code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
APR-DRG,1103,Ear; Nose; Mouth; Throat; Cranial/Facial Malignancies,,,4754.0,11230.27,9
APR-DRG,1104,Ear; Nose; Mouth; Throat; Cranial/Facial Malignancies,,,4754.0,19510.5,9
APR-DRG,1132,Infections Of Upper Respiratory Tract,,,4754.0,5269.0,9
APR-DRG,1133,Infections Of Upper Respiratory Tract,,,4754.0,7228.6,9
APR-DRG,1134,Infections Of Upper Respiratory Tract,,,4754.0,13333.54,9
APR-DRG,1141,Dental Diseases & Disorders,,,4176.74,5269.0,9
APR-DRG,1142,Dental Diseases & Disorders,,,4754.0,5870.28,9
APR-DRG,1151,Other Ear; Nose; Mouth;Throat & Cranial/Facial Diagnoses,,,4647.31,5269.0,9
APR-DRG,1152,Other Ear; Nose; Mouth;Throat & Cranial/Facial Diagnoses,,,4754.0,6301.12,9
APR-DRG,1153,Other Ear; Nose; Mouth;Throat & Cranial/Facial Diagnoses,,,4754.0,9603.78,9
APR-DRG,1201,Major Respiratory & Chest Procedures,,,4754.0,18866.11,9
APR-DRG,1202,Major Respiratory & Chest Procedures,,,4754.0,23167.01,9
APR-DRG,1212,Other Respiratory & Chest Procedures,,,4754.0,17022.34,9
APR-DRG,1213,Other Respiratory & Chest Procedures,,,4754.0,25142.4,9
APR-DRG,1214,Other Respiratory & Chest Procedures,,,4754.0,43028.89,9
APR-DRG,13,Liver Transplant &/Or Intestinal Transplant,,,4754.0,95019.65,9
APR-DRG,1304,Respiratory System Diagnosis W Ventilator Support 96+ Hours,,,4754.0,51201.1,9
APR-DRG,1331,Respiratory Failure,,,4232.61,5269.0,9
APR-DRG,1332,Respiratory Failure,,,4754.0,7745.1,9
APR-DRG,1333,Respiratory Failure,,,4754.0,11265.04,9
APR-DRG,1334,Respiratory Failure,,,4754.0,17449.45,9
APR-DRG,1342,Pulmonary Embolism,,,4754.0,8139.93,9
APR-DRG,1343,Pulmonary Embolism,,,4754.0,11293.59,9
APR-DRG,1344,Pulmonary Embolism,,,4754.0,16078.72,9
APR-DRG,1352,Major Chest & Respiratory Trauma,,,4754.0,7917.68,9
APR-DRG,1353,Major Chest & Respiratory Trauma,,,4754.0,11410.3,9
APR-DRG,1354,Major Chest & Respiratory Trauma,,,4754.0,19340.4,9
APR-DRG,1363,Respiratory Malignancy,,,4754.0,11916.88,9
APR-DRG,1364,Respiratory Malignancy,,,4754.0,16898.18,9
APR-DRG,1372,Major Respiratory Infections & Inflammations,,,4754.0,8139.93,9
APR-DRG,1373,Major Respiratory Infections & Inflammations,,,4754.0,11139.64,9
APR-DRG,1374,Major Respiratory Infections & Inflammations,,,4754.0,15705.0,9
APR-DRG,1391,Other Pneumonia,,,4723.05,5269.0,9
APR-DRG,1392,Other Pneumonia,,,4754.0,6442.66,9
APR-DRG,1393,Other Pneumonia,,,4754.0,9102.17,9
APR-DRG,1394,Other Pneumonia,,,4754.0,13636.49,9
APR-DRG,1402,Chronic Obstructive Pulmonary Disease,,,4754.0,6704.64,9
APR-DRG,1403,Chronic Obstructive Pulmonary Disease,,,4754.0,8328.65,9
APR-DRG,1404,Chronic Obstructive Pulmonary Disease,,,4754.0,12305.5,9
APR-DRG,1411,Asthma,,,4021.54,5269.0,9
APR-DRG,1412,Asthma,,,4754.0,5660.45,9
APR-DRG,1413,Asthma,,,4754.0,7911.48,9
APR-DRG,1414,Asthma,,,4754.0,13465.15,9
APR-DRG,1431,Other Respiratory Diagnoses Except Signs; Symptoms & Minor Diagnoses,,,4754.0,5269.0,9
APR-DRG,1432,Other Respiratory Diagnoses Except Signs; Symptoms & Minor Diagnoses,,,4754.0,6904.54,9
APR-DRG,1433,Other Respiratory Diagnoses Except Signs; Symptoms & Minor Diagnoses,,,4754.0,9788.77,9
APR-DRG,1434,Other Respiratory Diagnoses Except Signs; Symptoms & Minor Diagnoses,,,4754.0,14380.21,9
APR-DRG,1633,Cardiac Valve Procedures W/O Ami Or Complex Pdx,,,4754.0,53622.22,9
APR-DRG,1634,Cardiac Valve Procedures W/O Ami Or Complex Pdx,,,4754.0,79860.95,9
APR-DRG,1653,Coronary Bypass W Ami Or Complex Pdx,,,4754.0,53940.07,9
APR-DRG,1654,Coronary Bypass W Ami Or Complex Pdx,,,4754.0,73043.33,9
APR-DRG,1662,Coronary Bypass W/O Ami Or Complex Pdx,,,4754.0,37063.0,9
APR-DRG,1663,Coronary Bypass W/O Ami Or Complex Pdx,,,4754.0,44074.32,9
APR-DRG,1673,Other Cardiothoracic & Thoracic Vascular Procedures,,,4754.0,40293.64,9
APR-DRG,1674,Other Cardiothoracic & Thoracic Vascular Procedures,,,4754.0,71707.37,9
APR-DRG,1692,Major Abdominal Vascular Procedures,,,4754.0,24948.71,9
APR-DRG,1693,Major Abdominal Vascular Procedures,,,4754.0,38036.42,9
APR-DRG,1694,Major Abdominal Vascular Procedures,,,4754.0,62417.72,9
APR-DRG,1713,Perm Cardiac Pacemaker Implant W/O Ami; Heart Failure Or Shock,,,4754.0,23149.63,9
APR-DRG,1741,Percutaneous Cardiac Intervention W Ami,,,4754.0,20512.47,9
APR-DRG,1742,Percutaneous Cardiac Intervention W Ami,,,4754.0,21989.98,9
APR-DRG,1743,Percutaneous Cardiac Intervention W Ami,,,4754.0,26939.0,9
APR-DRG,1744,Percutaneous Cardiac Intervention W Ami,,,4754.0,37012.1,9
APR-DRG,1752,Percutaneous Cardiac Intervention W/O Ami,,,4754.0,22634.37,9
APR-DRG,1753,Percutaneous Cardiac Intervention W/O Ami,,,4754.0,27626.84,9
APR-DRG,1773,Cardiac Pacemaker & Defibrillator Revision Except Device Replacement,,,4754.0,20959.45,9
APR-DRG,1783,External Heart Assist Systems,,,4754.0,60189.04,9
APR-DRG,1784,External Heart Assist Systems,,,4754.0,78392.14,9
APR-DRG,1792,Defibrillator Implants,,,4754.0,41391.22,9
APR-DRG,1794,Defibrillator Implants,,,4754.0,68024.78,9
APR-DRG,1803,Other Circulatory System Procedures,,,4754.0,20193.38,9
APR-DRG,1812,Lower Extremity Arterial Procedures,,,4754.0,20789.35,9
APR-DRG,1813,Lower Extremity Arterial Procedures,,,4754.0,31824.69,9
APR-DRG,1814,Lower Extremity Arterial Procedures,,,4754.0,50110.98,9
APR-DRG,1821,Other Peripheral Vascular Procedures,,,4754.0,18975.37,9
APR-DRG,1822,Other Peripheral Vascular Procedures,,,4754.0,22353.77,9
APR-DRG,1823,Other Peripheral Vascular Procedures,,,4754.0,24463.24,9
APR-DRG,1824,Other Peripheral Vascular Procedures,,,4754.0,44578.41,9
APR-DRG,1832,Percutaneous Structural Cardiac Procedures,,,4754.0,45497.19,9
APR-DRG,1901,Acute Myocardial Infarction,,,4754.0,6695.95,9
APR-DRG,1902,Acute Myocardial Infarction,,,4754.0,7956.17,9
APR-DRG,1903,Acute Myocardial Infarction,,,4754.0,10498.97,9
APR-DRG,1911,Cardiac Catheterization For Coronary Artery Disease,,,4754.0,9257.37,9
APR-DRG,1912,Cardiac Catheterization For Coronary Artery Disease,,,4754.0,10636.79,9
APR-DRG,1921,Cardiac Catheterization For Other Non-Coronary Conditions,,,4754.0,10020.95,9
APR-DRG,1922,Cardiac Catheterization For Other Non-Coronary Conditions,,,4754.0,12196.24,9
APR-DRG,1923,Cardiac Catheterization For Other Non-Coronary Conditions,,,4754.0,17193.68,9
APR-DRG,1924,Cardiac Catheterization For Other Non-Coronary Conditions,,,4754.0,26700.61,9
APR-DRG,1932,Acute & Subacute Endocarditis,,,4754.0,10166.22,9
APR-DRG,1941,Heart Failure,,,4754.0,5269.0,9
APR-DRG,1942,Heart Failure,,,4754.0,6724.51,9
APR-DRG,1943,Heart Failure,,,4754.0,9406.36,9
APR-DRG,1944,Heart Failure,,,4754.0,14076.02,9
APR-DRG,1972,Peripheral & Other Vascular Disorders,,,4754.0,6436.45,9
APR-DRG,1973,Peripheral & Other Vascular Disorders,,,4754.0,8898.55,9
APR-DRG,1974,Peripheral & Other Vascular Disorders,,,4754.0,15723.62,9
APR-DRG,1982,Angina Pectoris & Coronary Atherosclerosis,,,4754.0,5640.59,9
APR-DRG,1983,Angina Pectoris & Coronary Atherosclerosis,,,4754.0,7351.51,9
APR-DRG,1991,Hypertension,,,4754.0,5269.0,9
APR-DRG,1992,Hypertension,,,4754.0,6003.14,9
APR-DRG,1993,Hypertension,,,4754.0,8266.57,9
APR-DRG,1994,Hypertension,,,4754.0,13513.57,9
APR-DRG,2003,Cardiac Structural & Valvular Disorders,,,4754.0,8907.24,9
APR-DRG,2004,Cardiac Structural & Valvular Disorders,,,4754.0,14891.75,9
APR-DRG,2012,Cardiac Arrhythmia & Conduction Disorders,,,4754.0,5887.67,9
APR-DRG,2013,Cardiac Arrhythmia & Conduction Disorders,,,4754.0,8599.32,9
APR-DRG,2014,Cardiac Arrhythmia & Conduction Disorders,,,4754.0,14417.46,9
APR-DRG,202,Open Craniotomy For Trauma,,,4754.0,24459.52,9
APR-DRG,2042,Syncope & Collapse,,,4754.0,6420.31,9
APR-DRG,2043,Syncope & Collapse,,,4754.0,8157.31,9
APR-DRG,2054,Cardiomyopathy,,,4754.0,20144.96,9
APR-DRG,2062,Malfunction;Reaction;Complication Of Cardiac/Vasc Device Or Procedure,,,4754.0,6427.76,9
APR-DRG,2063,Malfunction;Reaction;Complication Of Cardiac/Vasc Device Or Procedure,,,4754.0,9773.88,9
APR-DRG,2064,Malfunction;Reaction;Complication Of Cardiac/Vasc Device Or Procedure,,,4754.0,18687.32,9
APR-DRG,2072,Other Circulatory System Diagnoses,,,4754.0,6731.96,9
APR-DRG,2073,Other Circulatory System Diagnoses,,,4754.0,9256.13,9
APR-DRG,2074,Other Circulatory System Diagnoses,,,4754.0,16392.84,9
APR-DRG,211,Open Craniotomy Except Trauma,,,4754.0,19634.66,9
APR-DRG,212,Open Craniotomy Except Trauma,,,4754.0,26438.63,9
APR-DRG,214,Open Craniotomy Except Trauma,,,4754.0,56250.69,9
APR-DRG,2201,Major Stomach; Esophageal & Duodenal Procedures,,,4754.0,14053.67,9
APR-DRG,2203,Major Stomach; Esophageal & Duodenal Procedures,,,4754.0,31801.1,9
APR-DRG,2204,Major Stomach; Esophageal & Duodenal Procedures,,,4754.0,55325.7,9
APR-DRG,2241,Peritoneal Adhesiolysis,,,4754.0,13453.98,9
APR-DRG,2242,Peritoneal Adhesiolysis,,,4754.0,16796.36,9
APR-DRG,2243,Peritoneal Adhesiolysis,,,4754.0,24280.73,9
APR-DRG,2261,Anal Procedures,,,4754.0,8621.67,9
APR-DRG,2262,Anal Procedures,,,4754.0,11421.48,9
APR-DRG,2271,Hernia Procedures Except Inguinal; Femoral & Umbilical,,,4754.0,11924.33,9
APR-DRG,2272,Hernia Procedures Except Inguinal; Femoral & Umbilical,,,4754.0,14977.42,9
APR-DRG,2282,Inguinal; Femoral & Umbilical Hernia Procedures,,,4754.0,11257.59,9
APR-DRG,2284,Inguinal; Femoral & Umbilical Hernia Procedures,,,4754.0,29658.1,9
APR-DRG,2293,Other Digestive System & Abdominal Procedures,,,4754.0,20055.56,9
APR-DRG,2301,Major Small Bowel Procedures,,,4754.0,14208.87,9
APR-DRG,2302,Major Small Bowel Procedures,,,4754.0,19404.97,9
APR-DRG,2303,Major Small Bowel Procedures,,,4754.0,28752.97,9
APR-DRG,2304,Major Small Bowel Procedures,,,4754.0,50688.32,9
APR-DRG,2311,Major Large Bowel Procedures,,,4754.0,14971.21,9
APR-DRG,2312,Major Large Bowel Procedures,,,4754.0,18769.27,9
APR-DRG,2313,Major Large Bowel Procedures,,,4754.0,27769.63,9
APR-DRG,233,Spinal Procedures,,,4754.0,32657.8,9
APR-DRG,2331,Appendectomy With Complex Principal Diagnosis,,,4754.0,11037.82,9
APR-DRG,2332,Appendectomy With Complex Principal Diagnosis,,,4754.0,14226.25,9
APR-DRG,234,Spinal Procedures,,,4754.0,57204.24,9
APR-DRG,2341,Appendectomy Without Complex Principal Diagnosis,,,4754.0,8021.98,9
APR-DRG,2401,Digestive Malignancy,,,4754.0,7466.98,9
APR-DRG,2402,Digestive Malignancy,,,4754.0,8277.75,9
APR-DRG,2403,Digestive Malignancy,,,4754.0,11368.09,9
APR-DRG,2404,Digestive Malignancy,,,4754.0,18425.34,9
APR-DRG,2411,Peptic Ulcer & Gastritis,,,4754.0,6358.23,9
APR-DRG,2412,Peptic Ulcer & Gastritis,,,4754.0,7853.12,9
APR-DRG,2413,Peptic Ulcer & Gastritis,,,4754.0,11488.52,9
APR-DRG,2414,Peptic Ulcer & Gastritis,,,4754.0,22135.24,9
APR-DRG,2423,Major Esophageal Disorders,,,4754.0,10537.46,9
APR-DRG,2433,Other Esophageal Disorders,,,4754.0,9802.43,9
APR-DRG,2434,Other Esophageal Disorders,,,4754.0,19103.26,9
APR-DRG,244,Open Extracranial Vascular Procedures,,,4754.0,38473.46,9
APR-DRG,2441,Diverticulitis & Diverticulosis,,,4754.0,5368.68,9
APR-DRG,2442,Diverticulitis & Diverticulosis,,,4754.0,6846.18,9
APR-DRG,2443,Diverticulitis & Diverticulosis,,,4754.0,10357.43,9
APR-DRG,2444,Diverticulitis & Diverticulosis,,,4754.0,18945.57,9
APR-DRG,2453,Inflammatory Bowel Disease,,,4754.0,11504.67,9
APR-DRG,2463,Gastrointestinal Vascular Insufficiency,,,4754.0,10903.73,9
APR-DRG,2471,Intestinal Obstruction,,,4754.0,5269.0,9
APR-DRG,2472,Intestinal Obstruction,,,4754.0,6391.76,9
APR-DRG,2473,Intestinal Obstruction,,,4754.0,9675.79,9
APR-DRG,2474,Intestinal Obstruction,,,4754.0,17058.34,9
APR-DRG,2482,Major Gastrointestinal & Peritoneal Infections,,,4754.0,7254.67,9
APR-DRG,2483,Major Gastrointestinal & Peritoneal Infections,,,4754.0,10235.75,9
APR-DRG,2484,Major Gastrointestinal & Peritoneal Infections,,,4754.0,18744.44,9
APR-DRG,2492,Other Gastroenteritis; Nausea & Vomiting,,,4754.0,5577.27,9
APR-DRG,2493,Other Gastroenteritis; Nausea & Vomiting,,,4754.0,8020.74,9
APR-DRG,2494,Other Gastroenteritis; Nausea & Vomiting,,,4754.0,15235.67,9
APR-DRG,2512,Abdominal Pain,,,4754.0,6208.0,9
APR-DRG,2513,Abdominal Pain,,,4754.0,8086.54,9
APR-DRG,2522,Malfunction; Reaction & Complication Of Gi Device Or Procedure,,,4754.0,6848.67,9
APR-DRG,2523,Malfunction; Reaction & Complication Of Gi Device Or Procedure,,,4754.0,9859.55,9
APR-DRG,2524,Malfunction; Reaction & Complication Of Gi Device Or Procedure,,,4754.0,19047.39,9
APR-DRG,2532,Other & Unspecified Gastrointestinal Hemorrhage,,,4754.0,7247.22,9
APR-DRG,2533,Other & Unspecified Gastrointestinal Hemorrhage,,,4754.0,10429.44,9
APR-DRG,2541,Other Digestive System Diagnoses,,,4754.0,5269.0,9
APR-DRG,2542,Other Digestive System Diagnoses,,,4754.0,6802.73,9
APR-DRG,2543,Other Digestive System Diagnoses,,,4754.0,9843.4,9
APR-DRG,2544,Other Digestive System Diagnoses,,,4754.0,17577.33,9
APR-DRG,2603,Major Pancreas; Liver & Shunt Procedures,,,4754.0,33444.98,9
APR-DRG,262,Other Nervous System & Related Procedures,,,4754.0,16832.37,9
APR-DRG,2631,Cholecystectomy,,,4754.0,11251.38,9
APR-DRG,2632,Cholecystectomy,,,4754.0,14253.57,9
APR-DRG,2633,Cholecystectomy,,,4754.0,18439.0,9
APR-DRG,2634,Cholecystectomy,,,4754.0,32654.08,9
APR-DRG,2642,Other Hepatobiliary; Pancreas & Abdominal Procedures,,,4754.0,14616.12,9
APR-DRG,2644,Other Hepatobiliary; Pancreas & Abdominal Procedures,,,4754.0,47895.96,9
APR-DRG,273,Other Open Craniotomy,,,4754.0,25897.29,9
APR-DRG,2793,Hepatic Coma & Other Major Acute Liver Disorders,,,4754.0,9248.68,9
APR-DRG,2794,Hepatic Coma & Other Major Acute Liver Disorders,,,4754.0,19265.91,9
APR-DRG,2801,Alcoholic Liver Disease,,,4754.0,5315.29,9
APR-DRG,2802,Alcoholic Liver Disease,,,4754.0,6609.04,9
APR-DRG,2803,Alcoholic Liver Disease,,,4754.0,9752.77,9
APR-DRG,2804,Alcoholic Liver Disease,,,4754.0,19808.49,9
APR-DRG,2812,Malignancy Of Hepatobiliary System & Pancreas,,,4754.0,8347.28,9
APR-DRG,2813,Malignancy Of Hepatobiliary System & Pancreas,,,4754.0,10832.96,9
APR-DRG,2821,Disorders Of Pancreas Except Malignancy,,,4754.0,5383.58,9
APR-DRG,2822,Disorders Of Pancreas Except Malignancy,,,4754.0,6918.2,9
APR-DRG,2823,Disorders Of Pancreas Except Malignancy,,,4754.0,10568.5,9
APR-DRG,2831,Other Disorders Of The Liver,,,4754.0,5296.67,9
APR-DRG,2833,Other Disorders Of The Liver,,,4754.0,9330.62,9
APR-DRG,2841,Disorders Of Gallbladder & Biliary Tract,,,4754.0,6692.22,9
APR-DRG,2842,Disorders Of Gallbladder & Biliary Tract,,,4754.0,8367.14,9
APR-DRG,2843,Disorders Of Gallbladder & Biliary Tract,,,4754.0,11466.18,9
APR-DRG,2844,Disorders Of Gallbladder & Biliary Tract,,,4754.0,20060.53,9
APR-DRG,301,Percutaneous Intra & Extracranial Vascular Procedures,,,4754.0,18088.87,9
APR-DRG,302,Percutaneous Intra & Extracranial Vascular Procedures,,,4754.0,23920.67,9
APR-DRG,303,Percutaneous Intra & Extracranial Vascular Procedures,,,4754.0,35406.71,9
APR-DRG,304,Percutaneous Intra & Extracranial Vascular Procedures,,,4754.0,47437.81,9
APR-DRG,3041,Dorsal & Lumbar Fusion Proc Except For Curvature Of Back,,,4754.0,28210.39,9
APR-DRG,3043,Dorsal & Lumbar Fusion Proc Except For Curvature Of Back,,,4754.0,47389.39,9
APR-DRG,3052,Amputation Of Lower Limb Except Toes,,,4754.0,13589.31,9
APR-DRG,3053,Amputation Of Lower Limb Except Toes,,,4754.0,21170.52,9
APR-DRG,3054,Amputation Of Lower Limb Except Toes,,,4754.0,41142.9,9
APR-DRG,3081,Hip & Femur Fracture Repair,,,4754.0,13523.51,9
APR-DRG,3082,Hip & Femur Fracture Repair,,,4754.0,16098.59,9
APR-DRG,3083,Hip & Femur Fracture Repair,,,4754.0,20722.3,9
APR-DRG,3084,Hip & Femur Fracture Repair,,,4754.0,30123.7,9
APR-DRG,3092,Other Significant Hip & Femur Surgery,,,4754.0,18389.34,9
APR-DRG,3093,Other Significant Hip & Femur Surgery,,,4754.0,24360.19,9
APR-DRG,3094,Other Significant Hip & Femur Surgery,,,4754.0,40714.55,9
APR-DRG,3101,Intervertebral Disc Excision & Decompression,,,4754.0,10801.92,9
APR-DRG,3122,Skin Graft; Except Hand; For Musculoskeletal & Connective Tissue Diagnoses,,,4754.0,14714.2,9
APR-DRG,3123,Skin Graft; Except Hand; For Musculoskeletal & Connective Tissue Diagnoses,,,4754.0,24203.75,9
APR-DRG,3131,Knee & Lower Leg Procedures Except Foot,,,4754.0,12543.88,9
APR-DRG,3132,Knee & Lower Leg Procedures Except Foot,,,4754.0,16246.34,9
APR-DRG,3133,Knee & Lower Leg Procedures Except Foot,,,4754.0,22552.42,9
APR-DRG,3134,Knee & Lower Leg Procedures Except Foot,,,4754.0,36730.25,9
APR-DRG,3141,Foot & Toe Procedures,,,4754.0,11082.52,9
APR-DRG,3142,Foot & Toe Procedures,,,4754.0,11618.89,9
APR-DRG,3143,Foot & Toe Procedures,,,4754.0,15775.77,9
APR-DRG,3144,Foot & Toe Procedures,,,4754.0,29553.8,9
APR-DRG,3151,Shoulder; Upper Arm & Forearm Procedures Except Joint Replacement,,,4754.0,8529.79,9
APR-DRG,3152,Shoulder; Upper Arm & Forearm Procedures Except Joint Replacement,,,4754.0,14005.25,9
APR-DRG,3153,Shoulder; Upper Arm & Forearm Procedures Except Joint Replacement,,,4754.0,20414.39,9
APR-DRG,3161,Hand & Wrist Procedures,,,4754.0,8420.53,9
APR-DRG,3162,Hand & Wrist Procedures,,,4754.0,11093.7,9
APR-DRG,3171,Tendon; Muscle & Other Soft Tissue Procedures,,,4754.0,9817.33,9
APR-DRG,3172,Tendon; Muscle & Other Soft Tissue Procedures,,,4754.0,12677.98,9
APR-DRG,3173,Tendon; Muscle & Other Soft Tissue Procedures,,,4754.0,18938.12,9
APR-DRG,3202,Other Musculoskeletal System & Connective Tissue Procedures,,,4754.0,14374.0,9
APR-DRG,3203,Other Musculoskeletal System & Connective Tissue Procedures,,,4754.0,20697.47,9
APR-DRG,3212,Cervical Spinal Fusion & Other Back/Neck Proc Exc Disc Excis/Decomp,,,4754.0,20506.27,9
APR-DRG,3213,Cervical Spinal Fusion & Other Back/Neck Proc Exc Disc Excis/Decomp,,,4754.0,29078.27,9
APR-DRG,3214,Cervical Spinal Fusion & Other Back/Neck Proc Exc Disc Excis/Decomp,,,4754.0,47487.48,9
APR-DRG,3422,Fractures & Dislocations Except Femur; Pelvis & Back,,,4754.0,6412.86,9
APR-DRG,3433,Musculoskeletal Malignancy & Pathol Fracture D/T Muscskel Malig,,,4754.0,12979.69,9
APR-DRG,3441,Osteomyelitis; Septic Arthritis & Other Musculoskeletal Infections,,,4754.0,6596.62,9
APR-DRG,3442,Osteomyelitis; Septic Arthritis & Other Musculoskeletal Infections,,,4754.0,8323.69,9
APR-DRG,3443,Osteomyelitis; Septic Arthritis & Other Musculoskeletal Infections,,,4754.0,11576.68,9
APR-DRG,3444,Osteomyelitis; Septic Arthritis & Other Musculoskeletal Infections,,,4754.0,20066.74,9
APR-DRG,3471,Other Back & Neck Disorders; Fractures & Injuries,,,4754.0,5982.03,9
APR-DRG,3472,Other Back & Neck Disorders; Fractures & Injuries,,,4754.0,7247.22,9
APR-DRG,3473,Other Back & Neck Disorders; Fractures & Injuries,,,4754.0,9562.8,9
APR-DRG,3492,Malfunction; Reaction; Complic Of Orthopedic Device Or Procedure,,,4754.0,6672.36,9
APR-DRG,3493,Malfunction; Reaction; Complic Of Orthopedic Device Or Procedure,,,4754.0,9739.11,9
APR-DRG,3494,Malfunction; Reaction; Complic Of Orthopedic Device Or Procedure,,,4754.0,16829.89,9
APR-DRG,3511,Other Musculoskeletal System & Connective Tissue Diagnoses,,,4754.0,5269.0,9
APR-DRG,3512,Other Musculoskeletal System & Connective Tissue Diagnoses,,,4754.0,6275.05,9
APR-DRG,3513,Other Musculoskeletal System & Connective Tissue Diagnoses,,,4754.0,9516.86,9
APR-DRG,3611,Skin Graft For Skin & Subcutaneous Tissue Diagnoses,,,4754.0,10676.52,9
APR-DRG,3612,Skin Graft For Skin & Subcutaneous Tissue Diagnoses,,,4754.0,12353.92,9
APR-DRG,3613,Skin Graft For Skin & Subcutaneous Tissue Diagnoses,,,4754.0,18447.69,9
APR-DRG,3632,Breast Procedures Except Mastectomy,,,4754.0,17622.03,9
APR-DRG,3641,Other Skin; Subcutaneous Tissue & Related Procedures,,,4754.0,7478.16,9
APR-DRG,3642,Other Skin; Subcutaneous Tissue & Related Procedures,,,4754.0,10501.45,9
APR-DRG,3643,Other Skin; Subcutaneous Tissue & Related Procedures,,,4754.0,16411.47,9
APR-DRG,3644,Other Skin; Subcutaneous Tissue & Related Procedures,,,4754.0,29753.7,9
APR-DRG,3802,Skin Ulcers,,,4754.0,6880.95,9
APR-DRG,3803,Skin Ulcers,,,4754.0,9484.58,9
APR-DRG,3804,Skin Ulcers,,,4754.0,17756.12,9
APR-DRG,3824,Malignant Breast Disorders,,,4754.0,16012.92,9
APR-DRG,3831,Cellulitis & Other Skin Infections,,,4379.12,5269.0,9
APR-DRG,3832,Cellulitis & Other Skin Infections,,,4754.0,5964.65,9
APR-DRG,3833,Cellulitis & Other Skin Infections,,,4754.0,8764.45,9
APR-DRG,3834,Cellulitis & Other Skin Infections,,,4754.0,16580.33,9
APR-DRG,3842,Contusion; Open Wound & Other Trauma To Skin & Subcutaneous Tissue,,,4754.0,6527.09,9
APR-DRG,3851,Other Skin; Subcutaneous Tissue & Breast Disorders,,,4145.7,5269.0,9
APR-DRG,3852,Other Skin; Subcutaneous Tissue & Breast Disorders,,,4754.0,5710.12,9
APR-DRG,402,Spinal Disorders & Injuries,,,4754.0,10701.35,9
APR-DRG,403,Spinal Disorders & Injuries,,,4754.0,15497.65,9
APR-DRG,4031,Procedures For Obesity,,,4754.0,12644.45,9
APR-DRG,4032,Procedures For Obesity,,,4754.0,14346.69,9
APR-DRG,4041,Thyroid; Parathyroid & Thyroglossal Procedures,,,4754.0,9258.61,9
APR-DRG,4043,Thyroid; Parathyroid & Thyroglossal Procedures,,,4754.0,21530.59,9
APR-DRG,4052,Other Procedures For Endocrine; Nutritional & Metabolic Disorders,,,4754.0,16084.93,9
APR-DRG,4053,Other Procedures For Endocrine; Nutritional & Metabolic Disorders,,,4754.0,22558.63,9
APR-DRG,412,Nervous System Malignancy,,,4754.0,7879.19,9
APR-DRG,413,Nervous System Malignancy,,,4754.0,10304.04,9
APR-DRG,4201,Diabetes,,,4485.9,5269.0,9
APR-DRG,4202,Diabetes,,,4754.0,5800.76,9
APR-DRG,4203,Diabetes,,,4754.0,8185.87,9
APR-DRG,4204,Diabetes,,,4754.0,16417.68,9
APR-DRG,4212,Malnutrition; Failure To Thrive & Other Nutritional Disorders,,,4754.0,6246.49,9
APR-DRG,4213,Malnutrition; Failure To Thrive & Other Nutritional Disorders,,,4754.0,9453.54,9
APR-DRG,4214,Malnutrition; Failure To Thrive & Other Nutritional Disorders,,,4754.0,18591.72,9
APR-DRG,422,Degenerative Nervous System Disorders Exc Mult Sclerosis,,,4754.0,7193.83,9
APR-DRG,4222,Hypovolemia & Related Electrolyte Disorders,,,4754.0,5269.0,9
APR-DRG,4223,Hypovolemia & Related Electrolyte Disorders,,,4754.0,7396.21,9
APR-DRG,423,Degenerative Nervous System Disorders Exc Mult Sclerosis,,,4754.0,10281.69,9
APR-DRG,4231,Inborn Errors Of Metabolism,,,4754.0,6189.38,9
APR-DRG,4241,Other Endocrine Disorders,,,4754.0,5269.0,9
APR-DRG,4243,Other Endocrine Disorders,,,4754.0,10256.86,9
APR-DRG,4252,Other Non-Hypovolemic Electrolyte Disorders,,,4754.0,5479.18,9
APR-DRG,4253,Other Non-Hypovolemic Electrolyte Disorders,,,4754.0,7406.14,9
APR-DRG,4254,Other Non-Hypovolemic Electrolyte Disorders,,,4754.0,13842.6,9
APR-DRG,4261,Non-Hypovolemic Sodium Disorders,,,4706.91,5269.0,9
APR-DRG,4262,Non-Hypovolemic Sodium Disorders,,,4754.0,6091.29,9
APR-DRG,4263,Non-Hypovolemic Sodium Disorders,,,4754.0,8781.84,9
APR-DRG,4264,Non-Hypovolemic Sodium Disorders,,,4754.0,16087.41,9
APR-DRG,4272,Thyroid Disorders,,,4754.0,6595.38,9
APR-DRG,4273,Thyroid Disorders,,,4754.0,9808.64,9
APR-DRG,432,Multiple Sclerosis & Other Demyelinating Diseases,,,4754.0,9402.64,9
APR-DRG,433,Multiple Sclerosis & Other Demyelinating Diseases,,,4754.0,14123.2,9
APR-DRG,44,Tracheostomy W Mv 96+ Hours W Extensive Procedure,,,4754.0,137371.87,9
APR-DRG,441,Intracranial Hemorrhage,,,4754.0,6830.04,9
APR-DRG,442,Intracranial Hemorrhage,,,4754.0,8932.07,9
APR-DRG,443,Intracranial Hemorrhage,,,4754.0,11017.96,9
APR-DRG,4431,Kidney & Urinary Tract Procedures For Nonmalignancy,,,4754.0,11564.26,9
APR-DRG,4433,Kidney & Urinary Tract Procedures For Nonmalignancy,,,4754.0,20112.68,9
APR-DRG,4434,Kidney & Urinary Tract Procedures For Nonmalignancy,,,4754.0,36986.02,9
APR-DRG,444,Intracranial Hemorrhage,,,4754.0,14080.99,9
APR-DRG,4442,Renal Dialysis Access Device Procedures & Vessel Repair,,,4754.0,13872.4,9
APR-DRG,4444,Renal Dialysis Access Device Procedures & Vessel Repair,,,4754.0,40758.0,9
APR-DRG,4461,Urethral & Transurethral Procedures,,,4754.0,8254.16,9
APR-DRG,4462,Urethral & Transurethral Procedures,,,4754.0,10371.08,9
APR-DRG,4463,Urethral & Transurethral Procedures,,,4754.0,16140.8,9
APR-DRG,451,Cva & Precerebral Occlusion W Infarct,,,4754.0,7486.85,9
APR-DRG,452,Cva & Precerebral Occlusion W Infarct,,,4754.0,9022.71,9
APR-DRG,453,Cva & Precerebral Occlusion W Infarct,,,4754.0,12381.24,9
APR-DRG,454,Cva & Precerebral Occlusion W Infarct,,,4754.0,19828.35,9
APR-DRG,461,Nonspecific Cva & Precerebral Occlusion W/O Infarct,,,4754.0,6640.08,9
APR-DRG,4623,Nephritis & Nephrosis,,,4754.0,12001.31,9
APR-DRG,4631,Kidney & Urinary Tract Infections,,,4754.0,5269.0,9
APR-DRG,4632,Kidney & Urinary Tract Infections,,,4754.0,5927.4,9
APR-DRG,4633,Kidney & Urinary Tract Infections,,,4754.0,7887.88,9
APR-DRG,4651,Urinary Stones & Acquired Upper Urinary Tract Obstruction,,,4754.0,5418.34,9
APR-DRG,4652,Urinary Stones & Acquired Upper Urinary Tract Obstruction,,,4754.0,6532.06,9
APR-DRG,4653,Urinary Stones & Acquired Upper Urinary Tract Obstruction,,,4754.0,10521.32,9
APR-DRG,4662,Malfunction; Reaction; Complic Of Genitourinary Device Or Proc,,,4754.0,6206.76,9
APR-DRG,4663,Malfunction; Reaction; Complic Of Genitourinary Device Or Proc,,,4754.0,8945.73,9
APR-DRG,4664,Malfunction; Reaction; Complic Of Genitourinary Device Or Proc,,,4754.0,14771.32,9
APR-DRG,4683,Other Kidney & Urinary Tract Diagnoses; Signs & Symptoms,,,4754.0,9109.62,9
APR-DRG,4691,Acute Kidney Injury,,,4754.0,5269.0,9
APR-DRG,4692,Acute Kidney Injury,,,4754.0,6171.99,9
APR-DRG,4693,Acute Kidney Injury,,,4754.0,9384.01,9
APR-DRG,4694,Acute Kidney Injury,,,4754.0,17181.26,9
APR-DRG,4702,Chronic Kidney Disease,,,4754.0,5929.88,9
APR-DRG,4703,Chronic Kidney Disease,,,4754.0,8495.03,9
APR-DRG,473,Transient Ischemia,,,4754.0,8938.28,9
APR-DRG,481,Peripheral; Cranial & Autonomic Nerve Disorders,,,4754.0,6027.97,9
APR-DRG,482,Peripheral; Cranial & Autonomic Nerve Disorders,,,4754.0,6882.19,9
APR-DRG,483,Peripheral; Cranial & Autonomic Nerve Disorders,,,4754.0,9117.07,9
APR-DRG,4833,Penis; Testes & Scrotal Procedures,,,4754.0,16550.53,9
APR-DRG,484,Peripheral; Cranial & Autonomic Nerve Disorders,,,4754.0,18404.24,9
APR-DRG,5011,Male Reproductive System Diagnoses Except Malignancy,,,4631.17,5269.0,9
APR-DRG,5012,Male Reproductive System Diagnoses Except Malignancy,,,4754.0,5911.26,9
APR-DRG,504,Non-Bacterial Infections Of Nervous System Exc Viral Meningitis,,,4754.0,38097.25,9
APR-DRG,5122,Uterine & Adnexa Procedures For Non-Ovarian & Non-Adnexal Malig,,,4754.0,14303.23,9
APR-DRG,5132,Uterine & Adnexa Procedures For Non-Malignancy Except Leiomyoma,,,4754.0,11697.11,9
APR-DRG,5173,Dilation & Curettage For Non-Obstetric Diagnoses,,,4754.0,14262.26,9
APR-DRG,5181,Other Female Reproductive System & Related Procedures,,,4754.0,7593.63,9
APR-DRG,5183,Other Female Reproductive System & Related Procedures,,,4754.0,19326.75,9
APR-DRG,5191,Uterine & Adnexa Procedures For Leiomyoma,,,4754.0,9143.14,9
APR-DRG,522,Alteration In Consciousness,,,4754.0,6616.49,9
APR-DRG,523,Alteration In Consciousness,,,4754.0,8580.7,9
APR-DRG,531,Seizure,,,4754.0,5269.0,9
APR-DRG,5311,Female Reproductive System Infections,,,4754.0,5269.0,9
APR-DRG,5312,Female Reproductive System Infections,,,4754.0,6340.85,9
APR-DRG,532,Seizure,,,4754.0,6109.91,9
APR-DRG,5321,Menstrual & Other Female Reproductive System Disorders,,,4585.23,5269.0,9
APR-DRG,5322,Menstrual & Other Female Reproductive System Disorders,,,4754.0,5526.36,9
APR-DRG,533,Seizure,,,4754.0,7869.26,9
APR-DRG,534,Seizure,,,4754.0,19097.05,9
APR-DRG,54,Tracheostomy W Mv 96+ Hours W/O Extensive Procedure,,,4754.0,87846.92,9
APR-DRG,5401,Cesarean Section W/O Sterilization,,,4754.0,7033.66,9
APR-DRG,5402,Cesarean Section W/O Sterilization,,,4754.0,8398.18,9
APR-DRG,5404,Cesarean Section W/O Sterilization,,,4754.0,17063.31,9
APR-DRG,5411,Vaginal Delivery W Sterilization &/Or D&C,,,4754.0,6914.47,9
APR-DRG,5412,Vaginal Delivery W Sterilization &/Or D&C,,,4754.0,7057.25,9
APR-DRG,542,Migraine & Other Headaches,,,4754.0,6299.88,9
APR-DRG,543,Migraine & Other Headaches,,,4754.0,7891.61,9
APR-DRG,5472,Antepartum W O.R. Procedure,,,4754.0,7802.21,9
APR-DRG,551,Head Trauma W Coma >1 Hr Or Hemorrhage,,,4754.0,6065.22,9
APR-DRG,552,Head Trauma W Coma >1 Hr Or Hemorrhage,,,4754.0,8256.64,9
APR-DRG,553,Head Trauma W Coma >1 Hr Or Hemorrhage,,,4754.0,12018.69,9
APR-DRG,5601,Vaginal Delivery,,,4725.53,5269.0,9
APR-DRG,5602,Vaginal Delivery,,,4754.0,5368.68,9
APR-DRG,5603,Vaginal Delivery,,,4754.0,6620.21,9
APR-DRG,5612,Postpartum & Post Abortion Diagnoses W/O Procedure,,,4382.85,5269.0,9
APR-DRG,5613,Postpartum & Post Abortion Diagnoses W/O Procedure,,,4754.0,6277.53,9
APR-DRG,5641,Abortion W/O D&C; Aspiration Curettage Or Hysterotomy,,,3801.78,5269.0,9
APR-DRG,5642,Abortion W/O D&C; Aspiration Curettage Or Hysterotomy,,,4531.84,5269.0,9
APR-DRG,5661,Antepartum W/O O.R. Procedure,,,3399.5,5269.0,9
APR-DRG,5662,Antepartum W/O O.R. Procedure,,,4048.86,5269.0,9
APR-DRG,5663,Antepartum W/O O.R. Procedure,,,4754.0,5582.23,9
APR-DRG,572,Concussion; Closed Skull Fx Nos;Uncomplicated Intracranial Injury; Coma < 1 Hr Or No Coma,,,4754.0,7432.22,9
APR-DRG,5811,Neonate; Transferred < 5 Days Old; Born Here,,,1817.7,5269.0,9
APR-DRG,5813,Neonate; Transferred < 5 Days Old; Born Here,,,3582.02,5269.0,9
APR-DRG,582,Other Disorders Of Nervous System,,,4754.0,8069.16,9
APR-DRG,583,Other Disorders Of Nervous System,,,4754.0,10900.01,9
APR-DRG,584,Other Disorders Of Nervous System,,,4754.0,19182.72,9
APR-DRG,6141,Neonate Bwt 1500-1999G W Or W/O Other Significant Condition,,,4754.0,15441.78,9
APR-DRG,6261,Neonate Bwt 2000-2499G; Normal Newborn Or Neonate W Other Problem,,,2022.57,5269.0,9
APR-DRG,6263,Neonate Bwt 2000-2499G; Normal Newborn Or Neonate W Other Problem,,,4754.0,7346.55,9
APR-DRG,6331,Neonate Birthwt >2499G W Major Anomaly,,,3728.52,5269.0,9
APR-DRG,6342,Neonate; Birthwt >2499G W Resp Dist Synd/Oth Maj Resp Cond,,,4754.0,15500.13,9
APR-DRG,6392,Neonate Birthwt >2499G W Other Significant Condition,,,4754.0,12460.7,9
APR-DRG,6401,Neonate Birthwt >2499G; Normal Newborn Or Neonate W Other Problem,,,1448.95,5269.0,9
APR-DRG,6402,Neonate Birthwt >2499G; Normal Newborn Or Neonate W Other Problem,,,1985.32,5269.0,9
APR-DRG,6403,Neonate Birthwt >2499G; Normal Newborn Or Neonate W Other Problem,,,3842.75,5269.0,9
APR-DRG,6602,Major Hematologic/Immunologic Diag Exc Sickle Cell Crisis & Coagul,,,4754.0,7827.05,9
APR-DRG,6611,Coagulation & Platelet Disorders,,,4754.0,6645.04,9
APR-DRG,6632,Other Anemia & Disorders Of Blood & Blood-Forming Organs,,,4754.0,6770.44,9
APR-DRG,6633,Other Anemia & Disorders Of Blood & Blood-Forming Organs,,,4754.0,9370.36,9
APR-DRG,6802,Major O.R. Procedures For Lymphatic/Hematopoietic/Other Neoplasms,,,4754.0,21423.81,9
APR-DRG,6813,Other O.R. Procedures For Lymphatic/Hematopoietic/Other Neoplasms,,,4754.0,26873.19,9
APR-DRG,6901,Acute Leukemia,,,4754.0,10592.09,9
APR-DRG,6911,Lymphoma; Myeloma & Non-Acute Leukemia,,,4754.0,9248.68,9
APR-DRG,6942,Lymphatic & Other Malignancies & Neoplasms Of Uncertain Behavior,,,4754.0,7591.14,9
APR-DRG,6953,Chemotherapy For Acute Leukemia,,,4754.0,18001.96,9
APR-DRG,6961,Other Chemotherapy,,,4754.0,7136.72,9
APR-DRG,6962,Other Chemotherapy,,,4754.0,9403.88,9
APR-DRG,7101,Infectious & Parasitic Diseases Including Hiv W O.R. Procedure,,,4754.0,10933.53,9
APR-DRG,7102,Infectious & Parasitic Diseases Including Hiv W O.R. Procedure,,,4754.0,16137.08,9
APR-DRG,7103,Infectious & Parasitic Diseases Including Hiv W O.R. Procedure,,,4754.0,24859.32,9
APR-DRG,7104,Infectious & Parasitic Diseases Including Hiv W O.R. Procedure,,,4754.0,44313.95,9
APR-DRG,7112,Post-Op; Post-Trauma; Other Device Infections W O.R. Procedure,,,4754.0,13528.47,9
APR-DRG,7113,Post-Op; Post-Trauma; Other Device Infections W O.R. Procedure,,,4754.0,22692.72,9
APR-DRG,7201,Septicemia & Disseminated Infections,,,4754.0,5844.21,9
APR-DRG,7202,Septicemia & Disseminated Infections,,,4754.0,7500.51,9
APR-DRG,7203,Septicemia & Disseminated Infections,,,4754.0,10972.02,9
APR-DRG,7204,Septicemia & Disseminated Infections,,,4754.0,18374.44,9
APR-DRG,7212,Post-Operative; Post-Traumatic; Other Device Infections,,,4754.0,7417.32,9
APR-DRG,7213,Post-Operative; Post-Traumatic; Other Device Infections,,,4754.0,11803.89,9
APR-DRG,7214,Post-Operative; Post-Traumatic; Other Device Infections,,,4754.0,21611.29,9
APR-DRG,7233,Viral Illness,,,4754.0,8051.78,9
APR-DRG,7241,Other Infectious & Parasitic Diseases,,,4754.0,5732.47,9
APR-DRG,7242,Other Infectious & Parasitic Diseases,,,4754.0,6993.93,9
APR-DRG,732,Orbit & Eye Procedures,,,4754.0,11566.75,9
APR-DRG,733,Orbit & Eye Procedures,,,4754.0,17271.9,9
APR-DRG,7501,Schizophrenia,,,4754.0,5269.0,9
APR-DRG,7502,Schizophrenia,,,4754.0,6425.28,9
APR-DRG,7503,Schizophrenia,,,4754.0,9665.86,9
APR-DRG,7504,Schizophrenia,,,4754.0,22718.8,9
APR-DRG,7511,Major Depressive Disorders & Other/Unspecified Psychoses,,,4754.0,5269.0,9
APR-DRG,7512,Major Depressive Disorders & Other/Unspecified Psychoses,,,4754.0,5662.94,9
APR-DRG,7513,Major Depressive Disorders & Other/Unspecified Psychoses,,,4754.0,9133.21,9
APR-DRG,7514,Major Depressive Disorders & Other/Unspecified Psychoses,,,4754.0,23344.56,9
APR-DRG,7521,Disorders Of Personality & Impulse Control,,,3832.82,5269.0,9
APR-DRG,7522,Disorders Of Personality & Impulse Control,,,4616.27,5269.0,9
APR-DRG,7531,Bipolar Disorders,,,4710.63,5269.0,9
APR-DRG,7532,Bipolar Disorders,,,4754.0,5723.78,9
APR-DRG,7533,Bipolar Disorders,,,4754.0,8578.21,9
APR-DRG,7534,Bipolar Disorders,,,4754.0,22183.67,9
APR-DRG,7541,Depression Except Major Depressive Disorder,,,4189.16,5269.0,9
APR-DRG,7542,Depression Except Major Depressive Disorder,,,4754.0,5269.0,9
APR-DRG,7551,Adjustment Disorders & Neuroses Except Depressive Diagnoses,,,3903.59,5269.0,9
APR-DRG,7552,Adjustment Disorders & Neuroses Except Depressive Diagnoses,,,4754.0,5278.04,9
APR-DRG,7553,Adjustment Disorders & Neuroses Except Depressive Diagnoses,,,4754.0,6995.17,9
APR-DRG,7561,Acute Anxiety & Delirium States,,,4754.0,5269.0,9
APR-DRG,7562,Acute Anxiety & Delirium States,,,4754.0,5975.82,9
APR-DRG,7563,Acute Anxiety & Delirium States,,,4754.0,6221.66,9
APR-DRG,7582,Behavioral Disorders,,,4754.0,5952.23,9
APR-DRG,7701,Drug & Alcohol Abuse Or Dependence; Left Against Medical Advice,,,2257.23,5269.0,9
APR-DRG,7702,Drug & Alcohol Abuse Or Dependence; Left Against Medical Advice,,,3546.01,5269.0,9
APR-DRG,7703,Drug & Alcohol Abuse Or Dependence; Left Against Medical Advice,,,4754.0,5975.82,9
APR-DRG,7732,Opioid Abuse & Dependence,,,4102.25,5269.0,9
APR-DRG,7742,Cocaine Abuse & Dependence,,,4125.84,5269.0,9
APR-DRG,7743,Cocaine Abuse & Dependence,,,4754.0,7325.44,9
APR-DRG,7751,Alcohol Abuse & Dependence,,,4076.17,5269.0,9
APR-DRG,7752,Alcohol Abuse & Dependence,,,4754.0,5599.62,9
APR-DRG,7753,Alcohol Abuse & Dependence,,,4754.0,9032.64,9
APR-DRG,7754,Alcohol Abuse & Dependence,,,4754.0,21218.94,9
APR-DRG,7761,Other Drug Abuse & Dependence,,,4420.1,5269.0,9
APR-DRG,7762,Other Drug Abuse & Dependence,,,4754.0,5374.89,9
APR-DRG,7763,Other Drug Abuse & Dependence,,,4754.0,8293.89,9
APR-DRG,7764,Other Drug Abuse & Dependence,,,4754.0,14788.7,9
APR-DRG,7931,Moderately Extensive Or Procedures For Other Complications Of Treatment,,,4754.0,9004.08,9
APR-DRG,7932,Moderately Extensive Or Procedures For Other Complications Of Treatment,,,4754.0,12474.36,9
APR-DRG,7934,Moderately Extensive Or Procedures For Other Complications Of Treatment,,,4754.0,36914.01,9
APR-DRG,7943,Non-Extensive Or Procedures For Other Complications Of Treatment,,,4754.0,16149.49,9
APR-DRG,8113,Allergic Reactions,,,4754.0,9067.4,9
APR-DRG,8122,Poisoning Of Medicinal Agents,,,4754.0,5335.16,9
APR-DRG,8123,Poisoning Of Medicinal Agents,,,4754.0,7687.99,9
APR-DRG,8124,Poisoning Of Medicinal Agents,,,4754.0,13451.49,9
APR-DRG,8131,Other Complications Of Treatment,,,4754.0,5371.16,9
APR-DRG,8132,Other Complications Of Treatment,,,4754.0,6719.54,9
APR-DRG,8133,Other Complications Of Treatment,,,4754.0,9680.76,9
APR-DRG,8134,Other Complications Of Treatment,,,4754.0,17608.37,9
APR-DRG,8154,Other Injury; Poisoning & Toxic Effect Diagnoses,,,4754.0,25209.45,9
APR-DRG,8163,Toxic Effects Of Non-Medicinal Substances,,,4754.0,7459.53,9
APR-DRG,8171,Intentional Self-Harm & Attempted Suicide,,,3991.74,5269.0,9
APR-DRG,8172,Intentional Self-Harm & Attempted Suicide,,,4754.0,5269.0,9
APR-DRG,8173,Intentional Self-Harm & Attempted Suicide,,,4754.0,8102.68,9
APR-DRG,8174,Intentional Self-Harm & Attempted Suicide,,,4754.0,15557.25,9
APR-DRG,821,Eye Infections & Other Eye Disorders,,,4754.0,5269.0,9
APR-DRG,822,Eye Infections & Other Eye Disorders,,,4754.0,6440.18,9
APR-DRG,8433,Extensive 3Rd Degree Burns W/O Skin Graft,,,4754.0,9447.33,9
APR-DRG,8504,Procedure W Diag Of Rehab; Aftercare Or Oth Contact W Health Service,,,4754.0,55490.83,9
APR-DRG,8612,Signs; Symptoms & Other Factors Influencing Health Status,,,4754.0,5906.29,9
APR-DRG,8613,Signs; Symptoms & Other Factors Influencing Health Status,,,4754.0,8067.92,9
APR-DRG,8624,Other Aftercare & Convalescence,,,4754.0,14591.28,9
APR-DRG,8903,Hiv W Multiple Major Hiv Related Conditions,,,4754.0,12069.59,9
APR-DRG,8904,Hiv W Multiple Major Hiv Related Conditions,,,4754.0,23088.79,9
APR-DRG,892,Major Cranial/Facial Bone Procedures,,,4754.0,21790.08,9
APR-DRG,8923,Hiv W Major Hiv Related Condition,,,4754.0,9621.16,9
APR-DRG,8942,Hiv W One Signif Hiv Cond Or W/O Signif Related Cond,,,4754.0,6541.99,9
APR-DRG,9104,Craniotomy For Multiple Significant Trauma,,,4754.0,68134.04,9
APR-DRG,9113,Extensive Abdominal/Thoracic Procedures For Mult Significant Trauma,,,4754.0,28102.37,9
APR-DRG,9114,Extensive Abdominal/Thoracic Procedures For Mult Significant Trauma,,,4754.0,59029.39,9
APR-DRG,912,Other Major Head & Neck Procedures,,,4754.0,19380.13,9
APR-DRG,9121,Musculoskeletal & Other Procedures For Multiple Significant Trauma,,,4754.0,18869.84,9
APR-DRG,9123,Musculoskeletal & Other Procedures For Multiple Significant Trauma,,,4754.0,29970.98,9
APR-DRG,9124,Musculoskeletal & Other Procedures For Multiple Significant Trauma,,,4754.0,57159.54,9
APR-DRG,913,Other Major Head & Neck Procedures,,,4754.0,34182.49,9
APR-DRG,921,Facial Bone Procedures Except Major Cranial/Facial Bone Procedures,,,4754.0,12416.0,9
APR-DRG,922,Facial Bone Procedures Except Major Cranial/Facial Bone Procedures,,,4754.0,16672.2,9
APR-DRG,923,Facial Bone Procedures Except Major Cranial/Facial Bone Procedures,,,4754.0,26180.38,9
APR-DRG,9301,Multiple Significant Trauma W/O O.R. Procedure,,,4754.0,7166.52,9
APR-DRG,9302,Multiple Significant Trauma W/O O.R. Procedure,,,4754.0,8544.69,9
APR-DRG,9303,Multiple Significant Trauma W/O O.R. Procedure,,,4754.0,13576.9,9
APR-DRG,9304,Multiple Significant Trauma W/O O.R. Procedure,,,4754.0,28606.46,9
APR-DRG,94,Extracorporeal Membrane Oxygenation (Ecmo),,,4754.0,139753.25,9
APR-DRG,9502,Extensive Procedure Unrelated To Principal Diagnosis,,,4754.0,18406.72,9
APR-DRG,9503,Extensive Procedure Unrelated To Principal Diagnosis,,,4754.0,23471.21,9
APR-DRG,9504,Extensive Procedure Unrelated To Principal Diagnosis,,,4754.0,48123.17,9
APR-DRG,9511,Moderately Extensive Procedure Unrelated To Principal Diagnosis,,,4754.0,10662.86,9
APR-DRG,9512,Moderately Extensive Procedure Unrelated To Principal Diagnosis,,,4754.0,14801.11,9
APR-DRG,9513,Moderately Extensive Procedure Unrelated To Principal Diagnosis,,,4754.0,21716.83,9
APR-DRG,9514,Moderately Extensive Procedure Unrelated To Principal Diagnosis,,,4754.0,40582.94,9
APR-DRG,9522,Nonextensive Procedure Unrelated To Principal Diagnosis,,,4754.0,12658.11,9
APR-DRG,9523,Nonextensive Procedure Unrelated To Principal Diagnosis,,,4754.0,19868.08,9
APR-DRG,9524,Nonextensive Procedure Unrelated To Principal Diagnosis,,,4754.0,37654.0,9
APR-DRG,972,Tonsil & Adenoid Procedures,,,4754.0,7629.63,9
APR-DRG,982,Other Ear; Nose; Mouth & Throat Procedures,,,4754.0,11831.21,9
APR-DRG,984,Other Ear; Nose; Mouth & Throat Procedures,,,4754.0,35696.0,9
CDM,1.02E+22,HEPATITIS B VIRUS VACC.REC(PF) 40 MCG/ML IM SUSP,537.19,376.03,4754.0,5269.0,4
CDM,1.02E+22,"LIDOCAINE-EPINEPHRINE BIT 2 %-1:50,000 INJ CRTG",2.45,1.72,4754.0,5269.0,4
CDM,1.16E+22,EPHEDRINE SULFATE-0.9%NACL(PF) 25 MG/5 ML (5 MG/ML) IV SYR,72.38,50.67,4754.0,5269.0,4
CDM,1.16E+22,KETAMINE IN 0.9 % SOD CHLORIDE 50 MG/5 ML (10 MG/ML) IV SYR,21.59,15.11,4754.0,5269.0,12
CDM,1.20E+22,EPINEPHRINE 0.15 MG/0.15 ML INJ ATIN,412.5,288.75,4754.0,5269.0,4
CDM,1.23E+22,FIBRINOGEN-THROMBIN 4.8 X 4.8 CM TOP PTMD,1874.815,1312.375,4754.0,5269.0,8
CDM,1.23E+22,FIBRINOGEN-THROMBIN 9.5 X 4.8 CM TOP PTMD,2136.75,1495.73,4754.0,5269.0,8
CDM,1.28E+22,KETAMINE 50 MG/ML (1 ML) IV SYR,13.75,9.63,4754.0,5269.0,4
CDM,1.29E+22,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) IV SOLN",15.95,11.17,4754.0,5269.0,8
CDM,1.38E+20,FLUORESCEIN 1 MG OPHT STRIP,96.615,67.63,4754.0,5269.0,8
CDM,1.41E+22,ETHIODIZED OIL 480 MG IODINE/ML INJ OIL,3366.0,2356.2,4754.0,5269.0,4
CDM,1.42E+20,AMLEXANOX 5 % MM PASTE,50.6,35.42,4754.0,5269.0,4
CDM,1.43E+22,"ARTICAINE-EPINEPHRINE BITART 4 %- 1:100,000 INJ CRTG",3.04,2.13,4754.0,5269.0,4
CDM,1.45E+18,ISOPROTERENOL HCL 0.2 MG/ML INJ SOLN,1650.0,1155.0,4754.0,5269.0,4
CDM,1.56E+22,LIDOCAINE-RACEPINEP-TETRACAINE 4-0.05-0.5 % TOP GEL,44.45,31.12,4754.0,5269.0,4
CDM,1.58E+22,STERILE TALC 4 G INTRAPL SUSR,537.63,376.34,4754.0,5269.0,8
CDM,1.60E+22,ARGININE-LYSINE IN 0.9 % NACL 25-25 MG/ML IV SOLN,660.0,462.0,4754.0,5269.0,4
CDM,1.61E+22,ARGININE-LYSINE-STERILE WATER 25-25 MG/ML IV SOLN,869.0,608.3,4754.0,5269.0,4
CDM,1.61E+22,ARTIFI.TEARS(HYPROMELLOSE)(PF) 1.7 % OPHT DRPA,91.72,64.2,4754.0,5269.0,4
CDM,1.62E+22,CARDIOPLEGIC SOLUTION NO.25 29 MMOL/L (POTASSIUM) PERF SOLN,214.5,150.15,4754.0,5269.0,4
CDM,1.67E+22,LIDOCAINE-EPINEPHR-TETRACAINE 4-0.18-0.5 % TOP GEL,50.39,35.27,4754.0,5269.0,4
CDM,1.69E+22,MULTIVIT-MIN-IRON-FOLIC-VIT K1 8 MG-400 MCG- 80 MCG PO CHEW,23.52,16.46,4754.0,5269.0,4
CDM,1.71E+18,DILTIAZEM HCL 5 MG/ML IV SOLN,17.14,12.0,4754.0,5269.0,4
CDM,1.71E+22,CARDIOPLEG-ORGAN PRESERV NO.1 9 MMOL-198 MMOL -2 MMOL/L PERF SOLN,510.35,357.25,4754.0,5269.0,4
CDM,1.72E+22,INDOMETHACIN 100 MG PR SUPP,11550.0,8085.0,4754.0,5269.0,4
CDM,1.72E+22,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:100,000 INJ SOLN",21.62,15.13,4754.0,5269.0,4
CDM,1.82E+20,DOXYCYCLINE HYCLATE 100 MG IV RECON.SOLN.,39.19,27.43,4754.0,5269.0,8
CDM,1.82E+22,MITOMYCIN 40 MG X 2 INTRAVES KIT,59125.0,41387.5,4754.0,5269.0,4
CDM,1.84E+22,VANCOMYCIN-DILUENT NO.2 (NADA) 1 GRAM/200 ML IV IVPB,49.5,34.65,4754.0,5269.0,4
CDM,1.91E+20,SODIUM HYALURONATE 10 MG/ML INTRAOC SYR,202.13,141.49,,,0
CDM,101429,ACETIC ACID (BULK)   3 % MISC LIQ,5.61,3.93,,,0
CDM,124986,TETRACAINE HCL (PF) 0.5 % OPHT DROP,9.55,6.69,4754.0,5269.0,4
CDM,13348,DIAZEPAM 5 MG/5 ML PO SOLN,1.6,1.12,4754.0,5269.0,4
CDM,135500,LIDOCAIN-EPI-TETRACAIN COMP KT 4-0.18-0.5 % TOP SOLN,5.99,4.19,4754.0,5269.0,8
CDM,15299,FOLIC ACID  5 MG/ML INJ SOLN,3.52,2.46,4754.0,5269.0,4
CDM,15737,"LIDOCAINE-EPINEPHRINE 1 %-1:100,000 INJ SOLN",0.44,0.31,4754.0,5269.0,4
CDM,1752,LIDOCAINE HCL 10 MG/ML (1 %) INJ SOLN,0.47,0.33,4754.0,5269.0,4
CDM,2.00E+23,SODIUM HYPOCHLORITE 6%,79.2,55.44,4754.0,5269.0,4
CDM,2.00E+24,AMINO ACID INJ 50/500 ML (25G L-ARGININE/25G L-LYSINE),330.0,231.0,4754.0,5269.0,4
CDM,2.00E+24,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJ SOLN 10 ML",21.56,15.09,4754.0,5269.0,4
CDM,2.00E+24,DOXYCYCLINE 100 MG IN NS 100 ML IVPB (MINI-BAG),39.19,27.43,4754.0,5269.0,8
CDM,2.00E+24,FENTANYL-ROPIVACAINE-NACL (PF) 2-0.2 MCG/ML-% 100 ML PCA (NH),139.43,97.6,4754.0,5269.0,4
CDM,2.00E+24,HYDROMORPHONE (PF) 0.2 MG/ML DRIP PREMIX BOLUS FROM BAG,59.4,41.58,4754.0,5269.0,4
CDM,2.00E+24,KETAMINE 50 MG/ML FOR STATUS ASTHMATICUS (FROM SYRINGE),13.75,9.63,4754.0,5269.0,4
CDM,2.00E+24,LIDOCAINE HCL (PF) 1 % (10 MG/ML) INJ SOLN (5 ML),4.13,2.89,4754.0,5269.0,8
CDM,2.00E+24,LIDOCAINE HCL 4 % INH SOLN,13.3,9.31,4754.0,5269.0,4
CDM,2.00E+24,"LIDOCAINE-EPINEPHRINE 2 %-1:100,000 1.8 ML INJ CARTRIDGE",2.34,1.64,4754.0,5269.0,4
CDM,2.00E+24,SODIUM HYALURONATE 18 MG/ML INTRAOCULAR SYRINGE,123.07,86.15,4754.0,5269.0,4
CDM,2.00E+24,SODIUM HYALURONATE 23 MG/ML INTRAOCULAR SYRINGE,327.14,229.0,4754.0,5269.0,4
CDM,2.00E+24,SODIUM HYPOCHLORITE 5.5%,96.0,67.2,4754.0,5269.0,4
CDM,2.00E+24,TOBRAMYCIN 300 MG/5 ML IPPB SOLN,173.76999999999998,121.64,4754.0,5269.0,8
CDM,2.00E+24,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INHALATION",15.95,11.17,4754.0,5269.0,8
CDM,2.00E+24,"TRANEXAMIC ACID 1,000 MG/10 ML NEBULIZER SOLUTION",15.95,11.17,4754.0,5269.0,8
CDM,2.00E+24,TRANEXAMIC ACID 500 MG/5 ML TOPICAL USE,15.95,11.17,4754.0,5269.0,8
CDM,2.00E+25,BARIATRIC ADVANTAGE FERRONYL IRON-VIT C 60-250 MG-MG PO CHEW,72.77,50.94,4754.0,5269.0,4
CDM,2.49E+20,BUDESONIDE 0.5 MG/2 ML INHAL NBSP,8.21,5.75,4754.0,5269.0,4
CDM,2.53E+18,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN,87.21,61.05,4754.0,5269.0,4
CDM,2.55E+20,VERAPAMIL 2.5 MG/ML IV SOLN,80.79,56.55,4754.0,5269.0,4
CDM,2.83E+20,EPINEPHRINE 0.3 MG/0.3 ML INJ ATIN,412.5,288.75,4754.0,5269.0,4
CDM,2.83E+20,PHENYLEPHRINE HCL  2.5 % OPHT DROP,50.82,35.57,4754.0,5269.0,4
CDM,2.84E+20,MANNITOL 20 % IV SOLP,60.5,42.35,4754.0,5269.0,4
CDM,2000196,SPOT ENDOSCOPIC MARKER,104.5,73.15,,,0
CDM,2000234,HETASTARCH IN NS 6 % (10 ML) COMPD,2.34,1.64,4754.0,5269.0,4
CDM,2000235,CARDIOPLEGIA HI K 500 ML IV BAG,68.12,47.68,4754.0,5269.0,4
CDM,2000236,CARDIOPLEGIA LO K 500 ML IV BAG,68.12,47.68,4754.0,5269.0,4
CDM,2000237,CARDIOPLEGIA PLAIN K 500 ML IV BAG,68.12,47.68,4754.0,5269.0,4
CDM,2000294,FOLIC ACID 1 MG/0.2 ML INJ SOLN (OMNICELL DOSE CHARGE),3.52,2.46,4754.0,5269.0,4
CDM,2000314,IND - TIGECYCLINE INJ SOLN (TIG STUDY),0.01,0.01,4754.0,5269.0,4
CDM,2000315,IND - METRONIDAZOLE 500 MG/100 ML PREMIX (TIG STUDY),0.01,0.01,4754.0,5269.0,4
CDM,2000316,IND - CEFTRIAXONE 2 GM INJ SOLN (TIG STUDY),0.01,0.01,4754.0,5269.0,4
CDM,2000365,IND - CIPROFLOXACIN 750 MG PO TAB,0.01,0.01,4754.0,5269.0,4
CDM,2000371,LEECHES,263.56,184.49,,,0
CDM,2000541,VORICONAZOLE 10 MG/ML SOLN (FOR OPHTH SOLN),96.25,67.38,4754.0,5269.0,8
CDM,2000542,METHOHEXITAL 100MG SYRINGE,61.35,42.95,4754.0,5269.0,4
CDM,2000625,WARFARIN 3 MG PO TAB (0.5 TAB) = 1.5 MG (DO NOT USE),612.7,428.89,4754.0,5269.0,4
CDM,2000694,TRIMETHOPRIM 100 MG PO TAB (0.5 TAB) = 50 MG,85.53,59.87,4754.0,5269.0,4
CDM,2000709,OXYMETAZOLINE 0.05 % NASAL AERO SPRAY FOR COMPOUNDING,5.49,3.84,4754.0,5269.0,4
CDM,2000731,DEXTROSE 50% IN WATER (D50W) 3 ML IV SYR (FOR SDS USE ONLY),0.86,0.6,4754.0,5269.0,4
CDM,2000881,PHENYLEPHRINE HCL 10 % OPHT DROP (MULTIDOSE),22.0,15.4,4754.0,5269.0,8
CDM,2000882,CYCLOPENTOLATE 1 % OPHT DROP (MULTIDOSE),16.54,11.58,4754.0,5269.0,8
CDM,2000883,TROPICAMIDE 1 % OPHT DROP (MULTIDOSE),8.0,5.6,4754.0,5269.0,8
CDM,2000885,MOXIFLOXACIN 0.5 % OPHT DROP (MULTIDOSE),10.64,7.45,4754.0,5269.0,12
CDM,2000886,KETOROLAC 0.4% OPHT DROP (MULTIDOSE),36.73,25.71,4754.0,5269.0,8
CDM,2000887,PROPARACAINE 0.5% OPHT DROP (MULTIDOSE),6.705,4.695,4754.0,5269.0,8
CDM,2000902,NEPAFENAC 0.1 % OPHT DRPS (MULTIDOSE),301.7,211.19,4754.0,5269.0,4
CDM,2000903,PHENYLEPHRINE HCL  2.5 % OPHT DROP (MULTIDOSE),44.69,31.28,4754.0,5269.0,8
CDM,2000904,PREDNISOLONE ACETATE 1 % OPHT DROPS (MULTIDOSE),24.2,16.94,4754.0,5269.0,8
CDM,2000912,MANNITOL 20 % (10 G/50 ML) IV SYRINGE,5.23,3.66,4754.0,5269.0,4
CDM,2000913,LIDOCAINE HCL 10 MG/ML (1 %) 20 ML MDV (OR USE ONLY),0.47,0.33,4754.0,5269.0,4
CDM,2000924,VANCOMYCIN  500 MG IV RECON SOLN FOR OTHER USE,22.45,15.72,4754.0,5269.0,4
CDM,2001009U85445085012001009,SODIUM HYALURONATE 14 MG/ML INTRAOCULAR SYRINGE,101.84,71.29,4754.0,5269.0,4
CDM,2001130,ATROPINE 1 % OPHT DROP (MULTIDOSE),23.485,16.439999999999998,4754.0,5269.0,8
CDM,2001208,ETHYL CHLORIDE 100 % TOP AERO.SPRAY (OMNICELL DOSE CHARGE),2.0,1.4,4754.0,5269.0,4
CDM,2001229,DOXYCYCLINE 100 MG/100 ML NS IVPB (NHCH),72.41,50.69,4754.0,5269.0,4
CDM,2001250,POTASSIUM PHOSPHATE 15 MMOL/250 ML NS IVPB,65.95,46.17,4754.0,5269.0,4
CDM,2001253,VANCOMYCIN 1 G/250 ML NS IVPB (NHCH),44.78,31.35,4754.0,5269.0,4
CDM,2001260,FECAL MICROBIOTA TRANSPLANT 50ML,1168.75,818.13,,,0
CDM,2001349,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJ (NHCH MIXTURES)",64.63,45.24,4754.0,5269.0,4
CDM,2001352,KETOROLAC 0.5 % OPHT DROP (MULTIDOSE NHCH),15.4,10.78,4754.0,5269.0,4
CDM,2001355,POLYETHYLENE GLYCOL 1% OPTH FOR COMPOUNDING,17.41,12.19,4754.0,5269.0,4
CDM,2001395U80086614202001395,SODIUM HYALURONATE 12MG/ML 0.8 ML INTRAOC SYR (NHCH),68.75,48.13,4754.0,5269.0,4
CDM,2001439,MITOMYCIN C 1.2 MG FOR OPHTHALMIC USE,669.0,468.3,4754.0,5269.0,8
CDM,2001465,HOMATROPINE HBR 5 % OPHT DROP (MULTIDOSE),20.33,14.23,4754.0,5269.0,4
CDM,2001530,HYDROXYUREA  500 MG PO CAP (ORAL COMPOUNDING USE),2.53,1.77,4754.0,5269.0,4
CDM,2001547,VERAPAMIL 1 MG/0.4 ML SYRINGE,4.79,3.35,4754.0,5269.0,4
CDM,2001577,APRACLONIDINE 0.5 % OPHT DROP (MULTIDOSE),35.34,24.74,4754.0,5269.0,4
CDM,2001578,BRIMONIDINE 0.15 % OPHT DROP (MULTIDOSE),84.34,59.04,4754.0,5269.0,4
CDM,2001580,CIPROFLOXACIN HCL 0.3 % OPHT DROP (MULTIDOSE),7.85,5.494999999999999,4754.0,5269.0,8
CDM,2001581,GENTAMICIN 0.3 % OPHT DROP (MULTIDOSE),8.0,5.6,4754.0,5269.0,8
CDM,2001582,PILOCARPINE HCL  1 % OPHT DROP (MULTIDOSE),13.61,9.53,4754.0,5269.0,8
CDM,2001583,PILOCARPINE HCL  2 % OPHT DROP (MULTIDOSE),13.92,9.74,4754.0,5269.0,8
CDM,2001586,FLURBIPROFEN SODIUM 0.03 % OPHT DROP (MULTIDOSE),39.6,27.72,4754.0,5269.0,4
CDM,2001646,"NEOMYCIN-POLYMYXIN-HC 3.5-10,000-1 MG-UNIT/ML-% OTIC SUSP (DOSE CHARGE)",23.08,16.16,4754.0,5269.0,4
CDM,2001668,HYDROXYCHLOROQUINE 25 MG/ML ORAL SYRINGE,1.32,0.92,4754.0,5269.0,4
CDM,2001669,IND - HYDROXYCHLOROQUINE 25 MG/ML ORAL SYRINGE,1.32,0.92,4754.0,5269.0,4
CDM,2001728,METHOHEXITAL 10 MG (1 MG/ML) IV SYRINGE FOR WADA TEST,8.0,5.6,4754.0,5269.0,4
CDM,2001807,VANCOMYCIN 1.25 G/250 ML NS IVPB (NHCH),55.28,38.7,4754.0,5269.0,4
CDM,2001808,VANCOMYCIN 750 MG/250 ML NS IVPB (NHCH),27.05,18.94,4754.0,5269.0,4
CDM,2001900,NOREPINEPHRINE 8 MG/NS (32 MCG/ML) 250 ML TITRATION,96.03,67.22,4754.0,5269.0,4
CDM,2002068,SIMETHICONE 40 MG/0.6 ML (OMNICELL DOSE CHARGE),1.0,0.7,4754.0,5269.0,8
CDM,2002176,FENTANYL 2 MCG/ML + ROPIVACAINE 0.125% 100 ML PCA,58.37,40.86,4754.0,5269.0,4
CDM,21485,FAMOTIDINE 10 MG/ML IV SOLN VIAL,2.48,1.74,4754.0,5269.0,4
CDM,24317,KETAMINE  10 MG/ML INJ SOLN,13.6,9.52,4754.0,5269.0,4
CDM,26460R,KETAMINE  50 MG/ML INJ SOLN,3.52,2.46,4754.0,5269.0,4
CDM,27385,SODIUM CHLORIDE 0.9 % IV SOLP,8.77,6.135,4754.0,5269.0,8
CDM,3.10E+20,SILVER NITRATE (BULK) MISC CRYSTALS,176.0,123.2,4754.0,5269.0,4
CDM,3.37E+20,FLUMAZENIL 0.1 MG/ML IV SOLN 5 ML VIAL,17.88,12.52,4754.0,5269.0,4
CDM,3.70E+18,TOBRAMYCIN IN 0.225 % NACL 300 MG/5 ML INHAL NEBU,19.65,13.76,4754.0,5269.0,4
CDM,3.90E+18,ALBUTEROL SULFATE 2.5 MG /3 ML (0.083 %) INHAL NEBU,1.0,0.7,4754.0,5269.0,8
CDM,3000001,IND - PALIFERMIN/PLACEBO,0.01,0.01,4754.0,5269.0,4
CDM,3000002,IND - VANCOMYCIN 125 MG/METRONIDAZOLE 375 MG/PLACEBO CAPSULE,0.01,0.01,4754.0,5269.0,4
CDM,3000003,IND - GT267-004/PLACEBO,0.01,0.01,4754.0,5269.0,4
CDM,3000004,IND - ANCROD NTI-ASP-0502,0.01,0.01,4754.0,5269.0,4
CDM,3000011,IND - OXALIPLATIN 100 MG IV RECON SOLN,0.01,0.01,4754.0,5269.0,4
CDM,3000012,IND - CETUXIMAB 100 MG IV (2 MG/ML) IV,0.01,0.01,4754.0,5269.0,4
CDM,3000014,IND - OXALIPLATIN 50 MG IV RECON SOLN,0.01,0.01,4754.0,5269.0,4
CDM,3000015,IND - ALIAS STUDY DRUG 250 ML,0.01,0.01,4754.0,5269.0,4
CDM,3000016,IND - ALIAS STUDY DRUG 500 ML,0.01,0.01,4754.0,5269.0,4
CDM,3000017,IND - ALIAS STUDY DRUG 2 G/KG,0.01,0.01,4754.0,5269.0,4
CDM,3000018,IND - VIT-45 (RA2006-021),0.01,0.01,4754.0,5269.0,4
CDM,3000020,IND - NS 100 ML (RA2006-021),0.01,0.01,4754.0,5269.0,4
CDM,3000021,IND - FERROUS SULFATE 325MG TAB (RA2006-021),0.01,0.01,4754.0,5269.0,4
CDM,3000025,IND - ROW A PALIPERIDONE ER/OLANZAPINE 6/10 MG CAPSULE,0.01,0.01,4754.0,5269.0,4
CDM,3000028,IND - VENTICUTE/PLACEBO 60 MG RSP-C SOLN,0.01,0.01,4754.0,5269.0,4
CDM,3000029,IND - ADH300004 (ENILURACIL) 2.5 MG TAB,0.01,0.01,4754.0,5269.0,4
CDM,3000031,IND - CEFTOBIPROLE 500 MG/CEFTAZIDIME 2 G,0.01,0.01,4754.0,5269.0,4
CDM,3000032,IND - CEFTOBIPROLE 500 MG/CEFTAZIDIME 1 G,0.01,0.01,4754.0,5269.0,4
CDM,3000033,IND - CEFTOBIPROLE 250 MG/CEFTAZIDIME 1 G/PLACEBO,0.01,0.01,4754.0,5269.0,4
CDM,3000034,IND - CEFTOBIPROLE 250 MG/CEFTAZIDIME 500MG/PLACEBO,0.01,0.01,4754.0,5269.0,4
CDM,3000035,IND - PLACEBO 300 ML D5W/LINEZOLID 600 MG/300 ML PREMIX,0.01,0.01,4754.0,5269.0,4
CDM,3000040,IND - BEVACIZUMAB/PLACEBO,0.01,0.01,4754.0,5269.0,4
CDM,3000042,IND - CLOPIDOGREL 75 MG OR CLOPIDOGREL 75 MG PLUS PLACEBO 75 G,0.01,0.01,4754.0,5269.0,8
CDM,3000043,IND - CLOPIDOGREL 75 MG,0.01,0.01,4754.0,5269.0,4
CDM,3000044,IND - TOLEVAMER POTASSIUM SODIUM 1 G TAB,0.01,0.01,4754.0,5269.0,4
CDM,3000046,IND - AMPICILLIN/SULBACTAM 3 G RECON SOLN,0.01,0.01,4754.0,5269.0,4
CDM,3000048,IND - VANCOMYCIN 10 G IV RECON.SOLN.,0.01,0.01,4754.0,5269.0,4
CDM,3000050,IND - 5-FLUOROURACIL 25 MG TAB,0.01,0.01,4754.0,5269.0,4
CDM,3000051,IND - SUNITINIB 12.5 MG CAPSULE,0.01,0.01,4754.0,5269.0,4
CDM,3000052,IND - SUNITINIB 25 MG CAPSULE,0.01,0.01,4754.0,5269.0,4
CDM,3000053,IND - YM155,0.01,0.01,4754.0,5269.0,4
CDM,3000056,IND - CLEVIDIPINE 0.5 MG/ML IV,0.01,0.01,4754.0,5269.0,4
CDM,3000057,IND - RO4607381 300 MG/PLACEBO TABLET,0.01,0.01,4754.0,5269.0,4
CDM,3000061,IND - CLOPIDOGEL 75 MG/PLACEBO LOADING DOSE,0.01,0.01,4754.0,5269.0,4
CDM,3000062,IND - PRASUGREL 30 MG/PLACEBO LOADING DOSE,0.01,0.01,4754.0,5269.0,4
CDM,3000063,IND - CLOPIDOGEL 75 MG/PLACEBO MAINTENANCE DOSE,0.01,0.01,4754.0,5269.0,4
CDM,3000064,IND - PRASUGREL 10 MG/PLACEBO MAINTENANCE DOSE,0.01,0.01,4754.0,5269.0,4
CDM,3000065,IND - PRASUGREL 5 MG/PLACEBO MAINTENANCE DOSE,0.01,0.01,4754.0,5269.0,4
CDM,3000075,IND - ZOLEDRONIC ACID 4 MG/ PLACEBO,0.01,0.01,4754.0,5269.0,4
CDM,3000077,IND - ZOLEDRONIC ACID 4 MG,0.01,0.01,4754.0,5269.0,4
CDM,3000079,IND - FULVESTRANT 250 MG/5 ML INJ,0.01,0.01,4754.0,5269.0,4
CDM,3000081,IND - HEPARIN 7500 UNITS/0.375 ML /ENOXAPARIN 40 MG/0.4ML SQ,0.01,0.01,4754.0,5269.0,4
CDM,3000096,IND - PERAMIVIR 10 MG/ML VIAL,0.01,0.01,4754.0,5269.0,4
CDM,3000369,IND - PEGFILGRASTIM 6 MG/0.6 ML /PLACEBO SYRINGE,0.01,0.01,4754.0,5269.0,4
CDM,3000373,IND - BORTEZOMIB 3.5 MG IV RECON SOLN,0.01,0.01,4754.0,5269.0,4
CDM,3000383,IND - NNZ-2566/PLACEBO 2 G INJ VIAL COHORT I,0.01,0.01,4754.0,5269.0,4
CDM,3000390,IND - RECMAGE-A3 & AS15 ASCI/PLACEBO,0.01,0.01,4754.0,5269.0,4
CDM,3000396,IND - PERAMIVIR/PLACEBO 10 MG/ML VIAL,0.01,0.01,4754.0,5269.0,4
CDM,3000402,IND - GLUTATHIONE/PLACEBO 100 MG/ML INJ (NCCTG N08CA),0.01,0.01,4754.0,5269.0,4
CDM,3000416,IND - NNZ-2566/PLACEBO 2 G INJ VIAL COHORT II,0.01,0.01,4754.0,5269.0,4
CDM,3000428,IND - CLOPIDOGREL/PLACEBO 75 MG TABLET,0.01,0.01,4754.0,5269.0,4
CDM,3000437,IND - DOXEPIN HCL/PLACEBO,0.01,0.01,4754.0,5269.0,4
CDM,3000441,IND MEDI-573 25 MG/ML VIAL (CD-ON MEDI-573-1028),0.01,0.01,4754.0,5269.0,4
CDM,3000444,IND - TIVOZANIB 1.5 MG ORAL CAPSULE,0.01,0.01,4754.0,5269.0,4
CDM,3000445,IND - SUN13837/PLACEBO,0.01,0.01,4754.0,5269.0,4
CDM,3000446,IND - AMG 386/PLACEBO 30 MG/ML,0.01,0.01,4754.0,5269.0,4
CDM,3000448,IND - IMPRIME 1 MG/ML 20 ML VIAL,0.01,0.01,4754.0,5269.0,4
CDM,3000453,IND - ALT 803 1 MG/ML VIAL,0.01,0.01,4754.0,5269.0,4
CDM,3000455,IND - PEMBROLIZUMAB 25 MG/ML VIAL,0.01,0.01,4754.0,5269.0,4
CDM,3000462,IND - RAMUCIRUMAB/PLACEBO 10 MG/ML VIAL,0.01,0.01,4754.0,5269.0,4
CDM,3000466,IND - ALT 803 1 MG/ML SYRINGE,0.01,0.01,4754.0,5269.0,4
CDM,3000479,IND - NIVOLUMAB 100 MG/10 ML IV SOLN,0.01,0.01,4754.0,5269.0,4
CDM,3000481,IND - IPILIMUMAB 50 MG/10 ML (5 MG/ML) IV SOLN,0.01,0.01,4754.0,5269.0,4
CDM,3000483,IND - INFLUENZA (FLUZONE) QUAD/ INFLUENZA (FLUZONE) HIGH DOSE TRIVALENT VACCINE 0.5 ML SYRINGE (INVESTED),0.01,0.01,4754.0,5269.0,4
CDM,3000485,IND - GLIBENCLAMIDE/PLACEBO 6 MG INJ VIAL,0.01,0.01,4754.0,5269.0,4
CDM,3000489,IND - TOKYO 172 BCG STRAIN 40 MG/ML SOLN,0.01,0.01,4754.0,5269.0,4
CDM,3000491,IND - TOKYO 172 BCG STRAIN INTRADERMAL,0.01,0.01,4754.0,5269.0,4
CDM,3000499,IND - BCG LIVE 50 MG INTRAVES SUSR,0.01,0.01,4754.0,5269.0,4
CDM,3000505,IND - TSR-022 20 MG/ML VIAL,0.01,0.01,4754.0,5269.0,4
CDM,3000507,IND - TSR-042 50 MG/ML VIAL,0.01,0.01,4754.0,5269.0,4
CDM,3000512,IND - REMDESIVIR 5MG/ML (GS-5734) IV SOLN,0.01,0.01,4754.0,5269.0,4
CDM,3000514,IND - REMDESIVIR LYOPHILIZED POWDER IV 5MG/ML (GS-5734),0.01,0.01,4754.0,5269.0,4
CDM,3000520,IND - IRINOTECAN LIPOSOMAL 4.3 MG/ML VIAL,0.01,0.01,4754.0,5269.0,4
CDM,3000522,IND - OBINUTUZUMAB 1000 MG/40 ML IV SOLN,0.01,0.01,4754.0,5269.0,4
CDM,3000525,IND - RECOMBINANT GLYCOSYLATED HUMAN INTERLEUKIN-7,0.01,0.01,4754.0,5269.0,4
CDM,3000526,IND - TELMISARTAN/PLACEBO 80 MG CAPSULE,0.01,0.01,4754.0,5269.0,4
CDM,3000528,IND - TRANEXAMIC ACID/PLACEBO 1G/10ML IV SOLN,0.01,0.01,4754.0,5269.0,4
CDM,3000529,IND - PEMBROLIZUMAB (MK-3475)/PLACEBO VIAL,0.01,0.01,4754.0,5269.0,4
CDM,3000531,IND - TRASTUZUMAB-HYALURONIDASE SYRINGE,0.01,0.01,4754.0,5269.0,4
CDM,3000532,IND - OREGOVOMAB/PLACEBO 1 MG/ML IV SOLN,0.01,0.01,4754.0,5269.0,4
CDM,3000537,IND - MEDI4736 (DURVALUMAB) 50 MG/ML (EA5181),0.01,0.01,4754.0,5269.0,4
CDM,3000541,IND - RECOMBINANT FACTOR VIIA/PLACEBO,0.01,0.01,4754.0,5269.0,4
CDM,3000542,IND - DATOPOTAMAB DERUXTECAN 100 MG VIAL,0.01,0.01,4754.0,5269.0,4
CDM,3000544,IND - AMIVANTAMAB HYALURONIDASE,0.01,0.01,4754.0,5269.0,4
CDM,34265,HYDROCORTISONE (BULK) MISC POWD,1.0,0.7,4754.0,5269.0,4
CDM,34545,SODIUM HYPOCHLORITE 0.25 % MISC SOLN,39.03,27.32,4754.0,5269.0,4
CDM,34546,SODIUM HYPOCHLORITE 0.5 % MISC SOLN,39.03,27.32,4754.0,5269.0,4
CDM,5.07E+20,SODIUM HYALURONATE 23 MG/ML INTRAOC SYR,319.0,223.3,4754.0,5269.0,4
CDM,5.29E+20,FENTANYL-ROPIVACAINE-NACL (PF) 2-0.2 MCG/ML-% INJ SOLN,125.13,87.59,4754.0,5269.0,4
CDM,5.61E+20,"CALAMINE-ZINC OXIDE 4 X 360 "" TOP BANDAGE",21.86,15.3,4754.0,5269.0,4
CDM,5.95E+18,OSTOMY SUPPLIES TOP POWD,22.53,15.77,4754.0,5269.0,4
CDM,50665U854450832150665,SODIUM HYALURONATE 23 MG/ML INTRAOC SYR,140.56,98.39,4754.0,5269.0,4
CDM,51450,DEXTROSE 50 % IN WATER (D50W) IV SOLP,3.44,2.41,4754.0,5269.0,4
CDM,66651,ETHIODIZED OIL 37 % INJ OIL,2268.73,1588.11,4754.0,5269.0,4
CDM,7621,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJ SOLN",0.22,0.15,4754.0,5269.0,4
CDM,7673U15090720117673,THIOTEPA  15 MG INJ RECON.SOLN.,385.0,269.5,4754.0,5269.0,4
CDM,8.61E+18,HYPROMELLOSE 2 % INTRAOC SYR,173.25,121.28,4754.0,5269.0,8
CDM,8166,GENTIAN VIOLET 1 % TOP SOLN,1.0,0.7,4754.0,5269.0,4
CDM,9.52E+20,OXYTOCIN IN LACTATED RINGERS 30 UNIT/500 ML IV SOLN,77.0,53.9,4754.0,5269.0,4
CDM,9.63E+20,LIDOCAINE HCL (PF) 1 % (10 MG/ML) INJ SOLN,4.13,2.89,4754.0,5269.0,8
CDM,9.63E+20,LIDOCAINE HCL (PF) 2% (20 MG/ML) INJ SOLN,6.14,4.3,4754.0,5269.0,4
CDM,9.63E+20,LIDOCAINE HCL (PF) 4 % (40 MG/ML) INJ SOLN,13.3,9.31,4754.0,5269.0,4
CDM,98615,ETHYL CHLORIDE 100 % TOP AERO.SPRAY,2.0,1.4,4754.0,5269.0,4
CDM,H00000023,PRIVATE,5694.0,3985.8,4754.0,5269.0,4
CDM,H00000033,OB/GYN,5293.0,3705.1,4754.0,5269.0,4
CDM,H00000043,L&D PRIVATE,5293.0,3705.1,4754.0,5269.0,4
CDM,H00000053,LOCKED PRIVATE,7143.0,5000.1,1050.0,2972.0,6
CDM,H00000063,CHILD/ADOLESCENT PRIVATE,7222.0,5055.4,1050.0,2972.0,6
CDM,H00000073,CHILD/ADOLESCENT RESIDENTIAL PRIVATE,3182.0,2227.4,,,0
CDM,H00000083,HOSPICE PRIVATE,4458.0,3120.6,4754.0,5269.0,4
CDM,H00000103,SEMI PRIVATE,5694.0,3985.8,4754.0,5269.0,4
CDM,H00000113,LOCKED SEMI PRIVATE,6867.0,4806.9,1050.0,2972.0,6
CDM,H00000123,CHILD/ADOLESCENT SEMI PRIVATE,5674.0,3971.8,1050.0,2972.0,6
CDM,H00000133,CHILD/ADOLESCENT RESIDENTIAL SEMI PRIVATE,2285.0,1599.5,,,0
CDM,H00000143,ISOLATION,7775.0,5442.5,6139.0,7268.0,4
CDM,H00000153,NURSERY BOARDER,2411.0,1687.7,1227.0,1551.0,4
CDM,H00000163,NURSERY BOARDER INTERMEDIATE,3980.0,2786.0,2262.0,2699.0,4
CDM,H00000173,NURSERY NNB,2064.0,1444.8,1227.0,1551.0,4
CDM,H00000183,NURSERY BOARDER CONTINUOUS CARE,3655.0,2558.5,1646.0,1992.0,4
CDM,H00000193,NURSERY INTERMEDIATE,5446.0,3812.2,2262.0,2699.0,4
CDM,H00000203,NURSERY CONTINUOUS CARE,5001.0,3500.7,1646.0,1992.0,4
CDM,H00000223,ICU,12399.0,8679.3,6532.0,10668.0,4
CDM,H00000233,PSYCH CRISIS,2798.0,1958.6,1050.0,2972.0,6
CDM,H00000243,TELEMETRY,9497.0,6647.9,6139.0,7268.0,4
CDM,H00000273,SUBACUTE PRIVATE,3430.0,2401.0,4754.0,5269.0,4
CDM,H00000283,OBSERVATION > 1 DAY,3589.0,2512.3,725.0,2360.0,6
CDM,H00000353,DETOX PRIVATE,4971.0,3479.7,1977.0,5269.0,4
CDM,H00000363,DETOX SEMI PRIVATE,4971.0,3479.7,1977.0,5269.0,4
CDM,H00000373,OBSERVATION - MEDICARE ALJ DECISION,5125.0,3587.5,725.0,2360.0,6
CDM,H00000383,TRAUMA ICU,24994.0,17495.8,6532.0,14574.0,4
CDM,H00000393,PRIVATE - ONCOLOGY,5694.0,3985.8,4754.0,5269.0,4
CDM,H00000403,SURGICAL ICU,16961.0,11872.7,6532.0,10668.0,4
CDM,H00000413,MEDICAL ICU,16961.0,11872.7,6532.0,10668.0,4
CDM,H00000423,CORONARY CARE ICU,12399.0,8679.3,6532.0,10668.0,4
CDM,H27001123,HCHG SOL IV L.R. 1000ML BG,3.0,2.1,4754.0,5269.0,4
CDM,H27002643,HCHG CANNULA OXIMIZER,96.0,67.2,,,0
CDM,H27006323,HCHG MEDICAL AIR PER HR,27.0,18.9,,,0
CDM,H27006713,HCHG NEEDLE FRANSEEN,30.0,21.0,,,0
CDM,H27006733,HCHG NEEDLE HUBER W  EXTENSION,64.0,44.8,,,0
CDM,H27012413,HCHG NEEDLE GUIDE KIT 21G SITE RITE,66.0,46.2,,,0
CDM,H27052273,HCHG OXYGEN PER HR,39.0,27.3,,,0
CDM,H27054243,HCHG FORCEP BIPAL 7F 50CM,528.0,369.6,,,0
CDM,H27054293,HCHG HELIOX SUPPLIES,1240.0,868.0,,,0
CDM,H27054763,HCHG OXYMASK,15.0,10.5,,,0
CDM,H27054963,"HCHG BARD POWERGLIDE 10CM, 18GA INSERTION KIT",300.0,210.0,,,0
CDM,H27054973,"HCHG BARD POWERGLIDE 8CM, 18GA INSERTION KIT",300.0,210.0,,,0
CDM,H27054983,"HCHG BARD POWERGLIDE 8CM, 20GA INSERTION KIT",300.0,210.0,,,0
CDM,H27054993,"HCHG BARD POWERGLIDE 8CM, 18GA INDIVIDUAL CATHETER",173.0,121.1,,,0
CDM,H27055003,"HCHG BARD POWERGLIDE 8CM, 20GA INDIVIDUAL CATHETER",173.0,121.1,,,0
CDM,H27055013,"HCHG STERILE MIDLINE INSERTION KIT; MAX BARRIER; CT CAPABLE 4F; SINGLE LUMEN, 20CM",594.0,415.8,,,0
CDM,H27055033,HCHG CATH PICC POWER SL 4F SHERLOCK 3CG (TPS),766.0,536.2,,,0
CDM,H27055043,HCHG CATH PICC POWERTL5FF SHERLOCK 3CG (TPS),914.0,639.8,,,0
CDM,H27055093,HCHG SECURACATH 4FR,83.0,58.1,,,0
CDM,H27055103,HCHG SECURACATH 5FR,83.0,58.1,,,0
CDM,H30003043,HCHG MISC REFERENCE TEST 90,1558.0,1090.6,,,0
CDM,H30003063,HCHG MISC SERVICES,1885.0,1319.5,,,0
CDM,H30006313,HCHG LAB MISC TEST,1885.0,1319.5,,,0
CDM,H30011073,"HCHG IRRADIATION OF BLOOD PRODUCT, EA UNIT",183.0,128.1,,,0
CDM,H30602483,HCHG ID AFB DNA & CON 90,411.0,287.7,,,0
CDM,H32002623,HCHG FLUORO UP TO 1 HR,1407.0,984.9,,,0
CDM,H32003403,HCHG ESOPHAGAEL DILATION,1982.0,1387.4,,,0
CDM,H32003803,HCHG FLUORO 1 HR OR MORE,2479.0,1735.3,,,0
CDM,H32004023,HCHG FLUORO ROOM TIME > 1 HR,2118.0,1482.6,,,0
CDM,H32009123,HCHG FLUORO ASSIST/SURGERY 1/2 HR,1097.0,767.9,,,0
CDM,H32009133,HCHG FLUORO ROOM TIME < 1 HR,1402.0,981.4,,,0
CDM,H35201583,HCHG CT RESEARCH LTD SCAN,1167.0,816.9,,,0
CDM,H36005283,HCHG SURG CT ASP,2192.0,1534.4,,,0
CDM,H36005303,HCHG SURG CT ASP ABDOMEN,2192.0,1534.4,,,0
CDM,H36005323,HCHG SURG CT ASP CHEST,2192.0,1534.4,,,0
CDM,H36005343,HCHG SURG CT ASP FACIAL,2192.0,1534.4,,,0
CDM,H36005363,HCHG SURG CT ASP NECK,2192.0,1534.4,,,0
CDM,H36005383,HCHG SURG CT ASP PELVIS,2192.0,1534.4,,,0
CDM,H36005403,HCHG SURG CT BX,2192.0,1534.4,,,0
CDM,H36005423,HCHG SURG CT BX ABDOMEN,2192.0,1534.4,,,0
CDM,H36005443,HCHG SURG CT BX CHEST,2192.0,1534.4,,,0
CDM,H36005463,HCHG SURG CT BX FACIAL,2192.0,1534.4,,,0
CDM,H36005483,HCHG SURG CT BX LIVER,2192.0,1534.4,,,0
CDM,H36005503,HCHG SURG CT BX MUSCLE/BONE,1938.0,1356.6,,,0
CDM,H36005523,HCHG SURG CT BX NECK,2192.0,1534.4,,,0
CDM,H36005543,HCHG SURG CT BX PANCREAS,2192.0,1534.4,,,0
CDM,H36005563,HCHG SURG CT BX PELVIS,2192.0,1534.4,,,0
CDM,H36005583,HCHG SURG CT BX SPINE,2192.0,1534.4,,,0
CDM,H36005603,HCHG SURG CT DRAIN ABDOMEN,2192.0,1534.4,,,0
CDM,H36005623,HCHG SURG CT DRAIN CHEST,2192.0,1534.4,,,0
CDM,H36005663,HCHG SURG CT DRAIN NECK,2368.0,1657.6,,,0
CDM,H36005683,HCHG SURG CT DRAIN PELVIS,2192.0,1534.4,,,0
CDM,H36010003,HCHG OR CV THORACIC 1ST 15 MIN,7161.0,5012.7,,,0
CDM,H36010013,HCHG OR CV THORACIC EA ADDL MIN,241.0,168.7,,,0
CDM,H36010033,HCHG OR PLASTIC 1ST 15 MIN,6417.0,4491.9,,,0
CDM,H36010043,HCHG OR PLASTIC EA ADDL MIN,214.0,149.8,,,0
CDM,H36010063,HCHG OR NEURO 1ST 15 MIN,6141.0,4298.7,,,0
CDM,H36010073,HCHG OR NEURO EA ADDL MIN,206.0,144.2,,,0
CDM,H36010083,HCHG OR ORTHO 1ST 15 MIN,5715.0,4000.5,,,0
CDM,H36010093,HCHG OR ORTHO EA ADDL MIN,192.0,134.4,,,0
CDM,H36010113,HCHG OR DENTAL 1ST 15 MIN,4222.0,2955.4,,,0
CDM,H36010123,HCHG OR DENTAL EA ADDL MIN,142.0,99.4,,,0
CDM,H36010143,HCHG OR GENERAL 1ST 15 MIN,4319.0,3023.3,,,0
CDM,H36010153,HCHG OR GENERAL EA ADDL MIN,144.0,100.8,,,0
CDM,H36010163,HCHG OR GU 1ST 15 MIN,4642.0,3249.4,,,0
CDM,H36010173,HCHG OR GU EA ADDL MIN,157.0,109.9,,,0
CDM,H36010183,HCHG OR ENT 1ST 15 MIN,3328.0,2329.6,,,0
CDM,H36010193,HCHG OR ENT EA ADDL MIN,112.0,78.4,,,0
CDM,H36010203,HCHG OR OB/GYN 1ST 15 MIN,3059.0,2141.3,,,0
CDM,H36010213,HCHG OR OB/GYN ADDL MIN,109.0,76.3,,,0
CDM,H36010223,HCHG OR INFUSION 1ST 15 MIN,3825.0,2677.5,,,0
CDM,H36010233,HCHG OR INFUSION ADDL MIN,129.0,90.3,,,0
CDM,H36010243,HCHG OR EYE 1ST 15 MIN,3595.0,2516.5,,,0
CDM,H36010253,HCHG OR EYE ADDL MIN,123.0,86.1,,,0
CDM,H36010263,HCHG OR PAIN MGMT 1ST 15 MIN,1471.0,1029.7,,,0
CDM,H36010273,HCHG OR PAIN MGMT ADDL MIN,53.0,37.1,,,0
CDM,H36010283,HCHG OR ONCO 1ST 15 MIN,668.0,467.6,,,0
CDM,H36010293,HCHG OR ONCO ADDL MIN,24.0,16.8,,,0
CDM,H36010303,HCHG OR MAJOR TRAUMA 1ST 15 MIN,7031.0,4921.7,,,0
CDM,H36010313,HCHG OR MAJOR TRAUMA EA ADDL MIN,239.0,167.3,,,0
CDM,H36010323,HCHG OR ORAL 1ST 15 MIN,4129.0,2890.3,,,0
CDM,H36010333,HCHG OR ORAL EA ADDL MIN,141.0,98.7,,,0
CDM,H36010343,HCHG OR URO 1ST 15 MIN,569.0,398.3,,,0
CDM,H36010353,HCHG OR URO EA ADDL MIN,19.0,13.3,,,0
CDM,H36010703,HCHG OR ENDO 1ST 15 MIN,3969.0,2778.3,,,0
CDM,H36010713,HCHG OR ENDO EA ADDL MIN,133.0,93.1,,,0
CDM,H36011533,HCHG OR ROBOT MAJOR TRAUMA 1ST 15 MIN,7708.0,5395.6,,,0
CDM,H36011543,HCHG OR ROBOT MAJOR TRAUMA EA ADDL MIN,260.0,182.0,,,0
CDM,H36011553,HCHG OR ROBOT PAIN MGMT 1ST 15 MIN,1611.0,1127.7,,,0
CDM,H36011563,HCHG OR ROBOT PAIN MGMT ADDL MIN,57.0,39.9,,,0
CDM,H36011573,HCHG OR ROBOT EYE 1ST 15 MIN,3941.0,2758.7,,,0
CDM,H36011583,HCHG OR ROBOT EYE ADDL MIN,134.0,93.8,,,0
CDM,H36011593,HCHG OR ROBOT INFUSION 1ST 15 MIN,4781.0,3346.7,,,0
CDM,H36011603,HCHG OR ROBOT INFUSION ADDL MIN,161.0,112.7,,,0
CDM,H36011613,HCHG OR ROBOT OB/GYN 1ST 15 MIN,3826.0,2678.2,,,0
CDM,H36011623,HCHG OR ROBOT OB/GYN ADDL MIN,135.0,94.5,,,0
CDM,H36011633,HCHG OR ROBOT ENT 1ST 15 MIN,3647.0,2552.9,,,0
CDM,H36011643,HCHG OR ROBOT ENT EA ADDL MIN,123.0,86.1,,,0
CDM,H36011653,HCHG OR ROBOT GU 1ST 15 MIN,5803.0,4062.1,,,0
CDM,H36011663,HCHG OR ROBOT GU EA ADDL MIN,196.0,137.2,,,0
CDM,H36011673,HCHG OR ROBOT GENERAL 1ST 15 MIN,5401.0,3780.7,,,0
CDM,H36011683,HCHG OR ROBOT GENERAL EA ADDL MIN,180.0,126.0,,,0
CDM,H36011693,HCHG OR ROBOT DENTAL 1ST 15 MIN,4629.0,3240.3,,,0
CDM,H36011703,HCHG OR ROBOT DENTAL EA ADDL MIN,156.0,109.2,,,0
CDM,H36011713,HCHG OR ROBOT ORTHO 1ST 15 MIN,7143.0,5000.1,,,0
CDM,H36011723,HCHG OR ROBOT ORTHO EA ADDL MIN,240.0,168.0,,,0
CDM,H36011733,HCHG OR ROBOT NEURO 1ST 15 MIN,6734.0,4713.8,,,0
CDM,H36011743,HCHG OR ROBOT NEURO EA ADDL MIN,227.0,158.9,,,0
CDM,H36011753,HCHG OR ROBOT PLASTIC 1ST 15 MIN,7036.0,4925.2,,,0
CDM,H36011763,HCHG OR ROBOT PLASTIC EA ADDL MIN,234.0,163.8,,,0
CDM,H36011773,HCHG OR ROBOT CV THORACIC 1ST 15 MIN,7850.0,5495.0,,,0
CDM,H36011783,HCHG OR ROBOT CV THORACIC EA ADDL MIN,262.0,183.4,,,0
CDM,H36011793,HCHG OR ROBOT CARDIOLOGY 1ST 15 MIN,2177.0,1523.9,,,0
CDM,H36011803,HCHG OR ROBOT CARDIOLOGY EA ADDL MIN,147.0,102.9,,,0
CDM,H36011813,HCHG OR ROBOT ENDO 1ST 15 MIN,5401.0,3780.7,,,0
CDM,H36011823,HCHG OR ROBOT ENDO EA ADDL MIN,180.0,126.0,,,0
CDM,H36011833,HCHG OR ROBOT URO 1ST 15 MIN,712.0,498.4,,,0
CDM,H36011843,HCHG OR ROBOT URO EA ADDL MIN,26.0,18.2,,,0
CDM,H36011853,HCHG OR ROBOT ORAL 1ST 15 MIN,4527.0,3168.9,,,0
CDM,H36011863,HCHG OR ROBOT ORAL EA ADDL MIN,155.0,108.5,,,0
CDM,H36011873,HCHG OR ROBOT ONCO 1ST 15 MIN,833.0,583.1,,,0
CDM,H36011883,HCHG OR ROBOT ONCO ADDL MIN,29.0,20.3,,,0
CDM,H36101903,HCHG INJ EPIDURAL OF BLD/CLOT,1282.0,897.4,,,0
CDM,H36103783,HCHG REPAIR VAGINAL LACERATION,5151.0,3605.7,,,0
CDM,H36104703,HCHG BRONCH (BEDSIDE),818.0,572.6,,,0
CDM,H36104713,HCHG TRACH (BEDSIDE),894.0,625.8,,,0
CDM,H36105643,HCHG ECMO MONITOR INITIAL HOUR,8173.0,5721.1,,,0
CDM,H36105653,HCHG ECMO MONITOR SUBSEQUENT HOUR,850.0,595.0,,,0
CDM,H37001063,HCHG ANESTH TIME 1ST HR (GEN VI),2193.0,1535.1,,,0
CDM,H37001083,HCHG ANESTH TIME 1ST HR (LOCAL I SURGEON),382.0,267.4,,,0
CDM,H37001203,HCHG ANESTH TIME 1ST HR (REG III),2024.0,1416.8,,,0
CDM,H37001263,HCHG ANESTH TIME EA ADDL 15 MIN (GEN VI),250.0,175.0,,,0
CDM,H37010003,HCHG ANESTH TIME 1ST 15 MIN (OHS V),6522.0,4565.4,,,0
CDM,H37010013,HCHG ANESTH TIME EA ADDL MIN (OHS V),89.0,62.3,,,0
CDM,H37010023,HCHG ANESTH TIME 1ST 15 MIN (GEN IV),1878.0,1314.6,,,0
CDM,H37010033,HCHG ANESTH TIME EA ADDL MIN (GEN IV),29.0,20.3,,,0
CDM,H37010043,HCHG ANESTH TIME 1ST 15 MIN (REG III),1556.0,1089.2,,,0
CDM,H37010053,HCHG ANESTH TIME EA ADDL MIN (REG III),26.0,18.2,,,0
CDM,H37010063,HCHG ANESTH TIME 1ST 15 MIN (LOCAL II),1448.0,1013.6,,,0
CDM,H37010073,HCHG ANESTH TIME EA ADDL MIN (LOCAL II),22.0,15.4,,,0
CDM,H37010083,HCHG ANESTH TIME 1ST 15 MIN (LOCAL I),545.0,381.5,,,0
CDM,H37010093,HCHG ANESTH TIME EA ADDL MIN (LOCAL I),3.0,2.1,,,0
CDM,H37010103,HCHG ANALGESIA TIME 1ST 15 MIN,1105.0,773.5,,,0
CDM,H37010113,HCHG ANALGESIA TIME EA ADDL MIN,15.0,10.5,,,0
CDM,H39002663,"HCHG CONVALESCENT PLASMA, EA UNIT",0.01,0.01,,,0
CDM,H45010393,HCHG NO PRE-NOTIFICATION FULL TRAUMA,53454.0,37417.8,877.0,1419.0,3
CDM,H45010403,HCHG NO PRE-NOTIFICATION MODIFIED TRAUMA,35090.0,24563.0,877.0,1419.0,3
CDM,H45011123,HCHG TRAUMA UPGRADE,18367.0,12856.9,877.0,1419.0,3
CDM,H48001903,HCHG SUP SER OPEN HT SUR,8610.0,6027.0,,,0
CDM,H48001943,HCHG HEPCON,3286.0,2300.2,,,0
CDM,H48002353,HCHG OR CARDIOLOGY 1ST 15 MIN,1806.0,1264.2,,,0
CDM,H48002363,HCHG OR CARDIOLOGY EA ADDL MIN,121.0,84.7,,,0
CDM,H48102183,HCHG PERC. CLOSURE OF PARA-VALVR LEAK,16965.0,11875.5,,,0
CDM,H48103003,HCHG CI CORONARY 1ST 15 MIN,4900.0,3430.0,,,0
CDM,H48103013,HCHG CI CORONARY  EA ADDL MIN,328.0,229.6,,,0
CDM,H48103023,HCHG CI EP 1ST 15 MIN,3585.0,2509.5,,,0
CDM,H48103033,HCHG CI EP EA ADDL MIN,241.0,168.7,,,0
CDM,H48103043,HCHG CI PERIPHERAL 1ST 15 MIN,2690.0,1883.0,,,0
CDM,H48103053,HCHG CI PERIPHERAL EA ADDL MIN,179.0,125.3,,,0
CDM,H48103063,HCHG CI STRUCTURAL/TAVR 1ST 15 MIN,5683.0,3978.1,,,0
CDM,H48103073,HCHG CI STRUCTURAL/TAVR EA ADDL MIN,381.0,266.7,,,0
CDM,H49001043,HCHG ANESTH INJ STELLATE GANGLION,2279.0,1595.3,,,0
CDM,H49001063,HCHG ARTHRO W LAT RELEASE GEN ANESTH,7395.0,5176.5,,,0
CDM,H49001083,HCHG ARTHRO W LAT RELEASE LOC NO OP,6214.0,4349.8,,,0
CDM,H49001103,HCHG ARTHRO W LAT RELEASE REG W OP,6981.0,4886.7,,,0
CDM,H49001243,HCHG CL 1 REG/LOC W OPER,1993.0,1395.1,,,0
CDM,H49001383,HCHG EPIDURAL CERV/THOR SINGL,1973.0,1381.1,,,0
CDM,H49001403,HCHG EPIDURAL LUMB/CAUDAL CONT,2286.0,1600.2,,,0
CDM,H49001443,HCHG I&D SHOULDER ABSCESS,379.0,265.3,,,0
CDM,H49002003,HCHG TRABECULOTOMY GENERAL,6594.0,4615.8,,,0
CDM,H51003543,HCHG PRE-EMP PHYS EXAM,536.0,375.2,186.0,186.0,1
CDM,H51003583,HCHG RTW CLEARANCE SHORT,115.0,80.5,186.0,186.0,1
CDM,H51003723,HCHG TETANUS-DIPTHERIA VACCINE,110.0,77.0,186.0,186.0,1
CDM,H51003743,HCHG FLU VACCINE,89.0,62.3,186.0,186.0,1
CDM,H51003803,HCHG MMR VACCINE,381.0,266.7,186.0,186.0,1
CDM,H51003843,HCHG PPD SCREEN/MONITORING,51.0,35.7,186.0,186.0,1
CDM,H51003863,HCHG VARIVAX,702.0,491.4,186.0,186.0,1
CDM,H51003923,HCHG TDAP VACCINE,230.0,161.0,186.0,186.0,1
CDM,H51004443,HCHG EVALUATION: FIT FOR DUTY,291.0,203.7,186.0,186.0,1
CDM,H51004453,HCHG PE: TRANSFERS,282.0,197.4,186.0,186.0,1
CDM,H51004463,HCHG SURVEILLANCE VISIT,106.0,74.2,186.0,186.0,1
CDM,H51004473,HCHG WELLNESS VISIT,106.0,74.2,186.0,186.0,1
CDM,H51004483,HCHG DRUG/ALCOHOL TESTING: INITIAL,139.0,97.3,186.0,186.0,1
CDM,H51004493,HCHG DRUG/ALCOHOL TESTING: FOLLOW-UP,239.0,167.3,186.0,186.0,1
CDM,H51004503,HCHG RTW: DRUG/ALCOHOL SCREENING,254.0,177.8,186.0,186.0,1
CDM,H51004513,HCHG CHART COPY: ONSITE,10.0,7.0,186.0,186.0,1
CDM,H51004523,HCHG CHART COPY: OFF-SITE,29.0,20.3,186.0,186.0,1
CDM,H51005913,HCHG COLOR TESTING,19.0,13.3,186.0,186.0,1
CDM,H51005923,HCHG RESPIRATOR FITTING,32.0,22.4,186.0,186.0,1
CDM,H51050003,HCHG CWMP PROGRAM FEE,365.0,255.5,186.0,186.0,1
CDM,H71001023,HCHG L&D RECOVERY ROOM 1HR,772.0,540.4,,,0
CDM,H71001103,HCHG PHASE 1 RECOVERY 1ST HR,1145.0,801.5,,,0
CDM,H71001123,HCHG PHASE 1 RECOVERY- EA ADDL 30 MIN,448.0,313.6,,,0
CDM,H71001203,HCHG PHASE 2 RECOVERY 1ST HR,735.0,514.5,,,0
CDM,H71001223,HCHG PHASE 2 RECOVERY EA ADDL 30 MIN,245.0,171.5,,,0
CDM,H71001383,HCHG L&D RECOVERY 2 HRS,1283.0,898.1,,,0
CDM,H71001393,HCHG L&D RECOVERY 3 HRS,1709.0,1196.3,,,0
CDM,H71001403,HCHG L&D RECOVERY 4 HRS,2304.0,1612.8,,,0
CDM,H71001413,HCHG L&D RECOVERY 5 HRS,2682.0,1877.4,,,0
CDM,H71001423,HCHG L&D RECOVERY 6 HRS,3166.0,2216.2,,,0
CDM,H71001433,HCHG L&D RECOVERY 7 HRS,3004.0,2102.8,,,0
CDM,H71001443,HCHG L&D RECOVERY 8 HRS,4347.0,3042.9,,,0
CDM,H71001463,HCHG PHASE 2 RECOVERY 2 HRS,1222.0,855.4,,,0
CDM,H71001483,HCHG PHASE 2 RECOVERY 3 HRS,1794.0,1255.8,,,0
CDM,H71001503,HCHG PHASE 2 RECOVERY 4 HRS,2194.0,1535.8,,,0
CDM,H71001523,HCHG PHASE 2 RECOVERY 5 HRS,2816.0,1971.2,,,0
CDM,H71001543,HCHG PHASE 2 RECOVERY 6 HRS,3166.0,2216.2,,,0
CDM,H71001563,HCHG PHASE 2 RECOVERY 7 HRS,3837.0,2685.9,,,0
CDM,H71001583,HCHG PHASE 2 RECOVERY 8 HRS,4140.0,2898.0,,,0
CDM,H71001643,HCHG PHASE 1 RECOVERY 1ST 15 MIN,387.0,270.9,,,0
CDM,H71001663,HCHG PHASE 1 RECOVERY- EA ADDL MIN,23.0,16.1,,,0
CDM,H71001683,HCHG PHASE 2 RECOVERY 1ST 15 MIN,300.0,210.0,,,0
CDM,H71001703,HCHG PHASE 2 RECOVERY EA ADDL MIN,19.0,13.3,,,0
CDM,H72001023,HCHG AMNIO INFUSION,200.0,140.0,,,0
CDM,H72001143,HCHG D&C L&D 30 MIN,2281.0,1596.7,4754.0,5269.0,4
CDM,H72001163,HCHG D&C L&D EA ADDL 15 MIN,701.0,490.7,4754.0,5269.0,4
CDM,H72001183,HCHG INT FETAL MONITOR,759.0,531.3,4754.0,5269.0,4
CDM,H72001203,HCHG L&D NON-VIABLE,1707.0,1194.9,4754.0,5269.0,4
CDM,H72001223,HCHG VAGINAL DELIVERY,4331.0,3031.7,4754.0,5269.0,4
CDM,H72001363,HCHG LAMINARIA PLACEMENT,258.0,180.6,4754.0,5269.0,4
CDM,H72001383,HCHG OUTSIDE DEL PLACENT,1375.0,962.5,4754.0,5269.0,4
CDM,H72001403,HCHG PH ANALYS,262.0,183.4,4754.0,5269.0,4
CDM,H72001523,HCHG PPS L&D 30 MIN,1751.0,1225.7,4754.0,5269.0,4
CDM,H72001543,HCHG PPS L&D EA ADDL 15 MIN,481.0,336.7,4754.0,5269.0,4
CDM,H72001563,HCHG VACUUM EXTRACTION,361.0,252.7,4754.0,5269.0,4
CDM,H72001683,HCHG VAG EXAM/EVAC POST DEL 30 MIN,1192.0,834.4,4754.0,5269.0,4
CDM,H72001703,HCHG VAG EXAM/EVAC POST DEL EA ADDL 15 MIN,358.0,250.6,4754.0,5269.0,4
CDM,H72001763,HCHG D&C L&D 1ST 15 MIN,1296.0,907.2,4754.0,5269.0,4
CDM,H72001773,HCHG D&C L&D EA ADDL MIN,48.0,33.6,4754.0,5269.0,4
CDM,H72001783,HCHG PPS L&D 1ST 15 MIN,809.0,566.3,4754.0,5269.0,4
CDM,H72001793,HCHG PPS L&D EA ADDL MIN,29.0,20.3,4754.0,5269.0,4
CDM,H75002223,HCHG ERCP W/ SPHINCTEROTOMY,7038.0,4926.6,,,0
CDM,H76101803,HCHG PRP INJECTION CASH PAY,500.0,350.0,,,0
CDM,H76101833,HCHG SUPARTZ INJECTION CASH PAY,130.0,91.0,,,0
CDM,H76101873,HCHG JUVEDERM INJECTION CASH PAY,1600.0,1120.0,,,0
CDM,H81201023,"HCHG ORGAN ACQUISITION: CADAVER DONOR, LIVER",245514.0,171859.8,5135.0,5135.0,1
CDM,H81201033,"HCHG ORGAN ACQUISITION: CADAVER DONOR, KIDNEY",364491.0,255143.7,5135.0,5135.0,1
CDM,H81201043,"HCHG ORGAN ACQUISITION: LIVING DONOR, KIDNEY",364491.0,255143.7,5135.0,5135.0,1
CDM,H81201053,"HCHG ORGAN ACQUISITION: CADAVER DONOR, PANCREAS",314691.0,220283.7,5135.0,5135.0,1
CDM,H81201063,"HCHG ORGAN ACQUISITION: SINGLE CADAVER DONOR, PANCREAS AND KIDNEY",404113.0,282879.1,5135.0,5135.0,1
CDM,H81201073,"HCHG ORGAN ACQUISITION: SINGLE CADAVER DONOR, LIVER AND KIDNEY",433920.0,303744.0,5135.0,5135.0,1
CDM,H90001083,HCHG FULL DAY PHP DUAL,1175.0,822.5,23.83,909.0,4
CDM,H90001163,HCHG IOHS-DAY CHARGE AMHD,999.0,699.3,23.83,909.0,4
CDM,H90001333,HCHG IOP DUAL DX,761.0,532.7,143.18,909.0,7
CDM,H90001343,HCHG IOP 15 MIN DUAL DX,63.0,44.1,143.18,909.0,7
CDM,H90001353,HCHG IOP HOURLY DUAL DX,239.0,167.3,143.18,909.0,7
CDM,H90001363,HCHG PRE TREAT SVCS SCREENING,40.0,28.0,23.83,909.0,4
CDM,H90001373,HCHG PRE TREAT SVCS ASSESSMENT TIER 1,141.0,98.7,23.83,909.0,4
CDM,H90001383,HCHG PRE TREAT SVCS ASSESSMENT TIER 2,74.0,51.8,23.83,909.0,4
CDM,H90001393,HCHG PRE TREAT SVCS ASSESSMENT TIER 3,33.0,23.1,23.83,909.0,4
CDM,H90001403,HCHG PRE TREAT SVCS PLACEMENT DETERMINATION,71.0,49.7,23.83,909.0,4
CDM,H90001413,HCHG PRE TREAT SVCS ADDICTION CARE COORD TIER 1 HR 1 - 20,50.0,35.0,23.83,909.0,4
CDM,H90001423,HCHG PRE TREAT SVCS ADDICTION CARE COORD TIER 2 HR 21 - 41,34.0,23.8,23.83,909.0,4
CDM,H90001433,HCHG PRE TREAT SVCS ADDICTION CARE COORD TIER 3 HR 42 - 72,34.0,23.8,23.83,909.0,4
CDM,H90001443,HCHG PRE TREAT SVCS HLTH & WELL PLAN TIER 1,202.0,141.4,23.83,909.0,4
CDM,H90001453,HCHG PRE TREAT SVCS HLTH & WELL PLAN TIER 2,102.0,71.4,23.83,909.0,4
CDM,H90001463,HCHG DAY TREATMENT TIER 1 DAYS 1 - 15,272.0,190.4,23.83,909.0,4
CDM,H90001473,HCHG DAY TREATMENT TIER 2 DAYS 16 - 31,243.0,170.1,23.83,909.0,4
CDM,H90001483,HCHG DAY TREATMENT TIER 3 DAYS 32-47,196.0,137.2,23.83,909.0,4
CDM,H90001493,HCHG INTENSIVE OP TIER 1 DAYS 1 - 10,200.0,140.0,143.18,909.0,7
CDM,H90001503,HCHG INTENSIVE OP TIER 2 DAYS 11 - 31,202.0,141.4,143.18,909.0,7
CDM,H90001513,HCHG INTENSIVE OP TIER 3 DAYS 32 - 57,153.0,107.1,143.18,909.0,7
CDM,H90001523,HCHG OP TIER 1 WEEKS 1 - 3,469.0,328.3,23.83,909.0,4
CDM,H90001533,HCHG OP TIER 2 WEEKS 4 - 9,460.0,322.0,23.83,909.0,4
CDM,H90001543,HCHG OP TIER 3 WEEKS 10-16,395.0,276.5,23.83,909.0,4
CDM,H90001583,HCHG HEALTH & WELLNESS PLANNING TIER 1 INITIAL,216.0,151.2,23.83,909.0,4
CDM,H90001593,HCHG HEALTH & WELLNESS PLANNING TIER 2  VISIT PER MO. 1 - 2,108.0,75.6,23.83,909.0,4
CDM,H90001603,HCHG HEALTH & WELLNESS PLANNING TIER 3 DISCHARGE 15 DAYS PRIOR,108.0,75.6,23.83,909.0,4
CDM,H90001613,"HCHG AMHD INTEN OP TRT FOR IND, GRP AND/OR FAM THERPY 1 HOUR",43.0,30.1,23.83,909.0,4
CDM,H90001623,"HCHG ADDICTION CARE COORD TIER 1, 15 MIN (HOURS 1 - 20)",13.0,9.1,23.83,909.0,4
CDM,H90001633,"HCHG ADDICTION CARE COORD TIER 2, 15 MIN (HOURS 21 - 41)",8.0,5.6,23.83,909.0,4
CDM,H90001643,"HCHG ADDICTION CARE COORD TIER 3, 15 MIN (HOURS 42 - 72)",7.0,4.9,23.83,909.0,4
CDM,H90001653,HCHG TELEPHONIC MENTAL HEALTH CONSULTATION TO LAW ENFORCEMENT OFFICERS,241.0,168.7,23.83,909.0,4
CDM,H90001663,HCHG CONTINUING CARE - TIER 1 (1 - 10 HOURS),40.0,28.0,23.83,909.0,4
CDM,H90001673,HCHG CONTINUING CARE - TIER 2 (10 - 21 HOURS),39.0,27.3,23.83,909.0,4
CDM,H90001683,HCHG CONTINUING CARE - TIER 2 (21 - 32 HOURS),33.0,23.1,23.83,909.0,4
CDM,H90001703,HCHG ADULT (PWWDC) IOP,175.0,122.5,23.83,909.0,4
CDM,H90001763,HCHG STABILIZATION BED,100.0,70.0,23.83,909.0,4
CDM,H90001783,HCHG INTAKE GPRA/NOM,130.0,91.0,23.83,909.0,4
CDM,H90001793,HCHG 3 MONTH GPRA/NOM,220.0,154.0,23.83,909.0,4
CDM,H90001803,HCHG 6 MONTH GPRA/NOM,220.0,154.0,23.83,909.0,4
CDM,H90001813,HCHG DISCHARGE GPRA/NOM,130.0,91.0,23.83,909.0,4
CDM,H90001823,HCHG ADMINISTRATIVE GPRA/NOM,90.0,63.0,23.83,909.0,4
CDM,H90001833,HCHG INCENTIVES (3 OR 6 MTH POST INTAKE),30.0,21.0,23.83,909.0,4
CDM,H90501023,HCHG IOP DAY,633.0,443.1,143.18,909.0,7
CDM,H90601083,HCHG GRP COUNSELING 15 MIN,52.0,36.4,23.83,909.0,3
CDM,H90601103,HCHG 15 MIN INDIV THERAPY,155.0,108.5,23.83,909.0,3
CDM,H90601113,HCHG IOP CD,633.0,443.1,23.83,909.0,3
CDM,H90601123,HCHG IOP 15 MIN CD,55.0,38.5,23.83,909.0,3
CDM,H90601133,HCHG IOP HOURLY CD,220.0,154.0,23.83,909.0,3
CDM,H90601143,HCHG INDIV 15-MIN ADAD CD/CJ,164.0,114.8,23.83,909.0,3
CDM,H90601153,HCHG FAMILY 15-MIN ADAD CD/CJ,111.0,77.7,23.83,909.0,3
CDM,H90601163,HCHG INDIV 1-HOUR ADAD CD/CJ,654.0,457.8,23.83,909.0,3
CDM,H99001043,HCHG BREAST FEEDING COUNSEL-1ST VST,85.0,59.5,,,0
CDM,H99001063,HCHG BREAST FEEDING COUNSEL-2ND VST,41.0,28.7,,,0
CDM,H99001183,HCHG MEAL,15.0,10.5,,,0
CDM,H99001253,HCHG CRU OP SACK MEAL,9.0,6.3,,,0
CDM,H99002543,HCHG PT EXCEL PLUS 15 MINS,8.0,5.6,,,0
CDM,H99002623,HCHG COMP WT REG FEE,364.0,254.8,,,0
CDM,H99002633,HCHG OT EXCEL PLUS 15 MINS,9.0,6.3,,,0
CDM,H99002913,HCHG E&M PB NOCHG,0.01,0.01,186.0,186.0,1
CPT,0001A,ADM SARSCOV2 30MCG/0.3ML 1ST,110.0,77.0,49.36,49.36,2
CPT,0002A,ADM SARSCOV2 30MCG/0.3ML 2ND,110.0,77.0,49.36,49.36,2
CPT,0003A,ADM SARSCOV2 30MCG/0.3ML 3RD,110.0,77.0,49.36,49.36,2
CPT,0004A,ADM SARSCOV2 30MCG/0.3ML BST,110.0,77.0,49.36,49.36,2
CPT,0011A,ADM SARSCOV2 100MCG/0.5ML1ST,110.0,77.0,49.36,49.36,2
CPT,0012A,ADM SARSCOV2 100MCG/0.5ML2ND,110.0,77.0,49.36,49.36,2
CPT,0013A,ADM SARSCOV2 100MCG/0.5ML3RD,110.0,77.0,49.36,49.36,2
CPT,0021A,ADM SARSCOV2 5X1010VP/.5ML 1,110.0,77.0,,,0
CPT,0022A,ADM SARSCOV2 5X1010VP/.5ML 2,110.0,77.0,,,0
CPT,0031A,ADM SARSCOV2 VAC AD26 .5ML,110.0,77.0,49.36,49.36,2
CPT,0034A,ADM SARSCOV2 VAC AD26 .5ML B,110.0,77.0,49.36,49.36,2
CPT,0034U,TPMT NUDT15 GENES,1984.0,1388.8,466.17,1305.28,10
CPT,0035U,NEURO CSF PRION PRTN QUAL,1806.0,1264.2,540.99,1514.77,8
CPT,0042T,COMPUTED TOMOGRAPHY (CT) OF BRAIN BLOOD FLOW; VOLUME; AND TIMING OF FLOW ANALYSIS WITH CONTRAST,2205.0,1543.5,198.2,198.2,2
CPT,0051A,ADM SARSCV2 30MCG TRS-SUCR 1,110.0,77.0,49.36,49.36,2
CPT,0052A,ADM SARSCV2 30MCG TRS-SUCR 2,110.0,77.0,49.36,49.36,2
CPT,0053A,ADM SARSCV2 30MCG TRS-SUCR 3,110.0,77.0,49.36,49.36,2
CPT,0054A,ADM SARSCV2 30MCG TRS-SUCR B,110.0,77.0,49.36,49.36,2
