code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries ,,Bilateral Procedure,,,150.0,150.0,3 ,,Reduced Service,,,,,0 CPT,0001U,HC RBC DNA HEA 35 AG 11 BLD GRP,756.0,864.0,7.56,1836.0,319 CPT,0020M,HC ONC CNS ALYS 30000 DNA LOCI,508.71,,5.0871,508.71,214 CPT,0034U,HC TPMT NUDT15 GENES,2926.35,559.4,29.2635,2926.35,331 CPT,0035U,HC NEURO CSF PRION PRTN QUAL,2926.97,649.19,29.2697,2926.97,331 CPT,0037U,HC TRGT GEN SEQ DNA 324 GENES,17640.0,4200.0,176.4,17640.0,331 CPT,0042T,HC CT PERFUSION W/CONTRAST CBF,1102.41,209.4579,11.0241,1102.41,322 CPT,0054T,BONE SRGRY CMPTR FLUOR IMAGE,,,855.0,25798.0,109 CPT,0054T,HC COMPUTER ASSISTED NAVIGATION FLUOROSCOPIC,29342.6,5575.094,293.426,29342.6,237 CPT,0055T,BONE SRGRY CMPTR CT/MRI IMAG,,,855.0,25798.0,109 CPT,0055T,HC COMPUTER ASSISTED NAVIGATION CT/MRI,29342.6,5575.094,293.426,29342.6,237 CPT,0075T,HC PERQ STENT/CHEST VERT ART,6188.55,1175.8245,61.8855,37761.3,317 CPT,0076T,HC S&I STENT/CHEST VERT ART,6188.55,1175.8245,61.8855,37761.3,317 CPT,0087U,HC CRD HRT TRNSPL MRNA 1283 GEN,3159.42,3791.3,1579.71,8056.52,325 CPT,0088U,HC TRNSPLJ MED KDN ALGRFT REJ 1494 GENES ALG,3159.42,3791.3,354.64,8056.52,325 CPT,0108U,GI BARRETT ESOPH 9 PRTN BMRK,,,2513.25,25798.0,197 CPT,0152U,HC INFECTIOUS DISEASE DNA UNTARGETED NEXT-GEN SEQUENCING,6378.6,2551.44,21.52,6378.6,325 CPT,0184T,EXC RECTAL TUMOR ENDOSCOPIC,,,829.94,25798.0,328 CPT,0200T,HC PERQ SACRAL AUGMT UNILAT INJ,6042.8,1148.132,60.428,43390.0,406 CPT,0201T,HC PERQ SACRAL AUGMT BILAT INJ,6042.8,1148.132,60.428,43390.0,406 CPT,0202U,HC NFCT DS 22 TRGT SARS-COV-2,1050.29,500.14,10.5029,1062.79,331 CPT,0213T,HC NJX DX/THER PARAVER FCT JT W/US CER/THOR 1 LVL,3098.97,588.8043,30.9897,25798.0,406 CPT,0214T,HC NJX DX/THER PARAVER FCT JT W/US CER/THOR 2ND LVL,309.9,58.881,3.099,25798.0,323 CPT,0215T,HC NJX PARAVERTBRL FACET JT W/US CER/THOR 3RD&> LVL,619.79,117.7601,6.1979,25798.0,317 CPT,0216T,HC NJX PARAVERT W/US LUMB/SAC 1 LVL,3138.69,596.3511,31.3869,25798.0,331 CPT,0217T,HC NJX PARAVERT W/US LUMB/SAC 2 LVL,313.87,59.6353,3.1387,25798.0,248 CPT,0218T,HC NJX PARAVERT W/US LUMB/SAC 3 LVL,627.73,119.2687,6.2773,25798.0,248 CPT,0221U,HC ABO GNOTYP NEXT GNRJ SEQ ABO,824.49,329.8,185.2,824.49,319 CPT,0223U,HC NFCT DS 22 TRGT SARS-COV-2,2100.57,500.14,21.0057,2100.57,330 CPT,0224U,HC ANTIBODY SARSCOV-2 TITER(S),218.07,50.56,2.1807,218.07,331 CPT,0225U,HC NFCT DS DNA&RNA 21 SARSCOV2,2100.57,,21.0057,2100.57,331 CPT,0226U,HC SVNT SARSCOV2 ELISA PLSM SRM,2100.57,50.74,12.34,2100.57,331 CPT,0232T,HC NJX PLATELET PLASMA,2833.7,538.403,28.337,25798.0,378 CPT,0232T,NJX PLATELET PLASMA,,,376.0,25798.0,300 CPT,0234T,HC CATH/EP TRLUM PERIP ATHR REN ART,28228.27,5363.3713,282.2827,31927.0,400 CPT,0236T,HC CATH/EP TRLUM PERIP ATHR ABD AOR,28228.27,5363.3713,282.2827,31927.0,400 CPT,0237T,HC CATH/EP TRLUML PERIP ATHR BRCHIO,28228.27,5363.3713,282.2827,31927.0,395 CPT,0238T,HC CATH/EP TRLUM PERIP ATHR ILC ART,28228.27,5363.3713,282.2827,42496.37,401 CPT,0238T,TRLUML PERIP ATHRC ILIAC ART,,,3225.67,42496.37,320 CPT,0239U,HC TRGT GEN SEQ ALYS PNL 311+,10500.0,4200.0,2919.6,10500.0,325 CPT,0264T,IM B1 MRW CEL THER XCL HRVST,,,2301.08,25798.0,322 CPT,0275T,HC PERQ LAMOT/LAM LUMBAR,23137.23,4396.0737,231.3723,43390.0,400 CPT,0275T,PERQ LAMOT/LAM LUMBAR,,,3125.23,43390.0,322 CPT,0279U,HC HEM VW FACTOR&CLGN III BNDG,34.59,13.84,10.38,170.37,405 CPT,0284U,HC VW FACTOR TYPE 2N EVAL PLSM,51.81,9.8439,15.54,170.37,374 CPT,0313U,HC ONC PNCRS DNA&MRNA SEQ 74,10800.0,4320.0,3240.0,10800.0,319 CPT,0338T,HC TRANSCATH RENAL SYMP DENERV UNI,9869.94,1875.2886,98.6994,25798.0,400 CPT,0339T,HC TRANSCATH RENAL SYMP DENERV BILAT,10363.44,1969.0536,103.6344,25798.0,400 CPT,0398T,MRGFUS STRTCTC LES ABLTJ,,,376.0,28289.7,209 CPT,0408T,HC INSJ/RPLC CARDIAC MODULJ SYS,83801.67,15922.3173,838.0167,102512.0,400 CPT,0408T,INSJ/RPLC CARDIAC MODULJ SYS,,,3131.0,102512.0,322 CPT,0409T,HC INSJ/RPLC CAR MODULJ PLS GN,83801.67,15922.3173,838.0167,102512.0,400 CPT,0410T,HC INSJ/RPLC CAR MODULJ ATR ELT,29652.57,5633.9883,296.5257,102512.0,401 CPT,0411T,HC INSJ/RPLC CAR MODULJ VNT ELT,29652.57,5633.9883,296.5257,102512.0,401 CPT,0411T,INSJ/RPLC CAR MODULJ VNT ELT,,,3131.0,102512.0,301 CPT,0412T,HC RMVL CARDIAC MODULJ PLS GEN,12513.3,2377.527,125.133,102512.0,400 CPT,0412T,RMVL CARDIAC MODULJ PLS GEN,,,1836.49,102512.0,300 CPT,0413T,HC RMVL CAR MODULJ TRANVNS ELT,12513.3,2377.527,125.133,102512.0,401 CPT,0413T,RMVL CAR MODULJ TRANVNS ELT,,,1836.49,102512.0,301 CPT,0414T,HC RMVL & RPL CAR MODULJ PLS GN,83801.67,15922.3173,838.0167,102512.0,400 CPT,0415T,HC REPOS CAR MODULJ TRANVNS ELT,1969.98,374.2962,19.6998,102512.0,401 CPT,0416T,HC RELOC SKIN POCKET PLS GEN,6239.1,1185.429,62.391,102512.0,400 CPT,0417T,HC PRGRMG EVAL CARDIAC MODULJ,135.12,25.6728,1.3512,25798.0,394 CPT,0418T,HC INTERRO EVAL CARDIAC MODULJ,135.12,25.6728,1.3512,25798.0,394 CPT,0421T,WATERJET PROSTATE ABLTJ CMPL,,,376.0,25798.0,328 CPT,0431U,HC GLYCINE RECEPTOR ALPHA1 SRM/CSF,1575.0,43.88,10.14,1575.0,405 CPT,0432U,HC KELCH-LIKE PROTEIN 11 ANTB SR/CSF ASY QUAL,1575.0,43.88,10.14,1575.0,374 CPT,0440T,HC ABLTJ PERC UXTR/PERPH NRV,16151.35,3068.7565,161.5135,25798.0,406 CPT,0441T,ABLTJ PERC LXTR/PERPH NRV,,,238.45,25798.0,328 CPT,0441T,HC ABLTJ PERC LXTR/PERPH NRV,17950.07,2736.47,179.5007,25798.0,406 CPT,0442T,ABLTJ PERC PLEX/TRNCL NRV,,,238.45,25798.0,328 CPT,0442T,HC ABLTJ PERC PLEX/TRNCL NRV,16151.35,3068.7565,161.5135,25798.0,406 CPT,0449T,INSJ AQUEOUS DRAIN DEV 1ST,,,760.25,25798.0,328 CPT,0480U,HC NFCT DS CSF METAG NGS ALYS,9000.0,1710.0,36.06,9000.0,321 CPT,0483T,HC TMVI PERCUTANEOUS APPROACH,44459.1,8447.229,444.591,44459.1,323 CPT,0484T,HC TMVI TRANSTHORACIC EXPOSURE,44459.1,8447.229,444.591,44459.1,323 CPT,0505T,HC CATH/EP EV FEMPOP ARTL REVSC,40259.94,7649.3886,402.5994,49755.0,406 CPT,0523T,HC NTRAPX C FFR W/3D FUNCJL MAP,1500.0,285.0,15.0,25798.0,249 CPT,0523T,NTRAPX C FFR W/3D FUNCJL MAP,,,30.17,25798.0,147 CPT,0546T,RF SPECTRSC NTRAOP MRGN ASMT,,,80.55,25798.0,151 CPT,0563T,EVAC MEIBOMIAN GLND HEAT BI,,,68.88,25798.0,291 CPT,0571T,HC INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE,112979.07,21466.0233,1129.7907,112979.07,394 CPT,0571T,INSJ/RPLCMT ICDS SS ELTRD,,,5899.0,75876.94,313 CPT,0572T,HC INSERTION SUBSTERNAL IMPLANTABLE DEFIBRILLATOR ELTRD,29175.09,5543.2671,291.7509,29175.09,394 CPT,0573T,HC REMOVAL SUBSTERNAL IMPLANTABLE DEFIBRILLATOR ELTRD,13485.78,2562.2982,134.8578,25798.0,394 CPT,0574T,HC REPOS PREV IMPL SS IMPLTBL DFB PACING ELTRD,13485.78,2562.2982,134.8578,25798.0,394 CPT,0575T,HC PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON,2041.51,387.8869,20.4151,2041.51,399 CPT,0576T,HC INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON,2041.51,387.8869,20.4151,2041.51,405 CPT,0577T,HC ELECTROPHYSIOLOGIC EVAL ICDS W/SS ELECTRODE,4087.05,776.5395,40.8705,25798.0,400 CPT,0578T,HC REM INTERROG DEV EVAL SS LD ICDS <90D PHY/QHP,2041.51,387.8869,20.4151,2041.51,322 CPT,0579T,HC REM INTERROG DEV EVAL SS LD ICDS < 90D TECH,2041.51,387.8869,20.4151,2041.51,399 CPT,0580T,HC RMVL SUBSTERNAL IMPLTBL DFB PULSE GENERATOR ONLY,13485.78,2562.2982,134.8578,25798.0,394 CPT,0600T,IRE ABLTJ 1+TUM ORGAN PERQ,,,2526.73,25798.0,316 CPT,0609T,HC MRS DISC PAIN ACQUISJ DATA,836.4,158.916,8.364,2305.5,393 CPT,0610T,HC MRS DISC PAIN TRANSMIS DATA,250.0,47.5,2.5,2305.5,310 CPT,0611T,HC MRS DISC PAIN ALG ALYS DATA,836.4,158.916,8.364,2305.5,393 CPT,0614T,HC RMVL&RPLCMT SUBSTERNAL IMPLTBL DEFIBRILLATOR PG,80946.81,15379.8939,809.4681,80946.81,394 CPT,0644T,HC CATH/EP TCAT RMVL/DBLK ICAR MAS PERQ,19168.0,3641.92,191.68,25798.0,406 CPT,0644T,TCAT RMVL/DBLK ICAR MAS PERQ,,,342.62,25798.0,306 CPT,0646T,HC TTVI/RPLCMT W/PRSTC VLV PERQ,24276.0,4612.44,242.76,37761.3,312 CPT,0646T,TTVI/RPLCMT W/PRSTC VLV PERQ,,,3313.31,37761.3,209 CPT,0652T,HC EGD FLX TRANSNASAL DX BR/WA,6534.48,1241.5512,65.3448,25798.0,394 CPT,0653T,HC EGD FLX TRANSNASAL BX 1/MLT,6534.48,1241.5512,65.3448,25798.0,394 CPT,0654T,EGD FLX TRANSNASAL TUBE/CATH,,,1016.84,25798.0,316 CPT,0660T,IMPLT ANT SGM IO NBIO RX SYS,,,294.77,37761.3,292 CPT,0662T,HC CC SCALP COOL 1ST MEAS&CALBRJ,4507.14,856.3566,45.0714,4507.14,373 CPT,0663T,HC CC SCALP COOL PLMT MNTR RMVL,450.71,85.6349,4.5071,524.0,296 CPT,0671T,INSJ ANT SGM AQ DRG DEV 1+,,,1069.79,25798.0,328 CPT,0686T,HISTOTRIPSY MAL HEPATCEL TIS,,,657.28,41002.52,296 CPT,0692T,HC ULTRAFILTRATION ONLY,2470.0,469.3,24.7,3840.72,375 CPT,0720T,HC NERVE STIMULATION WITHOUT IMPLANTATION,5451.86,1035.8534,54.5186,25798.0,398 CPT,0751T,HC DGTZ GLS MCRSCP SLD LEVEL II SURG PATH,63.23,12.0137,0.6323,291.33,290 CPT,0752T,HC DGTZ GLS MCRSCP SLD LEVEL III SURG PATH,142.89,27.1491,1.4289,291.33,290 CPT,0753T,HC DGTZ GLS MCRSCP SLD LEVEL IV SURG PATH,164.24,31.2056,1.6424,291.33,290 CPT,0754T,HC DGTZ GLS MCRSCP SLD LEVEL V SURG PATH,183.01,34.7719,1.8301,353.19,292 CPT,0755T,HC DGTZ GLS MCRSCP SLD LEVEL VI SURG PATH,104.02,19.7638,1.0402,353.19,292 CPT,0756T,HC DGTZ GLS MCRSCP SLD SPEC STAIN GRP I MICROORG,51.54,9.7926,0.5154,291.33,290 CPT,0757T,HC DGTZ GLS MCRSCP SLD SPEC STAIN GRP II ALL OTH,31.69,6.0211,0.3169,291.33,290 CPT,0758T,HC DGTZ GLS MCRSCP SLD SPEC STAIN HCHEM STAIN,27.51,5.2269,0.2751,353.19,292 CPT,0759T,HC DGTZ GLS MCRSCP SLD SPEC STN GRP III ENZYME CONST,71.7,13.623,0.717,353.19,292 CPT,0760T,HC DGTZ GLS MCRSCP SLD IMHCHEM/IMCYTCHM 1ST 1STN,80.89,15.3691,0.8089,353.19,292 CPT,0761T,HC DGTZ GLS MCRSCP SLD IMHCHEM/IMCYTCHM EA ADDL 1,34.38,6.5322,0.3438,353.19,292 CPT,0762T,HC DGTZ GLS MCRSCP SLD IMHCHEM/IMCTCHM EA MULT ANTB,65.52,12.4488,0.6552,353.19,292 CPT,0763T,HC DGTZ GLS MCRSCP SLD M/PHMTRC ALYS TUMOR IMHCHEM,46.53,8.8407,0.4653,353.19,292 CPT,0795T,HC CATH/EP TCAT INS 2CHMBR LDLS PM CMPL,66914.34,12713.7246,669.1434,66914.34,400 CPT,0795T,TCAT INS 2CHMBR LDLS PM CMPL,,,5899.0,45133.81,319 CPT,0796T,HC CATH/EP TCAT INS 2CHMBR LDLS PM RA,66914.34,12713.7246,669.1434,66914.34,400 CPT,0796T,TCAT INS 2CHMBR LDLS PM RA,,,5899.0,45133.81,319 CPT,0797T,HC CATH/EP TCAT INS 2CHMBR LDLS PM RV,66914.34,12713.7246,669.1434,66914.34,399 CPT,0798T,HC CATH/EP TCAT RMV 2CHMBR LDLS PM CMPL,11173.89,2123.0391,111.7389,25798.0,375 CPT,0799T,HC CATH/EP TCAT RMVL 2CHMBR LDLS PM RA,11173.89,2123.0391,111.7389,25798.0,375 CPT,0800T,HC CATH/EP TCAT RMVL 2CHMBR LDLS PM RV,10946.16,2079.7704,109.4616,25798.0,375 CPT,0801T,HC CATH/EP TCAT RMV&RPL 2CHMBR LDLS PM,67704.15,12863.7885,677.0415,67704.15,375 CPT,0802T,HC CATH/EP TCAT RMV&RPL2CHMB LDLS PM RA,67704.15,12863.7885,677.0415,67704.15,375 CPT,0803T,HC CATH/EP TCAT RMV&RPL2CHMB LDLS PM RV,67704.15,12863.7885,677.0415,67704.15,375 CPT,0823T,HC CATH/EP TCAT INS 1CHMBR LDLS PM RA,19168.0,3641.92,191.68,45133.81,400 CPT,0823T,TCAT INS 1CHMBR LDLS PM RA,,,5899.0,45133.81,319 CPT,0824T,HC CATH/EP TCAT RMV 1CHMBR LDLS PM RA,19168.0,3641.92,191.68,19168.0,399 CPT,0825T,HC CATH/EP TCAT RMV&RPL1CHMB LDLS PM RA,19168.0,3641.92,191.68,45133.81,399 CPT,0826T,HC CATH/EP PRGRMG EVL LDLS PM 1CHMBR IP,19168.0,3641.92,43.24,19168.0,375 CPT,0827T,HC DGTZ GLS MCRSCP SLD CYTP SMEARS W/INTERPJ,40.19,7.6361,0.4019,297.4,292 CPT,0828T,HC DGTZ GLS MCRSCP SLD CYTP SIMPLE FILTER METH INTERP,10.22,1.9418,0.1022,297.4,292 CPT,0829T,HC DGTZ GLS MCRSCP SLD CYTP CONCTRJ TQ SMR&INTERP,27.01,5.1319,0.2701,297.4,292 CPT,0830T,HC DGTZ GLS MCRSCP SLD CYTP SLCTV CELL NHNCMNT TQ,29.1,5.529,0.291,297.4,292 CPT,0831T,HC DGTZ GLS MCRSCP SLD CYTP CERVICAL OR VAGINAL,4.14,0.7866,0.0414,205.88,292 CPT,0832T,HC DGTZ GLS MCRSCP SLD CYTP SMR OTHER SOURCE SCR&NTRP,22.57,4.2883,0.2257,297.4,292 CPT,0833T,"HC DGTZ GLS MCRSCP SLD CYTP SMR OTH SRC PREP, SCREEN, INTERP",7.93,1.5067,0.0793,297.4,292 CPT,0834T,HC DGTZ GLS MCRSCP SLD CYTP SMR OTH SRC EXTND STDY,26.42,5.0198,0.2642,297.4,292 CPT,0835T,HC DGTZ GLS MCRSCP SLD CYTP FNA IMMT 1ST EPSD EA,41.14,7.8166,0.4114,367.55,290 CPT,0836T,HC DGTZ GLS MCRSCP SLD CYTP FNA IMMT EA SEP ADDL,8.25,1.5675,0.0825,367.55,290 CPT,0837T,HC DGTZ GLS MCRSCP SLD CYTP FNA INTERPJ&REPRT,94.25,17.9075,0.9425,297.4,292 CPT,0838T,HC DGTZ GLS MCRSCP SLD CNSLT&REPRT REF SLD PREP ELS,28.78,5.4682,0.2878,319.91,290 CPT,0839T,HC DGTZ GLS MCRSCP SLD CNSLT&REPRT REF MAT PREP SLD,25.55,4.8545,0.2555,319.91,290 CPT,0840T,HC DGTZ GLS MCRSCP SLD FOR CONSLTJ COMPREHENSIVE,67.8,12.882,0.678,319.91,290 CPT,0841T,HC DGTZ GLS MCRSCP SLD PATH CNSLT DRG SRG 1ST TIS 1,28.15,5.3485,0.2815,319.91,290 CPT,0842T,HC DGTZ GLS MCRSCP SLD PATH CNSLT DRG SURG EA ADDL,10.65,2.0235,0.1065,319.91,290 CPT,0843T,HC DGTZ GLS MCRSCP SLD PATH CNSLT SURG CYTL XM 1ST,39.96,7.5924,0.3996,319.91,290 CPT,0844T,HC DGTZ GLS MCRSCP SLD PATH CNSLT SURG CYTL XM EA,9.07,1.7233,0.0907,319.91,290 CPT,0845T,HC DGTZ GLS MCRSCP SLD IMFLUOR 1ST SINGLE ANTB STAIN,58.58,11.1302,0.5858,291.33,290 CPT,0846T,HC DGTZ GLS MCRSCP SLD IMFLUOR EACH ADDL 1 ANTB STAIN,27.96,5.3124,0.2796,291.33,290 CPT,0847T,HC DGTZ GLS MCRSCP SLD XM&SLCTN ARCH TIS MOLEC ALYS,9.31,1.7689,0.0931,297.4,292 CPT,0848T,HC DGTZ GLS MCRSCP SLD ISH 1ST SINGLE PROBE STAIN,25.1,4.769,0.251,353.19,292 CPT,0849T,HC DGTZ GLS MCRSCP SLD ISH EA ADDL 1 PROBE STAIN,16.51,3.1369,0.1651,291.33,290 CPT,0850T,HC DGTZ GLS MCRSCP SLD ISH EA MULT PROBE STAIN,38.23,7.2637,0.3823,353.19,292 CPT,0851T,HC DGTZ GLS MCRSCP SLD M/PHMTRC ISH 1ST 1 PROBE STAIN,76.2,14.478,0.762,353.19,292 CPT,0852T,HC DGTZ GLS MCRSCP SLD M/PHMTRC ISH EA ADD 1PRB STN,7.62,1.4478,0.0762,291.33,290 CPT,0853T,HC DGTZ GLS MCRSCP SLD M/PHMTRC ISH EA MULT PRB STN,46.98,8.9262,0.4698,353.19,292 CPT,0854T,HC DGTZ GLS MCRSCP SLD BLOOD SMEAR PERIPHERAL I&R,10.62,2.0178,0.1062,165.28,292 CPT,0855T,HC DGTZ GLS MCRSCP SLD BONE MARROW SMEAR INTERPJ,39.96,7.5924,0.3996,39.96,212 CPT,0856T,HC DGTZ GLS MCRSCP SLD ELECTRON MICROSCOPY DX,353.04,67.0776,3.5304,353.19,292 CPT,0866T,HC QUAN MRI ALYS BRN W/DX MRI,841.5,159.885,8.415,2305.5,397 CPT,0869T,NJX B1 SUB MTRL HW FIXJ AUG,,,409.65,25798.0,273 CPT,0882T,INTRAOP THER ESTIM PN UE 1ST,,,1634.9,25798.0,174 CPT,0888T,HISTOTRIPSY MAL RENAL TISSUE,,,2385.27,41002.52,286 CPT,0890T,HC MRI GUIDE THETA BURST STIM 1ST TX DAY - SAINT,8111.4,1541.166,81.114,8787.17,370 CPT,0891T,HC MRI GUIDE THETA BURST STIM TX DAY - SAINT,8111.4,1541.166,81.114,8787.17,370 CPT,0892T,HC MRI GUIDE THETA BURST STIM PER TX DAY - SAINT,8111.4,1541.166,81.114,8787.17,370 CPT,0913T,HC PRQ TCAT THER RX NTRAC BALO1,20240.85,3845.7615,3200.4,61832.0,369 CPT,0913T,PRQ TCAT THER RX NTRAC BALO1,,,3200.4,61832.0,220 CPT,0914T,HC PRQ TCAT THR RX NTRC BAL SEP,2233.64,424.3916,893.456,61832.0,286 CPT,0914T,PRQ TCAT THR RX NTRC BAL SEP,,,3225.67,61832.0,137 CPT,10004,HC FNA BX W/O IMG GDN EA ADDL,3180.87,604.3653,44.96,25798.0,324 CPT,10005,FNA BX W/US GDN 1ST LES,,,81.25,25798.0,339 CPT,10005,HC FNA BX W/US GDN 1ST LES,6346.39,1205.8141,81.25,25798.0,406 CPT,10006,FNA BX W/US GDN EA ADDL,,,49.84,25798.0,257 CPT,10006,HC FNA BX W/US GDN EA ADDL,3334.86,633.6234,49.84,25798.0,324 CPT,10007,HC FNA BX W/FLUOR GDN 1ST LES,5002.31,950.4389,249.92,25798.0,406 CPT,10008,HC FNA BX W/FLUOR GDN EA ADDL,3334.86,633.6234,52.82,25798.0,324 CPT,10009,FNA BX W/CT GDN 1ST LES,,,339.86,25798.0,339 CPT,10009,HC FNA BX W/CT GDN 1ST LES,5002.31,950.4389,339.86,25798.0,406 CPT,10010,HC FNA BX W/CT GDN EA ADDL,3334.86,633.6234,72.97,25798.0,324 CPT,10011,HC FNA BX W/MR GDN 1ST LES,5002.31,950.4389,339.86,25798.0,406 CPT,10012,HC FNA BX W/MR GDN EA ADDL,3334.86,633.6234,755.28,25798.0,317 CPT,10021,FNA BX W/O IMG GDN 1ST LES,,,66.07,25798.0,317 CPT,10021,HC FNA BX W/O IMG GDN 1ST LES,6346.39,1205.8141,66.07,25798.0,384 CPT,10030,HC GUIDE CATHET FLUID DRAINAGE,3947.71,750.0649,339.86,25798.0,384 CPT,10030,IMG GID FLU COLL DRG SFT TIS,,,339.86,25798.0,317 CPT,10035,HC PERQ DEV SOFT TISS 1ST LESION,8124.66,1543.6854,83.27,25798.0,406 CPT,10035,PLMT SFT TISS LOCLZJ DEV 1ST,,,83.27,25798.0,339 CPT,10036,HC PERQ DEV SOFT TISS ADD LESION,2115.86,402.0134,42.75,25798.0,324 CPT,10036,PLMT SFT TISS LOCLZJ DEV EA,,,42.75,25798.0,257 CPT,10040,HC ACNE SURGERY,756.92,143.8148,53.4,25798.0,384 CPT,10060,HC INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE,6346.39,1205.8141,82.89,25798.0,384 CPT,10060,I&D ABSCESS SIMPLE/SINGLE,,,82.89,25798.0,317 CPT,10061,HC INCISION&DRAINAGE ABSCESS COMPLICATED/MULTIPLE,2240.62,425.7178,128.04,25798.0,406 CPT,10061,I&D ABSCESS COMP/MULTIPLE,,,128.04,25798.0,339 CPT,10080,HC I&D PILONID CYST; SIMPLE,1009.23,191.7537,157.59,25798.0,384 CPT,10080,I&D PILONIDAL CYST SIMPLE,,,157.59,25798.0,317 CPT,10081,HC I&D PILONID CYST; CPLX,1654.58,314.3702,205.19,25798.0,384 CPT,10081,I&D PILONIDAL CYST COMP,,,205.19,25798.0,317 CPT,10120,HC INCISION&REMOVAL FOREIGN BODY SUBQ TISS SIMPLE,4740.58,900.7102,121.48,25798.0,384 CPT,10120,INC&RMVL FB SUBQ TISS SMPL,,,121.48,25798.0,317 CPT,10121,HC INC & REM FB SQ; COMPL,4979.05,946.0195,623.12,25798.0,406 CPT,10121,INC&RMVL FB SUBQ TISS COMP,,,623.12,25798.0,339 CPT,10140,HC I&D HMTMA SEROMA/FLUID COLLJ,2893.3,549.727,102.5,25798.0,384 CPT,10140,I&D HMTMA SEROMA/FLUID COLLJ,,,102.5,25798.0,317 CPT,10160,HC PUNCTURE ASPIR ABSC HMTMA BULLA,2595.98,493.2362,94.38,25798.0,384 CPT,10160,PNXR ASPIR ABSC HMTMA BULLA,,,94.38,25798.0,317 CPT,10180,HC I&D CPLX POSTOP WND INF,7089.96,1347.0924,1154.1,25798.0,406 CPT,10180,I&D COMPLEX PO WOUND INFCTJ,,,1154.1,25798.0,339 CPT,11000,DBRDMT ECZ/INFECTED SKIN<10%,,,37.75,25798.0,317 CPT,11000,HC DEBRIDE INFECTED SKIN <10% BODY,784.81,149.1139,37.75,25798.0,384 CPT,11005,DBRDMT SKIN ABDOMINAL WALL,,,818.18,37761.3,256 CPT,11010,DEBRIDE SKIN AT FX SITE,,,339.86,25798.0,339 CPT,11010,"HC DEBRIDE SKIN, FX",2388.68,453.8492,339.86,25798.0,406 CPT,11011,DEBRIDE SKIN MUSC AT FX SITE,,,339.86,25798.0,339 CPT,11011,HC DEBRIDE SKIN MUSC AT FX SITE,2541.24,482.8356,339.86,25798.0,406 CPT,11012,DEB SKIN BONE AT FX SITE,,,1154.1,25798.0,339 CPT,11012,HC DEB SKIN BONE AT FX SITE,3579.21,680.0499,1154.1,25798.0,406 CPT,11042,DBRDMT SUBQ TIS 1ST 20SQCM/<,,,184.26,25798.0,339 CPT,11042,HC DEBRIDE SKIN/TISSUE 1ST 20SQCM/<,7857.02,1492.8338,184.26,25798.0,406 CPT,11043,DBRDMT MUSC&/FSCA 1ST 20/<,,,283.29,25798.0,339 CPT,11043,HC DEBRIDE TISSUE/MUSCLE 1ST 20SQCM/<,20146.54,3827.8426,283.29,25798.0,406 CPT,11044,DBRDMT BONE 1ST 20 SQ CM/<,,,623.12,25798.0,339 CPT,11044,HC DEBRIDE TISSUE/MUSCLE/BONE 1ST 20SQCM/<,30018.21,5703.4599,623.12,30018.21,406 CPT,11045,DBRDMT SUBQ TISS EACH ADDL,,,27.59,25798.0,257 CPT,11045,HC DEB SUBQ TISSUE EA ADD 20SQCM,3424.53,650.6607,27.59,25798.0,324 CPT,11046,DBRDMT MUSC&/FSCA EA ADDL,,,61.27,25798.0,257 CPT,11046,HC DEB MUSC/FASCIA EA ADD 20SQCM,7051.93,1339.8667,61.27,25798.0,324 CPT,11047,DBRDMT BONE EACH ADDL,,,110.12,25798.0,257 CPT,11047,HC DEB BONE ADD-ON EA ADD 20SQCM,12491.1,2373.309,110.12,25798.0,324 CPT,11055,"HC PARING/CUTG B9 HYPRKER LES, SINGLE",6346.39,1205.8141,39.7,25798.0,384 CPT,11056,"HC PARING/CUTG B9 HYPRKER LES, 2-4",6346.39,1205.8141,46.24,25798.0,384 CPT,11057,"HC PARING/CUTG B9 HYPRKER LES, > 4",4263.62,810.0878,58.27,25798.0,384 CPT,11102,HC TANGNTL BX SKIN SINGLE LES,6346.39,1205.8141,84.12,25798.0,384 CPT,11103,HC TANGNTL BX SKIN EA SEP/ADDL,620.57,117.9083,22.04,25798.0,324 CPT,11104,HC PUNCH BX SKIN SINGLE LESION,6346.39,1205.8141,103.52,25798.0,384 CPT,11104,PUNCH BX SKIN SINGLE LESION,,,103.52,25798.0,317 CPT,11105,HC PUNCH BX SKIN EA SEP/ADDL,620.57,117.9083,26.02,25798.0,324 CPT,11105,PUNCH BX SKIN EA SEP/ADDL,,,26.02,25798.0,257 CPT,11106,HC INCAL BX SKN SINGLE LES,1656.93,314.8167,127.63,25798.0,406 CPT,11106,INCAL BX SKN SINGLE LES,,,127.63,25798.0,339 CPT,11107,HC INCAL BX SKN EA SEP/ADDL,1935.45,367.7355,30.91,25798.0,324 CPT,11200,"HC REMOVAL OF SKIN TAGS, UP TO 15",633.94,120.4486,53.4,25798.0,384 CPT,11200,RMVL SKIN TAGS UP TO&INC 15,,,53.4,25798.0,317 CPT,11201,HC REMOVE SKIN TAGS EA ADD 10,316.97,60.2243,8.97,25798.0,324 CPT,11300,HC SHAVING SKIN LES 1 TRUNK/ARM/LEG DIAM 0.5CM/<,294.15,55.8885,85.44,25798.0,384 CPT,11300,SHAVE SKIN LESION 0.5 CM/<,,,85.44,25798.0,317 CPT,11301,HC SHVG SKIN LES 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM,493.21,93.7099,91.99,25798.0,384 CPT,11302,HC SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM,523.58,99.4802,91.99,25798.0,384 CPT,11303,HC SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM >2.0 CM,623.6,118.484,91.99,25798.0,384 CPT,11305,HC SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/<,1059.0,201.21,53.4,25798.0,384 CPT,11306,HC SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM,434.14,82.4866,91.99,25798.0,384 CPT,11307,HC SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM,556.59,105.7521,103.52,25798.0,384 CPT,11308,HC SHAVING SKIN LESION 1 S/N/H/F/G DIAM >2.0 CM,617.82,117.3858,91.99,25798.0,384 CPT,11308,SHAVE SKIN LESION >2.0 CM,,,91.99,25798.0,317 CPT,11310,HC SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM/<,395.58,75.1602,95.2,25798.0,384 CPT,11310,SHAVE SKIN LESION 0.5 CM/<,,,95.2,25798.0,317 CPT,11311,HC SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM,545.9,103.721,103.52,25798.0,384 CPT,11312,HC SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM,656.66,124.7654,124.35,25798.0,384 CPT,11313,HC SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM >2.0 CM,842.57,160.0883,138.3,25798.0,384 CPT,11400,EXC TR-EXT B9+MARG 0.5 CM<,,,102.59,25798.0,339 CPT,11400,HC EXC TR-EXT B9+MARG 0.5 < CM,1520.18,288.8342,102.59,25798.0,406 CPT,11401,EXC TR-EXT B9+MARG 0.6-1 CM,,,116.13,25798.0,339 CPT,11401,HC EXC TR-EXT B9+MARG 0.6-1 CM,3571.61,678.6059,116.13,25798.0,406 CPT,11402,EXC TR-EXT B9+MARG 1.1-2 CM,,,127.22,25798.0,339 CPT,11402,HC EXC TR-EXT B9+MARG 1.1-2 CM,6346.39,1205.8141,127.22,25798.0,406 CPT,11403,EXC TR-EXT B9+MARG 2.1-3CM,,,138.3,25798.0,339 CPT,11403,HC EXC TR-EXT B9+MARG 2.1-3 CM,5063.9,962.141,138.3,25798.0,406 CPT,11404,EXC TR-EXT B9+MARG 3.1-4 CM,,,623.12,25798.0,339 CPT,11404,HC EXC TR-EXT B9+MARG 3.1-4 CM,5573.58,1058.9802,623.12,25798.0,406 CPT,11406,EXC TR-EXT B9+MARG >4.0 CM,,,623.12,25798.0,339 CPT,11406,HC EXC TR-EXT B9+MARG > 4.0 CM,8478.28,1610.8732,623.12,25798.0,406 CPT,11420,EXC H-F-NK-SP B9+MARG 0.5/<,,,82.31,25798.0,339 CPT,11420,HC EXC H-F-NK-SP B9+MARG 0.5 <,3674.31,698.1189,82.31,25798.0,406 CPT,11421,EXC H-F-NK-SP B9+MARG 0.6-1,,,115.72,25798.0,339 CPT,11421,HC EXC H-F-NK-SP B9+MARG 0.6-1,4290.49,815.1931,115.72,25798.0,406 CPT,11422,EXC H-F-NK-SP B9+MARG 1.1-2,,,108.71,25798.0,339 CPT,11422,HC EXC H-F-NK-SP B9+MARG 1.1-2,5234.4,994.536,108.71,25798.0,406 CPT,11423,EXC H-F-NK-SP B9+MARG 2.1-3,,,120.2,25798.0,339 CPT,11423,HC EXC H-F-NK-SP B9+MARG 2.1-3,6092.49,1157.5731,120.2,25798.0,406 CPT,11424,EXC H-F-NK-SP B9+MARG 3.1-4,,,623.12,25798.0,339 CPT,11424,HC EXC H-F-NK-SP B9+MARG 3.1-4,6950.59,1320.6121,623.12,25798.0,406 CPT,11426,EXC H-F-NK-SP B9+MARG >4 CM,,,1154.1,25798.0,339 CPT,11426,HC EXC H-F-NK-SP B9+MARG > 4 CM,10597.5,2013.525,1154.1,25798.0,406 CPT,11440,EXC FACE-MM B9+MARG 0.5 CM/<,,,112.04,25798.0,339 CPT,11440,HC EXC FACE-MM B9+MARG 0.5 < CM,2853.98,542.2562,112.04,25798.0,406 CPT,11441,EXC FACE-MM B9+MARG 0.6-1 CM,,,126.4,25798.0,339 CPT,11441,HC EXC FACE-MM B9+MARG 0.6-1 CM,3049.24,579.3556,126.4,25798.0,406 CPT,11442,EXC FACE-MM B9+MARG 1.1-2 CM,,,137.48,25798.0,339 CPT,11442,HC EXC FACE-MM B9+MARG 1.1-2 CM,3378.89,641.9891,137.48,25798.0,406 CPT,11443,EXC FACE-MM B9+MARG 2.1-3 CM,,,130.77,25798.0,339 CPT,11443,HC EXC FACE-MM B9+MARG 2.1-3 CM,4120.6,782.914,130.77,25798.0,406 CPT,11444,EXC FACE-MM B9+MARG 3.1-4 CM,,,623.12,25798.0,339 CPT,11444,HC EXC FACE-MM B9+MARG 3.1-4 CM,5274.36,1002.1284,623.12,25798.0,406 CPT,11446,EXC FACE-MM B9+MARG >4 CM,,,1154.1,25798.0,339 CPT,11446,HC EXC FACE-MM B9+MARG > 4 CM,7581.89,1440.5591,1154.1,25798.0,406 CPT,11450,EXC SKN HDRDNT AX SMPL/NTRM,,,1154.1,25798.0,339 CPT,11450,HC EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR,2724.33,517.6227,1089.732,25798.0,406 CPT,11451,EXC SKN HDRDNT AX COMPLEX,,,1154.1,25798.0,339 CPT,11451,HC EXC SKN HDRDNT AX COMPLEX,9757.98,1854.0162,1154.1,25798.0,406 CPT,11462,EXC SKN HDRDNT ING SMPL/NTRM,,,1154.1,25798.0,339 CPT,11462,HC EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR,9196.33,1747.3027,1154.1,25798.0,406 CPT,11463,EXC SKN HDRDNT ING COMPLEX,,,1154.1,25798.0,339 CPT,11463,HC EXC SKN HDRDNT ING COMPLEX,9757.98,1854.0162,1154.1,25798.0,406 CPT,11470,EXC SKN H/P/P/U SMPL/NTRM,,,1154.1,25798.0,339 CPT,11470,HC EXC SKN H/P/P/U SMPL/NTRM,9757.98,1854.0162,1154.1,25798.0,406 CPT,11471,EXC SKN H/P/P/U COMPLEX,,,1154.1,25798.0,339 CPT,11471,HC EXC SKN H/P/P/U COMPLEX,9757.98,1854.0162,1154.1,25798.0,406 CPT,11600,EXC TR-EXT MAL+MARG 0.5 CM/<,,,150.2,25798.0,339 CPT,11600,HC EXC TR-EXT MLG+MARG 0.5 < CM,4522.51,859.2769,150.2,25798.0,406 CPT,11601,EXC TR-EXT MAL+MARG 0.6-1 CM,,,169.9,25798.0,339 CPT,11601,HC EXC TR-EXT MLG+MARG 0.6-1 CM,5636.98,1071.0262,169.9,25798.0,406 CPT,11602,EXC TR-EXT MAL+MARG 1.1-2 CM,,,182.62,25798.0,339 CPT,11602,HC EXC TR-EXT MLG+MARG 1.1-2 CM,6194.84,1177.0196,182.62,25798.0,406 CPT,11603,EXC TR-EXT MAL+MARG 2.1-3 CM,,,197.8,25798.0,339 CPT,11603,HC EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM/>,7371.43,1400.5717,197.8,25798.0,406 CPT,11604,EXC TR-EXT MAL+MARG 3.1-4 CM,,,339.86,25798.0,339 CPT,11604,HC EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM,8177.8,1553.782,339.86,25798.0,406 CPT,11606,EXC TR-EXT MAL+MARG >4 CM,,,623.12,25798.0,339 CPT,11606,HC EXCISION MALIGNANT LESION TRUNK/ARM/LEG >4.0 CM,12142.44,2307.0636,623.12,25798.0,406 CPT,11620,EXC H-F-NK-SP MAL+MARG 0.5/<,,,126.42,25798.0,339 CPT,11620,HC EXC H-F-NK-SP MLG+MARG 0.5 <,1465.0,278.35,126.42,25798.0,406 CPT,11621,EXC S/N/H/F/G MAL+MRG 0.6-1,,,170.31,25798.0,339 CPT,11621,HC EXC H-F-NK-SP MLG+MARG 0.6-1,1952.0,370.88,170.31,25798.0,406 CPT,11622,EXC S/N/H/F/G MAL+MRG 1.1-2,,,185.49,25798.0,339 CPT,11622,HC EXC H-F-NK-SP MLG+MARG 1.1-2,1473.28,279.9232,185.49,25798.0,406 CPT,11623,EXC S/N/H/F/G MAL+MRG 2.1-3,,,167.1,25798.0,317 CPT,11623,HC EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM/>,3922.0,745.18,167.1,25798.0,384 CPT,11624,EXC S/N/H/F/G MAL+MRG 3.1-4,,,623.12,25798.0,339 CPT,11624,HC EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM,5408.0,1027.52,623.12,25798.0,406 CPT,11626,EXC S/N/H/F/G MAL+MRG >4 CM,,,1154.1,25798.0,339 CPT,11626,HC EXCISION MALIGNANT LESION S/N/H/F/G > 4.0 CM,7184.0,1364.96,1154.1,25798.0,406 CPT,11640,EXC F/E/E/N/L MAL+MRG 0.5CM<,,,156.77,25798.0,339 CPT,11640,HC EXC FACE-MM MALIG+MARG 0.5 <,1495.27,284.1013,156.77,25798.0,406 CPT,11641,EXC F/E/E/N/L MAL+MRG 0.6-1,,,175.64,25798.0,339 CPT,11641,HC EXC FACE-MM MALIG+MARG 0.6-1,5638.24,1071.2656,175.64,25798.0,406 CPT,11642,EXC F/E/E/N/L MAL+MRG 1.1-2,,,192.88,25798.0,339 CPT,11642,HC EXC FACE-MM MALIG+MARG 1.1-2,2187.54,415.6326,192.88,25798.0,406 CPT,11643,EXC F/E/E/N/L MAL+MRG 2.1-3,,,173.63,25798.0,339 CPT,11643,HC EXC FACE-MM MALIG+MARG 2.1-3,3922.0,745.18,173.63,25798.0,406 CPT,11644,EXC F/E/E/N/L MAL+MRG 3.1-4,,,623.12,25798.0,339 CPT,11644,HC EXCISION MALIGNANT LES F/E/E/N/L 3.1-4.0 CM,5408.0,1027.52,623.12,25798.0,406 CPT,11646,EXC F/E/E/N/L MAL+MRG >4 CM,,,1154.1,25798.0,339 CPT,11646,HC EXCISION MALIGNANT LESION F/E/E/N/L > 4.0 CM,7184.0,1364.96,1154.1,25798.0,406 CPT,11719,HC TRIM NAIL(S),219.35,41.6765,8.68,25798.0,384 CPT,11720,"HC DEBRIDE NAIL, 1-5",6346.39,1205.8141,23.16,25798.0,384 CPT,11721,"HC DEBRIDE NAIL, 6 OR MORE",6346.39,1205.8141,28.12,25798.0,384 CPT,11730,HC REMOVAL OF NAIL PLATE,1551.88,294.8572,66.87,25798.0,384 CPT,11730,REMOVAL OF NAIL PLATE,,,66.87,25798.0,317 CPT,11732,"HC REMOVE NAIL PLATE, ADD-ON",621.26,118.0394,18.07,25798.0,324 CPT,11732,REMOVE NAIL PLATE ADD-ON,,,18.07,25798.0,257 CPT,11740,HC DRAIN BLOOD FROM UNDER NAIL,278.93,52.9967,38.79,25798.0,384 CPT,11750,HC REMOVAL OF NAIL BED,1474.54,280.1626,111.22,25798.0,406 CPT,11750,REMOVAL OF NAIL BED,,,111.22,25798.0,339 CPT,11755,BIOPSY NAIL UNIT,,,87.41,25798.0,339 CPT,11755,"HC BIOPSY, NAIL UNIT",2008.31,381.5789,87.41,25798.0,406 CPT,11760,HC REPAIR OF NAIL BED,2280.9,433.371,231.61,25798.0,384 CPT,11760,REPAIR OF NAIL BED,,,231.61,25798.0,317 CPT,11762,HC RECONST NAIL BED W GRFT,5714.45,1085.7455,202.32,25798.0,384 CPT,11762,RECONSTRUCTION OF NAIL BED,,,202.32,25798.0,317 CPT,11765,EXCISION OF NAIL FOLD TOE,,,91.99,25798.0,317 CPT,11765,"HC EXCISION OF NAIL FOLD, TOE",794.96,151.0424,91.99,25798.0,384 CPT,11770,HC EXC PILONID CYST; SMPL,7845.17,1490.5823,1154.1,25798.0,406 CPT,11770,REMOVE PILONIDAL CYST SIMPLE,,,1154.1,25798.0,339 CPT,11771,HC EXCISION PILONIDAL CYST/SINUS EXTENSIVE,3709.81,704.8639,1154.1,25798.0,406 CPT,11771,REMOVE PILONIDAL CYST EXTEN,,,1154.1,25798.0,339 CPT,11772,REMOVE PILONIDAL CYST COMPL,,,1154.1,25798.0,339 CPT,11900,HC INJECTION INTO SKIN LESIONS,6346.39,1205.8141,39.29,25798.0,384 CPT,11900,INJECT SKIN LESIONS 7,,,43.01,25798.0,317 CPT,11950,HC SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC/<,642.32,122.0408,41.04,25798.0,384 CPT,11951,HC SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC,642.32,122.0408,58.27,25798.0,384 CPT,11960,INSERT TISSUE EXPANDER(S),,,1622.72,25798.0,339 CPT,11970,RPLCMT TISS XPNDR PERM IMPLT,,,2917.05,25798.0,339 CPT,11971,HC RMVL TIS XPNDR WO INSJ IMPLT,8849.42,1681.3898,1228.42,25798.0,406 CPT,11971,RMVL TIS XPNDR WO INSJ IMPLT,,,1228.42,25798.0,339 CPT,11976,HC REM IMPL CONTRACEP CAPS,775.97,147.4343,87.41,25798.0,406 CPT,11980,HC SQ HORMONE PELLET IMPL,462.5,87.875,50.45,25798.0,384 CPT,11981,HC INSERTION DRUG DLVR IMPLANT,600.56,114.1064,62.66,25798.0,384 CPT,11981,INSERTION DRUG DLVR IMPLANT,,,62.66,25798.0,317 CPT,11982,HC REMOVE DRUG IMPLANT,600.56,114.1064,62.66,25798.0,384 CPT,11982,REMOVE DRUG IMPLANT DEVICE,,,62.66,25798.0,317 CPT,11983,HC REMOVE W INS DRUG IMPLANT,824.12,156.5828,62.66,25798.0,384 CPT,11983,REMOVE/INSERT DRUG IMPLANT,,,62.66,25798.0,317 CPT,12001,HC SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<,6346.39,1205.8141,53.4,25798.0,384 CPT,12001,RPR S/N/AX/GEN/TRNK 2.5CM/<,,,53.4,25798.0,317 CPT,12002,HC SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM,2089.46,396.9974,53.4,25798.0,384 CPT,12002,RPR S/N/AX/GEN/TRNK2.6-7.5CM,,,53.4,25798.0,317 CPT,12004,HC SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM,2608.02,495.5238,53.4,25798.0,384 CPT,12004,RPR S/N/AX/GEN/TRK7.6-12.5CM,,,53.4,25798.0,317 CPT,12005,HC RPR S/N/A/GEN/TRK12.6-20.0CM,3518.35,668.4865,184.26,25798.0,406 CPT,12006,HC RPR S/N/A/GEN/TRK20.1-30.0CM,1015.57,192.9583,184.26,25798.0,406 CPT,12007,HC RPR S/N/A/GEN/TKR > 30CM,1000.36,190.0684,103.52,25798.0,406 CPT,12007,RPR S/N/AX/GEN/TRNK >30.0 CM,,,103.52,25798.0,339 CPT,12011,HC SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<,13538.0,2572.22,53.4,25798.0,384 CPT,12011,RPR F/E/E/N/L/M 2.5 CM/<,,,53.4,25798.0,317 CPT,12013,HC SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0CM,1025.07,194.7633,53.4,25798.0,384 CPT,12014,HC RPR F/E/E/N/L/M 5.1-7.5 CM,1287.27,244.5813,53.4,25798.0,384 CPT,12015,HC RPR F/E/E/N/L/M 7.6-12.5 CM,1613.62,306.5878,103.52,25798.0,384 CPT,12016,HC SREP F/E/N/L/MM; 12.6-20.0CM,2175.67,413.3773,184.26,25798.0,406 CPT,12020,"HC WOUND DEHISCENCE, SIMPLE CLOSURE",8477.02,1610.6338,283.29,25798.0,406 CPT,12020,TX SUPFC WND DEHSN SMPL CLSR,,,283.29,25798.0,339 CPT,12021,"HC WOUND DEHISCENCE, WITH PACKING",732.84,139.2396,184.26,25798.0,406 CPT,12031,HC REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<,2815.95,535.0305,184.26,25798.0,384 CPT,12031,INTMD RPR S/A/T/EXT 2.5 CM/<,,,184.26,25798.0,317 CPT,12032,HC REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM,3576.68,679.5692,184.26,25798.0,384 CPT,12032,INTMD RPR S/A/T/EXT 2.6-7.5,,,184.26,25798.0,317 CPT,12034,HC REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM,3801.09,722.2071,184.26,25798.0,406 CPT,12034,INTMD RPR S/TR/EXT 7.6-12.5,,,184.26,25798.0,339 CPT,12035,HC REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM,4421.08,840.0052,184.26,25798.0,406 CPT,12035,INTMD RPR S/A/T/EXT 12.6-20,,,184.26,25798.0,339 CPT,12036,HC REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM,5483.1,1041.789,283.29,25798.0,406 CPT,12036,INTMD RPR S/A/T/EXT 20.1-30,,,283.29,25798.0,339 CPT,12037,HC REPAIR INTERMEDIATE S/A/T/E >30.0 CM,6546.2,1243.778,908.68,25798.0,406 CPT,12037,INTMD RPR S/TR/EXT >30.0 CM,,,908.68,25798.0,339 CPT,12041,HC REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<,1890.0,359.1,184.26,25798.0,384 CPT,12041,INTMD RPR N-HF/GENIT 2.5CM/<,,,184.26,25798.0,317 CPT,12042,HC REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM,2520.0,478.8,184.26,25798.0,384 CPT,12042,INTMD RPR N-HF/GENIT2.6-7.5,,,184.26,25798.0,317 CPT,12044,HC INTMD WND REPAIR N-HF/GENIT 7.6-12.5,2696.4,512.316,283.29,25798.0,406 CPT,12045,HC INTMD WND REPAIR N-HF/GENIT 12.6-20,3376.8,641.592,283.29,25798.0,406 CPT,12046,HC INTMD WND REPAIR N-HF/GENIT 20.1-30,3855.6,732.564,184.26,25798.0,406 CPT,12047,HC INTMD WND REPAIR N-HF/GENIT > 30,4536.0,861.84,908.68,25798.0,406 CPT,12051,HC REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.5 CM/<,2572.52,488.7788,184.26,25798.0,384 CPT,12051,INTMD RPR FACE/MM 2.5 CM/<,,,184.26,25798.0,317 CPT,12052,HC REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.6-5.0 CM,3061.92,581.7648,184.26,25798.0,384 CPT,12052,INTMD RPR FACE/MM 2.6-5.0 CM,,,184.26,25798.0,317 CPT,12053,HC REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 5.1-7.5 CM,3267.32,620.7908,184.26,25798.0,384 CPT,12053,INTMD RPR FACE/MM 5.1-7.5 CM,,,184.26,25798.0,317 CPT,12054,HC INTMD WND REPAIR FACE/MM 7.6-12.5 CM,3421.99,650.1781,184.26,25798.0,406 CPT,12054,INTMD RPR FACE/MM 7.6-12.5CM,,,184.26,25798.0,339 CPT,12055,HC REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 12.6-20.0CM,4527.58,860.2402,184.26,25798.0,406 CPT,12057,HC INTMD WND REPAIR FACE/MM 30.0+ CM,5145.0,977.55,184.26,25798.0,406 CPT,13100,CMPLX RPR TRUNK 1.1-2.5 CM,,,283.29,25798.0,339 CPT,13100,HC REPAIR COMPLEX TRUNK 1.1 CM-2.5 CM,2112.24,401.3256,283.29,25798.0,406 CPT,13101,CMPLX RPR TRUNK 2.6-7.5 CM,,,283.29,25798.0,339 CPT,13101,HC REPAIR COMPLEX TRUNK 2.6 CM-7.5 CM,2187.09,415.5471,283.29,25798.0,406 CPT,13102,CMPLX RPR TRUNK ADDL 5CM/<,,,80.61,25798.0,257 CPT,13102,HC REPAIR WOUND/LESION ADD-ON,2303.73,437.7087,80.61,25798.0,324 CPT,13120,CMPLX RPR S/A/L 1.1-2.5 CM,,,283.29,25798.0,339 CPT,13120,HC REPAIR COMPLEX SCALP/ARM/LEG 1.1 CM-2.5 CM,3072.06,583.6914,283.29,25798.0,406 CPT,13121,CMPLX RPR S/A/L 2.6-7.5 CM,,,283.29,25798.0,339 CPT,13121,HC REPAIR COMPLEX SCALP/ARM/LEG 2.6 CM-7.5 CM,3452.42,655.9598,283.29,25798.0,406 CPT,13122,CMPLX RPR S/A/L ADDL 5 CM/>,,,55.12,25798.0,257 CPT,13122,HC CMPLX RPR S/A/L ADDL 5 CM/>,1658.38,315.0922,55.12,25798.0,324 CPT,13131,CMPLX RPR F/C/C/M/N/AX/G/H/F,,,184.26,25798.0,339 CPT,13131,HC REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1 CM-2.5 CM,3212.8,610.432,184.26,25798.0,406 CPT,13132,CMPLX RPR F/C/C/M/N/AX/G/H/F,,,283.29,25798.0,339 CPT,13132,HC REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6 CM-7.5 CM,4015.36,762.9184,283.29,25798.0,406 CPT,13133,CMPLX RPR F/C/C/M/N/AX/G/H/F,,,138.83,25798.0,257 CPT,13133,HC CREP H/A/G/EXTR; EA ADD 5 CM/<,2821.46,536.0774,138.83,25798.0,324 CPT,13151,CMPLX RPR E/N/E/L 1.1-2.5 CM,,,283.29,25798.0,339 CPT,13151,HC REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM,9647.71,1833.0649,283.29,25798.0,406 CPT,13152,CMPLX RPR E/N/E/L 2.6-7.5 CM,,,283.29,25798.0,339 CPT,13152,HC CMPLX RPR E/N/E/L 2.6-7.5 CM,13558.74,2576.1606,283.29,25798.0,406 CPT,13153,HC CMPLX RPR E/N/E/L ADDL 5CM/<,1229.21,233.5499,154.34,25798.0,324 CPT,13160,"HC SECOND WOUND DEHISCENCE, COMPLEX",9623.18,1828.4042,908.68,25798.0,406 CPT,13160,SEC CLSR SURG WND/DEHSN XTN,,,908.68,25798.0,339 CPT,14000,HC ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 CM/<,4377.98,831.8162,908.68,25798.0,406 CPT,14000,TIS TRNFR TRUNK 10 SQ CM/<,,,908.68,25798.0,339 CPT,14001,HC ATT/REARRANGEMENT TRUNK 10.1-30.0CM,5691.37,1081.3603,908.68,25798.0,406 CPT,14001,TIS TRNFR TRUNK 10.1-30SQCM,,,908.68,25798.0,339 CPT,14020,HC ATT/REARRANGEMENT SCALP/ARM/LEG 10 CM/<,4945.98,939.7362,908.68,25798.0,406 CPT,14020,TIS TRNFR S/A/L 10 SQ CM/<,,,908.68,25798.0,339 CPT,14021,HC ATT/REARRANGEMENT SCALP/ARM/LEG 10.1-30.0 CM,6231.94,1184.0686,908.68,25798.0,406 CPT,14021,TIS TRNFR S/A/L 10.1-30 SQCM,,,908.68,25798.0,339 CPT,14040,HC ATT/REARRANGEMENT F/C/C/M/N/AX/G/H/F 10 CM/<,5482.29,1041.6351,908.68,25798.0,406 CPT,14040,TIS TRNFR F/C/C/M/N/A/G/H/F,,,908.68,25798.0,339 CPT,14041,HC ATT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0CM,6743.23,1281.2137,908.68,25798.0,406 CPT,14041,TIS TRNFR F/C/C/M/N/A/G/H/F,,,908.68,25798.0,339 CPT,14060,HC ATT/REARGMT E/N/E/L DFCT 10 CM/<,5825.88,1106.9172,908.68,25798.0,406 CPT,14060,TIS TRNFR E/N/E/L 10 SQ CM/<,,,908.68,25798.0,339 CPT,14061,HC ATT/REARGMT EYELID/NOSE/EAR/LIP 10.1-30.0 CM,7165.84,1361.5096,908.68,25798.0,406 CPT,14061,TIS TRNFR E/N/E/L10.1-30SQCM,,,908.68,25798.0,339 CPT,14301,HC SKIN TISSUE REARRANGEMENT 30.1-60.0 SQ CM,10204.87,1938.9253,1622.72,25798.0,406 CPT,14301,TIS TRNFR ANY 30.1-60 SQ CM,,,1622.72,25798.0,339 CPT,14302,HC TIS TRNFR ADDL 30 SQ CM,1451.1,275.709,243.51,25798.0,324 CPT,14302,TIS TRNFR ADDL 30 SQ CM,,,243.51,25798.0,257 CPT,14350,FILLETED FINGER/TOE FLAP,,,908.68,25798.0,339 CPT,15002,"HC WOUND PREP, TRK/ARM/LEG",5118.41,972.4979,855.0,25798.0,406 CPT,15002,WOUND PREP TRK/ARM/LEG,,,855.0,25798.0,339 CPT,15003,"HC WOUND PREP, ADDL 100 CM",1817.0,345.23,51.0,25798.0,324 CPT,15003,WOUND PREP ADDL 100 CM,,,51.0,25798.0,257 CPT,15004,"HC WOUND PREP, F/N/HF/G",6141.59,1166.9021,283.29,25798.0,406 CPT,15004,WOUND PREP F/N/HF/G,,,283.29,25798.0,339 CPT,15005,"HC WND PREP, F/N/HF/G, ADDL CM",2047.62,389.0478,102.76,25798.0,324 CPT,15005,WND PREP F/N/HF/G ADDL CM,,,102.76,25798.0,257 CPT,15050,HC SKIN PINCH GRAFT UP TO 2CM DIAM(EXCL FACE),3880.97,737.3843,283.29,25798.0,406 CPT,15100,"HC SKIN SPLT GRFT 1ST 100 SQCM, TRNK/ARM/LEG",6192.3,1176.537,908.68,25798.0,406 CPT,15100,SPLT AGRFT T/A/L 1ST 100SQCM,,,908.68,25798.0,339 CPT,15101,SPLT AGRFT T/A/L EA ADDL 100,,,127.34,25798.0,257 CPT,15110,EPIDRM AGRFT T/A/L 1ST 100,,,908.68,25798.0,339 CPT,15110,HC EPIDRM AUTOGRFT TRNK/ARM/LEG 100 SQ CM/1% BA,10212.13,1940.3047,908.68,25798.0,406 CPT,15111,EPIDRM AGRFT T/A/L EA ADDL,,,117.79,25798.0,257 CPT,15111,HC EPIDRM AUTOGRFT T/A/L ADDL 100 SQ CM/1% BA,1378.62,261.9378,117.79,25798.0,324 CPT,15115,EPDRM AGRFT F/S/N/H/F/G/M 1,,,908.68,25798.0,339 CPT,15115,HC EPIDRM A-GRFT FACE/NCK/HF/G 100 SQ CM/1% BA,10314.26,1959.7094,908.68,25798.0,406 CPT,15116,HC EPIDRM A-GRFT F/N/HF/G EA 100 SQ CM/1% BA,1378.65,261.9435,159.03,25798.0,324 CPT,15120,HC SKN SPLT A-GRFT,5993.24,1138.7156,1622.72,25798.0,406 CPT,15120,SPLT AGRFT F/S/N/H/F/G/M 1ST,,,1622.72,25798.0,339 CPT,15121,SPLT AGRFT F/S/N/H/F/G/M EA,,,150.4,25798.0,257 CPT,15135,DRM AGRFT F/S/N/H/F/G/M 1ST,,,1622.72,25798.0,339 CPT,15150,TIS CLTR SKN AGRFT T/A/L 1ST,,,908.68,25798.0,317 CPT,15151,TIS CLTR SKN AGRFT T/A/L ADD,,,126.94,25798.0,235 CPT,15200,FTH/GFT FR TRNK 20 SQ CM/<,,,908.68,25798.0,339 CPT,15201,FTH/GFT FR TRNK EACH ADDL,,,86.72,25798.0,257 CPT,15220,FTH/GFT FR S/A/L 20 SQ CM/<,,,908.68,25798.0,339 CPT,15220,HC SKIN FULL GRAFT SCLP/ARM/LEG =< 20 SQ CM,5793.1,1100.689,908.68,25798.0,406 CPT,15221,FTH/GFT FR S/A/L EACH ADDL,,,78.0,25798.0,257 CPT,15221,HC SKIN FULL GRAFT S/A/L ADDL =<20 SQ CM,2395.05,455.0595,78.0,25798.0,324 CPT,15240,FTH/GFT F/C/C/M/N/AX/G/H/F20,,,908.68,25798.0,339 CPT,15240,HC SKIN FULL GRFT FACE (EXCL LIPS & NOSE)/NECK/AXILL/GENIT/H/F =< 20 SQ CM,5793.1,1100.689,908.68,25798.0,406 CPT,15241,FTH/GFT F/C/C/M/N/A/G/H/F EA,,,119.92,25798.0,257 CPT,15260,FTH/GFT FR N/E/E/L 20 SQCM/<,,,908.68,25798.0,339 CPT,15260,HC SKIN FULL GRAFT EEN & LIPS =< 20 SQ CM,5693.45,1081.7555,908.68,25798.0,406 CPT,15271,HC SKIN SUB GRAFT TRNK/ARM/LEG,7040.51,1337.6969,908.68,25798.0,406 CPT,15271,SKIN SUB GRAFT TRNK/ARM/LEG,,,908.68,25798.0,339 CPT,15272,HC SKIN SUB GRAFT T/A/L ADD-ON,442.05,83.9895,18.51,25798.0,324 CPT,15272,SKIN SUB GRAFT T/A/L ADD-ON,,,18.51,25798.0,257 CPT,15273,HC SKIN SUB GRFT T/ARM/LG CHILD,3787.33,719.5927,1514.932,25798.0,406 CPT,15273,SKIN SUB GRFT T/ARM/LG CHILD,,,1622.72,25798.0,339 CPT,15274,HC SKN SUB GRFT T/A/L CHILD ADD,985.14,187.1766,50.01,25798.0,324 CPT,15274,SKN SUB GRFT T/A/L CHILD ADD,,,50.01,25798.0,257 CPT,15275,HC SKIN SUB GRAFT FACE/NK/HF/G,2112.29,401.3351,844.916,25798.0,406 CPT,15275,SKIN SUB GRAFT FACE/NK/HF/G,,,908.68,25798.0,339 CPT,15276,HC SKIN SUB GRAFT F/N/HF/G ADDL,562.94,106.9586,27.36,25798.0,324 CPT,15276,SKIN SUB GRAFT F/N/HF/G ADDL,,,27.36,25798.0,257 CPT,15277,HC SKN SUB GRFT F/N/HF/G CHILD,3198.85,607.7815,908.68,25798.0,406 CPT,15277,SKN SUB GRFT F/N/HF/G CHILD,,,908.68,25798.0,339 CPT,15278,HC SKN SUB GRFT F/N/HF/G CH ADD,1370.0,260.3,63.98,25798.0,324 CPT,15278,SKN SUB GRFT F/N/HF/G CH ADD,,,63.98,25798.0,257 CPT,15570,SKIN PEDICLE FLAP TRUNK,,,908.68,25798.0,339 CPT,15574,PEDCLE FH/CH/CH/M/N/AX/G/H/F,,,908.68,25798.0,339 CPT,15576,PEDICLE E/N/E/L/NTRORAL,,,908.68,25798.0,339 CPT,15620,DELAY FLAP F/C/C/N/AX/G/H/F,,,908.68,25798.0,339 CPT,15630,DELAY FLAP EYE/NOS/EAR/LIP,,,908.68,25798.0,339 CPT,15630,HC DELAY FLAP; EL/NS/ER/LIP,5554.25,1055.3075,908.68,25798.0,406 CPT,15650,TRANSFER SKIN PEDICLE FLAP,,,908.68,25798.0,339 CPT,15730,MDFC FLAP W/PRSRV VASC PEDCL,,,1622.72,25798.0,339 CPT,15731,FOREHEAD FLAP W/VASC PEDICLE,,,1622.72,25798.0,339 CPT,15733,HC MUSC MYOQ/FSCQ FLP H&N PEDCL,10011.33,1902.1527,1622.72,25798.0,406 CPT,15733,MUSC MYOQ/FSCQ FLP H&N PEDCL,,,1622.72,25798.0,339 CPT,15734,HC MUSCLE FLAP; TRUNK,10204.87,1938.9253,1622.72,25798.0,406 CPT,15734,MUSCLE-SKIN GRAFT TRUNK,,,1622.72,25798.0,339 CPT,15736,HC MUSCLE FLAP; UPPER EXTREMITY,7959.0,1512.21,908.68,25798.0,406 CPT,15736,MUSCLE-SKIN GRAFT ARM,,,908.68,25798.0,339 CPT,15738,HC MUSCLE FLAP; LOWER EXTREMITY,10011.33,1902.1527,1622.72,25798.0,406 CPT,15738,MUSCLE-SKIN GRAFT LEG,,,1622.72,25798.0,339 CPT,15740,HC ISLAND PEDICLE FLAP GRAFT,7344.8,1395.512,908.68,25798.0,406 CPT,15740,ISLAND PEDICLE FLAP GRAFT,,,908.68,25798.0,339 CPT,15750,HC FLAP NEUROVASCULAR PEDICLE,10204.87,1938.9253,1622.72,25798.0,406 CPT,15750,NEUROVASCULAR PEDICLE FLAP,,,1622.72,25798.0,339 CPT,15760,COMPOSITE SKIN GRAFT,,,908.68,25798.0,339 CPT,15760,HC GRAFT; COMPOSITE INCD PRIM CLOSURE,9589.25,1821.9575,908.68,25798.0,406 CPT,15769,GRFG AUTOL SOFT TISS DIR EXC,,,509.1,25798.0,339 CPT,15770,DERMA-FAT-FASCIA GRAFT,,,1622.72,25798.0,339 CPT,15771,GRFG AUTOL FAT LIPO 50 CC/<,,,544.74,27119.0,339 CPT,15772,GRFG AUTOL FAT LIPO EA ADDL,,,156.27,27119.0,235 CPT,15773,GRFG AUTOL FAT LIPO 25 CC/<,,,530.41,25798.0,339 CPT,15774,GFRG AUTOL FAT LIPO EA ADDL,,,151.52,25798.0,257 CPT,15777,ACELLULAR DERM MATRIX IMPLT,,,244.15,25798.0,257 CPT,15788,"HC CHEMICAL PEEL, FACE, EPIDERM",2263.16,430.0004,53.4,25798.0,384 CPT,15820,BLEPHAROPLASTY LOWER EYELID,,,908.68,25798.0,339 CPT,15821,BLEPHARP LWR EYELID FAT PAD,,,908.68,25798.0,339 CPT,15822,BLEPHAROPLASTY UPPER EYELID,,,908.68,25798.0,339 CPT,15823,BLEPHARP UPR EYELID XCSV SKN,,,908.68,25798.0,339 CPT,15824,RHYTIDECTOMY FOREHEAD,,,908.68,25798.0,339 CPT,15825,RHYTDCT NCK PLTYSML TGHTG,,,1622.72,25798.0,339 CPT,15828,RHYTIDECTOMY CHEEK CHN & NCK,,,1622.72,25798.0,339 CPT,15829,RHYTIDECTOMY SMAS FLAP,,,1622.72,25798.0,339 CPT,15830,EXC EXCESSIVE SKIN ABDOMEN,,,2384.72,25798.0,339 CPT,15832,EXC EXCESSIVE SKIN THIGH,,,1154.1,25798.0,339 CPT,15834,EXC EXCESSIVE SKIN HIP,,,1154.1,25798.0,317 CPT,15835,EXC EXCESSIVE SKIN BUTTOCK,,,1154.1,25798.0,339 CPT,15836,EXC EXCESSIVE SKIN ARM,,,1154.1,25798.0,339 CPT,15837,EXC EXCSV SKIN FOREARM/HAND,,,1154.1,25798.0,339 CPT,15839,EXC EXCESSIVE SKN OTHER AREA,,,1154.1,25798.0,339 CPT,15839,HC EXCISE EXCESS SKIN TISSUE; OTHER,8359.58,1588.3202,1154.1,25798.0,406 CPT,15840,NERVE PALSY FASCIAL GRAFT,,,1622.72,25798.0,339 CPT,15845,SKIN AND MUSCLE REPAIR FACE,,,1622.72,25798.0,339 CPT,15847,EXC SKIN ABD ADD-ON,,,1067.88,25798.0,256 CPT,15851,HC REM SUTURE W AN; OS,2064.24,392.2056,77.97,25798.0,406 CPT,15851,REMOVAL SUTR/STAPLE REQ ANES,,,77.97,25798.0,339 CPT,15852,DRESSING CHANGE NOT FOR BURN,,,62.66,25798.0,317 CPT,15853,HC REMOVAL SUTR/STAPL XREQ ANES,1857.82,352.9858,12.09,25798.0,238 CPT,15860,TEST FOR BLOOD FLOW IN GRAFT,,,62.66,25798.0,317 CPT,15876,SUCTION LIPECTOMY HEAD&NECK,,,1622.72,25798.0,339 CPT,15877,SUCTION LIPECTOMY TRUNK,,,1622.72,25798.0,339 CPT,15878,SUCTION LIPECTOMY UPR EXTREM,,,908.68,25798.0,339 CPT,15879,SUCTION LIPECTOMY LWR EXTREM,,,1622.72,25798.0,339 CPT,16000,HC INITIAL TREATMENT OF BURN(S),527.44,100.2136,38.79,25798.0,384 CPT,16020,"HC DRESSINGS AND/OR DEBRIDEMENT OF PARTIAL-THICKNESS BURNS, INITIAL OR SUBS",6346.39,1205.8141,62.74,25798.0,406 CPT,16025,HC DRESS/DEBRID P-THICK BURN M,961.15,182.6185,103.52,25798.0,406 CPT,16030,HC DRESS/DEBRID P-THICK BURN L,1969.8,374.262,184.26,25798.0,406 CPT,17000,DESTRUCT PREMALG LESION,,,49.12,25798.0,317 CPT,17000,HC DESTRUCT PREMALG LESION,6346.39,1205.8141,49.12,25798.0,384 CPT,17003,"HC DESTRUCT PREMALG LES, 2-14",147.44,28.0136,2.11,25798.0,324 CPT,17004,HC DESTROY PREMLG LESIONS 15+,3858.88,733.1872,112.86,25798.0,406 CPT,17106,DESTRUCTION OF SKIN LESIONS,,,184.26,25798.0,339 CPT,17106,HC DESTRUCTION CUTANEOUS VASC PROLIFERATIVE <10CM,2340.5,444.695,184.26,25798.0,406 CPT,17107,DESTRUCTION OF SKIN LESIONS,,,283.29,25798.0,339 CPT,17107,HC DESTRUCTION CUTANEOUS VASCULAR PRLF 10.0-50.0CM,2995.84,569.2096,283.29,25798.0,406 CPT,17108,DESTRUCTION OF SKIN LESIONS,,,376.0,25798.0,317 CPT,17110,DESTRUCT B9 LESION 1-14,,,53.4,25798.0,317 CPT,17110,"HC DESTRUCT B9 LESION, 1-14",3357.47,637.9193,53.4,25798.0,384 CPT,17111,DESTRUCT LESION 15 OR MORE,,,91.99,25798.0,317 CPT,17111,"HC DESTRUCT LESION, 15 OR MORE",1246.32,236.8008,91.99,25798.0,384 CPT,17250,CHEM CAUT OF GRANLTJ TISSUE,,,69.35,25798.0,317 CPT,17250,"HC CHEMICAL CAUTERY, TISSUE",6346.39,1205.8141,69.35,25798.0,384 CPT,17260,HC DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM/<,2685.65,510.2735,65.63,25798.0,384 CPT,17261,HC DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM,2981.06,566.4014,91.99,25798.0,384 CPT,17262,HC DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM,3410.72,648.0368,91.99,25798.0,384 CPT,17263,HC DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM,3751.79,712.8401,91.99,25798.0,384 CPT,17264,HC DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM,4024.64,764.6816,147.33,25798.0,384 CPT,17266,HC DESTRUCTION MAL LESION TRUNK/ARM/LEG > 4.0 CM,4740.89,900.7691,161.28,25798.0,406 CPT,17270,HC DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM/<,2441.5,463.885,103.52,25798.0,384 CPT,17271,HC DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM,2710.07,514.9133,103.52,25798.0,384 CPT,17272,HC DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM,3100.7,589.133,91.99,25798.0,384 CPT,17273,HC DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM,3410.72,648.0368,145.28,25798.0,384 CPT,17280,HC DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM/<,2441.5,463.885,91.99,25798.0,384 CPT,17281,HC DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM,3344.86,635.5234,125.58,25798.0,384 CPT,17282,HC DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM,3857.57,732.9383,141.58,25798.0,384 CPT,17283,HC DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM,4809.76,913.8544,160.46,25798.0,384 CPT,17311,MOHS 1 STAGE H/N/HF/G,,,283.29,25798.0,317 CPT,17340,HC CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE,410.79,78.0501,24.81,25798.0,384 CPT,17999,HC SKIN TISSUE PROCEDURE,222.26,42.2294,88.904,25798.0,400 CPT,17999,UNLISTD PX SKN MUC MEMB SUBQ,,,230.42,25798.0,283 CPT,19000,HC PUNCTURE ASPIRATION CYST BREAST,15892.43,3019.5617,89.05,25798.0,406 CPT,19001,HC PUNCTURE ASPIR CYST BREAST EA ADDL,904.26,171.8094,12.09,25798.0,302 CPT,19020,HC MASTOTOMY EXPL DRG ABSC DP,4774.82,907.2158,623.12,25798.0,406 CPT,19020,MASTOTOMY EXPL DRG ABSC DP,,,623.12,25798.0,339 CPT,19030,HC INJ PROC ONLY FOR MAMMARY DUCTOGRAM/GALACTOGRAM,453.9,86.241,75.35,25798.0,302 CPT,19081,HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE,15263.85,2900.1315,623.12,25798.0,406 CPT,19082,HC BX BREAST W DEVICE ADDL LESION STEREOTACT GUIDE,6227.16,1183.1604,81.02,25798.0,302 CPT,19083,BX BREAST 1ST LESION US IMAG,,,623.12,25798.0,339 CPT,19083,HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE,15263.85,2900.1315,623.12,25798.0,406 CPT,19084,BX BREAST ADD LESION US IMAG,,,76.87,25798.0,235 CPT,19084,HC BX BREAST W DEVICE ADDL LESION ULTRASOUND GUIDE,5973.33,1134.9327,76.87,25798.0,302 CPT,19085,HC BX BREAST W DEVICE 1ST LESION MAGNETIC RES GUIDE,15263.85,2900.1315,623.12,25798.0,406 CPT,19086,HC BX BREAST W DEVICE ADDL LESION MAGNET RES GUIDE,5592.59,1062.5921,88.39,25798.0,302 CPT,19100,HC BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX,1857.44,352.9136,623.12,25798.0,406 CPT,19101,BIOPSY OF BREAST OPEN,,,1204.21,27119.0,339 CPT,19101,HC BIOPSY BREAST OPEN INCISIONAL,3274.14,622.0866,1204.21,27119.0,406 CPT,19105,CRYOSURG ABLATE FA EACH,,,1186.27,27119.0,339 CPT,19110,NIPPLE EXPLORATION,,,1204.21,27119.0,339 CPT,19120,HC EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESIONS,7750.52,1472.5988,1204.21,27119.0,406 CPT,19120,REMOVAL OF BREAST LESION,,,1204.21,27119.0,339 CPT,19125,EXCISION BREAST LESION,,,1204.21,27119.0,339 CPT,19125,HC EXC BREAST LES BY N LOC; SGL,3916.47,744.1293,1204.21,27119.0,406 CPT,19126,EXCISION ADDL BREAST LESION,,,185.52,25798.0,235 CPT,19126,HC EXC BREAST LES N LOC; EA ADDTL,3845.02,730.5538,185.52,25798.0,302 CPT,19281,HC PERQ DEVICE PLACEMT BREAST LOC 1ST LES W GUIDNCE,15892.43,3019.5617,96.97,25798.0,406 CPT,19281,PERQ DEVICE BREAST 1ST IMAG,,,96.97,25798.0,339 CPT,19282,HC PERQ DEVICE PLACEMT BREAST LOC EA LES W GUIDNCE,4131.56,784.9964,48.38,25798.0,324 CPT,19283,HC PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GUID,3406.7,647.273,98.64,25798.0,406 CPT,19284,HC PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC,3406.7,647.273,49.14,25798.0,324 CPT,19285,HC PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG,15892.43,3019.5617,83.27,25798.0,406 CPT,19285,PERQ DEV BREAST 1ST US IMAG,,,83.27,25798.0,339 CPT,19286,HC PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE,3934.81,747.6139,41.63,25798.0,324 CPT,19286,PERQ DEV BREAST ADD US IMAG,,,41.63,25798.0,257 CPT,19287,HC PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID,3577.11,679.6509,123.79,25798.0,406 CPT,19288,HC PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID,3577.11,679.6509,62.78,25798.0,324 CPT,19300,MASTECTOMY FOR GYNECOMASTIA,,,1204.21,27119.0,339 CPT,19301,HC PARTICAL MASTECTOMY,5534.28,1051.5132,1204.21,27119.0,406 CPT,19301,PARTIAL MASTECTOMY,,,1204.21,27119.0,339 CPT,19302,P-MASTECTOMY W/LN REMOVAL,,,2384.72,27119.0,339 CPT,19303,HC MAST SIMPLE COMPLETE,8565.76,1627.4944,2384.72,27119.0,406 CPT,19303,MAST SIMPLE COMPLETE,,,2384.72,27119.0,339 CPT,19305,MAST RADICAL,,,1071.0,37761.3,256 CPT,19307,MAST MOD RAD,,,1269.94,27119.0,339 CPT,19316,MASTOPEXY,,,2384.72,27119.0,339 CPT,19318,BREAST REDUCTION,,,2384.72,27119.0,339 CPT,19325,BREAST AUGMENTATION W/IMPLT,,,2606.59,27119.0,339 CPT,19328,RMVL INTACT BREAST IMPLANT,,,1204.21,27119.0,339 CPT,19330,RMVL RUPTURED BREAST IMPLANT,,,1204.21,27119.0,339 CPT,19340,INSJ BREAST IMPLT SM D MAST,,,2384.72,27119.0,339 CPT,19342,INSJ/RPLCMT BRST IMPLT SEP D,,,2606.59,27119.0,339 CPT,19350,NIPPLE/AREOLA RECONSTRUCTION,,,1204.21,27119.0,339 CPT,19357,TISS XPNDR PLMT BRST RCNSTJ,,,3131.0,41174.94,339 CPT,19361,BRST RCNSTJ LATSMS DRSI FLAP,,,1329.0,37761.3,256 CPT,19364,BRST RCNSTJ FREE FLAP,,,2857.9,27119.0,256 CPT,19370,REVJ PERI-IMPLT CAPSULE BRST,,,1204.21,27119.0,339 CPT,19371,PERI-IMPLT CAPSLC BRST COMPL,,,1204.21,27119.0,339 CPT,19380,REVJ RECONSTRUCTED BREAST,,,2384.72,27119.0,339 CPT,19396,DESIGN CUSTOM BREAST IMPLANT,,,1204.21,27119.0,339 CPT,19499,HC UNLISTED PROCEDURE BREAST,10114.65,1921.7835,2099.54,25798.0,400 CPT,19499,UNLISTED PROCEDURE BREAST,,,2099.54,25798.0,283 CPT,20100,HC EXPL P WND; NECK,1685.69,320.2811,602.6,25798.0,406 CPT,20101,HC EXPL P WND; CHEST,6192.74,1176.6206,225.41,25798.0,406 CPT,20102,HC EXPL P WND; ABD/FLANK/BACK,6192.74,1176.6206,274.2,25798.0,406 CPT,20103,EXPL PENTRG WOUND EXTREMITY,,,339.86,25798.0,339 CPT,20103,HC EXPLORE PENETRATING WOUND EXTREMITY,3212.36,610.3484,339.86,25798.0,406 CPT,20150,EXCISION EPIPHYSEAL BAR,,,1431.23,25798.0,317 CPT,20200,HC BIOPSY MUSCLE SUPERFICIAL,2116.84,402.1996,623.12,25798.0,406 CPT,20200,MUSCLE BIOPSY SUPERFICIAL,,,623.12,25798.0,339 CPT,20205,DEEP MUSCLE BIOPSY,,,1154.1,25798.0,339 CPT,20206,BIOPSY MUSCLE PERQ NEEDLE,,,623.12,25798.0,339 CPT,20206,"HC BIOPSY MUSCLE, PERQ NEEDLE",5293.38,1005.7422,623.12,25798.0,406 CPT,20220,BONE BIOPSY TROCAR/NDL SUPFC,,,623.12,25798.0,339 CPT,20220,HC BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL,9263.1,1759.989,623.12,25798.0,406 CPT,20225,BONE BIOPSY TROCAR/NDL DEEP,,,623.12,25798.0,339 CPT,20225,HC BIOPSY BONE TROCAR/NEEDLE DEEP,8385.73,1593.2887,623.12,25798.0,406 CPT,20240,BONE BIOPSY OPEN SUPERFICIAL,,,1154.1,25798.0,339 CPT,20240,HC BONE BIOPSY OPEN SUPERFICIAL,7961.5,1512.685,1154.1,25798.0,406 CPT,20245,BONE BIOPSY OPEN DEEP,,,1154.1,25798.0,339 CPT,20501,HC INJECTION OF SINUS TRACT; DIAGNOSTIC SINOGRAM,129.51,24.6069,35.63,25798.0,324 CPT,20501,INJECT SINUS TRACT FOR X-RAY,,,35.63,25798.0,276 CPT,20520,HC REM FB MUSCLE; SMPL,3768.2,715.958,135.73,25798.0,406 CPT,20520,REMOVAL OF FOREIGN BODY,,,135.73,25798.0,339 CPT,20525,REMOVAL OF FOREIGN BODY,,,1154.1,25798.0,339 CPT,20526,HC CARPAL TUNNEL TX INJ,1641.9,311.961,45.14,25798.0,406 CPT,20526,THER INJECTION CARP TUNNEL,,,45.14,25798.0,339 CPT,20527,HC INJ DUPUYTREN CORD W/ENZYME,508.42,96.5998,49.65,25798.0,384 CPT,20550,HC INJ TENDON SHEATH/LIGAMENT,3118.97,592.6043,27.49,25798.0,406 CPT,20550,INJ TENDON SHEATH/LIGAMENT,,,27.49,25798.0,339 CPT,20551,HC INJ TENDON ORIGIN/INSERT,3182.37,604.6503,28.72,25798.0,406 CPT,20551,INJ TENDON ORIGIN/INSERTION,,,28.72,25798.0,339 CPT,20552,"HC INJ TRIGGER POINT, 1/2 MUSCL",3675.64,698.3716,34.47,25798.0,406 CPT,20552,INJ TRIGGER POINT 1/2 MUSCL,,,34.47,25798.0,339 CPT,20553,"HC INJECT TRIGGER POINTS, =/> 3",4190.22,796.1418,40.21,25798.0,406 CPT,20553,INJECT TRIGGER POINTS 3/>,,,40.21,25798.0,339 CPT,20560,HC NDL INSJ W/O NJX 1 OR 2 MUSC,91.26,17.3394,14.88,25798.0,406 CPT,20561,HC NDL INSJ W/O NJX 3+ MUSC,91.26,17.3394,22.49,25798.0,406 CPT,20600,DRAIN/INJ JOINT/BURSA W/O US,,,26.26,25798.0,339 CPT,20600,HC DRAIN/INJ JOINT/BURSA W/O US,5165.11,981.3709,26.26,25798.0,406 CPT,20604,DRAIN/INJ JOINT/BURSA W/US,,,45.55,25798.0,317 CPT,20604,HC DRAIN/INJ SMALL JOINT/BURSA W/US,6678.4,1268.896,45.55,25798.0,384 CPT,20605,DRAIN/INJ JOINT/BURSA W/O US,,,27.9,25798.0,339 CPT,20605,HC DRAIN/INJ JOINT/BURSA W/O US,5416.25,1029.0875,27.9,25798.0,406 CPT,20606,DRAIN/INJ JOINT/BURSA W/US,,,49.24,25798.0,317 CPT,20606,HC DRAIN/INJ INTER JOINT/BURSA W/US,7689.41,1460.9879,49.24,25798.0,384 CPT,20610,DRAIN/INJ JOINT/BURSA W/O US,,,32.83,25798.0,339 CPT,20610,HC DRAIN/INJ JOINT/BURSA W/O US,6722.42,1277.2598,32.83,25798.0,406 CPT,20611,DRAIN/INJ JOINT/BURSA W/US,,,55.81,25798.0,317 CPT,20611,HC DRAIN/INJ MAJOR JOINT/BURSA W/US,7665.0,1456.35,55.81,25798.0,384 CPT,20612,ASPIRATE/INJ GANGLION CYST,,,37.75,25798.0,339 CPT,20612,HC ASPIRATE/INJ GANGLION CYST,6346.39,1205.8141,37.75,25798.0,406 CPT,20615,HC TREATMENT OF BONE CYST,1778.83,337.9777,176.87,25798.0,384 CPT,20615,TREATMENT OF BONE CYST,,,176.87,25798.0,317 CPT,20650,INSERT AND REMOVE BONE PIN,,,1431.23,25798.0,339 CPT,20660,APPLY REM FIXATION DEVICE,,,265.16,25798.0,339 CPT,20670,HC REMOVAL OF SUPPORT IMPLANT SUPERFICIAL,2116.84,402.1996,623.12,25798.0,406 CPT,20670,REMOVAL IMPLANT SUPERFICIAL,,,623.12,25798.0,339 CPT,20680,HC REMOVAL OF SUPPORT IMPLANT DEEP,3958.31,752.0789,1228.42,25798.0,406 CPT,20680,REMOVAL OF IMPLANT DEEP,,,1228.42,25798.0,339 CPT,20690,APPL UNIPLN UNI EXT FIXJ SYS,,,2279.26,25798.0,339 CPT,20692,APPL MLTPLN UNI EXT FIXJ SYS,,,2279.26,30450.62,339 CPT,20693,ADJMT/REVJ EXT FIXJ SYS ANES,,,2279.26,25798.0,339 CPT,20694,RMVL EXT FIXJ SYS UNDER ANES,,,802.93,25798.0,339 CPT,20697,APP MLTPLN UNI XTRNL FIX XCH,,,802.93,25798.0,248 CPT,20697,"HC APP MULTIPLANE UNI, EXTERNAL FIXATION",19222.26,3652.2294,802.93,25798.0,315 CPT,20700,MNL PREP&INSJ DP RX DLVR DEV,,,87.59,25798.0,257 CPT,20703,RMVL IMED RX DELIVERY DEVICE,,,110.48,25798.0,235 CPT,20822,HC REPLANTATION DIGIT COMPLETE,15583.45,2960.8555,802.93,25798.0,406 CPT,20900,REMOVAL OF BONE FOR GRAFT,,,1946.53,25798.0,339 CPT,20902,REMOVAL OF BONE FOR GRAFT,,,1946.53,25798.0,339 CPT,20910,REMOVE CARTILAGE FOR GRAFT,,,283.29,25798.0,339 CPT,20912,REMOVE CARTILAGE FOR GRAFT,,,1622.72,25798.0,339 CPT,20922,REMOVAL OF FASCIA FOR GRAFT,,,908.68,25798.0,339 CPT,20924,REMOVAL OF TENDON FOR GRAFT,,,1946.53,25798.0,339 CPT,20930,SP BONE ALGRFT MORSEL ADD-ON,,,376.0,29968.0,178 CPT,20931,SP BONE ALGRFT STRUCT ADD-ON,,,121.64,29968.0,235 CPT,20936,SP BONE AGRFT LOCAL ADD-ON,,,376.0,29968.0,178 CPT,20937,SP BONE AGRFT MORSEL ADD-ON,,,180.96,29968.0,235 CPT,20938,SP BONE AGRFT STRUCT ADD-ON,,,199.38,29968.0,235 CPT,20939,BONE MARROW ASPIR BONE GRFG,,,75.84,43390.0,235 CPT,20950,HC FLUID PRESSURE MUSCLE,2427.17,461.1623,339.86,25798.0,315 CPT,20969,BONE/SKIN GRAFT MICROVASC,,,2642.07,25798.0,234 CPT,20974,HC ELECTR BONE STIM; NIV,431.08,81.9052,55.72,25798.0,293 CPT,20975,HC ELECTR BONE STIM; IV,1534.64,291.5816,193.12,25798.0,324 CPT,20979,HC US STIM FOR BONE HEALING,268.79,51.0701,28.4,25798.0,293 CPT,20982,ABLATE BONE TUMOR(S) PERQ,,,1471.5,30450.62,339 CPT,20982,"HC ABLATE, BONE TUMOR(S) PERQ",6741.29,1280.8451,1471.5,30450.62,406 CPT,20983,ABLATE BONE TUMOR(S) PERQ,,,3125.23,25798.0,248 CPT,20983,HC ABLATE BONE TUMOR(S) PERQ,18012.36,3422.3484,3125.23,25798.0,315 CPT,20985,CPTR-ASST DIR MS PX,,,151.99,25798.0,167 CPT,20985,"HC COMPUTER ASSISTED DEVICE, INTELLIJOINT",6085.8,1156.302,151.99,25798.0,234 CPT,20985,HC COMPUTER ASSISTED NAVIGATION IMAGE-LESS,29342.6,5575.094,151.99,29342.6,234 CPT,20999,HC UNLISTED MUSCULOSKELETAL SYSTEM OP,6234.14,1184.4866,283.85,28208.0,400 CPT,20999,UNLISTED PX MUSCSKEL GENERAL,,,283.85,28208.0,283 CPT,21011,EXC FACE LES SC <2 CM,,,241.65,25798.0,317 CPT,21011,HC EXC FACE LES SC < 2 CM,4810.63,914.0197,241.65,25798.0,384 CPT,21012,EXC FACE LES SBQ 2 CM/>,,,623.12,25798.0,339 CPT,21012,HC EXC FACE LES SBQ 2 CM/>,4979.1,946.029,623.12,25798.0,406 CPT,21013,EXC FACE TUM DEEP < 2 CM,,,301.59,25798.0,339 CPT,21014,EXC FACE TUM DEEP 2 CM/>,,,855.0,25798.0,339 CPT,21015,RESECT FACE/SCALP TUM < 2 CM,,,1154.1,25798.0,339 CPT,21016,RESECT FACE/SCALP TUM 2 CM/>,,,1154.1,25798.0,339 CPT,21025,EXCISION OF BONE LOWER JAW,,,2478.14,25798.0,339 CPT,21025,HC EXC BONE; MANDIBLE,16332.45,3103.1655,2478.14,25798.0,406 CPT,21026,EXCISION OF FACIAL BONE(S),,,2478.14,25798.0,339 CPT,21029,CONTOUR OF FACE BONE LESION,,,1103.36,25798.0,339 CPT,21030,EXCISE MAX/ZYGOMA B9 TUMOR,,,263.39,25798.0,317 CPT,21031,REMOVE EXOSTOSIS MANDIBLE,,,243.51,25798.0,339 CPT,21032,REMOVE EXOSTOSIS MAXILLA,,,235.74,25798.0,317 CPT,21040,EXCISE MANDIBLE LESION,,,1103.36,25798.0,339 CPT,21044,REMOVAL OF JAW BONE LESION,,,2478.14,25798.0,317 CPT,21046,HC EXC MANDIBL TUMOR W OSTEOT,19423.94,3690.5486,2478.14,25798.0,406 CPT,21046,REMOVE MANDIBLE CYST COMPLEX,,,2478.14,25798.0,339 CPT,21047,EXCISE LWR JAW CYST W/REPAIR,,,2478.14,25798.0,339 CPT,21048,REMOVE MAXILLA CYST COMPLEX,,,2478.14,25798.0,339 CPT,21073,MNPJ OF TMJ W/ANESTH,,,262.77,25798.0,317 CPT,21085,HC PREP; ORAL SURGICAL SPLINT,2947.99,560.1181,120.93,25798.0,406 CPT,21086,IMPRES&PREP AURICULAR PROSTH,,,425.33,25798.0,315 CPT,21110,HC INTERDENTAL FIXATION,5926.05,1125.9495,289.07,25798.0,406 CPT,21120,GENIOPLASTY AUGMENTATION,,,2255.33,25798.0,339 CPT,21121,GENIOP SLDG OSTEOT 1,,,1103.36,25798.0,339 CPT,21122,GENIOP SLDG OSTEOT 2/>,,,2478.14,25798.0,339 CPT,21125,AUGMENTATION MNDBLR PROSTC,,,2478.14,25798.0,339 CPT,21127,AUGMENTATION MNDBLR B1 GRF,,,2478.14,25798.0,339 CPT,21137,RDCTJ FOREHEAD CNTRG ONLY,,,1103.36,25798.0,339 CPT,21139,RDCTJ FOREHEAD CNTRG&SETBACK,,,2478.14,25798.0,339 CPT,21141,LEFORT I-1 PIECE W/O GRAFT,,,1363.74,25798.0,339 CPT,21142,LEFORT I-2 PIECE W/O GRAFT,,,1399.29,25798.0,339 CPT,21143,LEFORT I-3/> PIECE W/O GRAFT,,,1441.73,25798.0,317 CPT,21145,LEFORT I-1 PIECE W/ GRAFT,,,1401.0,25798.0,234 CPT,21146,LEFORT I-2 PIECE W/ GRAFT,,,1464.0,25798.0,256 CPT,21172,RECONSTRUCT ORBIT/FOREHEAD,,,2377.29,25798.0,339 CPT,21175,RECONSTRUCT ORBIT/FOREHEAD,,,2315.87,25798.0,317 CPT,21180,RECONSTRUCT ENTIRE FOREHEAD,,,1783.71,25798.0,256 CPT,21196,RECONST LWR JAW W/FIXATION,,,1460.9,25798.0,339 CPT,21198,RECONSTR LWR JAW SEGMENT,,,2478.14,25798.0,339 CPT,21208,AUGMENTATION OF FACIAL BONES,,,2478.14,25798.0,339 CPT,21209,REDUCTION OF FACIAL BONES,,,2478.14,25798.0,339 CPT,21210,FACE BONE GRAFT,,,2478.14,25798.0,339 CPT,21215,LOWER JAW BONE GRAFT,,,2478.14,25798.0,339 CPT,21230,RIB CARTILAGE GRAFT,,,2478.14,25798.0,339 CPT,21235,EAR CARTILAGE GRAFT,,,2478.14,25798.0,339 CPT,21240,RECONSTRUCTION OF JAW JOINT,,,2478.14,25798.0,339 CPT,21242,RECONSTRUCTION OF JAW JOINT,,,2478.14,25798.0,317 CPT,21246,RECONSTRUCTION OF JAW,,,2478.14,25798.0,339 CPT,21256,RECONSTRUCTION OF ORBIT,,,1310.62,25798.0,339 CPT,21270,AUGMENTATION CHEEK BONE,,,2478.14,25798.0,339 CPT,21275,REVISION ORBITOFACIAL BONES,,,2320.66,25798.0,339 CPT,21280,MEDIAL CANTHOPEXY,,,1103.36,25798.0,339 CPT,21282,LATERAL CANTHOPEXY,,,1103.36,25798.0,339 CPT,21296,REVISION OF JAW MUSCLE/BONE,,,1103.36,25798.0,339 CPT,21299,UNLISTED CRANFCL&MAXLFCL PX,,,274.79,26158.0,333 CPT,21315,CLSD TX NSL FX MNPJ WO STBLJ,,,631.23,25798.0,339 CPT,21315,HC CLSD TX NOSE FX MNPJ W/O STBLJ,2419.94,459.7886,631.23,25798.0,406 CPT,21320,CLSD TX NSL FX W/MNPJ&STABLJ,,,750.59,25798.0,339 CPT,21320,HC CLSD TX NSL FX W/MNPJ W STABLJZ,8122.37,1543.2503,750.59,25798.0,406 CPT,21325,HC OP TX OF NASAL FX; UNCOMPLICATED,8231.64,1564.0116,1103.36,25798.0,406 CPT,21325,OPEN TX NOSE FX UNCOMPLICATD,,,1103.36,25798.0,339 CPT,21330,OPEN TX NOSE FX W/SKELE FIXJ,,,2478.14,25798.0,339 CPT,21335,HC OP TX OF NASAL FX; W OP TX SEPTAL FX,8122.37,1543.2503,1103.36,25798.0,406 CPT,21335,OPEN TX NOSE & SEPTAL FX,,,1103.36,25798.0,339 CPT,21336,OPEN TX SEPTAL FX W/WO STABJ,,,1431.23,25798.0,339 CPT,21337,CLOSED TX SEPTAL&NOSE FX,,,750.59,25798.0,339 CPT,21337,HC CL TX NASAL SEPTAL FX,8122.37,1543.2503,750.59,25798.0,406 CPT,21343,OPEN TX DPRSD FRONT SINUS FX,,,1008.0,25798.0,234 CPT,21344,OPEN TX COMPL FRONT SINUS FX,,,1444.39,25798.0,234 CPT,21356,OPN TX DPRSD ZYGOMATIC ARCH,,,2478.14,25798.0,339 CPT,21365,OPN TX COMPLX MALAR FX,,,1130.3,25798.0,339 CPT,21386,OPN TX ORBIT FX PERIORBITAL,,,734.33,25798.0,339 CPT,21390,OPN TX ORBIT PERIORBTL IMPLT,,,2478.14,25798.0,339 CPT,21406,OPN TX ORBIT FX W/O IMPLANT,,,2478.14,25798.0,317 CPT,21407,OPN TX ORBIT FX W/IMPLANT,,,2478.14,25798.0,339 CPT,21421,HC CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT,11389.0,2163.91,1103.36,25798.0,406 CPT,21422,OPTX PALATAL/MAX FRACTURE,,,661.46,25798.0,339 CPT,21440,HC CL TX MAND/MAXILL ALVEOLAR RIDGE FX,8122.37,1543.2503,546.61,25798.0,406 CPT,21451,HC CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION,5642.05,1071.9895,631.23,25798.0,406 CPT,21452,HC PERC TX OF MAND FX W EXT FIX,19423.94,3690.5486,2478.14,25798.0,406 CPT,21453,CLTX MNDBLR FX NTRDNTL FIXJ,,,2478.14,25798.0,339 CPT,21453,HC CL TX OF MAND FX W ID FIX,15008.73,2851.6587,2478.14,25798.0,406 CPT,21461,OPTX MNDBLR FX WO NTRDNTL,,,2454.32,25798.0,317 CPT,21462,OPTX MNDBLR FX W/NTRDNTL,,,2448.9,25798.0,339 CPT,21470,OPTX COMPLICATED MNDBLR FX,,,1209.95,25798.0,317 CPT,21480,HC CL TX DISLOCATED JAW 1ST/SBSQ,419.66,79.7354,132.04,25798.0,406 CPT,21485,HC CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ,1954.95,371.4405,631.23,25798.0,406 CPT,21497,HC INTERDENTAL WIRING OTH/THN FRACTURE,5535.55,1051.7545,289.07,25798.0,406 CPT,21499,UNLISTED MUSCSKEL PX HEAD,,,274.79,26158.0,333 CPT,21501,HC I&D DEEP ABSC SFT TISS NK/THOR,8586.9,1631.511,1154.1,25798.0,406 CPT,21501,I&D DP ABSC/HMTMA SFT TS NCK,,,1154.1,25798.0,339 CPT,21510,INC DEEP OPNG B1 CRTX THORAX,,,487.09,25798.0,234 CPT,21550,BIOPSY OF NECK/CHEST,,,623.12,25798.0,339 CPT,21550,HC SFT TISS BX - NECK/THORAX,4979.1,946.029,623.12,25798.0,406 CPT,21552,EXC NECK LES SC 3 CM/>,,,1154.1,25798.0,339 CPT,21554,EXC NECK TUM DEEP 5 CM/>,,,1154.1,25798.0,339 CPT,21555,EXC NECK LES SC < 3 CM,,,623.12,25798.0,339 CPT,21555,HC EXC NECK LES SC < 3 CM,4979.1,946.029,623.12,25798.0,406 CPT,21556,EXC NECK TUM DEEP < 5 CM,,,1154.1,25798.0,339 CPT,21557,HC RESECT NECK TUM < 5 CM,8203.16,1558.6004,1154.1,25798.0,406 CPT,21557,RESECT NECK THORAX TUMOR<5CM,,,1154.1,25798.0,339 CPT,21558,RESECT NECK TUMOR 5 CM/>,,,1154.1,25798.0,339 CPT,21600,PARTIAL REMOVAL OF RIB,,,2383.68,25798.0,339 CPT,21615,REMOVAL OF RIB,,,667.71,25798.0,256 CPT,21630,RADICAL RESECTION STERNUM,,,1386.75,25798.0,256 CPT,21700,REVISION OF NECK MUSCLE,,,1431.23,25798.0,339 CPT,21705,REVISION OF NECK MUSCLE/RIB,,,567.32,25798.0,234 CPT,21720,REVISION OF NECK MUSCLE,,,1431.23,25798.0,339 CPT,21740,RECONSTRUCTION OF STERNUM,,,1093.69,25798.0,234 CPT,21899,UNLISTED PX NECK/THORAX,,,274.79,26158.0,333 CPT,21920,BIOPSY SOFT TISSUE OF BACK,,,161.2,25798.0,339 CPT,21920,HC BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL,1746.05,331.7495,161.2,25798.0,406 CPT,21925,BIOPSY SOFT TISSUE OF BACK,,,623.12,25798.0,339 CPT,21925,HC BIOPSY SOFT TISSUE BACK/FLANK DEEP,3231.32,613.9508,623.12,25798.0,406 CPT,21930,EXC BACK LES SC < 3 CM,,,623.12,25798.0,339 CPT,21930,HC EXCISION BACK LESION SC < 3 CM,6344.79,1205.5101,623.12,25798.0,406 CPT,21931,EXC BACK LES SC 3 CM/>,,,623.12,25798.0,339 CPT,21932,EXC BACK TUM DEEP < 5 CM,,,1154.1,25798.0,339 CPT,21933,EXC BACK TUM DEEP 5 CM/>,,,1154.1,25798.0,339 CPT,21935,HC RESECT BACK TUM < 5 CM,8802.85,1672.5415,1154.1,25798.0,406 CPT,21935,RESECT BACK TUM < 5 CM,,,1154.1,25798.0,339 CPT,21936,RESECT BACK TUM 5 CM/>,,,1154.1,25798.0,339 CPT,22015,I&D ABSCESS P-SPINE L/S/LS,,,930.12,29968.0,256 CPT,22100,REMOVE PART OF NECK VERTEBRA,,,1070.41,43390.0,339 CPT,22510,HC PERQ CERVICOTHORACIC INJECT,11657.68,2214.9592,1431.23,43390.0,406 CPT,22511,HC PERQ LUMBOSACRAL INJECTION,11657.68,2214.9592,1431.23,43390.0,406 CPT,22511,PERQ LUMBOSACRAL INJECTION,,,1431.23,43390.0,339 CPT,22512,HC VERTEBROPLASTY ADDL INJECT,1858.25,353.0675,214.17,43390.0,324 CPT,22513,"HC PERQ VERTEBRAL AUGMENTATION KYPHOPLASTY, THOR",29742.81,5651.1339,3125.23,43390.0,406 CPT,22513,PERQ VERTEBRAL AUGMENTATION,,,3125.23,43390.0,339 CPT,22514,"HC PERQ VERTEBRAL AUGMENTATION KYPHOPLASTY, LUMBAR",29742.81,5651.1339,3125.23,43390.0,406 CPT,22514,PERQ VERTEBRAL AUGMENTATION,,,3125.23,43390.0,339 CPT,22515,"HC PERQ VERTEBRAL AUGMENTATION KYPHOPLASTY, ADD-ON",4938.91,938.3929,227.21,43390.0,324 CPT,22515,PERQ VERTEBRAL AUGMENTATION,,,227.21,43390.0,257 CPT,22551,ARTHRD ANT NTRBDY CERVICAL,,,3131.0,43390.0,339 CPT,22552,ARTHRD ANT NTRBD CERVICAL EA,,,376.0,43390.0,235 CPT,22554,ARTHRD ANT NTRBD MIN DSC CRV,,,3131.0,43390.0,339 CPT,22558,ARTHRD ANT NTRBD MIN DSC LUM,,,1653.0,43390.0,256 CPT,22585,ARTHRD ANT NTRBD MIN DSC EA,,,350.98,43390.0,235 CPT,22610,ARTHRD PST TQ 1NTRSPC THRC,,,1300.0,43390.0,256 CPT,22612,ARTHRD PST TQ 1NTRSPC LUMBAR,,,3131.0,43521.89,339 CPT,22614,ARTHRD PST TQ 1NTRSPC EA ADD,,,428.4,43390.0,235 CPT,22630,ARTHRD PST TQ 1NTRSPC LUM,,,1743.43,43521.89,339 CPT,22632,ARTHRD PST TQ 1NTRSPC LM EA,,,353.51,43390.0,257 CPT,22633,ARTHRD CMBN 1NTRSPC LUMBAR,,,1991.6,43521.89,339 CPT,22634,ARTHRD CMBN 1NTRSPC EA ADDL,,,530.34,43390.0,235 CPT,22830,EXPLORATION OF SPINAL FUSION,,,899.0,43390.0,256 CPT,22840,INSERT SPINE FIXATION DEVICE,,,376.0,43390.0,235 CPT,22842,INSERT SPINE FIXATION DEVICE,,,376.0,43390.0,235 CPT,22845,INSERT SPINE FIXATION DEVICE,,,376.0,43390.0,235 CPT,22846,INSERT SPINE FIXATION DEVICE,,,828.04,43390.0,256 CPT,22849,REINSERT SPINAL FIXATION,,,1432.94,43390.0,256 CPT,22850,REMOVE SPINE FIXATION DEVICE,,,812.81,43390.0,256 CPT,22852,REMOVE SPINE FIXATION DEVICE,,,781.36,43390.0,256 CPT,22853,INSJ BIOMECHANICAL DEVICE,,,281.42,43390.0,235 CPT,22854,INSJ BIOMECHANICAL DEVICE,,,367.98,43390.0,235 CPT,22856,TOT DISC ARTHRP 1NTRSPC CRV,,,3131.0,110875.0,339 CPT,22857,TOT DISC ARTHRP 1NTRSPC LMBR,,,1529.0,110875.0,256 CPT,22858,TOT DISC ARTHRP 2ND LVL CRV,,,376.0,43390.0,235 CPT,22859,INSJ BIOMECHANICAL DEVICE,,,367.42,43390.0,235 CPT,22860,TOT DISC ARTHRP 2NTRSPC LMBR,,,379.98,110875.0,225 CPT,22861,REV RPLCM ARTHRP 1NTRSPC CRV,,,2108.0,110875.0,256 CPT,22864,RMVL TOT ARTHRP 1NTRSPC CRV,,,1950.0,110875.0,256 CPT,22867,INSJ STABLJ DEV W/DCMPRN,,,3131.0,43521.89,248 CPT,22899,UNLISTED PROCEDURE SPINE,,,283.85,110875.0,333 CPT,22900,EXC ABDL TUM DEEP < 5 CM,,,1154.1,29968.0,339 CPT,22901,EXC ABDL TUM DEEP 5 CM/>,,,1154.1,29968.0,339 CPT,22902,EXC ABD LES SC < 3 CM,,,623.12,29968.0,339 CPT,22903,EXC ABD LES SC 3 CM/>,,,1154.1,29968.0,339 CPT,22903,HC EXC ABD LES SC 3 CM,5517.2,1048.268,1154.1,29968.0,406 CPT,22904,RADICAL RESECT ABD TUMOR<5CM,,,1154.1,29968.0,339 CPT,22905,RAD RESECT ABD TUMOR 5 CM/>,,,1154.1,29968.0,339 CPT,22999,UNLISTED PX ABDOMEN MUSCSKEL,,,283.85,29968.0,333 CPT,23000,REMOVAL OF CALCIUM DEPOSITS,,,1154.1,29968.0,339 CPT,23020,RELEASE SHOULDER JOINT,,,1431.23,29968.0,339 CPT,23044,EXPLORATORY SHOULDER SURGERY,,,1431.23,29968.0,317 CPT,23066,BIOPSY SHOULDER TISSUES,,,1154.1,29968.0,317 CPT,23071,EXC SHOULDER LES SC 3 CM/>,,,623.12,29968.0,339 CPT,23073,EXC SHOULDER TUM DEEP 5 CM/>,,,1154.1,29968.0,339 CPT,23075,EXC SHOULDER LES SC < 3 CM,,,623.12,29968.0,339 CPT,23076,EXC SHOULDER TUM DEEP < 5 CM,,,1154.1,29968.0,339 CPT,23077,RESECT SHOULDER TUMOR < 5 CM,,,1154.1,29968.0,339 CPT,23078,RESECT SHOULDER TUMOR 5 CM/>,,,1154.1,29968.0,339 CPT,23120,CLAVICULECTOMY PARTIAL,,,1431.23,29968.0,339 CPT,23140,REMOVAL OF BONE LESION,,,1431.23,29968.0,339 CPT,23155,REMOVAL OF HUMERUS LESION,,,2993.13,29968.0,339 CPT,23333,REMOVE SHOULDER FB DEEP,,,623.12,46959.0,339 CPT,23350,HC INJECTION FOR SHOULDER X-RAY,20530.05,3900.7095,49.84,29968.0,324 CPT,23350,INJECTION FOR SHOULDER X-RAY,,,49.84,29968.0,257 CPT,23395,MUSCLE TRANSFER SHOULDER/ARM,,,2993.13,29968.0,339 CPT,23405,HC TENOMYOTOMY SHOULDER; SINGLE,11657.68,2214.9592,2993.13,29968.0,406 CPT,23405,INCISION OF TENDON & MUSCLE,,,2993.13,29968.0,339 CPT,23406,INCISE TENDON(S) & MUSCLE(S),,,1415.44,29968.0,317 CPT,23410,REPAIR ROTATOR CUFF ACUTE,,,2993.13,29968.0,339 CPT,23412,REPAIR ROTATOR CUFF CHRONIC,,,2993.13,29968.0,339 CPT,23420,REPAIR OF SHOULDER,,,2993.13,29968.0,339 CPT,23430,REPAIR BICEPS TENDON,,,2993.13,29968.0,339 CPT,23440,REMOVE/TRANSPLANT TENDON,,,1431.23,29968.0,339 CPT,23450,REPAIR SHOULDER CAPSULE,,,2993.13,29968.0,317 CPT,23455,REPAIR SHOULDER CAPSULE,,,2993.13,29968.0,339 CPT,23460,REPAIR SHOULDER CAPSULE,,,2993.13,29968.0,339 CPT,23462,REPAIR SHOULDER CAPSULE,,,2993.13,29968.0,339 CPT,23465,REPAIR SHOULDER CAPSULE,,,2993.13,29968.0,339 CPT,23466,REPAIR SHOULDER CAPSULE,,,2993.13,29968.0,317 CPT,23470,RECONSTRUCT SHOULDER JOINT,,,1272.0,46959.0,339 CPT,23472,RECONSTRUCT SHOULDER JOINT,,,1530.88,46959.0,339 CPT,23473,REVIS RECONST SHOULDER JOINT,,,1701.05,30450.62,339 CPT,23474,REVIS RECONST SHOULDER JOINT,,,1836.18,29968.0,234 CPT,23480,REVISION OF COLLAR BONE,,,2993.13,29968.0,339 CPT,23485,REVISION OF COLLAR BONE,,,2993.13,30450.62,339 CPT,23500,HC CL TX CLAVICULAR FX; WO MANIP,10504.35,1995.8265,132.04,29968.0,406 CPT,23505,HC CL TX CLAVICULAR FX; W MANIP,15756.52,2993.7388,750.59,29968.0,406 CPT,23515,OPTX CLAVICULAR FX W/INT FIX,,,3091.25,29968.0,339 CPT,23520,HC CL TX SCLAV DISLOC WO MANIP,2048.89,389.2891,750.59,29968.0,406 CPT,23540,HC CL TX ACLAV DISLOC; WO MANIP,1995.64,379.1716,132.04,29968.0,406 CPT,23545,HC CL TX ACLAV DISLOC; W MANIP,2714.07,515.6733,132.04,29968.0,406 CPT,23550,OPTX ACROMCLV DISLC AQT/CHRN,,,3125.23,29968.0,339 CPT,23552,OPTX ACRCLV DSLC AQ/CHRN GRF,,,3093.73,29968.0,339 CPT,23570,HC CL TX SCAPULAR FX; WO MANIP,2094.53,397.9607,132.04,29968.0,406 CPT,23575,HC CL TX SCAPULAR FX; W MANIP,3288.41,624.7979,750.59,29968.0,406 CPT,23585,OPTX SCAPULAR FX W/INT FIXJ,,,3125.23,29968.0,339 CPT,23600,HC CL TX PROX HUMERAL FX; WO MANIP,9940.14,1888.6266,132.04,29968.0,406 CPT,23605,HC CL TX PROX HUMERAL FX; W MANIP,13717.39,2606.3041,750.59,29968.0,406 CPT,23615,OPTX PROX HUMRL FX W/INT FIX,,,3131.0,30450.62,339 CPT,23620,HC CL TX GR TUBEROSITY FX; WO MANIP,2251.75,427.8325,132.04,29968.0,406 CPT,23625,HC CL TX GR TUBEROSITY FX; W MANIP,3072.06,583.6914,750.59,29968.0,406 CPT,23630,OPTX GR HMRL TBRS FX INT FIX,,,3125.23,29968.0,339 CPT,23650,HC TREAT SHOULDER DISLOCATION,20530.05,3900.7095,132.04,29968.0,406 CPT,23655,CLTX SHO DSLC W/MNPJ W/ANES,,,802.93,29968.0,339 CPT,23655,HC TX SHOULDER DISLOCATION W/ANESTH,4037.25,767.0775,802.93,29968.0,406 CPT,23660,OPTX ACUTE SHOULDER DISLC,,,3125.23,29968.0,339 CPT,23665,HC TREAT DISLOCATION/FRACTURE,3429.6,651.624,750.59,29968.0,406 CPT,23675,HC CL TX SHDR DISLOC W NK FX W MANIP,4844.7,920.493,750.59,29968.0,406 CPT,23680,HC TREAT DISLOCATION/FRACTURE,13178.22,2503.8618,3131.0,30450.62,406 CPT,23680,OPTX SHO DISLC NECK FX FIXJ,,,3131.0,30450.62,339 CPT,23700,MNPJ ANES SHO JT FIXJ APRATS,,,802.93,29968.0,339 CPT,23929,UNLISTED PROCEDURE SHOULDER,,,283.85,29968.0,333 CPT,23930,I&D UPR A/E DP ABSC/HMTMA,,,623.12,25798.0,339 CPT,23931,HC INF BURSA I&D - UA/ELBOW,4597.32,873.4908,623.12,25798.0,406 CPT,24000,ARTHRT ELBW EXPL DRG/RMVL FB,,,1431.23,25798.0,339 CPT,24006,ARTHRT ELBW CAPSL EXC RLS,,,1431.23,25798.0,339 CPT,24065,HC ST BX U ARM/ELB; SUPERF,5179.27,984.0613,165.55,25798.0,406 CPT,24066,HC DEEP ST BX - UA OR ELBOW,12689.21,2410.9499,1154.1,25798.0,406 CPT,24071,EXC ARM/ELBOW LES SC 3 CM/>,,,1154.1,25798.0,339 CPT,24073,EX ARM/ELBOW TUM DEEP 5 CM/>,,,1154.1,25798.0,339 CPT,24075,EXC ARM/ELBOW LES SC < 3 CM,,,623.12,25798.0,339 CPT,24076,EX ARM/ELBOW TUM DEEP < 5 CM,,,1154.1,25798.0,339 CPT,24077,RAD RESCJ TUM TISS A/E <5CM,,,1154.1,25798.0,339 CPT,24079,RAD RESCJ TUM TISS A/E 5 CM+,,,1154.1,25798.0,339 CPT,24101,ARTHRT ELBW JT EXPL BX RMVL,,,1431.23,25798.0,339 CPT,24102,ARTHRT ELBOW W/SYNOVECTOMY,,,1431.23,25798.0,339 CPT,24105,EXCISION OLECRANON BURSA,,,1431.23,25798.0,339 CPT,24115,EXC/CRTG B1 CST/TUM HUM AGRF,,,2993.13,25798.0,339 CPT,24116,EXC/CRTG B1 CST/TUM HUM ALGR,,,2993.13,25798.0,317 CPT,24120,EXC/CRTG B1 CST/B9 TUM RDS,,,1431.23,25798.0,339 CPT,24130,EXCISION RADIAL HEAD,,,1431.23,25798.0,339 CPT,24140,PARTIAL EXC BONE HUMERUS,,,1431.23,25798.0,339 CPT,24147,PRTL EXC BONE OLECRN PROCESS,,,1431.23,25798.0,339 CPT,24149,RADICAL RESECTION OF ELBOW,,,2975.24,25798.0,339 CPT,24164,REMOVAL PROSTH RADIAL HEAD,,,1431.23,46959.0,339 CPT,24200,HC REM FB UP ARM OR ELBOW; SQ,4979.05,946.0195,142.25,25798.0,406 CPT,24200,RMVL FB UPPER ARM/ELBW SUBQ,,,142.25,25798.0,339 CPT,24201,RMVL FB UPPER ARM/ELBW DEEP,,,1154.1,25798.0,339 CPT,24220,HC INJECTION FOR ELBOW X-RAY,1364.23,259.2037,66.37,25798.0,324 CPT,24220,INJECTION PX FOR ELBOW ARTHG,,,66.37,25798.0,257 CPT,24300,MNPJ ELBOW UNDER ANES,,,802.93,25798.0,339 CPT,24301,MUSC/TDN TRANSFER UPR A/E 1,,,2975.24,25798.0,339 CPT,24305,TENDON LNGTH UPR A/E EA TDN,,,1431.23,25798.0,339 CPT,24310,TNOT OPN ELBW TO SHO EA TDN,,,1431.23,25798.0,339 CPT,24340,TENODESIS BICEPS TDN AT ELBW,,,2993.13,25798.0,339 CPT,24341,HC REPAIR UA/ELBOW TENDON/MUSCLE,22828.46,4337.4074,2993.13,25798.0,406 CPT,24341,RPR TDN/MUSC UPR A/E EACH,,,2993.13,25798.0,339 CPT,24342,REPAIR OF RUPTURED TENDON,,,2993.13,25798.0,339 CPT,24343,REPR ELBOW LAT LIGMNT W/TISS,,,1431.23,25798.0,339 CPT,24344,RECONSTRUCT ELBOW LAT LIGMNT,,,2975.24,25798.0,339 CPT,24345,REPR ELBW MED LIGMNT W/TISSU,,,2975.24,25798.0,339 CPT,24346,RECONSTRUCT ELBOW MED LIGMNT,,,2975.24,30450.62,339 CPT,24357,HC REPAIR ELBOW PERC,9798.14,1861.6466,1431.23,25798.0,406 CPT,24357,REPAIR ELBOW PERC,,,1431.23,25798.0,339 CPT,24358,REPAIR ELBOW W/DEB OPEN,,,1431.23,25798.0,339 CPT,24359,REPAIR ELBOW DEB/ATTCH OPEN,,,1431.23,25798.0,339 CPT,24361,RECONSTRUCT ELBOW JOINT,,,3131.0,46959.0,339 CPT,24363,REPLACE ELBOW JOINT,,,3131.0,46959.0,339 CPT,24365,RECONSTRUCT HEAD OF RADIUS,,,3131.0,46959.0,339 CPT,24366,RECONSTRUCT HEAD OF RADIUS,,,3131.0,46959.0,339 CPT,24400,REVISION OF HUMERUS,,,2993.13,25798.0,339 CPT,24410,REVISION OF HUMERUS,,,2993.13,30450.62,317 CPT,24430,REPAIR OF HUMERUS,,,2993.13,30450.62,339 CPT,24435,REPAIR HUMERUS WITH GRAFT,,,2993.13,30450.62,339 CPT,24500,HC CL TX HUMERUS FX WO MANIP,2845.11,540.5709,132.04,27121.0,406 CPT,24505,HC CL TX HUMERUS FX W MANIP,10249.5,1947.405,750.59,27121.0,406 CPT,24515,TREAT HUMERUS FRACTURE,,,3131.0,30450.62,339 CPT,24516,TREAT HUMERUS FRACTURE,,,3131.0,30450.62,339 CPT,24530,HC CL TX SC/TC HUMERUS FX WO MANIPL,2997.26,569.4794,132.04,27121.0,406 CPT,24535,HC TREAT HUMERUS FRACTURE,4975.45,945.3355,750.59,27121.0,406 CPT,24538,TREAT HUMERUS FRACTURE,,,3125.23,27121.0,339 CPT,24545,HC TREAT HUMERUS FRACTURE W EXTN,22627.57,4299.2383,3131.0,30450.62,406 CPT,24545,TREAT HUMERUS FRACTURE,,,3131.0,30450.62,339 CPT,24546,TREAT HUMERUS FRACTURE,,,3131.0,30450.62,339 CPT,24560,HC CL TX EC HUMERUS FX WO MANIP,2523.08,479.3852,132.04,27121.0,406 CPT,24565,HC TREAT HUMERUS FRACTURE,4220.76,801.9444,750.59,27121.0,406 CPT,24575,TREAT HUMERUS FRACTURE,,,3131.0,30450.62,339 CPT,24576,HC CL TX C HUMERUS FX WO MANIP,2679.02,509.0138,132.04,27121.0,406 CPT,24579,TREAT HUMERUS FRACTURE,,,3131.0,30450.62,339 CPT,24586,TREAT ELBOW FRACTURE,,,3131.0,30450.62,339 CPT,24600,HC RX CL ELBOW DISLOC WO ANESTH,2756.37,523.7103,132.04,27121.0,406 CPT,24605,HC TX CL ELBOW DISLOC W ANESTH,5155.11,979.4709,802.93,27121.0,406 CPT,24615,TREAT ELBOW DISLOCATION,,,3125.23,27121.0,339 CPT,24620,HC CL TX MONTEGGIA ELB FX W MANIP,2657.47,504.9193,750.59,27121.0,406 CPT,24635,TREAT ELBOW FRACTURE,,,3088.24,27121.0,339 CPT,24640,"HC CL TX ""NURSEMAID ELBOW"" W MANIP",13538.0,2572.22,62.78,27121.0,406 CPT,24640,TREAT ELBOW DISLOCATION,,,62.78,27121.0,339 CPT,24650,HC CL TX RADIAL HD/NECK FX; WO MANIP,10458.7,1987.153,132.04,27121.0,384 CPT,24650,TREAT RADIUS FRACTURE,,,132.04,27121.0,317 CPT,24655,HC TREAT RADIUS FRACTURE,3466.38,658.6122,750.59,27121.0,406 CPT,24655,TREAT RADIUS FRACTURE,,,750.59,27121.0,339 CPT,24665,TREAT RADIUS FRACTURE,,,3125.23,27121.0,339 CPT,24666,TREAT RADIUS FRACTURE,,,3131.0,30450.62,339 CPT,24670,HC CLOSED TX ULNAR FRACTURE PROXIMAL END WO MNP,2299.93,436.9867,132.04,27121.0,406 CPT,24675,HC TREAT ULNAR FRACTURE,3605.84,685.1096,750.59,27121.0,406 CPT,24675,TREAT ULNAR FRACTURE,,,750.59,27121.0,339 CPT,24685,TREAT ULNAR FRACTURE,,,3096.48,27121.0,339 CPT,24999,HC UNLISTED PROCEDURE HUMERUS OR ELBOW,2965.56,563.4564,283.85,25798.0,400 CPT,25000,HC INCISION OF TENDON SHEATH,2918.65,554.5435,802.93,25798.0,406 CPT,25000,INCISION OF TENDON SHEATH,,,802.93,25798.0,339 CPT,25023,DECOMPRESS FOREARM 1 SPACE,,,1431.23,42034.0,317 CPT,25028,DRAINAGE OF FOREARM LESION,,,1431.23,25798.0,339 CPT,25028,HC DEEP I&D ABSC - FARM/WRIST,9770.32,1856.3608,1431.23,25798.0,406 CPT,25035,TREAT FOREARM BONE LESION,,,2975.24,25798.0,317 CPT,25040,EXPLORE/TREAT WRIST JOINT,,,1431.23,25798.0,339 CPT,25065,BIOPSY FOREARM SOFT TISSUES,,,164.93,25798.0,339 CPT,25071,EXC FOREARM LES SC 3 CM/>,,,623.12,25798.0,339 CPT,25073,EXC FOREARM TUM DEEP 3 CM/>,,,1154.1,25798.0,339 CPT,25075,EXC FOREARM LES SC < 3 CM,,,623.12,25798.0,339 CPT,25076,EXC FOREARM TUM DEEP < 3 CM,,,623.12,25798.0,339 CPT,25078,RESECT FORARM/WRIST TUM 3CM>,,,1154.1,25798.0,339 CPT,25085,INCISION OF WRIST CAPSULE,,,1431.23,25798.0,339 CPT,25100,BIOPSY OF WRIST JOINT,,,1431.23,25798.0,317 CPT,25101,EXPLORE/TREAT WRIST JOINT,,,1431.23,25798.0,339 CPT,25105,REMOVE WRIST JOINT LINING,,,1431.23,25798.0,339 CPT,25107,REMOVE WRIST JOINT CARTILAGE,,,1431.23,25798.0,339 CPT,25111,HC EXC 1' WRIST GANGLION,4986.1,947.359,802.93,25798.0,406 CPT,25111,REMOVE WRIST TENDON LESION,,,802.93,25798.0,339 CPT,25112,REREMOVE WRIST TENDON LESION,,,802.93,25798.0,339 CPT,25115,REMOVE WRIST/FOREARM LESION,,,802.93,25798.0,339 CPT,25116,REMOVE WRIST/FOREARM LESION,,,1431.23,25798.0,339 CPT,25118,EXCISE WRIST TENDON SHEATH,,,802.93,25798.0,339 CPT,25120,REMOVAL OF FOREARM LESION,,,1431.23,25798.0,339 CPT,25126,REMOVE/GRAFT FOREARM LESION,,,1413.68,25798.0,339 CPT,25130,REMOVAL OF WRIST LESION,,,1431.23,25798.0,339 CPT,25136,REMOVE & GRAFT WRIST LESION,,,2759.1,25798.0,317 CPT,25151,PARTIAL REMOVAL OF RADIUS,,,1431.23,25798.0,339 CPT,25210,REMOVAL OF WRIST BONE,,,1431.23,25798.0,339 CPT,25215,REMOVAL OF WRIST BONES,,,1431.23,25798.0,339 CPT,25230,PARTIAL REMOVAL OF RADIUS,,,1431.23,25798.0,339 CPT,25240,PARTIAL REMOVAL OF ULNA,,,1431.23,25798.0,339 CPT,25246,HC WRIST ARTHROGRAPHY INJ,1696.42,322.3198,72.86,25798.0,324 CPT,25248,REMOVE FOREARM FOREIGN BODY,,,802.93,25798.0,339 CPT,25259,MANIPULATE WRIST W/ANESTHES,,,802.93,25798.0,339 CPT,25260,HC REP TENDN/MSCL - FARM.WRIST,9770.32,1856.3608,1431.23,25798.0,406 CPT,25260,REPAIR FOREARM TENDON/MUSCLE,,,1431.23,25798.0,339 CPT,25263,REPAIR FOREARM TENDON/MUSCLE,,,1431.23,25798.0,339 CPT,25270,HC REP T/M EXTENSOR FA/W ; 1' EA,9770.32,1856.3608,1431.23,25798.0,406 CPT,25270,REPAIR FOREARM TENDON/MUSCLE,,,1431.23,25798.0,339 CPT,25275,REPAIR FOREARM TENDON SHEATH,,,1431.23,25798.0,339 CPT,25280,REVISE WRIST/FOREARM TENDON,,,1431.23,25798.0,339 CPT,25290,INCISE WRIST/FOREARM TENDON,,,1431.23,25798.0,339 CPT,25295,RELEASE WRIST/FOREARM TENDON,,,1431.23,25798.0,339 CPT,25300,FUSION OF TENDONS AT WRIST,,,1431.23,25798.0,339 CPT,25301,FUSION OF TENDONS AT WRIST,,,1431.23,25798.0,339 CPT,25310,TRANSPLANT FOREARM TENDON,,,1431.23,25798.0,339 CPT,25312,TRANSPLANT FOREARM TENDON,,,1431.23,25798.0,339 CPT,25315,REVISE PALSY HAND TENDON(S),,,2759.1,25798.0,317 CPT,25316,REVISE PALSY HAND TENDON(S),,,2759.1,25798.0,317 CPT,25320,REPAIR/REVISE WRIST JOINT,,,2975.24,25798.0,339 CPT,25332,REVISE WRIST JOINT,,,1431.23,25798.0,339 CPT,25337,RECONSTRUCT ULNA/RADIOULNAR,,,2975.24,25798.0,339 CPT,25350,REVISION OF RADIUS,,,2975.24,25798.0,339 CPT,25360,REVISION OF ULNA,,,2975.24,25798.0,339 CPT,25365,REVISE RADIUS & ULNA,,,2975.24,30450.62,317 CPT,25370,REVISE RADIUS OR ULNA,,,1431.23,25798.0,317 CPT,25390,SHORTEN RADIUS OR ULNA,,,2975.24,25798.0,339 CPT,25400,REPAIR RADIUS OR ULNA,,,2975.24,25798.0,339 CPT,25405,REPAIR/GRAFT RADIUS OR ULNA,,,2975.24,25798.0,339 CPT,25415,REPAIR RADIUS & ULNA,,,2975.24,25798.0,317 CPT,25420,REPAIR/GRAFT RADIUS & ULNA,,,2975.24,25798.0,339 CPT,25425,REPAIR/GRAFT RADIUS OR ULNA,,,2961.35,25798.0,339 CPT,25430,VASC GRAFT INTO CARPAL BONE,,,1431.23,25798.0,339 CPT,25440,REPAIR NONU SCPHD CARPL B1,,,2975.24,25798.0,339 CPT,25445,ARTHRP W/PROSTC TRAPEZIUM,,,3086.99,46959.0,339 CPT,25447,ARTHRP NTRCRP/CRP/MTCR NTRPS,,,1431.23,46959.0,339 CPT,25448,ARTHRP NTRCRPL/CRP/MTCRP SSP,,,1516.35,44305.0,273 CPT,25450,EPIPHYSL ARRST DSTL RDS/ULNA,,,1431.23,25798.0,317 CPT,25500,HC CL TX OF RADIAL SHAFT FX; WO MANIP,2178.21,413.8599,132.04,25798.0,384 CPT,25505,CLTX RDL SHFT FX W/MNPJ,,,750.59,25798.0,339 CPT,25505,HC CL TX RADIAL SHFT FX W MANIP,3991.27,758.3413,750.59,25798.0,406 CPT,25515,OPTX RADIAL SHAFT FRACTURE,,,3093.5,25798.0,339 CPT,25520,HC CL TX FX/DISLOC,4637.89,881.1991,750.59,25798.0,406 CPT,25525,OPTX RDL SHFT FX&CLTX RAD/UL,,,3096.28,25798.0,339 CPT,25530,HC CL TX ULNAR SHAFT FX; WO MANIP,2079.32,395.0708,132.04,25798.0,384 CPT,25535,CLTX ULNAR SHFT FX W/MNPJ,,,132.04,25798.0,339 CPT,25535,HC CL TX ULNAR SHFT FX W MANIP,1071.36,203.5584,132.04,25798.0,406 CPT,25545,OPTX ULNAR SHFT FX INT FIXJ,,,3125.23,25798.0,339 CPT,25560,HC CL TX RADIAL & ULNAR SHFT FX; WO MANIP,2203.57,418.6783,132.04,25798.0,384 CPT,25565,CLTX RDL&ULN SHFT FX W/MNPJ,,,750.59,25798.0,339 CPT,25565,HC CL TX RADIAL & ULNA FX W/ MANIP,3879.7,737.143,750.59,25798.0,406 CPT,25575,HC TREAT FRACTURE RADIUS/ULNA,17200.0,3268.0,3087.24,25798.0,406 CPT,25575,OPTX RDL&ULN SHFT FX RDS&ULN,,,3087.24,25798.0,339 CPT,25600,HC CLTX DSTL RADIAL FX/EPIPHYSL SEP WO MNP,3078.4,584.896,132.04,25798.0,384 CPT,25605,CLTX DST RDL FX/EPHYS SEP W/,,,750.59,25798.0,339 CPT,25605,HC CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF,4471.79,849.6401,750.59,25798.0,406 CPT,25606,PERQ SKEL FIXJ DSTL RDL FX,,,1431.23,25798.0,339 CPT,25607,OPTX DST RD XARTC FX/EPI SEP,,,3084.71,25798.0,339 CPT,25608,OPTX DST RD XART FX/EPI SEP2,,,3084.69,25798.0,339 CPT,25609,OPTX DST RD XART FX/EP SEP3+,,,3083.59,25798.0,339 CPT,25622,HC CL TX CARPAL SCAPHOID FX; WO MANIP,2431.79,462.0401,132.04,25798.0,384 CPT,25624,HC CL TX CARPL SCAPHOID FX W MANIP,4845.2,920.588,750.59,25798.0,406 CPT,25628,OPTX CARPL SCPHD FX INT FIXJ,,,3125.23,25798.0,339 CPT,25630,CLTX CARPL FX W/O MNPJ EA B1,,,132.04,25798.0,317 CPT,25630,HC CLTX CARPAL BONE FX W/O MANIP EACH BONE,2441.93,463.9667,132.04,25798.0,384 CPT,25635,CLTX CARPL FX W/MNPJ EA B1,,,750.59,25798.0,339 CPT,25635,HC CLTX CARPAL BONE FX W/MANJ EACH BONE,3494.26,663.9094,750.59,25798.0,406 CPT,25645,OPTX CRPL FX OTH/THN SCPH EA,,,1431.23,25798.0,339 CPT,25650,CLTX ULNAR STYLOID FRACTURE,,,132.04,25798.0,317 CPT,25650,HC CLOSED TX OF ULNAR STYLOID FX,2621.97,498.1743,132.04,25798.0,384 CPT,25652,OPTX ULNAR STYLOID FRACTURE,,,3125.23,25798.0,339 CPT,25660,HC CLTX RDCRPL/INTERCARPL DISLC 1+ BONES W MNP,3543.71,673.3049,132.04,25798.0,406 CPT,25670,OPTX RDCRPL/NTRCRPL DISLC 1+,,,1431.23,25798.0,339 CPT,25671,PERQ SKEL FIX RAD/ULN DISLC,,,1431.23,25798.0,317 CPT,25675,HC CLOSED TX DSTL RADIOULNAR DISLOC W MANIP,3508.21,666.5599,132.04,25798.0,406 CPT,25680,HC CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MANJ RT,809.85,153.8715,132.04,25798.0,406 CPT,25685,OPTX TRNS-SCPHPRLNR FX DISLC,,,1431.23,25798.0,317 CPT,25690,CLTX LUNATE DISLC W/MNPJ,,,750.59,25798.0,339 CPT,25690,HC CL TX LUNATE DISLOC W MANIP,4845.2,920.588,750.59,25798.0,406 CPT,25695,OPTX LUNATE DISLOCATION,,,3125.23,25798.0,317 CPT,25800,ARTHRD WRIST COMPLETE WO GRF,,,2928.13,25798.0,339 CPT,25810,ARTHRD WRST ILIAC/OTH AGRFT,,,2975.24,30450.62,339 CPT,25820,ARTHRD WRIST LMTD W/O B1 GRF,,,2759.1,25798.0,339 CPT,25825,ARTHRD WRIST WITH AUTOGRAFT,,,2759.1,25798.0,339 CPT,25830,ARTHRD DST RAD/UL JT SGM RSC,,,2975.24,25798.0,339 CPT,25900,AMPUTATION OF FOREARM,,,774.45,25798.0,256 CPT,25907,AMPUTATION FOLLOW-UP SURGERY,,,1431.23,25798.0,317 CPT,25999,HC UNLISTED PROCEDURE FOREARM OR WRIST,1682.47,319.6693,283.85,25798.0,400 CPT,26010,DRAINAGE OF FINGER ABSCESS,,,103.52,25798.0,317 CPT,26010,HC DRAIN FINGER ABSC SIMPLE,1413.68,268.5992,103.52,25798.0,384 CPT,26011,HC DRAIN FINGER ABSC COMPLICATED,1593.72,302.8068,623.12,25798.0,406 CPT,26020,DRAIN HAND TENDON SHEATH,,,1431.23,25798.0,339 CPT,26040,RELEASE PALM CONTRACTURE,,,802.93,25798.0,317 CPT,26045,RELEASE PALM CONTRACTURE,,,1431.23,25798.0,339 CPT,26055,HC TENDON SHEATH INCISION,5171.89,982.6591,802.93,25798.0,406 CPT,26055,INCISE FINGER TENDON SHEATH,,,802.93,25798.0,339 CPT,26060,INCISION OF FINGER TENDON,,,802.93,25798.0,339 CPT,26075,EXPLORE/TREAT FINGER JOINT,,,1431.23,25798.0,339 CPT,26075,HC EXPL/REM FB MCP JOINT,2822.4,536.256,1128.96,25798.0,406 CPT,26080,EXPLORE/TREAT FINGER JOINT,,,802.93,25798.0,339 CPT,26080,HC EXPL/REM FB IPH JOINT EA,5317.48,1010.3212,802.93,25798.0,406 CPT,26110,BIOPSY FINGER JOINT LINING,,,802.93,25798.0,339 CPT,26111,EXC HAND LES SC 1.5 CM/>,,,623.12,25798.0,339 CPT,26113,EXC HAND TUM DEEP 1.5 CM/>,,,623.12,25798.0,339 CPT,26115,EXC HAND LES SC < 1.5 CM,,,623.12,25798.0,339 CPT,26116,EXC HAND TUM DEEP < 1.5 CM,,,623.12,25798.0,339 CPT,26117,RAD RESECT HAND TUMOR < 3 CM,,,1154.1,25798.0,339 CPT,26118,RAD RESECT HAND TUMOR 3 CM/>,,,1154.1,25798.0,339 CPT,26121,RELEASE PALM CONTRACTURE,,,1431.23,25798.0,339 CPT,26123,RELEASE PALM CONTRACTURE,,,1431.23,25798.0,339 CPT,26125,RELEASE PALM CONTRACTURE,,,306.07,25798.0,257 CPT,26140,REVISE FINGER JOINT EACH,,,802.93,25798.0,339 CPT,26145,TENDON EXCISION PALM/FINGER,,,802.93,25798.0,339 CPT,26160,REMOVE TENDON SHEATH LESION,,,802.93,25798.0,339 CPT,26170,REMOVAL OF PALM TENDON EACH,,,802.93,25798.0,339 CPT,26180,REMOVAL OF FINGER TENDON,,,802.93,25798.0,339 CPT,26200,REMOVE HAND BONE LESION,,,802.93,25798.0,339 CPT,26205,REMOVE/GRAFT BONE LESION,,,2759.1,25798.0,339 CPT,26210,REMOVAL OF FINGER LESION,,,802.93,25798.0,339 CPT,26215,REMOVE/GRAFT FINGER LESION,,,1431.23,25798.0,339 CPT,26230,PARTIAL REMOVAL OF HAND BONE,,,1431.23,25798.0,339 CPT,26235,PARTIAL REMOVAL FINGER BONE,,,802.93,25798.0,339 CPT,26236,HC PART EXC BONE; DISTAL PHALANX FINGER,5313.51,1009.5669,802.93,25798.0,406 CPT,26236,PARTIAL REMOVAL FINGER BONE,,,802.93,25798.0,339 CPT,26260,RESECT PROX FINGER TUMOR,,,1431.23,25798.0,317 CPT,26320,REMOVAL OF IMPLANT FROM HAND,,,623.12,46959.0,339 CPT,26340,MANIPULATE FINGER W/ANESTH,,,802.93,25798.0,339 CPT,26350,HC REP FLXR TENDON NOT ZONE 2 WO GRFT EA,14349.3,2726.367,1431.23,25798.0,406 CPT,26350,REPAIR FINGER/HAND TENDON,,,1431.23,25798.0,339 CPT,26352,REPAIR/GRAFT HAND TENDON,,,1431.23,25798.0,339 CPT,26356,HC FLEX TENDON REP ZONE 2 EACH,9770.32,1856.3608,1431.23,25798.0,406 CPT,26356,REPAIR FINGER/HAND TENDON,,,1431.23,25798.0,339 CPT,26357,REPAIR FINGER/HAND TENDON,,,1431.23,25798.0,339 CPT,26358,REPAIR/GRAFT HAND TENDON,,,1431.23,25798.0,339 CPT,26370,REPAIR FINGER/HAND TENDON,,,1431.23,25798.0,339 CPT,26372,REPAIR/GRAFT HAND TENDON,,,2759.1,25798.0,317 CPT,26390,REVISE HAND/FINGER TENDON,,,2759.1,25798.0,339 CPT,26392,REPAIR/GRAFT HAND TENDON,,,2759.1,25798.0,339 CPT,26410,HC REP ET HAND; WO FG EA TENDON,5648.38,1073.1922,802.93,25798.0,406 CPT,26410,REPAIR HAND TENDON,,,802.93,25798.0,339 CPT,26412,REPAIR/GRAFT HAND TENDON,,,1431.23,25798.0,339 CPT,26418,HC EXTENSOR TENDON REPAIR EACH,5046.3,958.797,802.93,25798.0,406 CPT,26418,REPAIR FINGER TENDON,,,802.93,25798.0,339 CPT,26420,REPAIR/GRAFT FINGER TENDON,,,1431.23,25798.0,339 CPT,26426,REPAIR FINGER/HAND TENDON,,,1431.23,25798.0,339 CPT,26432,REPAIR FINGER TENDON,,,802.93,25798.0,339 CPT,26433,REPAIR FINGER TENDON,,,1431.23,25798.0,339 CPT,26437,REALIGNMENT OF TENDONS,,,1431.23,25798.0,339 CPT,26440,RELEASE PALM/FINGER TENDON,,,802.93,25798.0,339 CPT,26442,RELEASE PALM & FINGER TENDON,,,1431.23,25798.0,339 CPT,26445,RELEASE HAND/FINGER TENDON,,,1431.23,25798.0,339 CPT,26450,INCISION OF PALM TENDON,,,1431.23,25798.0,317 CPT,26455,INCISION OF FINGER TENDON,,,802.93,25798.0,339 CPT,26460,INCISE HAND/FINGER TENDON,,,802.93,25798.0,339 CPT,26471,FUSION OF FINGER TENDONS,,,1431.23,25798.0,339 CPT,26478,LENGTHENING OF HAND TENDON,,,1431.23,25798.0,339 CPT,26480,TRANSPLANT HAND TENDON,,,1431.23,25798.0,339 CPT,26483,TRANSPLANT/GRAFT HAND TENDON,,,1431.23,25798.0,339 CPT,26485,TRANSPLANT PALM TENDON,,,1431.23,25798.0,339 CPT,26489,TRANSPLANT/GRAFT PALM TENDON,,,1431.23,25798.0,317 CPT,26496,REVISE THUMB TENDON,,,1431.23,25798.0,317 CPT,26497,FINGER TENDON TRANSFER,,,1431.23,25798.0,339 CPT,26498,FINGER TENDON TRANSFER,,,1431.23,25798.0,339 CPT,26502,HAND TENDON RECONSTRUCTION,,,1431.23,25798.0,339 CPT,26508,RELEASE THUMB CONTRACTURE,,,1431.23,25798.0,317 CPT,26510,THUMB TENDON TRANSFER,,,1431.23,25798.0,339 CPT,26516,FUSION OF KNUCKLE JOINT,,,1431.23,25798.0,339 CPT,26517,FUSION OF KNUCKLE JOINTS,,,1431.23,25798.0,317 CPT,26518,FUSION OF KNUCKLE JOINTS,,,1431.23,25798.0,317 CPT,26520,RELEASE KNUCKLE CONTRACTURE,,,1431.23,25798.0,339 CPT,26525,RELEASE FINGER CONTRACTURE,,,802.93,25798.0,339 CPT,26530,REVISE KNUCKLE JOINT,,,1431.23,46959.0,339 CPT,26531,REVISE KNUCKLE WITH IMPLANT,,,3082.9,46959.0,339 CPT,26535,REVISE FINGER JOINT,,,1431.23,46959.0,339 CPT,26536,REVISE/IMPLANT FINGER JOINT,,,3091.98,46959.0,339 CPT,26540,HC REP MCP/IP JNT COLLAT LIGAMENT,9770.32,1856.3608,1431.23,25798.0,406 CPT,26540,REPAIR HAND JOINT,,,1431.23,25798.0,339 CPT,26541,REPAIR HAND JOINT WITH GRAFT,,,1431.23,25798.0,339 CPT,26542,REPAIR HAND JOINT WITH GRAFT,,,1431.23,25798.0,339 CPT,26545,RECONSTRUCT FINGER JOINT,,,1431.23,25798.0,339 CPT,26546,REPAIR NONUNION HAND,,,2759.1,25798.0,339 CPT,26548,RECONSTRUCT FINGER JOINT,,,1431.23,25798.0,339 CPT,26560,REPAIR OF WEB FINGER,,,802.93,25798.0,339 CPT,26561,REPAIR OF WEB FINGER,,,1431.23,25798.0,339 CPT,26562,REPAIR OF WEB FINGER,,,1431.23,25798.0,317 CPT,26565,CORRECT METACARPAL FLAW,,,1431.23,25798.0,339 CPT,26567,CORRECT FINGER DEFORMITY,,,1431.23,25798.0,339 CPT,26568,LENGTHEN METACARPAL/FINGER,,,2759.1,25798.0,317 CPT,26587,RECONSTRUCT EXTRA FINGER,,,1431.23,25798.0,339 CPT,26591,REPAIR MUSCLES OF HAND,,,1431.23,25798.0,339 CPT,26593,RELEASE MUSCLES OF HAND,,,1431.23,25798.0,339 CPT,26600,HC CLTX MTCRPL FX 1 W/O MNPJ EA B1,2435.59,462.7621,132.04,25798.0,384 CPT,26600,TREAT METACARPAL FRACTURE,,,132.04,25798.0,317 CPT,26605,HC CLTX MTCRPL FX 1 W/MNPJ EA B1,2435.59,462.7621,132.04,25798.0,406 CPT,26605,TREAT METACARPAL FRACTURE,,,132.04,25798.0,339 CPT,26608,TREAT METACARPAL FRACTURE,,,1431.23,25798.0,339 CPT,26615,TREAT METACARPAL FRACTURE,,,1431.23,25798.0,339 CPT,26641,HC CL TX CMC DISLOC THUMB W MANIP,475.45,90.3355,132.04,25798.0,384 CPT,26645,HC CL TX CMC FX DISLOC THUMB W MANIP,3381.42,642.4698,750.59,25798.0,406 CPT,26650,TREAT THUMB FRACTURE,,,1431.23,25798.0,339 CPT,26665,TREAT THUMB FRACTURE,,,1431.23,25798.0,339 CPT,26670,HC CL TX CMC DISL W M EA,475.45,90.3355,132.04,25798.0,384 CPT,26675,HC CL TX CMC DISLOC W MANIP & ANESTH,4986.1,947.359,802.93,25798.0,406 CPT,26676,HC PIN CMC DISL EA JNT,8275.42,1572.3298,1431.23,25798.0,406 CPT,26676,PIN HAND DISLOCATION,,,1431.23,25798.0,339 CPT,26685,TREAT HAND DISLOCATION,,,1431.23,25798.0,339 CPT,26700,HC CLOSED TX MCP DISLOC SGL W MANIP,3050.51,579.5969,132.04,25798.0,384 CPT,26705,HC CL TX MCP DISLOC W MANIP & ANESTH,1641.4,311.866,656.56,25798.0,406 CPT,26705,TREAT KNUCKLE DISLOCATION,,,802.93,25798.0,339 CPT,26715,HC TREAT KNUCKLE DISLOCATION,9678.06,1838.8314,1431.23,25798.0,406 CPT,26715,TREAT KNUCKLE DISLOCATION,,,1431.23,25798.0,339 CPT,26720,HC CL TX PHAL SHAFT FX; WO MANIP,1610.99,306.0881,132.04,25798.0,384 CPT,26725,HC CL TX PHALANG SHFT FX; W MANIP,2640.98,501.7862,132.04,25798.0,384 CPT,26725,TREAT FINGER FRACTURE EACH,,,132.04,25798.0,317 CPT,26727,TREAT FINGER FRACTURE EACH,,,1431.23,25798.0,339 CPT,26735,HC OPEN TX PHALANG SHAFT FRACT PROX/MIDDLE EA,9770.32,1856.3608,1431.23,25798.0,406 CPT,26735,TREAT FINGER FRACTURE EACH,,,1431.23,25798.0,339 CPT,26740,HC CL TX ART FX MCP/IP JNT; WO MAN,1876.46,356.5274,132.04,25798.0,384 CPT,26740,TREAT FINGER FRACTURE EACH,,,132.04,25798.0,317 CPT,26742,HC TREAT FINGER FRACTURE EACH,2927.27,556.1813,750.59,25798.0,406 CPT,26742,TREAT FINGER FRACTURE EACH,,,750.59,25798.0,339 CPT,26746,HC TREAT FINGER FRACTURE MCP/IP JOINT EACH,10460.97,1987.5843,1431.23,25798.0,406 CPT,26746,TREAT FINGER FRACTURE EACH,,,1431.23,25798.0,339 CPT,26750,HC CL TX D PHAL FX FGR/THMB; WO MANIP,1828.28,347.3732,130.5,25798.0,384 CPT,26755,HC CL TX D PHAL FX FGRR/THMB; W MANIP,2705.65,514.0735,132.04,25798.0,384 CPT,26756,HC PERC SKTL FIX D PHALANG FX FINGER/THUMB,9770.32,1856.3608,1431.23,25798.0,406 CPT,26756,PIN FINGER FRACTURE EACH,,,1431.23,25798.0,339 CPT,26765,HC OPEN TX DISTAL PHALANG FRACT EA,9311.96,1769.2724,1431.23,25798.0,406 CPT,26765,TREAT FINGER FRACTURE EACH,,,1431.23,25798.0,339 CPT,26770,HC CL TX IP JNT D W MANIP ; WO ANESTH,2114.82,401.8158,132.04,25798.0,384 CPT,26775,HC TREAT FINGER DISLOCATION,3023.88,574.5372,138.2,25798.0,406 CPT,26775,TREAT FINGER DISLOCATION,,,138.2,25798.0,339 CPT,26776,PIN FINGER DISLOCATION,,,1431.23,25798.0,339 CPT,26785,"HC OPEN TX FINGER DISLOCATION,SINGLE",8275.42,1572.3298,1431.23,25798.0,406 CPT,26785,TREAT FINGER DISLOCATION,,,1431.23,25798.0,339 CPT,26841,FUSION OF THUMB,,,2759.1,25798.0,339 CPT,26842,THUMB FUSION WITH GRAFT,,,2759.1,25798.0,317 CPT,26850,FUSION OF KNUCKLE,,,2759.1,25798.0,339 CPT,26860,FUSION OF FINGER JOINT,,,1431.23,25798.0,339 CPT,26861,FUSION OF FINGER JNT ADD-ON,,,116.01,25798.0,257 CPT,26862,FUSION/GRAFT OF FINGER JOINT,,,1431.23,25798.0,339 CPT,26910,AMPUTATE METACARPAL BONE,,,1431.23,25798.0,339 CPT,26951,AMPUTATION OF FINGER/THUMB,,,1431.23,25798.0,339 CPT,26951,HC AMPUTATE FING/TH SGL; W DIR CLOSE,5436.65,1032.9635,1431.23,25798.0,406 CPT,26952,AMPUTATION OF FINGER/THUMB,,,1431.23,25798.0,339 CPT,26952,HC AMPUTATE FING/TH SGL; W LOC ADV FLAP,9770.32,1856.3608,1431.23,25798.0,406 CPT,26989,HC HAND/FINGER SURGERY,328.38,62.3922,131.352,25798.0,400 CPT,26990,DRAINAGE OF PELVIS LESION,,,1431.23,25798.0,317 CPT,27000,INCISION OF HIP TENDON,,,802.93,25798.0,339 CPT,27001,INCISION OF HIP TENDON,,,1431.23,25798.0,339 CPT,27005,INCISION OF HIP TENDON,,,775.06,25798.0,256 CPT,27006,INCISION OF HIP TENDONS,,,754.69,25798.0,339 CPT,27040,BIOPSY OF SOFT TISSUES,,,623.12,25798.0,339 CPT,27040,HC ST BX; HIP/PELVIS; SUPERFICIAL,1688.04,320.7276,623.12,25798.0,406 CPT,27041,BIOPSY OF SOFT TISSUES,,,623.12,25798.0,339 CPT,27041,HC ST BX; HIP/PELVIS; DEEP,5820.81,1105.9539,623.12,25798.0,406 CPT,27043,EXC HIP PELVIS LES SC 3 CM/>,,,1154.1,25798.0,339 CPT,27045,EXC HIP/PELV TUM DEEP 5 CM/>,,,1154.1,25798.0,339 CPT,27047,EXC HIP/PELVIS LES SC < 3 CM,,,1154.1,25798.0,339 CPT,27048,EXC HIP/PELV TUM DEEP < 5 CM,,,1154.1,25798.0,339 CPT,27049,HC RESECT HIP/PELV TUM < 5 CM,11513.58,2187.5802,1154.1,25798.0,406 CPT,27059,RESECT HIP/PELV TUM 5 CM/>,,,1154.1,25798.0,339 CPT,27060,REMOVAL OF ISCHIAL BURSA,,,1431.23,25798.0,339 CPT,27062,REMOVE FEMUR LESION/BURSA,,,1431.23,25798.0,339 CPT,27066,REMOVE HIP BONE LES DEEP,,,1431.23,25798.0,339 CPT,27080,REMOVAL OF TAIL BONE,,,1431.23,25798.0,317 CPT,27093,HC INJECTION FOR HIP X-RAY,2199.02,417.8138,69.12,25798.0,324 CPT,27093,INJECTION FOR HIP X-RAY,,,69.12,25798.0,257 CPT,27095,HC HIP ARTHROGRAPHY INJ W ANESTH,2471.62,469.6078,83.9,25798.0,324 CPT,27095,INJECTION FOR HIP X-RAY,,,83.9,25798.0,257 CPT,27096,HC INJECT FOR SACROILIAC JOINT,6488.99,1232.9081,84.63,25798.0,377 CPT,27096,HC SIJ ANESTH/STEROID INJ,6488.99,1232.9081,84.63,25798.0,377 CPT,27096,INJECT SACROILIAC JOINT,,,84.63,25798.0,311 CPT,27097,REVISION OF HIP TENDON,,,1431.23,25798.0,339 CPT,27098,TRANSFER TENDON TO PELVIS,,,1431.23,25798.0,339 CPT,27125,PARTIAL HIP REPLACEMENT,,,1177.0,62936.0,256 CPT,27130,TOTAL HIP ARTHROPLASTY,,,1365.54,62936.0,339 CPT,27132,TOTAL HIP ARTHROPLASTY,,,1773.42,62936.0,256 CPT,27134,REVISE HIP JOINT REPLACEMENT,,,2016.03,62936.0,256 CPT,27140,TRANSPLANT FEMUR RIDGE,,,961.2,25798.0,256 CPT,27151,INCISION OF HIP BONES,,,1631.0,25798.0,256 CPT,27165,INCISION/FIXATION OF FEMUR,,,1456.79,25798.0,256 CPT,27176,TREAT SLIPPED EPIPHYSIS,,,988.52,25798.0,256 CPT,27178,TREAT SLIPPED EPIPHYSIS,,,988.52,25798.0,234 CPT,27179,REVISE HEAD/NECK OF FEMUR,,,1047.08,25798.0,317 CPT,27197,HC CLSD TX PELVIC RING FX,4116.79,782.1901,119.84,25798.0,406 CPT,27198,HC CLSD TX PELVIC RING FX,793.74,150.8106,119.84,25798.0,406 CPT,27215,TREAT PELVIC FRACTURE(S),,,3131.0,25798.0,250 CPT,27216,TREAT PELVIC RING FRACTURE,,,3131.0,25798.0,228 CPT,27217,TREAT PELVIC RING FRACTURE,,,3131.0,25798.0,228 CPT,27230,HC CL TX PROX FEM FX WO MANIP,4083.83,775.9277,132.04,25798.0,406 CPT,27235,TREAT THIGH FRACTURE,,,969.07,25798.0,339 CPT,27236,TREAT THIGH FRACTURE,,,1243.0,46959.0,256 CPT,27250,HC TREAT HIP DISLOCATION,1798.59,341.7321,132.04,25798.0,406 CPT,27252,HC CL TX TRAUMA HIP DISLOC W ANESTH,4888.93,928.8967,802.93,25798.0,406 CPT,27252,TREAT HIP DISLOCATION,,,802.93,25798.0,339 CPT,27257,HC TX SPONTAN HIP DISLOC W ANESTH,2836.24,538.8856,802.93,25798.0,406 CPT,27257,TREAT HIP DISLOCATION,,,802.93,25798.0,339 CPT,27265,HC CL TX POST HIP DISLOC WO ANESTH,3481.59,661.5021,132.04,25798.0,406 CPT,27266,HC CL TX POSTOP HIP DISLOC W ANESTH,8703.96,1653.7524,802.93,25798.0,406 CPT,27275,MANIPULATION OF HIP JOINT,,,802.93,25798.0,317 CPT,27278,ARTHRD SI JT PRQ WO TFXJ DEV,,,488.09,43521.89,339 CPT,27279,ARTHRD SI JT PERQ/MIN NVAS,,,2513.56,43521.89,339 CPT,27299,HC UNLISTED PROCEDURE PELVIS OR HIP JOINT,2850.18,541.5342,283.85,25798.0,400 CPT,27299,UNLISTED PX PELVIS/HIP JOINT,,,283.85,25798.0,283 CPT,27301,DRAIN THIGH/KNEE LESION,,,1154.1,25798.0,339 CPT,27301,HC DEEP I&D THIGH/KNEE,8587.06,1631.5414,1154.1,25798.0,406 CPT,27305,INCISE THIGH TENDON & FASCIA,,,1431.23,25798.0,339 CPT,27306,INCISION OF THIGH TENDON,,,1431.23,25798.0,339 CPT,27307,INCISION OF THIGH TENDONS,,,1431.23,25798.0,339 CPT,27310,EXPLORATION OF KNEE JOINT,,,1431.23,25798.0,339 CPT,27323,BIOPSY THIGH SOFT TISSUES,,,623.12,25798.0,339 CPT,27323,HC SUPERF SFT TISS BX THIGH/KNEE,2116.84,402.1996,623.12,25798.0,406 CPT,27324,HC DEEP SFT TISS BX THIGH/KNEE,4915.55,933.9545,1154.1,25798.0,406 CPT,27327,EXC THIGH/KNEE LES SC < 3 CM,,,623.12,25798.0,339 CPT,27328,EXC THIGH/KNEE TUM DEEP <5CM,,,1154.1,25798.0,339 CPT,27329,HC RESECT THIGH/KNEE TUM < 5 CM,8811.74,1674.2306,1154.1,25798.0,406 CPT,27329,RESECT THIGH/KNEE TUM < 5 CM,,,1154.1,25798.0,339 CPT,27331,EXPLORE/TREAT KNEE JOINT,,,1431.23,25798.0,339 CPT,27332,REMOVAL OF KNEE CARTILAGE,,,1431.23,25798.0,317 CPT,27334,REMOVE KNEE JOINT LINING,,,1431.23,25798.0,339 CPT,27335,REMOVE KNEE JOINT LINING,,,2642.07,25798.0,339 CPT,27337,EXC THIGH/KNEE LES SC 3 CM/>,,,1154.1,25798.0,339 CPT,27339,EXC THIGH/KNEE TUM DEP 5CM/>,,,1154.1,25798.0,339 CPT,27340,REMOVAL OF KNEECAP BURSA,,,1431.23,25798.0,339 CPT,27345,REMOVAL OF KNEE CYST,,,1431.23,25798.0,339 CPT,27347,REMOVE KNEE CYST,,,1431.23,25798.0,339 CPT,27350,REMOVAL OF KNEECAP,,,1431.23,25798.0,339 CPT,27355,REMOVE FEMUR LESION,,,1431.23,25798.0,339 CPT,27356,REMOVE FEMUR LESION/GRAFT,,,2133.22,30450.62,339 CPT,27357,REMOVE FEMUR LESION/GRAFT,,,2883.85,25798.0,339 CPT,27360,PARTIAL REMOVAL LEG BONE(S),,,1431.23,25798.0,339 CPT,27364,RESECT THIGH/KNEE TUM 5 CM/>,,,1154.1,25798.0,339 CPT,27365,RESECT FEMUR/KNEE TUMOR,,,1432.0,25798.0,234 CPT,27369,HC NJX CNTRST KNE ARTHG/CT/MRI,3669.24,697.1556,40.97,25798.0,324 CPT,27372,REMOVAL OF FOREIGN BODY,,,1154.1,25798.0,339 CPT,27380,HC REPAIR KNEECAP TENDON,6042.8,1148.132,2332.19,25798.0,406 CPT,27380,REPAIR OF KNEECAP TENDON,,,2332.19,25798.0,339 CPT,27381,REPAIR/GRAFT KNEECAP TENDON,,,2642.07,25798.0,339 CPT,27385,REPAIR OF THIGH MUSCLE,,,2883.85,25798.0,339 CPT,27386,REPAIR/GRAFT OF THIGH MUSCLE,,,2883.85,25798.0,339 CPT,27390,INCISION OF THIGH TENDON,,,1431.23,25798.0,317 CPT,27391,INCISION OF THIGH TENDONS,,,1431.23,25798.0,339 CPT,27392,INCISION OF THIGH TENDONS,,,1431.23,25798.0,317 CPT,27393,LENGTHENING OF THIGH TENDON,,,1431.23,25798.0,339 CPT,27394,LENGTHENING OF THIGH TENDONS,,,2883.85,25798.0,339 CPT,27395,LENGTHENING OF THIGH TENDONS,,,1431.23,25798.0,339 CPT,27396,TRANSPLANT OF THIGH TENDON,,,2883.85,25798.0,317 CPT,27403,REPAIR OF KNEE CARTILAGE,,,799.2,25798.0,339 CPT,27405,REPAIR OF KNEE LIGAMENT,,,2642.07,25798.0,339 CPT,27407,REPAIR OF KNEE LIGAMENT,,,2642.07,25798.0,339 CPT,27409,REPAIR OF KNEE LIGAMENTS,,,2642.07,25798.0,339 CPT,27412,AUTOCHONDROCYTE IMPLANT KNEE,,,1753.72,62936.0,248 CPT,27415,OSTEOCHONDRAL KNEE ALLOGRAFT,,,3131.0,30450.62,339 CPT,27416,OSTEOCHONDRAL KNEE AUTOGRAFT,,,1892.64,25798.0,339 CPT,27418,REPAIR DEGENERATED KNEECAP,,,2642.07,25798.0,339 CPT,27420,REVISION OF UNSTABLE KNEECAP,,,2642.07,25798.0,339 CPT,27422,REVISION OF UNSTABLE KNEECAP,,,2642.07,25798.0,339 CPT,27425,LAT RETINACULAR RELEASE OPEN,,,1431.23,25798.0,339 CPT,27427,RECONSTRUCTION KNEE,,,2642.07,25798.0,339 CPT,27428,RECONSTRUCTION KNEE,,,2642.07,30450.62,339 CPT,27429,RECONSTRUCTION KNEE,,,2642.07,30450.62,339 CPT,27430,REVISION OF THIGH MUSCLES,,,2883.85,25798.0,339 CPT,27435,INCISION OF KNEE JOINT,,,1431.23,25798.0,339 CPT,27437,REVISE KNEECAP,,,3125.23,62936.0,339 CPT,27438,REVISE KNEECAP WITH IMPLANT,,,3131.0,62936.0,339 CPT,27442,REVISION OF KNEE JOINT,,,3131.0,62936.0,339 CPT,27443,REVISION OF KNEE JOINT,,,3131.0,62936.0,339 CPT,27446,REVISION OF KNEE JOINT,,,3131.0,62936.0,339 CPT,27447,TOTAL KNEE ARTHROPLASTY,,,1363.59,62936.0,339 CPT,27450,INCISION OF THIGH,,,1074.46,25798.0,256 CPT,27455,REALIGNMENT OF KNEE,,,1027.08,25798.0,256 CPT,27457,REALIGNMENT OF KNEE,,,1020.23,25798.0,234 CPT,27470,REPAIR OF THIGH,,,1258.67,25798.0,256 CPT,27472,REPAIR/GRAFT OF THIGH,,,1347.46,25798.0,256 CPT,27475,SURGERY TO STOP LEG GROWTH,,,2883.85,25798.0,339 CPT,27479,SURGERY TO STOP LEG GROWTH,,,2642.07,25798.0,339 CPT,27485,SURGERY TO STOP LEG GROWTH,,,725.33,25798.0,339 CPT,27486,REVISE/REPLACE KNEE JOINT,,,1494.2,46959.0,256 CPT,27488,REMOVAL OF KNEE PROSTHESIS,,,1276.0,46959.0,256 CPT,27495,REINFORCE