code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries CDM,PX-26000002,IV Infus Hydration Ea Additional Hour - 96361,81.0,60.75,56.73,56.73,1 CDM,PX-26000003,IV Infus Non-Chemo Initial Up to 1 Hr - 96365,469.0,351.75,240.13,363.48,9 CDM,PX-26000004,IV Infus Non-Chemo Same Drug Ea Hr - 96366,82.0,61.5,54.79,63.55,4 CDM,PX-26000010,Therapeutic Prophylactic/Diagnostic Inj Sc/Im - 96372,125.0,93.75,84.51,84.51,1 CDM,PX-26000012,Ivp/ IV < 16 Min Initial Drug - 96374,295.0,221.25,223.85,250.18,5 CDM,PX-26000013,Ivp/ IV <16min Ea Addl Seg Diff Drug - 96375,137.0,102.75,54.79,106.18,5 CDM,PX-27000114,Lead Neurostimulator T1,3900.0,2925.0,1996.8,3022.5,4 CDM,PX-27000559,Dilator Tracheoesophageal Puncture Ea T1,126.0,94.5,64.51,64.51,1 CDM,PX-27000663,Lens Iol Posterior Chamber T1,1443.0,1082.25,738.82,1118.33,5 CDM,PX-27000665,Allograft Cartilage T3,1266.0,949.5,648.19,981.15,4 CDM,PX-27000772,HC Auditory Osseointgrated Device Tier3,6678.0,5008.5,3419.14,5067.27,3 CDM,PX-27001196,"Ear Impression, Each",50.0,37.5,35.11,35.11,1 CDM,PX-27001197,Repair/Modification of a Hearing Aid,255.0,191.25,168.05,168.05,1 CDM,PX-27001199,Body Aid Bone Conduction,2162.0,1621.5,1106.94,1106.94,1 CDM,PX-27001200,"Dispensing Fee, Binaural",660.0,495.0,264.0,500.81,8 CDM,PX-27001201,"Dispensing Fee, Cros",330.0,247.5,231.13,231.69,2 CDM,PX-27001202,"Dispensing Fee, Bicros",330.0,247.5,168.96,231.69,5 CDM,PX-27001203,"Dispensing Fee, Monaural",330.0,247.5,217.47,250.4,4 CDM,PX-27001209,"Personal Fm/Dm System, Binaural",1470.0,1102.5,1029.59,1032.09,2 CDM,PX-27001217,"Transmitter Microphone, Any Type",216.0,162.0,151.65,151.65,1 CDM,PX-27001219,"Cl, Soft, Extended Wear",257.0,192.75,131.58,199.18,6 CDM,PX-27001220,Dura Plug;Temp Punc Plug 90 Day; Prolong,40.0,30.0,20.48,31.0,5 CDM,PX-27001343,Mee Prothesis (L8509),483.0,362.25,247.3,374.33,6 CDM,PX-27001347,"Mee Iol, Monofocal",318.0,238.5,162.82,246.45,4 CDM,PX-27001348,Mee Iol Toric,318.0,238.5,206.7,206.7,1 CDM,PX-27001353,Mee Iol Femto Toric,318.0,238.5,206.7,206.7,1 CDM,PX-27001358,"Mee Tube, Jones",151.0,113.25,77.31,117.03,4 CDM,PX-27001375,Mee Cochlear Device Int/Ext Comp,58074.0,43555.5,29733.89,44066.55,4 CDM,PX-27001380,Mee Amniotic Membrane,1474.0,1105.5,1032.39,1142.35,3 CDM,PX-27001549,"Implant, Ring Capsular Tension",528.0,396.0,270.34,409.2,4 CDM,PX-27001603,Mee Dura Plug;Temp Punc Plug 90 Day; Prolong,40.0,30.0,20.48,31.0,5 CDM,PX-27001604,Perm Punctal Plug,81.0,60.75,41.47,62.78,4 CDM,PX-27001605,"Mee Tube, Jones",151.0,113.25,77.31,117.03,4 CDM,PX-27001634,"Mee A7505 Tracheostoma Housing, Reusable, WO Adhes",19.0,14.25,14.42,14.42,1 CDM,PX-27001637,Mee A7508 Housing & Integrated Adhesiv,241.0,180.75,123.39,182.87,2 CDM,PX-27001651,Mee Screw Slf Drling 3m Ti Mx,199.0,149.25,101.89,154.23,4 CDM,PX-27001652,Mee Mesh Contour Ti Matrixneuro,3595.0,2696.25,1840.64,2786.13,4 CDM,PX-27001653,Mee Mesh Dynamic,1516.0,1137.0,776.19,1174.9,4 CDM,PX-27001654,Mee Plate Y Ti Matrix,605.0,453.75,309.76,468.88,4 CDM,PX-27001655,Mee Screw Selftap Titn 2.0x8mm 401158,115.0,86.25,58.88,89.13,4 CDM,PX-27001656,"Mee Screw,Slf-Drlng,Ti Ma4 Mm",196.0,147.0,100.35,151.9,4 CDM,PX-27001657,"Mee Screw,Slf-Drlng Ti Mx 4mm",196.0,147.0,100.35,151.9,4 CDM,PX-27001658,"Mee Plate,Ti,Matrix,2hls,12mm",165.0,123.75,84.48,127.88,4 CDM,PX-27001659,"Mee Plate,Box,Ti Mx 10mmx16mm",575.0,431.25,294.4,445.63,4 CDM,PX-27001660,Mee Screw Selftap Titn,128.0,96.0,65.54,99.2,4 CDM,PX-27001661,"Mee Plate,Y,Double,6hls",605.0,453.75,309.76,468.88,4 CDM,PX-27001662,"Mee Hydroset, 10cc",4255.0,3191.25,2178.56,3297.63,4 CDM,PX-27001663,Mee Screw Self Drilling,115.0,86.25,58.88,89.13,4 CDM,PX-27001664,Mee Screw Cortex Self-Drilling,117.0,87.75,59.9,90.68,4 CDM,PX-27001665,Mee Screw Selftap Titn 1.5mm 40073x,112.0,84.0,57.34,86.8,4 CDM,PX-27001666,Mee 420070 Plating System,1558.0,1168.5,797.7,1207.45,4 CDM,PX-27001667,Mee 420100 Plating System,1247.0,935.25,638.46,966.43,4 CDM,PX-27001668,Mee 420210 Plating System,553.0,414.75,283.14,428.58,4 CDM,PX-27001669,Mee 420620 Plating System,500.0,375.0,256.0,387.5,4 CDM,PX-27001670,Mee 420840 Plating System,473.0,354.75,242.18,366.58,4 CDM,PX-27001671,Mee 421010 Plating System,1293.0,969.75,662.02,1002.08,4 CDM,PX-27001672,Mee 421021 Plating System,516.0,387.0,264.19,399.9,4 CDM,PX-27001673,Mee 421052 Plating System,516.0,387.0,264.19,399.9,4 CDM,PX-27001674,Mee 421053 Plating System,516.0,387.0,264.19,399.9,4 CDM,PX-27001675,Mee 421061 Plating System,467.0,350.25,239.1,361.93,4 CDM,PX-27001676,Mee 421081 Plating System,467.0,350.25,239.1,361.93,4 CDM,PX-27001677,Mee 421095 Plating System,457.0,342.75,233.98,354.18,4 CDM,PX-27001678,Mee 421099 Plating System,1700.0,1275.0,870.4,1317.5,4 CDM,PX-27001679,Mee 446100 Plating System,768.0,576.0,393.22,595.2,4 CDM,PX-27001680,Mee 446220 Plating System,695.0,521.25,355.84,538.63,4 CDM,PX-27001681,"Mee Plate, Countourable Mesh",2660.0,1995.0,1361.92,2061.5,4 CDM,PX-27001682,Mee 446500 Plating System,500.0,375.0,256.0,387.5,4 CDM,PX-27001683,Mee 446510 Plating System,553.0,414.75,283.14,428.58,4 CDM,PX-27001684,Mee 446520 Plating System,583.0,437.25,298.5,451.83,4 CDM,PX-27001685,Mee 446530 Plating System,568.0,426.0,290.82,440.2,4 CDM,PX-27001686,Mee 446610 Plating System,553.0,414.75,283.14,428.58,4 CDM,PX-27001687,Mee 447100 Plating System,948.0,711.0,485.38,734.7,4 CDM,PX-27001688,Mee Plate Low Profile 5305xxx,355.0,266.25,181.76,275.13,4 CDM,PX-27001689,Mee Plate Low Profile 5305228,262.0,196.5,134.14,203.05,4 CDM,PX-27001690,Mee Plate Low Profile 5306212,150.0,112.5,76.8,116.25,4 CDM,PX-27001691,Mee 447520 Plating System,525.0,393.75,268.8,406.88,4 CDM,PX-27001692,Mee Plate Oblique L Rt Titn 4/6hl,574.0,430.5,293.89,444.85,4 CDM,PX-27001693,Mee 400784e Screw Emergency 2.0x4mm,128.0,96.0,65.54,99.2,4 CDM,PX-27001694,Mee 40062x Plating Screws,174.0,130.5,89.09,134.85,4 CDM,PX-27001695,Mee 310153 Plating System,339.0,254.25,173.57,262.73,4 CDM,PX-27001696,Mee 401156e Screw Selftap Titn 2.0x6mm,128.0,96.0,65.54,99.2,4 CDM,PX-27001697,Mee Screw Emergency Self-Tapping,225.0,168.75,115.2,174.38,4 CDM,PX-27001698,Mee Screw Selftap Titn 1.5mm 40074x,126.0,94.5,64.51,97.65,4 CDM,PX-27001699,Mee 40116x Screw Selftap Titn 2.0mm,128.0,96.0,65.54,99.2,4 CDM,PX-27001700,Mee Screw Mitek Depuy,815.0,611.25,417.28,631.63,4 CDM,PX-27001701,Mee Screw Self Drill 1.2mmx3mm 2111203,118.0,88.5,60.42,91.45,4 CDM,PX-27001702,Mee Screw Self-Drilling 1.0mm Rcss 400.423e,198.0,148.5,101.38,153.45,4 CDM,PX-27001703,Mee Screw Auto Drive 1.2mmx5mm 2111205,145.0,108.75,74.24,112.38,4 CDM,PX-27001704,Mee 2111204 Screw Self Drill 1.2mmx4mm,118.0,88.5,60.42,91.45,4 CDM,PX-27001705,Mee 2120046 Plate Micro 13mm Rt L,340.0,255.0,174.08,263.5,4 CDM,PX-27001706,Mee Plate Low Profile 5305212,167.0,125.25,85.5,129.43,4 CDM,PX-27001707,Mee Osteomed Microorbital Plate,933.0,699.75,477.7,723.08,4 CDM,PX-27001708,Mee 40045x Screw Slf Drlng 1.3mm Rcss,183.0,137.25,93.7,141.83,4 CDM,PX-27001709,Mee 40005x Screw Slf Drlng 1.5mm Rcss,154.0,115.5,78.85,119.35,4 CDM,PX-27001710,Mee 40106x Screw Slf Drlng 2.0mm Rcss,148.0,111.0,75.78,114.7,4 CDM,PX-27001711,Mee Screw Selftap Titn 2.0x4mm 401154,128.0,96.0,65.54,99.2,4 CDM,PX-27001712,Mee Screw Titn Coarse Ptch,121.0,90.75,61.95,93.78,4 CDM,PX-27001713,Mee Screw Locking Self-Tapping,381.0,285.75,195.07,295.28,4 CDM,PX-27001714,Mee Screw Locking Self-Tapping,343.0,257.25,175.62,265.83,4 CDM,PX-27001715,Mee Screw Selftap W/Flutes,186.0,139.5,95.23,144.15,4 CDM,PX-27001716,Mee Screw Locking Self-Tapping,282.0,211.5,144.38,218.55,4 CDM,PX-27001717,Mee Screw Cortex Self-Tapping,203.0,152.25,103.94,157.33,4 CDM,PX-27001718,Mee Screw Cortex Self-Tapping,151.0,113.25,77.31,117.03,4 CDM,PX-27001719,Mee Screw Emergency W/Fluted,178.0,133.5,91.14,137.95,4 CDM,PX-27001720,"Mee Screw, Titn,Xxxmm, 40050x",139.0,104.25,71.17,107.73,4 CDM,PX-27001721,Mee Screw Emergency,134.0,100.5,68.61,103.85,4 CDM,PX-27001722,Mee Screw Emergency,184.0,138.0,94.21,142.6,4 CDM,PX-27001723,Mee Screw Self Drilling 1.5xx,70.0,52.5,35.84,54.25,4 CDM,PX-27001724,Mee Screw Slf-Drling,175.0,131.25,89.6,135.63,4 CDM,PX-27001725,Mee Screw Slf-Drling,155.0,116.25,79.36,120.13,4 CDM,PX-27001726,Mee Screw Cover Space,393.0,294.75,201.22,304.58,4 CDM,PX-27001727,Mee Screw Cover,387.0,290.25,198.14,299.93,4 CDM,PX-27001728,"Mee Countersink, Wide,3mm",467.0,350.25,239.1,361.93,4 CDM,PX-27001729,Mee Screw Cortex Rapid Resorbable,660.0,495.0,337.92,511.5,4 CDM,PX-27001730,Mee Screw Cortex Tap F/1 Resorbable,680.0,510.0,348.16,527.0,4 CDM,PX-27001731,Mee Plate 20 Hole,1783.0,1337.25,912.9,1381.83,4 CDM,PX-27001732,Mee Plate Angle Recon 7x23 Hole 2.0mm,2889.0,2166.75,1479.17,2238.98,4 CDM,PX-27001733,Mee Plate Recon 20 Hole,2108.0,1581.0,1079.3,1633.7,4 CDM,PX-27001734,Mee Plate Recon 7x23 Hole Left 2.5mm,3174.0,2380.5,1625.09,2459.85,4 CDM,PX-27001735,Mee Plate 12 Hole 2.0mm,1413.0,1059.75,723.46,1095.08,4 CDM,PX-27001736,Mee Plate Recon 12 Hole 2.5mm,1522.0,1141.5,779.26,1179.55,4 CDM,PX-27001737,Mee Plate Angle 3x3hole Broad 2.0mm,1543.0,1157.25,790.02,1195.83,4 CDM,PX-27001738,Mee Plate Crescent 2x2hoel 2.0mm,1092.0,819.0,559.1,846.3,4 CDM,PX-27001739,Mee Plate 6 Hole 2.0mm,1549.0,1161.75,793.09,1200.48,4 CDM,PX-27001740,"Mee Plate,Pds,Flexible",634.0,475.5,324.61,491.35,4 CDM,PX-27001741,Mee Plate,670.0,502.5,343.04,519.25,4 CDM,PX-27001742,Mee Plate Recon 7x23hole Right 2.5mm,3174.0,2380.5,1625.09,2459.85,4 CDM,PX-27001743,Mee Plate Recon Double Angle Large,4093.0,3069.75,2095.62,3172.08,4 CDM,PX-27001744,Mee Plate Recon Double Angle Medium,3878.0,2908.5,1985.54,3005.45,4 CDM,PX-27001745,Mee Plate Recon 20hole 2.8mm Thick,2416.0,1812.0,1236.99,1872.4,4 CDM,PX-27001746,Mee Screw Emergency,184.0,138.0,94.21,142.6,4 CDM,PX-27001747,"Mee Plate,Adaption,Resorb,1.5mm,20 (22450)",681.0,510.75,348.67,527.78,4 CDM,PX-27001748,Mee Screw Slf Drling 3m Ti Mx,128.0,96.0,65.54,99.2,4 CDM,PX-27001749,"Mee Catheter,Balloon Sinus,Frontal",2397.0,1797.75,1227.26,1818.84,5 CDM,PX-27001750,Mee Dilator Air Balloon,1389.0,1041.75,711.17,1053.97,5 CDM,PX-27001751,Mee Dilator Air Balloon,1474.0,1105.5,754.69,1118.47,5 CDM,PX-27001752,"Mee Catheter,Balloon Sinus",1533.0,1149.75,784.9,1163.24,5 CDM,PX-27001753,"Mee Catheter, Lacricath 3mm",589.0,441.75,301.57,446.93,5 CDM,PX-27001754,"Mee Catheter, Lacricath, 5mm",768.0,576.0,393.22,582.76,5 CDM,PX-27001755,"Mee Dilator,Balloon Pulmonary,15-1 (22527)",721.0,540.75,369.15,547.09,5 CDM,PX-27001761,Mee Duramatrix 3x3,1276.0,957.0,893.71,988.9,2 CDM,PX-27001762,Mee Duramatrix 2x2,1258.0,943.5,881.1,974.95,2 CDM,PX-27001767,Mee Jagwire Pulmonary Guidewire C1769,276.0,207.0,141.31,193.31,2 CDM,PX-27001768,Mee Guide Wire,133.0,99.75,68.1,93.15,2 CDM,PX-27001772,Mee Glaucoma Implant-Baerveldt-Glaucoma,1635.0,1226.25,1062.75,1145.15,2 CDM,PX-27001773,Mee Glaucoma Valve-Ahmed,1081.0,810.75,702.65,757.13,2 CDM,PX-27001774,Mee Scleral Buckle,56.0,42.0,28.67,43.4,5 CDM,PX-27001775,Mee Perfluoron 5ml,989.0,741.75,750.45,766.48,2 CDM,PX-27001776,Mee Silicon Oil 1000,677.0,507.75,513.71,524.68,2 CDM,PX-27001777,Mee Silicon Oil 5000,846.0,634.5,641.94,655.65,2 CDM,PX-27001779,Mee Renu Vocal Cord Medializ Implantable,552.0,414.0,282.62,427.8,4 CDM,PX-27001780,Mee Prolaryn/Radiesse/Juvederm 1cc Syringe,1200.0,900.0,614.4,930.0,4 CDM,PX-27001781,Mee Injectable Radiesse Voice Gel,1133.0,849.75,580.1,878.08,4 CDM,PX-27001789,Mee Voice Prosthesis,483.0,362.25,247.3,374.33,6 CDM,PX-27001790,Mee Insert for Indwelling Voice Prosthesis,133.0,99.75,68.1,68.1,1 CDM,PX-27001791,Mee Cleaning Device for Voice Prosthesis,20.0,15.0,10.24,10.24,1 CDM,PX-27001792,"Mee Kit,Laryngectomy Pulmonary (Exploding)",28.0,21.0,14.34,14.34,1 CDM,PX-27001793,"Mee Puncture Dilator, Replacement Only, Ea",126.0,94.5,64.51,64.51,1 CDM,PX-27001794,"Mee Gelatin Capsule, Application Device, Ea",193.0,144.75,98.82,149.58,5 CDM,PX-27001795,Mee Ocular Implant (Platinum Weight),958.0,718.5,490.5,742.45,3 CDM,PX-27001796,Mee Implant Titn Orbit Btb,1761.0,1320.75,901.63,1364.78,3 CDM,PX-27001797,Mee Implant Globes & Conform. (Jardon,64.0,48.0,32.77,49.6,3 CDM,PX-27001798,Mee Implant Gold Weight,595.0,446.25,304.64,461.13,3 CDM,PX-27001799,Mee Implant Medpor Sphere or Cva,1121.0,840.75,573.95,868.78,3 CDM,PX-27001800,Mee Implant Medpor Sheet 50x76x.85,1287.0,965.25,658.94,997.43,3 CDM,PX-27001801,Mee Implant Medpor Ultra Thin Sheet,863.0,647.25,441.86,668.83,3 CDM,PX-27001802,Mee Implant Medpor 38x50x1.5,957.0,717.75,489.98,741.68,3 CDM,PX-27001803,"Mee Sphere, Hydroxy Appetite",1534.0,1150.5,785.41,1188.85,3 CDM,PX-27001804,Mee Supramid Foil,23.0,17.25,11.78,17.83,3 CDM,PX-27001805,Mee Tutoplast Fascialata 3*12 (36 Scm),912.0,684.0,466.94,706.8,3 CDM,PX-27001806,Mee Expand Hemis Osmed,1293.0,969.75,662.02,1002.08,3 CDM,PX-27001807,Mee Implant Platinum Weight 275,925.0,693.75,473.6,716.88,3 CDM,PX-27001808,Mee Rim Orbital Extended,1412.0,1059.0,722.94,1094.3,3 CDM,PX-27001809,Mee Wedge Enophthalmos 954x,1185.0,888.75,606.72,918.38,3 CDM,PX-27001810,Mee Wall Orbital Floor Titan Ofw,1497.0,1122.75,766.46,1160.18,3 CDM,PX-27001811,Mee Graft Eyelid Spacer 1 X 4 Cm,817.0,612.75,418.3,633.18,3 CDM,PX-27001812,Mee Tantalum Rings,47.0,35.25,24.06,36.43,3 CDM,PX-27001813,"Mee Implant, Sst, Ez, Xxmm",1390.0,1042.5,711.68,1077.25,3 CDM,PX-27001814,Mee Conformer Lucite Cvd,132.0,99.0,67.58,102.3,3 CDM,PX-27001815,Mee Tutoplast Sclera Whole,1153.0,864.75,590.34,893.58,3 CDM,PX-27001816,Mee Implant Medpor Sheet Single Channel,1388.0,1041.0,710.66,1075.7,3 CDM,PX-27001817,Mee Tutoplast Procssd - Fsclt,1262.0,946.5,646.14,978.05,3 CDM,PX-27001818,Mee Tutoplast Sclera 5x8mm,562.0,421.5,287.74,435.55,3 CDM,PX-27001819,"Mee Tutoplast,Procssd-Pericard,1.0 #22499",467.0,350.25,239.1,361.93,3 CDM,PX-27001820,Mee Intacs Corneal Ring Instruments,1568.0,1176.0,802.82,1215.2,3 CDM,PX-27001821,Mee Implant Platinum Weight,992.0,744.0,507.9,768.8,3 CDM,PX-27001822,Mee Extender Tube(Te),265.0,198.75,135.68,205.38,4 CDM,PX-27001823,"Mee Implant, Ahmed Valve, Bi-Plate",1488.0,1116.0,761.86,1153.2,4 CDM,PX-27001824,"Mee Implant, Molteno",1193.0,894.75,610.82,924.58,4 CDM,PX-27001825,"Mee Shunt, Express Mini P-50",1424.0,1068.0,729.09,1103.6,4 CDM,PX-27001826,Mee Ear Implant Applebaum Prothesis,630.0,472.5,322.56,488.25,6 CDM,PX-27001827,Mee Ear Implant Crescent Schuknecht,123.0,92.25,62.98,95.33,6 CDM,PX-27001828,Mee Ear Implant Piston Platinum,322.0,241.5,164.86,249.55,6 CDM,PX-27001829,Mee Ear Implant Porp/Torp Hydrox/Kurz,628.0,471.0,321.54,486.7,6 CDM,PX-27001830,Mee Ear Implant Piston Malleus,174.0,130.5,89.09,134.85,6 CDM,PX-27001831,Mee Ear Implant Piston Meei Custom,232.0,174.0,118.78,179.8,6 CDM,PX-27001832,"Mee Ear Implant,Kurz Bell,Aerial Vario",835.0,626.25,427.52,647.13,6 CDM,PX-27001833,"Mee Piston,Smart Maleous",516.0,387.0,264.19,399.9,6 CDM,PX-27001834,"Mee Connector,Omega,Kurz",418.0,313.5,214.02,323.95,6 CDM,PX-27001835,"Mee Piston, Smart Stapes, 5x X.Xxmm",472.0,354.0,241.66,365.8,6 CDM,PX-27001836,Mee Piston Smart,494.0,370.5,252.93,382.85,6 CDM,PX-27001837,Mee Piston Eclipse Nitinol,520.0,390.0,266.24,403.0,6 CDM,PX-27001838,Mee Coch Impl Internal Processor Partial Device,1.0,0.75,0.51,0.76,4 CDM,PX-27001839,Mee Cochlear Device Int/Ext Comp,58074.0,43555.5,29733.89,44066.55,4 CDM,PX-27001841,Mee Coch Impl Internal Processor Warantee Replacement,1.0,0.75,0.51,0.76,4 CDM,PX-27001842,Mee Cochlear Device Int/Ext Comp,59156.0,44367.0,30287.87,44887.57,4 CDM,PX-27001851,Mee Lithium Ion Battery Ear Level,225.0,168.75,148.28,148.28,2 CDM,PX-27001852,Mee Cid Ext Speech Process Repl,13537.0,10152.75,8920.88,8920.88,1 CDM,PX-27001854,Mee Cid Transmit Coil and Cable,427.0,320.25,281.39,281.39,1 CDM,PX-27001855,Mee Fixture Flange St,2287.0,1715.25,1170.94,1735.38,3 CDM,PX-27001856,Mee Fixture Flange W/Abutment,3831.0,2873.25,1961.47,2906.96,3 CDM,PX-27001857,Mee Baha Bone Anchor Hearing Aid,6678.0,5008.5,3419.14,5067.27,3 CDM,PX-27001859,Mee Baha Incl Hdbnd/Ext Attachment,6837.0,5127.75,2734.8,4800.26,3 CDM,PX-27001861,"Mee Tube,Baxter,Beveled Button",39.0,29.25,19.97,30.23,6 CDM,PX-27001862,Mee Ear Tube,27.0,20.25,13.82,20.93,6 CDM,PX-27001863,Mee Ear Tube,49.0,36.75,25.09,37.98,6 CDM,PX-27001864,Mee Ear Tube,78.0,58.5,39.94,60.45,6 CDM,PX-27001865,Mee Ear Tube,72.0,54.0,36.86,55.8,6 CDM,PX-27001866,Mee Ear Tubes,48.0,36.0,24.58,37.2,6 CDM,PX-27001867,Mee Thyroplasty Implant,755.0,566.25,386.56,585.13,6 CDM,PX-27001868,Mee Rim Helical,1023.0,767.25,523.78,792.83,6 CDM,PX-27001869,Mee Ear Base Extended,1297.0,972.75,664.06,1005.18,6 CDM,PX-27001871,"Mee Implant, Istent",1611.0,1208.25,824.83,1248.53,6 CDM,PX-27001872,"Mee Implant,Orbital Floor",1463.0,1097.25,749.06,1133.83,6 CDM,PX-27001873,"Mee Plate, Adapt 20 Hole, Ti Mx",271.0,203.25,138.75,210.03,6 CDM,PX-27001899,Mee Tissue Corneal V2785,4274.0,3205.5,2188.29,3312.35,9 CDM,PX-27001900,Mee Tissue Precut Corneal V2785,5705.0,4278.75,2920.96,4421.38,9 CDM,PX-27001901,Mee Cornea Allograft Half Moon,647.0,485.25,331.26,501.43,9 CDM,PX-27001902,Mee Tissue Cornea Whole Irradiated,3936.0,2952.0,2015.23,3050.4,9 CDM,PX-27001903,Mee Allograft Tissue Human,4150.0,3112.5,2124.8,3216.25,9 CDM,PX-27001910,"Mee Amniotic Membrane(Prokera),per Procedure",1282.0,961.5,897.91,993.55,3 CDM,PX-27001913,Mee Ambiodry 1x2cm,1433.0,1074.75,1003.67,1110.58,3 CDM,PX-27001917,"Mee Dispensing Fee, Binaural",660.0,495.0,264.0,500.81,8 CDM,PX-27001918,"Mee Dispensing Fee, Cros",330.0,247.5,231.13,231.69,2 CDM,PX-27001919,"Mee Dispensing Fee, Monaural",330.0,247.5,217.47,250.4,4 CDM,PX-27001921,Mee Earmold Disposable,2.25,1.69,1.58,2.25,2 CDM,PX-27001946,"Mee Implant, Wedge, Enophthalmos, Sterile",742.0,556.5,379.9,575.05,6 CDM,PX-27001948,"Mee Implant, Sphere, Sterile� Various Sizes",827.0,620.25,423.42,640.93,6 CDM,PX-27001950,"Mee Dilator, Balloon Pulmonary, 15-16.5-18mm",851.0,638.25,435.71,645.74,5 CDM,PX-27001986,Repair Prosthesis per 15 Min,72.0,54.0,50.55,50.55,1 CDM,PX-27001996,Mee Laryclip Kit,185.0,138.75,94.72,94.72,1 CDM,PX-27001997,Mee Flushing Pipet for Voice Prosthesis,109.0,81.75,55.81,55.81,1 CDM,PX-27001998,Mee Trach Valve Housing (Reusable),40.0,30.0,30.35,30.35,1 CDM,PX-27002002,Mee Larytube Brush,19.0,14.25,9.73,9.73,1 CDM,PX-27002021,Mee Xtrabase Optiderm,19.0,14.25,9.73,14.42,2 CDM,PX-27002022,Mee Regular and Flexiderm,11.0,8.25,5.63,8.35,2 CDM,PX-27002023,Mee Stabilibase,23.0,17.25,11.78,17.45,2 CDM,PX-27002024,Mee Stabilibase Optiderm,46.0,34.5,23.55,34.9,2 CDM,PX-27002025,Mee Baseplate (Inhealth or Bmc),10.0,7.5,5.12,7.59,2 CDM,PX-27002034,Mee Tep Provox II,588.0,441.0,301.06,455.7,6 CDM,PX-27002035,Mee Tep Provox Vega,547.0,410.25,280.06,423.93,6 CDM,PX-27002036,Mee Tep Provox Vega Xtraseal,632.0,474.0,323.58,489.8,6 CDM,PX-27002037,Mee Tep Provox Activalve,2725.0,2043.75,1395.2,2111.88,6 CDM,PX-27002039,Mee Tep Provox Nid,217.0,162.75,111.1,168.18,6 CDM,PX-27002040,Mee Tep BS Low Pressure,181.0,135.75,92.67,140.28,6 CDM,PX-27002041,Mee Tep BS Duckbill,128.0,96.0,65.54,99.2,6 CDM,PX-27002042,Mee Tep BS Low Pressure - Special Order,268.0,201.0,137.22,207.7,6 CDM,PX-27002043,Mee Tep BS Advantage,711.0,533.25,364.03,551.03,6 CDM,PX-27002044,Mee Tep vs Dual Valve,848.0,636.0,434.18,657.2,6 CDM,PX-27002045,Mee Tep BS Classic,526.0,394.5,269.31,407.65,6 CDM,PX-27002046,Mee Tep BS Special Order,636.0,477.0,325.63,492.9,6 CDM,PX-27002054,Mee Service Lab Fee � in House Ha Repair,53.0,39.75,34.93,34.93,1 CDM,PX-27002058,Conformity Evaluation,90.0,67.5,36.0,69.75,10 CDM,PX-27002060,Mee Punc Plug Perma Hydrogel,80.0,60.0,40.96,62.0,4 CDM,PX-27002140,Mee Punc Plug 7 Days Soft Plug Collagen,17.0,12.75,8.7,13.18,5 CDM,PX-27002141,Temp Punctal Plug,3.0,2.25,1.54,2.33,5 CDM,PX-27002151,Ear Implant Osteointergated Abutment T3,3900.0,2925.0,1560.0,2738.19,3 CDM,PX-27002170,Mee Sponsor Paid Cochlear,1.0,0.75,0.51,0.76,4 CDM,PX-27002237,Microstent Hydrus (Ivantis),1470.0,1102.5,955.5,1029.59,2 CDM,PX-27002238,Bonebridge Bone Conduction Implant,13953.0,10464.75,7143.94,10587.54,3 CDM,PX-27002265,HC Lithium Ion Battery Ear Level T3,550.0,412.5,362.45,362.45,2 CDM,PX-27002272,HC Ear Implant Non Osteointergated Abutment T2,4230.0,3172.5,1692.0,2969.88,3 CDM,PX-27002273,HC Ear Implant Non Osteointergated Abutment T3,4580.0,3435.0,1832.0,3215.62,3 CDM,PX-27002286,Upgradeable Lens Iol Posterior Chamber,445.81,334.36,228.25,345.5,5 CDM,PX-27002290,Mee Calec Corneal Tissue,1.0,0.75,0.7,0.78,3 CDM,PX-27002299,Cochlear External Add on Component,10295.0,7721.25,5271.04,7811.85,4 CDM,PX-27002300,Auditory Osseointegrated External Add on Component,3740.0,2805.0,1914.88,2837.91,3 CDM,PX-27002301,Mee Cid Transmit Coil and Cable T2,743.0,557.25,489.64,489.64,1 CDM,PX-27002324,Unilat Tula System Supply,1000.0,750.0,512.0,775.0,6 CDM,PX-27002347,Nasal Renu Gel,552.0,414.0,282.62,427.8,4 CDM,PX-27002355,Mee Implant Eyelid Weight,1350.0,1012.5,691.2,1046.25,3 CDM,PX-27002358,Bilat Tula System Supply,1300.0,975.0,665.6,1007.5,6 CDM,PX-27002365,Implant Vocal 0.1ml Silkvoice Injectable,1050.0,787.5,813.75,813.75,1 CDM,PX-27002441,Vivaer/Rhinaer Tissue Ablation Probe,1850.0,1387.5,947.2,1295.74,3 CDM,PX-29000009,Duette,265.0,198.75,186.06,186.06,1 CDM,PX-29000010,Synergeyes A,371.0,278.25,260.48,260.48,1 CDM,PX-29000011,"Synergeyes Kc, Ps, Clearcone, Ultrahealt",583.0,437.25,409.32,409.32,1 CDM,PX-29000034,Ha Digital Monaural Ite,785.0,588.75,551.15,551.15,1 CDM,PX-29000035,Ha Digital Monaural Bte,784.0,588.0,401.41,594.9,6 CDM,PX-29000036,Ha Digital Binaural Cic,1413.0,1059.75,931.17,992.07,2 CDM,PX-29000037,Ha Digital Binaural Itc,1528.0,1146.0,1006.95,1006.95,1 CDM,PX-29000039,Ha Digital Binaural Ite,1570.0,1177.5,1034.63,1034.63,2 CDM,PX-29000043,"Hearing Aid Battery, Each",1.0,0.75,0.51,0.7,3 CDM,PX-29000052,Earmold Receiver,63.0,47.25,32.26,63.0,8 CDM,PX-29000054,Hearing Aid Monaural Bte (V5181),469.0,351.75,328.49,328.49,1 CDM,PX-29000056,Hearing Aid Binaural Bte/Bte (V5221),1370.0,1027.5,701.44,961.88,5 CDM,PX-29000064,Hearing Aid Monaural Bte T2(V5181),588.0,441.0,411.84,411.84,1 CDM,PX-29000065,Hearing Aid Monaural Bte T3(V5181),679.0,509.25,475.57,475.57,1 CDM,PX-29000069,Hearing Aid Binaural Bte/Bte T2 (V5221),1586.0,1189.5,812.03,1113.53,5 CDM,PX-29000070,Hearing Aid Binaural Bte/Bte T3 (V5221),2009.0,1506.75,1028.61,1410.52,5 CDM,PX-29000076,HC Ha Digital Monaural Ite T2,1048.0,786.0,735.8,735.8,1 CDM,PX-29000077,HC Ha Digital Monaural Ite T3,1556.0,1167.0,1092.47,1092.47,1 CDM,PX-29000078,HC Ha Digital Monaural Bte T2,1049.0,786.75,537.09,795.98,6 CDM,PX-29000079,HC Ha Digital Monaural Bte T3,1486.0,1114.5,760.83,1127.58,6 CDM,PX-29000080,HC Ha Digital Binaural Cic T2,2184.0,1638.0,1439.26,1533.39,2 CDM,PX-29000081,HC Ha Digital Binaural Cic T3,3353.0,2514.75,2209.63,2354.14,2 CDM,PX-29000082,HC Ha Digital Binaural Itc T2,2028.0,1521.0,1336.45,1336.45,1 CDM,PX-29000083,HC Ha Digital Binaural Itc T3,2956.0,2217.0,1948.0,1948.0,1 CDM,PX-29000084,HC Ha Digital Binaural Ite T2,2095.0,1571.25,1380.61,1380.61,2 CDM,PX-29000085,HC Ha Digital Binaural Ite T3,3112.0,2334.0,2050.81,2050.81,2 CDM,PX-29000086,HC Ha Digital Binaural Bte T1,1568.0,1176.0,802.82,1568.0,9 CDM,PX-29000087,HC Ha Digital Binaural Bte T2,2098.0,1573.5,1074.18,2098.0,9 CDM,PX-29000088,HC Ha Digital Binaural Bte T3,2972.0,2229.0,1521.66,2972.0,9 CDM,PX-29000089,HC Earmold Receiver T2,76.0,57.0,38.91,76.0,8 CDM,PX-29000090,HC Earmold Receiver T3,105.0,78.75,53.76,105.0,8 CDM,PX-30000003,Venipuncture,5.0,3.75,2.56,3.88,5 CDM,PX-30000010,Hepatic Function Panel,287.0,215.25,146.94,222.43,2 CDM,PX-30000067,RBC Antibody Screen,149.0,111.75,115.48,115.48,1 CDM,PX-30000075,Blood Typing Serologic Abo,94.0,70.5,72.85,72.85,1 CDM,PX-30000076,HC Blood Typing Serologic Rh (D),80.0,60.0,62.0,62.0,1 CDM,PX-30000087,Compatibility Test Ea Unit Electron,158.0,118.5,203.48,203.48,1 CDM,PX-30000112,Cell Count Body Fluid W/Diff,50.0,37.5,25.6,38.75,2 CDM,PX-30000171,Basic Metabolic Panel,383.0,287.25,196.1,296.83,2 CDM,PX-30000172,Comprehensive Metabolic Panel,596.0,447.0,305.15,461.9,2 CDM,PX-30000173,Lipid Panel,292.0,219.0,149.5,226.3,2 CDM,PX-30000279,Adrenocorticotropic (Acth),479.0,359.25,245.25,245.25,1 CDM,PX-30000281,Albumin Serum/Plasma/Blood,32.0,24.0,16.38,24.8,4 CDM,PX-30000315,Angiotensin I Enzyme (Ace),232.0,174.0,118.78,179.8,2 CDM,PX-30000317,Arsenic,229.0,171.75,177.48,177.48,1 CDM,PX-30000333,Cadmium,276.0,207.0,213.9,213.9,1 CDM,PX-30000334,Vitamin D 25 Hydroxy Inc Fraction,924.0,693.0,473.09,716.1,4 CDM,PX-30000335,Calcitonin,588.0,441.0,301.06,455.7,2 CDM,PX-30000336,Calcium Total,72.0,54.0,36.86,55.8,4 CDM,PX-30000348,Carcinoembryonic Antigen (Cea),185.0,138.75,94.72,94.72,1 CDM,PX-30000355,Ceruloplasmin,183.0,137.25,118.95,141.83,2 CDM,PX-30000380,Copper,287.0,215.25,146.94,146.94,1 CDM,PX-30000383,Cortisol Total,177.0,132.75,90.62,90.62,1 CDM,PX-30000389,Creatine Kinase (Cpk) Total,119.0,89.25,60.93,60.93,1 CDM,PX-30000393,Creatinine Blood,72.0,54.0,36.86,55.8,4 CDM,PX-30000394,Creatinine Other Source,108.0,81.0,55.3,83.7,2 CDM,PX-30000400,Vitamin B-12 (Cyancobalamin),270.0,202.5,138.24,209.25,3 CDM,PX-30000435,Ferritin,182.0,136.5,93.18,93.18,1 CDM,PX-30000440,Folic Acid Serum,239.0,179.25,122.37,185.23,3 CDM,PX-30000447,Gammaglobulin Igm Iga Igd or Igg,139.0,104.25,71.17,107.73,2 CDM,PX-30000449,Gammaglobulin Ige,182.0,136.5,93.18,93.18,1 CDM,PX-30000450,Immunoglobulin Subclasses Ea,429.0,321.75,219.65,332.48,2 CDM,PX-30000492,Hemoglobin Electrophoresis,273.0,204.75,211.58,211.58,1 CDM,PX-30000497,Hemoglobin Glycosylated (A1c),167.0,125.25,85.5,85.5,1 CDM,PX-30000521,Immuno Ql/Sq Multi,139.0,104.25,71.17,90.35,2 CDM,PX-30000524,Immuno Qn Ria,423.0,317.25,216.58,216.58,1 CDM,PX-30000526,Immuno Qn Other,70.0,52.5,35.84,54.25,2 CDM,PX-30000528,Insulin Total,141.0,105.75,72.19,72.19,1 CDM,PX-30000531,IRON,31.0,23.25,15.87,24.03,2 CDM,PX-30000532,Iron Binding Capacity,167.0,125.25,85.5,129.43,2 CDM,PX-30000538,Lactate Dehydrogenase (Ldh),81.0,60.75,41.47,41.47,1 CDM,PX-30000545,LEAD,208.0,156.0,161.2,161.2,1 CDM,PX-30000563,Magnesium,182.0,136.5,93.18,141.05,4 CDM,PX-30000571,Mercury,194.0,145.5,150.35,150.35,1 CDM,PX-30000572,Metanephrines,102.0,76.5,52.22,79.05,2 CDM,PX-30000600,Parathormone (Pth),545.0,408.75,279.04,422.38,4 CDM,PX-30000606,Calprotectin,241.0,180.75,123.39,186.78,2 CDM,PX-30000613,Phosphatase Alkaline,32.0,24.0,16.38,24.8,4 CDM,PX-30000619,Phosphorus,31.0,23.25,15.87,24.03,4 CDM,PX-30000637,Prolactin,472.0,354.0,241.66,241.66,1 CDM,PX-30000650,Protein Electrophoresis,105.0,78.75,53.76,81.38,2 CDM,PX-30000659,Vitamin B-6 (Pyridoxal Phosphate),588.0,441.0,455.7,455.7,1 CDM,PX-30000668,Vitamin B-2 (Riboflavin),244.0,183.0,189.1,189.1,1 CDM,PX-30000693,Vitamin B1 (Thiamine),108.0,81.0,55.3,83.7,3 CDM,PX-30000696,Thyroglobulin,33.0,24.75,16.9,25.58,3 CDM,PX-30000697,Thyroxine (T-4) Total,121.0,90.75,93.78,93.78,1 CDM,PX-30000699,Thyroxine (T-4) Free,132.0,99.0,67.58,102.3,3 CDM,PX-30000700,Thyroid Activity (Tbg),296.0,222.0,151.55,151.55,1 CDM,PX-30000701,Thyroid Stimulating Hormone (Tsh),226.0,169.5,115.71,175.15,4 CDM,PX-30000702,Thyroid Stimulating Immun Globulin,213.0,159.75,109.06,165.08,2 CDM,PX-30000703,Vitamin E,319.0,239.25,207.35,247.23,2 CDM,PX-30000705,Ast/Sgot,32.0,24.0,16.38,16.38,1 CDM,PX-30000706,Alt/Sgpt,62.0,46.5,31.74,31.74,1 CDM,PX-30000711,Triiodothyronine (T-3) Total,104.0,78.0,53.25,80.6,3 CDM,PX-30000721,Urea Nitrogen Quantitative,50.0,37.5,25.6,38.75,4 CDM,PX-30000739,ZINC,140.0,105.0,91.0,91.0,1 CDM,PX-30000741,Hcg Qn,73.0,54.75,37.38,56.58,2 CDM,PX-30000775,Rast Allergen Ige Qn Sq Ea,73.0,54.75,37.38,37.38,1 CDM,PX-30000783,Antinuclear Antibodies (Ana) Screen,205.0,153.75,104.96,158.88,2 CDM,PX-30000784,Antinuclear Antibodies (Ana) Titer,218.0,163.5,111.62,168.95,2 CDM,PX-30000787,C-Reactive Protein,111.0,83.25,56.83,86.03,2 CDM,PX-30000788,C-Reactive Protein High Sensitivity,226.0,169.5,115.71,175.15,2 CDM,PX-30000789,Beta 2 Glycoprotein I Antibody Ea,116.0,87.0,59.39,89.9,2 CDM,PX-30000791,Cardiolipin Antibody Ea Ig Class,132.0,99.0,67.58,102.3,2 CDM,PX-30000799,Complement Functional Activity,357.0,267.75,182.78,182.78,1 CDM,PX-30000804,Cyclic Citrulli Pept (CCP) Antibody,305.0,228.75,156.16,236.38,2 CDM,PX-30000806,Dna Double Strand Antibody,170.0,127.5,87.04,87.04,1 CDM,PX-30000808,Extract Nuclear Antigen,450.0,337.5,230.4,348.75,2 CDM,PX-30000811,Fluorescent Antibody Scrn,678.0,508.5,347.14,525.45,2 CDM,PX-30000827,HC Immunoassay Infectious Agent Antibody Quan,228.0,171.0,176.7,176.7,1 CDM,PX-30000843,Islet Cell Antibody,239.0,179.25,155.35,155.35,1 CDM,PX-30000856,Microsomal Antibody,101.0,75.75,51.71,78.28,2 CDM,PX-30000867,Rheumatoid Factor Qn,81.0,60.75,41.47,62.78,2 CDM,PX-30000870,TB Test Cell Imm Ag Meas Gam Interf,167.0,125.25,85.5,129.43,2 CDM,PX-30000885,Bartonella Antibody,80.0,60.0,40.96,62.0,2 CDM,PX-30000893,Lyme Disease Antibody,176.0,132.0,90.11,136.4,2 CDM,PX-30000910,Cytomegalovirus (Cmv) Antibody,155.0,116.25,79.36,79.36,1 CDM,PX-30000912,Cytomegalovirus (Cmv) Antibody Igm,155.0,116.25,79.36,79.36,1 CDM,PX-30000925,Epstein-Barr Ebna Ag Antibody,84.0,63.0,43.01,65.1,2 CDM,PX-30000927,Epstein-Barr Vca Ag Antibody,80.0,60.0,40.96,62.0,2 CDM,PX-30000938,Haemophilus Influenza Antibody,501.0,375.75,388.28,388.28,1 CDM,PX-30000946,Herpes Simplex Type I Antibody,310.0,232.5,158.72,240.25,2 CDM,PX-30000948,Herpes Simplex Type II Antibody,237.0,177.75,121.34,183.68,2 CDM,PX-30000950,Histoplasma Antibody,152.0,114.0,77.82,77.82,1 CDM,PX-30000955,Hepatitis B Core Antibody Igm Igg,231.0,173.25,118.27,179.03,2 CDM,PX-30000957,Hepatitis B Surface Antibody,81.0,60.75,41.47,62.78,2 CDM,PX-30000999,Toxoplasma Antibody,299.0,224.25,153.09,231.73,2 CDM,PX-30001003,Treponema Pallidum Antibody,256.0,192.0,131.07,198.4,2 CDM,PX-30001005,Varicella-Zoster Antibody,208.0,156.0,161.2,161.2,1 CDM,PX-30001007,West Nile Virus Antibody Igm,176.0,132.0,90.11,136.4,2 CDM,PX-30001014,Hepatitis C Antibody,208.0,156.0,106.5,161.2,3 CDM,PX-30001020,Hla Typing Single Antigen a/B/C,146.0,109.5,74.75,74.75,1 CDM,PX-30001031,Blood Smear W/Manual Diff Wbc,59.0,44.25,45.73,45.73,1 CDM,PX-30001037,Blood Count Cbc Auto W/Auto Diff,100.0,75.0,51.2,51.2,1 CDM,PX-30001038,Blood Count Cbc Auto W/O Diff,119.0,89.25,60.93,92.23,2 CDM,PX-30001055,Factor VIII Ahg,448.0,336.0,229.38,229.38,1 CDM,PX-30001058,Factor VIII Vw Ristocetin Cofactor,491.0,368.25,251.39,251.39,1 CDM,PX-30001059,Factor VIII Vw Antigen,1148.0,861.0,587.78,587.78,1 CDM,PX-30001071,Antithrombin III Activity,374.0,280.5,289.85,289.85,1 CDM,PX-30001105,Heparin Assay,127.0,95.25,65.02,65.02,1 CDM,PX-30001111,Muramidase,279.0,209.25,142.85,216.23,2 CDM,PX-30001118,Prothrombin Time (Pt),63.0,47.25,32.26,48.83,2 CDM,PX-30001121,Russell Viper Venom Diluted,74.0,55.5,37.89,57.35,2 CDM,PX-30001124,Sed Rate RBC Auto,63.0,47.25,32.26,48.83,2 CDM,PX-30001129,Partial Thromboplastin Time (Ptt),63.0,47.25,32.26,48.83,2 CDM,PX-30001144,Culture Bacterial Other Source,151.0,113.25,77.31,117.03,6 CDM,PX-30001147,Culture Anaerobic,153.0,114.75,78.34,118.58,4 CDM,PX-30001148,Culture Anaerobic ID,166.0,124.5,84.99,107.9,3 CDM,PX-30001150,Culture Aerobic ID,166.0,124.5,84.99,128.65,5 CDM,PX-30001152,Culture Screen Single Organism,128.0,96.0,65.54,99.2,3 CDM,PX-30001157,Culture Fungus Other,237.0,177.75,121.34,183.68,6 CDM,PX-30001159,Culture Fungus ID Yeast,110.0,82.5,80.3,80.3,1 CDM,PX-30001161,Culture Fungus ID Mold,375.0,281.25,192.0,192.0,1 CDM,PX-30001166,Culture Afb/TB/Mycobacteria,48.0,36.0,24.58,37.2,2 CDM,PX-30001170,Culture Typing Serologic,187.0,140.25,95.74,144.93,2 CDM,PX-30001186,Susceptibility Mic per Plate,254.0,190.5,130.05,196.85,5 CDM,PX-30001192,Smear Gram or Geimsa Stain,123.0,92.25,62.98,95.33,5 CDM,PX-30001193,Smear Acid Fast/Fluorescent Stain,241.0,180.75,123.39,186.78,2 CDM,PX-30001241,Eia Ql H Pylori Antigen Stool,179.0,134.25,91.65,91.65,1 CDM,PX-30001243,Eia Ql Hepatitis B Ag,217.0,162.75,111.1,168.18,2 CDM,PX-30001300,Nucleic Acid Amp Probe Herpes Smpx,313.0,234.75,160.26,160.26,1 CDM,PX-30001344,Nucleic Acid Amp Infectious,250.0,187.5,128.0,193.75,2 CDM,PX-30001347,Nucleic Acid Amp Multi Org,605.0,453.75,468.88,468.88,1 CDM,PX-30001374,Urinalysis Auto W/Micro,37.0,27.75,18.94,18.94,1 CDM,PX-30001376,Urinalysis Auto W/O Micro,10.0,7.5,5.12,5.12,1 CDM,PX-30001381,Urine Pregnancy Visual,97.0,72.75,49.66,75.18,2 CDM,PX-30001851,Allergen Specific Ige Quan/Semiquan Ea Allergen,73.0,54.75,37.38,37.38,1 CDM,PX-30002304,Mgh Nonvirus Rna Rt Pcr,250.0,187.5,128.0,193.75,2 CDM,PX-30002775,Creatinine Blood (Qw),16.0,12.0,8.19,12.4,4 CDM,PX-30003098,Mee S50480 Interleukin 10 Fluid 83519,423.0,317.25,216.58,216.58,1 CDM,PX-30003155,Mee Anti-Neuronal Antibodies,678.0,508.5,347.14,525.45,2 CDM,PX-30003215,"Mee Aerobic Sensitivity, Gram POS Mic (Spec)",254.0,190.5,130.05,196.85,5 CDM,PX-30003243,Mee Varicella Zoster Pcr Vitreous,250.0,187.5,128.0,193.75,2 CDM,PX-30003485,Mee ID Susceptibility Uni Tex,110.0,82.5,80.3,80.3,1 CDM,PX-30003607,Drug Assay Adalimumab,268.0,201.0,188.16,188.16,1 CDM,PX-30003609,Drug Assay Infliximab,268.0,201.0,188.16,188.16,1 CDM,PX-30003640,Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq,150.0,112.5,76.8,76.8,1 CDM,PX-30003718,Nfct Ds Rna 4 Targets Upper Respiratory Specimen,478.0,358.5,315.0,315.0,1 CDM,PX-30003759,Immunoglobulin Light Chains Free Each,151.0,113.25,77.31,117.03,4 CDM,PX-30003760,Assay of Interleukin-6 (Il-6),151.0,113.25,99.51,99.51,1 CDM,PX-30003761,Actin Smooth Muscle Antibody Each,102.0,76.5,67.22,67.22,1 CDM,PX-30003762,Antineutrophil Cytoplasmic Antb Screen Ea Antb,106.0,79.5,54.27,82.15,6 CDM,PX-30003763,Antineutrophil Cytoplasmic Antb Titer Ea Antb,106.0,79.5,54.27,69.85,2 CDM,PX-30003766,Aquaporin-4 Antibody Flow Cytometry Each,106.0,79.5,54.27,82.15,5 CDM,PX-30003770,Mog-Igg1 Antibody Flow Cytometry Each,106.0,79.5,69.85,82.15,4 CDM,PX-30003819,Assay of Anti-Mullerian Hormone,340.0,255.0,238.71,238.71,1 CDM,PX-30003820,Acetylcholine Receptor Binding Antibody,163.0,122.25,83.46,126.33,4 CDM,PX-30003821,Acetylcholine Receptor Blocking Antibody,163.0,122.25,83.46,126.33,3 CDM,PX-30003822,Acetylcholine Receptor Modulating Antibody,106.0,79.5,54.27,82.15,4 CDM,PX-30003823,Muscle-Specific Kinase Antibody,163.0,122.25,107.42,126.33,2 CDM,PX-31000156,Special Stain II Iron,105.0,78.75,53.76,153.06,11 CDM,PX-31000157,Consult Path Surgery W/Frozen,586.0,439.5,203.48,454.15,4 CDM,PX-31000500,Imhistochem/Cytchm Init Antibody Stain Procedure,421.0,315.75,203.48,326.28,11 CDM,PX-31000502,In Situ Hybridization Ea Addl Probe Stain,596.0,447.0,305.15,461.9,3 CDM,PX-32000006,Xr Mastoids <3 Views,369.0,276.75,188.93,188.93,1 CDM,PX-32000030,Xr Skull Ltd <4 Views,584.0,438.0,443.14,443.14,1 CDM,PX-32000039,Xr Neck Soft Tissue,484.0,363.0,367.26,375.1,2 CDM,PX-32000044,Xr Sialogram,921.0,690.75,713.78,713.78,1 CDM,PX-32000198,Xr Esophagus,1700.0,1275.0,211.39,1317.5,9 CDM,PX-32000199,Xr Swallow Cine/Video,1700.0,1275.0,211.39,1317.5,17 CDM,PX-32000436,Radiologic Exam Abdomen 1 View,140.0,105.0,104.55,104.55,1 CDM,PX-32000439,Radiologic Exam Chest Single View,140.0,105.0,98.06,108.5,6 CDM,PX-32000440,Radiologic Exam Chest 2 Views,140.0,105.0,71.68,108.5,11 CDM,PX-32000447,Radiologic Exam Esophagus Double Contrast Study,1058.0,793.5,211.39,802.81,7 CDM,PX-33000003,Chemo Intralesional 1-7 Lesions,353.0,264.75,84.51,84.51,1 CDM,PX-33000076,Chem Ivp/ IV <16 Min Initial Single Drug -96409,478.0,358.5,393.86,393.86,1 CDM,PX-33000078,Chemo IV Infus Initial Up to 1 Hr - 96413,843.0,632.25,393.86,393.86,5 CDM,PX-33000079,Chemo IV Infus Same Drug Ea Add�L Hr > or = to 31 Min - 96415,126.0,94.5,84.51,84.51,3 CDM,PX-35000009,CT Head W/O Contrast,917.0,687.75,112.51,382.89,11 CDM,PX-35000010,CT Head W/Contrast,1216.0,912.0,201.74,686.56,9 CDM,PX-35000011,CT Head W&W/O Contrast,1468.0,1101.0,201.74,686.56,6 CDM,PX-35000014,CT Orb/Fos/Sel/Ear W/O Contrast,1545.0,1158.75,112.51,1004.25,22 CDM,PX-35000017,CT Orb/Fos/Sel/Ear W/Contrast,1802.0,1351.5,201.74,686.56,8 CDM,PX-35000020,CT Orb/Fos/Sel/Ear W&W/O Contrast,2051.0,1538.25,211.39,211.39,1 CDM,PX-35000021,CT Max/Facial W/O Contrast,1252.0,939.0,112.51,813.8,21 CDM,PX-35000022,CT Max/Facial W/Contrast,1531.0,1148.25,201.74,686.56,9 CDM,PX-35000023,CT Max/Facial W&W/O Contrast,1880.0,1410.0,686.56,686.56,1 CDM,PX-35000024,CT Neck W/O Contrast,1229.0,921.75,112.51,629.25,10 CDM,PX-35000025,CT Neck W/Contrast,1491.0,1118.25,201.74,1088.43,25 CDM,PX-35000026,CT Neck W&W/O Contrast,1830.0,1372.5,201.74,686.56,8 CDM,PX-35000027,Cta Head W&W/O Contrast,3018.0,2263.5,201.74,686.56,10 CDM,PX-35000028,Cta Neck W&W/O Contrast,3035.0,2276.25,201.74,1553.92,7 CDM,PX-35000030,Diagnostic Computed Tomography Thorax W/O Cntrst,1210.0,907.5,112.51,619.52,11 CDM,PX-35000031,Diagnostic Computed Tomography Thorax W/Contrast,1471.0,1103.25,201.74,956.15,16 CDM,PX-35000033,Cta Chest (Noncor) W&W/O Contrast,2165.0,1623.75,686.56,686.56,1 CDM,PX-35000068,Cta Lwr Ext W&W/O Contrast Rt,1325.0,993.75,211.39,211.39,1 CDM,PX-35000069,Cta Lwr Ext W&W/O Contrast Lt,1325.0,993.75,211.39,211.39,1 CDM,PX-35000070,Cta Lwr Ext W&W/O Contrast,2262.0,1696.5,211.39,211.39,1 CDM,PX-35000072,CT Abdomen W/Contrast,1607.0,1205.25,211.39,211.39,1 CDM,PX-35000074,CT Abd/Pelvis W/Wocontrast Post,2309.0,1731.75,424.07,424.07,1 CDM,PX-35000076,CT Abdomen & Pelvis W/O Contrast,912.0,684.0,287.03,784.65,2 CDM,PX-35000077,CT Abdomen & Pevis With Contrast,1463.0,1097.25,385.88,424.07,5 CDM,PX-36000096,Dilation Salivary Duct,2353.0,1764.75,1151.19,1758.93,5 CDM,PX-36000104,Iridotomy/Irridectomy Laser Surg per Session,848.0,636.0,496.18,651.43,2 CDM,PX-36000104,Iridotomy/Irridectomy Laser Surg per Session|BILATERAL PROCEDURE,848.0,636.0,651.43,851.12,5 CDM,PX-36000107,Proph Retinal Dtchmnt W/O Drg Photocoagulation,839.0,629.25,429.57,651.43,3 CDM,PX-36000107,Proph Retinal Dtchmnt W/O Drg Photocoagulation|BILATERAL PROCEDURE,839.0,629.25,651.43,851.12,2 CDM,PX-36000110,Rpr Blepharoptosis Levator Rescj/Advmnt