code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
CDM,PX-26000001,IV Infus Hydration Initial 31 Min-1 Hour - 96360,466.0,349.5,267.94,431.33,8
CDM,PX-26000002,IV Infus Hydration Ea Additional Hour - 96361,152.0,114.0,58.68,141.66,14
CDM,PX-26000003,IV Infus Non-Chemo Initial Up to 1 Hr - 96365,648.0,486.0,324.0,603.94,16
CDM,PX-26000004,IV Infus Non-Chemo Same Drug Ea Hr - 96366,275.0,206.25,137.5,256.3,10
CDM,PX-26000005,IV Infus Non-Chemo Ea Add�L Seq Diff Drug Up to 1 Hr - 96367,346.0,259.5,90.51,298.94,6
CDM,PX-26000006,IV Non-Chemo Concurrent Infus - 96368,241.0,180.75,120.5,120.5,1
CDM,PX-26000010,Therapeutic Prophylactic/Diagnostic Inj Sc/Im - 96372,205.0,153.75,90.51,189.75,14
CDM,PX-26000012,Ivp/ IV < 16 Min Initial Drug - 96374,511.0,383.25,229.44,476.25,11
CDM,PX-26000013,Ivp/ IV <16min Ea Addl Seg Diff Drug - 96375,218.0,163.5,58.68,203.18,13
CDM,PX-26000014,Ivp/ IV <16 Min Ea Add�L Seq Same Drug - 96376,205.0,153.75,144.48,191.06,7
CDM,PX-26000023,Vfc Therapeutic Prophylactic/Diagnostic Inj Sc/Im,23.0,17.25,15.96,90.51,14
CDM,PX-27000005,Pessary Non-Rubber T1,96.0,72.0,75.55,75.55,1
CDM,PX-27000007,Implant Anchor T1,1143.14,857.35,805.69,1065.41,6
CDM,PX-27000009,Implant Anchor T3,4311.67,3233.75,3038.87,4018.48,6
CDM,PX-27000010,Implant Bone Void Filler T1,1004.74,753.55,708.14,936.42,6
CDM,PX-27000020,Implant Pin/Wire/Peg T1,317.09,237.82,223.49,295.53,6
CDM,PX-27000101,Implant Hip T1,1643.16,1232.37,1158.1,1531.43,4
CDM,PX-27000104,Implant Knee T1,1908.92,1431.69,1345.41,1779.11,4
CDM,PX-27000105,Implant Knee T2,3668.93,2751.7,2585.86,3419.44,4
CDM,PX-27000106,Implant Knee T3,6114.62,4585.96,4309.58,5698.83,4
CDM,PX-27000485,HC Ewo Rigit Without Joints Custom Tier1,585.22,438.91,292.61,292.61,1
CDM,PX-27000489,HC Whfo With Nontorsion Joints Custome Tier1,365.35,274.01,182.68,315.66,3
CDM,PX-27000491,"Whfo, Rigid W/O Joints",47.97,35.98,23.99,33.81,3
CDM,PX-27000494,HC Who With Nontorsion Joints Custom Tier1,797.64,598.23,398.82,562.18,2
CDM,PX-27000495,HC Who Gauntlet Molded Custom Tier1,388.65,291.49,194.33,194.33,1
CDM,PX-27000496,HC Who Cock-Up Control Extension Prefab Tier1,14.94,11.2,7.47,10.53,2
CDM,PX-27000498,Hfo W/O Joints Cf,217.84,163.38,108.92,171.44,4
CDM,PX-27000499,Ho W/O Joints Custom T1,217.84,163.38,108.92,153.53,2
CDM,PX-27000500,HC Hfo With Nontorsion Joints Custom Tier1,258.36,193.77,129.18,223.22,3
CDM,PX-27000503,HC Fing Ortho P/D Intrphl W/O Jnt/Spr Prefab Tier1,56.57,42.43,28.29,39.87,3
CDM,PX-27000506,Fo W/O Joint Custom T1,171.61,128.71,85.81,125.1,3
CDM,PX-27000507,Fo Nontorsion Joint Custom T1,177.68,133.26,88.84,88.84,1
CDM,PX-27000834,Slings T1,10.0,7.5,7.05,7.05,1
CDM,PX-27002137,Kyleena Iud 19.5 Mg Levonorgestrel,2744.0,2058.0,2000.38,2370.82,3
CDM,PX-30000003,Venipuncture,19.0,14.25,9.5,17.71,7
CDM,PX-30000008,Electrolyte Panel,163.0,122.25,81.5,128.28,4
CDM,PX-30000010,Hepatic Function Panel,187.0,140.25,93.5,174.28,17
CDM,PX-30000021,Cyclosporine (Sandimmune),150.0,112.5,75.0,75.0,1
CDM,PX-30000024,Ethosuximide,216.0,162.0,152.24,152.24,1
CDM,PX-30000032,Primidone,216.0,162.0,108.0,108.0,1
CDM,PX-30000035,Assay of Sirolimus,161.0,120.75,80.5,80.5,1
CDM,PX-30000036,Tacrolimus (Fk-506),174.0,130.5,87.0,162.17,7
CDM,PX-30000037,Topiramate,122.0,91.5,61.0,61.0,2
CDM,PX-30000038,Therapeutic Drug Assay Other,266.0,199.5,133.0,133.0,3
CDM,PX-30000067,RBC Antibody Screen,193.0,144.75,67.95,179.88,14
CDM,PX-30000069,RBC Antibody Identification Panel,335.0,251.25,167.5,167.5,1
CDM,PX-30000070,Coombs Direct,137.0,102.75,68.5,118.37,6
CDM,PX-30000075,Blood Typing Serologic Abo,98.0,73.5,68.01,163.93,15
CDM,PX-30000076,HC Blood Typing Serologic Rh (D),153.0,114.75,49.92,142.6,15
CDM,PX-30000079,Blood Typing RBC Antigens Oth/Thn Abo/Rh D Each,604.0,453.0,302.0,302.0,1
CDM,PX-30000084,Crossmatch Immediate Spin,276.0,207.0,217.21,217.93,2
CDM,PX-30000086,Crossmatch Antiglobulin (Ahg),227.0,170.25,113.5,113.5,1
CDM,PX-30000087,Compatibility Test Ea Unit Electron,83.0,62.25,65.32,217.93,4
CDM,PX-30000111,Cell Count Body Fluid,106.0,79.5,53.0,98.11,7
CDM,PX-30000113,Crystal ID Light Microscopy,122.0,91.5,61.0,112.92,6
CDM,PX-30000140,Semen Analysis Presence/Motility,148.0,111.0,104.31,104.31,2
CDM,PX-30000157,Lab Handling/Conveyance Spec,92.0,69.0,63.85,63.85,1
CDM,PX-30000158,Specimen Hand/Conveyance Other,48.0,36.0,44.43,44.43,1
CDM,PX-30000159,Phlebotomy Therapeutic,453.0,339.75,163.93,422.2,7
CDM,PX-30000164,Prostate Cancer Screen Psa,223.0,167.25,111.5,206.41,8
CDM,PX-30000171,Basic Metabolic Panel,209.0,156.75,93.84,194.79,19
CDM,PX-30000172,Comprehensive Metabolic Panel,290.0,217.5,145.0,270.28,20
CDM,PX-30000173,Lipid Panel,177.0,132.75,88.5,164.96,20
CDM,PX-30000175,Renal Function Panel,234.0,175.5,117.0,218.09,14
CDM,PX-30000176,Acute Hepatitis Panel,733.0,549.75,366.5,683.16,8
CDM,PX-30000180,Carbamazepine (Tegretol) Total,220.0,165.0,110.0,155.06,3
CDM,PX-30000182,Dipropylacetic Acid (Valproic),182.0,136.5,91.0,169.62,10
CDM,PX-30000184,Gentamicin,216.0,162.0,108.0,108.0,1
CDM,PX-30000185,Lithium,150.0,112.5,75.0,139.8,8
CDM,PX-30000186,Phenobarbital,177.0,132.75,88.5,124.75,2
CDM,PX-30000187,Phenytoin (Dilantin) Total,194.0,145.5,141.43,141.43,1
CDM,PX-30000192,Vancomycin,216.0,162.0,108.0,201.31,5
CDM,PX-30000193,Therapeutic Drug Assay Other,214.0,160.5,107.0,107.0,3
CDM,PX-30000196,Analysis Trans Bcr/Abl1 Major Bp,1258.0,943.5,917.08,917.08,1
CDM,PX-30000275,Acetone/Ketones Serum Qn,150.0,112.5,75.0,118.05,3
CDM,PX-30000279,Adrenocorticotropic (Acth),225.0,168.75,112.5,209.7,7
CDM,PX-30000281,Albumin Serum/Plasma/Blood,91.0,68.25,45.5,78.62,9
CDM,PX-30000282,Albumin Qn Urine or Other Source,64.0,48.0,32.0,32.0,2
CDM,PX-30000283,Microalbumin Qn Urine,98.0,73.5,49.0,91.34,15
CDM,PX-30000288,Aldolase,158.0,118.5,79.0,136.51,5
CDM,PX-30000289,Aldosterone,245.0,183.75,122.5,228.34,8
CDM,PX-30000291,Alpha-1 Antitrypsin Total,94.0,70.5,47.0,73.98,4
CDM,PX-30000292,Alpha-1 Antitrypsin Phenotype,178.0,133.5,89.0,125.45,2
CDM,PX-30000293,Alpha Fetoprotein Serum,217.0,162.75,108.5,202.24,14
CDM,PX-30000305,Ammonia,160.0,120.0,80.0,112.77,5
CDM,PX-30000309,Amylase,408.0,306.0,204.0,380.26,9
CDM,PX-30000312,Androstenedione,163.0,122.25,128.28,128.28,1
CDM,PX-30000315,Angiotensin I Enzyme (Ace),157.0,117.75,78.5,135.65,6
CDM,PX-30000316,Apolipoprotein,244.0,183.0,122.0,227.41,13
CDM,PX-30000317,Arsenic,91.0,68.25,45.5,84.81,6
CDM,PX-30000318,Vitamin C (Ascorbic Acid),102.0,76.5,51.0,95.06,4
CDM,PX-30000321,Beta-2 Microglobulin,109.0,81.75,54.5,85.78,6
CDM,PX-30000324,Bilirubin Total,91.0,68.25,45.5,84.81,8
CDM,PX-30000325,Bilirubin Direct,91.0,68.25,45.5,84.81,13
CDM,PX-30000331,Occult Blood Feces Immunoassay Ql,91.0,68.25,45.5,84.81,13
CDM,PX-30000333,Cadmium,137.0,102.75,68.5,127.68,6
CDM,PX-30000334,Vitamin D 25 Hydroxy Inc Fraction,160.0,120.0,80.0,149.12,18
CDM,PX-30000335,Calcitonin,166.0,124.5,83.0,130.64,3
CDM,PX-30000336,Calcium Total,91.0,68.25,45.5,78.62,9
CDM,PX-30000337,Calcium Ionized,119.0,89.25,59.5,110.15,7
CDM,PX-30000339,Calcium Qn Timed Urine,162.0,121.5,81.0,150.98,10
CDM,PX-30000342,Calculus Analysis Infrared,244.0,183.0,122.0,171.97,3
CDM,PX-30000346,Carbon Monoxide (Co-Ox) Qn,145.0,108.75,72.5,72.5,1
CDM,PX-30000348,Carcinoembryonic Antigen (Cea),249.0,186.75,124.5,195.96,9
CDM,PX-30000349,Carnitine Total and Free Qn,143.0,107.25,71.5,100.79,2
CDM,PX-30000350,Carotene,109.0,81.75,76.82,76.82,1
CDM,PX-30000353,Catecholamines Fraction,322.0,241.5,161.0,278.21,5
CDM,PX-30000355,Ceruloplasmin,102.0,76.5,51.0,95.06,5
CDM,PX-30000356,Chemiluminescent Assay,291.0,218.25,145.5,229.02,6
CDM,PX-30000359,Chloride Blood,91.0,68.25,71.62,71.62,1
CDM,PX-30000360,Chloride Urine,71.0,53.25,35.5,50.04,3
CDM,PX-30000364,Cholesterol Total,90.0,67.5,45.0,63.43,2
CDM,PX-30000365,Cholinesterase Serum,100.0,75.0,78.7,78.7,1
CDM,PX-30000377,Citrate,269.0,201.75,250.71,250.71,1
CDM,PX-30000379,Collagen Cross Links,436.0,327.0,218.0,406.35,7
CDM,PX-30000380,Copper,248.0,186.0,124.0,231.14,6
CDM,PX-30000382,Cortisol Free,109.0,81.75,54.5,100.89,4
CDM,PX-30000383,Cortisol Total,203.0,152.25,101.5,189.2,13
CDM,PX-30000389,Creatine Kinase (Cpk) Total,95.0,71.25,47.5,88.54,14
CDM,PX-30000393,Creatinine Blood,101.0,75.75,50.5,94.13,13
CDM,PX-30000394,Creatinine Other Source,98.0,73.5,49.0,91.34,15
CDM,PX-30000396,Creatinine Clearance,145.0,108.75,72.5,72.5,1
CDM,PX-30000397,Cryofibrinogen,72.0,54.0,36.0,36.0,2
CDM,PX-30000398,Cryoglobulin Ql or Sqn,80.0,60.0,40.0,40.0,2
CDM,PX-30000400,Vitamin B-12 (Cyancobalamin),160.0,120.0,80.0,149.12,18
CDM,PX-30000402,Cystatin C,126.0,94.5,63.0,116.63,10
CDM,PX-30000404,DHEA,137.0,102.75,95.08,126.81,7
CDM,PX-30000405,Dhea-S,140.0,105.0,70.0,130.48,10
CDM,PX-30000412,1 25 Dihydroxy Inc Fraction,200.0,150.0,100.0,100.0,1
CDM,PX-30000421,Erythropoietin,380.0,285.0,190.0,277.02,2
CDM,PX-30000422,Assay of Total Estradiol,306.0,229.5,153.0,285.19,12
CDM,PX-30000423,Estrogen Fractionated,183.0,137.25,91.5,170.56,6
CDM,PX-30000425,Estriol,137.0,102.75,68.5,95.08,2
CDM,PX-30000426,Estrone,182.0,136.5,91.0,169.62,7
CDM,PX-30000431,Fat/Lipids Feces Qn,203.0,152.25,101.5,159.76,6
CDM,PX-30000433,Fatty Acids Nonesterified,164.0,123.0,82.0,151.8,4
CDM,PX-30000435,Ferritin,156.0,117.0,78.0,145.39,17
CDM,PX-30000437,Fetal Fibronectin,759.0,569.25,526.75,702.53,5
CDM,PX-30000440,Folic Acid Serum,160.0,120.0,80.0,149.12,16
CDM,PX-30000447,Gammaglobulin Igm Iga Igd or Igg,96.0,72.0,48.0,89.47,16
CDM,PX-30000449,Gammaglobulin Ige,158.0,118.5,79.0,146.24,13
CDM,PX-30000450,Immunoglobulin Subclasses Ea,33.0,24.75,16.5,25.97,5
CDM,PX-30000453,Blood Gas Ph Po2 &/or Pco2,226.0,169.5,113.0,209.19,8
CDM,PX-30000454,Blood Gas W/O2 Sat,367.0,275.25,183.5,267.54,6
CDM,PX-30000459,Gastrin,206.0,154.5,103.0,103.0,2
CDM,PX-30000460,Glucagon,168.0,126.0,84.0,84.0,1
CDM,PX-30000461,Glucose Fluid Not Blood,72.0,54.0,36.0,36.0,3
CDM,PX-30000463,Glucose Blood,87.0,65.25,43.5,81.08,11
CDM,PX-30000465,Glucose Post Dose,88.0,66.0,61.07,81.45,7
CDM,PX-30000466,Glucose Tolerance 1st 3 Specimen,207.0,155.25,145.89,178.85,5
CDM,PX-30000470,G6pd Enzyme Qn,80.0,60.0,40.0,62.96,4
CDM,PX-30000472,Glucose by Device,33.0,24.75,16.5,30.54,10
CDM,PX-30000476,Ggt/Ggtp,122.0,91.5,61.0,113.7,13
CDM,PX-30000477,Glutathione,170.0,127.5,85.0,119.82,2
CDM,PX-30000480,Glycated Protein (Fructosamine),100.0,75.0,50.0,72.9,4
CDM,PX-30000481,Follicle Stimulating Hormone (Fsh),215.0,161.25,107.5,200.38,12
CDM,PX-30000482,Luteinizing Hormone (Lh),200.0,150.0,100.0,186.4,12
CDM,PX-30000483,Growth Hormone (Hgh),110.0,82.5,55.0,86.57,3
CDM,PX-30000486,Haptoglobin Qn,127.0,95.25,63.5,109.73,8
CDM,PX-30000492,Hemoglobin Electrophoresis,156.0,117.0,78.0,144.39,7
CDM,PX-30000493,Hemoglobin Fract Qn,222.0,166.5,111.0,205.48,7
CDM,PX-30000497,Hemoglobin Glycosylated (A1c),158.0,118.5,79.0,147.26,16
CDM,PX-30000500,Methemoglobin Qn,91.0,68.25,45.5,45.5,1
CDM,PX-30000511,Histamine,234.0,175.5,117.0,216.59,4
CDM,PX-30000513,Homocystine,413.0,309.75,206.5,384.92,14
CDM,PX-30000516,Hydroxyindolacetic 5-(Hiaa),207.0,155.25,103.5,178.85,2
CDM,PX-30000517,Hydroxyprogesterone 17-D,155.0,116.25,109.24,121.99,4
CDM,PX-30000521,Immuno Ql/Sq Multi,128.0,96.0,64.0,110.59,9
CDM,PX-30000524,Immuno Qn Ria,225.0,168.75,112.5,158.58,2
CDM,PX-30000526,Immuno Qn Other,332.0,249.0,166.0,309.42,10
CDM,PX-30000528,Insulin Total,166.0,124.5,83.0,154.71,12
CDM,PX-30000529,Insulin Free,155.0,116.25,77.5,109.24,2
CDM,PX-30000531,IRON,108.0,81.0,54.0,100.66,17
CDM,PX-30000532,Iron Binding Capacity,140.0,105.0,70.0,130.48,17
CDM,PX-30000537,Lactate/Lactic Acid,134.0,100.5,67.0,124.89,14
CDM,PX-30000538,Lactate Dehydrogenase (Ldh),104.0,78.0,52.0,96.93,13
CDM,PX-30000540,Lactoferrin Fecal Ql,155.0,116.25,77.5,133.92,7
CDM,PX-30000545,LEAD,178.0,133.5,89.0,165.9,9
CDM,PX-30000551,Lipase,137.0,102.75,68.5,127.68,17
CDM,PX-30000553,Assay of Lipoprotein A,156.0,117.0,78.0,145.39,10
CDM,PX-30000554,Assay Lipoprotein Pla2,410.0,307.5,205.0,288.97,3
CDM,PX-30000558,Lipoprotein Blood by Nmr,215.0,161.25,107.5,200.38,4
CDM,PX-30000561,Cholesterol Ldl,85.0,63.75,42.5,59.91,4
CDM,PX-30000563,Magnesium,162.0,121.5,72.74,150.98,19
CDM,PX-30000569,Mass Spectrometry Qn,269.0,201.75,134.5,232.42,4
CDM,PX-30000571,Mercury,164.0,123.0,82.0,152.85,7
CDM,PX-30000572,Metanephrines,213.0,159.75,106.5,184.03,3
CDM,PX-30000581,Myoglobin,153.0,114.75,120.41,120.41,1
CDM,PX-30000583,Natriuretic Peptide,341.0,255.75,153.11,317.81,16
CDM,PX-30000584,Nephelometry Ea Analyte,138.0,103.5,69.0,97.26,2
CDM,PX-30000588,Nucleotidase 5,145.0,108.75,102.2,135.14,2
CDM,PX-30000589,Oligoclonal Bands,234.0,175.5,117.0,117.0,1
CDM,PX-30000592,Organic Acid Single Qn,374.0,280.5,187.0,348.57,10
CDM,PX-30000594,Osmolality Blood,153.0,114.75,76.5,142.6,4
CDM,PX-30000595,Osmolality Urine,162.0,121.5,81.0,127.49,5
CDM,PX-30000596,Osteocalcin,349.0,261.75,174.5,174.5,1
CDM,PX-30000597,Oxalate,120.0,90.0,103.68,103.68,1
CDM,PX-30000600,Parathormone (Pth),300.0,225.0,150.0,279.6,12
CDM,PX-30000601,Ph Body Fluid,39.0,29.25,19.5,19.5,1
CDM,PX-30000606,Calprotectin,473.0,354.75,236.5,440.84,11
CDM,PX-30000613,Phosphatase Alkaline,91.0,68.25,45.5,84.81,9
CDM,PX-30000615,Phosphatase Alkaline Isoenzyme,177.0,132.75,88.5,152.93,8
CDM,PX-30000619,Phosphorus,76.0,57.0,34.12,70.83,16
CDM,PX-30000622,Porphobilinogen Qn Urine,106.0,79.5,74.71,77.27,2
CDM,PX-30000623,Eval Cervicovag Pamg-1 Pp12 Alpha-F,479.0,359.25,332.43,349.19,3
CDM,PX-30000625,Porphyrins Qn & Fraction Urine,101.0,75.75,73.63,73.63,1
CDM,PX-30000628,Potassium Serum/ Plasma/ Blood,90.0,67.5,45.0,83.3,7
CDM,PX-30000629,Potassium Urine,128.0,96.0,64.0,90.21,3
CDM,PX-30000630,Prealbumin,106.0,79.5,53.0,98.79,3
CDM,PX-30000633,Pregnenolone,307.0,230.25,153.5,286.12,7
CDM,PX-30000635,Progesterone,225.0,168.75,112.5,209.7,10
CDM,PX-30000636,Procalcitonin (Pct),318.0,238.5,159.0,294.34,7
CDM,PX-30000637,Prolactin,243.0,182.25,121.5,224.92,11
CDM,PX-30000639,Prostaglandin,1103.0,827.25,551.5,777.39,2
CDM,PX-30000641,Prostatic Specific Antigen Total,223.0,167.25,111.5,207.84,19
CDM,PX-30000642,Prostatic Specific Antigen Free,95.0,71.25,47.5,88.54,7
CDM,PX-30000643,Protein Total Xcpt Refra Serum Plas,72.0,54.0,36.0,67.1,13
CDM,PX-30000645,Protein Total Urine,57.0,42.75,28.5,53.12,12
CDM,PX-30000646,Protein Total Other Source,87.0,65.25,43.5,43.5,2
CDM,PX-30000650,Protein Electrophoresis,33.0,24.75,16.5,30.76,14
CDM,PX-30000652,Protein Electrophoretic Other Fluid,114.0,85.5,57.0,89.72,6
CDM,PX-30000659,Vitamin B-6 (Pyridoxal Phosphate),155.0,116.25,77.5,144.46,7
CDM,PX-30000661,Pyruvate Kinase,368.0,276.0,289.62,289.62,1
CDM,PX-30000667,Renin,133.0,99.75,66.5,123.96,8
CDM,PX-30000668,Vitamin B-2 (Riboflavin),136.0,102.0,68.0,68.0,2
CDM,PX-30000669,Selenium,184.0,138.0,129.68,171.49,6
CDM,PX-30000670,Serotonin,236.0,177.0,118.0,118.0,1
CDM,PX-30000671,Sex Hormone Binding Globulin,131.0,98.25,65.5,122.09,12
CDM,PX-30000674,Sodium Serum/Plasma/Whole Blood,91.0,68.25,45.5,84.81,6
CDM,PX-30000675,Sodium Urine,131.0,98.25,65.5,103.1,6
CDM,PX-30000677,Somatomedin,129.0,96.75,64.5,119.4,9
CDM,PX-30000679,Spectrophotometry,82.0,61.5,41.0,41.0,1
CDM,PX-30000683,Sugars Single Ql,125.0,93.75,91.13,91.13,1
CDM,PX-30000689,Testosterone Free,298.0,223.5,149.0,234.53,4
CDM,PX-30000691,Testosterone Total,234.0,175.5,117.0,218.09,15
CDM,PX-30000693,Vitamin B1 (Thiamine),133.0,99.75,66.5,123.96,9
CDM,PX-30000696,Thyroglobulin,376.0,282.0,188.0,295.91,4
CDM,PX-30000697,Thyroxine (T-4) Total,122.0,91.5,61.0,105.41,7
CDM,PX-30000699,Thyroxine (T-4) Free,96.0,72.0,48.0,89.47,16
CDM,PX-30000700,Thyroid Activity (Tbg),179.0,134.25,126.16,126.16,1
CDM,PX-30000701,Thyroid Stimulating Hormone (Tsh),188.0,141.0,94.0,175.22,18
CDM,PX-30000702,Thyroid Stimulating Immun Globulin,360.0,270.0,180.0,283.32,6
CDM,PX-30000703,Vitamin E,115.0,86.25,57.5,107.18,5
CDM,PX-30000705,Ast/Sgot,91.0,68.25,45.5,84.81,12
CDM,PX-30000706,Alt/Sgpt,92.0,69.0,46.0,85.74,12
CDM,PX-30000707,Transferrin,156.0,117.0,78.0,78.0,1
CDM,PX-30000708,Triglycerides,92.0,69.0,46.0,72.4,6
CDM,PX-30000711,Triiodothyronine (T-3) Total,158.0,118.5,79.0,147.26,12
CDM,PX-30000712,Triiodothyronine (T-3) Free,213.0,159.75,106.5,198.52,12
CDM,PX-30000713,Triiodothyronine (T-3) Reverse,96.0,72.0,48.0,89.47,8
CDM,PX-30000714,Troponin Qn,259.0,194.25,116.29,241.39,16
CDM,PX-30000721,Urea Nitrogen Quantitative,87.0,65.25,43.5,81.08,11
CDM,PX-30000723,Urea Nitrogen Urine,111.0,83.25,55.5,55.5,2
CDM,PX-30000725,Uric Acid Blood,76.0,57.0,38.0,70.83,14
CDM,PX-30000731,Vanillylmandelic Acid (Vma) Urine,162.0,121.5,114.18,114.18,1
CDM,PX-30000732,Vasoactive Intestinal Peptide (Vip),221.0,165.75,110.5,110.5,1
CDM,PX-30000733,Vasopressin (Adh),174.0,130.5,87.0,87.0,1
CDM,PX-30000734,Vitamin A,98.0,73.5,49.0,91.34,6
CDM,PX-30000736,Vitamin K,196.0,147.0,98.0,138.14,4
CDM,PX-30000739,ZINC,90.0,67.5,45.0,83.88,9
CDM,PX-30000740,C-Peptide,148.0,111.0,74.0,116.48,4
CDM,PX-30000741,Hcg Qn,276.0,207.0,138.0,257.23,10
CDM,PX-30000743,Hcg Ql,154.0,115.5,77.0,143.53,10
CDM,PX-30000764,Hla Typing II Low Res 1 Locus Ea,781.0,585.75,542.01,727.89,7
CDM,PX-30000769,Hla Typing I High Res 1 Allele,1085.0,813.75,764.71,764.71,1
CDM,PX-30000774,Rast Allergen Igg Qn Sq Ea,137.0,102.75,126.81,126.81,1
CDM,PX-30000775,Rast Allergen Ige Qn Sq Ea,94.0,70.5,47.0,87.01,12
CDM,PX-30000780,Platelet Antibody ID,217.0,162.75,108.5,108.5,1
CDM,PX-30000783,Antinuclear Antibodies (Ana) Screen,236.0,177.0,118.0,203.9,6
CDM,PX-30000784,Antinuclear Antibodies (Ana) Titer,102.0,76.5,51.0,95.06,13
CDM,PX-30000785,Antistreptolysin O Titer,134.0,100.5,67.0,94.44,2
CDM,PX-30000787,C-Reactive Protein,61.0,45.75,30.5,42.99,2
CDM,PX-30000788,C-Reactive Protein High Sensitivity,156.0,117.0,78.0,145.39,18
CDM,PX-30000789,Beta 2 Glycoprotein I Antibody Ea,166.0,124.5,83.0,143.42,5
CDM,PX-30000791,Cardiolipin Antibody Ea Ig Class,119.0,89.25,59.5,102.82,7
CDM,PX-30000797,Cold Agglutinin Titer,139.0,104.25,69.5,69.5,1
CDM,PX-30000798,Complement Antigen Ea Component,183.0,137.25,91.5,169.38,10
CDM,PX-30000800,Complement Total (Ch50),114.0,85.5,57.0,105.52,3
CDM,PX-30000804,Cyclic Citrulli Pept (CCP) Antibody,178.0,133.5,89.0,165.9,8
CDM,PX-30000806,Dna Double Strand Antibody,116.0,87.0,58.0,108.11,10
CDM,PX-30000808,Extract Nuclear Antigen,197.0,147.75,98.5,170.21,9
CDM,PX-30000811,Fluorescent Antibody Scrn,429.0,321.75,214.5,337.62,4
CDM,PX-30000818,Immunoassay Tumor Antigen Ca 15-3,243.0,182.25,121.5,224.92,7
CDM,PX-30000819,Immunoassay Tumor Antigen Ca 19-9,337.0,252.75,168.5,265.22,5
CDM,PX-30000820,Immunoassay Tumor Antigen Ca 125,255.0,191.25,127.5,220.32,8
CDM,PX-30000822,Heterophile Antibody Screen,131.0,98.25,65.5,122.09,10
CDM,PX-30000825,Immunoassay Tumor Ag Other Ag Qn,333.0,249.75,166.5,234.7,3
CDM,PX-30000827,HC Immunoassay Infectious Agent Antibody Quan,445.0,333.75,222.5,324.41,5
CDM,PX-30000834,Immunodiffusion Gel Ea Ag Ab Ql,310.0,232.5,155.0,218.49,3
CDM,PX-30000837,Immunofixation Electrophores Serum,275.0,206.25,137.5,256.3,7
CDM,PX-30000840,Inhibin A,86.0,64.5,67.68,67.68,1
CDM,PX-30000841,Insulin Antibody,258.0,193.5,129.0,203.05,4
CDM,PX-30000842,Intrinsic Factor Antibody,171.0,128.25,85.5,124.66,7
CDM,PX-30000843,Islet Cell Antibody,273.0,204.75,136.5,214.85,5
CDM,PX-30000852,T Cells Total,714.0,535.5,357.0,561.92,5
CDM,PX-30000853,T Cells Cd4 & Cd8 W/Ratio,141.0,105.75,70.5,110.97,5
CDM,PX-30000856,Microsomal Antibody,180.0,135.0,90.0,167.76,10
CDM,PX-30000858,Neutralization Viral,240.0,180.0,169.15,169.15,1
CDM,PX-30000867,Rheumatoid Factor Qn,132.0,99.0,66.0,122.18,10
CDM,PX-30000869,TB Test Cell Imm Ag Meas Gam Interf,430.0,322.5,215.0,400.76,13
CDM,PX-30000870,TB Test Cell Imm Ag Meas Gam Interf,717.0,537.75,497.6,505.34,2
CDM,PX-30000875,Skin Test Tuberculosis Intradermal,72.0,54.0,50.75,50.75,1
CDM,PX-30000877,Syphilis Vdrl/Rpr Ql,128.0,96.0,64.0,119.3,5
CDM,PX-30000878,Syphilis Vdrl/Rpr Qn,57.0,42.75,28.5,40.17,2
CDM,PX-30000881,Aspergillus Antibody,94.0,70.5,47.0,66.25,2
CDM,PX-30000885,Bartonella Antibody,121.0,90.75,85.28,85.28,2
CDM,PX-30000891,Lyme Disease Antibody Confirm,223.0,167.25,111.5,207.84,15
CDM,PX-30000893,Lyme Disease Antibody,152.0,114.0,76.0,141.66,19
CDM,PX-30000896,Brucella Antibody,99.0,74.25,49.5,85.54,2
CDM,PX-30000901,Chlamydia Antibody,142.0,106.5,71.0,71.0,1
CDM,PX-30000903,Chlamydia Antibody Igm,145.0,108.75,72.5,72.5,1
CDM,PX-30000905,Coccidioides Antibody,143.0,107.25,112.54,112.54,1
CDM,PX-30000907,Coxiella Brunetii (Q Fev) Antibody,308.0,231.0,154.0,266.11,3
CDM,PX-30000910,Cytomegalovirus (Cmv) Antibody,466.0,349.5,233.0,434.31,6
CDM,PX-30000912,Cytomegalovirus (Cmv) Antibody Igm,119.0,89.25,59.5,110.91,8
CDM,PX-30000924,Epstein-Barr Early Ag Antibody Ea,67.0,50.25,33.5,52.73,3
CDM,PX-30000925,Epstein-Barr Ebna Ag Antibody,72.0,54.0,36.0,67.1,10
CDM,PX-30000927,Epstein-Barr Vca Ag Antibody,100.0,75.0,50.0,93.2,10
CDM,PX-30000929,Ehrlichia Antibody,318.0,238.5,159.0,250.27,4
CDM,PX-30000931,Francisella Tularensis Antibody,141.0,105.75,70.5,131.41,17
CDM,PX-30000932,Fungus Antibody Not Specified,393.0,294.75,196.5,339.55,2
CDM,PX-30000934,Giardia Lamblia Antibody,264.0,198.0,186.07,186.07,1
CDM,PX-30000937,Helminth Not Specified Antibody,373.0,279.75,186.5,262.89,3
CDM,PX-30000946,Herpes Simplex Type I Antibody,120.0,90.0,60.0,94.44,6
CDM,PX-30000948,Herpes Simplex Type II Antibody,138.0,103.5,69.0,108.61,6
CDM,PX-30000952,Hiv-1 Antibody,150.0,112.5,75.0,75.0,1
CDM,PX-30000953,Hiv-2 Antibody,129.0,96.75,64.5,64.5,1
CDM,PX-30000955,Hepatitis B Core Antibody Igm Igg,76.0,57.0,38.0,70.83,16
CDM,PX-30000956,Hepatitis B Core Antibody Igm,165.0,123.75,82.5,153.78,9
CDM,PX-30000957,Hepatitis B Surface Antibody,162.0,121.5,81.0,150.98,16
CDM,PX-30000958,HEPATITIS Be ANTIBODY (HBeAb),81.0,60.75,56.21,59.05,2
CDM,PX-30000959,HEPATITIS A ANTIBODY (HAAb) TOTAL,245.0,183.75,122.5,172.68,4
CDM,PX-30000960,HEPATITIS A ANTIBODY (HAAb) IGM,86.0,64.5,43.0,59.68,2
CDM,PX-30000963,Legionella Antibody,222.0,166.5,111.0,111.0,1
CDM,PX-30000973,Mumps Antibody,128.0,96.0,64.0,118.48,9
CDM,PX-30000975,Mycoplasma Antibody,184.0,138.0,92.0,129.68,3
CDM,PX-30000980,Parvovirus Antibody,73.0,54.75,36.5,57.45,4
CDM,PX-30000984,Protozoa Antibody Not Specified,359.0,269.25,179.5,332.29,5
CDM,PX-30000988,Rickettsia Antibody,332.0,249.0,166.0,309.42,18
CDM,PX-30000991,Rubella Antibody,172.0,129.0,86.0,160.3,12
CDM,PX-30000993,Rubeola Antibody,147.0,110.25,73.5,136.06,12
CDM,PX-30000999,Toxoplasma Antibody,198.0,148.5,139.55,139.55,1
CDM,PX-30001001,Toxoplasma Antibody Igm,228.0,171.0,160.69,160.69,1
CDM,PX-30001003,Treponema Pallidum Antibody,181.0,135.75,90.5,168.69,11
CDM,PX-30001005,Varicella-Zoster Antibody,112.0,84.0,56.0,104.38,10
CDM,PX-30001007,West Nile Virus Antibody Igm,115.0,86.25,106.44,106.44,1
CDM,PX-30001008,West Nile Virus Antibody,116.0,87.0,107.37,107.37,1
CDM,PX-30001009,Virus Not Elsewhere Specified,256.0,192.0,128.0,236.95,2
CDM,PX-30001013,Thyroglobulin Antibody,216.0,162.0,108.0,201.31,9
CDM,PX-30001014,Hepatitis C Antibody,253.0,189.75,126.5,235.8,16
CDM,PX-30001020,Hla Typing Single Antigen a/B/C,168.0,126.0,116.59,145.15,4
CDM,PX-30001031,Blood Smear W/Manual Diff Wbc,74.0,55.5,37.0,68.97,14
CDM,PX-30001035,Blood Count Hematocrit (Hct),55.0,41.25,27.5,50.91,7
CDM,PX-30001036,Blood Count Hemoglobin (Hgb),55.0,41.25,27.5,51.26,12
CDM,PX-30001037,Blood Count Cbc Auto W/Auto Diff,155.0,116.25,69.6,144.46,22
CDM,PX-30001038,Blood Count Cbc Auto W/O Diff,156.0,117.0,78.0,145.39,18
CDM,PX-30001042,Blood Count Reticulocyte Auto,87.0,65.25,43.5,81.08,14
CDM,PX-30001045,Blood Count Platelet Auto,90.0,67.5,45.0,63.43,2
CDM,PX-30001055,Factor VIII Ahg,198.0,148.5,99.0,155.83,3
CDM,PX-30001058,Factor VIII Vw Ristocetin Cofactor,345.0,258.75,172.5,172.5,1
CDM,PX-30001059,Factor VIII Vw Antigen,242.0,181.5,121.0,190.45,3
CDM,PX-30001071,Antithrombin III Activity,138.0,103.5,69.0,69.0,1
CDM,PX-30001072,Antithrombin III Antigen,132.0,99.0,93.03,93.03,1
CDM,PX-30001074,Protein C Activity,169.0,126.75,84.5,119.11,2
CDM,PX-30001076,Protein S Free,299.0,224.25,149.5,210.74,2
CDM,PX-30001088,Fibrin Degradation D-Dimer Qn,261.0,195.75,130.5,243.25,16
CDM,PX-30001090,Fibrinogen Activity,140.0,105.0,70.0,129.58,6
CDM,PX-30001092,Fibrinolysins Scr Interp Rpt,94.0,70.5,47.0,73.98,5
CDM,PX-30001094,Coag Fibrinolysis Func Activity Nos,330.0,247.5,165.0,259.71,3
CDM,PX-30001097,Fibrinolytic Plasminogen Activator,285.0,213.75,200.87,200.87,1
CDM,PX-30001111,Muramidase,227.0,170.25,113.5,178.65,3
CDM,PX-30001118,Prothrombin Time (Pt),87.0,65.25,43.5,81.08,16
CDM,PX-30001119,Prothrombin Time Substitution,142.0,106.5,71.0,100.08,2
CDM,PX-30001121,Russell Viper Venom Diluted,127.0,95.25,63.5,99.95,5
CDM,PX-30001124,Sed Rate RBC Auto,71.0,53.25,35.5,66.17,17
CDM,PX-30001125,Sickle Cell RBC,110.0,82.5,77.53,101.82,4
CDM,PX-30001126,Thrombin Time Plasma,76.0,57.0,38.0,38.0,1
CDM,PX-30001129,Partial Thromboplastin Time (Ptt),104.0,78.0,52.0,96.93,14
CDM,PX-30001138,Concentration Any Type,69.0,51.75,34.5,34.5,1
CDM,PX-30001140,Culture Blood Aerobic,174.0,130.5,87.0,162.17,12
CDM,PX-30001142,Culture Stool Other,109.0,81.75,54.5,54.5,1
CDM,PX-30001144,Culture Bacterial Other Source,158.0,118.5,79.0,147.26,14
CDM,PX-30001147,Culture Anaerobic,157.0,117.75,78.5,146.32,5
CDM,PX-30001148,Culture Anaerobic ID,408.0,306.0,204.0,377.64,5
CDM,PX-30001150,Culture Aerobic ID,148.0,111.0,74.0,137.94,13
CDM,PX-30001152,Culture Screen Single Organism,205.0,153.75,102.5,191.06,8
CDM,PX-30001154,Culture Urine W/Colony Count,155.0,116.25,77.5,144.46,17
CDM,PX-30001156,Culture Fungus Skin/Hair/Nail,165.0,123.75,82.5,153.78,7
CDM,PX-30001157,Culture Fungus Other,166.0,124.5,83.0,115.2,2
CDM,PX-30001159,Culture Fungus ID Yeast,240.0,180.0,120.0,174.96,4
CDM,PX-30001161,Culture Fungus ID Mold,267.0,200.25,133.5,248.84,4
CDM,PX-30001166,Culture Afb/TB/Mycobacteria,238.0,178.5,119.0,187.31,2
CDM,PX-30001172,Cult Type Amp Prb Cult/Isol Ea,453.0,339.75,314.38,422.2,8
CDM,PX-30001174,Culture Typing Sequencing Meth Ea I,456.0,342.0,228.0,424.99,5
CDM,PX-30001179,Macroscopic Exam Parasite,106.0,79.5,73.56,73.56,1
CDM,PX-30001182,Smear Ova & Parasite Concent/Ident,100.0,75.0,50.0,93.2,15
CDM,PX-30001186,Susceptibility Mic per Plate,343.0,257.25,171.5,319.68,13
CDM,PX-30001192,Smear Gram or Geimsa Stain,92.0,69.0,46.0,85.74,10
CDM,PX-30001193,Smear Acid Fast/Fluorescent Stain,92.0,69.0,46.0,46.0,1
CDM,PX-30001194,Spec Stain Incls Bodies/Parasites,147.0,110.25,73.5,137.0,14
CDM,PX-30001195,Complex Special Stain O/P Trich/Iro,215.0,161.25,107.5,200.38,15
CDM,PX-30001231,Aspergillus Agent Enzyme Infect Ant,216.0,162.0,108.0,108.0,1
CDM,PX-30001236,Eia Ql Giardia Antigen,216.0,162.0,108.0,201.31,7
CDM,PX-30001241,Eia Ql H Pylori Antigen Stool,131.0,98.25,65.5,121.25,11
CDM,PX-30001243,Eia Ql Hepatitis B Ag,133.0,99.75,66.5,123.96,17
CDM,PX-30001244,Eia Ql Hepatitis B Surf Ag,205.0,153.75,161.34,161.34,1
CDM,PX-30001245,EIA QL HEPATITIS Be ANTIGEN (HBeAG),81.0,60.75,56.21,59.05,2
CDM,PX-30001248,Eia Ql Hiv-1 & Hiv-2 Antibodies,211.0,158.25,105.5,196.65,15
CDM,PX-30001257,Eia Ql Multi Antigen,372.0,279.0,186.0,186.0,1
CDM,PX-30001265,Nucleic Acid Amp Borrelia,340.0,255.0,170.0,314.7,7
CDM,PX-30001275,Nucleic Acid Amp Chlamydia Trach,310.0,232.5,155.0,288.92,13
CDM,PX-30001277,Nucleic Acid Amp Probe Clostridium,236.0,177.0,118.0,219.95,7
CDM,PX-30001280,Nucleic Acid Amp Probe Cmv,320.0,240.0,251.84,251.84,1
CDM,PX-30001281,Nucleic Acid Qn Cmv,251.0,188.25,125.5,232.33,5
CDM,PX-30001292,Nucleic Acid Qn Hepatitis B,381.0,285.75,190.5,355.09,6
CDM,PX-30001295,Nucleic Acid Rev Trans Qn Hepatitis,745.0,558.75,372.5,694.34,8
CDM,PX-30001300,Nucleic Acid Amp Probe Herpes Smpx,338.0,253.5,169.0,312.85,7
CDM,PX-30001306,Nucleic Acid Qn Herpes 6,515.0,386.25,257.5,257.5,1
CDM,PX-30001309,Nucleic Acid Rev Trans Qn Hiv-1,405.0,303.75,202.5,349.92,6
CDM,PX-30001330,Nucleic Acid Amp N Gonorrhoeae,161.0,120.75,80.5,150.05,14
CDM,PX-30001337,Nuc Acid Stph Aureus Amplified,138.0,103.5,95.77,97.26,2
CDM,PX-30001339,Nucleic Acid Amp Strep A,191.0,143.25,95.5,178.01,13
CDM,PX-30001344,Nucleic Acid Amp Infectious,458.0,343.5,229.0,426.86,18
CDM,PX-30001347,Nucleic Acid Amp Multi Org,682.0,511.5,341.0,536.73,4
CDM,PX-30001358,Immunoassay Optical Organism,259.0,194.25,129.5,239.73,3
CDM,PX-30001374,Urinalysis Auto W/Micro,85.0,63.75,42.5,79.22,18
CDM,PX-30001376,Urinalysis Auto W/O Micro,54.0,40.5,27.0,50.33,15
CDM,PX-30001379,Urinalysis Micro Only,64.0,48.0,32.0,59.24,8
CDM,PX-30001381,Urine Pregnancy Visual,150.0,112.5,75.0,139.8,12
CDM,PX-30001392,Jc (John Cunningham) Virus Antibody,162.0,121.5,81.0,81.0,1
CDM,PX-30001402,Iadna Respiratry Probe & Rev Trnscr 3-5 Targets,1520.0,1140.0,760.0,1416.64,7
CDM,PX-30001403,Inf Nucleic Acid Virus 6-11 Targets,2460.0,1845.0,1793.34,1793.34,1
CDM,PX-30001405,Nucleic Acid Qn Infect Agent,367.0,275.25,183.5,339.7,3
CDM,PX-30001407,Inf Agent Genotype Nuc Acid Hep B,3053.0,2289.75,1526.5,1526.5,1
CDM,PX-30001542,Mgh Gabapentin,236.0,177.0,118.0,118.0,3
CDM,PX-30001549,Mgh U Sertraline by Gc,236.0,177.0,118.0,118.0,3
CDM,PX-30001559,Mgh Tconfirmation Urine,236.0,177.0,118.0,118.0,3
CDM,PX-30001570,Mgh Methotrexate 80299,236.0,177.0,118.0,118.0,3
CDM,PX-30001668,Rapid Malaria Binaxnow,264.0,198.0,132.0,244.36,3
CDM,PX-30001674,Drug Screen Quant Clozapine,216.0,162.0,108.0,108.0,1
CDM,PX-30001676,Drug Screen Quan Lamotrigine,109.0,81.75,54.5,85.78,6
CDM,PX-30001677,Drug Scrn Quan Levetiracetam,139.0,104.25,69.5,69.5,1
CDM,PX-30001678,Drug Scrn Quan Mycophenolate,127.0,95.25,63.5,92.58,2
CDM,PX-30001679,Drug Scrn Quant Oxcarbazepin,156.0,117.0,78.0,78.0,1
CDM,PX-30001681,Drug Screen Quant Zonisamide,148.0,111.0,74.0,104.31,3
CDM,PX-30001851,Allergen Specific Ige Quan/Semiquan Ea Allergen,94.0,70.5,47.0,87.01,12
CDM,PX-30002083,Mgh Mannose Binding Lectin,332.0,249.0,166.0,309.42,10
CDM,PX-30002115,Total Iodine,269.0,201.75,134.5,232.42,4
CDM,PX-30002126,Serum Free Kappa L C,138.0,103.5,69.0,97.26,2
CDM,PX-30002127,Serum Free Lambda L C,138.0,103.5,69.0,97.26,2
CDM,PX-30002316,Carbohydrate Deficient Transferrin,233.0,174.75,116.5,116.5,1
CDM,PX-30002775,Creatinine Blood (Qw),101.0,75.75,50.5,94.13,13
CDM,PX-30002829,Drug Screen Quantitative Digoxin Total,181.0,135.75,90.5,127.57,4
CDM,PX-30002831,Drug Screen Quant Dipropylacetic Acid Free,167.0,125.25,117.7,117.7,1
CDM,PX-30002922,Iadna-Dna/Rna GI Pthgn Multiplex Probe Tq 6-11,1683.0,1262.25,841.5,1568.56,14
CDM,PX-30002957,Drug Screen Quant Dipropylacetic Acid Total,182.0,136.5,91.0,169.62,10
CDM,PX-30002987,Bwh Fentanyl Quant Lc Ms Ms,236.0,177.0,118.0,118.0,3
CDM,PX-30003057,Col-Chr/Ms Nondrug Analyte Nes Qual/Quan Ea Spec,307.0,230.25,153.5,265.25,5
CDM,PX-30003058,Mass Spect&Tandem Mass Spect Nondrg Anal Nes Ea,269.0,201.75,134.5,232.42,4
CDM,PX-30003295,Epstein Barr Virs Quant Pcr,367.0,275.25,183.5,339.7,3
CDM,PX-30003340,Presumptive Drug Test by Instrument Chemistry Analyzer,343.0,257.25,171.5,319.68,14
CDM,PX-30003473,Allergen Spec Ige Recombinant/Purified Compnt Ea,190.0,142.5,95.0,177.08,15
CDM,PX-30003491,"F2 Isoprostanes, Urine",307.0,230.25,153.5,265.25,5
CDM,PX-30003519,"Flecainide, Serum",254.0,190.5,127.0,127.0,3
CDM,PX-30003536,Nfct Ds Chrnc Hcv 6 Biochem Assay Srm Alg Lvr,551.0,413.25,388.34,433.64,3
CDM,PX-30003537,Dihydrotestosterone (Dht),271.0,203.25,135.5,252.57,6
CDM,PX-30003547,Tda Nos Eslicarbazepine (Eg. Aptiom),172.0,129.0,86.0,86.0,3
CDM,PX-30003578,Tryptase,332.0,249.0,166.0,309.42,10
CDM,PX-30003607,Drug Assay Adalimumab,338.0,253.5,169.0,169.0,1
CDM,PX-30003609,Drug Assay Infliximab,338.0,253.5,169.0,266.01,2
CDM,PX-30003612,Drug Assay Voriconazole,240.0,180.0,120.0,120.0,1
CDM,PX-30003640,Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq,150.0,112.5,105.72,139.8,5
CDM,PX-30003645,Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq High Throughput Tech,150.0,112.5,109.35,109.35,1
CDM,PX-30003647,Antibody Sars-Cov-2,200.0,150.0,100.0,157.4,3
CDM,PX-30003691,"Thiopurine Metabolites, Whole Blood",215.0,161.25,107.5,107.5,3
CDM,PX-30003708,"HC Mvh Hantavirus Antibody (Igg,Igm)",256.0,192.0,128.0,236.95,2
CDM,PX-30003712,Sp Covid19 Elective Testing (Global Charge),160.0,160.0,112.77,149.12,5
CDM,PX-30003714,"Interleukin 6, Plasma (Il6)",332.0,249.0,166.0,309.42,10
CDM,PX-30003716,Iadna Sarscov2 & Inf a&B & Rsv Mult Amp Probe Tq,502.0,376.5,251.0,467.86,14
CDM,PX-30003718,Nfct Ds Rna 4 Targets Upper Respiratory Specimen,478.0,358.5,239.0,445.5,17
CDM,PX-30003719,Drug Assay Acetaminophen,161.0,120.75,80.5,126.71,5
CDM,PX-30003720,Drug Assay Amiodarone,165.0,123.75,82.5,82.5,1
CDM,PX-30003723,Drug Assay Salicylate,150.0,112.5,75.0,118.05,5
CDM,PX-30003724,Drug Assay Flecainide,161.0,120.75,80.5,80.5,1
CDM,PX-30003730,Assay of Direct Measurement Free Estradiol,245.0,183.75,122.5,172.68,2
CDM,PX-30003731,Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq High Throughput Tech; Rsltd,25.0,18.75,18.23,18.23,1
CDM,PX-30003738,Ig Paraprotein Qual Imprcip&Ms Bld/UR W/Isotype,100.0,75.0,50.0,50.0,3
CDM,PX-30003759,Immunoglobulin Light Chains Free Each,149.0,111.75,74.5,138.87,13
CDM,PX-30003760,Assay of Interleukin-6 (Il-6),141.0,105.75,70.5,131.41,4
CDM,PX-30003761,Actin Smooth Muscle Antibody Each,100.0,75.0,50.0,86.4,6
CDM,PX-30003767,Endomysial Antibody Each Immunoglobulin Class,104.0,78.0,52.0,89.86,3
CDM,PX-30003768,Gliadin Antibody Each Immunoglobulin Class,100.0,75.0,50.0,92.56,6
CDM,PX-30003771,Tissue Transglutaminase Ea Immunoglobulin Class,100.0,75.0,50.0,93.2,14
CDM,PX-30003772,Mitochondrial Antibody Each,218.0,163.5,109.0,203.18,4
CDM,PX-30003773,Voltage-Gated Calcium Channel Antibody Each,158.0,118.5,111.36,111.36,2
CDM,PX-30003780,Iaadiadoo Severe Aqt Respir Synd Coronavirus,158.0,118.5,111.36,111.36,2
CDM,PX-30003781,Elastase Pancreatic Fecal Quantitative,198.0,148.5,99.0,171.07,6
CDM,PX-30003803,Assay Thiopurine S-Methyltransferase,186.0,139.5,93.0,93.0,1
CDM,PX-30003805,Iadna Anaplasma Phagocytophilum Amplifed Prb Tq,302.0,226.5,151.0,281.46,16
CDM,PX-30003806,Iadna Babesia Microti Amplified Probe Technique,302.0,226.5,151.0,281.46,15
CDM,PX-30003807,Iadna Borrelia Miyamotoi Amplified Prb Technique,302.0,226.5,151.0,281.46,3
CDM,PX-30003808,Iadna Ehrlichia Chaffeensis Amplified Probe Tq,302.0,226.5,151.0,281.46,16
CDM,PX-30003819,Assay of Anti-Mullerian Hormone,332.0,249.0,233.99,309.42,8
CDM,PX-30003820,Acetylcholine Receptor Binding Antibody,158.0,118.5,79.0,146.24,6
CDM,PX-30003823,Muscle-Specific Kinase Antibody,158.0,118.5,79.0,146.24,4
CDM,PX-30003827,Nfct Ds Bct Vaginosis&Vaginitis Mult Amp Probe,921.0,690.75,460.5,858.37,9
CDM,PX-30003838,Beta-Amyloid 1-42 (Abeta 42),424.0,318.0,212.0,212.0,2
CDM,PX-30003839,Tau Phosphorylated Each,721.0,540.75,360.5,508.16,4
CDM,PX-30003840,Total Tau (Ttau),424.0,318.0,212.0,212.0,2
CDM,PX-30003841,Assay Neurofilament Light Chain,1200.0,900.0,600.0,600.0,1
CDM,PX-30003842,Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan,103.0,77.25,51.5,51.5,1
CDM,PX-31000003,Molecular Path Procedure Level 2,1977.0,1482.75,1393.39,1393.39,1
CDM,PX-31000008,Molecular Path Procedure Level 7,3899.0,2924.25,2748.02,2748.02,1
CDM,PX-31000099,Flow Cytometry 1st Marker Tc,496.0,372.0,248.0,428.54,4
CDM,PX-31000101,Flow Cytometry Ea Addl Marker Tc,171.0,128.25,85.5,85.5,2
CDM,PX-31000105,Flow Cytometry Interp 16+ Marker,490.0,367.5,245.0,245.0,1
CDM,PX-31000144,Pap Smear Screening,96.0,72.0,31.15,89.47,12
CDM,PX-31000193,Unlstd Multianalyte Assay Algorithm,2989.0,2241.75,2106.65,2106.65,1
CDM,PX-31000789,Neutrophil Antigen Genotyping - Hna-1,268.0,201.0,188.89,188.89,1
CDM,PX-31001156,Mayo Psychotropic Pharmacogenomics Gene Panel,1.0,0.75,0.7,0.7,1
CDM,PX-31001175,"Mayo Birt-Hogg-Dube Syndrome, Flcn, Full Gene Analysis, Varies",3591.0,2693.25,2530.94,2530.94,1
CDM,PX-31001184,Mayo Long Qt Syndrome Multi-Gene Panel,1.0,0.75,0.7,0.7,1
CDM,PX-31001213,"Mayo, Hchlg - Hypercholesterolemia",1.0,0.75,0.7,0.7,1
CDM,PX-31001240,"Mayo Uba1 Mutation, Quant, Ddpcr, Varies",2794.0,2095.5,1969.21,1969.21,1
CDM,PX-31001253,Mayo Inherited Parkinson Disease Gene Panel Pardp,1.0,0.75,0.7,0.7,1
CDM,PX-31001382,"Mayo, Hchlg Hypercholesterolemia Gene Panel Varies",3899.0,2924.25,2748.02,2748.02,1
CDM,PX-31001383,"Mayo, Hexaz Hexa Full Gene Analysis Tay Sachs Disease",3899.0,2924.25,2748.02,2748.02,1
CDM,PX-31001385,"Mayo, Hhtgg Hht and Vasacular Gene Panel",3899.0,2924.25,2748.02,2748.02,1
CDM,PX-31001386,"Mayo, Lqtsg Long Qt Syndrome Multi Gene Panel",3899.0,2924.25,2748.02,2748.02,1
CDM,PX-31001388,"Mayo, Pardp Inherited Parkinson Disease Gene Panel",3899.0,2924.25,2748.02,2748.02,1
CDM,PX-32000012,Xr Facial Bones 3+ Views,1117.0,837.75,787.26,1033.9,2
CDM,PX-32000013,Xr Nasal Cmpl 3+ Views,554.0,415.5,390.46,390.46,1
CDM,PX-32000028,Xr Sinuses 3+ Views,788.0,591.0,111.98,555.38,2
CDM,PX-32000030,Xr Skull Ltd <4 Views,667.0,500.25,333.5,333.5,1
CDM,PX-32000036,Xr Tmj Open & Closed Bilat,1331.0,998.25,665.5,938.09,2
CDM,PX-32000039,Xr Neck Soft Tissue,476.0,357.0,111.98,111.98,1
CDM,PX-32000049,Xr Ribs W/Cxr 3+ Views Uni,996.0,747.0,783.85,783.85,1
CDM,PX-32000050,Xr Ribs 3 Views Bilat,975.0,731.25,710.78,710.78,1
CDM,PX-32000051,Xr Ribs W/Cxr 4+ Views Bilat,1056.0,792.0,528.0,744.27,2
CDM,PX-32000052,Xr Sternum 2+ Views,653.0,489.75,326.5,460.23,2
CDM,PX-32000056,Xr C-Spine 2 or 3 Views,655.0,491.25,327.5,610.46,10
CDM,PX-32000057,Xr C-Spine 4 or 5 Views,1113.0,834.75,556.5,784.44,5
CDM,PX-32000058,Xr C-Spine 6 or More Views,1425.0,1068.75,712.5,1038.83,2
CDM,PX-32000060,Xr T-Spine 2 Views,756.0,567.0,378.0,704.59,8
CDM,PX-32000061,Xr T-Spine 3 Views,505.0,378.75,135.24,470.66,3
CDM,PX-32000065,Xr L-Spine 2-3 Views,700.0,525.0,350.0,652.4,12
CDM,PX-32000066,Xr L-Spine 4+ Views,869.0,651.75,434.5,683.9,3
CDM,PX-32000067,"Xr L-Spine W/Bending Views, Min 6",1248.0,936.0,624.0,624.0,1
CDM,PX-32000069,Xr Pelvis 1-2 Views,522.0,391.5,135.24,483.16,7
CDM,PX-32000069,Xr Pelvis 1-2 Views|SEPARATE ORGAN/STRUCTURE,522.0,391.5,261.0,261.0,1
CDM,PX-32000072,Xr Sacroili Jt 3+ Views,625.0,468.75,312.5,455.63,4
CDM,PX-32000073,Xr Sacrum/Coccyx 2+ Views,565.0,423.75,282.5,398.21,3
CDM,PX-32000090,Xr Shoulder Cmp 2+ Views,585.0,438.75,292.5,292.5,1
CDM,PX-32000097,Xr Humerus 2+ Views,565.0,423.75,111.98,111.98,1
CDM,PX-32000103,Xr Elbow Cmpl 3+ Views,589.0,441.75,294.5,508.9,2
CDM,PX-32000119,Xr Wrist Cmpl 3+ Views,591.0,443.25,111.98,111.98,1
CDM,PX-32000128,Xr Hand Cmp 3+V,574.0,430.5,287.0,531.29,2
CDM,PX-32000157,Xr Knee 3 Views,552.0,414.0,276.0,510.93,2
CDM,PX-32000160,Xr Knee Cmpl 4+ Views,446.0,334.5,223.0,223.0,1
CDM,PX-32000167,Xr Tibia/Fibula 2 Views,511.0,383.25,111.98,111.98,1
CDM,PX-32000177,Xr Ankle 3+ Views,615.0,461.25,307.5,307.5,1
CDM,PX-32000186,Xr Foot Cmpl 3+ Views,494.0,370.5,247.0,426.82,2
CDM,PX-32000203,Xr Ugi W/Air W/O Kub,2250.0,1687.5,1125.0,2082.6,7
CDM,PX-32000254,Xr 3d Rend W/Interp W/O Ind Post PR,842.0,631.5,421.0,613.82,2
CDM,PX-32000272,Xr Bone Age,546.0,409.5,384.82,429.7,3
CDM,PX-32000273,Xr Bone Length Study,486.0,364.5,243.0,243.0,2
CDM,PX-32000275,Xr Bone Survey Cmpl,3125.0,2343.75,1562.5,1562.5,1
CDM,PX-32000278,Xr Bone Density Axial,499.0,374.25,249.5,465.07,12
CDM,PX-32000279,Xr Bone Density Appendicular,493.0,369.75,246.5,246.5,1
CDM,PX-32000322,Xr Scapula Cmpl,573.0,429.75,135.24,135.24,1
CDM,PX-32000364,Xr Fluoro Needle Placement,1061.0,795.75,530.5,530.5,1
CDM,PX-32000400,Digital Breast Tomosynthesis Bilateral,215.0,161.25,149.21,200.38,4
CDM,PX-32000401,Screening Digital Breast Tomosynthesis Bi,210.0,157.5,105.0,195.72,16
CDM,PX-32000419,Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 2/3 Vw,694.0,520.5,135.24,642.37,5
CDM,PX-32000420,Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw,753.0,564.75,376.5,376.5,1
CDM,PX-32000423,Radex Hip Unilateral With Pelvis 2-3 Views,550.0,412.5,111.98,111.98,2
CDM,PX-32000425,Radex Hips Bilateral With Pelvis 2 Views,593.0,444.75,296.5,296.5,2
CDM,PX-32000426,Radex Hips Bilateral With Pelvis 3-4 Views,641.0,480.75,320.5,504.47,9
CDM,PX-32000427,Radex Hips Bilateral With Pelvis Minimum 5 Views,795.0,596.25,135.24,551.73,2
CDM,PX-32000429,Radiologic Examination Femur Minimum 2 Views,304.0,228.0,152.0,152.0,1
CDM,PX-32000436,Radiologic Exam Abdomen 1 View,549.0,411.75,111.98,511.67,12
CDM,PX-32000437,Radiologic Exam Abdomen 2 Views,802.0,601.5,401.0,584.66,5
CDM,PX-32000438,Radiologic Exam Abdomen 3+ Views,525.0,393.75,262.5,262.5,1
CDM,PX-32000439,Radiologic Exam Chest Single View,562.0,421.5,281.0,442.29,8
CDM,PX-32000440,Radiologic Exam Chest 2 Views,766.0,574.5,383.0,713.91,14
CDM,PX-32000447,Radiologic Exam Esophagus Double Contrast Study,1055.0,791.25,527.5,830.29,4
CDM,PX-32000448,Radiologic Small Intestine Follow-Through Study,678.0,508.5,339.0,339.0,1
CDM,PX-33000001,Inj Sc/Im Chemo Non-Hormonal Anti-Neoplastic - 96401,1067.0,800.25,90.51,994.44,4
CDM,PX-33000002,Inj Sc/Im Chemo Hormonal Anti-Neoplastic � 96402,805.0,603.75,90.51,633.54,9
CDM,PX-33000076,Chem Ivp/ IV <16 Min Initial Single Drug -96409,1275.0,956.25,421.83,898.62,2
CDM,PX-33000077,Chemotx Admn Ivp/ IV <16 Min Ea Add�L Seq Diff Drug - 96411,847.0,635.25,90.51,666.59,4
CDM,PX-33000078,Chemo IV Infus Initial Up to 1 Hr - 96413,1152.0,864.0,421.83,1066.29,9
CDM,PX-33000079,Chemo IV Infus Same Drug Ea Add�L Hr > or = to 31 Min - 96415,362.0,271.5,90.51,284.89,5
CDM,PX-33000081,Chem IV Infus Tq Ea Add�L Seq Diff Drug Up to 1 Hr - 96417,724.0,543.0,362.0,569.79,6
CDM,PX-34000050,NM Myocardial Spect Multiple Studie,5204.0,3903.0,2602.0,4850.13,12
CDM,PX-34300155,Non-Heu Tc-99m Add-on per Dose,1.0,0.75,0.5,0.79,9
CDM,PX-35000009,CT Head W/O Contrast,2149.0,1611.75,1074.5,2002.87,11