THIGH,,,1205.24,25798.0,256 CPT,27496,DECOMPRESSION OF THIGH/KNEE,,,1431.23,25798.0,317 CPT,27502,HC CL TX FEMORAL SHAFT FX W MANIP,6059.17,1151.2423,750.59,25798.0,406 CPT,27502,TREATMENT OF THIGH FRACTURE,,,750.59,25798.0,339 CPT,27506,TREATMENT OF THIGH FRACTURE,,,1425.58,25798.0,256 CPT,27508,HC CL TX D FEM FX WO MANIP,4275.27,812.3013,132.04,25798.0,406 CPT,27510,HC CLOSE REDUC FEMUR FX W MANIP,4918.92,934.5948,750.59,25798.0,406 CPT,27513,TREATMENT OF THIGH FRACTURE,,,1308.96,25798.0,256 CPT,27514,TREATMENT OF THIGH FRACTURE,,,1028.37,25798.0,256 CPT,27516,HC CL TX DIST FEM EPIPHYS SEP; WO MAN,4126.93,784.1167,132.04,25798.0,406 CPT,27520,HC CLOSED TX PATELLAR FX WO MANIP,2590.27,492.1513,132.04,25798.0,406 CPT,27524,TREAT KNEECAP FRACTURE,,,3125.23,25798.0,339 CPT,27530,HC CL TX PROX TIBIAL FX WO MANIP,2467.29,468.7851,132.04,25798.0,406 CPT,27532,HC CL TX PROX TIBIAL FX W SK TRACTION,5656.86,1074.8034,750.59,25798.0,406 CPT,27532,TREAT KNEE FRACTURE,,,750.59,25798.0,339 CPT,27535,TREAT KNEE FRACTURE,,,955.41,25798.0,256 CPT,27536,TREAT KNEE FRACTURE,,,1266.69,25798.0,256 CPT,27538,HC CLTX INTERCONDYLAR SPI&/TUBRST FX KNE W/WO MAN,822.94,156.3586,132.04,25798.0,406 CPT,27540,TREAT KNEE FRACTURE,,,874.81,25798.0,256 CPT,27550,HC TREAT KNEE DISLOCATION,3986.2,757.378,132.04,25798.0,406 CPT,27552,HC CL TX KNEE DISL; W ANESTHESIA,4888.93,928.8967,802.93,25798.0,406 CPT,27560,HC TREAT KNEECAP DISLOCATION,2937.67,558.1573,132.04,25798.0,406 CPT,27562,HC CL TX PATELLAR DISLOCATION; W ANESTH,4888.93,928.8967,132.04,25798.0,406 CPT,27566,TREAT KNEECAP DISLOCATION,,,3125.23,25798.0,339 CPT,27570,FIXATION OF KNEE JOINT,,,802.93,25798.0,339 CPT,27599,HC UNLISTED PROCEDURE FEMUR/KNEE,787.44,149.6136,283.85,46959.0,400 CPT,27599,UNLISTED PX FEMUR/KNEE,,,283.85,46959.0,283 CPT,27600,DECOMPRESSION OF LOWER LEG,,,1431.23,25798.0,339 CPT,27601,DECOMPRESSION OF LOWER LEG,,,1431.23,25798.0,339 CPT,27602,DECOMPRESSION OF LOWER LEG,,,1431.23,25798.0,339 CPT,27603,DRAIN LOWER LEG LESION,,,1154.1,25798.0,339 CPT,27603,HC I&D LEG/ANKLE DEEP ABSC/HEMATOMA,246.71,46.8749,98.684,25798.0,406 CPT,27605,HC SQ INC ACHILLES TENDON W LCL ANESTH,7605.98,1445.1362,802.93,25798.0,406 CPT,27605,INCISION OF ACHILLES TENDON,,,802.93,25798.0,339 CPT,27606,INCISION OF ACHILLES TENDON,,,1431.23,25798.0,339 CPT,27607,TREAT LOWER LEG BONE LESION,,,1431.23,25798.0,317 CPT,27610,EXPLORE/TREAT ANKLE JOINT,,,1431.23,25798.0,339 CPT,27612,EXPLORATION OF ANKLE JOINT,,,1431.23,25798.0,339 CPT,27613,BIOPSY LOWER LEG SOFT TISSUE,,,156.55,25798.0,339 CPT,27613,HC SUPERF SFT TISS BX LEG/ANKLE,5740.0,1090.6,156.55,25798.0,406 CPT,27614,HC DEEP SFT TISS BX LEG/ANKLE,3515.82,668.0058,1154.1,25798.0,406 CPT,27615,HC RESECT LEG/ANKLE TUM < 5 CM,8738.19,1660.2561,1154.1,25798.0,406 CPT,27615,RESECT LEG/ANKLE TUM < 5 CM,,,1154.1,25798.0,339 CPT,27616,RESECT LEG/ANKLE TUM 5 CM/>,,,1154.1,25798.0,339 CPT,27618,EXC LEG/ANKLE TUM < 3 CM,,,623.12,25798.0,339 CPT,27618,HC EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM LT,5457.25,1036.8775,623.12,25798.0,406 CPT,27619,EXC LEG/ANKLE TUM DEEP <5 CM,,,1154.1,25798.0,339 CPT,27619,HC EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL <5CM LT,9196.33,1747.3027,1154.1,25798.0,406 CPT,27620,EXPLORE/TREAT ANKLE JOINT,,,1431.23,25798.0,339 CPT,27625,REMOVE ANKLE JOINT LINING,,,1431.23,25798.0,339 CPT,27626,REMOVE ANKLE JOINT LINING,,,1431.23,25798.0,339 CPT,27630,HC EXC TENDON SHTH LESION LEG/ANKLE,7571.33,1438.5527,1431.23,25798.0,406 CPT,27630,REMOVAL OF TENDON LESION,,,1431.23,25798.0,339 CPT,27632,EXC LEG/ANKLE LES SC 3 CM/>,,,1154.1,25798.0,339 CPT,27634,EXC LEG/ANKLE TUM DEP 5 CM/>,,,1154.1,25798.0,339 CPT,27635,REMOVE LOWER LEG BONE LESION,,,1431.23,25798.0,339 CPT,27637,REMOVE/GRAFT LEG BONE LESION,,,2642.07,25798.0,339 CPT,27638,REMOVE/GRAFT LEG BONE LESION,,,2642.07,25798.0,339 CPT,27640,PARTIAL REMOVAL OF TIBIA,,,1431.23,25798.0,339 CPT,27641,PARTIAL REMOVAL OF FIBULA,,,1431.23,25798.0,339 CPT,27647,RESECT TALUS/CALCANEUS TUM,,,1431.23,25798.0,317 CPT,27648,HC INJECTION FOR ANKLE X-RAY,436.15,82.8685,53.13,25798.0,324 CPT,27650,REPAIR ACHILLES TENDON,,,1431.23,25798.0,339 CPT,27652,REPAIR/GRAFT ACHILLES TENDON,,,2642.07,25798.0,339 CPT,27654,REPAIR OF ACHILLES TENDON,,,2642.07,25798.0,339 CPT,27658,REPAIR OF LEG TENDON EACH,,,1431.23,25798.0,339 CPT,27659,REPAIR OF LEG TENDON EACH,,,2642.07,25798.0,339 CPT,27664,HC 1' REPR/SUTR LEG EXTENSOR TENDON,20707.66,3934.4554,2332.19,25798.0,406 CPT,27664,REPAIR OF LEG TENDON EACH,,,2332.19,25798.0,339 CPT,27665,REPAIR OF LEG TENDON EACH,,,2642.07,25798.0,339 CPT,27675,REPAIR LOWER LEG TENDONS,,,1431.23,25798.0,339 CPT,27676,REPAIR LOWER LEG TENDONS,,,2642.07,25798.0,339 CPT,27680,RELEASE OF LOWER LEG TENDON,,,1431.23,25798.0,339 CPT,27681,RELEASE OF LOWER LEG TENDONS,,,1431.23,25798.0,339 CPT,27685,REVISION OF LOWER LEG TENDON,,,1431.23,25798.0,339 CPT,27686,REVISE LOWER LEG TENDONS,,,1431.23,25798.0,339 CPT,27687,REVISION OF CALF TENDON,,,1431.23,25798.0,339 CPT,27690,REVISE LOWER LEG TENDON,,,2642.07,25798.0,339 CPT,27691,REVISE LOWER LEG TENDON,,,2642.07,25798.0,339 CPT,27692,REVISE ADDITIONAL LEG TENDON,,,116.22,25798.0,257 CPT,27695,REPAIR OF ANKLE LIGAMENT,,,2642.07,25798.0,339 CPT,27696,REPAIR OF ANKLE LIGAMENTS,,,2642.07,25798.0,339 CPT,27698,REPAIR OF ANKLE LIGAMENT,,,2642.07,25798.0,339 CPT,27702,RECONSTRUCT ANKLE JOINT,,,1018.62,62936.0,339 CPT,27703,RECONSTRUCTION ANKLE JOINT,,,1179.27,46959.0,256 CPT,27705,OSTEOTOMY TIBIA,,,2642.07,25798.0,339 CPT,27707,OSTEOTOMY FIBULA,,,1431.23,25798.0,339 CPT,27709,OSTEOTOMY TIBIA & FIBULA,,,2642.07,30450.62,339 CPT,27715,OSTPL TIBFIB LNGTH/SHRT,,,1144.19,25798.0,256 CPT,27720,REPAIR OF TIBIA,,,3087.56,25798.0,339 CPT,27724,REPAIR/GRAFT OF TIBIA,,,1332.13,25798.0,256 CPT,27726,REPAIR FIBULA NONUNION,,,2074.84,25798.0,339 CPT,27730,REPAIR OF TIBIA EPIPHYSIS,,,1431.23,25798.0,339 CPT,27732,REPAIR OF FIBULA EPIPHYSIS,,,1431.23,25798.0,339 CPT,27745,REINFORCE TIBIA,,,1899.83,25798.0,339 CPT,27750,HC CL TX TIB SHFT FX WO MANIP,2780.45,528.2855,132.04,25798.0,406 CPT,27752,HC CL TX TIB SHFT FX W MANIP,4337.5,824.125,750.59,25798.0,406 CPT,27758,TREATMENT OF TIBIA FRACTURE,,,3131.0,30450.62,339 CPT,27759,TREATMENT OF TIBIA FRACTURE,,,3131.0,30450.62,339 CPT,27760,HC CLTX MEDIAL ANKLE FX,2675.22,508.2918,132.04,25798.0,406 CPT,27762,HC CLTX MED ANKLE FX W/MNPJ,3809.97,723.8943,750.59,25798.0,406 CPT,27766,OPTX MEDIAL ANKLE FX,,,3125.23,25798.0,339 CPT,27768,CLTX POST ANKLE FX W/MNPJ,,,376.0,25798.0,339 CPT,27768,HC CLTX POST ANKLE FX W/MNPJ,1641.4,311.866,376.0,25798.0,406 CPT,27769,OPTX POST ANKLE FX,,,3125.23,25798.0,339 CPT,27780,HC TREATMENT OF FIBULA FRACTURE,799.41,151.8879,132.04,25798.0,406 CPT,27780,TREATMENT OF FIBULA FRACTURE,,,132.04,25798.0,339 CPT,27781,HC CL TX PROX FIB/SHAFT FX W MANIP,3435.95,652.8305,750.59,25798.0,406 CPT,27781,TREATMENT OF FIBULA FRACTURE,,,750.59,25798.0,339 CPT,27784,TREATMENT OF FIBULA FRACTURE,,,3125.23,25798.0,339 CPT,27786,HC CL TX DSTL FIB FX WO MANIP,2512.93,477.4567,132.04,25798.0,406 CPT,27788,HC CL TX DISTL FIB FX W MANIP,3184.9,605.131,132.04,25798.0,406 CPT,27788,TREATMENT OF ANKLE FRACTURE,,,132.04,25798.0,339 CPT,27792,TREATMENT OF ANKLE FRACTURE,,,3095.94,25798.0,339 CPT,27808,HC CLTX BIMALLEOLAR ANKLE FRACT WO MNP,2643.52,502.2688,132.04,25798.0,406 CPT,27810,HC CLTX BIMALLEOLAR ANKLE FRACT W MNP,3708.54,704.6226,750.59,25798.0,406 CPT,27814,TREATMENT OF ANKLE FRACTURE,,,3094.03,25798.0,339 CPT,27816,HC CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION,809.85,153.8715,132.04,25798.0,406 CPT,27818,HC CL TX TRIMALL ANKLE FX; W MANIP,3765.59,715.4621,750.59,25798.0,406 CPT,27822,TREATMENT OF ANKLE FRACTURE,,,2052.03,25798.0,339 CPT,27823,TREATMENT OF ANKLE FRACTURE,,,3092.63,25798.0,339 CPT,27824,HC TREAT LOWER LEG FRACTURE,787.44,149.6136,132.04,25798.0,406 CPT,27824,TREAT LOWER LEG FRACTURE,,,132.04,25798.0,339 CPT,27825,HC TREAT LOWER LEG FRACTURE,4762.72,904.9168,750.59,25798.0,406 CPT,27825,TREAT LOWER LEG FRACTURE,,,750.59,25798.0,339 CPT,27826,TREAT LOWER LEG FRACTURE,,,3125.23,25798.0,339 CPT,27827,TREAT LOWER LEG FRACTURE,,,3131.0,30450.62,339 CPT,27828,TREAT LOWER LEG FRACTURE,,,3131.0,30450.62,339 CPT,27829,TREAT LOWER LEG JOINT,,,3125.23,25798.0,339 CPT,27840,HC CL TX ANKLE DISLOCATION; WO ANESTH,777.36,147.6984,132.04,25798.0,406 CPT,27842,HC CL TX ANKLE DISLOC W ANESTH,4888.93,928.8967,802.93,25798.0,406 CPT,27846,TREAT ANKLE DISLOCATION,,,3125.23,25798.0,339 CPT,27860,FIXATION OF ANKLE JOINT,,,1285.71,25798.0,339 CPT,27870,FUSION OF ANKLE JOINT OPEN,,,2642.07,30450.62,339 CPT,27882,AMPUTATION OF LOWER LEG,,,630.04,25798.0,256 CPT,27884,AMPUTATION FOLLOW-UP SURGERY,,,1431.23,25798.0,339 CPT,27886,AMPUTATION FOLLOW-UP SURGERY,,,692.16,25798.0,256 CPT,27892,DECOMPRESSION OF LEG,,,1431.23,25798.0,339 CPT,27893,DECOMPRESSION OF LEG,,,2883.85,25798.0,339 CPT,27894,DECOMPRESSION OF LEG,,,1431.23,25798.0,339 CPT,27899,HC LEG/ANKLE SURGERY PROCEDURE,5279.43,1003.0917,283.85,25798.0,400 CPT,27899,UNLISTED PX LEG/ANKLE,,,283.85,25798.0,283 CPT,28001,DRAINAGE OF BURSA OF FOOT,,,91.01,25798.0,339 CPT,28002,HC DEEP DISSECT FOOT INF,5046.3,958.797,802.93,25798.0,406 CPT,28002,TREATMENT OF FOOT INFECTION,,,802.93,25798.0,339 CPT,28003,TREATMENT OF FOOT INFECTION,,,1431.23,25798.0,339 CPT,28005,TREAT FOOT BONE LESION,,,1431.23,25798.0,339 CPT,28008,INCISION OF FOOT FASCIA,,,1431.23,25798.0,339 CPT,28010,"HC INCISION OF TOE TENDON, SINGLE",5272.11,1001.7009,121.75,25798.0,406 CPT,28010,INCISION OF TOE TENDON,,,121.75,25798.0,339 CPT,28020,EXPLORATION OF FOOT JOINT,,,1431.23,25798.0,339 CPT,28022,EXPLORATION OF FOOT JOINT,,,1431.23,25798.0,339 CPT,28024,EXPLORATION OF TOE JOINT,,,802.93,25798.0,317 CPT,28035,DECOMPRESSION OF TIBIA NERVE,,,888.14,42034.0,339 CPT,28039,EXC FOOT/TOE TUM SC 1.5 CM/>,,,1154.1,25798.0,339 CPT,28041,EXC FOOT/TOE TUM DEP 1.5CM/>,,,1154.1,25798.0,339 CPT,28043,EXC FOOT/TOE TUM SC < 1.5 CM,,,623.12,25798.0,339 CPT,28043,HC EXC FOOT/TOE TUM SC < 1.5 CM,5074.52,964.1588,623.12,25798.0,406 CPT,28045,EXC FOOT/TOE TUM DEEP <1.5CM,,,1154.1,25798.0,339 CPT,28046,RESECT FOOT/TOE TUMOR < 3 CM,,,1154.1,25798.0,339 CPT,28047,RESECT FOOT/TOE TUMOR 3 CM/>,,,1154.1,25798.0,339 CPT,28052,BIOPSY OF FOOT JOINT LINING,,,1431.23,25798.0,317 CPT,28060,PARTIAL REMOVAL FOOT FASCIA,,,1431.23,25798.0,339 CPT,28070,REMOVAL OF FOOT JOINT LINING,,,1431.23,25798.0,339 CPT,28080,REMOVAL OF FOOT LESION,,,802.93,42034.0,339 CPT,28086,EXCISE FOOT TENDON SHEATH,,,1431.23,25798.0,339 CPT,28090,REMOVAL OF FOOT LESION,,,802.93,25798.0,339 CPT,28092,REMOVAL OF TOE LESIONS,,,802.93,25798.0,339 CPT,28100,REMOVAL OF ANKLE/HEEL LESION,,,1431.23,25798.0,339 CPT,28102,REMOVE/GRAFT FOOT LESION,,,2749.89,25798.0,339 CPT,28103,REMOVE/GRAFT FOOT LESION,,,2749.89,25798.0,317 CPT,28104,REMOVAL OF FOOT LESION,,,1431.23,25798.0,339 CPT,28106,REMOVE/GRAFT FOOT LESION,,,2749.89,25798.0,339 CPT,28107,REMOVE/GRAFT FOOT LESION,,,2749.89,25798.0,339 CPT,28108,REMOVAL OF TOE LESIONS,,,802.93,25798.0,339 CPT,28110,PART REMOVAL OF METATARSAL,,,1431.23,25798.0,339 CPT,28111,PART REMOVAL OF METATARSAL,,,1431.23,25798.0,339 CPT,28112,PART REMOVAL OF METATARSAL,,,1431.23,25798.0,339 CPT,28113,PART REMOVAL OF METATARSAL,,,1431.23,25798.0,339 CPT,28114,REMOVAL OF METATARSAL HEADS,,,1431.23,25798.0,339 CPT,28116,REVISION OF FOOT,,,1431.23,25798.0,339 CPT,28118,REMOVAL OF HEEL BONE,,,1431.23,25798.0,339 CPT,28119,REMOVAL OF HEEL SPUR,,,1431.23,25798.0,339 CPT,28120,PART REMOVAL OF ANKLE/HEEL,,,1431.23,25798.0,339 CPT,28122,PARTIAL REMOVAL OF FOOT BONE,,,1431.23,25798.0,339 CPT,28124,PARTIAL REMOVAL OF TOE,,,274.56,25798.0,339 CPT,28126,PARTIAL REMOVAL OF TOE,,,1431.23,25798.0,339 CPT,28140,REMOVAL OF METATARSAL,,,1431.23,25798.0,339 CPT,28150,REMOVAL OF TOE,,,1431.23,25798.0,339 CPT,28153,PARTIAL REMOVAL OF TOE,,,1431.23,25798.0,339 CPT,28160,PARTIAL REMOVAL OF TOE,,,1431.23,25798.0,339 CPT,28171,RESECT TARSAL TUMOR,,,1431.23,25798.0,317 CPT,28173,RESECT METATARSAL TUMOR,,,1431.23,25798.0,339 CPT,28175,RESECT PHALANX OF TOE TUMOR,,,802.93,25798.0,317 CPT,28190,HC REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS,3527.23,670.1737,211.75,25798.0,406 CPT,28190,REMOVAL OF FOOT FOREIGN BODY,,,211.75,25798.0,339 CPT,28192,HC REMOVAL FOREIGN BODY FOOT DEEP,5688.95,1080.9005,623.12,25798.0,406 CPT,28192,REMOVAL OF FOOT FOREIGN BODY,,,623.12,25798.0,339 CPT,28193,REMOVAL OF FOOT FOREIGN BODY,,,623.12,25798.0,317 CPT,28200,HC REPR FOOT FLEXOR TENDON EA,9770.32,1856.3608,1431.23,25798.0,406 CPT,28200,REPAIR OF FOOT TENDON,,,1431.23,25798.0,339 CPT,28202,REPAIR/GRAFT OF FOOT TENDON,,,2749.89,25798.0,339 CPT,28208,HC REPR FOOT EXTENSOR TENDON EA,9678.06,1838.8314,1431.23,25798.0,406 CPT,28208,REPAIR OF FOOT TENDON,,,1431.23,25798.0,339 CPT,28210,REPAIR/GRAFT OF FOOT TENDON,,,2749.89,25798.0,317 CPT,28220,RELEASE OF FOOT TENDON,,,256.55,25798.0,339 CPT,28226,RELEASE OF FOOT TENDONS,,,1431.23,25798.0,339 CPT,28230,HC TENOTOMY OP FLEXOR; FT SGL/MULTI,3588.09,681.7371,253.13,25798.0,406 CPT,28230,INCISION OF FOOT TENDON(S),,,253.13,25798.0,339 CPT,28232,HC INCISION OF TOE TENDON SINGLE,3049.2,579.348,230.16,25798.0,406 CPT,28232,INCISION OF TOE TENDON,,,230.16,25798.0,339 CPT,28234,INCISION OF FOOT TENDON,,,802.93,25798.0,339 CPT,28238,REVISION OF FOOT TENDON,,,2749.89,25798.0,339 CPT,28240,RELEASE OF BIG TOE,,,1431.23,25798.0,339 CPT,28250,REVISION OF FOOT FASCIA,,,1431.23,25798.0,339 CPT,28260,RELEASE OF MIDFOOT JOINT,,,1431.23,25798.0,339 CPT,28261,REVISION OF FOOT TENDON,,,802.93,25798.0,339 CPT,28262,REVISION OF FOOT AND ANKLE,,,2749.89,25798.0,339 CPT,28270,RELEASE OF FOOT CONTRACTURE,,,1431.23,25798.0,339 CPT,28272,RELEASE OF TOE JOINT EACH,,,222.7,25798.0,339 CPT,28285,REPAIR OF HAMMERTOE,,,1431.23,25798.0,339 CPT,28286,REPAIR OF HAMMERTOE,,,1431.23,25798.0,339 CPT,28288,HC PARTIAL REMOVAL OF FOOT BONE,10939.77,2078.5563,1431.23,25798.0,406 CPT,28288,PARTIAL REMOVAL OF FOOT BONE,,,1431.23,25798.0,339 CPT,28289,CORRJ HALUX RIGDUS W/O IMPLT,,,1431.23,25798.0,339 CPT,28291,CORRJ HALUX RIGDUS W/IMPLT,,,2749.89,25798.0,339 CPT,28292,COR HLX VLGS RSC PRX PHLX BS,,,1431.23,25798.0,339 CPT,28295,COR HLX VLGS PRX MTAR OSTEOT,,,1352.59,25798.0,339 CPT,28296,COR HLX VLGS DSTL MTAR OSTEO,,,1431.23,25798.0,339 CPT,28297,COR HLX VLGS JT ARTHRD,,,2749.89,30450.62,339 CPT,28298,COR HLX VLGS PRX PHLX OSTEOT,,,2749.89,25798.0,339 CPT,28299,COR HLX VLGS DOUBLE OSTEOT,,,1431.23,25798.0,339 CPT,28300,INCISION OF HEEL BONE,,,2749.89,25798.0,339 CPT,28302,INCISION OF ANKLE BONE,,,2749.89,25798.0,339 CPT,28304,INCISION OF MIDFOOT BONES,,,2749.89,25798.0,339 CPT,28305,INCISE/GRAFT MIDFOOT BONES,,,2749.89,25798.0,339 CPT,28306,INCISION OF METATARSAL,,,2174.39,25798.0,339 CPT,28307,INCISION OF METATARSAL,,,1431.23,25798.0,339 CPT,28308,INCISION OF METATARSAL,,,1431.23,25798.0,339 CPT,28309,INCISION OF METATARSALS,,,2749.89,25798.0,339 CPT,28310,REVISION OF BIG TOE,,,1431.23,25798.0,339 CPT,28312,REVISION OF TOE,,,1431.23,25798.0,339 CPT,28313,REPAIR DEFORMITY OF TOE,,,1431.23,25798.0,339 CPT,28315,REMOVAL OF SESAMOID BONE,,,1431.23,25798.0,339 CPT,28320,REPAIR OF FOOT BONES,,,2749.89,30450.62,317 CPT,28322,REPAIR OF METATARSALS,,,2749.89,25798.0,339 CPT,28344,REPAIR EXTRA TOE(S),,,1431.23,25798.0,339 CPT,28345,REPAIR WEBBED TOE(S),,,802.93,25798.0,339 CPT,28400,HC CL TX CALCANEAL FX; WO MANIP,2017.19,383.2661,132.04,25798.0,406 CPT,28400,TREATMENT OF HEEL FRACTURE,,,132.04,25798.0,339 CPT,28405,HC CLOSE REDUC CALCANEAL FX W MANIP,1065.47,202.4393,132.04,25798.0,406 CPT,28415,TREAT HEEL FRACTURE,,,3089.22,25798.0,339 CPT,28430,HC CL TX TALUS FX; WO MANIP,1839.68,349.5392,132.04,25798.0,384 CPT,28430,TREATMENT OF ANKLE FRACTURE,,,132.04,25798.0,317 CPT,28435,HC TREATMENT OF ANKLE FRACTURE,3809.97,723.8943,750.59,25798.0,406 CPT,28445,TREAT ANKLE FRACTURE,,,3125.23,25798.0,339 CPT,28446,OSTEOCHONDRAL TALUS AUTOGRFT,,,2749.89,25798.0,339 CPT,28450,HC TX TARSAL BONE FX ; WO MANIPU,1688.81,320.8739,132.04,25798.0,384 CPT,28450,TREAT MIDFOOT FRACTURE EACH,,,132.04,25798.0,317 CPT,28465,TREAT MIDFOOT FRACTURE EACH,,,3091.47,25798.0,339 CPT,28470,HC CLOSED TX METATARSAL FRACTURE W/O MANIPULATION,1998.56,379.7264,132.04,25798.0,384 CPT,28470,TREAT METATARSAL FRACTURE,,,132.04,25798.0,317 CPT,28475,HC CL TX METATARSAL FX; W MANIP,598.44,113.7036,132.04,25798.0,384 CPT,28476,TREAT METATARSAL FRACTURE,,,1431.23,25798.0,339 CPT,28485,TREAT METATARSAL FRACTURE,,,3095.78,25798.0,339 CPT,28490,HC CL TX FX GT PHALANX(S); WO MANIP,1110.66,211.0254,114.9,25798.0,384 CPT,28495,HC CL TX FX GT PHALANX(S); W MANIP,1332.79,253.2301,132.04,25798.0,384 CPT,28495,TREAT BIG TOE FRACTURE,,,132.04,25798.0,317 CPT,28496,TREAT BIG TOE FRACTURE,,,1431.23,25798.0,317 CPT,28505,HC TREAT BIG TOE FRACTURE,10460.97,1987.5843,1431.23,25798.0,406 CPT,28505,TREAT BIG TOE FRACTURE,,,1431.23,25798.0,339 CPT,28510,HC TREATMENT OF TOE FRACTURE,7675.72,1458.3868,90.69,25798.0,384 CPT,28515,HC TREATMENT OF TOE FRACTURE,9057.34,1720.8946,121.05,25798.0,384 CPT,28515,TREATMENT OF TOE FRACTURE,,,121.05,25798.0,317 CPT,28525,TREAT TOE FRACTURE,,,1431.23,25798.0,339 CPT,28555,REPAIR FOOT DISLOCATION,,,3078.76,25798.0,317 CPT,28570,HC CL TX TALOTARSAL JOINT DIS; WO ANEST,957.94,182.0086,132.04,25798.0,384 CPT,28585,REPAIR FOOT DISLOCATION,,,1527.61,25798.0,339 CPT,28600,HC CL TX TMT JNT DISL; WO ANESTHESIA,822.84,156.3396,132.04,25798.0,384 CPT,28606,TREAT FOOT DISLOCATION,,,1431.23,25798.0,339 CPT,28615,REPAIR FOOT DISLOCATION,,,3091.83,25798.0,339 CPT,28630,HC TREAT TOE DISLOCATION,934.43,177.5417,103.82,25798.0,384 CPT,28635,HC CL TX MTP JNT DISLOC; W ANESTH,4888.93,928.8967,802.93,25798.0,406 CPT,28635,TREAT TOE DISLOCATION,,,802.93,25798.0,339 CPT,28645,REPAIR TOE DISLOCATION,,,1431.23,25798.0,339 CPT,28660,HC TREAT TOE DISLOCATION,767.07,145.7433,79.61,25798.0,384 CPT,28665,HC CL TX IP JOINT DISL; W ANESTH,4888.93,928.8967,138.2,25798.0,406 CPT,28666,TREAT TOE DISLOCATION,,,1431.23,25798.0,339 CPT,28675,REPAIR OF TOE DISLOCATION,,,1431.23,25798.0,339 CPT,28715,ARTHRODESIS TRIPLE,,,2749.89,30450.62,339 CPT,28725,ARTHRODESIS SUBTALAR,,,2749.89,30450.62,339 CPT,28730,FUSION OF FOOT BONES,,,2749.89,30450.62,339 CPT,28735,FUSION OF FOOT BONES,,,2749.89,30450.62,339 CPT,28737,REVISION OF FOOT BONES,,,2749.89,30450.62,339 CPT,28740,FUSION OF FOOT BONES,,,2749.89,25798.0,339 CPT,28750,FUSION OF BIG TOE JOINT,,,2749.89,25798.0,339 CPT,28755,FUSION OF BIG TOE JOINT,,,2174.39,25798.0,339 CPT,28760,FUSION OF BIG TOE JOINT,,,2749.89,25798.0,339 CPT,28805,AMPUTATION THRU METATARSAL,,,725.12,25798.0,339 CPT,28810,AMPUTATION TOE & METATARSAL,,,1431.23,25798.0,339 CPT,28820,AMPUTATION OF TOE,,,1431.23,25798.0,339 CPT,28820,HC AMPUTATION OF TOE (RT FT - 4TH DIGIT),10984.02,2086.9638,1431.23,25798.0,406 CPT,28825,HC PARTIAL AMPUTATION OF TOE,3049.2,579.348,1219.68,25798.0,406 CPT,28825,PARTIAL AMPUTATION OF TOE,,,1431.23,25798.0,339 CPT,28899,UNLISTED PX FOOT/TOES,,,283.85,26158.0,333 CPT,29010,APPLICATION OF BODY CAST,,,138.2,25798.0,317 CPT,29065,HC APPLY LONG ARM CAST,311.9,59.261,69.76,3692.53,384 CPT,29065,HC OT APPLICATION OF LONG ARM CAST GO,311.9,59.261,69.76,3692.53,384 CPT,29065,HC PT APPLICATION OF LONG ARM CAST GP,311.9,59.261,69.76,3692.53,384 CPT,29075,HC APPLY SHORT ARM CAST,375.42,71.3298,64.02,3692.53,384 CPT,29075,HC OT APPLICATION OF FOREARM CAST GO,375.42,71.3298,64.02,3692.53,384 CPT,29085,APPLY HAND/WRIST CAST,,,69.35,25798.0,293 CPT,29085,HC APPLY GAUNTLET CAST,312.23,59.3237,69.35,25798.0,384 CPT,29086,HC APPLY FINGER CAST,238.36,45.2884,63.61,11996.0,384 CPT,29086,HC OT APPLY FINGER CAST GO,238.36,45.2884,63.61,11996.0,384 CPT,29086,HC PT APPLY FINGER CAST GP,238.36,45.2884,63.61,11996.0,384 CPT,29105,HC APPLY LONG ARM SPLINT,357.55,67.9345,58.27,3692.53,384 CPT,29105,HC OT APPLY LONG ARM SPLINT GO,357.55,67.9345,58.27,3692.53,384 CPT,29125,APPLY FOREARM SPLINT,,,51.7,13453.0,282 CPT,29125,HC APPLY SHORT ARM SPLINT; STATIC,357.55,67.9345,51.7,13453.0,384 CPT,29126,HC APPLY SHORT ARM SPLINT; DYNAMIC,443.76,84.3144,57.48,3692.53,384 CPT,29130,HC APPLICATION FINGER SPLINT STATIC,357.55,67.9345,24.81,3692.53,384 CPT,29130,HC OT APPLICATION FINGER SPLINT STATIC GO,357.55,67.9345,24.81,3692.53,384 CPT,29130,HC PT APPLICATION FINGER SPLINT STATIC GP,357.55,67.9345,24.81,3692.53,384 CPT,29131,APPLICATION OF FINGER SPLINT,,,34.32,13453.0,312 CPT,29131,HC APPLY FINGER SPLINT; DYNAMIC,418.4,79.496,34.32,13453.0,384 CPT,29131,HC OT APPLICATION FINGER SPLINT DYNAMIC GO,418.4,79.496,34.32,13453.0,384 CPT,29240,HC STRAPPING OF SHOULDER,357.55,67.9345,35.15,25798.0,384 CPT,29260,HC STRAPPING; ELBOW OR WRIST,357.55,67.9345,34.74,25798.0,384 CPT,29280,HC STRAPPING; HAND OR FINGER,357.55,67.9345,35.61,25798.0,384 CPT,29305,APPLICATION OF HIP CAST,,,138.2,25798.0,317 CPT,29305,HC APPLICATION OF HIP CAST,312.23,59.3237,124.892,25798.0,384 CPT,29325,APPLICATION OF HIP CASTS,,,138.2,25798.0,317 CPT,29345,APPLICATION OF LONG LEG CAST,,,90.28,13453.0,336 CPT,29345,HC APPLY LONG LEG CAST,862.16,163.8104,90.28,13453.0,384 CPT,29345,HC PT APPLICATION LONG LEG CAST THIGH-TOE GP,862.16,163.8104,90.28,13453.0,384 CPT,29355,HC APPLY WLKR LG LEG CAST,914.14,173.6866,91.51,3692.53,384 CPT,29355,HC PT APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE,914.14,173.6866,91.51,3692.53,384 CPT,29358,APPLY LONG LEG CAST BRACE,,,116.54,13453.0,312 CPT,29358,HC PT APPLY LONG LEG CAST BRACE GP,851.29,161.7451,116.54,13453.0,384 CPT,29365,HC APPLY CYLINDER CAST,312.23,59.3237,85.76,25798.0,384 CPT,29405,HC APPLY SH LEG CAST,628.87,119.4853,56.63,3692.53,384 CPT,29405,HC PT APPLICATION SHORT LEG CAST BELOW KNEE-TOE GP,628.87,119.4853,56.63,3692.53,384 CPT,29425,HC APPLICATION SHORT LEG CAST WALKING/AMBULATORY RT,593.37,112.7403,53.35,3692.53,384 CPT,29425,HC PT APPLICATION SHORT LEG CAST WALKING/AMBULATORY GP,593.37,112.7403,53.35,3692.53,384 CPT,29435,HC APPY PATELLAR TENDON BEARING CAST,723.93,137.5467,80.43,25798.0,384 CPT,29445,HC APP TTL CONTACT CAST LT,868.46,165.0074,71.81,25798.0,384 CPT,29445,HC APPLY RIGID TOTAL CONTACT LEG CAST,6346.39,1205.8141,71.81,25798.0,384 CPT,29450,HC APPLY CLUBFOOT CAST LONG OR SHORT LEG,593.37,112.7403,76.74,25798.0,384 CPT,29505,HC APPLY LONG LEG SPLINT,357.55,67.9345,67.71,3692.53,384 CPT,29515,APPLICATION LOWER LEG SPLINT,,,49.65,13453.0,312 CPT,29515,HC APPLY SHORT LEG SPLINT,393.3,74.727,49.65,13453.0,384 CPT,29515,HC OT APPLICATION LOWER LEG SPLINT GO,393.3,74.727,49.65,13453.0,384 CPT,29515,HC PT APPLICATION LOWER LEG SPLINT GP,393.3,74.727,49.65,13453.0,384 CPT,29520,HC HIP STRAPPING,238.36,45.2884,31.84,25798.0,384 CPT,29530,HC STRAPPING OF KNEE,357.55,67.9345,33.5,25798.0,384 CPT,29540,HC STRAPPING OF ANKLE AND/OR FT,357.55,67.9345,16.41,25798.0,384 CPT,29550,HC STRAPPING OF TOES,238.36,45.2884,25.64,25798.0,384 CPT,29580,HC APPLICATION OF PASTE BOOT,6346.39,1205.8141,47.6,25798.0,384 CPT,29581,HC APP MULT COMP LWR L BIL,482.85,91.7415,75.92,25798.0,384 CPT,29581,HC APPLY MULTLAY COMPRS LWR LEG,371.42,70.5698,75.92,25798.0,384 CPT,29700,HC REM BOOT OR BODY CAST,312.23,59.3237,48.01,25798.0,384 CPT,29705,HC REMOVE FULL ARM OR LEG CAST,357.55,67.9345,39.8,25798.0,384 CPT,29710,HC REM SHOULDER OR HIP SPICA,720.46,136.8874,77.97,25798.0,384 CPT,29730,HC WINDOWING OF CAST,459.0,87.21,38.16,25798.0,384 CPT,29740,HC WEDGING OF CAST NOT CLUBFOOT CAST,312.23,59.3237,60.73,25798.0,384 CPT,29799,HC CASTING/STRAPPING PROCEDURE,304.29,57.8151,121.716,25798.0,378 CPT,29804,JAW ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29805,SHO ARTHRS DX +- SYNOVIAL BX,,,1431.23,25798.0,339 CPT,29806,SHO ARTHRS SRG CAPSULORRAPHY,,,3125.23,25798.0,339 CPT,29807,SHO ARTHRS SRG RPR SLAP LES,,,3125.23,25798.0,339 CPT,29819,SHO ARTHRS SRG RMVL LOOSE/FB,,,1431.23,25798.0,339 CPT,29820,SHO ARTHRS SRG PRTL SYNVCT,,,2418.62,25798.0,339 CPT,29821,SHO ARTHRS SRG COMPL SYNVCT,,,1431.23,25798.0,339 CPT,29822,SHO ARTHRS SRG LMTD DBRDMT,,,1431.23,25798.0,339 CPT,29823,SHO ARTHRS SRG XTNSV DBRDMT,,,1431.23,25798.0,339 CPT,29824,SHO ARTHRS SRG DSTL CLAVICLC,,,1431.23,25798.0,339 CPT,29825,SHO ARTHRS SRG LSS&RESCJ ADS,,,1431.23,25798.0,339 CPT,29826,SHO ARTHRS SRG DECOMPRESSION,,,196.36,25798.0,257 CPT,29827,SHO ARTHRS SRG RT8TR CUF RPR,,,3125.23,25798.0,339 CPT,29828,SHO ARTHRS SRG BICP TENODSIS,,,3125.23,25798.0,339 CPT,29830,ELBOW ARTHROSCOPY,,,1431.23,25798.0,339 CPT,29834,ELBOW ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29835,ELBOW ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29836,ELBOW ARTHROSCOPY/SURGERY,,,3125.23,25798.0,339 CPT,29837,ELBOW ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29838,ELBOW ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29840,WRIST ARTHROSCOPY,,,1431.23,25798.0,339 CPT,29844,WRIST ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29845,WRIST ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29846,WRIST ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29848,WRIST ENDOSCOPY/SURGERY,,,802.93,42034.0,339 CPT,29850,KNEE ARTHROSCOPY/SURGERY,,,802.93,25798.0,339 CPT,29851,KNEE ARTHROSCOPY/SURGERY,,,802.93,25798.0,339 CPT,29855,TIBIAL ARTHROSCOPY/SURGERY,,,3080.98,25798.0,339 CPT,29856,TIBIAL ARTHROSCOPY/SURGERY,,,3131.0,30450.62,339 CPT,29860,HIP ARTHROSCOPY DX,,,3125.23,25798.0,339 CPT,29861,HIP ARTHRO W/FB REMOVAL,,,1431.23,25798.0,339 CPT,29862,HIP ARTHR0 W/DEBRIDEMENT,,,3125.23,25798.0,339 CPT,29863,HIP ARTHR0 W/SYNOVECTOMY,,,1431.23,25798.0,339 CPT,29866,AUTGRFT IMPLNT KNEE W/SCOPE,,,3125.23,25798.0,339 CPT,29867,ALLGRFT IMPLNT KNEE W/SCOPE,,,1366.24,30450.62,339 CPT,29867,HC OSTEOCHONDR ALLGRF KNEE W SCOPE,12398.21,2355.6599,1366.24,30450.62,406 CPT,29868,MENISCAL TRNSPL KNEE W/SCPE,,,1774.86,25798.0,339 CPT,29870,KNEE ARTHROSCOPY DX,,,1431.23,25798.0,339 CPT,29871,HC KNEE ARTHROSCOPY/DRAINAGE,6558.72,1246.1568,1431.23,25798.0,406 CPT,29873,KNEE ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29874,KNEE ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29875,KNEE ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29876,KNEE ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29877,KNEE ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29879,KNEE ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29880,KNEE ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29881,KNEE ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29882,KNEE ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29883,KNEE ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29884,KNEE ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29886,KNEE ARTHROSCOPY/SURGERY,,,1431.23,25798.0,317 CPT,29887,KNEE ARTHROSCOPY/SURGERY,,,3125.23,25798.0,339 CPT,29888,KNEE ARTHROSCOPY/SURGERY,,,3091.36,25798.0,339 CPT,29889,KNEE ARTHROSCOPY/SURGERY,,,3131.0,30450.62,339 CPT,29891,ANKLE ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29892,ANKLE ARTHROSCOPY/SURGERY,,,3125.23,25798.0,339 CPT,29893,SCOPE PLANTAR FASCIOTOMY,,,1431.23,25798.0,339 CPT,29894,ANKLE ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29895,ANKLE ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29897,ANKLE ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29898,ANKLE ARTHROSCOPY/SURGERY,,,1431.23,25798.0,339 CPT,29899,ANKLE ARTHROSCOPY/SURGERY,,,3097.64,25798.0,339 CPT,29900,MCP JOINT ARTHROSCOPY DX,,,1431.23,25798.0,339 CPT,29904,SUBTALAR ARTHRO W/FB RMVL,,,1431.23,25798.0,317 CPT,29906,SUBTALAR ARTHRO W/DEB,,,1431.23,25798.0,339 CPT,29907,SUBTALAR ARTHRO W/FUSION,,,3131.0,30450.62,339 CPT,29914,HIP ARTHRO W/FEMOROPLASTY,,,3125.23,25798.0,339 CPT,29915,HIP ARTHRO ACETABULOPLASTY,,,3125.23,25798.0,339 CPT,29916,HIP ARTHRO W/LABRAL REPAIR,,,3125.23,25798.0,339 CPT,29999,UNLISTED PX ARTHROSCOPY,,,283.85,26158.0,333 CPT,30000,DRAINAGE OF NOSE LESION,,,120.93,25798.0,317 CPT,30000,HC DRAINAGE OF NOSE LESION,1037.13,197.0547,120.93,25798.0,384 CPT,30020,DRAINAGE OF NOSE LESION,,,213.8,25798.0,317 CPT,30020,HC DR ABSC/HEMATOMA NASAL SEPTUM,1797.14,341.4566,213.8,25798.0,384 CPT,30100,HC BIOPSY INTRANASAL,4040.12,767.6228,95.97,25798.0,406 CPT,30100,INTRANASAL BIOPSY,,,95.97,25798.0,339 CPT,30110,HC EXCISION NASAL POLYP SIMPLE,5101.65,969.3135,170.21,25798.0,406 CPT,30110,REMOVAL OF NOSE POLYP(S),,,170.21,25798.0,339 CPT,30115,REMOVAL OF NOSE POLYP(S),,,1103.36,25798.0,339 CPT,30117,HC EXCISION/DESTRUCTION INTRANASAL LESION INT APPR,11056.5,2100.735,1103.36,25798.0,406 CPT,30117,REMOVAL OF INTRANASAL LESION,,,1103.36,25798.0,339 CPT,30124,REMOVAL OF NOSE LESION,,,631.23,25798.0,339 CPT,30130,EXCISE INFERIOR TURBINATE,,,1103.36,25798.0,339 CPT,30140,RESECT INFERIOR TURBINATE,,,1103.36,25798.0,339 CPT,30150,RHINECTOMY PARTIAL,,,2478.14,25798.0,339 CPT,30160,RHINECTOMY TOTAL,,,2478.14,25798.0,317 CPT,30220,HC INSERT NASAL SEPTAL BUTTON,5101.65,969.3135,631.23,25798.0,406 CPT,30220,INSERT NASAL SEPTAL BUTTON,,,631.23,25798.0,339 CPT,30300,HC REM FB INTRANASAL OFFICE,1136.02,215.8438,62.66,25798.0,384 CPT,30300,REMOVE NASAL FOREIGN BODY,,,62.66,25798.0,317 CPT,30400,RECONSTRUCTION OF NOSE,,,2478.14,25798.0,339 CPT,30410,RECONSTRUCTION OF NOSE,,,2478.14,25798.0,339 CPT,30420,RECONSTRUCTION OF NOSE,,,2478.14,25798.0,339 CPT,30430,REVISION OF NOSE,,,2231.56,25798.0,339 CPT,30435,REVISION OF NOSE,,,2478.14,25798.0,339 CPT,3044F,HC HG A1C LEVEL LT 7.0%,0.01,,0.0001,0.01,212 CPT,30450,REVISION OF NOSE,,,2478.14,25798.0,339 CPT,30460,REVISION OF NOSE,,,2478.14,28479.0,339 CPT,30462,REVISION OF NOSE,,,2478.14,28479.0,339 CPT,30465,REPAIR NASAL STENOSIS,,,2231.56,25798.0,339 CPT,30468,RPR NSL VLV COLLAPSE W/IMPLT,,,175.09,25798.0,339 CPT,30469,RPR NSL VLV COLLAPSE W/RMDLG,,,155.41,25798.0,339 CPT,3046F,HC HEMOGLOBIN A1C LEVEL > 9.0%,0.01,,0.0001,524.0,212 CPT,3051F,HC HG A1C>EQUAL 7.0%<8.0%,0.01,,0.0001,524.0,212 CPT,30520,REPAIR OF NASAL SEPTUM,,,1103.36,25798.0,339 CPT,3052F,HC HG A1C>EQUAL 8.0%,0.01,,0.0001,524.0,212 CPT,30540,RPR CHOANAL ATRESIA NTRANASL,,,2478.14,25798.0,339 CPT,30560,LYSIS INTRANASAL SYNECHIA,,,285.77,25798.0,339 CPT,30600,REPAIR MOUTH/NOSE FISTULA,,,2478.14,25798.0,339 CPT,30630,REPAIR NASAL SEPTUM DEFECT,,,1103.36,25798.0,339 CPT,3072F,HC LOW RISK FOR RETINOPATHY,,,524.0,524.0,22 CPT,30801,ABLATE INF TURBINATE SUPERF,,,631.23,25798.0,339 CPT,30802,ABLATE INF TURBINATE SUBMUC,,,631.23,25798.0,339 CPT,30901,CONTROL OF NOSEBLEED,,,53.65,25798.0,317 CPT,30901,HC NASAL HEMORRH ANT SMP,1300.85,247.1615,53.65,25798.0,384 CPT,30903,CONTROL OF NOSEBLEED,,,62.46,25798.0,339 CPT,30903,HC CONT NAS HEMORRH ANT COM,1808.0,343.52,62.46,25798.0,406 CPT,30905,CONTROL OF NOSEBLEED,,,62.46,25798.0,339 CPT,30905,HC CONTROL OF NOSEBLEED,2568.72,488.0568,62.46,25798.0,406 CPT,30906,HC REPEAT CONTROL OF NOSEBLEED,781.5,148.485,120.93,25798.0,406 CPT,30906,REPEAT CONTROL OF NOSEBLEED,,,120.93,25798.0,339 CPT,30920,LIGATION UPPER JAW ARTERY,,,1487.38,25798.0,317 CPT,30930,THER FX NASAL INF TURBINATE,,,1103.36,25798.0,339 CPT,30999,HC NASAL SURGERY PROCEDURE,339.79,64.5601,135.916,25798.0,400 CPT,30999,UNLISTED PROCEDURE NOSE,,,274.79,25798.0,333 CPT,31020,EXPLORATION MAXILLARY SINUS,,,1103.36,25798.0,339 CPT,31030,EXPLORATION MAXILLARY SINUS,,,2478.14,25798.0,317 CPT,31050,EXPLORATION SPHENOID SINUS,,,2478.14,25798.0,339 CPT,31051,SPHENOID SINUS SURGERY,,,2478.14,25798.0,339 CPT,31070,EXPLORATION OF FRONTAL SINUS,,,2478.14,25798.0,339 CPT,31087,REMOVAL OF FRONTAL SINUS,,,2478.14,25798.0,317 CPT,31200,REMOVAL OF ETHMOID SINUS,,,2478.14,25798.0,339 CPT,31201,REMOVAL OF ETHMOID SINUS,,,631.23,25798.0,339 CPT,31205,REMOVAL OF ETHMOID SINUS,,,1103.36,25798.0,317 CPT,31230,REMOVAL OF UPPER JAW,,,1699.0,37761.3,256 CPT,31231,HC DX NASAL ENDOSCOPY,8124.66,1543.6854,96.19,13453.0,384 CPT,31231,NASAL ENDOSCOPY DX,,,96.19,13453.0,317 CPT,31233,NSL/SINS NDSC DX MAX SINUSC,,,226.74,13453.0,339 CPT,31237,HC NAS ENDO W BX POLY/DEBRI,1880.95,357.3805,687.74,13453.0,406 CPT,31237,NSL/SINS NDSC SURG BX POLYPC,,,687.74,13453.0,339 CPT,31238,HC NASAL ENDO W BLD CNTRL,1970.28,3845.0,687.74,13453.0,406 CPT,31238,NSL/SINS NDSC SRG NSL HEMRRG,,,687.74,13453.0,339 CPT,31239,NSL/SINUS ENDOSCOPY SURG DCR,,,1344.48,13453.0,339 CPT,31240,NSL/SNS NDSC CNCH BULL RESCJ,,,597.6,13453.0,339 CPT,31241,NSL/SNS NDSC LIG SPHNPTN ART,,,455.8,13453.0,339 CPT,31242,NSL/SINUS NDSC RF ABLTJ PNN,,,162.7,36164.0,339 CPT,31243,NSL/SINUS NDSC CRYOABLTJ PNN,,,162.7,36164.0,339 CPT,31253,NSL/SINS NDSC TOTAL,,,2040.15,17870.0,339 CPT,31254,NSL/SINS NDSC W/PRTL ETHMDCT,,,2040.15,17870.0,339 CPT,31255,NSL/SINS NDSC W/TOT ETHMDCT,,,2040.15,17870.0,339 CPT,31256,EXPLORATION MAXILLARY SINUS,,,1344.48,13453.0,339 CPT,31257,NSL/SINS NDSC TOT W/SPHENDT,,,2040.15,17870.0,339 CPT,31259,NSL/SINS NDSC SPHN TISS RMVL,,,2040.15,17870.0,339 CPT,31267,ENDOSCOPY MAXILLARY SINUS,,,597.6,17870.0,339 CPT,31276,NSL/SINS NDSC FRNT TISS RMVL,,,597.6,17870.0,339 CPT,31287,NASAL/SINUS ENDOSCOPY SURG,,,597.6,17870.0,339 CPT,31288,NASAL/SINUS ENDOSCOPY SURG,,,597.6,17870.0,339 CPT,31291,NASAL/SINUS ENDOSCOPY SURG,,,1288.3,37761.3,234 CPT,31295,NSL/SINS NDSC SURG MAX SINS,,,2040.15,25798.0,339 CPT,31296,NSL/SINS NDSC SURG FRNT SINS,,,597.6,25798.0,339 CPT,31299,UNLISTED PX ACCESSORY SINUS,,,274.79,26158.0,333 CPT,31300,REMOVAL OF LARYNX LESION,,,1103.36,25798.0,317 CPT,31395,HC RECONSTRUCT LARYNX & PHARYNX,24515.87,4658.0153,2909.0,37761.3,323 CPT,31400,REVISION OF LARYNX,,,2478.14,25798.0,339 CPT,31500,HC INSERT EMERGENCY AIRWAY,1151.23,218.7337,120.93,25798.0,406 CPT,31502,CHANGE OF WINDPIPE AIRWAY,,,120.93,25798.0,339 CPT,31502,HC TRACH TUBE CHG BEFORE FISTULA TRACT,1128.41,214.3979,120.93,25798.0,406 CPT,31505,"HC LARYNGOSCOPY,INDIRECT, DIAGN.",3544.98,673.5462,70.17,9761.0,384 CPT,31510,LARYNGOSCOPY WITH BIOPSY,,,1344.48,13453.0,317 CPT,31511,HC LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY,2491.38,473.3622,96.19,9761.0,406 CPT,31512,HC LARYNGOSCOPY INDIRECT W/REMOVAL LESION,8495.25,1614.0975,1344.48,13453.0,406 CPT,31512,REMOVAL OF LARYNX LESION,,,1344.48,13453.0,339 CPT,31513,HC LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION,6121.88,1163.1572,226.74,9761.0,406 CPT,31515,HC LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION,5494.9,1044.031,226.74,9761.0,406 CPT,31520,HC DX LARYNGOSCOPY NEWBORN,6121.88,1163.1572,226.74,9761.0,384 CPT,31525,DX LARYNGOSCOPY EXCL NB,,,597.6,13453.0,339 CPT,31525,HC DX LARYNGOSCOPY EXCL NB,5494.9,1044.031,597.6,13453.0,406 CPT,31526,DX LARYNGOSCOPY W/OPER SCOPE,,,597.6,13453.0,339 CPT,31528,LARYNGOSCOPY AND DILATION,,,1344.48,13453.0,339 CPT,31529,LARYNGOSCOPY AND DILATION,,,1344.48,13453.0,339 CPT,31530,HC LARYNGOSCOPY W/FB REMOVAL,5459.52,1037.3088,597.6,13453.0,406 CPT,31530,LARYNGOSCOPY W/FB REMOVAL,,,597.6,13453.0,339 CPT,31531,HC LARYNGOSCOPY W/FB & OP SCOPE,9664.48,1836.2512,1344.48,13453.0,406 CPT,31531,LARYNGOSCOPY W/FB & OP SCOPE,,,1344.48,13453.0,339 CPT,31535,LARYNGOSCOPY W/BIOPSY,,,1344.48,13453.0,339 CPT,31536,LARYNGOSCOPY W/BX & OP SCOPE,,,1344.48,13453.0,339 CPT,31540,LARYNGOSCOPY W/EXC OF TUMOR,,,1344.48,13453.0,339 CPT,31541,LARYNSCOP W/TUMR EXC + SCOPE,,,1344.48,13453.0,339 CPT,31545,REMOVE VC LESION W/SCOPE,,,1344.48,13453.0,339 CPT,31560,LARYNGOSCOP W/ARYTENOIDECTOM,,,2040.15,17870.0,339 CPT,31561,LARYNSCOP REMVE CART + SCOP,,,2040.15,17870.0,339 CPT,31570,LARYNGOSCOPE W/VC INJ,,,1344.48,13453.0,339 CPT,31571,LARYNGOSCOP W/VC INJ + SCOPE,,,1344.48,13453.0,339 CPT,31572,LARGSC W/LASER DSTRJ LES,,,1240.36,13453.0,339 CPT,31573,LARGSC W/THER INJECTION,,,179.52,13453.0,339 CPT,31574,LARGSC W/NJX AUGMENTATION,,,631.67,13453.0,339 CPT,31575,DIAGNOSTIC LARYNGOSCOPY,,,91.92,13453.0,317 CPT,31575,HC LARYNGOSCOPY FLEXIBLE DIAGNOSTIC,8596.19,1633.2761,91.92,13453.0,384 CPT,31576,HC LARYNGOSCOPY FLEXIBLE W/BIOPSY,13095.88,2488.2172,687.74,13095.88,406 CPT,31577,HC LARGSC W/RMVL FOREIGN BDY(S),6121.88,1163.1572,226.74,13453.0,406 CPT,31577,LARGSC W/RMVL FOREIGN BDY(S),,,226.74,13453.0,339 CPT,31578,HC LARYNGOSCOPY FLEXIBLE REMOVAL LESION,6795.29,1291.1051,1344.48,13453.0,406 CPT,31578,LARGSC W/REMOVAL LESION,,,1344.48,13453.0,339 CPT,31579,HC SLP LARYNGOSCOPY W STRB,6121.88,1163.1572,126.81,9761.0,406 CPT,31591,LARYNGOPLASTY MEDIALIZATION,,,2478.14,25798.0,339 CPT,31599,UNLISTED PROCEDURE LARYNX,,,274.79,26158.0,333 CPT,31603,HC TRACHEOSTOMY EMERG; TRANSTRACHL,5149.4,978.386,631.23,25798.0,406 CPT,31605,HC TRACHEOSTOMY EMERG; CRICOTHYROID,807.5,153.425,120.93,25798.0,406 CPT,31611,CONSTJ TRACHESOPHGL FSTL,,,1103.36,25798.0,339 CPT,31613,TRACHEOSTOMA REVJ SIMPLE,,,1103.36,25798.0,339 CPT,31614,TRACHEOSTOMA REVJ COMPLEX,,,2478.14,25798.0,339 CPT,31615,HC TRACHEOBRONCH THRU OLD INCISION,1721.85,327.1515,285.77,13453.0,406 CPT,31615,TRCHEOBRNCHSC EST TRACHS INC,,,285.77,13453.0,339 CPT,31622,DX BRONCHOSCOPE/WASH,,,687.74,13453.0,339 CPT,31622,HC DX BRONCHOSCOPE/WASH,1575.66,299.3754,630.264,13453.0,406 CPT,31623,DX BRONCHOSCOPE/BRUSH,,,687.74,13453.0,339 CPT,31624,DX BRONCHOSCOPE/LAVAGE,,,687.74,13453.0,339 CPT,31624,HC DX BRONCHOSCOPE/LAVAGE,1575.66,299.3754,630.264,13453.0,406 CPT,31625,BRONCHOSCOPY W/BIOPSY(S),,,687.74,13453.0,339 CPT,31626,BRONCHOSCOPY W/MARKERS,,,1595.6,16382.72,339 CPT,31627,NAVIGATIONAL BRONCHOSCOPY,,,94.8,13453.0,257 CPT,31628,BRONCHOSCOPY/LUNG BX EACH,,,1344.48,13453.0,339 CPT,31628,HC BRONCHOSCOPY/LUNG BX EACH,2980.92,566.3748,1192.368,13453.0,406 CPT,31629,BRONCHOSCOPY/NEEDLE BX EACH,,,1344.48,13453.0,339 CPT,31629,HC BRONCHOSCOPY/NEEDLE BX EACH,3369.53,640.2107,1344.48,13453.0,406 CPT,31630,BRONCHOSCOPY DILATE/FX REPR,,,1344.48,13453.0,339 CPT,31631,BRONCHOSCOPY DILATE W/STENT,,,1743.59,17870.0,339 CPT,31632,BRONCHOSCOPY/LUNG BX ADDL,,,51.41,13453.0,257 CPT,31633,BRONCHOSCOPY/NEEDLE BX ADDL,,,67.65,13453.0,257 CPT,31634,BRONCH W/BALLOON OCCLUSION,,,1743.59,17870.0,339 CPT,31635,BRONCHOSCOPY W/FB REMOVAL,,,687.74,13453.0,339 CPT,31635,HC BRONCHOSCOPY W/FB REMOVAL,5714.79,1085.8101,687.74,13453.0,406 CPT,31636,BRONCHOSCOPY BRONCH STENTS,,,1743.59,17870.0,339 CPT,31638,BRONCHOSCOPY REVISE STENT,,,1743.59,17870.0,317 CPT,31640,BRONCHOSCOPY W/TUMOR EXCISE,,,1344.48,13453.0,339 CPT,31641,BRONCHOSCOPY TREAT BLOCKAGE,,,1344.48,13453.0,339 CPT,31643,DIAG BRONCHOSCOPE/CATHETER,,,687.74,13453.0,317 CPT,31645,BRNCHSC W/THER ASPIR 1ST,,,687.74,13453.0,339 CPT,31645,HC BRONCOSCOPY THERAPEUTIC,1575.66,299.3754,630.264,13453.0,406 CPT,31647,BRONCHIAL VALVE INIT INSERT,,,1743.59,17870.0,317 CPT,31648,BRONCHIAL VALVE REMOV INIT,,,1344.48,13453.0,339 CPT,31649,BRONCHIAL VALVE REMOV ADDL,,,687.74,13453.0,339 CPT,31652,BRONCH EBUS SAMPLNG 1/2 NODE,,,1344.48,13453.0,339 CPT,31653,BRONCH EBUS SAMPLNG 3/> NODE,,,1344.48,13453.0,339 CPT,31654,BRONCH EBUS IVNTJ PERPH LES,,,65.66,13453.0,257 CPT,31654,HC BRONCH EBUS IVNTJ PERPH LES,642.45,122.0655,65.66,13453.0,324 CPT,31720,HC CLEARANCE OF AIRWAYS,662.79,125.9301,49.86,25798.0,406 CPT,31820,CLOSURE OF WINDPIPE LESION,,,1103.36,25798.0,339 CPT,31825,REPAIR OF WINDPIPE DEFECT,,,1103.36,25798.0,339 CPT,31830,HC REVISE WINDPIPE SCAR,11058.0,2101.02,1103.36,25798.0,406 CPT,31830,REVISE WINDPIPE SCAR,,,1103.36,25798.0,339 CPT,31899,UNLISTED PX TRACHEA BRONCHI,,,229.73,26158.0,333 CPT,32100,HC EXPLORATION OF CHEST,20019.75,3803.7525,860.53,37761.3,323 CPT,32110,EXPLORE/REPAIR CHEST,,,1567.0,37761.3,256 CPT,32110,HC EXPLORE/REPAIR CHEST,19208.78,3649.6682,1567.0,37761.3,323 CPT,32160,HC OPEN CHEST HEART MASSAGE,7170.82,1362.4558,705.0,37761.3,323 CPT,32160,OPEN CHEST HEART MASSAGE,,,705.0,37761.3,256 CPT,32400,NEEDLE BIOPSY CHEST LINING,,,623.12,25798.0,339 CPT,32408,CORE NDL BX LNG/MED PERQ,,,149.87,25798.0,339 CPT,32408,HC CORE NDL BX LNG/MED PERQ W/IMG,1571.94,298.6686,149.87,25798.0,406 CPT,32550,HC INSERT PLEURAL CATH,5718.12,1086.4428,877.08,25798.0,406 CPT,32550,INSERT PLEURAL CATH,,,877.08,25798.0,339 CPT,32551,HC CATH/EP P INSERTION CHEST TUBE,1507.78,286.4782,160.06,25798.0,406 CPT,32551,INSERTION OF CHEST TUBE,,,160.06,25798.0,339 CPT,32552,HC REMOVE LUNG CATHETER,2166.1,411.559,363.72,25798.0,384 CPT,32552,REMOVE LUNG CATHETER,,,363.72,25798.0,317 CPT,32553,HC INS MARK THOR FOR RT PERQ,4590.81,872.2539,263.36,25798.0,406 CPT,32553,INS MARK THOR FOR RT PERQ,,,263.36,25798.0,358 CPT,32554,ASPIRATE PLEURA W/O IMAGING,,,363.72,25798.0,339 CPT,32554,HC ASPIRATE PLEURA W/O IMAGING,1938.33,368.2827,363.72,25798.0,406 CPT,32555,ASPIRATE PLEURA W/ IMAGING,,,363.72,25798.0,339 CPT,32555,HC ASPIRATE PLEURA W/ IMAGING,6346.39,1205.8141,363.72,25798.0,406 CPT,32556,HC INSERT CATH PLEURA W/O IMAGE,1807.9,343.501,723.16,25798.0,406 CPT,32556,INSERT CATH PLEURA W/O IMAGE,,,731.94,25798.0,339 CPT,32557,HC INSERT CATH PLEURA W/ IMAGE,1465.66,278.4754,586.264,25798.0,406 CPT,32557,INSERT CATH PLEURA W/ IMAGE,,,607.24,25798.0,339 CPT,32561,HC LYSE CHEST FIBRIN INIT DAY,2661.38,505.6622,67.36,25798.0,406 CPT,32609,THORACOSCOPY W/BX PLEURA,,,265.42,16457.0,339 CPT,32653,THORACOSCOPY REMOV FB/FIBRIN,,,893.0,16604.13,234 CPT,32662,THORACOSCOPY W/MEDIAST EXC,,,947.64,37761.3,256 CPT,32663,THORACOSCOPY W/LOBECTOMY,,,1308.0,37761.3,256 CPT,32664,THORACOSCOPY W/ TH NRV EXC,,,898.9,16457.0,256 CPT,32665,THORACOSCOP W/ESOPH MUSC EXC,,,1066.0,37761.3,234 CPT,32666,THORACOSCOPY W/WEDGE RESECT,,,921.86,37761.3,256 CPT,32669,THORACOSCOPY REMOVE SEGMENT,,,1416.51,37761.3,234 CPT,32673,THORACOSCOPY W/THYMUS RESECT,,,1283.08,37761.3,256 CPT,32674,THORACOSCOPY LYMPH NODE EXC,,,225.14,37761.3,256 CPT,3292F,HC HIV TSTNG ASKED/DOCD/REVWD,597.0,113.43,5.97,597.0,212 CPT,32994,ABLATE PULM TUMOR PERQ CRYBL,,,2425.14,39142.0,248 CPT,32998,ABLATE PULM TUMOR PERQ RF,,,2425.14,39142.0,339 CPT,32998,"HC PERQ RF ABLATE TX, PUL TUMOR",6184.7,1175.093,2425.14,39142.0,406 CPT,32999,HC UNLISTED PROCEDURE LUNGS & PLEURA,1161.16,220.6204,464.464,39142.0,400 CPT,33016,HC PERICARDIOCENTESIS W/IMAGING,6280.5,1193.295,243.49,25798.0,406 CPT,33016,PERICARDIOCENTESIS W/IMAGING,,,243.49,25798.0,339 CPT,33017,HC PRCRD DRG 6YR+ W/O CGEN CAR,742.0,140.98,256.23,37761.3,323 CPT,33017,PRCRD DRG 6YR+ W/O CGEN CAR,,,256.23,37761.3,256 CPT,33018,HC PRCRD DRG 0-5YR OR W/ANOMLY,742.0,140.98,296.8,37761.3,323 CPT,33019,HC PERQ PRCRD DRG INSJ CATH CT,1060.0,201.4,208.33,37761.3,323 CPT,33025,HC CREATE PERICARDIAL WINDOW/PARTIAL RESECT,6350.4,1206.576,814.16,37761.3,233 CPT,33202,HC INSERT EPICARD ELTRD OPEN,12620.4,2397.876,812.14,102512.0,233 CPT,33206,HC CATH/EP INSJ/RPLCMT PRM PM W/TRANSVNS ELTRD ATR,15130.29,2874.7551,5499.66,102512.0,406 CPT,33206,INSERT HEART PM ATRIAL,,,5499.66,102512.0,336 CPT,33207,HC CATH/EP INSJ/RPLCMT PRM PM W/TRANSVNS ELTRD VENTR,15999.37,3039.8803,5500.36,102512.0,406 CPT,33207,INSERT HEART PM VENTRICULAR,,,5500.36,102512.0,336 CPT,33208,HC CATH/EP INSJ/RPLCMT PRM PM W/TRANSVNS ELTRD ATR&VENTR,41921.23,7965.0337,5495.22,102512.0,406 CPT,33208,INSRT HEART PM ATRIAL & VENT,,,5495.22,102512.0,336 CPT,33210,HC CATH/EP INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH,64443.28,12244.2232,3434.37,102512.0,406 CPT,33210,INSERT ELECTRD/PM CATH SNGL,,,3434.37,102512.0,336 CPT,33211,HC CATH/EP INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX,7347.35,1395.9965,2938.94,102512.0,406 CPT,33212,HC CATH/EP INSJ/RPLCMT PM PLS GEN ONLY 1CHMBR ATR/VENTR,11738.04,2230.2276,4139.87,102512.0,406 CPT,33213,HC CATH/EP INSJ/RPLCMT PM PLS GEN ONLY 2CHMBR,13389.75,2544.0525,5355.9,102512.0,406 CPT,33214,HC CATH/EP UPGRADE OF PACEMAKER SYSTEM,16902.83,3211.5377,5501.67,102512.0,406 CPT,33215,HC CATH/EP REPOSITION PACING-DEFIB LEAD,3407.91,647.5029,1363.164,102512.0,406 CPT,33215,REPOSITION PACING-DEFIB LEAD,,,1487.38,102512.0,339 CPT,33216,HC CATH/EP INSJ ELTRD 1CHMBR 1 ELTRD PRM PM/1CHMBR CVDFB,7347.35,1395.9965,2938.94,102512.0,406 CPT,33216,INSERT 1 ELECTRODE PM-DEFIB,,,3434.37,102512.0,336 CPT,33217,HC CATH/EP INSJ ELTRD 2CHMBR 2 ELTRDS PRM PM/2CHMBR CVDFB,7347.35,1395.9965,2938.94,102512.0,406 CPT,33218,"HC CATH/EP REPAIR LEAD PACE-DEFIB, ONE",3761.0,714.59,1504.4,102512.0,406 CPT,33218,REPAIR LEAD PACE-DEFIB ONE,,,1836.49,102512.0,339 CPT,33220,HC REPAIR LEAD PACE-DEFIB DUAL,5641.48,1071.8812,1836.49,102512.0,406 CPT,33221,HC INSERT PULSE GEN MULT LEADS,13389.75,2544.0525,5355.9,102512.0,406 CPT,33222,"HC CATH/EP REVISE POCKET, PACEMAKER",3428.98,651.5062,908.68,102512.0,406 CPT,33223,"HC CATH/EP REVISE POCKET, PACING-DEFIB",6500.0,1235.0,908.68,102512.0,406 CPT,33223,RELOCATE POCKET FOR DEFIB,,,908.68,102512.0,339 CPT,33224,HC CATH/EP INSERT PACING LEAD & CONNECT,16902.83,3211.5377,5500.42,102512.0,406 CPT,33225,HC CATH/EP L VENTRIC PACING LEAD ADD-ON,16097.93,3058.6067,376.0,102512.0,324 CPT,33225,L VENTRIC PACING LEAD ADD-ON,,,376.0,102512.0,257 CPT,33226,HC CATH/EP REPOSITION L VENTRIC LEAD,4136.79,785.9901,1487.38,49755.0,406 CPT,33227,HC REMOVE&REPLACE PM GEN SINGL,18531.12,3520.9128,4141.52,102512.0,406 CPT,33227,REMOVE&REPLACE PM GEN SINGL,,,4141.52,102512.0,336 CPT,33228,HC REMV&REPLC PM GEN DUAL LEAD,19302.92,3667.5548,5501.98,102512.0,406 CPT,33228,REMV&REPLC PM GEN DUAL LEAD,,,5501.98,102512.0,336 CPT,33229,HC REMV&REPLC PM GEN MULT LEADS,20268.0,3850.92,8107.2,102512.0,406 CPT,33229,REMV&REPLC PM GEN MULT LEADS,,,8140.35,102512.0,336 CPT,33230,HC INSRT PULSE GEN W/DUAL LEADS,15350.57,2916.6083,6140.228,102512.0,406 CPT,33231,HC INSRT PULSE GEN W/MULT LEADS,15350.57,2916.6083,6140.228,102512.0,406 CPT,33233,HC CATH/EP REMOVAL PERMANENT PACEMAKER PULSE GENERATOR,10114.17,1921.6923,2982.61,102512.0,406 CPT,33233,REMOVAL OF PM GENERATOR,,,2982.61,102512.0,339 CPT,33234,HC CATH/EP RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR,12136.49,2305.9331,1836.49,102512.0,406 CPT,33235,HC CATH/EP REMOVAL PACEMAKER ELECTRODE,15171.25,2882.5375,1836.49,102512.0,406 CPT,33235,REMOVAL PACEMAKER ELECTRODE,,,1836.49,102512.0,339 CPT,33240,HC CATH/EP INSERT PULSE GENERATOR,39935.39,7587.7241,9999.99,102512.0,406 CPT,33241,HC CATH/EP REMOVE PULSE GENERATOR,5720.09,1086.8171,1836.49,102512.0,406 CPT,33241,REMOVE PULSE GENERATOR,,,1836.49,102512.0,339 CPT,33244,"HC CATH/EP REMOVE ELTRD, TRANSVEN",10048.88,1909.2872,900.7,102512.0,406 CPT,33244,REMOVE ELCTRD TRANSVENOUSLY,,,900.7,102512.0,339 CPT,33249,HC CATH/EP ELTRD/INSERT PACE-DEFIB,64443.28,12244.2232,9999.99,102512.0,406 CPT,33249,INSJ/RPLCMT DEFIB W/LEAD(S),,,9999.99,102512.0,336 CPT,33262,HC RMVL& REPLC PULSE GEN 1 LEAD,58949.0,11200.31,9999.99,102512.0,406 CPT,33262,RMVL& REPLC PULSE GEN 1 LEAD,,,9999.99,102512.0,336 CPT,33263,HC RMVL & RPLCMT DFB GEN 2 LEAD,34408.0,6537.52,9999.99,102512.0,406 CPT,33263,RMVL & RPLCMT DFB GEN 2 LEAD,,,9999.99,102512.0,336 CPT,33264,HC RMVL & RPLCMT DFB GEN MLT LD,37458.0,7117.02,9999.99,102512.0,406 CPT,33264,RMVL & RPLCMT DFB GEN MLT LD,,,9999.99,102512.0,336 CPT,33270,HC INS/REP SUBQ DEFIBRILLATOR,146352.54,27806.9826,3975.47,146352.54,406 CPT,33270,INS/REP SUBQ DEFIBRILLATOR,,,3975.47,102512.0,336 CPT,33271,HC INSJ SUBQ IMPLTBL DFB ELCTRD,31082.91,5905.7529,3434.37,102512.0,406 CPT,33272,HC RMVL OF SUBQ DEFIBRILLATOR,10615.92,2017.0248,365.59,102512.0,406 CPT,33273,HC REPOS PREV IMPLTBL SUBQ DFB,10615.92,2017.0248,1836.49,102512.0,406 CPT,33273,REPOS PREV IMPLTBL SUBQ DFB,,,1836.49,102512.0,336 CPT,33274,HC TCAT INSJ/RPL PERM LDLS PM,57185.55,10865.2545,6487.0,62248.53,406 CPT,33274,TCAT INSJ/RPL PERM LDLS PM,,,6487.0,62248.53,336 CPT,33275,HC TCAT RMVL PERM LDLS PM,9837.96,1869.2124,1487.38,56913.0,406 CPT,33276,HC INSJ PHRNC NRV STIM SYS,162194.0,30816.86,606.22,162194.0,405 CPT,33277,HC INSJ PHRNC NRV STIM TRANSVNS,40868.0,7764.92,271.52,49755.0,323 CPT,33278,HC RMVL PHRNC NRV STIM SYS,11684.64,2220.0816,602.32,49755.0,405 CPT,33279,HC RMVL PHRNC NRV STIM TRANSVNS,11913.0,2263.47,361.95,49755.0,405 CPT,33280,HC RMVL PHRNC NRV STIM PG ONLY,11913.0,2263.47,210.29,49755.0,405 CPT,33281,HC REPOSG PHRNC NRV STIM TRNSVN,11913.0,2263.47,369.13,49755.0,405 CPT,33285,HC INSJ SUBQ CAR RHYTHM MNTR,41921.23,7965.0337,4122.21,62248.53,406 CPT,33285,INSJ SUBQ CAR RHYTHM MNTR,,,4122.21,62248.53,336 CPT,33286,HC RMVL SUBQ CAR RHYTHM MNTR,41921.23,7965.0337,339.86,49755.0,406 CPT,33286,RMVL SUBQ CAR RHYTHM MNTR,,,339.86,49755.0,339 CPT,33287,HC RMV&RPLCMT PHRNC NRV STIM PG,107096.0,20348.24,408.48,107096.0,405 CPT,33288,HC RMVL&RPLCMT PHRNC NRV STIM TRNSVNS STIMJ/SNSG LD,46779.51,8888.1069,495.44,49755.0,405 CPT,33289,HC TCAT IMPL WRLS P-ART PRS SNR,50470.84,9589.4596,347.98,67278.49,406 CPT,33289,TCAT IMPL WRLS P-ART PRS SNR,,,347.98,67278.49,339 CPT,33300,HC REPAIR CARDIAC WOUND; WO CPB,17476.99,3320.6281,1353.0,52989.0,233 CPT,33340,HC PERQ CLSR TCAT L ATR APNDGE,28777.11,5467.6509,808.92,56409.0,323 CPT,33340,PERQ CLSR TCAT L ATR APNDGE,,,808.92,56409.0,256 CPT,33361,HC REPLACE AORTIC VALVE PERQ,35595.0,6763.05,1259.63,52989.0,323 CPT,33362,HC REPLACE AORTIC VALVE OPEN,37374.75,7101.2025,1375.65,52989.0,323 CPT,33363,HC REPLACE AORTIC VALVE OPEN AXILLARY,39243.75,7456.3125,1424.35,52989.0,323 CPT,33364,HC REPLACE AORTIC VALVE OPEN ILIAC,41205.15,7828.9785,1419.3,52989.0,323 CPT,33365,HC REPLACE AORTIC VALVE OPEN TRANS,43266.3,8220.597,1483.05,52989.0,323 CPT,33366,HC TRCATH REPLACE AORTIC VALVE,45429.3,8631.567,1635.6,52989.0,323 CPT,33367,HC REPLACE AORTIC VALVE W/BYP PERQ,47700.45,9063.0855,634.1,52989.0,323 CPT,33368,HC REPLACE AORTIC VALVE W/BYP OPEN,50086.05,9516.3495,767.17,52989.0,323 CPT,33369,HC REPLACE AORTIC VALVE W/BYP CENTRAL,52590.3,9992.157,1012.74,52989.0,323 CPT,33370,HC TCAT PLMT&RMVL CEPD PERQ,23730.0,4508.7,139.47,52989.0,324 CPT,33418,HC REPAIR TCAT MITRAL VALVE,2986.12,567.3628,1194.448,49755.0,323 CPT,33419,HC REPAIR TCAT MITRAL VALVE,302.06,57.3914,120.824,49755.0,324 CPT,33475,HC REPLACEMENT PULMONARY VALVE,39243.75,7456.3125,2283.0,49755.0,233 CPT,33477,HC IMPLANT TCAT PULM VLV PERQ,20930.08,3976.7152,1317.83,49755.0,323 CPT,33741,HC CATH/EP TAS CONGENITAL CAR ANOMAL,8602.31,1634.4389,780.46,61832.0,323 CPT,33745,HC CATH/EP TIS CGEN CAR ANOMAL 1ST SHNT,8192.68,1556.6092,1114.81,61832.0,323 CPT,33746,HC CATH/EP TIS CGEN CAR ANOMAL EA ADDL,819.26,155.6594,327.704,61832.0,323 CPT,33894,EVASC ST RPR THRC/AA ACRS BR,,,1018.52,52989.0,256 CPT,33894,HC CATH/EP EVASC ST RPR THRC/AA ACRS BR,3000.0,570.0,1018.52,52989.0,323 CPT,33895,EVASC ST RPR THRC/AA X CRSG,,,809.96,52989.0,256 CPT,33895,HC CATH/EP EVASC ST RPR THRC/AA X CRSG,2400.0,456.0,809.96,52989.0,323 CPT,33897,HC CATH/EP PERQ TRLUML ANGP NT/RECR COA,1800.0,342.0,602.32,52989.0,323 CPT,33897,PERQ TRLUML ANGP NT/RECR COA,,,602.32,52989.0,256 CPT,33900,HC PERQ P-ART RVSC BY STNT PLCMNT 1ST NAT NORMAL CONN UNI,37779.18,7178.0442,614.71,49755.0,406 CPT,33900,PERQ P-ART REVSC 1 NM NT UNI,,,614.71,49755.0,339 CPT,33901,HC PERQ P-ART REVSC BY STNT PLCMNT ST 1ST NAT NORMAL CONN BILAT,37779.18,7178.0442,808.37,49755.0,406 CPT,33902,HC PERQ P-ART REVSC BY STNT PLCMNT ST 1ST ABNORMAL CONN UNI,60218.0,11441.42,780.46,60218.0,406 CPT,33902,PERQ P-ART REVSC 1 ABNOR UNI,,,780.46,49755.0,339 CPT,33903,HC PERQ P-ART REVSC BY STNT PLCMNT ST 1ST ABNORMAL CONN BILAT,37779.18,7178.0442,919.52,49755.0,406 CPT,33904,HC PERQ PART REVSC ST EA ADDL VSL/SEP LES NM/ABNL,3777.9,717.801,308.48,49755.0,324 CPT,33946,HC ECMO/ECLS INITIATION VENOUS,10605.67,2015.0773,320.61,49755.0,233 CPT,33947,HC ECMO/ECLS INITIATION ARTERY,10605.67,2015.0773,356.44,49755.0,233 CPT,33948,HC ECMO/ECLS DAILY MGMT-VENOUS,10817.77,2055.3763,244.53,49755.0,233 CPT,33949,HC ECMO/ECLS DAILY MGMT ARTERY,10817.77,2055.3763,238.69,49755.0,233 CPT,33951,HC ECMO/ECLS INSJ PRPH CANNULA PERCUTANEOUS BIRTH - 5 YRS OLD,4253.27,808.1213,439.93,37761.3,233 CPT,33952,HC ECMO/ECLS INSJ PRPH CANNULA; PERCUTANEOUS 6 YRS & OLDER,4253.27,808.1213,442.25,37761.3,233 CPT,33953,HC ECMO/ECLS INSJ PRPH CANNULA; OPEN BIRTH - 5 YRS OLD,4253.27,808.1213,490.46,37761.3,233 CPT,33954,HC ECMO/ECLS INSJ PRPH CANNULA; OPEN 6 YRS & OLDER,4253.27,808.1213,496.66,37761.3,233 CPT,33955,HC ECMO/ECLS INSJ PRPH CANNULA; STERNOTOMY OR THORACOTOMY BIRTH - 5 YRS OLD,4253.27,808.1213,856.33,37761.3,233 CPT,33956,HC ECMO/ECLS INSJ PRPH CANNULA; STERNOTOMY OR THORACOTOMY 6 YRS & OLDER,4253.27,808.1213,869.44,37761.3,233 CPT,33957,HC ECMO/ECLS REPOS PERPH CNULA BIRTH - 5YRS,4253.27,808.1213,191.62,37761.3,233 CPT,33958,HC ECMO/ECLS REPOS PERPH CNULA >6 YRS,4253.27,808.1213,191.62,37761.3,233 CPT,33959,HC ECMO/ECLS REPOS PERPH CNULA OPEN BIRTH - 5YRS,4253.27,808.1213,243.05,37761.3,233 CPT,33962,HC ECMO/ECLS REPOS PERPH CNULA OPEN >6 YRS,4253.27,808.1213,243.05,49755.0,233 CPT,33963,HC ECMO/ECLS REPOS PERPH CNULA THORACOTOMY BIRTH - 5 YRS,4253.27,808.1213,483.77,49755.0,233 CPT,33964,HC ECMO/ECLS REPOS PERPH CNULA THORACOTOMY > 6YRS,4253.27,808.1213,509.72,49755.0,233 CPT,33965,HC ECMO/ECLS RMVL PERPH CANNULA BIRTH - 5YRS,4253.27,808.1213,191.62,49755.0,233 CPT,33966,HC ECMO/ECLS RMVL PERPH CANNULA > 6YRS,4253.27,808.1213,246.02,49755.0,233 CPT,33967,HC CATH/EP INSERT IA PERCUT DEVICE,2454.94,466.4386,268.89,94943.0,323 CPT,33967,INSERT I-AORT PERCUT DEVICE,,,268.89,94943.0,253 CPT,33968,HC REM IAB ASSIST DEVICE PERCUTANEOUS,287.99,54.7181,35.52,49755.0,323 CPT,33969,HC ECMO/ECLS RMVL PERPH CANNULA BIRTH - 5YRS,4253.27,808.1213,281.29,49755.0,233 CPT,33975,HC CATH/EP INSERT VENTRIC ASSIS DEV,11417.15,2169.2585,1187.0,94943.0,233 CPT,33977,HC CATH/EP REMOVAL VENTRICULAR ASSIS,9791.62,1860.4078,1176.17,94943.0,323 CPT,33984,HC ECMO/ECLS RMVL PERPH CANNULA >6 YRS,4253.27,808.1213,296.45,94943.0,233 CPT,33985,HC ECMO/ECLS RMVL CTR CANNULA BIRTH - 5YRS,4253.27,808.1213,530.67,94943.0,233 CPT,33986,HC ECMO/ECLS RMVL CTR CANNULA >6 YRS,4253.27,808.1213,547.88,94943.0,233 CPT,33990,HC INSJ PERQ VAD L HRT ARTERIAL,27027.05,5135.1395,374.05,94943.0,233 CPT,33992,HC RMVL PERQ LEFT HEART VAD,27027.05,5135.1395,195.3,94943.0,323 CPT,33993,HC REPOSG PERQ R/L HRT VAD,27027.05,5135.1395,170.64,94943.0,323 CPT,33995,HC INSJ PERQ VAD R HRT VENOUS,27027.0,5135.13,367.34,94943.0,233 CPT,33997,HC RMVL PERQ RIGHT HEART VAD,12015.69,2282.9811,167.73,94943.0,323 CPT,33999,HC IMPLANTING LARIAT,28777.11,5467.6509,731.59,94943.0,400 CPT,33999,HC IMPLANTING LEADLESS PM SENSOR,14389.2,2733.948,731.59,94943.0,400 CPT,33999,HC TRANSCATH TMVR/REPLACE (OTHER CARDIAC SURG PROC),14411.25,2738.1375,731.59,94943.0,400 CPT,33999,UNLISTED PX CARDIAC SURGERY,,,731.59,94943.0,283 CPT,34111,REMOVAL OF ARM ARTERY CLOT,,,624.71,49755.0,339 CPT,34203,REMOVAL OF LEG ARTERY CLOT,,,994.29,49755.0,339 CPT,34471,REMOVAL OF VEIN CLOT,,,731.59,49755.0,317 CPT,34490,REMOVAL OF VEIN CLOT,,,1487.38,49755.0,339 CPT,34501,REPAIR VALVE FEMORAL VEIN,,,942.98,49755.0,339 CPT,34848,VISC & INFRAREN ABD 4+ PROST,,,2072.41,49755.0,234 CPT,35011,REPAIR DEFECT OF ARTERY,,,1057.58,49755.0,339 CPT,35045,REPAIR DEFECT OF ARM ARTERY,,,1014.33,49755.0,339 CPT,35184,RPR CGEN AV FISTULA XTR,,,1013.3,49755.0,339 CPT,35190,REPAIR ACQ AV FISTULA XTR,,,793.4,49755.0,339 CPT,35206,HC REPAIR BLOOD VESSEL DIRECT; UPR EXTREM,9745.16,1851.5804,836.65,49755.0,406 CPT,35206,REPAIR BLOOD VESSEL DIR UXTR,,,836.65,49755.0,339 CPT,35207,HC REP BLOOD VESSEL DIRECT; HAND FINGER,9745.16,1851.5804,1487.38,49755.0,406 CPT,35207,RPR BLD VSL DIR HAND FINGER,,,1487.38,49755.0,339 CPT,35226,HC REPAIR BLD VESSEL DIRECT; LWR EXTREM,2137.31,406.0889,832.56,49755.0,406 CPT,35256,REPAIR BLVSL VN GRF LXTR,,,1068.2,49755.0,339 CPT,35281,RPR BLVSL GR OT/TH VN NTR-AB,,,1698.0,49755.0,234 CPT,35301,RECHANNELING OF ARTERY,,,1183.56,49755.0,234 CPT,35371,RECHANNELING OF ARTERY,,,852.24,49755.0,234 CPT,35702,EXPL N/FLWD SURG UXTR ART,,,432.08,37761.3,256 CPT,35703,EXPL N/FLWD SURG LXTR ART,,,439.15,37761.3,256 CPT,35800,EXPLORE NECK VESSELS,,,494.0,27121.0,234 CPT,35820,EXPLORE CHEST VESSELS,,,776.0,37761.3,234 CPT,35860,HC EXPLORE LIMB VESSELS,10574.37,2009.1303,887.63,25798.0,406 CPT,35875,HC THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT,6316.56,1200.1464,2526.624,27121.0,406 CPT,36000,HC NONSEL CATH PLC IN VEIN,97.63,18.5497,9.95,25798.0,318 CPT,36000,PLACE NEEDLE IN VEIN,,,9.95,25798.0,227 CPT,36002,HC INJ PERC EXTR ANEURYSM,2287.34,434.5946,105.55,25798.0,406 CPT,36002,PSEUDOANEURYSM INJECTION TRT,,,105.55,25798.0,339 CPT,36005,HC CATH/EP INJECTION EXT VENOGRAPHY,13017.09,2473.2471,48.48,25798.0,324 CPT,36005,HC INJECTION EXT VENOGRAPHY,13017.09,2473.2471,48.48,25798.0,324 CPT,36005,INJECTION EXT VENOGRAPHY,,,48.48,25798.0,257 CPT,36010,HC CATH/EP PLACE CATHETER IN VEIN,3709.3,704.767,109.9,25798.0,324 CPT,36010,HC PLACE CATHETER IN VEIN,3709.3,704.767,109.9,25798.0,324 CPT,36010,PLACE CATHETER IN VEIN,,,109.9,25798.0,257 CPT,36011,HC CATH/EP PLACE CATHETER IN VEIN,1679.29,319.0651,158.42,25798.0,324 CPT,36011,PLACE CATHETER IN VEIN,,,158.42,25798.0,257 CPT,36012,HC CATH/EP PLC CATH VEIN 2ND ORDR,1897.6,360.544,178.18,25798.0,324 CPT,36012,PLACE CATHETER IN VEIN,,,178.18,25798.0,257 CPT,36013,HC INTRO CATH R HRT/MAIN P-ART,1111.93,211.2667,126.59,43390.0,324 CPT,36014,HC SLCTV CATH PLMT L/R P-ART,1278.71,242.9549,154.29,25798.0,324 CPT,36014,PLACE CATHETER IN ARTERY,,,154.29,25798.0,257 CPT,36015,HC CATH/EP PLACE CATHETER IN ARTERY,3800.0,722.0,173.26,25798.0,324 CPT,36015,PLACE CATHETER IN ARTERY,,,173.26,25798.0,257 CPT,36140,HC CATH/EP ESTABLISH ACCESS TO ARTERY,1514.63,287.7797,91.36,25798.0,324 CPT,36140,HC ESTABLISH ACCESS TO ARTERY,1514.63,287.7797,91.36,25798.0,324 CPT,36140,INTRO NDL ICATH UPR/LXTR ART,,,91.36,25798.0,257 CPT,36160,ESTABLISH ACCESS TO AORTA,,,123.45,25798.0,257 CPT,36200,HC CATH/EP PLACE CATHETER IN AORTA,2154.15,409.2885,145.39,25798.0,324 CPT,36200,HC PLACE CATHETER IN AORTA,2154.15,409.2885,145.39,25798.0,324 CPT,36200,PLACE CATHETER IN AORTA,,,145.39,25798.0,257 CPT,36215,HC CATH/EP SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH,2906.95,552.3205,216.04,25798.0,324 CPT,36215,HC SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH,2906.95,552.3205,216.04,25798.0,324 CPT,36215,PLACE CATHETER IN ARTERY,,,216.04,25798.0,257 CPT,36216,HC CATH/EP SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH,3026.56,575.0464,281.82,25798.0,324 CPT,36216,HC SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH,3026.56,575.0464,281.82,25798.0,324 CPT,36216,PLACE CATHETER IN ARTERY,,,281.82,25798.0,257 CPT,36217,HC CATH/EP SLCTV CATHJ 3RD+ ORD SLCTV THRC/BRCH/CPHLC BRNCH,3631.88,690.0572,354.62,25798.0,324 CPT,36217,HC SLCTV CATHJ 3RD+ ORD SLCTV THRC/BRCH/CPHLC BRNCH,3631.88,690.0572,354.62,25798.0,324 CPT,36217,PLACE CATHETER IN ARTERY,,,354.62,25798.0,257 CPT,36218,HC CATH/EP SLCTV CATHJ EA 2ND+ ORD THRC/BRCH/CPHLC BRNCH,575.03,109.2557,54.52,25798.0,324 CPT,36218,PLACE CATHETER IN ARTERY,,,54.52,25798.0,257 CPT,36221,HC CATH/EP PLACE CATH THORACIC AORTA,6692.86,1271.6434,207.67,25798.0,406 CPT,36221,PLACE CATH THORACIC AORTA,,,207.67,25798.0,339 CPT,36222,HC CATH/EP PLACE CATH CAROTID/INOM ART,9168.27,1741.9713,301.35,25798.0,406 CPT,36222,PLACE CATH CAROTID/INOM ART,,,301.35,25798.0,339 CPT,36223,HC CATH/EP PLACE CATH CAROTID/INOM ART,9993.84,1898.8296,354.96,25798.0,406 CPT,36223,PLACE CATH CAROTID/INOM ART,,,354.96,25798.0,339 CPT,36224,HC CATH/EP PLACE CATH CAROTD ART,11276.36,2142.5084,401.06,25798.0,406 CPT,36224,PLACE CATH CAROTD ART,,,401.06,25798.0,339 CPT,36225,HC CATH/EP PLACE CATH SUBCLAVIAN ART,9993.84,1898.8296,353.28,25798.0,406 CPT,36225,PLACE CATH SUBCLAVIAN ART,,,353.28,25798.0,339 CPT,36226,HC CATH/EP PLACE CATH VERTEBRAL ART,11276.36,2142.5084,397.65,25798.0,406 CPT,36226,PLACE CATH VERTEBRAL ART,,,397.65,25798.0,339 CPT,36227,HC ANGRPH XTRNL CRTD UNI SLCTV RS&I,3373.76,641.0144,130.94,25798.0,324 CPT,36227,PLACE CATH XTRNL CAROTID,,,130.94,25798.0,276 CPT,36228,HC PLACE CATH INTRACRANIAL ART,26500.0,5035.0,273.38,61832.0,324 CPT,36228,PLACE CATH INTRACRANIAL ART,,,273.38,61832.0,257 CPT,36245,HC CATH/EP SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH,5899.93,1120.9867,241.0,25798.0,324 CPT,36245,HC INS CATH ABD/L EXT ART 1ST,5899.93,1120.9867,241.0,25798.0,324 CPT,36245,INS CATH ABD/L-EXT ART 1ST,,,241.0,25798.0,257 CPT,36246,HC CATH/EP SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH,9414.02,1788.6638,259.2,25798.0,324 CPT,36246,INS CATH ABD/L-EXT ART 2ND,,,259.2,25798.0,257 CPT,36247,HC CATH/EP SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH,11762.23,2234.8237,301.03,25798.0,324 CPT,36247,HC SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH,11762.23,2234.8237,301.03,25798.0,324 CPT,36247,INS CATH ABD/L-EXT ART 3RD,,,301.03,25798.0,257 CPT,36248,"HC CATH/EP SLCTCATH,ART-LEXTRADP",6919.98,1314.7962,48.33,25798.0,324 CPT,36248,INS CATH ABD/L-EXT ART ADDL,,,48.33,25798.0,257 CPT,36251,HC INS CATH REN ART 1ST UNILAT,13488.3,2562.777,259.19,25798.0,406 CPT,36251,INS CATH REN ART 1ST UNILAT,,,259.19,25798.0,339 CPT,36252,HC INS CATH REN ART 1ST BILAT,17747.79,3372.0801,369.0,25798.0,406 CPT,36252,INS CATH REN ART 1ST BILAT,,,369.0,25798.0,339 CPT,36253,HC INS CATH REN ART 2ND+ UNILAT,18990.13,3608.1247,350.47,25798.0,406 CPT,36253,INS CATH REN ART 2ND+ UNILAT,,,350.47,25798.0,339 CPT,36254,HC INS CATH REN ART 2ND+ BILAT,10408.44,1977.6036,431.45,25798.0,406 CPT,36400,HC BL DRAW < 3 YRS FEM/JUGULAR,297.95,56.6105,18.34,25798.0,324 CPT,36406,HC BL DRAW <3 YRS PHYS/QHP SKILL OTHER VEIN,297.95,56.6105,8.59,25798.0,324 CPT,36410,HC NON-ROUTINE BL DRAW 3/> YRS,79.87,15.1753,9.13,25798.0,324 CPT,36410,VNPNXR 3YR/> PHY/QHP DX/THER,,,9.13,25798.0,233 CPT,36415,HC ROUTINE VENIPUNCTURE,45.93,10.91,2.0,8802.0,406 CPT,36416,HC COLLJ CAPILLARY BLOOD SPEC,161.75,30.7325,2.08,8802.0,316 CPT,36425,VENIPUNCTURE CUTDOWN 1 YR/>,,,14.1,25798.0,317 CPT,36430,HC TRANSFUSION BLD/BLD COMPNT,3509.46,666.7974,39.8,25798.0,406 CPT,36430,TRANSFUSION BLD/BLD COMPNT,,,39.8,25798.0,339 CPT,36460,HC TRANSFUSION INTRAUTERINE FETAL,1288.33,244.7827,354.49,25798.0,406 CPT,36466,NJX NONCMPND SCLRSNT MLT VN,,,376.0,25798.0,317 CPT,36468,HC INJECTION(S) SPIDER VEINS,372.76,70.8244,91.99,25798.0,384 CPT,36470,HC INJECTION THERAPY OF VEIN,748.05,142.1295,87.41,25798.0,384 CPT,36470,NJX SCLRSNT 1 INCMPTNT VEIN,,,87.41,25798.0,317 CPT,36471,HC INJECTION THERAPY OF VEINS,890.18,169.1342,152.25,25798.0,384 CPT,36471,NJX SCLRSNT MLT INCMPTNT VN,,,152.25,25798.0,317 CPT,36475,ENDOVENOUS RF 1ST VEIN,,,1487.38,25798.0,339 CPT,36475,"HC ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, EXTREMITY, INCLUSIVE",9203.5,1748.665,1487.38,25798.0,406 CPT,36476,ENDOVENOUS RF VEIN ADD-ON,,,151.23,25798.0,257 CPT,36476,"HC ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, EXTREMITY, INCLUSIVE",4509.72,856.8468,151.23,25798.0,324 CPT,36478,ENDOVENOUS LASER 1ST VEIN,,,1487.38,25798.0,339 CPT,36481,HC PRQ PORTAL VEIN CATHETERIZATION ANY METHOD,2998.53,569.7207,320.82,25798.0,324 CPT,36481,INSERTION OF CATHETER VEIN,,,320.82,25798.0,257 CPT,36500,INSERTION OF CATHETER VEIN,,,187.81,25798.0,257 CPT,36510,HC CATH OF UMBILICAL VEIN FOR DX,481.39,91.4641,51.31,25798.0,324 CPT,36511,HC APHERESIS WBC,3950.7,750.633,731.53,25798.0,406 CPT,36512,HC APHERESIS RBC,3911.4,743.166,731.53,25798.0,406 CPT,36513,HC APHERESIS PLATELETS,4106.64,780.2616,224.62,25798.0,406 CPT,36514,APHERESIS PLASMA,,,731.53,25798.0,339 CPT,36514,HC APHERESIS PLASMA,8124.66,1543.6854,731.53,25798.0,406 CPT,36516,"HC APHERESIS, SELECTIVE",14979.43,2846.0917,2234.06,25798.0,406 CPT,36522,HC PHOTOPHERESIS,11414.68,2168.7892,2301.08,25798.0,406 CPT,36555,HC CATH/EP INSJ NON-TUN CTR CVC UNDER 5 YR,4069.46,773.1974,410.1,25798.0,406 CPT,36556,HC CATH/EP INSJ NON-TUN CTR CVC AGE 5 YR/>,3448.57,655.2283,410.1,25798.0,406 CPT,36556,HC INSJ NON-TUN CTR CVC AGE 5 YR/>,3448.57,655.2283,410.1,25798.0,406 CPT,36556,INSERT NON-TUNNEL CV CATH,,,410.1,25798.0,339 CPT,36557,INSERT TUNNELED CV CATH,,,1867.38,25798.0,339 CPT,36558,HC INSJ TUN CTR CVC W/O SUBQ PORT/PMP AGE 5 YR/>,3362.97,638.9643,1345.188,25798.0,406 CPT,36558,INSERT TUNNELED CV CATH,,,1487.38,25798.0,339 CPT,36560,HC INS TUNNELED CV CATH W SQ PORT <5 YRS,9183.08,1744.7852,1456.17,25798.0,406 CPT,36560,INSERT TUNNELED CV CATH,,,1456.17,25798.0,339 CPT,36561,HC INSJ TUN CTR CTR VAD W/SUBQ PORT AGE 5 YR/>,3534.84,671.6196,1413.936,25798.0,406 CPT,36561,INSERT TUNNELED CV CATH,,,1487.38,25798.0,339 CPT,36565,INSERT TUNNELED CV CATH,,,1487.38,25798.0,339 CPT,36568,HC INSJ PICC <5 YR W/O IMAGING,9013.33,1712.5327,363.72,25798.0,406 CPT,36568,INSJ PICC <5 YR W/O IMAGING,,,363.72,25798.0,339 CPT,36569,HC INSJ PICC 5 YR+ W/O IMAGING,7350.0,1396.5,410.1,25798.0,406 CPT,36569,INSJ PICC 5 YR+ W/O IMAGING,,,410.1,25798.0,339 CPT,36571,HC INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/>,9745.16,1851.5804,410.1,25798.0,406 CPT,36571,INSERT PICVAD CATH,,,410.1,25798.0,339 CPT,36572,HC INSJ PICC RS&I <5 YR,9013.33,1712.5327,363.72,25798.0,406 CPT,36573,HC INSJ PICC RS&I 5 YR+,8345.16,1585.5804,376.0,25798.0,406 CPT,36573,INSJ PICC RS&I 5 YR+,,,376.0,25798.0,339 CPT,36575,HC REPAIR CVA CATHETER,2262.58,429.8902,363.72,25798.0,406 CPT,36575,REPAIR TUNNELED CV CATH,,,363.72,25798.0,339 CPT,36576,HC REPAIR TUNNELED CV CATH,1679.94,319.1886,607.24,25798.0,406 CPT,36578,HC REPLACE CATH ONLY OF VAD,6953.03,1321.0757,1152.76,25798.0,406 CPT,36578,REPLACE TUNNELED CV CATH,,,1152.76,25798.0,339 CPT,36580,HC REPLACE CVAD CATH,1291.47,245.3793,410.1,25798.0,406 CPT,36581,HC REPLACE TUNNELED CV CATH,3362.97,638.9643,1345.188,25798.0,406 CPT,36581,REPLACE TUNNELED CV CATH,,,1472.1,25798.0,339 CPT,36582,REPLACE TUNNELED CV CATH,,,1487.38,25798.0,339 CPT,36583,REPLACE TUNNELED CV CATH,,,1867.38,25798.0,339 CPT,36584,COMPL RPLCMT PICC RS&I,,,410.1,25798.0,339 CPT,36584,HC COMPL RPLCMT PICC RS&I,6660.15,1265.4285,410.1,25798.0,406 CPT,36585,HC REPL PERIPH VAD W PORT,17648.82,3353.2758,410.1,25798.0,406 CPT,36589,HC RMVL TUN CVC W/O SUBQ PORT/PMP,1199.42,227.8898,363.72,25798.0,406 CPT,36589,REMOVAL TUNNELED CV CATH,,,363.72,25798.0,339 CPT,36590,HC RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ,2182.93,414.7567,363.72,25798.0,406 CPT,36590,REMOVAL TUNNELED CV CATH,,,363.72,25798.0,339 CPT,36591,HC COLLECT BLOOD FROM IMPLANT VENOUS DEVICE,199.06,37.8214,29.21,25798.0,384 CPT,36592,HC COLLECT BLOOD FROM CENTRAL PERIPH CATH NOS,221.25,42.0375,31.3,25798.0,384 CPT,36593,DECLOT VASCULAR DEVICE,,,35.7,25798.0,317 CPT,36593,HC DECLOT VASCULAR DEVICE,10730.86,2038.8634,35.7,25798.0,384 CPT,36597,REPOSITION VENOUS CATHETER,,,607.24,25798.0,317 CPT,36598,HC INJ W/FLUOR EVAL CV DEVICE,10730.86,2038.8634,34.67,25798.0,406 CPT,36598,INJ W/FLUOR EVAL CV DEVICE,,,34.67,25798.0,339 CPT,36600,HC RT ONLY WITHDRAWAL OF ARTERIAL BLOOD,383.87,72.9353,14.53,25798.0,384 CPT,36620,"HC CATH/EP INSERTION CATHETER, ARTERY",604.78,114.9082,42.8,25798.0,324 CPT,36625,HC ARTERIAL CATH - SAMPLING MONITOR-CUTDOWN,839.67,159.5373,106.21,25798.0,324 CPT,36660,HC UMBIL CATH NB FOR DX OR TX,585.77,111.2963,66.79,37761.3,323 CPT,36680,HC PLACE NEEDLE INTRAOSSEOUS INFUSION,600.58,114.1102,34.08,25798.0,384 CPT,36818,AV FUSE UPPR ARM CEPHALIC,,,2560.6,25798.0,339 CPT,36819,AV FUSE UPPR ARM BASILIC,,,2560.6,25798.0,339 CPT,36821,AV FUSION DIRECT ANY SITE,,,1487.38,25798.0,339 CPT,36825,ARTERY-VEIN AUTOGRAFT,,,2560.6,25798.0,339 CPT,36830,ARTERY-VEIN NONAUTOGRAFT,,,2560.6,25798.0,339 CPT,36831,OPEN THROMBECT AV FISTULA,,,2560.6,25798.0,339 CPT,36832,AV FISTULA REVISION OPEN,,,2560.6,25798.0,339 CPT,36833,AV FISTULA REVISION,,,2560.6,25798.0,339 CPT,36901,HC INTRO CATH DIALYSIS CIRCUIT,3659.2,695.248,170.14,49755.0,384 CPT,36901,INTRO CATH DIALYSIS CIRCUIT,,,170.14,49755.0,317 CPT,36902,HC INTRO CATH DIALYSIS CIRCUIT,12508.55,2376.6245,2454.1,43958.0,406 CPT,36902,INTRO CATH DIALYSIS CIRCUIT,,,2454.1,43958.0,336 CPT,36903,HC INTRO CATH DIALYSIS CIRCUIT,25073.94,4764.0486,376.0,61832.0,406 CPT,36903,INTRO CATH DIALYSIS CIRCUIT,,,376.0,61832.0,339 CPT,36904,HC THRMBC/NFS DIALYSIS CIRCUIT,12508.55,2376.6245,376.0,49755.0,406 CPT,36905,HC THRMBC/NFS DIALYSIS CIRCUIT,25073.94,4764.0486,3486.9,43958.0,406 CPT,36905,THRMBC/NFS DIALYSIS CIRCUIT,,,3486.9,43958.0,336 CPT,36906,HC THRMBC/NFS DIALYSIS CIRCUIT,38005.58,7221.0602,376.0,61832.0,406 CPT,36906,THRMBC/NFS DIALYSIS CIRCUIT,,,376.0,61832.0,339 CPT,36907,BALO ANGIOP CTR DIALYSIS SEG,,,148.36,43958.0,257 CPT,36907,HC BALO ANGIOP CTR DIALYSIS SEG,12353.51,2347.1669,148.36,43958.0,324 CPT,36908,STENT PLMT CTR DIALYSIS SEG,,,210.04,61832.0,257 CPT,36909,DIALYSIS CIRCUIT EMBOLJ,,,202.18,49755.0,257 CPT,37140,HC OPEN PORTACAV VEN ANASTAM,139.47,26.4993,55.788,37761.3,323 CPT,37160,REVISION OF CIRCULATION,,,1369.0,37761.3,234 CPT,37182,HC INSERT HEPATIC SHUNT (TIPS),6958.1,1322.039,801.67,25798.0,323 CPT,37182,INSERT HEPATIC SHUNT (TIPS),,,801.67,25798.0,256 CPT,37183,HC REMOVE HEPATIC SHUNT (TIPS),14420.3,2739.857,367.83,25798.0,406 CPT,37183,REVISION TIPS,,,367.83,25798.0,339 CPT,37184,HC CATH/EP PRIM ART MECH THROMBCTMY,14920.37,2834.8703,2248.95,42496.37,406 CPT,37184,PRIM ART M-THRMBC 1ST VSL,,,2248.95,42496.37,339 CPT,37185,HC PRIM ART M-THROMBECT ADD-ON,5520.53,1048.9007,180.55,25798.0,324 CPT,37185,PRIM ART M-THRMBC SBSQ VSL,,,180.55,25798.0,257 CPT,37186,HC CATH/EP SECONDY PERC THROMBECT,5510.18,1046.9342,274.3,25798.0,324 CPT,37186,SEC ART THROMBECTOMY ADD-ON,,,274.3,25798.0,257 CPT,37187,HC PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN,40259.94,7649.3886,2255.75,40259.94,406 CPT,37187,VENOUS MECH THROMBECTOMY,,,2255.75,26838.59,339 CPT,37191,HC INS ENDOVAS VENA CAVA FILTR,31289.88,5945.0772,221.18,31289.88,406 CPT,37191,INS ENDOVAS VENA CAVA FILTR,,,221.18,25798.0,339 CPT,37193,HC CATH/EP REM ENDOVAS VENA CAVA FILTE,10948.26,2080.1694,347.65,25798.0,406 CPT,37193,REM ENDOVAS VENA CAVA FILTER,,,347.65,25798.0,339 CPT,37195,HC THROMBOLYSIS CEREBRAL BY IV INFUSION,1099.1,208.829,376.0,33001.0,406 CPT,37197,HC CATH/EP TRANSCATHETER RETRIEVAL,4816.71,915.1749,456.26,33001.0,406 CPT,37197,"HC RETRIEVAL, BROKEN CATHETER",4816.71,915.1749,456.26,33001.0,406 CPT,37197,HC TRANSCATHETER RETRIEVAL,4816.71,915.1749,456.26,33001.0,406 CPT,37197,REMOVE INTRVAS FOREIGN BODY,,,456.26,33001.0,355 CPT,37200,HC TRANSCATHETER BX,5678.49,1078.9131,2271.396,33001.0,406 CPT,37200,TRANSCATHETER BIOPSY,,,2560.6,33001.0,339 CPT,37211,HC THROMBOLYTIC ART THERAPY,5568.28,1057.9732,593.14,33001.0,406 CPT,37212,HC THROMBOLYTIC VENOUS THERAPY,3357.4,637.906,514.43,33001.0,406 CPT,37213,HC THROMBLYTIC ART/VEN THERAPY,3202.83,608.5377,234.67,33001.0,406 CPT,37214,HC CESSJ THERAPY CATH REMOVAL,3202.83,608.5377,125.56,33001.0,406 CPT,37215,"HC CATH/EP TRANSCATH STENT, CCA W/EPS",11539.13,2192.4347,1037.65,37761.3,323 CPT,37215,TRANSCATH STENT CCA W/EPS,,,1037.65,37761.3,256 CPT,37216,HC TRANSCATH STENT CCA W/O EPS,5770.1,1096.319,2308.04,37761.3,317 CPT,37220,HC CATH/EP ILIAC REVASC,11936.81,2267.9939,2281.29,35668.0,406 CPT,37220,ILIAC REVASC,,,2281.29,35668.0,336 CPT,37221,HC CATH/EP ILIAC REVASC W/STENT,40386.76,7673.4844,3131.0,40386.76,406 CPT,37221,ILIAC REVASC W/STENT,,,3131.0,35668.0,339 CPT,37222,HC CATH/EP ILIAC REVASC ADD-ON,7041.0,1337.79,208.69,35668.0,324 CPT,37222,ILIAC REVASC ADD-ON,,,208.69,35668.0,257 CPT,37223,HC CATH/EP ILIAC REVASC STENT ADDON,21120.45,4012.8855,238.98,35668.0,324 CPT,37223,ILIAC REVASC W/STENT ADD-ON,,,238.98,35668.0,254 CPT,37224,FEM/POPL REVAS W/TLA,,,2249.85,35668.0,339 CPT,37224,HC CATH/EP FEM/POPL REVAS W/TLA,40386.76,7673.4844,2249.85,40386.76,406 CPT,37224,HC FEM/POPL REVAS W/TLA,40386.76,7673.4844,2249.85,40386.76,406 CPT,37225,FEM/POPL REVAS W/ATHER,,,3486.91,42496.37,336 CPT,37225,HC CATH/EP FEM/POPL REVAS W/ATHER,18546.48,3523.8312,3486.91,42496.37,406 CPT,37226,FEM/POPL REVASC W/STENT,,,3131.0,31927.0,339 CPT,37226,HC CATH/EP FEM/POPL REVASC W/STENT,14597.83,2773.5877,3131.0,31927.0,406 CPT,37226,HC FEM/POPL REVAS W/TLA,14597.83,2773.5877,3131.0,31927.0,406 CPT,37227,FEM/POPL REVASC STNT & ATHER,,,3486.91,42496.37,336 CPT,37227,HC FEM/POPL REVAS STN ATHER,24758.07,4704.0333,3486.91,42496.37,406 CPT,37227,HC FEM/POPL REVSC STNT&ATHR,24758.07,4704.0333,3486.91,42496.37,406 CPT,37228,HC CATH/EP TIB/PER REVASC W/TLA,16722.73,3177.3187,3486.9,31944.99,406 CPT,37228,TIB/PER REVASC W/TLA,,,3486.9,31944.99,336 CPT,37229,HC CATH/EP TIB/PER REVASC W/ATHER,14558.15,2766.0485,3486.91,42496.37,406 CPT,37229,HC TIB/PER REVASC W/ATHER,14558.15,2766.0485,3486.91,42496.37,406 CPT,37229,TIB/PER REVASC W/ATHER,,,3486.91,42496.37,336 CPT,37230,HC CATH/EP TIB/PER REVASC W/STENT,14558.15,2766.0485,3486.91,42496.37,406 CPT,37230,HC TIB/PER REVASC W/STENT,14558.15,2766.0485,3486.91,42496.37,406 CPT,37230,TIB/PER REVASC W/STENT,,,3486.91,42496.37,336 CPT,37231,HC CATH/EP TIB/PER REVSC STNT&ATHER,74271.65,14111.6135,3486.91,74271.65,406 CPT,37231,HC TIB/PER REVAS STNT ATHER,74271.65,14111.6135,3486.91,74271.65,406 CPT,37231,TIB/PER REVASC STENT & ATHER,,,3486.91,42496.37,336 CPT,37232,HC CATH/EP TIB/PER REVASC ADD-ON,7041.0,1337.79,221.99,31944.99,324 CPT,37232,HC TIB/PER REVASC ADD-ON,7041.0,1337.79,221.99,31944.99,324 CPT,37232,TIB/PER REVASC ADD-ON,,,221.99,31944.99,257 CPT,37233,HC CATH/EP TIBPER REVASC W/ATHR ADD,43670.61,8297.4159,357.32,43670.61,324 CPT,37233,HC TIBPE REVSC W/ATHE ADDON,43670.61,8297.4159,357.32,43670.61,324 CPT,37233,TIBPER REVASC W/ATHER ADD-ON,,,357.32,31944.99,257 CPT,37234,HC CATH/EP REVSC OPNPRQ TIBPER STNT,21120.45,4012.8855,314.91,31944.99,324 CPT,37234,HC REVSC OP/PRQ TIBPERO STN,21120.45,4012.8855,314.91,31944.99,324 CPT,37235,HC CATH/EP TIB/PER REVSC STNT&ATHR,11625.78,2208.8982,406.79,31944.99,324 CPT,37235,HC TIB/PER REVSC STNT&ATHER,11625.78,2208.8982,406.79,31944.99,324 CPT,37236,HC OPEN/PERQ PLACE STENT 1ST,38668.56,7347.0264,3486.91,38668.56,406 CPT,37236,OPEN/PERQ PLACE STENT 1ST,,,3486.91,35668.0,336 CPT,37237,HC OPEN/PERQ PLACE STENT EA ADD,18560.55,3526.5045,237.93,35668.0,324 CPT,37237,OPEN/PERQ PLACE STENT EA ADD,,,237.93,35668.0,257 CPT,37238,HC OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST,40386.76,7673.4844,3486.91,40386.76,406 CPT,37238,OPEN/PERQ PLACE STENT SAME,,,3486.91,35668.0,336 CPT,37239,HC OPEN/PERQ PLACEMT INTRAVASC STENT SAME EA ADDL,16498.29,3134.6751,168.95,35668.0,324 CPT,37239,OPEN/PERQ PLACE STENT EA ADD,,,168.95,35668.0,257 CPT,37241,HC VASC EMBOLIZE/OCCLUDE VENOUS,33327.21,6332.1699,3486.91,33327.21,406 CPT,37241,HC VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I,33327.21,6332.1699,3486.91,33327.21,406 CPT,37241,VASC EMBOLIZE/OCCLUDE VENOUS,,,3486.91,33001.0,336 CPT,37242,HC VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I,33327.21,6332.1699,3486.91,42496.37,406 CPT,37242,VASC EMBOLIZE/OCCLUDE ARTERY,,,3486.91,42496.37,336 CPT,37243,HC VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT,37493.45,7123.7555,3486.91,37493.45,812 CPT,37243,VASC EMBOLIZE/OCCLUDE ORGAN,,,3486.91,33001.0,336 CPT,37244,HC VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE,33327.21,6332.1699,650.27,33327.21,406 CPT,37244,VASC EMBOLIZE/OCCLUDE BLEED,,,650.27,33001.0,336 CPT,37246,HC TRLUML BALO ANGIOP 1ST ART,12508.55,2376.6245,2454.1,49755.0,406 CPT,37246,TRLUML BALO ANGIOP 1ST ART,,,2454.1,49755.0,336 CPT,37247,HC TRLUML BALO ANGIOP ADDL ART,12508.97,2376.7043,177.1,49755.0,324 CPT,37247,TRLUML BALO ANGIOP ADDL ART,,,177.1,49755.0,257 CPT,37248,HC TRLUML BALO ANGIOP 1ST VEIN,40386.76,7673.4844,2454.1,49755.0,406 CPT,37248,TRLUML BALO ANGIOP 1ST VEIN,,,2454.1,49755.0,336 CPT,37249,HC TRLUML BALO ANGIOP ADDL VEIN,11657.84,2214.9896,149.37,49755.0,324 CPT,37249,TRLUML BALO ANGIOP ADDL VEIN,,,149.37,49755.0,257 CPT,37252,HC INTRVASC US NONCORONARY 1ST,8010.44,1521.9836,91.56,25798.0,324 CPT,37252,INTRVASC US NONCORONARY 1ST,,,91.56,25798.0,257 CPT,37253,HC INTRVASC US NONCORONARY ADDL,6743.82,1281.3258,72.8,25798.0,324 CPT,37253,INTRVASC US NONCORONARY ADDL,,,72.8,25798.0,257 CPT,37500,ENDOSCOPY LIGATE PERF VEINS,,,2560.6,25798.0,339 CPT,37565,LIGATION INT JUGULAR VEIN,,,760.9,42034.0,317 CPT,37600,LIGATION XTRNL CAROTID ART,,,781.1,42034.0,339 CPT,37607,HC LIGATION/BAND ANGIOACCESS AV FISTULA,10575.84,2009.4096,1487.38,42034.0,406 CPT,37607,LIG/BANDING ANGIOACS AV FSTL,,,1487.38,42034.0,339 CPT,37609,HC LIGATION OR BIOPSY TEMPORAL ARTERY,5902.31,1121.4389,623.12,42034.0,406 CPT,37609,LIGATION/BX TEMPORAL ARTERY,,,623.12,42034.0,339 CPT,37616,HC LIGATION MAJOR ARTERY ; CHEST,4109.3,780.767,1214.28,37761.3,323 CPT,37618,HC LIGATION MAJOR ARTERY; EXTREMITY,7000.19,1330.0361,377.0,37761.3,323 CPT,37618,LIGATION MAJOR ARTERY XTR,,,377.0,37761.3,256 CPT,37718,LIG DIV&STRPG SHORT SAPH VN,,,1487.38,25798.0,317 CPT,37722,LIG DIV&STRPG LONG SAPH VEIN,,,1487.38,25798.0,339 CPT,37735,LIG&DIV&COMPL STRPG SAPH VN,,,1487.38,25798.0,339 CPT,37761,LIGATE LEG VEINS OPEN,,,641.57,25798.0,339 CPT,37765,STAB PHLEB VEINS XTR 10-20,,,199.4,25798.0,339 CPT,37766,PHLEB VEINS - EXTREM 20+,,,223.94,25798.0,339 CPT,37785,HC LIGATE/DIVIDE/EXCISE VEIN 1 LEG,6776.79,1287.5901,1487.38,25798.0,406 CPT,37785,LIGATE/DIVIDE/EXCISE VEIN,,,1487.38,25798.0,339 CPT,37799,HC UNLISTED VASC PROCEDURE,1303.76,247.7144,521.504,25798.0,400 CPT,37799,UNLISTED PX VASCULAR SURGERY,,,731.59,25798.0,283 CPT,38100,REMOVAL OF SPLEEN TOTAL,,,930.0,37761.3,256 CPT,38102,REMOVAL OF SPLEEN TOTAL,,,276.71,37761.3,234 CPT,38120,LAPAROSCOPY SPLENECTOMY,,,1139.62,26158.0,317 CPT,38204,HC LOCAL CELL DONOR SEARCH MANAGEMENT,2120.0,402.8,110.29,8802.0,226 CPT,38204,HC NMDP CELL DONOR SEARCH MANAGEMENT,52500.0,9975.0,110.29,52500.0,226 CPT,38205,HC HARVEST ALLOGENEIC STEM CELLS,12654.0,2404.26,82.81,25798.0,400 CPT,38206,HARVEST AUTO STEM CELLS,,,731.53,25798.0,293 CPT,38206,HC HARVEST AUTO STEM CELLS,8998.0,1709.62,731.53,25798.0,406 CPT,38207,HC CRYOPRESERVE STEM CELLS,5930.4,1126.776,517.32,25798.0,400 CPT,38208,HC THAW PRESERVED STEM CELLS,5930.4,1126.776,517.32,25798.0,400 CPT,38209,HC WASH HARVEST STEM CELLS,5930.4,1126.776,517.32,25798.0,400 CPT,38210,HC T-CELL DEPLETION OF HARVEST,30750.3,5842.557,517.32,30750.3,400 CPT,38211,HC TUMOR CELL DEPLETE OF HARVST,5930.4,1126.776,517.32,25798.0,400 CPT,38212,HC RBC DEPLETION OF HARVEST,5930.4,1126.776,517.32,25798.0,400 CPT,38213,HC PLATELET DEPLETE OF HARVEST,5930.4,1126.776,517.32,25798.0,400 CPT,38214,HC VOLUME DEPLETE OF HARVEST,5930.4,1126.776,517.32,25798.0,400 CPT,38215,HC HARVEST STEM CELL CONCENTRTE,5930.4,1126.776,517.32,25798.0,400 CPT,38220,DX BONE MARROW ASPIRATIONS,,,106.23,25798.0,339 CPT,38220,HC DIAG BONE ASPIRATION,6678.64,1268.9416,106.23,25798.0,406 CPT,38221,DX BONE MARROW BIOPSIES,,,106.85,25798.0,339 CPT,38221,HC DIAG BONE BIOPSY,6553.52,1245.1688,106.85,25798.0,406 CPT,38222,DX BONE MARROW BX & ASPIR,,,136.66,25798.0,339 CPT,38222,HC BONE MARROW ASPIRATE & BIOPSY,7039.46,1337.4974,136.66,25798.0,406 CPT,38225,HC CAR-T HRV BLD-DRV T LYMPHCYT,11277.0,2142.63,106.52,37761.3,309 CPT,38226,HC CAR-T PREP T LYMPHCYT F/TRN,11277.0,2142.63,42.7,37761.3,309 CPT,38227,HC CAR-T RECEIPT&PREPJ ADMN,11277.0,2142.63,43.04,37761.3,309 CPT,38228,HC CAR-T ADMN AUTOLOGOUS,11277.0,2142.63,376.0,11277.0,315 CPT,38230,HC BONE MARROW HARVEST ALLOGEN,4070.49,773.3931,731.53,25798.0,406 CPT,38232,BONE MARROW HARVEST AUTOLOG,,,1910.58,25798.0,339 CPT,38232,HC BONE MARROW HARVEST AUTOLOG,11810.61,2244.0159,1910.58,25798.0,406 CPT,38240,HC TRANSPLT ALLO HEMO PRO CELL PER DONOR,68576.45,13029.5255,241.74,139966.24,406 CPT,38241,HC TRANSPLT AUTOL HEMO PRO CELL PER DONOR,14542.53,2763.0807,731.53,25798.0,406 CPT,38241,TRANSPLT AUTOL HCT/DONOR,,,731.53,25798.0,339 CPT,38242,HC INFUSIONS ALLO LYMPHOCYTES,8998.0,1709.62,731.53,25798.0,406 CPT,38243,HC TRANSPLT HEMO PRO CELL BOOST,8998.0,1709.62,731.53,25798.0,384 CPT,38308,INCISION OF LYMPH CHANNELS,,,1204.21,27119.0,339 CPT,38500,BIOPSY/REMOVAL LYMPH NODES,,,1204.21,27119.0,339 CPT,38500,HC OPEN BX OR EXC LN; SUPERFICIAL,6180.89,1174.3691,1204.21,27119.0,406 CPT,38505,"HC NEEDLE BIOPSY, LYMPH NODES",15892.43,3019.5617,623.12,25798.0,406 CPT,38505,NEEDLE BIOPSY LYMPH NODES,,,623.12,25798.0,339 CPT,38510,BIOPSY/REMOVAL LYMPH NODES,,,1204.21,25798.0,339 CPT,38510,HC OPEN BX/EXC LN; DEEP CERV NODE(S),3585.55,681.2545,1204.21,25798.0,406 CPT,38520,BIOPSY/REMOVAL LYMPH NODES,,,1204.21,25798.0,339 CPT,38525,BIOPSY/REMOVAL LYMPH NODES,,,1204.21,27119.0,339 CPT,38525,HC OPEN BX/EXC LN; AXILLARY NODE(S),3740.24,710.6456,1204.21,27119.0,406 CPT,38530,BIOPSY/REMOVAL LYMPH NODES,,,1204.21,27119.0,339 CPT,38531,OPEN BX/EXC INGUINOFEM NODES,,,481.38,25798.0,339 CPT,38542,EXPLORE DEEP NODE(S) NECK,,,1930.46,25798.0,339 CPT,38542,HC DISSECTION DEEP JUGULAR NODE,18446.53,3504.8407,1930.46,25798.0,406 CPT,38570,LAPAROSCOPY LYMPH NODE BIOP,,,2425.14,25798.0,339 CPT,38571,LAPAROSCOPY LYMPHADENECTOMY,,,2742.05,26158.0,339 CPT,38572,HC LAP; W BTPL & LN BX SGLE/MULTI,30779.58,5848.1202,2742.05,30779.58,406 CPT,38572,LAPAROSCOPY LYMPHADENECTOMY,,,2742.05,26158.0,339 CPT,38573,LAPS PELVIC LYMPHADEC,,,2742.05,26158.0,339 CPT,38589,UNLISTED LAPS PX LYMPHTC SYS,,,2742.05,25798.0,333 CPT,38700,REMOVAL OF LYMPH NODES NECK,,,1930.46,25798.0,339 CPT,38720,REMOVAL OF LYMPH NODES NECK,,,1409.26,26158.0,339 CPT,38724,REMOVAL OF LYMPH NODES NECK,,,1385.0,25798.0,256 CPT,38740,REMOVE ARMPIT LYMPH NODES,,,2425.14,25798.0,339 CPT,38745,REMOVE ARMPIT LYMPH NODES,,,2425.14,25798.0,339 CPT,38760,REMOVE GROIN LYMPH NODES,,,1930.46,25798.0,339 CPT,38790,INJECT FOR LYMPHATIC X-RAY,,,85.36,25798.0,257 CPT,38792,HC IDENTIFY SENTINEL NODE,3817.4,725.306,32.08,25798.0,406 CPT,38792,RA TRACER ID OF SENTINL NODE,,,32.08,25798.0,358 CPT,38794,ACCESS THORACIC LYMPH DUCT,,,288.43,25798.0,257 CPT,38900,IO MAP OF SENT LYMPH NODE,,,145.97,25798.0,257 CPT,38999,HC UNLISTED PROCEDURE HEMIC OR LYMPHATIC SYSTEM,1161.16,220.6204,464.464,25798.0,400 CPT,38999,UNLISTD PX HEMIC/LYMPHTC SYS,,,517.32,25798.0,283 CPT,39200,RESECT MEDIASTINAL CYST,,,921.66,37761.3,234 CPT,39402,MEDIASTINOSCPY W/LMPH NOD BX,,,426.3,25798.0,339 CPT,40490,HC BIOPSY OF LIP,625.07,118.7633,90.28,25798.0,384 CPT,40500,HC PARTIAL EXCISION OF LIP,10105.44,1920.0336,1103.36,25798.0,406 CPT,40510,HC EXCISE LIP; TRANSVERSE WEDGE EXC 1' CL,8122.8,1543.332,1103.36,25798.0,406 CPT,40510,PARTIAL EXCISION OF LIP,,,1103.36,25798.0,339 CPT,40520,HC EXCISEF LIP; V-EXCISION W 1' DIR CLOSE,8053.5,1530.165,1103.36,25798.0,406 CPT,40525,RECONSTRUCT LIP WITH FLAP,,,1103.36,25798.0,339 CPT,40527,RECONSTRUCT LIP WITH FLAP,,,2478.14,25798.0,339 CPT,40530,PARTIAL REMOVAL OF LIP,,,1103.36,25798.0,339 CPT,40650,HC REPAIR LIP FT; VERMILION ONLY,4626.3,878.997,284.83,25798.0,406 CPT,40650,RPR LIP FTH VERMILION ONLY,,,284.83,25798.0,339 CPT,40652,HC REPAIR LIP FT; UP TO HALF VERTICAL HGHT,2215.5,420.945,284.83,25798.0,406 CPT,40652,RPR LIP FTH 1/2 V HGT OR COMPLEX,4203.93,798.7467,631.23,25798.0,406 CPT,40654,RPR LIP FTH>1HALF VER HT/CPX,,,631.23,25798.0,339 CPT,40700,REPAIR CLEFT LIP/NASAL,,,2478.14,28479.0,339 CPT,40701,REPAIR CLEFT LIP/NASAL,,,2478.14,28479.0,339 CPT,40720,REPAIR CLEFT LIP/NASAL,,,1103.36,25798.0,339 CPT,40761,REPAIR CLEFT LIP/NASAL,,,2478.14,25798.0,339 CPT,40799,UNLISTED PROCEDURE LIPS,,,274.79,26158.0,333 CPT,40800,HC DR ABSC CYST HEMAT-MOUTH; SIMPLE,1184.2,224.998,190.83,25798.0,384 CPT,40801,DRAINAGE OF MOUTH LESION,,,285.77,25798.0,339 CPT,40804,HC REMOVAL FOREIGN BODY MOUTH,2988.93,567.8967,62.66,25798.0,384 CPT,40805,REMOVAL FOREIGN BODY MOUTH,,,231.86,25798.0,317 CPT,40806,HC INCISION OF LABIAL FRENUM,1401.0,266.19,103.82,25798.0,384 CPT,40806,INCISION OF LIP FOLD,,,103.82,25798.0,317 CPT,40808,HC BIOPSY VESTIBULE MOUTH,971.2,184.528,172.36,25798.0,384 CPT,40810,EXCISION OF MOUTH LESION,,,152.81,25798.0,339 CPT,40810,HC EXC LES MOUTH VESTIBULE WO REPAIR,7321.37,1391.0603,152.81,25798.0,406 CPT,40812,EXCISE/REPAIR MOUTH LESION,,,175.8,25798.0,339 CPT,40812,HC EXC LES MOUTH VESTIBULE W SIMPLE REPAIR,8053.5,1530.165,175.8,25798.0,406 CPT,40814,EXCISE/REPAIR MOUTH LESION,,,595.93,25798.0,339 CPT,40816,EXCISION OF MOUTH LESION,,,595.93,25798.0,339 CPT,40816,HC EXC LES MOUTH VESTIBULE; CPLX W EXCL,8858.85,1683.1815,595.93,25798.0,406 CPT,40818,EXCISE ORAL MUCOSA FOR GRAFT,,,285.77,25798.0,339 CPT,40819,EXCISE LIP OR CHEEK FOLD,,,631.23,25798.0,339 CPT,40820,HC TREATMENT OF MOUTH LESION,11056.5,2100.735,190.71,25798.0,406 CPT,40820,TREATMENT OF MOUTH LESION,,,190.71,25798.0,339 CPT,40830,HC CL LACERATION MOUTH VESTIB; 2.5CM/ <,1627.57,309.2383,120.93,25798.0,384 CPT,40831,HC CL LACERATION MOUTH VESTIB; > 2.5 CM,2947.99,560.1181,285.77,25798.0,406 CPT,40840,RECONSTRUCTION OF MOUTH,,,595.93,25798.0,339 CPT,40844,RECONSTRUCTION OF MOUTH,,,595.93,25798.0,317 CPT,40845,RECONSTRUCTION OF MOUTH,,,595.93,25798.0,339 CPT,40899,HC UNLISTED PROCEDURE VESTIBULE OF MOUTH,808.1,153.539,274.79,25798.0,400 CPT,41009,HC I&D ABSC/CYS FOM; MASTIC SPACE,1627.57,309.2383,285.77,25798.0,406 CPT,41010,HC INCISION OF LINGUAL FRENUM,1202.83,228.5377,481.132,25798.0,406 CPT,41010,INCISION OF TONGUE FOLD,,,631.23,25798.0,339 CPT,41100,BIOPSY OF TONGUE,,,135.84,25798.0,339 CPT,41100,HC BIOPSY TONGUE ANTERIOR TWO-THIRDS,2462.22,467.8218,135.84,25798.0,406 CPT,41105,HC BIOPSY TONGUE POSTERIOR ONE-THIRD,2515.91,478.0229,123.0,25798.0,406 CPT,41108,BIOPSY OF FLOOR OF MOUTH,,,117.4,25798.0,339 CPT,41108,HC BIOPSY FLOOR MOUTH,1431.05,271.8995,117.4,25798.0,406 CPT,41110,EXCISION OF TONGUE LESION,,,156.55,25798.0,339 CPT,41110,HC EXCISE TONGUE LESION WO CLOSURE,8683.29,1649.8251,156.55,25798.0,406 CPT,41112,EXCISION OF TONGUE LESION,,,1103.36,25798.0,339 CPT,41112,HC EXC TONGUE LESION W CL; ANT 2/3,8452.35,1605.9465,1103.36,25798.0,406 CPT,41113,EXCISION OF TONGUE LESION,,,1103.36,25798.0,339 CPT,41115,EXCISION OF TONGUE FOLD,,,176.42,25798.0,339 CPT,41115,HC EXCISION LINGUAL FRENUM,1619.08,307.6252,176.42,25798.0,406 CPT,41116,EXCISION OF MOUTH LESION,,,595.93,25798.0,339 CPT,41116,HC EXCISION OF MOUTH LESION,10105.44,1920.0336,595.93,25798.0,406 CPT,41120,PARTIAL REMOVAL OF TONGUE,,,2478.14,25798.0,339 CPT,41135,TONGUE AND NECK SURGERY,,,1717.0,25798.0,234 CPT,41250,HC REPAIR TONGUE LACERATION,1381.99,262.5781,81.65,25798.0,406 CPT,41252,HC REPAIR TONGUE LACERATION,2073.51,393.9669,120.93,25798.0,406 CPT,41520,RECONSTRUCTION TONGUE FOLD,,,1103.36,25798.0,339 CPT,41599,HC UNLISTED PX TONGUE FLR MOUTH,838.83,159.3777,274.79,26158.0,400 CPT,41800,DRAINAGE OF GUM LESION,,,101.95,25798.0,339 CPT,41800,HC DR ABSC CYST HEMATOM - DENTOALVEOLAR,1281.82,243.5458,101.95,25798.0,406 CPT,41825,EXCISION OF GUM LESION,,,154.69,25798.0,339 CPT,41825,HC EXC LES/TUMOR DENTOALVEOLAR WO REPAIR,8455.99,1606.6381,154.69,25798.0,406 CPT,41826,EXCISION OF GUM LESION,,,196.61,25798.0,339 CPT,41827,EXCISION OF GUM LESION,,,595.93,25798.0,339 CPT,41828,HC EXCISION OF GUM LESION,4996.83,949.3977,215.24,25798.0,406 CPT,41830,HC ALVEOLECTOMY INCL CURETTAGE OF OSTEITIS,9995.8,1899.202,304.08,25798.0,406 CPT,41872,GINGIVOPLASTY EACH QUADRANT,,,318.04,25798.0,249 CPT,41874,ALVEOLOPLASTY EACH QUADRANT,,,255.62,25798.0,339 CPT,41899,HC UNLISTED PROCEDURE DENTOALVEOLAR STRUCT,303.02,57.5738,121.208,25798.0,400 CPT,41899,UNLISTED PX DENTALVLR STRUX,,,274.79,25798.0,283 CPT,42000,HC DRAINAGE OF ABSCESS OF PALATE UVULA,1179.54,224.1126,120.93,25798.0,406 CPT,42100,"HC BIOPSY OF PALETE, UVULA",1541.37,292.8603,88.52,25798.0,406 CPT,42104,EXCISION LESION MOUTH ROOF,,,142.56,27121.0,339 CPT,42104,HC EXC LESION PALATE UVULA; WO CLOSURE,8455.99,1606.6381,142.56,27121.0,406 CPT,42106,EXCISION LESION MOUTH ROOF,,,160.89,27121.0,339 CPT,42107,EXCISION LESION MOUTH ROOF,,,2231.56,27121.0,339 CPT,42140,EXCISION OF UVULA,,,1103.36,25798.0,339 CPT,42145,REPAIR PALATE PHARYNX/UVULA,,,2478.14,27121.0,339 CPT,42200,RECONSTRUCT CLEFT PALATE,,,2478.14,28479.0,339 CPT,42205,RECONSTRUCT CLEFT PALATE,,,1103.36,28479.0,339 CPT,42210,RECONSTRUCT CLEFT PALATE,,,2478.14,28479.0,339 CPT,42215,RECONSTRUCT CLEFT PALATE,,,2478.14,28479.0,339 CPT,42220,RECONSTRUCT CLEFT PALATE,,,2478.14,28479.0,339 CPT,42225,RECONSTRUCT CLEFT PALATE,,,2478.14,28479.0,339 CPT,42227,LENGTHENING OF PALATE,,,2478.14,27121.0,317 CPT,42235,REPAIR PALATE,,,2478.14,27121.0,339 CPT,42260,REPAIR NOSE TO LIP FISTULA,,,2478.14,25798.0,339 CPT,42300,HC DRAINAGE OF ABSCESS; PAROTID SIMPLE,4040.12,767.6228,289.07,25798.0,406 CPT,42310,HC DRAINAGE OF SALIVARY GLAND,1754.17,333.2923,285.77,25798.0,406 CPT,42330,HC SIALOLITHOTOMY; SM UNCOMPLICATED,8455.99,1606.6381,138.84,25798.0,406 CPT,42330,REMOVAL OF SALIVARY STONE,,,138.84,25798.0,339 CPT,42335,REMOVAL OF SALIVARY STONE,,,279.54,25798.0,339 CPT,42340,REMOVAL OF SALIVARY STONE,,,595.93,25798.0,317 CPT,42400,BIOPSY OF SALIVARY GLAND,,,85.76,25798.0,339 CPT,42400,HC BIOPSY SALIVARY GLAND; NEEDLE,2137.31,406.0889,85.76,25798.0,406 CPT,42405,BIOPSY OF SALIVARY GLAND,,,595.93,25798.0,339 CPT,42405,HC BIOPSY SALIVARY GLAND; INCISIONAL,7253.78,1378.2182,595.93,25798.0,406 CPT,42408,EXCISION OF SALIVARY CYST,,,595.93,25798.0,339 CPT,42409,HC MARSUPIALIZE SUBLINGUAL SALIVARY CYST,8455.99,1606.6381,595.93,25798.0,406 CPT,42410,EXCISE PAROTID GLAND/LESION,,,2478.14,25798.0,339 CPT,42415,EXCISE PAROTID GLAND/LESION,,,2478.14,25798.0,339 CPT,42420,EXCISE PAROTID GLAND/LESION,,,2478.14,42034.0,339 CPT,42425,EXCISE PAROTID GLAND/LESION,,,2478.14,42034.0,339 CPT,42440,EXCISE SUBMAXILLARY GLAND,,,2478.14,25798.0,339 CPT,42450,EXCISE SUBLINGUAL GLAND,,,2478.14,25798.0,339 CPT,42500,REPAIR SALIVARY DUCT,,,595.93,25798.0,339 CPT,42650,DILATION OF SALIVARY DUCT,,,42.24,25798.0,339 CPT,42660,DILATION OF SALIVARY DUCT,,,88.23,25798.0,317 CPT,42665,LIGATION OF SALIVARY DUCT,,,289.07,25798.0,317 CPT,42699,UNLISTED PX SALIVRY GLND/DUX,,,274.79,26158.0,333 CPT,42700,DRAINAGE OF TONSIL ABSCESS,,,120.93,25798.0,339 CPT,42700,HC I&D ABSCESS; PERITONSILLAR,1148.7,218.253,120.93,25798.0,406 CPT,42720,HC DRAINAGE OF THROAT ABSCESS,10610.71,2016.0349,1103.36,25798.0,406 CPT,42800,BIOPSY OF THROAT,,,96.28,25798.0,339 CPT,42800,"HC BIOPSY, OROPHARYNX",2515.91,478.0229,96.28,25798.0,406 CPT,42804,BIOPSY OF UPPER NOSE/THROAT,,,1103.36,25798.0,339 CPT,42804,HC BX; NASOPHARYNX VISIBLE LESION SIMPLE,4738.05,900.2295,1103.36,25798.0,406 CPT,42806,BIOPSY OF UPPER NOSE/THROAT,,,1103.36,25798.0,339 CPT,42806,HC BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION,4738.05,900.2295,1103.36,25798.0,406 CPT,42808,EXCISE PHARYNX LESION,,,1103.36,25798.0,339 CPT,42808,HC EXCISE OR DESTROY PHARYNX LESION,8231.64,1564.0116,1103.36,25798.0,406 CPT,42809,HC REMOVE PHARYNX FOREIGN BODY,1165.17,221.3823,62.66,25798.0,406 CPT,42809,REMOVE PHARYNX FOREIGN BODY,,,62.66,25798.0,339 CPT,42810,EXCISION OF NECK CYST,,,1103.36,25798.0,339 CPT,42810,HC EXC BRANCHIAL CLEFT CYST CONFINED SKN&SUBQ TISS,3051.68,579.8192,1103.36,25798.0,406 CPT,42815,EXCISION OF NECK CYST,,,2478.14,25798.0,339 CPT,42815,HC EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS&/PHRNX,5848.76,1111.2644,2339.504,25798.0,406 CPT,42820,REMOVE TONSILS AND ADENOIDS,,,1937.39,25798.0,339 CPT,42821,REMOVE TONSILS AND ADENOIDS,,,1103.36,25798.0,339 CPT,42825,REMOVAL OF TONSILS,,,1937.39,25798.0,339 CPT,42826,REMOVAL OF TONSILS,,,1103.36,25798.0,339 CPT,42830,REMOVAL OF ADENOIDS,,,1103.36,25798.0,339 CPT,42831,REMOVAL OF ADENOIDS,,,1103.36,25798.0,339 CPT,42835,REMOVAL OF ADENOIDS,,,1103.36,25798.0,339 CPT,42836,REMOVAL OF ADENOIDS,,,1103.36,25798.0,339 CPT,42860,EXCISION OF TONSIL TAGS,,,1103.36,25798.0,317 CPT,42950,RECONSTRUCTION OF THROAT,,,2478.14,25798.0,339 CPT,42960,CONTROL THROAT BLEEDING,,,285.77,25798.0,339 CPT,42960,HC CONT OROPHARYN HEMOR SMP,1483.42,281.8498,285.77,25798.0,406 CPT,42962,CONTROL THROAT BLEEDING,,,1103.36,25798.0,339 CPT,42970,CONTROL NOSE/THROAT BLEEDING,,,120.93,25798.0,317 CPT,42970,HCSIMPLE CNTRL NOSE BLEED,3571.61,678.6059,120.93,25798.0,384 CPT,42972,CONTROL NOSE/THROAT BLEEDING,,,1103.36,25798.0,339 CPT,42975,DISE EVAL SLP DO BRTH FLX DX,,,100.35,25798.0,339 CPT,42999,HC UNLISTED PROCEDURE PHARYNX ADENOIDS,760.5,144.495,274.79,25798.0,400 CPT,42999,UNLISTED PX PHRNX ADND/TNSL,,,274.79,25798.0,283 CPT,43030,CRICOPHARYNGEAL MYOTOMY,,,2478.14,25798.0,339 CPT,43180,ESOPHAGOSCOPY RIGID TRNSO,,,1349.59,25798.0,339 CPT,43191,ESOPHAGOSCOPY RIGID TRNSO DX,,,731.94,25798.0,339 CPT,43192,ESOPHAGOSCP RIG TRNSO INJECT,,,731.94,25798.0,339 CPT,43193,ESOPHAGOSCP RIG TRNSO BIOPSY,,,731.94,25798.0,339 CPT,43194,ESOPHAGOSCP RIG TRNSO REM FB,,,731.94,25798.0,339 CPT,43195,ESOPHAGOSCOPY RIGID BALLOON,,,1349.59,25798.0,339 CPT,43196,ESOPHAGOSCP GUIDE WIRE DILAT,,,829.78,25798.0,339 CPT,43197,ESOPHAGOSCOPY FLEX DX BRUSH,,,146.51,25798.0,339 CPT,43197,HC ESOPHAGOSCOPY FLEX DX BRUSH,2722.27,517.2313,146.51,25798.0,406 CPT,43198,ESOPHAGOSC FLEX TRNSN BIOPSY,,,155.53,25798.0,339 CPT,43198,HC ESOPHAGOSC FLEX TRNSN BIOPSY,2722.27,517.2313,155.53,25798.0,406 CPT,43200,ESOPHAGOSCOPY FLEXIBLE BRUSH,,,446.75,39142.0,339 CPT,43200,HC ESOPHAGOSCOPY DIAGNOSTIC,1116.22,212.0818,446.488,39142.0,406 CPT,43201,ESOPH SCOPE W/SUBMUCOUS INJ,,,731.94,39142.0,339 CPT,43202,ESOPHAGOSCOPY FLEX BIOPSY,,,731.94,39142.0,339 CPT,43212,ESOPHAGOSCOP STENT PLACEMENT,,,1349.59,39142.0,339 CPT,43215,HC ESOPHAGOSCOPY FLEX REMOVE FB,1628.77,309.4663,651.508,39142.0,406 CPT,43220,ESOPHAGOSCOPY BALLOON <30MM,,,731.94,13453.0,339 CPT,43226,ESOPH ENDOSCOPY DILATION,,,731.94,13453.0,339 CPT,43229,ESOPHAGOSCOPY LESION ABLATE,,,1279.2,39142.0,339 CPT,43231,ESOPHAGOSCOP ULTRASOUND EXAM,,,731.94,13453.0,339 CPT,43232,ESOPHAGOSCOPY W/US NEEDLE BX,,,731.94,13453.0,339 CPT,43233,EGD BALLOON DIL ESOPH30 MM/>,,,731.94,13453.0,339 CPT,43235,EGD DIAGNOSTIC BRUSH WASH,,,446.75,13453.0,339 CPT,43235,HC UGI DIAGNOSTIC,3344.09,635.3771,446.75,13453.0,406 CPT,43236,HC UGI W SUBMUCOS INJ,1493.56,283.7764,446.75,13453.0,406 CPT,43236,UPPR GI SCOPE W/SUBMUC INJ,,,446.75,13453.0,339 CPT,43237,ENDOSCOPIC US EXAM ESOPH,,,731.94,13453.0,339 CPT,43238,EGD US FINE NEEDLE BX/ASPIR,,,731.94,13453.0,339 CPT,43239,EGD BIOPSY SINGLE/MULTIPLE,,,446.75,13453.0,339 CPT,43239,HC UGI W BX. SGL/MULTIPLE,1464.39,278.2341,446.75,13453.0,406 CPT,43240,EGD W/TRANSMURAL DRAIN CYST,,,1349.59,14087.92,339 CPT,43241,EGD TUBE/CATH INSERTION,,,731.94,13453.0,339 CPT,43242,EGD US FINE NEEDLE BX/ASPIR,,,731.94,13453.0,339 CPT,43243,HC UGI W INJ FOR VARICES,2272.03,431.6857,731.94,39142.0,406 CPT,43244,EGD VARICES LIGATION,,,731.94,39142.0,339 CPT,43244,HC UGI W BAND LIGATION OF VARICES,2501.52,475.2888,731.94,39142.0,406 CPT,43245,EGD DILATE STRICTURE,,,731.94,13453.0,339 CPT,43245,HC UGI GO DIL FOR OBSTR,1628.77,309.4663,651.508,13453.0,406 CPT,43246,EGD PLACE GASTROSTOMY TUBE,,,731.94,24842.0,339 CPT,43246,HC EGD PLACE GASTROSTOMY TUBE,4568.26,867.9694,731.94,24842.0,406 CPT,43247,EGD REMOVE FOREIGN BODY,,,446.75,13453.0,339 CPT,43247,HC EGD REMOVE FOREIGN BODY,1707.83,324.4877,446.75,13453.0,406 CPT,43248,EGD GUIDE WIRE INSERTION,,,446.75,13453.0,339 CPT,43248,HC UGI W GUIDE WIRE AND DILATION,1601.32,304.2508,446.75,13453.0,406 CPT,43249,ESOPH EGD DILATION <30 MM,,,731.94,13453.0,339 CPT,43249,HC UGI BALLOON DIL ESOPH - < 30 MM DIA,1628.77,309.4663,651.508,13453.0,406 CPT,43250,EGD CAUTERY TUMOR POLYP,,,731.94,39142.0,339 CPT,43250,HC EGD CAUTERY TUMOR POLYP,1628.77,309.4663,651.508,39142.0,406 CPT,43251,EGD REMOVE LESION SNARE,,,731.94,39142.0,339 CPT,43251,HC UGI WITH REM T/P/LES BY SNARE,1858.71,353.1549,731.94,39142.0,406 CPT,43252,EGD OPTICAL ENDOMICROSCOPY,,,829.78,36164.0,339 CPT,43253,EGD US TRANSMURAL INJXN/MARK,,,731.94,36164.0,339 CPT,43254,EGD ENDO MUCOSAL RESECTION,,,731.94,36164.0,339 CPT,43255,EGD CONTROL BLEEDING ANY,,,731.94,39142.0,339 CPT,43255,HC UGI W CONTROL OF BLEED,2397.55,455.5345,731.94,39142.0,406 CPT,43259,EGD US EXAM DUODENUM/JEJUNUM,,,731.94,13453.0,339 CPT,43260,ERCP W/SPECIMEN COLLECTION,,,1419.05,13453.0,339 CPT,43261,ENDO CHOLANGIOPANCREATOGRAPH,,,1419.05,13453.0,339 CPT,43262,ENDO CHOLANGIOPANCREATOGRAPH,,,1419.05,13453.0,339 CPT,43264,ERCP REMOVE DUCT CALCULI,,,1419.05,13453.0,339 CPT,43265,ERCP LITHOTRIPSY CALCULI,,,1923.83,14087.92,339 CPT,43266,EGD ENDOSCOPIC STENT PLACE,,,1349.59,39142.0,339 CPT,43270,EGD LESION ABLATION,,,731.94,39142.0,339 CPT,43270,HC EDG ABLATE TUMOR POLYP/LESION W/DILATION& WIRE,3602.04,684.3876,731.94,39142.0,406 CPT,43273,ENDOSCOPIC PANCREATOSCOPY,,,130.02,13453.0,257 CPT,43274,ERCP DUCT STENT PLACEMENT,,,1923.83,14087.92,339 CPT,43275,ERCP REMOVE FORGN BODY DUCT,,,829.78,13453.0,339 CPT,43276,ERCP STENT EXCHANGE W/DILATE,,,1923.83,14087.92,339 CPT,43277,ERCP EA DUCT/AMPULLA DILATE,,,1419.05,36164.0,339 CPT,43278,ERCP LESION ABLATE W/DILATE,,,1419.05,36164.0,339 CPT,43279,LAP MYOTOMY HELLER,,,1317.0,26158.0,256 CPT,43280,LAPAROSCOPY FUNDOPLASTY,,,1157.02,26158.0,339 CPT,43281,LAP PARAESOPHAG HERN REPAIR,,,1643.36,26158.0,339 CPT,43282,LAP PARAESOPH HER RPR W/MESH,,,1852.75,26158.0,339 CPT,43283,LAP ESOPH LENGTHENING,,,166.45,37761.3,234 CPT,43284,LAPS ESOPHGL SPHNCTR AGMNTJ,,,3131.0,26158.0,248 CPT,43289,UNLISTED LAPS PX ESOPH,,,2378.17,25798.0,333 CPT,43290,EGD FLX TRNSORL DPLMNT BALO,,,184.04,25798.0,339 CPT,43291,EGD FLX TRNSORL RMVL BALO,,,164.4,25798.0,339 CPT,43420,REPAIR ESOPHAGUS OPENING,,,1056.97,25798.0,317 CPT,43450,DILATE ESOPHAGUS 1/MULT PASS,,,446.75,25798.0,339 CPT,43450,HC DILATE ESOPH UNGUIDED SND/BOUG,1116.22,212.0818,446.488,25798.0,406 CPT,43453,DILATE ESOPHAGUS,,,731.94,25798.0,339 CPT,43497,TRANSORL LWR ESOPHGL MYOTOMY,,,810.29,25798.0,339 CPT,43499,UNLISTED PROCEDURE ESOPHAGUS,,,1109.41,39142.0,333 CPT,43644,LAP GASTRIC BYPASS/ROUX-EN-Y,,,1771.45,52476.0,256 CPT,43653,LAPAROSCOPY GASTROSTOMY,,,2425.14,25798.0,339 CPT,43659,UNLISTED LAPS PX STOMACH,,,2378.17,52476.0,333 CPT,43752,HC NAS/ORO-GAS PHYS&FLO GDN,462.5,87.875,185.0,25798.0,384 CPT,43752,NASAL/OROGASTRIC W/TUBE PLMT,,,204.24,25798.0,317 CPT,43753,HC TX GASTRO INTUB W/ASP,355.01,67.4519,24.49,25798.0,316 CPT,43754,HC DX GASTRINTUB W/ASP SNGL,315.13,59.8747,45.36,25798.0,316 CPT,43755,HC DX GASTRINTUB W/ASP SPEC,679.0,129.01,79.76,25798.0,406 CPT,43762,HC RPLC GTUBE NO REVJ TRC,853.74,162.2106,135.76,25798.0,406 CPT,43762,RPLC GTUBE NO REVJ TRC,,,135.76,25798.0,339 CPT,43763,HC RPLC GTUBE REVJ GSTRST TRC,1138.33,216.2827,135.76,25798.0,406 CPT,43770,LAP PLACE GASTR ADJ DEVICE,,,1214.26,52476.0,339 CPT,43771,LAP REVISE GASTR ADJ DEVICE,,,1229.0,52476.0,256 CPT,43772,LAP RMVL GASTR ADJ DEVICE,,,1023.94,52476.0,339 CPT,43773,LAP REPLACE GASTR ADJ DEVICE,,,1377.5,52476.0,339 CPT,43774,LAP RMVL GASTR ADJ ALL PARTS,,,1037.23,52476.0,339 CPT,43775,LAP SLEEVE GASTRECTOMY,,,1185.27,52476.0,256 CPT,43846,GASTRIC BYPASS FOR OBESITY,,,1570.02,52476.0,256 CPT,43847,GASTRIC BYPASS INCL SMALL I,,,1741.58,52476.0,256 CPT,43870,REPAIR STOMACH OPENING,,,1419.05,25798.0,339 CPT,43886,REVISE GASTRIC PORT OPEN,,,1622.72,52476.0,339 CPT,43887,REMOVE GASTRIC PORT OPEN,,,855.0,52476.0,339 CPT,43888,CHANGE GASTRIC PORT OPEN,,,1622.72,52476.0,339 CPT,43999,HC UNLISTED PROCEDURE STOMACH,2672.68,6000.0,1069.072,55147.0,400 CPT,43999,UNLISTED PROCEDURE STOMACH,,,1109.41,55147.0,283 CPT,44050,REDUCE BOWEL OBSTRUCTION,,,897.0,37761.3,256 CPT,44120,REMOVAL OF SMALL INTESTINE,,,1076.0,37761.3,256 CPT,44180,HC LAP ENTEROLYSIS,17950.07,3410.5133,987.95,25798.0,406 CPT,44180,LAP ENTEROLYSIS,,,987.95,25798.0,339 CPT,44205,LAP COLECTOMY PART W/ILEUM,,,1394.0,37761.3,234 CPT,44227,LAP CLOSE ENTEROSTOMY,,,1704.47,37761.3,256 CPT,44238,UNLISTED LAPS PX INTESTINE,,,3019.58,25798.0,333 CPT,44312,REVISION OF ILEOSTOMY,,,1622.72,25798.0,339 CPT,44340,REVISION OF COLOSTOMY,,,1622.72,25798.0,339 CPT,44360,SMALL BOWEL ENDOSCOPY,,,731.94,13453.0,339 CPT,44361,HC SMALL INTESTINE ENDO W BX; SINGLE/MULTI,1628.77,309.4663,651.508,13453.0,406 CPT,44361,SMALL BOWEL ENDOSCOPY/BIOPSY,,,731.94,13453.0,339 CPT,44364,SMALL BOWEL ENDOSCOPY,,,731.94,13453.0,339 CPT,44366,SMALL BOWEL ENDOSCOPY,,,731.94,13453.0,339 CPT,44369,SMALL BOWEL ENDOSCOPY,,,731.94,13453.0,339 CPT,44373,SMALL BOWEL ENDOSCOPY,,,731.94,13453.0,339 CPT,44376,SMALL BOWEL ENDOSCOPY,,,731.94,13453.0,339 CPT,44377,SMALL BOWEL ENDOSCOPY/BIOPSY,,,731.94,13453.0,339 CPT,44378,SMALL BOWEL ENDOSCOPY,,,731.94,13453.0,339 CPT,44380,SMALL BOWEL ENDOSCOPY BR/WA,,,446.75,13453.0,339 CPT,44382,SMALL BOWEL ENDOSCOPY,,,446.75,13453.0,339 CPT,44385,ENDOSCOPY OF BOWEL POUCH,,,436.98,13453.0,339 CPT,44386,ENDOSCOPY BOWEL POUCH/BIOP,,,436.98,13453.0,339 CPT,44388,COLONOSCOPY THRU STOMA SPX,,,436.98,13453.0,339 CPT,44389,COLONOSCOPY WITH BIOPSY,,,574.79,13453.0,339 CPT,44394,COLONOSCOPY W/SNARE,,,574.79,39142.0,339 CPT,44404,COLONOSCOPY W/INJECTION,,,574.79,25798.0,339 CPT,44405,COLONOSCOPY W/DILATION,,,574.79,25798.0,339 CPT,44602,SUTURE SMALL INTESTINE,,,978.0,25798.0,234 CPT,44620,REPAIR BOWEL OPENING,,,778.0,37761.3,234 CPT,44705,PREPARE FECAL MICROBIOTA,,,78.93,25798.0,316 CPT,44799,HC UNLISTED PX SMALL INTESTINE,2809.52,533.8088,1109.41,39142.0,400 CPT,44799,UNLISTED PX SMALL INTESTINE,,,1109.41,39142.0,283 CPT,44899,UNLISTED PX MECKEL'S DVRTCLM,,,3019.58,37761.3,247 CPT,44950,APPENDECTOMY,,,689.96,47730.0,339 CPT,44970,HC LAPAROSCOPY; APPENDECTOMY,15940.62,3028.7178,649.62,47730.0,406 CPT,44970,LAPAROSCOPY APPENDECTOMY,,,649.62,47730.0,339 CPT,44979,UNLISTED LAPS PX APPENDIX,,,3019.58,47730.0,333 CPT,45000,DRAINAGE OF PELVIC ABSCESS,,,574.79,25798.0,339 CPT,45005,HC DRAINAGE OF RECTAL ABSCESS,4319.65,820.7335,574.79,25798.0,406 CPT,45020,DRAINAGE OF RECTAL ABSCESS,,,1297.94,25798.0,339 CPT,45020,HC DRAINAGE OF RECTAL ABSCESS,4892.73,929.6187,1297.94,25798.0,406 CPT,45100,BIOPSY OF RECTUM,,,1297.94,25798.0,339 CPT,45100,HC BIOPSY OF ANORECTAL WALL ANAL APPROACH,6519.18,1238.6442,1297.94,25798.0,406 CPT,45171,EXC RECT TUM TRANSANAL PART,,,1297.94,25798.0,339 CPT,45172,EXC RECT TUM TRANSANAL FULL,,,1297.94,25798.0,339 CPT,45190,DESTRUCTION RECTAL TUMOR,,,1297.94,25798.0,339 CPT,45300,HC PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX,925.44,175.8336,104.23,13453.0,406 CPT,45300,PROCTOSIGMOIDOSCOPY DX,,,104.23,13453.0,339 CPT,45305,PROCTOSIGMOIDOSCOPY W/BX,,,574.79,13453.0,339 CPT,45308,PROCTOSIGMOIDOSCOPY REMOVAL,,,1222.82,13453.0,339 CPT,45320,PROCTOSIGMOIDOSCOPY ABLATE,,,1222.82,39142.0,339 CPT,45330,DIAGNOSTIC SIGMOIDOSCOPY,,,160.87,13453.0,339 CPT,45330,HC DIAGNOSTIC SIGMOIDOSCOPY,3054.21,580.2999,160.87,13453.0,406 CPT,45331,HC SIGMOIDOSCOPY FLEX W BX,3054.21,580.2999,436.98,13453.0,406 CPT,45331,SIGMOIDOSCOPY AND BIOPSY,,,436.98,13453.0,339 CPT,45332,HC SIGMOIDOSCOPY W/FB REMOVAL,3979.89,756.1791,574.79,13453.0,406 CPT,45332,SIGMOIDOSCOPY W/FB REMOVAL,,,574.79,13453.0,339 CPT,45333,HC SIGMOIDOSCOPY & POLYPECTOMY,3054.21,580.2999,436.98,36164.0,406 CPT,45333,SIGMOIDOSCOPY & POLYPECTOMY,,,436.98,36164.0,339 CPT,45334,HC SIGMOIDOSCOPY FOR BLEEDING,3979.89,756.1791,574.79,36164.0,406 CPT,45334,SIGMOIDOSCOPY FOR BLEEDING,,,574.79,36164.0,339 CPT,45335,HC SIGMOIDOSCOPE W/SUBMUC INJ,3054.21,580.2999,436.98,36164.0,406 CPT,45335,SIGMOIDOSCOPY W/SUBMUC INJ,,,436.98,36164.0,339 CPT,45337,HC SIGMOIDOSCOPY & DECOMPRESS,3054.21,580.2999,574.79,36164.0,406 CPT,45337,SIGMOIDOSCOPY & DECOMPRESS,,,574.79,36164.0,339 CPT,45338,HC SIGMOIDOSCOPY W REM T/P/LES BY SNARE,3979.89,756.1791,574.79,36164.0,406 CPT,45338,SIGMOIDOSCOPY W/TUMR REMOVE,,,574.79,36164.0,339 CPT,45340,HC SIG W/TNDSC BALLOON DILATION,3979.89,756.1791,574.79,13453.0,406 CPT,45340,SIG W/TNDSC BALLOON DILATION,,,574.79,13453.0,339 CPT,45341,SIGMOIDOSCOPY W/ULTRASOUND,,,574.79,13453.0,339 CPT,45342,SIGMOIDOSCOPY W/US GUIDE BX,,,574.79,13453.0,339 CPT,45346,HC SIGMOIDOSCOPY W/ABLATION,3979.89,756.1791,574.79,39142.0,406 CPT,45346,SIGMOIDOSCOPY W/ABLATION,,,574.79,39142.0,339 CPT,45347,SIGMOIDOSCOPY W/PLCMT STENT,,,1222.82,14087.92,339 CPT,45349,SIGMOIDOSCOPY W/RESECTION,,,574.79,13453.0,339 CPT,45350,SGMDSC W/BAND LIGATION,,,574.79,13453.0,339 CPT,45378,DIAGNOSTIC COLONOSCOPY,,,436.98,13453.0,339 CPT,45378,HC DIAGNOSTIC COLONOSCOPY,1851.1,351.709,436.98,13453.0,406 CPT,45379,COLONOSCOPY W/FB REMOVAL,,,574.79,13453.0,339 CPT,45379,HC COLONOSCOPY W/FB REMOVAL,2316.41,440.1179,574.79,13453.0,406 CPT,45380,COLONOSCOPY AND BIOPSY,,,574.79,13453.0,339 CPT,45380,HC COLONOSCOPY AND BIOPSY,2206.1,419.159,574.79,13453.0,406 CPT,45381,COLONOSCOPY SUBMUCOUS NJX,,,574.79,13453.0,339 CPT,45381,HC COLONOSCOPY SUBMUCOUS NJX,2095.8,398.202,574.79,13453.0,406 CPT,45382,COLONOSCOPY W/CONTROL BLEED,,,574.79,39142.0,339 CPT,45382,HC COLONOSCOPY W/CONTROL BLEED,2801.75,532.3325,574.79,39142.0,406 CPT,45384,COLONOSCOPY W/LESION REMOVAL,,,574.79,13453.0,339 CPT,45384,HC COLONOSCOPY W/LESION REMOVAL,2316.41,440.1179,574.79,13453.0,406 CPT,45385,COLONOSCOPY W/LESION REMOVAL,,,574.79,13453.0,339 CPT,45385,HC COLONOSCOPY W/LESION REMOVAL,2625.26,498.7994,574.79,13453.0,406 CPT,45386,COLONOSCOPY W/BALLOON DILAT,,,574.79,13453.0,339 CPT,45386,HC COLONOSCOPY W/BALLOON DILAT,2272.28,431.7332,574.79,13453.0,406 CPT,45388,COLONOSCOPY