Internal,2234.0,1675.5,2770.25,2770.25,1 CDM,PX-36000110,Rpr Blepharoptosis Levator Rescj/Advmnt Internal|BILATERAL PROCEDURE,2234.0,1675.5,3109.35,3109.35,1 CDM,PX-36000112,Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj,2745.0,2058.75,1405.44,2770.25,3 CDM,PX-36000112,Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj|BILATERAL PROCEDURE,2745.0,2058.75,3109.35,3109.35,1 CDM,PX-36000113,Repair Entropion Extensive,3657.0,2742.75,2770.25,2770.25,1 CDM,PX-36000114,Debridement Mastoidectomy Cavity Simple,166.0,124.5,84.99,235.94,11 CDM,PX-36000114,Debridement Mastoidectomy Cavity Simple|BILATERAL PROCEDURE,166.0,124.5,302.67,302.67,1 CDM,PX-36000116,Tympanic Memb Rpr W/WO Prepj Perfor Patch,3651.0,2738.25,2008.14,2008.14,1 CDM,PX-36000116,Tympanic Memb Rpr W/WO Prepj Perfor Patch|BILATERAL PROCEDURE,3651.0,2738.25,3827.37,3827.37,1 CDM,PX-36000140,Blepharoplasty Upper Eyelid|BILATERAL PROCEDURE,4354.0,3265.5,2172.1,2656.98,6 CDM,PX-36000401,"Remove Cataract, Insert Lens",3190.0,2392.5,1633.28,1633.28,1 CDM,PX-40000015,US Eye a/B-Scan,429.0,321.75,325.53,325.53,1 CDM,PX-40000017,US Eye B-Scan,337.0,252.75,112.51,261.18,6 CDM,PX-40000018,Dx Ophthalmic US Ant Segment Immersion Uni/Bi,337.0,252.75,112.51,261.18,10 CDM,PX-40000019,US Eye Thickness Unilat or Bilat,116.0,87.0,29.08,89.9,13 CDM,PX-40000022,US Eye Biometry a-Scan,557.0,417.75,112.51,422.65,7 CDM,PX-40000029,US Soft Tissue Head/Neck,451.0,338.25,112.51,349.53,20 CDM,PX-40000074,US Guided Needle Placement,395.0,296.25,299.73,299.73,1 CDM,PX-41000007,Hyperbaric Oxygen Supervision 30 Min,789.0,591.75,163.75,598.69,9 CDM,PX-42000007,Pt Canalith Repositioning per Day,94.0,70.5,48.13,48.13,1 CDM,PX-42000023,Pt Exercise Therapeutic 15 Min,218.0,163.5,32.11,111.62,2 CDM,PX-42000024,Pt Neuromuscular Re-ED 15 Min,135.0,101.25,35.73,102.44,4 CDM,PX-42000029,Pt Manual Therapy 15 Min,119.0,89.25,30.27,60.93,3 CDM,PX-42000034,Pt Home Instruction/Program 15min,142.0,106.5,35.98,72.7,3 CDM,PX-42000098,"Physical Therapy Evaluation, Low Complexity",268.0,201.0,109.2,187.71,4 CDM,PX-42000099,"Physical Therapy Evaluation, Moderate Complexity",268.0,201.0,109.2,187.71,3 CDM,PX-43000023,Ot Exercise Therapeutic 15 Min,218.0,163.5,32.11,111.62,2 CDM,PX-43000034,Ot Home Instruction/Program 15min,142.0,106.5,35.98,72.7,3 CDM,PX-44000001,St Treat Swallow/Oral,200.0,150.0,92.11,92.11,1 CDM,PX-44000005,St Treatment Speech/Lang/Comm Ind,512.0,384.0,83.02,388.51,5 CDM,PX-44000011,St Eval Oral/Swallow Function,180.0,135.0,92.16,126.07,2 CDM,PX-44000012,St Eval Swallow Video/Fluoro,210.0,157.5,107.52,147.08,3 CDM,PX-44000013,St Eval Swallow Endo Cine/Video,244.0,183.0,160.8,160.8,1 CDM,PX-44000014,St Eval Swall Endo C/V,391.0,293.25,273.86,273.86,1 CDM,PX-44000060,Speech Sound Lang Comprehen,886.0,664.5,247.31,453.63,3 CDM,PX-44000061,Behavral Qualit Analys Voice,886.0,664.5,117.66,672.3,5 CDM,PX-44000118,Manual Therapy Tqs 1/> Regions Each 15 Minutes,119.0,89.25,30.27,60.93,3 CDM,PX-45000005,Emergency Department Visit High Mdm,1190.0,892.5,609.28,728.02,3 CDM,PX-46000001,Nonpressurized Inhalation Treatment,342.0,256.5,259.51,259.51,1 CDM,PX-46000014,Spirometry/Pft Smp,247.0,185.25,187.42,191.43,2 CDM,PX-47000001,Aud Basic Vstblr Spont Nystag Min 4,1129.0,846.75,185.79,874.98,18 CDM,PX-47000006,Aud Optokinetic Nystagmus W/Record,284.0,213.0,185.79,185.79,1 CDM,PX-47000007,Aud Oscillating Tracking W/Record,284.0,213.0,369.77,369.77,1 CDM,PX-47000008,Aud Sinusoidal Vertical Axis Rotate,387.0,290.25,185.79,299.93,14 CDM,PX-47000010,Aud Computer Dynamic Posturography,284.0,213.0,153.06,220.1,5 CDM,PX-47000011,Aud Tympan/Reflex Thres Measurement,281.0,210.75,143.87,196.81,4 CDM,PX-47000011,Aud Tympan/Reflex Thres Measurement|REDUCED SERVICES,281.0,210.75,185.79,185.79,1 CDM,PX-47000013,Aud Pure Tone Air Only,370.0,277.5,153.06,286.75,6 CDM,PX-47000013,Aud Pure Tone Air Only|REDUCED SERVICES,370.0,277.5,153.06,153.06,2 CDM,PX-47000014,Aud Pure Tone Air & Bone,285.0,213.75,145.92,185.79,7 CDM,PX-47000015,Aud Speech Threshold,201.0,150.75,70.53,155.78,5 CDM,PX-47000016,Aud Speech Threshold W/Recognition,147.0,110.25,70.53,113.93,3 CDM,PX-47000017,Aud Eval Comp Threshold/Recognition,635.0,476.25,185.79,492.13,21 CDM,PX-47000017,Aud Eval Comp Threshold/Recognition|REDUCED SERVICES,635.0,476.25,185.79,185.79,5 CDM,PX-47000026,Aud Tympanometry Impedance Test,276.0,207.0,46.61,213.9,12 CDM,PX-47000026,Aud Tympanometry Impedance Test|REDUCED SERVICES,276.0,207.0,46.61,46.61,2 CDM,PX-47000027,Tympanometry,276.0,207.0,46.61,213.9,12 CDM,PX-47000027,Tympanometry|REDUCED SERVICES,276.0,207.0,46.61,46.61,2 CDM,PX-47000037,Aud Visual Reinforcement Audiometry,285.0,213.75,145.92,220.88,6 CDM,PX-47000038,Aud Conditioning Play Audiometry,602.0,451.5,185.79,466.55,8 CDM,PX-47000039,Aud Select Picture Audiometry,111.0,83.25,56.83,86.03,2 CDM,PX-47000043,Aud Distort Evoked Oto Emiss Ltd/Tr,221.0,165.75,113.15,369.77,6 CDM,PX-47000043,Aud Distort Evoked Oto Emiss Ltd/Tr|REDUCED SERVICES,221.0,165.75,369.77,369.77,1 CDM,PX-47000044,Aud Distort Evoked Otoac Emiss Comp,524.0,393.0,268.29,406.1,9 CDM,PX-47000045,Aud Hearing Aid Exam Monaural,240.0,180.0,122.88,186.0,5 CDM,PX-47000046,Aud Hearing Aid Exam Binaural,240.0,180.0,122.88,186.0,8 CDM,PX-47000047,Aud Hearing Aid Check Monaural,60.0,45.0,30.72,46.5,6 CDM,PX-47000048,Aud Hearing Aid Check Binaural,60.0,45.0,30.72,46.5,7 CDM,PX-47000049,Aud Eval Electroacoustic Monaural,60.0,45.0,30.72,46.5,5 CDM,PX-47000050,Aud Eval Electroacoustic Binaural,60.0,45.0,30.72,46.5,7 CDM,PX-47000051,Aud Ear Protect Attenuation Measure,147.0,110.25,46.61,46.61,1 CDM,PX-47000052,St Evaluation Voice Prosthetic,1408.0,1056.0,78.47,986.16,4 CDM,PX-47000053,Cochlear Implant <7yrs W/Program,393.0,294.75,201.22,201.22,1 CDM,PX-47000054,Cochlear Implant <7yrs Reprogram,393.0,294.75,201.22,201.22,2 CDM,PX-47000055,Cochlear Implant 7+Yrs W/Program,393.0,294.75,185.79,304.58,10 CDM,PX-47000056,Cochlear Implant 7+Yrs Reprogram,393.0,294.75,185.79,304.58,19 CDM,PX-47000062,Aud Assessment Rehab First Hr,437.0,327.75,185.79,338.68,10 CDM,PX-47000064,Aud Rehabilitation Pre-Lingual,512.0,384.0,262.14,262.14,1 CDM,PX-47000066,Aud Analysis Brainstm Implnt per Hr,285.0,213.75,145.92,220.88,3 CDM,PX-47000074,Caloric Vestibular Test W/Rec Bi Bithermal,284.0,213.0,184.6,220.1,15 CDM,PX-47000075,Caloric Vestibular Test W/Rec Bi Monothermal,284.0,213.0,185.79,220.1,6 CDM,PX-47000075,Caloric Vestibular Test W/Rec Bi Monothermal|REDUCED SERVICES,284.0,213.0,185.79,185.79,3 CDM,PX-47000078,Cdp-Sot 6 Conditions W/I&R W/Mct & Adt,111.0,83.25,77.74,86.03,3 CDM,PX-47000079,HC Cochlear Device Troubleshooting,60.0,45.0,29.08,46.5,10 CDM,PX-47000080,Bone Conduction Fitting Fee,240.0,180.0,29.08,186.0,10 CDM,PX-47000081,Bone Conduction Check,60.0,45.0,29.08,46.5,10 CDM,PX-47000083,Cervical Vemp Testing W/I&R,245.0,183.75,125.44,189.88,11 CDM,PX-47000086,Aep Scr Auditory Potential W/Stimuli Auto Alys,177.0,132.75,129.21,129.21,1 CDM,PX-47000087,Aep Hearing Status Deter Broadband Stimuli I&R,543.0,407.25,369.77,369.77,3 CDM,PX-47000088,Aep Threshold Estimation Mlt Frequencies I&R,708.0,531.0,362.5,548.7,6 CDM,PX-47000089,Aep Neurodiagnostic Interpretation and Report,523.0,392.25,267.78,369.77,8 CDM,PX-47000090,Dx Aly Prgrmg&Verif Aud Oi Sound Processr 1st 60,387.0,290.25,185.79,185.79,1 CDM,PX-47900002,Hearing Aid Consultation - Prepaid,240.0,180.0,96.0,186.0,8 CDM,PX-51000003,Eye Exam Estab Intermediate,166.0,124.5,84.99,153.03,19 CDM,PX-51000004,Eye Exam Estab Comprehensive,166.0,124.5,84.99,153.03,26 CDM,PX-51000006,Eua Ophthalmological Cmpl,647.0,485.25,490.94,490.94,1 CDM,PX-51000008,Gonioscopy,224.0,168.0,114.69,173.6,9 CDM,PX-51000009,Topography Comp Corneal Uni or Bila,200.0,150.0,70.53,155.0,12 CDM,PX-51000010,Sensorimotor Exam Ocular,314.0,235.5,70.53,243.35,7 CDM,PX-51000013,Fitting of Contact Lens Tx Oc Dis,221.0,165.75,113.15,171.28,4 CDM,PX-51000014,Fitting of Contact Lens Manage Kera,421.0,315.75,294.87,319.45,2 CDM,PX-51000015,Visual Field Exam Ltd,193.0,144.75,70.53,149.58,8 CDM,PX-51000016,Visual Field Exam Intermediate,218.0,163.5,70.53,168.95,5 CDM,PX-51000017,Visual Field Exam Exd,236.0,177.0,120.83,182.9,20 CDM,PX-51000018,Serial Tonometry,100.0,75.0,75.88,75.88,1 CDM,PX-51000021,Scan Cptrized Oph Dx Img Anterior,142.0,106.5,70.53,110.05,7 CDM,PX-51000022,Opthalmic Scan Optice Nrv Uni/Bi,142.0,106.5,70.53,110.05,19 CDM,PX-51000023,Opthalmic Scan Retina Uni/Bi,142.0,106.5,70.53,110.05,24 CDM,PX-51000024,Ophthalmic Biometry W/Iol Calc,218.0,163.5,111.62,168.95,13 CDM,PX-51000031,Eye Exam W/Photos Multi Frame,509.0,381.75,260.61,394.48,18 CDM,PX-51000032,Icg Angiography,509.0,381.75,369.77,394.48,4 CDM,PX-51000033,Eye Exam W/Fundus Photos,277.0,207.75,141.82,214.68,12 CDM,PX-51000038,Color Vision Testing,218.0,163.5,165.42,168.95,2 CDM,PX-51000039,Dx Dark Adaptation Exam Interpretation & Report,464.0,348.0,473.84,473.84,1 CDM,PX-51000040,External Ocular Photography,168.0,126.0,46.61,130.2,11 CDM,PX-51000041,Int Eye Imaging W/Interp,218.0,163.5,111.62,168.95,9 CDM,PX-51000046,Prescriptn Lens Corneoscleral,1293.0,969.75,153.06,153.06,1 CDM,PX-51000052,Replacement Contact Lens,130.0,97.5,100.75,100.75,1 CDM,PX-51000065,Genetic Counseling 30 Min,376.0,282.0,247.78,263.99,2 CDM,PX-51000075,New Pt - Low Level Visit (99201),93.0,69.75,70.57,70.57,1 CDM,PX-51000080,"Office Visit, Established Pat",166.0,124.5,84.99,128.65,7 CDM,PX-51000082,"Office Visit, Established Pat",166.0,124.5,84.99,153.03,10 CDM,PX-51000084,"Office Visit, Established Pat",166.0,124.5,84.99,128.65,5 CDM,PX-51000579,Full Field Electroretinography W/I&R,473.0,354.75,242.18,369.77,15 CDM,PX-51000580,Multifocal Electroretinography W/I&R,473.0,354.75,185.79,366.58,10 CDM,PX-51000649,Med Genetics&Genetic Counseling Svcs Each 30 Min,335.0,251.25,171.52,259.63,5 CDM,PX-51000650,Dfci Telegenetics,335.0,251.25,171.52,259.63,5 CDM,PX-51000685,Cptrizd Oph Dx Img Pst Sgm Uni/Bi RTA Oct Angrph,156.0,117.0,79.87,369.77,7 CDM,PX-61000009,MRI Orbit/Face/Neck W/O Cont,2533.0,1899.75,230.56,784.65,5 CDM,PX-61000012,MRI Orbit/Face/Neck W/Cont,2744.0,2058.0,385.88,1313.25,3 CDM,PX-61000015,MRI Orbit/Face/Neck W&W/O Cont,3428.0,2571.0,385.88,1755.14,22 CDM,PX-61000016,MRI Brain W/O Cont,2610.0,1957.5,230.56,1336.32,16 CDM,PX-61000016,MRI Brain W/O Cont|REDUCED SERVICES,2610.0,1957.5,287.03,287.03,2 CDM,PX-61000017,MRI Brain W/Cont,2840.0,2130.0,385.88,1313.25,8 CDM,PX-61000018,MRI Brain W&W/O Cont,3390.0,2542.5,385.88,2474.7,24 CDM,PX-61000024,MRI C-Spine W/O Cont,2308.0,1731.0,230.56,784.65,3 CDM,PX-61000026,MRI T-Spine W/O Cont,2314.0,1735.5,230.56,287.03,3 CDM,PX-61000030,MRI C-Spine W&W/O Cont,3373.0,2529.75,385.88,1726.98,5 CDM,PX-61000031,MRI T-Spine W&W/O Cont,3110.0,2332.5,385.88,1313.25,4 CDM,PX-61000032,MRI L-Spine W&W/O Cont,3332.0,2499.0,424.07,1313.25,2 CDM,PX-61000081,Mra Head W/O Cont,2531.0,1898.25,230.56,784.65,7 CDM,PX-61000084,Mra Neck W/O Cont,2528.0,1896.0,784.65,784.65,1 CDM,PX-61000085,Mra Neck W/Cont,2650.0,1987.5,1288.54,1313.25,2 CDM,PX-61000086,Mra Neck W&W/O Cont,3814.0,2860.5,385.88,1313.25,4 CDM,PX-61000122,MRI Tmj Unilat or Bilat,2250.0,1687.5,230.56,784.65,5 CDM,PX-63600063,Amp/Sulbac Vl 1.5gm,8.0,6.0,6.2,6.2,1 CDM,PX-63600072,Abobotulinum Toxin a Vl 5u,26.0,19.5,8.75,8.75,4 CDM,PX-63600081,Ceftazidime Vl 500mg,3.18,2.38,2.46,2.46,1 CDM,PX-63600103,Dexameth Na Phos Inj 1mg,1.0,0.75,0.51,0.78,5 CDM,PX-63600144,Lidocaine Inj 10mg,8.0,6.0,4.1,5.62,2 CDM,PX-63600149,Midazolam Inj 1mg,1.0,0.75,0.51,0.78,5 CDM,PX-63600187,Tocilizumab Vl 1mg,11.51,8.63,5.71,5.89,5 CDM,PX-63600191,Vancomycin Vl 500mg,7.06,5.29,3.61,3.61,1 CDM,PX-63600364,Triamcinolone Ace Inj,2.0,1.5,1.02,1.55,4 CDM,PX-63601002,Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use,32.39,24.29,16.58,25.1,3 CDM,PX-63601031,Aminolevulinic Acid Hcl Top,234.0,175.5,392.09,392.09,2 CDM,PX-63601068,Td Vaccine Prsrv Free 7 Yrs or Older for Im Use,132.76,99.57,67.97,67.97,1 CDM,PX-63601078,Ondansetron Hcl Injection,1.0,0.75,0.51,0.78,5 CDM,PX-63601081,Fentanyl Citrate Injeciton,3.0,2.25,1.54,2.33,5 CDM,PX-63601106,Inj Famotidine 20 Mg,1.0,0.75,0.78,0.78,1 CDM,PX-63601160,9vhpv Vacc 2/3 Dose Sched Im Use,537.72,403.29,408.02,408.02,1 CDM,PX-63601210,Prednisone Oral IR or Dr per 1 Mg,1.0,0.75,0.78,0.78,1 CDM,PX-63601213,"Injection, Incobotulinumtoxin a, 1 Unit",8.0,6.0,4.1,5.57,4 CDM,PX-63601216,Injection Aflibercept 1 Mg,1566.0,1174.5,771.56,801.79,6 CDM,PX-63601217,Ranibizumab Injection,585.0,438.75,86.38,86.38,1 CDM,PX-63601218,"Injection,Onabotulinumtoxina",19.0,14.25,6.5,14.73,17 CDM,PX-63601219,Infliximab Injection,203.0,152.25,31.09,31.09,2 CDM,PX-63601222,Verteporfin Injection,19.0,14.25,11.54,11.54,2 CDM,PX-63601223,Injection Acetaminophen 10mg,1.0,0.75,0.51,0.78,3 CDM,PX-63601224,Triamcinolone a Inj Prs-Free,7.0,5.25,4.9,24.5,13 CDM,PX-63601225,Dexamethasone Intra Implant,303.0,227.25,204.61,204.61,2 CDM,PX-63601226,Oral Dexamethasone,1.0,0.75,0.78,0.78,1 CDM,PX-63601227,Fluorouracil 500mg,6.0,4.5,3.07,3.07,1 CDM,PX-63601232,Mee Vancomycin 500 Mg,7.0,5.25,3.58,3.58,1 CDM,PX-63601257,Ketorolac Tromethane Inj 15 Mg,1.0,0.75,0.3,0.78,10 CDM,PX-63601258,Mee Ceftazidime per 500mg,3.0,2.25,2.33,2.33,1 CDM,PX-63601270,"Mee Injectable Agent for Vocal Cord, 0.1 Ml",1325.0,993.75,1026.88,1026.88,1 CDM,PX-63601281,Fluorouracil 500mg/10ml Intraveneous Sol,17.0,12.75,8.7,8.7,1 CDM,PX-63601347,"Injection, Voriconazole, 10 Mg",2.16,1.62,1.67,1.67,1 CDM,PX-63601348,"5% Dextrose/Water, 500 Ml = 1 Unit",7.95,5.96,4.07,6.16,4 CDM,PX-63601352,Pcv20 Vaccine for Intramuscular Use,441.82,331.36,287.18,291.16,3 CDM,PX-63601363,Inj Faricimab-Svoa (Vabysmo) 0.1 Mg,54.75,41.06,33.88,36.08,3 CDM,PX-63601372,"Injection, Triamcinolone Acetonide (Xipere), 1 Mg",82.08,61.56,47.97,47.97,1 CDM,PX-63601374,"Injection, Triamcinolone Acetonide (Xipere) Drug Only, 1 Mg",82.08,61.56,47.97,47.97,1 CDM,PX-63601411,Inj Hyluronidase Recombinant per 1 Usp Unit,0.79,0.59,0.58,0.58,1 CDM,PX-63601424,"Inj Ranibizumab-Nuna, Biosimilar, Byooviz per 0.1 Mg",341.76,256.32,61.8,61.8,2 CDM,PX-63601427,Inj Afilbercept Hd per 1 Mg - Eylea Hd,521.72,391.29,311.38,343.81,2 CDM,PX-63601436,Inj Avancincaptad Pegol/Izervay 0.1mg,166.95,125.21,105.12,110.02,3 CDM,PX-63601437,Inj Clindamycin Phosphate 300 Mg,1.63,1.22,1.06,1.26,3 CDM,PX-63601438,Beviacizumab (Avastin) Compounded Noc,99.0,74.25,50.69,76.73,6 CDM,PX-63601460,Inj Methylprednisolone Sodium Succinate 5 Mg,0.13,0.1,0.07,0.21,8 CDM,PX-73000001,Ekg Routine Tracing Only,181.0,135.75,70.53,140.28,9 CDM,PX-74000012,Psg 6 Yrs or Older 4+ Parameters,2367.0,1775.25,1208.09,1834.43,10 CDM,PX-74000014,Psg 6/> Yrs 4+ Parameters W/ Cpap,2439.0,1829.25,1208.09,1890.23,4 CDM,PX-75000001,Biopsy Lip,610.0,457.5,206.14,462.87,8 CDM,PX-75000010,Biopsy Mouth Vestibule,1117.0,837.75,487.13,604.7,8 CDM,PX-75000011,Exc Lesion Vestib Mouth W/O Rpr,2284.0,1713.0,1169.41,3850.95,5 CDM,PX-75000012,Exc Lesion Vestib Mouth W/Rpr Smp,2578.0,1933.5,1319.94,2551.58,6 CDM,PX-75000013,Exc Frenum/Labial/Buccal,2577.0,1932.75,1462.72,1758.93,2 CDM,PX-75000022,Frenotomy Lingual Frenum,1980.0,1485.0,1013.76,1502.42,5 CDM,PX-75000027,Biopsy Tongue Anterior 2/3,1117.0,837.75,487.13,604.7,4 CDM,PX-75000028,Biopsy Tongue Post 1/3,2392.0,1794.0,1675.36,3850.95,3 CDM,PX-75000029,Biopsy Mouth Floor,1261.0,945.75,645.63,1923.94,4 CDM,PX-75000030,Exc Lesion Tongue W/O Clsr,2383.0,1787.25,1808.22,3850.95,3 CDM,PX-75000031,Exc Lesion Tongue W/Clsr Ant 2/3,2579.0,1934.25,2551.58,3850.95,2 CDM,PX-75000032,Exc Lesion Tongue Postior 1/3,2353.0,1764.75,2008.14,3850.95,3 CDM,PX-75000033,Frenectomy,1117.0,837.75,782.35,1462.72,3 CDM,PX-75000034,Exc Lesn Floor Mouth,1133.0,849.75,580.1,580.1,1 CDM,PX-75000047,Biopsy Palate/Uvula,1117.0,837.75,782.35,1462.72,4 CDM,PX-75000048,Exc Lesion Palate Uvula,2613.0,1959.75,1830.15,2551.58,3 CDM,PX-75000049,Exc Lesion Palate Uvula Closure,2319.0,1739.25,1187.33,1187.33,1 CDM,PX-75000054,Drainage Abscess Parotid Simple,1072.0,804.0,1462.72,1462.72,1 CDM,PX-75000056,Sialot Submndblr Sublngl/Prtd Uncomp Intraoral,2406.0,1804.5,1685.16,2551.58,4 CDM,PX-75000057,Biopsy Gland Salivary Needle,1363.0,1022.25,662.51,835.47,3 CDM,PX-75000058,Biopsy Gland Salivary Incisional,3485.0,2613.75,1758.93,2551.58,2 CDM,PX-75000060,Inject Sialogram,607.0,455.25,310.78,425.14,2 CDM,PX-75000061,I&D Abscess Peritonsillar,517.0,387.75,235.73,235.73,1 CDM,PX-75000062,I&D Absc Rtrphrngl/Parapharyngeal Intraoral,2375.0,1781.25,1667.49,1667.49,1 CDM,PX-75000064,Biopsy Oropharynx,2613.0,1959.75,1337.86,2551.58,9 CDM,PX-75000066,Biopsy Lesion Nasopharynx Smp,2613.0,1959.75,1337.86,3850.95,6 CDM,PX-75000069,Control Hemorr Oropharyngeal Smp,168.0,126.0,67.2,127.48,4 CDM,PX-75000082,Esophagoscopy W/Dilate Guide Wire,1899.0,1424.25,1335.02,2252.56,2 CDM,PX-75000098,Egd Flex W/Place Gastrostomy Tube,1830.0,1372.5,1696.3,1696.3,1 CDM,PX-75000101,Egd Flex W/Balloon Dilation <30mm,1977.0,1482.75,1696.3,1696.3,1 CDM,PX-75000121,Dilate Esophagus Sound or Bougie,1317.0,987.75,674.3,1113.3,3 CDM,PX-75000480,Perq Replacement Gtube Not Req Revj Gstrst Trc,503.0,377.25,288.8,288.8,1 CDM,PX-76000001,Aspiration Fine Needle W/O Imaging,290.0,217.5,359.17,474.42,2 CDM,PX-76000004,I&D Abscess Smp,317.0,237.75,162.3,235.94,4 CDM,PX-76000008,Incision/Remove FB Subq Smp,545.0,408.75,279.04,413.55,3 CDM,PX-76000010,I&D Hematoma/Seroma/Fluid,1668.0,1251.0,1237.95,1923.94,3 CDM,PX-76000011,Aspiration Abscess/Hema/Bulla/Cyst,317.0,237.75,359.17,359.17,1 CDM,PX-76000022,Debride Skin/Subq Tissue,1980.0,1485.0,359.17,1386.79,6 CDM,PX-76000024,Debride Skin/Subq Tissu/Muscle/Bone,2613.0,1959.75,1337.86,1923.94,3 CDM,PX-76000033,Remove Tag Skin <15,1117.0,837.75,201.78,201.78,1 CDM,PX-76000043,Shave Lesn Face/Ear/Lip <0.5cm,163.0,122.25,235.94,235.94,1 CDM,PX-76000049,Exc Lesn Bgn Trunk/Arm/Leg 1.1-2.0,1117.0,837.75,662.51,835.47,2 CDM,PX-76000051,Exc Lesn Bgn Trunk/Arm/Leg 3.1-4.0,2252.0,1689.0,1923.94,1923.94,1 CDM,PX-76000053,Exc Lesn Bgn Sclp/Hnd/Gen <0.5cm,1071.0,803.25,1237.95,1923.94,3 CDM,PX-76000054,Exc Lesn Bgn Sclp/Hnd/Gen 0.6-1.0cm,1261.0,945.75,579.34,883.2,3 CDM,PX-76000055,Exc Lesn Bgn Sclp/Hnd/Gen 1.1-2.0cm,1261.0,945.75,645.63,1923.94,4 CDM,PX-76000056,Exc Lesn Bgn Sclp/Hnd/Gen 2.1-3.0cm,2252.0,1689.0,1153.02,1923.94,3 CDM,PX-76000057,Exc Lesn Bgn Sclp/Hnd/Gen 3.1-4.0cm,2613.0,1959.75,1572.96,1923.94,2 CDM,PX-76000058,Exc Lesn Bgn Sclp/Hnd/Gen >4.0cm,3535.0,2651.25,3398.51,3398.51,1 CDM,PX-76000059,Exc Lesn Bgn Face/Ear/Lip <0.5cm,1117.0,837.75,571.9,847.58,7 CDM,PX-76000060,Exc Lesn Bgn Face/Ear/Lip 0.6-1.0cm,1117.0,837.75,579.34,835.47,4 CDM,PX-76000061,Exc Lesn Bgn Face/Ear/Lip 1.1-2.0cm,1980.0,1485.0,579.34,835.47,4 CDM,PX-76000062,Exc Lesn Bgn Face/Ear/Lip 2.1-3.0cm,1980.0,1485.0,1572.96,1923.94,2 CDM,PX-76000064,Exc Lesn Bgn Face/Ear/Lip >4.0cm,3408.0,2556.0,2140.46,3398.51,3 CDM,PX-76000070,Exc Lesn Mal Trunk/Arm/Leg 1.1-2.0,1117.0,837.75,474.42,474.42,1 CDM,PX-76000071,Exc Lesn Mal Trunk/Arm/Leg 2.1-3.0,1261.0,945.75,579.34,835.47,3 CDM,PX-76000072,Exc Lesn Mal Trunk/Arm/Leg 3.1-4.0,2613.0,1959.75,662.51,662.51,1 CDM,PX-76000073,Exc Lesn Mal Trunk/Arm/Leg >4.0cm,3582.0,2686.5,1923.94,1923.94,1 CDM,PX-76000076,Exc Lesn Mal Sclp/Hnd/Gen 1.1-2.0cm,1261.0,945.75,662.51,835.47,3 CDM,PX-76000077,Exc Lesn Mal Sclp/Hnd/Gen 2.1-3.0cm,1980.0,1485.0,1923.94,1923.94,2 CDM,PX-76000078,Exc Lesn Mal Sclp/Hnd/Gen 3.1-4.0cm,2613.0,1959.75,1237.95,1923.94,5 CDM,PX-76000079,Exc Lesn Mal Sclp/Hnd/Gen >4.0cm,3582.0,2686.5,2140.46,3398.51,9 CDM,PX-76000080,Exc Lesn Mal Face/Ear/Lip <0.5cm,1261.0,945.75,662.51,835.47,2 CDM,PX-76000081,Exc Lesn Mal Face/Ear/Lip 0.6-1.0cm,1261.0,945.75,662.51,835.47,3 CDM,PX-76000082,Exc Lesn Mal Face/Ear/Lip 1.1-2.0cm,1261.0,945.75,662.51,835.47,4 CDM,PX-76000083,Exc Lesn Mal Face/Ear/Lip 2.1-3.0cm,1980.0,1485.0,1237.95,1923.94,5 CDM,PX-76000084,Exc Lesn Mal Face/Ear/Lip 3.1-4.0cm,2252.0,1689.0,1572.96,1923.94,7 CDM,PX-76000085,Exc Lesn Mal Face/Ear/Lip >4.0cm,3408.0,2556.0,1744.9,3398.51,6 CDM,PX-76000099,Inject Intralesnal <7 Lesions,330.0,247.5,168.96,235.94,6 CDM,PX-76000112,Rpr Lac Smp Face/Ear/Lip <2.5cm,610.0,457.5,201.78,462.87,3 CDM,PX-76000119,Closure of Split Wound Simple - 12020,784.0,588.0,552.21,726.87,2 CDM,PX-76000121,Rpr Lac Intermd Scalp/Axil <2.5cm,394.0,295.5,359.17,474.42,3 CDM,PX-76000122,Rpr Lac Intermd Scalp/Axil 2.6-7.5,394.0,295.5,201.73,474.42,9 CDM,PX-76000123,Rpr Lac Intermd Scalp/Axil 7.6-12.5,1117.0,837.75,314.08,847.58,4 CDM,PX-76000127,Rpr Lac Intermd Hnd/Ft/Gen <2.5cm,610.0,457.5,314.08,359.17,2 CDM,PX-76000128,Rpr Lac Intermd Hnd/Ft/Gen 2.6-7.5,1117.0,837.75,314.08,474.42,6 CDM,PX-76000133,Rpr Lac Intermd Face/Ear/Lip <2.5cm,394.0,295.5,298.97,474.42,9 CDM,PX-76000134,Rpr Lac Intermd Face/Ear/Lip2.6-5.0,394.0,295.5,275.96,474.42,4 CDM,PX-76000144,Rpr Lac Cplx Scalp/Arm/Leg 2-7.5cm,1980.0,1485.0,552.21,726.87,4 CDM,PX-76000146,Repair Complex 1.1-2.5 Cm - 13131,394.0,295.5,359.17,474.42,3 CDM,PX-76000147,Repair Complex 2.6-7.5 Cm - 13132,1980.0,1485.0,482.89,1013.76,7 CDM,PX-76000148,Rpr Lac Cplx Forehd/Hnd/Ft Add 5cm,1117.0,837.75,571.9,571.9,1 CDM,PX-76000150,Rpr Lac Cplx Eye/Ear/Lip 1.1-2.5cm,811.0,608.25,552.21,726.87,2 CDM,PX-76000151,Rpr Lac Cplx Eye/Ear/Lip 2.6-7.5cm,1980.0,1485.0,482.89,726.87,4 CDM,PX-76000153,Closure Wound Cplx Secondary,3989.0,2991.75,2172.1,2172.1,2 CDM,PX-76000154,Transfer Tissue Trunk <10cm,2657.0,1992.75,1548.96,1548.96,1 CDM,PX-76000156,Trnsf Tissue Sclp/Arm/Lg <10cm,3582.0,2686.5,1548.96,2172.1,5 CDM,PX-76000157,Trnsf Tissue Sclp/Arm/Lg 10-30cm,4192.0,3144.0,1548.96,2172.1,6 CDM,PX-76000158,Trnsf Tissue Head/Hand/Foot <10cm,2613.0,1959.75,1337.86,2172.1,12 CDM,PX-76000159,Trnsf Tissue Head/Hand/Foot 10-30cm,2613.0,1959.75,1771.32,2172.1,7 CDM,PX-76000160,Trnsf Tissue Eye/Nose/Ear/Lip <10cm,2613.0,1959.75,1337.86,2172.1,10 CDM,PX-76000161,Trnsf Tissue Eye/Nose/Ear/Lip 10-30,3582.0,2686.5,1771.32,2172.1,4 CDM,PX-76000162,Trnsf Tissue Any Area 30.1-60 Sqcm,7160.0,5370.0,3163.23,5433.01,7 CDM,PX-76000163,Trnsf Tissue Any Area Ea Addl 30,376.0,282.0,192.51,373.2,3 CDM,PX-76000165,Prep Wound F/Nhf/G 1st 100cm Child,811.0,608.25,415.23,726.87,11 CDM,PX-76000168,Graft Split Face 1st 100 Sq Cm Chld,963.0,722.25,493.06,3163.23,7 CDM,PX-76000169,Graft Full Trunk <20cm,4329.0,3246.75,2172.1,2172.1,2 CDM,PX-76000171,Graft Full Scalp/Arm/Leg <20cm,2690.0,2017.5,1548.96,2172.1,6 CDM,PX-76000173,Graft Full Forehd/Chin/Mth <20cm,2613.0,1959.75,1771.32,2172.1,3 CDM,PX-76000175,Graft Full Eye/Ns/Ear/Lip <20cm,2690.0,2017.5,1377.28,2172.1,9 CDM,PX-76000180,Gft Skin Sub F/S/E 5,1647.0,1235.25,1250.63,1250.63,1 CDM,PX-76001167,Ligate/Biopsy Artery Temporal|BILATERAL PROCEDURE,2252.0,1689.0,3398.51,3398.51,1 CDM,PX-76001412,Biopsy Thyroid Needle Perc,2002.0,1501.5,579.34,835.47,5 CDM,PX-76001413,Aspiration/Inject Cyst Thyroid,892.0,669.0,662.51,662.51,1 CDM,PX-76001500,Inject Anes Nerve Vagus,433.0,324.75,221.7,350.52,3 CDM,PX-76001500,Inject Anes Nerve Vagus|BILATERAL PROCEDURE,433.0,324.75,350.52,424.52,3 CDM,PX-76001558,Inc for Impltj Cranial Nrc Nstim,49293.0,36969.75,25238.02,38202.08,3 CDM,PX-76001570,Chemodenerv Saliv Glands Bilateral,396.0,297.0,247.48,350.52,8 CDM,PX-76001571,Chemdnrvtn/Dest Nerve Neurlytic Fac,396.0,297.0,202.75,350.52,12 CDM,PX-76001571,Chemdnrvtn/Dest Nerve Neurlytic Fac|BILATERAL PROCEDURE,396.0,297.0,350.52,1266.85,15 CDM,PX-76001601,Remove FB Conjuctival Superficial,153.0,114.75,107.16,107.16,1 CDM,PX-76001603,Remove FB Corneal W/O Slit Lamp|BILATERAL PROCEDURE,153.0,114.75,597.21,597.21,1 CDM,PX-76001604,Remove FB Corneal W/Slit Lamp,153.0,114.75,107.16,107.16,1 CDM,PX-76001604,Remove FB Corneal W/Slit Lamp|BILATERAL PROCEDURE,153.0,114.75,182.66,182.66,1 CDM,PX-76001612,Remove Epithel Cornea,1980.0,1485.0,807.29,807.29,1 CDM,PX-76001613,Inc Corneal Relax Astigmatism,1909.0,1431.75,1150.08,1150.08,1 CDM,PX-76001614,Paracentesis W/Asp Aqueous Dx,1473.0,1104.75,2708.23,2708.23,1 CDM,PX-76001617,Trabeculoplasty by Laser Surgery,839.0,629.25,429.57,651.43,3 CDM,PX-76001618,Revise/Repair Wound Anter Segment,2358.0,1768.5,1789.25,2770.25,3 CDM,PX-76001620,Iridoplasty Photocoag 1/More Sessn,839.0,629.25,651.43,651.43,1 CDM,PX-76001622,Discission Cataract Sec Mem Laser,2078.0,1558.5,496.18,1455.43,5 CDM,PX-76001623,Inject Medication Intravitreal,502.0,376.5,257.02,393.86,6 CDM,PX-76001623,Inject Medication Intravitreal|BILATERAL PROCEDURE,502.0,376.5,393.86,1266.85,16 CDM,PX-76001625,Rpr Retinal Dtchmnt 1/> Ses Pc Incl Subreti Drg,848.0,636.0,651.43,651.43,1 CDM,PX-76001629,Dest Lesion Choroid Phytodynam,850.0,637.5,496.18,496.18,1 CDM,PX-76001630,Treatment Extensive Retinopathy Photocoagulation,1680.0,1260.0,496.18,1274.78,5 CDM,PX-76001630,Treatment Extensive Retinopathy Photocoagulation|BILATERAL PROCEDURE,1680.0,1260.0,651.43,1985.53,4 CDM,PX-76001632,Blepharotomy Eyelid Drain Abscess,492.0,369.0,354.96,354.96,1 CDM,PX-76001634,Exc Chalazion Sgl,505.0,378.75,258.56,354.96,4 CDM,PX-76001635,Biopsy Eyelid Incis W/Margin,610.0,457.5,283.52,354.96,2 CDM,PX-76001635,Biopsy Eyelid Incis W/Margin|BILATERAL PROCEDURE,610.0,457.5,354.96,486.33,3 CDM,PX-76001636,Correct Trichiasis W/Forceps,162.0,121.5,82.94,153.06,3 CDM,PX-76001636,Correct Trichiasis W/Forceps|BILATERAL PROCEDURE,162.0,121.5,182.66,182.66,1 CDM,PX-76001637,Correct Trichiasis W/O Forceps,502.0,376.5,354.96,354.96,4 CDM,PX-76001637,Correct Trichiasis W/O Forceps|BILATERAL PROCEDURE,502.0,376.5,354.96,486.33,4 CDM,PX-76001639,Exc Lesn Eyelid Not Chalazion,1265.0,948.75,647.68,1150.08,3 CDM,PX-76001639,Exc Lesn Eyelid Not Chalazion|BILATERAL PROCEDURE,1265.0,948.75,1150.08,1384.77,3 CDM,PX-76001640,Close Eyelid Suture Temporary,1272.0,954.0,1150.08,1150.08,1 CDM,PX-76001642,Rpr Ectropion Extensive,2848.0,2136.0,2161.06,2770.25,3 CDM,PX-76001642,Rpr Ectropion Extensive|BILATERAL PROCEDURE,2848.0,2136.0,3109.35,3109.35,1 CDM,PX-76001643,Rpr Entropion/ Uture,2864.0,2148.0,2770.25,2770.25,1 CDM,PX-76001648,Exc/Repair Eyelid <1/4 Lid Margin,2848.0,2136.0,2770.25,2770.25,1 CDM,PX-76001648,Exc/Repair Eyelid <1/4 Lid Margin|BILATERAL PROCEDURE,2848.0,2136.0,3109.35,3109.35,1 CDM,PX-76001649,Exc/Repair Eyelid > 1/4 Lid Margin,2848.0,2136.0,2770.25,2770.25,1 CDM,PX-76001650,Biopsy Conjunctiva,1265.0,948.75,2770.25,2770.25,1 CDM,PX-76001650,Biopsy Conjunctiva|BILATERAL PROCEDURE,1265.0,948.75,3109.35,3109.35,1 CDM,PX-76001651,Exc Lesn Conjunctiva <1cm,2348.0,1761.0,1631.41,2770.25,3 CDM,PX-76001652,Exc Lesn Conjunctiva > 1cm,2754.0,2065.5,2770.25,2770.25,1 CDM,PX-76001652,Exc Lesn Conjunctiva > 1cm|BILATERAL PROCEDURE,2754.0,2065.5,3109.35,3109.35,1 CDM,PX-76001653,Dest Lesion Conjunctiva,1249.0,936.75,2770.25,2770.25,1 CDM,PX-76001655,Inc Snip Punctum Lacrimal,1117.0,837.75,354.96,354.96,1 CDM,PX-76001655,Inc Snip Punctum Lacrimal|BILATERAL PROCEDURE,1117.0,837.75,354.96,354.96,2 CDM,PX-76001657,Close Punctum Lacrimal Plug,505.0,378.75,258.56,383.19,11 CDM,PX-76001657,Close Punctum Lacrimal Plug|BILATERAL PROCEDURE,505.0,378.75,354.96,486.33,9 CDM,PX-76001658,Probe Duct Nasolacrimal|BILATERAL PROCEDURE,505.0,378.75,354.96,354.96,1 CDM,PX-76001659,Probing Canaliculi Lacrimal,360.0,270.0,252.14,354.96,8 CDM,PX-76001659,Probing Canaliculi Lacrimal|BILATERAL PROCEDURE,360.0,270.0,354.96,486.33,10 CDM,PX-76001663,Biopsy Ext Ear,1117.0,837.75,275.75,275.75,3 CDM,PX-76001665,Exc Lesn Canal Auditor Soft Tiss,1980.0,1485.0,1445.4,3398.51,4 CDM,PX-76001666,Remove FB Ext Auditory Canal W/O,105.0,78.75,53.76,153.06,4 CDM,PX-76001668,Remove Cerumen Impacted Unilate,103.0,77.25,52.74,78.16,13 CDM,PX-76001668,Remove Cerumen Impacted Unilate|BILATERAL PROCEDURE,103.0,77.25,95.88,302.16,2 CDM,PX-76001670,Myringotomy W/Asp/Eust Tube,517.0,387.75,264.7,275.75,3 CDM,PX-76001670,Myringotomy W/Asp/Eust Tube|BILATERAL PROCEDURE,517.0,387.75,275.75,353.6,2 CDM,PX-76001671,Tympanostomy W/Local Anes,1072.0,804.0,487.13,813.43,9 CDM,PX-76001671,Tympanostomy W/Local Anes|BILATERAL PROCEDURE,1072.0,804.0,604.7,835.59,6 CDM,PX-76001674,Binocular Microscopy,28.0,21.0,14.34,21.25,7 CDM,PX-76001675,Nasopharyngoscopy W/Endo,422.0,316.5,163.97,327.05,17 CDM,PX-76001678,Laryngeal Function Study,199.0,149.25,153.06,154.23,4 CDM,PX-76001780,Skin/Muc Mem/Subq Tissue Unlstd,1720.0,1290.0,235.94,1207.61,2 CDM,PX-76001850,Chemdnrvtn Mscl Facial Trige Cerv,610.0,457.5,247.48,312.32,3 CDM,PX-76001907,Sclerotherapy Inject Lymphnode,264.0,198.0,185.35,519.13,2 CDM,PX-76001949,Chemodenerv Musc Neck Dyston,800.0,600.0,350.52,607.04,4 CDM,PX-76001966,Chemodenervation Muscle Larynx Unilat W/Emg,696.0,522.0,247.48,822.33,5 CDM,PX-76001966,Chemodenervation Muscle Larynx Unilat W/Emg|BILATERAL PROCEDURE,696.0,522.0,424.52,822.33,8 CDM,PX-76001973,Image-Guided Catheter Fluid Collection Drainage,314.0,235.5,835.47,835.47,1 CDM,PX-76001981,Biopsy Soft Tissue Neck/Thorax,2221.0,1665.75,1137.15,1923.94,5 CDM,PX-76001987,Radiofreq Ablation Adrenal Tmr,5166.0,3874.5,3404.39,6927.95,3 CDM,PX-76002066,Canalith Repositioning Procedure,94.0,70.5,48.13,48.13,1 CDM,PX-76002116,Proph Retinal Dtchmnt W/O Drg Crtx Diathermy,850.0,637.5,283.52,354.96,2 CDM,PX-76002124,Rem Corneal Epithelium; Chelating Agent,2348.0,1761.0,2770.25,2770.25,1 CDM,PX-76002127,"Graft Face Nerve Paralysis, Fascia (Uni)",5616.0,4212.0,2875.39,4261.42,3 CDM,PX-76002129,"Laryngoscopy Direct, Dilation, Initial",3535.0,2651.25,1809.92,4378.03,14 CDM,PX-76002130,"Laryngoscopy Direct,Dilation, Subsequent",4318.0,3238.5,2466.59,4378.03,5 CDM,PX-76002131,"Laryngosocopy,Dir,Opr,Exc Tumor,W/Scope",3713.0,2784.75,1901.06,4378.03,11 CDM,PX-76002132,"Laryngoscopy,Flex Fib-OP;Remove Lesion",2372.0,1779.0,3134.1,3134.1,1 CDM,PX-76002133,"Tracheostoma Rev,Simple, W/O Flap Rotate",3535.0,2651.25,3850.95,3850.95,1 CDM,PX-76002134,Apply Tissue Glue to Wound Cornea/Sclera,1473.0,1104.75,2708.23,2708.23,1 CDM,PX-76002135,Multiple Punctures of Anterior Cornea,2848.0,2136.0,2770.25,2770.25,1 CDM,PX-76002136,Application of Prokea (Exploding Code),2614.0,1960.5,1150.08,1150.08,1 CDM,PX-76002136,Application of Prokea (Exploding Code)|BILATERAL PROCEDURE,2614.0,1960.5,1384.77,1384.77,1 CDM,PX-76002138,"Aspiration, Pars Plana Approach",6043.0,4532.25,2708.23,2708.23,1 CDM,PX-76002140,Chemodenervation of Extraocular Muscle,1213.0,909.75,354.96,354.96,1 CDM,PX-76002140,Chemodenervation of Extraocular Muscle|BILATERAL PROCEDURE,1213.0,909.75,486.33,486.33,1 CDM,PX-76002141,"Orbitotomy WO Bone Flap,Explore; W/WO Bx",4373.0,3279.75,4477.84,4477.84,1 CDM,PX-76002141,"Orbitotomy WO Bone Flap,Explore; W/WO Bx|BILATERAL PROCEDURE",4373.0,3279.75,5103.59,7406.87,2 CDM,PX-76002143,Inj Therapy Tenons Cap,502.0,376.5,283.52,354.96,3 CDM,PX-76002146,"Excision Chalazion; Multiple, Diff Lids",2063.0,1547.25,283.52,354.96,2 CDM,PX-76002146,"Excision Chalazion; Multiple, Diff Lids|BILATERAL PROCEDURE",2063.0,1547.25,486.33,486.33,1 CDM,PX-76002147,Construct Intermarg Adh/ Tarsorr/Cantorr,2342.0,1756.5,2770.25,2770.25,1 CDM,PX-76002149,Repair of Brow Ptosis,3901.0,2925.75,2770.25,2960.08,2 CDM,PX-76002149,Repair of Brow Ptosis|BILATERAL PROCEDURE,3901.0,2925.75,3109.35,3109.35,1 CDM,PX-76002150,"(Tarso)Levator Resec/Advanc,External App",2848.0,2136.0,1458.18,2770.25,3 CDM,PX-76002150,"(Tarso)Levator Resec/Advanc,External App|BILATERAL PROCEDURE",2848.0,2136.0,3109.35,3109.35,1 CDM,PX-76002151,Correction Eyelid With Implant,4373.0,3279.75,2770.25,2770.25,1 CDM,PX-76002152,Canthoplasty,2848.0,2136.0,2770.25,2770.25,2 CDM,PX-76002153,"Reconstruct Eyelid,Full Thick; 2nd Stage",2848.0,2136.0,2770.25,2770.25,2 CDM,PX-76002158,Removal of Eyelid Weight,858.0,643.5,354.96,354.96,2 CDM,PX-76002159,Subconjunctival Injection,375.0,281.25,473.84,473.84,1 CDM,PX-76002160,Plastic Repair of Canaliculi|BILATERAL PROCEDURE,2864.0,2148.0,3109.35,3109.35,1 CDM,PX-76002161,Close Lacrimal Punctum; Thermo/Lig/Laser,1117.0,837.75,283.52,847.58,6 CDM,PX-76002161,Close Lacrimal Punctum; Thermo/Lig/Laser|BILATERAL PROCEDURE,1117.0,837.75,354.96,486.33,6 CDM,PX-76002164,Biopsy External Auditory Canal,2392.0,1794.0,1758.93,1758.93,1 CDM,PX-76002165,"Excise Exostosis(Es),External Aud Canal",6906.0,5179.5,3535.87,3535.87,1 CDM,PX-76002166,Labyrinthotomy W/Perfu of Vestib,2406.0,1804.5,1151.19,1825.67,9 CDM,PX-76002166,Labyrinthotomy W/Perfu of Vestib|BILATERAL PROCEDURE,2406.0,1804.5,2194.08,2194.08,1 CDM,PX-76002206,"Probe Nasolac Duct,Insert Tube/Stent",2864.0,2148.0,1631.41,2770.25,4 CDM,PX-76002206,"Probe Nasolac Duct,Insert Tube/Stent|BILATERAL PROCEDURE",2864.0,2148.0,3109.35,3109.35,1 CDM,PX-76002212,"Derm, Laser Resur, Scar Rev. Up to 1 Hr.",2576.0,1932.0,235.94,1808.61,2 CDM,PX-76002213,"Derm, Laser Resur, Scar Rev. Up to 1.5 Hrs.",3218.0,2413.5,235.94,2259.36,2 CDM,PX-76002214,"Derm, Laser Resurf, Scar Rev. Up to 2 Hrs.",3477.0,2607.75,235.94,2441.2,2 CDM,PX-76002215,"Derm, Laser Resur, Scar Rev. Over 2 Hrs.",3865.0,2898.75,235.94,2713.62,2 CDM,PX-76002221,"Facelift, (Full) Posterior, Unilateral",4143.0,3107.25,3143.71,3143.71,1 CDM,PX-76002224,Laser Scar Revision - 1,140.0,105.0,98.29,235.94,2 CDM,PX-76002225,Laser Scar Revision - 2,269.0,201.75,188.86,235.94,2 CDM,PX-76002226,Laser Scar Revision - 3,331.0,248.25,232.4,235.94,2 CDM,PX-76002232,"Meibomian Gland Probing, 1 Lid",147.0,110.25,354.96,354.96,2 CDM,PX-76002233,"Meibomian Gland Probing, 2 Lids",245.0,183.75,354.96,354.96,2 CDM,PX-76002234,"Meibomian Gland Probing, 3 Lids",343.0,257.25,354.96,354.96,2 CDM,PX-76002235,"Meibomian Gland Probing, 4 Lids",434.0,325.5,354.96,354.96,2 CDM,PX-76002236,Minor Cosmetic Procedure - 1,125.0,93.75,87.76,235.94,2 CDM,PX-76002237,Minor Cosmetic Procedure - 2,250.0,187.5,175.53,235.94,2 CDM,PX-76002238,Minor Cosmetic Procedure - 3,300.0,225.0,210.63,235.94,2 CDM,PX-76002244,Rhinoplasty,3103.0,2327.25,2178.62,2178.62,1 CDM,PX-76002247,"Rhinoplasty, Revision Major",3104.0,2328.0,2179.32,2179.32,1 CDM,PX-76002254,Upp/P (Ncs- Non-Covered Service),3035.0,2276.25,1553.92,2130.87,2 CDM,PX-76002255,Excision of Uvula,2839.0,2129.25,2008.14,2551.58,3 CDM,PX-76002269,"Nasal/Sinus Endoscopy, Remv Part Ethmoid",3578.0,2683.5,2714.99,2714.99,1 CDM,PX-76002270,Tracheotomy Tube Change,65.0,48.75,230.53,230.53,1 CDM,PX-76002275,"Reconstruc Eyelid,<2/3,One Stage",4376.0,3282.0,2770.25,2770.25,1 CDM,PX-76002277,"Debride Mastoid Cavity,Complex",1072.0,804.0,487.13,604.7,5 CDM,PX-76002277,"Debride Mastoid Cavity,Complex|BILATERAL PROCEDURE",1072.0,804.0,835.59,835.59,1 CDM,PX-76002283,"Create Eardrum Opening,Gen Anesth",2407.0,1805.25,1151.19,1826.43,6 CDM,PX-76002283,"Create Eardrum Opening,Gen Anesth|BILATERAL PROCEDURE",2407.0,1805.25,2194.08,4732.78,3 CDM,PX-76002286,"Cauter Turbinate Mucosa,Intramural",2406.0,1804.5,1151.19,1825.67,7 CDM,PX-76002290,Hair Remov Electrolysis Ea 1/2 Hr,250.0,187.5,175.53,175.53,1 CDM,PX-76002291,Correct Lid Retractn,2864.0,2148.0,2770.25,2770.25,1 CDM,PX-76002291,Correct Lid Retractn|BILATERAL PROCEDURE,2864.0,2148.0,3109.35,7406.87,2 CDM,PX-76002292,"Laryngoscopy,Dir,OP,Exc Tumr,Lcl Flap",2373.0,1779.75,1214.98,1800.63,2 CDM,PX-76002301,Mee Refractive After Ecce,323.0,242.25,2708.23,2708.23,2 CDM,PX-76002302,Mee Prk,335.0,251.25,2708.23,2708.23,2 CDM,PX-76002303,Mee Lasik,330.0,247.5,2708.23,2708.23,2 CDM,PX-76002304,Mee Park,323.0,242.25,2708.23,2708.23,2 CDM,PX-76002305,Mee Hyperopic Lasik,323.0,242.25,2708.23,2708.23,2 CDM,PX-76002306,HC Mee Lasek,300.0,225.0,2708.23,2708.23,2 CDM,PX-76002307,Mee Ptk,1141.0,855.75,2708.23,2708.23,2 CDM,PX-76002308,Mee Retreat After 1 Year,330.0,247.5,2708.23,2708.23,2 CDM,PX-76002325,Mee Excise Pharynx Lesion,3420.0,2565.0,2008.14,3850.95,4 CDM,PX-76002327,"Excision Turbinate,Submucous",3671.0,2753.25,1879.55,3850.95,5 CDM,PX-76002327,"Excision Turbinate,Submucous|BILATERAL PROCEDURE",3671.0,2753.25,3827.37,4732.78,3 CDM,PX-76002328,Excision of Bone Lower Jaw,6699.0,5024.25,5059.36,5059.36,1 CDM,PX-76002333,Excision of Facial Bone(S),2720.0,2040.0,3981.81,7024.49,4 CDM,PX-76002335,Laryngoscopy Direct With Biopsy,3442.0,2581.5,1762.3,2611.79,4 CDM,PX-76002336,Laryngoscopy Direct With Dilation Initial,3535.0,2651.25,1809.92,4378.03,14 CDM,PX-76002349,Mee Septoplasty or Submucous Resection,1800.0,1350.0,720.0,1365.84,8 CDM,PX-76002350,"Mee Laryngoscopy Direct Operative, Exc Tumor",5100.0,3825.0,2611.2,3580.71,3 CDM,PX-76002351,"Part Removal Tongue,<1/2",7003.0,5252.25,3585.54,5313.88,4 CDM,PX-76002354,"Removal Submand Stone,Complicated",3620.0,2715.0,1853.44,2551.58,3 CDM,PX-76002376,Ablate Inf Turbinate Superf,1073.0,804.75,1462.72,1462.72,1 CDM,PX-76002380,Skin & Muscle Repair Face,4435.0,3326.25,3113.81,3113.81,1 CDM,PX-76002381,Injection Eye Socket,359.0,269.25,251.44,251.44,1 CDM,PX-76002399,Laryngoplasty Laryngeal Sten W/O Stent < 12 Yrs,526.0,394.5,369.3,369.3,1 CDM,PX-76002401,Laryngoplasty Laryngeal Sten W/Stent < 12 Yrs,526.0,394.5,369.3,407.65,2 CDM,PX-76002403,Laryngoscopy Flexible Ablatj Destj Lesion(S) Uni,3993.0,2994.75,2044.42,4378.03,11 CDM,PX-76002403,Laryngoscopy Flexible Ablatj Destj Lesion(S) Uni|BILATERAL PROCEDURE,3993.0,2994.75,4701.15,4701.15,1 CDM,PX-76002404,Laryngoscopy Flexible Therapeutic Injection Uni,3462.0,2596.5,2047.7,2683.05,4 CDM,PX-76002404,Laryngoscopy Flexible Therapeutic Injection Uni|BILATERAL PROCEDURE,3462.0,2596.5,2348.79,2348.79,1 CDM,PX-76002405,Laryngoscopy Flexible W/Injection Agmntj Uni,3462.0,2596.5,1232.36,2626.97,7 CDM,PX-76002405,Laryngoscopy Flexible W/Injection Agmntj Uni|BILATERAL PROCEDURE,3462.0,2596.5,2348.79,2348.79,1 CDM,PX-76002410,Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi,1598.0,1198.5,369.77,1238.45,14 CDM,PX-76002421,"Fix Lid Ptosis, Fasanella-Servat",2745.0,2058.75,1405.44,2770.25,3 CDM,PX-76002421,"Fix Lid Ptosis, Fasanella-Servat|BILATERAL PROCEDURE",2745.0,2058.75,3109.35,3109.35,1 CDM,PX-76002439,"Stereotactic Comp Assist Proc,Cranial,Extradural",317.0,237.75,162.3,240.54,5 CDM,PX-76002455,Fill Contour Defct <1 Cc,792.0,594.0,235.94,235.94,1 CDM,PX-76002459,Fill