CDM,PX-35000010,CT Head W/Contrast,2677.0,2007.75,1338.5,1338.5,1
CDM,PX-35000011,CT Head W&W/O Contrast,3309.0,2481.75,1654.5,2332.18,2
CDM,PX-35000014,CT Orb/Fos/Sel/Ear W/O Contrast,2592.0,1944.0,1296.0,2039.9,4
CDM,PX-35000017,CT Orb/Fos/Sel/Ear W/Contrast,3006.0,2254.5,1503.0,2118.63,2
CDM,PX-35000020,CT Orb/Fos/Sel/Ear W&W/O Contrast,3452.0,2589.0,2432.97,2432.97,1
CDM,PX-35000021,CT Max/Facial W/O Contrast,2416.0,1812.0,1208.0,2236.25,9
CDM,PX-35000022,CT Max/Facial W/Contrast,2862.0,2146.5,1986.23,1986.23,1
CDM,PX-35000025,CT Neck W/Contrast,2877.0,2157.75,1438.5,2662.95,7
CDM,PX-35000027,Cta Head W&W/O Contrast,3429.0,2571.75,1714.5,2698.62,10
CDM,PX-35000028,Cta Neck W&W/O Contrast,3436.0,2577.0,1718.0,2704.13,8
CDM,PX-35000030,Diagnostic Computed Tomography Thorax W/O Cntrst,2729.0,2046.75,1364.5,2543.43,14
CDM,PX-35000031,Diagnostic Computed Tomography Thorax W/Contrast,3255.0,2441.25,1627.5,3012.83,12
CDM,PX-35000032,Diagnostic Computed Tomography Thorax C-/C+,3963.0,2972.25,1981.5,1981.5,1
CDM,PX-35000033,Cta Chest (Noncor) W&W/O Contrast,3073.0,2304.75,1536.5,2844.37,9
CDM,PX-35000034,CT C-Spine W/O Contrast,2729.0,2046.75,1364.5,2543.43,10
CDM,PX-35000037,CT T-Spine W/O Contrast,2729.0,2046.75,1364.5,2147.72,2
CDM,PX-35000040,CT L-Spine W/O Contrast,2729.0,2046.75,1364.5,1923.4,4
CDM,PX-35000044,CT Pelvis W/O Contrast,2696.0,2022.0,1348.0,2121.75,3
CDM,PX-35000045,CT Pelvis W/Contrast,3085.0,2313.75,2174.31,2174.31,1
CDM,PX-35000071,CT Abdomen W/O Contrast,2650.0,1987.5,1325.0,1931.85,3
CDM,PX-35000072,CT Abdomen W/Contrast,3229.0,2421.75,1614.5,2541.22,5
CDM,PX-35000073,CT Abdomen W&W/O Contrast,3976.0,2982.0,1988.0,3129.11,4
CDM,PX-35000074,CT Abd/Pelvis W/Wocontrast Post,5338.0,4003.5,2669.0,3891.4,5
CDM,PX-35000075,Cta Abdomen W&W/O Contrast,3757.0,2817.75,1878.5,2647.93,3
CDM,PX-35000076,CT Abdomen & Pelvis W/O Contrast,4775.0,3581.25,307.41,3757.93,8
CDM,PX-35000077,CT Abdomen & Pevis With Contrast,5671.0,4253.25,2835.5,5285.37,11
CDM,PX-35000078,CT Abdomen & Pelvis W/O&W Contras,6851.0,5138.25,3425.5,6385.13,8
CDM,PX-35000079,CT Hrt W/O Cntrst W/Ca Test,523.0,392.25,261.5,487.44,6
CDM,PX-35000080,CT Hrt W/3d Image,910.0,682.5,455.0,716.17,7
CDM,PX-35000082,CT Angio Hrt W/3d Image,4140.0,3105.0,2070.0,3858.48,10
CDM,PX-35000083,Cta Abd Aorta W/&W/O Runoff,5736.0,4302.0,2868.0,4181.54,3
CDM,PX-35000096,Low Dose CT Lung Screening,1342.0,1006.5,671.0,1250.74,10
CDM,PX-35000100,Whole Body CT Myeloma Survey,3554.0,2665.5,1777.0,1777.0,1
CDM,PX-35000103,N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp,6775.0,5081.25,3387.5,6314.3,10
CDM,PX-36000099,Excision Single External Papilla or Tag Anus,2602.0,1951.5,2425.06,2425.06,1
CDM,PX-36000110,Rpr Blepharoptosis Levator Rescj/Advmnt Internal,2302.0,1726.5,1151.0,1151.0,1
CDM,PX-36000168,Abdom Paracentesis Dx/Ther W/Imaging Guidance,2835.0,2126.25,1998.11,1998.11,1
CDM,PX-36000446,Removal Subcutaneous Cardiac Rhythm Monitor,2051.0,1538.25,1025.5,1025.5,2
CDM,PX-36000448,Insertion Subq Cardiac Rhythm Monitor W/Prgrmg,2090.0,1567.5,1045.0,1045.0,1
CDM,PX-39000004,Red Cells L/R Ea,1002.0,751.5,194.92,788.57,2
CDM,PX-39000020,Red Cells L/R Irr Ea,1461.0,1095.75,730.5,1352.3,3
CDM,PX-39000069,"Platelets, Pheresis, Pathogen-Reduced, Each Unit",3437.0,2577.75,1718.5,1718.5,1
CDM,PX-39100001,Transfusion Blood/Comp,1030.0,772.5,555.98,953.37,3
CDM,PX-40000009,Diagnostic Mammo Bilat 2d Digital (Incl. Cad),960.0,720.0,480.0,894.72,11
CDM,PX-40000013,Diagnostic Mammography 2d Digital (Incl. Cad),752.0,564.0,376.0,591.82,3
CDM,PX-40000029,US Soft Tissue Head/Neck,842.0,631.5,421.0,784.74,14
CDM,PX-40000030,US Chest,753.0,564.75,376.5,592.61,4
CDM,PX-40000032,US Abdomen Cmpl,1690.0,1267.5,845.0,1575.08,13
CDM,PX-40000033,US Abdomen Ltd,704.0,528.0,352.0,656.13,11
CDM,PX-40000034,US Retroperitioneal Cmpl,1683.0,1262.25,841.5,1568.56,11
CDM,PX-40000035,US Retroperitioneal Ltd,704.0,528.0,352.0,352.0,1
CDM,PX-40000038,US Pregnancy <14 Weeks Single,1038.0,778.5,720.37,967.42,7
CDM,PX-40000039,US Pregnancy <14 Weeks Ea Add,1373.0,1029.75,967.69,967.69,1
CDM,PX-40000040,US Pregnancy >14 Weeks Single,901.0,675.75,625.29,833.97,6
CDM,PX-40000046,US Pregnancy Ltd,698.0,523.5,484.41,650.54,8
CDM,PX-40000047,US Pregnancy Followup per Fetus,652.0,489.0,452.49,607.66,7
CDM,PX-40000048,US Pregnancy Transvaginal,537.0,402.75,372.68,500.48,7
CDM,PX-40000050,US Fetal Biophysical Profile W/O,1406.0,1054.5,975.76,1301.39,6
CDM,PX-40000051,US Fetal Doppler Velocimerty Umbil,721.0,540.75,500.37,667.36,5
CDM,PX-40000053,US Transvaginal,1669.0,1251.75,834.5,1555.51,11
CDM,PX-40000054,US Saline Infus Son Incl Color Flow,1205.0,903.75,849.28,1123.06,5
CDM,PX-40000055,US Pelvis Non OB,1671.0,1253.25,835.5,1557.37,11
CDM,PX-40000056,US Pelvis Non OB Ltd,827.0,620.25,413.5,770.76,5
CDM,PX-40000057,US Scrotum,1652.0,1239.0,826.0,1539.66,9
CDM,PX-40000065,US Lmtd Jt/Fcl Eval Nonvasc Xtr Strux R-T W/Img,329.0,246.75,164.5,164.5,1
CDM,PX-40000071,US Guided Vascular Access,931.0,698.25,465.5,656.17,2
CDM,PX-40000074,US Guided Needle Placement,1476.0,1107.0,1024.34,1161.61,4
CDM,PX-40000097,Mammogram Screen Bilat Digital (Incl. Cad),814.0,610.5,407.0,758.65,16
CDM,PX-40000140,US Breast Uni Real Time With Image Limited,813.0,609.75,406.5,406.5,1
CDM,PX-40000148,US Abdominal Aorta Real Time Screen Study Aaa,394.0,295.5,197.0,310.08,5
CDM,PX-41000006,Resp Function Group,352.0,264.0,176.0,176.0,1
CDM,PX-41000020,Bwh Therapeutic Ambulation 1 on 1 per 15 Min,186.0,139.5,93.0,160.7,4
CDM,PX-41000043,Spulse Oximetry - Spot,46.0,34.5,23.0,23.0,2
CDM,PX-42000017,Pt E-Stim Attended 15 Min,102.0,76.5,70.79,74.36,2
CDM,PX-42000020,Pt Ultrasound 15 Min,68.0,51.0,47.19,58.75,3
CDM,PX-42000023,Pt Exercise Therapeutic 15 Min,169.0,126.75,84.5,146.02,7
CDM,PX-42000024,Pt Neuromuscular Re-ED 15 Min,179.0,134.25,89.5,154.66,4
CDM,PX-42000026,Pt Gait Training 15 Min,152.0,114.0,76.0,131.33,4
CDM,PX-42000029,Pt Manual Therapy 15 Min,158.0,118.5,79.0,136.51,6
CDM,PX-42000031,Pt Therapeutic Activity 15 Min,186.0,139.5,93.0,160.7,4
CDM,PX-42000034,Pt Home Instruction/Program 15min,186.0,139.5,93.0,160.7,4
CDM,PX-42000039,Pt Debride/Rem Dev Tiss <20 Sq Cm,874.0,655.5,687.84,687.84,1
CDM,PX-42000046,Pt Orthotic Mngmnt/Fit/Tran 15 Min,205.0,153.75,149.45,177.12,2
CDM,PX-42000098,"Physical Therapy Evaluation, Low Complexity",450.0,337.5,225.0,388.8,7
CDM,PX-42000099,"Physical Therapy Evaluation, Moderate Complexity",450.0,337.5,225.0,419.4,6
CDM,PX-42000108,Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins,205.0,153.75,149.45,177.12,2
CDM,PX-42000111,Developmental Screen W/Scoring & Doc Std Instrm (Pt),71.0,53.25,41.89,66.17,10
CDM,PX-43000017,Ot E-Stim Attended 15 Min,102.0,76.5,70.79,74.36,2
CDM,PX-43000020,Ot Ultrasound 15 Min,68.0,51.0,47.19,58.75,3
CDM,PX-43000023,Ot Exercise Therapeutic 15 Min,169.0,126.75,84.5,146.02,7
CDM,PX-43000024,Ot Neuromuscular Re-ED 15 Min,179.0,134.25,89.5,154.66,4
CDM,PX-43000029,Ot Manual Therapy 15 Min,158.0,118.5,79.0,136.51,6
CDM,PX-43000031,Ot Therapeutic Activity 15 Min,186.0,139.5,93.0,160.7,4
CDM,PX-43000034,Ot Home Instruction/Program 15min,186.0,139.5,93.0,160.7,4
CDM,PX-43000039,Ot Debride/Rem Dev Tiss <20 Sq Cm,874.0,655.5,687.84,687.84,1
CDM,PX-43000046,Ot Orthotic Mngmnt/Fit/Tran 15 Min,205.0,153.75,149.45,177.12,2
CDM,PX-43000107,Stndrd Cogn Perf Test per Hr,418.0,313.5,209.0,209.0,1
CDM,PX-43000108,"Occupational Therapy Evaluation, Low Complexity",434.0,325.5,217.0,374.98,4
CDM,PX-43000115,Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins,205.0,153.75,149.45,177.12,2
CDM,PX-43000118,Developmental Screen W/Scoring & Doc Std Instrm (Ot),71.0,53.25,41.89,66.17,10
CDM,PX-44000005,St Treatment Speech/Lang/Comm Ind,686.0,514.5,343.0,500.09,3
CDM,PX-44000011,St Eval Oral/Swallow Function,416.0,312.0,303.26,303.26,1
CDM,PX-44000012,St Eval Swallow Video/Fluoro,463.0,347.25,337.53,337.53,1
CDM,PX-44000059,Evaluate Speech Production,506.0,379.5,368.87,368.87,1
CDM,PX-44000060,Speech Sound Lang Comprehen,1031.0,773.25,515.5,751.6,3
CDM,PX-44000061,Behavral Qualit Analys Voice,515.0,386.25,257.5,257.5,1
CDM,PX-44000087,"Standardized Cognitive Prformance Testiing, per Hr (Gn)",418.0,313.5,209.0,209.0,1
CDM,PX-44000092,Developmental Screen W/Scoring & Doc Std Instrm (St),71.0,53.25,41.89,66.17,10
CDM,PX-44000096,Ther Ivntj Cog Funcj Cntct 1st 15 Minutes,131.0,98.25,65.5,65.5,1
CDM,PX-44000097,Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes,127.0,95.25,63.5,63.5,1
CDM,PX-45000003,Emergency Department Visit Low Mdm,976.0,732.0,768.11,768.11,1
CDM,PX-45000004,Emergency Department Visit Moderate Mdm,1689.0,1266.75,1148.35,1574.15,4
CDM,PX-45000005,Emergency Department Visit High Mdm,2668.0,2001.0,1334.0,2486.58,19
CDM,PX-45000006,HC Critical Care; First 30-74 Minutes,2978.0,2233.5,1337.12,2098.89,8
CDM,PX-46000001,Nonpressurized Inhalation Treatment,293.0,219.75,131.56,273.08,10
CDM,PX-46000001,Nonpressurized Inhalation Treatment|REPEAT PROCEDURE BY SAME PHYSICIAN,293.0,219.75,146.5,146.5,2
CDM,PX-46000005,Cpap Treatment,563.0,422.25,281.5,390.72,3
CDM,PX-46000008,Chest Physiotherapy Initial,389.0,291.75,194.5,306.14,3
CDM,PX-46000014,Spirometry/Pft Smp,478.0,358.5,336.89,336.89,1
CDM,PX-46000020,Spirometry/Pft Pre & Post Bronch,827.0,620.25,413.5,765.47,11
CDM,PX-46000030,Respiratory Flow Volume Loop,675.0,506.25,337.5,475.74,5
CDM,PX-46000044,Gas Dilution/Washout Determine Lung,499.0,374.25,249.5,461.87,10
CDM,PX-46000046,Carbon Monoxide Diff (Dlco),949.0,711.75,474.5,878.39,10
CDM,PX-46000048,Pulse Ox Single Determination,46.0,34.5,23.0,23.0,2
CDM,PX-46000049,Pulse Ox Multi Determinations,98.0,73.5,49.0,90.71,2
CDM,PX-46000084,Pulmonary Stress Testing,225.0,168.75,112.5,158.58,6
CDM,PX-46000086,Xers Tst Brncspsm Pre&Post Spmtry&Pls Ox WO /Ecg,945.0,708.75,472.5,472.5,1
CDM,PX-47000013,Aud Pure Tone Air Only,143.0,107.25,99.24,133.28,9
CDM,PX-48000003,Cardioversion Elective External,3409.0,2556.75,1704.5,2945.38,7
CDM,PX-48000005,Prog Dev Eval Single Lead Pcmkr,187.0,140.25,93.5,93.5,1
CDM,PX-48000006,Prog Dev Eval Dual Lead Pcmkr,218.0,163.5,109.0,158.92,3
CDM,PX-48000008,Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb,202.0,151.5,101.0,101.0,1
CDM,PX-48000009,HC Prgrmg Eval Implantable in Prsn Dual Lead Dfb,221.0,165.75,110.5,173.93,4
CDM,PX-48000010,Prgrmg Eval Implantable in Person Multi Lead Dfb,236.0,177.0,118.0,172.04,3
CDM,PX-48000014,Interrogation Dev Eval Pacemaker,186.0,139.5,93.0,93.0,1
CDM,PX-48000020,Interrogation Remote </90 D Technician Review,806.0,604.5,403.0,634.32,8
CDM,PX-48000032,Cardiac Rehab W/O Monitor Session,389.0,291.75,194.5,194.5,3
CDM,PX-48000173,Stress Test Tracing Only,1355.0,1016.25,677.5,1262.86,12
CDM,PX-48000184,Echo 2d With Spec/Color Flow M-Mode W/Cont or W/O Fol W/Cont,2560.0,1920.0,1004.76,2369.54,6
CDM,PX-48000188,Echo Transthoracic W/Cont or W/O Fol W/Cont,1205.0,903.75,602.5,602.5,1
CDM,PX-48000189,Echo Transthoracic W/WO Fol W/Cont,1181.0,885.75,590.5,929.45,5
CDM,PX-48000199,Echo Doppler,903.0,677.25,451.5,658.29,3
CDM,PX-48000200,Echo Doppler Ltd,564.0,423.0,282.0,522.04,10
CDM,PX-48000201,Echo Color Flow Velocity Mapping,662.0,496.5,331.0,612.75,10
CDM,PX-48000202,Echo Rest & Stress W/Pro Fee W/Cont or W/O Fol W/Cont,2281.0,1710.75,1140.5,2111.29,5
CDM,PX-48000413,Complete Tthrc Echo Congenital Cardiac Anomaly,2172.0,1629.0,1530.83,1530.83,1
CDM,PX-48000415,Echo Transthorac R-T 2d W/WO M-Mode Rec Comp,2028.0,1521.0,1014.0,1014.0,1
CDM,PX-48000416,Echo Transthorc R-T 2d W/WO M-Mode Rec F-Up/Lmtd,1181.0,885.75,590.5,929.45,5
CDM,PX-48000418,Echo Tthrc R-T 2d W/WO M-Mode Complete Rest&St,2405.0,1803.75,1202.5,1892.74,6
CDM,PX-48000419,Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr D,2560.0,1920.0,1280.0,2385.92,16
CDM,PX-48000440,Interro Eval Cardiac Modulj,922.0,691.5,461.0,461.0,1
CDM,PX-48000441,Myocardial Strain Imaging Quan Assmt,773.0,579.75,386.5,608.35,5
CDM,PX-48000523,Rem Interrog Icpms <30 D Phys/Qhp,484.0,363.0,242.0,242.0,1
CDM,PX-48000524,Rem Interrog Scrms <30 D Phys/Qhp,577.0,432.75,288.5,406.67,4
CDM,PX-51000040,External Ocular Photography,225.0,168.75,112.5,112.5,1
CDM,PX-51000073,Screen Visual Acuity Qn Bilat,42.0,31.5,29.15,39.14,3
CDM,PX-51000076,"Office Visit, New Patient",119.0,89.25,83.87,110.91,7
CDM,PX-51000077,"Office Visit, New Patient",182.0,136.5,107.38,169.62,11
CDM,PX-51000078,"Office Visit, New Patient",340.0,255.0,200.6,316.88,13
CDM,PX-51000079,"Office Visit, New Patient",396.0,297.0,233.64,369.07,9
CDM,PX-51000080,"Office Visit, Established Pat",82.0,61.5,56.91,163.89,9
CDM,PX-51000081,"Office Visit, Established Pat",127.0,95.25,88.14,163.89,12
CDM,PX-51000082,"Office Visit, Established Pat",156.0,117.0,92.04,163.89,20
CDM,PX-51000083,"Office Visit, Established Pat",222.0,166.5,130.98,206.9,19
CDM,PX-51000084,"Office Visit, Established Pat",300.0,225.0,163.89,279.6,17
CDM,PX-51000084,"Office Visit, Established Pat|SIGNIFICANT, SEPARATELY IDENTIFIABLE EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN ON THE SAME DAY OF THE PROCEDURE OR OTHER SERVICE",300.0,225.0,150.0,150.0,6
CDM,PX-51000084,"Office Visit, Established Pat|SYNCHRONOUS TELEMEDICINE",300.0,225.0,150.0,150.0,1
CDM,PX-51000111,Trimming Nails Dystrophic,24.0,18.0,75.54,75.54,2
CDM,PX-51000128,Annual Alcohol Misuse Scrnng,51.0,38.25,35.94,40.14,6
CDM,PX-51000129,Brief Ftf Behav Cnsl Alcohol Mis,128.0,96.0,117.64,117.64,1
CDM,PX-51000130,Annual Depression Screening 15,28.0,21.0,19.73,37.89,6
CDM,PX-51000133,Face-to-Face Behavioral Cnsl Obe,129.0,96.75,64.5,120.23,7
CDM,PX-51000134,Annual Wellness Visit (PPS) Initial,511.0,383.25,255.5,402.16,3
CDM,PX-51000135,Annual Wellness Visit (PPS) Subseq,476.0,357.0,238.0,443.63,9
CDM,PX-51000136,Transj Care Mgmt Mod Mdm F2f 14 Cal D Discharge,584.0,438.0,163.89,504.58,10
CDM,PX-51000137,Transj Care Mgmt High Mdm F2f 7 Cal D Discharge,595.0,446.25,163.89,550.73,9
CDM,PX-51000138,Annual Wellness Visit (PPS) Initial,511.0,383.25,255.5,402.16,3
CDM,PX-51000144,Prvnt Phys Exam Init Face-Face 1st,240.0,180.0,163.89,163.89,1
CDM,PX-51000533,Neg Pressure Wound Therapy Non-Dme </= 50 Sq Cm,123.0,92.25,508.1,508.1,1
CDM,PX-51000555,Application Topical Fluoride Varnish by Phs/Qhp,39.0,29.25,27.07,36.35,8
CDM,PX-51000573,Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm,123.0,92.25,508.1,508.1,1
CDM,PX-51000633,Phys/Qhp Telephone Evaluation 11-20 Min,107.0,80.25,84.21,84.21,1
CDM,PX-51000634,Phys/Qhp Telephone Evaluation 21-30 Min,161.0,120.75,126.71,126.71,1
CDM,PX-51000652,Synchronous Audio-Video Visit New Low Mdm 30 Min,358.0,268.5,248.45,333.66,5
CDM,PX-51000653,Synchronous Audio-Video Visit New Mod Mdm 45 Min,580.0,435.0,422.82,540.56,4
CDM,PX-51000654,Synchronous Audio-Video Vst New High Mdm 60 Min,749.0,561.75,519.81,589.46,3
CDM,PX-51000655,Synchronous Audio-Video Visit Est Sf Mdm 10 Min,160.0,120.0,111.04,149.12,5
CDM,PX-51000656,Synchronous Audio-Video Visit Est Low Mdm 20 Min,229.0,171.75,135.11,213.43,6
CDM,PX-51000657,Synchronous Audio-Video Visit Est Mod Mdm 30 Min,359.0,269.25,211.81,334.59,7
CDM,PX-51000658,Synchronous Audio-Video Vst Est High Mdm 40 Min,459.0,344.25,334.61,396.58,3
CDM,PX-51000663,Synchronous Audio-Only Visit Est Sf Mdm 10 Min,160.0,120.0,111.04,125.92,2
CDM,PX-51000664,Synchronous Audio-Only Visit Est Low Mdm 20 Min,229.0,171.75,158.93,213.43,4
CDM,PX-51000665,Synchronous Audio-Only Visit Est Mod Mdm 30 Min,359.0,269.25,249.15,282.53,3
CDM,PX-61000009,MRI Orbit/Face/Neck W/O Cont,2728.0,2046.0,2146.94,2146.94,1
CDM,PX-61000015,MRI Orbit/Face/Neck W&W/O Cont,3334.0,2500.5,1667.0,3085.95,6
CDM,PX-61000016,MRI Brain W/O Cont,2822.0,2116.5,1411.0,2630.1,10
CDM,PX-61000017,MRI Brain W/Cont,3267.0,2450.25,2381.64,2381.64,1
CDM,PX-61000018,MRI Brain W&W/O Cont,3758.0,2818.5,1879.0,3502.46,12
CDM,PX-61000024,MRI C-Spine W/O Cont,2859.0,2144.25,1429.5,2664.59,9
CDM,PX-61000026,MRI T-Spine W/O Cont,2859.0,2144.25,1429.5,2084.21,5
CDM,PX-61000028,MRI L-Spine W/O Cont,2859.0,2144.25,1429.5,2664.59,11
CDM,PX-61000029,MRI L-Spine W/Cont,3288.0,2466.0,1644.0,1644.0,1
CDM,PX-61000030,MRI C-Spine W&W/O Cont,3617.0,2712.75,1808.5,2549.26,3
CDM,PX-61000031,MRI T-Spine W&W/O Cont,3617.0,2712.75,1808.5,2846.58,6
CDM,PX-61000032,MRI L-Spine W&W/O Cont,3617.0,2712.75,1808.5,2846.58,5
CDM,PX-61000035,MRI Chest W/O Cont,2948.0,2211.0,1474.0,1474.0,1
CDM,PX-61000037,MRI Chest W&W/O Cont,3901.0,2925.75,1950.5,3635.73,4
CDM,PX-61000038,MRI Pelvis W/O Cont,2589.0,1941.75,1294.5,2412.95,4
CDM,PX-61000040,MRI Pelvis W&W/O Cont,3761.0,2820.75,1880.5,3505.25,8
CDM,PX-61000050,MRI Upr Ext Joint W/O Cont,2867.0,2150.25,1433.5,2256.33,2
CDM,PX-61000055,MRI Lwr Ext W/O Cont,2802.0,2101.5,1401.0,1401.0,1
CDM,PX-61000062,MRI Lwr Ext Joint W/O Cont,2891.0,2168.25,1445.5,1445.5,1
CDM,PX-61000065,MRI Abdomen W/O Cont,2739.0,2054.25,1369.5,1996.73,5
CDM,PX-61000066,MRI Abdomen W/Cont,3109.0,2331.75,1554.5,1554.5,1
CDM,PX-61000067,MRI Abdomen W&W/O Cont,4043.0,3032.25,2021.5,3181.84,9
CDM,PX-61000076,MRI Breast Bilat W/O Cont,4092.0,3069.0,2884.04,2983.07,2
CDM,PX-61000077,MRI Computer Aided Breast MRI Inc A,179.0,134.25,89.5,89.5,1
CDM,PX-61000081,Mra Head W/O Cont,2791.0,2093.25,1395.5,2196.52,4
CDM,PX-61000084,Mra Neck W/O Cont,2790.0,2092.5,1395.0,1395.0,1
CDM,PX-61000085,Mra Neck W/Cont,3124.0,2343.0,1562.0,2201.8,3
CDM,PX-61000086,Mra Neck W&W/O Cont,3675.0,2756.25,1837.5,2892.23,3
CDM,PX-61000105,Mra Chest W&W/O Contrast,3390.0,2542.5,1695.0,1695.0,1
CDM,PX-61000122,MRI Tmj Unilat or Bilat,2289.0,1716.75,1144.5,1144.5,1
CDM,PX-61000123,Mra Abdomen W&W/O Cont,2773.0,2079.75,1386.5,1386.5,1
CDM,PX-61000124,MRI Breast Bilat W&W/O Cont,4092.0,3069.0,2046.0,2046.0,1
CDM,PX-61000127,Mra Abdomen W/WO Contrast Material,2222.0,1666.5,1566.07,1619.84,2
CDM,PX-61000159,MRI Breast Without&With Contrast W/Cad Bilateral,1826.0,1369.5,1267.24,1701.83,7
CDM,PX-63600301,Hepa Vaccine Adult Dose for Intramuscular Use,124.56,93.42,86.44,98.03,5
CDM,PX-63600305,Hib Prp-T Vaccine 4 Dose Schedule Im Use,22.12,16.59,11.06,11.06,1
CDM,PX-63600317,Measles Mumps Rubella Virus Vaccine Live Subq,163.54,122.65,113.5,152.42,6
CDM,PX-63600320,Var Vaccine Live for Subcutaneous Use,301.94,226.45,212.81,212.81,1
CDM,PX-63600324,Menacwyd/Menacwy-CRM Conj Vacc Grps Acwy Im Use,197.98,148.48,139.54,184.52,3
CDM,PX-63600327,Hepb Vaccine Adult 3 Dose Schedule for Im Use,83.0,62.25,60.51,60.51,1
CDM,PX-63600480,Typhoid Vaccine VI Capsular Polysaccharide Im,217.6,163.2,108.8,153.36,2
CDM,PX-63600500,Iiv4 Vacc Presrv Free 0.5 Ml Dos for Im Use,33.32,24.99,23.12,24.29,2
CDM,PX-63601002,Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use,28.4,21.3,14.2,26.47,10
CDM,PX-63601004,Rabies Vaccine Intramuscular,632.73,474.55,316.37,589.7,6
CDM,PX-63601005,Tdap Vaccine 7 Yrs/> Im,48.96,36.72,28.89,45.63,10
CDM,PX-63601068,Td Vaccine Prsrv Free 7 Yrs or Older for Im Use,47.58,35.68,33.53,34.69,2
CDM,PX-63601114,Iiv Vaccine Preserv Free Increased Ag Content Im,125.15,93.86,62.58,116.64,7
CDM,PX-63601155,Menb-4c Recombnt Prot & Outer Memb Vesic Vacc Im,309.0,231.75,214.45,287.99,8
CDM,PX-63601160,9vhpv Vacc 2/3 Dose Sched Im Use,474.28,355.71,329.15,438.99,6
CDM,PX-63601284,HC Hzv Zoster Vacc Recombinant Adjuvanted Im Njx,304.76,228.57,179.81,284.04,10
CDM,PX-63601352,Pcv20 Vaccine for Intramuscular Use,442.46,331.84,221.23,412.37,12
CDM,PX-63601408,Sarscov2 Vacc 30mcg/0.3ml Tris-Sucrose Im Use,230.0,172.5,115.0,214.36,12
CDM,PX-63601410,Sarscov2 Vaccine 50 Mcg/0.5 Ml for Im Use,257.5,193.12,128.75,178.71,2
CDM,PX-63601422,Rsv Vaccine Pref Subunit Bivalent for Im Use,551.6,413.7,388.77,510.56,4
CDM,PX-63601445,Pcv21 Vaccine for Intramuscular Use,444.56,333.42,222.28,414.33,10
CDM,PX-72000006,Test Stress Fetal,914.0,685.5,644.19,644.19,1
CDM,PX-72000007,Test Non Stress Fetal,597.0,447.75,414.32,556.4,7
CDM,PX-72000011,Curettage Postpartum,2237.0,1677.75,1520.94,1520.94,2
CDM,PX-72000020,Care Antepartum Only 4-6 Visits,3961.0,2970.75,2887.57,2887.57,1
CDM,PX-72000021,Postpartum Care Only,1524.0,1143.0,1074.12,1410.61,5
CDM,PX-72000022,Cesarean Delivery Only|ASSISTANT SURGEON,2725.0,2043.75,1852.73,1852.73,1
CDM,PX-72000026,Surg Tx Abortion Incmpl,3628.0,2721.0,2557.01,2557.01,1
CDM,PX-72000043,Ligate Tube Fallopian W/C-Section,393.0,294.75,267.2,267.2,1
CDM,PX-73000001,Ekg Routine Tracing Only,239.0,179.25,75.54,222.75,16
CDM,PX-73000001,Ekg Routine Tracing Only|REPEAT PROCEDURE BY SAME PHYSICIAN,239.0,179.25,119.5,119.5,1
CDM,PX-73000029,External Ecg Rec>48hr<7d Recording,1055.0,791.25,527.5,983.26,15
CDM,PX-73000031,External Ecg Rec>48hr<7d Review & Interpretation,535.0,401.25,267.5,498.62,15
CDM,PX-73000033,External Ecg Rec>7d<15d Recording,1410.0,1057.5,705.0,1314.12,14
CDM,PX-73000035,External Ecg Rec>7d<15d Review & Interpretation,708.0,531.0,354.0,659.86,14
CDM,PX-75000087,Egd Flex Dx W/Brushing/Washing,2361.0,1770.75,1180.5,2200.45,7
CDM,PX-75000091,Egd Flex Transoral W/Biopsy,2361.0,1770.75,1180.5,2200.45,13
CDM,PX-75000098,Egd Flex W/Place Gastrostomy Tube,749.0,561.75,527.9,527.9,2
CDM,PX-75000099,Egd Flexible Foreign Body Removal,2361.0,1770.75,1664.03,1664.03,1
CDM,PX-75000101,Egd Flex W/Balloon Dilation <30mm,953.0,714.75,476.5,647.94,2
CDM,PX-75000103,Egd W/Remove Tumor/Polyp Snare,3571.0,2678.25,1785.5,3085.34,3
CDM,PX-75000180,Sigmoidoscopy Flexible,1625.0,1218.75,812.5,1184.63,4
CDM,PX-75000181,Sigmoidoscopy W/Biopsy,1625.0,1218.75,812.5,1145.3,2
CDM,PX-75000193,Colonoscopy Flexible,3711.0,2783.25,1855.5,3458.65,11
CDM,PX-75000195,Colonoscopy W/Biopsy Single/Multiple,2597.0,1947.75,1298.5,2420.4,9
CDM,PX-75000196,HC Colsc Flx With Directed Submucosal Njx Any Sbst,2597.0,1947.75,1298.5,2420.4,6
CDM,PX-75000200,Colonoscopy Flex W/Rem Tumor Snare,2597.0,1947.75,1298.5,2420.4,11
CDM,PX-75000212,I&D Abscess Perianal Superficial,1668.0,1251.0,834.0,834.0,1
CDM,PX-75000235,Dest Lesion Anus Surgical Excision,3136.0,2352.0,2176.38,2176.38,1
CDM,PX-75000277,Abdominal Paracentesis W/O Imaging,1743.0,1307.25,871.5,871.5,1
CDM,PX-75000278,Abdominal Paracentesis W/ Imaging,2676.0,2007.0,1338.0,1886.04,2
CDM,PX-75000329,Colon Cancer Scr Colonoscopy,3711.0,2783.25,1855.5,1855.5,1
CDM,PX-75000330,Colon Cancer Scr Non-Hr,3711.0,2783.25,1855.5,1855.5,1
CDM,PX-75000414,Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les,1174.0,880.5,587.0,587.0,1
CDM,PX-75000417,Colonoscopy Flx Dx W/Collj Spec When Pfrmd,3711.0,2783.25,1855.5,3458.65,11
CDM,PX-75000418,Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq,2597.0,1947.75,1298.5,2420.4,11
CDM,PX-75000420,Colonoscopy Flx Ablation Tumor Polyp/Other Les,2820.0,2115.0,1410.0,1410.0,1
CDM,PX-75000480,Perq Replacement Gtube Not Req Revj Gstrst Trc,211.0,158.25,309.3,309.3,1
CDM,PX-75000534,Int Hrhc Transanal Hroid Dartlzj 2+ W/US Gdn,2678.0,2008.5,1339.0,1339.0,1
CDM,PX-76000003,Extraction,461.0,345.75,230.5,230.5,1
CDM,PX-76000004,I&D Abscess Smp,563.0,422.25,252.7,521.11,8
CDM,PX-76000005,I&D Abscess Cplx,826.0,619.5,413.0,413.0,1
CDM,PX-76000008,Incision/Remove FB Subq Smp,969.0,726.75,508.1,682.95,3
CDM,PX-76000009,Incision/Remove FB Subq Complex,880.0,660.0,440.0,440.0,1
CDM,PX-76000010,I&D Hematoma/Seroma/Fluid,2978.0,2233.5,1489.0,1489.0,1
CDM,PX-76000011,Aspiration Abscess/Hema/Bulla/Cyst,563.0,422.25,396.8,508.1,2
CDM,PX-76000022,Debride Skin/Subq Tissue,1010.0,757.5,508.1,794.87,6
CDM,PX-76000023,Debride Skin/Subq Tissue/Muscle,1229.0,921.75,1145.43,1145.43,1
CDM,PX-76000028,Paring/Cutting Lesn Benign 1,295.0,221.25,252.7,252.7,1
CDM,PX-76000029,Paring/Cutting Lesn Benign 2-4,392.0,294.0,252.7,276.28,3
CDM,PX-76000033,Remove Tag Skin <15,357.0,267.75,178.5,308.45,6
CDM,PX-76000035,Shave Lesn Trunk/Arm/Leg <0.5cm,148.0,111.0,116.48,116.48,1
CDM,PX-76000036,Shave Lesn Trunk/Arm/Leg 0.6-1.0cm,256.0,192.0,180.43,221.18,2
CDM,PX-76000044,Shave Lesn Face/Ear/Lip 0.6-1.0cm,266.0,199.5,133.0,229.82,3
CDM,PX-76000047,Exc Lesn Bgn Trunk/Arm/Leg <0.5cm,1755.0,1316.25,877.5,877.5,1
CDM,PX-76000048,Exc Lesn Bgn Trunk/Arm/Leg .6-1.0cm,2336.0,1752.0,1168.0,2018.3,8
CDM,PX-76000049,Exc Lesn Bgn Trunk/Arm/Leg 1.1-2.0,2561.0,1920.75,1280.5,2212.7,5
CDM,PX-76000050,Exc Lesn Bgn Trunk/Arm/Leg 2.1-3.0,3287.0,2465.25,894.79,2586.87,5
CDM,PX-76000051,Exc Lesn Bgn Trunk/Arm/Leg 3.1-4.0,3609.0,2706.75,1804.5,2543.62,3
CDM,PX-76000052,Exc Lesn Bgn Trunk/Arm/Leg >4.0cm,5347.0,4010.25,2673.5,3768.57,2
CDM,PX-76000054,Exc Lesn Bgn Sclp/Hnd/Gen 0.6-1.0cm,2521.0,1890.75,894.79,1984.03,4
CDM,PX-76000055,Exc Lesn Bgn Sclp/Hnd/Gen 1.1-2.0cm,3114.0,2335.5,2060.54,2194.75,2
CDM,PX-76000056,Exc Lesn Bgn Sclp/Hnd/Gen 2.1-3.0cm,4049.0,3036.75,2853.74,2853.74,2
CDM,PX-76000058,Exc Lesn Bgn Sclp/Hnd/Gen >4.0cm,6135.0,4601.25,4323.95,4828.25,2
CDM,PX-76000059,Exc Lesn Bgn Face/Ear/Lip <0.5cm,2234.0,1675.5,1628.59,1628.59,1
CDM,PX-76000060,Exc Lesn Bgn Face/Ear/Lip 0.6-1.0cm,1334.0,1000.5,667.0,1049.86,3
CDM,PX-76000061,Exc Lesn Bgn Face/Ear/Lip 1.1-2.0cm,3326.0,2494.5,1663.0,2344.16,2
CDM,PX-76000063,Exc Lesn Bgn Face/Ear/Lip 3.1-4.0cm,2254.0,1690.5,1127.0,1127.0,1
CDM,PX-76000064,Exc Lesn Bgn Face/Ear/Lip >4.0cm,3066.0,2299.5,2235.11,2235.11,1
CDM,PX-76000068,Exc Lesn Mal Trunk/Arm/Leg <0.5cm,2526.0,1894.5,1263.0,1841.45,3
CDM,PX-76000069,Exc Lesn Mal Trunk/Arm/Leg .6-1.0cm,1372.0,1029.0,894.79,1185.41,6
CDM,PX-76000070,Exc Lesn Mal Trunk/Arm/Leg 1.1-2.0,1656.0,1242.0,508.1,1543.39,9
CDM,PX-76000071,Exc Lesn Mal Trunk/Arm/Leg 2.1-3.0,1727.0,1295.25,894.79,1359.15,5
CDM,PX-76000072,Exc Lesn Mal Trunk/Arm/Leg 3.1-4.0,3022.0,2266.5,894.79,2129.91,4
CDM,PX-76000073,Exc Lesn Mal Trunk/Arm/Leg >4.0cm,4049.0,3036.75,2060.54,2853.74,3
CDM,PX-76000076,Exc Lesn Mal Sclp/Hnd/Gen 1.1-2.0cm,2265.0,1698.75,1132.5,1132.5,2
CDM,PX-76000077,Exc Lesn Mal Sclp/Hnd/Gen 2.1-3.0cm,2796.0,2097.0,2060.54,2060.54,1
CDM,PX-76000078,Exc Lesn Mal Sclp/Hnd/Gen 3.1-4.0cm,4049.0,3036.75,2060.54,2060.54,1
CDM,PX-76000079,Exc Lesn Mal Sclp/Hnd/Gen >4.0cm,6135.0,4601.25,3639.81,3639.81,1
CDM,PX-76000083,Exc Lesn Mal Face/Ear/Lip 2.1-3.0cm,2323.0,1742.25,1161.5,1161.5,1
CDM,PX-76000087,Debride Nail(S) Up to 5,209.0,156.75,75.54,164.48,5
CDM,PX-76000088,Debride Nail(S) 6 or More,215.0,161.25,75.54,169.21,7
CDM,PX-76000089,Avulsion Nail Plate Single,520.0,390.0,252.7,449.28,3
CDM,PX-76000090,Avulsion Nail Plate Ea Add,641.0,480.75,320.5,320.5,1
CDM,PX-76000092,Exc Nail & Matrix,1125.0,843.75,885.38,885.38,1
CDM,PX-76000099,Inject Intralesnal <7 Lesions,295.0,221.25,207.92,273.05,6
CDM,PX-76000100,Inject Intralesnal >7 Lesions,208.0,156.0,104.0,193.86,2
CDM,PX-76000104,Insert Drug Implant Device - 11981,348.0,261.0,245.27,273.88,4
CDM,PX-76000106,Rpr Lac Smp Sclp/Hnd/Gen <2.5cm,503.0,377.25,251.5,251.5,1
CDM,PX-76000109,Rpr Lac Smp Sclp/Hnd/Gen 12.6-20.0,808.0,606.0,404.0,404.0,1
CDM,PX-76000112,Rpr Lac Smp Face/Ear/Lip <2.5cm,523.0,392.25,261.5,261.5,1
CDM,PX-76000121,Rpr Lac Intermd Scalp/Axil <2.5cm,849.0,636.75,424.5,733.54,10
CDM,PX-76000122,Rpr Lac Intermd Scalp/Axil 2.6-7.5,1027.0,770.25,508.1,808.25,7
CDM,PX-76000123,Rpr Lac Intermd Scalp/Axil 7.6-12.5,4738.0,3553.5,508.1,3288.17,2
CDM,PX-76000127,Rpr Lac Intermd Hnd/Ft/Gen <2.5cm,890.0,667.5,508.1,700.43,4
CDM,PX-76000128,Rpr Lac Intermd Hnd/Ft/Gen 2.6-7.5,1019.0,764.25,508.1,718.19,3
CDM,PX-76000133,Rpr Lac Intermd Face/Ear/Lip <2.5cm,950.0,712.5,508.1,747.65,3
CDM,PX-76000134,Rpr Lac Intermd Face/Ear/Lip2.6-5.0,1131.0,848.25,565.5,565.5,1
CDM,PX-76000135,Rpr Lac Intermd Face/Ear/Lip5.1-7.5,1131.0,848.25,565.5,565.5,1
CDM,PX-76000140,Rpr Lac Cplx Trunk 1.1-2.5cm,1212.0,909.0,778.48,778.48,1
CDM,PX-76000141,Rpr Lac Cplx Trunk 2.6-7.5cm,1978.0,1483.5,778.48,1843.5,9
CDM,PX-76000142,Rpr Lac Cplx Trunk Ea Add 5cm,1593.0,1194.75,796.5,796.5,1
CDM,PX-76000143,Rpr Lac Cplx Scalp/Arm/Leg 1.1-2.5,1262.0,946.5,778.48,920.0,2
CDM,PX-76000144,Rpr Lac Cplx Scalp/Arm/Leg 2-7.5cm,1674.0,1255.5,837.0,1560.17,6
CDM,PX-76000145,Rpr Lac Cplx Scalp/Arm/Leg Add <5cm,1861.0,1395.75,930.5,930.5,1
CDM,PX-76000146,Repair Complex 1.1-2.5 Cm - 13131,1399.0,1049.25,699.5,986.02,2
CDM,PX-76000147,Repair Complex 2.6-7.5 Cm - 13132,2367.0,1775.25,778.48,1668.26,4
CDM,PX-76000150,Rpr Lac Cplx Eye/Ear/Lip 1.1-2.5cm,1599.0,1199.25,778.48,1126.98,2
CDM,PX-76000154,Transfer Tissue Trunk <10cm,4842.0,3631.5,2421.0,2421.0,1
CDM,PX-76000155,Transfer Tissue Trunk 10.1-30.0cm,4842.0,3631.5,2326.32,3810.65,3
CDM,PX-76000156,Trnsf Tissue Sclp/Arm/Lg <10cm,4842.0,3631.5,2421.0,3810.65,3
CDM,PX-76000157,Trnsf Tissue Sclp/Arm/Lg 10-30cm,4842.0,3631.5,2326.32,3810.65,5
CDM,PX-76000158,Trnsf Tissue Head/Hand/Foot <10cm,4842.0,3631.5,2326.32,3529.82,3
CDM,PX-76000159,Trnsf Tissue Head/Hand/Foot 10-30cm,4842.0,3631.5,2326.32,3810.65,6
CDM,PX-76000160,Trnsf Tissue Eye/Nose/Ear/Lip <10cm,3479.0,2609.25,2326.32,2452.0,4
CDM,PX-76000161,Trnsf Tissue Eye/Nose/Ear/Lip 10-30,5055.0,3791.25,2326.32,3562.76,3
CDM,PX-76000162,Trnsf Tissue Any Area 30.1-60 Sqcm,4880.0,3660.0,4516.93,4655.83,4
CDM,PX-76000162,Trnsf Tissue Any Area 30.1-60 Sqcm|ASSISTANT AT SURGERY SERVICE,1220.0,915.0,4655.83,4655.83,1
CDM,PX-76000162,Trnsf Tissue Any Area 30.1-60 Sqcm|ASSISTANT SURGEON|ASSISTANT AT SURGERY SERVICE,305.0,228.75,4655.83,4655.83,1
CDM,PX-76000163,Trnsf Tissue Any Area Ea Addl 30,1239.0,929.25,619.5,619.5,1
CDM,PX-76000168,Graft Split Face 1st 100 Sq Cm Chld,7966.0,5974.5,3983.0,3983.0,1
CDM,PX-76000171,Graft Full Scalp/Arm/Leg <20cm,4964.0,3723.0,2326.32,2326.32,2
CDM,PX-76000173,Graft Full Forehd/Chin/Mth <20cm,4842.0,3631.5,2326.32,2326.32,1
CDM,PX-76000175,Graft Full Eye/Ns/Ear/Lip <20cm,4842.0,3631.5,2326.32,2326.32,2
CDM,PX-76000201,Blepharoplasty Upper Excess Skin|BILATERAL PROCEDURE,4842.0,3631.5,2326.32,2326.32,2
CDM,PX-76000210,Dest Lesn Premalignant 1st Lesion,296.0,222.0,148.0,275.87,13
CDM,PX-76000211,Dest Lesn Bgn/Premalig 2-14,56.0,42.0,28.0,52.19,13
CDM,PX-76000212,Dest Lesn Premalignant 15+ Lesions,1301.0,975.75,650.5,1204.21,6
CDM,PX-76000216,Destruct Benign Lesion Up to 14 Les,333.0,249.75,166.5,310.36,14
CDM,PX-76000217,Destruct Benign Lesions > 15,519.0,389.25,259.5,365.79,4
CDM,PX-76000218,Cautery Chemical Tissue Granulat,863.0,647.25,431.5,629.13,3
CDM,PX-76000220,Dest Lesn Mal Trunk/Arm/Leg 0.6-1.0,481.0,360.75,240.5,339.01,2
CDM,PX-76000221,Dest Lesn Mal Trunk/Arm/Leg 1.1-2.0,606.0,454.5,303.0,476.92,8
CDM,PX-76000222,Dest Lesn Mal Trunk/Arm/Leg 2.1-3.0,653.0,489.75,326.5,326.5,1
CDM,PX-76000227,Dest Lesn Mal Sclp/Hnd/Gen 1.1-2.0,664.0,498.0,332.0,332.0,1
CDM,PX-76000228,Dest Lesn Mal Sclp/Hnd/Gen 2.1-3.0,754.0,565.5,377.0,377.0,1
CDM,PX-76000231,Dest Lesn Mal Face/Ear/Lip 0.6-1.0,647.0,485.25,323.5,456.01,2
CDM,PX-76000232,Dest Lesn Mal Face/Ear/Lip 1.1-2.0,746.0,559.5,373.0,525.78,2
CDM,PX-76000235,Chemosurg/Mohs 1st Stg H/N/Hf/G <5,3818.0,2863.5,778.48,3533.94,12
CDM,PX-76000236,Chemosurg/Mohs Ea Addl H/N/Hf/G <5,2032.0,1524.0,1432.15,1432.15,2
CDM,PX-76000237,Chemosurg/Mohs 1st Stage T/a/L < 5,1671.0,1253.25,835.5,835.5,1
CDM,PX-76000238,Chemosurg/Mohs Ea Addl Stg T/a/L <5,1883.0,1412.25,941.5,941.5,1
CDM,PX-76000242,Aspiration Cyst Breast,1407.0,1055.25,991.65,1302.32,2
CDM,PX-76000252,Exc Cyst/Lesn Breast,6965.0,5223.75,3482.5,3482.5,1
CDM,PX-76000283,Remove FB Muscle/Tendon Smp,720.0,540.0,507.46,507.46,1
CDM,PX-76000285,Inject Carpal Tunnel Therapeutic,713.0,534.75,375.41,375.41,1
CDM,PX-76000287,Inject Single Tendon/Ligament,713.0,534.75,375.41,664.52,5
CDM,PX-76000287,Inject Single Tendon/Ligament|BILATERAL PROCEDURE,713.0,534.75,356.5,356.5,1
CDM,PX-76000288,Inject Single Tendon Origin/Insert,333.0,249.75,234.7,375.41,3
CDM,PX-76000289,Inject Trigger Point 1-2 Muscle(S),840.0,630.0,420.0,782.88,2
CDM,PX-76000290,Inject Trigger Pt 3+ Muscle Groups,932.0,699.0,466.0,733.48,4
CDM,PX-76000296,Inject Ganglion Cyst,713.0,534.75,375.41,561.13,2
CDM,PX-76000304,Rem Impl Wire Deep,5944.0,4458.0,3639.81,3639.81,1
CDM,PX-76000311,Exc Tumr Face/Scalp Subq 2+Cm,1873.0,1404.75,1320.09,1320.09,1
CDM,PX-76000353,Exc Tumor Back/Flank Subq 3cm or Gr,2540.0,1905.0,1270.0,1790.19,3
CDM,PX-76000353,Exc Tumor Back/Flank Subq 3cm or Gr|ASSISTANT AT SURGERY SERVICE,635.0,476.25,317.5,317.5,1
CDM,PX-76000353,Exc Tumor Back/Flank Subq 3cm or Gr|ASSISTANT SURGEON|ASSISTANT AT SURGERY SERVICE,158.75,119.06,79.38,79.38,1
CDM,PX-76000354,Exc Tiss Back/Flnk Subfscl 5 +,6135.0,4601.25,3639.81,4323.95,3
CDM,PX-76000354,Exc Tiss Back/Flnk Subfscl 5 +|ASSISTANT AT SURGERY SERVICE,1533.75,1150.31,1064.42,1064.42,1
CDM,PX-76000354,Exc Tiss Back/Flnk Subfscl 5 +|ASSISTANT SURGEON|ASSISTANT AT SURGERY SERVICE,383.44,287.58,3639.81,3639.81,1
CDM,PX-76000387,Tx Fx Clavicle W/O Manip Closed,1057.0,792.75,528.5,913.25,2
CDM,PX-76000393,Tx Fx Scapular W/O Manip Closed,1135.0,851.25,827.42,827.42,1
CDM,PX-76000395,Tx Fx Humerus Prox W/O Man Closed,1455.0,1091.25,305.07,1257.12,3
CDM,PX-76000397,Tx Fx Humerus Tuberos W/O Man Clsd,1225.0,918.75,612.5,612.5,1
CDM,PX-76000413,Tx Fx Humer Shaft W/O Man Closed,1548.0,1161.0,774.0,774.0,1
CDM,PX-76000432,Tx Fx Radial Head/Neck W/O Man Clsd,1143.0,857.25,571.5,571.5,1
CDM,PX-76000436,Tx Fx Ulna Prox Closed,1297.0,972.75,648.5,648.5,1
CDM,PX-76000458,Tx Fx Radial Dist W/O Man Closed,1281.0,960.75,305.07,305.07,1
CDM,PX-76000459,Tx Fx Radius/Ulna W/Man Closed,2901.0,2175.75,1450.5,1450.5,1
CDM,PX-76000466,Tx Fx Carpal W/O Manip Closed,1342.0,1006.5,671.0,671.0,1
CDM,PX-76000506,Tx Fx Phalanx Prox W/Man Clsd,1480.0,1110.0,1027.12,1027.12,1
CDM,PX-76000584,Tx Fx Patellar W/O Manip Closed,1371.0,1028.25,685.5,685.5,1
CDM,PX-76000613,Tx Fx Fibula Distal W/O Man Closed,1389.0,1041.75,963.97,1200.1,4
CDM,PX-76000616,Tx Fx Ankle Bimalleolar Closed,1441.0,1080.75,720.5,720.5,1
CDM,PX-76000646,Tx Fx Talus W/O Manip Closed,1019.0,764.25,509.5,509.5,1
CDM,PX-76000695,Apply Cast Arm Short,489.0,366.75,337.75,337.75,1
CDM,PX-76000696,Appl Cast Hand/Lower Forearm,352.0,264.0,176.0,176.0,1
CDM,PX-76000698,Apply Splint Arm Long,352.0,264.0,200.67,200.67,3
CDM,PX-76000699,Appl Splint Forarm/Arm Shrt Static,352.0,264.0,163.93,163.93,1
CDM,PX-76000713,Appl Cast Leg Short,245.0,183.75,337.75,337.75,1
CDM,PX-76000722,Strapping Knee,198.0,148.5,99.0,99.0,1
CDM,PX-76000723,Strapping Ankle and/or Foot,198.0,148.5,200.67,200.67,1
CDM,PX-76000723,Strapping Ankle and/or Foot|BILATERAL PROCEDURE,198.0,148.5,200.67,200.67,1
CDM,PX-76000724,Strapping Toes,198.0,148.5,75.54,75.54,2
CDM,PX-76000724,Strapping Toes|BILATERAL PROCEDURE,198.0,148.5,99.0,99.0,1
CDM,PX-76000725,Strapping Unna Boot,320.0,240.0,200.67,200.67,2
CDM,PX-76000726,Apply Multlay Comprs Bl Knee,209.0,156.75,200.67,200.67,1
CDM,PX-76000726,Apply Multlay Comprs Bl Knee|BILATERAL PROCEDURE,209.0,156.75,104.5,104.5,1
CDM,PX-76000731,Rem/Biv Cast Body/Gauntlet,352.0,264.0,277.02,277.02,1
CDM,PX-76000806,Aspiration Cath Nasotracheal,270.0,202.5,135.0,135.0,1
CDM,PX-76001028,Intro Needle/Intracath Vein,229.0,171.75,114.5,114.5,1
CDM,PX-76001087,Insert Device Cv W/Port > 5 Yrs,7748.0,5811.0,4002.83,5648.29,2
CDM,PX-76001104,Rem Tnld Cv Cath W/O Port/Pump,693.0,519.75,346.5,346.5,1
CDM,PX-76001105,Rem Tnld Cv Access W/Port/Pump,4753.0,3564.75,2376.5,3740.61,2
CDM,PX-76001106,Collect Blood Port/Access Dvc,169.0,126.75,84.5,119.11,6
CDM,PX-76001108,HC Collect Blood From Catheter Venous,169.0,126.75,163.93,163.93,1
CDM,PX-76001110,Declot Port Thrombolytic Agent,402.0,301.5,421.83,421.83,1
CDM,PX-76001115,Punct Arterial,346.0,259.5,173.0,320.26,6
CDM,PX-76001257,Catheter Bladder Non-Indwelling,346.0,259.5,272.3,272.3,1
CDM,PX-76001258,Catheter Bladder Smp,795.0,596.25,163.93,560.32,3
CDM,PX-76001259,Catheter Bladder Complicated,745.0,558.75,372.5,372.5,2
CDM,PX-76001260,Change Tube Cystostomy Smp,745.0,558.75,372.5,372.5,1
CDM,PX-76001270,Uroflowmetry/Ufr Cplx,531.0,398.25,265.5,265.5,1
CDM,PX-76001275,Measure Post-Void Urine by US,621.0,465.75,75.54,488.73,6
CDM,PX-76001276,Cystourethroscopy,1899.0,1424.25,848.85,1640.74,5
CDM,PX-76001281,Cysto W/Dilat Bladder Anes Local,931.0,698.25,2605.19,2605.19,1
CDM,PX-76001285,Cysto Rem FB Smp,865.0,648.75,2605.19,2605.19,1
CDM,PX-76001302,Dest Lesion Penis Smp Cryosurgery,605.0,453.75,302.5,426.4,4
CDM,PX-76001306,Circumcision W/Clamp or Othr Device,330.0,247.5,224.37,229.02,3
CDM,PX-76001320,Vasectomy Semen Exam Postop,6129.0,4596.75,4319.72,4823.52,3
CDM,PX-76001335,Biopsy Lesion Vulva/Perineum One,305.0,228.75,214.96,1107.36,5
CDM,PX-76001340,Colposcopy W/Bx Vulva,582.0,436.5,291.0,291.0,1
CDM,PX-76001346,Biopsy Mucosa Vaginal Smp,330.0,247.5,165.0,165.0,1
CDM,PX-76001352,Fitting/Insertion Pessary,446.0,334.5,255.84,255.84,2
CDM,PX-76001360,Colposcopy Entire Vagina,669.0,501.75,334.5,334.5,1
CDM,PX-76001362,Colposcopy Cervix/Vagina,669.0,501.75,464.29,526.5,3
CDM,PX-76001363,Colposcopy W/Bx Cervix & Curettage,682.0,511.5,386.85,589.25,7
CDM,PX-76001365,Colposcopy W/Endocervical Curettage,669.0,501.75,386.85,623.51,7
CDM,PX-76001366,Colposcopy W/Bx Elect Loop Cervix,3638.0,2728.5,2863.11,3143.23,2
CDM,PX-76001368,Biopsy/Exc Cervix Local,1300.0,975.0,916.24,1107.36,3
CDM,PX-76001377,Biopsy Endometrial Sampling W/O Dil,669.0,501.75,255.84,578.02,9
CDM,PX-76001382,Insert Intrauterine Device- 58300,255.0,191.25,176.97,237.66,8
CDM,PX-76001383,Remove Device Intrauterine Iud,669.0,501.75,464.29,526.5,5
CDM,PX-76001387,Cath/Intro Saline/Contrast for Sis,297.0,222.75,209.33,276.8,5
CDM,PX-76001392,Hysteroscopy Biopsy Endometrium,6229.0,4671.75,4043.56,5765.56,6
CDM,PX-76001462,Lumbar Puncture Diagnostic,1247.0,935.25,623.5,623.5,2
CDM,PX-76001499,Inject Anes Nerve Greater Occipital,1675.0,1256.25,837.5,1162.45,2
CDM,PX-76001516,Inject Anes Nerve Peripheral Other,1669.0,1251.75,880.71,1158.29,2
CDM,PX-76001516,Inject Anes Nerve Peripheral Other|BILATERAL PROCEDURE,1669.0,1251.75,834.5,834.5,1
CDM,PX-76001526,Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level,2457.0,1842.75,1228.5,1228.5,1
CDM,PX-76001531,HC Njx Dx/Ther Agt Pvrt Facet Jt Crv/Thrc 1 Level (Lt),2002.0,1501.5,1001.0,1001.0,1
CDM,PX-76001532,Inj Paravert F Jnt C/T 1 Lev,2360.0,1770.0,1180.0,1180.0,1
CDM,PX-76001535,Inj Paravert F Jnt C/T 2 Lev,1508.0,1131.0,754.0,754.0,1
CDM,PX-76001541,Inj Paravert F Jnt L/S 1 Lev,2284.0,1713.0,1142.0,1585.1,2
CDM,PX-76001544,Inj Paravert F Jnt L/S 2 Lev,1289.0,966.75,644.5,894.57,2
CDM,PX-76001576,Removal Non-Biodegradable Drug Delivery Implant,485.0,363.75,341.83,341.83,2
CDM,PX-76001587,Dest Nerve Lumbar/Sacral Sgl,5817.0,4362.75,2908.5,2908.5,1
CDM,PX-76001588,Dest Nerve Lumbar/Sacral Ea Add,1525.0,1143.75,762.5,762.5,1
CDM,PX-76001659,Probing Canaliculi Lacrimal,551.0,413.25,275.5,275.5,1
CDM,PX-76001663,Biopsy Ext Ear,247.0,185.25,123.5,230.2,3
CDM,PX-76001668,Remove Cerumen Impacted Unilate,187.0,140.25,75.54,136.32,3
CDM,PX-76001692,Debride/Rem Dev Tiss <20 Sq Cm,874.0,655.5,252.7,687.84,3
CDM,PX-76001695,Neg Pressure Wound Therapy Dme </= 50 Sq Cm,128.0,96.0,252.7,252.7,1
CDM,PX-76001812,Thoracentesis W/Imaging Guidance,2773.0,2079.75,1386.5,1386.5,1
CDM,PX-76001845,Cystourethroscopy W Inj(S) Chemoden,4128.0,3096.0,2605.19,2909.41,2
CDM,PX-76001850,Chemdnrvtn Mscl Facial Trige Cerv,713.0,534.75,502.52,561.13,4
CDM,PX-76001932,Bx Breast 1st Lesion US Imag,1652.0,1239.0,826.0,826.0,1
CDM,PX-76001949,Chemodenerv Musc Neck Dyston,2477.0,1857.75,1238.5,1238.5,1
CDM,PX-76002073,Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US,214.0,160.5,148.52,375.41,6
CDM,PX-76002074,Arthrocnt Aspir&/Inj Small Jt/Bursaw/US Rec Rprt,240.0,180.0,174.96,375.41,3
CDM,PX-76002075,Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US,220.0,165.0,152.68,375.41,4
CDM,PX-76002076,Arthrocentesis Aspir&/Inj Interm Jt/Burs W/US,272.0,204.0,198.29,880.71,4
CDM,PX-76002077,Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US,713.0,534.75,375.41,664.52,9
CDM,PX-76002077,Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US|BILATERAL PROCEDURE,713.0,534.75,375.41,375.41,2
CDM,PX-76002078,Arthrocentesis Aspir&/Inj Major Jt/Bursa W/US,1157.0,867.75,578.5,1078.32,7
CDM,PX-76002087,Behav Assmt W/Score & Docd/Stand Instrument,33.0,24.75,22.9,30.76,9
CDM,PX-76002197,Removal Impacted Cerumen Irrigation/Lvg Unilat,74.0,55.5,51.36,75.54,3
CDM,PX-76002201,Instrument Based Ocular Scr Bi W/Onsite Analysis,28.0,21.0,19.43,26.1,8
CDM,PX-76002390,Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn,603.0,452.25,301.5,439.59,4
CDM,PX-76002392,Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn,2360.0,1770.0,1180.0,2199.52,13
CDM,PX-76002470,Ex Tumor Soft Tissue Abdominal Wall Subq <3cm,1793.0,1344.75,1263.71,1263.71,1
CDM,PX-76002470,Ex Tumor Soft Tissue Abdominal Wall Subq <3cm|ASSISTANT AT SURGERY SERVICE,448.25,336.19,315.93,315.93,1
CDM,PX-76002479,Musc Myoq/Fscq Flap Head&Neck W/Named Vasc Pedcl,5975.0,4481.25,4655.83,4655.83,1
CDM,PX-76002565,Tangential Biopsy Skin Single Lesion,217.0,162.75,108.5,202.24,13
CDM,PX-76002566,Tangential Biopsy Skin Ea Sep/Additional Lesion,126.0,94.5,63.0,117.43,12
CDM,PX-76002567,Punch Biopsy Skin Single Lesion,280.0,210.0,140.0,259.17,12
CDM,PX-76002568,Punch Biopsy Skin Ea Sep/Additional Lesion,148.0,111.0,74.0,127.87,5
CDM,PX-76002569,Incisional Biopsy Skin Single Lesion,342.0,256.5,171.0,249.32,2
CDM,PX-76002573,Insertion Picc W/Rs&I 5 Yr/>,462.0,346.5,231.0,336.8,3
CDM,PX-76002767,Insertion Drug Delivery Implant,399.0,299.25,281.22,314.01,4
CDM,PX-76003014,"Cystoscopy,Tx Ureteral Stricture",1647.0,1235.25,4386.22,4386.22,1
CDM,PX-76003024,"Part Palmar Fasciec, Open, 1 Digit",5046.0,3784.5,4359.74,4359.74,1
CDM,PX-76010312,Excision Pilonidal Cyst/Sinus Extensive,4564.0,3423.0,3216.71,3216.71,1
CDM,PX-76200001,Observation 1 Hr,133.0,99.75,59.72,123.96,15
CDM,PX-76200002,Observation 1 Hr,133.0,99.75,59.72,123.96,15