W/ABLATION,,,574.79,39142.0,339 CPT,45388,HC COLONOSCOPY W/ABLATION,3538.62,672.3378,574.79,39142.0,406 CPT,45389,COLONOSCOPY W/STENT PLCMT,,,1222.82,14087.92,339 CPT,45390,COLONOSCOPY W/RESECTION,,,574.79,13453.0,339 CPT,45391,COLONOSCOPY W/ENDOSCOPE US,,,574.79,13453.0,339 CPT,45392,COLONOSCOPY W/ENDOSCOPIC FNB,,,574.79,13453.0,339 CPT,45398,COLONOSCOPY W/BAND LIGATION,,,574.79,13453.0,339 CPT,45399,UNLISTED PROCEDURE COLON,,,1078.83,26158.0,333 CPT,45400,LAPAROSCOPIC PROC,,,1174.35,37761.3,256 CPT,45499,LAPAROSCOPE PROC RECTUM,,,1492.25,26158.0,311 CPT,45505,REPAIR OF RECTUM,,,1297.94,25798.0,339 CPT,45520,TREATMENT OF RECTAL PROLAPSE,,,91.99,25798.0,317 CPT,45541,CORRECT RECTAL PROLAPSE,,,1297.94,25798.0,339 CPT,45560,REPAIR OF RECTOCELE,,,1297.94,25798.0,339 CPT,45900,HC REDUCTION OF RECTAL PROLAPSE,1798.59,341.7321,436.98,25798.0,406 CPT,45905,DILATION OF ANAL SPHINCTER,,,574.79,25798.0,339 CPT,45910,DILATION OF RECTAL NARROWING,,,574.79,25798.0,339 CPT,45915,HC REMOVE RECTAL OBSTRUCTION,4319.65,820.7335,574.79,25798.0,406 CPT,45915,REMOVE RECTAL OBSTRUCTION,,,574.79,25798.0,339 CPT,45990,SURG DX EXAM ANORECTAL,,,1297.94,25798.0,339 CPT,45999,HC UNLISTED PROCEDURE RECTUM,2136.23,405.8837,854.492,25798.0,400 CPT,45999,UNLISTED PROCEDURE RECTUM,,,855.0,25798.0,283 CPT,46020,PLACEMENT OF SETON,,,1297.94,25798.0,339 CPT,46030,REMOVAL ANAL SETON OTH MRK,,,574.79,25798.0,339 CPT,46040,HC INCISION OF RECTAL ABSCESS,3591.89,682.4591,574.79,25798.0,406 CPT,46040,INCISION OF RECTAL ABSCESS,,,574.79,25798.0,339 CPT,46045,HC INCISION OF RECTAL ABSCESS,7261.96,1379.7724,1297.94,25798.0,406 CPT,46045,INCISION OF RECTAL ABSCESS,,,1297.94,25798.0,339 CPT,46050,HC INCISION OF ANAL ABSCESS,7272.53,1381.7807,436.98,25798.0,406 CPT,46050,INCISION OF ANAL ABSCESS,,,436.98,25798.0,339 CPT,46060,INCISION OF RECTAL ABSCESS,,,1297.94,25798.0,339 CPT,46080,INCISION OF ANAL SPHINCTER,,,1297.94,25798.0,339 CPT,46083,HC INCISE EXTERNAL HEMORRHOID,921.74,175.1306,135.76,25798.0,406 CPT,46200,REMOVAL OF ANAL FISSURE,,,1297.94,25798.0,339 CPT,46220,EXCISE ANAL EXT TAG/PAPILLA,,,574.79,25798.0,339 CPT,46221,HC LIGATION OF HEMORRHOID(S),1984.23,377.0037,207.24,25798.0,406 CPT,46221,LIGATION OF HEMORRHOID(S),,,207.24,25798.0,339 CPT,46230,REMOVAL OF ANAL TAGS,,,1297.94,25798.0,339 CPT,46250,HC REMOVE EXT HEM GROUPS 2+,9475.42,1800.3298,1297.94,25798.0,406 CPT,46250,REMOVE EXT HEM GROUPS 2+,,,1297.94,25798.0,339 CPT,46255,REMOVE INT/EXT HEM 1 GROUP,,,1297.94,25798.0,339 CPT,46257,REMOVE IN/EX HEM GRP & FISS,,,1297.94,25798.0,339 CPT,46258,REMOVE IN/EX HEM GRP W/FISTU,,,1297.94,25798.0,339 CPT,46260,REMOVE IN/EX HEM GROUPS 2+,,,1297.94,25798.0,339 CPT,46261,REMOVE IN/EX HEM GRPS & FISS,,,1297.94,25798.0,339 CPT,46262,REMOVE IN/EX HEM GRPS W/FIST,,,1297.94,25798.0,339 CPT,46270,REMOVE ANAL FIST SUBQ,,,1297.94,25798.0,339 CPT,46275,REMOVE ANAL FIST INTER,,,1297.94,25798.0,339 CPT,46280,REMOVE ANAL FIST COMPLEX,,,1297.94,25798.0,339 CPT,46285,REMOVE ANAL FIST 2 STAGE,,,1297.94,25798.0,339 CPT,46288,REPAIR ANAL FISTULA,,,1297.94,25798.0,339 CPT,46320,HC REMOVAL OF HEMORRHOID CLOT,7717.55,1466.3345,143.22,25798.0,406 CPT,46320,REMOVAL OF HEMORRHOID CLOT,,,143.22,25798.0,339 CPT,46500,INJECTION INTO HEMORRHOID(S),,,254.84,25798.0,339 CPT,46505,CHEMODENERVATION ANAL MUSC,,,574.79,25798.0,339 CPT,46600,DIAGNOSTIC ANOSCOPY SPX,,,62.66,13453.0,317 CPT,46600,HC DIAGNOSTIC ANOSCOPY SPX,426.72,81.0768,62.66,13453.0,384 CPT,46601,DIAGNOSTIC ANOSCOPY,,,96.23,13453.0,339 CPT,46601,HC ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT,1416.63,269.1597,96.23,13453.0,406 CPT,46604,ANOSCOPY AND DILATION,,,574.79,13453.0,339 CPT,46606,ANOSCOPY AND BIOPSY,,,225.29,13453.0,339 CPT,46606,HC ANOSCOPY W/BX SINGLE/MULTIPLE,4185.84,795.3096,225.29,13453.0,406 CPT,46607,DIAGNOSTIC ANOSCOPY & BIOPSY,,,574.79,13453.0,339 CPT,46607,HC ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT W/BX,4185.84,795.3096,574.79,13453.0,406 CPT,46610,ANOSCOPY REMOVE LESION,,,1222.82,13453.0,339 CPT,46612,ANOSCOPY REMOVE LESIONS,,,1222.82,13453.0,339 CPT,46614,ANOSCOPY CONTROL BLEEDING,,,114.9,13453.0,339 CPT,46615,ANOSCOPY,,,1222.82,13453.0,339 CPT,46700,REPAIR OF ANAL STRICTURE,,,1297.94,25798.0,339 CPT,46705,REPAIR OF ANAL STRICTURE,,,493.0,37761.3,234 CPT,46707,REPAIR ANORECTAL FIST W/PLUG,,,1297.94,25798.0,339 CPT,46750,REPAIR OF ANAL SPHINCTER,,,1297.94,25798.0,317 CPT,46910,DESTRUCTION ANAL LESION(S),,,212.16,25798.0,339 CPT,46910,HC DESTRUCTION ANAL LESION(S),6493.92,1233.8448,212.16,25798.0,406 CPT,46917,LASER SURGERY ANAL LESIONS,,,1297.94,25798.0,339 CPT,46922,EXCISION OF ANAL LESION(S),,,1297.94,25798.0,339 CPT,46922,HC EXCISION OF ANAL LESION(S),8697.71,1652.5649,1297.94,25798.0,406 CPT,46924,DESTRUCTION ANAL LESION(S),,,1297.94,25798.0,339 CPT,46924,HC DESTRUCTION ANAL LESION(S),9735.69,1849.7811,1297.94,25798.0,406 CPT,46940,TREATMENT OF ANAL FISSURE,,,163.37,25798.0,339 CPT,46945,INT HRHC LIG 1 HROID W/O IMG,,,265.1,25798.0,339 CPT,46946,INT HRHC LIG 2+HROID W/O IMG,,,1297.94,25798.0,339 CPT,46947,HEMORRHOIDOPEXY BY STAPLING,,,1297.94,25798.0,339 CPT,46999,UNLISTED PROCEDURE ANUS,,,855.0,26158.0,333 CPT,47000,HC NEEDLE BIOPSY OF LIVER,1571.94,298.6686,623.12,25798.0,406 CPT,47000,NEEDLE BIOPSY OF LIVER PERQ,,,623.12,25798.0,339 CPT,47001,NDL BIOPSY LVR TM OTH MAJ PX,,,111.32,25798.0,235 CPT,47100,WEDGE BIOPSY OF LIVER,,,779.0,25798.0,256 CPT,47120,PARTIAL REMOVAL OF LIVER,,,2249.0,37761.3,234 CPT,47135,TRANSPLANTATION OF LIVER,,,5541.0,37761.3,166 CPT,47379,UNLISTED LAPS PX LIVER,,,1942.99,25798.0,333 CPT,47382,HC PERCUT ABLATE LIVER RF,6406.58,1217.2502,2425.14,39142.0,406 CPT,47382,PERCUT ABLATE LIVER RF,,,2425.14,39142.0,339 CPT,47383,HC PERQ ABLTJ LVR CRYOABLATION,18672.19,3547.7161,2397.0,25798.0,406 CPT,47399,HC UNLISTED PROCEDURE LIVER,1161.16,220.6204,464.464,25798.0,400 CPT,47399,UNLISTED PROCEDURE LIVER,,,832.56,25798.0,283 CPT,47490,HC PERCUTANEOUS CHOLECYSTOSTOMY,8225.46,1562.8374,336.24,25798.0,406 CPT,47490,INCISION OF GALLBLADDER,,,336.24,25798.0,339 CPT,47531,HC INJECTION FOR CHOLANGIOGRAM EXIST ACCESS,4632.82,880.2358,70.25,25798.0,406 CPT,47531,INJECTION FOR CHOLANGIOGRAM,,,70.25,25798.0,339 CPT,47532,HC INJECTION FOR CHOLANGIOGRAM NEW ACCESS,8280.91,1573.3729,210.38,25798.0,406 CPT,47532,INJECTION FOR CHOLANGIOGRAM,,,210.38,25798.0,339 CPT,47533,HC PLMT BILIARY DRAINAGE CATH EXTERNAL,8280.91,1573.3729,376.0,25798.0,406 CPT,47533,PLMT BILIARY DRAINAGE CATH,,,376.0,25798.0,339 CPT,47534,HC PLMT BILIARY DRAINAGE CATH INTERNAL- EXTERNAL,8280.91,1573.3729,376.0,25798.0,406 CPT,47534,PLMT BILIARY DRAINAGE CATH,,,376.0,25798.0,339 CPT,47535,CONVERSION EXT BIL DRG CATH,,,376.0,25798.0,339 CPT,47535,HC CONVERSION EXT BIL DRG CATH,17323.85,3291.5315,376.0,25798.0,406 CPT,47536,EXCHANGE BILIARY DRG CATH,,,376.0,25798.0,339 CPT,47536,HC EXCHANGE BILIARY DRG CATH,5253.35,998.1365,376.0,25798.0,406 CPT,47537,HC REMOVAL BILIARY DRG CATH,4234.8,804.612,376.0,25798.0,406 CPT,47537,REMOVAL BILIARY DRG CATH,,,376.0,25798.0,339 CPT,47538,HC PERQ PLMT BILE DUCT STENT EXIST ACCESS,14918.28,2834.4732,347.52,25798.0,406 CPT,47538,PERQ PLMT BILE DUCT STENT,,,347.52,25798.0,358 CPT,47539,HC PERQ PLMT BILE DUCT STENT NEW ACCESS WO CATH,20175.98,3833.4362,376.0,25798.0,406 CPT,47539,PERQ PLMT BILE DUCT STENT,,,376.0,25798.0,358 CPT,47540,HC PERQ PLMT BILE DUCT STENT NEW ACCESS W CATH,24104.04,4579.7676,376.0,25798.0,406 CPT,47540,PERQ PLMT BILE DUCT STENT,,,376.0,25798.0,358 CPT,47542,DILATE BILIARY DUCT/AMPULLA,,,133.14,25798.0,235 CPT,47543,ENDOLUMINAL BX BILIARY TREE,,,139.89,25798.0,235 CPT,47544,HC REMOVAL DUCT GLBLDR CALCULI,751.0,142.69,154.0,47730.0,302 CPT,47544,REMOVAL DUCT GLBLDR CALCULI,,,154.0,47730.0,254 CPT,47552,HC BILIARY NDSC PRQ T-TUBE DX +-COLLJ SPEC SPX,3313.01,629.4719,1325.204,14766.99,406 CPT,47554,HC BILIARY NDSC PRQ T-TUBE RMVL ST1,6161.59,1170.7021,1923.83,24639.19,406 CPT,47556,HC BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT,6184.7,1175.093,1923.83,24639.19,406 CPT,47562,HC LAPAROSCOPIC CHOLECYSTECTOMY,10373.24,1970.9156,2425.14,47730.0,406 CPT,47562,LAPAROSCOPIC CHOLECYSTECTOMY,,,2425.14,47730.0,339 CPT,47563,LAPARO CHOLECYSTECTOMY/GRAPH,,,2425.14,47730.0,339 CPT,47579,UNLISTED LAPS PX BILIARY TRC,,,1942.99,47730.0,333 CPT,47600,CHOLECYSTECTOMY,,,893.0,47730.0,256 CPT,47999,HC UNLIS PX BILIARY TRC,4293.03,815.6757,1109.41,47730.0,400 CPT,47999,UNLISTED PX BILIARY TRACT,,,1109.41,47730.0,283 CPT,48102,HC BX PANCREAS PERC NEEDLE,2119.4,402.686,623.12,25798.0,406 CPT,48999,UNLISTED PROCEDURE PANCREAS,,,832.56,26158.0,333 CPT,49000,EXPLORATION OF ABDOMEN,,,793.0,25798.0,256 CPT,49002,REOPENING OF ABDOMEN,,,737.0,37761.3,256 CPT,49010,EXPLORATION BEHIND ABDOMEN,,,859.0,25798.0,234 CPT,49082,ABD PARACENTESIS,,,446.75,25798.0,339 CPT,49082,HC ABD PARACENTESIS,5132.36,975.1484,446.75,25798.0,406 CPT,49083,ABD PARACENTESIS W/IMAGING,,,446.75,25798.0,339 CPT,49083,HC ABD PARACENTESIS W/IMAGING,7437.36,1413.0984,446.75,25798.0,406 CPT,49084,HC PERITONEAL LAVAGE,999.75,189.9525,399.9,25798.0,406 CPT,49084,PERITONEAL LAVAGE,,,446.75,25798.0,339 CPT,49180,BIOPSY ABDOMINAL MASS,,,623.12,25798.0,339 CPT,49180,"HC BIOPSY, ABDOMINAL MASS",3978.6,755.934,623.12,25798.0,406 CPT,49185,HC SCLEROTX FLUID COLLECTION,2262.24,429.8256,120.23,25798.0,406 CPT,49185,SCLEROTX FLUID COLLECTION,,,120.23,25798.0,358 CPT,49203,EXC ABD TUM 5 CM OR LESS,,,1072.0,39142.0,250 CPT,49204,EXC ABD TUM OVER 5 CM,,,1363.0,39142.0,250 CPT,49250,EXCISION OF UMBILICUS,,,1529.85,25798.0,339 CPT,49320,DIAG LAPARO SEPARATE PROC,,,2425.14,25798.0,339 CPT,49320,HC LAP; DX ABDOMEN PERITONEUM OMENTUM,12911.98,2453.2762,2425.14,25798.0,406 CPT,49321,LAPAROSCOPY BIOPSY,,,2425.14,25798.0,339 CPT,49322,HC LAP; ABD PERIT OMENTUM W ASP CYST,12911.98,2453.2762,2425.14,25798.0,406 CPT,49322,LAPAROSCOPY ASPIRATION,,,2425.14,25798.0,339 CPT,49323,LAPARO DRAIN LYMPHOCELE,,,685.75,25798.0,339 CPT,49324,LAP INSERT TUNNEL IP CATH,,,2425.14,25798.0,339 CPT,49325,LAP REVISION PERM IP CATH,,,2425.14,25798.0,339 CPT,49326,LAP W/OMENTOPEXY ADD-ON,,,218.03,25798.0,257 CPT,49327,LAP INS DEVICE FOR RT,,,151.54,26158.0,145 CPT,49329,UNLSTD LAPS PX ABD PERTM&OMN,,,2742.05,25798.0,333 CPT,49400,AIR INJECTION INTO ABDOMEN,,,90.23,25798.0,257 CPT,49402,REMOVE FOREIGN BODY ADBOMEN,,,1529.85,25798.0,339 CPT,49405,HC IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ,4566.89,867.7091,192.38,25798.0,406 CPT,49405,IMAGE CATH FLUID COLXN VISC,,,192.38,25798.0,339 CPT,49406,HC IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ,4421.08,840.0052,623.12,47730.0,406 CPT,49406,IMAGE CATH FLUID PERI/RETRO,,,623.12,47730.0,339 CPT,49407,HC IMAGE CATH FLUID TRNS/VGNL,2469.82,469.2658,623.12,25798.0,406 CPT,49411,HC INS MARK ABD/PEL FOR RT PERQ,4590.81,872.2539,279.29,25798.0,406 CPT,49411,INS MARK ABD/PEL FOR RT PERQ,,,279.29,25798.0,358 CPT,49418,HC LAP ENTEROLYSIS,9766.98,1855.7262,1529.85,25798.0,406 CPT,49418,INSERT TUN IP CATH PERC,,,1529.85,25798.0,339 CPT,49419,HC INSERT TUN IP CATH W/PORT,17350.8,3296.652,659.0,25798.0,406 CPT,49421,INS TUN IP CATH FOR DIAL OPN,,,1529.85,25798.0,339 CPT,49422,HC REMOVAL TUNNELED INTRAPERITONEAL CATHETER,8343.89,1585.3391,1487.38,25798.0,406 CPT,49422,REMOVE TUNNELED IP CATH,,,1487.38,25798.0,339 CPT,49423,EXCHANGE DRAINAGE CATHETER,,,731.94,25798.0,339 CPT,49423,HC EXCHANGE DRAINAGE CATHETER,2717.05,516.2395,731.94,25798.0,406 CPT,49424,ASSESS CYST CONTRAST INJECT,,,36.54,25798.0,257 CPT,49424,HC ABSC CYST CONSTRAST INJ,139.47,26.4993,36.54,25798.0,324 CPT,49427,"HC INJECTION, ABDOMINAL SHUNT",372.76,70.8244,39.86,25798.0,324 CPT,49440,HC PLACE GASTROSTOMY TUBE PERC,4122.29,783.2351,731.94,25798.0,406 CPT,49440,PLACE GASTROSTOMY TUBE PERC,,,731.94,25798.0,339 CPT,49441,HC INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ,5068.76,963.0644,731.94,25798.0,406 CPT,49446,CHANGE G-TUBE TO G-J PERC,,,731.94,25798.0,339 CPT,49450,HC REPLACE G/C TUBE PERC,3069.36,583.1784,446.75,25798.0,406 CPT,49450,REPLACE G/C TUBE PERC,,,446.75,25798.0,339 CPT,49451,HC REPLACE DUOD/JEJ TUBE PERC,1761.8,334.742,446.75,25798.0,406 CPT,49451,REPLACE DUOD/JEJ TUBE PERC,,,446.75,25798.0,339 CPT,49452,HC REPLACE G-J TUBE PERC,1184.56,225.0664,446.75,25798.0,406 CPT,49452,REPLACE G-J TUBE PERC,,,446.75,25798.0,339 CPT,49465,FLUORO EXAM OF G/COLON TUBE,,,29.69,25798.0,317 CPT,49465,HC FLUORO EXAM OF G/COLON TUBE,2299.93,436.9867,29.69,25798.0,384 CPT,49491,RPR HERN PREEMIE REDUC,,,863.38,25798.0,339 CPT,49495,RPR ING HERNIA BABY REDUC,,,1529.85,25798.0,339 CPT,49500,RPR ING HERNIA INIT REDUCE,,,1529.85,25798.0,339 CPT,49501,RPR ING HERNIA INIT BLOCKED,,,1529.85,25798.0,339 CPT,49505,PRP I/HERN INIT REDUC >5 YR,,,1529.85,25798.0,339 CPT,49507,PRP I/HERN INIT BLOCK >5 YR,,,1529.85,25798.0,339 CPT,49520,HC REREPAIR ING HERNIA REDUCE,8143.56,1547.2764,1529.85,25798.0,406 CPT,49520,REREPAIR ING HERNIA REDUCE,,,1529.85,25798.0,339 CPT,49521,REREPAIR ING HERNIA BLOCKED,,,1529.85,25798.0,339 CPT,49525,REPAIR ING HERNIA SLIDING,,,1529.85,25798.0,339 CPT,49550,RPR REM HERNIA INIT REDUCE,,,1529.85,25798.0,339 CPT,49553,RPR FEM HERNIA INIT BLOCKED,,,1529.85,25798.0,339 CPT,49555,REREPAIR FEM HERNIA REDUCE,,,1529.85,25798.0,339 CPT,49591,RPR AA HRN 1ST < 3 CM RDC,,,367.17,25798.0,339 CPT,49592,RPR AA HRN 1ST < 3 NCR/STRN,,,511.79,25798.0,339 CPT,49593,RPR AA HRN 1ST 3-10 RDC,,,615.08,25798.0,339 CPT,49594,RPR AA HRN 1ST 3-10 NCR/STRN,,,800.57,25798.0,339 CPT,49595,RPR AA HRN 1ST > 10 RDC,,,828.58,25798.0,339 CPT,49596,RPR AA HRN 1ST > 10 NCR/STRN,,,1100.82,25798.0,256 CPT,49613,RPR AA HRN RCR < 3 RDC,,,451.06,25798.0,339 CPT,49614,RPR AA HRN RCR < 3 NCR/STRN,,,612.95,25798.0,339 CPT,49615,RPR AA HRN RCR 3-10 RDC,,,685.12,25798.0,339 CPT,49616,RPR AA HRN RCR 3-10 NCR/STRN,,,920.78,25798.0,256 CPT,49617,RPR AA HRN RCR > 10 RDC,,,950.96,25798.0,256 CPT,49618,RPR AA HRN RCR > 10 NCR/STRN,,,1334.61,25798.0,256 CPT,49621,RPR PARASTOMAL HERNIA RDC,,,802.48,25798.0,256 CPT,49623,RMVL NINFCT MESH HERNIA RPR,,,216.5,25798.0,207 CPT,49650,LAP ING HERNIA REPAIR INIT,,,2425.14,25798.0,339 CPT,49651,LAP ING HERNIA REPAIR RECUR,,,2425.14,25798.0,339 CPT,49659,UNLSTD LAPS PX HRNAP HRNRPHY,,,2863.85,25798.0,333 CPT,49999,HC UNLISTED PX ABD PERTM&OMN,3033.9,576.441,1109.41,26158.0,400 CPT,49999,UNLISTED PX ABD PERTM&OMN,,,1109.41,26158.0,333 CPT,50040,HC NEPHROSTOMY W DRAINAGE,5119.68,972.7392,946.73,25798.0,323 CPT,50080,PERQ NL/PL LITHOTRP SMPL<2CM,,,1597.0,26158.0,339 CPT,50081,PERQ NL/PL LITHOTRP CPLX>2CM,,,1597.0,26158.0,339 CPT,50200,HC BIOPSY OF KIDNEY,8248.8,1567.272,623.12,25798.0,406 CPT,50200,RENAL BIOPSY PERQ,,,623.12,25798.0,339 CPT,50382,CHANGE URETER STENT PERCUT,,,894.73,25798.0,339 CPT,50382,HC CHANGE URETER STENT PERCUT,6263.11,1189.9909,894.73,25798.0,406 CPT,50385,CHANGE STENT VIA TRANSURETH,,,894.73,25798.0,317 CPT,50387,CHANGE NEPHROURETERAL CATH,,,894.73,25798.0,339 CPT,50389,REMOVE RENAL TUBE W/FLUORO,,,329.83,25798.0,339 CPT,50390,DRAINAGE OF KIDNEY LESION,,,339.86,25798.0,339 CPT,50390,HC PERC ASP OR INJ OF RENAL CYST/PELVIS,2029.87,385.6753,339.86,25798.0,406 CPT,50391,INSTLL RX AGNT INTO RNAL TUB,,,56.22,25798.0,339 CPT,50400,REVISION OF KIDNEY/URETER,,,1176.72,25798.0,256 CPT,50405,HC PYELOPLASTY; COMPLICATED,6228.66,1183.4454,1419.35,25798.0,323 CPT,50405,REVISION OF KIDNEY/URETER,,,1419.35,25798.0,256 CPT,50430,HC NJX PX NFROSGRM &/URTRGRM NEW ACCESS,4039.08,767.4252,153.41,25798.0,406 CPT,50430,NJX PX NFROSGRM &/URTRGRM,,,153.41,25798.0,339 CPT,50431,HC NJX PX NFROSGRM &/URTRGRM EXIST ACCESS,3846.74,730.8806,67.54,25798.0,406 CPT,50431,NJX PX NFROSGRM &/URTRGRM,,,67.54,25798.0,339 CPT,50432,HC PLMT NEPHROSTOMY CATHETER,8233.47,1564.3593,894.73,25798.0,406 CPT,50432,PLMT NEPHROSTOMY CATHETER,,,894.73,25798.0,339 CPT,50433,HC PLMT NEPHROURETERAL CATHETER,8233.47,1564.3593,894.73,25798.0,406 CPT,50433,PLMT NEPHROURETERAL CATHETER,,,894.73,25798.0,339 CPT,50434,CONVERT NEPHROSTOMY CATHETER,,,855.0,25798.0,339 CPT,50434,HC CONVERT NEPHROSTOMY CATHETER,4899.07,930.8233,855.0,25798.0,406 CPT,50435,EXCHANGE NEPHROSTOMY CATH,,,894.73,25798.0,339 CPT,50435,HC EXCHANGE NEPHROSTOMY CATH,4665.78,886.4982,894.73,25798.0,406 CPT,50436,DILAT XST TRC NDURLGC PX,,,894.73,25798.0,339 CPT,50436,HC DILAT XST TRC NDURLGC PX,6418.31,1219.4789,894.73,25798.0,406 CPT,50437,DILAT XST TRC NEW ACCESS RCS,,,1500.69,25798.0,339 CPT,50437,HC DILAT XST TRC NEW ACCESS RCS,10797.82,2051.5858,1500.69,25798.0,406 CPT,50541,LAPARO ABLATE RENAL CYST,,,936.85,39142.0,339 CPT,50543,LAPARO PARTIAL NEPHRECTOMY,,,1516.27,26158.0,339 CPT,50544,LAPAROSCOPY PYELOPLASTY,,,1260.14,26158.0,339 CPT,50545,LAPARO RADICAL NEPHRECTOMY,,,1357.39,37761.3,256 CPT,50546,LAPAROSCOPIC NEPHRECTOMY,,,1226.0,37761.3,256 CPT,50547,LAPARO REMOVAL DONOR KIDNEY,,,1587.0,37761.3,234 CPT,50548,LAPARO REMOVE W/URETER,,,1363.47,37761.3,234 CPT,50553,KIDNEY ENDOSCOPY,,,1940.96,25798.0,317 CPT,50562,RENAL SCOPE W/TUMOR RESECT,,,855.0,26158.0,339 CPT,50590,FRAGMENTING OF KIDNEY STONE,,,1558.76,25798.0,339 CPT,50590,HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE,13244.79,2516.5101,1558.76,25798.0,406 CPT,50592,HC PERC RF ABLATE 1+ RENAL TUMOR,18549.99,3524.4981,1940.96,25798.0,406 CPT,50592,PERC RF ABLATE RENAL TUMOR,,,1940.96,25798.0,339 CPT,50593,HC ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY,19662.98,3735.9662,2591.3,26158.0,406 CPT,50593,PERC CRYO ABLATE RENAL TUM,,,2591.3,26158.0,339 CPT,50606,ENDOLUMINAL BX URTR RNL PLVS,,,139.23,25798.0,257 CPT,50606,HC ENDOLUMINAL BX URTR RNL PLVS,2926.13,555.9647,139.23,25798.0,324 CPT,50688,CHANGE OF URETER TUBE/STENT,,,894.73,25798.0,339 CPT,50690,HC INJ TO SEE ILEAL CONDUIT /URETEROPYELOGR,2786.79,529.4901,71.85,25798.0,324 CPT,50693,HC PLMT URETERAL STENT PRQ PRE-EXIST,12252.08,2327.8952,894.73,25798.0,406 CPT,50693,PLMT URETERAL STENT PRQ,,,894.73,25798.0,339 CPT,50694,HC PLMT URETERAL STENT PRQ NEW ACCESS WO CATH,11030.1,2095.719,1558.76,25798.0,406 CPT,50694,PLMT URETERAL STENT PRQ,,,1558.76,25798.0,339 CPT,50695,HC PLMT URETERAL STENT PRQ NEW ACCESS W CATH,13973.51,2654.9669,1558.76,25798.0,406 CPT,50705,HC URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS&I,3150.0,598.5,177.91,25798.0,324 CPT,50706,BALLOON DILATE URTRL STRIX,,,177.94,25798.0,257 CPT,50727,REVISE URETER,,,1558.76,25798.0,317 CPT,50782,REIMPLANT URETER IN BLADDER,,,1096.18,37761.3,256 CPT,50860,TRANSPLANT URETER TO SKIN,,,966.81,37761.3,256 CPT,50947,LAPARO NEW URETER/BLADDER,,,2425.14,25798.0,339 CPT,50948,LAPARO NEW URETER/BLADDER,,,1940.96,26158.0,339 CPT,50949,UNLISTED LAPS PX URETER,,,1500.69,25798.0,333 CPT,50955,URETER ENDOSCOPY & BIOPSY,,,1940.96,13453.0,317 CPT,50972,URETER ENDOSCOPY & CATHETER,,,1500.69,13453.0,317 CPT,51040,INCISE & DRAIN BLADDER,,,894.73,25798.0,339 CPT,51050,REMOVAL OF BLADDER STONE,,,2178.81,25798.0,339 CPT,51100,HC DRAIN BLADDER BY NEEDLE,789.69,150.0411,39.8,25798.0,384 CPT,51101,HC DRAIN BLADDER BY TROCAR/CATH,3335.22,633.6918,108.74,25798.0,384 CPT,51102,DRAIN BL W/CATH INSERTION,,,894.73,25798.0,339 CPT,51102,HC DRAIN BL W/CATH INSERTION,6428.81,1221.4739,894.73,25798.0,406 CPT,51500,REMOVAL OF BLADDER CYST,,,2425.14,25798.0,339 CPT,51600,HC INJECTION FOR BLADDER X-RAY,5243.93,996.3467,42.91,25798.0,324 CPT,51600,INJECTION FOR BLADDER X-RAY,,,42.91,25798.0,257 CPT,51610,INJECTION FOR BLADDER X-RAY,,,66.69,25798.0,257 CPT,51700,HC IRRIGATION OF BLADDER,760.73,144.5387,59.91,25798.0,384 CPT,51700,IRRIGATION OF BLADDER,,,59.91,25798.0,317 CPT,51701,HC INSERT BLADDER CATHETER,226.95,43.1205,40.53,25798.0,384 CPT,51701,INSERT BLADDER CATHETER,,,40.53,25798.0,317 CPT,51702,HC INSERT TEMP BLADDER CATH,713.81,135.6239,58.73,25798.0,384 CPT,51702,INSERT TEMP BLADDER CATH,,,58.73,25798.0,317 CPT,51703,HC INS BLADDER CATH COMPLEX,906.54,172.2426,79.76,25798.0,406 CPT,51705,CHANGE OF BLADDER TUBE,,,68.53,25798.0,339 CPT,51705,HC CHANGE OF BLADDER TUBE,1619.08,307.6252,68.53,25798.0,406 CPT,51710,CHANGE OF BLADDER TUBE,,,303.36,25798.0,339 CPT,51710,HC CHANGE OF CYSTOSTOMY TUBE; COMPLICATED,723.51,137.4669,289.404,25798.0,406 CPT,51715,ENDOSCOPIC INJECTION/IMPLANT,,,1383.03,25798.0,339 CPT,51720,HC TREATMENT OF BLADDER LESION,4078.0,774.82,52.18,25798.0,406 CPT,51720,TREATMENT OF BLADDER LESION,,,52.18,25798.0,339 CPT,51725,HC SIMPLE CYSTOMETROGRAM,931.89,177.0591,135.76,25798.0,406 CPT,51726,HC COMPLEX CYSTOMETROGRAM,931.89,177.0591,135.76,25798.0,406 CPT,51728,HC CYSTOMETROGRAM W/VP,785.82,149.3058,219.9,25798.0,384 CPT,51729,HC CYSTOMETROGRAM W/VP&UP,785.82,149.3058,217.43,25798.0,384 CPT,51741,"HC COMPLEX UROFLOWMETRY;EG, CALIBRATED ELECTRONIC EQUIPMENT",248.5,47.215,8.26,25798.0,384 CPT,51784,HC EMG ANAL/URETHR SPHINCT NOT NEEDLE,1042.2,198.018,34.47,25798.0,384 CPT,51785,HC ANAL/URINARY MUSCLE STUDY,1584.85,301.1215,135.76,25798.0,406 CPT,51792,HC URINARY REFLEX STUDY,1495.81,284.2039,68.88,25798.0,384 CPT,51797,HC INTRAABDOMINAL PRESSURE TEST,646.13,122.7647,84.98,25798.0,324 CPT,51798,US URINE CAPACITY MEASURE,,,21.51,25798.0,293 CPT,51860,REPAIR OF BLADDER WOUND,,,772.19,25798.0,339 CPT,51880,REPAIR OF BLADDER OPENING,,,1558.76,25798.0,317 CPT,51990,LAPARO URETHRAL SUSPENSION,,,763.54,25798.0,339 CPT,51992,LAPARO SLING OPERATION,,,1383.03,25798.0,339 CPT,51999,UNLISTED LAPS PX BLADDER,,,2163.34,26158.0,333 CPT,52000,CYSTOURETHROSCOPY,,,303.36,13453.0,339 CPT,52000,HC CYSTOURETHROSCOPY,2353.18,447.1042,303.36,13453.0,406 CPT,52001,CYSTO W/IRRG&EVAC MLT CLOTS,,,1558.76,13453.0,339 CPT,52001,HC CYSTO W/IRRG&EVAC MULTI OBSTR CLOT,2942.57,559.0883,1177.028,13453.0,406 CPT,52005,CYSTO W/URTRL CATHJ,,,894.73,13453.0,339 CPT,52010,CYSTOSCOPY & DUCT CATHETER,,,303.36,13453.0,339 CPT,52204,CYSTOSCOPY W/BIOPSY(S),,,894.73,13453.0,339 CPT,52214,CYSTOSCOPY AND TREATMENT,,,894.73,13505.0,339 CPT,52224,CYSTOSCOPY AND TREATMENT,,,894.73,13505.0,339 CPT,52234,CYSTOSCOPY AND TREATMENT,,,1558.76,13505.0,339 CPT,52235,CYSTOSCOPY AND TREATMENT,,,1558.76,13505.0,339 CPT,52240,CYSTOSCOPY AND TREATMENT,,,2163.34,13505.0,339 CPT,52260,CYSTOSCOPY AND TREATMENT,,,894.73,13453.0,339 CPT,52275,CYSTOSCOPY & REVISE URETHRA,,,894.73,13453.0,339 CPT,52276,CYSTOSCOPY AND TREATMENT,,,894.73,13453.0,339 CPT,52281,CYSTOSCOPY AND TREATMENT,,,894.73,13453.0,339 CPT,52281,HC CYSTO W DIL OF URETHRAL STRICTURE,6407.89,1217.4991,894.73,13453.0,406 CPT,52282,CYSTOSCOPY IMPLANT STENT,,,1383.03,13453.0,339 CPT,52283,CYSTOSCOPY AND TREATMENT,,,894.73,13453.0,339 CPT,52284,CYSTO RX BALO CATH URTL STRX,,,167.42,13453.0,339 CPT,52285,CYSTOSCOPY AND TREATMENT,,,303.36,13453.0,339 CPT,52287,CYSTOSCOPY CHEMODENERVATION,,,894.73,13453.0,339 CPT,52300,CYSTOSCOPY AND TREATMENT,,,1558.76,13453.0,339 CPT,52301,CYSTOSCOPY AND TREATMENT,,,1558.76,13453.0,339 CPT,52305,CYSTOSCOPY AND TREATMENT,,,2178.81,13453.0,339 CPT,52310,CYSTOSCOPY AND TREATMENT,,,894.73,13453.0,339 CPT,52310,HC CYSTO W REM FB/STNT URETH/BLDR; SIMPLE,6263.25,1190.0175,894.73,13453.0,406 CPT,52315,CYSTOSCOPY AND TREATMENT,,,894.73,13453.0,317 CPT,52317,REMOVE BLADDER STONE,,,1558.76,13453.0,339 CPT,52318,REMOVE BLADDER STONE,,,1558.76,13453.0,339 CPT,52327,CYSTOSCOPY INJECT MATERIAL,,,2153.02,13453.0,339 CPT,52332,CYSTOSCOPY AND TREATMENT,,,1558.76,13453.0,339 CPT,52332,HC CYSTOSCOPY AND TREATMENT,4899.07,930.8233,1558.76,13453.0,406 CPT,52341,CYSTO W/URETER STRICTURE TX,,,894.73,13453.0,339 CPT,52344,CYSTO/URETERO STRICTURE TX,,,1558.76,13453.0,339 CPT,52345,CYSTO/URETERO W/UP STRICTURE,,,1558.76,13453.0,339 CPT,52346,CYSTOURETERO W/RENAL STRICT,,,1940.96,13453.0,339 CPT,52351,CYSTOURETERO & OR PYELOSCOPE,,,894.73,13453.0,339 CPT,52352,CYSTOURETERO W/STONE REMOVE,,,1558.76,13453.0,339 CPT,52353,CYSTOURETERO W/LITHOTRIPSY,,,1940.96,13453.0,339 CPT,52353,HC CYSTOURETERO W/LITHOTRIPSY,6071.92,1153.6648,1940.96,13453.0,406 CPT,52354,CYSTOURETERO W/BIOPSY,,,1940.96,13453.0,339 CPT,52355,CYSTOURETERO W/EXCISE TUMOR,,,1940.96,13453.0,339 CPT,52356,CYSTO/URETERO W/LITHOTRIPSY,,,2178.81,13453.0,339 CPT,52400,CYSTOURETERO W/CONGEN REPR,,,1383.03,13453.0,339 CPT,52441,CYSTOURETHRO W/IMPLANT,,,212.62,13781.0,333 CPT,52442,CYSTOURETHRO W/ADDL IMPLANT,,,51.47,13781.0,333 CPT,52500,REVISION OF BLADDER NECK,,,1558.76,13453.0,339 CPT,52601,PROSTATECTOMY (TURP),,,2178.81,36164.0,339 CPT,52630,REMOVE PROSTATE REGROWTH,,,2178.81,30824.0,339 CPT,52640,RELIEVE BLADDER CONTRACTURE,,,1558.76,30824.0,339 CPT,52648,LASER SURGERY OF PROSTATE,,,2178.81,36164.0,339 CPT,52649,PROSTATE LASER ENUCLEATION,,,2178.81,39142.0,339 CPT,52700,DRAINAGE OF PROSTATE ABSCESS,,,1558.76,30824.0,317 CPT,53010,INCISION OF URETHRA,,,2178.81,25798.0,339 CPT,53020,INCISION OF URETHRA,,,894.73,25798.0,339 CPT,53200,BIOPSY OF URETHRA,,,894.73,25798.0,339 CPT,53200,HC BIOPSY OF URETHRA,6418.31,1219.4789,894.73,25798.0,406 CPT,53220,TREATMENT OF URETHRA LESION,,,1383.03,25798.0,339 CPT,53230,REMOVAL OF URETHRA LESION,,,2178.81,25798.0,339 CPT,53260,TREATMENT OF URETHRA LESION,,,894.73,25798.0,339 CPT,53270,REMOVAL OF URETHRA GLAND,,,894.73,25798.0,339 CPT,53400,REVISE URETHRA STAGE 1,,,2178.81,25798.0,339 CPT,53405,REVISE URETHRA STAGE 2,,,2178.81,25798.0,339 CPT,53410,RECONSTRUCTION OF URETHRA,,,2178.81,25798.0,339 CPT,53415,RECONSTRUCTION OF URETHRA,,,1150.61,25798.0,256 CPT,53420,RECONSTRUCT URETHRA STAGE 1,,,2178.81,25798.0,339 CPT,53425,RECONSTRUCT URETHRA STAGE 2,,,2178.81,25798.0,339 CPT,53430,RECONSTRUCTION OF URETHRA,,,2178.81,25798.0,339 CPT,53440,MALE SLING PROCEDURE,,,3131.0,30747.86,339 CPT,53445,INSERT URO/VES NCK SPHINCTER,,,2573.24,47636.25,339 CPT,53446,REMOVE URO SPHINCTER,,,2178.81,25798.0,339 CPT,53447,REMOVE/REPLACE UR SPHINCTER,,,2573.24,47636.25,339 CPT,53449,REPAIR URO SPHINCTER,,,2178.81,25798.0,339 CPT,53450,REVISION OF URETHRA,,,894.73,25798.0,339 CPT,53451,TPRNL BALO CNTNC DEV BI,,,795.93,30747.86,339 CPT,53452,TPRNL BALO CNTNC DEV UNI,,,397.97,25798.0,339 CPT,53454,TPRNL BALO CNTNC DEV ADJMT,,,36.2,25798.0,339 CPT,53460,REVISION OF URETHRA,,,894.73,25798.0,339 CPT,53500,URETHRLYS TRANSVAG W/ SCOPE,,,774.04,25798.0,339 CPT,53520,REPAIR OF URETHRA DEFECT,,,2178.81,25798.0,339 CPT,53600,DILATE URETHRA STRICTURE,,,43.09,25798.0,339 CPT,53600,HC DIL URETH STRICT SOUND; MALE INITIAL,840.44,159.6836,43.09,25798.0,406 CPT,53601,DILATE URETHRA STRICTURE,,,49.95,25798.0,339 CPT,53605,DILATE URETHRA STRICTURE,,,652.6,25798.0,339 CPT,53854,HC TRURL DSTRJ PRST8 TISS RF WV,6418.31,1219.4789,855.0,30824.0,406 CPT,53854,TRURL DSTRJ PRST8 TISS RF WV,,,855.0,30824.0,339 CPT,53855,HC INSERT PROST URETHRAL STENT,1904.02,361.7638,376.0,30824.0,384 CPT,53899,HC UROLOGY SURGERY PROCEDURE,310.32,58.9608,124.128,39142.0,400 CPT,53899,UNLISTED PX URINARY SYSTEM,,,287.79,39142.0,283 CPT,54001,SLITTING OF PREPUCE,,,894.73,25798.0,339 CPT,54050,HC DESTR LESION(S) PENIS SIMPLE; CHEM,17154.63,3259.3797,91.99,25798.0,384 CPT,54056,HC DEST LESION(S) PENIS SIMPLE; CRYO,966.13,183.5647,53.4,25798.0,384 CPT,54057,LASER SURG PENIS LESION(S),,,908.68,25798.0,339 CPT,54060,EXCISION OF PENIS LESION(S),,,908.68,25798.0,339 CPT,54065,DESTRUCTION PENIS LESION(S),,,908.68,25798.0,339 CPT,54065,HC DESTR PENIS LESION(S),5870.39,1115.3741,908.68,25798.0,406 CPT,54100,BIOPSY OF PENIS,,,623.12,25798.0,339 CPT,54100,HC BIOPSY PENIS SEPARATE PROCEDURE,5238.14,995.2466,623.12,25798.0,406 CPT,54110,TREATMENT OF PENIS LESION,,,1310.27,25798.0,339 CPT,54115,TREATMENT OF PENIS LESION,,,1154.1,25798.0,339 CPT,54120,PARTIAL REMOVAL OF PENIS,,,1367.15,25798.0,339 CPT,54150,CIRCUMCISION W/REGIONL BLOCK,,,894.73,25798.0,339 CPT,54150,HC CIRCUMCISION W/REGIONL BLOCK,2706.23,514.1837,894.73,25798.0,406 CPT,54160,HC CIRCUMCISION NEONATE <=28 DAYS,6758.13,1284.0447,303.36,25798.0,406 CPT,54161,CIRCUM 28 DAYS OR OLDER,,,894.73,25798.0,339 CPT,54162,LYSIS PENIL CIRCUMIC LESION,,,894.73,25798.0,339 CPT,54163,REPAIR OF CIRCUMCISION,,,894.73,25798.0,339 CPT,54164,FRENULOTOMY OF PENIS,,,894.73,25798.0,339 CPT,54200,INJECTION PX PEYRONIE DS,,,77.97,25798.0,339 CPT,54205,NJX PX PEYRONIE DS EXPS PLAQ,,,1367.15,25798.0,339 CPT,54220,HC IRRIGATION CORPORA CAVERNOSA PRIAPISM,1109.39,210.7841,135.76,25798.0,406 CPT,54220,IRRG CRPRA CAVRNOSA PRIAPISM,,,135.76,25798.0,339 CPT,54235,HC NJX CORPORA CAVERNOSA W/PHARM AGT,966.13,183.5647,50.88,25798.0,384 CPT,54235,NJX CORPORA CAVERNOSA RX AGT,,,50.88,25798.0,317 CPT,54240,HC PENILE PLETHYSMOGRAPHY,334.65,63.5835,42.27,25798.0,384 CPT,54300,REVISION OF PENIS,,,1310.27,25798.0,339 CPT,54304,REVISION OF PENIS,,,1310.27,25798.0,339 CPT,54308,RECONSTRUCTION OF URETHRA,,,1367.15,25798.0,339 CPT,54312,RECONSTRUCTION OF URETHRA,,,1367.15,25798.0,339 CPT,54316,RECONSTRUCTION OF URETHRA,,,1367.15,25798.0,339 CPT,54318,RECONSTRUCTION OF URETHRA,,,1367.15,25798.0,317 CPT,54322,RECONSTRUCTION OF URETHRA,,,1367.15,25798.0,339 CPT,54324,RECONSTRUCTION OF URETHRA,,,1367.15,25798.0,339 CPT,54326,RECONSTRUCTION OF URETHRA,,,894.73,25798.0,339 CPT,54328,REVISE PENIS/URETHRA,,,1367.15,25798.0,339 CPT,54332,REVISE PENIS/URETHRA,,,1032.47,25798.0,339 CPT,54336,REVISE PENIS/URETHRA,,,1212.57,25798.0,339 CPT,54340,RPR HYPSPAD COMP SIMPLE,,,1310.27,25798.0,317 CPT,54344,RRP HYPSPAD COMP MOBLJ&URTP,,,1367.15,25798.0,339 CPT,54352,REVJ PRIOR HYPSPAD REPAIR,,,1367.15,25798.0,339 CPT,54360,PENIS PLASTIC SURGERY,,,1310.27,25798.0,339 CPT,54400,INSERT SEMI-RIGID PROSTHESIS,,,3131.0,30747.86,339 CPT,54401,INSERT SELF-CONTD PROSTHESIS,,,3131.0,47636.25,339 CPT,54405,INSERT MULTI-COMP PENIS PROS,,,3131.0,47636.25,339 CPT,54406,REMOVE MUTI-COMP PENIS PROS,,,1310.27,25798.0,339 CPT,54408,REPAIR MULTI-COMP PENIS PROS,,,1310.27,25798.0,339 CPT,54410,REMOVE/REPLACE PENIS PROSTH,,,3131.0,47636.25,339 CPT,54415,REMOVE SELF-CONTD PENIS PROS,,,1310.27,25798.0,317 CPT,54416,REMV/REPL PENIS CONTAIN PROS,,,3131.0,47636.25,339 CPT,54417,REMV/REPLC PENIS PROS COMPL,,,921.36,30747.86,339 CPT,54430,HC CORPORA CAVERNOSA-CORPUS SPONGIOSUM SHUNT UNI/BI,7929.13,1506.5347,658.01,37761.3,323 CPT,54430,REVISION OF PENIS,,,658.01,37761.3,256 CPT,54435,HC CORPORA CAVERNOSA-GLANS PENIS FISTULIZ,10013.81,1902.6239,894.73,25798.0,406 CPT,54450,HC FORESKIN MANIPULATION,847.79,161.0801,135.76,25798.0,406 CPT,54450,PREPUTIAL STRETCHING,,,135.76,25798.0,339 CPT,54500,BIOPSY OF TESTIS,,,652.6,25798.0,317 CPT,54505,BIOPSY OF TESTIS,,,1310.27,25798.0,339 CPT,54512,EXCISE LESION TESTIS,,,1558.76,25798.0,339 CPT,54520,REMOVAL OF TESTIS,,,894.73,25798.0,339 CPT,54522,ORCHIECTOMY PARTIAL,,,894.73,25798.0,339 CPT,54530,REMOVAL OF TESTIS,,,1310.27,25798.0,339 CPT,54550,EXPLORATION FOR TESTIS,,,1529.85,25798.0,317 CPT,54600,REDUCE TESTIS TORSION,,,894.73,25798.0,339 CPT,54640,ORCHIOPEXY INGUN/SCROT APPR,,,1529.85,25798.0,339 CPT,54650,ORCHIOPEXY (FOWLER-STEPHENS),,,732.39,25798.0,339 CPT,54660,REVISION OF TESTIS,,,1310.27,25798.0,339 CPT,54670,REPAIR TESTIS INJURY,,,894.73,25798.0,339 CPT,54690,LAPAROSCOPY ORCHIECTOMY,,,1310.27,25798.0,339 CPT,54692,LAPAROSCOPY ORCHIOPEXY,,,1310.27,25798.0,339 CPT,54700,HC DRAINAGE OF SCROTUM,5279.43,1003.0917,894.73,25798.0,406 CPT,54830,REMOVE EPIDIDYMIS LESION,,,894.73,25798.0,339 CPT,54840,REMOVE EPIDIDYMIS LESION,,,894.73,25798.0,339 CPT,54860,REMOVAL OF EPIDIDYMIS,,,894.73,25798.0,339 CPT,54865,EXPLORE EPIDIDYMIS,,,894.73,25798.0,339 CPT,55000,DRAINAGE OF HYDROCELE,,,71.4,25798.0,317 CPT,55000,HC DRAINAGE OF HYDROCELE,2416.14,459.0666,71.4,25798.0,384 CPT,55040,REMOVAL OF HYDROCELE,,,1310.27,25798.0,339 CPT,55041,REMOVAL OF HYDROCELES,,,1310.27,25798.0,339 CPT,55060,REPAIR OF HYDROCELE,,,894.73,25798.0,339 CPT,55100,DRAINAGE OF SCROTUM ABSCESS,,,623.12,25798.0,339 CPT,55100,HC DRAINAGE OF SCROTUM ABSCESS,1636.91,311.0129,623.12,25798.0,406 CPT,55110,EXPLORE SCROTUM,,,1310.27,25798.0,339 CPT,55120,REMOVAL OF SCROTUM LESION,,,894.73,25798.0,339 CPT,55175,REVISION OF SCROTUM,,,1558.76,25798.0,339 CPT,55180,REVISION OF SCROTUM,,,1310.27,25798.0,339 CPT,55250,REMOVAL OF SPERM DUCT(S),,,894.73,25798.0,339 CPT,55400,REPAIR OF SPERM DUCT,,,1558.76,25798.0,248 CPT,55500,REMOVAL OF HYDROCELE,,,894.73,25798.0,339 CPT,55520,REMOVAL OF SPERM CORD LESION,,,894.73,25798.0,339 CPT,55530,REVISE SPERMATIC CORD VEINS,,,1310.27,25798.0,339 CPT,55535,REVISE SPERMATIC CORD VEINS,,,1529.85,25798.0,339 CPT,55550,LAPARO LIGATE SPERMATIC VEIN,,,1310.27,25798.0,339 CPT,55559,UNLSTD LAPS PX SPRMATIC CORD,,,1757.89,25798.0,333 CPT,55700,BIOPSY OF PROSTATE,,,894.73,30824.0,339 CPT,55700,HC PROSTATE NEEDLE PUNCH BX,2254.67,428.3873,894.73,30824.0,406 CPT,55706,PROSTATE SATURATION SAMPLING,,,894.73,30824.0,248 CPT,55840,EXTENSIVE PROSTATE SURGERY,,,1195.28,37761.3,256 CPT,55845,EXTENSIVE PROSTATE SURGERY,,,1387.17,37761.3,256 CPT,55866,LAPS SURG PRST8ECT RPBIC RAD,,,1217.69,30824.0,339 CPT,55867,LAPS SURG PRST8ECT SMPL STOT,,,1069.94,30824.0,339 CPT,55873,CRYOABLATE PROSTATE,,,3131.0,39142.0,339 CPT,55874,HC TPRNL PLMT BIODEGRDABL MATRL,14832.66,2818.2054,248.74,30824.0,315 CPT,55874,TPRNL PLMT BIODEGRDABL MATRL,,,248.74,30824.0,267 CPT,55875,HC TRANSPERI NEEDLE PLACE PROS,10064.81,1912.3139,2178.81,30824.0,406 CPT,55875,TRANSPERI NEEDLE PLACE PROS,,,2178.81,30824.0,339 CPT,55876,HC PLACE RT DEVICE/MARKER PROS,4821.37,916.0603,87.82,30824.0,406 CPT,55876,PLACE RT DEVICE/MARKER PROS,,,87.82,30824.0,339 CPT,55880,ABLTJ MAL PRST8 TISS HIFU,,,1002.03,39142.0,339 CPT,55899,HC UNLISTDPROC MALE GENITAL,310.32,58.9608,124.128,39142.0,400 CPT,55899,UNLISTED PX MALE GENITAL SYS,,,287.79,39142.0,283 CPT,55970,SEX TRANSFORMATION M TO F,,,1367.15,33769.04,322 CPT,55980,SEX TRANSFORMATION F TO M,,,1960.19,35648.73,275 CPT,56405,HC I&D OF VULVA OR PERINEAL ABSCESS,850.74,161.6406,64.43,25798.0,406 CPT,56405,I & D OF VULVA/PERINEUM,,,64.43,25798.0,339 CPT,56420,DRAINAGE OF GLAND ABSCESS,,,91.92,25798.0,339 CPT,56420,HC I&D OF BARTHOLINS GLAND ABSCESS,748.05,142.1295,91.92,25798.0,406 CPT,56440,HC MARSUPIALIZATION BARTHOLIN'S GLAND CYST,2785.35,529.2165,1114.14,25798.0,406 CPT,56440,MRSPLZATN BRTHLNS GLND CST,,,1317.81,25798.0,339 CPT,56441,HC LYSIS LABIAL ADHESIONS,9591.59,1822.4021,1317.81,25798.0,406 CPT,56441,LYSIS OF LABIAL ADHESIONS,,,1317.81,25798.0,339 CPT,56501,DESTROY VULVA LESIONS SIM,,,95.2,25798.0,339 CPT,56501,"HC DESTROY, VULVA LESIONS, SIM",2277.1,432.649,95.2,25798.0,406 CPT,56515,DESTROY VULVA LESION/S COMPL,,,908.68,25798.0,339 CPT,56515,HC DESTROY LESION(S) VULVA; EXTENSIVE,5771.7,1096.623,908.68,25798.0,406 CPT,56605,BIOPSY OF VULVA/PERINEUM,,,48.83,25798.0,339 CPT,56605,HC BIOPSY OF VULVA/PERINEUM,5349.16,1016.3404,48.83,25798.0,406 CPT,56606,BIOPSY OF VULVA/PERINEUM,,,18.71,25798.0,257 CPT,56606,HC BIOPSY VULVA/PERINEUM EACH ADDL LESION,2620.7,497.933,18.71,25798.0,324 CPT,56620,VULVECTOMY SIMPLE PARTIAL,,,1317.81,25798.0,339 CPT,56625,VULVECTOMY SIMPLE COMPLETE,,,1317.81,25798.0,339 CPT,56630,VULVECTOMY RADICAL PARTIAL,,,894.0,25798.0,256 CPT,56632,VLVCTMY RAD PRTL BI LYMPHAD,,,1363.0,25798.0,256 CPT,56700,HC PARTIAL HYMENECTOMY/REVJ RING,10018.2,1903.458,1317.81,25798.0,406 CPT,56700,PRTL HYMNCTMY/REVJ HYMNL RNG,,,1317.81,25798.0,339 CPT,56740,EXC BARTHOLINS GLAND/CYST,,,1317.81,25798.0,339 CPT,56800,PLASTIC REPAIR INTROITUS,,,1317.81,25798.0,339 CPT,56805,CLITOROPLASTY INTERSEX STATE,,,1317.81,25798.0,339 CPT,56810,PERINEOPLASTY RPR PER NONOB,,,1317.81,25798.0,339 CPT,56820,HC COLPOSCOPY VULVA,730.3,138.757,63.19,9761.0,384 CPT,56821,COLPOSCOPY VULVA W/BIOPSY,,,82.48,13453.0,339 CPT,56821,HC COLPOSCOPY VULVA W BX,978.6,185.934,82.48,13453.0,406 CPT,57000,COLPOTOMY W/EXPLORATION,,,1317.81,25798.0,339 CPT,57061,DESTRUCTION VAG LESIONS SMPL,,,84.12,25798.0,339 CPT,57061,"HC DESTROY VAG LESIONS, SIMPLE",4225.0,802.75,84.12,25798.0,406 CPT,57065,HC DESTROY VAG LESIONS EXTENSIVE,2785.35,529.2165,1114.14,25798.0,406 CPT,57100,BIOPSY VAGINAL MUCOSA SIMPLE,,,51.29,25798.0,339 CPT,57100,HC BIOPSY VAGINAL MUCOSA SIMPL,4716.5,896.135,51.29,25798.0,406 CPT,57105,BIOPSY VAGINAL MUCOSA XTNSV,,,1317.81,25798.0,339 CPT,57105,HC BX VAGINAL MUCOSA; EXTENSIVE,2785.35,529.2165,1114.14,25798.0,406 CPT,57106,VAGNC PRTL RMVL VAG WALL,,,562.97,25798.0,339 CPT,57110,VAGNC COMPL RMVL VAG WALL,,,939.31,37761.3,256 CPT,57111,VAGNC COMPL RMVL PARAVAG TIS,,,1753.0,25798.0,256 CPT,57120,COLPOCLEISIS LE FORT TYPE,,,1960.19,25798.0,339 CPT,57130,EXCISION VAGINAL SEPTUM,,,1317.81,25798.0,339 CPT,57130,HC EXCISE VAGINAL SEPTUM,8711.23,1655.1337,1317.81,25798.0,406 CPT,57135,EXCISION VAGINAL CYST/TUMOR,,,1317.81,25798.0,339 CPT,57135,HC EXCISE VAGINAL CYST OR TUMOR,10010.76,1902.0444,1317.81,25798.0,406 CPT,57150,HC IRRIGATION OF VAGINA AND/OR APPLICATION OF MEDICAMENT,360.08,68.4152,27.66,25798.0,384 CPT,57155,HC INSERT UTERI TANDEM/OVOIDS,8349.68,1586.4392,1317.81,25798.0,406 CPT,57155,INSERT UTERI TANDEM/OVOIDS,,,1317.81,25798.0,339 CPT,57156,HC INS VAG BRACHYTX DEVICE,1103.55,209.6745,160.15,25798.0,406 CPT,57160,HC FITTING AND INSERTION OF PESSARY OR OTHER INTRAVAGINAL SUPPORT DEVICE,450.95,85.6805,32.83,25798.0,384 CPT,57160,INSERT PESSARY/OTHER DEVICE,,,32.83,25798.0,317 CPT,57170,HC DIAPHRAGM OR CERVICAL CAP FITTING,211.58,40.2002,34.06,25798.0,384 CPT,57180,HC INS PACK FOR NON-OB VAG HEMORRHAGE,593.55,112.7745,97.33,25798.0,406 CPT,57200,HC REPAIR OF VAGINA,7675.72,1458.3868,1317.81,25798.0,406 CPT,57200,REPAIR OF VAGINA,,,1317.81,25798.0,339 CPT,57210,REPAIR VAGINA/PERINEUM,,,1317.81,25798.0,339 CPT,57220,REVISION OF URETHRA,,,1383.03,25798.0,339 CPT,57240,ANTERIOR COLPORRHAPHY,,,1383.03,25798.0,339 CPT,57250,REPAIR RECTUM & VAGINA,,,1492.25,25798.0,339 CPT,57260,CMBN ANT PST COLPRHY,,,1383.03,25798.0,339 CPT,57265,CMBN AP COLPRHY W/NTRCL RPR,,,1492.25,25798.0,339 CPT,57267,INSERT MESH/PELVIC FLR ADDON,,,279.95,25798.0,257 CPT,57268,REPAIR OF BOWEL BULGE,,,1317.81,25798.0,339 CPT,57282,COLPOPEXY EXTRAPERITONEAL,,,721.32,26158.0,339 CPT,57283,COLPOPEXY INTRAPERITONEAL,,,729.22,26158.0,339 CPT,57285,REPAIR PARAVAG DEFECT VAG,,,720.6,26158.0,339 CPT,57287,REVISE/REMOVE SLING REPAIR,,,1317.81,25798.0,339 CPT,57288,REPAIR BLADDER DEFECT,,,1383.03,25798.0,339 CPT,57295,REVISE VAG GRAFT VIA VAGINA,,,1317.81,25798.0,339 CPT,57300,REPAIR RECTUM-VAGINA FISTULA,,,1317.81,25798.0,339 CPT,57320,REPAIR BLADDER-VAGINA LESION,,,1960.19,25798.0,317 CPT,57330,REPAIR BLADDER-VAGINA LESION,,,787.63,26158.0,339 CPT,57335,REPAIR VAGINA,,,1225.94,25798.0,339 CPT,57400,DILATION OF VAGINA,,,1317.81,25798.0,339 CPT,57410,HC PELVIC EXAMINATION,8274.9,1572.231,301.78,25798.0,406 CPT,57410,PELVIC EXAMINATION,,,301.78,25798.0,339 CPT,57415,HC REMOVE VAGINAL FOREIGN BODY,8416.35,1599.1065,1317.81,25798.0,406 CPT,57415,REMOVE VAGINAL FOREIGN BODY,,,1317.81,25798.0,339 CPT,57420,EXAM OF VAGINA W/SCOPE,,,65.25,13453.0,339 CPT,57420,HC COLPOSCOPY OF VAGINA,997.82,189.5858,65.25,13453.0,406 CPT,57421,EXAM/BIOPSY OF VAG W/SCOPE,,,85.76,13453.0,339 CPT,57421,HC COLPOSCOPY VAGINA W BX,1349.02,256.3138,85.76,13453.0,406 CPT,57423,REPAIR PARAVAG DEFECT LAP,,,963.55,26158.0,339 CPT,57425,HC COLPOPEXY LAPAROSCOPY,30779.58,5848.1202,1009.54,30779.58,406 CPT,57425,LAPAROSCOPY SURG COLPOPEXY,,,1009.54,26158.0,339 CPT,57426,REVISE PROSTH VAG GRAFT LAP,,,1960.19,26158.0,339 CPT,57452,EXAM OF CERVIX W/SCOPE,,,63.19,13453.0,339 CPT,57452,HC EXAM OF CERVIX W/SCOPE,2313.87,439.6353,63.19,13453.0,406 CPT,57454,BX/CURETT OF CERVIX W/SCOPE,,,75.92,13453.0,339 CPT,57454,HC BX/CURETT OF CERVIX W/SCOPE,3571.79,678.6401,75.92,13453.0,406 CPT,57455,BIOPSY OF CERVIX W/SCOPE,,,80.43,13453.0,339 CPT,57455,HC COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX,1406.08,267.1552,80.43,13453.0,406 CPT,57456,ENDOCERV CURETTAGE W/SCOPE,,,76.74,13453.0,339 CPT,57456,HC ENDOCERV CURETTAGE W/SCOPE,1313.52,249.5688,76.74,13453.0,406 CPT,57460,BX OF CERVIX W/SCOPE LEEP,,,183.87,13453.0,339 CPT,57460,HC COLPOSCOPY W/LEEP OF CERVIX,7666.84,1456.6996,183.87,13453.0,406 CPT,57461,CONZ OF CERVIX W/SCOPE LEEP,,,196.61,13453.0,339 CPT,57461,HC COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX,4454.05,846.2695,196.61,13453.0,406 CPT,57500,BIOPSY OF CERVIX,,,100.54,25798.0,339 CPT,57500,HC BIOPSY OF CERVIX,6709.59,1274.8221,100.54,25798.0,406 CPT,57505,ENDOCERVICAL CURETTAGE,,,75.51,25798.0,339 CPT,57505,HC ENDOCERVICAL CURETTAGE,5981.7,1136.523,75.51,25798.0,406 CPT,57510,CAUTERIZATION OF CERVIX,,,72.63,25798.0,339 CPT,57510,HC CAUTERY CERVIX ELECTRO/THERMAL,3832.5,728.175,72.63,25798.0,406 CPT,57511,HC CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT,2459.68,467.3392,92.33,25798.0,406 CPT,57513,HC LASER SURGERY OF CERVIX,2785.35,529.2165,1114.14,25798.0,406 CPT,57513,LASER SURGERY OF CERVIX,,,1317.81,25798.0,339 CPT,57520,CONIZATION OF CERVIX,,,1317.81,25798.0,339 CPT,57522,CONIZATION OF CERVIX,,,1317.81,25798.0,339 CPT,57522,HC CONIZATION OF CERVIX LEEP,8349.68,1586.4392,1317.81,25798.0,406 CPT,57530,REMOVAL OF CERVIX,,,1317.81,25798.0,339 CPT,57550,REMOVAL OF RESIDUAL CERVIX,,,1317.81,25798.0,339 CPT,57558,HC D&C OF CERVICAL STUMP,2785.35,529.2165,1114.14,25798.0,406 CPT,57700,REVISION OF CERVIX,,,1317.81,25798.0,317 CPT,57720,HC PLASTIC REP UTERINE CERVIX VAGINAL,8711.23,1655.1337,1317.81,25798.0,406 CPT,57720,REVISION OF CERVIX,,,1317.81,25798.0,339 CPT,57800,DILATION OF CERVICAL CANAL,,,40.21,25798.0,339 CPT,57800,HC DILATION CERVICAL CANAL INSTRUMENTAL SPX,2785.35,529.2165,40.21,25798.0,406 CPT,58100,BIOPSY OF UTERUS LINING,,,52.53,25798.0,317 CPT,58100,HC BIOPSY OF UTERUS LINING,4206.91,799.3129,52.53,25798.0,384 CPT,58110,BX DONE W/COLPOSCOPY ADD-ON,,,41.93,25798.0,257 CPT,58110,HC BX DONE W/COLPOSCOPY ADD-ON,2894.57,549.9683,41.93,25798.0,324 CPT,58120,DILATION AND CURETTAGE,,,1317.81,25798.0,339 CPT,58120,HC D&C DIAGNOSTIC OR THERAP NOT OB,8399.2,1595.848,1317.81,25798.0,406 CPT,58140,MYOMECTOMY ABDOM METHOD,,,960.82,25798.0,256 CPT,58145,HC MYOMECTOMY VAG METHOD 1-4 MYOMAS,8711.23,1655.1337,1317.81,25798.0,406 CPT,58145,MYOMECTOMY VAG METHOD,,,1317.81,25798.0,339 CPT,58146,MYOMECTOMY ABDOM COMPLEX,,,1202.71,25798.0,256 CPT,58150,TOTAL HYSTERECTOMY,,,1036.0,25798.0,256 CPT,58180,PARTIAL HYSTERECTOMY,,,1004.55,25798.0,256 CPT,58260,VAGINAL HYSTERECTOMY,,,1631.77,25798.0,339 CPT,58262,VAG HYST INCLUDING T/O,,,1631.77,25798.0,339 CPT,58263,VAG HYST W/T/O & VAG REPAIR,,,1037.97,25798.0,339 CPT,58270,VAG HYST W/ENTEROCELE REPAIR,,,932.26,25798.0,339 CPT,58290,VAG HYST COMPLEX,,,1198.94,26158.0,317 CPT,58291,VAG HYST INCL T/O COMPLEX,,,1294.12,25798.0,339 CPT,58300,HC INSERT IUD PROCEDURE,2152.15,408.9085,210.08,25798.0,290 CPT,58300,INSERT INTRAUTERINE DEVICE,,,210.08,25798.0,223 CPT,58301,HC REMOVAL INTRAUTERINE DEVICE IUD,666.29,126.5951,52.53,25798.0,406 CPT,58301,REMOVE INTRAUTERINE DEVICE,,,52.53,25798.0,339 CPT,58340,HC HYSTEROGR/SIS CONTR/SALINE INJ,495.74,94.1906,60.78,25798.0,324 CPT,58345,REOPEN FALLOPIAN TUBE,,,1317.81,25798.0,339 CPT,58350,HC REOPEN FALLOPIAN TUBE,8059.51,1531.3069,1879.56,25798.0,406 CPT,58350,REOPEN FALLOPIAN TUBE,,,1879.56,25798.0,339 CPT,58353,ENDOMETR ABLATE THERMAL,,,1879.56,39142.0,339 CPT,58353,HC THERMAL ENDOMETR TUMOR ABL,2462.85,467.9415,985.14,39142.0,406 CPT,58541,LSH UTERUS 250 G OR LESS,,,2425.14,25798.0,339 CPT,58542,LSH W/T/O UT 250 G OR LESS,,,2709.86,26158.0,339 CPT,58543,LSH UTERUS ABOVE 250 G,,,2709.86,26158.0,339 CPT,58544,LSH W/T/O UTERUS ABOVE 250 G,,,2709.86,26158.0,339 CPT,58545,LAPAROSCOPIC MYOMECTOMY,,,2425.14,25798.0,339 CPT,58546,LAPARO-MYOMECTOMY COMPLEX,,,2709.86,26158.0,339 CPT,58548,LAP RADICAL HYST,,,1867.0,25798.0,256 CPT,58550,LAPARO-ASST VAG HYSTERECTOMY,,,2425.14,25798.0,339 CPT,58552,LAPARO-VAG HYST INCL T/O,,,2709.86,26158.0,339 CPT,58553,LAPARO-VAG HYST COMPLEX,,,2709.86,26158.0,317 CPT,58554,LAPARO-VAG HYST W/T/O COMPL,,,2709.86,26158.0,339 CPT,58555,HYSTEROSCOPY DX SEP PROC,,,1317.81,13453.0,339 CPT,58558,HYSTEROSCOPY BIOPSY,,,1317.81,25798.0,339 CPT,58559,HYSTEROSCOPY LYSIS,,,1879.56,25798.0,339 CPT,58560,HYSTEROSCOPY RESECT SEPTUM,,,1879.56,25798.0,339 CPT,58561,HYSTEROSCOPY REMOVE MYOMA,,,1631.77,25798.0,339 CPT,58562,HYSTEROSCOPY REMOVE FB,,,1317.81,25798.0,339 CPT,58563,HYSTEROSCOPY ABLATION,,,1879.56,39142.0,339 CPT,58570,TLH UTERUS 250 G OR LESS,,,2709.86,26158.0,339 CPT,58571,HC TLH W/T/O 250 G OR LESS,30779.58,5848.1202,2709.86,30779.58,406 CPT,58571,TLH W/T/O 250 G OR LESS,,,2709.86,26158.0,339 CPT,58572,HC TLH UTERUS OVER 250 G,30779.58,5848.1202,2709.86,30779.58,406 CPT,58572,TLH UTERUS OVER 250 G,,,2709.86,26158.0,339 CPT,58573,HC TLH W/T/O UTERUS OVER 250 G,30779.58,5848.1202,2709.86,30779.58,406 CPT,58573,TLH W/T/O UTERUS OVER 250 G,,,2709.86,26158.0,339 CPT,58575,LAPS TOT HYST RESJ MAL,,,900.0,25798.0,256 CPT,58578,UNLISTED LAPS PX UTERUS,,,1879.56,25798.0,333 CPT,58579,UNLISTED HYSTSC PX UTERUS,,,238.04,25798.0,333 CPT,58580,TRANSCRV ABLTJ UTRN FIBRD RF,,,418.96,26158.0,339 CPT,58600,DIVISION OF FALLOPIAN TUBE,,,1317.81,25798.0,339 CPT,58600,HC DIVISION OF FALLOPIAN TUBE,4296.83,816.3977,1317.81,25798.0,406 CPT,58660,HC LAP; W LYSIS OF ADHESIONS,17950.07,3410.5133,2295.18,25798.0,406 CPT,58660,LAPAROSCOPY LYSIS,,,2295.18,25798.0,339 CPT,58661,HC LAPAROSCOPY REMOVE ADNEXA,15181.54,2884.4926,2295.18,25798.0,406 CPT,58661,LAPAROSCOPY REMOVE ADNEXA,,,2295.18,25798.0,339 CPT,58662,HC LAP W EXC/DESTR OVARY PELVIC V LESIONS,15940.62,3028.7178,2295.18,25798.0,406 CPT,58662,LAPAROSCOPY EXCISE LESIONS,,,2295.18,25798.0,339 CPT,58670,LAPAROSCOPY TUBAL CAUTERY,,,2295.18,25798.0,315 CPT,58673,HC LAP; W SALPINGOSTOMY,17950.07,3410.5133,2295.18,25798.0,406 CPT,58673,LAPAROSCOPY SALPINGOSTOMY,,,2295.18,25798.0,339 CPT,58679,UNLISTED LAPS PX OVIDCT OVRY,,,1879.56,25798.0,333 CPT,58720,REMOVAL OF OVARY/TUBE(S),,,764.0,25798.0,256 CPT,58800,HC DRAINAGE OF OVARIAN CYST(S) VAGINAL,2785.35,529.2165,1114.14,25798.0,406 CPT,58920,PARTIAL REMOVAL OF OVARY(S),,,745.52,26158.0,339 CPT,58925,REMOVAL OF OVARIAN CYST(S),,,810.55,25798.0,339 CPT,58940,REMOVAL OF OVARY(S),,,502.0,25798.0,234 CPT,58999,HC UNLISTED PROCEDURE FEMALE GENITAL SYS,630.71,119.8349,238.04,25798.0,400 CPT,58999,UNLISTED PX FML GENITAL SYS,,,238.04,25798.0,283 CPT,59000,AMNIOCENTESIS DIAGNOSTIC,,,77.56,25798.0,317 CPT,59000,HC AMNIOCENTESIS DIAGNOSTIC,953.89,181.2391,77.56,25798.0,406 CPT,59001,AMNIOCENTESIS THERAPEUTIC,,,160.15,25798.0,317 CPT,59001,HC AMNIOCENTESIS THERAPEUTIC,1710.37,324.9703,160.15,25798.0,406 CPT,59012,HC CORDOCENTESIS (INTRAUTERINE),1125.61,213.8659,160.15,25798.0,384 CPT,59015,HC CHORIONIC VILLUS SAMPLING,953.89,181.2391,70.17,25798.0,384 CPT,59020,HC FETAL CONTRACTION STRESS TEST,7044.5,1338.455,37.75,25798.0,384 CPT,59025,FETAL NON-STRESS TEST,,,20.93,25798.0,312 CPT,59025,HC FETAL NON-STRESS TEST,7193.0,1366.67,20.93,25798.0,406 CPT,59030,HC FETAL SCALP BLOOD SAMPLING,895.13,170.0747,121.98,25798.0,384 CPT,59050,HC FETAL MONITOR W/REPORT,120.75,22.9425,48.3,25798.0,323 CPT,59070,HC TRANSABD AMNIOINFUS W US,2694.24,511.9056,160.15,25798.0,406 CPT,59074,HC FETAL FLUID DRAINAGE W US,2685.36,510.2184,160.15,25798.0,406 CPT,59076,HC FETAL SHUNT PLACEMENT W/US,1041.81,197.9439,160.15,25798.0,406 CPT,59150,TREAT ECTOPIC PREGNANCY,,,2150.82,25798.0,339 CPT,59151,HC TREAT ECTOPIC PREGNANCY,11656.59,2214.7521,2150.82,25798.0,406 CPT,59151,TREAT ECTOPIC PREGNANCY,,,2150.82,25798.0,339 CPT,59160,D & C AFTER DELIVERY,,,1317.81,25798.0,339 CPT,59160,HC CURETTAGE POSTPARTUM,8394.62,1594.9778,1317.81,25798.0,406 CPT,59200,HC INSERT CERVICAL DILATOR,770.87,146.4653,50.88,25798.0,406 CPT,59300,EPISIOTOMY OR VAGINAL REPAIR,,,112.45,25798.0,339 CPT,59320,HC REVISION OF CERVIX,3026.44,575.0236,1210.576,25798.0,406 CPT,59320,REVISION OF CERVIX,,,1317.81,25798.0,339 CPT,59409,OBSTETRICAL CARE,,,861.49,25798.0,339 CPT,59412,ANTEPARTUM MANIPULATION,,,35.35,25798.0,315 CPT,59412,HC EXT CEPHALIC VERSION,4970.07,944.3133,35.35,25798.0,406 CPT,59414,DELIVER PLACENTA,,,563.25,25798.0,293 CPT,59425,HC ANTEPARTUM CARE ONLY; 4-6 VISITS,265.65,50.4735,132.825,8802.0,309 CPT,59426,HC PCAP FOLLOWUP PRENATAL,265.65,50.4735,132.825,8802.0,309 CPT,59430,HC POSTPARTUM CARE ONLY,623.7,118.503,192.39,25798.0,320 CPT,59514,HC CESAREAN DELIVERY ONLY,1080.62,205.3178,432.248,25798.0,237 CPT,59812,HC SURG TX INCOMPL ABORTION,4970.77,944.4463,1075.58,25798.0,406 CPT,59812,TREATMENT OF MISCARRIAGE,,,1075.58,25798.0,339 CPT,59820,CARE OF MISCARRIAGE,,,1075.58,25798.0,339 CPT,59820,HC CARE OF MISCARRIAGE,4183.99,794.9581,1075.58,25798.0,406 CPT,59821,TREATMENT OF MISCARRIAGE,,,1075.58,25798.0,339 CPT,59840,INDUCED ABORTION D&C,,,1000.0,25798.0,339 CPT,59841,HC INDUCED ABORTION DILATION & EVACUATION,10391.34,1974.3546,1300.0,25798.0,406 CPT,59841,INDUCED ABORTION DILAT&EVAC,,,1300.0,25798.0,339 CPT,59855,INDUCED ABORTION 1+VAG SUPP,,,446.0,37761.3,234 CPT,59866,HC MULTIFETAL PREGNANCY REDUCTION(S),1125.61,213.8659,160.15,25798.0,406 CPT,59870,EVACUATE MOLE OF UTERUS,,,1317.81,25798.0,339 CPT,59871,HC REMOVE CERCLAGE WITH ANESTHESIA,8275.42,1572.3298,1317.81,25798.0,406 CPT,59871,REMOVE CERCLAGE SUTURE,,,1317.81,25798.0,339 CPT,59897,HC FETAL INVAS PX W/US,612.14,116.3066,238.04,25798.0,400 CPT,59897,UNLISTED FETAL INVAS PX W/US,,,238.04,25798.0,333 CPT,59898,UNLSTD LAPS PX MAT CARE&DLVR,,,1417.35,25798.0,311 CPT,59899,HC UNLISTED PROCEDURE MATERNITY CARE & DELIVERY,649.97,123.4943,238.04,25798.0,400 CPT,59899,UNLISTED PX MAT CARE&DLVR,,,238.04,25798.0,283 CPT,60000,HC I & D OF THYROGLOSSAL CYST,1786.44,339.4236,631.23,25798.0,406 CPT,60100,BIOPSY OF THYROID,,,61.14,25798.0,339 CPT,60100,HC BX THYR PRQ CORE NDL,1095.44,208.1336,61.14,25798.0,406 CPT,60200,REMOVE THYROID LESION,,,2425.14,25798.0,339 CPT,60210,PARTIAL THYROID EXCISION,,,2425.14,25798.0,339 CPT,60220,PARTIAL REMOVAL OF THYROID,,,2425.14,25798.0,339 CPT,60225,PARTIAL REMOVAL OF THYROID,,,2425.14,25798.0,339 CPT,60240,REMOVAL OF THYROID,,,2425.14,25798.0,339 CPT,60252,REMOVAL OF THYROID,,,1389.19,25798.0,339 CPT,60260,REPEAT THYROID SURGERY,,,1145.29,25798.0,339 CPT,60271,REMOVAL OF THYROID,,,1113.91,25798.0,339 CPT,60280,REMOVE THYROID DUCT LESION,,,2425.14,25798.0,339 CPT,60281,REMOVE THYROID DUCT LESION,,,2425.14,25798.0,339 CPT,60300,HC ASPIR/INJ THYROID CYST,2385.09,453.1671,89.87,25798.0,384 CPT,60500,EXPLORE PARATHYROID GLANDS,,,2478.14,25798.0,339 CPT,60502,RE-EXPLORE PARATHYROIDS,,,1392.29,25798.0,339 CPT,60512,AUTOTRANSPLANT PARATHYROID,,,252.15,25798.0,235 CPT,60520,REMOVAL OF THYMUS GLAND,,,1123.93,25798.0,339 CPT,60650,LAPAROSCOPY ADRENALECTOMY,,,1248.0,25798.0,256 CPT,60660,HC ABLTJ 1/+THYR NDUL 1LOBE PRQ,5751.99,1092.8781,680.11,25798.0,369 CPT,60661,HC ABLTJ 1/+THYR NDUL ADDL PRQ,575.2,109.288,230.08,25798.0,287 CPT,60699,UNLISTED PX ENDOCRINE SYSTEM,,,1930.46,26158.0,333 CPT,61050,HC C1-C2 PUNCTURE; WO INJECTION,898.61,170.7359,145.17,100883.0,406 CPT,61055,HC INJECTION INTO BRAIN CANAL,1160.1,220.419,145.17,100883.0,406 CPT,61055,INJECTION INTO BRAIN CANAL,,,145.17,100883.0,339 CPT,61070,BRAIN CANAL SHUNT PROCEDURE,,,351.29,100883.0,339 CPT,61070,HC OMMAYA RESERVOIR W/OUT CHEMO,8268.65,1571.0435,351.29,100883.0,406 CPT,61107,TDH PNXR IMPLT VENTR CATH,,,351.98,100883.0,256 CPT,61154,BURR HOLE W/EVAC&/DRG HMTMA,,,1197.0,100883.0,256 CPT,61312,CRNEC/CRNOT STTL XDRL/SDRL,,,1938.0,100883.0,166 CPT,61313,CRNEC/CRNOT STTL ICERE,,,1946.0,100883.0,166 CPT,61500,CRNEC EXC TUM/BONE LES SKULL,,,1416.0,100883.0,166 CPT,61619,REPAIR DURA,,,1548.19,100883.0,144 CPT,61623,ENDOVASC TEMPORY VESSEL OCCL,,,628.18,26838.59,339 CPT,61623,HC ENDOVASC TEMP B VESSEL OCCL,42808.53,8133.6207,628.18,42808.53,406 CPT,61624,HC TRANSCATH OCCLUSION CNS,10246.32,1946.8008,1162.0,25798.0,323 CPT,61624,TRANSCATH OCCLUSION CNS,,,1162.0,25798.0,256 CPT,61626,HC TC EMBOLIZ - HEMOST TUMOR; NOT CNS,13982.31,2656.6389,967.54,26838.59,406 CPT,61626,TRANSCATH OCCLUSION NON-CNS,,,967.54,26838.59,339 CPT,61630,INTRACRANIAL ANGIOPLASTY,,,1380.0,37761.3,234 CPT,61635,HC INTRACRAN ANGIOPLSTY W/STENT,6694.38,1271.9322,1510.0,37761.3,323 CPT,61635,INTRACRAN ANGIOPLSTY W/STENT,,,1510.0,37761.3,256 CPT,61640,HC DILATE IC VASOSPASM INIT,13081.95,2485.5705,3448.51,37761.3,317 CPT,61645,PERQ ART M-THROMBECT &/NFS,,,916.14,37761.3,256 CPT,61650,EVASC PRLNG ADMN RX AGNT 1ST,,,627.0,37761.3,256 CPT,61650,HC EVASC PRLNG ADMN RX AGNT 1ST,18093.84,3437.8296,627.0,37761.3,323 CPT,61651,HC EVASC PRLNG ADMN RX AGNT ADD,9046.93,1718.9167,266.0,37761.3,323 CPT,61711,FUSION OF SKULL ARTERIES,,,2765.0,37761.3,234 CPT,61715,MRGFUS STRTCTC ABLT TRGT ICR,,,376.0,29512.24,273 CPT,61720,INCISE SKULL/BRAIN SURGERY,,,1446.05,100883.0,339 CPT,61782,SCAN PROC CRANIAL EXTRA,,,178.25,32740.0,167 CPT,61783,SCAN PROC SPINAL,,,256.49,32740.0,257 CPT,61790,TREAT TRIGEMINAL NERVE,,,888.14,25798.0,249 CPT,61796,"HC SBRT CRANIAL, ONE FRACTION (GAMMA)",146129.0,27764.51,1158.56,146129.0,399 CPT,61796,"HC SRS CRANIAL COBALT, SINGLE SESSION (GAMMA)",146129.0,27764.51,1158.56,146129.0,399 CPT,61797,HC SRS LINEAR BASED 1 SESSION,146129.0,27764.51,246.83,146129.0,399 CPT,61798,SRS CRANIAL LESION COMPLEX,,,1563.71,137668.0,333 CPT,61867,IMPLANT NEUROELECTRODE,,,2258.37,100883.0,256 CPT,61868,IMPLANT NEUROELECTRDE ADDL,,,561.03,100883.0,256 CPT,61885,INSRT/REDO NEUROSTIM 1 ARRAY,,,561.99,56409.0,339 CPT,61886,IMPLANT NEUROSTIM ARRAYS,,,3131.0,72118.8,339 CPT,61888,REVISE/REMOVE NEURORECEIVER,,,2555.29,56409.0,339 CPT,61891,REV/RPLCMT SK-MNT CRNL NSTM,,,607.39,50750.29,286 CPT,62140,CRNOP SKULL DEFECT<5 CM DIAM,,,1064.0,100883.0,234 CPT,62160,NEUROENDOSCOPY ADD-ON,,,212.09,67005.0,235 CPT,62220,ESTABLISH BRAIN CAVITY SHUNT,,,1042.0,67005.0,256 CPT,62225,REPLACE/IRRIGATE CATHETER,,,2187.44,67005.0,339 CPT,62230,HC RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS,22734.96,4319.6424,2187.44,67005.0,406 CPT,62230,REPLACE/REVISE BRAIN SHUNT,,,2187.44,67005.0,339 CPT,62252,HC CSF SHUNT REPROGRAM,1081.98,205.5762,40.21,67005.0,406 CPT,62256,REMOVE BRAIN CAVITY SHUNT,,,582.0,67005.0,256 CPT,62264,HC EPIDURAL LYSIS OF ADH MULTI 1 DAY,3010.89,572.0691,448.69,55147.0,406 CPT,62267,HC INTERDISCAL PERQ ASPIR DX,1410.35,267.9665,339.86,55147.0,406 CPT,62267,INTERDISCAL PERQ ASPIR DX,,,339.86,55147.0,339 CPT,62268,HC PERC ASPIRATION SPINAL CORD CYST,2198.5,417.715,448.69,55147.0,406 CPT,62270,DX LMBR SPI PNXR,,,351.29,43390.0,339 CPT,62270,HC SPI PNXR LMBR DX,6286.68,1194.4692,351.29,43390.0,406 CPT,62272,HC THER SPI PNXR DRG CSF,3633.62,690.3878,351.29,43390.0,406 CPT,62272,THER SPI PNXR DRG CSF,,,351.29,43390.0,339 CPT,62273,HC INJECT EPIDURAL PATCH,4362.76,828.9244,351.29,43390.0,406 CPT,62273,INJECT EPIDURAL PATCH,,,351.29,43390.0,339 CPT,62281,HC TREAT SPINAL CORD LESION,3141.02,596.7938,448.69,55147.0,406 CPT,62282,HC TREAT SPINAL CANAL LESION,3141.02,596.7938,448.69,55147.0,406 CPT,62282,TREAT SPINAL CANAL LESION,,,448.69,55147.0,339 CPT,62284,HC INJECTION FOR MYELOGRAM,6751.44,1282.7736,83.55,43390.0,302 CPT,62284,INJECTION FOR MYELOGRAM,,,83.55,43390.0,235 CPT,62287,DCMPRN PX PERQ 1/MLT LUMBAR,,,888.14,55147.0,339 CPT,62290,HC INJECT FOR SPINE DISK X-RAY,6921.33,1315.0527,157.5,43390.0,302 CPT,62290,NJX PX DISCOGRAPHY LUMBAR,,,157.5,43390.0,235 CPT,62302,HC MYELOGRAPHY LUMBAR INJECTION; CERVICAL,2752.0,522.88,118.66,25798.0,406 CPT,62302,MYELOGRAPHY LUMBAR INJECTION,,,118.66,25798.0,339 CPT,62303,HC MYELOGRAPHY LUMBAR INJECTION; THORACIC,2752.0,522.88,118.66,25798.0,406 CPT,62303,MYELOGRAPHY LUMBAR INJECTION,,,118.66,25798.0,339 CPT,62304,HC MYELOGRAPHY LUMBAR INJECTION; LUMBOSACRAL,2752.0,522.88,117.07,25798.0,406 CPT,62304,MYELOGRAPHY LUMBAR INJECTION,,,117.07,25798.0,339 CPT,62305,HC MYELOGRAPHY LUMBAR INJECTION; 2 OR MORE REGIONS,2752.0,522.88,122.13,25798.0,406 CPT,62305,MYELOGRAPHY LUMBAR INJECTION,,,122.13,25798.0,339 CPT,62320,HC NJX INTERLAMINAR CRV/THRC,8017.6,1523.344,351.29,29968.0,406 CPT,62320,NJX INTERLAMINAR CRV/THRC,,,351.29,29968.0,339 CPT,62321,HC NJX INTERLAMINAR CRV/THRC,8908.8,1692.672,351.29,29968.0,406 CPT,62321,NJX INTERLAMINAR CRV/THRC,,,351.29,29968.0,339 CPT,62322,HC NJX INTERLAMINAR LMBR/SAC W/O IMG GDN,7658.41,1455.0979,351.29,29968.0,406 CPT,62322,NJX INTERLAMINAR LMBR/SAC,,,351.29,29968.0,339 CPT,62323,HC NJX INTERLAMINAR LMBR/SAC W/IMG GDN,8934.47,1697.5493,351.29,29968.0,406 CPT,62323,NJX INTERLAMINAR LMBR/SAC,,,351.29,29968.0,339 CPT,62324,HC NJX INTERLAMINAR CRV/THRC,8746.43,1661.8217,448.69,29968.0,406 CPT,62325,HC NJX INTERLAMINAR CRV/THRC,9718.25,1846.4675,448.69,29968.0,406 CPT,62325,NJX INTERLAMINAR CRV/THRC,,,448.69,29968.0,339 CPT,62326,HC NJX INTERLAMINAR LMBR/SAC,8354.69,1587.3911,448.69,29968.0,406 CPT,62327,HC NJX INTERLAMINAR LMBR/SAC,9282.99,1763.7681,448.69,29968.0,406 CPT,62328,DX LMBR SPI PNXR W/FLUOR/CT,,,84.9,29968.0,339 CPT,62328,HC DX LMBR SPI PNXR W/FLUOR/CT,6346.39,1205.8141,84.9,29968.0,406 CPT,62329,HC THER SPI PNXR CSF FLUOR/CT,3634.01,690.4619,106.67,29968.0,406 CPT,62329,THER SPI PNXR CSF FLUOR/CT,,,106.67,29968.0,339 CPT,62350,HC IMPL OR REVISE EPID CATH FOR PAIN,16151.35,3068.7565,2167.53,43390.0,406 CPT,62350,IMPLANT SPINAL CANAL CATH,,,2167.53,43390.0,339 CPT,62355,HC REM PREV IMPL EPID CATH,6081.93,1155.5667,815.61,43390.0,406 CPT,62355,REMOVE SPINAL CANAL CATHETER,,,815.61,43390.0,339 CPT,62360,INSERT SPINE INFUSION DEVICE,,,3131.0,43390.0,339 CPT,62362,HC IMPL/REPL PR PUMP FOR INFUSION,21125.0,4013.75,3131.0,43390.0,406 CPT,62362,IMPLANT SPINE INFUSION PUMP,,,3131.0,43390.0,339 CPT,62365,HC REM SQ RSVR/PUMP FOR PREV EPID DR INF,7007.87,1331.4953,2187.44,43390.0,406 CPT,62365,REMOVE SPINE INFUSION DEVICE,,,2187.44,43390.0,339 CPT,62367,ANALYZE SPINE INFUS PUMP,,,25.03,43390.0,339 CPT,62367,HC ELEC ALYS PRGRBL PMP W/O REPRGRMG,5939.65,1128.5335,25.03,43390.0,406 CPT,62368,HC ELEC ALYS PRGRBL PMP REPRGRMG,39522.53,7509.2807,34.06,43390.0,406 CPT,62369,HC ANAL SP INF PMP W/REPRG&FILL,519.83,98.7677,106.69,43390.0,384 CPT,62370,HC ANL SP INF PMP W/MDREPRG&FIL,1050.0,199.5,102.18,43390.0,384 CPT,62380,NDSC DCMPRN 1 NTRSPC LUMBAR,,,2940.3,43390.0,248 CPT,63001,REMOVE SPINE LAMINA 1/2 CRVL,,,3125.23,43390.0,339 CPT,63005,REMOVE SPINE LAMINA 1/2 LMBR,,,3125.23,43390.0,339 CPT,63020,NECK SPINE DISK SURGERY,,,3125.23,43390.0,339 CPT,63030,LOW BACK DISK SURGERY,,,3125.23,43390.0,339 CPT,63035,SPINAL DISK SURGERY ADD-ON,,,252.89,43390.0,257 CPT,63040,LAMINOTOMY SINGLE CERVICAL,,,1511.24,43390.0,339 CPT,63042,LAMINOTOMY SINGLE LUMBAR,,,3125.23,43390.0,339 CPT,63044,LAMINOTOMY ADDL LUMBAR,,,307.92,43390.0,256 CPT,63045,LAM FACETEC & FORAMOT CRV,,,3125.23,43390.0,339 CPT,63046,LAM FACETEC & FORAMOT THRC,,,3125.23,43390.0,339 CPT,63047,LAM FACETEC & FORAMOT LUMBAR,,,3125.23,43390.0,339 CPT,63048,LAM FACETEC &FORAMOT EA ADDL,,,230.26,43390.0,257 CPT,63052,LAM FACETC/FRMT ARTHRD LUM 1,,,283.1,43390.0,207 CPT,63053,LAM FACTC/FRMT ARTHRD LUM EA,,,249.91,43390.0,207 CPT,63056,DECOMPRESS SPINAL CORD LMBR,,,3125.23,43390.0,339 CPT,63057,DECOMPRESS SPINE CORD ADD-ON,,,355.14,43390.0,235 CPT,63075,NECK SPINE DISK SURGERY,,,1499.4,43390.0,339 CPT,63076,NECK SPINE DISK SURGERY,,,266.27,43390.0,235 CPT,63081,REMOVE VERT BODY DCMPRN CRVL,,,1847.0,43390.0,256 CPT,63082,REMOVE VERTEBRAL BODY ADD-ON,,,291.59,43390.0,256 CPT,63085,REMOVE VERT BODY DCMPRN THRC,,,2030.0,43390.0,256 CPT,63265,EXCISE INTRASPINL LESION CRV,,,1868.34,43390.0,339 CPT,63267,EXCISE INTRSPINL LESION LMBR,,,1528.57,43390.0,339 CPT,63277,BX/EXC XDRL SPINE LESN LMBR,,,1629.0,43390.0,256 CPT,63620,HC SBRT DELIVERY PER FRACTION,146129.0,27764.51,1281.0,146129.0,399 CPT,63650,HC IMPLANT NEUROELECTRODES,42776.33,8127.5027,3131.0,56409.0,406 CPT,63650,IMPLANT NEUROELECTRODES,,,3131.0,56409.0,339 CPT,63655,IMPLANT NEUROELECTRODES,,,3131.0,56409.0,339 CPT,63661,HC REMOVE SPINE ELTRD PERQ ARAY,6201.17,1178.2223,890.21,56409.0,406 CPT,63661,REMOVE SPINE ELTRD PERQ ARAY,,,890.21,56409.0,339 CPT,63662,REMOVE SPINE ELTRD PLATE,,,1689.4,56409.0,339 CPT,63663,HC REVISE SPINE ELTRD PERQ ARAY,22349.34,4246.3746,3131.0,56409.0,406 CPT,63663,REVISE SPINE ELTRD PERQ ARAY,,,3131.0,56409.0,339 CPT,63664,REVISE SPINE ELTRD PLATE,,,3131.0,56409.0,339 CPT,63685,HC INS/RPLCMT SPI NPGR POCKET,35072.44,6663.7636,3131.0,72118.8,406 CPT,63685,INS/RPLC SPI NPG/RCVR POCKET,,,3131.0,72118.8,339 CPT,63688,HC REV/RMV IMP SPI NPGR DTCH CN,10466.28,1988.5932,1689.4,56409.0,406 CPT,63688,REV/RMV IMP SP NPG/R DTCH CN,,,1689.4,56409.0,339 CPT,64400,HC NJX AA&/STRD TRIGEMINAL NRV,3454.96,656.4424,103.41,25798.0,406 CPT,64400,NJX AA&/STRD TRIGEMINAL NRV,,,103.41,25798.0,339 CPT,64405,HC NJX AA&/STRD GR OCPL NRV,1147.43,218.0117,50.47,25798.0,406 CPT,64405,NJX AA&/STRD GR OCPL NRV,,,50.47,25798.0,339 CPT,64415,"HC NJX AA&/STRD BRACH PLEXUS, W/IMG GDN",3126.96,594.1224,448.69,25798.0,406 CPT,64415,NJX AA&/STRD BRCH PLXS IMG,,,448.69,25798.0,339 CPT,64416,"HC NJX AA&/STRD BRACH PLEX NFS, CATH IMG",2485.52,472.2488,448.69,25798.0,406 CPT,64417,"HC NJX AA&/STRD AXILLARY NRV, W/IMG GDN",2485.52,472.2488,448.69,25798.0,406 CPT,64417,NJX AA&/STRD AX NERVE IMG,,,448.69,25798.0,339 CPT,64418,HC NJX AA&/STRD SPRSCAP NRV,1699.35,322.8765,61.14,25798.0,406 CPT,64418,NJX AA&/STRD SPRSCAP NRV,,,61.14,25798.0,339 CPT,64420,HC NJX AA&/STRD NTRCOST NRV 1,1376.92,261.6148,351.29,25798.0,406 CPT,64421,HC NJX AA&/STRD NTRCOST NRV EA,1861.24,353.6356,448.69,25798.0,406 CPT,64425,HC NJX AA&/STRD II IH NERVES,3195.05,607.0595,82.48,25798.0,406 CPT,64425,NJX AA&/STRD II IH NERVES,,,82.48,25798.0,339 CPT,64430,HC NJX AA&/STRD PUDENDAL NERVE,6346.39,1205.8141,448.69,25798.0,406 CPT,64430,NJX AA&/STRD PUDENDAL NERVE,,,448.69,25798.0,339 CPT,64445,"HC NJX AA&/STRD SCIATIC NERVE, W/IMG GDN",1973.06,374.8814,92.74,42034.0,406 CPT,64445,NJX AA&/STRD SCIATIC NRV IMG,,,92.74,42034.0,339 CPT,64446,"HC NJX AA&/STRD SCIATIC NRV NFS, CATH IMG",2485.52,472.2488,448.69,42034.0,406 CPT,64447,"HC NJX AA&/STRD FEMORAL NERVE, W/IMG GDN",876.61,166.5559,75.51,42034.0,406 CPT,64447,NJX AA&/STRD FEMORAL NRV IMG,,,75.51,42034.0,339 CPT,64448,"HC NJX AA&/STRD FEM NERVE NFS, CATH IMG GDN",2485.52,472.2488,448.69,42034.0,406 CPT,64449,HC NJX AA&/STRD LMBR PLEX NFS,3207.05,609.3395,448.69,42034.0,406 CPT,64450,HC NJX AA&/STRD OTHER PN/BRANCH,26751.9,5082.861,56.22,42034.0,406 CPT,64450,NJX AA&/STRD OTHER PN/BRANCH,,,56.22,42034.0,339 CPT,64451,HC NJX AA&/STRD NRV NRVTG SI JT,9207.05,1749.3395,83.07,25798.0,406 CPT,64454,HC NJX AA&/STRD GNCLR NRV BRNCH,9207.05,1749.3395,83.42,25798.0,406 CPT,64454,NJX AA&/STRD GNCLR NRV BRNCH,,,83.42,25798.0,339 CPT,64455,HC N BLOCK INJ PLANTAR DIGIT,27852.73,5292.0187,22.57,42034.0,384 CPT,64455,NJX AA&/STRD PLTR COM DG NRV,,,22.57,42034.0,317 CPT,64461,HC PVB THORACIC SINGLE INJ SITE,1973.06,374.8814,351.29,25798.0,384 CPT,64462,HC PVB THORACIC 2ND+ INJ SITE,449.85,85.4715,47.29,25798.0,324 CPT,64479,HC NJX AA&/STRD TFRM EPI C/T 1,15840.84,3009.7596,448.69,25798.0,406 CPT,64479,NJX AA&/STRD TFRM EPI C/T 1,,,448.69,25798.0,339 CPT,64480,HC NJX AA&/STRD TFRM EPI C/T EA,2760.17,524.4323,67.56,25798.0,302 CPT,64483,HC NJX AA&/STRD TFRM EPI L/S 1,6346.39,1205.8141,448.69,25798.0,406 CPT,64483,NJX AA&/STRD TFRM EPI L/S 1,,,448.69,25798.0,339 CPT,64484,HC NJX AA&/STRD TFRM EPI L/S EA,6417.87,1219.3953,54.96,25798.0,302 CPT,64484,NJX AA&/STRD TFRM EPI L/S EA,,,54.96,25798.0,235 CPT,64486,HC TAP BLOCK UNIL BY INJECTION,3036.56,576.9464,51.5,25798.0,302 CPT,64486,TAP BLOCK UNIL BY INJECTION,,,51.5,25798.0,235 CPT,64488,HC TAP BLOCK BI INJECTION,3960.18,752.4342,60.07,25798.0,302 CPT,64488,TAP BLOCK BI INJECTION,,,60.07,25798.0,235 CPT,64490,HC INJ PARAVERTEBRAL C/T,27852.73,5292.0187,448.69,42034.0,406 CPT,64490,INJ PARAVERT F JNT C/T 1 LEV,,,448.69,42034.0,339 CPT,64491,HC INJ PARAVERT F JNT C/T 2 LEV,14941.5,2838.885,65.68,42034.0,324 CPT,64491,INJ PARAVERT F JNT C/T 2 LEV,,,65.68,42034.0,257 CPT,64492,HC INJ PARAVERT F JNT C/T 3 LEV,16299.68,3096.9392,65.83,42034.0,324 CPT,64492,INJ PARAVERT F JNT C/T 3 LEV,,,65.83,42034.0,257 CPT,64493,HC INJ PARAVERTEBRAL L/S,27852.73,5292.0187,448.69,42034.0,406 CPT,64493,INJ PARAVERT F JNT L/S 1 LEV,,,448.69,42034.0,339 CPT,64494,HC INJ PARAVERTEBRAL L/S ADD-ON,10981.95,2086.5705,55.79,42034.0,324 CPT,64494,INJ PARAVERT F JNT L/S 2 LEV,,,55.79,42034.0,257 CPT,64495,HC INJ PARAVERT F JNT 3 LVL,10981.95,2086.5705,55.72,42034.0,324 CPT,64495,INJ PARAVERT F JNT L/S 3 LEV,,,55.72,42034.0,257 CPT,64505,HC INJ ANESTH; SPHENOPALATINE GANGLION,730.3,138.757,71.81,25798.0,406 CPT,64505,N BLOCK SPENOPALATINE GANGL,,,71.81,25798.0,339 CPT,64510,"HC N BLOCK, STELLATE GANGLION",2297.39,436.5041,448.69,25798.0,406 CPT,64510,N BLOCK STELLATE GANGLION,,,448.69,25798.0,339 CPT,64517,HC NB INJ HYPOGAS PLXS,3010.89,572.0691,448.69,25798.0,406 CPT,64520,HC INJ ANESTH; LUMB/THOR (SYMPATHETIC),6346.39,1205.8141,448.69,25798.0,406 CPT,64520,N BLOCK LUMBAR/THORACIC,,,448.69,25798.0,339 CPT,64530,HC INJ ANESTH; CELIAC PLEXUS,1418.75,269.5625,448.69,25798.0,406 CPT,64530,N BLOCK INJ CELIAC PELUS,,,448.69,25798.0,339 CPT,64553,IMPLANT NEUROELECTRODES,,,3131.0,56409.0,339 CPT,64555,HC IMPLANT NEUROELECTRODES,23527.39,4470.2041,3131.0,56409.0,406 CPT,64555,IMPLANT NEUROELECTRODES,,,3131.0,56409.0,339 CPT,64561,IMPLANT NEUROELECTRODES,,,3131.0,56409.0,339 CPT,64568,OPN IMPLTJ CRNL NRV NEA&PG,,,609.17,72118.8,339 CPT,64569,REVISE/REPL VAGUS N ELTRD,,,3131.0,56409.0,339 CPT,64570,REMOVE VAGUS N ELTRD,,,2187.44,56409.0,339 CPT,64581,OPN IMPLTJ NEA SACRAL NERVE,,,3131.0,56409.0,339 CPT,64582,OPN MPLTJ HPGLSL NSTM ARY PG,,,867.83,72118.8,339 CPT,64583,REV/RPLCT HPGLSL NSTM ARY PG,,,896.72,56409.0,339 CPT,64585,REV/RMV PERPH NSTIM ELTRD RA,,,1689.4,56409.0,339 CPT,64590,HC INS/RPL PRPH SAC/GSTR NPG/R,76129.29,14464.5651,3131.0,76129.29,406 CPT,64590,INS/RPL PRPH SAC/GSTR NPG/R,,,3131.0,56409.0,339 CPT,64595,REV/RMV PRPH SAC/GSTR NPG/R,,,1672.09,56409.0,339 CPT,64600,HC DESTR W NEUROLYT TRIGEM NRV INF ALV BR,5985.0,1137.15,448.69,42034.0,406 CPT,64605,HC DESTR W NEUROLYT TRIGEM NRV; 2&3RD BR,6930.0,1316.7,818.28,42034.0,406 CPT,64605,INJECTION TREATMENT OF NERVE,,,818.28,42034.0,339 CPT,64610,HC DESTR W NEUROLYT TRIGEM NRV; RAD GUIDE,7276.5,1382.535,818.28,42034.0,406 CPT,64610,INJECTION TREATMENT OF NERVE,,,818.28,42034.0,339 CPT,64611,CHEMODENERV SALIV GLANDS,,,82.89,42034.0,317 CPT,64611,HC CHEMODENERV SALIV GLANDS,997.42,189.5098,82.89,42034.0,384 CPT,64612,DESTROY NERVE FACE MUSCLE,,,87.0,42034.0,339 CPT,64612,HC CHEMODENERVATION,27852.73,5292.0187,87.0,42034.0,406 CPT,64615,HC CHEMODENERV MUSC MIGRAINE,6346.39,1205.8141,74.27,25798.0,384 CPT,64616,CHEMODENERV MUSC NECK DYSTON,,,71.81,25798.0,317 CPT,64616,HC CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA,27852.73,5292.0187,71.81,27852.73,384 CPT,64620,HC DESTR W NEUROLYTIC; INTERCOSTAL NRV,2485.52,472.2488,448.69,42034.0,406 CPT,64624,DSTRJ NULYT AGT GNCLR NRV,,,149.0,25798.0,339 CPT,64624,HC DSTRJ NULYT AGT GNCLR NRV,6750.42,1282.5798,149.0,25798.0,406 CPT,64625,HC RF ABLTJ NRV NRVTG SI JT,6750.42,1282.5798,199.62,25798.0,406 CPT,64625,RF ABLTJ NRV NRVTG SI JT,,,199.62,25798.0,339 CPT,64628,HC TRML DSTRJ IOS BVN 1ST 2 L/S,6750.42,1282.5798,419.34,30450.62,406 CPT,64628,TRML DSTRJ IOS BVN 1ST 2 L/S,,,419.34,30450.62,339 CPT,64629,HC TRML DSTRJ IOS BVN EA ADDL,4500.28,855.0532,197.4,25798.0,324 CPT,64629,TRML DSTRJ IOS BVN EA ADDL,,,197.4,25798.0,207 CPT,64630,HC DESTR W NEUROLYTIC; PUDENDA NRV,1773.75,337.0125,448.69,42034.0,406 CPT,64630,INJECTION TREATMENT OF NERVE,,,448.69,42034.0,339 CPT,64632,HC N BLOCK INJ COMMON DIGIT,898.61,170.7359,46.78,42034.0,384 CPT,64632,N BLOCK INJ COMMON DIGIT,,,46.78,42034.0,317 CPT,64633,DESTROY CERV/THOR FACET JNT,,,818.28,35684.0,339 CPT,64633,HC DESTROY CERV/THOR FACET JNT,6346.39,1205.8141,818.28,35684.0,406 CPT,64634,DESTROY C/TH FACET JNT ADDL,,,73.36,25798.0,257 CPT,64634,HC DESTROY C/TH FACET JNT ADDL,1349.91,256.4829,73.36,25798.0,324 CPT,64635,DESTROY LUMB/SAC FACET JNT,,,818.28,35684.0,339 CPT,64635,HC DESTROY LUMB/SAC FACET JNT,6346.39,1205.8141,818.28,35684.0,406 CPT,64636,DESTROY L/S FACET JNT ADDL,,,64.69,25798.0,257 CPT,64636,HC DESTROY L/S FACET JNT ADDL,1300.53,247.1007,64.69,25798.0,324 CPT,64640,HC DESTR W NEUROLYTIC; OTHER PERIPH NRV,3312.96,629.4624,103.82,42034.0,406 CPT,64640,INJECTION TREATMENT OF NERVE,,,103.82,42034.0,339 CPT,64642,CHEMODENERV 1 EXTREMITY 1-4,,,87.0,25798.0,317 CPT,64642,HC CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE,27852.73,5292.0187,87.0,27852.73,384 CPT,64643,CHEMODENERV 1 EXTREM 1-4 EA,,,72.63,25798.0,257 CPT,64643,HC CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE,27852.73,5292.0187,72.63,27852.73,324 CPT,64644,CHEMODENERV 1 EXTREM 5/> MUS,,,106.28,25798.0,317 CPT,64644,HC CHEMODENERV 1 EXTREM 5/> MUS,27852.73,5292.0187,106.28,27852.73,384 CPT,64645,CHEMODENERV 1 EXTREM 5/> EA,,,86.61,25798.0,257 CPT,64645,HC CHEMODENERV 1 EXTREM 5/> EA,1815.6,344.964,86.61,25798.0,324 CPT,64646,CHEMODENERV TRUNK MUSC 1-5,,,87.0,25798.0,317 CPT,64646,HC CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES,27852.73,5292.0187,87.0,27852.73,384 CPT,64647,CHEMODENERV TRUNK MUSC 6/>,,,98.07,25798.0,317 CPT,64647,HC CHEMODENERV TRUNK MUSC 6/>,1728.11,328.3409,98.07,25798.0,384 CPT,64650,HC CHEMODENERV ECCRINE GLANDS,1013.36,192.5384,58.27,25798.0,406 CPT,64653,HC CHEMODENERVATION ECCRINE GLANDS,997.42,189.5098,68.12,25798.0,406 CPT,64680,HC DESTR W NEUROLYTIC; CELIAC PLEXUS,2686.62,510.4578,448.69,25798.0,406 CPT,64680,INJECTION TREATMENT OF NERVE,,,448.69,25798.0,339 CPT,64681,HC NEUROL AG DESTR SH PLEXUS,3116.49,592.1331,448.69,25798.0,406 CPT,64702,REVISE FINGER/TOE NERVE,,,888.14,25798.0,339 CPT,64704,REVISE HAND/FOOT NERVE,,,888.14,25798.0,339 CPT,64708,REVISE ARM/LEG NERVE,,,888.14,25798.0,339 CPT,64712,REVISION OF SCIATIC NERVE,,,888.14,25798.0,339 CPT,64713,REVISION OF ARM NERVE(S),,,888.14,25798.0,339 CPT,64714,REVISE LOW BACK NERVE(S),,,888.14,25798.0,339 CPT,64716,REVISION OF CRANIAL NERVE,,,888.14,25798.0,339 CPT,64718,REVISE ULNAR NERVE AT ELBOW,,,888.14,25798.0,339 CPT,64719,REVISE ULNAR NERVE AT WRIST,,,888.14,25798.0,339 CPT,64721,CARPAL TUNNEL SURGERY,,,888.14,25798.0,339 CPT,64722,HC DECOMPRESS; UNSPECIFIED NERVE(S),3373.82,641.0258,888.14,25798.0,406 CPT,64722,RELIEVE PRESSURE ON NERVE(S),,,888.14,25798.0,339 CPT,64726,RELEASE FOOT/TOE NERVE,,,888.14,25798.0,317 CPT,64727,INTERNAL NERVE REVISION,,,196.02,25798.0,257 CPT,64742,INCISION OF FACIAL NERVE,,,888.14,25798.0,339 CPT,64771,SEVER CRANIAL NERVE,,,888.14,42034.0,339 CPT,64772,INCISION OF SPINAL NERVE,,,888.14,55147.0,339 CPT,64774,REMOVE SKIN NERVE LESION,,,888.14,42034.0,339 CPT,64776,REMOVE DIGIT NERVE LESION,,,888.14,42034.0,339 CPT,64778,DIGIT NERVE SURGERY ADD-ON,,,205.54,42034.0,257 CPT,64782,HC EXCISE NEUROMA; HAND OR FOOT NOT DIG NRV,6081.93,1155.5667,888.14,42034.0,406 CPT,64782,REMOVE LIMB NERVE LESION,,,888.14,42034.0,339 CPT,64783,HC EXC NEUROMA; HAND/FOOT EA ADDTL NERVE,2560.23,486.4437,245.85,42034.0,324 CPT,64784,REMOVE NERVE LESION,,,888.14,42034.0,339 CPT,64787,IMPLANT NERVE END,,,265.51,42034.0,257 CPT,64788,REMOVE SKIN NERVE LESION,,,888.14,42034.0,339 CPT,64790,REMOVAL OF NERVE LESION,,,888.14,42034.0,339 CPT,64792,REMOVAL OF NERVE LESION,,,2187.44,42034.0,339 CPT,64795,BIOPSY OF NERVE,,,888.14,42034.0,339 CPT,64820,SYMPATHECTOMY DIGITAL ARTERY,,,888.14,25798.0,339 CPT,64821,SYMPATHECTOMY RADIAL ARTERY,,,1431.23,25798.0,339 CPT,64822,SYMPATHECTOMY ULNAR ARTERY,,,1431.23,25798.0,317 CPT,64831,HC REPAIR OF DIGIT NERVE 1,19939.5,3788.505,888.14,42034.0,406 CPT,64831,REPAIR OF DIGIT NERVE,,,888.14,42034.0,339 CPT,64832,HC SUTURE DIGITAL NRV HND/FOOT; EA ADDTL NR,3670.8,697.452,375.85,42034.0,324 CPT,64832,REPAIR NERVE ADD-ON,,,375.85,42034.0,257 CPT,64834,REPAIR OF HAND OR FOOT NERVE,,,2187.44,42034.0,339 CPT,64836,REPAIR OF HAND OR FOOT NERVE,,,2187.44,42034.0,339 CPT,64857,REPAIR ARM/LEG NERVE,,,2187.44,42034.0,339 CPT,64858,REPAIR SCIATIC NERVE,,,888.14,42034.0,339 CPT,64864,HC SUTURE OF FACIAL NERVE; EXTRACRANIAL,17092.31,3247.5389,2187.44,42034.0,406 CPT,64864,REPAIR OF FACIAL NERVE,,,2187.44,42034.0,339 CPT,64865,REPAIR OF FACIAL NERVE,,,2187.44,42034.0,339 CPT,64866,FUSION OF FACIAL/OTHER NERVE,,,1124.0,42034.0,234 CPT,64874,REPAIR & REVISE NERVE ADD-ON,,,197.28,42034.0,257 CPT,64885,NERVE GRAFT HEAD/NECK <4 CM,,,2128.62,42034.0,339 CPT,64886,NERVE GRAFT HEAD/NECK >4 CM,,,2142.95,42034.0,339 CPT,64890,NRV GRF 1STRND HND/FOOT <4CM,,,2146.41,42034.0,317 CPT,64891,NRV GRF 1STRND HND/FOOT >4CM,,,2072.58,42034.0,317 CPT,64897,NRV GRF MLTST ARM/LEG <4 CM,,,2038.06,42034.0,317 CPT,64905,NERVE PEDICLE TRANSFER,,,2187.44,42034.0,339 CPT,64910,NERVE REPAIR W/ALLOGRAFT,,,2162.82,42034.0,339 CPT,64912,NRV RPR W/NRV ALGRFT 1ST,,,2187.44,42034.0,248 CPT,64913,NRV RPR W/NRV ALGRFT EA ADDL,,,177.7,42034.0,166 CPT,64999,HC UNLISTD PROC NERVOUS SYS,27852.73,5292.0187,349.3,42034.0,400 CPT,64999,UNLISTED PX NERVOUS SYSTEM,,,349.3,42034.0,283 CPT,65093,REVISE EYE WITH IMPLANT,,,1484.39,25798.0,317 CPT,65105,REMOVE EYE/ATTACH IMPLANT,,,1484.39,25798.0,339 CPT,65135,INSERT OCULAR IMPLANT,,,1484.39,25798.0,317 CPT,65205,HC REMOVE FOREIGN BODY FROM EYE,413.33,78.5327,34.32,25798.0,384 CPT,65205,REMOVE FOREIGN BODY FROM EYE,,,34.32,25798.0,317 CPT,65210,HC REM FB CONJUNCTIVA; EMBEDDED,1267.88,240.8972,43.01,25798.0,384 CPT,65210,REMOVE FOREIGN BODY FROM EYE,,,43.01,25798.0,317 CPT,65220,HC REMOVE FOREIGN BODY FROM EYE,702.41,133.4579,49.42,25798.0,384 CPT,65220,REMOVE FOREIGN BODY FROM EYE,,,49.42,25798.0,317 CPT,65222,HC REMOVE FOREIGN BODY FROM EYE,878.64,166.9416,41.35,25798.0,384 CPT,65275,REPAIR OF EYE WOUND,,,1484.39,25798.0,339 CPT,65280,REPAIR OF EYE WOUND,,,2017.68,25798.0,339 CPT,65285,REPAIR OF EYE WOUND,,,2017.68,25798.0,339 CPT,65290,HC REP WND EO MUSCLE TEND/TENON CAPSL,10901.8,2071.342,1484.39,25798.0,406 CPT,65400,REMOVAL OF EYE LESION,,,473.59,25798.0,339 CPT,65420,REMOVAL OF EYE LESION,,,916.89,25798.0,339 CPT,65426,REMOVAL OF EYE LESION,,,916.89,25798.0,339 CPT,65436,CURETTE/TREAT CORNEA,,,198.16,25798.0,317 CPT,65450,TREATMENT OF CORNEAL LESION,,,166.32,25798.0,317 CPT,65730,CORNEAL TRANSPLANT,,,2011.03,25798.0,339 CPT,65750,CORNEAL TRANSPLANT,,,2017.68,25798.0,339 CPT,65755,CORNEAL TRANSPLANT,,,2011.03,25798.0,339 CPT,65756,CORNEAL TRNSPL ENDOTHELIAL,,,2011.03,25798.0,339 CPT,65757,PREP CORNEAL ENDO ALLOGRAFT,,,99.96,25798.0,256 CPT,65778,COVER EYE W/MEMBRANE,,,361.2,25798.0,317 CPT,65779,COVER EYE W/MEMBRANE SUTURE,,,773.18,25798.0,339 CPT,65780,OCULAR RECONST TRANSPLANT,,,1484.39,25798.0,339 CPT,65800,DRAINAGE OF EYE,,,1112.98,25798.0,339 CPT,65800,HC PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX,7715.04,1465.8576,1112.98,25798.0,406 CPT,65810,DRAINAGE OF EYE,,,1112.98,25798.0,339 CPT,65810,HC PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX,8002.71,1520.5149,1112.98,25798.0,406 CPT,65815,DRAINAGE OF EYE,,,1112.98,25798.0,339 CPT,65820,GONIOTOMY,,,2011.03,25798.0,339 CPT,65850,TRABECULOTOMY AB EXTERNO,,,1112.98,25798.0,339 CPT,65855,HC LASER SURGERY OF EYE 1+ SESSIONS,8124.66,1543.6854,155.53,25798.0,406 CPT,65855,TRABECULOPLASTY LASER SURG,,,155.53,25798.0,339 CPT,65865,INCISE INNER EYE ADHESIONS,,,1112.98,25798.0,339 CPT,65870,HC INC ADHESIONS ANT SEG EYE; NOT GONIOSYN,5288.3,1004.777,1112.98,25798.0,406 CPT,65870,INCISE INNER EYE ADHESIONS,,,1112.98,25798.0,339 CPT,65875,INCISE INNER EYE ADHESIONS,,,1112.98,25798.0,339 CPT,65880,HC INCISE CORNEAL ADHESION EYE,9889.13,1878.9347,2011.03,25798.0,406 CPT,65920,REMOVE IMPLANT OF EYE,,,1112.98,25798.0,339 CPT,65930,REMOVE BLOOD CLOT FROM EYE,,,1112.98,25798.0,317 CPT,66020,INJECTION TREATMENT OF EYE,,,1112.98,25798.0,317 CPT,66030,HC INJ ANTERIOR CHAMBER ; MEDICATION,7715.04,1465.8576,1112.98,25798.0,406 CPT,66160,GLAUCOMA SURGERY,,,1112.98,25798.0,317 CPT,66170,GLAUCOMA SURGERY,,,1112.98,25798.0,339 CPT,66172,INCISION OF EYE,,,1112.98,25798.0,339 CPT,66174,TRLUML DIL AQ O/F CAN W/O ST,,,2011.03,25798.0,339 CPT,66175,TRLUML DIL AQ O/F CAN W/ST,,,2017.68,25798.0,339 CPT,66180,AQUEOUS SHUNT EYE W/GRAFT,,,1996.64,25798.0,339 CPT,66183,INSERT ANT DRAINAGE DEVICE,,,1996.69,25798.0,339 CPT,66184,REVISION OF AQUEOUS SHUNT,,,1112.98,25798.0,339 CPT,66185,REVISE AQUEOUS SHUNT EYE,,,1112.98,25798.0,339 CPT,66250,FOLLOW-UP SURGERY OF EYE,,,916.89,25798.0,339 CPT,66625,REMOVAL OF IRIS,,,1112.98,25798.0,339 CPT,66635,REMOVAL OF IRIS,,,1112.98,25798.0,317 CPT,66680,REPAIR IRIS & CILIARY BODY,,,1112.98,25798.0,339 CPT,66682,REPAIR IRIS & CILIARY BODY,,,1112.98,25798.0,339 CPT,66710,CILIARY TRANSSLERAL THERAPY,,,916.89,25798.0,339 CPT,66761,HC REVISION OF IRIS LASER,10434.62,1982.5778,216.68,25798.0,406 CPT,66761,REVISION OF IRIS,,,216.68,25798.0,339 CPT,66762,HC REVISION OF IRIS PHOTOCOAGULATION 1+ SESSIONS,3723.75,707.5125,291.08,25798.0,406 CPT,66762,REVISION OF IRIS,,,291.08,25798.0,339 CPT,66820,INCISION SECONDARY CATARACT,,,855.0,25798.0,317 CPT,66821,HC AFTER CATARACT LASER SURGERY 1+ STGS,3432.14,652.1066,291.08,25798.0,406 CPT,66825,REPOSITION INTRAOCULAR LENS,,,1112.98,25798.0,339 CPT,66840,REMOVAL OF LENS MATERIAL,,,1112.98,25798.0,339 CPT,66850,REMOVAL OF LENS MATERIAL,,,1112.98,25798.0,339 CPT,66852,REMOVAL OF LENS MATERIAL,,,2011.03,25798.0,339 CPT,66920,EXTRACTION OF LENS,,,1112.98,25798.0,339 CPT,66930,EXTRACTION OF LENS,,,2011.03,25798.0,339 CPT,66940,EXTRACTION OF LENS,,,1112.98,25798.0,339 CPT,66982,XCAPSL CTRC RMVL CPLX WO ECP,,,1112.98,25798.0,339 CPT,66983,CATARACT SURG W/IOL 1 STAGE,,,1112.98,25798.0,339 CPT,66984,XCAPSL CTRC RMVL W/O ECP,,,1112.98,25798.0,339 CPT,66985,INSERT LENS PROSTHESIS,,,1112.98,25798.0,339 CPT,66986,EXCHANGE LENS PROSTHESIS,,,1112.98,25798.0,339 CPT,66987,XCAPSL CTRC RMVL CPLX W/ECP,,,929.62,26158.0,339 CPT,66988,XCAPSL CTRC RMVL W/ECP,,,747.22,26158.0,339 CPT,66989,XCPSL CTRC RMVL CPLX INSJ 1+,,,376.0,25798.0,339 CPT,66990,OPHTHALMIC ENDOSCOPE ADD-ON,,,88.28,25798.0,167 CPT,66991,XCAPSL CTRC RMVL INSJ 1+,,,376.0,25798.0,339 CPT,66999,HC UNLISTED PROCEDURE ANT SEG OF EYE,2612.6,496.394,855.0,25798.0,400 CPT,66999,UNLISTED PX ANT SEGMENT EYE,,,855.0,25798.0,283 CPT,67005,PARTIAL REMOVAL OF EYE FLUID,,,849.49,25798.0,339 CPT,67010,PARTIAL REMOVAL OF EYE FLUID,,,849.49,25798.0,339 CPT,67015,HC ASP VITREOUS SUBRETIN OR CHOROID FLUID,7715.04,1465.8576,1112.98,25798.0,406 CPT,67015,RELEASE OF EYE FLUID,,,1112.98,25798.0,339 CPT,67025,REPLACE EYE FLUID,,,849.49,25798.0,339 CPT,67028,HC INTRAVITREAL INJECTION OF DRUG,1063.88,202.1372,54.99,25798.0,406 CPT,67028,INJECTION EYE DRUG,,,54.99,25798.0,339 CPT,67031,HC LASER SURGERY EYE STRANDS 1+ STGS,3129.12,594.5328,291.08,25798.0,406 CPT,67036,REMOVAL OF INNER EYE FLUID,,,2011.03,25798.0,339 CPT,67039,LASER TREATMENT OF RETINA,,,2011.03,25798.0,339 CPT,67040,LASER TREATMENT OF RETINA,,,2011.03,25798.0,339 CPT,67041,VIT FOR MACULAR PUCKER,,,2011.03,25798.0,339 CPT,67042,VIT FOR MACULAR HOLE,,,2011.03,25798.0,339 CPT,67043,VIT FOR MEMBRANE DISSECT,,,2011.03,25798.0,339 CPT,67101,HC REPAIR DETACHED RETINA CRTX BI,7715.86,1466.0134,191.32,25798.0,406 CPT,67101,REPAIR DETACHED RETINA CRTX,,,191.32,25798.0,339 CPT,67105,HC RPR DTCHD RETINA PC PHOTOCOAG 1+ SESSIONS,5647.12,1072.9528,197.39,25798.0,406 CPT,67105,REPAIR DETACHED RETINA PC,,,197.39,25798.0,339 CPT,67107,HC REPAIR DETACHED RETINA,14962.09,2842.7971,2011.03,25798.0,406 CPT,67107,REPAIR DETACHED RETINA,,,2011.03,25798.0,339 CPT,67108,REPAIR DETACHED RETINA,,,2011.03,25798.0,339 CPT,67110,HC REPAIR RETINAL DETACHM; BY AIR INJ,7715.86,1466.0134,474.29,25798.0,406 CPT,67113,REPAIR RETINAL DETACH CPLX,,,2017.68,25798.0,339 CPT,67120,REMOVE EYE IMPLANT MATERIAL,,,849.49,25798.0,339 CPT,67121,REMOVE EYE IMPLANT MATERIAL,,,849.49,25798.0,339 CPT,67141,PROPH RTA DTCHMNT CRTX DTHRM,,,166.32,25798.0,317 CPT,67145,HC PROPH RTA DTCHMNT WO DRG 1+ SESS,4372.9,830.851,291.08,25798.0,406 CPT,67145,PROPH RTA DTCHMNT PC,,,291.08,25798.0,339 CPT,67210,HC DSTRJ LOCLZD LES RETINA 1+ SESS PC,5292.12,1005.5028,291.08,25798.0,406 CPT,67210,TREATMENT OF RETINAL LESION,,,291.08,25798.0,339 CPT,67228,HC EXTSV RETINOPATHY 1+ SESS PHOTOCOAGULATION,8317.26,1580.2794,206.01,25798.0,406 CPT,67228,TREATMENT X10SV RETINOPATHY,,,206.01,25798.0,339 CPT,67229,TR RETINAL LES PRETERM INF,,,291.08,25798.0,317 CPT,67255,REINFORCE/GRAFT EYE WALL,,,849.49,25798.0,339 CPT,67299,UNLISTED PX POSTERIOR SEGMNT,,,849.49,26158.0,333 CPT,67311,REVISE EYE MUSCLE,,,916.89,25798.0,339 CPT,67312,REVISE TWO EYE MUSCLES,,,1484.39,25798.0,339 CPT,67314,REVISE EYE MUSCLE,,,916.89,25798.0,339 CPT,67316,REVISE TWO EYE MUSCLES,,,916.89,25798.0,339 CPT,67318,REVISE EYE MUSCLE(S),,,916.89,25798.0,339 CPT,67320,REVISE EYE MUSCLE(S) ADD-ON,,,188.25,25798.0,257 CPT,67331,EYE SURGERY FOLLOW-UP ADD-ON,,,136.93,25798.0,257 CPT,67332,REREVISE EYE MUSCLES ADD-ON,,,220.33,25798.0,257 CPT,67334,REVISE EYE MUSCLE W/SUTURE,,,134.78,25798.0,257 CPT,67335,EYE SUTURE DURING SURGERY,,,202.17,25798.0,257 CPT,67340,REVISE EYE MUSCLE ADD-ON,,,315.29,25798.0,257 CPT,67345,DESTROY NERVE OF EYE MUSCLE,,,144.87,25798.0,339 CPT,67346,BIOPSY EYE MUSCLE,,,1484.39,25798.0,339 CPT,67400,EXPLORE/BIOPSY EYE SOCKET,,,1484.39,25798.0,339 CPT,67412,EXPLORE/TREAT EYE SOCKET,,,916.89,25798.0,339 CPT,67413,EXPLORE/TREAT EYE SOCKET,,,916.89,25798.0,339 CPT,67414,EXPLR/DECOMPRESS EYE SOCKET,,,1484.39,25798.0,339 CPT,67415,ASPIRATION ORBITAL CONTENTS,,,849.49,25798.0,317 CPT,67445,EXPLR/DECOMPRESS EYE SOCKET,,,1484.39,25798.0,339 CPT,67500,INJECT/TREAT EYE SOCKET,,,166.32,25798.0,317 CPT,67570,DECOMPRESS OPTIC NERVE,,,1484.39,42034.0,339 CPT,67700,HC BLEPHAROTOMY DRAINAGE ABSCESS EYELID,1033.32,196.3308,166.32,25798.0,406 CPT,67710,SEVERING TARSORRHAPHY,,,222.01,25798.0,317 CPT,67715,CANTHOTOMY,,,916.89,25798.0,339 CPT,67715,HC CANTHOTOMY,6687.39,1270.6041,916.89,25798.0,406 CPT,67800,REMOVE EYELID LESION,,,87.41,25798.0,339 CPT,67805,HC EXC OF CHALAZION; MULT DIFF LIDS,391.74,74.4306,136.25,25798.0,406 CPT,67805,REMOVE EYELID LESIONS,,,136.25,25798.0,339 CPT,67808,REMOVE EYELID LESION(S),,,916.89,25798.0,339 CPT,67810,HC INCISIONAL BIOPSY EYELID & LID MARGIN,456.44,86.7236,150.61,25798.0,406 CPT,67820,HC EPILATION BY FORCEPS,387.99,73.7181,27.29,25798.0,384 CPT,67820,REVISE EYELASHES,,,27.29,25798.0,317 CPT,67840,HC EXC EYELID LESION WO CLOSE/SMPL REPAIR,1043.45,198.2555,232.27,25798.0,406 CPT,67840,REMOVE EYELID LESION,,,232.27,25798.0,339 CPT,67875,CLOSURE OF EYELID BY SUTURE,,,473.59,25798.0,339 CPT,67880,REVISION OF EYELID,,,916.89,25798.0,339 CPT,67882,REVISION OF EYELID,,,916.89,25798.0,339 CPT,67900,REPAIR BROW DEFECT,,,916.89,25798.0,339 CPT,67901,REPAIR EYELID DEFECT,,,916.89,25798.0,339 CPT,67902,REPAIR EYELID DEFECT,,,1484.39,25798.0,339 CPT,67903,REPAIR EYELID DEFECT,,,916.89,25798.0,339 CPT,67904,REPAIR EYELID DEFECT,,,916.89,25798.0,339 CPT,67908,REPAIR EYELID DEFECT,,,916.89,25798.0,339 CPT,67911,REVISE EYELID DEFECT,,,916.89,25798.0,339 CPT,67912,CORRECTION EYELID W/IMPLANT,,,916.89,25798.0,339 CPT,67914,REPAIR EYELID DEFECT,,,916.89,25798.0,317 CPT,67916,REPAIR EYELID DEFECT,,,916.89,25798.0,339 CPT,67917,REPAIR EYELID DEFECT,,,916.89,25798.0,339 CPT,67921,REPAIR EYELID DEFECT,,,916.89,25798.0,339 CPT,67923,REPAIR EYELID DEFECT,,,916.89,25798.0,339 CPT,67924,REPAIR EYELID DEFECT,,,916.89,25798.0,339 CPT,67930,REPAIR EYELID WOUND,,,217.11,25798.0,317 CPT,67935,REPAIR EYELID WOUND,,,916.89,25798.0,317 CPT,67938,HC REMOVE EYELID FOREIGN BODY,1029.51,195.6069,166.32,25798.0,384 CPT,67938,REMOVE EYELID FOREIGN BODY,,,166.32,25798.0,317 CPT,67950,REVISION OF EYELID,,,916.89,25798.0,339 CPT,67961,REVISION OF EYELID,,,916.89,25798.0,339 CPT,67966,REVISION OF EYELID,,,916.89,25798.0,339 CPT,67971,RECONSTRUCTION OF EYELID,,,916.89,25798.0,339 CPT,67973,RECONSTRUCTION OF EYELID,,,916.89,25798.0,339 CPT,67974,RECONSTRUCTION OF EYELID,,,1484.39,25798.0,317 CPT,67975,RECONSTRUCTION OF EYELID,,,916.89,25798.0,339 CPT,67999,UNLISTED PROCEDURE EYELIDS,,,353.72,26158.0,333 CPT,68100,BIOPSY CONJUNCTIVA,,,118.03,25798.0,339 CPT,68100,HC BIOPSY OF CONJUNCTIVA,7385.14,1403.1766,118.03,25798.0,406 CPT,68110,EXC LES CONJUNCTIVA <1 CM,,,155.3,25798.0,339 CPT,68115,EXC LES CONJUNCTIVA >1 CM,,,916.89,25798.0,339 CPT,68135,DESTRUCTION LES CONJUNCTIVA,,,83.24,25798.0,339 CPT,68200,TREAT EYELID BY INJECTION,,,26.47,25798.0,317 CPT,68320,REVISE/GRAFT EYELID LINING,,,916.89,25798.0,339 CPT,68325,REVISE/GRAFT EYELID LINING,,,1484.39,25798.0,317 CPT,68326,REVISE/GRAFT EYELID LINING,,,1484.39,25798.0,339 CPT,68328,REVISE/GRAFT EYELID LINING,,,916.89,25798.0,317 CPT,68330,REVISE EYELID LINING,,,1112.98,25798.0,317 CPT,68335,REVISE/GRAFT EYELID LINING,,,1484.39,25798.0,339 CPT,68340,SEPARATE EYELID ADHESIONS,,,916.89,25798.0,317 CPT,68362,REVISE EYELID LINING,,,916.89,25798.0,339 CPT,68420,HC INCISION DRAINAGE OF LACRIMAL SAC,3144.33,597.4227,222.7,25798.0,406 CPT,68440,SNIP INC LACRIMAL PUNCTUM,,,76.33,25798.0,339 CPT,68505,PARTIAL REMOVAL TEAR GLAND,,,1484.39,25798.0,339 CPT,68510,BIOPSY OF TEAR GLAND,,,916.89,25798.0,339 CPT,68520,REMOVAL OF TEAR SAC,,,1484.39,25798.0,317 CPT,68530,CLEARANCE OF TEAR DUCT,,,166.32,25798.0,317 CPT,68700,REPAIR TEAR DUCTS,,,916.89,25798.0,339 CPT,68720,CREATE TEAR SAC DRAIN,,,1484.39,25798.0,339 CPT,68750,CREATE TEAR DUCT DRAIN,,,1484.39,25798.0,317 CPT,68770,CLOSE TEAR SYSTEM FISTULA,,,916.89,25798.0,317 CPT,68801,DILATE TEAR DUCT OPENING,,,49.42,25798.0,317 CPT,68810,PROBE NASOLACRIMAL DUCT,,,166.32,25798.0,339 CPT,68811,PROBE NASOLACRIMAL DUCT,,,916.89,25798.0,339 CPT,68815,PROBE NASOLACRIMAL DUCT,,,916.89,25798.0,339 CPT,68816,PROBE NL DUCT W/BALLOON,,,916.89,25798.0,317 CPT,68840,EXPLORE/IRRIGATE TEAR DUCTS,,,93.56,25798.0,317 CPT,68841,INSJ RX ELUT IMPLT LAC CANAL,,,32.79,25798.0,339 CPT,69000,HC DRAIN EXTERNAL EAR ABSC/HEM SMPL,1051.07,199.7033,147.74,25798.0,384 CPT,69005,HC DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX,3212.36,610.3484,126.72,25798.0,406 CPT,69090,HC EAR PIERCING,159.0,150.0,63.6,37761.3,226 CPT,69100,BIOPSY OF EXTERNAL EAR,,,76.74,25798.0,339 CPT,69100,HC BX EXTERNAL EAR,760.5,144.495,76.74,25798.0,406 CPT,69105,BIOPSY OF EXTERNAL EAR CANAL,,,101.88,25798.0,339 CPT,69105,HC BX EXTERNAL AUDITORY CANAL,1401.31,266.2489,101.88,25798.0,406 CPT,69110,REMOVE EXTERNAL EAR PARTIAL,,,1154.1,25798.0,339 CPT,69140,REMOVE EAR CANAL LESION(S),,,2478.14,25798.0,339 CPT,69145,HC REMOVE EAR CANAL LESION,9493.92,1803.8448,1154.1,25798.0,406 CPT,69145,REMOVE EAR CANAL LESION(S),,,1154.1,25798.0,339 CPT,69150,EXTENSIVE EAR CANAL SURGERY,,,2478.14,25798.0,339 CPT,69200,CLEAR OUTER EAR CANAL,,,34.08,25798.0,227 CPT,69200,HC REM FB AUD CANAL WO ANES RT,755.65,143.5735,34.08,25798.0,294 CPT,69205,CLEAR OUTER EAR CANAL,,,623.12,25798.0,339 CPT,69205,HC REM FB EXT AUDITORY CANAL; W ANESTH,5747.28,1091.9832,623.12,25798.0,406 CPT,69209,HC REMOVE IMPACTED EAR WAX UNI,146.44,27.8236,16.62,25798.0,294 CPT,69209,REMOVE IMPACTED EAR WAX UNI,,,16.62,25798.0,227 CPT,69210,HC REMOVE IMPACTED EAR WAX RT,740.44,140.6836,29.77,25798.0,294 CPT,69210,REMOVE IMPACTED EAR WAX UNI,,,29.77,25798.0,227 CPT,69222,CLEAN OUT MASTOID CAVITY,,,183.03,25798.0,339 CPT,69300,REVISE EXTERNAL EAR,,,1103.36,34070.0,339 CPT,69310,REBUILD OUTER EAR CANAL,,,2478.14,34070.0,339 CPT,69320,REBUILD OUTER EAR CANAL,,,2478.14,34070.0,339 CPT,69399,UNLISTED PX EXTERNAL EAR,,,274.79,34070.0,311 CPT,69420,INCISION OF EARDRUM,,,120.93,34070.0,339 CPT,69421,INCISION OF EARDRUM,,,1103.36,34070.0,339 CPT,69424,HC REM VENTIL TUBE UNDER ANESTH,3331.92,633.0648,109.15,34070.0,406 CPT,69424,REMOVE VENTILATING TUBE,,,109.15,34070.0,339 CPT,69436,CREATE EARDRUM OPENING,,,631.23,34070.0,339 CPT,69436,HC TYMPANOSTOMY GEN ANESTHESIA,7253.78,1378.2182,631.23,34070.0,406 CPT,69440,EXPLORATION OF MIDDLE EAR,,,1103.36,34070.0,339 CPT,69450,EARDRUM REVISION,,,1103.36,34070.0,339 CPT,69501,MASTOIDECTOMY,,,2478.14,34070.0,339 CPT,69502,MASTOIDECTOMY,,,2478.14,34070.0,339 CPT,69505,REMOVE MASTOID STRUCTURES,,,2478.14,34070.0,339 CPT,69511,EXTENSIVE MASTOID SURGERY,,,2478.14,34070.0,339 CPT,69530,EXTENSIVE MASTOID SURGERY,,,2478.14,34070.0,339 CPT,69550,EXC AURL GLOMUS TUM TRNSCANL,,,2478.14,34070.0,339 CPT,69552,EXC AURL GLOMUS TUM TRNSMSTD,,,2478.14,34070.0,339 CPT,69601,REVJ MSTDC RSLTG COMPL MSTDC,,,2478.14,34070.0,339 CPT,69610,TYMPANIC MEMBRANE REPAIR,,,198.16,34070.0,339 CPT,69620,MYRINGOPLASTY,,,1103.36,34070.0,339 CPT,69631,REPAIR EARDRUM STRUCTURES,,,2478.14,34070.0,339 CPT,69632,REBUILD EARDRUM STRUCTURES,,,2478.14,34070.0,339 CPT,69633,REBUILD EARDRUM STRUCTURES,,,2478.14,34070.0,339 CPT,69637,REBUILD EARDRUM STRUCTURES,,,2478.14,34070.0,339 CPT,69641,REVISE MIDDLE EAR & MASTOID,,,2478.14,34070.0,339 CPT,69642,REVISE MIDDLE EAR & MASTOID,,,2478.14,34070.0,339 CPT,69643,REVISE MIDDLE EAR & MASTOID,,,2478.14,34070.0,339 CPT,69644,REVISE MIDDLE EAR & MASTOID,,,2478.14,34070.0,339 CPT,69645,REVISE MIDDLE EAR & MASTOID,,,2478.14,34070.0,339 CPT,69646,REVISE MIDDLE EAR & MASTOID,,,2478.14,34070.0,339 CPT,69660,REVISE MIDDLE EAR BONE,,,2478.14,34070.0,339 CPT,69661,REVISE MIDDLE EAR BONE,,,2478.14,34070.0,339 CPT,69662,REVISE MIDDLE EAR BONE,,,2478.14,34070.0,339 CPT,69667,REPAIR MIDDLE EAR STRUCTURES,,,1103.36,34070.0,339 CPT,69670,REMOVE MASTOID AIR CELLS,,,2478.14,34070.0,339 CPT,69705,NPS SURG DILAT EUST TUBE UNI,,,179.68,34070.0,339 CPT,69706,NPS SURG DILAT EUST TUBE BI,,,250.93,34070.0,339 CPT,69710,IMPLANT/REPLACE HEARING AID,,,3131.0,34458.0,250 CPT,69711,REMOVE/REPAIR HEARING AID,,,1103.36,34070.0,339 CPT,69714,IMPL OI IMPLT SKULL PERQ ESP,,,1943.36,34458.0,339 CPT,69716,IMPL OI IMPLT SK TC ESP<100,,,644.34,34070.0,339 CPT,69726,RMV NTR OI IMPLT SKL PRQ ESP,,,495.29,34070.0,339 CPT,69727,RMV NTR OI IMP SK TC ESP<100,,,552.38,34070.0,317 CPT,69799,UNLISTED PX MIDDLE EAR,,,274.79,34070.0,333 CPT,69805,EXPLORE INNER EAR,,,2478.14,36164.0,339 CPT,69806,EXPLORE INNER EAR,,,2478.14,36164.0,339 CPT,69905,REMOVE INNER EAR,,,2478.14,36164.0,339 CPT,69910,REMOVE INNER EAR & MASTOID,,,2478.14,36164.0,339 CPT,69930,IMPLANT COCHLEAR DEVICE,,,3131.0,75276.39,339 CPT,69949,UNLISTED PX INNER EAR,,,274.79,25798.0,333 CPT,69990,MICROSURGERY ADD-ON,,,243.99,25798.0,167 CPT,70015,HC CONTRAST X-RAY OF BRAIN,2570.77,488.4463,70.0,2570.77,406 CPT,70030,HC XR EYE/FOR.BODY,184.75,35.1025,22.0,285.63,406 CPT,70100,HC RADEX MNDBL PRTL < 4 VIEWS,330.86,62.8634,27.0,355.63,406 CPT,70110,HC RADEX MNDBL COMPL MINIMUM 4 VIEWS,190.18,36.1342,31.84,375.09,406 CPT,70120,HC XR EX MASTOIDS <3 VIEWS,238.68,45.3492,31.3,347.89,406 CPT,70130,HC X-RAY EXAM OF MASTOIDS,370.84,70.4596,36.57,538.54,406 CPT,70134,HC X-RAY EXAM OF MIDDLE EAR,291.72,55.4268,36.57,1284.63,406 CPT,70140,HC X-RAY EXAM OF FACIAL BONES,240.48,45.6912,23.16,266.16,406 CPT,70150,HC X-RAY EXAM OF FACIAL BONES,343.54,65.2726,34.74,410.15,406 CPT,70160,HC X-RAY EXAM OF NASAL BONES,234.26,44.5094,27.0,347.89,406 CPT,70190,HC XR OPTIC FORAMINA,326.03,61.9457,28.15,326.03,406 CPT,70200,HC X-RAY EXAM OF EYE SOCKETS,194.41,36.9379,34.74,406.28,406 CPT,70210,HC XR SINUS WATERS VIEW,430.22,81.7418,25.36,430.22,406 CPT,70220,HC X-RAY EXAM OF SINUSES,544.58,103.4702,28.85,544.58,406 CPT,70240,HC SELLA TURCICA,184.75,35.1025,22.0,281.75,406 CPT,70250,HC X-RAY EXAM OF SKULL,313.95,59.6505,28.85,320.68,406 CPT,70260,HC X-RAY EXAM OF SKULL,790.91,150.2729,33.05,790.91,406 CPT,70328,HC RADEX TMPRMAND JT OPN&CLSD MOUTH UNI,284.91,54.1329,26.0,305.09,406 CPT,70330,HC RADEX TMPRMAND JT OPN&CLSD MOUTH BI,219.16,41.6404,36.57,488.0,406 CPT,70332,HC TMJ JOINT ARTHROGRAPHY,740.76,140.7444,58.55,820.79,406 CPT,70336,"HC MAGNETIC IMAGE, JAW JOINT",2646.18,502.7742,135.26,2646.18,406 CPT,70355,HC PANORAMIC X-RAY OF JAWS,218.52,41.5188,9.64,218.52,406 CPT,70360,HC X-RAY EXAM OF NECK,272.29,51.7351,22.0,272.29,406 CPT,70370,HC NASOPHARYNX,577.62,109.7478,67.0,1028.68,406 CPT,70380,HC SALIV-GLAND/CALC,264.54,50.2626,30.95,347.89,406 CPT,70390,HC SIALOGRAPHY,724.09,137.5771,92.0,1145.46,406 CPT,70450,CT HEAD/BRAIN W/O DYE,,,66.0,25798.0,358 CPT,70450,HC CT HEAD/BRAIN W/O DYE,3297.4,626.506,66.0,25798.0,406 CPT,70460,HC CT HEAD/BRAIN W/DYE,4616.65,877.1635,102.77,4616.65,406 CPT,70470,HC CT HEAD/BRAIN W/O & W/DYE,5440.29,1033.6551,118.34,5440.29,406 CPT,70480,HC CT ORBIT/EAR/FOSSA W/O DYE,3883.11,737.7909,66.0,3883.11,406 CPT,70481,CT ORBIT/EAR/FOSSA W/DYE,,,118.34,25798.0,358 CPT,70481,HC CT ORBIT/EAR/FOSSA W/DYE,4581.46,870.4774,118.34,25798.0,406 CPT,70482,HC CT ORBIT/EAR/FOSSA W/O&W/DYE,5009.47,951.7993,118.34,5009.47,406 CPT,70486,HC CT MAXILLOFACIAL W/O CONTRAST,4081.63,775.5097,66.0,4081.63,406 CPT,70487,HC CT MAXILLOFACIAL W/CONTRAST,4939.07,938.4233,106.61,4939.07,406 CPT,70488,HC CT MAXILLOFACIAL W/O & W/CONTRAST,6000.67,1140.1273,118.34,6000.67,406 CPT,70490,HC CT SOFT TISSUE NECK W/O DYE,4259.04,809.2176,66.0,4259.04,406 CPT,70491,HC CT SOFT TISSUE NECK W/DYE,5193.9,986.841,118.34,5193.9,406 CPT,70492,HC CT SFT TSUE NCK W/O & W/DYE,6128.78,1164.4682,118.34,6128.78,406 CPT,70496,"HC CT ANGIOGRAPHY, HEAD",7210.08,1369.9152,80.71,7210.08,406 CPT,70498,"HC CT ANGIOGRAPHY, NECK",7395.94,1405.2286,80.71,7395.94,406 CPT,70540,HC MRI ORBIT/FACE/NECK W/O DYE,5762.34,1094.8446,135.26,5762.34,406 CPT,70542,HC MRI ORBIT/FACE/NECK W/DYE,6300.0,1197.0,204.98,6300.0,406 CPT,70543,HC MRI ORBT/FAC/NCK W/O & W/DYE,9767.29,1855.7851,226.37,9767.29,406 CPT,70544,HC MR ANGIOGRAPHY HEAD W/O DYE,6644.21,1262.3999,135.26,25798.0,406 CPT,70544,MR ANGIOGRAPHY HEAD W/O DYE,,,135.26,25798.0,358 CPT,70545,HC MRA; HEAD W CONTRAST,9900.41,1881.0779,184.02,9900.41,406 CPT,70546,HC MR ANGIOGRAPH HEAD W/O&W/DYE,11229.0,2133.51,226.37,25798.0,406 CPT,70546,MR ANGIOGRAPH HEAD W/O&W/DYE,,,226.37,25798.0,358 CPT,70547,HC MR ANGIOGRAPHY NECK W/O DYE,5780.25,1098.2475,135.26,5780.25,406 CPT,70548,HC MRA; NECK W CONTRAST,6300.0,1197.0,188.92,6300.0,406 CPT,70549,HC MR ANGIOGRAPH NECK W/O&W/DYE,9798.01,1861.6219,226.37,9798.01,406 CPT,70551,HC MRI BRAIN W/O DYE,5488.42,1042.7998,135.26,25798.0,406 CPT,70551,MRI BRAIN STEM W/O DYE,,,135.26,25798.0,358 CPT,70552,HC MRI BRAIN W/DYE,8185.27,1555.2013,200.79,8185.27,406 CPT,70553,HC MRI BRAIN W/O & W/DYE,9301.39,1767.2641,226.37,9301.39,406 CPT,70554,HC FMRI BRAIN BY TECH,3535.32,671.7108,135.26,3535.32,332 CPT,71045,HC RADEX CHEST 1 VIEW,197.43,37.5117,13.0,6487.0,406 CPT,71046,HC RADEX CHEST 2 VIEWS,244.52,46.4588,23.39,274.01,406 CPT,71047,HC RADEX CHEST 3 VIEWS,298.26,56.6694,30.0,344.01,406 CPT,71048,HC RADEX CHEST 4 OR MORE VIEWS,342.5,65.075,30.0,367.35,406 CPT,71100,HC X-RAY EXAM OF RIBS,274.71,52.1949,25.22,308.96,406 CPT,71101,HC X-RAY EXAM OF RIBS/CHEST,489.945,93.08955,30.95,653.26,812 CPT,71110,HC X-RAY EXAM OF RIBS,335.08,63.6652,31.64,355.63,406 CPT,71111,HC X-RAY EXAM OF RIBS/CHEST,425.65,80.8735,38.99,437.35,406 CPT,71120,HC X-RAY EXAM OF BREASTBONE,194.41,36.9379,25.22,285.63,406 CPT,71130,HC X-RAY EXAM OF BREASTBONE,240.3,45.657,30.6,363.48,406 CPT,71250,HC CT THORAX DX C-,4226.65,803.0635,66.0,4226.65,406 CPT,71260,CT THORAX DX C+,,,118.34,25798.0,358 CPT,71260,HC CT THORAX DX C+,8495.54,1614.1526,118.34,25798.0,406 CPT,71270,HC CT THORAX DX C-/C+,9510.66,1807.0254,118.34,9510.66,406 CPT,71271,HC CT THORAX LUNG CANCER SCR C-,588.44,111.8036,93.69,1057.62,406 CPT,71275,"HC CT ANGIOGRAPHY, CHEST",6662.39,1265.8541,84.7,6662.39,406 CPT,71550,HC MRI CHEST W/O DYE,5775.13,1097.2747,67.67,5775.13,406 CPT,71551,HC MRI CHEST W/DYE,6300.0,1197.0,312.24,6300.0,406 CPT,71552,HC MRI CHEST W/O & W/DYE,9789.05,1859.9195,105.6,9789.05,406 CPT,71555,HC MRA CHEST W CONTRAST,942.39,179.0541,266.68,3037.23,400 CPT,71555,HC MRA CHEST W/O FOL W/CONT,6637.82,1261.1858,266.68,6637.82,400 CPT,71555,HC MRA CHEST WO CONTR,4115.03,781.8557,266.68,4115.03,400 CPT,72020,HC X-RAY EXAM OF SPINE,450.4,85.576,17.68,450.4,406 CPT,72040,HC RADEX SPI CRV 2/3 VIEWS,458.85,87.1815,28.12,458.85,406 CPT,72050,HC RADEX SPI CRV MINIMUM 4 VIEWS,620.05,117.8095,38.05,620.05,406 CPT,72052,HC RADEX SPI CRV COMPL W/OBLQ&FLEXION&/XTN STDS,775.22,147.2918,50.17,775.22,406 CPT,72070,HC RADEX SPI THOR 2 VIEWS,286.18,54.3742,24.66,286.18,406 CPT,72072,HC X-RAY EXAM OF THORACIC SPINE,312.14,59.3066,30.25,340.14,406 CPT,72074,HC X-RAY EXAM OF THORACIC SPINE,355.01,67.4519,34.79,386.81,406 CPT,72080,HC X-RAY EXAM OF TRUNK SPINE MIN OF 2 VWS,206.49,39.2331,26.06,289.5,406 CPT,72081,HC X-RAY EXAM ENTIRE SPI 1 VIEW,451.88,85.8572,30.0,451.88,406 CPT,72082,HC X-RAY EXAM ENTIRE SPI 2-3 VIEW,727.52,138.2288,54.0,727.52,406 CPT,72083,HC X-RAY EXAM ENTIRE SPI 4-5 VIEW,788.51,149.8169,59.0,788.51,406 CPT,72084,HC X-RAY EXAM ENTIRE SPI 6+ VIEW,938.15,178.2485,66.0,938.15,406 CPT,72100,HC RADEX SPI LUMBOSAC 2/3 VIEWS,338.71,64.3549,28.12,6487.0,406 CPT,72110,HC RADEX SPI LUMBOSAC MINIMUM 4 VIEWS,470.32,89.3608,38.87,470.32,406 CPT,72114,HC RADEX SPI LUMBOSAC COMPL W/BENDING VIEWS,597.11,113.4509,49.11,597.11,406 CPT,72120,HC RADEX SPI LUMBOSAC BENDING MINIMUM 4 VIEWS,771.59,146.6021,31.64,771.59,406 CPT,72125,HC CT NECK SPINE W/O DYE,3869.03,735.1157,66.0,3869.03,406 CPT,72126,HC CT NECK SPINE W/DYE,7776.08,1477.4552,119.89,7776.08,406 CPT,72127,HC CT NECK SPINE W/O & W/DYE,8705.31,1654.0089,118.34,8705.31,406 CPT,72128,HC CT CHEST SPINE W/O DYE,3869.03,735.1157,66.0,3869.03,406 CPT,72129,HC CT CHEST SPINE W/DYE,7776.08,1477.4552,118.34,7776.08,406 CPT,72130,HC CT CHEST SPINE W/O & W/DYE,8705.31,1654.0089,118.34,8705.31,406 CPT,72131,HC CT LUMBAR SPINE W/O DYE,3985.88,757.3172,66.0,3985.88,406 CPT,72132,HC CT LUMBAR SPINE W/DYE,8011.21,1522.1299,120.59,8011.21,406 CPT,72133,HC CT LUMBAR SPINE W/O & W/DYE,8968.61,1704.0359,118.34,8968.61,406 CPT,72141,HC MRI NECK SPINE W/O DYE,5043.0,958.17,130.02,5043.0,406 CPT,72142,HC MRI NECK SPINE W/DYE,7514.58,1427.7702,204.63,7514.58,406 CPT,72146,HC MRI CHEST SPINE W/O DYE,4696.13,892.2647,130.36,4696.13,406 CPT,72147,HC MRI CHEST SPINE W/DYE,7003.88,1330.7372,202.55,7003.88,406 CPT,72148,HC MRI LUMBAR SPINE W/O DYE,5967.13,1133.7547,130.72,5967.13,406 CPT,72149,HC MRI LUMBAR SPINE W/DYE,8890.53,1689.2007,199.75,8890.53,406 CPT,72156,HC MRI NECK SPINE W/O & W/DYE,8523.18,1619.4042,226.37,8523.18,406 CPT,72157,HC MRI THORAC SPINE W & WO CONTR,7958.73,1512.1587,226.37,7958.73,406 CPT,72158,HC MRI LUMBAR SPINE W/O & W/DYE,10084.72,1916.0968,226.37,10084.72,406 CPT,72159,HC MRA SPINE W/O&W/DYE,3343.8,635.322,275.06,3343.8,400 CPT,72170,HC RADEX PELVIS 1/2 VIEWS,290.41,55.1779,20.82,290.41,406 CPT,72190,HC RADEX PELVIS COMPL MINIMUM 3 VIEWS,406.33,77.2027,31.64,406.33,406 CPT,72191,CT ANGIOGRAPH PELV W/O&W/DYE,,,83.34,25798.0,358 CPT,72191,HC CT ANGIOGRAPH PELV W/O&W/DYE,4603.98,874.7562,83.34,25798.0,406 CPT,72192,HC CT PELVIS W/O DYE,2707.47,514.4193,66.0,2707.47,406 CPT,72193,CT PELVIS W/DYE,,,118.34,25798.0,358 CPT,72193,HC CT PELVIS W/DYE,5414.96,1028.8424,118.34,25798.0,406 CPT,72194,HC CT PELVIS W/O & W/DYE,6065.42,1152.4298,55.98,6065.42,406 CPT,72195,HC MRI PELVIS W/O DYE,4058.71,771.1549,135.26,4058.71,406 CPT,72196,HC MRI PELVIS W/DYE,6052.88,1150.0472,201.14,6052.88,406 CPT,72197,HC MRI PELVIS W/O & W/DYE,6878.45,1306.9055,226.37,6878.45,406 CPT,72198,HC MRA PELVIS W/CONT,5552.0,1054.88,272.27,5552.0,400 CPT,72198,HC MRA PELVIS W/O FOL W/CONT,6468.87,1229.0853,272.27,6468.87,400 CPT,72198,HC MRA PELVIS WO CONTR,2689.17,510.9423,272.27,3091.75,400 CPT,72200,HC RADEX SI JTS < 3 VIEWS,253.58,48.1802,24.41,297.34,406 CPT,72202,HC RADEX SI JTS 3/MORE VIEWS,291.61,55.4059,29.77,336.27,406 CPT,72220,HC X-RAY EXAM OF TAILBONE,250.56,47.6064,23.57,285.63,406 CPT,72240,HC CONTRAST X-RAY OF NECK SPINE,2200.07,418.0133,71.47,2200.07,406 CPT,72255,"HC CONTRAST X-RAY, THORAX SPINE",952.77,181.0263,66.58,1851.06,406 CPT,72265,"HC CONTRAST X-RAY, LOWER SPINE",2341.34,444.8546,71.82,2341.34,406 CPT,72270,"HC CONTRAST X-RAY, SPINE",2743.44,521.2536,90.68,2743.44,406 CPT,72285,HC X-RAY C/T SPINE DISK,3568.0,677.92,80.21,4575.21,406 CPT,72295,HC X-RAY OF LOWER SPINE DISK,4739.98,900.5962,74.97,4739.98,406 CPT,73000,HC CLAVICLE COMPLETE,327.24,62.1756,23.99,327.24,406 CPT,73010,HC SCAPULA COMPLETE,361.65,68.7135,16.28,361.65,406 CPT,73020,HC X-RAY EXAM OF SHOULDER 1 VIEW,277.73,52.7687,15.23,277.73,406 CPT,73030,HC X-RAY EXAM OF SHOULDER 2+ VIEWS,694.31,131.9189,24.41,694.31,406 CPT,73040,HC SHOULDER ARTHROGRAM,1405.53,267.0507,107.8,1405.53,406 CPT,73050,HC X-RAY EXAM OF SHOULDERS,309.73,58.8487,21.17,309.73,406 CPT,73060,HC X-RAY EXAM OF HUMERUS 2+ VIEWS,319.99,60.7981,23.57,319.99,406 CPT,73070,HC X-RAY EXAM OF ELBOW 2 VIEWS,345.35,65.6165,22.56,345.35,406 CPT,73080,HC X-RAY EXAM OF ELBOW 3+ VIEWS,396.67,75.3673,25.71,396.67,406 CPT,73085,HC ELBOW ARTHROGRAM,1229.24,233.5556,76.01,1229.24,406 CPT,73090,HC X-RAY EXAM OF FOREARM 2 VIEWS,338.71,64.3549,22.74,338.71,406 CPT,73092,HC UEXTREM INFANT MIN 2 VW,329.65,62.6335,23.57,329.65,406 CPT,73100,HC X-RAY EXAM OF WRIST 2 VIEWS,323.01,61.3719,26.0,323.01,406 CPT,73110,HC X-RAY EXAM OF WRIST 3+ VIEWS,388.82,73.8758,28.0,388.82,406 CPT,73115,HC WRIST ARTHROGRAM,821.1,156.009,81.0,1266.01,406 CPT,73120,HC RADEX HAND 2 VIEWS,374.33,71.1227,22.33,374.33,406 CPT,73130,HC X-RAY EXAM OF HAND 3+ VIEWS,868.19,164.9561,28.0,868.19,406 CPT,73140,HC X-RAY EXAM OF FINGER(S) 2+ VIEWS,504.74,95.9006,22.0,504.74,406 CPT,73200,HC CT; U EXTR WO CONTRAST,3876.07,736.4533,45.81,3876.07,406 CPT,73201,HC CT; U EXTR W CONTRAST,4806.73,913.2787,155.87,4806.73,406 CPT,73202,HC CT: U EXTR W AND WO CONTRAST,6007.69,1141.4611,55.63,6007.69,406 CPT,73206,HC CT ANGIO UPR EXTRM W/O&W/DYE,2807.02,533.3338,83.34,2807.02,406 CPT,73218,HC MRI U EXT NOT JOINT WO CONTRAST,5009.72,951.8468,135.26,5009.72,406 CPT,73219,HC MRI U EXT NOT JOINT W CONTRAST,7464.66,1418.2854,226.37,7464.66,406 CPT,73220,HC MRI U EXTR; NOT JOINT W&WO CONTR,8466.86,1608.7034,226.37,8466.86,406 CPT,73221,HC MRI U EXTR; ANY JOINT WO CONTRAST,6325.51,1201.8469,135.26,6325.51,406 CPT,73222,HC MRI U EXTR; ANY JOINT W CONTRAST,9425.55,1790.8545,250.75,9425.55,406 CPT,73223,HC MRI UE ANY JOINT W & WO CONTRAST,10690.14,2031.1266,226.37,10690.14,406 CPT,73225,HC MRA UPPER EXTR W/DYE,4540.55,862.7045,263.88,4540.55,400 CPT,73225,HC MRA UPPER EXTR W/O DYE,2700.0,513.0,263.88,3169.5,400 CPT,73225,HC MRA UPPER EXTR W/O&W/DYE,3584.01,680.9619,263.88,3584.01,400 CPT,73501,HC X-RAY EXAM OF HIP 1 VIEW UNILAT,193.81,36.8239,24.0,281.75,406 CPT,73502,HC X-RAY EXAM HIP UNI 2-3 VIEWS,267.81,50.8839,35.0,433.48,406 CPT,73503,HC X-RAY EXAM HIP UNI 4+ VIEWS,334.64,63.5816,44.0,550.16,406 CPT,73521,HC X-RAY EXAM HIPS BI 2 VIEWS,258.55,49.1245,32.35,359.61,406 CPT,73522,HC X-RAY EXAM HIPS BI 3-4 VIEWS,316.14,60.0666,40.0,468.54,406 CPT,73523,HC X-RAY EXAM HIPS BI 5+ VIEWS,367.02,69.7338,47.0,550.16,406 CPT,73525,HC HIP ARTHROGRAM,1861.97,353.7743,101.86,1861.97,406 CPT,73551,HC X-RAY EXAM OF FEMUR 1,358.63,68.1397,22.91,358.63,406 CPT,73552,HC X-RAY EXAM OF FEMUR 2+,418.61,79.5359,27.0,6487.0,406 CPT,73560,"HC X-RAY EXAM OF KNEE, 1 OR 2",365.88,69.5172,24.81,365.88,406 CPT,73562,HC X-RAY EXAM OF KNEE 3,430.48,81.7912,30.0,430.48,406 CPT,73564,HC X-RAY EXAM KNEE 4 OR MORE,499.3,94.867,32.0,499.3,406 CPT,73565,HC X-RAY KNEE EXAM; BOTH KNEES STANDING AP,412.97,78.4643,26.0,412.97,406 CPT,73580,HC KNEE ARTHROGRAM,1261.84,239.7496,81.25,1261.84,406 CPT,73590,HC X-RAY EXAM OF LOWER LEG,463.08,87.9852,21.92,463.08,406 CPT,73592,HC LEG LENGTH INFANT,217.35,41.2965,23.57,281.75,406 CPT,73600,HC ANKLE WT BEAR ONLY,340.52,64.6988,23.57,340.52,406 CPT,73610,HC X-RAY EXAM OF ANKLE 3+ VIEWS,396.06,75.2514,28.0,396.06,406 CPT,73615,HC ANKLE ARTHROGRAM,1229.24,233.5556,102.21,1229.24,406 CPT,73620,HC X-RAY EXAM OF FOOT; 2 VIEWS,347.76,66.0744,22.21,347.76,406 CPT,73630,HC X-RAY EXAM OF FOOT; 3+ VIEWS,390.63,74.2197,26.88,390.63,406 CPT,73650,HC X-RAY EXAM OF HEEL 2+ VIEWS,274.11,52.0809,21.87,274.11,406 CPT,73660,HC X-RAY EXAM OF TOE(S),334.48,63.5512,22.0,334.48,406 CPT,73700,HC CT LOWER EXTREMITY W/O CONTR,3401.59,646.3021,66.0,3401.59,406 CPT,73701,HC CT LOWER EXTREMITY W/CONTRAST,4285.78,814.2982,118.34,4285.78,406 CPT,73702,HC CT L EXTR W AND WO CONTRAST,5203.76,988.7144,118.34,5203.76,406 CPT,73706,CT ANGIO LWR EXTR W/O&W/DYE,,,87.53,25798.0,358 CPT,73706,HC CT ANGIO LWR EXTR W/O&W/DYE,4140.76,786.7444,87.53,25798.0,406 CPT,73718,HC MRI - LEXTREM WO CONTR,6464.38,1228.2322,135.26,6464.38,406 CPT,73719,HC MRI - LEXTREM W CONTR,9632.07,1830.0933,200.1,9632.07,406 CPT,73720,HC MRI LEXTREM W&WO CONTR,10924.82,2075.7158,226.37,10924.82,406 CPT,73721,HC MRI - LE JNT WO CONTR,6325.51,1201.8469,135.26,6325.51,406 CPT,73722,HC MRI LE JNT W CONTR,9425.55,1790.8545,252.5,9425.55,406 CPT,73723,HC MRI LE JNT W&WO CONTR,10690.14,2031.1266,226.37,10690.14,406 CPT,73725,HC MRA LWR EXT W/CONT,5442.34,1034.0446,270.17,5442.34,400 CPT,73725,HC MRA LWR EXT W/O FOL W/CONT,6557.18,1245.8642,270.17,6557.18,400 CPT,73725,HC MRA LWR EXT WO CONTR,4065.12,772.3728,270.17,4065.12,400 