Contour Defct <1cc,792.0,594.0,235.94,235.94,1 CDM,PX-76002461,Incision of Lip Fold,512.0,384.0,388.51,844.56,3 CDM,PX-76002479,Musc Myoq/Fscq Flap Head&Neck W/Named Vasc Pedcl,4387.0,3290.25,3072.65,4347.18,6 CDM,PX-76002482,Pdt Dstr Prmlg Les Skn Illum/Activj by Phys/Qhp,135.0,101.25,102.44,235.94,5 CDM,PX-76002489,Midface Flap W/Preservation of Vascular Pedicles,4329.0,3246.75,2216.45,3354.98,4 CDM,PX-76002491,Nasal/Sinus Ndsc Tot W/Frnt Sins Expl Tiss Rmvl,3602.0,2701.5,2733.2,2733.2,1 CDM,PX-76002492,Nasal/Sinus Ndsc Total With Sphenoidotomy,3602.0,2701.5,2733.2,2791.55,2 CDM,PX-76002493,Nasal/Sinus Ndsc Tot W/Sphendt W/Sphen Tiss Rmvl,3602.0,2701.5,2733.2,2733.2,1 CDM,PX-76002517,"Mee Nasal/Sinus Endoscopy,Open Maxill Sinus",3498.0,2623.5,1790.98,2654.28,3 CDM,PX-76002517,"Mee Nasal/Sinus Endoscopy,Open Maxill Sinus|BILATERAL PROCEDURE",3498.0,2623.5,4701.15,4732.78,2 CDM,PX-76002518,"Mee Nasal/Sinus Endoscopy, Rmv Tiss Maxill Sinus",3416.0,2562.0,1748.99,2592.06,2 CDM,PX-76002519,"Excis Nasal Dermoid,Simple,Subcut",3562.0,2671.5,2500.88,2500.88,1 CDM,PX-76002521,Repair Nasal Cavity Stenosis,6828.0,5121.0,2731.2,5181.09,6 CDM,PX-76002522,Percutaneous Rf Ablation Lymph System,5166.0,3874.5,519.13,3627.05,2 CDM,PX-76002547,Biopsy of Cornea,2186.0,1639.5,2770.25,2770.25,1 CDM,PX-76002556,Fine Needle Aspiration Bx W/US Gdn 1st Lesion,782.0,586.5,400.38,835.47,18 CDM,PX-76002557,Fine Needle Aspiration Bx W/US Gdn Ea Addl,391.0,293.25,200.19,303.03,4 CDM,PX-76002560,Fine Needle Aspiration Bx W/CT Gdn 1st Lesion,782.0,586.5,662.51,835.47,2 CDM,PX-76002565,Tangential Biopsy Skin Single Lesion,271.0,203.25,138.75,235.94,13 CDM,PX-76002567,Punch Biopsy Skin Single Lesion,271.0,203.25,138.75,474.42,9 CDM,PX-76002569,Incisional Biopsy Skin Single Lesion,271.0,203.25,726.87,726.87,1 CDM,PX-76002634,Needle Aspirate/Biopsy Peritonsillar Collection,517.0,387.75,264.7,362.99,8 CDM,PX-76002639,"Nasal/Sinus Endoscopy, Explor Frontal Sinus",5733.0,4299.75,4350.2,4350.2,1 CDM,PX-76002654,Grafting of Autologous Soft Tiss by Direct Exc,2702.0,2026.5,1383.42,4347.18,9 CDM,PX-76002657,Grafting of Autologous Fat by Lipo 25 Cc or Less,2760.0,2070.0,2172.1,2172.1,2 CDM,PX-76002679,Derma-Fat-Fascia Graft,3362.0,2521.5,2360.46,2360.46,1 CDM,PX-76002682,Methylene Blue Injection Non-Sentinel,521.0,390.75,365.79,519.13,2 CDM,PX-76002689,Clarifix,2327.0,1745.25,930.8,1765.73,5 CDM,PX-76002731,Proc. Ant/Seg Laser Suture Lysis,118.0,88.5,2708.23,2708.23,2 CDM,PX-76002741,Sialendoscopy W/ Sialolithotomy,4787.0,3590.25,275.75,3709.93,11 CDM,PX-76002743,Sialendoscopy Diagnostic,1055.0,791.25,275.75,817.63,11 CDM,PX-76002744,Sialendoscopy W/ Dilation,4787.0,3590.25,275.75,3709.93,11 CDM,PX-76002745,"Sialendoscopy W/ Stent Placement (Sialolithotomy or Dilation), Complex",5565.0,4173.75,275.75,4312.88,11 CDM,PX-76002779,Repair Salivary Duct Simple,1783.0,1337.25,912.9,7024.49,8 CDM,PX-76002783,Depressor Anguli Oris Dao Excision,3064.0,2298.0,284.84,2324.96,4 CDM,PX-76002787,"Cosmetic Earwell Ear Molding, per Ear",824.0,618.0,421.89,625.25,5 CDM,PX-76002795,Remv Tendon for Graft,2481.0,1860.75,1741.91,1741.91,1 CDM,PX-76002799,Dilation/Cath of Salivary Duct,413.0,309.75,313.38,604.7,5 CDM,PX-76002800,Flexible Fiberoptic/Endoscopic Eval of Swallowing W/Out Video,299.0,224.25,29.08,231.73,11 CDM,PX-76002801,Repair Salivary Duct Complicated,2354.0,1765.5,1648.74,7024.49,4 CDM,PX-76002805,Supchrdl Njx of Rx Agt W/O Supply of Medication,530.0,397.5,393.86,393.86,1 CDM,PX-76002808,"Tissue Expansion, Ear",4738.0,3553.5,2425.86,3595.19,5 CDM,PX-76002811,Rpr Nsl Vlv Collapse Lw Nrg Subq/Sbmcsl Rmdlg,882.0,661.5,619.25,7024.49,2 CDM,PX-76002814,Transnasal Pharyngeal Stenosis Balloon Dilation With Injection,6998.0,5248.5,275.75,4913.3,8 CDM,PX-76002816,"Transtympanic Blood Patch, Unilateral",2406.0,1804.5,1231.87,1864.65,4 CDM,PX-76002870,Revision of Eyelid With Implant Removal,2301.0,1725.75,354.96,354.96,2 CDM,PX-76002897,"Nasal/Sinus Endoscopy,Remv Totl Ethmoid",2036.0,1527.0,1042.43,1042.43,1 CDM,PX-76002902,"Nasal/Sinus Endoscopy,Rmv Concha Bull",822.0,616.5,420.86,420.86,1 CDM,PX-76002925,Transnasal Pharyngeal Stenosis Balloon Dilation W/O Injection,3535.0,2651.25,275.75,2481.92,8 CDM,PX-76002928,Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv,923.0,692.25,7024.49,7024.49,2 CDM,PX-76002936,"Sialendoscopy With Stent Placement and/or Sialodochoplasty, Simple",5553.0,4164.75,275.75,4303.58,11 CDM,PX-76002937,Sialendoscopy W/Lithotripsy,3279.0,2459.25,275.75,2541.23,11 CDM,PX-76002939,Alcohol (Etoh) Ablation of Thyroid Nodule,666.0,499.5,438.89,6927.95,3 CDM,PX-76002961,Mitomycin Intravasc Chemoembo (Mice),2359.0,1769.25,2708.23,2708.23,2 CDM,PX-76002995,Static Facial Suspension,5616.0,4212.0,235.94,3942.99,2 CDM,PX-76003016,Revision of Cranial Nerve,2672.0,2004.0,1368.06,2027.51,3 CDM,PX-76003020,Contour of Face Bone Lesion,3233.0,2424.75,2269.89,2269.89,1 CDM,PX-76003023,Aspiration Ext Ear Canal Abscess,317.0,237.75,162.3,240.54,5 CDM,PX-76003030,Revision Xen Gel Stent W/Laser,2358.0,1768.5,2708.23,2708.23,2 CDM,PX-76003031,Commissuroplasty (for Oral Incompetence),2205.0,1653.75,275.75,1548.13,2 CDM,PX-76010306,Vivaer Nasal Tissue Remodeling Rf,3171.0,2378.25,1268.4,2406.15,5 CDM,PX-76010307,Rhinaer Posterior Nasal Nerve Rf,3171.0,2378.25,1268.4,2406.15,5 CDM,PX-76010308,Newborn Manual Nasal Dorsal Remodeling,118.0,88.5,47.2,89.54,5 CDM,PX-76010309,Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf,5166.0,3874.5,1923.94,4003.65,7 CDM,PX-76010354,"Laryngoscopy, Flexible; W/ Injection(S) Augmentation Pharynx, Unilateral",3462.0,2596.5,275.75,2430.67,8 CDM,PX-76200001,Observation 1 Hr,132.0,99.0,67.58,92.45,2 CDM,PX-76200002,Observation 1 Hr,132.0,99.0,67.58,92.45,2 CDM,PX-76200003,Observation 1 Hr,132.0,99.0,67.58,92.45,2 CDM,PX-76200004,Observation 1 Hr,132.0,99.0,67.58,92.45,2 CDM,PX-76200005,Observation 1 Hr,132.0,99.0,67.58,92.45,2 CDM,PX-76200006,Observation 1 Hr,132.0,99.0,67.58,92.45,2 CDM,PX-76200007,Direct Admission of Patient for Hospital Observation Care,106.0,79.5,728.02,728.02,1 CDM,PX-76200012,Observation Carve Out (90785 - 98965) - Medicine,132.0,99.0,67.58,92.45,2 CDM,PX-77100003,Immune Admin One Vacc Im/Sub-Q/ID,33.0,24.75,16.9,25.58,4 CDM,PX-77100007,Admin of Influenza Vaccine,40.0,30.0,54.79,54.79,3 CDM,PX-77100008,Admin of Influenza Vaccine,40.0,30.0,54.79,54.79,3 CDM,PX-92000123,Polysom <6 Yrs Sleep Stage 4/> Addl,2367.0,1775.25,1211.9,1834.43,4 CDM,PX-92000139,Opscpy Extnd Optic Nrv/Macula Drawing I&R Uni/Bi,238.0,178.5,70.53,184.45,9 CDM,PX-92000169,Elec Alys Implt Smpl Cn Npgt Prgrmg,221.0,165.75,44.28,171.28,9 CDM,PX-92000170,Elec Alys Implt Cplx Cn Npgt Prgrmg,295.0,221.25,109.0,228.63,12 CDM,PX-92000173,Opscpy Extnd RTA Drawing & Scl Deprsn I&R Uni/Bi,127.0,95.25,65.02,98.43,8 CDM,PX-94000035,Ns Unlisted Orl Serv or Proc,349.0,261.75,29.08,270.48,11 CDM,PX-94000052,Mee Video Head Impulse Test (Vhit),322.0,241.5,29.08,249.55,11 CDM,PX-98300001,Pf Aspirat Fine Needle W/O Imaging,498.0,373.5,474.42,474.42,1 CDM,PX-98300008,Pf I&D Hematoma/Seroma/Fluid,554.0,415.5,1237.95,1923.94,2 CDM,PX-98300012,Pf Debr Skin/Subq Tissue,362.0,271.5,253.54,474.42,5 CDM,PX-98300042,Pf Exc Lesn Bgn Sclp/Hnd 0.6-1.0cm,530.0,397.5,371.21,579.34,2 CDM,PX-98300043,Pf Exc Lesn Bgn Sclp/Hnd 1.1-2.0cm,593.0,444.75,303.62,1923.94,3 CDM,PX-98300048,Pf Exc Lesn Bgn Face/Ear 0.6-1.0cm,560.0,420.0,579.34,835.47,3 CDM,PX-98300120,Pf Cautery Chemical Tissue Gran,281.0,210.75,143.87,176.45,2 CDM,PX-98300143,Pf Biopsy Muscle Needle Perc,847.0,635.25,433.66,1923.94,5 CDM,PX-98300167,Pf Exc Tumr Neck/Chest Sq <3cm,1526.0,1144.5,1237.95,1923.94,4 CDM,PX-98300287,Pf Biopsy Intranasal,498.0,373.5,1151.19,1758.93,3 CDM,PX-98300290,Pf Control Nosebleed Ant Smp,324.0,243.0,106.48,245.85,2 CDM,PX-98300294,Pf Endo Nasal,809.0,606.75,163.97,613.87,28 CDM,PX-98300295,Pf Endo Nasal/Sinus W/Biopsy,1058.0,793.5,541.7,2047.7,11 CDM,PX-98300295,Pf Endo Nasal/Sinus W/Biopsy|BILATERAL PROCEDURE,1058.0,793.5,4732.78,4732.78,2 CDM,PX-98300297,Pf Laryngosc Fiberoptic,645.0,483.75,163.97,489.43,28 CDM,PX-98300299,Pf Laryngosc W/Stroboscopy,679.0,509.25,347.65,844.56,25 CDM,PX-98300323,Pf Biopsy Mouth Vestibule,655.0,491.25,487.13,604.7,7 CDM,PX-98300324,Pf Biopsy Tongue Anterior 2/3,550.0,412.5,487.13,604.7,3 CDM,PX-98300325,Pf Biopsy Tongue Posterior 1/3,560.0,420.0,392.22,3850.95,3 CDM,PX-98300326,Pf Biopsy Mouth Floor,498.0,373.5,254.98,1923.94,4 CDM,PX-98300330,Pf Biopsy Oropharynx,560.0,420.0,286.72,2008.14,8 CDM,PX-98300465,Pf Chemodnrv/Destr Nrve Nrlytic Fac,797.0,597.75,247.48,604.76,11 CDM,PX-98300465,Pf Chemodnrv/Destr Nrve Nrlytic Fac|BILATERAL PROCEDURE,797.0,597.75,350.52,1266.85,14 CDM,PX-98300484,Pf Rem FB Canal Aud Ext,453.0,339.75,153.06,343.74,4 CDM,PX-98300485,Pf Remove Cerumen Impacted Unilate,259.0,194.25,70.53,196.53,12 CDM,PX-98300485,Pf Remove Cerumen Impacted Unilate|BILATERAL PROCEDURE,259.0,194.25,302.16,302.16,1 CDM,PX-98300493,Pf St Nasopharyngoscopy,560.0,420.0,163.97,434.0,17 CDM,PX-98300515,Hcpr New Pt - Level 1 Visit,127.0,95.25,96.37,96.37,1 CDM,PX-98300520,"Office Visit, Established Pat",70.0,52.5,35.84,54.25,9 CDM,PX-98300522,"Office Visit, Established Pat",237.0,177.75,121.34,183.68,11 CDM,PX-98300524,"Office Visit, Established Pat",455.0,341.25,232.96,352.63,7 CDM,PX-98300627,Canalith Repositioning Proc,86.0,64.5,44.03,44.03,1 CDM,PX-98300811,1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes,324.0,243.0,226.93,226.93,1 CDM,PX-98300858,Debridement Bone Muscle &/Fascia 20 Sq Cm/<,1333.0,999.75,682.5,1923.94,2 CDM,PX-98301198,IV Infusion Therapy/Prophylaxis /Dx 1st to 1 Hr,451.0,338.25,230.91,349.53,9 CDM,PX-98301199,Therapeutic Prophylactic/Dx Injection Subq/Im,115.0,86.25,84.51,84.51,1 CDM,PX-98301209,Initial Observation Care/Day 50 Minutes,418.0,313.5,292.77,292.77,1 CDM,PX-98301210,Initial Observation Care/Day 70 Minutes,576.0,432.0,403.43,403.43,1 CDM,PX-98301241,Injection Subq or Im,115.0,86.25,84.51,84.51,1 CDM,PX-98301250,Removal Sutures/Staples Requiring Anesthesia,437.0,327.75,306.82,306.82,1 CDM,PX-98301251,I&D Deep Absc/Hematoma Neck/Chest,1869.0,1401.75,3398.51,3398.51,1 CDM,PX-98301252,Biopsy Soft Tissue Neck/Chest,872.0,654.0,446.46,1923.94,4 CDM,PX-98301253,"Laryngoscopy,Dirct,OP Scop,Exc Tumr",1619.0,1214.25,828.93,4378.03,11 CDM,PX-98301254,"Laryngoscopy,Direct,Scope,Inj Cords",2242.0,1681.5,1147.9,4378.03,11 CDM,PX-98301255,Create T-E Fistula+Speech Prosthesis,2990.0,2242.5,1530.88,3850.95,5 CDM,PX-98301256,"Trach Revision,Simple",2492.0,1869.0,3850.95,3850.95,1 CDM,PX-98301257,Scope Thru Tracheostomy,934.0,700.5,487.13,604.7,5 CDM,PX-98301258,Excise Lip or Cheek Fold,1058.0,793.5,1758.93,1758.93,1 CDM,PX-98301259,Incision of Tongue Fold,731.0,548.25,374.27,1151.19,4 CDM,PX-98301260,Excis Tongue Fold,872.0,654.0,610.75,661.67,2 CDM,PX-98301261,Excis Floor Mouth Lesion,1121.0,840.75,573.95,573.95,1 CDM,PX-98301263,"Debride Mastoid Cavity,Simple",468.0,351.0,176.45,355.12,11 CDM,PX-98301264,"Debride Mastoid Cavity,Complex",760.0,570.0,389.12,604.7,5 CDM,PX-98301267,Ant Sgm Imaging W/Microscopy Endothelial Analy,155.0,116.25,79.36,153.06,9 CDM,PX-98301268,Ear Microscopy Examination,106.0,79.5,54.27,80.43,7 CDM,PX-98301270,Comprehensive Hearing Test,210.0,157.5,107.52,185.79,23 CDM,PX-98301270,Comprehensive Hearing Test|REDUCED SERVICES,210.0,157.5,185.79,185.79,5 CDM,PX-98301271,Tympanometry,70.0,52.5,35.84,54.25,14 CDM,PX-98301271,Tympanometry|REDUCED SERVICES,70.0,52.5,46.61,46.61,2 CDM,PX-98301272,Visual Audiometry (Vra),150.0,112.5,76.8,185.79,7 CDM,PX-98301273,Conditioning Play Audiometry,312.0,234.0,159.74,241.8,9 CDM,PX-98301274,"Eval,Oral & Pharyngeal Swallow Function",263.0,197.25,134.66,184.21,4 CDM,PX-98301282,"Neuromusc Reeducat,1+ Areas, Ea 15 Min",112.0,84.0,35.73,84.99,5 CDM,PX-98301285,Initial Observation Care/Day 30 Minutes,303.0,227.25,212.22,212.22,1 CDM,PX-98302469,Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv,12702.0,9526.5,7024.49,7024.49,2 CDM,PX-99900194,Mee Mal-De-Debarquement Treatment,100.0,75.0,51.2,51.2,1 CDM,PX-99900253,Mee Lipiflow Service,530.0,397.5,354.96,354.96,2 CDM,PX-99900303,Mee Free Latera,0.01,0.01,0.01,0.01,6 CDM,PX-99900385,Service Plan 1 Year,500.0,375.0,351.05,351.05,1 CDM,PX-99900386,Service Plan 2 Years,650.0,487.5,456.37,456.37,1 CDM,PX-99900387,Service Plan 3 Years,800.0,600.0,561.68,561.68,1 CDM,PX-99900409,Sp Individual Tinnitus Management,250.0,187.5,128.0,128.0,1 CDM,PX-99900410,Sp Follow-Up Tinnitus Management,50.0,37.5,25.6,25.6,1 CDM,PX-99900526,Sp Mee Ctak Laser,882.0,661.5,2708.23,2708.23,2 CDM,SUP-36819,TISSUE CORNEAL,5973.34,4480.0,3058.35,4629.34,10 CDM,SUP-36820,TISSUE CORNEAL PRECUT,7973.34,5980.0,4082.35,6179.34,10 CDM,SUP-36821,TISSUE CORNEAL PRE-LOADED,7950.0,5962.5,4070.4,6161.25,10 CDM,SUP-437042,CTAK Corneal Tissue,3900.0,2925.0,1996.8,3022.5,10 CDM,SUP-ITM-10001493,SHEET CRANIOFACIAL 38X50 1.5MM IMPLANT ORBITAL FLOOR MEDPOR,1433.98,1075.48,734.2,1111.33,3 CDM,SUP-ITM-10001707,SCREW BONE 4X28MM CANCELLOUS SS SELF TAPPING FULLY THREADED,82.14,61.6,42.06,63.66,4 CDM,SUP-ITM-10001824,PLATE CRANIOMAXILLOFACIAL 2X193MM 30 HOLE ADAPTION DCP BROAD SPACED TITANIUM,918.78,689.08,470.42,712.05,4 CDM,SUP-ITM-10001910,SCREW BONE 3.5X16MM CANNULATED SS FULL THREAD HEXAGONAL SOCKET FLAT HEAD,359.04,269.28,183.83,278.26,4 CDM,SUP-ITM-10001940,PLATE CRANIOMAXILLOFACIAL 2X4MM 5 HOLE CHIN DOUBLE BEND OFFSET TITANIUM,565.23,423.92,289.4,438.05,4 CDM,SUP-ITM-10001992,SCREW BONE 2X14MM CORTEX TITANIUM SELF TAPPING CRUCIFORM RECESS SINGLE,117.03,87.77,59.92,90.7,4 CDM,SUP-ITM-10002073,PLATE CRANIOMAXILLOFACIAL 2X8MM 5 HOLE CHIN DOUBLE BEND OFFSET TITANIUM,597.57,448.18,305.96,463.12,4 CDM,SUP-ITM-10002189,SCREW BONE 1.3X8MM CORTEX TI SELF TAPPING CRUCIFORM RECESS,220.89,165.67,113.1,171.19,4 CDM,SUP-ITM-10002345,PLATE CRANIOMAXILLOFACIAL 1.3X35MM 9 HOLE ORBITAL RIM ADAPTION TITANIUM,428.28,321.21,219.28,331.92,4 CDM,SUP-ITM-10002351,PLATE CRANIOMAXILLOFACIAL 5X1.3X43MM 18 HOLE TITANIUM STRUT SPACED,916.29,687.22,469.14,710.12,4 CDM,SUP-ITM-10002378,PLATE CRANIOMAXILLOFACIAL 1.3X95MM 24 HOLE TITANIUM ADAPTION,598.35,448.76,306.36,463.72,4 CDM,SUP-ITM-10002380,PLATE CRANIOMAXILLOFACIAL 1X50X100MM 4 HOLE MESH TITANIUM,3022.77,2267.08,1547.66,2342.65,4 CDM,SUP-ITM-10002441,PLATE CRANIOMAXILLOFACIAL 1.3X100X100MM MESH INTERNAL FIXATION FOR SCREW,2178.69,1634.02,1115.49,1688.48,4 CDM,SUP-ITM-10003751,PLATE CRANIUM 1.5X49MM 12 HOLE TITANIUM ORBITAL RIM RIGID,577.68,433.26,295.77,447.7,4 CDM,SUP-ITM-10003753,PLATE CRANIOMAXILLOFACIAL 1.5X22X9MM 5 HOLE 100DEG TITANIUM OBLIQUE RIGID ANGLED RIGHT,460.62,345.46,235.84,356.98,4 CDM,SUP-ITM-10003754,PLATE CRANIOMAXILLOFACIAL 27X13MM 7 HOLE 100DEG TITANIUM OBLIQUE ANGLED GOLD LEFT,485.52,364.14,248.59,376.28,4 CDM,SUP-ITM-10003755,PLATE CRANIOMAXILLOFACIAL 1.5X22X11MM 5 HOLE TITANIUM Y SHAPE,468.09,351.07,239.66,362.77,4 CDM,SUP-ITM-10003757,PLATE CRANIUM 2X100MM 20 HOLE MANDIBULAR TITANIUM LOCKING,797.16,597.87,408.15,617.8,4 CDM,SUP-ITM-10003759,CRANIOMAXILLOFACIAL PLATE 2MM 12 HOLE BONE ORBITAL DCP RIM TI,463.14,347.35,237.13,358.93,4 CDM,SUP-ITM-10003760,CRANIOMAXILLOFACIAL PLATE 2X25MM 2 HOLE 3 SHAFT 100DEG OBLIQUE TI ARM BRIDGE L SHAPE LEFT,438.21,328.66,224.36,339.61,4 CDM,SUP-ITM-10003762,CRANIAL PLATE 2MM 5 HOLE DCP Y SHAPE TITANIUM ARM X,445.71,334.28,228.2,345.43,4 CDM,SUP-ITM-10003765,CRANIAL PLATE 2MM 4 HOLE MAXILLOFACIALXDCP TITANIUM,415.83,311.87,212.9,322.27,4 CDM,SUP-ITM-10003788,PLATE CRANIOMAXILLOFACIAL 1X33MM 11 HOLE BONE TITANIUM ORBITAL RIM,495.48,371.61,253.69,384.0,4 CDM,SUP-ITM-10003789,CRANIOMAXILLOFACIAL PLATE 1MM UNIVERSAL BONE ORBITAL FLOOR TI,5380.0,4035.0,2754.56,4169.5,4 CDM,SUP-ITM-10003792,PLATE CRANIOMAXILLOFACIAL 1MM 4 HOLE 5 SHAFT BONE L SHAPE BASE TITANIUM LEFT,443.19,332.39,226.91,343.47,4 CDM,SUP-ITM-10003795,PLATE CRANIOMAXILLOFACIAL 1MM 6 HOLE TITANIUM DOUBLE Y SHAPE,470.61,352.96,240.95,364.72,4 CDM,SUP-ITM-10003797,PLATE CRANIOMAXILLOFACIAL 1MM 5 HOLE TITANIUMXSHAPE,398.4,298.8,203.98,308.76,4 CDM,SUP-ITM-10003798,BONE PLATE 1MM 6 HOLE CRANIOMAXILLOFACIAL TI H SHAPE BRIDGE,423.3,317.47,216.73,328.06,4 CDM,SUP-ITM-10003841,PLATE CRANIOMAXILLOFACIAL 1X100MM 36 HOLE ADAPTION INTERNAL FIXATION TITANIUM,1120.47,840.35,573.68,868.36,4 CDM,SUP-ITM-10003842,PLATE CRANIOMAXILLOFACIAL 1.5X.9X90MM 20 HOLE TITANIUM ADAPTION,639.9,479.92,327.63,495.92,4 CDM,SUP-ITM-10003843,PLATE CRANIOMAXILLOFACIAL 2X40MM 4 HOLE 6 SHAFT 100DEG TITANIUM OBLIQUE ARM BRIDGE L SHAPE RIGHT,510.45,382.84,261.35,395.6,4 CDM,SUP-ITM-10004055,SCREW BONE 1.5X8MM CRANIAL CORTEX TI SELF TAPPING FLUTED TIP CRUCIFORM STARDRIVE RECESS GOLD PK/5EA,107.07,80.3,54.82,82.98,4 CDM,SUP-ITM-10004306,SCREW BONE 2.4X36MM CORTEX TI SELF TAPPING FULL THREAD CRUCIFORM RECESS PK/5EA,171.8,128.85,87.96,133.15,4 CDM,SUP-ITM-10004853,LENS INTRAOCULAR CZ70BD 20.5D,150.0,112.5,76.8,116.25,5 CDM,SUP-ITM-10005072,CORD VOCAL SIZE 8 SYSTEM SURGICAL THYROPLASTY MONTGOMERY SILICONE MALE,1275.0,956.25,652.8,988.13,4 CDM,SUP-ITM-10005073,CORD VOCAL SIZE 11 SYSTEM SURGICAL THYROPLASTY MONTGOMERY SILICONE MALE,1125.0,843.75,576.0,871.88,4 CDM,SUP-ITM-10005074,CORD VOCAL SIZE 6 SYSTEM SURGICAL THYROPLASTY MONTGOMERY SILICONE FEMALE,1200.0,900.0,614.4,930.0,4 CDM,SUP-ITM-10005082,CORD VOCAL SIZE 7 SYSTEM SURGICAL THYROPLASTY MONTGOMERY SILICONE FEMALE,1338.0,1003.5,685.06,1036.95,4 CDM,SUP-ITM-10005241,SPHERE ORBITAL 22MM CRANIOMAXILLOFACIAL MEDPOR POLYETHYLENE BIOCOMPATIBLE POROUS STERILE,1891.89,1418.92,968.65,1466.21,3 CDM,SUP-ITM-10005242,CRANIOFACIAL IMPLANT 20MM SPHERE ORBITAL CRANIOMAXILLOFACIAL MEDPOR POLYETHYLENE BIOCOMPATIBLE POROUS,1891.89,1418.92,968.65,1466.21,4 CDM,SUP-ITM-10005363,PLATE CRANIOMAXILLOFACIAL 1.3X100X100MM MESH CONTOURABLE RIGID TITANIUM FOR SCREW,3606.23,2704.67,1846.39,2794.83,4 CDM,SUP-ITM-10005468,BONE PLATE 59X1.5MM 12 HOLE TI STRAIGHT,893.55,670.16,457.5,692.5,4 CDM,SUP-ITM-10006719,SCREW BONE 3.5X12MM CORTEX SELF TAPPING FULLY THREADED HEX HEAD SS,51.63,38.72,26.43,40.01,4 CDM,SUP-ITM-10006725,SCREW BONE 3.5X24MM CORTEX SELF TAPPING FULLY THREADED HEX HEAD SS,71.04,53.28,36.37,55.06,4 CDM,SUP-ITM-10007592,PLATE CRANIOMAXILLOFACIAL 1.3MM 1X3 HOLE TITANIUM Y SHAPE,400.86,300.64,205.24,310.67,4 CDM,SUP-ITM-10007594,PLATE CRANIOMAXILLOFACIAL 1.3X13MM 4 HOLE TITANIUM,388.41,291.31,198.87,301.02,4 CDM,SUP-ITM-10008198,GRAFT BONE 5ML DBX ALLO DBM DEMINERALIZED MATRIX FREEZE DRIED PUTTY SYRINGE,1779.96,1334.97,911.34,1379.47,4 CDM,SUP-ITM-10008259,PLATE BONE 124X3.5MM 9 HOLE LCP SS LOCKING STRAIGHT BX/2EA,780.33,585.25,399.53,604.76,4 CDM,SUP-ITM-10008260,BONE PLATE 3.5X137MM 10 HOLE LCP SS LOCKING STRAIGHT BX/2EA,803.64,602.73,411.46,622.82,4 CDM,SUP-ITM-10008263,PLATE BONE 112X3.5MM 8 HOLE LCP SS RECONSTRUCTION,1176.6,882.45,602.42,911.87,4 CDM,SUP-ITM-10011292,COUPLER ANASTOMOSIS 2.5MM VESSELXORTHOPEDIC FAST SAFE MICROVASCULAR POLYETHYLENE S/S BX/6EA,1047.5,785.62,536.32,811.81,4 CDM,SUP-ITM-10012205,ANCHOR SUTURE SIZE 3 0 NEEDLEV4 LENGTH1.3MM ARTHROSCOPY ETHIBOND QUICK MICRO,885.0,663.75,453.12,685.88,4 CDM,SUP-ITM-10013892,IMPLANT EAR 1X1.2X2X2MM SM INCUS STAPES APPLEBAUM FULLY CANNULATED HYDROXYLAPATITE,1061.07,795.8,543.27,822.33,6 CDM,SUP-ITM-10013893,IMPLANT EAR 1X2.5X2X1.2MM LG INCUS STAPES APPLEBAUM FULLY CANNULATED HYDROXYLAPATITE,1061.07,795.8,543.27,822.33,6 CDM,SUP-ITM-10015485,SCREW BONE 2X6MM CORTEX SELF DRILLING WITH PLUSDRIVE RECESS TITANIUM PK/5EA,114.23,85.67,58.49,88.53,4 CDM,SUP-ITM-10015693,PISTON EAR .6X3.75MM STAPES SCHUKNECHT WIRE SS FLUOROPLASTIC,274.29,205.72,140.44,212.57,6 CDM,SUP-ITM-10015800,SOLUTION OPHTHALMIC 10ML SILICONE OIL 5000 ADATO STERILE,1379.85,1034.89,1047.03,1069.38,2 CDM,SUP-ITM-10017646,LENS INTRAOCULAR SN60WF 22.5D,402.0,301.5,205.82,311.55,4 CDM,SUP-ITM-10017675,LENS INTRAOCULAR SENSAR ACRYLIC AR40E 21.0D,345.0,258.75,176.64,267.38,5 CDM,SUP-ITM-10017926,LENS INTRAOCULAR SN60AT 22.5D,447.0,335.25,228.86,346.43,4 CDM,SUP-ITM-10018395,KIT SYRINGE MULTI-USE BX/10EA,107.4,80.55,54.99,83.24,6 CDM,SUP-ITM-10019357,LENS INTRAOCULAR SN60WF 30.0D,402.0,301.5,205.82,311.55,4 CDM,SUP-ITM-10019424,PISTON EAR .5X4.75MM SMART STAPEDECTOMY FLUOROPLASTIC NITINOL,752.91,564.68,385.49,583.51,6 CDM,SUP-ITM-10019426,PISTON EAR .6X4.75MM SMART STAPEDECTOMY NITINOL FLUOROPLASTIC,761.64,571.23,389.96,590.27,6 CDM,SUP-ITM-10021511,CRANIOFACIAL IMPLANT 50X76X.85MM ORBITAL FLOOR BIOMATERIAL SHEET MEDPOR,2009.63,1507.22,1028.93,1557.46,4 CDM,SUP-ITM-10021770,SCREW BONE 1.5X6MM CORTEX TITANIUM SELF DRILLING PLUSDRIVE RECESS SINGLE,134.46,100.84,68.84,104.21,4 CDM,SUP-ITM-10021981,GRAFT TISSUE 2.0 XIN DURAGEN PLUS ULTRA PURE COLLAGEN REGENERATION MATRIX DURAL CA/1EA,853.2,639.9,597.58,661.23,2 CDM,SUP-ITM-10024264,LENS INTRAOCULAR AC MTA3U0 15.5D,255.0,191.25,130.56,197.63,4 CDM,SUP-ITM-10024803,LENS INTRAOCULAR AC MTA3U0 20.0D,255.0,191.25,130.56,197.63,4 CDM,SUP-ITM-10027185,SCREW BONE 6.5X60MM CANNULATED SS PARTIAL THREAD,1710.0,1282.5,875.52,1325.25,4 CDM,SUP-ITM-10027199,PISTON EAR .6X4.5MM SCHUKNECHT STAINLESS STEEL FLUOROPLASTIC STERILE,272.04,204.03,139.28,210.83,6 CDM,SUP-ITM-10028534,STRIP SCLERAL BUCKLSTRIP 4MM STYLE 42 SCLERAL BUCKLING BX/5EAING 3.5MM BX/5EA,94.35,70.76,48.31,73.12,5 CDM,SUP-ITM-10028535,SLEEVE 1.0MM ID STYLE 70 SCLERAL BUCKLING BX/5EA,68.85,51.64,35.25,53.36,5 CDM,SUP-ITM-10029033,KIT ACCESSORY 5ML PROCEDURAL LIQUID PERFLUORON BX/3EA,1263.78,947.83,958.96,979.43,2 CDM,SUP-ITM-10029156,PLATE CRANIOMAXILLOFACIAL 1.5MM 20 HOLE RAPIDSORB POLYMER ADAPTION SCALLOPED,493.02,369.76,252.43,382.09,4 CDM,SUP-ITM-10029157,CRANIOMAXILLOFACIAL PLATE 1.5MM 10 HOLE ORBITAL RAPIDSORB POLYMER RIM,455.4,341.55,233.16,352.94,4 CDM,SUP-ITM-10029163,BONE PLATE 2X1.5MM 10 HOLE CRANIAL RAPIDSORB POLYMER STRUT SCALLOPED,802.89,602.17,411.08,622.24,4 CDM,SUP-ITM-10029164,PLATE CRANIAL 2X1.5MM 18 HOLE RAPIDSORB POLYMER STRUT SCALLOPED,990.0,742.5,506.88,767.25,4 CDM,SUP-ITM-10029174,PLATE CRANIOMAXILLOFACIAL 1.5X24X24MM RAPIDSORB POLYMER ORBITAL FLOOR,1230.57,922.93,630.05,953.69,4 CDM,SUP-ITM-10029175,PLATE CRANIOMAXILLOFACIAL 1.5X30X30MM RAPIDSORB POLYMER ORBITAL FLOOR,1282.05,961.54,656.41,993.59,4 CDM,SUP-ITM-10029183,PLATE CRANIOMAXILLOFACIAL 1.5X50X.8MM RAPIDSORB POLYMER MESH CONTOURABLE,2268.09,1701.07,1161.26,1757.77,4 CDM,SUP-ITM-10029184,PLATE CRANIOMAXILLOFACIAL 1.5X100X.8MM RAPIDSORB POLYMER MESH CONTOURABLE,4121.7,3091.27,2110.31,3194.32,4 CDM,SUP-ITM-10029997,PISTON EAR .6X3.50MM STAPES SCHUKNECHT WIRE SS FLUOROPLASTIC,277.65,208.24,142.16,215.18,6 CDM,SUP-ITM-10030647,CATHETER DILATOR 15 18MM 5.5CM 75 20 30 3.5ATM .035IN ENDO BALLOON PULM DIA OBLONG FILL NACL GUID,806.49,604.87,412.92,611.96,5 CDM,SUP-ITM-10042208,SCREW BONE 1.2X3MM SELF-TAPPING CROSS-PIN,187.84,140.88,96.17,145.58,4 CDM,SUP-ITM-10042215,SCREW BONE 1.2X3MM TITANIUM CROSS PIN SELF DRILLING GOLD,273.8,205.35,140.19,212.2,4 CDM,SUP-ITM-10042239,SCREW BONE 2X16MM SELF TAPPING CROSS-PIN,152.89,114.67,78.28,118.49,4 CDM,SUP-ITM-10042319,PLATE BONE 7 HOLE UPPERFACE DOUBLE Y SHAPE TITANIUM,521.43,391.07,266.97,404.11,4 CDM,SUP-ITM-10042376,LENS INTRAOCULAR MA60AC 30.0D,447.0,335.25,228.86,346.43,4 CDM,SUP-ITM-10043053,GRAFT DURAL 2X2IN COLLAGEN DURAMATRIX ONLAY,2090.81,1568.11,1464.4,1620.38,2 CDM,SUP-ITM-10043054,GRAFT DURAL 7.5 XCM DURAMATRIX ONLAY TYPE I COLLAGEN SUBSTITUTE MEMBRANE RESORBABLE,3237.89,2428.42,2267.82,2509.36,2 CDM,SUP-ITM-10048894,GRAFT BONE 1CC DBX ALLO DBM DEMINERALIZED MATRIX FREEZE DRIED PUTTY SYRINGE,432.12,324.09,221.25,334.89,4 CDM,SUP-ITM-10056497,ILLUMINATOR SINUS 100CM RELIEVA LUMA SENTRY SYSTEM SINUPLASTY BX/5EA,1351.35,1013.51,691.89,946.49,2 CDM,SUP-ITM-10073154,GRAFT OPHTHALMIC 16MM AMNIOTIC MEMBRANE OCULAR PROKERA IMPLANTABLE,2847.0,2135.25,1994.04,2206.43,3 CDM,SUP-ITM-10075199,BONE PLATE C TYPE FOR CMF DISTRACTORTI CONDYLAR HEAD DISTRACTOR,4201.75,3151.31,2151.3,3256.36,4 CDM,SUP-ITM-10075333,K-WIRE BONE 2X15 150MM CALIBRATED TIP PARTIALLY THREADED TROCAR POINT PK/5EA,99.59,74.69,50.99,77.18,4 CDM,SUP-ITM-10075743,SCREW CORTEX 1.0MM 4 PLUSDRIVE RECESS TITANIUM SELF TAPPING PK/5EA,164.33,123.25,84.14,127.36,4 CDM,SUP-ITM-10075765,SCREW BONE 1.2X5MM CORTEX PLUSDRIVE RECESS TITANIUM SELF TAPPING PK/5EA,169.31,126.98,86.69,131.22,4 CDM,SUP-ITM-10075883,SCREEN MESH 1.0MM 100XPLATE CRANIOFACIAL TITANIUM,4962.0,3721.5,2540.54,3845.55,4 CDM,SUP-ITM-10076371,DISTRACTOR BODY TI MULTI VECTOR MANDIBLE,4810.54,3607.9,2463.0,3728.17,4 CDM,SUP-ITM-10076372,DISTRACTOR MANDIBLE 15MM ARM TITANIUM MULTI VECTOR,388.41,291.31,198.87,301.02,4 CDM,SUP-ITM-10076375,NUT ACTIVATION TI MULTI VECTOR DISTRACTOR,173.04,129.78,88.6,134.11,4 CDM,SUP-ITM-10076524,SCREW BONE 2.5X4X22MM SCHANZ TI SELF DRILLING THREADED SYMPHYSIS,575.16,431.37,294.48,445.75,4 CDM,SUP-ITM-10076533,COVER BURR 17MM HOLE MATRIXNERUO TITANIUM,302.58,226.93,154.92,234.5,4 CDM,SUP-ITM-10076542,BONE PLATE 0.4X12MM 2 HOLE CRANIAL MATRIXNEURO TI STRAIGHT RIGID,59.76,44.82,30.6,46.31,4 CDM,SUP-ITM-10076543,BONE PLATE .4X24MM 4 HOLE CRANIAL MATRIXNEURO TI STRAIGHT RIGID,83.43,62.57,42.72,64.66,4 CDM,SUP-ITM-10076544,BONE PLATE 0.4MM CRANIAL MATRIXNEURO TI XSHAPE RIGID,318.69,239.02,163.17,246.98,4 CDM,SUP-ITM-10076545,BONE PLATE 14X0.4MM CRANIAL MATRIXNEURO TI SHAPE RIGID,311.25,233.44,159.36,241.22,4 CDM,SUP-ITM-10076548,BONE PLATE 0.4X18MM 6 HOLE CRANIAL MATRIXNEURO TI DOUBLE Y SHAPE RIGID,505.47,379.1,258.8,391.74,4 CDM,SUP-ITM-10076552,BONE PLATE 0.4MM 20 HOLE CRANIAL MATRIXNEURO TI ADAPTION RIGID,494.61,370.96,253.24,383.32,4 CDM,SUP-ITM-10076558,PLATE CRANIOMAXILLOFACIAL 100X100MM MATRIXNEURO TITANIUM CONTOURABLE MESH MALLEABLE SILVER,3242.97,2432.23,1660.4,2513.3,4 CDM,SUP-ITM-10076565,PLATE CRANIOMAXILLOFACIAL 30MM MATRIXNEURO TITANIUM MESH CONTOUR MALLEABLE SILVER,1470.24,1102.68,752.76,1139.44,4 CDM,SUP-ITM-10076571,PLATE CRANIOMAXILLOFACIAL SM MATRIXNEURO TITANIUM MESH CONTOUR MALLEABLE MASTOID SILVER,1424.22,1068.16,729.2,1103.77,4 CDM,SUP-ITM-10076574,SCREW BONE 1.5X3MM MATRIXNEURO TI SELF DRILLING,63.03,47.27,32.27,48.85,4 CDM,SUP-ITM-10076577,SCREW BONE 1.5X4MM TI SELF DRILLING MATRIXNEURO,63.03,47.27,32.27,48.85,4 CDM,SUP-ITM-10076583,SCREW BONE 1.8X3MM MATRIXNEURO TI EMERGENCY SELF TAPPING SINGLE,161.85,121.39,82.87,125.43,4 CDM,SUP-ITM-10076592,PLATE CRANIOMAXILLOFACIAL 2.5MM MD 5X22X5 HOLE MATRIXMANDIBLE TITANIUM DOUBLE ANGLE RECONSTRUCTION,3649.8,2737.35,1868.7,2828.6,4 CDM,SUP-ITM-10076593,BONE PLATE 6X24 2.5MM LG HOLE CRANIAL MATRIXMANDIBLE TI DOUBLE ANGLE RECONSTRUCTION,3851.08,2888.31,1971.75,2984.59,4 CDM,SUP-ITM-10076761,PLATE CRANIOMAXILLOFACIAL 1.2X78X78X2MM RAPIDSORB POLYMER MESH,3542.22,2656.66,1813.62,2745.22,4 CDM,SUP-ITM-10076762,PLATE CRANIOMAXILLOFACIAL 1.2X50X2MM RAPIDSORB POLYMER MESH CONTOURABLE,2475.0,1856.25,1267.2,1918.13,4 CDM,SUP-ITM-10077020,SPONGE 5X2.5MM STYLE 510 SCLERAL BUCKLING HALF CYLINDER SILICONE BX/5EA,303.45,227.59,155.37,235.17,5 CDM,SUP-ITM-10077385,MESH SYNTHETIC 0.6X100MM PLATE CRANIOMAXILLOFACIAL MATRIXNEURO CONTOUR EXTRA RIGID TI,3799.44,2849.58,1945.31,2944.57,4 CDM,SUP-ITM-10077409,PLATE CRANIUM SM MATRIXMANDIBLE TITANIUM ORBITAL PREFORMED LEFT DARK,3050.16,2287.62,1561.68,2363.87,4 CDM,SUP-ITM-10077410,PLATE CRANIOMAXILLOFACIAL LG ORBITAL MATRIXORBITAL INSERT TITANIUM PREFORMED LEFT,3174.66,2380.99,1625.43,2460.36,4 CDM,SUP-ITM-10079479,CRANIOFACIAL PLATE .8MM CRANIOMAXILLOFACIAL SYNPOR POLYETHYLENE TITANIUM REINFORCED POROUS FAN EXPOSED,1500.72,1125.54,768.37,1163.06,4 CDM,SUP-ITM-10079852,CEMENT HYDROXYAPATITE 3ML GRAFT BONE HYDROSET NEURO SYNTHETIC INJECTABLE,2961.45,2221.09,1516.26,2295.12,4 CDM,SUP-ITM-10081081,PLATE MANDIBLE 1MM 2X2 HOLE PREBENT TENSION BAND TITANIUM MATRIXMANDIBLE LEFT,913.8,685.35,467.87,708.2,4 CDM,SUP-ITM-10081083,BONE PLATE 7X2.8MM 23 HOLE CRANIAL MATRIXMANDIBLE TI ANGLE RECONSTRUCTION RIGHT,3658.52,2743.89,1873.16,2835.35,4 CDM,SUP-ITM-10081085,BONE PLATE 2.8MM 20 HOLE CRANIAL MATRIXMANDIBLE TI STRAIGHT RECONSTRUCTION,3692.55,2769.41,1890.59,2861.73,4 CDM,SUP-ITM-10081086,BONE PLATE 2.8MM 12 HOLE CRANIAL MATRIXMANDIBLE TI STRAIGHT RECONSTRUCTION,2522.31,1891.73,1291.42,1954.79,4 CDM,SUP-ITM-10081087,BONE PLATE 1.25MM 12 HOLE CRANIAL MATRIXMANDIBLE TI ADAPTION,1503.9,1127.92,770.0,1165.52,4 CDM,SUP-ITM-10081088,PLATE MANDIBLE 1MM MINI 3X3 HOLE BROAD MALLEABLE TENSION BAND TITANIUM MATRIXMANDIBLE,729.54,547.15,373.52,565.39,4 CDM,SUP-ITM-10081089,PLATE MANDIBLE 1MM MINI 2X3 HOLE BROAD MALLEABLE TENSION BAND TITANIUM MATRIXMANDIBLE,679.74,509.8,348.03,526.8,4 CDM,SUP-ITM-10081090,PLATE MANDIBLE 1MM MINI 2X2 HOLE BROAD MALLEABLE TENSION BAND TITANIUM MATRIXMANDIBLE,978.54,733.9,501.01,758.37,4 CDM,SUP-ITM-10081091,BONE PLATE 4X20 LIGHT BLUE 2.5MM SM HOLE CRANIAL MATRIXMANDIBLE TI DOUBLE ANGLE RECONSTRUCTION,3456.83,2592.62,1769.9,2679.04,4 CDM,SUP-ITM-10081092,BONE PLATE 7X2.5MM 23 HOLE CRANIAL MATRIXMANDIBLE TI ANGLE RECONSTRUCTION RIGHT,3583.02,2687.26,1834.51,2776.84,4 CDM,SUP-ITM-10081094,BONE PLATE 2.5MM 20 HOLE CRANIAL MATRIXMANDIBLE TI STRAIGHT RECONSTRUCTION,2377.89,1783.42,1217.48,1842.86,4 CDM,SUP-ITM-10081095,BONE PLATE 2.5MM 12 HOLE CRANIAL MATRIXMANDIBLE TI RECONSTRUCTION STRAIGHT,1715.58,1286.68,878.38,1329.57,4 CDM,SUP-ITM-10081096,BONE PLATE 7X2MM 23 HOLE CRANIAL MATRIXMANDIBLE TI ANGLE RECONSTRUCTION RIGHT,3363.9,2522.92,1722.32,2607.02,4 CDM,SUP-ITM-10081098,BONE PLATE 3X2MM HOLE CRANIAL MATRIXMANDIBLE TI ANGLE BROAD CENTRE,1737.96,1303.47,889.84,1346.92,4 CDM,SUP-ITM-10081099,BONE PLATE 2MM 20 HOLE CRANIAL MATRIXMANDIBLE TI STRAIGHT,2455.08,1841.31,1257.0,1902.69,4 CDM,SUP-ITM-10081100,PLATE CRANIOMAXILLOFACIAL 2MM 12 HOLE MATRIXMANDIBLE TITANIUM STRAIGHT,1406.82,1055.11,720.29,1090.29,4 CDM,SUP-ITM-10081101,BONE PLATE 2MM 6 HOLE CRANIAL MATRIXMANDIBLE TI STRAIGHT,1040.76,780.57,532.87,806.59,4 CDM,SUP-ITM-10081104,BONE PLATE 1.5MM 3X3 HOLE COMPRESSION CRANIOMAXILLOFACIAL MATRIXMANDIBLE TITANIUM DISTAL,1130.4,847.8,578.76,876.06,4 CDM,SUP-ITM-10081105,BONE PLATE COMPRESSION 1.5MM 2 HOLE CRANIAL MATRIX TI,943.68,707.76,483.16,731.35,4 CDM,SUP-ITM-10081106,BONE PLATE 3X1.5MM HOLE CRANIAL MATRIXMANDIBLE TI CRESCENT,2089.05,1566.79,1069.59,1619.01,4 CDM,SUP-ITM-10081108,BONE PLATE 1.5MM 20 HOLE CRANIAL MATRIXMANDIBLE TI STRAIGHT,2397.81,1798.36,1227.68,1858.3,4 CDM,SUP-ITM-10081111,PLATE CRANIOMAXILLOFACIAL 1.5MM 6 HOLE MATRIXMANDIBLE TITANIUM STRAIGHT,1516.35,1137.26,776.37,1175.17,4 CDM,SUP-ITM-10081112,BONE PLATE 1.25MM 3X3 HOLE COMPRESSION MATRIXMANDIBLE TITANIUM ANGLE,1122.96,842.22,574.96,870.29,4 CDM,SUP-ITM-10081113,BONE PLATE 3X1.25MM DISTAL HOLE CRANIAL MATRIXMANDIBLE TITANIUM CRESCENT COMPRESSION,824.16,618.12,421.97,638.72,4 CDM,SUP-ITM-10081114,PLATE MANDIBLE 3X1.25MM HOLE CRANIAL MATRIX TITANIUM COMPRESSION DISTAL,717.09,537.82,367.15,555.74,4 CDM,SUP-ITM-10081115,PLATE CRANIOMAXILLOFACIAL 1.25MM 2X2 HOLE MATRIXMANDIBLE TITANIUM CRESCENT,774.36,580.77,396.47,600.13,4 CDM,SUP-ITM-10081116,BONE PLATE 2X1.25MM HOLE CRANIAL MATRIXMANDIBLE TI COMPRESSION,664.8,498.6,340.38,515.22,4 CDM,SUP-ITM-10081117,BONE PLATE 1MM 8 HOLE CRANIAL MATRIXMANDIBLE TI STRUT CURVED MALLEABLE,921.27,690.95,471.69,713.98,4 CDM,SUP-ITM-10081118,BONE PLATE 1MM 8 HOLE CRANIAL MATRIXMANDIBLE TI STRUT MALLEABLE,1207.59,905.69,618.29,935.88,4 CDM,SUP-ITM-10081119,BONE PLATE 1MM 4 HOLE CRANIAL MATRIXMANDIBLE TI SQUARE MALLEABLE,612.54,459.4,313.62,474.72,4 CDM,SUP-ITM-10081120,BONE PLATE 1MM 20 HOLE CRANIAL MATRIXMANDIBLE TI ADAPTION,1038.3,778.72,531.61,804.68,4 CDM,SUP-ITM-10081121,BONE PLATE 1MM 12 HOLE CRANIAL MATRIXMANDIBLE TI ADAPTION,1401.84,1051.38,717.74,1086.43,4 CDM,SUP-ITM-10081122,PLATE MANDIBLE 1MM MINI 3X3 HOLE NARROW TENSION BAND TITANIUM MATRIXMANDIBLE,854.04,640.53,437.27,661.88,4 CDM,SUP-ITM-10081124,PLATE MANDIBLE 1MM MINI 2X2 HOLE NARROW TENSION BAND TITANIUM MATRIXMANDIBLE,530.37,397.78,271.55,411.04,4 CDM,SUP-ITM-10081125,PLATE MANDIBLE 1MM MINI 2X2 HOLE NARROW MALLEABLE TENSION BAND TITANIUM MATRIXMANDIBLE,781.83,586.37,400.3,605.92,4 CDM,SUP-ITM-10081126,BONE SCREW CRANIOMAXILLOFACIAL SET MATRIXMANDIBLE TI SLOTTED,354.78,266.08,181.65,274.95,4 CDM,SUP-ITM-10081128,BONE PLATE 2MM CRANIOMAXILLOFACIAL TI FIXATION CONDYLAR HEAD,572.67,429.5,293.21,443.82,4 CDM,SUP-ITM-10086348,DEVICE IMPLANT 3.0MM COCHLEAR BI300 TITANIUM BAHA SURGERY,3983.53,2987.65,2039.57,3022.7,3 CDM,SUP-ITM-10086350,ABUTMENT HEALING L 6MM BA300 AID STD BAHA TITANIUM IMPLANTABLE,3805.62,2854.21,1948.48,2887.7,3 CDM,SUP-ITM-10086351,COVER SCREW 4X5.5MM COCHLEAR BAHA TITANIUM CONICAL HEXAGON B1300,535.08,401.31,273.96,414.69,4 CDM,SUP-ITM-10087758,MATRIX BOVINE 13CM 10 MESH BIOLOGICAL GLYCOSAMINOGLYCANSILICONE WOUND WIDTH,9009.02,6756.76,6981.99,6981.99,1 CDM,SUP-ITM-10091667,KIT CUSTOM CRANIOMAXILLOFACIAL PEEK SD800.410,10506.0,7879.5,5379.07,8142.15,4 CDM,SUP-ITM-10092308,ABUTMENT XSEC 6MM 3 IMPLANT COCHLEAR BIA300 BAHA FAST SURGERY TITANIUM,5960.5,4470.37,3051.78,4522.83,3 CDM,SUP-ITM-10092309,ABUTMENT TITANIUM 6MM 4 IMPLANT COCHLEAR BIA300 XSEC BAHA FAST SURGERY,5960.5,4470.37,3051.78,4522.83,4 CDM,SUP-ITM-10092421,FILLER CEMENT 2.0G BONE EAR OTOMIMIX HYDROXYAPATITE DILUTE CITRIC ACID POWDER LIQUID,1146.54,859.9,587.03,888.57,4 CDM,SUP-ITM-10101012,GRAFT NERVE 3.0 TO 4.0X70MM PERIPH ALLO AVANCE IMPLANTABLE,14894.0,11170.5,7625.73,11542.85,4 CDM,SUP-ITM-10107545,SCREW SPINE 12MM TITANIUM CAP,450.0,337.5,230.4,348.75,4 CDM,SUP-ITM-10107546,ENDCAP CAP 14MM 12 END SPINAL MINI ROUND PARALLEL IMPLANT VERTEBRALXCORE OD,2280.0,1710.0,1167.36,1767.0,4 CDM,SUP-ITM-10107574,SPINE SPACER 14MM 17XCORE TITANIUM ENDCAP PARALLEL,2280.0,1710.0,1167.36,1767.0,4 CDM,SUP-ITM-10107688,SPINE SPACER COREX12MM 15 20 TITANIUM ENDCAP MINI,8400.0,6300.0,4300.8,6510.0,4 CDM,SUP-ITM-10113813,KIT PLAN INSTRUMENT IMT BASIC MADIBLE RECONSTRUCTION CUSTOM,3783.7,2837.77,1937.25,2932.37,4 CDM,SUP-ITM-10114549,KIT PLAN RECONSTRUCTION PRO CMF MANDIBLE MIDFACE PATIENT SPECIFIC CUSTOM,5695.9,4271.92,2916.3,4414.32,4 CDM,SUP-ITM-10115399,WEIGHT CLOSURE .8GM PLATINUM EYELID,1230.0,922.5,629.76,953.25,3 CDM,SUP-ITM-10115405,PLATE CRANIOMAXILLOFACIAL 2.5MM SM CRANIAL MATRIXMANDIBLE TITANIUM PREFORMED RECONSTRUCTION RIGHT,4423.76,3317.82,2264.97,3428.41,4 CDM,SUP-ITM-10115406,PLATE CRANIOMAXILLOFACIAL 2.5MM MED MATRIXMANDIBLE TITANIUM PREFORMED RECONSTRUCTION LEFT,4589.76,3442.32,2349.96,3557.06,4 CDM,SUP-ITM-10124156,GRAFT NERVE 2 TO 3X70MM AVANCE ALLO DECELLULARIZED EXTRACELLULAR MATRIX PERIPHERAL,13594.0,10195.5,6960.13,10535.35,4 CDM,SUP-ITM-10124169,PROTECTOR GRAFT 40X7.0MM NERVE AXOGUARD PORCINE 3D EXTRACELLULAR MATRIX FLEXIBLE WRAP TRANSLUCENT PERIPHERAL,5476.0,4107.0,3835.39,4243.9,2 CDM,SUP-ITM-10124173,CONNECTOR REPAIR 10X3.0MM NERVE AXOGUARD COAPTATION AID PERIPHERAL,3513.0,2634.75,2460.51,2722.58,2 CDM,SUP-ITM-10124340,GRAFT AMNIOTIC 100UM 3CMXW2CM MEMBRANE THICK AMBIO5,1914.3,1435.72,1340.78,1483.58,3 CDM,SUP-ITM-10126262,SET PUTTY 5ML GRAFT BONE CRANIOS REINCED FAST TING SYRINGE,1891.08,1418.31,968.23,1465.59,4 CDM,SUP-ITM-10129706,PLATE CRANIOMAXILLOFACIAL 2.5MM LG CRANIAL MATRIXMANDIBLE TITANIUM PREFORMED RECONSTRUCTION LEFT,4755.76,3566.82,2434.95,3685.71,4 CDM,SUP-ITM-10130317,MODEL PLANNED ADULT OUTCOME MAXILLA / ORBITS ACRYLIC,3837.4,2878.05,1964.75,2973.99,4 CDM,SUP-ITM-10131121,SCREW BONE 6X2MM MATRIXMANDIBLE TITANIUM SELF TAPPING,149.4,112.05,76.49,115.79,4 CDM,SUP-ITM-10131129,SCREW BONE 2.4X6MM MANDIBLE MATRIXMANDIBLE TITANIUM SELF TAPPING,214.14,160.6,109.64,165.96,4 CDM,SUP-ITM-10131134,SCREW BONE 2.4X16MM MANDIBLE MATRIXMANDIBLE TITANIUM SELF TAPPING,214.14,160.6,109.64,165.96,4 CDM,SUP-ITM-10131136,SCREW BONE 2.7X5MM MANDIBLE MATRIXMANDIBLE TITANIUM EMERGENCY SELF TAPPING SINGLE,234.06,175.54,119.84,181.4,4 CDM,SUP-ITM-10131152,SCREW BONE 2X5MM MATRIXMANDIBLE TITANIUM LOCKING SELF TAPPING,278.88,209.16,142.79,216.13,4 CDM,SUP-ITM-10131160,SCREW BONE 2.4X8MM MANDIBLE MATRIXMANDIBLE TITANIUM LOCKING SELF TAPPING,343.62,257.71,175.93,266.31,4 CDM,SUP-ITM-10131167,SCREW BONE 2.9X10MM LOCKING MATRIXMANDIBLE TITANIUM SELF TAPPING,398.4,298.8,203.98,308.76,4 CDM,SUP-ITM-10131168,SCREW BONE 2.9X12MM LOCKING MATRIXMANDIBLE TITANIUM SELF TAPPING,398.4,298.8,203.98,308.76,4 CDM,SUP-ITM-10131192,BONE PLATE 2.5MM SM CRANIAL MATRIXMANDIBLE TI PREFORMED RECONSTRUCTION LEFT,4423.76,3317.82,2264.97,3428.41,4 CDM,SUP-ITM-10131193,PLATE CRANIOMAXILLOFACIAL 2.5MM MED MATRIXMANDIBLE TITANIUM PREFORMED RECONSTRUCTION RIGHT,4589.76,3442.32,2349.96,3557.06,4 CDM,SUP-ITM-10131214,PLATE CRANIOMAXILLOFACIAL .5MM 2X2 HOLE MED 90DEG MATRIXORTHOGNATHIC TITANIUM L REVERSIBLE,515.4,386.55,263.88,399.44,4 CDM,SUP-ITM-10131254,SCREW BONE 2X8MM CORTICAL SS SELF DRILLING FULL THREAD,207.9,155.92,106.44,161.12,4 CDM,SUP-ITM-10131378,SCREW BONE 1.2X10MM PLUSDRIVE TITANIUM CORTEX SELF TAPPING RECESS SINGLE,169.29,126.97,86.68,131.2,4 CDM,SUP-ITM-10131402,SCREW BONE 1.2X3MM EMERGENCY TITANIUM CRUCIFORM SELF TAPPING RECESS TEAL,166.83,125.12,85.42,129.29,4 CDM,SUP-ITM-10131403,SCREW BONE 1.2X4MM TITANIUM EMERGENCY SELF TAPPING CRUCIFORM RECESS SINGLE TEAL,166.83,125.12,85.42,129.29,4 CDM,SUP-ITM-10131414,SCREW BONE 1.3X4MM CRANIAL CORTEX TITANIUM SELF TAPPING FLUTED TIP CRUCIFORM STARDRIVE RECESS GOLD,151.86,113.89,77.75,117.69,4 CDM,SUP-ITM-10131430,SCREW BONE 1.7X6MM EMERGENCY TITANIUM CRUCIFORM RECESS TEAL SINGLE,159.36,119.52,81.59,123.5,4 CDM,SUP-ITM-10131444,SCREW BONE 1.5X8MM CORTEX TITANIUM SELF TAPPING FLUTED TIP CRUCIFORM RECESS SINGLE,107.07,80.3,54.82,82.98,4 CDM,SUP-ITM-10131452,SCREW BONE 2X4MM CRANIAL EMERGENCY TITANIUM CRUCIFORM RECESS TEAL,114.54,85.9,58.64,88.77,4 CDM,SUP-ITM-10131485,SCREW BONE 2X4MM CORTEX TITANIUM SELF DRILLING PLUSDRIVE RECESS SINGLE,123.0,92.25,62.98,95.33,4 CDM,SUP-ITM-10131510,SCREW BONE 2.4X6MM CRANIAL EMERGENCY MANDIBULAR TI CRUCIFORM PLUSDRIVE RECESS TEAL,124.5,93.37,63.74,96.49,4 CDM,SUP-ITM-10131537,SCREW BONE 2.4X40MM CORTEX TITANIUM SELF TAPPING FULL THREAD CRUCIFORM RECESS SINGLE,171.81,128.86,87.97,133.15,4 CDM,SUP-ITM-10131671,SET PUTTY 3ML