CDM,PX-76200003,Observation 1 Hr,133.0,99.75,59.72,123.96,15
CDM,PX-76200004,Observation 1 Hr,133.0,99.75,59.72,123.96,15
CDM,PX-76200005,Observation 1 Hr,133.0,99.75,59.72,123.96,15
CDM,PX-76200006,Observation 1 Hr,133.0,99.75,59.72,123.96,15
CDM,PX-76200007,Direct Admission of Patient for Hospital Observation Care,110.0,82.5,86.57,86.57,1
CDM,PX-76200008,Observation Carve Out (10000 - 29999) - Integumentary/Musculoskeletal,133.0,99.75,59.72,123.96,15
CDM,PX-76200009,Observation Carve Out (50000 - 59999) - Urinary/Male/Female/Maternity,133.0,99.75,59.72,123.96,15
CDM,PX-76200010,Observation Carve Out (60000 - 69999) - Endo/Nervous/Eye/Auditory,133.0,99.75,59.72,123.96,15
CDM,PX-76200012,Observation Carve Out (90785 - 98965) - Medicine,133.0,99.75,59.72,123.96,15
CDM,PX-77000001,Preventive Med New <1 Yr,82.0,61.5,56.91,75.9,5
CDM,PX-77000002,Preventive Med New 1-4 Yrs,82.0,61.5,56.91,76.42,6
CDM,PX-77000003,Preventive Med New 5-11 Yrs,82.0,61.5,56.91,57.79,3
CDM,PX-77000004,Preventive Med New 12-17 Yrs,82.0,61.5,56.91,76.42,5
CDM,PX-77000005,Preventive Med New 18-39 Yrs,82.0,61.5,56.91,64.53,4
CDM,PX-77000006,Preventive Med New 40-64 Yrs,82.0,61.5,48.38,76.42,9
CDM,PX-77000007,Preventive Med New > 65 Yrs,82.0,61.5,59.78,59.78,1
CDM,PX-77000008,Preventive Med Estab <1 Yr,82.0,61.5,48.38,76.42,9
CDM,PX-77000009,Preventive Med Estab 1-4 Yrs,82.0,61.5,48.38,76.42,10
CDM,PX-77000010,Preventive Med Estab 5-11 Yrs,82.0,61.5,56.91,76.42,9
CDM,PX-77000011,Preventive Med Estab 12-17 Yrs,82.0,61.5,56.91,75.9,7
CDM,PX-77000012,Preventive Med Estab 18-39 Yrs,82.0,61.5,48.38,76.42,11
CDM,PX-77000013,Preventive Med Estab 40-64 Yrs,82.0,61.5,48.38,76.42,10
CDM,PX-77000014,Preventive Med Estab > 65 Yrs,82.0,61.5,41.0,76.42,8
CDM,PX-77000015,"Counseling, Preventative Med",82.0,61.5,59.78,59.78,1
CDM,PX-77000016,"Counseling, Preventative Med",121.0,90.75,85.28,88.21,2
CDM,PX-77000018,"Counseling, Preventative Med",278.0,208.5,202.66,202.66,1
CDM,PX-77000026,Cervical/Vag Cancer Screening,203.0,152.25,117.64,187.9,8
CDM,PX-77100001,Immun Admin Any Route 1st Vacc/Tox,33.0,24.75,19.47,30.76,10
CDM,PX-77100002,Immun Admin Any Route Ea Addl Vacc/,30.0,22.5,17.7,27.96,10
CDM,PX-77100003,Immune Admin One Vacc Im/Sub-Q/ID,33.0,24.75,19.47,90.51,13
CDM,PX-77100004,Immune Admin Ea Add Vacc Im/Subq,30.0,22.5,15.0,27.96,10
CDM,PX-77100005,Immune Admin One Vacc Oral/Nasal,33.0,24.75,25.97,25.97,1
CDM,PX-77100006,Immune Admin Ea Add Vacc Oral/Nasal,30.0,22.5,20.82,27.96,6
CDM,PX-77100007,Admin of Influenza Vaccine,33.0,24.75,23.26,58.68,2
CDM,PX-77100008,Admin of Influenza Vaccine,33.0,24.75,23.26,58.68,2
CDM,PX-77100009,Admin of Pneumococcal Vaccine,33.0,24.75,58.68,58.68,2
CDM,PX-77100010,Admin of Pneumococcal Vaccine,33.0,24.75,58.68,58.68,2
CDM,PX-77100011,Admin Hepatitis B Vaccine No Fee,33.0,24.75,58.68,58.68,1
CDM,PX-77100012,Admin Hepatitis B Vaccine No Fee,33.0,24.75,58.68,58.68,1
CDM,PX-77100017,Admin of Flumist Influenza Vaccine,33.0,24.75,23.26,58.68,2
CDM,PX-77100018,Vfc Im Adm Thru 18yr Any Rte 1st/Only Compt Vac/Tox,23.0,17.25,13.57,21.44,10
CDM,PX-77100020,Vfc Imadm Prq ID Subq/Im Njxs 1 Vaccine,23.0,17.25,13.57,90.51,13
CDM,PX-77100021,Vfc Imadm Prq ID Subq/Im Njxs Ea Vaccine,23.0,17.25,11.5,21.44,10
CDM,PX-77100022,Vfc Imadm Intransl/Oral 1 Vaccine,23.0,17.25,18.1,18.1,1
CDM,PX-77100023,Vfc Imadm Intransl/Oral Ea Vaccine,23.0,17.25,15.96,21.44,6
CDM,PX-77100024,Vfc Admin Influenza Virus Vac,23.0,17.25,16.21,58.68,2
CDM,PX-77100025,Vfc Admin Pneumococcal Vaccine,23.0,17.25,58.68,58.68,2
CDM,PX-77100026,Vfc Admin Hepatitis B Vaccine,23.0,17.25,58.68,58.68,1
CDM,PX-77100027,Imm Admn Sarscov2 30mcg/0.3ml Dil Recon 1st Dose,75.0,56.25,54.68,54.68,1
CDM,PX-77100028,Imm Admn Sarscov2 30mcg/0.3ml Dil Recon 2nd Dose,75.0,56.25,54.68,54.68,1
CDM,PX-77100038,Imm Admn Sarscov2 30mcg/0.3ml Dil Recon Bst Dose,75.0,56.25,54.68,54.68,1
CDM,PX-77100060,Imm Admn Sarscov2 Bvl 30 Mcg/0.3 Ml Addl Dose,75.0,56.25,54.68,54.68,1
CDM,PX-77100067,Imm Admn Sarscov2 Vaccine Bvl 30 Mcg/0.3 Ml Tris-Suc Single Dose,75.0,56.25,37.5,37.5,1
CDM,PX-77100073,Imm Admn Sarscov2 Vaccine Single Dose,75.0,56.25,44.25,69.9,12
CDM,PX-77100075,Admn Rsv Monoclonal Antb Seasonal Dose Im Njx,332.0,249.0,233.99,233.99,1
CDM,PX-77100076,Vfc Im Admn Sarscov2 Vaccine Sngl Dose,23.0,17.25,13.57,52.8,12
CDM,PX-80000004,Therapeutic Ultrafiltration,2748.0,2061.0,1374.0,1374.0,2
CDM,PX-82000034,Routine Maintenance Hemodialysis Home Unit OP,2631.0,1973.25,2435.25,2435.25,1
CDM,PX-82000035,Non Esrd Acute Hemodialysis OP,2725.0,2043.75,1920.58,2539.7,3
CDM,PX-82000036,Transient Maintenance Hemodialysis Not Home Unit OP,2631.0,1973.25,2435.25,2435.25,1
CDM,PX-90000025,Psych Therapy Family W/Pt,285.0,213.75,200.87,200.87,1
CDM,PX-90000037,Developmental Screen W/Scoring & Doc Std Instrm,71.0,53.25,41.89,66.17,10
CDM,PX-90000043,Std Cogni Test per Hr by HC Pro,418.0,313.5,209.0,209.0,1
CDM,PX-90000048,Psychiatric Diagnostic Evaluation,506.0,379.5,253.0,253.0,1
CDM,PX-90000050,HC Psych W/Patient 30 Minutes,311.0,233.25,219.19,219.19,1
CDM,PX-90000051,HC Psych W/Patient W/E&M Srvcs 30 Min,175.0,131.25,123.34,137.73,3
CDM,PX-90000052,HC Psych W/Patient 45 Minutes,355.0,266.25,250.2,250.2,2
CDM,PX-90000053,HC Psych W/Patient W/E&M Srvcs 45 Min,315.0,236.25,222.01,247.91,3
CDM,PX-90000054,HC Psych W/Patient 60 Minutes,533.0,399.75,375.66,375.66,2
CDM,PX-90000055,HC Psych W/Patient W/E&M Srvcs 60 Min,487.0,365.25,343.24,383.27,3
CDM,PX-90000056,Psych Therapy for Crisis 1st 60 Min,523.0,392.25,368.61,368.61,1
CDM,PX-90000096,Psych New Patient (99203) - Medium Level (16-45 Min),182.0,136.5,107.38,169.62,11
CDM,PX-90000098,"Office Visit, New Patient",396.0,297.0,233.64,369.07,9
CDM,PX-90000099,Psych Est/ New Patient (99211) - Low Level (<15 Min),82.0,61.5,56.91,163.89,9
CDM,PX-90000101,Psych Est Patient (99213) - Medium Level (16-45 Min),156.0,117.0,92.04,163.89,20
CDM,PX-90000103,"Office Visit, Established Pat",300.0,225.0,163.89,279.6,17
CDM,PX-90000103,"Office Visit, Established Pat|SIGNIFICANT, SEPARATELY IDENTIFIABLE EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN ON THE SAME DAY OF THE PROCEDURE OR OTHER SERVICE",300.0,225.0,150.0,150.0,6
CDM,PX-90000103,"Office Visit, Established Pat|SYNCHRONOUS TELEMEDICINE",300.0,225.0,150.0,150.0,1
CDM,PX-90000119,Sbsq Hospital IP/Obs Care Sf/Low Mdm 25 Minutes,158.0,118.5,79.0,146.24,8
CDM,PX-90000120,Sbsq Hospital IP/Obs Care Mod Mdm 35 Minutes,224.0,168.0,100.58,208.77,11
CDM,PX-90000121,Sbsq Hospital IP/Obs Care High Mdm 50 Minutes,226.0,169.5,101.47,210.63,13
CDM,PX-90000122,Hospital IP/Obs Discharge Day Mgmt 30 Min/<,165.0,123.75,82.5,153.78,13
CDM,PX-90000172,Psych Synchronous Audio-Video Visit New Low Mdm 30 Min,358.0,268.5,248.45,333.66,5
CDM,PX-90000173,Psych Synchronous Audio-Video Visit New Mod Mdm 45 Min,580.0,435.0,422.82,540.56,4
CDM,PX-90000174,Psych Synchronous Audio-Video Vst New High Mdm 60 Min,749.0,561.75,519.81,589.46,3
CDM,PX-90000175,Psych Synchronous Audio-Video Visit Est Sf Mdm 10 Min,160.0,120.0,111.04,149.12,5
CDM,PX-90000176,Psych Synchronous Audio-Video Visit Est Low Mdm 20 Min,229.0,171.75,135.11,213.43,6
CDM,PX-90000177,Psych Synchronous Audio-Video Visit Est Mod Mdm 30 Min,359.0,269.25,211.81,334.59,7
CDM,PX-90000178,Psych Synchronous Audio-Video Vst Est High Mdm 40 Min,459.0,344.25,334.61,396.58,3
CDM,PX-90000183,Psych Synchronous Audio-Only Visit Est Sf Mdm 10 Min,160.0,120.0,111.04,125.92,2
CDM,PX-90000184,Psych Synchronous Audio-Only Visit Est Low Mdm 20 Min,229.0,171.75,158.93,213.43,4
CDM,PX-90000185,Psych Synchronous Audio-Only Visit Est Mod Mdm 30 Min,359.0,269.25,249.15,282.53,3
CDM,PX-92000023,Duplex Extracranial/Carotid Bilat,2709.0,2031.75,1354.5,2131.98,10
CDM,PX-92000032,Doppler Arterial Extrem Cmpl,638.0,478.5,319.0,590.53,9
CDM,PX-92000033,Doppler Arterial Extrem W/Stress Bi,1228.0,921.0,865.49,865.49,1
CDM,PX-92000034,Duplex Arterial Lower Ext Bilat,3307.0,2480.25,1653.5,3060.96,4
CDM,PX-92000035,Duplex Arterial Lower Ext Unilt/Lmt,1777.0,1332.75,888.5,888.5,1
CDM,PX-92000039,Duplex Venous Extremity Bilat,2927.0,2195.25,307.41,2303.55,8
CDM,PX-92000040,Duplex Venous Extremity Unilat/Lmtd,1425.0,1068.75,135.24,1121.48,2
CDM,PX-92000042,Duplex Abd/Pel/Retro Cmpl,2256.0,1692.0,1128.0,2102.59,9
CDM,PX-92000043,Duplex Abd/Pel/Retro Ltd,1724.0,1293.0,862.0,1595.73,7
CDM,PX-92000044,Duplex Aorta/Ivc/Graft Cmpl,2000.0,1500.0,1000.0,1851.2,8
CDM,PX-92000065,Emg Ea Extremity W/Nerve Cond Ltd,326.0,244.5,237.65,303.83,2
CDM,PX-92000066,Emg Ea Extremity W/Nerve Cond Compl,498.0,373.5,345.61,391.93,5
CDM,PX-92000067,Emg Non-Extremity W/Nerve Conduct,445.0,333.75,222.5,222.5,1
CDM,PX-92000093,Pap Smear Screening,96.0,72.0,31.15,89.47,12
CDM,PX-92000105,Immunothpy Alergn 1 Inj W/O Extract,77.0,57.75,58.68,58.68,1
CDM,PX-92000106,Immunothpy Alrgn 2+ Inj W/O Extract,91.0,68.25,63.15,66.34,3
CDM,PX-92000117,Nerve Conduction Studies 3-4 Stud,799.0,599.25,396.02,582.47,2
CDM,PX-92000118,Nerve Conduction Studies 5-6 Stud,799.0,599.25,396.02,628.81,4
CDM,PX-92000119,Nerve Conduction Studies 7-8 Stu,1047.0,785.25,396.02,975.8,6
CDM,PX-92000120,Nerve Conduction Studies 9-10 Stud,1264.0,948.0,674.79,994.77,4
CDM,PX-92000121,Nerve Conduction Studies 11-12 Stud,1479.0,1109.25,674.79,1042.4,3
CDM,PX-92000122,Nerve Conduction Studies 13/> Stud,1707.0,1280.25,674.79,1203.09,4
CDM,PX-94000007,Irrigat Implant Ven Access Dvc,211.0,158.25,105.5,166.06,5
CDM,PX-94000018,Nutrition Therapy Eval 15 Min,140.0,105.0,70.0,110.18,5
CDM,PX-94000019,Nutrition Therapy Re-Eval 15 Min,129.0,96.75,64.5,120.23,8
CDM,PX-94000027,Nutrition Reassess Individual 15 Mi,92.0,69.0,46.0,46.0,1
CDM,PX-94000031,Cardiac Rehab W/Monitor per Session,582.0,436.5,291.0,458.03,9
CDM,PX-96000005,Sbsq Nursing Facility Care Low Mdm 15 Minutes,168.0,126.0,84.0,84.0,1
CDM,PX-96000059,Psych - Prolonged Outpatient E/M Service Each 15 Minutes,160.0,120.0,116.64,116.64,1
CDM,PX-96000060,Complex E/M Visit Add on Psych,77.0,57.75,53.44,71.27,3
CDM,PX-96000067,Psych Synchronous Audio-Video Visit New Low Mdm 30 Min,344.0,258.0,238.74,320.61,5
CDM,PX-96000068,Psych Synchronous Audio-Video Visit New Mod Mdm 45 Min,559.0,419.25,407.51,520.99,4
CDM,PX-96000069,Psych Synchronous Audio-Video Vst New High Mdm 60 Min,750.0,562.5,520.5,590.25,3
CDM,PX-96000070,Psych Synchronous Audio-Video Visit Est Sf Mdm 10 Min,149.0,111.75,103.41,138.87,5
CDM,PX-96000071,Psych Synchronous Audio-Video Visit Est Low Mdm 20 Min,278.0,208.5,164.02,259.1,6
CDM,PX-96000072,Psych Synchronous Audio-Video Visit Est Mod Mdm 30 Min,413.0,309.75,243.67,384.92,7
CDM,PX-96000073,Psych Synchronous Audio-Video Vst Est High Mdm 40 Min,559.0,419.25,407.51,482.98,3
CDM,PX-96000078,Psych Synchronous Audio-Only Visit Est Sf Mdm 10 Min,140.0,105.0,97.16,110.18,2
CDM,PX-96000079,Psych Synchronous Audio-Only Visit Est Low Mdm 20 Min,256.0,192.0,177.66,238.59,4
CDM,PX-96000080,Psych Synchronous Audio-Only Visit Est Mod Mdm 30 Min,378.0,283.5,262.33,297.49,3
CDM,PX-96100002,Pf Psy Thrpy Family W/Pt,494.0,370.5,348.17,348.17,1
CDM,PX-96100030,Hcpr Psych W/Patient 30 Minutes,296.0,222.0,208.62,208.62,1
CDM,PX-96100031,Hcpr Psych W/Patient W/E&M Srvcs 30 Min,300.0,225.0,211.44,236.1,3
CDM,PX-96100032,Hcpr Psych W/Patient 45 Minutes,391.0,293.25,275.58,275.58,2
CDM,PX-96100033,Hcpr Psych W/Patient W/E&M Srvcs 45 Min,347.0,260.25,244.57,273.09,3
CDM,PX-96100034,Hcpr Psych W/Patient 60 Minutes,591.0,443.25,416.54,416.54,2
CDM,PX-96100035,Hcpr Psych W/Patient W/E&M Srvcs 60 Min,498.0,373.5,350.99,391.93,3
CDM,PX-96100036,Pf Psych Therapy for Crisis 1st 60,554.0,415.5,390.46,390.46,1
CDM,PX-96100042,"Office Visit, New Patient",274.0,205.5,161.66,255.37,11
CDM,PX-96100043,"Office Visit, New Patient",423.0,317.25,249.57,394.24,13
CDM,PX-96100044,"Office Visit, New Patient",612.0,459.0,361.08,570.38,9
CDM,PX-96100046,"Office Visit, Established Pat",97.0,72.75,67.32,90.4,8
CDM,PX-96100047,"Office Visit, Established Pat",171.0,128.25,100.89,159.37,14
CDM,PX-96100048,"Office Visit, Established Pat",290.0,217.5,171.1,270.28,12
CDM,PX-96100049,"Office Visit, Established Pat",341.0,255.75,201.19,317.81,11
CDM,PX-98300004,Pf I&D Abscess Simple,562.0,421.5,252.7,520.19,8
CDM,PX-98300007,Pf Incision/Remove FB Subq Smp,532.0,399.0,374.95,508.1,3
CDM,PX-98300009,Pf Aspirat Absc/Hema/Bulla/Cyst,489.0,366.75,344.65,508.1,2
CDM,PX-98300012,Pf Debr Skin/Subq Tissue,969.0,726.75,508.1,762.6,6
CDM,PX-98300013,Pf Debr Skin/Subq Tissue/Muscle,909.0,681.75,847.19,847.19,1
CDM,PX-98300016,Pf Paring/Cutting Lesn Benign 1,102.0,76.5,252.7,252.7,1
CDM,PX-98300017,Pf Paring/Cutting Lesn Benign 2-4,119.0,89.25,83.87,252.7,3
CDM,PX-98300021,Pf Rem Skin Tag <15,356.0,267.0,250.91,307.58,4
CDM,PX-98300023,Pf Shave Lesn Trnk/Arm <0.5cm,165.0,123.75,129.86,129.86,1
CDM,PX-98300024,Pf Shave Lesn Trnk/Arm 0.6-1.0cm,176.0,132.0,124.04,152.06,2
CDM,PX-98300032,Pf Shave Lesn Face/Ear 0.6-1.0cm,278.0,208.5,218.79,240.19,2
CDM,PX-98300036,Pf Exc Lesn Bgn Trnk/Arm .6-1.0cm,720.0,540.0,499.68,622.08,6
CDM,PX-98300037,Pf Exc Lesn Bgn Trnk/Arm 1.1-2.0cm,786.0,589.5,545.48,679.1,4
CDM,PX-98300038,Pf Exc Lesn Bgn Trnk/Arm 2.1-3.0cm,1017.0,762.75,716.78,894.79,5
CDM,PX-98300039,Pf Exc Lesn Bgn Trnk/Arm 3.1-4.0cm,1116.0,837.0,774.5,786.56,2
CDM,PX-98300040,Pf Exc Lesn Bgn Trnk/Arm >4.0cm,1679.0,1259.25,1183.36,1183.36,1
CDM,PX-98300042,Pf Exc Lesn Bgn Sclp/Hnd 0.6-1.0cm,759.0,569.25,534.94,894.79,4
CDM,PX-98300043,Pf Exc Lesn Bgn Sclp/Hnd 1.1-2.0cm,940.0,705.0,662.51,2060.54,2
CDM,PX-98300044,Pf Exc Lesn Bgn Sclp/Hnd 2.1-3.0cm,1080.0,810.0,761.18,761.18,2
CDM,PX-98300046,Pf Exc Lesn Bgn Sclp/Hnd >4.0cm,1871.0,1403.25,1318.68,1472.48,2
CDM,PX-98300047,Pf Exc Lesn Bgn Face/Ear <0.5cm,702.0,526.5,511.76,511.76,1
CDM,PX-98300048,Pf Exc Lesn Bgn Face/Ear 0.6-1.0cm,911.0,683.25,716.96,716.96,1
CDM,PX-98300049,Pf Exc Lesn Bgn Face/Ear 1.1-2.0cm,1007.0,755.25,709.73,709.73,1
CDM,PX-98300053,Pf Exc Lesn Mal Trnk/Arm <0.5cm,800.0,600.0,563.84,583.2,2
CDM,PX-98300054,Pf Exc Lesn Mal Trnk/Arm .6-1.0cm,1028.0,771.0,749.41,894.79,6
CDM,PX-98300055,Pf Exc Lesn Mal Trnk/Arm 1.1-2.0cm,1128.0,846.0,508.1,1051.3,9
CDM,PX-98300056,Pf Exc Lesn Mal Trnk/Arm 2.1-3.0cm,1348.0,1011.0,894.79,1060.88,5
CDM,PX-98300057,Pf Exc Lesn Mal Trnk/Arm 3.1-4.0cm,1479.0,1109.25,894.79,1042.4,4
CDM,PX-98300058,Pf Exc Lesn Mal Trnk/Arm >4.0cm,2177.0,1632.75,1510.84,2060.54,3
CDM,PX-98300062,Pf Exc Lesn Mal Sclp/Hnd 2.1-3.0cm,1457.0,1092.75,2060.54,2060.54,1
CDM,PX-98300063,Pf Exc Lesn Mal Sclp/Hnd 3.1-4.0cm,1599.0,1199.25,2060.54,2060.54,1
CDM,PX-98300064,Pf Exc Lesn Mal Sclp/Hnd >4.0cm,1948.0,1461.0,3639.81,3639.81,1
CDM,PX-98300072,Pf Debr Nail(S) Up to 5,209.0,156.75,75.54,164.48,5
CDM,PX-98300073,Pf Debride Nail(S) 6 or More,110.0,82.5,75.54,86.57,7
CDM,PX-98300074,Pf Avulsion Nail Plate Single,245.0,183.75,172.68,252.7,3
CDM,PX-98300077,Pf Exc Nail & Matrix,744.0,558.0,585.53,585.53,1
CDM,PX-98300081,Pf Inject Intralesional <7 Lesions,154.0,115.5,108.54,252.7,6
CDM,PX-98300082,Pf Inject Intralesional >7 Lesions,205.0,153.75,191.06,191.06,1
CDM,PX-98300085,Pf Insert Impl Drug Deliv Non-Biode,361.0,270.75,254.43,284.11,4
CDM,PX-98300100,Pf Rpr Lac Int Sclp/Ax <2.5cm,848.0,636.0,588.51,732.67,6
CDM,PX-98300101,Pf Rpr Lac Int Sclp/Ax 2.6-7.5cm,1023.0,767.25,508.1,805.1,7
CDM,PX-98300102,Pf Rpr Lac Int Sclp/Ax 7.6-12.5cm,1030.0,772.5,508.1,714.82,2
CDM,PX-98300104,Pf Rpr Lac Int Neck/Hnd <2.5cm,887.0,665.25,508.1,698.07,4
CDM,PX-98300105,Pf Rpr Lac Int Neck/Hnd 2.6-7.5cm,1017.0,762.75,508.1,716.78,3
CDM,PX-98300106,Pf Rpr Lac Int Face/Ear <2.5cm,948.0,711.0,508.1,746.08,3
CDM,PX-98300115,Pf Dest Lesn Premalig 1st Lesion,271.0,203.25,188.07,252.57,8
CDM,PX-98300116,Pf Dest Lesn Bgn/Premalig 2-14,38.0,28.5,26.37,35.42,8
CDM,PX-98300117,Pf Dest Lesn Premalignant 15+ Les,530.0,397.5,386.37,490.57,3
CDM,PX-98300118,Pf Dest Benign Lesions Up to 14 Les,255.0,191.25,176.97,237.66,9
CDM,PX-98300119,Pf Destruct Benign Lesions > 15,364.0,273.0,252.62,256.55,3
CDM,PX-98300120,Pf Cautery Chemical Tissue Gran,519.0,389.25,365.79,378.35,2
CDM,PX-98300122,Pf Dest Lesn Mal Trnk/Arm 0.6-1.0cm,404.0,303.0,284.74,284.74,1
CDM,PX-98300123,Pf Dest Lesn Mal Trnk/Arm 1.1-2.0cm,515.0,386.25,362.97,405.31,4
CDM,PX-98300130,Pf Dest Lesn Mal Face/Ear 0.6-1.0cm,535.0,401.25,377.07,377.07,1
CDM,PX-98300131,Pf Dest Lesn Mal Face/Ear 1.1-2.0cm,616.0,462.0,434.16,434.16,1
CDM,PX-98300133,Pf Aspirat Cyst Breast,207.0,155.25,145.89,191.6,2
CDM,PX-98300147,Pf Inject Carpal Tunnel Therapeutic,713.0,534.75,375.41,375.41,1
CDM,PX-98300148,Pf Inject Single Tendon/Ligament,234.0,175.5,216.59,375.41,5
CDM,PX-98300149,Pf Inject Single Tend Origin/Insert,261.0,195.75,183.95,375.41,3
CDM,PX-98300150,Pf Inject Trigger Point 1-2 Muscle,188.0,141.0,175.22,175.22,1
CDM,PX-98300151,Pf Inject Trigger Pt 3+ Muscle,215.0,161.25,151.53,169.21,3
CDM,PX-98300153,Arthrocentesis Aspir&/Injection Interm Jt/Burs W/O US,245.0,183.75,170.03,375.41,4
CDM,PX-98300154,Pf Inject Ganglion Cyst,181.0,135.75,142.45,375.41,2
CDM,PX-98300158,Pf Exc Tum Soft Tiss Face/Scalp Sub,1556.0,1167.0,1096.67,1096.67,1
CDM,PX-98300165,Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization,665.0,498.75,468.69,468.69,1
CDM,PX-98300171,Pf Exc Tumr Back/Flank Subq 3cm +,2021.0,1515.75,1424.4,1424.4,1
CDM,PX-98300181,Pf Tx Fx Clavicle W/O Man Clsd,860.0,645.0,743.04,743.04,1
CDM,PX-98300183,Pf Tx Fx Scapular W/O Man Clsd,936.0,702.0,682.34,682.34,1
CDM,PX-98300184,Pf Tx Fx Humerus Prox W/O Man,1193.0,894.75,305.07,1030.75,3
CDM,PX-98300204,Pf Tx Fx Radial Dist W/O Man Clsd,641.0,480.75,305.07,305.07,1
CDM,PX-98300246,Pf Tx Fx Fibula Distal W/O Man Clsd,1139.0,854.25,790.47,984.1,4
CDM,PX-98300270,Pf Appl Cast Arm Short,318.0,238.5,337.75,337.75,1
CDM,PX-98300272,Pf Appl Splint Arm Long,352.0,264.0,200.67,200.67,3
CDM,PX-98300273,Pf Appl Splint Arm Short Static,203.0,152.25,163.93,163.93,1
CDM,PX-98300279,Pf Appl Cast Leg Short,253.0,189.75,337.75,337.75,1
CDM,PX-98300282,Pf Strapping Ankle/Foot,148.0,111.0,200.67,200.67,1
CDM,PX-98300282,Pf Strapping Ankle/Foot|BILATERAL PROCEDURE,148.0,111.0,200.67,200.67,1
CDM,PX-98300283,Pf Strapping Toes,290.0,217.5,75.54,75.54,2
CDM,PX-98300284,Pf Strapping Unna Boot,145.0,108.75,200.67,200.67,2
CDM,PX-98300285,Pf Apply Multlay Comprs Bl Knee,122.0,91.5,200.67,200.67,1
CDM,PX-98300308,Pf Rem Tnl Cv Acc W/Port/Pump,815.0,611.25,641.41,641.41,1
CDM,PX-98300310,Pf Declot Port Thrombolytic Agent,168.0,126.0,421.83,421.83,1
CDM,PX-98300311,Pf Puncture Arterial,100.0,75.0,59.0,92.56,4
CDM,PX-98300339,Pf Sigmoidoscopy Flex,649.0,486.75,457.42,473.12,3
CDM,PX-98300354,Pf Catheter Bladder,56.0,42.0,44.07,44.07,1
CDM,PX-98300355,Pf Catheter Bladder Smp,346.0,259.5,163.93,243.86,3
CDM,PX-98300359,Pf Cystourethro,598.0,448.5,415.01,848.85,5
CDM,PX-98300360,Pf Cystourethro W/Rem FB Smp,1050.0,787.5,2605.19,2605.19,1
CDM,PX-98300365,Pf Destruct Lesn Penis Smp Cryo,522.0,391.5,362.27,367.91,3
CDM,PX-98300375,Pf Biopsy Vulva/Perineum One Lesion,242.0,181.5,170.56,1107.36,5
CDM,PX-98300385,Pf Fitting/Insert Pessary,212.0,159.0,255.84,255.84,2
CDM,PX-98300390,Pf Colposcopy Cervix/Vagina,404.0,303.0,280.38,317.95,3
CDM,PX-98300391,Pf Colposcopy W/Bx Cervix & Curett,598.0,448.5,386.85,516.67,7
CDM,PX-98300393,Pf Colposcopy W/Curettage,541.0,405.75,381.3,504.21,7
CDM,PX-98300394,Pf Colposcopy Bx Elect Loop Cervix,4847.0,3635.25,3814.59,4187.81,2
CDM,PX-98300396,Pf Biopsy Exc Cervix Local,331.0,248.25,233.29,1107.36,3
CDM,PX-98300402,Pf Endometrial Sampling Biopsy,389.0,291.75,255.84,336.1,9
CDM,PX-98300404,Pf Insert Intrauterine Device,262.0,196.5,181.83,244.18,8
CDM,PX-98300405,Pf Rem Intrauterine Device,300.0,225.0,208.2,236.1,5
CDM,PX-98300406,Pf Hysteroscopy Diagnostic (S,805.0,603.75,567.36,567.36,1
CDM,PX-98300407,Pf Hysteroscopy W/Biopsy Sample,1065.0,798.75,750.61,4043.56,6
CDM,PX-98300435,Inject Anes Nerve Greater Occipital,422.0,316.5,292.87,292.87,1
CDM,PX-98300447,Pf Inject Anes Othperipheral,350.0,262.5,242.9,880.71,2
CDM,PX-98300457,Pf Inj Paravert F Jnt L/S 2 Lev,325.0,243.75,225.55,225.55,1
CDM,PX-98300482,Pf Biopsy Ext Ear,214.0,160.5,198.08,199.45,2
CDM,PX-98300485,Pf Remove Cerumen Impacted Unilate,163.0,122.25,75.54,118.83,3
CDM,PX-98300495,Pf Cardioversion Elective External,520.0,390.0,360.88,449.28,6
CDM,PX-98300496,Pf Spirometry Smp,114.0,85.5,80.35,80.35,1
CDM,PX-98300497,Pf Spirometry/Pft Pre & Post B,65.0,48.75,38.35,60.16,7
CDM,PX-98300505,Developmental Screen W/Scoring & Doc Std Instrm,49.0,36.75,28.91,45.67,10
CDM,PX-98300509,Pf Debride/Rem Dev Tiss <20 Sq Cm,137.0,102.75,107.82,252.7,3
CDM,PX-98300513,Pf Screening Visual Acuity Qn,42.0,31.5,29.15,39.14,3
CDM,PX-98300516,"Office Visit, New Patient",191.0,143.25,134.62,178.01,7
CDM,PX-98300517,"Office Visit, New Patient",274.0,205.5,161.66,255.37,11
CDM,PX-98300518,"Office Visit, New Patient",423.0,317.25,249.57,394.24,13
CDM,PX-98300519,"Office Visit, New Patient",612.0,459.0,361.08,570.38,9
CDM,PX-98300520,"Office Visit, Established Pat",38.0,28.5,26.37,35.42,8
CDM,PX-98300521,"Office Visit, Established Pat",97.0,72.75,67.32,90.4,8
CDM,PX-98300522,"Office Visit, Established Pat",171.0,128.25,100.89,159.37,14
CDM,PX-98300523,"Office Visit, Established Pat",290.0,217.5,171.1,270.28,12
CDM,PX-98300524,"Office Visit, Established Pat",341.0,255.75,201.19,317.81,11
CDM,PX-98300532,Pf Preventive Med New <1 Yr,226.0,169.5,156.84,209.19,5
CDM,PX-98300533,Pf Preventive Med New 1-4 Yrs,245.0,183.75,170.03,228.34,6
CDM,PX-98300534,Pf Preventive Med New 5-11 Yrs,253.0,189.75,175.58,178.31,3
CDM,PX-98300535,Pf Preventive Med New 12-17 Yr,253.0,189.75,175.58,235.8,5
CDM,PX-98300536,Pf Preventive Med New 18-39 Yr,253.0,189.75,175.58,199.11,4
CDM,PX-98300537,Pf Preventive Med New 40-64 Yr,253.0,189.75,149.27,235.8,9
CDM,PX-98300538,Pf Preventive Med New > 65 Yrs,253.0,189.75,184.44,184.44,1
CDM,PX-98300539,Pf Preventive Med Estab <1 Yr,106.0,79.5,62.54,98.79,9
CDM,PX-98300540,Pf Preventive Med Estab 5-11 Y,171.0,128.25,118.67,159.37,9
CDM,PX-98300541,Pf Preventive Med Estab 12-17,171.0,128.25,118.67,158.28,7
CDM,PX-98300542,Pf Preventive Med Estab 18-39,171.0,128.25,100.89,159.37,11
CDM,PX-98300543,Pf Preventive Med Estab 40-64,171.0,128.25,100.89,159.37,10
CDM,PX-98300544,Pf Preventive Med Estab > 65 Y,171.0,128.25,120.52,159.37,7
CDM,PX-98300545,"Counseling, Preventative Med",171.0,128.25,124.66,124.66,1
CDM,PX-98300546,"Counseling, Preventative Med",248.0,186.0,174.79,180.79,2
CDM,PX-98300566,Pf Dest Benign Lesions Up to 14 Les,255.0,191.25,176.97,237.66,9
CDM,PX-98300576,Pf Chemdnrvtn Mscl Facial Trige Cer,785.0,588.75,553.27,617.8,4
CDM,PX-98300578,Pf US Guided Needle Biopsy,207.0,155.25,143.66,162.91,4
CDM,PX-98300585,Pf Preventive Med Estab 1-4 Yr,171.0,128.25,100.89,159.37,10
CDM,PX-98300586,Pf Cervical/Vag Cancer Screening,184.0,138.0,117.64,170.31,8
CDM,PX-98300588,Pf Trimming Nails Dystrophic,74.0,55.5,75.54,75.54,2
CDM,PX-98300589,Pf Prvnt Phys Exm Init Face-Face 1s,614.0,460.5,163.89,163.89,1
CDM,PX-98300591,Pf Pap Smear Screen,93.0,69.75,31.15,86.68,12
CDM,PX-98300593,Pf Annual Alcohol Misuse Scrnng,45.0,33.75,31.72,37.89,6
CDM,PX-98300594,Pf Brief Ftf Behav Cnsl Alcohol Mis,99.0,74.25,117.64,117.64,1
CDM,PX-98300595,Pf Annual Depression Screening 15,103.0,77.25,37.89,81.06,6
CDM,PX-98300598,Pf Face-to-Face Behavioral Cnsl Obe,117.0,87.75,82.46,109.04,5
CDM,PX-98300599,Transj Care Mgmt Mod Mdm F2f 14 Cal D Discharge,642.0,481.5,163.89,554.69,10
CDM,PX-98300600,Transj Care Mgmt High Mdm F2f 7 Cal D Discharge,382.0,286.5,163.89,353.58,9
CDM,PX-98300625,Remove Drug Implant Device,495.0,371.25,348.88,348.88,2
CDM,PX-98300630,Smoking Cess Coun Inter >3min,69.0,51.75,37.89,50.3,2
CDM,PX-98300657,Hysteroscopy Removal Impacted Foreign Body,1163.0,872.25,819.68,4043.56,2
CDM,PX-98300766,Dfci Injection Single/Mlt Trigger Point 1/2 Muscles,188.0,141.0,175.22,175.22,1
CDM,PX-98300791,Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US,205.0,153.75,142.27,375.41,6
CDM,PX-98300792,Arthrocnt Aspir&/Inj Small Jt/Bursaw/US Rec Rprt,229.0,171.75,166.94,375.41,3
CDM,PX-98300794,Arthrocentesis Aspir&/Inj Interm Jt/Burs W/US,263.0,197.25,191.73,880.71,4
CDM,PX-98300795,Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US,253.0,189.75,175.58,375.41,9
CDM,PX-98300795,Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US|BILATERAL PROCEDURE,253.0,189.75,375.41,375.41,2
CDM,PX-98300796,Arthrocentesis Aspir&/Inj Major Jt/Bursa W/US,304.0,228.0,210.98,283.33,3
CDM,PX-98300800,Advance Care Planning First 30 Mins,450.0,337.5,117.64,117.64,1
CDM,PX-98300805,Behav Assmt W/Score & Docd/Stand Instrument,51.0,38.25,35.39,47.53,9
CDM,PX-98300807,Home/Res Visit Est Patient Mod Mdm 40 Minutes,580.0,435.0,408.78,408.78,1
CDM,PX-98300810,Cltx Phlngl Fx Prox/Middle Px/F/T W/Manj Ea,1094.0,820.5,759.24,759.24,1
CDM,PX-98300811,1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes,259.0,194.25,176.09,241.39,6
CDM,PX-98300812,1st Hospital IP/Obs Care Moderate Mdm 55 Minutes,421.0,315.75,286.24,392.37,7
CDM,PX-98300813,1st Hospital IP/Obs Care High Mdm 75 Minutes,421.0,315.75,189.03,392.37,12
CDM,PX-98300814,Sbsq Hospital IP/Obs Care Sf/Low Mdm 25 Minutes,181.0,135.75,123.06,167.53,5
CDM,PX-98300815,Sbsq Hospital IP/Obs Care Mod Mdm 35 Minutes,229.0,171.75,102.82,213.43,8
CDM,PX-98300816,Hospital IP/Obs Discharge Day Mgmt 30 Min/<,161.0,120.75,109.46,150.05,8
CDM,PX-98300817,Sbsq Hospital IP/Obs Care High Mdm 50 Minutes,268.0,201.0,120.33,249.78,10
CDM,PX-98300843,Application Topical Fluoride Varnish by Phs/Qhp,46.0,34.5,31.92,42.87,8
CDM,PX-98300847,"Inj Dx/Ther Agnt Paravt Facet Jnt,Img Guide,Lumbar/Sac,1st Level",579.0,434.25,401.83,401.83,1
CDM,PX-98300860,Excision Pilonidal Cyst/Sinus Extensive,1521.0,1140.75,1072.0,1072.0,1
CDM,PX-98300865,Repair Complex Trunk 2.6-7.5 Cm,1062.0,796.5,737.03,989.78,9
CDM,PX-98300867,Repair Complex Scalp/Arm/Leg 1.1-2.5 Cm,915.0,686.25,667.04,778.48,2
CDM,PX-98300868,Repair Complex Scalp/Arm/Leg 2.6-7.5 Cm,1671.0,1253.25,1177.72,1557.37,4
CDM,PX-98300870,Repair Complex F/C/C/M/N/Ax/G/H/F 1.1-2.5 Cm,1393.0,1044.75,981.79,981.79,1
CDM,PX-98300871,Repair Complex F/C/C/M/N/Ax/G/H/F 2.6-7.5 Cm,1430.0,1072.5,778.48,1007.86,4
CDM,PX-98300873,Repair Complex Eyelid/Nose/Ear/Lip 1.1-2.5 Cm,1482.0,1111.5,778.48,1044.51,2
CDM,PX-98300875,Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/<,2814.0,2110.5,1983.31,2214.62,2
CDM,PX-98300876,Adjt Tis Trns/Reargmt F/C/C/M/N/a/G/H/F 10sqcm/<,3119.0,2339.25,2198.27,2326.32,3
CDM,PX-98300877,Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm,3824.0,2868.0,2326.32,3009.49,6
CDM,PX-98300893,Removal Implant Deep,1752.0,1314.0,3639.81,3639.81,1
CDM,PX-98300897,Hcpr Pvb Thoracic Second & Addl Inj Site W/Img Gid,3073.0,2304.75,2165.85,2165.85,1
CDM,PX-98300898,Hcpr Pvb Thoracic Cont Catheter Infusion W/Img Gid,1899.0,1424.25,1317.91,3639.81,3
CDM,PX-98300898,Hcpr Pvb Thoracic Cont Catheter Infusion W/Img Gid|ASSISTANT AT SURGERY SERVICE,474.75,356.06,329.48,329.48,1
CDM,PX-98300898,Hcpr Pvb Thoracic Cont Catheter Infusion W/Img Gid|ASSISTANT SURGEON|ASSISTANT AT SURGERY SERVICE,118.69,89.02,3639.81,3639.81,1
CDM,PX-98300903,Exc Tumor Soft Tissue Abdominal Wall Subq <3cm,1607.0,1205.25,1132.61,1132.61,1
CDM,PX-98300903,Exc Tumor Soft Tissue Abdominal Wall Subq <3cm|ASSISTANT AT SURGERY SERVICE,401.75,301.31,283.15,283.15,1
CDM,PX-98301031,Transfusion Blood/Blood Components,113.0,84.75,88.93,555.98,3
CDM,PX-98301034,Insj Tunneled Ctr Vad W/Subq Port Age 5 Yr/>,1412.0,1059.0,1029.35,4002.83,2
CDM,PX-98301047,Esophagogastroduodenoscopy Transoral Diagnostic,1710.0,1282.5,1162.63,1593.72,5
CDM,PX-98301048,Egd Transoral Biopsy Single/Multiple,1679.0,1259.25,1165.23,1564.83,8
CDM,PX-98301049,Egd Percutaneous Placement Gastrostomy Tube,749.0,561.75,527.9,527.9,2
CDM,PX-98301050,Egd Flexible Foreign Body Removal,890.0,667.5,627.27,627.27,1
CDM,PX-98301051,Egd Removal Tumor Polyp/Other Lesion Snare Tech,970.0,727.5,683.66,838.08,2
CDM,PX-98301068,Laparoscopic Appendectomy,2205.0,1653.75,1499.18,2055.06,6
CDM,PX-98301068,Laparoscopic Appendectomy|ASSISTANT AT SURGERY SERVICE,551.25,413.44,388.52,401.86,2
CDM,PX-98301070,Sigmoidoscopy Flx W/Biopsy Single/Multiple,838.0,628.5,590.62,590.62,1
CDM,PX-98301072,Colonoscopy Flx Dx W/Collj Spec When Pfrmd,1263.0,947.25,858.71,1177.12,8
CDM,PX-98301073,Colonoscopy W/Biopsy Single/Multiple,2345.0,1758.75,1652.76,2185.54,7
CDM,PX-98301074,Colsc Flx With Directed Submucosal Njx Any Sbst,1434.0,1075.5,995.2,1336.49,4
CDM,PX-98301076,Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq,1367.0,1025.25,929.42,1274.04,8
CDM,PX-98301081,Excision Single External Papilla or Tag Anus,447.0,335.25,416.6,416.6,1
CDM,PX-98301088,Dstrj Lesion Anus Simple Surg Excision,341.0,255.75,236.65,236.65,1
CDM,PX-98301093,Laparoscopy Surg Cholecystectomy,2748.0,2061.0,1868.37,2162.68,5
CDM,PX-98301093,Laparoscopy Surg Cholecystectomy|ASSISTANT AT SURGERY SERVICE,687.0,515.25,484.2,540.67,2
CDM,PX-98301093,Laparoscopy Surg Cholecystectomy|ASSISTANT SURGEON,687.0,515.25,467.09,484.2,2
CDM,PX-98301104,Replace Gastrostomy/Cecostomy Tube Percutaneous,289.0,216.75,203.69,203.69,1
CDM,PX-98301119,Laparoscopy Surg Rpr Initial Inguinal Hernia|BILATERAL PROCEDURE|ASSISTANT SURGEON,441.75,331.31,306.57,311.35,2
CDM,PX-98301128,Circumcision W/Clamp/Oth Dev W/Block,423.0,317.25,287.6,293.56,3
CDM,PX-98301136,Myomectomy 1-4 Myomas W/250 Gm/< Abdominal Appr,3591.0,2693.25,2530.94,2530.94,1
CDM,PX-98301137,Total Abdominal Hysterect W/WO Rmvl Tube Ovary,3891.0,2918.25,3062.22,3062.22,1
CDM,PX-98301137,Total Abdominal Hysterect W/WO Rmvl Tube Ovary|ASSISTANT SURGEON,972.75,729.56,765.55,765.55,1
CDM,PX-98301140,Cath & Saline/Contrast Sonohyster/Hysterosalpi,240.0,180.0,169.15,223.68,5
CDM,PX-98301147,Lig/Trnsxj Falopian Tube Cesarean Del/Abdml Surg,310.0,232.5,210.77,210.77,1
CDM,PX-98301148,Occlusion Flp Tube Dev Vag/Suprapubic Appr,673.0,504.75,457.57,457.57,1
CDM,PX-98301150,Laparoscopy W/Rmvl Adnexal Structures|BILATERAL PROCEDURE|ASSISTANT SURGEON,635.5,476.62,447.9,447.9,2
CDM,PX-98301151,Laps Fulg/Exc Ovary Viscera/Peritoneal Surface,2786.0,2089.5,1963.57,1963.57,1
CDM,PX-98301151,Laps Fulg/Exc Ovary Viscera/Peritoneal Surface|ASSISTANT SURGEON,696.5,522.37,490.89,490.89,1
CDM,PX-98301158,Fetal Nonstress Test,223.0,167.25,154.76,207.84,7
CDM,PX-98301161,OB Care Antepartum Vag Dlvr & Postpartum,6967.0,5225.25,3128.18,4736.86,3
CDM,PX-98301164,Antepartum Care Only 4-6 Visits,1034.0,775.5,753.79,753.79,1
CDM,PX-98301165,Antepartum Care Only 7/> Visits,1616.0,1212.0,1121.5,1495.77,5
CDM,PX-98301166,OB Antepartum Care Cesarean Dlvr & Postpartum,7889.0,5916.75,3542.16,5363.73,3
CDM,PX-98301167,Cesarean Delivery Only|ASSISTANT SURGEON,904.0,678.0,614.63,614.63,1
CDM,PX-98301169,Tx Incomplete Abortion Any Trimester Surgical,1153.0,864.75,812.63,812.63,1
CDM,PX-98301170,Tx Missed Abortion First Trimester Surgical,1371.0,1028.25,1269.0,1269.0,1
CDM,PX-98301180,US Abdominal Real Time W/Image Limited,108.0,81.0,74.95,100.66,8
CDM,PX-98301181,US Pregnant Uterus 14 Wk Transabdl 1/1st Gestat,139.0,104.25,96.47,129.55,7
CDM,PX-98301183,US Pregnant Uterus Limited 1/> Fetuses,169.0,126.75,117.29,157.51,8
CDM,PX-98301184,US Preg Uterus Real Time F/U Trnsabdl per Fetus,117.0,87.75,81.2,109.04,7
CDM,PX-98301185,US Preg Uterus Real Time W/Image Dcmtn Transvag,103.0,77.25,71.48,96.0,7
CDM,PX-98301186,Fetal Biophysical Profile W/O Non-Stress Testing,104.0,78.0,72.18,96.26,6
CDM,PX-98301187,Saline Infus Sonohysterography W/Color Doppler,94.0,70.5,66.25,87.61,5
CDM,PX-98301188,US Vasc Access Sits Vsl Patency Ndl Entry,880.0,660.0,620.22,620.22,1
CDM,PX-98301190,Im Adm Prq ID Subq/Im Njxs 1 Vaccine,25.0,18.75,14.75,90.51,13
CDM,PX-98301192,Cv Strs Tst Xers&/or Rx Cont Ecg W/O I&R,128.0,96.0,75.52,119.3,9
CDM,PX-98301193,Cv Strs Tst Xers&/or Rx Cont Ecg I&R Only,155.0,116.25,91.45,144.46,9
CDM,PX-98301196,Cpap Ventilation Cpap Initiation&Mgmt,116.0,87.0,80.5,80.5,1
CDM,PX-98301197,Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs,91.0,68.25,63.15,66.34,3
CDM,PX-98301198,IV Infusion Therapy/Prophylaxis /Dx 1st to 1 Hr,372.0,279.0,258.17,346.7,9
CDM,PX-98301199,Therapeutic Prophylactic/Dx Injection Subq/Im,129.0,96.75,89.53,119.4,14
CDM,PX-98301203,Handlg&/or Convey of Spec for Tr Office to Lab,94.0,70.5,65.24,65.24,1
CDM,PX-98301208,Observation Care Discharge Management,251.0,188.25,170.65,233.93,8
CDM,PX-98301209,Initial Observation Care/Day 50 Minutes,229.0,171.75,155.7,213.43,6
CDM,PX-98301210,Initial Observation Care/Day 70 Minutes,312.0,234.0,212.13,290.78,6
CDM,PX-98301211,Sbsq Observation Care/Day 25 Minutes,191.0,143.25,129.86,176.79,5
CDM,PX-98301212,Sbsq Observation Care/Day 35 Minutes,271.0,203.25,184.25,250.84,5
CDM,PX-98301216,Hospital IP/Obs Discharge Day Mgmt > 30 Min,215.0,161.25,96.54,200.38,14
CDM,PX-98301219,IP/Obs Consltj New/Est Pt Mod Mdm 60 Minutes,359.0,269.25,244.08,244.08,1
CDM,PX-98301223,Emergency Department Visit Low Mdm,479.0,359.25,376.97,376.97,1
CDM,PX-98301224,Emergency Department Visit Moderate Mdm,704.0,528.0,478.65,656.13,4
CDM,PX-98301225,Emergency Department Visit High Mdm,1056.0,792.0,717.97,984.19,12
CDM,PX-98301226,Critical Care Ill/Injured Patient Init 30-74 Min,1121.0,840.75,503.33,790.08,5
CDM,PX-98301231,Sbsq Nursing Facility Care Low Mdm 20 Minutes,173.0,129.75,86.5,86.5,1
CDM,PX-98301240,Annual Well Visit Including Ppps Initial,576.0,432.0,405.96,453.31,2
CDM,PX-98301283,Negative Pressure Wound Therapy Dme </= 50 Sq Cm,111.0,83.25,252.7,252.7,1
CDM,PX-98301285,Initial Observation Care/Day 30 Minutes,431.0,323.25,293.04,401.69,6
CDM,PX-98301300,Annual Well Visit Including Ppps Subseq,382.0,286.5,269.23,356.02,4
CDM,PX-98301307,Sbsq Observation Care/Day 15 Minutes,105.0,78.75,71.39,97.19,5
CDM,PX-98301322,Nursing Facility Dschrg Mgmt 30 Min+ Tot Time,171.0,128.25,85.5,85.5,1
CDM,PX-98301325,Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn,550.0,412.5,381.7,400.95,3
CDM,PX-98301327,Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn,500.0,375.0,295.0,466.0,7
CDM,PX-98301330,Njx W/Plmnt for Cont Med Dlvry Dx/Ther Sbst Cont Inf/Bolus Intrlmnr Lmbr/Sac W/O Img Gdn,288.0,216.0,195.81,195.81,1
CDM,PX-98301333,Pt-Focused Hlth Risk Assmt Score Doc Stnd Instrm,108.0,81.0,74.95,76.12,2
CDM,PX-98301334,Caregiver Hlth Risk Assmt Score Doc Stnd Instrm,22.0,16.5,15.27,15.27,1
CDM,PX-98301336,Removal Impacted Cerumen Irrigation/Lvg Unilat,154.0,115.5,75.54,112.27,3
CDM,PX-98301342,Myocardial Spect Multiple Studies,381.0,285.75,264.41,355.09,7
CDM,PX-98301347,"Adj Tiss Xfer Lid,Nos,Ear <10 Sqcm",3320.0,2490.0,2326.32,2339.94,4
CDM,PX-98301365,Egd Balloon Dilation Esophagus <30 Mm Diam,819.0,614.25,556.84,556.84,1
CDM,PX-98301378,Excision Multiple External Papillae/Tags Anus,980.0,735.0,714.42,714.42,1
CDM,PX-98301379,Hemorrhoidopexy by Stapling,1809.0,1356.75,1318.76,1318.76,1
CDM,PX-98301380,Cystourethroscopy Inj Chemodenervation Bladder,671.0,503.25,472.92,2605.19,2
CDM,PX-98301382,Removal of Sperm Duct(S),2362.0,1771.5,1664.74,1858.89,3
CDM,PX-98301397,"US, OB < 14 Wks, Add'l Fetus",161.0,120.75,113.47,113.47,1
CDM,PX-98301398,"Echo,Pelvic (Nonobstetric)",74.0,55.5,51.36,68.97,8
CDM,PX-98301399,Sono Pelvis Limited,74.0,55.5,52.16,68.97,4
CDM,PX-98301430,"US, OB >/= 14 Wks, Sngl Fetus",250.0,187.5,173.5,231.4,6
CDM,PX-98301440,Gas Dilut/Washout Lung Vol W/WO Distrib Vent&Vol,53.0,39.75,31.27,49.06,6
CDM,PX-98301441,Diffusing Capacity,44.0,33.0,25.96,40.73,6
CDM,PX-98301442,"Initial Normal Newborn Care, Hospital or Birth Center",171.0,128.25,116.26,116.26,2
CDM,PX-98301443,"Subsequent Hospital Care, Normal Newborn",103.0,77.25,70.03,70.03,2
CDM,PX-98301445,Attn at Delivery 1st Stabilization of Newborn,274.0,205.5,186.29,186.29,2
CDM,PX-98301452,Recmpl Wnd Trunk 1.1-2.5 Cm,902.0,676.5,778.48,778.48,1
CDM,PX-98301456,"Full Thick Grft Head,Fac,Hand <20sqc",3729.0,2796.75,2326.32,2326.32,1
CDM,PX-98301534,Remv/Revisn Boot/Body Cast,137.0,102.75,107.82,107.82,1
CDM,PX-98301642,"Adj Tiss Xfer Scalp,Extrem 10.1-30 Sqcm",3536.0,2652.0,2326.32,2782.83,5
CDM,PX-98301643,"Adj Tiss Xfer Any Area,30.1-60 Sqcm",4317.0,3237.75,3995.82,4655.83,4
CDM,PX-98301643,"Adj Tiss Xfer Any Area,30.1-60 Sqcm|ASSISTANT AT SURGERY SERVICE",1079.25,809.44,4655.83,4655.83,1
CDM,PX-98301643,"Adj Tiss Xfer Any Area,30.1-60 Sqcm|ASSISTANT SURGEON|ASSISTANT AT SURGERY SERVICE",269.81,202.36,4655.83,4655.83,1
CDM,PX-98301645,"Mohs, 1 Stage, Head/Neck/Hand/Feet/Gential",1824.0,1368.0,778.48,1688.29,12
CDM,PX-98301646,"Mohs, Addl Stage, Head/Neck/Hand/Feet/Gential",974.0,730.5,686.48,686.48,2
CDM,PX-98301655,"Lap,Cholecystectomy/Graph",3441.0,2580.75,2425.22,2708.07,2
CDM,PX-98301655,"Lap,Cholecystectomy/Graph|ASSISTANT AT SURGERY SERVICE",860.25,645.19,677.02,677.02,1
CDM,PX-98301667,Adjnt Tis Transfr/Rearrange Trunk 10.1-30.0 Sqcm,3209.0,2406.75,2326.32,2525.48,3
CDM,PX-98301668,Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm,3976.0,2982.0,2326.32,2802.28,3
CDM,PX-98301671,Musc Myoq/Fscq Flap Head&Neck W/Named Vasc Pedcl,4813.0,3609.75,4655.83,4655.83,1
CDM,PX-98301686,Postpartum Care Only Separate Procedure,567.0,425.25,399.62,524.82,5
CDM,PX-98301761,US Cardiac Echo Limited,128.0,96.0,90.21,100.74,3
CDM,PX-98301817,Tangential Biopsy Skin Single Lesion,199.0,149.25,138.11,185.47,8
CDM,PX-98301818,Tangential Biopsy Skin Ea Sep/Additional Lesion,115.0,86.25,79.81,107.18,7
CDM,PX-98301819,Punch Biopsy Skin Single Lesion,257.0,192.75,178.36,237.88,7
CDM,PX-98301820,Punch Biopsy Skin Ea Sep/Additional Lesion,136.0,102.0,94.38,117.5,4
CDM,PX-98301821,Incisional Biopsy Skin Single Lesion,310.0,232.5,225.99,225.99,1
CDM,PX-98301824,Insertion Picc W/Rs&I 5 Yr/>,431.0,323.25,293.04,314.2,2
CDM,PX-98301825,Perq Replacement Gtube Not Req Revj Gstrst Trc,191.0,143.25,309.3,309.3,1
CDM,PX-98301886,Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/<,1755.0,1316.25,2326.32,2326.32,2
CDM,PX-98301941,"Full Thick Grft Scalp,Arm,Leg <20sqc",3012.0,2259.0,2326.32,2326.32,2
CDM,PX-98301966,Phys/Qhp Telephone Evaluation 11-20 Min,119.0,89.25,93.65,93.65,1
CDM,PX-98301967,Phys/Qhp Telephone Evaluation 21-30 Min,179.0,134.25,140.87,140.87,1
CDM,PX-98301989,"Part Palmar Fasciec,Open 1 Digit",4118.0,3088.5,3557.95,3557.95,1
CDM,PX-98301990,"Part Palmar Fasciec,Open Addnl Digit",1329.0,996.75,1148.26,1148.26,1
CDM,PX-98301994,Hcpr Repair Brow Ptosis|BILATERAL PROCEDURE,2487.0,1865.25,2966.94,2966.94,1
CDM,PX-98301997,External Ecg Rec>48hr<7d Review & Interpretation,123.0,92.25,72.57,114.64,10
CDM,PX-98301998,External Ecg Rec>7d<15d Review & Interpretation,136.0,102.0,94.38,126.75,8
CDM,PX-98301999,Prolonged Outpatient E/M Service Each 15 Minutes,160.0,120.0,116.64,116.64,1
CDM,PX-98302018,Reduction of Breast|BILATERAL PROCEDURE|ASSISTANT AT SURGERY SERVICE,1369.75,1027.31,965.4,1077.99,3
CDM,PX-98302019,"Echo Heart Xthoracic,Complete W Doppler",354.0,265.5,208.86,329.93,10
CDM,PX-98302021,Complex E/M Visit Add On,77.0,57.75,53.44,71.27,3
CDM,PX-98302037,Coorjhallux Valgus W/Sesmdc W/Prox Phlnx Osteot|BILATERAL PROCEDURE|ASSISTANT SURGEON,619.0,464.25,9085.03,9085.03,1
CDM,PX-98302040,Rev Upper Eyelid W Excess Skin|BILATERAL PROCEDURE,2740.0,2055.0,2326.32,2326.32,2
CDM,PX-98302049,Hcpr Needle Emg Ea Extremity W/Paraspinl Area Limited,91.0,68.25,66.34,84.81,2
CDM,PX-98302050,Hcpr Needle Emg Ea Extremty W/Paraspinl Area Complete,225.0,168.75,156.15,177.08,5
CDM,PX-98302052,Hcpr Motor &/Sens 3-4 Nrv Cndj Preconf Eltrode Limb,330.0,247.5,240.57,396.02,2
CDM,PX-98302053,Hcpr Motor &/Sens 5-6 Nrv Cndj Preconf Eltrode Limb,394.0,295.5,277.69,396.02,4
CDM,PX-98302054,Hcpr Motor &/Sens 7-8 Nrv Cndj Preconf Eltrode Limb,528.0,396.0,366.43,492.1,6
CDM,PX-98302055,Hcpr Motor &/Sens 9-10 Nrv Cndj Preconf Eltrode Limb,653.0,489.75,460.23,674.79,4
CDM,PX-98302056,Hcpr Motor &/Sens 11-12 Nrv Cndj Preconf Eltrode Limb,779.0,584.25,549.04,674.79,3
CDM,PX-98302057,Hcpr Motor &/Sens 13/> Nrv Cndj Preconf Eltrode Limb,926.0,694.5,652.64,674.79,4
CDM,PX-98302062,US Soft Tissue Head & Neck Real Time Imge Docm,136.0,102.0,80.24,126.75,8
CDM,PX-98302073,Echo Tthrc R-T 2d W/WO M-Mode Complete Rest&St,343.0,257.25,238.04,269.94,5
CDM,PX-98302074,Doppler Echocard Pulse Wave W/Spectral Display,88.0,66.0,62.02,64.15,2
CDM,PX-98302080,Non-Invasive Physiologic Study Extremity 3 Levels,146.0,109.5,101.32,135.14,5
CDM,PX-98302081,"Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral",164.0,123.0,115.59,115.59,1
CDM,PX-98302083,"US, Chest, Real Time",136.0,102.0,95.85,107.03,2
CDM,PX-98302089,Echo Contrast Agent During Stress Echo,166.0,124.5,117.0,153.65,4
CDM,PX-98302090,"Doppler Echo Heart,Limited,F/U",33.0,24.75,19.47,30.54,7
CDM,PX-98302091,Doppler Color Flow Velocity Map,14.0,10.5,8.26,12.96,7
CDM,PX-98302092,"Echo Xthoracic,Cong Anom,Complete",284.0,213.0,200.16,200.16,1
CDM,PX-98302093,Insertion Drug Delivery Implant,431.0,323.25,303.77,339.2,4
CDM,PX-98302115,Ultrasound Scrotum & Contents,139.0,104.25,82.01,129.55,7
CDM,PX-98302379,US Retroperitoneal Real Time W/Image Complete,154.0,115.5,106.88,143.53,7
CDM,PX-98302389,Rpr Aa Hernia 1st < 3 Cm Reducible,1566.0,1174.5,1086.8,1103.72,2
CDM,PX-98302389,Rpr Aa Hernia 1st < 3 Cm Reducible|ASSISTANT AT SURGERY SERVICE,391.5,293.62,271.7,275.93,2
CDM,PX-98302390,Rpr Aa Hernia 1st < 3 Cm Ncrc8/Strangulated,2170.0,1627.5,1529.42,1581.93,2
CDM,PX-98302390,Rpr Aa Hernia 1st < 3 Cm Ncrc8/Strangulated|ASSISTANT AT SURGERY SERVICE,542.5,406.87,382.35,395.48,2
CDM,PX-98302390,Rpr Aa Hernia 1st < 3 Cm Ncrc8/Strangulated|ASSISTANT SURGEON,542.5,406.87,382.35,382.35,1
CDM,PX-98302396,Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated,2605.0,1953.75,1807.87,1836.0,2