CPT,74018,HC XRAY EX OF AB 1 VIEW,265.65,50.4735,22.0,265.65,406 CPT,74019,HC X-RAY EXAM ABDOMEN 2 VIEWS,414.18,78.6942,26.0,414.18,406 CPT,74021,HC X-RAY EXAM ABDOMEN 3+ VIEWS,455.6,86.564,30.0,455.6,406 CPT,74022,HC X-RAY EXAM COMPLETE ABDOMEN,993.77,188.8163,36.54,993.77,406 CPT,74150,HC CT ABDOMEN W/O & W/CONTRAST,3960.55,752.5045,66.0,3960.55,406 CPT,74160,HC CT ABDOMEN W/CONTRAST,6106.25,1160.1875,118.34,6106.25,406 CPT,74170,HC CT ABDOMEN W/O & W/CONTRAST,6931.31,1316.9489,64.22,6931.31,406 CPT,74174,HC CT ANGIO ABD&PELV W/O&W/CONT,10442.73,1984.1187,226.37,10442.73,406 CPT,74175,HC CT ANGIOGRAPHY ABDOMEN W/O & W/CONTRAST,8249.14,1567.3366,84.35,8249.14,406 CPT,74176,CT ABD & PELVIS W/O CONTRAST,,,110.11,25798.0,358 CPT,74176,HC CT ABD & PEL W/O CONT,5281.19,1003.4261,110.11,25798.0,406 CPT,74177,HC CT ABD & PEL W/CONT,8251.96,1567.8724,226.37,8251.96,406 CPT,74178,HC CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE,9324.81,1771.7139,226.37,9324.81,406 CPT,74181,HC MRI ABDOMEN W/O CONT,5758.49,1094.1131,135.26,5758.49,406 CPT,74182,HC MRI ABDOMEN W/CONTRAST,8589.74,1632.0506,226.37,8589.74,406 CPT,74183,HC MRI ABDOMEN W/O & W/CONT,9760.9,1854.571,226.37,9760.9,406 CPT,74185,HC MRA ABD W/CONT,4509.26,856.7594,270.87,4509.26,400 CPT,74185,HC MRA ABD W/O FOL W/CONT,5433.39,1032.3441,270.87,5433.39,400 CPT,74185,HC MRA ABD WO CONTRAST,3368.82,640.0758,270.87,3368.82,400 CPT,74190,HC PERITONEOGRAM AFTER INJECTION,3178.14,603.8466,31.7814,6245.96,406 CPT,74210,HC X-RAY XM PHRNX&/CRV ESOPH C+,534.53,101.5607,61.0,787.48,406 CPT,74220,HC X-RAY XM ESOPHAGUS 1CNTRST,554.85,105.4215,61.0,810.82,406 CPT,74230,HC X-RAY XM SWLNG FUNCJ C+,496.89,94.4091,64.01,1164.92,406 CPT,74240,HC X-RAY XM UPR GI TRC 1CNTRST,331.11,62.9109,86.84,993.73,406 CPT,74246,HC X-RAY XM UPR GI TRC 2CNTRST,331.11,62.9109,84.0,1133.74,406 CPT,74248,HC X-RAY SM INT F-THRU STD,200.0,38.0,50.86,820.79,324 CPT,74250,HC X-RAY XM SM INT 1CNTRST STD,751.67,142.8173,66.0,982.01,406 CPT,74251,HC X-RAY XM SM INT 2CNTRST STD,728.44,138.4036,53.73,2083.04,406 CPT,74261,HC CT COLONOGRAPHY DX,1786.68,339.4692,66.0,1786.68,331 CPT,74262,HC CT COLONOGRAPHY W/DYE,2386.8,453.492,116.53,2386.8,331 CPT,74263,HC CT COLONOGRAPHY SCREEN,1927.4,366.206,19.274,6622.68,347 CPT,74270,HC X-RAY XM COLON 1CNTRST STD,793.33,150.7327,88.0,1227.18,406 CPT,74280,HC X-RAY XM COLON 2CNTRST STD,2221.8,422.142,115.0,2221.8,406 CPT,74283,HC THER ENEMA C+ RDCTJ INTUSSUSCEPTION/OBSTRCJ,459.73,87.3487,118.34,1826.25,406 CPT,74290,HC CONTRAST X-RAY GALLBLADDER,477.06,90.6414,38.0,820.79,406 CPT,74300,HC CHOLANGRPH&/PCG INTRAOP RS&I,389.42,73.9898,3.8942,1085.42,323 CPT,74301,HC CHOLANGIOGRAM ADDTL INTRAOP,467.3,88.787,4.673,1085.42,323 CPT,74328,HC X-RAY BILE DUCT ENDOSCOPY,912.87,173.4453,9.1287,25798.0,323 CPT,74328,X-RAY BILE DUCT ENDOSCOPY,,,129.0,25798.0,214 CPT,74329,HC X-RAY FOR PANCREAS ENDOSCOPY,903.75,171.7125,9.0375,25798.0,323 CPT,74329,X-RAY FOR PANCREAS ENDOSCOPY,,,129.0,25798.0,214 CPT,74330,HC X-RAY BILE/PANC ENDOSCOPY,1021.65,194.1135,10.2165,25798.0,323 CPT,74330,X-RAY BILE/PANC ENDOSCOPY,,,129.0,25798.0,214 CPT,74340,HC IMAGE GUIDE FOR GI TUBE INCLD IMAGS,570.55,108.4045,5.7055,1085.42,323 CPT,74355,HC X-RAY GUIDE INTESTINAL TUBE,1119.0,212.61,11.19,1119.0,323 CPT,74360,HC DILATE FOR STRICTURE/OBSTR,608.5,115.615,6.085,25798.0,323 CPT,74360,X-RAY GUIDE GI DILATION,,,129.0,25798.0,214 CPT,74363,"HC X-RAY, BILE DUCT DILATION",1991.0,378.29,19.91,1991.0,323 CPT,74400,HC UROGRAPY PLOG IV +-KUB +-TOMOG,1352.0,256.88,87.0,1352.0,406 CPT,74410,HC INFUSION IVP,5037.69,957.1611,100.0,5037.69,406 CPT,74415,HC IVP W TOMOGRAPHY,5880.53,1117.3007,109.0,5880.53,406 CPT,74420,"HC X-RAY, URINARY TRACT EXAM WITH CONTRAST MATERIAL",2410.17,457.9323,56.45,25798.0,406 CPT,74420,UROGRAPHY RTRGR +-KUB,,,56.45,25798.0,358 CPT,74425,HC UROGRAPHY ANTEGRADE RS&I,2410.17,457.9323,67.0,2410.17,406 CPT,74430,"HC CONTRAST X-RAY, BLADDER",693.71,131.8049,27.8,836.73,406 CPT,74450,HC URETHOGRAM RETRO,1769.7,336.243,17.697,2775.55,406 CPT,74455,"HC X-RAY, URETHRA/BLADDER",1621.14,308.0166,81.0,1621.14,406 CPT,74470,HC RENAL CYST STUDY,3469.74,659.2506,34.6974,6245.96,406 CPT,74485,HC DILATION URTR/URT RS&I,2147.3,407.987,83.0,4799.52,406 CPT,74712,HC MRI FETAL SNGL/1ST GESTATION,1238.84,235.3796,135.26,2778.81,406 CPT,74713,HC MRI FETAL EA ADDL GESTATION,389.28,73.9632,119.68,2305.5,324 CPT,74740,HC HYSTEROSALPINGOGRAM,517.31,98.2889,67.0,884.8,406 CPT,74742,HC TRANS CATH FALLOP TUBE,402.23,76.4237,4.0223,1085.42,323 CPT,75557,HC CARDIAC MRI FOR MORPH,9465.22,1798.3918,135.26,9465.22,406 CPT,75559,HC CARDIAC MRI W/STRESS IMG,9465.22,1798.3918,252.14,9465.22,406 CPT,75561,HC CARDIAC MRI FOR MORPH W/DYE,10879.57,2067.1183,226.37,10879.57,406 CPT,75563,HC CARD MRI W/STRESS IMG & DYE,10879.57,2067.1183,301.4,10879.57,406 CPT,75565,HC CARD MRI VEL FLW MAP ADD-ON,587.24,111.5756,35.28,2305.5,324 CPT,75571,HC CT HRT W/O DYE W/CA TEST,4603.98,96.69,14.1,4603.98,332 CPT,75572,HC CT HRT W/3D IMAGE,5416.36,1029.1084,118.34,5416.36,332 CPT,75573,HC CT HRT C+ STRUX CGEN HRT DS,714.35,135.7265,118.34,2087.93,332 CPT,75574,"HC CCTA W/WO, STRXR",5416.36,1029.1084,118.34,5416.36,404 CPT,75580,HC N-INVAS EST C FFR SW ALY CTA,3594.0,682.86,395.77,10156.27,406 CPT,75600,HC CATH/EP AORTOGRAPY THRC W/O SRLOGRAPY RS&I,5784.46,1099.0474,129.0,7374.38,406 CPT,75605,HC AORTOGRAPY THRC SRLOGRAPY RS&I,5568.28,1057.9732,71.33,12665.2,406 CPT,75625,CONTRAST EXAM ABDOMINL AORTA,,,61.7,25798.0,358 CPT,75625,HC CATH/EP AORTOGRAPY ABDL SRLOGRAPY RS&I,3756.54,713.7426,61.7,25798.0,406 CPT,75630,"HC X-RAY AORTA, LEG ARTERIES",4657.93,885.0067,67.14,7374.38,406 CPT,75635,HC CT ANGIO ABDOMINAL ARTERIES,3426.94,651.1186,109.94,3426.94,406 CPT,75705,HC ANGRPH SPI SLCTV RS&I,3597.15,683.4585,129.0,12665.2,406 CPT,75710,ARTERY X-RAYS ARM/LEG,,,70.98,25798.0,358 CPT,75710,"HC ARTERY X-RAYS, ARM/LEG",3574.81,679.2139,70.98,25798.0,406 CPT,75710,"HC CATH/EP ARTERY X-RAYS, ARM/LEG",7149.61,1358.4259,70.98,25798.0,406 CPT,75716,ARTERY X-RAYS ARMS/LEGS,,,75.18,25798.0,358 CPT,75716,"HC CATH/EP ARTERY X-RAYS, ARMS/LEGS",4156.82,789.7958,75.18,25798.0,406 CPT,75726,ARTERY X-RAYS ABDOMEN,,,81.46,25798.0,358 CPT,75726,"HC ARTERY X-RAYS, ABDOMEN",5680.08,1079.2152,81.46,25798.0,406 CPT,75726,"HC CATH/EP ARTERY X-RAYS, ABDOMEN",5680.08,1079.2152,81.46,25798.0,406 CPT,75736,"HC ARTERY X-RAYS, PELVIS",3419.04,649.6176,98.43,12665.2,406 CPT,75741,HC ANGRPH PULM UNI SLCTV RS&I,11084.85,2106.1215,73.77,11084.85,406 CPT,75743,HC ANGRPH PULM BI SLCTV RS&I,5542.43,1053.0617,75.18,7374.38,406 CPT,75746,HC PULMONARY NONSELECTIVE ANGIO,3874.54,736.1626,77.03,7448.87,406 CPT,75756,HC INTERNAL MAMMARY ANGIO,3874.54,736.1626,113.81,7374.38,406 CPT,75774,HC ANGIOGR EA ADDTL VESSEL,1720.09,326.8171,52.96,2608.9,324 CPT,75774,"HC CATH/EP ARTERY X-RAY, EACH VESSEL",3440.17,653.6323,52.96,3440.17,324 CPT,75801,HC LYMPHANG EKT UNI,1360.24,258.4456,13.6024,7113.54,406 CPT,75803,"HC LYMPH VESSEL X-RAY,ARMS/LEGS",2720.48,516.8912,27.2048,18131.47,406 CPT,75805,HC LYMPHANGIO PELVICABD UNI,2720.48,516.8912,27.2048,36086.15,406 CPT,75807,HC LYMPHANGIO PELVICABD BIL,3938.46,748.3074,39.3846,36086.15,406 CPT,75809,"HC NONVASCULAR SHUNT, X-RAY",700.35,133.0665,41.0,820.79,406 CPT,75820,"HC CATH/EP VEIN X-RAY, ARM/LEG",1685.07,320.1633,49.0,25798.0,406 CPT,75820,VEIN X-RAY ARM/LEG,,,49.0,25798.0,358 CPT,75822,"HC VEIN X-RAY, ARMS/LEGS",1988.15,377.7485,59.95,3676.37,406 CPT,75825,"HC VEIN X-RAY, TRUNK",1937.44,368.1136,64.13,25798.0,406 CPT,75825,VEIN X-RAY TRUNK,,,64.13,25798.0,358 CPT,75827,"HC VEIN X-RAY, CHEST",620.05,117.8095,67.98,6487.0,406 CPT,75831,HC VNGRPH RNL UNI SLCTV RS&I,5542.43,1053.0617,72.73,25798.0,406 CPT,75831,VEIN X-RAY KIDNEY,,,72.73,25798.0,358 CPT,75833,HC VNGRPH RNL BI SLCTV RS&I,12636.73,2400.9787,82.86,12636.73,406 CPT,75840,HC UNIL SELCTV ADRENAL VENOGRAM,3874.54,736.1626,78.32,7374.38,406 CPT,75842,HC BILAT SELCTV ADRENAL VENOGRAM,10924.6,2075.674,93.34,25798.0,406 CPT,75842,VEIN X-RAY ADRENAL GLANDS,,,93.34,25798.0,358 CPT,75860,"HC VEIN X-RAY, NECK",1937.27,368.0813,76.92,7374.38,406 CPT,75870,HC VNGRPH SUPRIOR SGTL SINUS RS&I,4029.52,765.6088,96.6,7448.87,406 CPT,75872,HC VNGRPH EDRL RS&I,3874.54,736.1626,78.32,3874.54,406 CPT,75880,"HC VEIN X-RAY, EYE SOCKET",2997.75,569.5725,49.0,2997.75,406 CPT,75885,HC PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS&I,4558.31,866.0789,76.57,7374.38,406 CPT,75887,HC PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVAL RS&I,1976.11,375.4609,67.09,7448.87,406 CPT,75889,HC HEPATC VNGRPH WDG/FR HEMODYN EVAL RS&I,3874.54,736.1626,76.22,7374.38,406 CPT,75891,HC HEPATIC VENOGRAM WO HDM,11116.52,2112.1388,76.57,11116.52,406 CPT,75893,HC VENOUS SAMPLING BY CATHETER,5542.43,1053.0617,84.61,25798.0,406 CPT,75893,VENOUS SAMPLING BY CATHETER,,,84.61,25798.0,358 CPT,75894,HC TCAT THER EMBOLIZATION ANY METH RS&I,8530.99,1620.8881,85.3099,8530.99,323 CPT,75898,HC EXISTING CATH ANGIOGR FOR FOLLOW-UP,1397.59,265.5421,13.9759,36086.15,406 CPT,75901,HC REM OBSTRUCTN FROM CVD,974.4,185.136,129.0,2399.85,324 CPT,75970,HC TRANSCATHETER BIOPSY S&I,4619.9,877.781,46.199,4619.9,323 CPT,75984,HC XRAY CONTROL CATHETER CHANGE,983.51,186.8669,59.95,1085.42,324 CPT,75989,HC ABSCESS DRAINAGE UNDER X-RAY,2331.68,443.0192,58.9,2331.68,324 CPT,76000,FLUOROSCOPY <1 HR PHYS/QHP,,,29.56,25798.0,358 CPT,76000,HC FLUOROSCOPE EXAMINATION,1777.66,337.7554,29.56,25798.0,406 CPT,76010,HC X-RAY NOSE TO RECTUM 1 VIEW CHILD,680.0,129.2,21.87,680.0,406 CPT,76080,HC X-RAY EXAM OF FISTULA,635.75,120.7925,37.23,1284.63,406 CPT,76098,HC RAD XM SURG SPEC,1434.51,272.5569,22.0,25798.0,406 CPT,76098,X-RAY EXAM SURGICAL SPECIMEN,,,22.0,25798.0,358 CPT,76100,HC TOMOGRAM,597.74,113.5706,57.96,725.22,406 CPT,76125,HC CINE/VIDEO X-RAYS ADD-ON,221.82,42.1458,2.2182,221.82,323 CPT,76140,HC X-RAY CONSULTATION,250.0,47.5,2.5,250.0,236 CPT,76145,HC MEDICAL PHYSICS DOSE EVAL RADIATION EXPOS W/RPRT,461.1,87.609,129.0,10721.2,406 CPT,76376,HC 3D RENDER W/O POSTPROCESS,716.64,136.1616,17.32,6487.0,264 CPT,76377,HC 3D RENDERING W/POSTPROCESS,1989.43,377.9917,44.43,1989.43,264 CPT,76380,HC CT LIMITED OR FOLLOW-UP STUDY,1216.46,231.1274,50.74,1216.46,406 CPT,76390,HC MAGNETIC RESONANCE SPECTROSCOPY,2968.0,563.92,29.68,2968.0,393 CPT,76391,HC MR ELASTOGRAPHY,858.69,163.1511,135.26,2305.5,406 CPT,76496,HC UNLISTED FLUORO,218.52,41.5188,2.1852,1028.68,401 CPT,76497,HC UNLISTED CT,1216.46,231.1274,12.1646,1216.46,401 CPT,76498,HC UNLISTED MAGNETIC RESONANCE PROCED,2858.37,543.0903,28.5837,2858.37,401 CPT,76499,HC RADIOGRAPHIC PROCEDURE,194.03,36.8657,1.9403,353.24,400 CPT,76506,HC ECHO EXAM OF HEAD,1376.07,261.4533,73.0,1376.07,404 CPT,76512,HC OPH US DX B-SCAN W/WO NON-QUAN A-SCAN,377.55,71.7345,18.72,533.48,404 CPT,76519,HC A-SCAN EYE US W IOL MEASR,521.65,99.1135,40.03,533.48,404 CPT,76536,HC US EXAM OF HEAD AND NECK,1971.12,374.5128,73.0,1971.12,404 CPT,76604,"HC US EXAM, CHEST",1158.23,220.0637,32.7,1158.23,404 CPT,76641,HC ULTRASOUND BREAST COMPLETE,1485.0,282.15,70.78,25798.0,404 CPT,76641,ULTRASOUND BREAST COMPLETE,,,70.78,25798.0,306 CPT,76642,HC ULTRASOUND BREAST LIMITED,1356.15,257.6685,55.05,6487.0,404 CPT,76700,"HC US EXAM, ABDOM, COMPLETE",1971.12,374.5128,66.0,25798.0,406 CPT,76700,US EXAM ABDOM COMPLETE,,,66.0,25798.0,358 CPT,76705,ECHO EXAM OF ABDOMEN,,,62.04,25798.0,356 CPT,76705,HC ECHO EXAM OF ABDOMEN,1616.48,307.1312,62.04,25798.0,404 CPT,76706,HC US ABDL AORTA SCREEN AAA,442.89,84.1491,79.0,947.06,404 CPT,76770,"HC US EXAM ABDO BACK WALL, COMP",1894.09,359.8771,66.0,25798.0,406 CPT,76770,US EXAM ABDO BACK WALL COMP,,,66.0,25798.0,358 CPT,76775,"HC US EXAM ABDO BACK WALL, LIM",965.64,183.4716,33.03,965.64,404 CPT,76776,HC US EXAM K TRANSPL W/DOPPLER,1307.0,248.33,66.0,25798.0,404 CPT,76776,US EXAM K TRANSPL W/DOPPLER,,,66.0,25798.0,356 CPT,76800,"HC US EXAM, SPINAL CANAL",755.78,143.5982,57.42,1246.64,404 CPT,76801,"HC OB US < 14 WKS, SINGLE FETUS",2891.6,549.404,54.0,2891.6,406 CPT,76802,HC OB US < 14 WKS ADDL FETUS,1528.81,290.4739,21.66,1528.81,324 CPT,76805,"HC OB US >/= 14 WKS, SNGL FETUS",3323.29,631.4251,66.0,3323.29,406 CPT,76810,"HC OB US >/= 14 WKS, ADDL FETUS",2226.15,422.9685,42.48,2226.15,324 CPT,76811,HC OB US DETAILED SNGL FETUS,902.26,171.4294,93.19,1035.92,406 CPT,76812,HC OB US DETAILED ADDL FETUS,714.7,135.793,41.51,1263.76,324 CPT,76813,HC OB US NUCHAL MEAS 1 GEST,613.24,116.5156,60.99,705.86,406 CPT,76814,HC OB US NUCHAL MEAS ADD-ON,412.02,78.2838,28.5,480.06,324 CPT,76815,HC OB US LIMITED 1+ FETUS(S),3387.63,643.6497,52.61,3387.63,406 CPT,76816,HC OB US FOLLOW-UP PER FETUS,4633.7,880.403,57.0,4633.7,406 CPT,76817,HC TRANSVAGINAL OB US,3911.62,743.2078,59.25,3911.62,406 CPT,76818,HC FETAL BIOPHYS PROFILE W/NST,4180.0,794.2,66.0,4180.0,406 CPT,76819,HC FETAL BIOPHYS PROFIL W/O NST,2984.16,566.9904,52.47,2984.16,406 CPT,76820,HC UMBILICAL ARTERY ECHO,340.03,64.6057,21.87,480.06,406 CPT,76821,HC FETAL MIDL CEREBRAL ARTERY ECHO,578.57,109.9283,57.42,655.22,406 CPT,76825,HC FETAL CARDIOVASC 2-D US,1844.94,350.5386,101.0,2148.56,406 CPT,76826,HC FETAL CARDIOVASC 2-D FOLLOWUP US,1955.64,371.5716,37.0,1955.64,382 CPT,76827,HC COMP FETAL DOPPLER ECHO,746.2,141.778,43.52,746.2,382 CPT,76828,HC LIMIT FETAL DOPPLER ECHOCARDIOGRAM,522.21,99.2199,23.26,522.21,382 CPT,76830,"HC TRANSVAGINAL US, NON-OB",2139.81,406.5639,66.0,2139.81,404 CPT,76831,HC SALINE INFUSED SONOHYSTEROGRAM,866.04,164.5476,78.0,1846.32,406 CPT,76856,"HC US EXAM, PELVIC, COMPLETE",2102.62,399.4978,66.0,25798.0,406 CPT,76856,US EXAM PELVIC COMPLETE,,,66.0,25798.0,358 CPT,76857,"HC US EXAM, PELVIC, LIMITED",1429.2,271.548,27.08,25798.0,404 CPT,76857,US EXAM PELVIC LIMITED,,,27.08,25798.0,356 CPT,76870,HC US SCROTUM AND CONTENTS,1855.57,352.5583,40.45,1855.57,404 CPT,76872,HC TRANSRECTAL US,507.5,96.425,31.24,1246.64,404 CPT,76873,"HC ECHOGRAP TRANS R, PROS STUDY",903.99,171.7581,66.0,6487.0,406 CPT,76881,HC US COMPL JOINT R-T W/IMG,2865.04,544.3576,11.38,2865.04,404 CPT,76882,HC US LMTD JT/NONVASC XTR STRUX,889.93,169.0867,12.41,889.93,404 CPT,76883,HC US NRV&ACC STRUX 1XTR COMPRE,392.79,74.6301,15.93,533.48,404 CPT,76885,"HC US EXAM INFANT HIPS, DYNAMIC",1517.38,288.3022,34.61,1517.38,404 CPT,76886,HC US EXAM INFANT HIPS STATIC,1517.38,288.3022,57.42,1517.38,404 CPT,76936,HC ECHO GUIDE FOR ARTERY REPAIR,2172.5,412.775,173.2,2172.5,406 CPT,76937,"HC US GUIDE, VASCULAR ACCESS",819.53,155.7107,24.59,819.53,324 CPT,76940,"HC US GUIDE, TISSUE ABLATION",843.44,160.2536,8.4344,1128.34,323 CPT,76941,HC US FOR FETAL TRANSF/CORDOCENTESIS,394.49,74.9531,3.9449,704.73,323 CPT,76942,HC US GUIDED NEEDLE PLACEMENT,3639.41,691.4879,30.6,3639.41,324 CPT,76945,HC US GUIDED CVS,408.32,77.5808,4.0832,704.73,323 CPT,76946,HC US GUIDED AMNIOCENTESIS,294.88,56.0272,16.28,704.73,324 CPT,76965,HC US INTERSTITIAL RE APPLIC,388.82,73.8758,29.56,3163.0,300 CPT,76978,HC US TRGT DYN MBUBB 1ST LES,779.69,148.1411,118.34,1846.32,406 CPT,76979,HC US TRGT DYN MBUBB EA ADDL,519.79,98.7601,87.54,1846.32,324 CPT,76981,HC USE PARENCHYMA,434.84,82.6196,66.0,892.54,404 CPT,76982,HC USE 1ST TARGET LESION,434.84,82.6196,66.0,764.15,404 CPT,76983,HC USE EA ADDL TARGET LESION,289.89,55.0791,38.29,533.48,322 CPT,76998,"HC US GUIDE, INTRAOP",597.72,113.5668,5.9772,704.73,323 CPT,76999,HC UNLISTED ULTRASOUND,638.89,121.3891,6.3889,638.89,398 CPT,77001,HC FLUOROGUIDE FOR VEIN DEVICE,789.77,150.0563,80.0,1085.42,324 CPT,77002,HC NEEDLE LOCALIZATION BY XRAY,2089.34,396.9746,61.0,2089.34,324 CPT,77003,HC FLUOROGUIDE FOR SPINE INJECT,564.42,107.2398,56.0,1085.42,324 CPT,77011,HC CT SCAN FOR LOCALIZATION,3872.29,735.7351,164.74,3872.29,324 CPT,77012,CT SCAN FOR NEEDLE BIOPSY,,,60.29,25798.0,276 CPT,77012,HC CT SCAN FOR NEEDLE BIOPSY,3809.91,723.8829,60.29,25798.0,324 CPT,77013,HC CT GUIDE FOR TISSUE ABLATION,7728.2,1468.358,77.282,7728.2,323 CPT,77014,HC CT SCAN FOR THERAPY GUIDE,2168.23,411.9637,77.76,6487.0,324 CPT,77021,HC MRI GUIDANCE NDL PLMT RS&I,5066.04,962.5476,362.89,5066.04,324 CPT,77022,HC MRI GDN PARNCHYMA TISS ABLTJ,3549.39,674.3841,35.4939,3549.39,323 CPT,77046,HC MRI BREAST C- UNILATERAL,4570.69,868.4311,135.26,4570.69,406 CPT,77047,HC MRI BREAST C- BILATERAL,7675.75,1458.3925,135.26,7675.75,406 CPT,77048,"HC MRI BREAST, UN W/O FOL W/CONT",7922.44,1505.2636,253.55,7922.44,400 CPT,77048,"HC MRI BREAST, UNI W/CONT",6300.0,1197.0,253.55,6300.0,400 CPT,77049,"HC MRI BREAST, BI W/CONT",8400.0,1596.0,250.4,8400.0,400 CPT,77049,"HC MRI BREAST, BI W/O FOL W/CONT",11861.4,2253.666,250.4,11861.4,400 CPT,77053,HC X-RAY OF MAMMARY DUCT SINGLE,1119.0,212.61,38.64,1119.0,406 CPT,77054,HC X-RAY OF MAMMARY DUCTS MULTIPLE,1846.93,350.9167,50.86,1846.93,406 CPT,77057,HC MAMMOGRAM SCN BILAT 2 VIEWS PER BREAST,734.53,139.5607,7.3453,734.53,274 CPT,77061,HC DIAG BREAST TOMOSYNTHESIS UNI ADD-ON,136.75,25.9825,1.3675,609.04,310 CPT,77062,HC DIAG BREAST TOMOSYNTHESIS BI ADD-ON,136.75,25.9825,1.3675,609.04,310 CPT,77063,BREAST TOMOSYNTHESIS BI,,,25.16,25798.0,308 CPT,77063,HC SCR DIGITAL BREAST TOMOSYNTHESS BI ADD-ON,161.68,30.7192,25.16,25798.0,406 CPT,77065,DX MAMMO INCL CAD UNI,,,92.3,25798.0,308 CPT,77065,HC DX MAMMO INCL CAD UNI,1426.83,271.0977,92.3,25798.0,406 CPT,77066,DX MAMMO INCL CAD BI,,,117.44,25798.0,308 CPT,77066,HC DX MAMMO INCL CAD BI,1719.05,326.6195,117.44,25798.0,406 CPT,77067,HC SCR MAMMO BI INCL CAD,1490.01,283.1019,96.98,25798.0,406 CPT,77067,SCR MAMMO BI INCL CAD,,,96.98,25798.0,308 CPT,77071,HC X-RAY STRESS VIEW,434.12,82.4828,33.0,639.52,332 CPT,77072,HC X-RAYS FOR BONE AGE,278.33,52.8827,16.0,278.33,406 CPT,77073,"HC X-RAYS, BONE LENGTH STUDIES",326.63,62.0597,26.47,378.97,406 CPT,77074,"HC X-RAYS, BONE SURVEY, LIMITED",864.57,164.2683,47.02,864.57,406 CPT,77075,HC RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL,592.28,112.5332,68.52,863.09,406 CPT,77076,"HC X-RAYS, BONE SURVEY, INFANT",645.41,122.6279,48.0,870.84,406 CPT,77077,HC JOINT SURVEY SINGLE VIEW,209.97,39.8943,26.88,359.61,406 CPT,77078,HC CT BONE DENSITY AXIAL 1+ SITES,1216.46,231.1274,36.54,1216.46,406 CPT,77080,"HC DXA BONE DENSITY, AXIAL",560.28,106.4532,31.64,560.28,406 CPT,77081,HC DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL,347.16,65.9604,23.96,6487.0,406 CPT,77084,HC MAGNETIC IMAGE BONE MARROW,4583.44,870.8536,135.26,4583.44,406 CPT,77085,HC DXA BONE DENSITY STUDY AXIAL SKELETON,560.28,106.4532,42.34,560.28,406 CPT,77086,HC FRACTURE ASSESSMENT VIA DXA,253.28,48.1232,27.8,466.88,406 CPT,77091,HC TBS TECHL CALCULATION ONLY,167.78,31.8782,5.53,466.88,406 CPT,77263,"HC CLINICAL TRTMENT PLANNING, CMPLEX",507.15,96.3585,170.79,1882.6,400 CPT,77280,HC THER RAD SIMULAJ-AIDED FLD SETTING SMPL,1819.7,345.743,72.61,2709.42,406 CPT,77285,HC THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED,3210.74,610.0406,188.79,4492.97,406 CPT,77290,HC THER RAD SIMULAJ-AIDED FLD SETTING CPLX,5351.64,1016.8116,188.79,5351.64,406 CPT,77293,HC RESPIRATOR MOTION MGMT SIMUL,2303.43,437.6517,311.89,3864.73,324 CPT,77295,HC THER RAD SIMULAJ-AIDED FLD SETTING 3-DIMENSIONAL,13377.89,2541.7991,261.66,13377.89,406 CPT,77300,HC RADIATION THERAPY DOSE PLAN,935.8,177.802,36.19,1316.91,406 CPT,77301,HC IMRT PLANNING,13357.37,2537.9003,261.66,17392.91,406 CPT,77306,HC TELETHX ISODOSE PLAN SIMPLE,1136.52,215.9388,80.06,1386.18,406 CPT,77307,HC TELETHX ISODOSE PLAN CPLX,1515.36,287.9184,145.46,1597.79,406 CPT,77316,HC BRACHYTX ISODOSE PLAN SIMPLE,1067.43,202.8117,149.79,2031.27,406 CPT,77317,HC BRACHYTX ISODOSE INTERMED,1389.83,264.0677,188.79,2674.77,406 CPT,77318,HC BRACHYTX ISODOSE COMPLEX,2014.11,382.6809,188.79,3617.35,406 CPT,77321,HC HEMIBODY PARTICLES TOTAL BODY,671.98,127.6762,47.37,1427.99,406 CPT,77331,HC SPECIAL RADIATION DOSIMETRY,185.42,35.2298,20.47,1386.18,406 CPT,77332,HC RADIATION TREATMENT AID(S),1341.53,254.8907,18.03,1386.18,406 CPT,77333,HC TX DEVICES; INTERMED,869.4,165.186,72.61,1386.18,406 CPT,77334,HC TX DEVICES; COMPLEX,2485.04,472.1576,69.38,2485.04,406 CPT,77336,HC CONTINUING MEDICAL PHYSICS CONSLTJ PR WK,1253.39,238.1441,72.61,1386.18,406 CPT,77338,DESIGN MLC DEVICE FOR IMRT,,,188.79,25798.0,344 CPT,77338,HC DESIGN MLC DEVICE FOR IMRT,5014.75,952.8025,188.79,25798.0,406 CPT,77370,HC SPEC MEDICAL RADJ PHYSICS CONSLTJ,1905.44,362.0336,72.61,1905.44,406 CPT,77371,"HC SRS CRANIAL COBALT, SINGLE SESSION (GAMMA)",153435.45,29152.7355,1243.05,153435.45,406 CPT,77372,HC SRS LINEAR BASED 1 SESSION,153435.45,29152.7355,980.76,153435.45,406 CPT,77373,HC SBRT DELIVERY PER FRACTION,153435.45,29152.7355,976.57,153435.45,406 CPT,77385,HC NTSTY MODUL RAD TX DLVR SMPL,6824.79,1296.7101,68.2479,6824.79,400 CPT,77386,HC NTSTY MODUL RAD TX DLVR CPLX,6824.79,1296.7101,68.2479,6824.79,400 CPT,77387,HC GUIDANCE FOR RADJ TX DLVR,1482.81,281.7339,14.8281,1482.81,311 CPT,77401,HC RAD TX SUPERFICIAL/ORTHO VOLTAGE PER DAY,298.86,56.7834,28.31,1069.89,406 CPT,77402,"HC RADIATION TREATMENT DELIVERY, >= 1 MEV SIMPLE",1749.67,332.4373,17.4967,1749.67,400 CPT,77407,"HC RADIATION TREATMENT DELIVERY, >= 1 MEV INTERMEDIATE",2192.46,416.5674,21.9246,2463.82,400 CPT,77412,"HC RADIATION TREATMENT DELIVERY, >= 1 MEV COMPLEX",3010.3,571.957,30.103,5899.0,400 CPT,77417,HC TREATMENT PORT VERIFICATI,759.52,144.3088,17.53,759.52,324 CPT,77427,HC RADIATION TX MANAGEMENT X5,222.93,42.3567,111.465,2146.52,400 CPT,77470,HC SPECIAL RADIATION TREATMENT,80796.35,15351.3065,29.14,80796.35,406 CPT,77600,HC HYPERTHERMIA EXT; SUPERFICIAL =<4 CM,3089.72,587.0468,131.68,5546.01,406 CPT,77605,HC HYPERTHERMIA EXT; DEEP 4+ CM,5348.1,1016.139,252.48,11439.16,406 CPT,77610,HC HYPERTHERMIA INTERST; 5 OR < APPL,8483.9,1611.941,252.48,11101.5,406 CPT,77615,HC HYPERTHERMIA INTERST; > 5 APPL,8483.9,1611.941,252.48,11441.54,406 CPT,77620,HC HYPERTHERMIA - INTRACAV PROBE(S),4462.54,847.8826,252.48,6489.2,406 CPT,77750,HC INFUSE RADIOACTIVE MATERIALS,985.05,187.1595,131.68,3163.0,406 CPT,77761,HC INTRACAV RS APPL; SIMPLE,1687.84,320.6896,226.94,3163.0,406 CPT,77762,HC INTRACAV RS APPL; INTERM,2131.05,404.8995,259.76,3163.0,406 CPT,77763,HC INTRACAV RS APPL; COMPLEX,3018.98,573.6062,341.03,3888.4,406 CPT,77770,HC HDR RDNCL NTRSTL/ICAV BRCHTX 1 CHAN,6686.42,1270.4198,252.48,6686.42,406 CPT,77771,HC HDR RDNCL NTRSTL/ICAV BRCHTX 2-12 CHAN,7354.52,1397.3588,413.41,7354.52,406 CPT,77772,HC HDR RDNCL NTRSTL/ICAV BRCHTX 12+ CHAN,8023.96,1524.5524,413.41,8023.96,406 CPT,77778,HC APPLY INTERSTIT RADIAT COMPL,2558.76,486.1644,413.41,5445.64,406 CPT,77789,HC SURFACE APPL - RADIONUCLIDE SOURCE,533.88,101.4372,68.64,3163.0,406 CPT,77790,HC RADIATION HANDLING,376.8,71.592,20.32,3163.0,324 CPT,78012,"HC THYROID, SINGLE UPTAKE",1562.02,296.7838,76.43,1611.0,406 CPT,78013,HC THYROID IMAGING,2467.89,468.8991,159.43,2467.89,406 CPT,78014,HC THYROID IMAGING WITH UPTAKE,3124.0,593.56,200.66,3124.0,406 CPT,78018,"HC THYROID MET IMAGING, BODY",5251.91,997.8629,253.4,5251.91,406 CPT,78020,HC THYROID MET UPTAKE,1418.57,269.5283,36.0,1611.0,324 CPT,78070,HC PARATHYROID NUCLEAR IMAGING,2709.63,514.8297,93.0,2719.91,406 CPT,78071,HC PARATHYRD PLANAR W/WO SUBTRJ,2845.12,540.5728,207.38,3104.99,406 CPT,78072,HC PARATHYRD PLANAR W/SPECT&CT,3116.08,592.0552,86.0,3806.98,406 CPT,78075,HC ADRENAL CORTEX AND/OR MEDULLA,4751.44,902.7736,277.0,4751.44,406 CPT,78102,HC BM IMAGING; LIMITED,450.71,85.6349,105.0,1611.0,406 CPT,78104,"HC BONE MARROW IMAGING, BODY",2815.89,535.0191,198.56,2815.89,406 CPT,78111,HC RISA DILUT PV; MULTI SAMPLES,4751.44,902.7736,86.07,4751.44,406 CPT,78121,HC RBC VOLUME; MULTI SAMPLES,1760.55,334.5045,84.32,1760.55,406 CPT,78122,HC WHL BLD VOLUME DETERM PLASMA&RED CELL VOLU,1906.04,362.1476,83.62,2128.65,406 CPT,78130,HC RED CELL SURVIVAL STUDY,1813.06,344.4814,106.19,1813.06,406 CPT,78140,HC RED CELL SEQUESTRATION,1778.52,337.9188,90.26,1778.52,406 CPT,78185,HC SPLEEN IMAGING,1747.58,332.0402,121.0,1747.58,406 CPT,78195,HC LYMPH SYSTEM IMAGING,4953.05,941.0795,208.0,4953.05,406 CPT,78199,HC UNLISTED HEMAT RE AND LMYPH DX NUCLEAR,1255.2,238.488,12.552,1611.0,400 CPT,78201,HC LIVER IMAGE; STATIC ONLY,2474.53,470.1607,121.0,2474.53,406 CPT,78202,HC LIVER IMAGE; W VASC FLOW,2612.67,496.4073,147.0,2612.67,406 CPT,78215,HC LVR&SPLEEN IMG STATIC ONLY,1560.69,296.5311,150.0,2128.65,406 CPT,78226,HC HEPATOBILIARY SYSTEM IMAGING,4902.57,931.4883,207.38,4902.57,406 CPT,78227,HC HEPATOBIL SYST IMAGE W/DRUG,6715.63,1275.9697,267.22,6715.63,406 CPT,78231,HC SERIAL SALIVARY IMAGING,1560.69,296.5311,88.16,1611.0,406 CPT,78232,HC SALIVARY GLAND FUNCTION,450.71,85.6349,88.52,1611.0,406 CPT,78258,HC ESOPHAGEAL MOTILITY STUDY,3891.78,739.4382,147.0,3891.78,406 CPT,78262,HC GASTROESOPHAGEAL REFLUX EXAM,1983.11,376.7909,200.66,2280.22,406 CPT,78264,HC GASTRIC EMPTYING IMAG STUDY,4327.44,822.2136,207.38,4327.44,406 CPT,78278,HC ACUTE GI BLOOD LOSS IMAGING,2249.47,427.3993,207.38,3196.09,406 CPT,78290,HC MECKEL'S DIVERT EXAM,3356.49,637.7331,155.0,3356.49,406 CPT,78291,HC PERITON-VENOUS SHUNT PATENCY,450.71,85.6349,156.0,2354.2,406 CPT,78300,"HC BONE IMAGING, LIMITED AREA",2580.79,490.3501,128.0,2580.79,406 CPT,78305,"HC BONE IMAGING, MULTIPLE AREAS",3296.72,626.3768,187.0,3296.72,406 CPT,78306,"HC BONE IMAGING, WHOLE BODY",3583.62,680.8878,207.38,3583.62,406 CPT,78315,"HC BONE IMAGING, 3 PHASE",4945.07,939.5633,207.38,4945.07,406 CPT,78428,HC CARDIAC SHUNT IMAGING,1560.69,296.5311,116.0,1621.13,406 CPT,78429,HC MYOCRD IMG PET 1 STD W/CT,11314.04,2149.6676,113.1404,17711.24,375 CPT,78430,HC MYOCRD IMG PET RST/STRS W/CT,11314.04,2149.6676,17.0,17711.24,375 CPT,78431,HC MYOCRD IMG PET RST&STRS CT,11314.04,2149.6676,113.1404,26741.11,406 CPT,78432,HC MYOCRD IMG PET PRFUJ W/METAB DUAL RADIOTRACER,11004.54,2090.8626,92.88,21986.96,406 CPT,78434,HC AQMBF PET REST & RX STRESS,7840.62,1489.7178,78.4062,7840.62,323 CPT,78451,"HC HEART IMAGE (3D), SINGLE",5057.98,961.0162,202.0,5057.98,406 CPT,78452,HC HT MUSCLE IMAGE SPECT MULT,6094.01,1157.8619,365.11,6094.01,406 CPT,78453,HC HT MUSCLE IMAGE PLANAR SING,5057.98,961.0162,188.0,5057.98,406 CPT,78454,"HC HEART MUSCLE BLOOD, MULTIPLE",6094.01,1157.8619,158.0,6094.01,406 CPT,78457,HC VT VENOGRAM; UNIL,1872.84,355.8396,126.94,2128.65,406 CPT,78458,"HC VEN THROMBOSIS IMAGES, BILAT",1560.69,296.5311,155.93,1761.14,406 CPT,78459,HC MYOCRD IMG PET SINGLE STUDY,9807.95,1863.5105,98.0795,16077.27,406 CPT,78468,HC MI PLANAR; W EF 1ST PASS,1548.75,294.2625,152.09,1718.34,406 CPT,78469,HC HEART INFARCT IMAGE (3D),1661.18,315.6242,169.91,2128.65,406 CPT,78472,"HC GATED HEART, PLANAR, SINGLE",3068.26,582.9694,169.91,3068.26,406 CPT,78473,"HC GATED HEART, MULTIPLE",3834.66,728.5854,204.84,3834.66,406 CPT,78481,HC HEART FIRST PASS SINGLE,1548.75,294.2625,122.54,1611.0,406 CPT,78483,HC HEART FIRST PASS MULTIPLE,1854.12,352.2828,158.38,2128.65,406 CPT,78491,HC MYOCRD IMG PET 1STD RST/STRS,5595.98,1063.2362,55.9598,17711.24,406 CPT,78492,HC MYOCRD IMG PET MLT RST&STRS,11314.04,2149.6676,113.1404,17711.24,406 CPT,78496,HC MUGA SGL W RV EF BY 1ST PASS,2512.27,477.3313,20.12,2512.27,324 CPT,78499,HC CARDIOVASCULAR NUCLEAR EXAM,1560.69,296.5311,15.6069,1611.0,400 CPT,78579,HC LUNG VENTILATION IMAGING,1939.25,368.4575,153.98,2128.65,406 CPT,78580,HC LUNG PERFUSION IMAGING,2503.75,475.7125,175.0,2503.75,406 CPT,78582,HC LUNG VENTILAT&PERFUS IMAGING,3526.5,670.035,260.04,3526.5,406 CPT,78597,HC LUNG PERFUSION DIFFERENTIAL,5655.69,1074.5811,155.73,5655.69,406 CPT,78598,HC LUNG PERF&VENTILAT DIFERENTL,8709.34,1654.7746,242.58,8709.34,406 CPT,78599,HC RESPIRATORY NUCLEAR EXAM,1560.69,296.5311,15.6069,1611.0,400 CPT,78605,HC BRAIN IMAGE 4+ VIEWS,3664.64,696.2816,166.76,3664.64,406 CPT,78606,HC BRAIN IMAGE W/FLOW 4 + VIEWS,5526.85,1050.1015,198.0,5526.85,406 CPT,78608,HC PET IM METABOLIC BRAIN W/O IVC,9996.42,1899.3198,66.4,17711.24,406 CPT,78609,HC PET MRI RESEARCH ONLY BRAIN PERFUSION EVALUATION,9996.8,1899.392,99.968,9996.8,312 CPT,78610,HC BRAIN VASCULAR FLOW ONLY,1560.69,296.5311,81.0,1737.8,406 CPT,78630,HC CEREBSP FLU FLO IMG X INTRO MATRL CISTRNG,3457.43,656.9117,257.0,3457.43,406 CPT,78645,HC CSF SHUNT EVALUATION,3911.7,743.223,175.0,3911.7,406 CPT,78660,HC RP DACRYOCYSTOGRAM,1366.2,259.578,109.0,1611.0,406 CPT,78700,"HC KIDNEY IMAGING, MORPHOL",2481.17,471.4223,143.36,2481.17,406 CPT,78701,HC KIDNEY IMAGING WITH FLOW,2997.86,569.5934,181.0,2997.86,406 CPT,78707,HC K FLOW/FUNCT IMAGE W/O DRUG,3308.67,628.6473,177.6,3308.67,406 CPT,78708,HC K FLOW/FUNCT IMAGE W/DRUG,2481.17,471.4223,126.94,2481.17,406 CPT,78709,"HC K FLOW/FUNCT IMAGE, MULTIPLE",5169.55,982.2145,228.0,5169.55,406 CPT,78725,HC KIDNEY FUNCTION STUDY,1560.69,296.5311,85.36,1611.0,406 CPT,78730,HC URINARY BLADDER RETENTION,1560.69,296.5311,61.7,1611.0,324 CPT,78740,HC URETERAL REFLUX STUDY,1848.99,351.3081,109.0,2158.04,406 CPT,78761,HC TESTICULAR IMAGING W/FLOW,1650.58,313.6102,163.0,1916.74,406 CPT,78799,HC GENITOURINARY NUCLEAR EXAM,1560.69,296.5311,15.6069,1611.0,400 CPT,78800,HC RP LOCLZJ TUM 1 AREA 1 D IMG,2426.71,461.0749,173.0,2426.71,406 CPT,78801,HC RP LOCLZJ TUM 2+AREA 1+D IMG,3324.61,631.6759,207.38,3324.61,406 CPT,78802,HC RP LOCLZJ TUM/DSTRBJ AGT WHBDY 1 D IMG,4125.55,783.8545,250.6,4125.55,406 CPT,78803,HC RP LOCLZJ TUM SPECT 1 AREA,5085.6,966.264,267.22,5085.6,406 CPT,78804,HC RP LOCLZJ TUM/DSTRBJ AGT WHBDY REQ 2/> D IMG,7280.14,1383.2266,234.16,7280.14,406 CPT,78811,HC PET IMAGE LTD AREA,9807.95,1863.5105,68.9,16077.27,406 CPT,78812,HC PET IMAGE SKULL-THIGH,9807.95,1863.5105,86.64,17711.24,406 CPT,78813,HC PET IMAGE FULL BODY,9807.95,1863.5105,88.12,17711.24,406 CPT,78814,HC PET IMAGE W/CT LMTD,9807.95,1863.5105,98.0795,25798.0,406 CPT,78814,PET IMAGE W/CT LMTD,,,98.58,25798.0,347 CPT,78815,HC PET IMAGE W/CT SKULL-THIGH,10843.83,2060.3277,108.4383,25798.0,406 CPT,78815,PET IMAGE W/CT SKULL-THIGH,,,110.62,25798.0,347 CPT,78816,HC PTCT IMAGE WHOLE BODY WOIVC,11096.21,2108.2799,110.67,17711.24,406 CPT,78830,HC RP LOCLZJ TUM SPECT W/CT 1,5085.6,966.264,376.93,5085.6,406 CPT,78831,HC RP LOCLZJ TUM SPECT 2 AREAS,5594.16,1062.8904,576.68,6636.34,406 CPT,78832,HC RP LOCLZJ TUM SPECT W/CT 2,7119.84,1352.7696,742.04,8507.12,406 CPT,78835,HC RP QUAN MEAS SINGLE AREA,3559.92,676.3848,70.78,3559.92,324 CPT,78999,HC UNLISTED MISC DX NM,996.7,189.373,9.967,1611.0,400 CPT,79005,"HC NUCLEAR RX, ORAL ADMIN",2940.75,558.7425,54.56,2940.75,406 CPT,79101,"HC NUCLEAR RX, IV ADMIN",2262.01,429.7819,56.66,2262.01,406 CPT,79403,HC HEMATOPOIETIC NUCLEAR TX,2131.84,405.0496,86.42,2131.84,406 CPT,79445,HC INTRA-ARTERIAL RPHARM RX,1482.33,281.6427,14.8233,1611.0,406 CPT,80047,HC METABOLIC PANEL IONIZED CA,43.25,16.48,7.32,198.84,406 CPT,80048,HC METABOLIC PANEL TOTAL CA,178.89,10.15,7.32,198.84,406 CPT,80050,HC GENERAL HEALTH PANEL,338.84,64.3796,3.3884,338.84,310 CPT,80051,ELECTROLYTE PANEL,,,6.1,25798.0,358 CPT,80051,HC ELECTROLYTE PANEL,61.5,8.41,6.1,25798.0,406 CPT,80053,COMPREHEN METABOLIC PANEL,,,9.5,25798.0,358 CPT,80053,HC COMPREHEN METABOLIC PANEL,325.51,12.67,9.5,25798.0,406 CPT,80061,HC LIPID PANEL,148.35,16.07,6.1,198.84,406 CPT,80069,HC RENAL FUNCTION PANEL,92.56,10.42,7.81,198.84,406 CPT,80074,HC ACUTE HEPATITIS PANEL,334.0,57.16,42.87,485.35,406 CPT,80076,HC HEPATIC FUNCTION PANEL,74.17,9.8,7.32,198.84,406 CPT,80143,HC DRUG ASSAY ACETAMINOPHEN,249.77,22.37,16.78,249.77,406 CPT,80145,HC DRUG ASSAY ADALIMUMAB,60.75,46.28,10.61,393.03,406 CPT,80150,HC ASSAY OF AMIKACIN,110.94,18.1,10.61,178.68,406 CPT,80151,HC DRUG ASSAY AMIODARONE,249.77,22.37,10.61,249.77,406 CPT,80155,HC DRUG SCREEN QUANT CAFFEINE,204.75,46.28,13.16,393.03,406 CPT,80156,"HC ASSAY, CARBAMAZEPINE, TOTAL",116.01,17.48,10.61,178.68,406 CPT,80157,"HC ASSAY, CARBAMAZEPINE, FREE",68.81,15.9,10.61,178.68,406 CPT,80158,HC ASSAY OF CYCLOSPORINE,209.68,21.66,10.61,209.68,406 CPT,80159,HC CLOZAPINE,48.51,24.18,10.61,205.33,406 CPT,80161,"HC DRUG ASSAY CARBAMAZEPINE -10,11-EPOXIDE",249.77,22.37,10.61,249.77,406 CPT,80162,HC ASSAY OF DIGOXIN,102.7,15.94,10.61,178.68,406 CPT,80164,"HC ASSAY, DIPROPYLACETIC ACID",94.46,16.25,10.61,178.68,406 CPT,80165,HC DIPROPYLACETIC ACID FREE,94.46,16.25,10.61,178.68,406 CPT,80167,HC DRUG ASSAY FELBAMATE,249.77,22.37,10.61,249.77,406 CPT,80168,HC ETHOSUXIMIDE,97.0,19.61,10.61,178.68,406 CPT,80169,HC DRUG SCREEN QUANT EVEROLIMUS,36.14,16.48,10.61,178.68,406 CPT,80170,HC ASSAY OF GENTAMICIN,108.4,19.66,10.61,178.68,406 CPT,80171,HC DRUG SCREEN QUANT GABAPENTIN,68.62,26.0,10.61,220.82,406 CPT,80173,HC ASSAY OF HALOPERIDOL,68.47,18.94,10.61,178.68,406 CPT,80175,HC DRUG SCREEN QUAN LAMOTRIGINE,34.87,15.9,10.61,178.68,406 CPT,80176,HC ASSAY OF LIDOCAINE,55.79,17.63,13.22,178.68,406 CPT,80177,HC DRUG SCRN QUAN LEVETIRACETAM,34.87,15.9,10.61,178.68,406 CPT,80178,HC ASSAY OF LITHIUM,83.68,7.93,5.95,178.68,406 CPT,80179,HC DRUG ASSAY SALICYLATE,249.77,22.37,16.78,249.77,406 CPT,80180,HC MYCOPHENOLATE (MYCOPHENOLIC ACID),46.92,21.66,10.61,183.93,406 CPT,80181,HC DRUG ASSAY FLECAINIDE,249.77,22.37,10.61,249.77,406 CPT,80183,HC DRUG SCRN QUANT OXCARBAZEPIN,34.87,15.9,10.61,178.68,406 CPT,80184,HC ASSAY OF PHENOBARBITAL,88.75,18.36,10.61,178.68,406 CPT,80185,"HC ASSAY OF PHENYTOIN, TOTAL",97.0,15.9,10.61,178.68,406 CPT,80186,"HC ASSAY OF PHENYTOIN, FREE",35.5,16.51,10.61,178.68,406 CPT,80187,HC DRUG ASSAY POSACONAZOLE,85.4,32.53,24.4,276.25,406 CPT,80188,HC ASSAY OF PRIMIDONE,78.61,19.91,10.61,178.68,406 CPT,80189,HC DRUG ASSAY ITRACONAZOLE,85.4,32.53,24.4,276.25,406 CPT,80190,HC PROCAINAMIDE,126.0,72.0,24.0,611.4,406 CPT,80192,HC PROCAINAMIDE METABOLITES,49.45,20.1,15.08,178.68,406 CPT,80193,HC DRUG ASSAY LEFLUNOMIDE,121.5,46.28,12.6,393.03,406 CPT,80194,HC ASSAY OF QUINIDINE,86.22,17.52,10.61,178.68,406 CPT,80195,HC ASSAY OF SIROLIMUS,148.35,16.48,10.61,178.68,406 CPT,80197,HC ASSAY OF TACROLIMUS,183.85,16.48,10.61,183.85,406 CPT,80198,HC ASSAY OF THEOPHYLLINE,121.72,16.97,8.08,178.68,406 CPT,80199,HC TIAGABINE,93.49,32.53,10.61,276.25,406 CPT,80200,HC ASSAY OF TOBRAMYCIN,117.92,19.36,10.61,178.68,406 CPT,80201,HC ASSAY OF TOPIRAMATE,83.05,14.3,10.73,178.68,406 CPT,80202,HC ASSAY OF VANCOMYCIN,109.68,16.25,10.61,178.68,406 CPT,80203,HC DRUG SCREEN QUANT ZONISAMIDE,34.87,15.9,10.61,178.68,406 CPT,80204,HC DRUG ASSAY METHOTREXATE,121.5,46.28,12.6,393.03,406 CPT,80210,HC DRUG ASSAY RUFINAMIDE,46.75,32.53,16.43,276.25,406 CPT,80220,HC DRUG ASSAY HYDROXYCHLOROQUINE,55.92,22.37,16.78,189.94,406 CPT,80230,HC DRUG ASSAY INFLIXIMAB,60.75,46.28,10.61,393.03,406 CPT,80235,HC DRUG ASSAY LACOSAMIDE,81.33,32.53,24.4,276.25,375 CPT,80280,HC DRUG ASSAY VEDOLIZUMAB,97.19,46.28,10.61,393.03,406 CPT,80285,HC DRUG ASSAY VORICONAZOLE,81.33,32.53,24.4,276.25,406 CPT,80299,"HC QUANTITATIVE ASSAY, DRUG",124.89,22.37,16.78,189.94,400 CPT,80305,HC DRUG TEST PRSMV DIR OPT OBS,94.46,15.12,5.05,172.99,404 CPT,80306,HC DRUG TEST PRSMV INSTRMNT,198.45,20.57,5.05,198.45,404 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR,126.79,74.57,7.58,633.21,406 CPT,80320,HC DRUG SCREEN QUANTALCOHOLS,143.28,27.2232,1.4328,143.28,218 CPT,80321,HC ALCOHOLS BIOMARKERS 1OR 2,129.96,24.6924,1.2996,129.96,212 CPT,80322,HC ALCOHOLS BIOMARKERS 3/MORE,259.92,49.3848,2.5992,259.92,212 CPT,80323,HC ALKALOIDS NOS,114.75,21.8025,1.1475,114.75,218 CPT,80324,HC DRUG SCREEN AMPHETAMINES 1/2,168.63,32.0397,1.6863,168.63,218 CPT,80325,HC AMPHETAMINES 3OR 4,168.63,32.0397,1.6863,168.63,218 CPT,80326,HC AMPHETAMINES 5 OR MORE,168.63,32.0397,1.6863,168.63,218 CPT,80327,HC ANABOLIC STEROID 1 OR 2,247.23,46.9737,2.4723,247.23,212 CPT,80328,HC ANABOLIC STEROID 3 OR MORE,247.23,46.9737,2.4723,247.23,212 CPT,80329,HC ANALGESICS NON-OPIOID 1 OR 2,155.95,29.6305,1.5595,155.95,212 CPT,80330,HC ANALGESICS NON-OPIOID 3-5,311.9,59.261,3.119,311.9,212 CPT,80331,HC ANALGESICS NON-OPIOID 6/MORE,311.9,59.261,3.119,311.9,212 CPT,80335,HC ANTIDEPRESSANT TRICYCLIC 1/2,106.5,20.235,1.065,106.5,218 CPT,80336,HC ANTIDEPRESSANT TRICYCLIC 3-5,106.5,20.235,1.065,106.5,218 CPT,80337,HC TRICYCLIC & CYCLICALS 6/MORE,106.5,20.235,1.065,106.5,218 CPT,80338,HC ANTIDEPRESSANT NOT SPECIFIED,114.43,21.7417,1.1443,114.43,212 CPT,80339,HC ANTIEPILEPTICS NOS 1-3,91.2,17.328,0.912,91.2,212 CPT,80340,HC ANTIEPILEPTICS NOS 4-6,173.7,33.003,1.737,173.7,212 CPT,80341,HC ANTIEPILEPTICS NOS 7/MORE,173.7,33.003,1.737,173.7,212 CPT,80342,HC ANTIPSYCHOTICS NOS 1-3,200.3,38.057,2.003,200.3,212 CPT,80345,HC DRUG SCREENING BARBITURATES,124.26,23.6094,1.2426,124.26,218 CPT,80346,HC BENZODIAZEPINES1-12,271.33,51.5527,2.7133,271.33,218 CPT,80347,HC BENZODIAZEPINES 13 OR MORE,142.45,27.0655,1.4245,142.45,218 CPT,80348,HC DRUG SCREENING BUPRENORPHINE,488.17,92.7523,4.8817,488.17,218 CPT,80349,HC CANNABINOIDS NATURAL,371.53,70.5907,3.7153,371.53,218 CPT,80353,HC DRUG SCREENING COCAINE,42.6,8.094,0.426,42.6,218 CPT,80354,HC DRUG SCREENING FENTANYL,40.57,7.7083,0.4057,40.57,212 CPT,80355,HC DRUG SCREENING GABAPENTIN NON-BLOOD,133.98,25.4562,1.3398,133.98,212 CPT,80356,HC HEROIN METABOLITE,101.57,19.2983,1.0157,101.57,218 CPT,80357,HC DRUG SCREENING KETAMINE AND NORKETAMINE,343.29,65.2251,3.4329,343.29,212 CPT,80358,HC DRUG SCREENING METHADONE,34.87,6.6253,0.3487,34.87,218 CPT,80359,HC METHYLENEDIOXYAMPHETAMINES,488.17,92.7523,4.8817,488.17,218 CPT,80360,HC DRUG SCREENING METHYLPHENIDATE,133.98,25.4562,1.3398,133.98,212 CPT,80361,HC OPIATES 1 OR MORE,186.38,35.4122,1.8638,186.38,218 CPT,80362,HC OPIOIDS & OPIATE ANALOGS 1/2,205.4,39.026,2.054,205.4,218 CPT,80363,HC OPIOIDS & OPIATE ANALOGS 3/4,205.4,39.026,2.054,205.4,218 CPT,80364,HC OPIOID &OPIATE ANALOG 5/MORE,102.7,19.513,1.027,102.7,218 CPT,80365,HC DRUG SCREENING OXYCODONE,488.17,92.7523,4.8817,488.17,218 CPT,80366,HC DRUG SCREENING PREGABALIN,167.07,31.7433,1.6707,167.07,212 CPT,80368,HC DRUG SCREENING SEDATIVE HYPNOTICS,133.98,25.4562,1.3398,133.98,212 CPT,80372,HC DRUG SCREENING TAPENTADOL,133.98,25.4562,1.3398,133.98,212 CPT,80375,HC DRUG/SUBSTANCE NOS 1-3,50.59,9.6121,0.5059,50.59,212 CPT,80377,HC DRUG/SUBSTANCE NOS 7/MORE,194.57,36.9683,1.9457,194.57,212 CPT,80400,HC ACTH STIM; ADRENAL INSUFF,128.61,39.14,29.36,332.4,406 CPT,80408,HC ALDOSTERONE SUPPRESSION EVAL,495.08,150.6,98.18,1278.85,406 CPT,80410,HC CALCITONIN STIM PANEL,317.0,96.44,58.62,818.97,406 CPT,80422,HC GT PANEL; FOR INSULINOMA,238.5,55.28,41.46,469.45,406 CPT,80426,HC GT PANEL; FOR INSULINOMA,585.43,178.09,133.57,1512.3,331 CPT,80428,HC GNRH STIM PANEL,263.21,80.04,60.03,679.67,406 CPT,80430,HC GROWTH HORMONE PANEL,407.39,155.2,98.18,1317.87,406 CPT,80436,HC METYRAPONE PANEL,359.57,109.39,58.48,928.92,406 CPT,80438,HC TRH STIMULATION PANEL 1 HOUR,198.88,60.49,18.18,513.68,406 CPT,80439,HC TRH STIMULATION PANEL 1 HOUR,265.17,80.65,60.49,684.87,406 CPT,80503,HC PATH CLIN CONSLTJ SF 5-20,184.26,35.0094,1.8426,319.91,404 CPT,80504,HC PATH CLIN CONSLTJ MOD 21-40,577.92,109.8048,5.7792,577.92,404 CPT,80505,HC PATH CLIN CONSLTJ HIGH 41-60,577.92,109.8048,5.7792,981.91,404 CPT,80506,HC PATH CLIN CONSLTJ PROLNG SVC EA ADDL 30,57.79,10.9801,0.5779,469.76,322 CPT,81000,"HC URINALYSIS, NONAUTO W/SCOPE",17.76,4.82,3.62,164.1,406 CPT,81001,HC URINALYSIS AUTO W/ MICROSCOPY,30.43,3.8,2.85,25798.0,406 CPT,81001,URINALYSIS AUTO W/SCOPE,,,2.85,25798.0,358 CPT,81002,HC N-AUTOM URINALYS WO MICRO,21.3,4.18,2.02,164.1,406 CPT,81003,"HC URINALYSIS, AUTO, W/O SCOPE",104.51,2.7,2.02,25798.0,406 CPT,81003,URINALYSIS AUTO W/O SCOPE,,,2.02,25798.0,358 CPT,81005,HC URINALYSIS,68.47,2.6,1.95,164.1,406 CPT,81007,HC URINALYSIS - BACTERA SCRN,62.96,35.98,2.02,305.5,406 CPT,81015,HC MICROSCOPIC EXAM OF URINE,17.31,3.66,2.02,164.1,406 CPT,81025,"HC URINE PREGNANCY TEST, BY VISUAL COLOR COMPARISON METHODS",45.93,10.33,2.02,87.74,406 CPT,81050,"HC URINALYSIS, VOLUME MEASURE",16.49,4.37,3.28,164.1,406 CPT,81105,HC HPA-1 GENOTYPING,718.88,146.66,110.0,1245.42,332 CPT,81106,HC HPA-2 GENOTYPING,718.88,146.66,110.0,1245.42,332 CPT,81107,HC HPA-3 GENOTYPING,718.88,146.66,110.0,1245.42,332 CPT,81108,HC HPA-4 GENOTYPING,718.88,146.66,110.0,1245.42,332 CPT,81109,HC HPA-5 GENOTYPING,718.88,146.66,110.0,1245.42,332 CPT,81110,HC HPA-6 GENOTYPING,718.88,146.66,110.0,1245.42,332 CPT,81111,HC HPA-9 GENOTYPING,718.88,146.66,110.0,1245.42,332 CPT,81112,HC HPA-15 GENOTYPING,718.88,146.66,110.0,1245.42,332 CPT,81120,HC DH1 COMMON VARIANTS,509.25,231.9,131.8,1969.22,332 CPT,81121,HC IDH2 COMMON VARIANTS,931.74,354.95,266.21,3014.1,332 CPT,81162,HC BRCA1&2 GEN FULL SEQ DUP/DEL,13313.06,2189.86,1642.39,18595.53,325 CPT,81163,HC BRCA1&2 GENE FULL SEQ ALYS,7705.09,561.6,421.2,7705.09,325 CPT,81164,HC BRCA1&2 GEN FUL DUP/DEL ALYS,10806.55,701.08,525.81,10806.55,325 CPT,81165,HC BRCA1 GENE FULL SEQ ALYS,7121.96,339.46,254.59,7121.96,325 CPT,81166,HC BRCA1 GENE FULL DUP/DEL ALYS,3684.59,361.62,271.22,3684.59,325 CPT,81167,HC BRCA2 GENE FULL DUP/DEL ALYS,7121.96,339.46,254.59,7121.96,325 CPT,81168,HC CCND1/IGH TRANSLOCATION ALYS,3007.75,248.77,125.63,3007.75,331 CPT,81170,HC ABL1 GENE,1006.15,360.0,199.69,3057.0,331 CPT,81171,HC AFF2 GENE DETC ABNOR ALLELES,1931.13,164.4,123.3,1931.13,325 CPT,81172,HC AFF2 GENE CHARAC ALLELES,3006.1,329.8,247.35,3006.1,325 CPT,81173,HC AR GENE FULL GENE SEQUENCE,3684.59,361.62,271.22,3684.59,325 CPT,81174,HC AR GENE KNOWN FAMIL VARIANT,2012.29,222.24,94.17,2012.29,331 CPT,81176,HC ASXL1 GENE TARGET SEQ ALYS,940.72,290.28,217.71,2464.96,332 CPT,81177,HC ATN1 GENE DETC ABNOR ALLELES,1931.13,164.4,83.83,1931.13,331 CPT,81178,HC ATXN1 GENE DETC ABNOR ALLELE,1931.13,164.4,83.83,1931.13,331 CPT,81179,HC ATXN2 GENE DETC ABNOR ALLELE,1931.13,164.4,83.83,1931.13,331 CPT,81180,HC ATXN3 GENE DETC ABNOR ALLELE,1931.13,164.4,83.83,1931.13,331 CPT,81181,HC ATXN7 GENE DETC ABNOR ALLELE,1931.13,164.4,83.83,1931.13,331 CPT,81182,HC ATXN8OS GEN DETC ABNOR ALLEL,1931.13,164.4,83.83,1931.13,331 CPT,81183,HC ATXN10 GENE DETC ABNOR ALLEL,1931.13,164.4,83.83,1931.13,331 CPT,81184,HC CACNA1A GEN DETC ABNOR ALLEL,1931.13,164.4,83.83,1931.13,331 CPT,81185,HC CACNA1A GENE FULL GENE SEQ,6359.0,1015.52,761.64,8623.49,325 CPT,81186,HC CACNA1A GEN KNOWN FAMIL VRNT,2012.29,222.24,94.17,2012.29,331 CPT,81187,HC CNBP GENE DETC ABNOR ALLELE,1931.13,164.4,83.83,1931.13,331 CPT,81188,HC CSTB GENE DETC ABNOR ALLELE,1931.13,164.4,83.83,1931.13,331 CPT,81189,HC CSTB GENE FULL GENE SEQUENCE,3006.1,329.8,166.55,3006.1,331 CPT,81190,HC CSTB GENE KNOWN FAMIL VRNT,2012.29,222.24,94.17,2012.29,331 CPT,81191,HC NTRK1 TRANSLOCATION ANALYSIS,3007.75,248.77,125.63,3007.75,331 CPT,81192,HC NTRK2 TRANSLOCATION ANALYSIS,3007.75,248.77,125.63,3007.75,331 CPT,81193,HC NTRK3 TRANSLOCATION ANALYSIS,3007.75,248.77,125.63,3007.75,331 CPT,81194,"HC NTRK TRANSLOCATION ANALYSIS 1,2,3",7519.37,621.94,314.08,7519.37,331 CPT,81200,HC ASPA GENE,2174.33,56.7,42.52,2174.33,325 CPT,81201,HC APC GENE FULL SEQUENCE,1638.0,936.0,424.51,7948.2,325 CPT,81202,HC APC GENE KNOWN FAM VARIANTS,1199.55,336.0,252.0,2853.2,325 CPT,81203,HC APC GENE DUP/DELET VARIANTS,1199.55,240.0,164.92,2038.0,325 CPT,81204,HC AR GENE CHARAC ALLELES,1931.13,164.4,83.83,1931.13,331 CPT,81206,HC BCR-ABL (CML),862.95,196.75,41.33,1670.75,331 CPT,81207,HC BCR-ABL (ALL),862.95,173.81,41.33,1475.92,331 CPT,81208,HC BCR/ABL1 GENE OTHER BP,676.05,257.54,81.45,2186.98,331 CPT,81209,HC BLM GENE,2906.23,47.17,35.38,2906.23,325 CPT,81210,HC BRAF GENE,1987.95,210.48,61.28,1987.95,331 CPT,81215,HC BRCA1 GENE KNOWN FAMIL VRNT,788.03,450.3,94.17,3823.8,331 CPT,81217,HC BRCA2 GENE KNOWN FAMIL VRNT,788.03,450.3,94.17,3823.8,331 CPT,81218,HC CEBPA GENE FULL SEQUENCE,2012.29,290.28,199.69,2464.96,331 CPT,81219,HC CALR GENE COM VARIANTS,505.89,145.96,109.47,1239.41,332 CPT,81220,HC CFTR GENE COM VARIANTS,1346.1,667.92,305.5,5671.75,331 CPT,81221,HC CFTR GENE KNOWN FAM VARIANTS,641.61,116.66,43.19,990.67,325 CPT,81222,HC CFTR GENE DUP/DELET VARIANTS,1271.33,522.08,82.37,4433.36,325 CPT,81223,HC CFTR GENE FULL SEQUENCE,4562.53,598.8,415.53,5084.81,325 CPT,81224,HC CFTR GENE INTRON POLY T,380.21,202.5,30.83,1719.56,325 CPT,81225,HC CYP2C19 GENE COM VARIANTS,2376.32,349.63,69.02,2968.96,332 CPT,81226,HC CYP2D6 GENE COM VARIANTS,2376.32,541.09,98.43,4594.77,325 CPT,81227,HC CYP2C9 GENE COM VARIANTS,1805.99,209.77,32.4,1805.99,331 CPT,81228,HC CYTOG ALYS CHRML ABNR CGH,7818.08,1080.0,55.87,9171.0,325 CPT,81229,HC CYTOG ALYS CHRML ABNR SNPCGH,2697.12,1392.0,25.06,11820.4,325 CPT,81232,HC DPYD GENE COMMON VARIANTS,440.52,209.77,157.33,1781.31,325 CPT,81233,HC BTK GENE COMMON VARIANTS,1987.95,210.48,106.29,1987.95,331 CPT,81234,HC DMPK GENE DETC ABNOR ALLELE,1931.13,164.4,83.83,1931.13,331 CPT,81235,HC EGFR GENE COM VARIANTS,935.75,389.5,34.56,3307.47,325 CPT,81236,HC EZH2 GENE FULL GENE SEQUENCE,7121.96,339.46,171.43,7121.96,331 CPT,81237,HC EZH2 GENE COMMON VARIANTS,1987.95,210.48,106.29,1987.95,331 CPT,81238,HC F9 FULL GENE SEQUENCE,1890.0,720.0,540.0,6114.0,325 CPT,81239,HC DMPK GENE CHARAC ALLELES,3006.1,329.8,166.55,3006.1,331 CPT,81240,HC F2 GENE,531.33,78.83,34.56,669.38,331 CPT,81241,HC F5 GENE,165.07,88.04,36.08,747.64,331 CPT,81242,HC FANCC GENE,2174.33,43.94,32.96,2174.33,325 CPT,81243,HC FMR1 GEN ALY DETC ABNL ALLEL,617.85,68.45,41.62,617.85,325 CPT,81244,HC FMR1 GENE CHARAC ALLELES,1901.06,53.87,40.4,1901.06,325 CPT,81245,HC FLT3 GENE,339.14,198.61,53.06,1686.55,331 CPT,81246,HC FLT3 GENE ANALYSIS,261.45,99.6,53.06,845.77,331 CPT,81247,HC G6PD GENE ALYS CMN VARIANT,550.65,209.77,157.33,1781.31,332 CPT,81249,HC G6PD FULL GENE SEQUENCE,1800.0,720.0,540.0,6114.0,326 CPT,81251,HC GBA GENE,2174.33,56.7,42.52,2174.33,325 CPT,81252,HC GJB2 GENE FULL SEQUENCE,4372.42,121.34,91.01,4372.42,325 CPT,81253,HC GJB2 GENE KNOWN FAM VARIANTS,1188.17,73.82,55.37,1188.17,325 CPT,81254,HC GJB6 GENE COM VARIANTS,950.53,42.0,24.88,950.53,325 CPT,81255,HC HEXA GENE,2174.33,61.74,46.31,2174.33,325 CPT,81256,HC HFE GENE,393.0,78.43,43.34,666.02,332 CPT,81257,HC HBA1/HBA2 GENE,1460.59,122.71,61.5,1460.59,325 CPT,81259,HC HBA1/HBA2 FULL GENE SEQUENCE,900.0,720.0,441.0,6114.0,326 CPT,81260,HC IKBKAP GENE,2174.33,47.17,35.38,2174.33,325 CPT,81261,HC IGH GENE REARRANGE AMP METH,921.06,237.59,49.14,2017.52,332 CPT,81262,HC IGH GENE REARRANG DIR PROBE,2376.32,82.26,52.04,2376.32,332 CPT,81263,HC IGH VARI REGIONAL MUTATION,1485.2,353.42,87.71,3001.16,332 CPT,81264,HC IGK REARRANGEABN CLONAL POP,921.06,207.28,155.46,1760.12,332 CPT,81265,HC STR MARKERS SPECIMEN ANAL,779.43,279.68,130.57,2374.98,332 CPT,81266,HC COMPARATIVE ANAL STR MARKERS EA ADDL,304.81,365.77,130.57,3106.01,320 CPT,81267,HC CHIMERISM ANAL NO CELL SELEC,836.47,248.95,186.71,2114.02,332 CPT,81268,HC CHIMERISM ANAL W/CELL SELECT,418.24,312.95,209.12,2657.45,332 CPT,81269,HC HBA1/HBA2 GENE DUP/DEL VRNTS,318.78,242.88,138.04,2062.46,331 CPT,81270,HC JAK2,733.26,109.99,36.71,934.02,332 CPT,81271,HC HTT GENE DETC ABNOR ALLELES,1931.13,164.4,83.83,1931.13,331 CPT,81272,HC KIT GENE TARGETED SEQ ANALYS,2012.29,395.41,224.72,3357.71,332 CPT,81273,HC KIT GENE ANALYS D816 VARIANT,381.3,149.84,85.16,1272.43,332 CPT,81274,HC HTT GENE CHARAC ALLELES,3006.1,329.8,166.55,3006.1,331 CPT,81275,HC KRAS GENE,2843.43,231.9,73.86,2843.43,331 CPT,81276,HC KRAS GENE ADDL VARIANTS,602.1,231.9,119.49,1969.22,331 CPT,81277,HC CYTOGENOMIC NEO MICRORA ALYS,1740.0,1392.0,141.82,11820.4,326 CPT,81278,HC IGH@/BCL2 TRANSLOCATION ALYS,3007.75,248.77,125.63,3007.75,331 CPT,81279,HC JAK2 GENE TRGT SEQUENCE ALYS,2012.29,222.24,112.23,2012.29,331 CPT,81283,HC IFNL3 GENE ANALYSIS RS12979860 VARIANT,231.12,88.04,66.03,747.64,332 CPT,81284,HC FXN GENE DETC ABNOR ALLELES,1931.13,164.4,83.83,1931.13,331 CPT,81285,HC FXN GENE CHARAC ALLELES,3006.1,329.8,166.55,3006.1,331 CPT,81286,HC FXN GENE FULL GENE SEQUENCE,3006.1,329.8,247.35,3006.1,325 CPT,81287,HC MGMT GENE PRMTR MTHYLTN ALYS,549.15,149.57,61.28,1270.08,325 CPT,81288,HC MLH1 GENE,302.91,230.78,145.74,1959.74,332 CPT,81289,HC FXN GENE KNOWN FAMIL VARIANT,2012.29,222.24,94.17,2012.29,331 CPT,81290,HC MCOLN1 GENE,2174.33,47.17,35.38,2174.33,325 CPT,81291,HC MTHFR GENE,228.13,78.41,41.55,665.81,332 CPT,81292,HC MLH1 GENE FULL SEQ,6416.06,810.48,369.61,6882.33,331 CPT,81293,HC MLH1 GENE KNOWN VARIANTS,861.54,397.2,43.34,3372.89,331 CPT,81294,HC MLH1 GENE DUP/DELETE VARIANT,2542.66,242.88,145.74,2542.66,331 CPT,81295,HC MSH2 GENE FULL SEQ,6416.06,458.04,153.23,6416.06,331 CPT,81296,HC MSH2 GENE KNOWN VARIANTS,709.23,405.28,43.34,3441.47,331 CPT,81297,HC MSH2 GENE DUP/DELETE VARIANT,6415.45,255.96,129.24,6415.45,331 CPT,81298,HC MSH6 GENE FULL SEQ,6416.06,770.22,290.71,6540.45,331 CPT,81299,HC MSH6 GENE KNOWN VARIANTS,646.8,369.6,43.34,3138.52,331 CPT,81301,HC MICROSATELLITE INSTABILITY,563.03,418.27,113.21,3551.83,331 CPT,81302,HC MECP2 GENE FULL SEQ,6503.19,633.44,141.16,6503.19,325 CPT,81303,HC MECP2 GENE KNOWN VARIANT,1461.92,144.0,5.4,1461.92,325 CPT,81304,HC MECP2 GENE DUP/DELET VARIANT,2732.77,180.0,52.04,2732.77,325 CPT,81305,HC MYD88 GENE P.LEU265PRO VRNT,993.98,210.48,106.29,1787.33,331 CPT,81306,HC NUDT15 GENE COMMON VARIANTS,1188.16,349.63,262.22,2968.96,332 CPT,81310,HC NPM1,458.97,295.82,24.72,2512.04,331 CPT,81311,HC NRAS GENE VARIANTS EXON 2&3,1806.35,354.95,179.24,3014.1,331 CPT,81312,HC PABPN1 GENE DETC ABNOR ALLEL,1931.13,164.4,83.83,1931.13,331 CPT,81313,HC PCA3/KLK3 ANTIGEN,765.15,306.06,229.55,2598.96,320 CPT,81314,HC PDGFRA GENE,2012.29,395.41,199.69,3357.71,331 CPT,81315,HC PML-RARA,1503.88,248.77,67.4,2112.49,331 CPT,81317,HC PMS2 GENE FULL SEQ ANALYSIS,6653.68,811.8,391.69,6893.54,325 CPT,81318,HC PMS2 KNOWN FAMILIAL VARIANTS,695.1,397.2,39.85,3372.89,325 CPT,81320,HC PLCG2 GENE COMMON VARIANTS,1987.95,349.63,262.22,2968.96,325 CPT,81321,HC PTEN GENE FULL SEQUENCE,6400.21,720.0,540.0,6400.21,325 CPT,81322,HC PTEN GENE KNOWN FAM VARIANT,912.87,55.92,41.94,912.87,325 CPT,81323,HC PTEN GENE DUP/DELET VARIANT,2542.66,360.0,270.0,3057.0,325 CPT,81324,HC PMP22 GENE DUP/DELET,2252.93,910.03,335.6,7727.69,332 CPT,81325,HC PMP22 GENE FULL SEQUENCE,2252.93,923.5,202.04,7842.02,332 CPT,81326,HC PMP22 GENE KNOWN FAM VARIANT,2252.93,55.92,41.94,2252.93,332 CPT,81329,HC SMN1 GENE DOS/DELETION ALYS,1931.13,164.4,83.83,1931.13,331 CPT,81330,HC SMPD1 GENE COMMON VARIANTS,2174.33,56.4,42.3,2174.33,325 CPT,81331,HC SNRPN/UBE3A GENE,1231.88,61.28,30.83,1231.88,325 CPT,81333,HC TGFBI GENE COMMON VARIANTS,1931.13,164.4,123.3,1931.13,332 CPT,81335,HC TPMT GENE COM VARIANTS,275.33,209.77,119.21,1781.31,325 CPT,81336,HC SMN1 GENE FULL GENE SEQUENCE,3684.59,361.62,271.22,3684.59,325 CPT,81337,HC SMN1 GEN NOWN FAMIL SEQ VRNT,2012.29,222.24,94.17,2012.29,331 CPT,81338,HC MPL GENE COMMON VARIANTS,2075.69,180.4,91.1,2075.69,331 CPT,81339,HC MPL GENE SEQ ALYS EXON 10,2012.29,222.24,112.23,2012.29,331 CPT,81340,HC TRB GENE REARRANGE AMPLIFY,812.45,250.7,61.23,2128.89,332 CPT,81341,HC TRB@ GENE REARRANGE DIRPROBE,2376.32,59.51,44.63,2376.32,332 CPT,81342,HC TRG GENE REARRANGEMENT ANAL,936.27,241.8,61.23,2053.28,332 CPT,81343,HC PPP2R2B GEN DETC ABNOR ALLEL,1931.13,164.4,83.83,1931.13,331 CPT,81344,HC TBP GENE DETC ABNOR ALLELES,1931.13,164.4,83.83,1931.13,331 CPT,81345,HC TERT GENE TARGETED SEQ ALYS,2012.29,222.24,94.17,2012.29,331 CPT,81347,HC SF3B1 GENE COMMON VARIANTS,608.74,231.9,117.11,1969.22,331 CPT,81348,HC SRSF2 GENE COMMON VARIANTS,1987.95,210.48,106.29,1987.95,331 CPT,81350,HC UGT1A1 GENE COMMON VARIANTS,708.14,280.8,32.97,2384.46,325 CPT,81351,HC TP53 GENE FULL GENE SEQUENCE,6416.06,770.22,388.96,6540.45,331 CPT,81352,HC TP53 GENE TRGT SEQUENCE ALYS,1037.96,395.41,98.0,3357.71,331 CPT,81353,HC TP53 GENE KNOWN FAMIL VRNT,646.8,369.6,186.65,3138.52,331 CPT,81355,HC VKORC1 GENE,277.83,105.84,32.4,898.76,325 CPT,81357,HC U2AF1 GENE COMMON VARIANTS,608.74,231.9,117.11,1969.22,331 CPT,81360,HC ZRSR2 GENE COMMON VARIANTS,608.74,231.9,117.11,1969.22,331 CPT,81363,HC HBB DUPLICATION/DELETION VARIANTS,637.56,242.88,182.16,2062.46,331 CPT,81364,HC HBB FULL GENE SEQUENCE,511.22,389.5,250.4978,3307.47,325 CPT,81370,HC HLA I & II TYPING LR,1046.0,482.54,142.08,4097.6,332 CPT,81371,HC HLA I & II TYPING LR,1245.84,485.42,142.08,4122.06,332 CPT,81372,HC HLA I TYPING COMPLETE LR,1763.61,484.31,363.23,4112.58,332 CPT,81373,HC HLA I & II TYPE VERIFY LR,881.81,152.92,114.69,1298.51,332 CPT,81374,HC HLA I TYPING 1 ANTIGEN LR,684.38,89.2,66.9,757.42,332 CPT,81376,HC HLA II TYPING 1 LOCUS LR,718.88,146.66,110.0,1245.42,332 CPT,81377,HC HLA II TYPE 1 AG EQUIV LR,1378.27,113.69,85.27,1378.27,332 CPT,81378,HC HLA I & II TYPING HR,1088.55,414.68,311.01,3521.36,320 CPT,81379,HC HLA I TYPING COMPLETE HR,5863.99,402.46,301.84,5863.99,332 CPT,81380,HC HLA I TYPING 1 LOCUS HR,2604.45,212.7,61.35,2604.45,332 CPT,81381,HC HLA I TYPING 1 ALLELE HR,380.21,203.88,152.91,1731.28,332 CPT,81382,HC HLA II TYPING 1 LOC HR,893.5,148.42,43.03,1260.3,332 CPT,81383,HC HLA II TYPING 1 ALLELE HR,1447.18,130.96,77.99,1447.18,332 CPT,81400,HC MOPATH PROCEDURE LEVEL 1,1330.36,76.75,34.97,1330.36,325 CPT,81401,HC MOPATH PROCEDURE LEVEL 2,965.57,164.4,34.97,1396.03,325 CPT,81402,HC MOPATH PROCEDURE LVL 3,1037.85,180.4,87.98,1531.86,325 CPT,81403,HC MOPATH PROCEDURE LEVEL 4,1006.15,222.24,115.17,1887.19,325 CPT,81404,HC MOPATH PROCEDURE LEVEL 5,1503.05,329.8,103.15,2800.52,325 CPT,81405,HC MOPATH PROCEDURE LEVEL 6,1842.23,361.62,149.29,3070.76,325 CPT,81406,HC MOPATH PROCEDURE LEVEL 7,508.71,339.46,79.96,2882.55,325 CPT,81407,HC MOPATH PROCEDURE LEVEL 8,3179.4,1015.52,761.64,8623.49,325 CPT,81408,HC MOPATH PROCEDURE LEVEL 9,3334.74,2400.0,1644.63,20380.0,325 CPT,81410,HC AORTIC DYSFUNCTION/DILATION,5349.49,604.8,453.6,5349.49,332 CPT,81411,HC AORTIC DYSFUNCTION/DILATION,3464.21,1620.23,1215.17,13758.44,332 CPT,81413,HC CAR ION CHNNLPATH INC 10 GNS,16040.13,701.88,526.41,16040.13,325 CPT,81415,HC EXOME SEQUENCE ANALYSIS,15057.0,5736.0,1442.89,48708.2,332 CPT,81419,HC EPILEPSY GEN SEQ ALYS PANEL,7712.96,2938.27,2203.7,24950.83,332 CPT,81432,HC HEREDITARY BRST CA-RELATED GEN SEQ ANALYS 5 + GEN,1069.51,1564.74,534.755,6919.52,332 CPT,81439,HC HRDTRY CARDMYPY GENE PANEL,1842.44,701.88,526.41,5960.13,332 CPT,81440,HC MITOCHONDRIAL GENE,7149.79,3988.8,1442.89,33871.56,332 CPT,81442,HC NOONAN SPECTRUM DISORDERS,4501.56,2572.32,1827.42,21843.28,332 CPT,81443,HC GENETIC TSTG SEVERE INH COND,3856.48,2938.27,1928.24,24950.83,332 CPT,81445,HC TARGETED GENO SEQ ANALYS SOL FUSION SEQR NEO 5-50,2155.11,717.49,538.12,6092.7,332 CPT,81448,HC HRDTRY PERPH NEURPHY PANEL,1754.7,701.88,526.41,5960.13,320 CPT,81449,HC SO NEO GSAP 5-50 RNA ALYS,2318.59,717.49,538.12,6092.7,326 CPT,81450,HC HL NEO GSAP 5-50DNA/DNA&RNA,1196.26,911.44,598.13,7739.61,332 CPT,81451,HC HL NEO GSAP 5-50 RNA ALYS,2392.52,911.44,683.58,7739.61,326 CPT,81455,HC SO/HL 51/>GSAP DNA/DNA&RNA,4598.48,45.61,1442.89,29750.72,332 CPT,81456,HC SO/HL 51/>GSAP RNA ALYS,9196.95,3503.52,2627.64,29750.72,326 CPT,81459,HC SO NEO GSAP DNA/DNA&RNA,8968.65,3587.46,407.77,8968.65,319 CPT,81460,HC WHOLE MITOCHONDRIAL GENOME LHON,7149.79,1544.4,1158.3,13114.53,332 CPT,81465,HC WHOLE MITOCHONDRIAL GENOME KSS,7149.79,1123.2,842.4,9537.84,332 CPT,81479,HC PATIENT PRETRNSPLNT & DNR GERMLINE TSTING W/ NGS (SNP) ANLYS,2400.0,456.0,0.02,2400.0,212 CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY,339.14,64.4366,0.02,339.14,212 CPT,81506,HC ENDO ASSAY SEVEN ANAL,156.81,82.7,62.03,702.29,332 CPT,81507,HC FETAL ANEUPLOIDY TRISOM RISK,1085.18,954.0,542.59,8101.05,325 CPT,81508,HC FTL CGEN ABNOR TWO PROTEINS,140.83,65.16,24.99,553.32,331 CPT,81509,HC FTL CGEN ABNOR 3 PROTEINS,3123.48,1784.84,31.55,15156.3,331 CPT,81510,HC FTL CGEN ABNOR THREE ANAL,140.83,66.65,36.73,565.95,331 CPT,81511,HC FTL CGEN ABNOR FOUR ANAL,322.35,184.2,43.3,1564.16,331 CPT,81512,HC FTL CGEN ABNOR FIVE ANAL,145.99,83.42,55.79,708.41,331 CPT,81513,HC NFCT DS BV RNA VAG FLU ALG,334.72,171.16,128.37,1453.4,332 CPT,81514,HC NFCT DS BV&VAGINITIS DNA ALG,829.99,315.59,236.69,2679.87,332 CPT,81518,HC ONC BRST MRNA 11 GENES,12199.95,4647.6,3485.7,39465.87,332 CPT,81519,HC ONCOLOGY BREAST MRNA,11619.0,4647.6,1442.89,39465.87,320 CPT,81520,HC ONC BREAST MRNA 58 GENES,9761.91,3012.25,2113.54,25579.04,325 CPT,81528,HC ONCOLOGY COLORECTAL SCR,3068.87,610.64,347.05,5185.39,331 CPT,81529,HC ONC CUTAN MLNMA MRNA 31 GENE,15105.3,8631.6,6473.7,73296.67,332 CPT,81535,HC ONCOLOGY GYNECOLOGIC,3538.74,695.35,493.99,5904.7,332 CPT,81536,HC ONCOLOGY GYNECOLOGIC EACH ADDL,1084.36,213.07,151.37,1809.34,332 CPT,81539,HC ONCOLOGY PROSTATE PROB SCORE,2394.0,912.0,410.63,7744.4,332 CPT,81546,"HC ONC THYR MRNA 10,196 GEN ALG",7560.0,4320.0,3240.0,36684.0,332 CPT,81554,HC PULM DS IPF MRNA 190 GEN ALG,11550.0,6534.0,3037.03,56045.0,332 CPT,81595,HC CARDIOLOGY HRT TRNSPL MRNA 20 GENES,3240.0,3888.0,1620.0,33015.6,326 CPT,81596,HC NFCT DS CHRNC HCV 6 ASSAYS,493.5,86.63,58.33,735.62,331 CPT,81599,"HC LIVER FIBROSIS, VIRAL HEP",816.51,155.1369,0.02,816.51,212 CPT,82009,HC TEST FOR KETONES,28.53,5.42,0.5,155.33,406 CPT,82010,HC QUANT SERUM KETONES,39.94,9.8,7.35,155.33,406 CPT,82013,HC ACETYLCHOLINESTERASE,72.27,14.75,11.06,164.58,406 CPT,82016,HC ACYLCARNITINES; QUAL,72.27,19.79,14.84,168.03,406 CPT,82017,"HC ACYLCARNITINES, QUANT",123.62,20.24,15.18,171.91,406 CPT,82024,HC ASSAY OF ACTH,297.96,46.34,34.76,393.54,406 CPT,82030,HC CYCLIC ADP OR AMP,101.77,30.96,23.22,262.9,406 CPT,82040,HC ASSAY OF SERUM ALBUMIN,41.93,5.94,4.46,155.33,406 CPT,82042,HC ASSAY OF ALBUMIN,32.97,9.34,4.0,155.33,406 CPT,82043,"HC URINE ALBUMIN, QUANTITATIVE",81.15,6.94,5.08,164.1,406 CPT,82044,HC UR ALBUMIN SEMIQUANTITATIVE,38.04,7.48,0.5,164.1,406 CPT,82075,HC ASSAY OF BREATH ETHANOL,94.5,36.0,14.0,305.7,326 CPT,82077,HC ASSAY SPEC XCP UR&BREATH IA,685.6,20.72,15.54,685.6,332 CPT,82085,HC ASSAY OF ALDOLASE,232.98,11.65,8.74,232.98,406 CPT,82088,HC ASSAY OF ALDOSTERONE,372.76,48.9,36.68,415.24,406 CPT,82103,"HC ALPHA-1-ANTITRYPSIN, TOTAL",130.6,16.13,12.1,164.58,406 CPT,82104,"HC ALPHA-1-ANTITRYPSIN, PHENO",200.36,17.35,13.01,200.36,406 CPT,82105,"HC ALPHA-FETOPROTEIN, SERUM",165.46,20.12,6.57,170.89,406 CPT,82106,"HC ALPHA-FETOPROTEIN, AMNIOTIC",98.9,20.4,10.1,173.23,406 CPT,82107,HC ALPHA-FETOPROTEIN L3,460.24,77.29,41.56,656.34,406 CPT,82108,HC ASSAY OF ALUMINUM,255.6,30.58,22.93,259.64,406 CPT,82127,HC AMINO ACIDS; SINGLE QUAL EA,64.66,17.02,9.29,164.58,406 CPT,82128,"HC AMINO ACIDS, MULT QUAL",63.4,16.64,9.29,164.58,406 CPT,82131,"HC AMINO ACIDS, SINGLE QUANT",100.16,27.58,14.14,234.17,406 CPT,82135,HC DELTA ALA,96.36,19.74,14.8,167.63,406 CPT,82136,HC AMINO ACIDS; 2-5 QUAN EA,56.86,23.53,14.14,199.83,406 CPT,82139,"HC AMINO ACIDS, QUAN, 6 OR MORE",592.1,20.24,14.14,592.1,406 CPT,82140,HC ASSAY OF AMMONIA,106.5,17.48,13.11,164.58,406 CPT,82143,"HC BILIRUBIN,SCAN - AMNIOTIC FLUID",79.87,11.22,8.41,155.33,406 CPT,82150,HC ASSAY OF AMYLASE,75.44,7.78,5.08,155.33,406 CPT,82154,HC ANDROSTANEDIOL GLUCURONIDE,172.43,34.6,25.95,293.78,406 CPT,82157,HC ASSAY OF ANDROSTENEDIONE,250.41,35.14,26.35,298.36,406 CPT,82163,HC ANGIOTENSIN II,105.7,24.62,18.47,209.1,406 CPT,82164,HC ANGIOTENSIN I ENZYME TEST,169.26,17.52,13.14,169.26,406 CPT,82166,HC ASSAY OF ANTI-MULLERIAN HORMONE,115.86,46.34,26.34,393.54,375 CPT,82172,HC ASSAY OF APOLIPOPROTEIN,108.4,25.31,16.09,214.91,406 CPT,82175,HC ASSAY OF ARSENIC,164.83,22.76,17.07,193.3,406 CPT,82180,HC ASSAY OF ASCORBIC ACID,77.35,11.87,8.9,155.33,406 CPT,82232,HC ASSAY OF BETA-2 PROTEIN,168.63,19.42,12.62,197.49,406 CPT,82234,HC BETA-AMYLOID 1-42 (ABETA 42),2985.0,,78.04,2985.0,184 CPT,82239,HC BILE ACIDS; TOTAL,55.79,20.54,13.18,174.45,406 CPT,82240,"HC BILE ACIDS, CHOLYLGLYCINE",83.69,31.9,16.41,270.85,406 CPT,82247,"HC BILIRUBIN, TOTAL",75.22,6.02,3.0,155.33,406 CPT,82248,"HC BILIRUBIN, DIRECT",45.65,6.02,4.52,155.33,406 CPT,82252,HC BILIRUBIN; FECES QUAL,59.59,5.47,4.1,155.33,406 CPT,82261,HC BIOTINIDASE EA SPECIMEN,136.93,20.24,15.18,171.91,406 CPT,82270,"HC OCCULT BLOOD, FECES",69.1,5.26,3.43,155.33,406 CPT,82271,"HC OCCULT BLOOD, OTHER SOURCES",60.86,6.38,4.79,155.33,406 CPT,82272,HC OCCULT BLD FECES 1-3 TESTS,26.63,5.08,3.81,155.33,406 CPT,82274,HC OCCULT BLD FHG QUAL 1-3,83.61,19.1,3.43,164.58,406 CPT,82286,HC BRADYKININ,51.99,6.19,4.64,155.33,406 CPT,82300,HC ASSAY OF CADMIUM,108.4,28.37,15.96,240.89,406 CPT,82306,HC ASSAY OF VITAMIN D,261.83,35.52,26.64,301.62,406 CPT,82308,HC ASSAY OF CALCITONIN,206.67,32.15,24.11,272.99,406 CPT,82310,HC CALCIUM TOT,38.61,6.19,4.64,155.33,406 CPT,82330,HC CALCIUM IONIZED,121.08,16.42,5.08,164.58,406 CPT,82331,HC CALCIUM; AFTER CALCIUM INFUSION,73.54,16.01,8.0,164.58,406 CPT,82340,HC CALCIUM URINE QUAN TMD SPEC,61.5,7.24,5.43,155.33,406 CPT,82360,"HC CALCULUS ASSAY, QUANT",76.07,15.44,11.58,164.58,406 CPT,82365,HC CALCULUS SPECTROSCOPY,99.53,15.48,11.61,164.58,406 CPT,82370,"HC X-RAY ASSAY, CALCULUS",72.27,15.02,11.27,164.58,406 CPT,82373,HC CARB DEFICIENT TRANSFERRIN,86.22,21.67,7.97,184.03,406 CPT,82374,"HC ASSAY, BLOOD CARBON DIOXIDE",29.8,5.86,4.39,155.33,406 CPT,82375,HC ASSAY CARBOXYHB QUANT,36.14,14.78,11.09,164.58,406 CPT,82376,HC ASSAY CARBOXYHB QUAL,44.32,16.88,9.0,164.58,406 CPT,82378,CARCINOEMBRYONIC ANTIGEN,,,17.06,25798.0,358 CPT,82378,HC CARCINOEMBRYONIC ANTIGEN,164.83,22.75,17.06,25798.0,406 CPT,82379,HC ASSAY OF CARNITINE,155.95,20.24,10.61,171.91,406 CPT,82380,HC ASSAY OF CAROTENE,91.29,11.06,8.3,155.33,406 CPT,82382,"HC ASSAY, URINE CATECHOLAMINES",101.43,32.76,18.58,278.19,406 CPT,82383,"HC ASSAY, BLOOD CATECHOLAMINES",101.43,34.9,18.58,296.33,406 CPT,82384,"HC ASSAY, THREE CATECHOLAMINES",239.63,30.3,18.58,257.3,406 CPT,82390,HC ASSAY OF CERULOPLASMIN,100.51,12.89,8.18,155.33,406 CPT,82397,HC CHEMILUMINESCENT ASSAY,221.25,16.94,12.71,221.25,406 CPT,82415,HC CHLORAMPHENICOL,133.13,15.2,11.4,178.68,406 CPT,82435,HC ASSAY OF BLOOD CHLORIDE,54.52,5.52,4.14,155.33,406 CPT,82436,HC ASSAY OF URINE CHLORIDE,22.19,6.9,4.0,155.33,406 CPT,82438,"HC ASSAY, OTHER FLUID CHLORIDES",22.19,6.0,4.0,155.33,406 CPT,82441,HC CHLORINATED HC SCREEN,35.5,7.21,5.41,183.12,406 CPT,82465,"HC ASSAY, BLD/SERUM CHOLESTEROL",41.21,5.22,3.91,155.33,406 CPT,82480,"HC ASSAY, SERUM CHOLINESTERASE",45.64,9.44,7.08,155.33,406 CPT,82482,"HC ASSAY, RBC CHOLINESTERASE",44.37,11.77,8.83,155.33,406 CPT,82485,"HC ASSAY, CHONDROITIN SULFATE",84.95,24.78,18.59,210.42,406 CPT,82495,HC ASSAY OF CHROMIUM,133.76,24.34,18.25,206.65,406 CPT,82507,HC ASSAY OF CITRATE,164.83,33.36,25.02,283.28,406 CPT,82523,HC COLLAGEN CROSSLINKS,140.74,22.42,16.81,190.35,406 CPT,82525,HC ASSAY OF COPPER,191.45,14.89,11.17,191.45,406 CPT,82528,HC CORTICOSTERONE,129.33,27.02,20.27,229.48,406 CPT,82530,"HC CORTISOL, FREE",164.83,20.05,15.04,170.27,406 CPT,82533,HC TOTAL CORTISOL,131.86,19.56,14.67,197.49,406 CPT,82540,HC ASSAY OF CREATINE,38.04,5.57,4.18,155.33,406 CPT,82542,HC CC/MS; QUAL/QUAN SS & MP,195.26,28.91,21.68,245.48,406 CPT,82550,HC ASSAY OF CK (CPK),56.48,7.81,5.08,155.33,406 CPT,82552,HC ASSAY OF CPK IN BLOOD,72.9,16.07,9.49,164.58,406 CPT,82553,HC CPK: MB FRACTION ONLY,73.54,13.86,8.13,164.58,406 CPT,82554,HC CPK; ISOFORMS,73.54,14.24,9.0,164.58,406 CPT,82565,ASSAY OF CREATININE,,,4.61,25798.0,358 CPT,82565,HC ASSAY OF CREATININE,72.27,6.14,4.61,25798.0,406 CPT,82570,HC ASSAY OF URINE CREATININE,76.71,6.22,4.66,155.33,406 CPT,82575,HC CREATININE CLEARANCE TEST,81.15,11.35,5.89,155.33,406 CPT,82585,HC CRYOFIBRINOGEN,30.43,16.97,8.0,164.58,406 CPT,82595,HC ASSAY OF CRYOGLOBULIN,67.2,7.76,5.53,155.33,406 CPT,82600,HC ASSAY OF CYANIDE,115.37,23.28,17.46,197.69,406 CPT,82607,HC VITAMIN B-12,133.48,18.1,12.62,197.49,406 CPT,82608,HC B-12 BINDING CAPACITY,110.94,17.18,12.89,164.58,406 CPT,82610,HC CYSTATIN C,82.42,22.22,15.86,188.72,406 CPT,82626,HC DEHYDROEPIANDROSTERONE,278.9,30.32,22.74,278.9,406 CPT,82627,HC DEHYDROEPIANDROSTERONE-SULFATE,206.03,26.68,20.01,226.52,406 CPT,82633,HC DESOXYCORTICOSTERONE,183.84,37.18,27.88,315.69,406 CPT,82634,HC DEOXYCORTISOL,155.95,35.14,15.15,298.36,406 CPT,82638,HC ASSAY OF DIBUCAINE NUMBER,72.27,14.7,11.03,164.58,406 CPT,82642,HC DIHYDROTESTOSTERONE,311.9,35.14,26.35,311.9,406 CPT,82652,HC ASSAY OF DIHYDROXYVITAMIN D,355.64,46.2,34.65,392.32,406 CPT,82653,HC EL -1 FECAL QUANTITATIVE,72.36,27.56,20.67,234.06,406 CPT,82656,HC EL-1 FECAL QUAL/SEMIQ,50.72,13.84,5.25,164.58,406 CPT,82657,HC ENZYME ACTIVITY BC NO RA,211.62,26.6,19.95,225.91,406 CPT,82664,HC ELECTROPHORESIS NES,64.58,73.8,32.29,626.68,406 CPT,82668,HC ASSAY OF ERYTHROPOIETIN,175.6,22.55,16.91,191.47,406 CPT,82670,HC ASSAY OF TOTAL ESTRADIOL,246.43,33.53,25.15,284.71,406 CPT,82671,HC ASSAY OF ESTROGENS,235.83,38.76,29.07,329.14,406 CPT,82672,HC ESTROGENS; TOTAL,85.56,26.04,19.53,221.12,406 CPT,82677,HC ASSAY OF ESTRIOL,230.76,29.02,17.68,246.39,406 CPT,82679,HC ESTRONE,313.16,29.94,22.45,313.16,406 CPT,82681,HC ASSAY DIR MEAS FR ESTRADIOL,246.43,33.53,25.15,284.71,406 CPT,82693,HC ETHYLENE GLYCOL,142.0,17.88,13.41,183.12,406 CPT,82705,"HC FATS/LIPIDS, FECES, QUAL",64.03,6.12,4.59,155.33,406 CPT,82710,"HC FATS/LIPIDS, FECES, QUANT",259.92,20.16,15.12,259.92,406 CPT,82715,HC FAT DIFFERENTIAL FECES QUAN,89.08,27.56,20.67,234.06,406 CPT,82725,HC ASSAY OF BLOOD FATTY ACIDS,63.4,22.52,16.89,191.27,406 CPT,82726,HC LONG CHAIN FATTY ACIDS,309.36,23.7,17.78,309.36,406 CPT,82728,HC ASSAY OF FERRITIN,142.64,16.36,12.27,164.58,406 CPT,82731,HC ASSAY OF FETAL FIBRONECTIN,483.25,77.29,57.97,656.34,404 CPT,82735,HC FLUORIDE,93.2,22.25,16.69,188.92,406 CPT,82746,HC BLOOD FOLIC ACID SERUM,131.23,17.64,12.62,164.58,406 CPT,82747,"HC ASSAY OF FOLIC ACID, RBC",169.9,21.18,12.62,179.85,406 CPT,82757,HC FRUCTOSE SEMEN,200.33,20.81,15.61,200.33,406 CPT,82759,HC GALACTOKINASE RBC,106.5,25.78,19.33,218.88,406 CPT,82760,HC GALACTOSE,57.97,13.44,10.08,164.58,406 CPT,82775,HC ASSAY GALACTOSE TRANSFERASE,124.26,25.28,18.96,214.7,406 CPT,82777,HC GALECTIN 3,92.93,53.1,17.8,450.91,406 CPT,82784,HC GG IGA IGD IGG IGM EA,150.25,11.16,8.37,155.33,406 CPT,82785,HC GG IGE,165.46,19.75,12.62,167.73,406 CPT,82787,"HC IGG 1, 2, 3 OR 4, EACH",236.46,9.62,5.96,236.46,406 CPT,82800,HC BLOOD PH,49.44,13.2,9.9,164.58,406 CPT,82803,BLOOD GASES ANY COMBINATION,,,16.36,25798.0,358 CPT,82803,"HC BLOOD GASES: PH, PO2 & PCO2",203.5,31.28,16.36,25798.0,406 CPT,82805,HC BLOODGASES W/02 SATURATN,168.63,94.52,24.13,802.67,404 CPT,82810,HC BLOOD GASES O2 SAT ONLY,16.97,11.72,8.485,155.33,406 CPT,82820,HC HEMOGLOBIN O2 AFFINITY,58.33,16.01,10.18,165.28,406 CPT,82930,HC GASTRIC ANALY W/PH EA SPEC,59.59,8.05,6.04,155.33,406 CPT,82941,HC ASSAY OF GASTRIN,136.3,21.16,15.87,197.49,406 CPT,82943,HC ASSAY OF GLUCAGON,84.95,17.15,12.86,197.49,406 CPT,82945,HC GLUCOSE OTHER FLUID,35.5,4.72,3.54,155.33,406 CPT,82946,HC GLUCAGON TOLERANCE TEST,78.02,21.32,15.99,181.08,406 CPT,82947,"HC ASSAY, GLUCOSE, BLOOD QUANT",32.97,4.72,3.54,155.33,406 CPT,82948,HC STAT GLUCOSE/REAGENT STRIP II,75.56,6.05,2.02,25798.0,406 CPT,82948,REAGENT STRIP/BLOOD GLUCOSE,,,2.02,25798.0,358 CPT,82950,HC GLUCOSE TEST,77.34,5.7,4.28,155.33,406 CPT,82951,HC GLUCOSE TOLERANCE TEST (GTT),238.36,15.44,6.91,238.36,406 CPT,82951,HC GLUCOSE TOLERANCE TEST HOUR 2,38.61,7.3359,6.91,164.58,406 CPT,82952,HC GLUCOSE TOLERANCE TEST HOUR 3,11.76,2.2344,1.41,155.33,406 CPT,82952,HC GTT-ADDED SAMPLES,35.5,4.7,1.41,155.33,406 CPT,82955,HC ASSAY OF G6PD ENZYME,129.14,11.64,8.73,155.33,406 CPT,82960,HC TEST FOR G6PD ENZYME,34.23,7.26,3.03,155.33,406 CPT,82962,HC GLUCOSE; BLD BY MONITOR DEVICE,11.99,3.94,2.95,155.33,406 CPT,82963,HC GLUCOSIDASE BETA,144.54,25.78,19.33,218.88,406 CPT,82977,HC ASSAY OF GGT,93.86,8.64,5.08,155.33,406 CPT,82978,HC GLUTATHIONE,121.72,18.54,13.9,164.58,406 CPT,82985,HC GLYCATED PROTEIN,105.24,20.11,10.75,170.78,406 CPT,83001,HC GONADOTROPIN (FSH),194.62,22.3,16.72,197.49,406 CPT,83002,HC GONADOTROPIN (LH),186.38,22.22,16.67,197.49,406 CPT,83003,"HC ASSAY, GROWTH HORMONE (HGH)",128.69,20.0,15.0,197.49,406 CPT,83006,HC GROWTH STIMULATION GENE 2,158.76,90.72,20.41,770.36,406 CPT,83010,"HC ASSAY OF HAPTOGLOBIN, QUANT",89.39,15.1,11.32,164.58,406 CPT,83013,HC HPYLORI BRTH NON-RADACT ISOTOPE,307.46,80.83,60.62,686.4,404 CPT,83014,HC HELICOBACTER PYLORI; DRUG ADMINISTRATION,40.71,9.43,7.07,155.33,406 CPT,83015,HC HEAVY METAL QUAL ANY ANAL,111.57,25.13,18.85,213.38,406 CPT,83018,HC HEAVY METAL QUANTITATIVE,152.78,26.35,19.76,223.77,406 CPT,83020,HC HEMOGLOBIN ELECTROPHORESIS,60.86,15.44,11.58,191.47,406 CPT,83021,HC HEMOGLOBIN CHROMOTOGRAPHY,125.52,21.67,16.25,184.03,406 CPT,83030,"HC FETAL HEMOGLOBIN, CHEMICAL",22.55,12.89,3.79,155.33,406 CPT,83033,"HC FETAL HEMOGLOBIN ASSAY, QUAL",20.29,9.6,5.0,155.33,406 CPT,83036,HC GLYCOSYLATED HEMOGLOBIN TEST,99.85,11.65,8.74,25798.0,406 CPT,83036,HEMOGLOBIN GLYCOSYLATED A1C,,,8.74,25798.0,358 CPT,83050,HC BLOOD METHEMOGLOBIN ASSAY,20.29,9.84,3.79,155.33,406 CPT,83051,HC PLASMA HEMOGLOBIN,24.72,8.77,3.79,155.33,406 CPT,83068,HC HEMOGLOBIN STABILITY SCREEN,20.29,11.36,5.0,155.33,406 CPT,83069,HC HEMOGLOBIN; URINE,20.29,4.74,3.56,155.33,406 CPT,83070,"HC ASSAY OF HEMOSIDERIN, QUAL",48.18,5.7,4.28,155.33,406 CPT,83080,HC B-HEXOSAMINIDASE EA ASSAY,347.4,20.24,15.18,347.4,406 CPT,83088,HC ASSAY OF HISTAMINE,229.49,35.44,26.58,300.91,406 CPT,83090,HC ASSAY OF HOMOCYSTINE,226.32,21.5,11.0,226.32,406 CPT,83150,HC ASSAY OF FOR HVA,50.72,26.89,6.31,228.36,406 CPT,83491,HC ASSAY OF CORTICOSTEROIDS,192.0,21.48,16.11,197.49,406 CPT,83497,HC ASSAY OF 5-HIAA,109.04,15.48,11.61,197.49,406 CPT,83498,HC HYDROXYPROGST 17-D,237.1,32.6,24.45,276.86,406 CPT,83500,"HC ASSAY, FREE HYDROXYPROLINE",134.4,27.18,20.38,230.8,406 CPT,83505,HC HYDROXYPROLINE; TOTAL,143.27,29.16,21.87,247.62,406 CPT,83516,HC IA ANAL OTH/THN NFCT AGT MLT STEP METH,192.08,13.84,10.38,192.08,406 CPT,83519,HC RIA NONANTIBODY,236.46,22.08,16.56,236.46,406 CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB,342.8,20.72,15.54,342.8,406 CPT,83521,HC IG LIGHT CHAINS FREE EACH,27.2,20.72,13.6,175.98,406 CPT,83525,HC ASSAY OF INSULIN,126.15,13.72,10.29,197.49,406 CPT,83527,HC FREE INSULIN,147.07,15.54,11.65,197.49,406 CPT,83528,HC ASSAY OF INTRINSIC FACTOR,427.35,23.78,17.84,427.35,406 CPT,83529,HC ASAY OF INTERLEUKIN-6 (IL-6),27.2,20.72,13.6,175.98,406 CPT,83540,HC ASSAY OF IRON,60.86,7.76,5.08,155.33,406 CPT,83550,HC IRON BINDING TEST,105.56,10.49,5.08,155.33,406 CPT,83586,HC ASSAY 17- KETOSTEROIDS,143.27,15.36,9.49,197.49,406 CPT,83605,HC ASSAY OF LACTIC ACID,121.72,13.88,9.39,164.58,406 CPT,83615,HC LACTATE (LD) (LDH) ENZYME,132.23,7.25,5.08,155.33,406 CPT,83625,HC ASSAY OF LDH ENZYMES,38.04,15.35,9.49,164.58,406 CPT,83630,"HC LACTOFERRIN, FECAL (QUAL)",151.1,23.64,5.25,200.74,406 CPT,83631,HC LACTOFERRIN FECAL (QUANT),76.36,23.56,11.39,200.03,406 CPT,83632,HC LACTOGEN MATERNAL SERUM HPL,87.49,24.26,18.2,206.04,406 CPT,83655,HC ASSAY OF LEAD,114.49,14.53,10.29,123.4,336 CPT,83661,"HC L/S RATIO, FETAL LUNG",130.59,26.39,19.79,224.08,406 CPT,83662,HC L/S RATIO FOAM STABILITY,556.59,22.69,17.02,556.59,406 CPT,83663,HC FETAL LUNG - FLUORESC POLARIZ,356.28,22.69,10.56,356.28,406 CPT,83664,HC FETAL LUNG - LB DENSITY,1464.39,23.18,5.27,1464.39,406 CPT,83670,HC LEUCINE AMINOPEPTIDASE,228.22,11.77,8.83,228.22,406 CPT,83690,HC ASSAY OF LIPASE,128.06,8.27,5.81,155.33,406 CPT,83695,HC ASSAY OF LIPOPROTEIN(A),90.65,17.18,12.89,164.58,406 CPT,83698,HC ASSAY LIPOPROTEIN PLA2,299.22,55.57,41.68,471.9,406 CPT,83700,"HC LIPOPRO BLD, ELECTROPHORETIC",65.93,13.51,10.13,164.58,406 CPT,83701,HC LIPOPROTEIN BLD HR FRACTION,243.43,40.63,30.47,345.03,406 CPT,83704,HC NMR LIPO PRFL,165.46,41.03,30.77,348.4,406 CPT,83718,HC ASSAY OF LIPOPROTEIN,58.32,9.83,5.08,155.33,406 CPT,83721,HC ASSAY OF BLOOD LIPOPROTEIN,69.74,12.6,9.45,155.33,406 CPT,83722,HC LIPOPRTN DIR MEAS SD LDL CHL,330.92,41.03,30.77,348.4,332 CPT,83735,HC ASSAY OF MAGNESIUM,62.0,8.04,5.08,155.33,406 CPT,83785,HC MANGANESE,72.9,31.98,23.98,271.56,406 CPT,83789,HC MASS SPECTROMETRY QUAL/QUAN,270.06,28.93,21.7,270.06,406 CPT,83825,HC ASSAY OF MERCURY,148.44,19.51,14.63,183.12,406 CPT,83835,HC ASSAY OF METANEPHRINES,282.11,20.33,15.25,282.11,406 CPT,83864,HC MUCOPOLYSACCHARIDES,95.09,34.2,20.35,290.41,406 CPT,83873,HC MYELIN BASIC PROTEIN CSF,83.68,20.64,15.48,175.27,406 CPT,83874,HC ASSAY OF MYOGLOBIN,142.45,15.5,11.63,164.58,406 CPT,83880,HC NATRIURETIC PEPTIDE,247.87,47.11,26.0,400.06,406 CPT,83883,ASSAY NEPHELOMETRY NOT SPEC,,,12.24,25798.0,358 CPT,83883,"HC ASSAY, NEPHELOMETRY NOT SPEC",120.65,16.32,12.24,25798.0,406 CPT,83885,HC ASSAY OF NICKEL,220.62,29.41,22.06,249.76,406 CPT,83915,HC ASSAY OF NUCLEOTIDASE,117.92,13.38,10.04,164.58,406 CPT,83916,HC OLIGOCLONAL BANDS,154.68,32.87,24.65,279.1,406 CPT,83918,"HC ORGANIC ACIDS, TOTAL, QUANT",163.56,28.32,21.24,240.48,406 CPT,83919,HC QUAL ORGANIC ACIDS SPECIM EA,63.98,19.74,14.8,167.63,406 CPT,83921,"HC ORGANIC ACID, SINGLE, QUANT",221.88,25.45,19.09,221.88,406 CPT,83930,HC ASSAY OF BLOOD OSMOLALITY,86.85,7.93,5.95,155.33,406 CPT,83935,HC ASSAY OF URINE OSMOLALITY,45.65,8.18,6.1,155.33,406 CPT,83937,HC ASSAY OF OSTEOCALCIN,230.12,35.82,26.87,304.17,406 CPT,83945,HC ASSAY OF OXALATE,34.62,17.34,12.02,164.58,406 CPT,83950,"HC ONCOPROTEIN, HER-2/NEU",375.29,77.29,57.97,656.34,406 CPT,83951,HC ONCOPROTEIN DCP,464.68,77.29,42.39,656.34,406 CPT,83970,HC ASSAY OF PARATHORMONE,310.0,49.54,37.15,420.64,406 CPT,83986,HC ASSAY OF BODY FLUID ACIDITY,60.57,4.3,3.22,155.33,406 CPT,83992,HC PCP QUAN ASSAY,78.61,14.9359,0.7861,183.12,310 CPT,83993,HC ASSAY FOR CALPROTECTIN FECAL,214.28,23.56,11.39,214.28,406 CPT,84060,HC ASSAY ACID PHOSPHATASE,54.52,9.17,5.08,155.33,406 CPT,84066,HC PROSTATIC ACID PHOSPHATASE,174.97,11.59,8.69,174.97,406 CPT,84075,HC PHOSPHATASE ALKALINE,76.55,6.22,4.66,155.33,406 CPT,84078,HC PHOSPHATASE ALKALINE HEAT STABLE TOT X W/,41.84,9.91,5.08,155.33,406 CPT,84080,HC PHOSPHATASE ALKALINE ISOENZYMES,102.07,17.74,10.01,164.58,406 CPT,84081,HC PHOSPHATIDYLGLYCEROL,140.73,19.82,8.05,168.34,406 CPT,84087,HC PHOSPHOHEXOSE ISOMERASE,39.9,12.88,8.88,155.33,406 CPT,84100,HC ASSAY OF PHOSPHORUS,42.48,5.69,4.27,155.33,406 CPT,84105,HC ASSAY OF URINE PHOSPHORUS,38.04,6.94,5.08,155.33,406 CPT,84110,HC ASSAY OF PORPHOBILINOGEN,63.4,10.13,7.6,155.33,406 CPT,84112,HC EVAL AMNIOTIC FLUID PROTEIN,146.13,117.73,40.85,999.74,404 CPT,84119,HC QUAL URINE PORPHYRINS,42.08,16.03,6.06,164.58,406 CPT,84120,HC ASSAY OF URINE PORPHYRINS,103.18,17.65,13.24,164.58,406 CPT,84126,HC ASSAY OF FECES PORPHYRINS,150.87,46.93,35.2,398.53,406 CPT,84132,ASSAY OF SERUM POTASSIUM,,,4.28,25798.0,358 CPT,84132,HC ASSAY OF SERUM POTASSIUM,32.33,5.71,4.28,25798.0,406 CPT,84133,HC ASSAY OF URINE POTASSIUM,31.7,5.68,4.26,155.33,406 CPT,84134,HC ASSAY OF PREALBUMIN,71.0,17.51,7.39,164.58,406 CPT,84138,HC ASSAY OF PREGNANETRIOL,111.57,25.26,18.94,214.5,406 CPT,84140,HC ASSAY OF PREGNENOLONE,316.85,24.8,18.6,316.85,406 CPT,84143,HC ASSAY OF 17-HYDROXYPREGNENO,175.6,27.37,20.53,232.43,406 CPT,84144,HC PROGST,178.78,25.03,18.77,212.56,406 CPT,84145,HC PROCALCITONIN (PCT),203.5,32.66,24.5,277.37,406 CPT,84146,HC ASSAY OF PROLACTIN,215.54,23.26,17.44,215.54,406 CPT,84150,HC PROSTAGLANDIN EACH,129.17,50.12,35.0,425.64,406 CPT,84153,"HC ASSAY OF PSA, TOTAL",190.82,22.07,16.55,190.82,406 CPT,84154,"HC ASSAY OF PSA, FREE",161.72,22.07,16.55,187.39,406 CPT,84155,"HC ASSAY OF PROTEIN, SERUM",77.21,4.4,3.3,155.33,406 CPT,84156,"HC ASSAY OF PROTEIN, URINE",59.6,4.4,3.3,155.33,406 CPT,84157,"HC ASSAY OF PROTEIN, OTHER",35.28,4.8,3.6,155.33,406 CPT,84160,HC REFRACT TOTAL PROTEIN ANY SOURCE,35.28,6.73,5.05,155.33,406 CPT,84163,HC PAPPA SERUM,86.22,18.06,12.49,164.58,406 CPT,84165,"HC PROTEIN E-PHORESIS, SERUM",131.23,12.89,8.08,25798.0,406 CPT,84165,PROTEIN E-PHORESIS SERUM,,,8.08,25798.0,358 CPT,84166,HC PROTEIN E-PHORESIS/URINE/CSF,124.25,21.4,11.36,191.47,406 CPT,84181,HC PROTEIN WESTERN BLOT,66.21,20.44,15.33,191.47,406 CPT,84182,HC PROTEIN WB; IM ID FOR BANDS,260.55,35.05,25.0,260.55,406 CPT,84202,HC ASSAY RBC PROTOPORPHYRIN,58.33,17.22,9.09,164.58,406 CPT,84206,HC ASSAY OF PROINSULIN,66.57,32.03,24.02,271.97,406 CPT,84207,HC ASSAY OF VITAMIN B-6,233.29,33.72,25.29,286.34,406 CPT,84210,HC ASSAY OF PYRUVATE,93.19,17.38,13.03,164.58,406 CPT,84220,HC PYRUVATE KINASE,55.79,11.33,8.5,155.33,406 CPT,84235,HC ASSAY OF ENDOCRINE HORMONE,500.81,85.48,64.11,725.83,406 CPT,84238,"HC ASSAY, NONENDOCRINE RECEPTOR",174.97,43.88,32.91,372.65,406 CPT,84244,HC ASSAY OF RENIN,176.24,26.39,19.79,224.08,406 CPT,84252,HC RIBOFLAVIN,95.19,24.29,18.22,206.25,406 CPT,84255,HC ASSAY OF SELENIUM,187.01,30.64,22.98,260.15,406 CPT,84260,HC ASSAY OF SEROTONIN,246.61,37.18,24.0,315.69,406 CPT,84270,HC ASSAY OF SEX HORMONE GLOBUL,192.52,26.08,19.56,221.43,406 CPT,84295,HC ASSAY OF SERUM SODIUM,34.24,5.77,4.33,155.33,406 CPT,84300,HC ASSAY OF URINE SODIUM,35.5,6.07,4.55,155.33,406 CPT,84302,HC ASSAY OF SWEAT SODIUM,15.22,5.83,4.0,155.33,406 CPT,84305,HC ASSAY OF SOMATOMEDIN,247.24,25.51,19.13,247.24,406 CPT,84307,HC SOMATOSTATIN,107.77,21.94,16.45,197.49,406 CPT,84311,HC SPECTROPHOTOMETRY,210.12,9.72,7.29,210.12,406 CPT,84315,HC BODY FLUID SPECIFIC GRAVITY,13.94,3.94,2.95,155.33,406 CPT,84376,HC SUGARS; SINGLE QUAL EA SPECIMEN,31.7,6.6,4.95,155.33,406 CPT,84377,HC SUGARS; MULTI QUAL EA SPECIMEN,29.73,6.6,4.95,155.33,406 CPT,84378,HC SUGARS; SINGLE QUAN EA SPECIMEN,110.3,13.84,10.38,164.58,406 CPT,84392,HC ASSAY OF URNE SULFATE,87.15,6.59,4.94,164.1,406 CPT,84393,HC TAU PHOSPHORYLATED EA,2985.0,,72.85,2985.0,237 CPT,84394,HC TOTAL TAU,2985.0,,78.04,2985.0,184 CPT,84402,HC ASSAY OF TESTOSTERONE,243.43,30.56,22.92,259.54,406 CPT,84403,HC ASSAY OF TOTAL TESTOSTERONE,271.96,30.97,23.23,271.96,406 CPT,84425,HC ASSAY OF VITAMIN B-1,179.41,25.48,15.15,216.33,406 CPT,84430,HC THIOCYANATE,60.28,13.96,10.47,183.12,406 CPT,84432,HC ASSAY OF THYROGLOBULIN,190.82,19.27,14.45,197.49,406 CPT,84433,HC ASY THIOPURIN S-MTHYLTRNSFRS,190.82,26.6,19.95,225.91,406 CPT,84436,HC ASSAY OF TOTAL THYROXINE,98.26,8.24,5.76,197.49,406 CPT,84439,HC ASSAY OF FREE THYROXINE,148.9,10.82,8.12,197.49,406 CPT,84442,HC ASSAY OF THYROID ACTIVITY,106.5,17.74,9.09,197.49,406 CPT,84443,HC ASSAY THYROID STIM HORMONE,161.03,20.16,9.09,197.49,406 CPT,84445,HC ASSAY OF TSI,384.17,61.03,45.77,518.26,406 CPT,84446,HC ASSAY OF VITAMIN E,113.48,17.02,12.76,164.58,406 CPT,84449,HC TRANSCORTIN,106.5,21.6,16.2,11996.0,406 CPT,84450,HC TRANSFERASE (AST) (SGOT),48.82,6.22,4.66,155.33,406 CPT,84460,HC ALANINE AMINO (ALT) (SGPT),48.18,6.36,4.77,155.33,406 CPT,84466,HC ASSAY OF TRANSFERRIN,171.17,15.31,11.48,171.17,406 CPT,84478,HC ASSAY OF TRIGLYCERIDES,49.45,6.89,5.08,155.33,406 CPT,84479,HC ASSAY OF THYROID (T3 OR T4),50.72,7.76,3.33,197.49,406 CPT,84480,"HC ASSAY, TRIIODOTHYRONINE (T3)",134.4,17.02,5.76,197.49,406 CPT,84481,HC FREE ASSAY (FT-3),246.61,20.33,9.09,246.61,406 CPT,84482,HC T3 REVERSE,160.39,18.91,5.76,197.49,406 CPT,84484,"HC ASSAY OF TROPONIN, QUANT",131.12,14.96,8.13,164.58,406 CPT,84485,HC TRYPSIN; DUODENAL FLUID,217.35,8.64,6.48,217.35,406 CPT,84488,HC TRYPSIN; FECES QUAL,46.91,8.76,6.57,155.33,406 CPT,84510,HC TYROSINE,67.2,12.76,9.57,155.33,406 CPT,84520,HC UREA NITROGEN; QUAN,36.14,4.74,3.56,155.33,406 CPT,84520,HC UREA NITROGEN; QUAN - 91,72.27,13.7313,3.56,155.33,406 CPT,84540,HC ASSAY OF URINE/UREA-N,66.57,6.67,5.0,155.33,406 CPT,84545,HC UREA-N CLEARANCE TEST,38.04,8.64,6.48,155.33,406 CPT,84550,HC ASSAY OF BLOOD/URIC ACID,55.79,5.42,4.07,155.33,406 CPT,84560,HC ASSAY OF URINE/URIC ACID,42.6,6.1,4.57,155.33,406 CPT,84577,HC UROBILINOGEN FECES QUAN,297.15,20.16,15.12,297.15,406 CPT,84585,HC ASSAY OF URINE VMA,125.52,18.6,13.95,197.49,406 CPT,84586,HC ASSAY OF VIP,144.54,42.4,31.8,360.01,406 CPT,84588,HC ASSAY OF VASOPRESSIN,247.87,40.73,30.55,345.85,406 CPT,84590,HC ASSAY OF VITAMIN A,90.02,13.93,10.45,164.58,406 CPT,84591,HC VITAMIN NOS,85.58,20.47,15.35,173.84,400 CPT,84597,HC VITAMIN K,237.09,16.46,12.35,237.09,406 CPT,84600,HC ASSAY OF VOLATILES,148.34,20.53,15.4,174.35,406 CPT,84620,HC XYLOSE TOLERANCE TEST,65.93,15.49,11.62,164.58,406 CPT,84630,HC ASSAY OF ZINC,99.85,13.67,7.98,183.12,406 CPT,84681,HC ASSAY OF C-PEPTIDE,235.64,24.97,18.73,235.64,406 CPT,84702,HC CHORIONIC GONADOTROPIN TEST,176.24,18.06,12.49,197.49,406 CPT,84703,HC CHORIONIC GONADOTROPIN ASSAY,234.31,9.02,2.02,234.31,406 CPT,84704,HC HCG FREE BETACHAIN TEST,58.56,18.35,12.49,164.58,406 CPT,84999,HC UNLISTED CHEMISTRY PROCEDURE,48.18,9.1542,0.02,164.58,287 CPT,85002,HC BLEEDING TIME TEST,25.36,5.78,3.03,170.37,406 CPT,85007,HC BL SMEAR W/DIFF WBC COUNT,44.37,4.56,1.44,165.28,406 CPT,85008,HC BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT,19.02,4.12,3.09,165.28,406 CPT,85009,HC MANUAL DIFF WBC COUNT B-COAT,19.33,6.08,4.56,165.28,406 CPT,85014,HC HEMATOCRIT,19.02,2.84,2.02,165.28,406 CPT,85018,HC HEMOGLOBIN,20.92,2.84,2.02,165.28,406 CPT,85025,COMPLETE CBC W/AUTO DIFF WBC,,,3.2,25798.0,358 CPT,85025,HC COMPLETE CBC W/AUTO DIFF WBC,138.61,9.32,3.2,25798.0,406 CPT,85027,COMPLETE CBC AUTOMATED,,,3.2,25798.0,358 CPT,85027,"HC COMPLETE CBC, AUTOMATED",67.68,7.76,3.2,25798.0,406 CPT,85041,HC AUTOMATED RBC COUNT,16.49,3.62,2.72,165.28,406 CPT,85045,HC AUTOMATED RETICULOCYTE COUNT,38.04,4.79,3.2,165.28,406 CPT,85046,HC BLD# RETICULOCYTES AUTO 1+ CELL MEAS,53.26,6.68,1.44,165.28,406 CPT,85048,HC AUTOMATED LEUKOCYTE COUNT,52.59,3.05,2.29,165.28,406 CPT,85049,AUTOMATED PLATELET COUNT,,,3.2,25798.0,358 CPT,85049,HC AUTOMATED PLATELET COUNT,25.3,5.38,3.2,25798.0,406 CPT,85060,HC BLOOD SMEAR INTERPRETATION,106.24,20.1856,1.0624,262.09,400 CPT,85097,HC BONE MARROW INTERPRETATION,399.56,75.9164,3.9956,1913.94,406 CPT,85130,HC CHROMOGENIC SUBSTRATE ASSAY,44.37,14.27,10.7,165.28,406 CPT,85170,HC CLOT RETRACTION,34.23,19.56,5.0,170.37,406 CPT,85175,HC CLOT LYSIS TIME WHOLE BLOOD DILUTION,42.78,24.44,7.0,230.74,406 CPT,85210,HC BLOOD CLOT FACTOR II TEST,158.49,15.58,11.68,170.37,406 CPT,85220,HC BLOOD CLOT FACTOR V TEST,162.29,21.18,15.88,179.85,406 CPT,85230,HC BLOOD CLOT FACTOR VII TEST,216.81,21.48,16.11,216.81,406 CPT,85240,HC CLTNG FACTOR VIII AHG 1 STG,296.05,21.48,9.49,296.05,406 CPT,85244,HC CLOTTING; FACTOR VIII RELATED ANTIGEN,79.41,24.5,9.49,230.74,406 CPT,85245,HC CLTNG FACTOR VIII VW FACTOR RISTOCETIN COFACTOR,287.18,27.53,9.49,287.18,406 CPT,85246,HC CLTNG FACTOR VIII VW FACTOR AG,323.31,27.53,9.49,323.31,406 CPT,85247,HC CLTNG FACTOR VIII MULTMTRIC ALYS,221.88,27.53,11.89,233.76,406 CPT,85250,HC BLOOD CLOT FACTOR IX TEST,232.98,22.85,17.14,232.98,406 CPT,85260,HC BLOOD CLOT FACTOR X TEST,174.33,21.48,16.11,182.4,406 CPT,85270,HC BLOOD CLOT FACTOR XI TEST,258.01,21.48,16.11,258.01,406 CPT,85280,HC BLOOD CLOT FACTOR XII TEST,160.42,23.22,17.42,230.74,406 CPT,85290,HC CLTNG FACTOR XIII FIBRIN STABILIZING,190.82,19.61,8.01,190.82,406 CPT,85291,HC CLTNG FACTOR XIII FIBRIN STABILIZING SCR SOLUB,116.01,10.93,7.17,170.37,406 CPT,85292,HC BLOOD CLOT FACTOR ASSAY,111.57,22.72,17.04,192.9,406 CPT,85293,HC CLOTTING; HMW KININOGEN ASSAY,111.57,22.72,17.04,192.9,406 CPT,85300,HC ANTITHROMBIN III TEST,206.03,14.22,9.52,206.03,406 CPT,85301,HC ANTITHROMBIN III TEST,83.69,12.97,9.73,170.37,406 CPT,85302,HC BLOOD CLOT INHIBITOR ANTIGEN,76.71,14.41,10.81,170.37,406 CPT,85303,HC CLTNG NHBTORS PROTEIN C ACTV,252.31,16.61,12.46,252.31,406 CPT,85305,HC BLOOD CLOT INHIBITOR ASSAY,74.17,13.93,10.45,170.37,406 CPT,85306,HC CLTNG NHBTORS PROTEIN S FR,230.12,18.38,13.79,230.12,406 CPT,85307,HC ASSAY ACTIVATED PROTEIN C,188.28,18.38,13.79,188.28,406 CPT,85335,HC FACTOR INHIBITOR TEST,49.45,15.44,11.58,170.37,406 CPT,85347,HC COAG TIME ACTIVATED,86.22,5.14,3.85,170.37,406 CPT,85360,HC EUGLOBULIN LYSIS,32.7,10.09,6.67,165.28,406 CPT,85362,HC FIBRIN DEGRADATION PRODUCTS,98.9,8.27,6.2,170.37,406 CPT,85366,HC FIBRINOGEN TEST PARACOAGULATION,168.97,96.55,7.66,819.89,406 CPT,85370,HC FIBRINOGEN TEST,46.91,14.92,9.09,170.37,406 CPT,85378,HC D-DIMER- QUAL/SEMIQUAN,30.62,11.66,8.75,170.37,406 CPT,85379,"HC FIBRIN DEGRADE, SEMIQUANT",65.9,12.22,9.16,170.37,406 CPT,85380,HC D-DIMER ULTRASENSITIVE,46.91,12.22,9.16,165.28,406 CPT,85384,HC FIBRINOGEN,117.28,11.66,6.97,170.37,406 CPT,85385,HC FIBRINOGEN; ANTIGEN,49.44,17.35,6.97,170.37,406 CPT,85390,HC FIBRINOLYS OR/COAG SCRN,41.85,18.58,8.0,390.38,406 CPT,85397,HC CLOTTING FUNCT ACTIVITY,110.94,37.03,9.49,314.46,406 CPT,85410,HC ALPHA-2-ANTIPLASMIN,65.93,9.25,6.94,170.37,406 CPT,85415,HC FBRNLYC FACTORS&NHBTORS PLSMNG ACTIVATOR,64.03,20.63,12.0,175.17,406 CPT,85420,HC FBRNLYC FACTORS&NHBTORS PLSMNG XCPT AGIC ASSAY,105.87,7.84,5.88,170.37,406 CPT,85441,"HC HEINZ BODIES, DIRECT",24.09,5.04,3.78,165.28,406 CPT,85445,HC HEINZ BODIES; INDUCED,35.37,8.18,5.25,165.28,406 CPT,85460,HC HGB/RBCS FTL F&MAT HEMRRG DIFFIAL LSS,71.64,9.28,6.96,165.28,406 CPT,85461,HC HGB/RBCS FTL F&MAT HEMRRG ROSETTE,60.23,11.23,8.42,165.28,406 CPT,85520,HC HEPARIN ASSAY,294.78,15.71,11.78,294.78,406 CPT,85536,HC IRON STAIN PERIPHERAL BLOOD,35.5,8.26,6.19,165.28,406 CPT,85540,HC WBC ALKALINE PHOSPHATASE,143.27,10.32,7.74,165.28,406 CPT,85547,HC RBC MECHANICAL FRAGILITY,36.77,10.32,7.74,165.28,406 CPT,85549,HC MURAMIDASE,145.18,22.5,16.88,191.06,406 CPT,85555,HC OSMOTIC FRAGILITY RBC; UNINCUBATED,19.65,8.96,6.72,165.28,406 CPT,85557,HC RBC OSMOTIC FRAGILITY,50.72,16.03,9.52,165.28,406 CPT,85576,HC BLOOD PLATELET AGGREGATION,203.5,29.89,10.82,230.74,406 CPT,85597,HC PLATELET NEUTRALIZATION,79.87,21.58,16.18,183.22,406 CPT,85598,HC HEXAGNAL PHOSPH PLTLT NEUTRL,110.3,21.58,16.18,183.22,406 CPT,85610,HC PROTHROMBIN TIME,172.43,5.15,3.86,172.43,331 CPT,85611,HC PT; SUBSTITUTION PLASMA FRACTIONS EA,20.38,4.73,3.55,170.37,406 CPT,85612,HC VIPER VENOM PROTHROMBIN TIME,36.73,20.99,7.9,178.22,406 CPT,85613,"HC RUSSELL VIPER VENOM, DILUTED",206.67,11.5,7.9,206.67,406 CPT,85635,HC REPTILASE TEST,58.33,11.82,8.56,165.28,406 CPT,85651,"HC RBC SED RATE, NONAUTOMATED",45.64,5.12,2.02,165.28,406 CPT,85652,"HC RBC SED RATE, AUTOMATED",39.94,3.24,2.02,165.28,406 CPT,85660,HC RBC SICKLE CELL TEST,51.35,6.61,4.96,165.28,406 CPT,85670,"HC THROMBIN TIME, PLASMA",58.32,6.92,5.19,170.37,406 CPT,85705,HC THROMBOPLASTIN INHIBITION TISSUE,102.38,11.56,7.69,170.37,406 CPT,85730,HC THROMBOPLASTIN TM PRTL PLSM/WHL BLD,62.23,7.21,5.41,170.37,406 CPT,85732,HC THROMBOPLASTIN TM PRTL SUBJ PLSM FXJS EA,136.93,7.76,5.82,170.37,406 CPT,85810,HC BLOOD VISCOSITY EXAMINATION,50.72,14.0,10.5,165.28,406 CPT,85999,HC UNLISTED HEMAT & COAG PROCED,65.99,12.5381,0.02,165.28,286 CPT,86000,"HC AGGLUTININS, FEBRILE",40.57,8.38,6.28,163.91,406 CPT,86001,HC ALLERG SP IGG QUAN OR SEMIQUAN,46.91,9.38,7.0,163.91,406 CPT,86003,HC ALLERGEN SPECIFIC IGE,74.17,6.26,3.69,163.91,406 CPT,86005,HC ALLERGEN SPECIFIC IGE,42.54,9.56,7.17,163.91,406 CPT,86008,HC ALLG SPEC IGE RECOMB EA,12.24,21.52,3.69,182.71,331 CPT,86015,HC ACTIN SMOOTH MUSCLE ANTIBODY EACH,34.59,14.46,10.85,163.91,406 CPT,86021,HC WBC ANTIBODY IDENTIFICATION,215.54,18.06,13.55,215.54,406 CPT,86022,HC PLATELET ANTIBODIES,185.11,22.04,16.53,187.19,406 CPT,86023,HC IMMUNOGLOBULIN ASSAY,211.74,14.95,11.21,211.74,406 CPT,86036,HC ANCA SCREEN EACH ANTIBODY,16.58,14.46,8.29,163.91,406 CPT,86037,HC ANCA TITER EACH ANTIBODY,36.15,14.46,10.85,163.91,375 CPT,86038,HC ANA,158.49,14.51,5.25,163.91,406 CPT,86039,HC ANA TITER,97.55,13.39,5.25,163.91,406 CPT,86041,HC ACETYLCHOLN RCPTR BNDNG ANTB,55.2,22.08,12.55,187.5,406 CPT,86042,HC ACETYLCHOLN RCPTR BLCKG ANTB,55.2,22.08,12.55,187.5,406 CPT,86043,HC ACETYLCHOLN RCPTR MODLG ANTB,36.15,14.46,8.22,163.91,375 CPT,86051,HC AQUAPORIN-4 ANTB ELISA,34.59,13.84,10.38,163.91,406 CPT,86052,HC AQUAPORIN-4 ANTB CBA EACH,18.08,14.46,9.04,163.91,406 CPT,86053,HC AQAPRN-4 ANTB FLO CYTMTRY EA,18.98,45.28,9.49,384.47,406 CPT,86060,"HC ANTISTREPTOLYSIN O, TITER",98.26,8.76,5.25,163.91,406 CPT,86063,HC ANTISTREPTOLYSIN O SCREEN,26.54,6.92,3.79,163.91,406 CPT,86077,HC BLD BANK PHYS SVCS DIFFC CROSS MATCH&/EVAL REPRT,290.35,55.1665,2.9035,536.71,404 CPT,86078,HC BLD BANK PHYS SVCS INVSTGJ TFUJ RXN REPRT,202.86,38.5434,2.0286,536.71,404 CPT,86140,HC C-REACTIVE PROTEIN,125.52,6.22,4.14,163.91,406 CPT,86141,"HC C-REACTIVE PROTEIN, HS",137.57,15.54,10.35,163.91,406 CPT,86146,HC GLYCOPROTEIN ANTIBODY,172.43,30.54,7.9,259.34,406 CPT,86147,HC CARDIOLIPIN ANTIBODY,223.33,30.54,7.9,259.34,406 CPT,86148,HC ANTI-PHOSPHATIDYLSER AB,76.08,19.28,7.9,163.91,406 CPT,86152,HC CELL ENUMERATION & ID,573.3,300.94,56.4,2555.45,332 CPT,86153,HC CELL ENUMERATION PHYS INTERP,52.22,9.9218,0.5222,361.34,275 CPT,86156,HC COLD AGGLUTININ SCREEN,30.08,9.68,7.26,163.91,406 CPT,86157,"HC COLD AGGLUTININ, TITER",37.4,9.67,5.25,163.91,406 CPT,86160,"HC COMPLEMENT, ANTIGEN",120.45,14.4,10.61,163.91,406 CPT,86161,HC COMPLEMENT/FUNCTION ACTIVITY,122.99,14.4,10.8,163.91,406 CPT,86162,"HC COMPLEMENT, TOTAL (CHBI)",192.72,24.38,18.29,207.06,406 CPT,86171,HC COMPLEMENT FIXATION EA AG,60.86,12.01,9.01,163.91,406 CPT,86200,HC CCP ANTIBODY,178.14,15.54,11.65,178.14,406 CPT,86215,HC DNA AB,136.46,15.9,5.25,163.91,406 CPT,86225,HC DNA ANTIBODY,159.75,16.49,5.25,163.91,406 CPT,86226,HC DNA AB; SS,71.0,14.53,10.9,163.91,406 CPT,86231,HC EMA EACH IG CLASS,6.05,14.51,3.025,163.91,406 CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY,187.01,21.52,5.25,187.01,406 CPT,86255,"HC FLUORESCENT ANTIBODY, SCREEN",243.43,14.46,5.25,243.43,406 CPT,86256,"HC FLUORESCENT ANTIBODY, TITER",204.76,14.46,10.85,204.76,400 CPT,86258,HC DGP ANTIBODY EACH IG CLASS,17.3,14.46,8.65,163.91,406 CPT,86280,HC HEMAGGLUTINATION INHIBITION,60.86,9.83,7.37,163.91,406 CPT,86300,"HC IMMUNOASSAY, TUMOR, CA 15-3",214.28,24.97,11.0,214.28,406 CPT,86301,"HC IMMUNOASSAY, TUMOR, CA 19-9",151.51,24.97,18.73,212.05,406 CPT,86304,"HC IMMUNOASSAY, TUMOR, CA 125",236.46,24.97,18.73,236.46,406 CPT,86305,HC HUMAN EPIDIDYMIS PROTEIN 4,114.11,24.97,14.0,212.05,406 CPT,86308,HC HTROPHL ANTIBODIES SCR,97.85,6.22,4.66,163.91,406 CPT,86309,HC HTROPHL ANTIBODIES TITER,36.77,7.76,5.82,163.91,406 CPT,86316,"HC IMMUNOASSAY, TUMOR OTHER",159.75,24.97,18.73,212.05,400 CPT,86317,"HC IMMUNOASSAY,INFECTIOUS AGENT",165.46,17.99,13.49,165.46,406 CPT,86318,HC IA INFECTIOUS AGENT ANTIBODY,163.56,21.71,3.79,184.34,406 CPT,86320,HC IEP; SERUM,253.58,35.9,26.93,253.58,406 CPT,86325,HC IEP; NOT SERUM,213.0,27.76,20.82,213.0,406 CPT,86328,HC IA NFCT AB COVID19; SGL STEP,163.56,54.28,27.14,163.91,404 CPT,86329,HC ALPHA-2 MACROGLOBULINS,139.47,16.86,12.62,163.91,406 CPT,86331,HC IMMUNODIFFUSION OUCHTERLONY,92.56,14.38,10.78,163.91,406 CPT,86332,HC IMMUNE COMPLEX ASSAY,282.74,29.24,21.93,282.74,406 CPT,86334,"HC IMMUNOFIX E-PHORESIS, SERUM",185.75,26.81,20.11,25798.0,406 CPT,86334,IMMUNOFIX E-PHORESIS SERUM,,,20.11,25798.0,358 CPT,86335,HC IMMUNFIX E-PHORSIS/URINE/CSF,203.5,35.22,26.42,225.16,406 CPT,86336,HC INHIBIN A,133.8,18.71,6.57,163.91,406 CPT,86337,HC INSULIN ANTIBODIES,144.54,25.69,12.62,218.17,406 CPT,86340,HC INTRINSIC FACTOR ANTIBODY,122.48,18.1,11.47,163.91,406 CPT,86341,HC ISLET CELL AB,117.92,28.28,12.62,240.18,406 CPT,86352,HC CELL FUNCTION ASSAY STIM,488.14,163.03,77.68,1384.41,406 CPT,86353,HC LYMPHOCYTE TRANSFORMATION,251.68,58.84,44.13,499.62,406 CPT,86355,"HC B CELLS, TOTAL COUNT",291.61,45.28,11.0,384.47,406 CPT,86356,HC MONONUCLEAR CELL ANTIGEN QUANT NOS EA ANTG,183.21,32.14,24.1,272.89,406 CPT,86357,"HC NK CELLS, TOTAL COUNT",295.42,45.28,23.4,384.47,406 CPT,86359,"HC T CELLS, TOTAL COUNT",275.76,45.28,23.4,384.47,406 CPT,86360,"HC T CELL, ABSOLUTE COUNT/RATIO",401.92,56.38,42.28,478.73,406 CPT,86361,"HC T CELL, ABSOLUTE COUNT",128.06,32.14,23.4,272.89,406 CPT,86362,HC MOG-IGG1 ANTB CBA EACH,18.98,14.46,9.49,163.91,406 CPT,86363,HC MOG-IGG1 ANTB FLO CYTMTRY EA,18.98,45.28,9.49,384.47,406 CPT,86364,HC TISS TRNSGLTMNASE EA IG CLAS,17.3,13.84,8.65,163.91,406 CPT,86366,HC MUSCLE-SPECIFIC KINASE ANTB,27.6,22.08,12.55,187.5,406 CPT,86367,"HC STEM CELLS, TOTAL COUNT",168.63,93.34,23.4,792.58,406 CPT,86376,HC MICROSOMAL ANTIBODY,219.98,17.46,13.1,219.98,406 CPT,86381,HC MITOCHONDRIAL ANTIBODY EACH,80.17,30.54,22.91,259.34,406 CPT,86382,"HC NEUTRALIZATION TEST, VIRAL",100.16,20.29,5.05,172.31,406 CPT,86403,HC PART AGGLUJ SCR EA ANTB,104.6,13.85,3.79,163.91,406 CPT,86406,HC PART AGGLUJ TITER EA ANTB,34.23,12.77,9.0,163.91,406 CPT,86408,HC NEUTRLZG ANTB SARSCOV2 SCR,431.08,50.56,12.34,431.08,332 CPT,86409,HC NEUTRLZG ANTB SARSCOV2 TITER,431.08,126.4,12.62,431.08,331 CPT,86413,HC SARS-COV-2 ANTB QUANTITATIVE,218.07,61.72,12.62,218.07,331 CPT,86430,HC RHEUMATOID FACTOR TEST,97.55,7.37,4.93,163.91,406 CPT,86431,"HC RHEUMATOID FACTOR, QUANT",71.0,6.8,5.1,163.91,406 CPT,86480,HC TUBERCULOSIS TST CELL MEDIATED IMMUNITY,546.76,74.38,50.5,631.58,406 CPT,86481,HC TB AG RESPONSE T-CELL SUSP,161.9,120.0,50.5,1019.0,406 CPT,86580,HC TB INTRADERMAL TEST,55.92,10.6248,0.5592,122.28,406 CPT,86581,HC STRPTCS PNEUM ANTB SEROT IA,34.5,,11.27,225.16,237 CPT,86592,"HC BLOOD SEROLOGY, QUALITATIVE",58.96,5.12,3.3,163.91,406 CPT,86593,HC SYPHILIS TEST NON-TREP QUANT,11.4,5.28,3.74,163.91,406 CPT,86596,HC VOLTAGE-GTD CA CHNL ANTB EA,28.98,14.46,10.85,163.91,406 CPT,86602,HC AB; ACTINOMYCES,39.56,12.22,8.11,163.91,406 CPT,86603,HC ADENOVIRUS ANTIBODY,55.79,15.44,8.11,163.91,406 CPT,86606,HC ASPERGILLUS ANTIBODY,66.57,18.06,8.11,163.91,406 CPT,86609,HC BACTERIUM ANTIBODY,74.8,15.46,9.0,163.91,400 CPT,86611,HC BARTONELLA ANTIBODY,60.23,12.22,8.11,163.91,406 CPT,86612,HC BLASTOMYCES ANTIBODY,26.0,15.48,8.11,163.91,406 CPT,86615,HC AB; BORDETELLA,193.99,15.83,8.11,193.99,406 CPT,86617,HC ANTB BORRELIA BURGDORFERI CONFIRMATORY TST,202.23,18.59,13.94,202.23,406 CPT,86618,HC ANTB BORRELIA BURGDORFERI LYME DISEASE,228.22,20.44,15.33,228.22,406 CPT,86622,HC BRUCELLA ANTIBODY,62.13,10.72,8.04,163.91,406 CPT,86625,HC CAMPYLOBACTER ANTIBODY,68.47,15.74,8.11,163.91,406 CPT,86628,HC AB; CANDIDA,55.79,14.41,9.0,163.91,406 CPT,86631,HC CHLAMYDIA ANTIBODY,95.73,14.18,8.11,163.91,406 CPT,86632,HC CHLAMYDIA IGM ANTIBODY,50.08,15.22,8.11,163.91,406 CPT,86635,HC COCCIDIOIDES ANTIBODY,32.97,13.76,8.11,163.91,406 CPT,86638,HC AB; COXIELLA BRUNETII,26.63,14.54,8.11,163.91,406 CPT,86641,HC CRYPTOCOCCUS ANTIBODY,34.23,17.29,8.11,163.91,406 CPT,86644,HC CMV ANTIBODY,122.99,17.27,12.95,163.91,406 CPT,86645,"HC CMV ANTIBODY, IGM",102.7,20.22,8.11,171.7,406 CPT,86648,HC AB; DIPHTHERIA,49.44,18.25,9.0,163.91,406 CPT,86651,HC AB; ENCEPHALITIS CALIF,34.24,15.83,8.11,163.91,406 CPT,86652,HC AB; ENCEPHALITIS E EQUINE,34.24,15.83,8.11,163.91,406 CPT,86653,HC AB; ENCEPHALITIS ST. LOUIS,34.24,15.83,8.11,163.91,406 CPT,86654,HC AB; ENCEPHALITIS W EQUINE,34.24,15.83,8.11,163.91,406 CPT,86658,HC ENTEROVIRUS ANTIBODY,154.05,15.64,8.11,163.91,406 CPT,86663,HC ANTB EPSTEIN-BARR EB VIRUS EARLY AG EA,143.91,15.74,11.81,163.91,406 CPT,86664,HC ANTB EPSTEIN-BARR EB VIRUS NUC AG EBNA,161.03,18.35,13.76,163.91,406 CPT,86665,HC ANTB EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA,154.68,21.77,16.33,184.85,406 CPT,86666,HC EHRLICHIA ANTIBODY,98.9,12.22,8.11,163.91,406 CPT,86668,HC AB; FRANCISELLA TULARENSIS,27.57,16.99,11.62,163.91,406 CPT,86671,HC FUNGUS ANTIBODY,133.76,14.7,8.0,163.91,400 CPT,86674,HC GIARDIA LAMBLIA ANTIBODY,86.22,17.66,13.25,163.91,406 CPT,86677,HC HELICOBACTER PYLORI,60.0,20.22,8.11,171.7,406 CPT,86682,HC AB HELMINTH NES,69.1,15.61,9.0,163.91,400 CPT,86684,HC AB; HEMOPHILUS INFLUENZA,134.4,19.01,14.26,163.91,406 CPT,86687,HC HTLV-I ANTIBODY,49.44,10.91,8.18,163.91,406 CPT,86688,HC HTLV-II ANTIBODY,191.45,16.8,12.6,191.45,406 CPT,86689,HC HTLV/HIV CONFIRMATORY TEST,189.71,23.22,17.42,197.18,406 CPT,86692,HC AB; HEPATITIS D,102.7,20.59,15.44,174.86,406 CPT,86694,HC ANTB HERPES SMPLX NON-SPEC TYP TST,104.6,17.27,12.95,163.91,406 CPT,86695,HC ANTB HERPES SMPLX TYP 1,126.15,15.83,11.87,163.91,406 CPT,86696,HC HERPES SIMPLEX TYPE 2,169.42,23.22,14.64,197.18,406 CPT,86698,HC HISTOPLASMA,67.2,16.55,12.41,163.91,406 CPT,86701,HC HIV-1,38.04,10.67,7.56,90.59,406 CPT,86702,HC HIV-2,118.55,16.22,11.49,137.77,406 CPT,86703,"HC HIV-1/HIV-2, SINGLE ASSAY",151.1,16.45,11.65,151.1,406 CPT,86704,"HC HEP B CORE ANTIBODY, TOTAL",104.0,14.46,10.2,163.91,406 CPT,86705,"HC HEP B CORE ANTIBODY, IGM",121.72,14.12,10.2,163.91,406 CPT,86706,HC HEP B SURFACE ANTIBODY,107.77,12.89,9.67,163.91,406 CPT,86707,HC HEP BE ANTIBODY,130.6,13.88,10.2,163.91,406 CPT,86708,HC HEP A ANTIBODY,128.06,14.87,10.1,163.91,406 CPT,86709,"HC HEP A ANTIBODY, IGM",120.45,13.51,10.1,163.91,406 CPT,86710,HC INFLUENZA VIRUS ANTIBODY,218.07,16.26,12.2,218.07,406 CPT,86711,HC JOHN CUNNINGHAM ANTIBODY,37.24,20.27,12.99,172.11,406 CPT,86713,HC LEGIONELLA ANTIBODY,224.42,18.36,13.77,224.42,406 CPT,86717,HC AB; LEISHMANIA,34.23,14.7,8.11,163.91,406 CPT,86720,HC LEPTOSPIRA ANTIBODY,32.97,19.44,8.11,165.08,406 CPT,86723,HC AB; LISTERIA MONOCYTOGENES,47.25,15.83,8.11,163.91,406 CPT,86727,HC ANTIBODY; LYMPHOCYTIC CHORIOMENINGITIS,53.26,15.44,8.11,163.91,406 CPT,86735,HC MUMPS ANTIBODY,138.46,15.66,8.11,163.91,406 CPT,86738,HC MYCOPLASMA ANTIBODY,102.7,15.89,11.92,163.91,406 CPT,86741,HC AB; NEISSERIA MENINGITIDIS,34.24,15.83,8.11,163.91,406 CPT,86747,HC PARVOVIRUS ANTIBODY,181.31,18.04,13.53,181.31,406 CPT,86750,HC MALARIA ANTIBODY,77.34,15.83,11.87,163.91,406 CPT,86753,HC PROTOZOA ANTIBODY NOS,93.83,14.87,9.0,163.91,400 CPT,86756,HC AB; RSV,50.12,19.07,8.11,163.91,406 CPT,86757,HC RICKETTSIA ANTIBODY,104.6,23.22,9.0,197.18,406 CPT,86762,HC RUBELLA ANTIBODY,100.8,17.27,12.95,163.91,406 CPT,86765,HC RUBEOLA ANTIBODY,126.15,15.46,11.59,163.91,406 CPT,86768,HC ANTIBODY SALMONELLA,23.46,15.83,9.14,163.91,406 CPT,86769,HC IA NFCT AB COVID19; MULTI STEP,109.04,50.56,25.28,163.91,404 CPT,86774,HC AB; TETANUS,121.72,17.76,13.32,163.91,406 CPT,86777,HC TOXOPLASMA ANTIBODY,100.8,17.27,12.95,163.91,406 CPT,86778,"HC TOXOPLASMA ANTIBODY, IGM",99.53,17.29,12.97,163.91,406 CPT,86780,"HC TREPONEMA PALLIDUM, CONFIRM",115.51,15.89,11.92,163.91,406 CPT,86784,HC TRICHINELLA ANTIBODY,34.23,15.07,8.11,163.91,406 CPT,86787,HC VARICELLA-ZOSTER ANTIBODY,134.4,15.46,8.11,163.91,406 CPT,86788,"HC WEST NILE VIRUS AB, IGM",71.64,20.22,8.11,171.7,406 CPT,86789,HC WEST NILE VIRUS ANTIBODY,118.55,17.27,12.95,163.91,406 CPT,86790,HC VIRUS ANTIBODY NOS,131.23,15.46,9.0,163.91,400 CPT,86793,HC AB; YERSINIA,68.47,15.83,8.11,163.91,406 CPT,86794,HC ZIKA VIRUS IGM ANTIBODY,23.01,20.22,11.505,171.7,331 CPT,86800,HC THYROGLOBULIN ANTIBODY,176.4,19.09,13.48,176.4,406 CPT,86803,HC HEPATITIS C AB TEST,162.93,17.12,10.1,163.91,406 CPT,86804,"HC HEP C AB TEST, CONFIRM",95.0,18.59,13.94,163.91,406 CPT,86812,HC HLA TYPING B/C 1 AG,287.18,30.97,23.23,287.18,406 CPT,86813,HC HLA TYPE; A B C MULTI AG,843.14,69.6,52.2,843.14,406 CPT,86816,HC HLA TYPE; DR/DQ SGL AG,333.45,36.2,27.15,333.45,406 CPT,86817,HC HLA TYPE; DR/DQ MULTI AG,732.84,127.37,89.0,1081.57,406 CPT,86825,HC HLA X-MATCH NON-CYTOTOXIC,470.38,131.39,98.54,1115.7,406 CPT,86826,HC HLA X-MATCH NONCYTOTOXC ADDL,36.53,43.84,18.265,372.24,406 CPT,86828,HC HLA CLASS1 & 2 ANTIBODY QUALITATIVE,231.0,77.03,54.4,654.1,406 CPT,86829,HC HLA CLASS 1 OR 2 ANTIBODY QUALITATIVE,134.8,77.03,40.8,654.1,406 CPT,86830,HC HLA CLASS 1 PHENOTYPE QUALITATIVE,241.46,114.62,85.97,973.35,406 CPT,86831,HC HLA CLASS 2 PHENOTYPE QUALITATIVE,206.98,98.26,73.69,834.36,406 CPT,86832,HC HLA CLASS 1 HIGH DEFIN QUALITATIVE,679.88,388.5,118.04,3299.01,406 CPT,86833,HC HLA CLASS 2 HIGH DEFIN QUALITATIVE,684.18,390.96,118.04,3319.9,406 CPT,86834,HC HLA CLASS 1 SEMIQUANT PANEL,1069.33,429.07,118.04,3643.54,406 CPT,86834,HC HLA CLASS 1 SEMIQUANT PANEL DILUTION SET (5 TESTS),3000.0,570.0,118.04,3643.54,406 CPT,86835,HC HLA CLASS 2 SEMIQUANT PANEL,965.84,387.55,118.04,3290.96,406 CPT,86835,HC HLA CLASS 2 SEMIQUANT PANEL DILUTION SET (5 TESTS),3000.0,570.0,118.04,3290.96,406 CPT,86849,HC DECTECTION OF ANTIBODY AGNST ANGIOTENSIN II RECEPTR,660.0,125.4,6.6,660.0,213 CPT,86849,HC DETECTION OF AUTO-HLA ANTIBODIES,1260.0,239.4,12.6,1260.0,213 CPT,86849,HC DETECTION OF ETAR ANTIBODIES,750.0,142.5,7.5,750.0,213 CPT,86849,HC ENDOTHELIAL CROSSMATCH,1050.0,199.5,10.5,1050.0,213 CPT,86849,HC SERUM HEAT TREATMENT,90.0,17.1,0.9,90.0,213 CPT,86849,HC STAT FEE,1786.92,339.5148,12.79,1786.92,213 CPT,86849,HC UNLISTED IMMUNOLOGY PROCEDURE,211.73,40.2287,2.1173,211.73,213 CPT,86850,HC RBC ANTIBODY SCREEN,395.39,11.72,5.61,25798.0,406 CPT,86850,RBC ANTIBODY SCREEN,,,5.61,25798.0,358 CPT,86860,HC RBC ANTIBODY ELUTION,91.27,17.3413,0.9127,401.49,400 CPT,86870,HC RBC ANTIBODY IDENTIFICATION,427.91,81.3029,4.2791,842.8,400 CPT,86880,"HC COOMBS TEST, DIRECT",88.75,6.47,4.74,265.59,406 CPT,86885,"HC COOMBS TEST, INDIRECT, QUAL",186.85,6.86,5.15,401.49,406 CPT,86886,"HC COOMBS TEST, INDIRECT, TITER",130.6,6.22,4.66,401.49,406 CPT,86890,HC AUTOLOGOUS BLOOD PROCESS,1132.91,215.2529,11.3291,1132.91,391 CPT,86900,BLOOD TYPING SEROLOGIC ABO,,,2.69,25798.0,358 CPT,86900,"HC BLOOD TYPING, ABO",294.21,3.59,2.69,25798.0,406 CPT,86901,BLOOD TYPING SEROLOGIC RH(D),,,2.69,25798.0,358 CPT,86901,"HC BLOOD TYPING, RH (D)",294.21,3.59,2.69,25798.0,406 CPT,86902,"HC BLOOD TYPING, ANTIGEN SCREEN",180.26,7.62,5.38,842.8,406 CPT,86905,"HC BLOOD TYPING, RBC ANTIGENS",180.26,4.6,3.45,842.8,406 CPT,86920,"HC COMPATIBILITY TEST, SPIN",112.21,21.3199,1.1221,401.49,393 CPT,86921,"HC COMPATIBILITY TEST, INCUBATE",91.27,17.3413,0.9127,401.49,393 CPT,86922,"HC COMPATIBILITY TEST, ANTIGLOB",115.38,21.9222,1.1538,401.49,393 CPT,86923,COMPATIBILITY TEST ELECTRIC,,,12.77,25798.0,292 CPT,86923,"HC COMPATIBILITY TEST, ELECTRIC",91.29,17.3451,0.9129,25798.0,394 CPT,86927,"HC PLASMA, FRESH FROZEN",314.53,59.7607,3.1453,401.49,391 CPT,86932,HC FROZEN BLOOD FREEZE/THAW,113.6,21.584,1.136,328.64,391 CPT,86940,"HC HEMOLYSINS/AGGLUTININS, AUTO",48.18,10.52,7.21,265.59,406 CPT,86941,HC FETAL SCREEN,71.0,14.53,10.37,265.59,406 CPT,86945,HC BLOOD PRODUCT/IRRADIATION,61.5,11.685,0.615,263.92,391 CPT,86950,HC LEUKACYTE TRANSFUSION,182.54,34.6826,1.8254,401.49,391 CPT,86960,HC VOL REDUCTION OF BLOOD/PROD,186.85,35.5015,1.8685,401.49,391 CPT,86965,HC POOLING BLOOD PLATELETS,186.85,35.5015,1.8685,401.49,391 CPT,86975,HC RBC SERUM PRETX INCUBJ DRUGS,1052.64,200.0016,10.5264,1052.64,397 CPT,86985,HC SPLIT BLOOD OR PRODUCTS,186.85,35.5015,1.8685,401.49,391 CPT,87015,HC SPECIMEN CONCENTRATION,19.65,8.02,3.28,162.13,406 CPT,87040,HC BLOOD CULTURE FOR BACTERIA,97.78,12.38,8.23,162.13,406 CPT,87045,"HC FECES CULTURE, BACTERIA",78.61,11.33,8.23,162.13,406 CPT,87046,HC AEROBIC STOOL CULTR ADDTL PATHOG EA PLATE,55.79,11.33,2.98,162.13,406 CPT,87070,CULTURE OTHR SPECIMN AEROBIC,,,7.76,25798.0,358 CPT,87070,"HC CULTURE, BACTERIA, OTHER",177.93,10.34,7.76,25798.0,406 CPT,87071,HC CULTURE AEROBIC QUANT OTHER,50.14,11.87,8.9,162.13,406 CPT,87073,HC CULTURE BACTERIA ANAEROBIC,48.88,11.59,8.69,162.13,406 CPT,87075,"HC CULTR BACTERIA, EXCEPT BLOOD",87.49,11.36,8.52,162.13,406 CPT,87076,"HC CULTURE ANAEROBE IDENT, EACH",46.91,9.7,7.27,162.13,406 CPT,87077,HC CULTURE AEROBIC IDENTIFY,143.75,9.7,7.27,162.13,406 CPT,87081,HC CULTURE SCREEN ONLY,112.85,7.96,5.25,162.13,406 CPT,87086,HC URINE CULTURE/COLONY COUNT,130.56,9.68,7.26,162.13,406 CPT,87088,HC URINE BACTERIA CULTURE,77.34,9.71,7.28,162.13,406 CPT,87101,HC SKIN FUNGI CULTURE,45.64,9.25,6.94,162.13,406 CPT,87102,HC FUNGUS ISOLATION CULTURE,138.2,10.09,7.57,162.13,406 CPT,87103,HC BLOOD FUNGUS CULTURE,53.26,24.55,11.48,208.49,406 CPT,87106,HC FUNGI IDENTIFICATION YEAST,40.73,12.38,9.29,162.13,406 CPT,87107,HC FUNGI IDENTIFICATION MOLD,20.37,12.38,9.29,162.13,406 CPT,87109,HC MYCOPLASMA,127.43,18.47,8.23,162.13,406 CPT,87110,HC CHLAMYDIA CULTURE,168.63,23.52,8.23,199.72,406 CPT,87116,HC MYCOBACTERIA CULTURE,130.6,12.96,9.72,162.13,406 CPT,87118,HC MYCOBACTERIC IDENTIFICATION,43.43,17.53,13.15,162.13,406 CPT,87140,HC CULTURE TYPE IMMUNOFLUORESC,15.08,6.68,5.01,162.13,406 CPT,87147,HC CULTURE TYPE IMMUNOLOGIC,26.78,6.22,4.66,162.13,406 CPT,87149,HC DNA/RNA DIRECT PROBE,103.8,24.06,8.0,204.31,406 CPT,87150,"HC DNA/RNA, AMPLIFIED PROBE",102.7,42.11,31.58,357.57,406 CPT,87153,HC DNA/RNA SEQUENCING,598.36,138.43,103.82,1175.52,406 CPT,87154,HC CUL TYP ID BLD PTHGN 6+ TRGT,654.18,261.67,134.65,2222.03,406 CPT,87158,HC CULTURE; OTHER METHODS,24.38,9.29,6.97,162.13,406 CPT,87168,HC MACROSCOPIC EXAM ARTHROPOD,71.0,5.12,3.84,162.13,406 CPT,87169,HC MACROSCOPIC EXAM PARASITE,56.64,5.17,2.02,162.13,406 CPT,87172,HC PINWORM EXAM,74.8,5.12,2.02,162.13,406 CPT,87176,HC HOMOGENIZ TISS FOR CULTURE,62.76,7.06,5.29,162.13,406 CPT,87177,HC OVA AND PARASITES SMEARS,113.82,10.68,8.01,162.13,406 CPT,87181,HC SC STD ANTMCRB AGT AGAR DIL METH PR AGT,45.64,5.7,4.28,162.13,406 CPT,87184,"HC MICROBE SUSCEPTIBLE, DISK",64.03,8.98,6.66,162.13,406 CPT,87185,HC MICROBE SUSCEPTIBLE ENZYME,24.57,5.7,4.28,162.13,406 CPT,87186,"HC MICROBE SUSCEPTIBLE, MIC",91.29,10.38,6.66,162.13,406 CPT,87187,"HC SENSITIVITY - MLC, EA PLATE",84.36,48.2,15.0,409.33,406 CPT,87188,"HC