Blister Pack In 1 Carton (0904-7000-61)  / 1 Capsule In 1 Blister Pack,11.28,11.28,,,0
RC,637,"Premarin Vaginal: 1 Tube, With Applicator In 1 Carton (0046-0872-21)  / 30 G In 1 Tube, With Applicator",53.18,53.18,,,0
RC,637,"Probenecid: 100 Tablet, Film Coated In 1 Bottle, Plastic (0591-5347-01)",13.88,13.88,,,0
RC,637,"Proglycem: 1 Bottle, Dropper In 1 Box (0575-6200-30)  / 30 Ml In 1 Bottle, Dropper",79.23,79.23,,,0
RC,637,"Propranolol Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-587-01)  / 1 Tablet In 1 Blister Pack (60687-587-11)",7.14,7.14,,,0
RC,637,"Propranolol Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-598-01)  / 1 Tablet In 1 Blister Pack (60687-598-11)",14.14,14.14,,,0
RC,637,Propranolol Hydrochloride: 100 Blister Pack In 1 Carton (0904-6550-61)  / 1 Tablet In 1 Blister Pack,6.85,6.85,,,0
RC,637,"Propranolol Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0591-5555-01)",13.8,13.8,,,0
RC,637,"Propranolol Hydrochloride: 500 Ml In 1 Bottle, Plastic (0054-3727-63)",12.62,12.62,,,0
RC,637,"Pseudoephedrine Hcl: 10 Blister Pack In 1 Carton (0904-6990-61)  / 10 Tablet, Film Coated In 1 Blister Pack",12.41,12.41,,,0
RC,637,Pseudoephedrine Hydrochloride: 30 Tablet In 1 Bottle (0904-6728-46),12.37,12.37,,,0
RC,637,Pseudoephedrine Hydrochloride: 5 Blister Pack In 1 Box (0904-6907-06)  / 10 Tablet In 1 Blister Pack,11.39,11.39,,,0
RC,637,Pyridostigmine: 473 Ml In 1 Bottle (70954-148-10),30.61,30.61,,,0
RC,637,Quetiapine Fumarate: 50 Blister Pack In 1 Box (50268-630-15)  / 1 Tablet In 1 Blister Pack (50268-630-11),13.02,13.02,,,0
RC,637,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6638-61)  / 1 Tablet, Film Coated In 1 Blister Pack",5.49,5.49,,,0
RC,637,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6640-61)  / 1 Tablet, Film Coated In 1 Blister Pack",7.52,7.52,,,0
RC,637,"Refresh Classic: 30 Vial, Single-Use In 1 Carton (0023-0506-01)  / .4 Ml In 1 Vial, Single-Use",14.41,14.41,,,0
RC,637,Refresh Lacri-Lube: 1 Tube In 1 Carton (0023-0312-04)  / 3.5 G In 1 Tube,72.46,72.46,,,0
RC,637,Regular Strength Pain Relief: 100 TABLET in 1 BOTTLE (57896-101-01),0.49,0.49,,,0
RC,637,Resinol: 50 G In 1 Tube (67492-105-15),56.68,56.68,,,0
RC,637,Rifabutin: 100 Capsule In 1 Bottle (10135-738-01),37.84,37.84,,,0
RC,637,Rifampin: 100 Blister Pack In 1 Carton (0904-7315-61)  / 1 Capsule In 1 Blister Pack,10.78,10.78,,,0
RC,637,"Rinvoq: 30 Tablet, Extended Release In 1 Bottle (0074-2306-30)",1466.03,1466.03,,,0
RC,637,"Risperidone: 100 Blister Pack In 1 Carton (0904-7360-61)  / 1 Tablet, Film Coated In 1 Blister Pack",12.6,12.6,,,0
RC,637,"Risperidone: 100 Blister Pack In 1 Carton (0904-7361-61)  / 1 Tablet, Film Coated In 1 Blister Pack",6.71,6.71,,,0
RC,637,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6359-61)",4.32,4.32,,,0
RC,637,Risperidone: 30 Ml In 1 Bottle (50458-596-01),26.98,26.98,,,0