CPT,0055T,MUSCULOSKELETAL SURGICAL NAVIGATIONAL ORTHOPEDIC OPERATION USING IMAGING GUIDANCE,1.0,0.7,996.0,996.0,2
CPT,0064A,ADM SARSCOV2 50MCG/0.25MLBST,110.0,77.0,49.36,49.36,2
CPT,0071A,ADM SARSCV2 10MCG TRS-SUCR 1,110.0,77.0,49.36,49.36,2
CPT,0072A,ADM SARSCV2 10MCG TRS-SUCR 2,110.0,77.0,49.36,49.36,2
CPT,0073A,ADM SARSCV2 10MCG TRS-SUCR 3,110.0,77.0,49.36,49.36,2
CPT,0075T,PERQ STENT/CHEST VERT ART,19653.0,13757.1,1335.0,1335.0,1
CPT,0081A,ADM SARSCV2 3MCG TRS-SUCR 1,110.0,77.0,49.36,49.36,2
CPT,0082A,ADM SARSCV2 3MCG TRS-SUCR 2,110.0,77.0,49.36,49.36,2
CPT,0083A,ADM SARSCV2 3MCG TRS-SUCR 3,110.0,77.0,49.36,49.36,2
CPT,0091A,ADM SARSCOV2 50 MCG/.5 ML1ST,110.0,77.0,49.36,49.36,2
CPT,0092A,ADM SARSCOV2 50 MCG/.5 ML2ND,110.0,77.0,49.36,49.36,2
CPT,0093A,ADM SARSCOV2 50 MCG/.5 ML3RD,110.0,77.0,49.36,49.36,2
CPT,0094A,ADM SARSCOV2 50 MCG/.5 MLBST,110.0,77.0,49.36,49.36,2
CPT,0111A,ADM SARSCOV2 25MCG/0.25ML1ST,110.0,77.0,49.36,49.36,2
CPT,0112A,ADM SARSCOV2 25MCG/0.25ML2ND,110.0,77.0,49.36,49.36,2
CPT,0113A,ADM SARSCOV2 25MCG/0.25ML3RD,110.0,77.0,49.36,49.36,2
CPT,0121A,ADM SARSCV2 BVL 30MCG/.3ML 1,110.0,77.0,,,0
CPT,0124A,ADM SARSCV2 BVL 30MCG/.3ML A,110.0,77.0,49.36,49.36,2
CPT,0126T,CHD RISK IMT STUDY,280.0,196.0,,,0
CPT,0134A,ADM SARSCV2 BVL 50MCG/.5ML A,110.0,77.0,49.36,49.36,2
CPT,0141A,ADM SRSCV2 BVL 25MCG/.25ML 1,110.0,77.0,,,0
CPT,0142A,ADM SRSCV2 BVL 25MCG/.25ML 2,110.0,77.0,,,0
CPT,0144A,ADM SRSCV2 BVL 25MCG/.25ML A,110.0,77.0,49.36,49.36,2
CPT,0151A,ADM SARSCV2 BVL 10MCG/.2ML BA,110.0,77.0,,,0
CPT,0151U,NFCT BCT/VIR RESP NFCTJ 33,630.0,441.0,,,0
CPT,0154A,ADM SARSCV2 BVL 10MCG/.2ML A,110.0,77.0,49.36,49.36,2
CPT,0164A,ADM SRSCV2 BVL 10MCG/0.2ML A,110.0,77.0,49.36,49.36,2
CPT,0171A,ADM SARSCV2 BVL 3MCG/0.2ML 1,110.0,77.0,,,0
CPT,0172A,ADM SARSCV2 BVL 3MCG/0.2ML 2,110.0,77.0,,,0
CPT,0173A,ADM SARSCV2 BVL 3MCG/0.2ML 3,110.0,77.0,49.36,49.36,2
CPT,0174A,ADM SARSCV2 BVL 3MCG/0.2ML A,110.0,77.0,,,0
CPT,0184T,REMOVAL OF RECTAL TUMOR USING AN ENDOSCOPE,40141.01,28098.71,1550.0,19982.7,9
CPT,0202U,NFCT DS 22 TRGT SARS-COV-2,1042.0,729.4,416.78,1166.98,11
CPT,0202U,TEST FOR DETECTION OF RESPIRATORY DISEASE-CAUSING ORGANISMS FROM BACK OF NOSE AND THROAT (NASOPHARYNX) SPECIMEN; 22 TARGET ORGANISMS INCLUDING SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2,439.0,307.3,416.78,1166.98,18
CPT,0213T,NJX PARAVERT W/US CER/THOR,2554.0,1787.8,162.96,2911.3,9
CPT,0214T,NJX PARAVERT W/US CER/THOR,908.0,635.6,78.44,78.44,1
CPT,0215T,NJX PARAVERT W/US CER/THOR,908.0,635.6,79.61,79.61,1
CPT,0216T,NJX PARAVERT W/US LUMB/SAC,2554.0,1787.8,148.47,2911.3,9
CPT,0217T,NJX PARAVERT W/US LUMB/SAC,976.0,683.2,70.75,996.0,2
CPT,0218T,NJX PARAVERT W/US LUMB/SAC,976.0,683.2,71.92,996.0,2
CPT,0232T,HARVEST AND INJECTIONS OF PLATELET RICH PLASMA USING IMAGING GUIDANCE,1.0,0.7,525.15,1470.42,8
CPT,0232T,NJX PLATELET PLASMA,968.0,677.6,525.15,1470.42,7
CPT,0237T,TRLUML PERIP ATHRC BRCHIOCPH,23021.0,16114.7,1887.0,37998.38,9
CPT,0238T,TRLUML PERIP ATHRC ILIAC ART,59137.0,41395.9,1887.0,60339.64,9
CPT,0295T,EXT ECG COMPLETE,915.0,640.5,,,0
CPT,0296T,EXT ECG RECORDING,475.0,332.5,,,0
CPT,0398T,DESTRUCTION OF TISSUE OF BRAIN USING MRI GUIDANCE,39226.0,27458.2,1887.0,9366.0,4
CPT,0398T,MRGFUS STRTCTC LES ABLTJ,42168.0,29517.6,1887.0,9366.0,2
CPT,0408T,INSERTION OR REPLACEMENT OF PULSE GENERATOR AND ELECTRODES OF HEART CONTRACTILITY MODULATOR SYSTEM,96133.0,67293.1,1887.0,103318.24,16
CPT,0409T,INSJ/RPLC CAR MODULJ PLS GN,66519.0,46563.3,1887.0,73216.0,8
CPT,0410T,INSJ/RPLC CAR MODULJ ATR ELT,24526.0,17168.2,1887.0,27238.93,9
CPT,0411T,INSJ/RPLC CAR MODULJ VNT ELT,24526.0,17168.2,1887.0,27238.93,9
CPT,0412T,REMOVAL OF PULSE GENERATOR FOR HEART CONTRACTILITY MODULATOR SYSTEM,10785.0,7549.5,1550.0,12300.43,9
CPT,0413T,REMOVAL OF ELECTRODE FOR HEART CONTRACTILITY MODULATOR SYSTEM,10785.0,7549.5,1550.0,12300.43,9
CPT,0414T,RMVL & RPL CAR MODULJ PLS GN,66519.0,46563.3,1887.0,73216.0,8
CPT,0415T,REPOS CAR MODULJ TRANVNS ELT,1832.0,1282.4,737.43,3131.0,9
CPT,0416T,RELOC SKIN POCKET PLS GEN,5421.0,3794.7,1500.0,6791.43,9
CPT,0417T,PRGRMG EVAL CARDIAC MODULJ,111.0,77.7,43.87,122.84,7
CPT,0418T,INTERRO EVAL CARDIAC MODULJ,111.0,77.7,43.87,122.84,7
CPT,0430U,GI MALABS AAT CALPRO PNCRTC,307.0,214.9,61.54,172.31,7
CPT,0483T,TMVI PERCUTANEOUS APPROACH,42658.0,29860.6,1335.0,1335.0,1
CPT,0484T,TMVI TRANSTHORACIC EXPOSURE,29551.0,20685.7,1335.0,1335.0,1
CPT,0505T,EV FEMPOP ARTL REVSC,19252.0,13476.4,593.48,37998.38,12
CPT,0524U,OB PE SFLT-1/PLGF IA SRM/PLS,480.0,336.0,128.82,360.7,7
CPT,0528U,LRT IAD 18BCT/8VIR&7ARG RNA,2063.0,1444.1,634.84,1777.55,7
CPT,0569T,TTVR PERQ APPR 1ST PROSTH,26693.0,18685.1,1335.0,1335.0,1
CPT,0570T,TTVR PERQ EA ADDL PROSTH,8833.0,6183.1,1335.0,1335.0,1
CPT,0571T,INSERTION OR REPLACEMENT OF IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR SYSTEM WITH ELECTRODES UNDER BREASTBONE,96133.0,67293.1,1887.0,103318.24,8
CPT,0572T,INSERTION SS DFB ELECTRODE,24825.0,17377.5,1887.0,27238.93,9
CPT,0573T,REMOVAL SS DFB ELECTRODE,11475.0,8032.5,1550.0,12300.43,9
CPT,0574T,REPOS PREV SS IMPL DFB ELTRD,11475.0,8032.5,1550.0,12300.43,9
CPT,0577T,EPHYS EVAL ICDS SS,3478.0,2434.6,1431.28,4007.58,7
CPT,0579T,REM INTERROG DEV ICDS TECH,151.0,105.7,43.87,122.84,7
CPT,0580T,RMVL SS IMPL DFB PG ONLY,11475.0,8032.5,1550.0,12300.43,9
CPT,0614T,RMVL&RPLCMT SS IMPL DFB PG,68877.0,48213.9,1887.0,73216.0,8
CPT,0644T,TCAT RMVL/DBLK ICAR MAS PERQ,16809.0,11766.3,1700.0,18734.1,9
CPT,0795T,TCAT INS 2CHMBR LDLS PM CMPL,56517.0,39561.9,1335.0,63400.96,8
CPT,0913T,PRQ TCAT THER RX NTRAC BALO1,16896.0,11827.2,13570.85,37998.38,7
CPT,0914T,PRQ TCAT THR RX NTRC BAL SEP,0.01,0.01,,,0
CPT,0915T,INSJ PERM CCM-D SYS PG&ELTRD,95015.0,66510.5,36899.37,103318.24,7
CPT,0916T,INSJ PERM CCM-D SYS PG ONLY,66519.0,46563.3,26148.57,73216.0,7
CPT,0917T,INSJ PERM CCM-D SYS 1 LEAD,24526.0,17168.2,9728.19,27238.93,7
CPT,0918T,INSJ PERM CCM-D SYS DUAL LD,24526.0,17168.2,9728.19,27238.93,7
CPT,0919T,RMVL PERM CCM-D SYS PG ONLY,10785.0,7549.5,4393.01,12300.43,7
CPT,0920T,RMVL PERM CCM-D SYS 1 PAC LD,10785.0,7549.5,4393.01,12300.43,7
CPT,0921T,RMVL PERM CCM-D SYS 1 DFB LD,10785.0,7549.5,4393.01,12300.43,7
CPT,0922T,RMVL PERM CCM-D SYS DUAL LD,10785.0,7549.5,4393.01,12300.43,7
CPT,0923T,RMVL&RPLCMT PERM CCM-D PG,66519.0,46563.3,26148.57,73216.0,7
CPT,0924T,RPOS PRV CCM-D TRNSVNS ELTRD,1832.0,1282.4,737.43,2064.8,7
CPT,0925T,RLCJ SKIN POCKET CCM-D PG,5421.0,3794.7,2425.51,6791.43,7
CPT,0926T,PRGRMG DEV EVAL CCM-D IP,111.0,77.7,43.87,122.84,7
CPT,0927T,INTERROG DEV EVAL CCM-D IP,111.0,77.7,43.87,122.84,7
CPT,0929T,REM INTERROG DEV CCM-D TECH,111.0,77.7,43.87,122.84,7
CPT,0930T,EPHYS EVAL CCM-D LD 1ST IMPL,358.0,250.6,1431.28,4007.58,7
CPT,0931T,EPHYS EVAL CCM-D LD SEPARATE,3598.0,2518.6,1431.28,4007.58,7
CPT,10005,FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE; FIRST GROWTH,7462.5,5223.75,72.38,3131.0,165
CPT,10005,FNA BX W/US GDN 1ST LES,3725.0,2607.5,72.38,3131.0,13
CPT,10006,FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE; EACH ADDITIONAL GROWTH,5134.25,3593.9750000000004,42.46,996.0,67
CPT,10006,FNA BX W/US GDN EA ADDL,4268.0,2987.6,42.46,186.0,12
CPT,10007,FNA BX W/FLUOR GDN 1ST LES,3042.0,2129.4,93.43,3131.0,13
CPT,10008,FNA BX W/FLUOR GDN EA ADDL,2339.0,1637.3,45.49,996.0,11
CPT,10009,FNA BX W/CT GDN 1ST LES,4693.0,3285.1,113.01,3131.0,13
CPT,10010,FNA BX W/CT GDN EA ADDL,3861.0,2702.7,63.54,996.0,11
CPT,10011,FNA BX W/MR GDN 1ST LES,3574.0,2501.8,832.45,3131.0,12
CPT,10012,FNA BX W/MR GDN EA ADDL,3574.0,2501.8,996.0,996.0,1
CPT,10021,FINE NEEDLE ASPIRATION BIOPSY; FIRST GROWTH,1002.0,701.4000000000001,114.83,1419.0,40
CPT,10030,DRAINAGE OF FLUID COLLECTION IN SOFT TISSUE USING IMAGING GUIDANCE,2478.0,1734.6,154.77,2330.86,11
CPT,10030,IMG GID FLU COLL DRG SFT TIS,2602.0,1821.4,154.77,3131.0,13
CPT,10035,PLACEMENT OF SOFT TISSUE LOCATING DEVICE USING X-RAY; FIRST GROWTH,902.0,631.4,86.47,3131.0,133
CPT,10035,PLMT SFT TISS LOCLZJ DEV 1ST,1938.0,1356.6,86.47,3131.0,13
CPT,10036,PLACEMENT OF SOFT TISSUE LOCATING DEVICE USING X-RAY; EACH ADDITIONAL GROWTH,917.25,642.075,35.93,996.0,24
CPT,10036,PLMT SFT TISS LOCLZJ DEV EA,1729.0,1210.3,35.93,996.0,11
CPT,10040,EXTRACTION,433.0,303.1,61.52,1419.0,11
CPT,10060,I&D ABSCESS SIMPLE/SINGLE,589.0,412.3,86.58,996.0,11
CPT,10060,SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS,883.5,618.45,86.58,1419.0,134
CPT,10061,COMPLICATED OR MULTIPLE DRAINAGE OF SKIN ABSCESS,490.505,343.355,160.87,1419.0,70
CPT,10080,SIMPLE DRAINAGE OF CYST OF TAILBONE,1757.0,1229.9,166.12,2330.86,11
CPT,10081,COMPLICATED DRAINAGE OF CYST OF TAILBONE,4637.0,3245.9,186.0,2330.86,19
CPT,10120,INC&RMVL FB SUBQ TISS SMPL,1364.0,954.8,114.46,1338.06,11
CPT,10120,REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE,5172.0,3620.4,114.46,1419.0,52
CPT,10121,INC&RMVL FB SUBQ TISS COMP,6630.0,4641.0,210.14,5436.34,18
CPT,10121,REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; COMPLEX,6639.0,4647.3,210.14,5436.34,61
CPT,10140,DRAINAGE OF BLOOD OR FLUID ACCUMULATION,12857.0,8999.9,117.28,5436.34,49
CPT,10160,ASPIRATION OF ABSCESS; BLOOD; OR CYST,1360.5,952.3499999999999,94.83,1419.0,144
CPT,10180,COMPLEX DRAINAGE OF WOUND INFECTION AFTER SURGERY,8783.0,6148.1,178.81,9561.05,19
CPT,10180,I&D COMPLEX PO WOUND INFCTJ,6452.0,4516.4,178.81,9561.05,19
CPT,11000,DBRDMT ECZ/INFECTED SKIN<10%,1245.0,871.5,45.88,1419.0,11
CPT,11001,DBRDMT ECZ/INFCT SKN EA ADDL,245.0,171.5,12.55,1419.0,11
CPT,11010,DEBRIDE SKIN AT FX SITE,3912.0,2738.4,421.77,3577.0,15
CPT,11010,REMOVAL OF FOREIGN MATERIAL FROM SKIN AND TISSUE AT OPEN BROKEN AND/OR DISLOCATED BONE,3912.0,2738.4,832.45,3577.0,14
CPT,11011,DEBRIDE SKIN MUSC AT FX SITE,4291.0,3003.7,481.68,3577.0,15
CPT,11012,DEB SKIN BONE AT FX SITE,5966.0,4176.2,698.16,9561.05,15
CPT,11012,REMOVAL OF FOREIGN MATERIAL FROM SKIN; TISSUE; MUSCLE; AND BONE AT OPEN BROKEN AND/OR DISLOCATED BONE,1.0,0.7,996.0,11815.0,18
CPT,11042,DBRDMT SUBQ TIS 1ST 20SQCM/<,886.0,620.2,88.29,3312.0,13
CPT,11042,REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS,886.0,620.2,88.29,4277.0,236
CPT,11043,DBRDMT MUSC&/FSCA 1ST 20/<,1603.0,1122.1,206.77,7576.0,18
CPT,11043,REMOVAL OF MUSCLE AND/OR TISSUE; 20.0 SQ CM OR LESS,4085.33,2859.73,206.77,7576.0,206
CPT,11044,DBRDMT BONE 1ST 20 SQ CM/<,3843.0,2690.1,284.24,7576.0,19
CPT,11044,REMOVAL OF BONE; 20.0 SQ CM OR LESS,6043.25,4230.275,284.24,7576.0,110
CPT,11045,REMOVAL OF SKIN AND TISSUE; EACH ADDITIONAL 20.0 SQ CM OR LESS,1792.0,1254.4,21.52,996.0,63
CPT,11046,DBRDMT MUSC&/FSCA EA ADDL,1079.0,755.3,46.19,1419.0,11
CPT,11046,REMOVAL OF MUSCLE AND/OR TISSUE; EACH ADDITIONAL 20.0 SQ CM OR LESS,1619.0,1133.3,46.19,996.0,30
CPT,11047,DBRDMT BONE EACH ADDL,3351.0,2345.7,82.26,1419.0,11
CPT,11055,REMOVAL OF NONCANCER THICKENED SKIN GROWTH; 1 GROWTH,433.0,303.1,33.52,660.41,28
CPT,11056,REMOVAL OF NONCANCER THICKENED SKIN GROWTH; 2-4 GROWTHS,514.0,359.8,42.25,660.41,28
CPT,11057,REMOVAL OF NONCANCER THICKENED SKIN GROWTH; MORE THAN 4 GROWTHS,684.0,478.8,51.92,660.41,20
CPT,11100,BX-SKIN SQ/MM; SGL,632.0,442.4,186.0,186.0,1
CPT,11102,BIOPSY OF RELATED SKIN GROWTH; FIRST GROWTH,6698.0,4688.6,59.65,1338.06,11
CPT,11102,TANGNTL BX SKIN SINGLE LES,949.0,664.3,59.65,1338.06,12
CPT,11103,TANGNTL BX SKIN EA SEP/ADDL,727.0,508.9,17.69,186.0,12
CPT,11104,PUNCH BIOPSY; FIRST SKIN GROWTH,475.0,332.5,75.02,1338.06,79
CPT,11105,PUNCH BIOPSY; EACH ADDITIONAL SKIN GROWTH,727.0,508.9,20.99,186.0,20
CPT,11105,PUNCH BX SKIN EA SEP/ADDL,474.0,331.8,20.99,996.0,11
CPT,11106,INCAL BX SKN SINGLE LES,1499.0,1049.3,90.7,2432.7,12
CPT,11106,INCISION BIOPSY; FIRST SKIN GROWTH,4515.375,3160.7650000000003,90.7,3131.0,24
CPT,11107,INCAL BX SKN EA SEP/ADDL,1045.0,731.5,24.94,186.0,12
CPT,11200,REMOVAL OF SKIN TAG; 1-15 SKIN TAGS,258.0,180.6,58.02,1419.0,22
CPT,11201,RMVL SKIN TAGS EA ADDL 10,539.0,377.3,12.97,186.0,12
CPT,11300,SHAVE SKIN LESION 0.5 CM/<,633.0,443.1,52.18,1419.0,11
CPT,11305,SHAVE SKIN LESION 0.5 CM/<,433.0,303.1,53.36,1419.0,11
CPT,11310,SHAVE SKIN LESION 0.5 CM/<,645.0,451.5,63.71,1419.0,11
CPT,11400,EXC TR-EXT B9+MARG 0.5 CM<,1817.0,1271.9,95.74,3131.0,12
CPT,11400,REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS,834.5,584.15,95.74,3131.0,23
CPT,11401,EXC TR-EXT B9+MARG 0.6-1 CM,1668.0,1167.6,110.16,1338.06,12
CPT,11402,EXC TR-EXT B9+MARG 1.1-2 CM,1668.0,1167.6,144.07,2330.86,11
CPT,11402,REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 1.1-2.0 CM,1.0,0.7,832.45,3131.0,9
CPT,11403,EXC TR-EXT B9+MARG 2.1-3CM,3165.0,2215.5,140.63,2330.86,12
CPT,11403,REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 2.1-3.0 CM,3952.5,2766.75,140.63,3131.0,21
CPT,11404,EXC TR-EXT B9+MARG 3.1-4 CM,5031.0,3521.7,160.48,5436.34,13
CPT,11404,REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 3.1-4.0 CM,12594.0,8815.8,160.48,5436.34,18
CPT,11406,EXC TR-EXT B9+MARG >4.0 CM,4251.0,2975.7,186.0,5436.34,13
CPT,11406,REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; MORE THAN 4.0 CM,11366.0,7956.2,196.89,5436.34,37
CPT,11420,EXC H-F-NK-SP B9+MARG 0.5/<,3695.0,2586.5,92.6,5436.34,23
CPT,11420,REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 0.5 CM OR LESS,1.0,0.7,92.6,5436.34,12
CPT,11421,REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 0.6-1.0 CM,1.0,0.7,117.06,3131.0,12
CPT,11422,REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 1.1-2.0 CM,1.0,0.7,130.48,5436.34,12
CPT,11423,REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 2.1-3.0 CM,1.0,0.7,154.61,5436.34,12
CPT,11424,REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 3.1-4.0 CM,6112.0,4278.4,176.22,5436.34,18
CPT,11440,EXC FACE-MM B9+MARG 0.5 CM/<,2076.0,1453.2,109.62,2330.86,12
CPT,11440,REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS,5186.0,3630.2,109.62,3131.0,22
CPT,11441,EXC FACE-MM B9+MARG 0.6-1 CM,2076.0,1453.2,128.14,2330.86,12
CPT,11441,REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.6-1.0 CM,3010.0,2107.0,128.14,3131.0,12
CPT,11442,EXC FACE-MM B9+MARG 1.1-2 CM,2056.0,1439.2,143.12,2330.86,12
CPT,11442,REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 1.1-2.0 CM,7376.0,5163.2,143.12,3131.0,12
CPT,11443,REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.1-3.0 CM,8708.0,6095.6,174.71,5436.34,12
CPT,11444,REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 3.1-4.0 CM,4967.0,3476.9,221.79,5436.34,18
CPT,11600,REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS,1.0,0.7,132.45,3131.0,12
CPT,11601,REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.6-1.0 CM,1.0,0.7,150.32,3131.0,12
CPT,11602,EXC TR-EXT MAL+MARG 1.1-2 CM,1045.0,731.5,159.26,1338.06,12
CPT,11602,REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 1.1-2.0 CM,1.0,0.7,159.26,1338.06,11
CPT,11604,REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 3.1-4.0 CM,6832.0,4782.4,193.56,4723.0,19
CPT,11606,REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; MORE THAN 4.0 CM,1.0,0.7,252.26,5436.34,19
CPT,11623,REMOVAL OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 2.1-3.0 CM,6885.0,4819.5,198.62,5436.34,13
CPT,11624,REMOVAL OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 3.1-4.0 CM,6430.0,4501.0,228.1,5436.34,19
CPT,11626,REMOVAL OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; MORE THAN 4.0 CM,1.0,0.7,300.35,9561.05,19
CPT,11640,REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS,6320.0,4424.0,134.33,3131.0,12
CPT,11642,REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 1.1-2.0 CM,11840.0,8288.0,218.97,3131.0,12
CPT,11643,REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.1-3.0 CM,15919.0,11143.3,230.89,5436.34,12
CPT,11644,REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 3.1-4.0 CM,4135.0,2894.5,292.06,5436.34,19
CPT,11646,EXC F/E/E/N/L MAL+MRG >4 CM,8521.0,5964.7,186.0,9561.05,13
CPT,11646,REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; MORE THAN 4.0 CM,932.5,652.75,393.01,9561.05,37
CPT,11719,TRIM NAIL(S) ANY NUMBER,202.0,141.4,17.78,1419.0,11
CPT,11719,TRIMMING OF FINGERNAILS OR TOENAILS,187.0,130.9,15.46,1419.0,62
CPT,11720,REMOVAL OF FINGERNAILS OR TOENAILS; 1-5 NAILS,240.0,168.0,22.41,194.18,12
CPT,11721,REMOVAL OF FINGERNAILS OR TOENAILS; 6 OR MORE NAILS,357.0,249.9,34.03,194.18,28
CPT,11730,SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL,413.5,289.45000000000005,84.23,1419.0,123
CPT,11732,SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; EACH ADDITIONAL NAIL,452.0,316.4,14.84,186.0,12
CPT,11740,REMOVAL OF BLOOD ACCUMULATION UNDER FINGERNAIL OR TOENAIL,277.0,193.9,35.76,1419.0,71
CPT,11750,PERMANENT REMOVAL FINGERNAIL OR TOENAIL,9433.0,6603.1,172.35,1419.0,63
CPT,11760,REPAIR OF FINGERNAIL OR TOENAIL BED,738.5,516.95,164.22,3113.0,53
CPT,11762,RECONSTRUCTION OF NAIL BED,6197.0,4337.9,250.17,6791.43,11
CPT,11765,REMOVAL OF SKIN OF FINGERNAIL OR TOENAIL,909.0,636.3,96.5,1419.0,11
CPT,11770,REMOVE PILONIDAL CYST SIMPLE,8033.0,5623.1,237.39,9561.05,15
CPT,11771,EXTENSIVE REMOVAL OF CYST OF TAILBONE,13666.0,9566.2,386.01,9561.05,19
CPT,11772,COMPLICATED REMOVAL OF CYST OF TAILBONE,17552.0,12286.4,500.9,9561.05,19
CPT,11900,INJECT SKIN LESIONS </W 7,433.0,303.1,42.12,1419.0,11
CPT,11970,REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT IMPLANT,51783.0,36248.1,1700.0,23884.25,18
CPT,11976,REMOVE CONTRACEPTIVE CAPSULE,1880.0,1316.0,118.41,2330.86,12
CPT,11980,IMPLANT HORMONE PELLET(S),820.0,574.0,92.31,1470.42,12
CPT,11981,INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE,341.0,238.7,106.35,996.0,34
CPT,11982,REMOVAL OF DRUG DELIVERY IMPLANT FROM TISSUE,1.0,0.7,124.95,1470.42,11
CPT,11982,REMOVE DRUG IMPLANT DEVICE,820.0,574.0,124.95,1470.42,12
CPT,11983,REMOVE/INSERT DRUG IMPLANT,820.0,574.0,186.0,1470.42,12
CPT,12001,RPR S/N/AX/GEN/TRNK 2.5CM/<,591.0,413.70000000000005,99.48,1419.0,22
CPT,12001,SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS,555.0,388.5,114.4,1419.0,191
CPT,12002,RPR S/N/AX/GEN/TRNK2.6-7.5CM,496.0,347.2,128.09,1419.0,11
CPT,12002,SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM,439.0,307.3,128.09,1419.0,118
CPT,12004,SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 7.6-12.5 CM,866.0,606.2,150.94,1419.0,31
CPT,12005,SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 12.6-20.0 CM,1404.0,982.8,188.52,3577.0,29
CPT,12006,RPR S/N/A/GEN/TRK20.1-30.0CM,1788.0,1251.6,241.01,3577.0,15
CPT,12006,SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 20.1-30.0 CM,1703.0,1192.1,241.01,3577.0,15
CPT,12007,SIMPLE REPAIR OF SURFACE WOUND TO SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; MORE THAN 30.0 CM,2066.0,1446.2,235.86,3577.0,15
CPT,12011,RPR F/E/E/N/L/M 2.5 CM/<,589.0,412.3,120.67,1419.0,11
CPT,12011,SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS,439.0,307.3,120.67,1419.0,21
CPT,12013,SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM,439.0,307.3,136.86,1419.0,51
CPT,12014,SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 5.1-7.5 CM,920.0,644.0,163.4,1419.0,31
CPT,12015,SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 7.6-12.5 CM,1310.0,917.0,205.71,1419.0,31
CPT,12016,SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 12.6-20.0 CM,1864.0,1304.8,252.49,3577.0,29
CPT,12017,RPR FE/E/EN/L/M 20.1-30.0 CM,1908.0,1335.6,329.85,3577.0,15
CPT,12018,RPR F/E/E/N/L/M >30.0 CM,2063.0,1444.1,235.86,3577.0,15
CPT,12020,SIMPLE CLOSURE OF SURFACE WOUND REOPENING,1895.0,1326.5,213.83,2539.0,15
CPT,12021,TX SUPFC WND DEHSN W/PACKING,1309.0,916.3,155.46,2539.0,15
CPT,12031,INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS,909.0,636.3,154.31,1419.0,21
CPT,12032,INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM,1935.5,1354.85,170.85,1419.0,66
CPT,12032,INTMD RPR S/A/T/EXT 2.6-7.5,1145.0,801.5,196.48,1419.0,11
CPT,12034,INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 7.6-12.5 CM,673.5,471.45000000000005,175.87,4277.0,60
CPT,12035,INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 12.6-20.0 CM,835.5,584.85,262.06,4277.0,43
CPT,12036,INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 20.1-30.0 CM,1741.0,1218.7,868.82,3577.0,28
CPT,12036,INTMD RPR S/A/T/EXT 20.1-30,1828.0,1279.6,312.54,3577.0,15
CPT,12037,INTMD RPR S/TR/EXT >30.0 CM,3553.0,2487.1,362.73,6791.43,15
CPT,12041,INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 2.5 CM OR LESS,2608.005,1825.605,140.44,1419.0,58
CPT,12042,INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 2.6-7.5 CM,418.0,292.6,167.2,1419.0,32
CPT,12044,INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 7.6-12.5 CM,568.5,397.95000000000005,190.84,4277.0,46
CPT,12045,INTMD RPR N-HF/GENIT12.6-20,1269.0,888.3,277.9,3577.0,15
CPT,12046,INTMD RPR N-HF/GENIT20.1-30,1257.0,879.9,330.71,3577.0,15
CPT,12047,INTMD RPR N-HF/GENIT >30.0CM,3383.0,2368.1,364.83,6791.43,15
CPT,12051,INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS,4309.5,3016.65,157.63,1419.0,32
CPT,12052,INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM,765.0,535.5,167.09,1419.0,32
CPT,12053,INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 5.1-7.5 CM,1692.0,1184.4,213.92,1419.0,11
CPT,12054,INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 7.6-12.5 CM,2212.0,1548.4,235.19,3577.0,15
CPT,12054,INTMD RPR FACE/MM 7.6-12.5CM,2323.0,1626.1,235.19,3577.0,15
CPT,12055,INTMD RPR FACE/MM 12.6-20 CM,2846.0,1992.2,305.59,3577.0,15
CPT,12056,INTMD RPR FACE/MM 20.1-30.0,2755.0,1928.5,389.02,3577.0,15
CPT,12057,INTMD RPR FACE/MM >30.0 CM,3119.0,2183.3,451.98,3577.0,15
CPT,13100,CMPLX RPR TRUNK 1.1-2.5 CM,1895.0,1326.5,251.87,3577.0,15
CPT,13101,CMPLX RPR TRUNK 2.6-7.5 CM,2210.0,1547.0,303.71,3923.0,15
CPT,13101,COMPLICATED REPAIR OF WOUND OF TRUNK; 2.6-7.5 CM,1487.7,1041.3899999999999,264.1,4817.0,45
CPT,13102,CMPLX RPR TRUNK ADDL 5CM/<,906.0,634.2,58.72,2539.0,15
CPT,13102,COMPLICATED REPAIR OF WOUND OF TRUNK; EACH ADDITIONAL 5.0 CM OR LESS,1487.7,1041.3899999999999,58.72,3131.0,42
CPT,13120,COMPLICATED REPAIR OF WOUND OF SCALP; ARMS; OR LEGS; 1.1-2.5 CM,1588.0,1111.6,261.49,3577.0,15
CPT,13121,COMPLICATED REPAIR OF WOUND OF SCALP; ARMS; OR LEGS; 2.6-7.5 CM,1372.5,960.75,283.61,4817.0,74
CPT,13122,COMPLICATED REPAIR OF WOUND OF SCALP; ARMS; OR LEGS; EACH ADDITIONAL 5.0 CM OR LESS,307.5,215.25,66.77,3131.0,71
CPT,13131,COMPLICATED REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 1.1-2.5 CM,1212.0,848.4,298.15,3577.0,29
CPT,13132,COMPLICATED REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 2.6-7.5 CM,2111.0,1477.7,408.12,4817.0,60
CPT,13133,CMPLX RPR F/C/C/M/N/AX/G/H/F,1403.0,982.1,101.38,2539.0,15
CPT,13133,COMPLICATED REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; EACH ADDITIONAL 5.0 CM OR LESS,1.0,0.7,101.38,3131.0,29
CPT,13151,COMPLICATED REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIP; 1.1-2.5 CM,2744.0,1920.8,354.34,3923.0,15
CPT,13152,COMPLICATED REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIP; 2.6-7.5 CM,1372.5,960.75,482.41,4817.0,29
CPT,13153,CMPLX RPR E/N/E/L ADDL 5CM/<,660.0,462.0,111.79,3923.0,15
CPT,13160,EXTENSIVE OR COMPLICATED REPAIR OF SURFACE WOUND REOPENING,13952.5,9766.75,730.89,11664.38,37
CPT,13160,SEC CLSR SURG WND/DEHSN XTN,6177.0,4323.9,730.89,11664.38,19
CPT,14000,REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS,1.0,0.7,467.65,6791.43,19
CPT,14001,REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN; 10.1-30.0 SQ CM,1.0,0.7,639.31,6791.43,37
CPT,14020,REPAIR OF WOUND OF SCALP; ARMS; OR LEGS BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS,1.0,0.7,540.33,6791.43,19
CPT,14020,TIS TRNFR S/A/L 10 SQ CM/<,6197.0,4337.9,621.38,6791.43,15
CPT,14021,REPAIR OF WOUND OF SCALP; ARMS; OR LEGS BY TRANSFERRING SKIN; 10.1-30.0 SQ CM,1.0,0.7,749.39,6791.43,19
CPT,14040,REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS,1.01,0.71,616.79,6791.43,19
CPT,14040,TIS TRNFR F/C/C/M/N/A/G/H/F,5729.0,4010.3,616.79,6791.43,19
CPT,14041,REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET BY TRANSFERRING SKIN; 10.1-30.0 SQ CM,2048.5,1433.9499999999998,817.39,6791.43,37
CPT,14060,REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIPS BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS,1577.0,1103.9,689.58,6791.43,55
CPT,14060,TIS TRNFR E/N/E/L 10 SQ CM/<,5549.0,3884.3,186.0,6791.43,13
CPT,14061,REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIPS BY TRANSFERRING SKIN; 10.1-30.0 SQ CM,5568.0,3897.6,882.56,6791.43,19
CPT,14301,REPAIR OF WOUND BY TRANSFERRING SKIN; 30.1-60.0 SQ CM,8776.0,6143.200000000001,863.1,11664.38,25
CPT,14302,REPAIR OF WOUND BY TRANSFERRING SKIN; EACH ADDITIONAL 30.0 SQ CM,1.0,0.7,178.77,996.0,11
CPT,15002,PREPARATION OF SKIN GRAFT SITE OF TRUNK; ARMS; OR LEGS; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS,12338.0,8636.6,204.52,4723.0,35
CPT,15004,PREPARATION OF SKIN GRAFT SITE OF FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS,789.0,552.3000000000001,252.79,4723.0,33
CPT,15050,PINCH GRAFT UP TO 2 CM DIAM,1895.0,1326.5,451.17,3577.0,15
CPT,15100,PARTIAL THICKNESS SELF SKIN GRAFT TO TRUNK; ARMS; OR LEGS; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS,8646.5,6052.55,697.46,6791.43,37
CPT,15120,PARTIAL THICKNESS SELF SKIN GRAFT TO FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS,5072.0,3550.4,729.77,11664.38,19
CPT,15220,FULL THICKNESS SKIN GRAFT TO SCALP; ARMS; OR LEGS; 20.0 SQ CM OR LESS,14526.0,10168.2,600.4,7576.0,19
CPT,15240,FTH/GFT F/C/C/M/N/AX/G/H/F20,4860.0,3402.0,806.06,6791.43,15
CPT,15240,FULL THICKNESS SKIN GRAFT TO FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 20.0 SQ CM OR LESS,3615.5,2530.85,700.92,7576.0,37
CPT,15241,FULL THICKNESS SKIN GRAFT TO FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; EACH ADDITIONAL 20.0 SQ CM,7230.0,5061.0,88.09,4817.0,17
CPT,15260,FULL THICKNESS SKIN GRAFT TO NOSE; EARS; EYELIDS; OR LIPS; 20.0 SQ CM OR LESS,1.0,0.7,758.38,7576.0,37
CPT,15271,APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF TRUNK; ARMS; OR LEGS; 25.0 SQ CM OR LESS OF WOUND 100.0 SQ CM OR LESS,2778.5,1944.9499999999998,84.93,4277.0,85
CPT,15271,SKIN SUB GRAFT TRNK/ARM/LEG,2879.0,2015.3,84.93,4277.0,13
CPT,15272,APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF TRUNK; ARMS; OR LEGS; EACH ADDITIONAL 25.0 SQ CM OF WOUND 100.0 SQ CM OR LESS,585.0,409.5,14.32,996.0,11
CPT,15272,SKIN SUB GRAFT T/A/L ADD-ON,210.0,147.0,14.32,996.0,11
CPT,15273,SKIN SUB GRFT T/ARM/LG CHILD,5048.0,3533.6,246.43,6791.43,13
CPT,15273,SKIN SUBSTITUTE GRAFT TO WOUND 100.0 SQ CM OR MORE OF TRUNK; ARMS; OR LEGS; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS,4696.0,3287.2,246.43,6791.43,13
CPT,15274,SKN SUB GRFT T/A/L CHILD ADD,565.0,395.5,37.69,996.0,11
CPT,15275,APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; 25.0 SQ CM OR LESS OF WOUND 100.0 SQ CM OR LESS,2778.5,1944.9499999999998,97.68,4277.0,110
CPT,15275,SKIN SUB GRAFT FACE/NK/HF/G,2879.0,2015.3,97.68,4277.0,13
CPT,15276,APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; EACH ADDITIONAL 25.0 SQ CM OF WOUND 100.0 SQ CM OR LESS,1.0,0.7,21.52,996.0,11
CPT,15276,SKIN SUB GRAFT F/N/HF/G ADDL,210.0,147.0,21.52,996.0,11
CPT,15277,SKN SUB GRFT F/N/HF/G CHILD,4238.0,2966.6,289.94,6791.43,13
CPT,15278,SKN SUB GRFT F/N/HF/G CH ADD,524.0,366.8,47.24,996.0,11
CPT,15574,CREATION OF FLAP GRAFT TO FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET,2869.33,2008.53,732.95,6791.43,19
CPT,15576,CREATION OF FLAP GRAFT TO EYELIDS; NOSE; EARS; LIPS; OR MOUTH,3896.5,2727.55,640.78,6791.43,37
CPT,15620,TRANSFER OF SKIN FLAP TO FOREHEAD; CHEEKS; CHIN; NECK; UNDERARMS; GENITALS; HANDS; OR FEET,5991.0,4193.700000000001,280.05,6791.43,37
CPT,15630,TRANSFER OF SKIN FLAP TO EYELIDS; NOSE; EARS; OR LIPS,4863.0,3404.1,303.17,6791.43,19
CPT,15730,CREATION OF FLAP GRAFT TO MIDFACE,1.0,0.7,934.87,11664.38,12
CPT,15730,MDFC FLAP W/PRSRV VASC PEDCL,9911.0,6937.7,186.0,11664.38,12
CPT,15731,CREATION OF FLAP GRAFT TO NOSE; FOREHEAD; TEMPLE; OR SCALP,6526.99,4568.89,904.69,11664.38,18
CPT,15733,CREATION OF FLAP GRAFT TO HEAD AND/OR NECK,4667.5,3267.25,1065.13,11815.0,25
CPT,15733,MUSC MYOQ/FSCQ FLP H&N PEDCL,9911.0,6937.7,186.0,11664.38,12
CPT,15734,CREATION OF MUSCLE GRAFT TO TRUNK,1.0,0.7,1262.3,11664.38,18
CPT,15736,MUSCLE-SKIN GRAFT ARM,5549.0,3884.3,186.0,6791.43,13
CPT,15738,CREATION OF MUSCLE GRAFT TO LEG,1.0,0.7,1242.01,11664.38,33
CPT,15738,MUSCLE-SKIN GRAFT LEG,9908.0,6935.6,186.0,11664.38,13
CPT,15740,CREATION OF SKIN AND TISSUE GRAFT,3416.0,2391.2,751.19,7576.0,37
CPT,15750,CREATION OF NERVE AND BLOOD VESSEL SKIN GRAFT,6630.0,4641.0,839.79,11664.38,18
CPT,15760,COMPOSITE SKIN GRAFT,5846.0,4092.2,756.7,6791.43,15
CPT,15769,SELF SOFT TISSUE GRAFT,12624.0,8836.8,492.18,11664.38,12
CPT,15771,GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO TRUNK; BREASTS; SCALP; ARMS; OR LEGS; 50.0 CC OR LESS,7561.66,5293.16,487.85,11664.38,13
CPT,15772,GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO TRUNK; BREASTS; SCALP; ARMS; OR LEGS; EACH ADDITIONAL 50.0 CC,7561.66,5293.16,124.0,996.0,11
CPT,15777,IMPLANTATION OF BIOLOGIC IMPLANT TO SOFT TISSUE,4023.4,2816.38,178.57,996.0,19
CPT,15823,REMOVAL OF EXCESSIVE SKIN AND FAT OF UPPER EYELID,1.0,0.7,1500.0,6791.43,18
CPT,15830,REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN,34823.0,24376.1,849.8,21856.49,18
CPT,15836,REMOVAL OF EXTRA SKIN AND TISSUE OF ARM,1.0,0.7,1500.0,9561.05,18
CPT,15839,REMOVAL OF EXTRA SKIN AND TISSUE OF OTHER AREA,1.0,0.7,655.44,9561.05,19
CPT,15845,MUSCLE TRANSFER TO TREAT FACIAL PARALYSIS,1.0,0.7,875.61,11664.38,19
CPT,15847,EXTENSIVE REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN,1.0,0.7,996.0,4817.0,6
CPT,15851,REMOVAL OF SUTURES UNDER ANESTHESIA BY OTHER SURGEON,2858.0,2000.6,55.84,6791.43,13
CPT,15853,REMOVAL OF SUTURES OR STAPLES NOT REQUIRING ANESTHESIA (LIST SEPARATELY IN ADDITION TO E/M CODE),37.0,25.9,13.87,1419.0,7
CPT,15853,REMOVAL SUTR/STAPL XREQ ANES,42.0,29.4,13.87,1419.0,4
CPT,15854,REMOVAL SUTR&STAPL XREQ ANES,48.0,33.6,19.46,1419.0,4
CPT,15860,INJECTION OF AGENT INTO VEIN TO ASSESS BLOOD FLOW OF SKIN GRAFT OR FLAP,1.0,0.7,113.46,1470.42,11
CPT,15876,SUCTION ASSISTED REMOVAL OF FAT OF HEAD AND NECK,11143.5,7800.45,1550.0,11664.38,18
CPT,15877,SUCTION ASSISTED REMOVAL OF FAT OF BODY,17909.5,12536.65,1550.0,11815.0,54
CPT,16000,INITIAL TREATMENT OF BURN(S),556.0,389.2,67.4,1419.0,11
CPT,16020,DRESS/DEBRID P-THICK BURN S,865.0,605.5,81.1,1419.0,11
CPT,16020,DRESSING CHANGE OR REMOVAL OF BURN TISSUE; LESS THAN 5% OF TOTAL BODY SURFACE,868.0,607.6,81.1,1419.0,11
CPT,16025,DRESS/DEBRID P-THICK BURN M,1006.0,704.2,139.62,3577.0,15
CPT,16030,DRESS/DEBRID P-THICK BURN L,1291.0,903.7,165.27,3577.0,15
CPT,16035,INCISION OF BURN SCAB INITI,1245.0,871.5,260.02,1419.0,11
CPT,17000,DESTRUCT PREMALG LESION,543.0,380.1,47.64,660.41,12
CPT,17003,DESTRUCT PREMALG LES 2-14,110.0,77.0,1.72,186.0,12
CPT,17004,DESTROY PREMAL LESIONS 15/>,1045.0,731.5,158.56,1338.06,12
CPT,17106,DESTRUCTION OF SKIN LESIONS,1560.0,1092.0,370.56,1419.0,11
CPT,17110,DESTRUCT B9 LESION 1-14,543.0,380.1,69.19,660.41,12
CPT,17111,DESTRUCT LESION 15 OR MORE,543.0,380.1,78.16,660.41,12
CPT,17250,APPLICATION OF CHEMICAL TO STOP TISSUE REGROWTH IN WOUND,498.0,348.6,58.24,996.0,47
CPT,17250,CHEM CAUT OF GRANLTJ TISSUE,498.0,348.6,58.24,996.0,11
CPT,17280,DSTR MAL LS F/E/E/N/L/M .5/<,632.0,442.4,92.08,660.41,12
CPT,17999,OTHER PROCEDURE ON SKIN; MUCOUS MEMBRANE; AND TISSUE,20713.5,14499.45,235.86,996.0,8
CPT,19000,ASPIRATION OF CYST OF BREAST; FIRST CYST,1481.0,1036.7,86.46,3131.0,75
CPT,19001,ASPIRATION OF CYST OF BREAST; EACH ADDITIONAL CYST,744.0,520.8,17.7,49.56,7
CPT,19001,PUNCTURE ASPIR CYST BRST EA,744.0,520.8,17.7,124.12,11
CPT,19020,DRAINAGE OF ABSCESS OF BREAST,7202.0,5041.4,294.72,5436.34,15
CPT,19030,NJX PX ONLY MAM DUCTO/GLCTO,298.0,208.6,63.3,996.0,11
CPT,19081,BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH,5880.5,4116.35,176.14,9561.05,87
CPT,19081,BX BREAST 1ST LESION STRTCTC,4443.0,3110.1,176.14,5436.34,13
CPT,19082,BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; EACH ADDITIONAL GROWTH,1918.25,1342.775,68.46,996.0,25
CPT,19082,BX BREAST ADD LESION STRTCTC,1269.0,888.3,68.46,996.0,11
CPT,19083,BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH,3424.0,2396.8,165.34,5436.34,77
CPT,19083,BX BREAST 1ST LESION US IMAG,3424.0,2396.8,165.34,5436.34,13
CPT,19084,BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; EACH ADDITIONAL GROWTH,1820.0,1274.0,64.16,996.0,41
CPT,19084,BX BREAST ADD LESION US IMAG,978.0,684.6,64.16,996.0,11
CPT,19085,BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI; FIRST GROWTH,3066.0,2146.2,193.24,5436.34,35
CPT,19085,BX BREAST 1ST LESION MR IMAG,3296.0,2307.2,193.24,5436.34,12
CPT,19086,BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI; EACH ADDITIONAL GROWTH,1326.75,928.7249999999999,74.56,996.0,19
CPT,19086,BX BREAST ADD LESION MR IMAG,803.0,562.1,74.56,996.0,11
CPT,19100,BX BREAST PERCUT W/O IMAGE,3558.0,2490.6,98.36,5436.34,18
CPT,19100,NEEDLE BIOPSY OF BREAST,3310.0,2317.0,98.36,5436.34,18
CPT,19101,BIOPSY OF BREAST OPEN,11924.0,8346.8,186.0,12887.9,13
CPT,19120,REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE,13532.0,9472.4,1550.0,12887.9,54
CPT,19125,REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER; FIRST GROWTH,16650.0,11655.0,1550.0,12887.9,72
CPT,19126,REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER; EACH ADDITIONAL GROWTH,1.0,0.7,136.99,4817.0,14
CPT,19281,PERQ DEVICE BREAST 1ST IMAG,2038.0,1426.6,101.56,5436.34,13
CPT,19281,PLACEMENT OF LOCATING DEVICE IN BREAST USING IMAGING GUIDANCE; FIRST GROWTH,2047.5,1433.25,101.56,5436.34,104
CPT,19282,PERQ DEVICE BREAST EA IMAG,1072.0,750.4,41.12,996.0,11
CPT,19282,PLACEMENT OF LOCATING DEVICE IN BREAST USING IMAGING GUIDANCE; EACH ADDITIONAL GROWTH,5592.25,3914.58,41.12,996.0,8
CPT,19285,PERQ DEV BREAST 1ST US IMAG,2188.0,1531.6,87.12,4723.0,13
CPT,19285,PLACEMENT OF LOCATING DEVICE IN BREAST USING ULTRASOUND GUIDANCE; FIRST GROWTH,2035.0,1424.5,87.12,4723.0,56
CPT,19286,PERQ DEV BREAST ADD US IMAG,1754.0,1227.8,35.54,996.0,11
CPT,19286,PLACEMENT OF LOCATING DEVICE IN BREAST USING ULTRASOUND GUIDANCE; EACH ADDITIONAL GROWTH,1793.75,1255.625,35.54,996.0,24
CPT,19287,PERQ DEV BREAST 1ST MR GUIDE,2388.0,1671.6,137.83,3131.0,12
CPT,19301,PARTIAL REMOVAL OF BREAST,15073.0,10551.1,387.38,21856.49,137
CPT,19302,PARTIAL REMOVAL OF BREAST AND UNDERARM LYMPH NODES,69051.0,48335.7,1700.0,21856.49,17
CPT,19303,SIMPLE COMPLETE REMOVAL OF BREAST,41201.0,28840.7,1550.0,21856.49,85
CPT,19307,REMOVAL OF BREAST AND UNDERARM LYMPH NODES,33161.5,23213.05,1700.0,21856.49,24
CPT,19316,REPAIR FOR SAGGING OF THE BREAST,8631.34,6041.9400000000005,1550.0,21856.49,72
CPT,19318,BREAST REDUCTION,44022.0,30815.4,1700.0,21856.49,108
CPT,19330,REMOVAL OF RUPTURED BREAST IMPLANT AND IMPLANT MATERIAL,13034.0,9123.8,1550.0,12887.9,18
CPT,19340,PLACEMENT OF IMPLANT ON SAME DAY OF BREAST RECONSTRUCTION,1.0,0.7,1700.0,26903.18,18
CPT,19342,PLACEMENT OF IMPLANT ON SEPARATE DAY OF BREAST RECONSTRUCTION,15302.5,10711.75,1700.0,26903.18,36
CPT,19350,RECONSTRUCTION OF NIPPLE OR AREA AROUND NIPPLE,16261.0,11382.7,1550.0,12887.9,18
CPT,19357,RECONSTRUCTION OF BREAST USING TISSUE EXPANDER,13134.005,9193.805,1700.0,45360.81,54
CPT,19370,REVISION OF CAPSULE AROUND BREAST IMPLANT,6249.0,4374.3,1550.0,21856.49,54
CPT,19371,REMOVAL OF CAPSULE AROUND BREAST IMPLANT,20541.0,14378.7,1550.0,12887.9,18
CPT,19380,SURGICAL CHANGE TO RECONSTRUCTED BREAST,23779.25,16645.475,1700.0,21856.49,36
CPT,20100,EXPL PENTRG WOUND NECK,2992.0,2094.4,634.01,1775.23,11
CPT,20101,EXPL PENTRG WOUND CHEST,6842.0,4789.4,229.63,6791.43,11
CPT,20102,EXPL PENTRG WND ABD/FLNK/BK,6507.0,4554.9,275.48,6791.43,11
CPT,20103,EXPL PENTRG WOUND EXTREMITY,4757.0,3329.9,413.15,5436.34,11
CPT,20200,BIOPSY OF MUSCLE,7904.0,5532.8,92.08,5436.34,19
CPT,20205,DEEP BIOPSY OF MUSCLE,9512.0,6658.4,167.33,9561.05,37
CPT,20206,BIOPSY MUSCLE PERQ NEEDLE,4382.0,3067.4,86.1,5436.34,19
CPT,20206,NEEDLE BIOPSY OF MUSCLE,4076.0,2853.2,86.1,5436.34,73
CPT,20220,BIOPSY OF BONE USING NEEDLE OR TROCAR,3442.66,2409.86,107.9,5436.34,73
CPT,20220,BONE BIOPSY TROCAR/NDL SUPFC,4381.0,3066.7,107.9,5436.34,19
CPT,20225,BONE BIOPSY TROCAR/NDL DEEP,4712.0,3298.4,122.7,5436.34,19
CPT,20225,DEEP BIOPSY OF BONE USING NEEDLE OR TROCAR,4383.0,3068.1,122.7,5436.34,37
CPT,20240,BIOPSY OF SURFACE BONE,1.0,0.7,1550.0,9561.05,18
CPT,20245,BIOPSY OF DEEP BONE,8001.0,5600.7,599.58,9561.05,19
CPT,20501,INJECT SINUS TRACT FOR X-RAY,191.0,133.7,30.63,996.0,11
CPT,20520,REMOVAL OF FOREIGN BODY,4995.0,3496.5,170.21,5436.34,11
CPT,20520,REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON,10456.0,7319.200000000001,148.01,5436.34,25
CPT,20525,REMOVAL OF FOREIGN BODY,8646.0,6052.2,291.41,9561.05,15
CPT,20526,INJECTION OF CARPAL TUNNEL,1395.0,976.5,64.87,1515.5,60
CPT,20527,INJ DUPUYTREN CORD W/ENZYME,887.0,620.9,57.98,1010.35,12
CPT,20550,INJ TENDON SHEATH/LIGAMENT,1000.0,700.0,60.43,1010.35,11
CPT,20550,INJECTION INTO TENDON OR LIGAMENT,1000.0,700.0,60.43,1515.5,177
CPT,20551,INJ TENDON ORIGIN/INSERTION,1080.0,756.0,48.15,1010.35,11
CPT,20551,INJECTION INTO TENDON AT ATTACHMENT TO BONE OR MUSCLE,1042.5,729.75,48.15,1010.35,43
CPT,20552,INJECTION OF TRIGGER POINTS; 1-2 MUSCLES,684.0,478.8,46.03,1419.0,80
CPT,20553,INJECTION OF TRIGGER POINTS; 3 OR MORE MUSCLES,667.5,467.25,52.22,1010.35,39
CPT,20560,INSERTION OF NEEDLE; 1-2 MUSCLES,1.0,0.7,34.0,996.0,8
CPT,20600,ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT,1005.0,703.5,47.04,1515.5,43
CPT,20605,ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT,1175.5,822.85,52.22,1419.0,108
CPT,20606,DRAIN/INJ JOINT/BURSA W/US,2636.0,1845.2,78.76,3131.0,13
CPT,20610,ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT,899.0,629.3,61.12,3113.0,269
CPT,20611,ASPIRATION AND/OR INJECTION OF FLUID LARGE JOINT USING ULTRASOUND GUIDANCE,1550.0,1085.0,90.18,3113.0,66
CPT,20612,ASPIRATION AND/OR INJECTION OF CYST OF TENDON,1130.0,791.0,55.08,1419.0,34
CPT,20615,TREATMENT OF BONE CYST,2478.0,1734.6,223.85,2330.86,11
CPT,20650,INSERT AND REMOVE BONE PIN,10968.0,7677.6,181.79,10769.98,15
CPT,20670,REMOVAL IMPLANT SUPERFICIAL,5907.0,4134.9,507.26,5436.34,15
CPT,20670,REMOVAL OF SURFACE IMPLANT FROM BONE,6466.83,4526.780000000001,441.1,5436.34,37
CPT,20680,REMOVAL OF DEEP IMPLANT FROM BONE,12117.0,8481.900000000001,294.59,9561.05,199
CPT,20690,PLACEMENT OF SINGLE DIRECTION EXTERNAL BONE STABILIZING DEVICE TO ARM OR LEG,10185.0,7129.5,1550.0,23884.25,18
CPT,20694,REMOVAL OF EXTERNAL BONE STABILIZING DEVICE UNDER ANESTHESIA,6211.0,4347.7,342.38,5292.78,19
CPT,20900,HARVEST OF GRAFT FROM SMALL BONE,1.0,0.7,469.62,23884.25,55
CPT,20902,HARVEST OF GRAFT FROM LARGE BONE,1.0,0.7,603.49,23884.25,55
CPT,20912,GRAFT OF NOSE CARTILAGE,3556.0,2489.2,495.82,11664.38,18
CPT,20930,PLACEMENT OF FRAGMENTED BONE GRAFT OR MATERIAL TO SPINE TO PROMOTE BONE GROWTH,54384.0,38068.8,996.0,996.0,1
CPT,20931,GRAFT OF DONOR BONE TO SPINE,1.0,0.7,92.6,996.0,11
CPT,20936,HARVEST OF BONE FROM SAME SPINE INCISION FOR GRAFT,11378.34,7964.84,1550.0,6107.0,2
CPT,20950,FLUID PRESSURE MUSCLE,1673.0,1171.1,107.66,2330.86,11
CPT,20982,ABLATE BONE TUMOR(S) PERQ,16538.0,11576.6,413.93,57713.54,13
CPT,20983,ABLATE BONE TUMOR(S) PERQ,18820.0,13174.0,396.76,23884.25,11
CPT,20985,COMPUTER-ASSISTED SURGERY FOR MUSCLE AND BONE PROCEDURE,1.0,0.7,120.41,996.0,19
CPT,20999,OTHER PROCEDURE ON MUSCLE OR BONE,1368.0,957.6,289.97,996.0,8
CPT,21011,REMOVAL OF GROWTH UNDER SKIN OF FACE OR SCALP; LESS THAN 2.0 CM,13288.0,9301.6,241.97,5436.34,12
CPT,21012,REMOVAL OF GROWTH UNDER SKIN OF FACE OR SCALP; 2.0 CM OR MORE,25994.0,18195.8,327.88,5436.34,13
CPT,21013,REMOVAL OF GROWTH OF MUSCLE OF FACE OR SCALP; LESS THAN 2.0 CM,11992.5,8394.75,385.08,5436.34,21
CPT,21014,REMOVAL OF GROWTH OF MUSCLE OF FACE OR SCALP; 2.0 CM OR MORE,13929.0,9750.3,504.48,9561.05,13
CPT,21016,EXTENSIVE REMOVAL OF GROWTH OF FACE OR SCALP; 2.0 CM OR MORE,1.0,0.7,1001.8,9561.05,13
CPT,21025,REMOVAL OF LOWER JAW BONE,14444.0,10110.800000000001,808.69,19485.45,37
CPT,21032,REMOVAL OF BONY GROWTH OF UPPER JAW BONE INSIDE MOUTH,16599.0,11619.3,292.94,10913.03,13
CPT,21044,REMOVAL OF GROWTH OF LOWER JAW BONE,9437.0,6605.9,861.24,19485.45,18
CPT,21049,REMOVAL OF GROWTH OR CYST OF PART OF UPPER JAW BONE,6576.0,4603.2,1254.2,19485.45,13
CPT,21230,HARVEST OF RIB CARTILAGE FOR GRAFTING,1.0,0.7,770.5,19485.45,19
CPT,21230,RIB CARTILAGE GRAFT,15851.0,11095.7,186.0,19485.45,13
CPT,21235,EAR CARTILAGE GRAFT,15851.0,11095.7,186.0,19485.45,13
CPT,21235,OBTAINING EAR CARTILAGE FOR GRAFTING,8932.0,6252.4,532.76,19485.45,73
CPT,21256,RECONSTRUCTION OF EYE SOCKET BONE WITH BONE GRAFT,24874.0,17411.8,1700.0,19485.45,9
CPT,21299,OTHER PROCEDURE ON SKULL; FACE; AND UPPER JAW BONES,1.0,0.7,278.43,996.0,8
CPT,21315,CLOSED TREATMENT OF BROKEN NOSE BONE WITH MANIPULATION,7124.0,4986.8,158.94,5107.14,15
CPT,21320,CLOSED TREATMENT OF BROKEN NOSE BONE WITH PLACEMENT OF STABILIZING DEVICE,4344.0,3040.8,164.19,10913.03,19
CPT,21320,CLSD TX NSL FX W/MNPJ&STABLJ,6575.0,4602.5,188.82,10913.03,15
CPT,21325,OPEN TX NOSE FX UNCOMPLICATD,7995.0,5596.5,186.0,10913.03,13
CPT,21330,OPEN TX NOSE FX W/SKELE FIXJ,15851.0,11095.7,186.0,19485.45,13
CPT,21337,CLOSED TX SEPTAL&NOSE FX,5817.0,4071.9,294.72,10913.03,15
CPT,21340,PERQ TX NASOETHMOID FX,7995.0,5596.5,186.0,10913.03,13
CPT,21345,CLOSED TX NOSE/JAW FX,4584.0,3208.8,186.0,7265.0,13
CPT,21356,TREATMENT OF DEPRESSED BROKEN UPPER PORTION OF CHEEK BONE,17710.0,12397.0,1550.0,19485.45,17
CPT,21390,TREATMENT OF BROKEN FLOOR OF EYE BONE THROUGH EYE AREA WITH IMPLANT,18050.0,12635.0,1700.0,19485.45,12
CPT,21400,CLOSED TX ORBIT W/O MANIPULJ,1848.0,1293.6,154.1,3577.0,15
CPT,21407,TREATMENT OF BROKEN EYE BONE WITH IMPLANT,11323.0,7926.1,1700.0,19485.45,12
CPT,21440,CLTX MNDBLR/MAX ALV RIDGE FX,5559.0,3891.3,426.57,10913.03,11
CPT,21450,CLTX MNDBLR FX W/O MNPJ,1713.0,1199.1,470.44,3923.0,15
CPT,21451,CLTX MNDBLR FX W/MNPJ,5578.0,3904.6,635.89,5107.14,15
CPT,21461,OPTX MNDBLR FX WO NTRDNTL,11188.0,7831.6,877.0,19485.45,15
CPT,21462,TREATMENT OF BROKEN LOWER JAW BONE WITH PLACEMENT OF STABILIZING DEVICE TO TEETH,22242.5,15569.75,926.89,19485.45,37
CPT,21480,CLOSED TREATMENT OF DISLOCATED JAW JOINT,613.0,429.1,52.61,2539.0,15
CPT,21497,INTERDENTAL WIRG OTH/THN FX,2849.0,1994.3,552.17,5107.14,15
CPT,21499,OTHER PROCEDURE ON HEAD MUSCLE OR HEAD BONE,16304.33,11413.03,278.43,996.0,8
CPT,21501,I&D DP ABSC/HMTMA SFT TS NCK,6167.0,4316.9,358.79,9561.05,15
CPT,21550,BIOPSY OF NECK/CHEST,6513.0,4559.1,152.29,5436.34,12
CPT,21550,BIOPSY OF SOFT TISSUE OF NECK OR CHEST,5289.0,3702.3,152.29,5436.34,12
CPT,21552,REMOVAL OF GROWTH OF SOFT TISSUE UNDER SKIN OF NECK OR FRONT OF CHEST; 3.0 CM OR MORE,10718.0,7502.6,431.18,9561.05,13
CPT,21554,REMOVAL OF GROWTH OF MUSCLE OF NECK OR FRONT OF CHEST; 5.0 CM OR MORE,11312.0,7918.4,705.04,9561.05,13
CPT,21555,REMOVAL OF GROWTH UNDER SKIN OF NECK OR FRONT OF CHEST; LESS THAN 3.0 CM,8708.0,6095.6,310.0,5436.34,18
CPT,21556,REMOVAL OF GROWTH OF MUSCLE OF NECK OR FRONT OF CHEST; LESS THAN 5.0 CM,9646.0,6752.2,395.58,9561.05,19
CPT,21557,EXTENSIVE REMOVAL OF GROWTH OF NECK OR FRONT OF CHEST; LESS THAN 5.0 CM,3792.0,2654.4,583.49,9561.05,13
CPT,21558,EXTENSIVE REMOVAL OF GROWTH OF NECK OR FRONT OF CHEST; 5.0 CM OR MORE,18088.0,12661.6,1317.83,11815.0,13
CPT,21820,TREAT STERNUM FRACTURE,484.0,338.8,145.37,2539.0,15
CPT,21930,REMOVAL OF GROWTH UNDER SKIN OF BACK OR LOWER SIDES; LESS THAN 3.0 CM,1.0,0.7,1500.0,5436.34,18
CPT,21931,REMOVAL OF GROWTH UNDER SKIN OF BACK OR LOWER SIDES; 3.0 CM OR MORE,13133.0,9193.1,449.97,5436.34,37
CPT,21932,REMOVAL OF GROWTH OF MUSCLE OF BACK OR LOWER SIDES; LESS THAN 5.0 CM,8574.5,6002.15,645.92,9561.05,25
CPT,21933,REMOVAL OF GROWTH OF MUSCLE OF BACK OR LOWER SIDES; 5.0 CM OR MORE,9355.5,6548.85,709.59,9561.05,25
CPT,21936,EXTENSIVE REMOVAL OF GROWTH OF BACK OR LOWER SIDE; 5.0 CM OR MORE,24911.0,17437.7,1367.95,9561.05,12
CPT,22220,INCISION OR REMOVAL OF UPPER SPINE BONE SEGMENT AND REMOVAL OF DISC,16304.33,11413.03,1507.3,23884.25,12
CPT,22310,CLOSED TX VERT FX W/O MANJ,806.0,564.2,186.0,2351.0,13
CPT,22315,CLOSED TX VERT FX W/MANJ,4276.0,2993.2,186.0,10769.98,13
CPT,22510,PERQ CERVICOTHORACIC INJECT,5392.0,3774.4,590.91,10769.98,12
CPT,22511,PERQ LUMBOSACRAL INJECTION,5392.0,3774.4,560.45,11815.0,13
CPT,22512,VERTEBROPLASTY ADDL INJECT,5392.0,3774.4,174.95,996.0,11
CPT,22513,TREATMENT OF BROKEN MIDDLE SPINE BONE WITH PLACEMENT OF STABILIZING DEVICE USING IMAGING GUIDANCE,12184.0,8528.8,627.43,23884.25,26
CPT,22514,TREATMENT OF BROKEN LOWER SPINE BONE WITH PLACEMENT OF STABILIZING DEVICE,14687.5,10281.25,605.9,23884.25,26
CPT,22515,PERQ VERTEBRAL AUGMENTATION,1448.0,1013.6,182.38,996.0,11
CPT,22515,TREATMENT OF BROKEN SPINE BONE WITH STABILIZING DEVICE; EACH ADDITIONAL SEGMENT,1.0,0.7,182.38,996.0,11
CPT,22551,FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE; 1 DISC,35453.005000000005,24817.105,1700.0,42259.25,25
CPT,22558,FUSION OF LOWER SPINE BONE THROUGH ABDOMEN WITH PARTIAL REMOVAL OF DISC,6141.0,4298.7,1470.98,89313.2,13
CPT,22612,FUSION OF SPINE IN LOWER BACK,11378.34,7964.84,1700.0,57713.54,12
CPT,22614,FUSION OF ADDITIONAL SEGMENT OF SPINE,1.0,0.7,329.78,996.0,11
CPT,22842,PLACEMENT OF STABILIZING DEVICE TO BACK; 3-6 SPINE BONE SEGMENTS,1.0,0.7,642.42,1798.78,11
CPT,22845,PLACEMENT OF STABILIZING DEVICE TO FRONT; 2-3 SPINE BONE SEGMENTS,1.0,0.7,611.35,7726.0,21
CPT,22853,INSERTION OF CAGE OR MESH DEVICE TO SPINE BONE AND DISC SPACE DURING SPINE FUSION,1.0,0.7,216.41,996.0,11
CPT,22869,INSJ STABLJ DEV W/O DCMPRN,44029.0,30820.3,545.01,42259.25,12
CPT,22869,PLACEMENT OF STABILIZING DEVICE TO LOWER SPINE LEVEL,3670.0,2569.0,545.01,42259.25,12
CPT,22870,INSJ STABLJ DEV W/O DCMPRN,47331.0,33131.7,100.34,996.0,11
CPT,22870,PLACEMENT OF STABILIZING DEVICE TO SECOND LOWER SPINE LEVEL,1.0,0.7,100.34,996.0,11
CPT,22900,REMOVAL OF GROWTH OF MUSCLE OF ABDOMEN; LESS THAN 5.0 CM,12815.0,8970.5,371.18,9561.05,19
CPT,22901,REMOVAL OF GROWTH OF MUSCLE OF ABDOMEN; 5.0 CM OR MORE,7343.0,5140.1,632.6,9561.05,13
CPT,22902,REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL; LESS THAN 3.0 CM,8172.0,5720.4,327.2,5436.34,13
CPT,22903,REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL; 3.0 CM OR MORE,8440.0,5908.0,422.24,9561.05,13
CPT,22904,EXTENSIVE REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL; LESS THAN 5.0 CM,19792.0,13854.4,982.48,9561.05,12
CPT,22905,EXTENSIVE REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL; 5.0 CM OR MORE,17855.0,12498.5,1274.56,9561.05,13
CPT,23071,REMOVAL OF GROWTH UNDER SKIN OF SHOULDER AREA; 3.0 CM OR MORE,7904.0,5532.8,401.45,5436.34,37
CPT,23073,REMOVAL OF GROWTH OF MUSCLE OF SHOULDER; 5.0 CM OR MORE,15408.0,10785.6,1550.0,9561.05,12
CPT,23078,EXTENSIVE REMOVAL OF GROWTH OF SHOULDER; 5.0 CM OR MORE,15201.5,10641.05,1550.0,9561.05,18
CPT,23120,PARTIAL REMOVAL OF COLLAR BONE,1.0,0.7,1550.0,11815.0,18
CPT,23140,REMOVAL OF CYST OR GROWTH OF COLLAR BONE OR SHOULDER BLADE,42963.0,30074.1,1550.0,10769.98,18
CPT,23350,INJECTION FOR SHOULDER X-RAY,309.0,216.3,41.69,3113.0,12
CPT,23350,INJECTION OF CONTRAST FOR IMAGING OF SHOULDER JOINT,287.0,200.9,41.69,3113.0,55
CPT,23395,RELOCATION OF ONE MUSCLE OF SHOULDER OR UPPER ARM,10212.75,7148.93,1700.0,23884.25,18
CPT,23412,REPAIR OF CHRONIC TORN SHOULDER ROTATOR CUFF,29837.0,20885.9,1700.0,23884.25,36
CPT,23430,ANCHORING OF BICEPS TENDON,17615.75,12331.025,1700.0,23884.25,180
CPT,23440,REMOVAL OR RELOCATION OF BICEPS TENDON,3963.0,2774.1,1550.0,23884.25,72
CPT,23470,PARTIAL REPLACEMENT OF SHOULDER JOINT,50244.0,35170.8,1887.0,42259.25,12
CPT,23472,PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER,28765.0,20135.5,1488.27,57713.54,61
CPT,23473,REVISION OF TOTAL SHOULDER REPAIR,5322.875,3726.015,1700.0,42259.25,24
CPT,23474,REVISION OF TOTAL SHOULDER REPAIR; TOTAL SHOULDER,25705.5,17993.85,1700.0,42259.25,12
CPT,23485,INCISION OR PARTIAL REMOVAL OF COLLAR BONE WITH BONE GRAFT,29659.5,20761.65,1700.0,42259.25,36
CPT,23500,CLOSED TREATMENT OF BROKEN COLLAR BONE,784.0,548.8,221.46,2539.0,29
CPT,23505,CLTX CLAVICULAR FX W/MNPJ,3340.0,2338.0,364.58,5292.78,15
CPT,23515,TREATMENT OF BROKEN COLLAR BONE,27154.0,19007.8,1700.0,23884.25,36
CPT,23520,CLTX STRNCLAV DISLC W/O MNPJ,5779.0,4045.3,236.54,5292.78,15
CPT,23525,CLTX STRNCLAV DISLC W/MNPJ,1069.0,748.3,289.97,2539.0,15
CPT,23540,CLOSED TREATMENT OF DISLOCATED JOINT BETWEEN COLLAR BONE AND SHOULDER,809.0,566.3,289.97,2539.0,14
CPT,23540,CLTX ACROMCLAV DISLC WO MNPJ,809.0,566.3,219.51,2539.0,15
CPT,23545,CLTX ACROMCLAV DISLC W/MNPJ,969.0,678.3,289.97,2539.0,15
CPT,23550,TREATMENT OF DISLOCATED JOINT BETWEEN COLLAR BONE AND SHOULDER,10266.0,7186.200000000001,1700.0,23884.25,36
CPT,23570,CLTX SCAPULAR FX W/O MNPJ,746.0,522.2,247.85,2539.0,15
CPT,23575,CLTX SCAP FX W/MNPJ +-TRACTJ,2158.0,1510.6,402.2,5292.78,15
CPT,23600,CLOSED TREATMENT OF BROKEN TOP OF UPPER ARM BONE,953.0,667.1,289.97,1419.0,21
CPT,23605,CLOSED TREATMENT OF BROKEN TOP OF UPPER ARM BONE WITH MANIPULATION,4023.0,2816.1,484.1,5292.78,15
CPT,23620,CLTX GR HMRL TBRS FX WO MNPJ,1036.0,725.2,260.54,1419.0,11
CPT,23625,CLTX GR HMRL TBRS FX W/MNPJ,5779.0,4045.3,397.22,5292.78,15
CPT,23630,TREATMENT OF UPPER ARM BONE; BROKEN AT SHOULDER JOINT,13396.5,9377.550000000001,1700.0,23884.25,72
CPT,23650,CLOSED TREATMENT OF DISLOCATED SHOULDER WITH MANIPULATION,1208.0,845.6,289.52,2539.0,85
CPT,23655,CLOSED TREATMENT OF DISLOCATED SHOULDER WITH MANIPULATION UNDER ANESTHESIA,4329.0,3030.3,416.77,5292.78,79
CPT,23665,CLOSED TREATMENT OF DISLOCATED SHOULDER AND BROKEN UPPER ARM BONE AT SHOULDER JOINT WITH MANIPULATION,4776.0,3343.2,444.16,5292.78,43
CPT,23675,CLTX SHO DISLC NECK FX MNPJ,3258.0,2280.6,575.33,5292.78,15
CPT,23700,MANIPULATION OF SHOULDER JOINT UNDER ANESTHESIA,5316.0,3721.2,196.68,5292.78,91
CPT,23929,OTHER PROCEDURE ON SHOULDER,5316.0,3721.2,289.97,996.0,8
CPT,23930,I&D UPR A/E DP ABSC/HMTMA,7202.0,5041.4,250.44,9561.05,15
CPT,23931,I&D UPR A/E BURSA,2473.0,1731.1,189.45,5436.34,15
CPT,24071,REMOVAL OF GROWTH UNDER SKIN OF UPPER ARM OR ELBOW; 3.0 CM OR MORE,12326.0,8628.2,389.95,9561.05,37
CPT,24073,REMOVAL OF GROWTH OF MUSCLE OF UPPER ARM OR ELBOW; 5.0 CM OR MORE,15060.5,10542.35,666.75,9561.05,25
CPT,24075,REMOVAL OF GROWTH UNDER SKIN OF UPPER ARM OR ELBOW; LESS THAN 3.0 CM,11951.0,8365.7,302.63,5436.34,55
CPT,24076,REMOVAL OF GROWTH OF MUSCLE OF UPPER ARM OR ELBOW; LESS THAN 5.0 CM,3014.5,2110.15,1500.0,9561.05,36
CPT,24149,EXTENSIVE REMOVAL OF BONY GROWTH AND TISSUE FROM ELBOW TO INCREASE ELBOW MOTION,19457.0,13619.9,1550.0,23884.25,12
CPT,24200,RMVL FB UPPER ARM/ELBW SUBQ,3310.0,2317.0,161.21,5436.34,11
CPT,24220,INJECTION PX FOR ELBOW ARTHG,182.0,127.4,55.52,3113.0,12
CPT,24341,REPAIR OF TENDON OR MUSCLE OF UPPER ARM OR ELBOW,8305.0,5813.5,1700.0,23884.25,54
CPT,24341,RPR TDN/MUSC UPR A/E EACH,16569.0,11598.3,760.29,23884.25,15
CPT,24342,REINSERTION OF TORN UPPER ARM TENDON,31176.0,21823.2,1700.0,23884.25,36
CPT,24343,REPAIR OF LIGAMENT OF THUMB SIDE OF ELBOW,1.0,0.7,1550.0,10769.98,12
CPT,24345,REPAIR OF LIGAMENT OF SMALL FINGER SIDE OF ELBOW,29658.0,20760.6,1550.0,23884.25,18
CPT,24346,REPAIR OF LIGAMENT OF SMALL FINGER SIDE OF ELBOW WITH TENDON GRAFT,31443.0,22010.1,1700.0,42259.25,12
CPT,24357,REPAIR ELBOW PERC,9458.0,6620.6,451.55,10769.98,11
CPT,24359,INCISION AND REPAIR OF ELBOW TENDON WITH REMOVAL OF TISSUE OR BONE,12386.5,8670.55,1550.0,10769.98,24
CPT,24363,PROSTHETIC REPAIR OF ELBOW JOINT,39683.0,27778.1,1887.0,57713.54,15
CPT,24435,REPAIR OF NONHEALED BROKEN UPPER ARM BONE WITH SELF BONE GRAFT,26259.0,18381.3,1700.0,42259.25,18
CPT,24500,TREAT HUMERUS FRACTURE,1171.0,819.7,186.0,2351.0,13
CPT,24505,TREAT HUMERUS FRACTURE,4161.0,2912.7,512.27,5292.78,15
CPT,24515,TREATMENT OF BROKEN MIDDLE PART OF UPPER ARM BONE WITH PLACEMENT OF STABILIZING DEVICE (PLATE/SCREWS),21184.5,14829.15,1700.0,42259.25,54
CPT,24516,TREATMENT OF BROKEN MIDDLE PART OF UPPER ARM BONE WITH PLACEMENT OF STABILIZING DEVICE (IMPLANT),30393.5,21275.449999999997,1700.0,42259.25,36
CPT,24530,CLOSED TREATMENT OF UPPER ARM BONE BROKEN AT ELBOW,1079.0,755.3,289.97,2539.0,15
CPT,24535,TREAT HUMERUS FRACTURE,3774.0,2641.8,655.41,5292.78,15
CPT,24538,PLACEMENT OF STABILIZING DEVICE TO UPPER ARM BROKEN AT ELBOW,18376.5,12863.55,1550.0,23884.25,36
CPT,24545,TREATMENT OF UPPER ARM BONE BROKEN AT ELBOW,21184.5,14829.15,1700.0,42259.25,18
CPT,24560,TREAT HUMERUS FRACTURE,891.0,623.7,186.0,2351.0,13
CPT,24565,TREAT HUMERUS FRACTURE,3421.0,2394.7,537.12,5292.78,15
CPT,24576,TREAT HUMERUS FRACTURE,953.0,667.1,289.97,2539.0,15
CPT,24577,TREAT HUMERUS FRACTURE,3258.0,2280.6,563.84,5292.78,15
CPT,24579,TREATMENT OF BROKEN ELBOW,22500.0,15750.0,1700.0,42259.25,18
CPT,24586,TREAT ELBOW FRACTURE,26866.0,18806.2,877.0,42259.25,15
CPT,24587,TREATMENT OF BROKEN OR DISLOCATED UPPER OR FOREARM BONES AT ELBOW WITH IMPLANT,25543.0,17880.1,1093.6,42259.25,18
CPT,24600,REPAIR OF DISLOCATED ELBOW,1133.0,793.1,289.97,2539.0,57
CPT,24605,REPAIR OF DISLOCATED ELBOW UNDER ANESTHESIA,13013.0,9109.1,1500.0,5292.78,18
CPT,24605,TREAT ELBOW DISLOCATION,5536.0,3875.2,516.82,5292.78,15
CPT,24620,CLOSED TREATMENT OF BROKEN AND DISLOCATED FOREARM BONES AT ELBOW WITH MANIPULATION,5018.0,3512.6,631.92,5292.78,15
CPT,24635,TREATMENT OF BROKEN AND DISLOCATED FOREARM BONES AT ELBOW,27027.0,18918.9,1700.0,23884.25,18
CPT,24640,CLOSED TREATMENT OF DISLOCATED FOREARM BONE ON THUMB SIDE AT ELBOW WITH MANIPULATION; CHILD,1434.0,1003.8,155.04,1419.0,41
CPT,24650,TREAT RADIUS FRACTURE,967.0,676.9,238.75,1419.0,11
CPT,24655,CLOSED TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE AT ELBOW WITH MANIPULATION,3774.0,2641.8,444.21,5292.78,15
CPT,24655,TREAT RADIUS FRACTURE,3963.0,2774.1,444.21,5292.78,15
CPT,24670,TREAT ULNAR FRACTURE,704.0,492.8,186.0,2351.0,13
CPT,24675,TREAT ULNAR FRACTURE,2158.0,1510.6,469.81,5292.78,15
CPT,24685,TREATMENT OF BROKEN FOREARM BONE ON SMALL FINGER SIDE AT ELBOW,29302.0,20511.4,1700.0,23884.25,18
CPT,24999,UNLISTED PX HUMERUS/ELBOW,2591.0,1813.7,289.97,996.0,8
CPT,25000,INCISION OR THE TENDON COVERING ON THE TOP SIDE OF THE WRIST,2837.5,1986.25,1550.0,5292.78,36
CPT,25028,DRAINAGE OF FOREARM LESION,10196.0,7137.2,639.39,10769.98,15
CPT,25071,REMOVAL OF GROWTH UNDER SKIN OF FOREARM OR WRIST; 3.0 CM OR MORE,11654.0,8157.8,1550.0,5436.34,12
CPT,25073,REMOVAL OF GROWTH OF MUSCLE OF FOREARM OR WRIST; 3.0 CM OR MORE,9244.0,6470.8,512.27,9561.05,13
CPT,25075,REMOVAL OF GROWTH UNDER SKIN OF FOREARM OR WRIST; LESS THAN 3.0 CM,10131.0,7091.7,1500.0,5436.34,18
CPT,25076,REMOVAL OF GROWTH OF MUSCLE OF FOREARM OR WRIST; LESS THAN 3.0 CM,8001.0,5600.7,1500.0,5436.34,18
CPT,25107,INCISION TO REPAIR WRIST JOINT WITH REPAIR OF CARTILAGE,11401.5,7981.05,1550.0,10769.98,18
CPT,25111,REMOVAL OF FIRST CYST OF WRIST,9791.0,6853.7,1550.0,5292.78,36
CPT,25135,REMOVAL OF CYST OR GROWTH OF WRIST BONE WITH SELF BONE GRAFT,25543.0,17880.1,1550.0,23884.25,18
CPT,25210,REMOVAL OF WRIST BONE,1.0,0.7,1550.0,10769.98,18
CPT,25215,REMOVAL OF MULTIPLE WRIST BONES,11608.0,8125.6,1550.0,10769.98,18
CPT,25246,INJECTION FOR WRIST X-RAY,296.0,207.2,60.82,3113.0,12
CPT,25246,INJECTION OF CONTRAST FOR IMAGING OF WRIST,275.0,192.5,60.82,3113.0,11
CPT,25248,REMOVE FOREARM FOREIGN BODY,10274.0,7191.8,629.76,5292.78,15
CPT,25260,PRIMARY REPAIR OF TENDON OR MUSCLE OF PALM SIDE OF FOREARM OR WRIST,3579.5,2505.65,877.0,10769.98,33
CPT,25270,REPAIR FOREARM TENDON/MUSCLE,11457.0,8019.9,834.96,10769.98,15
CPT,25300,ANCHORING OF FLEXING TENDON OF FINGERS TO WRIST BONE,1.0,0.7,1550.0,10769.98,15
CPT,25310,RELOCATION OF TENDON OF FOREARM AND/OR WRIST,1.0,0.7,1550.0,10769.98,18
CPT,25390,SHORTENING OF ONE OF THE FOREARM BONES,32344.0,22640.8,1700.0,23884.25,18
CPT,25400,REPAIR NON-HEALED FRACTURE OF FOREARM BONE,19457.0,13619.9,1700.0,23884.25,18
CPT,25440,REPAIR OF NON-HEALED WRIST BONE; SCAPHOID OR NAVICULAR AT THE BASE OF THE THUMB,43539.0,30477.3,1700.0,23884.25,18
CPT,25447,REMOVAL OF BONE JOINTS BETWEEN WRIST AND FINGERS,19456.5,13619.55,1700.0,11815.0,36
CPT,25500,CLOSED TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON THUMB SIDE,933.0,653.1,289.97,1419.0,20
CPT,25500,CLTX RDL SHFT FX W/O MNPJ,933.0,653.1,186.0,811.92,12
CPT,25505,CLOSED TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON THUMB SIDE WITH MANIPULATION,4776.0,3343.2,514.05,5292.78,57
CPT,25515,TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON THUMB SIDE,23932.0,16752.4,1700.0,23884.25,18
CPT,25520,CLTX RDL SHFT FX&DISLC,2113.0,1479.1,597.55,5292.78,15
CPT,25530,CLTX ULNAR SHFT FX W/O MNPJ,746.0,522.2,239.29,1419.0,11
CPT,25535,CLTX ULNAR SHFT FX W/MNPJ,1561.0,1092.7,289.97,2539.0,15
CPT,25545,TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON SMALL FINGER SIDE,18771.0,13139.7,1700.0,23884.25,36
CPT,25560,CLOSED TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES,882.0,617.4,289.97,1419.0,10
CPT,25560,CLTX RDL&ULN SHFT FX WO MNPJ,882.0,617.4,186.0,811.92,12
CPT,25565,CLOSED TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES WITH MANIPULATION,3963.0,2774.1,534.97,5292.78,43
CPT,25574,TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES WITH PLACEMENT OF STABILIZING DEVICE TO BONE,16593.01,11615.11,1700.0,23884.25,18
CPT,25575,TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES WITH PLACEMENT OF STABILIZING DEVICE ON BOTH BONES,37625.5,26337.85,1700.0,23884.25,36
CPT,25600,CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST AREA ON THE THUMB SIDE OF THE WRIST WITHOUT MANIPULATION,1285.0,899.5,270.71,1419.0,51
CPT,25605,CLOSED TREATMENT OF BROKEN OR GROWTH PLATE SEPARATE OF FOREARM BONE AT WRIST WITH MANIPULATION,6207.5,4345.25,583.42,5292.78,75
CPT,25607,TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING DEVICE,21515.0,15060.5,1700.0,23884.25,34
CPT,25608,TREATMENT OF 2 BROKEN LOWER FOREARM BONE PIECES ON THUMB SIDE INSIDE WRIST JOINT WITH PLACEMENT OF STABILIZING DEVICE,28386.0,19870.2,1700.0,23884.25,34
CPT,25609,TREATMENT OF 3 OR MORE BROKEN LOWER FOREARM BONE PIECES ON THUMB SIDE INSIDE WRIST JOINT WITH PLACEMENT OF STABILIZING DEVICE,22947.5,16063.25,945.45,23884.25,69
CPT,25622,CLTX CARPL SCPHD FX W/O MNPJ,967.0,676.9,275.77,1419.0,11
CPT,25624,CLTX CARPL SCPHD FX W/MNPJ,3258.0,2280.6,465.04,5292.78,15
CPT,25628,TREATMENT OF BROKEN WRIST BONE LOCATED NEAR BASE OF THUMB,16496.0,11547.2,1700.0,23884.25,36
CPT,25630,CLTX CARPL FX W/O MNPJ EA B1,1014.0,709.8,244.43,996.0,11
CPT,25635,CLOSED TREATMENT OF OTHER BROKEN WRIST BONE WITH MANIPULATION,2266.0,1586.2,397.98,5292.78,15
CPT,25645,TREATMENT OF OTHER BROKEN WRIST BONES,27690.0,19383.0,1700.0,10769.98,18
CPT,25650,CLOSED TREATMENT OF BROKEN BASE OF FOREARM BONE ON SMALL FINGER SIDE AT WRIST,484.0,338.8,289.97,3113.0,22
CPT,25660,CLTX RDCRPL/NTRCRPL DISLC 1+,1304.0,912.8,289.97,2539.0,15
CPT,25675,CLTX DSTL RAD/ULN DISLC MNPJ,1379.0,965.3,289.97,2539.0,15
CPT,25680,CLTX TRNS-SCPHPRLNR FX MNPJ,1498.0,1048.6,289.97,3577.0,15
CPT,25690,CLTX LUNATE DISLC W/MNPJ,5779.0,4045.3,526.54,5292.78,15
CPT,26010,SIMPLE DRAINAGE OF ABSCESS OF FINGER,961.0,672.7,149.28,1419.0,51
CPT,26011,DRAINAGE OF FINGER ABSCESS,3812.0,2668.4,216.72,5436.34,15
CPT,26020,DRAIN HAND TENDON SHEATH,6525.0,4567.5,478.77,10769.98,15
CPT,26055,INCISE FINGER TENDON SHEATH,4696.0,3287.2,186.0,5292.78,13
CPT,26055,INCISION OF TENDON COVERING OF FINGER,4852.0,3396.4,1500.0,5292.78,288
CPT,26075,EXPLORE/TREAT FINGER JOINT,6525.0,4567.5,386.09,10769.98,15
CPT,26080,EXPLORE/TREAT FINGER JOINT,5409.0,3786.3,433.8,5292.78,15
CPT,26111,REMOVAL (1.5 CENTIMETERS OR GREATER) TISSUE BENEATH THE SKIN GROWTH OF HAND OR FINGER,8180.0,5726.0,1550.0,5436.34,12
CPT,26113,REMOVAL OF GROWTH OF MUSCLE OF HAND OR FINGER; 1.5 CM OR MORE,11312.5,7918.75,1550.0,5436.34,48
CPT,26115,REMOVAL (LESS THAN 1.5 CENTIMETERS) TISSUE BENEATH THE SKIN GROWTH OF HAND OR FINGER,7717.0,5401.9,1500.0,5436.34,36
CPT,26116,REMOVAL OF GROWTH OF MUSCLE OF HAND OR FINGER; LESS THAN 1.5 CM,11820.5,8274.35,1500.0,5436.34,36
CPT,26123,REMOVAL OF CONNECTIVE TISSUE OF PALM AND RELEASE OF FINGER; FIRST DIGIT,22961.0,16072.7,1550.0,10769.98,36
CPT,26125,REMOVAL OF CONNECTIVE TISSUE OF PALM AND RELEASE OF FINGER; EACH ADDITIONAL DIGIT,1.0,0.7,222.81,6107.0,14
CPT,26160,REMOVAL OF GROWTH OF TENDON FINGER OR HAND,7285.0,5099.5,1500.0,5292.78,126
CPT,26160,REMOVE TENDON SHEATH LESION,4706.0,3294.2,186.0,5292.78,13
CPT,26210,REMOVAL OF CYST OR GROWTH OF FINGER BONE,13908.0,9735.6,1500.0,5292.78,18
CPT,26236,PARTIAL REMOVAL FINGER BONE,8033.0,5623.1,507.91,5292.78,15
CPT,26340,MANIPULATION OF FINGER JOINT UNDER ANESTHESIA,7462.0,5223.4,996.0,5292.78,11
CPT,26341,MANIPULAT PALM CORD POST INJ,806.0,564.2,74.96,811.92,12
CPT,26350,REPAIR FINGER/HAND TENDON,9731.0,6811.7,877.0,10769.98,15
CPT,26356,PRIMARY REPAIR OF FINGER TENDON ON UNDERSIDE OF THE HAND WITHOUT A GRAFT IN ZONE 2,22038.0,15426.6,1094.51,10769.98,73
CPT,26356,REPAIR FINGER/HAND TENDON,9731.0,6811.7,877.0,10769.98,15
CPT,26358,SECONDARY REPAIR OF FINGER TENDON ON UNDERSIDE OF HAND WITH A GRAFT IN ZONE 2,1.0,0.7,1068.18,23884.25,19
CPT,26370,REPAIR OF TENDON DEEP IN UNDERSIDE OF FINGER,21784.0,15248.8,1550.0,10769.98,18
CPT,26410,REPAIR HAND TENDON,7558.0,5290.6,783.98,5292.78,15
CPT,26412,REPAIR OF TENDON ON TOP OF HAND WITH GRAFT,20096.0,14067.2,1550.0,10769.98,15
CPT,26418,REPAIR FINGER TENDON,6525.0,4567.5,789.72,5292.78,15
CPT,26418,REPAIR OF TENDON ON TOP SIDE OF FINGER,16614.5,11630.150000000001,1500.0,6107.0,36
CPT,26426,REPAIR FINGER/HAND TENDON,9861.0,6902.7,877.0,10769.98,15
CPT,26432,CLOSED TREATMENT OF TENDON OF UPPER SIDE OF FINGER,1.0,0.7,1500.0,5292.78,18
CPT,26432,REPAIR FINGER TENDON,5409.0,3786.3,680.81,5292.78,15
CPT,26433,REPAIR FINGER TENDON,6525.0,4567.5,731.78,10769.98,15
CPT,26437,REPAIR OF TENDON ON UPPER SIDE OF HAND,1.0,0.7,1500.0,10769.98,18
CPT,26440,RELEASE OF TENDON OF PALM OR FINGER,4209.0,2946.3,1500.0,5292.78,54
CPT,26480,TRANSFER OF TENDON TO BACK OF HAND,8044.2,5630.94,1550.0,10769.98,18
CPT,26483,TRANSFER OF TENDON TO BACK OF HAND WITH GRAFT,1.0,0.7,1550.0,10769.98,15
CPT,26490,REVISE THUMB TENDON,9731.0,6811.7,877.0,10769.98,15
CPT,26525,REPAIR OF JOINT CAPSULE OF FINGER,9075.0,6352.5,1500.0,5292.78,18
CPT,26535,REPLACEMENT OF FINGER JOINT,24873.0,17411.1,1700.0,10769.98,18
CPT,26536,REPLACEMENT OF FINGER JOINT WITH PROSTHESIS,1.0,0.7,1700.0,23884.25,18
CPT,26540,REPAIR HAND JOINT,6525.0,4567.5,872.22,10769.98,15
CPT,26540,REPAIR OF LIGAMENT OF FINGER OR HAND AND FINGER JOINT,15942.0,11159.4,1500.0,10769.98,36
CPT,26548,REPAIR OF JOINT BETWEEN FINGER AND PALM,1.0,0.7,1550.0,10769.98,18
CPT,26591,REPAIR MUSCLES OF HAND,6312.0,4418.4,612.51,10769.98,15
CPT,26600,CLOSED TREATMENT OF BROKEN HAND BONE,1208.0,845.6,222.51,1419.0,31
CPT,26605,CLOSED TREATMENT OF BROKEN HAND BONE WITH MANIPULATION,1434.0,1003.8,289.97,3577.0,71
CPT,26615,TREATMENT OF BROKEN MIDHAND BONE,17820.5,12474.35,1700.0,10769.98,36
CPT,26641,CLOSED TREATMENT OF DISLOCATED THUMB AT WRIST WITH MANIPULATION,1209.0,846.3,289.97,1419.0,11
CPT,26641,TREAT THUMB DISLOCATION,1269.0,888.3,289.97,1419.0,11
CPT,26645,TREAT THUMB FRACTURE,3774.0,2641.8,413.98,5292.78,15
CPT,26650,PLACEMENT OF STABILIZING DEVICE FOR BROKEN THUMB AT WRIST WITH MANIPULATION,17130.0,11991.0,1550.0,10769.98,18
CPT,26670,CLOSED TREATMENT OF DISLOCATED HAND BONE AT WRIST JOINT WITH MANIPULATION,1078.0,754.6,289.97,1419.0,11
CPT,26676,PLACEMENT OF STABILIZING DEVICE FOR DISLOCATED HAND BONE AT WRIST JOINT WITH MANIPULATION,1.0,0.7,1550.0,10769.98,18
CPT,26685,TREATMENT OF BROKEN HAND BONE AT WRIST,3032.2,2122.54,1550.0,10769.98,54
CPT,26700,CLOSED TREATMENT OF DISLOCATED HAND JOINT AT BASE OF FINGER WITH MANIPULATION,1269.0,888.3,289.97,1419.0,21
CPT,26705,TREAT KNUCKLE DISLOCATION,3831.0,2681.7,409.08,5292.78,15
CPT,26720,CLOSED TREATMENT OF BROKEN FINGER OR THUMB AT MIDPORTION OR PART NEAR HAND,909.0,636.3,178.23,1419.0,61
CPT,26725,CLOSED TREATMENT OF BROKEN FINGER OR THUMB AT MIDPORTION OR PART NEAR HAND WITH MANIPULATION,635.005,444.505,289.97,1419.0,39
CPT,26727,PLACEMENT OF STABILIZING DEVICE FOR BROKEN FINGER OR THUMB AT MIDPORTION OR PART NEAR HAND WITH MANIPULATION,14020.5,9814.349999999999,1550.0,10769.98,36
CPT,26735,TREAT FINGER FRACTURE EACH,10445.0,7311.5,551.84,10769.98,15
CPT,26735,TREATMENT OF BROKEN FINGER AT MIDPORTION OR PART NEAR HAND,15877.0,11113.9,1550.0,10769.98,72
CPT,26740,TREAT FINGER FRACTURE EACH,1036.0,725.2,224.08,1419.0,11
CPT,26742,TREAT FINGER FRACTURE EACH,3774.0,2641.8,372.39,5292.78,15
CPT,26746,TREATMENT OF BROKEN FINGER OR HAND AT BASE OF FINGER,21605.0,15123.5,1550.0,11815.0,36
CPT,26750,CLOSED TREATMENT OF BROKEN END OF FINGER OR THUMB,977.0,683.9,177.68,1419.0,11
CPT,26755,CLOSED TREATMENT OF BROKEN END OF FINGER OR THUMB WITH MANIPULATION,1200.0,840.0,289.63,1419.0,31
CPT,26756,PLACEMENT OF STABILIZING DEVICE FOR BROKEN END OF FINGER OR THUMB,33808.0,23665.6,1550.0,10769.98,18
CPT,26765,TREAT FINGER FRACTURE EACH,9444.0,6610.8,409.03,10769.98,15
CPT,26765,TREATMENT OF BROKEN END OF FINGER OR THUMB,14091.0,9863.7,877.0,10769.98,32
CPT,26770,CLOSED TREATMENT OF DISLOCATED FINGER JOINT WITH MANIPULATION,1486.5,1040.5500000000002,256.37,1419.0,91
CPT,26785,TREAT FINGER DISLOCATION,7024.0,4916.8,418.06,10769.98,15
CPT,26850,FUSION OF JOINT BETWEEN FINGER AND HAND,38249.0,26774.3,1550.0,23884.25,18
CPT,26852,FUSION OF FINGER JOINT AT HAND WITH SELF BONE GRAFT,1.0,0.7,1550.0,23884.25,18
CPT,26951,AMPUTATION OF FINGER OR THUMB WITH DIRECT CLOSURE,16948.98,11864.29,1500.0,10769.98,18
CPT,26951,AMPUTATION OF FINGER/THUMB,6852.0,4796.4,702.42,10769.98,15
CPT,26952,AMPUTATION OF FINGER OR THUMB WITH TISSUE FLAP,9045.0,6331.5,855.77,10769.98,15
CPT,26989,OTHER PROCEDURE ON HANDS OR FINGERS,1.0,0.7,289.97,996.0,8
CPT,27000,INCISION OF HIP TENDON,4979.0,3485.3,456.23,5292.78,19
CPT,27006,INCISION OF TENDON OF HIP (ABDUCTOR AND/OR EXTENSOR),8717.0,6101.9,1550.0,10769.98,9
CPT,27047,REMOVAL OF GROWTH UNDER SKIN OF PELVIS AND HIP; LESS THAN 3.0 CM,9791.0,6853.7,1500.0,9561.05,18
CPT,27048,REMOVAL OF GROWTH OF SOFT TISSUE OF PELVIS AND HIP; LESS THAN 5.0 CM,23751.0,16625.7,1500.0,9561.05,18
CPT,27093,INJECTION FOR HIP X-RAY,300.0,210.0,57.09,3113.0,12
CPT,27093,INJECTION OF CONTRAST FOR IMAGING OF HIP JOINT,279.0,195.3,57.09,159.85,14
CPT,27095,INJECTION FOR HIP X-RAY,230.0,161.0,68.59,3113.0,12
CPT,27096,INJECT SACROILIAC JOINT,2879.0,2015.3,74.73,224.36,11
CPT,27096,INJECTION OF ANESTHETIC OR STEROID INTO JOINT BETWEEN LOWER SPINE AND HIP BONE USING IMAGING GUIDANCE,2106.5,1474.5500000000002,74.73,3113.0,58
CPT,27130,REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS,31360.5,21952.35,1887.0,42259.25,72
CPT,27132,TOTAL HIP REPLACEMENT AFTER PREVIOUS HIP SURGERY,33779.25,23645.475,1887.0,42259.25,24
CPT,27170,BONE GRAFT TO UPPER THIGH BONE,1.0,0.7,1700.0,23884.25,12
CPT,27197,CLSD TX PELVIC RING FX,1508.0,1055.6,289.97,1419.0,11
CPT,27200,TREAT TAIL BONE FRACTURE,746.0,522.2,167.12,811.92,12
CPT,27220,TREAT HIP SOCKET FRACTURE,1092.0,764.4,186.0,811.92,12
CPT,27222,TREAT HIP SOCKET FRACTURE,1358.0,950.6,289.97,1419.0,11
CPT,27230,TREAT THIGH FRACTURE,711.0,497.7,289.97,2539.0,15
CPT,27232,TREAT THIGH FRACTURE,2158.0,1510.6,860.12,5292.78,11
CPT,27238,TREAT THIGH FRACTURE,2158.0,1510.6,510.22,5292.78,15
CPT,27240,TREAT THIGH FRACTURE,4142.0,2899.4,877.0,5292.78,11
CPT,27246,TREAT THIGH FRACTURE,1237.0,865.9,186.0,2351.0,13
CPT,27250,CLOSED TREATMENT OF DISLOCATED HIP,14548.5,10183.95,289.97,3145.0,46
CPT,27252,TREAT HIP DISLOCATION,4776.0,3343.2,853.55,5292.78,15
CPT,27256,TREAT HIP DISLOCATION,889.0,622.3,289.97,1419.0,11
CPT,27265,CLOSED TREATMENT OF DISLOCATED HIP PROSTHESIS,1003.0,702.1,289.97,2539.0,57
CPT,27266,TREAT HIP DISLOCATION,3418.0,2392.6,665.53,5292.78,15
CPT,27267,CLTX THIGH FX,4233.0,2963.1,445.2,10769.98,11
CPT,27268,CLTX THIGH FX W/MNPJ,934.0,653.8,544.67,5292.78,11
CPT,27275,MANIPULATION OF HIP JOINT UNDER GENERAL ANESTHESIA,11760.0,8232.0,1500.0,5292.78,15
CPT,27279,FUSION OF PELVIC JOINT USING IMAGING GUIDANCE,18204.0,12742.8,1887.0,57713.54,12
CPT,27299,OTHER PROCEDURE ON PELVIS OR HIP JOINT,31931.0,22351.7,289.97,996.0,16
CPT,27301,DRAIN THIGH/KNEE LESION,7202.0,5041.4,556.88,9561.05,15
CPT,27301,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF THIGH OR KNEE,16951.0,11865.7,1550.0,9561.05,18
CPT,27327,REMOVAL OF GROWTH UNDER SKIN OF THIGH OR KNEE; 3.0 CM OR MORE,7100.0,4970.0,1550.0,5436.34,36
CPT,27328,REMOVAL OF GROWTH OF MUSCLE OF THIGH OR KNEE; 5.0 CM OR LESS,14087.0,9860.9,1500.0,9561.05,18
CPT,27334,INCISION OF KNEE JOINT WITH REMOVAL OF CARTILAGE OF FRONT OR BACK OF KNEE,11043.0,7730.1,1550.0,10769.98,18
CPT,27337,REMOVAL OF GROWTH UNDER SKIN OF THIGH OR KNEE; LESS THAN 3.0 CM,11388.0,7971.6,402.42,9561.05,37
CPT,27339,REMOVAL OF GROWTH OF MUSCLE OF THIGH OR KNEE; 5.0 CM OR MORE,13934.0,9753.8,720.73,9561.05,13
CPT,27347,REMOVAL OF GROWTH OF KNEE CARTILAGE OR CAPSULE,13550.0,9485.0,1550.0,10769.98,18
CPT,27364,EXTENSIVE REMOVAL OF GROWTH OF THIGH OR KNEE; 5.0 CM OR MORE,19583.0,13708.1,1550.0,9561.05,12
CPT,27369,INJECTION OF CONTRAST FOR IMAGING OF KNEE JOINT,293.5,205.45,33.81,3113.0,22
CPT,27369,NJX CNTRST KNE ARTHG/CT/MRI,304.0,212.8,33.81,3113.0,12
CPT,27386,SECONDARY SUTURE OF RUPTURED MUSCLE OF THIGH,21274.0,14891.8,1550.0,23884.25,18
CPT,27403,INCISION AND REPAIR OF KNEE CARTILAGE,5983.5,4188.450000000001,1550.0,23884.25,36
CPT,27427,RECONSTRUCTION OF LIGAMENTS OUTSIDE KNEE JOINT,38607.0,27024.9,1700.0,23884.25,18
CPT,27435,INCISION OF BACK PORTION OF KNEE JOINT CAPSULE,12296.0,8607.2,1550.0,11815.0,18
CPT,27438,REPAIR OF KNEECAP WITH PROSTHESIS,24110.0,16877.0,1700.0,42259.25,18
CPT,27446,REPLACEMENT OF KNEE JOINT ON SIDE OF KNEE,21246.0,14872.2,1887.0,42259.25,60
CPT,27447,REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE,39647.0,27752.9,1567.21,42259.25,85
CPT,27487,REVISION OF THIGH AND LOWER LEG BONE COMPONENTS OF TOTAL KNEE JOINT PROSTHESIS,14942.67,10459.869999999999,1887.0,57713.54,24
CPT,27500,TREATMENT OF THIGH FRACTURE,1541.0,1078.7,289.97,2539.0,15
CPT,27501,TREATMENT OF THIGH FRACTURE,1038.0,726.6,289.97,3577.0,15
CPT,27502,CLOSED TREATMENT OF BROKEN THIGH BONE AT MIDPORTION WITH MANIPULATION,2449.0,1714.3,877.0,5292.78,15
CPT,27503,TREATMENT OF THIGH FRACTURE,2113.0,1479.1,877.0,5292.78,15
CPT,27508,TREATMENT OF THIGH FRACTURE,1580.0,1106.0,186.0,2351.0,13
CPT,27510,TREATMENT OF THIGH FRACTURE,2113.0,1479.1,790.83,5292.78,15
CPT,27516,TREAT THIGH FX GROWTH PLATE,1363.0,954.1,289.97,2539.0,15
CPT,27517,TREAT THIGH FX GROWTH PLATE,2224.0,1556.8,770.95,5292.78,15
CPT,27520,CLOSED TREATMENT OF BROKEN KNEECAP,1093.0,765.1,289.97,2539.0,15
CPT,27524,TREATMENT OF BROKEN KNEECAP WITH PLACEMENT OF STABILIZING DEVICE AND/OR REMOVAL OF KNEECAP,25106.5,17574.55,763.37,23884.25,49
CPT,27530,TREAT KNEE FRACTURE,1175.0,822.5,289.97,2539.0,15
CPT,27532,TREAT KNEE FRACTURE,7558.0,5290.6,668.9,10769.98,15
CPT,27535,TREATMENT OF BROKEN SIDE OF UPPER END OF SHIN BONE,11966.0,8376.2,1700.0,23884.25,12
CPT,27536,TREATMENT OF BROKEN SHIN BONE ON BOTH SIDES OF UPPER END,25184.0,17628.8,1700.0,23884.25,12
CPT,27538,TREAT KNEE FRACTURE(S),1408.0,985.6,186.0,2351.0,13
CPT,27550,CLOSED TREATMENT OF DISLOCATED KNEE,1534.0,1073.8,289.97,2539.0,15
CPT,27560,CLOSED TREATMENT OF DISLOCATED KNEECAP,1232.0,862.4,289.97,2539.0,43
CPT,27560,TREAT KNEECAP DISLOCATION,1294.0,905.8,289.97,2539.0,15
CPT,27562,TREAT KNEECAP DISLOCATION,31332.0,21932.4,289.97,2539.0,15
CPT,27570,MANIPULATION OF KNEE JOINT UNDER ANESTHESIA,5853.0,4097.1,146.99,5292.78,109
CPT,27599,OTHER PROCEDURE ON THIGH OR KNEE,19545.995,13682.195,289.97,996.0,24
CPT,27603,DRAIN LOWER LEG LESION,6818.0,4772.6,468.96,9561.05,15
CPT,27612,INCISION OF ANKLE JOINT WITH RELEASE OF JOINT LINING,15696.0,10987.2,1550.0,10769.98,18
CPT,27616,EXTENSIVE REMOVAL OF GROWTH OF LEG OR ANKLE; 5.0 CM OR MORE,12727.0,8908.9,1550.0,9561.05,9
CPT,27618,REMOVAL OF GROWTH UNDER SKIN OF LEG OR ANKLE; LESS THAN 3.0 CM,11740.0,8218.0,1500.0,5436.34,15
CPT,27620,INCISION AND EXPLORATION OF ANKLE JOINT,21075.0,14752.5,1550.0,10769.98,18
CPT,27632,REMOVAL OF GROWTH UNDER SKIN OF LEG OR ANKLE; 3.0 CM OR MORE,9791.0,6853.7,1550.0,9561.05,12
CPT,27635,REMOVAL OF CYST OR GROWTH OF LOWER LEG BONE,8088.375,5661.865,1550.0,10769.98,36
CPT,27640,PARTIAL REMOVAL OF SHIN BONE,15877.0,11113.9,1550.0,10769.98,18
CPT,27648,INJECTION FOR ANKLE X-RAY,175.0,122.5,42.84,996.0,11
CPT,27650,REPAIR OF RUPTURED ACHILLES TENDON,18652.5,13056.75,186.0,23884.25,68
CPT,27652,REPAIR OF RUPTURED ACHILLES TENDON WITH GRAFT,10065.68,7045.98,1700.0,23884.25,18
CPT,27654,SECONDARY REPAIR OF RUPTURED ACHILLES TENDON,10328.0,7229.6,1700.0,23884.25,54
CPT,27658,REPAIR OF LEG TENDON EACH,9458.0,6620.6,186.0,10769.98,13
CPT,27664,PRIMARY REPAIR OF TENDON ON FRONT OF LEG,21648.0,15153.6,1550.0,23884.25,18
CPT,27664,REPAIR OF LEG TENDON EACH,13973.0,9781.1,438.0,23884.25,15
CPT,27680,RELEASE OF LEG AND/OR ANKLE TENDON,1.0,0.7,451.8,10769.98,19
CPT,27685,LENGTHENING OR SHORTENING OF TENDON OF LEG OR ANKLE,5033.33,3523.33,1550.0,10769.98,36
CPT,27686,LENGTHENING OR SHORTENING OF MULTIPLE TENDONS OF LEG OR ANKLE,1.0,0.7,1550.0,10769.98,15
CPT,27687,LENGTHENING OF CALF MUSCLE,7848.0,5493.6,1550.0,10769.98,36
CPT,27691,TRANSFER OF DEEP TENDON OF FOOT WITH MUSCLE REROUTING,15038.75,10527.125,1700.0,23884.25,36
CPT,27695,PRIMARY REPAIR OF DISRUPTED ANKLE LIGAMENT,4675.8,3273.06,1550.0,23884.25,36
CPT,27698,SECONDARY REPAIR OF DISRUPTED COLLATERAL LIGAMENT OF ANKLE,9191.5,6434.05,1550.0,23884.25,54
CPT,27702,RECONSTRUCTION OF ANKLE JOINT WITH PROSTHESIS,36103.0,25272.1,1700.0,89313.2,24
CPT,27750,CLOSED TREATMENT OF BROKEN MIDDLE PART OF SHIN BONE,790.0,553.0,289.97,2539.0,14
CPT,27750,TREATMENT OF TIBIA FRACTURE,790.0,553.0,186.0,2351.0,13
CPT,27752,CLOSED TREATMENT OF MIDDLE PART OF BROKEN SHIN BONE WITH MANIPULATION,8180.0,5726.0,1500.0,5292.78,18
CPT,27752,TREATMENT OF TIBIA FRACTURE,3418.0,2392.6,559.21,5292.78,15
CPT,27759,TREATMENT OF BROKEN PART OF SHIN BONE WITH ROD,40849.5,28594.65,1008.07,42259.25,37
CPT,27760,CLTX MEDIAL ANKLE FX,966.0,676.2,186.0,2351.0,13
CPT,27762,CLOSED TREATMENT OF INSIDE PORTION OF SHIN BONE AT ANKLE WITH MANIPULATION,3547.0,2482.9,508.56,5292.78,15
CPT,27766,TREATMENT OF INSIDE PORTION OF BROKEN SHIN BONE AT ANKLE,1.01,0.71,651.81,23884.25,55
CPT,27767,CLTX POST ANKLE FX,877.0,613.9,281.42,1419.0,11
CPT,27768,CLTX POST ANKLE FX W/MNPJ,2158.0,1510.6,422.65,5292.78,11
CPT,27769,TREATMENT OF BROKEN BACK PORTION OF SHIN BONE AT ANKLE,7657.5,5360.25,1700.0,23884.25,12
CPT,27780,CLOSED TREATMENT OF BROKEN MIDDLE OR UPPER END OF OUTSIDE LOWER LEG BONE,943.0,660.1,283.16,2539.0,15
CPT,27781,TREATMENT OF FIBULA FRACTURE,4161.0,2912.7,438.01,5292.78,15
CPT,27786,CLOSED TREATMENT OF BROKEN OUTSIDE LOWER LEG BONE AT ANKLE,920.0,644.0,289.97,2539.0,14
CPT,27786,TREATMENT OF ANKLE FRACTURE,920.0,644.0,289.97,2539.0,15
CPT,27788,CLOSED TREATMENT OF BROKEN OUTSIDE LOWER LEG BONE AT ANKLE WITH MANIPULATION,1519.0,1063.3,289.97,2539.0,29
CPT,27792,TREATMENT OF BROKEN OUTER LOWER LEG BONE AT ANKLE,10972.5,7680.75,1700.0,23884.25,36
CPT,27808,TREATMENT OF ANKLE FRACTURE,1365.0,955.5,289.97,2539.0,15
CPT,27810,CLOSED TREATMENT OF 2 BROKEN LOWER LEG BONES AT ANKLE WITH MANIPULATION,2275.0,1592.5,497.26,5292.78,15
CPT,27814,TREATMENT OF BOTH BROKEN LOWER LEG BONES AT ANKLE,29122.0,20385.4,1700.0,23884.25,18
CPT,27816,TREATMENT OF ANKLE FRACTURE,1036.0,725.2,289.97,2539.0,15
CPT,27818,CLOSED TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE WITH MANIPULATION,3097.0,2167.9,513.84,5292.78,15
CPT,27822,TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE,28227.0,19758.9,1030.63,23884.25,37
CPT,27823,TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE WITH FIXATION OF POSTERIOR LIP,21784.0,15248.8,1700.0,23884.25,18
CPT,27824,TREAT LOWER LEG FRACTURE,671.0,469.7,289.97,2539.0,15
CPT,27825,TREAT LOWER LEG FRACTURE,5905.0,4133.5,561.02,5292.78,15
CPT,27827,TREATMENT OF BROKEN SHIN BONE AT LOWER WEIGHT BEARING JOINT,7860.75,5502.53,1700.0,42259.25,18
CPT,27828,TREATMENT OF BROKEN LOWER WEIGHT BEARING JOINT OF BOTH LOWER LEG BONES,31442.0,22009.4,1700.0,42259.25,18
CPT,27829,TREATMENT OF LIGAMENT TEAR AT ANKLE JOINT,5278.0,3694.6,1700.0,23884.25,36
CPT,27830,TREAT LOWER LEG DISLOCATION,1074.0,751.8,289.97,2539.0,15
CPT,27840,CLOSED TREATMENT OF DISLOCATED ANKLE,1434.0,1003.8,289.97,2539.0,29
CPT,27842,CLOSED TREATMENT OF DISLOCATED ANKLE UNDER ANESTHESIA,6220.5,4354.35,877.0,5292.78,32
CPT,27842,TREAT ANKLE DISLOCATION,5514.0,3859.8,542.57,5292.78,15
CPT,27870,FUSION OF ANKLE JOINT; OPEN PROCEDURE,25165.25,17615.675,1700.0,42259.25,36
CPT,27899,UNLISTED PX LEG/ANKLE,484.0,338.8,289.97,1419.0,10
CPT,28002,DRAINAGE OF FLUID FILLED SAC BELOW CONNECTIVE TISSUE IN FOOT JOINT,1.0,0.7,1550.0,5292.78,18
CPT,28003,DRAINAGE OF FLUID FILLED SACS BENEATH CONNECTIVE TISSUE IN MULTIPLE FOOT JOINTS,16465.0,11525.5,568.42,10769.98,19
CPT,28008,INCISION OF CONNECTIVE TISSUE OF FOOT AND/OR TOE,3195.5,2236.85,1550.0,10769.98,36
CPT,28035,RELEASE OF NERVE BETWEEN TISSUE AND ANKLE BONE,5617.0,3931.9,1550.0,6427.51,18
CPT,28039,EXC FOOT/TOE TUM SC 1.5 CM/>,8482.0,5937.4,328.65,9561.05,13
CPT,28039,REMOVAL (1.5 CENTIMETERS OR GREATER) TISSUE GROWTH BENEATH THE SKIN OF FOOT OR TOE,8359.0,5851.3,328.65,9561.05,37
CPT,28041,REMOVAL OF GROWTH OF MUSCLE OF FOOT OR TOE; 1.5 CM OR MORE,17488.0,12241.6,1550.0,9561.05,12
CPT,28060,PARTIAL REMOVAL OF CONNECTIVE TISSUE AT SOLE OF FOOT,9254.0,6477.8,1550.0,10769.98,18
CPT,28062,REMOVAL OF CONNECTIVE TISSUE AT SOLE OF FOOT,10149.0,7104.3,1550.0,10769.98,18
CPT,28080,REMOVAL OF FIBROUS NERVE GROWTH FROM BETWEEN TOES,8803.25,6162.275,1550.0,5292.78,36
CPT,28088,REMOVAL OF LINING OF TENDON ON UPPER SURFACE OF FOOT,7043.5,4930.45,1550.0,10769.98,18
CPT,28090,REMOVAL OF GROWTH OF TENDON COVERING OR JOINT CAPSULE OF FOOT,10382.5,7267.75,1550.0,5292.78,36
CPT,28092,REMOVAL OF GROWTH OF TENDON COVERING OR JOINT CAPSULE OF TOES,1.0,0.7,1550.0,5292.78,18
CPT,28108,REMOVAL OF CYST OR GROWTH OF TOE BONE,11402.0,7981.4,1550.0,5292.78,18
CPT,28110,PART REMOVAL OF METATARSAL,10650.0,7455.0,300.6,10769.98,19
CPT,28110,REMOVAL OF BUNION AT FIFTH TOE JOINT,2276.0,1593.1999999999998,1550.0,10769.98,72
CPT,28111,PART REMOVAL OF METATARSAL,8556.0,5989.2,186.0,10769.98,13
CPT,28112,PART REMOVAL OF METATARSAL,8556.0,5989.2,186.0,10769.98,13
CPT,28112,REMOVAL OF TOE BONE AT SECOND; THIRD; OR FOURTH JOINTS,1592.08,1114.455,1550.0,10769.98,54
CPT,28113,COMPLETE REMOVAL OF FOOT BONE AT FIFTH TOE JOINT,1.0,0.7,1550.0,11815.0,18
CPT,28118,REMOVAL OF HEEL BONE,6775.0,4742.5,430.79,10769.98,55
CPT,28119,REMOVAL OF HEEL BONE SPUR,1.0,0.7,1550.0,10769.98,18
CPT,28122,PARTIAL REMOVAL OF FOOT OR HEEL BONE,5833.5,4083.45,523.53,10769.98,55
CPT,28124,PARTIAL REMOVAL OF TOE,5210.0,3647.0,404.14,10769.98,11
CPT,28124,PARTIAL REMOVAL OF TOE BONE,2425.0,1697.5,1550.0,10769.98,48
CPT,28160,PARTIAL REMOVAL OF TOE,8033.0,5623.1,338.69,10769.98,15
CPT,28190,REMOVAL OF FOREIGN BODY OF FOOT TISSUE; ACCESSED BENEATH THE SKIN,4995.0,3496.5,188.8,2330.86,31
CPT,28192,REMOVAL OF FOOT FOREIGN BODY,4922.0,3445.4,395.97,5436.34,15
CPT,28193,COMPLICATED REMOVAL OF FOREIGN BODY IN FOOT,3816.0,2671.2,877.0,5436.34,14
CPT,28193,REMOVAL OF FOOT FOREIGN BODY,3816.0,2671.2,461.08,5436.34,15
CPT,28208,REPAIR OF FOOT TENDON,7676.0,5373.2,367.59,10769.98,15
CPT,28208,REPAIR OF TENDON OF TOP SIDE OF FOOT,15071.0,10549.7,1550.0,10769.98,36
CPT,28222,REMOVAL OF SCAR TISSUE OF MULTIPLE FOOT TENDONS,15891.0,11123.7,1550.0,10769.98,18
CPT,28232,INCISION TO LENGTHEN TOE TENDON,1.0,0.7,1550.0,5292.78,84
CPT,28234,INCISION TO RELEASE FOOT TENDON,1.0,0.7,1550.0,5292.78,54
CPT,28238,RECONSTRUCTION OF ANKLE TENDON WITH REMOVAL OF EXTRA ANKLE JOINT BONE,6937.665,4856.365,1700.0,23884.25,36
CPT,28240,RELEASE OR LENGTHENING OF TENDON IN FOOT,8223.2,5756.24,1550.0,10769.98,18
CPT,28270,INCISION OF JOINT CAPSULE OF FOOT AND TOE,4627.0,3238.9,1550.0,10769.98,144
CPT,28272,INCISION OF TOE JOINT CAPSULE,1.0,0.7,1550.0,5292.78,36
CPT,28280,CREATION OF WEBBING BETWEEN TOES,14546.0,10182.2,1550.0,10769.98,18
CPT,28285,CORRECTION OF TOE JOINT DEFORMITY,15694.0,10985.8,1550.0,10769.98,270
CPT,28285,REPAIR OF HAMMERTOE,11838.0,8286.6,333.53,10769.98,19
CPT,28288,PARTIAL REMOVAL OF FOOT BONE,10196.0,7137.2,186.0,10769.98,13
CPT,28288,REMOVAL OF FOOT BONE SPUR,7945.0,5561.5,1550.0,10769.98,54
CPT,28289,CORRECTION OF RIGID DEFORMITY OF FIRST JOINT OF BIG TOE,9433.0,6603.1,536.33,10769.98,55
CPT,28291,CORRECTION OF RIGID DEFORMITY OF FIRST JOINT OF BIG TOE USING IMPLANT,9450.75,6615.525,1700.0,23884.25,24
CPT,28292,CORRECTION OF BUNION,9401.25,6580.875,1550.0,10769.98,36
CPT,28296,CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF MIDFOOT BONE TOWARD TOE AREA,17856.0,12499.2,1550.0,10769.98,36
CPT,28297,CORRECTION OF BUNION WITH MIDFOOT AND HINDFOOT BONE FUSION,8368.77,5858.139999999999,1550.0,42259.25,72
CPT,28298,CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF BIG TOE,6148.5,4303.95,1550.0,23884.25,54