CDM,PX-98302396,Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated|ASSISTANT AT SURGERY SERVICE,651.25,488.44,459.0,459.0,1
CDM,PX-98302396,Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated|ASSISTANT SURGEON,651.25,488.44,451.97,451.97,1
CDM,PX-98302409,Septoplasty or Submucous Resection,3321.0,2490.75,3073.92,3073.92,1
CDM,PX-98302416,Program Eval Implantable in Persn Dual Ld Pacer,169.0,126.75,123.2,123.2,1
CDM,PX-98302419,Prgrmg Eval Implantable in Prsn Dual Lead Dfb,253.0,189.75,184.44,199.11,2
CDM,PX-98302420,Prgrmg Eval Implantable in Person Multi Lead Dfb,274.0,205.5,193.12,199.75,2
CDM,PX-98302444,Rem Interrog Pm/Ldls Pm <90 D Phys/Qhp,134.0,100.5,97.69,97.69,1
CDM,PX-98302445,Interrogation Eval Remote >= 90 D 1/2/Mlt Ld Dfb,290.0,217.5,204.39,228.23,4
CDM,PX-98302447,Rem Interrog Scrms <30 D Phys/Qhp,116.0,87.0,81.76,81.76,2
CDM,PX-98302453,Hcpr Removal of Foreign Body,682.0,511.5,480.67,480.67,1
CDM,PX-98302466,Instrument Based Ocular Scr Bi W/Onsite Analysis,24.0,18.0,16.66,22.37,8
CDM,PX-98302512,"Duplex Extrem Venous,Uni or Ltd",138.0,103.5,108.61,135.24,2
CDM,PX-98302515,Myocardial Strain Imaging Quan Assmt,59.0,44.25,41.58,46.43,3
CDM,PX-98302530,Synchronous Audio-Video Visit New Low Mdm 30 Min,344.0,258.0,238.74,320.61,5
CDM,PX-98302531,Synchronous Audio-Video Visit New Mod Mdm 45 Min,559.0,419.25,407.51,520.99,4
CDM,PX-98302532,Synchronous Audio-Video Vst New High Mdm 60 Min,750.0,562.5,520.5,590.25,3
CDM,PX-98302533,Synchronous Audio-Video Visit Est Sf Mdm 10 Min,149.0,111.75,103.41,138.87,5
CDM,PX-98302534,Synchronous Audio-Video Visit Est Low Mdm 20 Min,278.0,208.5,164.02,259.1,6
CDM,PX-98302535,Synchronous Audio-Video Visit Est Mod Mdm 30 Min,413.0,309.75,243.67,384.92,7
CDM,PX-98302536,Synchronous Audio-Video Vst Est High Mdm 40 Min,559.0,419.25,407.51,482.98,3
CDM,PX-98302541,Synchronous Audio-Only Visit Est Sf Mdm 10 Min,140.0,105.0,97.16,110.18,2
CDM,PX-98302542,Synchronous Audio-Only Visit Est Low Mdm 20 Min,256.0,192.0,177.66,238.59,4
CDM,PX-98302543,Synchronous Audio-Only Visit Est Mod Mdm 30 Min,378.0,283.5,262.33,297.49,3
CDM,PX-98302561,Pulmonary Stress Testing,103.0,77.25,60.77,72.59,3
CDM,PX-98302564,"Cystoscopy,Dil Bladder,Local Anesth",710.0,532.5,2605.19,2605.19,1
CDM,PX-98302566,Respiratory Flow Volume Loop,67.0,50.25,47.22,47.22,2
CDM,PX-98302579,Lap Cholecystectomy/Explore,4949.0,3711.75,3488.06,3488.06,1
CDM,PX-98302579,Lap Cholecystectomy/Explore|ASSISTANT AT SURGERY SERVICE,1237.25,927.94,872.01,872.01,1
CDM,PX-98302584,"Cystoscopy,Tx Ureteral Stricture",1335.0,1001.25,4386.22,4386.22,1
CDM,PX-98500002,12 Lead Ecg Interpretation and Report Only,125.0,93.75,73.75,116.5,13
CDM,SUP-ITM-10000126,GUIDEWIRE VASCULAR .038INX150CM FLEX TIP HYDROPHILIC COATED STIFF 3CM TIP STRAIGHT TIP BX/5EA,91.5,68.62,72.01,72.01,1
CDM,SUP-ITM-10000258,K-WIRE BONE 1.1X140MM GUIDE SS DOUBLE TROCAR POINT PK/6EA,18.5,13.87,13.04,17.24,6
CDM,SUP-ITM-10001507,SCREW BONE 4.5X46MM CORTEX SS SELF TAPPING FULL THREAD LG HEXAGONAL SOCKET,81.03,60.77,57.11,75.52,6
CDM,SUP-ITM-10001579,SCREW BONE 4X45MM CANCELLOUS SS FULLY THREADED HEXAGONAL SOCKET FLAT HEAD,82.14,61.6,57.89,76.55,6
CDM,SUP-ITM-10001632,K-WIRE BONE 2X150MM FIXATION SS TROCAR POINT PK/10EA,19.76,14.82,13.93,18.42,6
CDM,SUP-ITM-10002024,SCREW BONE 7.3X75MM 16MM THREAD CANNULATED SS HEXAGONAL SOCKET,483.84,362.88,341.01,450.94,6
CDM,SUP-ITM-10002162,SCREW BONE 3.5X28MM CORTEX SS SHAFT HEXAGONAL SOCKET PARTIAL THREAD FLAT HEAD,53.28,39.96,37.55,49.66,6
CDM,SUP-ITM-10002188,SCREW BONE 1.3X7MM CORTEX TI SELF TAPPING CRUCIFORM RECESS,220.89,165.67,155.68,205.87,6
CDM,SUP-ITM-10002256,SCREW BONE 1.2X10MM CRANIAL EMERGENCY TITANIUM SELF TAPPING TEAL PK/5EA,166.82,125.11,117.57,155.48,6
CDM,SUP-ITM-10002354,SCREW BONE 4.5X36MM CANNULATED SS SELF DRILLING TAPPING FULL THREAD LG HEXAGONAL SOCKET,396.48,297.36,279.44,369.52,6
CDM,SUP-ITM-10002403,PLATE CRANIUM 1.3MM 3 HOLE 100DEG L SHAPE MODULE OBLIQUE TITANIUM LEFT,428.28,321.21,301.85,399.16,6
CDM,SUP-ITM-10002679,MESH SYNTHETIC 6.0 XIN ABDOMINAL NON ABSORBABLE SQUARE POLYPROPYLENE BX/6EA,193.42,145.06,96.71,152.22,7
CDM,SUP-ITM-10003518,MESH GRAFT 1.3X1.55IN 3.3 3.9CM MED PERFIX POLYPROPYLENE MONOFILAMENT PLUG INGUINAL HERNIA SOFT TISSUE REPAIR CS/2EA,660.77,495.58,330.39,520.03,7
CDM,SUP-ITM-10003698,TAP BONE 110X4MM SCREW STAINLESS CANCELLOUS,536.64,402.48,378.22,500.15,6
CDM,SUP-ITM-10003852,SCREW BONE 4X20MM CANNULATED SS SELF DRILLING TAPPING SHORT THREAD HEXAGONAL SOCKET FLAT HEAD,366.72,275.04,258.46,341.78,6
CDM,SUP-ITM-10003861,K-WIRE BONE 2.8X300MM FIXATION SS TROCAR POINT THREADED,88.32,66.24,62.25,82.31,6
CDM,SUP-ITM-10004185,BONE PLATE 2MM 29 5 HOLE MINI FRAGMENT STRAIGHT SS,642.69,482.02,452.97,598.99,6
CDM,SUP-ITM-10004195,PLATE HIP 78MM 4 HOLE 135DEG DHS SS COMPRESSION STANDARD BARREL,1295.37,971.53,912.98,1207.28,6
CDM,SUP-ITM-10004196,PLATE HIP 94MM 5 HOLE 135DEG DHS SS COMPRESSION STANDARD BARREL,1295.37,971.53,912.98,1207.28,6
CDM,SUP-ITM-10004458,SCREW BONE 4.5X24MM CORTEX SS STANDARD LG HEXAGONAL SOCKET FLAT HEAD,149.85,112.39,105.61,139.66,6
CDM,SUP-ITM-10004484,SCREW BONE 4.5X80MM CORTEX SS STANDARD LG HEXAGONAL SOCKET FLAT HEAD,265.29,198.97,186.98,247.25,6
CDM,SUP-ITM-10004521,SET SCREW 12.7X95MM BONE LAG CONDYLAR S/S CANC CANN SELF TAP NON LOCK,880.23,660.17,620.39,820.37,6
CDM,SUP-ITM-10004537,WASHER BONE 7MM SM SCREW CANNULATED SS,54.39,40.79,38.33,50.69,6
CDM,SUP-ITM-10004538,WASHER BONE 6.5X13MM,61.05,45.79,43.03,56.9,6
CDM,SUP-ITM-10004543,WIRE SUTURE 18X1MM 24IN 18GA BEADED END SS BX/6EA,28.92,21.69,20.38,26.95,6
CDM,SUP-ITM-10004683,HIP COMPONENT 28MM PLUS 1.5 ARTICULEZE STD METAL 12/14 OFFSET,1200.0,900.0,845.76,1118.4,4
CDM,SUP-ITM-10004718,HIP 44MM TANDEM COBALT CHROMIUM UNIPOLAR,669.0,501.75,471.51,623.51,4
CDM,SUP-ITM-10004970,KNEE COMPONENT 38MM PATELLA OVAL DOME 3 PEG PFC SIGMA 06,840.0,630.0,592.03,782.88,4
CDM,SUP-ITM-10005057,PORT IMPLANTABLE 75CMX10FR DUAL PORT DUAL LUMEN INFUSION STD PROFILE SINGLE CHAMBER CT COMPATIBLE MRI SAFE POWER INJECTABLE SLIDE LOCK CONNECTOR NON VALVED OPEN-ENDED TIP INT - DISCONTINUED PER SUPPLI,984.0,738.0,492.0,774.41,3
CDM,SUP-ITM-10005280,CATHETER INTERMITTENT 14FR 16IN RUBBER TIEMANN MODEL COUDE TIP SINGLE EYE CS/12EA,10.54,7.9,8.29,8.29,1
CDM,SUP-ITM-10005624,PIN WRIST 27MM TRIMED BUTTRESS,870.0,652.5,613.18,810.84,6
CDM,SUP-ITM-10005725,PLUG HIP 48 66MM IMPLANT LINER HOLE ELIMINATOR THRDED POSITIVE STOP APEX 16B,162.0,121.5,114.18,150.98,4
CDM,SUP-ITM-10006372,HIP 22MM 4 IMPLANT PLUS TAPERED VITALLIUM COCR 05 CS/1BX/1EA,900.0,675.0,634.32,838.8,4
CDM,SUP-ITM-10006404,SCREW BONE 4.5X76MM CORTEX SS SELF TAPPING FULL THREAD LG HEXAGONAL SOCKET,143.19,107.39,100.92,133.45,6
CDM,SUP-ITM-10006416,HIP IMPLANT 28X42MM COBALT SELF CENTERING BIPOLAR,1047.0,785.25,737.93,975.8,4
CDM,SUP-ITM-10006553,SCREW BONE 2.7X12MM CORTICAL SELF TAPPING FULLY THREADED HEX HEAD SS,105.45,79.09,74.32,98.28,6
CDM,SUP-ITM-10006715,KIT CATHETER 15.5FR INSERTION PLEURX PLEURAL CS/10EA,1778.28,1333.71,889.14,1253.33,2
CDM,SUP-ITM-10006718,SCREW BONE 3.5X10MM CORTEX SELF TAPPING FULLY THREADED HEX HEAD SS,71.04,53.28,50.07,66.21,6
CDM,SUP-ITM-10006719,SCREW BONE 3.5X12MM CORTEX SELF TAPPING FULLY THREADED HEX HEAD SS,51.63,38.72,36.39,48.12,6
CDM,SUP-ITM-10007168,SCREW BONE 12.7X90MM LAG DHS DCS ONE STEP SS 22MM THREAD,770.34,577.75,542.94,717.96,6
CDM,SUP-ITM-10007287,SCREW BONE 25X6.5MM HIP CANCELLOUS PINNACLE SS DOME,162.0,121.5,114.18,150.98,6
CDM,SUP-ITM-10007555,GUIDEWIRE BONE 230X2.5MM COBALT ALLOY SPADE POINT THREADED BX/10EA,107.67,80.75,84.74,84.74,1
CDM,SUP-ITM-10007730,SCREW BONE 3.5X24MM COMPRESSION SS LOCKING SELF TAPPING FULL THREAD T15 STARDRIVE RECESS,291.93,218.95,205.75,272.08,6
CDM,SUP-ITM-10007882,BONE PLATE 3.5X72MM 5 HOLE LCP SS LOCKING STRAIGHT BX/2EA,648.24,486.18,456.88,604.16,6
CDM,SUP-ITM-10007883,BONE PLATE 85X3.5MM 6 HOLE LCP SS LOCKING STRAIGHT BX/2EA,673.77,505.33,474.87,627.95,6
CDM,SUP-ITM-10008013,BONE PLATE 3.5X140MM 10 HOLE LCP SS RECONSTRUCTION,1219.89,914.92,859.78,1136.94,6
CDM,SUP-ITM-10008016,BONE PLATE 3.5X70MM 5 HOLE LCP SS RECONSTRUCTION,930.18,697.63,655.59,866.93,6
CDM,SUP-ITM-10008164,BONE PLATE 3.5X84MM 6 HOLE LCP SS RECONSTRUCTION,1074.48,805.86,757.29,1001.42,6
CDM,SUP-ITM-10008165,BONE PLATE 3.5X168MM 12 HOLE LCP SS RECONSTRUCTION,1350.87,1013.15,952.09,1259.01,6
CDM,SUP-ITM-10008166,BONE PLATE 3.5X149MM 12 HOLE RECONSTRUCTION LCP CURVED,1908.09,1431.07,1344.82,1778.34,6
CDM,SUP-ITM-10008167,PLATE BONE 111X3.5MM 8 HOLE LCP SS LOCKING STRAIGHT BX/2EA,733.71,550.28,517.12,683.82,6
CDM,SUP-ITM-10008168,BONE PLATE 3.5X189MM 14 HOLE LCP SS LOCKING STRAIGHT BX/2EA,1337.55,1003.16,942.71,1246.6,6
CDM,SUP-ITM-10008259,PLATE BONE 124X3.5MM 9 HOLE LCP SS LOCKING STRAIGHT BX/2EA,780.33,585.25,549.98,727.27,6
CDM,SUP-ITM-10008260,BONE PLATE 3.5X137MM 10 HOLE LCP SS LOCKING STRAIGHT BX/2EA,803.64,602.73,566.41,748.99,6
CDM,SUP-ITM-10008261,BONE PLATE 3.5X163MM 12 HOLE LCP SS LOCKING STRAIGHT BX/2EA,889.11,666.83,626.64,828.65,6
CDM,SUP-ITM-10008262,BONE PLATE 3.5X98MM 7 HOLE LCP SS RECONSTRUCTION,1126.65,844.99,794.06,1050.04,6
CDM,SUP-ITM-10008263,PLATE BONE 112X3.5MM 8 HOLE LCP SS RECONSTRUCTION,1176.6,882.45,829.27,1096.59,6
CDM,SUP-ITM-10008264,BONE PLATE 3.5X50MM 3 HOLE HD SHAFT T RT ANGLE LCP SS,679.32,509.49,478.78,633.13,6
CDM,SUP-ITM-10008265,BONE PLATE 3.5X67MM 3 HOLE HD 5 SHAFT T RT ANGLE LCP SS,770.34,577.75,542.94,717.96,6
CDM,SUP-ITM-10008266,BONE PLATE 3.5X87MM 3 HOLE HD 7 SHAFT LCP SS T SHAPE RT ANGLE,1125.54,844.15,793.28,1049.0,6
CDM,SUP-ITM-10008270,BONE PLATE 3.5X56MM 4 HOLE HD SHAFT LCP SS T SHAPE RT ANGLE,702.63,526.97,495.21,654.85,6
CDM,SUP-ITM-10008272,BONE PLATE 3.5X78MM 4 HOLE HD 6 SHAFT T RT ANGLE LCP SS,900.21,675.16,634.47,839.0,6
CDM,SUP-ITM-10008273,BONE PLATE 3X3.5 52MM HOLE T OBLIQUE LCP STAINLESS RIGHT,762.57,571.93,537.46,710.72,6
CDM,SUP-ITM-10008274,BONE PLATE 3X3.5 63MM 4 HOLE T OBLIQUE LCP STAINLESS RIGHT,796.98,597.73,561.71,742.79,6
CDM,SUP-ITM-10008275,BONE PLATE 3X3.5 74MM 5 HOLE T OBLIQUE LCP STAINLESS RIGHT,832.5,624.37,586.75,775.89,6
CDM,SUP-ITM-10008276,BONE PLATE 3X3.5 96MM 7 HOLE T OBLIQUE LCP STAINLESS RIGHT,903.54,677.65,636.81,842.1,6
CDM,SUP-ITM-10008277,BONE PLATE 3.5X52MM 3 HOLE HD SHAFT LCP SS OBLIQUE T SHAPE LEFT,763.68,572.76,538.24,711.75,6
CDM,SUP-ITM-10008278,BONE PLATE 3.5X63MM 3 HOLE HD 4 SHAFT LCP SS OBLIQUE T SHAPE LEFT,799.2,599.4,563.28,744.85,6
CDM,SUP-ITM-10008290,BONE PLATE 3.5X74MM 3 HOLE HD 5 SHAFT LCP SS OBLIQUE T SHAPE LEFT,834.72,626.04,588.31,777.96,6
CDM,SUP-ITM-10008291,BONE PLATE 3.5X96MM 3 HOLE HD 7 SHAFT LCP SS OBLIQUE T SHAPE LEFT,904.65,678.49,637.6,843.13,6
CDM,SUP-ITM-10008292,BONE PLATE 57X3.5MM 5 HOLE TUBULAR ONE THIRD WITH COLLAR LCP SS,370.74,278.05,261.3,345.53,6
CDM,SUP-ITM-10008315,DILATOR CRE 7.5FR 15-18MM 5.5CM 240CM .035IN BALLOON ENDOSCOPIC OBLONG FILL SALINE WIREGUIDED STERILE LF DISP,579.27,434.45,289.64,289.64,1
CDM,SUP-ITM-10008319,BONE PLATE 93X3.5MM 8 HOLE TUBULAR ONE THIRD WITH COLLAR LCP SS,396.27,297.2,279.29,369.32,6
CDM,SUP-ITM-10008399,PLATE BONE 117X3.5MM 10 HOLE TUBULAR ONE THIRD WITH COLLAR LCP SS,406.26,304.69,286.33,378.63,6
CDM,SUP-ITM-10008577,SET CATHETER 6.0MM 7.5CM AIRWAY MELKER EMERGENCY CRICOTHYROTOMY ID G04652,615.69,461.77,484.55,484.55,1
CDM,SUP-ITM-10008696,DEVICE CONTRACEPTIVE 52MG IUD MIRENA - MUST ORDER IN MULTIPLES OF 5,2915.1,2186.32,2023.08,2716.87,4
CDM,SUP-ITM-10009071,PLATE HIP 138MM STABILIZATION TROCHANTERIC DHS SS,1820.4,1365.3,1283.02,1696.61,6
CDM,SUP-ITM-10009638,BLADE BONE 95X11MM TROCHANTERIC FIXATION TI HELICAL,1439.73,1079.8,1014.72,1341.83,6
CDM,SUP-ITM-10009648,NAIL BONE 11X170MM 130DEG TROCHANTERIC FIXATION TITANIUM CANNULATED PROXIMALIMAL,3257.37,2443.03,2295.79,3035.87,6
CDM,SUP-ITM-10009649,NAIL BONE 12X170MM 130DEG FEMORAL CANNULATED TITANIUM TROCHANTERIC FIXATION INTRAMEDULLARY,3557.82,2668.36,2507.55,3315.89,6
CDM,SUP-ITM-10009650,NAIL BONE 11X300MM 130DEG FEMORAL CANNULATED TITANIUM TROCHANTERIC FIXATION RIGHT,4348.38,3261.28,3064.74,4052.69,6
CDM,SUP-ITM-10009795,PLATE BONE 141X3.5MM 12 HOLE TUBULAR ONE THIRD COLLAR LCP SS,416.25,312.19,293.37,387.95,6
CDM,SUP-ITM-10009796,PLATE HUMERUS 3.5X114MM 6X5 HOLE PROXIMAL LCP STANDARD,3785.22,2838.91,2667.82,3527.83,6
CDM,SUP-ITM-10009825,GUIDEWIRE ORTHOPEDIC 400X3.2MM TI THREADED BX/3EA BX/3EA,214.23,160.67,168.6,168.6,1
CDM,SUP-ITM-10010190,GUIDEWIRE BONE 6.0IN 0.045 KIRSCHNER ACUTRAK 2 SS SINGLE TROCAR,48.0,36.0,37.78,37.78,1
CDM,SUP-ITM-10010226,HUMERUS PLATE 3.5X90MM 6 HOLE HD 3 SHAFT PROXIMAL LCP STANDARD,3668.94,2751.7,2585.87,3419.45,6
CDM,SUP-ITM-10010440,KIT PERICARDIOCENTESIS PERIVAC 8.3FR STRAIGHT CATHETER PLUS - DISCONTINUED PER SUPPLIER/CONTRACTS,391.0,293.25,195.5,275.58,2
CDM,SUP-ITM-10011247,HIP CENTRALIZER 13MM IMPLANT STEM CEMENTRALIZER ALIGNMENT 16B,150.0,112.5,105.72,139.8,4
CDM,SUP-ITM-10011480,K-WIRE BONE 1.6X150MM 5 FIXATION SS TROCAR POINT PK/10EA,36.74,27.55,25.89,34.24,6
CDM,SUP-ITM-10011600,BONE PLATE 3.5X196MM 14 HOLE LCP SS RECONSTRUCTION,1517.37,1138.03,1069.44,1414.19,6
CDM,SUP-ITM-10011601,BONE PLATE 3.5X224MM 16 HOLE LCP SS RECONSTRUCTION,1645.02,1233.76,1159.41,1533.16,6
CDM,SUP-ITM-10011602,BONE PLATE 3.5X252MM 18 HOLE LCP SS RECONSTRUCTION,1724.94,1293.7,1215.74,1607.64,6
CDM,SUP-ITM-10011603,BONE PLATE 3.5MM 280 20HOLE LCP RECONSTRUCTION SYN,2091.24,1568.43,1473.91,1949.04,6
CDM,SUP-ITM-10011604,BONE PLATE 3.5X215MM 16 HOLE LCP SS LOCKING STRAIGHT,1505.16,1128.87,1060.84,1402.81,6
CDM,SUP-ITM-10011605,BONE PLATE 3.5X241MM 18 HOLE LCP SS LOCKING STRAIGHT,1689.42,1267.06,1190.7,1574.54,6
CDM,SUP-ITM-10011606,BONE PLATE 3.5X267MM 20 HOLE LCP SS LOCKING STRAIGHT,1874.79,1406.09,1321.35,1747.3,6
CDM,SUP-ITM-10011825,SCREW BONE 12.7X55MM LAG DHS DCS ONE STEP SS 22MM THREAD,770.34,577.75,542.94,717.96,6
CDM,SUP-ITM-10012067,SCREW BONE 5X36MM LOCKING FOR INTRAMEDULLARY NAIL GREEN TITANIUM,387.39,290.54,273.03,361.05,6
CDM,SUP-ITM-10012104,CEMENT BONE SIMPLEX P TOBRAMYCIN 41G POWDER AND 20ML AMPOULE ANTIBIOTIC IMPREGNATED FULL DOSE BX/10EA,750.0,562.5,528.6,699.0,6
CDM,SUP-ITM-10012205,ANCHOR SUTURE SIZE 3 0 NEEDLEV4 LENGTH1.3MM ARTHROSCOPY ETHIBOND QUICK MICRO,885.0,663.75,623.75,824.82,6
CDM,SUP-ITM-10012540,BONE PLATE 3.5X182MM 13 HOLE LCP SS RECONSTRUCTION,1461.87,1096.4,1030.33,1362.46,6
CDM,SUP-ITM-10012778,FEMORAL STEM SZ 3 HIP SUMMIT COBALT CHROME 12/14 TAPERED STANDARD OFFSET CEMENTED,3600.0,2700.0,2537.28,3355.2,4
CDM,SUP-ITM-10012987,HIP STEM SZ 2 130X32MM 130DEG FEMORAL SUMMIT DUOFIX TITANIUM HYDROXYAPATITE TAPERED STANDARD OFFSET CEMENTLESS,3600.0,2700.0,2537.28,3355.2,4
CDM,SUP-ITM-10013057,HIP STEM 10MM CENTRALIZER CEMENTRALIZER POLYMER PROSTALAC,150.0,112.5,105.72,139.8,4
CDM,SUP-ITM-10013270,SCREW BONE 2.7X55MM CORTEX SS LOCKING SELF TAPPING FULL THREAD T8 STARDRIVE RECESS,253.08,189.81,178.37,235.87,6
CDM,SUP-ITM-10013931,GRAFT MESH 8.5CM 13.5CM 3DMAX POLYPROPYLENE MONOFILAMENT PATCH LAPAROSCOPY HERNIA REPAIR LEFT CS/1EA,720.0,540.0,360.0,566.64,7
CDM,SUP-ITM-10014061,HUMERUS PLATE 3.5MM 5 HOLE DISTAL MEDIAL LCP LOCKING SS LEFT,1983.57,1487.68,1398.02,1848.69,6
CDM,SUP-ITM-10014422,SCREW BONE 2.7X14MM CORTEX SS LOCKING SELF TAPPING FULL THREAD T8 STARDRIVE RECESS,253.08,189.81,178.37,235.87,6
CDM,SUP-ITM-10014437,HUMERUS PLATE 3.5X65MM 3 HOLE POSTEROLATERAL DISTAL LCP SS LEFT,1787.1,1340.32,1259.55,1665.58,6
CDM,SUP-ITM-10014452,HIP STEM 12 TO 14 165MM LONG SM IMPLANT 12TO14 TAPER STRAIGHT REVISION SPECTRON EF 03 BX/1CS/1EA,4125.0,3093.75,2907.3,3844.5,4
CDM,SUP-ITM-10014476,CABLE ORTHOPEDIC 750X1.7MM SS CRIMP,1071.15,803.36,754.95,998.31,6
CDM,SUP-ITM-10014597,WIRE GUIDE 150MM 300X2.8 BONE SS FLUTED CALIBRATED,193.92,145.44,136.67,180.73,6
CDM,SUP-ITM-10015182,SCREW BONE 20X6.5MM HIP CANCELLOUS REFLECTION SS SPHERICAL HEAD,114.0,85.5,80.35,106.25,6
CDM,SUP-ITM-10015385,SCREW BONE 30X6.5MM HIP CANCELLOUS SPHERICAL HEAD FOR REFLECTION SYSTEM 16A CS/1BX/1EA,114.0,85.5,80.35,106.25,6
CDM,SUP-ITM-10015410,SCREW BONE 6.5X25MM HIP CANCELLOUS SPHERICAL HD FOR REFLECTION SYSTEM 16A,114.0,85.5,80.35,106.25,6
CDM,SUP-ITM-10015447,CEMENT BONE 40GRAM SMARTSET HV MULTIPLES OF 20S,180.0,135.0,126.86,167.76,6
CDM,SUP-ITM-10015634,SET CATHETER 4.0MMX4.2CM CRICOTHYROTOMY MELKER EMERGENCY,587.7,440.77,462.52,462.52,1
CDM,SUP-ITM-10015764,BONE SCREW 12.7X22 90MM LAG S/S CANC SELF TAP CANNULATED NON LOCK,880.23,660.17,620.39,820.37,6
CDM,SUP-ITM-10015778,SCREW BONE 12.7X36MM LAG DHS/DCS ONE STEP SS CANNULATED THREAD,99.9,74.92,70.41,93.11,6
CDM,SUP-ITM-10016572,SCREW BONE 12.7X36MM SET COMPRESSION SS FULL THREAD HEXAGONAL SOCKET,209.79,157.34,147.86,195.52,6
CDM,SUP-ITM-10016584,SCREW BONE 2.7X16MM CORTICAL LOCKING SELF TAPPING T8 STARDRIVE RECESS SS,97.68,73.26,68.84,91.04,6
CDM,SUP-ITM-10017021,SCREW BONE 20X2.3MM CORTICAL ACU LOC 2 TITANIUM VOLAR DISTAL PLATING NONTOGGLING,258.0,193.5,181.84,240.46,6
CDM,SUP-ITM-10017069,WASHER SCREW 3.2X8MM BONE SS SPIKED,156.51,117.38,110.31,145.87,6
CDM,SUP-ITM-10017229,HIP 36MM 3.0 OXINIUM OXIDIZED ZIRCONIUM 12/14 TAPER MINUS,1200.0,900.0,845.76,1118.4,4
CDM,SUP-ITM-10017461,HUMERUS PLATE 3.5X196MM LONG 8 HOLE SHAFT PROXIMAL LCP,3438.68,2579.01,2423.58,3204.85,6
CDM,SUP-ITM-10017713,ANCHOR SUTURE SIZE 2 0 NEEDLECP2 LENGTH8.8X2.4MM ARTHROSCOPY GII QUICK SS ORTHOCORD,594.0,445.5,418.65,553.61,6
CDM,SUP-ITM-10017864,SHOULDER PLATE 3.5MM 232 LONG 10 HOLE SHAFT HUMERAL LCP STAINLESS PROXIMAL,3568.73,2676.55,2515.24,3326.06,6
CDM,SUP-ITM-10018137,SHAFT HUMERAL 3.5X160MM LONG 6 HOLE SHOULDER BONE LCP SS PROXIMALIMAL,3742.08,2806.56,2637.42,3487.62,6
CDM,SUP-ITM-10018258,GRAFT MESH 5IN 7IN XL 3DMAX POLYPROPYLENE MONOFILAMENT PREFORMED PATCH HERNIA LT CS/1EA,870.0,652.5,435.0,684.69,7
CDM,SUP-ITM-10018259,GRAFT MESH 10.5CM 16CM 3DMAX POLYPROPYLENE MONOFILAMENT PATCH LAPAROSCOPY HERNIA REPAIR RIGHT CS/1EA,780.0,585.0,390.0,613.86,7
CDM,SUP-ITM-10018674,COUPLER KNEE 4MM LEGION TITANIUM OFFSET PLUS,2340.0,1755.0,1649.23,2180.88,4
CDM,SUP-ITM-10018676,KNEE STEM 16X160MM FEMORAL LEGION TITANIUM PRESS FIT SLOTTED,1800.0,1350.0,1268.64,1677.6,4
CDM,SUP-ITM-10018699,SCREW BONE 30X4MM TITANIUM LOCKING SELF TAPPING FULL THREAD T25 STARDRIVE RECESS DARK BLUE,377.4,283.05,265.99,351.74,6
CDM,SUP-ITM-10018913,BLADE BONE 100X11MM TROCHANTERIC FIXATION TITANIUM HELICAL STERILE,1772.46,1329.34,1249.23,1651.93,6
CDM,SUP-ITM-10018957,K-WIRE BONE 0.035X5 1/2IN GUIDE SS DOUBLE TROCAR POINT PK/6E - DISCONTINUED PER SUPPLIER/CONTRACTS,10.9,8.17,7.68,10.16,6
CDM,SUP-ITM-10019010,SCREW BONE 3.5X40MM TAP LOC LOCKING FULL THREAD SELF TAPPING,525.0,393.75,370.02,489.3,6
CDM,SUP-ITM-10019108,SCREW BONE 6.5X70MM 16MM THREAD CANNULATED SS HEXAGONAL SOCKET,486.72,365.04,343.04,453.62,6
CDM,SUP-ITM-10019113,SCREW BONE 2.7X45MM CORTEX SS HEXAGONAL SOCKET SELF TAPPING SPHERICAL HEAD SM,105.45,79.09,74.32,98.28,6
CDM,SUP-ITM-10019167,SCREW BONE 2X10MM CORTEX SS SELF TAPPING CRUCIFORM RECESS,113.22,84.91,79.8,105.52,6
CDM,SUP-ITM-10019183,SCREW BONE 2.7X55MM CORTEX SS HEXAGONAL SOCKET SELF TAPPING SPHERICAL HEAD SM,122.1,91.57,86.06,113.8,6
CDM,SUP-ITM-10019523,WRIST PLATE 5 HOLE SS BEARING VOLAR LT PEG,3555.0,2666.25,2505.56,3313.26,6
CDM,SUP-ITM-10019902,SHOULDER PLATE 3.5X142MM LONG 5 HOLE SHAFT HUMERAL LCP STAINLESS PROXIMAL,3821.94,2866.45,2693.7,3562.05,6
CDM,SUP-ITM-10020961,ANCHOR SUTURE SIZE 2 0 ARTHROSCOPY VERSALOK ORTHOCORD NONABSORBABLE,954.0,715.5,672.38,889.13,6
CDM,SUP-ITM-10021385,HIP COMPONENT 36MM DEP1365 210 SROM CERAMIC FEM +0 11/13TAPER 04,1800.0,1350.0,1268.64,1677.6,4
CDM,SUP-ITM-10021539,SHOULDER PLATE 3.5MM 268 LONG 12 HOLE SHAFT HUMERAL LCP STAINLESS PROXIMAL,4243.03,3182.27,2990.49,3954.5,6
CDM,SUP-ITM-10022190,KNEE INSERT 2 8MM SIZE 1 JOURNEY DEUCE RT LEFT,1338.0,1003.5,943.02,1247.02,4
CDM,SUP-ITM-10022202,KNEE INSERT 6 8MM SIZE 5 JOURNEY POLYETHYLENE UNICOMPARTMENTAL LT RIGHT,1338.0,1003.5,943.02,1247.02,4
CDM,SUP-ITM-10022567,SCREW BONE 2X10MM CORTEX SS SELF TAPPING FULL THREAD T6 STARDRIVE RECESS,129.87,97.4,91.53,121.04,6
CDM,SUP-ITM-10022568,SCREW BONE 2X8MM CORTEX SS LOCKING SELF TAPPING STARDRIVE RECESS,238.65,178.99,168.2,222.42,6
CDM,SUP-ITM-10022912,BREAST IMPLANT 550CC SILICONE SMOOTH ROUND COHESIVE SILICONE SHELL OD13.6CM P5.5CM,2322.0,1741.5,1636.55,1636.55,1
CDM,SUP-ITM-10024289,BONE PLATE 3.5X67MM 4 HOLE HD 5 SHAFT T SHAPE RT ANGLE LCP SS,795.87,596.9,560.93,741.75,6
CDM,SUP-ITM-10025204,SCREW BONE 9MMX30MM KNEE INTERFERENCE CANNULATED ABSORBABLE PLLA TAPERED HEAD BIO INTRAFIX,624.0,468.0,439.8,581.57,6
CDM,SUP-ITM-10025391,BONE PLATE 3.5MMX176 13 HOLE LCP SS LOCKING STRAIGHT,1032.3,774.22,727.57,962.1,6
CDM,SUP-ITM-10025392,BONE PLATE 3.5MMX202 15 HOLE LCP SS LOCKING STRAIGHT,1439.67,1079.75,1014.68,1341.77,6
CDM,SUP-ITM-10025402,BONE PLATE 38X2MM 5 HOLE LCP STAINLESS STRAIGHT,552.78,414.58,389.6,515.19,6
CDM,SUP-ITM-10025973,TRAY CATHETER 4FRX55CM SINGLE LUMEN PICC FULL NURS PWR INJ POLYURET NON COTD CT COMPAT VLVD MICRO IN CS/5EA,326.94,245.2,163.47,163.47,1
CDM,SUP-ITM-10027383,SCREW BONE 4.5X72MM CORTEX SS STANDARD LG HEXAGONAL SOCKET FLAT HEAD,149.85,112.39,105.61,139.66,6
CDM,SUP-ITM-10028219,SCREW BONE 24X2.5MM CORTICAL APTUS TITANIUM HEXADRIVE 7,522.0,391.5,367.91,486.5,6
CDM,SUP-ITM-10028334,PIN BONE 32MM VOLAR BUTTRESS SS,1125.0,843.75,792.9,1048.5,6
CDM,SUP-ITM-10028335,WRIST PLATE 3 HOLE VOLAR FIXED ANGLE RT 7 PEG,2040.0,1530.0,1437.79,1901.28,6
CDM,SUP-ITM-10028336,SCREW BONE 16X3.2MM CORTICAL SS FIXED ANGLE NONLOCKING HEXAGONAL SOCKET,270.0,202.5,190.3,251.64,6
CDM,SUP-ITM-10028412,ACETABULAR SHELL 48MM 3 HOLE TITANIUM STANDARD,1953.0,1464.75,1376.47,1820.2,4
CDM,SUP-ITM-10028944,K-WIRE THREADED 1.25MM 150MM SPADE POINT SS PK/1EA,57.6,43.2,45.33,45.33,1
CDM,SUP-ITM-10029053,BONE PLATE 3.5X99.0MM 7 HOLE LCP SS METAPHYSEAL,1955.82,1466.86,1378.46,1822.82,6
CDM,SUP-ITM-10029055,PLATE METAPHYSEAL 3.5X125MM 9 HOLE METAPHYSL LCP SS,2017.98,1513.48,1422.27,1880.76,6
CDM,SUP-ITM-10029056,BONE PLATE 3.5X138MM 10 HOLE METAPHYSL LCP SS,2052.39,1539.29,1446.52,1912.83,6
CDM,SUP-ITM-10029057,PLATE METAPHYSEAL 3.5X208MM 11 HOLE LCP SS,2084.58,1563.43,1469.21,1942.83,6
CDM,SUP-ITM-10029058,PLATE METAPHYSEAL 3.5X164MM 12 HOLE METAPHYSL LCP SS,2691.75,2018.81,1897.15,2508.71,6
CDM,SUP-ITM-10029084,PLATE METAPHYSEAL 3.5X216MM 16 HOLE LCP SS,2836.05,2127.04,1998.85,2643.2,6
CDM,SUP-ITM-10029085,PLATE METAPHYSEAL 3.5X242MM 18 HOLE LCP SS,2777.22,2082.91,1957.38,2588.37,6
CDM,SUP-ITM-10029572,PLATE METAPHYSEAL 3.5X86MM 6 HOLE METAPHYSL LCP SS,1918.08,1438.56,1351.86,1787.65,6
CDM,SUP-ITM-10029795,SCREW BONE 14.0X3.5MM FOOT ANKLE CORTICAL TITANIUM LOW PROFILE T 10 HEXALOBE DRIVE,180.0,135.0,126.86,167.76,6
CDM,SUP-ITM-10036458,REPAIR BICEP NUMBER 2 SYSTEM DELIVERY IMPLANT DISTAL STRAIGHT NEEDLE,2550.0,1912.5,1797.24,2376.6,6
CDM,SUP-ITM-10036604,NAIL HUMERAL 9X240MM NAIL-EX TITANIUM CANNULATED,3676.32,2757.24,2591.07,3426.33,6
CDM,SUP-ITM-10037419,TROCHANTER PLATE 131.0MM UNIVERSAL STABILIZATION UNIV LOCKING,2091.24,1568.43,1473.91,1949.04,6
CDM,SUP-ITM-10037482,SCREW BONE 4.5X115.0MM CORTEX SS FULL THREAD LG HEXAGONAL SOCKET,265.29,198.97,186.98,247.25,6
CDM,SUP-ITM-10037496,SCREW BONE 4.5X125MM SS CORTEX SELF TAPPING FULL THREAD LG HEXAGONAL SOCKET,143.19,107.39,100.92,133.45,6
CDM,SUP-ITM-10037539,WASHER SCREW 13.5MM 4 BONE SPIKED,261.96,196.47,184.63,244.15,6
CDM,SUP-ITM-10037544,SCREW BONE 3.5X10MM CORTEX STAINLESS STEEL SELF-TAPPING T15 STARDRIVE RECESS,72.15,54.11,50.85,67.24,6
CDM,SUP-ITM-10037545,SCREW BONE 3.5X12MM CORTEX STAINLESS STEEL SELF-TAPPING T15 STARDRIVE RECESS,72.15,54.11,50.85,67.24,6
CDM,SUP-ITM-10037646,CONDYLAR PLATE 4.5X350MM 16 HOLE LCP RT SS,3759.2,2819.4,2649.48,3503.57,6
CDM,SUP-ITM-10037657,BONE PLATE 3.5X46MM 3 HOLE LCP SS LOCKING STRAIGHT,606.06,454.54,427.15,564.85,6
CDM,SUP-ITM-10037658,BONE PLATE 3.5X59MM 4 HOLE LCP SS LOCKING STRAIGHT,633.81,475.36,446.71,590.71,6
CDM,SUP-ITM-10037659,BONE PLATE 3.5X150MM 11 HOLE LCP SS LOCKING STRAIGHT,849.15,636.86,598.48,791.41,6
CDM,SUP-ITM-10037663,BONE PLATE 3.5X293MM 22 HOLE LCP SS LOCKING STRAIGHT,1878.12,1408.59,1323.7,1750.41,6
CDM,SUP-ITM-10037945,CRANIOMAXILLOFACIAL PLATE 3.5MMX85 3 HOLE HEAD OBLIQUE 6 SHAFT BONE LCP STAINLESS T SHAPE,891.33,668.5,628.21,830.72,6
CDM,SUP-ITM-10037952,BONE PLATE 3.5MMX107 3 HOLE HEAD 8 SHAFT LCP SS T SHAPE OBLIQUE,980.13,735.1,690.8,913.48,6
CDM,SUP-ITM-10037966,BONE PLATE 3.5X50MM 4 3 HOLE LCP SS T SHAPE,697.08,522.81,491.3,649.68,6
CDM,SUP-ITM-10037967,BONE PLATE 3.5MMX57 3 HOLE HEAD 4 SHAFT LCP SS T SHAPE RT ANGLE,724.83,543.62,510.86,675.54,6
CDM,SUP-ITM-10037968,BONE PLATE 3.5MMX77 3 HOLE HEAD 6 SHAFT T SHAPE RIGHT ANGLE LCP SS,925.74,694.3,652.46,862.79,6
CDM,SUP-ITM-10037969,BONE PLATE 3.5MMX89 4 HOLE HEAD 7 SHAFT BONE LCP STAINLESS T SHAPE RIGHT ANGLE,1122.21,841.66,790.93,1045.9,6
CDM,SUP-ITM-10037970,BONE PLATE 3.5MMX97 3 HOLE HEAD 8 SHAFT LCP STAINLESS T SHAPE RIGHT ANGLE,1349.76,1012.32,951.31,1257.98,6
CDM,SUP-ITM-10037971,BONE PLATE 3.5MMX100 4 HOLE HEAD 8 SHAFT BONE LCP STAINLESS T SHAPE RIGHT ANGLE,1344.21,1008.16,947.4,1252.8,6
CDM,SUP-ITM-10038036,BONE PLATE 3.5X85MM 3 HOLE HD 6 SHAFT T SHAPE LCP OBLIQUE SS LEFT,893.55,670.16,629.77,832.79,6
CDM,SUP-ITM-10038037,BONE PLATE 3.5X107MM 3 HOLE HEAD 8 SHAFT LCP SS T SHAPE OBLIQUE,983.46,737.59,693.14,916.58,6
CDM,SUP-ITM-10038091,BONE PLATE 3.5X56MM 4 HOLE LCP SS RECONSTRUCTION,950.16,712.62,669.67,885.55,6
CDM,SUP-ITM-10038092,BONE PLATE 3.5X126MM 9 HOLE LCP SS RECONSTRUCTION,1239.87,929.9,873.86,1155.56,6
CDM,SUP-ITM-10038094,BONE PLATE 3.5X154MM 11 HOLE LCP SS RECONSTRUCTION,1322.01,991.51,931.75,1232.11,6
CDM,SUP-ITM-10038098,BONE PLATE 3.5X308MM 22 HOLE RECONSTRUCTION SS,2173.38,1630.03,1531.8,2025.59,6
CDM,SUP-ITM-10038099,BONE PLATE 3.5X55MM 4 HOLE RECONSTRUCTION CURVED LCP SS,1481.85,1111.39,1044.41,1381.08,6
CDM,SUP-ITM-10038100,BONE PLATE 3.5X82MM 6 HOLE LCP SS RECONSTRUCTION CURVED,1603.95,1202.96,1130.46,1494.88,6
CDM,SUP-ITM-10038101,BONE PLATE 3.5X106MM 8 HOLE LCP SS RECONSTRUCTION CURVED,1741.59,1306.19,1227.47,1623.16,6
CDM,SUP-ITM-10038102,BONE PLATE 3.5X129MM 10 HOLE RECONSTRUCTION CURVED STAINLESS LCP,1821.51,1366.13,1283.8,1697.65,6
CDM,SUP-ITM-10038103,BONE PLATE 3.5MM 14 HOLE RECONSTRUCTION LCP CURVED,2142.3,1606.72,1509.89,1996.62,6
CDM,SUP-ITM-10038104,BONE PLATE 3.5MM 16 HOLE RECONSTRUCTION LCP CURVED,2289.93,1717.45,1613.94,2134.21,6
CDM,SUP-ITM-10038105,BONE PLATE 3.5MM 18 HOLE RECONSTRUCTION LCP CURVED,2469.75,1852.31,1740.68,2301.81,6
CDM,SUP-ITM-10038170,BONE SCREW 120MM 12.7 LAG DHS/DCS ONE STEP STAINLESS CANNULATED THREAD,770.34,577.75,542.94,717.96,6
CDM,SUP-ITM-10038185,SCREW BONE 12.7X105MM 22MM THREAD SS LAG DHS DCS ONE STEP,880.23,660.17,620.39,820.37,6
CDM,SUP-ITM-10038209,BONE SCREW 12.7X50MM LAG DHS/DCS SS,842.49,631.87,593.79,785.2,6
CDM,SUP-ITM-10038261,PLATE HIP 78MM 4 HOLE 130DEG DHS SS COMPRESSION STANDARD BARREL ANGLE STERILE,1425.24,1068.93,1004.51,1328.32,6
CDM,SUP-ITM-10038287,PLATE HIP 62MM 3 HOLE 140DEG DHS SS COMPRESSION STANDARD BARREL ANGLE,1295.37,971.53,912.98,1207.28,6
CDM,SUP-ITM-10039410,GUIDEWIRE BONE 2.8MM 350 NAIL FEMORAL PROXIMAL,91.2,68.4,71.77,71.77,1
CDM,SUP-ITM-10039931,SCREW BONE 6.5X80MM 32MM THREAD CANNULATED TITANIUM HEXAGONAL SOCKET,534.72,401.04,376.87,498.36,6
CDM,SUP-ITM-10041352,BIT DRILL 2X85MM SS JACOBS CHUCK QUICK CONNECT,172.05,129.04,121.26,160.35,4
CDM,SUP-ITM-10041383,WIRE CERCLAGE 1.25X300MM PRECUT SOFT,258.63,193.97,182.28,241.04,6
CDM,SUP-ITM-10041930,WRIST PLATE 5 HOLE VOLAR FIXED ANGLE RT 7 PEG,2340.0,1755.0,1649.23,2180.88,6
CDM,SUP-ITM-10042158,GRAFT MESH 3.1X4.7IN 8 12CM SMALL VENTRIO EPTFE PATCH UMBILICAL HERNIA REPAIR SELF EXPAND STRAP OVAL - DISCONTINUED PER CONTRACTS,2055.0,1541.25,1027.5,1617.29,7
CDM,SUP-ITM-10043023,GUIDEWIRE KIRSCHNER 1.25X150MM NON THREADED,53.76,40.32,42.31,42.31,1
CDM,SUP-ITM-10044585,SCREW BONE 16MM COMPRESSION ACUTRAK 2 MICRO TITANIUM CANNULATED FULL THREAD HEADLESS AT2-C16-S,1518.0,1138.5,1069.89,1414.78,6
CDM,SUP-ITM-10046824,KIT REPAIR TRACTION FIXATION TIGHTROPE SS CANNULATED SYNDESMOSIS,1575.0,1181.25,1110.06,1467.9,6
CDM,SUP-ITM-10048895,GRAFT BONE 2.5CC ALLO DEMINERALIZED MATRIX PUTTY SYRINGE FREEZE DRY,965.64,724.23,680.58,899.98,6
CDM,SUP-ITM-10049357,SCREW BONE 1.5MM 7X20 FIXATION SOFTSILK CANNULATED TITANIUM SOFT THREAD TRAC CANNULA ROUND HEAD,300.0,225.0,211.44,279.6,6
CDM,SUP-ITM-10050149,PORT POWERPORT 9.5FR INFUSION DUAL LUMEN INTERMEDIATE PROFILE ATTACHABLE AIRGUARD VALVED INTRODUCER DUO MRI POLYURETHANE IMPLANTABLE,1440.0,1080.0,720.0,1133.28,3
CDM,SUP-ITM-10051654,SCREW BONE 14X2.5MM CORTICAL APTUS TI HEXADRIVE 7,318.0,238.5,224.13,296.38,6
CDM,SUP-ITM-10057124,KIT GRAFT 15ML BONE PRO DENSE DECOMPRESSION CORE BACKFILL REGENERATIVE,8730.0,6547.5,6152.9,8136.36,6
CDM,SUP-ITM-10062356,K-WIRE BONE 9.0IN 0.062 FIXATION SS DIAMOND POINT TYPE E BX/6EA,150.0,112.5,105.72,139.8,6
CDM,SUP-ITM-10062363,PIN BONE 5X64 9IN STEINMANN SS SMOOTH TROCAR POINT TYPE A BX/6EA,187.68,140.76,132.28,174.92,6
CDM,SUP-ITM-10062368,PIN BONE 2.3X9IN STEINMANN SS TROCAR POINT TYPE A BX/6EA,183.0,137.25,128.98,170.56,6
CDM,SUP-ITM-10062379,PIN BONE .125X9IN STEINMANNN SS EXTERNAL FIXATION SMOOTH TROCAR TIP TYPE A BX/6EA,186.18,139.63,131.22,173.52,6
CDM,SUP-ITM-10065089,CATHETER URETERAL 5FR 70CM OPEN ENDED TIP POLYURETHANE BX/20EA,39.71,29.78,31.25,31.25,1
CDM,SUP-ITM-10065838,CATHETER INTRAVENOUS 4FR 135CM SINGLE LUMEN POWER PICC SOLO PERIPHERAL POLYURETHANE NITINOL WIRE CS/5EA,311.07,233.3,155.54,155.54,1
CDM,SUP-ITM-10073028,GUIDEWIRE ORTHOPEDIC 2.8MM 450 SS FLUTED,198.69,149.02,140.04,185.18,6
CDM,SUP-ITM-10073379,CLAVICLE PLATE 3.5X101MM 12 HOLE BONE TITANIUM LOCKING DISTAL LEFT,3603.0,2702.25,2539.39,3358.0,6
CDM,SUP-ITM-10073393,MIDSHAFT PLATE 94X11MM MEDIUM 8 HOLE BONE CLAVICLE TITANIUM LOCKING SUPERIOR LOW PROFILE RIGHT,3579.0,2684.25,2522.48,3335.63,6
CDM,SUP-ITM-10074520,PEG BONE 16MM VOLAR THREADED,315.0,236.25,222.01,293.58,6
CDM,SUP-ITM-10076819,PLATE CLAVICLE 3.5X85MM 6 HOLE LCP STAINLESS STEEL SUPERIOR RIGHT,2281.05,1710.79,1607.68,2125.94,6
CDM,SUP-ITM-10076858,SCREW BONE 30X4.0MM CANNULATED SS LOW PROFILE LONG THREAD,495.0,371.25,348.88,461.34,6
CDM,SUP-ITM-10076866,SCREW BONE 12X4.0MM CANCELLOUS SS NONLOCKING LOW PROFILE,105.0,78.75,74.0,97.86,6
CDM,SUP-ITM-10076886,SCREW BONE 45.0X3.5MM CORTICAL SS NONLOCKING LOW PROFILE,105.0,78.75,74.0,97.86,6
CDM,SUP-ITM-10076901,WASHER SCREW 7.0MM SM BONE SS ANKLE FRACTURE,96.3,72.22,67.87,89.75,6
CDM,SUP-ITM-10076907,SCREW BONE 10X2.7MM CANCELLOUS LOCKING SS LOW PROFILE,345.0,258.75,243.16,321.54,6
CDM,SUP-ITM-10076929,ANKLE PLATE 55.0MM 4 HOLE BONE THIRD TUBULAR SS LOCKING STRAIGHT,675.0,506.25,475.74,629.1,6
CDM,SUP-ITM-10076930,ANKLE PLATE 80.0MM 6 HOLE BONE THIRD TUBULAR SS LOCKING STRAIGHT,720.0,540.0,507.46,671.04,6
CDM,SUP-ITM-10076931,ANKLE PLATE 93.0MM 7 HOLE BONE THIRD TUBULAR SS LOCKING STRAIGHT,765.0,573.75,539.17,712.98,6
CDM,SUP-ITM-10076932,ANKLE PLATE 106.0MM 8 HOLE BONE THIRD TUBULAR SS LOCKING STRAIGHT,795.0,596.25,560.32,740.94,6
CDM,SUP-ITM-10076933,ANKLE PLATE 131MM 10 HOLE BONE THIRD TUBULAR SS LOCKING STRAIGHT,840.0,630.0,592.03,782.88,6
CDM,SUP-ITM-10076934,ANKLE PLATE 156.0MM 12 HOLE BONE THIRD TUBULAR SS LOCKING STRAIGHT,900.0,675.0,634.32,838.8,6
CDM,SUP-ITM-10076935,ANKLE PLATE 55MM 4 HOLE BONE SS LOCKING STRAIGHT,1350.0,1012.5,951.48,1258.2,6
CDM,SUP-ITM-10076936,ANKLE PLATE 80MM 6 HOLE BONE SS LOCKING STRAIGHT,1425.0,1068.75,1004.34,1328.1,6
CDM,SUP-ITM-10076937,ANKLE PLATE 93MM 7 HOLE BONE SS LOCKING STRAIGHT,1575.0,1181.25,1110.06,1467.9,6
CDM,SUP-ITM-10076938,ANKLE PLATE 106MM 8 HOLE BONE SS LOCKING STRAIGHT,1650.0,1237.5,1162.92,1537.8,6
CDM,SUP-ITM-10076939,ANKLE PLATE 131MM 10 HOLE BONE SS LOCKING STRAIGHT,1785.0,1338.75,1258.07,1663.62,6
CDM,SUP-ITM-10076940,ANKLE PLATE 156MM 12 HOLE BONE SS LOCKING STRAIGHT,2085.0,1563.75,1469.51,1943.22,6
CDM,SUP-ITM-10076941,ANKLE PLATE 72MM 3 HOLE BONE LATERAL HOOK SS LOCKING,2100.0,1575.0,1480.08,1957.2,6
CDM,SUP-ITM-10076944,ANKLE PLATE 61MM 3 HOLE BONE MEDIAL SS LOCKING,2475.0,1856.25,1744.38,2306.7,6
CDM,SUP-ITM-10076946,ANKLE PLATE 97MM 7 HOLE BONE MEDIAL SS LOCKING,2700.0,2025.0,1902.96,2516.4,6
CDM,SUP-ITM-10076948,DISTAL PLATE 91MM 5 HOLE BONE FIBULA SS LOCKING LEFT,1950.0,1462.5,1374.36,1817.4,6
CDM,SUP-ITM-10076949,FIBULA PLATE 104MM 6 HOLE BONE DISTAL SS LOCKING LEFT,2175.0,1631.25,1532.94,2027.1,6
CDM,SUP-ITM-10076950,FIBULA PLATE 130MM 8 HOLE BONE DISTAL SS LOCKING LEFT,2385.0,1788.75,1680.95,2222.82,6
CDM,SUP-ITM-10076952,FIBULA PLATE 91MM 5 HOLE BONE DISTAL SS LOCKING RIGHT,1950.0,1462.5,1374.36,1817.4,6
CDM,SUP-ITM-10077043,WRIST PLATE 3 HOLE RADIAL TRIMED FIXATION SYSTEM COLUMN,1860.0,1395.0,1310.93,1733.52,6
CDM,SUP-ITM-10077063,ACETABULAR SHELL 58MM PINNACLE SECTOR GRIPTION COATING,2700.0,2025.0,1902.96,2516.4,4
CDM,SUP-ITM-10078785,ANCHOR SUTURE 19.1X5.5MM ARTHROSCOPY SWIVELOCK BIOCOMPOSITE VENTED CLOSED EYELET BX/5EA,1200.0,900.0,845.76,1118.4,6
CDM,SUP-ITM-10079507,TAPER 0MM SLEEVE FEMORAL HIP TITANIUM MODULAR 12/14 PLUS,282.0,211.5,198.75,262.82,4
CDM,SUP-ITM-10080139,SCREW BONE 12X3.5MM RADIUS TAP LOC HEXALOBE TITANIUM VOLAR DISTAL PLATING NONLOCKING FULL THREAD,213.0,159.75,150.12,198.52,6
CDM,SUP-ITM-10082258,SCREW BONE 2.7X16MM SS VARIABLE ANGLE LOCKING SELF TAPPING FULL THREAD T8 STARDRIVE RECESS,304.14,228.1,214.36,283.46,6
CDM,SUP-ITM-10082652,GRAFT MESH 15CMX10 SYNTHETIC ABDOMINAL ABSORBABLE COATED ELLIPSE POLYPROPYLENE SEPRA VENTRALIGHT ST CS/1EA,2220.0,1665.0,1110.0,1747.14,7
CDM,SUP-ITM-10082653,GRAFT MESH 25.4CMX15.2 SYNTHETIC ABDOMINAL ABSORBABLE COATED OVAL POLYPROPYLENE SEPRA VENTRALIGHT ST CS/1EA,3812.5,2859.37,1906.25,3000.44,7
CDM,SUP-ITM-10082655,MESH GRAFT 25.4CMX20.3 VENTRALEX ST POLYPROPYLENE PGA PATCH HERNIA FIBER HYDROGEL BIORESORBABLE POCKET STRAP ELLIPTICAL CS/1EA,4020.0,3015.0,2010.0,3163.74,7
CDM,SUP-ITM-10086422,TRAY THORA/PARACENTESIS SAFETY PLUS 8FR LIDOCAINE CS/10EA,289.29,216.97,144.65,203.89,2
CDM,SUP-ITM-10087514,BONE PLATE WIRE SM VIROFORM FRAGMENT,315.0,236.25,222.01,293.58,6
CDM,SUP-ITM-10087681,KNEE IMPLANT SZ 5 COMPONENT FEMORAL JOURNEY OXINIUM UNICOMPARTMENTAL RT MEDIAL LT LATERAL,4375.0,3281.25,3083.5,4077.5,4
CDM,SUP-ITM-10088505,SCREW BONE 14X2.7MM TAP LOC HEXALOBE TITANIUM VARIABLE ANGLE LOCKING FULL THREAD DISTAL,420.0,315.0,296.02,391.44,6
CDM,SUP-ITM-10088527,OLECRANON PLATE 90MM 5 HOLE BONE ELBOW LOCKING MIDSHAFT SUPERIOR TITANIUM LOW PROFILE LEFT,3822.0,2866.5,2693.75,3562.1,6
CDM,SUP-ITM-10089779,SCREW SPINE 6.5X50MM XIA 3 AXIAL,1200.0,900.0,845.76,1118.4,6
CDM,SUP-ITM-10090908,PLATE WIRE 30MM 3 HOLE WRIST FIXATION SYSTEM,1290.0,967.5,909.19,1202.28,6
CDM,SUP-ITM-10092106,WIRE STEEL 50MM 5 HOLE PLATE BONE STAINLESS FORM FIXATION,1320.0,990.0,930.34,1230.24,6
CDM,SUP-ITM-10093990,TIBIAL INSERT 5MM SZ 4 ATTUNE AOX ANTIOXIDANT POLYETHYLENE CRUCIATE RETAINING FIXED BEARING,1428.0,1071.0,1006.45,1330.9,4
CDM,SUP-ITM-10093991,FEMORAL COMPONENT SZ 4 ATTUNE AOX ANTIOXIDANT POLYETHYLENE CEMENTED CRUCIATE RETAINING LT,3300.0,2475.0,2325.84,3075.6,4
CDM,SUP-ITM-10093992,TIBIAL BEARING SZ 4 BASEPLATE ATTUNE POLYETHYLENE ANTIOXIDANT FIXED CEMENTED,1890.0,1417.5,1332.07,1761.48,4
CDM,SUP-ITM-10094064,WRIST PLATE 3 HOLE SS BEARING VOLAR LT 7 PEG,3240.0,2430.0,2283.55,3019.68,6
CDM,SUP-ITM-10094728,SLED PLATE 38MM ULNAR BONE,1065.0,798.75,750.61,992.58,6
CDM,SUP-ITM-10095894,SCREW BONE 4.5X46MM TITANIUM BLUNT TIP SELF CUTTING FULL THREAD MULTILOC SUTURE HOLE COUNTERSINK HEAD GOLD,555.0,416.25,391.16,517.26,6
CDM,SUP-ITM-10095895,SCREW BONE 4.5X48MM BLUNT TIP TITANIUM SELF CUTTING FULL THREAD MULTILOC SUTURE HOLE COUNTERSINK HEAD GOLD,555.0,416.25,391.16,517.26,4
CDM,SUP-ITM-10097304,BONE NAIL 9.5MMX160 HUMERAL PROXIMAL CANNULATED TI MULTILOC RIGHT,3565.88,2674.41,2513.23,3323.4,6
CDM,SUP-ITM-10097306,ENDCAP BONE 0MM MULTILOC TI NAIL EXTENSION,479.52,359.64,337.97,446.91,6
CDM,SUP-ITM-10100192,HIP STEM 145MM SZ 11 135DEG FEMORAL CORAIL HYDROXYAPATITE COATED COLLARED STD,3600.0,2700.0,2537.28,3355.2,4
CDM,SUP-ITM-10100518,SCREW VOLAR 32MM PEG THREADED,315.0,236.25,222.01,293.58,6
CDM,SUP-ITM-10100632,BONE PLATE VOLAR SHEAR 6 HOLE RIGHT,1710.0,1282.5,1205.21,1593.72,6
CDM,SUP-ITM-10100935,PORT VAS-CATH 6FR 60CM INFUSION TITANIUM LOW PROFILE VACCESS CT POWER INJECTABLE POLYURETHANE CATHETER SILICONE FILLED SUTURE PLUG INTERMEDIATE TRAY VACCESS CT,555.0,416.25,277.5,436.79,3
CDM,SUP-ITM-10106885,HINGE KNEE 62MM 70 SIZE 5 FEMORAL ASSEMBLY LT A/P M/L LEGION ONC 02,8316.0,6237.0,5861.12,7750.51,4
CDM,SUP-ITM-10113966,SCREW BONE 12.0X3.2MM CORTICAL SS LOCKING HEXAGONAL SOCKET FIXED ANGLE,315.0,236.25,222.01,293.58,6
CDM,SUP-ITM-10114047,ANCHOR SUTURE 4.75X19.1MM SWIVELOCK IMPLANT ARTHROSCOPY SPEEDBRIDGE BIOCOMPOSITE,4350.0,3262.5,3065.88,4054.2,6
CDM,SUP-ITM-10114319,HIP COMPONENT 11/13 36MM PLUS 12 BIOLOX DELTA CERAMIC TAPERED,1800.0,1350.0,1268.64,1677.6,4
CDM,SUP-ITM-10114352,HEAD FEMORAL 36MM 12/14 TAPERED PLUS 12MM ARTICULEZE BIOLOX DELTA,1800.0,1350.0,1268.64,1677.6,4
CDM,SUP-ITM-10115068,BONE PLATE CPR FIBERWIRE PLANTER NEEDLE PIGTAIL SCREW MINI SCORPION DX,2850.0,2137.5,2008.68,2656.2,6
CDM,SUP-ITM-10115640,OLECRANON PLATE HOOK 4 HOLE NEUTRAL,2340.0,1755.0,1649.23,2180.88,4
CDM,SUP-ITM-10115962,SCREW BONE 22X3MM CORTICAL TI LOW PROFILE FULL THREAD,330.0,247.5,232.58,307.56,6
CDM,SUP-ITM-10118724,ACETABULAR SHELL 54MM PINNACLE GRIPTION POROUS COATING 100 SERIES,2700.0,2025.0,1902.96,2516.4,4
CDM,SUP-ITM-10121381,KNEE BASEPLATE SZ 3 LEGION HK CEMENT FEMALE TAPERED TIBIAL LT,3336.0,2502.0,2351.21,3109.15,4
CDM,SUP-ITM-10121386,BOLT SPINE 18MM LEGION HINGE COUPLING,1407.0,1055.25,991.65,1311.32,6
CDM,SUP-ITM-10121502,KNEE BASE SIZE 6 JOURNEY POLYETHYLENE UNICOMPARTMENTAL LT RIGHT,2667.0,2000.25,1879.7,2485.64,4
CDM,SUP-ITM-10121504,KNEE BASEPLATE SZ 3 JOURNEY ALL POLYETHYLENE UNICOMPARTMENTAL RT LT,2667.0,2000.25,1879.7,2485.64,4
CDM,SUP-ITM-10121522,KNEE INSERT 3 18MM SIZE 2 TIBIAL HINGE LEGION GD MOTION LEFT,3006.0,2254.5,2118.63,2801.59,4
CDM,SUP-ITM-10124185,KIT REPAIR ENDOSCOPIC FIXATION ANKLE KNOTLESS SYNDESMOSIS TIGHTROPE,3525.0,2643.75,2484.42,3285.3,6
CDM,SUP-ITM-10124493,GUIDEWIRE BONE 1.35MM 130 SS TROCAR TIP BX/6EA,60.0,45.0,47.22,47.22,1
CDM,SUP-ITM-10125455,NAIL BONE 8.5X285MM HUMERAL CANNULATED TITANIUM MULTILOC RIGHT,3715.73,2786.8,2618.85,3463.06,6
CDM,SUP-ITM-10126303,WRIST PLATE 3 HOLE SS BEARING VOLAR RT 7 PEG,3240.0,2430.0,2283.55,3019.68,4
CDM,SUP-ITM-10126696,ANCHOR SUTURE 4.75MM HEALICOIL REGENSORB WITH 2 #2 ULTRABRAID,885.0,663.75,623.75,824.82,6
CDM,SUP-ITM-10130663,SCREW BONE 4.0X50MM CANCELLOUS SS NONLOCKING LOW PROFILE,105.0,78.75,74.0,97.86,6
CDM,SUP-ITM-10133945,TENDON ROD 4MMX24.5CM PROSTHESIS HUNTER POLYESTER REINFORCED SYNTHETIC PASSIVE TEMPORARY HAND,3697.5,2773.12,2606.0,3446.07,6
CDM,SUP-ITM-10134008,HAND PLATE 0.8MM HOLE TITANIUM COMPRESSION OFFSET,1176.0,882.0,828.84,1096.03,6
CDM,SUP-ITM-10134370,FEMORAL IMPLANT SZ 9 COMPONENT ATTUNE AOX ANTIOXIDANT POLYETHYLENE CEMENTED CRUCIATE RETAINING LT,3300.0,2475.0,2325.84,3075.6,4
CDM,SUP-ITM-10134759,KNEE STEM SIZE 4 FEMORAL JOURNEY II OXINIUM BICRUCIATE STABILIZED RIGHT,4375.0,3281.25,3083.5,4077.5,4
CDM,SUP-ITM-10134760,KNEE STEM SIZE 5 FEMORAL JOURNEY II OXINIUM BICRUCIATE STABILIZED RIGHT,4375.0,3281.25,3083.5,4077.5,4
CDM,SUP-ITM-10135704,TIBIAL BASEPLATE SZ 5 ATTUNE POLYETHYLENE ANTIOXIDANT ROTATING PLATFORM CEMENTED 150610005,2790.0,2092.5,1966.39,2600.28,4
CDM,SUP-ITM-10137797,K-WIRE BONE 6IN K .028 SS SMOOTH TROCAR POINT DUAL PK/6EA - DISCONTINUED PER SUPPLIER/CONTRACTS,9.85,7.39,6.94,9.18,6
CDM,SUP-ITM-10143877,SCREW BONE 1.7X7MM TI PROFYLE SELF TAPPING,446.43,334.82,314.64,416.07,6
CDM,SUP-ITM-10144913,SCREW BONE 4X24MM AXSOS TITANIUM LOCKING,767.61,575.71,541.01,715.41,6
CDM,SUP-ITM-10144955,SCREW BONE 3.5X22MM AXSOS CORTEX TITANIUM,160.59,120.44,113.18,149.67,6
CDM,SUP-ITM-10146199,SLING ARM MED BLACK,32.85,24.64,23.15,23.15,1
CDM,SUP-ITM-10146255,GRAFT MESH 6.0IN VENTRALIGHT ST POLYPROPYLENE HERNIA SEPRA HYDROGEL BIORESORBABLE CIRCLE CS/1EA,3166.8,2375.1,1583.4,2492.27,7
CDM,SUP-ITM-10146378,SET TUBE THAL-QUICK 20FR 41CM 4SIDEPORTS DRAINAGE CHEST,488.4,366.3,384.37,384.37,1
CDM,SUP-ITM-10147247,ANCHOR SUTURE 5.5MM ARTHROSCOPY HEALIX ADVANCE BIOCRYL RAPIDE ORTHOCORD,936.0,702.0,659.69,872.35,6
CDM,SUP-ITM-10148177,MESH GRAFT 15X10CM COMPOSITE SYMBOTEX HERNIA 3D MONOFILAMENT POLYESTER ABSORBABLE COLLAGEN FILM RECTANGLE BX/1EA,1008.69,756.52,504.35,793.84,7
CDM,SUP-ITM-10148178,MESH GRAFT 20X15CM COMPOSITE SYMBOTEX HERNIA 3D MONOFILAMENT POLYESTER ABSORBABLE COLLAGEN FILM RECTANGLE BX/1EA,1618.14,1213.6,809.07,1273.48,7
CDM,SUP-ITM-10148179,PATCH HERNIA 4.6CM GRAFT MESH PARIETEX REPAIR,899.4,674.55,449.7,707.83,7
CDM,SUP-ITM-10148180,PATCH HERNIA 6.6CM GRAFT MESH PARIETEX REPAIR,1077.81,808.36,538.91,848.24,7
CDM,SUP-ITM-10148181,MESH GRAFT 8.6CM PARIETEX HERNIA PATCH REPAIR,1384.44,1038.33,692.22,1089.55,7
CDM,SUP-ITM-10148256,K-WIRE BONE 9IN 0.035 SS SMOOTH TROCAR POINT DUAL PK/6EA - DISCONTINUED PER SUPPLIER/CONTRACTS,6.96,5.22,4.91,6.49,6
CDM,SUP-ITM-10148257,K-WIRE GUIDE 9IN 0.045 BONE SS SMOOTH TROCAR POINT DUAL PK/6EA,12.07,9.05,8.51,11.25,6
CDM,SUP-ITM-10148433,ANCHOR SURGICAL 3MM GRYPHON PROKNOT SUTURE,858.0,643.5,604.72,799.66,6
CDM,SUP-ITM-10148876,SYSTEM FIXATION RIGIDLOOP CORTICAL STANDARD,765.0,573.75,539.17,712.98,6
CDM,SUP-ITM-10149106,K-WIRE BONE 6X0.054IN SS DOUBLE TROCAR PK/6EA - DISCONTINUED PER SUPPLIER/CONTRACTS,6.96,5.22,4.91,6.49,6
CDM,SUP-ITM-10154251,GUIDE AIMING FIBULA AVULSION PLATE,1050.0,787.5,740.04,978.6,6