RC,637,"Rivaroxaban: 1 Bottle In 1 Carton (67877-882-71)  / 1 Granule, For Suspension In 1 Bottle",17.04,17.04,,,0
RC,637,"Rizatriptan Benzoate: 3 Blister Pack In 1 Carton (57237-085-63)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack",20.86,20.86,,,0
RC,637,"Rizatriptan Benzoate: 3 Blister Pack In 1 Carton (57237-086-63)  / 6 Tablet, Orally Disintegrating In 1 Blister Pack",17.1,17.1,,,0
RC,637,"Rocaltrol: 100 Capsule, Gelatin Coated In 1 Bottle (30698-144-01)",29.81,29.81,,,0
RC,637,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (16714-988-01)",12.57,12.57,,,0
RC,637,Rufinamide: 1 Bottle In 1 Carton (69452-223-84)  / 460 Ml In 1 Bottle,48.02,48.02,,,0
RC,637,"Rufinamide: 120 Tablet, Film Coated In 1 Bottle (31722-598-12)",13.48,13.48,,,0
RC,637,"Rugby Anti-Dandruff: 207 Ml In 1 Bottle, Plastic (0536-1995-53)",19.44,19.44,,,0
RC,637,Rugby Benzoyl Peroxide Acne Medication: 1 Tube In 1 Carton (0536-1055-56)  / 42.5 Ml In 1 Tube,17.2,17.2,,,0
RC,637,"Rugby Cherry Flavor: 177 Ml In 1 Bottle, Spray (0536-1228-58)",21.0,21.0,,,0
RC,637,Rugby Muscle Rub Cream: 1 Tube In 1 Carton (0536-1349-57)  / 85 G In 1 Tube,21.3,21.3,,,0
RC,637,Rugby Petrolatum Hydrating Skin Protectant: 100 G In 1 Jar (0536-1143-97),41.18,41.18,,,0
RC,637,"Rugby Polyvinyl Alcohol 1.4% Lubricating Eye Drops: 1 Bottle, Dropper In 1 Box (0536-1408-94)  / 15 Ml In 1 Bottle, Dropper",40.67,40.67,,,0
RC,637,"Scopolamine: 24 Pouch In 1 Carton (50742-505-24)  / 1 Patch, Extended Release In 1 Pouch",43.91,43.91,,,0
RC,637,Senna: 100 Tablet In 1 Bottle (69618-064-01),11.66,11.66,,,0
RC,637,"Senna: 237 Ml In 1 Bottle, Plastic (39328-020-08)",12.89,12.89,,,0
RC,637,"Sennosides: 10 Blister Pack In 1 Box, Unit-Dose (0904-7252-61)  / 10 Tablet, Film Coated In 1 Blister Pack",9.41,9.41,,,0
RC,637,"Senokot: 1 Bottle, Plastic In 1 Carton (67618-300-50)  / 50 Tablet In 1 Bottle, Plastic",12.99,12.99,,,0
RC,637,"Sensipar: 30 Tablet, Coated In 1 Bottle, Plastic (55513-073-30)",11.93,11.93,,,0
RC,637,"Sertraline Hydrochloride: 1 Bottle, Plastic In 1 Carton (16714-601-02)  / 60 Ml In 1 Bottle, Plastic",28.27,28.27,,,0
RC,637,"Sertraline Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-242-01)  / 1 Tablet In 1 Blister Pack (60687-242-11)",13.53,13.53,,,0
RC,637,Silvadene: 1 Tube In 1 Carton (61570-131-20)  / 20 G In 1 Tube,56.57,56.57,,,0
RC,637,Silver Nitrate Applicators: 100 Applicator In 1 Vial (12870-0001-2)  / 100 Mg In 1 Applicator,12.46,12.46,,,0
RC,637,Silver Sulfadiazine: 20 G In 1 Tube (67877-124-20),45.88,45.88,,,0
RC,637,"Simethicone 80Mg: 100 Blister Pack In 1 Box (77333-812-10)  / 1 Tablet, Chewable In 1 Blister Pack (77333-812-25)",12.2,12.2,,,0
RC,637,"Sky Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (63739-052-74)",18.01,18.01,,,0
RC,637,"Sodium Polystyrene Sulfonate: 10 Bottle, Unit-Dose In 1 Carton (46287-006-60)  / 60 Ml In 1 Bottle, Unit-Dose",174.89,174.89,,,0