CPT,28299,CORRECTION OF BUNION WITH 2 AREAS OF REALIGNMENT,16772.0,11740.4,1550.0,23884.25,54
CPT,28300,INCISION OR PARTIAL REMOVAL OF HEEL BONE,19456.0,13619.2,1700.0,23884.25,36
CPT,28308,INCISION OR PARTIAL REMOVAL OF FOOT BONE (OTHER THAN BIG TOE) TO STRAIGHTEN TOE,9222.75,6455.924999999999,1550.0,10769.98,144
CPT,28309,INCISION OR PARTIAL REMOVAL OF MULTIPLE FOOT BONES TO STRAIGHTEN TOES,1.0,0.7,1700.0,23884.25,18
CPT,28310,INCISION OR PARTIAL REMOVAL OF BIG TOE BONE AT FIRST TOE BONE LEVEL TO STRAIGHTEN TOE,2676.5,1873.55,1550.0,23884.25,36
CPT,28315,REMOVAL OF SMALL BONE UNDERLYING LONG BONE OF FOOT AT BIG TOE JOINT,1.0,0.7,1550.0,10769.98,18
CPT,28400,TREATMENT OF HEEL FRACTURE,943.0,660.1,186.0,2351.0,13
CPT,28405,TREATMENT OF HEEL FRACTURE,3140.0,2198.0,289.97,3577.0,15
CPT,28430,TREATMENT OF ANKLE FRACTURE,778.0,544.6,186.0,811.92,12
CPT,28435,TREATMENT OF ANKLE FRACTURE,3420.0,2394.0,345.18,5292.78,15
CPT,28445,TREATMENT OF BROKEN BONE BETWEEN FOOT AND ANKLE,21892.875,15325.015,1700.0,23884.25,36
CPT,28450,TREAT MIDFOOT FRACTURE EACH,746.0,522.2,221.44,1419.0,11
CPT,28455,TREAT MIDFOOT FRACTURE EACH,4942.0,3459.4,309.78,5292.78,11
CPT,28465,TREATMENT OF BROKEN HIND PORTION OF FOOT,22031.0,15421.7,1700.0,23884.25,18
CPT,28470,CLOSED TREATMENT OF BROKEN BONE IN FOREFOOT OR MIDFOOT,1093.0,765.1,215.13,1419.0,11
CPT,28470,TREAT METATARSAL FRACTURE,1014.0,709.8,187.07,996.0,11
CPT,28475,TREAT METATARSAL FRACTURE,1243.0,870.1,289.97,1419.0,11
CPT,28476,PLACEMENT OF STABILIZING DEVICE FOR BROKEN FOOT BONE WITH MANIPULATION,4158.68,2911.08,1550.0,10769.98,18
CPT,28490,CLOSED TREATMENT OF BROKEN GREAT TOE,746.0,522.2,186.0,811.92,8
CPT,28490,TREAT BIG TOE FRACTURE,784.0,548.8,113.94,811.92,12
CPT,28495,TREAT BIG TOE FRACTURE,751.0,525.7,174.56,1419.0,11
CPT,28510,CLOSED TREATMENT OF BROKEN TOE,804.0,562.8,123.91,1419.0,11
CPT,28515,CLOSED TREATMENT OF BROKEN TOE WITH MANIPULATION,1200.0,840.0,158.63,1419.0,51
CPT,28515,TREATMENT OF TOE FRACTURE,711.0,497.7,137.94,811.92,12
CPT,28530,TREAT SESAMOID BONE FRACTURE,746.0,522.2,130.24,1419.0,11
CPT,28540,TREAT FOOT DISLOCATION,751.0,525.7,210.36,1419.0,11
CPT,28570,TREAT FOOT DISLOCATION,967.0,676.9,191.73,1419.0,11
CPT,28585,TREATMENT OF DISLOCATED ANKLE JOINT,1.0,0.7,581.26,23884.25,19
CPT,28600,TREAT FOOT DISLOCATION,930.0,651.0,220.26,1419.0,11
CPT,28615,TREATMENT OF DISLOCATED MIDFOOT BONE,1.0,0.7,1700.0,23884.25,72
CPT,28630,CLOSED TREATMENT OF DISLOCATED JOINT BETWEEN TOE AND FOOT,751.0,525.7,289.97,1419.0,10
CPT,28630,TREAT TOE DISLOCATION,751.0,525.7,128.25,1419.0,11
CPT,28660,CLOSED TREATMENT OF DISLOCATED JOINT IN TOE,745.0,521.5,124.95,1419.0,31
CPT,28665,TREAT TOE DISLOCATION,979.0,685.3,158.82,2539.0,15
CPT,28675,REPAIR OF TOE DISLOCATION,5833.0,4083.1,370.2,10769.98,15
CPT,28715,FUSION OF 3 BONES OF ANKLE,43785.5,30649.85,1700.0,42259.25,36
CPT,28725,FUSION OF FOOT BELOW ANKLE,21067.0,14746.9,1700.0,42259.25,18
CPT,28730,FUSION OF MULTIPLE FOOT JOINTS,35388.0,24771.6,1700.0,42259.25,54
CPT,28740,FUSION OF FOOT IN MIDFOOT REGION,14444.0,10110.8,1700.0,23884.25,54
CPT,28750,FUSION OF BIG TOE AT JOINT WITH FOOT,22499.0,15749.3,1700.0,23884.25,90
CPT,28755,FUSION OF BIG TOE BETWEEN TOE JOINTS,17125.5,11987.85,1550.0,23884.25,72
CPT,28805,AMPUTATION OF FOOT ACROSS INSTEP,15596.0,10917.2,1550.0,10769.98,12
CPT,28810,AMPUTATION OF TOE AND MIDFOOT BONE,14427.5,10099.25,1550.0,10769.98,36
CPT,28820,AMPUTATION OF TOE,10120.0,7084.0,186.0,10769.98,13
CPT,28820,AMPUTATION OF TOE AT JOINT BETWEEN FOREFOOT AND TOES,9701.0,6790.700000000001,1550.0,10769.98,72
CPT,28825,AMPUTATION OF TOE AT TOE JOINT,12484.0,8738.8,186.0,10769.98,130
CPT,28899,OTHER PROCEDURE ON FOOT OR TOES,8117.5,5682.25,289.97,996.0,8
CPT,29065,APPLICATION OF SHOULDER TO HAND CAST,712.0,498.4,124.58,1419.0,18
CPT,29075,APPLICATION OF ELBOW TO FINGER CAST,806.0,564.2,95.04,1419.0,54
CPT,29085,APPLY HAND/WRIST CAST,1139.0,797.3,97.5,534.88,12
CPT,29105,APPLICATION OF LOWER AND UPPER ARM SPLINT,673.0,471.1,91.6,1419.0,41
CPT,29125,APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT,283.0,198.1,70.09,1419.0,69
CPT,29126,APPLY FOREARM SPLINT,335.0,234.5,88.72,1419.0,11
CPT,29130,APPLICATION OF NONMOVEABLE FINGER SPLINT,464.0,324.8,37.74,1419.0,141
CPT,29131,APPLICATION OF HINGED FINGER SPLINT,352.0,246.4,52.18,1419.0,31
CPT,29200,STRAPPING THORAX,563.0,394.1,46.06,534.88,11
CPT,29240,STRAPPING OF SHOULDER,380.0,266.0,52.01,437.95,11
CPT,29260,STRAPPING OF ELBOW OR WRIST,422.0,295.4,43.35,194.18,11
CPT,29280,STRAPPING OF HAND OR FINGER,422.0,295.4,43.67,194.18,11
CPT,29305,APPLICATION OF HIP CAST,983.0,688.1,322.53,1419.0,11
CPT,29345,APPLICATION OF LONG LEG CAST,983.0,688.1,166.74,1419.0,11
CPT,29355,APPLICATION OF LONG LEG CAST,983.0,688.1,153.91,920.61,12
CPT,29358,APPLY LONG LEG CAST BRACE,842.0,589.4,169.47,920.61,11
CPT,29365,APPLICATION OF LONG LEG CAST,983.0,688.1,126.44,920.61,12
CPT,29405,APPLICATION OF SHORT LEG CAST,1208.0,845.6,101.4,920.61,12
CPT,29425,APPLY SHORT LEG CAST,983.0,688.1,105.89,920.61,12
CPT,29440,ADDITION OF WALKER TO CAST,563.0,394.1,56.87,534.88,12
CPT,29445,APPLICATION OF WALKING CAST COVERING FOOT; ANKLE; AND LOWER LEG,1104.0,772.8,186.0,920.61,8
CPT,29445,APPLY RIGID LEG CAST,1159.0,811.3,174.88,920.61,12
CPT,29450,APPLICATION OF LEG CAST,483.0,338.1,131.96,534.88,12
CPT,29505,APPLICATION OF LONG LEG SPLINT FROM THIGH TO ANKLE OR TOE,817.0,571.9,78.08,1419.0,51
CPT,29515,APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT,723.0,506.1,78.4,1419.0,61
CPT,29520,STRAPPING OF HIP,246.0,172.2,46.32,437.95,11
CPT,29530,STRAPPING OF KNEE,246.0,172.2,52.26,1419.0,11
CPT,29540,STRAPPING OF ANKLE AND/OR FT,563.0,394.1,39.07,1419.0,11
CPT,29550,PLACEMENT OF STRAPPING TO TOES,246.0,172.2,69.35,1419.0,20
CPT,29550,STRAPPING OF TOES,246.0,172.2,35.89,1419.0,11
CPT,29580,STRAPPING UNNA BOOT,449.0,314.3,54.33,1419.0,11
CPT,29581,APPLICATION OF VEIN WOUND COMPRESSION BANDAGES ON LOWER LEG; ANKLE; AND FOOT,691.5,484.04999999999995,31.03,802.31,203
CPT,29584,APPL MULTLAY COMPRS ARM/HAND,753.0,527.1,29.58,534.88,11
CPT,29700,REMOVAL OR CUTTING OF GAUNTLET; BOOT; OR BODY CAST,591.0,413.7,49.58,920.61,28
CPT,29705,REMOVAL OR CUTTING OF FULL ARM OR LEG CAST,983.0,688.1,54.23,920.61,12
CPT,29710,REMOVAL/REVISION OF CAST,983.0,688.1,112.64,1419.0,11
CPT,29730,WINDOWING OF CAST,563.0,394.1,61.62,1419.0,11
CPT,29740,WEDGING OF CAST,591.0,413.7,89.51,920.61,12
CPT,29799,UNLISTED PX CASTING/STRPG,524.0,366.8,191.03,534.88,7
CPT,29805,DIAGNOSTIC EXAM OF SHOULDER USING AN ENDOSCOPE,20351.0,14245.7,1550.0,10769.98,18
CPT,29806,REPAIR OF SHOULDER JOINT CAPSULE USING AN ENDOSCOPE,8037.0,5625.9,1700.0,23884.25,54
CPT,29807,REPAIR OF SHOULDER SOCKET USING AN ENDOSCOPE,14623.0,10236.1,1700.0,23884.25,54
CPT,29822,LIMITED REMOVAL OF ABNORMAL SHOULDER JOINT TISSUE USING ENDOSCOPE,9778.665,6845.065,1550.0,11815.0,72
CPT,29823,REMOVAL OF EXTENSIVE SHOULDER JOINT TISSUE USING AN ENDOSCOPE,5570.54,3899.38,643.83,11815.0,127
CPT,29824,PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE,12745.5,8921.85,659.87,11815.0,55
CPT,29825,REMOVAL OF SHOULDER SCAR TISSUE USING AN ENDOSCOPE,17425.5,12197.85,1700.0,11815.0,18
CPT,29826,SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE,3750.5,2625.35,143.64,4817.0,87
CPT,29827,REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE,34133.0,23893.1,1700.0,23884.25,54
CPT,29828,RELEASE OF TENDON CONNECTING BICEPS MUSCLE AND SHOULDER USING AN ENDOSCOPE,7500.0,5250.0,831.98,23884.25,37
CPT,29834,REMOVAL OF LOOSE OR FOREIGN BODY IN ELBOW JOINT USING AN ENDOSCOPE,4685.75,3280.025,1550.0,10769.98,54
CPT,29836,REMOVAL OF ENTIRE ELBOW JOINT LINING USING AN ENDOSCOPE,17257.0,12079.9,1700.0,23884.25,36
CPT,29837,REMOVAL OF ELBOW JOINT TISSUE USING AN ENDOSCOPE,9370.5,6559.35,1550.0,10769.98,18
CPT,29838,REMOVAL OF EXTENSIVE DAMAGED TISSUE FROM ELBOW JOINT USING AN ENDOSCOPE,14292.5,10004.75,1550.0,11815.0,36
CPT,29840,DIAGNOSTIC EXAM OF WRIST USING AN ENDOSCOPE,1.0,0.7,1550.0,10769.98,18
CPT,29846,REMOVAL OR REPAIR OF WRIST CARTILAGE USING AN ENDOSCOPE,11401.5,7981.05,1550.0,11815.0,18
CPT,29848,RELEASE OF WRIST LIGAMENT USING AN ENDOSCOPE,12655.0,8858.5,459.14,12617.0,55
CPT,29862,REMOVAL OR SHAVING OF HIP JOINT SOCKET CARTILAGE USING AN ENDOSCOPE,31002.0,21701.4,1700.0,23884.25,36
CPT,29863,REMOVAL OF HIP JOINT LINING USING AN ENDOSCOPE,1.0,0.7,1700.0,10769.98,18
CPT,29873,RELEASE OF LIGAMENTS AT OUTER SIDE OF KNEE JOINT USING AN ENDOSCOPE,3263.68,2284.58,1550.0,10769.98,18
CPT,29875,PARTIAL REMOVAL OF KNEE JOINT LINING USING AN ENDOSCOPE,8896.0,6227.2,1550.0,10769.98,18
CPT,29876,REMOVAL OF JOINT LINING FROM MULTIPLE KNEE JOINT COMPARTMENTS USING AN ENDOSCOPE,12475.0,8732.5,1550.0,10769.98,54
CPT,29877,REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE,21515.5,15060.849999999999,1550.0,10769.98,36
CPT,29879,REPAIR OF KNEE JOINT WITH DRILLING AND OR SCRAPING OF JOINT USING AN ENDOSCOPE,9580.75,6706.525,1550.0,10769.98,36
CPT,29880,REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE,16414.0,11489.8,1550.0,10769.98,36
CPT,29881,REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE,9385.5,6569.85,1550.0,10769.98,90
CPT,29882,REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE,5894.0,4125.8,1550.0,11815.0,36
CPT,29883,REPAIR OF INSIDE AND OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE,1.0,0.7,1550.0,10769.98,18
CPT,29884,REMOVAL OF SCAR TISSUE FROM KNEE USING AN ENDOSCOPE,18195.0,12736.5,1550.0,10769.98,18
CPT,29888,REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE,7679.0,5375.3,1700.0,23884.25,54
CPT,29891,REMOVAL OF SHIN AND/OR ANKLE BONE DEFECT USING AN ENDOSCOPE,6149.0,4304.3,1700.0,10769.98,54
CPT,29892,REMOVAL OF LARGE SHIN OR ANKLE BONE DEFECT USING AN ENDOSCOPE,23573.0,16501.1,1700.0,23884.25,18
CPT,29893,REPAIR OF FIBROUS TISSUE OF ARCH OF FOOT USING AN ENDOSCOPE,9075.0,6352.5,1550.0,12617.0,54
CPT,29895,PARTIAL REMOVAL OF ANKLE JOINT LINING USING AN ENDOSCOPE,1.0,0.7,1550.0,10769.98,18
CPT,29897,REMOVAL OF LIMITED DEAD OR INFECTED TISSUE USING AN ENDOSCOPE,5136.6,3595.62,1550.0,10769.98,18
CPT,29898,REMOVAL OF EXTENSIVE DEAD OR INFECTED TISSUE USING AN ENDOSCOPE,7644.665,5351.265,603.17,10769.98,73
CPT,29914,RESHAPING OF THIGH BONE AT HIP JOINT USING AN ENDOSCOPE,36820.0,25774.0,1119.27,23884.25,37
CPT,29915,RESHAPING OF HIP SOCKET USING AN ENDOSCOPE,26554.5,18588.15,1700.0,23884.25,12
CPT,29916,REPAIR OF HIP JOINT SOCKET CARTILAGE USING AN ENDOSCOPE,17380.75,12166.525,1700.0,23884.25,24
CPT,29999,OTHER PROCEDURE ON JOINT USING AN ENDOSCOPE,10702.58,7491.805,289.97,996.0,16
CPT,30000,DRAINAGE OF NOSE LESION,858.0,600.6,131.16,1419.0,11
CPT,30020,DRAINAGE OF ABSCESS OR BLOOD ACCUMULATION OF NASAL CARTILAGE,1.0,0.7,117.36,1775.23,11
CPT,30020,DRAINAGE OF NOSE LESION,1745.0,1221.5,134.96,1775.23,11
CPT,30100,BIOPSY OF LINING OF NOSE,4584.0,3208.8,70.85,5107.14,12
CPT,30110,REMOVAL OF NOSE POLYP(S),4584.0,3208.8,129.51,5107.14,12
CPT,30110,SIMPLE REMOVAL OF NASAL POLYP,2848.0,1993.6,129.51,5107.14,12
CPT,30115,REMOVAL OF NOSE POLYP(S),7995.0,5596.5,186.0,10913.03,13
CPT,30117,REMOVAL OF INTRANASAL LESION,7995.0,5596.5,186.0,10913.03,13
CPT,30117,REMOVAL OR DESTRUCTION OF GROWTH OF NOSE THROUGH NOSE,6268.0,4387.6,316.46,10913.03,37
CPT,30118,REMOVAL OF INTRANASAL LESION,7995.0,5596.5,186.0,10913.03,13
CPT,30118,REMOVAL OR DESTRUCTION OF GROWTH OF NOSE,29196.0,20437.2,763.31,10913.03,19
CPT,30120,REMOVAL OR SCRAPING OF SKIN ON NOSE,11208.0,7845.6,464.89,10913.03,19
CPT,30120,REVISION OF NOSE,7995.0,5596.5,186.0,10913.03,13
CPT,30124,REMOVAL OF NOSE LESION,4584.0,3208.8,186.0,5107.14,12
CPT,30125,REMOVAL OF NOSE LESION,15851.0,11095.7,186.0,19485.45,13
CPT,30130,EXCISE INFERIOR TURBINATE,7995.0,5596.5,186.0,10913.03,13
CPT,30130,REMOVAL OF NASAL AIR PASSAGE,6821.33,4774.93,365.71,10913.03,55
CPT,30140,REMOVAL OF NASAL AIR PASSAGE UNDER LINING TISSUE,5864.0,4104.8,393.46,10913.03,91
CPT,30140,RESECT INFERIOR TURBINATE,7995.0,5596.5,186.0,10913.03,13
CPT,30150,RHINECTOMY PARTIAL,15851.0,11095.7,186.0,19485.45,13
CPT,30160,REMOVAL OF NOSE,22128.01,15489.61,804.16,19485.45,18
CPT,30200,INJECTION TREATMENT OF NOSE,1745.0,1221.5,61.3,1775.23,12
CPT,30210,NASAL SINUS THERAPY,4584.0,3208.8,96.84,5107.14,12
CPT,30220,INSERT NASAL SEPTAL BUTTON,4584.0,3208.8,123.91,5107.14,13
CPT,30300,REMOVAL OF FOREIGN BODY IN NOSE,507.0,354.9,138.18,1419.0,31
CPT,30310,REMOVE NASAL FOREIGN BODY,7995.0,5596.5,186.0,10913.03,13
CPT,30320,REMOVE NASAL FOREIGN BODY,4584.0,3208.8,186.0,5107.14,13
CPT,30400,RECONSTRUCTION OF NOSE,15851.0,11095.7,186.0,19485.45,13
CPT,30410,RECONSTRUCTION OF NOSE,15851.0,11095.7,186.0,19485.45,13
CPT,30420,RESHAPING OF BONY CARTILAGE DIVIDING NASAL PASSAGES,20670.0,14469.0,1373.5,19485.45,19
CPT,30430,REVISION OF NOSE,15851.0,11095.7,186.0,19485.45,13
CPT,30460,REVISION OF NOSE,15851.0,11095.7,186.0,19485.45,13
CPT,30465,REPAIR NASAL STENOSIS,15851.0,11095.7,186.0,19485.45,13
CPT,30465,REPAIR OF NASAL PASSAGE,12801.335,8960.935,958.33,19485.45,37
CPT,30468,REPAIR OF COLLAPSED NOSTRIL USING IMPLANT IN SIDE OF NOSE,13490.0,9443.0,328.22,19485.45,12
CPT,30520,REPAIR OF NASAL SEPTUM,7995.0,5596.5,186.0,10913.03,13
CPT,30520,RESHAPING OF NASAL CARTILAGE,5803.165,4062.2149999999997,500.62,10913.03,37
CPT,30540,REPAIR OF NASAL PASSAGE THROUGH NOSE,5791.0,4053.7,691.07,19485.45,19
CPT,30540,RPR CHOANAL ATRESIA NTRANASL,15851.0,11095.7,186.0,19485.45,13
CPT,30560,LYSIS INTRANASAL SYNECHIA,1745.0,1221.5,138.01,3312.0,13
CPT,30580,REPAIR OF ABNORMAL DRAINAGE TRACT BETWEEN NASAL SINUSES,1.0,0.7,1700.0,19485.45,18
CPT,30580,REPAIR UPPER JAW FISTULA,15851.0,11095.7,186.0,19485.45,13
CPT,30600,REPAIR OF ABNORMAL DRAINAGE TRACT BETWEEN MOUTH AND NASAL CAVITY,5455.0,3818.5,451.71,19485.45,19
CPT,30620,INTRANASAL RECONSTRUCTION,15851.0,11095.7,186.0,19485.45,13
CPT,30630,REPAIR NASAL SEPTUM DEFECT,8467.0,5926.9,186.0,10913.03,13
CPT,30630,REPAIR OF OPENINGS OF NASAL CARTILAGE,8782.0,6147.4,611.07,10913.03,19
CPT,30801,ABLATE INF TURBINATE SUPERF,4584.0,3208.8,122.74,5107.14,13
CPT,30801,DESTRUCTION OF SOFT TISSUE OF NASAL PASSAGES,7056.0,4939.2,122.74,5107.14,33
CPT,30802,ABLATE INF TURBINATE SUBMUC,4584.0,3208.8,177.93,5107.14,13
CPT,30802,DESTRUCTION OF SURFACE SOFT TISSUE OF NASAL PASSAGES,5240.0,3668.0,177.93,5107.14,19
CPT,30901,SIMPLE CONTROL OF NOSE BLEED,4117.33,2882.13,99.14,1419.0,47
CPT,30903,COMPLEX CONTROL OF NOSE BLEED,717.0,501.9,156.41,2539.0,14
CPT,30903,CONTROL OF NOSEBLEED,717.0,501.9,156.41,2539.0,15
CPT,30905,INITIAL CONTROL OF NOSE BLEED AND INSERTION OF PACKING,604.0,422.8,156.41,2539.0,29
CPT,30906,REPEAT CONTROL OF NOSEBLEED,572.0,400.4,186.0,2351.0,13
CPT,30906,SUBSEQUENT CONTROL OF NOSEBLEED AND INSERTION OF PACKING,2848.0,1993.6,212.84,4723.0,18
CPT,30915,LIGATION NASAL SINUS ARTERY,5744.0,4020.8,186.0,10393.01,13
CPT,30930,THER FX NASAL INF TURBINATE,7995.0,5596.5,117.19,10913.03,13
CPT,30930,THERAPEUTIC FRACTURE OF NASAL PASSAGES,8044.0,5630.8,117.19,10913.03,37
CPT,30999,OTHER PROCEDURE ON NOSE,1.0,0.7,278.43,996.0,8
CPT,31205,REMOVAL OF NASAL SINUS FROM OUTSIDE NASAL PASSAGE,1.0,0.7,1550.0,10913.03,18
CPT,31231,DIAGNOSTIC EXAM OF NASAL PASSAGES USING AN ENDOSCOPE,376.0,263.20000000000005,93.86,996.0,39
CPT,31235,NSL/SINS NDSC DX SPHN SINUSC,5304.0,3712.8,186.0,5858.64,13
CPT,31237,BIOPSY OR REMOVAL OF NASAL POLYP OR TISSUE USING AN ENDOSCOPE,4876.0,3413.2,186.0,7576.0,68
CPT,31238,CONTROL OF BLEEDING OF NOSE USING AN ENDOSCOPE,4720.0,3304.0,1500.0,7576.0,18
CPT,31238,NSL/SINS NDSC SRG NSL HEMRRG,5316.0,3721.2,186.0,5858.64,13
CPT,31239,INCISION OF TEAR DUCT USING AN ENDOSCOPE,6535.0,4574.5,672.27,12272.06,55
CPT,31239,NSL/SINUS ENDOSCOPY SURG DCR,10615.0,7430.5,186.0,12272.06,13
CPT,31240,NSL/SNS NDSC CNCH BULL RESCJ,5304.0,3712.8,175.97,5858.64,13
CPT,31240,REMOVAL OF NASAL BREATHING PASSAGES USING AN ENDOSCOPE,2797.3,1958.11,175.97,7576.0,73
CPT,31241,TYING OF SPHENOPALATINE ARTERY USING AN ENDOSCOPE,1.0,0.7,1550.0,5858.64,9
CPT,31253,COMPLETE EXAM OF NOSE AND SINUSES USING AN ENDOSCOPE,10590.0,7413.0,1550.0,23230.03,36
CPT,31253,NSL/SINS NDSC TOTAL,19938.0,13956.6,186.0,23230.03,12
CPT,31254,NSL/SINS NDSC W/PRTL ETHMDCT,19938.0,13956.6,186.0,23230.03,13
CPT,31254,PARTIAL REMOVAL OF NASAL SINUS USING AN ENDOSCOPE,6318.0,4422.6,1550.0,23230.03,18
CPT,31255,NSL/SINS NDSC W/TOT ETHMDCT,19938.0,13956.6,186.0,23230.03,13
CPT,31255,REMOVAL OF NASAL SINUS USING AN ENDOSCOPE,10485.35,7339.75,1550.0,23230.03,18
CPT,31256,EXPLORATION MAXILLARY SINUS,10615.0,7430.5,186.0,12272.06,13
CPT,31256,INCISION OF NASAL SINUS USING AN ENDOSCOPE,4728.0,3309.6,1550.0,12272.06,54
CPT,31257,EXAM OF NOSE AND SINUS WITH REMOVAL OF NASAL SINUS USING AN ENDOSCOPE,5057.33,3540.13,441.0,23230.03,30
CPT,31257,NSL/SINS NDSC TOT W/SPHENDT,19938.0,13956.6,186.0,23230.03,12
CPT,31259,NSL/SINS NDSC SPHN TISS RMVL,19938.0,13956.6,186.0,23230.03,12
CPT,31259,REMOVAL OF TISSUE FROM SPHENOID SINUS USING AN ENDOSCOPE,8514.5,5960.150000000001,1550.0,23230.03,24
CPT,31267,ENDOSCOPY MAXILLARY SINUS,19938.0,13956.6,186.0,23230.03,13
CPT,31267,REMOVAL OF NASAL SINUS TISSUE USING AN ENDOSCOPE,5079.0,3555.2999999999997,355.17,23230.03,109
CPT,31276,EXPLORATION OF NASAL SINUS USING AN ENDOSCOPE,4892.675,3424.875,567.76,23230.03,73
CPT,31276,NSL/SINS NDSC FRNT TISS RMVL,19938.0,13956.6,186.0,23230.03,13
CPT,31287,INCISION OF SPHENOID NASAL SINUS USING AN ENDOSCOPE,909.33,636.53,1550.0,23230.03,54
CPT,31287,NASAL/SINUS ENDOSCOPY SURG,19938.0,13956.6,186.0,23230.03,13
CPT,31288,NASAL/SINUS ENDOSCOPY SURG,19938.0,13956.6,186.0,23230.03,13
CPT,31288,REMOVAL OF SPHENOID NASAL SINUS TISSUE USING AN ENDOSCOPE,1.0,0.7,1550.0,23230.03,18
CPT,31295,DILATION OF NASAL SINUS USING AN ENDOSCOPE,2314.66,1620.26,1550.0,23230.03,12
CPT,31295,NSL/SINS NDSC SURG MAX SINS,19938.0,13956.6,186.0,23230.03,12
CPT,31296,DILATION OF FRONTAL NASAL SINUS USING AN ENDOSCOPE,3684.01,2578.81,1550.0,23230.03,24
CPT,31296,NSL/SINS NDSC SURG FRNT SINS,19938.0,13956.6,186.0,23230.03,12
CPT,31297,NSL/SINS NDSC SURG SPHN SINS,19938.0,13956.6,186.0,23230.03,12
CPT,31298,NSL/SINS NDSC SURG FRNT&SPHN,19938.0,13956.6,186.0,23230.03,12
CPT,31299,OTHER PROCEDURE ON ACCESSORY SINUSES,3628.0,2539.6,278.43,996.0,8
CPT,31390,REMOVAL OF LARYNX & PHARYNX,9441.0,6608.7,186.0,6892.28,12
CPT,31400,REMOVAL OR REPAIR OF VOICE BOX CARTILAGE,26734.0,18713.8,976.49,19485.45,18
CPT,31500,EMERGENT INSERTION OF BREATHING TUBE INTO WINDPIPE USING AN ENDOSCOPE,506.0,354.2,131.64,1419.0,31
CPT,31500,INSERT EMERGENCY AIRWAY,544.0,380.8,131.64,1419.0,11
CPT,31502,CHANGE OF BREATHING TUBE IN WINDPIPE,689.0,482.3,48.3,779.6,12
CPT,31502,CHANGE OF WINDPIPE AIRWAY,689.0,482.3,4754.0,5269.0,4
CPT,31505,DIAGNOSTIC EXAM OF VOICE BOX USING AN ENDOSCOPE WITH MIRROR,340.5,238.35,50.26,1419.0,22
CPT,31505,DIAGNOSTIC LARYNGOSCOPY,790.0,553.0,57.8,1419.0,11
CPT,31511,REMOVE FOREIGN BODY LARYNX,505.0,353.5,149.2,3577.0,15
CPT,31525,DIAGNOSTIC EXAM OF VOICE BOX USING AN ENDOSCOPE,1521.83,1065.28,172.54,5858.64,48
CPT,31525,DX LARYNGOSCOPY EXCL NB,4561.0,3192.7,198.42,5858.64,15
CPT,31526,DIAGNOSTIC EXAM OF VOICE BOX USING AN ENDOSCOPE WITH OPERATING MICROSCOPE OR TELESCOPE,5455.0,3818.5,172.77,5858.64,18
CPT,31528,INITIAL DILATION OF VOICE BOX USING AN ENDOSCOPE,1.0,0.7,154.03,12272.06,19
CPT,31529,SUBSEQUENT DILATION OF VOICE BOX USING AN ENDOSCOPE,1.0,0.7,176.75,12272.06,19
CPT,31530,LARYNGOSCOPY W/FB REMOVAL,4872.0,3410.4,215.19,5858.64,19
CPT,31530,REMOVAL OF FOREIGN BODY IN VOICE BOX USING AN ENDOSCOPE,4240.0,2968.0,215.19,5858.64,52
CPT,31535,BIOPSY OF VOICE BOX USING AN ENDOSCOPE,14015.0,9810.5,207.76,12272.06,37
CPT,31535,LARYNGOSCOPY W/BIOPSY,9334.0,6533.8,186.0,12272.06,13
CPT,31536,BIOPSY OF VOICE BOX USING AN ENDOSCOPE WITH OPERATING MICROSCOPE OR TELESCOPE,5552.0,3886.4,233.87,12272.06,37
CPT,31541,REMOVAL OF GROWTH OF TONGUE AND/OR STRIPPING OF VOCAL CORD USING AN ENDOSCOPE WITH OPERATING MICROSCOPE OR TELESCOPE,10790.0,7553.0,294.2,12272.06,37
CPT,31545,REMOVAL OF VOCAL CORD GROWTHS AND RECONSTRUCTION WITH LOCAL TISSUE FLAP USING AN ENDOSCOPE WITH OPERATING MICROSCOPE OR TELESCOPE,9856.0,6899.2,388.91,12272.06,19
CPT,31570,INJECTION INTO VOCAL CORDS USING AN ENDOSCOPE,17447.0,12212.9,253.08,12272.06,19
CPT,31571,INJECTION INTO VOCAL CORDS USING AN ENDOSCOPE WITH OPERATING MICROSCOPE OR TELESCOPE,7487.5,5241.25,276.51,12272.06,37
CPT,31572,REMOVAL OR DESTRUCTION OF GROWTH OF SIDE OF VOICE BOX USING AN ENDOSCOPE,3720.0,2604.0,181.39,12272.06,39
CPT,31573,LARGSC W/THER INJECTION,4476.0,3133.2,150.08,5858.64,12
CPT,31574,LARGSC W/NJX AUGMENTATION,4476.0,3133.2,150.08,5858.64,12
CPT,31575,DIAGNOSTIC EXAM OF VOICE BOX USING A FLEXIBLE ENDOSCOPE,10968.5,7677.95,93.86,996.0,38
CPT,31576,BIOPSY OF VOICE BOX USING A FLEXIBLE ENDOSCOPE,5304.0,3712.8,186.0,5858.64,13
CPT,31577,LARGSC W/RMVL FOREIGN BDY(S),1856.0,1299.2,186.0,3312.0,13
CPT,31578,LARGSC W/REMOVAL LESION,10615.0,7430.5,186.0,12272.06,13
CPT,31591,REPAIR OF SIDE OF VOICE BOX BY MOVING VOCAL CORD TO MIDDLE,16824.0,11776.8,1069.6,19485.45,37
CPT,31599,OTHER PROCEDURE ON VOICE BOX,1.0,0.7,278.43,996.0,8
CPT,31600,PLANNED TRACHEOSTOMY,8395.0,5876.5,186.0,10913.03,12
CPT,31601,PLANNED TRACHEOSTOMY<2 YRS,15851.0,11095.7,186.0,19485.45,12
CPT,31603,EMER TRACHEOSTOMY TTRACH,5310.0,3717.0,186.0,5107.14,13
CPT,31605,EMER TRACHEOSTOMY CTHYR MEM,1848.0,1293.6,186.0,779.6,12
CPT,31610,TRACHEOSTOMY FENEST SKIN FLP,15851.0,11095.7,186.0,19485.45,12
CPT,31611,CREATION OF OPENING OF WINDPIPE AND INSERTION OF SPEECH PROSTHESIS,6575.0,4602.5,514.85,10913.03,19
CPT,31612,PERQ TRCHL PNXR TTRACH ASPIR,7966.0,5576.2,66.37,10913.03,13
CPT,31614,REVISION OF PERMANENT OPENING OF WINDPIPE FOR BREATHING WITH FLAP ROTATION,1.0,0.7,641.87,19485.45,18
CPT,31615,TRCHEOBRNCHSC EST TRACHS INC,2327.0,1628.9,146.89,2539.0,15
CPT,31622,DIAGNOSTIC EXAM OF LUNG AIRWAY USING AN ENDOSCOPE,4476.0,3133.2,186.0,5858.64,46
CPT,31622,DX BRONCHOSCOPE/WASH,4476.0,3133.2,186.0,5858.64,13
CPT,31623,EXAM OF LUNG AIRWAYS USING AN ENDOSCOPE,2099.5,1469.6499999999999,191.78,5858.64,37
CPT,31624,IRRIGATION AND SUCTION OF LUNG AIRWAYS TO OBTAIN CELLS USING AN ENDOSCOPE,5146.5,3602.55,185.71,5858.64,124
CPT,31625,BIOPSY OF LUNG AIRWAY USING AN ENDOSCOPE,1254.165,877.9150000000001,210.64,5858.64,73
CPT,31627,COMPUTER-ASSISTED IMAGE-GUIDED NAVIGATION OF LUNG AIRWAYS USING AN ENDOSCOPE,1.0,0.7,84.19,996.0,11
CPT,31628,BIOPSY OF LOBE OF LUNG USING AN ENDOSCOPE; 1 LOBE,1.0,0.7,238.03,12272.06,55
CPT,31629,NEEDLE BIOPSY OF WINDPIPE CARTILAGE; AIRWAY; AND/OR LUNG USING AN ENDOSCOPE,14874.0,10411.8,214.73,12272.06,55
CPT,31631,BRONCHOSCOPY DILATE W/STENT,8206.0,5744.2,245.35,23230.03,19
CPT,31632,BIOPSY OF LOBE OF LUNG USING AN ENDOSCOPE; EACH ADDITIONAL LOBE,1.5,1.0499999999999998,42.92,996.0,19
CPT,31633,NEEDLE BIOPSY OF LOBE OF LUNG USING AN ENDOSCOPE; EACH ADDITIONAL LOBE,1.5,1.0499999999999998,55.66,996.0,35
CPT,31636,BRONCHOSCOPY BRONCH STENTS,20214.0,14149.8,242.24,23230.03,18
CPT,31638,REVISION OF PREVIOUSLY INSERTED LUNG AIRWAY STENT USING AN ENDOSCOPE,9791.0,6853.7,269.81,23230.03,18
CPT,31640,REMOVAL OF GROWTH OF LUNG AIRWAYS USING AN ENDOSCOPE,2771.75,1940.23,282.91,12272.06,19
CPT,31641,DESTRUCTION OF GROWTH OR NARROWING OF LUNG AIRWAY USING AN ENDOSCOPE,4689.5,3282.65,275.16,12272.06,73
CPT,31645,ASPIRATION OF INITIAL SECRETION OF LUNG AIRWAY USING AN ENDOSCOPE,1.0,0.7,178.12,5858.64,19
CPT,31648,REMOVAL OF BRONCHIAL VALVES OF LUNG AIRWAYS OF LOBE OF LUNG USING AN ENDOSCOPE; INITIAL LOBE,8063.0,5644.1,229.33,12272.06,12
CPT,31652,EXAM OF LUNG AIRWAYS AND SAMPLING OF LYMPH NODES USING AN ENDOSCOPE AND ULTRASOUND GUIDANCE; 1-2 LYMPH NODES,7368.0,5157.6,233.37,12272.06,13
CPT,31653,EXAM OF LUNG AIRWAYS AND SAMPLING OF LYMPH NODES USING AN ENDOSCOPE AND ULTRASOUND GUIDANCE; 3 OR MORE LYMPH NODES,11119.0,7783.3,257.41,12272.06,13
CPT,31654,EXAM OF LUNG AIRWAYS WITH DIAGNOSTIC OR THERAPEUTIC PROCEDURE ON GROWTHS USING AN ENDOSCOPE AND ULTRASOUND,1.0,0.7,59.29,996.0,11
CPT,31720,CLEARANCE OF AIRWAYS,715.0,500.5,4754.0,5269.0,4
CPT,31720,INSERTION OF TUBE INTO AIRWAY FOR ASPIRATION OF SECRETIONS,681.0,476.7,71.59,5269.0,19
CPT,31820,CLOSURE OF PERMANENT WINDPIPE OPENING OR ABNORMAL DRAINAGE TRACT,5904.0,4132.8,328.83,11815.0,19
CPT,32100,EXPLORATION OF CHEST,13524.0,9466.8,760.67,2129.88,11
CPT,32160,MASSAGE OF HEART MUSCLE THROUGH CHEST,2026.0,1418.2,877.0,45842.24,10
CPT,32160,OPEN CHEST HEART MASSAGE,2026.0,1418.2,692.6,2133.07,11
CPT,32405,PERCUT BX LUNG/MEDIASTINUM,1861.0,1302.7,2351.0,4723.0,9
CPT,32408,CORE NDL BX LNG/MED PERQ,5450.0,3815.0,1002.96,5436.34,13
CPT,32408,CORE NEEDLE BIOPSY OF LUNG OR CENTER CAVITY OF CHEST (MEDIASTINUM); ACCESSED THROUGH SKIN,5070.0,3549.0,1002.96,5436.34,61
CPT,32550,INSERT PLEURAL CATH,8895.0,6226.5,235.7,11785.09,13
CPT,32550,INSERTION OF INDWELLING TUBE FOR DRAINAGE OF LUNG FLUID,9573.5,6701.450000000001,1550.0,19982.7,48
CPT,32551,REMOVAL OF FLUID FROM BETWEEN LUNG AND CHEST CAVITY,5056.0,3539.2,248.62,10393.01,41
CPT,32552,REMOVAL OF INDWELLING TUBE IN LINING OF LUNG,2746.5,1922.55,737.43,3131.0,24
CPT,32552,REMOVE LUNG CATHETER,1979.0,1385.3,155.34,3131.0,13
CPT,32554,ASPIRATE PLEURA W/O IMAGING,2897.0,2027.9,89.71,2064.8,11
CPT,32554,ASPIRATION OF FLUID FROM CHEST CAVITY,4956.0,3469.2,78.01,3131.0,46
CPT,32555,ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE,4544.0,3180.8,108.77,3131.0,167
CPT,32556,INSERT CATH PLEURA W/O IMAGE,3776.0,2643.2,137.16,6316.18,11
CPT,32557,DRAINAGE OF FLUID FROM CHEST CAVITY WITH INSERTION OF INDWELLING TUBE USING IMAGING GUIDANCE,6564.0,4594.8,996.0,5181.43,12
CPT,32557,INSERT CATH PLEURA W/ IMAGE,5387.0,3770.9,156.34,5181.43,13
CPT,32560,TREAT PLEURODESIS W/AGENT,2233.0,1563.1,117.22,3131.0,12
CPT,32561,LYSE CHEST FIBRIN INIT DAY,1737.0,1215.9,68.73,3131.0,12
CPT,32562,LYSE CHEST FIBRIN SUBQ DAY,1608.0,1125.6,61.55,3131.0,12
CPT,32609,BIOPSY OF LUNG LINING USING AN ENDOSCOPE,36803.0,25762.1,1700.0,19899.18,12
CPT,32994,ABLATE PULM TUMOR PERQ CRYBL,12341.0,8638.7,482.22,34988.72,11
CPT,32998,ABLATE PULM TUMOR PERQ RF,7856.0,5499.2,273.84,19899.18,13
CPT,33010,PERICARDIOCENTESIS; INITIAL,1846.0,1292.2,2520.0,4277.0,9
CPT,33011,PERICARDIOCENTESIS; SUBSEQUENT,1226.0,858.2,3312.0,4723.0,9
CPT,33015,TUBE PERICARDIOSTOMY,1244.0,870.8,5191.0,7576.0,3
CPT,33016,PERICARDIOCENTESIS W/IMAGING,4374.0,3061.8,266.74,5181.43,11
CPT,33017,PRCRD DRG 6YR+ W/O CGEN CAR,6429.0,4500.3,203.46,1335.0,11
CPT,33018,PRCRD DRG 0-5YR OR W/ANOMLY,5034.0,3523.8,238.18,1335.0,11
CPT,33019,PERQ PRCRD DRG INSJ CATH CT,5034.0,3523.8,175.3,1335.0,11
CPT,33206,INSERT HEART PM ATRIAL,6659.0,4661.3,452.02,34403.35,13
CPT,33206,INSERTION OF PACEMAKER AND UPPER HEART CHAMBER ELECTRODE,33530.0,23471.0,1887.0,34403.35,12
CPT,33207,INSERT HEART PM VENTRICULAR,7258.0,5080.6,513.02,34403.35,13
CPT,33207,INSERTION OF PACEMAKER AND LOWER HEART CHAMBER ELECTRODE,24497.0,17147.9,1887.0,34403.35,12
CPT,33208,INSERTION OF PACEMAKER AND UPPER AND LOWER HEART CHAMBER ELECTRODE,8859.0,6201.3,1887.0,34403.35,24
CPT,33208,INSRT HEART PM ATRIAL & VENT,9523.0,6666.1,553.32,34403.35,13
CPT,33210,INSERT ELECTRD/PM CATH SNGL,4054.0,2837.8,210.3,27238.93,11
CPT,33212,INSERT PULSE GEN SNGL LEAD,3052.0,2136.4,358.87,27238.93,19
CPT,33213,INSERT PULSE GEN DUAL LEADS,3213.0,2249.1,403.8,34403.35,19
CPT,33214,UPGRADE OF PACEMAKER SYSTEM,6123.0,4286.1,507.24,34403.35,13
CPT,33215,REPOSITION PACING-DEFIB LEAD,9315.0,6520.5,319.24,10393.01,13
CPT,33215,REPOSITIONING OF PACEMAKER OR DEFIBRILLATOR ELECTRODE,6010.0,4207.0,319.24,10393.01,13
CPT,33216,INSERT 1 ELECTRODE PM-DEFIB,6527.0,4568.9,398.92,27238.93,13
CPT,33216,INSERTION OF 1 ELECTRODE FOR PERMANENT PACEMAKER OR DEFIBRILLATOR,15663.0,10964.1,398.92,27238.93,13
CPT,33217,INSERT 2 ELECTRODE PM-DEFIB,13271.0,9289.7,399.93,27238.93,13
CPT,33218,REPAIR LEAD PACE-DEFIB ONE,5687.0,3980.9,390.68,12300.43,13
CPT,33220,REPAIR LEAD PACE-DEFIB DUAL,5687.0,3980.9,392.42,12300.43,13
CPT,33221,INSERT PULSE GEN MULT LEADS,3373.0,2361.1,343.92,63400.96,13
CPT,33222,RELOCATION POCKET PACEMAKER,3889.0,2722.3,373.87,6791.43,19
CPT,33223,RELOCATE POCKET FOR DEFIB,4223.0,2956.1,442.98,6791.43,19
CPT,33224,INSERT PACING LEAD & CONNECT,11206.0,7844.2,517.82,34403.35,13
CPT,33224,INSERTION OF LEFT LOWER HEART ELECTRODE AND ATTACHMENT TO PACEMAKER OR DEFIBRILLATOR,10424.0,7296.8,517.82,34403.35,13
CPT,33225,INSERTION OF LEFT LOWER HEART ELECTRODE FOR PACEMAKER OR DEFIBRILLATOR,8501.5,5951.05,375.75,9097.0,30
CPT,33225,L VENTRIC PACING LEAD ADD-ON,7922.0,5545.4,375.75,9097.0,12
CPT,33226,REPOSITION L VENTRIC LEAD,8700.0,6090.0,498.48,10393.01,13
CPT,33227,REMOVAL AND REPLACEMENT OF SINGLE LEAD PERMANENT PACEMAKER,9320.0,6524.0,1887.0,27238.93,12
CPT,33227,REMOVE&REPLACE PM GEN SINGL,10019.0,7013.3,328.41,27238.93,13
CPT,33228,REMOVAL AND REPLACEMENT OF DUAL LEAD PERMANENT PACEMAKER,12674.0,8871.8,1887.0,34403.35,36
CPT,33228,REMV&REPLC PM GEN DUAL LEAD,10216.0,7151.2,342.21,34403.35,13
CPT,33229,REMOVAL AND REPLACEMENT OF MULTIPLE LEAD PERMANENT PACEMAKER,9688.0,6781.6,355.99,63400.96,25
CPT,33229,REMV&REPLC PM GEN MULT LEADS,10415.0,7290.5,355.99,63400.96,13
CPT,33230,INSRT PULSE GEN W/DUAL LEADS,7065.0,4945.5,369.36,73216.0,12
CPT,33231,INSRT PULSE GEN W/MULT LEADS,7420.0,5194.0,383.15,103318.24,12
CPT,33233,REMOVAL OF PERMANENT PACEMAKER PULSE GENERATOR,17745.0,12421.5,264.11,27238.93,19
CPT,33233,REMOVAL OF PM GENERATOR,19076.0,13353.2,264.11,27238.93,19
CPT,33234,REMOVAL OF SINGLE ELECTRODE FROM RIGHT HEART,9211.0,6447.7,510.08,12300.43,13
CPT,33235,REMOVAL OF DUAL ELECTRODES FROM RIGHT HEART,9591.0,6713.7,652.6,12300.43,13
CPT,33235,REMOVAL PACEMAKER ELECTRODE,10310.0,7217.0,652.6,12300.43,13
CPT,33240,INSRT PULSE GEN W/SINGL LEAD,6713.0,4699.1,483.85,73216.0,12
CPT,33241,REMOVAL OF DEFIBRILLATOR,6756.0,4729.2,248.31,12300.43,13
CPT,33241,REMOVE PULSE GENERATOR,7263.0,5084.1,248.31,12300.43,13
CPT,33244,REMOVAL OF DEFIBRILLATOR ELECTRODES THROUGH VEIN,8221.0,5754.7,908.39,12300.43,13
CPT,33244,REMOVE ELCTRD TRANSVENOUSLY,8838.0,6186.6,908.39,12300.43,13
CPT,33249,INSERTION OF IMPLANTABLE DEFIBRILLATOR SYSTEM,8501.5,5951.05,897.14,103318.24,34
CPT,33249,INSJ/RPLCMT DEFIB W/LEAD(S),10357.0,7249.9,897.14,103318.24,12
CPT,33262,REMOVAL AND REPLACEMENT OF SINGLE LEAD DEFIBRILLATOR,14024.0,9816.8,356.27,73216.0,23
CPT,33262,RMVL& REPLC PULSE GEN 1 LEAD,15076.0,10553.2,356.27,73216.0,12
CPT,33263,REMOVAL AND REPLACEMENT OF DUAL LEAD DEFIBRILLATOR,14427.0,10098.9,370.05,73216.0,23
CPT,33263,RMVL & RPLCMT DFB GEN 2 LEAD,15509.0,10856.3,370.05,73216.0,12
CPT,33264,REMOVAL AND REPLACEMENT OF MULTIPLE LEAD DEFIBRILLATOR,14833.0,10383.1,383.84,103318.24,23
CPT,33264,RMVL & RPLCMT DFB GEN MLT LD,15945.0,11161.5,383.84,103318.24,12
CPT,33270,INS/REP SUBQ DEFIBRILLATOR,13616.0,9531.2,613.84,103318.24,12
CPT,33270,INSERTION OR REPLACEMENT OF DEFIBRILLATOR WITH ELECTRODE,12666.0,8866.2,613.84,103318.24,12
CPT,33272,RMVL OF SUBQ DEFIBRILLATOR,7753.0,5427.1,404.34,12300.43,12
CPT,33274,INSERTION OF PERMANENT LEADLESS PACEMAKER USING IMAGING GUIDANCE,7262.0,5083.4,1887.0,63400.96,12
CPT,33274,TCAT INSJ/RPL PERM LDLS PM,7262.0,5083.4,485.56,63400.96,13
CPT,33275,TCAT RMVL PERM LDLS PM W/IMG,19204.0,13442.8,512.54,10393.01,12
CPT,33285,INSERTION OF HEART RHYTHM MONITOR UNDER SKIN,6115.0,4280.5,87.41,27238.93,49
CPT,33285,INSJ SUBQ CAR RHYTHM MNTR,6115.0,4280.5,87.41,27238.93,13
CPT,33286,REMOVAL OF HEART RHYTHM MONITOR FROM UNDER THE SKIN,4497.0,3147.9,85.79,3131.0,49
CPT,33289,INSERTION OF WIRELESS PRESSURE SENSOR INTO LUNG ARTERY THROUGH TUBE WITH REVIEW BY RADIOLOGIST,20361.0,14252.7,319.85,94412.89,12
CPT,33289,TCAT IMPL WRLS P-ART PRS SNR,21888.0,15321.6,319.85,94412.89,12
CPT,33340,PERQ CLSR TCAT L ATR APNDGE,36444.0,25510.8,613.82,1718.7,11
CPT,33361,REPLACE AORTIC VALVE PERQ,42658.0,29860.6,1028.74,3600.59,11
CPT,33362,REPLACE AORTIC VALVE OPEN,35328.0,24729.6,1119.18,3917.13,11
CPT,33363,REPLACE AORTIC VALVE OPEN,39147.0,27402.9,1162.62,4069.17,11
CPT,33364,REPLACE AORTIC VALVE OPEN,31406.0,21984.2,1209.19,4232.16,11
CPT,33365,REPLACE AORTIC VALVE OPEN,33241.0,23268.7,1213.12,4245.92,11
CPT,33366,TRCATH REPLACE AORTIC VALVE,33241.0,23268.7,1333.55,4667.42,11
CPT,33367,REPLACE AORTIC VALVE W/BYP,3213.0,2249.1,530.54,1856.89,11
CPT,33368,REPLACE AORTIC VALVE W/BYP,3141.0,2198.7,642.77,2249.7,11
CPT,33369,REPLACE AORTIC VALVE W/BYP,3613.0,2529.1,849.1,2971.85,11
CPT,33370,TCAT PLMT&RMVL CEPD PERQ,5792.0,4054.4,109.99,996.0,11
CPT,33418,REPAIR TCAT MITRAL VALVE,24527.0,17168.9,1335.0,4242.28,11
CPT,33419,REPAIR TCAT MITRAL VALVE,9994.0,6995.8,349.21,996.0,11
CPT,33440,RPLCMT A-VALVE TLCJ AUTOL PV,16821.0,11774.7,1335.0,8504.64,11
CPT,33681,CLOSURE 1 VSD W/WO PATCH,36934.0,25853.8,1335.0,4739.28,11
CPT,33741,TAS CONGENITAL CAR ANOMAL,10431.0,7301.7,615.43,1723.2,11
CPT,33779,RPR TGA RCNSTJ RMVL PLM BND,8374.0,5861.8,1335.0,5727.15,11
CPT,33866,AORTIC HEMIARCH GRAFT,5828.0,4079.6,792.53,2219.08,11
CPT,33880,EVASC RPR TA NDGFT COV LSA,32175.0,22522.5,1220.51,3417.43,11
CPT,33881,EVASC RPR TA NDGFT XCOV LSA,18837.0,13185.9,1026.08,2873.02,11
CPT,33882,EVASC RPR TA DPLMT MLTPC SYS,33956.0,23769.2,1693.85,4742.78,7
CPT,33883,DELAYED PLMT PROX XTN PROSTH,6304.0,4412.8,915.45,2563.26,11
CPT,33884,ENDOVASC PROSTH TAA ADD-ON,7598.0,5318.6,422.51,1335.0,4
CPT,33886,DELAYED PLMT DSTL XTN PROSTH,5119.0,3583.3,913.19,2556.93,11
CPT,33889,ARTERY TRANSPOSE/ENDOVAS TAA,32175.0,22522.5,841.85,1335.0,4
CPT,33891,CAR-CAR BP GRFT/ENDOVAS TAA,15299.0,10709.3,1075.71,1621.72,4
CPT,33894,EVASC ST RPR THRC/AA ACRS BR,14232.0,9962.4,803.34,2249.35,11
CPT,33895,EVASC ST RPR THRC/AA X CRSG,14232.0,9962.4,639.44,1790.43,11
CPT,33897,PERQ TRLUML ANGP NT/RECR COA,10893.0,7625.1,475.21,1335.0,11
CPT,33947,ECMO/ECLS INITIATION ARTERY,3983.0,2788.1,294.69,1335.0,11
CPT,33952,ECMO/ECLS INSJ PRPH CANNULA,4541.0,3178.7,367.2,1335.0,11
CPT,33966,ECMO/ECLS RMVL PRPH CANNULA,1832.0,1282.4,206.05,1335.0,11
CPT,33967,INSERT I-AORT PERCUT DEVICE,4312.0,3018.4,213.67,12617.0,12
CPT,33968,REMOVE AORTIC ASSIST DEVICE,3381.0,2366.7,28.35,12617.0,12
CPT,33990,INSJ PERQ VAD L HRT ARTERIAL,10877.0,7613.9,297.22,1335.0,11
CPT,33991,INSJ PERQ VAD L HRT ARTL&VEN,9635.0,6744.5,394.97,1335.0,11
CPT,33992,RMVL PERQ LEFT HEART VAD,4986.0,3490.2,156.49,1335.0,11
CPT,33993,REPOSG PERQ R/L HRT VAD,4944.0,3460.8,137.15,1335.0,11
CPT,33995,INSJ PERQ VAD R HRT VENOUS,10877.0,7613.9,297.4,1335.0,11
CPT,33997,RMVL PERQ RIGHT HEART VAD,4373.0,3061.1,132.85,1335.0,11
CPT,33999,UNLISTED PX CARDIAC SURGERY,34646.0,24252.2,737.43,3131.0,81
CPT,34101,REMOVAL OF ARTERY CLOT,19061.0,13342.7,635.0,18315.84,12
CPT,34201,REMOVAL OF ARTERY CLOT,17222.0,12055.4,639.4,18315.84,12
CPT,34701,EVASC RPR A-AO NDGFT,5301.0,3710.7,1055.28,2954.78,11
CPT,34705,EVAC RPR A-BIILIAC NDGFT,5301.0,3710.7,1296.59,3630.45,11
CPT,34707,EVASC RPR ILIO-ILIAC NDGFT,4603.0,3222.1,994.16,2783.65,11
CPT,34709,PLMT XTN PROSTH EVASC RPR,2651.0,1855.7,269.48,1335.0,11
CPT,34710,DLYD PLMT XTN PROSTH 1ST VSL,1987.0,1390.9,686.47,14180.0,12
CPT,34711,DLYD PLMT XTN PROSTH EA ADDL,601.0,420.7,246.42,1335.0,11
CPT,34713,PERQ ACCESS & CLSR FEM ART,1175.0,822.5,102.97,996.0,11
CPT,34717,EVASC RPR A-ILIAC NDGFT,1615.0,1130.5,369.8,1335.0,11
CPT,34718,EVASC RPR N/A A-ILIAC NDGFT,4532.0,3172.4,1048.15,2934.82,11
CPT,34808,ENDOVAS ILIAC A DEVICE ADDON,802.0,561.4,169.0,1335.0,11
CPT,34812,OPN FEM ART EXPOS,2651.0,1855.7,172.57,1335.0,11
CPT,34813,FEMORAL ENDOVAS GRAFT ADD-ON,1607.0,1124.9,196.85,1335.0,11
CPT,35011,REPAIR OF ANEURYSM OR ARM ARTERY WITH GRAFT,9512.0,6658.4,1074.01,18315.84,25
CPT,35201,REPAIR BLOOD VESSEL DIR NECK,7561.0,5292.7,877.0,18315.84,11
CPT,35206,REPAIR BLOOD VESSEL DIR UXTR,8506.0,5954.2,877.0,10393.01,11
CPT,35206,REPAIR OF BLOOD VESSEL OF ARM,3517.5,2462.25,818.43,10393.01,37
CPT,35207,RPR BLD VSL DIR HAND FINGER,9736.0,6815.2,833.34,10393.01,15
CPT,35226,REPAIR BLOOD VESSEL DIR LXTR,2246.0,1572.2,832.45,2330.86,11
CPT,35606,ART BYP CAROTID-SUBCLAVIAN,4799.0,3359.3,1006.68,2818.7,11
CPT,35903,REMOVAL OF INFECTED GRAFT OF ARM OR LEG,7167.0,5016.9,641.96,10393.01,25
CPT,36000,PLACE NEEDLE IN VEIN,249.0,174.3,13.45,996.0,4
CPT,36002,PSEUDOANEURYSM INJECTION TRT,1643.0,1150.1,122.12,3131.0,12
CPT,36005,INJECTION EXT VENOGRAPHY,903.0,632.1,40.23,3113.0,12
CPT,36005,INJECTION FOR X-RAY IMAGING PROCEDURE INTO VEIN OF ARM OR LEG,18085.0,12659.5,40.23,3113.0,12
CPT,36010,PLACE CATHETER IN VEIN,429.0,300.3,90.85,7576.0,12
CPT,36011,INSERTION OF TUBE INTO VEIN; FIRST ORDER BRANCH,752.0,526.4,131.26,11815.0,45
CPT,36011,PLACE CATHETER IN VEIN,526.0,368.2,131.26,11815.0,12
CPT,36012,INSERTION OF TUBE INTO VEIN; SECOND ORDER BRANCH,74172.0,51920.4,147.49,11815.0,67
CPT,36012,PLACE CATHETER IN VEIN,590.0,413.0,147.49,11815.0,12
CPT,36013,INSERTION OF TUBE INTO RIGHT HEART OR MAIN PULMONARY ARTERY,7055.4,4938.780000000001,108.89,7576.0,23
CPT,36013,PLACE CATHETER IN ARTERY,381.0,266.7,108.89,7576.0,12
CPT,36014,PLACE CATHETER IN ARTERY,503.0,352.1,126.09,7576.0,12
CPT,36015,PLACE CATHETER IN ARTERY,557.0,389.9,144.6,11815.0,12
CPT,36140,INSERTION OF NEEDLE OR TUBE INTO ARTERY OF ARM OR LEG,740.5,518.35,74.86,3113.0,22
CPT,36140,INTRO NDL ICATH UPR/LXTR ART,474.0,331.8,74.86,3113.0,12
CPT,36200,INSERTION OF TUBE INTO AORTA,1.0,0.7,115.84,7576.0,12
CPT,36200,PLACE CATHETER IN AORTA,1099.0,769.3,115.84,7576.0,12
CPT,36215,INSERTION OF TUBE INTO CHEST OR ARM ARTERY; EACH FIRST ORDER BRANCH,4740.5,3318.35,183.63,7576.0,23
CPT,36215,PLACE CATHETER IN ARTERY,679.0,475.3,183.63,7576.0,12
CPT,36216,PLACE CATHETER IN ARTERY,642.0,449.4,232.27,11815.0,12
CPT,36217,PLACE CATHETER IN ARTERY,739.0,517.3,286.37,11815.0,12
CPT,36218,INSERTION OF TUBE INTO CHEST OR ARM ARTERY; ADDITIONAL SECOND; THIRD ORDER AND BEYOND,376.5,263.54999999999995,44.39,996.0,46
CPT,36218,PLACE CATHETER IN ARTERY,270.0,189.0,44.39,996.0,11
CPT,36221,PLACE CATH THORACIC AORTA,7449.0,5214.3,205.37,10393.01,12
CPT,36222,INSERTION OF TUBE INTO EXTRACRANIAL ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST,11141.0,7798.7,1550.0,11815.0,12
CPT,36222,PLACE CATH CAROTID/INOM ART,14795.0,10356.5,280.31,11815.0,13
CPT,36223,INSERTION OF TUBE INTO INTRACRANIAL ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST,66073.0,46251.100000000006,302.91,18315.84,97
CPT,36223,PLACE CATH CAROTID/INOM ART,20359.0,14251.3,302.91,18315.84,13
CPT,36224,INSERTION OF TUBE INTO INTERNAL NECK ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST,76702.0,53691.4,331.16,18315.84,97
CPT,36224,PLACE CATH CAROTD ART,23082.0,16157.4,331.16,18315.84,13
CPT,36225,INSERTION OF TUBE INTO CHEST ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST,25452.0,17816.4,1550.0,10393.01,63
CPT,36225,PLACE CATH SUBCLAVIAN ART,13493.0,9445.1,301.56,10393.01,12
CPT,36226,INSERTION OF TUBE INTO BRAIN ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST,27560.0,19292.0,331.91,18315.84,133
CPT,36226,PLACE CATH VERTEBRAL ART,14814.0,10369.8,331.91,18315.84,13
CPT,36227,INSERTION OF TUBE INTO EXTERNAL NECK ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST,15080.66,10556.46,101.6,996.0,59
CPT,36227,PLACE CATH XTRNL CAROTID,10739.0,7517.3,101.6,996.0,11
CPT,36228,INSERTION OF TUBE INTO NECK OR BRAIN ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST,1.0,0.7,209.99,996.0,8
CPT,36228,PLACE CATH INTRACRANIAL ART,10268.0,7187.6,209.99,996.0,11
CPT,36245,INS CATH ABD/L-EXT ART 1ST,696.0,487.2,198.7,7576.0,12
CPT,36245,INSERTION OF TUBE INTO ABDOMINAL; PELVIC; OR LEG ARTERY; EACH FIRST ORDER BRANCH,5964.0,4174.8,198.7,7576.0,45
CPT,36246,INS CATH ABD/L-EXT ART 2ND,645.0,451.5,209.84,11815.0,12
CPT,36246,INSERTION OF TUBE INTO ABDOMINAL; PELVIC; OR LEG ARTERY; INITIAL SECOND ORDER BRANCH,11701.0,8190.700000000001,209.84,11815.0,78
CPT,36247,INS CATH ABD/L-EXT ART 3RD,808.0,565.6,248.92,11815.0,12
CPT,36247,INSERTION OF TUBE INTO ABDOMINAL; PELVIC; OR LEG ARTERY; INITIAL THIRD ORDER BRANCH,714.0,499.79999999999995,248.92,11815.0,111
CPT,36248,INS CATH ABD/L-EXT ART ADDL,230.0,161.0,40.37,996.0,11
CPT,36248,INSERTION OF TUBE INTO ABDOMINAL; PELVIC; OR LEG ARTERY; ADDITIONAL SECOND; THIRD; AND BEYOND,235.375,164.765,40.37,996.0,59
CPT,36251,INS CATH REN ART 1ST UNILAT,4504.0,3152.8,267.75,11815.0,13
CPT,36251,INSERTION OF TUBE INTO FIRST ORDER MAIN AND ACCESSORY ARTERIES OF KIDNEY FOR IMAGING WITH REVIEW BY RADIOLOGIST,1.0,0.7,267.75,11815.0,25
CPT,36252,INS CATH REN ART 1ST BILAT,4504.0,3152.8,348.65,11815.0,13
CPT,36253,INS CATH REN ART 2ND+ UNILAT,6692.0,4684.4,371.81,18315.84,13
CPT,36410,VNPNXR 3YR/> PHY/QHP DX/THER,147.0,102.9,7.92,1419.0,11
CPT,36415,COLL VENOUS BLD VENIPUNCTURE,32.0,22.4,3.0,26.15,12
CPT,36415,INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE,32.0,22.4,3.0,26.15,40
CPT,36430,TRANSFUSION BLD/BLD COMPNT,1518.0,1062.6,43.36,1452.16,11
CPT,36430,TRANSFUSION OF BLOOD OR BLOOD PRODUCTS,1430.5,1001.3499999999999,43.36,1452.16,39
CPT,36475,DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE,19428.0,13599.6,1550.0,12617.0,36
CPT,36475,ENDOVENOUS RF 1ST VEIN,7681.0,5376.7,1550.0,12617.0,19
CPT,36481,INSERTION OF CATHETER VEIN,1079.0,755.3,275.77,7576.0,12
CPT,36482,CHEMICAL DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING IMAGING GUIDANCE,18379.5,12865.650000000001,1700.0,18315.84,18
CPT,36500,INSERTION OF CATHETER VEIN,464.0,324.8,154.15,7576.0,12
CPT,36500,INSERTION OF TUBE INTO VEIN WITH COLLECTION OF BLOOD SAMPLE,432.0,302.40000000000003,154.15,7576.0,34
CPT,36510,INSERTION OF CATHETER VEIN,273.0,191.1,45.11,1419.0,11
CPT,36511,APHERESIS WBC,4593.0,3215.1,97.23,5126.35,11
CPT,36513,APHERESIS PLATELETS,5790.0,4053.0,99.9,1452.16,11
CPT,36514,MECHANICAL SEPARATION OF PLASMA FROM BLOOD,4934.0,3453.8,96.41,5126.35,11
CPT,36555,INSERT NON-TUNNEL CV CATH,4302.0,3011.4,136.02,10393.01,18
CPT,36556,INSERT NON-TUNNEL CV CATH,3962.0,2773.4,129.21,10393.01,19
CPT,36556,INSERTION OF NON-TUNNELED CENTRAL VENOUS TUBE FOR INFUSION (5 YEARS OR OLDER),5894.0,4125.8,129.21,10393.01,102
CPT,36557,INSERT TUNNELED CV CATH,11291.0,7903.7,316.0,18315.84,19
CPT,36558,INSERT TUNNELED CV CATH,7783.0,5448.1,300.71,10393.01,19
CPT,36558,INSERTION OF TUNNELED CENTRAL VENOUS TUBE FOR INFUSION (5 YEARS OR OLDER),5090.0,3563.0,300.71,10393.01,73
CPT,36560,INSERT TUNNELED CV CATH,10534.0,7373.8,374.49,10393.01,19
CPT,36561,INSERT TUNNELED CV CATH,8850.0,6195.0,361.88,10393.01,19
CPT,36561,INSERTION OF CENTRAL VENOUS TUBE WITH PORT (5 YEARS OR OLDER),12009.0,8406.3,361.88,10393.01,163
CPT,36563,INSERT TUNNELED CV CATH,9380.0,6566.0,378.58,18315.84,19
CPT,36565,INSERT TUNNELED CV CATH,7906.0,5534.2,361.88,10393.01,19
CPT,36566,INSERT TUNNELED CV CATH,11305.0,7913.5,387.1,18315.84,19
CPT,36568,INSJ PICC <5 YR W/O IMAGING,3760.0,2632.0,113.45,5181.43,15
CPT,36569,INSERTION OF TUBE FOR INFUSION (5 YEARS OR OLDER),2829.0,1980.3,96.89,5181.43,19
CPT,36569,INSJ PICC 5 YR+ W/O IMAGING,3041.0,2128.7,96.89,5181.43,19
CPT,36571,INSERT PICVAD CATH,8359.0,5851.3,325.92,10393.01,19
CPT,36572,INSJ PICC RS&I <5 YR,3908.0,2735.6,91.97,3131.0,12
CPT,36573,INSERTION OF TUBE FOR INFUSION WITH IMAGING GUIDANCE AND REVIEW BY RADIOLOGIST; PATIENT 5 YEARS OR OLDER,5839.0,4087.3,84.36,5181.43,37
CPT,36573,INSJ PICC RS&I 5 YR+,6277.0,4393.9,84.36,5181.43,13
CPT,36575,REPAIR TUNNELED CV CATH,1968.0,1377.6,41.59,4277.0,19
CPT,36576,REPAIR OF CENTRAL VENOUS TUBE FOR INFUSION WITH PORT OR PUMP,5432.0,3802.4,996.0,5181.43,18
CPT,36576,REPAIR TUNNELED CV CATH,5839.0,4087.3,200.62,5181.43,19
CPT,36578,REPLACE TUNNELED CV CATH,6789.0,4752.3,230.73,10393.01,18
CPT,36580,REPLACE CVAD CATH,4477.0,3133.9,101.2,5181.43,18
CPT,36580,REPLACEMENT OF NONTUNNELED CENTRAL VENOUS TUBE,4165.0,2915.5,996.0,5181.43,15
CPT,36581,REPLACE TUNNELED CV CATH,7531.0,5271.7,212.86,10393.01,19
CPT,36581,REPLACEMENT OF TUNNELED CENTRAL VENOUS TUBE,7531.0,5271.7,212.86,10393.01,91
CPT,36582,REPLACE TUNNELED CV CATH,11377.0,7963.9,317.11,10393.01,19
CPT,36583,REPLACE TUNNELED CV CATH,11291.0,7903.7,319.79,18315.84,18
CPT,36584,COMPL RPLCMT PICC RS&I,4685.0,3279.5,72.97,5181.43,19
CPT,36585,REPLACE PICVAD CATH,6792.0,4754.4,296.86,10393.01,18
CPT,36589,REMOVAL OF TUNNELED CENTRAL VENOUS TUBE,1128.5,789.95,148.89,3145.0,73
CPT,36589,REMOVAL TUNNELED CV CATH,1968.0,1377.6,148.89,3145.0,19
CPT,36590,REMOVAL OF CENTRAL VENOUS TUBE WITH PORT OR PUMP,3777.0,2643.9,206.79,5181.43,142
CPT,36590,REMOVAL TUNNELED CV CATH,4060.0,2842.0,237.81,5181.43,15
CPT,36591,COLLECTION OF BLOOD SAMPLE FROM IMPLANTED DEVICE,260.0,182.0,23.14,996.0,33
CPT,36592,COLLECT BLOOD FROM PICC,400.0,280.0,32.95,1419.0,11
CPT,36593,DECLOT VASCULAR DEVICE,1293.0,905.1,31.08,1419.0,11
CPT,36593,DECLOTTING OF CENTRAL VENOUS TUBE,1894.5,1326.15,27.03,3113.0,45
CPT,36595,MECH REMOV TUNNELED CV CATH,7336.0,5135.2,199.64,10393.01,13
CPT,36596,MECH REMOV TUNNELED CV CATH,2636.0,1845.2,50.0,5181.43,12
CPT,36597,REPOSITION VENOUS CATHETER,3700.0,2590.0,65.26,5181.43,13
CPT,36598,CONTRAST INJECTION FOR IMAGING TO EVALUATE CENTRAL VENOUS ACCESS DEVICE,466.0,326.2,56.0,3113.0,56
CPT,36598,INJ W/FLUOR EVAL CV DEVICE,501.0,350.7,56.0,3113.0,12
CPT,36600,ARTERY PUNCTURE COLLECTION OF BLOOD SAMPLE,410.0,287.0,4754.0,5269.0,8
CPT,36600,WITHDRAWAL OF ARTERIAL BLOOD,410.0,287.0,23.25,1419.0,11
CPT,36620,INSERTION OF ARTERY TUBE FOR BLOOD SAMPLING OR INFUSION THROUGH SKIN,552.0,386.4,40.35,1419.0,21
CPT,36680,INSERTION OF NEEDLE FOR INFUSION INTO BONE,725.0,507.5,78.36,1470.42,11
CPT,36800,INSERTION OF CANNULA,8111.0,5677.7,198.31,18315.84,15
CPT,36810,INSERTION OF CANNULA,6858.0,4800.6,269.01,10393.01,15
CPT,36818,RELOCATION OF MAJOR UPPER ARM VEIN WITH CONNECTION TO ARM ARTERY FOR HEMODIALYSIS,17016.0,11911.2,1700.0,18315.84,17
CPT,36819,RELOCATION OF UPPER ARM SURFACE VEIN WITH CONNECTION TO ARM ARTERY FOR HEMODIALYSIS,26149.0,18304.3,841.62,18315.84,55
CPT,36821,RELOCATION OF ARM VEIN WITH CONNECTION TO ARM ARTERY FOR HEMODIALYSIS,10985.0,7689.5,584.04,10393.01,55
CPT,36830,CREATION OF ARTERY-VEIN CONNECTION USING TUBE GRAFT FOR HEMODIALYSIS,12727.5,8909.25,754.14,18315.84,73
CPT,36831,REMOVAL OF BLOOD CLOT FROM HEMODIALYSIS GRAFT,14777.5,10344.25,492.55,18315.84,73
CPT,36832,REVISION OF HEMODIALYSIS GRAFT,12485.0,8739.5,642.36,18315.84,55
CPT,36833,REVISION OF HEMODIALYSIS GRAFT WITH REMOVAL OF BLOOD CLOT,20885.0,14619.5,708.2,18315.84,73
CPT,36901,INSERTION OF NEEDLE AND/OR TUBE INTO HEMODIALYSIS CIRCUIT WITH REVIEW BY RADIOLOGIST,10020.0,7014.0,142.32,5181.43,158
CPT,36902,INSERTION OF NEEDLE AND/OR TUBE INTO HEMODIALYSIS CIRCUIT AND BALLOON DILATION OF DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST,19220.5,13454.349999999999,211.75,18734.1,122
CPT,36902,INTRO CATH DIALYSIS CIRCUIT,19472.0,13630.4,211.75,18734.1,13
CPT,36903,INSERTION OF NEEDLE AND/OR TUBE INTO HEMODIALYSIS CIRCUIT AND INSERTION OF STENT IN DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST,16609.0,11626.3,289.48,37998.38,73
CPT,36903,INTRO CATH DIALYSIS CIRCUIT,19791.0,13853.7,289.48,37998.38,13
CPT,36904,REMOVAL AND/OR DISSOLVING OF BLOOD CLOT IN HEMODIALYSIS CIRCUIT AND BALLOON DILATION OF DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST,12660.5,8862.35,333.29,18734.1,21
CPT,36904,THRMBC/NFS DIALYSIS CIRCUIT,12479.0,8735.3,333.29,18734.1,12
CPT,36905,REMOVAL AND/OR DISSOLVING OF BLOOD CLOT IN HEMODIALYSIS CIRCUIT AND BALLOON DILATION OF DIALYSIS SEGMENT WITH IMAGING REVIEW BY RADIOLOGIST; WITH BALLOON TUBE,23593.0,16515.1,418.1,37998.38,38
CPT,36906,THRMBC/NFS DIALYSIS CIRCUIT,32044.0,22430.8,487.75,60339.64,13
CPT,36907,BALLOON DILATION OF DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST,2.0,1.4,121.59,996.0,46
CPT,36907,BALO ANGIOP CTR DIALYSIS SEG,19224.0,13456.8,121.59,996.0,11
CPT,36908,INSERTION OF STENT IN DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST,16291.0,11403.7,174.79,996.0,11
CPT,36908,STENT PLMT CTR DIALYSIS SEG,19567.0,13696.9,174.79,996.0,11
CPT,36909,DIALYSIS CIRCUIT EMBOLJ,18117.0,12681.9,168.87,996.0,11
CPT,37182,INSERT HEPATIC SHUNT (TIPS),14460.0,10122.0,912.05,60339.64,13
CPT,37183,REVISION OF SHUNTS TO BYPASS BLOOD FLOW TO LIVER WITH REVIEW BY RADIOLOGIST,14835.0,10384.5,435.88,18734.1,13
CPT,37183,REVISION TIPS,15948.0,11163.6,435.88,18734.1,13
CPT,37184,PRIM ART M-THRMBC 1ST VSL,18074.0,12651.8,461.22,60339.64,13
CPT,37185,PRIM ART M-THRMBC SBSQ VSL,3910.0,2737.0,135.0,996.0,11
CPT,37186,SEC ART THROMBECTOMY ADD-ON,4021.0,2814.7,205.89,996.0,11
CPT,37187,VENOUS MECH THROMBECTOMY,25110.0,17577.0,429.06,37998.38,26
CPT,37188,VEN MECHNL THRMBC REPEAT TX,11736.0,8215.2,310.47,10393.01,12
CPT,37191,INS ENDOVAS VENA CAVA FILTR,7911.0,5537.7,229.69,18315.84,13
CPT,37191,INSERTION OF VENA CAVA FILTER WITH REVIEW BY RADIOLOGIST,7359.0,5151.3,229.69,18315.84,25
CPT,37192,REDO ENDOVAS VENA CAVA FILTR,8649.0,6054.3,355.67,11815.0,13
CPT,37193,REM ENDOVAS VENA CAVA FILTER,6069.0,4248.3,355.3,11815.0,13
CPT,37193,REMOVAL OF VENA CAVA FILTER WITH REVIEW BY RADIOLOGIST,11193.5,7835.450000000001,355.3,11815.0,25
CPT,37195,THROMBOLYTIC THERAPY STROKE,866.0,606.2,388.29,1419.0,11
CPT,37197,REMOVE INTRVAS FOREIGN BODY,7379.0,5165.3,297.09,11815.0,13
CPT,37197,RETRIEVAL OF FOREIGN BODY IN BLOOD VESSEL WITH REVIEW BY RADIOLOGIST,6864.0,4804.8,297.09,11815.0,13
CPT,37200,BIOPSY OF BLOOD VESSEL USING TUBE,7911.0,5537.7,239.24,18315.84,49
CPT,37200,TRANSCATHETER BIOPSY,7911.0,5537.7,239.24,18315.84,13
CPT,37211,THROMBOLYTIC ART THERAPY,9528.0,6669.6,385.82,18315.84,12
CPT,37212,THROMBOLYTIC VENOUS THERAPY,4759.0,3331.3,340.64,10393.01,12
CPT,37213,THROMBLYTIC ART/VEN THERAPY,8860.0,6202.0,237.58,10393.01,12
CPT,37214,CESSJ THERAPY CATH REMOVAL,8860.0,6202.0,140.8,10393.01,12
CPT,37215,TRANSCATH STENT CCA W/EPS,17671.0,12369.7,846.01,2368.83,11
CPT,37216,TRANSCATH STENT CCA W/O EPS,4992.0,3494.4,1064.5,1566.86,4
CPT,37218,STENT PLACEMT ANTE CAROTID,8031.0,5621.7,710.94,1990.63,11
CPT,37220,BALLOON DILATION OF GROIN ARTERY; INITIAL VESSEL,12403.0,8682.1,452.16,17037.0,26
CPT,37220,ILIAC REVASC,20465.0,14325.5,452.16,17037.0,6
CPT,37221,ILIAC REVASC W/STENT,27000.0,18900.0,552.34,17037.0,6
CPT,37221,INSERTION OF STENT IN GROIN ARTERY; INITIAL VESSEL,18868.0,13207.599999999999,1887.0,17037.0,10
CPT,37222,ILIAC REVASC ADD-ON,11397.0,7977.9,204.88,7726.0,5
CPT,37223,ILIAC REVASC W/STENT ADD-ON,11989.0,8392.3,232.95,7726.0,5
CPT,37224,BALLOON DILATION OF ARTERY OF LEG,14043.0,9830.1,498.25,17037.0,32
CPT,37224,FEM/POPL REVAS W/TLA,14043.0,9830.1,498.25,17037.0,6
CPT,37225,FEM/POPL REVAS W/ATHER,26663.0,18664.1,670.7,17037.0,6
CPT,37225,REMOVAL OF PLAQUE IN ARTERIES OF LEG,26663.0,18664.1,670.7,17037.0,16
CPT,37226,FEM/POPL REVASC W/STENT,26663.0,18664.1,562.64,17037.0,6
CPT,37226,INSERTION OF STENT IN ARTERIES OF LEG,18757.0,13129.900000000001,562.64,17037.0,22
CPT,37227,FEM/POPL REVASC STNT & ATHER,35449.0,24814.3,809.85,17037.0,6
CPT,37227,REMOVAL OF PLAQUE AND INSERTION OF STENTS IN ARTERIES OF LEG,14546.0,10182.2,1887.0,17037.0,5
CPT,37228,BALLOON DILATION OF ARTERY OF LEG; INITIAL VESSEL,23908.0,16735.6,608.11,17037.0,31
CPT,37228,TIB/PER REVASC W/TLA,26663.0,18664.1,608.11,17037.0,6
CPT,37229,REMOVAL OF PLAQUE IN ARTERY OF LEG; INITIAL VESSEL,31016.0,21711.199999999997,784.88,17037.0,11
CPT,37229,TIB/PER REVASC W/ATHER,35449.0,24814.3,784.88,17037.0,6
CPT,37230,INSERTION OF STENT IN ARTERY OF LEG; INITIAL VESSEL,10917.0,7641.9,760.38,17037.0,6
CPT,37230,TIB/PER REVASC W/STENT,32823.0,22976.1,760.38,17037.0,6
CPT,37231,TIB/PER REVASC STENT & ATHER,32823.0,22976.1,826.32,17037.0,6
CPT,37232,BALLOON DILATION OF ARTERY OF LEG; EACH ADDITIONAL VESSEL,1.0,0.7,1700.0,7726.0,4
CPT,37232,TIB/PER REVASC ADD-ON,11085.0,7759.5,219.29,7726.0,5
CPT,37233,REMOVAL OF PLAQUE IN ARTERY OF LEG; EACH ADDITIONAL VESSEL,1.0,0.7,1887.0,9366.0,2
CPT,37233,TIBPER REVASC W/ATHER ADD-ON,17800.0,12460.0,361.26,9366.0,5
CPT,37234,REVSC OPN/PRQ TIB/PERO STENT,15244.0,10670.8,301.53,7726.0,5
CPT,37235,TIB/PER REVASC STNT & ATHER,21420.0,14994.0,427.82,7726.0,5
CPT,37236,INSERTION OF STENT IN ARTERY (EXCEPT LOWER EXTREMITY; CHEST; HEART; NECK AND BRAIN) WITH REVIEW BY RADIOLOGIST; INITIAL ARTERY,24020.0,16814.0,454.88,37998.38,49
CPT,37236,OPEN/PERQ PLACE STENT 1ST,22307.0,15614.9,454.88,37998.38,13
CPT,37237,INSERTION OF STENT IN ARTERY (EXCEPT LOWER EXTREMITY; CHEST; HEART; NECK AND BRAIN) WITH REVIEW BY RADIOLOGIST; EACH ADDITIONAL ARTERY,1.0,0.7,175.85,7726.0,9
CPT,37237,OPEN/PERQ PLACE STENT EA ADD,5515.0,3860.5,175.85,7726.0,12
CPT,37238,INSERTION OF STENT IN VEIN WITH REVIEW BY RADIOLOGIST; INITIAL VEIN,18884.5,13219.15,318.85,37998.38,25
CPT,37238,OPEN/PERQ PLACE STENT SAME,19567.0,13696.9,318.85,37998.38,13
CPT,37239,OPEN/PERQ PLACE STENT EA ADD,6553.0,4587.1,125.36,7726.0,12
CPT,37241,VASC EMBOLIZE/OCCLUDE VENOUS,19461.0,13622.7,444.47,37998.38,12
CPT,37242,OCCLUSION OF ARTERY WITH REVIEW BY RADIOLOGIST,20416.0,14291.2,496.17,60339.64,38
CPT,37242,VASC EMBOLIZE/OCCLUDE ARTERY,21939.0,15357.3,496.17,60339.64,13
CPT,37243,OCCLUSION OF GROWTHS OR OBSTRUCTED VESSELS WITH REVIEW BY RADIOLOGIST,20408.0,14285.6,591.45,37998.38,49
CPT,37243,VASC EMBOLIZE/OCCLUDE ORGAN,21939.0,15357.3,591.45,37998.38,13
CPT,37244,VASC EMBOLIZE/OCCLUDE BLEED,25011.0,17507.7,689.93,37998.38,12
CPT,37246,BALLOON DILATION OF ARTERY WITH REVIEW BY RADIOLOGIST; INITIAL ARTERY,15894.5,11126.150000000001,346.37,18734.1,21
CPT,37246,TRLUML BALO ANGIOP 1ST ART,22678.0,15874.6,346.37,18734.1,12
CPT,37247,TRLUML BALO ANGIOP ADDL ART,9211.0,6447.7,145.63,996.0,11
CPT,37248,BALLOON DILATION OF VEIN WITH REVIEW BY RADIOLOGIST; INITIAL VEIN,19885.5,13919.849999999999,298.04,18734.1,49
CPT,37248,TRLUML BALO ANGIOP 1ST VEIN,19224.0,13456.8,298.04,18734.1,13
CPT,37249,TRLUML BALO ANGIOP ADDL VEIN,9614.0,6729.8,122.5,996.0,11
CPT,37252,INTRVASC US NONCORONARY 1ST,3851.0,2695.7,75.06,996.0,11
CPT,37252,ULTRASOUND EVALUATION OF BLOOD VESSEL WITH REVIEW BY RADIOLOGIST; INITIAL VESSEL,1791.5,1254.05,75.06,996.0,38
CPT,37253,INTRVASC US NONCORONARY ADDL,1259.0,881.3,59.39,996.0,11
CPT,37253,ULTRASOUND EVALUATION OF BLOOD VESSEL WITH REVIEW BY RADIOLOGIST; EACH ADDITIONAL VESSEL,1.0,0.7,59.39,996.0,16
CPT,37254,REVSC EVASC IVT ANGIO SF 1ST,16808.0,11765.6,6690.75,18734.1,7
CPT,37255,REVSC EVASC IVT ANGIO SF EA,6907.0,4834.9,127.6,357.28,7
CPT,37256,REVSC EVASC IVT ANGIO CPLX 1,16808.0,11765.6,6690.75,18734.1,7
CPT,37257,REVSC EVSC IVT ANGIO CPLX EA,8957.0,6269.9,165.19,462.53,7
CPT,37258,REVSC EVASC IVT STENT SF 1ST,34094.0,23865.8,13570.85,37998.38,7
CPT,37259,REVSC EVASC IVT STENT SF EA,15586.0,10910.2,169.64,474.99,7
CPT,37260,REVSC EVASC IVT ST CPLX 1ST,34094.0,23865.8,13570.85,37998.38,7
CPT,37261,REVSC EVASC IVT ST CPLX EA,11418.0,7992.6,180.3,504.84,7
CPT,37262,IV LITHOTRP IVT W/IN SM ART,8060.0,5642.0,129.66,363.05,7
CPT,37263,REVSC EVASC FPVT ANGIO SF 1,16808.0,11765.6,6690.75,18734.1,7
CPT,37264,REVSC EVASC FPVT ANGIO SF EA,6907.0,4834.9,128.17,358.88,7
CPT,37265,REVSC EVSC FPVT ANGIO CPLX 1,16808.0,11765.6,6690.75,18734.1,7
CPT,37266,RVSC EVSC FPVT ANGIO CPLX EA,9210.0,6447.0,170.58,477.62,7
CPT,37267,REVSC EVSC FPVT STENT SF 1ST,34094.0,23865.8,13570.85,37998.38,7
CPT,37268,REVSC EVASC FPVT STENT SF EA,14534.0,10173.8,159.27,445.96,7
CPT,37269,REVSC EVASC FPVT ST CPLX 1ST,34904.0,24432.8,13570.85,37998.38,7
CPT,37270,REVSC EVASC FPVT ST CPLX EA,19482.0,13637.4,213.76,598.53,7
CPT,37271,REVSC EVSC FPVT ATHRC SF 1ST,54140.0,37898.0,21549.87,60339.64,7
CPT,37272,REVSC EVSC FPVT ATHRC SF EA,24062.0,16843.4,171.32,479.7,7
CPT,37273,REVSC EVSC FPVT ATHRC CPLX 1,54140.0,37898.0,21549.87,60339.64,7
CPT,37274,RVSC EVSC FPVT ATHRC CPLX EA,23576.0,16503.2,235.98,660.74,7
CPT,37275,RVSC EVSC FPVT ST ATHRC SF 1,54140.0,37898.0,21549.87,60339.64,7
CPT,37276,RVSC EVSC FPVT ST ATHR SF EA,20918.0,14642.6,181.41,507.95,7
CPT,37277,RVSC EVSC FPVT ST ATHR CPX 1,54140.0,37898.0,21549.87,60339.64,7
CPT,37278,RVSC EVSC FPVT ST ATH CPX EA,21656.0,15159.2,255.37,715.04,7
CPT,37279,IV LITHOTRP FPVT W/IN SM ART,14437.0,10105.9,173.19,484.93,7
CPT,37280,REVSC EVSC TPVT ANGIO SF 1ST,34094.0,23865.8,13570.85,37998.38,7
CPT,37281,REVSC EVSC TPVT ANGIO SF EA,10437.0,7305.9,127.02,355.66,7
CPT,37282,RVSC EVSC TPVT ANGIO CPLX 1,34094.0,23865.8,13570.85,37998.38,7
CPT,37283,RVSC EVSC TPVT ANGIO CPLX EA,14820.0,10374.0,180.79,506.21,7
CPT,37284,REVSC EVASC TPVT ST SF 1ST,54140.0,37898.0,21549.87,60339.64,7
CPT,37285,REVSC EVASC TPVT ST SF EA,18083.0,12658.1,144.29,404.01,7
CPT,37286,REVSC EVASC TPVT ST CPLX 1ST,54140.0,37898.0,21549.87,60339.64,7
CPT,37287,REVSC EVASC TPVT ST CPLX EA,20111.0,14077.7,216.77,606.96,7
CPT,37288,REVSC EVSC TPVT ATHRC SF 1ST,54140.0,37898.0,21549.87,60339.64,7
CPT,37289,REVSC EVSC TPVT ATHRC SF EA,19049.0,13334.3,203.63,570.16,7
CPT,37290,REVSC EVSC TPVT ATHRC CPLX 1,54140.0,37898.0,21549.87,60339.64,7
CPT,37291,REVSC EVSC TPVT ATHR CPLX EA,20701.0,14490.7,278.15,778.82,7
CPT,37292,RVSC EVSC TPVT ST ATHRC SF 1,54140.0,37898.0,21549.87,60339.64,7
CPT,37293,RVSC EVSC TPVT ST ATHR SF EA,23461.0,16422.7,284.8,797.44,7
CPT,37294,RVSC EVSC TPVT ST ATHR CPX 1,54140.0,37898.0,21549.87,60339.64,7
CPT,37295,RVSC EVSC TPVT ST ATH CPX EA,24543.0,17180.1,358.6,1004.08,7
CPT,37296,REVSC EVASC IMVT ANGIO SF 1,34094.0,23865.8,13570.85,37998.38,7
CPT,37297,REVSC EVASC IMVT ANGIO SF EA,13916.0,9741.2,169.61,474.91,7
CPT,37298,REVSC EVSC IMVT ANGIO CPLX 1,34094.0,23865.8,13570.85,37998.38,7
CPT,37299,REVSC EVSC IMVT ANGIO CPX EA,17395.0,12176.5,211.62,592.54,7
CPT,37605,LIGATION INT/COM CAROTID ART,10896.0,7627.2,831.18,10393.01,13
CPT,37607,TYING OR BANDING OF SURGICALLY CREATED ARTERY-VEIN CONNECTION,10274.5,7192.150000000001,401.26,10393.01,55
CPT,37609,TYING OR BIOPSY OF ARTERY ON SIDE OF SKULL,21380.0,14966.0,1500.0,9561.05,18
CPT,37618,LIGATION MAJOR ARTERY XTR,1595.0,1116.5,366.65,1419.0,11
CPT,37722,TYING; INCISION; AND STRIPPING OF LONG LEG VEIN,28836.0,20185.2,480.99,11815.0,37
CPT,37765,REMOVAL OF VARICOSE VEINS OF ARM OR LEG; 10-20 INCISIONS,15621.0,10934.7,478.25,10393.01,49
CPT,37766,REMOVAL OF VARICOSE VEINS OF ARM OR LEG; MORE THAN 20 INCISIONS,1.0,0.7,1550.0,10393.01,24
CPT,37799,OTHER PROCEDURE ON BLOOD VESSEL,14450.5,10115.35,737.43,3131.0,18
CPT,37799,UNLISTED PX VASCULAR SURGERY,2879.0,2015.3,737.43,3131.0,9
CPT,38220,ASPIRATION OF BONE MARROW SAMPLE FOR DIAGNOSIS,2387.875,1671.5149999999999,157.82,5436.34,25
CPT,38220,DX BONE MARROW ASPIRATIONS,5450.0,3815.0,157.82,5436.34,13
CPT,38221,BIOPSY OF BONE MARROW,4020.0,2814.0,79.87,5436.34,13
CPT,38221,DX BONE MARROW BIOPSIES,4322.0,3025.4,91.85,5436.34,11
CPT,38222,BIOPSY AND ASPIRATION OF BONE MARROW SAMPLE FOR DIAGNOSIS,8538.0,5976.6,78.78,9561.05,25
CPT,38222,DX BONE MARROW BX & ASPIR,9178.0,6424.6,78.78,9561.05,13
CPT,38232,HARVEST OF PATIENT BONE MARROW FOR TRANSPLANTATION,8117.5,5682.25,315.95,14336.39,13
CPT,38241,TRANSPLANTATION OF PATIENT-DERIVED STEM CELLS,4506.25,3154.38,129.52,5126.35,12
CPT,38300,DRAINAGE LYMPH NODE LESION,3812.0,2668.4,191.3,9561.05,15
CPT,38500,BIOPSY OR REMOVAL OF LYMPH NODES,8976.0,6283.2,239.88,12887.9,55
CPT,38500,BIOPSY/REMOVAL LYMPH NODES,11291.0,7903.7,275.86,12887.9,15
CPT,38505,NEEDLE BIOPSY OR REMOVAL OF SURFACE LYMPH NODES,4311.0,3017.7,97.8,5436.34,134
CPT,38510,BIOPSY OR REMOVAL OF DEEP LYMPH NODES OF NECK,6632.0,4642.4,409.37,12887.9,73
CPT,38525,BIOPSY OR REMOVAL OF DEEP LYMPH NODES OF UNDERARM,14202.0,9941.4,385.31,21856.49,109
CPT,38525,BIOPSY/REMOVAL LYMPH NODES,8025.0,5617.5,385.31,12887.9,19
CPT,38531,BIOPSY OR REMOVAL OF LYMPH NODES OF GROIN,10984.0,7688.8,437.7,12887.9,61
CPT,38542,REMOVAL OF DEEP LYMPH NODES OF NECK,16304.34,11413.04,422.41,19899.18,55
CPT,38570,BIOPSY AND REMOVAL OF LYMPH NODES OF ABDOMINAL CAVITY USING AN ENDOSCOPE,1.0,0.7,541.53,19899.18,19
CPT,38571,REMOVAL OF LYMPH NODES OF BOTH SIDES OF PELVIS USING AN ENDOSCOPE,13118.5,9182.95,813.17,34988.72,33
CPT,38572,REMOVAL OF LYMPH NODES OF BOTH SIDES OF PELVIS AND ABDOMINAL LYMPH NODE BIOPSY USING AN ENDOSCOPE,1.005,0.705,965.42,34988.72,33
CPT,38589,OTHER PROCEDURE ON LYMPHATIC SYSTEM USING AN ENDOSCOPE,1.0,0.7,1700.0,19899.18,9
CPT,38720,REMOVAL OF LYMPH NODES OF NECK,17478.0,12234.6,927.98,21856.49,13
CPT,38724,REMOVAL OF LYMPH NODES; MUSCLE; AND TISSUE OF NECK,12592.0,8814.4,984.75,11815.0,25
CPT,38745,REMOVAL OF LYMPH NODES OF UNDERARM,20900.0,14630.0,1700.0,19899.18,18
CPT,38760,REMOVAL OF LYMPH NODES OF GROIN,25993.0,18195.1,1550.0,21856.49,18
CPT,38790,INJECT FOR LYMPHATIC X-RAY,501.0,350.7,76.72,996.0,11
CPT,38792,INJECTION OF RADIOACTIVE MATERIAL FOR X-RAY IDENTIFICATION OF LYMPH NODE,1.0,0.7,469.96,3113.0,11
CPT,38792,RA TRACER ID OF SENTINL NODE,1278.0,894.6,39.26,3113.0,12
CPT,38794,ACCESS THORACIC LYMPH DUCT,855.0,598.5,263.47,996.0,11
CPT,38900,IMAGING OF LYMPH NODES DURING SURGERY,5906.33,4134.43,117.59,996.0,35
CPT,38999,OTHER PROCEDURE ON LYMPHATIC SYSTEM,1.0,0.7,518.63,1452.16,24
CPT,38999,UNLISTD PX HEMIC/LYMPHTC SYS,1276.0,893.2,518.63,1452.16,8
CPT,40490,BIOPSY OF LIP,714.0,499.8,94.54,779.6,23
CPT,40525,REMOVAL OF LIP WITH REPAIR USING LOCAL TISSUE GRAFT,8142.0,5699.4,566.26,10913.03,19
CPT,40650,REPAIR OF LIP AND BORDER,3237.0,2265.9,324.7,3923.0,15
CPT,40652,REPAIR OF VERTICAL LIP WOUND EXTENDING TO HALF OF LIP,3006.0,2104.2,401.97,3923.0,15
CPT,40652,RPR LIP FTH<HALF VER HEIGHT,3156.0,2209.2,401.97,3923.0,15
CPT,40654,RPR LIP FTH>1HALF VER HT/CPX,3657.0,2559.9,481.39,5107.14,15
CPT,40700,REPAIR CLEFT LIP/NASAL,15851.0,11095.7,186.0,19485.45,13
CPT,40800,SIMPLE DRAINAGE OF ABSCESS; CYST; OR BLOOD ACCUMULATION OF MOUTH,1757.0,1229.9,160.93,2330.86,11
CPT,40801,DRAINAGE OF MOUTH LESION,3087.0,2160.9,255.78,3577.0,15
CPT,40804,REMOVAL FOREIGN BODY MOUTH,1605.0,1123.5,180.0,2985.39,11
CPT,40805,REMOVAL FOREIGN BODY MOUTH,8570.0,5999.0,279.52,1775.23,11
CPT,40806,INCISION OF LIP FOLD,1745.0,1221.5,62.35,1775.23,12
CPT,40808,BIOPSY OF MOUTH,1680.0,1176.0,140.78,1775.23,11
CPT,40808,BIOPSY OF MOUTH LESION,1806.0,1264.2,122.42,3113.0,12
CPT,40810,EXCISION OF MOUTH LESION,9611.0,6727.7,141.74,10913.03,12
CPT,40810,REMOVAL OF GROWTH OF TISSUE OF MOUTH,7048.0,4933.6,141.74,10913.03,13
CPT,40812,REMOVAL OF GROWTH OF MOUTH WITH SIMPLE REPAIR,11392.0,7974.4,204.71,5107.14,12
CPT,40820,DESTRUCTION OF GROWTH OR SCAR OF MOUTH,7048.0,4933.6,176.22,10913.03,13
CPT,40830,REPAIR MOUTH LACERATION,1364.0,954.8,213.52,1419.0,11
CPT,40831,REPAIR OF LACERATED MOUTH; MORE THAN 2.5 CM,2849.0,1994.3,277.92,2539.0,15
CPT,41000,DRAINAGE OF ABSCESS; CYST; OR BLOOD ACCUMULATION OF SIDE OF TONGUE FROM INSIDE MOUTH,3300.0,2310.0,139.93,1775.23,11
CPT,41005,DRAINAGE OF MOUTH LESION,1600.0,1120.0,155.34,2351.0,13
CPT,41015,DRAINAGE OF MOUTH LESION,1745.0,1221.5,186.0,2351.0,13
CPT,41016,DRAINAGE OF MOUTH LESION,15851.0,11095.7,186.0,19485.45,13
CPT,41017,DRAINAGE OF MOUTH LESION,7995.0,5596.5,186.0,10913.03,13
CPT,41100,BIOPSY OF FRONT 2/3 OF TONGUE,873.0,611.1,136.27,4723.0,24
CPT,41100,BIOPSY OF TONGUE,1509.0,1056.3,136.27,1775.23,11
CPT,41105,BIOPSY OF BACK 1/3 OF TONGUE,3927.0,2748.9,125.28,10913.03,13
CPT,41105,BIOPSY OF TONGUE,7995.0,5596.5,125.28,10913.03,12
CPT,41108,BIOPSY OF FLOOR OF MOUTH,4928.0,3449.6,105.37,5436.34,12
CPT,41110,EXCISION OF TONGUE LESION,5817.0,4071.9,151.28,10913.03,12
CPT,41112,REMOVAL OF GROWTH OF FRONT 2/3 OF TONGUE WITH SWITCHES,7966.0,5576.2,186.0,10913.03,13
CPT,41115,EXCISION OF TONGUE FOLD,4584.0,3208.8,170.13,5107.14,12
CPT,41120,REMOVAL OF LESS THAN HALF OF TONGUE,3042.68,2129.88,1018.97,19485.45,19
CPT,41250,REPAIR OF LACERATED FLOOR OF MOUTH AND/OR TONGUE; 2.5 CM OR LESS,780.0,546.0,143.82,3577.0,15
CPT,41251,REPAIR TONGUE LACERATION,1364.0,954.8,178.12,3577.0,15
CPT,41252,REPAIR TONGUE LACERATION,2048.0,1433.6,244.12,3577.0,15
CPT,41599,OTHER PROCEDURE ON TONGUE OR FLOOR OF MOUTH,3392.0,2374.4,278.43,996.0,8
CPT,41800,DRAINAGE OF ABSCESS; CYST; OR BLOOD ACCUMULATION OF DENTAL BONE,979.0,685.3,146.38,2539.0,15
CPT,41800,DRAINAGE OF GUM LESION,401.0,280.7,127.29,3145.0,18
CPT,41805,REMOVAL FOREIGN BODY GUM,4861.0,3402.7,164.69,5107.14,11
CPT,41826,REMOVAL OF DENTAL BONE GROWTH WITH SIMPLE REPAIR,7566.0,5296.2,183.88,10913.03,13
CPT,41872,GINGIVOPLASTY EACH QUADRANT,10653.0,7457.1,285.46,10913.03,11
CPT,41874,RESHAPING OF TOOTH SOCKET,19699.0,13789.3,259.37,10913.03,13
CPT,41899,OTHER PROCEDURE ON TEETH AND GUMS,11791.5,8254.05,278.43,1419.0,18
CPT,42000,DRAINAGE MOUTH ROOF LESION,1764.0,1234.8,115.97,3577.0,15
CPT,42100,BIOPSY OF ROOF OF MOUTH,4584.0,3208.8,108.65,5107.14,12
CPT,42104,REMOVAL OF GROWTH OF ROOF OF MOUTH,3824.0,2676.8,129.64,10913.03,13
CPT,42107,REMOVAL OF GROWTH OF ROOF OF MOUTH WITH LOCAL TISSUE GRAFT,5232.0,3662.4,345.63,19485.45,18
CPT,42140,EXCISION OF UVULA,7995.0,5596.5,150.66,10913.03,13
CPT,42145,COMPLEX REMOVAL OF SOFT TISSUE OF ROOF OF MOUTH,8399.0,5879.3,627.96,19485.45,19
CPT,42145,REPAIR PALATE PHARYNX/UVULA,15851.0,11095.7,186.0,19485.45,13
CPT,42160,TREATMENT MOUTH ROOF LESION,7995.0,5596.5,166.79,10913.03,12
CPT,42180,REPAIR LAC PALATE<2 CM,1600.0,1120.0,216.56,2539.0,15
CPT,42182,REPAIR PALATE,11056.0,7739.2,325.0,19485.45,15
CPT,42260,REPAIR NOSE TO LIP FISTULA,15851.0,11095.7,186.0,19485.45,13
CPT,42299,OTHER PROCEDURE ON ROOF OF MOUTH,4460.0,3122.0,278.43,996.0,8
CPT,42330,REMOVAL OF SALIVARY STONE,7995.0,5596.5,164.13,10913.03,12
CPT,42335,REMOVAL OF SALIVARY STONE,7995.0,5596.5,186.0,10913.03,12
CPT,42340,REMOVAL OF SALIVARY STONE,7995.0,5596.5,186.0,10913.03,13
CPT,42400,BIOPSY OF SALIVARY GLAND,2079.0,1455.3,71.0,3131.0,13
CPT,42405,BIOPSY OF SALIVA GLAND,10272.0,7190.4,1500.0,5107.14,18
CPT,42405,BIOPSY OF SALIVARY GLAND,4456.0,3119.2,232.13,5107.14,15
CPT,42415,REMOVAL OF GROWTH OF SALIVA GLAND WITH RELEASE OF FACIAL NERVE,9126.0,6388.2,1118.77,19485.45,55
CPT,42420,REMOVAL OF GROWTH OF SALIVA GLAND OR SALIVA GLAND WITH RELEASE OF FACIAL NERVE,19631.0,13741.7,1288.43,19485.45,19
CPT,42425,REMOVAL OF GROWTH OF SALIVA GLAND OR SALIVA GLAND; AND FACIAL NERVE,12622.5,8835.75,870.66,19485.45,37
CPT,42440,REMOVAL OF SALIVA GLAND UNDER FLOOR OF MOUTH,14847.0,10392.9,474.36,19485.45,55
CPT,42450,REMOVAL OF SALIVA GLAND UNDER TONGUE,18384.0,12868.8,1550.0,19485.45,18
CPT,42550,INJECTION FOR SALIVARY X-RAY,171.0,119.7,51.42,996.0,11
CPT,42700,DRAINAGE OF ABSCESS NEAR TONSIL,1659.0,1161.3,154.32,2539.0,15
CPT,42720,DRAINAGE OF THROAT ABSCESS,7995.0,5596.5,186.0,10913.03,13
CPT,42800,BIOPSY OF BACK OF THROAT,7995.0,5596.5,112.68,5107.14,12
CPT,42804,BIOPSY OF UPPER NOSE/THROAT,7995.0,5596.5,120.79,10913.03,13
CPT,42806,BIOPSY OF UPPER NOSE/THROAT,7995.0,5596.5,142.58,10913.03,13
CPT,42808,EXCISE PHARYNX LESION,7995.0,5596.5,173.59,10913.03,13
CPT,42808,REMOVAL OR DESTRUCTION OF GROWTH OF THROAT,9752.0,6826.4,173.59,10913.03,18
CPT,42809,REMOVAL OF FOREIGN BODY IN THROAT,1280.0,896.0,145.96,1470.42,11
CPT,42809,REMOVE PHARYNX FOREIGN BODY,1344.0,940.8,126.92,1470.42,12
CPT,42810,REMOVAL OF CONGENITAL SKIN AND TISSUE CYST OF NECK,7828.0,5479.6,275.82,10913.03,37
CPT,42815,EXCISION OF NECK CYST,15851.0,11095.7,186.0,19485.45,13
CPT,42815,REMOVAL OF CONGENITAL CYST OR ABNORMAL DRAINAGE TRACT OF NECK AND/OR THROAT,11052.0,7736.4,545.8,19485.45,37
CPT,42820,REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS),5708.0,3995.6,290.32,19485.45,19
CPT,42821,REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER),6528.0,4569.6,314.32,10913.03,19
CPT,42825,REMOVAL OF TONSILS (YOUNGER THAN 12 YEARS),6216.0,4351.2,265.36,19485.45,19
CPT,42826,REMOVAL OF TONSILS (12 YEARS OR OLDER),6736.0,4715.2,258.7,10913.03,37
CPT,42830,PRIMARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS),2141.34,1498.94,207.47,10913.03,19
CPT,42831,PRIMARY REMOVAL OF ADENOIDS (12 YEARS OR OLDER),3820.665,2674.465,224.81,10913.03,37
CPT,42890,LIMITED PHARYNGECTOMY,15851.0,11095.7,186.0,19485.45,13
CPT,42892,REVISION OF PHARYNGEAL WALLS,15851.0,11095.7,186.0,19485.45,13
CPT,42900,REPAIR THROAT WOUND,4584.0,3208.8,186.0,5107.14,13
CPT,42950,PLASTIC OR RECONSTRUCTIVE REPAIR OF THROAT,10790.0,7553.0,812.65,19485.45,19
CPT,42950,RECONSTRUCTION OF THROAT,15851.0,11095.7,186.0,19485.45,13
CPT,42953,REPAIR THROAT ESOPHAGUS,3339.0,2337.3,186.0,2653.95,12
CPT,42960,CONTROL THROAT BLEEDING,1745.0,1221.5,173.53,2351.0,13
CPT,42960,SIMPLE CONTROL OF BLEEDING OF THROAT,10496.0,7347.2,634.01,3145.0,17
CPT,42975,EVALUATION OF SLEEP-DISORDERED BREATHING BY EXAMINATION OF UPPER AIRWAY USING AN ENDOSCOPE,4880.0,3416.0,112.54,5858.64,12
CPT,42999,OTHER PROCEDURE ON THROAT; ADENOIDS; OR TONSILS,5072.0,3550.4,278.43,996.0,8
CPT,42999,UNLISTED PX PHRNX ADND/TNSL,582.0,407.4,186.0,779.6,8
CPT,43030,INCISION OF MUSCLE AT UPPER ESOPHAGUS,14416.0,10091.2,533.67,19485.45,13
CPT,43130,REMOVAL OF DEFECT IN WALL OF ESOPHAGUS THROUGH NECK,20567.0,14396.9,783.39,19485.45,13
CPT,43191,DIAGNOSTIC EXAM OF ESOPHAGUS USING AN ENDOSCOPE,1985.0,1389.5,129.19,6316.18,37
CPT,43192,INJECTION INTO ESOPHAGUS USING AN ENDOSCOPE,1.0,0.7,153.52,6316.18,12
CPT,43193,BIOPSY OF ESOPHAGUS USING A RIGID ENDOSCOPE,6943.0,4860.1,182.27,6316.18,13
CPT,43195,BALLOON DILATION OF ESOPHAGUS USING A RIGID ENDOSCOPE; LESS THAN 3.0 CM,7359.0,5151.3,182.67,12690.5,13
CPT,43197,DIAGNOSTIC EXAM OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH NOSE,2427.0,1698.9,80.58,2985.39,12
CPT,43198,BIOPSY OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH NOSE,8439.0,5907.3,95.81,4277.0,12
CPT,43198,ESOPHAGOSC FLEX TRNSN BIOPSY,2778.0,1944.6,95.81,2985.39,12
CPT,43200,DIAGNOSTIC EXAM OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH MOUTH,3647.5,2553.25,158.65,4277.0,37
CPT,43200,ESOPHAGOSCOPY FLEXIBLE BRUSH,1989.0,1392.3,158.65,4277.0,19
CPT,43201,ESOPH SCOPE W/SUBMUCOUS INJ,3940.0,2758.0,127.58,6316.18,19
CPT,43202,BIOPSY OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH MOUTH,1985.0,1389.5,166.63,6316.18,56
CPT,43202,ESOPHAGOSCOPY FLEX BIOPSY,3940.0,2758.0,166.63,6316.18,19
CPT,43204,ESOPH SCOPE W/SCLEROSIS INJ,3940.0,2758.0,212.34,6316.18,19
CPT,43205,ESOPHAGUS ENDOSCOPY/LIGATION,3940.0,2758.0,211.68,6316.18,19
CPT,43205,TYING OF DILATED VEINS OF ESOPHAGUS WITH BANDS USING A FLEXIBLE ENDOSCOPE,3969.0,2778.3,211.68,6316.18,19
CPT,43214,ESOPHAGOSC DILATE BALLOON 30,3940.0,2758.0,197.63,6316.18,12
CPT,43215,ESOPHAGOSCOPY FLEX REMOVE FB,3940.0,2758.0,152.78,6316.18,19
CPT,43215,REMOVAL OF FOREIGN BODIES IN ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,14501.0,10150.7,152.78,6316.18,19
CPT,43217,ESOPHAGOSCOPY SNARE LES REMV,3940.0,2758.0,164.72,6316.18,19
CPT,43220,BALLOON DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM,6161.0,4312.7,123.2,6316.18,19
CPT,43220,ESOPHAGOSCOPY BALLOON <30MM,3940.0,2758.0,123.2,6316.18,19
CPT,43226,DILATION OF ESOPHAGUS WITH INSERTION OF GUIDE WIRE USING A FLEXIBLE ENDOSCOPE,1.0,0.7,135.19,6316.18,19
CPT,43226,ESOPH ENDOSCOPY DILATION,3940.0,2758.0,135.19,6316.18,19
CPT,43227,ESOPHAGOSCOPY CONTROL BLEED,3940.0,2758.0,202.85,6316.18,18
CPT,43229,DESTRUCTION OF POLYP OR GROWTH OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,6363.0,4454.1,208.36,12690.5,13
CPT,43229,ESOPHAGOSCOPY LESION ABLATE,7585.0,5309.5,208.36,12690.5,13
CPT,43231,ESOPHAGOSCOP ULTRASOUND EXAM,3940.0,2758.0,185.61,6316.18,19
CPT,43232,ESOPHAGOSCOPY W/US NEEDLE BX,3665.0,2565.5,251.51,6316.18,19
CPT,43233,EGD BALLOON DIL ESOPH30 MM/>,3940.0,2758.0,234.29,6316.18,13
CPT,43235,DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,3969.0,2778.3,197.74,4277.0,128
CPT,43235,EGD DIAGNOSTIC BRUSH WASH,2634.0,1843.8,197.74,4277.0,19
CPT,43236,INJECTION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,2655.25,1858.675,165.22,4723.0,55
CPT,43236,UPPR GI SCOPE W/SUBMUC INJ,1989.0,1392.3,165.22,4723.0,19
CPT,43237,ENDOSCOPIC US EXAM ESOPH,3940.0,2758.0,226.46,6316.18,19
CPT,43237,ULTRASOUND EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE THROUGH MOUTH,7426.0,5198.2,226.46,6316.18,37
CPT,43238,EGD US FINE NEEDLE BX/ASPIR,3940.0,2758.0,280.84,6316.18,19
CPT,43238,ULTRASOUND GUIDED NEEDLE ASPIRATION OR BIOPSY OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,9222.0,6455.4,280.84,6316.18,37
CPT,43239,BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,1.0,0.7,208.29,4723.0,127
CPT,43239,EGD BIOPSY SINGLE/MULTIPLE,2674.0,1871.8,208.29,4723.0,19
CPT,43240,EGD W/TRANSMURAL DRAIN CYST,7585.0,5309.5,379.21,19982.7,19
CPT,43241,EGD TUBE/CATH INSERTION,3940.0,2758.0,147.99,6316.18,19
CPT,43242,EGD US FINE NEEDLE BX/ASPIR,3940.0,2758.0,400.43,6316.18,19
CPT,43242,ULTRASOUND GUIDED NEEDLE ASPIRATION OR BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,6628.0,4639.6,400.43,6316.18,56
CPT,43243,EGD INJECTION VARICES,3940.0,2758.0,256.95,6316.18,19
CPT,43244,EGD VARICES LIGATION,3940.0,2758.0,279.81,6316.18,19
CPT,43244,TYING OF DILATED VEINS OF STOMACH AND/OR ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,4102.0,2871.4,279.81,6316.18,19
CPT,43245,DILATION OF STOMACH OUTLET USING A FLEXIBLE ENDOSCOPE,6629.0,4640.3,191.24,6316.18,19
CPT,43245,EGD DILATE STRICTURE,3665.0,2565.5,191.24,6316.18,19
CPT,43246,EGD PLACE GASTROSTOMY TUBE,3940.0,2758.0,244.53,6316.18,19
CPT,43246,INSERTION OF STOMACH TUBE USING A FLEXIBLE ENDOSCOPE,5330.5,3731.3500000000004,244.53,6316.18,38
CPT,43247,REMOVAL OF FOREIGN BODIES OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,5697.0,3987.9,191.24,4723.0,53
CPT,43248,EGD GUIDE WIRE INSERTION,1989.0,1392.3,178.08,4723.0,19
CPT,43248,INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,7028.0,4919.6,178.08,4723.0,19
CPT,43249,BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM,4501.0,3150.7,164.36,6316.18,56
CPT,43249,ESOPH EGD DILATION <30 MM,3940.0,2758.0,164.36,6316.18,19
CPT,43250,EGD CAUTERY TUMOR POLYP,3940.0,2758.0,180.84,6316.18,19
CPT,43250,REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE WITH ELECTRICAL CAUTERY,4899.0,3429.3,180.84,6316.18,19
CPT,43251,EGD REMOVE LESION SNARE,3940.0,2758.0,208.41,6316.18,19
CPT,43251,REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE,2450.0,1715.0,208.41,6316.18,37
CPT,43252,EGD OPTICAL ENDOMICROSCOPY,7585.0,5309.5,181.05,6316.18,13
CPT,43253,EGD US TRANSMURAL INJXN/MARK,2484.0,1738.8,271.96,6316.18,13
CPT,43253,INJECTION OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE OR MARKER IN ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,7427.0,5198.9,271.96,6316.18,13
CPT,43254,REMOVAL OF TISSUE LINING OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,3447.5,2413.25,281.87,6316.18,25
CPT,43255,CONTROL OF BLEEDING OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,5830.0,4081.0,267.35,6316.18,37
CPT,43255,EGD CONTROL BLEEDING ANY,3665.0,2565.5,267.35,6316.18,19
CPT,43259,EGD US EXAM DUODENUM/JEJUNUM,3665.0,2565.5,286.04,6316.18,19
CPT,43259,ULTRASOUND EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,3969.0,2778.3,286.04,6316.18,55
CPT,43260,DIAGNOSTIC EXAM OF GALLBLADDER AND PANCREATIC; LIVER; AND BILE DUCTS USING AN ENDOSCOPE,12214.0,8549.8,328.64,12690.5,19
CPT,43260,ERCP W/SPECIMEN COLLECTION,7056.0,4939.2,328.64,12690.5,19
CPT,43261,BIOPSY OF GALLBLADDER; PANCREATIC; LIVER; AND BILE DUCTS USING A FLEXIBLE ENDOSCOPE,7636.0,5345.200000000001,345.62,12690.5,73
CPT,43261,ENDO CHOLANGIOPANCREATOGRAPH,7585.0,5309.5,345.62,12690.5,19
CPT,43262,ENDO CHOLANGIOPANCREATOGRAPH,7585.0,5309.5,415.6,12690.5,19
CPT,43262,INCISION OF PANCREATIC OUTLET USING A FLEXIBLE ENDOSCOPE,10615.0,7430.5,415.6,12690.5,73
CPT,43264,ERCP REMOVE DUCT CALCULI,7585.0,5309.5,487.09,12690.5,19
CPT,43264,REMOVAL OF STONE OR DEBRIS FROM BILE OR PANCREATIC DUCT USING A FLEXIBLE ENDOSCOPE,5376.0,3763.2,487.09,12690.5,55
CPT,43265,DESTRUCTION OF STONE OF BILE OR PANCREATIC DUCT USING A FLEXIBLE ENDOSCOPE,16470.0,11529.0,546.45,19982.7,19
CPT,43265,ERCP LITHOTRIPSY CALCULI,11250.0,7875.0,546.45,19982.7,19
CPT,43266,EGD ENDOSCOPIC STENT PLACE,12094.0,8465.8,233.0,19982.7,13
CPT,43266,PLACEMENT OF STENT IN ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,23237.0,16265.9,233.0,19982.7,13
CPT,43270,DESTRUCTION OF POLYP OR GROWTH OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE,7427.0,5198.9,245.54,6316.18,13
CPT,43270,EGD LESION ABLATION,3665.0,2565.5,245.54,6316.18,13
CPT,43273,EXAM OF COMMON BILE AND/OR PANCREATIC DUCT USING A FLEXIBLE ENDOSCOPE,1.0,0.7,101.57,996.0,11
CPT,43274,ERCP DUCT STENT PLACEMENT,12094.0,8465.8,482.5,19982.7,13
CPT,43274,INSERTION OF STENT INTO PANCREATIC OR BILE DUCT USING A FLEXIBLE ENDOSCOPE,3846.5,2692.5499999999997,482.5,19982.7,25
CPT,43275,ERCP REMOVE FORGN BODY DUCT,7056.0,4939.2,398.02,7576.0,13
CPT,43275,REMOVAL OF STENT FROM PANCREATIC OR BILE DUCT USING A FLEXIBLE ENDOSCOPE,1.0,0.7,398.02,7576.0,25
CPT,43276,ERCP STENT EXCHANGE W/DILATE,11250.0,7875.0,501.96,19982.7,13
CPT,43276,REPLACEMENT OF STENT IN PANCREATIC OR BILE DUCT USING A FLEXIBLE ENDOSCOPE,10218.0,7152.6,501.96,19982.7,61
CPT,43277,ERCP EA DUCT/AMPULLA DILATE,7585.0,5309.5,400.57,12690.5,13
CPT,43278,DESTRUCTION OF POLYP OR GROWTH OF GALLBLADDER AND/OR BILE DUCT USING A FLEXIBLE ENDOSCOPE,1.0,0.7,455.16,12690.5,12
CPT,43278,ERCP LESION ABLATE W/DILATE,7585.0,5309.5,455.16,12690.5,12
CPT,43281,REPAIR OF HERNIA OF MUSCLE AT ESOPHAGUS AND STOMACH USING AN ENDOSCOPE,22778.0,15944.6,1480.04,34988.72,13
CPT,43282,REPAIR OF HERNIA OF MUSCLE AT ESOPHAGUS AND STOMACH WITH IMPLANTATION OF MESH USING AN ENDOSCOPE,4018.0,2812.6,1663.11,34988.72,13
CPT,43283,LENGTHENING OF ESOPHAGUS USING AN ENDOSCOPE,28408.0,19885.6,134.62,1335.0,11
CPT,43285,REMOVAL OF MAGNETIC BAND FROM BASE OF ESOPHAGUS USING AN ENDOSCOPE,17711.0,12397.7,630.05,19899.18,12
CPT,43450,DILATION OF ESOPHAGUS,4240.0,2968.0,83.08,4277.0,56
CPT,43453,DILATE ESOPHAGUS,5610.0,3927.0,89.56,6316.18,19
CPT,43460,PRESSURE TREATMENT ESOPHAGUS,484.0,338.8,188.67,1419.0,11
CPT,43499,OTHER PROCEDURE ON ESOPHAGUS,6632.0,4642.4,1066.21,4277.0,9
CPT,43499,UNLISTED PROCEDURE ESOPHAGUS,4254.0,2977.8,1066.21,4277.0,9
CPT,43648,REVISION OR REMOVAL OF NEUROSTIMULATOR ELECTRODES IN UPPER STOMACH USING AN ENDOSCOPE,23037.0,16125.9,1700.0,34988.72,9
CPT,43752,INSERTION OF STOMACH TUBE THROUGH NOSE OR MOUTH USING FLUOROSCOPIC GUIDANCE,934.0,653.8,41.92,1470.42,42
CPT,43753,INSERTION OF STOMACH TUBE AND ASPIRATION OF STOMACH CONTENTS,5292.0,3704.4,21.91,996.0,11
CPT,43753,TX GASTRO INTUB W/ASP,782.0,547.4,25.2,1419.0,11
CPT,43756,DX DUOD INTUB W/ASP SPEC,3043.0,2130.1,57.91,4277.0,12
CPT,43757,DX DUOD INTUB W/ASP SPECS,3043.0,2130.1,82.48,4277.0,12
CPT,43761,REPOSITION GASTROSTOMY TUBE,3662.0,2563.4,123.48,2539.0,15
CPT,43762,REPLACEMENT OF STOMACH STOMA TUBE,4466.5,3126.55,37.02,1419.0,42
CPT,43762,RPLC GTUBE NO REVJ TRC,1079.0,755.3,37.02,996.0,11
CPT,43763,REPLACEMENT OF STOMACH STOMA TUBE WITH REVISION OF STOMA OPENING,1580.0,1106.0,96.44,1419.0,11
CPT,43771,LAP REVISE GASTR ADJ DEVICE,3799.0,2659.3,877.0,3297.2,11
CPT,43999,OTHER PROCEDURE ON STOMACH,9512.0,6658.4,1066.21,4277.0,9
CPT,44360,DIAGNOSTIC EXAM OF SMALL BOWEL (EXCLUDING LOWER SMALL INTESTINE) USING AN ENDOSCOPE,17934.0,12553.8,159.11,6316.18,19
CPT,44360,SMALL BOWEL ENDOSCOPY,6065.0,4245.5,159.11,6316.18,19
CPT,44361,BIOPSY OF SMALL BOWEL (EXCEPT ILEUM) USING AN ENDOSCOPE,1.0,0.7,175.43,6316.18,37
CPT,44361,SMALL BOWEL ENDOSCOPY/BIOPSY,6520.0,4564.0,175.43,6316.18,19
CPT,44363,REMOVAL OF FOREIGN BODIES FROM SMALL BOWEL USING AN ENDOSCOPE,10486.0,7340.2,195.98,6316.18,18
CPT,44364,REMOVAL OF SMALL BOWEL POLYPS OR GROWTHS USING AN ENDOSCOPE WITH MECHANICAL SNARE,1.0,0.7,230.2,6316.18,19
CPT,44364,SMALL BOWEL ENDOSCOPY,6065.0,4245.5,230.2,6316.18,19
CPT,44365,SMALL BOWEL ENDOSCOPY,6065.0,4245.5,203.41,6316.18,18
CPT,44366,CONTROL OF BLEEDING OF FIRST OR SECOND PART OF SMALL BOWEL USING AN ENDOSCOPE,10085.0,7059.5,270.59,6316.18,19
CPT,44369,DESTRUCTION OF POLYP OR GROWTH OF SMALL BOWEL USING AN ENDOSCOPE,1.0,0.7,277.44,6316.18,19
CPT,44373,SMALL BOWEL ENDOSCOPY,6520.0,4564.0,214.36,6316.18,19
CPT,44376,DIAGNOSTIC EXAM OF SMALL BOWEL (INCLUDING LOWER SMALL INTESTINE) USING AN ENDOSCOPE,3969.0,2778.3,291.58,6316.18,19
CPT,44377,BIOPSY OF SMALL BOWEL USING AN ENDOSCOPE,11416.0,7991.2,305.57,6316.18,19
CPT,44380,SMALL BOWEL ENDOSCOPY BR/WA,3061.0,2142.7,82.34,4277.0,19
CPT,44381,SMALL BOWEL ENDOSCOPY BR/WA,6520.0,4564.0,1500.0,6316.18,12
CPT,44382,BIOPSY OF SMALL BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LOWER SMALL BOWEL TO SKIN,4634.0,3243.8,99.07,4723.0,19
CPT,44384,SMALL BOWEL ENDOSCOPY,11677.0,8173.9,168.02,6316.18,13
CPT,44386,BIOPSY OF SMALL BOWEL POUCH USING AN ENDOSCOPE,4235.0,2964.5,166.98,4723.0,19
CPT,44388,COLONOSCOPY THRU STOMA SPX,1934.0,1353.8,220.8,4277.0,19
CPT,44388,DIAGNOSTIC EXAM OF LARGE BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LARGE BOWEL TO SKIN,3115.5,2180.85,220.8,4277.0,37
CPT,44389,BIOPSY OF LARGE BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LARGE BOWEL TO SKIN,4444.5,3111.15,248.95,4723.0,37
CPT,44391,COLONOSCOPY FOR BLEEDING,2365.0,1655.5,309.41,4723.0,19
CPT,44401,COLONOSCOPY WITH ABLATION,2542.0,1779.4,338.27,4723.0,13
CPT,44500,INTRO GASTROINTESTINAL TUBE,2175.0,1522.5,25.72,4277.0,13
CPT,44799,OTHER PROCEDURE ON SMALL BOWEL,1.0,0.7,1066.21,4277.0,9