GRAFT BONE CRANIOS REINCED FAST TING SYRINGE,1263.0,947.25,646.66,978.83,4 CDM,SUP-ITM-10132439,LENS INTRAOCULAR TORIC SN6AT4 21.0D,1485.0,1113.75,965.25,965.25,1 CDM,SUP-ITM-10132961,GRAFT TISSUE 4X12CM MED HUMAN ALLODERM REGENERATIVE,3897.0,2922.75,3020.18,3020.18,1 CDM,SUP-ITM-10133326,MAGNET COCHLEAR 4.0MM BAHA 4 CONICAL BIM 400 SYSTEM,4986.0,3739.5,2552.83,3783.38,3 CDM,SUP-ITM-10133329,ABUTMENT EAR 10MM COCHL DERMALOCK BAHA TWO STAGE SURGERY,4218.76,3164.07,2160.01,3201.2,3 CDM,SUP-ITM-10133332,DEVICE COCHLEAR 12MM 4.0 BAHA DERMALOCK FAST TITANIUM HYDROXYAPATITE ABUTMENT BONE CONDUCTION,6579.3,4934.47,3368.6,4992.37,3 CDM,SUP-ITM-10133336,ABUTMENT HEARING 8.5MM BA210 AID TITANIUM FLANGE FIXTURE HEXAGONAL CONNECTION BAHA,4474.93,3356.2,2291.16,3395.58,4 CDM,SUP-ITM-10133372,SCREW BONE 5X2MM L LOCKING SELF RETAINING MAXDRIVE TITANIUM,376.8,282.6,192.92,292.02,4 CDM,SUP-ITM-10133379,SCREW BONE 7X2.3MM L LOCKING TITANIUM,299.37,224.53,153.28,232.01,4 CDM,SUP-ITM-10137049,KIT LABORATORY LINE ARTERIAL ACCESS CS/5EA,127.89,95.92,65.48,89.57,2 CDM,SUP-ITM-10137874,SYRINGE CARBOXYMETHYLCELLULOSE 1.0 CC AUGMENT VOCAL FOLD RADIESSE VOICE PROLARYN GEL SODIUM,2205.0,1653.75,1128.96,1708.88,4 CDM,SUP-ITM-10138696,GRAFT ALLO AMNIO 1.5X1.0CM TISSUE AMNIOTIC MEMBRANE OCULAR SHEET FROZEN,1485.0,1113.75,1040.09,1150.88,3 CDM,SUP-ITM-10138697,GRAFT ALLO OCULAR 2.0X1.5CM TISSUE AMINO AMNIOTIC MEMBRANE FROZEN,1785.0,1338.75,1250.21,1383.38,3 CDM,SUP-ITM-10138698,GRAFT ALLO TISSUE 2.5X2.0CM OCULAR AMNIORAFT,2085.0,1563.75,1460.33,1615.88,3 CDM,SUP-ITM-10138699,GRAFT ALLO AMNIO 3.5 XCM TISSUE OCULAR AMNIOTIC MEMBRANE FROZEN,2385.0,1788.75,1670.45,1848.38,3 CDM,SUP-ITM-10138700,TISSUE PLUS TRANSPLANT CORNEA PROKERA REPLACEMENT,3147.0,2360.25,2204.16,2438.93,3 CDM,SUP-ITM-10139079,GUIDEWIRE PULMONARY 180CM .035 JAGWIRE STIFF SHAFT STRAIGHT TIP BX/2EA,369.29,276.97,189.08,258.65,2 CDM,SUP-ITM-10146456,BONE PLATE 7X23 H 2MM 23H MATRIXMANDIBLE TI LEFT,8696.12,6522.09,4452.41,6739.49,4 CDM,SUP-ITM-10148353,SCREW BONE 2X5MM MAXDRIVE EMERGENC TITANIUM DRILL FREE MICRO,99.84,74.88,51.12,77.38,4 CDM,SUP-ITM-10154496,PROSTHESIS VOICE 16FRX10MM INDWELLING BLOM SINGER CLASSIC SILICONE,870.0,652.5,445.44,674.25,6 CDM,SUP-ITM-10155845,SYSTEM SUSPENSION ENCORE TONGUE HYOID,5400.0,4050.0,2764.8,4185.0,4 CDM,SUP-ITM-10156054,SCREW BONE 1.85X6MM MATRIXWAVE MAXILLOMANDIBULAR FIXATION TITANIUM SELF DRILLING,279.0,209.25,142.85,216.23,4 CDM,SUP-ITM-10156056,BONE PLATE SHORT 10 HOLE MAXILLOFACIAL MATRIXWAVE MAXILLOMANDIBULAR FIXATION TI,641.7,481.27,328.55,497.32,4 CDM,SUP-ITM-10157528,LENS INTRAOCULAR SOFPORT LI61AO 19.5D,339.0,254.25,173.57,262.73,4 CDM,SUP-ITM-10159066,PLATE MANDIBLE 2MM RECONSTRUCTION TI PT SPECIFIC ANGLE CUSTOM,8706.68,6530.01,4457.82,6747.68,4 CDM,SUP-ITM-10159068,PLATE 2.0MM THICK TITANIUM PATIENT SPECIFIC MANDIBLE NO ANGLE,6338.28,4753.71,3245.2,4912.17,4 CDM,SUP-ITM-10159436,CATHETER RELIEVA SPINPLUS 6X16MM BALLOON SINUPLASTY SYSTEM W/ IRRIGATION BX/5EA,4095.0,3071.25,2096.64,3107.29,5 CDM,SUP-ITM-10160287,IMPLANT 30MM FLEX ACTIVATION ARM ONLY CARDANIC FOR DISTRACTORS,3554.93,2666.2,1820.12,2755.07,4 CDM,SUP-ITM-10161917,SCREW BONE 5X2.3MM MAX DRIVE TITANIUM ALLOY LOCKING,299.37,224.53,153.28,232.01,4 CDM,SUP-ITM-10161921,SCREW BONE 2.0X7MM MAXDRIVE TITANIUM DRILL FREE MINI TI6AL4V,99.84,74.88,51.12,77.38,4 CDM,SUP-ITM-10161922,SCREW DRILL 2MMX6 FREE MAXDRIVE MINI TI 6AL4V,99.84,74.88,51.12,77.38,4 CDM,SUP-ITM-10161945,SCREW BONE 2.3X9MM MAXDRIVE EMERG TITANIUM SELF RETAIN ALLOY,220.23,165.17,112.76,170.68,4 CDM,SUP-ITM-10161960,SCREW BONE 2.0X11MM MINI MAXDRIVE TI ALLOCKINGY TI6AL4V,173.7,130.27,88.93,134.62,4 CDM,SUP-ITM-10161961,SCREW BONE 2.0X9MM MINI MAXDRIVE TI ALLOCKINGY TI6AL4V,173.7,130.27,88.93,134.62,4 CDM,SUP-ITM-10165218,CRANIOFACIAL WEDGE 22X31 7MM CRANIOMAXILLOFACIAL MEDPOR ENDOPHTHALMOS REGULAR LEFT,2050.79,1538.09,1050.0,1589.36,4 CDM,SUP-ITM-10165224,TITAN MEDPOR 41X42 0.5 0.85MM PLATE CRANIOMAXILLOFACIAL POLYETHYLENE ORBITAL LEFT,2899.51,2174.63,1484.55,2247.12,3 CDM,SUP-ITM-10168158,PLATE 2.0MM MED TI PSPC MATRIXMANDIBLE DOUBLE RECON PL THICK,10628.04,7971.03,5441.56,8236.73,4 CDM,SUP-ITM-10171614,SPINE PLATE 110MM CERVICAL 5 LEVEL ARCHON,2700.0,2025.0,1382.4,2092.5,4 CDM,SUP-ITM-10171617,SPINE PLATE 90MM CERVICAL 4 LEVEL ARCHON,2220.0,1665.0,1136.64,1720.5,4 CDM,SUP-ITM-10171625,SPINE PLATE 68MM CERVICAL 3 LEVEL ARCHON,2025.0,1518.75,1036.8,1569.38,4 CDM,SUP-ITM-10171635,SPINE PLATE 54MM CERVICAL 2 LEVEL ARCHON,1770.0,1327.5,906.24,1371.75,4 CDM,SUP-ITM-10171647,SPINE PLATE 34MM CERVICAL 1 LEVEL ARCHON,1500.0,1125.0,768.0,1162.5,4 CDM,SUP-ITM-10171671,SCREW SPINE 4.5X19MM ARCHON SELF TAPPING VARIABLE ANGLE,270.0,202.5,138.24,209.25,4 CDM,SUP-ITM-10179601,SCREWDRIVER INTERNAL DISTRACTION HEX PATIENT 1 MM/TURN,1738.17,1303.63,889.94,1347.08,4 CDM,SUP-ITM-10179603,SCREW DISTRACTOR 1.0 1.2MM 25 36 HOLE MAXILLOFACIAL MICRO ZURICH MIDDLE DRIVEN MESHBODY W/RATCHETH TI6AL4V,21337.92,16003.44,10925.02,16536.89,4 CDM,SUP-ITM-10179933,SCREW BONE 2.0X7MM MAXDRIVE LEVEL ONE CMF DRILL FREE TI 6AL 4V,499.2,374.4,255.59,386.88,4 CDM,SUP-ITM-10185055,KIT CATHETER 5X16MM SINUPLASTY SPINPLUS BALLOON FRONTAL MAX AND SPHEN BX/5EA,4095.0,3071.25,2096.64,3107.29,5 CDM,SUP-ITM-10185058,TUBE EUSTACHIAN 6X16MM AERA BALLOON DILATION PK/5EA,4125.0,3093.75,2112.0,3130.05,5 CDM,SUP-ITM-10187140,SCREW BONE 14MM SPINEXCORE TITANIUM LOCKING MINI,450.0,337.5,230.4,348.75,4 CDM,SUP-ITM-10188928,CONNECTOR 4.0X15MM REPAIR NERVE AXOGUARD COAPTATION AID PERIPHERAL,4322.5,3241.87,3027.48,3349.94,2 CDM,SUP-ITM-10191964,GRAFT AMINO 10.X 5.0CM CRYOPRESERVED HUMAN AMNIOTIC MEMBRANE,6090.0,4567.5,4265.44,4719.75,3 CDM,SUP-ITM-10205471,DISTRACTION INTERNAL 33MM STERILEACT ARM RIGID REMOTE DETACH,4193.4,3145.05,2147.02,3249.89,4 CDM,SUP-ITM-10205498,DISTRACTION INTERNAL 16MM EXTENSION STERILE CARDANIC FOR ACT ARM,3772.58,2829.43,1931.56,2923.75,4 CDM,SUP-ITM-10205549,MANDIBLE DISTRACTION 30MM 24 HOLE INTERNAL HYPERDRIVE MICRO RATCHET 1.0-1.2MM SCREW EA/1 51-528-30-09,23129.1,17346.82,11842.1,17925.05,4 CDM,SUP-ITM-10205550,MANDIBLE DISTRACTION 30MM 24 HOLE INTERNAL HYPERDRIVE MICRO RATCHET 1.0-1.2MM SCREW EA/1 51-528-30-71,23321.1,17490.82,11940.4,18073.85,4 CDM,SUP-ITM-10205561,MANDIBLE DISTRACTION 30MM 54 HOLE INTERNAL MICRO ZURICH 2 LYPKA END DRIVE 70 RATCHET 1.0-1.2MM SCREW,22253.46,16690.09,11393.77,17246.43,4 CDM,SUP-ITM-10205564,MANDIBLE DISTRACTION 20MM 36 HOLE INTERNAL MICRO ZURICH 2 MID DRIVE RATCHET 1.0-1.2MM SCREW EA/1,21529.92,16147.44,11023.32,16685.69,4 CDM,SUP-ITM-10205822,DISTRACTOR SURGICAL BONE 1.2X3MM 5MM TI CRANIOFACIAL INTERNAL PK/4EA,3345.21,2508.91,1712.75,2592.54,4 CDM,SUP-ITM-10205824,DISTRACTOR SURGICAL BONE 1.2X5MM 7MM TI CRANIOFACIAL INTERNAL PK/4EA,3355.68,2516.76,1718.11,2600.65,4 CDM,SUP-ITM-10209082,GENERATOR PULSE IMPLANTABLE INSPIRE VAGUS NERVE STIMULATION,36450.0,27337.5,18662.4,28248.75,4 CDM,SUP-ITM-10209083,LEAD STIMULATION,3900.0,2925.0,1996.8,3022.5,4 CDM,SUP-ITM-10211425,BREAST EXPANDER 350 TO 700CC SOFTSPAN LG REMOTE PORT SMOOTH CRESCENT,1875.0,1406.25,960.0,1453.13,3 CDM,SUP-ITM-10211514,BREAST EXPANDER 300 TO 480CC SOFTSPAN LG REMOTE PORT CURVILINEAR 10.25 TUBING SMOOTH FME-CX-300S,2475.0,1856.25,1267.2,1918.13,3 CDM,SUP-ITM-10213509,SHUNT EXPRESS MINI P-50,3784.26,2838.19,1937.54,2932.8,4 CDM,SUP-ITM-10213532,SOLUTION OPHTHALMIC 8.5ML OIL SILICONE SILKON 1000 INTRAOCULAR FLUID,1192.26,894.19,904.69,924.0,2 CDM,SUP-ITM-10214258,LENS INTRAOCULAR ENVISTA MX60 15.5D,357.0,267.75,182.78,276.68,4 CDM,SUP-ITM-10214261,LENS INTRAOCULAR TRULIGN TORIC BL1UT 2.75 CYL 20.0D,2385.0,1788.75,1550.25,1550.25,1 CDM,SUP-ITM-10214274,LENS INTRAOCULAR AKREOS AO60 7.0D,339.0,254.25,173.57,262.73,5 CDM,SUP-ITM-10214301,LENS INTRAOCULAR SOFPORT LI61AO 9.5D,339.0,254.25,173.57,262.73,4 CDM,SUP-ITM-10214438,LENS INTRAOCULAR AC L122UV 20.0D,900.0,675.0,460.8,697.5,4 CDM,SUP-ITM-10214470,CATHETER AERIS 9X30MMX55CM 17ATM BALLOON AIRWAY DILATION,1782.45,1336.84,912.61,1352.52,5 CDM,SUP-ITM-10214738,PROSTHESIS CLIP PARTIAL DRESDE,1384.32,1038.24,708.77,1072.85,6 CDM,SUP-ITM-10214739,PROSTHESIS CLIP 2.5X3.50MM PARTIAL DRESEDE,1266.9,950.17,648.65,981.85,6 CDM,SUP-ITM-10214747,PROSTHESIS EAR 1.75 TO 4.50MM MIDDLE PARTIAL TTP VARIO BELL TI VARIABLE LENGTH,1334.88,1001.16,683.46,1034.53,6 CDM,SUP-ITM-10214791,PISTON EAR .4X6MM STAPES FISCH TYPE PLATINUM F,407.49,305.62,208.63,315.8,6 CDM,SUP-ITM-10214792,IMPLANT EAR .06X11MM SCHUKNECHT CRESCENT FLUOROPLASTIC,176.49,132.37,90.36,136.78,6 CDM,SUP-ITM-10214793,IMPLANT EAR 2.1X.9X2.5MM SHORT WEHRS INCUS SINGLE NOTCH HYDROXYLAPATITE,1000.08,750.06,512.04,775.06,6 CDM,SUP-ITM-10214794,IMPLANT EAR 3.3X2.1X2.5MM MED WEHRS INCUS SINGLE NOTCH HYDROXYLAPATITE,991.08,743.31,507.43,768.09,6 CDM,SUP-ITM-10214795,IMPLANT EAR 4.5X3.3X2.5MM LONG WEHRS INCUS SINGLE NOTCH HYDROXYLAPATITE,1011.42,758.56,517.85,783.85,6 CDM,SUP-ITM-10214796,IMPLANT EAR 4X1.17X5.1MM RICHARDS CENTERED PORP HYDROXYLAPATITE,1002.39,751.79,513.22,776.85,6 CDM,SUP-ITM-10214799,IMPLANT EAR .84X8MM RICHARDS CENTERED TORP HYDROXYLAPATITE,1006.86,755.14,515.51,780.32,6 CDM,SUP-ITM-10214800,IMPLANT EAR .84X6MM RICHARDS CENTERED TORP HYDROXYLAPATITE,1015.92,761.94,520.15,787.34,6 CDM,SUP-ITM-10214801,IMPLANT EAR .9X7.3X6.1X1.6X3.5MM MED WEHRS II INCUS STAPES DOUBLE NOTCH HYDROXYLAPATITE,1043.01,782.26,534.02,808.33,6 CDM,SUP-ITM-10214802,IMPLANT EAR 4X3X6.6MM BLACK OVAL TOP PORP HYDROXYLAPATITE,1194.27,895.7,611.47,925.56,6 CDM,SUP-ITM-10214803,IMPLANT EAR .9X10.2X9X2.5MM LONG WEHRS II INCUS STAPES SINGLE NOTCH HYDROXYLAPATITE,975.27,731.45,499.34,755.83,6 CDM,SUP-ITM-10214804,IMPLANT EAR 4.5X3.3X1.6X3.5MM LONG WEHRS INCUS DOUBLE NOTCH HYDROXYLAPATITE,1106.19,829.64,566.37,857.3,6 CDM,SUP-ITM-10214807,IMPLANT EAR 3.3X2.1X1.6X3.5MM MED WEHRS INCUS DOUBLE NOTCH HYDROXYLAPATITE,1094.94,821.2,560.61,848.58,6 CDM,SUP-ITM-10214809,IMPLANT EAR 2.1X.9X1.6X3.5MM SHORT WEHRS INCUS DOUBLE NOTCH HYDROXYLAPATITE,1117.5,838.12,572.16,866.06,6 CDM,SUP-ITM-10214894,MESH BIOLOGIC 4X4CM ALLOGRAFT GRAFT TISSUE AMNIOTIC AMBIODRY 5,2254.5,1690.87,1579.05,1747.24,3 CDM,SUP-ITM-10214895,MATRIX AMBIODRY 5 1.5X2CM GRAFT HUMAN BIOLOGIC,1630.8,1223.1,1142.21,1263.87,3 CDM,SUP-ITM-10214902,GRAFT TISSUE 1X4CM ALLOGRAFT SPACER EYELID TARSYS,1161.0,870.75,594.43,899.78,3 CDM,SUP-ITM-10214903,SPACER EYELID 1X4CM TARSYS-BIO-ENGINEERED 12 LAYER,1220.4,915.3,624.84,945.81,3 CDM,SUP-ITM-10214904,TUTOPLAST SCLERA WHOLE,2678.4,2008.8,1371.34,2075.76,3 CDM,SUP-ITM-10214905,TUTOPLAST SCLERA 5X8MM,861.3,645.97,440.99,667.51,3 CDM,SUP-ITM-10214906,TUTOPLAST PROCSSD - PERICARD 1.0,815.4,611.55,417.48,631.94,3 CDM,SUP-ITM-10214907,TUTOPLAST PROCSSD - FSCLT .3X12CM,1517.4,1138.05,776.91,1175.99,3 CDM,SUP-ITM-10215062,LENS INTRAOCULAR TECNIS ZCB00 9.5D,405.0,303.75,207.36,313.88,4 CDM,SUP-ITM-10215137,SHUNT OPHTHALMOLOGY 350MM BAERVELDT ANTERIOR CHAMBER SILICONE SINGLE QUADRANT DRAINAGE TUBE,1800.0,1350.0,921.6,1395.0,4 CDM,SUP-ITM-10215139,IMPLANT CUSTOM PORIFEROUS MIDFACE MANDIBLE ORBITAL FLOOR CHIN EARS,6440.0,4830.0,3297.28,4991.0,3 CDM,SUP-ITM-10215140,IMPLANT ENOPHTHALMOS 22X31X7MM SU-POR WEDGE RT REGULAR,1407.6,1055.7,720.69,1090.89,3 CDM,SUP-ITM-10215141,IMPLANT ORBITAL 22MM SU-POR SPHERE QUADRO PORT TUNNEL,1926.0,1444.5,986.11,1492.65,3 CDM,SUP-ITM-10215142,IMPLANT MIDFACE 47X28X3MM SU-POR RIM LT,1415.88,1061.91,724.93,1097.31,3 CDM,SUP-ITM-10215144,ORBITAL IMPLANT 43X18X3.2MM SU-POR INFERIOR RIM RT,1212.69,909.52,620.9,939.83,3 CDM,SUP-ITM-10215146,IMPLANT OCULAR 22MM SU-POR COR TEC SPHERE,1811.64,1358.73,927.56,1404.02,3 CDM,SUP-ITM-10215149,IMPLANT ORBITAL 22MM SU-POR SPHERE ENUCLEATION EVISCERATION,1474.95,1106.21,755.17,1143.09,3 CDM,SUP-ITM-10215154,IMPLANT MEMBRANE 50X76X1.6MM SU-POR POLYETHYLENE HEAT BONDEDSHEET,993.84,745.38,508.85,770.23,3 CDM,SUP-ITM-10215155,IMPLANT MEMBRANE 38X50X1MM SU-POR POLYETHYLENE HEAT BONDED SHEET,1658.07,1243.55,848.93,1285.0,3 CDM,SUP-ITM-10215156,CRANIOFACIAL IMPLANT 50X76X.85MM SU-POR AUGMENTATION SHEET,1363.23,1022.42,697.97,1056.5,3 CDM,SUP-ITM-10215157,CRANIOFACIAL IMPLANT 38X50X.85MM SU-POR AUGMENTATION SHEET,1090.74,818.05,558.46,845.32,3 CDM,SUP-ITM-10215158,CRANIOFACIAL IMPLANT 50X76X.45MM SU-POR AUGMENTATION SHEET,690.0,517.5,353.28,534.75,3 CDM,SUP-ITM-10215189,CONFORMER LUCITE JARDON MEDIUM,105.0,78.75,53.76,81.38,3 CDM,SUP-ITM-10215192,CONFORMER JARDON MEDIUM,126.0,94.5,64.51,97.65,3 CDM,SUP-ITM-10215193,IMPLANT OCULAR 22MM SILICONE BALL,144.0,108.0,73.73,111.6,3 CDM,SUP-ITM-10215257,IMPLANT BIODESIGN 5X5CM OTOLOGIC,1425.0,1068.75,998.07,1104.38,2 CDM,SUP-ITM-10215356,IMPLANT BIODESIGN 2.5X2.5CM OTOLOGIC,885.0,663.75,619.85,685.88,2 CDM,SUP-ITM-10215357,IMPLANT BIODESIGN 6X9MM OTOLOGIC PRECUT,735.0,551.25,514.79,569.63,2 CDM,SUP-ITM-10215359,GUIDEWIRE SALIVARY .018INX40CM DUCT ACCESS LF SS STRAIGHT TIP SURGICAL,95.1,71.32,48.69,66.61,2 CDM,SUP-ITM-10215361,CIRCLING BAND 2MM STYLE 40 SCLERAL BUCKLING PERMANENT BX/5EA,91.8,68.85,47.0,71.15,5 CDM,SUP-ITM-10215370,LENS INTRAOCULAR CT LUCIA 602 8.0D,435.0,326.25,222.72,337.13,4 CDM,SUP-ITM-10215377,PROSTHESIS STAPES .6X4.75MM PISTON ECLIPSE NITINOL,819.0,614.25,419.33,634.73,6 CDM,SUP-ITM-10215384,IMPLANT O-RING TANTALUM BX/20EA,121.76,91.32,62.34,94.36,3 CDM,SUP-ITM-10215385,STRIP 2.5X6MM STYLE 220 SCLERAL BUCKLING GROOVED SOLID BX/5EA,76.5,57.37,39.17,59.29,5 CDM,SUP-ITM-10215395,FOIL SURGICAL 4X4CM .35MM REPAIR ORBITAL FLOOR SUPRAFOIL NYLON SHEET BX/6EA,48.88,36.66,25.03,37.88,3 CDM,SUP-ITM-10215396,FOIL SURGICAL 4X4CMX.2MM REPAIR ORBITAL FLOOR SMOOTH SUPRAFOIL NYLON BX/6EA - DISCONTINUED PER SUPPLIER,27.5,20.62,14.08,21.31,3 CDM,SUP-ITM-10215444,SCREW BONE 1.5X4MM SELF-DRILLING,293.7,220.27,150.37,227.62,4 CDM,SUP-ITM-10215448,PLATE SUBOCCIPTAL MALLEABLE SML,2725.54,2044.15,1395.48,2112.29,4 CDM,SUP-ITM-10215449,PLATE SUBOCCIPTAL MALLEABLE LRG,3265.48,2449.11,1671.93,2530.75,4 CDM,SUP-ITM-10215450,PLATE STRAIGHT HOLE 4 W/ BAR,402.17,301.63,205.91,311.68,4 CDM,SUP-ITM-10215451,PLATE-Y DOUBLE 6 HOLE W/BAR,943.31,707.48,482.97,731.07,4 CDM,SUP-ITM-10215452,PLATE DOGBONE 2 HOLE RIGID W/O,474.11,355.58,242.74,367.44,4 CDM,SUP-ITM-10215454,PLATE RETROSIGMOID MALLEABLE MED,2989.77,2242.33,1530.76,2317.07,4 CDM,SUP-ITM-10215459,GRAFT CRANIOMAXILLOFACIAL 76X127MM MEDPOR POLYETHYLENE ORBITAL FLOOR SHEET,2877.77,2158.33,1473.42,2230.27,3 CDM,SUP-ITM-10215462,PLATE/RECON HEMISPHERE CRANIO LEFT 6 X 17MM,4863.47,3647.6,2490.1,3769.19,4 CDM,SUP-ITM-10215463,PLATE UNIVERSAL BOX 2 X 2 HOLE SM,585.29,438.97,299.67,453.6,4 CDM,SUP-ITM-10215469,CONFORMER LUCITE CVD MEDIUM,214.83,161.12,109.99,166.49,3 CDM,SUP-ITM-10215472,IMPLANT SPHERE 20 MM SST-EZ MEDPOR,2488.13,1866.1,1273.92,1928.3,3 CDM,SUP-ITM-10215474,GRAFT BONE 38X5X1MM BARRIER CRANIOFACIAL MEDPOR ORBITAL FLOOR BIOMATERIAL SHEET SILASTIC,2191.93,1643.95,1122.27,1698.75,6 CDM,SUP-ITM-10215475,ORBITAL PLATE .5X.6X41X42MM MEDPOR TITAN POLYETHYLENE,3408.01,2556.01,1744.9,2641.21,3 CDM,SUP-ITM-10215486,FILLER COSMETIC 1ML JUVEDERM XC ULTRA LIDOCAINE PRESERV,1884.6,1413.45,964.92,1460.57,4 CDM,SUP-ITM-10215536,TUBE ARMSTRONG V GROMMET VENT PK/5EA,63.76,47.82,32.65,49.41,6 CDM,SUP-ITM-10215543,TUBE EAR 1MM VENTILATION REUTER BOBBIN TB OUT SS BX/6EA,95.47,71.6,48.88,73.99,6 CDM,SUP-ITM-10215545,PISTON EAR .6X5.5MM STAPES SCHUKNECHT MALLEUS SS FLUOROPLASTIC,287.82,215.86,147.36,223.06,6 CDM,SUP-ITM-10215547,PISTON EAR .8X5.75MM STAPES SCHUKNECHT MALLEUS SS FLUOROPLASTIC,285.57,214.18,146.21,221.32,6 CDM,SUP-ITM-10215548,PISTON CUSTOM MEEI .6X4.0MM,365.73,274.3,187.25,283.44,6 CDM,SUP-ITM-10215550,TUBE EAR .75MM VENTILATION REUTER BOBBIN FLUOROPLASTIC BX/6EA,40.53,30.4,20.75,31.41,6 CDM,SUP-ITM-10215551,TUBE EAR 1MM VENTILATION GROMMET SHEPARD FLUOROPLASTIC BX/6EA,26.63,19.97,13.63,20.64,6 CDM,SUP-ITM-10215552,PISTON EAR .6X5.5MM SMART MALLEUS NITINOL FLUOROPLASTIC,923.1,692.32,472.63,715.4,6 CDM,SUP-ITM-10215556,PISTON EAR .5X4.25MM SMART 360 NITINOL FLUOROPLASTIC,798.69,599.02,408.93,618.98,6 CDM,SUP-ITM-10215577,TENSIONER RING CAPSULAR MR-2C,765.0,573.75,391.68,592.88,4 CDM,SUP-ITM-10215583,IMPLANT EYELID 1.6GM PLATINUM,1695.0,1271.25,867.84,1313.63,3 CDM,SUP-ITM-10215584,IMPLANT EYELID 1.4GR PLATINUM,1455.0,1091.25,744.96,1127.63,3 CDM,SUP-ITM-10215585,IMPLANT EYELID 1GM PLATINUM,1260.0,945.0,645.12,976.5,3 CDM,SUP-ITM-10215586,IMPLANT EYELID 1GM PLATINUM,1200.0,900.0,614.4,930.0,3 CDM,SUP-ITM-10215587,WEIGHT EYELID .6MMX1.6GR GOLD THIN PROFILE SUTURE HOLE,945.0,708.75,483.84,732.38,3 CDM,SUP-ITM-10215588,IMPLANT EYELID 1.4GR GOLD THIN,975.0,731.25,499.2,755.63,3 CDM,SUP-ITM-10215589,WEIGHT EYELID .6MMX1.2GR GOLD THIN PROFILE SUTURE HOLE,915.0,686.25,468.48,709.13,3 CDM,SUP-ITM-10215590,WEIGHT EYELID .6MMX1GR GOLD THIN PROFILE SUTURE HOLE,855.0,641.25,437.76,662.63,3 CDM,SUP-ITM-10215775,VALVE GLAUCOMA 9.6X10MM AHMED FLEXIBLE PLATE SILICONE PEDI,3562.5,2671.87,1824.0,2760.94,4 CDM,SUP-ITM-10215913,PROSTHESIS VOICE 20FR 10MM BLOM-SINGER INDWELLING IN2010-SO,870.0,652.5,445.44,674.25,6 CDM,SUP-ITM-10215915,PROSTHESIS VOICE 8MM BLOM SINGER DUAL,1650.0,1237.5,844.8,1278.75,6 CDM,SUP-ITM-10216022,EXTENDER TUBE SURGICAL GALAUCOMA VALVE,375.0,281.25,192.0,290.63,4 CDM,SUP-ITM-10216037,EYELID IMPLANT 1.2GR THIN PROFILE PLATINUM STANDARD,1320.0,990.0,675.84,1023.0,3 CDM,SUP-ITM-10216072,PLATE PDS FLEXIBLE 0.15 X 50 X 40MM BX/3EA,1595.0,1196.25,816.64,1236.13,4 CDM,SUP-ITM-10216084,TISSUE CORNEA WHOLE IRRADIATED,3750.0,2812.5,1920.0,2906.25,10 CDM,SUP-ITM-10216085,GRAFT ALLOGRAFT 9MM TANZGRAFT SPILT THICKNESS HALF MOON,1050.0,787.5,537.6,813.75,10 CDM,SUP-ITM-10216402,KIT SURGERY 3MM MIPS BACK UP PK/25EA,40.19,30.14,20.58,30.5,3 CDM,SUP-ITM-10216403,KIT SURGERY 4MM MIPS KT/1EA,2121.0,1590.75,1085.95,1609.41,3 CDM,SUP-ITM-10216404,IMPLANT COCHLEAR 3MM PONTO BIOHELIX,3920.0,2940.0,2007.04,2974.5,3 CDM,SUP-ITM-10216405,IMPLANT COCHLEAR 4MM 14MM PONTO BIOHELIX WITH ABUTMENT,7787.52,5840.64,3987.21,5909.17,3 CDM,SUP-ITM-10216604,IMPLANT COCHLEAR HI-RES ULTRA CL HI-FOCIS SLIM J ELECTRODE - DISCONTINUED PER SUPPLIER/CONTRACTS,27000.0,20250.0,13824.0,20487.6,4 CDM,SUP-ITM-10216606,IMPLANT NASAL 24MM LATERA PLLA POLYMER ABSORBABLE- ORDER IN QUANTITIES OF 3 OR 6 FOR PRICE DISCOUNTS,3990.0,2992.5,2042.88,3092.25,4 CDM,SUP-ITM-10216607,SYSTEM TREATMENT 6MM GLAUCOMA XEN 45 GEL STENT PORCINE DERMIS CROSS-LINKED GLUTARALDEHYDE,5104.0,3828.0,3317.6,3574.84,2 CDM,SUP-ITM-10216610,CRANIOMAXILLOFACIAL WEDGE 28X40X7.5MM LG MEDPOR ENDOPHTHALMOS RT,2050.79,1538.09,1050.0,1589.36,3 CDM,SUP-ITM-10216619,SEPTAL BUTTON NASAL 2 PART 152,891.42,668.56,456.41,690.85,6 CDM,SUP-ITM-10216889,IMPLANT EYE 14MM SPHERE ORBITAL STERILE SILICONE,195.0,146.25,99.84,151.13,4 CDM,SUP-ITM-10216902,IMPLANT ORBITAL 16MM SPHERE SILICONE ENUCLEATION,195.0,146.25,99.84,151.13,3 CDM,SUP-ITM-10216960,TUBE JONES FROSTED WITH SUTURE H,324.0,243.0,165.89,251.1,4 CDM,SUP-ITM-10216961,TUBE JONES STANDARD 4.0X17,165.0,123.75,84.48,127.88,4 CDM,SUP-ITM-10230013,TUBE INTRODUCER SET STOP LOSS JONES,450.0,337.5,230.4,348.75,4 CDM,SUP-ITM-10230015,TUBE JONES 4X18MM STOP LOSS,750.0,562.5,384.0,581.25,4 CDM,SUP-ITM-10230022,SYSTEM INTUBATION MONOKA SELF THREADING RITLENG TYPE BX/3EA,360.0,270.0,184.32,279.0,4 CDM,SUP-ITM-10230026,WEIGHT EYELID .6MM 1.8G PLATINUM THIN PROFILE SUTURE HOLE,1800.0,1350.0,921.6,1395.0,3 CDM,SUP-ITM-10230130,TUBE VENTILATION 8.5CMX1.27MM EAR BEVELED CURVED PK/5EA,127.1,95.32,65.08,98.5,6 CDM,SUP-ITM-10230739,STENT INTRAOCULAR .33MM ISTENT TI HEPARIN COATED TRABECULAR MICRO BYPASS RIGHT,3750.0,2812.5,2437.5,2626.5,2 CDM,SUP-ITM-10232018,PROSTHESIS OSSICULAR ADJUSTABLE CENTERED ALTO CONCISE PARTIAL TOTAL TITANIUM 3.0 X 0.8MM,1228.5,921.37,628.99,952.09,6 CDM,SUP-ITM-10232019,SIZER CENTERED ALTO CONCISE PARTIAL INCLUDED TI SILICONE,1244.25,933.19,637.06,964.29,6 CDM,SUP-ITM-10233831,IMPLANT WEDGE 28X40X7.5MM ENOPTHALMOUS LT LG,1510.5,1132.87,773.38,1170.64,4 CDM,SUP-ITM-10233837,IMPLANT ENOPHTHALMOUS 24MMX33.5MM WEDGE REG LT,1407.6,1055.7,720.69,1090.89,4 CDM,SUP-ITM-10234165,IMPLANT IPS CRANIAL PEEK 00021,16150.0,12112.5,8268.8,12516.25,4 CDM,SUP-ITM-10234166,IMPLANT IPS CRANIAL PEEK 00022,21250.0,15937.5,10880.0,16468.75,4 CDM,SUP-ITM-10234178,IMPLANT IPS MANDIBLE TITANIUM 00063TI-6AL-4V,13600.0,10200.0,6963.2,10540.0,4 CDM,SUP-ITM-10234180,IMPLANT IPS MANDIBLE TITANIUM 00065TI-6AL-4V,18020.0,13515.0,9226.24,13965.5,4 CDM,SUP-ITM-10234242,MODEL ANATOMICAL IPS HALF EP 6,2715.69,2036.77,1390.43,2104.66,4 CDM,SUP-ITM-10234254,MODEL ANATOMICAL IPS MAXILLA CRYSTAL,4590.0,3442.5,2350.08,3557.25,4 CDM,SUP-ITM-10234752,SCREW BONE 8MM 2X6MM THREAD TI ALLOY CMF MAXDRIVE L1 MMF DRILL FREE PK/5EA,382.5,286.87,195.84,296.44,4 CDM,SUP-ITM-10235707,TIRE 2.5X6MM S2994 (STYLE 275) SCLERAL BUCKLING ASYMMETRICAL BX/5EA,66.02,49.51,33.8,51.17,5 CDM,SUP-ITM-10235834,ALLOGRAFT SCLERA 1CM 3CM TUTOPLAST NHPL PERI OP OPHTHALMOLOGICAL,1873.8,1405.35,959.39,1452.2,3 CDM,SUP-ITM-10236338,IMPLANT COCHLEAR 3D ULTRA HIRES,29000.0,21750.0,14848.0,22005.2,4 CDM,SUP-ITM-10236846,PLATE PRINTED 3D MANDIBLE TITANIUM TRUMATCH MANDIBLE MEDIUM,7983.36,5987.52,4087.48,6187.1,4 CDM,SUP-ITM-10237325,PLATE CRANIOMAXILLOFACIAL 12MM 2HOLE TAB NEURO 3 TITANIUM UNIVERSAL DOG,411.31,308.48,210.59,318.77,4 CDM,SUP-ITM-10237362,IMPLANT VOICE 1.5CC RENU HYDROGEL INJECTABLE SYRINGE FOLD - DISCONTINUED PER CONTRACTS/SUPPLIER,1020.0,765.0,522.24,790.5,4 CDM,SUP-ITM-10237489,SPHERE EYE 10MM IMPLANT POLYMETHYLMETHACRYLATE PLASTIC LF NONSTERILE,27.0,20.25,13.82,20.93,3 CDM,SUP-ITM-10237492,SPHERE EYE IMPLANT 16MM POLYMETHYLMETHACRYLATE PLASTIC,47.13,35.35,24.13,36.53,3 CDM,SUP-ITM-10237493,SPHERE EYE 18MM IMPLANT POLYMETHYLMETHACRYLATE PLASTIC LF NONSTERILE,264.0,198.0,135.17,204.6,3 CDM,SUP-ITM-10237494,SPHERE EYE 20MM IMPLANT POLYMETHYLMETHACRYLATE PLASTIC LF NONSTERILE,51.0,38.25,26.11,39.53,3 CDM,SUP-ITM-10237528,TUBE EAR 1.14MM 2.4MM MYRINGOTOMY GROMMET FLUOROPLASTIC TAB BLUE PK/5EA,44.75,33.56,22.91,34.68,6 CDM,SUP-ITM-10237608,STRIP 10.5MM STYLE 106 SCLERAL BUCKLING MERIDIONAL BX/5EA,104.55,78.41,53.53,81.03,5 CDM,SUP-ITM-10237609,TUBE JONES 3.5MM 24MM TEAR DUCT FROSTED SUTURE HOLE,309.0,231.75,158.21,239.48,4 CDM,SUP-ITM-10237951,LEAD RESPIRATORY SENSING,6750.0,5062.5,3456.0,5231.25,4 CDM,SUP-ITM-10238541,TUBE JONES 4MM 18MM TEAR DUCT FROSTED STERILE,171.0,128.25,87.55,132.53,4 CDM,SUP-ITM-10238788,DEVICE BROW 3.5MM IMPLANT FIXATION BIOABSORBABLE TINE HEIGHT ENDOTINE FOREHEAD IMPLANTABLE PK/2EA,905.23,678.92,463.48,701.55,4 CDM,SUP-ITM-10239640,SPLINT POSISEP 0.6INX2IN INTRANASAL BX/5EA,360.0,270.0,184.32,279.0,6 CDM,SUP-ITM-10239641,SPLINT POSISEP 0.5INX1.5IN X INTRANASAL BX/5EA,339.0,254.25,173.57,262.73,6 CDM,SUP-ITM-10239680,KIT TRUMATCH ORTHOGNATHICS BASIC MAXILLARY,7539.84,5654.88,3860.4,5843.38,4 CDM,SUP-ITM-10239687,PLATE MANDIBLE PRINTED 3D TI TRUMATCH MIDFACE,4482.33,3361.75,2294.95,3473.81,4 CDM,SUP-ITM-10239691,PLATE MANDIBLE SM PRINTED 3D TI TRUMATCH MIDFACE,6652.8,4989.6,3406.23,5155.92,4 CDM,SUP-ITM-10239692,PLATE MANDIBLE LG PRINTED 3D TI TRUMATCH MIDFACE,9313.92,6985.44,4768.73,7218.29,4 CDM,SUP-ITM-10239693,IMPLANT ORBIT PRINTED 3D TI TRUMATCH MIDFACE MANDIBLE,8870.4,6652.8,4541.64,6874.56,4 CDM,SUP-ITM-10239696,IMPLANT MANDIBLE SM PRINTED 3D TI TRUMATCH MIDFACE SD980.106,11383.68,8537.76,5828.44,8822.35,4 CDM,SUP-ITM-10240493,GRAFT CRANIOMAXILLOFACIAL 38X50X.85MM MEDPOR LATEX FREE POLYETHYLENE ULTRATHIN SHEET STERILE DISPOSABLE,1433.98,1075.48,734.2,1111.33,4 CDM,SUP-ITM-10240749,IMPLANT ASYMMETRICAL TIRE 278 BX/5EA - DISCONTINUED PER SUPPLIER,157.08,117.81,80.42,121.74,5 CDM,SUP-ITM-10240872,IMPLANT COCHLEAR NUCLEUS PROFILE PLUS WITH SLIM MODIOLAR ELECTRODE,37398.02,28048.51,19147.79,28377.62,4 CDM,SUP-ITM-10240874,IMPLANT COCHLEAR NUCLEUS PROFILE PLUS CONTOUR ADVANCE ELECTRODE,37399.88,28049.91,19148.74,28379.03,4 CDM,SUP-ITM-10243395,MICROSTENT GLAUCOMA HYDRUS SYSTEM DELIVERY,3784.2,2838.15,2459.73,2650.45,2 CDM,SUP-ITM-10267945,LENS INTRAOCULAR TMICL 13.7 (-16.00/2.0/111),4187.5,3140.62,2721.88,2721.88,1 CDM,SUP-ITM-10268571,LENS INTRAOCULAR TMICL 13.2 -10.0,3312.5,2484.37,2153.13,2153.13,1 CDM,SUP-ITM-10272845,TUBE JONES 3.5X17MM TEAR DUCT STANDARD,141.0,105.75,72.19,109.28,4 CDM,SUP-ITM-10273025,MAGNET INSERT DUMMY - DISCONTINUED PER SUPPLIER/CONTRACTS,780.0,585.0,399.36,591.86,4 CDM,SUP-ITM-10273136,LENS INTRAOCULAR ENVISTA TORIC MX60T 3.5CYL 9.5D,1275.0,956.25,828.75,828.75,1 CDM,SUP-ITM-10274000,KIT IMPLANT BCI 602,12280.2,9210.15,6287.46,9318.22,3 CDM,SUP-ITM-10275386,GRAFT MEMBRANE 12MM AMNIOTIC AMBIODISK SUTURELESS DEHYDRATED,1642.2,1231.65,1150.2,1272.71,3 CDM,SUP-ITM-10275476,IMPLANT VOCAL 1CC SILKVOICE INJECTABLE - DISCONTINUED PER SUPPLIER,1050.0,787.5,813.75,813.75,1 CDM,SUP-ITM-10275652,SCREW BONE 1.5X4MM CORTEX SS RAPIDSORB RAPID RESORBABLE PK/4EA,136.37,102.28,69.82,105.69,4 CDM,SUP-ITM-10276260,LENS INTRAOCULAR TECNIS PRE-LOADED DCB00 17.5D,405.0,303.75,207.36,313.88,5 CDM,SUP-ITM-10281200,CATHETER HERCULES 100 24-27-30FR 8-9-10MM TRANSNASAL ESOPHAGEAL BALLOON,1050.0,787.5,537.6,796.74,5 CDM,SUP-ITM-10281688,SEALANT DURAL ADHERUS AUTOSPRAY EXTENDED TIP PK/5EA,2559.15,1919.36,1310.28,1983.34,4 CDM,SUP-ITM-10281728,CONNECTOR EAR .5MM OMEGA OSSICULAR PROSTHESIS,648.9,486.67,332.24,502.9,6 CDM,SUP-ITM-10281821,SET CATHETER 2MM ADVANCE BALLOON SALIVARY DUCT,1320.0,990.0,675.84,1001.62,5 CDM,SUP-ITM-10281928,GRAFT SCLERA 10X10MM HALO,885.0,663.75,453.12,685.88,4 CDM,SUP-ITM-10282143,LENS INTRAOCULAR TECNIS EYHANCE TORIC II DIU150 18.0D,1785.0,1338.75,1160.25,1160.25,1 CDM,SUP-ITM-10282980,PLATE BONE 7 HOLE LOW PROFILE T SHAPE NO BAR,1067.91,800.93,546.77,827.63,4 CDM,SUP-ITM-10283543,COCHLEAR IMPLANT SYNCHRONY 2 MI1250 PIN FLEX24 S-VECTOR MAGNET,39690.0,29767.5,20321.28,30116.77,4 CDM,SUP-ITM-10284842,KIT 3D MANDIBLE MIDFACE TRUMATCH TI PRINT ORBITAL WITHOUT PLAN,8038.8,6029.1,4115.87,6230.07,4 CDM,SUP-ITM-10285281,ABUTMENT COCHLEAR 6MM OTICON PONTO PRO,5174.76,3881.07,2649.48,3926.61,3 CDM,SUP-ITM-10287271,GRAFT BONE 5CC VESUVIUS DEMINERALIZED CORTICAL FIBER CANCELLOUS CHIP OSTEOCONDUCTIVE OSTEOGENIC,1275.0,956.25,652.8,988.13,4 CDM,SUP-ITM-10287345,MATRIX TISSUE 4X7CM MED 1.6-.4MM THICKNESS RANGE RECTANGLE ALLODERM SELECT REGENERATIVE,2283.0,1712.25,1769.33,1769.33,1 CDM,SUP-ITM-10287354,MATRIX TISSUE 2X4CM THICK 2.4-.4MM THICKNESS RANGE RECTANGLE ALLODERM SELECT REGENERATIVE,1296.0,972.0,1004.4,1004.4,1 CDM,SUP-ITM-10287355,MATRIX TISSUE 2X4CM MED 1.6-.4MM THICKNESS RANGE RECTANGLE ALLODERM SELECT REGENERATIVE,1296.0,972.0,1004.4,1004.4,1 CDM,SUP-ITM-10287449,IMPLANT FIXATION 3MM ULTRATINE FOREHEAD SOFT TISSUE BIOABSORBABLE PK/2EA,905.23,678.92,463.48,701.55,4 CDM,SUP-ITM-10287703,KIT IMPLANT VOCAL 1CC INJECTABLE X2 PLUS CATHETER - DISCONTINUED PER SUPPLIER/CONTRACTS,2100.0,1575.0,1075.2,1627.5,4 CDM,SUP-ITM-10288012,LENS INTRAOCULAR CLAREON PRE-LOADED CNA0T0 6.0D,447.0,335.25,228.86,346.43,5 CDM,SUP-ITM-10288224,DEVICE DRAINAGE 245MM MOLTENO 3,1995.0,1496.25,1021.44,1546.13,4 CDM,SUP-ITM-10289444,PLATE CRANIAL UNIVERSAL NEURO III X SHAPE 4 HOLE,842.62,631.96,431.42,653.03,4 CDM,SUP-ITM-10289534,IMPLANT FIXATION 3MM ENDOTINE TRANSBLEPH FOREHEAD BROW,915.0,686.25,468.48,709.13,4 CDM,SUP-ITM-10294832,PLATE RECTANGLE 2X2 HOLE 1.5MM CRANIOMAXILLOFACIAL UNIVERSAL NEURO III LATEX FREE,890.44,667.83,455.91,690.09,4 CDM,SUP-ITM-10294833,PLATE BURR HOLE COVER 10MM W/TAB CRANIOMAXILLOFACIAL UNIVERSAL NEURO III TITANIUM,726.83,545.12,372.14,563.29,4 CDM,SUP-ITM-10294834,PLATE BOX 2X2 HOLE LG CRANIOMAXILLOFACIAL UNIVERSAL NEURO III TITANIUM,906.38,679.78,464.07,702.44,4 CDM,SUP-ITM-10295663,TIRE 2.5X7MM STYLE 276 SCLERAL BUCKLING GROOVED ASYMMETRICAL BX/5EA,151.93,113.95,77.79,117.75,5 CDM,SUP-ITM-10296826,CARTILAGE COSTAL 5-8CM FF,3351.0,2513.25,1715.71,2597.03,4 CDM,SUP-ITM-10297188,TUBE JONES 4X24MM FROSTED SUTURE HOLE,309.0,231.75,158.21,239.48,4 CDM,SUP-ITM-10297252,LENS INTRAOCULAR TECNIS EYHANCE TORIC DIU450 12.0D,1785.0,1338.75,1160.25,1160.25,1 CDM,SUP-ITM-10297253,IMPLANT CONDUCTION BONE BONEBRIDGE,11252.0,8439.0,5761.02,8538.02,3 CDM,SUP-ITM-10298023,PROSTHESES OSSICULAR 3X.8MM 3-7MM ADJUSTABLE LENGTH HA/TITANIUM HA LITE ALTO TOTAL BX/1EA,1404.9,1053.67,719.31,1088.8,6 CDM,SUP-ITM-10298025,INSTRUMENT PROSTHESIS 3-7MM TOTAL WILDCAT PRO ALTO HA TITANIUM MULTIDIRECTIONAL HEAD BX/1EA,1433.25,1074.94,733.82,1110.77,6 CDM,SUP-ITM-10298027,PROSTHESES OSSICULAR 3.5MM 1X1.75MM DISTAL END CENTERED HA/TITANIUM WILDCAT PRO BX/1EA,1354.5,1015.87,892.62,892.62,1 CDM,SUP-ITM-10298030,PROSTHESES OSSICULAR 5MM 1X1.75MM DISTAL END CENTERED HA/TITANIUM WILDCAT PRO BX/1EA,1354.5,1015.87,693.5,1049.74,6 CDM,SUP-ITM-10298066,LENS INTRAOCULAR EC-3 PAL 33.0D - DISCONTINUED PER SUPPLIER/CONTRACTS,435.0,326.25,222.72,337.13,5 CDM,SUP-ITM-10298152,CARTILAGE COSTAL > 0.8 CM WIDTH <= 5.0CM LENGTH SALINE SUSPENSION 4932-25,2196.0,1647.0,1124.35,1701.9,4 CDM,SUP-ITM-10298155,CARTILAGE COSTAL > 0.8 CM WIDTH <= 5.0CM LENGTH SALINE SUSPENSION 4938-25,2196.0,1647.0,1124.35,1701.9,4 CDM,SUP-ITM-10298156,CARTILAGE COSTAL > 0.8 CM WIDTH > 5.0 - 8.0CM LENGTH SALINE SUSPENSION 4939-25,2814.0,2110.5,1440.77,2180.85,4 CDM,SUP-ITM-10298158,CARTILAGE COSTAL > 0.8 CM WIDTH <= 5.0CM LENGTH SALINE SUSPENSION 4944-25,2094.0,1570.5,1072.13,1622.85,4 CDM,SUP-ITM-10298159,CARTILAGE COSTAL > 0.8 CM WIDTH > 5.0 - 8.0CM LENGTH SALINE SUSPENSION 4945-25,2685.0,2013.75,1374.72,2080.88,4 CDM,SUP-ITM-10303291,SYSTEM DELIVERY DRUG VECTA BX/2EA,375.0,281.25,192.0,290.63,4 CDM,SUP-ITM-10303292,SCREW UNIII 1.5X4MM AXS ST PK/5EA,58.74,44.05,30.07,45.52,4 CDM,SUP-ITM-10303294,SCERW UN3 EM 1.7X4MM PK/5EA,45.09,33.82,23.09,34.94,4 CDM,SUP-ITM-10303295,PLATE COVER BURR HOLE 20MM UN3 W/TAB,787.84,590.88,403.37,610.58,4 CDM,SUP-ITM-10303296,PLATE COVER BURR HOLE 7MM UN3 W/TAB,723.23,542.42,370.29,560.5,4 CDM,SUP-ITM-10303445,PROSTHESES PRECISE HA LITE TOTAL 4.00MM L BX/1EA,1313.55,985.16,865.63,865.63,1 CDM,SUP-ITM-10303447,PROSTHESES HA LITE PARTIAL 2.00MM L BX/1EA,1313.55,985.16,672.54,1018.0,6 CDM,SUP-ITM-10303518,STYLUS INSTRUMENT RHINAER PK/5EA,3700.0,2775.0,1894.4,2591.48,3 CDM,SUP-ITM-10304464,ALLOGRAFT OCULAR 3X4CM AMNIOGUARD FROZEN,3885.0,2913.75,2721.05,3010.88,3 CDM,SUP-ITM-10304553,CRANIAL PLATE 8 HOLE UNIVERSAL STRAIGHT NO BAR NEURO III,512.66,384.49,262.48,397.31,4 CDM,SUP-ITM-10304554,BONE PLATE 8X11MM DOUBLE 6 HOLE LOW PROFILE Y SHAPE TI,639.47,479.6,327.41,495.59,4 CDM,SUP-ITM-10304621,CHIN IMPLANT SM CURVILINEAR SILICONE CONFORM EXTENDED ANATOMICAL,1050.0,787.5,537.6,813.75,4 CDM,SUP-ITM-10305111,LENS INTRAOCULAR CLAREON CLEAR CC60WF 6.0D,402.0,301.5,205.82,311.55,5 CDM,SUP-ITM-10305693,LENS INTRAOCULAR CLAREON TORIC CCW0T3 6.0D,1515.0,1136.25,984.75,984.75,1 CDM,SUP-ITM-10306192,REMOTE SLEEP BLUETOOTH PATIENT HANDHELD INSPIRE IPG COMPATIBLE,3500.0,2625.0,2451.4,2712.5,3 CDM,SUP-ITM-10306194,PROSTHESIS EAR .5 X 4.25MM PISTON ECLIPSE NITINOL FLUOROPLASTIC,1053.0,789.75,539.14,816.08,6 CDM,SUP-ITM-10307479,ELECTRODE INSERTION FLEX 28 COCHLEAR,2880.0,2160.0,1474.56,2185.34,4 CDM,SUP-ITM-10307615,STRIP 4MM S2971 (STYLE 42) SCLERAL BUCKLING SILICONE BX/5EA,82.8,62.1,42.39,64.17,5 CDM,SUP-ITM-10309404,PLATE LEVEL ONE CMF LI MMF FIXATION 2.0MM L1 MMF SCREW 7 HOLE 102,1371.0,1028.25,701.95,1062.53,4 CDM,SUP-ITM-10309406,MODEL ANATOMICAL IPS SUPPLEMENTAL HALF SKULL 00132,3690.0,2767.5,1889.28,2859.75,4 CDM,SUP-ITM-10311358,LENS INTRAOCULAR RAYONE EMV US W01-RAO200E 18.0D,450.0,337.5,230.4,348.75,4 CDM,SUP-ITM-10311670,PROSTHESES HA LITE PARTIAL 1.75MM L BX/1EA,1251.0,938.25,640.51,969.53,6 CDM,SUP-ITM-10311785,LENS INTRAOCULAR RAYONE ASPHERIC PRE-LOADED RAO600C 18.5D,195.0,146.25,99.84,151.13,4 CDM,SUP-ITM-10312070,LENS INTRAOCULAR TORIC MX60E 6.0D,357.0,267.75,232.05,232.05,1 CDM,SUP-ITM-10312101,CARTILAGE COSTAL (2) <= 0.8 CM WIDTH <= 5.0CM LENGTH SALINE SUSPENSION,2091.0,1568.25,1070.59,1620.53,4 CDM,SUP-ITM-10317814,PROSTHESES LIPPY BUCKET W/NOTCH .6 DIA X 3.75MM L BX/1EA,774.0,580.5,396.29,599.85,6 CDM,SUP-ITM-10318438,SCREW BONE 1.7X4MM AXS SD 5P,268.85,201.64,137.65,208.36,4 CDM,SUP-ITM-10318693,SYNTHECEL DURA REPAIR 14CM X 20CM 5.5,3397.5,2548.12,1739.52,2633.06,4 CDM,SUP-ITM-10319061,GRANULES BONALIVE 0. 5-0. 8MM 5CC ORTHOPEDICS,5730.0,4297.5,2933.76,4440.75,4 CDM,SUP-ITM-10319140,DEVICE OMNI SURGICAL SYSTEM ERGO SERIES,4322.5,3241.87,2213.12,3349.94,4 CDM,SUP-ITM-10319230,PROTECTOR NERVE 2CMX4CM AXOGUARD HA PLUS,5756.0,4317.0,4031.5,4460.9,2 CDM,SUP-ITM-10319366,SCREW UN3 SD 1.5X3MM,241.41,181.06,123.6,187.09,4 CDM,SUP-ITM-10319369,CRANIOMAXILLOFACIAL SCREW AXS ST 1.7X4MM 5P,317.79,238.34,162.71,246.29,4 CDM,SUP-ITM-10319377,FIBERSTITCH 1.5 STRAIGHT,1650.0,1237.5,844.8,1278.75,4 CDM,SUP-ITM-10320009,IMPLANT OSIA OSI300,9187.56,6890.67,4704.03,6971.52,3 CDM,SUP-ITM-10320889,IMPLANT IPS MIDFACE LOCKING LARGE LP TI-6AL-4V,28664.0,21498.0,14675.97,22214.6,4 CDM,SUP-ITM-10320890,IMPLANT IPS MIDFACE LOCKING SMALL LP TI-6AL-4V,21188.0,15891.0,10848.26,16420.7,4 CDM,SUP-ITM-10321007,SLING PTOSIS 300MM LENGTH 0.64DIA W/FRONTALIS SUSPENSION SILICONE TUBING BX/3EA,230.0,172.5,117.76,178.25,3 CDM,SUP-ITM-10321035,PISTON STAPES 0.6X4.25MM PROSTHESIS FLUOROPLASTIC PLATINUM,658.17,493.63,336.98,510.08,6 CDM,SUP-ITM-10328110,LENS INTRAOCULAR ENVISTA MONOFOCAL MX60PL 15.5D,387.0,290.25,198.14,299.93,4 CDM,SUP-ITM-10328121,SYSTEM IMPLANT MICRO-BYPASS TRABECULAR ISTENT INFINITE,5200.0,3900.0,3380.0,3642.08,2 CDM,SUP-ITM-10328465,WAND HALO COBLATION,1136.49,852.37,581.88,796.0,3 CDM,SUP-ITM-10328466,WAND ARIS TURBINATE REDUCTION,1034.55,775.91,529.69,724.6,3 CDM,SUP-ITM-10328508,LENS INTRAOCULAR ENVISTA EE U +20.00,357.0,267.75,182.78,276.68,5 CDM,SUP-ITM-10328798,CATHETER DILATION 32MM O.D X 55ML ESOPHAGEAL INFINITY,2132.1,1599.07,1091.64,1617.84,5 CDM,SUP-ITM-10328839,LENS INTRAOCULAR ENVISTA ASPIRE 23.0D,750.0,562.5,384.0,581.25,4 CDM,SUP-ITM-10328846,LENS INTRAOCULAR ENVISTA ASPIRE 18.0D,450.0,337.5,230.4,348.75,5 CDM,SUP-ITM-10329113,ACTIVE NOBEL 4.3X10,968.4,726.3,495.82,750.51,4 CDM,SUP-ITM-10329114,ABUTMENT HEALING 3X5 RP CONICAL CONNECTION,136.8,102.6,70.04,106.02,4 CDM,SUP-ITM-10329115,DRIVER IMPLANT 28MM RP CONICAL CONNECTION,190.8,143.1,97.69,147.87,4 CDM,SUP-ITM-10331334,PISTON RIBBON FLAT ECLIPSE .6MMX4.50MM L NITINOL FLUOROPLASTIC,1168.02,876.01,598.03,905.22,6 CDM,SUP-ITM-10331441,INSPIRE V IMPLANTABLE PULSE GENERATOR,43200.0,32400.0,22118.4,33480.0,4 CDM,SUP-ITM-10331485,PLATE CRANIOMAXILLOFACIAL 41X42X.5X.1MM MEDPOR TITAN POLYETHYLENE ORBITAL RIGHT STERILE,3408.0,2556.0,1744.9,2641.2,4 CDM,SUP-ITM-10331588,LENS IMPLANTABLE COLLAMER VISIAN MICL 12.6 - 10.0D,3312.5,2484.37,1696.0,2567.19,5 CDM,SUP-ITM-10331589,LENS INTRAOCULAR TMICL 12.6 (-8.0/1.5/090),3735.0,2801.25,1912.32,2894.63,5 CDM,SUP-ITM-10333805,IMPLANT MIDFACE LOCKING MED LP 6AL-4V,23680.0,17760.0,12124.16,18352.0,4 CDM,SUP-ITM-10333854,LENS INTRAOCULAR RXLAL LIGHT ADJUSTABLE 60005 18.0D,3000.0,2250.0,1950.0,1950.0,1 CDM,SUP-ITM-10335477,LENS INTRAOCULAR TMICL VTICM5 12.6 -9.5/111/0-6.1,4187.5,3140.62,2721.88,2721.88,1 CDM,SUP-ITM-10336092,KIT IMPLANT TI SENTIO,8686.0,6514.5,4447.23,6590.94,3 CDM,SUP-ITM-10336112,LENS IMPLANTABLE COLLMAER EVO+ VISIAN TORIC 12.6 -11.0 1.0 CYL,3312.5,2484.37,2153.13,2153.13,1 CDM,SUP-ITM-10336699,WEIGHT IMPLANTABLE EYELID 2.8G KONTOUR GOLD,2541.0,1905.75,1300.99,1969.28,3 CDM,SUP-ITM-10337445,EPIPATCH SMALL 8MM D X 0.1MM T DISC,675.0,506.25,345.6,523.13,4 CDM,SUP-ITM-10338364,MESH DYNAMIC 90X90X0.6MM FOR 1.5/1.7MM SCREW,5308.38,3981.28,2717.89,4113.99,4 CDM,SUP-ITM-10338841,LENS TECNIS ODYSSEY SIMPLICITY TORIC II DRT150 21.0D,2985.0,2238.75,1940.25,1940.25,1 CDM,SUP-ITM-10338876,LENS INTRAOCULAR AKREOS AO60 27.0D,339.0,254.25,220.35,220.35,1 CDM,SUP-ITM-10338877,LENS INTRAOCULAR CLAREON VIVITY TORIC CLEAR CCWET5 9.0D,3045.0,2283.75,1979.25,1979.25,1 CDM,SUP-ITM-10339053,IMPLANT ANATOMICAL CHIN MEDIIM AC-M,825.0,618.75,422.4,639.38,4 CDM,SUP-ITM-10339055,IMPLANT MIDFACE 60MMX40MMX4MM CONTOUR LEFT,1590.0,1192.5,814.08,1232.25,4 CDM,SUP-ITM-10339057,LENS IMPLANTABLE COLLAMER EVO+ VISIAN TORIC VTICM5 13.2 -7.50(+1.00)(092),3735.0,2801.25,2427.75,2427.75,1 CDM,SUP-ITM-10339065,LENS INTRAOCULAR ENVISTA ETE U 300 +17.5,1275.0,956.25,652.8,988.13,5 CDM,SUP-ITM-10339121,CEMENT BONE 5CC INJECTABLE SUBSTITUTE SELF SET HYDROSET CALCIUM PHOSPHATE,3960.8,2970.6,2027.93,3069.62,4 CPT,0241U,Nfct Ds Rna 4 Targets Upper Respiratory Specimen,478.0,358.5,315.0,315.0,1 CPT,10005,Fine Needle Aspiration Bx W/US Gdn 1st Lesion,782.0,586.5,400.38,835.47,18 CPT,10006,Fine Needle Aspiration Bx W/US Gdn Ea Addl,391.0,293.25,200.19,303.03,4 CPT,10009,Fine Needle Aspiration Bx W/CT Gdn 1st Lesion,782.0,586.5,662.51,835.47,2 CPT,10021,Aspiration Fine Needle W/O Imaging,290.0,217.5,359.17,474.42,2 CPT,10021,Pf Aspirat Fine Needle W/O Imaging,498.0,373.5,474.42,474.42,1 CPT,10030,Image-Guided Catheter Fluid Collection Drainage,314.0,235.5,835.47,835.47,1 CPT,10060,I&D Abscess Smp,317.0,237.75,162.3,235.94,4 CPT,10120,Incision/Remove FB Subq Smp,545.0,408.75,279.04,413.55,3 CPT,10140,I&D Hematoma/Seroma/Fluid,1668.0,1251.0,1237.95,1923.94,3 CPT,10140,Pf I&D Hematoma/Seroma/Fluid,554.0,415.5,1237.95,1923.94,2 CPT,10160,Aspiration Abscess/Hema/Bulla/Cyst,317.0,237.75,359.17,359.17,1 CPT,11042,Debride Skin/Subq Tissue,1980.0,1485.0,359.17,1386.79,6 CPT,11042,Pf Debr Skin/Subq Tissue,362.0,271.5,253.54,474.42,5 CPT,11044,Debride Skin/Subq Tissu/Muscle/Bone,2613.0,1959.75,1337.86,1923.94,3 CPT,11044,Debridement Bone Muscle &/Fascia 20 Sq Cm/<,1333.0,999.75,682.5,1923.94,2 CPT,11102,Tangential Biopsy Skin Single Lesion,271.0,203.25,138.75,235.94,13 CPT,11104,Punch Biopsy Skin Single Lesion,271.0,203.25,138.75,474.42,9 CPT,11106,Incisional Biopsy Skin Single Lesion,271.0,203.25,726.87,726.87,1 CPT,11200,Remove Tag Skin <15,1117.0,837.75,201.78,201.78,1 CPT,11310,Shave Lesn Face/Ear/Lip <0.5cm,163.0,122.25,235.94,235.94,1 CPT,11402,Exc Lesn Bgn Trunk/Arm/Leg 1.1-2.0,1117.0,837.75,662.51,835.47,2 CPT,11404,Exc Lesn Bgn Trunk/Arm/Leg 