SENSITIVITY - MACROBROTH, EA AGNT",34.23,7.97,4.54,162.13,406 CPT,87190,HC SC ANTMCRB MYCOBACTERIA PROPRTN EA AGT,31.7,8.77,6.58,162.13,406 CPT,87197,"HC BACTERICIDAL LEVEL, SERUM",88.76,18.02,13.52,162.13,406 CPT,87205,"HC SMEAR, GRAM STAIN",117.83,5.12,3.43,162.13,406 CPT,87206,"HC SMEAR, FLUORESCENT/ACID STAI",51.35,6.47,4.85,162.13,406 CPT,87207,"HC SMEAR, SPECIAL STAIN",98.26,7.19,5.39,191.47,406 CPT,87209,"HC SMEAR, COMPLEX STAIN",145.77,21.58,5.91,183.22,406 CPT,87210,"HC SMEAR, WET MOUNT, SALINE/INK",44.38,6.98,3.43,162.13,406 CPT,87220,HC TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT,34.24,5.12,3.84,162.13,406 CPT,87230,"HC ASSAY, TOXIN OR ANTITOXIN",50.72,23.69,9.49,201.15,406 CPT,87250,HC VIRUS ISOLATE; EMBRYO EGG INJ,166.09,23.47,17.6,199.32,406 CPT,87252,"HC VIRUS INOCULATION, TISSUE",305.56,31.28,23.46,305.56,406 CPT,87253,HC VIRUS INOCULATE TISSUE ADDL,70.72,24.24,18.18,205.84,406 CPT,87254,"HC VIRUS INOCULATION, SHELL VIA",273.86,23.47,6.83,273.86,406 CPT,87255,HC GENET VIRUS ISOLATE HSV,96.36,40.63,6.83,345.03,406 CPT,87260,HC ADENOVIRUS AG BY IF,49.44,17.32,8.11,162.13,406 CPT,87265,HC BORDATELLA P AG BY DFA,50.72,14.38,8.11,162.13,406 CPT,87270,"HC CHLAMYDIA TRACHOMATIS AG, IF",50.72,14.38,8.11,162.13,406 CPT,87272,HC CRYPTOSPOR AG BY IFA,16.35,14.38,8.175,162.13,406 CPT,87273,HC HERPES SIMPLEX 2 AG BY IF,45.27,14.38,10.78,162.13,406 CPT,87274,HC HERPES SIMPLEX 1 AG IF,50.72,14.38,10.78,162.13,406 CPT,87275,"HC INFLUENZA B, AG, IF",101.43,14.7,11.03,162.13,406 CPT,87276,"HC INFLUENZA A, AG, IF",50.72,19.28,13.0,163.75,406 CPT,87278,"HC LEGION PNEUMOPHILIA AG, IF",102.7,18.72,13.0,162.13,406 CPT,87279,HC PARAINFLUENZA AG BY DFA,73.54,19.72,8.11,167.42,406 CPT,87280,HC RSV AG BY IF,73.54,16.1,8.11,162.13,406 CPT,87281,HC PNEUMOCYSTIS C AG BY IF,37.74,14.38,8.11,162.13,406 CPT,87290,"HC VARICELLA ZOSTER, AG, IF",50.72,16.1,8.11,162.13,406 CPT,87299,HC NOS INFECT AGNT BY IMMUNOFLUORES TECHN; EA ORG,50.72,19.32,13.0,164.06,400 CPT,87301,HC ADENOVIRUS AG EIA,55.79,14.38,8.11,162.13,406 CPT,87305,"HC ASPERGILLUS AG, EIA",165.46,14.38,8.11,165.46,406 CPT,87324,HC CLOSTRIDIUM AG EIA,88.17,14.38,9.49,162.13,406 CPT,87327,HC CRYPTOCOCCUS NEOFORM AG EIA,62.22,16.1,8.11,162.13,406 CPT,87328,"HC CRYPTOSPORIDIUM AG, EIA",127.8,16.58,12.44,162.13,406 CPT,87329,GIARDIA AG IA,,,10.78,25798.0,358 CPT,87329,"HC GIARDIA AG, EIA",100.51,14.38,10.78,25798.0,406 CPT,87335,HC E COLI 0157 AG EIA,50.72,15.19,9.14,162.13,406 CPT,87336,HC ENTAMOEB HIST DISPR AG EIA,50.72,19.2,8.11,163.04,406 CPT,87337,"HC ENTAMOEB HIST GROUP, AG, EIA",119.82,14.38,8.11,162.13,406 CPT,87338,"HC HPYLORI, STOOL, EIA",114.11,17.26,8.11,162.13,406 CPT,87339,"HC H PYLORI AG, EIA",50.72,19.2,14.4,163.04,406 CPT,87340,"HC HEPATITIS B SURFACE AG, EIA",115.83,12.4,9.3,162.13,406 CPT,87341,HC HEPATITIS B SURFACE AG EIA NEUTRALIZATION,30.43,12.4,9.3,162.13,406 CPT,87350,"HC HEPATITIS BE AG, EIA",112.85,13.84,10.2,162.13,406 CPT,87380,"HC HEPATITIS DELTA AG, EIA",87.49,22.03,10.1,187.09,406 CPT,87385,HC HISTOPLASMA CAPSUL AG EIA,76.08,15.9,11.93,162.13,406 CPT,87389,HC HIV-1 AG W/HIV-1 & HIV-2 AB,213.06,28.9,18.67,245.38,406 CPT,87390,"HC HIV-1 AG, EIA",93.83,28.87,20.06,245.17,406 CPT,87420,HC RESP SYNCYTIAL AG EIA,73.54,16.69,8.11,162.13,406 CPT,87425,"HC ROTAVIRUS AG, EIA",159.76,14.38,10.78,162.13,406 CPT,87426,HC SARSCOV CORONAVIRUS AG IA,111.29,42.4,20.43,162.13,404 CPT,87427,HC SHIGA-LIKE TOXIN AG EIA,50.72,14.38,10.78,162.13,406 CPT,87428,HC SARSCOV & INF VIR A&B AG IA,100.16,76.31,18.56,227.16,406 CPT,87430,"HC STREP A AG, EIA",58.32,20.17,5.25,171.29,406 CPT,87449,"HC IAAD IA EACH ORGANSM, NOS",108.4,14.38,5.25,162.13,406 CPT,87467,HC HEPATITIS B SURFACE AG QUAN,231.65,30.38,15.05,231.65,405 CPT,87468,HC ANAPLSMA PHGCYTOPHLM AMP PRB,52.64,42.11,25.7936,357.57,406 CPT,87469,HC BABESIA MICROTI AMP PRB,52.64,42.11,25.7936,357.57,406 CPT,87471,HC BARTONELLA AMPLIF NAP,261.19,42.11,31.58,357.57,406 CPT,87476,"HC LYME DIS, DNA, AMP PROBE",471.02,42.11,21.64,471.02,406 CPT,87478,HC BORRELIA MIYAMOTOI AMP PRB,105.27,42.11,31.58,357.57,406 CPT,87480,HC CANDIDA NA DIRECT PROBE,294.15,24.06,14.09,294.15,406 CPT,87481,HC CANDIDA NA AMPLIFIED PROBE,308.04,42.11,31.58,357.57,406 CPT,87483,HC CNS DNA AMP PROBE TYPE 12-25,945.49,500.14,375.1,4246.99,332 CPT,87484,HC EHRLICHA CHAFFEENSIS AMP PRB,52.64,42.11,25.7936,357.57,406 CPT,87486,HC CHLAMYDIA P AMPLIF NA PROBE,285.28,42.11,21.64,357.57,406 CPT,87491,"HC CHYLMD TRACH, DNA, AMP PROBE",308.04,42.11,21.64,357.57,406 CPT,87493,C DIFF AMPLIFIED PROBE,,,33.54,25798.0,358 CPT,87493,HC C DIFF AMPLIFIED PROBE,154.05,44.72,33.54,25798.0,406 CPT,87496,"HC CYTOMEG, DNA, AMP PROBE",278.3,42.11,23.62,357.57,406 CPT,87497,"HC CYTOMEG, DNA, QUANT",410.16,51.41,28.85,436.54,406 CPT,87498,"HC ENTEROVIRUS, DNA, AMP PROBE",251.04,42.11,21.64,357.57,406 CPT,87500,HC VANOMYCIN DNA AMP PROBE,196.52,42.11,21.64,357.57,406 CPT,87502,HC HC INFLUENZA DNA AMP PROBE,3006.13,114.96,53.98,3006.13,406 CPT,87503,HC INFLUENZA DNA AMP PROB ADDL,721.42,35.06,21.64,721.42,406 CPT,87505,HC NFCT AGENT DETECTION GI,404.11,153.95,115.46,1307.28,406 CPT,87506,HC IADNA-DNA/RNA PROBE TQ 6-11,829.99,315.59,134.65,2679.87,406 CPT,87507,HC IADNA-DNA/RNA PROBE TQ 12-25,1132.61,500.14,134.65,4246.99,406 CPT,87510,HC GARDNERELLA DIR NA PROBE,147.08,24.06,14.09,204.31,406 CPT,87511,HC GARDNER VAG DNA AMP PROBE,181.66,42.11,31.58,357.57,406 CPT,87512,HC GARDNER VAG DNA QUANT,216.12,50.11,37.58,425.53,406 CPT,87517,"HC HEPATITIS B, DNA, QUANT",392.41,51.41,38.56,436.54,406 CPT,87521,"HC HEPATITIS C, RNA, AMP PROBE",575.62,42.11,31.58,575.62,406 CPT,87522,"HC HEPATITIS C, RNA, QUANT",461.51,51.41,38.56,461.51,406 CPT,87523,HC HEPATITIS D QUANTIFICATION,128.52,51.41,29.22,436.54,375 CPT,87528,HC HSV DNA DIR PROBE,103.8,24.06,18.05,204.31,406 CPT,87529,"HC HSV, DNA, AMP PROBE",291.61,42.11,31.58,357.57,406 CPT,87530,HC HSV DNA QUANT,221.72,51.41,38.56,436.54,406 CPT,87532,"HC HHV-6, DNA, AMP PROBE",207.93,42.11,31.58,357.57,406 CPT,87533,HC HERPES 6 NA QUAN,339.79,50.11,37.58,425.53,406 CPT,87535,HC HIV-1 AMPLIF NA PROBE,693.53,42.11,21.64,693.53,406 CPT,87536,"HC HIV-1, DNA, QUANT",654.86,102.12,69.0,867.17,331 CPT,87538,HC HIV-2 PROBE&REVRSE TRNSCRIPJ,181.66,42.11,31.58,357.57,406 CPT,87539,HC HIV-2 QUANT&REVRSE TRNSCRIPJ,221.72,70.34,52.76,597.34,332 CPT,87541,"HC LEGIONELLA PNEUMOPHILA, AMPLIFIED PROBE TECHNIQUE; BY NUCLEIC ACID;DNA",91.29,42.11,31.58,357.57,406 CPT,87550,HC MYCOBACTERIA DNA DIR PROBE,103.8,24.06,18.05,204.31,406 CPT,87551,HC MYCOBACTERIA DNA AMP PROBE,91.47,57.89,43.42,491.57,406 CPT,87555,HC M.TUBERCULO DNA DIR PROBE,103.8,32.26,24.19,273.91,406 CPT,87556,HC MYCOBACTERIA T AMPLIF NA PROBE,174.97,50.02,37.51,424.72,406 CPT,87560,HC M.AVIUM-INTRA DNA DIR PROB,103.8,32.75,24.56,278.09,406 CPT,87561,HC M.AVIUM-INTRA DNA AMP PROB,181.66,42.11,31.58,357.57,406 CPT,87563,HC M. GENITALIUM AMP PROBE,110.53,42.11,31.58,357.57,406 CPT,87564,HC MTB RIFAMPIN RST AMP PRB TQ,446.52,92.12,52.36,446.52,368 CPT,87581,"HC M.PNEUMON, DNA, AMP PROBE",285.28,42.11,21.64,357.57,406 CPT,87590,HC N.GONORRHOEAE DNA DIR PROB,103.8,32.26,8.11,273.91,406 CPT,87591,"HC N.GONORRHOEAE, DNA, AMP PROB",308.04,42.11,21.64,357.57,406 CPT,87593,HC ORTHOPOXVIRUS AMP PRB EACH,105.27,61.57,46.18,227.16,387 CPT,87594,HC PNEUMCYSTS JIROVECII AMP PRB,486.0,42.11,23.94,486.0,368 CPT,87623,HC HPV LOW-RISK TYPES,514.76,42.11,28.13,514.76,406 CPT,87624,HC HPV HIGH-RISK TYPES POOLED RSLT,308.04,42.11,28.13,357.57,406 CPT,87625,HC HPV TYPES 16 & 18 ONLY,257.38,48.66,28.13,413.2,406 CPT,87631,HC RESP VIRUS 3-5 TARGETS,669.44,171.16,97.27,1453.4,406 CPT,87632,HC RESP VIRUS 6-11 TARGETS,1083.4,261.67,134.65,2222.03,406 CPT,87633,HC RESP VIRUS 12-25 TARGETS,1079.6,500.14,134.65,25798.0,406 CPT,87633,RESP VIRUS 12-25 TARGETS,,,134.65,25798.0,358 CPT,87634,HC RSV DNA/RNA AMP PROBE,95.82,84.24,21.64,715.34,331 CPT,87635,HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ,102.7,61.57,30.79,6487.0,404 CPT,87636,HC SARSCOV2 & INF A&B AMP PRB,224.64,171.16,85.59,363.71,404 CPT,87637,HC SARSCOV2&INF A&B&RSV AMP PRB,449.28,171.16,85.59,449.28,404 CPT,87640,HC STAPH A DNA AMP PROBE,285.28,42.11,21.64,357.57,406 CPT,87641,HC MR-STAPH DNA AMP PROBE,181.66,42.11,21.64,357.57,406 CPT,87651,HC STREP A AMPLIF NA PROBE,65.63,42.11,31.58,357.57,406 CPT,87653,HC STREP B DNA AMP PROBE,182.93,42.11,21.64,357.57,406 CPT,87660,"HC TRICHOMONAS VAGIN, DIR PROBE",154.43,24.06,14.09,204.31,406 CPT,87661,HC TRICHOMONAS VAGINALIS AMPLIF,308.04,42.11,21.64,357.57,406 CPT,87662,HC ZIKA VIRUS DNA/RNA AMP PROBE,70.04,61.57,35.02,522.85,331 CPT,87797,"HC DETECT AGENT NOS, DNA, DIR",119.19,36.04,27.03,306.01,400 CPT,87798,"HC DETECT AGENT NOS, DNA, AMP",366.77,42.11,31.58,366.77,400 CPT,87799,"HC DETECT AGENT NOS, DNA, QUANT",318.84,51.41,38.56,436.54,406 CPT,87800,"HC DETECT AGNT MULT, DNA, DIREC",238.36,52.4,28.19,445.0,406 CPT,87801,HC DNA/RNA; MULTI ORG - AMP PR,540.12,84.24,30.0,715.34,406 CPT,87804,HC INFLUENZA ASSAY W/OPTIC,27.26,19.86,13.63,168.64,406 CPT,87806,HC HIV ANTIGEN W/HIV ANTIBODIES,158.49,39.32,18.67,333.93,406 CPT,87807,HC RSV ASSAY W/OPTIC,65.93,15.72,11.79,162.13,406 CPT,87808,HC TRICHOMONAS ASSAY W/OPTIC,50.72,18.35,3.79,162.13,406 CPT,87811,HC SARS-COV-2 COVID19 W/OPTIC,130.35,49.66,10.09,162.13,404 CPT,87880,HC STREP A ASSAY W/OPTIC,118.08,19.84,3.79,168.44,406 CPT,87899,HC AGENT NOS ASSAY W/OPTIC,76.71,19.28,8.11,163.75,406 CPT,87900,HC PHENOTYPE INFECT AGENT DRUG,339.16,156.42,80.8,1328.27,331 CPT,87901,"HC GENOTYPE, DNA, HIV REVERSE T",985.77,308.94,125.0,2623.42,331 CPT,87902,"HC GENOTYPE, DNA, HEPATITIS C",1883.43,308.94,58.0,2623.42,331 CPT,87903,HC PHENOTYPE DNA HIV W/CULTURE; 1-10 DRUGS,2657.47,586.39,125.0,4979.45,331 CPT,87904,HC PHENOTYPE DNA HIV W/CLT ADD,136.23,31.28,15.35,265.65,331 CPT,87906,HC GENOTYPE DNA HIV,334.0,63.46,115.86,1311.76,406 CPT,87906,HC GENOTYPE DNA HIV OTHER REGION,334.0,154.48,115.86,1311.76,406 CPT,87910,HC GENOTYPE CYTOMEGALOVIRUS,1295.14,308.94,134.65,2623.42,406 CPT,87912,HC GENOTYPE DNA HEPATITIS B,1295.14,308.94,134.65,2623.42,406 CPT,87999,HC MICROBIOLOGY PROCEDURE,68.47,13.0093,0.02,68.47,213 CPT,88020,HC AUTOPSY GROSS&MICRO WO CNS,7353.68,1397.1992,73.5368,7353.68,236 CPT,88104,"HC CYTOPATH FL NONGYN, SMEARS",401.92,76.3648,4.0192,575.23,406 CPT,88106,HC CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ,102.24,19.4256,1.0224,621.9,406 CPT,88108,"HC CYTOPATH, CONCENTRATE TECH",270.06,51.3114,2.7006,550.16,406 CPT,88112,HC CYTOPATH CELL ENHANCE TECH,291.01,55.2919,2.9101,484.02,406 CPT,88120,HC CYTP URNE 3-5 PROBES EA SPEC,2144.1,407.379,21.441,6116.96,404 CPT,88121,HC CYT URINE 3-5 PROBE COMP,1795.95,341.2305,17.9595,4352.86,404 CPT,88140,HC SEX CHROMATIN IDENTIFICATION,45.64,9.59,7.19,224.67,406 CPT,88141,HC CYTOPATH C/V INTERPRET,41.41,7.8679,0.4141,272.99,324 CPT,88142,"HC CYTOPATH, C/V, THIN LAYER",141.37,24.31,18.23,206.45,406 CPT,88143,HC CYTOPATH C/V THIN LAYER REDO,120.45,27.65,20.74,234.78,406 CPT,88147,HC CYTP SMRS C/V SCR AUTO SYS PHYS,106.18,60.67,15.57,515.21,406 CPT,88148,HC DX PAP SMR; AUTO SCRN W M RS,62.13,21.83,15.57,205.88,406 CPT,88150,HC DX PAP MANUAL SCREEN,54.74,21.83,9.0,205.88,406 CPT,88152,HC DX PAP; MANUAL SCRN W CRS,58.04,33.17,9.0,281.65,406 CPT,88153,HC DX PAP; MANUAL SCRN W MD RS,54.74,28.84,15.57,244.87,406 CPT,88155,HC CYTOPATH C/V INDEX ADD-ON,31.04,17.58,10.0,205.88,406 CPT,88160,HC CYTP SMRS ANY OTH SRC SCR&INTERPJ,225.69,42.8811,2.2569,645.23,406 CPT,88161,HC CYTP SMRS ANY OTH SRC PREPJ SCR&INTERPJ,79.28,15.0632,0.7928,668.57,406 CPT,88162,HC CYTP SMRS ANY OTH SRC EXTND STD > 5 SLIDES,264.23,50.2037,2.6423,1063.12,406 CPT,88164,"HC CYTOPATH TBS, C/V, MANUAL",101.43,21.83,12.0,205.88,406 CPT,88165,"HC CYTOPATH TBS, C/V, REDO",88.66,50.66,15.57,430.22,406 CPT,88167,"HC CYTOPATH TBS, C/V, SELECT",62.13,21.83,14.99,205.88,406 CPT,88172,HC CYTOPATHOLOGY EVAL OF FNA,411.37,78.1603,4.1137,411.37,404 CPT,88173,"HC CYTOPATH EVAL, FNA, REPORT",942.54,179.0826,9.4254,1172.05,404 CPT,88175,HC CYTOPATH C/V AUTO FLUID REDO,233.59,31.93,23.95,271.16,406 CPT,88177,HC CYT FNA EVAL SPEC EA ADD,82.54,15.6826,0.8254,297.4,324 CPT,88182,HC CELL MARKER STUDY,219.72,41.7468,2.1972,1525.44,406 CPT,88184,"HC FLOWCYTOMETRY/ TC, 1 MARKER",287.81,54.6839,2.8781,913.64,404 CPT,88185,"HC FLOWCYTOMETRY/TC, ADD-ON",245.57,46.6583,2.4557,297.4,324 CPT,88187,"HC FLOWCYTOMETRY/READ, 2-8",164.83,31.3177,1.6483,388.44,406 CPT,88188,HC FLOW CYTOMETRY INTERP 9-15 MARKERS,101.16,19.2204,1.0116,673.56,406 CPT,88189,HC FLOW CYTOMETRY INTERP 16 & > MARKERS,334.62,63.5778,3.3462,908.95,406 CPT,88230,"HC TISSUE CULTURE, LYMPHOCYTE",481.16,139.79,29.0,1187.03,331 CPT,88233,"HC TISSUE CULTURE, SKIN/BIOPSY",689.09,168.88,36.0,1434.04,331 CPT,88235,"HC TISSUE CULTURE, PLACENTA",660.57,180.36,36.0,1531.56,331 CPT,88237,"HC TISSUE CULTURE, BONE MARROW",552.8,172.5,36.0,1464.81,331 CPT,88239,"HC TISSUE CULTURE, TUMOR",734.1,177.02,29.0,1503.23,331 CPT,88240,HC CELL CRYOPRESERVE/STORAGE,59.59,15.68,11.76,133.18,332 CPT,88241,HC FROZEN CELL PREPARATION,59.59,14.51,10.88,123.2,332 CPT,88248,"HC CHROMOSOME ANALYSIS, BI-100",1295.77,207.8,101.0,1764.6,331 CPT,88249,"HC CHROMOSOME ANALYSIS, 100",1295.77,207.8,101.0,1764.6,331 CPT,88261,"HC CHROMOSOME ANALYSIS, 5",1293.24,317.21,237.91,2693.62,332 CPT,88262,"HC CHROMOSOME ANALYSIS, 15-20",959.79,150.59,101.0,1278.74,331 CPT,88263,"HC CHROMOSOME ANALYSIS, 45",1285.63,180.35,101.0,1531.46,331 CPT,88264,"HC CHROMOSOME ANALYSIS, 20-25",372.76,173.53,130.15,1473.58,332 CPT,88267,"HC CHROMOSOME ANALYS, PLACENTA",2922.45,226.28,90.9,2922.45,331 CPT,88269,HC CHROM ANALY; SITU AF CELLS FROM 6-12 COL,339.79,208.39,75.75,1769.6,331 CPT,88271,"HC CYTOGENETICS, DNA PROBE",217.44,25.7,19.28,218.27,331 CPT,88272,"HC CYTOGENETICS, 3-5",129.33,48.84,33.0,414.73,331 CPT,88273,"HC CYTOGENETICS, 10-30",395.58,41.77,31.33,395.58,331 CPT,88274,"HC CYTOGENETICS, 25-99",277.67,50.86,33.0,431.85,331 CPT,88275,"HC CYTOGENETICS, 100-300",335.36,61.43,35.0,521.63,331 CPT,88280,HC CHROMOSOME KARYOTYPE STUDY,281.47,40.16,10.1,341.06,331 CPT,88283,HC CHROMOSOME BANDING STUDY,311.9,82.32,61.74,699.03,332 CPT,88285,"HC CHROMOSOME COUNT, ADDITIONAL",217.44,32.29,5.05,274.21,331 CPT,88289,"HC CHROMOSOME STUDY, ADDITIONAL",183.85,41.32,30.99,350.84,332 CPT,88291,"HC CYTOGENETICS AND MOLEC CYTOGENETICS, INTERP & RPT",173.07,32.8833,1.7307,374.79,248 CPT,88299,HC CYTOGENETIC STUDY,388.5,73.815,0.02,388.5,319 CPT,88300,"HC SURGICAL PATH, GROSS",1100.39,209.0741,5.0,1100.39,404 CPT,88302,HC LVL II-SURG PATH GROSS&MCRSCP XM,632.32,120.1408,6.3232,632.32,404 CPT,88304,HC LEVEL III-SURG PATH GROSS&MICROSCOPIC XM,1428.87,271.4853,14.2887,1428.87,404 CPT,88305,HC LVL IV-SURG PATH GROSS&MCRSCP XM,1642.38,312.0522,16.4238,25798.0,404 CPT,88305,TISSUE EXAM BY PATHOLOGIST,,,28.0,25798.0,345 CPT,88307,HC LVL V-SURG PATH GROSS&MCRSCP XM,1830.09,347.7171,18.3009,2445.91,406 CPT,88309,HC LVL VI-SURG PATH GROSS&MCRSCP XM,1040.18,197.6342,10.4018,3430.16,406 CPT,88311,HC DECALCIFY TISSUE,79.21,15.0499,0.7921,291.33,322 CPT,88312,HC SPEC STAINS GRP I MICROORGANISMS EA,515.4,97.926,5.154,1017.06,404 CPT,88313,HC SPEC STAINS GRP II STAINS EA,316.85,60.2015,3.1685,834.26,404 CPT,88314,HC HISTOCHEMICAL STAIN,275.13,52.2747,2.7513,808.58,322 CPT,88319,HC ENZYME HISTOCHEMISTRY,716.98,136.2262,7.1698,1913.94,406 CPT,88321,HC CONSLTJ&REPRT SLIDES PREPARED ELSEWHERE,287.81,54.6839,2.8781,907.42,404 CPT,88323,HC CONSLTJ&REPRT MATRL REQ PREPJ SLIDES,255.48,48.5412,2.5548,347.89,332 CPT,88325,HC COMPREHENSIVE CONSULT W REVIEW OF REFERRED MATERIAL,678.01,128.8219,6.7801,1448.61,332 CPT,88329,HC PATHOLOGY CONSULTATION DURING SURGERY,121.72,23.1268,1.2172,384.67,404 CPT,88331,HC PATH CONSLTJ SURG 1ST BLK FROZEN SINGLE SPEC,281.47,53.4793,2.8147,484.02,332 CPT,88332,HC PATH CONSLTJ SURGEA ADDL BLK FROZEN,106.5,20.235,1.065,293.47,250 CPT,88333,HC PATH CONSLT SURG CYTO EXAM INITIAL SITE,399.56,75.9164,3.9956,1913.94,332 CPT,88334,HC PATH CONSLT SURG CYTO EXAM EA ADD SITE,90.65,17.2235,0.9065,225.61,250 CPT,88341,HC IMMUNOHISTO ANTIBODY ADDL SLIDE,343.79,65.3201,3.4379,25798.0,322 CPT,88341,IMHCHEM/IMCYTCHM EA ADD ANTB,,,25.62,25798.0,263 CPT,88342,HC IMHCHEM/IMCYTCHM 1ST ANTB,808.93,153.6967,8.0893,25798.0,406 CPT,88342,IMHCHEM/IMCYTCHM 1ST ANTB,,,17.0,25798.0,347 CPT,88344,HC IMHCHEM/IMCYTCHM EA MLT ANTB,655.23,124.4937,6.5523,25798.0,406 CPT,88344,IMHCHEM/IMCYTCHM EA MLT ANTB,,,25.62,25798.0,347 CPT,88346,HC IMFLUOR 1ST 1ANTB STAIN PX,585.76,111.2944,5.8576,1349.36,406 CPT,88348,HC ELECTRON MICROSCOPY,3530.4,670.776,35.304,4800.0,406 CPT,88350,HC IMFLUOR PR SPEC EA ADD SINGL ANTB STN,279.57,53.1183,2.7957,1005.35,322 CPT,88355,HC MORPHOMETRIC ANALYSIS SKELETAL MUSCLE,792.42,150.5598,7.9242,792.42,406 CPT,88356,"HC MORPHOMETRICS, NERVE",784.81,149.1139,7.8481,1375.34,404 CPT,88358,"HC ANALYSIS, TUMOR",219.72,41.7468,2.1972,1040.4,406 CPT,88360,HC TUMOR IMMUNOHISTOCHEM/MANUAL,465.28,88.4032,4.6528,939.21,406 CPT,88361,HC TUMOR IMMUNOHISTOCHEM/COMPUT,245.29,46.6051,2.4529,904.26,406 CPT,88362,HC NERVE TEASING PREP,823.03,156.3757,8.2303,1913.94,406 CPT,88363,HC XM ARCHIVE TISSUE MOL AN,93.1,17.689,0.931,297.4,406 CPT,88364,"HC ISH, ADDTL SINGLE PROBE STAIN/SPECIMEN",165.08,31.3652,1.6508,1176.54,322 CPT,88365,HC INSITU HYBRIDIZATION (FISH),250.95,47.6805,2.5095,1590.56,406 CPT,88366,"HC ISH, MULTIPLEX PROBE STAIN/SPECIMEN",382.27,72.6313,3.8227,2481.57,406 CPT,88367,HC INSITU HYBRIDIZATION AUTO,1195.48,227.1412,11.9548,1195.48,406 CPT,88368,"HC INSITU HYBRIDIZATION, MANUAL",762.0,144.78,7.62,1256.02,406 CPT,88369,HC M/PHMTRC ALYS ISH QUANT/SEMIQ MNL PER SPEC EACH,76.2,14.478,0.762,1122.12,322 CPT,88371,"HC PROTEIN, WESTERN BLOT TISSUE",115.03,26.68,19.46,297.4,323 CPT,88373,"HC ISH, COMPUTER ASSISTED, ADDT?L SINGLE PROBE STAIN/SPECIMEN",1321.95,251.1705,13.2195,1321.95,322 CPT,88374,"HC ISH, COMPUTER ASSISTED, MULTIPLEX PROBE STAIN/SPECIMEN",432.35,82.1465,4.3235,2884.48,406 CPT,88377,HC M/PHMTRC ALYS ISH QUANT/SEMIQ EACH,469.75,89.2525,4.6975,3899.31,406 CPT,88380,HC MICRODISSECTION LASER,69.51,13.2069,0.6951,864.72,324 CPT,88381,HC MICRODISSECTION MANUAL,1134.36,215.5284,11.3436,2091.91,322 CPT,88387,HC MACRO EXAM DISSECT&PREP TISS NONMICRO STD EA,34.87,6.6253,0.3487,291.33,322 CPT,88720,HC BILIRUBIN TOTAL TRANSCUT,9.75,6.02,4.52,165.28,406 CPT,88740,HC TRANSCUTANEOUS CARBOXYHB,12.99,11.24,6.495,165.28,406 CPT,88741,HC TRANSCUTANEOUS METHB,3461.3,11.24,7.33,3461.3,406 CPT,89050,HC C-CNT MISC BDY FLUS XCPT BLD,65.93,5.66,2.83,224.67,406 CPT,89051,HC C-CNT MISC BDY FLUS XCPT BLD DIFFIAL CNT,124.47,6.72,2.83,224.67,406 CPT,89055,HC FECAL LEUKO CNT QUAL/SEMIQUAN,16.6,5.12,3.43,224.67,406 CPT,89060,"HC EXAM,SYNOVIAL FLUID CRYSTALS",110.31,8.8,6.06,224.67,406 CPT,89125,HC SECRETIONS FAT STAIN,53.26,7.06,5.29,224.67,406 CPT,89160,HC EXAM FECES FOR MEAT FIBERS,20.29,5.82,4.36,224.67,406 CPT,89190,HC NASAL SMEAR FOR EOSINOPHILS,27.9,6.95,4.75,224.67,406 CPT,89220,HC SPUTUM SPEC INDUCTION,130.6,24.814,1.306,401.49,404 CPT,89230,HC SWEAT COLLECTION FOR TST,157.22,29.8718,1.5722,297.4,406 CPT,89240,"HC STARCH GRANULES, FECES",81.06,15.4014,0.02,376.0,393 CPT,89310,HC SEMEN; MOTILITY & COUNT,36.14,10.33,7.75,224.67,406 CPT,89320,HC SEMEN ANAL VOL/COUNT/MOT,139.47,14.77,11.08,224.67,406 CPT,89321,HC SEMEN ANAL SPERM DETECTION,36.15,14.46,10.85,224.67,406 CPT,89325,HC SPERM ANTIBODIES,101.43,12.8,9.6,224.67,406 CPT,90288,BOTULISM IG IV,57300.0,10887.0,573.0,57300.0,421 CPT,90371,HEP B IG IM,1659.17808,315.2438355,11.061187,2469.396136,579 CPT,90375,RABIES IG IM/SC,3179.3958000000002,604.085202,21.195972,4239.1944,577 CPT,90378,RSV MAB IM 50MG,9070.362,1723.36878,90.70362,9070.362,578 CPT,90380,RSV MONOC ANTB SEASN .5ML IM,5748.498,1092.21462,57.48498,5748.498,501 CPT,90381,RSV MONOC ANTB SEASN 1 ML IM,5748.498,1092.21462,57.48498,5748.498,501 CPT,90384,HC RHO IG HUMAN FULL DOSE IM,31.4,5.966,0.314,25798.0,287 CPT,90396,VARICELLA-ZOSTER IG IM,28378.728,5391.95832,283.78728,28378.728,578 CPT,90460,HC IMMUN ADMIN 1ST/ONLY COMPONENT W/ COUNSELING <18 YEARS OF AGE,642.5,122.075,23.57,642.5,325 CPT,90461,HC IMMUN ADMIN EACH ADDL VACCINE/COMPONENT W/ COUNSELING <18 YEARS OF AGE,1.0,0.19,0.4,126.35,325 CPT,90471,HC IMMUN ADMIN,642.5,122.075,10.0,642.5,331 CPT,90472,HC IMMUN ADMIN EACH ADDL VACCINE/COMPONENT,578.25,109.8675,8.0,578.25,249 CPT,90473,HC IMMUNE ADMIN ORAL/NASAL 1 VACCINE,642.5,122.075,8.66,642.5,403 CPT,90474,HC IMMUNE ADMIN ORAL/NASAL ADDL,578.25,109.8675,12.2,578.25,249 CPT,90480,HC ADMN SARSCOV2 VACC 1 DOSE,130.0,24.7,1.3,348.0,319 CPT,90619,MENACWY-TT VACCINE IM,1806.8652,343.304388,18.068652,1806.8652,481 CPT,90620,MENB-4C VACCINE IM,2010.8844,382.068036,20.108844,2010.8844,495 CPT,90621,MENB-FHBP VACC 2/3 DOSE IM,1827.882,347.29758,18.27882,1827.882,495 CPT,90623,MENACWY-TT MENB-FHBP VACC IM,2369.178,450.14382,23.69178,2369.178,481 CPT,90632,HEPA VACCINE ADULT IM,812.0347200000001,154.2865965,5.413565,1082.71296,496 CPT,90633,HEPA VACC PED/ADOL 2 DOSE IM,354.5703,67.368357,3.545703,354.5703,495 CPT,90636,HEP A/HEP B VACC ADULT IM,1195.1226,227.073294,11.951226,1195.1226,495 CPT,90647,HIB PRP-OMP VACC 3 DOSE IM,329.2632,62.560008,3.292632,329.2632,495 CPT,90648,HIB PRP-T VACCINE 4 DOSE IM,724.9662,137.743578,7.249662,724.9662,495 CPT,90651,9VHPV VACCINE 2/3 DOSE IM,3472.56,659.7864,34.7256,3472.56,491 CPT,90653,IIV ADJUVANT VACCINE IM,1113.1344,211.49553600000002,7.420896,1484.1792,481 CPT,90656,IIV3 VACC NO PRSV 0.5 ML IM,245.36295,46.6189605,1.635753,327.1506,496 CPT,90657,IIV3 VACCINE SPLT 0.25 ML IM,117.77723999999999,22.377675500000002,0.785182,157.03632,496 CPT,90658,IIV3 VACCINE SPLT 0.5 ML IM,249.46488,47.3983275,1.663099,332.61984,496 CPT,90660,LAIV3 VACCINE INTRANASAL,350.89677,66.670386,2.963306,405.46296,496 CPT,90661,CCIIV3 VAC ABX FR 0.5 ML IM,482.28957,91.635018,3.215264,643.05276,501 CPT,90662,IIV NO PRSV INCREASED AG IM,884.7961290000001,168.1112645,5.898641,1179.728172,496 CPT,90670,PCV13 VACCINE IM,2925.59526,555.8630995,19.503968,3900.79368,496 CPT,90672,LAIV4 VACCINE INTRANASAL,309.94488,58.8895275,2.066299,413.25984,495 CPT,90673,RIV3 VACCINE NO PRESERV IM,937.20564,178.0690715,6.248038,1249.60752,501 CPT,90674,CCIIV4 VAC NO PRSV 0.5 ML IM,387.51048000000003,73.6269915,2.583403,516.68064,495 CPT,90675,RABIES VACCINE IM,3716.97984,706.2261695,24.779866,4955.97312,579 CPT,90677,PCV20 VACCINE IM,3379.7282400000004,642.1483655,22.531522,4506.30432,501 CPT,90678,RSV VACC PREF BIVALENT IM,3047.058,578.94102,28.97704,3047.058,501 CPT,90680,RV5 VACC 3 DOSE LIVE ORAL,994.4928,188.953632,9.944928,994.4928,495 CPT,90681,RV1 VACC 2 DOSE LIVE ORAL,1254.04985,238.269471,12.540498,1254.04985,495 CPT,90682,RIV4 VACC RECOMBINANT DNA IM,832.39002,158.15410350000002,5.549267,1109.85336,495 CPT,90686,IIV4 VACC NO PRSV 0.5 ML IM,253.449,48.15531,1.68966,337.932,495 CPT,90687,IIV4 VACCINE SPLT 0.25 ML IM,118.37826000000001,22.4918695,0.789188,157.83768,501 CPT,90688,IIV4 VACCINE SPLT 0.5 ML IM,236.75652000000002,44.9837385,1.578377,315.67536,495 CPT,90691,TYPHOID VACCINE IM,1654.128,314.28432,16.54128,1654.128,495 CPT,90696,DTAP-IPV VACCINE 4-6 YRS IM,615.6276,116.969244,6.156276,615.6276,495 CPT,90697,DTAP-IPV-HIB-HEPB VACCINE IM,1628.6256,309.438864,16.286256,1628.6256,501 CPT,90698,DTAP-IPV/HIB VACCINE IM,975.2778,185.302782,9.752778,975.2778,495 CPT,90700,DTAP VACCINE < 7 YRS IM,298.1601,56.650419,2.981601,298.1601,495 CPT,90702,DT VACCINE UNDER 7 YRS IM,288.729,54.85851,2.88729,288.729,501 CPT,90707,MMR VACCINE SC,1024.9218,194.735142,10.249218,1024.9218,495 CPT,90710,MMRV VACCINE SC,3262.1526,619.808994,28.97704,3262.1526,495 CPT,90713,POLIOVIRUS IPV SC/IM,480.3624,91.268856,4.803624,480.3624,495 CPT,90714,TD VACC NO PRESV 7 YRS+ IM,379.69722,72.1424715,2.531315,506.26296,496 CPT,90715,TDAP VACCINE 7 YRS/> IM,438.04152,83.2278885,2.920277,584.05536,496 CPT,90716,VAR VACCINE LIVE SUBQ,2191.0014,416.290266,21.910014,2191.0014,495 CPT,90717,YELLOW FEVER VACCINE SUBQ,1290.366,245.16954,12.90366,1290.366,501 CPT,90723,DTAP-HEP B-IPV VACCINE IM,778.9824,148.006656,7.789824,778.9824,495 CPT,90732,PPSV23 VACC 2 YRS+ SUBQ/IM,1513.57248,287.5787715,10.090483,2018.09664,491 CPT,90734,MENACWYD/MENACWYCRM VACC IM,1073.06396,203.882152,10.73064,1073.06396,495 CPT,90739,HEPB VACC 2/4 DOSE ADULT IM,1908.49932,362.6148705,12.723329,2544.66576,496 CPT,90740,HEPB VACC 3 DOSE IMMUNSUP IM,1793.44368,340.7542995,11.956291,2391.25824,501 CPT,90743,HEPB VACC 2 DOSE ADOLESC IM,852.1442999999999,161.907417,5.680962,1136.1924,501 CPT,90744,HEPB VACC 3 DOSE PED/ADOL IM,348.93179999999995,66.297042,2.326212,465.2424,496 CPT,90746,HEPB VACCINE 3 DOSE ADULT IM,798.06384,151.63212950000002,5.320426,1064.08512,496 CPT,90747,HEPB VACC 4 DOSE IMMUNSUP IM,1134.46112,215.547613,1.40752,2128.17024,582 CPT,90749,UNLISTED VACCINE/TOXOID,2107.8057154999997,400.48308599999996,21.460064,2146.006431,501 CPT,90750,HZV VACC RECOMBINANT IM,2432.1906,462.116214,24.321906,2432.1906,491 CPT,90785,HC PSYTX COMPLEX INTERACTIVE,60.54,11.5026,7.0,265.0,249 CPT,90791,HC PSYCH DIAGNOSTIC EVALUATION,720.35,45.61,45.0,1108.13,405 CPT,90792,HC PSYCH DIAG EVAL W/MED SRVCS,798.3,151.677,45.0,1139.94,405 CPT,90832,HC PSYTX W PT 30 MINUTES,1047.0,22.8,45.0,1047.0,405 CPT,90833,HC PSYTX W PT W E/M 30 MIN,1073.87,204.0353,45.0,1073.87,323 CPT,90834,HC PSYTX W PT 45 MINUTES,1446.08,45.61,45.0,1446.08,405 CPT,90834,HC SBHC/LCM AUDIO ONLY PSYTX W PT 45 MINUTES,1377.22,261.6718,45.0,1377.22,405 CPT,90836,HC PSYTX W PT W E/M 45 MIN,1349.07,256.3233,73.0,1349.07,323 CPT,90837,HC PSYTX W PT 60 MINUTES,2051.75,389.8325,45.0,2051.75,405 CPT,90838,HC PSYTX W PT W E/M 60 MIN,1762.49,334.8731,110.0,1762.49,323 CPT,90839,HC FQHC PSYCH THRPY FOR CRISIS 1ST 60 MIN,574.35,109.1265,45.0,1364.91,405 CPT,90840,HC FQHC PSYCH THRPY FOR CRISIS EA ADDL 30 MIN,274.81,52.2139,45.0,845.35,323 CPT,90845,HC PSYCHOANALYSIS,474.26,90.1094,65.0,705.14,405 CPT,90846,HC FAMILY PSYTX W/O PT 50 MIN,874.99,166.2481,45.0,1025.0,405 CPT,90847,HC FAMILY PSYTX W/PT 50 MIN,981.71,186.5249,45.0,1025.0,405 CPT,90847,HC SBHC/LCM AUDIO ONLY FAMILY PSYTX W/PT 50 MIN,981.34,186.4546,45.0,1025.0,405 CPT,90849,HC MULTIPLE FAMILY GROUP PSYTX,304.6,57.874,29.65,1025.0,353 CPT,90853,HC GROUP PSYCHOTHERAPY,274.16,22.8,24.06,1025.0,353 CPT,90863,HC PHARMACOLOGIC MGMT W/PSYTX,281.58,53.5002,2.8158,281.58,237 CPT,90870,ELECTROCONVULSIVE THERAPY,,,101.24,13453.0,315 CPT,90870,HC ELECTROCONVULSIVE THERAPY,2058.15,391.0485,101.24,13453.0,406 CPT,90875,HC INDIVIDUAL PSYCHOPHYSIOLOGICAL THERAPY 30 MINUTES,524.78,99.7082,5.2478,524.78,236 CPT,90876,HC INDIVIDUAL PSYCHOPHYSIOLOGICAL THERAPY 45 MINUTES,787.16,149.5604,7.8716,827.05,236 CPT,90880,HC HYPNOTHERAPY,732.13,45.61,81.16,1025.0,331 CPT,90882,HC ENVIRONMENTAL MANIPULATION,609.25,115.7575,6.0925,699.58,310 CPT,90887,HC CONSULTATION WITH FAMILY,189.43,35.9917,1.8943,646.26,311 CPT,90889,HC PREPARATION OF REPORT,511.04,97.0976,5.1104,592.93,236 CPT,90899,HC UNLISTED PSYCH SERVICE,494.87,94.0253,4.9487,494.87,369 CPT,90901,"HC BIOFEEDBACK TRAIN, ANY MODAL GO",168.95,32.1005,18.71,1025.0,332 CPT,90901,"HC PT BIOFEEDBACK TRAIN, ANY METH GP",168.95,32.1005,18.71,1025.0,332 CPT,90912,HC BFB TRAINING 1ST 15 MIN,258.03,49.0257,41.31,1025.0,331 CPT,90913,HC BFB TRAINING EA ADDL 15 MIN,64.51,12.2569,23.46,1025.0,331 CPT,90935,HC HEMODIALYSIS PROCEDURE,2887.13,548.5547,69.2,2887.13,405 CPT,90940,HC HEMODIALYSIS ACCESS FLOW STUDY,1827.0,347.13,18.27,1827.0,314 CPT,90945,HC DIALYSIS OTHER/THAN HEMODIALYSIS (CCPD),1588.0,301.72,84.0,2313.0,405 CPT,90945,HC DIALYSIS OTHER/THAN HEMODIALYSIS (CRRT),4087.03,776.5357,84.0,4087.03,405 CPT,90951,HC ESRD SERV 4 VISITS P MO <2YRS,1079.23,205.0537,268.34,8831.48,325 CPT,90952,HC ESRD SERV 2-3 VISITS P MO <2YRS,712.29,135.3351,7.1229,6261.04,314 CPT,90953,HC ESRD SERV 1 VISIT P MO <2YRS,269.81,51.2639,2.6981,4171.0,314 CPT,90954,HC ESRD SERV 4 VISITS P MO 2-11 YRS,935.4,177.726,268.34,7685.62,325 CPT,90955,HC ESRD SERV 2-3 VISITS P MO 2-11 YRS,617.36,117.2984,246.944,4347.62,325 CPT,90956,HC ESRD SERV 1 VISIT P MO 2-11 YRS,233.85,44.4315,93.54,3033.92,325 CPT,90957,HC ESRD SERV 4 OR MORE VISITS P MO 12-19 YRS,742.65,141.1035,268.34,6133.99,325 CPT,90958,HC ESRD SERV 2-3 VISITS P MO 12-19 YRS,490.15,93.1285,196.06,4178.23,325 CPT,90959,HC ESRD SERV 1 VISIT P MO 12-19 YRS,185.66,35.2754,74.264,2841.62,325 CPT,90960,HC ESRD SERV 4 OR MORE VISITS P MO 20+YRS,328.42,62.3998,131.368,2745.68,325 CPT,90961,HC ESRD SERV 2/3 VISITS P MO 20+YRS,216.75,41.1825,86.7,2319.7,325 CPT,90962,HC ESRD SERV 1 VISIT P MO 20+YRS,82.11,15.6009,32.844,2313.0,325 CPT,90963,HC ESRD SVC HOME DIALYSIS FULL MONTH <2YRS,1883.0,357.77,268.34,5203.77,325 CPT,90964,HC ESRD SVC HOME DIALYSIS FULL MONTH 2-11YRS,1712.0,325.28,268.34,4541.13,325 CPT,90965,HC ESRD SVC HOME DIALYSIS FULL MONTH 12-19YRS,1556.0,295.64,268.34,4316.51,325 CPT,90966,HC ESRD SVC HOME DIALYSIS FULL MONTH 20+YRS,1415.0,268.85,254.0,2316.03,325 CPT,90967,HC ESRD SVC PR DAY PT <2YRS,20.65,3.9235,8.26,2313.0,399 CPT,90968,HC ESRD SVC PR DAY PT 2-11YRS,18.32,3.4808,7.328,2313.0,399 CPT,90969,HC ESRD SVC PR DAY PT 12-19YRS,17.51,3.3269,7.004,2313.0,399 CPT,90970,HC ESRD SVC PR DAY PT 20+,10.0,1.9,4.0,2313.0,399 CPT,90989,HC DIALYSIS TRAINING COMPLETE CAPD,2225.0,422.75,22.25,3130.47,236 CPT,90989,HC DIALYSIS TRAINING COMPLETE CCPD,2225.0,422.75,22.25,3130.47,236 CPT,90993,HC DIALYSIS TRAINING INCOMPLETE,2330.0,442.7,23.3,2330.0,310 CPT,90993,HC DIALYSIS TRAINING INCOMPLETE (CAPD),2330.0,442.7,23.3,2330.0,310 CPT,90993,HC DIALYSIS TRAINING INCOMPLETE (CCPD),2330.0,442.7,23.3,2330.0,310 CPT,90999,HC DIALYSIS OTHER/THAN HEMODIALYSIS,1588.0,301.72,15.88,2313.0,285 CPT,90999,HC ESRD SERV 4 OR MORE VISITS P MO 12-19 YRS,742.65,141.1035,7.4265,2313.0,285 CPT,90999,HC ESRD SERV 4 OR MORE VISITS P MO 20+YRS,328.42,62.3998,3.2842,2313.0,285 CPT,90999,HC ESRD SVC HOME DIALYSIS FULL MONTH 12-19YRS,1556.0,295.64,15.56,2313.0,285 CPT,90999,HC ESRD SVC HOME DIALYSIS FULL MONTH 2-11YRS,1712.0,325.28,17.12,2313.0,285 CPT,90999,HC ESRD SVC HOME DIALYSIS FULL MONTH 20+YRS,1415.0,268.85,14.15,2313.0,285 CPT,90999,HC ESRD SVC HOME DIALYSIS FULL MONTH <2YRS,1883.0,357.77,18.83,2313.0,285 CPT,90999,HC HEMODIALYSIS PROCEDURE,2887.13,548.5547,28.8713,2887.13,285 CPT,90999,HC ULTRAFILTRATION ONLY,2470.0,469.3,24.7,2470.0,285 CPT,91010,HC ESOPHAGUS MOTILITY STUDY,1321.13,251.0147,110.0,25798.0,404 CPT,91020,HC GASTRIC MOTILITY STUDIES,4597.0,873.43,122.0,25798.0,404 CPT,91022,HC DUODENAL MOTILITY MANOMETRIC STUDY,4597.0,873.43,106.26,25798.0,404 CPT,91034,HC GASTROESOP RFLX W/NAS PH,1321.13,251.0147,145.4,25798.0,404 CPT,91035,G-ESOPH REFLX TST W/ELECTROD,,,267.08,25798.0,337 CPT,91035,HC G-ESOPH REFLUX W MUCOSAL PH,1321.13,251.0147,267.08,25798.0,404 CPT,91037,HC ESOPH IMPED FUNCTION TEST,655.49,124.5431,123.03,25798.0,404 CPT,91038,HC ESOPH IMPED FUNCT TEST > 1H,1321.13,251.0147,95.0,25798.0,404 CPT,91040,ESOPH BALLOON DISTENSION TST,,,466.93,25798.0,337 CPT,91065,HC BREATH HYDROGEN TEST,6346.39,1205.8141,25.25,25798.0,404 CPT,91110,GI TRC IMG INTRAL ESOPH-ILE,,,614.7,25798.0,313 CPT,91110,HC GI TRACT CAPSULE ENDOSCOPY,5212.35,990.3465,614.7,25798.0,404 CPT,91111,GI TRC IMG INTRAL ESOPHAGUS,,,657.28,25798.0,291 CPT,91117,HC COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I&R,4597.0,873.43,134.47,25798.0,404 CPT,91120,"HC RECTAL SESATION TEST, GRAD BALLOON DIST",4597.0,873.43,224.66,25798.0,404 CPT,91122,ANORECTAL MANOMETRY,,,188.0,25798.0,315 CPT,91122,HC ANORECTAL MANOMETRY,4597.0,873.43,188.0,25798.0,404 CPT,91200,HC LIVER ELASTOGRAPHY W/O IMAG W/I&R,541.52,102.8888,21.17,25798.0,404 CPT,91318,SARSCOV2 VAC 3MCG TRS-SUC IM,1982.232,376.62408,19.82232,1982.232,494 CPT,91319,SARSCV2 VAC 10MCG TRS-SUC IM,1327.2338,252.174422,13.272338,1327.2338,494 CPT,91320,SARSCV2 VAC 30MCG TRS-SUC IM,2107.1988,400.367772,21.071988,2107.1988,494 CPT,91321,SARSCOV2 VAC 25 MCG/.25ML IM,2214.9288,420.836472,22.149288,2214.9288,494 CPT,91322,SARSCOV2 VAC 50 MCG/0.5ML IM,2285.59988,434.263977,22.855999,2285.59988,494 CPT,92002,HC INTERM EYE EXAM NEW PT,332.0,63.08,43.77,626.47,319 CPT,92004,HC EYE EXAM NEW PATIENT 1+ VISITS,332.06,63.0914,90.09,1137.45,319 CPT,92012,HC INTERM EYE EXAM EST PT,265.65,50.4735,48.71,659.89,319 CPT,92014,COMPRE OPH EXAM EST PT 1/>,,,73.15,25798.0,248 CPT,92014,HC EYE EXAM EST PATIENT & EVAL 1+ VISITS,265.65,50.4735,73.15,25798.0,320 CPT,92015,HC DETERMINE REFRACTION,126.79,24.0901,1.2679,524.0,236 CPT,92018,COMPL OPH EXAM GENERAL ANES,,,138.68,25798.0,337 CPT,92019,LMTD OPH EXAM GENERAL ANES,,,71.69,25798.0,313 CPT,92020,GONIOSCOPY,,,19.71,25798.0,334 CPT,92020,HC GONIOSCOPY,132.08,25.0952,19.71,25798.0,406 CPT,92025,HC CPTRIZED CORNEAL TOPOGRAPHY UNI/BI W/I&R,196.86,37.4034,15.0,524.0,405 CPT,92060,HC SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I&R,317.57,60.3383,21.0,524.0,405 CPT,92065,HC ORTHOPTIC/PLEOPTIC TRAINING,152.15,28.9085,19.0,524.0,320 CPT,92081,HC LIMITED VISUAL FIELD EXAM,131.11,24.9109,18.72,524.0,405 CPT,92082,HC INTERMEDIATE VISUAL FIELD XM UNI/BI I&R,132.83,25.2377,27.8,524.0,405 CPT,92083,HC EXTENDED VISUAL FIELD XM UNI/BI I&R,177.5,33.725,38.64,524.0,405 CPT,92132,HC CMPTR OPHTH DX IMG ANT SEGMT W/I&R UNI/BI,205.62,39.0678,15.23,524.0,405 CPT,92133,HC CMPTR OPHTH IMG OPTIC NERVE,205.62,39.0678,15.23,524.0,405 CPT,92134,CPTRZ OPH DX IMG PST SGM RTA,,,15.58,25798.0,334 CPT,92134,HC CPTR OPHTH DX IMG POST SEGMT,205.62,39.0678,15.58,25798.0,406 CPT,92136,HC OPHTHALMIC BIOMETRY,438.66,83.3454,18.37,658.19,405 CPT,92201,HC OPSCPY EXTND RTA DRAW UNI/BI,199.92,37.9848,22.25,524.0,405 CPT,92202,HC OPSCPY EXTND ON/MAC DRAW UNI/BI,199.92,37.9848,14.21,524.0,405 CPT,92227,HC IMG RTA DETCJ/MNTR DS STAFF,120.0,22.8,15.0,524.0,405 CPT,92228,HC IMG RTA DETC/MNTR DS PHY/QHP,120.0,22.8,14.18,524.0,405 CPT,92230,HC FLUORESCEIN ANGIOSCOPY W INT & REP,1563.21,297.0099,31.31,1563.21,403 CPT,92235,FLUORESCEIN ANGRPH MLTIFRAME,,,107.0,25798.0,332 CPT,92235,HC FLUORESCEIN ANGRPH MLTIFRAME UNI/BI,977.61,185.7459,107.0,25798.0,404 CPT,92250,FUNDUS PHOTOGRAPHY W/I&R,,,17.32,25798.0,334 CPT,92250,HC FUNDUS PHOTOGRAPHY W/I&R,370.57,70.4083,17.32,25798.0,406 CPT,92260,HC OPHTHALMODYNAMOMETRY,742.61,141.0959,10.6,742.61,405 CPT,92285,HC EXTERNAL OCULAR PHOTOGRAPHY W/I&R DOCMT MED PROGRESS,196.86,37.4034,21.17,524.0,405 CPT,92286,HC ANT SGM IMG I&R SPECLR MIC,369.45,70.1955,18.72,524.0,405 CPT,92340,HC FIT GLASSES; MONOFOCAL,396.3,75.297,3.963,524.0,310 CPT,92341,HC FIT GLASSES; BIFOCAL,497.37,94.5003,4.9737,524.0,310 CPT,92342,HC FIT GLASSES; MULTIFOCAL,562.14,106.8066,5.6214,562.14,310 CPT,92370,HC REPAIR & REFIT GLASSES,345.9,65.721,3.459,524.0,236 CPT,92502,EAR AND THROAT EXAMINATION,,,96.05,25798.0,337 CPT,92504,EAR MICROSCOPY EXAMINATION,,,9.28,25798.0,156 CPT,92504,HC BINOCULAR MICROSCOPY,82.11,15.6009,9.28,25798.0,250 CPT,92507,HC TX SP LANG COMUNICAJ PCX DISORDER INDIV,615.83,117.0077,73.0,692.86,406 CPT,92508,HC TX SP LANG COMUNICAJ PCX DISORDER 2/>,179.59,34.1221,24.41,596.0,406 CPT,92511,HC NASOPHARYNGOSCOPY W ENDOSCOPE,3313.38,629.5422,38.26,25798.0,404 CPT,92516,HC FACIAL NERVE FUNCTION,315.13,59.8747,22.34,6487.0,406 CPT,92520,HC LARYNGEAL FUNCTION STUDIES,319.99,60.7981,39.59,596.0,406 CPT,92521,HC EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER),723.29,137.4251,127.0,1116.67,406 CPT,92522,HC EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE,1096.41,208.3179,103.0,1096.41,406 CPT,92523,HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION,1666.35,316.6065,214.0,1951.4,406 CPT,92524,HC BEHAVIORAL & QUALIT ANALYSIS VOICE AND RESONANCE,1096.41,208.3179,108.0,1096.41,406 CPT,92526,HC ORAL FUNCTION THERAPY GN,676.2,128.478,84.79,755.6,406 CPT,92537,HC CALORIC VSTBLR TEST W/REC BITHERMAL,798.22,151.6618,9.29,798.22,405 CPT,92538,HC CALORIC VSTBLR TEST W/REC MONOTHERMAL,798.22,151.6618,6.0,798.22,405 CPT,92540,HC BASIC VESTIBULAR EVAL,315.13,59.8747,21.0,500.74,405 CPT,92541,HC SPONTANEOUS NYSTAGMUS,187.37,35.6003,4.75,355.58,405 CPT,92542,HC POS NYSTAGMUS MIN 4 POS,212.52,40.3788,4.4,355.58,405 CPT,92544,HC OPTOKIN NYSTAGMUS W TEST,203.4,38.646,4.05,366.58,405 CPT,92545,HC OSCILLATING TRACKING TST,203.4,38.646,4.05,729.59,405 CPT,92546,HC SINUSOIDAL VERTICAL AXIS ROTATION,854.74,162.4006,100.0,974.4,405 CPT,92547,HC USE VERTICAL ELECTRODES,53.13,10.0947,10.83,500.74,323 CPT,92548,HC CDP-SOT 6 COND W/I&R,756.63,143.7597,14.53,862.94,405 CPT,92550,HC TYMPANOMETRY & REFL THR,186.05,35.3495,21.54,366.58,405 CPT,92551,HC SCREEN TONE AIR ONLY,231.58,44.0002,2.3158,355.58,310 CPT,92552,"HC PURE TONE AUDIOMETRY, AIR",269.27,51.1613,23.0,355.58,405 CPT,92553,HC PTA AIR AND BONE,326.03,61.9457,34.0,413.9,405 CPT,92555,HC SPEECH AUDIOM THRESHOLD,204.07,38.7733,19.0,355.58,405 CPT,92556,HC SA THRESHOLD W SR,326.51,62.0369,30.0,406.64,405 CPT,92557,HC COMPREHENSIVE HEARING TEST,305.5,58.045,31.24,366.58,405 CPT,92558,HC EVOKED AUDITORY TEST QUAL,571.15,108.5185,5.7115,571.15,310 CPT,92563,HC TONE DECAY TEST,132.83,25.2377,19.0,355.58,405 CPT,92565,HC STENGER PURE TONE,147.32,27.9908,20.0,355.58,405 CPT,92567,HC TYMPANOMETRY,130.41,24.7779,10.6,25798.0,406 CPT,92567,TYMPANOMETRY,,,10.6,25798.0,312 CPT,92568,HC ACOUSTIC REFLEX TEST,128.0,24.32,14.79,355.58,405 CPT,92570,HC ACOUSTIC IMMITTANCE,233.05,44.2795,28.3,366.58,405 CPT,92577,HC STENGER SPEECH TEST,588.31,111.7789,24.31,1243.16,405 CPT,92579,HC VRA,362.25,68.8275,36.09,366.58,405 CPT,92582,HC CONDITIONING PLAY AUDIO,626.69,119.0711,37.0,794.71,405 CPT,92583,HC SELECT PICTURE AUDIO,450.4,85.576,46.0,571.94,405 CPT,92584,HC ELECTROCOCHLEOGRAPHY,609.79,115.8601,110.09,773.2,405 CPT,92587,HC EVOKED AUDITORY TEST,315.13,59.8747,4.05,729.59,405 CPT,92588,HC OAE; COMPR,464.35,88.2265,5.44,729.59,405 CPT,92590,HC HEARING AID EXAMINATION & SELECTION MONAURAL,385.19,73.1861,3.8519,468.4,310 CPT,92591,HC HEARING AID EX BOTH EARS,181.04,34.3976,1.8104,595.9,310 CPT,92592,HC HEARING AID CHECK MONAURAL,164.22,31.2018,1.6422,355.58,310 CPT,92593,HC HEARING AID CHECK BOTH,83.75,15.9125,0.8375,355.58,310 CPT,92594,HC ELEC HEARING AID TST ONE,164.22,31.2018,1.6422,355.58,310 CPT,92595,HC ELEC HEARIN AID TST BOTH,205.28,39.0032,2.0528,385.38,310 CPT,92596,HC EAR PROTECTOR EVAL,376.74,71.5806,30.0,478.52,405 CPT,92597,HC ORAL SPEECH DEVICE EVAL GN,607.37,115.4003,72.73,676.84,406 CPT,92605,HC EX FOR NONSPEECH DEVICE RX,992.57,188.5883,9.9257,992.57,394 CPT,92606,HC NON-SPEECH DEVICE TX,1016.72,193.1768,10.1672,1016.72,394 CPT,92607,"HC EX FOR SPEECH DEVICE RX, 1HR GN",793.33,150.7327,124.21,1178.55,406 CPT,92608,HC EX FOR SPEECH DEVICE RX EA ADDL 30 MIN,521.64,99.1116,28.0,596.0,406 CPT,92609,HC USE OF SPEECH DEVICE SERVICE GN,966.0,183.54,76.0,970.65,406 CPT,92610,HC EVALUATE SWALLOWING FUNCTION GN,1052.94,200.0586,55.0,1052.94,406 CPT,92611,HC MOTION FLUOROSCOPY/SWALLOW,1327.04,252.1376,59.0,1327.04,406 CPT,92612,HC ENDOSCOPY SWALLOW TST (FEES) GN,954.71,181.3949,65.21,11996.0,404 CPT,92618,HC EX FOR NONSPEECH DEV RX ADD,496.28,94.2932,4.9628,596.0,394 CPT,92625,HC TINNITUS ASSESSMENT,483.0,91.77,59.0,594.6,405 CPT,92626,HC EVAL AUD FUNCJ 1ST HOUR,1147.13,217.9547,29.09,1147.13,406 CPT,92627,HC EVAL AUD FUNCJ EA ADDL 15,264.44,50.2436,17.07,596.0,324 CPT,92630,HC AUD REHAB PRE-LING HEAR LOSS,406.93,77.3167,4.0693,596.0,309 CPT,92633,HC AUD REHAB POSTLING HEAR LOSS,338.1,64.239,3.381,596.0,309 CPT,92640,AUD BRAINSTEM IMPLT PROGRAMG,,,66.0,25798.0,262 CPT,92650,HC AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS,531.3,100.947,5.313,6487.0,310 CPT,92651,HC AEP HEARING STATUS DETER BROADBAND STIMULI I&R,507.18,96.3642,79.69,881.76,405 CPT,92652,AEP THRSHLD EST MLT FREQ I&R,,,109.09,25798.0,284 CPT,92652,HC AEP THRESHOLD ESTIMATION MLT FREQUENCIES I&R,961.14,182.6166,109.09,25798.0,406 CPT,92653,HC AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT,961.14,182.6166,81.8,961.14,405 CPT,92700,HC ENT PROCEDURE/SERVICE,78.49,14.9131,0.7849,11996.0,367 CPT,92920,HC PRQ CARDIAC ANGIOPLAST 1 ART,15411.88,2928.2572,548.37,64677.0,406 CPT,92920,PRQ CARDIAC ANGIOPLAST 1 ART,,,548.37,64677.0,336 CPT,92921,HC PRQ CARDIAC ANGIO ADDL ART,15411.88,2928.2572,154.1188,64677.0,317 CPT,92921,PRQ CARDIAC ANGIO ADDL ART,,,376.0,64677.0,239 CPT,92924,HC PRQ CARD ANGIO/ATHRECT 1 ART,31047.74,5899.0706,653.04,64677.0,406 CPT,92924,PRQ CARD ANGIO/ATHRECT 1 ART,,,653.04,64677.0,336 CPT,92925,HC PRQ CARD ANGIO/ATHRECT ADDL,31047.74,5899.0706,310.4774,64677.0,317 CPT,92925,PRQ CARD ANGIO/ATHRECT ADDL,,,3225.67,64677.0,236 CPT,92928,HC PRQ CARD STENT W/ANGIO 1 VSL,22336.4,4243.916,608.86,64677.0,406 CPT,92928,PRQ CARD STENT W/ANGIO 1 VSL,,,608.86,64677.0,336 CPT,92929,HC PRQ CARD STENT W/ANGIO ADDL,22336.4,4243.916,223.364,64677.0,317 CPT,92929,PRQ CARD STENT W/ANGIO ADDL,,,855.0,64677.0,239 CPT,92933,HC PRQ CARD STENT/ATH/ANGIO,22336.4,4243.916,683.96,64677.0,406 CPT,92933,PRQ CARD STENT/ATH/ANGIO,,,683.96,64677.0,336 CPT,92934,HC PRQ CARD STENT/ATH/ANGIO ADDL,22336.4,4243.916,223.364,64677.0,317 CPT,92937,HC PRQ REVASC BYP GRAFT 1 VSL,22336.4,4243.916,608.54,64677.0,406 CPT,92937,PRQ REVASC BYP GRAFT 1 VSL,,,608.54,64677.0,336 CPT,92938,HC PRQ REVASC BYP GRAFT ADDL,22336.4,4243.916,223.364,64677.0,317 CPT,92941,HC PRQ CARD REVASC MI 1 VSL,22336.4,4243.916,684.38,64677.0,323 CPT,92943,HC PRQ CARD REVASC CHRONIC 1VSL,22336.4,4243.916,684.58,64677.0,406 CPT,92943,PRQ CARD REVASC CHRONIC 1VSL,,,684.58,64677.0,336 CPT,92944,HC PRQ CARD REVASC CHRONIC ADDL,22336.4,4243.916,223.364,64677.0,317 CPT,92944,PRQ CARD REVASC CHRONIC ADDL,,,855.0,64677.0,239 CPT,92950,HC HEART/LUNG RESUSCITATION CPR,2322.34,441.2446,182.25,25798.0,812 CPT,92953,HC TEMP TRANSCUTAN PACING,1091.8,207.442,1.22,25798.0,406 CPT,92960,CARDIOVERSION ELECTRIC EXT,,,107.59,25798.0,336 CPT,92960,"HC CATH/EP CARDIOVERSION ELECTRIC, EXT",7308.51,1388.6169,107.59,25798.0,406 CPT,92961,"HC CATH/EP CARDIOVERSION, ELECTRIC, INT",2005.67,381.0773,252.74,45917.0,406 CPT,92972,HC CATH/EP PERQ TRLUML CORONRY LITHOTRP,7212.51,1370.3769,144.69,45917.0,302 CPT,92972,PERQ TRLUML CORONRY LITHOTRP,,,144.69,45917.0,185 CPT,92973,HC CATH/EP PERCUT CORONARY THROMBECTOMY,7212.51,1370.3769,182.13,45917.0,244 CPT,92974,HC CATH/EP BRACHYTHERAPY,1701.05,323.1995,166.41,45917.0,245 CPT,92975,"HC CATH/EP DISSOLVE CLOT, HEART VESSEL",3304.83,627.9177,389.92,52989.0,323 CPT,92978,ENDOLUMINL IVUS OCT C 1ST,,,236.87,33001.0,173 CPT,92978,"HC CATH/EP INTRAVASC US, HEART ADD-ON",6098.96,1158.8024,60.9896,33001.0,301 CPT,92979,ENDOLUMINL IVUS OCT C EA,,,119.83,33001.0,173 CPT,92979,HC CATH/EP IVUS ADDITIONAL VESSEL,4879.16,927.0404,48.7916,33001.0,301 CPT,92986,HC CATH/EP REVISION OF AORTIC VALVE,11939.37,2268.4803,1371.0,64677.0,406 CPT,92986,REVISION OF AORTIC VALVE,,,1371.0,64677.0,339 CPT,92987,HC CATH/EP REVISION OF MITRAL VALVE,12356.26,2347.6894,1424.63,64677.0,406 CPT,92987,REVISION OF MITRAL VALVE,,,1424.63,64677.0,339 CPT,92990,HC CATH/EP REVISION OF PULMONARY VALVE,14483.91,2751.9429,1093.0,52989.0,406 CPT,92990,REVISION OF PULMONARY VALVE,,,1093.0,52989.0,339 CPT,92997,HC CATH/EP PRQ TRLUML P-ART BALO ANGIOP 1 VSL,21120.45,4012.8855,648.14,64677.0,406 CPT,92997,PUL ART BALLOON REPR PERCUT,,,648.14,64677.0,339 CPT,92998,HC CATH/EP PRQ TRLUML P-ART BALO ANGIOP EA VSL,21120.45,4012.8855,329.09,64677.0,324 CPT,92998,PUL ART BALLOON REPR PERCUT,,,329.09,64677.0,257 CPT,93005,ELECTROCARDIOGRAM TRACING,,,6.84,25798.0,356 CPT,93005,"HC ELECTROCARDIOGRAM, TRACING",515.81,98.0039,6.84,25798.0,404 CPT,93005,"HC ELECTROCARDIOGRAM, TRACING 76",515.81,98.0039,6.84,25798.0,404 CPT,93015,HC CARDIOVASCULAR STRESS TEST XERS&/OR RX CONT ECG W/SI&R,1804.91,342.9329,74.39,1804.91,399 CPT,93017,HC CARD REHAB STRESS TEST,1718.97,326.6043,40.59,1718.97,405 CPT,93017,HC CARDIOVASCULAR STRESS TEST,1718.97,326.6043,40.59,1718.97,405 CPT,93024,HC ERGONOVINE PROVOCATION TST,501.74,95.3306,56.0,934.92,405 CPT,93025,HC MICROVOLT T-WAVE ASSESS,1190.35,226.1665,96.14,1423.47,405 CPT,93040,HC RHYTHM ECG 1-3LEAD W/RPT,756.38,143.7122,13.8,756.38,397 CPT,93041,HC CARDIAC MONITORING,339.18,64.4442,7.19,339.18,403 CPT,93150,HC THERAPY ACTIVATION IPNSS,365.0,69.35,41.01,410.21,383 CPT,93152,HC INTERROG & PRGRMG IPNSS POLYSM,3346.0,635.74,86.72,3346.0,383 CPT,93153,HC INTERROG W/O PRGRMG IPNSS,365.0,69.35,21.28,365.0,383 CPT,93225,"HC ECG MONITOR/RECORD, 48 HRS",629.73,119.6487,19.07,635.06,406 CPT,93226,HC XTRNL ECG REC<48 HR SCAN A/R,940.76,178.7444,36.19,940.76,406 CPT,93228,HC REMOTE 30 DAY ECG REV/REPORT,629.73,119.6487,24.94,629.73,243 CPT,93229,HC REMOTE 30 DAY ECG TECH SUPP,531.06,100.9014,212.424,7772.24,326 CPT,93241,HC EXT ECG>48HR<7D REC SCAN A/R,1633.0,310.27,233.98,1633.0,322 CPT,93242,HC EXT ECG>48HR<7D RECORDING,1633.0,310.27,12.44,1633.0,405 CPT,93243,HC EXT ECG>48HR<7D SCAN A/R,1633.0,310.27,149.48,1633.0,405 CPT,93245,HC EXT ECG>7D<15D REC SCAN A/R,2449.5,465.405,236.64,2449.5,322 CPT,93246,HC EXT ECG>7D<15D RECORDING,2449.5,465.405,12.44,2449.5,405 CPT,93247,HC EXT ECG>7D<15D SCAN A/R,2449.5,465.405,149.48,2449.5,405 CPT,93260,HC PRGRMG DEV EVAL IMPLTBL SYS,158.98,30.2062,27.0,102512.0,406 CPT,93261,HC INTERROGATE SUBQ DEFIB,158.98,30.2062,27.0,102512.0,406 CPT,93268,HC EXTERNAL PT ACTIV ECG TRANSMIS W/R&I,531.06,100.9014,175.2,2312.29,243 CPT,93270,HC REMOTE PT 30 DAY ECG REV/REPORT,102.39,19.4541,8.6,102.39,326 CPT,93271,HC EXTERNAL PT ACTIVATED ECG REC DWNLD 30 DAYS,993.0,188.67,108.62,1980.42,326 CPT,93278,HC EKG SIGNAL-AVERAGED,206.07,39.1533,20.47,252.0,403 CPT,93279,HC PRGRMG DEV EVAL PM/LDLS PM,526.05,99.9495,37.58,526.05,405 CPT,93280,HC PPM PROGRAM EVAL DUAL,604.1,114.779,43.24,604.1,405 CPT,93281,"HC CATH/EP PM DEVICE PROGR EVAL, MULTI",682.2,129.618,34.0,682.2,405 CPT,93282,HC PRGRMG EVAL IMPLANTABLE DFB 1 SNGL,1458.76,277.1644,30.0,1458.76,405 CPT,93283,HC PRGRMG EVAL IMPLANTABLE DFB 1DUAL,1676.73,318.5787,35.0,1676.73,405 CPT,93284,HC PRGRMG EVAL IMPLANTABLE DFB MULT,1894.71,359.9949,40.0,1894.71,405 CPT,93285,HC PRGRMG DEV EVAL SCRMS IP,2041.51,387.8869,24.0,2041.51,405 CPT,93286,HC PERI-PX EVAL PM/LDLS PM IP,2041.51,387.8869,31.64,2041.51,323 CPT,93287,HC PERI-PX DEVICE EVAL & PRGR,2041.51,387.8869,18.0,2041.51,323 CPT,93288,HC INTERROG EVL PM/LDLS PM IP,2041.51,387.8869,37.23,2041.51,405 CPT,93289,HC INTERROG DEVICE EVAL HEART,2041.51,387.8869,29.0,2041.51,405 CPT,93290,HC INTERROG DEV EVAL ICPMS IP,2041.51,387.8869,13.0,2041.51,405 CPT,93291,HC INTERROG DEV EVAL SCRMS IP,2041.51,387.8869,21.0,2041.51,405 CPT,93293,HC CATH/EP PM PHONE R-STRIP DEVICE EVAL,2041.51,387.8869,29.21,2041.51,405 CPT,93296,HC REM INTERROG EVL PM/IDS,226.85,43.1015,21.17,376.0,405 CPT,93297,HC REM INTERROG DEV EVAL ICPMS,138.39,26.2941,28.0,246.41,326 CPT,93298,HC REM INTERROG DEV EVAL SCRMS,140.24,26.6456,33.0,246.41,326 CPT,93303,HC TTE CONG ABN; COMPLETE,2666.13,506.5647,163.06,3131.0,405 CPT,93304,HC TTE CONG ABN; LIMITED/F-UP,1893.04,359.6776,122.69,3131.0,405 CPT,93306,"HC TTE W/DOPPLER, COMPLETE",3309.95,628.8905,133.02,3309.95,405 CPT,93307,"HC TTE W/O DOPPLER, COMPLETE",1039.31,197.4689,97.18,3131.0,405 CPT,93308,HC TTE F-UP OR LMTD,911.32,173.1508,76.92,25798.0,406 CPT,93308,TTE F-UP OR LMTD,,,76.92,25798.0,358 CPT,93312,ECHO TRANSESOPHAGEAL,,,135.12,25798.0,358 CPT,93312,HC TEE R-T IMG 2D W/PRB IMG ACQUISJ I&R,4219.99,801.7981,135.12,25798.0,406 CPT,93313,HC ECHO R-T 2D W/PROBE PLACEMENT ONLY,1894.5,359.955,10.92,3131.0,374 CPT,93314,HC ECHO TRANSESOPHAGEAL IMAGE I&R ONLY,3602.38,684.4522,142.1,3602.38,323 CPT,93315,HC TEE CGEN CAR ANOML PRB ACQUISJ I&R,1056.31,200.6989,10.5631,3131.0,405 CPT,93317,HC TEE CONGENITAL; INT & REP,464.81,88.3139,4.6481,3131.0,322 CPT,93318,HC TEE FOR MONITORING,3592.76,682.6244,35.9276,4307.98,405 CPT,93320,DOPPLER ECHO COMPLETE,,,34.44,25798.0,257 CPT,93320,HC DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY,1614.01,306.6619,34.44,25798.0,324 CPT,93321,HC DOPPLER ECHO;LMITED F/UP,807.64,153.4516,18.51,1004.38,323 CPT,93325,DOPPLER ECHO COLOR FLOW MAPG,,,20.61,25798.0,274 CPT,93325,HC DOPPLER COLOR FLOW ADD-ON,774.37,147.1303,20.61,25798.0,322 CPT,93350,HC STRESS TTE ONLY,2680.22,509.2418,88.0,2680.22,405 CPT,93351,HC STRESS TTE COMPLETE,2680.22,509.2418,156.64,2680.22,405 CPT,93355,HC ECHO TRANSESOPHAGEAL (TEE),2622.62,498.2978,219.08,2622.62,323 CPT,93356,HC MYOCRD STRAIN IMG SPCKL TRCK,455.66,86.5754,11.7,1004.38,323 CPT,93451,HC CATH/EP RIGHT HEART CATH,26108.42,4960.5998,722.92,43390.0,406 CPT,93451,RIGHT HEART CATH,,,722.92,43390.0,336 CPT,93452,HC CATH/EP L HRT CATH W/VENTGRPHY,28719.52,5456.7088,656.54,43390.0,406 CPT,93453,HC CATH/EP R&L HRT CATH W/VENTGRPHY,37595.97,7143.2343,823.38,43390.0,406 CPT,93453,R&L HRT CATH W/VENTRICLGRPHY,,,823.38,43390.0,336 CPT,93454,CORONARY ARTERY ANGIO S&I,,,660.38,43390.0,336 CPT,93454,HC CATH/EP CORONARY ART ANGIO S&I,32291.72,6135.4268,660.38,43390.0,406 CPT,93455,CORONARY ART/GRFT ANGIO S&I,,,724.66,43390.0,336 CPT,93455,HC CATH/EP CORO ART/GRFT ANGIO S&I,24246.62,4606.8578,724.66,43390.0,406 CPT,93456,HC CATH/EP R HRT CORONARY ART ANGIO,27152.86,5159.0434,807.46,43390.0,406 CPT,93456,R HRT CORONARY ARTERY ANGIO,,,807.46,43390.0,336 CPT,93457,HC CATH/EP R HRT ART/GRFT ANGIO,30808.4,5853.596,870.89,43390.0,406 CPT,93457,R HRT ART/GRFT ANGIO,,,870.89,43390.0,336 CPT,93458,HC CATH/EP L HRT ART/VENTRCLE ANGIO,26108.42,4960.5998,741.29,43390.0,406 CPT,93458,L HRT ARTERY/VENTRICLE ANGIO,,,741.29,43390.0,336 CPT,93459,HC CATH/EP L HRT ART/GRFT ANGIO,28719.52,5456.7088,780.77,43390.0,406 CPT,93459,L HRT ART/GRFT ANGIO,,,780.77,43390.0,336 CPT,93460,HC CATH/EP R&L HRT ART/VENT ANGIO,30808.4,5853.596,862.16,43390.0,406 CPT,93460,R&L HRT ART/VENTRICLE ANGIO,,,862.16,43390.0,336 CPT,93461,HC CATH/EP R&L HRT ART/VENT ANGIO,34984.87,6647.1253,950.75,43390.0,406 CPT,93461,R&L HRT ART/VENTRICLE ANGIO,,,950.75,43390.0,336 CPT,93462,HC CATH/EP L HRT CATH TRNSPTL PUNC,10930.72,2076.8368,214.22,43390.0,324 CPT,93462,L HRT CATH TRNSPTL PUNCTURE,,,214.22,43390.0,254 CPT,93463,DRUG ADMIN & HEMODYNMIC MEAS,,,95.72,25798.0,233 CPT,93463,HC CATH/EP DRUG ADMN&HEMODYMIC MEAS,4246.87,806.9053,95.72,25798.0,324 CPT,93464,EXERCISE W/HEMODYNAMIC MEAS,,,133.51,25798.0,233 CPT,93464,HC CATH/EP EXER W/HEMODYNMIC MEAS,1727.93,328.3067,133.51,25798.0,324 CPT,93503,HC CATH/EP INSERT/PLACE HEART CATHETER,6951.4,1320.766,85.79,43390.0,406 CPT,93505,ENDOMYOCARDIAL BIOPSY,,,100.0,34407.0,339 CPT,93505,HC CATH/EP BIOPSY OF HEART LINING,4881.73,927.5287,100.0,34407.0,406 CPT,93563,HC CATH/EP P INJ CONG CARD CATH,9108.12,1730.5428,52.13,34407.0,302 CPT,93563,NJX CGEN CAR CTH SLCTV C ANG,,,52.13,34407.0,235 CPT,93564,HC CATH/EP P INJ HRT CONG ART/GRAFT,9434.5,1792.555,57.3,34407.0,302 CPT,93565,HC CATH/EP INJ L VENT/ATRIAL ANG,7157.48,1359.9212,28.67,34407.0,302 CPT,93565,NJX CAR CTH SLCTV LV/LA ANG,,,28.67,34407.0,235 CPT,93566,HC CATH/EP INJ R VENT/ATRIAL ANG,7157.48,1359.9212,26.24,34407.0,302 CPT,93566,NJX CAR CTH SLCTV RV/RA ANG,,,26.24,34407.0,235 CPT,93567,HC CATH/EP INJ SUPRVLV AORTGRAPY,8132.8,1545.232,38.99,34407.0,302 CPT,93567,NJX CAR CTH SPRVLV AORTGRPHY,,,38.99,34407.0,235 CPT,93568,HC CATH/EP INJ PULM ART HRT CATH,7320.03,1390.8057,48.12,34407.0,302 CPT,93568,NJX CAR CTH NSLC P-ART ANGRP,,,48.12,34407.0,235 CPT,93569,HC NJX CTH SLCT P-ART ANGRP UNI,2408.66,457.6454,36.4,34407.0,324 CPT,93569,NJX CTH SLCT P-ART ANGRP UNI,,,36.4,34407.0,257 CPT,93571,HC CATH/EP HEART FLOW RESERVE MEASURE,6674.93,1268.2367,66.7493,25798.0,301 CPT,93571,HEART FLOW RESERVE MEASURE,,,236.87,25798.0,149 CPT,93572,HC CATH/EP IV DOPPLER; EA ADDTL VESSEL,5339.95,1014.5905,53.3995,25798.0,301 CPT,93572,HEART FLOW RESERVE MEASURE,,,96.98,25798.0,149 CPT,93573,HC NJX CATH SLCT P-ART ANGRP BI,2408.66,457.6454,60.48,34407.0,324 CPT,93573,NJX CATH SLCT P-ART ANGRP BI,,,60.48,34407.0,257 CPT,93574,HC NJX CATH SLCT PULM VN ANGRPH,2408.66,457.6454,67.68,34407.0,324 CPT,93574,NJX CATH SLCT PULM VN ANGRPH,,,67.68,34407.0,257 CPT,93575,HC NJX CATH SLCT P ANGRPH MAPCA,2408.66,457.6454,89.82,34407.0,324 CPT,93575,NJX CATH SLCT P ANGRPH MAPCA,,,89.82,34407.0,257 CPT,93580,HC CATH/EP TRANSCATH CLOSURE OF ASD,32494.08,6173.8752,1009.33,42496.37,406 CPT,93580,TRANSCATH CLOSURE OF ASD,,,1009.33,42496.37,339 CPT,93581,HC CATH/EP TRANSCATH CLOSURE OF VSD,61235.62,11634.7678,1375.36,61235.62,406 CPT,93581,TRANSCATH CLOSURE OF VSD,,,1375.36,42496.37,339 CPT,93582,HC PERQ TRANSCATH CLOSURE PDA,20412.64,3878.4016,685.9,42496.37,406 CPT,93582,PERQ TRANSCATH CLOSURE PDA,,,685.9,42496.37,336 CPT,93583,HC PERQ TRANSCATH SEPTAL REDUXN,16287.16,3094.5604,768.75,50020.0,323 CPT,93584,HC VNGRPH CHD ANOM/PERSIST SVC,61235.62,11634.7678,57.79,61235.62,302 CPT,93584,VNGRPH CHD ANOM/PERSIST SVC,,,57.79,34407.0,235 CPT,93585,HC VNGRPH CHD AZYGS/HEMI-AZYGS,61235.62,11634.7678,54.58,61235.62,302 CPT,93585,VNGRPH CHD AZYGS/HEMIAZYGS,,,54.58,34407.0,213 CPT,93586,HC VNGRPH CHD CORONARY SINUS,61235.62,11634.7678,69.38,61235.62,301 CPT,93587,HC VNGRPH CHD VNVN CLTRL AT/ABV,61235.62,11634.7678,101.08,61235.62,302 CPT,93587,VNGRPH CHD VNVN CLTRL AT/ABV,,,101.08,34407.0,235 CPT,93588,HC VNGRPH CHD VNVN CLTRL BELOW,61235.62,11634.7678,102.6,61235.62,301 CPT,93590,HC PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL VALVE,58384.62,11093.0778,1045.37,58384.62,406 CPT,93590,PERQ TRANSCATH CLS MITRAL,,,1045.37,42496.37,336 CPT,93591,HC PERQ TRANSCATH CLS AORTIC,57185.55,10865.2545,868.01,57185.55,406 CPT,93592,PERQ TRANSCATH CLOSURE EACH,,,374.49,34407.0,257 CPT,93593,HC CATH/EP R HRT CATH CHD NML NT CNJ,10930.72,2076.8368,109.3072,34407.0,406 CPT,93593,R HRT CATH CHD NML NT CNJ,,,181.17,34407.0,325 CPT,93594,HC CATH/EP R HRT CATH CHD ABNL NT CNJ,10930.72,2076.8368,109.3072,34407.0,406 CPT,93594,R HRT CATH CHD ABNL NT CNJ,,,277.87,34407.0,325 CPT,93595,HC CATH/EP L HRT CATH CHD NM/ABN NT CNJ,10930.72,2076.8368,109.3072,34407.0,406 CPT,93596,HC CATH/EP R&L HRT CATH CHD NML NT CNJ,16396.08,3115.2552,163.9608,34407.0,406 CPT,93596,R&L HRT CATH CHD NML NT CNJ,,,307.59,34407.0,325 CPT,93597,HC CATH/EP R&L HRT CATH CHD ABNL NT CNJ,16396.08,3115.2552,163.9608,34407.0,406 CPT,93597,R&L HRT CATH CHD ABNL NT CNJ,,,399.68,34407.0,325 CPT,93598,HC CATH/EP CAR OUTP MEAS DRG CATH CHD,315.22,59.8918,3.1522,25798.0,323 CPT,93600,HC CATH/EP BUNDLE OF HIS RECORDING,1205.52,229.0488,12.0552,54668.0,406 CPT,93602,HC CATH/EP INTRA-ATRIAL RECORDING,3612.53,686.3807,36.1253,54668.0,406 CPT,93603,HC CATH/EP RIGHT VENTRICULAR RECORDING,1338.56,254.3264,13.3856,54668.0,406 CPT,93609,"HC CATH/EP MAP TACHYCARDIA, ADD-ON",6897.65,1310.5535,68.9765,54668.0,301 CPT,93610,HC CATH/EP INTRA-ATRIAL PACING,3612.53,686.3807,36.1253,54668.0,406 CPT,93610,INTRA-ATRIAL PACING,,,71.94,54668.0,325 CPT,93612,HC CATH/EP INTRAVENTRICULAR PACING,3041.35,577.8565,30.4135,54668.0,406 CPT,93612,INTRAVENTRICULAR PACING,,,85.17,54668.0,325 CPT,93613,"HC CATH/EP ELECTROPHYS MAP 3D, ADD-ON",33300.46,6327.0874,300.95,54668.0,302 CPT,93613,INTRACARDIAC EPHYS 3D MAPG,,,300.95,54668.0,235 CPT,93615,HC CATH/EP ESOPHGL REC ATR EGRM +-VENTR EGRM,1205.71,229.0849,12.0571,54668.0,406 CPT,93616,ESOPHAGEAL RECORDING W/PACG,,,21.91,54668.0,325 CPT,93616,HC CATH/EP ESOPHGL REC ATR EGRM +-VENTR EGRM W/PACG,1406.66,267.2654,14.0666,54668.0,406 CPT,93618,HC CATH/EP HEART RHYTHM PACING,3612.05,686.2895,36.1205,124559.0,406 CPT,93618,INDCTJ ARRHYTHMIA ELEC PACG,,,207.91,124559.0,325 CPT,93619,HC COMPRE EP W/O ARRHYT INDUCTION,19815.72,3764.9868,198.1572,124559.0,406 CPT,93620,COMP EP EVL R AT VEN PAC&REC,,,434.1,124559.0,325 CPT,93620,HC CATH/EP COMPRE ELECTROPHYSIOLOGIC W/ ARRHYT HMIA INDUCT,51360.55,9758.5045,434.1,124559.0,406 CPT,93621,HC CATH/EP COMPRE ELECTROPHYSIOLOGIC W/L ATR PAC/REC,9298.83,1766.7777,92.9883,124559.0,301 CPT,93622,HC CATH/EP COMPRE ELECTROPHYSIOLOGIC W/L VENTR PAC/REC,13626.35,2589.0065,136.2635,124559.0,301 CPT,93623,HC CATH/EP PROGRAMMED STIMJ & PACG AFTER IV DRUG NFS,31022.29,5894.2351,138.0,124559.0,301 CPT,93623,PRGRMD STIMJ&PACG IV RX NFS,,,138.0,124559.0,223 CPT,93624,HC CATH/EP EP STUDY FU W/PAC/REC W/ARRHYT,6757.37,1283.9003,67.5737,54668.0,406 CPT,93631,HC CATH/EP INTRAOP EPICAR& ENDOCAR PACG& MAPG,1885.36,358.2184,18.8536,54668.0,301 CPT,93640,HC CATH/EP INITIAL IMPLANT/REPLACE HEART DEVICE,6273.03,1191.8757,62.7303,54668.0,301 CPT,93641,EP EVL 1/2CHMB PAC CVDFB TST,,,354.0,54668.0,223 CPT,93641,HC CATH/EP EPHYS EVAL PACG CVDFB LDS W/TSTG OF PULSE GEN,10633.82,2020.4258,106.3382,54668.0,301 CPT,93642,EP EVL 1/2CHMB TRNSVNS CVDFB,,,86.21,54668.0,336 CPT,93642,HC CATH/EP ELECTROPHYSIOLOGY PRGMG/REPRGMG,14460.88,2747.5672,86.21,54668.0,406 CPT,93644,HC EPHYS EVAL SUBQ IMPLANTABLE DEFIBRILLATOR,6465.72,1228.4868,52.26,102512.0,324 CPT,93650,HC CATH/EP ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION,116902.45,22211.4655,603.2,116902.45,406 CPT,93650,ICAR CATH ABLTJ AV NODE FUNC,,,603.2,54668.0,336 CPT,93653,COMPRE EP EVAL TX SVT,,,865.5,124559.0,336 CPT,93653,HC COMPRE EP EVAL TX SVT,57003.85,10830.7315,865.5,124559.0,406 CPT,93654,COMPRE EP EVAL TX VT,,,1043.38,124559.0,336 CPT,93654,HC EP EVAL ABLTJ 3D MAPG TX SVT COMP,95099.01,18068.8119,1043.38,124559.0,406 CPT,93655,"HC ICAR CATH ABLATION DSCRT ARRHYTHMIA, ADD ON",23237.48,4415.1212,317.97,124559.0,324 CPT,93655,ICAR CATH ABLTJ DSCRT ARRHYT,,,317.97,124559.0,257 CPT,93656,COMPRE EP EVAL ABLTJ ATR FIB,,,980.42,124559.0,336 CPT,93656,HC EP EVAL ABLTJ ATR FIB COMPRE,96105.04,18259.9576,980.42,124559.0,406 CPT,93657,HC TX L/R ATRIAL FIB ADDL,23865.95,4534.5305,318.31,124559.0,324 CPT,93657,TX L/R ATRIAL FIB ADDL,,,318.31,124559.0,257 CPT,93660,HC CATH/EP TILT TABLE EVALUATION,9982.35,1896.6465,78.88,54668.0,406 CPT,93660,TILT TABLE EVALUATION,,,78.88,54668.0,315 CPT,93662,HC CATH/EP INTRACARDIAC ECG (ICE),7718.1,1466.439,77.181,25798.0,323 CPT,93662,INTRACARDIAC ECG (ICE),,,162.85,25798.0,195 CPT,93668,HC PAD REHAB PER SESSION,204.02,38.7638,15.58,584.08,405 CPT,93724,ELEC ALYS ANTITCHYCAR PM SYS,,,48.76,25798.0,291 CPT,93724,HC CATH/EP ANALYZE PACEMAKER SYSTEM,446.7,84.873,48.76,25798.0,404 CPT,93750,HC CATH/EP INTERROGATION VAD IN PERSON,401.9,76.361,41.66,25798.0,406 CPT,93786,HC AMBL BP MNTR W/SW REC ONLY,320.05,60.8095,23.96,635.06,405 CPT,93788,HC AMBL BP MNTR W/SW A/R,320.05,60.8095,6.0,635.06,405 CPT,93797,HC CARD REHAB/WO MONITOR,188.15,35.7485,8.24,295.0,405 CPT,93798,HC CARDIAC REHAB/MONITOR,299.51,56.9069,13.28,299.51,405 CPT,93799,HC IMPLANTING PA SENSOR,20114.41,3821.7379,112.0,25798.0,392 CPT,93799,UNLISTED CV SVC/PROCEDURE,,,112.0,25798.0,240 CPT,93880,HC DUP-SCAN XTRC ART COMPL BI STD,10000.0,1900.0,157.82,23708.0,405 CPT,93882,HC DUP-SCAN XTRC ART UNI/LMTD STD,3323.49,631.4631,104.87,3323.49,403 CPT,93886,HC INTRACRANIAL ARTERY DOPPLER; COMPL,3563.0,676.97,222.0,3563.0,405 CPT,93888,HC INTRACRANIAL ARTERY DOPPLER; LIMITED,564.29,107.2151,34.99,2009.18,403 CPT,93892,HC TCD EMBOLI DETECT W/O INJ,676.0,128.44,56.95,2968.5,405 CPT,93893,HC TCD INTRACRAN ART MICROBUBBLE W/INJ,612.83,116.4377,58.07,3202.01,403 CPT,93895,HC CAROTID INTIMA MEDIA & CAROTID ATHEROMA EVAL BI,1743.42,331.2498,17.4342,1743.42,212 CPT,93896,HC STD TCDVASOREACTIVITY ICR ART COMPL,700.41,133.0779,200.09,1846.32,262 CPT,93922,HC N-INVAS PHYSIOLOGIC STD UPR/LXTR ART 1 LVL BI,1369.47,260.1993,73.77,1369.47,403 CPT,93923,HC N-INVAS PHYSIOLOGIC STD UPR/LXTR BLAT MLT LVL BI,2107.31,400.3889,114.51,2107.31,405 CPT,93924,HC N-INVAS PHYSIOLOGIC STD LXTR ART REST FLWG STRS,2634.14,500.4866,142.8,2634.14,403 CPT,93925,HC DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STD,2347.87,446.0953,209.74,2347.87,405 CPT,93926,HC DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STD,1385.6,263.264,22.27,1385.6,403 CPT,93930,HC DUPLEX UE ART/BPG; BILAT,2405.67,457.0773,167.81,2405.67,403 CPT,93931,HC UPPER EXTREMITY STUDY,1485.06,282.1614,104.52,1577.95,403 CPT,93970,HC DUP-SCAN XTR VEINS COMPL BI STD,2650.26,503.5494,160.27,2650.26,405 CPT,93971,HC DUP-SCAN XTR VEINS UNI/LMTD STD,1616.76,307.1844,102.42,1616.76,403 CPT,93975,HC DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COMPL,3884.07,737.9733,217.07,25798.0,406 CPT,93975,VASCULAR STUDY,,,217.07,25798.0,358 CPT,93976,HC DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMTD,2245.13,426.5747,36.81,25798.0,406 CPT,93976,VASCULAR STUDY,,,36.81,25798.0,358 CPT,93978,HC DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPL,2626.14,498.9666,148.74,2626.14,405 CPT,93979,HC DUPLEX A IVC IL/BPG; UNIL/LIM,1661.39,315.6641,98.23,1661.39,403 CPT,93980,HC DUPLEX FLOW PENILE V COMPL,964.95,183.3405,60.99,1846.32,405 CPT,93981,HC DUPLEX FLOW PENILE FUP/LIMIT,735.06,139.6614,51.91,967.16,403 CPT,93985,HC DUP-SCAN HEMO COMPL BI STD,889.21,168.9499,129.0,889.21,403 CPT,93986,HC DUP-SCAN HEMO COMPL UNI STD,427.68,81.2592,23.03,533.48,403 CPT,93990,HC DUP-SCAN OF HEMODIALYSIS ACCESS,1833.14,348.2966,23.24,2088.2,403 CPT,93998,HC NONINVAS VASC DX STUDY PROC,959.41,182.2879,0.05,959.41,369 CPT,94002,"HC VENT MGMT INPAT, INIT DAY",1661.0,315.59,89.0,25798.0,406 CPT,94002,VENT MGMT INPAT INIT DAY,,,89.0,25798.0,315 CPT,94003,"HC VENT MGMT INPAT, SUBQ DAY",1661.0,315.59,63.83,1661.0,405 CPT,94010,BREATHING CAPACITY TEST,,,20.47,25798.0,332 CPT,94010,HC BREATHING CAPACITY TEST,718.46,136.5074,20.47,25798.0,404 CPT,94011,HC SPIROMETRY UP TO 2 YRS OLD,687.92,130.7048,83.5,958.46,403 CPT,94012,HC SPIRMTRY W/BRNCHDIL INF-2 YR,687.92,130.7048,135.47,1514.97,405 CPT,94013,HC MEAS LUNG VOL THRU 2 YRS,1010.63,192.0197,18.23,1243.16,405 CPT,94014,HC PATIENT RECORDED SPIROMETRY,687.92,130.7048,43.0,934.92,405 CPT,94015,HC PI SPIROMETRY/30 DAYS - RECORDING,687.92,130.7048,14.0,868.8,405 CPT,94060,HC BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN,1407.95,267.5105,30.6,1407.95,405 CPT,94070,HC BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT,1365.68,259.4792,38.49,1365.68,405 CPT,94150,HC RT ONLY VITAL CAPACITY TEST,229.39,43.5841,2.2939,366.58,391 CPT,94200,HC LUNG FUNCTION TEST (MBC/MVV),342.93,65.1567,13.13,342.93,403 CPT,94375,HC FLOW VOLUME LOOP,683.45,129.8555,26.41,868.8,405 CPT,94610,HC SURFACTANT ADMIN THRU TUBE,714.75,135.8025,54.53,714.75,403 CPT,94617,HC EXERCISE TST BRNCSPSM W/ECG,740.2,140.638,61.76,740.2,403 CPT,94618,HC PULMONARY STRESS TEST,740.2,140.638,13.48,740.2,403 CPT,94621,HC CARDIOPULM EXCER TEST MIN VENT,2177.12,413.6528,83.0,2177.12,405 CPT,94625,HC PHY/QHP OP PULM RHB W/O MNTR,107.97,20.5143,17.93,443.15,319 CPT,94626,HC PHY/QHP OP PULM RHB W/MNTR,119.97,22.7943,25.52,493.78,319 CPT,94640,HC RT ONLY AIRWAY INHALATION TREATMENT,398.48,75.7112,8.6,476.53,403 CPT,94642,HC AEROSOL PENTAMIDEN FOR P. CARINII,734.53,139.5607,7.3453,734.53,403 CPT,94644,"HC CBT, 1ST HOUR",436.38,82.9122,44.0,496.48,403 CPT,94645,"HC CBT, EACH ADDL HOUR",139.3,26.467,16.0,337.31,321 CPT,94660,"HC POS AIRWAY PRESSURE, CPAP",664.13,126.1847,36.13,664.13,403 CPT,94662,HC CNP,1787.1,339.549,33.68,1787.1,405 CPT,94664,HC EVALUATE PT USE OF INHALER,340.03,64.6057,19.28,476.53,331 CPT,94667,HC PT EDUC PERCUSSION CHEST,245.85,46.7115,26.96,337.32,403 CPT,94668,HC PT MANIULATIONCHEST,251.34,47.7546,34.0,596.0,404 CPT,94669,HC RT ONLY MECHANICAL CHEST WALL OSCILL,811.56,154.1964,22.42,811.56,403 CPT,94680,HC O2 UPTAKE DIRECT SIMPLE,405.72,77.0868,42.69,514.51,403 CPT,94681,HC OXYGEN UPTAKE W/ CO2,860.67,163.5273,40.94,868.8,405 CPT,94690,HC OXYGEN UPTAKE REST INDIRECT,202.29,38.4351,47.02,507.28,403 CPT,94726,HC PULM FUNCT TST PLETHYSMOGRAP,439.53,83.5107,47.57,868.8,405 CPT,94727,HC PULM FUNCTION TEST BY GAS,351.38,66.7622,35.0,367.16,403 CPT,94728,HC AIRWY RESIST BY OSCILLOMETRY,324.82,61.7158,34.09,868.8,405 CPT,94729,"HC DIFFUSING CAPACITY EX. CARBON MONOXIDE, MEMBRANE",665.33,126.4127,49.82,665.33,321 CPT,94760,HC N-INVAS EAR/PLS OXIMTRY F/O2 SAT 1 DETER,346.55,65.8445,4.05,346.55,249 CPT,94761,HC N-INVAS EAR/PLS OXIMTRY F/O2 SAT MLT DETERS,540.96,102.7824,4.4,540.96,249 CPT,94762,HC CONTINUOUS PULSE OX,2679.44,509.0936,26.06,2679.44,403 CPT,94772,HC BREATH RECORDING 12-24 HRS INFANT,1028.38,195.3922,10.2838,1534.5,393 CPT,94775,HC PED HOME APNEA REC HK-UP PER 30 DAYS,480.92,91.3748,4.8092,480.92,403 CPT,94776,HC PED HOME APNEA REC DOWNLD PER 30 DAYS,480.92,91.3748,4.8092,1973.88,403 CPT,94799,HC RT ONLY UNLISTED PULMONARY SERVICE,228.22,43.3618,2.2822,366.58,367 CPT,95004,HC PERCUT ALLERGY SKIN TESTS,678.3,128.877,4.01,2383.68,405 CPT,95017,HC PERQ & ICUT ALLG TEST VENOMS,125.61,23.8659,3.77,814.37,405 CPT,95018,HC PERQ&IC ALLG TEST DRUGS/BIOL,125.61,23.8659,6.99,814.37,405 CPT,95024,HC IQ TESTS W/ALLERGENIC XTRCS,90.04,17.1076,1.22,814.37,405 CPT,95028,HC ID ALLERGY TEST-DELAYED TYPE,135.73,25.7887,11.0,814.37,405 CPT,95044,HC PATCH/APPLICATION TESTS,1156.25,219.6875,5.44,2383.68,405 CPT,95052,HC PHOTO PATCH TEST,159.93,30.3867,6.15,814.37,405 CPT,95056,HC PHOTOSENSITIVITY TESTS,524.14,99.5866,9.0,814.39,405 CPT,95076,HC INGEST CHALLENGE INI 120 MIN,1739.85,330.5715,71.65,1739.85,403 CPT,95079,HC INGEST CHALLENGE ADDL 60 MIN,869.81,165.2639,66.18,1478.89,321 CPT,95115,HC PRO ALLERG IMT,46.17,8.7723,11.38,524.0,405 CPT,95117,HC IMMUNOTHERAPY 2+ INJECTIONS,133.08,25.2852,13.13,524.0,405 CPT,95120,HC IMMUNOTHERAPY ONE INJECTION,180.0,34.2,1.8,524.0,310 CPT,95125,HC IMMUNOTHERAPY 2/> INJECTIONS,234.0,44.46,2.34,524.0,310 CPT,95130,HC IMMNTX 1 STING INSECT,133.0,25.27,1.33,524.0,310 CPT,95131,HC IMMNTX 2 STING INSECTS,146.0,27.74,1.46,524.0,310 CPT,95132,HC IMMNTX 3 STING INSECTS,161.0,30.59,1.61,524.0,310 CPT,95133,HC IMMNTX 4 STING INSECTS,177.0,33.63,1.77,524.0,310 CPT,95134,HC IMMNTX 5 STING INSECTS,195.0,37.05,1.95,524.0,310 CPT,95144,HC ALLERGY ANTIGENS SGL/MULTI ANTI,133.08,25.2852,3.47,524.0,405 CPT,95145,HC ANTIGENS-ALLERGEN IMM; SGL STINGI,133.08,25.2852,3.47,524.0,405 CPT,95180,"HC RAPID DESENSITIZATION, EA HR",928.57,176.4283,100.1,989.2,405 CPT,95249,HC CONT GLUC MNTR PT PROV EQP,209.92,39.8848,67.0,489.3,331 CPT,95250,HC GLUCOSE MONITORING CONT,2069.68,393.2392,149.44,2069.68,405 CPT,95700,HC EEG CONT REC W/VID EEG TECH 8 CH,2331.78,443.0382,23.3178,2331.78,405 CPT,95705,HC EEG W/O VID 2-12 HR UNMNTR,1098.29,208.6751,10.9829,1655.31,405 CPT,95706,HC EEG WO VID 2-12HR INTMT MNTR,1526.79,290.0901,15.2679,3173.89,405 CPT,95707,HC EEG W/O VID 2-12HR CONT MNTR,1955.29,371.5051,19.5529,3495.87,405 CPT,95708,HC EEG WO VID EA 12-26HR UNMNTR,4074.0,774.06,40.74,4074.0,405 CPT,95709,HC EEG W/O VID EA 12-26HR INTMT,4116.19,782.0761,41.1619,6217.22,405 CPT,95710,HC EEG W/O VID EA 12-26HR CONT,4973.3,944.927,49.733,7827.02,405 CPT,95711,HC VEEG 2-12 HR UNMONITORED,8012.65,1522.4035,80.1265,8012.65,405 CPT,95712,HC VEEG 2-12 HR INTMT MNTR,8365.86,1589.5134,83.6586,8365.86,405 CPT,95713,HC VEEG 2-12 HR CONT MNTR,8719.07,1656.6233,87.1907,8719.07,405 CPT,95714,HC VEEG EA 12-26 HR UNMNTR,16379.87,3112.1753,163.7987,16379.87,405 CPT,95715,HC VEEG EA 12-26HR INTMT MNTR,16733.08,3179.2852,167.3308,16733.08,405 CPT,95716,HC VEEG EA 12-26HR CONT MNTR,17086.29,3246.3951,170.8629,17086.29,405 CPT,95782,HC POLYSOM <6 YRS 4> PARAMTRS,7136.87,1356.0053,898.02,9703.07,405 CPT,95783,HC POLYSOM <6 YRS CPAP/BILVL,9706.38,1844.2122,947.83,10322.4,405 CPT,95800,HC SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME,10009.0,1901.71,94.73,10009.0,319 CPT,95803,HC ACTIGRAPHY TESTING 73 HRS-14 CONS DAYS,229.01,43.5119,68.88,1146.82,405 CPT,95805,HC MSLT/MWT; GLOBAL,3535.33,671.7127,403.74,3929.82,405 CPT,95806,HC SLEEP STUDY UNATT&RESP EFFT,8173.87,1553.0353,55.96,8173.87,331 CPT,95807,HC SLEEP STUDY; ATTENDED,4073.5,773.965,375.93,4641.67,405 CPT,95808,HC POLYSOM ANY AGE 1-3> PARAM,5268.02,1000.9238,433.14,6021.41,405 CPT,95810,HC POLYSOM 6/> YRS 4/> PARAM,5106.76,970.2844,539.2,5957.58,406 CPT,95811,HC POLYSOM 6/>YRS CPAP 4/> PARM,5375.54,1021.3526,565.06,6235.46,406 CPT,95812,HC EEG EXTEND MONIT 41-60 MINUTES,4008.34,761.5846,204.0,4198.61,406 CPT,95813,HC EEG EXTND MNTR 61-119 MIN,4575.31,869.3089,243.0,4575.31,406 CPT,95816,HC EEG AWAKE & DROWSY,3624.05,688.5695,154.0,3968.7,406 CPT,95819,EEG AWAKE AND ASLEEP,,,184.0,25798.0,334 CPT,95819,"HC EEG, AWAKE AND ASLEEP",4252.0,807.88,184.0,25798.0,406 CPT,95822,HC EEG COMA OR SLEEP ONLY,3276.67,622.5673,223.0,3918.32,405 CPT,95824,HC EEG; CEREBRAL SILENCE,660.07,125.4133,6.6007,1243.16,405 CPT,95829,HC ELECTROCORTICOGRAM AT SURGERY,15345.32,2915.6108,273.24,17468.75,323 CPT,95851,HC OT ROM MEAS&REPRT EA XTR EX HAND/EA TRNK SCTJ SPINE GO,64.5,12.255,7.61,596.0,332 CPT,95851,HC PT ROM MEAS&REPRT EA XTR EX HAND/EA TRNK SCTJ SPINE GP,64.5,12.255,7.61,596.0,332 CPT,95851,HC ROM; EA EXTREMTTRUNK (NOT HAND),64.5,12.255,7.61,596.0,332 CPT,95852,HC PT ROM MEAS&REPRT HAND +-CMPRSN NML SIDE GP,44.68,8.4892,5.72,596.0,332 CPT,95852,HC ROM MEAS&REPRT HAND +-CMPRSN NML SIDE GO,44.68,8.4892,5.72,596.0,332 CPT,95857,HC TENSILON TEST,986.67,187.4673,28.09,986.67,403 CPT,95860,HC NEEDLE EMG 1 EXTREMITY,587.31,111.5889,57.0,809.09,403 CPT,95861,HC NEEDLE EMG 2 EXTREMITIES,827.86,157.2934,37.0,988.78,403 CPT,95863,HC NEEDLE EMG 3 EXTREMITIES,1026.77,195.0863,47.0,1222.28,403 CPT,95864,HC NEEDLE EMG 4 EXTREMITIES,1167.88,221.8972,88.0,1484.54,403 CPT,95866,HC MUSCLE TEST HEMIDIAPHRAGM,531.63,101.0097,68.68,776.8,403 CPT,95867,HC NDL EMG CRANIAL NRV MUSC UNI,688.1,130.739,29.0,783.91,403 CPT,95868,HC MUSCLE TEST CRAN NERVE BILAT,970.33,184.3627,35.0,970.33,403 CPT,95869,HC NDL EMG THRC PARASPINAL MUSC,632.99,120.2681,11.0,729.59,403 CPT,95870,"HC MUSCLE TEST, 1 XTR UNI/BIL",669.29,127.1651,11.0,762.4,403 CPT,95872,HC NDL EMG SINGLE FIBER ELTRD,469.04,89.1176,30.0,557.56,403 CPT,95873,GUIDE NERV DESTR ELEC STIM,,,33.34,25798.0,252 CPT,95873,"HC GUIDE NERV DESTR, ELEC STIM",514.72,97.7968,33.34,25798.0,324 CPT,95874,GUIDE NERV DESTR NEEDLE EMG,,,33.81,25798.0,252 CPT,95874,"HC GUIDE NERV DESTR, NEEDLE EMG",517.42,98.3098,33.81,25798.0,324 CPT,95885,HC MUSC TST DONE W/NERV TST LIMTD,310.75,59.0425,43.67,505.49,321 CPT,95886,HC MUSC TEST DONE W/NERV TST COMPLETE,483.82,91.9258,47.0,507.28,321 CPT,95887,HC MUSC TST DONE W/N TST NONEXTREMITY,431.01,81.8919,47.16,505.49,321 CPT,95905,HC MOTOR/SENS NRVE CONDUCT TEST,649.12,123.3328,31.64,934.92,403 CPT,95907,HC MOTOR&/SENS 1-2 NRV CNDJ TST,435.44,82.7336,38.64,505.49,403 CPT,95908,HC MOTOR&/SENS 3-4 NRV CNDJ TST,549.68,104.4392,48.07,729.59,403 CPT,95909,HC MOTOR&/SENS 5-6 NRV CNDJ TST,685.82,130.3058,57.85,729.59,403 CPT,95910,HC MOTOR&SENS 7-8 NRV CNDJ TEST,914.41,173.7379,73.57,914.41,403 CPT,95911,HC MOTOR&SEN 9-10 NRV CNDJ TEST,1089.41,206.9879,83.0,1243.16,403 CPT,95912,HC MOTOR&SEN 11-12 NRV CND TEST,1920.0,364.8,92.64,1920.0,403 CPT,95913,HC MOTOR&SENS 13/> NRV CND TEST,1382.92,262.7548,105.91,1382.92,403 CPT,95921,HC AUTONOMIC NERV FUNC TEST,1712.91,325.4529,19.0,1712.91,403 CPT,95922,HC AUTONOMIC NERV FUNC TEST,506.39,96.2141,19.0,640.26,403 CPT,95923,HC AUTONOMIC NERV FUNC TEST,1712.91,325.4529,77.76,2285.81,403 CPT,95925,HC SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS,1571.07,298.5033,45.0,1789.93,403 CPT,95926,HC SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS,1505.22,285.9918,78.0,1714.48,403 CPT,95927,HC SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD,1350.67,256.6273,45.0,25798.0,404 CPT,95927,SOMATOSENSORY TESTING,,,45.0,25798.0,332 CPT,95928,"HC C MOTOR EVOKED, UPPR LIMBS",2022.64,384.3016,121.0,2383.68,403 CPT,95929,"HC C MOTOR EVOKED, LWR LIMBS",2038.76,387.3644,130.0,2323.1,403 CPT,95930,HC VISUAL EVOKED POTENTIAL TEST,1291.53,245.3907,49.0,1545.62,403 CPT,95933,HC BLINK REFLEX TEST,568.48,108.0112,39.0,647.39,405 CPT,95937,HC NEUROMUSCULAR JUNCTION TEST,403.18,76.6042,17.0,505.49,403 CPT,95938,HC SOMATOSENSORY TESTING,2545.44,483.6336,224.66,3052.49,403 CPT,95939,HC C MOTOR EVOKED UPR&LWR LIMBS,3460.65,657.5235,224.66,4145.37,403 CPT,95940,HC IONM IN OPERATNG ROOM 15 MIN,618.21,117.4599,32.0,618.21,249 CPT,95941,HC IONM REMOTE/>1 PT OR PER HR,2472.86,469.8434,24.7286,2472.86,212 CPT,95954,HC EEG MONITORING/GIVING DRUGS,3160.19,600.4361,189.0,3778.9,405 CPT,95955,HC EEG DURING SURGERY,1729.65,328.6335,99.0,1969.6,323 CPT,95957,HC DIGITAL ANALYSIS OF EEG,3366.59,639.6521,85.0,3830.74,323 CPT,95958,HC WADA ACTIVATION TEST,3462.13,657.8047,87.0,3890.27,405 CPT,95961,HC ELECTRODE STIMULATION BRAIN,1294.02,245.8638,64.0,2383.68,405 CPT,95962,HC ELECTRODE STIM BRAIN ADD-ON,787.16,149.5604,64.0,873.75,323 CPT,95970,HC ALYS NPGT W/O PRGRMG,209.65,39.8335,18.46,548.34,403 CPT,95971,HC ALYS SMPL SP/PN NPGT W/PRGRM,412.44,78.3636,38.35,451.69,403 CPT,95972,HC ALYS CPLX SP/PN NPGT W/PRGRM,450.37,85.5703,39.53,822.84,403 CPT,95976,HC ALYS SMPL CN NPGT PRGRMG,145.31,27.6089,36.94,6487.0,403 CPT,95977,HC ALYS CPLX CN NPGT PRGRMG,459.64,87.3316,49.9,551.54,403 CPT,95983,HC ALYS BRN NPGT PRGRMG 15 MIN,145.31,27.6089,48.74,527.33,403 CPT,95984,HC ALYS BRN NPGT PRGRMG ADDL 15,96.87,18.4053,43.02,458.98,321 CPT,95990,HC RFL&MAIN IMPLT PMP/RSVR F/DRUG DLVR SPI/BRN,7468.76,1419.0644,73.0,25798.0,406 CPT,95991,HC RFL&MAIN IMPLT PMP/RSVR RX DLVR SPI/BRN BY PHYS,6120.0,1162.8,39.5,25798.0,406 CPT,95991,SPIN/BRAIN PUMP REFIL & MAIN,,,39.5,25798.0,336 CPT,95992,HC CANALITH REPOSITIONING PROC GO,350.18,66.5342,34.7,596.0,406 CPT,95992,HC CANALITH REPOSITIONING PROC GP,350.18,66.5342,34.7,596.0,406 CPT,95999,HC NEUROLOGICAL PROCEDURE,207.07,39.3433,2.0707,505.49,367 CPT,96041,HC GENETIC COUNSELING NEW PATIENT EA 30MIN,733.64,139.3916,56.96,733.64,285 CPT,96105,HC ASSESSMENT OF APHASIA GN,874.23,166.1037,90.0,913.4,406 CPT,96110,HC DEVELOPMENTAL SCREEN W/SCORE GN,361.04,68.5976,3.6104,596.0,311 CPT,96110,HC DEVELOPMENTAL SCREEN W/SCORE GO,361.04,68.5976,3.6104,596.0,311 CPT,96110,HC DEVELOPMENTAL SCREEN W/SCORE GP,361.04,68.5976,3.6104,596.0,311 CPT,96112,HC DEVEL TST PHYS/QHP 1ST HR,506.31,96.1989,119.71,1274.77,405 CPT,96113,HC DEVEL TST PHYS/QHP EA ADDL,337.54,64.1326,48.32,584.97,323 CPT,96116,HC NUBHVL XM PHYS/QHP 1ST HR,747.49,142.0231,76.58,1025.0,405 CPT,96121,HC NUBHVL XM PHY/QHP EA ADDL HR,498.32,94.6808,62.93,1025.0,323 CPT,96125,HC COGNITIVE TEST BY HC PRO GN,858.53,163.1207,77.0,1061.61,406 CPT,96125,HC COGNITIVE TEST BY HC PRO GO,858.53,163.1207,77.0,1061.61,406 CPT,96127,HC BRIEF EMOTIONAL/BEHAV ASSMT,109.18,20.7442,5.09,1025.0,331 CPT,96130,HC PSYCL TST EVAL PHYS/QHP 1ST,506.31,96.1989,107.22,1070.15,405 CPT,96131,HC PSYCL TST EVAL PHYS/QHP EA,337.54,64.1326,71.38,1025.0,249 CPT,96132,HC NRPSYC TST EVAL PHYS/QHP 1ST HR,942.22,179.0218,103.1,1243.16,405 CPT,96133,HC NRPSYC TST EACH 1HR,337.54,64.1326,71.73,1025.0,249 CPT,96136,HC PSYCL/NRPSYC TST PHY/QHP 1ST 30 MIN,63.94,12.1486,22.91,1025.0,405 CPT,96137,HC PSYCL/NRPSY EACH 30MIN,42.63,8.0997,16.91,1025.0,323 CPT,96138,HC PSYCL/NRPSYC TECH 1ST,63.94,12.1486,25.576,1025.0,405 CPT,96139,HC PSYCL/NRPSYC TST TECH EA,42.63,8.0997,17.052,1025.0,323 CPT,96146,HC PSYCL/NRPSYC TST AUTO RESULT,137.0,26.03,2.66,1025.0,331 CPT,96156,HC HLTH BHV ASSMT/REASSESSMENT,254.14,48.2866,85.82,879.63,405 CPT,96158,HC HLTH BHV IVNTJ INDIV 1ST 30 MIN,317.67,60.3573,58.86,593.94,405 CPT,96159,HC HLTH BHV IVNTJ INDIV EA ADDL 15 MIN,75.64,14.3716,20.05,206.02,249 CPT,96160,HC PT-FOCUSED HLTH RISK ASSMT,93.45,17.7555,3.14,524.0,405 CPT,96161,HC CAREGIVER HEALTH RISK ASSMT,93.45,17.7555,3.14,524.0,405 CPT,96164,HC HLTH BHV IVNTJ GRP 1ST 30,111.3,21.147,9.43,207.58,405 CPT,96165,HC HLTH BHV IVNTJ GRP EA ADDL 15 MIN,79.5,15.105,4.11,79.5,249 CPT,96167,HC HLTH BHV IVNTJ FAM 1ST 30 MIN,105.25,19.9975,34.55,638.17,405 CPT,96168,HC HLTH BHV IVNTJ FAM EA ADDL 15 MIN,52.62,9.9978,21.048,226.23,249 CPT,96170,HC HLTH BHV IVNTJ FAM WO PT 1ST 30 MIN,172.12,32.7028,1.7212,688.24,310 CPT,96171,HC HLTH BHV IVNTJ FAM W/O PT EA ADDL 15 MIN,86.06,16.3514,0.8606,251.39,236 CPT,96360,"HC HYDRATION IV INFUSION, 1ST HOUR",2990.79,568.2501,32.03,25798.0,382 CPT,96360,HYDRATION IV INFUSION INIT,,,32.03,25798.0,288 CPT,96361,"HC HYDRATION IV INFUSION, ADDITIONAL HOUR",1013.25,192.5175,12.43,5899.0,381 CPT,96365,"HC NON CHEMO INFUSION, 1ST HOUR",2990.79,568.2501,62.53,25798.0,406 CPT,96365,THER/PROPH/DIAG IV INF INIT,,,62.53,25798.0,312 CPT,96366,"HC NON CHEMO INFUSION, ADDITIONAL HOUR",1013.25,192.5175,20.46,25798.0,406 CPT,96366,THER/PROPH/DIAG IV INF ADDON,,,20.46,25798.0,312 CPT,96367,"HC NON CHEMO INFUSION, SEQ 1ST HOUR",1189.32,225.9708,28.11,5899.0,405 CPT,96368,"HC NON CHEMO INFUSION, CONCURRENT",453.57,86.1783,19.45,5899.0,323 CPT,96372,HC INJECTION - SC/IM,1371.22,260.5318,13.36,25798.0,406 CPT,96372,THER/PROPH/DIAG INJ SC/IM,,,13.36,25798.0,312 CPT,96373,"HC THER/PROPH/DIAG INJ, IA",459.4,87.286,19.45,3163.0,331 CPT,96374,"HC NON CHEMO IV PUSH 0-15 MINUTES, INITIAL",1343.23,255.2137,36.39,25798.0,332 CPT,96374,THER/PROPH/DIAG INJ IV PUSH,,,36.39,25798.0,238 CPT,96375,"HC NON CHEMO IV PUSH 0-15 MINUTES, SEQ",501.38,95.2622,15.18,25798.0,332 CPT,96375,TX/PRO/DX INJ NEW DRUG ADDON,,,15.18,25798.0,238 CPT,96376,"HC NON CHEMO IV PUSH, SAME DRUG, REPEAT",318.32,60.4808,3.1832,25798.0,238 CPT,96376,TX/PRO/DX INJ SAME DRUG ADON,,,63.41,25798.0,132 CPT,96377,APPLICATON ON-BODY INJECTOR,,,18.41,25798.0,336 CPT,96377,HC APPLICATON ON-BODY INJECTOR,314.82,59.8158,18.41,25798.0,406 CPT,96379,HC THER/PROP/DIAG INJ/INF PROC,459.4,87.286,4.594,3163.0,369 CPT,96380,HC ADMN RSV MONOC ANTB IM CNSL,642.5,122.075,23.36,642.5,214 CPT,96381,HC 1 ADMN RSV MONOC ANTB IM NJX,642.5,122.075,20.15,642.5,214 CPT,96401,CHEMO ANTI-NEOPL SQ/IM,,,71.62,25798.0,321 CPT,96401,"HC CHEMO NON-HORMONAL ANTI-NEOPLASTIC, SC / IM",2403.0,456.57,71.62,25798.0,406 CPT,96402,CHEMO HORMON ANTINEOPL SQ/IM,,,37.39,25798.0,321 CPT,96402,HC CHEMO HORMON ANTINEOPL SQ/IM,2403.0,456.57,37.39,25798.0,406 CPT,96405,HC CHEMOTHERAPY ADMINISTRATION INTRALESIONAL 7,362.1,68.799,43.79,4589.0,405 CPT,96409,"HC CHEMO IV PUSH 0 -15 MINUTES, INITIAL",2403.0,456.57,100.01,5899.0,405 CPT,96411,"HC CHEMO IV PUSH 0-15 MINUTES, SEQ",1468.75,279.0625,54.68,4589.0,405 CPT,96413,CHEMO IV INFUSION 1 HR,,,129.05,25798.0,336 CPT,96413,"HC CHEMO IV INFUSION, 1ST HOUR",3442.82,654.1358,129.05,25798.0,406 CPT,96415,"HC CHEMO IV INFUSION, ADDITIONAL HOUR",1341.25,254.8375,27.05,4589.0,405 CPT,96416,"HC PROLONG CHEMO IV INFUSION REQUIRING PUMP, > 8 HOURS",2757.45,523.9155,127.02,5899.0,405 CPT,96417,CHEMO IV INFUS EACH ADDL SEQ,,,63.38,25798.0,336 CPT,96417,"HC CHEMO IV INFUSION, SEQ 1ST HOUR",1667.5,316.825,63.38,25798.0,406 CPT,96420,CHEMO IA PUSH TECNIQUE,,,102.38,25798.0,336 CPT,96420,"HC CHEMO, IA, PUSH TECNIQUE",1638.58,311.3302,102.38,25798.0,406 CPT,96422,HC CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS 500 SQ CM,683.92,129.9448,93.43,25798.0,406 CPT,96932,HC RCM CELULR SUBCELULR IMG SKN,970.83,184.4577,112.76,1108.19,321 CPT,96935,HC RCM CELULR SUBCELULR IMG SKN EA ADDL,243.66,46.2954,79.65,372.9,321 CPT,96999,HC DERMATOLOGICAL PROCEDURE,211.68,40.2192,2.1168,998.4,369 CPT,97010,HC OT HOT OR COLD PACKS THERAPY GO,77.28,14.6832,0.7728,596.0,394 CPT,97010,HC PT HOT OR COLD PACKS THERAPY GP,77.28,14.6832,0.7728,596.0,394 CPT,97012,HC PT MECHANICAL TRACTION THERAPY GP,175.09,33.2671,14.6,596.0,332 CPT,97014,HC OT ELEC STIM OTHER THAN WOUND,188.37,35.7903,1.8837,34079.0,290 CPT,97014,HC PT ELEC STIM OTHER THAN WOUND,188.37,35.7903,1.8837,34079.0,290 CPT,97014,HC PT PTA NON WND ELECT STIM,188.37,35.7903,1.8837,34079.0,290 CPT,97016,HC PT VASOPNEUMATIC DEVICE THERAPY GP,159.39,30.2841,12.08,596.0,406 CPT,97016,HC VASOPNEUMATIC DEVICE THERAPY 1+ AREAS,159.39,30.2841,12.08,596.0,406 CPT,97018,HC OT PARAFFIN BATH THERAPY GO,102.64,19.5016,6.61,596.0,406 CPT,97018,HC PT PARAFFIN BATH THERAPY GP,102.64,19.5016,6.61,596.0,406 CPT,97022,HC OT WHIRLPOOL THERAPY GO,218.56,41.5264,16.31,596.0,406 CPT,97022,HC PT WHIRLPOOL THERAPY GP,218.56,41.5264,16.31,596.0,406 CPT,97024,HC DIATHERMY EG MICROWAVE 1+ AREAS,38.64,7.3416,7.66,596.0,406 CPT,97026,HC INFRARED THERAPY 1+ AREAS,38.64,7.3416,7.31,596.0,812 CPT,97028,HC ULTRAVIOLET THERAPY,61.43,11.6717,8.62,596.0,812 CPT,97032,"HC OT ELECTRICAL STIMULATION 1+ AREAS ESTM EA 15 MIN, GO",144.9,27.531,14.6,34079.0,405 CPT,97032,"HC PT ELECTRICAL STIMULATION 1+ AREAS ESTM EA 15 MIN, GP",144.9,27.531,14.6,34079.0,405 CPT,97032,"HC SPEECH ELECTRICAL STIMULATION 1+ AREAS ESTM EA 15 MIN, GN",144.9,27.531,14.6,34079.0,405 CPT,97033,"HC OT IONTPHRSIS 1+ AREAS ESTM EA 15 MIN, GO",246.33,46.8027,19.45,596.0,406 CPT,97033,"HC PT IONTPHRSIS 1+ AREAS ESTM EA 15 MIN, GP",246.33,46.8027,19.45,596.0,406 CPT,97034,HC CONTRAST BATH THERAPY 1+ AREAS EA 15 MINS,144.9,27.531,14.06,596.0,406 CPT,97034,HC CONTRAST BATH THERAPY 1+ AREAS EA 15 MINS GO,144.9,27.531,14.06,596.0,406 CPT,97035,"HC OT APPL MODALITY 1+ AREAS ULTRASOUND EA 15 MIN, GO",140.07,26.6133,14.4,596.0,406 CPT,97035,"HC PT APPL MODALITY 1+ AREAS ULTRASOUND EA 15 MIN, GP",140.07,26.6133,14.4,596.0,406 CPT,97036,"HC PT HYDROTHERAPY EA 15 MINS, GP",397.27,75.4813,36.13,596.0,406 CPT,97039,HC COOLING CAP ADMINISTRATION,72.51,68.41,0.7251,596.0,311 CPT,97039,HC UNLISTED REHAB MODALITY GP,72.51,13.7769,0.7251,596.0,311 CPT,97110,HC OT THERAPEUTIC EXERCISES GO,397.27,75.4813,29.53,596.0,406 CPT,97110,HC PT THERAPEUTIC EXERCISES GP,397.27,75.4813,29.53,596.0,406 CPT,97112,HC OT NEUROMUSCULAR REEDUCATION GO,431.08,81.9052,32.82,596.0,406 CPT,97112,HC PT NEUROMUSCULAR REEDUCATION GP,431.08,81.9052,32.82,596.0,406 CPT,97113,HC AQUATIC THERAPY/EXERCISES GP,379.16,72.0404,37.8,596.0,406 CPT,97113,HC OT AQUATIC THERAPY/EXERCISES GO,379.16,72.0404,37.8,596.0,406 CPT,97116,HC GAIT TRAINING THERAPY,345.35,65.6165,29.53,596.0,406 CPT,97116,HC PT PTA GAIT TRAINING THERAPY EA 15 MINS GPCQ,345.35,65.6165,29.53,596.0,406 CPT,97124,HC OT MASSAGE THERAPY EA 15 MINS - GO,272.9,51.851,30.97,596.0,406 CPT,97124,HC PT MASSAGE THERAPY EA 15 MINS - GP,272.9,51.851,30.97,596.0,406 CPT,97129,HC OT THER IVNTJ COG FUNC 1ST 15 MIN GO,243.19,46.2061,21.3,596.0,406 CPT,97129,HC PSY THER IVNTJ COG FUNC 1ST 15 MIN,243.19,46.2061,21.3,596.0,406 CPT,97129,HC SLP THER IVNTJ COG FUNC 1ST 15 MIN GN,243.19,46.2061,21.3,596.0,406 CPT,97130,HC OT THER IVNTJ COG FUNC EA ADDL 15 MIN GO,64.0,12.16,20.68,596.0,406 CPT,97130,HC PSY THER IVNTJ COG FUNC EA ADDL 15 MIN,63.84,12.1296,20.68,596.0,406 CPT,97130,HC SLP THER IVNTJ COG FUNC EA ADDL 15 MIN GN,64.0,12.16,20.68,596.0,406 CPT,97139,HC PHYSICAL MEDICINE PROCEDURE,135.24,25.6956,1.3524,596.0,311 CPT,97139,HC PT PHYSICAL MEDICINE PROCEDURE GP,135.24,25.6956,1.3524,596.0,311 CPT,97140,HC OT MANUAL THERAPY EA 15 MINS - GO,365.87,69.5153,27.86,596.0,406 CPT,97140,HC PT MANUAL THERAPY EA 15 MINS - GP,365.87,69.5153,27.86,596.0,406 CPT,97150,HC GROUP THERAPEUTIC PROCEDURES,216.14,41.0666,17.93,596.0,404 CPT,97150,HC OT GROUP THERAPEUTIC PROCEDURES GO,216.14,41.0666,17.93,596.0,404 CPT,97161,HC PT EVAL LOW COMPLEX GP,841.63,159.9097,93.0,841.63,406 CPT,97162,HC PT EVAL MOD COMPLEX GP,1262.45,239.8655,93.0,1262.45,406 CPT,97163,HC PT EVAL HIGH COMPLEX GP,1893.66,359.7954,93.0,1893.66,406 CPT,97164,HC PT RE-EVAL EST PLAN CARE,470.93,89.4767,63.0,596.0,406 CPT,97165,HC OT EVAL LOW COMPLEX GO,900.8,171.152,103.42,900.8,406 CPT,97166,HC OT EVAL MOD COMPLEX GO,1351.37,256.7603,90.0,1351.37,406 CPT,97167,HC OT EVAL HIGH COMPLEX GO,1801.59,342.3021,90.0,1801.59,406 CPT,97168,HC OT RE-EVAL EST PLAN CARE GO,559.07,106.2233,59.0,596.0,406 CPT,97169,HC ATHLETIC TRN EVAL LOW CMPLX 15 MIN,892.12,169.5028,266.0,892.12,225 CPT,97170,HC ATHLETIC TRN EVAL MOD CMPLX 30 MIN,1338.19,254.2561,266.0,1338.19,225 CPT,97171,HC ATHLETIC TRN EVAL HIGH CMPLX 45 MIN,2007.27,381.3813,266.0,2007.27,225 CPT,97172,HC ATHLETIC TRN RE-EVAL PLAN CR 20 MIN,499.18,94.8442,199.672,499.18,225 CPT,97530,HC OT THERAPEUTIC ACTIVITIES GO EA 15 MINS,363.46,69.0574,35.86,596.0,406 CPT,97530,HC PT THERAPEUTIC ACTIVITIES GP EA 15 MINS,363.46,69.0574,35.86,596.0,406 CPT,97530,HC SPECIAL GROUP/1HR,363.46,69.0574,35.86,596.0,406 CPT,97530,HC THERAPEUTIC ACTIVITIES EA 15 MINS,363.46,69.0574,35.86,596.0,406 CPT,97533,HC OT SENSORY INTEGRATION GO EA 15 MINS,385.19,73.1861,50.0,596.0,406 CPT,97533,HC PT SENSORY INTEGRATION GP EA 15 MINS,385.19,73.1861,50.0,596.0,406 CPT,97535,HC OT SELF CARE MNGMENT TRAINING GO EA 15 MINS,420.21,79.8399,33.02,596.0,406 CPT,97535,HC PT SELF CARE MNGMENT TRAINING GP EA 15 MINS,420.21,79.8399,33.02,596.0,406 CPT,97537,HC OT OTA COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN GOCO,324.82,61.7158,32.55,596.0,406 CPT,97537,HC PT COMMUNITY/WORK REINTEGRATION GP EA 15 MINS,324.82,61.7158,32.55,596.0,406 CPT,97542,HC OT WHEELCHAIR MNGMENT TRAINING GO EA 15 MINS,276.52,52.5388,31.51,596.0,406 CPT,97542,HC PT WHEELCHAIR MNGMENT TRAINING GP EA 15 MINS,276.52,52.5388,31.51,596.0,406 CPT,97545,HC WORK HARDENING,1100.03,209.0057,11.0003,1159.11,311 CPT,97545,HC WORK HARDENING INIT 2 HRS,1100.03,209.0057,11.0003,1159.11,311 CPT,97546,HC WORK HARDENING ADD-ON,550.02,104.5038,5.5002,596.0,311 CPT,97550,HC CAREGIVER TRAING 1ST 30 MIN,276.52,52.5388,44.9,432.56,303 CPT,97551,HC CAREGIVER TRAING EA ADDL 15,363.46,69.0574,23.94,363.46,303 CPT,97552,HC GROUP CAREGIVER TRAINING,121.9,23.161,10.49,121.9,303 CPT,97597,DBRDMT OPN WND 1ST 20 CM/<,,,34.69,13453.0,358 CPT,97597,"HC DEBRIDE OPEN WOUND FIRST 20 SQ CM/<, FULL",3003.05,570.5795,34.69,13453.0,406 CPT,97598,DBRDMT OPN WND ADDL 20CM/<,,,24.22,25798.0,276 CPT,97598,"HC DEBRIDE OPN WND EA ADDL 20 SQ CM, PARTIAL",1441.46,273.8774,24.22,25798.0,324 CPT,97602,HC WOUND(S) CARE NON-SELECTIVE,280.64,53.3216,2.8064,25798.0,394 CPT,97605,HC NEG PRESS WOUND TX <=50 CM,241.5,45.885,23.54,25798.0,406 CPT,97605,NEG PRS WND THER DME<=50SQCM,,,23.54,25798.0,334 CPT,97606,HC NEG PRESS WOUND TX >50 CM,425.04,80.7576,25.44,1999.62,405 CPT,97607,HC HH OT NEG PRESS WND TX <=50 SQ CM,445.2,84.588,21.43,13453.0,380 CPT,97607,HC HH PT NEG PRESS WND TX <=50 SQ CM,445.2,84.588,21.43,13453.0,380 CPT,97607,HC HH SN NEG PRESS WND TX <=50 SQ CM,445.2,84.588,21.43,13453.0,380 CPT,97607,HC NEG PRESS WND TX <=50 SQ CM,1149.18,218.3442,21.43,13453.0,380 CPT,97607,HC NEG PRESSURE WOUND THERAPY NON DME <= 50 SQ CM,1149.18,218.3442,21.43,13453.0,380 CPT,97607,NEG PRS WND THR NDME<=50SQCM,,,21.43,13453.0,258 CPT,97608,HC HH OT NEG PRESS WOUND TX >50 CM,445.2,84.588,25.35,1999.62,380 CPT,97608,HC HH PT NEG PRESS WOUND TX >50 CM,445.2,84.588,25.35,1999.62,380 CPT,97608,HC HH SN NEG PRESS WOUND TX >50 CM,445.2,84.588,25.35,1999.62,380 CPT,97608,HC NEG PRESS WOUND THERAPY NON DME >50 SQ CM,1149.18,218.3442,25.35,1999.62,380 CPT,97750,HC PHYSICAL PERFORMANCE TEST,329.65,62.6335,33.45,596.0,406 CPT,97750,HC PT PHYSICAL PERFORMANCE TEST GP,329.65,62.6335,33.45,596.0,406 CPT,97755,HC ASSTV TECHN ASSMNT EA 15M,282.56,53.6864,38.12,596.0,406 CPT,97760,HC OT INI ORTH MGMT/TRAINING GO,458.85,87.1815,33.0,596.0,406 CPT,97760,HC PT INI ORTH MGMT/TRAINING GP,458.85,87.1815,33.0,596.0,406 CPT,97761,HC OT INI PROSTHETIC TRAINING GO,282.14,53.6066,30.0,596.0,406 CPT,97761,HC PT INI PROSTHETIC TRAINING GP,280.14,53.2266,30.0,596.0,406 CPT,97763,HC OT C/O FOR ORTHOTIC/PROSTH USE 15 MIN GO,310.33,58.9627,52.47,596.0,406 CPT,97763,HC PT C/O FOR ORTHOTIC/PROSTH USE 15 MIN GP,310.33,58.9627,52.47,596.0,406 CPT,97802,"HC MED NUTRITION THERAPY INIT, EA 15 MIN",53.0,45.61,21.2,321.34,405 CPT,97803,"HC MED NUTRITION THERAPY REASSES, EA 15 MIN",39.75,45.61,15.9,274.9,405 CPT,97804,"HC MEDICAL NUTRITION, GROUP",121.9,23.161,9.0,150.3,405 CPT,97810,HC ACUP 1/> WO ESTIM 1ST 15 MIN,100.26,19.0494,26.0,25798.0,332 CPT,97811,HC ACUP 1/> NDLS W/O ELEC STIMJ EA 15 MIN,100.26,19.0494,22.0,25798.0,250 CPT,97813,HC ACUP 1/> W/ESTIM 1ST 15 MIN,106.26,20.1894,28.0,25798.0,332 CPT,97814,HC ACUP 1/> NDLS W/ELEC STIMJ EA 15 MIN,106.26,20.1894,23.92,25798.0,250 CPT,98925,HC OSTEOPATHIC MANIPULATION 1-2 BODY REGIONS,193.26,36.7194,22.57,233.4,405 CPT,98926,HC OSTEOPATHIC MANIPULATION 3-4 BODY REGIONS,291.83,55.4477,29.34,334.24,405 CPT,98927,HC OSTEOPATHIC MANIPULATIVE TREATMENT;OMT; 5-6 BODY REGIONS,384.61,73.0759,29.34,444.98,405 CPT,98928,HC OSTEOPATHIC MANIPULATIVE TREATMENT;OMT; 7-8 BODY REGIONS,490.9,93.271,29.34,567.23,405 CPT,98929,HC OSTEOPATHIC MANIPULATIVE TREATMENT;OMT; 9-10 BODY REGIONS,587.55,111.6345,29.34,679.28,405 CPT,98940,"HC CHIRO MANIPULATIVE TREATMENT;CMT; SPINAL, 1-2 REGIONS",183.03,34.7757,21.46,194.22,331 CPT,98941,"HC CHIRO MANIPULATIVE TREATMENT;CMT; SPINAL, 3-4 REGIONS",271.34,51.5546,29.34,288.16,331 CPT,98942,"HC CHIRO MANIPULATIVE TREATMENT;CMT; SPINAL, 5 REGIONS",358.38,68.0922,29.34,379.81,331 CPT,98943,HC CHIRO MANIPULATION EXTRASPINAL 1 OR MORE REGIONS,407.44,77.4136,4.0744,407.44,237 CPT,98960,"HC SELF-MGMT EDUC & TRAIN, 1 PT",198.22,37.6618,1.9822,251.98,311 CPT,98961,"HC SELF-MGMT EDUC/TRAIN, 2-4 PT",264.52,50.2588,2.6452,264.52,311 CPT,98962,"HC SELF-MGMT EDUC/TRAIN, 5-8 PT",286.2,54.378,2.862,286.2,311 CPT,98966,HC HCPRO PHONE CALL 5-10MIN,20.44,3.8836,10.0156,596.0,320 CPT,98966,HC OT HCPRO PHONE CALL 5-10MIN GO,20.44,3.8836,10.0156,596.0,320 CPT,98966,HC PT HCPRO PHONE CALL 5-10MIN GP,20.44,3.8836,10.0156,596.0,320 CPT,98966,HC SLP HCPRO PHONE CALL 5-10MIN GN,20.44,3.8836,10.0156,596.0,320 CPT,98967,HC HCPRO PHONE CALL 11-20MIN,40.37,7.6703,19.7813,596.0,320 CPT,98967,HC OT HCPRO PHONE CALL 11-20MIN GO,40.37,7.6703,19.7813,596.0,320 CPT,98967,HC PT HCPRO PHONE CALL 11-20MIN GP,40.37,7.6703,19.7813,596.0,320 CPT,98967,HC SLP HCPRO PHONE CALL 11-20MIN GN,40.37,7.6703,19.7813,596.0,320 CPT,98968,HC HCPRO PHONE CALL 21-30MIN,58.3,11.077,28.567,596.0,321 CPT,98968,HC OT HCPRO PHONE CALL 21-30MIN GO,58.3,11.077,28.567,596.0,321 CPT,98968,HC PT HCPRO PHONE CALL 21-30MIN GP,58.3,11.077,28.567,596.0,321 CPT,98968,HC SLP HCPRO PHONE CALL 21-30MIN GN,58.3,11.077,28.567,596.0,321 CPT,98970,HC QNHP OL DIGITAL ASSMT&MGMT EST PT <7 D 5-10 MIN,14.42,2.7398,5.768,106.84,403 CPT,98971,HC QNHP OL DIGITAL ASSMT&MGMT EST PT <7 D 11-20 MIN,25.52,4.8488,10.208,188.52,403 CPT,98972,HC QNHP OL DIGITAL ASSMT&MGMT EST PT <7 D 21+ MIN,39.48,7.5012,15.792,292.23,403 CPT,99000,HC SPECIMEN HANDLING OFFICE-LAB,33.6,6.384,0.336,246.28,310 CPT,99002,HC DEVICE HANDLING PHYS/QHP,63.4,12.046,0.634,524.0,236 CPT,99080,HC SPECIAL REPORTS,78.0,14.82,0.78,78.0,212 CPT,99151,HC MOD SED SAME PHYS/QHP <5 YRS,392.44,74.5636,23.46,392.44,249 CPT,99152,HC MOD SED SAME PHYS/QHP 5/>YRS,254.34,48.3246,12.21,254.34,249 CPT,99153,HC MOD SED SAME PHYS/QHP EA,130.81,24.8539,12.99,130.81,249 CPT,99156,HC MOD SED OTH PHYS/QHP 5/>YRS,440.74,83.7406,73.68,773.1,249 CPT,99157,HC MOD SED OTHER PHYS/QHP EA,146.92,27.9148,57.52,584.98,249 CPT,99173,HC VISUAL ACUITY SCREEN BILAT - QUAN,76.07,14.4533,0.7607,524.0,236 CPT,99174,HC OCULAR INSTRUMNT SCREEN BIL,69.0,13.11,0.69,524.0,236 CPT,99177,HC OCULAR INSTRUMNT SCREEN BIL,69.0,13.11,0.69,524.0,236 CPT,99188,HC APP TOPICAL FLUORIDE VARNISH,95.4,18.126,0.954,299.57,310 CPT,99195,HC PHLEBOTOMY,1118.68,212.5492,22.66,25798.0,406 CPT,99199,HC SPECIAL SERVICE/PROC/REPORT,242.16,46.0104,2.4216,242.16,212 CPT,99202,HC OFFICE O/P NEW SF 15 MIN,597.93,113.6067,46.7,2898.0,314 CPT,99202,HC URGENT CARE NEW 15-29 MIN 25,1569.75,298.2525,46.7,2898.0,314 CPT,99203,HC OFFICE O/P NEW LOW 30 MIN,758.58,144.1302,82.61,2898.0,314 CPT,99203,HC URGENT CARE NEW LVL 3,1569.75,298.2525,82.61,2898.0,314 CPT,99204,HC OFFICE O/P NEW MOD 45 MIN,773.3,146.927,134.14,2898.0,314 CPT,99204,HC URGENT CARE NEW LVL 4,1569.75,298.2525,134.14,2898.0,314 CPT,99205,HC OFFICE O/P NEW HI 60 MIN,1298.32,246.6808,182.98,2898.0,314 CPT,99205,HC URGENT CARE NEW LVL 5,1569.75,298.2525,182.98,2898.0,314 CPT,99211,HC FQHC PHONE E/M PHYS/QHP 21-30 MIN,406.0,77.14,8.11,13453.0,398 CPT,99211,HC OFFICE O/P EST MINIMAL PROB,524.0,99.56,8.11,13453.0,398 CPT,99211,HC PHARMACY (ONLY) - CDTM AMBULATORY SERVICES,173.25,32.9175,8.11,13453.0,398 CPT,99211,HC URGENT CARE EST LVL 1,1569.75,298.2525,8.11,13453.0,398 CPT,99211,OFF/OP EST MAY X REQ PHY/QHP,,,8.11,13453.0,350 CPT,99212,HC OFFICE O/P EST SF 10 MIN,541.14,102.8166,34.97,13453.0,314 CPT,99212,HC URGENT CARE EST LVL 2,1569.75,298.2525,34.97,13453.0,314 CPT,99212,OFFICE O/P EST SF 10 MIN,,,34.97,13453.0,266 CPT,99213,HC FQHC OFFSITE BILLING,265.65,50.4735,65.78,13453.0,314 CPT,99213,HC OFFICE O/P EST LOW 20 MIN,528.15,100.3485,65.78,13453.0,314 CPT,99213,HC URGENT CARE EST LVL 3,1569.75,298.2525,65.78,13453.0,314 CPT,99213,OFFICE O/P EST LOW 20 MIN,,,65.78,13453.0,266 CPT,99214,HC OFFICE O/P EST MOD 30 MIN,824.0,156.56,96.87,8802.0,314 CPT,99214,HC URGENT CARE EST LVL 4,1569.75,298.2525,96.87,8802.0,314 CPT,99215,HC OFFICE O/P EST HI 40 MIN,1115.0,211.85,143.21,2898.0,314 CPT,99215,HC OFFICE O/P EST HI 40 MIN 25,1171.19,222.5261,143.21,2898.0,314 CPT,99215,HC URGENT CARE EST LVL 5,1569.75,298.2525,143.21,2898.0,314 CPT,99242,HC OFFICE CONSULTATION 20 MIN,418.82,79.5758,81.96,1025.0,225 CPT,99243,HC OFFICE CONSULTATION 30 MIN,502.87,95.5453,130.94,1025.0,225 CPT,99244,HC OFFICE CONSULTATION 40 MIN,733.64,139.3916,198.19,1298.43,225 CPT,99245,HC OFFICE CONSULTATION 55 MIN,1115.42,211.9298,201.0,1612.71,225 CPT,99281,HC ED TRIAGE VISIT,430.92,81.8748,4.3092,2933.0,328 CPT,99281,HC EMERG DEPT F/U VISIT LVL 1,1312.15,249.3085,11.52,2933.0,328 CPT,99281,HC EMERGENCY DEPT VISIT LVL 1,3390.83,644.2577,11.52,3390.83,328 CPT,99282,HC EMERG DEPT F/U VISIT LVL 2,1508.8,286.672,165.0,3373.0,315 CPT,99282,HC EMERGENCY DEPT VISIT LVL 2,3896.94,740.4186,165.0,3896.94,315 CPT,99283,EMERGENCY DEPT VISIT LOW MDM,,,165.0,13453.0,248 CPT,99283,HC EMERG DEPT F/U VISIT LVL 3,2390.587845,454.21169,165.0,13453.0,315 CPT,99283,HC EMERGENCY DEPT VISIT LVL 3,5571.43,1058.5717,165.0,13453.0,315 CPT,99284,EMERGENCY DEPT VISIT MOD MDM,,,165.0,13453.0,248 CPT,99284,HC EMERG DEPT F/U VISIT LVL 4,2492.63,473.5997,165.0,13453.0,315 CPT,99284,HC EMERGENCY DEPT VISIT LVL 4,4985.25,947.1975,165.0,13453.0,315 CPT,99285,EMERGENCY DEPT VISIT HI MDM,,,165.0,13453.0,248 CPT,99285,HC EMERG DEPT F/U VISIT LVL 5,2952.05,560.8895,165.0,13453.0,315 CPT,99285,HC EMERGENCY DEPT VISIT LVL 5,5904.1,1121.779,165.0,13453.0,315 CPT,99291,HC CRITICAL CARE 1ST HOUR,10713.0,2035.47,165.0,16499.0,315 CPT,99292,HC CRITICAL CARE ADDL 30 MIN,3185.25,605.1975,106.6,3185.25,237 CPT,99341,HC HOME VISIT NEW PATIENT 15,186.87,35.5053,48.25,527.24,313 CPT,99342,HC HOME VISIT NEW PATIENT 30,270.9,51.471,76.71,756.83,313 CPT,99344,HC HOME VISIT NEW PATIENT 60,622.95,118.3605,139.81,1730.68,313 CPT,99345,HC HOME VISIT NEW PATIENT 75,757.41,143.9079,199.18,2083.59,313 CPT,99347,HC HOME VISIT EST PATIENT 20,188.28,35.7732,44.45,531.32,313 CPT,99348,HC HOME VISIT EST PATIENT 30,286.92,54.5148,75.76,800.91,313 CPT,99349,HC HOME VISIT EST PATIENT 40,439.17,83.4423,126.13,1215.49,313 CPT,99350,HC HOME VISIT EST PATIENT 60,610.29,115.9551,182.75,1688.88,313 CPT,99358,HC PROLONG SERVICE W/O CONTACT,270.23,51.3437,2.7023,927.85,237 CPT,99359,HC PROLONG SERV W/O CONTACT ADD,77.91,14.8029,0.7791,524.0,237 CPT,99366,HC OT TEAM CONF W/FACE 30MIN,292.22,55.5218,2.9222,596.0,238 CPT,99366,HC TEAMCONF W/FACE 30MIN,292.22,55.5218,2.9222,596.0,238 CPT,99367,HC TEAM CONF W/O FACE 30MIN,219.17,41.6423,2.1917,524.0,237 CPT,99368,HC TEAM CONF W/O PAT BY HC PRO 30+ MINS,253.07,48.0833,2.5307,524.0,237 CPT,99381,HC INIT PM E/M NEW PT INF <1 YR,616.27,117.0913,107.35,655.14,225 CPT,99382,HC INIT PM E/M NEW PT 1-4YR,616.27,117.0913,115.76,693.66,225 CPT,99383,HC INIT PM E/M NEW PT 5-11 YR,616.27,117.0913,122.51,738.17,225 CPT,99384,HC INIT PM E/M NEW PT 12-17 YR,616.27,117.0913,134.0,871.57,225 CPT,99385,HC INIT PM E/M NEW PT 18-39 YR,616.27,117.0913,134.0,838.99,225 CPT,99386,HC INIT PM E/M NEW PT 40-64 YR,616.27,117.0913,157.0,1013.85,225 CPT,99387,HC INIT PM E/M NEW PT 65+ YRS,616.27,117.0913,170.0,1090.88,225 CPT,99391,HC PER PM REEVAL EST PT INF,655.49,124.5431,88.0,655.49,225 CPT,99392,HC PREV VISIT EST AGE 1-4,655.49,124.5431,99.0,655.49,225 CPT,99393,HC PREV VISIT EST AGE 5-11,655.49,124.5431,97.0,655.49,225 CPT,99394,HC PREV VISIT EST AGE 12-17,655.49,124.5431,108.0,738.17,225 CPT,99395,"HC PREV VISIT, EST, AGE 18-39",655.49,124.5431,109.0,25798.0,226 CPT,99395,PREV VISIT EST AGE 18-39,,,109.0,25798.0,104 CPT,99396,"HC PREV VISIT, EST, AGE 40-64",655.49,124.5431,120.0,827.05,225 CPT,99397,HC PER PM REEVAL EST PAT 65+ YR,655.49,124.5431,132.0,871.57,225 CPT,99401,HC FQHC HIV COUNSELING AND TESTING VISIT,265.65,50.4735,2.6565,524.0,310 CPT,99402,HC PREVENTIVE CONSLT IND APRX 30 MIN,206.01,39.1419,2.0601,524.0,310 CPT,99403,HC PREVENTIVE CONSLT IND APRX 45 MIN,214.53,40.7607,2.1453,637.36,310 CPT,99404,HC PREVENTIVE CONSLT IND APRX 60 MIN,279.23,53.0537,2.7923,847.87,310 CPT,99406,HC BEHAV CHNG SMOKING 3-10 MIN,96.3,18.297,11.7,277.11,405 CPT,99407,HC BEHAV CHNG SMOKING > 10 MIN,200.3,38.057,24.71,277.11,405 CPT,99408,HC ALCOHOL/DRUG INTERVENTION 15 - 30 MIN,133.56,25.3764,1.3356,524.0,310 CPT,99409,HC ALCOHOL/DRUG SCREENING 30 > MIN,126.14,23.9666,1.2614,566.19,310 CPT,99411,HC PREVENTIVE COUNSELING GRP; 30 MIN,265.65,50.4735,2.6565,524.0,310 CPT,99412,HC PREVENTIVE COUNSELING GRP; 60 MIN,265.65,50.4735,2.6565,524.0,310 CPT,99426,HC PRIN CARE MGMT 1ST 30,278.76,52.9644,48.66,524.0,325 CPT,99427,HC PRIN CARE MGMT EA ADDL,27.87,5.2953,13.6563,524.0,243 CPT,99429,HC COVID VACCINE COUNSELING 15 MIN,265.65,50.4735,1.0,265.65,213 CPT,99439,HC CHRNC CARE MGMT / PEER SUP SVC EA ADD OR EA ADD 30 MIN PR MO,23.32,4.4308,11.4268,524.0,243 CPT,99453,HC REM MNTR PHYSIOL PARAM SETUP,421.35,80.0565,15.0,524.0,405 CPT,99454,HC REM MNTR PHYSIOL PARAM DEV,131.76,25.0344,43.24,676.05,405 CPT,99457,HC REM PHYSIOL MNTR 1ST 20 MIN,65.5,12.445,29.52,524.0,325 CPT,99464,HC ATTENDANCE AT DELIVERY,289.8,55.062,70.94,25798.0,250 CPT,99473,HC SELF-MEAS BP PT EDUCAJ/TRAING & DEV CALIBRATION,88.56,16.8264,14.0,635.06,405 CPT,99483,HC ASSMT & CARE PLN PT COG IMP,267.12,50.7528,106.848,1558.87,331 CPT,99484,HC CARE MGMT SVC BHVL HLTH COND 20+ MIN,114.48,21.7512,35.25,285.44,331 CPT,99487,HC CPLX CHRNC CARE 1ST 60 MIN,580.93,110.3767,89.55,714.47,331 CPT,99489,HC CPLX CHRNC CARE EA ADDL 30,291.68,55.4192,48.31,524.0,249 CPT,99490,HC CHRNC CARE MGMT / PEER SUP SVC 1ST 20 OR 60 MIN PR MO,233.24,44.3156,49.0,524.0,331 CPT,99492,HC PSYCHIATRIC COLLAB CARE MGMT 70 MIN 1ST YR1,285.45,54.2355,93.47,787.28,331 CPT,99493,HC SBSQ PSYCHIATRIC COLLAB CARE MGMT 60 MIN 1ST YR 1,285.45,54.2355,101.94,711.99,331 CPT,99494,HC 1ST/SBSQ PYSCHIATRIC COLLAB CARE MGMT EA ADDL 30 MIN/MNTH,188.4,35.796,39.53,379.52,249 CPT,99495,HC TRANS CARE MGMT 14 DAY DISCH,436.33,82.9027,137.57,1330.33,331 CPT,99496,HC TRANS CARE MGMT 7 DAY DISCH,436.33,82.9027,149.44,1953.68,331 CPT,99497,HC ADVNCD CARE PLAN 30 MIN,629.31,119.5689,74.43,792.47,331 CPT,99498,HC ADVNCD CARE PLAN ADDL 30 MIN,590.75,112.2425,70.63,744.72,249 CPT,99499,HC UNLISTED EVALUATION AND MANAGEMENT SERVICE,265.65,50.4735,106.26,524.0,201 CPT,99509,HC HOME VISIT DAY LIFE ACTIVITY,63.44,12.0536,0.6344,63.44,201 CPT,99510,HC HOME VISIT SING/M/FAM COUNS,300.51,57.0969,3.0051,300.51,212 CPT,99600,HC HOME VISIT NOS,367.29,69.7851,3.6729,367.29,201 CPT,99601,HC HOME NFS VISIT <2 HRS,367.29,69.7851,3.6729,477.61,212 CPT,99602,HC HOME NFS VISIT EACH ADDL HR,36.73,6.9787,0.3673,238.8,212 CPT,99605,HC MTMS BY PHARM NP 15 MIN,137.8,26.182,1.378,137.8,212 CPT,99606,HC MTMS BY PHARM EST 15 MIN,90.1,17.119,0.901,90.1,212 CPT,99607,HC MTMS BY PHARM ADDL 15 MIN,84.8,16.112,0.848,84.8,212 DRG,APR001-1,APR001-1 LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT,,,50280.13,149655.04,99 DRG,APR001-2,APR001-2 LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT,,,50280.13,149655.04,99 DRG,APR001-3,APR001-3 LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT,,,67740.27,200428.86,99 DRG,APR001-4,APR001-4 LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT,,,140165.13,411039.29,99 DRG,APR002-1,APR002-1 HEART &/OR LUNG TRANSPLANT,,,97328.67,286471.5,99 DRG,APR002-2,APR002-2 HEART &/OR LUNG TRANSPLANT,,,103238.27,303656.53,99 DRG,APR002-3,APR002-3 HEART &/OR LUNG TRANSPLANT,,,120855.32,354886.65,99 DRG,APR002-4,APR002-4 HEART &/OR LUNG TRANSPLANT,,,277963.3,811754.27,99 DRG,APR003-1,APR003-1 BONE MARROW TRANSPLANT,,,53943.81,160308.97,99 DRG,APR003-2,APR003-2 BONE MARROW TRANSPLANT,,,62938.57,186465.6,99 DRG,APR003-3,APR003-3 BONE MARROW TRANSPLANT,,,95133.48,280087.9,99 DRG,APR003-4,APR003-4 BONE MARROW TRANSPLANT,,,179035.98,524075.11,99 DRG,APR004-1,APR004-1 TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE OR ECMO,,,58405.53,173283.58,84 DRG,APR004-2,APR004-2 TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE OR ECMO,,,58405.53,173283.58,99 DRG,APR004-3,APR004-3 TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE OR ECMO,,,81245.09,239700.68,99 DRG,APR004-4,APR004-4 TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE OR ECMO,,,144656.18,424099.17,99 DRG,APR005-1,APR005-1 TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE,,,46577.61,138888.19,99 DRG,APR005-2,APR005-2 TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE,,,47746.54,142287.4,99 DRG,APR005-3,APR005-3 TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE,,,74604.81,220390.87,99 DRG,APR005-4,APR005-4 TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE,,,110717.0,325404.55,99 DRG,APR006-1,APR006-1 PANCREAS TRANSPLANT,,,41500.13,124122.94,99 DRG,APR006-2,APR006-2 PANCREAS TRANSPLANT,,,41500.13,124122.94,99 DRG,APR006-3,APR006-3 PANCREAS TRANSPLANT,,,59400.89,176178.09,99 DRG,APR006-4,APR006-4 PANCREAS TRANSPLANT,,,61974.11,183660.96,99 DRG,APR020-1,APR020-1 CRANIOTOMY FOR TRAUMA,,,15587.29,48768.8,99 DRG,APR020-2,APR020-2 CRANIOTOMY FOR TRAUMA,,,19310.41,59595.57,99 DRG,APR020-3,APR020-3 CRANIOTOMY FOR TRAUMA,,,29509.76,89255.11,99 DRG,APR020-4,APR020-4 CRANIOTOMY FOR TRAUMA,,,54454.17,161793.1,99 DRG,APR021-1,APR021-1 CRANIOTOMY EXCEPT FOR TRAUMA,,,16447.14,51269.23,99 DRG,APR021-2,APR021-2 CRANIOTOMY EXCEPT FOR TRAUMA,,,22653.13,69316.16,99 DRG,APR021-3,APR021-3 CRANIOTOMY EXCEPT FOR TRAUMA,,,35766.46,107449.53,99 DRG,APR021-4,APR021-4 CRANIOTOMY EXCEPT FOR TRAUMA,,,58823.96,174500.38,99 DRG,APR022-1,APR022-1 VENTRICULAR SHUNT PROCEDURES,,,11539.25,36997.16,99 DRG,APR022-2,APR022-2 VENTRICULAR SHUNT PROCEDURES,,,14354.18,45182.92,99 DRG,APR022-3,APR022-3 VENTRICULAR SHUNT PROCEDURES,,,22611.92,69196.32,99 DRG,APR022-4,APR022-4 VENTRICULAR SHUNT PROCEDURES,,,44131.99,131776.35,99 DRG,APR023-1,APR023-1 SPINAL PROCEDURES,,,14441.35,45436.42,99 DRG,APR023-2,APR023-2 SPINAL PROCEDURES,,,18918.92,58457.12,99 DRG,APR023-3,APR023-3 SPINAL PROCEDURES,,,35485.13,106631.41,99 DRG,APR023-4,APR023-4 SPINAL PROCEDURES,,,65486.42,193874.72,99 DRG,APR024-1,APR024-1 EXTRACRANIAL VASCULAR PROCEDURES,,,13337.41,42226.18,99 DRG,APR024-2,APR024-2 EXTRACRANIAL VASCULAR PROCEDURES,,,18320.59,56717.19,99 DRG,APR024-3,APR024-3 EXTRACRANIAL VASCULAR PROCEDURES,,,30681.85,92663.54,99 DRG,APR024-4,APR024-4 EXTRACRANIAL VASCULAR PROCEDURES,,,55275.19,164180.61,99 DRG,APR026-1,APR026-1 OTHER NERVOUS SYSTEM & RELATED PROCEDURES,,,11158.06,35888.67,99 DRG,APR026-2,APR026-2 OTHER NERVOUS SYSTEM & RELATED PROCEDURES,,,15669.71,49008.47,99 DRG,APR026-3,APR026-3 OTHER NERVOUS SYSTEM & RELATED PROCEDURES,,,22583.39,69113.36,99 DRG,APR026-4,APR026-4 OTHER NERVOUS SYSTEM & RELATED PROCEDURES,,,51172.47,152249.96,99 DRG,APR040-1,APR040-1 SPINAL DISORDERS & INJURIES,,,7902.52,26421.59,99 DRG,APR040-2,APR040-2 SPINAL DISORDERS & INJURIES,,,11614.54,37216.09,99 DRG,APR040-3,APR040-3 SPINAL DISORDERS & INJURIES,,,19636.12,60542.74,99 DRG,APR040-4,APR040-4 SPINAL DISORDERS & INJURIES,,,22960.62,70210.32,99 DRG,APR041-1,APR041-1 NERVOUS SYSTEM MALIGNANCY,,,7386.6,24921.32,99 DRG,APR041-2,APR041-2 NERVOUS SYSTEM MALIGNANCY,,,8302.72,27585.38,99 DRG,APR041-3,APR041-3 NERVOUS SYSTEM MALIGNANCY,,,13117.1,41585.52,99 DRG,APR041-4,APR041-4 NERVOUS SYSTEM MALIGNANCY,,,23081.87,70562.92,99 DRG,APR042-1,APR042-1 DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS,,,6486.34,22303.36,99 DRG,APR042-2,APR042-2 DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS,,,8431.9,27961.02,99 DRG,APR042-3,APR042-3 DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS,,,15905.08,49692.92,99 DRG,APR042-4,APR042-4 DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS,,,16837.84,52405.38,99 DRG,APR043-1,APR043-1 MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES,,,7648.92,25684.13,99 DRG,APR043-2,APR043-2 MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES,,,9954.27,32388.06,99 DRG,APR043-3,APR043-3 MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES,,,19331.81,59657.79,99 