CPT,44799,UNLISTED PX SMALL INTESTINE,2591.0,1813.7,1066.21,4277.0,9
CPT,44970,REMOVAL OF APPENDIX USING AN ENDOSCOPE,10584.0,7408.799999999999,525.87,19899.18,25
CPT,45005,DRAINAGE OF RECTAL ABSCESS,6408.0,4485.6,174.88,3938.82,15
CPT,45171,REMOVAL OF GROWTH OF RECTUM THROUGH ANUS,7636.0,5345.2,576.59,9136.23,13
CPT,45190,DESTRUCTION OF GROWTH OF RECTUM,8708.0,6095.6,586.55,12617.0,19
CPT,45300,DIAGNOSTIC EXAM OF RECTUM AND LOWER LARGE BOWEL USING AN ENDOSCOPE,1.0,0.7,60.9,3131.0,12
CPT,45300,PROCTOSIGMOIDOSCOPY DX,2671.0,1869.7,74.66,3061.02,11
CPT,45307,PROCTOSIGMOIDOSCOPY FB,3251.0,2275.7,155.3,9136.23,15
CPT,45327,PROCTOSIGMOIDOSCOPY W/STENT,12094.0,8465.8,94.62,19982.7,18
CPT,45330,DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,4102.0,2871.4,108.92,3131.0,38
CPT,45330,DIAGNOSTIC SIGMOIDOSCOPY,1799.0,1259.3,108.92,3131.0,13
CPT,45331,BIOPSY OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,4900.0,3430.0,142.33,3145.0,56
CPT,45331,SIGMOIDOSCOPY AND BIOPSY,1934.0,1353.8,142.33,3145.0,19
CPT,45332,SIGMOIDOSCOPY W/FB REMOVAL,2365.0,1655.5,229.6,4723.0,19
CPT,45333,SIGMOIDOSCOPY & POLYPECTOMY,1934.0,1353.8,224.91,4723.0,19
CPT,45334,SIGMOIDOSCOPY FOR BLEEDING,2542.0,1779.4,154.55,11815.0,19
CPT,45335,INJECTION BENEATH LINING OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,1.0,0.7,157.1,4723.0,19
CPT,45335,SIGMOIDOSCOPY W/SUBMUC INJ,1934.0,1353.8,157.1,4723.0,19
CPT,45337,SIGMOIDOSCOPY & DECOMPRESS,1934.0,1353.8,135.3,4723.0,19
CPT,45338,REMOVAL OF POLYPS OR GROWTHS OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE WITH MECHANICAL SNARE,5299.0,3709.3,254.35,4723.0,19
CPT,45338,SIGMOIDOSCOPY W/TUMR REMOVE,2542.0,1779.4,254.35,4723.0,19
CPT,45341,SIGMOIDOSCOPY W/ULTRASOUND,1934.0,1353.8,156.45,4723.0,19
CPT,45341,ULTRASOUND EXAM OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,4766.0,3336.2,156.45,4723.0,19
CPT,45342,SIGMOIDOSCOPY W/US GUIDE BX,2542.0,1779.4,223.15,4723.0,19
CPT,45346,SIGMOIDOSCOPY W/ABLATION,2365.0,1655.5,220.73,4723.0,13
CPT,45347,SIGMOIDOSCOPY W/PLCMT STENT,7056.0,4939.2,163.34,19982.7,13
CPT,45349,SIGMOIDOSCOPY W/RESECTION,5931.0,4151.7,206.99,9136.23,13
CPT,45350,BANDING OF HEMORRHOIDS USING A FLEXIBLE ENDOSCOPE (SIGMOIDOSCOPE),10852.0,7596.4,102.58,4723.0,13
CPT,45350,SGMDSC W/BAND LIGATION,2365.0,1655.5,102.58,4723.0,13
CPT,45378,DIAGNOSTIC COLONOSCOPY,2121.0,1484.7,322.89,3577.0,15
CPT,45378,DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,5432.0,3802.4,280.77,4723.0,145
CPT,45380,BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,4742.0,3319.4,304.62,4723.0,289
CPT,45381,INJECTION BENEATH LINING OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,2149.58,1504.705,304.2,4723.0,145
CPT,45382,CONTROL OF BLEEDING OF UPPER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,1.0,0.7,1406.72,4723.0,36
CPT,45384,REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE WITH ELECTRICAL CAUTERY,6761.0,4732.7,341.01,4723.0,181
CPT,45385,REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE,6028.5,4219.95,388.14,4723.0,181
CPT,45388,DESTRUCTION OF POLYP OR GROWTH OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,1192.8,834.96,394.5,4723.0,37
CPT,45390,REMOVAL OF LARGE BOWEL TISSUE USING A FLEXIBLE ENDOSCOPE,9422.0,6595.4,342.06,9136.23,86
CPT,45391,ULTRASOUND EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,10485.0,7339.5,283.56,4723.0,37
CPT,45398,BANDING OF HEMORRHOIDS USING A FLEXIBLE ENDOSCOPE (COLONOSCOPE),3115.0,2180.5,243.43,4723.0,13
CPT,45399,UNLISTED PROCEDURE COLON,2591.0,1813.7,1093.22,4277.0,9
CPT,45505,REPAIR OF PROLAPSED LINING OF RECTUM THROUGH ANUS,11924.0,8346.8,466.38,9136.23,19
CPT,45541,SUTURE OF RECTUM TO SACRUM THROUGH PERINEUM,13397.0,9377.9,1550.0,9136.23,12
CPT,45900,REDUCTION OF RECTAL PROLAPSE,2148.0,1503.6,193.04,3061.02,15
CPT,45905,DILATION OF SPHINCTER OF ANUS UNDER ANESTHESIA,6911.5,4838.05,152.55,4277.0,19
CPT,45915,REMOVE RECTAL OBSTRUCTION,8637.0,6045.9,244.17,3938.82,15
CPT,45990,DIAGNOSTIC EXAM OF ANUS AND RECTUM UNDER ANESTHESIA,1.0,0.7,101.11,9136.23,19
CPT,45990,SURG DX EXAM ANORECTAL,8569.0,5998.3,101.11,9136.23,19
CPT,46020,INSERTION OF DRAIN (SETON) INTO ANUS,1.0,0.7,195.83,9136.23,19
CPT,46030,REMOVAL OF DRAIN (SETON) FROM ANUS,1.0,0.7,89.18,4277.0,19
CPT,46040,DRAINAGE OF DEEP ABSCESS IN RECTUM,7889.5,5522.65,354.14,4817.0,34
CPT,46050,DRAINAGE OF SUPERFICIAL RECTAL ABSCESS SURROUNDING ANUS,8465.5,5925.85,122.73,3145.0,33
CPT,46050,INCISION OF ANAL ABSCESS,3112.0,2178.4,122.73,3061.02,13
CPT,46060,INCISION OF RECTAL ABSCESS,9134.0,6393.8,420.03,9136.23,15
CPT,46083,INCISION OF EXTERNAL HEMORRHOID WITH BLOOD CLOT,972.0,680.4,152.55,1419.0,11
CPT,46220,EXCISE ANAL EXT TAG/PAPILLA,3890.0,2723.0,130.19,4277.0,18
CPT,46220,REMOVAL OF SINGLE EXTERNAL NONCANCER GROWTH OF ANUS,9914.0,6939.8,130.19,4277.0,18
CPT,46221,LIGATION OF HEMORRHOID(S),2958.0,2070.6,181.77,3061.02,11
CPT,46230,REMOVAL OF ANAL TAGS,9078.0,6354.6,190.7,9136.23,18
CPT,46230,REMOVAL OF MULTIPLE EXTERNAL NONCANCER GROWTHS OF ANUS,6965.0,4875.5,190.7,9136.23,18
CPT,46255,REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP,10249.0,7174.3,341.88,9136.23,37
CPT,46257,REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP AND CHRONIC TEAR IN ANUS,9303.5,6512.45,338.85,9136.23,37
CPT,46260,REMOVAL OF MULTIPLE HEMORRHOID GROUPS,9646.0,6752.2,402.03,9136.23,19
CPT,46270,REPAIR OF ABNORMAL ANAL DRAINAGE TRACT,5827.5,4079.25,268.75,9136.23,37
CPT,46275,REPAIR OF ABNORMAL DRAINAGE TRACT IN ANAL SPHINCTER,10048.0,7033.6,311.13,9136.23,19
CPT,46280,REPAIR OF ABNORMAL DRAINAGE TRACT AROUND ANAL SPHINCTER,7770.0,5439.0,376.16,9136.23,19
CPT,46288,REPAIR OF ABNORMAL ANAL DRAINAGE TRACT WITH RECTAL TISSUE FLAP,12326.0,8628.2,440.13,11815.0,19
CPT,46320,REMOVAL OF EXTERNAL HEMORRHOID WITH BLOOD CLOT,10718.0,7502.6,126.15,4277.0,12
CPT,46320,REMOVAL OF HEMORRHOID CLOT,7789.0,5452.3,126.15,4277.0,12
CPT,46505,INJECTION OF AGENT TO DESTROY NERVE TO INTERNAL SPHINCTER OF ANUS,5491.0,3843.7,186.08,4723.0,13
CPT,46600,DIAGNOSTIC ANOSCOPY SPX,338.0,236.6,80.34,1419.0,11
CPT,46601,DIAGNOSTIC ANOSCOPY,1183.0,828.1,95.85,1470.42,12
CPT,46606,BIOPSY OF ANUS USING AN ENDOSCOPE,3167.5,2217.25,106.92,4277.0,12
CPT,46607,BIOPSY OF ANUS WITH MAGNIFICATION AND CHEMICAL AGENT ENHANCEMENT USING AN ENDOSCOPE,3291.0,2303.7,128.09,3938.82,11
CPT,46608,REMOVAL OF FOREIGN BODY IN ANUS USING AN ENDOSCOPE,2977.0,2083.9,230.6,3061.02,15
CPT,46614,ANOSCOPY CONTROL BLEEDING,2977.0,2083.9,167.56,3938.82,11
CPT,46615,ANOSCOPY,8127.0,5688.9,174.63,9136.23,13
CPT,46750,REPAIR OF ANAL MUSCLE FOR INCONTINENCE OR PROLAPSE; ADULT,11522.0,8065.4,621.98,9136.23,19
CPT,46900,SIMPLE CHEMICAL DESTRUCTION OF GROWTH OF ANUS,1165.0,815.5,150.79,1338.06,12
CPT,46910,SIMPLE DESTRUCTION OF GROWTH OF ANUS,3167.5,2217.25,160.48,6791.43,12
CPT,46916,CRYOSURGERY ANAL LESION(S),589.0,412.3,167.3,660.41,12
CPT,46917,LASER DESTRUCTION OF GROWTH OF ANUS,8205.0,5743.5,159.41,9136.23,22
CPT,46922,EXCISION OF ANAL LESION(S),8127.0,5688.9,173.82,9136.23,13
CPT,46924,DESTRUCTION ANAL LESION(S),8198.0,5738.6,186.0,9136.23,13
CPT,46924,EXTENSIVE DESTRUCTION OF GROWTH OF ANUS,6966.0,4876.2,387.55,9136.23,19
CPT,46930,DESTROY INTERNAL HEMORRHOIDS,3494.0,2445.8,131.25,3938.82,12
CPT,46930,DESTRUCTION OF INTERNAL HEMORRHOIDS USING HEAT,2649.5,1854.65,131.25,4723.0,49
CPT,46940,INITIAL REPAIR OF ANAL TEAR WITH DILATION OF ANAL MUSCLE,1.0,0.7,1500.0,9136.23,12
CPT,46945,INT HRHC LIG 1 HROID W/O IMG,8394.0,5875.8,178.45,9136.23,12
CPT,46945,TYING OF SINGLE INTERNAL HEMORRHOID GROUP,9799.5,6859.65,178.45,9136.23,24
CPT,46946,TYING OF MULTIPLE INTERNAL HEMORRHOID GROUPS,1.0,0.7,212.48,9136.23,17
CPT,46947,STAPLING OF INTERNAL HEMORRHOID,7055.0,4938.5,327.91,9366.0,19
CPT,46948,TYING OF ARTERIES TO MULTIPLE INTERNAL HEMORRHOID GROUPS,13532.0,9472.4,453.21,9136.23,13
CPT,46999,OTHER PROCEDURE ON ANUS,1.0,0.7,996.0,3131.0,9
CPT,47000,NEEDLE BIOPSY OF LIVER PERQ,3558.0,2490.6,140.55,5436.34,19
CPT,47000,NEEDLE BIOPSY OF LIVER THROUGH SKIN,1655.5,1158.85,140.55,5436.34,56
CPT,47001,NDL BIOPSY LVR TM OTH MAJ PX,393.0,275.1,87.97,996.0,11
CPT,47379,OTHER PROCEDURE ON LIVER USING AN ENDOSCOPE,21890.0,15323.0,1700.0,19899.18,9
CPT,47382,DESTRUCTION OF GROWTH OF LIVER THROUGH SKIN USING RADIOFREQUENCY,10177.0,7123.9,844.25,19899.18,38
CPT,47399,UNLISTED PROCEDURE LIVER,9422.0,6595.4,832.45,3131.0,9
CPT,47490,INCISION OF GALLBLADDER,6316.0,4421.2,511.43,11785.09,13
CPT,47531,INJECTION FOR CHOLANGIOGRAM,5858.0,4100.6,97.0,11785.09,13
CPT,47531,INJECTION OF BILE DUCT FOR X-RAY THROUGH ALREADY EXISTING SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,5449.0,3814.3,97.0,11785.09,37
CPT,47532,INJECTION FOR CHOLANGIOGRAM,5821.0,4074.7,216.31,11785.09,12
CPT,47533,PLACEMENT OF EXTERNAL DRAINAGE TUBE OF BILIARY DUCT USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,7620.0,5334.0,305.23,11785.09,13
CPT,47533,PLMT BILIARY DRAINAGE CATH,8192.0,5734.4,305.23,11785.09,13
CPT,47534,PLMT BILIARY DRAINAGE CATH,11570.0,8099.0,404.03,11785.09,13
CPT,47535,CONVERSION EXT BIL DRG CATH,8193.0,5735.1,232.13,11785.09,12
CPT,47535,CONVERSION OF EXTERNAL BILIARY DRAINAGE TUBE TO INTERNAL-EXTERNAL BILIARY DRAINAGE TUBE USING IMAGING GUIDANCE AND STUDY OF BILE DUCT WITH REVIEW BY RADIOLOGIST,1.0,0.7,232.13,11785.09,12
CPT,47536,EXCHANGE BILIARY DRG CATH,6040.0,4228.0,148.79,11785.09,13
CPT,47536,REPLACEMENT OF LIVER DUCT DRAINAGE TUBE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,5619.0,3933.3,148.79,11785.09,61
CPT,47537,REMOVAL BILIARY DRG CATH,1623.0,1136.1,99.89,4723.0,13
CPT,47537,REMOVAL OF BILIARY DRAINAGE TUBE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,1510.0,1057.0,99.89,4723.0,13
CPT,47538,PERQ PLMT BILE DUCT STENT,16970.0,11879.0,330.26,19899.18,13
CPT,47539,PERQ PLMT BILE DUCT STENT,15712.0,10998.4,446.02,19899.18,12
CPT,47540,PERQ PLMT BILE DUCT STENT,15712.0,10998.4,532.81,19899.18,13
CPT,47542,BALLOON DILATION OF BILE DUCT USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,1.0,0.7,114.43,996.0,11
CPT,47542,DILATE BILIARY DUCT/AMPULLA,5770.0,4039.0,114.43,996.0,11
CPT,47543,ENDOLUMINAL BX BILIARY TREE,3039.0,2127.3,120.2,996.0,11
CPT,47544,REMOVAL DUCT GLBLDR CALCULI,7728.0,5409.6,131.51,996.0,11
CPT,47562,REMOVAL OF GALLBLADDER USING AN ENDOSCOPE,25324.0,17726.8,676.1,19899.18,37
CPT,47563,REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE,15006.0,10504.2,722.81,19899.18,37
CPT,48102,NEEDLE BIOPSY OF PANCREAS,1.0,0.7,291.81,5436.34,37
CPT,48102,NEEDLE BIOPSY PANCREAS,2493.0,1745.1,291.81,5436.34,19
CPT,49082,DRAINAGE OF FLUID FROM ABDOMINAL CAVITY,3048.0,2133.6,78.82,2985.39,21
CPT,49083,ABD PARACENTESIS W/IMAGING,1908.0,1335.6,105.07,4277.0,13
CPT,49083,DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE,1841.5,1289.05,105.07,4277.0,40
CPT,49084,PERITONEAL LAVAGE,1398.0,978.6,109.26,2985.39,11
CPT,49180,BIOPSY ABDOMINAL MASS,4382.0,3067.4,125.95,5436.34,19
CPT,49180,NEEDLE BIOPSY OF GROWTH OF ABDOMINAL CAVITY,4076.0,2853.2,125.95,5436.34,37
CPT,49185,INJECTION OF CHEMICAL AGENT INTO FLUID COLLECTION USING IMAGING GUIDANCE,5589.0,3912.3,996.0,5436.34,12
CPT,49185,SCLEROTX FLUID COLLECTION,6008.0,4205.6,123.96,5436.34,13
CPT,49320,DIAGNOSTIC EXAM OF ABDOMEN USING AN ENDOSCOPE,7272.0,5090.4,317.55,19899.18,55
CPT,49321,BIOPSY OF ABDOMEN USING AN ENDOSCOPE,10218.0,7152.6,330.63,19899.18,19
CPT,49324,INSERTION OF ABDOMINAL CAVITY TUBE USING AN ENDOSCOPE,7502.0,5251.4,346.86,19899.18,13
CPT,49325,REVISION OF ABDOMINAL CAVITY TUBE USING AN ENDOSCOPE,13829.0,9680.3,372.77,19899.18,13
CPT,49326,SUTURE OF INTERNAL ABDOMINAL LINING USING AN ENDOSCOPE,1.0,0.7,160.16,996.0,11
CPT,49329,OTHER PROCEDURE ON ABDOMEN USING AN ENDOSCOPE,8603.0,6022.1,1700.0,19899.18,27
CPT,49400,AIR INJECTION INTO ABDOMEN,585.0,409.5,76.96,3113.0,12
CPT,49402,REMOVAL OF FOREIGN BODY IN ABDOMINAL CAVITY,9512.0,6658.4,726.32,11815.0,18
CPT,49405,DRAINAGE OF FLUID COLLECTION BY TUBE THROUGH SKIN USING IMAGING GUIDANCE,2640.5,1848.3500000000001,213.39,5436.34,25
CPT,49405,IMAGE CATH FLUID COLXN VISC,4702.0,3291.4,213.39,5436.34,13
CPT,49406,DRAINAGE OF FLUID COLLECTION OF ABDOMINAL CAVITY BY TUBE USING IMAGING GUIDANCE,4129.5,2890.65,213.79,5436.34,25
CPT,49407,IMAGE CATH FLUID TRNS/VGNL,5170.0,3619.0,227.7,5436.34,12
CPT,49411,INS MARK ABD/PEL FOR RT PERQ,6107.0,4274.9,192.79,4555.96,11
CPT,49418,INSERTION OF ABDOMINAL TUBE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,10546.0,7382.2,248.92,11785.09,13
CPT,49421,INSERTION OF ABDOMINAL CAVITY TUBE FOR DRAINAGE OR DIALYSIS,9512.0,6658.4,358.03,11785.09,19
CPT,49422,REMOVAL OF ABDOMINAL CAVITY TUBE,8038.0,5626.6,376.44,10393.01,19
CPT,49422,REMOVE TUNNELED IP CATH,7629.0,5340.3,376.44,10393.01,19
CPT,49423,EXCHANGE DRAINAGE CATHETER,3104.0,2172.8,78.46,6316.18,13
CPT,49423,EXCHANGE OF ABDOMINAL CAVITY DRAINAGE TUBE USING IMAGING GUIDANCE,2887.0,2020.9,78.46,6316.18,13
CPT,49424,ASSESS CYST CONTRAST INJECT,721.0,504.7,31.77,3113.0,12
CPT,49424,INJECTION OF CONTRAST THROUGH ABDOMINAL CAVITY TUBE FOR X-RAY STUDY,696.0,487.2,31.77,3113.0,40
CPT,49435,INSERTION OF ABDOMINAL CAVITY TUBE EXTENSION,1.0,0.7,99.74,4277.0,12
CPT,49440,INSERTION OF STOMACH TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST,3859.0,2701.3,227.1,6316.18,37
CPT,49440,PLACE GASTROSTOMY TUBE PERC,4148.0,2903.6,227.1,6316.18,13
CPT,49441,PLACE DUOD/JEJ TUBE PERC,4148.0,2903.6,249.56,6316.18,13
CPT,49446,CHANGE G-TUBE TO G-J PERC,4148.0,2903.6,162.06,6316.18,13
CPT,49446,CONVERSION OF STOMACH TUBE TO STOMACH-TO-SMALL BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST,3859.0,2701.3,162.06,6316.18,13
CPT,49450,REPLACE G/C TUBE PERC,2013.0,1409.1,75.36,2985.39,11
CPT,49450,REPLACEMENT OF STOMACH OR LARGE BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST,1873.0,1311.1,65.53,4277.0,25
CPT,49451,REPLACE DUOD/JEJ TUBE PERC,2578.0,1804.6,90.47,4277.0,13
CPT,49451,REPLACEMENT OF SMALL BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST,2398.0,1678.6,90.47,4277.0,25
CPT,49452,REPLACE G-J TUBE PERC,2480.0,1736.0,141.17,4277.0,13
CPT,49452,REPLACEMENT OF STOMACH-TO-SMALL BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST,2307.0,1614.9,141.17,4277.0,25
CPT,49460,FIX G/COLON TUBE W/DEVICE,1307.0,914.9,46.17,4277.0,13
CPT,49465,CONTRAST INJECTION FOR X-RAY IMAGING THROUGH EXISTING TUBE IN STOMACH; SMALL BOWEL OR LARGE BOWEL,747.0,522.9,30.64,3113.0,23
CPT,49465,FLUORO EXAM OF G/COLON TUBE,803.0,562.1,30.64,3113.0,12
CPT,49505,REPAIR OF GROIN HERNIA (5 YEARS OR OLDER),15800.5,11060.349999999999,467.65,19982.7,127
CPT,49507,REPAIR OF TRAPPED GROIN HERNIA (5 YEARS OR OLDER),13130.0,9191.0,577.36,12617.0,55
CPT,49520,REPAIR OF GROIN HERNIA THAT IS NOT TRAPPED,14494.5,10146.15,1550.0,11785.09,36
CPT,49553,REPAIR OF TRAPPED FEMORAL GROIN HERNIA,9914.0,6939.8,1550.0,12617.0,18
CPT,49591,REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PRO,17438.5,12206.95,315.94,11785.09,25
CPT,49592,REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PRO,21717.5,15202.25,437.72,19899.18,37
CPT,49593,REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PRO,11113.0,7779.1,527.27,21308.95,25
CPT,49594,REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PRO,32479.5,22735.65,685.0,19899.18,25
CPT,49595,REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PRO,21455.01,15018.51,708.07,21308.95,13
CPT,49614,REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); RECURRENT; INCLUDING IMPLANTATION OF MESH OR OTHER P,40861.0,28602.7,1700.0,19899.18,12
CPT,49616,REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); RECURRENT; INCLUDING IMPLANTATION OF MESH OR OTHER P,32245.0,22571.5,747.57,14180.0,13
CPT,49650,REPAIR OF GROIN HERNIA USING AN ENDOSCOPE,18050.0,12635.0,392.49,19899.18,163
CPT,49651,REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE,29406.0,20584.2,507.09,19899.18,91
CPT,49659,OTHER REPAIR OF HERNIA USING AN ENDOSCOPE,13264.0,9284.8,1700.0,19899.18,9
CPT,49999,OTHER PROCEDURE ON ABDOMEN,7234.0,5063.8,1066.21,4277.0,9
CPT,50080,REMOVAL OR CRUSHING KIDNEY STONE OR INSERTION OF KIDNEY STENT USING AN ENDOSCOPE; 2.0 CM OR LESS,24644.0,17250.8,836.97,31159.41,13
CPT,50081,REMOVAL OR CRUSHING KIDNEY STONE OR INSERTION OF KIDNEY STENT USING AN ENDOSCOPE; MORE THAN 2.0 CM,19651.5,13756.05,1218.02,31159.41,25
CPT,50200,NEEDLE BIOPSY OF KIDNEY,14058.0,9840.6,155.81,5436.34,109
CPT,50200,RENAL BIOPSY PERQ,4322.0,3025.4,155.81,5436.34,19
CPT,50382,CHANGE URETER STENT PERCUT,7218.0,5052.6,282.15,7576.0,13
CPT,50384,REMOVE URETER STENT PERCUT,7796.0,5457.2,256.93,7576.0,13
CPT,50386,REMOVE STENT VIA TRANSURETH,6398.0,4478.6,182.09,6880.61,13
CPT,50387,CHANGE NEPHROURETERAL CATH,5112.0,3578.4,102.09,7576.0,13
CPT,50389,REMOVE RENAL TUBE W/FLUORO,1542.0,1079.4,56.32,3131.0,13
CPT,50390,DRAINAGE OF KIDNEY LESION,3699.0,2589.3,102.92,4723.0,19
CPT,50430,INJECTION PROCEDURE FOR IMAGING OF KIDNEY AND URETER THROUGH NEW SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,5183.5,3628.45,819.71,3131.0,18
CPT,50430,NJX PX NFROSGRM &/URTRGRM,1259.0,881.3,168.7,3131.0,12
CPT,50431,INJECTION PROCEDURE FOR IMAGING OF KIDNEY AND URETER THROUGH ALREADY EXISTING SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,1335.0,934.5,68.09,4723.0,20
CPT,50431,NJX PX NFROSGRM &/URTRGRM,1435.0,1004.5,68.09,4723.0,13
CPT,50432,PLACEMENT OF TUBE OF KIDNEY USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,4013.5,2809.45,222.35,7576.0,25
CPT,50432,PLMT NEPHROSTOMY CATHETER,8628.0,6039.6,222.35,7576.0,13
CPT,50433,PLACEMENT OF TUBE OF KIDNEY AND URINARY TUBE THROUGH NEW SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,7625.0,5337.5,274.11,11602.7,37
CPT,50433,PLMT NEPHROURETERAL CATHETER,8197.0,5737.9,274.11,11602.7,13
CPT,50434,CONVERT NEPHROSTOMY CATHETER,8196.0,5737.2,210.44,6880.61,13
CPT,50435,EXCHANGE NEPHROSTOMY CATH,7694.0,5385.8,103.01,6880.61,13
CPT,50435,REPLACEMENT OF KIDNEY DRAINAGE TUBE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,7425.5,5197.85,103.01,6880.61,73
CPT,50436,DILAT XST TRC NDURLGC PX,6947.0,4862.9,152.65,11602.7,12
CPT,50437,DILAT XST TRC NEW ACCESS RCS,9246.0,6472.2,253.6,11602.7,12
CPT,50590,FRAGMENTING OF KIDNEY STONE,10674.0,7471.8,596.33,11602.7,18
CPT,50590,SHOCK WAVE CRUSHING OF KIDNEY STONES,12549.5,8784.650000000001,596.33,11815.0,61
CPT,50592,DESTRUCTION OF GROWTH OF KIDNEY USING RADIOFREQUENCY,12168.0,8517.6,1700.0,19899.18,12
CPT,50592,PERC RF ABLATE RENAL TUMOR,13081.0,9156.7,374.31,19899.18,13
CPT,50593,DESTRUCTION OF GROWTH OF KIDNEY BY FREEZING,22990.0,16093.0,1700.0,34988.72,36
CPT,50593,PERC CRYO ABLATE RENAL TUM,21582.0,15107.4,1700.0,34988.72,12
CPT,50606,ENDOLUMINAL BX URTR RNL PLVS,2208.0,1545.6,121.62,996.0,11
CPT,50688,CHANGE OF URETER TUBE/STENT,9757.0,6829.9,89.3,6880.61,19
CPT,50690,INJECTION FOR URETER X-RAY,249.0,174.3,63.23,996.0,11
CPT,50693,PLACEMENT OF STENT OF URETER THROUGH EXISTING SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,9097.0,6367.9,220.19,11602.7,37
CPT,50693,PLMT URETERAL STENT PRQ,9779.0,6845.3,220.19,11602.7,13
CPT,50694,PLACEMENT OF STENT OF URETER THROUGH NEW SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST,10109.0,7076.3,1550.0,11602.7,12
CPT,50694,PLMT URETERAL STENT PRQ,10109.0,7076.3,284.12,11602.7,13
CPT,50695,PLMT URETERAL STENT PRQ,11759.0,8231.3,359.51,11602.7,13
CPT,50706,BALLOON DILATE URTRL STRIX,5774.0,4041.8,151.97,996.0,11
CPT,50951,EXAM OF KIDNEY AND URETER USING AN ENDOSCOPE INSERTED THROUGH AN ALREADY CREATED URETER OPENING,1.0,0.7,314.12,11602.7,19
CPT,50980,REMOVAL OF FOREIGN BODY OR STONE IN KIDNEY OR URETER USING AN ENDOSCOPE,1.01,0.71,367.0,17648.65,18
CPT,51040,INCISE & DRAIN BLADDER,3720.0,2604.0,354.02,6880.61,15
CPT,51040,INCISION OF BLADDER WITH DRAINAGE,8405.0,5883.5,307.84,7576.0,19
CPT,51100,DRAIN BLADDER BY NEEDLE,1471.0,1029.7,65.73,1419.0,11
CPT,51101,DRAIN BLADDER BY TROCAR/CATH,2314.0,1619.8,87.92,2826.6,11
CPT,51102,ASPIRATION OF BLADDER WITH INSERTION OF BLADDER TUBE TO SKIN,6832.0,4782.4,227.46,6880.61,58
CPT,51102,DRAIN BL W/CATH INSERTION,5112.0,3578.4,227.46,6880.61,13
CPT,51600,INJECTION FOR BLADDER X-RAY,234.0,163.8,36.92,3113.0,12
CPT,51600,INJECTION PROCEDURE FOR IMAGING OF BLADDER DURING VOIDING,218.0,152.6,36.92,3113.0,19
CPT,51610,INJECTION FOR BLADDER X-RAY,207.0,144.9,58.8,996.0,11
CPT,51610,INJECTION PROCEDURE THROUGH BLADDER AND URETHRA FOR X-RAY IMAGING,193.0,135.1,58.8,996.0,8
CPT,51700,SIMPLE BLADDER IRRIGATION AND/OR INSTILLATION,441.0,308.70000000000005,87.81,3113.0,23
CPT,51701,INSERTION OF TEMPORARY BLADDER TUBE,306.0,214.2,80.86,1419.0,21
CPT,51702,SIMPLE INSERTION OF TEMPORARY BLADDER TUBE,297.0,207.9,100.5,1419.0,31
CPT,51703,COMPLICATED INSERTION OF BLADDER TUBE,5233.5,3663.4500000000003,141.0,3113.0,23
CPT,51705,SIMPLE CHANGE OF BLADDER TUBE,1008.0,705.6,110.54,3113.0,55
CPT,51710,CHANGE OF BLADDER TUBE,1474.0,1031.8,181.02,2539.0,15
CPT,51710,COMPLICATED CHANGE OF BLADDER TUBE,9282.0,6497.4,157.41,4723.0,19
CPT,51715,INJECTION OF IMPLANT MATERIAL BENEATH LINING OF BLADDER AND/OR URETHRA USING AN ENDOSCOPE,6526.0,4568.2,254.58,11602.7,37
CPT,51720,INSTILLATION OF ANTI-CANCER DRUG INTO BLADDER,999.0,699.3,126.15,3113.0,75
CPT,51741,ELECTRO-UROFLOWMETRY FIRST,677.0,473.9,17.34,3113.0,12
CPT,51797,INTRAABDOMINAL PRESSURE TEST,911.0,637.7,39.94,996.0,11
CPT,51798,ULTRASOUND MEASUREMENT OF BLADDER CAPACITY AFTER VOIDING,140.0,98.0,19.14,1419.0,31
CPT,51798,US URINE CAPACITY MEASURE,158.0,110.6,16.64,194.18,11
CPT,51990,SUTURE SUSPENSION OF URETHRA TO CONTROL LEAKAGE USING AN ENDOSCOPE,1.0,0.7,759.68,19899.18,13
CPT,51992,CREATION OF SLING AROUND URETHRA TO CONTROL LEAKAGE USING AN ENDOSCOPE,6874.0,4811.8,818.98,19899.18,18
CPT,52000,DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE,4637.0,3245.8999999999996,177.75,3145.0,37
CPT,52001,CYSTO W/IRRG&EVAC MLT CLOTS,5559.0,3891.3,334.86,11602.7,15
CPT,52001,IRRIGATION AND REMOVAL OF MULTIPLE BLOOD CLOTS FROM BLADDER AND URETHRA USING AN ENDOSCOPE,2378.5,1664.9499999999998,291.18,11602.7,37
CPT,52005,CYSTO W/URTRL CATHJ,4686.0,3280.2,212.21,6880.61,15
CPT,52005,INSERTION OF TUBE INTO URETER USING AN ENDOSCOPE THROUGH BLADDER AREA,5778.0,4044.6,184.53,6880.61,55
CPT,52204,BIOPSY OF BLADDER USING AN ENDOSCOPE,5486.0,3840.2,199.59,7576.0,55
CPT,52214,DESTRUCTION OF TISSUE OF BLADDER; URETHRA; OR SURROUNDING GLANDS USING AN ENDOSCOPE,8260.0,5782.0,252.49,11602.7,19
CPT,52224,DESTRUCTION OF GROWTH OF BLADDER AND URETHRA USING AN ENDOSCOPE; LESS THAN 0.5 CM,7822.0,5475.4,235.29,11602.7,19
CPT,52234,DESTRUCTION AND/OR REMOVAL OF GROWTH OF BLADDER AND URETHRA USING AN ENDOSCOPE; 0.5-2.0 CM,8260.0,5782.0,325.06,11815.0,37
CPT,52235,DESTRUCTION AND/OR REMOVAL OF GROWTH OF BLADDER AND URETHRA USING AN ENDOSCOPE; 2.0-5.0 CM,8260.0,5782.0,376.59,11815.0,19
CPT,52240,DESTRUCTION AND/OR REMOVAL OF LARGE GROWTH OF BLADDER USING AN ENDOSCOPE,9063.0,6344.1,607.29,17648.65,37
CPT,52260,DILATION OF BLADDER USING AN ENDOSCOPE UNDER GENERAL OR SPINAL ANESTHESIA,6886.0,4820.2,212.4,6880.61,19
CPT,52276,INCISION OF URETHRA USING AN ENDOSCOPE,5809.0,4066.3,337.09,6880.61,19
CPT,52281,CYSTOSCOPY AND TREATMENT,4656.0,3259.2,382.88,6880.61,15
CPT,52281,DILATION OF URETHRA USING AN ENDOSCOPE,3473.0,2431.1,332.94,7576.0,37
CPT,52282,INSERTION OF A PERMANENT URETHRA STENT USING AN ENDOSCOPE,1.0,0.7,381.49,12617.0,19
CPT,52283,STEROID INJECTION INTO URETHRA STRICTURE USING AN ENDOSCOPE,5809.0,4066.3,234.31,6880.61,19
CPT,52287,EXAM WITH INJECTIONS OF CHEMICAL FOR DESTRUCTION OF BLADDER USING AN ENDOSCOPE,4756.0,3329.2,161.97,7576.0,13
CPT,52310,CYSTOSCOPY AND TREATMENT,4414.0,3089.8,403.33,6880.61,15
CPT,52310,SIMPLE REMOVAL OF FOREIGN BODY; STONE; OR STENT IN URETHRA OR BLADDER USING AN ENDOSCOPE,4318.0,3022.6,350.72,7576.0,55
CPT,52315,COMPLICATED REMOVAL OF FOREIGN BODY; STONE; OR STENT IN URETHRA OR BLADDER USING AN ENDOSCOPE,1.0,0.7,1550.0,6880.61,18
CPT,52317,CRUSHING; FRAGMENTING; AND REMOVAL OF BLADDER STONES; LESS THAN 2.5 CM,1.0,0.7,564.65,11602.7,37
CPT,52318,CRUSHING; FRAGMENTING; AND REMOVAL OF BLADDER STONES; MORE THAN 2.5 CM,1.0,0.7,488.84,11602.7,19
CPT,52320,REMOVAL OF STONE IN URETER USING AN ENDOSCOPE,1.01,0.71,1550.0,11602.7,18
CPT,52332,INSERTION OF STENT IN URETER USING AN ENDOSCOPE,5778.0,4044.6,257.75,11602.7,163
CPT,52341,DILATION OF BLADDER AND URETHRA USING AN ENDOSCOPE,7238.0,5066.6,1550.0,11602.7,15
CPT,52344,REPAIR OF STRICTURE OF URETER USING AN ENDOSCOPE,11078.0,7754.6,1550.0,11815.0,54
CPT,52351,DIAGNOSTIC EXAM OF BLADDER; URETHRA; AND URETER OR KIDNEY USING AN ENDOSCOPE,1.0,0.7,318.57,11602.7,55
CPT,52352,REMOVAL OR MANIPULATION OF STONE IN URETER OR KIDNEY USING AN ENDOSCOPE,5777.0,4043.9,1550.0,11815.0,90
CPT,52353,CRUSHING OF STONE OF URETER USING AN ENDOSCOPE,8990.0,6293.0,432.48,17648.65,91
CPT,52354,BIOPSY AND/OR DESTRUCTION OF GROWTH OF URETER OR KIDNEY USING AN ENDOSCOPE,8259.0,5781.3,398.77,17648.65,55
CPT,52355,REMOVAL OF GROWTH OF URETER OR KIDNEY USING AN ENDOSCOPE,11324.0,7926.8,1550.0,17648.65,15
CPT,52356,CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE,9135.0,6394.5,410.93,17648.65,97
CPT,52500,REMOVAL OF BLADDER NECK THROUGH URETHRA,8551.0,5985.7,494.71,11602.7,19
CPT,52601,REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE,10158.0,7110.6,696.18,17648.65,37
CPT,52640,REMOVAL OF POSTSURGICAL TIGHTENING OF BLADDER NECK,10741.0,7518.700000000001,390.48,11602.7,37
CPT,52648,COMPLETE LASER VAPORIZATION OF PROSTATE INCLUDING CONTROL OF BLEEDING USING AN ENDOSCOPE,13078.0,9154.6,651.2,17648.65,37
CPT,53200,BIOPSY OF URETHRA,6071.0,4249.7,202.42,6880.61,15
CPT,53265,REMOVAL OR DESTRUCTION OF GROWTH OF URETHRA,1.0,0.7,218.95,6880.61,19
CPT,53440,CREATION OF SLING AROUND URETHRA IN MALE TO CONTROL LEAKAGE,23010.0,16107.0,781.65,43427.02,19
CPT,53445,INSERTION OF INFLATABLE URETHRA OR BLADDER NECK SPHINCTER,17708.0,12395.6,844.63,68221.22,19
CPT,53600,DILATE URETHRA STRICTURE,943.0,660.1,117.75,1419.0,11
CPT,53620,DILATE URETHRA STRICTURE,2417.0,1691.9,168.58,2295.19,11
CPT,53854,TRURL DSTRJ PRST8 TISS RF WV,9813.0,6869.1,385.05,11602.7,12
CPT,53899,OTHER PROCEDURE ON URINARY SYSTEM,1.0,0.7,293.71,996.0,8
CPT,53899,UNLISTED PX URINARY SYSTEM,892.0,624.4,293.71,996.0,8
CPT,54001,SLITTING OF PREPUCE,4402.0,3081.4,206.61,6880.61,15
CPT,54100,BIOPSY OF PENIS,3305.0,2313.5,156.56,5436.34,18
CPT,54115,TREATMENT OF PENIS LESION,7202.0,5041.4,479.42,9561.05,15
CPT,54150,CIRCUMCISION W/REGIONL BLOCK,5124.0,3586.8,4754.0,5269.0,4
CPT,54150,REMOVAL OF FORESKIN USING CLAMP OR DEVICE,4763.0,3334.1000000000004,145.74,6880.61,19
CPT,54160,CIRCUMCISION NEONATE,1978.0,1384.6,4754.0,5269.0,4
CPT,54161,REMOVAL OF FORESKIN (OLDER THAN 28 DAYS),10304.0,7212.8,192.85,6880.61,19
CPT,54220,IRRG CRPRA CAVRNOSA PRIAPISM,1178.0,824.6,234.15,2539.0,15
CPT,54235,INJECTION PROCEDURE TO CAUSE ERECTION,587.0,410.9,82.49,1419.0,11
CPT,54405,INSERTION OF MULTICOMPONENT INFLATABLE PENILE IMPLANT,17708.0,12395.6,778.82,68221.22,19
CPT,54410,REMOVAL AND REPLACEMENT OF MULTICOMPONENT INFLATABLE PENILE IMPLANT DURING SAME SURGERY,21984.0,15388.8,882.18,68221.22,19
CPT,54450,REPOSITIONING OF FORESKIN INCLUDING SCAR TISSUE REMOVAL,1093.0,765.1,71.56,2539.0,15
CPT,54512,REMOVAL OF GROWTH OF TESTICLE,6791.0,4753.700000000001,509.12,11602.7,37
CPT,54520,SIMPLE REMOVAL OF TESTICLE,7968.0,5577.6,1550.0,11602.7,18
CPT,54620,SUTURE OF TESTICLE TO OTHER TESTICLE,10450.0,7315.0,1550.0,11602.7,15
CPT,54640,REPOSITIONING AND SUTURE OF MISPLACED TESTICLE,4318.0,3022.6,1550.0,11785.09,18
CPT,54700,DRAINAGE OF SCROTUM,11535.0,8074.5,281.38,6880.61,15
CPT,54840,REMOVAL OF FLUID ACCUMULATION IN SPERM RESERVOIR,9313.5,6519.450000000001,318.74,7576.0,37
CPT,55000,DRAINAGE OF HYDROCELE,2198.0,1538.6,121.92,2330.86,11
CPT,55060,REPAIR OF FLUID COLLECTION IN TESTICLE AND SPERM RESERVOIR,15851.0,11095.7,1550.0,11602.7,18
CPT,55100,DRAINAGE OF ABSCESS OF SCROTUM,4637.0,3245.9,251.69,5436.34,15
CPT,55250,REMOVAL OF SPERM DUCT,8552.0,5986.4,234.7,6880.61,18
CPT,55520,REMOVAL OF GROWTH OF SPERM CORD,1.0,0.7,1550.0,11602.7,90
CPT,55530,REMOVAL OF SPERMATIC CORD VENOUS DILATION OR TYING OF SPERMATIC VEINS,16290.0,11403.0,347.72,11602.7,19
CPT,55700,BIOPSY OF PROSTATE GLAND,7384.0,5168.8,193.96,4723.0,12
CPT,55706,NEEDLE BIOPSY OF PROSTATE GLAND USING IMAGE GUIDANCE,9136.0,6395.2,1500.0,11602.7,12
CPT,55866,SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE,26872.99,18811.09,1690.1,34988.72,13
CPT,55873,CRYOABLATE PROSTATE,27992.0,19594.4,1133.9,31159.41,15
CPT,55874,INJECTION OF BIODEGRADABLE MATERIAL NEXT TO PROSTATE,5778.0,4044.6,1700.0,17648.65,13
CPT,55875,INSERTION OF NEEDLE OR TUBE INTO PROSTATE FOR RADIATION THERAPY,25457.0,17819.9,732.84,17648.65,17
CPT,55876,PLACEMENT OF DEVICE IN PROSTATE FOR RADIATION THERAPY,1.0,0.7,108.75,4723.0,13
CPT,55899,UNLISTED PX MALE GENITAL SYS,782.0,547.4,293.71,1419.0,10
CPT,55920,INSERTION OF NEEDLES OR TUBES INTO PELVIC OR GENITAL ORGANS FOR RADIATION THERAPY,13247.0,9272.9,421.57,16465.85,13
CPT,56405,INCISION AND DRAINAGE OF ABSCESS OF EXTERNAL FEMALE GENITALS,671.0,469.70000000000005,107.01,1419.0,22
CPT,56420,DRAINAGE OF GLAND ABSCESS,851.0,595.7,138.52,1419.0,11
CPT,56420,INCISION AND DRAINAGE OF ABSCESS OF FEMALE GENITAL GLAND,810.0,567.0,138.52,1419.0,11
CPT,56440,MRSPLZATN BRTHLNS GLND CST,8130.0,5691.0,214.21,10655.18,15
CPT,56441,REMOVAL OF SCAR TISSUE OF FEMALE GENITALS,7792.0,5454.4,139.17,10655.18,19
CPT,56501,SIMPLE DESTRUCTION OF GROWTH OF EXTERNAL FEMALE GENITALS,1.0,0.7,114.6,6791.43,12
CPT,56605,BIOPSY OF GROWTH OF EXTERNAL FEMALE GENITALS; FIRST GROWTH,1.0,0.7,73.42,3131.0,12
CPT,56605,BIOPSY OF VULVA/PERINEUM,1916.0,1341.2,73.42,3031.7,12
CPT,56620,SIMPLE PARTIAL REMOVAL OF EXTERNAL FEMALE GENITALS,8703.0,6092.1,502.17,10655.18,37
CPT,56740,REMOVAL OF CYST OF FEMALE GENITAL GLAND,11342.0,7939.4,292.26,10655.18,19
CPT,56800,PLASTIC REPAIR OF VAGINAL OPENING,1.0,0.7,248.15,10655.18,19
CPT,56810,REPAIR OF SKIN IN AREA BETWEEN ANUS AND GENITALS,4792.0,3354.4,262.69,10655.18,19
CPT,57020,REMOVAL OF ABDOMINAL FLUID,8130.0,5691.0,99.14,16465.85,15
CPT,57022,I&D VAGINAL HEMATOMA OB/PP,8473.0,5931.1,164.41,9561.05,12
CPT,57100,BIOPSY VAGINAL MUCOSA SIMPLE,1817.0,1271.9,88.65,3031.7,11
CPT,57105,BIOPSY OF EXTENSIVE AREA OF VAGINAL MUCOUS MEMBRANE,4764.0,3334.8,129.05,10655.18,19
CPT,57120,SUTURE CLOSURE OF VAGINA AND VAGINAL OPENING,1.0,0.7,491.82,16465.85,13
CPT,57130,REMOVAL OF ABNORMAL TISSUE DIVIDING VAGINA,4908.5,3435.95,164.59,10655.18,19
CPT,57135,REMOVAL OF CYST OR GROWTH OF VAGINAL,5471.0,3829.7,178.81,10655.18,19
CPT,57155,INSERT UTERI TANDEM/OVOIDS,8027.0,5618.9,434.07,16465.85,15
CPT,57155,INSERTION OF DEVICE INTO UTERUS FOR RADIATION THERAPY,22777.01,15943.91,434.07,16465.85,19
CPT,57156,INSERTION OF DEVICE INTO VAGINA FOR RADIATION THERAPY,4258.0,2980.6,111.6,3113.0,24
CPT,57180,TREAT VAGINAL BLEEDING,576.0,403.2,145.58,2539.0,15
CPT,57200,REPAIR OF VAGINA,6594.0,4615.8,321.33,10655.18,15
CPT,57200,SUTURE OF NONOBSTETRICAL INJURY OF VAGINA,6381.0,4466.7,279.42,10655.18,19
CPT,57220,PLASTIC REPAIR OF MUSCLES AT URINARY OPENING THROUGH VAGINA,2747.33,1923.1299999999999,1700.0,16465.85,54
CPT,57240,REPAIR OF BLADDER HERNIA INTO VAGINAL WALL,1.0,0.7,401.38,16465.85,19
CPT,57250,REPAIR OF HERNIATED RECTUM INTO VAGINAL WALL,1.0,0.7,372.28,16465.85,19
CPT,57260,PLASTIC REPAIR OF VAGINA AND TISSUE SEPARATING VAGINA; RECTUM; AND BLADDER,1.0,0.7,535.7,16465.85,55
CPT,57265,REPAIR OF BULGING OF RECTUM AND BLADDER INTO VAGINAL WALL,1.0,0.7,709.86,16465.85,37
CPT,57267,INSERTION OF ARTIFICIAL MATERIAL FOR PELVIC FLOOR DEFECT,1.0,0.7,212.81,9366.0,13
CPT,57282,REPAIR OF PELVIC LIGAMENTS THROUGH VAGINA,15367.0,10756.9,1700.0,24408.36,12
CPT,57283,REPAIR OF PROLAPSING VAGINAL VAULT THROUGH VAGINA,14559.0,10191.3,678.15,24408.36,21
CPT,57287,REMOVAL OR REVISION OF INCONTINENCE SLING,8618.0,6032.6,650.9,10655.18,13
CPT,57288,CREATION OF SLING AROUND URETHRA IN FEMALE TO CONTROL LEAKAGE,1.0,0.7,761.16,16465.85,37
CPT,57410,PELVIC EXAM UNDER ANESTHESIA,4159.0,2911.3,126.41,10655.18,19
CPT,57420,EXAM OF VAGINA W/SCOPE,853.0,597.1,99.53,1003.04,12
CPT,57425,SURGICAL REPAIR OF VAGINAL DEFECT USING AN ENDOSCOPE,30385.0,21269.5,911.58,34988.72,36
CPT,57452,EXAM OF CERVIX W/SCOPE,515.0,360.5,93.81,665.45,12
CPT,57454,BX/CURETT OF CERVIX W/SCOPE,853.0,597.1,144.15,1003.04,12
CPT,57455,BIOPSY OF CERVIX W/SCOPE,896.0,627.2,125.57,1003.04,12
CPT,57456,ENDOCERV CURETTAGE W/SCOPE,853.0,597.1,118.41,1003.04,12
CPT,57460,BIOPSY OF CERVIX USING AN ENDOSCOPE WITH LOOP ELECTRODE,4912.0,3438.4,294.56,10655.18,13
CPT,57461,CONE BIOPSY OF CERVIX AND VAGINA USING AN ENDOSCOPE WITH LOOP ELECTRODE,5270.0,3689.0,263.5,10655.18,13
CPT,57500,BIOPSY OF CERVIX,3030.0,2121.0,119.21,3031.7,12
CPT,57505,ENDOCERVICAL CURETTAGE,1916.0,1341.2,92.86,3031.7,12
CPT,57510,CAUTERIZATION OF CERVIX,8130.0,5691.0,139.85,10655.18,11
CPT,57520,REMOVAL OR DESTRUCTION OF CERVIX WITH COLD KNIFE OR LASER,7896.0,5527.2,286.18,10655.18,19
CPT,57522,REMOVAL OR DESTRUCTION OF CERVIX USING LOOP ELECTRODE,4662.0,3263.4,240.64,10655.18,19
CPT,58100,BIOPSY OF UTERUS LINING,803.0,562.1,96.33,996.0,11
CPT,58120,DILATION AND CURETTAGE,9888.0,6921.6,244.94,10655.18,15
CPT,58120,DILATION AND SCRAPING OF UTERUS,2846.0,1992.2,212.99,10655.18,19
CPT,58145,MYOMECTOMY VAG METHOD,5273.0,3691.1,604.31,10655.18,15
CPT,58145,REMOVAL OF GROWTH OF UTERUS THROUGH VAGINA; 1-4 GROWTHS,20016.0,14011.2,525.49,10655.18,19
CPT,58260,REMOVAL OF UTERUS THROUGH VAGINA; 250.0 G OR LESS,17893.0,12525.1,805.54,16465.85,13
CPT,58262,REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH VAGINA; 250.0 G OR LESS,6069.0,4248.3,907.14,16465.85,25
CPT,58263,REMOVAL OF UTERUS; TUBES; AND/OR OVARIES WITH REPAIR OF HERNIATED BOWEL THROUGH VAGINA; 250.0 G OR LESS,16682.0,11677.4,980.22,16465.85,13
CPT,58300,INSERT INTRAUTERINE DEVICE,234.0,163.8,92.0,1419.0,4
CPT,58300,INSERTION OF IUD FOR PREGNANCY PREVENTION,1.0,0.7,80.0,996.0,4
CPT,58301,REMOVAL OF IUD,562.0,393.40000000000003,87.66,1419.0,22
CPT,58322,ARTIFICIAL INSEMINATION,515.0,360.5,77.85,665.45,12
CPT,58340,CATHETER FOR HYSTEROGRAPHY,299.0,209.3,52.7,3113.0,12
CPT,58340,INSERTION OF TUBE AND INTRODUCTION OF CONTRAST FOR X-RAY OF UTERUS AND FALLOPIAN TUBES,278.0,194.6,52.7,3113.0,23
CPT,58345,REOPEN FALLOPIAN TUBE,5579.0,3905.3,285.82,10655.18,11
CPT,58350,INJECTION OF X-RAY CONTRAST INTO FALLOPIAN TUBE,11503.0,8052.1,1550.0,16465.85,18
CPT,58542,PARTIAL REMOVAL OF UTERUS; TUBES; AND/OR OVARIES WITH RETENTION OF CERVIX USING AN ENDOSCOPE; 250.0 G OR LESS,1.0,0.7,874.52,34988.72,13
CPT,58544,PARTIAL REMOVAL OF UTERUS; TUBES; AND/OR OVARIES WITH RETENTION OF CERVIX USING AN ENDOSCOPE; MORE THAN 250.0 G,21429.0,15000.3,961.69,34988.72,13
CPT,58545,REMOVAL OF GROWTH OF UTERUS USING AN ENDOSCOPE; 250.0 G OR LESS,15812.0,11068.4,891.99,19899.18,19
CPT,58552,REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH VAGINA USING AN ENDOSCOPE; 250.0 G OR LESS,14562.0,10193.4,976.81,34988.72,13
CPT,58554,REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH VAGINA USING AN ENDOSCOPE; MORE THAN 250.0 G,27359.75,19151.825,1314.64,34988.72,24
CPT,58555,DIAGNOSTIC EXAM OF UTERUS USING AN ENDOSCOPE,7290.0,5103.0,202.1,10655.18,19
CPT,58558,BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE,5926.5,4148.55,283.21,10655.18,37
CPT,58559,RELEASE OF SCAR TISSUE OF UTERUS USING AN ENDOSCOPE,3039.0,2127.3,364.2,16465.85,19
CPT,58561,REMOVAL OF GROWTH OF MUSCLE OF UTERUS USING AN ENDOSCOPE,3039.0,2127.3,584.6,16465.85,19
CPT,58562,REMOVAL OF FOREIGN BODY IN UTERUS USING AN ENDOSCOPE,5876.0,4113.2,309.53,11815.0,19
CPT,58563,EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE,10703.75,7492.625,365.02,16465.85,37
CPT,58571,REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS,18615.5,13030.849999999999,919.67,34988.72,24
CPT,58573,REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; MORE THAN 250.0 G,25670.5,17969.35,1172.84,34988.72,24
CPT,58579,OTHER PROCEDURE ON UTERUS ACCESSED THROUGH VAGINA USING AN ENDOSCOPE,5371.0,3759.7,237.66,996.0,8
CPT,58661,REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE,8704.0,6092.8,661.78,19899.18,91
CPT,58662,DESTRUCTION OR REMOVAL OF OVARY OR GROWTH OF PELVIS USING AN ENDOSCOPE,16178.0,11324.6,719.6,19899.18,55
CPT,58925,REMOVAL OF CYSTS OF OVARIES,13653.0,9557.1,698.88,16465.85,13
CPT,58999,OTHER PROCEDURE ON FEMALE GENITAL SYSTEM (NONOBSTETRICAL),1.0,0.7,237.66,996.0,8
CPT,58999,UNLISTED PX FML GENITAL SYS,583.0,408.1,237.66,665.45,7
CPT,59000,AMNIOCENTESIS DIAGNOSTIC,1966.0,1376.2,87.76,3131.0,13
CPT,59000,REMOVAL OF SAMPLE OF AMNIOTIC FLUID SURROUNDING FETUS FOR DIAGNOSIS,1829.0,1280.3,87.76,3131.0,25
CPT,59015,CHORION BIOPSY,2447.0,1712.9,146.14,3031.7,11
CPT,59015,REMOVAL OF TISSUE FROM PLACENTA FOR DIAGNOSIS,2330.0,1631.0,146.14,3031.7,18
CPT,59020,FETAL CONTRACT STRESS TEST,397.0,277.9,4754.0,5269.0,4
CPT,59025,FETAL TEST,484.0,338.8,11.55,909.0,31
CPT,59151,REMOVAL OF OVARIAN OR TUBAL PREGNANCY WITH REMOVAL OF OVARY AND/OR TUBE USING AN ENDOSCOPE,10521.5,7365.049999999999,780.83,19899.18,25
CPT,59160,D & C AFTER DELIVERY,3892.0,2724.4,246.41,10655.18,15
CPT,59160,SCRAPING OF LINING OF UTERUS AFTER DELIVERY,6381.0,4466.7,214.27,10655.18,19
CPT,59200,INSERT CERVICAL DILATOR,895.0,626.5,4754.0,5269.0,4
CPT,59300,EPISIOTOMY OR REPAIR OF VAGINA,5151.0,3605.7,150.58,10655.18,13
CPT,59300,EPISIOTOMY OR VAGINAL REPAIR,9135.0,6394.5,173.17,10655.18,11
CPT,59320,REVISION OF CERVIX,6001.0,4200.7,165.75,10655.18,19
CPT,59320,SUTURE OF CERVIX DURING PREGNANCY THROUGH VAGINA,5582.0,3907.4,165.75,10655.18,19
CPT,59409,OBSTETRICAL CARE,3711.0,2597.7,877.0,10655.18,11
CPT,59412,TURNING OF FETUS THROUGH EXTERNAL MANIPULATION,5610.0,3927.0,4754.0,5269.0,4
CPT,59414,DELIVER PLACENTA,9135.0,6394.5,120.5,10655.18,15
CPT,59514,CESAREAN DELIVERY ONLY,3459.0,2421.3,769.32,2154.1,11
CPT,59525,REMOVE UTERUS AFTER CESAREAN,4543.0,3180.1,396.75,1110.9,11
CPT,59812,TREATMENT OF MISCARRIAGE,7720.0,5404.0,290.61,10655.18,53
CPT,59820,TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER,7004.5,4903.15,337.64,10655.18,34
CPT,59821,TREATMENT OF MISCARRIAGE,10130.0,7091.0,351.93,10655.18,19
CPT,59821,TREATMENT OF MISCARRIAGE DURING SECOND TRIMESTER,6734.5,4714.15,351.93,10655.18,34
CPT,59840,INDUCED ABORTION BY DILATION AND SCRAPING OF UTERINE,4159.0,2911.3,239.66,10655.18,15
CPT,59840,INDUCED ABORTION D&C,10688.0,7481.6,239.66,10655.18,19
CPT,59841,INDUCED ABORTION BY DILATION,7542.0,5279.4,368.69,10655.18,34
CPT,59841,INDUCED ABORTION DILAT&EVAC,9236.0,6465.2,368.69,10655.18,19
CPT,60000,DRAIN THYROID/TONGUE CYST,4584.0,3208.8,142.04,5107.14,13
CPT,60100,BIOPSY OF THYROID,1912.0,1338.4,82.88,2330.86,12
CPT,60100,NEEDLE BIOPSY OF THYROID THROUGH SKIN,1779.0,1245.3,82.88,3131.0,51
CPT,60210,PARTIAL REMOVAL OF THYROID LOBE ON SIDE OF NECK,14068.0,9847.6,673.6,19899.18,13
CPT,60220,REMOVAL OF THYROID LOBE ON SIDE OF NECK,25055.0,17538.5,735.25,19899.18,37
CPT,60240,REMOVAL OF THYROID,23448.0,16413.6,965.2,19899.18,13
CPT,60252,REMOVAL OF THYROID AND SURROUNDING LYMPH NODES WITH LIMITED NECK REMOVAL,23314.0,16319.8,1249.62,19485.45,13
CPT,60260,REMOVAL OF REMAINING THYROID TISSUE FROM PRIOR OPERATION,23716.0,16601.2,1063.78,19485.45,37
CPT,60271,REMOVAL OF THYROID THROUGH CHEST OR BACK,27602.0,19321.4,1031.42,19485.45,13
CPT,60280,REMOVAL OF CYST OF THYROID OR DRAINAGE OF THYROID GLAND DUCT,19424.0,13596.8,426.56,19899.18,19
CPT,60300,ASPIR/INJ THYROID CYST,3550.0,2485.0,70.35,3131.0,12
CPT,60500,REMOVAL OR EXPLORATION OF PARATHYROID GLANDS,18339.5,12837.65,968.57,19485.45,49
CPT,60512,REMOVAL AND REIMPLANTATION OF PARATHYROID TISSUE,1.0,0.7,203.24,996.0,11
CPT,60520,REMOVAL OF THYMUS GLAND THROUGH NECK,23326.0,16328.2,1032.07,19485.45,13
CPT,60660,ABLTJ 1/+THYR NDUL 1LOBE PRQ,5162.0,3613.4,1941.55,5436.34,7
CPT,60661,ABLTJ 1/+THYR NDUL ADDL PRQ,0.01,0.01,184.66,517.05,7
CPT,60699,UNLISTED PX ENDOCRINE SYSTEM,19053.5,13337.45,1700.0,19899.18,18
CPT,61026,INJECTION INTO BRAIN CANAL,2440.0,1708.0,129.96,4723.0,19
CPT,61070,BRAIN CANAL SHUNT PROCEDURE,2946.0,2062.2,126.8,3145.0,18
CPT,61154,BURR HOLE W/EVAC&/DRG HMTMA,12993.0,9095.1,877.0,3518.03,11
CPT,61210,BURR HOLE FOR INSERTION OF BRAIN TUBE OR MONITORING DEVICE,13009.0,9106.3,311.32,11815.0,12
CPT,61623,BALLOON OCCLUSION OF HEAD OR NECK ARTERY WITH REVIEW BY RADIOLOGIST,18274.0,12791.8,570.14,37998.38,13
CPT,61623,ENDOVASC TEMPORY VESSEL OCCL,19645.0,13751.5,570.14,37998.38,13
CPT,61624,TCAT PERM OCCLS/EMBOLJ CNS,28909.0,20236.3,1091.72,60339.64,13
CPT,61626,OCCLUSION OF HEAD OR NECK ARTERY,27189.5,19032.65,882.75,37998.38,13
CPT,61626,TCAT PERM OCCLS/EMBOL NONCNS,19645.0,13751.5,882.75,37998.38,13
CPT,61630,INTRACRANIAL ANGIOPLASTY,43804.0,30662.8,1110.21,3362.32,11
CPT,61635,INTRACRAN ANGIOPLSTY W/STENT,42324.0,29626.8,1215.3,3635.07,11
CPT,61640,DILATE IC VASOSPASM INIT,43804.0,30662.8,533.87,1335.0,4
CPT,61641,DILAT IC VSPSM EA VSL SM TER,8257.0,5779.9,187.42,1335.0,4
CPT,61642,DILAT IC VSPSM EA DIFF TER,21903.0,15332.1,375.22,1335.0,4
CPT,61645,PERQ ART M-THROMBECT &/NFS,23223.0,16256.1,712.14,1993.99,11
CPT,61650,EVASC PRLNG ADMN RX AGNT 1ST,18644.0,13050.8,491.03,1374.88,11
CPT,61650,INFUSION OF CHEMICAL AGENT INTO ARTERY OF BRAIN WITH INSERTION OF TUBE AND IMAGING; INITIAL TERRITORY,14109.8,9876.86,491.03,1374.88,11
CPT,61651,EVASC PRLNG ADMN RX AGNT ADD,20716.0,14501.2,209.96,1335.0,11
CPT,61651,INFUSION OF CHEMICAL AGENT INTO ARTERY OF BRAIN WITH INSERTION OF TUBE AND IMAGING; EACH ADDITIONAL TERRITORY,14109.8,9876.86,209.96,1335.0,11
CPT,61715,MRGFUS STRTCTC ABLT TRGT ICR,39728.0,27809.6,13098.87,36676.84,7
CPT,61782,COMPUTER-ASSISTED PROCEDURE OUTSIDE MEMBRANE COVERING BRAIN,2364.5,1655.1499999999999,141.3,996.0,19
CPT,61880,REVISION OR REMOVAL OF BRAIN NEUROSTIMULATOR ELECTRODES,1.0,0.7,471.7,11507.64,13
CPT,61885,INSERTION OF BRAIN NEUROSTIMULATOR PULSE DEVICE WITH CONNECTION TO SINGLE ELECTRODE ARRAY,11473.0,8031.1,483.71,101569.89,19
CPT,61886,INSERTION OF BRAIN NEUROSTIMULATOR PULSE DEVICE WITH CONNECTION TO 2 OR MORE ELECTRODE ARRAYS,16369.0,11458.3,617.98,101569.89,35
CPT,61888,REMOVAL OF BRAIN NEUROSTIMULATOR DEVICE,14280.5,9996.35,1550.0,36676.84,30
CPT,62267,INTERDISCAL PERQ ASPIR DX,4712.0,3298.4,160.81,3131.0,12
CPT,62270,DX LMBR SPI PNXR,1970.0,1379.0,116.5,2539.0,15
CPT,62270,REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST,1833.0,1283.1,101.3,3145.0,33
CPT,62272,THER SPI PNXR DRG CSF,1331.0,931.7,126.98,2539.0,15
CPT,62273,INJECT EPIDURAL PATCH,3437.0,2405.9,130.13,2539.0,15
CPT,62273,INJECTION OF BLOOD OR BLOOD CLOT INTO SPINAL CANAL,3197.0,2237.9,113.16,3145.0,19
CPT,62284,INJECTION FOR MYELOGRAM,435.0,304.5,71.8,996.0,11
CPT,62290,INJECTION OF CONTRAST FOR IMAGING OF EACH LEVEL OF LOWER SPINE,1368.0,957.6,143.91,4723.0,12
CPT,62290,NJX PX DISCOGRAPHY LUMBAR,435.0,304.5,143.91,402.95,11
CPT,62291,NJX PX DISCOGRAPHY CRV/THRC,465.0,325.5,134.44,4723.0,12
CPT,62292,NJX CHEMONUCLEOLYSIS LMBR,6745.0,4721.5,501.16,6427.51,13
CPT,62302,X-RAY OF UPPER SPINAL CANAL WITH REVIEW BY RADIOLOGIST,2905.0,2033.5,123.32,3131.0,13
CPT,62303,MYELOGRAPHY LUMBAR INJECTION,2905.0,2033.5,125.3,3131.0,12
CPT,62303,X-RAY OF MIDDLE SPINAL CANAL WITH REVIEW BY RADIOLOGIST,2702.0,1891.4,921.54,3131.0,9
CPT,62304,MYELOGRAPHY LUMBAR INJECTION,2905.0,2033.5,121.18,3131.0,13
CPT,62304,X-RAY OF LOWER SPINAL CANAL WITH REVIEW BY RADIOLOGIST,2702.0,1891.4,121.18,3131.0,13
CPT,62305,MYELOGRAPHY LUMBAR INJECTION,2547.0,1782.9,126.56,3131.0,13
CPT,62305,X-RAY OF MULTIPLE REGIONS OF SPINAL CANAL WITH REVIEW BY RADIOLOGIST,2369.0,1658.3,126.56,3131.0,13
CPT,62320,INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL,684.0,478.8,102.25,3131.0,13
CPT,62320,NJX INTERLAMINAR CRV/THRC,2150.0,1505.0,102.25,3131.0,13
CPT,62321,INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE,1469.0,1028.3,110.15,3131.0,62
CPT,62322,INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL,1368.0,957.6,88.16,3131.0,50
CPT,62323,INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE,1119.5,783.65,100.65,3131.0,122
CPT,62324,NJX INTERLAMINAR CRV/THRC,3163.0,2214.1,91.19,3131.0,12
CPT,62326,NJX INTERLAMINAR LMBR/SAC,2533.0,1773.1,90.35,3131.0,12
CPT,62327,INSERTION OF TUBE AND INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE,1470.0,1029.0,96.05,3131.0,12
CPT,62327,NJX INTERLAMINAR LMBR/SAC,3163.0,2214.1,96.05,3131.0,12
CPT,62328,DX LMBR SPI PNXR W/FLUOR/CT,2420.0,1694.0,270.16,3131.0,13
CPT,62328,REMOVAL OF SPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST USING IMAGING GUIDANCE,2251.0,1575.7,270.16,3131.0,49
CPT,62329,THER SPI PNXR CSF FLUOR/CT,2614.0,1829.8,191.87,3131.0,12
CPT,62350,IMPLANT SPINAL CANAL CATH,21910.0,15337.0,448.39,28886.2,19
CPT,62362,IMPLANT SPINE INFUSION PUMP,60894.0,42625.8,476.75,59326.57,19
CPT,62362,INSERTION OF PROGRAMMABLE SPINAL CANAL DRUG INFUSION PUMP,3867.0,2706.9,476.75,59326.57,19
CPT,62367,ANALYZE SPINE INFUS PUMP,968.5,677.95,23.1,3113.0,24
CPT,62368,ANALYZE SP INF PUMP W/REPROG,1431.0,1001.7,36.71,1010.97,12
CPT,62368,ELECTRONIC ANALYSIS AND REPROGRAMMING OF SPINAL CANAL DRUG INFUSION PUMP,1431.0,1001.7,186.0,1010.97,8
CPT,62370,ELECTRONIC ANALYSIS REPROGRAMMING AND REFILL OF SPINAL CANAL DRUG INFUSION PUMP BY PHYSICIAN,442.0,309.40000000000003,46.02,3113.0,24
CPT,62380,RELEASE OF LOWER SPINAL CORD AND/OR NERVE ROOT USING ENDOSCOPE,31628.0,22139.6,1700.0,23884.25,18
CPT,63005,PARTIAL REMOVAL OF SPINE BONE WITH EXPLORATION AND/OR RELEASE OF LOWER SPINAL CORD OR NERVES; 1-2 SEGMENTS,29123.0,20386.1,1065.74,23884.25,13
CPT,63030,PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC,25722.0,18005.4,882.66,23884.25,37
CPT,63042,PARTIAL REMOVAL OF SPINE BONE WITH RE-EXPLORATION; RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC; 1 INTERSPACE,40467.0,28326.9,1700.0,23884.25,12
CPT,63045,PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF UPPER SPINAL CORD AND/OR NERVES; 1 SEGMENT,59493.01,41645.11,1159.21,23884.25,13
CPT,63047,PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT,21962.0,15373.4,1047.64,23884.25,37
CPT,63048,PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF SPINAL CORD AND/OR NERVES; EACH ADDITIONAL SEGMENT,1.0,0.7,177.08,996.0,11
CPT,63650,IMPLANT NEUROELECTRODES,17763.0,12434.1,397.32,20977.07,15
CPT,63650,INSERTION OF SPINAL NEUROSTIMULATOR ELECTRODE ARRAY THROUGH SKIN,1419.5,993.65,397.32,20977.07,37
CPT,63661,INSERTION OF SPINAL NEUROSTIMULATOR ELECTRODE ARRAY USING FLUOROSCOPIC GUIDANCE,1.0,0.7,300.81,6427.51,13
CPT,63661,REMOVE SPINE ELTRD PERQ ARAY,6745.0,4721.5,300.81,6427.51,13
CPT,63663,REVISE SPINE ELTRD PERQ ARAY,23679.0,16575.3,452.37,20977.07,13
CPT,63663,REVISION OF SPINAL NEUROSTIMULATOR ELECTRODE ARRAY USING FLUOROSCOPIC GUIDANCE,1.0,0.7,452.37,20977.07,13
CPT,63685,INS/RPLC SPI NPG/RCVR POCKET,113167.0,79216.9,463.85,101569.89,19
CPT,63685,INSERTION OF SPINAL NEUROSTIMULATOR GENERATOR OR RECEIVER,2495.0,1746.5,463.85,101569.89,19
CPT,63688,REMOVAL OR REVISION OF NEUROSTIMULATOR GENERATOR OR RECEIVER,2838.0,1986.6,373.35,11507.64,19
CPT,63688,REV/RMV IMP SP NPG/R DTCH CN,11711.0,8197.7,373.35,11507.64,19
CPT,64400,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO FACE NERVE,673.5,471.45000000000005,87.39,3113.0,32
CPT,64405,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE,1287.665,901.365,92.27,1515.5,125
CPT,64408,NJX AA&/STRD VAGUS NRV,761.0,532.7,99.36,1010.35,12
CPT,64415,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO ARM NERVE BUNDLE,3750.5,2625.35,996.0,3145.0,108
CPT,64415,NJX AA&/STRD BRCH PLXS IMG,1562.0,1093.4,89.76,3145.0,19
CPT,64416,NJX AA&/STRD BRCH PL NFS IMG,1392.0,974.4,171.71,3131.0,13
CPT,64417,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER ARM AND SHOULDER NERVE,1.0,0.7,996.0,3145.0,18
CPT,64417,NJX AA&/STRD AX NERVE IMG,1235.0,864.5,90.14,3145.0,19
CPT,64418,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO SUPRASCAPULAR SHOULDER NERVE,2270.0,1589.0,89.18,3485.16,113
CPT,64418,NJX AA&/STRD SPRSCAP NRV,2440.0,1708.0,89.18,2323.44,12
CPT,64420,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO RIB NERVE,1418.5,992.95,115.94,3485.16,63
CPT,64420,NJX AA&/STRD NTRCOST NRV 1,1808.0,1265.6,115.94,2539.0,15
CPT,64421,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO MULTIPLE RIB NERVES FOR REGIONAL NERVE BLOCK,197.625,138.34,156.41,4366.94,63
CPT,64421,NJX AA&/STRD NTRCOST NRV EA,3263.0,2284.1,156.41,3145.0,18
CPT,64425,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO LOWER ABDOMEN AND GROIN NERVE,1368.0,957.6,829.8,3131.0,9
CPT,64425,NJX AA&/STRD II IH NERVES,2690.0,1883.0,97.4,3131.0,12
CPT,64430,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO EXTERNAL GENITALS AND ANUS NERVE,1368.0,957.6,96.71,4366.94,73
CPT,64430,NJX AA&/STRD PUDENDAL NERVE,3136.0,2195.2,96.71,3145.0,19
CPT,64445,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO LOWER BACK AND LEG NERVE,1471.0,1029.7,100.82,3131.0,61
CPT,64445,NJX AA&/STRD SCIATIC NRV IMG,2052.0,1436.4,115.94,2323.44,11
CPT,64447,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO THIGH NERVE,2387.875,1671.5149999999999,829.8,3485.16,120
CPT,64447,NJX AA&/STRD FEMORAL NRV IMG,1953.0,1367.1,76.23,3131.0,13
CPT,64450,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO OTHER NERVE OR BRANCH,1664.5,1165.15,72.16,3485.16,228
CPT,64454,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO KNEE NERVE BRANCH USING IMAGING GUIDANCE,1368.0,957.6,221.16,3485.16,73
CPT,64454,NJX AA&/STRD GNCLR NRV BRNCH,1920.0,1344.0,221.16,3131.0,13
CPT,64455,NJX AA&/STRD PLTR COM DG NRV,975.0,682.5,47.07,1010.35,12
CPT,64483,INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL,1367.5,957.25,198.54,4366.94,269
CPT,64484,INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; EACH ADDITIONAL LEVEL,229.0,160.29999999999998,43.77,3145.0,152
CPT,64486,INJECTION OF LOCAL ANESTHETIC FOR ABDOMINAL WALL PAIN CONTROL ON SIDE USING IMAGING GUIDANCE,13367.0,9356.9,48.03,996.0,8
CPT,64486,TAP BLOCK UNIL BY INJECTION,166.0,116.2,48.03,996.0,11
CPT,64488,INJECTION OF LOCAL ANESTHETIC FOR ABDOMINAL WALL PAIN CONTROL ON BOTH SIDES USING IMAGING GUIDANCE,1.0,0.7,56.06,3113.0,22
CPT,64488,TAP BLOCK BI INJECTION,630.0,441.0,56.06,3113.0,12
CPT,64489,TAP BLOCK BI BY INFUSION,651.0,455.7,69.89,996.0,11
CPT,64490,INJ PARAVERT F JNT C/T 1 LEV,2432.0,1702.4,162.96,2911.3,11
CPT,64490,INJECTION OF UPPER OR MIDDLE SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL,1367.0,956.9,162.96,4366.94,68
CPT,64491,INJ PARAVERT F JNT C/T 2 LEV,292.0,204.4,50.51,141.43,11
CPT,64491,INJECTION OF UPPER OR MIDDLE SPINE FACET JOINT USING IMAGING GUIDANCE; SECOND LEVEL,146.5,102.55,50.51,996.0,50
CPT,64492,INJ PARAVERT F JNT C/T 3 LEV,288.0,201.6,51.26,143.53,11
CPT,64492,INJECTION OF UPPER OR MIDDLE SPINE FACET JOINT USING IMAGING GUIDANCE; THIRD AND ANY ADDITIONAL LEVEL,228.5,159.95,51.26,996.0,35
CPT,64493,INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL,684.0,478.8,148.47,4366.94,101
CPT,64494,INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SECOND LEVEL,473.16499999999996,331.21500000000003,43.77,996.0,87
CPT,64495,INJ PARAVERT F JNT L/S 3 LEV,286.0,200.2,45.29,126.81,11
CPT,64495,INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; THIRD AND ANY ADDITIONAL LEVEL,184.875,129.415,45.29,996.0,51
CPT,64505,INJECTION OF ANESTHETIC AGENT; TRIGEMINAL NERVE BUNDLE,736.0,515.2,360.84,3113.0,22
CPT,64505,N BLOCK SPENOPALATINE GANGL,1005.0,703.5,85.18,3113.0,12
CPT,64510,INJECTION OF ANESTHETIC AGENT INTO SYMPATHETIC NERVE BUNDLE,1467.49,1027.245,152.43,4366.94,92
CPT,64517,INJECTION OF ANESTHETIC AGENT INTO SACRAL NERVE BUNDLE,1077.5,754.25,121.03,4277.0,37
CPT,64517,N BLOCK INJ HYPOGAS PLXS,3163.0,2214.1,121.03,4277.0,19
CPT,64520,INJECTION OF ANESTHETIC AGENT INTO MIDDLE OR LOWER SPINE SYMPATHETIC NERVE,1470.0,1029.0,202.85,4366.94,145
CPT,64520,N BLOCK LUMBAR/THORACIC,3163.0,2214.1,202.85,3145.0,19
CPT,64530,INJECTION OF ANESTHETIC AGENT INTO ABDOMINAL SYMPATHETIC NERVE BUNDLE,684.505,479.15500000000003,110.95,3145.0,55
CPT,64530,N BLOCK INJ CELIAC PELUS,3161.0,2212.7,110.95,3145.0,19
CPT,64561,INSERTION OF SACRAL NERVE NEUROSTIMULATOR ELECTRODE ARRAY,7795.0,5456.5,407.25,20977.07,19
CPT,64568,INSERTION OF CRANIAL NERVE NEUROSTIMULATOR ELECTRODE AND GENERATOR,26833.0,18783.1,708.36,145695.42,12
CPT,64581,INSERTION OF SACRAL NERVE NEUROSTIMULATOR ELECTRODE,1.0,0.7,755.15,20977.07,19
CPT,64585,REVISION OF PERIPHERAL NEUROSTIMULATOR ELECTRODES,1.0,0.7,170.78,11507.64,19
CPT,64590,INSERTION OF PERIPHERAL OR GASTRIC NEUROSTIMULATOR GENERATOR,10824.0,7576.8,189.31,63856.58,19
CPT,64595,REVISION OF PERIPHERAL OR GASTRIC NEUROSTIMULATOR GENERATOR,10116.0,7081.2,149.53,11507.64,19
CPT,64611,INJECTION OF CHEMICAL FOR PARALYSIS OF SALIVARY GLANDS ON BOTH SIDES OF MOUTH,935.0,654.5,111.76,1010.35,28
CPT,64612,INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON SIDE OF FACE,1416.0,991.1999999999999,144.34,1515.5,52
CPT,64615,INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE,944.0,660.8,124.08,3113.0,31
CPT,64616,INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON SIDE OF NECK EXCLUDING VOICE BOX,1526.0,1068.2,144.34,1515.5,43
CPT,64617,CHEMODENER MUSCLE LARYNX EMG,1804.0,1262.8,179.8,2323.44,12
CPT,64620,INJECTION TREATMENT OF NERVE,3163.0,2214.1,264.77,3145.0,19
CPT,64624,DESTRUCTION OF NERVE BRANCHES OF KNEE USING IMAGING GUIDANCE,1711.0,1197.7,425.6,6427.51,61
CPT,64624,DSTRJ NULYT AGT GNCLR NRV,5787.0,4050.9,425.6,6427.51,13
CPT,64625,DESTRUCTION OF NERVES SUPPLYING JOINT BETWEEN SPINE AND PELVIS USING IMAGING GUIDANCE,1662.0,1163.4,518.15,6427.51,61
CPT,64625,RF ABLTJ NRV NRVTG SI JT,5787.0,4050.9,518.15,6427.51,13
CPT,64633,DESTROY CERV/THOR FACET JNT,5059.0,3541.3,451.82,6427.51,11
CPT,64633,DESTRUCTION OF UPPER OR MIDDLE SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT,1156.5,809.5500000000001,457.9,6427.51,49
CPT,64634,DESTROY C/TH FACET JNT ADDL,724.0,506.8,57.56,244.44,11
CPT,64634,DESTRUCTION OF UPPER OR MIDDLE SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; EACH ADDITIONAL FACET JOINT,477.25,334.07500000000005,57.56,996.0,35
CPT,64635,DESTROY LUMB/SAC FACET JNT,6745.0,4721.5,450.03,6427.51,13
CPT,64635,DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT,1027.0,718.9,450.03,6427.51,61
CPT,64636,DESTROY L/S FACET JNT ADDL,6745.0,4721.5,50.51,996.0,11
CPT,64636,DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; EACH ADDITIONAL FACET JOINT,855.5,598.85,50.51,996.0,35
CPT,64640,DESTRUCTION OF PERIPHERAL NERVE OR BRANCH,1514.5,1060.15,234.19,4366.94,74
CPT,64640,INJECTION TREATMENT OF NERVE,2606.0,1824.2,234.19,3131.0,13
CPT,64642,INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON ARM OR LEG; 1-4 MUSCLES; FIRST EXTREMITY,2782.0,1947.4,106.51,2323.44,20
CPT,64643,INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON ARM OR LEG; 1-4 MUSCLES; EACH ADDITIONAL EXTREMITY,261.0,182.7,58.25,186.0,20
CPT,64644,INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON ARM OR LEG; 5 OR MORE MUSCLES; FIRST EXTREMITY,2287.0,1600.9,116.29,2323.44,20
CPT,64645,CHEMODENERV 1 EXTREM 5/> EA,430.0,301.0,67.57,189.2,12
CPT,64646,CHEMODENERV TRUNK MUSC 1-5,2782.0,1947.4,115.21,2323.44,12
CPT,64647,CHEMODENERV TRUNK MUSC 6/>,2817.0,1971.9,132.81,3131.0,12
CPT,64680,INJECTION OF AGENT TO DESTROY ABDOMINAL NERVE BUNDLE,5016.0,3511.2,304.81,4723.0,37
CPT,64680,INJECTION TREATMENT OF NERVE,5392.0,3774.4,304.81,4723.0,19
CPT,64681,INJECTION TREATMENT OF NERVE,2942.0,2059.4,420.16,4723.0,19
CPT,64704,RELEASE OF HAND OR FOOT NERVE,1.0,0.7,324.63,6427.51,19
CPT,64708,RELEASE OF ARM OR LEG NERVE,24874.01,17411.81,456.55,7576.0,19
CPT,64718,RELEASE AND/OR RELOCATION OF ELBOW NERVE,8044.2,5630.94,1550.0,7576.0,54
CPT,64719,RELEASE AND/OR RELOCATION OF WRIST NERVE,9170.68,6419.48,1550.0,7576.0,90
CPT,64721,RELEASE AND/OR RELOCATION OF HAND NERVE,7106.0,4974.2,1550.0,6427.51,144
CPT,64772,INCISION OR REMOVAL OF SPINAL NERVE,17552.75,12286.925,1550.0,6427.51,36
CPT,64774,REMOVAL OF GROWTH OF SKIN NERVE,8307.5,5815.25,1550.0,11815.0,36
CPT,64787,IMPLANTATION OF NERVE END INTO BONE OR MUSCLE,1.0,0.7,198.55,4277.0,28
CPT,64792,REMOVAL OF GROWTH OF MAJOR PERIPHERAL NERVE OR NERVE LINING; EXTENSIVE INCLUDING GROWTH,21425.0,14997.5,1700.0,11815.0,18
CPT,64831,REPAIR OF DIGIT NERVE,17155.0,12008.5,787.72,6427.51,15
CPT,64831,SUTURE OF HAND OR FOOT DIGITAL NERVE; FIRST DIGITAL NERVE,15814.0,11069.800000000001,684.97,7576.0,55
CPT,64832,REPAIR NERVE ADD-ON,8125.0,5687.5,274.99,2539.0,15
CPT,64832,SUTURE OF HAND OR FOOT DIGITAL NERVE; EACH ADDITIONAL DIGITAL NERVE,1.0,0.7,274.99,3145.0,14
CPT,64864,REPAIR OF FACIAL NERVE,10150.0,7105.0,877.0,28886.2,15
CPT,64905,TRANSFER OF NERVE TO INJURED NERVE; STAGE 1 OF 2,35817.0,25071.9,1700.0,28886.2,15
CPT,64912,REPAIR OF NERVE USING NERVE GRAFT; FIRST STRAND,53642.0,37549.4,1700.0,28886.2,12
CPT,64913,REPAIR OF NERVE USING NERVE GRAFT; EACH ADDITIONAL STRAND,1.0,0.7,143.25,996.0,8
CPT,64999,OTHER PROCEDURE ON NERVOUS SYSTEM,12104.5,8473.15,360.84,1010.35,16
CPT,64999,UNLISTED PX NERVOUS SYSTEM,1005.0,703.5,360.84,1010.35,8
CPT,65093,REMOVAL OF EYE CONTENTS WITH INSERTION OF IMPLANT,7087.0,4960.9,1550.0,12940.42,18
CPT,65105,REMOVAL OF EYEBALL WITH INSERTION OF IMPLANT ATTACHED TO MUSCLES,9860.0,6902.0,1550.0,12940.42,36
CPT,65110,REMOVAL OF EYE CONTENTS AND EYE SOCKET BONE,14743.0,10320.1,1550.0,12940.42,18
CPT,65205,REMOVAL OF FOREIGN BODY FROM EXTERNAL EYE (CONJUNCTIVA),514.0,359.8,74.81,1419.0,41
CPT,65210,REMOVE FOREIGN BODY FROM EYE,653.0,457.1,91.48,1470.42,11
CPT,65220,REMOVAL OF FOREIGN BODY IN CORNEA,722.0,505.4,76.3,1470.42,11
CPT,65220,REMOVE FOREIGN BODY FROM EYE,758.0,530.6,76.3,1470.42,11
CPT,65222,REMOVAL OF FOREIGN BODY IN CORNEA USING SLIT LAMP,814.0,569.8,100.45,1419.0,11
CPT,65235,REMOVE FOREIGN BODY FROM EYE,6406.0,4484.2,656.52,7596.34,15
CPT,65270,REPAIR OF EYE WOUND,4678.0,3274.6,274.88,7825.64,15
CPT,65270,REPAIR OF LACERATED CONJUNCTIVA,2983.0,2088.1,1550.0,7825.64,18
CPT,65272,REPAIR OF LACERATED CONJUNCTIVA USING FLAP OR GRAFT,7447.0,5212.9,1550.0,7825.64,18
CPT,65285,REPAIR OF PERFORATING LACERATION OF CORNEA AND/OR SCLERA WITH REPOSITION OR REMOVAL OF UVEAL TISSUE,11664.0,8164.8,1550.0,17515.37,18
CPT,65290,REPAIR OF EYE SOCKET WOUND,5142.0,3599.4,466.77,12940.42,15
CPT,65400,REMOVAL OF GROWTH OF CORNEA,1.0,0.7,493.02,4723.0,19
CPT,65420,REMOVAL OR RELOCATION OF CORNEAL CONJUNCTIVA,1368.0,957.6,1550.0,7825.64,18
CPT,65426,REMOVAL OR RELOCATION OF CORNEAL CONJUNCTIVA WITH GRAFT,12806.0,8964.2,1550.0,7825.64,36
CPT,65435,REMOVAL OF OUTER LAYER OF CORNEA,7777.0,5443.9,65.87,4277.0,13
CPT,65755,PENETRATING TRANSPLANTATION OF TISSUE FROM 1 CORNEA TO OTHER CORNEA (IN PSEUDOPHAKIA),13376.0,9363.2,1700.0,13605.4,18
CPT,65756,TRANSPLANTATION OF OUTER LAYER OF CORNEAL TISSUE,13832.0,9682.4,1700.0,13605.4,12
CPT,65780,TRANSPLANTATION OF FETAL SAC TISSUE TO CORNEA,4939.0,3457.3,1550.0,12940.42,18
CPT,65800,DRAINAGE OF EYE,3381.0,2366.7,142.54,7596.34,15
CPT,65820,INCISION TO IMPROVE EYE FLUID FLOW,3318.66,2323.06,1550.0,13605.4,54
CPT,65855,LASER REPAIR TO IMPROVE EYE FLUID FLOW,3344.0,2340.8,646.56,3131.0,24
CPT,65920,REMOVAL OF IMPLANTED LENS OF EYE,1.0,0.7,1550.0,9366.0,18
CPT,66020,INJECTION OF AIR OR LIQUID INTO EYE,5282.0,3697.4,1500.0,7596.34,18
CPT,66030,INJECTION OF MEDICATION INTO EYE,1.0,0.7,140.9,7596.34,19
CPT,66174,DILATION TO IMPROVE EYE FLUID FLOW,5956.0,4169.2,1700.0,13605.4,24
CPT,66180,CREATION OF SHUNT TO IMPROVE EYE FLUID FLOW USING TISSUE GRAFT,7676.0,5373.2,1700.0,17515.37,18
CPT,66250,REVISION OR REPAIR OF OPERATIVE WOUND OF EYE,1.0,0.7,1550.0,7825.64,18
CPT,66500,INCISION OF IRIS TO IMPROVE EYE FLUID FLOW,3822.33,2675.63,996.0,7596.34,17
CPT,66635,PARTIAL REMOVAL OF IRIS AND EYELID BORDER TO IMPROVE EYE FLUID FLOW,1.0,0.7,1550.0,7596.34,15
CPT,66761,CREATION OF EYE FLUID DRAINAGE TRACTS IN IRIS USING A LASER; PER SESSION,4769.0,3338.3,646.56,3131.0,24
CPT,66821,REMOVAL OF RECURRING CATARACT IN LENS CAPSULE USING A LASER,4199.0,2939.3,243.44,4277.0,73
CPT,66825,REPOSITIONING OF LENS PROSTHESIS,1.0,0.7,1550.0,7596.34,54
CPT,66850,ASPIRATION OF LENS MATERIAL BY FRAGMENTING AND ASPIRATION,2869.5,2008.6499999999999,1550.0,9366.0,54
CPT,66852,REMOVAL OF LENS MATERIAL,7038.0,4926.6,1700.0,14180.0,54
CPT,66982,COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS,7904.0,5532.8,1550.0,9097.0,54
CPT,66984,REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS,6080.0,4256.0,1550.0,9097.0,54
CPT,66985,INSERTION OF PROSTHETIC LENS,3827.0,2678.9,1550.0,7739.0,36
CPT,66986,EXCHANGE OF PROSTHETIC LENS,5776.005,4043.205,1550.0,7739.0,36
CPT,66990,EXAM OF EYE USING AN ENDOSCOPE,1.0,0.7,71.17,996.0,11
CPT,67005,PARTIAL REMOVAL OF EYE FLUID BETWEEN LENS AND RETINA,9613.0,6729.1,1550.0,7596.34,18
CPT,67010,PARTIAL REMOVAL OF EYE FLUID BETWEEN LENS AND RETINA WITH MECHANICAL REMOVAL OF EYE FLUID,1.0,0.7,1550.0,7596.34,18
CPT,67025,INJECTION OF SYNTHETIC EYE FLUID,1.0,0.7,1550.0,14180.0,36
CPT,67028,INJECTION OF DRUG INTO EYE,1672.505,1170.755,388.29,1087.21,16
CPT,67036,REMOVAL OF EYE FLUID (VITREOUS) BETWEEN LENS AND RETINA,8365.0,5855.5,862.79,14180.0,73
CPT,67039,DESTRUCTION OF EYE FLUID (VITREOUS) BETWEEN LENS AND RETINA USING A LASER,7219.5,5053.65,1700.0,13605.4,36
CPT,67040,DESTRUCTION OF EYE FLUID (VITREOUS) BETWEEN LENS AND RETINA AND ALL OF RETINA USING A LASER,7334.0,5133.8,1700.0,14180.0,54
CPT,67041,REMOVAL OF MEMBRANE OF RETINA,6821.0,4774.7,1086.16,14180.0,61
CPT,67042,REMOVAL OF MEMBRANE OF RETINA WITH REMOVAL OF INTERNAL LIMITING MEMBRANE OF RETINA,6649.5,4654.65,1700.0,14180.0,48
CPT,67043,REMOVAL OF MEMBRANE OF RETINA WITH REMOVAL OF SUBRETINAL MEMBRANE,9842.0,6889.4,1700.0,13605.4,12
CPT,67101,REPAIR OF DETACHED RETINA BY COLD TREATMENT,7562.01,5293.41,1550.0,7596.34,12
CPT,67105,REPAIR OF DETACHED RETINA USING A LASER,5852.0,4096.4,646.56,3131.0,12
CPT,67108,REPAIR OF DETACHED RETINA WITH DRAINAGE AND REMOVAL OF EYE FLUID BETWEEN LENS AND RETINA,15048.0,10533.6,1700.0,14180.0,36
CPT,67113,COMPLEX REPAIR OF DETACHED RETINA AND DRAINAGE OF EYE FLUID BETWEEN LENS AND RETINA,11837.0,8285.9,1700.0,17515.37,24
CPT,67120,REMOVAL OF IMPLANT MATERIAL FROM OUTSIDE OF EYE,1.0,0.7,1550.0,7596.34,18
CPT,67121,REMOVAL OF IMPLANT MATERIAL FROM INSIDE OF EYE,1.0,0.7,1550.0,7596.34,36
CPT,67145,PHOTOCOAGULATION TREATMENT TO PREVENT DETACHMENT OF RETINA,11020.0,7714.0,646.56,3131.0,12
CPT,67221,DESTRUCTION OF VASCULAR GROWTH BETWEEN RETINA AND SCLERA BY PHOTODYNAMIC THERAPY,7285.0,5099.5,646.56,4723.0,12
CPT,67400,EXPLORATION OF CAVITY BEHIND EYE,20199.0,14139.3,1550.0,12940.42,18
CPT,67412,REMOVAL OF GROWTH OF CAVITY BEHIND EYE,7006.0,4904.200000000001,818.97,7825.64,91
CPT,67413,REMOVAL OF FOREIGN BODY IN CAVITY BEHIND EYE,2299.0,1609.3,1550.0,7825.64,18
CPT,67414,REMOVAL OF BONE CAVITY BEHIND EYE FOR DECOMPRESSION,20263.5,14184.449999999999,1550.0,12940.42,24
CPT,67420,REMOVAL OF BONE AND GROWTH OF CAVITY BEHIND EYE,8986.0,6290.2,1550.0,12940.42,36
CPT,67445,REMOVAL OF BONE FROM CAVITY BEHIND EYE WITH BONE FLAP,13033.0,9123.1,1550.0,12940.42,18
CPT,67450,EXPLORATION OF CAVITY BEHIND EYE WITH BONE FLAP,9499.0,6649.3,1550.0,12940.42,18
CPT,67500,INJECTION OF DRUG INTO CAVITY BEHIND EYE,2075.665,1452.965,373.12,1044.74,16
CPT,67599,OTHER PROCEDURE ON BONE CAVITY OF EYE,1.0,0.7,373.12,1044.74,8
CPT,67700,INCISION AND DRAINAGE OF ABSCESS OF EYELID,1138.0,796.6,286.14,1419.0,11
CPT,67715,CANTHOTOMY,3835.0,2684.5,255.74,7825.64,15
CPT,67808,REMOVAL OF CHRONIC EYELID GROWTH UNDER GENERAL ANESTHESIA AND/OR REQUIRING HOSPITALIZATION,5686.0,3980.2,1550.0,7825.64,18
CPT,67840,REMOVAL OF GROWTH OF EYELID,5071.0,3549.7,1171.89,4277.0,9
CPT,67875,TEMPORARY CLOSURE OF EYELIDS BY SUTURE,3971.5,2780.0499999999997,1171.89,4277.0,24
CPT,67882,CREATION OF PERMANENT EYELID MARGIN SCARRING WITH RELOCATION OF EYELID TISSUE,1.0,0.7,1550.0,7825.64,18
CPT,67900,REPAIR OF BROW PARALYSIS,1.0,0.7,1550.0,7825.64,18
CPT,67901,REPAIR OF UPPER EYELID MUSCLE TO CORRECT DROOPING OR PARALYSIS USING EXTERNAL MATERIAL,13150.5,9205.35,1550.0,7825.64,36
CPT,67902,REPAIR OF UPPER EYELID MUSCLE TO CORRECT DROOPING OR PARALYSIS USING INTERNAL TISSUES,8884.0,6218.8,1550.0,12940.42,18
CPT,67904,REPAIR OF TENDON OF UPPER EYELID,15883.0,11118.1,1550.0,7825.64,72
CPT,67911,CORRECTION OF WIDELY-OPENED UPPER EYELID,1.0,0.7,1550.0,7825.64,36
CPT,67912,RESTORATION OF EYELID BLINKING FUNCTION WITH IMPLANT,7463.0,5224.1,1550.0,7825.64,54
CPT,67914,SUTURE REPAIR OF TURNING-OUTWARD UPPER OR LOWER EYELID DEFECT,5344.0,3740.8,1550.0,7825.64,18
CPT,67917,EXTENSIVE REPAIR OF TURNING-OUTWARD EYELID DEFECT,4692.165,3284.5150000000003,1550.0,7825.64,36
CPT,67921,REPAIR EYELID DEFECT,4678.0,3274.6,375.62,7825.64,15
CPT,67923,REPAIR OF TURNING-INWARD EYELID DEFECT,1.0,0.7,1550.0,7825.64,18
CPT,67930,REPAIR EYELID WOUND,4678.0,3274.6,328.54,7825.64,11
CPT,67935,REPAIR EYELID WOUND,4912.0,3438.4,540.49,7825.64,15
CPT,67935,REPAIR OF WOUND OF EYELID MARGIN,1.0,0.7,1550.0,7825.64,36
CPT,67938,REMOVE EYELID FOREIGN BODY,1023.0,716.1,260.24,1419.0,11
CPT,67950,RECONSTRUCTION OF EYELID MARGIN,4578.0,3204.6,1550.0,7825.64,36
CPT,67961,REMOVAL OF UP TO 1/4 OF EYELID MARGIN AND REPAIR OF EYELID,13918.0,9742.6,1550.0,7825.64,36
CPT,67961,REVISION OF EYELID,4678.0,3274.6,493.19,7825.64,15
CPT,67966,REMOVAL OF OVER 1/4 OF EYELID MARGIN AND REPAIR OF EYELID,5056.17,3539.3199999999997,1550.0,7825.64,36
CPT,67971,RECONSTRUCTION OF UP TO 2/3 OF EYELID WITH TISSUE FROM OPPOSITE EYELID,6761.0,4732.7,1550.0,7825.64,18
CPT,67975,RECONSTRUCTION OF EYELID BY TRANSFER OF EYELID TISSUE FROM OPPOSITE EYELID,3572.0,2500.4,1550.0,7825.64,18
CPT,67999,OTHER PROCEDURE ON EYELID,2299.0,1609.3,373.12,1044.74,8
CPT,68110,REMOVAL OF GROWTH OF EYELID LINING; 1.0 CM OR LESS,6425.0,4497.5,196.52,7825.64,25
CPT,68320,REPAIR OF EYELID LINING WITH GRAFT FROM EXTERNAL EYE,3211.0,2247.7,1550.0,7825.64,72
CPT,68420,I&D LACRIMAL SAC,4099.0,2869.3,327.68,7825.64,11
CPT,68525,BIOPSY OF TEAR SAC,1.0,0.7,1550.0,7825.64,15
CPT,68530,REMOVAL OF FOREIGN BODY OR STONE IN TEAR PASSAGES,1.0,0.7,373.12,4723.0,11
CPT,68700,PLASTIC REPAIR OF TEAR DUCT,1.0,0.7,1550.0,7825.64,18
CPT,68720,CREATION OF DRAINAGE TRACT FROM TEAR SAC TO NASAL CAVITY,5964.0,4174.8,1550.0,12940.42,18
CPT,68745,CREATION OF TEAR DRAINAGE TRACT TO NASAL CAVITY,7674.0,5371.8,1550.0,12940.42,15
CPT,68750,CREATION OF TEAR DRAINAGE TRACT TO NASAL CAVITY WITH INSERTION OF TUBE OR STENT,6877.0,4813.9,1550.0,12940.42,36
CPT,68810,INSERTION OF PROBE INTO NASAL TEAR DUCT,1577.0,1103.9,373.12,3145.0,17
CPT,68815,PROBING OF NASAL TEAR DUCT WITH INSERTION OF TUBE OR STENT,1.0,0.7,335.2,7825.64,73
CPT,68840,PROBING OF NASAL TEAR DUCT,1.0,0.7,373.12,1044.74,8
CPT,69000,SIMPLE DRAINAGE OF ABSCESS OR BLOOD ACCUMULATION OF EXTERNAL EAR,2526.0,1768.2,167.62,2330.86,31
CPT,69005,DRG XTRNL EAR ABSC/HEM COMP,5052.0,3536.4,169.12,5436.34,12
CPT,69020,DRAINAGE OF ABSCESS OF EAR CANAL,2076.0,1453.2,212.3,2330.86,11
CPT,69100,BIOPSY OF EAR,740.0,518.0,84.24,779.6,11
CPT,69110,PARTIAL REMOVAL OF EXTERNAL EAR WITH SIMPLE REPAIR,7255.0,5078.5,1500.0,9561.05,15
CPT,69110,REMOVE EXTERNAL EAR PARTIAL,8521.0,5964.7,186.0,9561.05,13
CPT,69120,REMOVAL OF EXTERNAL EAR,15851.0,11095.7,186.0,19485.45,13
CPT,69140,REMOVAL OF BONY GROWTHS OF EAR CANAL,30032.0,21022.4,1550.0,19485.45,18
CPT,69140,REMOVE EAR CANAL LESION(S),15851.0,11095.7,186.0,19485.45,13
CPT,69145,REMOVAL OF GROWTH IN SOFT TISSUE OF EAR CANAL,18123.5,12686.449999999999,1500.0,9561.05,30
CPT,69145,REMOVE EAR CANAL LESION(S),8521.0,5964.7,186.0,9561.05,13
CPT,69150,REMOVAL OF GROWTH OF EAR CANAL,3036.0,2125.2,1550.0,19485.45,18
CPT,69200,REMOVAL OF FOREIGN BODY IN EAR CANAL,413.0,289.1,78.2,1419.0,61
CPT,69205,CLEAR OUTER EAR CANAL,7068.0,4947.6,119.21,5436.34,15
CPT,69209,REMOVAL OF IMPACTED EAR WAX BY WASHING,628.0,439.6,14.04,1419.0,80
CPT,69210,REMOVAL OF IMPACTED EAR WAX,578.0,404.6,27.74,1419.0,95
CPT,69220,CLEAN OUT MASTOID CAVITY,633.0,443.1,104.29,660.41,12
CPT,69300,REVISE EXTERNAL EAR,7995.0,5596.5,186.0,10913.03,13
CPT,69310,REBUILD OUTER EAR CANAL,15851.0,11095.7,186.0,19485.45,13
CPT,69310,RECONSTRUCTION OF EAR CANAL,12144.0,8500.8,1700.0,19485.45,18
CPT,69320,REBUILD OUTER EAR CANAL,15851.0,11095.7,186.0,19485.45,13
CPT,69420,INCISION; ASPIRATION; AND/OR INFLATION OF EARDRUM,1600.0,1120.0,151.08,779.6,12
CPT,69421,INCISION; ASPIRATION; AND INFLATION OF EARDRUM UNDER ANESTHESIA,4117.33,2882.13,1500.0,10913.03,18
CPT,69424,REMOVAL OF IMPLANTED EARDRUM TUBE UNDER ANESTHESIA,3304.0,2312.8,1550.0,10913.03,12
CPT,69433,INCISION OF EARDRUM WITH INSERTION OF EARDRUM TUBE UNDER LOCAL OR TOPICAL ANESTHESIA,2617.5,1832.25,155.31,2662.86,28
CPT,69436,CREATE EARDRUM OPENING,4584.0,3208.8,173.34,5107.14,13
CPT,69436,INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA,3058.0,2140.6,173.34,5107.14,73
CPT,69440,EXPLORATION OF MIDDLE EAR,7995.0,5596.5,186.0,10913.03,13
CPT,69501,INCISION OF MASTOID BONE,15472.0,10830.4,1700.0,19485.45,18
CPT,69502,REMOVAL OF MIDDLE EAR (MASTOID) BONE,20048.0,14033.6,1550.0,19485.45,18
CPT,69540,EXCISION AURAL POLYP,4584.0,3208.8,151.13,5107.14,12
CPT,69550,EXC AURL GLOMUS TUM TRNSCANL,15851.0,11095.7,186.0,19485.45,13
CPT,69631,REPAIR OF EARDRUM AND EAR CANAL WITH OPENING TO EAR BONES,8932.0,6252.4,1700.0,19485.45,54
CPT,69632,REPAIR OF EARDRUM; EAR CANAL; AND BONES,13392.0,9374.4,1700.0,19485.45,54
CPT,69633,REPAIR OF EARDRUM; EAR CANAL; AND BONES WITH INSERTION OF PROSTHESIS,16980.0,11886.0,1700.0,19485.45,36
CPT,69635,REPAIR OF EARDRUM AND EAR CANAL WITH INCISION OF MIDDLE EAR BONE,18672.0,13070.4,1700.0,19485.45,18
CPT,69636,REPAIR OF EARDRUM; EAR CANAL; AND BONES WITH INCISION OF MIDDLE EAR BONE,8804.0,6162.799999999999,1700.0,19485.45,36
CPT,69641,COMPLEX REPAIR OF EARDRUM AND EAR CANAL WITH REMOVAL OF MASTOID BONE,12624.0,8836.8,1700.0,19485.45,18
CPT,69642,REPAIR OF EARDRUM; EAR CANAL; AND BONES WITH REMOVAL OF MIDDLE EAR BONE,16084.0,11258.8,1700.0,19485.45,36
CPT,69643,REPAIR OF EARDRUM AND EAR CANAL WITH REMOVAL OF MIDDLE EAR BONE,18592.0,13014.4,1700.0,19485.45,36
CPT,69644,REPAIR OF EARDRUM; EAR CANAL; AND BONES WITH REMOVAL OF MASTOID BONE; WITH INTACT CANAL WALL,30296.0,21207.2,1700.0,19485.45,36
CPT,69645,EXTENSIVE REPAIR OF EARDRUM AND EAR CANAL WITH REMOVAL OF MIDDLE EAR BONE,24624.0,17236.8,1700.0,19485.45,18
CPT,69650,STAPES MOBILIZATION,7995.0,5596.5,186.0,10913.03,13
CPT,69660,INCISION OR REMOVAL OF MIDDLE EAR BONE,10220.0,7154.0,1700.0,19485.45,36
CPT,69660,REVISE MIDDLE EAR BONE,15851.0,11095.7,186.0,19485.45,13
CPT,69662,REVISION OF OPERATION OF EAR BONE,23687.0,16580.9,1700.0,19485.45,18
CPT,69666,REPAIR MIDDLE EAR STRUCTURES,7995.0,5596.5,186.0,10913.03,13
CPT,69666,REPAIR OF OPENING OF MIDDLE TO INNER EAR,1.0,0.7,1550.0,10913.03,36
CPT,69667,REPAIR OF OPENING TO COCHLEA,14640.0,10248.0,1550.0,10913.03,18
CPT,69705,DILATION OF CANAL BETWEEN MIDDLE EAR AND THROAT (EUSTACHIAN TUBE) ON ONE SIDE OF BODY; USING ENDOSCOPE INSERTED THROUGH NOSE,5440.0,3808.0,1700.0,19485.45,36
CPT,69706,DILATION OF CANAL BETWEEN MIDDLE EAR AND THROAT (EUSTACHIAN TUBE) ON BOTH SIDES OF BODY; USING ENDOSCOPE INSERTED THROUGH NOSE,4013.34,2809.34,1700.0,19485.45,37
CPT,69740,REPAIR FACIAL NERVE,15851.0,11095.7,186.0,19485.45,13
CPT,69799,OTHER PROCEDURE ON MIDDLE EAR,7136.0,4995.2,417.64,1169.39,8
CPT,69805,OPERATION OF INNER EAR,16320.0,11424.0,1700.0,19485.45,18
CPT,69930,INSERTION OF COCHLEAR DEVICE,21868.0,15307.6,1887.0,108529.65,34
CPT,69990,USE OF OPERATING MICROSCOPE,1.0,0.7,183.88,996.0,11
CPT,70030,X-RAY OF EYE FOR DETECTION OF FOREIGN BODY,391.0,273.7,15.15,286.47,25
CPT,70100,X-RAY EXAM OF JAW <4VIEWS,340.0,238.0,18.57,286.47,16
CPT,70110,X-RAY EXAM OF JAW 4/> VIEWS,675.0,472.5,22.35,344.09,16
CPT,70110,X-RAY OF LOWER JAW; MINIMUM OF 4 VIEWS,636.0,445.2,22.35,344.09,32
CPT,70130,X-RAY EXAM OF MASTOIDS,408.0,285.6,28.19,344.09,16
CPT,70134,X-RAY EXAM OF MIDDLE EAR,650.0,455.0,26.81,1798.55,16
CPT,70140,X-RAY OF FACE BONES; 1-2 VIEWS,264.0,184.8,22.35,286.47,25
CPT,70150,X-RAY OF FACE BONES; MINIMUM OF 3 VIEWS,469.0,328.3,28.19,344.09,25
CPT,70160,X-RAY EXAM OF NASAL BONES,408.0,285.6,18.6,286.47,16
CPT,70160,X-RAY OF NOSE BONES; MINIMUM OF 3 VIEWS,361.0,252.7,18.6,286.47,25
CPT,70190,X-RAY EXAM OF EYE SOCKETS,316.0,221.2,22.35,286.47,16
CPT,70200,X-RAY OF EYE SOCKET; MINIMUM OF 4 VIEWS,447.0,312.9,28.19,344.09,25
CPT,70210,X-RAY EXAM OF SINUSES,253.0,177.1,22.35,286.47,16
CPT,70210,X-RAY OF PARANASAL SINUS; 1-2 VIEWS,241.0,168.7,22.35,286.47,25
CPT,70220,X-RAY OF PARANASAL SINUS; MINIMUM OF 3 VIEWS,515.0,360.5,28.19,286.47,25
CPT,70240,X-RAY EXAM PITUITARY SADDLE,249.0,174.3,15.15,286.47,16
CPT,70250,X-RAY EXAM OF SKULL,464.0,324.8,22.35,344.09,16
CPT,70250,X-RAY OF SKULL; 1-3 VIEWS,411.0,287.7,22.35,344.09,32
CPT,70260,X-RAY OF SKULL; MINIMUM OF 4 VIEWS,650.0,455.0,32.3,344.09,25
CPT,70328,X-RAY EXAM OF JAW JOINT,168.0,117.6,17.54,286.47,16
CPT,70328,X-RAY OF JAW JOINT ON 1 SIDE OF MOUTH,168.0,117.6,17.54,286.47,25
CPT,70330,X-RAY OF JAW JOINTS ON BOTH SIDES OF MOUTH,445.0,311.5,30.26,286.47,16
CPT,70332,X-RAY EXAM OF JAW JOINT,828.0,579.6,75.32,785.37,16
CPT,70336,MAGNETIC IMAGE JAW JOINT,3952.0,2766.4,280.49,1107.09,16
CPT,70336,MRI SCAN OF JAW JOINT,3764.0,2634.8,280.49,785.37,16
CPT,70360,X-RAY OF SOFT TISSUE OF NECK,411.0,287.7,15.15,286.47,25
CPT,70371,SPEECH EVALUATION COMPLEX,729.0,510.3,75.32,785.37,13
CPT,70390,X-RAY EXAM OF SALIVARY DUCT,846.0,592.2,63.93,785.37,16
CPT,70450,CT SCAN HEAD OR BRAIN WITHOUT CONTRAST,1835.0,1284.5,113.45,417.3,128
CPT,70460,CT SCAN HEAD OR BRAIN WITH CONTRAST,2607.0,1824.9,166.41,577.33,23
CPT,70470,CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST,2681.0,1876.7,103.09,698.7,39
CPT,70471,CTA H&N C+ W/NONCONTRAST IMG,1030.0,721.0,410.12,1148.34,7
CPT,70472,CT CERE PRFU ALYS C+W/CT/CTA,318.0,222.6,36.94,103.43,7
CPT,70473,CT CERE PRFU ALY C+WO CT/CTA,518.0,362.6,206.19,577.33,7
CPT,70480,CT SCAN OF CRANIAL CAVITY WITHOUT CONTRAST,2044.0,1430.8,122.89,466.59,73
CPT,70481,CT ORBIT/EAR/FOSSA W/DYE,2497.0,1747.9,202.46,577.33,16
CPT,70481,CT SCAN OF CRANIAL CAVITY WITH CONTRAST,2560.0,1792.0,202.46,577.33,55
CPT,70482,CT ORBIT/EAR/FOSSA W/O&W/DYE,2905.0,2033.5,206.19,698.7,16
CPT,70486,CT SCAN OF FACE WITHOUT CONTRAST,1706.0,1194.2,122.89,466.59,25
CPT,70487,CT SCAN OF FACE WITH CONTRAST,2421.0,1694.7,172.54,577.33,25
CPT,70488,CT MAXILLOFACIAL W/O & W/DYE,3509.0,2456.3,206.19,698.7,16
CPT,70488,CT SCAN OF FACE BEFORE AND AFTER CONTRAST,4157.5,2910.25,206.19,698.7,41
CPT,70490,CT SCAN OF SOFT TISSUE OF NECK WITHOUT CONTRAST,2442.0,1709.4,122.89,466.59,25
CPT,70491,CT SCAN OF SOFT TISSUE OF NECK WITH CONTRAST,1856.0,1299.2,202.46,577.33,41
CPT,70491,CT SOFT TISSUE NECK W/DYE,2097.0,1467.9,202.46,577.33,16
CPT,70492,CT SCAN OF SOFT TISSUE OF NECK BEFORE AND AFTER CONTRAST,3021.0,2114.7,206.19,577.33,25
CPT,70496,CT ANGIOGRAPHY HEAD,2844.0,1990.8,206.19,837.27,16
CPT,70496,CT SCAN OF BLOOD VESSELS OF HEAD WITH CONTRAST,2844.0,1990.8,206.19,837.27,71
CPT,70498,CT ANGIOGRAPHY NECK,2776.0,1943.2,206.19,837.27,16
CPT,70498,CT SCAN OF BLOOD VESSELS OF NECK WITH CONTRAST,2457.0,1719.9,206.19,837.27,39
CPT,70540,MRI SCAN OF BONE OF EYE SOCKET; FACE; AND/OR NECK WITHOUT CONTRAST,3714.0,2599.8,280.49,1107.09,25
CPT,70543,MRI SCAN OF BONE OF EYE SOCKET; FACE; AND/OR NECK BEFORE AND AFTER CONTRAST,3582.0,2507.4,410.12,2949.0,25
CPT,70544,MRI SCAN OF BLOOD VESSELS OF HEAD WITHOUT CONTRAST,3421.0,2394.7,140.25,967.05,132
CPT,70545,MR ANGIOGRAPHY HEAD W/DYE,4675.0,3272.5,306.63,1148.34,16
CPT,70545,MRI SCAN OF BLOOD VESSELS OF HEAD WITH CONTRAST,4563.5,3194.45,306.63,1148.34,57
CPT,70546,MRI SCAN OF BLOOD VESSELS OF HEAD BEFORE AND AFTER CONTRAST,3997.0,2797.9,410.12,1903.05,64
CPT,70547,MRI SCAN OF BLOOD VESSELS OF NECK WITHOUT CONTRAST,3378.0,2364.6,140.25,967.05,48
CPT,70548,MRI SCAN OF BLOOD VESSELS OF NECK WITH CONTRAST,3705.0,2593.5,312.2,1148.34,25
CPT,70549,MRI SCAN OF BLOOD VESSELS OF NECK BEFORE AND AFTER CONTRAST,4397.0,3077.9,410.12,1903.05,25
CPT,70551,MRI BRAIN STEM W/O DYE,2289.0,1602.3,231.93,1231.62,16
CPT,70551,MRI SCAN OF BRAIN WITHOUT CONTRAST,2026.0,1418.2,140.25,1231.62,87
CPT,70552,MRI BRAIN STEM W/DYE,3388.0,2371.6,342.85,1327.02,16
CPT,70553,MRI BRAIN STEM W/O & W/DYE,3140.0,2198.0,390.78,2639.22,16
CPT,70553,MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST,2779.0,1945.3,205.06,2639.22,41
CPT,70554,FMRI BRAIN BY TECH,2361.0,1652.7,280.49,1193.13,16
CPT,70555,FMRI BRAIN BY PHYS/PSYCH,1610.0,1127.0,97.77,785.37,10
CPT,71045,X-RAY OF CHEST; 1 VIEW,466.5,326.54999999999995,17.41,286.47,190
CPT,71046,X-RAY OF CHEST; 2 VIEWS,367.0,256.9,23.07,286.47,92
CPT,71047,X-RAY EXAM CHEST 3 VIEWS,581.0,406.7,27.67,286.47,15
CPT,71047,X-RAY OF CHEST; 3 VIEWS,581.0,406.7,102.31,286.47,7
CPT,71048,X-RAY EXAM CHEST 4+ VIEWS,654.0,457.8,29.09,344.09,15
CPT,71048,X-RAY OF CHEST; MINIMUM OF 4 VIEWS,654.0,457.8,122.89,344.09,7
CPT,71100,X-RAY OF RIBS ON SIDE OF BODY; 2 VIEWS,511.5,358.04999999999995,20.64,286.47,55
CPT,71101,X-RAY EXAM UNILAT RIBS/CHEST,428.0,299.6,24.13,344.09,16
CPT,71101,X-RAY OF RIBS ON SIDE OF BODY; MINIMUM OF 3 VIEWS,379.0,265.3,24.13,344.09,80
CPT,71110,X-RAY EXAM RIBS BIL 3 VIEWS,490.0,343.0,28.19,344.09,16
CPT,71111,X-RAY OF RIBS ON BOTH SIDES OF BODY; MINIMUM OF 4 VIEWS,724.0,506.8,32.3,344.09,50
CPT,71120,X-RAY OF CHEST BONE; MINIMUM OF 2 VIEWS,397.0,277.9,23.43,286.47,25
CPT,71130,X-RAY OF JOINT BETWEEN BREAST AND COLLAR BONES; MINIMUM OF 2 VIEWS,389.0,272.3,102.31,286.47,7
CPT,71130,X-RAY STRENOCLAVIC JT 3/>VWS,389.0,272.3,25.49,286.47,16
CPT,71250,CT SCAN OF CHEST WITHOUT CONTRAST,1976.0,1383.2,122.89,584.52,82
CPT,71260,CT SCAN OF CHEST WITH CONTRAST,2133.0,1493.1,206.19,698.7,64
CPT,71270,CT SCAN OF CHEST BEFORE AND AFTER CONTRAST,2684.0,1878.8,206.19,873.3,25
CPT,71271,LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING,849.0,594.3,92.52,344.09,28
CPT,71275,CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST,2499.0,1749.3,206.19,962.58,32
CPT,71550,MRI CHEST W/O DYE,4450.0,3115.0,280.49,1109.79,16
CPT,71550,MRI SCAN OF CHEST WITHOUT CONTRAST,4238.0,2966.6,280.49,1109.79,25
CPT,71552,MRI SCAN OF CHEST BEFORE AND AFTER CONTRAST,3823.0,2676.1,410.12,2114.13,25
CPT,71555,MRI SCAN OF BLOOD VESSELS OF CHEST,4269.0,2988.3,84.07,1107.09,34
CPT,72020,X-RAY OF SPINE; 1 VIEW,417.0,291.9,15.73,286.47,25
CPT,72040,X-RAY OF UPPER SPINE; 2-3 VIEWS,396.0,277.2,21.66,286.47,32
CPT,72050,X-RAY OF UPPER SPINE; 4-5 VIEWS,457.0,319.9,32.3,344.09,25
CPT,72052,X-RAY OF UPPER SPINE; 6 OR MORE VIEWS,535.0,374.5,41.84,344.09,25
CPT,72070,X-RAY EXAM THORAC SPINE 2VWS,392.0,274.4,23.43,344.09,16
CPT,72070,X-RAY OF MIDDLE SPINE; 2 VIEWS,347.0,242.9,23.43,344.09,32
CPT,72072,X-RAY OF MIDDLE SPINE; 3 VIEWS,464.0,324.8,26.81,344.09,25
CPT,72074,X-RAY EXAM THORAC SPINE4/>VW,299.0,209.3,32.95,344.09,16
CPT,72080,X-RAY OF MIDDLE AND LOWER SPINE; 2 VIEWS,397.0,277.9,24.13,286.47,32
CPT,72081,X-RAY EXAM ENTIRE SPI 1 VW,266.0,186.2,24.05,286.47,15
CPT,72082,X-RAY OF ENTIRE MIDDLE AND LOWER SPINE; 2-3 VIEWS,580.0,406.0,43.87,344.09,36
CPT,72083,X-RAY OF ENTIRE MIDDLE AND LOWER SPINE; 4-5 VIEWS,737.0,515.9,47.6,344.09,22
CPT,72084,X-RAY OF ENTIRE MIDDLE AND LOWER SPINE; MINIMUM OF 6 VIEWS,917.0,641.9,57.17,344.09,22
CPT,72100,X-RAY OF LOWER AND SACRAL SPINE; 2-3 VIEWS,402.0,281.4,24.13,344.09,50
CPT,72110,X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS,631.0,441.7,33.97,344.09,34
CPT,72114,X-RAY LOWER AND SACRAL SPINE; MINIMUM OF 6 VIEWS,445.0,311.5,42.37,344.09,25
CPT,72120,X-RAY LOWER AND SACRAL SPINE; 2-3 VIEWS BENDING VIEWS,351.0,245.7,32.3,344.09,25
CPT,72125,CT SCAN OF UPPER SPINE WITHOUT CONTRAST,1950.0,1365.0,122.89,584.52,32
CPT,72126,CT SCAN OF UPPER SPINE WITH CONTRAST,3533.0,2473.1,209.88,1148.34,25
CPT,72127,CT SCAN OF UPPER SPINE BEFORE AND AFTER CONTRAST,3794.0,2655.8,206.19,873.3,16
CPT,72128,CT CHEST SPINE W/O DYE,1871.0,1309.7,122.89,584.52,16
CPT,72128,CT SCAN OF MIDDLE SPINE WITHOUT CONTRAST,1656.0,1159.2,122.89,584.52,25
CPT,72129,CT SCAN OF MIDDLE SPINE WITH CONTRAST,2476.0,1733.2,206.19,698.7,25
CPT,72130,CT SCAN OF MIDDLE SPINE BEFORE AND AFTER CONTRAST,2645.0,1851.5,206.19,873.3,16
CPT,72131,CT SCAN OF LOWER SPINE WITHOUT CONTRAST,1950.0,1365.0,122.89,533.88,25
CPT,72132,CT SCAN OF LOWER SPINE WITH CONTRAST,2890.0,2023.0,210.44,1148.34,25
CPT,72133,CT SCAN OF LOWER SPINE BEFORE AND AFTER CONTRAST,3321.0,2324.7,206.19,873.3,25
CPT,72141,MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST,2081.0,1456.7,140.25,1188.3,34
CPT,72146,MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST,2872.0,2010.4,140.25,1228.77,41
CPT,72148,MRI LUMBAR SPINE W/O DYE,2472.0,1730.4,223.26,1319.13,16
CPT,72148,MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST,2188.0,1531.6,140.25,1319.13,41
CPT,72156,MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST,3648.0,2553.6,395.24,2459.01,25
CPT,72157,MRI SCAN OF MIDDLE SPINAL CANAL BEFORE AND AFTER CONTRAST,3518.0,2462.6,396.36,2458.98,25