3.1-4.0,2252.0,1689.0,1923.94,1923.94,1 CPT,11420,Exc Lesn Bgn Sclp/Hnd/Gen <0.5cm,1071.0,803.25,1237.95,1923.94,3 CPT,11421,Exc Lesn Bgn Sclp/Hnd/Gen 0.6-1.0cm,1261.0,945.75,579.34,883.2,3 CPT,11421,Pf Exc Lesn Bgn Sclp/Hnd 0.6-1.0cm,530.0,397.5,371.21,579.34,2 CPT,11422,Exc Lesn Bgn Sclp/Hnd/Gen 1.1-2.0cm,1261.0,945.75,645.63,1923.94,4 CPT,11422,Pf Exc Lesn Bgn Sclp/Hnd 1.1-2.0cm,593.0,444.75,303.62,1923.94,3 CPT,11423,Exc Lesn Bgn Sclp/Hnd/Gen 2.1-3.0cm,2252.0,1689.0,1153.02,1923.94,3 CPT,11424,Exc Lesn Bgn Sclp/Hnd/Gen 3.1-4.0cm,2613.0,1959.75,1572.96,1923.94,2 CPT,11426,Exc Lesn Bgn Sclp/Hnd/Gen >4.0cm,3535.0,2651.25,3398.51,3398.51,1 CPT,11440,Exc Lesn Bgn Face/Ear/Lip <0.5cm,1117.0,837.75,571.9,847.58,7 CPT,11441,Exc Lesn Bgn Face/Ear/Lip 0.6-1.0cm,1117.0,837.75,579.34,835.47,4 CPT,11441,Pf Exc Lesn Bgn Face/Ear 0.6-1.0cm,560.0,420.0,579.34,835.47,3 CPT,11442,Exc Lesn Bgn Face/Ear/Lip 1.1-2.0cm,1980.0,1485.0,579.34,835.47,4 CPT,11443,Exc Lesn Bgn Face/Ear/Lip 2.1-3.0cm,1980.0,1485.0,1572.96,1923.94,2 CPT,11446,Exc Lesn Bgn Face/Ear/Lip >4.0cm,3408.0,2556.0,2140.46,3398.51,3 CPT,11602,Exc Lesn Mal Trunk/Arm/Leg 1.1-2.0,1117.0,837.75,474.42,474.42,1 CPT,11603,Exc Lesn Mal Trunk/Arm/Leg 2.1-3.0,1261.0,945.75,579.34,835.47,3 CPT,11604,Exc Lesn Mal Trunk/Arm/Leg 3.1-4.0,2613.0,1959.75,662.51,662.51,1 CPT,11606,Exc Lesn Mal Trunk/Arm/Leg >4.0cm,3582.0,2686.5,1923.94,1923.94,1 CPT,11622,Exc Lesn Mal Sclp/Hnd/Gen 1.1-2.0cm,1261.0,945.75,662.51,835.47,3 CPT,11623,Exc Lesn Mal Sclp/Hnd/Gen 2.1-3.0cm,1980.0,1485.0,1923.94,1923.94,2 CPT,11624,Exc Lesn Mal Sclp/Hnd/Gen 3.1-4.0cm,2613.0,1959.75,1237.95,1923.94,5 CPT,11626,Exc Lesn Mal Sclp/Hnd/Gen >4.0cm,3582.0,2686.5,2140.46,3398.51,9 CPT,11640,Exc Lesn Mal Face/Ear/Lip <0.5cm,1261.0,945.75,662.51,835.47,2 CPT,11641,Exc Lesn Mal Face/Ear/Lip 0.6-1.0cm,1261.0,945.75,662.51,835.47,3 CPT,11642,Exc Lesn Mal Face/Ear/Lip 1.1-2.0cm,1261.0,945.75,662.51,835.47,4 CPT,11643,Exc Lesn Mal Face/Ear/Lip 2.1-3.0cm,1980.0,1485.0,1237.95,1923.94,5 CPT,11644,Exc Lesn Mal Face/Ear/Lip 3.1-4.0cm,2252.0,1689.0,1572.96,1923.94,7 CPT,11646,Exc Lesn Mal Face/Ear/Lip >4.0cm,3408.0,2556.0,1744.9,3398.51,6 CPT,11900,Inject Intralesnal <7 Lesions,330.0,247.5,168.96,235.94,6 CPT,11950,Fill Contour Defct <1 Cc,792.0,594.0,235.94,235.94,1 CPT,11950,Fill Contour Defct <1cc,792.0,594.0,235.94,235.94,1 CPT,12011,Rpr Lac Smp Face/Ear/Lip <2.5cm,610.0,457.5,201.78,462.87,3 CPT,12020,Closure of Split Wound Simple - 12020,784.0,588.0,552.21,726.87,2 CPT,12031,Rpr Lac Intermd Scalp/Axil <2.5cm,394.0,295.5,359.17,474.42,3 CPT,12032,Rpr Lac Intermd Scalp/Axil 2.6-7.5,394.0,295.5,201.73,474.42,9 CPT,12034,Rpr Lac Intermd Scalp/Axil 7.6-12.5,1117.0,837.75,314.08,847.58,4 CPT,12041,Rpr Lac Intermd Hnd/Ft/Gen <2.5cm,610.0,457.5,314.08,359.17,2 CPT,12042,Rpr Lac Intermd Hnd/Ft/Gen 2.6-7.5,1117.0,837.75,314.08,474.42,6 CPT,12051,Rpr Lac Intermd Face/Ear/Lip <2.5cm,394.0,295.5,298.97,474.42,9 CPT,12052,Rpr Lac Intermd Face/Ear/Lip2.6-5.0,394.0,295.5,275.96,474.42,4 CPT,13121,Rpr Lac Cplx Scalp/Arm/Leg 2-7.5cm,1980.0,1485.0,552.21,726.87,4 CPT,13131,Repair Complex 1.1-2.5 Cm - 13131,394.0,295.5,359.17,474.42,3 CPT,13132,Repair Complex 2.6-7.5 Cm - 13132,1980.0,1485.0,482.89,1013.76,7 CPT,13133,Rpr Lac Cplx Forehd/Hnd/Ft Add 5cm,1117.0,837.75,571.9,571.9,1 CPT,13151,Rpr Lac Cplx Eye/Ear/Lip 1.1-2.5cm,811.0,608.25,552.21,726.87,2 CPT,13152,Rpr Lac Cplx Eye/Ear/Lip 2.6-7.5cm,1980.0,1485.0,482.89,726.87,4 CPT,13160,Closure Wound Cplx Secondary,3989.0,2991.75,2172.1,2172.1,2 CPT,14000,Transfer Tissue Trunk <10cm,2657.0,1992.75,1548.96,1548.96,1 CPT,14020,Trnsf Tissue Sclp/Arm/Lg <10cm,3582.0,2686.5,1548.96,2172.1,5 CPT,14021,Trnsf Tissue Sclp/Arm/Lg 10-30cm,4192.0,3144.0,1548.96,2172.1,6 CPT,14040,Trnsf Tissue Head/Hand/Foot <10cm,2613.0,1959.75,1337.86,2172.1,12 CPT,14041,Trnsf Tissue Head/Hand/Foot 10-30cm,2613.0,1959.75,1771.32,2172.1,7 CPT,14060,Trnsf Tissue Eye/Nose/Ear/Lip <10cm,2613.0,1959.75,1337.86,2172.1,10 CPT,14061,Trnsf Tissue Eye/Nose/Ear/Lip 10-30,3582.0,2686.5,1771.32,2172.1,4 CPT,14301,Trnsf Tissue Any Area 30.1-60 Sqcm,7160.0,5370.0,3163.23,5433.01,7 CPT,14302,Trnsf Tissue Any Area Ea Addl 30,376.0,282.0,192.51,373.2,3 CPT,15004,Prep Wound F/Nhf/G 1st 100cm Child,811.0,608.25,415.23,726.87,11 CPT,15120,Graft Split Face 1st 100 Sq Cm Chld,963.0,722.25,493.06,3163.23,7 CPT,15200,Graft Full Trunk <20cm,4329.0,3246.75,2172.1,2172.1,2 CPT,15220,Graft Full Scalp/Arm/Leg <20cm,2690.0,2017.5,1548.96,2172.1,6 CPT,15240,Graft Full Forehd/Chin/Mth <20cm,2613.0,1959.75,1771.32,2172.1,3 CPT,15260,Graft Full Eye/Ns/Ear/Lip <20cm,2690.0,2017.5,1377.28,2172.1,9 CPT,15275,Gft Skin Sub F/S/E 5,1647.0,1235.25,1250.63,1250.63,1 CPT,37609,Ligate/Biopsy Artery Temporal|BILATERAL PROCEDURE,2252.0,1689.0,3398.51,3398.51,1 CPT,38999,Methylene Blue Injection Non-Sentinel,521.0,390.75,365.79,519.13,2 CPT,38999,Percutaneous Rf Ablation Lymph System,5166.0,3874.5,519.13,3627.05,2 CPT,38999,Sclerotherapy Inject Lymphnode,264.0,198.0,185.35,519.13,2 CPT,40490,Biopsy Lip,610.0,457.5,206.14,462.87,8 CPT,40799,Commissuroplasty (for Oral Incompetence),2205.0,1653.75,275.75,1548.13,2 CPT,40806,Incision of Lip Fold,512.0,384.0,388.51,844.56,3 CPT,40808,Biopsy Mouth Vestibule,1117.0,837.75,487.13,604.7,8 CPT,40808,Pf Biopsy Mouth Vestibule,655.0,491.25,487.13,604.7,7 CPT,40810,Exc Lesion Vestib Mouth W/O Rpr,2284.0,1713.0,1169.41,3850.95,5 CPT,40812,Exc Lesion Vestib Mouth W/Rpr Smp,2578.0,1933.5,1319.94,2551.58,6 CPT,40819,Exc Frenum/Labial/Buccal,2577.0,1932.75,1462.72,1758.93,2 CPT,40819,Excise Lip or Cheek Fold,1058.0,793.5,1758.93,1758.93,1 CPT,41010,Frenotomy Lingual Frenum,1980.0,1485.0,1013.76,1502.42,5 CPT,41010,Incision of Tongue Fold,731.0,548.25,374.27,1151.19,4 CPT,41100,Biopsy Tongue Anterior 2/3,1117.0,837.75,487.13,604.7,4 CPT,41100,Pf Biopsy Tongue Anterior 2/3,550.0,412.5,487.13,604.7,3 CPT,41105,Biopsy Tongue Post 1/3,2392.0,1794.0,1675.36,3850.95,3 CPT,41105,Pf Biopsy Tongue Posterior 1/3,560.0,420.0,392.22,3850.95,3 CPT,41108,Biopsy Mouth Floor,1261.0,945.75,645.63,1923.94,4 CPT,41108,Pf Biopsy Mouth Floor,498.0,373.5,254.98,1923.94,4 CPT,41110,Exc Lesion Tongue W/O Clsr,2383.0,1787.25,1808.22,3850.95,3 CPT,41112,Exc Lesion Tongue W/Clsr Ant 2/3,2579.0,1934.25,2551.58,3850.95,2 CPT,41113,Exc Lesion Tongue Postior 1/3,2353.0,1764.75,2008.14,3850.95,3 CPT,41115,Excis Tongue Fold,872.0,654.0,610.75,661.67,2 CPT,41115,Frenectomy,1117.0,837.75,782.35,1462.72,3 CPT,41116,Exc Lesn Floor Mouth,1133.0,849.75,580.1,580.1,1 CPT,41116,Excis Floor Mouth Lesion,1121.0,840.75,573.95,573.95,1 CPT,41120,"Part Removal Tongue,<1/2",7003.0,5252.25,3585.54,5313.88,4 CPT,42100,Biopsy Palate/Uvula,1117.0,837.75,782.35,1462.72,4 CPT,42104,Exc Lesion Palate Uvula,2613.0,1959.75,1830.15,2551.58,3 CPT,42106,Exc Lesion Palate Uvula Closure,2319.0,1739.25,1187.33,1187.33,1 CPT,42140,Excision of Uvula,2839.0,2129.25,2008.14,2551.58,3 CPT,42145,Upp/P (Ncs- Non-Covered Service),3035.0,2276.25,1553.92,2130.87,2 CPT,42300,Drainage Abscess Parotid Simple,1072.0,804.0,1462.72,1462.72,1 CPT,42330,Sialot Submndblr Sublngl/Prtd Uncomp Intraoral,2406.0,1804.5,1685.16,2551.58,4 CPT,42335,"Removal Submand Stone,Complicated",3620.0,2715.0,1853.44,2551.58,3 CPT,42400,Biopsy Gland Salivary Needle,1363.0,1022.25,662.51,835.47,3 CPT,42405,Biopsy Gland Salivary Incisional,3485.0,2613.75,1758.93,2551.58,2 CPT,42500,Repair Salivary Duct Simple,1783.0,1337.25,912.9,7024.49,8 CPT,42505,Repair Salivary Duct Complicated,2354.0,1765.5,1648.74,7024.49,4 CPT,42550,Inject Sialogram,607.0,455.25,310.78,425.14,2 CPT,42650,Dilation Salivary Duct,2353.0,1764.75,1151.19,1758.93,5 CPT,42660,Dilation/Cath of Salivary Duct,413.0,309.75,313.38,604.7,5 CPT,42699,Sialendoscopy Diagnostic,1055.0,791.25,275.75,817.63,11 CPT,42699,Sialendoscopy W/ Dilation,4787.0,3590.25,275.75,3709.93,11 CPT,42699,Sialendoscopy W/ Sialolithotomy,4787.0,3590.25,275.75,3709.93,11 CPT,42699,"Sialendoscopy W/ Stent Placement (Sialolithotomy or Dilation), Complex",5565.0,4173.75,275.75,4312.88,11 CPT,42699,Sialendoscopy W/Lithotripsy,3279.0,2459.25,275.75,2541.23,11 CPT,42699,"Sialendoscopy With Stent Placement and/or Sialodochoplasty, Simple",5553.0,4164.75,275.75,4303.58,11 CPT,42700,I&D Abscess Peritonsillar,517.0,387.75,235.73,235.73,1 CPT,42720,I&D Absc Rtrphrngl/Parapharyngeal Intraoral,2375.0,1781.25,1667.49,1667.49,1 CPT,42800,Biopsy Oropharynx,2613.0,1959.75,1337.86,2551.58,9 CPT,42800,Pf Biopsy Oropharynx,560.0,420.0,286.72,2008.14,8 CPT,42804,Biopsy Lesion Nasopharynx Smp,2613.0,1959.75,1337.86,3850.95,6 CPT,42808,Mee Excise Pharynx Lesion,3420.0,2565.0,2008.14,3850.95,4 CPT,42960,Control Hemorr Oropharyngeal Smp,168.0,126.0,67.2,127.48,4 CPT,42999,"Laryngoscopy, Flexible; W/ Injection(S) Augmentation Pharynx, Unilateral",3462.0,2596.5,275.75,2430.67,8 CPT,42999,Needle Aspirate/Biopsy Peritonsillar Collection,517.0,387.75,264.7,362.99,8 CPT,42999,Transnasal Pharyngeal Stenosis Balloon Dilation W/O Injection,3535.0,2651.25,275.75,2481.92,8 CPT,42999,Transnasal Pharyngeal Stenosis Balloon Dilation With Injection,6998.0,5248.5,275.75,4913.3,8 CPT,43226,Esophagoscopy W/Dilate Guide Wire,1899.0,1424.25,1335.02,2252.56,2 CPT,43246,Egd Flex W/Place Gastrostomy Tube,1830.0,1372.5,1696.3,1696.3,1 CPT,43249,Egd Flex W/Balloon Dilation <30mm,1977.0,1482.75,1696.3,1696.3,1 CPT,43450,Dilate Esophagus Sound or Bougie,1317.0,987.75,674.3,1113.3,3 CPT,43762,Perq Replacement Gtube Not Req Revj Gstrst Trc,503.0,377.25,288.8,288.8,1 CPT,60100,Biopsy Thyroid Needle Perc,2002.0,1501.5,579.34,835.47,5 CPT,60300,Aspiration/Inject Cyst Thyroid,892.0,669.0,662.51,662.51,1 CPT,60660,Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf,5166.0,3874.5,1923.94,4003.65,7 CPT,60699,Alcohol (Etoh) Ablation of Thyroid Nodule,666.0,499.5,438.89,6927.95,3 CPT,60699,Radiofreq Ablation Adrenal Tmr,5166.0,3874.5,3404.39,6927.95,3 CPT,61782,"Stereotactic Comp Assist Proc,Cranial,Extradural",317.0,237.75,162.3,240.54,5 CPT,64408,Inject Anes Nerve Vagus,433.0,324.75,221.7,350.52,3 CPT,64408,Inject Anes Nerve Vagus|BILATERAL PROCEDURE,433.0,324.75,350.52,424.52,3 CPT,64568,Inc for Impltj Cranial Nrc Nstim,49293.0,36969.75,25238.02,38202.08,3 CPT,64611,Chemodenerv Saliv Glands Bilateral,396.0,297.0,247.48,350.52,8 CPT,64612,Chemdnrvtn/Dest Nerve Neurlytic Fac,396.0,297.0,202.75,350.52,12 CPT,64612,Chemdnrvtn/Dest Nerve Neurlytic Fac|BILATERAL PROCEDURE,396.0,297.0,350.52,1266.85,15 CPT,64612,Pf Chemodnrv/Destr Nrve Nrlytic Fac,797.0,597.75,247.48,604.76,11 CPT,64612,Pf Chemodnrv/Destr Nrve Nrlytic Fac|BILATERAL PROCEDURE,797.0,597.75,350.52,1266.85,14 CPT,64615,Chemdnrvtn Mscl Facial Trige Cerv,610.0,457.5,247.48,312.32,3 CPT,64616,Chemodenerv Musc Neck Dyston,800.0,600.0,350.52,607.04,4 CPT,64617,Chemodenervation Muscle Larynx Unilat W/Emg,696.0,522.0,247.48,822.33,5 CPT,64617,Chemodenervation Muscle Larynx Unilat W/Emg|BILATERAL PROCEDURE,696.0,522.0,424.52,822.33,8 CPT,64716,Revision of Cranial Nerve,2672.0,2004.0,1368.06,2027.51,3 CPT,65205,Remove FB Conjuctival Superficial,153.0,114.75,107.16,107.16,1 CPT,65220,Remove FB Corneal W/O Slit Lamp|BILATERAL PROCEDURE,153.0,114.75,597.21,597.21,1 CPT,65222,Remove FB Corneal W/Slit Lamp,153.0,114.75,107.16,107.16,1 CPT,65222,Remove FB Corneal W/Slit Lamp|BILATERAL PROCEDURE,153.0,114.75,182.66,182.66,1 CPT,65286,Apply Tissue Glue to Wound Cornea/Sclera,1473.0,1104.75,2708.23,2708.23,1 CPT,65410,Biopsy of Cornea,2186.0,1639.5,2770.25,2770.25,1 CPT,65435,Remove Epithel Cornea,1980.0,1485.0,807.29,807.29,1 CPT,65436,Rem Corneal Epithelium; Chelating Agent,2348.0,1761.0,2770.25,2770.25,1 CPT,65600,Multiple Punctures of Anterior Cornea,2848.0,2136.0,2770.25,2770.25,1 CPT,65772,Inc Corneal Relax Astigmatism,1909.0,1431.75,1150.08,1150.08,1 CPT,65778,Application of Prokea (Exploding Code),2614.0,1960.5,1150.08,1150.08,1 CPT,65778,Application of Prokea (Exploding Code)|BILATERAL PROCEDURE,2614.0,1960.5,1384.77,1384.77,1 CPT,65800,Paracentesis W/Asp Aqueous Dx,1473.0,1104.75,2708.23,2708.23,1 CPT,65855,Trabeculoplasty by Laser Surgery,839.0,629.25,429.57,651.43,3 CPT,66250,Revise/Repair Wound Anter Segment,2358.0,1768.5,1789.25,2770.25,3 CPT,66761,Iridotomy/Irridectomy Laser Surg per Session,848.0,636.0,496.18,651.43,2 CPT,66761,Iridotomy/Irridectomy Laser Surg per Session|BILATERAL PROCEDURE,848.0,636.0,651.43,851.12,5 CPT,66762,Iridoplasty Photocoag 1/More Sessn,839.0,629.25,651.43,651.43,1 CPT,66821,Discission Cataract Sec Mem Laser,2078.0,1558.5,496.18,1455.43,5 CPT,66984,"Remove Cataract, Insert Lens",3190.0,2392.5,1633.28,1633.28,1 CPT,66999,HC Mee Lasek,300.0,225.0,2708.23,2708.23,2 CPT,66999,Mee Hyperopic Lasik,323.0,242.25,2708.23,2708.23,2 CPT,66999,Mee Lasik,330.0,247.5,2708.23,2708.23,2 CPT,66999,Mee Park,323.0,242.25,2708.23,2708.23,2 CPT,66999,Mee Prk,335.0,251.25,2708.23,2708.23,2 CPT,66999,Mee Ptk,1141.0,855.75,2708.23,2708.23,2 CPT,66999,Mee Refractive After Ecce,323.0,242.25,2708.23,2708.23,2 CPT,66999,Mee Retreat After 1 Year,330.0,247.5,2708.23,2708.23,2 CPT,66999,Mitomycin Intravasc Chemoembo (Mice),2359.0,1769.25,2708.23,2708.23,2 CPT,66999,Proc. Ant/Seg Laser Suture Lysis,118.0,88.5,2708.23,2708.23,2 CPT,66999,Revision Xen Gel Stent W/Laser,2358.0,1768.5,2708.23,2708.23,2 CPT,66999,Sp Mee Ctak Laser,882.0,661.5,2708.23,2708.23,2 CPT,67015,"Aspiration, Pars Plana Approach",6043.0,4532.25,2708.23,2708.23,1 CPT,67028,Inject Medication Intravitreal,502.0,376.5,257.02,393.86,6 CPT,67028,Inject Medication Intravitreal|BILATERAL PROCEDURE,502.0,376.5,393.86,1266.85,16 CPT,67105,Rpr Retinal Dtchmnt 1/> Ses Pc Incl Subreti Drg,848.0,636.0,651.43,651.43,1 CPT,67141,Proph Retinal Dtchmnt W/O Drg Crtx Diathermy,850.0,637.5,283.52,354.96,2 CPT,67145,Proph Retinal Dtchmnt W/O Drg Photocoagulation,839.0,629.25,429.57,651.43,3 CPT,67145,Proph Retinal Dtchmnt W/O Drg Photocoagulation|BILATERAL PROCEDURE,839.0,629.25,651.43,851.12,2 CPT,67221,Dest Lesion Choroid Phytodynam,850.0,637.5,496.18,496.18,1 CPT,67228,Treatment Extensive Retinopathy Photocoagulation,1680.0,1260.0,496.18,1274.78,5 CPT,67228,Treatment Extensive Retinopathy Photocoagulation|BILATERAL PROCEDURE,1680.0,1260.0,651.43,1985.53,4 CPT,67345,Chemodenervation of Extraocular Muscle,1213.0,909.75,354.96,354.96,1 CPT,67345,Chemodenervation of Extraocular Muscle|BILATERAL PROCEDURE,1213.0,909.75,486.33,486.33,1 CPT,67400,"Orbitotomy WO Bone Flap,Explore; W/WO Bx",4373.0,3279.75,4477.84,4477.84,1 CPT,67400,"Orbitotomy WO Bone Flap,Explore; W/WO Bx|BILATERAL PROCEDURE",4373.0,3279.75,5103.59,7406.87,2 CPT,67500,Injection Eye Socket,359.0,269.25,251.44,251.44,1 CPT,67515,Inj Therapy Tenons Cap,502.0,376.5,283.52,354.96,3 CPT,67516,Supchrdl Njx of Rx Agt W/O Supply of Medication,530.0,397.5,393.86,393.86,1 CPT,67700,Blepharotomy Eyelid Drain Abscess,492.0,369.0,354.96,354.96,1 CPT,67800,Exc Chalazion Sgl,505.0,378.75,258.56,354.96,4 CPT,67805,"Excision Chalazion; Multiple, Diff Lids",2063.0,1547.25,283.52,354.96,2 CPT,67805,"Excision Chalazion; Multiple, Diff Lids|BILATERAL PROCEDURE",2063.0,1547.25,486.33,486.33,1 CPT,67810,Biopsy Eyelid Incis W/Margin,610.0,457.5,283.52,354.96,2 CPT,67810,Biopsy Eyelid Incis W/Margin|BILATERAL PROCEDURE,610.0,457.5,354.96,486.33,3 CPT,67820,Correct Trichiasis W/Forceps,162.0,121.5,82.94,153.06,3 CPT,67820,Correct Trichiasis W/Forceps|BILATERAL PROCEDURE,162.0,121.5,182.66,182.66,1 CPT,67825,Correct Trichiasis W/O Forceps,502.0,376.5,354.96,354.96,4 CPT,67825,Correct Trichiasis W/O Forceps|BILATERAL PROCEDURE,502.0,376.5,354.96,486.33,4 CPT,67840,Exc Lesn Eyelid Not Chalazion,1265.0,948.75,647.68,1150.08,3 CPT,67840,Exc Lesn Eyelid Not Chalazion|BILATERAL PROCEDURE,1265.0,948.75,1150.08,1384.77,3 CPT,67875,Close Eyelid Suture Temporary,1272.0,954.0,1150.08,1150.08,1 CPT,67880,Construct Intermarg Adh/ Tarsorr/Cantorr,2342.0,1756.5,2770.25,2770.25,1 CPT,67900,Repair of Brow Ptosis,3901.0,2925.75,2770.25,2960.08,2 CPT,67900,Repair of Brow Ptosis|BILATERAL PROCEDURE,3901.0,2925.75,3109.35,3109.35,1 CPT,67903,Rpr Blepharoptosis Levator Rescj/Advmnt Internal,2234.0,1675.5,2770.25,2770.25,1 CPT,67903,Rpr Blepharoptosis Levator Rescj/Advmnt Internal|BILATERAL PROCEDURE,2234.0,1675.5,3109.35,3109.35,1 CPT,67904,"(Tarso)Levator Resec/Advanc,External App",2848.0,2136.0,1458.18,2770.25,3 CPT,67904,"(Tarso)Levator Resec/Advanc,External App|BILATERAL PROCEDURE",2848.0,2136.0,3109.35,3109.35,1 CPT,67908,"Fix Lid Ptosis, Fasanella-Servat",2745.0,2058.75,1405.44,2770.25,3 CPT,67908,"Fix Lid Ptosis, Fasanella-Servat|BILATERAL PROCEDURE",2745.0,2058.75,3109.35,3109.35,1 CPT,67908,Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj,2745.0,2058.75,1405.44,2770.25,3 CPT,67908,Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj|BILATERAL PROCEDURE,2745.0,2058.75,3109.35,3109.35,1 CPT,67911,Correct Lid Retractn,2864.0,2148.0,2770.25,2770.25,1 CPT,67911,Correct Lid Retractn|BILATERAL PROCEDURE,2864.0,2148.0,3109.35,7406.87,2 CPT,67912,Correction Eyelid With Implant,4373.0,3279.75,2770.25,2770.25,1 CPT,67917,Rpr Ectropion Extensive,2848.0,2136.0,2161.06,2770.25,3 CPT,67917,Rpr Ectropion Extensive|BILATERAL PROCEDURE,2848.0,2136.0,3109.35,3109.35,1 CPT,67921,Rpr Entropion/ Uture,2864.0,2148.0,2770.25,2770.25,1 CPT,67924,Repair Entropion Extensive,3657.0,2742.75,2770.25,2770.25,1 CPT,67950,Canthoplasty,2848.0,2136.0,2770.25,2770.25,2 CPT,67961,Exc/Repair Eyelid <1/4 Lid Margin,2848.0,2136.0,2770.25,2770.25,1 CPT,67961,Exc/Repair Eyelid <1/4 Lid Margin|BILATERAL PROCEDURE,2848.0,2136.0,3109.35,3109.35,1 CPT,67966,Exc/Repair Eyelid > 1/4 Lid Margin,2848.0,2136.0,2770.25,2770.25,1 CPT,67971,"Reconstruc Eyelid,<2/3,One Stage",4376.0,3282.0,2770.25,2770.25,1 CPT,67975,"Reconstruct Eyelid,Full Thick; 2nd Stage",2848.0,2136.0,2770.25,2770.25,2 CPT,67999,Mee Lipiflow Service,530.0,397.5,354.96,354.96,2 CPT,67999,"Meibomian Gland Probing, 1 Lid",147.0,110.25,354.96,354.96,2 CPT,67999,"Meibomian Gland Probing, 2 Lids",245.0,183.75,354.96,354.96,2 CPT,67999,"Meibomian Gland Probing, 3 Lids",343.0,257.25,354.96,354.96,2 CPT,67999,"Meibomian Gland Probing, 4 Lids",434.0,325.5,354.96,354.96,2 CPT,67999,Removal of Eyelid Weight,858.0,643.5,354.96,354.96,2 CPT,67999,Revision of Eyelid With Implant Removal,2301.0,1725.75,354.96,354.96,2 CPT,68100,Biopsy Conjunctiva,1265.0,948.75,2770.25,2770.25,1 CPT,68100,Biopsy Conjunctiva|BILATERAL PROCEDURE,1265.0,948.75,3109.35,3109.35,1 CPT,68110,Exc Lesn Conjunctiva <1cm,2348.0,1761.0,1631.41,2770.25,3 CPT,68115,Exc Lesn Conjunctiva > 1cm,2754.0,2065.5,2770.25,2770.25,1 CPT,68115,Exc Lesn Conjunctiva > 1cm|BILATERAL PROCEDURE,2754.0,2065.5,3109.35,3109.35,1 CPT,68135,Dest Lesion Conjunctiva,1249.0,936.75,2770.25,2770.25,1 CPT,68200,Subconjunctival Injection,375.0,281.25,473.84,473.84,1 CPT,68440,Inc Snip Punctum Lacrimal,1117.0,837.75,354.96,354.96,1 CPT,68440,Inc Snip Punctum Lacrimal|BILATERAL PROCEDURE,1117.0,837.75,354.96,354.96,2 CPT,68700,Plastic Repair of Canaliculi|BILATERAL PROCEDURE,2864.0,2148.0,3109.35,3109.35,1 CPT,68760,Close Lacrimal Punctum; Thermo/Lig/Laser,1117.0,837.75,283.52,847.58,6 CPT,68760,Close Lacrimal Punctum; Thermo/Lig/Laser|BILATERAL PROCEDURE,1117.0,837.75,354.96,486.33,6 CPT,68761,Close Punctum Lacrimal Plug,505.0,378.75,258.56,383.19,11 CPT,68761,Close Punctum Lacrimal Plug|BILATERAL PROCEDURE,505.0,378.75,354.96,486.33,9 CPT,68810,Probe Duct Nasolacrimal|BILATERAL PROCEDURE,505.0,378.75,354.96,354.96,1 CPT,68815,"Probe Nasolac Duct,Insert Tube/Stent",2864.0,2148.0,1631.41,2770.25,4 CPT,68815,"Probe Nasolac Duct,Insert Tube/Stent|BILATERAL PROCEDURE",2864.0,2148.0,3109.35,3109.35,1 CPT,68840,Probing Canaliculi Lacrimal,360.0,270.0,252.14,354.96,8 CPT,68840,Probing Canaliculi Lacrimal|BILATERAL PROCEDURE,360.0,270.0,354.96,486.33,10 CPT,69100,Biopsy Ext Ear,1117.0,837.75,275.75,275.75,3 CPT,69105,Biopsy External Auditory Canal,2392.0,1794.0,1758.93,1758.93,1 CPT,69140,"Excise Exostosis(Es),External Aud Canal",6906.0,5179.5,3535.87,3535.87,1 CPT,69145,Exc Lesn Canal Auditor Soft Tiss,1980.0,1485.0,1445.4,3398.51,4 CPT,69200,Pf Rem FB Canal Aud Ext,453.0,339.75,153.06,343.74,4 CPT,69200,Remove FB Ext Auditory Canal W/O,105.0,78.75,53.76,153.06,4 CPT,69210,Pf Remove Cerumen Impacted Unilate,259.0,194.25,70.53,196.53,12 CPT,69210,Pf Remove Cerumen Impacted Unilate|BILATERAL PROCEDURE,259.0,194.25,302.16,302.16,1 CPT,69210,Remove Cerumen Impacted Unilate,103.0,77.25,52.74,78.16,13 CPT,69210,Remove Cerumen Impacted Unilate|BILATERAL PROCEDURE,103.0,77.25,95.88,302.16,2 CPT,69220,"Debride Mastoid Cavity,Simple",468.0,351.0,176.45,355.12,11 CPT,69220,Debridement Mastoidectomy Cavity Simple,166.0,124.5,84.99,235.94,11 CPT,69220,Debridement Mastoidectomy Cavity Simple|BILATERAL PROCEDURE,166.0,124.5,302.67,302.67,1 CPT,69222,"Debride Mastoid Cavity,Complex",916.0,687.0,389.12,604.7,10 CPT,69222,"Debride Mastoid Cavity,Complex|BILATERAL PROCEDURE",1072.0,804.0,835.59,835.59,1 CPT,69399,Aspiration Ext Ear Canal Abscess,317.0,237.75,162.3,240.54,5 CPT,69399,"Cosmetic Earwell Ear Molding, per Ear",824.0,618.0,421.89,625.25,5 CPT,69399,"Tissue Expansion, Ear",4738.0,3553.5,2425.86,3595.19,5 CPT,69420,Myringotomy W/Asp/Eust Tube,517.0,387.75,264.7,275.75,3 CPT,69420,Myringotomy W/Asp/Eust Tube|BILATERAL PROCEDURE,517.0,387.75,275.75,353.6,2 CPT,69433,Tympanostomy W/Local Anes,1072.0,804.0,487.13,813.43,9 CPT,69433,Tympanostomy W/Local Anes|BILATERAL PROCEDURE,1072.0,804.0,604.7,835.59,6 CPT,69436,"Create Eardrum Opening,Gen Anesth",2407.0,1805.25,1151.19,1826.43,6 CPT,69436,"Create Eardrum Opening,Gen Anesth|BILATERAL PROCEDURE",2407.0,1805.25,2194.08,4732.78,3 CPT,69610,Tympanic Memb Rpr W/WO Prepj Perfor Patch,3651.0,2738.25,2008.14,2008.14,1 CPT,69610,Tympanic Memb Rpr W/WO Prepj Perfor Patch|BILATERAL PROCEDURE,3651.0,2738.25,3827.37,3827.37,1 CPT,69799,"Transtympanic Blood Patch, Unilateral",2406.0,1804.5,1231.87,1864.65,4 CPT,69801,Labyrinthotomy W/Perfu of Vestib,2406.0,1804.5,1151.19,1825.67,9 CPT,69801,Labyrinthotomy W/Perfu of Vestib|BILATERAL PROCEDURE,2406.0,1804.5,2194.08,2194.08,1 CPT,70120,Xr Mastoids <3 Views,369.0,276.75,188.93,188.93,1 CPT,70250,Xr Skull Ltd <4 Views,584.0,438.0,443.14,443.14,1 CPT,70336,MRI Tmj Unilat or Bilat,2250.0,1687.5,230.56,784.65,5 CPT,70360,Xr Neck Soft Tissue,484.0,363.0,367.26,375.1,2 CPT,70390,Xr Sialogram,921.0,690.75,713.78,713.78,1 CPT,70450,CT Head W/O Contrast,917.0,687.75,112.51,382.89,11 CPT,70460,CT Head W/Contrast,1216.0,912.0,201.74,686.56,9 CPT,70470,CT Head W&W/O Contrast,1468.0,1101.0,201.74,686.56,6 CPT,70480,CT Orb/Fos/Sel/Ear W/O Contrast,1545.0,1158.75,112.51,1004.25,22 CPT,70481,CT Orb/Fos/Sel/Ear W/Contrast,1802.0,1351.5,201.74,686.56,8 CPT,70482,CT Orb/Fos/Sel/Ear W&W/O Contrast,2051.0,1538.25,211.39,211.39,1 CPT,70486,CT Max/Facial W/O Contrast,1252.0,939.0,112.51,813.8,21 CPT,70487,CT Max/Facial W/Contrast,1531.0,1148.25,201.74,686.56,9 CPT,70488,CT Max/Facial W&W/O Contrast,1880.0,1410.0,686.56,686.56,1 CPT,70490,CT Neck W/O Contrast,1229.0,921.75,112.51,629.25,10 CPT,70491,CT Neck W/Contrast,1491.0,1118.25,201.74,1088.43,25 CPT,70492,CT Neck W&W/O Contrast,1830.0,1372.5,201.74,686.56,8 CPT,70496,Cta Head W&W/O Contrast,3018.0,2263.5,201.74,686.56,10 CPT,70498,Cta Neck W&W/O Contrast,3035.0,2276.25,201.74,1553.92,7 CPT,70540,MRI Orbit/Face/Neck W/O Cont,2533.0,1899.75,230.56,784.65,5 CPT,70542,MRI Orbit/Face/Neck W/Cont,2744.0,2058.0,385.88,1313.25,3 CPT,70543,MRI Orbit/Face/Neck W&W/O Cont,3428.0,2571.0,385.88,1755.14,22 CPT,70544,Mra Head W/O Cont,2531.0,1898.25,230.56,784.65,7 CPT,70547,Mra Neck W/O Cont,2528.0,1896.0,784.65,784.65,1 CPT,70548,Mra Neck W/Cont,2650.0,1987.5,1288.54,1313.25,2 CPT,70549,Mra Neck W&W/O Cont,3814.0,2860.5,385.88,1313.25,4 CPT,70551,MRI Brain W/O Cont,2610.0,1957.5,230.56,1336.32,16 CPT,70551,MRI Brain W/O Cont|REDUCED SERVICES,2610.0,1957.5,287.03,287.03,2 CPT,70552,MRI Brain W/Cont,2840.0,2130.0,385.88,1313.25,8 CPT,70553,MRI Brain W&W/O Cont,3390.0,2542.5,385.88,2474.7,24 CPT,71045,Radiologic Exam Chest Single View,140.0,105.0,98.06,108.5,6 CPT,71046,Radiologic Exam Chest 2 Views,140.0,105.0,71.68,108.5,11 CPT,71250,Diagnostic Computed Tomography Thorax W/O Cntrst,1210.0,907.5,112.51,619.52,11 CPT,71260,Diagnostic Computed Tomography Thorax W/Contrast,1471.0,1103.25,201.74,956.15,16 CPT,71275,Cta Chest (Noncor) W&W/O Contrast,2165.0,1623.75,686.56,686.56,1 CPT,72141,MRI C-Spine W/O Cont,2308.0,1731.0,230.56,784.65,3 CPT,72146,MRI T-Spine W/O Cont,2314.0,1735.5,230.56,287.03,3 CPT,72156,MRI C-Spine W&W/O Cont,3373.0,2529.75,385.88,1726.98,5 CPT,72157,MRI T-Spine W&W/O Cont,3110.0,2332.5,385.88,1313.25,4 CPT,72158,MRI L-Spine W&W/O Cont,3332.0,2499.0,424.07,1313.25,2 CPT,73706,Cta Lwr Ext W&W/O Contrast,2262.0,1696.5,211.39,211.39,1 CPT,73706,Cta Lwr Ext W&W/O Contrast Lt,1325.0,993.75,211.39,211.39,1 CPT,73706,Cta Lwr Ext W&W/O Contrast Rt,1325.0,993.75,211.39,211.39,1 CPT,74018,Radiologic Exam Abdomen 1 View,140.0,105.0,104.55,104.55,1 CPT,74160,CT Abdomen W/Contrast,1607.0,1205.25,211.39,211.39,1 CPT,74174,CT Abd/Pelvis W/Wocontrast Post,2309.0,1731.75,424.07,424.07,1 CPT,74176,CT Abdomen & Pelvis W/O Contrast,912.0,684.0,287.03,784.65,2 CPT,74177,CT Abdomen & Pevis With Contrast,1463.0,1097.25,385.88,424.07,5 CPT,74220,Xr Esophagus,1700.0,1275.0,211.39,1317.5,9 CPT,74221,Radiologic Exam Esophagus Double Contrast Study,1058.0,793.5,211.39,802.81,7 CPT,74230,Xr Swallow Cine/Video,1700.0,1275.0,211.39,1317.5,17 CPT,76510,US Eye a/B-Scan,429.0,321.75,325.53,325.53,1 CPT,76512,US Eye B-Scan,337.0,252.75,112.51,261.18,6 CPT,76513,Dx Ophthalmic US Ant Segment Immersion Uni/Bi,337.0,252.75,112.51,261.18,10 CPT,76514,US Eye Thickness Unilat or Bilat,116.0,87.0,29.08,89.9,13 CPT,76516,US Eye Biometry a-Scan,557.0,417.75,112.51,422.65,7 CPT,76536,US Soft Tissue Head/Neck,451.0,338.25,112.51,349.53,20 CPT,76942,US Guided Needle Placement,395.0,296.25,299.73,299.73,1 CPT,80048,Basic Metabolic Panel,383.0,287.25,196.1,296.83,2 CPT,80053,Comprehensive Metabolic Panel,596.0,447.0,305.15,461.9,2 CPT,80061,Lipid Panel,292.0,219.0,149.5,226.3,2 CPT,80076,Hepatic Function Panel,287.0,215.25,146.94,222.43,2 CPT,80145,Drug Assay Adalimumab,268.0,201.0,188.16,188.16,1 CPT,80230,Drug Assay Infliximab,268.0,201.0,188.16,188.16,1 CPT,81001,Urinalysis Auto W/Micro,37.0,27.75,18.94,18.94,1 CPT,81003,Urinalysis Auto W/O Micro,10.0,7.5,5.12,5.12,1 CPT,81025,Urine Pregnancy Visual,97.0,72.75,49.66,75.18,2 CPT,82024,Adrenocorticotropic (Acth),479.0,359.25,245.25,245.25,1 CPT,82040,Albumin Serum/Plasma/Blood,32.0,24.0,16.38,24.8,4 CPT,82164,Angiotensin I Enzyme (Ace),232.0,174.0,118.78,179.8,2 CPT,82166,Assay of Anti-Mullerian Hormone,340.0,255.0,238.71,238.71,1 CPT,82175,Arsenic,229.0,171.75,177.48,177.48,1 CPT,82300,Cadmium,276.0,207.0,213.9,213.9,1 CPT,82306,Vitamin D 25 Hydroxy Inc Fraction,924.0,693.0,473.09,716.1,4 CPT,82308,Calcitonin,588.0,441.0,301.06,455.7,2 CPT,82310,Calcium Total,72.0,54.0,36.86,55.8,4 CPT,82378,Carcinoembryonic Antigen (Cea),185.0,138.75,94.72,94.72,1 CPT,82390,Ceruloplasmin,183.0,137.25,118.95,141.83,2 CPT,82525,Copper,287.0,215.25,146.94,146.94,1 CPT,82533,Cortisol Total,177.0,132.75,90.62,90.62,1 CPT,82550,Creatine Kinase (Cpk) Total,119.0,89.25,60.93,60.93,1 CPT,82565,Creatinine Blood,72.0,54.0,36.86,55.8,4 CPT,82565,Creatinine Blood (Qw),16.0,12.0,8.19,12.4,4 CPT,82570,Creatinine Other Source,108.0,81.0,55.3,83.7,2 CPT,82607,Vitamin B-12 (Cyancobalamin),270.0,202.5,138.24,209.25,3 CPT,82728,Ferritin,182.0,136.5,93.18,93.18,1 CPT,82746,Folic Acid Serum,239.0,179.25,122.37,185.23,3 CPT,82784,Gammaglobulin Igm Iga Igd or Igg,139.0,104.25,71.17,107.73,2 CPT,82785,Gammaglobulin Ige,182.0,136.5,93.18,93.18,1 CPT,82787,Immunoglobulin Subclasses Ea,429.0,321.75,219.65,332.48,2 CPT,83020,Hemoglobin Electrophoresis,273.0,204.75,211.58,211.58,1 CPT,83036,Hemoglobin Glycosylated (A1c),167.0,125.25,85.5,85.5,1 CPT,83516,Immuno Ql/Sq Multi,139.0,104.25,71.17,90.35,2 CPT,83519,Immuno Qn Ria,423.0,317.25,216.58,216.58,1 CPT,83519,Mee S50480 Interleukin 10 Fluid 83519,423.0,317.25,216.58,216.58,1 CPT,83520,Immuno Qn Other,70.0,52.5,35.84,54.25,2 CPT,83521,Immunoglobulin Light Chains Free Each,151.0,113.25,77.31,117.03,4 CPT,83525,Insulin Total,141.0,105.75,72.19,72.19,1 CPT,83529,Assay of Interleukin-6 (Il-6),151.0,113.25,99.51,99.51,1 CPT,83540,IRON,31.0,23.25,15.87,24.03,2 CPT,83550,Iron Binding Capacity,167.0,125.25,85.5,129.43,2 CPT,83615,Lactate Dehydrogenase (Ldh),81.0,60.75,41.47,41.47,1 CPT,83655,LEAD,208.0,156.0,161.2,161.2,1 CPT,83735,Magnesium,182.0,136.5,93.18,141.05,4 CPT,83825,Mercury,194.0,145.5,150.35,150.35,1 CPT,83835,Metanephrines,102.0,76.5,52.22,79.05,2 CPT,83970,Parathormone (Pth),545.0,408.75,279.04,422.38,4 CPT,83993,Calprotectin,241.0,180.75,123.39,186.78,2 CPT,84075,Phosphatase Alkaline,32.0,24.0,16.38,24.8,4 CPT,84100,Phosphorus,31.0,23.25,15.87,24.03,4 CPT,84146,Prolactin,472.0,354.0,241.66,241.66,1 CPT,84165,Protein Electrophoresis,105.0,78.75,53.76,81.38,2 CPT,84207,Vitamin B-6 (Pyridoxal Phosphate),588.0,441.0,455.7,455.7,1 CPT,84252,Vitamin B-2 (Riboflavin),244.0,183.0,189.1,189.1,1 CPT,84425,Vitamin B1 (Thiamine),108.0,81.0,55.3,83.7,3 CPT,84432,Thyroglobulin,33.0,24.75,16.9,25.58,3 CPT,84436,Thyroxine (T-4) Total,121.0,90.75,93.78,93.78,1 CPT,84439,Thyroxine (T-4) Free,132.0,99.0,67.58,102.3,3 CPT,84442,Thyroid Activity (Tbg),296.0,222.0,151.55,151.55,1 CPT,84443,Thyroid Stimulating Hormone (Tsh),226.0,169.5,115.71,175.15,4 CPT,84445,Thyroid Stimulating Immun Globulin,213.0,159.75,109.06,165.08,2 CPT,84446,Vitamin E,319.0,239.25,207.35,247.23,2 CPT,84450,Ast/Sgot,32.0,24.0,16.38,16.38,1 CPT,84460,Alt/Sgpt,62.0,46.5,31.74,31.74,1 CPT,84480,Triiodothyronine (T-3) Total,104.0,78.0,53.25,80.6,3 CPT,84520,Urea Nitrogen Quantitative,50.0,37.5,25.6,38.75,4 CPT,84630,ZINC,140.0,105.0,91.0,91.0,1 CPT,84702,Hcg Qn,73.0,54.75,37.38,56.58,2 CPT,85007,Blood Smear W/Manual Diff Wbc,59.0,44.25,45.73,45.73,1 CPT,85025,Blood Count Cbc Auto W/Auto Diff,100.0,75.0,51.2,51.2,1 CPT,85027,Blood Count Cbc Auto W/O Diff,119.0,89.25,60.93,92.23,2 CPT,85240,Factor VIII Ahg,448.0,336.0,229.38,229.38,1 CPT,85245,Factor VIII Vw Ristocetin Cofactor,491.0,368.25,251.39,251.39,1 CPT,85246,Factor VIII Vw Antigen,1148.0,861.0,587.78,587.78,1 CPT,85300,Antithrombin III Activity,374.0,280.5,289.85,289.85,1 CPT,85520,Heparin Assay,127.0,95.25,65.02,65.02,1 CPT,85549,Muramidase,279.0,209.25,142.85,216.23,2 CPT,85610,Prothrombin Time (Pt),63.0,47.25,32.26,48.83,2 CPT,85613,Russell Viper Venom Diluted,74.0,55.5,37.89,57.35,2 CPT,85652,Sed Rate RBC Auto,63.0,47.25,32.26,48.83,2 CPT,85730,Partial Thromboplastin Time (Ptt),63.0,47.25,32.26,48.83,2 CPT,86003,Allergen Specific Ige Quan/Semiquan Ea Allergen,73.0,54.75,37.38,37.38,1 CPT,86003,Rast Allergen Ige Qn Sq Ea,73.0,54.75,37.38,37.38,1 CPT,86015,Actin Smooth Muscle Antibody Each,102.0,76.5,67.22,67.22,1 CPT,86036,Antineutrophil Cytoplasmic Antb Screen Ea Antb,106.0,79.5,54.27,82.15,6 CPT,86037,Antineutrophil Cytoplasmic Antb Titer Ea Antb,106.0,79.5,54.27,69.85,2 CPT,86038,Antinuclear Antibodies (Ana) Screen,205.0,153.75,104.96,158.88,2 CPT,86039,Antinuclear Antibodies (Ana) Titer,218.0,163.5,111.62,168.95,2 CPT,86041,Acetylcholine Receptor Binding Antibody,163.0,122.25,83.46,126.33,4 CPT,86042,Acetylcholine Receptor Blocking Antibody,163.0,122.25,83.46,126.33,3 CPT,86043,Acetylcholine Receptor Modulating Antibody,106.0,79.5,54.27,82.15,4 CPT,86053,Aquaporin-4 Antibody Flow Cytometry Each,106.0,79.5,54.27,82.15,5 CPT,86140,C-Reactive Protein,111.0,83.25,56.83,86.03,2 CPT,86141,C-Reactive Protein High Sensitivity,226.0,169.5,115.71,175.15,2 CPT,86146,Beta 2 Glycoprotein I Antibody Ea,116.0,87.0,59.39,89.9,2 CPT,86147,Cardiolipin Antibody Ea Ig Class,132.0,99.0,67.58,102.3,2 CPT,86161,Complement Functional Activity,357.0,267.75,182.78,182.78,1 CPT,86200,Cyclic Citrulli Pept (CCP) Antibody,305.0,228.75,156.16,236.38,2 CPT,86225,Dna Double Strand Antibody,170.0,127.5,87.04,87.04,1 CPT,86235,Extract Nuclear Antigen,450.0,337.5,230.4,348.75,2 CPT,86255,Fluorescent Antibody Scrn,678.0,508.5,347.14,525.45,2 CPT,86255,Mee Anti-Neuronal Antibodies,678.0,508.5,347.14,525.45,2 CPT,86317,HC Immunoassay Infectious Agent Antibody Quan,228.0,171.0,176.7,176.7,1 CPT,86341,Islet Cell Antibody,239.0,179.25,155.35,155.35,1 CPT,86363,Mog-Igg1 Antibody Flow Cytometry Each,106.0,79.5,69.85,82.15,4 CPT,86366,Muscle-Specific Kinase Antibody,163.0,122.25,107.42,126.33,2 CPT,86376,Microsomal Antibody,101.0,75.75,51.71,78.28,2 CPT,86431,Rheumatoid Factor Qn,81.0,60.75,41.47,62.78,2 CPT,86481,TB Test Cell Imm Ag Meas Gam Interf,167.0,125.25,85.5,129.43,2 CPT,86611,Bartonella Antibody,80.0,60.0,40.96,62.0,2 CPT,86618,Lyme Disease Antibody,176.0,132.0,90.11,136.4,2 CPT,86644,Cytomegalovirus (Cmv) Antibody,155.0,116.25,79.36,79.36,1 CPT,86645,Cytomegalovirus (Cmv) Antibody Igm,155.0,116.25,79.36,79.36,1 CPT,86664,Epstein-Barr Ebna Ag Antibody,84.0,63.0,43.01,65.1,2 CPT,86665,Epstein-Barr Vca Ag Antibody,80.0,60.0,40.96,62.0,2 CPT,86684,Haemophilus Influenza Antibody,501.0,375.75,388.28,388.28,1 CPT,86695,Herpes Simplex Type I Antibody,310.0,232.5,158.72,240.25,2 CPT,86696,Herpes Simplex Type II Antibody,237.0,177.75,121.34,183.68,2 CPT,86698,Histoplasma Antibody,152.0,114.0,77.82,77.82,1 CPT,86704,Hepatitis B Core Antibody Igm Igg,231.0,173.25,118.27,179.03,2 CPT,86706,Hepatitis B Surface Antibody,81.0,60.75,41.47,62.78,2 CPT,86777,Toxoplasma Antibody,299.0,224.25,153.09,231.73,2 CPT,86780,Treponema Pallidum Antibody,256.0,192.0,131.07,198.4,2 CPT,86787,Varicella-Zoster Antibody,208.0,156.0,161.2,161.2,1 CPT,86788,West Nile Virus Antibody Igm,176.0,132.0,90.11,136.4,2 CPT,86803,Hepatitis C Antibody,208.0,156.0,106.5,161.2,3 CPT,86812,Hla Typing Single Antigen a/B/C,146.0,109.5,74.75,74.75,1 CPT,86850,RBC Antibody Screen,149.0,111.75,115.48,115.48,1 CPT,86900,Blood Typing Serologic Abo,94.0,70.5,72.85,72.85,1 CPT,86901,HC Blood Typing Serologic Rh (D),80.0,60.0,62.0,62.0,1 CPT,86923,Compatibility Test Ea Unit Electron,158.0,118.5,203.48,203.48,1 CPT,87070,Culture Bacterial Other Source,151.0,113.25,77.31,117.03,6 CPT,87075,Culture Anaerobic,153.0,114.75,78.34,118.58,4 CPT,87076,Culture Anaerobic ID,166.0,124.5,84.99,107.9,3 CPT,87077,Culture Aerobic ID,166.0,124.5,84.99,128.65,5 CPT,87081,Culture Screen Single Organism,128.0,96.0,65.54,99.2,3 CPT,87102,Culture Fungus Other,237.0,177.75,121.34,183.68,6 CPT,87106,Culture Fungus ID Yeast,110.0,82.5,80.3,80.3,1 CPT,87106,Mee ID Susceptibility Uni Tex,110.0,82.5,80.3,80.3,1 CPT,87107,Culture Fungus ID Mold,375.0,281.25,192.0,192.0,1 CPT,87116,Culture Afb/TB/Mycobacteria,48.0,36.0,24.58,37.2,2 CPT,87147,Culture Typing Serologic,187.0,140.25,95.74,144.93,2 CPT,87186,"Mee Aerobic Sensitivity, Gram POS Mic (Spec)",254.0,190.5,130.05,196.85,5 CPT,87186,Susceptibility Mic per Plate,254.0,190.5,130.05,196.85,5 CPT,87205,Smear Gram or Geimsa Stain,123.0,92.25,62.98,95.33,5 CPT,87206,Smear Acid Fast/Fluorescent Stain,241.0,180.75,123.39,186.78,2 CPT,87338,Eia Ql H Pylori Antigen Stool,179.0,134.25,91.65,91.65,1 CPT,87340,Eia Ql Hepatitis B Ag,217.0,162.75,111.1,168.18,2 CPT,87529,Nucleic Acid Amp Probe Herpes Smpx,313.0,234.75,160.26,160.26,1 CPT,87798,Mee Varicella Zoster Pcr Vitreous,250.0,187.5,128.0,193.75,2 CPT,87798,Mgh Nonvirus Rna Rt Pcr,250.0,187.5,128.0,193.75,2 CPT,87798,Nucleic Acid Amp Infectious,250.0,187.5,128.0,193.75,2 CPT,87801,Nucleic Acid Amp Multi Org,605.0,453.75,468.88,468.88,1 CPT,88313,Special Stain II Iron,105.0,78.75,53.76,153.06,11 CPT,88331,Consult Path Surgery W/Frozen,586.0,439.5,203.48,454.15,4 CPT,88342,Imhistochem/Cytchm Init Antibody Stain Procedure,421.0,315.75,203.48,326.28,11 CPT,88364,In Situ Hybridization Ea Addl Probe Stain,596.0,447.0,305.15,461.9,3 CPT,89051,Cell Count Body Fluid W/Diff,50.0,37.5,25.6,38.75,2 CPT,90471,Immune Admin One Vacc Im/Sub-Q/ID,33.0,24.75,16.9,25.58,4 CPT,90651,9vhpv Vacc 2/3 Dose Sched Im Use,537.72,403.29,408.02,408.02,1 CPT,90656,Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use,32.39,24.29,16.58,25.1,3 CPT,90677,Pcv20 Vaccine for Intramuscular Use,441.82,331.36,287.18,291.16,3 CPT,90714,Td Vaccine Prsrv Free 7 Yrs or Older for Im Use,132.76,99.57,67.97,67.97,1 CPT,92012,Eye Exam Estab Intermediate,166.0,124.5,84.99,153.03,19 CPT,92014,Eye Exam Estab Comprehensive,166.0,124.5,84.99,153.03,26 CPT,92018,Eua Ophthalmological Cmpl,647.0,485.25,490.94,490.94,1 CPT,92020,Gonioscopy,224.0,168.0,114.69,173.6,9 CPT,92025,Topography Comp Corneal Uni or Bila,200.0,150.0,70.53,155.0,12 CPT,92060,Sensorimotor Exam Ocular,314.0,235.5,70.53,243.35,7 CPT,92071,Fitting of Contact Lens Tx Oc Dis,221.0,165.75,113.15,171.28,4 CPT,92072,Fitting of Contact Lens Manage Kera,421.0,315.75,294.87,319.45,2 CPT,92081,Visual Field Exam Ltd,193.0,144.75,70.53,149.58,8 CPT,92082,Visual Field Exam Intermediate,218.0,163.5,70.53,168.95,5 CPT,92083,Visual Field Exam Exd,236.0,177.0,120.83,182.9,20 CPT,92100,Serial Tonometry,100.0,75.0,75.88,75.88,1 CPT,92132,Scan Cptrized Oph Dx Img Anterior,142.0,106.5,70.53,110.05,7 CPT,92133,Opthalmic Scan Optice Nrv Uni/Bi,142.0,106.5,70.53,110.05,19 CPT,92134,Opthalmic Scan Retina Uni/Bi,142.0,106.5,70.53,110.05,24 CPT,92136,Ophthalmic Biometry W/Iol Calc,218.0,163.5,111.62,168.95,13 CPT,92137,Cptrizd Oph Dx Img Pst Sgm Uni/Bi RTA Oct Angrph,156.0,117.0,79.87,369.77,7 CPT,92201,Opscpy Extnd RTA Drawing & Scl Deprsn I&R Uni/Bi,127.0,95.25,65.02,98.43,8 CPT,92202,Opscpy Extnd Optic Nrv/Macula Drawing I&R Uni/Bi,238.0,178.5,70.53,184.45,9 CPT,92235,Eye Exam W/Photos Multi Frame,509.0,381.75,260.61,394.48,18 CPT,92240,Icg Angiography,509.0,381.75,369.77,394.48,4 CPT,92242,Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi,1598.0,1198.5,369.77,1238.45,14 CPT,92250,Eye Exam W/Fundus Photos,277.0,207.75,141.82,214.68,12 CPT,92273,Full Field Electroretinography W/I&R,473.0,354.75,242.18,369.77,15 CPT,92274,Multifocal Electroretinography