CDM,SUP-ITM-10154264,ANKLE PLATE 63.5MM 5 HOLE BONE THIRD TUBULAR SS LOCKING STRAIGHT,705.0,528.75,496.88,657.06,6
CDM,SUP-ITM-10154637,ANCHOR SUTURE 2.2X4MM MICRO CORKSCREW FT WITH 4.0 FIBERWIRE AND TWO NEEDLES SOFT BONE K WIRE HAND BX/5EA,855.0,641.25,602.6,796.86,6
CDM,SUP-ITM-10154683,GUIDEWIRE WIRE .078X5.91 2MM 150 BONE KIRSCHNER SS THREADED TROCAR TIP BX/5EA,36.0,27.0,28.33,28.33,1
CDM,SUP-ITM-10157857,BREAST IMPLANT 485CC RESPONSIVE SILICONE SMOOTH ROUND MODERATE NATRELLE INSPIRA,2268.0,1701.0,1598.49,1598.49,1
CDM,SUP-ITM-10158696,BREAST IMPLANT 255CC MODERATE PLUS PROFILE MEMORYSHAPE,3275.0,2456.25,2308.22,2308.22,1
CDM,SUP-ITM-10164099,TROCHANTER NAIL 11MM 170 125DEG FIXATION TFN ADVANCED TI CANNULATED,3250.08,2437.56,2290.66,3029.07,6
CDM,SUP-ITM-10166523,PUTTY BONE 40GM CEMENT SMARTSET HIGH VISCOSITY CS/20EA,630.0,472.5,444.02,587.16,6
CDM,SUP-ITM-10174232,KNEE INSERT 6 13MM SIZE 5 JOURNEY II BCS CROSSLINKED POLYETHYLENE LEFT,1428.0,1071.0,1006.45,1330.9,4
CDM,SUP-ITM-10174250,KNEE INSERT 4 11MM SIZE 3 JOURNEY II BCS CROSSLINKED POLYETHYLENE LEFT,1428.0,1071.0,1006.45,1330.9,4
CDM,SUP-ITM-10174265,KNEE INSERT 2 12MM SIZE 1 JOURNEY II BCS CROSSLINKED POLYETHYLENE LEFT,1428.0,1071.0,1006.45,1330.9,4
CDM,SUP-ITM-10174739,SCREW BONE 2.7X22MM VARIAX 2 T8 NON LOCKING FULLY THREADED MINI 656422,462.51,346.88,325.98,431.06,6
CDM,SUP-ITM-10185055,KIT CATHETER 5X16MM SINUPLASTY SPINPLUS BALLOON FRONTAL MAX AND SPHEN BX/5EA,4095.0,3071.25,2047.5,2047.5,1
CDM,SUP-ITM-10186866,SCREW BONE 2.7X24MM VARIAX 2 T8 LOCKING FULLY THREADED MINI,790.11,592.58,556.87,736.38,6
CDM,SUP-ITM-10186934,TIBIA PLATE L 227MM 14 HOLE AXSOS TITANIUM DISTAL MEDIAL LEFT,5699.88,4274.91,4017.28,5312.29,6
CDM,SUP-ITM-10189478,SCREW BONE 24MM COMPRESSION ACUTRAK 2 MICRO TITANIUM CANNULATED FULL THREAD HEADLESS AT2-C24,1518.0,1138.5,1069.89,1414.78,6
CDM,SUP-ITM-10189940,HAND PLATE 0.8MM BONE COMPRESSION CURVED MEDIAL LATERAL,1311.0,983.25,923.99,1221.85,6
CDM,SUP-ITM-10189941,HAND PLATE 0.8MM 6 HOLE TITANIUM COMPRESSION,1128.0,846.0,795.01,1051.3,6
CDM,SUP-ITM-10189942,HAND PLATE .8MM COMPRESSION T SHAPE,1416.0,1062.0,998.0,1319.71,6
CDM,SUP-ITM-10190052,SCREW BONE 1.5MMX10 HEXALOBE LAG TITANIUM,273.0,204.75,192.41,254.44,6
CDM,SUP-ITM-10190284,SCREW BONE 11X1.5MM HEXALOBE TITANIUM MULTI,327.0,245.25,230.47,304.76,6
CDM,SUP-ITM-10192260,KNEE IMPLANT SIZE 6 FEMORAL COMPONENT JOURNEY OXINIUM UNICOMPARTMENTAL LT MEDIAL RT LATERAL 01,4375.0,3281.25,3083.5,4077.5,4
CDM,SUP-ITM-10192569,DEVICE FIXATION 1.2MM BONE TENDON ENDOBUTTON CL ULTRA PAC,975.0,731.25,687.18,908.7,6
CDM,SUP-ITM-10194201,KNEE STEM 10X70MM LONG GENESIS II,906.0,679.5,638.55,844.39,4
CDM,SUP-ITM-10197897,TIBIAL BEARING SZ 4 ATTUNE FIXED BASE CEMENTED,1890.0,1417.5,1332.07,1761.48,4
CDM,SUP-ITM-10199453,KNEE IMPLANT SZ 7 COMPONENT FEMORAL JOURNEY OXINIUM LT MEDIAL RT LATERAL,4375.0,3281.25,3083.5,4077.5,4
CDM,SUP-ITM-10203901,PIN SPEED 45MM RIMMED BX/3EA,80.0,60.0,56.38,74.56,6
CDM,SUP-ITM-10203904,PIN KNEE 30MM SIZE 6-7 RIMMED SYSTEM SPEED BX/3EA,75.0,56.25,52.86,69.9,6
CDM,SUP-ITM-10210617,NET RETRIEVAL 3X5.5CM RESCUENET FOREIGN BODY BX/5EA,262.65,196.99,131.33,182.28,2
CDM,SUP-ITM-10212187,STAPLE DYNANITE 11X11MM NITINOL INSTRUMENT,3737.5,2803.12,2634.19,3483.35,6
CDM,SUP-ITM-10212191,STAPLE DYNANITE 13X10MM NITINOL INSTRUMENT,3790.0,2842.5,2671.19,3532.28,6
CDM,SUP-ITM-10213102,SYSTEM IMPLANT SZ 11MM NO 7 FIXATION MAXBRAID SUTURE ANCHOR BUTTON GUIDE PIN 2.4MM ELBOW TOGGLELOC ZIPLOOP DOUBLE TAPER ENDED NEEDLE KNOT PUSHER,3532.9,2649.67,2489.99,3292.66,6
CDM,SUP-ITM-10216588,TRAY CATHETER 14FR 29CM PNEUMOTHORAX WAYNE WIRE GUIDED,769.5,577.12,384.75,542.34,2
CDM,SUP-ITM-10229999,SYSTEM CEMENT ANTIBIOTIC ALL IN ONE,1670.7,1253.02,1177.51,1557.09,6
CDM,SUP-ITM-10230282,SCREW BONE 2.5X18MM COMPRESSION HEADLESS FULLY THREADED TI,622.35,466.76,438.63,580.03,6
CDM,SUP-ITM-10230358,SCREW BONE 2X11MM TWIST-OFF NON STERILE,948.63,711.47,668.59,884.12,6
CDM,SUP-ITM-10237450,PLATE BONE 2.5MM 11HOLE ADAPTIVE II TRILOCK DISTAL RADIAL VOL LEFT,3765.0,2823.75,2653.57,3508.98,6
CDM,SUP-ITM-10244704,BLADE HELICAL 10.5X100MM FENESTRATED TFN-ADVANCED TITANIUM,1386.39,1039.79,977.13,1292.12,6
CDM,SUP-ITM-10266431,ANCHOR SUTURE 2.9MM ARTHROSCOPY JUGGERKNOT SOFT DOUBLE LOADED TAPERED NEEDLE,1038.24,778.68,731.75,967.64,6
CDM,SUP-ITM-10268450,ANCHOR KNOTLESS SYNDESMOSIS TIGHTROPE XP LF TITANIUM STERILE,3737.5,2803.12,2634.19,3483.35,6
CDM,SUP-ITM-10273448,PLATE WRIST BEARING 5 HOLE VOLAR SS RIGHT 7-PEG,3555.0,2666.25,2505.56,3313.26,6
CDM,SUP-ITM-10276443,RECORDER LOOP CARDIAC REVEAL LINQ II,9000.0,6750.0,4500.0,4500.0,1
CDM,SUP-ITM-10282130,CEMENT BONE 1X40GM PALACOS R HIGH VISCOSITY,168.0,126.0,118.41,156.58,6
CDM,SUP-ITM-10282215,K-WIRE COMPRESSION 1.6X100MM,225.0,168.75,158.58,209.7,6
CDM,SUP-ITM-10282223,SCREW BONE 2.7X20MM COMPRESSION CANNULATED HEADLESS,1425.0,1068.75,1004.34,1328.1,6
CDM,SUP-ITM-10282246,SCREW BONE 2.7X20MM LOCKING CORTICAL FAR,585.0,438.75,412.31,545.22,6
CDM,SUP-ITM-10282254,K-WIRE .9X120MM,75.0,56.25,52.86,69.9,6
CDM,SUP-ITM-10282268,SCREW BONE 2.7X10MM NONLOCKING,285.0,213.75,200.87,265.62,6
CDM,SUP-ITM-10282284,PEG BONE 2.7X16MM LOCKING,345.0,258.75,243.16,321.54,6
CDM,SUP-ITM-10282285,PEG BONE 2.7X18MM LOCKING,345.0,258.75,243.16,321.54,6
CDM,SUP-ITM-10282302,BONE PLATE 3 HOLE LEFT VOLAR ANGLE FIXED,2850.0,2137.5,2008.68,2656.2,6
CDM,SUP-ITM-10282307,BONE PLATE 3 HOLE LEFT VOLAR PEEK,2985.0,2238.75,2103.83,2782.02,6
CDM,SUP-ITM-10282308,BONE PLATE 5 HOLE LEFT VOLAR PEEK,3285.0,2463.75,2315.27,3061.62,6
CDM,SUP-ITM-10282309,BONE PLATE 7 HOLE LEFT VOLAR PEEK,3885.0,2913.75,2738.15,3620.82,6
CDM,SUP-ITM-10282310,BONE PLATE 9 HOLE LEFT VOLAR PEEK,3987.5,2990.62,2810.39,3716.35,6
CDM,SUP-ITM-10282311,BONE PLATE 11 HOLE LEFT VOLAR PEEK,3990.0,2992.5,2812.15,3718.68,6
CDM,SUP-ITM-10282317,BONE PLATE 5 HOLE WIDE LEFT VOLAR ANGEL FIXED,3585.0,2688.75,2526.71,3341.22,6
CDM,SUP-ITM-10286052,KIT LIGAMENT AUGMENT REPAIR HAND WRIST INTERNAL BRACE,3737.5,2803.12,2634.19,3483.35,6
CDM,SUP-ITM-10286896,BONE BOVINE 500MG .8-1.2CC COLLAGEN GRAFTING MATERIAL BIO-OSS,1056.0,792.0,744.27,984.19,6
CDM,SUP-ITM-10295651,PLATE BONE 2.5X2MM 12 HOLE ADAPTIVE II TRILOCK DISTAL RADIUS VOLAR LEFT LONG,3735.0,2801.25,2632.43,3481.02,6
CDM,SUP-ITM-10298512,FEMORAL STEM SZ 2 STANDARD NECK QUADRA-P,4125.0,3093.75,2907.3,3844.5,4
CDM,SUP-ITM-10298513,FEMORAL STEM SZ 3 STANDARD NECK QUADRA-P,4125.0,3093.75,2907.3,3844.5,4
CDM,SUP-ITM-10299138,ACETABULAR LINER 32MM SZ D HOODED HIGHCROSS UHMWPE MPACT,2190.0,1642.5,1543.51,2041.08,4
CDM,SUP-ITM-10299164,ACETABULAR LINER 36MM SZ E 4MM OFFSET HIGHCROSS UHMWPE MPACT,4786.0,3589.5,3373.17,4460.55,4
CDM,SUP-ITM-10299393,SCREW BONE 6.5X25MM CANCELLOUS MPACT EXTENSION,75.0,56.25,52.86,69.9,6
CDM,SUP-ITM-10300186,FEMORAL SPHERE SZ 3 CEMENTED LT,3500.0,2625.0,2466.8,3262.0,4
CDM,SUP-ITM-10300203,FEMORAL SPHERE SZ 4 PLUS CEMENTED RT,3500.0,2625.0,2466.8,3262.0,4
CDM,SUP-ITM-10300473,PATELLA RESURFACING SZ 2 E-CROSS,1365.0,1023.75,962.05,1272.18,6
CDM,SUP-ITM-10300474,PATELLA RESURFACING SZ 3 E-CROSS,1365.0,1023.75,962.05,1272.18,4
CDM,SUP-ITM-10300535,TIBIAL INSERT 12MM SZ 3 FIXED SPHERE FLEX E-CROSS RT,1428.0,1071.0,1006.45,1330.9,6
CDM,SUP-ITM-10300731,TIBIAL TRAY SZ T4-I3 FIXED CEMENTED RT,1890.0,1417.5,1332.07,1761.48,6
CDM,SUP-ITM-10306626,SCREW BONE 2.7X46MM T8,462.51,346.88,325.98,431.06,6
CDM,SUP-ITM-10306635,SCREW BONE 2.7X70MM LOCKING T8,790.11,592.58,556.87,736.38,6
CDM,SUP-ITM-10306689,BONE PLATE 2.4X76MM 2X10HOLE T-SHAPE NARROW LOCKING,3398.07,2548.55,2394.96,3167.0,6
CDM,SUP-ITM-10307489,SYSTEM SUSPENSION FIBERLOCK,3987.5,2990.62,2810.39,3716.35,6
CDM,SUP-ITM-10317748,BRONCHOSCOPE THERAPEUTIC 5.6/2.8 5 AMBU ASCOPE HD BX/5EA,1197.0,897.75,598.5,598.5,1
CPT,0001A,Imm Admn Sarscov2 30mcg/0.3ml Dil Recon 1st Dose,75.0,56.25,54.68,54.68,1
CPT,0002A,Imm Admn Sarscov2 30mcg/0.3ml Dil Recon 2nd Dose,75.0,56.25,54.68,54.68,1
CPT,0004A,Imm Admn Sarscov2 30mcg/0.3ml Dil Recon Bst Dose,75.0,56.25,54.68,54.68,1
CPT,0077U,Ig Paraprotein Qual Imprcip&Ms Bld/UR W/Isotype,100.0,75.0,50.0,50.0,3
CPT,0121A,Imm Admn Sarscov2 Vaccine Bvl 30 Mcg/0.3 Ml Tris-Suc Single Dose,75.0,56.25,37.5,37.5,1
CPT,0124A,Imm Admn Sarscov2 Bvl 30 Mcg/0.3 Ml Addl Dose,75.0,56.25,54.68,54.68,1
CPT,0241U,Nfct Ds Rna 4 Targets Upper Respiratory Specimen,478.0,358.5,239.0,445.5,17
CPT,0418T,Interro Eval Cardiac Modulj,922.0,691.5,461.0,461.0,1
CPT,0692T,Therapeutic Ultrafiltration,2748.0,2061.0,1374.0,1374.0,2
CPT,10040,Extraction,461.0,345.75,230.5,230.5,1
CPT,10060,I&D Abscess Smp,563.0,422.25,252.7,521.11,8
CPT,10060,Pf I&D Abscess Simple,562.0,421.5,252.7,520.19,8
CPT,10061,I&D Abscess Cplx,826.0,619.5,413.0,413.0,1
CPT,10120,Incision/Remove FB Subq Smp,969.0,726.75,508.1,682.95,3
CPT,10120,Pf Incision/Remove FB Subq Smp,532.0,399.0,374.95,508.1,3
CPT,10121,Incision/Remove FB Subq Complex,880.0,660.0,440.0,440.0,1
CPT,10140,I&D Hematoma/Seroma/Fluid,2978.0,2233.5,1489.0,1489.0,1
CPT,10160,Aspiration Abscess/Hema/Bulla/Cyst,563.0,422.25,396.8,508.1,2
CPT,10160,Pf Aspirat Absc/Hema/Bulla/Cyst,489.0,366.75,344.65,508.1,2
CPT,11042,Debride Skin/Subq Tissue,1010.0,757.5,508.1,794.87,6
CPT,11042,Pf Debr Skin/Subq Tissue,969.0,726.75,508.1,762.6,6
CPT,11043,Debride Skin/Subq Tissue/Muscle,1229.0,921.75,1145.43,1145.43,1
CPT,11043,Pf Debr Skin/Subq Tissue/Muscle,909.0,681.75,847.19,847.19,1
CPT,11055,Paring/Cutting Lesn Benign 1,295.0,221.25,252.7,252.7,1
CPT,11055,Pf Paring/Cutting Lesn Benign 1,102.0,76.5,252.7,252.7,1
CPT,11056,Paring/Cutting Lesn Benign 2-4,392.0,294.0,252.7,276.28,3
CPT,11056,Pf Paring/Cutting Lesn Benign 2-4,119.0,89.25,83.87,252.7,3
CPT,11102,Tangential Biopsy Skin Single Lesion,208.0,156.0,108.5,202.24,21
CPT,11103,Tangential Biopsy Skin Ea Sep/Additional Lesion,120.5,90.375,63.0,117.43,19
CPT,11104,Punch Biopsy Skin Single Lesion,268.5,201.375,140.0,259.17,19
CPT,11105,Punch Biopsy Skin Ea Sep/Additional Lesion,142.0,106.5,74.0,127.87,9
CPT,11106,Incisional Biopsy Skin Single Lesion,326.0,244.5,171.0,249.32,3
CPT,11200,Pf Rem Skin Tag <15,356.0,267.0,250.91,307.58,4
CPT,11200,Remove Tag Skin <15,357.0,267.75,178.5,308.45,6
CPT,11300,Pf Shave Lesn Trnk/Arm <0.5cm,165.0,123.75,129.86,129.86,1
CPT,11300,Shave Lesn Trunk/Arm/Leg <0.5cm,148.0,111.0,116.48,116.48,1
CPT,11301,Pf Shave Lesn Trnk/Arm 0.6-1.0cm,176.0,132.0,124.04,152.06,2
CPT,11301,Shave Lesn Trunk/Arm/Leg 0.6-1.0cm,256.0,192.0,180.43,221.18,2
CPT,11311,Pf Shave Lesn Face/Ear 0.6-1.0cm,278.0,208.5,218.79,240.19,2
CPT,11311,Shave Lesn Face/Ear/Lip 0.6-1.0cm,266.0,199.5,133.0,229.82,3
CPT,11400,Exc Lesn Bgn Trunk/Arm/Leg <0.5cm,1755.0,1316.25,877.5,877.5,1
CPT,11401,Exc Lesn Bgn Trunk/Arm/Leg .6-1.0cm,2336.0,1752.0,1168.0,2018.3,8
CPT,11401,Pf Exc Lesn Bgn Trnk/Arm .6-1.0cm,720.0,540.0,499.68,622.08,6
CPT,11402,Exc Lesn Bgn Trunk/Arm/Leg 1.1-2.0,2561.0,1920.75,1280.5,2212.7,5
CPT,11402,Pf Exc Lesn Bgn Trnk/Arm 1.1-2.0cm,786.0,589.5,545.48,679.1,4
CPT,11403,Exc Lesn Bgn Trunk/Arm/Leg 2.1-3.0,3287.0,2465.25,894.79,2586.87,5
CPT,11403,Pf Exc Lesn Bgn Trnk/Arm 2.1-3.0cm,1017.0,762.75,716.78,894.79,5
CPT,11404,Exc Lesn Bgn Trunk/Arm/Leg 3.1-4.0,3609.0,2706.75,1804.5,2543.62,3
CPT,11404,Pf Exc Lesn Bgn Trnk/Arm 3.1-4.0cm,1116.0,837.0,774.5,786.56,2
CPT,11406,Exc Lesn Bgn Trunk/Arm/Leg >4.0cm,5347.0,4010.25,2673.5,3768.57,2
CPT,11406,Pf Exc Lesn Bgn Trnk/Arm >4.0cm,1679.0,1259.25,1183.36,1183.36,1
CPT,11421,Exc Lesn Bgn Sclp/Hnd/Gen 0.6-1.0cm,2521.0,1890.75,894.79,1984.03,4
CPT,11421,Pf Exc Lesn Bgn Sclp/Hnd 0.6-1.0cm,759.0,569.25,534.94,894.79,4
CPT,11422,Exc Lesn Bgn Sclp/Hnd/Gen 1.1-2.0cm,3114.0,2335.5,2060.54,2194.75,2
CPT,11422,Pf Exc Lesn Bgn Sclp/Hnd 1.1-2.0cm,940.0,705.0,662.51,2060.54,2
CPT,11423,Exc Lesn Bgn Sclp/Hnd/Gen 2.1-3.0cm,4049.0,3036.75,2853.74,2853.74,2
CPT,11423,Pf Exc Lesn Bgn Sclp/Hnd 2.1-3.0cm,1080.0,810.0,761.18,761.18,2
CPT,11426,Exc Lesn Bgn Sclp/Hnd/Gen >4.0cm,6135.0,4601.25,4323.95,4828.25,2
CPT,11426,Pf Exc Lesn Bgn Sclp/Hnd >4.0cm,1871.0,1403.25,1318.68,1472.48,2
CPT,11440,Exc Lesn Bgn Face/Ear/Lip <0.5cm,2234.0,1675.5,1628.59,1628.59,1
CPT,11440,Pf Exc Lesn Bgn Face/Ear <0.5cm,702.0,526.5,511.76,511.76,1
CPT,11441,Exc Lesn Bgn Face/Ear/Lip 0.6-1.0cm,1334.0,1000.5,667.0,1049.86,3
CPT,11441,Pf Exc Lesn Bgn Face/Ear 0.6-1.0cm,911.0,683.25,716.96,716.96,1
CPT,11442,Exc Lesn Bgn Face/Ear/Lip 1.1-2.0cm,3326.0,2494.5,1663.0,2344.16,2
CPT,11442,Pf Exc Lesn Bgn Face/Ear 1.1-2.0cm,1007.0,755.25,709.73,709.73,1
CPT,11444,Exc Lesn Bgn Face/Ear/Lip 3.1-4.0cm,2254.0,1690.5,1127.0,1127.0,1
CPT,11446,Exc Lesn Bgn Face/Ear/Lip >4.0cm,3066.0,2299.5,2235.11,2235.11,1
CPT,11600,Exc Lesn Mal Trunk/Arm/Leg <0.5cm,2526.0,1894.5,1263.0,1841.45,3
CPT,11600,Pf Exc Lesn Mal Trnk/Arm <0.5cm,800.0,600.0,563.84,583.2,2
CPT,11601,Exc Lesn Mal Trunk/Arm/Leg .6-1.0cm,1372.0,1029.0,894.79,1185.41,6
CPT,11601,Pf Exc Lesn Mal Trnk/Arm .6-1.0cm,1028.0,771.0,749.41,894.79,6
CPT,11602,Exc Lesn Mal Trunk/Arm/Leg 1.1-2.0,1656.0,1242.0,508.1,1543.39,9
CPT,11602,Pf Exc Lesn Mal Trnk/Arm 1.1-2.0cm,1128.0,846.0,508.1,1051.3,9
CPT,11603,Exc Lesn Mal Trunk/Arm/Leg 2.1-3.0,1727.0,1295.25,894.79,1359.15,5
CPT,11603,Pf Exc Lesn Mal Trnk/Arm 2.1-3.0cm,1348.0,1011.0,894.79,1060.88,5
CPT,11604,Exc Lesn Mal Trunk/Arm/Leg 3.1-4.0,3022.0,2266.5,894.79,2129.91,4
CPT,11604,Pf Exc Lesn Mal Trnk/Arm 3.1-4.0cm,1479.0,1109.25,894.79,1042.4,4
CPT,11606,Exc Lesn Mal Trunk/Arm/Leg >4.0cm,4049.0,3036.75,2060.54,2853.74,3
CPT,11606,Pf Exc Lesn Mal Trnk/Arm >4.0cm,2177.0,1632.75,1510.84,2060.54,3
CPT,11622,Exc Lesn Mal Sclp/Hnd/Gen 1.1-2.0cm,2265.0,1698.75,1132.5,1132.5,2
CPT,11623,Exc Lesn Mal Sclp/Hnd/Gen 2.1-3.0cm,2796.0,2097.0,2060.54,2060.54,1
CPT,11623,Pf Exc Lesn Mal Sclp/Hnd 2.1-3.0cm,1457.0,1092.75,2060.54,2060.54,1
CPT,11624,Exc Lesn Mal Sclp/Hnd/Gen 3.1-4.0cm,4049.0,3036.75,2060.54,2060.54,1
CPT,11624,Pf Exc Lesn Mal Sclp/Hnd 3.1-4.0cm,1599.0,1199.25,2060.54,2060.54,1
CPT,11626,Exc Lesn Mal Sclp/Hnd/Gen >4.0cm,6135.0,4601.25,3639.81,3639.81,1
CPT,11626,Pf Exc Lesn Mal Sclp/Hnd >4.0cm,1948.0,1461.0,3639.81,3639.81,1
CPT,11643,Exc Lesn Mal Face/Ear/Lip 2.1-3.0cm,2323.0,1742.25,1161.5,1161.5,1
CPT,11720,Debride Nail(S) Up to 5,209.0,156.75,75.54,164.48,5
CPT,11720,Pf Debr Nail(S) Up to 5,209.0,156.75,75.54,164.48,5
CPT,11721,Debride Nail(S) 6 or More,215.0,161.25,75.54,169.21,7
CPT,11721,Pf Debride Nail(S) 6 or More,110.0,82.5,75.54,86.57,7
CPT,11730,Avulsion Nail Plate Single,520.0,390.0,252.7,449.28,3
CPT,11730,Pf Avulsion Nail Plate Single,245.0,183.75,172.68,252.7,3
CPT,11732,Avulsion Nail Plate Ea Add,641.0,480.75,320.5,320.5,1
CPT,11750,Exc Nail & Matrix,1125.0,843.75,885.38,885.38,1
CPT,11750,Pf Exc Nail & Matrix,744.0,558.0,585.53,585.53,1
CPT,11771,Excision Pilonidal Cyst/Sinus Extensive,3042.5,2281.875,1072.0,3216.71,2
CPT,11900,Inject Intralesnal <7 Lesions,295.0,221.25,207.92,273.05,6
CPT,11900,Pf Inject Intralesional <7 Lesions,154.0,115.5,108.54,252.7,6
CPT,11901,Inject Intralesnal >7 Lesions,208.0,156.0,104.0,193.86,2
CPT,11901,Pf Inject Intralesional >7 Lesions,205.0,153.75,191.06,191.06,1
CPT,11981,Insert Drug Implant Device - 11981,348.0,261.0,245.27,273.88,4
CPT,11981,Insertion Drug Delivery Implant,415.0,311.25,281.22,339.2,8
CPT,11981,Pf Insert Impl Drug Deliv Non-Biode,361.0,270.75,254.43,284.11,4
CPT,11982,Removal Non-Biodegradable Drug Delivery Implant,485.0,363.75,341.83,341.83,2
CPT,11982,Remove Drug Implant Device,495.0,371.25,348.88,348.88,2
CPT,12001,Rpr Lac Smp Sclp/Hnd/Gen <2.5cm,503.0,377.25,251.5,251.5,1
CPT,12005,Rpr Lac Smp Sclp/Hnd/Gen 12.6-20.0,808.0,606.0,404.0,404.0,1
CPT,12011,Rpr Lac Smp Face/Ear/Lip <2.5cm,523.0,392.25,261.5,261.5,1
CPT,12031,Pf Rpr Lac Int Sclp/Ax <2.5cm,848.0,636.0,588.51,732.67,6
CPT,12031,Rpr Lac Intermd Scalp/Axil <2.5cm,849.0,636.75,424.5,733.54,10
CPT,12032,Pf Rpr Lac Int Sclp/Ax 2.6-7.5cm,1023.0,767.25,508.1,805.1,7
CPT,12032,Rpr Lac Intermd Scalp/Axil 2.6-7.5,1027.0,770.25,508.1,808.25,7
CPT,12034,Pf Rpr Lac Int Sclp/Ax 7.6-12.5cm,1030.0,772.5,508.1,714.82,2
CPT,12034,Rpr Lac Intermd Scalp/Axil 7.6-12.5,4738.0,3553.5,508.1,3288.17,2
CPT,12041,Pf Rpr Lac Int Neck/Hnd <2.5cm,887.0,665.25,508.1,698.07,4
CPT,12041,Rpr Lac Intermd Hnd/Ft/Gen <2.5cm,890.0,667.5,508.1,700.43,4
CPT,12042,Pf Rpr Lac Int Neck/Hnd 2.6-7.5cm,1017.0,762.75,508.1,716.78,3
CPT,12042,Rpr Lac Intermd Hnd/Ft/Gen 2.6-7.5,1019.0,764.25,508.1,718.19,3
CPT,12051,Pf Rpr Lac Int Face/Ear <2.5cm,948.0,711.0,508.1,746.08,3
CPT,12051,Rpr Lac Intermd Face/Ear/Lip <2.5cm,950.0,712.5,508.1,747.65,3
CPT,12052,Rpr Lac Intermd Face/Ear/Lip2.6-5.0,1131.0,848.25,565.5,565.5,1
CPT,12053,Rpr Lac Intermd Face/Ear/Lip5.1-7.5,1131.0,848.25,565.5,565.5,1
CPT,13100,Recmpl Wnd Trunk 1.1-2.5 Cm,902.0,676.5,778.48,778.48,1
CPT,13100,Rpr Lac Cplx Trunk 1.1-2.5cm,1212.0,909.0,778.48,778.48,1
CPT,13101,Repair Complex Trunk 2.6-7.5 Cm,1062.0,796.5,737.03,989.78,9
CPT,13101,Rpr Lac Cplx Trunk 2.6-7.5cm,1978.0,1483.5,778.48,1843.5,9
CPT,13102,Rpr Lac Cplx Trunk Ea Add 5cm,1593.0,1194.75,796.5,796.5,1
CPT,13120,Repair Complex Scalp/Arm/Leg 1.1-2.5 Cm,915.0,686.25,667.04,778.48,2
CPT,13120,Rpr Lac Cplx Scalp/Arm/Leg 1.1-2.5,1262.0,946.5,778.48,920.0,2
CPT,13121,Repair Complex Scalp/Arm/Leg 2.6-7.5 Cm,1671.0,1253.25,1177.72,1557.37,4
CPT,13121,Rpr Lac Cplx Scalp/Arm/Leg 2-7.5cm,1674.0,1255.5,837.0,1560.17,6
CPT,13122,Rpr Lac Cplx Scalp/Arm/Leg Add <5cm,1861.0,1395.75,930.5,930.5,1
CPT,13131,Repair Complex 1.1-2.5 Cm - 13131,1399.0,1049.25,699.5,986.02,2
CPT,13131,Repair Complex F/C/C/M/N/Ax/G/H/F 1.1-2.5 Cm,1393.0,1044.75,981.79,981.79,1
CPT,13132,Repair Complex 2.6-7.5 Cm - 13132,2367.0,1775.25,778.48,1668.26,4
CPT,13132,Repair Complex F/C/C/M/N/Ax/G/H/F 2.6-7.5 Cm,1430.0,1072.5,778.48,1007.86,4
CPT,13151,Repair Complex Eyelid/Nose/Ear/Lip 1.1-2.5 Cm,1482.0,1111.5,778.48,1044.51,2
CPT,13151,Rpr Lac Cplx Eye/Ear/Lip 1.1-2.5cm,1599.0,1199.25,778.48,1126.98,2
CPT,14000,Transfer Tissue Trunk <10cm,4842.0,3631.5,2421.0,2421.0,1
CPT,14001,Adjnt Tis Transfr/Rearrange Trunk 10.1-30.0 Sqcm,3209.0,2406.75,2326.32,2525.48,3
CPT,14001,Transfer Tissue Trunk 10.1-30.0cm,4842.0,3631.5,2326.32,3810.65,3
CPT,14020,Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/<,2814.0,2110.5,1983.31,2214.62,2
CPT,14020,Trnsf Tissue Sclp/Arm/Lg <10cm,4842.0,3631.5,2421.0,3810.65,3
CPT,14021,"Adj Tiss Xfer Scalp,Extrem 10.1-30 Sqcm",3536.0,2652.0,2326.32,2782.83,5
CPT,14021,Trnsf Tissue Sclp/Arm/Lg 10-30cm,4842.0,3631.5,2326.32,3810.65,5
CPT,14040,Adjt Tis Trns/Reargmt F/C/C/M/N/a/G/H/F 10sqcm/<,3119.0,2339.25,2198.27,2326.32,3
CPT,14040,Trnsf Tissue Head/Hand/Foot <10cm,4842.0,3631.5,2326.32,3529.82,3
CPT,14041,Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm,3824.0,2868.0,2326.32,3009.49,6
CPT,14041,Trnsf Tissue Head/Hand/Foot 10-30cm,4842.0,3631.5,2326.32,3810.65,6
CPT,14060,"Adj Tiss Xfer Lid,Nos,Ear <10 Sqcm",3320.0,2490.0,2326.32,2339.94,4
CPT,14060,Trnsf Tissue Eye/Nose/Ear/Lip <10cm,3479.0,2609.25,2326.32,2452.0,4
CPT,14061,Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm,3976.0,2982.0,2326.32,2802.28,3
CPT,14061,Trnsf Tissue Eye/Nose/Ear/Lip 10-30,5055.0,3791.25,2326.32,3562.76,3
CPT,14301,"Adj Tiss Xfer Any Area,30.1-60 Sqcm",4317.0,3237.75,3995.82,4655.83,4
CPT,14301,"Adj Tiss Xfer Any Area,30.1-60 Sqcm|ASSISTANT AT SURGERY SERVICE",1079.25,809.44,4655.83,4655.83,1
CPT,14301,"Adj Tiss Xfer Any Area,30.1-60 Sqcm|ASSISTANT SURGEON|ASSISTANT AT SURGERY SERVICE",269.81,202.36,4655.83,4655.83,1
CPT,14301,Trnsf Tissue Any Area 30.1-60 Sqcm,4880.0,3660.0,4516.93,4655.83,4
CPT,14301,Trnsf Tissue Any Area 30.1-60 Sqcm|ASSISTANT AT SURGERY SERVICE,1220.0,915.0,4655.83,4655.83,1
CPT,14301,Trnsf Tissue Any Area 30.1-60 Sqcm|ASSISTANT SURGEON|ASSISTANT AT SURGERY SERVICE,305.0,228.75,4655.83,4655.83,1
CPT,14302,Trnsf Tissue Any Area Ea Addl 30,1239.0,929.25,619.5,619.5,1
CPT,15120,Graft Split Face 1st 100 Sq Cm Chld,7966.0,5974.5,3983.0,3983.0,1
CPT,15220,"Full Thick Grft Scalp,Arm,Leg <20sqc",3012.0,2259.0,2326.32,2326.32,2
CPT,15220,Graft Full Scalp/Arm/Leg <20cm,4964.0,3723.0,2326.32,2326.32,2
CPT,15240,"Full Thick Grft Head,Fac,Hand <20sqc",3729.0,2796.75,2326.32,2326.32,1
CPT,15240,Graft Full Forehd/Chin/Mth <20cm,4842.0,3631.5,2326.32,2326.32,1
CPT,15260,Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/<,1755.0,1316.25,2326.32,2326.32,2
CPT,15260,Graft Full Eye/Ns/Ear/Lip <20cm,4842.0,3631.5,2326.32,2326.32,2
CPT,15733,Musc Myoq/Fscq Flap Head&Neck W/Named Vasc Pedcl,5394.0,4045.5,4655.83,4655.83,2
CPT,15823,Blepharoplasty Upper Excess Skin|BILATERAL PROCEDURE,4842.0,3631.5,2326.32,2326.32,2
CPT,15823,Rev Upper Eyelid W Excess Skin|BILATERAL PROCEDURE,2740.0,2055.0,2326.32,2326.32,2
CPT,17000,Dest Lesn Premalignant 1st Lesion,296.0,222.0,148.0,275.87,13
CPT,17000,Pf Dest Lesn Premalig 1st Lesion,271.0,203.25,188.07,252.57,8
CPT,17003,Dest Lesn Bgn/Premalig 2-14,56.0,42.0,28.0,52.19,13
CPT,17003,Pf Dest Lesn Bgn/Premalig 2-14,38.0,28.5,26.37,35.42,8
CPT,17004,Dest Lesn Premalignant 15+ Lesions,1301.0,975.75,650.5,1204.21,6
CPT,17004,Pf Dest Lesn Premalignant 15+ Les,530.0,397.5,386.37,490.57,3
CPT,17110,Destruct Benign Lesion Up to 14 Les,333.0,249.75,166.5,310.36,14
CPT,17110,Pf Dest Benign Lesions Up to 14 Les,255.0,191.25,176.97,237.66,18
CPT,17111,Destruct Benign Lesions > 15,519.0,389.25,259.5,365.79,4
CPT,17111,Pf Destruct Benign Lesions > 15,364.0,273.0,252.62,256.55,3
CPT,17250,Cautery Chemical Tissue Granulat,863.0,647.25,431.5,629.13,3
CPT,17250,Pf Cautery Chemical Tissue Gran,519.0,389.25,365.79,378.35,2
CPT,17261,Dest Lesn Mal Trunk/Arm/Leg 0.6-1.0,481.0,360.75,240.5,339.01,2
CPT,17261,Pf Dest Lesn Mal Trnk/Arm 0.6-1.0cm,404.0,303.0,284.74,284.74,1
CPT,17262,Dest Lesn Mal Trunk/Arm/Leg 1.1-2.0,606.0,454.5,303.0,476.92,8
CPT,17262,Pf Dest Lesn Mal Trnk/Arm 1.1-2.0cm,515.0,386.25,362.97,405.31,4
CPT,17263,Dest Lesn Mal Trunk/Arm/Leg 2.1-3.0,653.0,489.75,326.5,326.5,1
CPT,17272,Dest Lesn Mal Sclp/Hnd/Gen 1.1-2.0,664.0,498.0,332.0,332.0,1
CPT,17273,Dest Lesn Mal Sclp/Hnd/Gen 2.1-3.0,754.0,565.5,377.0,377.0,1
CPT,17281,Dest Lesn Mal Face/Ear/Lip 0.6-1.0,647.0,485.25,323.5,456.01,2
CPT,17281,Pf Dest Lesn Mal Face/Ear 0.6-1.0cm,535.0,401.25,377.07,377.07,1
CPT,17282,Dest Lesn Mal Face/Ear/Lip 1.1-2.0,746.0,559.5,373.0,525.78,2
CPT,17282,Pf Dest Lesn Mal Face/Ear 1.1-2.0cm,616.0,462.0,434.16,434.16,1
CPT,17311,Chemosurg/Mohs 1st Stg H/N/Hf/G <5,3818.0,2863.5,778.48,3533.94,12
CPT,17311,"Mohs, 1 Stage, Head/Neck/Hand/Feet/Gential",1824.0,1368.0,778.48,1688.29,12
CPT,17312,Chemosurg/Mohs Ea Addl H/N/Hf/G <5,2032.0,1524.0,1432.15,1432.15,2
CPT,17312,"Mohs, Addl Stage, Head/Neck/Hand/Feet/Gential",974.0,730.5,686.48,686.48,2
CPT,17313,Chemosurg/Mohs 1st Stage T/a/L < 5,1671.0,1253.25,835.5,835.5,1
CPT,17314,Chemosurg/Mohs Ea Addl Stg T/a/L <5,1883.0,1412.25,941.5,941.5,1
CPT,19000,Aspiration Cyst Breast,1407.0,1055.25,991.65,1302.32,2
CPT,19000,Pf Aspirat Cyst Breast,207.0,155.25,145.89,191.6,2
CPT,19083,Bx Breast 1st Lesion US Imag,1652.0,1239.0,826.0,826.0,1
CPT,19120,Exc Cyst/Lesn Breast,6965.0,5223.75,3482.5,3482.5,1
CPT,19318,Reduction of Breast|BILATERAL PROCEDURE|ASSISTANT AT SURGERY SERVICE,1369.75,1027.31,965.4,1077.99,3
CPT,20520,Hcpr Removal of Foreign Body,682.0,511.5,480.67,480.67,1
CPT,20520,Remove FB Muscle/Tendon Smp,720.0,540.0,507.46,507.46,1
CPT,20526,Inject Carpal Tunnel Therapeutic,713.0,534.75,375.41,375.41,1
CPT,20526,Pf Inject Carpal Tunnel Therapeutic,713.0,534.75,375.41,375.41,1
CPT,20550,Inject Single Tendon/Ligament,713.0,534.75,375.41,664.52,5
CPT,20550,Inject Single Tendon/Ligament|BILATERAL PROCEDURE,713.0,534.75,356.5,356.5,1
CPT,20550,Pf Inject Single Tendon/Ligament,234.0,175.5,216.59,375.41,5
CPT,20551,Inject Single Tendon Origin/Insert,333.0,249.75,234.7,375.41,3
CPT,20551,Pf Inject Single Tend Origin/Insert,261.0,195.75,183.95,375.41,3
CPT,20552,Dfci Injection Single/Mlt Trigger Point 1/2 Muscles,188.0,141.0,175.22,175.22,1
CPT,20552,Inject Trigger Point 1-2 Muscle(S),840.0,630.0,420.0,782.88,2
CPT,20552,Pf Inject Trigger Point 1-2 Muscle,188.0,141.0,175.22,175.22,1
CPT,20553,Inject Trigger Pt 3+ Muscle Groups,932.0,699.0,466.0,733.48,4
CPT,20553,Pf Inject Trigger Pt 3+ Muscle,215.0,161.25,151.53,169.21,3
CPT,20600,Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US,209.5,157.125,142.27,375.41,12
CPT,20604,Arthrocnt Aspir&/Inj Small Jt/Bursaw/US Rec Rprt,234.5,175.875,166.94,375.41,6
CPT,20605,Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US,220.0,165.0,152.68,375.41,4
CPT,20605,Arthrocentesis Aspir&/Injection Interm Jt/Burs W/O US,245.0,183.75,170.03,375.41,4
CPT,20606,Arthrocentesis Aspir&/Inj Interm Jt/Burs W/US,267.5,200.625,191.73,880.71,8
CPT,20610,Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US,483.0,362.25,175.58,664.52,18
CPT,20610,Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US|BILATERAL PROCEDURE,483.0,362.25,375.41,375.41,4
CPT,20611,Arthrocentesis Aspir&/Inj Major Jt/Bursa W/US,730.5,547.875,210.98,1078.32,10
CPT,20612,Inject Ganglion Cyst,713.0,534.75,375.41,561.13,2
CPT,20612,Pf Inject Ganglion Cyst,181.0,135.75,142.45,375.41,2
CPT,20680,Rem Impl Wire Deep,5944.0,4458.0,3639.81,3639.81,1
CPT,20680,Removal Implant Deep,1752.0,1314.0,3639.81,3639.81,1
CPT,21012,Exc Tumr Face/Scalp Subq 2+Cm,1873.0,1404.75,1320.09,1320.09,1
CPT,21012,Pf Exc Tum Soft Tiss Face/Scalp Sub,1556.0,1167.0,1096.67,1096.67,1
CPT,21320,Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization,665.0,498.75,468.69,468.69,1
CPT,21554,Hcpr Pvb Thoracic Second & Addl Inj Site W/Img Gid,3073.0,2304.75,2165.85,2165.85,1
CPT,21931,Exc Tumor Back/Flank Subq 3cm or Gr,2540.0,1905.0,1270.0,1790.19,3
CPT,21931,Exc Tumor Back/Flank Subq 3cm or Gr|ASSISTANT AT SURGERY SERVICE,635.0,476.25,317.5,317.5,1
CPT,21931,Exc Tumor Back/Flank Subq 3cm or Gr|ASSISTANT SURGEON|ASSISTANT AT SURGERY SERVICE,158.75,119.06,79.38,79.38,1
CPT,21931,Pf Exc Tumr Back/Flank Subq 3cm +,2021.0,1515.75,1424.4,1424.4,1
CPT,21933,Exc Tiss Back/Flnk Subfscl 5 +,6135.0,4601.25,3639.81,4323.95,3
CPT,21933,Exc Tiss Back/Flnk Subfscl 5 +|ASSISTANT AT SURGERY SERVICE,1533.75,1150.31,1064.42,1064.42,1
CPT,21933,Exc Tiss Back/Flnk Subfscl 5 +|ASSISTANT SURGEON|ASSISTANT AT SURGERY SERVICE,383.44,287.58,3639.81,3639.81,1
CPT,21933,Hcpr Pvb Thoracic Cont Catheter Infusion W/Img Gid,1899.0,1424.25,1317.91,3639.81,3
CPT,21933,Hcpr Pvb Thoracic Cont Catheter Infusion W/Img Gid|ASSISTANT AT SURGERY SERVICE,474.75,356.06,329.48,329.48,1
CPT,21933,Hcpr Pvb Thoracic Cont Catheter Infusion W/Img Gid|ASSISTANT SURGEON|ASSISTANT AT SURGERY SERVICE,118.69,89.02,3639.81,3639.81,1
CPT,22902,Ex Tumor Soft Tissue Abdominal Wall Subq <3cm,1793.0,1344.75,1263.71,1263.71,1
CPT,22902,Ex Tumor Soft Tissue Abdominal Wall Subq <3cm|ASSISTANT AT SURGERY SERVICE,448.25,336.19,315.93,315.93,1
CPT,22902,Exc Tumor Soft Tissue Abdominal Wall Subq <3cm,1607.0,1205.25,1132.61,1132.61,1
CPT,22902,Exc Tumor Soft Tissue Abdominal Wall Subq <3cm|ASSISTANT AT SURGERY SERVICE,401.75,301.31,283.15,283.15,1
CPT,23500,Pf Tx Fx Clavicle W/O Man Clsd,860.0,645.0,743.04,743.04,1
CPT,23500,Tx Fx Clavicle W/O Manip Closed,1057.0,792.75,528.5,913.25,2
CPT,23570,Pf Tx Fx Scapular W/O Man Clsd,936.0,702.0,682.34,682.34,1
CPT,23570,Tx Fx Scapular W/O Manip Closed,1135.0,851.25,827.42,827.42,1
CPT,23600,Pf Tx Fx Humerus Prox W/O Man,1193.0,894.75,305.07,1030.75,3
CPT,23600,Tx Fx Humerus Prox W/O Man Closed,1455.0,1091.25,305.07,1257.12,3
CPT,23620,Tx Fx Humerus Tuberos W/O Man Clsd,1225.0,918.75,612.5,612.5,1
CPT,24500,Tx Fx Humer Shaft W/O Man Closed,1548.0,1161.0,774.0,774.0,1
CPT,24650,Tx Fx Radial Head/Neck W/O Man Clsd,1143.0,857.25,571.5,571.5,1
CPT,24670,Tx Fx Ulna Prox Closed,1297.0,972.75,648.5,648.5,1
CPT,25600,Pf Tx Fx Radial Dist W/O Man Clsd,641.0,480.75,305.07,305.07,1
CPT,25600,Tx Fx Radial Dist W/O Man Closed,1281.0,960.75,305.07,305.07,1
CPT,25605,Tx Fx Radius/Ulna W/Man Closed,2901.0,2175.75,1450.5,1450.5,1
CPT,25630,Tx Fx Carpal W/O Manip Closed,1342.0,1006.5,671.0,671.0,1
CPT,26123,"Part Palmar Fasciec, Open, 1 Digit",5046.0,3784.5,4359.74,4359.74,1
CPT,26123,"Part Palmar Fasciec,Open 1 Digit",4118.0,3088.5,3557.95,3557.95,1
CPT,26125,"Part Palmar Fasciec,Open Addnl Digit",1329.0,996.75,1148.26,1148.26,1
CPT,26725,Cltx Phlngl Fx Prox/Middle Px/F/T W/Manj Ea,1094.0,820.5,759.24,759.24,1
CPT,26725,Tx Fx Phalanx Prox W/Man Clsd,1480.0,1110.0,1027.12,1027.12,1
CPT,27520,Tx Fx Patellar W/O Manip Closed,1371.0,1028.25,685.5,685.5,1
CPT,27786,Pf Tx Fx Fibula Distal W/O Man Clsd,1139.0,854.25,790.47,984.1,4
CPT,27786,Tx Fx Fibula Distal W/O Man Closed,1389.0,1041.75,963.97,1200.1,4
CPT,27808,Tx Fx Ankle Bimalleolar Closed,1441.0,1080.75,720.5,720.5,1
CPT,28298,Coorjhallux Valgus W/Sesmdc W/Prox Phlnx Osteot|BILATERAL PROCEDURE|ASSISTANT SURGEON,619.0,464.25,9085.03,9085.03,1
CPT,28430,Tx Fx Talus W/O Manip Closed,1019.0,764.25,509.5,509.5,1
CPT,29075,Apply Cast Arm Short,489.0,366.75,337.75,337.75,1
CPT,29075,Pf Appl Cast Arm Short,318.0,238.5,337.75,337.75,1
CPT,29085,Appl Cast Hand/Lower Forearm,352.0,264.0,176.0,176.0,1
CPT,29105,Apply Splint Arm Long,352.0,264.0,200.67,200.67,3
CPT,29105,Pf Appl Splint Arm Long,352.0,264.0,200.67,200.67,3
CPT,29125,Appl Splint Forarm/Arm Shrt Static,352.0,264.0,163.93,163.93,1
CPT,29125,Pf Appl Splint Arm Short Static,203.0,152.25,163.93,163.93,1
CPT,29405,Appl Cast Leg Short,245.0,183.75,337.75,337.75,1
CPT,29405,Pf Appl Cast Leg Short,253.0,189.75,337.75,337.75,1
CPT,29530,Strapping Knee,198.0,148.5,99.0,99.0,1
CPT,29540,Pf Strapping Ankle/Foot,148.0,111.0,200.67,200.67,1
CPT,29540,Pf Strapping Ankle/Foot|BILATERAL PROCEDURE,148.0,111.0,200.67,200.67,1
CPT,29540,Strapping Ankle and/or Foot,198.0,148.5,200.67,200.67,1
CPT,29540,Strapping Ankle and/or Foot|BILATERAL PROCEDURE,198.0,148.5,200.67,200.67,1
CPT,29550,Pf Strapping Toes,290.0,217.5,75.54,75.54,2
CPT,29550,Strapping Toes,198.0,148.5,75.54,75.54,2
CPT,29550,Strapping Toes|BILATERAL PROCEDURE,198.0,148.5,99.0,99.0,1
CPT,29580,Pf Strapping Unna Boot,145.0,108.75,200.67,200.67,2
CPT,29580,Strapping Unna Boot,320.0,240.0,200.67,200.67,2
CPT,29581,Apply Multlay Comprs Bl Knee,209.0,156.75,200.67,200.67,1
CPT,29581,Apply Multlay Comprs Bl Knee|BILATERAL PROCEDURE,209.0,156.75,104.5,104.5,1
CPT,29581,Pf Apply Multlay Comprs Bl Knee,122.0,91.5,200.67,200.67,1
CPT,29700,Rem/Biv Cast Body/Gauntlet,352.0,264.0,277.02,277.02,1
CPT,29700,Remv/Revisn Boot/Body Cast,137.0,102.75,107.82,107.82,1
CPT,30520,Septoplasty or Submucous Resection,3321.0,2490.75,3073.92,3073.92,1
CPT,31720,Aspiration Cath Nasotracheal,270.0,202.5,135.0,135.0,1
CPT,32555,Thoracentesis W/Imaging Guidance,2773.0,2079.75,1386.5,1386.5,1
CPT,33285,Insertion Subq Cardiac Rhythm Monitor W/Prgrmg,2090.0,1567.5,1045.0,1045.0,1
CPT,33286,Removal Subcutaneous Cardiac Rhythm Monitor,2051.0,1538.25,1025.5,1025.5,2
CPT,36000,Intro Needle/Intracath Vein,229.0,171.75,114.5,114.5,1
CPT,36415,Venipuncture,19.0,14.25,9.5,17.71,7
CPT,36430,Transfusion Blood/Blood Components,113.0,84.75,88.93,555.98,3
CPT,36430,Transfusion Blood/Comp,1030.0,772.5,555.98,953.37,3
CPT,36561,Insert Device Cv W/Port > 5 Yrs,7748.0,5811.0,4002.83,5648.29,2
CPT,36561,Insj Tunneled Ctr Vad W/Subq Port Age 5 Yr/>,1412.0,1059.0,1029.35,4002.83,2
CPT,36573,Insertion Picc W/Rs&I 5 Yr/>,446.5,334.875,231.0,336.8,5
CPT,36589,Rem Tnld Cv Cath W/O Port/Pump,693.0,519.75,346.5,346.5,1
CPT,36590,Pf Rem Tnl Cv Acc W/Port/Pump,815.0,611.25,641.41,641.41,1
CPT,36590,Rem Tnld Cv Access W/Port/Pump,4753.0,3564.75,2376.5,3740.61,2
CPT,36591,Collect Blood Port/Access Dvc,169.0,126.75,84.5,119.11,6
CPT,36592,HC Collect Blood From Catheter Venous,169.0,126.75,163.93,163.93,1
CPT,36593,Declot Port Thrombolytic Agent,402.0,301.5,421.83,421.83,1
CPT,36593,Pf Declot Port Thrombolytic Agent,168.0,126.0,421.83,421.83,1
CPT,36600,Pf Puncture Arterial,100.0,75.0,59.0,92.56,4
CPT,36600,Punct Arterial,346.0,259.5,173.0,320.26,6
CPT,43235,Egd Flex Dx W/Brushing/Washing,2361.0,1770.75,1180.5,2200.45,7
CPT,43235,Esophagogastroduodenoscopy Transoral Diagnostic,1710.0,1282.5,1162.63,1593.72,5
CPT,43239,Egd Flex Transoral W/Biopsy,2361.0,1770.75,1180.5,2200.45,13
CPT,43239,Egd Transoral Biopsy Single/Multiple,1679.0,1259.25,1165.23,1564.83,8
CPT,43246,Egd Flex W/Place Gastrostomy Tube,749.0,561.75,527.9,527.9,2
CPT,43246,Egd Percutaneous Placement Gastrostomy Tube,749.0,561.75,527.9,527.9,2
CPT,43247,Egd Flexible Foreign Body Removal,1625.5,1219.125,627.27,1664.03,2
CPT,43249,Egd Balloon Dilation Esophagus <30 Mm Diam,819.0,614.25,556.84,556.84,1
CPT,43249,Egd Flex W/Balloon Dilation <30mm,953.0,714.75,476.5,647.94,2
CPT,43251,Egd Removal Tumor Polyp/Other Lesion Snare Tech,970.0,727.5,683.66,838.08,2
CPT,43251,Egd W/Remove Tumor/Polyp Snare,3571.0,2678.25,1785.5,3085.34,3
CPT,43762,Perq Replacement Gtube Not Req Revj Gstrst Trc,201.0,150.75,309.3,309.3,2
CPT,44970,Laparoscopic Appendectomy,2205.0,1653.75,1499.18,2055.06,6
CPT,44970,Laparoscopic Appendectomy|ASSISTANT AT SURGERY SERVICE,551.25,413.44,388.52,401.86,2
CPT,45330,Pf Sigmoidoscopy Flex,649.0,486.75,457.42,473.12,3
CPT,45330,Sigmoidoscopy Flexible,1625.0,1218.75,812.5,1184.63,4
CPT,45331,Sigmoidoscopy Flx W/Biopsy Single/Multiple,838.0,628.5,590.62,590.62,1
CPT,45331,Sigmoidoscopy W/Biopsy,1625.0,1218.75,812.5,1145.3,2
CPT,45346,Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les,1174.0,880.5,587.0,587.0,1
CPT,45378,Colonoscopy Flexible,3711.0,2783.25,1855.5,3458.65,11
CPT,45378,Colonoscopy Flx Dx W/Collj Spec When Pfrmd,2487.0,1865.25,858.71,3458.65,19
CPT,45380,Colonoscopy W/Biopsy Single/Multiple,2471.0,1853.25,1298.5,2420.4,16
CPT,45381,Colsc Flx With Directed Submucosal Njx Any Sbst,1434.0,1075.5,995.2,1336.49,4
CPT,45381,HC Colsc Flx With Directed Submucosal Njx Any Sbst,2597.0,1947.75,1298.5,2420.4,6
CPT,45385,Colonoscopy Flex W/Rem Tumor Snare,2597.0,1947.75,1298.5,2420.4,11
CPT,45385,Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq,1982.0,1486.5,929.42,2420.4,19
CPT,45388,Colonoscopy Flx Ablation Tumor Polyp/Other Les,2820.0,2115.0,1410.0,1410.0,1
CPT,46050,I&D Abscess Perianal Superficial,1668.0,1251.0,834.0,834.0,1
CPT,46220,Excision Single External Papilla or Tag Anus,1524.5,1143.375,416.6,2425.06,2
CPT,46230,Excision Multiple External Papillae/Tags Anus,980.0,735.0,714.42,714.42,1
CPT,46922,Dest Lesion Anus Surgical Excision,3136.0,2352.0,2176.38,2176.38,1
CPT,46922,Dstrj Lesion Anus Simple Surg Excision,341.0,255.75,236.65,236.65,1
CPT,46947,Hemorrhoidopexy by Stapling,1809.0,1356.75,1318.76,1318.76,1
CPT,46948,Int Hrhc Transanal Hroid Dartlzj 2+ W/US Gdn,2678.0,2008.5,1339.0,1339.0,1
CPT,47562,Laparoscopy Surg Cholecystectomy,2748.0,2061.0,1868.37,2162.68,5
CPT,47562,Laparoscopy Surg Cholecystectomy|ASSISTANT AT SURGERY SERVICE,687.0,515.25,484.2,540.67,2
CPT,47562,Laparoscopy Surg Cholecystectomy|ASSISTANT SURGEON,687.0,515.25,467.09,484.2,2
CPT,47563,"Lap,Cholecystectomy/Graph",3441.0,2580.75,2425.22,2708.07,2
CPT,47563,"Lap,Cholecystectomy/Graph|ASSISTANT AT SURGERY SERVICE",860.25,645.19,677.02,677.02,1
CPT,47564,Lap Cholecystectomy/Explore,4949.0,3711.75,3488.06,3488.06,1
CPT,47564,Lap Cholecystectomy/Explore|ASSISTANT AT SURGERY SERVICE,1237.25,927.94,872.01,872.01,1
CPT,49082,Abdominal Paracentesis W/O Imaging,1743.0,1307.25,871.5,871.5,1
CPT,49083,Abdom Paracentesis Dx/Ther W/Imaging Guidance,2835.0,2126.25,1998.11,1998.11,1
CPT,49083,Abdominal Paracentesis W/ Imaging,2676.0,2007.0,1338.0,1886.04,2
CPT,49450,Replace Gastrostomy/Cecostomy Tube Percutaneous,289.0,216.75,203.69,203.69,1
CPT,49591,Rpr Aa Hernia 1st < 3 Cm Reducible,1566.0,1174.5,1086.8,1103.72,2
CPT,49591,Rpr Aa Hernia 1st < 3 Cm Reducible|ASSISTANT AT SURGERY SERVICE,391.5,293.62,271.7,275.93,2
CPT,49592,Rpr Aa Hernia 1st < 3 Cm Ncrc8/Strangulated,2170.0,1627.5,1529.42,1581.93,2
CPT,49592,Rpr Aa Hernia 1st < 3 Cm Ncrc8/Strangulated|ASSISTANT AT SURGERY SERVICE,542.5,406.87,382.35,395.48,2
CPT,49592,Rpr Aa Hernia 1st < 3 Cm Ncrc8/Strangulated|ASSISTANT SURGEON,542.5,406.87,382.35,382.35,1
CPT,49614,Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated,2605.0,1953.75,1807.87,1836.0,2
CPT,49614,Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated|ASSISTANT AT SURGERY SERVICE,651.25,488.44,459.0,459.0,1
CPT,49614,Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated|ASSISTANT SURGEON,651.25,488.44,451.97,451.97,1
CPT,49650,Laparoscopy Surg Rpr Initial Inguinal Hernia|BILATERAL PROCEDURE|ASSISTANT SURGEON,441.75,331.31,306.57,311.35,2
CPT,51701,Catheter Bladder Non-Indwelling,346.0,259.5,272.3,272.3,1
CPT,51701,Pf Catheter Bladder,56.0,42.0,44.07,44.07,1
CPT,51702,Catheter Bladder Smp,795.0,596.25,163.93,560.32,3
CPT,51702,Pf Catheter Bladder Smp,346.0,259.5,163.93,243.86,3
CPT,51703,Catheter Bladder Complicated,745.0,558.75,372.5,372.5,2
CPT,51705,Change Tube Cystostomy Smp,745.0,558.75,372.5,372.5,1
CPT,51741,Uroflowmetry/Ufr Cplx,531.0,398.25,265.5,265.5,1
CPT,51798,Measure Post-Void Urine by US,621.0,465.75,75.54,488.73,6
CPT,52000,Cystourethroscopy,1899.0,1424.25,848.85,1640.74,5
CPT,52000,Pf Cystourethro,598.0,448.5,415.01,848.85,5
CPT,52265,Cysto W/Dilat Bladder Anes Local,931.0,698.25,2605.19,2605.19,1
CPT,52265,"Cystoscopy,Dil Bladder,Local Anesth",710.0,532.5,2605.19,2605.19,1
CPT,52287,Cystourethroscopy Inj Chemodenervation Bladder,671.0,503.25,472.92,2605.19,2
CPT,52287,Cystourethroscopy W Inj(S) Chemoden,4128.0,3096.0,2605.19,2909.41,2
CPT,52310,Cysto Rem FB Smp,865.0,648.75,2605.19,2605.19,1
CPT,52310,Pf Cystourethro W/Rem FB Smp,1050.0,787.5,2605.19,2605.19,1
CPT,52341,"Cystoscopy,Tx Ureteral Stricture",1491.0,1118.25,4386.22,4386.22,2
CPT,54056,Dest Lesion Penis Smp Cryosurgery,605.0,453.75,302.5,426.4,4
CPT,54056,Pf Destruct Lesn Penis Smp Cryo,522.0,391.5,362.27,367.91,3
CPT,54150,Circumcision W/Clamp or Othr Device,330.0,247.5,224.37,229.02,3
CPT,54150,Circumcision W/Clamp/Oth Dev W/Block,423.0,317.25,287.6,293.56,3
CPT,55250,Removal of Sperm Duct(S),2362.0,1771.5,1664.74,1858.89,3
CPT,55250,Vasectomy Semen Exam Postop,6129.0,4596.75,4319.72,4823.52,3
CPT,56605,Biopsy Lesion Vulva/Perineum One,305.0,228.75,214.96,1107.36,5
CPT,56605,Pf Biopsy Vulva/Perineum One Lesion,242.0,181.5,170.56,1107.36,5
CPT,56821,Colposcopy W/Bx Vulva,582.0,436.5,291.0,291.0,1
CPT,57100,Biopsy Mucosa Vaginal Smp,330.0,247.5,165.0,165.0,1
CPT,57160,Fitting/Insertion Pessary,446.0,334.5,255.84,255.84,2
CPT,57160,Pf Fitting/Insert Pessary,212.0,159.0,255.84,255.84,2
CPT,57420,Colposcopy Entire Vagina,669.0,501.75,334.5,334.5,1
CPT,57452,Colposcopy Cervix/Vagina,669.0,501.75,464.29,526.5,3
CPT,57452,Pf Colposcopy Cervix/Vagina,404.0,303.0,280.38,317.95,3
CPT,57454,Colposcopy W/Bx Cervix & Curettage,682.0,511.5,386.85,589.25,7
CPT,57454,Pf Colposcopy W/Bx Cervix & Curett,598.0,448.5,386.85,516.67,7
CPT,57456,Colposcopy W/Endocervical Curettage,669.0,501.75,386.85,623.51,7
CPT,57456,Pf Colposcopy W/Curettage,541.0,405.75,381.3,504.21,7
CPT,57460,Colposcopy W/Bx Elect Loop Cervix,3638.0,2728.5,2863.11,3143.23,2
CPT,57460,Pf Colposcopy Bx Elect Loop Cervix,4847.0,3635.25,3814.59,4187.81,2
CPT,57500,Biopsy/Exc Cervix Local,1300.0,975.0,916.24,1107.36,3
CPT,57500,Pf Biopsy Exc Cervix Local,331.0,248.25,233.29,1107.36,3
CPT,58100,Biopsy Endometrial Sampling W/O Dil,669.0,501.75,255.84,578.02,9
CPT,58100,Pf Endometrial Sampling Biopsy,389.0,291.75,255.84,336.1,9
CPT,58140,Myomectomy 1-4 Myomas W/250 Gm/< Abdominal Appr,3591.0,2693.25,2530.94,2530.94,1
CPT,58150,Total Abdominal Hysterect W/WO Rmvl Tube Ovary,3891.0,2918.25,3062.22,3062.22,1
CPT,58150,Total Abdominal Hysterect W/WO Rmvl Tube Ovary|ASSISTANT SURGEON,972.75,729.56,765.55,765.55,1
CPT,58300,Insert Intrauterine Device- 58300,255.0,191.25,176.97,237.66,8
CPT,58300,Pf Insert Intrauterine Device,262.0,196.5,181.83,244.18,8
CPT,58301,Pf Rem Intrauterine Device,300.0,225.0,208.2,236.1,5
CPT,58301,Remove Device Intrauterine Iud,669.0,501.75,464.29,526.5,5
CPT,58340,Cath & Saline/Contrast Sonohyster/Hysterosalpi,240.0,180.0,169.15,223.68,5
CPT,58340,Cath/Intro Saline/Contrast for Sis,297.0,222.75,209.33,276.8,5
CPT,58555,Pf Hysteroscopy Diagnostic (S,805.0,603.75,567.36,567.36,1
CPT,58558,Hysteroscopy Biopsy Endometrium,6229.0,4671.75,4043.56,5765.56,6
CPT,58558,Pf Hysteroscopy W/Biopsy Sample,1065.0,798.75,750.61,4043.56,6
CPT,58562,Hysteroscopy Removal Impacted Foreign Body,1163.0,872.25,819.68,4043.56,2
CPT,58611,Lig/Trnsxj Falopian Tube Cesarean Del/Abdml Surg,310.0,232.5,210.77,210.77,1
CPT,58611,Ligate Tube Fallopian W/C-Section,393.0,294.75,267.2,267.2,1
CPT,58615,Occlusion Flp Tube Dev Vag/Suprapubic Appr,673.0,504.75,457.57,457.57,1
CPT,58661,Laparoscopy W/Rmvl Adnexal Structures|BILATERAL PROCEDURE|ASSISTANT SURGEON,635.5,476.62,447.9,447.9,2
CPT,58662,Laps Fulg/Exc Ovary Viscera/Peritoneal Surface,2786.0,2089.5,1963.57,1963.57,1
CPT,58662,Laps Fulg/Exc Ovary Viscera/Peritoneal Surface|ASSISTANT SURGEON,696.5,522.37,490.89,490.89,1
CPT,59020,Test Stress Fetal,914.0,685.5,644.19,644.19,1
CPT,59025,Fetal Nonstress Test,223.0,167.25,154.76,207.84,7
CPT,59025,Test Non Stress Fetal,597.0,447.75,414.32,556.4,7
CPT,59160,Curettage Postpartum,2237.0,1677.75,1520.94,1520.94,2
CPT,59400,OB Care Antepartum Vag Dlvr & Postpartum,6967.0,5225.25,3128.18,4736.86,3
CPT,59425,Antepartum Care Only 4-6 Visits,1034.0,775.5,753.79,753.79,1
CPT,59425,Care Antepartum Only 4-6 Visits,3961.0,2970.75,2887.57,2887.57,1
CPT,59426,Antepartum Care Only 7/> Visits,1616.0,1212.0,1121.5,1495.77,5
CPT,59430,Postpartum Care Only,1524.0,1143.0,1074.12,1410.61,5
CPT,59430,Postpartum Care Only Separate Procedure,567.0,425.25,399.62,524.82,5