CPT,72158,MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST,3516.0,2461.2,394.13,2459.01,25
CPT,72159,MR ANGIO SPINE W/O&W/DYE,3654.0,2557.8,84.07,874.65,16
CPT,72170,X-RAY EXAM OF PELVIS,311.0,217.7,19.68,344.09,16
CPT,72170,X-RAY OF PELVIS; 1-2 VIEWS,311.0,217.7,19.68,344.09,85
CPT,72190,X-RAY EXAM OF PELVIS,516.0,361.2,24.13,344.09,16
CPT,72190,X-RAY OF PELVIS; MINIMUM OF 3 VIEWS,486.5,340.54999999999995,24.13,344.09,75
CPT,72191,CT SCAN OF BLOOD VESSELS OF PELVIS WITH CONTRAST,3201.0,2240.7,206.19,935.28,32
CPT,72192,CT SCAN OF PELVIS WITHOUT CONTRAST,1832.0,1282.4,122.89,584.52,32
CPT,72193,CT SCAN OF PELVIS WITH CONTRAST,2045.0,1431.5,206.19,676.44,25
CPT,72194,CT PELVIS W/O & W/DYE,2792.0,1954.4,206.19,838.11,16
CPT,72194,CT SCAN OF PELVIS BEFORE AND AFTER CONTRAST,2792.0,1954.4,206.19,577.33,9
CPT,72195,MRI SCAN OF PELVIS WITHOUT CONTRAST,3300.0,2310.0,140.25,959.22,34
CPT,72197,MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST,3887.0,2720.9,410.12,2127.18,41
CPT,72198,MRI SCAN OF BLOOD VESSELS OF PELVIS,4154.5,2908.1499999999996,83.31,979.95,25
CPT,72200,X-RAY EXAM SI JOINTS,312.0,218.4,18.6,344.09,16
CPT,72202,X-RAY EXAM SI JOINTS 3/> VWS,362.0,253.4,22.35,344.09,16
CPT,72202,X-RAY OF JOINT BETWEEN LOWER SPINE AND HIP BONE; 3 OR MORE VIEWS,320.0,224.0,22.35,344.09,34
CPT,72220,X-RAY EXAM SACRUM TAILBONE,367.0,256.9,20.64,286.47,16
CPT,72220,X-RAY OF SACRUM AND TAILBONE; MINIMUM OF 2 VIEWS,346.0,242.2,20.64,286.47,41
CPT,72240,MYELOGRAPHY NECK SPINE,1728.0,1209.6,102.32,2580.31,16
CPT,72255,MYELOGRAPHY THORACIC SPINE,1728.0,1209.6,102.32,2580.31,16
CPT,72265,MYELOGRAPHY L-S SPINE,1166.0,816.2,96.74,2580.31,16
CPT,72270,MYELOGPHY 2/> SPINE REGIONS,1728.0,1209.6,116.25,2580.31,16
CPT,72275,EPIDUROGRAPHY,964.0,674.8,143.01,259.53,4
CPT,72285,DISCOGRAPHY CERV/THOR SPINE,6550.0,4585.0,98.42,6427.51,16
CPT,72295,REVIEW BY RADIOLOGIST OF DISC OF LOWER SPINE IMAGE,5382.0,3767.4,271.59,6427.51,9
CPT,72295,X-RAY OF LOWER SPINE DISK,5382.0,3767.4,100.64,6427.51,16
CPT,73000,X-RAY OF COLLAR BONE,513.0,359.1,18.6,286.47,73
CPT,73010,X-RAY EXAM OF SHOULDER BLADE,298.0,208.6,18.6,344.09,16
CPT,73010,X-RAY OF SHOULDER BLADE,447.0,312.9,18.6,344.09,48
CPT,73020,X-RAY EXAM OF SHOULDER,322.0,225.4,16.87,286.47,16
CPT,73020,X-RAY OF SHOULDER; 1 VIEW,446.0,312.2,16.87,286.47,128
CPT,73030,X-RAY EXAM OF SHOULDER,355.0,248.5,20.64,286.47,16
CPT,73030,X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS,355.0,248.5,20.64,286.47,276
CPT,73040,CONTRAST X-RAY OF SHOULDER,1390.0,973.0,75.32,1148.34,16
CPT,73040,REVIEW BY RADIOLOGIST OF SHOULDER JOINT IMAGE,1390.0,973.0,75.32,1148.34,48
CPT,73050,X-RAY EXAM OF SHOULDERS,415.0,290.5,24.13,286.47,16
CPT,73060,X-RAY EXAM OF HUMERUS,287.0,200.9,20.64,286.47,16
CPT,73060,X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS,381.0,266.70000000000005,20.64,286.47,116
CPT,73070,X-RAY EXAM OF ELBOW,323.0,226.1,18.6,286.47,16
CPT,73070,X-RAY OF ELBOW; 2 VIEWS,572.0,400.4,18.6,286.47,121
CPT,73080,X-RAY OF ELBOW; MINIMUM OF 3 VIEWS,498.0,348.6,20.64,286.47,107
CPT,73085,CONTRAST X-RAY OF ELBOW,953.0,667.1,75.32,1148.34,16
CPT,73090,X-RAY EXAM OF FOREARM,345.0,241.5,18.6,286.47,16
CPT,73090,X-RAY OF FOREARM; 2 VIEWS,345.0,241.5,18.6,286.47,162
CPT,73092,X-RAY EXAM OF ARM INFANT,334.0,233.8,17.57,344.09,16
CPT,73100,X-RAY EXAM OF WRIST,295.0,206.5,17.57,286.47,16
CPT,73100,X-RAY OF WRIST; 2 VIEWS,408.5,285.95,17.57,286.47,216
CPT,73110,X-RAY EXAM OF WRIST,424.0,296.8,18.95,286.47,16
CPT,73110,X-RAY OF WRIST; MINIMUM OF 3 VIEWS,750.0,525.0,18.95,286.47,135
CPT,73115,CONTRAST X-RAY OF WRIST,1052.0,736.4,56.72,1148.34,16
CPT,73115,REVIEW BY RADIOLOGIST OF WRIST JOINT IMAGE,1052.0,736.4,369.11,1033.51,7
CPT,73120,X-RAY EXAM OF HAND,390.0,273.0,18.43,344.09,16
CPT,73120,X-RAY OF HAND; 2 VIEWS,517.5,362.25,18.43,344.09,107
CPT,73130,X-RAY EXAM OF HAND,373.0,261.1,20.03,286.47,16
CPT,73130,X-RAY OF HAND; MINIMUM OF 3 VIEWS,373.0,261.1,20.03,286.47,126
CPT,73140,X-RAY EXAM OF FINGER(S),254.0,177.8,15.73,286.47,16
CPT,73140,X-RAY OF FINGER; MINIMUM OF 2 VIEWS,352.0,246.4,15.73,286.47,424
CPT,73200,CT SCAN OF ARM WITHOUT CONTRAST,2745.0,1921.5,122.89,489.99,98
CPT,73201,CT SCAN OF ARM WITH CONTRAST,3298.5,2308.95,211.43,1148.34,55
CPT,73201,CT UPPER EXTREMITY W/DYE,2199.0,1539.3,211.43,1148.34,16
CPT,73202,CT UPPR EXTREMITY W/O&W/DYE,2605.0,1823.5,206.19,733.14,16
CPT,73206,CT ANGIO UPR EXTRM W/O&W/DYE,1223.0,856.1,206.19,854.19,16
CPT,73206,CT SCAN OF BLOOD VESSELS OF ARM WITH CONTRAST,1764.0,1234.8,206.19,577.33,41
CPT,73218,MRI SCAN OF ARM WITHOUT CONTRAST,5190.0,3633.0,280.49,1732.84,39
CPT,73218,MRI UPPER EXTREMITY W/O DYE,3460.0,2422.0,280.49,955.98,16
CPT,73220,MRI SCAN OF ARM BEFORE AND AFTER CONTRAST,3525.0,2467.5,410.12,1148.34,41
CPT,73220,MRI UPPR EXTREMITY W/O&W/DYE,3525.0,2467.5,410.12,1936.74,16
CPT,73221,MRI SCAN OF ARM JOINT WITHOUT CONTRAST,4897.5,3428.25,140.25,1732.84,139
CPT,73222,MRI JOINT UPR EXTREM W/DYE,4252.0,2976.4,443.73,2580.31,16
CPT,73222,MRI SCAN OF ARM JOINT WITH CONTRAST,4252.0,2976.4,475.88,2580.31,34
CPT,73223,MRI JOINT UPR EXTR W/O&W/DYE,3832.0,2682.4,410.12,2949.0,16
CPT,73223,MRI SCAN OF ARM JOINT BEFORE AND AFTER CONTRAST,5748.0,4023.6000000000004,410.12,2793.53,80
CPT,73225,MR ANGIO UPR EXTR W/O&W/DYE,3509.0,2456.3,79.08,874.65,16
CPT,73501,X-RAY EXAM HIP UNI 1 VIEW,300.0,210.0,19.28,286.47,15
CPT,73501,X-RAY OF HIP; 1 VIEW,300.0,210.0,102.31,286.47,14
CPT,73502,X-RAY OF HIP; 2-3 VIEWS,673.5,471.45000000000005,28.52,286.47,106
CPT,73503,X-RAY EXAM HIP UNI 4/> VIEWS,475.0,332.5,35.34,344.09,15
CPT,73521,X-RAY EXAM HIPS BI 2 VIEWS,477.0,333.9,26.81,344.09,15
CPT,73522,X-RAY OF BOTH HIPS; 3-4 VIEWS,1171.5,820.0500000000001,31.91,344.09,64
CPT,73523,X-RAY EXAM HIPS BI 5/> VIEWS,1144.0,800.8,38.4,344.09,15
CPT,73525,CONTRAST X-RAY OF HIP,1572.0,1100.4,75.32,1148.34,16
CPT,73525,REVIEW BY RADIOLOGIST OF HIP JOINT IMAGE,1572.0,1100.4,75.32,1148.34,18
CPT,73551,X-RAY EXAM OF FEMUR 1,330.0,231.0,18.27,286.47,15
CPT,73551,X-RAY OF THIGH BONE; 1 VIEW,495.0,346.5,102.31,286.47,28
CPT,73552,X-RAY OF THIGH BONE; MINIMUM 2 VIEWS,603.0,422.09999999999997,21.67,286.47,78
CPT,73560,X-RAY EXAM OF KNEE 1 OR 2,302.0,211.4,18.6,286.47,16
CPT,73560,X-RAY OF KNEE; 1-2 VIEWS,302.0,211.4,18.6,286.47,128
CPT,73562,X-RAY EXAM OF KNEE 3,401.0,280.7,20.64,286.47,16
CPT,73562,X-RAY OF KNEE; 3 VIEWS,710.0,497.0,20.64,286.47,148
CPT,73564,X-RAY EXAM KNEE 4 OR MORE,481.0,336.7,23.24,344.09,16
CPT,73564,X-RAY OF KNEE; 4 OR MORE VIEWS,852.0,596.4,23.24,344.09,105
CPT,73565,X-RAY OF BOTH KNEES WHILE STANDING,362.0,253.4,17.57,286.47,25
CPT,73580,CONTRAST X-RAY OF KNEE JOINT,714.0,499.8,93.99,1148.34,16
CPT,73580,REVIEW BY RADIOLOGIST OF KNEE JOINT IMAGE,714.0,499.8,93.99,1148.34,18
CPT,73590,X-RAY EXAM OF LOWER LEG,319.0,223.3,19.38,286.47,16
CPT,73590,X-RAY OF LOWER LEG; 2 VIEWS,441.5,309.05,19.38,286.47,125
CPT,73592,X-RAY EXAM OF LEG INFANT,206.0,144.2,17.57,286.47,16
CPT,73600,X-RAY EXAM OF ANKLE,287.0,200.9,17.57,286.47,16
CPT,73600,X-RAY OF ANKLE; 2 VIEWS,287.0,200.9,17.57,286.47,89
CPT,73610,X-RAY OF ANKLE; MINIMUM OF 3 VIEWS,517.5,362.25,18.95,286.47,160
CPT,73615,CONTRAST X-RAY OF ANKLE,907.0,634.9,75.32,1148.34,16
CPT,73620,X-RAY EXAM OF FOOT,316.0,221.2,17.57,286.47,16
CPT,73620,X-RAY OF FOOT; 2 VIEWS,420.0,294.0,17.57,286.47,82
CPT,73630,X-RAY EXAM OF FOOT,373.0,261.1,20.03,286.47,16
CPT,73630,X-RAY OF FOOT; MINIMUM OF 3 VIEWS,373.0,261.1,20.03,286.47,118
CPT,73650,X-RAY EXAM OF HEEL,272.0,190.4,17.88,286.47,16
CPT,73650,X-RAY OF HEEL; MINIMUM OF 2 VIEWS,272.0,190.4,17.88,286.47,103
CPT,73660,X-RAY EXAM OF TOE(S),252.0,176.4,14.94,286.47,16
CPT,73660,X-RAY OF TOE; MINIMUM OF 2 VIEWS,252.0,176.4,14.94,286.47,315
CPT,73700,CT SCAN OF LEG WITHOUT CONTRAST,3412.0,2388.4,122.89,728.34,107
CPT,73701,CT SCAN OF LEG WITH CONTRAST MATERIAL,3436.5,2405.55,206.19,1414.03,96
CPT,73702,CT LWR EXTREMITY W/O&W/DYE,2835.0,1984.5,206.19,733.14,16
CPT,73706,CT ANGIO LWR EXTR W/O&W/DYE,2685.0,1879.5,206.19,854.19,16
CPT,73706,CT SCAN OF BLOOD VESSELS OF LOWER LEG WITH CONTRAST,4027.5,2819.25,206.19,1414.03,48
CPT,73718,MRI LOWER EXTREMITY W/O DYE,4227.0,2958.9,280.49,955.98,16
CPT,73718,MRI SCAN OF LEG WITHOUT CONTRAST,6340.5,4438.35,280.49,1732.84,73
CPT,73719,MRI LOWER EXTREMITY W/DYE,1054.0,737.8,348.99,1148.34,16
CPT,73720,MRI SCAN OF LEG BEFORE AND AFTER CONTRAST,3477.0,2433.9,410.12,1936.74,64
CPT,73721,MRI SCAN OF LEG JOINT WITHOUT CONTRAST,3222.0,2255.3999999999996,140.25,1732.84,132
CPT,73722,MRI JOINT OF LWR EXTR W/DYE,4232.0,2962.4,444.85,2580.31,16
CPT,73722,MRI SCAN OF LEG JOINT WITH CONTRAST,4232.0,2962.4,475.88,2580.31,18
CPT,73723,MRI JOINT LWR EXTR W/O&W/DYE,3723.0,2606.1,410.12,2123.28,16
CPT,73723,MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST,5584.5,3909.1499999999996,410.12,2793.53,57
CPT,73725,MR ANG LWR EXT W OR W/O DYE,3245.0,2271.5,84.03,1107.09,16
CPT,73725,MRI SCAN OF BLOOD VESSELS OF LEG,3090.0,2163.0,84.03,461.39,18
CPT,74018,X-RAY OF ABDOMEN; 1 VIEW,480.0,336.0,19.68,286.47,120
CPT,74019,X-RAY OF ABDOMEN; 2 VIEWS,409.0,286.3,21.3,344.09,36
CPT,74021,RADEX ABDOMEN 3+ VIEWS,479.0,335.3,23.07,344.09,15
CPT,74022,X-RAY SERIES OF ABDOMEN WITH SINGLE X-RAY OF CHEST,897.0,627.9,26.81,344.09,25
CPT,74150,CT SCAN OF ABDOMEN WITHOUT CONTRAST,2142.0,1499.4,122.89,559.44,25
CPT,74160,CT SCAN OF ABDOMEN WITH CONTRAST,2596.0,1817.2,206.19,676.44,32
CPT,74170,CT SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST,2615.0,1830.5,206.19,838.11,25
CPT,74174,CT SCAN OF BLOOD VESSELS OF ABDOMEN AND PELVIS WITH CONTRAST,5019.0,3513.3,410.12,1148.34,39
CPT,74175,CT SCAN OF BLOOD VESSELS OF ABDOMEN WITH CONTRAST,2919.0,2043.3,206.19,935.28,25
CPT,74176,CT ABD & PELVIS W/O CONTRAST,3370.0,2359.0,175.88,785.37,16
CPT,74176,CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST,3176.0,2223.2,175.88,785.37,64
CPT,74177,CT ABD & PELVIS W/CONTRAST,3750.0,2625.0,368.5,1148.34,16
CPT,74177,CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST,3534.5,2474.15,368.5,1148.34,89
CPT,74178,CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST,4900.0,3430.0,410.12,1148.34,25
CPT,74181,MRI SCAN OF ABDOMEN WITHOUT CONTRAST,3334.0,2333.8,140.25,1107.09,41
CPT,74182,MRI ABDOMEN W/CONTRAST,3567.0,2496.9,410.12,1149.48,16
CPT,74183,MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST,3817.0,2671.9,410.12,2127.18,25
CPT,74185,MRI SCAN OF BLOOD VESSELS OF ABDOMEN,4375.5,3062.8500000000004,83.7,1107.09,25
CPT,74190,PERITONEOGRAM RS&I,1751.0,1225.7,46.81,1798.55,12
CPT,74220,SINGLE CONTRAST X-RAY OF ESOPHAGUS,700.0,490.0,42.37,577.33,41
CPT,74221,DOUBLE CONTRAST X-RAY OF ESOPHAGUS,837.0,585.9,67.73,577.33,40
CPT,74230,IMAGING FOR EVALUATION OF SWALLOWING FUNCTION,618.0,432.6,46.81,577.33,41
CPT,74230,X-RAY XM SWLNG FUNCJ C+,698.0,488.6,46.81,577.33,16
CPT,74240,SINGLE CONTRAST X-RAY OF UPPER DIGESTIVE TRACT,673.0,471.1,52.32,577.33,41
CPT,74241,X-RAY UPPER GI DELAY W/KUB,1038.0,726.6,181.98,181.98,1
CPT,74246,DOUBLE CONTRAST X-RAY OF UPPER DIGESTIVE TRACT,1526.0,1068.2,58.79,577.33,41
CPT,74248,FOLLOW-THROUGH X-RAY OF SMALL INTESTINES,135.0,94.5,32.6,165.15,40
CPT,74250,SINGLE CONTRAST X-RAY OF SMALL INTESTINE,1008.0,705.6,46.81,577.33,41
CPT,74250,X-RAY XM SM INT 1CNTRST STD,983.0,688.1,46.81,577.33,16
CPT,74251,X-RAY XM SM INT 2CNTRST STD,1635.0,1144.5,46.81,577.33,16
CPT,74260,HYPOTONIC DUODENOGRAM,1233.0,863.1,224.6,224.6,1
CPT,74270,SINGLE CONTRAST X-RAY OF LARGE INTESTINE,1425.0,997.5,61.14,577.33,32
CPT,74280,DOUBLE CONTRAST X-RAY OF LARGE INTESTINE,1607.0,1124.9,86.8,577.33,25
CPT,74280,X-RAY XM COLON 2CNTRST STD,1607.0,1124.9,86.8,577.33,16
CPT,74290,CONTRAST X-RAY GALLBLADDER,583.0,408.1,26.81,577.33,16
CPT,74300,REVIEW BY RADIOLOGIST OF BILE AND/OR PANCREATIC DUCT IMAGE DURING SURGERY,1063.0,744.1,13.06,56.34,21
CPT,74301,X-RAYS AT SURGERY ADD-ON,676.0,473.2,9.53,26.68,9
CPT,74328,X-RAY BILE DUCT ENDOSCOPY,576.0,403.2,24.87,311.82,12
CPT,74329,X-RAY FOR PANCREAS ENDOSCOPY,550.0,385.0,25.24,394.59,12
CPT,74330,X-RAY BILE/PANC ENDOSCOPY,576.0,403.2,28.44,311.82,12
CPT,74340,X-RAY GUIDE FOR GI TUBE,677.0,473.9,25.5,258.84,12
CPT,74355,X-RAY GUIDE INTESTINAL TUBE,1538.0,1076.6,35.75,258.84,12
CPT,74360,X-RAY GUIDE GI DILATION,3609.0,2526.3,29.68,311.82,12
CPT,74363,X-RAY BILE DUCT DILATION,1841.0,1288.7,38.43,603.06,12
CPT,74400,UROGRAPHY IV +-KUB TOMOG,1227.0,858.9,60.49,577.33,16
CPT,74410,UROGRAPHY NFS DRIP&/BOLUS,1242.0,869.4,69.85,577.33,16
CPT,74415,UROGRAPHY NFS DRIP&/BLS W/NF,1333.0,933.1,76.04,577.33,16
CPT,74420,IMAGING OF URINARY TRACT FOLLOWING INJECTION OF A CONTRAST AGENT,1099.0,769.3,75.56,1148.34,24
CPT,74425,UROGRAPHY ANTEGRADE RS&I,1551.0,1085.7,46.81,1148.34,15
CPT,74430,CONTRAST X-RAY BLADDER,894.0,625.8,37.51,1148.34,16
CPT,74430,REVIEW BY RADIOLOGIST OF URINARY BLADDER IMAGE,894.0,625.8,37.51,1148.34,25
CPT,74440,X-RAY MALE GENITAL TRACT,763.0,534.1,40.3,785.37,16
CPT,74445,X-RAY EXAM OF PENIS,2658.0,1860.6,40.3,344.09,12
CPT,74450,REVIEW BY RADIOLOGIST OF URINARY BLADDER AND URETHRA IMAGES WITH CONTRAST,1575.0,1102.5,52.32,706.83,9
CPT,74450,X-RAY URETHRA/BLADDER,1575.0,1102.5,52.32,785.37,12
CPT,74455,REVIEW BY RADIOLOGIST OF URINARY BLADDER AND URETHRA IMAGES WITH CONTRAST AND AFTER PASSING URINE,1235.0,864.5,56.72,785.37,25
CPT,74455,X-RAY URETHRA/BLADDER,1235.0,864.5,56.72,785.37,16
CPT,74485,DILATION URTR/URT RS&I,4016.0,2811.2,112.58,6880.61,16
CPT,74710,X-RAY MEASUREMENT OF PELVIS,676.0,473.2,34.87,68.93,8
CPT,74740,REVIEW BY RADIOLOGIST OF UTERINE TUBE AND OVARY IMAGE,1647.0,1152.9,46.81,785.37,32
CPT,74742,X-RAY FALLOPIAN TUBE,1841.0,1288.7,28.64,311.82,12
CPT,75557,MRI SCAN OF HEART WITHOUT CONTRAST,3060.0,2142.0,280.49,785.37,25
CPT,75559,CARDIAC MRI W/STRESS IMG,1828.0,1279.6,472.16,1798.55,16
CPT,75561,MRI SCAN OF HEART BEFORE AND AFTER CONTRAST,3534.0,2473.8,410.12,1148.34,25
CPT,75563,MRI SCAN OF HEART BEFORE AND AFTER CONTRAST WITH STRESS IMAGING,1979.0,1385.3,547.41,2580.31,25
CPT,75571,CT SCAN OF HEART WITH EVALUATION OF BLOOD VESSEL CALCIUM,132.0,92.4,50.09,286.47,25
CPT,75572,CT SCAN OF HEART STRUCTURE WITH CONTRAST,1387.0,970.9,157.44,1148.34,32
CPT,75573,CT SCAN OF CONGENITAL HEART DISEASE WITH CONTRAST,811.0,567.7,222.98,1148.34,25
CPT,75574,CT SCAN OF BLOOD VESSELS AND GRAFTS OF HEART WITH CONTRAST,3032.0,2122.4,280.99,1148.34,41
CPT,75577,QUAN&CHAR C ATHROSCLRTC PLAQ,2748.0,1923.6,1099.06,3077.37,7
CPT,75600,CONTRAST EXAM THORACIC AORTA,4569.0,3198.3,275.09,10393.01,16
CPT,75605,CONTRAST EXAM THORACIC AORTA,7043.0,4930.1,117.36,18315.84,16
CPT,75605,REVIEW BY RADIOLOGIST OF CHEST AORTA SERIAL IMAGES,7043.0,4930.1,6541.37,18315.84,7
CPT,75625,REVIEW BY RADIOLOGIST OF ABDOMINAL AORTA IMAGE,5088.0,3561.6,107.32,10393.01,34
CPT,75630,REVIEW BY RADIOLOGIST OF ABDOMINAL AORTA AND BOTH LEG ARTERIES IMAGE,4744.0,3320.8,113.45,10393.01,25
CPT,75630,X-RAY AORTA LEG ARTERIES,9328.0,6529.6,113.45,10393.01,16
CPT,75635,CT SCAN OF ABDOMINAL AORTA AND BOTH LEG ARTERIES WITH CONTRAST,2685.0,1879.5,206.19,1230.87,23
CPT,75705,REVIEW BY RADIOLOGIST OF SPINAL ARTERY IMAGE,73951.5,51766.049999999996,210.2,18315.84,59
CPT,75710,ARTERY X-RAYS ARM/LEG,5163.0,3614.1,121.26,10393.01,16
CPT,75710,REVIEW BY RADIOLOGIST OF ARM OR LEG ARTERY IMAGE,6853.5,4797.450000000001,121.26,10393.01,96
CPT,75716,REVIEW BY RADIOLOGIST OF BOTH ARMS OR LEGS ARTERIES IMAGE,8031.0,5621.700000000001,123.81,10393.01,32
CPT,75726,REVIEW BY RADIOLOGIST OF ABDOMINAL ARTERY IMAGE,4135.5,2894.85,134.64,18315.84,85
CPT,75731,ARTERY X-RAYS ADRENAL GLAND,4798.0,3358.6,165.6,10393.01,16
CPT,75733,ARTERY X-RAYS ADRENALS,4569.0,3198.3,175.39,10393.01,16
CPT,75736,ARTERY X-RAYS PELVIS,7043.0,4930.1,150.57,18315.84,16
CPT,75736,REVIEW BY RADIOLOGIST OF PELVIS ARTERY IMAGE,17607.5,12325.25,435.57,18315.84,23
CPT,75741,ARTERY X-RAYS LUNG,5038.0,3526.6,124.6,10393.01,16
CPT,75743,ARTERY X-RAYS LUNGS,4798.0,3358.6,126.28,10393.01,16
CPT,75746,ARTERY X-RAYS LUNG,8649.0,6054.3,215.14,10393.01,13
CPT,75756,ARTERY X-RAYS CHEST,4798.0,3358.6,168.4,10393.01,16
CPT,75774,REVIEW BY RADIOLOGIST OF ADDITIONAL ARTERY IMAGE,5141.5,3599.05,44.72,1244.49,87
CPT,75805,LYMPH VESSEL X-RAY TRUNK,4346.0,3042.2,218.3,10393.01,12
CPT,75807,LYMPH VESSEL X-RAY TRUNK,4798.0,3358.6,218.31,10393.01,12
CPT,75809,NONVASCULAR SHUNT X-RAY,312.0,218.4,28.19,344.09,16
CPT,75810,REVIEW BY RADIOLOGIST OF SPLEEN AND LIVER VEIN IMAGE,4569.0,3198.3,450.86,10393.01,12
CPT,75810,VEIN X-RAY SPLEEN/LIVER,4797.0,3357.9,450.86,10393.01,12
CPT,75820,REVIEW BY RADIOLOGIST OF 1 ARM OR LEG VEIN OF 1 ARM OR LEG IMAGE,1937.0,1355.9,34.37,5181.43,62
CPT,75822,REVIEW BY RADIOLOGIST OF BOTH ARMS AND LEGS VEINS OF BOTH ARMS OR LEGS IMAGE,4680.0,3276.0,52.97,5181.43,25
CPT,75825,VEIN X-RAY TRUNK,5435.0,3804.5,110.12,10393.01,16
CPT,75827,REVIEW BY RADIOLOGIST OF MAJOR UPPER BODY VEIN IMAGE,2091.0,1463.7,117.36,5181.43,57
CPT,75827,VEIN X-RAY CHEST,2142.0,1499.4,117.36,5181.43,16
CPT,75831,VEIN X-RAY KIDNEY,4798.0,3358.6,120.15,10393.01,16
CPT,75833,VEIN X-RAY KIDNEYS,4797.0,3357.9,132.72,10393.01,16
CPT,75840,VEIN X-RAY ADRENAL GLAND,4569.0,3198.3,130.73,10393.01,16
CPT,75842,VEIN X-RAY ADRENAL GLANDS,7043.0,4930.1,150.57,1244.49,9
CPT,75860,REVIEW BY RADIOLOGIST OF HEAD OR NECK VEIN SYSTEM IMAGE,9138.0,6396.6,127.95,10393.01,153
CPT,75860,VEIN X-RAY NECK,4797.0,3357.9,127.95,10393.01,16
CPT,75870,REVIEW BY RADIOLOGIST OF HEAD VEIN SYSTEM IMAGE,5910.0,4137.0,187.03,10393.01,137
CPT,75880,VEIN X-RAY EYE SOCKET,4798.0,3358.6,34.37,2064.8,16
CPT,75885,REVIEW BY RADIOLOGIST OF THE VEIN THAT TRANSPORTS BLOOD TO THE LIVER IMAGE WITH ASSESSMENT OF BLOOD FLOW,7074.0,4951.8,425.32,10393.01,9
CPT,75885,VEIN X-RAY LIVER W/HEMODYNAM,7428.0,5199.6,126.83,10393.01,16
CPT,75887,VEIN X-RAY LIVER W/O HEMODYN,3940.0,2758.0,127.4,10393.01,16
CPT,75889,REVIEW BY RADIOLOGIST OF LIVER VEIN IMAGE WITH ASSESSMENT OF BLOOD FLOW,7074.0,4951.8,425.32,10393.01,16
CPT,75889,VEIN X-RAY LIVER W/HEMODYNAM,7074.0,4951.8,126.83,10393.01,16
CPT,75891,VEIN X-RAY LIVER,4798.0,3358.6,128.51,10393.01,16
CPT,75893,REVIEW BY RADIOLOGIST OF IMAGING GUIDANCE FOR REMOVAL OF BLOOD SAMPLE,7219.0,5053.3,137.98,18315.84,48
CPT,75893,VENOUS SAMPLING BY CATHETER,7395.0,5176.5,137.98,18315.84,16
CPT,75894,REVIEW BY RADIOLOGIST OF IMAGE FOR INSERTION OF MATERIAL TO BLOCK BLOOD FLOW,4209.0,2946.3,126.11,2383.95,12
CPT,75898,IMAGING OF BLOOD VESSEL,3940.0,2758.0,37.51,10393.01,12
CPT,75901,REMOVE CVA DEVICE OBSTRUCT,456.0,319.2,22.51,553.43,16
CPT,75902,REMOVE CVA LUMEN OBSTRUCT,283.0,198.1,18.02,187.69,16
CPT,75956,XRAY ENDOVASC THOR AO REPR,988.0,691.6,517.56,517.56,2
CPT,75957,XRAY ENDOVASC THOR AO REPR,1145.0,801.5,443.41,443.41,2
CPT,75958,XRAY PLACE PROX EXT THOR AO,1145.0,801.5,295.66,295.66,2
CPT,75959,XRAY PLACE DIST EXT THOR AO,988.0,691.6,258.88,258.88,2
CPT,75970,REVIEW BY RADIOLOGIST OF IMAGE FOR BIOPSY OF BLOOD VESSEL WITH TUBE,1870.5,1309.35,36.95,1140.42,26
CPT,75970,VASCULAR BIOPSY,1916.0,1341.2,36.95,1140.42,12
CPT,75984,REVIEW BY RADIOLOGIST OF IMAGE FOR REPLACEMENT OF STOMACH OR LARGE BOWEL TUBE,1448.0,1013.6,37.33,104.52,9
CPT,75984,XRAY CONTROL CATHETER CHANGE,1448.0,1013.6,37.33,192.96,16
CPT,75989,REVIEW BY RADIOLOGIST OF IMAGE FOR DRAINAGE OF FLUID,1099.0,769.3,55.1,311.82,32
CPT,76000,IMAGING GUIDANCE FOR PROCEDURE; 60 MINUTES OR LESS,481.0,336.7,41.0,785.37,32
CPT,76010,X-RAY FROM NOSE TO RECTUM,483.0,338.1,18.6,286.47,25
CPT,76010,X-RAY NOSE TO RECTUM,507.0,354.9,18.6,286.47,16
CPT,76080,REVIEW BY RADIOLOGIST OF ABSCESS OR SINUS CAVITY STUDY,1387.0,970.9,37.51,1798.55,25
CPT,76080,X-RAY EXAM OF FISTULA,1387.0,970.9,37.51,1798.55,16
CPT,76098,X-RAY OF SURGICAL SPECIMEN,1507.5,1055.25,16.29,1798.55,87
CPT,76100,X-RAY EXAM OF BODY SECTION,566.0,396.2,48.28,344.09,16
CPT,76376,3D RADIOGRAPHIC PROCEDURE,273.5,191.45,9.53,294.39,91
CPT,76376,3D RENDER W/INTRP POSTPROCES,290.0,203.0,9.53,294.39,16
CPT,76377,3D RADIOGRAPHIC PROCEDURE WITH COMPUTERIZED IMAGE POSTPROCESSING,534.0,373.79999999999995,37.7,308.34,144
CPT,76380,CAT SCAN FOLLOW-UP STUDY,487.0,340.9,102.31,345.33,16
CPT,76380,LIMITED OR FOLLOW-UP CT SCAN,696.0,487.20000000000005,102.31,345.33,44
CPT,76390,MRI STUDY FOR MEASURING BIOCHEMICAL CHANGES IN THE BRAIN,3757.0,2629.9,102.31,1107.09,21
CPT,76496,OTHER FLUOROSCOPIC PROCEDURE,471.0,329.7,102.31,286.47,7
CPT,76496,UNLISTED FLUOROSCOPIC PX,471.0,329.7,102.31,286.47,8
CPT,76498,OTHER MRI SCAN,183.0,128.1,102.31,286.47,15
CPT,76506,ECHO EXAM OF HEAD,720.0,504.0,50.9,344.09,16
CPT,76512,OPH US DX B-SCAN,535.0,374.5,33.2,344.09,16
CPT,76536,ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE,821.0,574.7,50.9,344.09,41
CPT,76604,ULTRASOUND SCAN OF CHEST,821.0,574.7,46.81,344.09,66
CPT,76641,COMPLETE ULTRASOUND SCAN OF 1 BREAST,975.0,682.5,37.51,344.09,37
CPT,76641,ULTRASOUND BREAST COMPLETE,649.0,454.3,37.51,344.09,16
CPT,76642,LIMITED ULTRASOUND SCAN OF 1 BREAST,1030.5,721.3499999999999,37.51,286.47,69
CPT,76642,ULTRASOUND BREAST LIMITED,686.0,480.2,37.51,286.47,16
CPT,76645,US EXAM BREAST(S),390.0,273.0,,,0
CPT,76700,COMPLETE ULTRASOUND SCAN OF ABDOMEN,798.0,558.6,70.56,344.09,57
CPT,76705,LIMITED ULTRASOUND SCAN OF ABDOMEN,797.0,557.9,50.9,344.09,75
CPT,76706,ULTRASOUND SCAN OF ABDOMINAL AORTA,723.0,506.1,63.32,344.09,36
CPT,76770,COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY,1473.0,1031.1,70.56,344.09,66
CPT,76775,LIMITED ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY,742.0,519.4,46.58,344.09,34
CPT,76776,ULTRASOUND SCAN OF TRANSPLANTED KIDNEY,528.0,369.6,71.23,344.09,32
CPT,76800,US EXAM SPINAL CANAL,580.0,406.0,50.9,344.09,16
CPT,76801,ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); SINGLE OR FIRST FETUS,528.0,369.6,66.25,344.09,25
CPT,76802,OB US < 14 WKS ADDL FETUS,422.0,295.4,33.99,113.01,16
CPT,76802,ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); EACH ADDITIONAL FETUS,422.0,295.4,34.28,113.01,9
CPT,76805,ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS,861.0,602.7,75.32,344.09,25
CPT,76810,OB US >= 14 WKS ADDL FETUS,1163.0,814.1,48.22,145.56,16
CPT,76810,ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); EACH ADDITIONAL FETUS,1163.0,814.1,48.22,135.02,9
CPT,76811,ULTRASOUND SCAN OF PREGNANT UTERUS WITH DETAILED FETAL ANATOMIC EXAMINATION; SINGLE OR FIRST FETUS,904.0,632.8,129.38,785.37,34
CPT,76812,OB US DETAILED ADDL FETUS,656.0,459.2,44.99,312.69,16
CPT,76812,ULTRASOUND SCAN OF PREGNANT UTERUS WITH DETAILED FETAL ANATOMIC EXAMINATION; EACH ADDITIONAL FETUS,656.0,459.2,44.99,245.76,9
CPT,76813,ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); WITH MEASUREMENT OF THE CLEAR SPACE BENEATH SKIN AT THE BACK OF FETAL NECK; SINGLE OR FIRST FETUS,528.0,369.6,64.95,344.09,25
CPT,76814,OB US NUCHAL MEAS ADD-ON,323.0,226.1,33.32,135.97,16
CPT,76814,ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); WITH MEASUREMENT OF THE CLEAR SPACE BENEATH SKIN AT THE BACK OF FETAL NECK; EACH ADDITIONAL FETUS,323.0,226.1,33.32,135.97,9
CPT,76815,LIMITED ULTRASOUND OF PREGNANT UTERUS,640.0,448.0,50.9,344.09,34
CPT,76816,FOLLOW-UP ULTRASOUND SCAN OF PREGNANT UTERUS,984.0,688.8,39.59,344.09,43
CPT,76817,TRANSVAGINAL US OBSTETRIC,597.0,417.9,53.86,344.09,16
CPT,76817,VAGINAL ULTRASOUND OF PREGNANT UTERUS,528.0,369.6,53.86,344.09,25
CPT,76818,FETAL BIOPHYS PROFILE W/NST,1296.0,907.2,58.13,344.09,16
CPT,76818,ULTRASOUND AND MONITORING OF HEART OF FETUS,1296.0,907.2,58.13,344.09,9
CPT,76819,ULTRASOUND SCAN OF FETUS,538.0,376.6,58.13,344.09,34
CPT,76820,ULTRASOUND SCAN OF FETAL UMBILICAL ARTERY BLOOD FLOW RATE,483.0,338.1,33.75,344.09,34
CPT,76820,UMBILICAL ARTERY ECHO,507.0,354.9,33.75,344.09,16
CPT,76821,ULTRASOUND SCAN OF FETAL BRAIN ARTERY BLOOD FLOW RATE,483.0,338.1,60.49,344.09,34
CPT,76825,ECHO EXAM OF FETAL HEART,2111.0,1477.7,70.56,1798.55,16
CPT,76825,ULTRASOUND SCAN OF FETAL HEART,3015.0,2110.5,70.56,1798.55,34
CPT,76826,FOLLOW-UP ULTRASOUND SCAN OF FETAL HEART,1151.0,805.7,24.86,785.37,25
CPT,76827,ECHO EXAM OF FETAL HEART,589.0,412.3,60.28,344.09,16
CPT,76827,ULTRASOUND SCAN OF FETAL HEART BLOOD FLOW,561.0,392.7,60.28,344.09,34
CPT,76828,ECHO EXAM OF FETAL HEART,469.0,328.3,37.65,344.09,16
CPT,76828,FOLLOW-UP ULTRASOUND SCAN OF FETAL HEART BLOOD FLOW,469.0,328.3,39.18,344.09,18
CPT,76830,ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA,648.0,453.6,54.65,344.09,34
CPT,76831,ECHO EXAM UTERUS,1188.0,831.6,54.65,785.37,16
CPT,76856,COMPLETE ULTRASOUND SCAN OF PELVIS,797.0,557.9,54.65,344.09,73
CPT,76857,LIMITED ULTRASOUND SCAN OF PELVIS,742.0,519.4,37.1,344.09,25
CPT,76870,ULTRASOUND SCAN OF SCROTUM,648.0,453.6,54.65,344.09,32
CPT,76872,ULTRASOUND SCAN OF PELVIC REGION THROUGH RECTUM,1496.0,1047.2,63.4,344.09,25
CPT,76873,ECHOGRAP TRANS R PROS STUDY,1742.0,1219.4,80.36,344.09,16
CPT,76881,US COMPL JOINT R-T W/IMG,788.0,551.6,50.9,344.09,16
CPT,76882,LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS,750.0,525.0,10.72,344.09,121
CPT,76885,US EXAM INFANT HIPS DYNAMIC,266.0,186.2,54.65,286.47,16
CPT,76886,US EXAM INFANT HIPS STATIC,520.0,364.0,50.9,286.47,16
CPT,76936,ECHO GUIDE FOR ARTERY REPAIR,765.0,535.5,222.7,710.72,16
CPT,76937,ULTRASONIC GUIDANCE FOR BLOOD VESSEL ACCESS,559.5,391.65000000000003,13.68,62.72,98
CPT,76940,US GUIDE TISSUE ABLATION,482.0,337.4,61.14,286.33,12
CPT,76942,ULTRASONIC GUIDANCE FOR NEEDLE PLACEMENT,2308.5,1615.9499999999998,32.17,219.18,153
CPT,76945,ULTRASONIC GUIDANCE FOR TESTING PLACENTAL TISSUE,272.0,190.4,32.93,151.23,21
CPT,76946,ECHO GUIDE FOR AMNIOCENTESIS,1013.0,709.1,18.82,151.05,16
CPT,76946,ULTRASONIC GUIDANCE FOR REMOVAL OF AMNIOTIC FLUID,965.0,675.5,18.82,60.8,9
CPT,76965,ULTRASONIC GUIDANCE FOR ADMINISTRATION OF RADIATION THERAPY,1694.0,1185.8,39.33,550.29,16
CPT,76970,US FOLLOW-UP STUDY,298.0,208.6,109.0,197.81,4
CPT,76998,ULTRASONIC GUIDANCE DURING SURGERY,1055.0,738.5,48.39,135.49,7
CPT,76998,US GUIDE INTRAOP,1055.0,738.5,48.39,172.65,10
CPT,76999,ECHO EXAMINATION PROCEDURE,307.0,214.9,102.31,286.47,8
CPT,77001,FLUOROSCOPIC GUIDANCE FOR INSERTION OR REMOVAL OF CENTRAL VEIN ACCESS DEVICE,287.0,200.9,15.69,220.06,46
CPT,77002,FLUOROSCOPIC GUIDANCE FOR NEEDLE PLACEMENT,691.0,483.7,27.78,3113.0,124
CPT,77003,FLUOROSCOPIC GUIDANCE FOR SPINE OR BACK MUSCLE INJECTION,570.0,399.0,28.83,201.86,25
CPT,77011,CT GUIDANCE FOR NEEDLE OR TUBE LOCALIZATION,2072.0,1450.4,61.65,371.37,9
CPT,77011,CT SCAN FOR LOCALIZATION,2072.0,1450.4,61.65,999.78,16
CPT,77012,REVIEW BY RADIOLOGIST OF CT GUIDANCE FOR NEEDLE PLACEMENT,1845.0,1291.5,67.97,615.33,69
CPT,77013,CT GUIDANCE FOR TISSUE REMOVAL,1115.0,780.5,178.44,583.22,54
CPT,77014,CT SCAN FOR THERAPY GUIDE,697.0,487.9,105.71,297.9,9
CPT,77021,REVIEW BY RADIOLOGIST OF MRI GUIDANCE FOR NEEDLE PLACEMENT,1423.0,996.1,71.95,1114.82,16
CPT,77046,MRI BREAST C- UNILATERAL,2960.0,2072.0,269.53,785.37,15
CPT,77047,MRI BREAST C- BILATERAL,3544.0,2480.8,267.85,785.37,15
CPT,77047,MRI SCAN OF BOTH BREASTS WITHOUT CONTRAST,3459.5,2421.65,140.25,785.37,36
CPT,77048,MRI BREAST C-+ W/CAD UNI,3410.0,2387.0,98.52,1131.98,15
CPT,77049,MRI SCAN OF BOTH BREASTS,3271.0,2289.7,107.71,1520.08,29
CPT,77053,X-RAY OF MAMMARY DUCT,897.0,627.9,60.51,785.37,16
CPT,77054,X-RAY OF MAMMARY DUCTS,1017.0,711.9,79.46,785.37,16
CPT,77061,3D BREAST MAMMOGRAPHY OF 1 BREAST,153.0,107.1,172.72,172.72,2
CPT,77062,BREAST TOMOSYNTHESIS BI,188.0,131.6,211.99,211.99,2
CPT,77063,SCREENING 3D BREAST MAMMOGRAPHY,117.0,81.9,23.69,110.4,100
CPT,77065,DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST,481.0,336.7,38.37,271.77,113
CPT,77066,DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS,1045.5,731.8499999999999,47.19,339.45,64
CPT,77067,SCREENING MAMMOGRAPHY,381.0,266.7,35.75,279.74,85
CPT,77071,APPLICATION OF STRESS BY PHYSICIAN FOR JOINT IMAGING,200.0,140.0,20.97,286.47,15
CPT,77071,MNL APPL STRS JT RADIOGRAPHY,210.0,147.0,20.97,286.47,15
CPT,77072,X-RAY FOR ESTIMATING BONE AGE,313.0,219.1,18.6,344.09,25
CPT,77073,X-RAY FOR BONE LENGTH ASSESSMENT,1711.0,1197.7,28.19,344.09,25
CPT,77074,RADEX OSSEOUS SURVEY LMTD,813.0,569.1,36.1,344.09,16
CPT,77075,COMPLETE X-RAY OF BODY BONES,1042.0,729.4,51.58,344.09,32
CPT,77076,RADEX OSSEOUS SURVEY INFANT,496.0,347.2,29.05,344.09,16
CPT,77076,X-RAY OF INFANT BODY BONES,472.0,330.4,29.05,344.09,25
CPT,77080,DXA BONE DENSITY MEASUREMENT OF HIP; PELVIS; SPINE,415.0,290.5,46.02,344.09,25
CPT,77081,DXA BONE DENSITY MEASUREMENT OF FOREARM; FINGER; HAND; OR FOOT,152.0,106.4,25.87,286.47,55
CPT,77084,MRI SCAN OF BONE MARROW,3992.0,2794.4,280.49,1075.98,25
CPT,77085,DXA BONE DENSITY AXL VRT FX,267.0,186.9,40.56,344.09,16
CPT,77280,OBTAINING DATA NEEDED TO DEVELOP THE OPTIMAL RADIATION TREATMENT; 1 TREATMENT AREA,1682.0,1177.4,128.75,685.36,16
CPT,77280,THER RAD SIMULAJ FIELD SMPL,1382.0,967.4,128.75,685.36,16
CPT,77285,OBTAINING DATA NEEDED TO DEVELOP THE OPTIMAL RADIATION TREATMENT; 2 TREATMENT AREAS,2989.0,2092.3,199.33,1232.45,16
CPT,77290,OBTAINING DATA NEEDED TO DEVELOP THE OPTIMAL RADIATION TREATMENT; 3 OR MORE TREATMENT AREAS OR ANY NUMBER OF TREATMENT AREAS WHERE SPECIAL TREATMENT IS INVOLVED,2989.0,2092.3,233.1,1232.45,32
CPT,77293,OBTAINING RESPIRATORY DATA NEEDED TO DEVELOP THE OPTIMAL RADIATION TREATMENT,7308.0,5115.6,108.26,983.9,16
CPT,77295,3D RADIATION THERAPY PLANNING,13977.0,9783.9,408.77,4555.96,23
CPT,77300,CALCULATION OF RADIATION THERAPY DOSE,2152.0,1506.4,49.61,442.4,46
CPT,77300,RADIATION THERAPY DOSE PLAN,1076.0,753.2,49.61,442.4,16
CPT,77301,HIGH PRECISION RADIATION THERAPY PLANNING,9869.0,6908.3,999.97,4555.96,23
CPT,77306,TELETHX ISODOSE PLAN SIMPLE,988.0,691.6,64.6,1232.45,16
CPT,77307,COMPLEX RADIATION THERAPY PLANNING FOR DELIVERY OF EXTERNAL RADIATION,1293.0,905.1,98.69,1232.45,16
CPT,77316,SIMPLE RADIATION THERAPY PLANNING FOR DELIVERY OF INTERNAL RADIATION,2144.0,1500.8,84.64,1232.45,16
CPT,77317,BRACHYTX ISODOSE INTERMED,3138.0,2196.6,123.97,1232.45,16
CPT,77318,BRACHYTX ISODOSE COMPLEX,3286.0,2300.2,177.42,1232.45,16
CPT,77321,SPECIAL RADIATION THERAPY PLANNING FOR DELIVERY OF EXTERNAL RADIATION,2989.0,2092.3,440.16,1232.45,7
CPT,77321,SPECIAL TELETX PORT PLAN,2989.0,2092.3,68.31,1232.45,16
CPT,77331,SPECIAL RADIATION THERAPY PLANNING,1024.0,716.8,18.95,442.4,16
CPT,77332,DESIGN AND CONSTRUCTION OF SIMPLE RADIATION TREATMENT DEVICE,1082.0,757.4,36.54,442.4,30
CPT,77333,DESIGN AND CONSTRUCTION OF INTERMEDIATE RADIATION TREATMENT DEVICE,1533.0,1073.1,158.0,442.4,7
CPT,77333,RADIATION TREATMENT AID(S),1533.0,1073.1,20.16,442.4,16
CPT,77334,DESIGN AND CONSTRUCTION OF COMPLEX RADIATION TREATMENT DEVICE,3374.0,2361.8,103.99,1232.45,30
CPT,77336,CONTINUING RADIATION THERAPY CONSULTATION PER WEEK,1580.0,1106.0,110.51,442.4,36
CPT,77338,DESIGN AND CONSTRUCTION OF RADIATION TREATMENT DEVICE FOR HIGH PRECISION RADIATION THERAPY,2989.0,2092.3,239.74,1232.45,30
CPT,77370,RADIATION PHYSICS CONSULT,1739.0,1217.3,129.47,442.4,15
CPT,77370,SPECIAL MEDICAL RADIATION THERAPY CONSULTATION,1697.5,1188.25,129.47,442.4,29
CPT,77372,COMPLETE SINGLE SESSION COURSE OF CRANIAL LESION SURGERY USING RADIATION AND A MACHINE TO DELIVER EXTERNAL RADIATION,50692.0,35484.4,800.71,24243.3,15
CPT,77373,CRANIAL LESION SURGERY USING RADIATION OVER MULTIPLE SESSIONS,18340.5,12838.349999999999,1494.22,5885.49,22
CPT,77373,STRTCTC BDY RAD THER TX DLVR,5204.0,3642.8,1494.22,5885.49,15
CPT,77385,DELIVERY OF SIMPLE HIGH PRECISION RADIATION TREATMENT,4540.0,3178.0,648.59,1261.95,5
CPT,77386,DELIVERY OF COMPLEX HIGH PRECISION RADIATION TREATMENT,4824.0,3376.8,648.59,1261.95,5
CPT,77387,IMAGING GUIDANCE FOR LOCALIZATION OF RADIATION TREATMENT,1547.0,1082.9,37.73,213.37,17
CPT,77399,UNLISTED PX MED RADJ PHYSICS,795.0,556.5,158.0,442.4,8
CPT,77402,RADIATION TX DELIVERY LVL 1,1222.0,855.4,63.63,335.83,12
CPT,77407,RADIATION TX DELIVERY LVL 2,1454.0,1017.8,75.0,1269.55,12
CPT,77412,DELIVERY OF COMPLEX RADIATION TREATMENT,1839.0,1287.3,86.3,1818.71,19
CPT,77417,X-RAY DURING RADIATION THERAPY,287.0,200.9,17.59,63.33,8
CPT,77435,SBRT MANAGEMENT,2459.0,1721.3,573.85,1845.4,15
CPT,77470,SPECIAL RADIATION TREATMENT,4824.0,3376.8,39.89,1818.71,44
CPT,77750,INFUSE RADIOACTIVE MATERIALS,1511.0,1057.7,47.86,1269.55,16
CPT,77761,APPLY INTRCAV RADIAT SIMPLE,2045.0,1431.5,90.13,1818.71,16
CPT,77762,APPLY INTRCAV RADIAT INTERM,3061.0,2142.7,129.11,1818.71,16
CPT,77763,APPLY INTRCAV RADIAT COMPL,4601.0,3220.7,160.51,2292.5,16
CPT,77770,HIGH DOSE RADIATION THERAPY; 1 CHANNEL,6067.0,4246.9,211.26,2292.5,15
CPT,77771,HDR RDNCL NTRSTL/ICAV BRCHTX,7745.0,5421.5,384.83,2292.5,15
CPT,77771,HIGH DOSE RADIATION THERAPY; 2-12 CHANNELS,7376.0,5163.2,384.83,2292.5,15
CPT,77772,HIGH DOSE RADIATION THERAPY; MORE THAN 12 CHANNELS,8552.0,5986.4,607.17,2292.5,29
CPT,77778,APPLY INTERSTIT RADIAT COMPL,7558.0,5290.6,220.1,2292.5,16
CPT,77790,SUPERVISION; HANDLING; AND LOADING OF RADIATION SOURCE,1409.0,986.3,17.94,94.77,8
CPT,78012,NUCLEAR MEDICINE STUDY OF THYROID FUNCTION,1787.0,1250.9,46.81,1315.89,25
CPT,78013,NUCLEAR MEDICINE STUDY OF THYROID,537.0,375.9,86.4,1315.89,16
CPT,78013,THYROID IMAGING W/BLOOD FLOW,564.0,394.8,86.4,1315.89,16
CPT,78014,NUCLEAR MEDICINE STUDY OF THYROID AND THYROID FUNCTION,1877.0,1313.9,92.23,1315.89,25
CPT,78018,NUCLEAR MEDICINE STUDY OF WHOLE BODY FOR THYROID CANCER,2100.0,1470.0,194.22,1787.21,41
CPT,78070,PARATHYROID PLANAR IMAGING,987.0,690.9,131.5,1315.89,16
CPT,78071,NUCLEAR MEDICINE STUDY OF PARATHYROID WITH SPECT,1114.0,779.8,281.04,1315.89,16
CPT,78072,NUCLEAR MEDICINE STUDY OF PARATHYROID WITH SPECT AND CT SCAN,1114.0,779.8,146.07,1787.21,16
CPT,78075,ADRENAL CORTEX & MEDULLA IMG,1702.0,1191.4,194.22,4261.43,16
CPT,78102,BONE MARROW IMAGING LTD,1530.0,1071.0,73.25,1315.89,16
CPT,78102,NUCLEAR MEDICINE STUDY OF BONE MARROW LIMITED AREA,1493.5,1045.45,73.25,1315.89,25
CPT,78121,RED CELL MASS MULTIPLE,869.0,608.3,101.83,1787.21,16
CPT,78122,WHL BLD VOLUME DETERMINATION,1824.0,1276.8,119.1,1787.21,16
CPT,78130,RED CELL SURVIVAL STUDY,869.0,608.3,101.95,1315.89,16
CPT,78135,RED CELL SURVIVAL KINETICS,1486.0,1040.2,402.31,730.12,4
CPT,78140,RED CELL SEQUESTRATION,919.0,643.3,135.89,1315.89,16
CPT,78195,NUCLEAR MEDICINE STUDY OF LYMPHATIC SYSTEM,1673.0,1171.1,157.85,1787.21,25
CPT,78201,LIVER IMAGING STATIC ONLY,1152.0,806.4,84.64,1787.21,16
CPT,78202,LIVER IMAGING WITH VASC FLOW,1532.0,1072.4,103.03,1787.21,16
CPT,78215,LVR&SPLEEN IMG STATIC ONLY,876.0,613.2,105.09,1315.89,16
CPT,78216,LVR&SPLEEN IMG W/VASC FLOW,1108.0,775.6,124.31,1315.89,16
CPT,78226,NUCLEAR MEDICINE STUDY OF LIVER AND BILE DUCT SYSTEM,1140.0,798.0,276.63,1315.89,16
CPT,78227,NUCLEAR MEDICINE STUDY OF LIVER AND BILE DUCT SYSTEM WITH USE OF DRUGS,1596.0,1117.2,384.19,1787.21,16
CPT,78230,SALIVARY GLAND IMAGING,650.0,455.0,78.38,1315.89,16
CPT,78231,SALIVARY GLND IMG SERIAL IMG,940.0,658.0,113.26,1315.89,16
CPT,78232,SALIVARY GLAND FUNCTION STD,824.0,576.8,126.41,1315.89,16
CPT,78258,ESOPHAGEAL MOTILITY,753.0,527.1,103.03,1315.89,16
CPT,78261,GASTRIC MUCOSA IMAGING,650.0,455.0,146.67,1315.89,16
CPT,78262,GASTROESOPHAGEAL REFLUX STD,839.0,587.3,152.26,1315.89,16
CPT,78264,NUCLEAR MEDICINE STUDY OF STOMACH TO ASSESS EMPTYING,1915.0,1340.5,159.82,1315.89,25
CPT,78265,GASTRIC EMPTYING IMAG STUDY,2241.0,1568.7,315.19,1315.89,15
CPT,78266,GASTRIC EMPTYING IMAG STUDY,2615.0,1830.5,416.87,1787.21,15
CPT,78278,ACUTE GI BLOOD LOSS IMAGING,2098.0,1468.6,174.65,1315.89,16
CPT,78290,MECKELS DIVERT EXAM,3289.0,2302.3,109.2,1315.89,16
CPT,78290,NUCLEAR MEDICINE STUDY OF INTESTINE,3132.0,2192.4,109.2,1315.89,9
CPT,78291,LEVEEN/SHUNT PATENCY EXAM,1139.0,797.3,109.5,1315.89,16
CPT,78300,NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT LIMITED AREA,1436.0,1005.2,89.47,1315.89,25
CPT,78305,BONE IMAGING MULTIPLE AREAS,1410.0,987.0,131.22,1315.89,16
CPT,78306,NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY,1543.0,1080.1,152.96,1315.89,41
CPT,78315,NUCLEAR MEDICINE STUDY OF BONE TAKEN AT DIFFERENT TIMES,1620.0,1134.0,171.14,1315.89,32
CPT,78428,CARDIAC SHUNT IMAGING,827.0,578.9,80.84,1315.89,16
CPT,78445,VASCULAR FLOW IMAGING,1004.0,702.8,66.73,1315.89,16
CPT,78451,NUCLEAR MEDICINE STUDY OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT,2382.0,1667.4,253.12,4261.43,16
CPT,78452,HT MUSCLE IMAGE SPECT MULT,3769.0,2638.3,433.03,4261.43,16
CPT,78452,NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT,3335.0,2334.5,433.03,4261.43,16
CPT,78453,NUCLEAR MEDICINE STUDY OF HEART MUSCLE AT REST AND WITH STRESS WITH SINGLE 2D IMAGE,1752.0,1226.4,84.64,4261.43,16
CPT,78457,VENOUS THROMBOSIS IMAGING,1532.0,1072.4,95.33,1787.21,16
CPT,78458,VEN THROMBOSIS IMAGES BILAT,1791.0,1253.7,143.64,1315.89,16
CPT,78459,NUCLEAR MEDICINE STUDY OF HEART MUSCLE WITH METABOLIC EVALUATION,4050.0,2835.0,1521.94,6346.0,82
CPT,78469,HEART INFARCT IMAGE (3D),1532.0,1072.4,186.62,1787.21,16
CPT,78472,NUCLEAR MEDICINE STUDY OF HEART PUMPING FUNCTION BY LABELING RED BLOOD CELLS WITH MEASUREMENT OF INTERNAL BLOOD VOLUME EJECTED WITH EVERY BEAT OVER MULTIPLE CYCLES,1006.0,704.2,197.26,1315.89,16
CPT,78473,GATED HEART MULTIPLE,1584.0,1108.8,295.2,1315.89,16
CPT,78473,NUCLEAR MEDICINE STUDIES OF HEART PUMPING FUNCTION BY LABELING RED BLOOD CELLS WITH MEASUREMENT OF INTERNAL BLOOD VOLUME EJECTED WITH EVERY BEAT OVER MULTIPLE CYCLES,1509.0,1056.3,295.2,1315.89,25
CPT,78579,LUNG VENTILATION IMAGING,1564.0,1094.8,142.76,1315.89,16
CPT,78580,NUCLEAR MEDICINE STUDY OF LUNG CIRCULATION,1498.0,1048.6,122.59,1315.89,25
CPT,78582,NUCLEAR MEDICINE STUDY OF LUNG VENTILATION AND CIRCULATION,1709.0,1196.3,256.07,1787.21,16
CPT,78597,NUCLEAR MEDICINE STUDY OF LUNG VENTILATION AND BLOOD FLOW TO LUNG,1006.0,704.2,153.04,1315.89,16
CPT,78598,NUCLEAR MEDICINE STUDY OF LUNG VENTILATION AND CIRCULATION AND BLOOD FLOW TO LUNG,2592.0,1814.4,248.04,1787.21,16
CPT,78605,BRAIN IMAGE 4+ VIEWS,963.0,674.1,121.9,1787.21,16
CPT,78606,BRAIN IMAGE W/FLOW 4 + VIEWS,1161.0,812.7,138.42,1787.21,16
CPT,78607,BRAIN IMAGING (3D),1702.0,1191.4,673.46,673.46,1
CPT,78608,NUCLEAR MEDICINE STUDY OF BRAIN WITH METABOLIC EVALUATION,4375.0,3062.5,1680.98,6346.0,56
CPT,78609,BRAIN IMAGING (PET),3330.0,2331.0,155.46,6346.0,9
CPT,78610,BRAIN FLOW IMAGING ONLY,1233.0,863.1,56.72,1787.21,16
CPT,78630,CEREBROSPINAL FLUID SCAN,3305.0,2313.5,180.41,1787.21,16
CPT,78645,NUCLEAR MEDICINE STUDY OF CEREBROSPINAL FLUID FLOW TO EVALUATE SHUNT,2425.0,1697.5,122.59,1787.21,25
CPT,78650,NUCLEAR MEDICINE STUDY OF CEREBROSPINAL FLUID FLOW TO LOCATE LEAKAGE,1702.0,1191.4,166.03,4261.43,16
CPT,78700,KIDNEY IMAGING MORPHOL,822.0,575.4,109.2,1315.89,16
CPT,78701,KIDNEY IMAGING WITH FLOW,931.0,651.7,127.12,1315.89,16
CPT,78707,NUCLEAR MEDICINE STUDY OF KIDNEY; BLOOD FLOW; AND FUNCTION,1977.0,1383.9,159.85,1787.21,25
CPT,78708,NUCLEAR MEDICINE STUDY OF KIDNEY; BLOOD; FLOW; AND FUNCTION WITH DRUG ADMINISTRATION,2292.0,1604.4,159.85,1787.21,25
CPT,78709,NUCLEAR MEDICINE STUDIES OF KIDNEY; BLOOD FLOW; AND FUNCTION,2294.0,1605.8,159.85,1787.21,16
CPT,78710,KIDNEY IMAGING (3D),836.0,585.2,384.9,384.9,1
CPT,78725,KIDNEY FUNCTION STUDY,1400.0,980.0,63.93,1315.89,16
CPT,78730,URINARY BLADDER RETENTION,808.0,565.6,8.05,196.81,16
CPT,78740,URETERAL REFLUX STUDY,810.0,567.0,76.04,1315.89,16
CPT,78761,TESTICULAR IMAGING W/FLOW,990.0,693.0,114.35,1315.89,16
CPT,78800,RP LOCLZJ TUM 1 AREA 1 D IMG,836.0,585.2,121.9,1315.89,16
CPT,78801,RP LOCLZJ TUM 2+AREA 1+D IMG,1105.0,773.5,151.22,1315.89,16
CPT,78802,NUCLEAR MEDICINE STUDY; WHOLE BODY,2246.0,1572.2,197.91,1787.21,32
CPT,78803,NUCLEAR MEDICINE STUDY; 1 AREA WITH SPECT,3227.0,2258.9,234.83,1787.21,25
CPT,78804,NUCLEAR MEDICINE STUDY; WHOLE BODY REQUIRING MULTIPLE IMAGING DAYS,2302.0,1611.4,638.29,1787.21,7
CPT,78804,RP LOCLZJ TUM WHBDY 2+D IMG,2302.0,1611.4,341.04,1787.21,16
CPT,78807,ABSCLOCALIZ; SPECT,1738.0,1216.6,664.77,664.77,1
CPT,78811,PET IMAGE LTD AREA,3638.0,2546.6,1521.94,6346.0,16
CPT,78812,PET IMAGE SKULL-THIGH,4128.0,2889.6,1680.98,6346.0,16
CPT,78813,PET IMAGE FULL BODY,4747.0,3322.9,1680.98,6346.0,16
CPT,78814,PET IMAGE W/CT LMTD,4855.0,3398.5,1680.98,6346.0,16
CPT,78815,NUCLEAR MEDICINE STUDY FROM SKULL BASE TO MID-THIGH WITH CT SCAN,5046.0,3532.2,1680.98,6346.0,82
CPT,78815,PET IMAGE W/CT SKULL-THIGH,5298.0,3708.6,1680.98,6346.0,16
CPT,78816,NUCLEAR MEDICINE STUDY WHOLE BODY WITH CT SCAN,7058.0,4940.6,1680.98,6346.0,82
CPT,78830,NUCLEAR MEDICINE STUDY; 1 AREA WITH SPECT AND CONCURRENT CT SCAN,3622.0,2535.4,393.75,4261.43,29
CPT,78831,NUCLEAR MEDICINE STUDY; MULTIPLE AREAS WITH SPECT,4423.0,3096.1,584.35,4261.43,15
CPT,78832,NUCLEAR MEDICINE STUDY; MULTIPLE AREAS WITH SPECT AND CONCURRENT CT SCAN,4423.0,3096.1,771.91,4706.74,22
CPT,78835,QUANTIFICATION OF RADIOACTIVE MATERIALS,112.0,78.4,21.83,233.22,15
CPT,79005,RADIOACTIVE DRUG THERAPY BY MOUTH,839.0,587.3,78.66,768.04,16
CPT,79101,RADIOACTIVE DRUG THERAPY THROUGH A VEIN,1173.0,821.1,79.77,768.04,25
CPT,79200,NUCLEAR RX INTRACAV ADMIN,2001.0,1400.7,83.12,768.04,16
CPT,79403,HEMATOPOIETIC NUCLEAR TX,3098.0,2168.6,127.47,768.04,16
CPT,79440,NUCLEAR RX INTRA-ARTICULAR,578.0,404.6,61.94,768.04,16
CPT,79445,RADIOACTIVE DRUG THERAPY THROUGH A TUBE INSERTED IN AN ARTERY,1214.0,849.8,97.55,768.04,19
CPT,80047,METABOLIC PANEL IONIZED CA,68.0,47.6,12.58,91.53,16
CPT,80048,BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL),122.0,85.4,8.46,35.1,51
CPT,80051,BLOOD TEST PANEL FOR ELECTROLYTES (SODIUM POTASSIUM; CHLORIDE; CARBON DIOXIDE),137.0,95.9,7.01,29.07,23
CPT,80053,BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS,138.0,96.6,10.56,43.83,51
CPT,80055,OBSTETRIC PANEL,413.0,289.1,47.81,133.87,15
CPT,80061,BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES),167.0,116.9,13.39,55.53,37
CPT,80069,KIDNEY FUNCTION BLOOD TEST PANEL,99.0,69.3,8.68,36.0,23
CPT,80074,ACUTE HEPATITIS PANEL,837.0,585.9,47.63,197.46,32
CPT,80076,LIVER FUNCTION BLOOD TEST PANEL,96.0,67.2,8.17,33.87,51
CPT,80143,MEASUREMENT OF ACETAMINOPHEN,148.0,103.6,18.64,52.19,19
CPT,80145,DRUG ASSAY ADALIMUMAB,1999.0,1399.3,20.54,108.0,15
CPT,80150,AMIKACIN (ANTIBIOTIC) LEVEL,181.0,126.7,15.08,42.22,8
CPT,80150,ASSAY OF AMIKACIN,181.0,126.7,15.08,62.49,16
CPT,80156,CARBAMAZEPINE LEVEL; TOTAL,212.0,148.4,14.57,60.36,16
CPT,80158,DRUG ASSAY CYCLOSPORINE,410.0,287.0,18.05,74.85,16
CPT,80159,DRUG ASSAY CLOZAPINE,322.0,225.4,20.15,56.42,16
CPT,80162,DIGOXIN LEVEL; TOTAL,167.0,116.9,13.28,55.05,16
CPT,80164,VALPROIC ACID LEVEL; TOTAL,222.0,155.4,13.54,56.16,23
CPT,80167,DRUG ASSAY FELBAMATE,550.0,385.0,18.64,52.19,12
CPT,80168,ASSAY OF ETHOSUXIMIDE,100.0,70.0,16.34,67.74,16
CPT,80169,DRUG ASSAY EVEROLIMUS,816.0,571.2,13.73,38.44,16
CPT,80170,ASSAY OF GENTAMICIN,194.0,135.8,16.38,67.95,16
CPT,80171,DRUG SCREEN QUANT GABAPENTIN,262.0,183.4,17.75,60.68,16
CPT,80173,ASSAY OF HALOPERIDOL,87.0,60.9,15.78,61.02,16
CPT,80175,DRUG SCREEN QUAN LAMOTRIGINE,368.0,257.6,13.25,37.1,16
CPT,80175,LAMOTRIGINE LEVEL,368.0,257.6,13.25,37.1,8
CPT,80176,ASSAY OF LIDOCAINE,177.0,123.9,14.69,60.9,16
CPT,80177,DRUG SCRN QUAN LEVETIRACETAM,468.0,327.6,13.25,37.1,16
CPT,80177,LEVETIRACETAM LEVEL,468.0,327.6,13.25,37.1,8
CPT,80178,LITHIUM LEVEL,79.0,55.3,6.61,27.39,23
CPT,80179,MEASUREMENT OF SALICYLATE,69.0,48.3,18.64,52.19,19
CPT,80180,DRUG SCRN QUAN MYCOPHENOLATE,1296.0,907.2,18.05,50.54,16
CPT,80181,DRUG ASSAY FLECAINIDE,173.0,121.1,18.64,52.19,12
CPT,80183,DRUG SCRN QUANT OXCARBAZEPIN,413.0,289.1,13.25,37.1,16
CPT,80183,OXCARBAZEPINE LEVEL,413.0,289.1,13.25,37.1,8
CPT,80184,PHENOBARBITAL LEVEL,230.0,161.0,15.3,47.49,16
CPT,80185,PHENYTOIN LEVEL; TOTAL,153.0,107.1,13.25,54.96,16
CPT,80186,PHENYTOIN LEVEL; FREE,153.0,107.1,13.76,57.09,16
CPT,80188,ASSAY OF PRIMIDONE,129.0,90.3,16.59,68.79,16
CPT,80189,DRUG ASSAY ITRACONAZOLE,177.0,123.9,26.21,75.91,12
CPT,80192,ASSAY OF PROCAINAMIDE,140.5,98.35,16.75,69.45,32
CPT,80193,DRUG ASSAY LEFLUNOMIDE,715.0,500.5,20.54,108.0,12
CPT,80194,ASSAY OF QUINIDINE,97.0,67.9,14.6,60.51,16
CPT,80195,ASSAY OF SIROLIMUS,490.0,343.0,13.73,38.44,16
CPT,80195,SIROLIMUS LEVEL,494.0,345.8,13.73,38.44,8
CPT,80197,ASSAY OF TACROLIMUS,292.0,204.4,13.73,56.91,16
CPT,80197,TACROLIMUS LEVEL,292.0,204.4,13.73,38.44,8
CPT,80198,ASSAY OF THEOPHYLLINE,172.0,120.4,14.14,58.68,16
CPT,80200,ASSAY OF TOBRAMYCIN,192.0,134.4,16.13,66.81,16
CPT,80201,TOPIRAMATE LEVEL,162.0,113.4,11.92,49.44,16
CPT,80202,VANCOMYCIN (ANTIBIOTIC) LEVEL,215.0,150.5,13.54,56.16,16
CPT,80204,DRUG ASSAY METHOTREXATE,274.0,191.8,20.54,108.0,12
CPT,80230,DRUG ASSAY INFLIXIMAB,715.0,500.5,20.54,108.0,15
CPT,80235,DRUG ASSAY LACOSAMIDE,1074.0,751.8,26.21,75.91,15
CPT,80235,MEASUREMENT OF LACOSAMIDE,1074.0,751.8,27.11,75.91,7
CPT,80280,DRUG ASSAY VEDOLIZUMAB,812.0,568.4,20.54,108.0,15
CPT,80299,QUANTITATIVE ASSAY DRUG,360.5,252.35000000000002,18.64,56.76,320
CPT,80307,DRUG TEST PRSMV CHEM ANLYZR,291.0,203.7,59.38,173.99,75
CPT,80307,TESTING FOR PRESENCE OF DRUG; BY CHEMISTRY ANALYZERS,261.0,182.7,59.38,173.99,43
CPT,80320,ALCOHOLS LEVELS,700.0,490.0,,,0
CPT,80320,DRUG SCREEN QUANTALCOHOLS,700.0,490.0,15.68,23.19,3
CPT,80321,ALCOHOLS BIOMARKERS 1OR 2,481.0,336.7,15.68,23.19,3
CPT,80321,ALCOHOLS LEVELS; 1 OR 2,481.0,336.7,,,0
CPT,80323,ALKALOIDS NOS,301.0,210.7,32.71,50.78,3
CPT,80324,AMPHETAMINES LEVELS; 1 OR 2,481.0,336.7,,,0
CPT,80324,DRUG SCREEN AMPHETAMINES 1/2,419.5,293.65,22.55,33.31,6
CPT,80327,ANABOLIC STEROID 1 OR 2,705.0,493.5,37.46,55.38,3
CPT,80329,ANALGESICS NON-OPIOID 1 OR 2,252.0,176.4,20.59,30.45,3
CPT,80332,ANTIDEPRESSANTS CLASS 1 OR 2,226.0,158.2,19.23,28.08,3
CPT,80335,ANTIDEPRESSANT TRICYCLIC 1/2,106.0,74.2,19.66,29.09,3
CPT,80337,TRICYCLIC & CYCLICALS 6/MORE,226.0,158.2,19.66,29.09,3
CPT,80338,ANTIDEPRESSANT NOT SPECIFIED,226.0,158.2,19.23,28.08,3
CPT,80339,ANTIEPILEPTICS NOS 1-3,550.0,385.0,19.8,30.77,3
CPT,80342,ANTIPSYCHOTICS LEVELS; 1-3,296.0,207.2,,,0
CPT,80342,ANTIPSYCHOTICS NOS 1-3,296.0,207.2,21.51,33.38,3
CPT,80345,DRUG SCREENING BARBITURATES,481.0,336.7,16.59,24.55,3
CPT,80346,BENZODIAZEPINES LEVELS; 1-12,481.0,336.7,,,0
CPT,80346,BENZODIAZEPINES1-12,336.0,235.2,26.84,39.65,3
CPT,80348,DRUG SCREENING BUPRENORPHINE,293.0,205.1,28.23,41.29,3
CPT,80349,CANNABINOIDS LEVELS; NATURAL,481.0,336.7,,,0
CPT,80349,CANNABINOIDS NATURAL,481.0,336.7,19.23,28.08,3
CPT,80353,DRUG SCREENING COCAINE,481.0,336.7,22.76,33.63,3
CPT,80354,DRUG SCREENING FENTANYL,481.0,336.7,28.23,41.29,3
CPT,80355,GABAPENTIN NON-BLOOD,147.0,102.9,19.23,28.08,3
CPT,80356,HEROIN METABOLITE,168.0,117.6,28.23,41.29,3
CPT,80357,KETAMINE AND NORKETAMINE,481.0,336.7,19.23,28.08,3
CPT,80358,DRUG SCREENING METHADONE,481.0,336.7,22.76,33.63,3
CPT,80359,METHYLENEDIOXYAMPHETAMINES,332.0,232.4,19.23,28.08,3
CPT,80359,METHYLENEDIOXYAMPHETAMINES LEVELS,481.0,336.7,,,0
CPT,80360,METHYLPHENIDATE,481.0,336.7,19.23,28.08,3
CPT,80361,OPIATES 1 OR MORE,168.0,117.6,28.23,41.76,3
CPT,80362,OPIOIDS & OPIATE ANALOGS 1/2,481.0,336.7,28.23,41.76,3
CPT,80363,OPIOIDS & OPIATE ANALOGS 3/4,481.0,336.7,28.23,41.76,3
CPT,80364,OPIOID &OPIATE ANALOG 5/MORE,481.0,336.7,28.23,41.76,3
CPT,80365,DRUG SCREENING OXYCODONE,211.0,147.7,28.23,41.29,3
CPT,80366,DRUG SCREENING PREGABALIN,481.0,336.7,19.23,28.08,3
CPT,80367,DRUG SCREENING PROPOXYPHENE,481.0,336.7,19.23,28.08,3
CPT,80368,SEDATIVE HYPNOTICS,481.0,336.7,19.23,28.08,3
CPT,80369,SKELETAL MUSCLE RELAXANT 1/2,481.0,336.7,25.58,37.79,3
CPT,80372,DRUG SCREENING TAPENTADOL,481.0,336.7,28.23,41.29,3
CPT,80373,DRUG SCREENING TRAMADOL,481.0,336.7,19.23,28.08,3
CPT,80375,DRUG/SUBSTANCE NOS 1-3,1306.0,914.2,22.5,34.93,3
CPT,80377,DRUG/SUBSTANCE NOS 7/MORE,886.0,620.2,19.23,28.08,3
CPT,80377,DRUGS OR SUBSTANCES MEASUREMENT; 7 OR MORE,886.0,620.2,,,0
CPT,80500,LAB PATHOLOGY CONSULTATION,301.0,210.7,35.31,35.31,1
CPT,81001,MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED,49.0,34.3,3.17,13.11,51
CPT,81002,URINALYSIS; MANUAL TEST,26.0,18.2,3.48,10.62,51
CPT,81003,AUTOMATED URINALYSIS TEST,39.5,27.65,2.25,9.3,23
CPT,81003,URINALYSIS AUTO W/O SCOPE,38.0,26.6,2.25,9.3,16
CPT,81005,URINALYSIS,25.0,17.5,2.17,9.0,16
CPT,81015,URINALYSIS USING MICROSCOPE,38.0,26.6,3.05,12.6,23
CPT,81025,URINE PREGNANCY TEST,70.5,49.35,8.61,26.22,53
CPT,81050,URINALYSIS VOLUME MEASURE,19.0,13.3,3.64,10.19,16
CPT,81120,IDH1 COMMON VARIANTS,994.0,695.8,174.51,541.1,15
CPT,81121,IDH2 COMMON VARIANTS,994.0,695.8,218.88,828.21,15
CPT,81170,ABL1 GENE,2106.0,1474.2,243.84,840.0,15
CPT,81206,TRANSLOCATION ANALYSIS (BCR/ABL1) MAJOR BREAKPOINT,1488.0,1041.6,163.96,459.09,16
CPT,81207,BCR/ABL1 GENE MINOR BP,1379.0,965.3,144.84,405.55,16
CPT,81207,TRANSLOCATION ANALYSIS (BCR/ABL1) MINOR BREAKPOINT,1379.0,965.3,144.84,405.55,8
CPT,81208,BCR/ABL1 GENE OTHER BP,275.0,192.5,214.62,600.94,16
CPT,81210,BRAF GENE,1669.0,1168.3,175.4,491.12,16
CPT,81218,CEBPA GENE FULL SEQUENCE,1121.0,784.7,241.9,677.32,15
CPT,81219,CALR GENE COM VARIANTS,428.0,299.6,121.63,340.56,15
CPT,81220,CFTR GENE COM VARIANTS,8018.0,5612.6,556.6,1558.48,15
CPT,81225,CYP2C19 GENE COM VARIANTS,2195.5,1536.85,286.3,815.81,32
CPT,81225,GENE ANALYSIS (CYTOCHROME P450; FAMILY 2; SUBFAMILY C; POLYPEPTIDE 19) COMMON VARIANTS,2940.0,2058.0,291.36,815.81,16
CPT,81229,CYTOG ALYS CHRML ABNR SNPCGH,5782.5,4047.75,657.87,3248.0,30
CPT,81229,GENOME-WIDE MICROARRAY ANALYSIS FOR COPY NUMBER AND SINGLE NUCLEOTIDE POLYMORPHISM (SNP) VARIANTS,2250.0,1575.0,1160.0,3248.0,14
CPT,81235,EGFR GENE COM VARIANTS,1102.0,771.4,323.8,908.82,16
CPT,81240,F2 GENE,273.0,191.1,65.69,183.93,16
CPT,81240,GENE ANALYSIS (PROTHROMBIN; COAGULATION FACTOR II) A VARIANT,273.0,191.1,65.69,183.93,8
CPT,81241,F5 GENE,321.0,224.7,73.37,205.44,16
CPT,81241,GENE ANALYSIS (COAGULATION FACTOR V) LEIDEN VARIANT,321.0,224.7,73.37,205.44,8
CPT,81243,FMR1 GEN ALY DETC ABNL ALLEL,192.0,134.39999999999998,57.04,159.71,30
CPT,81244,FMR1 GEN ALYS CHARAC ALLELES,699.0,489.3,44.89,125.69,15
CPT,81245,FLT3 GENE,630.0,441.0,162.79,463.43,16
CPT,81246,FLT3 GENE ANALYSIS,316.0,221.2,83.0,232.4,15
CPT,81256,GENE ANALYSIS (HEMOCHROMATOSIS) COMMON VARIANTS,342.0,239.4,65.36,183.01,8
CPT,81256,HFE GENE,342.0,239.4,65.36,183.01,16
CPT,81257,GENE ANALYSIS (ALPHA GLOBIN 1 AND ALPHA GLOBIN 2) FOR COMMON DELETIONS OR VARIANT,486.0,340.2,102.26,286.33,7
CPT,81257,HBA1/HBA2 GENE,207.0,144.9,102.26,286.33,45
CPT,81259,HBA1/HBA2 FULL GENE SEQUENCE,2520.0,1764.0,589.4,1680.0,15
CPT,81261,IGH GENE REARRANGE AMP METH,1388.0,971.6,197.99,554.37,16
CPT,81263,IGH VARI REGIONAL MUTATION,1150.0,805.0,294.52,824.66,16
CPT,81264,IGK REARRANGEABN CLONAL POP,1082.0,757.4,172.73,483.64,16
CPT,81265,COMPARATIVE ANALYSIS USING SHORT TANDEM REPEAT (STR) MARKERS OF PATIENT AND SPECIMEN,977.0,683.9,233.07,652.6,16
CPT,81265,STR MARKERS SPECIMEN ANAL,977.0,683.9,233.07,746.88,16
CPT,81266,STR MARKERS SPEC ANAL ADDL,425.0,297.5,304.81,853.47,15
CPT,81269,HBA1/HBA2 GENE DUP/DEL VRNTS,912.0,638.4,187.09,566.72,15
CPT,81270,GENE ANALYSIS (JANUS KINASE 2) VARIANT,1358.0,950.6,91.66,256.65,8
CPT,81270,JAK2 GENE,906.5,634.55,91.66,256.65,32
CPT,81272,KIT GENE TARGETED SEQ ANALYS,1001.0,700.7,243.84,922.63,15
CPT,81273,KIT GENE ANALYS D816 VARIANT,380.0,266.0,92.4,349.64,15
CPT,81275,KRAS GENE VARIANTS EXON 2,506.0,354.2,174.51,541.1,16
CPT,81276,KRAS GENE ADDL VARIANTS,1962.0,1373.4,145.92,541.1,15
CPT,81279,JAK2 GENE TRGT SEQUENCE ALYS,1340.0,938.0,185.2,518.56,12
CPT,81287,MGMT GENE PRMTR MTHYLTN ALYS,1029.0,720.3,83.09,348.99,15
CPT,81288,MLH1 GENE,861.0,602.7,159.64,538.5,15
CPT,81291,GENE ANALYSIS (5; 10-METHYLENETETRAHYDROFOLATE REDUCTASE) COMMON VARIANTS,249.0,174.3,65.34,182.95,8
CPT,81291,MTHFR GENE,249.0,174.3,58.43,182.95,16
CPT,81301,MICROSATELLITE INSTABILITY,438.0,306.6,348.56,975.97,16
CPT,81305,MYD88 GENE P.LEU265PRO VRNT,445.0,311.5,175.4,491.12,15
CPT,81309,PIK3CA GENE TRGT SEQ ALYS,1132.0,792.4,274.83,769.52,15
CPT,81310,NPM1 GENE,909.0,636.3,105.9,690.26,16
CPT,81311,NRAS GENE VARIANTS EXON 2&3,1087.0,760.9,218.88,828.21,15
CPT,81313,PCA3/KLK3 ANTIGEN,1323.0,926.1,255.05,714.14,15
CPT,81314,PDGFRA GENE,1001.0,700.7,243.84,922.63,15
CPT,81315,PML/RARALPHA COM BREAKPOINTS,1037.0,725.9,207.31,580.47,16
CPT,81315,TRANSLOCATION ANALYSIS (PML-RARA REGULATED ADAPTOR MOLECULE 1) COMMON BREAKPOINT,1037.0,725.9,207.31,580.47,8
CPT,81329,SMN1 GENE DOS/DELETION ALYS,343.0,240.1,137.0,383.6,15
CPT,81332,SERPINA1 GENE,622.0,435.4,43.65,126.36,16
CPT,81335,TPMT GENE COM VARIANTS,1455.0,1018.5,171.78,489.47,15
CPT,81339,MPL GENE SEQ ALYS EXON 10,788.0,551.6,185.2,518.56,12
CPT,81340,TRB@ GENE REARRANGE AMPLIFY,1275.0,892.5,208.92,584.98,16
CPT,81342,TRG GENE REARRANGEMENT ANAL,1042.0,729.4,201.5,564.2,16
CPT,81345,TERT GENE TARGETED SEQ ALYS,2106.0,1474.2,185.2,518.56,15
CPT,81363,HBB GENE DUP/DEL VARIANTS,1103.0,772.1,187.09,566.72,15
CPT,81364,HBB FULL GENE SEQUENCE,1436.0,1005.2,323.8,908.82,15
CPT,81370,HLA I & II TYPING LR,3390.0,2373.0,402.12,1125.94,16
CPT,81373,HLA I TYPING 1 LOCUS LR,1087.0,760.9,127.43,356.8,16
CPT,81375,HLA II TYPING AG EQUIV LR,1129.0,790.3,220.74,618.07,16
CPT,81376,HLA II TYPING 1 LOCUS LR,759.0,531.3,122.22,342.22,16
CPT,81380,HLA I TYPING 1 LOCUS HR,389.0,272.3,177.25,496.3,16
CPT,81381,HLA CLASS I TYPING HIGH RESOLUTION ONE ALLELE OR ALLELE GROUP,756.0,529.2,169.9,475.72,8
CPT,81381,HLA I TYPING 1 ALLELE HR,756.0,529.2,126.6,475.72,48
CPT,81382,HLA II TYPING 1 LOC HR,944.0,660.8,123.68,346.3,16
CPT,81383,HLA II TYPING 1 ALLELE HR,690.0,483.0,109.13,305.56,16
CPT,81400,MOPATH PROCEDURE LEVEL 1,495.0,346.5,63.96,187.8,15
CPT,81401,MOPATH PROCEDURE LEVEL 2,592.0,414.4,137.0,383.6,15
CPT,81402,MOPATH PROCEDURE LEVEL 3,476.0,333.2,150.33,420.92,15
CPT,81403,MOLECULAR PATHOLOGY PROCEDURE LEVEL 4,1240.7,868.49,185.2,518.56,7
CPT,81403,MOPATH PROCEDURE LEVEL 4,1340.0,938.0,185.2,518.56,15
CPT,81404,MOPATH PROCEDURE LEVEL 5,455.0,318.5,274.83,769.52,15
CPT,81405,MOPATH PROCEDURE LEVEL 6,763.0,534.1,301.35,868.08,15
CPT,81407,MOPATH PROCEDURE LEVEL 8,2848.0,1993.6,846.27,2369.56,15
CPT,81443,GENETIC TSTG SEVERE INH COND,4959.0,3471.3,2448.56,6855.97,15
CPT,81445,SO NEO GSAP 5-50DNA/DNA&RNA,3993.0,2795.1,597.91,1674.15,15
CPT,81450,HL NEO GSAP 5-50DNA/DNA&RNA,5456.0,3819.2,648.4,2126.68,15
CPT,81479,UNLISTED MOLECULAR PATHOLOGY,2904.0,2032.8,,,0
CPT,81513,NFCT DS BV RNA VAG FLU ALG,641.0,448.7,142.63,399.36,12
CPT,81519,ONCOLOGY BREAST MRNA,18295.0,12806.5,3419.42,10844.4,15
CPT,81596,NFCT DS CHRNC HCV 6 ASSAYS,960.0,672.0,72.19,202.13,15
CPT,82009,KETONE BODYS QUAL,65.0,45.5,4.52,18.75,16
CPT,82010,KETONE BODIES ANALYSIS; QUANTITATIVE,102.0,71.4,8.17,33.87,23
CPT,82013,ACETYLCHOLINESTERASE ASSAY,90.0,63.0,12.29,46.32,16
CPT,82017,ACYLCARNITINES QUANT,323.0,226.1,16.87,69.93,16
CPT,82024,ADRENOCORTICOTROPIC HORMONE (ACTH) LEVEL,303.0,212.1,38.62,108.14,16
CPT,82024,ASSAY OF ACTH,303.0,212.1,38.62,160.14,16
CPT,82040,ALBUMIN (PROTEIN) LEVEL,58.5,40.95,4.95,20.55,24
CPT,82040,ASSAY OF SERUM ALBUMIN,49.0,34.3,4.95,20.55,16
CPT,82042,CEREBROSPINAL FLUID; OR AMNIOTIC FLUID ALBUMIN (PROTEIN) LEVEL,68.0,47.6,7.51,21.78,32
CPT,82042,OTHER SOURCE ALBUMIN QUAN EA,77.0,53.9,7.51,21.78,16
CPT,82043,URINE MICROALBUMIN (PROTEIN) LEVEL,101.0,70.7,5.78,24.0,40
CPT,82075,ASSAY OF BREATH ETHANOL,70.0,49.0,17.49,84.0,16
CPT,82077,MEASUREMENT OF ALCOHOL LEVEL IN SPECIMEN OTHER THAN BREATH OR URINE,700.0,490.0,17.27,48.36,19
CPT,82085,ASSAY OF ALDOLASE,109.0,76.3,9.71,40.26,16
CPT,82088,ALDOSTERONE HORMONE LEVEL,547.0,382.9,40.75,114.1,24
CPT,82088,ASSAY OF ALDOSTERONE,374.0,261.8,40.75,168.96,16
CPT,82103,ALPHA-1-ANTITRYPSIN (PROTEIN) BLOOD TEST; TOTAL,257.0,179.9,13.44,37.63,8
CPT,82103,ALPHA-1-ANTITRYPSIN TOTAL,257.0,179.9,13.44,55.68,16
CPT,82104,ALPHA-1-ANTITRYPSIN PHENO,362.0,253.4,14.46,59.94,16
CPT,82105,ALPHA-FETOPROTEIN (AFP) LEVEL; SERUM,184.0,128.8,16.77,46.96,16
CPT,82105,ALPHA-FETOPROTEIN SERUM,184.0,128.8,16.77,69.54,16
CPT,82106,ALPHA-FETOPROTEIN AMNIOTIC,213.0,149.1,17.0,69.54,16
CPT,82108,ASSAY OF ALUMINUM,227.0,158.9,22.82,71.34,16
CPT,82128,AMINO ACIDS MULT QUAL,142.0,99.4,13.87,57.48,16
CPT,82131,AMINO ACIDS SINGLE QUANT,219.0,153.3,22.98,69.93,16
CPT,82135,ASSAY AMINOLEVULINIC ACID,132.0,92.4,16.45,68.25,16
CPT,82139,AMINO ACID LEVEL; 6 OR MORE AMINO ACIDS; QUANTITATIVE; EACH SPECIMEN,2505.0,1753.5,16.87,69.93,16
CPT,82139,AMINO ACIDS QUAN 6 OR MORE,645.0,451.5,16.87,69.93,16
CPT,82140,AMMONIA LEVEL,207.0,144.9,14.57,60.42,16
CPT,82150,AMYLASE (ENZYME) LEVEL,113.0,79.1,6.48,26.88,24
CPT,82157,ASSAY OF ANDROSTENEDIONE,448.0,313.6,29.28,121.38,16
CPT,82164,ANGIOTENSIN I ENZYME TEST,169.0,118.3,14.6,60.51,16
CPT,82164,ANGIOTENSIN L - CONVERTING ENZYME (ACE) LEVEL,169.0,118.3,14.6,40.88,8
CPT,82166,ASSAY ANTI-MULLERIAN HORM,192.0,134.4,38.62,108.14,10
CPT,82172,ASSAY OF APOLIPOPROTEIN,169.0,118.3,21.09,64.23,16
CPT,82175,ARSENIC LEVEL,207.0,144.9,18.97,53.12,8
CPT,82175,ASSAY OF ARSENIC,207.0,144.9,18.97,78.66,16
CPT,82180,ASCORBIC ACID (VITAMIN C) LEVEL; BLOOD,303.0,212.1,9.89,27.69,8
CPT,82180,ASSAY OF ASCORBIC ACID,303.0,212.1,9.89,40.98,16
CPT,82232,ASSAY OF BETA-2 PROTEIN,222.0,155.4,16.18,67.08,16
CPT,82232,BETA-2 MICROGLOBULIN (PROTEIN) LEVEL,222.0,155.4,16.18,45.3,8
CPT,82247,BILIRUBIN LEVEL; TOTAL,75.0,52.5,5.02,20.82,23
CPT,82248,BILIRUBIN LEVEL; DIRECT,75.0,52.5,5.02,20.82,30
CPT,82261,ASSAY OF BIOTINIDASE,65.0,45.5,16.87,69.93,16
CPT,82270,OCCULT BLOOD FECES,45.0,31.5,4.38,13.47,16
CPT,82271,OCCULT BLOOD OTHER SOURCES,39.0,27.3,4.77,14.9,16
CPT,82272,STOOL ANALYSIS FOR BLOOD; BY PEROXIDASE ACTIVITY,45.0,31.5,4.23,13.62,16
CPT,82274,ASSAY TEST FOR BLOOD FECAL,130.0,91.0,15.92,44.58,16
CPT,82274,STOOL ANALYSIS FOR BLOOD; BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY,130.0,91.0,15.92,44.58,16
CPT,82300,ASSAY OF CADMIUM,173.0,121.1,23.64,66.19,16
CPT,82306,VITAMIN D-3 LEVEL,411.0,287.7,29.6,122.73,31
CPT,82308,ASSAY OF CALCITONIN,374.0,261.8,26.79,111.03,16
CPT,82310,CALCIUM LEVEL; TOTAL,75.0,52.5,5.16,21.36,23
CPT,82330,CALCIUM LEVEL; IONIZED,139.0,97.3,13.68,56.64,23
CPT,82340,ASSAY OF CALCIUM IN URINE,65.0,45.5,6.03,25.02,16
CPT,82340,URINE CALCIUM LEVEL,65.0,45.5,6.03,16.88,8
CPT,82360,CALCULUS ASSAY QUANT,311.0,217.7,12.87,53.4,16
CPT,82365,CALCULUS SPECTROSCOPY,318.0,222.6,12.01,36.12,16
CPT,82365,INFRARED ANALYSIS OF STONE,331.5,232.05,12.9,36.12,24
CPT,82370,X-RAY ASSAY CALCULUS,78.0,54.6,12.52,51.96,16
CPT,82373,ASSAY C-D TRANSFER MEASURE,136.0,95.2,18.06,75.69,16
CPT,82374,ASSAY BLOOD CARBON DIOXIDE,63.0,44.1,4.88,20.28,16
CPT,82375,CARBOXYHEMOGLOBIN (PROTEIN) LEVEL,183.0,128.1,12.32,51.09,16
CPT,82378,CARCINOEMBRYONIC ANTIGEN,266.0,186.2,18.96,78.66,16
CPT,82378,CARCINOEMBRYONIC ANTIGEN (CEA) PROTEIN LEVEL,266.0,186.2,18.96,53.09,24
CPT,82379,ASSAY OF CARNITINE,520.0,364.0,16.87,69.93,16
CPT,82380,ASSAY OF CAROTENE,84.0,58.8,9.22,38.25,16
CPT,82384,ASSAY THREE CATECHOLAMINES,302.0,211.4,25.25,104.7,16
CPT,82390,ASSAY OF CERULOPLASMIN,161.0,112.7,10.74,44.52,16
CPT,82390,CERULOPLASMIN (PROTEIN) LEVEL,161.0,112.7,10.74,30.07,8
CPT,82397,ANALYSIS USING CHEMILUMINESCENT TECHNIQUE (LIGHT AND CHEMICAL )REACTION,505.0,353.5,14.12,39.54,8
CPT,82397,CHEMILUMINESCENT ASSAY,170.0,119.0,14.12,39.54,16
CPT,82435,BLOOD CHLORIDE LEVEL,74.0,51.8,4.6,19.05,23
CPT,82436,URINE CHLORIDE LEVEL,68.0,47.6,5.75,20.85,16
CPT,82438,ASSAY OTHER FLUID CHLORIDES,42.0,29.4,5.0,20.28,16
CPT,82441,TEST FOR CHLOROHYDROCARBONS,102.0,71.4,6.01,16.83,16
CPT,82465,ASSAY BLD/SERUM CHOLESTEROL,74.0,51.8,4.35,18.06,16
CPT,82480,ASSAY SERUM CHOLINESTERASE,116.0,81.2,7.87,32.67,16
CPT,82482,ASSAY RBC CHOLINESTERASE,98.0,68.6,9.81,27.47,16
CPT,82495,ASSAY OF CHROMIUM,266.0,186.2,20.28,84.09,16
CPT,82507,ASSAY OF CITRATE,393.0,275.1,27.8,115.29,16
CPT,82523,COLLAGEN CROSSLINKS,326.0,228.2,18.68,77.49,16
CPT,82525,ASSAY OF COPPER,156.0,109.2,12.41,51.45,16
CPT,82525,COPPER LEVEL,203.0,142.1,12.41,34.75,8
CPT,82528,ASSAY OF CORTICOSTERONE,191.0,133.7,22.52,63.06,16
CPT,82530,CORTISOL (HORMONE) MEASUREMENT; FREE,321.0,224.7,16.71,46.79,8
CPT,82530,CORTISOL FREE,321.0,224.7,16.71,69.3,16
CPT,82533,CORTISOL (HORMONE) MEASUREMENT; TOTAL,366.0,256.20000000000005,16.3,67.59,48
CPT,82540,ASSAY OF CREATINE,126.0,88.2,4.64,19.2,16
CPT,82542,CHEMICAL ANALYSIS USING CHROMATOGRAPHY TECHNIQUE,543.0,380.1,24.09,67.45,40
CPT,82542,COL CHROMOTOGRAPHY QUAL/QUAN,114.0,79.8,24.09,74.88,16
CPT,82550,CREATINE KINASE (CARDIAC ENZYME) LEVEL; TOTAL,104.0,72.8,6.51,27.03,38
CPT,82552,ASSAY OF CPK IN BLOOD,163.0,114.1,13.39,55.53,16
CPT,82552,CREATINE KINASE (CARDIAC ENZYME) LEVEL; ISOENZYMES,163.0,114.1,13.39,37.49,8
CPT,82553,CREATINE KINASE (CARDIAC ENZYME) LEVEL; MB FRACTION ONLY,251.0,175.7,11.55,47.85,23
CPT,82565,BLOOD CREATININE LEVEL,50.0,35.0,5.12,21.21,30
CPT,82570,ASSAY OF URINE CREATININE,24.0,16.8,5.18,21.45,16
CPT,82570,CREATININE LEVEL TO TEST FOR KIDNEY FUNCTION OR MUSCLE INJURY,96.0,67.2,5.18,21.45,48
CPT,82575,CREATININE CLEARANCE TEST,146.0,102.2,9.46,39.18,16
CPT,82585,ASSAY OF CRYOFIBRINOGEN,126.0,88.2,12.44,39.59,16
CPT,82595,ASSAY OF CRYOGLOBULIN,149.0,104.3,6.47,26.85,16
CPT,82595,CRYOGLOBULIN (PROTEIN) MEASUREMENT,149.0,104.3,6.47,18.12,8
CPT,82600,ASSAY OF CYANIDE,146.0,102.2,19.4,54.32,16
CPT,82607,CYANOCOBALAMIN (VITAMIN B-12) LEVEL,114.71,80.295,15.08,62.49,48
CPT,82610,CYSTATIN C (ENZYME INHIBITOR) LEVEL,290.0,203.0,18.52,57.0,16
CPT,82615,TEST FOR URINE CYSTINES,92.0,64.4,9.55,33.87,16
CPT,82626,DEHYDROEPIANDROSTERONE,496.0,347.2,25.27,104.79,16
CPT,82627,DEHYDROEPIANDROSTERONE,317.0,221.9,22.23,92.16,16
CPT,82627,DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL,317.0,221.9,22.23,62.24,8
CPT,82634,DEOXYCORTISOL,196.0,137.2,29.28,81.98,16
CPT,82642,DIHYDROTESTOSTERONE,381.0,266.7,29.28,81.98,15
CPT,82652,DIHYDROXYVITAMIN D; 1; 25 LEVEL,543.0,380.1,38.5,107.8,8
CPT,82652,VIT D 1 25-DIHYDROXY,543.0,380.1,38.5,159.57,16
CPT,82653,EL-1 FECAL QUANTITATIVE,284.0,198.8,22.97,64.32,12
CPT,82657,ENZYME CELL ACTIVITY,205.0,143.5,22.17,74.88,16
CPT,82664,ELECTROPHORETIC TEST,372.0,260.4,49.85,172.2,16
CPT,82668,ASSAY OF ERYTHROPOIETIN,247.0,172.9,18.79,77.91,16
CPT,82668,ERYTHROPOIETIN (PROTEIN) LEVEL,247.0,172.9,18.79,52.61,8
CPT,82670,ASSAY OF TOTAL ESTRADIOL,376.0,263.2,27.94,115.86,16
CPT,82670,MEASUREMENT OF TOTAL ESTRADIOL (HORMONE),376.0,263.2,27.94,78.23,8
CPT,82672,ASSAY OF ESTROGEN,294.0,205.8,21.7,89.91,16
CPT,82672,ESTROGEN ANALYSIS; TOTAL,294.0,205.8,21.7,60.76,8
CPT,82677,ASSAY OF ESTRIOL,297.0,207.9,24.18,100.29,16
CPT,82679,ASSAY OF ESTRONE,231.0,161.7,24.95,69.86,16
CPT,82681,ASSAY DIR MEAS FR ESTRADIOL,315.0,220.5,27.94,78.23,12
CPT,82693,ASSAY OF ETHYLENE GLYCOL,261.0,182.7,14.9,61.77,16
CPT,82705,FATS/LIPIDS FECES QUAL,146.0,102.2,5.1,21.12,16
CPT,82710,FATS/LIPIDS FECES QUANT,593.0,415.1,16.8,69.63,16
CPT,82726,LONG CHAIN FATTY ACIDS,727.0,508.9,19.75,75.69,16
CPT,82728,FERRITIN (BLOOD PROTEIN) LEVEL,173.0,121.1,13.63,47.43,40
CPT,82731,ASSAY OF FETAL FIBRONECTIN,718.0,502.6,64.41,310.75,16
CPT,82731,FETAL FIBRONECTIN (PROTEIN) ANALYSIS,718.0,502.6,64.41,180.35,8
CPT,82735,ASSAY OF FLUORIDE,310.0,217.0,18.54,76.89,16
CPT,82746,FOLIC ACID LEVEL; SERUM,213.0,149.1,14.7,60.96,40
CPT,82747,FOLIC ACID LEVEL; RBC,294.0,205.8,17.65,71.79,16
CPT,82760,ASSAY OF GALACTOSE,44.0,30.8,11.2,46.41,16
CPT,82775,ASSAY GALACTOSE TRANSFERASE,95.0,66.5,21.07,59.0,16
CPT,82777,GALECTIN-3,325.0,227.5,18.78,123.9,16
CPT,82784,ASSAY IGA/IGD/IGG/IGM EACH,91.5,64.05000000000001,9.3,31.65,64
CPT,82784,GAMMAGLOBULIN (IMMUNE SYSTEM PROTEIN) MEASUREMENT,175.0,122.5,9.3,31.65,39
CPT,82785,ASSAY OF IGE,220.0,154.0,16.46,68.28,16
CPT,82785,IGE (IMMUNE SYSTEM PROTEIN) LEVEL,220.0,154.0,16.46,46.09,8
CPT,82787,GAMMAGLOBULIN (IMMUNE SYSTEM PROTEIN) MEASUREMENT; IMMUNOGLOBULIN SUBCLASSES,298.0,208.6,8.02,33.6,23
CPT,82787,IGG 1 2 3 OR 4 EACH,79.0,55.3,8.02,33.6,16
CPT,82800,BLOOD PH,50.0,35.0,11.0,35.13,16
CPT,82803,BLOOD GASES ANY COMBINATION,130.0,91.0,26.07,80.22,16
CPT,82803,BLOOD GASES MEASUREMENT,322.0,225.4,26.07,80.22,30
CPT,82810,BLOOD GASES O2 SAT ONLY,130.5,91.35,9.77,36.18,32
CPT,82941,ASSAY OF GASTRIN,195.0,136.5,17.63,73.14,16
CPT,82941,GASTRIN (GI TRACT HORMONE) LEVEL,195.0,136.5,17.63,49.36,8
CPT,82943,ASSAY OF GLUCAGON,179.0,125.3,14.29,59.25,16
CPT,82945,GLUCOSE (SUGAR) LEVEL ON BODY FLUID,52.3,36.61,3.93,16.26,24
CPT,82947,BLOOD GLUCOSE (SUGAR) LEVEL,87.0,60.9,3.93,16.26,37
CPT,82948,REAGENT STRIP/BLOOD GLUCOSE,13.0,9.1,4.59,14.11,16
CPT,82950,GLUCOSE TEST,87.0,60.9,4.75,19.68,16
CPT,82951,GLUCOSE TOLERANCE TEST (GTT),180.0,126.0,12.87,53.4,16
CPT,82952,GTT-ADDED SAMPLES,39.0,27.3,3.92,16.26,16
CPT,82955,ASSAY OF G6PD ENZYME,231.0,161.7,9.7,40.2,16
CPT,82955,G6PD (ENZYME) LEVEL,231.0,161.7,9.7,27.16,8
CPT,82962,BLOOD GLUCOSE (SUGAR) TEST PERFORMED BY HAND-HELD INSTRUMENT,93.0,65.1,3.1,9.18,58
CPT,82977,GLUTAMYLTRANSFERASE (LIVER ENZYME) LEVEL,102.0,71.4,7.2,29.85,16
CPT,82978,ASSAY OF GLUTATHIONE,186.0,130.2,15.45,43.26,16
CPT,82985,ASSAY OF GLYCATED PROTEIN,168.0,117.6,16.76,62.49,16
CPT,82985,GLYCATED PROTEIN LEVEL,168.0,117.6,16.76,46.93,8
CPT,83001,ASSAY OF GONADOTROPIN (FSH),251.0,175.7,18.58,77.07,16
CPT,83001,GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL,251.0,175.7,18.58,52.02,8
CPT,83002,ASSAY OF GONADOTROPIN (LH),251.0,175.7,18.52,76.8,16
CPT,83002,GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL,251.0,175.7,18.52,51.86,8
CPT,83003,ASSAY GROWTH HORMONE (HGH),238.0,166.6,16.67,69.12,16
CPT,83010,ASSAY OF HAPTOGLOBIN QUANT,251.0,175.7,12.58,52.14,16
CPT,83010,HAPTOGLOBIN (SERUM PROTEIN) LEVEL,251.0,175.7,12.58,35.22,8
CPT,83013,H PYLORI (C-13) BREATH,482.0,337.4,67.36,279.27,16
CPT,83014,H PYLORI DRUG ADMIN,482.0,337.4,7.86,32.58,16
CPT,83015,HEAVY METAL QUAL ANY NUMBER,190.0,133.0,20.79,59.4,16
CPT,83018,HEAVY METAL QUAN EACH NES,269.0,188.3,21.96,91.05,16
CPT,83020,HEMOGLOBIN ELECTROPHORESIS,115.0,80.5,12.87,53.4,48
CPT,83021,HEMOGLOBIN ANALYSIS AND MEASUREMENT; CHROMATOGRAPHY,239.0,167.3,18.06,74.88,24
CPT,83021,HEMOGLOBIN CHROMOTOGRAPHY,162.0,113.4,18.06,74.88,16
CPT,83033,HEMOGLOBIN FTL F ASSAY QUAL,66.0,46.2,8.0,24.72,16
CPT,83036,HEMOGLOBIN A1C LEVEL,150.0,105.0,9.71,40.26,48
CPT,83050,HGB METHEMOGLOBIN QUAN,186.0,130.2,8.2,30.36,16
CPT,83051,HEMOGLOBIN PLASMA,98.0,68.6,7.31,20.47,16
CPT,83068,HEMOGLOBIN UNSTABLE SCREEN,116.0,81.2,9.47,26.52,16
CPT,83070,ASSAY OF HEMOSIDERIN QUAL,49.0,34.3,4.75,19.68,16
CPT,83088,ASSAY OF HISTAMINE,376.0,263.2,29.53,122.43,16
CPT,83090,ASSAY OF HOMOCYSTEINE,304.0,212.8,17.92,69.93,16
CPT,83090,HOMOCYSTEINE (AMINO ACID) LEVEL,304.0,212.8,17.92,50.18,8
CPT,83150,ASSAY OF HOMOVANILLIC ACID,196.0,137.2,20.79,62.75,16
CPT,83491,ASY HYDROXYCORTICOSTEROIDS17,148.0,103.6,17.9,50.12,16
CPT,83497,ASSAY OF 5-HIAA,215.0,150.5,12.9,53.46,16
CPT,83498,ASY HYDROXYPROGESTERONE 17-D,314.0,219.8,27.17,112.62,16
CPT,83498,HYDROXYPROGESTERONE; 17-D (SYNTHETIC HORMONE) LEVEL,314.0,219.8,27.17,76.08,8
CPT,83505,ASSAY TOTAL HYDROXYPROLINE,98.0,68.6,24.3,68.04,16
CPT,83516,ANALYSIS OF SUBSTANCE USING IMMUNOASSAY TECHNIQUE; MULTIPLE STEP METHOD,477.0,333.90000000000003,11.53,32.28,16
CPT,83516,IMMUNOASSAY NONANTIBODY,106.0,74.2,11.53,47.85,16
CPT,83519,MEASUREMENT OF SUBSTANCE USING IMMUNOASSAY TECHNIQUE; BY RADIOIMMUNOASSAY,526.5,368.54999999999995,18.4,51.52,16
CPT,83519,RIA NONANTIBODY,406.5,284.55,18.4,56.01,288
CPT,83520,IMMUNOASSAY QUANT NOS NONAB,289.0,202.3,17.27,53.67,192
CPT,83520,MEASUREMENT OF SUBSTANCE USING IMMUNOASSAY TECHNIQUE,216.52,151.565,17.27,53.67,55
CPT,83521,IG LIGHT CHAINS FREE EACH,556.5,389.55,17.27,48.36,24
CPT,83521,MEASUREMENT OF IMMUNOGLOBULIN LIGHT CHAINS,765.0,535.5,17.27,48.36,21
CPT,83525,ASSAY OF INSULIN,127.0,88.9,11.43,47.43,16
CPT,83525,INSULIN MEASUREMENT; TOTAL,127.0,88.9,11.43,32.0,8
CPT,83529,ASAY OF INTERLEUKIN-6 (IL-6),371.0,259.7,17.27,48.36,12
CPT,83540,IRON LEVEL,56.0,39.2,6.47,26.85,40
CPT,83550,IRON BINDING CAPACITY,137.0,95.9,8.74,36.24,40
CPT,83586,ASSAY 17- KETOSTEROIDS,108.0,75.6,12.8,35.84,16
CPT,83605,LACTIC ACID LEVEL,234.0,163.8,11.57,44.28,38
CPT,83615,LACTATE DEHYDROGENASE (ENZYME) LEVEL,83.0,58.1,6.04,25.05,38
CPT,83630,LACTOFERRIN FECAL (QUAL),307.0,214.9,19.68,55.16,16
CPT,83630,STOOL LACTOFERRIN (IMMUNE SYSTEM PROTEIN) ANALYSIS,307.0,214.9,19.7,55.16,8
CPT,83655,ASSAY OF LEAD,207.0,144.9,12.11,50.16,16
CPT,83655,LEAD LEVEL,112.2,78.54,12.11,33.91,16
CPT,83663,FLUORO POLARIZE FETAL LUNG,414.0,289.8,18.91,79.29,16
CPT,83664,LAMELLAR BDY FETAL LUNG,89.0,62.3,19.32,79.29,16
CPT,83670,ASSAY OF LAP ENZYME,45.0,31.5,9.81,27.47,16
CPT,83690,LIPASE (FAT ENZYME) LEVEL,113.0,79.1,6.89,28.56,30
CPT,83695,ASSAY OF LIPOPROTEIN(A),204.0,142.8,14.32,40.1,16
CPT,83695,LIPOPROTEIN (A) LEVEL,204.0,142.8,14.32,40.1,8
CPT,83698,ASSAY LIPOPROTEIN PLA2,233.0,163.1,46.31,142.29,16
CPT,83700,LIPOPRO BLD ELECTROPHORETIC,84.0,58.8,11.26,31.53,16
CPT,83701,LIPOPROTEIN BLD HR FRACTION,249.0,174.3,33.86,94.81,16
CPT,83704,LIPOPROTEIN BLD QUAN PART,252.0,176.4,34.19,95.73,16
CPT,83718,ASSAY OF LIPOPROTEIN,166.0,116.2,8.19,33.93,16
CPT,83721,ASSAY OF BLOOD LIPOPROTEIN,121.0,84.7,10.5,39.54,16
CPT,83721,LDL CHOLESTEROL LEVEL,121.0,84.7,10.5,29.4,16
CPT,83735,MAGNESIUM LEVEL,89.0,62.3,6.7,27.78,37
CPT,83785,ASSAY OF MANGANESE,119.0,83.3,26.65,74.62,16
CPT,83789,MASS SPECTROMETRY QUAL/QUAN,311.0,217.7,24.11,74.88,16
CPT,83825,ASSAY OF MERCURY,207.0,144.9,16.26,67.41,16
CPT,83825,MERCURY LEVEL,207.0,144.9,16.26,45.53,8
CPT,83835,ASSAY OF METANEPHRINES,267.0,186.9,16.94,70.23,16
CPT,83835,METANEPHRINES LEVEL,267.0,186.9,16.94,47.43,16
CPT,83864,MUCOPOLYSACCHARIDES,378.0,264.6,27.5,79.8,16
CPT,83873,ASSAY OF CSF PROTEIN,170.0,119.0,17.2,48.16,16
CPT,83873,MYELIN BASIC PROTEIN (NERVE PROTEIN) LEVEL; SPINAL FLUID,170.0,119.0,17.2,48.16,8
CPT,83874,MYOGLOBIN (MUSCLE PROTEIN) LEVEL,238.0,166.6,12.92,53.52,16
CPT,83880,NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL,361.0,252.7,39.26,109.93,46
CPT,83883,ASSAY NEPHELOMETRY NOT SPEC,381.0,266.7,13.6,56.37,16
CPT,83883,NEPHELOMETRY; TEST METHOD USING LIGHT,381.0,266.7,13.6,38.08,16
CPT,83885,ASSAY OF NICKEL,252.0,176.4,24.51,68.63,16
CPT,83915,ASSAY OF NUCLEOTIDASE,115.0,80.5,11.15,31.22,16
CPT,83916,MEASUREMENT OF IMMUNE SUBSTANCE (OLIGOCLONAL BANDS),310.0,217.0,27.39,76.69,8
CPT,83916,OLIGOCLONAL BANDS,290.0,203.0,27.39,83.37,32
CPT,83918,ORGANIC ACIDS TOTAL QUANT,933.0,653.1,23.6,68.25,16
CPT,83919,ORGANIC ACIDS QUAL EACH,933.0,653.1,16.45,68.25,16
CPT,83921,ORGANIC ACID LEVEL,524.0,366.8,21.21,59.39,16
CPT,83921,ORGANIC ACID SINGLE QUANT,395.5,276.85,21.21,68.25,32
CPT,83930,BLOOD OSMOLALITY (CONCENTRATION) MEASUREMENT,125.0,87.5,6.61,27.39,23
CPT,83935,URINE OSMOLALITY (CONCENTRATION) MEASUREMENT,125.0,87.5,6.82,28.26,16
CPT,83937,ASSAY OF OSTEOCALCIN,146.0,102.2,29.85,123.78,16
CPT,83945,ASSAY OF OXALATE,190.0,133.0,14.45,53.4,16
CPT,83950,ONCOPROTEIN HER-2/NEU,261.0,182.7,64.41,180.35,16
CPT,83970,PARATHORMONE (PARATHYROID HORMONE) LEVEL,1294.0,905.8,41.28,171.12,31
CPT,83986,ASSAY PH BODY FLUID NOS,30.0,21.0,3.58,14.85,16
CPT,83986,BODY FLUID PH LEVEL,60.0,42.0,3.58,14.85,16
CPT,83992,ASSAY FOR PHENCYCLIDINE,472.0,330.4,20.31,36.96,6
CPT,83993,ASSAY FOR CALPROTECTIN FECAL,613.5,429.45000000000005,19.63,82.26,32
CPT,83993,STOOL CALPROTECTIN (PROTEIN) LEVEL,758.0,530.6,19.63,54.96,8
CPT,84030,ASSAY OF BLOOD PKU,23.0,16.1,5.5,22.83,16
CPT,84060,ASSAY ACID PHOSPHATASE,75.0,52.5,7.64,21.39,16
CPT,84066,ASSAY PROSTATE PHOSPHATASE,163.0,114.1,9.66,40.05,16
CPT,84075,PHOSPHATASE (ENZYME) LEVEL; ALKALINE,75.0,52.5,5.18,21.45,32
CPT,84080,ASSAY ALKALINE PHOSPHATASES,239.0,167.3,14.78,61.32,16
CPT,84080,PHOSPHATASE (ENZYME) MEASUREMENT; ALKALINE; ISOENZYMES,239.0,167.3,14.78,41.38,8
CPT,84081,ASSAY PHOSPHATIDYLGLYCEROL,605.0,423.5,16.52,68.52,16
CPT,84100,PHOSPHATE LEVEL,68.0,47.6,4.74,19.68,37
CPT,84105,ASSAY OF URINE PHOSPHORUS,54.0,37.8,5.78,21.45,16
CPT,84106,TEST FOR PORPHOBILINOGEN,45.0,31.5,5.82,16.3,16
CPT,84110,ASSAY OF PORPHOBILINOGEN,142.0,99.4,8.44,35.04,16
CPT,84112,CERVICOVAGINAL SECRETION OF PLACENTA PROTEIN,329.0,230.3,86.99,274.71,16
CPT,84119,TEST URINE FOR PORPHYRINS,156.0,109.2,12.5,37.41,16
CPT,84120,ASSAY OF URINE PORPHYRINS,250.0,175.0,14.71,60.99,16
CPT,84132,BLOOD POTASSIUM LEVEL,68.0,47.6,4.76,19.05,23
CPT,84133,URINE POTASSIUM LEVEL,89.0,62.3,4.73,17.82,16
CPT,84134,PREALBUMIN (PROTEIN) LEVEL,126.0,88.2,14.59,60.48,24
CPT,84140,ASSAY OF PREGNENOLONE,181.0,126.7,20.67,85.74,16
CPT,84143,ASSAY OF 17-HYDROXYPREGNENO,339.0,237.3,22.81,63.87,16
CPT,84144,ASSAY OF PROGESTERONE,262.0,183.4,20.86,86.49,16
CPT,84145,PROCALCITONIN (HORMONE) LEVEL,347.0,242.9,27.22,83.28,23
CPT,84146,ASSAY OF PROLACTIN,269.0,188.3,19.38,80.34,16
CPT,84146,PROLACTIN (MILK PRODUCING HORMONE) LEVEL,269.0,188.3,19.38,54.26,16
CPT,84150,ASSAY OF PROSTAGLANDIN,192.0,134.4,36.23,116.96,16
CPT,84153,PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL,200.0,140.0,18.39,76.26,24
CPT,84154,ASSAY OF PSA FREE,200.0,140.0,18.39,76.26,16
CPT,84154,PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE,200.0,140.0,18.39,51.49,8
CPT,84155,TOTAL PROTEIN LEVEL; BLOOD,68.0,47.6,3.67,15.18,23
CPT,84156,TOTAL PROTEIN LEVEL; URINE,75.0,52.5,3.67,11.07,23
CPT,84157,TOTAL PROTEIN LEVEL; BODY FLUID,68.0,47.6,4.0,11.2,23
CPT,84163,PAPPA SERUM,192.0,134.4,15.05,62.4,16
CPT,84165,PROTEIN E-PHORESIS SERUM,162.0,113.4,10.74,44.52,16
CPT,84165,PROTEIN MEASUREMENT; SERUM,162.0,113.4,10.74,30.07,8
CPT,84166,PROTEIN E-PHORESIS/URINE/CSF,251.0,175.7,17.83,74.76,16
CPT,84166,PROTEIN MEASUREMENT; BODY FLUID,251.0,175.7,17.83,49.92,8
CPT,84181,WESTERN BLOT TEST,701.0,490.7,17.03,47.68,16
CPT,84182,PROTEIN WESTERN BLOT TEST,351.0,245.7,24.86,81.79,16
CPT,84202,ASSAY RBC PROTOPORPHYRIN,163.0,114.1,14.35,59.49,16
CPT,84206,PROINSULIN (PANCREATIC HORMONE) LEVEL,459.0,321.3,24.61,74.73,16
CPT,84207,ASSAY OF VITAMIN B-6,507.0,354.9,27.68,79.08,16
CPT,84207,VITAMIN B-6 LEVEL,507.0,354.9,28.1,78.68,8
CPT,84210,ASSAY OF PYRUVATE,187.0,130.9,14.48,45.03,16
CPT,84220,ASSAY OF PYRUVATE KINASE,302.0,211.4,9.44,26.43,16
CPT,84238,ASSAY NONENDOCRINE RECEPTOR,507.0,354.9,36.57,151.59,16
CPT,84238,CHEMICAL RECEPTOR ANALYSIS,507.0,354.9,36.57,102.4,8
CPT,84244,ASSAY OF RENIN,202.0,141.4,21.99,91.2,16
CPT,84244,RENIN (KIDNEY ENZYME) LEVEL,223.5,156.45,21.99,61.57,16
CPT,84252,ASSAY OF VITAMIN B-2,361.0,252.7,20.24,56.67,16
CPT,84255,ASSAY OF SELENIUM,440.0,308.0,25.53,105.84,16
CPT,84260,ASSAY OF SEROTONIN,435.0,304.5,30.98,128.43,16
CPT,84260,SEROTONIN (HORMONE) LEVEL,435.0,304.5,30.98,86.74,8
CPT,84270,ASSAY OF SEX HORMONE GLOBUL,219.0,153.3,13.77,60.84,16
CPT,84275,ASSAY OF SIALIC ACID,171.0,119.7,13.44,37.63,16
CPT,84295,BLOOD SODIUM LEVEL,65.0,45.5,4.81,19.95,23
CPT,84300,URINE SODIUM LEVEL,68.0,47.6,5.06,20.16,16
CPT,84302,ASSAY OF SWEAT SODIUM,42.0,29.4,4.86,20.37,16
CPT,84305,ASSAY OF SOMATOMEDIN,430.0,301.0,21.26,88.14,16
CPT,84305,SOMATOMEDIN (GROWTH FACTOR) LEVEL,430.0,301.0,21.26,59.53,8
CPT,84307,SOMATOSTATIN (GROWTH HORMONE INHIBITOR) LEVEL,275.0,192.5,18.28,51.18,16
CPT,84311,CHEMICAL ANALYSIS USING SPECTROPHOTOMETRY (LIGHT),284.0,198.8,8.1,22.68,16
CPT,84311,SPECTROPHOTOMETRY,284.0,198.8,8.1,28.98,16
CPT,84315,BODY FLUID SPECIFIC GRAVITY,20.0,14.0,3.28,9.18,16
CPT,84376,SUGARS SINGLE QUAL,45.0,31.5,5.5,22.83,16
CPT,84377,SUGARS MULTIPLE QUAL,113.0,79.1,5.5,15.4,16
CPT,84378,SUGARS SINGLE QUANT,418.0,292.6,11.53,32.28,16
CPT,84392,ASSAY OF URINE SULFATE,125.0,87.5,5.49,15.37,16
CPT,84402,ASSAY OF FREE TESTOSTERONE,368.0,257.6,25.47,105.57,16
CPT,84402,TESTOSTERONE (HORMONE) LEVEL; FREE,368.0,257.6,25.47,71.32,8
CPT,84403,ASSAY OF TOTAL TESTOSTERONE,388.0,271.6,25.81,107.04,16
CPT,84403,TESTOSTERONE (HORMONE) LEVEL; TOTAL,388.0,271.6,25.81,72.27,8
CPT,84425,ASSAY OF VITAMIN B-1,323.0,226.1,21.23,79.08,16
CPT,84425,VITAMIN B-1 (THIAMINE) LEVEL,323.0,226.1,21.23,59.44,8
CPT,84430,ASSAY OF THIOCYANATE,150.0,105.0,11.63,32.56,16
CPT,84432,ASSAY OF THYROGLOBULIN,349.0,244.3,16.06,66.6,16
CPT,84432,THYROGLOBULIN (THYROID RELATED HORMONE) LEVEL,349.0,244.3,16.06,44.97,8
CPT,84433,ASY THIOPURIN S-MTHYLTRNSFRS,447.0,312.9,22.17,62.08,12
CPT,84433,THIOPURINE S-METHYLTRANSFERASE (TPMT),447.0,312.9,22.17,62.08,7
CPT,84436,ASSAY OF TOTAL THYROXINE,86.0,60.2,6.87,28.5,16
CPT,84437,ASSAY OF NEONATAL THYROXINE,25.0,17.5,6.47,26.85,16
CPT,84439,THYROXINE (THYROID CHEMICAL); FREE,113.0,79.1,9.02,37.38,48
CPT,84442,ASSAY OF THYROID ACTIVITY,248.0,173.6,14.78,61.32,16
CPT,84443,BLOOD TEST; THYROID STIMULATING HORMONE (TSH),182.0,127.4,16.8,69.63,55
CPT,84445,ASSAY OF TSI GLOBULIN,409.0,286.3,34.57,142.41,16
CPT,84445,THYROID STIMULATING IMMUNE GLOBULINS (THYROID RELATED PROTEIN) LEVEL,409.0,286.3,50.86,142.41,8
CPT,84446,ASSAY OF VITAMIN E,202.0,141.4,14.18,58.8,16
CPT,84446,VITAMIN E LEVEL,202.0,141.4,14.18,39.7,8
CPT,84450,LIVER ENZYME (SGOT); LEVEL,83.0,58.1,5.18,21.42,16
CPT,84460,LIVER ENZYME (SGPT); LEVEL,68.0,47.6,5.3,21.96,16
CPT,84466,ASSAY OF TRANSFERRIN,187.0,130.9,12.76,52.95,16
CPT,84466,TRANSFERRIN (IRON BINDING PROTEIN) LEVEL,187.0,130.9,12.76,35.73,8
CPT,84478,TRIGLYCERIDES LEVEL,68.0,47.6,5.74,23.85,24
CPT,84479,ASSAY OF THYROID (T3 OR T4),74.0,51.8,6.47,26.85,16
CPT,84480,ASSAY TRIIODOTHYRONINE (T3),317.0,221.9,14.18,58.8,16
CPT,84480,THYROID HORMONE; T3 MEASUREMENT; TOTAL,317.0,221.9,14.18,39.7,8
CPT,84481,FREE ASSAY (FT-3),325.0,227.5,16.94,70.23,16
CPT,84481,THYROID HORMONE; T3 MEASUREMENT; FREE,325.0,227.5,16.94,47.43,8
CPT,84482,T3 REVERSE,586.0,410.2,15.76,65.34,16
CPT,84484,ASSAY OF TROPONIN QUANT,13.0,9.1,12.47,40.8,16
CPT,84484,TROPONIN (PROTEIN) ANALYSIS; QUANTITATIVE,452.0,316.4,12.47,40.8,39
CPT,84520,UREA NITROGEN LEVEL TO ASSESS KIDNEY FUNCTION; QUANTITATIVE,75.0,52.5,3.95,16.35,23
CPT,84540,ASSAY OF URINE/UREA-N,66.0,46.2,5.56,19.68,16
CPT,84540,UREA NITROGEN LEVEL TO ASSESS KIDNEY FUNCTION; URINE,66.0,46.2,5.56,15.57,8
CPT,84550,URIC ACID LEVEL; BLOOD,68.0,47.6,4.52,18.75,23
CPT,84560,ASSAY OF URINE/URIC ACID,91.0,63.7,5.08,19.68,16
CPT,84560,URIC ACID LEVEL,91.0,63.7,5.08,14.22,8
CPT,84585,ASSAY OF URINE VMA,221.0,154.7,15.5,64.26,16
CPT,84586,ASSAY OF VIP,485.0,339.5,35.33,138.75,16
CPT,84586,VASOACTIVE INTESTINAL PEPTIDE (INTESTINAL HORMONE) LEVEL,485.0,339.5,35.33,98.92,8
CPT,84588,ASSAY OF VASOPRESSIN,463.0,324.1,33.94,140.73,16
CPT,84590,ASSAY OF VITAMIN A,174.0,121.8,11.61,48.06,16
CPT,84590,VITAMIN A LEVEL,174.0,121.8,11.61,32.51,8
CPT,84591,ASSAY OF NOS VITAMIN,189.0,132.3,16.01,47.77,16
CPT,84597,ASSAY OF VITAMIN K,573.0,401.1,13.72,56.82,16
CPT,84600,ASSAY OF VOLATILES,174.0,121.8,17.11,47.91,16
CPT,84620,XYLOSE TOLERANCE TEST,180.0,126.0,12.91,36.15,16
CPT,84630,ASSAY OF ZINC,163.0,114.1,11.39,47.22,16
CPT,84630,ZINC LEVEL,163.0,114.1,11.39,31.89,8
CPT,84681,C-PEPTIDE (PROTEIN) LEVEL,239.0,167.3,20.81,86.25,32
CPT,84702,CHORIONIC GONADOTROPIN TEST,24.0,16.8,15.05,62.4,16
CPT,84702,GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL,217.0,151.9,15.05,62.4,31
CPT,84703,GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS,144.0,100.8,7.52,31.14,23
CPT,84999,UNLISTED CHEMISTRY PROCEDURE,145.0,101.5,,,0
CPT,85002,BLEEDING TIME TEST,88.0,61.6,4.82,18.66,16
CPT,85004,AUTOMATED DIFF WBC COUNT,86.0,60.2,6.47,27.12,16
CPT,85008,BL SMEAR W/O DIFF WBC COUNT,44.0,30.8,3.43,14.28,16
CPT,85009,MANUAL DIFF WBC COUNT B-COAT,99.0,69.3,5.07,15.42,16
CPT,85013,SPUN MICROHEMATOCRIT,67.0,46.9,3.43,19.6,16
CPT,85014,RED BLOOD CELL CONCENTRATION MEASUREMENT,57.0,39.9,2.37,9.81,37
CPT,85018,BLOOD COUNT; HEMOGLOBIN,37.0,25.9,2.37,9.81,23
CPT,85025,COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT,88.0,61.6,7.77,32.22,51
CPT,85027,COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST,102.0,71.4,6.47,26.85,30
CPT,85041,AUTOMATED RBC COUNT,33.0,23.1,3.02,12.6,16
CPT,85045,RED BLOOD COUNT; AUTOMATED TEST,70.0,49.0,3.99,16.77,30
CPT,85046,RETICYTE/HGB CONCENTRATE,123.0,86.1,5.57,23.16,16
CPT,85048,AUTOMATED LEUKOCYTE COUNT,46.0,32.2,2.54,10.56,32
CPT,85049,AUTOMATED PLATELET COUNT,86.0,60.2,4.48,18.75,16
CPT,85130,CHROMOGENIC SUBSTRATE ASSAY,1043.0,730.1,11.89,49.32,16
CPT,85210,CLOT FACTOR II PROTHROM SPEC,339.0,237.3,12.98,53.85,16
CPT,85220,BLOOC CLOT FACTOR V TEST,315.0,220.5,17.65,73.17,16
CPT,85230,CLOT FACTOR VII PROCONVERTIN,317.0,221.9,17.9,74.25,16
CPT,85230,CLOTTING FACTOR VII (PROCONVERTIN; STABLE FACTOR),317.0,221.9,17.9,50.12,8
CPT,85240,CLOTTING FACTOR VIII (AHG) MEASUREMENT,663.0,464.1,17.9,74.25,16
CPT,85245,CLOT FACTOR VIII VW RISTOCTN,622.5,435.75,22.94,95.16,32
CPT,85246,CLOT FACTOR VIII VW ANTIGEN,254.0,177.8,22.94,95.16,16
CPT,85247,CLOT FACTOR VIII MULTIMETRIC,710.0,497.0,22.94,95.16,16
CPT,85250,CLOTTING FACTOR IX (PTC OR CHRISTMAS) MEASUREMENT,354.0,247.8,19.04,78.93,16
CPT,85260,CLOT FACTOR X STUART-POWER,317.0,221.9,17.9,74.25,16
CPT,85270,CLOT FACTOR XI PTA,503.0,352.1,17.9,74.25,16
CPT,85280,CLOT FACTOR XII HAGEMAN,503.0,352.1,19.35,67.74,16
CPT,85280,CLOTTING FACTOR XII (HAGEMAN) MEASUREMENT,503.0,352.1,19.35,54.18,8
CPT,85290,CLOT FACTOR XIII FIBRIN STAB,308.0,215.6,16.34,45.75,16
CPT,85292,CLOT FACTOR FLETCHER FACT,535.0,374.5,18.93,53.0,16
CPT,85293,CLOT FACTOR WGHT KININOGEN,535.0,374.5,18.93,53.0,16
CPT,85300,ANTITHROMBIN III ACTIVITY,267.0,186.9,11.85,49.14,16
CPT,85300,ANTITHROMBIN III ANTIGEN (CLOTTING INHIBITOR) ACTIVITY,378.0,264.6,11.85,49.14,16
CPT,85302,CLOT INHIBIT PROT C ANTIGEN,223.0,156.1,12.01,49.83,16