W/I&R,473.0,354.75,185.79,366.58,10 CPT,92283,Color Vision Testing,218.0,163.5,165.42,168.95,2 CPT,92284,Dx Dark Adaptation Exam Interpretation & Report,464.0,348.0,473.84,473.84,1 CPT,92285,External Ocular Photography,168.0,126.0,46.61,130.2,11 CPT,92286,Ant Sgm Imaging W/Microscopy Endothelial Analy,155.0,116.25,79.36,153.06,9 CPT,92286,Int Eye Imaging W/Interp,218.0,163.5,111.62,168.95,9 CPT,92313,Prescriptn Lens Corneoscleral,1293.0,969.75,153.06,153.06,1 CPT,92326,Replacement Contact Lens,130.0,97.5,100.75,100.75,1 CPT,92504,Binocular Microscopy,28.0,21.0,14.34,21.25,7 CPT,92504,Ear Microscopy Examination,106.0,79.5,54.27,80.43,7 CPT,92507,St Treatment Speech/Lang/Comm Ind,512.0,384.0,83.02,388.51,5 CPT,92511,Nasopharyngoscopy W/Endo,422.0,316.5,163.97,327.05,17 CPT,92511,Pf St Nasopharyngoscopy,560.0,420.0,163.97,434.0,17 CPT,92517,Cervical Vemp Testing W/I&R,245.0,183.75,125.44,189.88,11 CPT,92520,Laryngeal Function Study,199.0,149.25,153.06,154.23,4 CPT,92523,Speech Sound Lang Comprehen,886.0,664.5,247.31,453.63,3 CPT,92524,Behavral Qualit Analys Voice,886.0,664.5,117.66,672.3,5 CPT,92526,St Treat Swallow/Oral,200.0,150.0,92.11,92.11,1 CPT,92537,Caloric Vestibular Test W/Rec Bi Bithermal,284.0,213.0,184.6,220.1,15 CPT,92538,Caloric Vestibular Test W/Rec Bi Monothermal,284.0,213.0,185.79,220.1,6 CPT,92538,Caloric Vestibular Test W/Rec Bi Monothermal|REDUCED SERVICES,284.0,213.0,185.79,185.79,3 CPT,92540,Aud Basic Vstblr Spont Nystag Min 4,1129.0,846.75,185.79,874.98,18 CPT,92544,Aud Optokinetic Nystagmus W/Record,284.0,213.0,185.79,185.79,1 CPT,92545,Aud Oscillating Tracking W/Record,284.0,213.0,369.77,369.77,1 CPT,92546,Aud Sinusoidal Vertical Axis Rotate,387.0,290.25,185.79,299.93,14 CPT,92548,Aud Computer Dynamic Posturography,284.0,213.0,153.06,220.1,5 CPT,92549,Cdp-Sot 6 Conditions W/I&R W/Mct & Adt,111.0,83.25,77.74,86.03,3 CPT,92550,Aud Tympan/Reflex Thres Measurement,281.0,210.75,143.87,196.81,4 CPT,92550,Aud Tympan/Reflex Thres Measurement|REDUCED SERVICES,281.0,210.75,185.79,185.79,1 CPT,92552,Aud Pure Tone Air Only,370.0,277.5,153.06,286.75,6 CPT,92552,Aud Pure Tone Air Only|REDUCED SERVICES,370.0,277.5,153.06,153.06,2 CPT,92553,Aud Pure Tone Air & Bone,285.0,213.75,145.92,185.79,7 CPT,92555,Aud Speech Threshold,201.0,150.75,70.53,155.78,5 CPT,92556,Aud Speech Threshold W/Recognition,147.0,110.25,70.53,113.93,3 CPT,92557,Aud Eval Comp Threshold/Recognition,635.0,476.25,185.79,492.13,21 CPT,92557,Aud Eval Comp Threshold/Recognition|REDUCED SERVICES,635.0,476.25,185.79,185.79,5 CPT,92557,Comprehensive Hearing Test,210.0,157.5,107.52,185.79,23 CPT,92557,Comprehensive Hearing Test|REDUCED SERVICES,210.0,157.5,185.79,185.79,5 CPT,92567,Aud Tympanometry Impedance Test,276.0,207.0,46.61,213.9,12 CPT,92567,Aud Tympanometry Impedance Test|REDUCED SERVICES,276.0,207.0,46.61,46.61,2 CPT,92567,Tympanometry,173.0,129.75,35.84,213.9,26 CPT,92567,Tympanometry|REDUCED SERVICES,173.0,129.75,46.61,46.61,4 CPT,92579,Aud Visual Reinforcement Audiometry,285.0,213.75,145.92,220.88,6 CPT,92579,Visual Audiometry (Vra),150.0,112.5,76.8,185.79,7 CPT,92582,Aud Conditioning Play Audiometry,602.0,451.5,185.79,466.55,8 CPT,92582,Conditioning Play Audiometry,312.0,234.0,159.74,241.8,9 CPT,92583,Aud Select Picture Audiometry,111.0,83.25,56.83,86.03,2 CPT,92587,Aud Distort Evoked Oto Emiss Ltd/Tr,221.0,165.75,113.15,369.77,6 CPT,92587,Aud Distort Evoked Oto Emiss Ltd/Tr|REDUCED SERVICES,221.0,165.75,369.77,369.77,1 CPT,92588,Aud Distort Evoked Otoac Emiss Comp,524.0,393.0,268.29,406.1,9 CPT,92590,Aud Hearing Aid Exam Monaural,240.0,180.0,122.88,186.0,5 CPT,92591,Aud Hearing Aid Exam Binaural,240.0,180.0,122.88,186.0,8 CPT,92592,Aud Hearing Aid Check Monaural,60.0,45.0,30.72,46.5,6 CPT,92593,Aud Hearing Aid Check Binaural,60.0,45.0,30.72,46.5,7 CPT,92594,Aud Eval Electroacoustic Monaural,60.0,45.0,30.72,46.5,5 CPT,92595,Aud Eval Electroacoustic Binaural,60.0,45.0,30.72,46.5,7 CPT,92596,Aud Ear Protect Attenuation Measure,147.0,110.25,46.61,46.61,1 CPT,92597,St Evaluation Voice Prosthetic,1408.0,1056.0,78.47,986.16,4 CPT,92601,Cochlear Implant <7yrs W/Program,393.0,294.75,201.22,201.22,1 CPT,92602,Cochlear Implant <7yrs Reprogram,393.0,294.75,201.22,201.22,2 CPT,92603,Cochlear Implant 7+Yrs W/Program,393.0,294.75,185.79,304.58,10 CPT,92604,Cochlear Implant 7+Yrs Reprogram,393.0,294.75,185.79,304.58,19 CPT,92610,"Eval,Oral & Pharyngeal Swallow Function",263.0,197.25,134.66,184.21,4 CPT,92610,St Eval Oral/Swallow Function,180.0,135.0,92.16,126.07,2 CPT,92611,St Eval Swallow Video/Fluoro,210.0,157.5,107.52,147.08,3 CPT,92612,St Eval Swallow Endo Cine/Video,244.0,183.0,160.8,160.8,1 CPT,92613,St Eval Swall Endo C/V,391.0,293.25,273.86,273.86,1 CPT,92622,Dx Aly Prgrmg&Verif Aud Oi Sound Processr 1st 60,387.0,290.25,185.79,185.79,1 CPT,92626,Aud Assessment Rehab First Hr,437.0,327.75,185.79,338.68,10 CPT,92630,Aud Rehabilitation Pre-Lingual,512.0,384.0,262.14,262.14,1 CPT,92640,Aud Analysis Brainstm Implnt per Hr,285.0,213.75,145.92,220.88,3 CPT,92650,Aep Scr Auditory Potential W/Stimuli Auto Alys,177.0,132.75,129.21,129.21,1 CPT,92651,Aep Hearing Status Deter Broadband Stimuli I&R,543.0,407.25,369.77,369.77,3 CPT,92652,Aep Threshold Estimation Mlt Frequencies I&R,708.0,531.0,362.5,548.7,6 CPT,92653,Aep Neurodiagnostic Interpretation and Report,523.0,392.25,267.78,369.77,8 CPT,92700,Bone Conduction Check,60.0,45.0,29.08,46.5,10 CPT,92700,Bone Conduction Fitting Fee,240.0,180.0,29.08,186.0,10 CPT,92700,Flexible Fiberoptic/Endoscopic Eval of Swallowing W/Out Video,299.0,224.25,29.08,231.73,11 CPT,92700,HC Cochlear Device Troubleshooting,60.0,45.0,29.08,46.5,10 CPT,92700,Mee Video Head Impulse Test (Vhit),322.0,241.5,29.08,249.55,11 CPT,92700,Ns Unlisted Orl Serv or Proc,349.0,261.75,29.08,270.48,11 CPT,93005,Ekg Routine Tracing Only,181.0,135.75,70.53,140.28,9 CPT,94010,Spirometry/Pft Smp,247.0,185.25,187.42,191.43,2 CPT,94640,Nonpressurized Inhalation Treatment,342.0,256.5,259.51,259.51,1 CPT,95782,Polysom <6 Yrs Sleep Stage 4/> Addl,2367.0,1775.25,1211.9,1834.43,4 CPT,95810,Psg 6 Yrs or Older 4+ Parameters,2367.0,1775.25,1208.09,1834.43,10 CPT,95811,Psg 6/> Yrs 4+ Parameters W/ Cpap,2439.0,1829.25,1208.09,1890.23,4 CPT,95976,Elec Alys Implt Smpl Cn Npgt Prgrmg,221.0,165.75,44.28,171.28,9 CPT,95977,Elec Alys Implt Cplx Cn Npgt Prgrmg,295.0,221.25,109.0,228.63,12 CPT,95992,Canalith Repositioning Proc,86.0,64.5,44.03,44.03,1 CPT,95992,Canalith Repositioning Procedure,94.0,70.5,48.13,48.13,1 CPT,95992,Pt Canalith Repositioning per Day,94.0,70.5,48.13,48.13,1 CPT,96040,Genetic Counseling 30 Min,376.0,282.0,247.78,263.99,2 CPT,96041,Dfci Telegenetics,335.0,251.25,171.52,259.63,5 CPT,96041,Med Genetics&Genetic Counseling Svcs Each 30 Min,335.0,251.25,171.52,259.63,5 CPT,96361,IV Infus Hydration Ea Additional Hour - 96361,81.0,60.75,56.73,56.73,1 CPT,96365,IV Infus Non-Chemo Initial Up to 1 Hr - 96365,469.0,351.75,240.13,363.48,9 CPT,96365,IV Infusion Therapy/Prophylaxis /Dx 1st to 1 Hr,451.0,338.25,230.91,349.53,9 CPT,96366,IV Infus Non-Chemo Same Drug Ea Hr - 96366,82.0,61.5,54.79,63.55,4 CPT,96372,Injection Subq or Im,115.0,86.25,84.51,84.51,1 CPT,96372,Therapeutic Prophylactic/Diagnostic Inj Sc/Im - 96372,125.0,93.75,84.51,84.51,1 CPT,96372,Therapeutic Prophylactic/Dx Injection Subq/Im,115.0,86.25,84.51,84.51,1 CPT,96374,Ivp/ IV < 16 Min Initial Drug - 96374,295.0,221.25,223.85,250.18,5 CPT,96375,Ivp/ IV <16min Ea Addl Seg Diff Drug - 96375,137.0,102.75,54.79,106.18,5 CPT,96405,Chemo Intralesional 1-7 Lesions,353.0,264.75,84.51,84.51,1 CPT,96409,Chem Ivp/ IV <16 Min Initial Single Drug -96409,478.0,358.5,393.86,393.86,1 CPT,96413,Chemo IV Infus Initial Up to 1 Hr - 96413,843.0,632.25,393.86,393.86,5 CPT,96415,Chemo IV Infus Same Drug Ea Add�L Hr > or = to 31 Min - 96415,126.0,94.5,84.51,84.51,3 CPT,96573,Pdt Dstr Prmlg Les Skn Illum/Activj by Phys/Qhp,135.0,101.25,102.44,235.94,5 CPT,97110,Ot Exercise Therapeutic 15 Min,218.0,163.5,32.11,111.62,2 CPT,97110,Pt Exercise Therapeutic 15 Min,218.0,163.5,32.11,111.62,2 CPT,97112,"Neuromusc Reeducat,1+ Areas, Ea 15 Min",112.0,84.0,35.73,84.99,5 CPT,97112,Pt Neuromuscular Re-ED 15 Min,135.0,101.25,35.73,102.44,4 CPT,97140,Manual Therapy Tqs 1/> Regions Each 15 Minutes,119.0,89.25,30.27,60.93,3 CPT,97140,Pt Manual Therapy 15 Min,119.0,89.25,30.27,60.93,3 CPT,97161,"Physical Therapy Evaluation, Low Complexity",268.0,201.0,109.2,187.71,4 CPT,97162,"Physical Therapy Evaluation, Moderate Complexity",268.0,201.0,109.2,187.71,3 CPT,97535,Ot Home Instruction/Program 15min,142.0,106.5,35.98,72.7,3 CPT,97535,Pt Home Instruction/Program 15min,142.0,106.5,35.98,72.7,3 CPT,99199,Sp Follow-Up Tinnitus Management,50.0,37.5,25.6,25.6,1 CPT,99199,Sp Individual Tinnitus Management,250.0,187.5,128.0,128.0,1 CPT,99201,Hcpr New Pt - Level 1 Visit,127.0,95.25,96.37,96.37,1 CPT,99201,New Pt - Low Level Visit (99201),93.0,69.75,70.57,70.57,1 CPT,99211,"Office Visit, Established Pat",118.0,88.5,35.84,128.65,16 CPT,99213,"Office Visit, Established Pat",201.5,151.125,84.99,183.68,21 CPT,99215,"Office Visit, Established Pat",310.5,232.875,84.99,352.63,12 CPT,99221,1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes,324.0,243.0,226.93,226.93,1 CPT,99221,Initial Observation Care/Day 30 Minutes,303.0,227.25,212.22,212.22,1 CPT,99221,Initial Observation Care/Day 50 Minutes,418.0,313.5,292.77,292.77,1 CPT,99221,Initial Observation Care/Day 70 Minutes,576.0,432.0,403.43,403.43,1 CPT,99285,Emergency Department Visit High Mdm,1190.0,892.5,609.28,728.02,3 CPT,99499,Mee Mal-De-Debarquement Treatment,100.0,75.0,51.2,51.2,1 CPT,C1783,SYSTEM TREATMENT 6MM GLAUCOMA XEN 45 GEL STENT PORCINE DERMIS CROSS-LINKED GLUTARALDEHYDE,5104.0,3828.0,3317.6,3574.84,2 CPT,G0277,Hyperbaric Oxygen Supervision 30 Min,789.0,591.75,163.75,598.69,9 CPT,J0736,Inj Clindamycin Phosphate 300 Mg,1.63,1.22,1.06,1.26,3 CPT,J2782,Inj Avancincaptad Pegol/Izervay 0.1mg,166.95,125.21,105.12,110.02,3 CPT,J3465,"Injection, Voriconazole, 10 Mg",2.16,1.62,1.67,1.67,1 CPT,J7060,"5% Dextrose/Water, 500 Ml = 1 Unit",7.95,5.96,4.07,6.16,4 DRG,021,"Open Craniotomy Except Trauma,MAJOR",63815.94,,93218.25,93218.25,1 DRG,021,"Open Craniotomy Except Trauma,MINOR",46431.8,,34573.59,48948.6,2 DRG,021,"Open Craniotomy Except Trauma,MODERATE",64275.58,,48345.42,62307.52,3 DRG,023,"Spinal Procedures,MODERATE",65350.14,,37855.5,37855.5,1 DRG,026,"Other Nervous System And Related Procedures,MAJOR",62103.4,,59890.02,59890.02,1 DRG,026,"Other Nervous System And Related Procedures,MINOR",94526.19,,13645.56,13645.56,1 DRG,027,"Other Open Craniotomy,MAJOR",121584.68,,77751.37,77751.37,1 DRG,027,"Other Open Craniotomy,MINOR",42752.35,,19074.09,41107.72,2 DRG,027,"Other Open Craniotomy,MODERATE",60598.98,,47851.13,47851.13,1 DRG,043,"Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies,MINOR",12081.39,,8628.29,20107.45,2 DRG,043,"Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies,MODERATE",117476.8,,10481.21,10481.21,1 DRG,050,"Non-Bacterial Infections Of Nervous System Except Viral Meningitis,MODERATE",6343.08,,27996.94,27996.94,1 DRG,053,"Seizure,MAJOR",15134.8,,9788.93,9788.93,1 DRG,053,"Seizure,MINOR",3169.83,,12115.64,12115.64,1 DRG,053,"Seizure,MODERATE",8795.86,,6158.5,15451.53,2 DRG,054,"Migraine And Other Headaches,MINOR",13877.86,,4391.25,4391.25,1 DRG,054,"Migraine And Other Headaches,MODERATE",6801.76,,6038.55,16551.55,2 DRG,057,"Concussion, Closed Skull Fracture Nos, And Uncomplicated Intracranial Injury, Coma < 1 Hour Or No Coma,MAJOR",4869.99,,29224.88,29224.88,1 DRG,058,"Other Disorders Of Nervous System,MODERATE",12387.74,,25906.89,25906.89,1 DRG,070,"Orbital Procedures,MINOR",23220.68,,14957.16,14957.16,1 DRG,073,"Orbit And Eye Procedures,MAJOR",31891.83,,44875.94,44875.94,1 DRG,073,"Orbit And Eye Procedures,MINOR",26213.5,,9536.47,22591.46,6 DRG,073,"Orbit And Eye Procedures,MODERATE",35255.51,,13075.52,28677.42,7 DRG,080,"Acute Major Eye Infections,MINOR",17161.15,,9034.0,9034.0,1 DRG,080,"Acute Major Eye Infections,MODERATE",18170.71,,11656.04,11656.04,1 DRG,082,"Eye Infections And Other Eye Disorders,MINOR",20911.97,,5565.61,13491.95,4 DRG,082,"Eye Infections And Other Eye Disorders,MODERATE",20591.26,,7047.26,16579.69,3 DRG,089,"Major Cranial Or Facial Bone Procedures,MAJOR",117380.19,,41811.74,95024.34,5 DRG,089,"Major Cranial Or Facial Bone Procedures,MINOR",54999.07,,14426.94,38864.17,2 DRG,089,"Major Cranial Or Facial Bone Procedures,MODERATE",43900.98,,25704.38,52018.44,3 DRG,090,"Major Larynx & Trachea Procedures,MAJOR",189470.8,,81059.83,81059.83,1 DRG,091,"Other Major Head And Neck Procedures,MAJOR",135891.27000000002,,23630.98,40868.78,5 DRG,091,"Other Major Head And Neck Procedures,MINOR",44252.38,,13688.97,36761.33,4 DRG,091,"Other Major Head And Neck Procedures,MODERATE",55867.37,,13919.88,55182.93,6 DRG,092,"Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures,MAJOR",93389.7,,27212.3,27212.3,2 DRG,097,"Tonsil And Adenoid Procedures,MINOR",11014.15,,8061.64,13011.01,2 DRG,097,"Tonsil And Adenoid Procedures,MODERATE",18975.59,,8221.61,18853.93,4 DRG,098,"Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures,MAJOR",106731.87,,13754.09,13754.09,2 DRG,098,"Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures,MINOR",44756.31,,9048.68,20805.84,4 DRG,098,"Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures,MODERATE",42870.13,,13754.09,28807.89,3 DRG,110,"Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies,MAJOR",23352.76,,16958.42,16958.42,1 DRG,110,"Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies,MODERATE",19358.85,,17486.68,17486.68,1 DRG,113,"Infections Of Upper Respiratory Tract,MAJOR",9142.81,,8563.18,17646.46,2 DRG,113,"Infections Of Upper Respiratory Tract,MINOR",12250.59,,3270.59,8206.71,2 DRG,113,"Infections Of Upper Respiratory Tract,MODERATE",13630.31,,4909.89,12110.52,2 DRG,114,"Dental Diseases And Disorders,MINOR",18255.53,,4433.52,4433.52,1 DRG,114,"Dental Diseases And Disorders,MODERATE",16418.24,,10741.29,10741.29,1 DRG,115,"Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses,MAJOR",29619.19,,10953.01,10953.01,2 DRG,115,"Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses,MINOR",23885.65,,4399.13,11299.57,4 DRG,115,"Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses,MODERATE",18257.48,,6658.85,6658.85,2 DRG,121,"Other Respiratory And Chest Procedures,MAJOR",56458.71,,65758.53,65758.53,1 DRG,131,"Cystic Fibrosis - Pulmonary Disease,MODERATE",17595.27,,28273.56,28273.56,1 DRG,139,"Other Pneumonia,MINOR",14566.08,,3946.87,3946.87,1 DRG,139,"Other Pneumonia,MODERATE",11506.13,,5101.81,12389.23,2 DRG,141,"Asthma,MINOR",9973.65,,4097.67,4097.67,4 DRG,141,"Asthma,MODERATE",5216.86,,5266.31,14238.94,3 DRG,143,"Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses,EXTREME",13235.47,,39158.37,39158.37,1 DRG,143,"Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses,MINOR",3180.02,,12540.3,12540.3,1 DRG,144,"Respiratory Signs, Symptoms And Miscellaneous Diagnoses,MODERATE",7519.95,,16016.89,16016.89,1 DRG,197,"Peripheral And Other Vascular Disorders,MODERATE",8686.13,,15868.51,15868.51,1 DRG,243,"Other Esophageal Disorders,MODERATE",20369.03,,6385.83,6385.83,1 DRG,245,"Inflammatory Bowel Disease,MAJOR",69229.13,,8197.62,17812.75,2 DRG,245,"Inflammatory Bowel Disease,MINOR",4429.29,,6022.55,6022.55,1 DRG,245,"Inflammatory Bowel Disease,MODERATE",22390.13,,8197.62,17812.75,3 DRG,248,"Major Gastrointestinal And Peritoneal Infections,MODERATE",17899.13,,6778.8,6778.8,1 DRG,249,"Other Gastroenteritis, Nausea And Vomiting,MINOR",8267.6,,11069.33,11069.33,1 DRG,249,"Other Gastroenteritis, Nausea And Vomiting,MODERATE",12671.91,,5221.75,13837.3,2 DRG,252,"Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure,MODERATE",16890.67,,17546.69,17546.69,1 DRG,254,"Other Digestive System Diagnoses,MINOR",11957.98,,5274.3,12202.61,5 DRG,320,"Other Musculoskeletal System And Connective Tissue Procedures,MINOR",68161.58,,10368.11,10368.11,1 DRG,344,"Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections,MODERATE",14446.38,,21069.34,21069.34,1 DRG,346,"Connective Tissue Disorders,MINOR",4603.03,,15103.61,15103.61,1 DRG,351,"Other Musculoskeletal System And Connective Tissue Diagnoses,MODERATE",12003.47,,5710.69,5710.69,1 DRG,364,"Other Skin, Subcutaneous Tissue And Related Procedures,MINOR",23884.26,,7136.36,18756.72,2 DRG,364,"Other Skin, Subcutaneous Tissue And Related Procedures,MODERATE",42626.62,,9319.42,9319.42,1 DRG,383,"Cellulitis And Other Skin Infections,MAJOR",24417.4,,8602.02,8602.02,1 DRG,383,"Cellulitis And Other Skin Infections,MINOR",10382.1,,4470.08,10775.14,4 DRG,383,"Cellulitis And Other Skin Infections,MODERATE",19242.5,,5924.31,14768.49,5 DRG,385,"Other Skin, Subcutaneous Tissue And Breast Disorders,MINOR",8299.32,,5049.26,10608.86,2 DRG,385,"Other Skin, Subcutaneous Tissue And Breast Disorders,MODERATE",83069.47,,6029.41,6029.41,1 DRG,404,"Thyroid, Parathyroid And Thyroglossal Procedures,MINOR",42125.86,,7793.22,23205.43,3 DRG,404,"Thyroid, Parathyroid And Thyroglossal Procedures,MODERATE",51101.35,,12512.33,34041.97,3 DRG,420,"Diabetes,MAJOR",12354.36,,8539.19,8539.19,1 DRG,420,"Diabetes,MINOR",9498.65,,5033.26,5033.26,1 DRG,420,"Diabetes,MODERATE",13055.56,,5662.71,13921.72,3 DRG,421,"Malnutrition, Failure To Thrive And Other Nutritional Disorders,MAJOR",33787.34,,22504.49,22504.49,1 DRG,421,"Malnutrition, Failure To Thrive And Other Nutritional Disorders,MODERATE",15821.88,,9302.29,15624.02,2 DRG,422,"Hypovolemia And Related Electrolyte Disorders,MODERATE",12334.59,,4641.43,4641.43,1 DRG,423,"Inborn Errors Of Metabolism,MODERATE",11657.76,,11149.49,11149.49,1 DRG,424,"Other Endocrine Disorders,MAJOR",15372.75,,22826.77,22826.77,1 DRG,424,"Other Endocrine Disorders,MODERATE",10183.13,,12164.24,13115.44,2 DRG,462,"Nephritis And Nephrosis,MAJOR",4934.94,,16213.6,16213.6,1 DRG,462,"Nephritis And Nephrosis,MODERATE",10500.24,,8295.86,8295.86,1 DRG,463,"Kidney And Urinary Tract Infections,MINOR",11042.96,,11737.02,11737.02,1 DRG,463,"Kidney And Urinary Tract Infections,MODERATE",18772.8,,5227.47,14750.58,2 DRG,469,"Acute Kidney Injury,MODERATE",9200.46,,15021.75,15021.75,1 DRG,480,"Major Male Pelvic Procedures,MINOR",40224.51,,9912.31,32619.61,3 DRG,480,"Major Male Pelvic Procedures,MODERATE",41622.55,,22353.69,37490.42,3 DRG,651,"Other Procedures Of Blood And Blood-Forming Organs,MINOR",53228.55,,26421.09,26421.09,1 DRG,661,"Coagulation And Platelet Disorders,MAJOR",39608.7,,16373.53,16373.53,1 DRG,661,"Coagulation And Platelet Disorders,MINOR",7077.56,,17393.2,17393.2,1 DRG,662,"Sickle Cell Anemia Crisis,EXTREME",36745.5,,18244.73,18244.73,1 DRG,662,"Sickle Cell Anemia Crisis,MAJOR",23340.16,,13107.51,13107.51,1 DRG,662,"Sickle Cell Anemia Crisis,MINOR",4665.79,,7135.22,12450.76,2 DRG,662,"Sickle Cell Anemia Crisis,MODERATE",13397.69,,10341.84,10341.84,3 DRG,663,"Other Anemia And Disorders Of Blood And Blood-Forming Organs,MINOR",25336.7,,4913.32,16617.32,3 DRG,663,"Other Anemia And Disorders Of Blood And Blood-Forming Organs,MODERATE",21670.14,,16858.54,16933.29,2 DRG,681,"Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,MAJOR",35578.55,,65246.89,65246.89,1 DRG,681,"Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,MINOR",33286.72,,28963.94,28963.94,1 DRG,681,"Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,MODERATE",59766.95,,14821.06,38012.29,2 DRG,691,"Lymphoma, Myeloma And Non-Acute Leukemia,MODERATE",19802.39,,28017.41,28017.41,1 DRG,710,"Infectious And Parasitic Diseases Including Hiv With O.R. Procedure,MAJOR",87626.91,,20367.24,20367.24,1 DRG,711,"Post-Operative, Post-Trauma, Other Device Infections With O.R. Procedure,MINOR",30590.4,,10477.78,10477.78,1 DRG,711,"Post-Operative, Post-Trauma, Other Device Infections With O.R. Procedure,MODERATE",47043.84,,33970.34,33970.34,1 DRG,721,"Post-Operative, Post-Traumatic, Other Device Infections,MAJOR",21425.66,,12956.72,12956.72,1 DRG,721,"Post-Operative, Post-Traumatic, Other Device Infections,MINOR",13932.53,,5974.57,13842.42,2 DRG,721,"Post-Operative, Post-Traumatic, Other Device Infections,MODERATE",22026.45,,7452.8,18245.08,3 DRG,723,"Viral Illness,MINOR",4057.42,,3794.94,3794.94,1 DRG,724,"Other Infectious And Parasitic Diseases,MAJOR",27811.59,,9303.43,9303.43,1 DRG,724,"Other Infectious And Parasitic Diseases,MODERATE",29256.57,,14016.23,14016.23,1 DRG,759,"Eating Disorders,MAJOR",45114.33,,22518.32,22518.32,1 DRG,760,"Other Mental Health Conditions And Disorders,MAJOR",63848.42,,26549.73,26549.73,1 DRG,791,"O.R. Procedure For Other Complications Of Treatment,MINOR",19626.17,,14588.81,14588.81,1 DRG,791,"O.R. Procedure For Other Complications Of Treatment,MODERATE",30883.88,,24829.09,24829.09,1 DRG,792,"Extensive O.R. Procedures For Other Complications Of Treatment,MINOR",23259.07,,34251.74,34251.74,1 DRG,792,"Extensive O.R. Procedures For Other Complications Of Treatment,MODERATE",51408.29,,18811.34,43325.68,2 DRG,794,"Non-Extensive O.R. Procedures For Other Complications Of Treatment,MODERATE",40038.9,,9342.27,9342.27,1 DRG,810,"Hemorrhage Or Hematoma Due To Complication,MINOR",7869.55,,11309.8,11309.8,1 DRG,813,"Other Complications Of Treatment,MINOR",9134.88,,5235.46,5235.46,1 DRG,813,"Other Complications Of Treatment,MODERATE",24659.25,,12048.82,16909.7,2 DRG,850,"Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Health Services,MINOR",43001.1,,19248.09,19248.09,1 DRG,861,"Signs, Symptoms And Other Factors Influencing Health Status,MODERATE",25590.42,,15021.75,15021.75,1 DRG,892,"Hiv With Major Hiv Related Condition,EXTREME",45153.27,,22821.05,22821.05,1 DRG,950,"Extensive O.R. Procedure Unrelated To Principal Diagnosis,MINOR",20573.14,,36080.85,36080.85,1 DRG,950,"Extensive O.R. Procedure Unrelated To Principal Diagnosis,MODERATE",49044.46,,19237.44,49043.25,4 DRG,951,"Moderately Extensive O.R. Procedure Unrelated To Principal Diagnosis,MINOR",42057.21,,16933.29,16933.29,1 DRG,951,"Moderately Extensive O.R. Procedure Unrelated To Principal Diagnosis,MODERATE",24515.71,,23205.43,26852.36,2 DRG,952,"Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis,MODERATE",42046.49,,30895.38,30895.38,1 HCPCS,87635,Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq,150.0,112.5,76.8,76.8,1 HCPCS,A4262,Dura Plug;Temp Punc Plug 90 Day; Prolong,40.0,30.0,20.48,31.0,5 HCPCS,A4262,Mee Dura Plug;Temp Punc Plug 90 Day; Prolong,40.0,30.0,20.48,31.0,5 HCPCS,A4262,Mee Punc Plug 7 Days Soft Plug Collagen,17.0,12.75,8.7,13.18,5 HCPCS,A4262,Temp Punctal Plug,3.0,2.25,1.54,2.33,5 HCPCS,A4263,Mee Punc Plug Perma Hydrogel,80.0,60.0,40.96,62.0,4 HCPCS,A4263,"Mee Tube, Jones",151.0,113.25,77.31,117.03,8 HCPCS,A4263,Perm Punctal Plug,81.0,60.75,41.47,62.78,4 HCPCS,A4263,TUBE INTRODUCER SET STOP LOSS JONES,450.0,337.5,230.4,348.75,4 HCPCS,A4263,TUBE JONES 3.5MM 24MM TEAR DUCT FROSTED SUTURE HOLE,309.0,231.75,158.21,239.48,4 HCPCS,A4263,TUBE JONES 3.5X17MM TEAR DUCT STANDARD,141.0,105.75,72.19,109.28,4 HCPCS,A4263,TUBE JONES 4MM 18MM TEAR DUCT FROSTED STERILE,171.0,128.25,87.55,132.53,4 HCPCS,A4263,TUBE JONES 4X18MM STOP LOSS,750.0,562.5,384.0,581.25,4 HCPCS,A4263,TUBE JONES 4X24MM FROSTED SUTURE HOLE,309.0,231.75,158.21,239.48,4 HCPCS,A4263,TUBE JONES FROSTED WITH SUTURE H,324.0,243.0,165.89,251.1,4 HCPCS,A4263,TUBE JONES STANDARD 4.0X17,165.0,123.75,84.48,127.88,4 HCPCS,A7505,"Mee A7505 Tracheostoma Housing, Reusable, WO Adhes",19.0,14.25,14.42,14.42,1 HCPCS,A7505,Mee Trach Valve Housing (Reusable),40.0,30.0,30.35,30.35,1 HCPCS,A7508,Mee A7508 Housing & Integrated Adhesiv,241.0,180.75,123.39,182.87,2 HCPCS,A7508,Mee Baseplate (Inhealth or Bmc),10.0,7.5,5.12,7.59,2 HCPCS,A7508,Mee Regular and Flexiderm,11.0,8.25,5.63,8.35,2 HCPCS,A7508,Mee Stabilibase,23.0,17.25,11.78,17.45,2 HCPCS,A7508,Mee Stabilibase Optiderm,46.0,34.5,23.55,34.9,2 HCPCS,A7508,Mee Xtrabase Optiderm,19.0,14.25,9.73,14.42,2 HCPCS,C1713,ABUTMENT HEALING 3X5 RP CONICAL CONNECTION,136.8,102.6,70.04,106.02,4 HCPCS,C1713,ACTIVE NOBEL 4.3X10,968.4,726.3,495.82,750.51,4 HCPCS,C1713,ANCHOR SUTURE SIZE 3 0 NEEDLEV4 LENGTH1.3MM ARTHROSCOPY ETHIBOND QUICK MICRO,885.0,663.75,453.12,685.88,4 HCPCS,C1713,BONE PLATE .4X24MM 4 HOLE CRANIAL MATRIXNEURO TI STRAIGHT RIGID,83.43,62.57,42.72,64.66,4 HCPCS,C1713,BONE PLATE 0.4MM 20 HOLE CRANIAL MATRIXNEURO TI ADAPTION RIGID,494.61,370.96,253.24,383.32,4 HCPCS,C1713,BONE PLATE 0.4MM CRANIAL MATRIXNEURO TI XSHAPE RIGID,318.69,239.02,163.17,246.98,4 HCPCS,C1713,BONE PLATE 0.4X12MM 2 HOLE CRANIAL MATRIXNEURO TI STRAIGHT RIGID,59.76,44.82,30.6,46.31,4 HCPCS,C1713,BONE PLATE 0.4X18MM 6 HOLE CRANIAL MATRIXNEURO TI DOUBLE Y SHAPE RIGID,505.47,379.1,258.8,391.74,4 HCPCS,C1713,BONE PLATE 1.25MM 12 HOLE CRANIAL MATRIXMANDIBLE TI ADAPTION,1503.9,1127.92,770.0,1165.52,4 HCPCS,C1713,BONE PLATE 1.25MM 3X3 HOLE COMPRESSION MATRIXMANDIBLE TITANIUM ANGLE,1122.96,842.22,574.96,870.29,4 HCPCS,C1713,BONE PLATE 1.5MM 20 HOLE CRANIAL MATRIXMANDIBLE TI STRAIGHT,2397.81,1798.36,1227.68,1858.3,4 HCPCS,C1713,BONE PLATE 1.5MM 3X3 HOLE COMPRESSION CRANIOMAXILLOFACIAL MATRIXMANDIBLE TITANIUM DISTAL,1130.4,847.8,578.76,876.06,4 HCPCS,C1713,BONE PLATE 14X0.4MM CRANIAL MATRIXNEURO TI SHAPE RIGID,311.25,233.44,159.36,241.22,4 HCPCS,C1713,BONE PLATE 1MM 12 HOLE CRANIAL MATRIXMANDIBLE TI ADAPTION,1401.84,1051.38,717.74,1086.43,4 HCPCS,C1713,BONE PLATE 1MM 20 HOLE CRANIAL MATRIXMANDIBLE TI ADAPTION,1038.3,778.72,531.61,804.68,4 HCPCS,C1713,BONE PLATE 1MM 4 HOLE CRANIAL MATRIXMANDIBLE TI SQUARE MALLEABLE,612.54,459.4,313.62,474.72,4 HCPCS,C1713,BONE PLATE 1MM 6 HOLE CRANIOMAXILLOFACIAL TI H SHAPE BRIDGE,423.3,317.47,216.73,328.06,4 HCPCS,C1713,BONE PLATE 1MM 8 HOLE CRANIAL MATRIXMANDIBLE TI STRUT CURVED MALLEABLE,921.27,690.95,471.69,713.98,4 HCPCS,C1713,BONE PLATE 1MM 8 HOLE CRANIAL MATRIXMANDIBLE TI STRUT MALLEABLE,1207.59,905.69,618.29,935.88,4 HCPCS,C1713,BONE PLATE 2.5MM 12 HOLE CRANIAL MATRIXMANDIBLE TI RECONSTRUCTION STRAIGHT,1715.58,1286.68,878.38,1329.57,4 HCPCS,C1713,BONE PLATE 2.5MM 20 HOLE CRANIAL MATRIXMANDIBLE TI STRAIGHT RECONSTRUCTION,2377.89,1783.42,1217.48,1842.86,4 HCPCS,C1713,BONE PLATE 2.5MM SM CRANIAL MATRIXMANDIBLE TI PREFORMED RECONSTRUCTION LEFT,4423.76,3317.82,2264.97,3428.41,4 HCPCS,C1713,BONE PLATE 2.8MM 12 HOLE CRANIAL MATRIXMANDIBLE TI STRAIGHT RECONSTRUCTION,2522.31,1891.73,1291.42,1954.79,4 HCPCS,C1713,BONE PLATE 2.8MM 20 HOLE CRANIAL MATRIXMANDIBLE TI STRAIGHT RECONSTRUCTION,3692.55,2769.41,1890.59,2861.73,4 HCPCS,C1713,BONE PLATE 2MM 20 HOLE CRANIAL MATRIXMANDIBLE TI STRAIGHT,2455.08,1841.31,1257.0,1902.69,4 HCPCS,C1713,BONE PLATE 2MM 6 HOLE CRANIAL MATRIXMANDIBLE TI STRAIGHT,1040.76,780.57,532.87,806.59,4 HCPCS,C1713,BONE PLATE 2MM CRANIOMAXILLOFACIAL TI FIXATION CONDYLAR HEAD,572.67,429.5,293.21,443.82,4 HCPCS,C1713,BONE PLATE 2X1.25MM HOLE CRANIAL MATRIXMANDIBLE TI COMPRESSION,664.8,498.6,340.38,515.22,4 HCPCS,C1713,BONE PLATE 2X1.5MM 10 HOLE CRANIAL RAPIDSORB POLYMER STRUT SCALLOPED,802.89,602.17,411.08,622.24,4 HCPCS,C1713,BONE PLATE 3.5X137MM 10 HOLE LCP SS LOCKING STRAIGHT BX/2EA,803.64,602.73,411.46,622.82,4 HCPCS,C1713,BONE PLATE 3X1.25MM DISTAL HOLE CRANIAL MATRIXMANDIBLE TITANIUM CRESCENT COMPRESSION,824.16,618.12,421.97,638.72,4 HCPCS,C1713,BONE PLATE 3X1.5MM HOLE CRANIAL MATRIXMANDIBLE TI CRESCENT,2089.05,1566.79,1069.59,1619.01,4 HCPCS,C1713,BONE PLATE 3X2MM HOLE CRANIAL MATRIXMANDIBLE TI ANGLE BROAD CENTRE,1737.96,1303.47,889.84,1346.92,4 HCPCS,C1713,BONE PLATE 4X20 LIGHT BLUE 2.5MM SM HOLE CRANIAL MATRIXMANDIBLE TI DOUBLE ANGLE RECONSTRUCTION,3456.83,2592.62,1769.9,2679.04,4 HCPCS,C1713,BONE PLATE 59X1.5MM 12 HOLE TI STRAIGHT,893.55,670.16,457.5,692.5,4 HCPCS,C1713,BONE PLATE 6X24 2.5MM LG HOLE CRANIAL MATRIXMANDIBLE TI DOUBLE ANGLE RECONSTRUCTION,3851.08,2888.31,1971.75,2984.59,4 HCPCS,C1713,BONE PLATE 7X2.5MM 23 HOLE CRANIAL MATRIXMANDIBLE TI ANGLE RECONSTRUCTION RIGHT,3583.02,2687.26,1834.51,2776.84,4 HCPCS,C1713,BONE PLATE 7X2.8MM 23 HOLE CRANIAL MATRIXMANDIBLE TI ANGLE RECONSTRUCTION RIGHT,3658.52,2743.89,1873.16,2835.35,4 HCPCS,C1713,BONE PLATE 7X23 H 2MM 23H MATRIXMANDIBLE TI LEFT,8696.12,6522.09,4452.41,6739.49,4 HCPCS,C1713,BONE PLATE 7X2MM 23 HOLE CRANIAL MATRIXMANDIBLE TI ANGLE RECONSTRUCTION RIGHT,3363.9,2522.92,1722.32,2607.02,4 HCPCS,C1713,BONE PLATE 8X11MM DOUBLE 6 HOLE LOW PROFILE Y SHAPE TI,639.47,479.6,327.41,495.59,4 HCPCS,C1713,BONE PLATE C TYPE FOR CMF DISTRACTORTI CONDYLAR HEAD DISTRACTOR,4201.75,3151.31,2151.3,3256.36,4 HCPCS,C1713,BONE PLATE COMPRESSION 1.5MM 2 HOLE CRANIAL MATRIX TI,943.68,707.76,483.16,731.35,4 HCPCS,C1713,BONE PLATE SHORT 10 HOLE MAXILLOFACIAL MATRIXWAVE MAXILLOMANDIBULAR FIXATION TI,641.7,481.27,328.55,497.32,4 HCPCS,C1713,BONE SCREW CRANIOMAXILLOFACIAL SET MATRIXMANDIBLE TI SLOTTED,354.78,266.08,181.65,274.95,4 HCPCS,C1713,CEMENT BONE 5CC INJECTABLE SUBSTITUTE SELF SET HYDROSET CALCIUM PHOSPHATE,3960.8,2970.6,2027.93,3069.62,4 HCPCS,C1713,CEMENT HYDROXYAPATITE 3ML GRAFT BONE HYDROSET NEURO SYNTHETIC INJECTABLE,2961.45,2221.09,1516.26,2295.12,4 HCPCS,C1713,COVER BURR 17MM HOLE MATRIXNERUO TITANIUM,302.58,226.93,154.92,234.5,4 HCPCS,C1713,COVER SCREW 4X5.5MM COCHLEAR BAHA TITANIUM CONICAL HEXAGON B1300,535.08,401.31,273.96,414.69,4 HCPCS,C1713,CRANIAL PLATE 2MM 4 HOLE MAXILLOFACIALXDCP TITANIUM,415.83,311.87,212.9,322.27,4 HCPCS,C1713,CRANIAL PLATE 2MM 5 HOLE DCP Y SHAPE TITANIUM ARM X,445.71,334.28,228.2,345.43,4 HCPCS,C1713,CRANIAL PLATE 8 HOLE UNIVERSAL STRAIGHT NO BAR NEURO III,512.66,384.49,262.48,397.31,4 HCPCS,C1713,CRANIOFACIAL IMPLANT 20MM SPHERE ORBITAL CRANIOMAXILLOFACIAL MEDPOR POLYETHYLENE BIOCOMPATIBLE POROUS,1891.89,1418.92,968.65,1466.21,4 HCPCS,C1713,CRANIOFACIAL IMPLANT 50X76X.85MM ORBITAL FLOOR BIOMATERIAL SHEET MEDPOR,2009.63,1507.22,1028.93,1557.46,4 HCPCS,C1713,CRANIOFACIAL PLATE .8MM CRANIOMAXILLOFACIAL SYNPOR POLYETHYLENE TITANIUM REINFORCED POROUS FAN EXPOSED,1500.72,1125.54,768.37,1163.06,4 HCPCS,C1713,CRANIOFACIAL WEDGE 22X31 7MM CRANIOMAXILLOFACIAL MEDPOR ENDOPHTHALMOS REGULAR LEFT,2050.79,1538.09,1050.0,1589.36,4 HCPCS,C1713,CRANIOMAXILLOFACIAL PLATE 1.5MM 10 HOLE ORBITAL RAPIDSORB POLYMER RIM,455.4,341.55,233.16,352.94,4 HCPCS,C1713,CRANIOMAXILLOFACIAL PLATE 1MM UNIVERSAL BONE ORBITAL FLOOR TI,5380.0,4035.0,2754.56,4169.5,4 HCPCS,C1713,CRANIOMAXILLOFACIAL PLATE 2MM 12 HOLE BONE ORBITAL DCP RIM TI,463.14,347.35,237.13,358.93,4 HCPCS,C1713,CRANIOMAXILLOFACIAL PLATE 2X25MM 2 HOLE 3 SHAFT 100DEG OBLIQUE TI ARM BRIDGE L SHAPE LEFT,438.21,328.66,224.36,339.61,4 HCPCS,C1713,CRANIOMAXILLOFACIAL SCREW AXS ST 1.7X4MM 5P,317.79,238.34,162.71,246.29,4 HCPCS,C1713,DEVICE BROW 3.5MM IMPLANT FIXATION BIOABSORBABLE TINE HEIGHT ENDOTINE FOREHEAD IMPLANTABLE PK/2EA,905.23,678.92,463.48,701.55,4 HCPCS,C1713,DISTRACTOR BODY TI MULTI VECTOR MANDIBLE,4810.54,3607.9,2463.0,3728.17,4 HCPCS,C1713,DISTRACTOR MANDIBLE 15MM ARM TITANIUM MULTI VECTOR,388.41,291.31,198.87,301.02,4 HCPCS,C1713,DISTRACTOR SURGICAL BONE 1.2X3MM 5MM TI CRANIOFACIAL INTERNAL PK/4EA,3345.21,2508.91,1712.75,2592.54,4 HCPCS,C1713,DRIVER IMPLANT 28MM RP CONICAL CONNECTION,190.8,143.1,97.69,147.87,4 HCPCS,C1713,FIBERSTITCH 1.5 STRAIGHT,1650.0,1237.5,844.8,1278.75,4 HCPCS,C1713,FILLER CEMENT 2.0G BONE EAR OTOMIMIX HYDROXYAPATITE DILUTE CITRIC ACID POWDER LIQUID,1146.54,859.9,587.03,888.57,4 HCPCS,C1713,GRAFT CRANIOMAXILLOFACIAL 38X50X.85MM MEDPOR LATEX FREE POLYETHYLENE ULTRATHIN SHEET STERILE DISPOSABLE,1433.98,1075.48,734.2,1111.33,4 HCPCS,C1713,GRANULES BONALIVE 0. 5-0. 8MM 5CC ORTHOPEDICS,5730.0,4297.5,2933.76,4440.75,4 HCPCS,C1713,IMPLANT 30MM FLEX ACTIVATION ARM ONLY CARDANIC FOR DISTRACTORS,3554.93,2666.2,1820.12,2755.07,4 HCPCS,C1713,IMPLANT ANATOMICAL CHIN MEDIIM AC-M,825.0,618.75,422.4,639.38,4 HCPCS,C1713,IMPLANT EYE 14MM SPHERE ORBITAL STERILE SILICONE,195.0,146.25,99.84,151.13,4 HCPCS,C1713,IMPLANT FIXATION 3MM ENDOTINE TRANSBLEPH FOREHEAD BROW,915.0,686.25,468.48,709.13,4 HCPCS,C1713,IMPLANT IPS CRANIAL PEEK 00021,16150.0,12112.5,8268.8,12516.25,4 HCPCS,C1713,IMPLANT IPS CRANIAL PEEK 00022,21250.0,15937.5,10880.0,16468.75,4 HCPCS,C1713,IMPLANT IPS MANDIBLE TITANIUM 00063TI-6AL-4V,13600.0,10200.0,6963.2,10540.0,4 HCPCS,C1713,IMPLANT IPS MANDIBLE TITANIUM 00065TI-6AL-4V,18020.0,13515.0,9226.24,13965.5,4 HCPCS,C1713,IMPLANT IPS MIDFACE LOCKING LARGE LP TI-6AL-4V,28664.0,21498.0,14675.97,22214.6,4 HCPCS,C1713,IMPLANT IPS MIDFACE LOCKING SMALL LP TI-6AL-4V,21188.0,15891.0,10848.26,16420.7,4 HCPCS,C1713,IMPLANT MANDIBLE SM PRINTED 3D TI TRUMATCH MIDFACE SD980.106,11383.68,8537.76,5828.44,8822.35,4 HCPCS,C1713,IMPLANT MIDFACE 60MMX40MMX4MM CONTOUR LEFT,1590.0,1192.5,814.08,1232.25,4 HCPCS,C1713,IMPLANT MIDFACE LOCKING MED LP 6AL-4V,23680.0,17760.0,12124.16,18352.0,4 HCPCS,C1713,IMPLANT ORBIT PRINTED 3D TI TRUMATCH MIDFACE MANDIBLE,8870.4,6652.8,4541.64,6874.56,4 HCPCS,C1713,IMPLANT WEDGE 28X40X7.5MM ENOPTHALMOUS LT LG,1510.5,1132.87,773.38,1170.64,4 HCPCS,C1713,K-WIRE BONE 2X15 150MM CALIBRATED TIP PARTIALLY THREADED TROCAR POINT PK/5EA,99.59,74.69,50.99,77.18,4 HCPCS,C1713,KIT 3D MANDIBLE MIDFACE TRUMATCH TI PRINT ORBITAL WITHOUT PLAN,8038.8,6029.1,4115.87,6230.07,4 HCPCS,C1713,KIT CUSTOM CRANIOMAXILLOFACIAL PEEK SD800.410,10506.0,7879.5,5379.07,8142.15,4 HCPCS,C1713,KIT PLAN INSTRUMENT IMT BASIC MADIBLE RECONSTRUCTION CUSTOM,3783.7,2837.77,1937.25,2932.37,4 HCPCS,C1713,KIT PLAN RECONSTRUCTION PRO CMF MANDIBLE MIDFACE PATIENT SPECIFIC CUSTOM,5695.9,4271.92,2916.3,4414.32,4 HCPCS,C1713,KIT TRUMATCH ORTHOGNATHICS BASIC MAXILLARY,7539.84,5654.88,3860.4,5843.38,4 HCPCS,C1713,MANDIBLE DISTRACTION 20MM 36 HOLE INTERNAL MICRO ZURICH 2 MID DRIVE RATCHET 1.0-1.2MM SCREW EA/1,21529.92,16147.44,11023.32,16685.69,4 HCPCS,C1713,MANDIBLE DISTRACTION 30MM 24 HOLE INTERNAL HYPERDRIVE MICRO RATCHET 1.0-1.2MM SCREW EA/1 51-528-30-09,23129.1,17346.82,11842.1,17925.05,4 HCPCS,C1713,MANDIBLE DISTRACTION 30MM 24 HOLE INTERNAL HYPERDRIVE MICRO RATCHET 1.0-1.2MM SCREW EA/1 51-528-30-71,23321.1,17490.82,11940.4,18073.85,4 HCPCS,C1713,MANDIBLE DISTRACTION 30MM 54 HOLE INTERNAL MICRO ZURICH 2 LYPKA END DRIVE 70 RATCHET 1.0-1.2MM SCREW,22253.46,16690.09,11393.77,17246.43,4 HCPCS,C1713,MESH DYNAMIC 90X90X0.6MM FOR 1.5/1.7MM SCREW,5308.38,3981.28,2717.89,4113.99,4 HCPCS,C1713,MESH SYNTHETIC 0.6X100MM PLATE CRANIOMAXILLOFACIAL MATRIXNEURO CONTOUR EXTRA RIGID TI,3799.44,2849.58,1945.31,2944.57,4 HCPCS,C1713,MODEL ANATOMICAL IPS HALF EP 6,2715.69,2036.77,1390.43,2104.66,4 HCPCS,C1713,MODEL ANATOMICAL IPS MAXILLA CRYSTAL,4590.0,3442.5,2350.08,3557.25,4 HCPCS,C1713,MODEL ANATOMICAL IPS SUPPLEMENTAL HALF SKULL 00132,3690.0,2767.5,1889.28,2859.75,4 HCPCS,C1713,MODEL PLANNED ADULT OUTCOME MAXILLA / ORBITS ACRYLIC,3837.4,2878.05,1964.75,2973.99,4 HCPCS,C1713,Mee 2111204 Screw Self Drill 1.2mmx4mm,118.0,88.5,60.42,91.45,4 HCPCS,C1713,Mee 2120046 Plate Micro 13mm Rt L,340.0,255.0,174.08,263.5,4 HCPCS,C1713,Mee 310153 Plating System,339.0,254.25,173.57,262.73,4 HCPCS,C1713,Mee 40005x Screw Slf Drlng 1.5mm Rcss,154.0,115.5,78.85,119.35,4 HCPCS,C1713,Mee 40045x Screw Slf Drlng 1.3mm Rcss,183.0,137.25,93.7,141.83,4 HCPCS,C1713,Mee 40062x Plating Screws,174.0,130.5,89.09,134.85,4 HCPCS,C1713,Mee 400784e Screw Emergency 2.0x4mm,128.0,96.0,65.54,99.2,4 HCPCS,C1713,Mee 40106x Screw Slf Drlng 2.0mm Rcss,148.0,111.0,75.78,114.7,4 HCPCS,C1713,Mee 401156e Screw Selftap Titn 2.0x6mm,128.0,96.0,65.54,99.2,4 HCPCS,C1713,Mee 40116x Screw Selftap Titn 2.0mm,128.0,96.0,65.54,99.2,4 HCPCS,C1713,Mee 420070 Plating System,1558.0,1168.5,797.7,1207.45,4 HCPCS,C1713,Mee 420100 Plating System,1247.0,935.25,638.46,966.43,4 HCPCS,C1713,Mee 420210 Plating System,553.0,414.75,283.14,428.58,4 HCPCS,C1713,Mee 420620 Plating System,500.0,375.0,256.0,387.5,4 HCPCS,C1713,Mee 420840 Plating System,473.0,354.75,242.18,366.58,4 HCPCS,C1713,Mee 421010 Plating System,1293.0,969.75,662.02,1002.08,4 HCPCS,C1713,Mee 421021 Plating System,516.0,387.0,264.19,399.9,4 HCPCS,C1713,Mee 421052 Plating System,516.0,387.0,264.19,399.9,4 HCPCS,C1713,Mee 421053 Plating System,516.0,387.0,264.19,399.9,4 HCPCS,C1713,Mee 421061 Plating System,467.0,350.25,239.1,361.93,4 HCPCS,C1713,Mee 421081 Plating System,467.0,350.25,239.1,361.93,4 HCPCS,C1713,Mee 421095 Plating System,457.0,342.75,233.98,354.18,4 HCPCS,C1713,Mee 421099 Plating System,1700.0,1275.0,870.4,1317.5,4 HCPCS,C1713,Mee 446100 Plating System,768.0,576.0,393.22,595.2,4 HCPCS,C1713,Mee 446220 Plating System,695.0,521.25,355.84,538.63,4 HCPCS,C1713,Mee 446500 Plating System,500.0,375.0,256.0,387.5,4 HCPCS,C1713,Mee 446510 Plating System,553.0,414.75,283.14,428.58,4 HCPCS,C1713,Mee 446520 Plating System,583.0,437.25,298.5,451.83,4 HCPCS,C1713,Mee 446530 Plating System,568.0,426.0,290.82,440.2,4 HCPCS,C1713,Mee 446610 Plating System,553.0,414.75,283.14,428.58,4 HCPCS,C1713,Mee 447100 Plating System,948.0,711.0,485.38,734.7,4 HCPCS,C1713,Mee 447520 Plating System,525.0,393.75,268.8,406.88,4 HCPCS,C1713,"Mee Countersink, Wide,3mm",467.0,350.25,239.1,361.93,4 HCPCS,C1713,"Mee Hydroset, 10cc",4255.0,3191.25,2178.56,3297.63,4 HCPCS,C1713,Mee Mesh Contour Ti Matrixneuro,3595.0,2696.25,1840.64,2786.13,4 HCPCS,C1713,Mee Mesh Dynamic,1516.0,1137.0,776.19,1174.9,4 HCPCS,C1713,Mee Osteomed Microorbital Plate,933.0,699.75,477.7,723.08,4 HCPCS,C1713,Mee Plate,670.0,502.5,343.04,519.25,4 HCPCS,C1713,Mee Plate 12 Hole 2.0mm,1413.0,1059.75,723.46,1095.08,4 HCPCS,C1713,Mee Plate 20 Hole,1783.0,1337.25,912.9,1381.83,4 HCPCS,C1713,Mee Plate 6 Hole 2.0mm,1549.0,1161.75,793.09,1200.48,4 HCPCS,C1713,Mee Plate Angle 3x3hole Broad 2.0mm,1543.0,1157.25,790.02,1195.83,4 HCPCS,C1713,Mee Plate Angle Recon 7x23 Hole 2.0mm,2889.0,2166.75,1479.17,2238.98,4 HCPCS,C1713,Mee Plate Crescent 2x2hoel 2.0mm,1092.0,819.0,559.1,846.3,4 HCPCS,C1713,Mee Plate Low Profile 5305212,167.0,125.25,85.5,129.43,4 HCPCS,C1713,Mee Plate Low Profile 5305228,262.0,196.5,134.14,203.05,4 HCPCS,C1713,Mee Plate Low Profile 5305xxx,355.0,266.25,181.76,275.13,4 HCPCS,C1713,Mee Plate Low Profile 5306212,150.0,112.5,76.8,116.25,4 