CPT,59510,OB Antepartum Care Cesarean Dlvr & Postpartum,7889.0,5916.75,3542.16,5363.73,3
CPT,59514,Cesarean Delivery Only|ASSISTANT SURGEON,1814.5,1360.875,614.63,1852.73,2
CPT,59812,Surg Tx Abortion Incmpl,3628.0,2721.0,2557.01,2557.01,1
CPT,59812,Tx Incomplete Abortion Any Trimester Surgical,1153.0,864.75,812.63,812.63,1
CPT,59820,Tx Missed Abortion First Trimester Surgical,1371.0,1028.25,1269.0,1269.0,1
CPT,62270,Lumbar Puncture Diagnostic,1247.0,935.25,623.5,623.5,2
CPT,62321,Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn,576.5,432.375,301.5,439.59,7
CPT,62323,Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn,1430.0,1072.5,295.0,2199.52,20
CPT,62326,Njx W/Plmnt for Cont Med Dlvry Dx/Ther Sbst Cont Inf/Bolus Intrlmnr Lmbr/Sac W/O Img Gdn,288.0,216.0,195.81,195.81,1
CPT,64405,Inject Anes Nerve Greater Occipital,1048.5,786.375,292.87,1162.45,3
CPT,64450,Inject Anes Nerve Peripheral Other,1669.0,1251.75,880.71,1158.29,2
CPT,64450,Inject Anes Nerve Peripheral Other|BILATERAL PROCEDURE,1669.0,1251.75,834.5,834.5,1
CPT,64450,Pf Inject Anes Othperipheral,350.0,262.5,242.9,880.71,2
CPT,64483,Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level,2457.0,1842.75,1228.5,1228.5,1
CPT,64490,HC Njx Dx/Ther Agt Pvrt Facet Jt Crv/Thrc 1 Level (Lt),2002.0,1501.5,1001.0,1001.0,1
CPT,64490,Inj Paravert F Jnt C/T 1 Lev,2360.0,1770.0,1180.0,1180.0,1
CPT,64491,Inj Paravert F Jnt C/T 2 Lev,1508.0,1131.0,754.0,754.0,1
CPT,64493,"Inj Dx/Ther Agnt Paravt Facet Jnt,Img Guide,Lumbar/Sac,1st Level",579.0,434.25,401.83,401.83,1
CPT,64493,Inj Paravert F Jnt L/S 1 Lev,2284.0,1713.0,1142.0,1585.1,2
CPT,64494,Inj Paravert F Jnt L/S 2 Lev,1289.0,966.75,644.5,894.57,2
CPT,64494,Pf Inj Paravert F Jnt L/S 2 Lev,325.0,243.75,225.55,225.55,1
CPT,64615,Chemdnrvtn Mscl Facial Trige Cerv,713.0,534.75,502.52,561.13,4
CPT,64615,Pf Chemdnrvtn Mscl Facial Trige Cer,785.0,588.75,553.27,617.8,4
CPT,64616,Chemodenerv Musc Neck Dyston,2477.0,1857.75,1238.5,1238.5,1
CPT,64635,Dest Nerve Lumbar/Sacral Sgl,5817.0,4362.75,2908.5,2908.5,1
CPT,64636,Dest Nerve Lumbar/Sacral Ea Add,1525.0,1143.75,762.5,762.5,1
CPT,67900,Hcpr Repair Brow Ptosis|BILATERAL PROCEDURE,2487.0,1865.25,2966.94,2966.94,1
CPT,67903,Rpr Blepharoptosis Levator Rescj/Advmnt Internal,2302.0,1726.5,1151.0,1151.0,1
CPT,68840,Probing Canaliculi Lacrimal,551.0,413.25,275.5,275.5,1
CPT,69100,Biopsy Ext Ear,247.0,185.25,123.5,230.2,3
CPT,69100,Pf Biopsy Ext Ear,214.0,160.5,198.08,199.45,2
CPT,69209,Removal Impacted Cerumen Irrigation/Lvg Unilat,114.0,85.5,51.36,112.27,6
CPT,69210,Pf Remove Cerumen Impacted Unilate,163.0,122.25,75.54,118.83,3
CPT,69210,Remove Cerumen Impacted Unilate,187.0,140.25,75.54,136.32,3
CPT,70150,Xr Facial Bones 3+ Views,1117.0,837.75,787.26,1033.9,2
CPT,70160,Xr Nasal Cmpl 3+ Views,554.0,415.5,390.46,390.46,1
CPT,70220,Xr Sinuses 3+ Views,788.0,591.0,111.98,555.38,2
CPT,70250,Xr Skull Ltd <4 Views,667.0,500.25,333.5,333.5,1
CPT,70330,Xr Tmj Open & Closed Bilat,1331.0,998.25,665.5,938.09,2
CPT,70336,MRI Tmj Unilat or Bilat,2289.0,1716.75,1144.5,1144.5,1
CPT,70360,Xr Neck Soft Tissue,476.0,357.0,111.98,111.98,1
CPT,70450,CT Head W/O Contrast,2149.0,1611.75,1074.5,2002.87,11
CPT,70460,CT Head W/Contrast,2677.0,2007.75,1338.5,1338.5,1
CPT,70470,CT Head W&W/O Contrast,3309.0,2481.75,1654.5,2332.18,2
CPT,70480,CT Orb/Fos/Sel/Ear W/O Contrast,2592.0,1944.0,1296.0,2039.9,4
CPT,70481,CT Orb/Fos/Sel/Ear W/Contrast,3006.0,2254.5,1503.0,2118.63,2
CPT,70482,CT Orb/Fos/Sel/Ear W&W/O Contrast,3452.0,2589.0,2432.97,2432.97,1
CPT,70486,CT Max/Facial W/O Contrast,2416.0,1812.0,1208.0,2236.25,9
CPT,70487,CT Max/Facial W/Contrast,2862.0,2146.5,1986.23,1986.23,1
CPT,70491,CT Neck W/Contrast,2877.0,2157.75,1438.5,2662.95,7
CPT,70496,Cta Head W&W/O Contrast,3429.0,2571.75,1714.5,2698.62,10
CPT,70498,Cta Neck W&W/O Contrast,3436.0,2577.0,1718.0,2704.13,8
CPT,70540,MRI Orbit/Face/Neck W/O Cont,2728.0,2046.0,2146.94,2146.94,1
CPT,70543,MRI Orbit/Face/Neck W&W/O Cont,3334.0,2500.5,1667.0,3085.95,6
CPT,70544,Mra Head W/O Cont,2791.0,2093.25,1395.5,2196.52,4
CPT,70547,Mra Neck W/O Cont,2790.0,2092.5,1395.0,1395.0,1
CPT,70548,Mra Neck W/Cont,3124.0,2343.0,1562.0,2201.8,3
CPT,70549,Mra Neck W&W/O Cont,3675.0,2756.25,1837.5,2892.23,3
CPT,70551,MRI Brain W/O Cont,2822.0,2116.5,1411.0,2630.1,10
CPT,70552,MRI Brain W/Cont,3267.0,2450.25,2381.64,2381.64,1
CPT,70553,MRI Brain W&W/O Cont,3758.0,2818.5,1879.0,3502.46,12
CPT,71045,Radiologic Exam Chest Single View,562.0,421.5,281.0,442.29,8
CPT,71046,Radiologic Exam Chest 2 Views,766.0,574.5,383.0,713.91,14
CPT,71101,Xr Ribs W/Cxr 3+ Views Uni,996.0,747.0,783.85,783.85,1
CPT,71110,Xr Ribs 3 Views Bilat,975.0,731.25,710.78,710.78,1
CPT,71111,Xr Ribs W/Cxr 4+ Views Bilat,1056.0,792.0,528.0,744.27,2
CPT,71120,Xr Sternum 2+ Views,653.0,489.75,326.5,460.23,2
CPT,71250,Diagnostic Computed Tomography Thorax W/O Cntrst,2729.0,2046.75,1364.5,2543.43,14
CPT,71260,Diagnostic Computed Tomography Thorax W/Contrast,3255.0,2441.25,1627.5,3012.83,12
CPT,71270,Diagnostic Computed Tomography Thorax C-/C+,3963.0,2972.25,1981.5,1981.5,1
CPT,71271,Low Dose CT Lung Screening,1342.0,1006.5,671.0,1250.74,10
CPT,71275,Cta Chest (Noncor) W&W/O Contrast,3073.0,2304.75,1536.5,2844.37,9
CPT,71550,MRI Chest W/O Cont,2948.0,2211.0,1474.0,1474.0,1
CPT,71552,MRI Chest W&W/O Cont,3901.0,2925.75,1950.5,3635.73,4
CPT,72040,Xr C-Spine 2 or 3 Views,655.0,491.25,327.5,610.46,10
CPT,72050,Xr C-Spine 4 or 5 Views,1113.0,834.75,556.5,784.44,5
CPT,72052,Xr C-Spine 6 or More Views,1425.0,1068.75,712.5,1038.83,2
CPT,72070,Xr T-Spine 2 Views,756.0,567.0,378.0,704.59,8
CPT,72072,Xr T-Spine 3 Views,505.0,378.75,135.24,470.66,3
CPT,72082,Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 2/3 Vw,694.0,520.5,135.24,642.37,5
CPT,72083,Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw,753.0,564.75,376.5,376.5,1
CPT,72100,Xr L-Spine 2-3 Views,700.0,525.0,350.0,652.4,12
CPT,72110,Xr L-Spine 4+ Views,869.0,651.75,434.5,683.9,3
CPT,72114,"Xr L-Spine W/Bending Views, Min 6",1248.0,936.0,624.0,624.0,1
CPT,72125,CT C-Spine W/O Contrast,2729.0,2046.75,1364.5,2543.43,10
CPT,72128,CT T-Spine W/O Contrast,2729.0,2046.75,1364.5,2147.72,2
CPT,72131,CT L-Spine W/O Contrast,2729.0,2046.75,1364.5,1923.4,4
CPT,72141,MRI C-Spine W/O Cont,2859.0,2144.25,1429.5,2664.59,9
CPT,72146,MRI T-Spine W/O Cont,2859.0,2144.25,1429.5,2084.21,5
CPT,72148,MRI L-Spine W/O Cont,2859.0,2144.25,1429.5,2664.59,11
CPT,72149,MRI L-Spine W/Cont,3288.0,2466.0,1644.0,1644.0,1
CPT,72156,MRI C-Spine W&W/O Cont,3617.0,2712.75,1808.5,2549.26,3
CPT,72157,MRI T-Spine W&W/O Cont,3617.0,2712.75,1808.5,2846.58,6
CPT,72158,MRI L-Spine W&W/O Cont,3617.0,2712.75,1808.5,2846.58,5
CPT,72170,Xr Pelvis 1-2 Views,522.0,391.5,135.24,483.16,7
CPT,72170,Xr Pelvis 1-2 Views|SEPARATE ORGAN/STRUCTURE,522.0,391.5,261.0,261.0,1
CPT,72192,CT Pelvis W/O Contrast,2696.0,2022.0,1348.0,2121.75,3
CPT,72193,CT Pelvis W/Contrast,3085.0,2313.75,2174.31,2174.31,1
CPT,72195,MRI Pelvis W/O Cont,2589.0,1941.75,1294.5,2412.95,4
CPT,72197,MRI Pelvis W&W/O Cont,3761.0,2820.75,1880.5,3505.25,8
CPT,72202,Xr Sacroili Jt 3+ Views,625.0,468.75,312.5,455.63,4
CPT,72220,Xr Sacrum/Coccyx 2+ Views,565.0,423.75,282.5,398.21,3
CPT,73010,Xr Scapula Cmpl,573.0,429.75,135.24,135.24,1
CPT,73030,Xr Shoulder Cmp 2+ Views,585.0,438.75,292.5,292.5,1
CPT,73060,Xr Humerus 2+ Views,565.0,423.75,111.98,111.98,1
CPT,73080,Xr Elbow Cmpl 3+ Views,589.0,441.75,294.5,508.9,2
CPT,73110,Xr Wrist Cmpl 3+ Views,591.0,443.25,111.98,111.98,1
CPT,73130,Xr Hand Cmp 3+V,574.0,430.5,287.0,531.29,2
CPT,73221,MRI Upr Ext Joint W/O Cont,2867.0,2150.25,1433.5,2256.33,2
CPT,73502,Radex Hip Unilateral With Pelvis 2-3 Views,550.0,412.5,111.98,111.98,2
CPT,73521,Radex Hips Bilateral With Pelvis 2 Views,593.0,444.75,296.5,296.5,2
CPT,73522,Radex Hips Bilateral With Pelvis 3-4 Views,641.0,480.75,320.5,504.47,9
CPT,73523,Radex Hips Bilateral With Pelvis Minimum 5 Views,795.0,596.25,135.24,551.73,2
CPT,73552,Radiologic Examination Femur Minimum 2 Views,304.0,228.0,152.0,152.0,1
CPT,73562,Xr Knee 3 Views,552.0,414.0,276.0,510.93,2
CPT,73564,Xr Knee Cmpl 4+ Views,446.0,334.5,223.0,223.0,1
CPT,73590,Xr Tibia/Fibula 2 Views,511.0,383.25,111.98,111.98,1
CPT,73610,Xr Ankle 3+ Views,615.0,461.25,307.5,307.5,1
CPT,73630,Xr Foot Cmpl 3+ Views,494.0,370.5,247.0,426.82,2
CPT,73718,MRI Lwr Ext W/O Cont,2802.0,2101.5,1401.0,1401.0,1
CPT,73721,MRI Lwr Ext Joint W/O Cont,2891.0,2168.25,1445.5,1445.5,1
CPT,74018,Radiologic Exam Abdomen 1 View,549.0,411.75,111.98,511.67,12
CPT,74019,Radiologic Exam Abdomen 2 Views,802.0,601.5,401.0,584.66,5
CPT,74021,Radiologic Exam Abdomen 3+ Views,525.0,393.75,262.5,262.5,1
CPT,74150,CT Abdomen W/O Contrast,2650.0,1987.5,1325.0,1931.85,3
CPT,74160,CT Abdomen W/Contrast,3229.0,2421.75,1614.5,2541.22,5
CPT,74170,CT Abdomen W&W/O Contrast,3976.0,2982.0,1988.0,3129.11,4
CPT,74174,CT Abd/Pelvis W/Wocontrast Post,5338.0,4003.5,2669.0,3891.4,5
CPT,74175,Cta Abdomen W&W/O Contrast,3757.0,2817.75,1878.5,2647.93,3
CPT,74176,CT Abdomen & Pelvis W/O Contrast,4775.0,3581.25,307.41,3757.93,8
CPT,74177,CT Abdomen & Pevis With Contrast,5671.0,4253.25,2835.5,5285.37,11
CPT,74178,CT Abdomen & Pelvis W/O&W Contras,6851.0,5138.25,3425.5,6385.13,8
CPT,74181,MRI Abdomen W/O Cont,2739.0,2054.25,1369.5,1996.73,5
CPT,74182,MRI Abdomen W/Cont,3109.0,2331.75,1554.5,1554.5,1
CPT,74183,MRI Abdomen W&W/O Cont,4043.0,3032.25,2021.5,3181.84,9
CPT,74185,Mra Abdomen W/WO Contrast Material,2222.0,1666.5,1566.07,1619.84,2
CPT,74221,Radiologic Exam Esophagus Double Contrast Study,1055.0,791.25,527.5,830.29,4
CPT,74246,Xr Ugi W/Air W/O Kub,2250.0,1687.5,1125.0,2082.6,7
CPT,74248,Radiologic Small Intestine Follow-Through Study,678.0,508.5,339.0,339.0,1
CPT,75571,CT Hrt W/O Cntrst W/Ca Test,523.0,392.25,261.5,487.44,6
CPT,75572,CT Hrt W/3d Image,910.0,682.5,455.0,716.17,7
CPT,75574,CT Angio Hrt W/3d Image,4140.0,3105.0,2070.0,3858.48,10
CPT,75580,N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp,6775.0,5081.25,3387.5,6314.3,10
CPT,75635,Cta Abd Aorta W/&W/O Runoff,5736.0,4302.0,2868.0,4181.54,3
CPT,76376,Xr 3d Rend W/Interp W/O Ind Post PR,842.0,631.5,421.0,613.82,2
CPT,76497,Whole Body CT Myeloma Survey,3554.0,2665.5,1777.0,1777.0,1
CPT,76536,US Soft Tissue Head & Neck Real Time Imge Docm,136.0,102.0,80.24,126.75,8
CPT,76536,US Soft Tissue Head/Neck,842.0,631.5,421.0,784.74,14
CPT,76604,US Chest,753.0,564.75,376.5,592.61,4
CPT,76604,"US, Chest, Real Time",136.0,102.0,95.85,107.03,2
CPT,76642,US Breast Uni Real Time With Image Limited,813.0,609.75,406.5,406.5,1
CPT,76700,US Abdomen Cmpl,1690.0,1267.5,845.0,1575.08,13
CPT,76705,US Abdomen Ltd,704.0,528.0,352.0,656.13,11
CPT,76705,US Abdominal Real Time W/Image Limited,108.0,81.0,74.95,100.66,8
CPT,76706,US Abdominal Aorta Real Time Screen Study Aaa,394.0,295.5,197.0,310.08,5
CPT,76770,US Retroperitioneal Cmpl,1683.0,1262.25,841.5,1568.56,11
CPT,76770,US Retroperitoneal Real Time W/Image Complete,154.0,115.5,106.88,143.53,7
CPT,76775,US Retroperitioneal Ltd,704.0,528.0,352.0,352.0,1
CPT,76801,US Pregnancy <14 Weeks Single,1038.0,778.5,720.37,967.42,7
CPT,76801,US Pregnant Uterus 14 Wk Transabdl 1/1st Gestat,139.0,104.25,96.47,129.55,7
CPT,76802,US Pregnancy <14 Weeks Ea Add,1373.0,1029.75,967.69,967.69,1
CPT,76802,"US, OB < 14 Wks, Add'l Fetus",161.0,120.75,113.47,113.47,1
CPT,76805,US Pregnancy >14 Weeks Single,901.0,675.75,625.29,833.97,6
CPT,76805,"US, OB >/= 14 Wks, Sngl Fetus",250.0,187.5,173.5,231.4,6
CPT,76815,US Pregnancy Ltd,698.0,523.5,484.41,650.54,8
CPT,76815,US Pregnant Uterus Limited 1/> Fetuses,169.0,126.75,117.29,157.51,8
CPT,76816,US Preg Uterus Real Time F/U Trnsabdl per Fetus,117.0,87.75,81.2,109.04,7
CPT,76816,US Pregnancy Followup per Fetus,652.0,489.0,452.49,607.66,7
CPT,76817,US Preg Uterus Real Time W/Image Dcmtn Transvag,103.0,77.25,71.48,96.0,7
CPT,76817,US Pregnancy Transvaginal,537.0,402.75,372.68,500.48,7
CPT,76819,Fetal Biophysical Profile W/O Non-Stress Testing,104.0,78.0,72.18,96.26,6
CPT,76819,US Fetal Biophysical Profile W/O,1406.0,1054.5,975.76,1301.39,6
CPT,76820,US Fetal Doppler Velocimerty Umbil,721.0,540.75,500.37,667.36,5
CPT,76830,US Transvaginal,1669.0,1251.75,834.5,1555.51,11
CPT,76831,Saline Infus Sonohysterography W/Color Doppler,94.0,70.5,66.25,87.61,5
CPT,76831,US Saline Infus Son Incl Color Flow,1205.0,903.75,849.28,1123.06,5
CPT,76856,"Echo,Pelvic (Nonobstetric)",74.0,55.5,51.36,68.97,8
CPT,76856,US Pelvis Non OB,1671.0,1253.25,835.5,1557.37,11
CPT,76857,Sono Pelvis Limited,74.0,55.5,52.16,68.97,4
CPT,76857,US Pelvis Non OB Ltd,827.0,620.25,413.5,770.76,5
CPT,76870,US Scrotum,1652.0,1239.0,826.0,1539.66,9
CPT,76870,Ultrasound Scrotum & Contents,139.0,104.25,82.01,129.55,7
CPT,76882,US Lmtd Jt/Fcl Eval Nonvasc Xtr Strux R-T W/Img,329.0,246.75,164.5,164.5,1
CPT,76937,US Guided Vascular Access,931.0,698.25,465.5,656.17,2
CPT,76937,US Vasc Access Sits Vsl Patency Ndl Entry,880.0,660.0,620.22,620.22,1
CPT,76942,Pf US Guided Needle Biopsy,207.0,155.25,143.66,162.91,4
CPT,76942,US Guided Needle Placement,1476.0,1107.0,1024.34,1161.61,4
CPT,77002,Xr Fluoro Needle Placement,1061.0,795.75,530.5,530.5,1
CPT,77047,MRI Breast Bilat W/O Cont,4092.0,3069.0,2884.04,2983.07,2
CPT,77049,MRI Breast Without&With Contrast W/Cad Bilateral,1826.0,1369.5,1267.24,1701.83,7
CPT,77062,Digital Breast Tomosynthesis Bilateral,215.0,161.25,149.21,200.38,4
CPT,77063,Screening Digital Breast Tomosynthesis Bi,210.0,157.5,105.0,195.72,16
CPT,77072,Xr Bone Age,546.0,409.5,384.82,429.7,3
CPT,77073,Xr Bone Length Study,486.0,364.5,243.0,243.0,2
CPT,77075,Xr Bone Survey Cmpl,3125.0,2343.75,1562.5,1562.5,1
CPT,77080,Xr Bone Density Axial,499.0,374.25,249.5,465.07,12
CPT,77081,Xr Bone Density Appendicular,493.0,369.75,246.5,246.5,1
CPT,78452,Myocardial Spect Multiple Studies,381.0,285.75,264.41,355.09,7
CPT,78452,NM Myocardial Spect Multiple Studie,5204.0,3903.0,2602.0,4850.13,12
CPT,80048,Basic Metabolic Panel,209.0,156.75,93.84,194.79,19
CPT,80051,Electrolyte Panel,163.0,122.25,81.5,128.28,4
CPT,80053,Comprehensive Metabolic Panel,290.0,217.5,145.0,270.28,20
CPT,80061,Lipid Panel,177.0,132.75,88.5,164.96,20
CPT,80069,Renal Function Panel,234.0,175.5,117.0,218.09,14
CPT,80074,Acute Hepatitis Panel,733.0,549.75,366.5,683.16,8
CPT,80076,Hepatic Function Panel,187.0,140.25,93.5,174.28,17
CPT,80143,Drug Assay Acetaminophen,161.0,120.75,80.5,126.71,5
CPT,80145,Drug Assay Adalimumab,338.0,253.5,169.0,169.0,1
CPT,80151,Drug Assay Amiodarone,165.0,123.75,82.5,82.5,1
CPT,80156,Carbamazepine (Tegretol) Total,220.0,165.0,110.0,155.06,3
CPT,80158,Cyclosporine (Sandimmune),150.0,112.5,75.0,75.0,1
CPT,80159,Drug Screen Quant Clozapine,216.0,162.0,108.0,108.0,1
CPT,80162,Drug Screen Quantitative Digoxin Total,181.0,135.75,90.5,127.57,4
CPT,80164,Dipropylacetic Acid (Valproic),182.0,136.5,91.0,169.62,10
CPT,80164,Drug Screen Quant Dipropylacetic Acid Total,182.0,136.5,91.0,169.62,10
CPT,80165,Drug Screen Quant Dipropylacetic Acid Free,167.0,125.25,117.7,117.7,1
CPT,80168,Ethosuximide,216.0,162.0,152.24,152.24,1
CPT,80170,Gentamicin,216.0,162.0,108.0,108.0,1
CPT,80175,Drug Screen Quan Lamotrigine,109.0,81.75,54.5,85.78,6
CPT,80177,Drug Scrn Quan Levetiracetam,139.0,104.25,69.5,69.5,1
CPT,80178,Lithium,150.0,112.5,75.0,139.8,8
CPT,80179,Drug Assay Salicylate,150.0,112.5,75.0,118.05,5
CPT,80180,Drug Scrn Quan Mycophenolate,127.0,95.25,63.5,92.58,2
CPT,80181,Drug Assay Flecainide,161.0,120.75,80.5,80.5,1
CPT,80183,Drug Scrn Quant Oxcarbazepin,156.0,117.0,78.0,78.0,1
CPT,80184,Phenobarbital,177.0,132.75,88.5,124.75,2
CPT,80185,Phenytoin (Dilantin) Total,194.0,145.5,141.43,141.43,1
CPT,80188,Primidone,216.0,162.0,108.0,108.0,1
CPT,80195,Assay of Sirolimus,161.0,120.75,80.5,80.5,1
CPT,80197,Tacrolimus (Fk-506),174.0,130.5,87.0,162.17,7
CPT,80201,Topiramate,122.0,91.5,61.0,61.0,2
CPT,80202,Vancomycin,216.0,162.0,108.0,201.31,5
CPT,80203,Drug Screen Quant Zonisamide,148.0,111.0,74.0,104.31,3
CPT,80230,Drug Assay Infliximab,338.0,253.5,169.0,266.01,2
CPT,80285,Drug Assay Voriconazole,240.0,180.0,120.0,120.0,1
CPT,80299,Bwh Fentanyl Quant Lc Ms Ms,236.0,177.0,118.0,118.0,3
CPT,80299,"Flecainide, Serum",254.0,190.5,127.0,127.0,3
CPT,80299,Mgh Gabapentin,236.0,177.0,118.0,118.0,3
CPT,80299,Mgh Methotrexate 80299,236.0,177.0,118.0,118.0,3
CPT,80299,Mgh Tconfirmation Urine,236.0,177.0,118.0,118.0,3
CPT,80299,Mgh U Sertraline by Gc,236.0,177.0,118.0,118.0,3
CPT,80299,Tda Nos Eslicarbazepine (Eg. Aptiom),172.0,129.0,86.0,86.0,3
CPT,80299,Therapeutic Drug Assay Other,240.0,180.0,107.0,133.0,6
CPT,80299,"Thiopurine Metabolites, Whole Blood",215.0,161.25,107.5,107.5,3
CPT,80307,Presumptive Drug Test by Instrument Chemistry Analyzer,343.0,257.25,171.5,319.68,14
CPT,81001,Urinalysis Auto W/Micro,85.0,63.75,42.5,79.22,18
CPT,81003,Urinalysis Auto W/O Micro,54.0,40.5,27.0,50.33,15
CPT,81015,Urinalysis Micro Only,64.0,48.0,32.0,59.24,8
CPT,81025,Urine Pregnancy Visual,150.0,112.5,75.0,139.8,12
CPT,81206,Analysis Trans Bcr/Abl1 Major Bp,1258.0,943.5,917.08,917.08,1
CPT,81376,Hla Typing II Low Res 1 Locus Ea,781.0,585.75,542.01,727.89,7
CPT,81381,Hla Typing I High Res 1 Allele,1085.0,813.75,764.71,764.71,1
CPT,81401,Molecular Path Procedure Level 2,1977.0,1482.75,1393.39,1393.39,1
CPT,81406,"Mayo, Hchlg Hypercholesterolemia Gene Panel Varies",3899.0,2924.25,2748.02,2748.02,1
CPT,81406,"Mayo, Hexaz Hexa Full Gene Analysis Tay Sachs Disease",3899.0,2924.25,2748.02,2748.02,1
CPT,81406,"Mayo, Hhtgg Hht and Vasacular Gene Panel",3899.0,2924.25,2748.02,2748.02,1
CPT,81406,"Mayo, Lqtsg Long Qt Syndrome Multi Gene Panel",3899.0,2924.25,2748.02,2748.02,1
CPT,81406,"Mayo, Pardp Inherited Parkinson Disease Gene Panel",3899.0,2924.25,2748.02,2748.02,1
CPT,81406,Molecular Path Procedure Level 7,3899.0,2924.25,2748.02,2748.02,1
CPT,81479,"Mayo Birt-Hogg-Dube Syndrome, Flcn, Full Gene Analysis, Varies",3591.0,2693.25,2530.94,2530.94,1
CPT,81479,Mayo Inherited Parkinson Disease Gene Panel Pardp,1.0,0.75,0.7,0.7,1
CPT,81479,Mayo Long Qt Syndrome Multi-Gene Panel,1.0,0.75,0.7,0.7,1
CPT,81479,Mayo Psychotropic Pharmacogenomics Gene Panel,1.0,0.75,0.7,0.7,1
CPT,81479,"Mayo Uba1 Mutation, Quant, Ddpcr, Varies",2794.0,2095.5,1969.21,1969.21,1
CPT,81479,"Mayo, Hchlg - Hypercholesterolemia",1.0,0.75,0.7,0.7,1
CPT,81479,Neutrophil Antigen Genotyping - Hna-1,268.0,201.0,188.89,188.89,1
CPT,81515,Nfct Ds Bct Vaginosis&Vaginitis Mult Amp Probe,921.0,690.75,460.5,858.37,9
CPT,81596,Nfct Ds Chrnc Hcv 6 Biochem Assay Srm Alg Lvr,551.0,413.25,388.34,433.64,3
CPT,81599,Unlstd Multianalyte Assay Algorithm,2989.0,2241.75,2106.65,2106.65,1
CPT,82010,Acetone/Ketones Serum Qn,150.0,112.5,75.0,118.05,3
CPT,82024,Adrenocorticotropic (Acth),225.0,168.75,112.5,209.7,7
CPT,82040,Albumin Serum/Plasma/Blood,91.0,68.25,45.5,78.62,9
CPT,82042,Albumin Qn Urine or Other Source,64.0,48.0,32.0,32.0,2
CPT,82043,Microalbumin Qn Urine,98.0,73.5,49.0,91.34,15
CPT,82085,Aldolase,158.0,118.5,79.0,136.51,5
CPT,82088,Aldosterone,245.0,183.75,122.5,228.34,8
CPT,82103,Alpha-1 Antitrypsin Total,94.0,70.5,47.0,73.98,4
CPT,82104,Alpha-1 Antitrypsin Phenotype,178.0,133.5,89.0,125.45,2
CPT,82105,Alpha Fetoprotein Serum,217.0,162.75,108.5,202.24,14
CPT,82140,Ammonia,160.0,120.0,80.0,112.77,5
CPT,82150,Amylase,408.0,306.0,204.0,380.26,9
CPT,82157,Androstenedione,163.0,122.25,128.28,128.28,1
CPT,82164,Angiotensin I Enzyme (Ace),157.0,117.75,78.5,135.65,6
CPT,82166,Assay of Anti-Mullerian Hormone,332.0,249.0,233.99,309.42,8
CPT,82172,Apolipoprotein,244.0,183.0,122.0,227.41,13
CPT,82175,Arsenic,91.0,68.25,45.5,84.81,6
CPT,82180,Vitamin C (Ascorbic Acid),102.0,76.5,51.0,95.06,4
CPT,82232,Beta-2 Microglobulin,109.0,81.75,54.5,85.78,6
CPT,82234,Beta-Amyloid 1-42 (Abeta 42),424.0,318.0,212.0,212.0,2
CPT,82247,Bilirubin Total,91.0,68.25,45.5,84.81,8
CPT,82248,Bilirubin Direct,91.0,68.25,45.5,84.81,13
CPT,82274,Occult Blood Feces Immunoassay Ql,91.0,68.25,45.5,84.81,13
CPT,82300,Cadmium,137.0,102.75,68.5,127.68,6
CPT,82306,Vitamin D 25 Hydroxy Inc Fraction,160.0,120.0,80.0,149.12,18
CPT,82308,Calcitonin,166.0,124.5,83.0,130.64,3
CPT,82310,Calcium Total,91.0,68.25,45.5,78.62,9
CPT,82330,Calcium Ionized,119.0,89.25,59.5,110.15,7
CPT,82340,Calcium Qn Timed Urine,162.0,121.5,81.0,150.98,10
CPT,82365,Calculus Analysis Infrared,244.0,183.0,122.0,171.97,3
CPT,82373,Carbohydrate Deficient Transferrin,233.0,174.75,116.5,116.5,1
CPT,82375,Carbon Monoxide (Co-Ox) Qn,145.0,108.75,72.5,72.5,1
CPT,82378,Carcinoembryonic Antigen (Cea),249.0,186.75,124.5,195.96,9
CPT,82379,Carnitine Total and Free Qn,143.0,107.25,71.5,100.79,2
CPT,82380,Carotene,109.0,81.75,76.82,76.82,1
CPT,82384,Catecholamines Fraction,322.0,241.5,161.0,278.21,5
CPT,82390,Ceruloplasmin,102.0,76.5,51.0,95.06,5
CPT,82397,Chemiluminescent Assay,291.0,218.25,145.5,229.02,6
CPT,82435,Chloride Blood,91.0,68.25,71.62,71.62,1
CPT,82436,Chloride Urine,71.0,53.25,35.5,50.04,3
CPT,82465,Cholesterol Total,90.0,67.5,45.0,63.43,2
CPT,82480,Cholinesterase Serum,100.0,75.0,78.7,78.7,1
CPT,82507,Citrate,269.0,201.75,250.71,250.71,1
CPT,82523,Collagen Cross Links,436.0,327.0,218.0,406.35,7
CPT,82525,Copper,248.0,186.0,124.0,231.14,6
CPT,82530,Cortisol Free,109.0,81.75,54.5,100.89,4
CPT,82533,Cortisol Total,203.0,152.25,101.5,189.2,13
CPT,82542,Col-Chr/Ms Nondrug Analyte Nes Qual/Quan Ea Spec,307.0,230.25,153.5,265.25,5
CPT,82542,"F2 Isoprostanes, Urine",307.0,230.25,153.5,265.25,5
CPT,82550,Creatine Kinase (Cpk) Total,95.0,71.25,47.5,88.54,14
CPT,82565,Creatinine Blood,101.0,75.75,50.5,94.13,13
CPT,82565,Creatinine Blood (Qw),101.0,75.75,50.5,94.13,13
CPT,82570,Creatinine Other Source,98.0,73.5,49.0,91.34,15
CPT,82575,Creatinine Clearance,145.0,108.75,72.5,72.5,1
CPT,82585,Cryofibrinogen,72.0,54.0,36.0,36.0,2
CPT,82595,Cryoglobulin Ql or Sqn,80.0,60.0,40.0,40.0,2
CPT,82607,Vitamin B-12 (Cyancobalamin),160.0,120.0,80.0,149.12,18
CPT,82610,Cystatin C,126.0,94.5,63.0,116.63,10
CPT,82626,DHEA,137.0,102.75,95.08,126.81,7
CPT,82627,Dhea-S,140.0,105.0,70.0,130.48,10
CPT,82642,Dihydrotestosterone (Dht),271.0,203.25,135.5,252.57,6
CPT,82652,1 25 Dihydroxy Inc Fraction,200.0,150.0,100.0,100.0,1
CPT,82653,Elastase Pancreatic Fecal Quantitative,198.0,148.5,99.0,171.07,6
CPT,82668,Erythropoietin,380.0,285.0,190.0,277.02,2
CPT,82670,Assay of Total Estradiol,306.0,229.5,153.0,285.19,12
CPT,82671,Estrogen Fractionated,183.0,137.25,91.5,170.56,6
CPT,82677,Estriol,137.0,102.75,68.5,95.08,2
CPT,82679,Estrone,182.0,136.5,91.0,169.62,7
CPT,82681,Assay of Direct Measurement Free Estradiol,245.0,183.75,122.5,172.68,2
CPT,82710,Fat/Lipids Feces Qn,203.0,152.25,101.5,159.76,6
CPT,82725,Fatty Acids Nonesterified,164.0,123.0,82.0,151.8,4
CPT,82728,Ferritin,156.0,117.0,78.0,145.39,17
CPT,82731,Fetal Fibronectin,759.0,569.25,526.75,702.53,5
CPT,82746,Folic Acid Serum,160.0,120.0,80.0,149.12,16
CPT,82784,Gammaglobulin Igm Iga Igd or Igg,96.0,72.0,48.0,89.47,16
CPT,82785,Gammaglobulin Ige,158.0,118.5,79.0,146.24,13
CPT,82787,Immunoglobulin Subclasses Ea,33.0,24.75,16.5,25.97,5
CPT,82803,Blood Gas Ph Po2 &/or Pco2,226.0,169.5,113.0,209.19,8
CPT,82805,Blood Gas W/O2 Sat,367.0,275.25,183.5,267.54,6
CPT,82941,Gastrin,206.0,154.5,103.0,103.0,2
CPT,82943,Glucagon,168.0,126.0,84.0,84.0,1
CPT,82945,Glucose Fluid Not Blood,72.0,54.0,36.0,36.0,3
CPT,82947,Glucose Blood,87.0,65.25,43.5,81.08,11
CPT,82950,Glucose Post Dose,88.0,66.0,61.07,81.45,7
CPT,82951,Glucose Tolerance 1st 3 Specimen,207.0,155.25,145.89,178.85,5
CPT,82955,G6pd Enzyme Qn,80.0,60.0,40.0,62.96,4
CPT,82962,Glucose by Device,33.0,24.75,16.5,30.54,10
CPT,82977,Ggt/Ggtp,122.0,91.5,61.0,113.7,13
CPT,82978,Glutathione,170.0,127.5,85.0,119.82,2
CPT,82985,Glycated Protein (Fructosamine),100.0,75.0,50.0,72.9,4
CPT,83001,Follicle Stimulating Hormone (Fsh),215.0,161.25,107.5,200.38,12
CPT,83002,Luteinizing Hormone (Lh),200.0,150.0,100.0,186.4,12
CPT,83003,Growth Hormone (Hgh),110.0,82.5,55.0,86.57,3
CPT,83010,Haptoglobin Qn,127.0,95.25,63.5,109.73,8
CPT,83020,Hemoglobin Electrophoresis,156.0,117.0,78.0,144.39,7
CPT,83021,Hemoglobin Fract Qn,222.0,166.5,111.0,205.48,7
CPT,83036,Hemoglobin Glycosylated (A1c),158.0,118.5,79.0,147.26,16
CPT,83050,Methemoglobin Qn,91.0,68.25,45.5,45.5,1
CPT,83088,Histamine,234.0,175.5,117.0,216.59,4
CPT,83090,Homocystine,413.0,309.75,206.5,384.92,14
CPT,83497,Hydroxyindolacetic 5-(Hiaa),207.0,155.25,103.5,178.85,2
CPT,83498,Hydroxyprogesterone 17-D,155.0,116.25,109.24,121.99,4
CPT,83516,Immuno Ql/Sq Multi,128.0,96.0,64.0,110.59,9
CPT,83519,Immuno Qn Ria,225.0,168.75,112.5,158.58,2
CPT,83520,Immuno Qn Other,332.0,249.0,166.0,309.42,10
CPT,83520,"Interleukin 6, Plasma (Il6)",332.0,249.0,166.0,309.42,10
CPT,83520,Mgh Mannose Binding Lectin,332.0,249.0,166.0,309.42,10
CPT,83520,Tryptase,332.0,249.0,166.0,309.42,10
CPT,83521,Immunoglobulin Light Chains Free Each,149.0,111.75,74.5,138.87,13
CPT,83525,Insulin Total,166.0,124.5,83.0,154.71,12
CPT,83527,Insulin Free,155.0,116.25,77.5,109.24,2
CPT,83529,Assay of Interleukin-6 (Il-6),141.0,105.75,70.5,131.41,4
CPT,83540,IRON,108.0,81.0,54.0,100.66,17
CPT,83550,Iron Binding Capacity,140.0,105.0,70.0,130.48,17
CPT,83605,Lactate/Lactic Acid,134.0,100.5,67.0,124.89,14
CPT,83615,Lactate Dehydrogenase (Ldh),104.0,78.0,52.0,96.93,13
CPT,83630,Lactoferrin Fecal Ql,155.0,116.25,77.5,133.92,7
CPT,83655,LEAD,178.0,133.5,89.0,165.9,9
CPT,83690,Lipase,137.0,102.75,68.5,127.68,17
CPT,83695,Assay of Lipoprotein A,156.0,117.0,78.0,145.39,10
CPT,83698,Assay Lipoprotein Pla2,410.0,307.5,205.0,288.97,3
CPT,83704,Lipoprotein Blood by Nmr,215.0,161.25,107.5,200.38,4
CPT,83721,Cholesterol Ldl,85.0,63.75,42.5,59.91,4
CPT,83735,Magnesium,162.0,121.5,72.74,150.98,19
CPT,83789,Mass Spect&Tandem Mass Spect Nondrg Anal Nes Ea,269.0,201.75,134.5,232.42,4
CPT,83789,Mass Spectrometry Qn,269.0,201.75,134.5,232.42,4
CPT,83789,Total Iodine,269.0,201.75,134.5,232.42,4
CPT,83825,Mercury,164.0,123.0,82.0,152.85,7
CPT,83835,Metanephrines,213.0,159.75,106.5,184.03,3
CPT,83874,Myoglobin,153.0,114.75,120.41,120.41,1
CPT,83880,Natriuretic Peptide,341.0,255.75,153.11,317.81,16
CPT,83883,Nephelometry Ea Analyte,138.0,103.5,69.0,97.26,2
CPT,83883,Serum Free Kappa L C,138.0,103.5,69.0,97.26,2
CPT,83883,Serum Free Lambda L C,138.0,103.5,69.0,97.26,2
CPT,83884,Assay Neurofilament Light Chain,1200.0,900.0,600.0,600.0,1
CPT,83915,Nucleotidase 5,145.0,108.75,102.2,135.14,2
CPT,83916,Oligoclonal Bands,234.0,175.5,117.0,117.0,1
CPT,83921,Organic Acid Single Qn,374.0,280.5,187.0,348.57,10
CPT,83930,Osmolality Blood,153.0,114.75,76.5,142.6,4
CPT,83935,Osmolality Urine,162.0,121.5,81.0,127.49,5
CPT,83937,Osteocalcin,349.0,261.75,174.5,174.5,1
CPT,83945,Oxalate,120.0,90.0,103.68,103.68,1
CPT,83970,Parathormone (Pth),300.0,225.0,150.0,279.6,12
CPT,83986,Ph Body Fluid,39.0,29.25,19.5,19.5,1
CPT,83993,Calprotectin,473.0,354.75,236.5,440.84,11
CPT,84075,Phosphatase Alkaline,91.0,68.25,45.5,84.81,9
CPT,84080,Phosphatase Alkaline Isoenzyme,177.0,132.75,88.5,152.93,8
CPT,84100,Phosphorus,76.0,57.0,34.12,70.83,16
CPT,84110,Porphobilinogen Qn Urine,106.0,79.5,74.71,77.27,2
CPT,84112,Eval Cervicovag Pamg-1 Pp12 Alpha-F,479.0,359.25,332.43,349.19,3
CPT,84120,Porphyrins Qn & Fraction Urine,101.0,75.75,73.63,73.63,1
CPT,84132,Potassium Serum/ Plasma/ Blood,90.0,67.5,45.0,83.3,7
CPT,84133,Potassium Urine,128.0,96.0,64.0,90.21,3
CPT,84134,Prealbumin,106.0,79.5,53.0,98.79,3
CPT,84140,Pregnenolone,307.0,230.25,153.5,286.12,7
CPT,84144,Progesterone,225.0,168.75,112.5,209.7,10
CPT,84145,Procalcitonin (Pct),318.0,238.5,159.0,294.34,7
CPT,84146,Prolactin,243.0,182.25,121.5,224.92,11
CPT,84150,Prostaglandin,1103.0,827.25,551.5,777.39,2
CPT,84153,Prostatic Specific Antigen Total,223.0,167.25,111.5,207.84,19
CPT,84154,Prostatic Specific Antigen Free,95.0,71.25,47.5,88.54,7
CPT,84155,Protein Total Xcpt Refra Serum Plas,72.0,54.0,36.0,67.1,13
CPT,84156,Protein Total Urine,57.0,42.75,28.5,53.12,12
CPT,84157,Protein Total Other Source,87.0,65.25,43.5,43.5,2
CPT,84165,Protein Electrophoresis,33.0,24.75,16.5,30.76,14
CPT,84166,Protein Electrophoretic Other Fluid,114.0,85.5,57.0,89.72,6
CPT,84207,Vitamin B-6 (Pyridoxal Phosphate),155.0,116.25,77.5,144.46,7
CPT,84220,Pyruvate Kinase,368.0,276.0,289.62,289.62,1
CPT,84244,Renin,133.0,99.75,66.5,123.96,8
CPT,84252,Vitamin B-2 (Riboflavin),136.0,102.0,68.0,68.0,2
CPT,84255,Selenium,184.0,138.0,129.68,171.49,6
CPT,84260,Serotonin,236.0,177.0,118.0,118.0,1
CPT,84270,Sex Hormone Binding Globulin,131.0,98.25,65.5,122.09,12
CPT,84295,Sodium Serum/Plasma/Whole Blood,91.0,68.25,45.5,84.81,6
CPT,84300,Sodium Urine,131.0,98.25,65.5,103.1,6
CPT,84305,Somatomedin,129.0,96.75,64.5,119.4,9
CPT,84311,Spectrophotometry,82.0,61.5,41.0,41.0,1
CPT,84376,Sugars Single Ql,125.0,93.75,91.13,91.13,1
CPT,84393,Tau Phosphorylated Each,721.0,540.75,360.5,508.16,4
CPT,84394,Total Tau (Ttau),424.0,318.0,212.0,212.0,2
CPT,84402,Testosterone Free,298.0,223.5,149.0,234.53,4
CPT,84403,Testosterone Total,234.0,175.5,117.0,218.09,15
CPT,84425,Vitamin B1 (Thiamine),133.0,99.75,66.5,123.96,9
CPT,84432,Thyroglobulin,376.0,282.0,188.0,295.91,4
CPT,84433,Assay Thiopurine S-Methyltransferase,186.0,139.5,93.0,93.0,1
CPT,84436,Thyroxine (T-4) Total,122.0,91.5,61.0,105.41,7
CPT,84439,Thyroxine (T-4) Free,96.0,72.0,48.0,89.47,16
CPT,84442,Thyroid Activity (Tbg),179.0,134.25,126.16,126.16,1
CPT,84443,Thyroid Stimulating Hormone (Tsh),188.0,141.0,94.0,175.22,18
CPT,84445,Thyroid Stimulating Immun Globulin,360.0,270.0,180.0,283.32,6
CPT,84446,Vitamin E,115.0,86.25,57.5,107.18,5
CPT,84450,Ast/Sgot,91.0,68.25,45.5,84.81,12
CPT,84460,Alt/Sgpt,92.0,69.0,46.0,85.74,12
CPT,84466,Transferrin,156.0,117.0,78.0,78.0,1
CPT,84478,Triglycerides,92.0,69.0,46.0,72.4,6
CPT,84480,Triiodothyronine (T-3) Total,158.0,118.5,79.0,147.26,12
CPT,84481,Triiodothyronine (T-3) Free,213.0,159.75,106.5,198.52,12
CPT,84482,Triiodothyronine (T-3) Reverse,96.0,72.0,48.0,89.47,8
CPT,84484,Troponin Qn,259.0,194.25,116.29,241.39,16
CPT,84520,Urea Nitrogen Quantitative,87.0,65.25,43.5,81.08,11
CPT,84540,Urea Nitrogen Urine,111.0,83.25,55.5,55.5,2
CPT,84550,Uric Acid Blood,76.0,57.0,38.0,70.83,14
CPT,84585,Vanillylmandelic Acid (Vma) Urine,162.0,121.5,114.18,114.18,1
CPT,84586,Vasoactive Intestinal Peptide (Vip),221.0,165.75,110.5,110.5,1
CPT,84588,Vasopressin (Adh),174.0,130.5,87.0,87.0,1
CPT,84590,Vitamin A,98.0,73.5,49.0,91.34,6
CPT,84597,Vitamin K,196.0,147.0,98.0,138.14,4
CPT,84630,ZINC,90.0,67.5,45.0,83.88,9
CPT,84681,C-Peptide,148.0,111.0,74.0,116.48,4
CPT,84702,Hcg Qn,276.0,207.0,138.0,257.23,10
CPT,84703,Hcg Ql,154.0,115.5,77.0,143.53,10
CPT,85007,Blood Smear W/Manual Diff Wbc,74.0,55.5,37.0,68.97,14
CPT,85014,Blood Count Hematocrit (Hct),55.0,41.25,27.5,50.91,7
CPT,85018,Blood Count Hemoglobin (Hgb),55.0,41.25,27.5,51.26,12
CPT,85025,Blood Count Cbc Auto W/Auto Diff,155.0,116.25,69.6,144.46,22
CPT,85027,Blood Count Cbc Auto W/O Diff,156.0,117.0,78.0,145.39,18
CPT,85045,Blood Count Reticulocyte Auto,87.0,65.25,43.5,81.08,14
CPT,85049,Blood Count Platelet Auto,90.0,67.5,45.0,63.43,2
CPT,85240,Factor VIII Ahg,198.0,148.5,99.0,155.83,3
CPT,85245,Factor VIII Vw Ristocetin Cofactor,345.0,258.75,172.5,172.5,1
CPT,85246,Factor VIII Vw Antigen,242.0,181.5,121.0,190.45,3
CPT,85300,Antithrombin III Activity,138.0,103.5,69.0,69.0,1
CPT,85301,Antithrombin III Antigen,132.0,99.0,93.03,93.03,1
CPT,85303,Protein C Activity,169.0,126.75,84.5,119.11,2
CPT,85306,Protein S Free,299.0,224.25,149.5,210.74,2
CPT,85379,Fibrin Degradation D-Dimer Qn,261.0,195.75,130.5,243.25,16
CPT,85384,Fibrinogen Activity,140.0,105.0,70.0,129.58,6
CPT,85390,Fibrinolysins Scr Interp Rpt,94.0,70.5,47.0,73.98,5
CPT,85397,Coag Fibrinolysis Func Activity Nos,330.0,247.5,165.0,259.71,3
CPT,85415,Fibrinolytic Plasminogen Activator,285.0,213.75,200.87,200.87,1
CPT,85549,Muramidase,227.0,170.25,113.5,178.65,3
CPT,85610,Prothrombin Time (Pt),87.0,65.25,43.5,81.08,16
CPT,85611,Prothrombin Time Substitution,142.0,106.5,71.0,100.08,2
CPT,85613,Russell Viper Venom Diluted,127.0,95.25,63.5,99.95,5
CPT,85652,Sed Rate RBC Auto,71.0,53.25,35.5,66.17,17
CPT,85660,Sickle Cell RBC,110.0,82.5,77.53,101.82,4
CPT,85670,Thrombin Time Plasma,76.0,57.0,38.0,38.0,1
CPT,85730,Partial Thromboplastin Time (Ptt),104.0,78.0,52.0,96.93,14
CPT,86001,Rast Allergen Igg Qn Sq Ea,137.0,102.75,126.81,126.81,1
CPT,86003,Allergen Specific Ige Quan/Semiquan Ea Allergen,94.0,70.5,47.0,87.01,12
CPT,86003,Rast Allergen Ige Qn Sq Ea,94.0,70.5,47.0,87.01,12
CPT,86008,Allergen Spec Ige Recombinant/Purified Compnt Ea,190.0,142.5,95.0,177.08,15
CPT,86015,Actin Smooth Muscle Antibody Each,100.0,75.0,50.0,86.4,6
CPT,86022,Platelet Antibody ID,217.0,162.75,108.5,108.5,1
CPT,86038,Antinuclear Antibodies (Ana) Screen,236.0,177.0,118.0,203.9,6
CPT,86039,Antinuclear Antibodies (Ana) Titer,102.0,76.5,51.0,95.06,13
CPT,86041,Acetylcholine Receptor Binding Antibody,158.0,118.5,79.0,146.24,6
CPT,86060,Antistreptolysin O Titer,134.0,100.5,67.0,94.44,2
CPT,86140,C-Reactive Protein,61.0,45.75,30.5,42.99,2
CPT,86141,C-Reactive Protein High Sensitivity,156.0,117.0,78.0,145.39,18
CPT,86146,Beta 2 Glycoprotein I Antibody Ea,166.0,124.5,83.0,143.42,5
CPT,86147,Cardiolipin Antibody Ea Ig Class,119.0,89.25,59.5,102.82,7
CPT,86157,Cold Agglutinin Titer,139.0,104.25,69.5,69.5,1
CPT,86160,Complement Antigen Ea Component,183.0,137.25,91.5,169.38,10
CPT,86162,Complement Total (Ch50),114.0,85.5,57.0,105.52,3
CPT,86200,Cyclic Citrulli Pept (CCP) Antibody,178.0,133.5,89.0,165.9,8
CPT,86225,Dna Double Strand Antibody,116.0,87.0,58.0,108.11,10
CPT,86231,Endomysial Antibody Each Immunoglobulin Class,104.0,78.0,52.0,89.86,3
CPT,86235,Extract Nuclear Antigen,197.0,147.75,98.5,170.21,9
CPT,86255,Fluorescent Antibody Scrn,429.0,321.75,214.5,337.62,4
CPT,86258,Gliadin Antibody Each Immunoglobulin Class,100.0,75.0,50.0,92.56,6
CPT,86300,Immunoassay Tumor Antigen Ca 15-3,243.0,182.25,121.5,224.92,7
CPT,86301,Immunoassay Tumor Antigen Ca 19-9,337.0,252.75,168.5,265.22,5
CPT,86304,Immunoassay Tumor Antigen Ca 125,255.0,191.25,127.5,220.32,8
CPT,86308,Heterophile Antibody Screen,131.0,98.25,65.5,122.09,10
CPT,86316,Immunoassay Tumor Ag Other Ag Qn,333.0,249.75,166.5,234.7,3
CPT,86317,HC Immunoassay Infectious Agent Antibody Quan,445.0,333.75,222.5,324.41,5
CPT,86331,Immunodiffusion Gel Ea Ag Ab Ql,310.0,232.5,155.0,218.49,3
CPT,86334,Immunofixation Electrophores Serum,275.0,206.25,137.5,256.3,7
CPT,86336,Inhibin A,86.0,64.5,67.68,67.68,1
CPT,86337,Insulin Antibody,258.0,193.5,129.0,203.05,4
CPT,86340,Intrinsic Factor Antibody,171.0,128.25,85.5,124.66,7
CPT,86341,Islet Cell Antibody,273.0,204.75,136.5,214.85,5
CPT,86359,T Cells Total,714.0,535.5,357.0,561.92,5
CPT,86360,T Cells Cd4 & Cd8 W/Ratio,141.0,105.75,70.5,110.97,5
CPT,86364,Tissue Transglutaminase Ea Immunoglobulin Class,100.0,75.0,50.0,93.2,14
CPT,86366,Muscle-Specific Kinase Antibody,158.0,118.5,79.0,146.24,4
CPT,86376,Microsomal Antibody,180.0,135.0,90.0,167.76,10
CPT,86381,Mitochondrial Antibody Each,218.0,163.5,109.0,203.18,4
CPT,86382,Neutralization Viral,240.0,180.0,169.15,169.15,1
CPT,86431,Rheumatoid Factor Qn,132.0,99.0,66.0,122.18,10
CPT,86480,TB Test Cell Imm Ag Meas Gam Interf,430.0,322.5,215.0,400.76,13
CPT,86481,TB Test Cell Imm Ag Meas Gam Interf,717.0,537.75,497.6,505.34,2
CPT,86580,Skin Test Tuberculosis Intradermal,72.0,54.0,50.75,50.75,1
CPT,86581,Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan,103.0,77.25,51.5,51.5,1
CPT,86592,Syphilis Vdrl/Rpr Ql,128.0,96.0,64.0,119.3,5
CPT,86593,Syphilis Vdrl/Rpr Qn,57.0,42.75,28.5,40.17,2
CPT,86596,Voltage-Gated Calcium Channel Antibody Each,158.0,118.5,111.36,111.36,2
CPT,86606,Aspergillus Antibody,94.0,70.5,47.0,66.25,2
CPT,86611,Bartonella Antibody,121.0,90.75,85.28,85.28,2
CPT,86617,Lyme Disease Antibody Confirm,223.0,167.25,111.5,207.84,15
CPT,86618,Lyme Disease Antibody,152.0,114.0,76.0,141.66,19
CPT,86622,Brucella Antibody,99.0,74.25,49.5,85.54,2
CPT,86631,Chlamydia Antibody,142.0,106.5,71.0,71.0,1
CPT,86632,Chlamydia Antibody Igm,145.0,108.75,72.5,72.5,1
CPT,86635,Coccidioides Antibody,143.0,107.25,112.54,112.54,1
CPT,86638,Coxiella Brunetii (Q Fev) Antibody,308.0,231.0,154.0,266.11,3
CPT,86644,Cytomegalovirus (Cmv) Antibody,466.0,349.5,233.0,434.31,6
CPT,86645,Cytomegalovirus (Cmv) Antibody Igm,119.0,89.25,59.5,110.91,8
CPT,86663,Epstein-Barr Early Ag Antibody Ea,67.0,50.25,33.5,52.73,3
CPT,86664,Epstein-Barr Ebna Ag Antibody,72.0,54.0,36.0,67.1,10
CPT,86665,Epstein-Barr Vca Ag Antibody,100.0,75.0,50.0,93.2,10
CPT,86666,Ehrlichia Antibody,318.0,238.5,159.0,250.27,4
CPT,86668,Francisella Tularensis Antibody,141.0,105.75,70.5,131.41,17
CPT,86671,Fungus Antibody Not Specified,393.0,294.75,196.5,339.55,2
CPT,86674,Giardia Lamblia Antibody,264.0,198.0,186.07,186.07,1
CPT,86682,Helminth Not Specified Antibody,373.0,279.75,186.5,262.89,3
CPT,86695,Herpes Simplex Type I Antibody,120.0,90.0,60.0,94.44,6
CPT,86696,Herpes Simplex Type II Antibody,138.0,103.5,69.0,108.61,6
CPT,86701,Hiv-1 Antibody,150.0,112.5,75.0,75.0,1
CPT,86702,Hiv-2 Antibody,129.0,96.75,64.5,64.5,1
CPT,86704,Hepatitis B Core Antibody Igm Igg,76.0,57.0,38.0,70.83,16
CPT,86705,Hepatitis B Core Antibody Igm,165.0,123.75,82.5,153.78,9
CPT,86706,Hepatitis B Surface Antibody,162.0,121.5,81.0,150.98,16
CPT,86707,HEPATITIS Be ANTIBODY (HBeAb),81.0,60.75,56.21,59.05,2
CPT,86708,HEPATITIS A ANTIBODY (HAAb) TOTAL,245.0,183.75,122.5,172.68,4
CPT,86709,HEPATITIS A ANTIBODY (HAAb) IGM,86.0,64.5,43.0,59.68,2
CPT,86711,Jc (John Cunningham) Virus Antibody,162.0,121.5,81.0,81.0,1
CPT,86713,Legionella Antibody,222.0,166.5,111.0,111.0,1
CPT,86735,Mumps Antibody,128.0,96.0,64.0,118.48,9
CPT,86738,Mycoplasma Antibody,184.0,138.0,92.0,129.68,3
CPT,86747,Parvovirus Antibody,73.0,54.75,36.5,57.45,4
CPT,86753,Protozoa Antibody Not Specified,359.0,269.25,179.5,332.29,5
CPT,86757,Rickettsia Antibody,332.0,249.0,166.0,309.42,18
CPT,86762,Rubella Antibody,172.0,129.0,86.0,160.3,12
CPT,86765,Rubeola Antibody,147.0,110.25,73.5,136.06,12
CPT,86769,Antibody Sars-Cov-2,200.0,150.0,100.0,157.4,3
CPT,86777,Toxoplasma Antibody,198.0,148.5,139.55,139.55,1
CPT,86778,Toxoplasma Antibody Igm,228.0,171.0,160.69,160.69,1
CPT,86780,Treponema Pallidum Antibody,181.0,135.75,90.5,168.69,11
CPT,86787,Varicella-Zoster Antibody,112.0,84.0,56.0,104.38,10
CPT,86788,West Nile Virus Antibody Igm,115.0,86.25,106.44,106.44,1
CPT,86789,West Nile Virus Antibody,116.0,87.0,107.37,107.37,1
CPT,86790,"HC Mvh Hantavirus Antibody (Igg,Igm)",256.0,192.0,128.0,236.95,2
CPT,86790,Virus Not Elsewhere Specified,256.0,192.0,128.0,236.95,2
CPT,86800,Thyroglobulin Antibody,216.0,162.0,108.0,201.31,9
CPT,86803,Hepatitis C Antibody,253.0,189.75,126.5,235.8,16
CPT,86812,Hla Typing Single Antigen a/B/C,168.0,126.0,116.59,145.15,4
CPT,86850,RBC Antibody Screen,193.0,144.75,67.95,179.88,14
CPT,86870,RBC Antibody Identification Panel,335.0,251.25,167.5,167.5,1
CPT,86880,Coombs Direct,137.0,102.75,68.5,118.37,6
CPT,86900,Blood Typing Serologic Abo,98.0,73.5,68.01,163.93,15
CPT,86901,HC Blood Typing Serologic Rh (D),153.0,114.75,49.92,142.6,15
CPT,86905,Blood Typing RBC Antigens Oth/Thn Abo/Rh D Each,604.0,453.0,302.0,302.0,1
CPT,86920,Crossmatch Immediate Spin,276.0,207.0,217.21,217.93,2
CPT,86922,Crossmatch Antiglobulin (Ahg),227.0,170.25,113.5,113.5,1
CPT,86923,Compatibility Test Ea Unit Electron,83.0,62.25,65.32,217.93,4
CPT,87015,Concentration Any Type,69.0,51.75,34.5,34.5,1
CPT,87040,Culture Blood Aerobic,174.0,130.5,87.0,162.17,12
CPT,87046,Culture Stool Other,109.0,81.75,54.5,54.5,1
CPT,87070,Culture Bacterial Other Source,158.0,118.5,79.0,147.26,14
CPT,87075,Culture Anaerobic,157.0,117.75,78.5,146.32,5
CPT,87076,Culture Anaerobic ID,408.0,306.0,204.0,377.64,5
CPT,87077,Culture Aerobic ID,148.0,111.0,74.0,137.94,13
CPT,87081,Culture Screen Single Organism,205.0,153.75,102.5,191.06,8
CPT,87086,Culture Urine W/Colony Count,155.0,116.25,77.5,144.46,17
CPT,87101,Culture Fungus Skin/Hair/Nail,165.0,123.75,82.5,153.78,7
CPT,87102,Culture Fungus Other,166.0,124.5,83.0,115.2,2
CPT,87106,Culture Fungus ID Yeast,240.0,180.0,120.0,174.96,4
CPT,87107,Culture Fungus ID Mold,267.0,200.25,133.5,248.84,4
CPT,87116,Culture Afb/TB/Mycobacteria,238.0,178.5,119.0,187.31,2
CPT,87150,Cult Type Amp Prb Cult/Isol Ea,453.0,339.75,314.38,422.2,8
CPT,87153,Culture Typing Sequencing Meth Ea I,456.0,342.0,228.0,424.99,5
CPT,87169,Macroscopic Exam Parasite,106.0,79.5,73.56,73.56,1
CPT,87177,Smear Ova & Parasite Concent/Ident,100.0,75.0,50.0,93.2,15
CPT,87186,Susceptibility Mic per Plate,343.0,257.25,171.5,319.68,13
CPT,87205,Smear Gram or Geimsa Stain,92.0,69.0,46.0,85.74,10
CPT,87206,Smear Acid Fast/Fluorescent Stain,92.0,69.0,46.0,46.0,1
CPT,87207,Spec Stain Incls Bodies/Parasites,147.0,110.25,73.5,137.0,14
CPT,87209,Complex Special Stain O/P Trich/Iro,215.0,161.25,107.5,200.38,15
CPT,87305,Aspergillus Agent Enzyme Infect Ant,216.0,162.0,108.0,108.0,1
CPT,87329,Eia Ql Giardia Antigen,216.0,162.0,108.0,201.31,7
CPT,87338,Eia Ql H Pylori Antigen Stool,131.0,98.25,65.5,121.25,11
CPT,87340,Eia Ql Hepatitis B Ag,133.0,99.75,66.5,123.96,17
CPT,87341,Eia Ql Hepatitis B Surf Ag,205.0,153.75,161.34,161.34,1
CPT,87350,EIA QL HEPATITIS Be ANTIGEN (HBeAG),81.0,60.75,56.21,59.05,2
CPT,87389,Eia Ql Hiv-1 & Hiv-2 Antibodies,211.0,158.25,105.5,196.65,15
CPT,87449,Eia Ql Multi Antigen,372.0,279.0,186.0,186.0,1
CPT,87468,Iadna Anaplasma Phagocytophilum Amplifed Prb Tq,302.0,226.5,151.0,281.46,16
CPT,87469,Iadna Babesia Microti Amplified Probe Technique,302.0,226.5,151.0,281.46,15
CPT,87476,Nucleic Acid Amp Borrelia,340.0,255.0,170.0,314.7,7
CPT,87478,Iadna Borrelia Miyamotoi Amplified Prb Technique,302.0,226.5,151.0,281.46,3
CPT,87484,Iadna Ehrlichia Chaffeensis Amplified Probe Tq,302.0,226.5,151.0,281.46,16