RC,637,"Sore Throat Cherry: 177 Ml In 1 Bottle, Spray (0904-6305-21)",18.69,18.69,,,0
RC,637,"Spironolactone: 10 Blister Pack In 1 Box, Unit-Dose (63739-544-10)  / 10 Tablet In 1 Blister Pack",7.28,7.28,,,0
RC,637,Spironolactone: 473 Ml In 1 Bottle (0574-1133-16),42.49,42.49,,,0
RC,637,"Sski: 1 Bottle, With Applicator In 1 Carton (71740-112-30)  / 30 Ml In 1 Bottle, With Applicator",16.69,16.69,,,0
RC,637,Stay Awake: 2 Blister Pack In 1 Carton (70677-1126-1)  / 8 Tablet In 1 Blister Pack,12.48,12.48,,,0
RC,637,Stratuscare Glycerin Laxative Pediatric: 25 Suppository In 1 Jar (58980-409-25),13.96,13.96,,,0
RC,637,"Sucralfate: 10 Ml In 1 Cup, Unit-Dose (0904-7470-66)",34.56,34.56,,,0
RC,637,Sucralfate: 100 Blister Pack In 1 Carton (51079-753-20)  / 1 Tablet In 1 Blister Pack (51079-753-01),14.26,14.26,,,0
RC,637,"Sucralfate: 20 Cup, Unit-Dose In 1 Case (0904-7470-56)  / 10 Ml In 1 Cup, Unit-Dose (0904-7470-66)",38.64,38.64,,,0
RC,637,Sulfamethoxazole And Trimethoprim: 100 Blister Pack In 1 Carton (0904-2725-61)  / 1 Tablet In 1 Blister Pack,9.02,9.02,,,0
RC,637,Sulfamethoxazole And Trimethoprim: 100 Tablet In 1 Bottle (57237-233-01),9.28,9.28,,,0
RC,637,Sulfamethoxazole And Trimethoprim: 473 Ml In 1 Bottle (65862-496-47),17.12,17.12,,,0
RC,637,Sulfasalazine: 1 Bottle In 1 Carton (59762-5000-5)  / 100 Tablet In 1 Bottle,12.39,12.39,,,0
RC,637,Sumatriptan: 1 Blister Pack In 1 Carton (65862-146-36)  / 9 Tablet In 1 Blister Pack,8.36,8.36,,,0
RC,637,"Sunmark Childrens Ibuprofen Ib: 1 Bottle In 1 Carton (70677-0072-1)  / 24 Tablet, Chewable In 1 Bottle",0.47,0.47,,,0
RC,637,Tabloid: 1 Bottle In 1 Carton (69784-630-25)  / 25 Tablet In 1 Bottle,137.98,137.98,,,0
RC,637,Tabloid: 1 Bottle In 1 Carton (76388-880-25)  / 25 Tablet In 1 Bottle,141.81,141.81,,,0
RC,637,Tabloid: 1 Bottle In 1 Carton (80725-630-25)  / 25 Tablet In 1 Bottle,2614.28,2614.28,,,0
RC,637,Tacrolimus: 1 Tube In 1 Carton (68462-881-35)  / 30 G In 1 Tube,243.85,243.85,,,0
RC,637,Tadalafil: 30 Tablet In 1 Bottle (13668-581-30),14.67,14.67,,,0
RC,637,Tadliq: 150 Ml In 1 Bottle (46287-045-15),234.44,234.44,,,0
RC,637,Tamiflu: 1 Blister Pack In 1 Carton (0004-0800-85)  / 10 Capsule In 1 Blister Pack,113.31,113.31,,,0
RC,637,"Tamsulosin Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-567-10)  / 10 Capsule In 1 Blister Pack",13.95,13.95,,,0
RC,637,Tamsulosin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7383-61)  / 1 Capsule In 1 Blister Pack,13.37,13.37,,,0
RC,637,"Teeny Tummy Gas Relief Drops: 120 Syringe In 1 Box, Unit-Dose (17856-1141-1)  / .3 Ml In 1 Syringe (17856-1141-6)",18.24,18.24,,,0
RC,637,Tetrabenazine: 112 Tablet In 1 Bottle (70436-101-09),16.03,16.03,,,0
RC,637,Theratears: 6 Pouch In 1 Carton (58790-003-30)  / 5 Vial In 1 Pouch / .6 Ml In 1 Vial,12.12,12.12,,,0