HCPCS,C1713,Mee Plate Oblique L Rt Titn 4/6hl,574.0,430.5,293.89,444.85,4 HCPCS,C1713,Mee Plate Recon 12 Hole 2.5mm,1522.0,1141.5,779.26,1179.55,4 HCPCS,C1713,Mee Plate Recon 20 Hole,2108.0,1581.0,1079.3,1633.7,4 HCPCS,C1713,Mee Plate Recon 20hole 2.8mm Thick,2416.0,1812.0,1236.99,1872.4,4 HCPCS,C1713,Mee Plate Recon 7x23 Hole Left 2.5mm,3174.0,2380.5,1625.09,2459.85,4 HCPCS,C1713,Mee Plate Recon 7x23hole Right 2.5mm,3174.0,2380.5,1625.09,2459.85,4 HCPCS,C1713,Mee Plate Recon Double Angle Large,4093.0,3069.75,2095.62,3172.08,4 HCPCS,C1713,Mee Plate Recon Double Angle Medium,3878.0,2908.5,1985.54,3005.45,4 HCPCS,C1713,Mee Plate Y Ti Matrix,605.0,453.75,309.76,468.88,4 HCPCS,C1713,"Mee Plate, Countourable Mesh",2660.0,1995.0,1361.92,2061.5,4 HCPCS,C1713,"Mee Plate,Adaption,Resorb,1.5mm,20 (22450)",681.0,510.75,348.67,527.78,4 HCPCS,C1713,"Mee Plate,Box,Ti Mx 10mmx16mm",575.0,431.25,294.4,445.63,4 HCPCS,C1713,"Mee Plate,Pds,Flexible",634.0,475.5,324.61,491.35,4 HCPCS,C1713,"Mee Plate,Ti,Matrix,2hls,12mm",165.0,123.75,84.48,127.88,4 HCPCS,C1713,"Mee Plate,Y,Double,6hls",605.0,453.75,309.76,468.88,4 HCPCS,C1713,Mee Screw Auto Drive 1.2mmx5mm 2111205,145.0,108.75,74.24,112.38,4 HCPCS,C1713,Mee Screw Cortex Rapid Resorbable,660.0,495.0,337.92,511.5,4 HCPCS,C1713,Mee Screw Cortex Self-Drilling,117.0,87.75,59.9,90.68,4 HCPCS,C1713,Mee Screw Cortex Self-Tapping,177.0,132.75,77.31,157.33,8 HCPCS,C1713,Mee Screw Cortex Tap F/1 Resorbable,680.0,510.0,348.16,527.0,4 HCPCS,C1713,Mee Screw Cover,387.0,290.25,198.14,299.93,4 HCPCS,C1713,Mee Screw Cover Space,393.0,294.75,201.22,304.58,4 HCPCS,C1713,Mee Screw Emergency,159.0,119.25,68.61,142.6,12 HCPCS,C1713,Mee Screw Emergency Self-Tapping,225.0,168.75,115.2,174.38,4 HCPCS,C1713,Mee Screw Emergency W/Fluted,178.0,133.5,91.14,137.95,4 HCPCS,C1713,Mee Screw Locking Self-Tapping,343.0,257.25,144.38,295.28,12 HCPCS,C1713,Mee Screw Mitek Depuy,815.0,611.25,417.28,631.63,4 HCPCS,C1713,Mee Screw Self Drill 1.2mmx3mm 2111203,118.0,88.5,60.42,91.45,4 HCPCS,C1713,Mee Screw Self Drilling,115.0,86.25,58.88,89.13,4 HCPCS,C1713,Mee Screw Self Drilling 1.5xx,70.0,52.5,35.84,54.25,4 HCPCS,C1713,Mee Screw Self-Drilling 1.0mm Rcss 400.423e,198.0,148.5,101.38,153.45,4 HCPCS,C1713,Mee Screw Selftap Titn,128.0,96.0,65.54,99.2,4 HCPCS,C1713,Mee Screw Selftap Titn 1.5mm 40073x,112.0,84.0,57.34,86.8,4 HCPCS,C1713,Mee Screw Selftap Titn 1.5mm 40074x,126.0,94.5,64.51,97.65,4 HCPCS,C1713,Mee Screw Selftap Titn 2.0x4mm 401154,128.0,96.0,65.54,99.2,4 HCPCS,C1713,Mee Screw Selftap Titn 2.0x8mm 401158,115.0,86.25,58.88,89.13,4 HCPCS,C1713,Mee Screw Selftap W/Flutes,186.0,139.5,95.23,144.15,4 HCPCS,C1713,Mee Screw Slf Drling 3m Ti Mx,163.5,122.625,65.54,154.23,8 HCPCS,C1713,Mee Screw Slf-Drling,165.0,123.75,79.36,135.63,8 HCPCS,C1713,Mee Screw Titn Coarse Ptch,121.0,90.75,61.95,93.78,4 HCPCS,C1713,"Mee Screw, Titn,Xxxmm, 40050x",139.0,104.25,71.17,107.73,4 HCPCS,C1713,"Mee Screw,Slf-Drlng Ti Mx 4mm",196.0,147.0,100.35,151.9,4 HCPCS,C1713,"Mee Screw,Slf-Drlng,Ti Ma4 Mm",196.0,147.0,100.35,151.9,4 HCPCS,C1713,NUT ACTIVATION TI MULTI VECTOR DISTRACTOR,173.04,129.78,88.6,134.11,4 HCPCS,C1713,PLATE 2.0MM MED TI PSPC MATRIXMANDIBLE DOUBLE RECON PL THICK,10628.04,7971.03,5441.56,8236.73,4 HCPCS,C1713,PLATE 2.0MM THICK TITANIUM PATIENT SPECIFIC MANDIBLE NO ANGLE,6338.28,4753.71,3245.2,4912.17,4 HCPCS,C1713,PLATE BONE 112X3.5MM 8 HOLE LCP SS RECONSTRUCTION,1176.6,882.45,602.42,911.87,4 HCPCS,C1713,PLATE BONE 124X3.5MM 9 HOLE LCP SS LOCKING STRAIGHT BX/2EA,780.33,585.25,399.53,604.76,4 HCPCS,C1713,PLATE BONE 7 HOLE LOW PROFILE T SHAPE NO BAR,1067.91,800.93,546.77,827.63,4 HCPCS,C1713,PLATE BONE 7 HOLE UPPERFACE DOUBLE Y SHAPE TITANIUM,521.43,391.07,266.97,404.11,4 HCPCS,C1713,PLATE BOX 2X2 HOLE LG CRANIOMAXILLOFACIAL UNIVERSAL NEURO III TITANIUM,906.38,679.78,464.07,702.44,4 HCPCS,C1713,PLATE BURR HOLE COVER 10MM W/TAB CRANIOMAXILLOFACIAL UNIVERSAL NEURO III TITANIUM,726.83,545.12,372.14,563.29,4 HCPCS,C1713,PLATE CRANIAL 2X1.5MM 18 HOLE RAPIDSORB POLYMER STRUT SCALLOPED,990.0,742.5,506.88,767.25,4 HCPCS,C1713,PLATE CRANIAL UNIVERSAL NEURO III X SHAPE 4 HOLE,842.62,631.96,431.42,653.03,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL .5MM 2X2 HOLE MED 90DEG MATRIXORTHOGNATHIC TITANIUM L REVERSIBLE,515.4,386.55,263.88,399.44,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1.25MM 2X2 HOLE MATRIXMANDIBLE TITANIUM CRESCENT,774.36,580.77,396.47,600.13,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1.2X50X2MM RAPIDSORB POLYMER MESH CONTOURABLE,2475.0,1856.25,1267.2,1918.13,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1.2X78X78X2MM RAPIDSORB POLYMER MESH,3542.22,2656.66,1813.62,2745.22,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1.3MM 1X3 HOLE TITANIUM Y SHAPE,400.86,300.64,205.24,310.67,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1.3X100X100MM MESH CONTOURABLE RIGID TITANIUM FOR SCREW,3606.23,2704.67,1846.39,2794.83,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1.3X100X100MM MESH INTERNAL FIXATION FOR SCREW,2178.69,1634.02,1115.49,1688.48,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1.3X13MM 4 HOLE TITANIUM,388.41,291.31,198.87,301.02,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1.3X35MM 9 HOLE ORBITAL RIM ADAPTION TITANIUM,428.28,321.21,219.28,331.92,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1.3X95MM 24 HOLE TITANIUM ADAPTION,598.35,448.76,306.36,463.72,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1.5MM 20 HOLE RAPIDSORB POLYMER ADAPTION SCALLOPED,493.02,369.76,252.43,382.09,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1.5MM 6 HOLE MATRIXMANDIBLE TITANIUM STRAIGHT,1516.35,1137.26,776.37,1175.17,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1.5X.9X90MM 20 HOLE TITANIUM ADAPTION,639.9,479.92,327.63,495.92,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1.5X100X.8MM RAPIDSORB POLYMER MESH CONTOURABLE,4121.7,3091.27,2110.31,3194.32,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1.5X22X11MM 5 HOLE TITANIUM Y SHAPE,468.09,351.07,239.66,362.77,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1.5X22X9MM 5 HOLE 100DEG TITANIUM OBLIQUE RIGID ANGLED RIGHT,460.62,345.46,235.84,356.98,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1.5X24X24MM RAPIDSORB POLYMER ORBITAL FLOOR,1230.57,922.93,630.05,953.69,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1.5X30X30MM RAPIDSORB POLYMER ORBITAL FLOOR,1282.05,961.54,656.41,993.59,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1.5X50X.8MM RAPIDSORB POLYMER MESH CONTOURABLE,2268.09,1701.07,1161.26,1757.77,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 100X100MM MATRIXNEURO TITANIUM CONTOURABLE MESH MALLEABLE SILVER,3242.97,2432.23,1660.4,2513.3,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 12MM 2HOLE TAB NEURO 3 TITANIUM UNIVERSAL DOG,411.31,308.48,210.59,318.77,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1MM 4 HOLE 5 SHAFT BONE L SHAPE BASE TITANIUM LEFT,443.19,332.39,226.91,343.47,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1MM 5 HOLE TITANIUMXSHAPE,398.4,298.8,203.98,308.76,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1MM 6 HOLE TITANIUM DOUBLE Y SHAPE,470.61,352.96,240.95,364.72,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1X100MM 36 HOLE ADAPTION INTERNAL FIXATION TITANIUM,1120.47,840.35,573.68,868.36,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1X33MM 11 HOLE BONE TITANIUM ORBITAL RIM,495.48,371.61,253.69,384.0,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 1X50X100MM 4 HOLE MESH TITANIUM,3022.77,2267.08,1547.66,2342.65,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 2.5MM LG CRANIAL MATRIXMANDIBLE TITANIUM PREFORMED RECONSTRUCTION LEFT,4755.76,3566.82,2434.95,3685.71,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 2.5MM MD 5X22X5 HOLE MATRIXMANDIBLE TITANIUM DOUBLE ANGLE RECONSTRUCTION,3649.8,2737.35,1868.7,2828.6,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 2.5MM MED MATRIXMANDIBLE TITANIUM PREFORMED RECONSTRUCTION LEFT,4589.76,3442.32,2349.96,3557.06,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 2.5MM MED MATRIXMANDIBLE TITANIUM PREFORMED RECONSTRUCTION RIGHT,4589.76,3442.32,2349.96,3557.06,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 2.5MM SM CRANIAL MATRIXMANDIBLE TITANIUM PREFORMED RECONSTRUCTION RIGHT,4423.76,3317.82,2264.97,3428.41,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 27X13MM 7 HOLE 100DEG TITANIUM OBLIQUE ANGLED GOLD LEFT,485.52,364.14,248.59,376.28,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 2MM 12 HOLE MATRIXMANDIBLE TITANIUM STRAIGHT,1406.82,1055.11,720.29,1090.29,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 2X193MM 30 HOLE ADAPTION DCP BROAD SPACED TITANIUM,918.78,689.08,470.42,712.05,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 2X40MM 4 HOLE 6 SHAFT 100DEG TITANIUM OBLIQUE ARM BRIDGE L SHAPE RIGHT,510.45,382.84,261.35,395.6,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 2X4MM 5 HOLE CHIN DOUBLE BEND OFFSET TITANIUM,565.23,423.92,289.4,438.05,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 2X8MM 5 HOLE CHIN DOUBLE BEND OFFSET TITANIUM,597.57,448.18,305.96,463.12,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 30MM MATRIXNEURO TITANIUM MESH CONTOUR MALLEABLE SILVER,1470.24,1102.68,752.76,1139.44,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 41X42X.5X.1MM MEDPOR TITAN POLYETHYLENE ORBITAL RIGHT STERILE,3408.0,2556.0,1744.9,2641.2,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 5X1.3X43MM 18 HOLE TITANIUM STRUT SPACED,916.29,687.22,469.14,710.12,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL LG ORBITAL MATRIXORBITAL INSERT TITANIUM PREFORMED LEFT,3174.66,2380.99,1625.43,2460.36,4 HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL SM MATRIXNEURO TITANIUM MESH CONTOUR MALLEABLE MASTOID SILVER,1424.22,1068.16,729.2,1103.77,4 HCPCS,C1713,PLATE CRANIUM 1.5X49MM 12 HOLE TITANIUM ORBITAL RIM RIGID,577.68,433.26,295.77,447.7,4 HCPCS,C1713,PLATE CRANIUM 2X100MM 20 HOLE MANDIBULAR TITANIUM LOCKING,797.16,597.87,408.15,617.8,4 HCPCS,C1713,PLATE CRANIUM SM MATRIXMANDIBLE TITANIUM ORBITAL PREFORMED LEFT DARK,3050.16,2287.62,1561.68,2363.87,4 HCPCS,C1713,PLATE DOGBONE 2 HOLE RIGID W/O,474.11,355.58,242.74,367.44,4 HCPCS,C1713,PLATE LEVEL ONE CMF LI MMF FIXATION 2.0MM L1 MMF SCREW 7 HOLE 102,1371.0,1028.25,701.95,1062.53,4 HCPCS,C1713,PLATE MANDIBLE 1MM 2X2 HOLE PREBENT TENSION BAND TITANIUM MATRIXMANDIBLE LEFT,913.8,685.35,467.87,708.2,4 HCPCS,C1713,PLATE MANDIBLE 1MM MINI 2X2 HOLE BROAD MALLEABLE TENSION BAND TITANIUM MATRIXMANDIBLE,978.54,733.9,501.01,758.37,4 HCPCS,C1713,PLATE MANDIBLE 1MM MINI 2X2 HOLE NARROW MALLEABLE TENSION BAND TITANIUM MATRIXMANDIBLE,781.83,586.37,400.3,605.92,4 HCPCS,C1713,PLATE MANDIBLE 1MM MINI 2X2 HOLE NARROW TENSION BAND TITANIUM MATRIXMANDIBLE,530.37,397.78,271.55,411.04,4 HCPCS,C1713,PLATE MANDIBLE 1MM MINI 2X3 HOLE BROAD MALLEABLE TENSION BAND TITANIUM MATRIXMANDIBLE,679.74,509.8,348.03,526.8,4 HCPCS,C1713,PLATE MANDIBLE 1MM MINI 3X3 HOLE BROAD MALLEABLE TENSION BAND TITANIUM MATRIXMANDIBLE,729.54,547.15,373.52,565.39,4 HCPCS,C1713,PLATE MANDIBLE 1MM MINI 3X3 HOLE NARROW TENSION BAND TITANIUM MATRIXMANDIBLE,854.04,640.53,437.27,661.88,4 HCPCS,C1713,PLATE MANDIBLE 2MM RECONSTRUCTION TI PT SPECIFIC ANGLE CUSTOM,8706.68,6530.01,4457.82,6747.68,4 HCPCS,C1713,PLATE MANDIBLE 3X1.25MM HOLE CRANIAL MATRIX TITANIUM COMPRESSION DISTAL,717.09,537.82,367.15,555.74,4 HCPCS,C1713,PLATE MANDIBLE LG PRINTED 3D TI TRUMATCH MIDFACE,9313.92,6985.44,4768.73,7218.29,4 HCPCS,C1713,PLATE MANDIBLE PRINTED 3D TI TRUMATCH MIDFACE,4482.33,3361.75,2294.95,3473.81,4 HCPCS,C1713,PLATE MANDIBLE SM PRINTED 3D TI TRUMATCH MIDFACE,6652.8,4989.6,3406.23,5155.92,4 HCPCS,C1713,PLATE PDS FLEXIBLE 0.15 X 50 X 40MM BX/3EA,1595.0,1196.25,816.64,1236.13,4 HCPCS,C1713,PLATE PRINTED 3D MANDIBLE TITANIUM TRUMATCH MANDIBLE MEDIUM,7983.36,5987.52,4087.48,6187.1,4 HCPCS,C1713,PLATE RECTANGLE 2X2 HOLE 1.5MM CRANIOMAXILLOFACIAL UNIVERSAL NEURO III LATEX FREE,890.44,667.83,455.91,690.09,4 HCPCS,C1713,PLATE RETROSIGMOID MALLEABLE MED,2989.77,2242.33,1530.76,2317.07,4 HCPCS,C1713,PLATE STRAIGHT HOLE 4 W/ BAR,402.17,301.63,205.91,311.68,4 HCPCS,C1713,PLATE SUBOCCIPTAL MALLEABLE LRG,3265.48,2449.11,1671.93,2530.75,4 HCPCS,C1713,PLATE SUBOCCIPTAL MALLEABLE SML,2725.54,2044.15,1395.48,2112.29,4 HCPCS,C1713,PLATE UNIVERSAL BOX 2 X 2 HOLE SM,585.29,438.97,299.67,453.6,4 HCPCS,C1713,PLATE-Y DOUBLE 6 HOLE W/BAR,943.31,707.48,482.97,731.07,4 HCPCS,C1713,PLATE/RECON HEMISPHERE CRANIO LEFT 6 X 17MM,4863.47,3647.6,2490.1,3769.19,4 HCPCS,C1713,SCERW UN3 EM 1.7X4MM PK/5EA,45.09,33.82,23.09,34.94,4 HCPCS,C1713,SCREEN MESH 1.0MM 100XPLATE CRANIOFACIAL TITANIUM,4962.0,3721.5,2540.54,3845.55,4 HCPCS,C1713,SCREW BONE 1.2X10MM PLUSDRIVE TITANIUM CORTEX SELF TAPPING RECESS SINGLE,169.29,126.97,86.68,131.2,4 HCPCS,C1713,SCREW BONE 1.2X3MM EMERGENCY TITANIUM CRUCIFORM SELF TAPPING RECESS TEAL,166.83,125.12,85.42,129.29,4 HCPCS,C1713,SCREW BONE 1.2X3MM SELF-TAPPING CROSS-PIN,187.84,140.88,96.17,145.58,4 HCPCS,C1713,SCREW BONE 1.2X3MM TITANIUM CROSS PIN SELF DRILLING GOLD,273.8,205.35,140.19,212.2,4 HCPCS,C1713,SCREW BONE 1.2X4MM TITANIUM EMERGENCY SELF TAPPING CRUCIFORM RECESS SINGLE TEAL,166.83,125.12,85.42,129.29,4 HCPCS,C1713,SCREW BONE 1.2X5MM CORTEX PLUSDRIVE RECESS TITANIUM SELF TAPPING PK/5EA,169.31,126.98,86.69,131.22,4 HCPCS,C1713,SCREW BONE 1.3X4MM CRANIAL CORTEX TITANIUM SELF TAPPING FLUTED TIP CRUCIFORM STARDRIVE RECESS GOLD,151.86,113.89,77.75,117.69,4 HCPCS,C1713,SCREW BONE 1.3X8MM CORTEX TI SELF TAPPING CRUCIFORM RECESS,220.89,165.67,113.1,171.19,4 HCPCS,C1713,SCREW BONE 1.5X3MM MATRIXNEURO TI SELF DRILLING,63.03,47.27,32.27,48.85,4 HCPCS,C1713,SCREW BONE 1.5X4MM CORTEX SS RAPIDSORB RAPID RESORBABLE PK/4EA,136.37,102.28,69.82,105.69,4 HCPCS,C1713,SCREW BONE 1.5X4MM SELF-DRILLING,293.7,220.27,150.37,227.62,4 HCPCS,C1713,SCREW BONE 1.5X4MM TI SELF DRILLING MATRIXNEURO,63.03,47.27,32.27,48.85,4 HCPCS,C1713,SCREW BONE 1.5X6MM CORTEX TITANIUM SELF DRILLING PLUSDRIVE RECESS SINGLE,134.46,100.84,68.84,104.21,4 HCPCS,C1713,SCREW BONE 1.5X8MM CORTEX TITANIUM SELF TAPPING FLUTED TIP CRUCIFORM RECESS SINGLE,107.07,80.3,54.82,82.98,4 HCPCS,C1713,SCREW BONE 1.5X8MM CRANIAL CORTEX TI SELF TAPPING FLUTED TIP CRUCIFORM STARDRIVE RECESS GOLD PK/5EA,107.07,80.3,54.82,82.98,4 HCPCS,C1713,SCREW BONE 1.7X4MM AXS SD 5P,268.85,201.64,137.65,208.36,4 HCPCS,C1713,SCREW BONE 1.7X6MM EMERGENCY TITANIUM CRUCIFORM RECESS TEAL SINGLE,159.36,119.52,81.59,123.5,4 HCPCS,C1713,SCREW BONE 1.85X6MM MATRIXWAVE MAXILLOMANDIBULAR FIXATION TITANIUM SELF DRILLING,279.0,209.25,142.85,216.23,4 HCPCS,C1713,SCREW BONE 1.8X3MM MATRIXNEURO TI EMERGENCY SELF TAPPING SINGLE,161.85,121.39,82.87,125.43,4 HCPCS,C1713,SCREW BONE 14MM SPINEXCORE TITANIUM LOCKING MINI,450.0,337.5,230.4,348.75,4 HCPCS,C1713,SCREW BONE 2.0X11MM MINI MAXDRIVE TI ALLOCKINGY TI6AL4V,173.7,130.27,88.93,134.62,4 HCPCS,C1713,SCREW BONE 2.0X7MM MAXDRIVE LEVEL ONE CMF DRILL FREE TI 6AL 4V,499.2,374.4,255.59,386.88,4 HCPCS,C1713,SCREW BONE 2.0X7MM MAXDRIVE TITANIUM DRILL FREE MINI TI6AL4V,99.84,74.88,51.12,77.38,4 HCPCS,C1713,SCREW BONE 2.0X9MM MINI MAXDRIVE TI ALLOCKINGY TI6AL4V,173.7,130.27,88.93,134.62,4 HCPCS,C1713,SCREW BONE 2.3X9MM MAXDRIVE EMERG TITANIUM SELF RETAIN ALLOY,220.23,165.17,112.76,170.68,4 HCPCS,C1713,SCREW BONE 2.4X16MM MANDIBLE MATRIXMANDIBLE TITANIUM SELF TAPPING,214.14,160.6,109.64,165.96,4 HCPCS,C1713,SCREW BONE 2.4X36MM CORTEX TI SELF TAPPING FULL THREAD CRUCIFORM RECESS PK/5EA,171.8,128.85,87.96,133.15,4 HCPCS,C1713,SCREW BONE 2.4X40MM CORTEX TITANIUM SELF TAPPING FULL THREAD CRUCIFORM RECESS SINGLE,171.81,128.86,87.97,133.15,4 HCPCS,C1713,SCREW BONE 2.4X6MM CRANIAL EMERGENCY MANDIBULAR TI CRUCIFORM PLUSDRIVE RECESS TEAL,124.5,93.37,63.74,96.49,4 HCPCS,C1713,SCREW BONE 2.4X6MM MANDIBLE MATRIXMANDIBLE TITANIUM SELF TAPPING,214.14,160.6,109.64,165.96,4 HCPCS,C1713,SCREW BONE 2.4X8MM MANDIBLE MATRIXMANDIBLE TITANIUM LOCKING SELF TAPPING,343.62,257.71,175.93,266.31,4 HCPCS,C1713,SCREW BONE 2.5X4X22MM SCHANZ TI SELF DRILLING THREADED SYMPHYSIS,575.16,431.37,294.48,445.75,4 HCPCS,C1713,SCREW BONE 2.7X5MM MANDIBLE MATRIXMANDIBLE TITANIUM EMERGENCY SELF TAPPING SINGLE,234.06,175.54,119.84,181.4,4 HCPCS,C1713,SCREW BONE 2.9X10MM LOCKING MATRIXMANDIBLE TITANIUM SELF TAPPING,398.4,298.8,203.98,308.76,4 HCPCS,C1713,SCREW BONE 2.9X12MM LOCKING MATRIXMANDIBLE TITANIUM SELF TAPPING,398.4,298.8,203.98,308.76,4 HCPCS,C1713,SCREW BONE 2X14MM CORTEX TITANIUM SELF TAPPING CRUCIFORM RECESS SINGLE,117.03,87.77,59.92,90.7,4 HCPCS,C1713,SCREW BONE 2X16MM SELF TAPPING CROSS-PIN,152.89,114.67,78.28,118.49,4 HCPCS,C1713,SCREW BONE 2X4MM CORTEX TITANIUM SELF DRILLING PLUSDRIVE RECESS SINGLE,123.0,92.25,62.98,95.33,4 HCPCS,C1713,SCREW BONE 2X4MM CRANIAL EMERGENCY TITANIUM CRUCIFORM RECESS TEAL,114.54,85.9,58.64,88.77,4 HCPCS,C1713,SCREW BONE 2X5MM MATRIXMANDIBLE TITANIUM LOCKING SELF TAPPING,278.88,209.16,142.79,216.13,4 HCPCS,C1713,SCREW BONE 2X5MM MAXDRIVE EMERGENC TITANIUM DRILL FREE MICRO,99.84,74.88,51.12,77.38,4 HCPCS,C1713,SCREW BONE 2X6MM CORTEX SELF DRILLING WITH PLUSDRIVE RECESS TITANIUM PK/5EA,114.23,85.67,58.49,88.53,4 HCPCS,C1713,SCREW BONE 2X8MM CORTICAL SS SELF DRILLING FULL THREAD,207.9,155.92,106.44,161.12,4 HCPCS,C1713,SCREW BONE 3.5X12MM CORTEX SELF TAPPING FULLY THREADED HEX HEAD SS,51.63,38.72,26.43,40.01,4 HCPCS,C1713,SCREW BONE 3.5X16MM CANNULATED SS FULL THREAD HEXAGONAL SOCKET FLAT HEAD,359.04,269.28,183.83,278.26,4 HCPCS,C1713,SCREW BONE 3.5X24MM CORTEX SELF TAPPING FULLY THREADED HEX HEAD SS,71.04,53.28,36.37,55.06,4 HCPCS,C1713,SCREW BONE 4X28MM CANCELLOUS SS SELF TAPPING FULLY THREADED,82.14,61.6,42.06,63.66,4 HCPCS,C1713,SCREW BONE 5X2.3MM MAX DRIVE TITANIUM ALLOY LOCKING,299.37,224.53,153.28,232.01,4 HCPCS,C1713,SCREW BONE 5X2MM L LOCKING SELF RETAINING MAXDRIVE TITANIUM,376.8,282.6,192.92,292.02,4 HCPCS,C1713,SCREW BONE 6.5X60MM CANNULATED SS PARTIAL THREAD,1710.0,1282.5,875.52,1325.25,4 HCPCS,C1713,SCREW BONE 6X2MM MATRIXMANDIBLE TITANIUM SELF TAPPING,149.4,112.05,76.49,115.79,4 HCPCS,C1713,SCREW BONE 7X2.3MM L LOCKING TITANIUM,299.37,224.53,153.28,232.01,4 HCPCS,C1713,SCREW BONE 8MM 2X6MM THREAD TI ALLOY CMF MAXDRIVE L1 MMF DRILL FREE PK/5EA,382.5,286.87,195.84,296.44,4 HCPCS,C1713,SCREW CORTEX 1.0MM 4 PLUSDRIVE RECESS TITANIUM SELF TAPPING PK/5EA,164.33,123.25,84.14,127.36,4 HCPCS,C1713,SCREW DISTRACTOR 1.0 1.2MM 25 36 HOLE MAXILLOFACIAL MICRO ZURICH MIDDLE DRIVEN MESHBODY W/RATCHETH TI6AL4V,21337.92,16003.44,10925.02,16536.89,4 HCPCS,C1713,SCREW DRILL 2MMX6 FREE MAXDRIVE MINI TI 6AL4V,99.84,74.88,51.12,77.38,4 HCPCS,C1713,SCREW SPINE 4.5X19MM ARCHON SELF TAPPING VARIABLE ANGLE,270.0,202.5,138.24,209.25,4 HCPCS,C1713,SCREW UN3 SD 1.5X3MM,241.41,181.06,123.6,187.09,4 HCPCS,C1713,SCREW UNIII 1.5X4MM AXS ST PK/5EA,58.74,44.05,30.07,45.52,4 HCPCS,C1713,SCREWDRIVER INTERNAL DISTRACTION HEX PATIENT 1 MM/TURN,1738.17,1303.63,889.94,1347.08,4 HCPCS,C1713,SET PUTTY 3ML GRAFT BONE CRANIOS REINCED FAST TING SYRINGE,1263.0,947.25,646.66,978.83,4 HCPCS,C1713,SET PUTTY 5ML GRAFT BONE CRANIOS REINCED FAST TING SYRINGE,1891.08,1418.31,968.23,1465.59,4 HCPCS,C1713,SPINE PLATE 110MM CERVICAL 5 LEVEL ARCHON,2700.0,2025.0,1382.4,2092.5,4 HCPCS,C1713,SPINE PLATE 34MM CERVICAL 1 LEVEL ARCHON,1500.0,1125.0,768.0,1162.5,4 HCPCS,C1713,SPINE PLATE 54MM CERVICAL 2 LEVEL ARCHON,1770.0,1327.5,906.24,1371.75,4 HCPCS,C1713,SPINE PLATE 68MM CERVICAL 3 LEVEL ARCHON,2025.0,1518.75,1036.8,1569.38,4 HCPCS,C1713,SPINE PLATE 90MM CERVICAL 4 LEVEL ARCHON,2220.0,1665.0,1136.64,1720.5,4 HCPCS,C1713,SYSTEM INTUBATION MONOKA SELF THREADING RITLENG TYPE BX/3EA,360.0,270.0,184.32,279.0,4 HCPCS,C1713,SYSTEM SUSPENSION ENCORE TONGUE HYOID,5400.0,4050.0,2764.8,4185.0,4 HCPCS,C1726,CATHETER AERIS 9X30MMX55CM 17ATM BALLOON AIRWAY DILATION,1782.45,1336.84,912.61,1352.52,5 HCPCS,C1726,CATHETER DILATION 32MM O.D X 55ML ESOPHAGEAL INFINITY,2132.1,1599.07,1091.64,1617.84,5 HCPCS,C1726,CATHETER DILATOR 15 18MM 5.5CM 75 20 30 3.5ATM .035IN ENDO BALLOON PULM DIA OBLONG FILL NACL GUID,806.49,604.87,412.92,611.96,5 HCPCS,C1726,CATHETER HERCULES 100 24-27-30FR 8-9-10MM TRANSNASAL ESOPHAGEAL BALLOON,1050.0,787.5,537.6,796.74,5 HCPCS,C1726,CATHETER RELIEVA SPINPLUS 6X16MM BALLOON SINUPLASTY SYSTEM W/ IRRIGATION BX/5EA,4095.0,3071.25,2096.64,3107.29,5 HCPCS,C1726,KIT CATHETER 5X16MM SINUPLASTY SPINPLUS BALLOON FRONTAL MAX AND SPHEN BX/5EA,4095.0,3071.25,2096.64,3107.29,5 HCPCS,C1726,"Mee Catheter, Lacricath 3mm",589.0,441.75,301.57,446.93,5 HCPCS,C1726,"Mee Catheter, Lacricath, 5mm",768.0,576.0,393.22,582.76,5 HCPCS,C1726,"Mee Catheter,Balloon Sinus",1533.0,1149.75,784.9,1163.24,5 HCPCS,C1726,"Mee Catheter,Balloon Sinus,Frontal",2397.0,1797.75,1227.26,1818.84,5 HCPCS,C1726,Mee Dilator Air Balloon,1431.5,1073.625,711.17,1118.47,10 HCPCS,C1726,"Mee Dilator, Balloon Pulmonary, 15-16.5-18mm",851.0,638.25,435.71,645.74,5 HCPCS,C1726,"Mee Dilator,Balloon Pulmonary,15-1 (22527)",721.0,540.75,369.15,547.09,5 HCPCS,C1726,SET CATHETER 2MM ADVANCE BALLOON SALIVARY DUCT,1320.0,990.0,675.84,1001.62,5 HCPCS,C1726,TUBE EUSTACHIAN 6X16MM AERA BALLOON DILATION PK/5EA,4125.0,3093.75,2112.0,3130.05,5 HCPCS,C1763,CONNECTOR 4.0X15MM REPAIR NERVE AXOGUARD COAPTATION AID PERIPHERAL,4322.5,3241.87,3027.48,3349.94,2 HCPCS,C1763,CONNECTOR REPAIR 10X3.0MM NERVE AXOGUARD COAPTATION AID PERIPHERAL,3513.0,2634.75,2460.51,2722.58,2 HCPCS,C1763,GRAFT DURAL 2X2IN COLLAGEN DURAMATRIX ONLAY,2090.81,1568.11,1464.4,1620.38,2 HCPCS,C1763,GRAFT DURAL 7.5 XCM DURAMATRIX ONLAY TYPE I COLLAGEN SUBSTITUTE MEMBRANE RESORBABLE,3237.89,2428.42,2267.82,2509.36,2 HCPCS,C1763,GRAFT TISSUE 2.0 XIN DURAGEN PLUS ULTRA PURE COLLAGEN REGENERATION MATRIX DURAL CA/1EA,853.2,639.9,597.58,661.23,2 HCPCS,C1763,IMPLANT BIODESIGN 2.5X2.5CM OTOLOGIC,885.0,663.75,619.85,685.88,2 HCPCS,C1763,IMPLANT BIODESIGN 5X5CM OTOLOGIC,1425.0,1068.75,998.07,1104.38,2 HCPCS,C1763,IMPLANT BIODESIGN 6X9MM OTOLOGIC PRECUT,735.0,551.25,514.79,569.63,2 HCPCS,C1763,Mee Duramatrix 2x2,1258.0,943.5,881.1,974.95,2 HCPCS,C1763,Mee Duramatrix 3x3,1276.0,957.0,893.71,988.9,2 HCPCS,C1763,PROTECTOR GRAFT 40X7.0MM NERVE AXOGUARD PORCINE 3D EXTRACELLULAR MATRIX FLEXIBLE WRAP TRANSLUCENT PERIPHERAL,5476.0,4107.0,3835.39,4243.9,2 HCPCS,C1763,PROTECTOR NERVE 2CMX4CM AXOGUARD HA PLUS,5756.0,4317.0,4031.5,4460.9,2 HCPCS,C1767,GENERATOR PULSE IMPLANTABLE INSPIRE VAGUS NERVE STIMULATION,36450.0,27337.5,18662.4,28248.75,4 HCPCS,C1767,INSPIRE V IMPLANTABLE PULSE GENERATOR,43200.0,32400.0,22118.4,33480.0,4 HCPCS,C1769,GUIDEWIRE PULMONARY 180CM .035 JAGWIRE STIFF SHAFT STRAIGHT TIP BX/2EA,369.29,276.97,189.08,258.65,2 HCPCS,C1769,GUIDEWIRE SALIVARY .018INX40CM DUCT ACCESS LF SS STRAIGHT TIP SURGICAL,95.1,71.32,48.69,66.61,2 HCPCS,C1769,ILLUMINATOR SINUS 100CM RELIEVA LUMA SENTRY SYSTEM SINUPLASTY BX/5EA,1351.35,1013.51,691.89,946.49,2 HCPCS,C1769,KIT LABORATORY LINE ARTERIAL ACCESS CS/5EA,127.89,95.92,65.48,89.57,2 HCPCS,C1769,Mee Guide Wire,133.0,99.75,68.1,93.15,2 HCPCS,C1769,Mee Jagwire Pulmonary Guidewire C1769,276.0,207.0,141.31,193.31,2 HCPCS,C1778,LEAD RESPIRATORY SENSING,6750.0,5062.5,3456.0,5231.25,4 HCPCS,C1778,LEAD STIMULATION,3900.0,2925.0,1996.8,3022.5,4 HCPCS,C1778,Lead Neurostimulator T1,3900.0,2925.0,1996.8,3022.5,4 HCPCS,C1783,MICROSTENT GLAUCOMA HYDRUS SYSTEM DELIVERY,3784.2,2838.15,2459.73,2650.45,2 HCPCS,C1783,Mee Glaucoma Implant-Baerveldt-Glaucoma,1635.0,1226.25,1062.75,1145.15,2 HCPCS,C1783,Mee Glaucoma Valve-Ahmed,1081.0,810.75,702.65,757.13,2 HCPCS,C1783,Microstent Hydrus (Ivantis),1470.0,1102.5,955.5,1029.59,2 HCPCS,C1783,STENT INTRAOCULAR .33MM ISTENT TI HEPARIN COATED TRABECULAR MICRO BYPASS RIGHT,3750.0,2812.5,2437.5,2626.5,2 HCPCS,C1783,SYSTEM IMPLANT MICRO-BYPASS TRABECULAR ISTENT INFINITE,5200.0,3900.0,3380.0,3642.08,2 HCPCS,C1784,CIRCLING BAND 2MM STYLE 40 SCLERAL BUCKLING PERMANENT BX/5EA,91.8,68.85,47.0,71.15,5 HCPCS,C1784,IMPLANT ASYMMETRICAL TIRE 278 BX/5EA - DISCONTINUED PER SUPPLIER,157.08,117.81,80.42,121.74,5 HCPCS,C1784,Mee Scleral Buckle,56.0,42.0,28.67,43.4,5 HCPCS,C1784,SLEEVE 1.0MM ID STYLE 70 SCLERAL BUCKLING BX/5EA,68.85,51.64,35.25,53.36,5 HCPCS,C1784,SPONGE 5X2.5MM STYLE 510 SCLERAL BUCKLING HALF CYLINDER SILICONE BX/5EA,303.45,227.59,155.37,235.17,5 HCPCS,C1784,STRIP 10.5MM STYLE 106 SCLERAL BUCKLING MERIDIONAL BX/5EA,104.55,78.41,53.53,81.03,5 HCPCS,C1784,STRIP 2.5X6MM STYLE 220 SCLERAL BUCKLING GROOVED SOLID BX/5EA,76.5,57.37,39.17,59.29,5 HCPCS,C1784,STRIP 4MM S2971 (STYLE 42) SCLERAL BUCKLING SILICONE BX/5EA,82.8,62.1,42.39,64.17,5 HCPCS,C1784,STRIP SCLERAL BUCKLSTRIP 4MM STYLE 42 SCLERAL BUCKLING BX/5EAING 3.5MM BX/5EA,94.35,70.76,48.31,73.12,5 HCPCS,C1784,TIRE 2.5X6MM S2994 (STYLE 275) SCLERAL BUCKLING ASYMMETRICAL BX/5EA,66.02,49.51,33.8,51.17,5 HCPCS,C1784,TIRE 2.5X7MM STYLE 276 SCLERAL BUCKLING GROOVED ASYMMETRICAL BX/5EA,151.93,113.95,77.79,117.75,5 HCPCS,C1787,REMOTE SLEEP BLUETOOTH PATIENT HANDHELD INSPIRE IPG COMPATIBLE,3500.0,2625.0,2451.4,2712.5,3 HCPCS,C1814,KIT ACCESSORY 5ML PROCEDURAL LIQUID PERFLUORON BX/3EA,1263.78,947.83,958.96,979.43,2 HCPCS,C1814,Mee Perfluoron 5ml,989.0,741.75,750.45,766.48,2 HCPCS,C1814,Mee Silicon Oil 1000,677.0,507.75,513.71,524.68,2 HCPCS,C1814,Mee Silicon Oil 5000,846.0,634.5,641.94,655.65,2 HCPCS,C1814,SOLUTION OPHTHALMIC 10ML SILICONE OIL 5000 ADATO STERILE,1379.85,1034.89,1047.03,1069.38,2 HCPCS,C1814,SOLUTION OPHTHALMIC 8.5ML OIL SILICONE SILKON 1000 INTRAOCULAR FLUID,1192.26,894.19,904.69,924.0,2 HCPCS,C1878,CORD VOCAL SIZE 11 SYSTEM SURGICAL THYROPLASTY MONTGOMERY SILICONE MALE,1125.0,843.75,576.0,871.88,4 HCPCS,C1878,CORD VOCAL SIZE 6 SYSTEM SURGICAL THYROPLASTY MONTGOMERY SILICONE FEMALE,1200.0,900.0,614.4,930.0,4 HCPCS,C1878,CORD VOCAL SIZE 7 SYSTEM SURGICAL THYROPLASTY MONTGOMERY SILICONE FEMALE,1338.0,1003.5,685.06,1036.95,4 HCPCS,C1878,CORD VOCAL SIZE 8 SYSTEM SURGICAL THYROPLASTY MONTGOMERY SILICONE MALE,1275.0,956.25,652.8,988.13,4 HCPCS,C1878,FILLER COSMETIC 1ML JUVEDERM XC ULTRA LIDOCAINE PRESERV,1884.6,1413.45,964.92,1460.57,4 HCPCS,C1878,IMPLANT VOICE 1.5CC RENU HYDROGEL INJECTABLE SYRINGE FOLD - DISCONTINUED PER CONTRACTS/SUPPLIER,1020.0,765.0,522.24,790.5,4 HCPCS,C1878,KIT IMPLANT VOCAL 1CC INJECTABLE X2 PLUS CATHETER - DISCONTINUED PER SUPPLIER/CONTRACTS,2100.0,1575.0,1075.2,1627.5,4 HCPCS,C1878,Mee Injectable Radiesse Voice Gel,1133.0,849.75,580.1,878.08,4 HCPCS,C1878,Mee Prolaryn/Radiesse/Juvederm 1cc Syringe,1200.0,900.0,614.4,930.0,4 HCPCS,C1878,Mee Renu Vocal Cord Medializ Implantable,552.0,414.0,282.62,427.8,4 HCPCS,C1878,SYRINGE CARBOXYMETHYLCELLULOSE 1.0 CC AUGMENT VOCAL FOLD RADIESSE VOICE PROLARYN GEL SODIUM,2205.0,1653.75,1128.96,1708.88,4 HCPCS,C1886,STYLUS INSTRUMENT RHINAER PK/5EA,3700.0,2775.0,1894.4,2591.48,3 HCPCS,C1886,Vivaer/Rhinaer Tissue Ablation Probe,1850.0,1387.5,947.2,1295.74,3 HCPCS,C1886,WAND ARIS TURBINATE REDUCTION,1034.55,775.91,529.69,724.6,3 HCPCS,C1886,WAND HALO COBLATION,1136.49,852.37,581.88,796.0,3 HCPCS,C1889,Allograft Cartilage T3,1266.0,949.5,648.19,981.15,4 HCPCS,C1889,CARTILAGE COSTAL (2) <= 0.8 CM WIDTH <= 5.0CM LENGTH SALINE SUSPENSION,2091.0,1568.25,1070.59,1620.53,4 HCPCS,C1889,CARTILAGE COSTAL 5-8CM FF,3351.0,2513.25,1715.71,2597.03,4 HCPCS,C1889,CARTILAGE COSTAL > 0.8 CM WIDTH <= 5.0CM LENGTH SALINE SUSPENSION 4932-25,2196.0,1647.0,1124.35,1701.9,4 HCPCS,C1889,CARTILAGE COSTAL > 0.8 CM WIDTH <= 5.0CM LENGTH SALINE SUSPENSION 4938-25,2196.0,1647.0,1124.35,1701.9,4 HCPCS,C1889,CARTILAGE COSTAL > 0.8 CM WIDTH <= 5.0CM LENGTH SALINE SUSPENSION 4944-25,2094.0,1570.5,1072.13,1622.85,4 HCPCS,C1889,CARTILAGE COSTAL > 0.8 CM WIDTH > 5.0 - 8.0CM LENGTH SALINE SUSPENSION 4939-25,2814.0,2110.5,1440.77,2180.85,4 HCPCS,C1889,CARTILAGE COSTAL > 0.8 CM WIDTH > 5.0 - 8.0CM LENGTH SALINE SUSPENSION 4945-25,2685.0,2013.75,1374.72,2080.88,4 HCPCS,C1889,CHIN IMPLANT SM CURVILINEAR SILICONE CONFORM EXTENDED ANATOMICAL,1050.0,787.5,537.6,813.75,4 HCPCS,C1889,COUPLER ANASTOMOSIS 2.5MM VESSELXORTHOPEDIC FAST SAFE MICROVASCULAR POLYETHYLENE S/S BX/6EA,1047.5,785.62,536.32,811.81,4 HCPCS,C1889,DEVICE OMNI SURGICAL SYSTEM ERGO SERIES,4322.5,3241.87,2213.12,3349.94,4 HCPCS,C1889,DISTRACTION INTERNAL 16MM EXTENSION STERILE CARDANIC FOR ACT ARM,3772.58,2829.43,1931.56,2923.75,4 HCPCS,C1889,DISTRACTION INTERNAL 33MM STERILEACT ARM RIGID REMOTE DETACH,4193.4,3145.05,2147.02,3249.89,4 HCPCS,C1889,DISTRACTOR SURGICAL BONE 1.2X5MM 7MM TI CRANIOFACIAL INTERNAL PK/4EA,3355.68,2516.76,1718.11,2600.65,4 HCPCS,C1889,ENDCAP CAP 14MM 12 END SPINAL MINI ROUND PARALLEL IMPLANT VERTEBRALXCORE OD,2280.0,1710.0,1167.36,1767.0,4 HCPCS,C1889,EPIPATCH SMALL 8MM D X 0.1MM T DISC,675.0,506.25,345.6,523.13,4 HCPCS,C1889,GRAFT BONE 1CC DBX ALLO DBM DEMINERALIZED MATRIX FREEZE DRIED PUTTY SYRINGE,432.12,324.09,221.25,334.89,4 HCPCS,C1889,GRAFT BONE 5CC VESUVIUS DEMINERALIZED CORTICAL FIBER CANCELLOUS CHIP OSTEOCONDUCTIVE OSTEOGENIC,1275.0,956.25,652.8,988.13,4 HCPCS,C1889,GRAFT BONE 5ML DBX ALLO DBM DEMINERALIZED MATRIX FREEZE DRIED PUTTY SYRINGE,1779.96,1334.97,911.34,1379.47,4 HCPCS,C1889,GRAFT NERVE 2 TO 3X70MM AVANCE ALLO DECELLULARIZED EXTRACELLULAR MATRIX PERIPHERAL,13594.0,10195.5,6960.13,10535.35,4 HCPCS,C1889,GRAFT NERVE 3.0 TO 4.0X70MM PERIPH ALLO AVANCE IMPLANTABLE,14894.0,11170.5,7625.73,11542.85,4 HCPCS,C1889,GRAFT SCLERA 10X10MM HALO,885.0,663.75,453.12,685.88,4 HCPCS,C1889,IMPLANT ENOPHTHALMOUS 24MMX33.5MM WEDGE REG LT,1407.6,1055.7,720.69,1090.89,4 HCPCS,C1889,IMPLANT FIXATION 3MM ULTRATINE FOREHEAD SOFT TISSUE BIOABSORBABLE PK/2EA,905.23,678.92,463.48,701.55,4 HCPCS,C1889,IMPLANT NASAL 24MM LATERA PLLA POLYMER ABSORBABLE- ORDER IN QUANTITIES OF 3 OR 6 FOR PRICE DISCOUNTS,3990.0,2992.5,2042.88,3092.25,4 HCPCS,C1889,"Implant, Ring Capsular Tension",528.0,396.0,270.34,409.2,4 HCPCS,C1889,Nasal Renu Gel,552.0,414.0,282.62,427.8,4 HCPCS,C1889,PLATE COVER BURR HOLE 20MM UN3 W/TAB,787.84,590.88,403.37,610.58,4 HCPCS,C1889,PLATE COVER BURR HOLE 7MM UN3 W/TAB,723.23,542.42,370.29,560.5,4 HCPCS,C1889,SCREW SPINE 12MM TITANIUM CAP,450.0,337.5,230.4,348.75,4 HCPCS,C1889,SEALANT DURAL ADHERUS AUTOSPRAY EXTENDED TIP PK/5EA,2559.15,1919.36,1310.28,1983.34,4 HCPCS,C1889,SPINE SPACER 14MM 17XCORE TITANIUM ENDCAP PARALLEL,2280.0,1710.0,1167.36,1767.0,4 HCPCS,C1889,SPINE SPACER COREX12MM 15 20 TITANIUM ENDCAP MINI,8400.0,6300.0,4300.8,6510.0,4 HCPCS,C1889,SYNTHECEL DURA REPAIR 14CM X 20CM 5.5,3397.5,2548.12,1739.52,2633.06,4 HCPCS,C1889,SYSTEM DELIVERY DRUG VECTA BX/2EA,375.0,281.25,192.0,290.63,4 HCPCS,C1889,TENSIONER RING CAPSULAR MR-2C,765.0,573.75,391.68,592.88,4 HCPCS,C9363,MATRIX BOVINE 13CM 10 MESH BIOLOGICAL GLYCOSAMINOGLYCANSILICONE WOUND WIDTH,9009.02,6756.76,6981.99,6981.99,1 HCPCS,G0008,Admin of Influenza Vaccine,40.0,30.0,54.79,54.79,6 HCPCS,G0378,Observation 1 Hr,132.0,99.0,67.58,92.45,12 HCPCS,G0378,Observation Carve Out (90785 - 98965) - Medicine,132.0,99.0,67.58,92.45,2 HCPCS,G0379,Direct Admission of Patient for Hospital Observation Care,106.0,79.5,728.02,728.02,1 HCPCS,J0131,Injection Acetaminophen 10mg,1.0,0.75,0.51,0.78,3 HCPCS,J0177,Inj Afilbercept Hd per 1 Mg - Eylea Hd,521.72,391.29,311.38,343.81,2 HCPCS,J0178,Injection Aflibercept 1 Mg,1566.0,1174.5,771.56,801.79,6 HCPCS,J0295,Amp/Sulbac Vl 1.5gm,8.0,6.0,6.2,6.2,1 HCPCS,J0585,"Injection,Onabotulinumtoxina",19.0,14.25,6.5,14.73,17 HCPCS,J0586,Abobotulinum Toxin a Vl 5u,26.0,19.5,8.75,8.75,4 HCPCS,J0588,"Injection, Incobotulinumtoxin a, 1 Unit",8.0,6.0,4.1,5.57,4 HCPCS,J0713,Ceftazidime Vl 500mg,3.18,2.38,2.46,2.46,1 HCPCS,J0713,Mee Ceftazidime per 500mg,3.0,2.25,2.33,2.33,1 HCPCS,J1100,Dexameth Na Phos Inj 1mg,1.0,0.75,0.51,0.78,5 HCPCS,J1745,Infliximab Injection,203.0,152.25,31.09,31.09,2 HCPCS,J1885,Ketorolac Tromethane Inj 15 Mg,1.0,0.75,0.3,0.78,10 HCPCS,J2001,Lidocaine Inj 10mg,8.0,6.0,4.1,5.62,2 HCPCS,J2250,Midazolam Inj 1mg,1.0,0.75,0.51,0.78,5 HCPCS,J2405,Ondansetron Hcl Injection,1.0,0.75,0.51,0.78,5 HCPCS,J2777,Inj Faricimab-Svoa (Vabysmo) 0.1 Mg,54.75,41.06,33.88,36.08,3 HCPCS,J2778,Ranibizumab Injection,585.0,438.75,86.38,86.38,1 HCPCS,J2919,Inj Methylprednisolone Sodium Succinate 5 Mg,0.13,0.1,0.07,0.21,8 HCPCS,J3010,Fentanyl Citrate Injeciton,3.0,2.25,1.54,2.33,5 HCPCS,J3262,Tocilizumab Vl 1mg,11.51,8.63,5.71,5.89,5 HCPCS,J3299,"Injection, Triamcinolone Acetonide (Xipere) Drug Only, 1 Mg",82.08,61.56,47.97,47.97,1 HCPCS,J3299,"Injection, Triamcinolone Acetonide (Xipere), 1 Mg",82.08,61.56,47.97,47.97,1 HCPCS,J3300,Triamcinolone a Inj Prs-Free,7.0,5.25,4.9,24.5,13 HCPCS,J3301,Triamcinolone Ace Inj,2.0,1.5,1.02,1.55,4 HCPCS,J3370,Mee Vancomycin 500 Mg,7.0,5.25,3.58,3.58,1 HCPCS,J3370,Vancomycin Vl 500mg,7.06,5.29,3.61,3.61,1 HCPCS,J3396,Verteporfin Injection,19.0,14.25,11.54,11.54,2 HCPCS,J3473,Inj Hyluronidase Recombinant per 1 Usp Unit,0.79,0.59,0.58,0.58,1 HCPCS,J3490,Inj Famotidine 20 Mg,1.0,0.75,0.78,0.78,1 HCPCS,J7308,Aminolevulinic Acid Hcl Top,234.0,175.5,392.09,392.09,2 HCPCS,J7312,Dexamethasone Intra Implant,303.0,227.25,204.61,204.61,2 HCPCS,J7512,Prednisone Oral IR or Dr per 1 Mg,1.0,0.75,0.78,0.78,1 HCPCS,J7999,Beviacizumab (Avastin) Compounded Noc,99.0,74.25,50.69,76.73,6 HCPCS,J8540,Oral Dexamethasone,1.0,0.75,0.78,0.78,1 HCPCS,J9190,Fluorouracil 500mg,6.0,4.5,3.07,3.07,1 HCPCS,J9190,Fluorouracil 500mg/10ml Intraveneous Sol,17.0,12.75,8.7,8.7,1 HCPCS,L7520,Repair Prosthesis per 15 Min,72.0,54.0,50.55,50.55,1 HCPCS,L8509,Mee Prothesis (L8509),483.0,362.25,247.3,374.33,6 HCPCS,L8509,Mee Tep BS Advantage,711.0,533.25,364.03,551.03,6 HCPCS,L8509,Mee Tep BS Classic,526.0,394.5,269.31,407.65,6 HCPCS,L8509,Mee Tep BS Duckbill,128.0,96.0,65.54,99.2,6 HCPCS,L8509,Mee Tep BS Low Pressure,181.0,135.75,92.67,140.28,6 HCPCS,L8509,Mee Tep BS Low Pressure - Special Order,268.0,201.0,137.22,207.7,6 HCPCS,L8509,Mee Tep BS Special Order,636.0,477.0,325.63,492.9,6 HCPCS,L8509,Mee Tep Provox Activalve,2725.0,2043.75,1395.2,2111.88,6 HCPCS,L8509,Mee Tep Provox II,588.0,441.0,301.06,455.7,6 HCPCS,L8509,Mee Tep Provox Nid,217.0,162.75,111.1,168.18,6 HCPCS,L8509,Mee Tep Provox Vega,547.0,410.25,280.06,423.93,6 HCPCS,L8509,Mee Tep Provox Vega Xtraseal,632.0,474.0,323.58,489.8,6 HCPCS,L8509,Mee Tep vs Dual Valve,848.0,636.0,434.18,657.2,6 HCPCS,L8509,Mee Voice Prosthesis,483.0,362.25,247.3,374.33,6 HCPCS,L8509,PROSTHESIS VOICE 16FRX10MM INDWELLING BLOM SINGER CLASSIC SILICONE,870.0,652.5,445.44,674.25,6 HCPCS,L8509,PROSTHESIS VOICE 20FR 10MM BLOM-SINGER INDWELLING IN2010-SO,870.0,652.5,445.44,674.25,6 HCPCS,L8509,PROSTHESIS VOICE 8MM BLOM SINGER DUAL,1650.0,1237.5,844.8,1278.75,6 HCPCS,L8511,Mee Insert for Indwelling Voice Prosthesis,133.0,99.75,68.1,68.1,1 HCPCS,L8513,Mee Cleaning Device for Voice Prosthesis,20.0,15.0,10.24,10.24,1 HCPCS,L8513,Mee Flushing Pipet for Voice Prosthesis,109.0,81.75,55.81,55.81,1 HCPCS,L8513,"Mee Kit,Laryngectomy Pulmonary (Exploding)",28.0,21.0,14.34,14.34,1 HCPCS,L8513,Mee Larytube Brush,19.0,14.25,9.73,9.73,1 HCPCS,L8514,Dilator Tracheoesophageal Puncture Ea T1,126.0,94.5,64.51,64.51,1 HCPCS,L8514,Mee Laryclip Kit,185.0,138.75,94.72,94.72,1 HCPCS,L8514,"Mee Puncture Dilator, Replacement Only, Ea",126.0,94.5,64.51,64.51,1 HCPCS,L8515,"Mee Gelatin Capsule, Application Device, Ea",193.0,144.75,98.82,149.58,5 HCPCS,L8607,IMPLANT VOCAL 1CC SILKVOICE INJECTABLE - DISCONTINUED PER SUPPLIER,1050.0,787.5,813.75,813.75,1 HCPCS,L8607,Implant Vocal 0.1ml Silkvoice Injectable,1050.0,787.5,813.75,813.75,1 HCPCS,L8607,"Mee Injectable Agent for Vocal Cord, 0.1 Ml",1325.0,993.75,1026.88,1026.88,1 HCPCS,L8610,ALLOGRAFT SCLERA 1CM 3CM TUTOPLAST NHPL PERI OP OPHTHALMOLOGICAL,1873.8,1405.35,959.39,1452.2,3 HCPCS,L8610,BREAST EXPANDER 300 TO 480CC SOFTSPAN LG REMOTE PORT CURVILINEAR 10.25 TUBING SMOOTH FME-CX-300S,2475.0,1856.25,1267.2,1918.13,3 HCPCS,L8610,BREAST EXPANDER 350 TO 700CC SOFTSPAN LG REMOTE PORT SMOOTH CRESCENT,1875.0,1406.25,960.0,1453.13,3 HCPCS,L8610,CONFORMER JARDON MEDIUM,126.0,94.5,64.51,97.65,3 HCPCS,L8610,CONFORMER LUCITE CVD MEDIUM,214.83,161.12,109.99,166.49,3 HCPCS,L8610,CONFORMER LUCITE JARDON MEDIUM,105.0,78.75,53.76,81.38,3 HCPCS,L8610,CRANIOFACIAL IMPLANT 38X50X.85MM SU-POR AUGMENTATION SHEET,1090.74,818.05,558.46,845.32,3 HCPCS,L8610,CRANIOFACIAL IMPLANT 50X76X.45MM SU-POR AUGMENTATION SHEET,690.0,517.5,353.28,534.75,3 HCPCS,L8610,CRANIOFACIAL IMPLANT 50X76X.85MM SU-POR AUGMENTATION SHEET,1363.23,1022.42,697.97,1056.5,3 HCPCS,L8610,CRANIOMAXILLOFACIAL WEDGE 28X40X7.5MM LG MEDPOR ENDOPHTHALMOS RT,2050.79,1538.09,1050.0,1589.36,3 HCPCS,L8610,EYELID IMPLANT 1.2GR THIN PROFILE PLATINUM STANDARD,1320.0,990.0,675.84,1023.0,3 HCPCS,L8610,FOIL SURGICAL 4X4CM .35MM REPAIR ORBITAL FLOOR SUPRAFOIL NYLON SHEET BX/6EA,48.88,36.66,25.03,37.88,3 HCPCS,L8610,FOIL SURGICAL 4X4CMX.2MM REPAIR ORBITAL FLOOR SMOOTH SUPRAFOIL NYLON BX/6EA - DISCONTINUED PER SUPPLIER,27.5,20.62,14.08,21.31,3 HCPCS,L8610,GRAFT CRANIOMAXILLOFACIAL 76X127MM MEDPOR POLYETHYLENE ORBITAL FLOOR SHEET,2877.77,2158.33,1473.42,2230.27,3 HCPCS,L8610,GRAFT TISSUE 1X4CM ALLOGRAFT SPACER EYELID TARSYS,1161.0,870.75,594.43,899.78,3 HCPCS,L8610,IMPLANT CUSTOM PORIFEROUS MIDFACE MANDIBLE ORBITAL FLOOR CHIN EARS,6440.0,4830.0,3297.28,4991.0,3 HCPCS,L8610,IMPLANT ENOPHTHALMOS 22X31X7MM SU-POR WEDGE RT REGULAR,1407.6,1055.7,720.69,1090.89,3 HCPCS,L8610,IMPLANT EYELID 1.4GR GOLD THIN,975.0,731.25,499.2,755.63,3 HCPCS,L8610,IMPLANT EYELID 1.4GR PLATINUM,1455.0,1091.25,744.96,1127.63,3 HCPCS,L8610,IMPLANT EYELID 1.6GM PLATINUM,1695.0,1271.25,867.84,1313.63,3 HCPCS,L8610,IMPLANT EYELID 1GM PLATINUM,1230.0,922.5,614.4,976.5,6 HCPCS,L8610,IMPLANT MEMBRANE 38X50X1MM SU-POR POLYETHYLENE HEAT BONDED SHEET,1658.07,1243.55,848.93,1285.0,3 HCPCS,L8610,IMPLANT MEMBRANE 50X76X1.6MM SU-POR POLYETHYLENE HEAT BONDEDSHEET,993.84,745.38,508.85,770.23,3 HCPCS,L8610,IMPLANT MIDFACE 47X28X3MM SU-POR RIM LT,1415.88,1061.91,724.93,1097.31,3 HCPCS,L8610,IMPLANT O-RING TANTALUM BX/20EA,121.76,91.32,62.34,94.36,3 HCPCS,L8610,IMPLANT