DRG,APR043-4,APR043-4 MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES,,,48333.77,143995.07,99 DRG,APR044-1,APR044-1 INTRACRANIAL HEMORRHAGE,,,9362.28,30666.56,99 DRG,APR044-2,APR044-2 INTRACRANIAL HEMORRHAGE,,,13031.51,41336.63,99 DRG,APR044-3,APR044-3 INTRACRANIAL HEMORRHAGE,,,18201.72,56371.5,99 DRG,APR044-4,APR044-4 INTRACRANIAL HEMORRHAGE,,,23457.51,71655.27,99 DRG,APR045-1,APR045-1 CVA & PRECEREBRAL OCCLUSION W INFARCT,,,7755.11,25992.94,99 DRG,APR045-2,APR045-2 CVA & PRECEREBRAL OCCLUSION W INFARCT,,,10243.53,33229.22,99 DRG,APR045-3,APR045-3 CVA & PRECEREBRAL OCCLUSION W INFARCT,,,15077.72,47286.97,99 DRG,APR045-4,APR045-4 CVA & PRECEREBRAL OCCLUSION W INFARCT,,,28541.33,86438.95,99 DRG,APR046-1,APR046-1 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT,,,6441.16,22172.0,99 DRG,APR046-2,APR046-2 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT,,,8160.08,27170.56,99 DRG,APR046-3,APR046-3 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT,,,10199.94,33102.47,99 DRG,APR046-4,APR046-4 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT,,,10593.81,34247.83,99 DRG,APR047-1,APR047-1 TRANSIENT ISCHEMIA,,,5505.23,19450.32,99 DRG,APR047-2,APR047-2 TRANSIENT ISCHEMIA,,,6452.26,22204.26,99 DRG,APR047-3,APR047-3 TRANSIENT ISCHEMIA,,,8375.63,27797.4,99 DRG,APR047-4,APR047-4 TRANSIENT ISCHEMIA,,,8541.26,28279.05,99 DRG,APR048-1,"APR048-1 PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS",,,5825.4,20381.36,99 DRG,APR048-2,"APR048-2 PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS",,,7295.47,24656.3,99 DRG,APR048-3,"APR048-3 PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS",,,10202.32,33109.39,99 DRG,APR048-4,"APR048-4 PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS",,,29049.32,87916.17,99 DRG,APR049-1,APR049-1 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,10667.51,34462.16,99 DRG,APR049-2,APR049-2 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,21162.46,64981.3,99 DRG,APR049-3,APR049-3 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,26800.23,81375.86,99 DRG,APR049-4,APR049-4 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,48728.43,145142.73,99 DRG,APR050-1,APR050-1 NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS,,,7384.23,24914.41,99 DRG,APR050-2,APR050-2 NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS,,,12155.02,38787.8,99 DRG,APR050-3,APR050-3 NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS,,,18907.82,58424.86,99 DRG,APR050-4,APR050-4 NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS,,,43807.07,130831.48,99 DRG,APR051-1,APR051-1 VIRAL MENINGITIS,,,6327.84,21842.45,99 DRG,APR051-2,APR051-2 VIRAL MENINGITIS,,,7643.37,25668.0,99 DRG,APR051-3,APR051-3 VIRAL MENINGITIS,,,13457.08,42574.17,99 DRG,APR051-4,APR051-4 VIRAL MENINGITIS,,,15153.8,47508.21,99 DRG,APR052-1,APR052-1 NONTRAUMATIC STUPOR & COMA,,,5837.29,20415.93,99 DRG,APR052-2,APR052-2 NONTRAUMATIC STUPOR & COMA,,,7196.41,24368.23,99 DRG,APR052-3,APR052-3 NONTRAUMATIC STUPOR & COMA,,,9379.72,30717.26,99 DRG,APR052-4,APR052-4 NONTRAUMATIC STUPOR & COMA,,,19483.17,60097.96,99 DRG,APR053-1,APR053-1 SEIZURE,,,5303.94,18864.97,99 DRG,APR053-2,APR053-2 SEIZURE,,,6049.67,21033.55,99 DRG,APR053-3,APR053-3 SEIZURE,,,7934.22,26513.77,99 DRG,APR053-4,APR053-4 SEIZURE,,,22650.75,69309.24,99 DRG,APR054-1,APR054-1 MIGRAINE & OTHER HEADACHES,,,5336.43,18959.46,99 DRG,APR054-2,APR054-2 MIGRAINE & OTHER HEADACHES,,,6288.21,21727.22,99 DRG,APR054-3,APR054-3 MIGRAINE & OTHER HEADACHES,,,7696.47,25822.4,99 DRG,APR054-4,APR054-4 MIGRAINE & OTHER HEADACHES,,,7811.38,26156.56,99 DRG,APR055-1,APR055-1 HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE,,,5849.97,20452.8,99 DRG,APR055-2,APR055-2 HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE,,,8390.69,27841.19,99 DRG,APR055-3,APR055-3 HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE,,,13330.28,42205.44,99 DRG,APR055-4,APR055-4 HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE,,,28248.11,85586.27,99 DRG,APR056-1,"APR056-1 BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA",,,5551.99,19586.29,99 DRG,APR056-2,"APR056-2 BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA",,,7789.19,26092.03,99 DRG,APR056-3,"APR056-3 BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA",,,12743.04,40497.77,99 DRG,APR056-4,"APR056-4 BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA",,,31582.91,95283.81,99 DRG,APR057-1,"APR057-1 CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA",,,4581.98,16765.52,99 DRG,APR057-2,"APR057-2 CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA",,,5715.24,20061.03,99 DRG,APR057-3,"APR057-3 CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA",,,9111.06,29936.02,99 DRG,APR057-4,"APR057-4 CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA",,,24845.16,75690.54,99 DRG,APR058-1,APR058-1 OTHER DISORDERS OF NERVOUS SYSTEM,,,5704.15,20028.77,99 DRG,APR058-2,APR058-2 OTHER DISORDERS OF NERVOUS SYSTEM,,,7640.99,25661.08,99 DRG,APR058-3,APR058-3 OTHER DISORDERS OF NERVOUS SYSTEM,,,11456.04,36755.18,99 DRG,APR058-4,APR058-4 OTHER DISORDERS OF NERVOUS SYSTEM,,,28288.53,85703.8,99 DRG,APR070-1,APR070-1 ORBITAL PROCEDURES,,,7809.79,26151.95,99 DRG,APR070-2,APR070-2 ORBITAL PROCEDURES,,,11214.33,36052.3,99 DRG,APR070-3,APR070-3 ORBITAL PROCEDURES,,,17594.67,54606.22,99 DRG,APR070-4,APR070-4 ORBITAL PROCEDURES,,,19827.91,61100.44,99 DRG,APR073-1,APR073-1 EYE PROCEDURES EXCEPT ORBIT,,,6659.1,22805.75,99 DRG,APR073-2,APR073-2 EYE PROCEDURES EXCEPT ORBIT,,,8141.06,27115.25,99 DRG,APR073-3,APR073-3 EYE PROCEDURES EXCEPT ORBIT,,,20969.88,64421.29,99 DRG,APR073-4,APR073-4 EYE PROCEDURES EXCEPT ORBIT,,,21855.89,66997.78,99 DRG,APR080-1,APR080-1 ACUTE MAJOR EYE INFECTIONS,,,5792.91,20286.88,99 DRG,APR080-2,APR080-2 ACUTE MAJOR EYE INFECTIONS,,,7002.25,23803.62,99 DRG,APR080-3,APR080-3 ACUTE MAJOR EYE INFECTIONS,,,11035.23,35531.47,99 DRG,APR080-4,APR080-4 ACUTE MAJOR EYE INFECTIONS,,,12151.05,38776.27,99 DRG,APR082-1,APR082-1 EYE DISORDERS EXCEPT MAJOR INFECTIONS,,,5315.83,18899.54,99 DRG,APR082-2,APR082-2 EYE DISORDERS EXCEPT MAJOR INFECTIONS,,,6140.02,21296.27,99 DRG,APR082-3,APR082-3 EYE DISORDERS EXCEPT MAJOR INFECTIONS,,,9568.33,31265.75,99 DRG,APR082-4,APR082-4 EYE DISORDERS EXCEPT MAJOR INFECTIONS,,,9796.57,31929.46,99 DRG,APR089-1,APR089-1 MAJOR CRANIAL/FACIAL BONE PROCEDURES,,,12241.4,39038.99,99 DRG,APR089-2,APR089-2 MAJOR CRANIAL/FACIAL BONE PROCEDURES,,,18571.81,57447.73,99 DRG,APR089-3,APR089-3 MAJOR CRANIAL/FACIAL BONE PROCEDURES,,,31630.46,95422.09,99 DRG,APR089-4,APR089-4 MAJOR CRANIAL/FACIAL BONE PROCEDURES,,,55473.31,164756.75,99 DRG,APR090-1,APR090-1 MAJOR LARYNX & TRACHEA PROCEDURES,,,7448.42,25101.08,99 DRG,APR090-2,APR090-2 MAJOR LARYNX & TRACHEA PROCEDURES,,,19442.76,59980.43,99 DRG,APR090-3,APR090-3 MAJOR LARYNX & TRACHEA PROCEDURES,,,33822.49,101796.47,99 DRG,APR090-4,APR090-4 MAJOR LARYNX & TRACHEA PROCEDURES,,,90436.39,266428.84,99 DRG,APR091-1,APR091-1 OTHER MAJOR HEAD & NECK PROCEDURES,,,12013.16,38375.28,99 DRG,APR091-2,APR091-2 OTHER MAJOR HEAD & NECK PROCEDURES,,,24014.63,73275.37,99 DRG,APR091-3,APR091-3 OTHER MAJOR HEAD & NECK PROCEDURES,,,30636.68,92532.18,99 DRG,APR091-4,APR091-4 OTHER MAJOR HEAD & NECK PROCEDURES,,,34267.07,103089.32,99 DRG,APR092-1,APR092-1 FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES,,,9770.41,31853.41,99 DRG,APR092-2,APR092-2 FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES,,,12250.12,39064.34,99 DRG,APR092-3,APR092-3 FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES,,,18706.53,57839.5,99 DRG,APR092-4,APR092-4 FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES,,,59711.55,177081.48,99 DRG,APR093-1,APR093-1 SINUS & MASTOID PROCEDURES,,,8545.23,28290.57,99 DRG,APR093-2,APR093-2 SINUS & MASTOID PROCEDURES,,,11214.33,36052.3,99 DRG,APR093-3,APR093-3 SINUS & MASTOID PROCEDURES,,,20203.55,62192.79,99 DRG,APR093-4,APR093-4 SINUS & MASTOID PROCEDURES,,,23475.74,71708.28,99 DRG,APR095-1,APR095-1 CLEFT LIP & PALATE REPAIR,,,7117.95,24140.08,99 DRG,APR095-2,APR095-2 CLEFT LIP & PALATE REPAIR,,,8624.47,28521.03,99 DRG,APR095-3,APR095-3 CLEFT LIP & PALATE REPAIR,,,12423.67,39569.04,99 DRG,APR095-4,APR095-4 CLEFT LIP & PALATE REPAIR,,,21593.57,66234.97,99 DRG,APR097-1,APR097-1 TONSIL & ADENOID PROCEDURES,,,5273.83,18777.4,99 DRG,APR097-2,APR097-2 TONSIL & ADENOID PROCEDURES,,,6909.53,23533.99,99 DRG,APR097-3,APR097-3 TONSIL & ADENOID PROCEDURES,,,13158.31,41705.35,99 DRG,APR097-4,APR097-4 TONSIL & ADENOID PROCEDURES,,,32931.73,99206.16,99 DRG,APR098-1,"APR098-1 OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES",,,6862.77,23398.02,99 DRG,APR098-2,"APR098-2 OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES",,,9165.74,30095.04,99 DRG,APR098-3,"APR098-3 OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES",,,16203.06,50559.43,99 DRG,APR098-4,"APR098-4 OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES",,,34416.06,103522.58,99 DRG,APR110-1,"APR110-1 EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES",,,7120.33,24147.0,99 DRG,APR110-2,"APR110-2 EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES",,,8588.81,28417.32,99 DRG,APR110-3,"APR110-3 EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES",,,15491.4,48489.95,99 DRG,APR110-4,"APR110-4 EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES",,,30185.75,91220.89,99 DRG,APR111-1,APR111-1 VERTIGO & OTHER LABYRINTH DISORDERS,,,4906.11,17708.09,99 DRG,APR111-2,APR111-2 VERTIGO & OTHER LABYRINTH DISORDERS,,,5729.51,20102.51,99 DRG,APR111-3,APR111-3 VERTIGO & OTHER LABYRINTH DISORDERS,,,7480.12,25193.26,99 DRG,APR111-4,APR111-4 VERTIGO & OTHER LABYRINTH DISORDERS,,,7590.27,25513.59,99 DRG,APR113-1,APR113-1 INFECTIONS OF UPPER RESPIRATORY TRACT,,,4512.24,16562.72,99 DRG,APR113-2,APR113-2 INFECTIONS OF UPPER RESPIRATORY TRACT,,,5378.44,19081.6,99 DRG,APR113-3,APR113-3 INFECTIONS OF UPPER RESPIRATORY TRACT,,,7606.92,25561.99,99 DRG,APR113-4,APR113-4 INFECTIONS OF UPPER RESPIRATORY TRACT,,,17971.1,55700.88,99 DRG,APR114-1,APR114-1 DENTAL & ORAL DISEASES & INJURIES,,,5230.24,18650.65,99 DRG,APR114-2,APR114-2 DENTAL & ORAL DISEASES & INJURIES,,,6234.32,21570.51,99 DRG,APR114-3,APR114-3 DENTAL & ORAL DISEASES & INJURIES,,,10944.89,35268.75,99 DRG,APR114-4,APR114-4 DENTAL & ORAL DISEASES & INJURIES,,,20992.07,64485.82,99 DRG,APR115-1,"APR115-1 OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES",,,4936.23,17795.66,99 DRG,APR115-2,"APR115-2 OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES",,,6202.62,21478.33,99 DRG,APR115-3,"APR115-3 OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES",,,9306.02,30502.94,99 DRG,APR115-4,"APR115-4 OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES",,,22214.09,68039.44,99 DRG,APR120-1,APR120-1 MAJOR RESPIRATORY & CHEST PROCEDURES,,,15168.06,47549.69,99 DRG,APR120-2,APR120-2 MAJOR RESPIRATORY & CHEST PROCEDURES,,,18166.85,56270.1,99 DRG,APR120-3,APR120-3 MAJOR RESPIRATORY & CHEST PROCEDURES,,,28098.33,85150.71,99 DRG,APR120-4,APR120-4 MAJOR RESPIRATORY & CHEST PROCEDURES,,,49705.57,147984.24,99 DRG,APR121-1,APR121-1 OTHER RESPIRATORY & CHEST PROCEDURES,,,11015.42,35473.85,99 DRG,APR121-2,APR121-2 OTHER RESPIRATORY & CHEST PROCEDURES,,,14333.57,45123.0,99 DRG,APR121-3,APR121-3 OTHER RESPIRATORY & CHEST PROCEDURES,,,23971.84,73150.93,99 DRG,APR121-4,APR121-4 OTHER RESPIRATORY & CHEST PROCEDURES,,,49438.5,147207.61,99 DRG,APR130-1,APR130-1 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS,,,28620.58,86669.41,99 DRG,APR130-2,APR130-2 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS,,,28620.58,86669.41,99 DRG,APR130-3,APR130-3 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS,,,35350.41,106239.64,99 DRG,APR130-4,APR130-4 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS,,,49562.92,147569.42,99 DRG,APR131-1,APR131-1 CYSTIC FIBROSIS - PULMONARY DISEASE,,,12372.95,39421.55,99 DRG,APR131-2,APR131-2 CYSTIC FIBROSIS - PULMONARY DISEASE,,,15145.08,47482.86,99 DRG,APR131-3,APR131-3 CYSTIC FIBROSIS - PULMONARY DISEASE,,,21672.03,66463.12,99 DRG,APR131-4,APR131-4 CYSTIC FIBROSIS - PULMONARY DISEASE,,,23099.3,70613.62,99 DRG,APR132-1,APR132-1 BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,6113.87,21220.22,99 DRG,APR132-2,APR132-2 BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,7652.09,25693.35,99 DRG,APR132-3,APR132-3 BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,11879.23,37985.81,99 DRG,APR132-4,APR132-4 BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,20462.69,62946.38,99 DRG,APR133-1,APR133-1 RESPIRATORY FAILURE,,,8739.39,28855.19,99 DRG,APR133-2,APR133-2 RESPIRATORY FAILURE,,,8754.44,28898.98,99 DRG,APR133-3,APR133-3 RESPIRATORY FAILURE,,,12268.34,39117.35,99 DRG,APR133-4,APR133-4 RESPIRATORY FAILURE,,,17421.91,54103.83,99 DRG,APR134-1,APR134-1 PULMONARY EMBOLISM,,,7021.27,23858.93,99 DRG,APR134-2,APR134-2 PULMONARY EMBOLISM,,,8847.16,29168.61,99 DRG,APR134-3,APR134-3 PULMONARY EMBOLISM,,,13398.43,42403.63,99 DRG,APR134-4,APR134-4 PULMONARY EMBOLISM,,,21695.8,66532.26,99 DRG,APR135-1,APR135-1 MAJOR CHEST & RESPIRATORY TRAUMA,,,5538.52,19547.12,99 DRG,APR135-2,APR135-2 MAJOR CHEST & RESPIRATORY TRAUMA,,,7149.65,24232.26,99 DRG,APR135-3,APR135-3 MAJOR CHEST & RESPIRATORY TRAUMA,,,11158.06,35888.67,99 DRG,APR135-4,APR135-4 MAJOR CHEST & RESPIRATORY TRAUMA,,,15825.83,49462.47,99 DRG,APR136-1,APR136-1 RESPIRATORY MALIGNANCY,,,5945.86,20731.65,99 DRG,APR136-2,APR136-2 RESPIRATORY MALIGNANCY,,,8599.91,28449.59,99 DRG,APR136-3,APR136-3 RESPIRATORY MALIGNANCY,,,13797.06,43562.82,99 DRG,APR136-4,APR136-4 RESPIRATORY MALIGNANCY,,,19613.14,60475.91,99 DRG,APR137-1,APR137-1 MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS,,,6950.74,23653.82,99 DRG,APR137-2,APR137-2 MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS,,,9605.58,31374.06,99 DRG,APR137-3,APR137-3 MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS,,,14725.06,46261.45,99 DRG,APR137-4,APR137-4 MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS,,,22137.22,67815.89,99 DRG,APR138-1,APR138-1 BRONCHIOLITIS & RSV PNEUMONIA,,,5301.56,18858.06,99 DRG,APR138-2,APR138-2 BRONCHIOLITIS & RSV PNEUMONIA,,,6431.65,22144.34,99 DRG,APR138-3,APR138-3 BRONCHIOLITIS & RSV PNEUMONIA,,,12252.49,39071.25,99 DRG,APR138-4,APR138-4 BRONCHIOLITIS & RSV PNEUMONIA,,,25399.11,77301.42,99 DRG,APR139-1,APR139-1 OTHER PNEUMONIA,,,5507.61,19457.24,99 DRG,APR139-2,APR139-2 OTHER PNEUMONIA,,,6812.05,23250.53,99 DRG,APR139-3,APR139-3 OTHER PNEUMONIA,,,10455.92,33846.84,99 DRG,APR139-4,APR139-4 OTHER PNEUMONIA,,,18632.04,57622.87,99 DRG,APR140-1,APR140-1 CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,5994.2,20872.23,99 DRG,APR140-2,APR140-2 CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,7158.37,24257.61,99 DRG,APR140-3,APR140-3 CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,9458.97,30947.72,99 DRG,APR140-4,APR140-4 CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,17051.81,53027.6,99 DRG,APR141-1,APR141-1 ASTHMA,,,5189.82,18533.11,99 DRG,APR141-2,APR141-2 ASTHMA,,,6328.63,21844.75,99 DRG,APR141-3,APR141-3 ASTHMA,,,8867.77,29228.53,99 DRG,APR141-4,APR141-4 ASTHMA,,,14527.73,45687.61,99 DRG,APR142-1,APR142-1 INTERSTITIAL & ALVEOLAR LUNG DISEASES,,,6723.29,22992.42,99 DRG,APR142-2,APR142-2 INTERSTITIAL & ALVEOLAR LUNG DISEASES,,,8244.87,27417.15,99 DRG,APR142-3,APR142-3 INTERSTITIAL & ALVEOLAR LUNG DISEASES,,,11983.05,38287.71,99 DRG,APR142-4,APR142-4 INTERSTITIAL & ALVEOLAR LUNG DISEASES,,,23480.49,71722.1,99 DRG,APR143-1,"APR143-1 OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES",,,5645.5,19858.23,99 DRG,APR143-2,"APR143-2 OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES",,,7451.59,25110.3,99 DRG,APR143-3,"APR143-3 OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES",,,11602.65,37181.52,99 DRG,APR143-4,"APR143-4 OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES",,,17743.66,55039.47,99 DRG,APR144-1,"APR144-1 RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES",,,5024.19,18051.46,99 DRG,APR144-2,"APR144-2 RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES",,,5945.07,20729.35,99 DRG,APR144-3,"APR144-3 RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES",,,8285.29,27534.68,99 DRG,APR144-4,"APR144-4 RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES",,,14900.2,46770.75,99 DRG,APR160-1,APR160-1 MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,26369.91,80124.49,99 DRG,APR160-2,APR160-2 MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,28363.82,85922.74,99 DRG,APR160-3,APR160-3 MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,39318.4,117778.52,99 DRG,APR160-4,APR160-4 MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,80241.0,236780.82,99 DRG,APR161-1,APR161-1 CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT,,,33249.52,100130.28,99 DRG,APR161-2,APR161-2 CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT,,,49997.21,148832.31,99 DRG,APR161-3,APR161-3 CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT,,,79414.44,234377.17,99 DRG,APR161-4,APR161-4 CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT,,,184349.62,539527.12,99 DRG,APR162-1,APR162-1 CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX,,,28873.39,87404.56,99 DRG,APR162-2,APR162-2 CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX,,,36956.78,110910.96,99 DRG,APR162-3,APR162-3 CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX,,,46899.36,139823.83,99 DRG,APR162-4,APR162-4 CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX,,,75809.4,223893.78,99 DRG,APR163-1,APR163-1 CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX,,,25407.04,77324.46,99 DRG,APR163-2,APR163-2 CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX,,,30759.51,92889.39,99 DRG,APR163-3,APR163-3 CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX,,,37460.02,112374.35,99 DRG,APR163-4,APR163-4 CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX,,,57283.36,170020.34,99 DRG,APR165-1,APR165-1 CORONARY BYPASS W AMI OR COMPLEX PDX,,,32609.18,98268.2,99 DRG,APR165-2,APR165-2 CORONARY BYPASS W AMI OR COMPLEX PDX,,,32716.17,98579.32,99 DRG,APR165-3,APR165-3 CORONARY BYPASS W AMI OR COMPLEX PDX,,,39962.7,119652.12,99 DRG,APR165-4,APR165-4 CORONARY BYPASS W AMI OR COMPLEX PDX,,,57517.94,170702.48,99 DRG,APR166-1,APR166-1 CORONARY BYPASS W/O AMI OR COMPLEX PDX,,,25240.61,76840.51,99 DRG,APR166-2,APR166-2 CORONARY BYPASS W/O AMI OR COMPLEX PDX,,,27284.44,82783.94,99 DRG,APR166-3,APR166-3 CORONARY BYPASS W/O AMI OR COMPLEX PDX,,,33261.4,100164.85,99 DRG,APR166-4,APR166-4 CORONARY BYPASS W/O AMI OR COMPLEX PDX,,,50818.23,151219.83,99 DRG,APR167-1,APR167-1 OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES,,,20660.02,63520.22,99 DRG,APR167-2,APR167-2 OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES,,,23940.93,73061.05,99 DRG,APR167-3,APR167-3 OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES,,,30609.73,92453.83,99 DRG,APR167-4,APR167-4 OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES,,,53988.19,160438.02,99 DRG,APR169-1,APR169-1 MAJOR ABDOMINAL VASCULAR PROCEDURES,,,15569.06,48715.79,99 DRG,APR169-2,APR169-2 MAJOR ABDOMINAL VASCULAR PROCEDURES,,,19571.93,60356.07,99 DRG,APR169-3,APR169-3 MAJOR ABDOMINAL VASCULAR PROCEDURES,,,30880.76,93241.98,99 DRG,APR169-4,APR169-4 MAJOR ABDOMINAL VASCULAR PROCEDURES,,,58360.35,173152.22,99 DRG,APR170-1,"APR170-1 PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK",,,22878.2,69970.65,99 DRG,APR170-2,"APR170-2 PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK",,,23114.36,70657.4,99 DRG,APR170-3,"APR170-3 PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK",,,29990.0,90651.67,99 DRG,APR170-4,"APR170-4 PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK",,,39575.17,118525.19,99 DRG,APR171-1,"APR171-1 PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK",,,15224.33,47713.31,99 DRG,APR171-2,"APR171-2 PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK",,,18427.58,57028.3,99 DRG,APR171-3,"APR171-3 PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK",,,25115.4,76476.39,99 DRG,APR171-4,"APR171-4 PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK",,,48699.11,145057.46,99 DRG,APR174-1,APR174-1 PERCUTANEOUS CORONARY INTERVENTION W AMI,,,15424.04,48294.06,99 DRG,APR174-2,APR174-2 PERCUTANEOUS CORONARY INTERVENTION W AMI,,,16829.12,52380.03,99 DRG,APR174-3,APR174-3 PERCUTANEOUS CORONARY INTERVENTION W AMI,,,21299.56,65379.99,99 DRG,APR174-4,APR174-4 PERCUTANEOUS CORONARY INTERVENTION W AMI,,,31779.45,95855.34,99 DRG,APR175-1,APR175-1 PERCUTANEOUS CORONARY INTERVENTION W/O AMI,,,13128.99,41620.09,99 DRG,APR175-2,APR175-2 PERCUTANEOUS CORONARY INTERVENTION W/O AMI,,,14703.67,46199.22,99 DRG,APR175-3,APR175-3 PERCUTANEOUS CORONARY INTERVENTION W/O AMI,,,20602.17,63351.98,99 DRG,APR175-4,APR175-4 PERCUTANEOUS CORONARY INTERVENTION W/O AMI,,,40353.4,120788.26,99 DRG,APR176-1,APR176-1 CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT,,,12792.18,40640.65,99 DRG,APR176-2,APR176-2 CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT,,,22361.5,68468.08,99 DRG,APR176-3,APR176-3 CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT,,,28100.71,85157.63,99 DRG,APR176-4,APR176-4 CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT,,,29578.7,89455.61,99 DRG,APR177-1,APR177-1 CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,12485.49,39748.79,99 DRG,APR177-2,APR177-2 CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,15282.98,47883.85,99 DRG,APR177-3,APR177-3 CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,22680.08,69394.51,99 DRG,APR177-4,APR177-4 CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,51637.66,153602.73,99 DRG,APR180-1,APR180-1 OTHER CIRCULATORY SYSTEM PROCEDURES,,,10463.05,33867.58,99 DRG,APR180-2,APR180-2 OTHER CIRCULATORY SYSTEM PROCEDURES,,,14482.56,45556.26,99 DRG,APR180-3,APR180-3 OTHER CIRCULATORY SYSTEM PROCEDURES,,,20610.89,63377.33,99 DRG,APR180-4,APR180-4 OTHER CIRCULATORY SYSTEM PROCEDURES,,,39627.48,118677.29,99 DRG,APR181-1,APR181-1 LOWER EXTREMITY ARTERIAL PROCEDURES #,,,12808.82,40689.05,99 DRG,APR181-2,APR181-2 LOWER EXTREMITY ARTERIAL PROCEDURES #,,,19487.13,60109.48,99 DRG,APR181-3,APR181-3 LOWER EXTREMITY ARTERIAL PROCEDURES #,,,33851.81,101881.74,99 DRG,APR181-4,APR181-4 LOWER EXTREMITY ARTERIAL PROCEDURES #,,,53871.69,160099.25,99 DRG,APR182-1,APR182-1 OTHER PERIPHERAL VASCULAR PROCEDURES #,,,13327.11,42196.22,99 DRG,APR182-2,APR182-2 OTHER PERIPHERAL VASCULAR PROCEDURES #,,,18221.53,56429.12,99 DRG,APR182-3,APR182-3 OTHER PERIPHERAL VASCULAR PROCEDURES #,,,26986.47,81917.43,99 DRG,APR182-4,APR182-4 OTHER PERIPHERAL VASCULAR PROCEDURES #,,,51141.56,152160.08,99 DRG,APR190-1,APR190-1 ACUTE MYOCARDIAL INFARCTION,,,7266.94,24573.34,99 DRG,APR190-2,APR190-2 ACUTE MYOCARDIAL INFARCTION,,,9031.02,29703.26,99 DRG,APR190-3,APR190-3 ACUTE MYOCARDIAL INFARCTION,,,12934.03,41053.17,99 DRG,APR190-4,APR190-4 ACUTE MYOCARDIAL INFARCTION,,,23730.92,72450.34,99 DRG,APR191-1,APR191-1 CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,7118.74,24142.39,99 DRG,APR191-2,APR191-2 CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,8380.39,27811.23,99 DRG,APR191-3,APR191-3 CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,12743.04,40497.77,99 DRG,APR191-4,APR191-4 CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,22417.76,68631.7,99 DRG,APR192-1,APR192-1 CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,7127.46,24167.74,99 DRG,APR192-2,APR192-2 CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,9515.23,31111.34,99 DRG,APR192-3,APR192-3 CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,15859.12,49559.26,99 DRG,APR192-4,APR192-4 CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,34065.78,102503.97,99 DRG,APR193-1,APR193-1 ACUTE & SUBACUTE ENDOCARDITIS,,,9613.5,31397.11,99 DRG,APR193-2,APR193-2 ACUTE & SUBACUTE ENDOCARDITIS,,,12357.89,39377.76,99 DRG,APR193-3,APR193-3 ACUTE & SUBACUTE ENDOCARDITIS,,,18500.48,57240.32,99 DRG,APR193-4,APR193-4 ACUTE & SUBACUTE ENDOCARDITIS,,,36814.93,110498.45,99 DRG,APR194-1,APR194-1 HEART FAILURE,,,5952.2,20750.09,99 DRG,APR194-2,APR194-2 HEART FAILURE,,,7706.77,25852.36,99 DRG,APR194-3,APR194-3 HEART FAILURE,,,11689.03,37432.72,99 DRG,APR194-4,APR194-4 HEART FAILURE,,,24326.87,74183.36,99 DRG,APR196-1,APR196-1 CARDIAC ARREST AND SHOCK,,,6078.2,21116.51,99 DRG,APR196-2,APR196-2 CARDIAC ARREST AND SHOCK,,,6445.13,22183.52,99 DRG,APR196-3,APR196-3 CARDIAC ARREST AND SHOCK,,,6995.91,23785.18,99 DRG,APR196-4,APR196-4 CARDIAC ARREST AND SHOCK,,,18005.97,55802.28,99 DRG,APR197-1,APR197-1 PERIPHERAL & OTHER VASCULAR DISORDERS,,,6080.58,21123.43,99 DRG,APR197-2,APR197-2 PERIPHERAL & OTHER VASCULAR DISORDERS,,,7715.49,25877.71,99 DRG,APR197-3,APR197-3 PERIPHERAL & OTHER VASCULAR DISORDERS,,,10795.1,34833.19,99 DRG,APR197-4,APR197-4 PERIPHERAL & OTHER VASCULAR DISORDERS,,,24132.71,73618.75,99 DRG,APR198-1,APR198-1 ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS,,,4672.33,17028.24,99 DRG,APR198-2,APR198-2 ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS,,,5670.86,19931.98,99 DRG,APR198-3,APR198-3 ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS,,,7916.78,26463.07,99 DRG,APR198-4,APR198-4 ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS,,,20620.4,63404.99,99 DRG,APR199-1,APR199-1 HYPERTENSION,,,5022.61,18046.85,99 DRG,APR199-2,APR199-2 HYPERTENSION,,,6131.3,21270.92,99 DRG,APR199-3,APR199-3 HYPERTENSION,,,8821.8,29094.86,99 DRG,APR199-4,APR199-4 HYPERTENSION,,,20902.52,64225.41,99 DRG,APR200-1,APR200-1 CARDIAC STRUCTURAL & VALVULAR DISORDERS,,,5456.89,19309.75,99 DRG,APR200-2,APR200-2 CARDIAC STRUCTURAL & VALVULAR DISORDERS,,,6952.32,23658.43,99 DRG,APR200-3,APR200-3 CARDIAC STRUCTURAL & VALVULAR DISORDERS,,,11355.39,36462.51,99 DRG,APR200-4,APR200-4 CARDIAC STRUCTURAL & VALVULAR DISORDERS,,,32656.73,98406.48,99 DRG,APR201-1,APR201-1 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS,,,4864.11,17585.94,99 DRG,APR201-2,APR201-2 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS,,,6387.28,22015.29,99 DRG,APR201-3,APR201-3 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS,,,10034.31,32620.82,99 DRG,APR201-4,APR201-4 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS,,,21565.84,66154.31,99 DRG,APR203-1,APR203-1 CHEST PAIN,,,4557.42,16694.08,99 DRG,APR203-2,APR203-2 CHEST PAIN,,,5330.09,18941.02,99 DRG,APR203-3,APR203-3 CHEST PAIN,,,7030.78,23886.58,99 DRG,APR203-4,APR203-4 CHEST PAIN,,,20101.31,61895.51,99 DRG,APR204-1,APR204-1 SYNCOPE & COLLAPSE,,,5084.42,18226.61,99 DRG,APR204-2,APR204-2 SYNCOPE & COLLAPSE,,,5993.41,20869.93,99 DRG,APR204-3,APR204-3 SYNCOPE & COLLAPSE,,,8247.25,27424.06,99 DRG,APR204-4,APR204-4 SYNCOPE & COLLAPSE,,,18242.93,56491.34,99 DRG,APR205-1,APR205-1 CARDIOMYOPATHY,,,6093.26,21160.3,99 DRG,APR205-2,APR205-2 CARDIOMYOPATHY,,,7350.94,24817.62,99 DRG,APR205-3,APR205-3 CARDIOMYOPATHY,,,12954.64,41113.09,99 DRG,APR205-4,APR205-4 CARDIOMYOPATHY,,,15480.31,48457.68,99 DRG,APR206-1,"APR206-1 MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE",,,5793.7,20289.18,99 DRG,APR206-2,"APR206-2 MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE",,,7203.54,24388.97,99 DRG,APR206-3,"APR206-3 MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE",,,11296.75,36291.97,99 DRG,APR206-4,"APR206-4 MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE",,,28416.91,86077.14,99 DRG,APR207-1,APR207-1 OTHER CIRCULATORY SYSTEM DIAGNOSES,,,5311.07,18885.71,99 DRG,APR207-2,APR207-2 OTHER CIRCULATORY SYSTEM DIAGNOSES,,,7119.54,24144.69,99 DRG,APR207-3,APR207-3 OTHER CIRCULATORY SYSTEM DIAGNOSES,,,10969.45,35340.19,99 DRG,APR207-4,APR207-4 OTHER CIRCULATORY SYSTEM DIAGNOSES,,,21462.81,65854.72,99 DRG,APR220-1,"APR220-1 MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",,,10618.38,34319.27,99 DRG,APR220-2,"APR220-2 MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",,,16059.62,50142.31,99 DRG,APR220-3,"APR220-3 MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",,,28403.44,86037.96,99 DRG,APR220-4,"APR220-4 MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",,,57605.9,170958.29,99 DRG,APR221-1,APR221-1 MAJOR SMALL & LARGE BOWEL PROCEDURES,,,13217.75,41878.2,99 DRG,APR221-2,APR221-2 MAJOR SMALL & LARGE BOWEL PROCEDURES,,,16356.8,51006.51,99 DRG,APR221-3,APR221-3 MAJOR SMALL & LARGE BOWEL PROCEDURES,,,26014.87,79092.05,99 DRG,APR221-4,APR221-4 MAJOR SMALL & LARGE BOWEL PROCEDURES,,,53806.71,159910.28,99 DRG,APR222-1,"APR222-1 OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",,,7957.99,26582.9,99 DRG,APR222-2,"APR222-2 OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",,,10422.63,33750.05,99 DRG,APR222-3,"APR222-3 OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",,,17664.41,54809.02,99 DRG,APR222-4,"APR222-4 OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",,,45292.99,135152.51,99 DRG,APR223-1,APR223-1 OTHER SMALL & LARGE BOWEL PROCEDURES,,,10763.4,34741.01,99 DRG,APR223-2,APR223-2 OTHER SMALL & LARGE BOWEL PROCEDURES,,,13915.14,43906.2,99 DRG,APR223-3,APR223-3 OTHER SMALL & LARGE BOWEL PROCEDURES,,,22519.2,68926.69,99 DRG,APR223-4,APR223-4 OTHER SMALL & LARGE BOWEL PROCEDURES,,,45645.64,136178.04,99 DRG,APR224-1,APR224-1 PERITONEAL ADHESIOLYSIS,,,10960.73,35314.84,99 DRG,APR224-2,APR224-2 PERITONEAL ADHESIOLYSIS,,,14126.73,44521.51,99 DRG,APR224-3,APR224-3 PERITONEAL ADHESIOLYSIS,,,22467.69,68776.89,99 DRG,APR224-4,APR224-4 PERITONEAL ADHESIOLYSIS,,,45567.19,135949.89,99 DRG,APR225-1,APR225-1 APPENDECTOMY,,,7142.52,24211.52,99 DRG,APR225-2,APR225-2 APPENDECTOMY,,,10188.85,33070.21,99 DRG,APR225-3,APR225-3 APPENDECTOMY,,,17514.63,54373.46,99 DRG,APR225-4,APR225-4 APPENDECTOMY,,,33629.12,101234.16,99 DRG,APR226-1,APR226-1 ANAL PROCEDURES,,,6341.31,21881.62,99 DRG,APR226-2,APR226-2 ANAL PROCEDURES,,,8434.28,27967.94,99 DRG,APR226-3,APR226-3 ANAL PROCEDURES,,,13311.26,42150.13,99 DRG,APR226-4,APR226-4 ANAL PROCEDURES,,,30195.26,91248.55,99 DRG,APR227-1,"APR227-1 HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL",,,9673.73,31572.25,99 DRG,APR227-2,"APR227-2 HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL",,,12138.37,38739.4,99 DRG,APR227-3,"APR227-3 HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL",,,19809.68,61047.43,99 DRG,APR227-4,"APR227-4 HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL",,,43230.14,129153.77,99 DRG,APR228-1,"APR228-1 INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES",,,6961.83,23686.09,99 DRG,APR228-2,"APR228-2 INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES",,,8991.4,29588.04,99 DRG,APR228-3,"APR228-3 INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES",,,14224.21,44804.97,99 DRG,APR228-4,"APR228-4 INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES",,,36748.36,110304.86,99 DRG,APR229-1,APR229-1 OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES,,,9530.29,31155.13,99 DRG,APR229-2,APR229-2 OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES,,,13167.03,41730.7,99 DRG,APR229-3,APR229-3 OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES,,,22086.5,67668.4,99 DRG,APR229-4,APR229-4 OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES,,,47296.4,140978.41,99 DRG,APR240-1,APR240-1 DIGESTIVE MALIGNANCY,,,6982.44,23746.0,99 DRG,APR240-2,APR240-2 DIGESTIVE MALIGNANCY,,,8959.7,29495.85,99 DRG,APR240-3,APR240-3 DIGESTIVE MALIGNANCY,,,13984.88,44109.0,99 DRG,APR240-4,APR240-4 DIGESTIVE MALIGNANCY,,,25004.45,76153.75,99 DRG,APR241-1,APR241-1 PEPTIC ULCER & GASTRITIS,,,5720.0,20074.86,99 DRG,APR241-2,APR241-2 PEPTIC ULCER & GASTRITIS,,,7583.93,25495.16,99 DRG,APR241-3,APR241-3 PEPTIC ULCER & GASTRITIS,,,11284.86,36257.4,99 DRG,APR241-4,APR241-4 PEPTIC ULCER & GASTRITIS,,,26239.15,79744.24,99 DRG,APR242-1,APR242-1 MAJOR ESOPHAGEAL DISORDERS,,,5815.1,20351.4,99 DRG,APR242-2,APR242-2 MAJOR ESOPHAGEAL DISORDERS,,,7732.13,25926.11,99 DRG,APR242-3,APR242-3 MAJOR ESOPHAGEAL DISORDERS,,,11329.24,36386.46,99 DRG,APR242-4,APR242-4 MAJOR ESOPHAGEAL DISORDERS,,,26441.23,80331.9,99 DRG,APR243-1,APR243-1 OTHER ESOPHAGEAL DISORDERS,,,4880.75,17634.34,99 DRG,APR243-2,APR243-2 OTHER ESOPHAGEAL DISORDERS,,,6421.35,22114.38,99 DRG,APR243-3,APR243-3 OTHER ESOPHAGEAL DISORDERS,,,9798.15,31934.07,99 DRG,APR243-4,APR243-4 OTHER ESOPHAGEAL DISORDERS,,,19653.56,60593.44,99 DRG,APR244-1,APR244-1 DIVERTICULITIS & DIVERTICULOSIS,,,5559.12,19607.03,99 DRG,APR244-2,APR244-2 DIVERTICULITIS & DIVERTICULOSIS,,,6932.51,23600.82,99 DRG,APR244-3,APR244-3 DIVERTICULITIS & DIVERTICULOSIS,,,10642.95,34390.72,99 DRG,APR244-4,APR244-4 DIVERTICULITIS & DIVERTICULOSIS,,,25789.02,78435.26,99 DRG,APR245-1,APR245-1 INFLAMMATORY BOWEL DISEASE,,,6387.28,22015.29,99 DRG,APR245-2,APR245-2 INFLAMMATORY BOWEL DISEASE,,,7582.35,25490.55,99 DRG,APR245-3,APR245-3 INFLAMMATORY BOWEL DISEASE,,,11089.91,35690.48,99 DRG,APR245-4,APR245-4 INFLAMMATORY BOWEL DISEASE,,,18517.92,57291.02,99 DRG,APR246-1,APR246-1 GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,6374.6,21978.41,99 DRG,APR246-2,APR246-2 GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,7654.47,25700.26,99 DRG,APR246-3,APR246-3 GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,11681.11,37409.67,99 DRG,APR246-4,APR246-4 GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,24034.44,73332.98,99 DRG,APR247-1,APR247-1 INTESTINAL OBSTRUCTION,,,5323.75,18922.58,99 DRG,APR247-2,APR247-2 INTESTINAL OBSTRUCTION,,,6770.05,23128.38,99 DRG,APR247-3,APR247-3 INTESTINAL OBSTRUCTION,,,10980.55,35372.45,99 DRG,APR247-4,APR247-4 INTESTINAL OBSTRUCTION,,,21690.26,66516.13,99 DRG,APR248-1,APR248-1 MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS,,,6152.7,21333.14,99 DRG,APR248-2,APR248-2 MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS,,,8144.23,27124.47,99 DRG,APR248-3,APR248-3 MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS,,,11888.74,38013.47,99 DRG,APR248-4,APR248-4 MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS,,,27085.53,82205.5,99 DRG,APR249-1,"APR249-1 OTHER GASTROENTERITIS, NAUSA & VOMITING",,,4805.46,17415.41,99 DRG,APR249-2,"APR249-2 OTHER GASTROENTERITIS, NAUSA & VOMITING",,,5670.86,19931.98,99 DRG,APR249-3,"APR249-3 OTHER GASTROENTERITIS, NAUSA & VOMITING",,,8057.05,26870.97,99 DRG,APR249-4,"APR249-4 OTHER GASTROENTERITIS, NAUSA & VOMITING",,,17466.29,54232.88,99 DRG,APR251-1,APR251-1 ABDOMINAL PAIN,,,4830.82,17489.15,99 DRG,APR251-2,APR251-2 ABDOMINAL PAIN,,,5929.22,20683.26,99 DRG,APR251-3,APR251-3 ABDOMINAL PAIN,,,8152.15,27147.52,99 DRG,APR251-4,APR251-4 ABDOMINAL PAIN,,,16781.57,52241.75,99 DRG,APR252-1,"APR252-1 MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE",,,6265.23,21660.39,99 DRG,APR252-2,"APR252-2 MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE",,,7624.35,25612.69,99 DRG,APR252-3,"APR252-3 MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE",,,11279.32,36241.27,99 DRG,APR252-4,"APR252-4 MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE",,,23897.34,72934.3,99 DRG,APR253-1,APR253-1 OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,6273.95,21685.74,99 DRG,APR253-2,APR253-2 OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,7897.76,26407.76,99 DRG,APR253-3,APR253-3 OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,12029.8,38423.68,99 DRG,APR253-4,APR253-4 OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,20186.11,62142.09,99 DRG,APR254-1,APR254-1 OTHER DIGESTIVE SYSTEM DIAGNOSES,,,5394.29,19127.69,99 DRG,APR254-2,APR254-2 OTHER DIGESTIVE SYSTEM DIAGNOSES,,,7155.99,24250.7,99 DRG,APR254-3,APR254-3 OTHER DIGESTIVE SYSTEM DIAGNOSES,,,11046.32,35563.73,99 DRG,APR254-4,APR254-4 OTHER DIGESTIVE SYSTEM DIAGNOSES,,,22105.52,67723.71,99 DRG,APR260-1,"APR260-1 MAJOR PANCREAS, LIVER & SHUNT PROCEDURES",,,13005.36,41260.58,99 DRG,APR260-2,"APR260-2 MAJOR PANCREAS, LIVER & SHUNT PROCEDURES",,,17225.37,53532.3,99 DRG,APR260-3,"APR260-3 MAJOR PANCREAS, LIVER & SHUNT PROCEDURES",,,26361.99,80101.45,99 DRG,APR260-4,"APR260-4 MAJOR PANCREAS, LIVER & SHUNT PROCEDURES",,,60290.86,178766.1,99 DRG,APR261-1,APR261-1 MAJOR BILIARY TRACT PROCEDURES,,,12517.98,39843.28,99 DRG,APR261-2,APR261-2 MAJOR BILIARY TRACT PROCEDURES,,,17302.24,53755.84,99 DRG,APR261-3,APR261-3 MAJOR BILIARY TRACT PROCEDURES,,,25911.06,78790.16,99 DRG,APR261-4,APR261-4 MAJOR BILIARY TRACT PROCEDURES,,,50100.23,149131.91,99 DRG,APR262-1,APR262-1 CHOLECYSTECTOMY EXCEPT LAPAROSCOPIC,,,11847.53,37893.63,99 DRG,APR262-2,APR262-2 CHOLECYSTECTOMY EXCEPT LAPAROSCOPIC,,,14160.02,44618.3,99 DRG,APR262-3,APR262-3 CHOLECYSTECTOMY EXCEPT LAPAROSCOPIC,,,23127.04,70694.28,99 DRG,APR262-4,APR262-4 CHOLECYSTECTOMY EXCEPT LAPAROSCOPIC,,,49410.76,147126.95,99 DRG,APR263-1,APR263-1 LAPAROSCOPIC CHOLECYSTECTOMY,,,8446.96,28004.81,99 DRG,APR263-2,APR263-2 LAPAROSCOPIC CHOLECYSTECTOMY,,,10722.2,34621.17,99 DRG,APR263-3,APR263-3 LAPAROSCOPIC CHOLECYSTECTOMY,,,14238.47,44846.45,99 DRG,APR263-4,APR263-4 LAPAROSCOPIC CHOLECYSTECTOMY,,,30518.6,92188.8,99 DRG,APR264-1,"APR264-1 OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES",,,12007.61,38359.15,99 DRG,APR264-2,"APR264-2 OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES",,,13419.83,42465.86,99 DRG,APR264-3,"APR264-3 OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES",,,24074.07,73448.21,99 DRG,APR264-4,"APR264-4 OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES",,,50211.18,149454.54,99 DRG,APR279-1,APR279-1 HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS,,,5792.12,20284.57,99 DRG,APR279-2,APR279-2 HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS,,,7636.24,25647.26,99 DRG,APR279-3,APR279-3 HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS,,,12196.23,38907.63,99 DRG,APR279-4,APR279-4 HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS,,,30798.34,93002.31,99 DRG,APR280-1,APR280-1 ALCOHOLIC LIVER DISEASE,,,5683.54,19968.85,99 DRG,APR280-2,APR280-2 ALCOHOLIC LIVER DISEASE,,,7404.04,24972.02,99 DRG,APR280-3,APR280-3 ALCOHOLIC LIVER DISEASE,,,11479.02,36822.01,99 DRG,APR280-4,APR280-4 ALCOHOLIC LIVER DISEASE,,,28478.73,86256.9,99 DRG,APR281-1,APR281-1 MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS,,,6723.29,22992.42,99 DRG,APR281-2,APR281-2 MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS,,,8887.58,29286.14,99 DRG,APR281-3,APR281-3 MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS,,,12357.89,39377.76,99 DRG,APR281-4,APR281-4 MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS,,,20602.96,63354.29,99 DRG,APR282-1,APR282-1 DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,5811.13,20339.88,99 DRG,APR282-2,APR282-2 DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,7355.7,24831.45,99 DRG,APR282-3,APR282-3 DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,12229.51,39004.42,99 DRG,APR282-4,APR282-4 DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,28831.38,87282.42,99 DRG,APR283-1,APR283-1 OTHER DISORDERS OF THE LIVER,,,5903.06,20607.21,99 DRG,APR283-2,APR283-2 OTHER DISORDERS OF THE LIVER,,,7358.87,24840.66,99 DRG,APR283-3,APR283-3 OTHER DISORDERS OF THE LIVER,,,10982.13,35377.06,99 DRG,APR283-4,APR283-4 OTHER DISORDERS OF THE LIVER,,,21959.7,67299.68,99 DRG,APR284-1,APR284-1 DISORDERS OF GALLBLADDER & BILIARY TRACT,,,6014.01,20929.85,99 DRG,APR284-2,APR284-2 DISORDERS OF GALLBLADDER & BILIARY TRACT,,,7995.24,26691.22,99 DRG,APR284-3,APR284-3 DISORDERS OF GALLBLADDER & BILIARY TRACT,,,11880.82,37990.42,99 DRG,APR284-4,APR284-4 DISORDERS OF GALLBLADDER & BILIARY TRACT,,,24927.58,75930.21,99 DRG,APR301-1,APR301-1 HIP JOINT REPLACEMENT,,,16061.2,50146.92,99 DRG,APR301-2,APR301-2 HIP JOINT REPLACEMENT,,,16635.76,51817.72,99 DRG,APR301-3,APR301-3 HIP JOINT REPLACEMENT,,,21539.68,66078.26,99 DRG,APR301-4,APR301-4 HIP JOINT REPLACEMENT,,,49411.56,147129.25,99 DRG,APR302-1,APR302-1 KNEE JOINT REPLACEMENT,,,15488.23,48480.73,99 DRG,APR302-2,APR302-2 KNEE JOINT REPLACEMENT,,,17291.14,53723.58,99 DRG,APR302-3,APR302-3 KNEE JOINT REPLACEMENT,,,22783.1,69694.1,99 DRG,APR302-4,APR302-4 KNEE JOINT REPLACEMENT,,,44570.24,133050.76,99 DRG,APR303-1,APR303-1 DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK,,,36463.06,109475.23,99 DRG,APR303-2,APR303-2 DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK,,,43346.63,129492.54,99 DRG,APR303-3,APR303-3 DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK,,,56815.79,168660.65,99 DRG,APR303-4,APR303-4 DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK,,,87774.41,258687.86,99 DRG,APR304-1,APR304-1 DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK,,,25735.13,78278.55,99 DRG,APR304-2,APR304-2 DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK,,,31034.51,93689.07,99 DRG,APR304-3,APR304-3 DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK,,,43657.29,130395.92,99 DRG,APR304-4,APR304-4 DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK,,,74204.61,219227.07,99 DRG,APR305-1,APR305-1 AMPUTATION OF LOWER LIMB EXCEPT TOES,,,12223.96,38988.29,99 DRG,APR305-2,APR305-2 AMPUTATION OF LOWER LIMB EXCEPT TOES,,,16629.42,51799.28,99 DRG,APR305-3,APR305-3 AMPUTATION OF LOWER LIMB EXCEPT TOES,,,28237.81,85556.31,99 DRG,APR305-4,APR305-4 AMPUTATION OF LOWER LIMB EXCEPT TOES,,,51377.72,152846.84,99 DRG,APR308-1,APR308-1 HIP AND FEMUR FRACTURE REPAIR,,,12021.09,38398.33,99 DRG,APR308-2,APR308-2 HIP AND FEMUR FRACTURE REPAIR,,,16008.9,49994.82,99 DRG,APR308-3,APR308-3 HIP AND FEMUR FRACTURE REPAIR,,,23195.99,70894.77,99 DRG,APR308-4,APR308-4 HIP AND FEMUR FRACTURE REPAIR,,,47153.75,140563.59,99 DRG,APR309-1,APR309-1 OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,11306.26,36319.62,99 DRG,APR309-2,APR309-2 OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,16294.19,50824.45,99 DRG,APR309-3,APR309-3 OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,25384.85,77259.94,99 DRG,APR309-4,APR309-4 OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,46965.93,140017.41,99 DRG,APR310-1,APR310-1 INTERVERTEBRAL DISC EXCISION & DECOMPRESSION,,,8267.06,27481.68,99 DRG,APR310-2,APR310-2 INTERVERTEBRAL DISC EXCISION & DECOMPRESSION,,,11120.82,35780.36,99 DRG,APR310-3,APR310-3 INTERVERTEBRAL DISC EXCISION & DECOMPRESSION,,,21605.46,66269.54,99 DRG,APR310-4,APR310-4 INTERVERTEBRAL DISC EXCISION & DECOMPRESSION,,,55660.34,165300.62,99 DRG,APR312-1,"APR312-1 SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES",,,11096.25,35708.92,99 DRG,APR312-2,"APR312-2 SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES",,,19293.77,59547.17,99 DRG,APR312-3,"APR312-3 SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES",,,37318.16,111961.84,99 DRG,APR312-4,"APR312-4 SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES",,,72778.92,215081.18,99 DRG,APR313-1,APR313-1 KNEE & LOWER LEG PROCEDURES EXCEPT FOOT,,,10917.15,35188.09,99 DRG,APR313-2,APR313-2 KNEE & LOWER LEG PROCEDURES EXCEPT FOOT,,,15349.54,48077.43,99 DRG,APR313-3,APR313-3 KNEE & LOWER LEG PROCEDURES EXCEPT FOOT,,,24220.68,73874.55,99 DRG,APR313-4,APR313-4 KNEE & LOWER LEG PROCEDURES EXCEPT FOOT,,,52721.0,156753.05,99 DRG,APR314-1,APR314-1 FOOT & TOE PROCEDURES,,,9824.3,32010.12,99 DRG,APR314-2,APR314-2 FOOT & TOE PROCEDURES,,,12169.28,38829.28,99 DRG,APR314-3,APR314-3 FOOT & TOE PROCEDURES,,,17544.74,54461.03,99 DRG,APR314-4,APR314-4 FOOT & TOE PROCEDURES,,,31907.83,96228.68,99 DRG,APR315-1,"APR315-1 SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,7845.46,26255.66,99 DRG,APR315-2,"APR315-2 SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,12396.73,39490.68,99 DRG,APR315-3,"APR315-3 SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,22581.81,69108.75,99 DRG,APR315-4,"APR315-4 SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,42118.27,125920.49,99 DRG,APR316-1,APR316-1 HAND & WRIST PROCEDURES,,,7114.78,24130.86,99 DRG,APR316-2,APR316-2 HAND & WRIST PROCEDURES,,,10792.73,34826.28,99 DRG,APR316-3,APR316-3 HAND & WRIST PROCEDURES,,,18341.19,56777.1,99 DRG,APR316-4,APR316-4 HAND & WRIST PROCEDURES,,,20356.5,62637.57,99 DRG,APR317-1,"APR317-1 TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES",,,8567.42,28355.1,99 DRG,APR317-2,"APR317-2 TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES",,,12808.03,40686.74,99 DRG,APR317-3,"APR317-3 TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES",,,22103.14,67716.8,99 DRG,APR317-4,"APR317-4 TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES",,,51506.11,153220.18,99 DRG,APR320-1,APR320-1 OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES,,,9562.78,31249.62,99 DRG,APR320-2,APR320-2 OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES,,,14336.74,45132.22,99 DRG,APR320-3,APR320-3 OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES,,,21366.92,65575.87,99 DRG,APR320-4,APR320-4 OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES,,,41089.62,122929.18,99 DRG,APR321-1,APR321-1 CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP,,,14367.65,45222.1,99 DRG,APR321-2,APR321-2 CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP,,,18452.14,57099.74,99 DRG,APR321-3,APR321-3 CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP,,,30779.32,92947.0,99 DRG,APR321-4,APR321-4 CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP,,,57419.67,170416.72,99 DRG,APR322-1,APR322-1 SHOULDER & ELBOW JOINT REPLACEMENT #,,,13960.31,44037.56,99 DRG,APR322-2,APR322-2 SHOULDER & ELBOW JOINT REPLACEMENT #,,,15270.3,47846.98,99 DRG,APR322-3,APR322-3 SHOULDER & ELBOW JOINT REPLACEMENT #,,,24605.83,74994.56,99 DRG,APR322-4,APR322-4 SHOULDER & ELBOW JOINT REPLACEMENT #,,,28527.07,86397.47,99 DRG,APR340-1,APR340-1 FRACTURE OF FEMUR,,,5626.48,19802.92,99 DRG,APR340-2,APR340-2 FRACTURE OF FEMUR,,,7048.21,23937.28,99 DRG,APR340-3,APR340-3 FRACTURE OF FEMUR,,,14936.66,46876.76,99 DRG,APR340-4,APR340-4 FRACTURE OF FEMUR,,,19807.3,61040.52,99 DRG,APR341-1,APR341-1 FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,5973.6,20812.31,99 DRG,APR341-2,APR341-2 FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,7093.38,24068.64,99 DRG,APR341-3,APR341-3 FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,9061.14,29790.84,99 DRG,APR341-4,APR341-4 FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,9550.1,31212.74,99 DRG,APR342-1,"APR342-1 FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK",,,4960.0,17864.79,99 DRG,APR342-2,"APR342-2 FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK",,,6661.48,22812.66,99 DRG,APR342-3,"APR342-3 FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK",,,10022.43,32586.25,99 DRG,APR342-4,"APR342-4 FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK",,,22410.63,68610.96,99 DRG,APR343-1,APR343-1 MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG,,,8011.88,26739.61,99 DRG,APR343-2,APR343-2 MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG,,,9342.47,30608.95,99 DRG,APR343-3,APR343-3 MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG,,,18448.18,57088.22,99 DRG,APR343-4,APR343-4 MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG,,,31961.72,96385.39,99 DRG,APR344-1,"APR344-1 OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS",,,7809.0,26149.65,99 DRG,APR344-2,"APR344-2 OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS",,,10548.64,34116.47,99 DRG,APR344-3,"APR344-3 OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS",,,15569.86,48718.1,99 DRG,APR344-4,"APR344-4 OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS",,,28641.19,86729.33,99 DRG,APR346-1,APR346-1 CONNECTIVE TISSUE DISORDERS,,,7233.65,24476.55,99 DRG,APR346-2,APR346-2 CONNECTIVE TISSUE DISORDERS,,,9061.93,29793.14,99 DRG,APR346-3,APR346-3 CONNECTIVE TISSUE DISORDERS,,,14614.91,45941.12,99 DRG,APR346-4,APR346-4 CONNECTIVE TISSUE DISORDERS,,,40066.52,119954.01,99 DRG,APR347-1,"APR347-1 OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES",,,5788.15,20273.05,99 DRG,APR347-2,"APR347-2 OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES",,,7338.26,24780.75,99 DRG,APR347-3,"APR347-3 OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES",,,10341.8,33514.99,99 DRG,APR347-4,"APR347-4 OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES",,,26442.03,80334.2,99 DRG,APR349-1,"APR349-1 MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE",,,5746.94,20153.21,99 DRG,APR349-2,"APR349-2 MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE",,,8404.16,27880.36,99 DRG,APR349-3,"APR349-3 MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE",,,13783.58,43523.64,99 DRG,APR349-4,"APR349-4 MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE",,,29739.58,89923.43,99 DRG,APR351-1,APR351-1 OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES,,,5326.92,18931.8,99 DRG,APR351-2,APR351-2 OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES,,,6499.02,22340.23,99 DRG,APR351-3,APR351-3 OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES,,,10587.47,34229.4,99 DRG,APR351-4,APR351-4 OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES,,,25849.24,78610.4,99 DRG,APR361-1,APR361-1 SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES,,,11947.38,38184.0,99 DRG,APR361-2,APR361-2 SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES,,,16318.76,50895.9,99 DRG,APR361-3,APR361-3 SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES,,,27904.17,84586.1,99 DRG,APR361-4,APR361-4 SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES,,,77519.59,228867.0,99 DRG,APR362-1,APR362-1 MASTECTOMY PROCEDURES,,,12243.78,39045.9,99 DRG,APR362-2,APR362-2 MASTECTOMY PROCEDURES,,,15743.41,49222.79,99 DRG,APR362-3,APR362-3 MASTECTOMY PROCEDURES,,,23454.34,71646.05,99 DRG,APR362-4,APR362-4 MASTECTOMY PROCEDURES,,,24448.12,74535.96,99 DRG,APR363-1,APR363-1 BREAST PROCEDURES EXCEPT MASTECTOMY,,,8611.0,28481.85,99 DRG,APR363-2,APR363-2 BREAST PROCEDURES EXCEPT MASTECTOMY,,,13469.76,42611.04,99 DRG,APR363-3,APR363-3 BREAST PROCEDURES EXCEPT MASTECTOMY,,,19626.61,60515.08,99 DRG,APR363-4,APR363-4 BREAST PROCEDURES EXCEPT MASTECTOMY,,,20141.73,62013.04,99 DRG,APR364-1,"APR364-1 OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES",,,7534.8,25352.27,99 DRG,APR364-2,"APR364-2 OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES",,,10231.64,33194.65,99 DRG,APR364-3,"APR364-3 OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES",,,17469.46,54242.1,99 DRG,APR364-4,"APR364-4 OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES",,,43512.26,129974.19,99 DRG,APR380-1,APR380-1 SKIN ULCERS,,,6877.03,23439.5,99 DRG,APR380-2,APR380-2 SKIN ULCERS,,,8048.33,26845.62,99 DRG,APR380-3,APR380-3 SKIN ULCERS,,,11721.53,37527.21,99 DRG,APR380-4,APR380-4 SKIN ULCERS,,,21187.82,65055.04,99 DRG,APR381-1,APR381-1 MAJOR SKIN DISORDERS,,,6147.94,21319.31,99 DRG,APR381-2,APR381-2 MAJOR SKIN DISORDERS,,,8415.26,27912.63,99 DRG,APR381-3,APR381-3 MAJOR SKIN DISORDERS,,,16708.66,52029.73,99 DRG,APR381-4,APR381-4 MAJOR SKIN DISORDERS,,,48215.69,143651.69,99 DRG,APR382-1,APR382-1 MALIGNANT BREAST DISORDERS,,,6369.84,21964.59,99 DRG,APR382-2,APR382-2 MALIGNANT BREAST DISORDERS,,,8041.2,26824.88,99 DRG,APR382-3,APR382-3 MALIGNANT BREAST DISORDERS,,,13372.28,42327.58,99 DRG,APR382-4,APR382-4 MALIGNANT BREAST DISORDERS,,,24368.87,74305.5,99 DRG,APR383-1,APR383-1 CELLULITIS & OTHER SKIN INFECTIONS,,,5439.46,19259.05,99 DRG,APR383-2,APR383-2 CELLULITIS & OTHER SKIN INFECTIONS,,,6858.81,23386.49,99 DRG,APR383-3,APR383-3 CELLULITIS & OTHER SKIN INFECTIONS,,,10803.03,34856.23,99 DRG,APR383-4,APR383-4 CELLULITIS & OTHER SKIN INFECTIONS,,,23575.59,71998.65,99 DRG,APR384-1,"APR384-1 CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE",,,4707.99,17131.95,99 DRG,APR384-2,"APR384-2 CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE",,,6026.69,20966.72,99 DRG,APR384-3,"APR384-3 CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE",,,9466.1,30968.46,99 DRG,APR384-4,"APR384-4 CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE",,,16016.03,50015.56,99 DRG,APR385-1,"APR385-1 OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS",,,5234.99,18664.47,99 DRG,APR385-2,"APR385-2 OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS",,,6633.74,22732.0,99 DRG,APR385-3,"APR385-3 OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS",,,10019.26,32577.04,99 DRG,APR385-4,"APR385-4 OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS",,,24376.8,74328.55,99 DRG,APR401-1,APR401-1 PITUITARY & ADRENAL PROCEDURES,,,11240.48,36128.35,99 DRG,APR401-2,APR401-2 PITUITARY & ADRENAL PROCEDURES,,,14851.86,46630.18,99 DRG,APR401-3,APR401-3 PITUITARY & ADRENAL PROCEDURES,,,25995.06,79034.44,99 DRG,APR401-4,APR401-4 PITUITARY & ADRENAL PROCEDURES,,,56813.41,168653.74,99 DRG,APR403-1,APR403-1 PROCEDURES FOR OBESITY,,,10470.98,33890.63,99 DRG,APR403-2,APR403-2 PROCEDURES FOR OBESITY,,,11593.14,37153.87,99 DRG,APR403-3,APR403-3 PROCEDURES FOR OBESITY,,,18083.63,56028.13,99 DRG,APR403-4,APR403-4 PROCEDURES FOR OBESITY,,,53556.28,159182.04,99 DRG,APR404-1,"APR404-1 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES",,,6733.59,23022.38,99 DRG,APR404-2,"APR404-2 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES",,,8316.99,27626.86,99 DRG,APR404-3,"APR404-3 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES",,,19105.15,58998.69,99 DRG,APR404-4,"APR404-4 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES",,,22569.92,69074.18,99 DRG,APR405-1,"APR405-1 OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS",,,10675.44,34485.2,99 DRG,APR405-2,"APR405-2 OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS",,,14858.2,46648.61,99 DRG,APR405-3,"APR405-3 OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS",,,24776.21,75490.04,99 DRG,APR405-4,"APR405-4 OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS",,,67911.44,200926.64,99 DRG,APR420-1,APR420-1 DIABETES,,,5047.17,18118.3,99 DRG,APR420-2,APR420-2 DIABETES,,,6437.99,22162.78,99 DRG,APR420-3,APR420-3 DIABETES,,,9181.59,30141.13,99 DRG,APR420-4,APR420-4 DIABETES,,,21565.84,66154.31,99 DRG,APR421-1,"APR421-1 MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS",,,6389.65,22022.2,99 DRG,APR421-2,"APR421-2 MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS",,,8674.4,28666.22,99 DRG,APR421-3,"APR421-3 MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS",,,12433.18,39596.69,99 DRG,APR421-4,"APR421-4 MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS",,,26806.57,81394.3,99 DRG,APR422-1,APR422-1 HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS,,,4432.99,16332.27,99 DRG,APR422-2,APR422-2 HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS,,,5605.09,19740.7,99 DRG,APR422-3,APR422-3 HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS,,,8584.85,28405.8,99 DRG,APR422-4,APR422-4 HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS,,,19428.49,59938.95,99 DRG,APR423-1,APR423-1 INBORN ERRORS OF METABOLISM,,,6305.65,21777.92,99 DRG,APR423-2,APR423-2 INBORN ERRORS OF METABOLISM,,,9451.04,30924.67,99 DRG,APR423-3,APR423-3 INBORN ERRORS OF METABOLISM,,,14114.85,44486.94,99 DRG,APR423-4,APR423-4 INBORN ERRORS OF METABOLISM,,,44534.57,132947.06,99 DRG,APR424-1,APR424-1 OTHER ENDOCRINE DISORDERS,,,5390.32,19116.16,99 DRG,APR424-2,APR424-2 OTHER ENDOCRINE DISORDERS,,,7454.76,25119.52,99 DRG,APR424-3,APR424-3 OTHER ENDOCRINE DISORDERS,,,10829.97,34934.59,99 DRG,APR424-4,APR424-4 OTHER ENDOCRINE DISORDERS,,,23492.38,71756.67,99 DRG,APR425-1,APR425-1 ELECTROLYTE DISORDERS EXCEPT HYPOVOLEMIA RELATED,,,4850.64,17546.77,99 DRG,APR425-2,APR425-2 ELECTROLYTE DISORDERS EXCEPT HYPOVOLEMIA RELATED,,,6197.87,21464.5,99 DRG,APR425-3,APR425-3 ELECTROLYTE DISORDERS EXCEPT HYPOVOLEMIA RELATED,,,9348.81,30627.39,99 DRG,APR425-4,APR425-4 ELECTROLYTE DISORDERS EXCEPT HYPOVOLEMIA RELATED,,,21177.52,65025.09,99 DRG,APR440-1,APR440-1 KIDNEY TRANSPLANT,,,30806.27,93025.36,99 DRG,APR440-2,APR440-2 KIDNEY TRANSPLANT,,,38250.92,114674.29,99 DRG,APR440-3,APR440-3 KIDNEY TRANSPLANT,,,46389.79,138342.01,99 DRG,APR440-4,APR440-4 KIDNEY TRANSPLANT,,,83729.54,246925.44,99 DRG,APR441-1,APR441-1 MAJOR BLADDER PROCEDURES,,,11583.63,37126.22,99 DRG,APR441-2,APR441-2 MAJOR BLADDER PROCEDURES,,,19079.79,58924.94,99 DRG,APR441-3,APR441-3 MAJOR BLADDER PROCEDURES,,,26381.8,80159.06,99 DRG,APR441-4,APR441-4 MAJOR BLADDER PROCEDURES,,,55035.07,163482.33,99 DRG,APR442-1,APR442-1 KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY,,,11691.41,37439.63,99 DRG,APR442-2,APR442-2 KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY,,,13619.54,43046.6,99 DRG,APR442-3,APR442-3 KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY,,,23750.73,72507.96,99 DRG,APR442-4,APR442-4 KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY,,,51964.96,154554.51,99 DRG,APR443-1,APR443-1 KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY,,,9936.05,32335.06,99 DRG,APR443-2,APR443-2 KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY,,,10882.28,35086.69,99 DRG,APR443-3,APR443-3 KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY,,,19440.38,59973.51,99 DRG,APR443-4,APR443-4 KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY,,,41598.4,124408.7,99 DRG,APR444-1,APR444-1 RENAL DIALYSIS ACCESS DEVICE PROCEDURE ONLY,,,9222.01,30258.66,99 DRG,APR444-2,APR444-2 RENAL DIALYSIS ACCESS DEVICE PROCEDURE ONLY,,,15280.6,47876.94,99 DRG,APR444-3,APR444-3 RENAL DIALYSIS ACCESS DEVICE PROCEDURE ONLY,,,27054.62,82115.62,99 DRG,APR444-4,APR444-4 RENAL DIALYSIS ACCESS DEVICE PROCEDURE ONLY,,,50459.23,150175.87,99 DRG,APR445-1,APR445-1 OTHER BLADDER PROCEDURES,,,7946.1,26548.34,99 DRG,APR445-2,APR445-2 OTHER BLADDER PROCEDURES,,,11494.08,36865.8,99 DRG,APR445-3,APR445-3 OTHER BLADDER PROCEDURES,,,16278.34,50778.36,99 DRG,APR445-4,APR445-4 OTHER BLADDER PROCEDURES,,,20849.43,64071.0,99 DRG,APR446-1,APR446-1 URETHRAL & TRANSURETHRAL PROCEDURES,,,6861.18,23393.41,99 DRG,APR446-2,APR446-2 URETHRAL & TRANSURETHRAL PROCEDURES,,,7698.85,25829.32,99 DRG,APR446-3,APR446-3 URETHRAL & TRANSURETHRAL PROCEDURES,,,13385.75,42366.76,99 DRG,APR446-4,APR446-4 URETHRAL & TRANSURETHRAL PROCEDURES,,,27500.79,83413.08,99 DRG,APR447-1,"APR447-1 OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES",,,10920.32,35197.31,99 DRG,APR447-2,"APR447-2 OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES",,,11757.98,37633.22,99 DRG,APR447-3,"APR447-3 OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES",,,24666.06,75169.71,99 DRG,APR447-4,"APR447-4 OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES",,,61908.33,183469.69,99 DRG,APR461-1,APR461-1 KIDNEY & URINARY TRACT MALIGNANCY,,,5039.25,18095.25,99 DRG,APR461-2,APR461-2 KIDNEY & URINARY TRACT MALIGNANCY,,,7817.72,26175.0,99 DRG,APR461-3,APR461-3 KIDNEY & URINARY TRACT MALIGNANCY,,,13346.92,42253.84,99 DRG,APR461-4,APR461-4 KIDNEY & URINARY TRACT MALIGNANCY,,,19886.55,61270.98,99 DRG,APR462-1,APR462-1 NEPHRITIS & NEPHROSIS,,,6113.87,21220.22,99 DRG,APR462-2,APR462-2 NEPHRITIS & NEPHROSIS,,,7117.95,24140.08,99 DRG,APR462-3,APR462-3 NEPHRITIS & NEPHROSIS,,,11460.0,36766.71,99 DRG,APR462-4,APR462-4 NEPHRITIS & NEPHROSIS,,,33279.63,100217.85,99 DRG,APR463-1,APR463-1 KIDNEY & URINARY TRACT INFECTIONS,,,5374.47,19070.07,99 DRG,APR463-2,APR463-2 KIDNEY & URINARY TRACT INFECTIONS,,,6430.86,22142.04,99 DRG,APR463-3,APR463-3 KIDNEY & URINARY TRACT INFECTIONS,,,9259.26,30366.97,99 DRG,APR463-4,APR463-4 KIDNEY & URINARY TRACT INFECTIONS,,,18720.8,57880.98,99 DRG,APR465-1,APR465-1 URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,4988.53,17947.76,99 DRG,APR465-2,APR465-2 URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,5575.77,19655.43,99 DRG,APR465-3,APR465-3 URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,8336.01,27682.17,99 DRG,APR465-4,APR465-4 URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,18625.7,57604.44,99 DRG,APR466-1,"APR466-1 MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC",,,5417.27,19194.52,99 DRG,APR466-2,"APR466-2 MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC",,,6967.38,23702.22,99 DRG,APR466-3,"APR466-3 MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC",,,10657.21,34432.2,99 DRG,APR466-4,"APR466-4 MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC",,,19883.38,61261.76,99 DRG,APR468-1,"APR468-1 OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS",,,5427.57,19224.48,99 DRG,APR468-2,"APR468-2 OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS",,,7197.2,24370.54,99 DRG,APR468-3,"APR468-3 OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS",,,10862.47,35029.08,99 DRG,APR468-4,"APR468-4 OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS",,,23695.26,72346.64,99 DRG,APR469-1,APR469-1 ACUTE KIDNEY INJURY #,,,5609.05,19752.22,99 DRG,APR469-2,APR469-2 ACUTE KIDNEY INJURY #,,,7336.68,24776.14,99 DRG,APR469-3,APR469-3 ACUTE KIDNEY INJURY #,,,12200.19,38919.15,99 DRG,APR469-4,APR469-4 ACUTE KIDNEY INJURY #,,,27599.06,83698.85,99 DRG,APR470-1,APR470-1 CHRONIC KIDNEY DISEASE #,,,5230.24,18650.65,99 DRG,APR470-2,APR470-2 CHRONIC KIDNEY DISEASE #,,,6851.67,23365.75,99 DRG,APR470-3,APR470-3 CHRONIC KIDNEY DISEASE #,,,10883.86,35091.3,99 DRG,APR470-4,APR470-4 CHRONIC KIDNEY DISEASE #,,,22486.71,68832.2,99 DRG,APR480-1,APR480-1 MAJOR MALE PELVIC PROCEDURES,,,10142.89,32936.55,99 DRG,APR480-2,APR480-2 MAJOR MALE PELVIC PROCEDURES,,,11376.79,36524.73,99 DRG,APR480-3,APR480-3 MAJOR MALE PELVIC PROCEDURES,,,18532.98,57334.81,99 DRG,APR480-4,APR480-4 MAJOR MALE PELVIC PROCEDURES,,,22021.52,67479.43,99 DRG,APR481-1,APR481-1 PENIS PROCEDURES,,,7317.66,24720.83,99 DRG,APR481-2,APR481-2 PENIS PROCEDURES,,,11101.01,35722.75,99 DRG,APR481-3,APR481-3 PENIS PROCEDURES,,,16926.6,52663.48,99 DRG,APR481-4,APR481-4 PENIS PROCEDURES,,,17812.6,55239.97,99 DRG,APR482-1,APR482-1 TRANSURETHRAL PROSTATECTOMY,,,6231.15,21561.29,99 DRG,APR482-2,APR482-2 TRANSURETHRAL PROSTATECTOMY,,,8155.32,27156.74,99 DRG,APR482-3,APR482-3 TRANSURETHRAL PROSTATECTOMY,,,20091.01,61865.55,99 DRG,APR482-4,APR482-4 TRANSURETHRAL PROSTATECTOMY,,,22878.99,69972.95,99 DRG,APR483-1,APR483-1 TESTES & SCROTAL PROCEDURES,,,6442.75,22176.61,99 DRG,APR483-2,APR483-2 TESTES & SCROTAL PROCEDURES,,,11588.39,37140.04,99 DRG,APR483-3,APR483-3 TESTES & SCROTAL PROCEDURES,,,26649.66,80938.0,99 DRG,APR483-4,APR483-4 TESTES & SCROTAL PROCEDURES,,,35339.31,106207.38,99 DRG,APR484-1,APR484-1 OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,,,8397.82,27861.93,99 DRG,APR484-2,APR484-2 OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,,,10761.03,34734.09,99 DRG,APR484-3,APR484-3 OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,,,17064.49,53064.48,99 DRG,APR484-4,APR484-4 OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,,,18458.48,57118.18,99 DRG,APR500-1,"APR500-1 MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,4780.11,17341.66,99 DRG,APR500-2,"APR500-2 MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,8907.39,29343.75,99 DRG,APR500-3,"APR500-3 MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,13955.55,44023.73,99 DRG,APR500-4,"APR500-4 MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,16032.67,50063.95,99 DRG,APR501-1,APR501-1 MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,5267.49,18758.96,99 DRG,APR501-2,APR501-2 MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,6872.28,23425.67,99 DRG,APR501-3,APR501-3 MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,10333.88,33491.94,99 DRG,APR501-4,APR501-4 MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,18337.23,56765.58,99 DRG,APR510-1,"APR510-1 PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS",,,10347.35,33531.12,99 DRG,APR510-2,"APR510-2 PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS",,,12799.31,40661.39,99 DRG,APR510-3,"APR510-3 PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS",,,22289.38,68258.37,99 DRG,APR510-4,"APR510-4 PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS",,,52229.65,155324.23,99 DRG,APR511-1,APR511-1 UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY,,,11587.59,37137.74,99 DRG,APR511-2,APR511-2 UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY,,,13639.35,43104.22,99 DRG,APR511-3,APR511-3 UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY,,,21676.78,66476.95,99 DRG,APR511-4,APR511-4 UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY,,,50780.19,151109.21,99 DRG,APR512-1,APR512-1 UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG,,,10115.15,32855.89,99 DRG,APR512-2,APR512-2 UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG,,,12187.51,38882.28,99 DRG,APR512-3,APR512-3 UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG,,,19700.31,60729.41,99 DRG,APR512-4,APR512-4 UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG,,,60900.28,180538.3,99 DRG,APR513-1,APR513-1 UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,8352.65,27730.57,99 DRG,APR513-2,APR513-2 UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,9664.22,31544.6,99 DRG,APR513-3,APR513-3 UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,16099.24,50257.54,99 DRG,APR513-4,APR513-4 UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,39488.79,118273.99,99 DRG,APR514-1,APR514-1 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,9315.53,30530.6,99 DRG,APR514-2,APR514-2 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,9315.53,30530.6,99 DRG,APR514-3,APR514-3 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,9315.53,30530.6,99 DRG,APR514-4,APR514-4 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,26202.69,79638.23,99 DRG,APR517-1,APR517-1 DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,6728.05,23006.24,99 DRG,APR517-2,APR517-2 DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,8842.41,29154.78,99 DRG,APR517-3,APR517-3 DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,17570.89,54537.08,99 DRG,APR517-4,APR517-4 DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,18474.33,57164.27,99 DRG,APR518-1,APR518-1 OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,,,7427.02,25038.86,99 DRG,APR518-2,APR518-2 OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,,,10015.29,32565.51,99 DRG,APR518-3,APR518-3 OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,,,18227.87,56447.55,99 DRG,APR518-4,APR518-4 OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,,,48810.85,145382.4,99 DRG,APR519-1,APR519-1 UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA,,,8242.49,27410.24,99 DRG,APR519-2,APR519-2 UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA,,,9956.65,32394.98,99 DRG,APR519-3,APR519-3 UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA,,,17122.34,53232.71,99 DRG,APR519-4,APR519-4 UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA,,,49372.73,147016.33,99 DRG,APR530-1,APR530-1 FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,6272.36,21681.13,99 DRG,APR530-2,APR530-2 FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,7636.24,25647.26,99 DRG,APR530-3,APR530-3 FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,12942.75,41078.52,99 DRG,APR530-4,APR530-4 FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,21305.11,65396.12,99 DRG,APR531-1,APR531-1 FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,5716.04,20063.33,99 DRG,APR531-2,APR531-2 FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,7224.14,24448.89,99 DRG,APR531-3,APR531-3 FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,10621.55,34328.49,99 DRG,APR531-4,APR531-4 FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,11754.02,37621.69,99 DRG,APR532-1,APR532-1 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,4635.87,16922.23,99 DRG,APR532-2,APR532-2 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,5864.23,20494.29,99 DRG,APR532-3,APR532-3 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,9129.29,29989.03,99 DRG,APR532-4,APR532-4 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,9589.73,31327.97,99 DRG,APR540-1,APR540-1 CESAREAN DELIVERY,,,7785.23,26080.51,99 DRG,APR540-2,APR540-2 CESAREAN DELIVERY,,,8717.2,28790.66,99 DRG,APR540-3,APR540-3 CESAREAN DELIVERY,,,10759.44,34729.48,99 DRG,APR540-4,APR540-4 CESAREAN DELIVERY,,,22878.2,69970.65,99 DRG,APR541-1,APR541-1 VAGINAL DELIVERY W STERILIZATION &/OR D&C,,,7008.59,23822.05,99 DRG,APR541-2,APR541-2 VAGINAL DELIVERY W STERILIZATION &/OR D&C,,,7460.31,25135.65,99 DRG,APR541-3,APR541-3 VAGINAL DELIVERY W STERILIZATION &/OR D&C,,,9328.21,30567.47,99 DRG,APR541-4,APR541-4 VAGINAL DELIVERY W STERILIZATION &/OR D&C,,,10081.86,32759.1,99 DRG,APR542-1,APR542-1 VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C,,,6152.7,21333.14,99 DRG,APR542-2,APR542-2 VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C,,,6811.26,23248.22,99 DRG,APR542-3,APR542-3 VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C,,,11117.65,35771.14,99 DRG,APR542-4,APR542-4 VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C,,,13648.07,43129.57,99 DRG,APR544-1,"APR544-1 D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES",,,5239.75,18678.3,99 DRG,APR544-2,"APR544-2 D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES",,,6341.31,21881.62,99 DRG,APR544-3,"APR544-3 D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES",,,10149.23,32954.98,99 DRG,APR544-4,"APR544-4 D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES",,,24185.81,73773.15,99 DRG,APR545-1,APR545-1 ECTOPIC PREGNANCY PROCEDURE,,,6945.19,23637.69,99 DRG,APR545-2,APR545-2 ECTOPIC PREGNANCY PROCEDURE,,,7657.64,25709.48,99 DRG,APR545-3,APR545-3 ECTOPIC PREGNANCY PROCEDURE,,,10164.28,32998.77,99 DRG,APR545-4,APR545-4 ECTOPIC PREGNANCY PROCEDURE,,,10749.14,34699.53,99 DRG,APR546-1,APR546-1 OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES,,,5996.58,20879.14,99 DRG,APR546-2,APR546-2 OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES,,,7614.05,25582.73,99 DRG,APR546-3,APR546-3 OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES,,,14702.08,46194.62,99 DRG,APR546-4,APR546-4 OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES,,,35574.68,106891.83,99 DRG,APR560-1,APR560-1 VAGINAL DELIVERY,,,5632.82,19821.36,99 DRG,APR560-2,APR560-2 VAGINAL DELIVERY,,,6074.24,21104.99,99 DRG,APR560-3,APR560-3 VAGINAL DELIVERY,,,7193.24,24359.01,99 DRG,APR560-4,APR560-4 VAGINAL DELIVERY,,,14881.98,46717.75,99 DRG,APR561-1,APR561-1 POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE,,,4440.13,16353.01,99 DRG,APR561-2,APR561-2 POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE,,,4991.7,17956.98,99 DRG,APR561-3,APR561-3 POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE,,,6775.6,23144.52,99 DRG,APR561-4,APR561-4 POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE,,,12989.51,41214.49,99 DRG,APR563-1,APR563-1 PRETERM LABOR,,,4194.46,15638.6,99 DRG,APR563-2,APR563-2 PRETERM LABOR,,,4755.54,17270.22,99 DRG,APR563-3,APR563-3 PRETERM LABOR,,,6148.74,21321.62,99 DRG,APR563-4,APR563-4 PRETERM LABOR,,,6148.74,21321.62,99 DRG,APR564-1,"APR564-1 ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,4328.39,16028.07,99 DRG,APR564-2,"APR564-2 ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,4783.28,17350.88,99 DRG,APR564-3,"APR564-3 ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,6218.47,21524.42,99 DRG,APR564-4,"APR564-4 ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,7184.52,24333.66,99 DRG,APR565-1,APR565-1 FALSE LABOR,,,3240.3,12863.92,99 DRG,APR565-2,APR565-2 FALSE LABOR,,,3674.58,14126.82,99 DRG,APR565-3,APR565-3 FALSE LABOR,,,3714.21,14242.04,99 DRG,APR565-4,APR565-4 FALSE LABOR,,,3714.21,14242.04,99 DRG,APR566-1,APR566-1 OTHER ANTEPARTUM DIAGNOSES,,,4136.6,15470.37,99 DRG,APR566-2,APR566-2 OTHER ANTEPARTUM DIAGNOSES,,,4970.3,17894.75,99 DRG,APR566-3,APR566-3 OTHER ANTEPARTUM DIAGNOSES,,,6636.12,22738.92,99 DRG,APR566-4,APR566-4 OTHER ANTEPARTUM DIAGNOSES,,,12228.72,39002.12,99 DRG,APR580-1,"APR580-1 NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE",,,3852.89,14645.34,99 DRG,APR580-2,"APR580-2 NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE",,,4495.6,16514.33,99 DRG,APR580-3,"APR580-3 NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE",,,5730.3,20104.82,99 DRG,APR580-4,"APR580-4 NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE",,,10258.59,33273.01,99 DRG,APR581-1,"APR581-1 NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,2518.34,10764.48,99 DRG,APR581-2,"APR581-2 NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,2909.04,11900.62,99 DRG,APR581-3,"APR581-3 NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,3608.01,13933.23,99 DRG,APR581-4,"APR581-4 NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,5356.25,19017.07,99 DRG,APR583-1,APR583-1 NEONATE W ECMO,,,114917.2,337618.66,99 DRG,APR583-2,APR583-2 NEONATE W ECMO,,,114917.2,337618.66,99 DRG,APR583-3,APR583-3 NEONATE W ECMO,,,117079.9,343907.78,99 DRG,APR583-4,APR583-4 NEONATE W ECMO,,,204993.19,599558.31,99 DRG,APR588-1,APR588-1 NEONATE BWT <1500G W MAJOR PROCEDURE,,,154422.82,452500.43,99 DRG,APR588-2,APR588-2 NEONATE BWT <1500G W MAJOR PROCEDURE,,,154422.82,452500.43,99 DRG,APR588-3,APR588-3 NEONATE BWT <1500G W MAJOR PROCEDURE,,,201415.1,589153.27,99 DRG,APR588-4,APR588-4 NEONATE BWT <1500G W MAJOR PROCEDURE,,,201415.1,589153.27,99 DRG,APR589-1,APR589-1 NEONATE BWT <500G OR GA <24 WEEKS,,,97636.16,287365.67,99 DRG,APR589-2,APR589-2 NEONATE BWT <500G OR GA <24 WEEKS,,,97636.16,287365.67,99 DRG,APR589-3,APR589-3 NEONATE BWT <500G OR GA <24 WEEKS,,,36305.36,109016.62,99 DRG,APR589-4,APR589-4 NEONATE BWT <500G OR GA <24 WEEKS,,,2336.07,10234.43,99 DRG,APR591-1,APR591-1 NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE,,,71884.2,212479.35,99 DRG,APR591-2,APR591-2 NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE,,,88784.05,261623.86,99 DRG,APR591-3,APR591-3 NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE,,,95067.7,279896.63,99 DRG,APR591-4,APR591-4 NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE,,,154977.57,454113.62,99 DRG,APR593-1,APR593-1 NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE,,,87047.7,256574.59,99 DRG,APR593-2,APR593-2 NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE,,,89736.62,264393.92,99 DRG,APR593-3,APR593-3 NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE,,,109357.88,321452.25,99 DRG,APR593-4,APR593-4 NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE,,,139614.35,409437.63,99 DRG,APR602-1,APR602-1 NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,,,52890.59,157246.22,99 DRG,APR602-2,APR602-2 NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,,,76596.34,226182.2,99 DRG,APR602-3,APR602-3 NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,,,89895.12,264854.83,99 DRG,APR602-4,APR602-4 NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,,,121273.76,356103.45,99 DRG,APR603-1,APR603-1 NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION,,,42441.61,126860.74,99 DRG,APR603-2,APR603-2 NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION,,,56106.51,166598.08,99 DRG,APR603-3,APR603-3 NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION,,,72590.3,214532.7,99 DRG,APR603-4,APR603-4 NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION,,,111828.86,328637.84,99 DRG,APR607-1,APR607-1 NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,,,49312.5,146841.18,99 DRG,APR607-2,APR607-2 NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,,,60702.16,179962.16,99 DRG,APR607-3,APR607-3 NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,,,73942.29,218464.26,99 DRG,APR607-4,APR607-4 NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,,,99274.24,292129.17,99 DRG,APR608-1,APR608-1 NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION,,,35073.04,105433.05,99 DRG,APR608-2,APR608-2 NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION,,,46497.57,138655.43,99 DRG,APR608-3,APR608-3 NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION,,,55512.94,164871.98,99 DRG,APR608-4,APR608-4 NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION,,,58356.39,173140.7,99 DRG,APR609-1,APR609-1 NEONATE BWT 1500-2499G W MAJOR PROCEDURE,,,29710.26,89838.16,99 DRG,APR609-2,APR609-2 NEONATE BWT 1500-2499G W MAJOR PROCEDURE,,,29927.4,90469.61,99 DRG,APR609-3,APR609-3 NEONATE BWT 1500-2499G W MAJOR PROCEDURE,,,59154.43,175461.38,99 DRG,APR609-4,APR609-4 NEONATE BWT 1500-2499G W MAJOR PROCEDURE,,,127951.28,375521.58,99 DRG,APR611-1,APR611-1 NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY,,,21288.46,65347.72,99 DRG,APR611-2,APR611-2 NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY,,,33412.77,100605.02,99 DRG,APR611-3,APR611-3 NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY,,,51092.43,152017.2,99 DRG,APR611-4,APR611-4 NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY,,,66529.34,196907.51,99 DRG,APR612-1,APR612-1 NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND,,,29317.97,88697.41,99 DRG,APR612-2,APR612-2 NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND,,,37495.68,112478.05,99 DRG,APR612-3,APR612-3 NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND,,,51704.23,153796.31,99 DRG,APR612-4,APR612-4 NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND,,,68589.02,202897.03,99 DRG,APR613-1,APR613-1 NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION,,,22549.32,69014.26,99 DRG,APR613-2,APR613-2 NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION,,,33354.92,100436.79,99 DRG,APR613-3,APR613-3 NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION,,,41439.11,123945.49,99 DRG,APR613-4,APR613-4 NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION,,,42472.51,126950.62,99 DRG,APR614-1,APR614-1 NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION,,,17243.6,53585.3,99 DRG,APR614-2,APR614-2 NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION,,,27575.29,83629.71,99 DRG,APR614-3,APR614-3 NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION,,,41347.18,123678.16,99 DRG,APR614-4,APR614-4 NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION,,,41347.18,123678.16,99 DRG,APR621-1,APR621-1 NEONATE BWT 2000-2499G W MAJOR ANOMALY,,,8630.02,28537.16,99 DRG,APR621-2,APR621-2 NEONATE BWT 2000-2499G W MAJOR ANOMALY,,,18031.33,55876.03,99 DRG,APR621-3,APR621-3 NEONATE BWT 2000-2499G W MAJOR ANOMALY,,,32964.22,99300.64,99 DRG,APR621-4,APR621-4 NEONATE BWT 2000-2499G W MAJOR ANOMALY,,,55263.3,164146.04,99 DRG,APR622-1,APR622-1 NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND,,,16789.5,52264.8,99 DRG,APR622-2,APR622-2 NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND,,,22282.25,68237.63,99 DRG,APR622-3,APR622-3 NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND,,,30012.19,90716.2,99 DRG,APR622-4,APR622-4 NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND,,,42400.4,126740.91,99 DRG,APR623-1,APR623-1 NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION,,,12966.53,41147.65,99 DRG,APR623-2,APR623-2 NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION,,,18540.11,57355.55,99 DRG,APR623-3,APR623-3 NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION,,,26202.69,79638.23,99 DRG,APR623-4,APR623-4 NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION,,,26202.69,79638.23,99 DRG,APR625-1,APR625-1 NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION,,,14114.85,44486.94,99 DRG,APR625-2,APR625-2 NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION,,,21940.68,67244.37,99 DRG,APR625-3,APR625-3 NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION,,,27543.59,83537.53,99 DRG,APR625-4,APR625-4 NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION,,,27543.59,83537.53,99 DRG,APR626-1,"APR626-1 NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",,,3087.35,12419.15,99 DRG,APR626-2,"APR626-2 NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",,,4738.1,17219.52,99 DRG,APR626-3,"APR626-3 NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",,,12039.31,38451.33,99 DRG,APR626-4,"APR626-4 NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",,,12051.2,38485.9,99 DRG,APR630-1,APR630-1 NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE,,,28767.99,87098.06,99 DRG,APR630-2,APR630-2 NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE,,,29860.83,90276.03,99 DRG,APR630-3,APR630-3 NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE,,,48395.58,144174.82,99 DRG,APR630-4,APR630-4 NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE,,,98354.15,289453.59,99 DRG,APR631-1,APR631-1 NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE,,,14339.12,45139.13,99 DRG,APR631-2,APR631-2 NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE,,,24688.25,75234.24,99 DRG,APR631-3,APR631-3 NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE,,,40078.4,119988.58,99 DRG,APR631-4,APR631-4 NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE,,,84754.23,249905.22,99 DRG,APR633-1,APR633-1 NEONATE BIRTHWT >2499G W MAJOR ANOMALY,,,3669.83,14112.99,99 DRG,APR633-2,APR633-2 NEONATE BIRTHWT >2499G W MAJOR ANOMALY,,,8652.21,28601.69,99 DRG,APR633-3,APR633-3 NEONATE BIRTHWT >2499G W MAJOR ANOMALY,,,20427.82,62844.98,99 DRG,APR633-4,APR633-4 NEONATE BIRTHWT >2499G W MAJOR ANOMALY,,,43865.71,131002.02,99 DRG,APR634-1,"APR634-1 NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND",,,7809.0,26149.65,99 DRG,APR634-2,"APR634-2 NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND",,,12001.27,38340.71,99 DRG,APR634-3,"APR634-3 NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND",,,19285.05,59521.82,99 DRG,APR634-4,"APR634-4 NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND",,,33401.67,100572.75,99 DRG,APR636-1,APR636-1 NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION,,,9261.64,30373.89,99 DRG,APR636-2,APR636-2 NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION,,,12055.96,38499.73,99 DRG,APR636-3,APR636-3 NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION,,,17738.9,55025.65,99 DRG,APR636-4,APR636-4 NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION,,,22688.79,69419.86,99 DRG,APR639-1,APR639-1 NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION,,,5523.46,19503.33,99 DRG,APR639-2,APR639-2 NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION,,,11712.02,37499.55,99 DRG,APR639-3,APR639-3 NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION,,,16206.23,50568.65,99 DRG,APR639-4,APR639-4 NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION,,,31823.03,95982.09,99 DRG,APR640-1,"APR640-1 NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",,,2822.66,11649.43,99 DRG,APR640-2,"APR640-2 NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",,,3362.34,13218.82,99 DRG,APR640-3,"APR640-3 NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",,,5716.83,20065.64,99 DRG,APR640-4,"APR640-4 NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",,,5721.58,20079.47,99 DRG,APR650-1,APR650-1 SPLENECTOMY,,,11733.41,37561.78,99 DRG,APR650-2,APR650-2 SPLENECTOMY,,,17162.76,53350.24,99 DRG,APR650-3,APR650-3 SPLENECTOMY,,,20387.4,62727.45,99 DRG,APR650-4,APR650-4 SPLENECTOMY,,,46632.29,139047.2,99 DRG,APR651-1,APR651-1 OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS,,,9688.79,31616.04,99 DRG,APR651-2,APR651-2 OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS,,,12380.08,39442.29,99 DRG,APR651-3,APR651-3 OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS,,,22097.6,67700.67,99 DRG,APR651-4,APR651-4 OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS,,,31328.52,94544.05,99 DRG,APR660-1,APR660-1 MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL,,,6962.62,23688.39,99 DRG,APR660-2,APR660-2 MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL,,,8568.21,28357.41,99 DRG,APR660-3,APR660-3 MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL,,,13495.91,42687.09,99 DRG,APR660-4,APR660-4 MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL,,,40886.74,122339.22,99 DRG,APR661-1,APR661-1 COAGULATION & PLATELET DISORDERS,,,9437.57,30885.5,99 DRG,APR661-2,APR661-2 COAGULATION & PLATELET DISORDERS,,,10833.94,34946.11,99 DRG,APR661-3,APR661-3 COAGULATION & PLATELET DISORDERS,,,16936.11,52691.14,99 DRG,APR661-4,APR661-4 COAGULATION & PLATELET DISORDERS,,,37622.48,112846.78,99 DRG,APR662-1,APR662-1 SICKLE CELL ANEMIA CRISIS,,,6736.76,23031.59,99 DRG,APR662-2,APR662-2 SICKLE CELL ANEMIA CRISIS,,,9085.7,29862.28,99 DRG,APR662-3,APR662-3 SICKLE CELL ANEMIA CRISIS,,,13646.48,43124.96,99 DRG,APR662-4,APR662-4 SICKLE CELL ANEMIA CRISIS,,,27686.24,83952.35,99 DRG,APR663-1,APR663-1 OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS,,,5504.44,19448.02,99 DRG,APR663-2,APR663-2 OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS,,,7020.47,23856.62,99 DRG,APR663-3,APR663-3 OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS,,,10236.4,33208.48,99 DRG,APR663-4,APR663-4 OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS,,,20102.9,61900.12,99 DRG,APR680-1,APR680-1 MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,,,12404.65,39513.73,99 DRG,APR680-2,APR680-2 MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,,,18726.34,57897.12,99 DRG,APR680-3,APR680-3 MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,,,32095.65,96774.86,99 DRG,APR680-4,APR680-4 MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,,,72335.12,213790.64,99 DRG,APR681-1,APR681-1 OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,,,8950.98,29470.5,99 DRG,APR681-2,APR681-2 OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,,,14001.52,44157.39,99 DRG,APR681-3,APR681-3 OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,,,31704.16,95636.41,99 DRG,APR681-4,APR681-4 OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,,,72532.45,214364.47,99 DRG,APR690-1,APR690-1 ACUTE LEUKEMIA,,,12029.8,38423.68,99 DRG,APR690-2,APR690-2 ACUTE LEUKEMIA,,,22982.02,70272.54,99 DRG,APR690-3,APR690-3 ACUTE LEUKEMIA,,,49484.47,147341.27,99 DRG,APR690-4,APR690-4 ACUTE LEUKEMIA,,,70804.03,209338.25,99 DRG,APR691-1,"APR691-1 LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA",,,9541.39,31187.39,99 DRG,APR691-2,"APR691-2 LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA",,,13197.14,41818.28,99 DRG,APR691-3,"APR691-3 LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA",,,21349.49,65525.17,99 DRG,APR691-4,"APR691-4 LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA",,,51623.4,153561.25,99 DRG,APR692-1,APR692-1 RADIOTHERAPY,,,6159.04,21351.58,99 DRG,APR692-2,APR692-2 RADIOTHERAPY,,,11746.09,37598.65,99 DRG,APR692-3,APR692-3 RADIOTHERAPY,,,23497.93,71772.81,99 DRG,APR692-4,APR692-4 RADIOTHERAPY,,,26191.6,79605.97,99 DRG,APR694-1,APR694-1 LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR,,,6371.43,21969.2,99 DRG,APR694-2,APR694-2 LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR,,,9214.88,30237.92,99 DRG,APR694-3,APR694-3 LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR,,,14282.06,44973.2,99 DRG,APR694-4,APR694-4 LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR,,,28233.85,85544.79,99 DRG,APR695-1,APR695-1 CHEMOTHERAPY FOR ACUTE LEUKEMIA #,,,8607.83,28472.63,99 DRG,APR695-2,APR695-2 CHEMOTHERAPY FOR ACUTE LEUKEMIA #,,,8618.13,28502.59,99 DRG,APR695-3,APR695-3 CHEMOTHERAPY FOR ACUTE LEUKEMIA #,,,20757.5,63803.67,99 DRG,APR695-4,APR695-4 CHEMOTHERAPY FOR ACUTE LEUKEMIA #,,,59976.24,177851.2,99 DRG,APR696-1,APR696-1 OTHER CHEMOTHERAPY #,,,7355.7,24831.45,99 DRG,APR696-2,APR696-2 OTHER CHEMOTHERAPY #,,,9396.36,30765.66,99 DRG,APR696-3,APR696-3 OTHER CHEMOTHERAPY #,,,13442.81,42532.69,99 DRG,APR696-4,APR696-4 OTHER CHEMOTHERAPY #,,,36261.77,108889.87,99 DRG,APR710-1,APR710-1 INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE,,,10026.39,32597.78,99 DRG,APR710-2,APR710-2 INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE,,,14640.27,46014.86,99 DRG,APR710-3,APR710-3 INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE,,,25017.92,76192.93,99 DRG,APR710-4,APR710-4 INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE,,,51525.13,153275.48,99 DRG,APR711-1,"APR711-1 POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE",,,10616.0,34312.36,99 DRG,APR711-2,"APR711-2 POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE",,,13993.59,44134.35,99 DRG,APR711-3,"APR711-3 POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE",,,24219.89,73872.25,99 DRG,APR711-4,"APR711-4 POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE",,,49270.49,146719.04,99 DRG,APR720-1,APR720-1 SEPTICEMIA & DISSEMINATED INFECTIONS,,,6226.4,21547.46,99 DRG,APR720-2,APR720-2 SEPTICEMIA & DISSEMINATED INFECTIONS,,,8043.58,26831.8,99 DRG,APR720-3,APR720-3 SEPTICEMIA & DISSEMINATED INFECTIONS,,,13228.84,41910.46,99 DRG,APR720-4,APR720-4 SEPTICEMIA & DISSEMINATED INFECTIONS,,,26798.65,81371.25,99 DRG,APR721-1,"APR721-1 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,6538.64,22455.46,99 DRG,APR721-2,"APR721-2 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,8145.02,27126.78,99 DRG,APR721-3,"APR721-3 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,12781.88,40610.69,99 DRG,APR721-4,"APR721-4 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,23871.98,72860.55,99 DRG,APR722-1,APR722-1 FEVER,,,5505.23,19450.32,99 DRG,APR722-2,APR722-2 FEVER,,,6071.86,21098.08,99 DRG,APR722-3,APR722-3 FEVER,,,8164.83,27184.39,99 DRG,APR722-4,APR722-4 FEVER,,,15638.01,48916.29,99 DRG,APR723-1,APR723-1 VIRAL ILLNESS,,,5080.46,18215.09,99 DRG,APR723-2,APR723-2 VIRAL ILLNESS,,,5838.08,20418.24,99 DRG,APR723-3,APR723-3 VIRAL ILLNESS,,,8207.62,27308.84,99 DRG,APR723-4,APR723-4 VIRAL ILLNESS,,,22736.34,69558.13,99 DRG,APR724-1,APR724-1 OTHER INFECTIOUS & PARASITIC DISEASES,,,6556.87,22508.46,99 DRG,APR724-2,APR724-2 OTHER INFECTIOUS & PARASITIC DISEASES,,,7516.57,25299.27,99 DRG,APR724-3,APR724-3 OTHER INFECTIOUS & PARASITIC DISEASES,,,12237.44,39027.47,99 DRG,APR724-4,APR724-4 OTHER INFECTIOUS & PARASITIC DISEASES,,,30129.48,91057.27,99 DRG,APR740-1,APR740-1 MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE,,,25417.34,77354.42,99 DRG,APR740-2,APR740-2 MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE,,,25417.34,77354.42,99 DRG,APR740-3,APR740-3 MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE,,,25417.34,77354.42,99 DRG,APR740-4,APR740-4 MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE,,,25417.34,77354.42,99 DRG,APR750-1,APR750-1 SCHIZOPHRENIA,,,13217.75,41878.2,99 DRG,APR750-2,APR750-2 SCHIZOPHRENIA,,,15168.06,47549.69,99 DRG,APR750-3,APR750-3 SCHIZOPHRENIA,,,18637.59,57639.01,99 DRG,APR750-4,APR750-4 SCHIZOPHRENIA,,,24457.63,74563.61,99 DRG,APR751-1,APR751-1 MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES,,,8236.95,27394.1,99 DRG,APR751-2,APR751-2 MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES,,,9806.87,31959.42,99 DRG,APR751-3,APR751-3 MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES,,,15663.37,48990.03,99 DRG,APR751-4,APR751-4 MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES,,,19727.26,60807.76,99 DRG,APR752-1,APR752-1 DISORDERS OF PERSONALITY & IMPULSE CONTROL,,,8950.98,29470.5,99 DRG,APR752-2,APR752-2 DISORDERS OF PERSONALITY & IMPULSE CONTROL,,,8950.98,29470.5,99 DRG,APR752-3,APR752-3 DISORDERS OF PERSONALITY & IMPULSE CONTROL,,,8950.98,29470.5,99 DRG,APR752-4,APR752-4 DISORDERS OF PERSONALITY & IMPULSE CONTROL,,,8950.98,29470.5,99 DRG,APR753-1,APR753-1 BIPOLAR DISORDERS,,,8001.58,26709.65,99 DRG,APR753-2,APR753-2 BIPOLAR DISORDERS,,,9570.71,31272.66,99 DRG,APR753-3,APR753-3 BIPOLAR DISORDERS,,,14504.75,45620.78,99 DRG,APR753-4,APR753-4 BIPOLAR DISORDERS,,,15500.12,48515.3,99 DRG,APR754-1,APR754-1 DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,6927.75,23586.99,99 DRG,APR754-2,APR754-2 DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,6927.75,23586.99,99 DRG,APR754-3,APR754-3 DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,8190.19,27258.14,99 DRG,APR754-4,APR754-4 DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,8190.19,27258.14,99 DRG,APR755-1,APR755-1 ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,5480.67,19378.88,99 DRG,APR755-2,APR755-2 ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,7829.61,26209.57,99 DRG,APR755-3,APR755-3 ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,7829.61,26209.57,99 DRG,APR755-4,APR755-4 ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,7829.61,26209.57,99 DRG,APR756-1,APR756-1 ACUTE ANXIETY & DELIRIUM STATES,,,5051.14,18129.82,99 DRG,APR756-2,APR756-2 ACUTE ANXIETY & DELIRIUM STATES,,,6111.49,21213.3,99 DRG,APR756-3,APR756-3 ACUTE ANXIETY & DELIRIUM STATES,,,8530.96,28249.09,99 DRG,APR756-4,APR756-4 ACUTE ANXIETY & DELIRIUM STATES,,,8553.15,28313.62,99 DRG,APR757-1,APR757-1 ORGANIC MENTAL HEALTH DISTURBANCES,,,7831.19,26214.18,99 DRG,APR757-2,APR757-2 ORGANIC MENTAL HEALTH DISTURBANCES,,,7831.19,26214.18,99 DRG,APR757-3,APR757-3 ORGANIC MENTAL HEALTH DISTURBANCES,,,9073.82,29827.71,99 DRG,APR757-4,APR757-4 ORGANIC MENTAL HEALTH DISTURBANCES,,,9073.82,29827.71,99 DRG,APR758-1,APR758-1 BEHAVIORAL DISORDERS,,,5700.19,20017.24,99 DRG,APR758-2,APR758-2 BEHAVIORAL DISORDERS,,,10398.86,33680.91,99 DRG,APR758-3,APR758-3 BEHAVIORAL DISORDERS,,,10398.86,33680.91,99 DRG,APR758-4,APR758-4 BEHAVIORAL DISORDERS,,,10398.86,33680.91,99 DRG,APR759-1,APR759-1 EATING DISORDERS,,,11709.64,37492.64,99 DRG,APR759-2,APR759-2 EATING DISORDERS,,,11709.64,37492.64,99 DRG,APR759-3,APR759-3 EATING DISORDERS,,,18202.51,56373.81,99 DRG,APR759-4,APR759-4 EATING DISORDERS,,,18202.51,56373.81,99 DRG,APR760-1,APR760-1 OTHER MENTAL HEALTH DISORDERS,,,5810.34,20337.58,99 DRG,APR760-2,APR760-2 OTHER MENTAL HEALTH DISORDERS,,,7881.91,26361.67,99 DRG,APR760-3,APR760-3 OTHER MENTAL HEALTH DISORDERS,,,8168.79,27195.91,99 DRG,APR760-4,APR760-4 OTHER MENTAL HEALTH DISORDERS,,,8168.79,27195.91,99 DRG,APR770-1,"APR770-1 DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,3806.14,14509.37,99 DRG,APR770-2,"APR770-2 DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,4440.13,16353.01,99 DRG,APR770-3,"APR770-3 DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,7671.9,25750.96,99 DRG,APR770-4,"APR770-4 DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,8519.07,28214.52,99 DRG,APR772-1,APR772-1 ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY,,,9283.03,30436.11,99 DRG,APR772-2,APR772-2 ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY,,,9283.03,30436.11,99 DRG,APR772-3,APR772-3 ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY,,,9283.03,30436.11,99 DRG,APR772-4,APR772-4 ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY,,,10077.9,32747.57,99 DRG,APR773-1,APR773-1 OPIOID ABUSE & DEPENDENCE,,,4340.27,16062.64,99 DRG,APR773-2,APR773-2 OPIOID ABUSE & DEPENDENCE,,,5387.15,19106.95,99 DRG,APR773-3,APR773-3 OPIOID ABUSE & DEPENDENCE,,,10413.12,33722.4,99 DRG,APR773-4,APR773-4 OPIOID ABUSE & DEPENDENCE,,,11740.54,37582.52,99 DRG,APR774-1,APR774-1 COCAINE ABUSE & DEPENDENCE,,,5364.17,19040.11,99 DRG,APR774-2,APR774-2 COCAINE ABUSE & DEPENDENCE,,,5403.79,19155.34,99 DRG,APR774-3,APR774-3 COCAINE ABUSE & DEPENDENCE,,,7845.46,26255.66,99 DRG,APR774-4,APR774-4 COCAINE ABUSE & DEPENDENCE,,,9439.95,30892.41,99 DRG,APR775-1,APR775-1 ALCOHOL ABUSE & DEPENDENCE,,,5052.72,18134.43,99 DRG,APR775-2,APR775-2 ALCOHOL ABUSE & DEPENDENCE,,,6588.57,22600.64,99 DRG,APR775-3,APR775-3 ALCOHOL ABUSE & DEPENDENCE,,,11203.24,36020.03,99 DRG,APR775-4,APR775-4 ALCOHOL ABUSE & DEPENDENCE,,,32496.65,97940.96,99 DRG,APR776-1,APR776-1 OTHER DRUG ABUSE & DEPENDENCE,,,5581.31,19671.56,99 DRG,APR776-2,APR776-2 OTHER DRUG ABUSE & DEPENDENCE,,,5823.02,20374.45,99 DRG,APR776-3,APR776-3 OTHER DRUG ABUSE & DEPENDENCE,,,6351.61,21911.58,99 DRG,APR776-4,APR776-4 OTHER DRUG ABUSE & DEPENDENCE,,,6351.61,21911.58,99 DRG,APR791-1,APR791-1 O.R. PROCEDURE FOR OTHER COMPLICATIONS OF TREATMENT,,,8156.91,27161.35,99 DRG,APR791-2,APR791-2 O.R. PROCEDURE FOR OTHER COMPLICATIONS OF TREATMENT,,,12716.1,40419.42,99 DRG,APR791-3,APR791-3 O.R. PROCEDURE FOR OTHER COMPLICATIONS OF TREATMENT,,,22628.57,69244.71,99 DRG,APR791-4,APR791-4 O.R. PROCEDURE FOR OTHER COMPLICATIONS OF TREATMENT,,,53825.73,159965.59,99 DRG,APR811-1,APR811-1 ALLERGIC REACTIONS,,,4123.13,15431.19,99 DRG,APR811-2,APR811-2 ALLERGIC REACTIONS,,,5177.14,18496.24,99 DRG,APR811-3,APR811-3 ALLERGIC REACTIONS,,,9737.13,31756.62,99 DRG,APR811-4,APR811-4 ALLERGIC REACTIONS,,,20148.86,62033.78,99 DRG,APR812-1,APR812-1 POISONING OF MEDICINAL AGENTS,,,4681.84,17055.9,99 DRG,APR812-2,APR812-2 POISONING OF MEDICINAL AGENTS,,,5734.26,20116.34,99 DRG,APR812-3,APR812-3 POISONING OF MEDICINAL AGENTS,,,8727.5,28820.62,99 DRG,APR812-4,APR812-4 POISONING OF MEDICINAL AGENTS,,,18763.59,58005.43,99 DRG,APR813-1,APR813-1 OTHER COMPLICATIONS OF TREATMENT,,,5379.23,19083.9,99 DRG,APR813-2,APR813-2 OTHER COMPLICATIONS OF TREATMENT,,,6881.79,23453.33,99 DRG,APR813-3,APR813-3 OTHER COMPLICATIONS OF TREATMENT,,,10455.92,33846.84,99 DRG,APR813-4,APR813-4 OTHER COMPLICATIONS OF TREATMENT,,,22149.11,67850.46,99 DRG,APR815-1,"APR815-1 OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES",,,4299.86,15945.11,99 DRG,APR815-2,"APR815-2 OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES",,,6334.18,21860.88,99 DRG,APR815-3,"APR815-3 OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES",,,9794.19,31922.54,99 DRG,APR815-4,"APR815-4 OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES",,,22869.48,69945.3,99 DRG,APR816-1,APR816-1 TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,4986.95,17943.15,99 DRG,APR816-2,APR816-2 TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,5925.25,20671.74,99 DRG,APR816-3,APR816-3 TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,8419.22,27924.15,99 DRG,APR816-4,APR816-4 TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,18031.33,55876.03,99 DRG,APR841-1,APR841-1 EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT,,,43967.94,131299.31,99 DRG,APR841-2,APR841-2 EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT,,,57559.94,170824.63,99 DRG,APR841-3,APR841-3 EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT,,,117480.11,345071.58,99 DRG,APR841-4,APR841-4 EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT,,,149936.54,439454.38,99 DRG,APR842-1,APR842-1 BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS,,,18516.33,57286.41,99 DRG,APR842-2,APR842-2 BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS,,,23898.93,72938.91,99 DRG,APR842-3,APR842-3 BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS,,,36016.89,108177.77,99 DRG,APR842-4,APR842-4 BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS,,,69889.5,206678.8,99 DRG,APR843-1,APR843-1 EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT,,,17059.74,53050.65,99 DRG,APR843-2,APR843-2 EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT,,,17059.74,53050.65,99 DRG,APR843-3,APR843-3 EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT,,,17059.74,53050.65,99 DRG,APR843-4,APR843-4 EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT,,,17059.74,53050.65,99 DRG,APR844-1,APR844-1 PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,6582.23,22582.21,99 DRG,APR844-2,APR844-2 PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,9865.51,32129.95,99 DRG,APR844-3,APR844-3 PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,16352.04,50992.69,99 DRG,APR844-4,APR844-4 PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,41692.7,124682.95,99 DRG,APR850-1,"APR850-1 PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE",,,10638.19,34376.89,99 DRG,APR850-2,"APR850-2 PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE",,,14574.49,45823.58,99 DRG,APR850-3,"APR850-3 PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE",,,27091.87,82223.93,99 DRG,APR850-4,"APR850-4 PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE",,,61877.42,183379.81,99 DRG,APR860-1,APR860-1 REHABILITATION,,,13579.91,42931.37,99 DRG,APR860-2,APR860-2 REHABILITATION,,,15653.07,48960.07,99 DRG,APR860-3,APR860-3 REHABILITATION,,,20236.04,62287.28,99 DRG,APR860-4,APR860-4 REHABILITATION,,,20236.04,62287.28,99 DRG,APR861-1,"APR861-1 SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS",,,5004.38,17993.85,99 DRG,APR861-2,"APR861-2 SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS",,,6431.65,22144.34,99 DRG,APR861-3,"APR861-3 SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS",,,9819.55,31996.29,99 DRG,APR861-4,"APR861-4 SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS",,,18001.22,55788.45,99 DRG,APR862-1,APR862-1 OTHER AFTERCARE & CONVALESCENCE,,,5494.93,19420.37,99 DRG,APR862-2,APR862-2 OTHER AFTERCARE & CONVALESCENCE,,,7250.3,24524.94,99 DRG,APR862-3,APR862-3 OTHER AFTERCARE & CONVALESCENCE,,,11170.74,35925.55,99 DRG,APR862-4,APR862-4 OTHER AFTERCARE & CONVALESCENCE,,,18415.69,56993.73,99 DRG,APR863-1,APR863-1 NEONATAL AFTERCARE,,,8652.21,28601.69,99 DRG,APR863-2,APR863-2 NEONATAL AFTERCARE,,,18785.78,58069.96,99 DRG,APR863-3,APR863-3 NEONATAL AFTERCARE,,,34336.81,103292.12,99 DRG,APR863-4,APR863-4 NEONATAL AFTERCARE,,,43430.64,129736.82,99 DRG,APR890-1,APR890-1 HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS,,,10260.97,33279.92,99 DRG,APR890-2,APR890-2 HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS,,,10273.65,33316.8,99 DRG,APR890-3,APR890-3 HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS,,,16699.95,52004.38,99 DRG,APR890-4,APR890-4 HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS,,,31444.22,94880.52,99 DRG,APR892-1,APR892-1 HIV W MAJOR HIV RELATED CONDITION,,,7143.31,24213.83,99 DRG,APR892-2,APR892-2 HIV W MAJOR HIV RELATED CONDITION,,,8831.31,29122.52,99 DRG,APR892-3,APR892-3 HIV W MAJOR HIV RELATED CONDITION,,,11814.25,37796.84,99 DRG,APR892-4,APR892-4 HIV W MAJOR HIV RELATED CONDITION,,,19937.27,61418.47,99 DRG,APR893-1,APR893-1 HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,7636.24,25647.26,99 DRG,APR893-2,APR893-2 HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,8763.16,28924.33,99 DRG,APR893-3,APR893-3 HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,12946.71,41090.04,99 DRG,APR893-4,APR893-4 HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,13176.54,41758.36,99 DRG,APR894-1,APR894-1 HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND,,,6300.89,21764.09,99 DRG,APR894-2,APR894-2 HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND,,,7475.36,25179.43,99 DRG,APR894-3,APR894-3 HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND,,,10623.13,34333.1,99 DRG,APR894-4,APR894-4 HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND,,,10623.13,34333.1,99 DRG,APR910-1,APR910-1 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,31229.46,94255.99,99 DRG,APR910-2,APR910-2 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,31229.46,94255.99,99 DRG,APR910-3,APR910-3 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,32162.22,96968.44,99 DRG,APR910-4,APR910-4 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,58357.18,173143.0,99 DRG,APR911-1,APR911-1 EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA,,,16267.25,50746.1,99 DRG,APR911-2,APR911-2 EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA,,,16267.25,50746.1,99 DRG,APR911-3,APR911-3 EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA,,,21748.9,66686.67,99 DRG,APR911-4,APR911-4 EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA,,,52871.57,157190.91,99 DRG,APR912-1,APR912-1 MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,20171.05,62098.31,99 DRG,APR912-2,APR912-2 MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,20185.32,62139.79,99 DRG,APR912-3,APR912-3 MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,32625.03,98314.3,99 DRG,APR912-4,APR912-4 MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,61480.39,182225.23,99 DRG,APR930-1,APR930-1 MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE,,,8425.56,27942.59,99 DRG,APR930-2,APR930-2 MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE,,,8462.01,28048.6,99 DRG,APR930-3,APR930-3 MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE,,,13979.33,44092.87,99 DRG,APR930-4,APR930-4 MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE,,,30394.17,91826.99,99 DRG,APR950-1,APR950-1 EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,12233.47,39015.95,99 DRG,APR950-2,APR950-2 EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,18546.45,57373.98,99 DRG,APR950-3,APR950-3 EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,33091.81,99671.68,99 DRG,APR950-4,APR950-4 EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,65741.61,194616.79,99 DRG,APR951-1,APR951-1 MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,8736.22,28845.97,99 DRG,APR951-2,APR951-2 MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,12456.96,39665.83,99 DRG,APR951-3,APR951-3 MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,22927.33,70113.53,99 DRG,APR951-4,APR951-4 MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,51166.13,152231.52,99 DRG,APR952-1,APR952-1 NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,7656.84,25707.18,99 DRG,APR952-2,APR952-2 NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,10916.36,35185.79,99 DRG,APR952-3,APR952-3 NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,20804.25,63939.64,99 DRG,APR952-4,APR952-4 NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,48443.93,144315.4,99 DRG,MS001,MS-DRG 001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC,,,256639.3,1218899.53,268 DRG,MS002,MS-DRG 002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC,,,104079.75,492876.64,268 DRG,MS003,"MS-DRG 003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES",,,194501.72,923190.07,268 DRG,MS004,"MS-DRG 004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",,,127107.95,602466.64,268 DRG,MS005,MS-DRG 005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,,,94745.45,448455.2,268 DRG,MS006,MS-DRG 006 LIVER TRANSPLANT WITHOUT MCC,,,42891.78,201686.32,268 DRG,MS007,MS-DRG 007 LUNG TRANSPLANT,,,118871.32,563268.95,268 DRG,MS008,MS-DRG 008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,,,51735.28,243772.08,268 DRG,MS011,"MS-DRG 011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",,,50359.77,237226.08,268 DRG,MS012,"MS-DRG 012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",,,39044.0,183374.92,268 DRG,MS013,"MS-DRG 013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC",,,26849.91,125343.89,268 DRG,MS014,MS-DRG 014 ALLOGENEIC BONE MARROW TRANSPLANT,,,110350.44,522718.56,268 DRG,MS016,MS-DRG 016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC,,,54706.57,257912.3,268 DRG,MS017,MS-DRG 017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC,,,50160.52,236277.89,268 DRG,MS018,MS-DRG 018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,395185.97,1878235.89,268 DRG,MS020,MS-DRG 020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC,,,72429.22,342253.46,268 DRG,MS021,MS-DRG 021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC,,,48894.68,230253.83,268 DRG,MS022,MS-DRG 022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC,,,29551.58,138201.01,268 DRG,MS023,MS-DRG 023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,,,52884.13,279507.29,268 DRG,MS024,MS-DRG 024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC,,,36264.64,279507.29,268 DRG,MS025,MS-DRG 025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC,,,42066.47,279507.29,268 DRG,MS026,MS-DRG 026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC,,,28928.26,279507.29,268 DRG,MS027,MS-DRG 027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,23569.7,279507.29,268 DRG,MS028,MS-DRG 028 SPINAL PROCEDURES WITH MCC,,,55424.95,261331.01,268 DRG,MS029,MS-DRG 029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS,,,31692.08,148387.54,268 DRG,MS030,MS-DRG 030 SPINAL PROCEDURES WITHOUT CC/MCC,,,20574.64,95480.22,268 DRG,MS031,MS-DRG 031 VENTRICULAR SHUNT PROCEDURES WITH MCC,,,41461.43,194879.35,268 DRG,MS032,MS-DRG 032 VENTRICULAR SHUNT PROCEDURES WITH CC,,,19987.88,92687.84,268 DRG,MS033,MS-DRG 033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC,,,15709.62,72327.84,268 DRG,MS034,MS-DRG 034 CAROTID ARTERY STENT PROCEDURES WITH MCC,,,35888.08,168356.1,268 DRG,MS035,MS-DRG 035 CAROTID ARTERY STENT PROCEDURES WITH CC,,,22359.61,103974.8,268 DRG,MS036,MS-DRG 036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC,,,18267.8,84502.09,268 DRG,MS037,MS-DRG 037 EXTRACRANIAL PROCEDURES WITH MCC,,,30599.9,143189.89,268 DRG,MS038,MS-DRG 038 EXTRACRANIAL PROCEDURES WITH CC,,,15341.29,70574.99,268 DRG,MS039,MS-DRG 039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,11254.96,51128.37,268 DRG,MS040,"MS-DRG 040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC",,,35801.26,167942.89,268 DRG,MS041,"MS-DRG 041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR",,,20606.63,95632.46,268 DRG,MS042,"MS-DRG 042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC",,,16301.86,75146.31,268 DRG,MS052,MS-DRG 052 SPINAL DISORDERS AND INJURIES WITH CC/MCC,,,17065.94,78782.49,268 DRG,MS053,MS-DRG 053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC,,,9460.85,42590.3,268 DRG,MS054,MS-DRG 054 NERVOUS SYSTEM NEOPLASMS WITH MCC,,,14466.63,66412.52,268 DRG,MS055,MS-DRG 055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC,,,9830.1,44347.5,268 DRG,MS056,MS-DRG 056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,,,21743.6,101043.23,268 DRG,MS057,MS-DRG 057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,,,12352.63,56352.12,268 DRG,MS058,MS-DRG 058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC,,,16135.52,74354.7,268 DRG,MS059,MS-DRG 059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC,,,11852.69,53972.95,268 DRG,MS060,MS-DRG 060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC,,,8917.96,40006.7,268 DRG,MS061,"MS-DRG 061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC",,,25710.2,119920.06,268 DRG,MS062,"MS-DRG 062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC",,,16571.48,76429.41,268 DRG,MS063,"MS-DRG 063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC",,,13341.54,61058.28,268 DRG,MS064,MS-DRG 064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,,,18891.12,87468.45,268 DRG,MS065,MS-DRG 065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,,,9745.1,43943.0,268 DRG,MS066,MS-DRG 066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC,,,6766.49,29767.98,268 DRG,MS067,MS-DRG 067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,,,13934.7,63881.11,268 DRG,MS068,MS-DRG 068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,,,8411.63,37597.08,268 DRG,MS069,MS-DRG 069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,,,7812.07,34743.81,268 DRG,MS070,MS-DRG 070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC,,,15726.98,72410.48,268 DRG,MS071,MS-DRG 071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC,,,9888.59,44625.87,268 DRG,MS072,MS-DRG 072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,,,7422.72,32890.92,268 DRG,MS073,MS-DRG 073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC,,,15174.03,69779.03,268 DRG,MS074,MS-DRG 074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,,,9932.46,44834.65,268 DRG,MS075,MS-DRG 075 VIRAL MENINGITIS WITH CC/MCC,,,18036.57,83401.66,268 DRG,MS076,MS-DRG 076 VIRAL MENINGITIS WITHOUT CC/MCC,,,8053.35,35892.07,268 DRG,MS080,MS-DRG 080 NONTRAUMATIC STUPOR AND COMA WITH MCC,,,17054.06,78725.95,268 DRG,MS081,MS-DRG 081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC,,,8696.78,38954.12,268 DRG,MS082,MS-DRG 082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC,,,21400.86,99412.17,268 DRG,MS083,MS-DRG 083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC,,,13268.42,60710.32,268 DRG,MS084,MS-DRG 084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC,,,9246.99,41572.52,268 DRG,MS085,MS-DRG 085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC,,,21275.65,98816.29,268 DRG,MS086,MS-DRG 086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC,,,12417.52,56660.94,268 DRG,MS087,MS-DRG 087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC,,,8871.35,39784.88,268 DRG,MS088,MS-DRG 088 CONCUSSION WITH MCC,,,12866.28,58796.54,268 DRG,MS089,MS-DRG 089 CONCUSSION WITH CC,,,10552.13,47783.61,268 DRG,MS090,MS-DRG 090 CONCUSSION WITHOUT CC/MCC,,,8035.07,35805.08,268 DRG,MS091,MS-DRG 091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,,,16562.34,76385.92,268 DRG,MS092,MS-DRG 092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,,,9861.17,44495.39,268 DRG,MS093,MS-DRG 093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,7789.22,34635.07,268 DRG,MS094,MS-DRG 094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC,,,32677.33,153076.3,268 DRG,MS095,MS-DRG 095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC,,,24084.26,112182.3,268 DRG,MS096,MS-DRG 096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,24084.26,112182.3,268 DRG,MS097,MS-DRG 097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC,,,33521.83,157095.24,268 DRG,MS098,MS-DRG 098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,,,21485.86,99816.68,268 DRG,MS099,MS-DRG 099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC,,,12963.16,59257.59,268 DRG,MS100,MS-DRG 100 SEIZURES WITH MCC,,,4582.0,56182.69,268 DRG,MS101,MS-DRG 101 SEIZURES WITHOUT MCC,,,4582.0,26182.62,268 DRG,MS102,MS-DRG 102 HEADACHES WITH MCC,,,4582.0,48753.55,268 DRG,MS103,MS-DRG 103 HEADACHES WITHOUT MCC,,,4582.0,36374.87,268 DRG,MS113,MS-DRG 113 ORBITAL PROCEDURES WITH CC/MCC,,,21999.51,102261.09,268 DRG,MS114,MS-DRG 114 ORBITAL PROCEDURES WITHOUT CC/MCC,,,12877.25,58848.74,268 DRG,MS115,MS-DRG 115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT,,,14539.74,66760.48,268 DRG,MS116,MS-DRG 116 INTRAOCULAR PROCEDURES WITH CC/MCC,,,17036.69,78643.31,268 DRG,MS117,MS-DRG 117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC,,,10426.91,47187.73,268 DRG,MS121,MS-DRG 121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC,,,11143.46,50597.73,268 DRG,MS122,MS-DRG 122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC,,,7693.25,34178.37,268 DRG,MS123,MS-DRG 123 NEUROLOGICAL EYE DISORDERS,,,7810.24,34735.11,268 DRG,MS124,MS-DRG 124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT,,,12603.97,57548.23,268 DRG,MS125,MS-DRG 125 OTHER DISORDERS OF THE EYE WITHOUT MCC,,,7528.74,33395.46,268 DRG,MS135,MS-DRG 135 SINUS AND MASTOID PROCEDURES WITH CC/MCC,,,20344.32,94384.15,268 DRG,MS136,MS-DRG 136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC,,,9790.79,44160.47,268 DRG,MS137,MS-DRG 137 MOUTH PROCEDURES WITH CC/MCC,,,14158.62,64946.73,268 DRG,MS138,MS-DRG 138 MOUTH PROCEDURES WITHOUT CC/MCC,,,8610.87,38545.27,268 DRG,MS139,MS-DRG 139 SALIVARY GLAND PROCEDURES,,,11805.17,53746.77,268 DRG,MS140,MS-DRG 140 MAJOR HEAD AND NECK PROCEDURES WITH MCC,,,39494.58,185519.22,268 DRG,MS141,MS-DRG 141 MAJOR HEAD AND NECK PROCEDURES WITH CC,,,20445.77,94866.94,268 DRG,MS142,MS-DRG 142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,,,15101.83,69435.42,268 DRG,MS143,"MS-DRG 143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC",,,34753.86,162958.37,268 DRG,MS144,"MS-DRG 144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC",,,16349.39,75372.49,268 DRG,MS145,"MS-DRG 145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC",,,11499.9,52294.04,268 DRG,MS146,"MS-DRG 146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC",,,19863.58,92096.31,268 DRG,MS147,"MS-DRG 147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",,,12132.37,55303.89,268 DRG,MS148,"MS-DRG 148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC",,,7796.53,34669.86,268 DRG,MS149,MS-DRG 149 DYSEQUILIBRIUM,,,7380.68,32690.84,268 DRG,MS150,MS-DRG 150 EPISTAXIS WITH MCC,,,12680.74,57913.59,268 DRG,MS151,MS-DRG 151 EPISTAXIS WITHOUT MCC,,,7219.82,31925.33,268 DRG,MS152,MS-DRG 152 OTITIS MEDIA AND URI WITH MCC,,,11316.2,51419.79,268 DRG,MS153,MS-DRG 153 OTITIS MEDIA AND URI WITHOUT MCC,,,7258.2,32108.01,268 DRG,MS154,"MS-DRG 154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC",,,14801.14,68004.43,268 DRG,MS155,"MS-DRG 155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC",,,8887.8,39863.17,268 DRG,MS156,"MS-DRG 156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC",,,6827.73,30059.39,268 DRG,MS157,MS-DRG 157 DENTAL AND ORAL DISEASES WITH MCC,,,16202.24,74672.22,268 DRG,MS158,MS-DRG 158 DENTAL AND ORAL DISEASES WITH CC,,,8826.56,39571.75,268 DRG,MS159,MS-DRG 159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC,,,6986.76,30816.21,268 DRG,MS163,MS-DRG 163 MAJOR CHEST PROCEDURES WITH MCC,,,41473.31,194935.89,268 DRG,MS164,MS-DRG 164 MAJOR CHEST PROCEDURES WITH CC,,,23579.75,109781.38,268 DRG,MS165,MS-DRG 165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC,,,18006.4,83258.13,268 DRG,MS166,MS-DRG 166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,,,34672.51,162571.26,268 DRG,MS167,MS-DRG 167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC,,,16993.73,78438.88,268 DRG,MS168,MS-DRG 168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,12999.72,59431.57,268 DRG,MS173,MS-DRG 173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM,,,27714.52,129458.52,268 DRG,MS175,MS-DRG 175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,,,13065.52,59744.73,268 DRG,MS176,MS-DRG 176 PULMONARY EMBOLISM WITHOUT MCC,,,7868.73,35013.47,268 DRG,MS177,MS-DRG 177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,,,14793.83,67969.64,268 DRG,MS178,MS-DRG 178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC,,,9431.61,42451.12,268 DRG,MS179,MS-DRG 179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC,,,7411.75,32838.72,268 DRG,MS180,MS-DRG 180 RESPIRATORY NEOPLASMS WITH MCC,,,16651.91,76812.17,268 DRG,MS181,MS-DRG 181 RESPIRATORY NEOPLASMS WITH CC,,,10299.87,46583.14,268 DRG,MS182,MS-DRG 182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC,,,7400.78,32786.53,268 DRG,MS183,MS-DRG 183 MAJOR CHEST TRAUMA WITH MCC,,,14494.05,66543.0,268 DRG,MS184,MS-DRG 184 MAJOR CHEST TRAUMA WITH CC,,,10236.81,46283.03,268 DRG,MS185,MS-DRG 185 MAJOR CHEST TRAUMA WITHOUT CC/MCC,,,7699.65,34208.82,268 DRG,MS186,MS-DRG 186 PLEURAL EFFUSION WITH MCC,,,14755.44,67786.96,268 DRG,MS187,MS-DRG 187 PLEURAL EFFUSION WITH CC,,,9551.34,43020.9,268 DRG,MS188,MS-DRG 188 PLEURAL EFFUSION WITHOUT CC/MCC,,,7066.27,31194.61,268 DRG,MS189,MS-DRG 189 PULMONARY EDEMA AND RESPIRATORY FAILURE,,,11802.43,53733.72,268 DRG,MS190,MS-DRG 190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,,,10635.3,48179.41,268 DRG,MS191,MS-DRG 191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,,,8216.04,36666.29,268 DRG,MS192,MS-DRG 192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC,,,6378.97,27923.79,268 DRG,MS193,MS-DRG 193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC,,,12524.46,57169.83,268 DRG,MS194,MS-DRG 194 SIMPLE PNEUMONIA AND PLEURISY WITH CC,,,7876.96,35052.62,268 DRG,MS195,MS-DRG 195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC,,,6255.59,27336.61,268 DRG,MS196,MS-DRG 196 INTERSTITIAL LUNG DISEASE WITH MCC,,,17759.63,82083.76,268 DRG,MS197,MS-DRG 197 INTERSTITIAL LUNG DISEASE WITH CC,,,9185.75,41281.1,268 DRG,MS198,MS-DRG 198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC,,,7057.13,31151.12,268 DRG,MS199,MS-DRG 199 PNEUMOTHORAX WITH MCC,,,16634.55,76729.53,268 DRG,MS200,MS-DRG 200 PNEUMOTHORAX WITH CC,,,10558.52,47814.05,268 DRG,MS201,MS-DRG 201 PNEUMOTHORAX WITHOUT CC/MCC,,,7047.08,31103.27,268 DRG,MS202,MS-DRG 202 BRONCHITIS AND ASTHMA WITH CC/MCC,,,9387.74,42242.34,268 DRG,MS203,MS-DRG 203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC,,,6634.88,29141.65,268 DRG,MS204,MS-DRG 204 RESPIRATORY SIGNS AND SYMPTOMS,,,7890.67,35117.86,268 DRG,MS205,MS-DRG 205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,,,17245.99,79639.34,268 DRG,MS206,MS-DRG 206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC,,,9112.63,40933.14,268 DRG,MS207,MS-DRG 207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS,,,59322.08,279877.28,268 DRG,MS208,MS-DRG 208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS,,,25633.42,119554.71,268 DRG,MS209,MS-DRG 209 COMPLEX AORTIC ARCH PROCEDURES,,,103960.93,492311.21,249 DRG,MS212,MS-DRG 212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES,,,99896.54,472968.98,268 DRG,MS213,MS-DRG 213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES,,,52670.26,248221.62,249 DRG,MS215,MS-DRG 215 OTHER HEART ASSIST SYSTEM IMPLANT,,,91514.59,433079.72,268 DRG,MS216,MS-DRG 216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,,,89922.47,425502.89,268 DRG,MS217,MS-DRG 217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC,,,60607.12,285992.67,268 DRG,MS219,MS-DRG 219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,70688.12,333967.66,268 DRG,MS220,MS-DRG 220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC,,,49251.13,231950.14,268 DRG,MS221,MS-DRG 221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,46576.88,219223.5,268 DRG,MS228,MS-DRG 228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC,,,45728.72,215187.16,268 DRG,MS229,MS-DRG 229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC,,,29296.58,136987.5,268 DRG,MS231,MS-DRG 231 CORONARY BYPASS WITH PTCA WITH MCC,,,77557.47,366658.5,268 DRG,MS233,MS-DRG 233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC,,,70385.6,332527.97,268 DRG,MS234,MS-DRG 234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC,,,50438.37,237600.14,268 DRG,MS235,MS-DRG 235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,54148.14,255254.76,268 DRG,MS236,MS-DRG 236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,,,38795.4,182191.86,268 DRG,MS239,MS-DRG 239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC,,,45493.83,214069.34,268 DRG,MS240,MS-DRG 240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,,,26563.84,123982.5,268 DRG,MS241,MS-DRG 241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC,,,13164.23,60214.48,268 DRG,MS242,MS-DRG 242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC,,,29692.33,138870.84,268 DRG,MS243,MS-DRG 243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC,,,19986.96,92683.5,268 DRG,MS244,MS-DRG 244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC,,,17031.21,78617.21,268 DRG,MS245,MS-DRG 245 AICD GENERATOR PROCEDURES,,,42209.96,198441.59,268 DRG,MS250,MS-DRG 250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC,,,20458.57,94927.84,268 DRG,MS251,MS-DRG 251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC,,,14170.5,65003.28,268 DRG,MS252,MS-DRG 252 OTHER VASCULAR PROCEDURES WITH MCC,,,32393.09,151723.61,268 DRG,MS253,MS-DRG 253 OTHER VASCULAR PROCEDURES WITH CC,,,24234.15,112895.62,268 DRG,MS254,MS-DRG 254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC,,,16795.4,77495.04,268 DRG,MS255,MS-DRG 255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC,,,25164.56,117323.41,268 DRG,MS256,MS-DRG 256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,,,16029.5,73850.16,268 DRG,MS258,MS-DRG 258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,,,29228.95,136665.64,268 DRG,MS259,MS-DRG 259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC,,,18992.57,87951.24,268 DRG,MS260,MS-DRG 260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,,,30240.71,141480.54,268 DRG,MS261,MS-DRG 261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,,,17789.8,82227.3,268 DRG,MS262,MS-DRG 262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC,,,15408.01,70892.5,268 DRG,MS263,MS-DRG 263 VEIN LIGATION AND STRIPPING,,,28454.83,132981.61,268 DRG,MS264,MS-DRG 264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,,,31043.17,145299.4,268 DRG,MS265,MS-DRG 265 AICD LEAD PROCEDURES,,,33580.33,157373.61,268 DRG,MS266,MS-DRG 266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC,,,56522.62,266554.76,268 DRG,MS267,MS-DRG 267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC,,,44023.26,207071.0,268 DRG,MS268,MS-DRG 268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,,,63372.77,299154.26,268 DRG,MS269,MS-DRG 269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,,,39109.8,183688.08,268 DRG,MS270,MS-DRG 270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,,,48734.74,229492.67,268 DRG,MS271,MS-DRG 271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,,,33014.58,154681.27,268 DRG,MS272,MS-DRG 272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC,,,23844.8,111042.74,268 DRG,MS273,MS-DRG 273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC,,,38216.86,179438.62,268 DRG,MS274,MS-DRG 274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC,,,30596.24,143172.49,268 DRG,MS275,MS-DRG 275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,,,65680.52,310136.75,268 DRG,MS276,MS-DRG 276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC,,,55409.41,261257.07,268 DRG,MS277,MS-DRG 277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC,,,42722.7,200881.66,268 DRG,MS278,MS-DRG 278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC,,,51384.32,242101.87,268 DRG,MS279,MS-DRG 279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC,,,33472.48,156860.37,268 DRG,MS280,"MS-DRG 280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC",,,15172.21,69770.33,268 DRG,MS281,"MS-DRG 281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC",,,8911.56,39976.25,268 DRG,MS282,"MS-DRG 282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC",,,7120.2,31451.23,268 DRG,MS283,"MS-DRG 283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC",,,18615.1,86154.9,268 DRG,MS286,"MS-DRG 286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC",,,20735.5,96245.74,268 DRG,MS287,"MS-DRG 287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC",,,10291.65,46544.0,268 DRG,MS288,MS-DRG 288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC,,,25244.99,117706.17,268 DRG,MS289,MS-DRG 289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC,,,16111.76,74241.62,268 DRG,MS291,MS-DRG 291 HEART FAILURE AND SHOCK WITH MCC,,,12244.78,55838.88,268 DRG,MS292,MS-DRG 292 HEART FAILURE AND SHOCK WITH CC,,,8270.88,36927.25,268 DRG,MS293,MS-DRG 293 HEART FAILURE AND SHOCK WITHOUT CC/MCC,,,5684.36,24618.17,268 DRG,MS296,"MS-DRG 296 CARDIAC ARREST, UNEXPLAINED WITH MCC",,,14786.51,67934.84,268 DRG,MS299,MS-DRG 299 PERIPHERAL VASCULAR DISORDERS WITH MCC,,,15433.6,71014.29,268 DRG,MS300,MS-DRG 300 PERIPHERAL VASCULAR DISORDERS WITH CC,,,10267.88,46430.91,268 DRG,MS301,MS-DRG 301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC,,,7089.12,31303.35,268 DRG,MS302,MS-DRG 302 ATHEROSCLEROSIS WITH MCC,,,11447.81,52046.12,268 DRG,MS303,MS-DRG 303 ATHEROSCLEROSIS WITHOUT MCC,,,6664.13,29280.83,268 DRG,MS304,MS-DRG 304 HYPERTENSION WITH MCC,,,11387.49,51759.05,268 DRG,MS305,MS-DRG 305 HYPERTENSION WITHOUT MCC,,,7412.66,32843.07,268 DRG,MS306,MS-DRG 306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC,,,14913.56,68539.42,268 DRG,MS307,MS-DRG 307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC,,,8857.64,39719.63,268 DRG,MS308,MS-DRG 308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,,,11515.44,52367.98,268 DRG,MS309,MS-DRG 309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,,,7235.36,31999.27,268 DRG,MS310,MS-DRG 310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC,,,5685.27,24622.52,268 DRG,MS311,MS-DRG 311 ANGINA PECTORIS,,,6926.44,30529.14,268 DRG,MS312,MS-DRG 312 SYNCOPE AND COLLAPSE,,,8477.43,37910.24,268 DRG,MS313,MS-DRG 313 CHEST PAIN,,,7091.86,31316.4,268 DRG,MS314,MS-DRG 314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,,,19569.28,90695.77,268 DRG,MS315,MS-DRG 315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,,,9315.53,41898.73,268 DRG,MS316,MS-DRG 316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC,,,6745.47,29667.94,268 DRG,MS317,MS-DRG 317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION,,,61623.44,290829.32,268 DRG,MS318,MS-DRG 318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE,,,22649.33,105353.59,249 DRG,MS319,MS-DRG 319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC,,,41300.57,194113.84,268 DRG,MS320,MS-DRG 320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC,,,22494.88,104618.52,268 DRG,MS321,MS-DRG 321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES,,,25378.43,118341.2,268 DRG,MS322,MS-DRG 322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC,,,16624.49,76681.68,268 DRG,MS323,MS-DRG 323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC,,,40062.15,188220.26,268 DRG,MS324,MS-DRG 324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,29310.29,137052.74,268 DRG,MS325,MS-DRG 325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE,,,29853.19,139636.35,268 DRG,MS326,"MS-DRG 326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC",,,46094.3,216926.96,268 DRG,MS327,"MS-DRG 327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC",,,22850.41,106310.48,268 DRG,MS328,"MS-DRG 328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC",,,15155.76,69692.04,268 DRG,MS329,MS-DRG 329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,42521.62,199924.77,268 DRG,MS330,MS-DRG 330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,22420.84,104266.21,268 DRG,MS331,MS-DRG 331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,15892.41,73197.74,268 DRG,MS332,MS-DRG 332 RECTAL RESECTION WITH MCC,,,33603.18,157482.35,268 DRG,MS333,MS-DRG 333 RECTAL RESECTION WITH CC,,,21918.16,101873.99,268 DRG,MS334,MS-DRG 334 RECTAL RESECTION WITHOUT CC/MCC,,,15481.13,71240.46,268 DRG,MS335,MS-DRG 335 PERITONEAL ADHESIOLYSIS WITH MCC,,,33148.02,155316.3,268 DRG,MS336,MS-DRG 336 PERITONEAL ADHESIOLYSIS WITH CC,,,19784.06,91717.91,268 DRG,MS337,MS-DRG 337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC,,,14540.66,66764.82,268 DRG,MS344,MS-DRG 344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,24117.16,112338.89,268 DRG,MS345,MS-DRG 345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,14263.73,65446.93,268 DRG,MS346,MS-DRG 346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,11352.76,51593.77,268 DRG,MS347,MS-DRG 347 ANAL AND STOMAL PROCEDURES WITH MCC,,,21492.26,99847.12,268 DRG,MS348,MS-DRG 348 ANAL AND STOMAL PROCEDURES WITH CC,,,12473.28,56926.26,268 DRG,MS349,MS-DRG 349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC,,,8468.29,37866.75,268 DRG,MS350,MS-DRG 350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC,,,23286.37,108385.19,268 DRG,MS351,MS-DRG 351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC,,,14444.69,66308.13,268 DRG,MS352,MS-DRG 352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC,,,11184.59,50793.46,268 DRG,MS353,MS-DRG 353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC,,,27034.53,126222.49,268 DRG,MS354,MS-DRG 354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC,,,15887.84,73175.99,268 DRG,MS355,MS-DRG 355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC,,,12804.13,58500.78,268 DRG,MS356,MS-DRG 356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,,,40659.88,191064.84,268 DRG,MS357,MS-DRG 357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC,,,21765.53,101147.62,268 DRG,MS358,MS-DRG 358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,13287.62,60801.66,268 DRG,MS359,MS-DRG 359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC,,,31938.85,149561.91,249 DRG,MS360,MS-DRG 360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,22577.13,105009.98,249 DRG,MS368,MS-DRG 368 MAJOR ESOPHAGEAL DISORDERS WITH MCC,,,15060.7,69239.69,268 DRG,MS369,MS-DRG 369 MAJOR ESOPHAGEAL DISORDERS WITH CC,,,9652.79,43503.7,268 DRG,MS370,MS-DRG 370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC,,,6916.38,30481.3,268 DRG,MS371,MS-DRG 371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,,,16716.8,77120.98,268 DRG,MS372,MS-DRG 372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,,,9842.89,44408.39,268 DRG,MS373,MS-DRG 373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC,,,7159.5,31638.26,268 DRG,MS374,MS-DRG 374 DIGESTIVE MALIGNANCY WITH MCC,,,20058.25,93022.76,268 DRG,MS375,MS-DRG 375 DIGESTIVE MALIGNANCY WITH CC,,,11566.62,52611.55,268 DRG,MS376,MS-DRG 376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC,,,8959.09,40202.43,268 DRG,MS377,MS-DRG 377 GASTROINTESTINAL HEMORRHAGE WITH MCC,,,17218.57,79508.86,268 DRG,MS378,MS-DRG 378 GASTROINTESTINAL HEMORRHAGE WITH CC,,,9474.56,42655.55,268 DRG,MS379,MS-DRG 379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC,,,6272.95,27419.25,268 DRG,MS380,MS-DRG 380 COMPLICATED PEPTIC ULCER WITH MCC,,,18445.11,85345.89,268 DRG,MS381,MS-DRG 381 COMPLICATED PEPTIC ULCER WITH CC,,,10414.12,47126.83,268 DRG,MS382,MS-DRG 382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC,,,7828.52,34822.1,268 DRG,MS383,MS-DRG 383 UNCOMPLICATED PEPTIC ULCER WITH MCC,,,13130.41,60053.55,268 DRG,MS384,MS-DRG 384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC,,,8323.88,37179.53,268 DRG,MS385,MS-DRG 385 INFLAMMATORY BOWEL DISEASE WITH MCC,,,14972.96,68822.14,268 DRG,MS386,MS-DRG 386 INFLAMMATORY BOWEL DISEASE WITH CC,,,9434.35,42464.17,268 DRG,MS387,MS-DRG 387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC,,,6738.16,29633.14,268 DRG,MS388,MS-DRG 388 GASTROINTESTINAL OBSTRUCTION WITH MCC,,,14008.73,64233.42,268 DRG,MS389,MS-DRG 389 GASTROINTESTINAL OBSTRUCTION WITH CC,,,7729.81,34352.35,268 DRG,MS390,MS-DRG 390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC,,,5483.29,23661.28,268 DRG,MS391,"MS-DRG 391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC",,,12103.12,55164.71,268 DRG,MS392,"MS-DRG 392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC",,,7636.59,33908.7,268 DRG,MS393,MS-DRG 393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC,,,15128.34,69561.55,268 DRG,MS394,MS-DRG 394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC,,,9063.28,40698.27,268 DRG,MS395,MS-DRG 395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,6442.95,28228.26,268 DRG,MS397,MS-DRG 397 APPENDIX PROCEDURES WITH MCC,,,22399.82,104166.18,268 DRG,MS398,MS-DRG 398 APPENDIX PROCEDURES WITH CC,,,14345.07,65834.03,268 DRG,MS399,MS-DRG 399 APPENDIX PROCEDURES WITHOUT CC/MCC,,,10973.46,49788.73,268 DRG,MS402,MS-DRG 402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,37257.2,174871.65,268 DRG,MS405,"MS-DRG 405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC",,,50509.66,237939.4,268 DRG,MS406,"MS-DRG 406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC",,,27018.08,126144.2,268 DRG,MS407,"MS-DRG 407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC",,,20797.65,96541.5,268 DRG,MS408,MS-DRG 408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC,,,33099.58,155085.77,268 DRG,MS409,MS-DRG 409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC,,,20411.04,94701.66,268 DRG,MS410,MS-DRG 410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC,,,15022.32,69057.01,268 DRG,MS411,MS-DRG 411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC,,,30702.26,143677.03,268 DRG,MS412,MS-DRG 412 CHOLECYSTECTOMY WITH C.D.E. WITH CC,,,19727.4,91448.24,268 DRG,MS413,MS-DRG 413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC,,,15687.68,72223.45,268 DRG,MS414,MS-DRG 414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC,,,33072.16,154955.29,268 DRG,MS415,MS-DRG 415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC,,,19400.2,89891.12,268 DRG,MS416,MS-DRG 416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC,,,12971.38,59296.73,268 DRG,MS417,MS-DRG 417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,,,22322.14,103796.47,268 DRG,MS418,MS-DRG 418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,,,15971.92,73576.14,268 DRG,MS419,MS-DRG 419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC,,,12994.23,59405.47,268 DRG,MS420,MS-DRG 420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC,,,31650.95,148191.81,268 DRG,MS421,MS-DRG 421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC,,,16391.43,75572.56,268 DRG,MS423,MS-DRG 423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC,,,38468.2,180634.73,268 DRG,MS424,MS-DRG 424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,,,20507.92,95162.71,268 DRG,MS426,MS-DRG 426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,101240.98,479367.09,268 DRG,MS427,MS-DRG 427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC,,,66486.64,313973.01,268 DRG,MS428,MS-DRG 428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC,,,51894.31,244528.89,268 DRG,MS429,MS-DRG 429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC,,,82855.71,391872.55,268 DRG,MS430,MS-DRG 430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC,,,53220.47,250840.01,268 DRG,MS432,MS-DRG 432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,,,18499.94,85606.86,268 DRG,MS433,MS-DRG 433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,,,10164.61,45939.42,268 DRG,MS434,MS-DRG 434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC,,,7023.32,30990.19,268 DRG,MS435,MS-DRG 435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,,,17298.08,79887.27,268 DRG,MS436,MS-DRG 436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC,,,10849.16,49197.19,268 DRG,MS437,MS-DRG 437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC,,,8310.18,37114.28,268 DRG,MS438,MS-DRG 438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,,,15410.75,70905.55,268 DRG,MS439,MS-DRG 439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,,,8199.59,36587.99,268 DRG,MS440,MS-DRG 440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC,,,6190.7,27027.79,268 DRG,MS441,"MS-DRG 441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC",,,16914.22,78060.48,268 DRG,MS442,"MS-DRG 442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC",,,9333.81,41985.72,268 DRG,MS443,"MS-DRG 443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC",,,6906.33,30433.45,268 DRG,MS444,MS-DRG 444 DISORDERS OF THE BILIARY TRACT WITH MCC,,,15782.73,72675.8,268 DRG,MS445,MS-DRG 445 DISORDERS OF THE BILIARY TRACT WITH CC,,,10513.74,47600.93,268 DRG,MS446,MS-DRG 446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC,,,8072.55,35983.41,268 DRG,MS447,MS-DRG 447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,61578.66,290616.19,268 DRG,MS448,MS-DRG 448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,39270.66,184453.6,268 DRG,MS450,MS-DRG 450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,49221.88,231810.95,268 DRG,MS451,MS-DRG 451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,30035.98,140506.25,268 DRG,MS456,"MS-DRG 456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC",,,77315.27,365505.88,268 DRG,MS457,"MS-DRG 457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC",,,55011.84,259365.03,268 DRG,MS458,"MS-DRG 458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC",,,38647.34,181487.24,268 DRG,MS461,MS-DRG 461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC,,,50989.49,240222.88,268 DRG,MS462,MS-DRG 462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC,,,24822.74,115696.7,268 DRG,MS463,MS-DRG 463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,52602.63,247899.75,268 DRG,MS464,MS-DRG 464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,,,28978.53,135473.88,268 DRG,MS465,MS-DRG 465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,17179.27,79321.83,268 DRG,MS466,MS-DRG 466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC,,,48086.74,226408.87,268 DRG,MS467,MS-DRG 467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC,,,32743.14,153389.47,268 DRG,MS468,MS-DRG 468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC,,,25627.02,119524.26,268 DRG,MS469,MS-DRG 469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT,,,28233.65,131929.03,268 DRG,MS470,MS-DRG 470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,,,18140.76,83897.51,268 DRG,MS471,MS-DRG 471 CERVICAL SPINAL FUSION WITH MCC,,,44643.84,210024.31,268 DRG,MS472,MS-DRG 472 CERVICAL SPINAL FUSION WITH CC,,,27437.58,128140.62,268 DRG,MS473,MS-DRG 473 CERVICAL SPINAL FUSION WITHOUT CC/MCC,,,22823.9,106184.34,268 DRG,MS474,MS-DRG 474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,39746.83,186719.69,268 DRG,MS475,MS-DRG 475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC,,,21310.38,98981.57,268 DRG,MS476,MS-DRG 476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,11297.92,51332.8,268 DRG,MS477,MS-DRG 477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,32085.08,150257.83,268 DRG,MS478,MS-DRG 478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,,,22987.5,106962.9,268 DRG,MS479,MS-DRG 479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC,,,17500.98,80852.86,268 DRG,MS480,MS-DRG 480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC,,,27128.67,126670.49,268 DRG,MS481,MS-DRG 481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC,,,19654.28,91100.28,268 DRG,MS482,MS-DRG 482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC,,,15418.06,70940.34,268 DRG,MS483,MS-DRG 483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES,,,25845.46,120563.79,268 DRG,MS485,MS-DRG 485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC,,,30005.82,140362.71,268 DRG,MS486,MS-DRG 486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC,,,19623.2,90952.39,268 DRG,MS487,MS-DRG 487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,14825.81,68121.87,268 DRG,MS488,MS-DRG 488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC,,,16678.42,76938.31,268 DRG,MS489,MS-DRG 489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,10718.47,48575.22,268 DRG,MS492,"MS-DRG 492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC",,,34068.38,159696.24,268 DRG,MS493,"MS-DRG 493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC",,,23690.34,110307.67,268 DRG,MS494,"MS-DRG 494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC",,,18849.99,87272.72,268 DRG,MS495,MS-DRG 495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC,,,33648.87,157699.82,268 DRG,MS496,MS-DRG 496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC,,,16998.3,78460.63,268 DRG,MS497,MS-DRG 497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC,,,11554.74,52555.01,268 DRG,MS498,MS-DRG 498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC,,,28083.76,131215.72,268 DRG,MS499,MS-DRG 499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC,,,18925.85,87633.73,268 DRG,MS500,MS-DRG 500 SOFT TISSUE PROCEDURES WITH MCC,,,29436.42,137652.98,268 DRG,MS501,MS-DRG 501 SOFT TISSUE PROCEDURES WITH CC,,,16488.31,76033.61,268 DRG,MS502,MS-DRG 502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC,,,12812.36,58539.92,268 DRG,MS503,MS-DRG 503 FOOT PROCEDURES WITH MCC,,,26020.94,121398.89,268 DRG,MS504,MS-DRG 504 FOOT PROCEDURES WITH CC,,,17595.12,81300.85,268 DRG,MS505,MS-DRG 505 FOOT PROCEDURES WITHOUT CC/MCC,,,16896.85,77977.84,268 DRG,MS506,MS-DRG 506 MAJOR THUMB OR JOINT PROCEDURES,,,12842.52,58683.45,268 DRG,MS507,MS-DRG 507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC,,,17021.15,78569.37,268 DRG,MS508,MS-DRG 508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC,,,14352.38,65868.83,268 DRG,MS510,"MS-DRG 510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC",,,28117.57,131376.65,268 DRG,MS511,"MS-DRG 511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC",,,19516.27,90443.5,268 DRG,MS512,"MS-DRG 512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC",,,15641.07,72001.62,268 DRG,MS513,"MS-DRG 513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC",,,14899.85,68474.18,268 DRG,MS514,"MS-DRG 514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC",,,9854.77,44464.94,268 DRG,MS515,MS-DRG 515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC,,,29638.41,138614.22,268 DRG,MS516,MS-DRG 516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC,,,19504.39,90386.96,268 DRG,MS517,MS-DRG 517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC,,,14556.2,66838.77,268 DRG,MS518,MS-DRG 518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR,,,34668.86,162553.86,268 DRG,MS519,MS-DRG 519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC,,,18792.41,86998.7,268 DRG,MS520,MS-DRG 520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC,,,14165.02,64977.18,268 DRG,MS521,MS-DRG 521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,,,26743.89,124839.35,268 DRG,MS522,MS-DRG 522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,,,19866.32,92109.36,268 DRG,MS533,MS-DRG 533 FRACTURES OF FEMUR WITH MCC,,,14839.52,68187.11,268 DRG,MS534,MS-DRG 534 FRACTURES OF FEMUR WITHOUT MCC,,,7878.79,35061.32,268 DRG,MS535,MS-DRG 535 FRACTURES OF HIP AND PELVIS WITH MCC,,,12228.33,55760.59,268 DRG,MS536,MS-DRG 536 FRACTURES OF HIP AND PELVIS WITHOUT MCC,,,7892.49,35126.56,268 DRG,MS537,"MS-DRG 537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC",,,9233.28,41507.28,268 DRG,MS538,"MS-DRG 538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC",,,7094.61,31329.45,268 DRG,MS539,MS-DRG 539 OSTEOMYELITIS WITH MCC,,,18513.65,85672.1,268 DRG,MS540,MS-DRG 540 OSTEOMYELITIS WITH CC,,,12359.03,56382.57,268 DRG,MS541,MS-DRG 541 OSTEOMYELITIS WITHOUT CC/MCC,,,7707.87,34247.96,268 DRG,MS542,MS-DRG 542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC,,,16656.48,76833.92,268 DRG,MS543,MS-DRG 543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,,,9906.87,44712.86,268 DRG,MS544,MS-DRG 544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC,,,7408.09,32821.33,268 DRG,MS545,MS-DRG 545 CONNECTIVE TISSUE DISORDERS WITH MCC,,,23193.14,107941.54,268 DRG,MS546,MS-DRG 546 CONNECTIVE TISSUE DISORDERS WITH CC,,,11052.98,50167.13,268 DRG,MS547,MS-DRG 547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,8153.89,36370.52,268 DRG,MS548,MS-DRG 548 SEPTIC ARTHRITIS WITH MCC,,,18159.04,83984.5,268 DRG,MS549,MS-DRG 549 SEPTIC ARTHRITIS WITH CC,,,11544.69,52507.16,268 DRG,MS550,MS-DRG 550 SEPTIC ARTHRITIS WITHOUT CC/MCC,,,8500.28,38018.98,268 DRG,MS551,MS-DRG 551 MEDICAL BACK PROBLEMS WITH MCC,,,15830.26,72901.97,268 DRG,MS552,MS-DRG 552 MEDICAL BACK PROBLEMS WITHOUT MCC,,,9297.26,41811.74,268 DRG,MS553,MS-DRG 553 BONE DISEASES AND ARTHROPATHIES WITH MCC,,,12359.03,56382.57,268 DRG,MS554,MS-DRG 554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC,,,8098.14,36105.2,268 DRG,MS555,MS-DRG 555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,12592.09,57491.69,268 DRG,MS556,MS-DRG 556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,,,8102.71,36126.95,268 DRG,MS557,"MS-DRG 557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC",,,14101.04,64672.72,268 DRG,MS558,"MS-DRG 558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC",,,8674.85,38849.73,268 DRG,MS559,"MS-DRG 559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",,,17555.82,81113.83,268 DRG,MS560,"MS-DRG 560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",,,10803.47,48979.72,268 DRG,MS561,"MS-DRG 561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC",,,7858.68,34965.63,268 DRG,MS562,"MS-DRG 562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC",,,13533.47,61971.68,268 DRG,MS563,"MS-DRG 563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC",,,8695.87,38949.77,268 DRG,MS564,MS-DRG 564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,,,14619.26,67138.88,268 DRG,MS565,MS-DRG 565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,,,9416.98,42381.53,268 DRG,MS566,MS-DRG 566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC,,,7359.65,32590.8,268 DRG,MS570,MS-DRG 570 SKIN DEBRIDEMENT WITH MCC,,,27391.89,127923.14,268 DRG,MS571,MS-DRG 571 SKIN DEBRIDEMENT WITH CC,,,15952.73,73484.8,268 DRG,MS572,MS-DRG 572 SKIN DEBRIDEMENT WITHOUT CC/MCC,,,10988.09,49858.32,268 DRG,MS573,MS-DRG 573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,60388.68,284953.14,268 DRG,MS574,MS-DRG 574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC,,,32238.63,150988.54,268 DRG,MS576,MS-DRG 576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,45306.47,213177.69,268 DRG,MS577,MS-DRG 577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC,,,24737.74,115292.2,268 DRG,MS578,MS-DRG 578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,15193.23,69870.37,268 DRG,MS579,"MS-DRG 579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC",,,30110.01,140858.56,268 DRG,MS580,"MS-DRG 580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC",,,16304.61,75159.36,268 DRG,MS581,"MS-DRG 581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC",,,13700.73,62767.63,268 DRG,MS582,MS-DRG 582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC,,,18119.74,83797.47,268 DRG,MS583,MS-DRG 583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC,,,16271.7,75002.78,268 DRG,MS584,"MS-DRG 584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC",,,20076.53,93109.75,268 DRG,MS585,"MS-DRG 585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC",,,18142.59,83906.2,268 DRG,MS592,MS-DRG 592 SKIN ULCERS WITH MCC,,,18199.25,84175.87,268 DRG,MS593,MS-DRG 593 SKIN ULCERS WITH CC,,,11353.67,51598.12,268 DRG,MS594,MS-DRG 594 SKIN ULCERS WITHOUT CC/MCC,,,8433.56,37701.47,268 DRG,MS595,MS-DRG 595 MAJOR SKIN DISORDERS WITH MCC,,,19893.74,92239.85,268 DRG,MS596,MS-DRG 596 MAJOR SKIN DISORDERS WITHOUT MCC,,,10404.98,47083.34,268 DRG,MS597,MS-DRG 597 MALIGNANT BREAST DISORDERS WITH MCC,,,15748.0,72510.51,268 DRG,MS598,MS-DRG 598 MALIGNANT BREAST DISORDERS WITH CC,,,10850.99,49205.89,268 DRG,MS600,MS-DRG 600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC,,,10031.17,45304.39,268 DRG,MS601,MS-DRG 601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,6040.81,26314.47,268 DRG,MS602,MS-DRG 602 CELLULITIS WITH MCC,,,13501.48,61819.44,268 DRG,MS603,MS-DRG 603 CELLULITIS WITHOUT MCC,,,8471.03,37879.8,268 DRG,MS604,"MS-DRG 604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC",,,13965.78,64028.99,268 DRG,MS605,"MS-DRG 605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC",,,8883.23,39841.42,268 DRG,MS606,MS-DRG 606 MINOR SKIN DISORDERS WITH MCC,,,14341.41,65816.63,268 DRG,MS607,MS-DRG 607 MINOR SKIN DISORDERS WITHOUT MCC,,,8795.49,39423.87,268 DRG,MS614,MS-DRG 614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC,,,20543.56,95332.34,268 DRG,MS615,MS-DRG 615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC,,,13300.41,60862.55,268 DRG,MS616,"MS-DRG 616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,32384.86,151684.46,268 DRG,MS617,"MS-DRG 617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,17605.18,81348.7,268 DRG,MS619,MS-DRG 619 O.R. PROCEDURES FOR OBESITY WITH MCC,,,26901.09,125587.46,268 DRG,MS620,MS-DRG 620 O.R. PROCEDURES FOR OBESITY WITH CC,,,15137.48,69605.05,268 DRG,MS621,MS-DRG 621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC,,,14297.54,65607.86,268 DRG,MS622,"MS-DRG 622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,33041.09,154807.4,268 DRG,MS623,"MS-DRG 623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,16906.91,78025.68,268 DRG,MS624,"MS-DRG 624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,11953.23,54451.39,268 DRG,MS625,"MS-DRG 625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC",,,28113.92,131359.25,268 DRG,MS626,"MS-DRG 626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC",,,14215.29,65216.4,268 DRG,MS627,"MS-DRG 627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC",,,12651.5,57774.41,268 DRG,MS628,"MS-DRG 628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC",,,34572.89,162097.17,268 DRG,MS629,"MS-DRG 629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC",,,20424.75,94766.91,268 DRG,MS630,"MS-DRG 630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC",,,13850.62,63480.95,268 DRG,MS637,MS-DRG 637 DIABETES WITH MCC,,,13642.23,62489.27,268 DRG,MS638,MS-DRG 638 DIABETES WITH CC,,,8702.27,38980.22,268 DRG,MS639,MS-DRG 639 DIABETES WITHOUT CC/MCC,,,6188.87,27019.09,268 DRG,MS640,"MS-DRG 640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC",,,12718.22,58091.92,268 DRG,MS641,"MS-DRG 641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC",,,7623.79,33847.81,268 DRG,MS642,MS-DRG 642 INBORN AND OTHER DISORDERS OF METABOLISM,,,13508.79,61854.24,268 DRG,MS643,MS-DRG 643 ENDOCRINE DISORDERS WITH MCC,,,15556.07,71597.12,268 DRG,MS644,MS-DRG 644 ENDOCRINE DISORDERS WITH CC,,,9879.45,44582.38,268 DRG,MS645,MS-DRG 645 ENDOCRINE DISORDERS WITHOUT CC/MCC,,,7533.31,33417.21,268 DRG,MS650,MS-DRG 650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,,,43480.37,204487.39,268 DRG,MS651,MS-DRG 651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,,,34380.96,161183.77,268 DRG,MS652,MS-DRG 652 KIDNEY TRANSPLANT,,,30027.75,140467.1,268 DRG,MS653,MS-DRG 653 MAJOR BLADDER PROCEDURES WITH MCC,,,48004.49,226017.42,268 DRG,MS654,MS-DRG 654 MAJOR BLADDER PROCEDURES WITH CC,,,26095.89,121755.55,268 DRG,MS655,MS-DRG 655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC,,,19856.26,92061.52,268 DRG,MS656,MS-DRG 656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC,,,29610.07,138479.38,268 DRG,MS657,MS-DRG 657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,,,17236.85,97541.2,268 DRG,MS658,MS-DRG 658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC,,,14694.2,77678.15,268 DRG,MS659,MS-DRG 659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,,,23734.21,110516.45,268 DRG,MS660,MS-DRG 660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,,,12591.18,92049.61,268 DRG,MS661,MS-DRG 661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC,,,9974.5,71404.48,268 DRG,MS662,MS-DRG 662 MINOR BLADDER PROCEDURES WITH MCC,,,28492.3,133159.94,268 DRG,MS663,MS-DRG 663 MINOR BLADDER PROCEDURES WITH CC,,,14405.39,66121.1,268 DRG,MS664,MS-DRG 664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC,,,10079.61,66706.69,268 DRG,MS665,MS-DRG 665 PROSTATECTOMY WITH MCC,,,29037.93,135756.59,268 DRG,MS666,MS-DRG 666 PROSTATECTOMY WITH CC,,,16499.28,76085.8,268 DRG,MS667,MS-DRG 667 PROSTATECTOMY WITHOUT CC/MCC,,,10621.59,48114.17,268 DRG,MS668,MS-DRG 668 TRANSURETHRAL PROCEDURES WITH MCC,,,27199.04,127005.4,268 DRG,MS669,MS-DRG 669 TRANSURETHRAL PROCEDURES WITH CC,,,14696.03,67504.24,268 DRG,MS670,MS-DRG 670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC,,,9443.49,42507.66,268 DRG,MS671,MS-DRG 671 URETHRAL PROCEDURES WITH CC/MCC,,,16916.96,78073.52,268 DRG,MS672,MS-DRG 672 URETHRAL PROCEDURES WITHOUT CC/MCC,,,10377.56,46952.85,268 DRG,MS673,MS-DRG 673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,,,38912.39,182748.59,268 DRG,MS674,MS-DRG 674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC,,,21885.26,101717.41,268 DRG,MS675,MS-DRG 675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC,,,15513.11,71392.69,268 DRG,MS682,MS-DRG 682 RENAL FAILURE WITH MCC,,,14047.12,64416.1,268 DRG,MS683,MS-DRG 683 RENAL FAILURE WITH CC,,,8515.82,38092.92,268 DRG,MS684,MS-DRG 684 RENAL FAILURE WITHOUT CC/MCC,,,5997.85,26110.05,268 DRG,MS686,MS-DRG 686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC,,,16996.48,78451.93,268 DRG,MS687,MS-DRG 687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC,,,10087.83,45574.06,268 DRG,MS688,MS-DRG 688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC,,,7734.38,34374.1,268 DRG,MS689,MS-DRG 689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,,,11116.04,50467.25,268 DRG,MS690,MS-DRG 690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC,,,7909.86,35209.2,268 DRG,MS693,MS-DRG 693 URINARY STONES WITH MCC,,,12799.56,58479.03,268 DRG,MS694,MS-DRG 694 URINARY STONES WITHOUT MCC,,,7655.78,34000.04,268 DRG,MS695,MS-DRG 695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC,,,10965.24,49749.58,268 DRG,MS696,MS-DRG 696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC,,,6808.53,29968.06,268 DRG,MS697,MS-DRG 697 URETHRAL STRICTURE,,,10362.02,46878.91,268 DRG,MS698,MS-DRG 698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC,,,15631.93,71958.13,268 DRG,MS699,MS-DRG 699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC,,,9788.05,44147.43,268 DRG,MS700,MS-DRG 700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC,,,6816.76,30007.2,268 DRG,MS707,MS-DRG 707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC,,,18793.33,89895.17,268 DRG,MS708,MS-DRG 708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC,,,14533.35,69464.21,268 DRG,MS709,MS-DRG 709 PENIS PROCEDURES WITH CC/MCC,,,21780.16,101217.21,268 DRG,MS710,MS-DRG 710 PENIS PROCEDURES WITHOUT CC/MCC,,,13317.78,60945.19,268 DRG,MS711,MS-DRG 711 TESTES PROCEDURES WITH CC/MCC,,,19556.49,90634.88,268 DRG,MS712,MS-DRG 712 TESTES PROCEDURES WITHOUT CC/MCC,,,10562.18,47831.45,268 DRG,MS713,MS-DRG 713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC,,,14251.85,65390.38,268 DRG,MS714,MS-DRG 714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC,,,10175.57,45991.61,268 DRG,MS715,MS-DRG 715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC,,,20959.42,97311.36,268 DRG,MS716,MS-DRG 716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC,,,13955.72,63981.14,268 DRG,MS717,MS-DRG 717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC,,,17789.8,82227.3,268 DRG,MS718,MS-DRG 718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC,,,12786.76,58418.13,268 DRG,MS722,"MS-DRG 722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC",,,17051.31,78712.9,268 DRG,MS723,"MS-DRG 723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC",,,10955.18,49701.74,268 DRG,MS724,"MS-DRG 724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,6504.19,28519.67,268 DRG,MS725,MS-DRG 725 BENIGN PROSTATIC HYPERTROPHY WITH MCC,,,11206.52,50897.85,268 DRG,MS726,MS-DRG 726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC,,,7110.14,31403.39,268 DRG,MS727,MS-DRG 727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC,,,14064.48,64498.74,268 DRG,MS728,MS-DRG 728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC,,,7925.4,35283.14,268 DRG,MS729,MS-DRG 729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC,,,10187.45,46048.16,268 DRG,MS730,MS-DRG 730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,6653.16,29228.64,268 DRG,MS734,"MS-DRG 734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC",,,19978.74,92644.35,268 DRG,MS736,MS-DRG 736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC,,,33180.93,155472.88,268 DRG,MS737,MS-DRG 737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC,,,19344.45,89625.8,268 DRG,MS738,MS-DRG 738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,13932.87,63872.41,268 DRG,MS739,MS-DRG 739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC,,,33256.78,155833.89,268 DRG,MS740,MS-DRG 740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC,,,17050.4,78708.55,268 DRG,MS741,MS-DRG 741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,13545.35,62028.22,268 DRG,MS742,MS-DRG 742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC,,,17280.72,79804.63,268 DRG,MS743,MS-DRG 743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,,,11850.87,57880.09,268 DRG,MS744,"MS-DRG 744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC",,,19239.34,89125.6,268 DRG,MS745,"MS-DRG 745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC",,,10907.66,49475.56,268 DRG,MS746,"MS-DRG 746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC",,,16387.78,75555.16,268 DRG,MS747,"MS-DRG 747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC",,,8368.67,37392.65,268 DRG,MS748,MS-DRG 748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,13190.74,60340.61,268 DRG,MS749,MS-DRG 749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC,,,23978.24,111677.76,268 DRG,MS750,MS-DRG 750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,13999.59,64189.92,268 DRG,MS754,"MS-DRG 754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,17343.78,80104.74,268 DRG,MS755,"MS-DRG 755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,10453.42,47313.86,268 DRG,MS756,"MS-DRG 756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,9289.94,41776.95,268 DRG,MS757,"MS-DRG 757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,13598.36,62280.49,268 DRG,MS758,"MS-DRG 758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,9459.03,42581.61,268 DRG,MS759,"MS-DRG 759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,6576.39,28863.28,268 DRG,MS760,MS-DRG 760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC,,,9719.51,43821.21,268 DRG,MS761,MS-DRG 761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC,,,5725.49,24813.9,268 DRG,MS768,MS-DRG 768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C,,,10305.36,31458.0,268 DRG,MS769,MS-DRG 769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES,,,15955.47,73497.85,268 DRG,MS770,"MS-DRG 770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,9675.64,43612.44,268 DRG,MS776,MS-DRG 776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,,,6495.05,28476.18,268 DRG,MS779,MS-DRG 779 ABORTION WITHOUT D&C,,,8200.5,36592.34,268 DRG,MS783,MS-DRG 783 CESAREAN SECTION WITH STERILIZATION WITH MCC,,,22139.0,64654.0,268 DRG,MS784,MS-DRG 784 CESAREAN SECTION WITH STERILIZATION WITH CC,,,10200.25,49898.0,268 DRG,MS785,MS-DRG 785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC,,,9265.27,49898.0,268 DRG,MS786,MS-DRG 786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC,,,15587.15,49898.0,268 DRG,MS787,MS-DRG 787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC,,,10718.47,49898.0,268 DRG,MS788,MS-DRG 788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC,,,9274.41,49898.0,268 DRG,MS789,"MS-DRG 789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY",,,3351.0,32233.0,262 DRG,MS790,"MS-DRG 790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE",,,3393.0,104596.02,262 DRG,MS791,MS-DRG 791 PREMATURITY WITH MAJOR PROBLEMS,,,3393.0,71667.2,262 DRG,MS792,MS-DRG 792 PREMATURITY WITHOUT MAJOR PROBLEMS,,,3351.0,43538.36,262 DRG,MS793,MS-DRG 793 FULL TERM NEONATE WITH MAJOR PROBLEMS,,,3393.0,73599.77,262 DRG,MS794,MS-DRG 794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS,,,3351.0,39305.78,268 DRG,MS795,MS-DRG 795 NORMAL NEWBORN,,,1489.0,12910.0,268 DRG,MS796,MS-DRG 796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC,,,11177.28,31458.0,268 DRG,MS797,MS-DRG 797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC,,,9654.61,31458.0,268 DRG,MS798,MS-DRG 798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC,,,9258.87,31458.0,268 DRG,MS799,MS-DRG 799 SPLENIC PROCEDURES WITH MCC,,,41903.78,196984.51,268 DRG,MS800,MS-DRG 800 SPLENIC PROCEDURES WITH CC,,,26188.2,122194.85,268 DRG,MS801,MS-DRG 801 SPLENIC PROCEDURES WITHOUT CC/MCC,,,17957.96,83027.61,268 DRG,MS802,MS-DRG 802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC,,,36924.52,173288.43,268 DRG,MS803,MS-DRG 803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC,,,17500.98,80852.86,268 DRG,MS804,MS-DRG 804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC,,,12904.67,58979.22,268 DRG,MS805,MS-DRG 805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC,,,10374.82,31458.0,268 DRG,MS806,MS-DRG 806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC,,,7402.61,31458.0,268 DRG,MS807,MS-DRG 807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC,,,6673.27,31458.0,268 DRG,MS808,MS-DRG 808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC,,,20690.71,96032.61,268 DRG,MS809,MS-DRG 809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,,,12081.19,55060.32,268 DRG,MS810,MS-DRG 810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC,,,10076.87,45521.87,268 DRG,MS811,MS-DRG 811 RED BLOOD CELL DISORDERS WITH MCC,,,13346.11,61080.03,268 DRG,MS812,MS-DRG 812 RED BLOOD CELL DISORDERS WITHOUT MCC,,,8903.34,39937.11,268 DRG,MS813,MS-DRG 813 COAGULATION DISORDERS,,,14452.0,66342.92,268 DRG,MS814,MS-DRG 814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC,,,19948.58,92500.82,268 DRG,MS815,MS-DRG 815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC,,,9778.91,44103.93,268 DRG,MS816,MS-DRG 816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC,,,6287.58,27488.84,268 DRG,MS817,MS-DRG 817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC,,,21364.3,99238.19,268 DRG,MS818,MS-DRG 818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC,,,11105.99,50419.4,268 DRG,MS819,MS-DRG 819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,8370.5,37401.35,268 DRG,MS820,MS-DRG 820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC,,,54113.41,255089.48,268 DRG,MS821,MS-DRG 821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC,,,20971.3,97367.91,268 DRG,MS822,MS-DRG 822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,11515.44,52367.98,268 DRG,MS823,MS-DRG 823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC,,,42414.69,199415.88,268 DRG,MS824,MS-DRG 824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC,,,21218.07,98542.27,268 DRG,MS825,MS-DRG 825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC,,,12844.34,58692.15,268 DRG,MS826,MS-DRG 826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC,,,43264.68,203460.91,268 DRG,MS827,MS-DRG 827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC,,,21634.84,100525.64,268 DRG,MS828,MS-DRG 828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,16083.43,74106.78,268 DRG,MS829,MS-DRG 829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC,,,29392.55,137444.2,268 DRG,MS830,MS-DRG 830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC,,,14266.47,65459.97,268 DRG,MS831,MS-DRG 831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC,,,11501.73,52302.74,268 DRG,MS832,MS-DRG 832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC,,,7106.49,31385.99,268 DRG,MS833,MS-DRG 833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC,,,5290.44,22743.54,165 DRG,MS834,MS-DRG 834 ACUTE LEUKEMIA WITH MCC,,,50686.97,238783.2,268 DRG,MS835,MS-DRG 835 ACUTE LEUKEMIA WITH CC,,,19574.76,90721.87,268 DRG,MS836,MS-DRG 836 ACUTE LEUKEMIA WITHOUT CC/MCC,,,11657.11,53042.15,268 DRG,MS837,MS-DRG 837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,,,44420.84,208963.03,268 DRG,MS838,MS-DRG 838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,,,19589.39,90791.46,268 DRG,MS839,MS-DRG 839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,13708.04,62802.43,268 DRG,MS840,MS-DRG 840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC,,,30077.11,140701.98,268 DRG,MS841,MS-DRG 841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC,,,15421.72,70957.74,268 DRG,MS842,MS-DRG 842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC,,,9746.01,43947.35,268 DRG,MS843,MS-DRG 843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC,,,18743.06,86763.83,268 DRG,MS844,MS-DRG 844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC,,,11637.91,52950.81,268 DRG,MS845,MS-DRG 845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC,,,8294.64,37040.34,268 DRG,MS846,MS-DRG 846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC,,,24205.81,112760.79,268 DRG,MS847,MS-DRG 847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC,,,12467.79,56900.16,268 DRG,MS849,MS-DRG 849 RADIOTHERAPY,,,25275.15,117849.7,268 DRG,MS850,MS-DRG 850 ACUTE LEUKEMIA WITH OTHER PROCEDURES,,,79655.92,376644.95,268 DRG,MS853,MS-DRG 853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,,,45648.29,214804.41,268 DRG,MS854,MS-DRG 854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,,,18773.22,86907.36,268 DRG,MS855,MS-DRG 855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,14195.18,65120.71,268 DRG,MS856,MS-DRG 856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC,,,42084.75,197845.71,268 DRG,MS857,MS-DRG 857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC,,,20083.84,93144.54,268 DRG,MS858,MS-DRG 858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC,,,13241.92,60584.19,268 DRG,MS862,MS-DRG 862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,,,17179.27,79321.83,268 DRG,MS863,MS-DRG 863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,,,9631.77,43403.66,268 DRG,MS864,MS-DRG 864 FEVER AND INFLAMMATORY CONDITIONS,,,8624.58,38610.51,268 DRG,MS865,MS-DRG 865 VIRAL ILLNESS WITH MCC,,,14205.23,65168.56,268 DRG,MS866,MS-DRG 866 VIRAL ILLNESS WITHOUT MCC,,,8459.15,37823.25,268 DRG,MS867,MS-DRG 867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC,,,19642.4,91043.73,268 DRG,MS868,MS-DRG 868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,,,9935.2,44847.69,268 DRG,MS869,MS-DRG 869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC,,,7180.52,31738.3,268 DRG,MS870,MS-DRG 870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS,,,63682.6,300628.74,268 DRG,MS871,MS-DRG 871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC,,,18265.06,84489.04,268 DRG,MS872,MS-DRG 872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC,,,9863.91,44508.43,268 DRG,MS876,MS-DRG 876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS,,,1895.0,142015.75,268 DRG,MS880,MS-DRG 880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION,,,1895.0,35282.55,268 DRG,MS881,MS-DRG 881 DEPRESSIVE NEUROSES,,,1895.0,34573.37,268 DRG,MS882,MS-DRG 882 NEUROSES EXCEPT DEPRESSIVE,,,1895.0,39456.78,268 DRG,MS883,MS-DRG 883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,1895.0,72251.69,268 DRG,MS884,MS-DRG 884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY,,,1895.0,59119.03,268 DRG,MS885,MS-DRG 885 PSYCHOSES,,,1895.0,51325.42,268 DRG,MS886,MS-DRG 886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS,,,1895.0,76256.9,268 DRG,MS887,MS-DRG 887 OTHER MENTAL DISORDER DIAGNOSES,,,1895.0,39350.22,268 DRG,MS894,"MS-DRG 894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA",,,1895.0,22667.99,268 DRG,MS895,"MS-DRG 895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY",,,1895.0,52016.22,268 DRG,MS896,"MS-DRG 896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC",,,1895.0,64123.7,268 DRG,MS897,"MS-DRG 897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC",,,1895.0,32438.49,268 DRG,MS901,MS-DRG 901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC,,,38866.69,182531.12,268 DRG,MS902,MS-DRG 902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC,,,18009.15,83271.18,268 DRG,MS903,MS-DRG 903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC,,,11201.04,50871.75,268 DRG,MS904,MS-DRG 904 SKIN GRAFTS FOR INJURIES WITH CC/MCC,,,34082.09,159761.48,268 DRG,MS905,MS-DRG 905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC,,,14069.05,64520.48,268 DRG,MS906,MS-DRG 906 HAND PROCEDURES FOR INJURIES,,,18464.3,85437.23,268 DRG,MS907,MS-DRG 907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,,,35601.1,166990.35,268 DRG,MS908,MS-DRG 908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC,,,18746.71,86781.22,268 DRG,MS909,MS-DRG 909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC,,,12508.92,57095.89,268 DRG,MS913,MS-DRG 913 TRAUMATIC INJURY WITH MCC,,,15450.97,71096.93,268 DRG,MS914,MS-DRG 914 TRAUMATIC INJURY WITHOUT MCC,,,8604.47,38514.82,268 DRG,MS915,MS-DRG 915 ALLERGIC REACTIONS WITH MCC,,,15880.53,73141.19,268 DRG,MS916,MS-DRG 916 ALLERGIC REACTIONS WITHOUT MCC,,,6601.07,28980.72,268 DRG,MS917,MS-DRG 917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC,,,14845.92,68217.56,268 DRG,MS918,MS-DRG 918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC,,,8344.91,37279.56,268 DRG,MS919,MS-DRG 919 COMPLICATIONS OF TREATMENT WITH MCC,,,17244.16,79630.65,268 DRG,MS920,MS-DRG 920 COMPLICATIONS OF TREATMENT WITH CC,,,9671.98,43595.04,268 DRG,MS921,MS-DRG 921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC,,,6803.05,29941.96,268 DRG,MS922,"MS-DRG 922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC",,,16500.19,76090.15,268 DRG,MS923,"MS-DRG 923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC",,,9812.73,44264.86,268 DRG,MS928,MS-DRG 928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC,,,66067.13,311976.59,268 DRG,MS935,MS-DRG 935 NON-EXTENSIVE BURNS,,,19338.96,89599.7,268 DRG,MS939,MS-DRG 939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC,,,33674.47,157821.61,268 DRG,MS940,MS-DRG 940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC,,,21869.72,101643.47,268 DRG,MS941,MS-DRG 941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC,,,19043.75,88194.81,268 DRG,MS945,MS-DRG 945 REHABILITATION WITH CC/MCC,,,1968.0,56903.31,268 DRG,MS946,MS-DRG 946 REHABILITATION WITHOUT CC/MCC,,,1968.0,42139.17,268 DRG,MS947,MS-DRG 947 SIGNS AND SYMPTOMS WITH MCC,,,12113.17,55212.55,268 DRG,MS948,MS-DRG 948 SIGNS AND SYMPTOMS WITHOUT MCC,,,7827.6,34817.75,268 DRG,MS949,MS-DRG 949 AFTERCARE WITH CC/MCC,,,11384.75,51746.0,268 DRG,MS950,MS-DRG 950 AFTERCARE WITHOUT CC/MCC,,,6248.28,27301.81,268 DRG,MS951,MS-DRG 951 OTHER FACTORS INFLUENCING HEALTH STATUS,,,5592.96,24183.22,268 DRG,MS955,MS-DRG 955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,62031.07,292769.19,268 DRG,MS956,"MS-DRG 956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA",,,34903.75,163671.68,268 DRG,MS957,MS-DRG 957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,70154.37,331427.55,268 DRG,MS958,MS-DRG 958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,39024.8,183283.58,268 DRG,MS963,MS-DRG 963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,25497.24,118906.63,268 DRG,MS964,MS-DRG 964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,14518.72,66660.44,268 DRG,MS969,MS-DRG 969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC,,,56457.73,266245.94,268 DRG,MS970,MS-DRG 970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC,,,24616.18,114713.71,268 DRG,MS974,MS-DRG 974 HIV WITH MAJOR RELATED CONDITION WITH MCC,,,26888.29,125526.57,268 DRG,MS975,MS-DRG 975 HIV WITH MAJOR RELATED CONDITION WITH CC,,,12347.15,56326.03,268 DRG,MS977,MS-DRG 977 HIV WITH OR WITHOUT OTHER RELATED CONDITION,,,12371.83,56443.46,268 DRG,MS981,MS-DRG 981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,43392.63,204069.84,268 DRG,MS982,MS-DRG 982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,22981.1,106932.46,268 DRG,MS983,MS-DRG 983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,16176.65,74550.43,268 DRG,MS987,MS-DRG 987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,31845.63,149118.26,268 DRG,MS988,MS-DRG 988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,15533.22,71488.38,268 DRG,MS989,MS-DRG 989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,11471.57,52159.2,268 HCPCS,A0425,HC GROUND MILEAGE PER STATUTE MILE,51.75,9.8325,0.5175,1395.87,320 HCPCS,A0426,HC ALS1 NON EMERGENCY,1380.0,262.2,13.8,1395.87,320 HCPCS,A0427,HC ALS1-EMERGENCY,2875.0,546.25,19.85,2875.0,320 HCPCS,A0428,HC AMBULANCE,1449.0,275.31,14.49,1449.0,320 HCPCS,A0429,HC BLS - EMERGENCY,1725.0,327.75,17.25,1725.0,320 HCPCS,A0433,HC ALS 2,4025.0,764.75,19.85,4025.0,320 HCPCS,A0434,HC SCT,2875.0,546.25,19.85,2913.35,320 HCPCS,A0998,HC AMBULANCE RESPONSE/TREATMENT,1725.0,327.75,17.25,1725.0,236 HCPCS,A4216,"STERILE WATER/SALINE, 10 ML",63.0,11.97,0.63,63.0,445 HCPCS,A4300,HC IMPL EXT ACCESS CATH,,,311.283347,3419.73255,212 HCPCS,A4338,HC INDWELLING CATHETER FOLEY TYPE,,,25.138118,276.16524,212 HCPCS,A4340,HC INDWELLING CATHETER SPECIAL TYPE,,,53.394556,586.58808,212 HCPCS,A4346,HC CATH INDW FOLEY 3 WAY,,,15.70266,172.5081,212 HCPCS,A4351,HC INTERM URINARY CATH EA,,,30.455038,334.576471,212 HCPCS,A4357,"HC BEDSIDE DRAINAGE BAG, DAY OR NIGHT, WITH OR WITHOUT ANTI-REFLUX DEVICE, WITH OR WITHOUT TUBE, EACH",,,15.88389,123.894342,108 HCPCS,A4641,HC AXUMIN,46819.21,8895.6499,468.1921,46819.21,212 HCPCS,A4641,HC DATSCAN 5MILLICURES INJ,23794.16,4520.8904,237.9416,23794.16,212 HCPCS,A4641,HC GALLIUM 68-DOTATATE INJECTION,46867.28,8904.7832,468.6728,46867.28,212 HCPCS,A4641,HC VIZAMYL PER DOSE,35150.46,6678.5874,351.5046,35150.46,212 HCPCS,A4642,HC IN111 SATUMOMAB,33826.03,6426.9457,338.2603,33826.03,212 HCPCS,A4648,"HC TISSUE MARKER, IMPLANTABLE",,,34.046345,374.030265,212 HCPCS,A6196,HC ALGINATE DRESSING <=16 SQ IN,,,31.452058,245.326052,108 HCPCS,A6209,HC FOAM DRSG <=16 SQ IN W/O BDR,,,0.006263,0.048851,108 HCPCS,A6237,HC HYDROCOLLD DRG <=16 IN W/BDR,90.56,17.2064,,,0 HCPCS,A6261,HC WOUND FILLER GEL/PASTE /OZ,,,65.3796,509.96088,108 HCPCS,A7040,HC ONE WAY CHEST DRAIN VALVE,,,58.728623,645.187686,212 HCPCS,A7520,HC TRACH/LARYN TUBE NON-CUFFED,,,799.4174,8782.332,212 HCPCS,A7521,HC TRACH/LARYN TUBE CUFFED,,,95.253288,1046.444571,212 HCPCS,A9270,HC NON-COVERED ITEM OR SERVICE,130.51,24.7969,1.3051,130.51,212 HCPCS,A9272,"HC DISP WOUND SUCT, DRSG/ACCESS",,,410.718,3203.6004,108 HCPCS,A9500,TC99M SESTAMIBI,945.0,179.55,9.45,945.0,432 HCPCS,A9502,TC99M TETROFOSMIN,548.1,104.139,5.481,548.1,421 HCPCS,A9503,TC99M MEDRONATE,494.046,93.86874,4.94046,494.046,432 HCPCS,A9505,TL201 THALLIUM,862.596,163.89324,8.62596,862.596,432 HCPCS,A9507,HC IN111 CAPROMAB,30187.33,5735.5927,301.8733,30187.33,223 HCPCS,A9508,"HC I131 IODOBENGUATE, DX",18025.88,3424.9172,180.2588,18025.88,212 HCPCS,A9509,IODINE I-123 SOD IODIDE MIL,6696.018,1272.24342,66.96018,6696.018,421 HCPCS,A9510,HC TC99M DISOFENIN,396.57,75.3483,3.9657,396.57,212 HCPCS,A9512,TC99M PERTECHNETATE,340.2,64.638,3.402,340.2,432 HCPCS,A9513,LUTETIUM LU 177 DOTATAT THER,473457.6,89956.944,251.75,473457.6,505 HCPCS,A9516,IODINE I-123 SOD IODIDE MIC,780.57,148.3083,7.8057,780.57,432 HCPCS,A9517,"HC I131 IODIDE CAP, RX",198.45,37.7055,1.9845,1205.23,370 HCPCS,A9517,"I131 IODIDE CAP, RX",59535.0,11311.65,23.13,59535.0,579 HCPCS,A9520,HC TECHNETIUM TC99M 0.5MCI,3759.65,714.3335,37.5965,3759.65,212 HCPCS,A9520,TC99 TILMANOCEPT DIAG 0.5MCI,3759.651,714.33369,37.59651,3759.651,421 HCPCS,A9521,TC99M EXAMETAZIME,20278.566,3852.92754,202.78566,20278.566,504 HCPCS,A9524,"I131 SERUM ALBUMIN, DX",4473.0,849.87,44.73,4473.0,432 HCPCS,A9526,NITROGEN N-13 AMMONIA,17640.0,3351.6,176.4,17640.0,421 HCPCS,A9528,"IODINE I-131 IODIDE CAP, DX",837.9,159.201,8.379,837.9,421 HCPCS,A9529,"HC I131 IODIDE SOL, DX",721.04,136.9976,7.2104,721.04,212 HCPCS,A9530,"HC I131 IODIDE SOL, RX",961.38,182.6622,9.6138,1205.23,370 HCPCS,A9537,TC99M MEBROFENIN,420.21,79.8399,4.2021,420.21,432 HCPCS,A9538,TC99M PYROPHOSPHATE,967.05,183.7395,9.6705,967.05,432 HCPCS,A9539,TC99M PENTETATE,5541.953,1052.97107,33.84,5541.953,421 HCPCS,A9540,TC99M MAA,2413.026,458.47494,18.0,2413.026,421 HCPCS,A9541,TC99M SULFUR COLLOID,6446.853,1224.90207,64.46853,6446.853,432 HCPCS,A9543,"HC Y90 IBRITUMOMAB, RX",563122.2,106993.218,5631.222,563122.2,296 HCPCS,A9547,IN111 OXYQUINOLINE,61015.5,11592.945,610.155,61015.5,515 HCPCS,A9548,IN111 PENTETATE,35842.087,6809.99653,358.42087,35842.087,515 HCPCS,A9550,HC NM TC99M GLUCEPTATE =< 25 MCI,474.68,90.1892,4.7468,474.68,212 HCPCS,A9551,HC TC99M SUCCIMER,138198.38,26257.6922,647.38,138198.38,212 HCPCS,A9552,F18 FDG,1877.4,356.706,18.774,1877.4,432 HCPCS,A9555,RB82 RUBIDIUM,18065.376,3432.42144,180.65376,18065.376,421 HCPCS,A9556,GA67 GALLIUM,7432.74,1412.2206,74.3274,7432.74,421 HCPCS,A9557,TC99M BICISATE,34038.9,6467.391,340.389,34038.9,504 HCPCS,A9558,XE133 XENON 10MCI,2584.071,490.97349,25.84071,2584.071,432 HCPCS,A9560,TC99M LABELED RBC,1039.5,197.505,10.395,1039.5,432 HCPCS,A9561,TC99M OXIDRONATE,17.015,3.23285,0.17015,56.16,432 HCPCS,A9562,TC99M MERTIATIDE,4953.312,941.12928,49.53312,4953.312,421 HCPCS,A9563,HC P32 NA PHOSPHATE,680.65,129.3235,6.8065,1205.23,370 HCPCS,A9567,TECHNETIUM TC-99M AEROSOL,3425.625,650.86875,34.25625,3425.625,421 HCPCS,A9568,HC TECHNETIUM TC99M ARCITUMOMAB,2884.14,547.9866,28.8414,2884.14,295 HCPCS,A9569,TECHNETIUM TC-99M AUTO WBC,25779.6,4898.124,257.796,25779.6,504 HCPCS,A9570,INDIUM IN-111 AUTO WBC,41328.0,7852.32,413.28,41328.0,504 HCPCS,A9572,INDIUM IN-111 PENTETREOTIDE,77568.624,14738.03856,775.68624,77568.624,504 HCPCS,A9573,"INJ, GADOPICLENOL, 1 ML",54.14472,10.287497,0.541447,54.14472,421 HCPCS,A9575,INJ GADOTERATE MEGLUMI 0.1ML,1.3267799999999998,0.2520885,0.008845,1.76904,422 HCPCS,A9577,INJ MULTIHANCE,20.684160000000002,3.9299905,0.137894,27.57888,421 HCPCS,A9579,"GAD-BASE MR CONTRAST NOS,1ML",16.82856,3.1974264999999997,0.11219,22.43808,422 HCPCS,A9580,SODIUM FLUORIDE F-18,3402.0,646.38,34.02,3402.0,421 HCPCS,A9581,GADOXETATE DISODIUM INJ,166.70934,31.674774499999998,1.111396,222.27912,422 HCPCS,A9582,IODINE I-123 IOBENGUANE,214987.5,40847.625,2074.81,214987.5,504 HCPCS,A9584,IODINE I-123 IOFLUPANE,31210.956,5930.08164,312.10956,31210.956,504 HCPCS,A9585,GADOBUTROL INJECTION,3.15252,0.5989785,0.021017,4.20336,422 HCPCS,A9586,FLORBETAPIR F18,38163.435,7251.05265,381.63435,38163.435,504 HCPCS,A9587,GALLIUM GA-68,44096.724,8378.37756,51.09,44096.724,504 HCPCS,A9587,HC GALLIUM GA-68,816.66,155.1654,8.1666,6487.0,295 HCPCS,A9588,FLUCICLOVINE F-18,53512.2,10167.318,268.42,53512.2,504 HCPCS,A9588,HC FLUCICLOVINE F-18,5351.22,1016.7318,53.5122,5351.22,295 HCPCS,A9589,INSTI HEXAMINOLEVULINATE HCL,15634.5714,2970.568566,104.230476,20846.0952,421 HCPCS,A9590,IODINE I-131 IOBENGUANE 1MCI,285961.28,54332.6432,311.06,285961.28,421 HCPCS,A9592,COPPER CU 64 DOTATATE DIAG,45423.0,8630.37,454.23,45423.0,504 HCPCS,A9594,"HC GALLIUM GA-68 PSMA-11, UCLA,1 MILLICURIE",9041.07,1717.8033,90.4107,9041.07,295 HCPCS,A9595,"PIFLU F-18, DIA 1 MILLICURIE",57960.0,11012.4,332.44,57960.0,504 HCPCS,A9600,HC METASTRON-SR89 INJ,61142.2,11617.018,611.422,61142.2,370 HCPCS,A9604,HC SM 153 LEXIDRONAM =< 150 MCI,145107.21,27570.3699,1437.64,145107.21,370 HCPCS,A9606,RADIUM RA223 DICHLORIDE THER,474635.7,90180.783,145.25,474635.7,579 HCPCS,A9607,LUTETIUM LU 177 VIPIVOTIDE,345664.5,65676.255,218.88,345664.5,504 HCPCS,A9608,FLOTUFOLASTAT F18 DIAG 1 MCI,49148.064,9338.13216,491.48064,49148.064,509 HCPCS,A9611,"FLURPIRIDAZ F18, DIAG, 1 MCI",75600.0,14364.0,609.3995,75600.0,552 HCPCS,A9697,HC INJ MAGTRACE PER STUDY DOSE,,,649.67485,7137.273,212 HCPCS,A9699,HC CLIVATUZUMAB Y90,1.0,0.19,0.01,186.08,285 HCPCS,B4088,HC GASTRO/JEJUNO TUBE LOW-PRO,,,1.0,3010.2556,237 HCPCS,B4187,"OMEGAVEN, 10 GRAMS LIPIDS",1354.5,257.355,13.545,1354.5,445 HCPCS,C1052,"HC HEMOSTATIC AGENT, GI, TOPIC",,,1546.750417,16992.469371,212 HCPCS,C1062,HC INTRAVERTEBRAL FX AUG IMPL,,,4121.182655,45274.964378,212 HCPCS,C1603,"HC RET DEV, LASER, IVC FILTER",,,3416.99215,37538.787,212 HCPCS,C1604,"HC GRFT, TRNSMURL/TRNSVENS BYPS",,,9789.471842,107546.310378,212 HCPCS,C1713,"HC ANCHOR/SCREW BN/BN,TIS/BN",,,379.841456,4172.906134,212 HCPCS,C1714,"HC CATH, TRANS ATHERECTOMY, DIR",,,3302.68518,36283.020293,212 HCPCS,C1715,HC BRACHYTHERAPY NEEDLE,,,226.94014,2493.1452,212 HCPCS,C1717,HC HDR NUCLETRON IRID 192 NON STN,2000.0,380.0,142.0,1560.0,212 HCPCS,C1721,"HC AICD, DUAL CHAMBER",,,13656.460565,150028.7217,212 HCPCS,C1722,"HC AICD, SINGLE CHAMBER",,,14056.177119,154419.973988,212 HCPCS,C1724,"HC CATH, TRANS ATHEREC,ROTATION",,,3116.820966,34241.131737,212 HCPCS,C1725,"HC CATH, TRANSLUMIN NON-LASER",,,365.914318,4019.903779,212 HCPCS,C1726,"HC CATH, BAL DIL, NON-VASCULAR",,,353.517015,3883.708049,212 HCPCS,C1727,"HC CATH, BAL TIS DIS, NON-VAS",,,411.63599,4522.1982,212 HCPCS,C1729,"HC CATH, DRAINAGE",,,96.408593,1059.136659,212 HCPCS,C1730,HC CATH EP 19 OR FEW ELECTRODES,,,598.075269,6570.404365,212 HCPCS,C1731,"HC CATH, EP, 20 OR MORE ELEC",,,1209.08953,13282.9554,212 HCPCS,C1732,"HC CATH, EP, DIAG/ABL, 3D/VECT",,,2443.749287,26846.823149,212 HCPCS,C1733,"HC CATH, EP, OTHR THAN COOL-TIP",,,8385.676927,92124.338066,212 HCPCS,C1734,"HC ORTH/DEVIC/DRUG BN/BN,TIS/BN",,,1051.183873,11548.2172,212 HCPCS,C1747,"HC ENDO, SINGLE, URINARY TRACT",,,2629.922078,28892.101704,212 HCPCS,C1750,"HC CATH, HEMODIALYSIS,LONG-TERM",,,393.218491,4319.86511,212 HCPCS,C1751,"HC CATH, INF, PER/CENT/MIDLINE",,,330.109674,3626.556986,212 HCPCS,C1752,"HC CATH,HEMODIALYSIS,SHORT-TERM",,,184.586865,2027.8557,212 HCPCS,C1753,"HC CATH, INTRAVAS ULTRASOUND",,,873.392613,9595.017436,212 HCPCS,C1755,"HC CATHETER, INTRASPINAL",,,1036.50415,11386.947,212 HCPCS,C1757,"HC CATH, THROMBECTOMY/EMBOLECT",,,3066.721914,33690.747786,212 HCPCS,C1758,"HC CATHETER, URETERAL",,,26.199903,287.829924,212 HCPCS,C1759,"HC CATH, INTRA ECHOCARDIOGRAPHY",,,2934.025682,32232.958192,212 HCPCS,C1760,"HC CLOSURE DEV, VASC",,,278.606744,3060.750145,212 HCPCS,C1761,"HC CATHETER, TRANSLUMINAL INTRAVASCULAR LITHOTRIPSY, CORONARY",,,4661.789,51214.02,212 HCPCS,C1762,"HC CONN TISS, HUMAN(INC FASCIA)",,,3182.81143,34966.0974,212 HCPCS,C1763,"HC CONN TISS, NON-HUMAN",,,482.700231,5302.90395,212 HCPCS,C1764,HC EVENT RECORDER CARDIAC,,,4654.061641,51129.127884,212 HCPCS,C1765,HC ADHESION BARRIER,,,372.34814,4090.5852,212 HCPCS,C1766,"HC INTRO/SHEATH,STRBLE,NON-PEEL",,,1220.554728,13408.911092,212 HCPCS,C1767,"HC GENERATOR, NEURO NON-RECHARG",,,18545.88018,203743.4724,212 HCPCS,C1768,"HC GRAFT, VASCULAR",,,2571.040508,28245.233749,212 HCPCS,C1769,HC GUIDE WIRE,,,140.044981,1538.522328,212 HCPCS,C1771,"HC REP DEV, URINARY, W/SLING",,,1377.030156,15127.93692,212 HCPCS,C1772,"HC INFUSION PUMP, PROGRAMMABLE",,,10685.21742,117386.8956,212 HCPCS,C1773,"HC RET DEV, INSERTABLE",,,285.001995,3131.007835,212 HCPCS,C1776,HC JOINT DEVICE (IMPLANTABLE),,,1885.760282,20716.803099,212 HCPCS,C1777,"HC LEAD, AICD, ENDO SINGLE COIL",,,3767.101611,41385.05995,212 HCPCS,C1778,"HC LEAD, NEUROSTIMULATOR",,,4287.668034,47103.958688,212 HCPCS,C1779,"HC LEAD, PMKR, TRANSVENOUS VDD",,,423.52849,4652.8482,212 HCPCS,C1780,"HC LENS, INTRAOCULAR (NEW TECH)",,,454.607083,4994.275,212 HCPCS,C1781,HC MESH (IMPLANTABLE),,,673.308575,7396.911108,212 HCPCS,C1782,HC MORCELLATOR,,,1525.246476,16756.228887,212 HCPCS,C1783,HC OCULAR IMP AQUEOUS DRAIN,,,2287.049628,25125.333942,212 HCPCS,C1785,"HC PMKR, DUAL, RATE-RESP",,,4705.48034,51694.009371,212 HCPCS,C1786,"HC PMKR, SINGLE, RATE-RESP",,,6326.408195,69501.3858,212 HCPCS,C1787,"HC PATIENT PROGR, NEUROSTIM",,,2673.858,17744.694,201 HCPCS,C1788,"HC PORT, INDWELLING, IMP",,,378.646623,4159.7798,212 HCPCS,C1789,"HC PROSTHESIS, BREAST, IMP",,,1314.22775,14437.995,212 HCPCS,C1813,"HC PROSTHESIS, PENILE, INFLATAB",,,4195.653268,46093.09224,212 HCPCS,C1814,"HC RETINAL TAMP, SILICONE OIL",,,402.629789,4423.256838,212 HCPCS,C1815,"HC PROS, URINARY SPH, IMP",,,7328.409933,80509.292217,212 HCPCS,C1815,"PROS, URINARY SPH, IMP",,,5899.0,25798.0,36 HCPCS,C1816,HC IMPL NEUROSTIM RECEIVER/TRANSMITTER,,,5560.111767,61082.918,212 HCPCS,C1817,HC SEPTAL DEFECT IMP SYS,,,7185.586717,78940.248441,212 HCPCS,C1819,HC TISSUE LOCALIZATION EXCISION,,,3999.21984,43935.0912,212 HCPCS,C1820,HC GENERATOR NEURO RECHG BAT SY,,,12661.445265,139097.5677,212 HCPCS,C1821,HC INTERSPINOUS IMPLANT,,,4500.610125,49443.3225,212 HCPCS,C1822,"HC GEN, NEURO, NON-HF RECHG BAT",,,26158.064062,287370.28125,212 HCPCS,C1823,"HC GEN, NEURO, TRANS SEN/STIM",,,12643.325,138898.5,212 HCPCS,C1824,"HC GENERATOR, CCM, IMPLANT",,,19649.25,215865.0,212 HCPCS,C1825,"HC GEN, NEURO, CAROT SINUS BARO",,,27508.95,302211.0,212 HCPCS,C1832,HC AUTOGRAFT SUSPENSION,,,6819.10625,74914.125,212 HCPCS,C1874,"HC STENT, COATED/COV W/DEL SYS",,,1380.243012,15163.233091,212 HCPCS,C1875,"HC STENT, COATED/COV W/O DEL SY",,,2579.71096,28340.4866,212 HCPCS,C1876,"HC STENT, NON-COA/NON-COV W/DEL",,,2012.538484,22109.577713,212 HCPCS,C1877,"HC STENT, NON-COAT/COV W/O DEL",,,1437.419893,15791.373475,212 HCPCS,C1878,HC IMPL SYNTH VOCAL CORD,,,337.693586,3709.8732,212 HCPCS,C1880,HC VENA CAVA FILTER,,,1423.320734,15636.4813,212 HCPCS,C1882,"HC AICD, OTHER THAN SING/DUAL",,,15266.025392,167711.264871,212 HCPCS,C1883,"HC ADAPT/EXT, PACING/NEURO LEAD",,,1072.676747,11784.336096,212 HCPCS,C1884,HC EMBOLIZATION PROTECT SYST,,,2721.195345,29894.8221,212 HCPCS,C1885,"HC CATH, TRANSLUMIN ANGIO LASER",,,3092.38015,33972.627,212 HCPCS,C1886,"HC CATHETER, ABLATION",,,2018.124827,22170.9488,212 HCPCS,C1887,"HC CATHETER, GUIDING",,,189.916564,2086.407326,212 HCPCS,C1888,HC NON-CARDIAC ENDOVASC CATH,,,3485.752104,38294.178047,212 HCPCS,C1889,"IMPLANT/INSERT DEVICE, NOC",,,6487.0,29239.876,207 HCPCS,C1892,"HC INTRO/SHEATH,FIXED,PEEL-AWAY",,,71.012571,780.138106,212 HCPCS,C1893,"HC INTRO/SHEATH, FIXED,NON-PEEL",,,455.26833,5001.5394,212 HCPCS,C1894,"HC INTRO/SHEATH, NON-LASER",,,68.6646,754.343489,212 HCPCS,C1895,"HC LEAD, AICD, ENDO DUAL COIL",,,3785.420551,41586.310283,212 HCPCS,C1896,"HC LEAD, AICD, NON SING/DUAL",,,3967.48,43586.4,212 HCPCS,C1897,"HC LEAD, NEUROSTIM TEST KIT",,,1237.85376,13598.9568,212 HCPCS,C1898,"HC LEAD, PMKR, OTHER THAN TRANS",,,502.41588,5519.4984,212 HCPCS,C1900,"HC LEAD, CORONARY VENOUS",,,3475.953311,38186.529333,212 HCPCS,C1982,"HC CATH, PRESSURE,VALVE-OCCLU",,,4905.755296,53894.213116,212 HCPCS,C2596,"HC PROBE, ROBOTIC, WATER-JET",,,3491.3824,38356.032,212 HCPCS,C2616,HC BRACHYTX NON-STR YTTRIUM-90,178500.0,33915.0,12673.5,139230.0,212 HCPCS,C2617,"HC STENT, NON-COR, TEM W/O DEL",,,183.403912,2014.859874,212 HCPCS,C2618,HC PROBE CRYOABLATION,,,5852.033,64289.94,212 HCPCS,C2621,"HC PMKR, OTHER THAN SING/DUAL",,,7965.955937,87513.31875,212 HCPCS,C2622,"HC PROSTHESIS, PENILE, NON-INF",,,4190.154815,46032.6867,212 HCPCS,C2623,HC TRANS ANGIOPLASTY CATH,,,1897.874045,20849.883872,212 HCPCS,C2624,HC WIRELESS PRESSURE SENSOR,,,15562.57875,170969.175,212 HCPCS,C2625,"HC STENT, NON-COR, TEM W/DEL SY",,,243.944982,2679.958956,212 HCPCS,C2625,"STENT, NON-COR, TEM W/DEL SY",,,5899.0,25798.0,58 HCPCS,C2627,"HC CATH, SUPRAPUBIC/CYSTOSCOPIC",,,131.350237,1443.0026,212 HCPCS,C2628,HC CATH OCCLUSION,,,1273.980849,13995.845951,212 HCPCS,C2629,HC INTRO/SHEATH LASER,,,2052.01438,22543.256564,212 HCPCS,C2630,HC CATH EP COOL-TIP,,,3551.88647,39020.7246,212 HCPCS,C2631,"HC REP DEV, URINARY, W/O SLING",,,702.197468,7714.282039,212 HCPCS,C2639,"HC BRACHYTX, NON-STRANDED,I-125",,,288.336609,3167.64162,212 HCPCS,C2641,"HC BRACHYTX, NON-STRANDED,P-103",,,35.70732,392.2776,212 HCPCS,C2645,"HC BRACHYTX PLANAR, P-103",,,27414.52,301173.6,212 HCPCS,C5271,HC LOW COST SKIN SUB TRNK/ARM/LEG < 100 SQ CM,7040.51,1337.6969,70.4051,25798.0,400 HCPCS,C5272,HC LOW COST SKIN SUB T/A/L < 100 SQ CM ADD-ON,422.21,80.2199,4.2221,25798.0,317 HCPCS,C5273,HC LOW COST SKIN SUB TRNK/ARM/LEG > 100 SQ CM,3670.63,697.4197,36.7063,25798.0,400 HCPCS,C5274,HC LOW COST SKIN SUB T/A/L > 100 SQ CM ADD-ON,985.14,187.1766,9.8514,25798.0,311 HCPCS,C5275,HC LOW COST SKIN SUB FACE/NK/HF/G < 100 SQ CM,2112.29,401.3351,21.1229,25798.0,400 HCPCS,C5275,LOW COST SKIN SUBSTITUTE APP,,,283.29,25798.0,322 HCPCS,C5276,HC LOW COST SKIN SUB F/N/HF/G < 100 SQ CM ADD-ON,562.94,106.9586,5.6294,25798.0,311 HCPCS,C5276,LOW COST SKIN SUBSTITUTE APP,,,376.0,25798.0,233 HCPCS,C5277,HC LOW COST SKIN SUB FACE/NK/HF/G > 100 SQ CM,3198.85,607.7815,31.9885,25798.0,400 HCPCS,C5278,HC LOW COST SKIN SUB F/N/HF/G > 100 SQ CM ADD-ON,1267.88,240.8972,12.6788,25798.0,311 HCPCS,C7535,FEM/POP REVASC W/STENT & US,,,3131.0,37761.3,192 HCPCS,C7554,CYSTURETH BLU LI CYST FL IMG,,,1983.7,37761.3,192 HCPCS,C8005,PEF BRONCH ABLT 3D NAV EBUS,,,4437.97,25798.0,169 HCPCS,C8900,HC MRA ABD W/CONT,4509.26,856.7594,0.05,4509.26,374 HCPCS,C8901,HC MRA ABD WO CONTRAST,3368.82,640.0758,0.05,3368.82,374 HCPCS,C8902,HC MRA ABD W/O FOL W/CONT,5433.39,1032.3441,0.05,5433.39,374 HCPCS,C8903,"HC MRI BREAST, UNI W/CONT",6300.0,1197.0,0.05,6300.0,374 HCPCS,C8905,"HC MRI BREAST, UN W/O FOL W/CONT",7922.44,1505.2636,0.05,7922.44,374 HCPCS,C8906,"HC MRI BREAST, BI W/CONT",8400.0,1596.0,0.05,8400.0,374 HCPCS,C8908,"HC MRI BREAST, BI W/O FOL W/CONT",11861.4,2253.666,0.05,11861.4,374 HCPCS,C8909,HC MRA CHEST W CONTRAST,942.39,179.0541,0.05,1249.1,374 HCPCS,C8910,HC MRA CHEST WO CONTR,4115.03,781.8557,0.05,4115.03,374 HCPCS,C8911,HC MRA CHEST W/O FOL W/CONT,6637.82,1261.1858,0.05,6637.82,374 HCPCS,C8912,HC MRA LWR EXT W/CONT,5442.34,1034.0446,0.05,5442.34,374 HCPCS,C8913,HC MRA LWR EXT WO CONTR,4065.12,772.3728,0.05,4065.12,374 HCPCS,C8914,HC MRA LWR EXT W/O FOL W/CONT,6557.18,1245.8642,0.05,6557.18,374 HCPCS,C8918,HC MRA PELVIS W/CONT,5552.0,1054.88,0.05,5552.0,349 HCPCS,C8919,HC MRA PELVIS WO CONTR,2689.17,510.9423,0.05,2689.17,374 HCPCS,C8920,HC MRA PELVIS W/O FOL W/CONT,6468.87,1229.0853,0.05,6468.87,374 HCPCS,C8921,HC TTE W OR W/O FOL W/CONT COM,2576.3,489.497,25.763,2576.3,369 HCPCS,C8922,HC TTE W OR W/O FOL W/CONT F/U,1987.69,377.6611,19.8769,1987.69,369 HCPCS,C8923,HC 2D TTE W OR W/O FOL W/CON CO,2576.3,489.497,25.763,2576.3,369 HCPCS,C8924,HC 2D TTE W OR W/O FOL W/CON FU,911.32,173.1508,9.1132,1004.38,369 HCPCS,C8925,HC 2D TEE W OR W/O FOL W/CON IN,4219.99,801.7981,42.1999,4219.99,369 HCPCS,C8928,HC TTE W OR W/O FOL W/CON STRES,2576.3,489.497,25.763,2576.3,369 HCPCS,C8929,"HC TTE W OR WO FOL WCON,DOPPLER",3309.95,628.8905,33.0995,3309.95,369 HCPCS,C8930,HC TTE W OR W/O CONTR CONT ECG,2576.3,489.497,25.763,2576.3,369 HCPCS,C8933,HC MRA SPINE W/O&W/DYE,3343.8,635.322,0.05,3343.8,349 HCPCS,C8934,HC MRA UPPER EXTR W/DYE,4540.55,862.7045,0.05,4540.55,374 HCPCS,C8935,HC MRA UPPER EXTR W/O DYE,2700.0,513.0,0.05,2700.0,374 HCPCS,C8936,HC MRA UPPER EXTR W/O&W/DYE,3584.01,680.9619,0.05,3584.01,374 HCPCS,C8937,HC CAD BREAST MRI,1.0,0.19,0.01,2305.5,236 HCPCS,C8957,"HC PROLONG IV INFUSION, REQ PUMP",798.68,151.7492,7.9868,3163.0,369 HCPCS,C9046,COCAINE HCL NASAL (GOPRELTO),18.6921,3.551499,0.186921,18.6921,422 HCPCS,C9047,"INJECTION, CAPLACIZUMAB-YHDP",93662.60085,17795.894162,683.55,93662.60085,421 HCPCS,C9062,DARATUMUMAB HYALURONIDASE,776.842829,147.600138,43.34,7484.8725,515 HCPCS,C9145,"INJ, APONVIE, 1 MG",23.435546,4.452754,0.234355,1867.0,564 HCPCS,C9174,"DATOPOTAMAB DERUXTECAN, 1 MG",634.7628,120.604932,63.47628,634.7628,485 HCPCS,C9248,"INJ, CLEVIDIPINE BUTYRATE",35.28,6.7032,0.3528,345.090682,578 HCPCS,C9250,ARTISS FIBRIN SEALANT,1694.7,321.993,16.947,3295.234049,578 HCPCS,C9254,"INJECTION, LACOSAMIDE",2.34612,0.445763,0.023461,208.465227,495 HCPCS,C9257,BEVACIZUMAB INJECTION,23.058,4.38102,0.23058,23.058,509 HCPCS,C9285,"PATCH, LIDOCAINE/TETRACAINE",170.0496,32.309424,1.700496,208.465227,501 HCPCS,C9293,"INJECTION, GLUCARPIDASE",5187.924,985.70556,51.87924,5187.924,422 HCPCS,C9352,"HC NEURAGEN NERVE GUIDE, PER CM",,,2597.408616,28534.911561,212 HCPCS,C9353,"HC NEURAWRAP NERVE PROTECTOR,CM",,,1842.256829,20238.877843,212 HCPCS,C9358,HC SURGIMEND FETAL PER 0.5 SQ CM,,,7756.4234,85211.412,212 HCPCS,C9360,HC SURGIMEND NEONATAL PER 0.5 SQ CM,,,14978.263731,164549.93958,212 HCPCS,C9361,HC NEUROMEND NERVE WRAP,,,1521.363268,16713.5683,212 HCPCS,C9364,"HC PORCINE IMPLANT, PERMACOL",,,3182.81143,34966.0974,212 HCPCS,C9399,UNCLASSIFIED DRUGS OR BIOLOG,23691.200833,4501.328158,92.651212,23691.200833,282 HCPCS,C9460,"INJECTION, CANGRELOR",237.132,45.05508,2.37132,1138.399773,578 HCPCS,C9482,SOTALOL HYDROCHLORIDE IV,287.028,54.53532,2.87028,345.090682,584 HCPCS,C9488,CONIVAPTAN HCL,595.224,113.09256,5.95224,1138.399773,501 HCPCS,C9600,HC PERC DRUG-EL COR STENT SING,48101.61,9139.3059,481.0161,64677.0,400 HCPCS,C9600,PERC DRUG-EL COR STENT SING,,,3225.67,64677.0,319 HCPCS,C9601,HC PERC DRUG-EL COR STENT BRAN,27027.42,5135.2098,270.2742,64677.0,317 HCPCS,C9601,PERC DRUG-EL COR STENT BRAN,,,376.0,64677.0,239 HCPCS,C9602,HC PERC D-E COR STENT ATHER S,48101.61,9139.3059,481.0161,64677.0,400 HCPCS,C9602,PERC D-E COR STENT ATHER S,,,3225.67,64677.0,319 HCPCS,C9603,HC PERC D-E COR STENT ATHER BR,27027.42,5135.2098,270.2742,64677.0,312 HCPCS,C9604,HC PERC D-E COR REVASC T CABG S,27027.42,5135.2098,270.2742,64677.0,395 HCPCS,C9604,PERC D-E COR REVASC T CABG S,,,3225.67,64677.0,314 HCPCS,C9605,HC PERC D-E COR REVASC T CABG B,27027.42,5135.2098,270.2742,64677.0,312 HCPCS,C9606,HC PERC D-E COR REVASC W AMI S,27027.42,5135.2098,270.2742,64677.0,312 HCPCS,C9606,PERC D-E COR REVASC W AMI S,,,3225.67,64677.0,231 HCPCS,C9607,HC PERC D-E COR REVASC CHRO SIN,27027.42,5135.2098,270.2742,64677.0,395 HCPCS,C9607,PERC D-E COR REVASC CHRO SIN,,,3225.67,64677.0,314 HCPCS,C9608,HC PERC D-E COR REVASC CHRO ADD,27027.42,5135.2098,270.2742,64677.0,312 HCPCS,C9610,HC CATH CORONARY DRUG-DELIVERY,,,5604.0655,61565.79,212 HCPCS,C9728,HC PLACE DEVICE/MARKER NON PRO,2705.84,514.1096,27.0584,25798.0,376 HCPCS,C9733,NON-OPHTHALMIC FVA,,,414.14,25798.0,256 HCPCS,C9738,BLUE LIGHT CYSTO IMAG AGENT,,,1983.7,25798.0,230 HCPCS,C9738,HC BLUE LIGHT CYSTO IMAG AGENT,2035.62,386.7678,20.3562,25798.0,311 HCPCS,C9739,CYSTOSCOPY PROSTATIC IMP 1-3,,,2136.0,25798.0,322 HCPCS,C9740,CYSTO IMPL 4 OR MORE,,,3131.0,26158.0,322 HCPCS,C9756,FLUORESCENCE LYMPH MAP W/ICG,,,2900.0,25798.0,156 HCPCS,C9757,SPINE DEVICE IMPLANT SURGERY,,,3131.0,30450.62,316 HCPCS,C9761,"CYSTO, LITHO, VACUUM KIDNEY",,,1775.02,25798.0,294 HCPCS,C9762,HC CARDIAC MRI SEG DYS STRAIN,1750.29,332.5551,17.5029,6487.0,393 HCPCS,C9763,HC CARDIAC MRI SEG DYS STRESS,1750.29,332.5551,17.5029,2305.5,393 HCPCS,C9764,HC REVASC INTRAVASC LITHOTRIPSY,18004.98,3420.9462,180.0498,26838.59,394 HCPCS,C9764,REVASC INTRAVASC LITHOTRIPSY,,,2685.37,26838.59,316 HCPCS,C9765,HC REVASC INTRA LITHOTRIP-STENT,36012.36,6842.3484,360.1236,42496.37,400 HCPCS,C9765,REVASC INTRA LITHOTRIP-STENT,,,3131.0,42496.37,322 HCPCS,C9766,HC REVASC INTRA LITHOTRIP-ATHER,36012.36,6842.3484,360.1236,42496.37,400 HCPCS,C9766,REVASC INTRA LITHOTRIP-ATHER,,,3131.0,42496.37,322 HCPCS,C9767,HC REVASC LITHOTRIP-STENT-ATHER,57933.81,11007.4239,579.3381,57933.81,394 HCPCS,C9767,REVASC LITHOTRIP-STENT-ATHER,,,3131.0,42496.37,316 HCPCS,C9772,HC REVASC LITHOTRIP TIBI/PERONE,37103.52,7049.6688,371.0352,37103.52,394 HCPCS,C9772,REVASC LITHOTRIP TIBI/PERONE,,,3131.0,26838.59,316 HCPCS,C9773,HC REVASC LITHOTR-STENT TIB/PER,59324.85,11271.7215,593.2485,59324.85,394 HCPCS,C9773,REVASC LITHOTR-STENT TIB/PER,,,3131.0,42496.37,316 HCPCS,C9774,HC REVASC LITHOTR-ATHER TIB/PER,59324.85,11271.7215,593.2485,59324.85,394 HCPCS,C9774,REVASC LITHOTR-ATHER TIB/PER,,,3131.0,42496.37,316 HCPCS,C9775,HC REVASC LITH-STEN-ATH TIB/PER,59324.85,11271.7215,593.2485,59324.85,394 HCPCS,C9776,FLUO BILE DUCT IMAGING W/ICG,,,482.41,25798.0,147 HCPCS,C9779,ESD ENDOSCOPY OR COLONOSCOPY,,,1154.06,25798.0,316 HCPCS,C9781,ARTHRO/SHOUL SURG; W/SPACER,,,3131.0,30450.62,322 HCPCS,C9785,ENDO OUTLET RESTRICT W/TUBE,,,2907.39,26158.0,322 HCPCS,C9789,HC INSTILL PHARM RENAL PELVIS,8111.4,1541.166,81.114,9153.0,399 HCPCS,D0371,SIALOENDOSCOPY CAPT & INTERP,,,102.11,25798.0,202 HCPCS,E0749,HC SURG IMPL OSTEOGEN STIMULATOR,,,7933.96813,87161.9034,212 HCPCS,E1629,HC TABLO FOR DIALYSIS SERVICE,75.0,14.25,0.75,1670.0,212 HCPCS,G0008,HC ADMIN FLU VACCINE,642.5,122.075,6.425,642.5,387 HCPCS,G0009,HC ADMIN PNEUMONIA VACCINE,642.5,122.075,6.425,6487.0,387 HCPCS,G0010,ADMIN HEPATITIS B VACCINE,,,10.0,25798.0,168 HCPCS,G0010,HC ADMIN HEPATITIS B VACCINE,642.5,122.075,6.425,25798.0,320 HCPCS,G0023,HC CHRNC CARE MGMT / PIN SUP SVC 1ST 20 OR 60 MIN PR MO,233.24,44.3156,1.0,485.11,298 HCPCS,G0024,HC CHRNC CARE MGMT / PIN SUP SVC EA ADD OR EA ADD 30 MIN PR MO,23.32,4.4308,1.0,338.69,216 HCPCS,G0101,HC CA SCRNING PELV & BRST EXAM,256.84,48.7996,27.77,286.47,320 HCPCS,G0102,HC PROSTATE CA SCREENING; DIGITAL RECTAL,67.03,12.7357,8.59,25798.0,250 HCPCS,G0102,PROSTATE CA SCREENING; DRE,,,8.59,25798.0,137 HCPCS,G0103,HC PSA SCREENING,190.82,23.17,1.9082,190.82,405 HCPCS,G0104,CA SCREEN;FLEXI SIGMOIDSCOPE,,,58.57,13453.0,339 HCPCS,G0105,COLORECTAL SCRN; HI RISK IND,,,187.52,13453.0,339 HCPCS,G0105,HC SCRN COLONOSCOPY ON HI RISK PT,1851.1,351.709,187.52,13453.0,406 HCPCS,G0108,HC DIAB MANAGE TRN PER INDIV,429.3,81.567,42.12,509.64,405 HCPCS,G0109,HC DIAB MANAGE TRN IND/GROUP,151.58,28.8002,15.64,151.58,405 HCPCS,G0121,COLON CA SCRN NOT HI RSK IND,,,188.08,13453.0,339 HCPCS,G0121,HC SCRN COLONOSCOPY PT NOT HI RISK,8124.66,1543.6854,188.08,13453.0,406 HCPCS,G0123,HC ATL SCRN CYTOPATH W RVW BY TECH,78.78,24.31,0.7878,205.88,405 HCPCS,G0124,HC SCRN PATH AUTOM THIN LAYER BY MD,41.41,7.8679,19.97,205.88,405 HCPCS,G0140,HC CHRNC CARE MGMT / PEER SUP SVC 1ST 20 OR 60 MIN PR MO,233.24,44.3156,1.0,485.11,298 HCPCS,G0146,HC CHRNC CARE MGMT / PEER SUP SVC EA ADD OR EA ADD 30 MIN PR MO,23.32,4.4308,1.0,338.69,216 HCPCS,G0148,HC CP SMEAR CERV/VAG; AUTO W M RESCRN,78.74,38.33,0.7874,205.88,405 HCPCS,G0151,HC HH SERV OF PT EA 15 MIN,,,0.05,596.0,104 HCPCS,G0151,HC HHCP-SERV OF PT EA 15 MIN,204.75,38.9025,0.05,596.0,235 HCPCS,G0152,HC HH SERV OF OT EA 15 MIN,,,0.05,596.0,104 HCPCS,G0152,HC HHCP-SERV OF OT EA 15 MIN,204.75,38.9025,0.05,596.0,235 HCPCS,G0153,HC HH SVS OF S/L PATH EA 15 MIN,,,229.94,596.0,54 HCPCS,G0153,HC HHCP-SVS OF S/L PATH EA 15 MIN,204.75,38.9025,2.0475,596.0,235 HCPCS,G0155,HC HH SVS OF CSW EA 15 MIN,,,,,0 HCPCS,G0155,HC HHCP-SVS OF CSW EA 15 MIN,166.95,31.7205,1.6695,166.95,212 HCPCS,G0156,HC HH SVS OF AIDE EA 15 MIN,,,,,0 HCPCS,G0156,HC HHCP-SVS OF AIDE EA 15 MIN,27.82,5.2858,0.2782,27.82,201 HCPCS,G0157,HC HH HHC PT ASSISTANT EA 15 MIN,,,229.94,596.0,54 HCPCS,G0158,HC HH HHC OT ASSISTANT EA 15 MIN,,,229.94,596.0,54 HCPCS,G0159,HC HH HHC PT MAINT EA 15 MIN,,,229.94,596.0,54 HCPCS,G0160,HC HH HHC OCCUP THERAPY EA 15,,,229.94,596.0,54 HCPCS,G0161,HC HH HHC SLP EA 15 MIN,,,229.94,596.0,54 HCPCS,G0162,HC HH HHC RN E&M PLAN SVS,,,1.0,1.0,2 HCPCS,G0175,"HC OPPS SERVICE,SCHED TEAM CONF",814.64,154.7816,8.1464,997.67,295 HCPCS,G0237,HC RESP MS THERAPY/15 MIN,253.17,48.1023,12.44,253.17,331 HCPCS,G0238,"HC OTH RESP PROC, INDIV",177.86,33.7934,11.03,177.86,331 HCPCS,G0239,HC RESP FUNC/STRGTH 2+ INDIVIDL,142.0,26.98,14.18,142.0,319 HCPCS,G0246,HC PT FOLLOWUP EVAL FOOT PT LOP,218.89,41.5891,19.26,524.0,320 HCPCS,G0257,HC EMERG DIALYSIS ESRD PT,1524.81,289.7139,15.2481,2313.0,369 HCPCS,G0259,HC INJECT FOR SACROILIAC JOINT,6488.99,1232.9081,64.8899,25798.0,317 HCPCS,G0259,INJECT FOR SACROILIAC JOINT,,,692.67,25798.0,236 HCPCS,G0260,HC SIJ ANESTH/STEROID INJ,6488.99,1232.9081,64.8899,25798.0,400 HCPCS,G0260,INJ FOR SACROILIAC JT ANESTH,,,692.67,25798.0,322 HCPCS,G0269,HC OCCLUSIVE DEVICE IN VEIN ART,1400.0,266.0,14.0,25798.0,237 HCPCS,G0270,HC MNT SUBS TX FOR CHANGE DX,273.31,51.9289,22.61,274.9,405 HCPCS,G0271,HC GROUP MNT 2 OR MORE 30 MINS,133.09,25.2871,9.0,150.3,405 HCPCS,G0277,"HC HBOT, FULL BODY CHAMBER, 30M",3080.0,585.2,109.0,3080.0,405 HCPCS,G0278,"HC CATH/EP ILIAC ART ANGIO,CARDIAC CATH",92.98,17.6662,13.68,11996.0,323 HCPCS,G0279,HC DIAG BREAST TOMOSYNTHESIS,136.75,25.9825,16.42,25798.0,381 HCPCS,G0279,"TOMOSYNTHESIS, MAMMO",,,16.42,25798.0,310 HCPCS,G0281,"HC WOUND CARE ELEC STIM UA, STAGE 3-4 ULCERS, GO",188.37,35.7903,11.73,1361.44,406 HCPCS,G0281,"HC WOUND CARE ELEC STIM UA, STAGE 3-4 ULCERS, GP",188.37,35.7903,11.73,1361.44,406 HCPCS,G0283,HC OT ELEC STIM OTHER THAN WOUND GO,188.37,35.7903,12.77,596.0,406 HCPCS,G0283,HC PT PTA NON WND ELECT STIM GPCQ,188.37,35.7903,12.77,596.0,406 HCPCS,G0288,HC RECONS CTA OF AORTA,1414.29,268.7151,50.36,1414.29,249 HCPCS,G0296,HC VISIT TO DETERM LDCT ELIG,302.57,57.4883,24.78,302.57,320 HCPCS,G0299,HC HH HH/HOSPICE OF RN EA 15 MIN,,,7322.0,25798.0,60 HCPCS,G0299,HC HHS/HOSPICE OF RN EA 15 MIN,217.03,41.2357,2.1703,25798.0,187 HCPCS,G0300,HC HHS/HOSPICE OF LPN EA 15 MIN,217.03,41.2357,2.1703,25798.0,187 HCPCS,G0320,HC HH TWO-WAY AUDIO AND VIDEO HHS,174.9,33.231,1.749,174.9,186 HCPCS,G0322,HC HH HOME H PHYSIO DATA COLLEC TR,174.9,33.231,1.749,635.06,266 HCPCS,G0339,HC ROBOT LIN-RADSURG FRACTX 1ST (CKNIFE),146129.0,27764.51,1461.29,146129.0,322 HCPCS,G0340,HC ROBOT LIN-RADSURG FRACTX 2-5 (CKNIFE),146129.0,27764.51,1461.29,146129.0,322 HCPCS,G0378,HC HOSPITAL OBSERVATION PER HR,,,96.23,20611.0,338 HCPCS,G0378,HC IPOP DOWNGRADE OBSERVATION HR 1,8000.0,1520.0,96.23,20611.0,405 HCPCS,G0378,HC IPOP DOWNGRADE OBSERVATION HRS 2-4,1500.0,285.0,96.23,20611.0,405 HCPCS,G0378,HC IPOP DOWNGRADE OBSERVATION HRS 5 AND UP,270.0,51.3,96.23,20611.0,405 HCPCS,G0379,HC DIRECT REFER HOSPITAL OBSERV,809.0,153.71,323.6,20611.0,327 HCPCS,G0380,HC LEV 1 HOSP TYPE B ED VISIT,2624.3,498.617,97.49,2933.0,308 HCPCS,G0381,HC LEV 2 HOSP TYPE B ED VISIT,3017.6,573.344,128.33,3373.0,308 HCPCS,G0382,HC LEV 3 HOSP TYPE B ED VISIT,4364.25,829.2075,216.38,4840.0,308 HCPCS,G0383,HC LEV 4 HOSP TYPE B ED VISIT,4985.25,947.1975,331.13,5570.0,308 HCPCS,G0384,HC LEV 5 HOSP TYPE B ED VISIT,5904.1,1121.779,468.36,6601.0,308 HCPCS,G0390,HC PRE ARRIV TRAUMA RESPONS W/ CC,7511.03,1427.0957,1565.71,7511.03,284 HCPCS,G0396,HC CHEM DEP PSYTX PT 30 MINUTES,1047.0,198.93,31.67,1047.0,404 HCPCS,G0397,HC ALCOHOL/SUBS INTERV >30 MIN,302.57,57.4883,60.97,646.86,405 HCPCS,G0402,"HC INIT PREVENTIVE EXAM, NEW BENEFICIARY",1055.99,200.6381,128.99,1218.72,320 HCPCS,G0406,HC INPT/TELE FOLLOW UP 15 MIN,47.35,8.9965,18.94,369.07,314 HCPCS,G0407,HC INPT/TELE FOLLOW UP 25 MIN,87.16,16.5604,34.864,678.42,314 HCPCS,G0408,HC INPT/TELE FOLLOW UP 35 MIN,125.24,23.7956,50.096,978.59,314 HCPCS,G0413,PELVIC RING FRACTURE UNI/BIL,,,1134.82,25798.0,336 HCPCS,G0415,OPEN TX POST PELVIC FXCTURE,,,1465.07,25798.0,231 HCPCS,G0416,"HC PROSTATE BIOPSY, ANY MTHD",3021.98,574.1762,156.97,3797.4,405 HCPCS,G0420,HC EDUCATIONAL SVCS CHRONIC KIDNEY DISEASE; INDIV; PR SESSION; PR 1 HR,236.19,44.8761,94.476,1029.62,331 HCPCS,G0421,HC EDUCATIONAL SVCS CHRONIC KIDNEY DISEASE; GROUP; PR SESSION; PR 1 HR,83.7,15.903,25.9,240.13,331 HCPCS,G0422,HC INTENS CARDIAC REHAB W/EXERC,697.4,132.506,45.07,791.07,405 HCPCS,G0423,HC INTENS CARDIAC REHAB NO EXER,734.32,139.5208,45.07,834.19,405 HCPCS,G0425,HC TELECONSULT ED OR INITIAL IP; 30 MIN,121.59,23.1021,48.636,968.54,314 HCPCS,G0426,HC TELECONSULT ED OR INITIAL IP; 50 MIN,164.73,31.2987,65.892,1311.59,314 HCPCS,G0427,HC TELECONSULT ED OR INITIAL IP; 70 MIN,244.66,46.4854,97.864,1924.32,314 HCPCS,G0438,"HC PPPS INITIAL, ANNUAL WELLNESS VISIT",1480.5,281.295,166.36,1679.99,320 HCPCS,G0439,"HC PPPS SUBSEQ, ANNUAL WELLNESS VISIT",978.22,185.8618,131.74,1111.63,320 HCPCS,G0442,"HC ANNUAL ALCOHOL MISUSE SCREENING, 5-15 MINUTES",99.06,18.8214,8.93,277.11,405 HCPCS,G0443,"HC BRIEF FACE-TO-FACE BEHAVIORAL COUNSELING FOR ALCOHOL MISUSE, 15 MINUTES",275.93,52.4267,29.91,443.41,405 HCPCS,G0444,"HC ANNUAL DEPRESSION SCREENING, 5-15 MINUTES",99.06,18.8214,8.93,277.11,405 HCPCS,G0445,HC HIGH INTENSITY BEHAV COUNSELING TO PREVENT STD; INDIVIDUAL; 30 MIN,285.45,54.2355,29.57,524.0,405 HCPCS,G0446,HC INTENS BEHAVE THER CARDIO DX,99.06,18.8214,29.91,277.11,405 HCPCS,G0447,HC BEHAVIOR COUNSELING FOR OBESITY 15 MIN,285.45,54.2355,28.23,524.0,405 HCPCS,G0453,HC CONT INTRAOP NEURO MONITOR,618.21,117.4599,29.0,25798.0,250 HCPCS,G0455,FECAL MICROBIOTA PREP INSTIL,,,71.41,25798.0,253 HCPCS,G0459,HC TELEHEALTH INPT PHARM MGMT,50.0,9.5,20.0,382.42,399 HCPCS,G0463,HC FQHC OFFSITE BILLING,265.65,50.4735,1.0,25798.0,313 HCPCS,G0463,"HC HOME DIALYSIS CATH FLUSH,RN",824.0,156.56,1.0,25798.0,313 HCPCS,G0463,"HC HOME DIALYSIS EDUCATION, RN",824.0,156.56,1.0,25798.0,313 HCPCS,G0463,HC OFFICE CONSULTATION 20 MIN,418.82,79.5758,1.0,25798.0,313 HCPCS,G0463,HC OFFICE CONSULTATION 30 MIN,502.87,95.5453,1.0,25798.0,313 HCPCS,G0463,HC OFFICE CONSULTATION 40 MIN,733.64,139.3916,1.0,25798.0,313 HCPCS,G0463,HC OFFICE CONSULTATION 55 MIN,1115.42,211.9298,1.0,25798.0,313 HCPCS,G0463,HC OFFICE O/P EST HI 40 MIN,1115.0,211.85,1.0,25798.0,313 HCPCS,G0463,HC OFFICE O/P EST LOW 20 MIN,528.15,100.3485,1.0,25798.0,313 HCPCS,G0463,HC OFFICE O/P EST MINIMAL PROB,426.3,80.997,1.0,25798.0,313 HCPCS,G0463,HC OFFICE O/P EST MOD 30 MIN,824.0,156.56,1.0,25798.0,313 HCPCS,G0463,HC OFFICE O/P EST SF 10 MIN,439.95,83.5905,1.0,25798.0,313 HCPCS,G0463,HC OFFICE O/P NEW HI 60 MIN,1298.32,246.6808,1.0,25798.0,313 HCPCS,G0463,HC OFFICE O/P NEW LOW 30 MIN,758.58,144.1302,1.0,25798.0,313 HCPCS,G0463,HC OFFICE O/P NEW MOD 45 MIN,773.3,146.927,1.0,25798.0,313 HCPCS,G0463,HC OFFICE O/P NEW SF 15 MIN,486.12,92.3628,1.0,25798.0,313 HCPCS,G0463,HC OL DIG E/M SVC,406.0,77.14,1.0,25798.0,313 HCPCS,G0463,HC PHARMACY (ONLY) - CDTM AMBULATORY SERVICES,173.25,32.9175,1.0,25798.0,313 HCPCS,G0463,HC REM MNTR PHYSIOL PARAM DEV,131.76,25.0344,1.0,25798.0,313 HCPCS,G0463,HC REM MNTR PHYSIOL PARAM SETUP,421.35,80.0565,1.0,25798.0,313 HCPCS,G0463,HC REM PHYSIOL MNTR 1ST 20 MIN,65.5,12.445,1.0,25798.0,313 HCPCS,G0463,HC URGENT CARE EST,1569.75,298.2525,1.0,25798.0,313 HCPCS,G0463,HC URGENT CARE NEW,1569.75,298.2525,1.0,25798.0,313 HCPCS,G0463,HOSPITAL OUTPT CLINIC VISIT,,,46.0,25798.0,144 HCPCS,G0466,HC HOME VISIT NEW PATIENT 15,186.87,35.5053,1.0,186.87,213 HCPCS,G0466,HC HOME VISIT NEW PATIENT 30,270.9,51.471,1.0,270.9,213 HCPCS,G0466,HC HOME VISIT NEW PATIENT 60,622.95,118.3605,1.0,622.95,213 HCPCS,G0466,HC HOME VISIT NEW PATIENT 75,757.41,143.9079,1.0,757.41,213 HCPCS,G0467,HC HOME VISIT EST PATIENT 20,188.28,35.7732,1.0,188.28,213 HCPCS,G0467,HC HOME VISIT EST PATIENT 30,286.92,54.5148,1.0,286.92,213 HCPCS,G0467,HC HOME VISIT EST PATIENT 40,439.17,83.4423,1.0,439.17,213 HCPCS,G0467,HC HOME VISIT EST PATIENT 60,610.29,115.9551,1.0,610.29,213 HCPCS,G0480,DRUG TEST DEF 1-7 CLASSES,,,15.15,25798.0,272 HCPCS,G0480,"HC DRUG TEST(S), DEFINITIVE, QUAL/QUANT 1-7",244.09,137.32,2.4409,25798.0,331 HCPCS,G0481,"HC DRUG TEST(S), DEFINITIVE, QUAL/QUANT 8-14",375.54,187.91,3.7554,399.3,331 HCPCS,G0482,"HC DRUG TEST(S), DEFINITIVE, QUAL/QUANT 15-21",1013.9,238.49,10.139,1013.9,331 HCPCS,G0483,"HC DRUG TEST(S), DEFINITIVE, QUAL/QUANT 22+",1314.36,296.3,13.1436,1314.36,331 HCPCS,G0491,HC DIALYSIS ACU KIDNEY NO ESRD,945.0,179.55,9.45,25798.0,287 HCPCS,G0493,HC HH RN CARE EA 15 MIN HH/HOSPICE,,,,,0 HCPCS,G0494,HC HH LPN CARE EA 15MIN HH/HOSPICE,,,,,0 HCPCS,G0495,HC HH RN CARE TRAIN/EDU IN HH EA 15 MIN,,,,,0 HCPCS,G0496,HC HH LPN CARE TRAIN/EDU IN HH EA 15 MIN,,,,,0 HCPCS,G0506,HC COMP ASSES CARE PLAN CCM SVC,328.16,62.3504,42.68,524.0,249 HCPCS,G0508,HC CRITICAL CARE TELEHEALTH CONSULT INIT 60 MIN,257.47,48.9193,102.988,1995.75,314 HCPCS,G0509,HC CRITICAL CARE TELEHEALTH CONSULT SUBSQ 50 MIN,236.99,45.0281,94.796,1924.4,314 HCPCS,G0511,HC CCM/BHI BY RHC/FQHC 20MIN MO,133.54,25.3726,1.3354,247.8,319 HCPCS,G0512,HC COCM BY RHC/FQHC 60 MIN MO,283.66,53.8954,2.8366,539.5,319 HCPCS,G0513,HC PROLOLONG PREV SERVICE FIRST 30 MIN ADD ON,351.92,66.8648,57.99,542.63,249 HCPCS,G0514,HC PROLOLONG PREV SERVICE ADDL 30 MIN ADD