CPT,85303,PROTEIN C ANTIGEN (CLOTTING INHIBITOR) MEASUREMENT,254.0,177.8,13.84,57.33,16
CPT,85305,CLOT INHIBIT PROT S TOTAL,461.0,322.7,11.61,48.06,16
CPT,85306,PROTEIN S (CLOTTING INHIBITOR) MEASUREMENT,278.0,194.6,15.32,63.54,16
CPT,85307,ASSAY ACTIVATED PROTEIN C,345.0,241.5,15.32,64.23,16
CPT,85335,FACTOR INHIBITOR TEST,1296.0,907.2,12.87,53.97,16
CPT,85347,COAGULATION TIME ACTIVATED,169.0,118.3,4.28,17.64,16
CPT,85347,COAGULATION TIME MEASUREMENT; ACTIVATED,52.5,36.75,4.28,17.64,23
CPT,85379,COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE,296.0,207.2,10.18,42.18,30
CPT,85384,FIBRINOGEN (FACTOR 1) ACTIVITY MEASUREMENT,145.0,101.5,9.72,35.22,23
CPT,85385,FIBRINOGEN ANTIGEN,443.0,310.1,11.74,40.49,16
CPT,85396,CLOTTING ASSAY WHOLE BLOOD,427.0,298.9,15.83,44.32,13
CPT,85397,CLOTTING FUNCT ACTIVITY,1140.0,798.0,30.86,86.41,16
CPT,85397,MEASUREMENT OF BLOOD COAGULATION AND FIBRINOLYSIS (CLOT DISSOLVING) FUNCTION,1140.0,798.0,30.86,86.41,8
CPT,85460,FETAL HEMOGLOBIN OR RED BLOOD CELLS MEASUREMENT FOR ASSESSMENT OF FETAL-MATERNAL CIRCULATION; DIFFERENTIAL LYSIS,156.0,109.2,7.73,32.07,16
CPT,85520,HEPARIN ASSAY,264.0,184.8,13.09,47.43,16
CPT,85525,HEPARIN NEUTRALIZATION,140.0,98.0,11.84,48.36,16
CPT,85549,MURAMIDASE,155.0,108.5,18.75,52.5,16
CPT,85555,RBC OSMOTIC FRAGILITY,450.0,315.0,7.47,20.92,16
CPT,85576,BLOOD PLATELET AGGREGATION,388.0,271.6,24.91,69.75,16
CPT,85576,PLATELET AGGREGATION FUNCTION TEST,2321.0,1624.7,24.91,69.75,23
CPT,85597,PLATELET FUNCTION TEST,145.0,101.5,17.98,74.52,16
CPT,85598,HEXAGNAL PHOSPH PLTLT NEUTRL,435.0,304.5,17.98,75.9,16
CPT,85610,BLOOD TEST; CLOTTING TIME,59.0,41.3,4.29,16.29,69
CPT,85611,PROTHROMBIN TEST,94.0,65.8,3.94,16.29,16
CPT,85613,CLOTTING FACTOR X ASSESSMENT TEST; DILUTED,76.0,53.2,9.58,39.66,23
CPT,85635,REPTILASE TEST,410.0,287.0,9.85,27.58,16
CPT,85651,RBC SED RATE NONAUTOMATED,75.0,52.5,4.27,14.73,16
CPT,85651,RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; NON-AUTOMATED,102.0,71.4,4.27,14.73,16
CPT,85652,RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED,75.0,52.5,2.7,11.19,30
CPT,85660,RBC SICKLE CELL TEST,62.0,43.4,5.51,22.89,16
CPT,85670,THROMBIN TIME; FIBRINOGEN SCREENING TEST; PLASMA,125.0,87.5,5.77,23.94,23
CPT,85730,COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD,68.0,47.6,6.01,24.9,23
CPT,85732,COAGULATION ASSESSMENT BLOOD TEST; SUBSTITUTION; PLASMA FRACTIONS,119.0,83.3,6.47,26.85,23
CPT,85810,BLOOD VISCOSITY EXAMINATION,156.0,109.2,11.67,48.42,16
CPT,85810,BLOOD VISCOSITY MEASUREMENT,156.0,109.2,11.67,32.68,8
CPT,86000,AGGLUTININS FEBRILE ANTIGEN,29.0,20.3,6.98,27.78,16
CPT,86003,ALLG SPEC IGE CRUDE XTRC EA,63.0,44.1,5.22,21.66,16
CPT,86003,MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH,189.0,132.3,5.22,14.62,16
CPT,86005,ALLG SPEC IGE MULTIALLG SCR,132.0,92.4,1.82,22.32,16
CPT,86008,ALLG SPEC IGE RECOMB EA,46.0,32.2,17.93,50.2,15
CPT,86008,MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; RECOMBINANT OR PURIFIED COMPONENT; EACH,46.0,32.2,17.93,50.2,7
CPT,86015,ACTIN ANTIBODY EACH,296.0,207.2,12.05,33.74,12
CPT,86015,MEASUREMENT OF ACTIN (SMOOTH MUSCLE) ANTIBODY,296.0,207.2,12.05,33.74,7
CPT,86021,WBC ANTIBODY IDENTIFICATION,283.0,198.1,15.05,62.4,16
CPT,86022,ANTIBODY IDENTIFICATION TEST; PLATELET ANTIBODIES,732.0,512.4,18.37,51.44,16
CPT,86022,PLATELET ANTIBODIES,732.0,512.4,18.37,76.14,16
CPT,86023,IMMUNOGLOBULIN ASSAY,220.0,154.0,12.46,45.6,16
CPT,86036,ANCA SCREEN EACH ANTIBODY,283.0,198.1,12.05,33.74,12
CPT,86036,SCREENING TEST FOR ANTINEUTROPHIL CYTOPLASMIC ANTIBODY,371.0,259.7,12.05,33.74,7
CPT,86037,ANCA TITER EACH ANTIBODY,371.0,259.7,12.05,33.74,12
CPT,86038,ANTINUCLEAR ANTIBODIES,216.0,151.2,12.09,50.1,16
CPT,86038,SCREENING TEST FOR AUTOIMMUNE DISORDER,216.0,151.2,12.09,33.85,16
CPT,86041,ACETYLCHOLN RCPTR BNDNG ANTB,92.0,64.4,18.4,51.52,10
CPT,86042,ACETYLCHOLN RCPTR BLCKG ANTB,92.0,64.4,18.4,51.52,10
CPT,86043,ACETYLCHOLN RCPTR MODLG ANTB,60.0,42.0,12.05,33.74,10
CPT,86053,FLOW CYTOMETRY DETECTION OF AQUAPORIN-4 (NEUROMYELITIS OPTICA [NMO]) ANTIBODY,813.0,569.1,17.49,105.64,12
CPT,86060,ANTISTREPTOLYSIN O TITER,89.0,62.3,7.3,30.27,16
CPT,86060,MEASUREMENT FOR STREP ANTIBODY (STREP THROAT),89.0,62.3,7.3,20.44,8
CPT,86078,BLOOD BANK PHYSICIAN SERVICES FOR INVESTIGATION OF TRANSFUSION REACTION WITH WRITTEN REPORT,367.0,256.9,52.33,560.78,13
CPT,86140,C-REACTIVE PROTEIN,45.0,31.5,5.18,21.45,16
CPT,86140,MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION,84.0,58.8,5.18,21.45,40
CPT,86141,C-REACTIVE PROTEIN HS,125.0,87.5,12.95,51.6,16
CPT,86141,MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY,125.0,87.5,12.95,36.26,8
CPT,86146,BETA 2 GLYCOPROTEIN 1 ANTIBODY (AUTOANTIBODY) MEASUREMENT,415.5,290.85,25.45,71.26,16
CPT,86146,BETA-2 GLYCOPROTEIN ANTIBODY,277.0,193.9,25.45,106.62,16
CPT,86147,CARDIOLIPIN ANTIBODY (TISSUE ANTIBODY) MEASUREMENT,310.0,217.0,25.45,71.26,16
CPT,86147,CARDIOLIPIN ANTIBODY EA IG,310.0,217.0,25.45,105.48,32
CPT,86148,ANTI-PHOSPHOLIPID ANTIBODY,229.0,160.3,16.07,66.6,16
CPT,86148,PHOSPHOLIPID ANTIBODY (AUTOIMMUNE ANTIBODY) MEASUREMENT,343.5,240.45000000000002,16.07,45.0,16
CPT,86152,CELL ENUMERATION & ID,922.0,645.4,250.78,702.18,16
CPT,86153,CELL ENUMERATION PHYS INTERP,996.0,697.2,34.16,95.65,10
CPT,86157,MEASUREMENT OF COLD AGGLUTININ (PROTEIN) TO DETECT INFECTION OR DISEASE,117.0,81.9,8.06,33.42,16
CPT,86160,COMPLEMENT ANTIGEN,264.0,184.8,12.0,49.77,48
CPT,86160,MEASUREMENT OF COMPLEMENT (IMMUNE SYSTEM PROTEINS); ANTIGEN;,264.0,184.8,12.0,33.6,32
CPT,86161,COMPLEMENT/FUNCTION ACTIVITY,148.0,103.6,12.0,49.77,16
CPT,86162,COMPLEMENT TOTAL (CH50),303.0,212.1,20.32,84.24,16
CPT,86162,MEASUREMENT OF COMPLEMENT (IMMUNE SYSTEM PROTEINS); TOTAL HEMOLYTIC,303.0,212.1,20.32,56.9,8
CPT,86200,CCP ANTIBODY,187.0,130.9,12.95,37.98,16
CPT,86200,MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT,187.0,130.9,12.95,36.26,8
CPT,86215,DEOXYRIBONUCLEASE ANTIBODY,190.0,133.0,13.25,54.96,16
CPT,86225,DNA ANTIBODY NATIVE,196.0,137.2,13.74,56.97,16
CPT,86225,MEASUREMENT OF DNA ANTIBODY; NATIVE OR DOUBLE STRANDED,196.0,137.2,13.74,38.47,16
CPT,86226,DNA ANTIBODY SINGLE STRAND,287.0,200.9,12.11,50.19,16
CPT,86231,DETECTION OF ENDOMYSIAL ANTIBODY (EMA),371.0,259.7,12.09,33.85,7
CPT,86231,EMA EACH IG CLASS,371.0,259.7,12.09,33.85,12
CPT,86235,MEASUREMENT OF ANTIBODY FOR ASSESSMENT OF AUTOIMMUNE DISORDER; ANY METHOD,552.0,386.4,17.93,50.2,16
CPT,86235,NUCLEAR ANTIGEN ANTIBODY,287.5,201.25,17.93,74.34,64
CPT,86255,FLUORESCENT ANTIBODY SCREEN,300.0,210.0,12.05,49.98,144
CPT,86255,SCREENING TEST FOR ANTIBODY TO NONINFECTIOUS AGENT,259.0,181.3,12.05,33.74,24
CPT,86256,FLUORESCENT ANTIBODY TITER,299.0,209.3,12.05,49.98,48
CPT,86256,MEASUREMENT OF ANTIBODY TO NONINFECTIOUS AGENT,813.0,569.1,12.05,33.74,8
CPT,86258,DETECTION OF GLIADIN (DEAMIDATED) (DGP) ANTIBODY,296.0,207.2,12.05,33.74,14
CPT,86258,DGP ANTIBODY EACH IG CLASS,296.0,207.2,12.05,33.74,12
CPT,86300,IMMUNOASSAY TUMOR CA 15-3,295.0,206.5,20.81,86.28,16
CPT,86300,IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 15-3,295.0,206.5,20.81,58.27,16
CPT,86301,IMMUNOASSAY TUMOR CA 19-9,213.0,149.1,20.81,86.28,16
CPT,86301,IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9,213.0,149.1,20.81,58.27,16
CPT,86304,IMMUNOASSAY TUMOR CA 125,213.0,149.1,20.81,86.28,16
CPT,86304,IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125,213.0,149.1,20.81,58.27,8
CPT,86305,HUMAN EPIDIDYMIS PROTEIN 4,848.0,593.6,20.81,89.43,16
CPT,86308,SCREENING TEST FOR MONONUCLEOSIS (MONO),81.0,56.7,5.18,21.45,24
CPT,86316,ANALYSIS FOR DETECTION OF TUMOR MARKER,443.0,310.1,20.81,58.27,8
CPT,86316,IMMUNOASSAY TUMOR OTHER,443.0,310.1,20.81,86.28,16
CPT,86317,DETECTION OF INFECTIOUS AGENT ANTIBODY; QUANTITATIVE,411.0,287.7,14.99,41.97,16
CPT,86317,IMMUNOASSAY INFECTIOUS AGENT,137.0,95.9,14.99,62.16,48
CPT,86329,IMMUNODIFFUSION NES,155.0,108.5,14.05,39.34,16
CPT,86331,IMMUNODIFFUSION OUCHTERLONY,92.0,64.4,11.98,33.54,16
CPT,86332,IMMUNE COMPLEX ASSAY,293.0,205.1,24.37,97.14,16
CPT,86334,IMMUNOFIX E-PHORESIS SERUM,304.0,212.8,22.34,92.61,16
CPT,86334,IMMUNOLOGIC ANALYSIS TECHNIQUE ON SERUM (IMMUNOFIXATION),304.0,212.8,22.34,62.55,8
CPT,86335,IMMUNFIX E-PHORSIS/URINE/CSF,302.0,211.4,29.35,82.18,16
CPT,86336,INHIBIN A,189.0,132.3,15.59,54.27,16
CPT,86337,INSULIN ANTIBODIES,411.0,287.7,21.41,88.77,16
CPT,86337,INSULIN ANTIBODY MEASUREMENT,411.0,287.7,21.41,59.95,8
CPT,86340,INTRINSIC FACTOR (STOMACH PROTEIN) ANTIBODY MEASUREMENT,123.0,86.1,15.08,42.22,8
CPT,86340,INTRINSIC FACTOR ANTIBODY,123.0,86.1,15.08,62.49,16
CPT,86341,ISLET CELL (PANCREAS) ANTIBODY MEASUREMENT,1418.09,992.6650000000001,23.57,66.0,24
CPT,86341,ISLET CELL ANTIBODY,339.0,237.3,23.57,75.45,80
CPT,86343,LEUKOCYTE HISTAMINE RELEASE,494.0,345.8,12.46,34.89,16
CPT,86352,CELL FUNCTION ASSAY W/STIM,1979.0,1385.3,87.21,380.41,16
CPT,86355,B CELLS TOTAL COUNT,317.0,221.9,37.73,110.67,16
CPT,86356,MONONUCLEAR CELL ANTIGEN,564.0,394.8,26.54,75.84,16
CPT,86357,NK CELLS TOTAL COUNT,292.0,204.4,37.73,105.64,16
CPT,86359,T CELLS COUNT; TOTAL,278.0,194.6,37.73,156.39,30
CPT,86360,T CELL COUNT AND RATIO; INCLUDING RATIO,374.0,261.8,46.98,194.79,16
CPT,86361,T CELL COUNT AND RATIO,267.0,186.9,26.25,75.0,23
CPT,86363,FLOW CYTOMETRY DETECTION OF MYELIN OLIGODENDROCYTE GLYCOPROTEIN (MOG-IGG1) ANTIBODY,1733.0,1213.1,37.73,105.64,7
CPT,86363,MOG-IGG1 ANTB FLO CYTMTRY EA,992.5,694.75,17.49,105.64,24
CPT,86364,MEASUREMENT OF TISSUE TRANSGLUTAMINASE,221.48000000000002,155.035,11.53,32.28,21
CPT,86364,TISS TRNSGLTMNASE EA IG CLAS,166.0,116.19999999999999,11.53,32.28,24
CPT,86366,MUSCLE-SPECIFIC KINASE ANTB,92.0,64.4,18.4,51.52,10
CPT,86376,MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT,185.0,129.5,14.55,40.74,16
CPT,86376,MICROSOMAL ANTIBODY EACH,185.0,129.5,14.55,60.33,16
CPT,86381,MEASUREMENT OF MITOCHONDRIAL ANTIBODY,699.0,489.3,25.45,71.26,7
CPT,86381,MITOCHONDRIAL ANTIBODY EACH,699.0,489.3,25.45,71.26,12
CPT,86382,NEUTRALIZATION TEST VIRAL,110.0,77.0,16.91,47.35,16
CPT,86386,NUCLEAR MATRIX PROTEIN 22,409.0,286.3,21.78,67.83,16
CPT,86403,PARTICLE AGGLUT ANTBDY SCRN,184.0,128.8,11.54,42.24,32
CPT,86403,SCREENING TEST FOR PRESENCE OF ANTIBODY,184.0,128.8,11.54,32.31,15
CPT,86406,ANTIBODY LEVEL MEASUREMENT,68.0,47.6,10.64,29.79,8
CPT,86406,PARTICLE AGGLUT ANTBDY TITR,34.0,23.8,10.64,43.74,16
CPT,86431,RHEUMATOID FACTOR LEVEL,93.0,65.1,5.67,15.88,8
CPT,86431,RHEUMATOID FACTOR QUANT,93.0,65.1,5.67,23.55,16
CPT,86480,TB TEST CELL IMMUN MEASURE,256.0,179.2,61.98,173.54,16
CPT,86480,TUBERCULOSIS TEST; GAMMA INTERFERON,256.0,179.2,61.98,173.54,8
CPT,86580,SKIN TEST FOR TUBERCULOSIS,75.0,52.5,11.23,95.2,20
CPT,86592,SYPHILIS DETECTION TEST,53.0,37.1,4.27,17.7,32
CPT,86593,SYPHILIS TEST,78.0,54.6,4.4,18.27,16
CPT,86596,VOLTAGE-GTD CA CHNL ANTB EA,155.0,108.5,12.05,33.74,12
CPT,86603,ADENOVIRUS ANTIBODY,186.0,130.2,12.87,36.04,16
CPT,86606,ANALYSIS FOR ANTIBODY TO ASPERGILLUS (FUNGUS),146.0,102.2,15.05,42.14,8
CPT,86606,ASPERGILLUS ANTIBODY,146.0,102.2,15.05,62.4,16
CPT,86609,BACTERIUM ANTIBODY,258.0,180.6,12.88,53.43,16
CPT,86611,BARTONELLA ANTIBODY,152.0,106.4,10.18,42.66,16
CPT,86615,BORDETELLA ANTIBODY,126.0,88.2,13.19,36.93,16
CPT,86617,CONFIRMATION TEST FOR ANTIBODY TO BORRELIA BURGDORFERI (LYME DISEASE BACTERIA),265.0,185.5,15.49,43.37,16
CPT,86617,LYME DISEASE ANTIBODY,265.0,185.5,15.49,64.2,16
CPT,86618,ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA),292.0,204.4,17.03,47.68,8
CPT,86618,LYME DISEASE ANTIBODY,292.0,204.4,17.03,70.62,16
CPT,86622,BRUCELLA ANTIBODY,315.0,220.5,8.93,37.05,16
CPT,86628,CANDIDA ANTIBODY,82.0,57.4,12.01,49.8,16
CPT,86631,ANALYSIS FOR ANTIBODY TO CHLAMYDIA (BACTERIA),247.5,173.25,11.82,33.1,16
CPT,86631,CHLAMYDIA ANTIBODY,55.0,38.5,11.82,49.05,16
CPT,86632,CHLAMYDIA IGM ANTIBODY,249.0,174.3,12.68,52.65,16
CPT,86635,ANALYSIS FOR ANTIBODY TO COCCIDIOIDES (BACTERIA),210.0,147.0,11.47,32.12,8
CPT,86635,COCCIDIOIDES ANTIBODY,210.0,147.0,11.47,32.12,16
CPT,86638,Q FEVER ANTIBODY,137.0,95.9,12.12,33.94,16
CPT,86641,CRYPTOCOCCUS ANTIBODY,179.0,125.3,14.41,40.35,16
CPT,86644,ANALYSIS FOR ANTIBODY TO CYTOMEGALOVIRUS (CMV),280.5,196.35000000000002,14.39,40.29,16
CPT,86644,CMV ANTIBODY,187.0,130.9,14.39,59.67,16
CPT,86645,ANALYSIS FOR ANTIBODY (IGM) TO CYTOMEGALOVIRUS (CMV),187.0,130.9,16.85,47.18,8
CPT,86645,CMV ANTIBODY IGM,187.0,130.9,16.85,69.84,16
CPT,86648,DIPHTHERIA ANTIBODY,211.0,147.7,15.21,63.06,16
CPT,86658,ENTEROVIRUS ANTIBODY,130.0,91.0,13.03,36.48,32
CPT,86663,ANALYSIS FOR ANTIBODY TO EPSTEIN-BARR VIRUS (MONONUCLEOSIS VIRUS); EARLY ANTIGEN,161.0,112.7,13.12,54.39,16
CPT,86664,ANALYSIS FOR ANTIBODY TO EPSTEIN-BARR VIRUS (MONONUCLEOSIS VIRUS); NUCLEAR ANTIGEN,202.0,141.4,15.29,42.81,8
CPT,86664,EPSTEIN-BARR NUCLEAR ANTIGEN,202.0,141.4,15.29,63.42,16
CPT,86665,ANALYSIS FOR ANTIBODY TO EPSTEIN-BARR VIRUS (MONONUCLEOSIS VIRUS); VIRAL CAPSID,202.0,141.4,18.14,50.79,16
CPT,86665,EPSTEIN-BARR CAPSID VCA,202.0,141.4,18.14,75.21,16
CPT,86671,FUNGUS NES ANTIBODY,228.0,159.6,12.25,50.85,16
CPT,86674,GIARDIA LAMBLIA ANTIBODY,142.0,99.4,14.72,61.02,16
CPT,86677,HELICOBACTER PYLORI ANTIBODY,206.0,144.2,16.85,60.15,16
CPT,86682,ANALYSIS FOR ANTIBODY TO HELMINTH (INTESTINAL WORM),137.0,95.9,13.01,36.43,8
CPT,86682,HELMINTH ANTIBODY,137.0,95.9,13.01,37.8,16
CPT,86689,HTLV/HIV CONFIRMJ ANTIBODY,293.0,205.10000000000002,19.35,80.25,32
CPT,86692,ANALYSIS FOR ANTIBODY TO HEPATITIS D VIRUS,243.0,170.1,17.16,48.05,8
CPT,86692,HEPATITIS DELTA AGENT ANTBDY,243.0,170.1,17.16,71.16,16
CPT,86694,HERPES SIMPLEX NES ANTBDY,87.0,60.9,14.39,59.67,16
CPT,86695,ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1,229.0,160.3,13.19,54.69,16
CPT,86695,HERPES SIMPLEX TYPE 1 TEST,169.0,118.3,13.19,54.69,16
CPT,86696,ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2,289.0,202.3,19.35,81.15,16
CPT,86696,HERPES SIMPLEX TYPE 2 TEST,176.0,123.2,19.35,81.15,16
CPT,86698,ANALYSIS FOR ANTIBODY TO HISTOPLASMA (FUNGUS),550.0,385.0,13.79,38.61,23
CPT,86701,ANALYSIS FOR ANTIBODY TO HIV -1 VIRUS,189.0,132.3,8.89,36.84,39
CPT,86701,HIV-1ANTIBODY,308.0,215.6,8.89,36.84,16
CPT,86702,ANALYSIS FOR ANTIBODY TO HIV-2 VIRUS,240.0,168.0,13.52,56.07,47
CPT,86703,HIV-1/HIV-2 1 RESULT ANTBDY,91.0,63.7,13.71,56.88,16
CPT,86704,HEP B CORE ANTIBODY TOTAL,189.0,132.3,12.05,49.98,16
CPT,86704,HEPATITIS B CORE ANTIBODY MEASUREMENT,189.0,132.3,12.05,33.74,16
CPT,86705,HEP B CORE ANTIBODY IGM,131.0,91.7,11.77,48.81,16
CPT,86705,HEPATITIS B CORE ANTIBODY (IGM) MEASUREMENT,131.0,91.7,11.77,32.96,8
CPT,86706,HEP B SURFACE ANTIBODY,167.0,116.9,10.74,44.52,16
CPT,86706,HEPATITIS B SURFACE ANTIBODY MEASUREMENT,167.0,116.9,10.74,30.07,16
CPT,86707,HEPATITIS BE ANTIBODY,154.0,107.8,11.57,47.94,16
CPT,86707,HEPATITIS BE ANTIBODY MEASUREMENT,154.0,107.8,11.57,32.4,8
CPT,86708,HEPATITIS A ANTIBODY,154.0,107.8,12.39,51.36,16
CPT,86708,MEASUREMENT OF HEPATITIS A ANTIBODY,154.0,107.8,12.39,34.69,8
CPT,86709,HEPATITIS A IGM ANTIBODY,166.0,116.2,11.26,46.65,16
CPT,86709,MEASUREMENT OF HEPATITIS A ANTIBODY (IGM),166.0,116.2,11.26,31.53,8
CPT,86710,INFLUENZA VIRUS ANTIBODY,137.0,95.9,13.55,37.94,16
CPT,86713,LEGIONELLA ANTIBODY,216.0,151.2,15.3,63.45,16
CPT,86720,ANALYSIS FOR ANTIBODY TO LEPTOSPIRA,133.0,93.1,16.2,45.36,8
CPT,86720,LEPTOSPIRA ANTIBODY,133.0,93.1,16.2,54.69,16
CPT,86735,ANALYSIS FOR ANTIBODY TO MUMPS VIRUS,123.0,86.1,13.05,36.54,24
CPT,86735,MUMPS ANTIBODY,109.0,76.3,13.05,54.09,16
CPT,86738,ANALYSIS FOR ANTIBODY TO MYCOPLASMA (BACTERIA),191.0,133.7,13.24,37.07,8
CPT,86738,MYCOPLASMA ANTIBODY,191.0,133.7,13.24,54.93,16
CPT,86747,ANALYSIS FOR ANTIBODY TO PARVOVIRUS,175.0,122.5,15.03,42.08,16
CPT,86747,PARVOVIRUS ANTIBODY,175.0,122.5,15.03,62.31,16
CPT,86753,PROTOZOA ANTIBODY NOS,148.0,103.6,12.39,34.69,16
CPT,86756,RESPIRATORY VIRUS ANTIBODY,96.0,67.2,15.89,44.49,16
CPT,86757,ANALYSIS FOR ANTIBODY TO RICKETTSIA (BACTERIA),450.0,315.0,19.35,54.18,16
CPT,86757,RICKETTSIA ANTIBODY,225.0,157.5,19.35,80.25,16
CPT,86762,ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS),110.0,77.0,14.39,40.29,16
CPT,86762,RUBELLA ANTIBODY,110.0,77.0,14.39,59.67,16
CPT,86765,ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS),187.0,130.9,12.88,36.06,24
CPT,86765,RUBEOLA ANTIBODY,187.0,130.9,12.88,53.43,16
CPT,86768,ANALYSIS FOR ANTIBODY TO SALMONELLA (INTESTINAL BACTERIA),370.0,259.0,13.19,36.93,23
CPT,86769,SARS-COV-2 COVID-19 ANTIBODY,43.0,30.1,42.13,117.96,12
CPT,86774,ANALYSIS FOR ANTIBODY TO TETANUS BACTERIA (CLOSTRIDIUM TETANUS),190.0,133.0,14.8,41.44,8
CPT,86774,TETANUS ANTIBODY,190.0,133.0,14.8,41.44,16
CPT,86777,ANALYSIS FOR ANTIBODY TO TOXOPLASMA (PARASITE),205.0,143.5,14.39,40.29,8
CPT,86777,TOXOPLASMA ANTIBODY,205.0,143.5,14.39,59.67,16
CPT,86778,ANALYSIS FOR ANTIBODY (IGM) TO TOXOPLASMA (PARASITE),206.0,144.2,14.41,40.35,8
CPT,86778,TOXOPLASMA ANTIBODY IGM,206.0,144.2,14.41,59.7,16
CPT,86780,ANALYSIS FOR ANTIBODY; TREPONEMA PALLIDUM,189.0,132.3,13.24,37.07,8
CPT,86780,TREPONEMA PALLIDUM,189.0,132.3,13.24,56.91,16
CPT,86784,TRICHINELLA ANTIBODY,242.0,169.4,12.56,52.08,16
CPT,86787,ANALYSIS FOR ANTIBODY TO VARICELLA-ZOSTER VIRUS (CHICKEN POX),186.0,130.2,12.88,36.06,8
CPT,86787,VARICELLA-ZOSTER ANTIBODY,186.0,130.2,12.88,53.43,16
CPT,86790,ANALYSIS FOR ANTIBODY TO VIRUS,220.0,154.0,12.88,36.06,16
CPT,86790,VIRUS ANTIBODY NOS,207.5,145.25,12.88,53.43,32
CPT,86793,YERSINIA ANTIBODY,205.0,143.5,13.19,36.93,16
CPT,86800,THYROGLOBULIN (THYROID PROTEIN) ANTIBODY MEASUREMENT,213.0,149.1,15.91,44.55,8
CPT,86800,THYROGLOBULIN ANTIBODY,146.0,102.2,15.91,65.94,16
CPT,86803,HEPATITIS C AB TEST,231.0,161.7,14.27,59.19,16
CPT,86803,HEPATITIS C ANTIBODY MEASUREMENT,231.0,161.7,14.27,39.96,24
CPT,86805,IMMUNOLOGIC ANALYSIS FOR AUTOIMMUNE DISEASE; WITH TITRATION,1757.0,1229.9,77.91,530.63,8
CPT,86805,LYMPHOCYTOTOXICITY ASSAY,1757.0,1229.9,46.51,530.63,16
CPT,86807,CYTOTOXIC ANTIBODY SCREENING,448.0,313.6,46.51,220.22,16
CPT,86812,IMMUNOLOGIC ANALYSIS FOR AUTOIMMUNE DISEASE; A; B; OR C; SINGLE ANTIGEN,346.0,242.2,25.81,106.98,16
CPT,86813,HLA TYPING A B OR C,697.0,487.9,58.0,240.39,16
CPT,86825,HLA X-MATH NON-CYTOTOXIC,3933.0,2753.1,79.62,306.57,16
CPT,86828,HLA CLASS I&II ANTIBODY QUAL,220.0,154.0,46.51,179.73,16
CPT,86829,HLA CLASS I/II ANTIBODY QUAL,315.0,220.5,40.99,179.73,16
CPT,86830,HLA CLASS I PHENOTYPE QUAL,508.0,355.6,95.52,267.46,16
CPT,86831,HLA CLASS II PHENOTYPE QUAL,488.0,341.6,81.88,229.26,16
CPT,86832,HLA CLASS I HIGH DEFIN QUAL,1387.0,970.9,184.25,906.5,16
CPT,86833,HLA CLASS II HIGH DEFIN QUAL,1540.0,1078.0,167.5,912.24,16
CPT,86834,ASSESSMENT OF ANTIBODY TO HUMAN LEUKOCYTE ANTIGENS (HLA); HLA CLASS I,2995.0,2096.5,357.56,1001.17,8
CPT,86834,HLA CLASS I SEMIQUANT PANEL,2995.0,2096.5,357.56,1001.17,16
CPT,86835,ASSESSMENT OF ANTIBODY TO HUMAN LEUKOCYTE ANTIGENS (HLA) WITH SOLID PHASE ASSAYS; HLA CLASS II,2217.0,1551.9,322.96,904.29,8
CPT,86835,HLA CLASS II SEMIQUANT PANEL,2217.0,1551.9,322.96,904.29,16
CPT,86850,SCREENING TEST FOR RED BLOOD CELL ANTIBODIES,230.0,161.0,14.66,171.53,29
CPT,86860,REMOVAL OF ANTIBODIES FROM SURFACE OF RED BLOOD CELL,419.0,293.3,48.6,560.78,12
CPT,86870,IDENTIFICATION OF RED BLOOD CELL ANTIBODIES,964.5,675.1500000000001,30.0,1179.86,19
CPT,86880,RED BLOOD CELL ANTIBODY DETECTION TEST; DIRECT,184.5,129.14999999999998,7.79,194.18,23
CPT,86885,COOMBS TEST INDIRECT QUAL,223.0,156.1,8.3,560.78,16
CPT,86886,COOMBS TEST INDIRECT TITER,354.0,247.8,7.51,560.78,16
CPT,86900,BLOOD GROUP TYPING (ABO),187.0,130.9,4.33,437.95,30
CPT,86901,BLOOD TYPING FOR RH (D) ANTIGEN,70.0,49.0,4.49,122.92,30
CPT,86902,SCREENING TEST FOR COMPATIBLE BLOOD UNIT; USING REAGENT SERUM,3153.0,2207.1,5.54,1179.86,23
CPT,86904,BLOOD TYPING PATIENT SERUM,70.0,49.0,6.62,194.18,16
CPT,86905,BLOOD TYPING FOR RED BLOOD CELL ANTIGENS,1051.0,735.7,5.54,1179.86,23
CPT,86906,BLD TYPING SEROLOGIC RH PHNT,106.0,74.2,11.25,122.92,16
CPT,86920,BLOOD UNIT COMPATIBILITY TEST; IMMEDIATE SPIN TECHNIQUE,356.0,249.2,27.97,560.78,19
CPT,86921,BLOOD UNIT COMPATIBILITY TEST; INCUBATION TECHNIQUE,267.0,186.9,27.97,560.78,19
CPT,86922,BLOOD UNIT COMPATIBILITY TEST; ANTIGLOBULIN TECHNIQUE,356.0,249.2,27.97,560.78,19
CPT,86923,BLOOD UNIT COMPATIBILITY TEST; ELECTRONIC,356.0,249.2,27.97,560.78,33
CPT,86927,PLASMA FRESH FROZEN,454.0,317.8,16.05,560.78,10
CPT,86965,POOLING BLOOD PLATELETS,223.0,156.1,48.6,560.78,8
CPT,86971,PRETREATMENT OF RED BLOOD CELLS FOR USE IN RED BLOOD CELLS ANTIBODY ANALYSIS AND MEASUREMENT; INCUBATION WITH ENZYMES,390.0,273.0,49.75,560.78,10
CPT,86977,RBC SERUM PRETX INCUBJ/INHIB,356.0,249.2,27.77,560.78,12
CPT,86978,PRETREATMENT OF SERUM FOR USE IN RED BLOOD CELL ANTIBODY ANALYSIS AND MEASUREMENT; BY DIFFERENTIAL RED CELL ABSORPTION,364.0,254.8,31.69,194.18,12
CPT,86985,SPLIT BLOOD OR PRODUCTS,222.0,155.4,27.0,560.78,8
CPT,87015,CONCENTRATION OF SPECIMEN FOR INFECTIOUS AGENTS,215.0,150.5,6.68,18.7,16
CPT,87015,SPECIMEN INFECT AGNT CONCNTJ,215.0,150.5,6.68,27.69,16
CPT,87040,BACTERIAL BLOOD CULTURE,282.0,197.4,10.32,42.81,39
CPT,87045,FECES CULTURE AEROBIC BACT,153.0,107.1,9.44,39.12,16
CPT,87045,STOOL CULTURE,153.0,107.1,9.44,26.43,8
CPT,87046,STOOL CULTR AEROBIC BACT EA,87.0,60.9,9.44,26.43,16
CPT,87046,STOOL CULTURE; ADDITIONAL PATHOGENS,87.0,60.9,9.44,26.43,16
CPT,87070,BACTERIAL CULTURE; ANY OTHER SOURCE EXCEPT URINE; BLOOD OR STOOL; AEROBIC,201.0,140.7,8.62,35.7,55
CPT,87071,CULTURE AEROBIC QUANT OTHER,261.0,182.7,9.89,27.69,16
CPT,87075,BACTERIAL CULTURE; ANY SOURCE; EXCEPT BLOOD; ANAEROBIC,378.0,264.6,9.47,39.24,40
CPT,87076,BACTERIAL CULTURE FOR ANAEROBIC ISOLATES,231.0,161.7,8.08,33.48,23
CPT,87077,BACTERIAL CULTURE FOR AEROBIC ISOLATES,177.0,123.89999999999999,8.08,33.48,30
CPT,87081,CULTURE SCREEN ONLY,155.0,108.5,6.63,27.48,80
CPT,87081,SCREENING TEST FOR PATHOGENIC ORGANISMS,459.0,321.3,6.63,18.56,8
CPT,87086,BACTERIAL COLONY COUNT; URINE,198.0,138.6,8.07,33.48,40
CPT,87088,BACTERIAL URINE CULTURE,120.0,84.0,8.09,31.65,37
CPT,87101,FUNGAL CULTURE (MOLD OR YEAST) OF SKIN; HAIR; OR NAIL,154.0,107.8,7.71,21.59,7
CPT,87101,SKIN FUNGI CULTURE,154.0,107.8,7.71,31.98,16
CPT,87102,FUNGAL CULTURE (MOLD OR YEAST),163.85,114.695,8.41,23.55,16
CPT,87102,FUNGUS ISOLATION CULTURE,131.0,91.7,8.41,34.83,16
CPT,87103,BLOOD FUNGUS CULTURE,211.0,147.7,13.08,57.29,16
CPT,87103,FUNGAL BLOOD CULTURE (MOLD OR YEAST),211.0,147.7,20.46,57.29,16
CPT,87106,FUNGAL CULTURE; YEAST,122.0,85.4,10.32,28.9,8
CPT,87106,FUNGI IDENTIFICATION YEAST,122.0,85.4,10.32,42.81,48
CPT,87107,CULTURE FOR IDENTIFICATION OF YEAST,122.0,85.4,10.32,28.9,24
CPT,87107,FUNGI IDENTIFICATION MOLD,122.0,85.4,10.32,43.26,16
CPT,87109,MYCOPLASMA,213.0,149.1,15.39,63.78,16
CPT,87109,MYCOPLASMA CULTURE,213.0,149.1,15.39,43.09,8
CPT,87110,CHLAMYDIA CULTURE,407.0,284.9,19.6,81.24,16
CPT,87110,CULTURE FOR CHLAMYDIA,118.8,83.16,19.6,54.88,8
CPT,87116,CULTURE FOR ACID-FAST BACILLI,230.0,161.0,10.8,30.24,16
CPT,87116,MYCOBACTERIA CULTURE,230.0,161.0,10.8,40.89,16
CPT,87118,IDENTIFICATION OF MYCOBACTERIA (TB OR TB LIKE ORGANISM),1524.0,1066.8,14.61,40.91,16
CPT,87118,MYCOBACTERIC IDENTIFICATION,1524.0,1066.8,14.61,45.39,16
CPT,87140,CULTURE TYPE IMMUNOFLUORESC,177.0,123.9,5.57,23.13,16
CPT,87140,IDENTIFICATION OF ORGANISMS BY IMMUNOLOGIC ANALYSIS; IMMUNOFLUORESCENT METHOD,177.0,123.9,5.57,15.6,16
CPT,87147,CULTURE TYPE IMMUNOLOGIC,132.0,92.4,5.18,21.45,32
CPT,87147,IDENTIFICATION OF ORGANISMS BY IMMUNOLOGIC ANALYSIS; OTHER THAN IMMUNOFLUORESCENCE METHOD,137.0,95.9,5.18,14.5,16
CPT,87149,DNA/RNA DIRECT PROBE,266.0,186.2,20.05,83.13,16
CPT,87150,DNA/RNA AMPLIFIED PROBE,159.0,111.3,35.09,150.81,16
CPT,87153,DNA/RNA SEQUENCING,2277.0,1593.9,115.36,495.66,16
CPT,87169,MACROSCOPIC EXAM PARASITE,120.0,84.0,4.31,17.7,16
CPT,87172,PINWORM EXAM,44.0,30.8,4.27,17.7,16
CPT,87176,TISSUE HOMOGENIZATION CULTR,545.0,381.5,5.88,16.46,16
CPT,87176,TISSUE PREPARATION FOR CULTURE,545.0,381.5,5.88,16.46,8
CPT,87177,OVA AND PARASITES SMEARS,131.0,91.7,8.9,36.9,16
CPT,87177,SMEAR FOR PARASITES,131.0,91.7,8.9,24.92,16
CPT,87181,EVALUATION OF ANTIMICROBIAL DRUG (ANTIBIOTIC; ANTIFUNGAL; ANTIVIRAL); AGAR DILUTION METHOD,151.0,105.7,4.3,13.3,32
CPT,87181,MICROBE SUSCEPTIBLE DIFFUSE,151.0,105.7,2.7,13.3,16
CPT,87184,EVALUATION OF ANTIMICROBIAL DRUG (ANTIBIOTIC; ANTIFUNGAL; ANTIVIRAL),304.0,212.8,7.48,20.94,24
CPT,87184,MICROBE SUSCEPTIBLE DISK,304.0,212.8,7.48,28.59,16
CPT,87186,EVALUATION OF ANTIMICROBIAL DRUG (ANTIBIOTIC; ANTIFUNGAL; ANTIVIRAL); MICRODILUTION OR AGAR DILUTION,495.0,346.5,8.65,35.82,55
CPT,87186,MICROBE SUSCEPTIBLE MIC,1263.0,884.1,8.65,35.82,16
CPT,87188,MICROBE SUSCEPT MACROBROTH,253.0,177.1,6.64,18.59,16
CPT,87190,MICROBE SUSCEPT MYCOBACTERI,99.5,69.65,7.31,23.43,32
CPT,87197,BACTERICIDAL LEVEL SERUM,250.0,175.0,15.02,42.06,16
CPT,87205,SMEAR GRAM STAIN,32.0,22.4,4.27,17.7,16
CPT,87205,SPECIAL GRAM OR GIEMSA STAIN FOR MICROORGANISM,111.0,77.7,4.27,17.7,40
CPT,87206,SMEAR FLUORESCENT/ACID STAI,153.0,107.1,5.39,22.26,16
CPT,87206,SPECIAL FLUORESCENT AND/OR ACID FAST STAIN FOR MICROORGANISM,153.0,107.1,5.39,15.09,16
CPT,87207,SPECIAL STAIN FOR INCLUSION BODIES OR PARASITES,160.0,112.0,5.99,25.11,16
CPT,87209,SMEAR COMPLEX STAIN,278.0,194.6,17.98,52.71,16
CPT,87209,SPECIAL STAIN FOR PARASITES,278.0,194.6,17.98,50.34,8
CPT,87210,SMEAR FOR INFECTIOUS AGENTS,79.0,55.3,5.82,18.63,47
CPT,87210,SMEAR WET MOUNT SALINE/INK,17.0,11.9,5.82,18.63,16
CPT,87252,TISSUE CULTURE INOCULATION FOR VIRUS ISOLATION,613.0,429.1,26.07,73.0,8
CPT,87252,VIRUS INOCULATION TISSUE,613.0,429.1,26.07,108.06,16
CPT,87253,VIRUS INOCULATE TISSUE ADDL,482.0,337.4,13.01,56.56,16
CPT,87254,VIRUS INOCULATION SHELL VIA,103.0,72.1,19.56,54.77,16
CPT,87254,VIRUS ISOLATION; CENTRIFUGE ENHANCED,397.0,277.9,19.56,54.77,16
CPT,87255,GENET VIRUS ISOLATE HSV,618.0,432.6,33.86,128.76,16
CPT,87255,VIRUS ISOLATION,618.0,432.6,33.86,94.81,8
CPT,87269,GIARDIA AG IF,267.0,186.9,13.61,38.11,16
CPT,87270,CHLAMYDIA TRACHOMATIS AG IF,203.0,142.1,11.98,49.74,16
CPT,87272,CRYPTOSPORIDIUM AG IF,211.0,147.7,11.98,49.74,16
CPT,87278,DETECTION TEST BY IMMUNOFLUORESCENT TECHNIQUE FOR LEGIONELLA PNEUMOPHILA (WATER BORNE BACTERIA),371.0,259.7,15.6,43.68,8
CPT,87278,LEGION PNEUMOPHILIA AG IF,371.0,259.7,15.6,49.74,16
CPT,87281,PNEUMOCYSTIS CARINII AG IF,332.0,232.4,11.98,33.54,16
CPT,87290,VARICELLA ZOSTER AG IF,287.0,200.9,13.42,37.58,16
CPT,87305,ASPERGILLUS AG IA,830.0,581.0,11.98,49.74,16
CPT,87305,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR ASPERGILLUS (FUNGUS),494.31,346.015,11.98,33.54,39
CPT,87324,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR CLOSTRIDIUM DIFFICILE TOXINS (STOOL PATHOGEN),222.0,155.4,11.98,49.74,30
CPT,87327,CRYPTOCOCCUS NEOFORM AG IA,178.0,124.6,13.42,49.74,16
CPT,87338,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL,713.0,499.1,14.38,40.26,8
CPT,87338,HPYLORI STOOL AG IA,713.0,499.1,14.38,49.74,16
CPT,87340,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN,245.0,171.5,10.33,28.92,32
CPT,87340,HEPATITIS B SURFACE AG IA,245.0,171.5,10.33,42.81,16
CPT,87341,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN NEUTRALIZATION,232.0,162.4,10.33,28.92,8
CPT,87341,HEP B SURFACE AG NEUTRLZJ IA,232.0,162.4,10.33,43.29,16
CPT,87350,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS BE SURFACE ANTIGEN,190.0,133.0,11.53,32.28,8
CPT,87350,HEPATITIS BE AG IA,190.0,133.0,11.53,47.76,16
CPT,87385,HISTOPLASMA CAPSUL AG IA,418.0,292.6,13.25,37.1,16
CPT,87389,HIV-1 AG W/HIV-1&-2 AB AG IA,279.0,195.3,24.08,102.36,16
CPT,87390,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN,70.0,49.0,21.97,67.37,32
CPT,87425,ROTAVIRUS AG IA,220.0,154.0,11.98,49.74,16
CPT,87427,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR SHIGA-LIKE TOXIN (BACTERIAL TOXIN),36.0,25.2,11.98,33.54,16
CPT,87427,SHIGA-LIKE TOXIN AG IA,36.0,25.2,11.98,33.54,16
CPT,87449,DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR OTHER ORGANISM,316.5,221.55,11.98,33.54,24
CPT,87449,NOS EACH ORGANISM AG IA,315.0,220.5,11.98,49.74,16
CPT,87450,AG DETECT NOS IA SINGLE,206.0,144.2,14.38,22.18,4
CPT,87471,BARTONELLA DNA AMP PROBE,291.0,203.7,35.09,98.25,16
CPT,87480,DETECTION TEST FOR CANDIDA SPECIES (YEAST); DIRECT PROBE TECHNIQUE,199.0,139.3,20.05,83.13,24
CPT,87481,CANDIDA DNA AMP PROBE,349.0,244.3,35.09,98.25,16
CPT,87483,CNS DNA AMP PROBE TYPE 12-25,2063.0,1444.1,416.78,1166.98,15
CPT,87483,TEST FOR DETECTING NUCLEIC ACID OF ORGANISM CAUSING INFECTION OF CENTRAL NERVOUS SYSTEM,2063.0,1444.1,416.78,1166.98,7
CPT,87486,CHLMYD PNEUM DNA AMP PROBE,88.5,61.95,35.09,98.25,32
CPT,87486,DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA PNEUMONIAE; AMPLIFIED PROBE TECHNIQUE,67.0,46.9,35.09,98.25,8
CPT,87491,CHLMYD TRACH DNA AMP PROBE,256.5,179.55,35.09,145.5,32
CPT,87491,DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE,485.0,339.5,35.09,145.5,40
CPT,87493,C DIFF AMPLIFIED PROBE,435.5,304.85,37.27,150.81,32
CPT,87493,DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE,685.0,479.5,37.27,104.36,8
CPT,87494,CHLMY TRCH&NEISRA GONOR MULT,349.0,244.3,70.18,196.5,7
CPT,87496,CYTOMEG DNA AMP PROBE,650.5,455.34999999999997,35.09,145.5,32
CPT,87496,DETECTION TEST BY NUCLEIC ACID FOR CYTOMEGALOVIRUS (CMV); AMPLIFIED PROBE TECHNIQUE,67.0,46.9,35.09,98.25,8
CPT,87497,CYTOMEG DNA QUANT,2488.0,1741.6,42.84,177.6,16
CPT,87497,DETECTION TEST BY NUCLEIC ACID FOR CYTOMEGALOVIRUS; QUANTIFICATION,2488.0,1741.6,42.84,119.95,8
CPT,87498,DETECTION TEST BY NUCLEIC ACID FOR ENTEROVIRUS (INTESTINAL VIRUS); AMPLIFIED PROBE TECHNIQUE,67.0,46.9,35.09,98.25,8
CPT,87498,ENTEROVIRUS PROBE&REVRS TRNS,420.5,294.34999999999997,35.09,147.12,32
CPT,87502,DETECTION TEST BY NUCLEIC ACID FOR MULTIPLE TYPES INFLUENZA VIRUS,804.5,563.15,95.8,359.25,52
CPT,87502,INFLUENZA DNA AMP PROBE,518.0,362.6,95.8,359.25,32
CPT,87503,INFLUENZA DNA AMP PROB ADDL,133.0,93.1,29.22,87.66,16
CPT,87507,DETECTION TEST BY NUCLEIC ACID FOR DIGESTIVE TRACT PATHOGEN; MULTIPLE TYPES OR SUBTYPES; 12-25 TARGETS,791.0,553.7,416.78,1166.98,24
CPT,87507,IADNA-DNA/RNA PROBE TQ 12-25,4905.0,3433.5,416.78,1166.98,16
CPT,87510,DETECTION TEST FOR GARDNERELLA VAGINALIS (BACTERIA); DIRECT PROBE TECHNIQUE,199.0,139.3,20.05,83.13,24
CPT,87511,GARDNER VAG DNA AMP PROBE,349.0,244.3,35.09,98.25,16
CPT,87516,HEPATITIS B DNA AMP PROBE,642.0,449.4,35.09,145.5,16
CPT,87517,DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS B VIRUS; QUANTIFICATION,842.0,589.4,42.84,119.95,24
CPT,87517,HEPATITIS B DNA QUANT,842.0,589.4,42.84,177.6,16
CPT,87521,HEPATITIS C PROBE&RVRS TRNSC,643.0,450.1,35.09,145.5,16
CPT,87522,DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION,922.0,645.4,42.84,119.95,16
CPT,87522,HEPATITIS C REVRS TRNSCRPJ,503.0,352.1,42.84,177.6,16
CPT,87523,HEPATITIS D QUANTIFICATION,200.0,140.0,42.84,119.95,10
CPT,87529,DETECTION TEST BY NUCLEIC ACID FOR HERPES SIMPLEX VIRUS; AMPLIFIED PROBE TECHNIQUE,225.5,157.85,35.09,139.32,39
CPT,87529,HSV DNA AMP PROBE,644.0,450.8,35.09,139.32,48
CPT,87532,DETECTION TEST BY NUCLEIC ACID FOR HERPES VIRUS-6; AMPLIFIED PROBE TECHNIQUE,67.0,46.9,35.09,98.25,8
CPT,87532,HHV-6 DNA AMP PROBE,420.5,294.34999999999997,35.09,98.25,32
CPT,87535,DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; AMPLIFIED PROBE TECHNIQUE,1460.0,1022.0,35.09,98.25,8
CPT,87535,HIV-1 PROBE&REVERSE TRNSCRPJ,1460.0,1022.0,35.09,145.5,16
CPT,87536,DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION,1605.0,1123.5,85.1,238.28,16
CPT,87536,HIV-1 QUANT&REVRSE TRNSCRPJ,1605.0,1123.5,85.1,352.77,16
CPT,87541,DETECTION TEST BY NUCLEIC ACID FOR LEGIONELLA PNEUMOPHILA (WATER BORNE BACTERIA); AMPLIFIED PROBE TECHNIQUE,67.0,46.9,35.09,98.25,8
CPT,87541,LEGION PNEUMO DNA AMP PROB,88.5,61.95,35.09,98.25,32
CPT,87551,DETECTION TEST BY NUCLEIC ACID FOR MYCOBACTERIA SPECIES (BACTERIA); AMPLIFIED PROBE TECHNIQUE,2229.0,1560.3,48.24,135.07,8
CPT,87551,MYCOBACTERIA DNA AMP PROBE,2229.0,1560.3,48.24,135.07,16
CPT,87555,M.TUBERCULO DNA DIR PROBE,500.0,350.0,26.88,83.13,16
CPT,87556,DETECTION TEST BY NUCLEIC ACID FOR MYCOBACTERIA TUBERCULOSIS (TB BACTERIA); AMPLIFIED PROBE TECHNIQUE,740.5,518.35,41.68,116.7,16
CPT,87556,M.TUBERCULO DNA AMP PROBE,213.0,149.1,41.68,145.5,16
CPT,87560,M.AVIUM-INTRA DNA DIR PROB,500.0,350.0,27.29,83.13,16
CPT,87561,M.AVIUM-INTRA DNA AMP PROB,213.0,149.1,35.09,98.25,16
CPT,87564,MTB RIFAMPIN RST AMP PRB TQ,350.0,245.0,76.77,214.96,7
CPT,87581,DETECTION TEST BY NUCLEIC ACID FOR MYCOPLASMA PNEUMONIAE (BACTERIA); AMPLIFIED PROBE TECHNIQUE,67.0,46.9,35.09,98.25,8
CPT,87581,M.PNEUMON DNA AMP PROBE,67.0,46.9,35.09,98.25,16
CPT,87591,DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE,485.0,339.5,35.09,145.5,40
CPT,87591,N.GONORRHOEAE DNA AMP PROB,158.0,110.6,35.09,145.5,16
CPT,87593,ORTHOPOXVIRUS AMP PRB EACH,255.0,178.5,28.07,143.67,10
CPT,87594,PNEUMCYSTS JIROVECII AMP PRB,1143.0,800.1,35.09,98.25,7
CPT,87624,DETECTION TEST BY NUCLEIC ACID FOR HUMAN PAPILLOMAVIRUS (HPV); HIGH-RISK TYPES,244.0,170.8,35.09,98.25,40
CPT,87625,HPV TYPES 16 & 18 ONLY,354.0,247.8,40.55,113.54,16
CPT,87626,HPV SEP HI-RSK TYP&POOL RSLT,350.0,245.0,70.2,196.56,7
CPT,87631,RESP VIRUS 3-5 TARGETS,430.0,301.0,142.63,399.36,32
CPT,87632,DETECTION TEST BY NUCLEIC ACID FOR MULTIPLE TYPES OF RESPIRATORY VIRUS; MULTIPLE TYPES OR SUBTYPES; 6-11 TARGETS,397.0,277.9,218.06,610.57,8
CPT,87632,RESP VIRUS 6-11 TARGETS,536.5,375.54999999999995,218.06,610.57,32
CPT,87633,DETECTION TEST BY NUCLEIC ACID FOR MULTIPLE TYPES OF RESPIRATORY VIRUS; MULTIPLE TYPES OR SUBTYPES; 12-25 TARGETS,2063.0,1444.1,416.78,1166.98,24
CPT,87633,RESP VIRUS 12-25 TARGETS,4565.5,3195.8500000000004,416.78,1166.98,32
CPT,87634,RSV DNA/RNA AMP PROBE,74.0,51.8,70.2,196.56,15
CPT,87635,AMPLIFED DNA OR RNA PROBE DETECTION OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIGEN,105.0,73.5,51.31,300.0,54
CPT,87635,SARS-COV-2 COVID-19 AMP PRB,175.0,122.5,51.31,300.0,12
CPT,87636,DETECTION TEST BY MULTIPLEX AMPLIFIED PROBE TECHNIQUE FOR SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (SARS-COV-2) (COVID-19) AND INFLUENZA VIRUS TYPES A AND B,710.0,497.0,142.63,399.36,12
CPT,87637,SARSCOV2&INF A&B&RSV AMP PRB,150.0,105.0,142.63,399.36,12
CPT,87640,STAPH A DNA AMP PROBE,279.0,195.3,35.09,147.12,16
CPT,87641,DETECTION TEST BY NUCLEIC ACID FOR STAPHYLOCOCCUS AUREUS; METHICILLIN RESISTANT (MRSA BACTERIA); AMPLIFIED PROBE TECHNIQUE,287.0,200.9,35.09,98.25,8
CPT,87641,MR-STAPH DNA AMP PROBE,287.0,200.9,35.09,147.12,16
CPT,87650,STREP A DNA DIR PROBE,332.0,232.4,20.05,83.13,16
CPT,87651,DETECTION TEST BY NUCLEIC ACID FOR STREP (STREPTOCOCCUS; GROUP A); AMPLIFIED PROBE TECHNIQUE,669.0,468.3,35.09,98.25,32
CPT,87653,DETECTION TEST BY NUCLEIC ACID FOR STREP (STREPTOCOCCUS; GROUP B); AMPLIFIED PROBE TECHNIQUE,338.0,236.6,35.09,147.12,24
CPT,87653,STREP B DNA AMP PROBE,67.0,46.9,35.09,147.12,16
CPT,87660,DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); DIRECT PROBE TECHNIQUE,199.0,139.3,20.05,60.51,24
CPT,87661,DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); AMPLIFIED PROBE TECHNIQUE,349.0,244.3,35.09,98.25,8
CPT,87661,TRICHOMONAS VAGINALIS AMPLIF,349.0,244.3,35.09,98.25,16
CPT,87798,DETECT AGENT NOS DNA AMP,212.5,148.75,35.09,145.5,64
CPT,87798,DETECTION TEST BY NUCLEIC ACID FOR ORGANISM; AMPLIFIED PROBE TECHNIQUE,938.0,656.6,35.09,145.5,32
CPT,87799,DETECT AGENT NOS DNA QUANT,1430.0,1001.0,42.84,119.95,48
CPT,87799,DETECTION TEST BY NUCLEIC ACID FOR ORGANISM; QUANTIFICATION,1430.0,1001.0,42.84,119.95,16
CPT,87801,DETECT AGNT MULT DNA AMPLI,851.0,595.7,70.2,196.56,16
CPT,87804,INFLUENZA ASSAY W/OPTIC,133.0,93.1,16.55,49.74,16
CPT,87807,DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR RESPIRATORY SYNCYTIAL VIRUS,97.0,67.9,13.1,49.74,39
CPT,87811,SARS-COV-2 COVID19 W/OPTIC,210.0,147.0,41.38,115.86,12
CPT,87880,STREP A ASSAY W/OPTIC,42.0,29.4,16.53,49.74,16
CPT,87899,AGENT NOS ASSAY W/OPTIC,663.0,464.1,16.07,49.74,16
CPT,87899,DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR OTHER ORGANISM,663.0,464.1,16.07,45.0,16
CPT,87900,INFECTIOUS AGENT DRUG SUSCEPTIBILITY ANALYSIS,4851.0,3395.7,130.35,364.98,8
CPT,87900,PHENOTYPE INFECT AGENT DRUG,4851.0,3395.7,130.35,382.44,16
CPT,87901,ANALYSIS TEST BY NUCLEIC ACID FOR HIV-1 VIRUS,1548.0,1083.6,257.45,720.86,8
CPT,87901,NFCT AGT GNTYP ALYS HIV1 REV,1548.0,1083.6,257.45,1067.34,16
CPT,87902,ANALYSIS TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS,5435.0,3804.5,257.45,720.86,8
CPT,87902,NFCT AGT GNTYP ALYS HEP C,3453.0,2417.1,257.45,768.48,16
CPT,87903,PHENOTYPE DNA HIV W/CULTURE,8447.0,5912.9,488.66,1458.63,16
CPT,87904,PHENOTYPE DNA HIV W/CLT ADD,451.0,315.7,26.07,107.82,16
CPT,87906,ANALYSIS TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; OTHER REGION,2025.0,1417.5,128.73,360.44,8
CPT,87906,NFCT AGT GNTYP ALYS HIV1,2025.0,1417.5,128.73,544.32,16
CPT,87912,ANALYSIS TEST BY NUCLEIC ACID FOR HEPATITIS B VIRUS,3282.0,2297.4,257.45,720.86,16
CPT,87999,UNLISTED MICROBIOLOGY PX,196.0,137.2,23.7,23.7,1
CPT,88104,CELL EXAMINATION OF BODY FLUID; SMEARS,320.0,224.0,20.15,122.92,34
CPT,88108,CELL EXAMINATION OF SPECIMEN; CONCENTRATION TECHNIQUE,253.0,177.1,31.77,132.27,48
CPT,88112,CELL EXAMINATION OF SPECIMEN; SELECTIVE CELLULAR ENHANCEMENT TECHNIQUE,320.0,224.0,47.57,171.53,34
CPT,88120,CYTP URNE 3-5 PROBES EA SPEC,908.0,635.6,200.28,1113.87,13
CPT,88121,CELL EXAMINATION OF URINE; COMPUTER-ASSISTED,762.0,533.4,200.28,992.73,20
CPT,88130,SEX CHROMATIN IDENTIFICATION,126.0,88.2,17.98,50.34,16
CPT,88141,CYTOPATH C/V INTERPRET,149.0,104.3,22.89,72.83,13
CPT,88142,PAP TEST; MANUAL SCREENING,170.0,119.0,20.26,84.0,24
CPT,88143,PAP TEST; MANUAL SCREENING AND RESCREENING,130.0,91.0,23.04,64.51,16
CPT,88147,CYTOPATH C/V AUTOMATED,96.0,67.2,16.52,141.57,16
CPT,88148,CYTOPATH C/V AUTO RESCREEN,220.0,154.0,18.54,63.0,16
CPT,88161,CYTOPATH SMEAR OTHER SOURCE,288.0,201.6,24.01,107.7,13
CPT,88162,CYTOPATH SMEAR OTHER SOURCE,152.0,106.4,22.62,171.53,13
CPT,88164,CYTOPATH TBS C/V MANUAL,113.0,79.1,15.23,51.91,16
CPT,88165,CYTOPATH TBS C/V REDO,198.0,138.6,15.23,118.22,16
CPT,88172,EVALUATION OF FINE NEEDLE ASPIRATE,320.0,224.0,22.64,560.78,41
CPT,88173,EVALUATION OF FINE NEEDLE ASPIRATE WITH INTERPRETATION AND REPORT,480.0,336.0,50.48,261.3,34
CPT,88174,CYTOPATH C/V AUTO IN FLUID,107.0,74.9,25.37,89.55,16
CPT,88175,CYTOPATH C/V AUTO FLUID REDO,280.0,196.0,26.61,111.03,16
CPT,88177,CYTP FNA EVAL EA ADDL,42.0,29.4,6.3,59.08,13
CPT,88177,PAP TEST; EVALUATION OF FINE NEEDLE ASPIRATE; IMMEDIATE; EACH ADDITIONAL EVALUATION EPISODE,84.0,58.8,6.3,59.08,20
CPT,88184,FLOW CYTOMETRY TECHNIQUE FOR DNA OR CELL ANALYSIS; FIRST MARKER,1238.5,866.95,44.43,1179.86,20
CPT,88184,FLOWCYTOMETRY/ TC 1 MARKER,2025.0,1417.5,44.43,1179.86,13
CPT,88185,FLOW CYTOMETRY TECHNIQUE FOR DNA OR CELL ANALYSIS; EACH ADDITIONAL MARKER,2948.0,2063.6,21.79,112.68,6
CPT,88185,FLOWCYTOMETRY/TC ADD-ON,134.0,93.8,21.79,112.68,6
CPT,88187,FLOWCYTOMETRY/READ 2-8,207.0,144.9,36.02,153.27,13
CPT,88189,FLOWCYTOMETRY/READ 16 & >,222.0,155.4,81.1,252.0,13
CPT,88230,TISSUE CULTURE LYMPHOCYTE,682.0,477.4,116.49,483.0,16
CPT,88230,TISSUE CULTURE TO IDENTIFY WHITE BLOOD CELL DISORDERS,1161.0,812.7,116.49,326.17,8
CPT,88233,TISSUE CULTURE SKIN/BIOPSY,835.0,584.5,140.73,394.04,16
CPT,88235,TISSUE CULTURE FOR DISORDERS OF AMNIOTIC FLUID OR PLACENTA CELLS,765.5,535.85,150.3,420.84,16
CPT,88235,TISSUE CULTURE PLACENTA,691.0,483.7,150.3,439.56,16
CPT,88237,TISSUE CULTURE BONE MARROW,516.5,361.55,143.75,402.5,32
CPT,88237,TISSUE CULTURE FOR TUMOR DISORDERS OF BONE MARROW AND BLOOD CELLS,882.0,617.4,143.75,402.5,16
CPT,88239,TISSUE CULTURE TUMOR,1790.0,1253.0,147.52,413.06,16
CPT,88240,CELL CRYOPRESERVE/STORAGE,52.0,36.4,6.19,36.6,16
CPT,88261,CHROMOSOME ANALYSIS 5,752.0,526.4,244.1,740.15,16
CPT,88262,CHROMOSOME ANALYSIS 15-20,1078.0,754.6,125.49,372.06,16
CPT,88262,CHROMOSOME ANALYSIS FOR GENETIC DEFECTS; COUNT 15-20 CELLS,1078.0,754.6,125.49,351.37,8
CPT,88264,CHROMOSOME ANALYSIS 20-25,341.0,238.7,144.61,404.91,32
CPT,88264,CHROMOSOME ANALYSIS FOR GENETIC DEFECTS; ANALYZE 20-25 CELLS,530.0,371.0,144.61,404.91,16
CPT,88267,CHROMOSOME ANALYS PLACENTA,764.0,534.8,188.57,536.64,16
CPT,88269,CHROMOSOME ANALYS AMNIOTIC,764.0,534.8,173.66,486.25,16
CPT,88269,CHROMOSOME ANALYSIS OF AMNIOTIC FLUID FOR GENETIC DEFECTS,764.0,534.8,173.66,486.25,8
CPT,88271,CYTOGENETICS DNA PROBE,364.0,254.8,21.42,88.8,16
CPT,88274,CYTOGENETICS 25-99,66.0,46.2,42.38,118.66,16
CPT,88275,CYTOGENETICS 100-300,527.0,368.9,51.19,166.5,16
CPT,88280,CHROMOSOME ANALYSIS FOR GENETIC DEFECTS; ADDITIONAL KARYOTYPES; EACH STUDY,140.0,98.0,33.47,93.72,16
CPT,88280,CHROMOSOME KARYOTYPE STUDY,140.0,98.0,33.47,104.04,16
CPT,88285,CHROMOSOME ANALYSIS FOR GENETIC DEFECTS; ADDITIONAL CELLS COUNTED; EACH STUDY,461.01,322.705,26.91,75.35,16
CPT,88285,CHROMOSOME COUNT ADDITIONAL,82.0,57.4,26.24,75.35,16
CPT,88289,CHROMOSOME STUDY ADDITIONAL,164.0,114.8,13.77,96.4,16
CPT,88291,CYTO/MOLECULAR REPORT,119.0,83.3,21.81,97.69,13
CPT,88300,PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; LIMITED EXAMINATION,139.0,97.3,12.32,95.2,20
CPT,88302,PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE,196.0,137.2,30.08,122.92,27
CPT,88304,PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; MODERATELY LOW COMPLEXITY,411.0,287.7,37.72,171.53,34
CPT,88305,PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY,2842.0,1989.4,49.53,171.53,56
CPT,88307,PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; MODERATELY HIGH COMPLEXITY,747.0,522.9000000000001,81.42,1179.86,34
CPT,88309,PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; HIGH COMPLEXITY,2513.0,1759.1,112.06,2651.96,20
CPT,88311,PREPARATION OF TISSUE FOR EXAMINATION BY REMOVING ANY CALCIUM PRESENT,155.0,108.5,4.27,37.83,27
CPT,88312,SPECIAL STAINED SPECIMEN SLIDES TO IDENTIFY ORGANISMS INCLUDING INTERPRETATION AND REPORT,324.0,226.79999999999998,41.86,171.53,20
CPT,88313,SPECIAL STAINED SPECIMEN SLIDES TO EXAMINE TISSUE INCLUDING INTERPRETATION AND REPORT,356.0,249.2,37.18,437.95,43
CPT,88313,SPECIAL STAINS GROUP 2,178.0,124.6,37.18,437.95,13
CPT,88314,HISTOCHEMICAL STAINS ADD-ON,232.0,162.4,19.07,143.58,13
CPT,88319,ENZYME HISTOCHEMISTRY,2513.0,1759.1,103.7,2651.96,13
CPT,88321,CONSLTJ&REPRT SLD PREP ELSWR,171.0,119.7,43.9,212.97,13
CPT,88321,SURGICAL PATHOLOGY CONSULTATION AND REPORT ON REFERRED SLIDES PREPARED ELSEWHERE,171.0,119.7,43.9,152.86,8
CPT,88323,CONSLTJ&REPRT MATRL PREP SLD,452.0,316.4,39.51,171.53,13
CPT,88323,SURGICAL PATHOLOGY CONSULTATION AND REPORT ON REFERRED MATERIAL REQUIRING PREPARATION OF SLIDES,452.0,316.4,61.26,171.53,8
CPT,88325,CONSLTJ COMPRE RVW REC REPRT,341.0,238.7,166.44,560.78,13
CPT,88325,SURGICAL PATHOLOGY CONSULTATION AND REPORT; COMPREHENSIVE,341.0,238.7,200.28,560.78,8
CPT,88331,PATHOLOGY EXAMINATION OF SPECIMEN DURING SURGERY; FIRST TISSUE BLOCK,658.5,460.95000000000005,19.97,560.78,27
CPT,88332,PATH CONSLTJ SURG EA ADD BLK,155.0,108.5,9.19,84.56,13
CPT,88332,PATHOLOGY EXAMINATION OF SPECIMEN DURING SURGERY; EACH ADDITIONAL TISSUE BLOCK,310.0,217.0,30.2,84.56,7
CPT,88333,PATHOLOGY CYTOLOGIC EXAMINATION OF SPECIMEN DURING SURGERY; INITIAL SITE,2513.0,1759.1,18.67,2651.96,34
CPT,88334,PATH CONSLTJ SURG CYTO XM EA,86.0,60.2,11.44,102.03,13
CPT,88334,PATHOLOGY CYTOLOGIC EXAMINATION OF SPECIMEN DURING SURGERY; EACH ADDITIONAL SITE,172.0,120.4,11.44,102.03,27
CPT,88341,SPECIAL STAINED SPECIMEN SLIDES TO EXAMINE TISSUE; EACH ADDITIONAL PROCEDURE,1345.0,941.5,27.68,135.78,42
CPT,88342,SPECIAL STAINED SPECIMEN SLIDES TO EXAMINE TISSUE; INITIAL PROCEDURE,1080.0,756.0,35.96,560.78,49
CPT,88344,IMHCHEM/IMCYTCHM EA MLT ANTB,448.0,313.6,35.96,1179.86,13
CPT,88344,SPECIAL STAINED SPECIMEN SLIDES TO EXAMINE TISSUE; EACH MULTIPLEX PROCEDURE,896.0,627.2,35.96,1179.86,20
CPT,88346,ANTIBODY EVALUATION; INITIAL SINGLE ANTIBODY STAIN PROCEDURE,479.0,335.3,39.51,560.78,28
CPT,88348,ELECTRON MICROSCOPY DX,1506.0,1054.2,276.33,2651.96,13
CPT,88348,ELECTRON MICROSCOPY FOR DIAGNOSIS,1506.0,1054.2,529.82,2651.96,16
CPT,88350,ANTIBODY EVALUATION; EACH ADDITIONAL SINGLE ANTIBODY STAIN PROCEDURE,576.0,403.2,28.3,145.29,26
CPT,88358,ANALYSIS TUMOR,510.0,357.0,32.63,560.78,13
CPT,88360,MICROSCOPIC GENETIC ANALYSIS OF TUMOR; MANUAL,1356.0,949.2,42.44,560.78,36
CPT,88361,TUMOR IMMUNOHISTOCHEM/COMPUT,728.0,509.6,83.58,1179.86,13
CPT,88362,NERVE TEASING PREPARATIONS,2513.0,1759.1,123.37,2651.96,13
CPT,88364,INSITU HYBRIDIZATION (FISH),423.0,296.1,32.78,197.55,13
CPT,88365,GENETIC SEQUENCING LOCALIZATION; INITIAL PROCEDURE,378.0,264.6,52.74,560.78,20
CPT,88366,INSITU HYBRIDIZATION (FISH),510.0,357.0,86.17,560.78,13
CPT,88367,INSITU HYBRIDIZATION AUTO,568.0,397.6,117.97,1179.86,13
CPT,88368,INSITU HYBRIDIZATION MANUAL,510.0,357.0,92.45,1179.86,13
CPT,88368,MICROSCOPIC GENETIC ANALYSIS OF TISSUE; MANUAL; INITIAL PROCEDURE,510.0,357.0,421.38,1179.86,7
CPT,88369,M/PHMTRC ALYSISHQUANT/SEMIQ,423.0,296.1,33.16,148.11,13
CPT,88373,M/PHMTRC ALYS ISHQUANT/SEMIQ,423.0,296.1,24.36,120.69,13
CPT,88374,MICROSCOPIC GENETIC ANALYSIS OF TISSUE; COMPUTER-ASSISTED TECHNOLOGY; INITIAL PROCEDURE; EACH MULTIPLEX PROCEDURE,2675.0,1872.5,160.01,560.78,36
CPT,88377,M/PHMTRC ALYS ISHQUANT/SEMIQ,795.0,556.5,148.91,560.78,26
CPT,88377,MICROSCOPIC GENETIC ANALYSIS OF TISSUE; MANUAL; EACH ADDITIONAL MULTIPLEX STAIN PROCEDURE,2160.0,1512.0,200.28,560.78,23
CPT,88380,MICRODISSECTION LASER,2331.0,1631.7,49.8,195.84,13
CPT,88380,PREPARATION OF SPECIMEN USING LASER,2331.0,1631.7,49.8,150.11,16
CPT,88381,MICRODISSECTION MANUAL,625.0,437.5,22.5,378.78,13
CPT,88381,PREPARATION OF SPECIMEN; MANUAL,625.0,437.5,22.5,193.58,8
CPT,88738,HEMOGLOBIN MEASUREMENT,22.0,15.4,5.02,14.06,37
CPT,89051,BODY FLUID CELL COUNT WITH CELL IDENTIFICATION,72.0,50.4,5.6,22.83,30
CPT,89055,LEUKOCYTE ASSESSMENT FECAL,93.0,65.1,4.27,17.88,16
CPT,89060,CRYSTAL IDENTIFICATION FROM TISSUE OR BODY FLUID,62.0,43.4,7.33,29.64,16
CPT,89190,NASAL SMEAR FOR EOSINOPHILS,53.0,37.1,5.79,19.68,16
CPT,89220,SPUTUM SPECIMEN COLLECTION,427.0,298.9,4754.0,5269.0,4
CPT,89321,SEMEN ANAL SPERM DETECTION,33.0,23.1,12.05,49.98,16
CPT,89325,SPERM ANTIBODY TEST,500.0,350.0,10.67,29.88,16
CPT,90371,HEP B IG IM,174.005,121.80499999999999,137.83,5269.0,13
CPT,90371,HyperHEP B,458.68,321.08,4754.0,5269.0,24
CPT,90375,HyperRAB,7485.504999999999,5239.855,279.95,5269.0,15
CPT,90377,Kedrab,8763.345,6134.344999999999,240.13,5269.0,11
CPT,90377,RABIES IG HT&SOL HUMAN IM/SC,9358.91,6551.24,4754.0,5269.0,4
CPT,90378,Synagis,7230.55,5061.385,4754.0,5269.0,16
CPT,90380,Beyfortus,1529.36,1070.55,4754.0,5269.0,16
CPT,90380,RSV MONOC ANTB SEASN .5ML IM,1188.0,831.6,561.33,634.3,3
CPT,90381,Beyfortus,1529.36,1070.55,4754.0,5269.0,16
CPT,90396,Varizig,6002.07,4201.45,4754.0,5269.0,8
CPT,90471,ADMINISTRATION OF VACCINE,106.055,74.24000000000001,12.56,236.99,26
CPT,90472,ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE,61.055,42.739999999999995,6.28,13.88,5
CPT,90474,IMMUNE ADMIN ORAL/NASAL ADDL,52.0,36.4,6.28,36.9,12
CPT,90619,MenQuadfi,470.87,329.61,4754.0,5269.0,8
CPT,90620,Bexsero,325.025,227.51999999999998,241.52,5269.0,11
CPT,90620,MENINGOCOCCAL RECOMBINANT PROTEIN AND OUTER MEMBRANE VESICLE VACCINE; SEROGROUP B,481.0,336.7,241.52,257.75,3
CPT,90632,HEPATITIS A VACCINE ADULT DOSAGE,182.0,127.4,70.54,96.22,4
CPT,90632,Havrix,208.43,145.9,70.54,5269.0,12
CPT,90632,Vaqta,230.06,161.04500000000002,4754.0,5269.0,12
CPT,90633,HEPATITIS A VACCINE PEDIATRIC OR ADOLESCENT DOSAGE,84.0,58.8,40.62,46.71,4
CPT,90633,Havrix Pediatric,52.775000000000006,36.945,40.62,5269.0,12
CPT,90636,Twinrix,360.07,252.05,4754.0,5269.0,8
CPT,90648,ActHIB,34.82,26.884999999999998,13.82,5269.0,12
CPT,90648,HAEMOPHILUS INFLUENZAE TYPE B VACCINE; PRP-T CONJUGATE,42.0,29.4,13.82,22.96,8
CPT,90651,Gardasil 9,607.0,424.9,310.4,5269.0,19
CPT,90651,HUMAN PAPILLOMAVIRUS VACCINE TYPES 6; 11; 16; 18; 31; 33; 45; 52; 58; NONAVALENT,607.0,424.9,310.4,350.75,3
CPT,90656,FluLaval 2024-2025 Formula,22.505,15.755,19.77,22.74,4
CPT,90656,FluLaval 2025-2026 Formula,45.0,31.5,19.77,5269.0,12
CPT,90656,FluLaval Quadrivalent 2022-2023 Formula,45.0,31.5,19.77,22.74,4
CPT,90656,Fluarix 2025-2026 Formula,27.15,19.005,19.77,5269.0,12
CPT,90656,Fluzone 2025-2026 Formula PFS,55.36,38.75,4754.0,5269.0,8
CPT,90656,Fluzone High-Dose 2025-2026 Formula,45.0,31.5,19.77,22.74,4
CPT,90656,INFLUENZA VACCINE; TRIVALENT; SPLIT VIRUS; PRESERVATIVE-FREE; 0.5 ML DOSAGE,22.505,15.755,19.77,22.74,4
CPT,90658,IIV3 VACCINE SPLT 0.5 ML IM,45.0,31.5,18.62,21.41,4
CPT,90662,FluLaval 2024-2025 Formula,174.0,121.8,73.4,84.41,4
CPT,90662,Fluzone High-Dose 2024-2025 Formula,87.005,60.905,73.4,84.41,4
CPT,90662,Fluzone High-Dose 2025-2026 Formula,215.67,150.97,73.4,5269.0,12
CPT,90662,INFLUENZA VACCINE SPLIT VIRUS; PRESERVATIVE FREE,174.0,121.8,73.4,84.41,4
CPT,90670,Prevnar 20,0.01,0.01,,,0
CPT,90671,PCV15 VACCINE IM,659.66,461.76,4754.0,5269.0,4
CPT,90671,Vaxneuvance,659.66,461.76,4754.0,5269.0,4
CPT,90675,Imovax Rabies,1240.69,868.48,4754.0,5269.0,4
CPT,90675,RABIES VACCINE FOR INJECTION INTO MUSCLE,1138.26,796.78,319.75,895.3,7
CPT,90675,RABIES VACCINE IM,1195.18,836.63,4754.0,5269.0,4
CPT,90675,RabAvert,1094.285,766.0,319.75,5269.0,11
CPT,90677,Prevnar 20,724.72,507.30499999999995,4754.0,5269.0,8
CPT,90680,ROTAVIRUS VACCINE; PENTAVALENT,111.005,77.705,103.5,119.02,4
CPT,90680,RotaTeq,140.245,98.175,103.5,5269.0,12
CPT,90686,FluLaval 2024-2025 Formula,69.0,48.3,22.35,25.7,4
CPT,90686,FluLaval 2025-2026 Formula,69.0,48.3,22.35,25.7,4
CPT,90686,FluLaval Quadrivalent 2023-2024 Formula,69.0,48.3,22.35,25.7,4
CPT,90686,Fluzone High-Dose 2024-2025 Formula,69.0,48.3,22.35,25.7,4
CPT,90686,Fluzone High-Dose 2025-2026 Formula,69.0,48.3,22.35,25.7,4
CPT,90686,INFLUENZA VACCINE; QUADRIVALENT; PRESERVATIVE FREE; 0.5 ML DOSAGE,69.0,48.3,22.35,25.7,4
CPT,90691,Typhim Vi,423.23,296.26,4754.0,5269.0,4
CPT,90696,DTAP-IPV VACCINE 4-6 YRS IM,130.5,91.35,66.65,76.65,8
CPT,90696,Kinrix,82.25999999999999,57.585,66.65,5269.0,12
CPT,90696,Pentacel,281.69,197.18,4754.0,5269.0,4
CPT,90697,Vaxelis,418.45,292.91499999999996,4754.0,5269.0,8
CPT,90698,DTAP-IPV/HIB VACCINE IM,246.0,172.2,113.99,131.09,4
CPT,90698,Pentacel,140.845,98.595,113.99,5269.0,12
CPT,90698,Pentacel-ActHIB Component,0.01,0.01,,,0
CPT,90698,Pentacel-DTaP/IPV Component,0.01,0.01,113.99,131.09,4
CPT,90700,DIPHTHERIA; TETANUS; AND ACELLULAR PERTUSSIS VACCINE (YOUNGER THAN 7 YEARS),60.0,42.0,31.25,43.18,4
CPT,90700,Daptacel,77.39500000000001,54.175,4754.0,5269.0,8
CPT,90700,Infanrix,60.0,42.0,31.25,5269.0,12
CPT,90702,Diphtheria and Tetanus Toxoids Adsorbed,177.63,124.34,4754.0,5269.0,8
CPT,90704,Mumpsvax,50.41,35.29,4754.0,5269.0,4
CPT,90705,Attenuvax,43.76,30.63,4754.0,5269.0,4
CPT,90706,Meruvax II,50.61,35.43,4754.0,5269.0,4
CPT,90707,M-M-R II,204.0,142.8,99.49,5269.0,12
CPT,90707,MEASLES; MUMPS; AND RUBELLA VACCINE,204.0,142.8,99.49,114.41,4
CPT,90710,MMRV VACCINE SC,622.0,435.4,291.22,334.9,4
CPT,90710,ProQuad,393.49,275.445,291.22,5269.0,12
CPT,90713,Ipol,604.76,423.335,4754.0,5269.0,8
CPT,90713,POLIOVIRUS VACCINE,91.0,63.7,45.92,52.81,4
CPT,90714,Boostrix,65.0,45.5,18.83,34.16,4
CPT,90714,TD VACC NO PRESV 7 YRS+ IM,65.0,45.5,18.83,34.16,4
CPT,90714,TDVAX,76.96,53.87,4754.0,5269.0,8
CPT,90714,Tenivac,112.065,78.445,4754.0,5269.0,8
CPT,90715,Adacel,120.9,84.63,39.09,5269.0,20
CPT,90715,Boostrix,108.35,75.85,39.09,5269.0,20
CPT,90715,DIPHTHERIA; TETANUS; AND ACELLULAR PERTUSSIS VACCINE (7 YEARS OR OLDER),108.35,75.85,39.09,63.51,4
CPT,90715,Kinrix,102.0,71.4,39.09,63.51,4
CPT,90715,TDAP VACCINE 7 YRS/> IM,102.0,71.4,39.09,63.51,4
CPT,90716,VARICELLA VACCINE,361.0,252.7,188.14,216.36,4
CPT,90716,Varivax,361.0,252.7,188.14,5269.0,12
CPT,90717,YF-VAX,646.71,452.7,4754.0,5269.0,4
CPT,90723,DIPHTHERIA; TETANUS; ACELLULAR PERTUSSIS; HEPATITIS B; AND POLIO VACCINE,207.0,144.9,105.13,120.9,4
CPT,90723,Pediarix,274.65,192.26,4754.0,5269.0,8
CPT,90732,PPSV23 VACC 2 YRS+ SUBQ/IM,338.0,236.6,133.47,153.49,4
CPT,90732,Pneumovax 23,301.49,211.045,133.47,5269.0,20
CPT,90734,MENINGOCOCCAL VACCINE; SEROGROUPS A; C; W; Y; DIPHTHERIA TOXOID CARRIER VACCINE,344.0,240.8,160.52,184.6,4
CPT,90734,Menactra,407.0,284.9,4754.0,5269.0,8
CPT,90734,Menveo,344.0,240.8,160.52,5269.0,16
CPT,90740,HEPB VACC 3 DOSE IMMUNSUP IM,202.0,141.4,158.15,221.19,4
CPT,90743,HEPB VACC 2 DOSE ADOLESC IM,270.765,189.535,75.15,5269.0,8
CPT,90744,Engerix-B,39.2,27.439999999999998,30.77,5269.0,20
CPT,90744,HEPATITIS B VACCINE; PEDIATRIC OR ADOLESCENT DOSAGE (3 DOSE SCHEDULE),61.0,42.7,30.77,35.39,4
CPT,90744,HEPB VACC 3 DOSE PED/ADOL IM,0.01,0.01,4754.0,5269.0,4
CPT,90744,Recombivax HB Pediatric-Adolescent,39.215,27.45,4754.0,5269.0,28
CPT,90746,Boostrix,153.0,107.1,70.38,81.41,4
CPT,90746,Engerix-B,153.0,107.1,70.38,5269.0,20
CPT,90746,HEPATITIS B VACCINE; ADULT DOSAGE (3 DOSE SCHEDULE),153.0,107.1,70.38,81.41,4
CPT,90746,HEPB VACCINE 3 DOSE ADULT IM,196.53,137.57,4754.0,5269.0,4
CPT,90747,HEPB VACC 4 DOSE IMMUNSUP IM,202.0,141.4,140.75,221.19,4
CPT,90750,Shingrix,592.65,414.86,4754.0,5269.0,8
CPT,90785,PSYCHIATRIC SERVICES COMPLICATED BY COMMUNICATION FACTOR,337.0,235.9,11.78,909.0,46
CPT,90791,PSYCH DIAGNOSTIC EVALUATION,571.0,399.7,23.83,909.0,13
CPT,90791,PSYCHIATRIC DIAGNOSTIC EVALUATION,337.0,235.9,23.83,909.0,79
CPT,90792,PSYCH DIAG EVAL W/MED SRVCS,571.0,399.7,23.83,909.0,13
CPT,90792,PSYCHIATRIC DIAGNOSTIC EVALUATION WITH MEDICAL SERVICES,454.0,317.8,23.83,909.0,112
CPT,90832,PSYCHOTHERAPY; 30 MINUTES,281.0,196.7,23.83,909.0,123
CPT,90832,PSYTX W PT 30 MINUTES,571.0,399.7,23.83,909.0,13
CPT,90833,PSYCHOTHERAPY WITH EVALUATION AND MANAGEMENT VISIT; 30 MINUTES,253.0,177.1,23.83,909.0,68
CPT,90834,PSYCHOTHERAPY; 45 MINUTES,472.5,330.75,23.83,909.0,101
CPT,90834,PSYTX W PT 45 MINUTES,571.0,399.7,23.83,909.0,13
CPT,90836,PSYCHOTHERAPY WITH EVALUATION AND MANAGEMENT VISIT; 45 MINUTES,337.0,235.9,23.83,909.0,35
CPT,90837,PSYCHOTHERAPY; 1 HOUR,472.5,330.75,23.83,909.0,123
CPT,90837,PSYTX W PT 60 MINUTES,571.0,399.7,23.83,909.0,13
CPT,90838,PSYCHOTHERAPY WITH EVALUATION AND MANAGEMENT VISIT; 1 HOUR,337.0,235.9,23.83,909.0,22
CPT,90838,PSYTX W PT W E/M 60 MIN,337.0,235.9,23.83,909.0,13
CPT,90839,PSYTX CRISIS INITIAL 60 MIN,571.0,399.7,23.83,909.0,13
CPT,90840,PSYTX CRISIS EA ADDL 30 MIN,170.0,119.0,23.83,909.0,13
CPT,90846,FAMILY PSYCHOTHERAPY WITHOUT PATIENT; 50 MINUTES,571.0,399.7,23.83,909.0,13
CPT,90847,FAMILY PSYCHOTHERAPY WITH PATIENT; 50 MINUTES,284.0,198.8,23.83,909.0,13
CPT,90847,FAMILY PSYTX W/PT 50 MIN,434.5,304.15,23.83,909.0,26
CPT,90853,GROUP PSYCHOTHERAPY,329.0,230.3,23.83,909.0,103
CPT,90870,THERAPY USING ELECTRICAL CURRENTS,1526.0,1068.2,23.83,2826.6,17
CPT,90901,BIOFEEDBACK TRAIN ANY METH,150.0,105.0,16.55,69.38,12
CPT,90912,BFB TRAINING 1ST 15 MIN,209.0,146.3,63.19,247.46,11
CPT,90913,BFB TRAINING EA ADDL 15 MIN,84.0,58.8,30.17,96.24,11
CPT,90935,HEMODIALYSIS PROCEDURE WITH PHYSICIAN EVALUATION,3123.0,2186.1,66.0,5269.0,16
CPT,90945,DIALYSIS ONE EVALUATION,5757.0,4029.9,69.29,1373.43,12
CPT,91010,ESOPHAGUS MOTILITY STUDY,1517.0,1061.9,106.71,3113.0,12
CPT,91010,STUDY OF ESOPHAGUS TO ASSESS MOVEMENT,6097.0,4267.9,106.71,3113.0,57
CPT,91034,GASTROESOPHAGEAL REFLUX TEST,1114.0,779.8,158.33,3113.0,13
CPT,91034,MONITORING AND RECORDING OF ESOPHAGEAL FUNCTION THROUGH NASAL TUBE,1.0,0.7,158.33,3113.0,13
CPT,91035,G-ESOPH REFLX TST W/ELECTROD,2613.0,1829.1,315.29,3113.0,13
CPT,91035,MONITORING AND RECORDING OF ESOPHAGEAL FUNCTION THROUGH A CAPSULE ATTACHED TO THE ESOPHAGUS WALL,950.165,665.115,315.29,3113.0,24
CPT,91037,ESOPH IMPED FUNCTION TEST,981.0,686.7,98.18,996.0,11
CPT,91037,MONITORING AND RECORDING OF ESOPHAGEAL FUNCTION THROUGH NASAL TUBE WITH ELECTRODE,1.0,0.7,98.18,996.0,12
CPT,91038,ESOPH IMPED FUNCT TEST > 1HR,1881.0,1316.7,75.14,3113.0,12
CPT,91038,PROLONGED MONITORING AND RECORDING OF ESOPHAGEAL FUNCTION THROUGH NASAL TUBE WITH ELECTRODE,4977.0,3483.9,75.14,3113.0,35
CPT,91065,BREATH HYDROGEN/METHANE TEST,432.0,302.4,42.36,996.0,11
CPT,91110,GI TRC IMG INTRAL ESOPH-ILE,3061.0,2142.7,633.76,4723.0,14
CPT,91110,IMAGING OF DIGESTIVE TRACT DONE FROM THE INSIDE OF THE DIGESTIVE TRACT,1985.0,1389.5,633.76,4723.0,26
CPT,91111,IMAGING OF ESOPHAGUS DONE FROM THE INSIDE OF THE ESOPHAGUS,5831.0,4081.7,662.7,4277.0,13
CPT,91120,RECTAL SENSATION TEST,596.0,417.2,341.72,996.0,4
CPT,91122,ANORECTAL MANOMETRY,734.0,513.8,119.72,996.0,4
CPT,91200,MEASUREMENT OF LIVER STIFFNESS,507.0,354.9,20.72,423.56,56
CPT,91299,OTHER DIAGNOSTIC PROCEDURE FOR GASTROINTESTINE,3969.0,2778.3,151.27,996.0,8
CPT,91300,Pfizer-BioNTech COVID-19 Vaccine,0.01,0.01,4754.0,5269.0,8
CPT,91300,SARSCOV2 VAC 30MCG/0.3ML IM,0.01,0.01,4754.0,5269.0,4
CPT,91301,Moderna COVID-19 Vaccine,0.01,0.01,4754.0,5269.0,4
CPT,91301,SARSCOV2 VAC 100MCG/0.5ML IM,0.01,0.01,4754.0,5269.0,4
CPT,91302,SARSCOV2 VAC 5X1010VP/.5MLIM,0.01,0.01,4754.0,5269.0,4
CPT,91303,Janssen COVID-19 Vaccine,0.01,0.01,4754.0,5269.0,8
CPT,91303,SARSCOV2 VAC AD26 .5ML IM,0.01,0.01,4754.0,5269.0,4
CPT,91305,Pfizer-BioNTech COVID-19 Vaccine Age 12yr & older,0.01,0.01,4754.0,5269.0,8
CPT,91305,SARSCOV2 VAC 30 MCG TRS-SUCR,0.01,0.01,4754.0,5269.0,4
CPT,91306,SARSCOV2 VAC 50MCG/0.25ML IM,0.01,0.01,4754.0,5269.0,4
CPT,91307,SARSCOV2 VAC 10 MCG TRS-SUCR,0.01,0.01,4754.0,5269.0,4
CPT,91308,SARSCOV2 VAC 3 MCG TRS-SUCR,0.01,0.01,4754.0,5269.0,4
CPT,91309,SARSCOV2 VAC 50MCG/0.5ML IM,0.01,0.01,4754.0,5269.0,4
CPT,91311,SARSCOV2 VAC 25MCG/0.25ML IM,0.01,0.01,4754.0,5269.0,4
CPT,91312,Pfizer-BioNTech COVID-19 Bivalent Vacc 12yr &Older,0.01,0.01,4754.0,5269.0,8
CPT,91312,SARSCOV2 VAC BVL 30MCG/0.3ML,0.01,0.01,,,0
CPT,91313,"Moderna COVID-19 Vaccine, Bivalent Age 6yr & Older",0.01,0.01,4754.0,5269.0,8
CPT,91313,SARSCOV2 VAC BVL 50MCG/0.5ML,0.01,0.01,,,0
CPT,91314,SARSCOV2 VAC BVL 25MCG/.25ML,0.01,0.01,,,0
CPT,91315,SARSCOV2 VAC BVL 10MCG/0.2ML,0.01,0.01,,,0
CPT,91316,Moderna COVID-19 Vaccine Bivalent Booster 6mo<6yrs,0.01,0.01,4754.0,5269.0,8
CPT,91316,SARSCOV2 VAC BVL 10MCG/0.2ML,0.01,0.01,,,0
CPT,91317,SARSCOV2 VAC BVL 3MCG/0.2ML,0.01,0.01,,,0
CPT,91318,Pfizer-BioNTech COVID-19 Vaccine 2023-2024 6mo<5yr,474.38,332.07,4754.0,5269.0,8
CPT,91318,SARSCOV2 VAC 3MCG TRS-SUC IM,125.0,87.5,62.1,71.42,4
CPT,91319,SARSCV2 VAC 10MCG TRS-SUC IM,185.0,129.5,83.16,95.63,4
CPT,91320,Comirnaty 2023-2024 Age 12 and older,323.125,226.19,4754.0,5269.0,16
CPT,91320,SARSCV2 VAC 30MCG TRS-SUC IM,288.0,201.6,124.2,142.83,4
CPT,91321,Gardasil 9,0.01,0.01,138.24,158.98,4
CPT,91321,Moderna COVID-19 Vaccine 2023-2024 Ages 6mo<12yrs,352.0,246.4,4754.0,5269.0,8
CPT,91321,Moderna COVID-19 Vaccine 24-25 6mo through 11yrs,177.38,124.17,138.24,5269.0,12
CPT,91321,Spikevax 2024-2025 Formula Ages 12 and up,0.01,0.01,138.24,158.98,4
CPT,91321,Spikevax 2025-2026 6mo through 11yrs,177.38,124.17,4754.0,5269.0,4
CPT,91321,Spikevax 2025-2026 Formula Ages 12 and up,0.01,0.01,,,0
CPT,91322,Spikevax 2023-2024 Formula,352.0,246.4,138.24,5269.0,24
CPT,91322,Spikevax 2024-2025 Formula Ages 12 and up,311.0,217.7,138.24,5269.0,12
CPT,91322,Spikevax 2025-2026 Formula Ages 12 and up,389.95,272.97,4754.0,5269.0,4
CPT,92018,COMPLETE EXAM OF VISUAL SYSTEM UNDER GENERAL ANESTHESIA,3572.0,2500.4,110.02,7825.64,13
CPT,92100,SERIAL TONOMETRY,450.0,315.0,26.55,1419.0,12
CPT,92202,OPSCPY EXTND ON/MAC DRAW,168.0,117.6,17.76,194.18,11
CPT,92502,EAR AND THROAT EXAMINATION,1267.0,886.9,96.46,1775.23,13
CPT,92504,EAR MICROSCOPY EXAMINATION,34.0,23.8,7.73,186.0,13
CPT,92507,TREATMENT OF SPEECH; LANGUAGE; VOICE; COMMUNICATION; AND/OR HEARING PROCESSING DISORDER,244.0,170.8,45.39,225.26,54
CPT,92511,EXAM OF THE NOSE AND THROAT USING AN ENDOSCOPE,789.0,552.3,40.19,1419.0,12
CPT,92520,LARYNGEAL FUNCTION STUDIES,293.0,205.1,40.29,440.1,12
CPT,92521,EVALUATION OF SPEECH FLUENCY,366.0,256.2,115.58,395.05,12
CPT,92522,EVALUATION OF SPEECH SOUND PRODUCTION,543.0,380.1,96.22,329.53,33
CPT,92523,EVALUATION OF SPEECH SOUND PRODUCTION WITH EVALUATION OF LANGUAGE COMPREHENSION AND EXPRESSION,446.0,312.2,198.83,671.22,26
CPT,92524,ANALYSIS OF VOICE AND RESONANCE PRODUCTION,446.0,312.2,93.56,322.62,19
CPT,92526,TREATMENT OF SWALLOWING AND FEEDING DISORDER,366.0,256.2,45.19,250.26,68
CPT,92537,CALORIC VSTBLR TEST W/REC,354.0,247.8,8.46,423.56,13
CPT,92538,CALORIC VSTBLR TEST W/REC,354.0,247.8,4.5,710.72,13
CPT,92540,BASIC VESTIBULAR EVALUATION,393.0,275.1,16.48,710.72,13
CPT,92541,SPONTANEOUS NYSTAGMUS TEST,308.0,215.6,3.93,437.95,13
CPT,92542,POSITIONAL NYSTAGMUS TEST,308.0,215.6,3.52,437.95,13
CPT,92544,OPTOKINETIC NYSTAGMUS TEST,393.0,275.1,2.7,423.56,13
CPT,92545,OSCILLATING TRACKING TEST,393.0,275.1,2.7,710.72,13
CPT,92550,TEST FOR EARDRUM AND MUSCLE FUNCTION,393.0,275.1,18.68,710.72,19
CPT,92552,TEST FOR HEARING VARIOUS PITCHES USING EARPHONE,317.0,221.9,17.34,437.95,12
CPT,92553,TEST FOR HEARING VARIOUS PITCHES USING EARPHONE AND DEVICE PLACED AGAINST THE BONE,393.0,275.1,25.61,423.56,19
CPT,92555,TEST FOR ABILITY TO DETECT AND REPEAT SPOKEN WORDS,93.0,65.1,14.79,194.18,12
CPT,92556,TEST FOR ABILITY TO DETECT AND REPEAT SPOKEN WORDS WITH SPEECH RECOGNITION,93.0,65.1,22.32,194.18,12
CPT,92557,COMPREHENSIVE HEARING AND SPEECH RECOGNITION TEST,393.0,275.1,30.25,423.56,33
CPT,92558,EVOKED AUDITORY TEST QUAL,171.0,119.7,14.27,14.27,2
CPT,92565,TEST TO ASSESS HEARING LOSS,98.0,68.6,15.53,194.18,19
CPT,92567,TEST TO ASSESS MIDDLE EAR FUNCTION,98.0,68.6,8.78,122.92,33
CPT,92567,TYMPANOMETRY,111.0,77.7,11.55,122.92,12
CPT,92568,ACOUSTIC REFL THRESHOLD TST,98.0,68.6,14.79,122.92,12
CPT,92570,ACOUSTIC IMMITANCE TESTING,402.0,281.4,28.36,423.56,12
CPT,92577,TEST TO ASSESS HEARING LOSS USING 2 SIMULTANEOUS WORDS AT DIFFERENT TONES IN SAME EAR,1411.0,987.7,16.72,1228.28,12
CPT,92579,TEST TO ASSESS HEARING SENSITIVITY USING VISUAL AIDS,402.0,281.4,28.21,710.72,12
CPT,92582,TEST TO ASSESS HEARING SENSITIVITY USING ACTIVITY RELATED FEEDBACK,402.0,281.4,28.21,423.56,12
CPT,92583,SELECT PICTURE AUDIOMETRY,98.0,68.6,34.62,194.18,12
CPT,92585,AUDITORY EP - COMPREHENSIVE,709.0,496.3,126.68,126.68,1
CPT,92586,AUDITORY EP - LIMITED,402.0,281.4,103.99,103.99,1
CPT,92587,EVOKED AUDITORY TEST LIMITED,369.0,258.3,3.52,710.72,12
CPT,92588,EVOKED AUDITORY TST COMPLETE,736.0,515.2,4.35,1228.28,12
CPT,92597,EVALUATION FOR USE OF VOICE ARTIFICIAL DEVICE TO SUPPLEMENT ORAL SPEECH,387.0,270.9,74.89,209.69,19
CPT,92605,EX FOR NONSPEECH DEVICE RX,408.0,285.6,,,0
CPT,92607,EVALUATION WITH PRESCRIPTION OF SPEECH-GENERATING AND ALTERNATIVE COMMUNICATION DEVICE; FIRST HOUR,548.0,383.6,117.38,364.95,19
CPT,92608,EVALUATION WITH PRESCRIPTION OF SPEECH-GENERATING AND ALTERNATIVE COMMUNICATION DEVICE; EACH ADDITIONAL 30 MINUTES,117.0,81.9,35.95,143.08,19
CPT,92608,EX FOR SPEECH DEVICE RX ADDL,123.0,86.1,35.95,143.08,12
CPT,92609,THERAPY SERVICE FOR USE OF SPEECH-GENERATING DEVICE WITH PROGRAMMING,427.5,299.25,95.62,306.71,26
CPT,92609,USE OF SPEECH DEVICE SERVICE,438.0,306.6,95.62,306.71,12
CPT,92610,EVALUATE SWALLOWING FUNCTION,588.0,411.6,77.05,252.92,12
CPT,92610,EVALUATION OF SWALLOWING FUNCTION,490.5,343.35,77.05,252.92,54
CPT,92611,EVALUATION OF SWALLOWING FUNCTION IMAGE,588.0,411.6,93.79,271.96,47
CPT,92612,ENDOSCOPY SWALLOW (FEES) VID,959.0,671.3,71.65,617.4,12
CPT,92612,EVALUATION AND RECORDING OF SWALLOWING USING AN ENDOSCOPE,959.0,671.3,220.5,617.4,7
CPT,92616,FEES W/LARYNGEAL SENSE TEST,870.0,609.0,104.64,701.29,12
CPT,92625,EVALUATION OF HEARING RINGING IN EAR,465.0,325.5,60.5,423.56,19
CPT,92626,EVAL AUD FUNCJ 1ST HOUR,453.0,317.1,28.6,423.56,13
CPT,92650,AEP SCR AUDITORY POTENTIAL,465.0,325.5,27.29,42.84,4
CPT,92651,AEP HEARING STATUS DETER I&R,469.0,328.3,85.48,710.72,11
CPT,92652,AEP THRSHLD EST MLT FREQ I&R,887.0,620.9,110.79,710.72,11
CPT,92653,AEP NEURODIAGNOSTIC I&R,887.0,620.9,81.49,710.72,11
CPT,92920,BALLOON DILATION OF SINGLE CORONARY ARTERY OR BRANCH,16641.0,11648.7,1700.0,18734.1,72
CPT,92920,PRQ TRLUML C ANGIOP 1ART&/BR,16641.0,11648.7,544.1,18734.1,14
CPT,92921,BALLOON DILATION OF CORONARY ARTERY OR BRANCH; EACH ADDITIONAL ARTERY OR BRANCH,9536.0,6675.2,1700.0,7726.0,6
CPT,92921,PRQ CARDIAC ANGIO ADDL ART,9536.0,6675.2,170.54,7726.0,5
CPT,92924,PRQ TRLUML C ATHRC 1 ART&/BR,23582.0,16507.4,648.14,37998.38,13
CPT,92924,REMOVAL OF PLAQUE WITH BALLOON DILATION OF SINGLE CORONARY ARTERY OR BRANCH,23582.0,16507.4,1887.0,37998.38,18
CPT,92925,PRQ CARD ANGIO/ATHRECT ADDL,16860.0,11802.0,187.13,9366.0,5
CPT,92928,INSERTION OF STENTS WITH BALLOON DILATION OF CORONARY ARTERY OR BRANCH; SINGLE ARTERY OR BRANCH,27675.0,19372.5,1700.0,37998.38,36
CPT,92928,PRQ TCAT PLMT NTRAC ST 1 LES,26341.0,18438.7,605.11,37998.38,14
CPT,92929,PRQ CARD STENT W/ANGIO ADDL,9712.0,6798.4,239.44,7726.0,5
CPT,92930,PRQ TCAT PLMT NTRAC ST 2+LES,54140.0,37898.0,21549.87,60339.64,7
CPT,92933,PRQ TRLML C ATHRC ST ANGIOP1,29520.0,20664.0,678.23,60339.64,14
CPT,92934,PRQ CARD STENT/ATH/ANGIO,8385.0,5869.5,239.44,7726.0,5
CPT,92937,PRQ TRLUML REVSC CAB GRF 1,26341.0,18438.7,604.34,37998.38,14
CPT,92938,PRQ REVASC BYP GRAFT ADDL,7454.0,5217.8,239.44,7726.0,5
CPT,92941,PRQ TRLML REVSC TOT OCCL AMI,26341.0,18438.7,559.5,7726.0,13
CPT,92943,PRQ TRLUML REVSC CH OCC ANT,32036.0,22425.2,679.78,37998.38,14
CPT,92943,REMOVAL OF PLAQUE; INSERTION OF STENT AND/OR BALLOON DILATION OF SINGLE CORONARY ARTERY; BRANCH OR BYPASS GRAFT,31273.0,21891.1,1700.0,37998.38,48
CPT,92944,PRQ CARD REVASC CHRONIC ADDL,9712.0,6798.4,239.44,7726.0,5
CPT,92944,REMOVAL OF PLAQUE; INSERTION OF STENT AND/OR BALLOON DILATION; EACH ADDITIONAL CORONARY ARTERY; BRANCH; OR VESSEL,9712.0,6798.4,1700.0,7726.0,2
CPT,92945,PRQ TRL RVS CH OCC ANT&RTRGR,34094.0,23865.8,13570.85,37998.38,7
CPT,92950,HEART/LUNG RESUSCITATION CPR,872.0,610.4,176.66,4723.0,13
CPT,92950,MANUAL ATTEMPT TO RESTORE BLOOD CIRCULATION AND BREATHING,766.0,536.2,192.72,1419.0,22
CPT,92953,TEMPORARY EXTERNAL PACING,1893.0,1325.1,0.99,2175.52,12
CPT,92960,EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT,1523.0,1066.1,116.42,4723.0,67
CPT,92961,CARDIOVERSION ELECTRIC INT,890.0,623.0,200.81,2175.52,12
CPT,92973,PRQ TRLUML C MCHN ASP THRMBC,6855.0,4798.5,77.38,996.0,12
CPT,92975,DISSOLVE CLOT HEART VESSEL,4724.0,3306.8,351.12,530.7,5
CPT,92977,DISSOLVE CLOT HEART VESSEL,2499.0,1749.3,65.36,1419.0,5
CPT,92978,ULTRASOUND EVALUATION OF HEART BLOOD VESSEL OR GRAFT WITH REVIEW BY RADIOLOGIST; INITIAL VESSEL,779.0,545.3,90.81,996.0,59
CPT,92979,ENDOLUMINL IVUS OCT C EA,529.0,370.3,72.11,996.0,11
CPT,92979,ULTRASOUND EVALUATION OF HEART BLOOD VESSEL OR GRAFT WITH REVIEW BY RADIOLOGIST; EACH ADDITIONAL VESSEL,793.5,555.45,72.11,996.0,72
CPT,92986,REVISION OF AORTIC VALVE,18974.0,13281.8,1068.97,18734.1,13
CPT,92987,REVISION OF MITRAL VALVE,24512.0,17158.4,1106.51,37998.38,12
CPT,92990,REVISION OF PULMONARY VALVE,20449.0,14314.3,839.6,37998.38,14
CPT,92992,AS BALLOON; TRANSVENOUS,7245.0,5071.5,,,0
CPT,92993,AS BALLOON; BLADE,6441.0,4508.7,,,0
CPT,93005,ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING,537.0,375.9,9.71,194.18,229
CPT,93017,EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG),1350.0,945.0,39.83,710.72,26
CPT,93041,ELECTROCARDIOGRAM (ECG) 1 TO 3 LEADS,781.5,547.05,5.18,194.18,33
CPT,93225,ELECTROCARDIOGRAM (ECG) 2-DAY CONTINUOUS,850.0,595.0,30.75,437.95,19
CPT,93226,XTRNL ECG REC<48 HR SCAN A/R,884.0,618.8,43.95,194.18,12
CPT,93229,REMOTE 30 DAY ECG TECH SUPP,3538.0,2476.6,438.67,1411.12,12
CPT,93242,EXT ECG>48HR<7D RECORDING,461.0,322.7,18.7,122.92,11
CPT,93246,HEART RHYTHM RECORDING OF CONTINOUS EXTERNAL EKG OVER 8-15 DAYS,674.0,471.8,17.56,122.92,32
CPT,93260,PRGRMG DEV EVAL IMPLTBL SYS,142.0,99.4,20.37,122.84,12
CPT,93261,EVALUATION OF IMPLANTABLE DEFIBRILLATOR SYSTEM,142.0,99.4,20.37,122.84,12
CPT,93261,INTERROGATE SUBQ DEFIB,149.0,104.3,20.37,122.84,12
CPT,93270,ELECTROCARDIOGRAM (ECG) UP TO 30 DAYS CONTINUOUS WITH SYMPTOM MONITORING,793.0,555.1,10.53,122.84,19
CPT,93270,REMOTE 30 DAY ECG REV/REPORT,833.0,583.1,10.53,122.84,12
CPT,93271,ECG/MONITORING AND ANALYSIS,806.0,564.2,111.76,375.95,12
CPT,93279,PROGRAMMING OF SINGLE LEAD PACEMAKER SYSTEM,419.0,293.3,19.61,122.84,19
CPT,93280,PROGRAMMING OF DUAL LEAD PACEMAKER SYSTEM,557.0,389.9,22.31,122.84,19
CPT,93281,PROGRAMMING OF MULTIPLE LEAD PACEMAKER SYSTEM,262.0,183.4,23.32,909.0,22
CPT,93282,PROGRAMMING OF SINGLE LEAD IMPLANTABLE DEFIBRILLATOR SYSTEM,713.0,499.1,21.26,122.84,19
CPT,93283,PROGRAMMING OF DUAL LEAD IMPLANTABLE DEFIBRILLATOR SYSTEM,905.0,633.5,23.32,122.84,19
CPT,93284,PROGRAMMING OF MULTIPLE LEAD IMPLANTABLE DEFIBRILLATOR SYSTEM,262.0,183.4,23.83,909.0,22
CPT,93285,PRGRMG DEV EVAL SCRMS IP,983.0,688.1,18.79,909.0,12
CPT,93285,PROGRAMMING OF CARDIAC RHYTHM MONITOR SYSTEM,249.0,174.3,18.79,909.0,12
CPT,93286,PERI-PX EVAL PM/LDLS PM IP,112.0,78.4,13.79,909.0,12
CPT,93287,PERI-PX DEVICE EVAL & PRGR,139.0,97.3,15.51,909.0,12
CPT,93288,EVALUATION OF SINGLE; DUAL; MULTIPLE LEAD OR LEADLESS PACEMAKER SYSTEM,204.0,142.8,18.53,122.84,12
CPT,93289,EVALUATION OF SINGLE; DUAL; OR MULTIPLE LEAD IMPLANTABLE DEFIBRILLATOR SYSTEM,318.0,222.6,19.61,1419.0,12
CPT,93289,INTERROG DEVICE EVAL HEART,260.0,182.0,19.61,122.84,12
CPT,93290,INTERROG DEV EVAL ICPMS IP,106.0,74.2,10.22,122.84,12
CPT,93291,EVALUATION OF CARDIAC RHYTHM MONITOR SYSTEM,48.0,33.6,16.52,95.2,12
CPT,93292,WCD DEVICE INTERROGATE,106.0,74.2,12.74,122.84,12
CPT,93293,PM PHONE R-STRIP DEVICE EVAL,106.0,74.2,43.87,122.84,12
CPT,93294,REM INTERROG EVL PM/LDLS PM,102.0,71.4,29.97,83.92,12
CPT,93295,DEV INTERROG REMOTE 1/2/MLT,209.0,146.3,36.79,103.01,12
CPT,93296,REM INTERROG EVL PM/IDS,108.0,75.6,30.75,122.84,12
CPT,93297,REM INTERROG DEV EVAL ICPMS,79.0,55.3,22.75,122.84,12
CPT,93298,REM INTERROG DEV EVAL SCRMS,93.0,65.1,26.71,122.84,12
CPT,93299,INTERROG EVAL ICPMS/SCRMS,144.0,100.8,,,0
CPT,93303,ULTRASOUND OF HEART FOR CONGENITAL DEFECT,2759.0,1931.3,134.3,1798.55,19
CPT,93304,ECHO TRANSTHORACIC,2095.0,1466.5,67.74,1798.55,12
CPT,93304,ULTRASOUND OF HEART FOR CONGENITAL DEFECT; FOLLOW-UP,2095.0,1466.5,642.34,1798.55,7
CPT,93306,ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION,1242.0,869.4,158.86,3113.0,47
CPT,93307,TTE W/O DOPPLER COMPLETE,1068.0,747.6,113.67,785.37,12
CPT,93308,ULTRASOUND OF HEART; FOLLOW-UP,1119.0,783.3,67.74,785.37,40
CPT,93312,ULTRASOUND OF HEART WITH PROBE IN ESOPHAGUS; WITH REPORT,2163.0,1514.1,132.99,4723.0,33
CPT,93315,ECHO TRANSESOPHAGEAL,2665.0,1865.5,132.99,1798.55,11
CPT,93319,3D ECHO IMG CGEN CAR ANOMAL,1604.0,1122.8,20.56,67.18,11
CPT,93320,ULTRASOUND OF HEART BLOOD FLOW; VALVES AND CHAMBERS,461.0,322.7,17.87,89.59,19
CPT,93321,ULTRASOUND OF HEART BLOOD FLOW; VALVES AND CHAMBERS; FOLLOW-UP,509.0,356.3,7.48,50.07,19
CPT,93325,ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE AND VALVE FUNCTION,700.5,490.34999999999997,3.48,56.21,58
CPT,93350,ULTRASOUND OF HEART DURING REST; EXERCISE AND/OR DRUG-INDUCED STRESS WITH REPORT,2325.0,1627.5,61.85,1798.55,33
CPT,93351,STRESS TTE COMPLETE,1977.0,1383.9,173.52,1798.55,12
CPT,93355,ECHO TRANSESOPHAGEAL (TEE),4901.0,3430.7,191.26,535.53,12
CPT,93355,ULTRASOUND OF HEART WITH PROBE IN ESOPHAGUS DURING SURGERY ON HEART OR GREAT BLOOD VESSELS WITH REPORT,4901.005,3430.705,191.26,535.53,19
CPT,93356,HEART MUSCLE STRAIN IMAGING,324.0,226.8,9.97,44.76,32
CPT,93451,INSERTION OF TUBE IN RIGHT HEART CHAMBERS FOR MEASUREMENT,7420.0,5194.0,139.9,22910.0,15
CPT,93452,LEFT HRT CATH W/VENTRCLGRPHY,6896.0,4827.2,244.81,22910.0,15
CPT,93453,INSERTION OF TUBE IN RIGHT AND LEFT HEART CHAMBERS FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST,12934.0,9053.8,321.26,22910.0,15
CPT,93454,INSERTION OF TUBE IN CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST,12903.0,9032.1,247.08,22910.0,41
CPT,93455,CORONARY ART/GRFT ANGIO S&I,14766.0,10336.2,285.01,22910.0,15
CPT,93455,INSERTION OF TUBE IN BYPASS GRAFT FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST,17959.0,12571.3,285.01,22910.0,15
CPT,93456,INSERTION OF TUBE IN RIGHT HEART CHAMBERS AND CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST,17955.0,12568.5,316.61,22910.0,15
CPT,93456,R HRT CORONARY ARTERY ANGIO,17517.0,12261.9,316.61,22910.0,15
CPT,93457,R HRT ART/GRFT ANGIO,16114.0,11279.8,354.48,22910.0,15
CPT,93458,INSERTION OF TUBE IN LEFT LOWER HEART CHAMBER AND CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST,9115.0,6380.5,301.21,22910.0,41
CPT,93458,L HRT ARTERY/VENTRICLE ANGIO,13386.0,9370.2,301.21,22910.0,15
CPT,93459,INSERTION OF TUBE IN LEFT LOWER HEART CHAMBER; CORONARY ARTERY AND BYPASS GRAFT FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST,15333.0,10733.1,339.36,22910.0,41
CPT,93460,INSERTION OF TUBE IN RIGHT AND LEFT HEART CHAMBERS AND CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST,16065.0,11245.5,378.12,22910.0,41
CPT,93461,INSERTION OF TUBE IN RIGHT AND LEFT HEART CHAMBERS; CORONARY ARTERY; AND BYPASS GRAFT FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST,18957.0,13269.9,416.96,22910.0,15
CPT,93462,INSERTION OF TUBE IN LEFT HEART CHAMBER THROUGH HEART SEPTUM,7043.0,4930.1,168.59,22910.0,24
CPT,93463,DRUG INFUSION DURING CARDIAC CATHETERIZATION,3809.0,2666.3,82.65,16115.0,13
CPT,93464,DRUG INFUSION OR EXERCISE FOR HEART STIMULATION DURING DIAGNOSTIC STUDY,4011.0,2807.7,89.65,16115.0,13
CPT,93503,INSERT/PLACE HEART CATHETER,3103.0,2172.1,109.66,16115.0,14
CPT,93505,BIOPSY OF HEART MUSCLE,8015.0,5610.5,68.92,11815.0,26
CPT,93530,RT HEART CATH CONGENITAL,5088.0,3561.6,7138.0,14814.0,5
CPT,93531,R & L HEART CATH CONGENITAL,5518.0,3862.6,7138.0,22910.0,6
CPT,93532,R & L HEART CATH CONGENITAL,4905.0,3433.5,14814.0,22910.0,4
CPT,93533,R & L HEART CATH CONGENITAL,4905.0,3433.5,7138.0,22910.0,6
CPT,93563,NJX CGEN CAR CTH SLCTV C ANG,5380.0,3766.0,43.04,996.0,12
CPT,93564,NJX CGEN CAR CATH SLCTV OPAC,2657.0,1859.9,45.06,996.0,12
CPT,93565,NJX CAR CTH SLCTV LV/LA ANG,2668.0,1867.6,22.1,996.0,12
CPT,93566,NJX CAR CTH SLCTV RV/RA ANG,2668.0,1867.6,21.71,996.0,12
CPT,93567,INJECTION FOR IMAGING OF AORTA ABOVE HEART VALVE WITH REVIEW BY RADIOLOGIST,1290.0,903.0,30.74,996.0,12
CPT,93568,NJX CAR CTH NSLC P-ART ANGRP,2254.0,1577.8,38.66,996.0,12
CPT,93571,IV DOP VEL&/PRESS C FLO 1ST,1268.0,887.6,90.81,996.0,11
CPT,93571,ULTRASOUND EVALUATION OF HEART BLOOD VESSEL DURING DIAGNOSIS OR TREATMENT; INITIAL VESSEL,1684.0,1178.8,90.81,996.0,64
CPT,93572,IV DOP VEL&/PRESS C FLO EA,416.0,291.2,72.11,996.0,11
CPT,93572,ULTRASOUND EVALUATION OF HEART BLOOD VESSEL DURING DIAGNOSIS OR TREATMENT; EACH ADDITIONAL VESSEL,624.0,436.79999999999995,72.11,996.0,48
CPT,93580,REPAIR OF CONGENITAL ABNORMALITY IN WALL BETWEEN UPPER HEART CHAMBERS WITH IMPLANT,37148.0,26003.6,887.73,60339.64,26
CPT,93581,TRANSCATH CLOSURE OF VSD,53215.0,37250.5,1189.27,60339.64,14
CPT,93582,PERQ TRANSCATH CLOSURE PDA,31535.0,22074.5,596.08,60339.64,14
CPT,93583,PERQ TRANSCATH SEPTAL REDUXN,2324.0,1626.8,607.77,1701.76,12
CPT,93590,PERQ TRANSCATH CLS MITRAL,9445.0,6611.5,1054.01,60339.64,13
CPT,93591,PERQ TRANSCATH CLS AORTIC,8153.0,5707.1,875.01,60339.64,13
CPT,93591,REPAIR OF LEAK ADJACENT TO AORTIC VALVE; FIRST CLOSURE DEVICE,7765.01,5435.51,1887.0,60339.64,9
CPT,93592,PERQ TRANSCATH CLOSURE EACH,4499.0,3149.3,326.04,996.0,12
CPT,93593,R HRT CATH CHD NML NT CNJ,10893.0,7625.1,268.85,10671.0,11
CPT,93594,R HRT CATH CHD ABNL NT CNJ,10893.0,7625.1,423.35,10671.0,11
CPT,93595,L HRT CATH CHD NM/ABN NT CNJ,10863.0,7604.1,381.97,10671.0,11
CPT,93596,R&L HRT CATH CHD NML NT CNJ,12010.0,8407.0,1700.0,14180.0,12
CPT,93597,R&L HRT CATH CHD ABNL NT CNJ,13248.0,9273.6,616.47,10671.0,11
CPT,93598,CAR OUTP MEAS DRG CATH CHD,6843.0,4790.1,67.67,996.0,10
CPT,93600,BUNDLE OF HIS RECORDING,22915.0,16040.5,68.07,25673.03,13
CPT,93602,INTRA-ATRIAL RECORDING,21482.0,15037.4,38.91,25673.03,12
CPT,93610,INTRA-ATRIAL PACING,10831.0,7581.7,47.3,25673.03,12
CPT,93612,INTRAVENTRICULAR PACING,10347.0,7242.9,56.41,25673.03,12
CPT,93613,INSERTION OF TUBE FOR 3D MAPPING OF ELECTRICAL IMPULSES TO HEART MUSCLE,9588.0,6711.6,94.41,23625.0,13
CPT,93618,INDCTJ ARRHYTHMIA ELEC PACG,4770.0,3339.0,137.83,23625.0,13
CPT,93619,COMPREHENSIVE EP EVALUATION,13370.0,9359.0,267.94,25673.03,12
CPT,93620,INSERTION OF CATHETERS FOR RECORDING AND PACING OF RIGHT HEART CHAMBERS RHYTHM AND INDUCTION OF ABNORMAL RHYTHM,19547.0,13682.9,311.18,25673.03,22
CPT,93621,COMP EP EVL L PAC&REC C SINS,3220.0,2254.0,38.91,23625.0,11
CPT,93622,COMP EP EVAL L VENTR PAC&REC,3220.0,2254.0,59.73,23625.0,11
CPT,93623,PROGRAMMING OF HEART RHYTHM STIMULATION AFTER DRUG INFUSION,2976.0,2083.2,46.41,23625.0,11
CPT,93624,EP F-UP STUDY PACG&REC,13996.0,9797.2,69.05,25673.03,12
CPT,93640,EP EVAL 1/2CHMBR PACG CVDFB,1072.0,750.4,169.85,23625.0,12
CPT,93641,EP EVL 1/2CHMB PAC CVDFB TST,3394.0,2375.8,249.2,7576.0,12
CPT,93641,EVALUATION OF SINGLE OR DUAL CHAMBER PACING CARDIOVERTER-DEFIBRILLATOR AND GENERATOR AT TIME OF IMPLANTATION OR REPLACEMENT,3232.0,2262.4,249.2,7576.0,12
CPT,93642,PROGRAMMING OF PACING CARDIOVERTER-DEFIBRILLATOR,8523.0,5966.1,96.98,23625.0,13
CPT,93650,DESTRUCTION OF HEART CONDUCTION TISSUE TO CREATE HEART BLOCK,15711.0,10997.7,577.77,25673.03,26
CPT,93653,COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY OF UPPER CHAMBER OF HEART CAUSING SUPRAVENTRICULAR TACHYCARDIA (RAPID HEART RATE),35553.0,24887.1,862.02,86034.26,14
CPT,93654,COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY OF LOWER CHAMBER OF HEART CAUSING VENTRICULAR TACHYCARDIA (RAPID HEART RATE) OR VENTRICULAR ECTOPY (IRREGULAR HEART,45397.0,31777.9,944.33,86034.26,26
CPT,93655,INSERTION OF CATHETERS AND DESTRUCTION OF TISSUE TO TREAT ABNORMAL HEART RHYTHM,26667.0,18666.9,248.4,23625.0,22
CPT,93656,COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY CAUSING ATRIAL FIBRILLATION (UNCOORDINATED CONTRACTION OF UPPER CHAMBERS OF HEART) BY PULMONARY VEIN ISOLATION,35553.0,24887.1,944.58,86034.26,26
CPT,93657,DESTRUCTION OF TISSUE OF UPPER HEART CHAMBER THROUGH TUBE TO TREAT ABNORMAL HEART RHYTHM,7613.0,5329.1,248.4,23625.0,22
CPT,93660,TILT TABLE EVALUATION,3281.0,2296.7,52.78,4723.0,13
CPT,93662,INTRACARDIAC ECG (ICE),925.0,647.5,70.9,23625.0,11
CPT,93662,ULTRASOUND EVALUATION OF HEART BLOOD VESSEL WITH REVIEW BY RADIOLOGIST,1212.0,848.4,70.9,23625.0,19
CPT,93724,ELEC ALYS ANTITCHYCAR PM SYS,817.0,571.9,33.64,1010.97,12
CPT,93750,EVALUATION OF LOWER HEART CHAMBER ASSIST DEVICE,319.0,223.3,46.97,312.93,12
CPT,93786,AMBL BP MNTR W/SW REC ONLY,259.0,181.3,33.74,437.95,13
CPT,93788,AMBL BP MNTR W/SW A/R,308.0,215.6,6.0,437.95,13
CPT,93797,PHYS/QHP OP CAR RHAB WO ECG,298.0,208.6,9.18,424.28,12
CPT,93798,OUTPATIENT HEART REHABILITATION WITH ELECTROCARDIOGRAM (ECG) MONITORING; QUALITY HEALTH CARE PROFESSIONAL SERVICES,244.0,170.8,14.66,424.28,19
CPT,93799,UNLISTED CV SVC/PROCEDURE,1800.0,1260.0,151.27,996.0,38
CPT,93880,ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW,1015.0,710.5,135.54,785.37,12
CPT,93882,EXTRACRANIAL UNI/LTD STUDY,1228.0,859.6,106.44,344.09,12
CPT,93886,COMPLETE ULTRASOUND OF WITHIN THE BRAIN BLOOD FLOW,903.0,632.1,135.95,785.37,12
CPT,93888,INTRACRANIAL LIMITED STUDY,321.0,224.7,111.78,344.09,12
CPT,93893,TCD STD ICR ART VEN-ART SHNT,375.0,262.5,122.89,344.09,12
CPT,93922,ULTRASOUND STUDY OF ARM AND LEG ARTERIES,486.0,340.2,31.28,437.95,61
CPT,93922,UPR/L XTREMITY ART 2 LEVELS,382.0,267.4,81.54,437.95,12
CPT,93923,COMPLETE ULTRASOUND STUDY OF ARM AND LEG ARTERIES,614.0,429.8,101.53,710.72,47
CPT,93923,UPR/LXTR ART STDY 3+ LVLS,629.0,440.3,122.12,710.72,12
CPT,93925,ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS,1070.0,749.0,206.69,785.37,12
CPT,93926,ULTRASOUND OF ONE LEG ARTERIES OR ARTERY GRAFTS,855.0,598.5,122.89,344.09,12
CPT,93930,ULTRASOUND OF ARM ARTERIES OR ARTERY GRAFTS,1302.0,911.4,23.83,909.0,12
CPT,93931,ULTRASOUND OF ONE ARM ARTERIES OR ARTERY GRAFTS,877.0,613.9,23.83,909.0,22
CPT,93970,ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS,1002.0,701.4,160.42,785.37,35
CPT,93971,ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS,1156.5,809.5500000000001,109.94,344.09,78
CPT,93975,COMPLETE ULTRASOUND OF ABDOMEN AND PELVIS ARTERY AND VEIN BLOOD FLOW,1189.0,832.3,222.0,785.37,37
CPT,93976,ULTRASOUND OF ABDOMEN AND PELVIS ARTERY AND VEIN BLOOD FLOW,906.0,634.2,23.83,909.0,46
CPT,93978,VASCULAR STUDY,1103.0,772.1,135.76,785.37,12
CPT,93979,VASCULAR STUDY,536.0,375.2,97.82,344.09,12
CPT,93981,PENILE VASCULAR STUDY,315.0,220.5,23.83,909.0,12
CPT,93985,DUP-SCAN HEMO COMPL BI STD,1002.0,701.4,263.01,785.37,11
CPT,93986,DUP-SCAN HEMO COMPL UNI STD,484.0,338.8,122.89,344.09,11
CPT,93990,ULTRASOUND OF HEMODIALYSIS ACCESS,759.0,531.3,122.89,344.09,12
CPT,93998,UNLISTD NONINVAS VASC DX STD,287.0,200.9,34.0,95.2,7
CPT,94002,INITIAL HOSPITAL INPATIENT OR OBSERVATION VENTILATION ASSISTANCE AND MANAGEMENT,5319.0,3723.3,4754.0,5269.0,12
CPT,94003,FOLLOW-UP INPATIENT OR OBSERVATION VENTILATION ASSISTANCE AND MANAGEMENT,4567.0,3196.9,4754.0,5269.0,4
CPT,94010,TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME,422.0,295.4,19.13,710.72,26
CPT,94011,SPIROMETRY UP TO 2 YRS OLD,422.0,295.4,85.59,423.56,12
CPT,94012,SPIRMTRY W/BRNCHDIL INF-2 YR,800.0,560.0,131.58,710.72,12
CPT,94060,TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION,517.0,361.9,32.76,1228.28,26
CPT,94070,EVALUATION OF WHEEZING,1086.0,760.2,36.94,1228.28,12
CPT,94150,TEST TO MEASURE THE TOTAL VOLUME OF AIR THAT CAN BE EXHALED AFTER INHALING,265.0,185.5,3.05,423.56,25