RC,637,"Tizanidine: 150 Tablet In 1 Bottle, Plastic (72789-326-77)",10.74,10.74,,,0
RC,637,"Topiramate: 60 Capsule, Coated Pellets In 1 Bottle (68382-004-14)",8.33,8.33,,,0
RC,637,"Topiramate: 60 Capsule, Coated Pellets In 1 Bottle (68382-005-14)",18.47,18.47,,,0
RC,637,Topiramate: 60 Tablet In 1 Bottle (69097-123-03),9.88,9.88,,,0
RC,637,Tramadol Hydrochloride: 100 Tablet In 1 Bottle (57664-377-08),11.71,11.71,,,0
RC,637,"Tramadol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (29300-355-01)",12.29,12.29,,,0
RC,637,Tranexamic Acid: 30 Tablet In 1 Bottle (69918-301-30),18.86,18.86,,,0
RC,637,Trazodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6868-61)  / 1 Tablet In 1 Blister Pack,8.1,8.1,,,0
RC,637,Trazodone Hydrochloride: 100 TABLET in 1 BOTTLE (50111-433-01),6.05,6.05,,,0
RC,637,Triamcinolone Acetonide: 1 Tube In 1 Carton (0168-0002-15)  / 15 G In 1 Tube,40.12,40.12,,,0
RC,637,Triamcinolone Acetonide: 1 Tube In 1 Carton (16714-985-01)  / 15 G In 1 Tube,18.47,18.47,,,0
RC,637,Triamcinolone Acetonide: 1 Tube In 1 Carton (16714-986-01)  / 15 G In 1 Tube,13.51,13.51,,,0
RC,637,Triamcinolone Acetonide: 1 Tube In 1 Carton (16714-986-03)  / 80 G In 1 Tube,38.9,38.9,,,0
RC,637,Triamcinolone Acetonide: 1 Tube In 1 Carton (16714-987-01)  / 15 G In 1 Tube,39.54,39.54,,,0
RC,637,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-054-35)  / 15 G In 1 Tube,29.11,29.11,,,0
RC,637,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-055-35)  / 15 G In 1 Tube,20.75,20.75,,,0
RC,637,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-055-36)  / 80 G In 1 Tube,33.91,33.91,,,0
RC,637,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-064-36)  / 80 G In 1 Tube,44.82,44.82,,,0
RC,637,"Trihexyphenidyl Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0591-5335-01)",12.54,12.54,,,0
RC,637,"Trikafta: 4 Blister Pack In 1 Carton (51167-106-02)  / 1 Kit In 1 Blister Pack *  14 Tablet, Film Coated In 1 Blister Pack (51167-206-14)  *  7 Tablet, Film Coated In 1 Blister Pack (51167-306-07)",2006.8,2006.8,,,0
RC,637,"Trikafta: 4 Blister Pack In 1 Carton (51167-331-01)  / 1 Kit In 1 Blister Pack *  14 Tablet, Film Coated In 1 Blister Pack (51167-431-14)  *  7 Tablet, Film Coated In 1 Blister Pack (51167-531-07)",2055.05,2055.05,,,0
RC,637,Trikafta: 4 Package In 1 Carton (51167-446-01)  / 1 Kit In 1 Package *  1 Granule In 1 Packet (51167-746-07)  *  1 Granule In 1 Packet (51167-846-07),3206.84,3206.84,,,0
RC,637,"Truvada: 30 Tablet, Film Coated In 1 Bottle, Plastic (61958-0701-1)",398.74,398.74,,,0
RC,637,Tylenol For Children Plus Adults: 1 Bottle In 1 Carton (50580-177-08)  / 240 Ml In 1 Bottle,1.37,1.37,,,0
RC,637,"Uptravi: 1 Bottle In 1 Carton (66215-602-06)  / 60 Tablet, Coated In 1 Bottle",1902.19,1902.19,,,0
RC,637,Ursodiol: 100 Blister Pack In 1 Carton (0904-6221-61)  / 1 Capsule In 1 Blister Pack,28.6,28.6,,,0