OCULAR 22MM SILICONE BALL,144.0,108.0,73.73,111.6,3 HCPCS,L8610,IMPLANT OCULAR 22MM SU-POR COR TEC SPHERE,1811.64,1358.73,927.56,1404.02,3 HCPCS,L8610,IMPLANT ORBITAL 16MM SPHERE SILICONE ENUCLEATION,195.0,146.25,99.84,151.13,3 HCPCS,L8610,IMPLANT ORBITAL 22MM SU-POR SPHERE ENUCLEATION EVISCERATION,1474.95,1106.21,755.17,1143.09,3 HCPCS,L8610,IMPLANT ORBITAL 22MM SU-POR SPHERE QUADRO PORT TUNNEL,1926.0,1444.5,986.11,1492.65,3 HCPCS,L8610,IMPLANT SPHERE 20 MM SST-EZ MEDPOR,2488.13,1866.1,1273.92,1928.3,3 HCPCS,L8610,Mee Conformer Lucite Cvd,132.0,99.0,67.58,102.3,3 HCPCS,L8610,Mee Expand Hemis Osmed,1293.0,969.75,662.02,1002.08,3 HCPCS,L8610,Mee Graft Eyelid Spacer 1 X 4 Cm,817.0,612.75,418.3,633.18,3 HCPCS,L8610,Mee Implant Eyelid Weight,1350.0,1012.5,691.2,1046.25,3 HCPCS,L8610,Mee Implant Globes & Conform. (Jardon,64.0,48.0,32.77,49.6,3 HCPCS,L8610,Mee Implant Gold Weight,595.0,446.25,304.64,461.13,3 HCPCS,L8610,Mee Implant Medpor 38x50x1.5,957.0,717.75,489.98,741.68,3 HCPCS,L8610,Mee Implant Medpor Sheet 50x76x.85,1287.0,965.25,658.94,997.43,3 HCPCS,L8610,Mee Implant Medpor Sheet Single Channel,1388.0,1041.0,710.66,1075.7,3 HCPCS,L8610,Mee Implant Medpor Sphere or Cva,1121.0,840.75,573.95,868.78,3 HCPCS,L8610,Mee Implant Medpor Ultra Thin Sheet,863.0,647.25,441.86,668.83,3 HCPCS,L8610,Mee Implant Platinum Weight,992.0,744.0,507.9,768.8,3 HCPCS,L8610,Mee Implant Platinum Weight 275,925.0,693.75,473.6,716.88,3 HCPCS,L8610,Mee Implant Titn Orbit Btb,1761.0,1320.75,901.63,1364.78,3 HCPCS,L8610,"Mee Implant, Sst, Ez, Xxmm",1390.0,1042.5,711.68,1077.25,3 HCPCS,L8610,Mee Intacs Corneal Ring Instruments,1568.0,1176.0,802.82,1215.2,3 HCPCS,L8610,Mee Ocular Implant (Platinum Weight),958.0,718.5,490.5,742.45,3 HCPCS,L8610,Mee Rim Orbital Extended,1412.0,1059.0,722.94,1094.3,3 HCPCS,L8610,"Mee Sphere, Hydroxy Appetite",1534.0,1150.5,785.41,1188.85,3 HCPCS,L8610,Mee Supramid Foil,23.0,17.25,11.78,17.83,3 HCPCS,L8610,Mee Tantalum Rings,47.0,35.25,24.06,36.43,3 HCPCS,L8610,Mee Tutoplast Fascialata 3*12 (36 Scm),912.0,684.0,466.94,706.8,3 HCPCS,L8610,Mee Tutoplast Procssd - Fsclt,1262.0,946.5,646.14,978.05,3 HCPCS,L8610,Mee Tutoplast Sclera 5x8mm,562.0,421.5,287.74,435.55,3 HCPCS,L8610,Mee Tutoplast Sclera Whole,1153.0,864.75,590.34,893.58,3 HCPCS,L8610,"Mee Tutoplast,Procssd-Pericard,1.0 #22499",467.0,350.25,239.1,361.93,3 HCPCS,L8610,Mee Wall Orbital Floor Titan Ofw,1497.0,1122.75,766.46,1160.18,3 HCPCS,L8610,Mee Wedge Enophthalmos 954x,1185.0,888.75,606.72,918.38,3 HCPCS,L8610,ORBITAL IMPLANT 43X18X3.2MM SU-POR INFERIOR RIM RT,1212.69,909.52,620.9,939.83,3 HCPCS,L8610,ORBITAL PLATE .5X.6X41X42MM MEDPOR TITAN POLYETHYLENE,3408.01,2556.01,1744.9,2641.21,3 HCPCS,L8610,SHEET CRANIOFACIAL 38X50 1.5MM IMPLANT ORBITAL FLOOR MEDPOR,1433.98,1075.48,734.2,1111.33,3 HCPCS,L8610,SLING PTOSIS 300MM LENGTH 0.64DIA W/FRONTALIS SUSPENSION SILICONE TUBING BX/3EA,230.0,172.5,117.76,178.25,3 HCPCS,L8610,SPACER EYELID 1X4CM TARSYS-BIO-ENGINEERED 12 LAYER,1220.4,915.3,624.84,945.81,3 HCPCS,L8610,SPHERE EYE 10MM IMPLANT POLYMETHYLMETHACRYLATE PLASTIC LF NONSTERILE,27.0,20.25,13.82,20.93,3 HCPCS,L8610,SPHERE EYE 18MM IMPLANT POLYMETHYLMETHACRYLATE PLASTIC LF NONSTERILE,264.0,198.0,135.17,204.6,3 HCPCS,L8610,SPHERE EYE 20MM IMPLANT POLYMETHYLMETHACRYLATE PLASTIC LF NONSTERILE,51.0,38.25,26.11,39.53,3 HCPCS,L8610,SPHERE EYE IMPLANT 16MM POLYMETHYLMETHACRYLATE PLASTIC,47.13,35.35,24.13,36.53,3 HCPCS,L8610,SPHERE ORBITAL 22MM CRANIOMAXILLOFACIAL MEDPOR POLYETHYLENE BIOCOMPATIBLE POROUS STERILE,1891.89,1418.92,968.65,1466.21,3 HCPCS,L8610,TITAN MEDPOR 41X42 0.5 0.85MM PLATE CRANIOMAXILLOFACIAL POLYETHYLENE ORBITAL LEFT,2899.51,2174.63,1484.55,2247.12,3 HCPCS,L8610,TUTOPLAST PROCSSD - FSCLT .3X12CM,1517.4,1138.05,776.91,1175.99,3 HCPCS,L8610,TUTOPLAST PROCSSD - PERICARD 1.0,815.4,611.55,417.48,631.94,3 HCPCS,L8610,TUTOPLAST SCLERA 5X8MM,861.3,645.97,440.99,667.51,3 HCPCS,L8610,TUTOPLAST SCLERA WHOLE,2678.4,2008.8,1371.34,2075.76,3 HCPCS,L8610,WEIGHT CLOSURE .8GM PLATINUM EYELID,1230.0,922.5,629.76,953.25,3 HCPCS,L8610,WEIGHT EYELID .6MM 1.8G PLATINUM THIN PROFILE SUTURE HOLE,1800.0,1350.0,921.6,1395.0,3 HCPCS,L8610,WEIGHT EYELID .6MMX1.2GR GOLD THIN PROFILE SUTURE HOLE,915.0,686.25,468.48,709.13,3 HCPCS,L8610,WEIGHT EYELID .6MMX1.6GR GOLD THIN PROFILE SUTURE HOLE,945.0,708.75,483.84,732.38,3 HCPCS,L8610,WEIGHT EYELID .6MMX1GR GOLD THIN PROFILE SUTURE HOLE,855.0,641.25,437.76,662.63,3 HCPCS,L8610,WEIGHT IMPLANTABLE EYELID 2.8G KONTOUR GOLD,2541.0,1905.75,1300.99,1969.28,3 HCPCS,L8612,DEVICE DRAINAGE 245MM MOLTENO 3,1995.0,1496.25,1021.44,1546.13,4 HCPCS,L8612,EXTENDER TUBE SURGICAL GALAUCOMA VALVE,375.0,281.25,192.0,290.63,4 HCPCS,L8612,Mee Extender Tube(Te),265.0,198.75,135.68,205.38,4 HCPCS,L8612,"Mee Implant, Ahmed Valve, Bi-Plate",1488.0,1116.0,761.86,1153.2,4 HCPCS,L8612,"Mee Implant, Molteno",1193.0,894.75,610.82,924.58,4 HCPCS,L8612,"Mee Shunt, Express Mini P-50",1424.0,1068.0,729.09,1103.6,4 HCPCS,L8612,SHUNT EXPRESS MINI P-50,3784.26,2838.19,1937.54,2932.8,4 HCPCS,L8612,SHUNT OPHTHALMOLOGY 350MM BAERVELDT ANTERIOR CHAMBER SILICONE SINGLE QUADRANT DRAINAGE TUBE,1800.0,1350.0,921.6,1395.0,4 HCPCS,L8612,VALVE GLAUCOMA 9.6X10MM AHMED FLEXIBLE PLATE SILICONE PEDI,3562.5,2671.87,1824.0,2760.94,4 HCPCS,L8613,CONNECTOR EAR .5MM OMEGA OSSICULAR PROSTHESIS,648.9,486.67,332.24,502.9,6 HCPCS,L8613,IMPLANT EAR .06X11MM SCHUKNECHT CRESCENT FLUOROPLASTIC,176.49,132.37,90.36,136.78,6 HCPCS,L8613,IMPLANT EAR .84X6MM RICHARDS CENTERED TORP HYDROXYLAPATITE,1015.92,761.94,520.15,787.34,6 HCPCS,L8613,IMPLANT EAR .84X8MM RICHARDS CENTERED TORP HYDROXYLAPATITE,1006.86,755.14,515.51,780.32,6 HCPCS,L8613,IMPLANT EAR .9X10.2X9X2.5MM LONG WEHRS II INCUS STAPES SINGLE NOTCH HYDROXYLAPATITE,975.27,731.45,499.34,755.83,6 HCPCS,L8613,IMPLANT EAR .9X7.3X6.1X1.6X3.5MM MED WEHRS II INCUS STAPES DOUBLE NOTCH HYDROXYLAPATITE,1043.01,782.26,534.02,808.33,6 HCPCS,L8613,IMPLANT EAR 1X1.2X2X2MM SM INCUS STAPES APPLEBAUM FULLY CANNULATED HYDROXYLAPATITE,1061.07,795.8,543.27,822.33,6 HCPCS,L8613,IMPLANT EAR 1X2.5X2X1.2MM LG INCUS STAPES APPLEBAUM FULLY CANNULATED HYDROXYLAPATITE,1061.07,795.8,543.27,822.33,6 HCPCS,L8613,IMPLANT EAR 2.1X.9X1.6X3.5MM SHORT WEHRS INCUS DOUBLE NOTCH HYDROXYLAPATITE,1117.5,838.12,572.16,866.06,6 HCPCS,L8613,IMPLANT EAR 2.1X.9X2.5MM SHORT WEHRS INCUS SINGLE NOTCH HYDROXYLAPATITE,1000.08,750.06,512.04,775.06,6 HCPCS,L8613,IMPLANT EAR 3.3X2.1X1.6X3.5MM MED WEHRS INCUS DOUBLE NOTCH HYDROXYLAPATITE,1094.94,821.2,560.61,848.58,6 HCPCS,L8613,IMPLANT EAR 3.3X2.1X2.5MM MED WEHRS INCUS SINGLE NOTCH HYDROXYLAPATITE,991.08,743.31,507.43,768.09,6 HCPCS,L8613,IMPLANT EAR 4.5X3.3X1.6X3.5MM LONG WEHRS INCUS DOUBLE NOTCH HYDROXYLAPATITE,1106.19,829.64,566.37,857.3,6 HCPCS,L8613,IMPLANT EAR 4.5X3.3X2.5MM LONG WEHRS INCUS SINGLE NOTCH HYDROXYLAPATITE,1011.42,758.56,517.85,783.85,6 HCPCS,L8613,IMPLANT EAR 4X1.17X5.1MM RICHARDS CENTERED PORP HYDROXYLAPATITE,1002.39,751.79,513.22,776.85,6 HCPCS,L8613,IMPLANT EAR 4X3X6.6MM BLACK OVAL TOP PORP HYDROXYLAPATITE,1194.27,895.7,611.47,925.56,6 HCPCS,L8613,INSTRUMENT PROSTHESIS 3-7MM TOTAL WILDCAT PRO ALTO HA TITANIUM MULTIDIRECTIONAL HEAD BX/1EA,1433.25,1074.94,733.82,1110.77,6 HCPCS,L8613,"Mee Connector,Omega,Kurz",418.0,313.5,214.02,323.95,6 HCPCS,L8613,Mee Ear Implant Applebaum Prothesis,630.0,472.5,322.56,488.25,6 HCPCS,L8613,Mee Ear Implant Crescent Schuknecht,123.0,92.25,62.98,95.33,6 HCPCS,L8613,Mee Ear Implant Piston Malleus,174.0,130.5,89.09,134.85,6 HCPCS,L8613,Mee Ear Implant Piston Meei Custom,232.0,174.0,118.78,179.8,6 HCPCS,L8613,Mee Ear Implant Piston Platinum,322.0,241.5,164.86,249.55,6 HCPCS,L8613,Mee Ear Implant Porp/Torp Hydrox/Kurz,628.0,471.0,321.54,486.7,6 HCPCS,L8613,"Mee Ear Implant,Kurz Bell,Aerial Vario",835.0,626.25,427.52,647.13,6 HCPCS,L8613,Mee Piston Eclipse Nitinol,520.0,390.0,266.24,403.0,6 HCPCS,L8613,Mee Piston Smart,494.0,370.5,252.93,382.85,6 HCPCS,L8613,"Mee Piston, Smart Stapes, 5x X.Xxmm",472.0,354.0,241.66,365.8,6 HCPCS,L8613,"Mee Piston,Smart Maleous",516.0,387.0,264.19,399.9,6 HCPCS,L8613,PISTON CUSTOM MEEI .6X4.0MM,365.73,274.3,187.25,283.44,6 HCPCS,L8613,PISTON EAR .4X6MM STAPES FISCH TYPE PLATINUM F,407.49,305.62,208.63,315.8,6 HCPCS,L8613,PISTON EAR .5X4.25MM SMART 360 NITINOL FLUOROPLASTIC,798.69,599.02,408.93,618.98,6 HCPCS,L8613,PISTON EAR .5X4.75MM SMART STAPEDECTOMY FLUOROPLASTIC NITINOL,752.91,564.68,385.49,583.51,6 HCPCS,L8613,PISTON EAR .6X3.50MM STAPES SCHUKNECHT WIRE SS FLUOROPLASTIC,277.65,208.24,142.16,215.18,6 HCPCS,L8613,PISTON EAR .6X3.75MM STAPES SCHUKNECHT WIRE SS FLUOROPLASTIC,274.29,205.72,140.44,212.57,6 HCPCS,L8613,PISTON EAR .6X4.5MM SCHUKNECHT STAINLESS STEEL FLUOROPLASTIC STERILE,272.04,204.03,139.28,210.83,6 HCPCS,L8613,PISTON EAR .6X4.75MM SMART STAPEDECTOMY NITINOL FLUOROPLASTIC,761.64,571.23,389.96,590.27,6 HCPCS,L8613,PISTON EAR .6X5.5MM SMART MALLEUS NITINOL FLUOROPLASTIC,923.1,692.32,472.63,715.4,6 HCPCS,L8613,PISTON EAR .6X5.5MM STAPES SCHUKNECHT MALLEUS SS FLUOROPLASTIC,287.82,215.86,147.36,223.06,6 HCPCS,L8613,PISTON EAR .8X5.75MM STAPES SCHUKNECHT MALLEUS SS FLUOROPLASTIC,285.57,214.18,146.21,221.32,6 HCPCS,L8613,PISTON RIBBON FLAT ECLIPSE .6MMX4.50MM L NITINOL FLUOROPLASTIC,1168.02,876.01,598.03,905.22,6 HCPCS,L8613,PISTON STAPES 0.6X4.25MM PROSTHESIS FLUOROPLASTIC PLATINUM,658.17,493.63,336.98,510.08,6 HCPCS,L8613,PROSTHESES HA LITE PARTIAL 1.75MM L BX/1EA,1251.0,938.25,640.51,969.53,6 HCPCS,L8613,PROSTHESES HA LITE PARTIAL 2.00MM L BX/1EA,1313.55,985.16,672.54,1018.0,6 HCPCS,L8613,PROSTHESES LIPPY BUCKET W/NOTCH .6 DIA X 3.75MM L BX/1EA,774.0,580.5,396.29,599.85,6 HCPCS,L8613,PROSTHESES OSSICULAR 3X.8MM 3-7MM ADJUSTABLE LENGTH HA/TITANIUM HA LITE ALTO TOTAL BX/1EA,1404.9,1053.67,719.31,1088.8,6 HCPCS,L8613,PROSTHESES OSSICULAR 5MM 1X1.75MM DISTAL END CENTERED HA/TITANIUM WILDCAT PRO BX/1EA,1354.5,1015.87,693.5,1049.74,6 HCPCS,L8613,PROSTHESIS CLIP 2.5X3.50MM PARTIAL DRESEDE,1266.9,950.17,648.65,981.85,6 HCPCS,L8613,PROSTHESIS CLIP PARTIAL DRESDE,1384.32,1038.24,708.77,1072.85,6 HCPCS,L8613,PROSTHESIS EAR .5 X 4.25MM PISTON ECLIPSE NITINOL FLUOROPLASTIC,1053.0,789.75,539.14,816.08,6 HCPCS,L8613,PROSTHESIS EAR 1.75 TO 4.50MM MIDDLE PARTIAL TTP VARIO BELL TI VARIABLE LENGTH,1334.88,1001.16,683.46,1034.53,6 HCPCS,L8613,PROSTHESIS OSSICULAR ADJUSTABLE CENTERED ALTO CONCISE PARTIAL TOTAL TITANIUM 3.0 X 0.8MM,1228.5,921.37,628.99,952.09,6 HCPCS,L8613,PROSTHESIS STAPES .6X4.75MM PISTON ECLIPSE NITINOL,819.0,614.25,419.33,634.73,6 HCPCS,L8613,SIZER CENTERED ALTO CONCISE PARTIAL INCLUDED TI SILICONE,1244.25,933.19,637.06,964.29,6 HCPCS,L8614,ABUTMENT HEARING 8.5MM BA210 AID TITANIUM FLANGE FIXTURE HEXAGONAL CONNECTION BAHA,4474.93,3356.2,2291.16,3395.58,4 HCPCS,L8614,ABUTMENT TITANIUM 6MM 4 IMPLANT COCHLEAR BIA300 XSEC BAHA FAST SURGERY,5960.5,4470.37,3051.78,4522.83,4 HCPCS,L8614,COCHLEAR IMPLANT SYNCHRONY 2 MI1250 PIN FLEX24 S-VECTOR MAGNET,39690.0,29767.5,20321.28,30116.77,4 HCPCS,L8614,Cochlear External Add on Component,10295.0,7721.25,5271.04,7811.85,4 HCPCS,L8614,ELECTRODE INSERTION FLEX 28 COCHLEAR,2880.0,2160.0,1474.56,2185.34,4 HCPCS,L8614,IMPLANT COCHLEAR 3D ULTRA HIRES,29000.0,21750.0,14848.0,22005.2,4 HCPCS,L8614,IMPLANT COCHLEAR HI-RES ULTRA CL HI-FOCIS SLIM J ELECTRODE - DISCONTINUED PER SUPPLIER/CONTRACTS,27000.0,20250.0,13824.0,20487.6,4 HCPCS,L8614,IMPLANT COCHLEAR NUCLEUS PROFILE PLUS CONTOUR ADVANCE ELECTRODE,37399.88,28049.91,19148.74,28379.03,4 HCPCS,L8614,IMPLANT COCHLEAR NUCLEUS PROFILE PLUS WITH SLIM MODIOLAR ELECTRODE,37398.02,28048.51,19147.79,28377.62,4 HCPCS,L8614,MAGNET INSERT DUMMY - DISCONTINUED PER SUPPLIER/CONTRACTS,780.0,585.0,399.36,591.86,4 HCPCS,L8614,Mee Coch Impl Internal Processor Partial Device,1.0,0.75,0.51,0.76,4 HCPCS,L8614,Mee Coch Impl Internal Processor Warantee Replacement,1.0,0.75,0.51,0.76,4 HCPCS,L8614,Mee Cochlear Device Int/Ext Comp,58615.0,43961.25,29733.89,44887.57,12 HCPCS,L8614,Mee Sponsor Paid Cochlear,1.0,0.75,0.51,0.76,4 HCPCS,L8624,HC Lithium Ion Battery Ear Level T3,550.0,412.5,362.45,362.45,2 HCPCS,L8624,Mee Lithium Ion Battery Ear Level,225.0,168.75,148.28,148.28,2 HCPCS,L8627,Mee Cid Ext Speech Process Repl,13537.0,10152.75,8920.88,8920.88,1 HCPCS,L8627,PROSTHESES OSSICULAR 3.5MM 1X1.75MM DISTAL END CENTERED HA/TITANIUM WILDCAT PRO BX/1EA,1354.5,1015.87,892.62,892.62,1 HCPCS,L8627,PROSTHESES PRECISE HA LITE TOTAL 4.00MM L BX/1EA,1313.55,985.16,865.63,865.63,1 HCPCS,L8629,Mee Cid Transmit Coil and Cable,427.0,320.25,281.39,281.39,1 HCPCS,L8629,Mee Cid Transmit Coil and Cable T2,743.0,557.25,489.64,489.64,1 HCPCS,L8690,ABUTMENT COCHLEAR 6MM OTICON PONTO PRO,5174.76,3881.07,2649.48,3926.61,3 HCPCS,L8690,ABUTMENT EAR 10MM COCHL DERMALOCK BAHA TWO STAGE SURGERY,4218.76,3164.07,2160.01,3201.2,3 HCPCS,L8690,ABUTMENT HEALING L 6MM BA300 AID STD BAHA TITANIUM IMPLANTABLE,3805.62,2854.21,1948.48,2887.7,3 HCPCS,L8690,ABUTMENT XSEC 6MM 3 IMPLANT COCHLEAR BIA300 BAHA FAST SURGERY TITANIUM,5960.5,4470.37,3051.78,4522.83,3 HCPCS,L8690,Auditory Osseointegrated External Add on Component,3740.0,2805.0,1914.88,2837.91,3 HCPCS,L8690,Bonebridge Bone Conduction Implant,13953.0,10464.75,7143.94,10587.54,3 HCPCS,L8690,DEVICE COCHLEAR 12MM 4.0 BAHA DERMALOCK FAST TITANIUM HYDROXYAPATITE ABUTMENT BONE CONDUCTION,6579.3,4934.47,3368.6,4992.37,3 HCPCS,L8690,DEVICE IMPLANT 3.0MM COCHLEAR BI300 TITANIUM BAHA SURGERY,3983.53,2987.65,2039.57,3022.7,3 HCPCS,L8690,HC Auditory Osseointgrated Device Tier3,6678.0,5008.5,3419.14,5067.27,3 HCPCS,L8690,IMPLANT COCHLEAR 3MM PONTO BIOHELIX,3920.0,2940.0,2007.04,2974.5,3 HCPCS,L8690,IMPLANT COCHLEAR 4MM 14MM PONTO BIOHELIX WITH ABUTMENT,7787.52,5840.64,3987.21,5909.17,3 HCPCS,L8690,IMPLANT CONDUCTION BONE BONEBRIDGE,11252.0,8439.0,5761.02,8538.02,3 HCPCS,L8690,IMPLANT OSIA OSI300,9187.56,6890.67,4704.03,6971.52,3 HCPCS,L8690,KIT IMPLANT BCI 602,12280.2,9210.15,6287.46,9318.22,3 HCPCS,L8690,KIT IMPLANT TI SENTIO,8686.0,6514.5,4447.23,6590.94,3 HCPCS,L8690,KIT SURGERY 3MM MIPS BACK UP PK/25EA,40.19,30.14,20.58,30.5,3 HCPCS,L8690,KIT SURGERY 4MM MIPS KT/1EA,2121.0,1590.75,1085.95,1609.41,3 HCPCS,L8690,MAGNET COCHLEAR 4.0MM BAHA 4 CONICAL BIM 400 SYSTEM,4986.0,3739.5,2552.83,3783.38,3 HCPCS,L8690,Mee Baha Bone Anchor Hearing Aid,6678.0,5008.5,3419.14,5067.27,3 HCPCS,L8690,Mee Fixture Flange St,2287.0,1715.25,1170.94,1735.38,3 HCPCS,L8690,Mee Fixture Flange W/Abutment,3831.0,2873.25,1961.47,2906.96,3 HCPCS,L8692,Ear Implant Osteointergated Abutment T3,3900.0,2925.0,1560.0,2738.19,3 HCPCS,L8692,HC Ear Implant Non Osteointergated Abutment T2,4230.0,3172.5,1692.0,2969.88,3 HCPCS,L8692,HC Ear Implant Non Osteointergated Abutment T3,4580.0,3435.0,1832.0,3215.62,3 HCPCS,L8692,Mee Baha Incl Hdbnd/Ext Attachment,6837.0,5127.75,2734.8,4800.26,3 HCPCS,L8699,Bilat Tula System Supply,1300.0,975.0,665.6,1007.5,6 HCPCS,L8699,GRAFT BONE 38X5X1MM BARRIER CRANIOFACIAL MEDPOR ORBITAL FLOOR BIOMATERIAL SHEET SILASTIC,2191.93,1643.95,1122.27,1698.75,6 HCPCS,L8699,KIT SYRINGE MULTI-USE BX/10EA,107.4,80.55,54.99,83.24,6 HCPCS,L8699,Mee Ear Base Extended,1297.0,972.75,664.06,1005.18,6 HCPCS,L8699,Mee Ear Tube,60.5,45.375,13.82,60.45,24 HCPCS,L8699,Mee Ear Tubes,48.0,36.0,24.58,37.2,6 HCPCS,L8699,Mee Free Latera,0.01,0.01,0.01,0.01,6 HCPCS,L8699,"Mee Implant, Istent",1611.0,1208.25,824.83,1248.53,6 HCPCS,L8699,"Mee Implant, Sphere, Sterile� Various Sizes",827.0,620.25,423.42,640.93,6 HCPCS,L8699,"Mee Implant, Wedge, Enophthalmos, Sterile",742.0,556.5,379.9,575.05,6 HCPCS,L8699,"Mee Implant,Orbital Floor",1463.0,1097.25,749.06,1133.83,6 HCPCS,L8699,"Mee Plate, Adapt 20 Hole, Ti Mx",271.0,203.25,138.75,210.03,6 HCPCS,L8699,Mee Rim Helical,1023.0,767.25,523.78,792.83,6 HCPCS,L8699,Mee Thyroplasty Implant,755.0,566.25,386.56,585.13,6 HCPCS,L8699,"Mee Tube,Baxter,Beveled Button",39.0,29.25,19.97,30.23,6 HCPCS,L8699,SEPTAL BUTTON NASAL 2 PART 152,891.42,668.56,456.41,690.85,6 HCPCS,L8699,SPLINT POSISEP 0.5INX1.5IN X INTRANASAL BX/5EA,339.0,254.25,173.57,262.73,6 HCPCS,L8699,SPLINT POSISEP 0.6INX2IN INTRANASAL BX/5EA,360.0,270.0,184.32,279.0,6 HCPCS,L8699,TUBE ARMSTRONG V GROMMET VENT PK/5EA,63.76,47.82,32.65,49.41,6 HCPCS,L8699,TUBE EAR .75MM VENTILATION REUTER BOBBIN FLUOROPLASTIC BX/6EA,40.53,30.4,20.75,31.41,6 HCPCS,L8699,TUBE EAR 1.14MM 2.4MM MYRINGOTOMY GROMMET FLUOROPLASTIC TAB BLUE PK/5EA,44.75,33.56,22.91,34.68,6 HCPCS,L8699,TUBE EAR 1MM VENTILATION GROMMET SHEPARD FLUOROPLASTIC BX/6EA,26.63,19.97,13.63,20.64,6 HCPCS,L8699,TUBE EAR 1MM VENTILATION REUTER BOBBIN TB OUT SS BX/6EA,95.47,71.6,48.88,73.99,6 HCPCS,L8699,TUBE VENTILATION 8.5CMX1.27MM EAR BEVELED CURVED PK/5EA,127.1,95.32,65.08,98.5,6 HCPCS,L8699,Unilat Tula System Supply,1000.0,750.0,512.0,775.0,6 HCPCS,Q4116,GRAFT TISSUE 4X12CM MED HUMAN ALLODERM REGENERATIVE,3897.0,2922.75,3020.18,3020.18,1 HCPCS,Q4116,MATRIX TISSUE 2X4CM MED 1.6-.4MM THICKNESS RANGE RECTANGLE ALLODERM SELECT REGENERATIVE,1296.0,972.0,1004.4,1004.4,1 HCPCS,Q4116,MATRIX TISSUE 2X4CM THICK 2.4-.4MM THICKNESS RANGE RECTANGLE ALLODERM SELECT REGENERATIVE,1296.0,972.0,1004.4,1004.4,1 HCPCS,Q4116,MATRIX TISSUE 4X7CM MED 1.6-.4MM THICKNESS RANGE RECTANGLE ALLODERM SELECT REGENERATIVE,2283.0,1712.25,1769.33,1769.33,1 HCPCS,Q5124,"Inj Ranibizumab-Nuna, Biosimilar, Byooviz per 0.1 Mg",341.76,256.32,61.8,61.8,2 HCPCS,V2523,"Cl, Soft, Extended Wear",257.0,192.75,131.58,199.18,6 HCPCS,V2599,Duette,265.0,198.75,186.06,186.06,1 HCPCS,V2599,Synergeyes A,371.0,278.25,260.48,260.48,1 HCPCS,V2599,"Synergeyes Kc, Ps, Clearcone, Ultrahealt",583.0,437.25,409.32,409.32,1 HCPCS,V2630,LENS INTRAOCULAR AC L122UV 20.0D,900.0,675.0,460.8,697.5,4 HCPCS,V2630,LENS INTRAOCULAR AC MTA3U0 15.5D,255.0,191.25,130.56,197.63,4 HCPCS,V2630,LENS INTRAOCULAR AC MTA3U0 20.0D,255.0,191.25,130.56,197.63,4 HCPCS,V2630,LENS INTRAOCULAR CT LUCIA 602 8.0D,435.0,326.25,222.72,337.13,4 HCPCS,V2630,LENS INTRAOCULAR ENVISTA ASPIRE 23.0D,750.0,562.5,384.0,581.25,4 HCPCS,V2630,LENS INTRAOCULAR ENVISTA MONOFOCAL MX60PL 15.5D,387.0,290.25,198.14,299.93,4 HCPCS,V2630,LENS INTRAOCULAR ENVISTA MX60 15.5D,357.0,267.75,182.78,276.68,4 HCPCS,V2630,LENS INTRAOCULAR MA60AC 30.0D,447.0,335.25,228.86,346.43,4 HCPCS,V2630,LENS INTRAOCULAR RAYONE ASPHERIC PRE-LOADED RAO600C 18.5D,195.0,146.25,99.84,151.13,4 HCPCS,V2630,LENS INTRAOCULAR RAYONE EMV US W01-RAO200E 18.0D,450.0,337.5,230.4,348.75,4 HCPCS,V2630,LENS INTRAOCULAR SN60AT 22.5D,447.0,335.25,228.86,346.43,4 HCPCS,V2630,LENS INTRAOCULAR SN60WF 22.5D,402.0,301.5,205.82,311.55,4 HCPCS,V2630,LENS INTRAOCULAR SN60WF 30.0D,402.0,301.5,205.82,311.55,4 HCPCS,V2630,LENS INTRAOCULAR SOFPORT LI61AO 19.5D,339.0,254.25,173.57,262.73,4 HCPCS,V2630,LENS INTRAOCULAR SOFPORT LI61AO 9.5D,339.0,254.25,173.57,262.73,4 HCPCS,V2630,LENS INTRAOCULAR TECNIS ZCB00 9.5D,405.0,303.75,207.36,313.88,4 HCPCS,V2630,"Mee Iol, Monofocal",318.0,238.5,162.82,246.45,4 HCPCS,V2632,LENS IMPLANTABLE COLLAMER VISIAN MICL 12.6 - 10.0D,3312.5,2484.37,1696.0,2567.19,5 HCPCS,V2632,LENS INTRAOCULAR AKREOS AO60 7.0D,339.0,254.25,173.57,262.73,5 HCPCS,V2632,LENS INTRAOCULAR CLAREON CLEAR CC60WF 6.0D,402.0,301.5,205.82,311.55,5 HCPCS,V2632,LENS INTRAOCULAR CLAREON PRE-LOADED CNA0T0 6.0D,447.0,335.25,228.86,346.43,5 HCPCS,V2632,LENS INTRAOCULAR CZ70BD 20.5D,150.0,112.5,76.8,116.25,5 HCPCS,V2632,LENS INTRAOCULAR EC-3 PAL 33.0D - DISCONTINUED PER SUPPLIER/CONTRACTS,435.0,326.25,222.72,337.13,5 HCPCS,V2632,LENS INTRAOCULAR ENVISTA ASPIRE 18.0D,450.0,337.5,230.4,348.75,5 HCPCS,V2632,LENS INTRAOCULAR ENVISTA EE U +20.00,357.0,267.75,182.78,276.68,5 HCPCS,V2632,LENS INTRAOCULAR ENVISTA ETE U 300 +17.5,1275.0,956.25,652.8,988.13,5 HCPCS,V2632,LENS INTRAOCULAR SENSAR ACRYLIC AR40E 21.0D,345.0,258.75,176.64,267.38,5 HCPCS,V2632,LENS INTRAOCULAR TECNIS PRE-LOADED DCB00 17.5D,405.0,303.75,207.36,313.88,5 HCPCS,V2632,LENS INTRAOCULAR TMICL 12.6 (-8.0/1.5/090),3735.0,2801.25,1912.32,2894.63,5 HCPCS,V2632,Lens Iol Posterior Chamber T1,1443.0,1082.25,738.82,1118.33,5 HCPCS,V2632,Upgradeable Lens Iol Posterior Chamber,445.81,334.36,228.25,345.5,5 HCPCS,V2785,CTAK Corneal Tissue,3900.0,2925.0,1996.8,3022.5,10 HCPCS,V2785,GRAFT ALLOGRAFT 9MM TANZGRAFT SPILT THICKNESS HALF MOON,1050.0,787.5,537.6,813.75,10 HCPCS,V2785,Mee Allograft Tissue Human,4150.0,3112.5,2124.8,3216.25,9 HCPCS,V2785,Mee Cornea Allograft Half Moon,647.0,485.25,331.26,501.43,9 HCPCS,V2785,Mee Tissue Cornea Whole Irradiated,3936.0,2952.0,2015.23,3050.4,9 HCPCS,V2785,Mee Tissue Corneal V2785,4274.0,3205.5,2188.29,3312.35,9 HCPCS,V2785,Mee Tissue Precut Corneal V2785,5705.0,4278.75,2920.96,4421.38,9 HCPCS,V2785,TISSUE CORNEA WHOLE IRRADIATED,3750.0,2812.5,1920.0,2906.25,10 HCPCS,V2785,TISSUE CORNEAL,5973.34,4480.0,3058.35,4629.34,10 HCPCS,V2785,TISSUE CORNEAL PRE-LOADED,7950.0,5962.5,4070.4,6161.25,10 HCPCS,V2785,TISSUE CORNEAL PRECUT,7973.34,5980.0,4082.35,6179.34,10 HCPCS,V2787,LENS IMPLANTABLE COLLAMER EVO+ VISIAN TORIC VTICM5 13.2 -7.50(+1.00)(092),3735.0,2801.25,2427.75,2427.75,1 HCPCS,V2787,LENS IMPLANTABLE COLLMAER EVO+ VISIAN TORIC 12.6 -11.0 1.0 CYL,3312.5,2484.37,2153.13,2153.13,1 HCPCS,V2787,LENS INTRAOCULAR AKREOS AO60 27.0D,339.0,254.25,220.35,220.35,1 HCPCS,V2787,LENS INTRAOCULAR CLAREON TORIC CCW0T3 6.0D,1515.0,1136.25,984.75,984.75,1 HCPCS,V2787,LENS INTRAOCULAR CLAREON VIVITY TORIC CLEAR CCWET5 9.0D,3045.0,2283.75,1979.25,1979.25,1 HCPCS,V2787,LENS INTRAOCULAR ENVISTA TORIC MX60T 3.5CYL 9.5D,1275.0,956.25,828.75,828.75,1 HCPCS,V2787,LENS INTRAOCULAR RXLAL LIGHT ADJUSTABLE 60005 18.0D,3000.0,2250.0,1950.0,1950.0,1 HCPCS,V2787,LENS INTRAOCULAR TECNIS EYHANCE TORIC DIU450 12.0D,1785.0,1338.75,1160.25,1160.25,1 HCPCS,V2787,LENS INTRAOCULAR TECNIS EYHANCE TORIC II DIU150 18.0D,1785.0,1338.75,1160.25,1160.25,1 HCPCS,V2787,LENS INTRAOCULAR TMICL 13.2 -10.0,3312.5,2484.37,2153.13,2153.13,1 HCPCS,V2787,LENS INTRAOCULAR TMICL 13.7 (-16.00/2.0/111),4187.5,3140.62,2721.88,2721.88,1 HCPCS,V2787,LENS INTRAOCULAR TMICL VTICM5 12.6 -9.5/111/0-6.1,4187.5,3140.62,2721.88,2721.88,1 HCPCS,V2787,LENS INTRAOCULAR TORIC MX60E 6.0D,357.0,267.75,232.05,232.05,1 HCPCS,V2787,LENS INTRAOCULAR TORIC SN6AT4 21.0D,1485.0,1113.75,965.25,965.25,1 HCPCS,V2787,LENS INTRAOCULAR TRULIGN TORIC BL1UT 2.75 CYL 20.0D,2385.0,1788.75,1550.25,1550.25,1 HCPCS,V2787,LENS TECNIS ODYSSEY SIMPLICITY TORIC II DRT150 21.0D,2985.0,2238.75,1940.25,1940.25,1 HCPCS,V2787,Mee Iol Femto Toric,318.0,238.5,206.7,206.7,1 HCPCS,V2787,Mee Iol Toric,318.0,238.5,206.7,206.7,1 HCPCS,V2790,ALLOGRAFT OCULAR 3X4CM AMNIOGUARD FROZEN,3885.0,2913.75,2721.05,3010.88,3 HCPCS,V2790,GRAFT ALLO AMNIO 1.5X1.0CM TISSUE AMNIOTIC MEMBRANE OCULAR SHEET FROZEN,1485.0,1113.75,1040.09,1150.88,3 HCPCS,V2790,GRAFT ALLO AMNIO 3.5 XCM TISSUE OCULAR AMNIOTIC MEMBRANE FROZEN,2385.0,1788.75,1670.45,1848.38,3 HCPCS,V2790,GRAFT ALLO OCULAR 2.0X1.5CM TISSUE AMINO AMNIOTIC MEMBRANE FROZEN,1785.0,1338.75,1250.21,1383.38,3 HCPCS,V2790,GRAFT ALLO TISSUE 2.5X2.0CM OCULAR AMNIORAFT,2085.0,1563.75,1460.33,1615.88,3 HCPCS,V2790,GRAFT AMINO 10.X 5.0CM CRYOPRESERVED HUMAN AMNIOTIC MEMBRANE,6090.0,4567.5,4265.44,4719.75,3 HCPCS,V2790,GRAFT AMNIOTIC 100UM 3CMXW2CM MEMBRANE THICK AMBIO5,1914.3,1435.72,1340.78,1483.58,3 HCPCS,V2790,GRAFT MEMBRANE 12MM AMNIOTIC AMBIODISK SUTURELESS DEHYDRATED,1642.2,1231.65,1150.2,1272.71,3 HCPCS,V2790,GRAFT OPHTHALMIC 16MM AMNIOTIC MEMBRANE OCULAR PROKERA IMPLANTABLE,2847.0,2135.25,1994.04,2206.43,3 HCPCS,V2790,MATRIX AMBIODRY 5 1.5X2CM GRAFT HUMAN BIOLOGIC,1630.8,1223.1,1142.21,1263.87,3 HCPCS,V2790,MESH BIOLOGIC 4X4CM ALLOGRAFT GRAFT TISSUE AMNIOTIC AMBIODRY 5,2254.5,1690.87,1579.05,1747.24,3 HCPCS,V2790,Mee Ambiodry 1x2cm,1433.0,1074.75,1003.67,1110.58,3 HCPCS,V2790,Mee Amniotic Membrane,1474.0,1105.5,1032.39,1142.35,3 HCPCS,V2790,"Mee Amniotic Membrane(Prokera),per Procedure",1282.0,961.5,897.91,993.55,3 HCPCS,V2790,Mee Calec Corneal Tissue,1.0,0.75,0.7,0.78,3 HCPCS,V2790,TISSUE PLUS TRANSPLANT CORNEA PROKERA REPLACEMENT,3147.0,2360.25,2204.16,2438.93,3 HCPCS,V5011,Hearing Aid Consultation - Prepaid,240.0,180.0,96.0,186.0,8 HCPCS,V5014,Mee Service Lab Fee � in House Ha Repair,53.0,39.75,34.93,34.93,1 HCPCS,V5014,Repair/Modification of a Hearing Aid,255.0,191.25,168.05,168.05,1 HCPCS,V5020,Conformity Evaluation,90.0,67.5,36.0,69.75,10 HCPCS,V5040,Body Aid Bone Conduction,2162.0,1621.5,1106.94,1106.94,1 HCPCS,V5160,"Dispensing Fee, Binaural",660.0,495.0,264.0,500.81,8 HCPCS,V5160,"Mee Dispensing Fee, Binaural",660.0,495.0,264.0,500.81,8 HCPCS,V5181,Hearing Aid Monaural Bte (V5181),469.0,351.75,328.49,328.49,1 HCPCS,V5181,Hearing Aid Monaural Bte T2(V5181),588.0,441.0,411.84,411.84,1 HCPCS,V5181,Hearing Aid Monaural Bte T3(V5181),679.0,509.25,475.57,475.57,1 HCPCS,V5200,"Dispensing Fee, Cros",330.0,247.5,231.13,231.69,2 HCPCS,V5200,"Mee Dispensing Fee, Cros",330.0,247.5,231.13,231.69,2 HCPCS,V5221,Hearing Aid Binaural Bte/Bte (V5221),1370.0,1027.5,701.44,961.88,5 HCPCS,V5221,Hearing Aid Binaural Bte/Bte T2 (V5221),1586.0,1189.5,812.03,1113.53,5 HCPCS,V5221,Hearing Aid Binaural Bte/Bte T3 (V5221),2009.0,1506.75,1028.61,1410.52,5 HCPCS,V5240,"Dispensing Fee, Bicros",330.0,247.5,168.96,231.69,5 HCPCS,V5241,"Dispensing Fee, Monaural",330.0,247.5,217.47,250.4,4 HCPCS,V5241,"Mee Dispensing Fee, Monaural",330.0,247.5,217.47,250.4,4 HCPCS,V5256,HC Ha Digital Monaural Ite T2,1048.0,786.0,735.8,735.8,1 HCPCS,V5256,HC Ha Digital Monaural Ite T3,1556.0,1167.0,1092.47,1092.47,1 HCPCS,V5256,Ha Digital Monaural Ite,785.0,588.75,551.15,551.15,1 HCPCS,V5257,HC Ha Digital Monaural Bte T2,1049.0,786.75,537.09,795.98,6 HCPCS,V5257,HC Ha Digital Monaural Bte T3,1486.0,1114.5,760.83,1127.58,6 HCPCS,V5257,Ha Digital Monaural Bte,784.0,588.0,401.41,594.9,6 HCPCS,V5258,HC Ha Digital Binaural Cic T2,2184.0,1638.0,1439.26,1533.39,2 HCPCS,V5258,HC Ha Digital Binaural Cic T3,3353.0,2514.75,2209.63,2354.14,2 HCPCS,V5258,Ha Digital Binaural Cic,1413.0,1059.75,931.17,992.07,2 HCPCS,V5259,HC Ha Digital Binaural Itc T2,2028.0,1521.0,1336.45,1336.45,1 HCPCS,V5259,HC Ha Digital Binaural Itc T3,2956.0,2217.0,1948.0,1948.0,1 HCPCS,V5259,Ha Digital Binaural Itc,1528.0,1146.0,1006.95,1006.95,1 HCPCS,V5260,HC Ha Digital Binaural Ite T2,2095.0,1571.25,1380.61,1380.61,2 HCPCS,V5260,HC Ha Digital Binaural Ite T3,3112.0,2334.0,2050.81,2050.81,2 HCPCS,V5260,Ha Digital Binaural Ite,1570.0,1177.5,1034.63,1034.63,2 HCPCS,V5261,HC Ha Digital Binaural Bte T1,1568.0,1176.0,802.82,1568.0,9 HCPCS,V5261,HC Ha Digital Binaural Bte T2,2098.0,1573.5,1074.18,2098.0,9 HCPCS,V5261,HC Ha Digital Binaural Bte T3,2972.0,2229.0,1521.66,2972.0,9 HCPCS,V5264,Earmold Receiver,63.0,47.25,32.26,63.0,8 HCPCS,V5264,HC Earmold Receiver T2,76.0,57.0,38.91,76.0,8 HCPCS,V5264,HC Earmold Receiver T3,105.0,78.75,53.76,105.0,8 HCPCS,V5265,Mee Earmold Disposable,2.25,1.69,1.58,2.25,2 HCPCS,V5266,"Hearing Aid Battery, Each",1.0,0.75,0.51,0.7,3 HCPCS,V5275,"Ear Impression, Each",50.0,37.5,35.11,35.11,1 HCPCS,V5282,"Personal Fm/Dm System, Binaural",1470.0,1102.5,1029.59,1032.09,2 HCPCS,V5290,"Transmitter Microphone, Any Type",216.0,162.0,151.65,151.65,1 HCPCS,V5299,Service Plan 1 Year,500.0,375.0,351.05,351.05,1 HCPCS,V5299,Service Plan 2 Years,650.0,487.5,456.37,456.37,1 HCPCS,V5299,Service Plan 3 Years,800.0,600.0,561.68,561.68,1 MS-DRG,003,"Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.R. Procedures",99127.94,74345.95,199005.18,199005.18,1 MS-DRG,011,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC",133166.52,99874.89,53058.41,53058.41,7 MS-DRG,012,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc",122580.82,91935.61,54214.05,54214.05,6 MS-DRG,013,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC",76465.48,57349.11,37875.73,37875.73,1 MS-DRG,025,Craniotomy And Endovascular Intracranial Procedures With McC,76920.95,57690.71,44661.29,44661.29,2 MS-DRG,026,Craniotomy And Endovascular Intracranial Procedures With Cc,52331.49,39248.62,40660.43,40660.43,3 MS-DRG,040,"Peripheral, Cranial Nerve And Other Nervous System Procedures With McC",166298.37,124723.78,49869.26,49869.26,1 MS-DRG,041,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator",86722.51,65041.88,29510.64,29510.64,1 MS-DRG,042,"Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/McC",62367.0,46775.25,18574.09,18574.09,2 MS-DRG,092,Other Disorders Of Nervous System With Cc,26444.08,19833.06,15113.28,15113.28,1 MS-DRG,113,Orbital Procedures With Cc/McC,34066.27,25549.7,24343.07,24343.07,6 MS-DRG,114,Orbital Procedures Without Cc/McC,28510.6,21382.95,15106.6,15106.6,1 MS-DRG,115,Extraocular Procedures Except Orbit,39901.75,29926.31,21381.9,21381.9,5 MS-DRG,116,Intraocular Procedures With Cc/McC,32306.78,24230.08,24727.44,24727.44,5 MS-DRG,117,Intraocular Procedures Without Cc/McC,27674.59,20755.94,12625.59,12625.59,4 MS-DRG,121,Acute Major Eye Infections With Cc/McC,20420.25,15315.19,13351.09,13351.09,3 MS-DRG,122,Acute Major Eye Infections Without Cc/McC,17565.14,13173.85,9857.68,9857.68,2 MS-DRG,123,Neurological Eye Disorders,40479.64,30359.73,9976.14,9976.14,1 MS-DRG,125,Other Disorders Of The Eye Without McC,16137.37,12103.03,11988.15,11988.15,2 MS-DRG,135,Sinus And Mastoid Procedures With Cc/McC,39346.74,29510.05,22667.15,22667.15,3 MS-DRG,137,Mouth Procedures With Cc/McC,19851.11,14888.33,20871.23,20871.23,1 MS-DRG,138,Mouth Procedures Without Cc/McC,15499.09,11624.32,10786.79,10786.79,2 MS-DRG,139,Salivary Gland Procedures,33797.61,25348.21,17717.95,17717.95,3 MS-DRG,140,Major Head And Neck Procedures With McC,85656.32,64242.24,42057.19,42057.19,2 MS-DRG,141,Major Head And Neck Procedures With Cc,62273.71,46705.28,22769.88,22769.88,7 MS-DRG,142,Major Head And Neck Procedures Without Cc/McC,47634.87,35726.15,22135.01,22135.01,4 MS-DRG,143,"Other Ear, Nose, Mouth And Throat O.R. Procedures With McC",32705.34,24529.0,48465.89,48465.89,3 MS-DRG,144,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc",50586.92,37940.19,23806.56,23806.56,2 MS-DRG,145,"Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/McC",36159.35,27119.51,13712.0,13712.0,2 MS-DRG,146,"Ear, Nose, Mouth And Throat Malignancy With McC",31954.98,23966.23,28515.06,28515.06,2 MS-DRG,147,"Ear, Nose, Mouth And Throat Malignancy With Cc",23352.76,17514.57,14352.38,14352.38,1 MS-DRG,148,"Ear, Nose, Mouth And Throat Malignancy Without Cc/McC",19010.27,14257.7,12346.95,12346.95,1 MS-DRG,151,Epistaxis Without McC,16276.16,12207.12,11574.24,11574.24,1 MS-DRG,153,Otitis Media And Uri Without McC,14251.31,10688.48,9417.18,9417.18,4 MS-DRG,154,"Other Ear, Nose, Mouth And Throat Diagnoses With McC",22373.7,16780.27,21732.13,21732.13,1 MS-DRG,155,"Other Ear, Nose, Mouth And Throat Diagnoses With Cc",25851.88,19388.91,11067.2,11067.2,3 MS-DRG,156,"Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/McC",18257.48,13693.11,8981.31,8981.31,1 MS-DRG,158,Dental And Oral Diseases With Cc,19177.02,14382.76,13727.04,13727.04,1 MS-DRG,159,Dental And Oral Diseases Without Cc/McC,15721.45,11791.09,11261.96,11261.96,1 MS-DRG,166,Other Respiratory System O.R. Procedures With McC,70436.62,52827.46,48356.88,48356.88,1 MS-DRG,167,Other Respiratory System O.R. Procedures With Cc,33202.12,24901.59,24669.88,24669.88,1 MS-DRG,177,Respiratory Infections And Inflammations With McC,54120.91,40590.68,21722.33,21722.33,2 MS-DRG,178,Respiratory Infections And Inflammations With Cc,20490.82,15368.11,11617.81,11617.81,2 MS-DRG,194,Simple Pneumonia And Pleurisy With Cc,11020.23,8265.17,10043.69,10043.69,1 MS-DRG,206,Other Respiratory System Diagnoses Without McC,16643.46,12482.59,11294.83,11294.83,2 MS-DRG,300,Peripheral Vascular Disorders With Cc,5423.5,4067.62,12464.55,12464.55,1 MS-DRG,327,"Stomach, Esophageal And Duodenal Procedures With Cc",19382.65,14536.99,25204.62,25204.62,1 MS-DRG,391,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC",34935.44,26201.58,18117.16,18117.16,1 MS-DRG,392,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC",17328.51,12996.38,9800.31,9800.31,2 MS-DRG,394,Other Digestive System Diagnoses With Cc,16890.67,12668.0,11244.86,11244.86,1 MS-DRG,464,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc,81548.75,61161.56,31409.46,31409.46,3 MS-DRG,465,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Without Cc/McC,12448.7,9336.52,24918.47,24918.47,1 MS-DRG,500,Soft Tissue Procedures With McC,95275.16,71456.37,41341.29,41341.29,1 MS-DRG,501,Soft Tissue Procedures With Cc,115483.65,86612.74,18762.87,18762.87,1 MS-DRG,516,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc,74781.14,56085.85,28033.8,28033.8,2 MS-DRG,517,Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC,37726.31,28294.73,16806.57,16806.57,1 MS-DRG,540,Osteomyelitis With Cc,9292.59,6969.44,18460.05,18460.05,2 MS-DRG,542,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC,55278.56,41458.92,18933.14,18933.14,1 MS-DRG,543,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc,22476.07,16857.05,15174.49,15174.49,1 MS-DRG,547,Connective Tissue Disorders Without Cc/McC,16229.83,12172.37,10324.09,10324.09,1 MS-DRG,554,Bone Diseases And Arthropathies Without McC,7619.67,5714.75,10267.63,10267.63,2 MS-DRG,571,Skin Debridement With Cc,43678.26,32758.69,18220.57,18220.57,1 MS-DRG,572,Skin Debridement Without Cc/McC,24311.4,18233.55,16623.17,16623.17,1 MS-DRG,577,Skin Graft Except For Skin Ulcer Or Cellulitis With Cc,51205.73,38404.3,27115.6,27115.6,3 MS-DRG,578,Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC,16637.22,12477.91,22257.46,22257.46,1 MS-DRG,579,"Other Skin, Subcutaneous Tissue And Breast Procedures With McC",87626.91,65720.18,32555.12,32555.12,1 MS-DRG,580,"Other Skin, Subcutaneous Tissue And Breast Procedures With Cc",44645.0,33483.75,18576.87,18576.87,3 MS-DRG,581,"Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/McC",23884.26,17913.19,15940.37,15940.37,2 MS-DRG,602,Cellulitis With McC,24678.59,18508.94,15738.64,15738.64,1 MS-DRG,603,Cellulitis Without McC,16241.76,12181.32,13250.7,13250.7,3 MS-DRG,606,Minor Skin Disorders With McC,9079.58,6809.68,21116.16,21116.16,1 MS-DRG,607,Minor Skin Disorders Without McC,15642.85,11732.14,10973.73,10973.73,3 MS-DRG,626,"Thyroid, Parathyroid And Thyroglossal Procedures With Cc",49707.12,37280.34,20947.17,20947.17,1 MS-DRG,627,"Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/McC",42125.86,31594.39,14878.0,14878.0,1 MS-DRG,641,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC",19425.58,14569.18,9787.34,9787.34,2 MS-DRG,644,Endocrine Disorders With Cc,12641.75,9481.31,12071.26,12071.26,1 MS-DRG,645,Endocrine Disorders Without Cc/McC,10541.74,7906.3,11994.28,11994.28,1 MS-DRG,707,Major Male Pelvic Procedures With Cc/McC,44756.91,33567.68,27081.07,27081.07,1 MS-DRG,708,Major Male Pelvic Procedures Without Cc/McC,41831.53,31373.65,16783.43,16783.43,5 MS-DRG,813,Coagulation Disorders,9086.25,6814.69,16701.06,16701.06,1 MS-DRG,814,Reticuloendothelial And Immunity Disorders With McC,49769.21,37326.91,28628.94,28628.94,1 MS-DRG,821,Lymphoma And Leukemia With Major O.R. Procedures With Cc,45282.79,33962.09,23301.99,23301.99,3 MS-DRG,822,Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC,29874.16,22405.62,17329.77,17329.77,2 MS-DRG,824,Lymphoma And Non-Acute Leukemia With Other Procedures With Cc,29990.28,22492.71,30329.87,30329.87,1 MS-DRG,825,Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC,39114.46,29335.84,15073.27,15073.27,1 MS-DRG,827,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc,34396.1,25797.07,30888.3,30888.3,1 MS-DRG,828,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/McC,37110.29,27832.72,23450.2,23450.2,2 MS-DRG,829,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC,50737.57,38053.18,41282.52,41282.52,2 MS-DRG,857,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc,65381.61,49036.21,28810.18,28810.18,2 MS-DRG,862,Postoperative And Post-Traumatic Infections With McC,42053.92,31540.44,24918.47,24918.47,1 MS-DRG,863,Postoperative And Post-Traumatic Infections Without McC,22026.45,16519.84,11820.47,11820.47,4 MS-DRG,866,Viral Illness Without McC,6358.98,4769.23,10633.19,10633.19,1 MS-DRG,871,Septicemia Or Severe Sepsis Without Mv >96 Hours With McC,34634.17,25975.63,26373.27,26373.27,1 MS-DRG,872,Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC,53837.14,40377.85,12055.52,12055.52,1 MS-DRG,880,Acute Adjustment Reaction And Psychosocial Dysfunction,12454.02,9340.51,11471.58,11471.58,1 MS-DRG,902,Wound Debridements For Injuries With Cc,46102.25,34576.69,20302.73,20302.73,2 MS-DRG,907,Other O.R. Procedures For Injuries With McC,25878.57,19408.93,49601.07,49601.07,1 MS-DRG,908,Other O.R. Procedures For Injuries With Cc,30883.88,23162.91,21049.53,21049.53,4 MS-DRG,909,Other O.R. Procedures For Injuries Without Cc/McC,23259.07,17444.3,14733.66,14733.66,1 MS-DRG,919,Complications Of Treatment With McC,29318.5,21988.87,19528.18,19528.18,1 MS-DRG,920,Complications Of Treatment With Cc,28438.11,21328.58,11861.2,11861.2,2 MS-DRG,921,Complications Of Treatment Without Cc/McC,13127.43,9845.57,8956.34,8956.34,1 MS-DRG,948,Signs And Symptoms Without McC,14811.64,11108.73,12388.58,12388.58,2 MS-DRG,982,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,58552.33,43914.25,25336.95,28051.49,4 MS-DRG,983,Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC,27850.79,20888.09,23575.09,23575.09,1 MS-DRG,987,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC,96585.52,72439.14,34312.48,34312.48,1 MS-DRG,988,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,30986.48,23239.86,22713.01,22713.01,1 MS-DRG,989,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC,28276.22,21207.16,17270.97,17270.97,1 TRIS-DRG,107,Seizures And Headaches Age 0-17,14304.2,,,,0 TRIS-DRG,117,Intraocular Procedures Without Cc/McC,23489.67,,,,0 TRIS-DRG,397,Major Head And Neck Procedures With Cc,94443.11,,,,0 TRIS-DRG,708,Major Male Pelvic Procedures Without Cc/McC,43354.65,,,,0 TRIS-DRG,863,Postoperative And Post-Traumatic Infections Without McC,22173.7,,,,0 TRIS-DRG,948,Signs And Symptoms Without McC,14532.29,,,,0 TRIS-DRG,982,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,72648.02,,,,0