CPT,94200,LUNG FUNCTION TEST (MBC/MVV),293.0,205.1,12.81,194.18,12
CPT,94250,SGL QUAN EXPIRED GAS,180.0,126.0,26.21,26.21,1
CPT,94375,RESPIRATORY FLOW VOLUME LOOP,784.0,548.8,16.07,710.72,12
CPT,94450,HYPOXIA RESPONSE CURVE,396.0,277.2,22.46,423.56,12
CPT,94452,HAST W/REPORT,377.0,263.9,30.25,437.95,12
CPT,94452,TEST TO MEASURE LUNG FUNCTION AT HIGH ALTITUDE,359.0,251.3,30.25,437.95,12
CPT,94453,HAST W/OXYGEN TITRATE,341.0,238.7,44.95,437.95,12
CPT,94617,TEST FOR EXERCISE-INDUCED SPASM OF LUNG AIRWAYS,341.0,238.7,61.98,437.95,12
CPT,94618,TEST FOR EXERCISE-INDUCED LUNG STRESS,540.0,378.0,11.23,437.95,12
CPT,94619,EXERCISE TST BRNCSPSM WO ECG,168.0,117.6,49.62,194.18,11
CPT,94621,CARDIOPULM EXERCISE TESTING,1023.0,716.1,55.57,1228.28,12
CPT,94621,TEST FOR EXERCISE-INDUCED HEART AND LUNG STRESS,974.0,681.8,55.57,1228.28,12
CPT,94640,INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION,453.0,317.1,4754.0,5269.0,4
CPT,94642,AEROSOL INHALATION TREATMENT,686.0,480.2,4754.0,5269.0,4
CPT,94644,CBT 1ST HOUR,323.0,226.1,4754.0,5269.0,4
CPT,94660,THERAPY PROCEDURE USING A POSITIVE PRESSURE VENTILATOR,717.0,501.9,4754.0,5269.0,8
CPT,94664,EVALUATION OF USE OF BREATHING DEVICE,591.0,413.7,4754.0,5269.0,12
CPT,94667,INITIAL THERAPY SERVICE TO FACILITATE LUNG FUNCTION,650.0,455.0,4754.0,5269.0,12
CPT,94668,FOLLOW-UP THERAPY SERVICE TO FACILITATE LUNG FUNCTION,850.5,595.3499999999999,4754.0,5269.0,12
CPT,94680,EXHALED AIR ANALYSIS O2,419.0,293.3,53.44,423.56,12
CPT,94681,O2 UPTK EXP GAS ALYS W/CO2,709.0,496.3,54.68,1228.28,12
CPT,94690,O2 UPTK EXP GAS ALYS REST,703.0,492.1,60.45,194.18,12
CPT,94726,TEST TO DETERMINE LUNG VOLUMES USING SENSORS,565.0,395.5,41.03,1228.28,40
CPT,94727,TEST TO DETERMINE LUNG VOLUMES USING GAS DILUTION OR WASHOUT,319.0,223.3,29.66,710.72,47
CPT,94728,AIRWY RESIST BY OSCILLOMETRY,709.0,496.3,29.66,423.56,12
CPT,94729,TEST TO EXAMINE HOW WELL THE LUNGS EXCHANGE GASES,344.0,240.8,9.58,77.51,26
CPT,94750,PULMONARY COMPLIANCE,419.0,293.3,83.56,83.56,1
CPT,94760,MEASURE BLOOD OXYGEN LEVEL,144.0,100.8,3.11,5269.0,9
CPT,94760,TEST TO MEASURE OXYGEN LEVEL IN BLOOD USING EAR OR FINGER DEVICE,137.0,95.9,3.11,6.46,5
CPT,94761,MEASURE BLOOD OXYGEN LEVEL,190.0,133.0,5.17,12.75,5
CPT,94761,TEST TO MEASURE OXYGEN LEVEL IN BLOOD USING EAR OR FINGER DEVICE MULTIPLE TIMES,204.0,142.8,5.17,12.75,5
CPT,94762,TEST TO MEASURE OXYGEN LEVEL IN BLOOD USING EAR OR FINGER DEVICE CONTINUOUSLY OVERNIGHT,392.0,274.4,22.95,423.56,12
CPT,94770,CO EXPIRED GAS BY IR,622.0,435.4,7.69,7.69,1
CPT,94780,CARS/BD TST INFT-12MO 60 MIN,103.0,72.1,4754.0,5269.0,4
CPT,94781,CARS/BD TST INFT-12MO +30MIN,40.0,28.0,4754.0,5269.0,4
CPT,94799,OTHER SERVICE OR PROCEDURE ON LUNG,339.0,237.3,151.27,423.56,7
CPT,94799,UNLISTED PULMONARY SVC/PX,673.5,471.45,151.27,423.56,14
CPT,95004,PERQ TESTS W/ALRGNC XTRCS,2637.0,1845.9,3.54,2826.6,13
CPT,95012,TEST TO MEASURE THE LEVEL OF NITRIC OXIDE GAS,99.0,69.3,17.56,122.92,22
CPT,95044,PATCH/APPLICATION TESTS,1206.0,844.2,6.2,2826.6,13
CPT,95070,TEST FOR ALLERGY USING DRUGS,1321.0,924.7,35.92,1228.28,12
CPT,95250,CONT GLUC MNTR PHYS/QHP EQP,449.0,314.3,23.83,909.0,12
CPT,95700,MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); CONTINUOUS,1262.0,883.4,253.83,710.72,16
CPT,95705,EEG W/O VID 2-12 HR UNMNTR,1326.0,928.2,253.83,710.72,7
CPT,95706,EEG WO VID 2-12HR INTMT MNTR,1262.0,883.4,253.83,710.72,7
CPT,95707,EEG W/O VID 2-12HR CONT MNTR,1326.0,928.2,253.83,710.72,7
CPT,95708,EEG WO VID EA 12-26HR UNMNTR,3094.0,2165.8,438.67,1228.28,7
CPT,95708,MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); 12-26 HOURS,2947.0,2062.9,438.67,1228.28,14
CPT,95709,EEG W/O VID EA 12-26HR INTMT,2422.0,1695.4,438.67,1228.28,7
CPT,95710,MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); 12-26 HOURS WITH CONTINUOUS MONITORING,2544.0,1780.8,438.67,1228.28,7
CPT,95711,MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO (VEEG); 2-12 HOURS,1536.0,1075.2,253.83,710.72,7
CPT,95712,VEEG 2-12 HR INTMT MNTR,1262.0,883.4,438.67,1228.28,7
CPT,95713,MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO (VEEG); 2-12 HOURS WITH CONTINUOUS MONITORING,2947.0,2062.9,438.67,1228.28,7
CPT,95713,VEEG 2-12 HR CONT MNTR,3094.0,2165.8,438.67,1228.28,9
CPT,95714,MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO (VEEG); 12-26 HOURS,2422.0,1695.4,280.56,1228.28,18
CPT,95715,VEEG EA 12-26HR INTMT MNTR,2544.0,1780.8,438.67,1233.07,11
CPT,95716,VEEG EA 12-26HR CONT MNTR,5512.0,3858.4,1009.5,2826.6,11
CPT,95782,SLEEP STUDY IN SLEEP LAB (YOUNGER THAN 6 YEARS),4234.0,2963.8,920.87,2826.6,12
CPT,95783,POLYSOM <6 YRS CPAP/BILVL,5289.0,3702.3,970.64,2826.6,12
CPT,95800,SLEEP STUDY INCLUDING HEART RATE; BREATHING; AND SLEEP TIME,566.0,396.2,23.83,909.0,44
CPT,95805,MULTIPLE SLEEP LATENCY TEST,3829.0,2680.3,434.32,2826.6,12
CPT,95805,SLEEP STUDY; MULTIPLE TRIALS,3647.0,2552.9,434.32,2826.6,12
CPT,95806,SLEEP STUDY UNATT&RESP EFFT,2860.0,2002.0,121.44,710.72,12
CPT,95807,SLEEP STUDY ATTENDED,2619.0,1833.3,416.22,1228.28,12
CPT,95810,POLYSOM 6/> YRS 4/> PARAM,3909.0,2736.3,587.63,2826.6,12
CPT,95810,SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER),3723.0,2606.1,504.74,2826.6,28
CPT,95811,SLEEP STUDY IN SLEEP LAB WITH CONTINUOUS AIRWAY PRESSURE (6 YEARS OR OLDER),5289.0,3702.3,504.74,2826.6,28
CPT,95812,EEG 41-60 MINUTES,800.0,560.0,181.45,710.72,12
CPT,95813,EEG EXTND MNTR 61-119 MIN,2163.0,1514.1,195.52,710.72,12
CPT,95813,MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); 61-119 MINUTES,2060.0,1442.0,195.52,710.72,12
CPT,95816,MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); AWAKE AND DROWSY,1195.0,836.5,101.53,710.72,26
CPT,95819,EEG AWAKE AND ASLEEP,1847.0,1292.9,174.2,710.72,12
CPT,95819,MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); AWAKE AND ASLEEP,2247.0,1572.9,101.53,710.72,19
CPT,95822,EEG COMA OR SLEEP ONLY,1092.0,764.4,169.7,710.72,12
CPT,95824,EEG CEREBRAL DEATH ONLY,2252.0,1576.4,14.68,1228.28,11
CPT,95829,SURGERY ELECTROCORTICOGRAM,4680.0,3276.0,349.73,2326.52,12
CPT,95836,ECOG IMPLTD BRN NPGT <30 D,136.0,95.2,43.87,153.4,11
CPT,95851,RANGE OF MOTION MEASUREMENTS,52.0,36.4,8.05,80.36,12
CPT,95860,NEEDLE EMG 1 EXTREMITY,394.0,275.8,40.91,437.95,12
CPT,95861,NEEDLE EMG 2 EXTREMITIES,394.0,275.8,26.53,437.95,12
CPT,95863,NEEDLE EMG 3 EXTREMITIES,499.0,349.3,34.81,423.56,12
CPT,95864,NEEDLE EMG 4 EXTREMITIES,499.0,349.3,62.23,423.56,12
CPT,95872,NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN MUSCLE; INCLUDING JITTER; BLOCKING AND/OR FIBER DENSITY,499.0,349.3,22.41,710.72,19
CPT,95873,GUIDE NERV DESTR ELEC STIM,48.0,33.6,7.43,67.19,12
CPT,95874,GUIDE NERV DESTR NEEDLE EMG,183.0,128.1,7.43,64.36,12
CPT,95874,NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN MUSCLE WITH INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLE,174.0,121.8,7.43,64.36,19
CPT,95885,NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN ARM OR LEG MUSCLES; LIMITED STUDY,192.0,134.39999999999998,19.15,65.2,40
CPT,95886,MUSC TEST DONE W/N TEST COMP,149.0,104.3,39.81,132.3,12
CPT,95886,NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN ARM OR LEG MUSCLES; COMPLETE STUDY,223.5,156.45,39.81,132.3,26
CPT,95887,MUSC TST DONE W/N TST NONEXT,116.0,81.2,38.44,107.63,12
CPT,95887,NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN TRUNK OR HEAD MUSCLES,110.0,77.0,38.44,107.63,12
CPT,95905,MOTOR &/ SENS NRVE CNDJ TEST,473.0,331.1,73.21,1470.42,12
CPT,95907,NERVE CONDUCTION; 1-2 STUDIES,267.0,186.9,41.02,710.72,12
CPT,95908,NERVE CONDUCTION; 3-4 STUDIES,623.0,436.1,49.55,710.72,19
CPT,95909,NERVE CONDUCTION; 5-6 STUDIES,736.0,515.2,59.46,710.72,19
CPT,95910,NERVE CONDUCTION; 7-8 STUDIES,736.0,515.2,76.76,1228.28,19
CPT,95911,NERVE CONDUCTION; 9-10 STUDIES,1411.0,987.7,88.96,1228.28,26
CPT,95912,NERVE CONDUCTION; 11-12 STUDIES,1411.0,987.7,100.69,1228.28,19
CPT,95913,NERVE CONDUCTION; 13 OR MORE STUDIES,1411.0,987.7,112.58,1228.28,19
CPT,95925,PLACEMENT OF SKIN ELECTRODES AND MEASUREMENT OF STIMULATED SITES IN ARMS,1059.0,741.3,31.77,710.72,12
CPT,95926,PLACEMENT OF SKIN ELECTRODES AND MEASUREMENT OF STIMULATED SITES IN LEGS,1059.0,741.3,31.77,710.72,12
CPT,95927,SOMATOSENSORY TESTING,800.0,560.0,31.77,710.72,12
CPT,95928,C MOTOR EVOKED UPPR LIMBS,2779.0,1945.3,87.3,2826.6,12
CPT,95930,MEASUREMENT OF NERVE CONDUCTION USING VISUAL STIMULATION TESTING WITH REPORT,650.0,455.0,49.85,710.72,12
CPT,95930,VISUAL EP TEST CNS W/I&R,800.0,560.0,49.85,710.72,12
CPT,95933,MEASUREMENT OF NERVE CONDUCTION PATTERNS OF EYE BLINK REFLEX,160.0,112.0,28.48,194.18,12
CPT,95937,TESTING OF NERVE-MUSCLE JUNCTION,402.0,281.4,12.64,423.56,12
CPT,95938,SOMATOSENSORY TESTING,1417.0,991.9,250.35,2826.6,12
CPT,95939,C MOTOR EVOKED UPR&LWR LIMBS,2779.0,1945.3,345.66,2826.6,12
CPT,95940,CONTINUOUS MONITORING OF NERVOUS SYSTEM DURING OPERATION; EACH 15 MINUTES,1.0,0.7,26.2,75.82,11
CPT,95951,CEREBR SEIZURE 16/> CH; EA 24 HRS,3916.0,2741.2,,,0
CPT,95953,CEREBR SEIZURE PORT 16 CH; EA 24 HRS,3601.0,2520.7,313.79,313.79,1
CPT,95958,MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG) IN SPECIFIC AREA OF BRAIN,3707.0,2594.9,80.93,2826.6,12
CPT,95970,ALYS NPGT W/O PRGRMG,308.0,215.6,23.83,909.0,12
CPT,95971,ALYS SMPL SP/PN NPGT W/PRGRM,340.0,238.0,23.83,909.0,12
CPT,95972,ALYS CPLX SP/PN NPGT W/PRGRM,340.0,238.0,23.83,909.0,12
CPT,95976,ALYS SMPL CN NPGT PRGRMG,108.0,75.6,23.83,909.0,11
CPT,95977,ALYS CPLX CN NPGT PRGRMG,340.0,238.0,23.83,909.0,11
CPT,95983,ALYS BRN NPGT PRGRMG 15 MIN,122.0,85.4,23.83,909.0,11
CPT,95984,ALYS BRN NPGT PRGRMG ADDL 15,108.0,75.6,23.83,909.0,11
CPT,95991,SPIN/BRAIN PUMP REFIL & MAIN,428.0,299.6,41.45,1010.35,12
CPT,95992,CANALITH REPOSITIONING PROC,126.0,88.2,39.46,119.34,12
CPT,95992,REPOSITIONING EXERCISES OF HEAD FOR TREATMENT OF DIZZINESS; EACH DAY,196.0,137.2,39.46,119.34,19
CPT,96040,COUNSELING FOR GENETIC TESTING,180.0,126.0,39.1,99.0,7
CPT,96040,GENETIC COUNSELING 30 MIN,189.0,132.3,39.1,95.0,5
CPT,96041,GENETIC COUNSELING SVC EA 30,180.0,126.0,95.0,95.0,1
CPT,96105,ASSESSMENT OF APHASIA,304.0,212.8,92.94,284.42,12
CPT,96125,TEST TO ASSESS THE ABILITY TO COMPLETE SPECIFIC FUNCTIONAL TASKS APPLICABLE TO ENVIRONMENT,279.0,195.3,90.46,303.66,24
CPT,96127,BRIEF EMOTIONAL/BEHAV ASSMT,103.0,72.1,6.0,909.0,12
CPT,96130,PSYCL TST EVAL PHYS/QHP 1ST,923.0,646.1,23.83,909.0,12
CPT,96131,PSYCL TST EVAL PHYS/QHP EA,182.0,127.4,23.83,909.0,12
CPT,96136,PSYCL/NRPSYC TST PHY/QHP 1ST,382.0,267.4,23.83,909.0,12
CPT,96152,INTERVENE HLTH/BEHAVE EA 15 MINS INDIV,97.0,67.9,19.91,19.91,1
CPT,96156,HLTH BHV ASSMT/REASSESSMENT,329.0,230.3,23.83,909.0,12
CPT,96158,HLTH BHV IVNTJ INDIV 1ST 30,571.0,399.7,23.83,909.0,12
CPT,96159,HLTH BHV IVNTJ INDIV EA ADDL,49.0,34.3,20.56,909.0,12
CPT,96160,ADMINISTRATION AND INTERPRETATION OF PATIENT-FOCUSED HEALTH RISK ASSESSMENT,69.0,48.3,4.54,1419.0,44
CPT,96160,PT-FOCUSED HLTH RISK ASSMT,78.0,54.6,4.54,1419.0,12
CPT,96161,ADMINISTRATION AND INTERPRETATION OF CAREGIVER-FOCUSED HEALTH RISK ASSESSMENT,34.505,24.154999999999998,4.54,1419.0,34
CPT,96161,CAREGIVER HEALTH RISK ASSMT,78.0,54.6,4.54,1419.0,12
CPT,96360,INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES,660.0,462.0,53.19,1419.0,71
CPT,96361,INFUSION INTO A VEIN FOR HYDRATION; EACH ADDITIONAL HOUR,3192.0,2234.4,15.43,1419.0,69
CPT,96365,INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS,990.0,693.0,71.73,1419.0,63
CPT,96366,INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; EACH ADDITIONAL HOUR,1692.0,1184.4,20.77,154.14,38
CPT,96366,THER/PROPH/DIAG IV INF ADDON,423.0,296.1,23.89,1419.0,12
CPT,96367,INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; ADDITIONAL SEQUENTIAL INFUSION; 1 HOUR OR LESS,267.0,186.9,33.85,1419.0,50
CPT,96368,INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS CONCURRENT WITH ANOTHER INFUSION,375.0,262.5,19.38,1419.0,8
CPT,96372,INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE,499.5,349.65,13.5,1419.0,114
CPT,96373,THER/PROPH/DIAG INJ IA,587.0,410.9,17.43,1419.0,12
CPT,96374,INJECTION OF DRUG OR SUBSTANCE INTO VEIN,903.0,632.0999999999999,52.72,1419.0,80
CPT,96375,INJECTION OF ADDITIONAL NEW DRUG OR SUBSTANCE INTO VEIN,1002.5,701.75,20.33,1419.0,97
CPT,96376,INJECTION OF ADDITIONAL DRUG OR SUBSTANCE INTO VEIN PROVIDED IN A FACILITY,601.5,421.04999999999995,21.46,1419.0,9
CPT,96377,APPLICATION OF ON-BODY INJECTOR FOR UNDER SKIN INJECTION,231.0,161.7,13.5,154.14,26
CPT,96381,ADMN RSV MONOC ANTB IM NJX,99.0,69.3,25.07,74.93,9
CPT,96401,ADMINISTRATION OF NON-HORMONAL ANTI-NEOPLASTIC CHEMOTHERAPY UNDER SKIN OR INTO MUSCLE,502.0,351.4,33.85,236.99,47
CPT,96402,ADMINISTRATION OF HORMONAL ANTI-NEOPLASTIC CHEMOTHERAPY UNDER SKIN OR INTO MUSCLE,299.0,209.3,33.85,236.99,47
CPT,96405,ADMINISTRATION OF CHEMOTHERAPY INTO GROWTH; 1-7,5966.0,4176.2,76.96,236.99,11
CPT,96405,CHEMO INTRALESIONAL UP TO 7,206.0,144.2,31.78,236.99,12
CPT,96409,ADMINISTRATION OF CHEMOTHERAPY INTO VEIN USING PUSH TECHNIQUE,754.0,527.8,99.84,1087.21,21
CPT,96411,ADMINISTRATION OF ADDITIONAL NEW DRUG OR SUBSTANCE INTO VEIN USING PUSH TECHNIQUE,620.0,434.0,33.85,421.0,39
CPT,96413,ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS,1032.5,722.75,140.42,1087.21,48
CPT,96415,ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; EACH ADDITIONAL HOUR,942.0,659.4000000000001,33.85,421.0,39
CPT,96416,ADMINISTRATION OF PROLONGED CHEMOTHERAPY INTO VEIN,1700.0,1190.0,155.32,1087.21,48
CPT,96417,ADMINISTRATION OF ADDITIONAL NEW DRUG OR SUBSTANCE INTO VEIN; 1 HOUR OR LESS,251.0,175.7,33.85,236.99,33
CPT,96420,ADMINISTRATION OF CHEMOTHERAPY INTO ARTERY USING PUSH TECHNIQUE,518.0,362.6,97.85,1087.21,12
CPT,96422,CHEMO IA INFUSION UP TO 1 HR,983.0,688.1,157.24,1087.21,12
CPT,96423,CHEMO IA INFUSE EACH ADDL HR,137.0,95.9,55.05,421.0,12
CPT,96450,ADMINISTRATION OF CHEMOTHERAPY INTO FLUID-FILLED SPACE BETWEEN THE TISSUE THAT COVER THE BRAIN AND SPINAL CORD,1295.0,906.5,84.19,1087.21,12
CPT,96521,REFILL/MAINT PORTABLE PUMP,454.0,317.8,35.56,700.14,12
CPT,96522,REFILLING AND MAINTENANCE OF IMPLANTABLE PUMP OR RESERVOIR FOR DRUG DELIVERY,792.0,554.4,98.31,700.14,12
CPT,96523,IRRIGATION OF IMPLANTED VENOUS ACCESS DRUG DELIVERY DEVICE,223.0,156.1,22.83,194.18,47
CPT,96542,CHEMOTHERAPY INJECTION,776.0,543.2,44.25,1087.21,12
CPT,96549,UNLISTED CHEMOTHERAPY PX,160.0,112.0,55.05,154.14,7
CPT,97012,MECHANICAL TRACTION THERAPY,169.0,118.3,14.37,42.14,12
CPT,97014,APPLICATION OF ELECTRICAL STIMULATION,129.0,90.3,10.31,16.11,4
CPT,97016,VASOPNEUMATIC DEVICE THERAPY,83.0,58.1,12.66,35.45,12
CPT,97018,APPLICATION OF HOT WAX BATH,63.0,44.1,6.38,17.86,7
CPT,97018,PARAFFIN BATH THERAPY,58.0,40.6,6.38,17.86,12
CPT,97026,INFRARED THERAPY,32.0,22.4,5.0,19.96,12
CPT,97032,APPLICATION OF ELECTRICAL STIMULATION WITH THERAPIST PRESENT; EACH 15 MINUTES,181.0,126.7,14.32,43.06,19
CPT,97033,APP MDLTY 1+IONTPHRSIS EA 15,145.0,101.5,17.73,56.76,12
CPT,97034,APP MDLTY 1+CNTRST BTH EA 15,81.0,56.7,12.81,41.44,12
CPT,97035,APPLICATION OF ULTRASOUND; EACH 15 MINUTES,140.0,98.0,12.49,42.5,19
CPT,97039,UNLISTED MODALITY,383.0,268.1,11.05,14.12,4
CPT,97110,THERAPEUTIC EXERCISES,125.0,87.5,25.82,86.24,12
CPT,97110,THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES,250.0,175.0,25.82,86.24,122
CPT,97112,THERAPY PROCEDURE TO RE-EDUCATE BRAIN-TO-NERVE-TO-MUSCLE FUNCTION; EACH 15 MINUTES,375.0,262.5,30.1,97.27,94
CPT,97113,AQUATIC THERAPY/EXERCISES,187.0,130.9,33.06,111.36,12
CPT,97116,THERAPY PROCEDURE FOR WALKING TRAINING; EACH 15 MINUTES,187.5,131.25,25.82,86.24,47
CPT,97124,MASSAGE THERAPY,83.0,58.1,25.14,89.63,12
CPT,97129,THERAPY PROCEDURE FOR A RANGE OF MENTAL PROCESSES; INITIAL 15 MINUTES,107.0,74.9,21.77,64.32,25
CPT,97130,THER IVNTJ EA ADDL 15 MIN,102.0,71.4,20.78,60.84,11
CPT,97130,THERAPY PROCEDURE FOR A RANGE OF MENTAL PROCESSES; EACH ADDITIONAL 15 MINUTES,306.0,214.2,20.78,60.84,25
CPT,97140,MANUAL THERAPY 1/> REGIONS,227.0,158.9,23.66,82.24,12
CPT,97140,THERAPY PROCEDURE USING MANUAL TECHNIQUE; EACH 15 MINUTES,454.0,317.8,23.66,82.24,108
CPT,97150,GROUP THERAPEUTIC PROCEDURES,376.0,263.2,15.66,53.2,12
CPT,97161,EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES,250.0,175.0,75.48,291.31,33
CPT,97161,PT EVAL LOW COMPLEX 20 MIN,405.0,283.5,75.48,291.31,12
CPT,97162,EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES,501.0,350.7,75.48,291.31,26
CPT,97163,EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES,501.0,350.7,75.48,291.31,26
CPT,97164,PT RE-EVAL EST PLAN CARE,402.0,281.4,40.9,201.96,12
CPT,97164,RE-EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES,423.0,296.1,40.9,201.96,26
CPT,97165,EVALUATION FOR OCCUPATIONAL THERAPY; TYPICALLY 30 MINUTES,250.0,175.0,80.07,299.82,33
CPT,97166,EVALUATION FOR OCCUPATIONAL THERAPY; TYPICALLY 45 MINUTES,468.0,327.6,80.07,299.82,26
CPT,97167,EVALUATION FOR OCCUPATIONAL THERAPY; TYPICALLY 1 HOUR,468.0,327.6,80.07,299.82,19
CPT,97168,OT RE-EVAL EST PLAN CARE,336.0,235.2,47.94,205.16,12
CPT,97168,RE-EVALUATION FOR OCCUPATIONAL THERAPY; TYPICALLY 30 MINUTES,381.0,266.7,47.94,205.16,12
CPT,97530,THERAPY PROCEDURE USING FUNCTIONAL ACTIVITIES,187.5,131.25,33.3,105.5,124
CPT,97533,SENSORY INTEGRATION,124.0,86.8,27.4,186.84,12
CPT,97535,SELF CARE MNGMENT TRAINING,125.0,87.5,29.96,96.85,12
CPT,97535,TRAINING FOR SELF-CARE OR HOME MANAGEMENT; EACH 15 MINUTES,250.0,175.0,29.96,96.85,66
CPT,97537,COMMUNITY/WORK REINTEGRATION,170.0,119.0,27.63,95.42,12
CPT,97542,EVALUATION FOR WHEELCHAIR; EACH 15 MINUTES,279.0,195.29999999999998,27.95,92.23,19
CPT,97542,WHEELCHAIR MNGMENT TRAINING,186.0,130.2,27.95,92.23,12
CPT,97545,WORK HARDENING,621.0,434.7,81.57,149.51,3
CPT,97546,WORK HARDENING ADD-ON,314.0,219.8,40.81,74.81,3
CPT,97597,REMOVAL OF TISSUE FROM WOUND; 20.0 SQ CM OR LESS,6132.5,4292.75,25.01,3113.0,152
CPT,97598,DBRDMT OPN WND ADDL 20CM/<,627.0,438.9,11.76,186.0,6
CPT,97598,REMOVAL OF TISSUE FROM WOUND; EACH ADDITIONAL 20.0 SQ CM,1254.0,877.8,11.76,186.0,10
CPT,97602,REMOVAL OF TISSUE FROM WOUND GRADUALLY,653.0,457.1,186.0,660.41,16
CPT,97602,WOUND(S) CARE NON-SELECTIVE,637.5,446.25,186.0,663.66,15
CPT,97605,THERAPY PROCEDURE USING A SPECIAL BANDAGE AND VACUUM PUMP; SURFACE AREA 50.0 SQ CM OR LESS,421.5,295.04999999999995,23.72,1419.0,57
CPT,97606,NEG PRS WND THER DME>50 SQCM,804.0,562.8,29.49,1344.64,12
CPT,97606,THERAPY PROCEDURE USING A SPECIAL BANDAGE AND VACUUM PUMP; SURFACE AREA MORE THAN 50.0 SQ CM,794.0,555.8,29.49,1338.06,21
CPT,97607,THERAPY PROCEDURE USING A SPECIAL BANDAGE; VACUUM PUMP AND DISPOSABLE MEDICAL EQUIPMENT; SURFACE AREA 50.0 SQ CM OR LESS,1211.0,847.7,23.72,1338.06,20
CPT,97608,NEG PRS WND THER NDME>50SQCM,845.0,591.5,39.16,1338.06,12
CPT,97608,THERAPY PROCEDURE USING A SPECIAL BANDAGE; VACUUM PUMP AND DISPOSABLE MEDICAL EQUIPMENT; SURFACE AREA MORE THAN 50.0 SQ CM,805.0,563.5,39.16,1338.06,12
CPT,97610,LOW FREQUENCY NON-THERMAL US,380.0,266.0,17.59,663.66,8
CPT,97750,PHYSICAL PERFORMANCE TEST,117.0,81.9,23.08,101.11,12
CPT,97755,ASSISTIVE TECHNOLOGY ASSESS,150.0,105.0,27.46,111.69,12
CPT,97760,TRAINING IN THE USE OF ORTHOPEDIC DEVICE FOR ARM; LEG AND/OR TRUNK; EACH 15 MINUTES,176.0,123.2,23.57,139.8,19
CPT,97761,PROSTHETIC TRAING 1ST ENC,246.0,172.2,21.51,121.74,12
CPT,97763,FOLLOW-UP TRAINING IN THE USE OF ORTHOPEDIC DEVICE OR ARTIFICIAL ARM; LEG AND/OR TRUNK; EACH 15 MINUTES,544.0,380.8,46.28,152.82,47
CPT,99000,SPECIMEN HANDLING OFFICE-LAB,46.0,32.2,2.88,2.88,1
CPT,99001,SPECIMEN HANDLING PT-LAB,46.0,32.2,2.88,2.88,1
CPT,99091,COLLJ & INTERPJ DATA EA 30 D,110.0,77.0,47.59,133.25,12
CPT,99151,USE OF A DRUG TO INDUCE DEPRESSION OF CONSCIOUSNESS BY PHYSICIAN PERFORMING A PROCEDURE (YOUNGER THAN 5 YEARS); INITIAL 15 MINUTES,3110.0,2177.0,25.31,62.15,5
CPT,99152,USE OF A DRUG TO INDUCE DEPRESSION OF CONSCIOUSNESS BY PHYSICIAN PERFORMING A PROCEDURE (5 YEARS OR OLDER); INITIAL 15 MINUTES,2640.0,1848.0,12.97,62.15,5
CPT,99153,MOD SED SAME PHYS/QHP EA,1414.0,989.8,12.6,19.9,5
CPT,99153,USE OF A DRUG TO INDUCE DEPRESSION OF CONSCIOUSNESS BY PHYSICIAN PERFORMING A PROCEDURE; EACH ADDITIONAL 15 MINUTES,2387.0,1670.9,12.6,19.9,10
CPT,99155,MOD SED OTH PHYS/QHP <5 YRS,2448.0,1713.6,46.7,100.44,5
CPT,99156,MOD SED OTH PHYS/QHP 5/>YRS,3014.0,2109.8,46.7,77.21,5
CPT,99156,USE OF A DRUG TO INDUCE DEPRESSION OF CONSCIOUSNESS BY PHYSICIAN NOT PERFORMING A PROCEDURE (5 YEARS OR OLDER); INITIAL 15 MINUTES,2804.0,1962.8,46.7,77.21,5
CPT,99157,MOD SED OTHER PHYS/QHP EA,931.0,651.7,28.9,59.03,5
CPT,99157,USE OF A DRUG TO INDUCE DEPRESSION OF CONSCIOUSNESS BY PHYSICIAN NOT PERFORMING A PROCEDURE; EACH ADDITIONAL 15 MINUTES,931.0,651.7,,,0
CPT,99170,ANOGENITAL EXAM CHILD W IMAG,347.0,242.9,90.66,1419.0,12
CPT,99195,DRAWING OF BLOOD FOR A MEDICAL PROBLEM,567.0,396.9,29.99,437.95,26
CPT,99202,NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 15-29 MINUTES,286.0,200.2,41.15,5269.0,32
CPT,99202,OFFICE O/P NEW SF 15 MIN,299.0,209.3,41.15,5269.0,16
CPT,99203,NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES,380.0,266.0,70.97,5269.0,32
CPT,99203,OFFICE O/P NEW LOW 30 MIN,399.0,279.3,70.97,5269.0,16
CPT,99204,NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES,430.0,301.0,116.55,326.34,44
CPT,99204,OFFICE O/P NEW MOD 45 MIN,452.0,316.4,116.55,5269.0,16
CPT,99205,NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES,477.0,333.9,159.56,446.77,28
CPT,99205,OFFICE O/P NEW HI 60 MIN,477.0,333.9,4754.0,5269.0,4
CPT,99211,OFF/OP EST MAY X REQ PHY/QHP,246.0,172.2,7.73,5269.0,16
CPT,99211,OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF ESTABLISHED PATIENT THAT MAY NOT REQUIRE PRESENCE OF HEALTHCARE PROFESSIONAL,234.01,163.81,7.73,5269.0,88
CPT,99212,ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES,300.0,210.0,31.0,5269.0,88
CPT,99212,OFFICE O/P EST SF 10 MIN,300.0,210.0,31.0,5269.0,16
CPT,99213,ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES,322.0,225.4,57.69,5269.0,80
CPT,99213,OFFICE O/P EST LOW 20 MIN,322.0,225.4,57.69,5269.0,16
CPT,99214,ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES,349.0,244.3,84.69,5269.0,72
CPT,99214,OFFICE O/P EST MOD 30 MIN,366.0,256.2,84.69,5269.0,16
CPT,99215,ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 40-54 MINUTES,425.0,297.5,126.07,353.0,60
CPT,99215,OFFICE O/P EST HI 40 MIN,425.0,297.5,4754.0,5269.0,4
CPT,99218,INITIAL OBSERVATION CARE,803.0,562.1,73.11,2360.0,24
CPT,99221,1ST HOSP IP/OBS SF/LOW 40,803.0,562.1,73.69,2360.0,45
CPT,99221,INITIAL HOSPITAL INPATIENT CARE PER DAY; TYPICALLY 30 MINUTES,3290.0,2303.0,73.69,2360.0,28
CPT,99281,EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY,838.5,586.95,21.64,1419.0,25
CPT,99282,EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY,1455.0,1018.5,42.14,1419.0,37
CPT,99283,EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY,3232.5,2262.75,62.9,1419.0,61
CPT,99284,EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY,3136.0,2195.2,119.2,2119.0,49
CPT,99285,EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY,7267.0,5086.9,175.39,3385.0,49
CPT,99285,EMERGENCY DEPT VISIT HI MDM,4131.0,2891.7,175.39,3385.0,13
CPT,99291,CRITICAL CARE; FIRST 30-74 MINUTES,6297.0,4407.9,229.14,3385.0,35
CPT,99292,CRITICAL CARE ADDL 30 MIN,2433.0,1703.1,99.35,3385.0,13
CPT,99292,CRITICAL CARE; EACH ADDITIONAL 30 MINUTES,6145.0,4301.5,99.35,3385.0,22
CPT,99354,PROLNG SVC O/P 1ST HOUR,343.0,240.1,23.83,909.0,6
CPT,99355,PROLNG SVC O/P EA ADDL 30,343.0,240.1,23.83,909.0,6
CPT,99366,TEAM CONF W/PAT BY HC PROF,53.0,37.1,23.83,909.0,4
CPT,99393,PREV VISIT EST AGE 5-11,136.0,95.2,95.1,186.0,5
CPT,99394,PREV VISIT EST AGE 12-17,136.0,95.2,103.85,186.0,5
CPT,99395,PREV VISIT EST AGE 18-39,152.0,106.4,105.99,186.0,5
CPT,99396,PREV VISIT EST AGE 40-64,152.0,106.4,112.61,186.0,5
CPT,99397,PER PM REEVAL EST PAT 65+ YR,152.0,106.4,121.09,186.0,5
CPT,99406,SMOKING AND TOBACCO USE INTENSIVE COUNSELING; 4-10 MINUTES,63.0,44.1,12.8,1419.0,12
CPT,99407,BEHAV CHNG SMOKING > 10 MIN,123.0,86.1,25.18,123.31,13
CPT,99408,AUDIT/DAST 15-30 MIN,72.0,50.4,35.66,1419.0,4
CPT,99421,OL DIG E/M SVC 5-10 MIN,25.0,17.5,11.02,30.86,11
CPT,99422,OL DIG E/M SVC 11-20 MIN,51.0,35.7,22.41,62.75,11
CPT,99423,OL DIG E/M SVC 21+ MIN,81.0,56.7,35.28,98.78,11
CPT,99446,NTRPROF PH1/NTRNET/EHR 5-10,35.0,24.5,15.41,44.46,9
CPT,99447,NTRPROF PH1/NTRNET/EHR 11-20,69.0,48.3,30.37,89.46,9
CPT,99448,NTRPROF PH1/NTRNET/EHR 21-30,102.0,71.4,45.38,133.9,9
CPT,99449,NTRPROF PH1/NTRNET/EHR 31/>,136.0,95.2,60.54,177.86,9
CPT,99451,NTRPROF PH1/NTRNET/EHR 5/>,87.0,60.9,30.05,84.14,11
CPT,99452,NTRPROF PH1/NTRNET/EHR RFRL,87.0,60.9,31.19,87.33,11
CPT,99460,INIT NB EM PER DAY HOSP,359.0,251.3,4754.0,5269.0,4
CPT,99464,ATTENDANCE AT DELIVERY,498.0,348.6,4754.0,5269.0,4
CPT,99465,NB RESUSCITATION,1371.0,959.7,150.15,2175.52,12
CPT,99490,CHRNC CARE MGMT STAFF 1ST 20,207.0,144.9,33.59,334.38,13
CPT,99495,TRANSJ CARE MGMT MOD F2F 14D,304.0,212.8,115.21,438.23,13
CPT,99496,TRANSJ CARE MGMT HIGH F2F 7D,313.0,219.1,156.51,438.23,13
CPT,99497,ADVNCD CARE PLAN 30 MIN,227.0,158.9,46.28,334.38,13
HCPCS,0266T,IMPLT/RPL CRTD SNS DEV TOTAL,7478.0,5234.6,1887.0,12617.0,2
HCPCS,0267T,IMPLT/RPL CRTD SNS DEV LEAD,5958.0,4170.6,1550.0,6107.0,2
HCPCS,0268T,IMPLT/RPL CRTD SNS DEV GEN,5968.0,4177.6,1887.0,12617.0,2
HCPCS,0269T,REV/REMVL CRTD SNS DEV TOTAL,9575.0,6702.5,1700.0,7726.0,2
HCPCS,0270T,REV/REMVL CRTD SNS DEV LEAD,6380.0,4466.0,1550.0,6107.0,2
HCPCS,0271T,REV/REMVL CRTD SNS DEV GEN,5243.0,3670.1,1550.0,6107.0,2
HCPCS,0272T,INTERROGATE CRTD SNS DEV,370.0,259.0,,,0
HCPCS,0273T,INTERROGATE CRTD SNS W/PGRMG,347.0,242.9,,,0
HCPCS,0545T,TCAT TV ANNULUS RCNSTJ,34646.0,24252.2,1335.0,1335.0,1
HCPCS,90670,PCV13 VACCINE IM,542.0,379.4,257.99,296.69,4
HCPCS,A2006,NOVOSORB SYNPATH DERMAL MATRIX; PER SQUARE CENTIMETER,49.5,34.65,126.52,354.26,7
HCPCS,A4100,SKIN SUBSTITUTE; FDA CLEARED AS A DEVICE; NOT OTHERWISE SPECIFIED,1686.3,1180.41,,,0
HCPCS,A4344,INDWELLING CATHETER; FOLEY TYPE; TWO-WAY; ALL SILICONE; EACH,10.96,7.67,26.62,26.62,2
HCPCS,A4346,INDWELLING CATHETER; FOLEY TYPE; THREE WAY FOR CONTINUOUS IRRIGATION; EACH,41.16,28.81,28.36,28.36,2
HCPCS,A4412,OSTOMY POUCH; DRAINABLE; HIGH OUTPUT; FOR USE ON A BARRIER WITH FLANGE (2 PIECE SYSTEM); WITHOUT FILTER; EACH,40.62,28.43,3.74,3.74,2
HCPCS,A4428,OSTOMY POUCH; URINARY; WITH EXTENDED WEAR BARRIER ATTACHED; WITH FAUCET-TYPE TAP WITH VALVE (1 PIECE); EACH,4.87,3.41,9.02,9.02,2
HCPCS,A4467,BELT; STRAP; SLEEVE; GARMENT; OR COVERING; ANY TYPE,52.47,36.73,,,0
HCPCS,A4565,SLINGS,13.79,9.65,10.64,30.74,9
HCPCS,A4600,SLEEVE FOR INTERMITTENT LIMB COMPRESSION DEVICE; REPLACEMENT ONLY; EACH,39.87,27.91,,,0
HCPCS,A4641,RADIOPHARM DX AGENT NOC,4016.0,2811.2,,,0
HCPCS,A4648,IMPLANTABLE TISSUE MARKER,0.01,0.01,,,0
HCPCS,A4648,TISSUE MARKER; IMPLANTABLE; ANY TYPE; EACH,264.645,185.25,,,0
HCPCS,A6251,SPECIALTY ABSORPTIVE DRESSING; WOUND COVER; STERILE; PAD SIZE 16 SQ. IN. OR LESS; WITHOUT ADHESIVE BORDER; EACH DRESSING,13.08,9.16,3.03,3.03,2
HCPCS,A9270,A.E.R,7.04,4.93,4754.0,5269.0,4
HCPCS,A9270,ALPRAZolam,13.2,9.24,4754.0,5269.0,40
HCPCS,A9270,ARIPiprazole,57.18,40.025000000000006,4754.0,5269.0,28
HCPCS,A9270,AVINza,2523.4,1766.38,4754.0,5269.0,12
HCPCS,A9270,Abacavir,727.98,509.59,4754.0,5269.0,12
HCPCS,A9270,Abilify,2270.24,1589.17,4754.0,5269.0,4
HCPCS,A9270,Abreva,48.68,34.08,4754.0,5269.0,4
HCPCS,A9270,Acamprosate Calcium,186.45,130.52,4754.0,5269.0,12
HCPCS,A9270,Acarbose,125.13,87.59,4754.0,5269.0,12
HCPCS,A9270,Accutane,6329.13,4430.39,4754.0,5269.0,4
HCPCS,A9270,Acebutolol HCl,178.75,125.13,4754.0,5269.0,4
HCPCS,A9270,Aceon,745.8050000000001,522.065,4754.0,5269.0,8
HCPCS,A9270,Acephen,16.08,11.26,4754.0,5269.0,4
HCPCS,A9270,Acetaminophen,5.59,3.91,4754.0,5269.0,64
HCPCS,A9270,Acetaminophen Children's,6.49,4.54,4754.0,5269.0,4
HCPCS,A9270,Acetaminophen-Codeine Phosphate,34.495,24.150000000000002,4754.0,5269.0,24
HCPCS,A9270,Acetic Acid,77.02,53.91,4754.0,5269.0,4
HCPCS,A9270,Acetylcysteine,47.52,33.26,4754.0,5269.0,20
HCPCS,A9270,Acidophilus,17.49,12.24,4754.0,5269.0,4
HCPCS,A9270,Acitretin,431.07,301.75,4754.0,5269.0,4
HCPCS,A9270,Acne Medication 10,10.52,7.36,4754.0,5269.0,4
HCPCS,A9270,Acne Medication 5,9.94,6.96,4754.0,5269.0,8
HCPCS,A9270,Actidose w/Sorbitol,36.63,25.64,4754.0,5269.0,4
HCPCS,A9270,Actidose-Aqua,36.63,25.64,4754.0,5269.0,8
HCPCS,A9270,Actonel,937.7,656.39,4754.0,5269.0,12
HCPCS,A9270,Acyclovir,45.375,31.765,4754.0,5269.0,28
HCPCS,A9270,Adderall XR,1958.83,1371.18,4754.0,5269.0,8
HCPCS,A9270,Advair Diskus 100/50,277.085,193.96,4754.0,5269.0,8
HCPCS,A9270,Advair Diskus 250/50,331.78499999999997,232.25,4754.0,5269.0,8
HCPCS,A9270,Advair Diskus 500/50,466.745,326.72,4754.0,5269.0,8
HCPCS,A9270,Advair HFA 115/21,877.05,613.94,4754.0,5269.0,4
HCPCS,A9270,Advair HFA 230/21,1209.22,846.45,4754.0,5269.0,4
HCPCS,A9270,Advanced Eye Relief Eye Wash,9.09,6.36,4754.0,5269.0,4
HCPCS,A9270,Advil Children's,13.2,9.24,4754.0,5269.0,4
HCPCS,A9270,Afrin,15.725,11.004999999999999,4754.0,5269.0,4
HCPCS,A9270,Albendazole,164.32,115.02,4754.0,5269.0,8
HCPCS,A9270,Albuterol Sulfate,102.72,71.905,4754.0,5269.0,24
HCPCS,A9270,Albuterol Sulfate HFA,92.65,64.86,4754.0,5269.0,4
HCPCS,A9270,Alendronate Sodium,11.915,8.345,4754.0,5269.0,16
HCPCS,A9270,Alfuzosin Hydrochloride,96.25,67.38,4754.0,5269.0,12
HCPCS,A9270,Alinia,1435.5,1004.85,4754.0,5269.0,4
HCPCS,A9270,Allegra Allergy,21.98,15.39,4754.0,5269.0,4
HCPCS,A9270,Allergy,2.2,1.54,4754.0,5269.0,4
HCPCS,A9270,Allopurinol,57.75,40.43,4754.0,5269.0,40
HCPCS,A9270,Almacone Double Strength,9.77,6.84,4754.0,5269.0,4
HCPCS,A9270,Alomide,542.85,380.0,4754.0,5269.0,4
HCPCS,A9270,Alphagan P,1068.93,748.25,4754.0,5269.0,12
HCPCS,A9270,Alrex,834.77,584.34,4754.0,5269.0,4
HCPCS,A9270,Altalube,15.49,10.84,4754.0,5269.0,4
HCPCS,A9270,Aluminum Hydroxide,18.22,12.75,4754.0,5269.0,4
HCPCS,A9270,AmLactin,26.44,18.509999999999998,4754.0,5269.0,8
HCPCS,A9270,Amantadine HCl,54.95,38.47,4754.0,5269.0,12
HCPCS,A9270,Amantadine HCl AvPak,4.8,3.36,,,0
HCPCS,A9270,Ambien CR,5908.65,4136.06,4754.0,5269.0,8
HCPCS,A9270,Amicar,1821.05,1274.74,4754.0,5269.0,4
HCPCS,A9270,Aminocaproic Acid,893.73,625.61,4754.0,5269.0,4
HCPCS,A9270,Amiodarone,51.25,35.875,4754.0,5269.0,8
HCPCS,A9270,Amiodarone HCl,44.55,31.19,4754.0,5269.0,8
HCPCS,A9270,Amitiza,1020.53,714.37,4754.0,5269.0,4
HCPCS,A9270,Amitriptyline HCl,39.33,27.53,4754.0,5269.0,36
HCPCS,A9270,Amitriptyline Hydrochloride AvPak,29.035,20.325,4754.0,5269.0,8
HCPCS,A9270,Ammonium Lactate,18.59,13.015,4754.0,5269.0,8
HCPCS,A9270,Amoxapine,348.70000000000005,244.095,4754.0,5269.0,8
HCPCS,A9270,Amoxicillin,13.62,9.53,4754.0,5269.0,60
HCPCS,A9270,Amoxicillin/Clavulanate Potassium,24.2,16.94,4754.0,5269.0,80
HCPCS,A9270,Amphetamine Salt Combo,190.58,133.41,4754.0,5269.0,8
HCPCS,A9270,Ampicillin,142.45,99.72,4754.0,5269.0,4
HCPCS,A9270,Anagrelide HCl,360.805,252.565,4754.0,5269.0,12
HCPCS,A9270,Anastrozole,25.740000000000002,18.02,4754.0,5269.0,16
HCPCS,A9270,Anbesol,10.99,7.69,4754.0,5269.0,4
HCPCS,A9270,Anbesol Maximum Strength,12.11,8.48,4754.0,5269.0,4
HCPCS,A9270,Ancobon,40890.85,28623.6,4754.0,5269.0,4
HCPCS,A9270,AndroGel,57.12,39.98,4754.0,5269.0,4
HCPCS,A9270,Anecream,9.63,6.74,4754.0,5269.0,8
HCPCS,A9270,Anoro Ellipta,323.25,226.28,,,0
HCPCS,A9270,Antabuse,151.53,106.07,4754.0,5269.0,4
HCPCS,A9270,Antara,345.68,241.98,4754.0,5269.0,4
HCPCS,A9270,Anti-Itch,15.27,10.69,4754.0,5269.0,4
HCPCS,A9270,Anti-Itch Cream,5.93,4.15,4754.0,5269.0,4
HCPCS,A9270,Anucort-HC,720.99,504.69,4754.0,5269.0,4
HCPCS,A9270,Apri,56.6,39.62,4754.0,5269.0,4
HCPCS,A9270,Apriso,1403.49,982.44,4754.0,5269.0,4
HCPCS,A9270,Aptivus,5763.12,4034.18,4754.0,5269.0,4
HCPCS,A9270,Aquaphor,12.620000000000001,8.835,4754.0,5269.0,4
HCPCS,A9270,Aquaphor Original Ointment,35.94,25.16,4754.0,5269.0,4
HCPCS,A9270,Armour Thyroid,257.405,180.185,4754.0,5269.0,8
HCPCS,A9270,Arthrotec,1458.11,1020.68,4754.0,5269.0,8
HCPCS,A9270,Artificial Tear,19.23,13.46,4754.0,5269.0,4
HCPCS,A9270,Artificial Tears,4.67,3.27,4754.0,5269.0,4
HCPCS,A9270,Ascomp w/Codeine,627.83,439.48,4754.0,5269.0,4
HCPCS,A9270,Asmanex Twisthaler,276.3,193.41,4754.0,5269.0,4
HCPCS,A9270,Aspirin,5.23,3.66,4754.0,5269.0,16
HCPCS,A9270,Aspirin Adult Low Dose,1.0,0.7,,,0
HCPCS,A9270,Aspirin Children's,2.28,1.6,4754.0,5269.0,4
HCPCS,A9270,Aspirin Low Dose,13.145,9.2,4754.0,5269.0,20
HCPCS,A9270,Astagraf XL,238.26,166.78,4754.0,5269.0,4
HCPCS,A9270,Atenolol,24.89,17.424999999999997,4754.0,5269.0,36
HCPCS,A9270,Atenolol-Chlorthalidone,197.04,137.93,4754.0,5269.0,8
HCPCS,A9270,Athlete's Foot,12.54,8.78,4754.0,5269.0,4
HCPCS,A9270,Atorvastatin Calcium,57.71,40.4,4754.0,5269.0,56
HCPCS,A9270,Atovaquone/Proguanil HCl,396.33500000000004,277.435,4754.0,5269.0,8
HCPCS,A9270,Atripla,8235.48,5764.84,4754.0,5269.0,4
HCPCS,A9270,Atropine Sulfate,48.16,33.71,4754.0,5269.0,4
HCPCS,A9270,Atrovent HFA,843.81,590.67,4754.0,5269.0,4
HCPCS,A9270,Augmentin,1965.255,1375.68,4754.0,5269.0,8
HCPCS,A9270,Auryxia,4257.0,2979.9,4754.0,5269.0,4
HCPCS,A9270,Austedo,15478.16,10834.71,4754.0,5269.0,4
HCPCS,A9270,Aveeno Bath Treatment,14.63,10.24,4754.0,5269.0,4
HCPCS,A9270,Avitene Microfibrillar Collagen Hemostat,522.5,365.75,4754.0,5269.0,4
HCPCS,A9270,Ayr Saline Nasal,7.64,5.35,4754.0,5269.0,4
HCPCS,A9270,Azelastine HCl,78.035,54.625,4754.0,5269.0,8
HCPCS,A9270,Azilect,3440.5,2408.35,4754.0,5269.0,4
HCPCS,A9270,Azithromycin,37.295,26.105,4754.0,5269.0,80
HCPCS,A9270,B-Complex w/Vitamin C,18.43,12.9,4754.0,5269.0,4
HCPCS,A9270,BD Lactinex,24.205,16.945,4754.0,5269.0,8
HCPCS,A9270,Bacitracin,46.73,32.71,4754.0,5269.0,24
HCPCS,A9270,Bacitracin Zinc,9.835,6.885,4754.0,5269.0,8
HCPCS,A9270,Bacitracin Zinc-Polymyxin B Sulfate,63.04,44.13,4754.0,5269.0,4
HCPCS,A9270,Bacitracin-HC-Neomycin-Polymyxin,143.12,100.18,4754.0,5269.0,4
HCPCS,A9270,Bacitracin-Neo-Poly,76.83,53.78,4754.0,5269.0,4
HCPCS,A9270,Bacitracin/Neomycin/Polymyxin,117.345,82.14,4754.0,5269.0,4
HCPCS,A9270,Baclofen,8.24,5.77,4754.0,5269.0,16
HCPCS,A9270,Balsalazide Disodium,580.58,406.41,4754.0,5269.0,4
HCPCS,A9270,Banophen,6.605,4.625,4754.0,5269.0,12
HCPCS,A9270,Beconase AQ,806.72,564.7,4754.0,5269.0,4
HCPCS,A9270,Belladonna Alkaloids-PHENobarbital,23.65,16.56,4754.0,5269.0,4
HCPCS,A9270,Belsomra,853.6,597.52,4754.0,5269.0,8
HCPCS,A9270,Benazepril HCl/hydroCHLOROthiazide,246.13,172.29,4754.0,5269.0,8
HCPCS,A9270,Benazepril Hydrochloride,23.65,16.56,4754.0,5269.0,24
HCPCS,A9270,Benzoin,29.21,20.45,4754.0,5269.0,4
HCPCS,A9270,Benzoin Compound,24.92,17.44,4754.0,5269.0,4
HCPCS,A9270,Benzonatate,41.25,28.88,4754.0,5269.0,12
HCPCS,A9270,Benzoyl Peroxide,21.17,14.82,4754.0,5269.0,4
HCPCS,A9270,Benzoyl Peroxide Wash,20.76,14.53,4754.0,5269.0,4
HCPCS,A9270,Benztropine Mesylate,25.58,17.91,4754.0,5269.0,28
HCPCS,A9270,Betadine,48.84,34.19,4754.0,5269.0,4
HCPCS,A9270,Betamethasone Dipropionate,174.31,122.02,4754.0,5269.0,16
HCPCS,A9270,Betamethasone Dipropionate Augmented,292.67,204.87,4754.0,5269.0,4
HCPCS,A9270,Betamethasone Valerate,91.33,63.93,4754.0,5269.0,28
HCPCS,A9270,Bethanechol Chloride,125.4,87.78,4754.0,5269.0,20
HCPCS,A9270,Betoptic S,1115.49,780.84,4754.0,5269.0,4
HCPCS,A9270,Bicalutamide,31.87,22.310000000000002,4754.0,5269.0,4
HCPCS,A9270,Biktarvy,5965.8,4176.06,4754.0,5269.0,8
HCPCS,A9270,Bion Tears,34.19,23.93,4754.0,5269.0,4
HCPCS,A9270,Biotene Dry Mouth Mouthwash,9.13,6.39,4754.0,5269.0,4
HCPCS,A9270,Biotene Moisturizing Mouth Spray,15.72,11.0,4754.0,5269.0,4
HCPCS,A9270,Biotin,11.5,8.05,4754.0,5269.0,4
HCPCS,A9270,Bisacodyl,7.43,5.2,4754.0,5269.0,20
HCPCS,A9270,Bisoprolol Fumarate,13.29,9.3,4754.0,5269.0,16
HCPCS,A9270,Bisoprolol/HCTZ,101.75,71.23,4754.0,5269.0,4
HCPCS,A9270,Bosulif,59113.23,41379.26,4754.0,5269.0,4
HCPCS,A9270,Boudreaux's Butt Paste,8.94,6.26,4754.0,5269.0,4
HCPCS,A9270,Breo Ellipta,376.53,263.57,,,0
HCPCS,A9270,Brilinta,1278.09,894.66,4754.0,5269.0,12
HCPCS,A9270,Brimonidine Tartrate,40.43,28.3,4754.0,5269.0,24
HCPCS,A9270,Briviact,3434.545,2404.185,4754.0,5269.0,4
HCPCS,A9270,Bromfenac,193.125,135.19,4754.0,5269.0,4
HCPCS,A9270,Bromocriptine Mesylate,549.59,384.715,4754.0,5269.0,8
HCPCS,A9270,Budesonide,611.88,428.32,4754.0,5269.0,12
HCPCS,A9270,Bumetanide,48.995,34.295,4754.0,5269.0,16
HCPCS,A9270,Bumetanide AvPak,9.6,6.72,4754.0,5269.0,8
HCPCS,A9270,Buprenorphine-Naloxone,4.59,3.21,,,0
HCPCS,A9270,Butalbital-Acetaminophen-Caffeine,8.67,6.07,4754.0,5269.0,8
HCPCS,A9270,Bystolic,502.76,351.93,4754.0,5269.0,4
HCPCS,A9270,Caduet,1789.76,1252.835,4754.0,5269.0,20
HCPCS,A9270,Cafcit,55.01,38.51,4754.0,5269.0,4
HCPCS,A9270,Caffeine Citrate,44.004999999999995,30.805,4754.0,5269.0,8
HCPCS,A9270,Cal-Gest,7.84,5.49,4754.0,5269.0,4
HCPCS,A9270,Calagesic,10.094999999999999,7.0649999999999995,4754.0,5269.0,4
HCPCS,A9270,Calamine Lotion,3.65,2.5549999999999997,4754.0,5269.0,4
HCPCS,A9270,Calcipotriene,812.71,568.895,4754.0,5269.0,16
HCPCS,A9270,Calcitonin-Salmon,157.955,110.57,4754.0,5269.0,8
HCPCS,A9270,Calcitriol,12.28,8.595,4754.0,5269.0,16
HCPCS,A9270,Calcium + D,2.425,1.7000000000000002,4754.0,5269.0,4
HCPCS,A9270,Calcium Acetate,70.675,49.475,4754.0,5269.0,16
HCPCS,A9270,Calcium Antacid,4.595000000000001,3.215,4754.0,5269.0,4
HCPCS,A9270,Calcium Carbonate,24.75,17.33,4754.0,5269.0,12
HCPCS,A9270,Calcium Citrate,9.63,6.74,4754.0,5269.0,4
HCPCS,A9270,Calcium with Vitamin D3,6.6850000000000005,4.68,4754.0,5269.0,8
HCPCS,A9270,Calmoseptine,13.37,9.36,4754.0,5269.0,4
HCPCS,A9270,Caltrate Bone Health,16.5,11.55,4754.0,5269.0,4
HCPCS,A9270,Caltrate Plus,17.33,12.13,4754.0,5269.0,4
HCPCS,A9270,Canasa,3194.9,2236.43,4754.0,5269.0,4
HCPCS,A9270,Capsaicin,11.45,8.02,4754.0,5269.0,8
HCPCS,A9270,Capsule Empty Gelatin,18.15,12.71,4754.0,5269.0,12
HCPCS,A9270,Captopril,278.58,195.01,4754.0,5269.0,28
HCPCS,A9270,Carac,2289.54,1602.68,4754.0,5269.0,4
HCPCS,A9270,Carbatrol,585.09,409.56,4754.0,5269.0,4
HCPCS,A9270,Carbidopa-Levodopa,24.89,17.425,4754.0,5269.0,56
HCPCS,A9270,Carbidopa/Levodopa/Entacapone,825.28,577.7,4754.0,5269.0,4
HCPCS,A9270,Carisoprodol,33.0,23.1,4754.0,5269.0,4
HCPCS,A9270,Cartia XT,70.2,49.145,4754.0,5269.0,4
HCPCS,A9270,Carvedilol,26.68,18.68,4754.0,5269.0,72
HCPCS,A9270,Cefaclor,28.26,19.78,4754.0,5269.0,4
HCPCS,A9270,Cefadroxil,80.58,56.41,4754.0,5269.0,8
HCPCS,A9270,Cefdinir,24.05,16.84,4754.0,5269.0,24
HCPCS,A9270,Cefuroxime Axetil,47.864999999999995,33.505,4754.0,5269.0,12
HCPCS,A9270,Celecoxib,39.875,27.915,4754.0,5269.0,24
HCPCS,A9270,Cepacol,6.74,4.72,4754.0,5269.0,4
HCPCS,A9270,Cepacol Sore Throat,3.87,2.71,4754.0,5269.0,8
HCPCS,A9270,Cepacol Sore Throat & Cough,6.74,4.72,4754.0,5269.0,4
HCPCS,A9270,Cephalexin,56.1,39.275,4754.0,5269.0,60
HCPCS,A9270,Cephalexin AvPak,20.095,14.065,4754.0,5269.0,8
HCPCS,A9270,Cerefolin,1554.55,1088.19,4754.0,5269.0,4
HCPCS,A9270,Cervidil,1513.0,1059.1,4754.0,5269.0,4
HCPCS,A9270,Cetaphil Moisturizer,26.02,18.21,4754.0,5269.0,4
HCPCS,A9270,Cetirizine HCl,11.81,8.27,4754.0,5269.0,24
HCPCS,A9270,Cevimeline HCl,710.6,497.42,4754.0,5269.0,4
HCPCS,A9270,Chantix,1290.68,903.48,4754.0,5269.0,4
HCPCS,A9270,ChapStick Classic,2.77,1.94,4754.0,5269.0,4
HCPCS,A9270,Children's Acetaminophen,7.165,5.015,4754.0,5269.0,8
HCPCS,A9270,Children's Allegra Allergy,25.08,17.56,4754.0,5269.0,4
HCPCS,A9270,Children's Benadryl Allergy,15.91,11.14,4754.0,5269.0,8
HCPCS,A9270,Children's Fever Reducer,10.17,7.12,4754.0,5269.0,12
HCPCS,A9270,Children's Ibuprofen,6.51,4.5600000000000005,4754.0,5269.0,20
HCPCS,A9270,Children's Loratadine,21.78,15.25,4754.0,5269.0,4
HCPCS,A9270,Children's Mapap,5.53,3.87,4754.0,5269.0,4
HCPCS,A9270,Children's Sudafed,15.91,11.14,4754.0,5269.0,4
HCPCS,A9270,Children's ZyrTEC,31.48,22.04,4754.0,5269.0,4
HCPCS,A9270,Chloraseptic,4.140000000000001,2.9,4754.0,5269.0,4
HCPCS,A9270,Chlorhexidine Gluconate,5.075,3.5549999999999997,4754.0,5269.0,8
HCPCS,A9270,Chloroquine Phosphate,231.0,161.7,4754.0,5269.0,4
HCPCS,A9270,Chlorpheniramine Maleate,13.75,9.63,4754.0,5269.0,4
HCPCS,A9270,Chlorthalidone,265.65,185.96,4754.0,5269.0,20
HCPCS,A9270,Chlorzoxazone,77.0,53.9,4754.0,5269.0,4
HCPCS,A9270,Cholestyramine,81.02499999999999,56.714999999999996,4754.0,5269.0,8
HCPCS,A9270,Cholestyramine Light,5.5,3.85,4754.0,5269.0,16
HCPCS,A9270,Cialis,4644.92,3251.44,4754.0,5269.0,4
HCPCS,A9270,Ciclopirox,56.35,39.45,4754.0,5269.0,4
HCPCS,A9270,Ciclopirox Olamine,178.45,124.92,4754.0,5269.0,4
HCPCS,A9270,Cilostazol,52.47,36.73,4754.0,5269.0,4
HCPCS,A9270,Ciloxan,668.5450000000001,467.97999999999996,4754.0,5269.0,12
HCPCS,A9270,Cimetidine,76.315,53.425,4754.0,5269.0,16
HCPCS,A9270,Cimetidine HCl,134.92,94.44,4754.0,5269.0,4
HCPCS,A9270,Cipro,329.725,230.81,4754.0,5269.0,8
HCPCS,A9270,Ciprofloxacin,57.065,39.95,4754.0,5269.0,36
HCPCS,A9270,Ciprofloxacin HCl,38.5,26.95,4754.0,5269.0,4
HCPCS,A9270,Citalopram,16.78,11.75,4754.0,5269.0,8
HCPCS,A9270,Citalopram Hydrobromide,14.855,10.4,4754.0,5269.0,24
HCPCS,A9270,Citric Acid/Potassium Citrate,99.0,69.3,4754.0,5269.0,4
HCPCS,A9270,Citric Acid/Sodium Citrate,26.490000000000002,18.545,4754.0,5269.0,12
HCPCS,A9270,Citrucel,40.84,28.59,4754.0,5269.0,4
HCPCS,A9270,Clarithromycin,161.21,112.85,4754.0,5269.0,20
HCPCS,A9270,Claritin-D,400.4,280.28,4754.0,5269.0,4
HCPCS,A9270,Cleocin Vaginal,201.08,140.76,4754.0,5269.0,4
HCPCS,A9270,Clindamycin HCl,21.130000000000003,14.79,4754.0,5269.0,20
HCPCS,A9270,Clindamycin Palmitate HCl,113.85,79.7,4754.0,5269.0,8
HCPCS,A9270,Clindamycin Phosphate,112.37,78.66,4754.0,5269.0,20
HCPCS,A9270,Clobetasol Propionate,27.48,19.24,4754.0,5269.0,32
HCPCS,A9270,Clobex,2418.83,1693.18,4754.0,5269.0,4
HCPCS,A9270,Clopidogrel,64.34,45.04,4754.0,5269.0,32
HCPCS,A9270,Clopidogrel AvPak,37.49,26.24,,,0
HCPCS,A9270,Clorazepate Dipotassium,273.63,191.54,4754.0,5269.0,8
HCPCS,A9270,Clotrimazole,53.67,37.57,4754.0,5269.0,44
HCPCS,A9270,Codeine Phosphate/guaiFENesin,8.1,5.67,4754.0,5269.0,12
HCPCS,A9270,Codeine Sulfate,3.46,2.42,4754.0,5269.0,8
HCPCS,A9270,Coenzyme Q10,60.89,42.62,4754.0,5269.0,4
HCPCS,A9270,Colchicine,28.28,19.8,4754.0,5269.0,8
HCPCS,A9270,Colchicine AvPak,511.5,358.05,4754.0,5269.0,4
HCPCS,A9270,Colestid,741.51,519.06,4754.0,5269.0,4
HCPCS,A9270,Combigan,561.36,392.95,4754.0,5269.0,4
HCPCS,A9270,Combivent Respimat,1280.24,896.165,4754.0,5269.0,4
HCPCS,A9270,Complera,10551.67,7386.17,4754.0,5269.0,4
HCPCS,A9270,Compound W,16.43,11.5,4754.0,5269.0,4
HCPCS,A9270,Compro,287.53,201.27,4754.0,5269.0,4
HCPCS,A9270,Concerta,3636.05,2545.24,4754.0,5269.0,4
HCPCS,A9270,Cough Syrup DM,6.17,4.32,4754.0,5269.0,4
HCPCS,A9270,Creon,1180.03,826.02,4754.0,5269.0,12
HCPCS,A9270,Cresemba,4171.765,2920.2349999999997,4754.0,5269.0,8
HCPCS,A9270,Cromolyn Sodium,61.88,43.32,4754.0,5269.0,4
HCPCS,A9270,Culturelle Health & Wellness Probiotic,45.13,31.59,4754.0,5269.0,4
HCPCS,A9270,Cuprimine,72018.65,50413.06,4754.0,5269.0,4
HCPCS,A9270,Curad Mediplast,2.26,1.58,4754.0,5269.0,4
HCPCS,A9270,Cyclobenzaprine,1.0,0.7,,,0
HCPCS,A9270,Cyclobenzaprine HCl,12.65,8.86,4754.0,5269.0,24
HCPCS,A9270,Cyproheptadine HCl,96.66499999999999,67.66499999999999,4754.0,5269.0,16
HCPCS,A9270,DULoxetine HCl,32.629999999999995,22.845,4754.0,5269.0,32
HCPCS,A9270,Daily-Vite Multivitamin,7.43,5.2,4754.0,5269.0,4
HCPCS,A9270,Dairy Aid,12.87,9.01,4754.0,5269.0,4
HCPCS,A9270,Daliresp,1257.14,880.0,4754.0,5269.0,4
HCPCS,A9270,Danazol,1221.415,854.995,4754.0,5269.0,8
HCPCS,A9270,Dantrolene Sodium,113.32,79.325,4754.0,5269.0,4
HCPCS,A9270,Dapsone,99.75,69.83,4754.0,5269.0,12
HCPCS,A9270,Daraprim,206250.0,144375.0,4754.0,5269.0,4
HCPCS,A9270,Darunavir,165.0,115.5,4754.0,5269.0,8
HCPCS,A9270,Daytrana,442.62,309.83,4754.0,5269.0,20
HCPCS,A9270,Debrox,10.77,7.54,,,0
HCPCS,A9270,Deep Sea,2.385,1.67,4754.0,5269.0,4
HCPCS,A9270,Delsym,26.19,18.33,4754.0,5269.0,4
HCPCS,A9270,Demeclocycline HCl,1824.2150000000001,1276.95,4754.0,5269.0,16
HCPCS,A9270,Demulen 1/35-28,89.94,62.96,4754.0,5269.0,4
HCPCS,A9270,Dermoplast Pain & Itch Spray,15.9,11.13,4754.0,5269.0,12
HCPCS,A9270,Desipramine HCl,415.665,290.97,4754.0,5269.0,8
HCPCS,A9270,Desitin Diaper Rash,11.4,7.98,4754.0,5269.0,4
HCPCS,A9270,Desmopressin Acetate,338.61,237.03,4754.0,5269.0,20
HCPCS,A9270,Desonide,56.56,39.59,4754.0,5269.0,24
HCPCS,A9270,Desoximetasone,83.95,58.765,4754.0,5269.0,8
HCPCS,A9270,Desoxyn,453.75,317.63,4754.0,5269.0,4
HCPCS,A9270,Desvenlafaxine Succinate,71.365,49.955,4754.0,5269.0,12
HCPCS,A9270,Dexilant,848.1,593.67,4754.0,5269.0,4
HCPCS,A9270,Dexmethylphenidate HCl,1999.25,1399.48,4754.0,5269.0,4
HCPCS,A9270,Dextroamphetamine Sulfate,396.0,277.2,4754.0,5269.0,8
HCPCS,A9270,Dextromethorphan HBr/guaiFENesin,8.71,6.095000000000001,4754.0,5269.0,8
HCPCS,A9270,Dextromethorphan/Promethazine,23.42,16.39,4754.0,5269.0,4
HCPCS,A9270,Diazoxide,851.49,596.04,4754.0,5269.0,4
HCPCS,A9270,Dibucaine,13.48,9.44,4754.0,5269.0,4
HCPCS,A9270,Diclofenac Potassium,287.65,201.36,4754.0,5269.0,4
HCPCS,A9270,Diclofenac Sodium,32.44,22.71,4754.0,5269.0,20
HCPCS,A9270,Diclofenac Sodium DR,107.25,75.08,4754.0,5269.0,4
HCPCS,A9270,Dicloxacillin Sodium,266.205,186.345,4754.0,5269.0,16
HCPCS,A9270,Dicyclomine HCl,49.5,34.65,4754.0,5269.0,36
HCPCS,A9270,Dificid,14313.75,10019.63,4754.0,5269.0,4
HCPCS,A9270,Diflucan,46.88,32.82,4754.0,5269.0,4
HCPCS,A9270,Digoxin,81.4,56.98,4754.0,5269.0,32
HCPCS,A9270,Diovan HCT,3252.525,2276.765,4754.0,5269.0,16
HCPCS,A9270,Dipentum,482.63,337.84,4754.0,5269.0,4
HCPCS,A9270,Dipyridamole,224.95499999999998,157.47,4754.0,5269.0,16
HCPCS,A9270,Disulfiram,233.31,163.32,4754.0,5269.0,4
HCPCS,A9270,Divalproex Sodium,34.38,24.07,4754.0,5269.0,80
HCPCS,A9270,Divalproex Sodium AvPak,9.73,6.81,4754.0,5269.0,8
HCPCS,A9270,Docu Liquid,1.3,0.91,,,0
HCPCS,A9270,Docusate Calcium,8.475,5.935,4754.0,5269.0,4
HCPCS,A9270,Docusate Sodium,9.63,6.74,4754.0,5269.0,24
HCPCS,A9270,Docusate Sodium-Sennosides,22.5,15.75,4754.0,5269.0,8
HCPCS,A9270,Dolobid,196.35,137.45,4754.0,5269.0,4
HCPCS,A9270,Domeboro,21.98,15.39,4754.0,5269.0,4
HCPCS,A9270,Donepezil HCl,19.31,13.52,4754.0,5269.0,32
HCPCS,A9270,Dorzolamide HCl,79.28999999999999,55.504999999999995,4754.0,5269.0,20
HCPCS,A9270,Dorzolamide HCl-Timolol Maleate,55.0,38.5,4754.0,5269.0,8
HCPCS,A9270,Dovonex,1640.35,1148.2450000000001,4754.0,5269.0,8
HCPCS,A9270,Doxazosin,22.225,15.56,4754.0,5269.0,4
HCPCS,A9270,Doxazosin Mesylate,85.25,59.675000000000004,4754.0,5269.0,44
HCPCS,A9270,Doxepin,288.75,202.13,4754.0,5269.0,4
HCPCS,A9270,Doxepin HCl,128.7,90.09,4754.0,5269.0,60
HCPCS,A9270,Doxycycline,50.16,35.11,4754.0,5269.0,4
HCPCS,A9270,Doxycycline Hyclate,27.5,19.25,4754.0,5269.0,28
HCPCS,A9270,Dramamine,6.84,4.785,4754.0,5269.0,8
HCPCS,A9270,Drospirenone-Ethinyl Estradiol,30.57,21.4,4754.0,5269.0,8
HCPCS,A9270,Duetact,1632.93,1143.05,4754.0,5269.0,4
HCPCS,A9270,Dulcolax,12.16,8.51,4754.0,5269.0,4
HCPCS,A9270,Dulera,790.0,553.0,4754.0,5269.0,12
HCPCS,A9270,Durezol,473.55,331.485,4754.0,5269.0,8
HCPCS,A9270,Dutasteride,53.915000000000006,37.74,4754.0,5269.0,12
HCPCS,A9270,Dymista,605.24,423.67,4754.0,5269.0,4
HCPCS,A9270,Ear Drops,4.87,3.41,4754.0,5269.0,4
HCPCS,A9270,Earwax Removal Drops,5.2,3.64,4754.0,5269.0,4
HCPCS,A9270,Econazole Nitrate,137.7,96.39,4754.0,5269.0,4
HCPCS,A9270,Edecrin,6721.83,4705.28,4754.0,5269.0,4
HCPCS,A9270,Edurant,4079.22,2855.45,4754.0,5269.0,4
HCPCS,A9270,Efavirenz-Emtricitabine-Tenofovir Disoproxil Fumar,226.88,158.82,4754.0,5269.0,4
HCPCS,A9270,Effer-K,32.51,22.76,4754.0,5269.0,4
HCPCS,A9270,Efudex,165.0,115.5,4754.0,5269.0,4
HCPCS,A9270,Ela-Max 5,121.86,85.3,4754.0,5269.0,4
HCPCS,A9270,Elidel,647.09,452.96,4754.0,5269.0,8
HCPCS,A9270,Eliquis,1667.33,1167.13,4754.0,5269.0,16
HCPCS,A9270,Elmiron,1010.35,707.25,4754.0,5269.0,4
HCPCS,A9270,Emcyt,4608.45,3225.92,4754.0,5269.0,4
HCPCS,A9270,Emsam,6193.61,4335.53,4754.0,5269.0,12
HCPCS,A9270,Emtricitabine,1325.53,927.87,4754.0,5269.0,4
HCPCS,A9270,Emtriva,911.86,638.3,4754.0,5269.0,8
HCPCS,A9270,Enablex,410.11,287.08,4754.0,5269.0,4
HCPCS,A9270,Enalapril Maleate,116.05000000000001,81.235,4754.0,5269.0,32
HCPCS,A9270,Enalapril/HCTZ,195.8,137.06,4754.0,5269.0,4
HCPCS,A9270,Enema,3.52,2.46,,,0
HCPCS,A9270,Entacapone,132.0,92.4,4754.0,5269.0,8
HCPCS,A9270,Entresto,55.06,38.54,4754.0,5269.0,8
HCPCS,A9270,Enulose,19.52,13.66,4754.0,5269.0,4
HCPCS,A9270,Eplerenone,36.29,25.405,4754.0,5269.0,4
HCPCS,A9270,Epzicom,3552.21,2486.55,4754.0,5269.0,4
HCPCS,A9270,Ergoloid Mesylates,11.83,8.28,4754.0,5269.0,4
HCPCS,A9270,Erythromycin,25.58,17.905,4754.0,5269.0,28
HCPCS,A9270,Erythromycin Ethylsuccinate,575.3,402.71000000000004,4754.0,5269.0,8
HCPCS,A9270,Escitalopram,27.5,19.25,4754.0,5269.0,28
HCPCS,A9270,Esomeprazole Magnesium,579.48,405.64,4754.0,5269.0,12
HCPCS,A9270,Esterified Estrogen/MethylTESTOSTERone,308.0,215.6,4754.0,5269.0,4
HCPCS,A9270,Esterified Estrogens-methylTESTOSTERone,825.0,577.5,4754.0,5269.0,4
HCPCS,A9270,Estrace,948.09,663.66,4754.0,5269.0,4
HCPCS,A9270,Estradiol,84.43,59.1,4754.0,5269.0,24
HCPCS,A9270,Estradiol Transdermal System (Once-Weekly),204.22,142.95,4754.0,5269.0,20
HCPCS,A9270,Eszopiclone,47.77,33.44,4754.0,5269.0,8
HCPCS,A9270,Ethacrynic Acid,412.5,288.75,4754.0,5269.0,4
HCPCS,A9270,Ethambutol HCl,212.03,148.42,4754.0,5269.0,20
HCPCS,A9270,Ethosuximide,242.12,169.485,4754.0,5269.0,8
HCPCS,A9270,Etodolac,291.23,203.86,4754.0,5269.0,4
HCPCS,A9270,Eucerin Original Healing,20.63,14.44,4754.0,5269.0,4
HCPCS,A9270,Eurax,1391.1999999999998,973.8399999999999,4754.0,5269.0,8
HCPCS,A9270,Exemestane,605.84,424.09000000000003,4754.0,5269.0,8
HCPCS,A9270,Exforge,1070.28,749.2,4754.0,5269.0,8
HCPCS,A9270,Eye-Stream,51.375,35.965,4754.0,5269.0,4
HCPCS,A9270,Ezetimibe,12.87,9.01,4754.0,5269.0,24
HCPCS,A9270,FLUoxetine,137.94,96.56,4754.0,5269.0,4
HCPCS,A9270,FLUoxetine HCl,24.205,16.945,4754.0,5269.0,44
HCPCS,A9270,Famciclovir,266.48,186.54,4754.0,5269.0,4
HCPCS,A9270,Famotidine,60.5,42.35,4754.0,5269.0,32
HCPCS,A9270,Fanapt,2749.73,1924.81,4754.0,5269.0,4
HCPCS,A9270,Farxiga,1649.26,1154.48,4754.0,5269.0,4
HCPCS,A9270,Felbatol,4244.35,2971.05,4754.0,5269.0,4
HCPCS,A9270,Felodipine,41.53,29.07,4754.0,5269.0,16
HCPCS,A9270,Femara,2240.21,1568.15,4754.0,5269.0,4
HCPCS,A9270,Fenofibrate,54.95,38.47,4754.0,5269.0,8
HCPCS,A9270,Ferrous Gluconate,18.7,13.09,4754.0,5269.0,12
HCPCS,A9270,Ferrous Sulfate,9.42,6.59,4754.0,5269.0,24
HCPCS,A9270,Ferrous Sulfate AvPak,10.22,7.15,4754.0,5269.0,4
HCPCS,A9270,Fetzima,1447.55,1013.29,4754.0,5269.0,8
HCPCS,A9270,FeverAll Children's,15.4,10.78,4754.0,5269.0,4
HCPCS,A9270,FeverAll Infants',15.4,10.78,4754.0,5269.0,4
HCPCS,A9270,FeverAll Jr. Strength,16.79,11.75,4754.0,5269.0,4
HCPCS,A9270,Fexofenadine HCl,30.665,21.465,4754.0,5269.0,12
HCPCS,A9270,Fexofenadine HCl-Pseudoephedrine HCl,512.88,359.02,4754.0,5269.0,4
HCPCS,A9270,Fibercon,25.74,18.02,4754.0,5269.0,4
HCPCS,A9270,Fidaxomicin,12367.08,8656.96,4754.0,5269.0,4
HCPCS,A9270,Finasteride,21.29,14.9,4754.0,5269.0,28
HCPCS,A9270,Finasteride AvPak,1.57,1.1,4754.0,5269.0,8
HCPCS,A9270,Firvanq,188.14000000000001,131.70000000000002,4754.0,5269.0,4
HCPCS,A9270,Flecainide Acetate,124.74000000000001,87.32,4754.0,5269.0,12
HCPCS,A9270,Fleet Enema,2.745,1.92,4754.0,5269.0,4
HCPCS,A9270,Fleet Glycerin Suppositories,2.17,1.52,4754.0,5269.0,4
HCPCS,A9270,Fleet Mineral Oil Enema,5.49,3.84,4754.0,5269.0,4
HCPCS,A9270,Florastor,77.97,54.58,4754.0,5269.0,8
HCPCS,A9270,Flovent HFA,753.03,527.12,4754.0,5269.0,4
HCPCS,A9270,Fluconazole,26.98,18.89,4754.0,5269.0,28
HCPCS,A9270,Flucytosine,2750.0,1925.0,4754.0,5269.0,12
HCPCS,A9270,Fludrocortisone Acetate,156.065,109.245,4754.0,5269.0,12
HCPCS,A9270,Flunisolide,164.87,115.41,4754.0,5269.0,4
HCPCS,A9270,Fluocinolone Acetonide,90.88499999999999,63.620000000000005,4754.0,5269.0,12
HCPCS,A9270,Fluocinonide,108.49000000000001,75.94,4754.0,5269.0,16
HCPCS,A9270,Fluorouracil,651.2,455.84,4754.0,5269.0,4
HCPCS,A9270,Flurazepam HCl,37.13,25.99,4754.0,5269.0,4
HCPCS,A9270,Flurbiprofen,163.35,114.35,4754.0,5269.0,4
HCPCS,A9270,Flurbiprofen Sodium,99.0,69.3,4754.0,5269.0,4
HCPCS,A9270,Flutamide,431.48,302.04,4754.0,5269.0,4
HCPCS,A9270,Fluticasone Propionate,35.86,25.1,4754.0,5269.0,16
HCPCS,A9270,Fluticasone Propionate HFA,427.2,299.04,4754.0,5269.0,12
HCPCS,A9270,Focalin,381.98,267.39,4754.0,5269.0,4
HCPCS,A9270,Focalin XR,1372.53,960.77,4754.0,5269.0,12
HCPCS,A9270,Folbic,190.83,133.58,4754.0,5269.0,4
HCPCS,A9270,Folic Acid,11.69,8.18,4754.0,5269.0,16
HCPCS,A9270,Foltx,96.03,67.22,4754.0,5269.0,4
HCPCS,A9270,Fosamax,64.97,45.48,4754.0,5269.0,4
HCPCS,A9270,Fosrenol,2971.74,2080.22,4754.0,5269.0,12
HCPCS,A9270,Foster & Thrive Children's Pain & Fever,6.82,4.77,4754.0,5269.0,4
HCPCS,A9270,Foster & Thrive Migraine Relief,11.14,7.8,4754.0,5269.0,4
HCPCS,A9270,Foster&Thrive Allergy Relief,7.35,5.145,4754.0,5269.0,12
HCPCS,A9270,Foster&Thrive Antacid,5.335,3.7350000000000003,4754.0,5269.0,4
HCPCS,A9270,Foster&Thrive Anti-Itch Cream,10.16,7.11,4754.0,5269.0,4
HCPCS,A9270,Foster&Thrive Antibiotic Ointment,6.88,4.82,4754.0,5269.0,4
HCPCS,A9270,Foster&Thrive Antifungal,6.03,4.22,4754.0,5269.0,4
HCPCS,A9270,Foster&Thrive Aspirin,4.68,3.28,4754.0,5269.0,8
HCPCS,A9270,Foster&Thrive Aspirin Low Dose,9.9,6.93,4754.0,5269.0,4
HCPCS,A9270,Foster&Thrive Caldyphen,10.23,7.16,4754.0,5269.0,4
HCPCS,A9270,Foster&Thrive Children's Allergy Relief,8.280000000000001,5.795,4754.0,5269.0,8
HCPCS,A9270,Foster&Thrive Children's Ibuprofen IB,9.51,6.66,4754.0,5269.0,4
HCPCS,A9270,Foster&Thrive Earwax Removal,6.609999999999999,4.625,4754.0,5269.0,4
HCPCS,A9270,Foster&Thrive Infants' Gas Relief,10.15,7.11,4754.0,5269.0,4
HCPCS,A9270,Foster&Thrive Lice Killing Shampoo,14.28,10.0,,,0
HCPCS,A9270,Foster&Thrive Magnesium Citrate,5.34,3.74,4754.0,5269.0,4
HCPCS,A9270,Foster&Thrive Mineral Oil,8.025,5.62,4754.0,5269.0,4
HCPCS,A9270,Foster&Thrive Mucus Relief,15.24,10.67,4754.0,5269.0,4
HCPCS,A9270,Foster&Thrive Nicotine Gum,46.59,32.61,4754.0,5269.0,4
HCPCS,A9270,Foster&Thrive Pain Reliever,10.815,7.569999999999999,4754.0,5269.0,4
HCPCS,A9270,Foster&Thrive Saline Nasal Spray,4.24,2.97,4754.0,5269.0,4
HCPCS,A9270,Foster&Thrive Selenium,13.48,9.44,4754.0,5269.0,4
HCPCS,A9270,Foster&Thrive Sleep Aid,10.65,7.46,4754.0,5269.0,4
HCPCS,A9270,Foster&Thrive Stay Awake,3.79,2.65,4754.0,5269.0,4
HCPCS,A9270,Foster&Thrive Tussin,7.47,5.23,4754.0,5269.0,4
HCPCS,A9270,Foster&Thrive Vitamin B-12,8.8,6.16,4754.0,5269.0,4
HCPCS,A9270,Foster&Thrive Vitamin B-6,9.08,6.36,4754.0,5269.0,4
HCPCS,A9270,Furosemide,18.975,13.285,4754.0,5269.0,68
HCPCS,A9270,Fycompa,1707.75,1195.43,4754.0,5269.0,4
HCPCS,A9270,Gabapentin,38.5,26.95,4754.0,5269.0,52
HCPCS,A9270,Gabitril,1696.75,1187.73,4754.0,5269.0,8
HCPCS,A9270,Galantamine,56.095,39.265,4754.0,5269.0,4
HCPCS,A9270,Galantamine HBr,419.68,293.78,4754.0,5269.0,4
HCPCS,A9270,Galantamine Hydrobromide,419.6,293.72,4754.0,5269.0,4
HCPCS,A9270,Gas Relief,3.0,2.1,,,0
HCPCS,A9270,Gatifloxacin,259.96,181.97,4754.0,5269.0,4
HCPCS,A9270,GaviLyte-G with Flavor Pack,66.0,46.2,4754.0,5269.0,4
HCPCS,A9270,GaviLyte-N with Flavor Pack,51.5,36.05,4754.0,5269.0,4
HCPCS,A9270,Gemfibrozil,29.54,20.68,4754.0,5269.0,12
HCPCS,A9270,Gemfibrozil AvPak,24.015,16.810000000000002,4754.0,5269.0,8
HCPCS,A9270,GenTeal,18.2,12.74,4754.0,5269.0,4
HCPCS,A9270,GenTeal Tears,14.415,10.09,4754.0,5269.0,4
HCPCS,A9270,Gentak,85.7,59.99,4754.0,5269.0,4
HCPCS,A9270,Gentamicin Sulfate,42.22,29.55,4754.0,5269.0,24
HCPCS,A9270,Genteal Tears,18.42,12.895,4754.0,5269.0,4
HCPCS,A9270,Gentle Laxative,4.279999999999999,2.995,4754.0,5269.0,4
HCPCS,A9270,Genvoya,5956.405,4169.485000000001,4754.0,5269.0,4
HCPCS,A9270,Glimepiride,11.28,7.9,4754.0,5269.0,16
HCPCS,A9270,Glucosamine-Chondroitin,30.86,21.6,4754.0,5269.0,4
HCPCS,A9270,Glutasolve,148.29,103.805,4754.0,5269.0,8
HCPCS,A9270,Glutose 15,8.17,5.720000000000001,4754.0,5269.0,8
HCPCS,A9270,Gly-Oxide,11.68,8.18,4754.0,5269.0,4
HCPCS,A9270,Glycerin,55.44,38.81,4754.0,5269.0,4
HCPCS,A9270,Glycerin Suppositories,9.44,6.609999999999999,4754.0,5269.0,4
HCPCS,A9270,Glycerin Suppositories Children's,2.61,1.83,,,0
HCPCS,A9270,Glycopyrrolate,32.73,22.91,4754.0,5269.0,16
HCPCS,A9270,Glydo,16.915,11.84,4754.0,5269.0,8
HCPCS,A9270,Glyset,830.5,581.35,4754.0,5269.0,4
HCPCS,A9270,Golytely,66.0,46.2,4754.0,5269.0,4
HCPCS,A9270,Good Neighbor Pharmacy Co Q10,15.35,10.75,4754.0,5269.0,4
HCPCS,A9270,Good Neighbor Pharmacy Glycerin,10.32,7.22,4754.0,5269.0,4
HCPCS,A9270,Granisetron Hydrochloride,30.32,21.225,4754.0,5269.0,8
HCPCS,A9270,Griseofulvin,68.75,48.13,4754.0,5269.0,4
HCPCS,A9270,Guaiatussin AC,29.53,20.67,4754.0,5269.0,4
HCPCS,A9270,HYDROcodone bitartrate-acetaminophen,2.38,1.67,4754.0,5269.0,44
HCPCS,A9270,HYDROmorphone HCl,26.860000000000003,18.799999999999997,4754.0,5269.0,24
HCPCS,A9270,Halobetasol Propionate,209.47000000000003,146.63,4754.0,5269.0,16
HCPCS,A9270,Haloperidol,3.12,2.18,4754.0,5269.0,48
HCPCS,A9270,Haloperidol Lactate,39.224999999999994,27.46,4754.0,5269.0,4
HCPCS,A9270,Harvoni,86625.0,60637.5,4754.0,5269.0,4
HCPCS,A9270,Health Mart Children's All Day Allergy,12.54,8.78,4754.0,5269.0,4
HCPCS,A9270,Health Mart Children's Ibuprofen,11.22,7.85,4754.0,5269.0,4
HCPCS,A9270,Health Mart Nicotine Polacrilex,1.0,0.7,,,0
HCPCS,A9270,Heath Mart Earwax Removal,5.94,4.16,4754.0,5269.0,4
HCPCS,A9270,Hemorrhoidal,7.22,5.05,4754.0,5269.0,4
HCPCS,A9270,HumuLIN R,0.43,0.3,,,0
HCPCS,A9270,Hurricaine,21.29,14.9,4754.0,5269.0,8
HCPCS,A9270,Hurricaine One,61.8,43.26,4754.0,5269.0,8
HCPCS,A9270,Hydrocortisone,9.07,6.35,4754.0,5269.0,52
HCPCS,A9270,Hydrocortisone Acetate,192.29999999999998,134.61,4754.0,5269.0,4
HCPCS,A9270,Hydrocortisone Acetate AvPak,48.985,34.29,4754.0,5269.0,8
HCPCS,A9270,Hydrocortisone Acetate-Pramoxine HCl,360.28,252.2,4754.0,5269.0,4
HCPCS,A9270,Hydrocortisone Valerate,525.03,367.52,4754.0,5269.0,4
HCPCS,A9270,Hydrocortisone/Neomycin/Polymyxin B,216.04500000000002,151.23,4754.0,5269.0,4
HCPCS,A9270,Hydrophor,26.22,18.35,4754.0,5269.0,4
HCPCS,A9270,Hydroxychloroquine Sulfate,345.4,241.78,4754.0,5269.0,12
HCPCS,A9270,Hyophen,741.95,519.37,4754.0,5269.0,4
HCPCS,A9270,Hyoscyamine Sulfate,123.75,86.63,4754.0,5269.0,8
HCPCS,A9270,Ibuprofen,23.38,16.37,4754.0,5269.0,56
HCPCS,A9270,Ibuprofen Children's,2.58,1.81,4754.0,5269.0,8
HCPCS,A9270,Imipramine HCl,29.7,20.79,4754.0,5269.0,12
HCPCS,A9270,Imitrex,1543.3,1080.31,4754.0,5269.0,4
HCPCS,A9270,Incassia,11.02,7.71,4754.0,5269.0,8
HCPCS,A9270,Incruse Ellipta,193.25,135.275,4754.0,5269.0,4
HCPCS,A9270,Indapamide,82.5,57.75,4754.0,5269.0,8
HCPCS,A9270,Indomethacin,52.53,36.77,4754.0,5269.0,8
HCPCS,A9270,Indomethacin AvPak,25.115,17.580000000000002,4754.0,5269.0,8
HCPCS,A9270,Infants' Simethicone Drops,6.03,4.22,4754.0,5269.0,4
HCPCS,A9270,Inspra,1219.85,853.9,4754.0,5269.0,4
HCPCS,A9270,Insulin Aspart FlexPen,67.07,46.95,,,0
HCPCS,A9270,Intelence,4119.06,2883.34,4754.0,5269.0,4
HCPCS,A9270,Intuniv,2671.35,1869.95,4754.0,5269.0,4
HCPCS,A9270,Invega,1547.79,1083.45,4754.0,5269.0,4
HCPCS,A9270,Invokana,1646.04,1152.23,4754.0,5269.0,4
HCPCS,A9270,Ipratropium Bromide,99.27000000000001,69.49000000000001,4754.0,5269.0,16
HCPCS,A9270,Irbesartan,30.28,21.2,4754.0,5269.0,28
HCPCS,A9270,Isentress,5728.8,4010.16,4754.0,5269.0,4
HCPCS,A9270,Isoniazid,321.75,225.23,4754.0,5269.0,32
HCPCS,A9270,Isosorbide Dinitrate,60.5,42.355000000000004,4754.0,5269.0,28
HCPCS,A9270,Isosorbide Dinitrate AvPak,57.295,40.11,4754.0,5269.0,8
HCPCS,A9270,Isosorbide Mononitrate,71.5,50.05,4754.0,5269.0,32
HCPCS,A9270,Isradipine,488.53999999999996,341.98,4754.0,5269.0,8
HCPCS,A9270,Itraconazole,137.53,96.27,4754.0,5269.0,4
HCPCS,A9270,Ivabradine,62.91,44.04,4754.0,5269.0,4
HCPCS,A9270,Ivermectin,227.76,159.43,4754.0,5269.0,8
HCPCS,A9270,Jantoven,1.7349999999999999,1.215,4754.0,5269.0,52
HCPCS,A9270,Janumet,907.5,635.25,4754.0,5269.0,8
HCPCS,A9270,Januvia,476.67,333.67,4754.0,5269.0,40
HCPCS,A9270,Jardiance,889.9150000000001,622.94,4754.0,5269.0,12
HCPCS,A9270,Jolessa,318.07,222.65,4754.0,5269.0,4
HCPCS,A9270,Junel Fe 1/20,59.14,41.4,4754.0,5269.0,4
HCPCS,A9270,Kaletra,2816.55,1971.59,4754.0,5269.0,4
HCPCS,A9270,Kariva,118.74,83.12,4754.0,5269.0,4
HCPCS,A9270,Kenalog,1456.52,1019.56,4754.0,5269.0,4
HCPCS,A9270,Kerlone,278.85,195.2,4754.0,5269.0,4
HCPCS,A9270,Kerr Insta-Char,82.5,57.75,4754.0,5269.0,4
HCPCS,A9270,Ketoconazole,68.73,48.11,4754.0,5269.0,28
HCPCS,A9270,Ketoprofen,138.05,96.64,4754.0,5269.0,12
HCPCS,A9270,Ketorolac Tromethamine,186.73,130.71,4754.0,5269.0,24
HCPCS,A9270,Ketotifen Fumarate,16.74,11.719999999999999,4754.0,5269.0,4
HCPCS,A9270,Klayesta,19.27,13.49,4754.0,5269.0,4
HCPCS,A9270,Klor-Con,13.6,9.52,4754.0,5269.0,8
HCPCS,A9270,Klor-Con 10,69.99499999999999,48.995,4754.0,5269.0,8
HCPCS,A9270,Klor-Con M20,2.6950000000000003,1.885,,,0
HCPCS,A9270,Klor-Con/EF,3.46,2.42,4754.0,5269.0,8
HCPCS,A9270,Konsyl,79.75,55.83,4754.0,5269.0,4
HCPCS,A9270,L-Arginine,10.18,7.13,4754.0,5269.0,4
HCPCS,A9270,LMX 4,110.17,77.12,4754.0,5269.0,4
HCPCS,A9270,LORazepam,17.465,12.23,4754.0,5269.0,56
HCPCS,A9270,LaMICtal,2083.13,1458.19,4754.0,5269.0,4
HCPCS,A9270,Labetalol HCl,78.93,55.25,4754.0,5269.0,28
HCPCS,A9270,Lacri-Lube S.O.P.,26.87,18.81,4754.0,5269.0,4
HCPCS,A9270,Lactaid Fast Act,15.84,11.09,4754.0,5269.0,4
HCPCS,A9270,Lactobacillus Acidophilus,7.98,5.59,4754.0,5269.0,4
HCPCS,A9270,Lactulose,5.04,3.53,4754.0,5269.0,24
HCPCS,A9270,Lansoprazole,49.5,34.65,4754.0,5269.0,12
HCPCS,A9270,Lanthanum Carbonate,1031.335,721.9350000000001,4754.0,5269.0,8
HCPCS,A9270,Lantus SoloStar Pen,46.26,32.38,,,0
HCPCS,A9270,Latanoprost,13.62,9.53,4754.0,5269.0,16
HCPCS,A9270,Latuda,3901.43,2731.0,4754.0,5269.0,8
HCPCS,A9270,Leflunomide,21.225,14.86,4754.0,5269.0,8
HCPCS,A9270,Lemon-Lime Flavor PEG-3350,67.2,47.04,,,0
HCPCS,A9270,Lescol XL,1126.38,788.47,4754.0,5269.0,4
HCPCS,A9270,Letrozole,12.875,9.014999999999999,4754.0,5269.0,4
HCPCS,A9270,Leucovorin Calcium,111.21,77.85,4754.0,5269.0,12
HCPCS,A9270,Levalbuterol Tartrate,162.16,113.51,4754.0,5269.0,4
HCPCS,A9270,Levobunolol HCl,38.315,26.82,4754.0,5269.0,8
HCPCS,A9270,Levocetirizine Dihydrochloride,82.42,57.69,4754.0,5269.0,4
HCPCS,A9270,Levothyroxine Sodium,25.99,18.19,4754.0,5269.0,144
HCPCS,A9270,Lexiva,2589.3450000000003,1812.545,4754.0,5269.0,8
HCPCS,A9270,Lialda,3089.13,2162.39,4754.0,5269.0,4
HCPCS,A9270,Lida Mantle HC,98.86,69.2,4754.0,5269.0,4
HCPCS,A9270,Lidex,250.64,175.45,4754.0,5269.0,4
HCPCS,A9270,Lidocaine,59.97,41.98,4754.0,5269.0,56
HCPCS,A9270,Lidocaine HCl,18.13,12.690000000000001,4754.0,5269.0,12
HCPCS,A9270,Lidocaine HCl Viscous,13.47,9.43,4754.0,5269.0,16
HCPCS,A9270,Lidocaine Novaplus,14.38,10.07,,,0
HCPCS,A9270,Lidocaine Viscous,8.97,6.28,,,0
HCPCS,A9270,Lidocaine-Prilocaine,22.55,15.79,4754.0,5269.0,24
HCPCS,A9270,Lindane,301.13,210.79,4754.0,5269.0,4
HCPCS,A9270,Linezolid,220.0,154.005,4754.0,5269.0,20
HCPCS,A9270,Linzess,52.07,36.45,4754.0,5269.0,8
HCPCS,A9270,Liothyronine Sodium,150.98,105.69,4754.0,5269.0,20
HCPCS,A9270,Lisinopril,14.58,10.21,4754.0,5269.0,52
HCPCS,A9270,Lisinopril/hydroCHLOROthiazide,38.78,27.15,4754.0,5269.0,4
HCPCS,A9270,Lithium Carbonate,36.85,25.8,4754.0,5269.0,32
HCPCS,A9270,Little Noses Decongestant Nose Drops,8.79,6.15,4754.0,5269.0,4
HCPCS,A9270,Livalo,2637.86,1846.5,4754.0,5269.0,4
HCPCS,A9270,Lodosyn,942.43,659.7,4754.0,5269.0,4
HCPCS,A9270,Lokelma,196.92,137.84,4754.0,5269.0,24
HCPCS,A9270,Loperamide HCl,2.34,1.64,4754.0,5269.0,12
HCPCS,A9270,Loratadine,33.0,23.1,4754.0,5269.0,20
HCPCS,A9270,Losartan Potassium,15.844999999999999,11.094999999999999,4754.0,5269.0,56
HCPCS,A9270,Losartan Potassium-hydroCHLOROthiazide,22.53,15.77,4754.0,5269.0,28
HCPCS,A9270,Lotemax,945.22,661.655,4754.0,5269.0,8
HCPCS,A9270,Lovastatin,45.790000000000006,32.05,4754.0,5269.0,20
HCPCS,A9270,Low Dose Aspirin,4.13,2.89,4754.0,5269.0,4
HCPCS,A9270,Loxapine Succinate,299.34,209.54000000000002,4754.0,5269.0,8
HCPCS,A9270,Lubriderm Daily Moisture,19.8,13.86,4754.0,5269.0,4
HCPCS,A9270,Lubrifresh P.M.,14.83,10.38,4754.0,5269.0,4
HCPCS,A9270,Lugol's Solution,77.42,54.19,,,0
HCPCS,A9270,Lugol's Strong Iodine,26.975,18.884999999999998,4754.0,5269.0,8
HCPCS,A9270,Lumigan,1328.6750000000002,930.075,4754.0,5269.0,4
HCPCS,A9270,Lunesta,1983.88,1388.72,4754.0,5269.0,4
HCPCS,A9270,Lybalvi,4529.75,3170.83,4754.0,5269.0,4
HCPCS,A9270,Lyrica,26.72,18.7,4754.0,5269.0,4
HCPCS,A9270,MCT Oil,176.91,123.84,4754.0,5269.0,8
HCPCS,A9270,MG 217 Medicated Tar,17.82,12.47,4754.0,5269.0,4
HCPCS,A9270,Mag-AL Plus XS,9.74,6.82,4754.0,5269.0,4
HCPCS,A9270,Magnesium Citrate,5.335,3.7350000000000003,,,0
HCPCS,A9270,Magnesium L-lactate Dihydrate,37.29,26.1,4754.0,5269.0,4
HCPCS,A9270,Magnesium Oxide,9.9,6.93,4754.0,5269.0,16
HCPCS,A9270,Malathion,609.74,426.82,4754.0,5269.0,4
HCPCS,A9270,Mapap Children's,3.06,2.14,4754.0,5269.0,4
HCPCS,A9270,Marlissa,32.11,22.48,4754.0,5269.0,8
HCPCS,A9270,Matzim LA,220.11,154.08,4754.0,5269.0,4
HCPCS,A9270,Mavik,273.9,191.73,4754.0,5269.0,4
HCPCS,A9270,Maxalt,1810.22,1267.15,4754.0,5269.0,4
HCPCS,A9270,Maxidex,189.75,132.83,4754.0,5269.0,4
HCPCS,A9270,Meclizine HCl,8.25,5.78,4754.0,5269.0,24
HCPCS,A9270,Medi-Pads,11.28,7.9,4754.0,5269.0,4
HCPCS,A9270,Mefloquine HCl,503.94,352.76,4754.0,5269.0,4
HCPCS,A9270,Megestrol Acetate,15.4,10.78,4754.0,5269.0,44
HCPCS,A9270,Melatonin,5.49,3.845,4754.0,5269.0,20
HCPCS,A9270,Melatonin AvPak,1.0,0.7,,,0
HCPCS,A9270,Meloxicam,6.0,4.2,4754.0,5269.0,4
HCPCS,A9270,Memantine HCl,33.66,23.56,4754.0,5269.0,28
HCPCS,A9270,Menthol,246.84,172.79,4754.0,5269.0,4
HCPCS,A9270,Mercaptopurine,217.94,152.56,4754.0,5269.0,4
HCPCS,A9270,Mesalamine,200.10500000000002,140.075,4754.0,5269.0,36
HCPCS,A9270,Mesnex,2161.26,1512.88,4754.0,5269.0,4
HCPCS,A9270,Mestinon Timespan,3383.41,2368.39,4754.0,5269.0,4
HCPCS,A9270,Metamucil MultiHealth Fiber,25.85,18.1,4754.0,5269.0,8
HCPCS,A9270,Metamucil MultiHealth Fiber Sugar-Free,15.725,11.01,4754.0,5269.0,8
HCPCS,A9270,Methadone HCl,49.265,34.485,4754.0,5269.0,20
HCPCS,A9270,Methenamine Hippurate,111.92,78.345,4754.0,5269.0,4
HCPCS,A9270,Methenamine Mandelate,618.75,433.125,4754.0,5269.0,8
HCPCS,A9270,Methocarbamol,68.75,48.13,4754.0,5269.0,20
HCPCS,A9270,Methyldopa,49.5,34.65,4754.0,5269.0,8
HCPCS,A9270,Methylergonovine Maleate,544.5,381.15,4754.0,5269.0,4
HCPCS,A9270,Methylphenidate HCl,112.535,78.775,4754.0,5269.0,40
HCPCS,A9270,Metoclopramide,14.85,10.4,4754.0,5269.0,32
HCPCS,A9270,Metoclopramide HCl,15.49,10.844999999999999,4754.0,5269.0,4
HCPCS,A9270,Metoprolol Succinate,25.58,17.91,4754.0,5269.0,52
HCPCS,A9270,Metoprolol Succinate AvPak,1.395,0.98,,,0
HCPCS,A9270,Metoprolol Tartrate,13.2,9.24,4754.0,5269.0,52
HCPCS,A9270,Metrogel,174.86,122.4,4754.0,5269.0,12
HCPCS,A9270,Mexiletine HCl,174.35,122.05,4754.0,5269.0,8
HCPCS,A9270,Mexitil,391.6,274.12,4754.0,5269.0,4
HCPCS,A9270,Micardis,385.69,269.98,4754.0,5269.0,12
HCPCS,A9270,Micardis HCT,385.69,269.98,4754.0,5269.0,4
HCPCS,A9270,Miconazole 3 Combination Pack,21.15,14.81,4754.0,5269.0,4
HCPCS,A9270,Miconazole 7,19.25,13.475,4754.0,5269.0,12
HCPCS,A9270,Miconazole Nitrate,6.03,4.22,4754.0,5269.0,4
HCPCS,A9270,Microgestin Fe 1/20,59.14,41.4,4754.0,5269.0,4
HCPCS,A9270,Micronized Colestipol Hydrochloride,347.16,243.01,4754.0,5269.0,4
HCPCS,A9270,Midazolam HCl,178.8,125.16,4754.0,5269.0,8
HCPCS,A9270,Midodrine HCl,39.875,27.915,4754.0,5269.0,32
HCPCS,A9270,Mili,29.42,20.59,4754.0,5269.0,8
HCPCS,A9270,Milk Of Magnesia,5.025,3.5199999999999996,4754.0,5269.0,12
HCPCS,A9270,Minerin Creme,6.984999999999999,4.89,4754.0,5269.0,4
HCPCS,A9270,Minocycline HCl,3.7,2.59,4754.0,5269.0,12
HCPCS,A9270,Minoxidil,57.75,40.43,4754.0,5269.0,12
HCPCS,A9270,Mintox,1.0,0.7,,,0
HCPCS,A9270,MiraLAX,34.1,23.87,4754.0,5269.0,4
HCPCS,A9270,Mirtazapine,33.045,23.134999999999998,4754.0,5269.0,52
HCPCS,A9270,Mixed Amphetamine Salts,192.5,134.75,4754.0,5269.0,24
HCPCS,A9270,Modafinil,33.0,23.1,4754.0,5269.0,8
HCPCS,A9270,Mometasone Furoate,189.075,132.355,4754.0,5269.0,16
HCPCS,A9270,Monsel's,47.379999999999995,33.165,4754.0,5269.0,4
HCPCS,A9270,Montelukast Sodium,29.29,20.5,4754.0,5269.0,24
HCPCS,A9270,Morphine Sulfate,37.665,26.37,4754.0,5269.0,80
HCPCS,A9270,Motegrity,1532.28,1072.6,4754.0,5269.0,4
HCPCS,A9270,Movantik,1200.05,840.04,4754.0,5269.0,4
HCPCS,A9270,Moxifloxacin HCl,15.0,10.5,4754.0,5269.0,4
HCPCS,A9270,Mucinex,2.44,1.71,4754.0,5269.0,16
HCPCS,A9270,Mucus Relief ER,2.45,1.72,,,0
HCPCS,A9270,Multaq,2227.5,1559.25,4754.0,5269.0,4
HCPCS,A9270,Multi-Vit With Fluoride,37.4,26.18,4754.0,5269.0,4
HCPCS,A9270,Multivitamin & Multimineral Liquid for Adults,41.07,28.75,4754.0,5269.0,4
HCPCS,A9270,Mupirocin,24.9,17.435,4754.0,5269.0,20
HCPCS,A9270,Muri-Lube,55.305,38.715,4754.0,5269.0,4
HCPCS,A9270,Muro-128,46.15,32.31,4754.0,5269.0,4
HCPCS,A9270,My Way,37.13,25.99,4754.0,5269.0,4
HCPCS,A9270,Myambutol,214.5,150.15,4754.0,5269.0,4
HCPCS,A9270,Mycobutin,5349.85,3744.9,4754.0,5269.0,4
HCPCS,A9270,NIFEdipine,90.615,63.43,4754.0,5269.0,28
HCPCS,A9270,NON-COVERED ITEM OR SERVICE,20.63,15.055,4754.0,5269.0,988
HCPCS,A9270,NP Thyroid,189.2,132.44,4754.0,5269.0,8
HCPCS,A9270,Nabumetone,178.75,125.13,4754.0,5269.0,4
HCPCS,A9270,Nadolol,44.0,30.8,4754.0,5269.0,12
HCPCS,A9270,Naltrexone HCl,173.87,121.71,4754.0,5269.0,8
HCPCS,A9270,Namenda XR,1278.09,894.66,4754.0,5269.0,4
HCPCS,A9270,Naphcon-A,21.58,15.11,4754.0,5269.0,4
HCPCS,A9270,Naproxen,23.38,16.37,4754.0,5269.0,24
HCPCS,A9270,Nasacort AQ,312.37,218.66,4754.0,5269.0,4
HCPCS,A9270,Nasal Decongestant,5.49,3.84,4754.0,5269.0,4
HCPCS,A9270,Natacyn,1953.375,1367.365,4754.0,5269.0,8
HCPCS,A9270,Nateglinide,120.785,84.55,4754.0,5269.0,8
HCPCS,A9270,Natural Acidophilus,8.53,5.97,4754.0,5269.0,4
HCPCS,A9270,Nature's Blend Oyster Shell Calcium w/Vitamin D3,12.65,8.86,4754.0,5269.0,4
HCPCS,A9270,Nature's Blend Vitamin B2,14.03,9.82,4754.0,5269.0,4
HCPCS,A9270,Nefazodone HCl,231.82999999999998,162.28,4754.0,5269.0,8
HCPCS,A9270,NeilMed Sinus Rinse,25.3,17.71,4754.0,5269.0,4
HCPCS,A9270,Neo-Synephrine,9.53,6.67,4754.0,5269.0,12
HCPCS,A9270,Neomycin Sulfate,305.25,213.68,4754.0,5269.0,4
HCPCS,A9270,Neomycin-Polymyxin B Sulfates-Bacitracin Zinc,109.86,76.9,4754.0,5269.0,4
HCPCS,A9270,Neosporin,11.88,8.32,4754.0,5269.0,4
HCPCS,A9270,Nephro-Vite Vitamin B and C Complex,32.45,22.72,4754.0,5269.0,4
HCPCS,A9270,Nephron FA,78.37,54.86,4754.0,5269.0,4
HCPCS,A9270,Neupro,1505.585,1053.91,4754.0,5269.0,12
HCPCS,A9270,Nevirapine,263.26,184.28,4754.0,5269.0,8
HCPCS,A9270,NexAVAR,35080.65,24556.46,4754.0,5269.0,4
HCPCS,A9270,NexIUM,757.11,529.98,4754.0,5269.0,8
HCPCS,A9270,Niacin,8.25,5.775,4754.0,5269.0,28
HCPCS,A9270,Niacinamide,7.98,5.59,4754.0,5269.0,4
HCPCS,A9270,Nicotine Polacrilex,63.83,44.68,4754.0,5269.0,8
HCPCS,A9270,Nicotine Transdermal System,35.44,24.805,4754.0,5269.0,40
HCPCS,A9270,Niravam,797.23,558.06,4754.0,5269.0,4
HCPCS,A9270,Nisoldipine,3619.55,2533.69,4754.0,5269.0,4
HCPCS,A9270,Nitazoxanide,2146.52,1502.56,4754.0,5269.0,4
HCPCS,A9270,Nitro-Bid,6.67,4.67,4754.0,5269.0,8
HCPCS,A9270,Nitrofurantoin Macrocrystals,165.83,116.08,4754.0,5269.0,16
HCPCS,A9270,Nitrofurantoin Monohydrate/Macrocrystals,3.78,2.65,4754.0,5269.0,8
HCPCS,A9270,Nitroglycerin,42.045,29.43,4754.0,5269.0,36
HCPCS,A9270,Nitroglycerin Transdermal System,30.25,21.18,4754.0,5269.0,16
HCPCS,A9270,Nitrostat,97.02,67.91,,,0
HCPCS,A9270,Nix Lice Treatment Creme Rinse,24.5,17.15,4754.0,5269.0,4
HCPCS,A9270,Nora-BE,68.46,47.92,4754.0,5269.0,8
HCPCS,A9270,Norethindrone Acetate,168.715,118.1,4754.0,5269.0,8
HCPCS,A9270,Nortriptyline HCl,53.9,37.73,4754.0,5269.0,24
HCPCS,A9270,NovoLIN R,1.74,1.22,,,0
HCPCS,A9270,NovoLOG FlexPen,67.07,46.95,,,0
HCPCS,A9270,NovoLOG Mix 70/30,3.39,2.37,,,0
HCPCS,A9270,Nucynta,3347.3,2343.11,4754.0,5269.0,4
HCPCS,A9270,Nuedexta,4327.95,3029.57,4754.0,5269.0,4
HCPCS,A9270,Nuzyra,4472.33,3130.63,4754.0,5269.0,12
HCPCS,A9270,Nystatin,33.295,23.305,4754.0,5269.0,56
HCPCS,A9270,Nystatin/Triamcinolone Acetonide,80.94,56.66,4754.0,5269.0,16
HCPCS,A9270,OLANZapine,15.39,10.775,4754.0,5269.0,96
HCPCS,A9270,OXcarbazepine,20.685000000000002,14.479999999999999,4754.0,5269.0,16
HCPCS,A9270,OXcarbazepine AvPak,4.45,3.12,4754.0,5269.0,8
HCPCS,A9270,Ocella,151.85,106.3,4754.0,5269.0,8
HCPCS,A9270,Odefsey,10551.67,7386.17,4754.0,5269.0,4
HCPCS,A9270,Ofloxacin,36.0,25.2,4754.0,5269.0,28
HCPCS,A9270,Olmesartan Medoxomil,38.76,27.13,4754.0,5269.0,4
HCPCS,A9270,Olopatadine HCl,20.77,14.54,4754.0,5269.0,8
HCPCS,A9270,Olumiant,7610.3,5327.21,4754.0,5269.0,8
HCPCS,A9270,Omega-3,20.05,14.04,4754.0,5269.0,4
HCPCS,A9270,Omega-3-Acid Ethyl Esters,80.52,56.36,4754.0,5269.0,12
HCPCS,A9270,Omeprazole,33.0,23.1,4754.0,5269.0,20
HCPCS,A9270,Ondansetron,20.22,14.15,4754.0,5269.0,32
HCPCS,A9270,Ondansetron HCl,24.55,17.185,4754.0,5269.0,24
HCPCS,A9270,Ondansetron Hydrochloride,2.31,1.62,,,0
HCPCS,A9270,Onglyza,1333.95,933.77,4754.0,5269.0,8
HCPCS,A9270,Opana ER,2758.8,1931.16,4754.0,5269.0,4
HCPCS,A9270,Opcon-A Allergy,14.48,10.14,4754.0,5269.0,4
HCPCS,A9270,Orphenadrine Citrate,270.88,189.62,4754.0,5269.0,4
HCPCS,A9270,Ortho Evra,207.82,145.47,4754.0,5269.0,4
HCPCS,A9270,Ortho Tri-Cyclen Lo,207.75,145.43,4754.0,5269.0,4
HCPCS,A9270,Ortikos,3300.0,2310.0,4754.0,5269.0,4
HCPCS,A9270,Oruvail,747.73,523.41,4754.0,5269.0,4
HCPCS,A9270,Os-Cal 500+D,36.39,25.47,4754.0,5269.0,4
HCPCS,A9270,Otezla,14640.12,10248.08,4754.0,5269.0,4
HCPCS,A9270,Otezla Starter Pack,14640.25,10248.18,4754.0,5269.0,4
HCPCS,A9270,Oxandrolone,1554.3,1088.01,4754.0,5269.0,12
HCPCS,A9270,Oxaprozin,806.03,564.22,4754.0,5269.0,4
HCPCS,A9270,OxyCONTIN,596.04,417.23,4754.0,5269.0,24
HCPCS,A9270,Oyster Shell Calcium,7.59,5.31,4754.0,5269.0,4
HCPCS,A9270,Oyster Shell Calcium Plus Vitamin D,5.5,3.85,4754.0,5269.0,4
HCPCS,A9270,Oyster Shell Calcium with Vitamin D3,13.29,9.305,4754.0,5269.0,4
HCPCS,A9270,PARoxetine HCl,16.5,11.55,4754.0,5269.0,24
HCPCS,A9270,PARoxetine HCl AvPak,46.635,32.645,4754.0,5269.0,8
HCPCS,A9270,PEG 3350,5.65,3.96,4754.0,5269.0,8
HCPCS,A9270,PEG 3350 And Electrolytes,49.5,34.650000000000006,4754.0,5269.0,8
HCPCS,A9270,PEG 3350/Sod Cl/Sod Bicarb and Pot Cl,154.0,107.8,4754.0,5269.0,4
HCPCS,A9270,PHENobarbital,71.43,50.0,4754.0,5269.0,32
HCPCS,A9270,PHOS-NaK,1.31,0.92,,,0
HCPCS,A9270,Pacerone,7.1899999999999995,5.035,4754.0,5269.0,16
HCPCS,A9270,Pain & Fever,5.74,4.02,4754.0,5269.0,4
HCPCS,A9270,Pain Relief,1.0,0.7,,,0
HCPCS,A9270,Pain Reliever Plus,7.43,5.2,4754.0,5269.0,4
HCPCS,A9270,Pamelor,1052.04,736.43,4754.0,5269.0,4
HCPCS,A9270,Pantoprazole Sodium,39.16,27.41,4754.0,5269.0,36
HCPCS,A9270,Parcopa,512.88,359.02,4754.0,5269.0,4
HCPCS,A9270,Paricalcitol,122.35,85.65,4754.0,5269.0,4
HCPCS,A9270,Pataday,513.26,359.28,4754.0,5269.0,4
HCPCS,A9270,Paxlovid 150MG;100MG Dose Pack,1.0,0.7,4754.0,5269.0,8
HCPCS,A9270,Paxlovid 300MG;100MG Dose Pack,206.22,144.355,4754.0,5269.0,12
HCPCS,A9270,Pedia-Lax,3.82,2.67,4754.0,5269.0,4
HCPCS,A9270,Penicillin V Potassium,55.275,38.695,4754.0,5269.0,20
HCPCS,A9270,Penicillin VK,31.9,22.33,4754.0,5269.0,20
HCPCS,A9270,Pentasa,1031.03,721.72,4754.0,5269.0,8
HCPCS,A9270,Pentoxifylline,116.33,81.43,4754.0,5269.0,4
HCPCS,A9270,Pepcid Complete,24.27,16.99,4754.0,5269.0,4
HCPCS,A9270,Pepto-Bismol,6.82,4.77,4754.0,5269.0,4
HCPCS,A9270,Perindopril Erbumine,158.125,110.69,4754.0,5269.0,8
HCPCS,A9270,Permethrin,237.6,166.32,4754.0,5269.0,12
HCPCS,A9270,Perphenazine,83.6,58.52,4754.0,5269.0,16
HCPCS,A9270,Phenaseptic,7.79,5.45,4754.0,5269.0,4
HCPCS,A9270,Phenazopyridine HCl,81.125,56.79,4754.0,5269.0,24
HCPCS,A9270,Phenelzine Sulfate,109.73,76.81,4754.0,5269.0,4
HCPCS,A9270,Phenoxybenzamine HCl,7562.5,5293.75,4754.0,5269.0,4
HCPCS,A9270,Phenytoin,65.83,46.08,4754.0,5269.0,32
HCPCS,A9270,Phenytoin Sodium Extended,68.2,47.74,4754.0,5269.0,8
HCPCS,A9270,Phospha 250 Neutral,47.43,33.2,4754.0,5269.0,4
HCPCS,A9270,Phosphorous,93.23,65.26,4754.0,5269.0,4
HCPCS,A9270,Phytonadione,2088.9449999999997,1462.26,4754.0,5269.0,20
HCPCS,A9270,Pifeltro,5059.73,3541.81,4754.0,5269.0,4
HCPCS,A9270,Pilocarpine HCl,204.03,142.82,4754.0,5269.0,28
HCPCS,A9270,Pindolol,290.4,203.28,4754.0,5269.0,4
HCPCS,A9270,Pioglitazone,13.04,9.13,4754.0,5269.0,16
HCPCS,A9270,Pioglitazone HCl,36.965,25.880000000000003,4754.0,5269.0,8
HCPCS,A9270,Piroxicam,445.09,311.565,4754.0,5269.0,8
HCPCS,A9270,Plan B One-Step,89.38,62.57,4754.0,5269.0,4
HCPCS,A9270,Polycitra-K,87.16,61.01,4754.0,5269.0,4
HCPCS,A9270,Polyethylene Glycol 3350,3.575,2.505,4754.0,5269.0,8
HCPCS,A9270,Polymyxin B Sulfate/Trimethoprim,25.91,18.14,4754.0,5269.0,4
HCPCS,A9270,Polymyxin B/Trimethoprim Sulfate,28.47,19.93,4754.0,5269.0,8
HCPCS,A9270,Polysporin,13.83,9.68,4754.0,5269.0,4
HCPCS,A9270,Polyvinyl Alcohol,14.73,10.31,4754.0,5269.0,12
HCPCS,A9270,Posaconazole,3610.53,2527.37,4754.0,5269.0,4
HCPCS,A9270,Potassium Chloride,20.88,14.62,4754.0,5269.0,48
HCPCS,A9270,Potassium Citrate,111.79,78.255,4754.0,5269.0,8
HCPCS,A9270,Potassium Iodide,913.94,639.76,4754.0,5269.0,4
HCPCS,A9270,Pradaxa,15.88,11.12,4754.0,5269.0,16
HCPCS,A9270,Pramipexole Dihydrochloride,14.74,10.319999999999999,4754.0,5269.0,20
HCPCS,A9270,Prasugrel,68.07,47.65,4754.0,5269.0,4
HCPCS,A9270,Pravastatin Sodium,51.980000000000004,36.385,4754.0,5269.0,44
HCPCS,A9270,Praziquantel,1096.1,767.27,4754.0,5269.0,4
HCPCS,A9270,Prazosin HCl,33.28,23.3,4754.0,5269.0,28
HCPCS,A9270,Pred Mild,441.1,308.77,4754.0,5269.0,4
HCPCS,A9270,Pregabalin,9.08,6.355,4754.0,5269.0,52
HCPCS,A9270,Premarin,1944.53,1361.17,4754.0,5269.0,16
HCPCS,A9270,Premarin Vaginal,1267.37,887.16,4754.0,5269.0,4
HCPCS,A9270,Premphase,268.5,187.95,4754.0,5269.0,4
HCPCS,A9270,Prempro,437.865,306.505,4754.0,5269.0,12
HCPCS,A9270,Prenatal Plus Vitamins,99.0,69.3,4754.0,5269.0,4
HCPCS,A9270,Prepidil,1557.98,1090.59,4754.0,5269.0,4
HCPCS,A9270,Prevacid,2108.7599999999998,1476.135,4754.0,5269.0,8
HCPCS,A9270,Prevacid SoluTab,1921.62,1345.135,4754.0,5269.0,8
HCPCS,A9270,Prevident,52.06,36.44,4754.0,5269.0,4
HCPCS,A9270,Prezcobix,6783.48,4748.44,4754.0,5269.0,4
HCPCS,A9270,Prezista,5934.89,4154.42,4754.0,5269.0,4
HCPCS,A9270,PriLOSEC OTC,27.61,19.33,4754.0,5269.0,4
HCPCS,A9270,Priftin,170.675,119.47,4754.0,5269.0,8
HCPCS,A9270,Primaquine Phosphate,465.29999999999995,325.71500000000003,4754.0,5269.0,8
HCPCS,A9270,Primidone,66.83,46.78,4754.0,5269.0,12
HCPCS,A9270,Probenecid,163.35,114.35,4754.0,5269.0,8
HCPCS,A9270,Probiotic,55.0,38.5,4754.0,5269.0,4
HCPCS,A9270,Procardia XL,1014.48,710.14,4754.0,5269.0,12
HCPCS,A9270,Prochlorperazine Maleate,95.98,67.19,4754.0,5269.0,16
HCPCS,A9270,Prochlorperazine Maleate AvPak,2.87,2.01,,,0
HCPCS,A9270,Proctofoam-HC,534.55,374.19,4754.0,5269.0,4
HCPCS,A9270,Progesterone,1258.95,881.265,4754.0,5269.0,8
HCPCS,A9270,Proglycem,1338.15,936.71,4754.0,5269.0,4
HCPCS,A9270,Promacta,30235.760000000002,21165.03,4754.0,5269.0,8
HCPCS,A9270,Promethazine HCl,23.4,16.38,4754.0,5269.0,24
HCPCS,A9270,Promethegan,603.425,422.395,4754.0,5269.0,8
HCPCS,A9270,Propafenone HCl,64.08,44.86,4754.0,5269.0,12
HCPCS,A9270,Propranolol HCl,69.85,48.9,4754.0,5269.0,52
HCPCS,A9270,Propranolol Hydrochloride AvPak,7.08,4.96,4754.0,5269.0,16
HCPCS,A9270,Propylene Glycol,74.96000000000001,52.47,4754.0,5269.0,8
HCPCS,A9270,Propylthiouracil,204.19,142.935,4754.0,5269.0,8
HCPCS,A9270,Protriptyline HCl,1313.95,919.77,4754.0,5269.0,4
HCPCS,A9270,Proventil HFA,191.36,133.95,,,0
HCPCS,A9270,Prucalopride,157.41,110.19,4754.0,5269.0,4
HCPCS,A9270,Pulmicort Flexhaler,727.65,509.36,4754.0,5269.0,4
HCPCS,A9270,Pyrazinamide,934.36,654.05,4754.0,5269.0,12
HCPCS,A9270,QUEtiapine,1.0,0.7,,,0
HCPCS,A9270,QUEtiapine Fumarate,28.549999999999997,19.985,4754.0,5269.0,60
HCPCS,A9270,Qelbree,1038.1,726.67,4754.0,5269.0,4
HCPCS,A9270,Quinapril,41.34,28.94,4754.0,5269.0,8
HCPCS,A9270,Quinapril HCl,134.15,93.905,4754.0,5269.0,8
HCPCS,A9270,RABEprazole Sodium,38.78,27.15,4754.0,5269.0,4
HCPCS,A9270,Raloxifene HCl,53.63,37.54,4754.0,5269.0,8
HCPCS,A9270,Ramipril,57.614999999999995,40.335,4754.0,5269.0,28
HCPCS,A9270,Refresh Plus,37.95,26.57,4754.0,5269.0,4
HCPCS,A9270,Regonol,92.84,64.99,4754.0,5269.0,8
HCPCS,A9270,Relenza,162.25,113.58,4754.0,5269.0,4
HCPCS,A9270,Relpax,1332.68,932.88,4754.0,5269.0,8
HCPCS,A9270,Rena-Vite,18.7,13.09,4754.0,5269.0,4
HCPCS,A9270,Rena-Vite Rx,26.9,18.830000000000002,4754.0,5269.0,4
HCPCS,A9270,RenaPlex-D,33.0,23.1,4754.0,5269.0,4
HCPCS,A9270,Renagel,3681.32,2576.92,4754.0,5269.0,4
HCPCS,A9270,Renal Caps,129.53,90.67,4754.0,5269.0,4
HCPCS,A9270,Repaglinide,55.0,38.5,4754.0,5269.0,12
HCPCS,A9270,Restasis,887.7,621.39,4754.0,5269.0,4
HCPCS,A9270,Rexulti,4168.15,2917.71,4754.0,5269.0,4
HCPCS,A9270,Rhopressa,848.815,594.17,4754.0,5269.0,4
HCPCS,A9270,Ribavirin,283.21,198.25,4754.0,5269.0,4
HCPCS,A9270,Rifabutin,3656.2650000000003,2559.385,4754.0,5269.0,8
HCPCS,A9270,Riluzole,109.73,76.81,4754.0,5269.0,4
HCPCS,A9270,Risedronate Sodium,137.5,96.255,4754.0,5269.0,8
HCPCS,A9270,Ritalin LA,3559.605,2491.7250000000004,4754.0,5269.0,12
HCPCS,A9270,Rivastigmine Tartrate,54.95,38.47,4754.0,5269.0,16
HCPCS,A9270,Rizatriptan Benzoate,16.7,11.69,4754.0,5269.0,8
HCPCS,A9270,Rms,37.0,25.9,4754.0,5269.0,4
HCPCS,A9270,Robafen DM,3.25,2.28,4754.0,5269.0,4
HCPCS,A9270,Robitussin Head & Chest Congestion PE,11.36,7.95,4754.0,5269.0,4
HCPCS,A9270,Rosuvastatin,33.25,23.28,4754.0,5269.0,12
HCPCS,A9270,Rosuvastatin Calcium,18.57,13.0,4754.0,5269.0,28
HCPCS,A9270,Rozerem,1069.86,748.9,4754.0,5269.0,4
HCPCS,A9270,Rx Choice Ferrous Sulfate Iron Supplement,11.69,8.18,4754.0,5269.0,4
HCPCS,A9270,Rythmol SR,2275.765,1593.0349999999999,4754.0,5269.0,8