RC,637,Ursodiol: 100 Blister Pack In 1 Carton (0904-7168-61)  / 1 Capsule In 1 Blister Pack,23.18,23.18,,,0
RC,637,"Ursodiol: 100 Tablet, Film Coated In 1 Bottle (49884-412-01)",21.84,21.84,,,0
RC,637,"Valacyclovir Hydrochloride: 100 Blister Pack In 1 Carton (0904-6565-61)  / 1 Tablet, Film Coated In 1 Blister Pack",19.04,19.04,,,0
RC,637,"Valacyclovir Hydrochloride: 30 Blister Pack In 1 Box, Unit-Dose (68084-309-21)  / 1 Tablet, Film Coated In 1 Blister Pack (68084-309-11)",29.28,29.28,,,0
RC,637,Valganciclovir Hydrochloride: 1 Pouch In 1 Carton (27241-159-19)  / 1 Bottle In 1 Pouch / 100 Ml In 1 Bottle,460.22,460.22,,,0
RC,637,"Valganciclovir: 1 Bottle, Glass In 1 Carton (59651-444-01)  / 100 Ml In 1 Bottle, Glass",141.69,141.69,,,0
RC,637,"Valproic Acid: 10 Blister Pack In 1 Box, Unit-Dose (63739-086-10)  / 10 Capsule In 1 Blister Pack",5.96,5.96,,,0
RC,637,Valproic Acid: 473 Ml In 1 Bottle (0121-0675-85),13.28,13.28,,,0
RC,637,Valproic Acid: 473 Ml In 1 Bottle (62559-266-16),13.63,13.63,,,0
RC,637,Vancomycin Hydrochloride: 2 Blister Pack In 1 Carton (23155-858-78)  / 10 Capsule In 1 Blister Pack,25.15,25.15,,,0
RC,637,"Verapamil Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0591-0343-01)",11.65,11.65,,,0
RC,637,"Vimpat: 6 Blister Pack In 1 Carton (0131-2477-60)  / 10 Tablet, Film Coated In 1 Blister Pack",103.0,103.0,,,0
RC,637,Viokace: 1 Bottle In 1 Carton (73562-104-10)  / 100 Tablet In 1 Bottle,42.55,42.55,,,0
RC,637,Vyvanse: 100 Capsule In 1 Bottle (59417-102-10),89.76,89.76,,,0
RC,637,"Xarelto: 1 Bottle In 1 Carton (50458-575-01)  / 1 Granule, For Suspension In 1 Bottle",64.25,64.25,,,0
RC,637,"Xcopri: 30 Tablet, Film Coated In 1 Bottle (71699-050-30)",266.67,266.67,,,0
RC,637,Xifaxan: 6 Blister Pack In 1 Carton (65649-303-03)  / 10 Tablet In 1 Blister Pack,193.52,193.52,,,0
RC,637,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-110-01)",40.4,40.4,,,0
RC,637,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-111-01)",53.22,53.22,,,0
RC,637,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-113-01)",26.85,26.85,,,0
RC,637,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-116-01)",79.6,79.6,,,0
RC,637,Ziprasidone: 40 Blister Pack In 1 Carton (0904-6269-08)  / 1 Capsule In 1 Blister Pack,36.92,36.92,,,0
RC,637,Zonisade: 1 Bottle In 1 Carton (52652-8001-1)  / 150 Ml In 1 Bottle,214.46,214.46,,,0
RC,637,Zonisamide: 100 Capsule In 1 Bottle (68462-128-01),8.07,8.07,,,0
RC,637,vitamin a and d: 1 TUBE in 1 CARTON (45802-395-04)  / 113 g in 1 TUBE,24.96,24.96,,,0
RC,771,Flulaval 2025/2026: 10 Syringe In 1 Carton (19515-904-52)  / .5 Ml In 1 Syringe (19515-904-41),173.0,173.0,,,0
RC,771,NDC Description Not Available,173.0,173.0,,,0
RC,771,"Rabavert: 1 Kit In 1 Carton (50632-010-01)  *  1 Ml In 1 Syringe (50632-011-01)  *  1 Ml In 1 Vial, Glass (50632-013-01)",173.0,173.0,,,0