CPT,87491,Nucleic Acid Amp Chlamydia Trach,310.0,232.5,155.0,288.92,13
CPT,87493,Nucleic Acid Amp Probe Clostridium,236.0,177.0,118.0,219.95,7
CPT,87496,Nucleic Acid Amp Probe Cmv,320.0,240.0,251.84,251.84,1
CPT,87497,Nucleic Acid Qn Cmv,251.0,188.25,125.5,232.33,5
CPT,87506,Iadna-Dna/Rna GI Pthgn Multiplex Probe Tq 6-11,1683.0,1262.25,841.5,1568.56,14
CPT,87517,Nucleic Acid Qn Hepatitis B,381.0,285.75,190.5,355.09,6
CPT,87522,Nucleic Acid Rev Trans Qn Hepatitis,745.0,558.75,372.5,694.34,8
CPT,87529,Nucleic Acid Amp Probe Herpes Smpx,338.0,253.5,169.0,312.85,7
CPT,87533,Nucleic Acid Qn Herpes 6,515.0,386.25,257.5,257.5,1
CPT,87536,Nucleic Acid Rev Trans Qn Hiv-1,405.0,303.75,202.5,349.92,6
CPT,87591,Nucleic Acid Amp N Gonorrhoeae,161.0,120.75,80.5,150.05,14
CPT,87631,Iadna Respiratry Probe & Rev Trnscr 3-5 Targets,1520.0,1140.0,760.0,1416.64,7
CPT,87632,Inf Nucleic Acid Virus 6-11 Targets,2460.0,1845.0,1793.34,1793.34,1
CPT,87635,Sp Covid19 Elective Testing (Global Charge),160.0,160.0,112.77,149.12,5
CPT,87637,Iadna Sarscov2 & Inf a&B & Rsv Mult Amp Probe Tq,502.0,376.5,251.0,467.86,14
CPT,87641,Nuc Acid Stph Aureus Amplified,138.0,103.5,95.77,97.26,2
CPT,87651,Nucleic Acid Amp Strep A,191.0,143.25,95.5,178.01,13
CPT,87798,Nucleic Acid Amp Infectious,458.0,343.5,229.0,426.86,18
CPT,87799,Epstein Barr Virs Quant Pcr,367.0,275.25,183.5,339.7,3
CPT,87799,Nucleic Acid Qn Infect Agent,367.0,275.25,183.5,339.7,3
CPT,87801,Nucleic Acid Amp Multi Org,682.0,511.5,341.0,536.73,4
CPT,87811,Iaadiadoo Severe Aqt Respir Synd Coronavirus,158.0,118.5,111.36,111.36,2
CPT,87899,Immunoassay Optical Organism,259.0,194.25,129.5,239.73,3
CPT,87899,Rapid Malaria Binaxnow,264.0,198.0,132.0,244.36,3
CPT,87912,Inf Agent Genotype Nuc Acid Hep B,3053.0,2289.75,1526.5,1526.5,1
CPT,88184,Flow Cytometry 1st Marker Tc,496.0,372.0,248.0,428.54,4
CPT,88185,Flow Cytometry Ea Addl Marker Tc,171.0,128.25,85.5,85.5,2
CPT,88189,Flow Cytometry Interp 16+ Marker,490.0,367.5,245.0,245.0,1
CPT,89050,Cell Count Body Fluid,106.0,79.5,53.0,98.11,7
CPT,89060,Crystal ID Light Microscopy,122.0,91.5,61.0,112.92,6
CPT,89321,Semen Analysis Presence/Motility,148.0,111.0,104.31,104.31,2
CPT,90460,Immun Admin Any Route 1st Vacc/Tox,33.0,24.75,19.47,30.76,10
CPT,90460,Vfc Im Adm Thru 18yr Any Rte 1st/Only Compt Vac/Tox,23.0,17.25,13.57,21.44,10
CPT,90461,Immun Admin Any Route Ea Addl Vacc/,30.0,22.5,17.7,27.96,10
CPT,90471,Im Adm Prq ID Subq/Im Njxs 1 Vaccine,25.0,18.75,14.75,90.51,13
CPT,90471,Immune Admin One Vacc Im/Sub-Q/ID,33.0,24.75,19.47,90.51,13
CPT,90471,Vfc Imadm Prq ID Subq/Im Njxs 1 Vaccine,23.0,17.25,13.57,90.51,13
CPT,90472,Immune Admin Ea Add Vacc Im/Subq,30.0,22.5,15.0,27.96,10
CPT,90472,Vfc Imadm Prq ID Subq/Im Njxs Ea Vaccine,23.0,17.25,11.5,21.44,10
CPT,90473,Immune Admin One Vacc Oral/Nasal,33.0,24.75,25.97,25.97,1
CPT,90473,Vfc Imadm Intransl/Oral 1 Vaccine,23.0,17.25,18.1,18.1,1
CPT,90474,Immune Admin Ea Add Vacc Oral/Nasal,30.0,22.5,20.82,27.96,6
CPT,90474,Vfc Imadm Intransl/Oral Ea Vaccine,23.0,17.25,15.96,21.44,6
CPT,90480,Imm Admn Sarscov2 Vaccine Single Dose,75.0,56.25,44.25,69.9,12
CPT,90480,Vfc Im Admn Sarscov2 Vaccine Sngl Dose,23.0,17.25,13.57,52.8,12
CPT,90620,Menb-4c Recombnt Prot & Outer Memb Vesic Vacc Im,309.0,231.75,214.45,287.99,8
CPT,90632,Hepa Vaccine Adult Dose for Intramuscular Use,124.56,93.42,86.44,98.03,5
CPT,90648,Hib Prp-T Vaccine 4 Dose Schedule Im Use,22.12,16.59,11.06,11.06,1
CPT,90651,9vhpv Vacc 2/3 Dose Sched Im Use,474.28,355.71,329.15,438.99,6
CPT,90656,Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use,28.4,21.3,14.2,26.47,10
CPT,90662,Iiv Vaccine Preserv Free Increased Ag Content Im,125.15,93.86,62.58,116.64,7
CPT,90675,Rabies Vaccine Intramuscular,632.73,474.55,316.37,589.7,6
CPT,90677,Pcv20 Vaccine for Intramuscular Use,442.46,331.84,221.23,412.37,12
CPT,90678,Rsv Vaccine Pref Subunit Bivalent for Im Use,551.6,413.7,388.77,510.56,4
CPT,90684,Pcv21 Vaccine for Intramuscular Use,444.56,333.42,222.28,414.33,10
CPT,90686,Iiv4 Vacc Presrv Free 0.5 Ml Dos for Im Use,33.32,24.99,23.12,24.29,2
CPT,90691,Typhoid Vaccine VI Capsular Polysaccharide Im,217.6,163.2,108.8,153.36,2
CPT,90707,Measles Mumps Rubella Virus Vaccine Live Subq,163.54,122.65,113.5,152.42,6
CPT,90714,Td Vaccine Prsrv Free 7 Yrs or Older for Im Use,47.58,35.68,33.53,34.69,2
CPT,90715,Tdap Vaccine 7 Yrs/> Im,48.96,36.72,28.89,45.63,10
CPT,90716,Var Vaccine Live for Subcutaneous Use,301.94,226.45,212.81,212.81,1
CPT,90734,Menacwyd/Menacwy-CRM Conj Vacc Grps Acwy Im Use,197.98,148.48,139.54,184.52,3
CPT,90746,Hepb Vaccine Adult 3 Dose Schedule for Im Use,83.0,62.25,60.51,60.51,1
CPT,90750,HC Hzv Zoster Vacc Recombinant Adjuvanted Im Njx,304.76,228.57,179.81,284.04,10
CPT,90791,Psychiatric Diagnostic Evaluation,506.0,379.5,253.0,253.0,1
CPT,90832,HC Psych W/Patient 30 Minutes,311.0,233.25,219.19,219.19,1
CPT,90832,Hcpr Psych W/Patient 30 Minutes,296.0,222.0,208.62,208.62,1
CPT,90833,HC Psych W/Patient W/E&M Srvcs 30 Min,175.0,131.25,123.34,137.73,3
CPT,90833,Hcpr Psych W/Patient W/E&M Srvcs 30 Min,300.0,225.0,211.44,236.1,3
CPT,90834,HC Psych W/Patient 45 Minutes,355.0,266.25,250.2,250.2,2
CPT,90834,Hcpr Psych W/Patient 45 Minutes,391.0,293.25,275.58,275.58,2
CPT,90836,HC Psych W/Patient W/E&M Srvcs 45 Min,315.0,236.25,222.01,247.91,3
CPT,90836,Hcpr Psych W/Patient W/E&M Srvcs 45 Min,347.0,260.25,244.57,273.09,3
CPT,90837,HC Psych W/Patient 60 Minutes,533.0,399.75,375.66,375.66,2
CPT,90837,Hcpr Psych W/Patient 60 Minutes,591.0,443.25,416.54,416.54,2
CPT,90838,HC Psych W/Patient W/E&M Srvcs 60 Min,487.0,365.25,343.24,383.27,3
CPT,90838,Hcpr Psych W/Patient W/E&M Srvcs 60 Min,498.0,373.5,350.99,391.93,3
CPT,90839,Pf Psych Therapy for Crisis 1st 60,554.0,415.5,390.46,390.46,1
CPT,90839,Psych Therapy for Crisis 1st 60 Min,523.0,392.25,368.61,368.61,1
CPT,90847,Pf Psy Thrpy Family W/Pt,494.0,370.5,348.17,348.17,1
CPT,90847,Psych Therapy Family W/Pt,285.0,213.75,200.87,200.87,1
CPT,90935,Non Esrd Acute Hemodialysis OP,2725.0,2043.75,1920.58,2539.7,3
CPT,90999,Routine Maintenance Hemodialysis Home Unit OP,2631.0,1973.25,2435.25,2435.25,1
CPT,90999,Transient Maintenance Hemodialysis Not Home Unit OP,2631.0,1973.25,2435.25,2435.25,1
CPT,91320,Sarscov2 Vacc 30mcg/0.3ml Tris-Sucrose Im Use,230.0,172.5,115.0,214.36,12
CPT,91322,Sarscov2 Vaccine 50 Mcg/0.5 Ml for Im Use,257.5,193.12,128.75,178.71,2
CPT,92285,External Ocular Photography,225.0,168.75,112.5,112.5,1
CPT,92507,St Treatment Speech/Lang/Comm Ind,686.0,514.5,343.0,500.09,3
CPT,92522,Evaluate Speech Production,506.0,379.5,368.87,368.87,1
CPT,92523,Speech Sound Lang Comprehen,1031.0,773.25,515.5,751.6,3
CPT,92524,Behavral Qualit Analys Voice,515.0,386.25,257.5,257.5,1
CPT,92552,Aud Pure Tone Air Only,143.0,107.25,99.24,133.28,9
CPT,92610,St Eval Oral/Swallow Function,416.0,312.0,303.26,303.26,1
CPT,92611,St Eval Swallow Video/Fluoro,463.0,347.25,337.53,337.53,1
CPT,92960,Cardioversion Elective External,3409.0,2556.75,1704.5,2945.38,7
CPT,92960,Pf Cardioversion Elective External,520.0,390.0,360.88,449.28,6
CPT,93005,Ekg Routine Tracing Only,239.0,179.25,75.54,222.75,16
CPT,93005,Ekg Routine Tracing Only|REPEAT PROCEDURE BY SAME PHYSICIAN,239.0,179.25,119.5,119.5,1
CPT,93010,12 Lead Ecg Interpretation and Report Only,125.0,93.75,73.75,116.5,13
CPT,93016,Cv Strs Tst Xers&/or Rx Cont Ecg W/O I&R,128.0,96.0,75.52,119.3,9
CPT,93017,Stress Test Tracing Only,1355.0,1016.25,677.5,1262.86,12
CPT,93018,Cv Strs Tst Xers&/or Rx Cont Ecg I&R Only,155.0,116.25,91.45,144.46,9
CPT,93242,External Ecg Rec>48hr<7d Recording,1055.0,791.25,527.5,983.26,15
CPT,93244,External Ecg Rec>48hr<7d Review & Interpretation,329.0,246.75,72.57,498.62,25
CPT,93246,External Ecg Rec>7d<15d Recording,1410.0,1057.5,705.0,1314.12,14
CPT,93248,External Ecg Rec>7d<15d Review & Interpretation,422.0,316.5,94.38,659.86,22
CPT,93279,Prog Dev Eval Single Lead Pcmkr,187.0,140.25,93.5,93.5,1
CPT,93280,Prog Dev Eval Dual Lead Pcmkr,218.0,163.5,109.0,158.92,3
CPT,93280,Program Eval Implantable in Persn Dual Ld Pacer,169.0,126.75,123.2,123.2,1
CPT,93282,Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb,202.0,151.5,101.0,101.0,1
CPT,93283,HC Prgrmg Eval Implantable in Prsn Dual Lead Dfb,221.0,165.75,110.5,173.93,4
CPT,93283,Prgrmg Eval Implantable in Prsn Dual Lead Dfb,253.0,189.75,184.44,199.11,2
CPT,93284,Prgrmg Eval Implantable in Person Multi Lead Dfb,255.0,191.25,118.0,199.75,5
CPT,93288,Interrogation Dev Eval Pacemaker,186.0,139.5,93.0,93.0,1
CPT,93294,Rem Interrog Pm/Ldls Pm <90 D Phys/Qhp,134.0,100.5,97.69,97.69,1
CPT,93295,Interrogation Eval Remote >= 90 D 1/2/Mlt Ld Dfb,290.0,217.5,204.39,228.23,4
CPT,93296,Interrogation Remote </90 D Technician Review,806.0,604.5,403.0,634.32,8
CPT,93297,Rem Interrog Icpms <30 D Phys/Qhp,484.0,363.0,242.0,242.0,1
CPT,93298,Rem Interrog Scrms <30 D Phys/Qhp,346.5,259.875,81.76,406.67,6
CPT,93303,Complete Tthrc Echo Congenital Cardiac Anomaly,2172.0,1629.0,1530.83,1530.83,1
CPT,93303,"Echo Xthoracic,Cong Anom,Complete",284.0,213.0,200.16,200.16,1
CPT,93306,"Echo Heart Xthoracic,Complete W Doppler",354.0,265.5,208.86,329.93,10
CPT,93306,Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr D,2560.0,1920.0,1280.0,2385.92,16
CPT,93307,Echo Transthorac R-T 2d W/WO M-Mode Rec Comp,2028.0,1521.0,1014.0,1014.0,1
CPT,93308,Echo Transthoracic W/WO Fol W/Cont,1181.0,885.75,590.5,929.45,5
CPT,93308,Echo Transthorc R-T 2d W/WO M-Mode Rec F-Up/Lmtd,1181.0,885.75,590.5,929.45,5
CPT,93308,US Cardiac Echo Limited,128.0,96.0,90.21,100.74,3
CPT,93320,Doppler Echocard Pulse Wave W/Spectral Display,88.0,66.0,62.02,64.15,2
CPT,93320,Echo Doppler,903.0,677.25,451.5,658.29,3
CPT,93321,"Doppler Echo Heart,Limited,F/U",33.0,24.75,19.47,30.54,7
CPT,93321,Echo Doppler Ltd,564.0,423.0,282.0,522.04,10
CPT,93325,Doppler Color Flow Velocity Map,14.0,10.5,8.26,12.96,7
CPT,93325,Echo Color Flow Velocity Mapping,662.0,496.5,331.0,612.75,10
CPT,93350,Echo Tthrc R-T 2d W/WO M-Mode Complete Rest&St,1374.0,1030.5,238.04,1892.74,11
CPT,93352,Echo Contrast Agent During Stress Echo,166.0,124.5,117.0,153.65,4
CPT,93356,Myocardial Strain Imaging Quan Assmt,416.0,312.0,41.58,608.35,8
CPT,93797,Cardiac Rehab W/O Monitor Session,389.0,291.75,194.5,194.5,3
CPT,93798,Cardiac Rehab W/Monitor per Session,582.0,436.5,291.0,458.03,9
CPT,93880,Duplex Extracranial/Carotid Bilat,2709.0,2031.75,1354.5,2131.98,10
CPT,93923,Doppler Arterial Extrem Cmpl,638.0,478.5,319.0,590.53,9
CPT,93923,Non-Invasive Physiologic Study Extremity 3 Levels,146.0,109.5,101.32,135.14,5
CPT,93924,Doppler Arterial Extrem W/Stress Bi,1228.0,921.0,865.49,865.49,1
CPT,93924,"Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral",164.0,123.0,115.59,115.59,1
CPT,93925,Duplex Arterial Lower Ext Bilat,3307.0,2480.25,1653.5,3060.96,4
CPT,93926,Duplex Arterial Lower Ext Unilt/Lmt,1777.0,1332.75,888.5,888.5,1
CPT,93970,Duplex Venous Extremity Bilat,2927.0,2195.25,307.41,2303.55,8
CPT,93971,"Duplex Extrem Venous,Uni or Ltd",138.0,103.5,108.61,135.24,2
CPT,93971,Duplex Venous Extremity Unilat/Lmtd,1425.0,1068.75,135.24,1121.48,2
CPT,93975,Duplex Abd/Pel/Retro Cmpl,2256.0,1692.0,1128.0,2102.59,9
CPT,93976,Duplex Abd/Pel/Retro Ltd,1724.0,1293.0,862.0,1595.73,7
CPT,93978,Duplex Aorta/Ivc/Graft Cmpl,2000.0,1500.0,1000.0,1851.2,8
CPT,94010,Pf Spirometry Smp,114.0,85.5,80.35,80.35,1
CPT,94010,Spirometry/Pft Smp,478.0,358.5,336.89,336.89,1
CPT,94060,Pf Spirometry/Pft Pre & Post B,65.0,48.75,38.35,60.16,7
CPT,94060,Spirometry/Pft Pre & Post Bronch,827.0,620.25,413.5,765.47,11
CPT,94375,Respiratory Flow Volume Loop,371.0,278.25,47.22,475.74,7
CPT,94618,Pulmonary Stress Testing,164.0,123.0,60.77,158.58,9
CPT,94619,Xers Tst Brncspsm Pre&Post Spmtry&Pls Ox WO /Ecg,945.0,708.75,472.5,472.5,1
CPT,94640,Nonpressurized Inhalation Treatment,293.0,219.75,131.56,273.08,10
CPT,94640,Nonpressurized Inhalation Treatment|REPEAT PROCEDURE BY SAME PHYSICIAN,293.0,219.75,146.5,146.5,2
CPT,94660,Cpap Treatment,563.0,422.25,281.5,390.72,3
CPT,94660,Cpap Ventilation Cpap Initiation&Mgmt,116.0,87.0,80.5,80.5,1
CPT,94667,Chest Physiotherapy Initial,389.0,291.75,194.5,306.14,3
CPT,94727,Gas Dilut/Washout Lung Vol W/WO Distrib Vent&Vol,53.0,39.75,31.27,49.06,6
CPT,94727,Gas Dilution/Washout Determine Lung,499.0,374.25,249.5,461.87,10
CPT,94729,Carbon Monoxide Diff (Dlco),949.0,711.75,474.5,878.39,10
CPT,94729,Diffusing Capacity,44.0,33.0,25.96,40.73,6
CPT,94760,Pulse Ox Single Determination,46.0,34.5,23.0,23.0,2
CPT,94760,Spulse Oximetry - Spot,46.0,34.5,23.0,23.0,2
CPT,94761,Pulse Ox Multi Determinations,98.0,73.5,49.0,90.71,2
CPT,95115,Immunothpy Alergn 1 Inj W/O Extract,77.0,57.75,58.68,58.68,1
CPT,95117,Immunothpy Alrgn 2+ Inj W/O Extract,91.0,68.25,63.15,66.34,3
CPT,95117,Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs,91.0,68.25,63.15,66.34,3
CPT,95885,Emg Ea Extremity W/Nerve Cond Ltd,326.0,244.5,237.65,303.83,2
CPT,95885,Hcpr Needle Emg Ea Extremity W/Paraspinl Area Limited,91.0,68.25,66.34,84.81,2
CPT,95886,Emg Ea Extremity W/Nerve Cond Compl,498.0,373.5,345.61,391.93,5
CPT,95886,Hcpr Needle Emg Ea Extremty W/Paraspinl Area Complete,225.0,168.75,156.15,177.08,5
CPT,95887,Emg Non-Extremity W/Nerve Conduct,445.0,333.75,222.5,222.5,1
CPT,95908,Hcpr Motor &/Sens 3-4 Nrv Cndj Preconf Eltrode Limb,330.0,247.5,240.57,396.02,2
CPT,95908,Nerve Conduction Studies 3-4 Stud,799.0,599.25,396.02,582.47,2
CPT,95909,Hcpr Motor &/Sens 5-6 Nrv Cndj Preconf Eltrode Limb,394.0,295.5,277.69,396.02,4
CPT,95909,Nerve Conduction Studies 5-6 Stud,799.0,599.25,396.02,628.81,4
CPT,95910,Hcpr Motor &/Sens 7-8 Nrv Cndj Preconf Eltrode Limb,528.0,396.0,366.43,492.1,6
CPT,95910,Nerve Conduction Studies 7-8 Stu,1047.0,785.25,396.02,975.8,6
CPT,95911,Hcpr Motor &/Sens 9-10 Nrv Cndj Preconf Eltrode Limb,653.0,489.75,460.23,674.79,4
CPT,95911,Nerve Conduction Studies 9-10 Stud,1264.0,948.0,674.79,994.77,4
CPT,95912,Hcpr Motor &/Sens 11-12 Nrv Cndj Preconf Eltrode Limb,779.0,584.25,549.04,674.79,3
CPT,95912,Nerve Conduction Studies 11-12 Stud,1479.0,1109.25,674.79,1042.4,3
CPT,95913,Hcpr Motor &/Sens 13/> Nrv Cndj Preconf Eltrode Limb,926.0,694.5,652.64,674.79,4
CPT,95913,Nerve Conduction Studies 13/> Stud,1707.0,1280.25,674.79,1203.09,4
CPT,96110,Developmental Screen W/Scoring & Doc Std Instrm,60.0,45.0,28.91,66.17,20
CPT,96110,Developmental Screen W/Scoring & Doc Std Instrm (Ot),71.0,53.25,41.89,66.17,10
CPT,96110,Developmental Screen W/Scoring & Doc Std Instrm (Pt),71.0,53.25,41.89,66.17,10
CPT,96110,Developmental Screen W/Scoring & Doc Std Instrm (St),71.0,53.25,41.89,66.17,10
CPT,96125,"Standardized Cognitive Prformance Testiing, per Hr (Gn)",418.0,313.5,209.0,209.0,1
CPT,96125,Std Cogni Test per Hr by HC Pro,418.0,313.5,209.0,209.0,1
CPT,96125,Stndrd Cogn Perf Test per Hr,418.0,313.5,209.0,209.0,1
CPT,96127,Behav Assmt W/Score & Docd/Stand Instrument,42.0,31.5,22.9,47.53,18
CPT,96160,Pt-Focused Hlth Risk Assmt Score Doc Stnd Instrm,108.0,81.0,74.95,76.12,2
CPT,96161,Caregiver Hlth Risk Assmt Score Doc Stnd Instrm,22.0,16.5,15.27,15.27,1
CPT,96360,IV Infus Hydration Initial 31 Min-1 Hour - 96360,466.0,349.5,267.94,431.33,8
CPT,96361,IV Infus Hydration Ea Additional Hour - 96361,152.0,114.0,58.68,141.66,14
CPT,96365,IV Infus Non-Chemo Initial Up to 1 Hr - 96365,648.0,486.0,324.0,603.94,16
CPT,96365,IV Infusion Therapy/Prophylaxis /Dx 1st to 1 Hr,372.0,279.0,258.17,346.7,9
CPT,96366,IV Infus Non-Chemo Same Drug Ea Hr - 96366,275.0,206.25,137.5,256.3,10
CPT,96367,IV Infus Non-Chemo Ea Add�L Seq Diff Drug Up to 1 Hr - 96367,346.0,259.5,90.51,298.94,6
CPT,96368,IV Non-Chemo Concurrent Infus - 96368,241.0,180.75,120.5,120.5,1
CPT,96372,Therapeutic Prophylactic/Diagnostic Inj Sc/Im - 96372,205.0,153.75,90.51,189.75,14
CPT,96372,Therapeutic Prophylactic/Dx Injection Subq/Im,129.0,96.75,89.53,119.4,14
CPT,96372,Vfc Therapeutic Prophylactic/Diagnostic Inj Sc/Im,23.0,17.25,15.96,90.51,14
CPT,96374,Ivp/ IV < 16 Min Initial Drug - 96374,511.0,383.25,229.44,476.25,11
CPT,96375,Ivp/ IV <16min Ea Addl Seg Diff Drug - 96375,218.0,163.5,58.68,203.18,13
CPT,96376,Ivp/ IV <16 Min Ea Add�L Seq Same Drug - 96376,205.0,153.75,144.48,191.06,7
CPT,96381,Admn Rsv Monoclonal Antb Seasonal Dose Im Njx,332.0,249.0,233.99,233.99,1
CPT,96401,Inj Sc/Im Chemo Non-Hormonal Anti-Neoplastic - 96401,1067.0,800.25,90.51,994.44,4
CPT,96402,Inj Sc/Im Chemo Hormonal Anti-Neoplastic � 96402,805.0,603.75,90.51,633.54,9
CPT,96409,Chem Ivp/ IV <16 Min Initial Single Drug -96409,1275.0,956.25,421.83,898.62,2
CPT,96411,Chemotx Admn Ivp/ IV <16 Min Ea Add�L Seq Diff Drug - 96411,847.0,635.25,90.51,666.59,4
CPT,96413,Chemo IV Infus Initial Up to 1 Hr - 96413,1152.0,864.0,421.83,1066.29,9
CPT,96415,Chemo IV Infus Same Drug Ea Add�L Hr > or = to 31 Min - 96415,362.0,271.5,90.51,284.89,5
CPT,96417,Chem IV Infus Tq Ea Add�L Seq Diff Drug Up to 1 Hr - 96417,724.0,543.0,362.0,569.79,6
CPT,96523,Irrigat Implant Ven Access Dvc,211.0,158.25,105.5,166.06,5
CPT,97032,Ot E-Stim Attended 15 Min,102.0,76.5,70.79,74.36,2
CPT,97032,Pt E-Stim Attended 15 Min,102.0,76.5,70.79,74.36,2
CPT,97035,Ot Ultrasound 15 Min,68.0,51.0,47.19,58.75,3
CPT,97035,Pt Ultrasound 15 Min,68.0,51.0,47.19,58.75,3
CPT,97110,Ot Exercise Therapeutic 15 Min,169.0,126.75,84.5,146.02,7
CPT,97110,Pt Exercise Therapeutic 15 Min,169.0,126.75,84.5,146.02,7
CPT,97112,Ot Neuromuscular Re-ED 15 Min,179.0,134.25,89.5,154.66,4
CPT,97112,Pt Neuromuscular Re-ED 15 Min,179.0,134.25,89.5,154.66,4
CPT,97116,Pt Gait Training 15 Min,152.0,114.0,76.0,131.33,4
CPT,97129,Ther Ivntj Cog Funcj Cntct 1st 15 Minutes,131.0,98.25,65.5,65.5,1
CPT,97130,Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes,127.0,95.25,63.5,63.5,1
CPT,97140,Ot Manual Therapy 15 Min,158.0,118.5,79.0,136.51,6
CPT,97140,Pt Manual Therapy 15 Min,158.0,118.5,79.0,136.51,6
CPT,97161,"Physical Therapy Evaluation, Low Complexity",450.0,337.5,225.0,388.8,7
CPT,97162,"Physical Therapy Evaluation, Moderate Complexity",450.0,337.5,225.0,419.4,6
CPT,97165,"Occupational Therapy Evaluation, Low Complexity",434.0,325.5,217.0,374.98,4
CPT,97530,Bwh Therapeutic Ambulation 1 on 1 per 15 Min,186.0,139.5,93.0,160.7,4
CPT,97530,Ot Therapeutic Activity 15 Min,186.0,139.5,93.0,160.7,4
CPT,97530,Pt Therapeutic Activity 15 Min,186.0,139.5,93.0,160.7,4
CPT,97535,Ot Home Instruction/Program 15min,186.0,139.5,93.0,160.7,4
CPT,97535,Pt Home Instruction/Program 15min,186.0,139.5,93.0,160.7,4
CPT,97597,Debride/Rem Dev Tiss <20 Sq Cm,874.0,655.5,252.7,687.84,3
CPT,97597,Ot Debride/Rem Dev Tiss <20 Sq Cm,874.0,655.5,687.84,687.84,1
CPT,97597,Pf Debride/Rem Dev Tiss <20 Sq Cm,137.0,102.75,107.82,252.7,3
CPT,97597,Pt Debride/Rem Dev Tiss <20 Sq Cm,874.0,655.5,687.84,687.84,1
CPT,97605,Neg Pressure Wound Therapy Dme </= 50 Sq Cm,128.0,96.0,252.7,252.7,1
CPT,97605,Negative Pressure Wound Therapy Dme </= 50 Sq Cm,111.0,83.25,252.7,252.7,1
CPT,97607,Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm,123.0,92.25,508.1,508.1,1
CPT,97607,Neg Pressure Wound Therapy Non-Dme </= 50 Sq Cm,123.0,92.25,508.1,508.1,1
CPT,97760,Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins,205.0,153.75,149.45,177.12,4
CPT,97760,Ot Orthotic Mngmnt/Fit/Tran 15 Min,205.0,153.75,149.45,177.12,2
CPT,97760,Pt Orthotic Mngmnt/Fit/Tran 15 Min,205.0,153.75,149.45,177.12,2
CPT,97802,Nutrition Therapy Eval 15 Min,140.0,105.0,70.0,110.18,5
CPT,97803,Nutrition Therapy Re-Eval 15 Min,129.0,96.75,64.5,120.23,8
CPT,98001,Psych Synchronous Audio-Video Visit New Low Mdm 30 Min,351.0,263.25,238.74,333.66,10
CPT,98001,Synchronous Audio-Video Visit New Low Mdm 30 Min,351.0,263.25,238.74,333.66,10
CPT,98002,Psych Synchronous Audio-Video Visit New Mod Mdm 45 Min,569.5,427.125,407.51,540.56,8
CPT,98002,Synchronous Audio-Video Visit New Mod Mdm 45 Min,569.5,427.125,407.51,540.56,8
CPT,98003,Psych Synchronous Audio-Video Vst New High Mdm 60 Min,749.5,562.125,519.81,590.25,6
CPT,98003,Synchronous Audio-Video Vst New High Mdm 60 Min,749.5,562.125,519.81,590.25,6
CPT,98004,Psych Synchronous Audio-Video Visit Est Sf Mdm 10 Min,154.5,115.875,103.41,149.12,10
CPT,98004,Synchronous Audio-Video Visit Est Sf Mdm 10 Min,154.5,115.875,103.41,149.12,10
CPT,98005,Psych Synchronous Audio-Video Visit Est Low Mdm 20 Min,253.5,190.125,135.11,259.1,12
CPT,98005,Synchronous Audio-Video Visit Est Low Mdm 20 Min,253.5,190.125,135.11,259.1,12
CPT,98006,Psych Synchronous Audio-Video Visit Est Mod Mdm 30 Min,386.0,289.5,211.81,384.92,14
CPT,98006,Synchronous Audio-Video Visit Est Mod Mdm 30 Min,386.0,289.5,211.81,384.92,14
CPT,98007,Psych Synchronous Audio-Video Vst Est High Mdm 40 Min,509.0,381.75,334.61,482.98,6
CPT,98007,Synchronous Audio-Video Vst Est High Mdm 40 Min,509.0,381.75,334.61,482.98,6
CPT,98012,Psych Synchronous Audio-Only Visit Est Sf Mdm 10 Min,150.0,112.5,97.16,125.92,4
CPT,98012,Synchronous Audio-Only Visit Est Sf Mdm 10 Min,150.0,112.5,97.16,125.92,4
CPT,98013,Psych Synchronous Audio-Only Visit Est Low Mdm 20 Min,242.5,181.875,158.93,238.59,8
CPT,98013,Synchronous Audio-Only Visit Est Low Mdm 20 Min,242.5,181.875,158.93,238.59,8
CPT,98014,Psych Synchronous Audio-Only Visit Est Mod Mdm 30 Min,368.5,276.375,249.15,297.49,6
CPT,98014,Synchronous Audio-Only Visit Est Mod Mdm 30 Min,368.5,276.375,249.15,297.49,6
CPT,99000,Handlg&/or Convey of Spec for Tr Office to Lab,94.0,70.5,65.24,65.24,1
CPT,99000,Lab Handling/Conveyance Spec,92.0,69.0,63.85,63.85,1
CPT,99001,Specimen Hand/Conveyance Other,48.0,36.0,44.43,44.43,1
CPT,99173,Pf Screening Visual Acuity Qn,42.0,31.5,29.15,39.14,3
CPT,99173,Screen Visual Acuity Qn Bilat,42.0,31.5,29.15,39.14,3
CPT,99177,Instrument Based Ocular Scr Bi W/Onsite Analysis,26.0,19.5,16.66,26.1,16
CPT,99188,Application Topical Fluoride Varnish by Phs/Qhp,42.5,31.875,27.07,42.87,16
CPT,99195,Phlebotomy Therapeutic,453.0,339.75,163.93,422.2,7
CPT,99202,"Office Visit, New Patient",155.0,116.25,83.87,178.01,14
CPT,99203,"Office Visit, New Patient",228.0,171.0,107.38,255.37,33
CPT,99203,Psych New Patient (99203) - Medium Level (16-45 Min),182.0,136.5,107.38,169.62,11
CPT,99204,"Office Visit, New Patient",381.5,286.125,200.6,394.24,39
CPT,99205,"Office Visit, New Patient",504.0,378.0,233.64,570.38,36
CPT,99211,"Office Visit, Established Pat",60.0,45.0,26.37,163.89,17
CPT,99211,Psych Est/ New Patient (99211) - Low Level (<15 Min),82.0,61.5,56.91,163.89,9
CPT,99212,"Office Visit, Established Pat",112.0,84.0,67.32,163.89,28
CPT,99213,"Office Visit, Established Pat",163.5,122.625,92.04,163.89,48
CPT,99213,Psych Est Patient (99213) - Medium Level (16-45 Min),156.0,117.0,92.04,163.89,20
CPT,99214,"Office Visit, Established Pat",256.0,192.0,130.98,270.28,43
CPT,99215,"Office Visit, Established Pat",320.5,240.375,163.89,317.81,56
CPT,99215,"Office Visit, Established Pat|SIGNIFICANT, SEPARATELY IDENTIFIABLE EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN ON THE SAME DAY OF THE PROCEDURE OR OTHER SERVICE",300.0,225.0,150.0,150.0,12
CPT,99215,"Office Visit, Established Pat|SYNCHRONOUS TELEMEDICINE",300.0,225.0,150.0,150.0,2
CPT,99221,1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes,259.0,194.25,176.09,241.39,6
CPT,99221,Initial Observation Care/Day 30 Minutes,431.0,323.25,293.04,401.69,6
CPT,99221,Initial Observation Care/Day 50 Minutes,229.0,171.75,155.7,213.43,6
CPT,99221,Initial Observation Care/Day 70 Minutes,312.0,234.0,212.13,290.78,6
CPT,99222,1st Hospital IP/Obs Care Moderate Mdm 55 Minutes,421.0,315.75,286.24,392.37,7
CPT,99223,1st Hospital IP/Obs Care High Mdm 75 Minutes,421.0,315.75,189.03,392.37,12
CPT,99231,Sbsq Hospital IP/Obs Care Sf/Low Mdm 25 Minutes,169.5,127.125,79.0,167.53,13
CPT,99231,Sbsq Observation Care/Day 15 Minutes,105.0,78.75,71.39,97.19,5
CPT,99231,Sbsq Observation Care/Day 25 Minutes,191.0,143.25,129.86,176.79,5
CPT,99231,Sbsq Observation Care/Day 35 Minutes,271.0,203.25,184.25,250.84,5
CPT,99232,Sbsq Hospital IP/Obs Care Mod Mdm 35 Minutes,226.5,169.875,100.58,213.43,19
CPT,99233,Sbsq Hospital IP/Obs Care High Mdm 50 Minutes,247.0,185.25,101.47,249.78,23
CPT,99238,Hospital IP/Obs Discharge Day Mgmt 30 Min/<,163.0,122.25,82.5,153.78,21
CPT,99238,Observation Care Discharge Management,251.0,188.25,170.65,233.93,8
CPT,99239,Hospital IP/Obs Discharge Day Mgmt > 30 Min,215.0,161.25,96.54,200.38,14
CPT,99254,IP/Obs Consltj New/Est Pt Mod Mdm 60 Minutes,359.0,269.25,244.08,244.08,1
CPT,99283,Emergency Department Visit Low Mdm,727.5,545.625,376.97,768.11,2
CPT,99284,Emergency Department Visit Moderate Mdm,1196.5,897.375,478.65,1574.15,8
CPT,99285,Emergency Department Visit High Mdm,1862.0,1396.5,717.97,2486.58,31
CPT,99291,Critical Care Ill/Injured Patient Init 30-74 Min,1121.0,840.75,503.33,790.08,5
CPT,99291,HC Critical Care; First 30-74 Minutes,2978.0,2233.5,1337.12,2098.89,8
CPT,99308,Sbsq Nursing Facility Care Low Mdm 15 Minutes,168.0,126.0,84.0,84.0,1
CPT,99308,Sbsq Nursing Facility Care Low Mdm 20 Minutes,173.0,129.75,86.5,86.5,1
CPT,99316,Nursing Facility Dschrg Mgmt 30 Min+ Tot Time,171.0,128.25,85.5,85.5,1
CPT,99349,Home/Res Visit Est Patient Mod Mdm 40 Minutes,580.0,435.0,408.78,408.78,1
CPT,99381,Pf Preventive Med New <1 Yr,226.0,169.5,156.84,209.19,5
CPT,99381,Preventive Med New <1 Yr,82.0,61.5,56.91,75.9,5
CPT,99382,Pf Preventive Med New 1-4 Yrs,245.0,183.75,170.03,228.34,6
CPT,99382,Preventive Med New 1-4 Yrs,82.0,61.5,56.91,76.42,6
CPT,99383,Pf Preventive Med New 5-11 Yrs,253.0,189.75,175.58,178.31,3
CPT,99383,Preventive Med New 5-11 Yrs,82.0,61.5,56.91,57.79,3
CPT,99384,Pf Preventive Med New 12-17 Yr,253.0,189.75,175.58,235.8,5
CPT,99384,Preventive Med New 12-17 Yrs,82.0,61.5,56.91,76.42,5
CPT,99385,Pf Preventive Med New 18-39 Yr,253.0,189.75,175.58,199.11,4
CPT,99385,Preventive Med New 18-39 Yrs,82.0,61.5,56.91,64.53,4
CPT,99386,Pf Preventive Med New 40-64 Yr,253.0,189.75,149.27,235.8,9
CPT,99386,Preventive Med New 40-64 Yrs,82.0,61.5,48.38,76.42,9
CPT,99387,Pf Preventive Med New > 65 Yrs,253.0,189.75,184.44,184.44,1
CPT,99387,Preventive Med New > 65 Yrs,82.0,61.5,59.78,59.78,1
CPT,99391,Pf Preventive Med Estab <1 Yr,106.0,79.5,62.54,98.79,9
CPT,99391,Preventive Med Estab <1 Yr,82.0,61.5,48.38,76.42,9
CPT,99392,Pf Preventive Med Estab 1-4 Yr,171.0,128.25,100.89,159.37,10
CPT,99392,Preventive Med Estab 1-4 Yrs,82.0,61.5,48.38,76.42,10
CPT,99393,Pf Preventive Med Estab 5-11 Y,171.0,128.25,118.67,159.37,9
CPT,99393,Preventive Med Estab 5-11 Yrs,82.0,61.5,56.91,76.42,9
CPT,99394,Pf Preventive Med Estab 12-17,171.0,128.25,118.67,158.28,7
CPT,99394,Preventive Med Estab 12-17 Yrs,82.0,61.5,56.91,75.9,7
CPT,99395,Pf Preventive Med Estab 18-39,171.0,128.25,100.89,159.37,11
CPT,99395,Preventive Med Estab 18-39 Yrs,82.0,61.5,48.38,76.42,11
CPT,99396,Pf Preventive Med Estab 40-64,171.0,128.25,100.89,159.37,10
CPT,99396,Preventive Med Estab 40-64 Yrs,82.0,61.5,48.38,76.42,10
CPT,99397,Pf Preventive Med Estab > 65 Y,171.0,128.25,120.52,159.37,7
CPT,99397,Preventive Med Estab > 65 Yrs,82.0,61.5,41.0,76.42,8
CPT,99401,"Counseling, Preventative Med",126.5,94.875,59.78,124.66,2
CPT,99402,"Counseling, Preventative Med",184.5,138.375,85.28,180.79,4
CPT,99404,"Counseling, Preventative Med",278.0,208.5,202.66,202.66,1
CPT,99406,Smoking Cess Coun Inter >3min,69.0,51.75,37.89,50.3,2
CPT,99417,Prolonged Outpatient E/M Service Each 15 Minutes,160.0,120.0,116.64,116.64,1
CPT,99417,Psych - Prolonged Outpatient E/M Service Each 15 Minutes,160.0,120.0,116.64,116.64,1
CPT,99442,Phys/Qhp Telephone Evaluation 11-20 Min,113.0,84.75,84.21,93.65,2
CPT,99443,Phys/Qhp Telephone Evaluation 21-30 Min,170.0,127.5,126.71,140.87,2
CPT,99460,"Initial Normal Newborn Care, Hospital or Birth Center",171.0,128.25,116.26,116.26,2
CPT,99462,"Subsequent Hospital Care, Normal Newborn",103.0,77.25,70.03,70.03,2
CPT,99464,Attn at Delivery 1st Stabilization of Newborn,274.0,205.5,186.29,186.29,2
CPT,99495,Transj Care Mgmt Mod Mdm F2f 14 Cal D Discharge,613.0,459.75,163.89,554.69,20
CPT,99496,Transj Care Mgmt High Mdm F2f 7 Cal D Discharge,488.5,366.375,163.89,550.73,18
CPT,99497,Advance Care Planning First 30 Mins,450.0,337.5,117.64,117.64,1
CPT,G0439,Annual Well Visit Including Ppps Subseq,382.0,286.5,269.23,356.02,4
DRG,053,"Seizure,MODERATE",27625.66,,18967.82,18967.82,1
DRG,057,"Concussion, Closed Skull Fracture Nos, And Uncomplicated Intracranial Injury, Coma < 1 Hour Or No Coma,MODERATE",29431.17,,18281.73,18281.73,1
DRG,113,"Infections Of Upper Respiratory Tract,MAJOR",12411.97,,26374.11,26374.11,1
DRG,113,"Infections Of Upper Respiratory Tract,MODERATE",22109.53,,15122.19,15122.19,1
DRG,135,"Major Chest And Respiratory Trauma,MODERATE",37509.28,,20332.97,20332.97,1
DRG,137,"Major Respiratory Infections And Inflammations,MAJOR",27861.47,,25705.61,25705.61,2
DRG,137,"Major Respiratory Infections And Inflammations,MODERATE",23271.36,,21237.21,21237.21,1
DRG,138,"Bronchiolitis And Rsv Pneumonia,MINOR",19347.26,,9826.96,9826.96,1
DRG,139,"Other Pneumonia,EXTREME",41349.83,,39715.97,39715.97,1
DRG,139,"Other Pneumonia,MAJOR",28747.22,,23471.41,23471.41,2
DRG,139,"Other Pneumonia,MODERATE",24925.0,,15713.28,15713.28,1
DRG,140,"Chronic Obstructive Pulmonary Disease,MAJOR",35554.2,,21406.09,21406.09,1
DRG,141,"Asthma,MODERATE",16758.2,,16219.93,16219.93,1
DRG,143,"Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses,MINOR",20454.31,,3944.0,3944.0,1
DRG,194,"Heart Failure,MAJOR",39629.77,,29530.13,29530.13,1
DRG,199,"Hypertension,MINOR",26276.37,,11519.32,11519.32,1
DRG,201,"Cardiac Arrhythmia And Conduction Disorders,MODERATE",22900.49,,15108.11,15108.11,1
DRG,233,"Appendectomy With Complex Principal Diagnosis,MINOR",40759.01,,27169.27,27169.27,1
DRG,234,"Appendectomy Without Complex Principal Diagnosis,MINOR",35351.55,,18623.02,18623.02,1
DRG,244,"Diverticulitis And Diverticulosis,MINOR",28170.51,,13306.68,13306.68,2
DRG,244,"Diverticulitis And Diverticulosis,MODERATE",19548.44,,18601.91,18601.91,1
DRG,245,"Inflammatory Bowel Disease,MINOR",16756.27,,18549.13,18549.13,1
DRG,248,"Major Gastrointestinal And Peritoneal Infections,MODERATE",20520.3,,20878.33,20878.33,1
DRG,249,"Other Gastroenteritis, Nausea And Vomiting,MINOR",10474.63,,12293.37,12293.37,1
DRG,263,"Cholecystectomy,MINOR",45094.04,,26173.56,26173.56,2
DRG,263,"Cholecystectomy,MODERATE",54418.95,,33530.58,33530.58,1
DRG,282,"Disorders Of Pancreas Except Malignancy,MINOR",13202.6,,14140.55,14140.55,1
DRG,282,"Disorders Of Pancreas Except Malignancy,MODERATE",20893.43,,19984.65,19984.65,1
DRG,284,"Disorders Of Gallbladder And Biliary Tract,MINOR",18718.24,,19185.97,19185.97,2
DRG,284,"Disorders Of Gallbladder And Biliary Tract,MODERATE",28202.9,,6512.0,6512.0,1
DRG,315,"Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement,MINOR",35511.39,,31503.97,31503.97,1
DRG,316,"Hand And Wrist Procedures,MINOR",31062.3,,29881.98,29881.98,1
DRG,317,"Tendon, Muscle And Other Soft Tissue Procedures,MODERATE",70062.02,,9613.0,9613.0,1
DRG,351,"Other Musculoskeletal System And Connective Tissue Diagnoses,MINOR",11088.39,,14443.13,14443.13,1
DRG,380,"Skin Ulcers,MINOR",28034.81,,14629.61,14629.61,1
DRG,383,"Cellulitis And Other Skin Infections,MAJOR",21160.52,,26493.73,26493.73,1
DRG,383,"Cellulitis And Other Skin Infections,MODERATE",24085.97,,18246.55,18246.55,1
DRG,420,"Diabetes,MODERATE",18790.0,,17440.83,17440.83,2
DRG,422,"Hypovolemia And Related Electrolyte Disorders,MAJOR",40564.09,,24460.08,24460.08,1
DRG,425,"Other Non-Hypovolemic Electrolyte Disorders,MINOR",20913.56,,12638.18,12638.18,1
DRG,425,"Other Non-Hypovolemic Electrolyte Disorders,MODERATE",14634.6,,16723.07,16723.07,1
DRG,426,"Non-Hypovolemic Sodium Disorders,MODERATE",30742.29,,18461.17,18461.17,1
DRG,427,"Thyroid Disorders,MODERATE",17679.76,,18725.05,18725.05,1
DRG,463,"Kidney And Urinary Tract Infections,MINOR",31434.23,,12821.14,12821.14,1
DRG,463,"Kidney And Urinary Tract Infections,MODERATE",24028.6,,16100.31,16100.31,2
DRG,469,"Acute Kidney Injury,MAJOR",31204.37,,29741.24,29741.24,1
DRG,513,"Gynecologic Procedures Without Malignancy,MODERATE",41167.26,,31961.36,31961.36,1
DRG,519,"Gynecologic Procedures For Leiomyoma,MINOR",48712.22,,24650.08,24650.08,1
DRG,531,"Female Reproductive System Infections,MODERATE",38302.56,,18883.38,18883.38,1
DRG,539,"Cesarean Section With Sterilization,MINOR",33877.32,,24621.93,24621.93,2
DRG,539,"Cesarean Section With Sterilization,MODERATE",36187.45,,29012.92,29012.92,2
DRG,540,"Cesarean Section Without Sterilization,MAJOR",43696.26,,41985.35,41985.35,1
DRG,540,"Cesarean Section Without Sterilization,MINOR",34776.78,,25304.51,25304.51,2
DRG,540,"Cesarean Section Without Sterilization,MODERATE",43298.62,,32309.69,32309.69,1
DRG,542,"Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C,MAJOR",43207.52,,11132.0,11132.0,1
DRG,547,"Antepartum With O.R. Procedure,MAJOR",42495.57,,45813.4,45813.4,1
DRG,560,"Vaginal Delivery,MAJOR",51613.65,,27236.12,27236.12,1
DRG,560,"Vaginal Delivery,MINOR",33356.59,,18964.31,18964.31,2
DRG,560,"Vaginal Delivery,MODERATE",35257.12,,25160.25,25160.25,1
DRG,581,"Neonate, Transferred < 5 Days Old, Born Here,MINOR",4982.58,,5939.0,5939.0,1
DRG,581,"Neonate, Transferred < 5 Days Old, Born Here,MODERATE",4556.79,,6689.0,6689.0,1
DRG,634,"Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition,MINOR",5426.53,,28756.08,28756.08,1
DRG,640,"Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem,MAJOR",6980.53,,12923.17,12923.17,2
DRG,640,"Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem,MINOR",5267.58,,4813.2,4813.2,2
DRG,640,"Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem,MODERATE",5874.85,,6129.09,6129.09,1
DRG,720,"Septicemia And Disseminated Infections,MODERATE",20654.9,,2108.0,2108.0,1
DRG,721,"Post-Operative, Post-Traumatic, Other Device Infections,MODERATE",23580.76,,22954.2,22954.2,1
DRG,723,"Viral Illness,MAJOR",13739.71,,26750.58,26750.58,1
DRG,723,"Viral Illness,MODERATE",61625.37,,18577.28,18577.28,1
DRG,770,"Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice,MAJOR",20898.46,,18957.27,18957.27,1
DRG,775,"Alcohol Abuse And Dependence,MAJOR",33741.42,,28562.57,28562.57,1
DRG,775,"Alcohol Abuse And Dependence,MINOR",16777.71,,14949.78,14949.78,1
DRG,775,"Alcohol Abuse And Dependence,MODERATE",23126.21,,18992.45,18992.45,1
DRG,861,"Signs, Symptoms And Other Factors Influencing Health Status,MODERATE",26084.61,,18925.6,18925.6,1
DRG,951,"Moderately Extensive O.R. Procedure Unrelated To Principal Diagnosis,MINOR",39349.46,,33738.17,33738.17,1
HCPCS,77065,Diagnostic Mammography 2d Digital (Incl. Cad),752.0,564.0,376.0,591.82,3
HCPCS,77066,Diagnostic Mammo Bilat 2d Digital (Incl. Cad),960.0,720.0,480.0,894.72,11
HCPCS,77067,Mammogram Screen Bilat Digital (Incl. Cad),814.0,610.5,407.0,758.65,16
HCPCS,87635,Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq,150.0,112.5,105.72,139.8,5
HCPCS,A4562,Pessary Non-Rubber T1,96.0,72.0,75.55,75.55,1
HCPCS,A4565,SLING ARM MED BLACK,32.85,24.64,23.15,23.15,1
HCPCS,A4565,Slings T1,10.0,7.5,7.05,7.05,1
HCPCS,C1601,BRONCHOSCOPE THERAPEUTIC 5.6/2.8 5 AMBU ASCOPE HD BX/5EA,1197.0,897.75,598.5,598.5,1
HCPCS,C1713,ANCHOR KNOTLESS SYNDESMOSIS TIGHTROPE XP LF TITANIUM STERILE,3737.5,2803.12,2634.19,3483.35,6
HCPCS,C1713,ANCHOR SURGICAL 3MM GRYPHON PROKNOT SUTURE,858.0,643.5,604.72,799.66,6
HCPCS,C1713,ANCHOR SUTURE 19.1X5.5MM ARTHROSCOPY SWIVELOCK BIOCOMPOSITE VENTED CLOSED EYELET BX/5EA,1200.0,900.0,845.76,1118.4,6
HCPCS,C1713,ANCHOR SUTURE 2.2X4MM MICRO CORKSCREW FT WITH 4.0 FIBERWIRE AND TWO NEEDLES SOFT BONE K WIRE HAND BX/5EA,855.0,641.25,602.6,796.86,6
HCPCS,C1713,ANCHOR SUTURE 2.9MM ARTHROSCOPY JUGGERKNOT SOFT DOUBLE LOADED TAPERED NEEDLE,1038.24,778.68,731.75,967.64,6
HCPCS,C1713,ANCHOR SUTURE 4.75MM HEALICOIL REGENSORB WITH 2 #2 ULTRABRAID,885.0,663.75,623.75,824.82,6
HCPCS,C1713,ANCHOR SUTURE 4.75X19.1MM SWIVELOCK IMPLANT ARTHROSCOPY SPEEDBRIDGE BIOCOMPOSITE,4350.0,3262.5,3065.88,4054.2,6
HCPCS,C1713,ANCHOR SUTURE 5.5MM ARTHROSCOPY HEALIX ADVANCE BIOCRYL RAPIDE ORTHOCORD,936.0,702.0,659.69,872.35,6
HCPCS,C1713,ANCHOR SUTURE SIZE 2 0 ARTHROSCOPY VERSALOK ORTHOCORD NONABSORBABLE,954.0,715.5,672.38,889.13,6
HCPCS,C1713,ANCHOR SUTURE SIZE 2 0 NEEDLECP2 LENGTH8.8X2.4MM ARTHROSCOPY GII QUICK SS ORTHOCORD,594.0,445.5,418.65,553.61,6
HCPCS,C1713,ANCHOR SUTURE SIZE 3 0 NEEDLEV4 LENGTH1.3MM ARTHROSCOPY ETHIBOND QUICK MICRO,885.0,663.75,623.75,824.82,6
HCPCS,C1713,ANKLE PLATE 106.0MM 8 HOLE BONE THIRD TUBULAR SS LOCKING STRAIGHT,795.0,596.25,560.32,740.94,6
HCPCS,C1713,ANKLE PLATE 106MM 8 HOLE BONE SS LOCKING STRAIGHT,1650.0,1237.5,1162.92,1537.8,6
HCPCS,C1713,ANKLE PLATE 131MM 10 HOLE BONE SS LOCKING STRAIGHT,1785.0,1338.75,1258.07,1663.62,6
HCPCS,C1713,ANKLE PLATE 131MM 10 HOLE BONE THIRD TUBULAR SS LOCKING STRAIGHT,840.0,630.0,592.03,782.88,6
HCPCS,C1713,ANKLE PLATE 156.0MM 12 HOLE BONE THIRD TUBULAR SS LOCKING STRAIGHT,900.0,675.0,634.32,838.8,6
HCPCS,C1713,ANKLE PLATE 156MM 12 HOLE BONE SS LOCKING STRAIGHT,2085.0,1563.75,1469.51,1943.22,6
HCPCS,C1713,ANKLE PLATE 55.0MM 4 HOLE BONE THIRD TUBULAR SS LOCKING STRAIGHT,675.0,506.25,475.74,629.1,6
HCPCS,C1713,ANKLE PLATE 55MM 4 HOLE BONE SS LOCKING STRAIGHT,1350.0,1012.5,951.48,1258.2,6
HCPCS,C1713,ANKLE PLATE 61MM 3 HOLE BONE MEDIAL SS LOCKING,2475.0,1856.25,1744.38,2306.7,6
HCPCS,C1713,ANKLE PLATE 63.5MM 5 HOLE BONE THIRD TUBULAR SS LOCKING STRAIGHT,705.0,528.75,496.88,657.06,6
HCPCS,C1713,ANKLE PLATE 72MM 3 HOLE BONE LATERAL HOOK SS LOCKING,2100.0,1575.0,1480.08,1957.2,6
HCPCS,C1713,ANKLE PLATE 80.0MM 6 HOLE BONE THIRD TUBULAR SS LOCKING STRAIGHT,720.0,540.0,507.46,671.04,6
HCPCS,C1713,ANKLE PLATE 80MM 6 HOLE BONE SS LOCKING STRAIGHT,1425.0,1068.75,1004.34,1328.1,6
HCPCS,C1713,ANKLE PLATE 93.0MM 7 HOLE BONE THIRD TUBULAR SS LOCKING STRAIGHT,765.0,573.75,539.17,712.98,6
HCPCS,C1713,ANKLE PLATE 93MM 7 HOLE BONE SS LOCKING STRAIGHT,1575.0,1181.25,1110.06,1467.9,6
HCPCS,C1713,ANKLE PLATE 97MM 7 HOLE BONE MEDIAL SS LOCKING,2700.0,2025.0,1902.96,2516.4,6
HCPCS,C1713,BLADE BONE 100X11MM TROCHANTERIC FIXATION TITANIUM HELICAL STERILE,1772.46,1329.34,1249.23,1651.93,6
HCPCS,C1713,BLADE BONE 95X11MM TROCHANTERIC FIXATION TI HELICAL,1439.73,1079.8,1014.72,1341.83,6
HCPCS,C1713,BLADE HELICAL 10.5X100MM FENESTRATED TFN-ADVANCED TITANIUM,1386.39,1039.79,977.13,1292.12,6
HCPCS,C1713,BOLT SPINE 18MM LEGION HINGE COUPLING,1407.0,1055.25,991.65,1311.32,6
HCPCS,C1713,BONE BOVINE 500MG .8-1.2CC COLLAGEN GRAFTING MATERIAL BIO-OSS,1056.0,792.0,744.27,984.19,6
HCPCS,C1713,BONE NAIL 9.5MMX160 HUMERAL PROXIMAL CANNULATED TI MULTILOC RIGHT,3565.88,2674.41,2513.23,3323.4,6
HCPCS,C1713,BONE PLATE 11 HOLE LEFT VOLAR PEEK,3990.0,2992.5,2812.15,3718.68,6
HCPCS,C1713,BONE PLATE 2.4X76MM 2X10HOLE T-SHAPE NARROW LOCKING,3398.07,2548.55,2394.96,3167.0,6
HCPCS,C1713,BONE PLATE 2MM 29 5 HOLE MINI FRAGMENT STRAIGHT SS,642.69,482.02,452.97,598.99,6
HCPCS,C1713,BONE PLATE 3 HOLE LEFT VOLAR ANGLE FIXED,2850.0,2137.5,2008.68,2656.2,6
HCPCS,C1713,BONE PLATE 3 HOLE LEFT VOLAR PEEK,2985.0,2238.75,2103.83,2782.02,6
HCPCS,C1713,BONE PLATE 3.5MM 14 HOLE RECONSTRUCTION LCP CURVED,2142.3,1606.72,1509.89,1996.62,6
HCPCS,C1713,BONE PLATE 3.5MM 16 HOLE RECONSTRUCTION LCP CURVED,2289.93,1717.45,1613.94,2134.21,6
HCPCS,C1713,BONE PLATE 3.5MM 18 HOLE RECONSTRUCTION LCP CURVED,2469.75,1852.31,1740.68,2301.81,6
HCPCS,C1713,BONE PLATE 3.5MM 280 20HOLE LCP RECONSTRUCTION SYN,2091.24,1568.43,1473.91,1949.04,6
HCPCS,C1713,BONE PLATE 3.5MMX100 4 HOLE HEAD 8 SHAFT BONE LCP STAINLESS T SHAPE RIGHT ANGLE,1344.21,1008.16,947.4,1252.8,6
HCPCS,C1713,BONE PLATE 3.5MMX107 3 HOLE HEAD 8 SHAFT LCP SS T SHAPE OBLIQUE,980.13,735.1,690.8,913.48,6
HCPCS,C1713,BONE PLATE 3.5MMX176 13 HOLE LCP SS LOCKING STRAIGHT,1032.3,774.22,727.57,962.1,6
HCPCS,C1713,BONE PLATE 3.5MMX202 15 HOLE LCP SS LOCKING STRAIGHT,1439.67,1079.75,1014.68,1341.77,6
HCPCS,C1713,BONE PLATE 3.5MMX57 3 HOLE HEAD 4 SHAFT LCP SS T SHAPE RT ANGLE,724.83,543.62,510.86,675.54,6
HCPCS,C1713,BONE PLATE 3.5MMX77 3 HOLE HEAD 6 SHAFT T SHAPE RIGHT ANGLE LCP SS,925.74,694.3,652.46,862.79,6
HCPCS,C1713,BONE PLATE 3.5MMX89 4 HOLE HEAD 7 SHAFT BONE LCP STAINLESS T SHAPE RIGHT ANGLE,1122.21,841.66,790.93,1045.9,6
HCPCS,C1713,BONE PLATE 3.5MMX97 3 HOLE HEAD 8 SHAFT LCP STAINLESS T SHAPE RIGHT ANGLE,1349.76,1012.32,951.31,1257.98,6
HCPCS,C1713,BONE PLATE 3.5X106MM 8 HOLE LCP SS RECONSTRUCTION CURVED,1741.59,1306.19,1227.47,1623.16,6
HCPCS,C1713,BONE PLATE 3.5X107MM 3 HOLE HEAD 8 SHAFT LCP SS T SHAPE OBLIQUE,983.46,737.59,693.14,916.58,6
HCPCS,C1713,BONE PLATE 3.5X126MM 9 HOLE LCP SS RECONSTRUCTION,1239.87,929.9,873.86,1155.56,6
HCPCS,C1713,BONE PLATE 3.5X129MM 10 HOLE RECONSTRUCTION CURVED STAINLESS LCP,1821.51,1366.13,1283.8,1697.65,6
HCPCS,C1713,BONE PLATE 3.5X137MM 10 HOLE LCP SS LOCKING STRAIGHT BX/2EA,803.64,602.73,566.41,748.99,6
HCPCS,C1713,BONE PLATE 3.5X138MM 10 HOLE METAPHYSL LCP SS,2052.39,1539.29,1446.52,1912.83,6
HCPCS,C1713,BONE PLATE 3.5X140MM 10 HOLE LCP SS RECONSTRUCTION,1219.89,914.92,859.78,1136.94,6
HCPCS,C1713,BONE PLATE 3.5X149MM 12 HOLE RECONSTRUCTION LCP CURVED,1908.09,1431.07,1344.82,1778.34,6
HCPCS,C1713,BONE PLATE 3.5X150MM 11 HOLE LCP SS LOCKING STRAIGHT,849.15,636.86,598.48,791.41,6
HCPCS,C1713,BONE PLATE 3.5X154MM 11 HOLE LCP SS RECONSTRUCTION,1322.01,991.51,931.75,1232.11,6
HCPCS,C1713,BONE PLATE 3.5X163MM 12 HOLE LCP SS LOCKING STRAIGHT BX/2EA,889.11,666.83,626.64,828.65,6
HCPCS,C1713,BONE PLATE 3.5X168MM 12 HOLE LCP SS RECONSTRUCTION,1350.87,1013.15,952.09,1259.01,6
HCPCS,C1713,BONE PLATE 3.5X182MM 13 HOLE LCP SS RECONSTRUCTION,1461.87,1096.4,1030.33,1362.46,6
HCPCS,C1713,BONE PLATE 3.5X189MM 14 HOLE LCP SS LOCKING STRAIGHT BX/2EA,1337.55,1003.16,942.71,1246.6,6
HCPCS,C1713,BONE PLATE 3.5X196MM 14 HOLE LCP SS RECONSTRUCTION,1517.37,1138.03,1069.44,1414.19,6