ON,175.96,33.4324,57.99,542.63,249 HCPCS,G2082,"HC ESKETAMINE O/P EST, <=56M",4146.69,787.8711,35.03,4146.69,405 HCPCS,G2083,"HC ESKETAMINE O/P EST, > 56M",6669.69,1267.2411,35.03,6669.69,405 HCPCS,G2086,HC OFFICE BASED OPIOD TX 70MIN,477.0,90.63,190.12,2911.08,331 HCPCS,G2087,HC OFFICE BASED OPIOD TX 60MIN,409.0,77.71,190.12,2836.29,331 HCPCS,G2088,HC OFFICE BASED OPIOD TX ADD 30 MIN BEYOND 1ST 120 MIN,204.0,38.76,36.38,524.0,249 HCPCS,G2211,HC COMPLEX E/M VISIT ADD ON,53.55,10.1745,15.88,524.0,325 HCPCS,G2250,"HC REMOT IMG SUB BY PT, NON E/M",31.56,5.9964,8.93,88.36,405 HCPCS,G2251,"HC BRIEF CHKIN, 5-10, NON-E/M",31.56,5.9964,12.624,126.99,405 HCPCS,G2252,"HC BRIEF CHKIN BY MD/QHP, 11-20",45.39,8.6241,16.47,243.55,405 HCPCS,G9016,HC DEMO-SMOKING CESSATION COUN 6-10 MIN,,,,,0 HCPCS,G9873,HC 1 EM CORE SESSION,79.5,15.105,0.795,216.56,236 HCPCS,G9874,HC 4 EM CORE SESSIONS,159.0,30.21,1.59,436.16,236 HCPCS,G9875,HC 9 EM CORE SESSIONS,286.2,54.378,2.862,784.55,236 HCPCS,G9876,HC 2 EM CORE MS MO 7-9 NO WL,47.7,9.063,0.477,131.83,236 HCPCS,G9877,HC 2 EM CORE MS MO 10-12 NO WL,47.7,9.063,0.477,131.83,236 HCPCS,G9878,HC 2 EM CORE MS MO 7-9 WL,190.8,36.252,1.908,524.1,236 HCPCS,G9879,HC 2 EM CORE MS MO 10-12 WL,190.8,36.252,1.908,524.1,236 HCPCS,G9880,HC EM 5 PERCENT WL,508.8,96.672,5.088,1393.27,236 HCPCS,G9881,HC EM 9 PERCENT WL,79.5,15.105,0.795,216.56,236 HCPCS,G9882,HC 2 EM ONGOING MS MO 13-15 WL,159.0,30.21,1.59,436.16,236 HCPCS,G9883,HC 2 EM ONGOING MS MO 16-18 WL,159.0,30.21,1.59,436.16,236 HCPCS,G9884,HC 2 EM ONGOING MS MO 19-21 WL,159.0,30.21,1.59,436.16,236 HCPCS,G9885,HC 2 EM ONGOING MS MO 22-24 WL,159.0,30.21,1.59,436.16,236 HCPCS,G9890,HC EM BRIDGE PAYMENT,79.5,15.105,0.795,216.56,236 HCPCS,G9891,HC EM SESSION REPORTING,1.06,0.2014,0.0106,1.06,212 HCPCS,H0001,"HC CHEM DEP EVAL NORMATIVE, PRE ADMIT, 30 MIN",720.35,136.8665,90.0,720.35,266 HCPCS,H0002,"HC CHEM DEP EVAL EXTENDED, PRE ADMIT",720.35,136.8665,209.11,720.35,266 HCPCS,H0002,"HC CHEM DEP EVAL EXTENDED, PRE ADMIT, 75 MIN",720.35,136.8665,209.11,720.35,266 HCPCS,H0004,"HC CHEM DEP EVAL BRIEF, ALCOHOL/DRUG SRVCS, 15 MIN",685.67,130.2773,20.0,685.67,302 HCPCS,H0005,HC CHEM DEP COG REMED SKILLS GRP,274.16,52.0904,35.0,296.84,266 HCPCS,H0038,"HC CHEM DEP SELF-HELP/PEER SVC PER, 15MIN",53.95,10.2505,0.5395,53.95,229 HCPCS,H0049,HC ALCOHOL/DRUG SCREENING 15 -30 MIN,133.56,25.3764,1.3356,277.11,291 HCPCS,H0049,HC ALCOHOL/DRUG SCREENING 30 > MIN,126.14,23.9666,1.2614,277.11,291 HCPCS,H0050,HC ALCOHOL/DRUG INTERVENTION 15 - 30 MIN,133.56,25.3764,1.3356,277.11,291 HCPCS,H0050,HC ALCOHOL/DRUG INTERVENTION 30 > MIN,126.14,23.9666,1.2614,277.11,291 HCPCS,H1010,HC NM FAMILY PLANNING EDUC,126.14,23.9666,1.2614,126.14,228 HCPCS,H2011,"HC CHEM DEP CRISIS INTERV, 15 MIN",148.59,28.2321,43.0,335.6,302 HCPCS,J0121,"INJ., OMADACYCLINE, 1 MG",44.407439999999994,8.4374135,0.29605,757.170682,590 HCPCS,J0129,ABATACEPT INJECTION,496.6582065,94.3650595,3.311055,662.210942,590 HCPCS,J0130,ABCIXIMAB INJECTION,18006.282,3421.19358,1429.07,18006.282,489 HCPCS,J0131,"INJ, ACETAMINOPHEN (NOS)",0.5443199999999999,0.1034205,0.003629,0.72576,453 HCPCS,J0132,ACETYLCYSTEINE INJECTION,6.180299999999999,1.174257,0.041202,8.2404,453 HCPCS,J0133,ACYCLOVIR INJECTION,0.5783400000000001,0.1098845,0.003856,0.77112,453 HCPCS,J0134,INJ ACETAMINOPHEN -FRESENIUS,0.63504,0.1206575,0.05,0.84672,428 HCPCS,J0136,"INJ, ACETAMINOPHEN (B BRAUN)",0.55566,0.1055755,0.049,0.74088,430 HCPCS,J0137,"INJ, ACETAMINOPHEN (HIKMA)",0.567,0.10772999999999999,0.03,0.756,428 HCPCS,J0139,"INJ, ADALIMUMAB, 1 MG",1155.798005,219.601621,91.725,1155.798005,558 HCPCS,J0153,ADENOSINE INJ 1MG,3.6679395,0.6969085,0.024453,208.465227,508 HCPCS,J0165,INJ EPINEPHRINE NOS 0.1 MG,626.198638,118.977741,62.619864,626.198638,485 HCPCS,J0174,"INJ, LECANEMAB-IRMB, 1 MG",15.0822,2.865618,1.327,1695.919773,590 HCPCS,J0175,"INJ, DONANEMAB-AZBT, 2 MG",49.962301,9.492837,3.93585,1695.919773,572 HCPCS,J0178,AFLIBERCEPT INJECTION,9084.0771,1725.974649,60.560514,12112.1028,585 HCPCS,J0180,AGALSIDASE BETA INJECTION,2534.6828195,481.589736,16.897885,18322.356136,590 HCPCS,J0185,"INJ., APREPITANT, 1 MG",19.2886935,3.6648519999999998,0.128591,25798.0,815 HCPCS,J0202,"INJECTION, ALEMTUZUMAB",20061.038437000003,3811.597303,171.951758,22926.901062,535 HCPCS,J0206,INJ ALLOPURINOL SODIUM 1 MG,49.839299999999994,9.469467,4.45,4763.381591,590 HCPCS,J0207,AMIFOSTINE,13499.7156,2564.945964,134.997156,13499.7156,507 HCPCS,J0209,"INJ, SOD THIOSULFATE (HOPE)",1247.4,237.006,12.474,11986.901591,484 HCPCS,J0210,METHYLDOPATE HCL INJECTION,630.0,119.7,42.4,630.0,489 HCPCS,J0216,"INJ, ALFENTANIL HCL, 500MCG",14.3892,2.733948,1.43892,14.3892,411 HCPCS,J0219,INJ AVAL ALFA-NQPT 4MG,882.9437399999999,167.7593105,77.817,1177.25832,494 HCPCS,J0221,LUMIZYME INJECTION,2286.5976,434.45354399999997,15.243984,3048.7968,535 HCPCS,J0222,"INJ., PATISIRAN, 0.1 MG",1120.76622,212.9455815,7.471775,1494.35496,535 HCPCS,J0225,"INJ, VUTRISIRAN, 1 MG",24711.688725,4695.220858000001,3294.89183,32948.9183,507 HCPCS,J0248,"INJ, REMDESIVIR, 1 MG",72.05719500000001,13.690867,6.35,1138.399773,590 HCPCS,J0256,ALPHA 1 PROTEINASE INHIBITOR,57.73194,10.9690685,0.38488,3491.883409,590 HCPCS,J0257,GLASSIA INJECTION,62.506080000000004,11.8761555,5.448,3491.883409,590 HCPCS,J0270,ALPROSTADIL FOR INJECTION,52.062935,9.891958,0.67,208.465227,507 HCPCS,J0275,ALPROSTADIL URETHRAL SUPPOS,893.34,169.7346,25.72,893.34,489 HCPCS,J0278,AMIKACIN SULFATE INJECTION,6.804,1.29276,0.06804,6.804,453 HCPCS,J0280,AMINOPHYLLIN 250 MG INJ,58.6278,11.139282,0.390852,78.1704,453 HCPCS,J0281,INJ AMINOCAPROIC ACID 1 GRAM,82.152,15.60888,1.3,82.152,470 HCPCS,J0282,AMIODARONE HCL,6.000487,1.140093,0.33,208.465227,507 HCPCS,J0283,"INJ, AMIODARONE (NEXTERONE)",38.077581,7.23474,2.59,208.465227,495 HCPCS,J0285,AMPHOTERICIN B,567.72576,107.8678945,3.784838,756.96768,508 HCPCS,J0287,AMPHOTERICIN B LIPID COMPLEX,129.78,24.6582,10.299,508.159773,590 HCPCS,J0289,AMPHOTERICIN B LIPOSOME INJ,271.8765,51.656535000000005,1.81251,1695.919773,590 HCPCS,J0290,AMPICILLIN 500 MG INJ,9.157680000000001,1.7399594999999999,0.061051,12.21024,453 HCPCS,J0295,AMPICILLIN SULBACTAM 1.5 GM,19.7193915,3.7466845,0.131463,26.292522,453 HCPCS,J0300,AMOBARBITAL 125 MG INJ,5757.696,1093.96224,6.33,5757.696,507 HCPCS,J0330,SUCCINYCHOLINE CHLORIDE INJ,13.8537,2.632203,0.138537,13.8537,436 HCPCS,J0348,ANIDULAFUNGIN INJECTION,5.74938,1.0923825,0.47,208.465227,508 HCPCS,J0360,HYDRALAZINE HCL INJECTION,46.233180000000004,8.7843045,0.308221,61.64424,453 HCPCS,J0391,"INJ, ARTESUNATE, 1MG",653.058013,124.081022,47.62,4763.381591,590 HCPCS,J0401,"INJ, ABILIFY MAINTENA, 1 MG",80.1738115,15.233024,0.534492,3491.883409,590 HCPCS,J0456,AZITHROMYCIN,24.10884,4.5806795000000005,0.160726,32.14512,453 HCPCS,J0457,"INJECTION, AZTREONAM, 100 MG",29.35593,5.577627,2.48,208.465227,508 HCPCS,J0461,ATROPINE SULFATE INJECTION,1.115085,0.211866,0.007434,2.25225,453 HCPCS,J0470,DIMECAPROL INJECTION,623.0574,118.380906,59.81,623.0574,508 HCPCS,J0475,BACLOFEN 10 MG INJECTION,2448.6603750000004,465.2454715,16.324403,3264.8805,590 HCPCS,J0476,BACLOFEN INTRATHECAL TRIAL,461.85552,87.7525485,45.494,615.80736,508 HCPCS,J0480,BASILIXIMAB,52816.96854,10035.2240225,352.113124,70422.62472,535 HCPCS,J0485,BELATACEPT INJECTION,44.60022,8.4740415,0.297335,2469.396136,590 HCPCS,J0490,BELIMUMAB INJECTION,622.6566405,118.30476149999998,4.151044,830.208854,590 HCPCS,J0491,INJ ANIFROLUMAB-FNIA 1MG,201.43238599999998,38.2721535,17.777,4763.381591,577 HCPCS,J0500,DICYCLOMINE INJECTION,169.01136,32.1121585,11.675,225.34848,508 HCPCS,J0515,INJ BENZTROPINE MESYLATE,191.50992000000002,36.3868845,1.276733,255.34656,508 HCPCS,J0517,"INJ., BENRALIZUMAB, 1 MG",1881.2379824999998,357.4352165,12.541587,7484.8725,590 HCPCS,J0558,PENG BENZATHINE/PROCAINE INJ,196.95311999999998,37.4210925,1.313021,345.090682,590 HCPCS,J0561,PENICILLIN G BENZATHINE INJ,304.150537,57.788602,2.02767,405.534049,590 HCPCS,J0565,"INJ, BEZLOTOXUMAB, 10 MG",452.071368,85.89356000000001,3.013809,3491.883409,590 HCPCS,J0567,"INJ., CERLIPONASE ALFA 1 MG",1313.7012,249.603228,97.2,1313.7012,425 HCPCS,J0571,BUPRENORPHINE ORAL 1MG,190.653737,36.22421,0.24,190.653737,508 HCPCS,J0572,BUPREN/NAL UP TO 3MG BUPRENO,40.8786,7.766934,0.408786,40.8786,484 HCPCS,J0573,BUPREN/NAL 3.1 TO 6MG BUPREN,76.1796,14.474124,0.761796,76.1796,484 HCPCS,J0574,BUPREN/NAL 6.1 TO 10MG BUPRE,14.4081,2.737539,0.144081,15.93,484 HCPCS,J0575,BUPREN/NAL OVER 10MG BUPRENO,110.1303,20.924757,11.01303,208.465227,489 HCPCS,J0583,BIVALIRUDIN,1.84842,0.3511995,0.012323,7.29,508 HCPCS,J0585,"INJECTION,ONABOTULINUMTOXINA",59.970312,11.394359,0.599703,1138.399773,590 HCPCS,J0586,ABOBOTULINUMTOXINA,96.68480050000001,18.370112,9.04,1138.399773,590 HCPCS,J0587,"INJ, RIMABOTULINUMTOXINB",147.31794000000002,27.9904085,0.98212,1138.399773,579 HCPCS,J0588,INCOBOTULINUMTOXIN A,60.1587,11.430153,5.307,1138.399773,590 HCPCS,J0592,BUPRENORPHINE HYDROCHLORIDE,50.391138,9.574316,0.503911,50.391138,450 HCPCS,J0594,BUSULFAN INJECTION,16.0573605,3.0508985,0.107049,21.409814,535 HCPCS,J0595,BUTORPHANOL TARTRATE 1 MG,64.41120000000001,12.238128,0.429408,85.8816,453 HCPCS,J0596,"INJECTION, RUCONEST",393.10110000000003,74.689209,2.620674,18322.356136,590 HCPCS,J0600,EDETATE CALCIUM DISODIUM INJ,80492.64300000001,15293.60217,5327.511818,91991.592,590 HCPCS,J0601,SEVELAMER CARBONATE 20 MG,0.06,0.0114,0.006,208.465227,476 HCPCS,J0602,SEVELAMER CARBONATE PDR 20MG,1.63,0.3097,0.163,208.465227,476 HCPCS,J0603,SEVELAMER HYDROCHLORIDE 20MG,0.91,0.1729,0.091,208.465227,476 HCPCS,J0604,"CINACALCET, ESRD ON DIALYSIS",0.173464,0.032958,0.017346,345.090682,507 HCPCS,J0605,SUCROFERRIC OXYHYDROXIDE 5MG,2.03,0.3857,0.19,208.465227,476 HCPCS,J0606,"INJ, ETELCALCETIDE, 0.1 MG",52.025904,9.884922,4.7025,345.090682,507 HCPCS,J0607,LANTHANUM CARBONATE ORAL 5MG,0.67,0.1273,0.067,208.465227,476 HCPCS,J0609,FERRIC CITRATE ORL 3 MG IRON,1.17,0.2223,0.117,208.465227,476 HCPCS,J0612,"INJ, CALCIUM GLUCONATE, NOS",0.4090905,0.077727,0.04,0.545454,430 HCPCS,J0613,CALCIUM GLUCON (WG CRITICAL),0.80514,0.15297650000000002,0.079,1.07352,430 HCPCS,J0615,"CALCIUM ACETATE, ORAL, 23 MG",0.18,0.0342,0.018,208.465227,476 HCPCS,J0616,INJ METOPROLOL TARTRATE 1 MG,5.04,0.9576,0.504,5.04,485 HCPCS,J0618,"INJ, CALCIUM CHLORIDE, 2 MG",107.1,20.349,10.71,107.1,485 HCPCS,J0630,CALCITONIN SALMON INJECTION,12954.95208,2461.4408955,86.366347,17273.26944,582 HCPCS,J0636,INJ CALCITRIOL PER 0.1 MCG,7.14042,1.35668,0.071404,7.14042,451 HCPCS,J0637,CASPOFUNGIN ACETATE,57.323626499999996,10.891489,2.266,208.465227,508 HCPCS,J0638,CANAKINUMAB INJECTION,1540.8565315,292.762741,10.272377,2054.475375,590 HCPCS,J0640,LEUCOVORIN CALCIUM INJECTION,47.1933285,8.966732499999999,0.314622,62.924438,453 HCPCS,J0641,INJ LEVOLEUCOVORIN NOS 0.5MG,0.47628000000000004,0.0904935,0.02,0.63504,425 HCPCS,J0650,"INJ, LEVOTHYROXINE NOS 10MCG",210.105,39.91995,2.10105,345.090682,490 HCPCS,J0651,"INJ, LEVOTHYROXINE, FRESKABI",80.4573,15.286887,0.536382,6487.0,734 HCPCS,J0652,"INJ, LEVOTHYROXINE, HIKMA",58.242239999999995,11.0660255,5.14,345.09,682 HCPCS,J0665,"INJ, BUPIVACAINE, NOS, 0.5MG",0.122559,0.023286,0.01,0.151626,430 HCPCS,J0666,"INJ, BUPIVACAINE LIPOSOME",21.848778,4.151268,1.42,21.848778,505 HCPCS,J0670,INJ MEPIVACAINE HCL/10 ML,36.67356,6.9679765,0.24449,48.89808,453 HCPCS,J0687,INJ CEFAZOLIN (WG CRIT CARE),11.35134,2.1567545,0.075676,15.13512,590 HCPCS,J0688,"INJ CEFAZOLIN SODIUM, HIKMA",10.36476,1.9693044999999998,0.91,13.81968,648 HCPCS,J0690,CEFAZOLIN SODIUM INJECTION,9.2440315,1.7563659999999999,0.061627,12.325375,453 HCPCS,J0692,CEFEPIME HCL FOR INJECTION,14.026646,2.6650625,0.093511,18.702195,453 HCPCS,J0694,CEFOXITIN SODIUM INJECTION,50.48568,9.5922795,0.336571,67.31424,453 HCPCS,J0695,INJ CEFTOLOZANE TAZOBACTAM,4209.20572,799.749087,8.04,5612.274293,590 HCPCS,J0696,CEFTRIAXONE SODIUM INJECTION,5.062424,0.9618605,0.033749,6.749899,453 HCPCS,J0697,STERILE CEFUROXIME INJECTION,24.260039999999996,4.6094075,0.161734,32.34672,453 HCPCS,J0698,CEFOTAXIME SODIUM INJECTION,50.409231,9.577754,0.504092,50.409231,436 HCPCS,J0699,"INJ, CEFIDEROCOL, 10 MG",25.877879999999998,4.9167974999999995,0.172519,508.159773,590 HCPCS,J0702,BETAMETHASONE ACET&SOD PHOSP,85.1634,16.181046000000002,0.567756,113.5512,453 HCPCS,J0703,"INJ, CEFEPIME HCL (B BRAUN)",55.82682,10.6070955,5.04,74.43576,430 HCPCS,J0706,CAFFEINE CITRATE INJECTION,7.05285,1.340041,0.070528,7.05285,436 HCPCS,J0712,CEFTAROLINE FOSAMIL INJ,44.747674,8.502058,0.298318,508.159773,590 HCPCS,J0713,INJ CEFTAZIDIME PER 500 MG,18.68832,3.5507805,0.124589,24.91776,453 HCPCS,J0714,CEFTAZIDIME AND AVIBACTAM,1142.2441800000001,217.02639449999998,7.614961,1522.99224,590 HCPCS,J0717,CERTOLIZUMAB PEGOL INJ 1MG,44.20332,8.3986305,0.294689,3491.883409,590 HCPCS,J0720,CHLORAMPHENICOL SODIUM INJEC,439.0218,83.414142,4.390218,439.0218,507 HCPCS,J0725,CHORIONIC GONADOTROPIN/1000U,223.09181999999998,42.3874455,1.487279,297.45576,508 HCPCS,J0735,CLONIDINE HYDROCHLORIDE,191.14704,36.3179375,1.274314,254.86272,508 HCPCS,J0736,"INJ, CLINDAMYCIN PHOSP 300MG",24.034421,4.56654,1.449,208.465227,508 HCPCS,J0737,"INJ, CLINDAMYCIN (BAXTER)",19.47078,3.6994485,1.72,208.47,596 HCPCS,J0739,"HIV PREP, INJ, CABOTEGRAVIR",104.20704,19.799338,6.887,4763.381591,590 HCPCS,J0740,CIDOFOVIR INJECTION,3414.5307,648.760833,22.763538,4552.7076,535 HCPCS,J0741,"INJ, CABOTE RILPIVIR 2MG 3MG",262.79316,49.9307005,23.13,7484.8725,590 HCPCS,J0743,CILASTATIN SODIUM INJECTION,81.63665999999999,15.510965500000001,0.544244,208.465227,508 HCPCS,J0744,CIPROFLOXACIN IV,9.072,1.7236799999999999,0.06048,12.096,453 HCPCS,J0770,COLISTIMETHATE SODIUM INJ,137.90574,26.2020905,0.919372,208.465227,508 HCPCS,J0775,"COLLAGENASE, CLOST HIST INJ",803.858614,152.7331365,5.359057,4763.381591,590 HCPCS,J0780,PROCHLORPERAZINE INJECTION,33.49836,6.3646885,0.223322,44.66448,453 HCPCS,J0791,INJ CRIZANLIZUMAB-TMCA 5MG,1459.2312,277.253928,9.728208,2469.396136,590 HCPCS,J0801,INJ. ACTHAR GEL TO 40 UNITS,43407.55818,8247.4360545,3326.61,57876.74424,495 HCPCS,J0834,"INJ., COSYNTROPIN, 0.25 MG",382.91778,72.7543785,2.552785,510.55704,508 HCPCS,J0850,CYTOMEGALOVIRUS IMM IV /VIAL,20571.894,3908.6598599999998,137.14596,27429.192,590 HCPCS,J0870,"INJECTION, IMETELSTAT, 1 MG",698.896857,132.790403,55.51,18322.356136,558 HCPCS,J0875,"INJECTION, DALBAVANCIN",176.904,33.611760000000004,1.17936,7484.8725,590 HCPCS,J0878,DAPTOMYCIN INJECTION,0.3967915,0.0753905,0.002645,208.465227,508 HCPCS,J0881,"DARBEPOETIN ALFA, NON-ESRD",33.702493,6.4034735000000005,0.224683,25798.0,815 HCPCS,J0882,"DARBEPOETIN ALFA, ESRD USE",33.9633,6.4530270000000005,0.226422,45.2844,750 HCPCS,J0883,ARGATROBAN NONESRD USE 1MG,10.08,1.9152,0.739,345.090682,581 HCPCS,J0884,ARGATROBAN ESRD DIALYSIS 1MG,12.14136,2.306858,0.739,345.090682,500 HCPCS,J0885,"EPOETIN ALFA, NON-ESRD",73.2675715,13.9208385,0.48845,97.690095,590 HCPCS,J0894,DECITABINE INJECTION,26.467560000000002,5.028836500000001,0.17645,35.29008,453 HCPCS,J0895,DEFEROXAMINE MESYLATE INJ,101.34558000000001,19.255660499999998,0.675637,208.465227,508 HCPCS,J0896,INJ LUSPATERCEPT-AAMT 0.25MG,468.058494,88.93111400000001,3.12039,18322.356136,590 HCPCS,J0897,DENOSUMAB INJECTION,313.6191195,59.5876325,2.090794,418.158826,535 HCPCS,J1000,DEPO-ESTRADIOL CYPIONATE INJ,438.32502,83.28175350000001,42.32,584.43336,508 HCPCS,J1010,"INJ, METHYLPRED ACETATE 1 MG",1.76904,0.336118,0.01769,1.76904,518 HCPCS,J1050,MEDROXYPROGESTERONE ACETATE,2.55061,0.484616,0.255061,2.55061,489 HCPCS,J1071,INJ TESTOSTERONE CYPIONATE,0.36288,0.0689475,0.002419,0.48384,453 HCPCS,J1096,DEXAMETHA OPTH INSERT 0.1 MG,1707.75864,324.474142,101.486,1707.75864,589 HCPCS,J1097,PHENYLEP KETOROLAC OPTH SOLN,1220.184,231.83496,112.35,1220.184,589 HCPCS,J1100,DEXAMETHASONE SODIUM PHOS,1.2431400000000001,0.2361965,0.008288,25798.0,541 HCPCS,J1110,INJ DIHYDROERGOTAMINE MESYLT,465.35957999999994,88.4183205,3.102397,620.47944,508 HCPCS,J1120,ACETAZOLAMID SODIUM INJECTIO,245.14812,46.5781425,1.634321,326.86416,508 HCPCS,J1160,DIGOXIN INJECTION,100.0188,19.003572,0.666792,133.3584,453 HCPCS,J1162,DIGOXIN IMMUNE FAB (OVINE),57493.5732,10923.778908,383.290488,76658.0976,590 HCPCS,J1163,"INJ, DILTIAZEM HCL, 0.5 MG",39.0054,7.411026,3.90054,39.0054,485 HCPCS,J1165,PHENYTOIN SODIUM INJECTION,5.34114,1.0148165,0.035608,7.12152,453 HCPCS,J1171,"INJ, HYDROMORPHONE, 0.1 MG",1.3464,0.255816,0.013464,1.3464,423 HCPCS,J1190,DEXRAZOXANE HCL INJECTION,917.1225,174.253275,6.11415,1222.83,535 HCPCS,J1200,DIPHENHYDRAMINE HCL INJECTIO,8.27253,1.571781,0.05515,25798.0,541 HCPCS,J1202,MIGLUSTAT ORAL 65 MG,415.8,79.002,4.158,415.8,503 HCPCS,J1203,"INJ, CIPAGLUCOSIDASE, 5 MG",1351.380361,256.762269,13.513804,1351.380361,518 HCPCS,J1205,CHLOROTHIAZIDE SODIUM INJ,685.6897245,130.281048,4.571265,914.252966,508 HCPCS,J1212,DIMETHYL SULFOXIDE 50% 50 ML,8112.636,1541.4008400000002,505.955455,10816.848,590 HCPCS,J1230,METHADONE INJECTION,234.29196,44.5154725,1.561946,312.38928,453 HCPCS,J1240,DIMENHYDRINATE INJECTION,98.34048000000001,18.6846915,0.655603,131.12064,453 HCPCS,J1245,DIPYRIDAMOLE INJECTION,43.86312,8.3339925,3.84,58.48416,430 HCPCS,J1246,"INJ, DINUTUXIMAB, 0.1 MG",1329.278794,252.562971,13.292788,1329.278794,485 HCPCS,J1250,INJ DOBUTAMINE HCL/250 MG,83.9727,15.954813000000001,0.559818,111.9636,453 HCPCS,J1265,DOPAMINE INJECTION,8.092035,1.5374865,0.053947,10.78938,453 HCPCS,J1270,"INJECTION, DOXERCALCIFEROL",10.45548,1.9865415,0.374,13.94064,430 HCPCS,J1271,INJ DOXYCYCLINE HYCLATE 1 MG,151.2,28.728,0.12,151.2,470 HCPCS,J1290,ECALLANTIDE INJECTION,6385.53132,1213.2509505,564.64,18322.356136,590 HCPCS,J1299,"INJ, ECULIZUMAB, 2 MG",76220.109,14481.82071,44.809,101626.812,552 HCPCS,J1301,"INJECTION, EDARAVONE, 1 MG",245.864411,46.714238,1.639096,1695.919773,590 HCPCS,J1302,"INJ, SUTIMLIMAB-JOME, 10 MG",205.56018,39.0564345,18.109,11986.901591,590 HCPCS,J1303,"INJ., RAVULIZUMAB-CWVZ 10 MG",1571.6895,298.62100499999997,10.47793,2095.586,535 HCPCS,J1306,"INJECTION, INCLISIRAN, 1 MG",139.22118,26.4520245,0.928141,185.62824,585 HCPCS,J1308,"INJ, FAMOTIDINE, 0.25 MG",24.2476,4.607044,0.01,24.2476,470 HCPCS,J1322,"ELOSULFASE ALFA, INJECTION",3333.0981599999996,633.2886505,22.220654,18322.356136,579 HCPCS,J1323,"INJ, ELRANATAMAB-BCMM, 1 MG",2686.02264,510.344302,176.0445,11986.901591,585 HCPCS,J1324,ENFUVIRTIDE INJECTION,7.456126,1.416664,0.745613,208.465227,507 HCPCS,J1325,EPOPROSTENOL INJECTION,186.3850335,35.4131565,1.242567,248.513378,453 HCPCS,J1326,"INJ, ZOLBETUXIMAB-CLZB, 2 MG",21140.91,4016.7729,2114.091,21140.91,485 HCPCS,J1327,EPTIFIBATIDE INJECTION,45.722867,8.687345,0.457229,45.722867,436 HCPCS,J1335,ERTAPENEM INJECTION,124.88741999999999,23.728609499999997,0.832583,208.465227,508 HCPCS,J1364,ERYTHRO LACTOBIONATE /500 MG,781.91568,148.56397950000002,5.212771,1042.55424,508 HCPCS,J1380,ESTRADIOL VALERATE 10 MG INJ,90.06228,17.111833500000003,0.600415,120.08304,453 HCPCS,J1410,INJ ESTROGEN CONJUGATE 25 MG,4342.22208,825.0221955000001,28.948147,5789.62944,590 HCPCS,J1426,"INJECTION, CASIMERSEN, 10 MG",1519.4718,288.699642,151.94718,1519.4718,412 HCPCS,J1428,"INJ, ETEPLIRSEN, 10 MG",2016.0,383.04,20.16,2016.0,436 HCPCS,J1429,INJ GOLODIRSEN 10 MG,4188.492,795.81348,166.24,4188.492,425 HCPCS,J1430,ETHANOLAMINE OLEATE 100 MG,5575.35636,1059.3177085,497.7,7433.80848,590 HCPCS,J1437,INJ. FE DERISOMALTOSE 10 MG,235.57716000000002,44.759660499999995,18.951,1138.399773,590 HCPCS,J1438,ETANERCEPT INJECTION,9963.83052,1893.127799,411.71,9963.83052,589 HCPCS,J1439,INJ FERRIC CARBOXYMALTOS 1MG,12.530322,2.380761,0.083535,1138.399773,590 HCPCS,J1440,FECAL MICROBIOTA JSLM 1 ML,721.2239999999999,137.03256,4.80816,11986.901591,579 HCPCS,J1442,INJ FILGRASTIM EXCL BIOSIMIL,11.1494905,2.1184035,0.07433,757.170682,590 HCPCS,J1443,INJ FERRIC PYROPHOSPHATE CIT,0.448248,0.085167,0.038,208.465227,507 HCPCS,J1444,FE PYRO CIT POW 0.1 MG IRON,554.4,105.336,0.046,554.4,493 HCPCS,J1447,INJ TBO FILGRASTIM 1 MICROG,4.58136,0.8704585,0.030542,757.170682,590 HCPCS,J1448,"INJECTION, TRILACICLIB, 1MG",60.8504515,11.561586,5.388,2469.396136,590 HCPCS,J1450,FLUCONAZOLE,27.215999999999998,5.1710400000000005,0.18144,36.288,453 HCPCS,J1451,"FOMEPIZOLE, 15 MG",77.616063,14.747052,6.155,757.170682,589 HCPCS,J1453,FOSAPREPITANT INJECTION,1.3608115,0.258554,0.009072,3.9375,508 HCPCS,J1455,FOSCARNET SODIUM INJECTION,578.974632,110.00518,15.584,578.974632,589 HCPCS,J1458,GALSULFASE INJECTION,5499.01548,1044.8129415,484.88,7332.02064,425 HCPCS,J1459,INJ IVIG PRIVIGEN 500 MG,558.8881200000001,106.1887425,3.725921,745.18416,590 HCPCS,J1460,GAMMA GLOBULIN 1 CC INJ,560.37744,106.4717135,48.423,747.16992,590 HCPCS,J1557,GAMMAPLEX INJECTION,680.4000000000001,129.276,4.536,4763.381591,590 HCPCS,J1559,HIZENTRA INJECTION,154.64358,29.3822805,13.64,1695.919773,590 HCPCS,J1561,GAMUNEX-C/GAMMAKED,555.7734,105.596946,3.705156,741.0312,590 HCPCS,J1566,"IMMUNE GLOBULIN, POWDER",923.4275400000001,175.4512325,6.156184,4763.381591,590 HCPCS,J1568,OCTAGAM INJECTION,559.062,106.22178,3.72708,745.416,590 HCPCS,J1569,GAMMAGARD LIQUID INJECTION,489.80295,93.0625605,3.265353,653.0706,590 HCPCS,J1570,GANCICLOVIR SODIUM INJECTION,325.92861,61.926435999999995,2.172857,434.57148,508 HCPCS,J1572,FLEBOGAMMA INJECTION,561.204,106.62876,5.61204,561.204,585 HCPCS,J1580,GARAMYCIN GENTAMICIN INJ,27.2477035,5.1770640000000006,0.181651,36.330271,453 HCPCS,J1595,INJECTION GLATIRAMER ACETATE,2161.782,410.73858,67.64,2161.782,589 HCPCS,J1596,"INJ, GLYCOPYRROLATE, 0.1 MG",6.531840000000001,1.2410495,0.433,8.70912,499 HCPCS,J1597,"INJ GLYCOPYRROLATE, GLYRX-PF",21.00168,3.9903195,0.140011,28.00224,414 HCPCS,J1598,INJ GLYCOPYRROLATE FRES KABI,21.00168,3.9903195,0.140011,28.00224,590 HCPCS,J1602,GOLIMUMAB FOR IV USE 1MG,119.47824,22.7008655,0.796522,3491.883409,590 HCPCS,J1610,GLUCAGON HYDROCHLORIDE/1 MG,2088.58986,396.8320735,13.923932,2784.78648,590 HCPCS,J1611,"INJ GLUCAGON HCL, FRESENIUS",1642.9618799999998,312.1627575,150.44,2190.61584,698 HCPCS,J1626,GRANISETRON HCL INJECTION,2.57418,0.4890945,0.017161,3.43224,453 HCPCS,J1628,"INJ., GUSELKUMAB, 1 MG",1111.66776,211.216874,70.427,18322.356136,582 HCPCS,J1630,HALOPERIDOL INJECTION,13.68738,2.6006025,0.091249,18.24984,453 HCPCS,J1631,HALOPERIDOL DECANOATE INJ,62.90298,11.9515665,0.419353,208.465227,508 HCPCS,J1640,"HEMIN, 1 MG",375.6034915,71.36466300000001,2.504023,7484.8725,590 HCPCS,J1642,INJ HEPARIN SODIUM PER 10 U,63.0,11.97,0.01805,63.0,453 HCPCS,J1643,"INJ HEPARIN, PFIZER, 1000U",34.09938,6.4788825,1.0,45.46584,484 HCPCS,J1644,INJ HEPARIN SODIUM PER 1000U,60.957931,11.582007,0.2071,60.957931,453 HCPCS,J1645,DALTEPARIN SODIUM,157.21776,29.8713745,16.04,209.62368,508 HCPCS,J1650,INJ ENOXAPARIN SODIUM,6.7843975,1.2890355,0.048657,8.70313,453 HCPCS,J1652,FONDAPARINUX SODIUM,7.620480000000001,1.4478915,0.050803,10.16064,453 HCPCS,J1670,TETANUS IMMUNE GLOBULIN INJ,6487.251119999999,1232.5777125,43.248341,8649.66816,590 HCPCS,J1720,HYDROCORTISONE SODIUM SUCC I,237.4487135,45.1152555,1.582991,316.598285,453 HCPCS,J1726,"MAKENA, 10 MG",174.132,33.08508,1.74132,345.090682,589 HCPCS,J1729,INJ HYDROXYPROGST CAPOAT NOS,5726.7,1088.073,15.5515,5726.7,507 HCPCS,J1740,IBANDRONATE SODIUM INJECTION,287.55971999999997,54.6363465,1.917065,508.159773,508 HCPCS,J1741,IBUPROFEN INJECTION,44.9316,8.537004,2.98,208.465227,507 HCPCS,J1742,IBUTILIDE FUMARATE INJECTION,2355.822,447.60618,186.771,2355.822,589 HCPCS,J1743,IDURSULFASE INJECTION,6148.78614,1168.2693665,40.991908,8198.38152,535 HCPCS,J1744,ICATIBANT INJECTION,1701.756,323.33364,79.724,11986.901591,590 HCPCS,J1745,INFLIXIMAB NOT BIOSIMIL 10MG,346.1535,65.769165,2.30769,461.538,590 HCPCS,J1747,"INJ, SPESOLIMAB-SBZO, 1 MG",682.9287405,129.7564605,61.428,910.571654,507 HCPCS,J1750,INJ IRON DEXTRAN,197.36136,37.4986585,17.23,345.090682,590 HCPCS,J1756,IRON SUCROSE INJECTION,2.562239,0.4868255,0.017082,3.416319,508 HCPCS,J1786,IMUGLUCERASE INJECTION,491.94053999999994,93.4687025,3.279604,18322.356136,590 HCPCS,J1790,DROPERIDOL INJECTION,89.3844,16.983036,5.361,89.3844,430 HCPCS,J1800,PROPRANOLOL INJECTION,54.18,10.2942,0.5418,54.18,436 HCPCS,J1805,"INJ, ESMOLOL HCL, 10MG",2.703708,0.513705,0.270371,208.465227,508 HCPCS,J1808,"INJ, FOLIC ACID, 0.1 MG",396.9,75.411,0.06,396.9,470 HCPCS,J1811,FIASP FOR INSULIN PUMP USE,89.586,17.02134,6.668,208.465227,590 HCPCS,J1813,LYUMJEV FOR INSULIN PUMP USE,175.49784,33.3445895,15.272,233.99712,508 HCPCS,J1815,INSULIN INJECTION,15.789163,2.999941,0.157892,15.789163,436 HCPCS,J1817,INSULIN FOR INSULIN PUMP USE,198.518295,37.718476,1.985183,208.465227,508 HCPCS,J1823,"INJ. INEBILIZUMAB-CDON, 1 MG",2434.125075,462.4837645,324.55001,3245.5001,507 HCPCS,J1830,INTERFERON BETA-1B / .25 MG,7196.875598,1367.406364,119.3,7196.875598,508 HCPCS,J1833,"INJECTION, ISAVUCONAZONIUM",12.474,2.37006,0.64,757.170682,589 HCPCS,J1836,"INJ, METRONIDAZOLE, 10 MG",0.329979,0.062696,0.029,0.329979,430 HCPCS,J1885,KETOROLAC TROMETHAMINE INJ,8.51634,1.6181044999999998,0.056776,11.35512,535 HCPCS,J1920,"INJ, LABETALOL HCL, 5MG",3.70692,0.704315,0.2645,4.4478,430 HCPCS,J1921,"INJ LABETALOL HCL HIKMA, 5MG",15.67188,2.9776575,1.0,20.89584,484 HCPCS,J1930,LANREOTIDE INJECTION,493.10364200000004,93.68969200000001,3.287358,11986.901591,590 HCPCS,J1938,"INJ, FUROSEMIDE, 1 MG",12.927599999999998,2.456244,0.02,17.2368,470 HCPCS,J1939,"INJ, BUMETANIDE, 0.5 MG",7.308,1.38852,0.569,208.465227,590 HCPCS,J1943,"INJ., ARISTADA INITIO, 1 MG",35.505539999999996,6.7460525,3.14,2469.396136,590 HCPCS,J1944,ARIPIPRAZOLE LAUROXIL 1 MG,36.66222,6.9658215000000006,3.259,3491.883409,590 HCPCS,J1950,LEUPROLIDE ACETATE /3.75 MG,18901.23933,3591.2354729999997,126.008262,25201.65244,590 HCPCS,J1951,INJ FENSOLVI 0.25 MG,1547.6945175,294.0619585,134.256,2469.396136,564 HCPCS,J1953,LEVETIRACETAM INJECTION,0.589798,0.1120615,0.003932,0.786397,453 HCPCS,J1955,INJ LEVOCARNITINE PER 1 GM,289.82205,55.06618950000001,1.932147,386.4294,508 HCPCS,J1956,LEVOFLOXACIN INJECTION,21.529799999999998,4.090662,0.143532,28.7064,453 HCPCS,J1980,HYOSCYAMINE SULFATE INJ,198.91305,37.793479500000004,26.52174,265.2174,508 HCPCS,J2002,"INJ, LIDOCAINE IN D5W, 1 MG",0.04536,0.008618,0.003,0.04536,495 HCPCS,J2003,"INJ, LIDOCAINE HCL, 1 MG",0.372471,0.07077,0.003725,25798.0,453 HCPCS,J2004,"INJ, LIDOCAINE W EPINEPHRINE",0.290237,0.055145,0.002902,0.290237,417 HCPCS,J2010,LINCOMYCIN INJECTION,76.28417999999999,14.4939945,5.61,208.465227,508 HCPCS,J2020,LINEZOLID INJECTION,34.019999999999996,6.463799999999999,0.2268,208.465227,508 HCPCS,J2021,"INJ, LINEZOLID (HOSPIRA)",94.122,17.88318,6.338,208.465227,508 HCPCS,J2060,LORAZEPAM INJECTION,15.340752000000002,2.914743,0.102272,20.454336,453 HCPCS,J2150,MANNITOL INJECTION,28.916999999999998,5.49423,0.19278,38.556,453 HCPCS,J2175,MEPERIDINE HYDROCHL /100 MG,78.9559795,15.001636000000001,0.526373,105.274639,453 HCPCS,J2182,"INJECTION, MEPOLIZUMAB, 1MG",347.99058,66.1182105,2.319937,4763.381591,590 HCPCS,J2183,INJ MEROPENEM (WG CRIT CARE),18.41616,3.4990705,1.6,24.55488,566 HCPCS,J2184,"INJ, MEROPENEM (B. BRAUN)",23.52483,4.469718,2.075,31.36644,430 HCPCS,J2185,MEROPENEM,4.40559,0.837062,0.029371,5.87412,453 HCPCS,J2186,"INJ., MEROPENEM, VABORBACTAM",26.46,5.0274,1.78,508.159773,589 HCPCS,J2210,METHYLERGONOVIN MALEATE INJ,247.46148,47.017681499999995,1.649743,329.94864,508 HCPCS,J2212,METHYLNALTREXONE INJECTION,17.978814,3.415975,1.56,208.465227,507 HCPCS,J2246,"INJ, MICAFUNGIN (BAXTER)",4.662,0.88578,0.4662,208.465227,469 HCPCS,J2248,MICAFUNGIN SODIUM INJECTION,3.19788,0.6075975,0.021319,208.465227,508 HCPCS,J2250,INJ MIDAZOLAM HYDROCHLORIDE,1.486107,0.28236,0.009907,1.981476,453 HCPCS,J2251,INJ MIDAZOLAM IN 0.9% NACL,1.9164600000000003,0.3641275,0.17,2.55528,458 HCPCS,J2260,INJ MILRINONE LACTATE / 5 MG,14.7744,2.807136,0.098496,19.6992,453 HCPCS,J2265,MINOCYCLINE HYDROCHLORIDE,32.634,6.20046,1.51,208.465227,589 HCPCS,J2267,"INJ, MIRIKIZUMAB-MRKZ, 1 MG",686.34216,130.40501,36.4515,11986.901591,572 HCPCS,J2270,MORPHINE SULFATE INJECTION,51.90774,9.8624705,0.346052,69.21032,453 HCPCS,J2272,"INJ, MORPHINE (FRESENIUS)",46.01772,8.7433665,4.209,61.35696,430 HCPCS,J2274,INJ MORPHINE PF EPID ITHC,122.38128,23.2524435,9.82,208.47,596 HCPCS,J2278,ZICONOTIDE INJECTION,92.36052000000001,17.5484985,9.698,3491.883409,582 HCPCS,J2280,"INJ, MOXIFLOXACIN 100 MG",97.8075,18.583425,8.57,130.41,430 HCPCS,J2281,INJ MOXIFLOXACIN (FRES KABI),70.16625,13.3315875,7.1,93.555,430 HCPCS,J2290,"INJ, NAFCILLIN SODIUM, 20 MG",1.419007,0.269611,0.141901,1.419007,423 HCPCS,J2300,INJ NALBUPHINE HYDROCHLORIDE,38.86218,7.3838145,0.259081,51.81624,453 HCPCS,J2305,"INJ, NITROGLYCERIN, 5 MG",18.234450000000002,3.4645455,1.34,21.2706,430 HCPCS,J2312,"INJ NALOXONE HCL NOS, 0.01MG",95.962,18.23278,9.5962,95.962,485 HCPCS,J2315,"NALTREXONE, DEPOT FORM",46.7548085,8.883414,0.311699,62.339745,590 HCPCS,J2323,NATALIZUMAB INJECTION,270.79920000000004,51.451848,1.805328,361.0656,590 HCPCS,J2326,"INJ, NUSINERSEN, 0.1MG",6983.143978,1326.797356,69.83144,6983.143978,505 HCPCS,J2327,INJ RISANKIZUMAB-RZAA 1 MG,171.0185815,32.4935305,14.84,11986.901591,590 HCPCS,J2329,"INJ UBLITUXIMAB-XIIY, 1 MG",782.7434999999999,148.721265,68.655,1043.658,507 HCPCS,J2350,"INJECTION, OCRELIZUMAB, 1 MG",666.406485,126.617232,4.44271,888.54198,535 HCPCS,J2351,INJ OCRELIZUMAB 1MG HYA-OCSQ,569.3562,108.177678,45.187,569.3562,552 HCPCS,J2353,"OCTREOTIDE INJECTION, DEPOT",2476.327136,470.502156,16.508848,3301.769515,590 HCPCS,J2354,"OCTREOTIDE INJ, NON-DEPOT",9.34416,1.7753904999999999,0.062294,12.45888,453 HCPCS,J2356,"INJ TEZEPELUMAB-EKKO, 1MG",208.3271175,39.5821525,17.767,4763.381591,590 HCPCS,J2357,OMALIZUMAB INJECTION,428.141734,81.3469295,2.854278,3491.883409,590 HCPCS,J2358,OLANZAPINE LONG-ACTING INJ,33.078776000000005,6.2849675,0.220525,208.465227,579 HCPCS,J2359,"INJ. OLANZAPINE, 0.5MG",8.4483,1.6051769999999999,0.909,208.465227,500 HCPCS,J2360,ORPHENADRINE INJECTION,64.66068,12.285529499999999,8.621424,86.21424,430 HCPCS,J2370,PHENYLEPHRINE HCL INJECTION,0.0504,0.009576,0.000504,4.416,461 HCPCS,J2371,INJ PHENYLEPHRINE HCL 20 MCG,0.605716,0.115086,0.002,0.605716,427 HCPCS,J2401,CHLOROPROCAINE HCL INJECTION,0.351503,0.0667855,0.039,208.465227,495 HCPCS,J2404,"INJ, NICARDIPINE 0.1 MG",1.15992,0.220385,0.086,345.090682,495 HCPCS,J2405,ONDANSETRON HCL INJECTION,1.012331,0.192343,0.006749,1.349775,453 HCPCS,J2425,PALIFERMIN INJECTION,513.94392,97.649345,33.99,3491.883409,590 HCPCS,J2426,"INJ, INVEGA SUSTENNA, 1 MG",167.07222,31.7437215,1.113815,2469.396136,590 HCPCS,J2427,"INJ, INVEGA HAFYERA/TRINZA",143.1334685,27.195358999999996,12.67,18322.356136,590 HCPCS,J2430,PAMIDRONATE DISODIUM /30 MG,142.6881175,27.110742,0.951254,208.465227,508 HCPCS,J2440,PAPAVERIN HCL INJECTION,284.9868,54.147492,1.28,284.9868,436 HCPCS,J2469,PALONOSETRON HCL,6.69627,1.272291,0.044642,25798.0,541 HCPCS,J2470,INJ PANTOPRAZOLE SODIUM 40MG,24.5826,4.670694,0.245826,24.5826,417 HCPCS,J2501,PARICALCITOL,10.206,1.9391399999999999,0.06804,13.608,453 HCPCS,J2506,INJ PEGFILGRAST EX BIO 0.5MG,226.58454,43.0510625,1.510564,25798.0,803 HCPCS,J2507,PEGLOTICASE INJECTION,40257.54432,7648.9334205,268.383629,53676.72576,535 HCPCS,J2508,PEGUNIGALSIDASE ALFA-IWXJ,1341.6354,254.910726,134.16354,4763.381591,564 HCPCS,J2515,PENTOBARBITAL SODIUM INJ,319.63155,60.7299945,22.6,380.4738,507 HCPCS,J2540,PENICILLIN G POTASSIUM INJ,9.613863,1.826634,0.064092,12.818484,453 HCPCS,J2543,PIPERACILLIN/TAZOBACTAM,12.848765,2.4412655,0.085658,17.131687,453 HCPCS,J2545,PENTAMIDINE NON-COMP UNIT,900.2259000000001,171.042921,6.001506,1200.3012,508 HCPCS,J2547,"INJECTION, PERAMIVIR",21.168,4.02192,1.678,3491.883409,590 HCPCS,J2550,PROMETHAZINE HCL INJECTION,40.47813,7.6908449999999995,0.269854,53.97084,453 HCPCS,J2560,PHENOBARBITAL SODIUM INJ,348.775376,66.26732150000001,2.325169,465.033835,508 HCPCS,J2561,"INJ, SEZABY, 1 MG",8.19,1.5561,0.819,208.465227,564 HCPCS,J2562,PLERIXAFOR INJECTION,420.46452,79.8882585,2.803097,11986.901591,590 HCPCS,J2590,OXYTOCIN INJECTION,23.971569,4.554598,0.239716,23.971569,436 HCPCS,J2597,INJ DESMOPRESSIN ACETATE,56.132999999999996,10.66527,0.37422,508.159773,590 HCPCS,J2598,"INJ, VASOPRESSIN, 1 UNIT",18.908316,3.59258,1.255,208.465227,508 HCPCS,J2675,INJ PROGESTERONE PER 50 MG,10.13796,1.9262125,0.067586,13.51728,453 HCPCS,J2679,INJ FLUPHENAZINE HCL 1.25 MG,87.23862,16.5753375,7.148,208.465227,590 HCPCS,J2680,FLUPHENAZINE DECANOATE 25 MG,106.7094,20.274786,0.711396,208.465227,508 HCPCS,J2690,PROCAINAMIDE HCL INJECTION,2075.57154,394.3585925,13.837144,2767.42872,590 HCPCS,J2700,OXACILLIN SODIUM INJECITON,14.7609,2.804571,0.098406,19.6812,453 HCPCS,J2704,"INJ, PROPOFOL, 10 MG",0.9412200000000001,0.17883149999999998,0.006275,25798.0,519 HCPCS,J2710,NEOSTIGMINE METHYLSLFTE INJ,12.79215,2.430508,0.09,12.79215,436 HCPCS,J2720,INJ PROTAMINE SULFATE/10 MG,12.96162,2.4627075,0.086411,17.28216,453 HCPCS,J2730,PRALIDOXIME CHLORIDE INJ,846.4428,160.824132,84.64428,846.4428,508 HCPCS,J2760,PHENTOLAINE MESYLATE INJ,4475.0475,850.259025,29.83365,5966.73,590 HCPCS,J2765,METOCLOPRAMIDE HCL INJECTION,11.70288,2.2235475,0.078019,15.60384,453 HCPCS,J2770,QUINUPRISTIN/DALFOPRISTIN,53.676,10.19844,4.26,757.170682,576 HCPCS,J2778,RANIBIZUMAB INJECTION,1405.921826,267.12514699999997,90.41,2469.396136,590 HCPCS,J2783,RASBURICASE,4195.4266645,797.1310665,27.969511,5593.902219,590 HCPCS,J2785,REGADENOSON INJECTION,43.219575,8.211719,0.28813,57.6261,453 HCPCS,J2786,"INJECTION, RESLIZUMAB, 1MG",117.01746,22.2333175,10.49,3491.883409,590 HCPCS,J2790,RHO D IMMUNE GLOBULIN INJ,943.733387,179.309343,9.437334,943.733387,508 HCPCS,J2791,RHOPHYLAC INJECTION,498.023986,94.624557,4.88,498.023986,508 HCPCS,J2792,"RHO(D) IMMUNE GLOBULIN H, SD",372.6665105,70.806637,2.484443,7484.8725,590 HCPCS,J2794,"INJ RISPERDAL CONSTA, 0.5 MG",124.626614,23.679057,0.830844,1138.399773,590 HCPCS,J2795,ROPIVACAINE HCL INJECTION,0.8278414999999999,0.15728999999999999,0.005519,1.103789,453 HCPCS,J2798,"INJ., PERSERIS, 0.5 MG",127.15540850000001,24.159528,12.137,1138.399773,590 HCPCS,J2800,METHOCARBAMOL INJECTION,74.5038,14.155722,0.496692,99.3384,453 HCPCS,J2802,"INJ, ROMIPLOSTIM 1 MICROGRAM",119.55761999999999,22.7159475,10.516,2469.396136,558 HCPCS,J2804,"INJ, RIFAMPIN, 1 MG",894.6,169.974,0.14,894.6,470 HCPCS,J2805,SINCALIDE INJECTION,1297.14858,246.4582305,8.647657,1729.53144,508 HCPCS,J2820,SARGRAMOSTIM INJECTION,675.30456,128.3078665,4.50203,900.40608,590 HCPCS,J2850,INJ SECRETIN SYNTHETIC HUMAN,536.381773,101.912537,34.78,1138.399773,590 HCPCS,J2860,"INJECTION, SILTUXIMAB",1768.6771199999998,336.0486525,161.955,11986.901591,590 HCPCS,J2865,INJ SULFAMETH/TRIM 5 MG/1 MG,28.580844,5.43036,0.06,28.580844,470 HCPCS,J2916,NA FERRIC GLUCONATE COMPLEX,22.568323499999998,4.2879815,0.150455,30.091098,508 HCPCS,J2919,"INJ, METHYLPRED SOD SUCC 5MG",4.071752,0.773633,0.040718,4.071752,518 HCPCS,J2941,SOMATROPIN INJECTION,616.391797,117.114441,48.92,616.391797,589 HCPCS,J2997,ALTEPLASE RECOMBINANT,1030.53573,195.80178899999999,6.870238,1374.04764,590 HCPCS,J3000,STREPTOMYCIN INJECTION,320.50242000000003,60.8954595,25.59,427.33656,508 HCPCS,J3010,FENTANYL CITRATE INJECTION,9.601843,1.82435,0.064012,12.802457,453 HCPCS,J3030,SUMATRIPTAN SUCCINATE / 6 MG,701.13015,133.214729,42.18,701.13015,507 HCPCS,J3032,INJ. EPTINEZUMAB-JJMR 1 MG,219.12282000000002,41.6333355,19.32,2469.396136,590 HCPCS,J3055,INJ TALQUETAMAB-TGVS 0.25 MG,1057.97664,201.015562,69.997,11986.901591,564 HCPCS,J3060,"INJ, TALIGLUCERASE ALFA 10 U",471.98214,89.6766065,3.146548,629.30952,535 HCPCS,J3070,PENTAZOCINE INJECTION,714.42,135.7398,108.39,952.56,402 HCPCS,J3095,TELAVANCIN INJECTION,83.87062850000001,15.935419500000002,7.09,757.170682,590 HCPCS,J3101,TENECTEPLASE INJECTION,1841.96754,349.9738325,162.456,11986.901591,590 HCPCS,J3105,TERBUTALINE SULFATE INJ,24.30162,4.6173075,0.162011,37.5165,453 HCPCS,J3110,TERIPARATIDE INJECTION,869.347584,165.176041,8.693476,4763.381591,507 HCPCS,J3111,INJ. ROMOSOZUMAB-AQQG 1 MG,130.251285,24.747743999999997,0.868342,2469.396136,590 HCPCS,J3121,INJ TESTOSTERO ENANTHATE 1MG,0.6010115,0.114192,0.004007,0.801349,453 HCPCS,J3230,CHLORPROMAZINE HCL INJECTION,345.6432,65.672208,2.304288,460.8576,508 HCPCS,J3240,THYROTROPIN INJECTION,23450.0758245,4455.5144065,156.333839,31266.767766,590 HCPCS,J3241,INJ. TEPROTUMUMAB-TRBW 10 MG,3936.13668,747.8659695,26.240911,5248.18224,535 HCPCS,J3243,TIGECYCLINE INJECTION,7.1462375,1.357785,0.047642,208.465227,508 HCPCS,J3245,"INJ., TILDRAKIZUMAB, 1 MG",1510.23852,286.9453185,126.238,18322.356136,590 HCPCS,J3246,TIROFIBAN HCL,41.05836,7.8010885000000005,2.944,208.465227,492 HCPCS,J3247,INJ SECUKINUMAB INTRAV 1MG,267.92643,50.906022,16.9518,3491.883409,572 HCPCS,J3250,TRIMETHOBENZAMIDE HCL INJ,577.773,109.77687,3.85182,770.364,508 HCPCS,J3260,TOBRAMYCIN SULFATE INJECTION,23.1467545,4.397883,0.154312,30.862339,453 HCPCS,J3262,TOCILIZUMAB INJECTION,67.654434,12.854342500000001,0.45103,2469.396136,590 HCPCS,J3263,"INJ, TORIPALIMAB-TPZI, 1 MG",594.48816,112.95275,37.52405,11986.901591,572 HCPCS,J3285,TREPROSTINIL INJECTION,634.42764,120.54125149999999,4.229518,1138.399773,590 HCPCS,J3299,INJ XIPERE 1 MG,549.10548,104.3300415,48.0,732.14064,590 HCPCS,J3300,TRIAMCINOLONE A INJ PRS-FREE,266.34825,50.606168,2.663483,345.090682,589 HCPCS,J3301,TRIAMCINOLONE ACET INJ NOS,10.18332,1.9348305,0.067889,13.57776,453 HCPCS,J3303,TRIAMCINOLONE HEXACETONL INJ,182.033,34.58627,3.61,208.465227,489 HCPCS,J3315,TRIPTORELIN PAMOATE,4786.549532,909.4444110000001,471.625,6382.066043,507 HCPCS,J3316,"INJ., TRIPTORELIN XR 3.75 MG",44252.333912,8407.943443,442.523339,44252.333912,589 HCPCS,J3357,"USTEKINUMAB SUB CU INJ, 1 MG",1767.7132425,335.865516,11.784755,2356.95099,583 HCPCS,J3358,"USTEKINUMAB, IV INJECT, 1 MG",144.68706,27.4905415,0.96458,7484.8725,590 HCPCS,J3360,DIAZEPAM INJECTION,96.92298,18.4153665,0.646153,129.23064,453 HCPCS,J3373,"INJ, VANCOMYCIN HCL, 10 MG",146.546613,27.843857,14.654661,146.546613,485 HCPCS,J3374,"INJ, VANCOMYCIN (MYLAN) 10MG",1.829535,0.347612,0.182954,1.829535,485 HCPCS,J3375,INJ VANCOMYCIN (XELLIA) 10MG,303.912,57.74328,30.3912,303.912,485 HCPCS,J3380,INJ VEDOLIZUMAB IV 1 MG,245.73778850000002,46.69018,1.638252,11986.901591,590 HCPCS,J3385,VELAGLUCERASE ALFA,4241.375459999999,805.8613375,28.275836,18322.356136,590 HCPCS,J3396,VERTEPORFIN INJECTION,18668.475,3547.01025,11.519,24891.3,590 HCPCS,J3410,HYDROXYZINE HCL INJECTION,139.59539999999998,26.523125999999998,0.930636,186.1272,453 HCPCS,J3411,THIAMINE HCL 100 MG,20.00376,3.8007144999999998,0.133358,26.67168,453 HCPCS,J3415,PYRIDOXINE HCL 100 MG,178.93386,33.9974335,1.192892,238.57848,453 HCPCS,J3420,VITAMIN B12 INJECTION,14.41314,2.7384965,0.096088,19.21752,453 HCPCS,J3425,HYDROXOCOBALAMIN IM 10MCG,0.09072,0.0172365,0.008,0.12096,512 HCPCS,J3430,VITAMIN K PHYTONADIONE INJ,27.635579999999997,5.2507605,0.184237,208.465227,508 HCPCS,J3465,"INJECTION, VORICONAZOLE",17.50896,3.3267025,0.116726,208.465227,508 HCPCS,J3470,HYALURONIDASE INJECTION,454.59792,86.373605,31.554,454.59792,507 HCPCS,J3471,"OVINE, UP TO 999 USP UNITS",11.317499999999999,2.150325,0.07545,345.090682,508 HCPCS,J3473,HYALURONIDASE RECOMBINANT,4.1390775,0.7864245000000001,0.027594,208.465227,508 HCPCS,J3475,INJ MAGNESIUM SULFATE,10.666428,2.0266215,0.07111,14.221904,453 HCPCS,J3480,INJ POTASSIUM CHLORIDE,63.0,11.97,0.16055,63.0,453 HCPCS,J3485,ZIDOVUDINE,17.157420000000002,3.2599095,0.114383,208.465227,508 HCPCS,J3486,ZIPRASIDONE MESYLATE,81.54594,15.4937285,3.138,208.465227,508 HCPCS,J3489,ZOLEDRONIC ACID 1MG,63.521577,12.0690995,0.423477,84.695436,508 HCPCS,J3490,DRUGS UNCLASSIFIED INJECTION,34.3951585,6.53508,0.573622,25798.0,603 HCPCS,J3535,METERED DOSE INHALER DRUG,361.244607,68.636475,36.124461,361.244607,488 HCPCS,J7030,NORMAL SALINE SOLUTION INFUS,63.0,11.97,0.63,25798.0,541 HCPCS,J7042,5% DEXTROSE/NORMAL SALINE,63.0,11.97,0.63,63.0,453 HCPCS,J7050,NORMAL SALINE SOLUTION INFUS,63.0,11.97,0.62,25798.0,541 HCPCS,J7060,5% DEXTROSE/WATER,63.0,11.97,0.63,63.0,453 HCPCS,J7100,DEXTRAN 40 INFUSION,409.5,77.805,4.095,409.5,436 HCPCS,J7120,RINGERS LACTATE INFUSION,63.0,11.97,0.63,63.0,453 HCPCS,J7121,5% DEXTROSE IN LAC RINGERS,63.0,11.97,0.63,63.0,436 HCPCS,J7131,HYPERTONIC SALINE SOL,63.0,11.97,0.161,63.0,436 HCPCS,J7168,PROTHROMBIN COMPLEX KCENTRA,27.846,5.29074,2.176,4763.381591,589 HCPCS,J7178,INJ HUMAN FIBRINOGEN CON NOS,16.81722,3.1952714999999996,0.112115,22.42296,511 HCPCS,J7183,WILATE INJECTION,12.0015,2.280285,0.08001,16.002,535 HCPCS,J7186,ANTIHEMOPHILIC VIII/VWF COMP,12.680388,2.4092735000000003,0.084536,7484.8725,590 HCPCS,J7187,"HUMATE-P, INJ",14.600249999999999,2.7740475,0.097335,7484.8725,590 HCPCS,J7189,FACTOR VIIA RECOMB NOVOSEVEN,4740.564528000001,900.7072605,2.5137,11986.901591,590 HCPCS,J7192,FACTOR VIII RECOMBINANT NOS,17.19144,3.2663735000000003,0.11461,11986.901591,590 HCPCS,J7195,FACTOR IX RECOMBINANT NOS,2763.558,525.07602,1.78125,11986.901591,590 HCPCS,J7197,ANTITHROMBIN III INJECTION,44.91774,8.5343705,0.299452,11986.901591,590 HCPCS,J7198,ANTI-INHIBITOR,26.79642,5.0913195,0.178643,11986.901591,590 HCPCS,J7201,FACTOR IX ALPROLIX RECOMB,36.83232,6.9981405,0.245549,11986.901591,579 HCPCS,J7205,FACTOR VIII FC FUSION RECOMB,26.51292,5.0374545,0.176753,11986.901591,579 HCPCS,J7210,"INJ, AFSTYLA, 1 I.U.",17.905859999999997,3.4021135000000005,1.51,11986.9,698 HCPCS,J7295,ETH ESTR AND ETON MONTHLY,744.4458,141.444702,7.444458,744.4458,507 HCPCS,J7296,"KYLEENA, 19.5 MG",15304.338,2907.82422,153.04338,15304.338,507 HCPCS,J7297,"LILETTA, 52 MG",15304.338,2907.82422,153.04338,15304.338,507 HCPCS,J7298,"MIRENA, 52 MG",15304.338,2907.82422,153.04338,15304.338,507 HCPCS,J7300,INTRA COPP CONTRA (PARAGARD),14351.4,2726.766,143.514,14351.4,507 HCPCS,J7301,"SKYLA, 13.5 MG",12743.388,2421.24372,127.43388,12743.388,507 HCPCS,J7304,CONTRACEPTIVE HORMONE PATCH,468.6822,89.049618,40.72,468.6822,489 HCPCS,J7307,ETONOGESTREL IMPLANT SYSTEM,10683.54,2029.8726,106.8354,10683.54,507 HCPCS,J7312,DEXAMETHASONE INTRA IMPLANT,3108.022838,590.524339,31.080228,3108.022838,585 HCPCS,J7313,"INJ., ILUVIEN, 0.01 MG",5598.376288,1063.6914944999999,37.322509,18322.356136,590 HCPCS,J7315,OPHTHALMIC MITOMYCIN,4523.4,859.446,134.51,4523.4,507 HCPCS,J7318,"INJ, DUROLANE 1 MG",76.00067999999999,14.440129500000001,6.684,1138.399773,590 HCPCS,J7321,HYALGAN SUPARTZ VISCO-3 DOSE,828.1034999999999,157.339665,73.387,1104.138,508 HCPCS,J7322,"INJ., TRILURON, 1 MG",337.164975,64.061345,17.5,337.164975,566 HCPCS,J7323,EUFLEXXA INJ PER DOSE,1368.53388,260.0214375,9.123559,1824.71184,590 HCPCS,J7324,ORTHOVISC INJ PER DOSE,1044.82224,198.51622550000002,97.698,1393.09632,590 HCPCS,J7325,SYNVISC OR SYNVISC-ONE,103.90841999999999,19.7425995,9.09,757.170682,590 HCPCS,J7326,GEL-ONE,5969.11518,1134.1318845,39.794101,7958.82024,590 HCPCS,J7327,MONOVISC INJ PER DOSE,6403.1990399999995,1216.6078175,42.687994,8537.59872,590 HCPCS,J7328,GELSYN-3 INJECTION 0.1 MG,24.687224999999998,4.690573,0.59,757.170682,500 HCPCS,J7330,HC AUTOLOG CULT CHONDROCY IMP,,,55239.305264,606854.33952,212 HCPCS,J7336,CAPSAICIN 8% PATCH,37.72818,7.1683544999999995,3.377,1138.399773,590 HCPCS,J7355,INJ TRAVOPROST INTRA IMPL,2484.216025,472.001045,194.41,2484.216025,551 HCPCS,J7402,MOMETASONE SINUS SINUVA,128.6522775,24.4439325,0.857682,2469.396136,590 HCPCS,J7500,AZATHIOPRINE ORAL 50MG,13.53996,2.5725925,0.090266,18.05328,453 HCPCS,J7501,AZATHIOPRINE PARENTERAL,2885.022,548.15418,153.373636,2885.022,590 HCPCS,J7502,CYCLOSPORINE ORAL 100 MG,29.32524,5.5717955,0.195502,39.10032,453 HCPCS,J7503,TACROL ENVARSUS EX REL ORAL,20.446008499999998,3.8847419999999997,0.136307,208.465227,508 HCPCS,J7504,LYMPHOCYTE IMMUNE GLOBULIN,31034.611875,5896.5762565,206.897413,41379.4825,590 HCPCS,J7507,TACROLIMUS IMME REL ORAL 1MG,2.16405,0.4111695,0.015536,2.77452,453 HCPCS,J7509,METHYLPREDNISOLONE ORAL,2.80287,0.532545,0.018686,3.73716,453 HCPCS,J7510,PREDNISOLONE ORAL PER 5 MG,6.479835,1.2311685,0.043199,8.63978,453 HCPCS,J7511,ANTITHYMOCYTE GLOBULN RABBIT,10775.99376,2047.4388145,71.839958,14367.99168,590 HCPCS,J7512,PREDNISONE IR OR DR ORAL 1MG,0.056952,0.010821,0.00038,0.36225,450 HCPCS,J7514,MYCOPHENOL (MYHIBBIN) 100 MG,18.451125,3.5057135,2.46015,412.02,423 HCPCS,J7515,CYCLOSPORINE ORAL 25 MG,10.21167,1.9402169999999999,0.068078,13.61556,453 HCPCS,J7516,"INJ, CYCLOSPORINE 250MG",1078.9632,205.003008,53.9695,1078.9632,507 HCPCS,J7517,MYCOPHENOLATE MOFETIL ORAL,1.7255699999999998,0.327858,0.011504,2.30076,453 HCPCS,J7518,MYCOPHENOLIC ACID,5.42052,1.0298984999999998,0.036137,7.22736,453 HCPCS,J7519,INJ. MYCOPHENOLATE MOFETIL,4.67208,0.8876955,0.31,1138.399773,495 HCPCS,J7520,"SIROLIMUS, ORAL",12.057254999999998,2.2908785,0.080382,18.7425,453 HCPCS,J7525,TACROLIMUS INJECTION,2887.91244,548.7033635,19.25275,3850.54992,590 HCPCS,J7527,ORAL EVEROLIMUS,26.331359,5.002958,0.175542,35.108479,453 HCPCS,J7605,ARFORMOTEROL NON-COMP UNIT,9.1854,1.745226,0.69,12.2472,430 HCPCS,J7606,"FORMOTEROL FUMARATE, INH",21.40992,4.0678845,0.142733,28.54656,453 HCPCS,J7608,ACETYLCYSTEINE NON-COMP UNIT,92.3832,17.552808,0.615888,123.1776,453 HCPCS,J7611,ALBUTEROL NON-COMP CON,1.8144,0.344736,0.012096,2.4192,453 HCPCS,J7612,LEVALBUTEROL NON-COMP CON,3.3339600000000003,0.6334525,0.28,4.44528,430 HCPCS,J7613,ALBUTEROL NON-COMP UNIT,0.8476425000000001,0.161052,0.005651,1.13019,445 HCPCS,J7614,LEVALBUTEROL NON-COMP UNIT,0.9752399999999999,0.1852955,0.006502,2.394,453 HCPCS,J7620,ALBUTEROL IPRATROP NON-COMP,2.1092400000000002,0.4007555,0.19,2.81232,430 HCPCS,J7626,BUDESONIDE NON-COMP UNIT,16.01208,3.0422955,0.106747,21.34944,453 HCPCS,J7631,CROMOLYN SODIUM NONCOMP UNIT,2.42676,0.4610845,0.016178,5.1345,453 HCPCS,J7639,DORNASE ALFA NON-COMP UNIT,607.7446199999999,115.4714775,4.051631,810.32616,508 HCPCS,J7644,IPRATROPIUM BROMIDE NON-COMP,4.1391,0.786429,0.027594,5.5188,453 HCPCS,J7674,"METHACHOLINE CHLORIDE, NEB",18.2574,3.4689059999999996,1.2535,208.465227,508 HCPCS,J7682,TOBRAMYCIN NON-COMP UNIT,181.4967,34.484373,1.209978,241.9956,508 HCPCS,J7799,NON-INHALATION DRUG FOR DME,63.0,11.97,6.3,208.465227,489 HCPCS,J7999,"COMPOUNDED DRUG, NOC",246.9996,46.929924,24.69996,246.9996,488 HCPCS,J8499,ORAL PRESCRIP DRUG NON CHEMO,1430.7888,271.849872,92.651212,1430.7888,489 HCPCS,J8501,ORAL APREPITANT,32.3983415,6.155685,0.215989,208.465227,508 HCPCS,J8510,ORAL BUSULFAN,1061.046,201.59874,24.18,1061.046,507 HCPCS,J8515,"CABERGOLINE, ORAL 0.25MG",30.4227,5.780313,0.304227,30.4227,436 HCPCS,J8522,"CAPECITABINE, ORAL, 50 MG",0.5289735,0.100505,0.004534,0.604498,499 HCPCS,J8530,CYCLOPHOSPHAMIDE ORAL 25 MG,15.919092000000001,3.0246275,0.106127,21.225456,453 HCPCS,J8540,ORAL DEXAMETHASONE,0.6948084999999999,0.1320135,0.004632,25798.0,519 HCPCS,J8560,ETOPOSIDE ORAL 50 MG,867.78216,164.87861049999998,76.46,1157.04288,425 HCPCS,J8600,MELPHALAN ORAL 2 MG,98.8974,18.790506,9.88974,98.8974,425 HCPCS,J8610,METHOTREXATE ORAL 2.5 MG,2.00718,0.3813645,0.013381,2.67624,453 HCPCS,J8700,TEMOZOLOMIDE,3.0051015000000003,0.570969,0.020034,5.0085,453 HCPCS,J8705,TOPOTECAN ORAL,1416.7232099999999,269.17741,124.9,1888.96428,508 HCPCS,J8999,ORAL PRESCRIPTION DRUG CHEMO,8987.11884,1707.55258,898.711884,8987.11884,412 HCPCS,J9000,DOXORUBICIN HCL INJECTION,37.6488,7.153272,0.250992,50.1984,453 HCPCS,J9015,ALDESLEUKIN INJECTION,66795.876,12691.21644,2110.63,66795.876,507 HCPCS,J9017,ARSENIC TRIOXIDE INJECTION,53.082539999999995,10.0856825,0.353884,71.64675,535 HCPCS,J9019,ERWINAZE INJECTION,5383.5894,1022.881986,53.835894,5383.5894,436 HCPCS,J9021,"INJ, ASPARA, RYLAZE, 0.1 MG",613.9476,116.650044,54.378,818.5968,507 HCPCS,J9022,"INJ, ATEZOLIZUMAB,10 MG",1000.4485425,190.085223,6.669657,25798.0,793 HCPCS,J9023,"INJECTION, AVELUMAB, 10 MG",1099.39032,208.88416049999998,7.329269,11986.901591,590 HCPCS,J9024,INJ ATEZOLIZUMB 5MG HYA-TQJS,389.0376,73.917144,30.876,389.0376,552 HCPCS,J9025,AZACITIDINE INJECTION,3.2318999999999996,0.614061,0.021546,4.3092,453 HCPCS,J9026,"INJ, TARLATAMAB-DLLE, 1 MG",19850.292,3771.55548,1570.765,19850.292,558 HCPCS,J9027,CLOFARABINE INJECTION,95.8797,18.217143,0.639198,2469.396136,579 HCPCS,J9028,"INJ, NOGAPENDEKIN PMLN, 1MCG",1434.4344,272.542536,94.58,7484.8725,558 HCPCS,J9029,"INSTILL ADSTILADRIN, TX DOSE",150579.8545,28610.172355,15057.98545,150579.8545,499 HCPCS,J9030,BCG LIVE INTRAVESICAL 1MG,34.0087395,6.4616605,3.14,45.344986,425 HCPCS,J9032,"INJECTION, BELINOSTAT, 10MG",570.1752,108.33328800000001,3.801168,11986.901591,590 HCPCS,J9033,"INJ, BENDAMUSTINE HCL, 1MG",20.43468,3.8825895,0.136231,4763.381591,579 HCPCS,J9034,"INJ., BENDEKA 1 MG",152.55702,28.985833500000002,1.017047,4763.381591,590 HCPCS,J9035,BEVACIZUMAB INJECTION,820.75896,155.9442025,5.471726,4763.381591,590 HCPCS,J9038,INJ AXATILIMAB-CSFR 0.1 MG,661.5,125.685,66.15,661.5,470 HCPCS,J9039,"INJECTION, BLINATUMOMAB",1729.4293575000002,328.59157799999997,11.529529,11986.901591,590 HCPCS,J9040,BLEOMYCIN SULFATE INJECTION,237.13074,45.0548405,1.580872,316.17432,453 HCPCS,J9041,"INJECTION, BORTEZOMIB, 0.1MG",25.174868,4.783225,0.167832,25798.0,651 HCPCS,J9042,BRENTUXIMAB VEDOTIN INJ,2822.8662000000004,536.3445780000001,18.819108,18322.356136,590 HCPCS,J9043,CABAZITAXEL INJECTION,2541.1806,482.824314,16.941204,25798.0,793 HCPCS,J9045,CARBOPLATIN INJECTION,39.811255,7.5641385,0.265408,25798.0,541 HCPCS,J9047,"INJECTION, CARFILZOMIB, 1 MG",589.2831315,111.96379499999999,3.928554,785.710842,535 HCPCS,J9050,CARMUSTINE INJECTION,2895.3288000000002,550.112472,19.302192,4763.381591,590 HCPCS,J9055,CETUXIMAB INJECTION,874.2573,166.108887,5.828382,4763.381591,590 HCPCS,J9057,"INJ., COPANLISIB, 1 MG",1123.416025,213.449045,11.23416,7484.8725,589 HCPCS,J9060,CISPLATIN 10 MG INJECTION,30.504600000000003,5.795874,0.203364,40.6728,453 HCPCS,J9061,"INJ, AMIVANTAMAB-VMJW",244.46771999999999,46.448866499999994,1.629785,11986.901591,579 HCPCS,J9063,"INJ, ELAHERE, 1 MG",772.3560600000001,146.7476515,68.07,1029.80808,507 HCPCS,J9065,INJ CLADRIBINE PER 1 MG,163.33002,31.032703500000004,1.088867,217.77336,535 HCPCS,J9074,"INJ, CYCLOPHOSPHAMD, SANDOZ",47.7414,9.070866,0.318276,63.6552,578 HCPCS,J9075,"INJ, CYCLOPHOSPHAMIDE, NOS",12.67812,2.408843,0.126781,12.67812,518 HCPCS,J9076,"INJ, CYCLOPHOS (BAXTER) 5MG",57.01752,10.8333285,5.23,76.02336,416 HCPCS,J9100,CYTARABINE HCL 100 MG INJ,8.961435,1.7026725000000003,0.059743,11.94858,453 HCPCS,J9118,INJ. CALASPARGASE PEGOL-MKNL,867.804783,164.88290849999998,5.785365,18322.356136,497 HCPCS,J9119,"INJ., CEMIPLIMAB-RWLC, 1 MG",319.85604,60.772647500000005,2.132374,11986.901591,590 HCPCS,J9120,DACTINOMYCIN INJECTION,3683.24334,699.8162345,24.554956,4910.99112,590 HCPCS,J9130,DACARBAZINE 100 MG INJ,47.33316,8.9933005,0.315554,63.11088,453 HCPCS,J9144,"DARATUMUMAB, HYALURONIDASE",582.7168320000001,110.716198,3.884779,25798.0,793 HCPCS,J9145,"INJECTION, DARATUMUMAB 10 MG",740.69478,140.7320085,4.937965,7484.8725,590 HCPCS,J9150,DAUNORUBICIN INJECTION,266.69412,50.6718825,1.777961,355.59216,535 HCPCS,J9153,"INJ DAUNORUBICIN, CYTARABINE",2816.969457,535.2241965,18.779796,18322.356136,590 HCPCS,J9155,DEGARELIX INJECTION,48.54656250000001,9.223847,0.323644,64.72875,535 HCPCS,J9171,DOCETAXEL INJECTION,9.906120000000001,1.8821629999999998,0.080564,11.7558,453 HCPCS,J9173,"INJ., DURVALUMAB, 10 MG",951.2332200000001,180.7343115,6.341555,4763.381591,590 HCPCS,J9176,"INJECTION, ELOTUZUMAB, 1MG",87.5561515,16.635669,0.583708,7484.8725,590 HCPCS,J9177,INJ ENFORT VEDO-EJFV 0.25MG,415.57697999999993,78.9596265,2.770513,11986.901591,590 HCPCS,J9178,"INJ, EPIRUBICIN HCL, 2 MG",18.427500000000002,3.5012250000000003,1.62,24.57,425 HCPCS,J9179,ERIBULIN MESYLATE INJECTION,1511.8147800000002,287.24480850000003,10.078765,2015.75304,590 HCPCS,J9181,ETOPOSIDE INJECTION,11.06784,2.1028895,0.073786,25798.0,519 HCPCS,J9185,FLUDARABINE PHOSPHATE INJ,1908.522,362.61918,12.72348,2544.696,535 HCPCS,J9190,FLUOROURACIL INJECTION,25.288199999999996,4.804758,0.168588,33.7176,453 HCPCS,J9200,FLOXURIDINE INJECTION,45242.5176,8596.078344000001,3988.33,60323.3568,499 HCPCS,J9201,IN GEMCITABINE HCL NOS 200MG,35.3324605,6.713167499999999,0.258551,44.809817,508 HCPCS,J9202,GOSERELIN ACETATE IMPLANT,7972.7002864999995,1514.8130545,53.151335,10630.267049,590 HCPCS,J9203,GEMTUZUMAB OZOGAMICIN 0.1 MG,118036.70474999999,22426.9739025,233.119,157382.273,590 HCPCS,J9204,"INJ MOGAMULIZUMAB-KPKC, 1 MG",2759.21478,524.2508085,18.394765,18322.356136,590 HCPCS,J9205,INJ IRINOTECAN LIPOSOME 1 MG,728.198474,138.35771,4.854656,7484.8725,590 HCPCS,J9206,IRINOTECAN INJECTION,22.38516,4.2531805,0.149234,29.84688,453 HCPCS,J9207,IXABEPILONE INJECTION,1547.0821915000001,293.945616,10.313881,4763.381591,590 HCPCS,J9208,IFOSFAMIDE INJECTION,284.2428665,54.006144500000005,1.894952,378.990489,453 HCPCS,J9209,MESNA INJECTION,17.9172,3.404268,0.119448,23.8896,453 HCPCS,J9210,"INJ., EMAPALUMAB-LZSG, 1 MG",1892.2592249999998,359.52925300000004,12.615062,2523.0123,535 HCPCS,J9211,IDARUBICIN HCL INJECTION,530.712,100.83527999999998,3.53808,707.616,453 HCPCS,J9214,INTERFERON ALFA-2B INJ,12312.972,2339.46468,32.57,12312.972,417 HCPCS,J9216,INTERFERON GAMMA 1-B INJ,66350.97315,12606.684898,430.93,66350.97315,425 HCPCS,J9217,LEUPROLIDE ACETATE SUSPNSION,2050.2036735,389.53869800000007,13.668024,2733.604898,535 HCPCS,J9218,LEUPROLIDE ACETATE INJECITON,101.07342,19.2039495,8.91,134.76456,425 HCPCS,J9220,INDIGOTINDISULFONATE SOD 1MG,5017.824,953.38656,501.7824,5017.824,485 HCPCS,J9223,"INJ. LURBINECTEDIN, 0.1 MG",2323.5546600000002,441.47538549999996,15.490364,7484.8725,590 HCPCS,J9226,SUPPRELIN LA IMPLANT,513268.76664,97521.0656615,3421.791778,684358.35552,522 HCPCS,J9227,INJ. ISATUXIMAB-IRFC 10 MG,899.7949800000001,170.9610465,5.998633,7484.8725,579 HCPCS,J9228,IPILIMUMAB INJECTION,2041.7783399999998,387.9378845,13.611856,18322.356136,590 HCPCS,J9229,INJ INOTUZUMAB OZOGAM 0.1 MG,30143.182724000002,5727.2047175,200.954551,40190.910299,535 HCPCS,J9245,INJ MELPHA HYDROCH NOS 50 MG,1516.08996,288.0570925,10.107266,2469.396136,590 HCPCS,J9246,"INJ., EVOMELA, 1 MG",204.15402,38.7892635,1.361027,11986.901591,579 HCPCS,J9260,INJ METHOTREXATE SODIUM 50MG,38.25738,7.268902499999999,2.58,51.00984,425 HCPCS,J9261,NELARABINE INJECTION,847.7784,161.077896,5.651856,11986.901591,590 HCPCS,J9263,OXALIPLATIN,0.8504999999999999,0.16159500000000002,0.00567,208.465227,508 HCPCS,J9264,PACLITAXEL PROTEIN BOUND,153.49824,29.164665499999998,1.023322,3491.883409,590 HCPCS,J9266,PEGASPARGASE INJECTION,306979.8669,58326.174711,2046.532446,409306.4892,535 HCPCS,J9267,PACLITAXEL INJECTION,1.2366385,0.2349615,0.008244,1.648851,453 HCPCS,J9268,PENTOSTATIN INJECTION,30986.90154,5887.511292499999,206.579344,41315.86872,579 HCPCS,J9269,INJ. TAGRAXOFUSP-ERZS 10 MCG,3843.0126,730.1723939999999,25.620084,5124.0168,512 HCPCS,J9271,INJ PEMBROLIZUMAB,653.21802,124.1114235,4.354787,18322.356136,590 HCPCS,J9272,"INJ, DOSTARLIMAB-GXLY, 10 MG",2722.3257599999997,517.2418945,18.148838,18322.356136,579 HCPCS,J9273,"INJ TISOTU VEDOTIN-TFTV, 1MG",2062.4511599999996,391.86572049999995,188.65,2749.93488,494 HCPCS,J9274,"INJ, TEBENTAFUSP-TEBN, 1 MCG",2435.33304,462.7132775,214.756,3247.11072,507 HCPCS,J9276,"INJ ZANIDATAMAB-HRII, 2 MG",331.8084,63.043596,33.18084,331.8084,485 HCPCS,J9280,MITOMYCIN INJECTION,525.58632,99.8614005,3.503909,700.78176,535 HCPCS,J9281,MITOMYCIN INSTILLATION,3530.77704,670.8476375,312.995,4707.70272,507 HCPCS,J9286,"INJ GLOFITAMAB GXBM, 2.5 MG",13647.942,2593.10898,1364.7942,13647.942,590 HCPCS,J9289,INJ NIVOLUMAB 2 MG HYALURON,343.611072,65.286104,34.361107,343.611072,485 HCPCS,J9293,MITOXANTRONE HYDROCHL / 5 MG,689.6988,131.04277199999999,4.597992,919.5984,535 HCPCS,J9294,"INJ PEMETREXED, HOSPIRA 10MG",29.089368,5.52698,3.86,3491.883409,590 HCPCS,J9295,"INJECTION, NECITUMUMAB, 1 MG",64.98935850000001,12.347978000000001,0.433262,11986.901591,579 HCPCS,J9298,INJ NIVOL RELATLIMAB 3MG/1MG,2198.4177600000003,417.6993745,194.077,2931.22368,507 HCPCS,J9299,"INJECTION, NIVOLUMAB",366.23663999999997,69.5849615,2.441578,11986.901591,590 HCPCS,J9301,OBINUTUZUMAB INJ,848.540448,161.222685,5.656936,11986.901591,590 HCPCS,J9302,OFATUMUMAB INJECTION,784.098,148.97862,7.84098,11986.901591,579 HCPCS,J9303,PANITUMUMAB INJECTION,1879.1854199999998,357.0452295,12.527903,7484.8725,590 HCPCS,J9305,INJ. PEMETREXED NOS 10MG,59.784479999999995,11.3590515,0.398563,3491.883409,590 HCPCS,J9306,"INJECTION, PERTUZUMAB, 1 MG",183.59457749999999,34.8829695,1.223964,244.79277,590 HCPCS,J9307,PRALATREXATE INJECTION,4238.52912,805.3205325,28.256861,11986.901591,590 HCPCS,J9308,"INJECTION, RAMUCIRUMAB",826.8220800000001,157.0961955,5.512147,11986.901591,590 HCPCS,J9309,"INJ, POLATUZUMAB VEDOTIN 1MG",1390.086514,264.1164375,9.267243,18322.356136,590 HCPCS,J9311,"INJ RITUXIMAB, HYALURONIDASE",414.7721235,78.8067035,2.765147,7484.8725,590 HCPCS,J9312,"INJ., RITUXIMAB, 10 MG",870.1182,165.322458,5.800788,7484.8725,590 HCPCS,J9316,"PERTUZU, TRASTUZU, 10 MG",724.399257,137.63585849999998,4.829328,7484.8725,590 HCPCS,J9317,SACITUZUMAB GOVITECAN-HZIY,401.86696500000005,76.3547235,2.679113,535.82262,535 HCPCS,J9319,INJ ROMIDEPSIN LYOPHIL 0.1MG,344.64528,65.4826035,2.297635,11986.901591,582 HCPCS,J9320,STREPTOZOCIN INJECTION,4664.3184,886.220496,370.18,4664.3184,425 HCPCS,J9321,INJ EPCORITAMAB-BYSP 0.16 MG,730.110823,138.721056,54.86,7484.8725,590 HCPCS,J9325,INJ TALIMOGENE LAHERPAREPVEC,797.96178,151.6127385,5.319745,11986.901591,579 HCPCS,J9328,TEMOZOLOMIDE INJECTION,118.03806,22.4272315,0.78692,3491.883409,579 HCPCS,J9330,TEMSIROLIMUS INJECTION,334.73412,63.59948250000001,2.231561,446.31216,535 HCPCS,J9332,INJ EFGARTIGIMOD 2MG,367.97166,69.9146155,32.375,18322.356136,590 HCPCS,J9334,INJ EFGART-ALFA 2MG HYA-QVFC,500.48715,95.092559,33.37,18322.356136,590 HCPCS,J9342,INJ THIOTEPA NOS 1 MG,13258.930333,2519.196763,1325.893033,13258.930333,485 HCPCS,J9345,"INJ, RETIFANLIMAB-DLWR, 1 MG",338.31756,64.2803365,29.736,18322.356136,564 HCPCS,J9347,"INJ, TREMELIMUMAB-ACTL, 1 MG",1569.81888,298.26558750000004,138.24,11986.901591,590 HCPCS,J9349,"INJ., TAFASITAMAB-CXIX",158.37444,30.0911435,1.05583,7484.8725,590 HCPCS,J9350,"INJ MOSUNETUZUMAB-AXGB, 1 MG",9692.93304,1841.657278,96.92933,9692.93304,512 HCPCS,J9351,TOPOTECAN INJECTION,20.23056,3.8438065,0.13487,26.97408,453 HCPCS,J9352,INJECTION TRABECTEDIN 0.1MG,4113.585,781.58115,27.4239,11986.901591,590 HCPCS,J9353,"INJ. MARGETUXIMAB-CMKB, 5 MG",560.196,106.43724,3.73464,7484.8725,590 HCPCS,J9354,"INJ, ADO-TRASTUZUMAB EMT 1MG",464.57712,88.2696525,3.097181,7484.8725,590 HCPCS,J9355,INJ TRASTUZUMAB EXCL BIOSIMI,873.758397,166.0140955,5.825056,4763.381591,590 HCPCS,J9356,"INJ. HERCEPTIN HYLECTA, 10MG",715.1455444999999,135.8776535,4.767637,7484.8725,590 HCPCS,J9358,INJ FAM-TRASTU DERU-NXKI 1MG,326.7054,62.074025999999996,2.178036,4763.381591,590 HCPCS,J9359,INJ LON TESIRIN-LPYL 0.075MG,2405.4181200000003,457.02944249999996,211.995,3207.22416,494 HCPCS,J9360,VINBLASTINE SULFATE INJ,54.81756,10.4153365,0.36545,73.09008,453 HCPCS,J9370,VINCRISTINE SULFATE 1 MG INJ,94.48488,17.9521275,0.629899,125.97984,453 HCPCS,J9380,INJ TECLISTAMAB CQYV 0.5 MG,369.1283515,70.134387,32.419,7484.8725,590 HCPCS,J9381,INJ TEPLIZUMAB MZWV 5 MCG,492.63228000000004,93.6001335,37.307,563.00832,507 HCPCS,J9390,VINORELBINE TARTRATE INJ,73.74402,14.0113635,0.491627,98.32536,453 HCPCS,J9394,"INJ, FULVESTRANT (FRESENIUS)",37.67148,7.157581500000001,1.0,94.5,608 HCPCS,J9395,"INJECTION, FULVESTRANT",75.47904,14.3410175,0.503194,100.63872,535 HCPCS,J9400,"INJ, ZIV-AFLIBERCEPT, 1MG",91.10556,17.3100565,0.60737,2469.396136,579 HCPCS,J9600,PORFIMER SODIUM INJECTION,305278.092,58002.83748,3004.74,305278.092,512 HCPCS,L0120,HC CERV FLEXIBLE NON-ADJUSTABLE,,,40.088456,266.041574,201 HCPCS,L0140,HC CERVICAL PLASTIC COLLAR,171.18,32.5242,18.8298,124.9614,201 HCPCS,L0172,HC CERV COL THERMPLAS FOAM 2 PI,,,29.191992,193.728675,201 HCPCS,L0810,HC CERV HALO W JKT VEST,,,2061.995283,13684.150517,201 HCPCS,L0859,HC MRI COMPATIBLE SYSTEM,,,2332.7106,15480.7158,201 HCPCS,L1810,HC KO ELASTIC WITH JOINTS,287.28,54.5832,31.6008,209.7144,201 HCPCS,L1830,HC KO IMMOBILIZER CANVAS LONGIT,,,60.693356,402.783178,201 HCPCS,L1834,"HC KO,W/OJT,RIGID,C/FL1834",2359.68,448.3392,259.5648,1722.5664,201 HCPCS,L1834,HC PT KNEE WO JOINT CUSTOM L1834,919.0,174.61,101.09,670.87,201 HCPCS,L1845,HC KO DOUBLE UPRIGHT PRE CST,990.0,188.1,108.9,722.7,201 HCPCS,L1906,HC AFO MULTILIG ANK SUP PRE OTS,324.81,61.7139,35.7291,237.1113,201 HCPCS,L1930,"HC AFO,PLAS/OTHERMATL,P/FL1930",635.16,120.6804,69.8676,463.6668,201 HCPCS,L1930,HC PT ANK/FOOT W FIT PREFAB L1930,247.0,46.93,27.17,180.31,201 HCPCS,L1940,HC CUSTOM PLASTIC AFO,1748.37,332.1903,192.3207,1276.3101,201 HCPCS,L1940,HC CUSTOM PLS,1685.46,320.2374,185.4006,1230.3858,201 HCPCS,L2116,HC PREFAB AFO TIBIAL FX ORTHOSIS RIGID,2275.08,432.2652,250.2588,1660.8084,201 HCPCS,L2250,HC STIRRUP ATTACHM ADDTN,989.64,188.0316,108.8604,722.4372,201 HCPCS,L3000,HC FOOT INS UCB TYPE,880.38,167.2722,96.8418,642.6774,201 HCPCS,L3001,"HC FOOT, INSERT, REMOVABLE, MOLDED TO PATIENT MODEL, SPENCO",370.71,70.4349,40.7781,270.6183,201 HCPCS,L3002,HC PLASTAZOTE FOOT INSERT EACH,,,31.244953,207.352868,201 HCPCS,L3030,"HC FOOT, INSERT, REMOVABLE, FORMED TO PATIENT FOOT",213.9,40.641,23.529,156.147,201 HCPCS,L3040,HC PREMOLD LONGIT FOOT ARCH SUPPORT EA,131.88,25.0572,14.5068,96.2724,201 HCPCS,L3252,HC CUSTOM PLASTAZOTE MOLDED SHOE,792.0,150.48,87.12,578.16,201 HCPCS,L3390,HC SHOE OUTFLARE WEDGE,138.93,26.3967,15.2823,101.4189,201 HCPCS,L3660,HC SO 8 AB RSTR CAN/WEB PRE OTS,275.25,52.2975,30.2775,200.9325,201 HCPCS,L3670,HC SO ACRO/CLAV CAN WEB PRE OTS,350.85,66.6615,38.5935,256.1205,201 HCPCS,L3674,HC SO AIRPLANE W/WO JOINT CF,3127.53,594.2307,344.0283,2283.0969,201 HCPCS,L3702,HC OT ELBOW W FIT CUSTOM,287.0,54.53,31.57,209.51,201 HCPCS,L3720,HC EO - CUSTOM FREE MOTIONDBL UPRIGHT,2376.84,451.5996,261.4524,1735.0932,201 HCPCS,L3730,HC EO - CUSTOM DBL UPRIGHT W FLEXION ASSIST,3098.01,588.6219,340.7811,2261.5473,201 HCPCS,L3762,HC EO RIGID W/O JOINTS PRE OTS,275.07,52.2633,30.2577,200.8011,201 HCPCS,L3763,HC OT EWH RIGID W FIT CUST,766.0,145.54,84.26,559.18,201 HCPCS,L3764,HC EWHO W/JOINT(S) CF,891.0,169.29,98.01,650.43,201 HCPCS,L3766,HC EWHFO W/JOINT(S) CF,1162.0,220.78,127.82,848.26,201 HCPCS,L3806,HC OT WHF W JT W FIT CUSTOM,451.0,85.69,49.61,329.23,201 HCPCS,L3807,WHFO W/O JOINTS PRE CST,639.69,121.5411,70.3659,466.9737,201 HCPCS,L3808,HC WHFO RIGID W/O JOINTS,1049.43,199.3917,115.4373,766.0839,201 HCPCS,L3809,HC WHFO W/O JOINTS PRE OTS,387.0,73.53,42.57,282.51,201 HCPCS,L3901,HC WHFO CUSTOM FLEXOR HINGE CABLE DRIVEN,1288.0,244.72,141.68,940.24,201 HCPCS,L3905,HC OT WH W NONTORSION W FIT,986.0,187.34,108.46,719.78,201 HCPCS,L3906,HC OT WH WO JOINTS CUSTOM,418.0,79.42,45.98,305.14,201 HCPCS,L3906,"HC WHFO,GAUNTLET,C/F",1072.77,203.8263,118.0047,783.1221,201 HCPCS,L3908,WHO COCK-UP NONMOLDE PRE OTS,210.51,39.9969,23.1561,153.6723,201 HCPCS,L3912,HC HFO FLEXION GLOVE PRE OTS,248.16,47.1504,27.2976,181.1568,201 HCPCS,L3913,HC OT HF WO JT W FIT CUSTOM,269.0,51.11,29.59,196.37,201 HCPCS,L3921,HC OT HF W JT W FIT CUSTOM,269.0,51.11,29.59,196.37,201 HCPCS,L3923,HC OT HF WO JT W FIT PREFAB,89.0,16.91,9.79,64.97,201 HCPCS,L3924,HC HFO WITHOUT JOINTS PRE OTS,229.23,43.5537,25.2153,167.3379,201 HCPCS,L3925,HC OT F PIP/DIP W JT W FIT,51.0,9.69,5.61,37.23,201 HCPCS,L3927,HC FO PIP DIP NO JT SPR PRE OTS,88.74,16.8606,9.7614,64.7802,201 HCPCS,L3929,HC HFO NONTORSION JNTS PRE CST,204.57,38.8683,22.5027,149.3361,201 HCPCS,L3933,HC OT F WO JT W FIT CUSTOM,212.0,40.28,23.32,154.76,201 HCPCS,L3935,HC FO NONTORSION JOINT CF,565.14,107.3766,62.1654,412.5522,201 HCPCS,L3980,HC UP EXT FX ORTHOS HUMERAL NOS,437.0,83.03,48.07,319.01,201 HCPCS,L4210,"HC REPAIR OF ORTHOTIC DEVICE, REPAIR OR REPLACE MINOR PARTS",138.93,26.3967,15.2823,101.4189,201 HCPCS,L8030,HC BREAST PROSTHESIS SILICONE/E,,,1671.9296,11095.5328,201 HCPCS,L8048,HC UNSPEC MAXILLOFACIAL PROSTH,,,5104.654953,33876.346506,201 HCPCS,L8501,HC TRACHEOSTOMY SPEAKING VALVE,344.16,65.3904,37.8576,251.2368,201 HCPCS,L8509,HC TRACH-ESOPH VOICE PROS MD IN,306.69,58.2711,33.7359,223.8837,201 HCPCS,L8600,HC IMPLANT BREAST SILICONE/EQ,,,1845.098616,20270.097467,212 HCPCS,L8603,HC COLLAGEN IMP URINARY 2.5 ML,,,494.94313,5437.4034,212 HCPCS,L8604,HC DEXTRANOMER/HYALURONIC ACID 1 ML,,,2374.561577,26086.732815,212 HCPCS,L8606,HC SYNTHETIC IMPLNT URINARY 1ML,,,1934.1465,21248.37,212 HCPCS,L8610,HC OCULAR IMPLANT,,,362.912008,3986.920652,212 HCPCS,L8612,HC AQUEOUS SHUNT IMPLANT,,,117.733502,1293.4103,212 HCPCS,L8613,HC OSSICULAR IMPLANT,,,339.304278,3727.568119,212 HCPCS,L8614,HC EXTERNAL COCHLEAR PROCESSOR,132870.15,25245.3285,9433.78065,103638.717,212 HCPCS,L8616,HC COCH IMPLANT MICROPHONE REPL,,,553.212,3671.316,201 HCPCS,L8617,HC COCH IMPLANT TRANS COIL REPL,,,461.01,3059.43,201 HCPCS,L8619,HC COCH IMP EXT PROC/CONTR RPLC,,,10180.132898,67559.063779,201 HCPCS,L8659,HC INTERPHALANGEAL JOINT REPL,,,1679.657455,18452.574855,212 HCPCS,L8679,HC IMP NEUROSTI PLS GN ANY TYPE,158184.0,30054.96,17400.24,115474.32,201 HCPCS,L8680,HC IMPLT NEUROSTIM ELCTR EACH,,,6623.70786,72767.4948,212 HCPCS,L8681,HC PT PRGRM FOR IMPLT NEUROSTIM,,,2412.619,16011.017,201 HCPCS,L8686,HC IMPLT NROSTM PLS GEN SNG NON,91057.2,17300.868,10016.292,66471.756,201 HCPCS,L8687,HC IMPLT NROSTM PLS GEN DUA REC,,,18077.31,198595.8,212 HCPCS,L8688,HC IMPLT NROSTM PLS GEN DUA NON,,,21142.593,232270.74,212 HCPCS,L8689,HC EXTERNAL RECHARG SYS INTERN,,,1979.781833,13138.552167,201 HCPCS,L8690,HC EXTERNAL COCHLEAR MAGNET,26226.3,4982.997,1862.0673,20456.514,212 HCPCS,L8691,HC OSSEOINTEGRATED SND PROC RPL,,,6504.39009,43165.49787,201 HCPCS,L8692,HC NON-OSSEOINTEGRATED SND PROC,,,61.898276,410.779468,201 HCPCS,L8696,HC EXT ANTENNA PHREN NERVE STIM,,,253.5555,1682.6865,201 HCPCS,L8699,HC PROSTHETIC IMPLANT NOS,,,1239.8375,13620.75,212 HCPCS,L8699,PROSTHETIC IMPLANT NOS,,,5899.0,25798.0,36 HCPCS,L9900,HC O&P SUPPLY/ACCESSORY/SERVICE,,,873.61395,5797.61985,201 HCPCS,M0224,HC PEMIVIBART INFUSION,1623.72,308.5068,16.2372,1623.72,303 HCPCS,M0249,HC ADM TOCILIZU COVID-19 1ST,928.8,176.472,9.288,3915.2,319 HCPCS,M0250,HC ADM TOCILIZU COVID-19 2ND,928.8,176.472,9.288,3915.2,319 HCPCS,P9010,HC WHOLE BLOOD FOR TRANSFUSION,5022.38,954.2522,50.2238,5022.38,394 HCPCS,P9011,HC BLOOD SPLIT UNIT,3630.0,689.7,36.3,3630.0,394 HCPCS,P9012,HC CRYOPRECIPITATE EACH UNIT,712.8,135.432,7.128,1919.98,370 HCPCS,P9016,HC RBC LEUKOCYTES REDUCED,3851.38,731.7622,38.5138,25798.0,371 HCPCS,P9016,RBC LEUKOCYTES REDUCED,,,178.36,25798.0,193 HCPCS,P9017,HC PLASMA 1 DONOR FRZ W/IN 8 HR,545.42,103.6298,5.4542,1586.35,370 HCPCS,P9019,HC PLATELETS EA UNIT,1214.76,230.8044,12.1476,1586.35,370 HCPCS,P9021,HC RED BLOOD CELLS UNIT,3759.25,714.2575,37.5925,3759.25,370 HCPCS,P9022,HC WASHED RED BLOOD CELLS UNIT,11121.79,2113.1401,111.2179,11121.79,370 HCPCS,P9023,HC DETERGNT TX FROZ PLASMA EA UNIT,960.72,182.5368,9.6072,1586.35,370 HCPCS,P9034,"HC PLATELETS, PHERESIS",8725.2,1657.788,87.252,8725.2,370 HCPCS,P9035,HC PLATELET PHERES LEUKOREDUCED,8896.78,1690.3882,88.9678,8896.78,370 HCPCS,P9037,HC PLATE PHERES LEUKOREDU IRRAD,9252.86,1758.0434,92.5286,9252.86,370 HCPCS,P9038,"HC RBC, IRRADIATED, EACH UNIT",3336.04,633.8476,33.3604,3336.04,370 HCPCS,P9039,HC RBC DEGLYCEROLIZED,11127.6,2114.244,111.276,11127.6,370 HCPCS,P9040,HC RBC LR IRRADIATED EACH UNIT,3032.76,576.2244,30.3276,3032.76,370 HCPCS,P9044,HC CRYOPRECIPITATEREDUCEDPLASMA,858.0,163.02,8.58,1586.35,370 HCPCS,P9045,"ALBUMIN (HUMAN), 5%, 250 ML",601.02,114.1938,4.0068,1919.979678,579 HCPCS,P9047,"ALBUMIN (HUMAN), 25%, 50ML",602.154,114.40926,4.01436,1586.353697,496 HCPCS,P9050,"HC GRANULOCYTES, PHERESIS UNIT",20618.4,3917.496,206.184,20618.4,287 HCPCS,P9052,"HC PLATELETS, HLA-M, L/R, UNIT",18004.8,3420.912,180.048,18004.8,370 HCPCS,P9054,HC WSH LR FROZ DW WB/RBC EA UNIT,11127.6,2114.244,111.276,11127.6,370 HCPCS,P9059,"HC PLASMA, FRZ BETWEEN 8-24HOUR",858.0,163.02,8.58,1586.35,370 HCPCS,Q0091,HC OBTAINING SCREEN PAP SMEAR,74.94,14.2386,17.17,349.03,331 HCPCS,Q0114,HC FERN TEST,82.11,11.69,0.8211,224.67,405 HCPCS,Q0138,"FERUMOXYTOL, NON-ESRD",4.2750895,0.8122670000000001,0.028501,5.700119,579 HCPCS,Q0144,"AZITHROMYCIN DIHYDRATE, ORAL",124.566626,23.667659,1.245666,124.566626,422 HCPCS,Q0162,ONDANSETRON ORAL,0.146286,0.0277945,0.000975,25798.0,462 HCPCS,Q0163,DIPHENHYDRAMINE HCL 50MG,31.2333,5.934327,0.28,25798.0,446 HCPCS,Q0164,PROCHLORPERAZINE MALEATE 5MG,3.44925,0.655357,0.034492,3.44925,422 HCPCS,Q0166,GRANISETRON HCL 1 MG ORAL,19.593,3.72267,0.19593,19.593,422 HCPCS,Q0167,DRONABINOL 2.5MG ORAL,20.967660000000002,3.9838554999999998,0.139784,27.95688,422 HCPCS,Q0169,PROMETHAZINE HCL 12.5MG ORAL,0.657563,0.124937,0.006576,0.657563,422 HCPCS,Q0173,TRIMETHOBENZAMIDE HCL 250MG,169.223783,32.152519,0.84,169.223783,422 HCPCS,Q0175,PERPHENAZINE 4MG ORAL,10.87569,2.066381,0.108757,10.87569,422 HCPCS,Q0177,HYDROXYZINE PAMOATE 25MG,0.504,0.09576,0.00504,0.504,422 HCPCS,Q0180,DOLASETRON MESYLATE ORAL,1815.7608,344.994552,18.157608,1815.7608,421 HCPCS,Q0222,BEBTELOVIMAB 175 MG,30164.4,5731.236,301.644,30164.4,490 HCPCS,Q0477,HC PWR MODULE PT CABLE LVAD RPL,,,1920.875,12747.625,201 HCPCS,Q0479,HC POWER MODULE COMBO VAD REP,,,14601.114,96898.302,201 HCPCS,Q0481,HC MICROPRESR CU ELEC VAD REP,,,7772.409071,51580.532929,201 HCPCS,Q0483,HC MONITOR ELEC VAD REP,,,4302.76,28554.68,201 HCPCS,Q0485,HC MONITOR CABLE ELEC VAD REP,,,461.01,3059.43,201 HCPCS,Q0495,HC CHARGER ELEC/COMBO VAD REP,,,10661.6246,70754.4178,201 HCPCS,Q0497,HC BAT CLPS ELEC/COMBO VAD REP,,,1690.37,11217.91,201 HCPCS,Q0498,HC HOLSTER ELEC/COMBO VAD REP,,,589.78546,3914.03078,201 HCPCS,Q0499,HC BELT/VEST ELEC/COMBO VAD REP,,,578.56755,3839.58465,201 HCPCS,Q0501,HC SHWR COV ELECT/COMBO VAD REP,,,691.515,4589.145,201 HCPCS,Q0506,HC LITH-ION BATT ELEC/PNEUM VAD,,,509.672167,3382.369833,201 HCPCS,Q0508,HC MISC SUP/ACC IMP VAD,,,6601.135037,43807.532517,201 HCPCS,Q2009,FOSPHENYTOIN INJ PE,15.876,3.01644,0.15876,208.465227,495 HCPCS,Q2026,"HC INJECTION, RADIESSE, 0.1 ML",,,271.111133,2978.404,212 HCPCS,Q2041,AXICABTAGENE CILOLEUCEL CAR+,3867185.4929,734765.243651,38671.854929,3867185.4929,502 HCPCS,Q2042,TISAGENLECLEUCEL CAR-POS T,4468428.3044,849001.377836,44684.283044,4468428.3044,506 HCPCS,Q2043,SIPULEUCEL-T AUTO CD54+,395697.5625,75182.536875,2637.98375,527596.75,502 HCPCS,Q2050,DOXORUBICIN INJ 10MG,1542.7503,293.12255700000003,10.285002,2057.0004,577 HCPCS,Q2053,BREXUCABTAGENE CAR POS T,3855606.929,732565.31651,38556.06929,3855606.929,502 HCPCS,Q2054,LISOCABTAGENE MARA CAR POS T,3743442.7764,711254.127516,37434.427764,3743442.7764,506 HCPCS,Q2055,IDECABTAGENE VICLEUCEL CAR,3829053.57,727520.1783,38290.5357,3829053.57,506 HCPCS,Q2056,CILTACABTAGENE CAR-POS T,4355414.8623,827528.823837,43554.148623,4355414.8623,506 HCPCS,Q2058,OBECBTGE AUTOL UP TO 400 MIL,2135962.5,405832.875,213596.25,2135962.5,485 HCPCS,Q3014,HC TELEHEALTH FACILITY FEE,84.58,16.0702,0.8458,232.58,306 HCPCS,Q3027,INJ BETA INTERFERON IM 1 MCG,630.730857,119.83886249999999,4.204872,2469.396136,578 HCPCS,Q3028,INJ BETA INTERFERON SQ 1 MCG,496.254553,94.288365,4.962546,1138.399773,501 HCPCS,Q4074,ILOPROST NON-COMP UNIT DOSE,1681.01892,319.3935945,11.206793,2241.35856,422 HCPCS,Q4081,"EPOETIN ALFA, 100 UNITS ESRD",8.709119999999999,1.6547325000000002,0.058061,6487.0,572 HCPCS,Q4100,"HC SKIN SUBSTITUTE, NOS",,,2152.729851,23649.708225,212 HCPCS,Q4101,HC APLIGRAF SKIN SUB,,,1627.65867,17881.3206,212 HCPCS,Q4102,HC OASIS WOUND MATRIX SKIN SUB,,,287.200918,3155.165013,212 HCPCS,Q4104,HC INTEGRA BMWD SKIN SUB,,,7552.13297,82967.0946,212 HCPCS,Q4106,HC DERMAGRAFT SKIN SUB,,,1458.0489,16018.002,212 HCPCS,Q4107,HC GRAFTJACKET SKIN SUB,,,1760.56925,19341.465,212 HCPCS,Q4108,HC INTEGRA MATRIX SKIN SUB,,,3892.162352,42758.966679,212 HCPCS,Q4110,HC PRIMATRIX SKIN SUB,,,2200.297457,24172.28192,212 HCPCS,Q4114,HC INTEGRA FLOWABLE WOUND MATRIX 1 CC,,,5853.431537,64305.304206,212 HCPCS,Q4116,HC ALLODERM SKIN SUB,,,7167.829165,78745.165479,212 HCPCS,Q4118,HC MATRISTEM MICROMATRIX 1 MG,,,2404.29288,26413.3584,212 HCPCS,Q4121,HC THERASKIN PER 1 SQ CM,,,1854.697713,20375.55234,212 HCPCS,Q4122,"HC DERMACELL, AWM, POROUS SQ CM",,,3153.620909,34645.412802,212 HCPCS,Q4124,HC OASIS TRI-LAYER WND MATRIX PER 1 SQ CM,,,1793.588602,19704.212814,212 HCPCS,Q4125,HC ARTHROFLEX PER 1 SQ CM,,,2413.620112,26515.826585,212 HCPCS,Q4128,HC FLEXHD OR ALLOPATCH HD PER 1 SQ CM,,,4614.77482,50697.526188,212 HCPCS,Q4130,HC STRATTICE TM PER 1 SQ CM,,,8259.988686,90743.537682,212 HCPCS,Q4132,HC GRAFIX CORE,,,1613.970864,17730.94752,212 HCPCS,Q4133,HC GRAFIX STRAVIX PRIME PL SQCM,,,2755.712527,30274.02495,212 HCPCS,Q4150,"HC ALLOWRAP DS OR DRY, PER SQUARE CENTIMETER",,,2975.451301,32688.056544,212 HCPCS,Q4154,"HC BIOVANCE, PER SQUARE CENTIMETER",,,2657.963632,29200.16385,212 HCPCS,Q4158,"HC KERECIS OMEGA3, PER SQ CM",,,3090.779044,33955.03739,212 HCPCS,Q4159,HC AFFINITY1 SQUARE CM,,,2231.7075,24517.35,212 HCPCS,Q4160,HC NUSHIELD 1 SQUARE CM,,,1601.87005,17598.009,212 HCPCS,Q4166,"HC CYTAL, PER SQUARE CENTIMETER",,,2860.883703,31429.4266,212 HCPCS,Q4171,"HC INTERFYL, 1 MG",,,1400.189817,15382.367,212 HCPCS,Q4176,"HC NEOPATCH OR THERION,1 SQCM",,,1246.922286,13698.582857,212 HCPCS,Q4186,HC EPIFIX 1 SQ CM,,,3102.432003,34083.055812,212 HCPCS,Q4196,HC PURAPLY AM 1 SQ CM,,,2939.796687,32296.357971,212 HCPCS,Q4197,HC PURAPLY XT 1 SQ CM,,,3372.358,37048.44,212 HCPCS,Q4239,HC AMNIO-MAXX OR LITE PER SQ CM,,,2177.15465,23918.037,212 HCPCS,Q4274,"HC ESANO AC, PER SQ CM",,,3570.732,39227.76,212 HCPCS,Q4283,"HC BIOVANCE TRI OR 3L, SQ CM",,,6665.3664,73225.152,212 HCPCS,Q5009,HC HSPC HOSPICE NOTICE OF ELECTION,,,,,0 HCPCS,Q5101,"INJECTION, ZARXIO",4.04838,0.7691925,0.026989,508.159773,579 HCPCS,Q5103,"INJECTION, INFLECTRA",130.977,24.885630000000003,0.87318,2469.396136,579 HCPCS,Q5104,"INJECTION, RENFLEXIS",297.82242,56.5862595,1.985483,2469.396136,579 HCPCS,Q5105,INJ RETACRIT ESRD ON DIALYSI,8.58438,1.6310325,0.057229,345.09,698 HCPCS,Q5106,INJ RETACRIT NON-ESRD USE,84.69819,16.092655999999998,0.564655,25798.0,798 HCPCS,Q5107,INJ MVASI 10 MG,325.76644799999997,61.895625,2.171776,2469.396136,579 HCPCS,Q5108,"INJECTION, FULPHILA",1420.94736,269.97999849999997,9.472982,1894.59648,505 HCPCS,Q5110,NIVESTYM,3.27726,0.6226794999999999,0.021848,508.159773,584 HCPCS,Q5111,"INJECTION, UDENYCA 0.5 MG",1640.15712,311.62985299999997,12.985711,4763.381591,577 HCPCS,Q5112,INJ ONTRUZANT 10 MG,299.02436950000003,56.81463000000001,1.993496,4763.381591,577 HCPCS,Q5113,INJ HERZUMA 10 MG,816.2304295,155.08378150000001,5.441536,4763.381591,577 HCPCS,Q5114,INJ OGIVRI 10 MG,587.8654695,111.69443899999999,3.919103,4763.381591,577 HCPCS,Q5115,INJ TRUXIMA 10 MG,360.98622,68.5873815,2.406575,4763.381591,577 HCPCS,Q5116,"INJ., TRAZIMERA, 10 MG",215.10846,40.8706075,1.434056,4763.381591,577 HCPCS,Q5117,"INJ., KANJINTI, 10 MG",393.3617445,74.7387315,2.622412,3491.883409,577 HCPCS,Q5118,"INJ., ZIRABEV, 10 MG",260.82,49.5558,1.7388,2469.396136,577 HCPCS,Q5119,"INJ RUXIENCE, 10 MG",267.49926,50.8248595,1.783328,4763.381591,577 HCPCS,Q5120,INJ PEGFILGRASTIM-BMEZ 0.5MG,373.63032,70.989761,3.736303,4763.381591,576 HCPCS,Q5121,"INJ. AVSOLA, 10 MG",224.81550000000001,42.714945,1.49877,1138.399773,579 HCPCS,Q5122,"INJ, NYVEPRIA",707.35518,134.3974845,4.715701,7484.8725,564 HCPCS,Q5123,"INJ. RIABNI, 10 MG",417.03984,79.2375695,2.780266,4763.381591,584 HCPCS,Q5130,"INJ, FYLNETRA, 0.5 MG",2774.77704,527.207638,27.74777,3491.883409,584 HCPCS,Q5135,"INJ, TYENNE, 1 MG",62.08272,11.795717,0.620827,757.170682,564 HCPCS,Q5151,"INJ, ECULIZUMAB-AAGH, 2 MG",395.0478,75.059082,39.50478,395.0478,469 HCPCS,Q9950,INJ SULF HEXA LIPID MICROSPH,264.9402,50.338638,2.649402,264.9402,422 HCPCS,Q9954,"ORAL MR CONTRAST, 100 ML",20.16,3.8304,0.2016,20.16,421 HCPCS,Q9956,"INJ OCTAFLUOROPROPANE MIC,ML",471.8007,89.642133,3.145338,629.0676,422 HCPCS,Q9957,"INJ PERFLUTREN LIP MICROS,ML",471.8007,89.642133,3.145338,629.0676,422 HCPCS,Q9958,"HOCM <=149 MG/ML IODINE, 1ML",0.8391600000000001,0.15944049999999999,0.005594,1.11888,422 HCPCS,Q9960,"HOCM 200-249MG/ML IODINE,1ML",2.8224,0.536256,0.028224,2.8224,421 HCPCS,Q9961,"HOCM 250-299MG/ML IODINE,1ML",3.29994,0.6269885,0.022,4.39992,422 HCPCS,Q9963,"HOCM 350-399MG/ML IODINE,1ML",2.3700599999999996,0.4503115,0.0158,3.16008,422 HCPCS,Q9965,"LOCM 100-199MG/ML IODINE,1ML",13.65336,2.5941385,0.091022,18.20448,422 HCPCS,Q9966,"LOCM 200-299MG/ML IODINE,1ML",4.5927,0.872613,0.030618,6.1236,422 HCPCS,Q9967,"LOCM 300-399MG/ML IODINE,1ML",1.6135199999999998,0.3065685,0.010757,2.15136,422 HCPCS,Q9968,VISUALIZATION ADJUNCT,112.14,21.3066,1.1214,112.14,504 HCPCS,Q9982,FLUTEMETAMOL F18 DIAGNOSTIC,37875.6,7196.364,378.756,37875.6,504 HCPCS,Q9983,FLORBETABEN F18 DIAGNOSTIC,35280.0,6703.2,352.8,35280.0,504 HCPCS,Q9992,BUPRENORPHINE XR OVER 100 MG,21906.75375,4162.2832124999995,146.045025,29209.005,579 HCPCS,S0178,LOMUSTINE 10 MG,1442.53872,274.082357,14.425387,1442.53872,437 HCPCS,S0190,MIFEPRISTONE ORAL 200 MG,541.8,102.942,5.418,541.8,506 HCPCS,S2055,HARVEST DONOR MULTIVISERAL ORGANS,,,6487.0,25798.0,67 HCPCS,S2152,SOLID ORGAN(S) TRANSPL PROCUREMENT,,,5899.0,25798.0,60 HCPCS,S2325,HIP CORE DECOMPRESSION,,,5899.0,25798.0,132 HCPCS,S2342,HC NASAL ENDOSCOP PO DEBRID,1880.95,357.3805,514.48,25798.0,303 HCPCS,S2900,HC COMPUTER ASSISTED SURGERY,29342.6,5575.094,293.426,30374.0,232 HCPCS,S2900,HC ROBOTIC SURGERY,43175.54,8203.3526,431.7554,43175.54,232 HCPCS,S2900,ROBOTIC SURGICAL SYSTEM,,,5899.0,30374.0,101 HCPCS,S4028,MICROSURG EPI SPERM ASP,,,2900.0,25798.0,110 HCPCS,S5180,HC HH RESP THERAPY INIT EVAL,445.2,84.588,4.452,445.2,217 HCPCS,S5181,HC HH RESP THERAPY NOS/DIEM,445.2,84.588,4.452,445.2,217 HCPCS,S8037,HC CHOLANGIOGRAPHY MRI W & W/O,8252.0,1567.88,555.16,8252.0,326 HCPCS,S8037,HC CHOLANGIOGRAPHY MRI WITH,6300.0,1197.0,555.16,6300.0,326 HCPCS,S8110,HC PEAK EXPIRATORY FLOW RATE,27.36,5.1984,0.2736,337.32,300 HCPCS,S9110,HC HH TELEMONITORING/HOME SNTI PER MNTH,,,,,0 HCPCS,S9122,HC HH SVS OF AIDE EA 15 MIN,,,,,0 HCPCS,S9123,HC HH RN NURSING HOME CARE PER HOUR,,,62.5,62.5,3 HCPCS,S9124,HC HH LPN IN THE HOME PER HOUR,,,42.5,42.5,3 HCPCS,S9127,HC SW HOME VISIT PER DIEM,367.29,69.7851,3.6729,367.29,228 HCPCS,S9128,HC SPEECH THER HOME VISIT PER DIEM,393.75,74.8125,3.9375,596.0,251 HCPCS,S9129,HC OT HOME VISIT PER DIEM,393.75,74.8125,3.9375,596.0,251 HCPCS,S9131,HC PT IN THE HOME PER DIEM,393.75,74.8125,3.9375,596.0,251 HCPCS,S9140,HC DM PROGRAM F/U TO NON-MD,237.19,45.0661,2.3719,237.19,228 HCPCS,S9141,HC DM PROGRAM F/U TO MD,237.19,45.0661,2.3719,237.19,228 HCPCS,S9145,HC INSULIN PUMP INSTRUCTION,95.42,18.1298,0.9542,95.42,228 HCPCS,S9441,HC ASTHMA EDUCATION,187.62,35.6478,1.8762,187.62,228 HCPCS,S9443,HC LACTATION CLASS INITIAL,150.0,75.0,1.5,150.0,228 HCPCS,S9443,HC LACTATION CLASS SUBSEQUENT,90.0,50.0,0.9,90.0,228 HCPCS,S9445,HC PT EDUCATION NOC INDIVID,237.19,45.0661,2.3719,237.19,302 HCPCS,S9446,HC PT EDUCATION NOC GROUP,200.72,38.1368,2.0072,200.72,302 HCPCS,S9452,HC NUTRITION CLASS,276.22,52.4818,2.7622,276.22,228 HCPCS,S9455,HC DIABETES MANAGEMENT - GROUP,219.42,41.6898,2.1942,219.42,228 HCPCS,S9460,HC DM PROGRAM NURSE VISIT,237.19,45.0661,2.3719,237.19,228 HCPCS,S9465,HC DM PROGRAM DIETITIAN VISIT,237.19,45.0661,2.3719,237.19,247 HCPCS,S9470,HC HH NUTRITION COUNSELING DIETITIAN,,,,,0 HCPCS,S9470,HC NUTRITION COUNSELING DIETITIAN,237.19,45.0661,2.3719,237.19,236 HCPCS,S9480,"HC CHEM DEP INTENSIVE OP PSYCH PER DI, 3 HOURS",448.16,85.1504,134.448,514.38,292 HCPCS,S9485,"HC CHEM DEP CRISIS INTERV EXTENDED, 90 MIN",849.16,161.3404,254.748,2970.55,302 HCPCS,T1006,HC FAMILY PSYTX W/O PT,874.99,166.2481,125.46,874.99,266 HCPCS,T1013,HC SIGN LANG/INTERPRETER,82.09,15.5971,0.8209,524.0,228 HCPCS,T1021,HC HH OR CN AIDE PER VISIT,174.9,33.231,1.749,174.9,217 HCPCS,T1023,"HC CHEM DEP EVAL BRIEF, PRE ADMIT, 15 MIN",720.35,136.8665,56.67,720.35,266 HCPCS,T1028,HC HOME ENVIRONMENT ASSESSMENT,287.38,54.6022,2.8738,287.38,217 HCPCS,T1030,HC HH RN TELEHEALTH PER DIEM GT,,4.5,,,0 HCPCS,T1030,HC RN HOME CARE PER DIEM,45.0,8.55,0.45,45.0,217 HCPCS,T1031,HC LPN HOME CARE PER DIEM,434.07,82.4733,4.3407,434.07,217 HCPCS,T2022,HC CARE MGMT SVC BHVL HLTH COND 20+ MIN,114.48,21.7512,45.792,142.04,213 HCPCS,T2022,HC CASE MANAGEMENT MONTHLY,225.0,42.75,90.0,225.0,213 HCPCS,T2101,BREAST MILK PROC/STORE/DIST,28.278125,5.372844,0.282781,28.278125,437 HCPCS,T2101,HC BREAST MILK PROC/STORE/DIST,,,110.090585,858.706563,108 HCPCS,U0001,HC 2019-NCOV DIAGNOSTIC P,205.4,43.09,2.054,205.4,406 HCPCS,U0002,HC COVID-19 LAB TEST NON-CDC,205.4,61.57,2.054,205.4,404 HCPCS,V2630,HC ANTER CHAMBER INTRAOCUL LENS,,,86.491064,950.18352,212 HCPCS,V2632,HC POST CHMBR INTRAOCULAR LENS,,,342.832085,3766.324316,212 HCPCS,V2785,HC CORNEAL TISSUE PROCESSING,12653.66,2404.1954,1.0,46844.4834,581 HCPCS,V2787,HC ASTIGMATISM-CORRECT FUNCTION,,,605.098724,6647.56345,212 HCPCS,V2788,HC PRESBYOPIA-CORRECT FUNCTION,,,955.930649,10501.773324,212 HCPCS,V2790,HC AMNIOTIC MEMBRANE,,,1516.899853,16664.5336,212 HCPCS,V5010,HC ASSESSMENT HEARING AID,371.88,70.6572,3.7188,438.71,237 HCPCS,V5011,HC HEARING AID FITTING/CHCK,579.58,110.1202,5.7958,684.76,310 HCPCS,V5014,HC HEARING AID REPAIR/MODIF,700.21,133.0399,7.0021,827.05,236 HCPCS,V5020,HC CONFORMITY EVALUATION,325.86,61.9134,3.2586,385.38,237 HCPCS,V5090,HC HEARING AID DISPENS FEE,1879.27,357.0613,18.7927,2217.42,310 HCPCS,V5275,HC EAR IMPRESSION,110.69,21.0311,1.1069,375.0,212 LOCAL,1010005,HC RB SEMIPRIVATE 2B MED/SURG/GYN,13298.3025,2526.677475,,,0 LOCAL,1010006,HC RB SEMIPRIVATE 2B PEDIATRICS,12066.978,2292.72582,,,0 LOCAL,1010007,HC RB SEMIPRIVATE 2B PSYCHIATRY,11922.35,2265.2465,,,0 LOCAL,1010008,HC RB SEMIPRIVATE 2B OB,12682.6455,2409.702645,,,0 LOCAL,1010009,HC RB SEMIPRIVATE RB REHAB,9068.8,1723.072,,,0 LOCAL,1010010,HC RB SEMIPRIVATE 2B OTHER,9229.76,1753.6544,,,0 LOCAL,1010011,HC RB SEMIPRIVATE 4B MED/SURG/GYN,13626.648,2589.06312,,,0 LOCAL,1010012,HC RB SEMIPRIVATE 4B PEDIATRICS,8544.2805,1623.413295,,,0 LOCAL,1010013,HC RB SEMIPRIVATE 4B PSYCHIATRY,8137.41,1546.1079,,,0 LOCAL,1010014,HC RB SEMIPRIVATE 4B OB,16245.4635,3086.638065,,,0 LOCAL,1010015,HC RB SEMIPRIVATE 4B OTHER,8135.02,1545.6538,,,0 LOCAL,1010016,HC RB CCU GENERAL,21231.8,4034.042,,,0 LOCAL,1010017,HC RB CCU OTHER,20214.79,3840.8101,,,0 LOCAL,1010018,HC RB ICU MEDICAL,21890.2,4159.138,,,0 LOCAL,1010019,HC RB ICU SURGICAL,21874.58,4156.1702,,,0 LOCAL,1010020,HC RB ICU PEDIATRICS,19295.9445,3666.229455,,,0 LOCAL,1010021,HC RB ICU OTHER,17496.8,3324.392,,,0 LOCAL,1010022,HC RB NURSERY/NEWBORN LEVEL I,16668.6,3167.034,,,0 LOCAL,1010023,HC RB NURSERY/NEWBORN LEVEL III,18653.43,3544.1517,,,0 LOCAL,1010024,HC RB NURSERY/NEWBORN LEVEL IV,19567.74,3717.8706,,,0 LOCAL,1010025,HC RB POST OP/STEPDOWN ICU,20106.94,3820.3186,,,0 LOCAL,1010026,HC RB POST OP/STEPDOWN OTHER,17496.8,3324.392,,,0 LOCAL,1010027,HC RB POST OP/STEPDOWN REHAB,17496.8,3324.392,,,0 LOCAL,1010028,HC RB SPECIAL CARE ICU/INTERMEDIATE,19602.5,3724.475,,,0 LOCAL,1010029,HC RB SPECIAL CARE OTHER,18363.97,3489.1543,,,0 LOCAL,1010030,HC RB PED NICU TRANSFER,18021.77,3424.1363,,,0 LOCAL,1010031,HC RB SPECIAL CARE EPILEPSY,14693.93,2791.8467,,,0 LOCAL,1010032,HC RB NEURO REHAB SEMIPRIVATE,8609.42,1635.7898,,,0 LOCAL,1010033,HC RB EXEMPT UNIT SEMI PRIVATE,8606.89,1635.3091,,,0 LOCAL,1010034,HC RB NURSERY/NEWBORN LEVEL II,17687.1,3360.549,,,0 LOCAL,1010035,HC RB ICU/TRAUMA,22014.36,4182.7284,,,0 LOCAL,1010036,HC RB SEMIPRIVATE 2B SWING BED,9068.8,1723.072,,,0 LOCAL,1011001,HC RB STANDARD PRIVATE ROOM DIFFERENTIAL,375.0,71.25,,,0 LOCAL,1011002,HC RB PREMIUM PRIVATE ROOM DIFFERENTIAL,525.0,99.75,,,0 LOCAL,1011003,HC RB OB SEMI PRIVATE ROOM DIFFERENTIAL,250.0,47.5,,,0 LOCAL,1011004,HC RB PRIVATE 1B MED/SURG/GYN,13863.0135,2633.972565,,,0 LOCAL,1011005,HC RB PRIVATE 1B OB,16893.765,3209.81535,,,0 LOCAL,1011006,HC RB PRIVATE 1B PEDIATRICS,13134.1245,2495.483655,,,0 LOCAL,1011007,HC RB PRIVATE 1B PSYCHIATRY,12508.69,2376.6511,,,0 LOCAL,1011008,HC RB PRIVATE 1B REHAB,11922.3,2265.237,,,0 LOCAL,1011009,HC RB HOSPITAL AT HOME LOW ACUITY PATIENTS,15600.0,2964.0,,,0 LOCAL,1011010,HC RB INTENDED PARENT,750.0,142.5,,,0 LOCAL,1011011,HC RB HSPC SNF ROOM AND BOARD 3839,380.0,72.2,,,0 LOCAL,1011012,HC RB HSPC SNF CASH ASSESSMENT 3836,30.0,5.7,,,0 LOCAL,2010000,HC OPERATING ROOM FLAT FEE,8689.47,1650.9993,,,0 LOCAL,2010001,HC OPERATING ROOM PER MINUTE,177.77,33.7763,,,0 LOCAL,2010002,HC RECOVERY ROOM TO .5 HRS,650.3,123.557,,,0 LOCAL,2010003,HC RECOVERY ROOM .5 - 1.5 HRS,1982.75,376.7225,,,0 LOCAL,2010004,HC RECOVERY ROOM 1.5 - 3 HRS,3625.66,688.8754,,,0 LOCAL,2010005,HC RECOVERY ROOM 3 - 4.5 HRS,5327.31,1012.1889,,,0 LOCAL,2010006,HC RECOVERY ROOM 4.5 - 6 HRS,6872.04,1305.6876,,,0 LOCAL,2010007,HC RECOVERY ROOM 6 - 7.5 HRS,8426.86,1601.1034,,,0 LOCAL,2010008,HC RECOVERY ROOM 7.5 - 9 HRS,9967.4,1893.806,,,0 LOCAL,2010009,HC RECOVERY ROOM 9 - 10.5 HRS,12542.52,2383.0788,,,0 LOCAL,2010010,HC RECOVERY ROOM 10.5 - 12 HRS,14116.61,2682.1559,,,0 LOCAL,2010011,HC RECOVERY ROOM > 12 HRS,24859.33,4723.2727,,,0 LOCAL,2010012,HC POST PROC MONITORING TO 0.5 HR,892.77,169.6263,,,0 LOCAL,2010013,HC POST PROC MONITORING TO 1 HRS,1787.23,339.5737,,,0 LOCAL,2010014,HC POST PROC MONITORING TO 2 HRS,3574.46,679.1474,,,0 LOCAL,2010015,HC POST PROC MONITORING TO 3 HRS,5361.71,1018.7249,,,0 LOCAL,2010016,HC POST PROC MONITORING TO 4 HRS,7148.95,1358.3005,,,0 LOCAL,2010017,HC POST PROC MONITORING TO 5 HRS,8936.17,1697.8723,,,0 LOCAL,2010018,HC POST PROC MONITORING TO 6 HRS,10723.39,2037.4441,,,0 LOCAL,2010019,HC POST PROC MONITORING TO 7 HRS,12510.64,2377.0216,,,0 LOCAL,2010020,HC POST PROC MONITORING > 7 HRS,14297.86,2716.5934,,,0 LOCAL,2010026,HC S/P ABLATION,14409.39,2737.7841,,,0 LOCAL,2010027,HC S/P ANGIOPLASTY,15381.45,2922.4755,,,0 LOCAL,2010028,HC S/P ASPIRATION,7218.02,1371.4238,,,0 LOCAL,2010029,HC S/P ATHERECTOMY,8767.12,1665.7528,,,0 LOCAL,2010030,HC S/P BILARY PROCEDURE,10640.38,2021.6722,,,0 LOCAL,2010031,HC S/P BIOPSY,8996.21,1709.2799,,,0 LOCAL,2010032,HC S/P CATH DECLOTTING PROC,3638.81,691.3739,,,0 LOCAL,2010033,HC S/P CATHETER REPOSITIONING,1162.41,220.8579,,,0 LOCAL,2010034,HC S/P DESTRUCT BY NEUROLYT AGENT,1908.32,362.5808,,,0 LOCAL,2010035,HC S/P DRAINAGE,8454.34,1606.3246,,,0 LOCAL,2010036,HC S/P EMBOLIZATION,36030.99,6845.8881,,,0 LOCAL,2010037,HC S/P INJECTION PROCEDURE,7855.6,1492.564,,,0 LOCAL,2010038,HC S/P INTRO TO NEEDLE,7918.54,1504.5226,,,0 LOCAL,2010039,HC S/P KYPHOPLASTY,28896.38,5490.3122,,,0 LOCAL,2010040,HC S/P OTHER PROCEDURE,4129.47,784.5993,,,0 LOCAL,2010041,HC S/P PERIPHERAL ANGIOPLASTY,8345.16,1585.5804,,,0 LOCAL,2010042,HC S/P SELECTIVE CATH PLACEMENT,21600.79,4104.1501,,,0 LOCAL,2010043,HC S/P STENT GRAFT PROCEDURE,16740.51,3180.6969,,,0 LOCAL,2010044,HC S/P STENT PROCEDURE,34371.45,6530.5755,,,0 LOCAL,2010045,HC S/P THROMBECTOMY,5841.6,1109.904,,,0 LOCAL,2010046,HC S/P TIPS,12936.13,2457.8647,,,0 LOCAL,2010047,HC S/P TRANSCATH THERAPY/PROC,16470.96,3129.4824,,,0 LOCAL,2010048,HC S/P TUBE OR CATH PLACEMENT,10854.28,2062.3132,,,0 LOCAL,2010049,HC S/P VERTEBROPLASTY,8005.95,1521.1305,,,0 LOCAL,2010050,HC PAIN MANAGEMENT,1451.87,275.8553,,,0 LOCAL,2010057,HC S/P PERQ ART M-THROMBECT &/NFS,6746.68,1281.8692,,,0 LOCAL,2021130,HC SPECIAL X-RAY CONTRAST STUDY,207.09,39.3471,,,0 LOCAL,2022449,HC PANCREAS TRANSPLANT (CADAVER),278290.78,52875.2482,,,0 LOCAL,2022450,HC PANCREAS TRANSPLANT (LIVE),278290.78,52875.2482,,,0 LOCAL,2022451,HC KIDNEY TRANSPLANT (CADAVER),410628.0,78019.32,,,0 LOCAL,2022452,HC KIDNEY TRANSPLANT (LIVE),387140.0,73556.6,,,0 LOCAL,2022453,HC LIVER TRANSPLANT (CADAVER),425524.0,80849.56,,,0 LOCAL,2022454,HC LIVER TRANSPLANT (LIVE),589632.0,112030.08,,,0 LOCAL,2022459,HC XRAY FILM COPY,37.84,7.1896,,,0 LOCAL,2022460,HC XRAY FILM 5 COPY,158.56,30.1264,,,0 LOCAL,2022461,HC XRAY FILM 10 COPY,302.68,57.5092,,,0 LOCAL,2022462,HC XRAY FILM 20 COPY,605.37,115.0203,,,0 LOCAL,2022463,HC XRAY FILM 30 COPY,906.27,172.1913,,,0 LOCAL,2022464,HC OT NOVAVISION EVALUATION,745.38,141.6222,,,0 LOCAL,2022466,HC ANES SUPPLY/ANES-MEDIC GAS,795.98,151.2362,,,0 LOCAL,2022467,HC SWAN GANZ MONITORING,130.34,24.7646,,,0 LOCAL,2022468,HC LDR DELIVERY ROOM,9116.0,1732.04,,,0 LOCAL,2022469,HC CIRCUMCISION,698.41,132.6979,,,0 LOCAL,2022470,HC OBS ELECTROCAUTERY,331.52,62.9888,,,0 LOCAL,2022475,HC GUEST TRAY BREAKFAST,10.29,1.9551,,,0 LOCAL,2022476,HC GUEST TRAY LUNCH,19.88,3.7772,,,0 LOCAL,2022477,HC GUEST TRAY DINNER,19.88,3.7772,,,0 LOCAL,2022478,HC GUEST TRAY GOURMET LUNCH,33.4,6.346,,,0 LOCAL,2022479,HC GUEST TRAY GOURMET DINNER,34.3,6.517,,,0 LOCAL,2022480,HC GUEST TRAY KOSHER LUNCH,28.89,5.4891,,,0 LOCAL,2022481,HC MULTPLE BIRTH RESOURCES,5318.82,1010.5758,,,0 LOCAL,2022489,HC CHILD LIFE IND TRMNT 15MIN,147.9,28.101,,,0 LOCAL,2022490,HC CHILD LIFE THERAPY 15M IND,147.9,28.101,,,0 LOCAL,2022491,HC CHILD LIFE THERAPY 15M GRP,147.9,28.101,,,0 LOCAL,2022492,HC CHILD LIFE GRP TRMNT 90MIN,180.35,34.2665,,,0 LOCAL,2022494,HC PROBLM SOLVNG GP 60 971BI,223.61,42.4859,,,0 LOCAL,2022496,HC THERAPEUTIC REC 15M IND,144.8,27.512,,,0 LOCAL,2022497,HC THERAP REC. IND. 60 MINS,144.61,27.4759,,,0 LOCAL,2022498,HC THERAPEUTIC REC 15M GRP,157.5,29.925,,,0 LOCAL,2022499,HC THERAP REC. GRP. 90 MINS,185.47,35.2393,,,0 LOCAL,2022500,HC THERAP REC. GRP. 120 MINS,315.13,59.8747,,,0 LOCAL,2022504,HC THERAP REC. SPEC. SESS. 60 MIN,160.39,30.4741,,,0 LOCAL,2022506,HC THERAP REC. CO-TRMNT 60 MINS,161.48,30.6812,,,0 LOCAL,2022507,HC COMMUNITY REINTEG 180M IND,336.28,63.8932,,,0 LOCAL,2022508,HC COMMUNITY REINTEG 180M GRP,276.6,52.554,,,0 LOCAL,2022509,HC CHILDLIFE THERAPY 15M IND,151.98,28.8762,,,0 LOCAL,2022510,HC CHILD LIFE IND. TRMNT 60 MINS,147.53,28.0307,,,0 LOCAL,2022511,HC CHILDLIFE THERAPY 15M GRP,137.57,26.1383,,,0 LOCAL,2022512,HC CHILD LIFE GRP. TRMNT 90 MINS,171.79,32.6401,,,0 LOCAL,2022513,HC CHILD LIFE GRP. TRMNT 120. MIN,276.6,52.554,,,0 LOCAL,2022514,HC MUSIC THERAPY 30M EVAL,154.61,29.3759,,,0 LOCAL,2022516,HC MUSIC THERAPY 15M IND,158.06,30.0314,,,0 LOCAL,2022517,HC MUSIC THER. IND TRMNT 60 MINS,161.48,30.6812,,,0 LOCAL,2022518,HC MUSIC THERAPY 15M GRP,160.67,30.5273,,,0 LOCAL,2022519,HC MUSIC THER. GRP TRMNT 60 MINS,154.92,29.4348,,,0 LOCAL,2022520,HC ART THERAPY 30M EVAL,120.26,22.8494,,,0 LOCAL,2022521,HC ART THERAPY 15M IND,129.88,24.6772,,,0 LOCAL,2022522,HC ART THERAPY IND 60 MINS,124.02,23.5638,,,0 LOCAL,2022523,HC ART THERAPY 15M GRP,161.48,30.6812,,,0 LOCAL,2022524,HC ART THERAPY GRP 60 MINS,124.02,23.5638,,,0 LOCAL,2022525,HC THERAPEUTIC REC 30M EVAL,133.42,25.3498,,,0 LOCAL,2022663,HC TERMINATED PROCEDURE,4620.96,877.9824,,,0 LOCAL,2022669,HC ANES HRLY < 1 HR,136.76,25.9844,,,0 LOCAL,2022670,HC ANES HRLY 1 - 1.5 HRS,279.08,53.0252,,,0 LOCAL,2022671,HC ANES HRLY 1.5 - 2 HRS,419.55,79.7145,,,0 LOCAL,2022672,HC ANES HRLY 2 - 2.5 HRS,560.01,106.4019,,,0 LOCAL,2022673,HC ANES HRLY 2.5 - 3 HRS,700.46,133.0874,,,0 LOCAL,2022674,HC ANES HRLY 3 - 3.5 HRS,795.24,151.0956,,,0 LOCAL,2022675,HC ANES HRLY 3.5 - 4 HRS,977.64,185.7516,,,0 LOCAL,2022676,HC ANES HRLY 4+ HRS,1116.21,212.0799,,,0 LOCAL,2022677,HC TERMINATED PROCEDURE,4620.96,877.9824,,,0 LOCAL,2022681,HC PARATHYROID CRYOPRESERVATION,,,1863.763,14537.3514,108 LOCAL,2022683,HC L&D RECOVERY ROOM PER HR,839.09,159.4271,,,0 LOCAL,2022974,"HC ANES ANESTHESIA INPT TIME 10-11 HRS, CHG",2763.27,525.0213,,,0 LOCAL,2022975,"HC ANES ANESTHESIA INPT TIME 11-12 HRS, CHG",3038.97,577.4043,,,0 LOCAL,2022976,"HC ANES ANESTHESIA INPT TIME 1-2 HRS, CHG",279.08,53.0252,,,0 LOCAL,2022977,"HC ANES ANESTHESIA INPT TIME 12-13 HRS, CHG",3316.79,630.1901,,,0 LOCAL,2022978,"HC ANES ANESTHESIA INPT TIME 13-14 HRS, CHG",3594.61,682.9759,,,0 LOCAL,2022979,"HC ANES ANESTHESIA INPT TIME 2-3 HRS, CHG",560.01,106.4019,,,0 LOCAL,2022980,"HC ANES ANESTHESIA INPT TIME 3-4 HRS, CHG",839.06,159.4214,,,0 LOCAL,2022981,"HC ANES ANESTHESIA INPT TIME 4-5 HRS, CHG",1116.21,212.0799,,,0 LOCAL,2022982,"HC ANES ANESTHESIA INPT TIME 5-6 HRS, CHG",1303.51,247.6669,,,0 LOCAL,2022983,"HC ANES ANESTHESIA INPT TIME 6-7 HRS, CHG",1563.81,297.1239,,,0 LOCAL,2022984,"HC ANES ANESTHESIA INPT TIME 7-8 HRS, CHG",1824.14,346.5866,,,0 LOCAL,2022985,"HC ANES ANESTHESIA INPT TIME 8-9 HRS, CHG",1925.29,365.8051,,,0 LOCAL,2022986,"HC ANES 'ANESTHESIA INPT TIME 9-10 HRS, CHG",2163.15,410.9985,,,0 LOCAL,2023244,HC HEALTH AND FITNESS EVAL 90 MIN,375.0,71.25,,,0 LOCAL,2023245,HC EVAL V02 MAX AND LACTATE,425.0,80.75,,,0 LOCAL,2023246,HC GHF PRSNL TRAIN 60 MIN,175.0,33.25,,,0 LOCAL,2023247,HC GHF PRSNL TRAIN 30 MIN,90.0,17.1,,,0 LOCAL,2023248,HC SPORTS SPECIFIC TRAINING 60 MIN,175.0,33.25,,,0 LOCAL,2023250,HC AEROBIC CAPACITY TEST 60 MIN,225.0,42.75,,,0 LOCAL,2023251,HC MT LACTATE PROF 60 MIN,225.0,42.75,,,0 LOCAL,2023252,HC AEROBIC CAPACITY WITH LACTATE,350.0,66.5,,,0 LOCAL,2023253,HC MT REST MR 45 MIN,175.0,33.25,,,0 LOCAL,2023254,HC ANAEROBIC POWER ASSESS,225.0,42.75,,,0 LOCAL,2023255,HC RUNNERS EVALUATION,395.0,75.05,,,0 LOCAL,2023265,HC GOLF SWING ANALYSIS WITH K-VEST 90 MIN,150.0,28.5,,,0 LOCAL,2023266,HC GOLF TITLEIST EVALUATION,150.0,28.5,,,0 LOCAL,2023267,HC GOLF SWING WITH K-VEST AND TITLEIST EVALUATION,250.0,47.5,,,0 LOCAL,2023268,HC GP F/U W T AND KVEST,150.0,28.5,,,0 LOCAL,2023269,HC GP F/U W T 6 SESSION,750.0,142.5,,,0 LOCAL,2023270,HC GP F/U KVEST EXRCS 45 MIN,75.0,14.25,,,0 LOCAL,2023271,HC GP F/U KVEST EXRCS 10 SESS,650.0,123.5,,,0 LOCAL,2023272,HC GP RE EVAL 60 MIN,150.0,28.5,,,0 LOCAL,2023284,HC RB PRIVATE OUTPATIENT BED,375.0,71.25,,,0 LOCAL,2023285,HC RB PREMIUM PRIVATE OUTPATIENT BED,525.0,99.75,,,0 LOCAL,2023349,HC PERSONAL TRAINING 30 MIN 8 SESSION PACKAGE,570.0,108.3,,,0 LOCAL,2023351,HC PERSONAL TRAINING 60 MIN 8 SESSION PACKAGE,1140.0,216.6,,,0 LOCAL,2023544,HC IBD ANOSCOPY DIAGNOSTIC MINOR PROCEDURES,426.72,81.0768,,,0 LOCAL,2023545,HC IBD MOD/COMPLX PROCEDURES ANOSCOPY & OTHER,6051.34,1149.7546,,,0 LOCAL,2023546,HC IBD SIGMOIDOSCOPY,3804.51,722.8569,,,0 LOCAL,2023788,HC FUNCTIONAL MVMT SCREEN 60 MIN,200.0,38.0,,,0 LOCAL,2024288,HC L&D OPERATING ROOM FLAT FEE,4850.63,921.6197,,,0 LOCAL,2024289,HC L&D OPERATING ROOM PER MINUTE,148.52,28.2188,,,0 LOCAL,2024298,HC SPORTS NUTRIT ASSESS 60MIN,225.0,42.75,,,0 LOCAL,2024299,HC SPORTS NUTRIT FUP 30MIN,75.0,14.25,,,0 LOCAL,2024300,HC SPORTS NUTRIT FUP 60MIN,150.0,28.5,,,0 LOCAL,2024462,HC SPORTS PSYCHOLOGY ASSESSMENT 60MINS,225.0,42.75,,,0 LOCAL,2024463,HC SPORTS PSYCHOLOGY FOLLOW-UP 50MINS,130.0,24.7,,,0 LOCAL,2024476,HC CHINESE MED OFFICE VISIT - FOLLOW UP,45.61,8.6659,,,0 LOCAL,2024479,HC REIKI THERAPY,91.22,17.3318,,,0 LOCAL,2024480,HC MASSAGE THERAPY (FULL BODY) 60 MIN,91.22,17.3318,,,0 LOCAL,2024481,HC YOGA THERAPY,13.68,2.5992,,,0 LOCAL,2024482,HC QI GONG THERAPY,13.68,2.5992,,,0 LOCAL,2024683,HC CHINESE MED OFFICE VISIT - INITIAL,68.41,12.9979,,,0 LOCAL,2024689,HC ACUPUNCTURE W/ OR W/O STIM - 1 HOUR,91.22,17.3318,,,0 LOCAL,2024860,HC RUNNING LAB EVALUATION 180 MIN,495.0,94.05,,,0 LOCAL,2024862,HC RUNNING LAB RE-EVALUATION,300.0,57.0,,,0 LOCAL,2024993,HC WELLNESS EXE CLASS 60 MIN,20.0,3.8,,,0 LOCAL,2024995,HC IH WELLNESS CONSULT 45 MIN,68.41,12.9979,,,0 LOCAL,2024997,HC HYDROTHERAPY,159.63,30.3297,,,0 LOCAL,2024998,HC CHILD LIFE THERAPY 30M EVAL,133.42,25.3498,,,0 LOCAL,2025001,HC ACUPUNCTURE - INITIAL VISIT - 90 MINS,136.82,25.9958,,,0 LOCAL,2025007,HC OTHER TRANSPLANT,323171.99,61402.6781,,,0 LOCAL,2025147,HC MASSAGE THERAPY (FULL BODY) 30 MIN,45.19,8.5861,,,0 LOCAL,2025154,"HC EXERCISE CONSULT, INIT (SP)",150.0,28.5,,,0 LOCAL,2025155,"HC EXERCISE CONSULT, FOLLOW-UP (SP)",75.0,14.25,,,0 LOCAL,2025168,HC CARD REHAB MAINT PRG 3X/WEEK,200.67,38.1273,,,0 LOCAL,2025169,HC CARD REHAB MAINT PRG 2X/WEEK,145.95,27.7305,,,0 LOCAL,2025170,HC CARD REHAB WELLNESS DANCE 6 SESS 1 HR EA,109.46,20.7974,,,0 LOCAL,2025171,HC IH MIND EATING TRAIN GRP 4 SESS 1 HR EA,54.73,10.3987,,,0 LOCAL,2025172,HC IH EAR ACCUPNCTR 1 HR SESS,18.24,3.4656,,,0 LOCAL,2025173,HC IH FUND YOGA 6 SESS 1 HR EA,109.46,20.7974,,,0 LOCAL,2025174,HC TAI CHI CLASS 1 HR,18.0,3.42,,,0 LOCAL,2025175,HC PT BONE HEALTH/OSTEOPOROSIS 6 CL 1 HR EA,109.46,20.7974,,,0 LOCAL,2025192,HC RUNNERS EXERCISE CLASS 60 MIN,40.0,7.6,,,0 LOCAL,2025223,HC PERSONAL TRAINING 30 MIN 16 SESSION PACKAGE,1080.0,205.2,,,0 LOCAL,2025225,HC PERSONAL TRAINING 60 MIN 16 SESSION PACKAGE,2160.0,410.4,,,0 LOCAL,2025227,HC SPORTS PERFORMANCE EVALUATION 120 MIN,475.0,90.25,,,0 LOCAL,2025228,HC SPORTS SPECIFIC TRAINING 60 MIN 8 SESSION PACKAGE,1140.0,216.6,,,0 LOCAL,2025230,HC SPORTS SPECIFIC TRAINING 60 MIN 16 SESSION PACKAGE,2160.0,410.4,,,0 LOCAL,2025232,HC RUNNERS RE-EVALUATION 90 MIN,300.0,57.0,,,0 LOCAL,2025233,HC BIOMECHANICAL ANALYSIS 90 MIN,395.0,75.05,,,0 LOCAL,2025234,HC BIOMECHANICAL ANALYSIS RE-EVALUATION 90 MIN,300.0,57.0,,,0 LOCAL,2025235,HC ALTER-G USAGE 30 MINUTE,30.0,5.7,,,0 LOCAL,2025236,HC ALTER-G USAGE 60 MINUTE,60.0,11.4,,,0 LOCAL,2025489,HC AMB IV,310.5,58.995,,,0 LOCAL,2025490,HC AMBULANCE EKG,621.0,117.99,,,0 LOCAL,2025491,HC AMB OXYGEN,322.0,61.18,,,0 LOCAL,2025515,HC AGING IN PLACE (BFD) PACKAGE 1,1000.0,190.0,,,0 LOCAL,2025516,HC AGING IN PLACE (BFD) PACKAGE 2,2500.0,475.0,,,0 LOCAL,2025517,HC CANCER REHAB,138.0,26.22,,,0 LOCAL,2025569,HC PT MS WELLNESS,120.0,22.8,,,0 LOCAL,2025570,HC PT CANCER WELLNESS,120.0,22.8,,,0 LOCAL,2025571,HC PT CANCER WELLNESS GRANT,60.0,11.4,,,0 LOCAL,2025580,HC GHF TRNG 30MIN 8 SES PKG,570.0,108.3,,,0 LOCAL,2025581,HC GHF TRAINING 60MIN 8 SES PKG,1140.0,216.6,,,0 LOCAL,2025625,HC BRIDGE ON DISCHARGE,289.8,55.062,,,0 LOCAL,2025751,HC CARD REHAB MAINT PRG 1X/WEEK,80.0,15.2,,,0 LOCAL,2025801,HC SPORTS SPECIFIC TRAINING 30 MIN,90.0,17.1,,,0 LOCAL,2025802,HC SPORTS SPECIFIC TRAINING 30 MIN 8 SESSION PACKAGE,570.0,108.3,,,0 LOCAL,2025804,HC SPORTS SPECIFIC TRAINING 30 MIN 16 SESSION PACKAGE,1080.0,205.2,,,0 LOCAL,2025900,HC LUNG TRANSPLANT (CADAVER),410628.0,78019.32,,,0 LOCAL,2025937,HC HEART TRANSPLANT (CADAVER),544000.0,103360.0,,,0 LOCAL,2025987,HC SPORTS SPECIFIC EVALUATION W/LACTATE,525.0,99.75,,,0 LOCAL,2025988,HC GOLF LAB EVALUATION,675.0,128.25,,,0 LOCAL,2025990,HC GOLF LAB RE-EVALUATION (90 MINUTES),425.0,80.75,,,0 LOCAL,2026160,HC INJURY PREVENTION PROGRAM,550.0,104.5,,,0 LOCAL,2026161,HC MOMMY AND ME PROGRAM,110.0,20.9,,,0 LOCAL,2026202,HC CARDIAC REHAB SESS PHASE III,22.0,4.18,,,0 LOCAL,2026212,HC YOUTH THROWING EVALUATION,450.0,85.5,,,0 LOCAL,2026213,HC YOUTH THROWING RE-EVALUATION,450.0,85.5,,,0 LOCAL,2026214,HC YOUTH THROWING FOLLOW-UP,150.0,28.5,,,0 LOCAL,2026215,"HC YOUTH THROWING PKG, PART 1 EVAL",750.0,142.5,,,0 LOCAL,2026218,HC ADULT THROWING EVALUATION,675.0,128.25,,,0 LOCAL,2026219,HC ADULT THROWING RE-EVALUATION,675.0,128.25,,,0 LOCAL,2026220,HC ADULT THROWING FOLLOW-UP,150.0,28.5,,,0 LOCAL,2026221,"HC ADULT THROWING PKG, PART 1 EVALUATION",1350.0,256.5,,,0 LOCAL,2026224,HC ACL RETURN TO SPORT EVALUATION,495.0,94.05,,,0 LOCAL,2026225,HC ACL RETURN TO SPORTS RE-EVALUATION,420.0,79.8,,,0 LOCAL,2026226,HC TRIATHLON EVALUATION PART 1,750.0,142.5,,,0 LOCAL,2026228,HC GOLF EXERCISE CLASS,40.0,7.6,,,0 LOCAL,2026229,HC HOCKEY PERFORMANCE EVALUATION,425.0,80.75,,,0 LOCAL,2026230,HC CYCLING PERFORMANCE EVALUATION,475.0,90.25,,,0 LOCAL,2026257,HC BMT AUTOLOGOUS BY NYBC,5277.0,1002.63,,,0 LOCAL,2026258,HC BMT ALLOGENEIC MATCHED BY NYBC,11637.0,2211.03,,,0 LOCAL,2026259,HC BMT ALLOGENEIC UNRELATED BY NMDP US,113925.0,21645.75,,,0 LOCAL,2026260,HC BMT ALLOGENEIC UNRELATED BY NMDP INTERNATIONAL,154722.0,29397.18,,,0 LOCAL,2026261,HC BMT ALLOGENEIC UNRELATED CORD BLOOD,275358.0,52318.02,,,0 LOCAL,2026262,HC BMT STEM CELLS HARVESTED BM PROCESSED BY NYBC,3574.0,679.06,,,0 LOCAL,2026401,HC RUNNING 3D EVALUATION,425.0,80.75,,,0 LOCAL,2026403,"HC BFR TRAIN, 45 MINUTE SINGLE SESSION",150.0,28.5,,,0 LOCAL,2026404,"HC BFR TRAIN, 45 MINUTE 8 SESSION PACKAGE",1140.0,216.6,,,0 LOCAL,2026406,"HC BFR TRAIN, 45 MINUTE 16 SESSION PACKAGE",2160.0,410.4,,,0 LOCAL,2026439,HC INTENSIVE SPEECH LANGUAGE THERAPY FOR STROKE SURVIVORS,10000.0,1900.0,,,0 LOCAL,2026550,HC 2D GOLF EVAL 120 MIN,425.0,80.75,,,0 LOCAL,2026551,HC BIODEX TESTING 30 MIN,250.0,47.5,,,0 LOCAL,2026557,HC NW DIABETES PREVENTION IND COUNSEL,140.0,26.6,,,0 LOCAL,2026788,HC LUNG TRANSPLANT (LIVE),582584.86,110691.1234,,,0 LOCAL,2026970,HC 2D GOLF LAB 180 MINUTES,595.0,113.05,,,0 LOCAL,2026977,HC PRE ARRIV TRAUMA RESPONS W/O CC,7511.03,1427.0957,,,0 LOCAL,2026978,HC HOSP NOTIF TRAUMA RESPONS W OR W/O CC,7511.03,1427.0957,,,0 LOCAL,2027024,HC ULIMATE ATHLETE PERFORMANCE EVAL 120 MIN,990.0,188.1,,,0 LOCAL,2027041,HC SP ERGONOMIC FOLLOW UP 30 MIN,150.0,28.5,,,0 LOCAL,2027042,HC SP ERGONOMIC FOLLOW UP 60 MIN,300.0,57.0,,,0 LOCAL,2027043,HC SP ERGONOMIC VIDEO VISIT 30 MIN,150.0,28.5,,,0 LOCAL,2027044,HC SP ERGONOMIC EVALUATION 60 MIN,350.0,66.5,,,0 LOCAL,2027045,HC SP ERGONOMIC VIDEO VISIT 60 MIN,300.0,57.0,,,0 LOCAL,2027046,HC SP ERGONOMIC EVALUATION VIDEO VISIT,350.0,66.5,,,0 LOCAL,2027111,HC THE HEALTH MASTERY BUNDLE,1476.0,280.44,,,0 LOCAL,2027112,HC METABOLIC HEALTH BUNDLE,562.5,106.875,,,0 LOCAL,2027115,HC METABOLIC PERFORMANCE BUNDLE,675.0,128.25,,,0 LOCAL,2027118,HC ACL RTS EVALUATION AND BFR BUNDLE,1635.0,310.65,,,0 LOCAL,2027123,HC NUTRITION PACKAGE,445.0,84.55,,,0 LOCAL,2027134,HC WEIGHT LOSS CHALLENGE BUNDLE,815.0,154.85,,,0 LOCAL,2027135,HC WEIGHT LOSS CHALLENGE MONTH 1,315.0,59.85,,,0 LOCAL,2027136,HC WEIGHT LOSS CHALLENGE MONTH 2,315.0,59.85,,,0 LOCAL,2027137,HC WEIGHT LOSS CHALLENGE MONTH 3,275.0,52.25,,,0 LOCAL,2027155,HC BODY COMP ANALYSIS,50.0,9.5,,,0 LOCAL,2027410,HC SLEEP STUDY FEE FOR LATE DEVICES,150.0,28.5,,,0 LOCAL,2027411,HC REPLACEMENT FOR WATCHPAT300,4950.0,940.5,,,0 LOCAL,2027412,HC REPLACEMENT FOR RESMED APENEALINK,2875.0,546.25,,,0 LOCAL,2027413,HC REPLACEMENT FOR RESPIRONIC NIGHT ONE,2400.0,456.0,,,0 LOCAL,2027414,HC NO AT HOME SLEEP STUDY 30 DAYS,200.0,38.0,,,0 LOCAL,2027464,HC TRANSMEDICS LIVER TRANSPLANT,270000.0,51300.0,,,0 LOCAL,2027467,HC TRANSMEDICS HEART TRANSPLANT,270000.0,51300.0,,,0 LOCAL,2027468,HC PARAGONIX LUNG TRANSPLANT,83007.0,15771.33,,,0 LOCAL,2027524,HC PARAGONIX HEART TRANSPLANT,100050.0,19009.5,,,0 LOCAL,2027559,HC UE RETURN TO SPORTS EVAL,495.0,94.05,,,0 LOCAL,2027561,HC UE RETURN TO SPORTS,420.0,79.8,,,0 LOCAL,2027564,HC BEST MARATHON PREP PLAN,1480.0,281.2,,,0 LOCAL,2027566,HC HSPC HOSPICE ROUTINE HOME CARE,650.0,123.5,,,0 LOCAL,2027568,HC HSPC HOSPICE RESPITE CARE,1222.18,232.2142,,,0 LOCAL,2027569,HC HSPC HOSPICE GENERAL INPATIENT CARE,2776.14,527.4666,,,0 LOCAL,2027572,HC PARAGONIX LIVER TRANSPLANT,84456.0,16046.64,,,0 LOCAL,2027633,"HC SPORTS CREAT HLTHY ACT NUTR GOALS CHNG, 45 MIN",270.0,51.3,,,0 LOCAL,2027696,HC PROG FOR ATHLETES EVAL,1740.0,330.6,,,0 LOCAL,2027742,HC MLB UMPIRES STRENGTH & CONDITIONING CLASS - 60 MIN,40.0,7.6,,,0 LOCAL,2027743,HC MLB FUNCTIONAL MOVEMENT SCREEN - 15 MIN,90.0,17.1,,,0 LOCAL,2027749,HC BODY COMPOSITION,150.0,28.5,,,0 LOCAL,2027750,HC RECOVERY BOOTS SINGLE 15 MIN SESSION,15.0,2.85,,,0 LOCAL,2027751,HC RECOVERY BOOTS SINGLE 30 MIN SESSION,30.0,5.7,,,0 LOCAL,2027752,"HE RECOVERY BOOTS 15 MIN, 8 SESSIONS",108.0,20.52,,,0 LOCAL,2027754,"HE RECOVERY BOOTS 15 MIN, 16 SESSIONS",216.0,41.04,,,0 LOCAL,2027756,"HE RECOVERY BOOTS 30 MIN, 8 SESSIONS",216.0,41.04,,,0 LOCAL,2027758,"HE RECOVERY BOOTS 30 MIN, 16 SESSIONS",432.0,82.08,,,0 LOCAL,5010001,DRUGS GENERAL,83.6588825,15.895188000000001,,,0 LOCAL,5010010,DIAGNOSTIC RADIOPHARMACEUTICALS,864.05,164.1695,,,0 LOCAL,6010000,HC GENERAL SUPPLY,,,26.578354,207.311164,108 LOCAL,6010001,HC STERILE SUPPLY,,,23.680467,184.707645,108 LOCAL,6010005,HC SUPPLY IMPLANT,,,160.04162,1758.203709,212 LOCAL,6020006,HC LOW AIR/TURNING BED,,,93.295,727.701,108 LOCAL,6020009,HC PRONE THERAPY BED (ROTOPRONE),,,1309.887,10217.1186,108 LOCAL,6020869,HC BARIATRIC BED STD,,,139.223,1085.9394,108 LOCAL,6022472,HC OVERLAY BARIATRIC TURNING (ETS,,,49.323,384.7194,108 LOCAL,6022483,HC AIR FLUIDIZED BED,,,79.252,618.1656,108 LOCAL,6022494,HC BARIATRIC BED OBESE,,,203.481,1587.1518,108 LOCAL,6022541,HC VAC RENTAL DAILY E0182,,,69.863,544.9314,108 LOCAL,6022545,HC PULMO/ROTATE BED,,,151.6,1182.48,108 LOCAL,6022549,HC LOW AIR LOSS OVERLAY STANDARD,,,31.016,241.9248,108 LOCAL,6023721,"HC LOW AIR LOSS OVERLAY, OBESE",,,47.123,367.5594,108 LOCAL,6023849,"HC BARIATRIC BED, SIDE EGRESS",,,96.387,751.8186,108 LOCAL,6999909,HC ALTERNATING PRESSURE BED,,,59.597,464.8566,108