HCPCS,C1713,BONE PLATE 3.5X215MM 16 HOLE LCP SS LOCKING STRAIGHT,1505.16,1128.87,1060.84,1402.81,6
HCPCS,C1713,BONE PLATE 3.5X224MM 16 HOLE LCP SS RECONSTRUCTION,1645.02,1233.76,1159.41,1533.16,6
HCPCS,C1713,BONE PLATE 3.5X241MM 18 HOLE LCP SS LOCKING STRAIGHT,1689.42,1267.06,1190.7,1574.54,6
HCPCS,C1713,BONE PLATE 3.5X252MM 18 HOLE LCP SS RECONSTRUCTION,1724.94,1293.7,1215.74,1607.64,6
HCPCS,C1713,BONE PLATE 3.5X267MM 20 HOLE LCP SS LOCKING STRAIGHT,1874.79,1406.09,1321.35,1747.3,6
HCPCS,C1713,BONE PLATE 3.5X293MM 22 HOLE LCP SS LOCKING STRAIGHT,1878.12,1408.59,1323.7,1750.41,6
HCPCS,C1713,BONE PLATE 3.5X308MM 22 HOLE RECONSTRUCTION SS,2173.38,1630.03,1531.8,2025.59,6
HCPCS,C1713,BONE PLATE 3.5X46MM 3 HOLE LCP SS LOCKING STRAIGHT,606.06,454.54,427.15,564.85,6
HCPCS,C1713,BONE PLATE 3.5X50MM 3 HOLE HD SHAFT T RT ANGLE LCP SS,679.32,509.49,478.78,633.13,6
HCPCS,C1713,BONE PLATE 3.5X50MM 4 3 HOLE LCP SS T SHAPE,697.08,522.81,491.3,649.68,6
HCPCS,C1713,BONE PLATE 3.5X52MM 3 HOLE HD SHAFT LCP SS OBLIQUE T SHAPE LEFT,763.68,572.76,538.24,711.75,6
HCPCS,C1713,BONE PLATE 3.5X55MM 4 HOLE RECONSTRUCTION CURVED LCP SS,1481.85,1111.39,1044.41,1381.08,6
HCPCS,C1713,BONE PLATE 3.5X56MM 4 HOLE HD SHAFT LCP SS T SHAPE RT ANGLE,702.63,526.97,495.21,654.85,6
HCPCS,C1713,BONE PLATE 3.5X56MM 4 HOLE LCP SS RECONSTRUCTION,950.16,712.62,669.67,885.55,6
HCPCS,C1713,BONE PLATE 3.5X59MM 4 HOLE LCP SS LOCKING STRAIGHT,633.81,475.36,446.71,590.71,6
HCPCS,C1713,BONE PLATE 3.5X63MM 3 HOLE HD 4 SHAFT LCP SS OBLIQUE T SHAPE LEFT,799.2,599.4,563.28,744.85,6
HCPCS,C1713,BONE PLATE 3.5X67MM 3 HOLE HD 5 SHAFT T RT ANGLE LCP SS,770.34,577.75,542.94,717.96,6
HCPCS,C1713,BONE PLATE 3.5X67MM 4 HOLE HD 5 SHAFT T SHAPE RT ANGLE LCP SS,795.87,596.9,560.93,741.75,6
HCPCS,C1713,BONE PLATE 3.5X70MM 5 HOLE LCP SS RECONSTRUCTION,930.18,697.63,655.59,866.93,6
HCPCS,C1713,BONE PLATE 3.5X72MM 5 HOLE LCP SS LOCKING STRAIGHT BX/2EA,648.24,486.18,456.88,604.16,6
HCPCS,C1713,BONE PLATE 3.5X74MM 3 HOLE HD 5 SHAFT LCP SS OBLIQUE T SHAPE LEFT,834.72,626.04,588.31,777.96,6
HCPCS,C1713,BONE PLATE 3.5X78MM 4 HOLE HD 6 SHAFT T RT ANGLE LCP SS,900.21,675.16,634.47,839.0,6
HCPCS,C1713,BONE PLATE 3.5X82MM 6 HOLE LCP SS RECONSTRUCTION CURVED,1603.95,1202.96,1130.46,1494.88,6
HCPCS,C1713,BONE PLATE 3.5X84MM 6 HOLE LCP SS RECONSTRUCTION,1074.48,805.86,757.29,1001.42,6
HCPCS,C1713,BONE PLATE 3.5X85MM 3 HOLE HD 6 SHAFT T SHAPE LCP OBLIQUE SS LEFT,893.55,670.16,629.77,832.79,6
HCPCS,C1713,BONE PLATE 3.5X87MM 3 HOLE HD 7 SHAFT LCP SS T SHAPE RT ANGLE,1125.54,844.15,793.28,1049.0,6
HCPCS,C1713,BONE PLATE 3.5X96MM 3 HOLE HD 7 SHAFT LCP SS OBLIQUE T SHAPE LEFT,904.65,678.49,637.6,843.13,6
HCPCS,C1713,BONE PLATE 3.5X98MM 7 HOLE LCP SS RECONSTRUCTION,1126.65,844.99,794.06,1050.04,6
HCPCS,C1713,BONE PLATE 3.5X99.0MM 7 HOLE LCP SS METAPHYSEAL,1955.82,1466.86,1378.46,1822.82,6
HCPCS,C1713,BONE PLATE 38X2MM 5 HOLE LCP STAINLESS STRAIGHT,552.78,414.58,389.6,515.19,6
HCPCS,C1713,BONE PLATE 3X3.5 52MM HOLE T OBLIQUE LCP STAINLESS RIGHT,762.57,571.93,537.46,710.72,6
HCPCS,C1713,BONE PLATE 3X3.5 63MM 4 HOLE T OBLIQUE LCP STAINLESS RIGHT,796.98,597.73,561.71,742.79,6
HCPCS,C1713,BONE PLATE 3X3.5 74MM 5 HOLE T OBLIQUE LCP STAINLESS RIGHT,832.5,624.37,586.75,775.89,6
HCPCS,C1713,BONE PLATE 3X3.5 96MM 7 HOLE T OBLIQUE LCP STAINLESS RIGHT,903.54,677.65,636.81,842.1,6
HCPCS,C1713,BONE PLATE 5 HOLE LEFT VOLAR PEEK,3285.0,2463.75,2315.27,3061.62,6
HCPCS,C1713,BONE PLATE 5 HOLE WIDE LEFT VOLAR ANGEL FIXED,3585.0,2688.75,2526.71,3341.22,6
HCPCS,C1713,BONE PLATE 57X3.5MM 5 HOLE TUBULAR ONE THIRD WITH COLLAR LCP SS,370.74,278.05,261.3,345.53,6
HCPCS,C1713,BONE PLATE 7 HOLE LEFT VOLAR PEEK,3885.0,2913.75,2738.15,3620.82,6
HCPCS,C1713,BONE PLATE 85X3.5MM 6 HOLE LCP SS LOCKING STRAIGHT BX/2EA,673.77,505.33,474.87,627.95,6
HCPCS,C1713,BONE PLATE 9 HOLE LEFT VOLAR PEEK,3987.5,2990.62,2810.39,3716.35,6
HCPCS,C1713,BONE PLATE 93X3.5MM 8 HOLE TUBULAR ONE THIRD WITH COLLAR LCP SS,396.27,297.2,279.29,369.32,6
HCPCS,C1713,BONE PLATE CPR FIBERWIRE PLANTER NEEDLE PIGTAIL SCREW MINI SCORPION DX,2850.0,2137.5,2008.68,2656.2,6
HCPCS,C1713,BONE PLATE VOLAR SHEAR 6 HOLE RIGHT,1710.0,1282.5,1205.21,1593.72,6
HCPCS,C1713,BONE PLATE WIRE SM VIROFORM FRAGMENT,315.0,236.25,222.01,293.58,6
HCPCS,C1713,BONE SCREW 12.7X22 90MM LAG S/S CANC SELF TAP CANNULATED NON LOCK,880.23,660.17,620.39,820.37,6
HCPCS,C1713,BONE SCREW 12.7X50MM LAG DHS/DCS SS,842.49,631.87,593.79,785.2,6
HCPCS,C1713,BONE SCREW 120MM 12.7 LAG DHS/DCS ONE STEP STAINLESS CANNULATED THREAD,770.34,577.75,542.94,717.96,6
HCPCS,C1713,CABLE ORTHOPEDIC 750X1.7MM SS CRIMP,1071.15,803.36,754.95,998.31,6
HCPCS,C1713,CEMENT BONE 1X40GM PALACOS R HIGH VISCOSITY,168.0,126.0,118.41,156.58,6
HCPCS,C1713,CEMENT BONE 40GRAM SMARTSET HV MULTIPLES OF 20S,180.0,135.0,126.86,167.76,6
HCPCS,C1713,CEMENT BONE SIMPLEX P TOBRAMYCIN 41G POWDER AND 20ML AMPOULE ANTIBIOTIC IMPREGNATED FULL DOSE BX/10EA,750.0,562.5,528.6,699.0,6
HCPCS,C1713,CLAVICLE PLATE 3.5X101MM 12 HOLE BONE TITANIUM LOCKING DISTAL LEFT,3603.0,2702.25,2539.39,3358.0,6
HCPCS,C1713,CONDYLAR PLATE 4.5X350MM 16 HOLE LCP RT SS,3759.2,2819.4,2649.48,3503.57,6
HCPCS,C1713,CRANIOMAXILLOFACIAL PLATE 3.5MMX85 3 HOLE HEAD OBLIQUE 6 SHAFT BONE LCP STAINLESS T SHAPE,891.33,668.5,628.21,830.72,6
HCPCS,C1713,DEVICE FIXATION 1.2MM BONE TENDON ENDOBUTTON CL ULTRA PAC,975.0,731.25,687.18,908.7,6
HCPCS,C1713,DISTAL PLATE 91MM 5 HOLE BONE FIBULA SS LOCKING LEFT,1950.0,1462.5,1374.36,1817.4,6
HCPCS,C1713,ENDCAP BONE 0MM MULTILOC TI NAIL EXTENSION,479.52,359.64,337.97,446.91,6
HCPCS,C1713,FIBULA PLATE 104MM 6 HOLE BONE DISTAL SS LOCKING LEFT,2175.0,1631.25,1532.94,2027.1,6
HCPCS,C1713,FIBULA PLATE 130MM 8 HOLE BONE DISTAL SS LOCKING LEFT,2385.0,1788.75,1680.95,2222.82,6
HCPCS,C1713,FIBULA PLATE 91MM 5 HOLE BONE DISTAL SS LOCKING RIGHT,1950.0,1462.5,1374.36,1817.4,6
HCPCS,C1713,GRAFT BONE 2.5CC ALLO DEMINERALIZED MATRIX PUTTY SYRINGE FREEZE DRY,965.64,724.23,680.58,899.98,6
HCPCS,C1713,GUIDE AIMING FIBULA AVULSION PLATE,1050.0,787.5,740.04,978.6,6
HCPCS,C1713,GUIDEWIRE ORTHOPEDIC 2.8MM 450 SS FLUTED,198.69,149.02,140.04,185.18,6
HCPCS,C1713,HAND PLATE .8MM COMPRESSION T SHAPE,1416.0,1062.0,998.0,1319.71,6
HCPCS,C1713,HAND PLATE 0.8MM 6 HOLE TITANIUM COMPRESSION,1128.0,846.0,795.01,1051.3,6
HCPCS,C1713,HAND PLATE 0.8MM BONE COMPRESSION CURVED MEDIAL LATERAL,1311.0,983.25,923.99,1221.85,6
HCPCS,C1713,HAND PLATE 0.8MM HOLE TITANIUM COMPRESSION OFFSET,1176.0,882.0,828.84,1096.03,6
HCPCS,C1713,HUMERUS PLATE 3.5MM 5 HOLE DISTAL MEDIAL LCP LOCKING SS LEFT,1983.57,1487.68,1398.02,1848.69,6
HCPCS,C1713,HUMERUS PLATE 3.5X196MM LONG 8 HOLE SHAFT PROXIMAL LCP,3438.68,2579.01,2423.58,3204.85,6
HCPCS,C1713,HUMERUS PLATE 3.5X65MM 3 HOLE POSTEROLATERAL DISTAL LCP SS LEFT,1787.1,1340.32,1259.55,1665.58,6
HCPCS,C1713,HUMERUS PLATE 3.5X90MM 6 HOLE HD 3 SHAFT PROXIMAL LCP STANDARD,3668.94,2751.7,2585.87,3419.45,6
HCPCS,C1713,Implant Anchor T1,1143.14,857.35,805.69,1065.41,6
HCPCS,C1713,Implant Anchor T3,4311.67,3233.75,3038.87,4018.48,6
HCPCS,C1713,Implant Bone Void Filler T1,1004.74,753.55,708.14,936.42,6
HCPCS,C1713,Implant Pin/Wire/Peg T1,317.09,237.82,223.49,295.53,6
HCPCS,C1713,K-WIRE .9X120MM,75.0,56.25,52.86,69.9,6
HCPCS,C1713,K-WIRE BONE 0.035X5 1/2IN GUIDE SS DOUBLE TROCAR POINT PK/6E - DISCONTINUED PER SUPPLIER/CONTRACTS,10.9,8.17,7.68,10.16,6
HCPCS,C1713,K-WIRE BONE 1.1X140MM GUIDE SS DOUBLE TROCAR POINT PK/6EA,18.5,13.87,13.04,17.24,6
HCPCS,C1713,K-WIRE BONE 1.6X150MM 5 FIXATION SS TROCAR POINT PK/10EA,36.74,27.55,25.89,34.24,6
HCPCS,C1713,K-WIRE BONE 2.8X300MM FIXATION SS TROCAR POINT THREADED,88.32,66.24,62.25,82.31,6
HCPCS,C1713,K-WIRE BONE 2X150MM FIXATION SS TROCAR POINT PK/10EA,19.76,14.82,13.93,18.42,6
HCPCS,C1713,K-WIRE BONE 6IN K .028 SS SMOOTH TROCAR POINT DUAL PK/6EA - DISCONTINUED PER SUPPLIER/CONTRACTS,9.85,7.39,6.94,9.18,6
HCPCS,C1713,K-WIRE BONE 6X0.054IN SS DOUBLE TROCAR PK/6EA - DISCONTINUED PER SUPPLIER/CONTRACTS,6.96,5.22,4.91,6.49,6
HCPCS,C1713,K-WIRE BONE 9.0IN 0.062 FIXATION SS DIAMOND POINT TYPE E BX/6EA,150.0,112.5,105.72,139.8,6
HCPCS,C1713,K-WIRE BONE 9IN 0.035 SS SMOOTH TROCAR POINT DUAL PK/6EA - DISCONTINUED PER SUPPLIER/CONTRACTS,6.96,5.22,4.91,6.49,6
HCPCS,C1713,K-WIRE COMPRESSION 1.6X100MM,225.0,168.75,158.58,209.7,6
HCPCS,C1713,K-WIRE GUIDE 9IN 0.045 BONE SS SMOOTH TROCAR POINT DUAL PK/6EA,12.07,9.05,8.51,11.25,6
HCPCS,C1713,KIT GRAFT 15ML BONE PRO DENSE DECOMPRESSION CORE BACKFILL REGENERATIVE,8730.0,6547.5,6152.9,8136.36,6
HCPCS,C1713,KIT LIGAMENT AUGMENT REPAIR HAND WRIST INTERNAL BRACE,3737.5,2803.12,2634.19,3483.35,6
HCPCS,C1713,KIT REPAIR ENDOSCOPIC FIXATION ANKLE KNOTLESS SYNDESMOSIS TIGHTROPE,3525.0,2643.75,2484.42,3285.3,6
HCPCS,C1713,KIT REPAIR TRACTION FIXATION TIGHTROPE SS CANNULATED SYNDESMOSIS,1575.0,1181.25,1110.06,1467.9,6
HCPCS,C1713,MIDSHAFT PLATE 94X11MM MEDIUM 8 HOLE BONE CLAVICLE TITANIUM LOCKING SUPERIOR LOW PROFILE RIGHT,3579.0,2684.25,2522.48,3335.63,6
HCPCS,C1713,NAIL BONE 11X170MM 130DEG TROCHANTERIC FIXATION TITANIUM CANNULATED PROXIMALIMAL,3257.37,2443.03,2295.79,3035.87,6
HCPCS,C1713,NAIL BONE 11X300MM 130DEG FEMORAL CANNULATED TITANIUM TROCHANTERIC FIXATION RIGHT,4348.38,3261.28,3064.74,4052.69,6
HCPCS,C1713,NAIL BONE 12X170MM 130DEG FEMORAL CANNULATED TITANIUM TROCHANTERIC FIXATION INTRAMEDULLARY,3557.82,2668.36,2507.55,3315.89,6
HCPCS,C1713,NAIL BONE 8.5X285MM HUMERAL CANNULATED TITANIUM MULTILOC RIGHT,3715.73,2786.8,2618.85,3463.06,6
HCPCS,C1713,NAIL HUMERAL 9X240MM NAIL-EX TITANIUM CANNULATED,3676.32,2757.24,2591.07,3426.33,6
HCPCS,C1713,OLECRANON PLATE 90MM 5 HOLE BONE ELBOW LOCKING MIDSHAFT SUPERIOR TITANIUM LOW PROFILE LEFT,3822.0,2866.5,2693.75,3562.1,6
HCPCS,C1713,PATELLA RESURFACING SZ 2 E-CROSS,1365.0,1023.75,962.05,1272.18,6
HCPCS,C1713,PEG BONE 16MM VOLAR THREADED,315.0,236.25,222.01,293.58,6
HCPCS,C1713,PEG BONE 2.7X16MM LOCKING,345.0,258.75,243.16,321.54,6
HCPCS,C1713,PEG BONE 2.7X18MM LOCKING,345.0,258.75,243.16,321.54,6
HCPCS,C1713,PIN BONE .125X9IN STEINMANNN SS EXTERNAL FIXATION SMOOTH TROCAR TIP TYPE A BX/6EA,186.18,139.63,131.22,173.52,6
HCPCS,C1713,PIN BONE 2.3X9IN STEINMANN SS TROCAR POINT TYPE A BX/6EA,183.0,137.25,128.98,170.56,6
HCPCS,C1713,PIN BONE 32MM VOLAR BUTTRESS SS,1125.0,843.75,792.9,1048.5,6
HCPCS,C1713,PIN BONE 5X64 9IN STEINMANN SS SMOOTH TROCAR POINT TYPE A BX/6EA,187.68,140.76,132.28,174.92,6
HCPCS,C1713,PIN KNEE 30MM SIZE 6-7 RIMMED SYSTEM SPEED BX/3EA,75.0,56.25,52.86,69.9,6
HCPCS,C1713,PIN SPEED 45MM RIMMED BX/3EA,80.0,60.0,56.38,74.56,6
HCPCS,C1713,PIN WRIST 27MM TRIMED BUTTRESS,870.0,652.5,613.18,810.84,6
HCPCS,C1713,PLATE BONE 111X3.5MM 8 HOLE LCP SS LOCKING STRAIGHT BX/2EA,733.71,550.28,517.12,683.82,6
HCPCS,C1713,PLATE BONE 112X3.5MM 8 HOLE LCP SS RECONSTRUCTION,1176.6,882.45,829.27,1096.59,6
HCPCS,C1713,PLATE BONE 117X3.5MM 10 HOLE TUBULAR ONE THIRD WITH COLLAR LCP SS,406.26,304.69,286.33,378.63,6
HCPCS,C1713,PLATE BONE 124X3.5MM 9 HOLE LCP SS LOCKING STRAIGHT BX/2EA,780.33,585.25,549.98,727.27,6
HCPCS,C1713,PLATE BONE 141X3.5MM 12 HOLE TUBULAR ONE THIRD COLLAR LCP SS,416.25,312.19,293.37,387.95,6
HCPCS,C1713,PLATE BONE 2.5MM 11HOLE ADAPTIVE II TRILOCK DISTAL RADIAL VOL LEFT,3765.0,2823.75,2653.57,3508.98,6
HCPCS,C1713,PLATE BONE 2.5X2MM 12 HOLE ADAPTIVE II TRILOCK DISTAL RADIUS VOLAR LEFT LONG,3735.0,2801.25,2632.43,3481.02,6
HCPCS,C1713,PLATE CLAVICLE 3.5X85MM 6 HOLE LCP STAINLESS STEEL SUPERIOR RIGHT,2281.05,1710.79,1607.68,2125.94,6
HCPCS,C1713,PLATE CRANIUM 1.3MM 3 HOLE 100DEG L SHAPE MODULE OBLIQUE TITANIUM LEFT,428.28,321.21,301.85,399.16,6
HCPCS,C1713,PLATE HIP 138MM STABILIZATION TROCHANTERIC DHS SS,1820.4,1365.3,1283.02,1696.61,6
HCPCS,C1713,PLATE HIP 62MM 3 HOLE 140DEG DHS SS COMPRESSION STANDARD BARREL ANGLE,1295.37,971.53,912.98,1207.28,6
HCPCS,C1713,PLATE HIP 78MM 4 HOLE 130DEG DHS SS COMPRESSION STANDARD BARREL ANGLE STERILE,1425.24,1068.93,1004.51,1328.32,6
HCPCS,C1713,PLATE HIP 78MM 4 HOLE 135DEG DHS SS COMPRESSION STANDARD BARREL,1295.37,971.53,912.98,1207.28,6
HCPCS,C1713,PLATE HIP 94MM 5 HOLE 135DEG DHS SS COMPRESSION STANDARD BARREL,1295.37,971.53,912.98,1207.28,6
HCPCS,C1713,PLATE HUMERUS 3.5X114MM 6X5 HOLE PROXIMAL LCP STANDARD,3785.22,2838.91,2667.82,3527.83,6
HCPCS,C1713,PLATE METAPHYSEAL 3.5X125MM 9 HOLE METAPHYSL LCP SS,2017.98,1513.48,1422.27,1880.76,6
HCPCS,C1713,PLATE METAPHYSEAL 3.5X164MM 12 HOLE METAPHYSL LCP SS,2691.75,2018.81,1897.15,2508.71,6
HCPCS,C1713,PLATE METAPHYSEAL 3.5X208MM 11 HOLE LCP SS,2084.58,1563.43,1469.21,1942.83,6
HCPCS,C1713,PLATE METAPHYSEAL 3.5X216MM 16 HOLE LCP SS,2836.05,2127.04,1998.85,2643.2,6
HCPCS,C1713,PLATE METAPHYSEAL 3.5X242MM 18 HOLE LCP SS,2777.22,2082.91,1957.38,2588.37,6
HCPCS,C1713,PLATE METAPHYSEAL 3.5X86MM 6 HOLE METAPHYSL LCP SS,1918.08,1438.56,1351.86,1787.65,6
HCPCS,C1713,PLATE WIRE 30MM 3 HOLE WRIST FIXATION SYSTEM,1290.0,967.5,909.19,1202.28,6
HCPCS,C1713,PLATE WRIST BEARING 5 HOLE VOLAR SS RIGHT 7-PEG,3555.0,2666.25,2505.56,3313.26,6
HCPCS,C1713,PUTTY BONE 40GM CEMENT SMARTSET HIGH VISCOSITY CS/20EA,630.0,472.5,444.02,587.16,6
HCPCS,C1713,REPAIR BICEP NUMBER 2 SYSTEM DELIVERY IMPLANT DISTAL STRAIGHT NEEDLE,2550.0,1912.5,1797.24,2376.6,6
HCPCS,C1713,SCREW BONE 1.2X10MM CRANIAL EMERGENCY TITANIUM SELF TAPPING TEAL PK/5EA,166.82,125.11,117.57,155.48,6
HCPCS,C1713,SCREW BONE 1.3X7MM CORTEX TI SELF TAPPING CRUCIFORM RECESS,220.89,165.67,155.68,205.87,6
HCPCS,C1713,SCREW BONE 1.5MM 7X20 FIXATION SOFTSILK CANNULATED TITANIUM SOFT THREAD TRAC CANNULA ROUND HEAD,300.0,225.0,211.44,279.6,6
HCPCS,C1713,SCREW BONE 1.5MMX10 HEXALOBE LAG TITANIUM,273.0,204.75,192.41,254.44,6
HCPCS,C1713,SCREW BONE 1.7X7MM TI PROFYLE SELF TAPPING,446.43,334.82,314.64,416.07,6
HCPCS,C1713,SCREW BONE 10X2.7MM CANCELLOUS LOCKING SS LOW PROFILE,345.0,258.75,243.16,321.54,6
HCPCS,C1713,SCREW BONE 11X1.5MM HEXALOBE TITANIUM MULTI,327.0,245.25,230.47,304.76,6
HCPCS,C1713,SCREW BONE 12.0X3.2MM CORTICAL SS LOCKING HEXAGONAL SOCKET FIXED ANGLE,315.0,236.25,222.01,293.58,6
HCPCS,C1713,SCREW BONE 12.7X105MM 22MM THREAD SS LAG DHS DCS ONE STEP,880.23,660.17,620.39,820.37,6
HCPCS,C1713,SCREW BONE 12.7X36MM LAG DHS/DCS ONE STEP SS CANNULATED THREAD,99.9,74.92,70.41,93.11,6
HCPCS,C1713,SCREW BONE 12.7X36MM SET COMPRESSION SS FULL THREAD HEXAGONAL SOCKET,209.79,157.34,147.86,195.52,6
HCPCS,C1713,SCREW BONE 12.7X55MM LAG DHS DCS ONE STEP SS 22MM THREAD,770.34,577.75,542.94,717.96,6
HCPCS,C1713,SCREW BONE 12.7X90MM LAG DHS DCS ONE STEP SS 22MM THREAD,770.34,577.75,542.94,717.96,6
HCPCS,C1713,SCREW BONE 12X3.5MM RADIUS TAP LOC HEXALOBE TITANIUM VOLAR DISTAL PLATING NONLOCKING FULL THREAD,213.0,159.75,150.12,198.52,6
HCPCS,C1713,SCREW BONE 12X4.0MM CANCELLOUS SS NONLOCKING LOW PROFILE,105.0,78.75,74.0,97.86,6
HCPCS,C1713,SCREW BONE 14.0X3.5MM FOOT ANKLE CORTICAL TITANIUM LOW PROFILE T 10 HEXALOBE DRIVE,180.0,135.0,126.86,167.76,6
HCPCS,C1713,SCREW BONE 14X2.5MM CORTICAL APTUS TI HEXADRIVE 7,318.0,238.5,224.13,296.38,6
HCPCS,C1713,SCREW BONE 14X2.7MM TAP LOC HEXALOBE TITANIUM VARIABLE ANGLE LOCKING FULL THREAD DISTAL,420.0,315.0,296.02,391.44,6
HCPCS,C1713,SCREW BONE 16MM COMPRESSION ACUTRAK 2 MICRO TITANIUM CANNULATED FULL THREAD HEADLESS AT2-C16-S,1518.0,1138.5,1069.89,1414.78,6
HCPCS,C1713,SCREW BONE 16X3.2MM CORTICAL SS FIXED ANGLE NONLOCKING HEXAGONAL SOCKET,270.0,202.5,190.3,251.64,6
HCPCS,C1713,SCREW BONE 2.5X18MM COMPRESSION HEADLESS FULLY THREADED TI,622.35,466.76,438.63,580.03,6
HCPCS,C1713,SCREW BONE 2.7X10MM NONLOCKING,285.0,213.75,200.87,265.62,6
HCPCS,C1713,SCREW BONE 2.7X12MM CORTICAL SELF TAPPING FULLY THREADED HEX HEAD SS,105.45,79.09,74.32,98.28,6
HCPCS,C1713,SCREW BONE 2.7X14MM CORTEX SS LOCKING SELF TAPPING FULL THREAD T8 STARDRIVE RECESS,253.08,189.81,178.37,235.87,6
HCPCS,C1713,SCREW BONE 2.7X16MM CORTICAL LOCKING SELF TAPPING T8 STARDRIVE RECESS SS,97.68,73.26,68.84,91.04,6
HCPCS,C1713,SCREW BONE 2.7X16MM SS VARIABLE ANGLE LOCKING SELF TAPPING FULL THREAD T8 STARDRIVE RECESS,304.14,228.1,214.36,283.46,6
HCPCS,C1713,SCREW BONE 2.7X20MM COMPRESSION CANNULATED HEADLESS,1425.0,1068.75,1004.34,1328.1,6
HCPCS,C1713,SCREW BONE 2.7X20MM LOCKING CORTICAL FAR,585.0,438.75,412.31,545.22,6
HCPCS,C1713,SCREW BONE 2.7X22MM VARIAX 2 T8 NON LOCKING FULLY THREADED MINI 656422,462.51,346.88,325.98,431.06,6
HCPCS,C1713,SCREW BONE 2.7X24MM VARIAX 2 T8 LOCKING FULLY THREADED MINI,790.11,592.58,556.87,736.38,6
HCPCS,C1713,SCREW BONE 2.7X45MM CORTEX SS HEXAGONAL SOCKET SELF TAPPING SPHERICAL HEAD SM,105.45,79.09,74.32,98.28,6
HCPCS,C1713,SCREW BONE 2.7X46MM T8,462.51,346.88,325.98,431.06,6
HCPCS,C1713,SCREW BONE 2.7X55MM CORTEX SS HEXAGONAL SOCKET SELF TAPPING SPHERICAL HEAD SM,122.1,91.57,86.06,113.8,6
HCPCS,C1713,SCREW BONE 2.7X55MM CORTEX SS LOCKING SELF TAPPING FULL THREAD T8 STARDRIVE RECESS,253.08,189.81,178.37,235.87,6
HCPCS,C1713,SCREW BONE 2.7X70MM LOCKING T8,790.11,592.58,556.87,736.38,6
HCPCS,C1713,SCREW BONE 20X2.3MM CORTICAL ACU LOC 2 TITANIUM VOLAR DISTAL PLATING NONTOGGLING,258.0,193.5,181.84,240.46,6
HCPCS,C1713,SCREW BONE 20X6.5MM HIP CANCELLOUS REFLECTION SS SPHERICAL HEAD,114.0,85.5,80.35,106.25,6
HCPCS,C1713,SCREW BONE 22X3MM CORTICAL TI LOW PROFILE FULL THREAD,330.0,247.5,232.58,307.56,6
HCPCS,C1713,SCREW BONE 24MM COMPRESSION ACUTRAK 2 MICRO TITANIUM CANNULATED FULL THREAD HEADLESS AT2-C24,1518.0,1138.5,1069.89,1414.78,6
HCPCS,C1713,SCREW BONE 24X2.5MM CORTICAL APTUS TITANIUM HEXADRIVE 7,522.0,391.5,367.91,486.5,6
HCPCS,C1713,SCREW BONE 25X6.5MM HIP CANCELLOUS PINNACLE SS DOME,162.0,121.5,114.18,150.98,6
HCPCS,C1713,SCREW BONE 2X10MM CORTEX SS SELF TAPPING CRUCIFORM RECESS,113.22,84.91,79.8,105.52,6
HCPCS,C1713,SCREW BONE 2X10MM CORTEX SS SELF TAPPING FULL THREAD T6 STARDRIVE RECESS,129.87,97.4,91.53,121.04,6
HCPCS,C1713,SCREW BONE 2X11MM TWIST-OFF NON STERILE,948.63,711.47,668.59,884.12,6
HCPCS,C1713,SCREW BONE 2X8MM CORTEX SS LOCKING SELF TAPPING STARDRIVE RECESS,238.65,178.99,168.2,222.42,6
HCPCS,C1713,SCREW BONE 3.5X10MM CORTEX SELF TAPPING FULLY THREADED HEX HEAD SS,71.04,53.28,50.07,66.21,6
HCPCS,C1713,SCREW BONE 3.5X10MM CORTEX STAINLESS STEEL SELF-TAPPING T15 STARDRIVE RECESS,72.15,54.11,50.85,67.24,6
HCPCS,C1713,SCREW BONE 3.5X12MM CORTEX SELF TAPPING FULLY THREADED HEX HEAD SS,51.63,38.72,36.39,48.12,6
HCPCS,C1713,SCREW BONE 3.5X12MM CORTEX STAINLESS STEEL SELF-TAPPING T15 STARDRIVE RECESS,72.15,54.11,50.85,67.24,6
HCPCS,C1713,SCREW BONE 3.5X22MM AXSOS CORTEX TITANIUM,160.59,120.44,113.18,149.67,6
HCPCS,C1713,SCREW BONE 3.5X24MM COMPRESSION SS LOCKING SELF TAPPING FULL THREAD T15 STARDRIVE RECESS,291.93,218.95,205.75,272.08,6
HCPCS,C1713,SCREW BONE 3.5X28MM CORTEX SS SHAFT HEXAGONAL SOCKET PARTIAL THREAD FLAT HEAD,53.28,39.96,37.55,49.66,6
HCPCS,C1713,SCREW BONE 3.5X40MM TAP LOC LOCKING FULL THREAD SELF TAPPING,525.0,393.75,370.02,489.3,6
HCPCS,C1713,SCREW BONE 30X4.0MM CANNULATED SS LOW PROFILE LONG THREAD,495.0,371.25,348.88,461.34,6
HCPCS,C1713,SCREW BONE 30X4MM TITANIUM LOCKING SELF TAPPING FULL THREAD T25 STARDRIVE RECESS DARK BLUE,377.4,283.05,265.99,351.74,6
HCPCS,C1713,SCREW BONE 30X6.5MM HIP CANCELLOUS SPHERICAL HEAD FOR REFLECTION SYSTEM 16A CS/1BX/1EA,114.0,85.5,80.35,106.25,6
HCPCS,C1713,SCREW BONE 4.0X50MM CANCELLOUS SS NONLOCKING LOW PROFILE,105.0,78.75,74.0,97.86,6
HCPCS,C1713,SCREW BONE 4.5X115.0MM CORTEX SS FULL THREAD LG HEXAGONAL SOCKET,265.29,198.97,186.98,247.25,6
HCPCS,C1713,SCREW BONE 4.5X125MM SS CORTEX SELF TAPPING FULL THREAD LG HEXAGONAL SOCKET,143.19,107.39,100.92,133.45,6
HCPCS,C1713,SCREW BONE 4.5X24MM CORTEX SS STANDARD LG HEXAGONAL SOCKET FLAT HEAD,149.85,112.39,105.61,139.66,6
HCPCS,C1713,SCREW BONE 4.5X36MM CANNULATED SS SELF DRILLING TAPPING FULL THREAD LG HEXAGONAL SOCKET,396.48,297.36,279.44,369.52,6
HCPCS,C1713,SCREW BONE 4.5X46MM CORTEX SS SELF TAPPING FULL THREAD LG HEXAGONAL SOCKET,81.03,60.77,57.11,75.52,6
HCPCS,C1713,SCREW BONE 4.5X46MM TITANIUM BLUNT TIP SELF CUTTING FULL THREAD MULTILOC SUTURE HOLE COUNTERSINK HEAD GOLD,555.0,416.25,391.16,517.26,6
HCPCS,C1713,SCREW BONE 4.5X72MM CORTEX SS STANDARD LG HEXAGONAL SOCKET FLAT HEAD,149.85,112.39,105.61,139.66,6
HCPCS,C1713,SCREW BONE 4.5X76MM CORTEX SS SELF TAPPING FULL THREAD LG HEXAGONAL SOCKET,143.19,107.39,100.92,133.45,6
HCPCS,C1713,SCREW BONE 4.5X80MM CORTEX SS STANDARD LG HEXAGONAL SOCKET FLAT HEAD,265.29,198.97,186.98,247.25,6
HCPCS,C1713,SCREW BONE 45.0X3.5MM CORTICAL SS NONLOCKING LOW PROFILE,105.0,78.75,74.0,97.86,6
HCPCS,C1713,SCREW BONE 4X20MM CANNULATED SS SELF DRILLING TAPPING SHORT THREAD HEXAGONAL SOCKET FLAT HEAD,366.72,275.04,258.46,341.78,6
HCPCS,C1713,SCREW BONE 4X24MM AXSOS TITANIUM LOCKING,767.61,575.71,541.01,715.41,6
HCPCS,C1713,SCREW BONE 4X45MM CANCELLOUS SS FULLY THREADED HEXAGONAL SOCKET FLAT HEAD,82.14,61.6,57.89,76.55,6
HCPCS,C1713,SCREW BONE 5X36MM LOCKING FOR INTRAMEDULLARY NAIL GREEN TITANIUM,387.39,290.54,273.03,361.05,6
HCPCS,C1713,SCREW BONE 6.5X25MM CANCELLOUS MPACT EXTENSION,75.0,56.25,52.86,69.9,6
HCPCS,C1713,SCREW BONE 6.5X25MM HIP CANCELLOUS SPHERICAL HD FOR REFLECTION SYSTEM 16A,114.0,85.5,80.35,106.25,6
HCPCS,C1713,SCREW BONE 6.5X70MM 16MM THREAD CANNULATED SS HEXAGONAL SOCKET,486.72,365.04,343.04,453.62,6
HCPCS,C1713,SCREW BONE 6.5X80MM 32MM THREAD CANNULATED TITANIUM HEXAGONAL SOCKET,534.72,401.04,376.87,498.36,6
HCPCS,C1713,SCREW BONE 7.3X75MM 16MM THREAD CANNULATED SS HEXAGONAL SOCKET,483.84,362.88,341.01,450.94,6
HCPCS,C1713,SCREW BONE 9MMX30MM KNEE INTERFERENCE CANNULATED ABSORBABLE PLLA TAPERED HEAD BIO INTRAFIX,624.0,468.0,439.8,581.57,6
HCPCS,C1713,SCREW SPINE 6.5X50MM XIA 3 AXIAL,1200.0,900.0,845.76,1118.4,6
HCPCS,C1713,SCREW VOLAR 32MM PEG THREADED,315.0,236.25,222.01,293.58,6
HCPCS,C1713,SET SCREW 12.7X95MM BONE LAG CONDYLAR S/S CANC CANN SELF TAP NON LOCK,880.23,660.17,620.39,820.37,6
HCPCS,C1713,SHAFT HUMERAL 3.5X160MM LONG 6 HOLE SHOULDER BONE LCP SS PROXIMALIMAL,3742.08,2806.56,2637.42,3487.62,6
HCPCS,C1713,SHOULDER PLATE 3.5MM 232 LONG 10 HOLE SHAFT HUMERAL LCP STAINLESS PROXIMAL,3568.73,2676.55,2515.24,3326.06,6
HCPCS,C1713,SHOULDER PLATE 3.5MM 268 LONG 12 HOLE SHAFT HUMERAL LCP STAINLESS PROXIMAL,4243.03,3182.27,2990.49,3954.5,6
HCPCS,C1713,SHOULDER PLATE 3.5X142MM LONG 5 HOLE SHAFT HUMERAL LCP STAINLESS PROXIMAL,3821.94,2866.45,2693.7,3562.05,6
HCPCS,C1713,SLED PLATE 38MM ULNAR BONE,1065.0,798.75,750.61,992.58,6
HCPCS,C1713,STAPLE DYNANITE 11X11MM NITINOL INSTRUMENT,3737.5,2803.12,2634.19,3483.35,6
HCPCS,C1713,STAPLE DYNANITE 13X10MM NITINOL INSTRUMENT,3790.0,2842.5,2671.19,3532.28,6
HCPCS,C1713,SYSTEM CEMENT ANTIBIOTIC ALL IN ONE,1670.7,1253.02,1177.51,1557.09,6
HCPCS,C1713,SYSTEM FIXATION RIGIDLOOP CORTICAL STANDARD,765.0,573.75,539.17,712.98,6
HCPCS,C1713,SYSTEM IMPLANT SZ 11MM NO 7 FIXATION MAXBRAID SUTURE ANCHOR BUTTON GUIDE PIN 2.4MM ELBOW TOGGLELOC ZIPLOOP DOUBLE TAPER ENDED NEEDLE KNOT PUSHER,3532.9,2649.67,2489.99,3292.66,6
HCPCS,C1713,SYSTEM SUSPENSION FIBERLOCK,3987.5,2990.62,2810.39,3716.35,6
HCPCS,C1713,TAP BONE 110X4MM SCREW STAINLESS CANCELLOUS,536.64,402.48,378.22,500.15,6
HCPCS,C1713,TENDON ROD 4MMX24.5CM PROSTHESIS HUNTER POLYESTER REINFORCED SYNTHETIC PASSIVE TEMPORARY HAND,3697.5,2773.12,2606.0,3446.07,6
HCPCS,C1713,TIBIA PLATE L 227MM 14 HOLE AXSOS TITANIUM DISTAL MEDIAL LEFT,5699.88,4274.91,4017.28,5312.29,6
HCPCS,C1713,TIBIAL INSERT 12MM SZ 3 FIXED SPHERE FLEX E-CROSS RT,1428.0,1071.0,1006.45,1330.9,6
HCPCS,C1713,TIBIAL TRAY SZ T4-I3 FIXED CEMENTED RT,1890.0,1417.5,1332.07,1761.48,6
HCPCS,C1713,TROCHANTER NAIL 11MM 170 125DEG FIXATION TFN ADVANCED TI CANNULATED,3250.08,2437.56,2290.66,3029.07,6
HCPCS,C1713,TROCHANTER PLATE 131.0MM UNIVERSAL STABILIZATION UNIV LOCKING,2091.24,1568.43,1473.91,1949.04,6
HCPCS,C1713,WASHER BONE 6.5X13MM,61.05,45.79,43.03,56.9,6
HCPCS,C1713,WASHER BONE 7MM SM SCREW CANNULATED SS,54.39,40.79,38.33,50.69,6
HCPCS,C1713,WASHER SCREW 13.5MM 4 BONE SPIKED,261.96,196.47,184.63,244.15,6
HCPCS,C1713,WASHER SCREW 3.2X8MM BONE SS SPIKED,156.51,117.38,110.31,145.87,6
HCPCS,C1713,WASHER SCREW 7.0MM SM BONE SS ANKLE FRACTURE,96.3,72.22,67.87,89.75,6
HCPCS,C1713,WIRE CERCLAGE 1.25X300MM PRECUT SOFT,258.63,193.97,182.28,241.04,6
HCPCS,C1713,WIRE GUIDE 150MM 300X2.8 BONE SS FLUTED CALIBRATED,193.92,145.44,136.67,180.73,6
HCPCS,C1713,WIRE STEEL 50MM 5 HOLE PLATE BONE STAINLESS FORM FIXATION,1320.0,990.0,930.34,1230.24,6
HCPCS,C1713,WIRE SUTURE 18X1MM 24IN 18GA BEADED END SS BX/6EA,28.92,21.69,20.38,26.95,6
HCPCS,C1713,WRIST PLATE 3 HOLE RADIAL TRIMED FIXATION SYSTEM COLUMN,1860.0,1395.0,1310.93,1733.52,6
HCPCS,C1713,WRIST PLATE 3 HOLE SS BEARING VOLAR LT 7 PEG,3240.0,2430.0,2283.55,3019.68,6
HCPCS,C1713,WRIST PLATE 3 HOLE VOLAR FIXED ANGLE RT 7 PEG,2040.0,1530.0,1437.79,1901.28,6
HCPCS,C1713,WRIST PLATE 5 HOLE SS BEARING VOLAR LT PEG,3555.0,2666.25,2505.56,3313.26,6
HCPCS,C1713,WRIST PLATE 5 HOLE VOLAR FIXED ANGLE RT 7 PEG,2340.0,1755.0,1649.23,2180.88,6
HCPCS,C1726,DILATOR CRE 7.5FR 15-18MM 5.5CM 240CM .035IN BALLOON ENDOSCOPIC OBLONG FILL SALINE WIREGUIDED STERILE LF DISP,579.27,434.45,289.64,289.64,1
HCPCS,C1726,KIT CATHETER 5X16MM SINUPLASTY SPINPLUS BALLOON FRONTAL MAX AND SPHEN BX/5EA,4095.0,3071.25,2047.5,2047.5,1
HCPCS,C1729,KIT CATHETER 15.5FR INSERTION PLEURX PLEURAL CS/10EA,1778.28,1333.71,889.14,1253.33,2
HCPCS,C1729,KIT PERICARDIOCENTESIS PERIVAC 8.3FR STRAIGHT CATHETER PLUS - DISCONTINUED PER SUPPLIER/CONTRACTS,391.0,293.25,195.5,275.58,2
HCPCS,C1729,TRAY CATHETER 14FR 29CM PNEUMOTHORAX WAYNE WIRE GUIDED,769.5,577.12,384.75,542.34,2
HCPCS,C1729,TRAY THORA/PARACENTESIS SAFETY PLUS 8FR LIDOCAINE CS/10EA,289.29,216.97,144.65,203.89,2
HCPCS,C1751,CATHETER INTRAVENOUS 4FR 135CM SINGLE LUMEN POWER PICC SOLO PERIPHERAL POLYURETHANE NITINOL WIRE CS/5EA,311.07,233.3,155.54,155.54,1
HCPCS,C1751,TRAY CATHETER 4FRX55CM SINGLE LUMEN PICC FULL NURS PWR INJ POLYURET NON COTD CT COMPAT VLVD MICRO IN CS/5EA,326.94,245.2,163.47,163.47,1
HCPCS,C1758,CATHETER INTERMITTENT 14FR 16IN RUBBER TIEMANN MODEL COUDE TIP SINGLE EYE CS/12EA,10.54,7.9,8.29,8.29,1
HCPCS,C1758,CATHETER URETERAL 5FR 70CM OPEN ENDED TIP POLYURETHANE BX/20EA,39.71,29.78,31.25,31.25,1
HCPCS,C1764,RECORDER LOOP CARDIAC REVEAL LINQ II,9000.0,6750.0,4500.0,4500.0,1
HCPCS,C1769,GUIDEWIRE BONE 1.35MM 130 SS TROCAR TIP BX/6EA,60.0,45.0,47.22,47.22,1
HCPCS,C1769,GUIDEWIRE BONE 2.8MM 350 NAIL FEMORAL PROXIMAL,91.2,68.4,71.77,71.77,1
HCPCS,C1769,GUIDEWIRE BONE 230X2.5MM COBALT ALLOY SPADE POINT THREADED BX/10EA,107.67,80.75,84.74,84.74,1
HCPCS,C1769,GUIDEWIRE BONE 6.0IN 0.045 KIRSCHNER ACUTRAK 2 SS SINGLE TROCAR,48.0,36.0,37.78,37.78,1
HCPCS,C1769,GUIDEWIRE KIRSCHNER 1.25X150MM NON THREADED,53.76,40.32,42.31,42.31,1
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC 400X3.2MM TI THREADED BX/3EA BX/3EA,214.23,160.67,168.6,168.6,1
HCPCS,C1769,GUIDEWIRE VASCULAR .038INX150CM FLEX TIP HYDROPHILIC COATED STIFF 3CM TIP STRAIGHT TIP BX/5EA,91.5,68.62,72.01,72.01,1
HCPCS,C1769,GUIDEWIRE WIRE .078X5.91 2MM 150 BONE KIRSCHNER SS THREADED TROCAR TIP BX/5EA,36.0,27.0,28.33,28.33,1
HCPCS,C1769,K-WIRE THREADED 1.25MM 150MM SPADE POINT SS PK/1EA,57.6,43.2,45.33,45.33,1
HCPCS,C1769,SET CATHETER 4.0MMX4.2CM CRICOTHYROTOMY MELKER EMERGENCY,587.7,440.77,462.52,462.52,1
HCPCS,C1769,SET CATHETER 6.0MM 7.5CM AIRWAY MELKER EMERGENCY CRICOTHYROTOMY ID G04652,615.69,461.77,484.55,484.55,1
HCPCS,C1769,SET TUBE THAL-QUICK 20FR 41CM 4SIDEPORTS DRAINAGE CHEST,488.4,366.3,384.37,384.37,1
HCPCS,C1773,NET RETRIEVAL 3X5.5CM RESCUENET FOREIGN BODY BX/5EA,262.65,196.99,131.33,182.28,2
HCPCS,C1776,ACETABULAR LINER 32MM SZ D HOODED HIGHCROSS UHMWPE MPACT,2190.0,1642.5,1543.51,2041.08,4
HCPCS,C1776,ACETABULAR LINER 36MM SZ E 4MM OFFSET HIGHCROSS UHMWPE MPACT,4786.0,3589.5,3373.17,4460.55,4
HCPCS,C1776,ACETABULAR SHELL 48MM 3 HOLE TITANIUM STANDARD,1953.0,1464.75,1376.47,1820.2,4
HCPCS,C1776,ACETABULAR SHELL 54MM PINNACLE GRIPTION POROUS COATING 100 SERIES,2700.0,2025.0,1902.96,2516.4,4
HCPCS,C1776,ACETABULAR SHELL 58MM PINNACLE SECTOR GRIPTION COATING,2700.0,2025.0,1902.96,2516.4,4
HCPCS,C1776,BIT DRILL 2X85MM SS JACOBS CHUCK QUICK CONNECT,172.05,129.04,121.26,160.35,4
HCPCS,C1776,COUPLER KNEE 4MM LEGION TITANIUM OFFSET PLUS,2340.0,1755.0,1649.23,2180.88,4
HCPCS,C1776,FEMORAL COMPONENT SZ 4 ATTUNE AOX ANTIOXIDANT POLYETHYLENE CEMENTED CRUCIATE RETAINING LT,3300.0,2475.0,2325.84,3075.6,4
HCPCS,C1776,FEMORAL IMPLANT SZ 9 COMPONENT ATTUNE AOX ANTIOXIDANT POLYETHYLENE CEMENTED CRUCIATE RETAINING LT,3300.0,2475.0,2325.84,3075.6,4
HCPCS,C1776,FEMORAL SPHERE SZ 3 CEMENTED LT,3500.0,2625.0,2466.8,3262.0,4
HCPCS,C1776,FEMORAL SPHERE SZ 4 PLUS CEMENTED RT,3500.0,2625.0,2466.8,3262.0,4
HCPCS,C1776,FEMORAL STEM SZ 2 STANDARD NECK QUADRA-P,4125.0,3093.75,2907.3,3844.5,4
HCPCS,C1776,FEMORAL STEM SZ 3 HIP SUMMIT COBALT CHROME 12/14 TAPERED STANDARD OFFSET CEMENTED,3600.0,2700.0,2537.28,3355.2,4
HCPCS,C1776,FEMORAL STEM SZ 3 STANDARD NECK QUADRA-P,4125.0,3093.75,2907.3,3844.5,4
HCPCS,C1776,HEAD FEMORAL 36MM 12/14 TAPERED PLUS 12MM ARTICULEZE BIOLOX DELTA,1800.0,1350.0,1268.64,1677.6,4
HCPCS,C1776,HINGE KNEE 62MM 70 SIZE 5 FEMORAL ASSEMBLY LT A/P M/L LEGION ONC 02,8316.0,6237.0,5861.12,7750.51,4
HCPCS,C1776,HIP 22MM 4 IMPLANT PLUS TAPERED VITALLIUM COCR 05 CS/1BX/1EA,900.0,675.0,634.32,838.8,4
HCPCS,C1776,HIP 36MM 3.0 OXINIUM OXIDIZED ZIRCONIUM 12/14 TAPER MINUS,1200.0,900.0,845.76,1118.4,4
HCPCS,C1776,HIP 44MM TANDEM COBALT CHROMIUM UNIPOLAR,669.0,501.75,471.51,623.51,4
HCPCS,C1776,HIP CENTRALIZER 13MM IMPLANT STEM CEMENTRALIZER ALIGNMENT 16B,150.0,112.5,105.72,139.8,4
HCPCS,C1776,HIP COMPONENT 11/13 36MM PLUS 12 BIOLOX DELTA CERAMIC TAPERED,1800.0,1350.0,1268.64,1677.6,4
HCPCS,C1776,HIP COMPONENT 28MM PLUS 1.5 ARTICULEZE STD METAL 12/14 OFFSET,1200.0,900.0,845.76,1118.4,4
HCPCS,C1776,HIP COMPONENT 36MM DEP1365 210 SROM CERAMIC FEM +0 11/13TAPER 04,1800.0,1350.0,1268.64,1677.6,4
HCPCS,C1776,HIP IMPLANT 28X42MM COBALT SELF CENTERING BIPOLAR,1047.0,785.25,737.93,975.8,4
HCPCS,C1776,HIP STEM 10MM CENTRALIZER CEMENTRALIZER POLYMER PROSTALAC,150.0,112.5,105.72,139.8,4
HCPCS,C1776,HIP STEM 12 TO 14 165MM LONG SM IMPLANT 12TO14 TAPER STRAIGHT REVISION SPECTRON EF 03 BX/1CS/1EA,4125.0,3093.75,2907.3,3844.5,4
HCPCS,C1776,HIP STEM 145MM SZ 11 135DEG FEMORAL CORAIL HYDROXYAPATITE COATED COLLARED STD,3600.0,2700.0,2537.28,3355.2,4
HCPCS,C1776,HIP STEM SZ 2 130X32MM 130DEG FEMORAL SUMMIT DUOFIX TITANIUM HYDROXYAPATITE TAPERED STANDARD OFFSET CEMENTLESS,3600.0,2700.0,2537.28,3355.2,4
HCPCS,C1776,Implant Hip T1,1643.16,1232.37,1158.1,1531.43,4
HCPCS,C1776,Implant Knee T1,1908.92,1431.69,1345.41,1779.11,4
HCPCS,C1776,Implant Knee T2,3668.93,2751.7,2585.86,3419.44,4
HCPCS,C1776,Implant Knee T3,6114.62,4585.96,4309.58,5698.83,4
HCPCS,C1776,KNEE BASE SIZE 6 JOURNEY POLYETHYLENE UNICOMPARTMENTAL LT RIGHT,2667.0,2000.25,1879.7,2485.64,4
HCPCS,C1776,KNEE BASEPLATE SZ 3 JOURNEY ALL POLYETHYLENE UNICOMPARTMENTAL RT LT,2667.0,2000.25,1879.7,2485.64,4
HCPCS,C1776,KNEE BASEPLATE SZ 3 LEGION HK CEMENT FEMALE TAPERED TIBIAL LT,3336.0,2502.0,2351.21,3109.15,4
HCPCS,C1776,KNEE COMPONENT 38MM PATELLA OVAL DOME 3 PEG PFC SIGMA 06,840.0,630.0,592.03,782.88,4
HCPCS,C1776,KNEE IMPLANT SIZE 6 FEMORAL COMPONENT JOURNEY OXINIUM UNICOMPARTMENTAL LT MEDIAL RT LATERAL 01,4375.0,3281.25,3083.5,4077.5,4
HCPCS,C1776,KNEE IMPLANT SZ 5 COMPONENT FEMORAL JOURNEY OXINIUM UNICOMPARTMENTAL RT MEDIAL LT LATERAL,4375.0,3281.25,3083.5,4077.5,4
HCPCS,C1776,KNEE IMPLANT SZ 7 COMPONENT FEMORAL JOURNEY OXINIUM LT MEDIAL RT LATERAL,4375.0,3281.25,3083.5,4077.5,4
HCPCS,C1776,KNEE INSERT 2 12MM SIZE 1 JOURNEY II BCS CROSSLINKED POLYETHYLENE LEFT,1428.0,1071.0,1006.45,1330.9,4
HCPCS,C1776,KNEE INSERT 2 8MM SIZE 1 JOURNEY DEUCE RT LEFT,1338.0,1003.5,943.02,1247.02,4
HCPCS,C1776,KNEE INSERT 3 18MM SIZE 2 TIBIAL HINGE LEGION GD MOTION LEFT,3006.0,2254.5,2118.63,2801.59,4
HCPCS,C1776,KNEE INSERT 4 11MM SIZE 3 JOURNEY II BCS CROSSLINKED POLYETHYLENE LEFT,1428.0,1071.0,1006.45,1330.9,4
HCPCS,C1776,KNEE INSERT 6 13MM SIZE 5 JOURNEY II BCS CROSSLINKED POLYETHYLENE LEFT,1428.0,1071.0,1006.45,1330.9,4
HCPCS,C1776,KNEE INSERT 6 8MM SIZE 5 JOURNEY POLYETHYLENE UNICOMPARTMENTAL LT RIGHT,1338.0,1003.5,943.02,1247.02,4
HCPCS,C1776,KNEE STEM 10X70MM LONG GENESIS II,906.0,679.5,638.55,844.39,4
HCPCS,C1776,KNEE STEM 16X160MM FEMORAL LEGION TITANIUM PRESS FIT SLOTTED,1800.0,1350.0,1268.64,1677.6,4
HCPCS,C1776,KNEE STEM SIZE 4 FEMORAL JOURNEY II OXINIUM BICRUCIATE STABILIZED RIGHT,4375.0,3281.25,3083.5,4077.5,4
HCPCS,C1776,KNEE STEM SIZE 5 FEMORAL JOURNEY II OXINIUM BICRUCIATE STABILIZED RIGHT,4375.0,3281.25,3083.5,4077.5,4
HCPCS,C1776,OLECRANON PLATE HOOK 4 HOLE NEUTRAL,2340.0,1755.0,1649.23,2180.88,4
HCPCS,C1776,PATELLA RESURFACING SZ 3 E-CROSS,1365.0,1023.75,962.05,1272.18,4
HCPCS,C1776,PLUG HIP 48 66MM IMPLANT LINER HOLE ELIMINATOR THRDED POSITIVE STOP APEX 16B,162.0,121.5,114.18,150.98,4
HCPCS,C1776,SCREW BONE 4.5X48MM BLUNT TIP TITANIUM SELF CUTTING FULL THREAD MULTILOC SUTURE HOLE COUNTERSINK HEAD GOLD,555.0,416.25,391.16,517.26,4
HCPCS,C1776,TAPER 0MM SLEEVE FEMORAL HIP TITANIUM MODULAR 12/14 PLUS,282.0,211.5,198.75,262.82,4
HCPCS,C1776,TIBIAL BASEPLATE SZ 5 ATTUNE POLYETHYLENE ANTIOXIDANT ROTATING PLATFORM CEMENTED 150610005,2790.0,2092.5,1966.39,2600.28,4
HCPCS,C1776,TIBIAL BEARING SZ 4 ATTUNE FIXED BASE CEMENTED,1890.0,1417.5,1332.07,1761.48,4
HCPCS,C1776,TIBIAL BEARING SZ 4 BASEPLATE ATTUNE POLYETHYLENE ANTIOXIDANT FIXED CEMENTED,1890.0,1417.5,1332.07,1761.48,4
HCPCS,C1776,TIBIAL INSERT 5MM SZ 4 ATTUNE AOX ANTIOXIDANT POLYETHYLENE CRUCIATE RETAINING FIXED BEARING,1428.0,1071.0,1006.45,1330.9,4
HCPCS,C1776,WRIST PLATE 3 HOLE SS BEARING VOLAR RT 7 PEG,3240.0,2430.0,2283.55,3019.68,4
HCPCS,C1781,GRAFT MESH 10.5CM 16CM 3DMAX POLYPROPYLENE MONOFILAMENT PATCH LAPAROSCOPY HERNIA REPAIR RIGHT CS/1EA,780.0,585.0,390.0,613.86,7
HCPCS,C1781,GRAFT MESH 15CMX10 SYNTHETIC ABDOMINAL ABSORBABLE COATED ELLIPSE POLYPROPYLENE SEPRA VENTRALIGHT ST CS/1EA,2220.0,1665.0,1110.0,1747.14,7
HCPCS,C1781,GRAFT MESH 25.4CMX15.2 SYNTHETIC ABDOMINAL ABSORBABLE COATED OVAL POLYPROPYLENE SEPRA VENTRALIGHT ST CS/1EA,3812.5,2859.37,1906.25,3000.44,7
HCPCS,C1781,GRAFT MESH 3.1X4.7IN 8 12CM SMALL VENTRIO EPTFE PATCH UMBILICAL HERNIA REPAIR SELF EXPAND STRAP OVAL - DISCONTINUED PER CONTRACTS,2055.0,1541.25,1027.5,1617.29,7
HCPCS,C1781,GRAFT MESH 5IN 7IN XL 3DMAX POLYPROPYLENE MONOFILAMENT PREFORMED PATCH HERNIA LT CS/1EA,870.0,652.5,435.0,684.69,7
HCPCS,C1781,GRAFT MESH 6.0IN VENTRALIGHT ST POLYPROPYLENE HERNIA SEPRA HYDROGEL BIORESORBABLE CIRCLE CS/1EA,3166.8,2375.1,1583.4,2492.27,7
HCPCS,C1781,GRAFT MESH 8.5CM 13.5CM 3DMAX POLYPROPYLENE MONOFILAMENT PATCH LAPAROSCOPY HERNIA REPAIR LEFT CS/1EA,720.0,540.0,360.0,566.64,7
HCPCS,C1781,MESH GRAFT 1.3X1.55IN 3.3 3.9CM MED PERFIX POLYPROPYLENE MONOFILAMENT PLUG INGUINAL HERNIA SOFT TISSUE REPAIR CS/2EA,660.77,495.58,330.39,520.03,7
HCPCS,C1781,MESH GRAFT 15X10CM COMPOSITE SYMBOTEX HERNIA 3D MONOFILAMENT POLYESTER ABSORBABLE COLLAGEN FILM RECTANGLE BX/1EA,1008.69,756.52,504.35,793.84,7
HCPCS,C1781,MESH GRAFT 20X15CM COMPOSITE SYMBOTEX HERNIA 3D MONOFILAMENT POLYESTER ABSORBABLE COLLAGEN FILM RECTANGLE BX/1EA,1618.14,1213.6,809.07,1273.48,7
HCPCS,C1781,MESH GRAFT 25.4CMX20.3 VENTRALEX ST POLYPROPYLENE PGA PATCH HERNIA FIBER HYDROGEL BIORESORBABLE POCKET STRAP ELLIPTICAL CS/1EA,4020.0,3015.0,2010.0,3163.74,7
HCPCS,C1781,MESH GRAFT 8.6CM PARIETEX HERNIA PATCH REPAIR,1384.44,1038.33,692.22,1089.55,7
HCPCS,C1781,MESH SYNTHETIC 6.0 XIN ABDOMINAL NON ABSORBABLE SQUARE POLYPROPYLENE BX/6EA,193.42,145.06,96.71,152.22,7
HCPCS,C1781,PATCH HERNIA 4.6CM GRAFT MESH PARIETEX REPAIR,899.4,674.55,449.7,707.83,7
HCPCS,C1781,PATCH HERNIA 6.6CM GRAFT MESH PARIETEX REPAIR,1077.81,808.36,538.91,848.24,7
HCPCS,C1788,PORT IMPLANTABLE 75CMX10FR DUAL PORT DUAL LUMEN INFUSION STD PROFILE SINGLE CHAMBER CT COMPATIBLE MRI SAFE POWER INJECTABLE SLIDE LOCK CONNECTOR NON VALVED OPEN-ENDED TIP INT - DISCONTINUED PER SUPPLI,984.0,738.0,492.0,774.41,3
HCPCS,C1788,PORT POWERPORT 9.5FR INFUSION DUAL LUMEN INTERMEDIATE PROFILE ATTACHABLE AIRGUARD VALVED INTRODUCER DUO MRI POLYURETHANE IMPLANTABLE,1440.0,1080.0,720.0,1133.28,3
HCPCS,C1788,PORT VAS-CATH 6FR 60CM INFUSION TITANIUM LOW PROFILE VACCESS CT POWER INJECTABLE POLYURETHANE CATHETER SILICONE FILLED SUTURE PLUG INTERMEDIATE TRAY VACCESS CT,555.0,416.25,277.5,436.79,3
HCPCS,C1789,BREAST IMPLANT 255CC MODERATE PLUS PROFILE MEMORYSHAPE,3275.0,2456.25,2308.22,2308.22,1
HCPCS,C1789,BREAST IMPLANT 485CC RESPONSIVE SILICONE SMOOTH ROUND MODERATE NATRELLE INSPIRA,2268.0,1701.0,1598.49,1598.49,1
HCPCS,C1789,BREAST IMPLANT 550CC SILICONE SMOOTH ROUND COHESIVE SILICONE SHELL OD13.6CM P5.5CM,2322.0,1741.5,1636.55,1636.55,1
HCPCS,C8902,Mra Abdomen W&W/O Cont,2773.0,2079.75,1386.5,1386.5,1
HCPCS,C8908,MRI Breast Bilat W&W/O Cont,4092.0,3069.0,2046.0,2046.0,1
HCPCS,C8911,Mra Chest W&W/O Contrast,3390.0,2542.5,1695.0,1695.0,1
HCPCS,C8924,Echo Transthoracic W/Cont or W/O Fol W/Cont,1205.0,903.75,602.5,602.5,1
HCPCS,C8928,Echo Rest & Stress W/Pro Fee W/Cont or W/O Fol W/Cont,2281.0,1710.75,1140.5,2111.29,5
HCPCS,C8929,Echo 2d With Spec/Color Flow M-Mode W/Cont or W/O Fol W/Cont,2560.0,1920.0,1004.76,2369.54,6
HCPCS,C8937,MRI Computer Aided Breast MRI Inc A,179.0,134.25,89.5,89.5,1
HCPCS,G0008,Admin of Flumist Influenza Vaccine,33.0,24.75,23.26,58.68,2
HCPCS,G0008,Admin of Influenza Vaccine,33.0,24.75,23.26,58.68,4
HCPCS,G0008,Vfc Admin Influenza Virus Vac,23.0,17.25,16.21,58.68,2
HCPCS,G0009,Admin of Pneumococcal Vaccine,33.0,24.75,58.68,58.68,4
HCPCS,G0009,Vfc Admin Pneumococcal Vaccine,23.0,17.25,58.68,58.68,2
HCPCS,G0010,Admin Hepatitis B Vaccine No Fee,33.0,24.75,58.68,58.68,2
HCPCS,G0010,Vfc Admin Hepatitis B Vaccine,23.0,17.25,58.68,58.68,1
HCPCS,G0101,Cervical/Vag Cancer Screening,203.0,152.25,117.64,187.9,8
HCPCS,G0101,Pf Cervical/Vag Cancer Screening,184.0,138.0,117.64,170.31,8
HCPCS,G0103,Prostate Cancer Screen Psa,223.0,167.25,111.5,206.41,8
HCPCS,G0105,Colon Cancer Scr Colonoscopy,3711.0,2783.25,1855.5,1855.5,1
HCPCS,G0121,Colon Cancer Scr Non-Hr,3711.0,2783.25,1855.5,1855.5,1
HCPCS,G0127,Pf Trimming Nails Dystrophic,74.0,55.5,75.54,75.54,2
HCPCS,G0127,Trimming Nails Dystrophic,24.0,18.0,75.54,75.54,2
HCPCS,G0239,Resp Function Group,352.0,264.0,176.0,176.0,1
HCPCS,G0270,Nutrition Reassess Individual 15 Mi,92.0,69.0,46.0,46.0,1
HCPCS,G0378,Observation 1 Hr,133.0,99.75,59.72,123.96,90
HCPCS,G0378,Observation Carve Out (10000 - 29999) - Integumentary/Musculoskeletal,133.0,99.75,59.72,123.96,15
HCPCS,G0378,Observation Carve Out (50000 - 59999) - Urinary/Male/Female/Maternity,133.0,99.75,59.72,123.96,15
HCPCS,G0378,Observation Carve Out (60000 - 69999) - Endo/Nervous/Eye/Auditory,133.0,99.75,59.72,123.96,15
HCPCS,G0378,Observation Carve Out (90785 - 98965) - Medicine,133.0,99.75,59.72,123.96,15
HCPCS,G0379,Direct Admission of Patient for Hospital Observation Care,110.0,82.5,86.57,86.57,1
HCPCS,G0402,Pf Prvnt Phys Exm Init Face-Face 1s,614.0,460.5,163.89,163.89,1
HCPCS,G0402,Prvnt Phys Exam Init Face-Face 1st,240.0,180.0,163.89,163.89,1
HCPCS,G0438,Annual Well Visit Including Ppps Initial,576.0,432.0,405.96,453.31,2
HCPCS,G0438,Annual Wellness Visit (PPS) Initial,511.0,383.25,255.5,402.16,6
HCPCS,G0439,Annual Wellness Visit (PPS) Subseq,476.0,357.0,238.0,443.63,9
HCPCS,G0442,Annual Alcohol Misuse Scrnng,51.0,38.25,35.94,40.14,6
HCPCS,G0442,Pf Annual Alcohol Misuse Scrnng,45.0,33.75,31.72,37.89,6
HCPCS,G0443,Brief Ftf Behav Cnsl Alcohol Mis,128.0,96.0,117.64,117.64,1
HCPCS,G0443,Pf Brief Ftf Behav Cnsl Alcohol Mis,99.0,74.25,117.64,117.64,1
HCPCS,G0444,Annual Depression Screening 15,28.0,21.0,19.73,37.89,6
HCPCS,G0444,Pf Annual Depression Screening 15,103.0,77.25,37.89,81.06,6
HCPCS,G0447,Face-to-Face Behavioral Cnsl Obe,129.0,96.75,64.5,120.23,7
HCPCS,G0447,Pf Face-to-Face Behavioral Cnsl Obe,117.0,87.75,82.46,109.04,5
HCPCS,G2211,Complex E/M Visit Add On,77.0,57.75,53.44,71.27,3
HCPCS,G2211,Complex E/M Visit Add on Psych,77.0,57.75,53.44,71.27,3
HCPCS,J7296,Kyleena Iud 19.5 Mg Levonorgestrel,2744.0,2058.0,2000.38,2370.82,3
HCPCS,J7298,DEVICE CONTRACEPTIVE 52MG IUD MIRENA - MUST ORDER IN MULTIPLES OF 5,2915.1,2186.32,2023.08,2716.87,4
HCPCS,L3763,HC Ewo Rigit Without Joints Custom Tier1,585.22,438.91,292.61,292.61,1
HCPCS,L3806,HC Whfo With Nontorsion Joints Custome Tier1,365.35,274.01,182.68,315.66,3
HCPCS,L3808,"Whfo, Rigid W/O Joints",47.97,35.98,23.99,33.81,3
HCPCS,L3905,HC Who With Nontorsion Joints Custom Tier1,797.64,598.23,398.82,562.18,2
HCPCS,L3906,HC Who Gauntlet Molded Custom Tier1,388.65,291.49,194.33,194.33,1
HCPCS,L3908,HC Who Cock-Up Control Extension Prefab Tier1,14.94,11.2,7.47,10.53,2
HCPCS,L3913,Hfo W/O Joints Cf,217.84,163.38,108.92,171.44,4
HCPCS,L3919,Ho W/O Joints Custom T1,217.84,163.38,108.92,153.53,2
HCPCS,L3921,HC Hfo With Nontorsion Joints Custom Tier1,258.36,193.77,129.18,223.22,3
HCPCS,L3927,HC Fing Ortho P/D Intrphl W/O Jnt/Spr Prefab Tier1,56.57,42.43,28.29,39.87,3
HCPCS,L3933,Fo W/O Joint Custom T1,171.61,128.71,85.81,125.1,3
HCPCS,L3935,Fo Nontorsion Joint Custom T1,177.68,133.26,88.84,88.84,1
HCPCS,P9016,Red Cells L/R Ea,1002.0,751.5,194.92,788.57,2
HCPCS,P9040,Red Cells L/R Irr Ea,1461.0,1095.75,730.5,1352.3,3
HCPCS,P9073,"Platelets, Pheresis, Pathogen-Reduced, Each Unit",3437.0,2577.75,1718.5,1718.5,1
HCPCS,Q0091,Pap Smear Screening,96.0,72.0,31.15,89.47,24
HCPCS,Q0091,Pf Pap Smear Screen,93.0,69.75,31.15,86.68,12
HCPCS,Q9969,Non-Heu Tc-99m Add-on per Dose,1.0,0.75,0.5,0.79,9
HCPCS,U0003,Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq High Throughput Tech,150.0,112.5,109.35,109.35,1
HCPCS,U0005,Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq High Throughput Tech; Rsltd,25.0,18.75,18.23,18.23,1