HCPCS,A9270,SPS Suspension,68.15,47.71,4754.0,5269.0,8
HCPCS,A9270,SSD,34.1,23.87,4754.0,5269.0,8
HCPCS,A9270,SUMAtriptan Succinate,8.25,5.78,4754.0,5269.0,16
HCPCS,A9270,Saccharomyces Boulardii,96.67,67.67,4754.0,5269.0,4
HCPCS,A9270,Sacubitril-Valsartan,343.78,240.64499999999998,4754.0,5269.0,24
HCPCS,A9270,Saline,4.24,2.97,4754.0,5269.0,4
HCPCS,A9270,Samsca,14305.42,10013.79,4754.0,5269.0,4
HCPCS,A9270,Sanctura,402.27,281.59,4754.0,5269.0,4
HCPCS,A9270,Sancuso,1821.11,1274.78,4754.0,5269.0,4
HCPCS,A9270,Santyl,873.02,611.11,4754.0,5269.0,4
HCPCS,A9270,Saphris,2022.6,1415.82,4754.0,5269.0,8
HCPCS,A9270,Selegiline HCl,123.385,86.37,4754.0,5269.0,4
HCPCS,A9270,Selenium,4.95,3.47,4754.0,5269.0,4
HCPCS,A9270,Selenium Sulfide,27.39,19.17,4754.0,5269.0,4
HCPCS,A9270,Selzentry,3667.46,2567.225,4754.0,5269.0,8
HCPCS,A9270,Senna,5.5,3.85,4754.0,5269.0,8
HCPCS,A9270,Senna-Lax,6.14,4.3,4754.0,5269.0,4
HCPCS,A9270,Senna-Time S,20.54,14.38,,,0
HCPCS,A9270,Sennosides/Docusate Sodium,1.0,0.7,,,0
HCPCS,A9270,Serevent Diskus,1164.57,815.2,4754.0,5269.0,4
HCPCS,A9270,Sertraline,6.07,4.25,4754.0,5269.0,8
HCPCS,A9270,Sertraline HCl,29.29,20.505,4754.0,5269.0,40
HCPCS,A9270,Sevelamer Carbonate,30.24,21.17,4754.0,5269.0,40
HCPCS,A9270,Sevelamer Carbonate AvPak,9.55,6.69,,,0
HCPCS,A9270,Sildenafil,24.75,17.33,4754.0,5269.0,8
HCPCS,A9270,Silvadene,21.45,15.02,4754.0,5269.0,4
HCPCS,A9270,Silver sulfADIAZINE,27.93,19.549999999999997,4754.0,5269.0,16
HCPCS,A9270,Simbrinza,580.83,406.58,4754.0,5269.0,4
HCPCS,A9270,Simethicone,7.425,5.2,4754.0,5269.0,20
HCPCS,A9270,Simple Syrup,39.03,27.32,4754.0,5269.0,8
HCPCS,A9270,Simvastatin,28.345,19.84,4754.0,5269.0,40
HCPCS,A9270,Sirolimus,1953.715,1367.6,4754.0,5269.0,20
HCPCS,A9270,Sitagliptin,220.03,154.02,4754.0,5269.0,4
HCPCS,A9270,Sivextro,6374.45,4462.12,4754.0,5269.0,4
HCPCS,A9270,Sodium Bicarbonate,41.8,29.26,4754.0,5269.0,12
HCPCS,A9270,Sodium Chloride,27.215,19.05,4754.0,5269.0,12
HCPCS,A9270,Sodium Chloride Hypertonicity,12.05,8.44,4754.0,5269.0,4
HCPCS,A9270,Sodium Chloride Tablets,11.5,8.05,4754.0,5269.0,4
HCPCS,A9270,Sodium Chloride/Sodium Bicarbonate,41.33,28.93,4754.0,5269.0,4
HCPCS,A9270,Sodium Polystyrene Sulfonate,188.53,131.97,4754.0,5269.0,4
HCPCS,A9270,Sodium Sulfacetamide-Sulfur,322.13,225.49,4754.0,5269.0,8
HCPCS,A9270,Sorbitol,7.92,5.54,4754.0,5269.0,4
HCPCS,A9270,Sore Throat Lozenges,4.4399999999999995,3.11,4754.0,5269.0,4
HCPCS,A9270,Sore Throat Spray,6.385,4.47,4754.0,5269.0,4
HCPCS,A9270,Soriatane,1291.05,903.74,4754.0,5269.0,4
HCPCS,A9270,Sotalol HCl,82.75,57.925,4754.0,5269.0,12
HCPCS,A9270,Sotret,561.5,393.05,4754.0,5269.0,4
HCPCS,A9270,Spironolactone,7.935,5.555,4754.0,5269.0,28
HCPCS,A9270,Sprycel,55680.57,38976.4,4754.0,5269.0,8
HCPCS,A9270,St. Joseph,7.13,4.99,4754.0,5269.0,4
HCPCS,A9270,Stavudine,258.06,180.64,4754.0,5269.0,4
HCPCS,A9270,Stimulant Laxative Plus Stool Softener,46.75,32.73,4754.0,5269.0,4
HCPCS,A9270,Stiolto Respimat Institutional Pack 10ACT,193.125,135.19,4754.0,5269.0,4
HCPCS,A9270,Stomach Relief,5.33,3.7350000000000003,4754.0,5269.0,4
HCPCS,A9270,Stool Softener w/Laxative,35.75,25.03,4754.0,5269.0,4
HCPCS,A9270,Stool Softener with Laxative,4.95,3.47,4754.0,5269.0,8
HCPCS,A9270,Strattera,1134.375,794.065,4754.0,5269.0,20
HCPCS,A9270,Stratuscare,16.37,11.46,4754.0,5269.0,4
HCPCS,A9270,Stratuscare Adult Glycerin Suppositories,5.38,3.77,4754.0,5269.0,4
HCPCS,A9270,Stress Formula Vitamins,4.71,3.295,4754.0,5269.0,4
HCPCS,A9270,Stribild,12162.4,8513.68,4754.0,5269.0,4
HCPCS,A9270,Sucralfate,35.86,25.1,4754.0,5269.0,36
HCPCS,A9270,Sudogest,5.78,4.05,4754.0,5269.0,8
HCPCS,A9270,Sular,59.7,41.79,4754.0,5269.0,4
HCPCS,A9270,Sulfacetamide Sodium,85.94,60.16,4754.0,5269.0,12
HCPCS,A9270,Sulfamethoxazole/Trimethoprim,17.33,12.13,4754.0,5269.0,24
HCPCS,A9270,Sulfamethoxazole/Trimethoprim DS,36.665,25.665000000000003,4754.0,5269.0,8
HCPCS,A9270,Sulfamylon,106.59,74.61,4754.0,5269.0,4
HCPCS,A9270,Sulfatrim Pediatric,104.06,72.84,4754.0,5269.0,4
HCPCS,A9270,Sulindac,69.715,48.805,4754.0,5269.0,8
HCPCS,A9270,Sunmark All Day Allergy,18.375,12.865,4754.0,5269.0,4
HCPCS,A9270,Sunmark Antacid,7.84,5.49,4754.0,5269.0,4
HCPCS,A9270,Sunmark Anti-Diarrheal,9.57,6.7,4754.0,5269.0,4
HCPCS,A9270,Sunmark Anti-Itch,6.49,4.54,4754.0,5269.0,4
HCPCS,A9270,Sunmark Aspirin,1.0,0.7,,,0
HCPCS,A9270,Sunmark Loratadine,1.0,0.7,,,0
HCPCS,A9270,Sunmark Miconazole 7,20.55,14.39,4754.0,5269.0,4
HCPCS,A9270,Sunmark Migraine Relief,11.14,7.8,4754.0,5269.0,4
HCPCS,A9270,Sunmark Mineral Oil,9.11,6.38,4754.0,5269.0,4
HCPCS,A9270,Sunmark Nicotine Transdermal System,29.105,20.37,4754.0,5269.0,8
HCPCS,A9270,Sunmark Pain Reliever,1.0,0.7,,,0
HCPCS,A9270,Sunmark Tussin DM,5.2,3.64,4754.0,5269.0,4
HCPCS,A9270,Sutent,26572.39,18600.675,4754.0,5269.0,8
HCPCS,A9270,Symbicort 160/4.5,437.8,306.46,4754.0,5269.0,8
HCPCS,A9270,Symbicort 80/4.5,356.39,249.47500000000002,4754.0,5269.0,4
HCPCS,A9270,Symbyax,1106.33,774.43,4754.0,5269.0,4
HCPCS,A9270,Symproic,690.355,483.25,4754.0,5269.0,4
HCPCS,A9270,Sympt-X G.I.,222.75,155.93,4754.0,5269.0,4
HCPCS,A9270,Synthroid,229.845,160.89,4754.0,5269.0,4
HCPCS,A9270,Systane Ultra,5.59,3.91,4754.0,5269.0,4
HCPCS,A9270,TEGretol-XR,416.35,291.45,4754.0,5269.0,4
HCPCS,A9270,Tab-A-Vite,5.725,4.01,4754.0,5269.0,4
HCPCS,A9270,Tab-A-Vite Multivitamin,15.625,10.94,4754.0,5269.0,4
HCPCS,A9270,Taclonex,1167.05,816.94,4754.0,5269.0,4
HCPCS,A9270,Tacrolimus,233.73000000000002,163.615,4754.0,5269.0,12
HCPCS,A9270,Tamoxifen Citrate,47.195,33.035,4754.0,5269.0,12
HCPCS,A9270,Tamsulosin HCl,44.415000000000006,31.095,4754.0,5269.0,20
HCPCS,A9270,Tamsulosin HCl AvPak,20.095,14.065,4754.0,5269.0,8
HCPCS,A9270,Tarceva,20548.03,14383.62,4754.0,5269.0,12
HCPCS,A9270,Tasmar,29338.41,20536.89,4754.0,5269.0,4
HCPCS,A9270,Telmisartan,52.265,36.585,4754.0,5269.0,8
HCPCS,A9270,Temazepam,25.58,17.91,4754.0,5269.0,16
HCPCS,A9270,Terazosin HCl,25.25,17.675,4754.0,5269.0,12
HCPCS,A9270,Terazosin HCl AvPak,58.98,41.285000000000004,4754.0,5269.0,8
HCPCS,A9270,Terbinafine HCl,17.7,12.39,4754.0,5269.0,8
HCPCS,A9270,Terbutaline Sulfate,522.5,365.75,4754.0,5269.0,8
HCPCS,A9270,Terconazole,99.06,69.34,4754.0,5269.0,4
HCPCS,A9270,Tetracaine HCl,34.95,24.465,4754.0,5269.0,4
HCPCS,A9270,Tetracycline HCl,462.69,323.885,4754.0,5269.0,8
HCPCS,A9270,Thalomid,119198.12,83438.685,4754.0,5269.0,8
HCPCS,A9270,Theo-24,1063.98,744.79,4754.0,5269.0,4
HCPCS,A9270,Theophylline,28.9,20.23,4754.0,5269.0,28
HCPCS,A9270,Thera,6.965,4.875,4754.0,5269.0,4
HCPCS,A9270,Thera-M Plus Multivitamin,24.67,17.27,4754.0,5269.0,4
HCPCS,A9270,Thioridazine HCl,146.03,102.22,4754.0,5269.0,28
HCPCS,A9270,Thiothixene,523.88,366.72,4754.0,5269.0,12
HCPCS,A9270,Thyroid,171.05,119.74,4754.0,5269.0,4
HCPCS,A9270,Tiadylt ER,153.95,107.77,4754.0,5269.0,4
HCPCS,A9270,Tiazac,652.66,456.86,4754.0,5269.0,4
HCPCS,A9270,Ticagrelor,106.43,74.5,4754.0,5269.0,8
HCPCS,A9270,Timolol Maleate,23.16,16.21,4754.0,5269.0,28
HCPCS,A9270,TissueBlue,446.05,312.24,4754.0,5269.0,8
HCPCS,A9270,Tivicay,3287.385,2301.17,4754.0,5269.0,4
HCPCS,A9270,Tobradex,735.37,514.76,4754.0,5269.0,4
HCPCS,A9270,Tobramycin,23.035,16.125,4754.0,5269.0,8
HCPCS,A9270,Tobramycin/dexAMETHasone,97.67500000000001,68.375,4754.0,5269.0,16
HCPCS,A9270,Tobrex,770.0,539.0,4754.0,5269.0,4
HCPCS,A9270,Tolnaftate,7.865,5.505,4754.0,5269.0,8
HCPCS,A9270,Tolterodine Tartrate,47.235,33.065,4754.0,5269.0,16
HCPCS,A9270,Topex Anesthetic,39.315,27.52,4754.0,5269.0,4
HCPCS,A9270,Topiramate,17.165,12.015,4754.0,5269.0,44
HCPCS,A9270,Torsemide,126.32499999999999,88.425,4754.0,5269.0,20
HCPCS,A9270,Toviaz,797.37,558.16,4754.0,5269.0,4
HCPCS,A9270,Tradjenta,4332.0,3032.4,4754.0,5269.0,8
HCPCS,A9270,Tranexamic Acid,220.03,154.02,4754.0,5269.0,4
HCPCS,A9270,Travoprost,379.15,265.41,4754.0,5269.0,12
HCPCS,A9270,Trelegy Ellipta,868.18,607.73,4754.0,5269.0,12
HCPCS,A9270,Tretinoin,435.11,304.58,4754.0,5269.0,24
HCPCS,A9270,Tri-Linyah,65.15,45.61,4754.0,5269.0,8
HCPCS,A9270,Tri-Lo-Sprintec,128.21,89.75,4754.0,5269.0,4
HCPCS,A9270,TriLyte with Flavor Packs,66.0,46.2,4754.0,5269.0,4
HCPCS,A9270,Triamcinolone Acetonide,15.56,10.89,4754.0,5269.0,104
HCPCS,A9270,Triamterene/hydroCHLOROthiazide,67.925,47.55,4754.0,5269.0,16
HCPCS,A9270,Triazolam,2017.13,1411.99,4754.0,5269.0,8
HCPCS,A9270,Trifluridine,447.225,313.06,4754.0,5269.0,8
HCPCS,A9270,Trihexyphenidyl HCl,21.125,14.79,4754.0,5269.0,8
HCPCS,A9270,Trimethobenzamide HCl,359.98,251.99,4754.0,5269.0,4
HCPCS,A9270,Trimo-San,78.9,55.23,4754.0,5269.0,4
HCPCS,A9270,Trintellix,727.5150000000001,509.26,4754.0,5269.0,4
HCPCS,A9270,Triple Antibiotic,5.51,3.86,4754.0,5269.0,16
HCPCS,A9270,Triple Antibiotic Ointment,26.64,18.650000000000002,4754.0,5269.0,4
HCPCS,A9270,Trizivir,3685.77,2580.04,4754.0,5269.0,4
HCPCS,A9270,Trospium Chloride,131.01,91.71,4754.0,5269.0,4
HCPCS,A9270,Trulicity,678.7,475.09,4754.0,5269.0,8
HCPCS,A9270,Tudorza Pressair,1237.5,866.25,4754.0,5269.0,4
HCPCS,A9270,Tusnel Diabetic,16.23,11.36,4754.0,5269.0,4
HCPCS,A9270,Tylenol,19.8,13.86,4754.0,5269.0,4
HCPCS,A9270,Ubrelvy,1640.8400000000001,1148.5900000000001,4754.0,5269.0,16
HCPCS,A9270,Uloric,907.59,635.31,4754.0,5269.0,4
HCPCS,A9270,Ultram ER,305.5,213.85,4754.0,5269.0,4
HCPCS,A9270,Ultravate,189.38,132.57,4754.0,5269.0,4
HCPCS,A9270,Uptravi,65640.14,45948.1,4754.0,5269.0,4
HCPCS,A9270,Urea,36.89,25.825,4754.0,5269.0,8
HCPCS,A9270,Uroqid-Acid No. 2,133.65,93.56,4754.0,5269.0,4
HCPCS,A9270,Urso 250,1514.43,1060.1,4754.0,5269.0,4
HCPCS,A9270,Ursodiol,240.625,168.44,4754.0,5269.0,16
HCPCS,A9270,VESIcare,1060.13,742.09,4754.0,5269.0,4
HCPCS,A9270,Valcyte,2942.97,2060.08,4754.0,5269.0,4
HCPCS,A9270,Valproic Acid,5.94,4.16,4754.0,5269.0,12
HCPCS,A9270,Valsartan,21.87,15.31,4754.0,5269.0,24
HCPCS,A9270,Vancomycin HCl,206.25,144.375,4754.0,5269.0,32
HCPCS,A9270,Varenicline,261.19,182.83,4754.0,5269.0,4
HCPCS,A9270,Veltassa,358.555,250.99,4754.0,5269.0,12
HCPCS,A9270,Vemlidy,2156.795,1509.755,4754.0,5269.0,4
HCPCS,A9270,Vendaje Human Amnion Tissue Allograft,5.28,3.7,4754.0,5269.0,16
HCPCS,A9270,Venlafaxine HCl,27.915,19.54,4754.0,5269.0,64
HCPCS,A9270,Ventolin HFA,109.64999999999999,76.755,4754.0,5269.0,8
HCPCS,A9270,Verapamil HCl,87.03999999999999,60.93,4754.0,5269.0,44
HCPCS,A9270,Viagra,7212.81,5048.97,4754.0,5269.0,4
HCPCS,A9270,Viokace,1161.88,813.32,4754.0,5269.0,4
HCPCS,A9270,Viracept,3338.695,2337.09,4754.0,5269.0,8
HCPCS,A9270,Viramune,539.88,377.92,4754.0,5269.0,4
HCPCS,A9270,Virazole,274573.7,192201.59,4754.0,5269.0,4
HCPCS,A9270,Visine Dry Eye Relief,16.305,11.415,4754.0,5269.0,4
HCPCS,A9270,Visken,297.0,207.9,4754.0,5269.0,4
HCPCS,A9270,Vitamin A,11.55,8.09,4754.0,5269.0,4
HCPCS,A9270,Vitamin B1,9.350000000000001,6.545,4754.0,5269.0,12
HCPCS,A9270,Vitamin B1 AvPak,12.05,8.435,4754.0,5269.0,8
HCPCS,A9270,Vitamin B12,3.54,2.48,4754.0,5269.0,4
HCPCS,A9270,Vitamin B12 AvPak,13.7,9.59,4754.0,5269.0,8
HCPCS,A9270,Vitamin B2,12.65,8.86,4754.0,5269.0,4
HCPCS,A9270,Vitamin B6,9.765,6.84,4754.0,5269.0,8
HCPCS,A9270,Vitamin B6 AvPak,16.66,11.66,4754.0,5269.0,8
HCPCS,A9270,Vitamin C,8.8,6.165,4754.0,5269.0,8
HCPCS,A9270,Vitamin D,18.425,12.9,4754.0,5269.0,12
HCPCS,A9270,Vitamin D2,31.3,21.91,4754.0,5269.0,4
HCPCS,A9270,Vitamin D3,12.38,8.67,4754.0,5269.0,16
HCPCS,A9270,Vitamin E,18.15,12.71,4754.0,5269.0,4
HCPCS,A9270,Voriconazole,632.86,443.005,4754.0,5269.0,36
HCPCS,A9270,Vraylar,4176.9,2923.83,4754.0,5269.0,16
HCPCS,A9270,Vyvanse,3554.65,2488.26,4754.0,5269.0,16
HCPCS,A9270,Warfarin Sodium,65.04,45.53,4754.0,5269.0,48
HCPCS,A9270,Wes-Phos 250 Neutral,47.550000000000004,33.285000000000004,4754.0,5269.0,4
HCPCS,A9270,WesTab Plus,10.815,7.569999999999999,4754.0,5269.0,4
HCPCS,A9270,Westcort,257.465,180.225,4754.0,5269.0,8
HCPCS,A9270,Wixela Inhub,421.08,294.76,4754.0,5269.0,4
HCPCS,A9270,X-Viate,67.79,47.45,4754.0,5269.0,4
HCPCS,A9270,Xanax XR,1732.34,1212.64,4754.0,5269.0,4
HCPCS,A9270,Xarelto,1644.64,1151.25,4754.0,5269.0,48
HCPCS,A9270,Xcopri,3342.41,2339.69,4754.0,5269.0,4
HCPCS,A9270,Xcopri Titration Pack 12.5MG/25MG,305.39,213.77,4754.0,5269.0,4
HCPCS,A9270,Xifaxan,542.4449999999999,379.715,4754.0,5269.0,12
HCPCS,A9270,Xofluza 1X40MG (40MG Dose),464.29,325.0,4754.0,5269.0,4
HCPCS,A9270,YAZ,471.24,329.87,4754.0,5269.0,4
HCPCS,A9270,Yasmin,354.2,247.94,4754.0,5269.0,4
HCPCS,A9270,Zafirlukast,250.31,175.22,4754.0,5269.0,4
HCPCS,A9270,Zarontin,365.2,255.64,4754.0,5269.0,4
HCPCS,A9270,Zelapar,15940.65,11158.46,4754.0,5269.0,4
HCPCS,A9270,Zenpep,585.2,409.64,4754.0,5269.0,4
HCPCS,A9270,Zidovudine,257.815,180.47,4754.0,5269.0,8
HCPCS,A9270,Zinc,7.98,5.59,4754.0,5269.0,4
HCPCS,A9270,Zinc Oxide,5.7,3.99,4754.0,5269.0,4
HCPCS,A9270,Zinc Sulfate,11.0,7.7,4754.0,5269.0,8
HCPCS,A9270,Zioptan,326.85,228.795,4754.0,5269.0,8
HCPCS,A9270,Ziprasidone HCl,159.56,111.69,4754.0,5269.0,36
HCPCS,A9270,Zirgan,1312.08,918.46,4754.0,5269.0,4
HCPCS,A9270,Zituvio,868.23,607.76,4754.0,5269.0,4
HCPCS,A9270,Zolinza,41276.4,28893.48,4754.0,5269.0,4
HCPCS,A9270,Zolpidem Tartrate,23.93,16.75,4754.0,5269.0,32
HCPCS,A9270,Zomig,222.57,155.8,4754.0,5269.0,12
HCPCS,A9270,Zomig-ZMT,218.38,152.87,4754.0,5269.0,4
HCPCS,A9270,Zonisamide,38.775,27.145000000000003,4754.0,5269.0,12
HCPCS,A9270,Zovirax,412.5,288.75,4754.0,5269.0,4
HCPCS,A9270,Zydelig,40212.98,28149.09,4754.0,5269.0,4
HCPCS,A9270,Zyflo,1648.02,1153.61,4754.0,5269.0,4
HCPCS,A9270,Zylet,924.11,646.88,4754.0,5269.0,4
HCPCS,A9270,Zymaxid,505.18,353.63,4754.0,5269.0,4
HCPCS,A9270,aMILoride HCl,154.83,108.38000000000001,4754.0,5269.0,8
HCPCS,A9270,aMILoride HCl/hydroCHLOROthiazide,111.65,78.16,4754.0,5269.0,4
HCPCS,A9270,abiraterone acetate,926.64,648.65,4754.0,5269.0,4
HCPCS,A9270,acetaZOLAMIDE,84.7,59.295,4754.0,5269.0,16
HCPCS,A9270,alvimopan,432.06,302.44,4754.0,5269.0,8
HCPCS,A9270,amLODIPine Besylate,19.115000000000002,13.38,4754.0,5269.0,36
HCPCS,A9270,amLODIPine Besylate-Benazepril HCl,46.89,32.825,4754.0,5269.0,16
HCPCS,A9270,armodafinil,99.255,69.48,4754.0,5269.0,8
HCPCS,A9270,asenapine,544.86,381.40000000000003,4754.0,5269.0,12
HCPCS,A9270,aspirin-dipyridamole,165.0,115.5,4754.0,5269.0,8
HCPCS,A9270,atazanavir sulfate,490.05,343.04,4754.0,5269.0,8
HCPCS,A9270,atomoxetine hydrochloride,146.03,102.22,4754.0,5269.0,16
HCPCS,A9270,bimatoprost,287.27,201.09,4754.0,5269.0,4
HCPCS,A9270,brimonidine tartrate-timolol maleate,76.62,53.63,4754.0,5269.0,8
HCPCS,A9270,brinzolamide,848.57,594.0,4754.0,5269.0,4
HCPCS,A9270,buPROPion HCl,56.375,39.465,4754.0,5269.0,20
HCPCS,A9270,buPROPion HCl XL,26.115000000000002,18.285,4754.0,5269.0,20
HCPCS,A9270,buPROPion Hydrochloride SR,20.88,14.615,4754.0,5269.0,8
HCPCS,A9270,busPIRone HCl,22.14,15.5,4754.0,5269.0,24
HCPCS,A9270,butalbital-aspirin-caffeine,301.13,210.79,4754.0,5269.0,4
HCPCS,A9270,carBAMazepine,122.1,85.47,4754.0,5269.0,52
HCPCS,A9270,cefixime,123.75,86.63,4754.0,5269.0,4
HCPCS,A9270,chlordiazePOXIDE,3.65,2.56,4754.0,5269.0,8
HCPCS,A9270,chlordiazePOXIDE HCl,43.04,30.130000000000003,4754.0,5269.0,12
HCPCS,A9270,chlordiazePOXIDE Hydrochloride-Clidinium Bromide,1178.65,825.06,4754.0,5269.0,4
HCPCS,A9270,chlorproMAZINE HCl,420.89,294.625,4754.0,5269.0,32
HCPCS,A9270,cinacalcet hydrochloride,2.48,1.74,,,0
HCPCS,A9270,ciprofloxacin hcl-dexAMETHasone,441.36,308.955,4754.0,5269.0,8
HCPCS,A9270,cloBAZam,245.10500000000002,171.575,4754.0,5269.0,4
HCPCS,A9270,cloNIDine,195.785,137.05,4754.0,5269.0,24
HCPCS,A9270,cloNIDine HCl,36.85,25.8,4754.0,5269.0,28
HCPCS,A9270,cloZAPine,205.015,143.515,4754.0,5269.0,24
HCPCS,A9270,clomiPHENE Citrate,154.03,107.82,4754.0,5269.0,4
HCPCS,A9270,clomiPRAMINE HCl,82.42,57.69,4754.0,5269.0,20
HCPCS,A9270,clonazePAM,7.050000000000001,4.9399999999999995,4754.0,5269.0,44
HCPCS,A9270,clonazePAM AvPak,1.965,1.375,4754.0,5269.0,8
HCPCS,A9270,clotrimazole-betamethasone dipropionate,49.485,34.64,4754.0,5269.0,16
HCPCS,A9270,codeine-guaiFENesin,1.1,0.77,,,0
HCPCS,A9270,colesevelam hydrochloride,453.92,317.74,4754.0,5269.0,4
HCPCS,A9270,cycloSERINE,5747.53,4023.27,4754.0,5269.0,4
HCPCS,A9270,cycloSPORINE,115.27499999999999,80.695,4754.0,5269.0,4
HCPCS,A9270,dabigatran etexilate mesylate,65.88,46.12,,,0
HCPCS,A9270,dapagliflozin propanediol,535.51,374.86,4754.0,5269.0,8
HCPCS,A9270,darunavir ethanolate,272.25,190.58,4754.0,5269.0,4
HCPCS,A9270,dexAMETHasone Sodium Phosphate,148.23,103.76,4754.0,5269.0,4
HCPCS,A9270,diazePAM,18.43,12.9,4754.0,5269.0,36
HCPCS,A9270,diazePAM Rectal Delivery System,734.89,514.42,4754.0,5269.0,4
HCPCS,A9270,difluprednate,480.92,336.64,4754.0,5269.0,4
HCPCS,A9270,dilTIAZem HCl,37.25,26.08,4754.0,5269.0,76
HCPCS,A9270,diphenhydrAMINE HCl,9.84,6.89,4754.0,5269.0,28
HCPCS,A9270,diphenoxylate HCl-atropine sulfate,27.125,18.99,4754.0,5269.0,8
HCPCS,A9270,dofetilide,592.025,414.42,4754.0,5269.0,12
HCPCS,A9270,droNABinol,539.47,377.63,4754.0,5269.0,32
HCPCS,A9270,droxidopa,143.39000000000001,100.375,4754.0,5269.0,4
HCPCS,A9270,efavirenz,220.03,154.02,4754.0,5269.0,4
HCPCS,A9270,entecavir,23.39,16.375,4754.0,5269.0,12
HCPCS,A9270,erythromycin-benzoyl peroxide,314.065,219.85,4754.0,5269.0,8
HCPCS,A9270,eth estradiol-norethindrone ace and ferrous fum,19.1,13.37,4754.0,5269.0,8
HCPCS,A9270,ethinyl estradiol-norgestimate,29.42,20.59,4754.0,5269.0,8
HCPCS,A9270,etravirine,3540.08,2478.06,4754.0,5269.0,4
HCPCS,A9270,febuxostat,47.315,33.125,4754.0,5269.0,16
HCPCS,A9270,fentaNYL,75.79,53.05,4754.0,5269.0,12
HCPCS,A9270,fentaNYL Citrate,1733.33,1213.33,4754.0,5269.0,12
HCPCS,A9270,fentaNYL Transdermal System,60.5,42.35,4754.0,5269.0,52
HCPCS,A9270,flavoxATE HCl,110.0,77.0,4754.0,5269.0,4
HCPCS,A9270,fluPHENAZine HCl,439.315,307.52,4754.0,5269.0,16
HCPCS,A9270,fluvoxaMINE Maleate,158.125,110.69,4754.0,5269.0,12
HCPCS,A9270,fosfomycin tromethamine,167.52,117.26,4754.0,5269.0,8
HCPCS,A9270,glipiZIDE,12.79,8.955,4754.0,5269.0,24
HCPCS,A9270,glipiZIDE AvPak,20.025,14.02,4754.0,5269.0,8
HCPCS,A9270,glipiZIDE XL,87.18,61.03,4754.0,5269.0,4
HCPCS,A9270,glyBURIDE,57.75,40.425,4754.0,5269.0,8
HCPCS,A9270,guaiFENesin,4.39,3.07,4754.0,5269.0,24
HCPCS,A9270,guaiFENesin DM,7.855,5.495,4754.0,5269.0,8
HCPCS,A9270,guaiFENesin/Dextromethorphan HBr,6.89,4.82,,,0
HCPCS,A9270,guanFACINE HCl,85.8,60.06,4754.0,5269.0,12
HCPCS,A9270,hydrALAZINE HCl,56.925,39.85,4754.0,5269.0,72
HCPCS,A9270,hydrOXYzine HCl,68.89,48.224999999999994,4754.0,5269.0,40
HCPCS,A9270,hydrOXYzine Pamoate,21.18,14.83,4754.0,5269.0,12
HCPCS,A9270,hydroCHLOROthiazide,21.865000000000002,15.309999999999999,4754.0,5269.0,24
HCPCS,A9270,icosapent ethyl,178.07000000000002,124.64999999999999,4754.0,5269.0,8
HCPCS,A9270,imatinib mesylate,381.57000000000005,267.1,4754.0,5269.0,16
HCPCS,A9270,lacosamide,9.85,6.9,4754.0,5269.0,12
HCPCS,A9270,lactobacillus combination,9.63,6.74,4754.0,5269.0,4
HCPCS,A9270,lamiVUDine,110.06,77.04,4754.0,5269.0,8
HCPCS,A9270,lamiVUDine HBV,1933.31,1353.32,4754.0,5269.0,4
HCPCS,A9270,lamiVUDine-zidovudine,355.58,248.90500000000003,4754.0,5269.0,8
HCPCS,A9270,lamoTRIgine,46.75,32.73,4754.0,5269.0,36
HCPCS,A9270,levETIRAcetam,41.4,28.98,4754.0,5269.0,56
HCPCS,A9270,levOCARNitine,217.31,152.12,4754.0,5269.0,8
HCPCS,A9270,levoFLOXacin,41.94,29.36,4754.0,5269.0,32
HCPCS,A9270,lopinavir-ritonavir,2433.09,1703.16,4754.0,5269.0,4
HCPCS,A9270,loteprednol etabonate,375.735,263.015,4754.0,5269.0,8
HCPCS,A9270,lubiprostone,165.0,115.5,4754.0,5269.0,8
HCPCS,A9270,lurasidone hydrochloride,32.1,22.47,4754.0,5269.0,24
HCPCS,A9270,medroxyPROGESTERone acetate,55.964999999999996,39.18,4754.0,5269.0,20
HCPCS,A9270,metFORMIN HCl,12.38,8.67,4754.0,5269.0,44
HCPCS,A9270,metOLazone,123.75,86.63,4754.0,5269.0,12
HCPCS,A9270,methIMAzole,52.25,36.58,4754.0,5269.0,20
HCPCS,A9270,methazolAMIDE,632.5,442.75,4754.0,5269.0,4
HCPCS,A9270,methylPREDNISolone,1.32,0.92,,,0
HCPCS,A9270,metroNIDAZOLE,105.05,73.54,4754.0,5269.0,48
HCPCS,A9270,miSOPROStol,109.315,76.52,4754.0,5269.0,36
HCPCS,A9270,mirabegron,583.315,408.32,4754.0,5269.0,4
HCPCS,A9270,nebivolol hydrochloride,19.185000000000002,13.43,4754.0,5269.0,16
HCPCS,A9270,niMODipine,166.65,116.655,4754.0,5269.0,8
HCPCS,A9270,oseltamivir phosphate,23.1,16.17,4754.0,5269.0,40
HCPCS,A9270,oxyBUTYnin Chloride,33.55,23.49,4754.0,5269.0,28
HCPCS,A9270,oxyCODONE HCl,77.0,53.9,4754.0,5269.0,72
HCPCS,A9270,oxyCODONE HCl-acetaminophen,54.545,38.18,4754.0,5269.0,16
HCPCS,A9270,paliperidone,2594.05,1815.835,4754.0,5269.0,28
HCPCS,A9270,pentazocine HCl-naloxone HCl,567.05,396.94,4754.0,5269.0,4
HCPCS,A9270,phosphorus-potassium-sodium,82.5,57.75,4754.0,5269.0,4
HCPCS,A9270,posaconazole,756.28,529.395,4754.0,5269.0,8
HCPCS,A9270,povidone-iodine,4.38,3.07,,,0
HCPCS,A9270,prasugrel hydrochloride,36.305,25.415,4754.0,5269.0,8
HCPCS,A9270,prednisoLONE Acetate,121.0,84.7,4754.0,5269.0,12
HCPCS,A9270,prednisoLONE Sod Phos/Sulfacetamide Sodium,41.25,28.88,4754.0,5269.0,4
HCPCS,A9270,probenecid-colchicine,221.93,155.35,4754.0,5269.0,4
HCPCS,A9270,promethazine HCl-codeine phosphate,37.42,26.194999999999997,4754.0,5269.0,4
HCPCS,A9270,pyRIDostigmine Bromide,224.4,157.08,4754.0,5269.0,20
HCPCS,A9270,quiNIDine Gluconate,1993.75,1395.63,4754.0,5269.0,4
HCPCS,A9270,rOPINIRole HCl,27.5,19.25,4754.0,5269.0,36
HCPCS,A9270,ranolazine,38.86,27.205,4754.0,5269.0,16
HCPCS,A9270,rasagiline,656.7,459.69,4754.0,5269.0,8
HCPCS,A9270,riMANTAdine HCl,625.35,437.75,4754.0,5269.0,4
HCPCS,A9270,rifAMPin,238.39,166.875,4754.0,5269.0,28
HCPCS,A9270,risperiDONE,38.45,26.92,4754.0,5269.0,76
HCPCS,A9270,ritonavir,220.03,154.02,4754.0,5269.0,4
HCPCS,A9270,rivastigmine,82.78,57.945,4754.0,5269.0,32
HCPCS,A9270,roflumilast,24.75,17.33,4754.0,5269.0,16
HCPCS,A9270,scopolamine,38.52,26.96,4754.0,5269.0,20
HCPCS,A9270,silodosin,42.45,29.715,4754.0,5269.0,4
HCPCS,A9270,solifenacin succinate,14.66,10.264999999999999,4754.0,5269.0,4
HCPCS,A9270,sulfADIAZINE,2627.3,1839.11,4754.0,5269.0,8
HCPCS,A9270,sulfaSALAzine,28.175,19.725,4754.0,5269.0,4
HCPCS,A9270,sulfaSALAzine AvPak,27.770000000000003,19.439999999999998,4754.0,5269.0,8
HCPCS,A9270,tadalafil,74.25,51.98,4754.0,5269.0,4
HCPCS,A9270,tenofovir disoproxil fumarate,114.88499999999999,80.42,4754.0,5269.0,8
HCPCS,A9270,tiZANidine HCl,34.24,23.97,4754.0,5269.0,16
HCPCS,A9270,tolvaptan,907.5,635.25,4754.0,5269.0,8
HCPCS,A9270,traMADol HCl,10.59,7.415000000000001,4754.0,5269.0,20
HCPCS,A9270,traMADol HCl/Acetaminophen,165.0,115.5,4754.0,5269.0,4
HCPCS,A9270,traZODone Hydrochloride,50.14,35.1,4754.0,5269.0,4
HCPCS,A9270,traZODone hydrochloride,33.83,23.68,4754.0,5269.0,32
HCPCS,A9270,ure-Na,79.75,55.83,4754.0,5269.0,4
HCPCS,A9270,valACYclovir HCl,33.0,23.1,4754.0,5269.0,20
HCPCS,A9270,valGANciclovir hydrochloride,654.89,458.42,4754.0,5269.0,16
HCPCS,A9270,vilazodone hydrochloride,387.29999999999995,271.11,4754.0,5269.0,8
HCPCS,A9500,TC99M SESTAMIBI,157.0,109.9,156.39,156.39,2
HCPCS,A9500,TECHNETIUM TC-99M SESTAMIBI; DIAGNOSTIC; PER STUDY DOSE,278.0,194.6,156.39,156.39,2
HCPCS,A9502,TC99M TETROFOSMIN,531.0,371.7,,,0
HCPCS,A9503,TC99M MEDRONATE,61.0,42.7,19.04,19.04,2
HCPCS,A9505,TL201 THALLIUM,83.0,58.1,,,0
HCPCS,A9507,IN111 CAPROMAB,8910.0,6237.0,1730.29,4844.81,7
HCPCS,A9508,"I131 IODOBENGUATE, DX",2148.0,1503.6,953.01,2668.43,7
HCPCS,A9509,IODINE I-123 SOD IODIDE MIL,1045.0,731.5,,,0
HCPCS,A9509,IODINE I-123 SODIUM IODIDE; DIAGNOSTIC; PER MILLICURIE,4975.0,3482.5,,,0
HCPCS,A9510,TC99M DISOFENIN,311.0,217.7,102.55,102.55,2
HCPCS,A9510,TECHNETIUM TC-99M DISOFENIN; DIAGNOSTIC; PER STUDY DOSE; UP TO 15 MILLICURIES,275.0,192.5,102.55,102.55,2
HCPCS,A9512,TC99M PERTECHNETATE,10.0,7.0,5.65,5.65,2
HCPCS,A9512,TECHNETIUM TC-99M PERTECHNETATE; DIAGNOSTIC; PER MILLICURIE,50.0,35.0,5.65,5.65,2
HCPCS,A9513,LUTETIUM LU 177 DOTATAT THER,582.0,407.4,320.77,898.16,9
HCPCS,A9513,LUTETIUM LU 177; DOTATATE; THERAPEUTIC; 1 MCI,58491.0,40943.7,320.77,898.16,21
HCPCS,A9513,Lutathera,116400.0,81480.0,320.77,898.16,7
HCPCS,A9516,IODINE I-123 SOD IODIDE MIC,115.0,80.5,,,0
HCPCS,A9517,"I131 IODIDE CAP, RX",270.0,189.0,24.07,67.4,9
HCPCS,A9517,IODINE I-131 SODIUM IODIDE CAPSULE(S); THERAPEUTIC; PER MILLICURIE,40092.0,28064.4,24.07,67.4,9
HCPCS,A9520,TECHNETIUM TC-99M; TILMANOCEPT; DIAGNOSTIC; UP TO 0.5 MILLICURIES,2483.0,1738.1,,,0
HCPCS,A9521,TC99M EXAMETAZIME,7437.0,5205.9,514.15,2597.59,9
HCPCS,A9521,TECHNETIUM TC-99M EXAMETAZIME; DIAGNOSTIC; PER STUDY DOSE; UP TO 25 MILLICURIES,7083.0,4958.1,514.15,2597.59,16
HCPCS,A9524,"I131 SERUM ALBUMIN, DX",296.0,207.2,,,0
HCPCS,A9528,"IODINE I-131 IODIDE CAP, DX",290.0,203.0,,,0
HCPCS,A9529,"I131 IODIDE SOL, DX",94.0,65.8,25.7,25.7,2
HCPCS,A9529,IODINE I-131 SODIUM IODIDE SOLUTION; DIAGNOSTIC; PER MILLICURIE,415.0,290.5,25.7,25.7,2
HCPCS,A9530,"I131 IODIDE SOL, RX",41.0,28.7,13.56,58.16,9
HCPCS,A9531,I131 MAX 100UCI,7.0,4.9,1.58,1.58,2
HCPCS,A9531,IODINE I-131 SODIUM IODIDE; DIAGNOSTIC; PER MICROCURIE (UP TO 100 MICROCURIES),108.5,75.95,1.58,1.58,2
HCPCS,A9537,TC99M MEBROFENIN,325.0,227.5,,,0
HCPCS,A9538,TC99M PYROPHOSPHATE,186.0,130.2,73.25,73.25,2
HCPCS,A9538,TECHNETIUM TC-99M PYROPHOSPHATE; DIAGNOSTIC; PER STUDY DOSE; UP TO 25 MILLICURIES,165.0,115.5,73.25,73.25,2
HCPCS,A9539,TECHNETIUM TC-99M PENTETATE; DIAGNOSTIC; PER STUDY DOSE; UP TO 25 MILLICURIES,908.0,635.6,45.9,45.9,2
HCPCS,A9540,TECHNETIUM TC-99M MACROAGGREGATED ALBUMIN; DIAGNOSTIC; PER STUDY DOSE; UP TO 10 MILLICURIES,2344.0,1640.8,43.95,43.95,2
HCPCS,A9541,TECHNETIUM TC-99M SULFUR COLLOID; DIAGNOSTIC; PER STUDY DOSE; UP TO 20 MILLICURIES,775.0,542.5,78.33,78.33,2
HCPCS,A9542,"IN111 IBRITUMOMAB, DX",14256.0,9979.2,,,0
HCPCS,A9543,"Y90 IBRITUMOMAB, RX",172791.0,120953.7,56824.55,159108.74,7
HCPCS,A9547,INDIUM IN-111 OXYQUINOLINE; DIAGNOSTIC; PER 0.5 MILLICURIE,8868.0,6207.6,480.25,2328.09,23
HCPCS,A9548,IN111 PENTETATE,8243.0,5770.1,745.62,2087.74,7
HCPCS,A9551,TC99M SUCCIMER,1769.0,1238.3,659.93,1847.8,7
HCPCS,A9552,F18 FDG,1405.0,983.5,911.57,6346.0,3
HCPCS,A9552,FLUORODEOXYGLUCOSE F-18 FDG; DIAGNOSTIC; PER STUDY DOSE; UP TO 45 MILLICURIES,1371.5,960.05,911.57,6346.0,10
HCPCS,A9556,GA67 GALLIUM,261.0,182.7,176.04,176.04,2
HCPCS,A9558,XE133 XENON 10MCI,487.0,340.9,,,0
HCPCS,A9560,TC99M LABELED RBC,656.0,459.2,136.83,136.83,2
HCPCS,A9560,TECHNETIUM TC-99M LABELED RED BLOOD CELLS; DIAGNOSTIC; PER STUDY DOSE; UP TO 30 MILLICURIES,625.0,437.5,136.83,136.83,2
HCPCS,A9561,TECHNETIUM TC-99M OXIDRONATE; DIAGNOSTIC; PER STUDY DOSE; UP TO 30 MILLICURIES,158.0,110.6,64.46,64.46,2
HCPCS,A9562,TECHNETIUM TC-99M MERTIATIDE; DIAGNOSTIC; PER STUDY DOSE; UP TO 15 MILLICURIES,1194.0,835.8,1134.99,1134.99,2
HCPCS,A9563,P32 NA PHOSPHATE,1179.0,825.3,278.24,779.07,7
HCPCS,A9564,P32 CHROMIC PHOSPHATE,1869.0,1308.3,,,0
HCPCS,A9567,TECHNETIUM TC-99M PENTETATE; DIAGNOSTIC; AEROSOL; PER STUDY DOSE; UP TO 75 MILLICURIES,1078.0,754.6,,,0
HCPCS,A9570,INDIUM IN-111 AUTO WBC,7656.0,5359.2,1103.19,3088.93,7
HCPCS,A9572,INDIUM IN-111 PENTETREOTIDE,15309.0,10716.3,2000.94,5602.63,7
HCPCS,A9577,INJECTION; GADOBENATE DIMEGLUMINE (MULTIHANCE); PER ML,204.27,142.99,2.7,5269.0,10
HCPCS,A9577,Multihance,214.41000000000003,150.08499999999998,2.7,5269.0,30
HCPCS,A9578,Multihance,1139.95,797.965,4754.0,5269.0,8
HCPCS,A9579,"GAD-BASE MR CONTRAST NOS,1ML",307.0,214.9,4754.0,5269.0,4
HCPCS,A9579,Magnevist,570.63,399.44,4754.0,5269.0,16
HCPCS,A9579,Omniscan,283.09,198.16,4754.0,5269.0,4
HCPCS,A9581,Eovist,285.97,200.18,21.15,5269.0,14
HCPCS,A9581,INJECTION; GADOXETATE DISODIUM; 1 ML,262.08,183.46,4754.0,5269.0,4
HCPCS,A9582,IODINE I-123 IOBENGUANE,13585.0,9509.5,2317.5,6489.0,7
HCPCS,A9584,IODINE I-123 IOFLUPANE; DIAGNOSTIC; PER STUDY DOSE; UP TO 5 MILLICURIES,5190.0,3633.0,1387.74,3885.67,9
HCPCS,A9585,GADOBUTROL INJECTION,228.25,159.78,4754.0,5269.0,4
HCPCS,A9585,Gadavist,185.195,129.635,0.5,5269.0,24
HCPCS,A9585,INJECTION; GADOBUTROL; 0.1 ML,219.12,153.38,4754.0,5269.0,4
HCPCS,A9585,gadobutrol,119.86,83.9,0.5,5269.0,28
HCPCS,A9587,GALLIUM GA-68,166.5,116.55,49.63,138.96,14
HCPCS,A9587,GALLIUM GA-68; DOTATATE; DIAGNOSTIC; 0.1 MILLICURIE,8370.0,5859.0,49.63,138.96,21
HCPCS,A9596,GALLIUM GA-68 GOZETOTIDE; DIAGNOSTIC; (ILLUCCIX); 1 MILLICURIE,15155.0,10608.5,478.52,1339.86,21
HCPCS,A9596,GALLIUM ILLUCCIX 1 MILLICURE,1591.505,1114.055,478.52,1339.86,14
HCPCS,A9600,SR89 STRONTIUM,5252.0,3676.4,888.46,11609.72,9
HCPCS,A9604,SM 153 LEXIDRONAM,26627.0,18638.9,3159.8,8847.44,9
HCPCS,A9606,RADIUM RA-223 DICHLORIDE; THERAPEUTIC; PER MICROCURIE,55384.0,38768.8,171.92,481.38,23
HCPCS,A9606,RADIUM RA223 DICHLORIDE THER,644.0,450.8,171.92,481.38,9
HCPCS,A9607,LUTETIUM LU 177 VIPIVOTIDE,323.505,226.45499999999998,259.32,726.1,18
HCPCS,A9616,GALLIUM GOZELLIX 1 MILLICURI,2928.0,2049.6,1171.3,3279.64,7
HCPCS,A9699,RADIOPHARM RX AGENT NOC,106250.0,74375.0,,,0
HCPCS,B4036,ENTERAL FEEDING SUPPLY KIT; GRAVITY FED; PER DAY; INCLUDES BUT NOT LIMITED TO FEEDING/FLUSHING SYRINGE; ADMINISTRATION SET TUBING; DRESSINGS; TAPE,5.46,3.82,5.45,15.26,9
HCPCS,B4081,NASOGASTRIC TUBING WITH STYLET,40.62,28.43,19.24,53.87,9
HCPCS,B4087,GASTROSTOMY/JEJUNOSTOMY TUBE; STANDARD; ANY MATERIAL; ANY TYPE; EACH,107.22,75.05,33.31,93.27,9
HCPCS,B4088,GASTROSTOMY/JEJUNOSTOMY TUBE; LOW-PROFILE; ANY MATERIAL; ANY TYPE; EACH,320.56,224.39,38.03,106.48,9
HCPCS,C1052,HEMOSTATIC AGENT; GASTROINTESTINAL; TOPICAL,4950.0,3465.0,,,0
HCPCS,C1713,ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE),417.0,291.9,254.25,254.25,4
HCPCS,C1714,CATHETER; TRANSLUMINAL ATHERECTOMY; DIRECTIONAL,9570.0,6699.0,1100.62,1100.62,2
HCPCS,C1715,BRACHYTHERAPY NEEDLE,603.5,422.45000000000005,,,0
HCPCS,C1717,BRACHYTHERAPY SOURCE; NON-STRANDED; HIGH DOSE RATE IRIDIUM-192; PER SOURCE,524.0,366.8,226.0,996.07,23
HCPCS,C1721,CARDIOVERTER-DEFIBRILLATOR; DUAL CHAMBER (IMPLANTABLE),54713.244999999995,38299.27,18085.65,18085.65,4
HCPCS,C1722,CARDIOVERTER-DEFIBRILLATOR; SINGLE CHAMBER (IMPLANTABLE),48245.62,33771.93,19320.74,19320.74,2
HCPCS,C1724,CATHETER; TRANSLUMINAL ATHERECTOMY; ROTATIONAL,11070.68,7749.48,2140.22,2140.22,2
HCPCS,C1725,CATHETER; TRANSLUMINAL ANGIOPLASTY; NON-LASER (MAY INCLUDE GUIDANCE; INFUSION/PERFUSION CAPABILITY),1947.0,1362.9,216.96,216.96,2
HCPCS,C1726,CATHETER; BALLOON DILATATION; NON-VASCULAR,431.245,301.87,336.74,336.74,4
HCPCS,C1729,CATHETER; DRAINAGE,45.41,31.785000000000004,72.32,72.32,2
HCPCS,C1730,CATHETER; ELECTROPHYSIOLOGY; DIAGNOSTIC; OTHER THAN 3D MAPPING (19 OR FEWER ELECTRODES),996.6,697.62,315.27,315.27,2
HCPCS,C1731,CATHETER; ELECTROPHYSIOLOGY; DIAGNOSTIC; OTHER THAN 3D MAPPING (20 OR MORE ELECTRODES),7263.3,5084.31,1569.57,1569.57,2
HCPCS,C1732,CATHETER; ELECTROPHYSIOLOGY; DIAGNOSTIC/ABLATION; 3D OR VECTOR MAPPING,957.0,669.9,2892.8,2892.8,2
HCPCS,C1733,CATHETER; ELECTROPHYSIOLOGY; DIAGNOSTIC/ABLATION; OTHER THAN 3D OR VECTOR MAPPING; OTHER THAN COOL-TIP,27885.0,19519.5,450.87,450.87,2
HCPCS,C1747,ENDOSCOPE; SINGLE-USE (I.E. DISPOSABLE); URINARY TRACT; IMAGING/ILLUMINATION DEVICE (INSERTABLE),4950.0,3465.0,,,0
HCPCS,C1750,CATHETER; HEMODIALYSIS/PERITONEAL; LONG-TERM,523.415,366.39500000000004,372.9,372.9,4
HCPCS,C1751,"CATH, INF, PER/CENT/MIDLINE",799.0,559.3,232.78,232.78,6
HCPCS,C1751,CATHETER; INFUSION; INSERTED PERIPHERALLY; CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS),559.735,391.815,232.78,232.78,4
HCPCS,C1752,CATHETER; HEMODIALYSIS/PERITONEAL; SHORT-TERM,274.64,192.25,193.23,193.23,2
HCPCS,C1753,CATHETER; INTRAVASCULAR ULTRASOUND,2623.5,1836.45,864.45,864.45,2
HCPCS,C1757,CATHETER; THROMBECTOMY/EMBOLECTOMY,947.63,663.3399999999999,198.88,198.88,4
HCPCS,C1758,CATHETER; URETERAL,40.59,28.41,32.77,32.77,2
HCPCS,C1759,CATHETER; INTRACARDIAC ECHOCARDIOGRAPHY,2524.5,1767.15,2175.25,2175.25,2
HCPCS,C1760,CLOSURE DEVICE; VASCULAR (IMPLANTABLE/INSERTABLE),760.65,532.4549999999999,279.11,279.11,2
HCPCS,C1761,CATHETER; TRANSLUMINAL INTRAVASCULAR LITHOTRIPSY; CORONARY,46530.0,32571.0,,,0
HCPCS,C1762,CONNECTIVE TISSUE; HUMAN (INCLUDES FASCIA LATA),283.47,198.43,,,0
HCPCS,C1763,CONNECTIVE TISSUE; NON-HUMAN (INCLUDES SYNTHETIC),10481.62,7337.13,906.26,906.26,2
HCPCS,C1764,EVENT RECORDER; CARDIAC (IMPLANTABLE),20106.75,14074.73,4854.48,4854.48,2
HCPCS,C1766,INTRODUCER/SHEATH; GUIDING; INTRACARDIAC ELECTROPHYSIOLOGICAL; STEERABLE; OTHER THAN PEEL-AWAY,4290.0,3003.0,763.88,763.88,2
HCPCS,C1767,GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON-RECHARGEABLE,126027.0,88218.9,17127.41,17127.41,2
HCPCS,C1768,GRAFT; VASCULAR,996.6,697.62,819.25,819.25,2
HCPCS,C1769,GUIDE WIRE,1136.5,795.55,82.49,82.49,8
HCPCS,C1771,REPAIR DEVICE; URINARY; INCONTINENCE; WITH SLING GRAFT,6068.7,4248.09,1562.79,1562.79,2
HCPCS,C1772,INFUSION PUMP; PROGRAMMABLE (IMPLANTABLE),43579.8,30505.86,11269.49,11269.49,2
HCPCS,C1773,"RET DEV, INSERTABLE",1201.0,840.7,487.03,487.03,2
HCPCS,C1773,RETRIEVAL DEVICE; INSERTABLE (USED TO RETRIEVE FRACTURED MEDICAL DEVICES),1485.0,1039.5,487.03,487.03,2
HCPCS,C1776,JOINT DEVICE (IMPLANTABLE),27630.5,19341.350000000002,1771.84,1771.84,4
HCPCS,C1777,LEAD; CARDIOVERTER-DEFIBRILLATOR; ENDOCARDIAL SINGLE COIL (IMPLANTABLE),14471.05,10129.74,3881.55,3881.55,2
HCPCS,C1778,LEAD; NEUROSTIMULATOR (IMPLANTABLE),29096.1,20367.27,4219.42,4219.42,2
HCPCS,C1781,MESH (IMPLANTABLE),2788.65,1952.055,307.36,307.36,4
HCPCS,C1785,PACEMAKER; DUAL CHAMBER; RATE-RESPONSIVE (IMPLANTABLE),17377.05,12163.94,5349.42,5349.42,2
HCPCS,C1786,PACEMAKER; SINGLE CHAMBER; RATE-RESPONSIVE (IMPLANTABLE),59013.0,41309.1,4263.49,4263.49,2
HCPCS,C1787,PATIENT PROGRAMMER; NEUROSTIMULATOR,1443.75,1010.625,1519.85,1519.85,4
HCPCS,C1788,PORT; INDWELLING (IMPLANTABLE),3778.02,2644.6150000000002,439.57,439.57,4
HCPCS,C1789,PROSTHESIS; BREAST (IMPLANTABLE),4455.0,3118.5,1222.66,1222.66,2
HCPCS,C1813,PROSTHESIS; PENILE; INFLATABLE,58474.45,40932.12,,,0
HCPCS,C1814,RETINAL TAMPONADE DEVICE; SILICONE OIL,1410.26,987.18,,,0
HCPCS,C1815,PROSTHESIS; URINARY SPHINCTER (IMPLANTABLE),58331.19,40831.83,,,0
HCPCS,C1817,SEPTAL DEFECT IMP SYS,4333.0,3033.1,5385.58,5385.58,2
HCPCS,C1817,SEPTAL DEFECT IMPLANT SYSTEM; INTRACARDIAC,34650.0,24255.0,5385.58,5385.58,2
HCPCS,C1819,SURGICAL TISSUE LOCALIZATION AND EXCISION DEVICE (IMPLANTABLE),67.31,47.12,407.93,407.93,2
HCPCS,C1820,GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON HIGH-FREQUENCY WITH RECHARGEABLE BATTERY AND CHARGING SYSTEM,57090.0,39963.0,16396.3,16396.3,2
HCPCS,C1821,INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE),31350.0,21945.0,,,0
HCPCS,C1822,GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); HIGH FREQUENCY; WITH RECHARGEABLE BATTERY AND CHARGING SYSTEM,86743.8,60720.66,,,0
HCPCS,C1824,GENERATOR; CARDIAC CONTRACTILITY MODULATION (IMPLANTABLE),107900.0,75530.0,,,0
HCPCS,C1874,"STENT, COATED/COV W/DEL SYS",10045.0,7031.5,1782.01,1782.01,2
HCPCS,C1874,STENT; COATED/COVERED; WITH DELIVERY SYSTEM,13056.45,9139.515,1782.01,1782.01,2
HCPCS,C1876,STENT; NON-COATED/NON-COVERED; WITH DELIVERY SYSTEM,1897.5,1328.25,1150.34,1150.34,2
HCPCS,C1878,MATERIAL FOR VOCAL CORD MEDIALIZATION; SYNTHETIC (IMPLANTABLE),2359.5,1651.65,414.71,414.71,2
HCPCS,C1880,VENA CAVA FILTER,8910.0,6237.0,1357.13,1357.13,2
HCPCS,C1882,CARDIOVERTER-DEFIBRILLATOR; OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE),59203.9,41442.73,20442.83,20442.83,2
HCPCS,C1883,ADAPTOR/EXTENSION; PACING LEAD OR NEUROSTIMULATOR LEAD (IMPLANTABLE),3960.0,2772.0,823.77,823.77,2
HCPCS,C1884,EMBOLIZATION PROTECTIVE SYSTEM,3795.0,2656.5,,,0
HCPCS,C1885,CATHETER; TRANSLUMINAL ANGIOPLASTY; LASER,9240.0,6468.0,,,0
HCPCS,C1886,CATHETER; EXTRAVASCULAR TISSUE ABLATION; ANY MODALITY (INSERTABLE),7349.1,5144.37,,,0
HCPCS,C1887,CATHETER; GUIDING (MAY INCLUDE INFUSION/PERFUSION CAPABILITY),1073.3,751.31,50.85,50.85,2
HCPCS,C1888,CATHETER; ABLATION; NON-CARDIAC; ENDOVASCULAR (IMPLANTABLE),1320.0,924.0,1502.9,1502.9,2
HCPCS,C1889,IMPLANTABLE/INSERTABLE DEVICE; NOT OTHERWISE CLASSIFIED,5276.7,3693.69,,,0
HCPCS,C1892,INTRODUCER/SHEATH; GUIDING; INTRACARDIAC ELECTROPHYSIOLOGICAL; FIXED-CURVE; PEEL-AWAY,333.3,233.31,48.59,48.59,2
HCPCS,C1894,"INTRO/SHEATH, NON-LASER",156.0,109.2,49.72,49.72,2
HCPCS,C1894,INTRODUCER/SHEATH; OTHER THAN GUIDING; OTHER THAN INTRACARDIAC ELECTROPHYSIOLOGICAL; NON-LASER,602.92,422.04,49.72,49.72,2
HCPCS,C1896,LEAD; CARDIOVERTER-DEFIBRILLATOR; OTHER THAN ENDOCARDIAL SINGLE OR DUAL COIL (IMPLANTABLE),22368.5,15657.95,,,0
HCPCS,C1897,LEAD; NEUROSTIMULATOR TEST KIT (IMPLANTABLE),543.84,380.69,1322.1,1322.1,2
HCPCS,C1898,LEAD; PACEMAKER; OTHER THAN TRANSVENOUS VDD SINGLE PASS,3378.1,2364.67,767.27,767.27,2
HCPCS,C1900,LEAD; LEFT VENTRICULAR CORONARY VENOUS SYSTEM,6640.0,4648.0,3638.6,3638.6,2
HCPCS,C2616,BRACHYTHERAPY SOURCE; NON-STRANDED; YTTRIUM-90; PER SOURCE,52800.0,36960.0,17683.93,49515.0,7
HCPCS,C2617,STENT; NON-CORONARY; TEMPORARY; WITHOUT DELIVERY SYSTEM,368.64,258.05,171.76,171.76,2
HCPCS,C2618,PROBE/NEEDLE; CRYOABLATION,5825.74,4078.02,3189.99,3189.99,2
HCPCS,C2621,PACEMAKER; OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE),20501.0,14350.7,6735.93,6735.93,2
HCPCS,C2623,CATHETER; TRANSLUMINAL ANGIOPLASTY; DRUG-COATED; NON-LASER,4290.0,3003.0,,,0
HCPCS,C2624,IMPLANTABLE WIRELESS PULMONARY ARTERY PRESSURE SENSOR WITH DELIVERY CATHETER; INCLUDING ALL SYSTEM COMPONENTS,75735.0,53014.5,,,0
HCPCS,C2625,STENT; NON-CORONARY; TEMPORARY; WITH DELIVERY SYSTEM,1331.55,932.09,1131.13,1131.13,2
HCPCS,C2627,CATHETER; SUPRAPUBIC/CYSTOSCOPIC,738.44,516.91,110.74,110.74,2
HCPCS,C2628,CATHETER; OCCLUSION,4021.88,2815.32,359.34,359.34,2
HCPCS,C2629,INTRODUCER/SHEATH; OTHER THAN GUIDING; INTRACARDIAC ELECTROPHYSIOLOGICAL; LASER,10873.5,7611.45,,,0
HCPCS,C2641,"BRACHYTX, NON-STRANDED,P-103",518.0,362.6,64.16,179.65,7
HCPCS,C5271,APPLICATION OF LOW COST SKIN SUBSTITUTE GRAFT TO TRUNK; ARMS; LEGS; TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ CM OR LESS WOUND SURFACE AREA,2678.0,1874.6,996.0,996.0,2
HCPCS,C5272,APPLICATION OF LOW COST SKIN SUBSTITUTE GRAFT TO TRUNK; ARMS; LEGS; TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; EACH ADDITIONAL 25 SQ CM WOUND SURFACE AREA; OR PART THEREOF (LIST SEPARATELY IN ADDITION ,420.0,294.0,996.0,996.0,1
HCPCS,C8900,MAGNETIC RESONANCE ANGIOGRAPHY WITH CONTRAST; ABDOMEN,4269.0,2988.3,410.12,1148.34,7
HCPCS,C8901,MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST; ABDOMEN,4269.0,2988.3,280.49,785.37,14
HCPCS,C8902,MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST; ABDOMEN,4375.5,3062.8500000000004,410.12,1148.34,14
HCPCS,C8905,MAGNETIC RESONANCE IMAGING WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST; BREAST; UNILATERAL,3410.0,2387.0,205.06,1148.34,14
HCPCS,C8908,MAGNETIC RESONANCE IMAGING WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST; BREAST; BILATERAL,3271.0,2289.7,410.12,1148.34,21
HCPCS,C8909,MAGNETIC RESONANCE ANGIOGRAPHY WITH CONTRAST; CHEST (EXCLUDING MYOCARDIUM),4269.0,2988.3,410.12,1148.34,7
HCPCS,C8910,MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST; CHEST (EXCLUDING MYOCARDIUM),4269.0,2988.3,140.25,785.37,21
HCPCS,C8911,MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST; CHEST (EXCLUDING MYOCARDIUM),4269.0,2988.3,410.12,1148.34,14
HCPCS,C8912,MAGNETIC RESONANCE ANGIOGRAPHY WITH CONTRAST; LOWER EXTREMITY,6180.0,4326.0,410.12,1148.34,7
HCPCS,C8914,MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST; LOWER EXTREMITY,6180.0,4326.0,410.12,1148.34,14
HCPCS,C8919,MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST; PELVIS,4256.0,2979.2,280.49,785.37,14
HCPCS,C8920,MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST; FOLLOWED BY WITH CONTRAST; PELVIS,4053.0,2837.1,410.12,1148.34,14
HCPCS,C8923,"2D TTE W OR W/O FOL W/CON,CO",2150.0,1505.0,921.54,2580.31,7
HCPCS,C8924,TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST; OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST; REAL-TIME WITH IMAGE DOCUMENTATION (2D); INCLUDES M-MODE RECORDING; WHEN PERFORMED; FOLLOW-UP OR LIMITED ST,1119.0,783.3,410.12,1148.34,14
HCPCS,C8925,"2D TEE W OR W/O FOL W/CON,IN",2822.0,1975.4,921.54,2580.31,7
HCPCS,C8925,TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) WITH CONTRAST; OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST; REAL TIME WITH IMAGE DOCUMENTATION (2D) (WITH OR WITHOUT M-MODE RECORDING); INCLUDING PROBE PLACEME,2822.0,1975.4,921.54,2580.31,7
HCPCS,C8928,TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST; OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST; REAL-TIME WITH IMAGE DOCUMENTATION (2D); INCLUDES M-MODE RECORDING; WHEN PERFORMED; DURING REST AND CARDIOV,2629.0,1840.3,921.54,2580.31,14
HCPCS,C8929,TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST; OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST; REAL-TIME WITH IMAGE DOCUMENTATION (2D); INCLUDES M-MODE RECORDING; WHEN PERFORMED; COMPLETE; WITH SPECTRAL,1242.0,869.4,921.54,2580.31,14
HCPCS,C8929,"TTE W OR WO FOL WCON,DOPPLER",2216.0,1551.2,921.54,2580.31,7
HCPCS,C8930,"TTE W OR W/O CONTR, CONT ECG",2216.0,1551.2,921.54,2580.31,7
HCPCS,C8957,"PROLONGED IV INF, REQ PUMP",912.0,638.4,250.05,700.14,7
HCPCS,C9041,Andexxa,6875.0,4812.5,4754.0,5269.0,4
HCPCS,C9046,COCAINE HYDROCHLORIDE NASAL SOLUTION FOR TOPICAL ADMINISTRATION; 1 MG,705.6,493.92,,,0
HCPCS,C9046,Cocaine HCl,705.6,493.92,4754.0,5269.0,8
HCPCS,C9047,Cablivi,23572.12,16500.48,4754.0,5269.0,4
HCPCS,C9047,"INJECTION, CAPLACIZUMAB-YHDP",23572.12,16500.48,4754.0,5269.0,4
HCPCS,C9248,Cleviprex,205.32,143.72,,,0
HCPCS,C9250,Artiss,663.36,464.35,4754.0,5269.0,16
HCPCS,C9254,Lacosamide,168.715,118.10499999999999,4754.0,5269.0,8
HCPCS,C9254,Vimpat,272.47,190.73,4754.0,5269.0,4
HCPCS,C9257,Avastin,2191.59,1534.11,4754.0,5269.0,4
HCPCS,C9257,BEVACIZUMAB INJECTION,2191.59,1534.11,4754.0,5269.0,4
HCPCS,C9257,INJECTION; BEVACIZUMAB; 0.25 MG,956.33,669.4350000000001,1.84,5.15,14
HCPCS,C9290,Exparel,902.69,631.88,,,0
HCPCS,C9290,INJECTION; BUPIVACAINE LIPOSOME; 1 MG,902.69,631.88,,,0
HCPCS,C9293,Voraxaze,118890.75,83223.53,4754.0,5269.0,4
HCPCS,C9399,Terlivaz,2717.0,1901.9,4754.0,5269.0,4
HCPCS,C9399,Uptravi,1091.92,764.34,4754.0,5269.0,4
HCPCS,C9488,Vaprisol,1637.63,1146.34,4754.0,5269.0,4
HCPCS,C9600,PERC DRUG-EL COR STENT SING,27675.0,19372.5,1887.0,37998.38,9
HCPCS,C9600,PERCUTANEOUS TRANSCATHETER PLACEMENT OF DRUG ELUTING INTRACORONARY STENT(S); WITH CORONARY ANGIOPLASTY WHEN PERFORMED; SINGLE MAJOR CORONARY ARTERY OR BRANCH,55350.0,38745.0,1887.0,37998.38,63
HCPCS,C9601,PERC DRUG-EL COR STENT BRAN,10198.0,7138.6,996.0,996.0,1
HCPCS,C9601,PERCUTANEOUS TRANSCATHETER PLACEMENT OF DRUG-ELUTING INTRACORONARY STENT(S); WITH CORONARY ANGIOPLASTY WHEN PERFORMED; EACH ADDITIONAL BRANCH OF A MAJOR CORONARY ARTERY (LIST SEPARATELY IN ADDITION TO,10198.0,7138.6,996.0,996.0,3
HCPCS,C9602,PERC D-E COR STENT ATHER S,34192.0,23934.4,1887.0,60339.64,9
HCPCS,C9602,PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY; WITH DRUG ELUTING INTRACORONARY STENT; WITH CORONARY ANGIOPLASTY WHEN PERFORMED; SINGLE MAJOR CORONARY ARTERY OR BRANCH,34192.0,23934.4,1887.0,60339.64,27
HCPCS,C9603,PERC D-E COR STENT ATHER BR,10198.0,7138.6,996.0,996.0,1
HCPCS,C9604,PERC D-E COR REVASC T CABG S,30510.0,21357.0,1887.0,37998.38,9
HCPCS,C9605,PERC D-E COR REVASC T CABG B,8385.0,5869.5,996.0,996.0,1
HCPCS,C9606,PERC D-E COR REVASC W AMI S,32036.0,22425.2,1335.0,1335.0,1
HCPCS,C9606,PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF ACUTE TOTAL/SUBTOTAL OCCLUSION DURING ACUTE MYOCARDIAL INFARCTION; CORONARY ARTERY OR CORONARY ARTERY BYPASS GRAFT; ANY COMBINATION OF DRUG-ELUTING INTRA,32036.0,22425.2,1335.0,45842.24,8
HCPCS,C9607,PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION; CORONARY ARTERY; CORONARY ARTERY BRANCH; OR CORONARY ARTERY BYPASS GRAFT; ANY COMBINATION OF DRUG-ELUTING INTRACORONARY STENT; A,30510.0,21357.0,1887.0,60339.64,45
HCPCS,C9608,PERC D-E COR REVASC CHRO ADD,10975.0,7682.5,996.0,996.0,1
HCPCS,C9608,PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION; CORONARY ARTERY; CORONARY ARTERY BRANCH; OR CORONARY ARTERY BYPASS GRAFT; ANY COMBINATION OF DRUG-ELUTING INTRACORONARY STENT; A,9712.0,6798.4,996.0,996.0,1
HCPCS,C9739,CYSTOURETHROSCOPY; WITH INSERTION OF TRANSPROSTATIC IMPLANT; 1 TO 3 IMPLANTS,7530.0,5271.0,1550.0,17648.65,9
HCPCS,C9740,CYSTOURETHROSCOPY; WITH INSERTION OF TRANSPROSTATIC IMPLANT; 4 OR MORE IMPLANTS,7676.0,5373.2,1700.0,31159.41,9
HCPCS,C9756,INTRAOPERATIVE NEAR-INFRARED FLUORESCENCE LYMPHATIC MAPPING OF LYMPH NODE(S) (SENTINEL OR TUMOR DRAINING) WITH ADMINISTRATION OF INDOCYANINE GREEN (ICG) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMAR,1.0,0.7,996.0,996.0,1
HCPCS,C9764,REVASCULARIZATION; ENDOVASCULAR; OPEN OR PERCUTANEOUS; LOWER EXTREMITY ARTERY (IES); EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY; INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL (S); WHEN PERFO,18532.0,12972.4,1700.0,37998.38,27
HCPCS,C9765,REVASC INTRA LITHOTRIP-STENT,51239.0,35867.3,1887.0,60339.64,9
HCPCS,C9765,REVASCULARIZATION; ENDOVASCULAR; OPEN OR PERCUTANEOUS; LOWER EXTREMITY ARTERY(IES); EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY; AND TRANSLUMINAL STENT PLACEMENT(S); INCLUDES ANGIOPLASTY WI,28613.0,20029.1,1887.0,60339.64,27
HCPCS,C9766,REVASCULARIZATION; ENDOVASCULAR; OPEN OR PERCUTANEOUS; LOWER EXTREMITY ARTERY (IES); EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY AND ATHERECTOMY; INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL,51239.0,35867.3,1887.0,60339.64,9
HCPCS,C9767,REVASC LITHOTRIP-STENT-ATHER,53215.0,37250.5,1887.0,60339.64,9
HCPCS,C9772,REVASCULARIZATION; ENDOVASCULAR; OPEN OR PERCUTANEOUS; TIBIAL/PERONEAL ARTERY(IES); WITH INTRAVASCULAR LITHOTRIPSY; INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL (S); WHEN PERFORMED,32146.0,22502.2,1887.0,37998.38,9
HCPCS,C9774,REVASCULARIZATION; ENDOVASCULAR; OPEN OR PERCUTANEOUS; TIBIAL/PERONEAL ARTERY(IES); WITH INTRAVASCULAR LITHOTRIPSY AND ATHERECTOMY; INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL (S); WHEN PERFORMED,53215.0,37250.5,1887.0,60339.64,9
HCPCS,C9776,INTRAOPERATIVE NEAR-INFRARED FLUORESCENCE IMAGING OF MAJOR EXTRA-HEPATIC BILE DUCT(S) (E.G.; CYSTIC DUCT; COMMON BILE DUCT AND COMMON HEPATIC DUCT) WITH INTRAVENOUS ADMINISTRATION OF INDOCYANINE GREEN,1.0,0.7,,,0
HCPCS,E0730,TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) DEVICE; FOUR OR MORE LEADS; FOR MULTIPLE NERVE STIMULATION,372.9,261.03,81.48,1192.32,9
HCPCS,G0008,ADMIN INFLUENZA VIRUS VAC,133.0,93.1,12.56,154.14,11
HCPCS,G0008,ADMINISTRATION OF INFLUENZA VIRUS VACCINE,189.0,132.3,12.56,154.14,11
HCPCS,G0009,ADMINISTRATION OF PNEUMOCOCCAL VACCINE,189.0,132.3,12.56,154.14,11
HCPCS,G0010,ADMIN HEPATITIS B VACCINE,200.0,140.0,12.56,154.14,11
HCPCS,G0010,ADMINISTRATION OF HEPATITIS B VACCINE,189.0,132.3,12.56,154.14,11
HCPCS,G0101,CA SCREEN;PELVIC/BREAST EXAM,227.0,158.9,81.95,334.38,11
HCPCS,G0105,COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK,5299.0,3709.3,280.77,4723.0,55
HCPCS,G0108,DIAB MANAGE TRN  PER INDIV,123.0,86.1,34.21,163.97,15
HCPCS,G0108,DIABETES OUTPATIENT SELF-MANAGEMENT TRAINING SERVICES; INDIVIDUAL; PER 30 MINUTES,184.5,129.14999999999998,34.21,163.97,37
HCPCS,G0109,DIAB MANAGE TRN IND/GROUP,81.0,56.7,16.9,95.0,15
HCPCS,G0109,DIABETES OUTPATIENT SELF-MANAGEMENT TRAINING SERVICES; GROUP SESSION (2 OR MORE); PER 30 MINUTES,243.0,170.10000000000002,16.9,95.0,26
HCPCS,G0121,COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK,5432.0,3802.4,280.77,4723.0,92
HCPCS,G0129,PHP/IOP OT SERVICE,148.0,103.6,,,0
HCPCS,G0176,OPPS/PHP/IOP; ACTIVITY THRPY,148.0,103.6,23.83,909.0,4
HCPCS,G0177,OPPS/PHP/IOP; TRAIN & EDUC,148.0,103.6,95.0,95.0,1
HCPCS,G0238,"OTH RESP PROC, INDIV",246.0,172.2,4754.0,5269.0,4
HCPCS,G0257,UNSCHEDULED OR EMERGENCY DIALYSIS TREATMENT FOR AN ESRD PATIENT IN A HOSPITAL OUTPATIENT DEPARTMENT THAT IS NOT CERTIFIED AS AN ESRD FACILITY,3123.0,2186.1,806.8,2259.04,7
HCPCS,G0260,INJ FOR SACROILIAC JT ANESTH,3765.0,2635.5,195.1,3145.0,19
HCPCS,G0260,INJECTION PROCEDURE FOR SACROILIAC JOINT; PROVISION OF ANESTHETIC; STEROID AND/OR OTHER THERAPEUTIC AGENT; WITH OR WITHOUT ARTHROGRAPHY,1368.0,957.6,131.53,3145.0,254
HCPCS,G0269,OCCLUSIVE DEVICE IN VEIN ART,1038.0,726.6,996.0,14180.0,4
HCPCS,G0277,"HBOT, FULL BODY CHAMBER, 30M",618.0,432.6,4754.0,5269.0,4
HCPCS,G0277,HYPERBARIC OXYGEN UNDER PRESSURE; FULL BODY CHAMBER; PER 30 MINUTE INTERVAL,2472.0,1730.4,4754.0,5269.0,4
HCPCS,G0278,"ILIAC ART ANGIO,CARDIAC CATH",5086.0,3560.2,11.07,31.0,11
HCPCS,G0279,DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS; UNILATERAL OR BILATERAL (LIST SEPARATELY IN ADDITION TO 77065 OR 77066),153.0,107.1,28.26,79.13,37
HCPCS,G0281,ELEC STIM UNATTEND FOR PRESS,59.0,41.3,11.33,34.38,9
HCPCS,G0282,ELECT STIM WOUND CARE NOT PD,68.0,47.6,,,0
HCPCS,G0283,ELECTRICAL STIMULATION (UNATTENDED); TO ONE OR MORE AREAS FOR INDICATION(S) OTHER THAN WOUND CARE; AS PART OF A THERAPY PLAN OF CARE,129.0,90.3,13.42,37.58,14
HCPCS,G0297,LDCT FOR LUNG CA SCREEN,2299.0,1609.3,,,0
HCPCS,G0339,IMAGE-GUIDED ROBOTIC LINEAR ACCELERATOR-BASED STEREOTACTIC RADIOSURGERY; COMPLETE COURSE OF THERAPY IN ONE SESSION OR FIRST SESSION OF FRACTIONATED TREATMENT,21144.0,14800.8,5585.67,5585.67,2
HCPCS,G0339,"ROBOT LIN-RADSURG COM, FIRST",22201.0,15540.7,5585.67,5585.67,2
HCPCS,G0340,IMAGE-GUIDED ROBOTIC LINEAR ACCELERATOR-BASED STEREOTACTIC RADIOSURGERY; DELIVERY INCLUDING COLLIMATOR CHANGES AND CUSTOM PLUGGING; FRACTIONATED TREATMENT; ALL LESIONS; PER SESSION; SECOND THROUGH FIF,15537.0,10875.9,4104.3,4104.3,2
HCPCS,G0378,HOSPITAL OBSERVATION SERVICE; PER HOUR,5100.0,3570.0,186.0,2360.0,32
HCPCS,G0390,TRAUMA RESPONSE TEAM ASSOCIATED WITH HOSPITAL CRITICAL CARE SERVICE,37260.0,26082.0,877.0,4408.96,16
HCPCS,G0396,ALCOHOL/SUBS INTERV 15-30MN,142.0,99.4,34.12,1419.0,11
HCPCS,G0397,ALCOHOL/SUBS INTERV >30 MIN,254.0,177.8,66.68,1419.0,11
HCPCS,G0399,HOME SLEEP TEST/TYPE 3 PORTA,1324.0,926.8,112.34,710.72,11
HCPCS,G0406,INPT/TELE FOLLOW UP 15,81.0,56.7,28.69,100.94,11
HCPCS,G0407,INPT/TELE FOLLOW UP 25,151.0,105.7,63.94,179.03,9
HCPCS,G0408,INPT/TELE FOLLOW UP 35,217.0,151.9,93.83,262.72,9
HCPCS,G0410,GROUP PSYCHOTHERAPY OTHER THAN OF A MULTIPLE-FAMILY GROUP; IN A PARTIAL HOSPITALIZATION SETTING; APPROXIMATELY 45 TO 50 MINUTES,716.0,501.2,23.83,909.0,12
HCPCS,G0410,GRP PSYCH PHP/IOP 45-50,179.0,125.3,23.83,909.0,4
HCPCS,G0416,"PROSTATE BIOPSY, ANY MTHD",510.0,357.0,295.28,1179.86,9
HCPCS,G0416,SURGICAL PATHOLOGY; GROSS AND MICROSCOPIC EXAMINATIONS; FOR PROSTATE NEEDLE BIOPSY; ANY METHOD,5278.0,3694.6,421.38,1179.86,7
HCPCS,G0425,INPT/ED TELECONSULT30,209.0,146.3,80.73,233.46,11
HCPCS,G0426,INPT/ED TELECONSULT50,284.0,198.8,110.06,327.8,11
HCPCS,G0427,INPT/ED TELECONSULT70,422.0,295.4,161.89,471.86,11
HCPCS,G0439,"PPPS, SUBSEQ VISIT",301.0,210.7,74.11,406.73,12
HCPCS,G0444,DEPRESSION SCREEN ANNUAL,80.0,56.0,16.3,186.0,12
HCPCS,G0463,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,311.0,217.7,62.6,5269.0,340
HCPCS,G0480,DRUG TEST(S); DEFINITIVE; UTILIZING (1) DRUG IDENTIFICATION METHODS ABLE TO IDENTIFY INDIVIDUAL DRUGS AND DISTINGUISH BETWEEN STRUCTURAL ISOMERS (BUT NOT NECESSARILY STEREOISOMERS); INCLUDING; BUT NOT,1129.0,790.3,76.72,320.4,26
HCPCS,G0498,CHEMOTHERAPY ADMINISTRATION; INTRAVENOUS INFUSION TECHNIQUE; INITIATION OF INFUSION IN THE OFFICE/OTHER OUTPATIENT SETTING USING OFFICE/OTHER OUTPATIENT SETTING PUMP/SUPPLIES; WITH CONTINUATION OF THE,1700.0,1190.0,185.79,1087.21,20
HCPCS,G0500,MODERATE SEDATION SERVICES PROVIDED BY THE SAME PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL PERFORMING A GASTROINTESTINAL ENDOSCOPIC SERVICE THAT SEDATION SUPPORTS; REQUIRING THE PRESENCE OF,2714.495,1900.145,18.52,27.72,4
HCPCS,G2010,REMOT IMAGE SUBMIT BY PT,24.0,16.8,8.1,22.68,11
HCPCS,G2012,BRIEF CHECK IN BY MD/QHP,28.0,19.6,12.06,18.93,4
HCPCS,G2061,QUAL NONMD EST PT 5-10M,25.0,17.5,,,0
HCPCS,G2062,QUAL NONMD EST PT 11-20M,44.0,30.8,,,0
HCPCS,G2063,QUAL NONMD EST PT 21>MIN,69.0,48.3,,,0
HCPCS,G2066,INTER DEVC REMOTE 30D,96.0,67.2,38.93,38.93,2
HCPCS,H0004,BEHAVIORAL HEALTH COUNSELING AND THERAPY; PER 15 MINUTES,25.0,17.5,23.83,909.0,4
HCPCS,H0005,ALCOHOL/DRUG GROUP COUNSELING,12.0,8.4,23.83,909.0,4
HCPCS,H0015,ALCOHOL/DRUG; INTENSIVE OP TX,554.0,387.8,23.83,909.0,3
HCPCS,H0032,MENTAL HEALTH SERVICE PLAN DEVELOPMENT BY NON-PHYSICIAN,41.0,28.7,23.83,909.0,4
HCPCS,H0036,COMMUNITY SUPPORT FTOF/15 MIN,13.0,9.1,3.88,909.0,5
HCPCS,H0038,SELF-HELP/PEER SVC PER 15MIN,110.0,77.0,23.83,909.0,4
HCPCS,H0050,ALCOHOL/DRUG SERVICE 15 MIN,21.0,14.7,23.83,909.0,4
HCPCS,H2012,BEHAV HLTH DAY TX/HR,165.0,115.5,23.83,909.0,5
HCPCS,H2012,BEHAVIORAL HEALTH DAY TREATMENT; PER HOUR,660.0,462.0,23.83,909.0,5
HCPCS,J0121,Nuzyra,1313.29,919.3,4754.0,5269.0,8
HCPCS,J0122,"INJ., ERAVACYCLINE, 1 MG",184.48,129.14,4754.0,5269.0,4
HCPCS,J0122,Xerava,184.48,129.14,4754.0,5269.0,8
HCPCS,J0129,INJECTION; ABATACEPT; 10 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN; NOT FOR USE WHEN DRUG IS SELF ADMINISTERED),7019.91,4913.94,44.77,125.36,14
HCPCS,J0129,Orencia,7019.91,4913.94,44.77,5269.0,18
HCPCS,J0131,Acetaminophen,29.84,20.89,0.05,5269.0,28
HCPCS,J0131,INJECTION; ACETAMINOPHEN; 10 MG,26.16,18.31,0.05,0.08,4
HCPCS,J0132,Acetylcysteine,315.7,220.99,0.77,5269.0,20
HCPCS,J0132,Acetylcysteine Novaplus,517.03,361.92,4754.0,5269.0,8
HCPCS,J0132,INJECTION; ACETYLCYSTEINE; 100 MG,543.95,380.77,0.77,1.14,4
HCPCS,J0133,Acyclovir Sodium,49.5,34.655,0.06,5269.0,28
HCPCS,J0133,INJECTION; ACYCLOVIR; 5 MG,90.24,63.17,0.06,0.1,4
HCPCS,J0134,Acetaminophen,24.72,17.305,0.05,5269.0,12
HCPCS,J0134,INJECTION; ACETAMINOPHEN (FRESENIUS KABI) NOT THERAPEUTICALLY EQUIVALENT TO J0131; 10 MG,23.04,16.13,0.05,0.08,4
HCPCS,J0136,Acetaminophen,19.44,13.61,0.05,0.1,4
HCPCS,J0136,INJECTION; ACETAMINOPHEN (B BRAUN) NOT THERAPEUTICALLY EQUIVALENT TO J0131; 10 MG,19.44,13.61,0.05,0.1,4
HCPCS,J0137,Acetaminophen,30.9,21.630000000000003,0.07,5269.0,12
HCPCS,J0139,Humira PFS,19037.21,13326.05,4754.0,5269.0,4
HCPCS,J0153,Adenosine,30.12,21.08,0.56,5269.0,32
HCPCS,J0153,INJECTION; ADENOSINE; 1 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS),14.4,10.08,0.56,0.98,4
HCPCS,J0165,Adrenalin,114.84,80.39,,,0
HCPCS,J0165,EPINEPHrine Auto-Injectors,412.5,288.75,,,0
HCPCS,J0166,EPINEPHrine,15.13,10.59,,,0
HCPCS,J0168,EPINEPHrine,161.535,113.075,,,0
HCPCS,J0169,Adrenalin,41.14,28.8,,,0
HCPCS,J0171,Adrenalin,28.145000000000003,19.7,0.81,1.23,8
HCPCS,J0171,EPINEPHrine,9.0,6.3,0.81,1.23,4
HCPCS,J0171,EPINEPHrine HCl,12.58,8.81,0.81,1.23,4
HCPCS,J0171,INJECTION; ADRENALIN; EPINEPHRINE; 0.1 MG,60.0,42.0,0.81,1.23,4
HCPCS,J0173,EPINEPHrine,13.2,9.24,1.89,2.93,4
HCPCS,J0173,INJECTION; EPINEPHRINE (BELCHER) NOT THERAPEUTICALLY EQUIVALENT TO J0171; 0.1 MG,8.0,5.6,1.89,2.93,4
HCPCS,J0174,Leqembi,1375.9699999999998,963.1800000000001,1.33,5269.0,50
HCPCS,J0180,Fabrazyme,15334.36,10734.05,230.32,5269.0,36
HCPCS,J0202,Campath,4853.75,3397.63,4754.0,5269.0,4
HCPCS,J0202,"INJECTION, ALEMTUZUMAB",4853.75,3397.63,4754.0,5269.0,4
HCPCS,J0202,Lemtrada,81796.67,57257.67,4754.0,5269.0,4
HCPCS,J0209,Sodium Thiosulfate,330.0,231.0,4754.0,5269.0,4
HCPCS,J0216,ALfentanil HCl,29.04,20.33,4754.0,5269.0,4
HCPCS,J0225,Amvuttra,307328.825,215130.18,4754.0,14026.77,11
HCPCS,J0225,INJECTION; VUTRISIRAN; 1 MG,328215.25,229750.68,5009.56,14026.77,7
HCPCS,J0248,Veklury,2877.51,2014.26,6.9,5269.0,18
HCPCS,J0256,ALPHA 1 PROTEINASE INHIBITOR,1.63,1.14,4754.0,5269.0,4
HCPCS,J0256,Zemaira,1446.44,1012.51,5.37,5269.0,22
HCPCS,J0270,Alprostadil,297.94,208.56,4754.0,5269.0,4
HCPCS,J0270,Prostin VR Pediatric,465.7,325.99,4754.0,5269.0,8
HCPCS,J0278,Amikacin Sulfate,28.8,20.16,0.86,5269.0,12
HCPCS,J0280,Aminophylline,47.315,33.125,8.38,5269.0,12
HCPCS,J0280,Aminophylline Novaplus,31.27,21.89,4754.0,5269.0,4
HCPCS,J0280,INJECTION; AMINOPHYLLINE; UP TO 250 MG,39.65,27.76,8.38,10.17,4
HCPCS,J0282,Amiodarone HCl,8.725,6.11,0.29,5269.0,44
HCPCS,J0282,INJECTION; AMIODARONE HYDROCHLORIDE; 30 MG,24.0,16.8,0.29,0.33,3
HCPCS,J0283,INJECTION; AMIODARONE HYDROCHLORIDE (NEXTERONE); 30 MG,110.89,77.62,2.55,2.55,1
HCPCS,J0283,Nexterone,103.16,72.21000000000001,2.55,5269.0,10
HCPCS,J0285,Amphotericin B,1.32,0.92,15.59,44.36,4
HCPCS,J0287,Abelcet,288.75,202.13,4754.0,5269.0,4
HCPCS,J0289,Ambisome,2626.065,1838.245,20.72,5269.0,11
HCPCS,J0289,INJECTION; AMPHOTERICIN B LIPOSOME; 10 MG,4376.77,3063.74,20.72,58.02,7
HCPCS,J0289,amphotericin B liposome,700.57,490.4,4754.0,5269.0,4
HCPCS,J0290,AMPICILLIN 500 MG INJ,19.54,13.68,4754.0,5269.0,4
HCPCS,J0290,Ampicillin,14.780000000000001,10.344999999999999,4754.0,5269.0,20
HCPCS,J0290,Ampicillin Sodium,13.27,9.29,1.0,5269.0,44
HCPCS,J0290,INJECTION; AMPICILLIN SODIUM; 500 MG,34.1,23.87,1.0,1.65,4
HCPCS,J0295,AMPICILLIN SULBACTAM 1.5 GM,18.29,12.805,4754.0,5269.0,8
HCPCS,J0295,Ampicillin-Sulbactam,14.3,10.010000000000002,2.12,5269.0,100
HCPCS,J0295,INJECTION; AMPICILLIN SODIUM/SULBACTAM SODIUM; PER 1.5 GM,38.4,26.88,2.12,2.89,4
HCPCS,J0295,Unasyn,37.5,26.255,2.12,5269.0,12
HCPCS,J0330,Anectine,47.09,32.965,0.16,5269.0,11
HCPCS,J0330,INJECTION; SUCCINYLCHOLINE CHLORIDE; UP TO 20 MG,26.3,18.41,0.16,0.18,9
HCPCS,J0330,SUCCINYCHOLINE CHLORIDE INJ,29.43,20.6,4754.0,5269.0,4
HCPCS,J0330,Succinylcholine Chloride,23.655,16.560000000000002,0.16,5269.0,30
HCPCS,J0348,Eraxis,491.545,344.08500000000004,0.46,5269.0,8
HCPCS,J0349,Rezzayo,5746.51,4022.56,4754.0,5269.0,4
HCPCS,J0360,INJECTION; HYDRALAZINE HCL; UP TO 20 MG,34.37,24.06,5.56,9.14,4
HCPCS,J0360,hydrALAZINE HCl,39.875,27.915,5.56,5269.0,40
HCPCS,J0360,hydrALAZINE HCl Novaplus,8.4,5.88,5.56,9.14,4
HCPCS,J0401,Abilify Maintena Dual-Chambered Syringe,0.01,0.01,7.28,20.38,7
HCPCS,J0401,Abilify Maintena Vial,5990.41,4193.29,7.28,5269.0,26
HCPCS,J0456,AZITHROMYCIN,11.21,7.845,4754.0,5269.0,8
HCPCS,J0456,Azithromycin,12.395,8.675,2.41,5269.0,36
HCPCS,J0456,Azithromycin Novaplus,8.05,5.64,4754.0,5269.0,4
HCPCS,J0456,INJECTION; AZITHROMYCIN; 500 MG,12.0,8.4,2.41,4.25,4
HCPCS,J0457,Azactam,186.53,130.57,4754.0,5269.0,4
HCPCS,J0457,Aztreonam,157.3,110.11,2.58,5269.0,20
HCPCS,J0457,"INJECTION, AZTREONAM, 100 MG",99.22,69.45,4754.0,5269.0,4
HCPCS,J0461,ATROPINE SULFATE INJECTION,4.83,3.38,4754.0,5269.0,4
HCPCS,J0461,Atropine Sulfate,27.490000000000002,19.244999999999997,0.07,5269.0,60
HCPCS,J0461,INJECTION; ATROPINE SULFATE; 0.01 MG,28.5,19.95,0.07,0.14,4
HCPCS,J0462,Atropine Sulfate,17.490000000000002,12.24,,,0
HCPCS,J0470,Bal In Oil,353.87,247.71,4754.0,5269.0,8
HCPCS,J0475,BACLOFEN 10 MG INJECTION,2599.14,1819.4,4754.0,5269.0,4
HCPCS,J0475,INJECTION; BACLOFEN; 10 MG,2268.34,1587.84,181.47,508.12,7
HCPCS,J0475,Lioresal Intrathecal Refill Kit,1783.94,1248.76,181.47,5269.0,44
HCPCS,J0475,Lioresal Refill Kit,2599.14,1819.4,4754.0,5269.0,4
HCPCS,J0476,BACLOFEN INTRATHECAL TRIAL,90.67,63.47,4754.0,5269.0,4
HCPCS,J0476,Lioresal,90.67,63.47,4754.0,5269.0,4
HCPCS,J0476,Lioresal Intrathecal,90.67,63.47,4754.0,5269.0,4
HCPCS,J0480,Simulect,12788.47,8951.93,4754.0,5269.0,4
HCPCS,J0485,INJECTION; BELATACEPT; 1 MG,2057.7,1440.3899999999999,3.89,10.89,42
HCPCS,J0485,Nulojix,2667.17,1867.02,3.89,5269.0,46
HCPCS,J0490,Benlysta,5351.645,3746.15,57.16,5269.0,64
HCPCS,J0490,INJECTION; BELIMUMAB; 10 MG,7965.44,5575.81,57.16,160.05,21
HCPCS,J0491,INJECTION; ANIFROLUMAB-FNIA; 1 MG,12550.49,8785.34,18.34,51.35,7
HCPCS,J0491,Saphnelo,14961.76,10473.23,4754.0,5269.0,4
HCPCS,J0500,Bentyl,201.74,141.22,24.99,40.83,4
HCPCS,J0500,DICYCLOMINE INJECTION,67.65,47.36,4754.0,5269.0,4
HCPCS,J0500,Dicyclomine HCl,67.65,47.36,24.99,5269.0,16
HCPCS,J0500,INJECTION; DICYCLOMINE HCL; UP TO 20 MG,59.04,41.33,24.99,40.83,4
HCPCS,J0515,Benztropine Mesylate,129.25,90.48,16.45,5269.0,20
HCPCS,J0517,Fasenra PFS,14851.795,10396.255000000001,163.96,5269.0,18
HCPCS,J0517,INJECTION; BENRALIZUMAB; 1 MG,13624.2,9536.94,163.96,459.09,7
HCPCS,J0558,Bicillin C-R,668.58,468.01,4754.0,5269.0,12
HCPCS,J0561,Bicillin L-A,1239.4,867.585,31.97,5269.0,66
HCPCS,J0561,INJECTION; PENICILLIN G BENZATHINE; 100;000 UNITS,731.98,512.39,22.0,89.52,39
HCPCS,J0561,PENICILLIN G BENZATHINE INJ,473.44,331.41,4754.0,5269.0,4
HCPCS,J0565,Zinplava,10450.0,7315.0,4754.0,5269.0,8
HCPCS,J0571,Buprenorphine,22.475,15.73,4754.0,5269.0,20
HCPCS,J0572,Buprenorphine-Naloxone,10.69,7.48,4754.0,5269.0,12
HCPCS,J0572,Suboxone,444.68,311.28,4754.0,5269.0,4
HCPCS,J0574,Buprenorphine-Naloxone,11.625,8.14,4754.0,5269.0,16
HCPCS,J0583,Angiomax,449.28,314.5,0.25,0.34,4
HCPCS,J0583,bivalirudin,206.25,144.38,0.25,5269.0,28
HCPCS,J0585,Botox,914.74,645.745,6.51,5269.0,225
HCPCS,J0585,Botox Cosmetic,695.04,486.53,6.51,5269.0,39
HCPCS,J0585,INJECTION; ONABOTULINUMTOXINA; 1 UNIT,1550.4,1085.28,6.51,18.23,70
HCPCS,J0586,Dysport,948.77,664.14,8.8,5269.0,36
HCPCS,J0586,INJECTION; ABOBOTULINUMTOXINA; 5 UNITS,3632.07,2542.4500000000003,8.8,24.64,21
HCPCS,J0587,INJECTION; RIMABOTULINUMTOXINB; 100 UNITS,1296.31,907.42,13.29,37.21,28
HCPCS,J0587,Myobloc,1309.855,916.9,13.29,5269.0,19
HCPCS,J0588,INJECTION; INCOBOTULINUMTOXINA; 1 UNIT,2305.64,1613.95,5.25,14.7,21
HCPCS,J0588,Xeomin,1405.25,983.68,5.25,5269.0,47
HCPCS,J0600,Calcium Disodium Versenate,261.25,182.88,4754.0,5269.0,4
HCPCS,J0604,cinacalcet hydrochloride,57.75,40.43,4754.0,5269.0,8
HCPCS,J0606,Parsabiv,567.745,397.425,4754.0,5269.0,8
HCPCS,J0612,Calcium Gluconate,37.83,26.48,0.05,5269.0,24
HCPCS,J0613,Calcium Gluconate-Sodium Chloride,54.32,38.02,0.09,5269.0,12
HCPCS,J0616,Metoprolol Tartrate,4.425,3.095,,,0
HCPCS,J0618,Calcium Chloride,49.5,34.65,,,0
HCPCS,J0630,Calcitonin-Salmon,7318.72,5123.1,4754.0,5269.0,4
HCPCS,J0630,Miacalcin,2750.0,1925.0,4754.0,5269.0,4
HCPCS,J0637,CASPOFUNGIN ACETATE,944.625,661.24,4754.0,5269.0,8
HCPCS,J0637,Cancidas,928.71,650.1,4754.0,5269.0,4
HCPCS,J0637,caspofungin acetate,944.625,661.24,4754.0,5269.0,8
HCPCS,J0638,Ilaris,58806.97,41164.88,147.74,5269.0,18
HCPCS,J0640,INJECTION; LEUCOVORIN CALCIUM; PER 50 MG,52.03,36.42,5.14,7.31,4
HCPCS,J0640,LEUCOVORIN CALCIUM INJECTION,192.5,134.75,4754.0,5269.0,4
HCPCS,J0640,Leucovorin Calcium,110.285,77.2,5.14,5269.0,56
HCPCS,J0641,Leucovorin Calcium,17.88,12.52,4754.0,5269.0,4
HCPCS,J0651,Levothyroxine Sodium,243.9,170.73,6.94,5269.0,15
HCPCS,J0665,BUPivacaine HCl,6.69,4.68,0.01,5269.0,120
HCPCS,J0665,BUPivacaine Spinal,7.84,5.49,4754.0,5269.0,4
HCPCS,J0665,"INJ, BUPIVACAINE, NOS, 0.5MG",1.19,0.83,4754.0,5269.0,12
HCPCS,J0665,Marcaine HCl,12.83,8.985,0.01,5269.0,12
HCPCS,J0665,Marcaine Spinal,13.035,9.125,0.01,5269.0,20
HCPCS,J0665,Sensorcaine,34.65,24.26,4754.0,5269.0,4
HCPCS,J0665,Sensorcaine-MPF,12.185,8.530000000000001,0.01,5269.0,8
HCPCS,J0666,Exparel,902.69,631.88,1.66,5269.0,48
HCPCS,J0670,Carbocaine,9.03,6.32,3.56,5.38,4
HCPCS,J0670,INJ MEPIVACAINE HCL/10 ML,41.58,29.11,4754.0,5269.0,4
HCPCS,J0670,INJECTION; MEPIVACAINE HYDROCHLORIDE; PER 10 ML,9.03,6.32,3.56,5.38,4
HCPCS,J0670,Polocaine-MPF,31.4,21.98,3.56,5269.0,8
HCPCS,J0690,CEFAZOLIN SODIUM INJECTION,3.77,2.64,4754.0,5269.0,28
HCPCS,J0690,INJECTION; CEFAZOLIN SODIUM; 500 MG,8.0,5.6,1.24,1.58,4
HCPCS,J0690,ceFAZolin,24.545,17.18,1.24,5269.0,24
HCPCS,J0690,ceFAZolin Sodium,19.195,13.434999999999999,1.24,5269.0,16
HCPCS,J0692,CEFEPIME HCL FOR INJECTION,18.09,12.665,4754.0,5269.0,24
HCPCS,J0692,Cefepime,16.625,11.64,2.06,5269.0,68
HCPCS,J0692,Cefepime Novaplus,12.235,8.565,4754.0,5269.0,8
HCPCS,J0692,INJECTION; CEFEPIME HYDROCHLORIDE; 500 MG,33.92,23.74,2.06,7.12,4
HCPCS,J0692,Maxipime,17.49,12.24,4754.0,5269.0,4
HCPCS,J0694,cefOXitin Sodium,22.0,15.4,4.9,5269.0,16
HCPCS,J0695,Zerbaxa,479.49,335.64,4754.0,5269.0,4
HCPCS,J0696,CEFTRIAXONE SODIUM INJECTION,8.585,6.01,4754.0,5269.0,32
HCPCS,J0696,INJECTION; CEFTRIAXONE SODIUM; PER 250 MG,10.8,7.56,3.18,11.16,4
HCPCS,J0696,cefTRIAXone,7.98,5.585,3.18,5269.0,92
HCPCS,J0696,cefTRIAXone Sodium,314.775,220.345,3.18,5269.0,8
HCPCS,J0697,Cefuroxime Sodium,11.145,7.805,1.89,5269.0,24
HCPCS,J0697,INJECTION; STERILE CEFUROXIME SODIUM; PER 750 MG,16.08,11.26,1.89,3.32,4
HCPCS,J0698,Claforan,25.605,17.92,4754.0,5269.0,8
HCPCS,J0699,Fetroja,640.31,448.22,4754.0,5269.0,8
HCPCS,J0701,Cefepime,74.25,51.98,4754.0,5269.0,4
HCPCS,J0702,BETAMETHASONE ACET&SOD PHOSP,15.14,10.6,4754.0,5269.0,4
HCPCS,J0702,Betamethasone Sodium Phosphate-Betamethasone Ace,105.94,74.16,6.89,5269.0,8
HCPCS,J0702,Celestone Soluspan,120.07,84.05,4754.0,5269.0,4
HCPCS,J0702,INJECTION; BETAMETHASONE ACETATE 3 MG AND BETAMETHASONE SODIUM PHOSPHATE 3 MG,52.83,36.98,6.89,11.15,4
HCPCS,J0703,Cefepime,82.09,57.46,4754.0,5269.0,4
HCPCS,J0706,CAFFEINE CITRATE INJECTION,27.5,19.25,4754.0,5269.0,4
HCPCS,J0706,Cafcit,27.5,19.25,4754.0,5269.0,4
HCPCS,J0712,CEFTAROLINE FOSAMIL INJ,708.02,495.61,4754.0,5269.0,4
HCPCS,J0712,Teflaro,708.02,495.61,4754.0,5269.0,16
HCPCS,J0713,INJECTION; CEFTAZIDIME; PER 500 MG,27.5,19.25,2.09,2.77,4
HCPCS,J0713,cefTAZidime,17.4,12.18,2.09,2.77,8
HCPCS,J0714,Avycaz,1142.26,799.58,4754.0,5269.0,8
HCPCS,J0717,Cimzia PFS,15112.25,10578.575,3.87,5269.0,18
HCPCS,J0735,Duraclon,121.0,84.7,4754.0,5269.0,4
HCPCS,J0735,cloNIDine HCl,68.75,48.13,4754.0,5269.0,4
HCPCS,J0736,Cleocin Phosphate,9.870000000000001,6.91,2.27,5269.0,20
HCPCS,J0736,Clindamycin,34.8,24.36,2.27,5269.0,16
HCPCS,J0736,Clindamycin Phosphate-Dextrose,29.43,20.6,2.27,5269.0,24
HCPCS,J0736,"INJ, CLINDAMYCIN PHOSP 300MG",19.12,13.38,4754.0,5269.0,4
HCPCS,J0739,Apretude,0.01,0.01,7.15,20.02,21
HCPCS,J0740,Cidofovir,1776.0,1243.2,524.48,1468.54,7
HCPCS,J0740,INJECTION; CIDOFOVIR; 375 MG,1776.0,1243.2,524.48,1468.54,7
HCPCS,J0741,Cabenuva 600MG/900MG Kit,0.01,0.01,24.16,67.65,21
HCPCS,J0741,INJECTION; CABOTEGRAVIR AND RILPIVIRINE; 2MG/3MG,0.01,0.01,24.16,67.65,21
HCPCS,J0742,Recarbrio,869.39,608.57,4754.0,5269.0,8
HCPCS,J0743,CILASTATIN SODIUM INJECTION,30.84,21.59,4754.0,5269.0,4
HCPCS,J0743,Imipenem and Cilastatin,82.45,57.72,4754.0,5269.0,8
HCPCS,J0743,Imipenem and Cilastatin Novaplus,24.36,17.055,4754.0,5269.0,8
HCPCS,J0743,Primaxin IM,897.85,628.5,4754.0,5269.0,4
HCPCS,J0743,Primaxin IV,2244.76,1571.33,4754.0,5269.0,4
HCPCS,J0744,CIPROFLOXACIN IV,0.01,0.01,4754.0,5269.0,4
HCPCS,J0744,Ciprofloxacin,14.575,10.205,1.86,5269.0,28
HCPCS,J0744,Ciprofloxacin in Dextrose,29.625,20.740000000000002,1.86,5269.0,8
HCPCS,J0744,Ciprofloxacin in Dextrose Novaplus,6.6,4.62,4754.0,5269.0,4
HCPCS,J0744,INJECTION; CIPROFLOXACIN FOR INTRAVENOUS INFUSION; 200 MG,20.0,14.0,1.86,3.15,4
HCPCS,J0745,Codeine Phosphate,6.99,4.89,4754.0,5269.0,4
HCPCS,J0750,Truvada,168.88,118.22,1.34,3.75,7
HCPCS,J0750,emtricitabine-tenofovir disoproxil fumarate,82.5,57.75,1.34,5269.0,23
HCPCS,J0751,Descovy,6056.33,4239.43,4754.0,5269.0,4
HCPCS,J0770,Colistimethate,76.98,53.89,4754.0,5269.0,4
HCPCS,J0770,Coly-Mycin M Parenteral,77.0,53.9,4754.0,5269.0,4
HCPCS,J0775,Xiaflex,19547.06,13682.94,4754.0,5269.0,4
HCPCS,J0780,INJECTION; PROCHLORPERAZINE; UP TO 10 MG,12.72,8.9,3.94,5.6,4
HCPCS,J0780,Prochlorperazine Edisylate,13.06,9.14,3.94,5269.0,36
HCPCS,J0834,Cortrosyn,274.45000000000005,192.115,28.59,5269.0,8
HCPCS,J0834,INJECTION; COSYNTROPIN; 0.25 MG,511.6,358.12,28.59,44.33,4
HCPCS,J0850,Cytogam,3200.175,2240.125,4754.0,5269.0,12
HCPCS,J0872,DAPTOmycin,145.89499999999998,102.125,4754.0,5269.0,4
HCPCS,J0875,Dalvance,8851.175,6195.825,15.59,5269.0,18
HCPCS,J0875,INJECTION; DALBAVANCIN; 5MG,14677.83,10274.48,15.59,43.65,7
HCPCS,J0878,DAPTOmycin,267.43,187.2,0.91,5269.0,44
HCPCS,J0878,INJECTION; DAPTOMYCIN; 1 MG,86.4,60.48,0.91,1.05,4
HCPCS,J0879,Korsuva,412.51,288.76,4754.0,5269.0,8
HCPCS,J0881,Aranesp,1300.32,910.225,3.02,5269.0,158
HCPCS,J0881,INJECTION; DARBEPOETIN ALFA; 1 MICROGRAM (NON-ESRD USE),3750.0299999999997,2625.0200000000004,3.02,8.46,28
HCPCS,J0882,Aranesp,2234.925,1564.4499999999998,3.02,5269.0,42
HCPCS,J0882,INJECTION; DARBEPOETIN ALFA; 1 MICROGRAM (FOR ESRD ON DIALYSIS),5572.8,3900.96,3.02,8.46,7
HCPCS,J0883,Argatroban,747.15,523.01,4754.0,5269.0,16
HCPCS,J0885,"EPOETIN ALFA, NON-ESRD",73.5,51.45,4754.0,5269.0,4
HCPCS,J0885,Epogen,198.96499999999997,139.275,7.74,21.67,14
HCPCS,J0885,INJECTION; EPOETIN ALFA; (FOR NON-ESRD USE); 1000 UNITS,1122.45,785.715,7.74,21.67,70
HCPCS,J0885,Procrit,1376.3400000000001,963.44,7.74,21.67,133
HCPCS,J0894,Decitabine,544.5,381.15,1.64,5269.0,20
HCPCS,J0895,Deferoxamine Mesylate,51.375,35.96,9.02,5269.0,20
HCPCS,J0895,INJECTION; DEFEROXAMINE MESYLATE; 500 MG,124.32,87.02,9.02,14.06,4
HCPCS,J0896,INJECTION; LUSPATERCEPT-AAMT; 0.25 MG,23530.76,16471.53,42.77,119.76,35
HCPCS,J0896,Reblozyl,5977.58,4184.31,42.77,5269.0,64
HCPCS,J0897,INJECTION; DENOSUMAB; 1 MG,6085.91,4260.135,29.46,82.49,14
HCPCS,J0897,Prolia,4286.69,3000.68,29.46,5269.0,99
HCPCS,J0897,Xgeva,8279.38,5795.57,29.46,5269.0,50
HCPCS,J1000,Depo-Estradiol,675.57,472.9,4754.0,5269.0,4
HCPCS,J1010,DEPO-Medrol,36.11,25.28,0.13,5269.0,10
HCPCS,J1010,DEPO-Medrol Novaplus,27.29,19.1,0.13,0.15,2
HCPCS,J1010,methylPREDNISolone Acetate,26.5,18.55,4754.0,5269.0,16
HCPCS,J1010,methylPREDNISolone Acetate Novaplus,44.88,31.42,4754.0,5269.0,8
HCPCS,J1050,Depo-SubQ Provera 104,144.74,101.32,4754.0,5269.0,4
HCPCS,J1050,INJECTION; MEDROXYPROGESTERONE ACETATE; 1 MG,82.71,57.9,0.57,0.81,3
HCPCS,J1050,medroxyPROGESTERone acetate,94.58,62.05499999999999,0.57,5269.0,53
HCPCS,J1071,Depo-Testosterone,65.43,45.8,4754.0,5269.0,4
HCPCS,J1071,Testosterone Cypionate,22.8,15.96,0.01,5269.0,16
HCPCS,J1100,DEXAMETHASONE SODIUM PHOS,0.19,0.135,4754.0,5269.0,8
HCPCS,J1100,INJECTION; DEXAMETHASONE SODIUM PHOSPHATE; 1 MG,11.1,7.77,0.12,0.19,4
HCPCS,J1100,dexAMETHasone Sodium Phosphate,12.1,8.47,0.12,5269.0,68
HCPCS,J1110,Dihydroergotamine Mesylate,251.625,176.14,4754.0,5269.0,16
HCPCS,J1120,INJECTION; ACETAZOLAMIDE SODIUM; UP TO 500 MG,211.01,147.71,26.23,45.98,4
HCPCS,J1120,acetaZOLAMIDE,109.18,76.43,26.23,5269.0,20
HCPCS,J1160,Digoxin,15.13,10.59,9.06,5269.0,16
HCPCS,J1160,INJECTION; DIGOXIN; UP TO 0.5 MG,3.79,2.65,9.06,15.39,4
HCPCS,J1162,DIGOXIN IMMUNE FAB (OVINE),13678.5,9574.95,4754.0,5269.0,4
HCPCS,J1162,DigiFab,7544.625,5281.240000000001,4754.0,5269.0,8
HCPCS,J1163,dilTIAZem HCl,6.390000000000001,4.470000000000001,,,0
HCPCS,J1163,dilTIAZem HCl Novaplus,2.4,1.68,,,0
HCPCS,J1165,Phenytoin Sodium,5.49,3.84,4754.0,5269.0,24
HCPCS,J1165,Phenytoin Sodium Novaplus,3.19,2.23,4754.0,5269.0,8
HCPCS,J1171,HYDROmorphone HCl,11.765,8.24,4754.0,5269.0,60
HCPCS,J1171,"INJ, HYDROMORPHONE, 0.1 MG",57.614999999999995,40.33,4754.0,5269.0,8
HCPCS,J1171,Simplist Dilaudid,11.42,7.99,4754.0,5269.0,8
HCPCS,J1190,Dexrazoxane,1097.25,768.08,4754.0,5269.0,12
HCPCS,J1190,INJECTION; DEXRAZOXANE HYDROCHLORIDE; PER 250 MG,957.6,670.32,58.01,162.43,14
HCPCS,J1190,Zinecard,1185.2,829.64,4754.0,5269.0,4
HCPCS,J1200,INJECTION; DIPHENHYDRAMINE HCL; UP TO 50 MG,5.615,3.9299999999999997,0.82,1.31,4
HCPCS,J1200,diphenhydrAMINE HCl,4.4,3.08,0.82,5269.0,28
HCPCS,J1205,Chlorothiazide Sodium,491.84,344.29,4754.0,5269.0,8
HCPCS,J1212,Rimso-50,2006.82,1404.77,4754.0,5269.0,4
HCPCS,J1230,Methadone HCl,188.1,131.67,20.61,5269.0,12
HCPCS,J1245,Dipyridamole,23.46,16.425,4754.0,5269.0,8
HCPCS,J1250,DOBUTamine HCl,18.689999999999998,13.08,9.26,5269.0,24
HCPCS,J1250,DOBUTamine HCl in Dextrose,61.88,43.32,9.26,5269.0,20
HCPCS,J1250,DOBUTamine Novaplus,15.219999999999999,10.655,9.26,5269.0,8
HCPCS,J1250,INJ DOBUTAMINE HCL/250 MG,13.97,9.78,4754.0,5269.0,4
HCPCS,J1250,INJECTION; DOBUTAMINE HYDROCHLORIDE; PER 250 MG,18.29,12.8,9.26,16.1,4
HCPCS,J1265,DOPAMINE INJECTION,39.19,27.43,4754.0,5269.0,4
HCPCS,J1265,DOPamine HCl,10.01,7.005,4754.0,5269.0,28
HCPCS,J1265,DOPamine HCl-dextrose,36.695,25.685000000000002,0.82,5269.0,20
HCPCS,J1270,Doxercalciferol,8.25,5.78,4754.0,5269.0,8
HCPCS,J1270,Hectorol,19.13,13.39,4754.0,5269.0,4
HCPCS,J1270,"INJECTION, DOXERCALCIFEROL",19.13,13.39,4754.0,5269.0,4
HCPCS,J1271,Doxy 100,126.39,88.47,,,0
HCPCS,J1299,Soliris,32451.879999999997,22716.315000000002,45.03,5269.0,11
HCPCS,J1300,INJECTION; ECULIZUMAB; 10 MG,46965.53,32875.87,,,0
HCPCS,J1303,Ultomiris,48302.17,33811.52,224.8,5269.0,43
HCPCS,J1306,Leqvio,9031.83,6322.280000000001,12.69,5269.0,11
HCPCS,J1308,Famotidine,5.225,3.6599999999999997,,,0
HCPCS,J1323,Elrexfio,31015.879999999997,21711.12,4754.0,5269.0,16
HCPCS,J1325,Veletri,113.97999999999999,79.785,4754.0,5269.0,8
HCPCS,J1326,Vyloy,8800.0,6160.0,4754.0,5269.0,8
HCPCS,J1327,Integrilin,1496.28,1047.4,4754.0,5269.0,4
HCPCS,J1327,eptifibatide,123.75,86.63,4754.0,5269.0,12
HCPCS,J1335,ERTAPENEM INJECTION,165.0,115.5,4754.0,5269.0,4
HCPCS,J1335,Ertapenem,154.5,108.15,21.21,5269.0,32
HCPCS,J1335,Ertapenem Novaplus,110.0,77.0,4754.0,5269.0,4
HCPCS,J1335,INJECTION; ERTAPENEM SODIUM; 500 MG,144.0,100.8,21.21,68.67,4
HCPCS,J1335,INVanz,353.82,247.67,4754.0,5269.0,4
HCPCS,J1364,Erythrocin Lactobionate,425.9,298.13,4754.0,5269.0,16
HCPCS,J1380,Estradiol Valerate,360.12,252.08,4754.0,5269.0,4
HCPCS,J1410,Premarin Intravenous,1036.42,725.49,4754.0,5269.0,4
HCPCS,J1430,Ethamolin,1385.73,970.01,4754.0,5269.0,4
HCPCS,J1436,Didronel I.V.,185.63,129.94,4754.0,5269.0,4
HCPCS,J1437,Monoferric,9657.21,6760.05,4754.0,5269.0,4
HCPCS,J1438,Enbrel,3414.9849999999997,2390.49,4754.0,5269.0,8
HCPCS,J1439,INJECTION; FERRIC CARBOXYMALTOSE; 1MG,2728.045,1909.6299999999999,1.12,3.14,28
HCPCS,J1439,Injectafer,3111.02,2177.71,1.12,5269.0,43
HCPCS,J1442,Neupogen,865.8,606.06,4754.0,5269.0,16
HCPCS,J1447,Granix,893.4100000000001,625.385,4754.0,5269.0,24
HCPCS,J1450,FLUCONAZOLE,24.75,17.33,4754.0,5269.0,4
HCPCS,J1450,Fluconazole,16.5,11.55,4754.0,5269.0,4
HCPCS,J1450,Fluconazole in Sodium Chloride,33.6,23.52,2.77,5269.0,16
HCPCS,J1451,Fomepizole,4443.465,3110.425,4754.0,5269.0,8
HCPCS,J1453,INJECTION; FOSAPREPITANT; 1 MG,167.535,117.275,0.13,0.23,4
HCPCS,J1453,fosaprepitant dimeglumine,135.91,95.13499999999999,0.13,5269.0,12
HCPCS,J1455,Foscavir,1320.0,924.0,4754.0,5269.0,4
HCPCS,J1459,INJ IVIG PRIVIGEN 500 MG,5276.15,3693.31,4754.0,5269.0,20
HCPCS,J1459,INJECTION; IMMUNE GLOBULIN (PRIVIGEN); INTRAVENOUS; NON-LYOPHILIZED (E.G. LIQUID); 500 MG,10862.4,7603.68,50.28,140.78,14
HCPCS,J1459,Privigen,8689.92,6082.94,50.28,5269.0,72
HCPCS,J1460,Gamastan,796.72,557.705,4754.0,5269.0,16
HCPCS,J1561,Gamunex-C,4090.35,2863.25,4754.0,5269.0,40
HCPCS,J1561,INJECTION; IMMUNE GLOBULIN; (GAMUNEX-C/GAMMAKED); NON-LYOPHILIZED (E. G. LIQUID); 500 MG,28032.0,19622.4,49.08,137.42,7
HCPCS,J1568,Octagam 10%,10683.75,7478.63,4754.0,5269.0,12
HCPCS,J1569,GAMMAGARD LIQUID INJECTION,14405.33,10083.73,4754.0,5269.0,4
HCPCS,J1569,Gammagard Liquid,8870.255,6209.18,47.29,5269.0,63
HCPCS,J1569,INJECTION; IMMUNE GLOBULIN; (GAMMAGARD LIQUID); NON-LYOPHILIZED; (E. G. LIQUID); 500 MG,9603.55,6722.49,47.29,132.41,7
HCPCS,J1570,Ganciclovir,194.25,135.975,4754.0,5269.0,12
HCPCS,J1571,HepaGam B,2447.34,1713.14,4754.0,5269.0,12
HCPCS,J1572,Flebogamma 5% DIF,2911.7,2038.19,4754.0,5269.0,8
HCPCS,J1573,HepaGam B,2447.34,1713.14,4754.0,5269.0,4
HCPCS,J1580,Gentamicin Sulfate,18.505000000000003,12.955,2.73,5269.0,32
HCPCS,J1580,Gentamicin Sulfate Pediatric,16.97,11.88,4754.0,5269.0,4
HCPCS,J1580,INJECTION; GARAMYCIN; GENTAMICIN; UP TO 80 MG,6.6,4.62,2.73,4.4,4
HCPCS,J1595,Copaxone,5188.92,3632.24,4754.0,5269.0,4
HCPCS,J1595,Glatopa,343.75,240.63,4754.0,5269.0,4
HCPCS,J1595,INJECTION GLATIRAMER ACETATE,343.75,240.63,4754.0,5269.0,4
HCPCS,J1596,Glycopyrrolate,12.48,8.74,0.5,5269.0,52
HCPCS,J1602,INJECTION; GOLIMUMAB; 1 MG; FOR INTRAVENOUS USE,14490.150000000001,10143.105,11.63,32.56,28
HCPCS,J1602,Simponi Aria,7546.955,5282.87,11.63,5269.0,46
HCPCS,J1610,Glucagen Diagnostic Kit,441.87,309.31,164.86,5269.0,18
HCPCS,J1610,Glucagon Emergency Kit,771.1,539.77,4754.0,5269.0,8
HCPCS,J1610,INJECTION; GLUCAGON HYDROCHLORIDE; PER 1 MG,411.84,288.29,164.86,461.61,7
HCPCS,J1611,Glucagon,650.655,455.46000000000004,143.25,5269.0,36
HCPCS,J1611,INJECTION; GLUCAN HYDROCHLORIDE (FRESENIUS KABI); NOT THERAPEUTICALLY EQUIVALENT TO J1610; PER 1 MG,909.655,636.76,143.25,401.1,21
HCPCS,J1626,GRANISETRON HCL INJECTION,17.19,12.03,4754.0,5269.0,4
HCPCS,J1626,Granisetron Hydrochloride,37.75,26.425,0.33,5269.0,24
HCPCS,J1626,INJECTION; GRANISETRON HYDROCHLORIDE; 100 MCG,24.0,16.8,0.33,0.62,4
HCPCS,J1628,INJECTION; GUSELKUMAB; 1 MG,40057.71,28040.4,72.94,204.23,7
HCPCS,J1628,Tremfya,40057.71,28040.4,72.94,5269.0,15
HCPCS,J1630,Haloperidol,3.3,2.31,1.26,5269.0,16
HCPCS,J1630,Haloperidol Lactate,15.43,10.805,1.26,5269.0,12
HCPCS,J1630,INJECTION; HALOPERIDOL; UP TO 5 MG,8.0,5.6,1.26,2.32,4
HCPCS,J1631,Haloperidol Decanoate,77.22,54.05,6.75,5269.0,16
HCPCS,J1640,Panhematin,30778.36,21544.85,4754.0,5269.0,8
HCPCS,J1642,Heparin Lock Flush,2.75,1.93,4754.0,5269.0,8
HCPCS,J1642,INJ HEPARIN SODIUM PER 10 U,16.0,11.2,4754.0,5269.0,8
HCPCS,J1644,Dextrose/Heparin Sodium,39.96,27.97,0.27,5269.0,8
HCPCS,J1644,Heparin Sodium,19.23,13.46,0.27,5269.0,76
HCPCS,J1644,Heparin Sodium in Dextrose,30.25,21.18,4754.0,5269.0,4
HCPCS,J1644,Heparin Sodium-Dextrose,29.57,20.7,4754.0,5269.0,8
HCPCS,J1644,Heparin Sodium-Sodium Chloride,27.5,19.25,0.27,5269.0,56
HCPCS,J1644,INJ HEPARIN SODIUM PER 1000U,17.88,12.52,4754.0,5269.0,12
HCPCS,J1644,INJECTION; HEPARIN SODIUM; PER 1000 UNITS,20.0,14.0,0.27,0.44,4
HCPCS,J1644,Simplist Heparin Sodium,8.265,5.785,0.27,5269.0,12
HCPCS,J1645,Fragmin,1376.61,963.63,4754.0,5269.0,4
HCPCS,J1650,Enoxaparin Sodium,23.61,16.53,1.24,5269.0,200
HCPCS,J1650,HealthTrust Enoxaparin Sodium,11.2,7.84,1.24,4.97,4
HCPCS,J1650,INJ ENOXAPARIN SODIUM,29.39,20.575,4754.0,5269.0,8
HCPCS,J1650,INJECTION; ENOXAPARIN SODIUM; 10 MG,17.76,12.43,1.24,4.97,4
HCPCS,J1650,Lovenox,112.565,78.795,4754.0,5269.0,8
HCPCS,J1652,FONDAPARINUX SODIUM,106.425,74.5,4754.0,5269.0,8
HCPCS,J1652,Fondaparinux Sodium,108.87,76.21,4754.0,5269.0,24
HCPCS,J1670,HyperTET,1785.22,1249.65,4754.0,5269.0,4
HCPCS,J1720,INJECTION; HYDROCORTISONE SODIUM SUCCINATE; UP TO 100 MG,51.43,36.0,18.46,29.19,4
HCPCS,J1720,Solu-CORTEF,52.67,36.87,4754.0,5269.0,4
HCPCS,J1720,Solu-CORTEF 100mg Vial,61.88,43.32,18.46,5269.0,12
HCPCS,J1720,Solu-CORTEF 250mg Vial,80.065,56.045,18.46,5269.0,12
HCPCS,J1729,HYDROXYprogesterone Caproate,1877.02,1313.91,4754.0,5269.0,4
HCPCS,J1740,Ibandronate Sodium,673.75,471.625,4754.0,5269.0,12
HCPCS,J1742,Corvert,1539.54,1077.68,4754.0,5269.0,4
HCPCS,J1742,Corvert Novaplus,258.17,180.72,4754.0,5269.0,4
HCPCS,J1743,Elaprase,8882.23,6217.56,4754.0,5269.0,4
HCPCS,J1744,Icatibant,8387.384999999998,5871.17,4754.0,5269.0,12
HCPCS,J1745,INJECTION; INFLIXIMAB; EXCLUDES BIOSIMILAR; 10 MG,4332.0,3032.4,32.42,124.28,67
HCPCS,J1745,Remicade,7006.92,4904.84,32.42,5269.0,78
HCPCS,J1745,inFLIXimab,3078.0,2154.6,32.42,5269.0,32
HCPCS,J1750,Infed,84.62,59.23,4754.0,5269.0,16
HCPCS,J1756,INJECTION; IRON SUCROSE; 1 MG,146.93,102.85,0.23,0.62,4
HCPCS,J1756,IRON SUCROSE INJECTION,84.18,58.93,4754.0,5269.0,4
HCPCS,J1756,Iron Sucrose,164.76,115.33,0.23,0.62,4
HCPCS,J1756,Venofer,315.275,220.69,0.23,5269.0,24
HCPCS,J1786,Cerezyme,4768.86,3338.2,4754.0,5269.0,4
HCPCS,J1790,INJECTION; DROPERIDOL; UP TO 5 MG,11.62,8.13,2.5,2.5,2
HCPCS,J1790,droPERidol,24.93,17.45,2.5,5269.0,20
HCPCS,J1800,INJECTION; PROPRANOLOL HCL; UP TO 1 MG,27.56,19.29,3.32,4.42,3
HCPCS,J1800,Propranolol HCl,31.57,22.1,4754.0,5269.0,8
HCPCS,J1805,Brevibloc,870.9300000000001,609.65,4754.0,5269.0,8
HCPCS,J1805,Esmolol HCl,10.56,7.39,0.22,5269.0,24
HCPCS,J1806,Esmolol HCl,328.63,230.04,4754.0,5269.0,4
HCPCS,J1808,Folic Acid,8.0,5.6,,,0
HCPCS,J1815,Apidra,234.28,164.0,4754.0,5269.0,4
HCPCS,J1815,HumaLOG,182.6,127.82,4754.0,5269.0,4
HCPCS,J1815,HumaLOG KwikPen,87.52,61.26,4754.0,5269.0,8
HCPCS,J1815,HumaLOG Mix 50/50,234.88,164.42,4754.0,5269.0,4
HCPCS,J1815,HumaLOG Mix 50/50 KwikPen,87.52,61.26,4754.0,5269.0,4
HCPCS,J1815,HumaLOG Mix 75/25,234.88,164.42,4754.0,5269.0,4
HCPCS,J1815,HumuLIN 50/50,121.83,85.28,4754.0,5269.0,4
HCPCS,J1815,HumuLIN L,76.1,53.27,4754.0,5269.0,4
HCPCS,J1815,HumuLIN R,0.755,0.53,4754.0,5269.0,4
HCPCS,J1815,HumuLIN R Concentrated U-500,2049.09,1434.365,4754.0,5269.0,4
HCPCS,J1815,HumuLIN R Concentrated U-500 KwikPen,789.53,552.67,4754.0,5269.0,4
HCPCS,J1815,INSULIN INJECTION,50.11,35.08,4754.0,5269.0,4
HCPCS,J1815,Insulin Aspart,198.94,139.26,4754.0,5269.0,4
HCPCS,J1815,Insulin Aspart FlexPen,128.625,90.03999999999999,4754.0,5269.0,12
HCPCS,J1815,Insulin Glargine Solostar,93.57,65.5,4754.0,5269.0,8
HCPCS,J1815,Lantus,176.72,123.7,4754.0,5269.0,4
HCPCS,J1815,Lantus SoloStar Pen,49.635,34.745000000000005,4754.0,5269.0,12
HCPCS,J1815,Levemir,296.59,207.61,4754.0,5269.0,4
HCPCS,J1815,Levemir FlexPen,83.32,58.325,4754.0,5269.0,8
HCPCS,J1815,NovoLIN 70/30,124.11500000000001,86.885,4754.0,5269.0,4
HCPCS,J1815,NovoLIN 70/30 FlexPen,50.11,35.08,4754.0,5269.0,4
HCPCS,J1815,NovoLIN 70/30 Penfill,71.52,50.06,4754.0,5269.0,4
HCPCS,J1815,NovoLIN N (NPH),3.72,2.6,,,0
HCPCS,J1815,NovoLIN R,0.915,0.64,4754.0,5269.0,4
HCPCS,J1815,NovoLOG,198.94,139.26,4754.0,5269.0,4
HCPCS,J1815,NovoLOG FlexPen,71.96,50.375,4754.0,5269.0,8
HCPCS,J1815,NovoLOG Mix 70/30,198.94,139.26,4754.0,5269.0,4
HCPCS,J1815,NovoLOG Mix 70/30 FlexPen,76.85,53.8,4754.0,5269.0,4
HCPCS,J1815,Novolin R FlexPen,50.11,35.08,4754.0,5269.0,4
HCPCS,J1815,Tresiba FlexTouch Pen,279.64,195.75,4754.0,5269.0,4
HCPCS,J1823,Uplizna,128561.13,89992.79,4754.0,5269.0,8
HCPCS,J1830,Betaseron,192.22,134.55,4754.0,5269.0,4
HCPCS,J1833,Cresemba,1043.685,730.58,4754.0,5269.0,8
HCPCS,J1836,"INJ, METRONIDAZOLE, 10 MG",6.465,4.529999999999999,4754.0,5269.0,8
HCPCS,J1836,metroNIDAZOLE,6.33,4.43,0.03,5269.0,32
HCPCS,J1885,INJECTION; KETOROLAC TROMETHAMINE; PER 15 MG,8.5,5.949999999999999,0.39,1.09,60
HCPCS,J1885,Ketorolac Tromethamine,8.82,6.175,0.39,5269.0,404
HCPCS,J1920,"INJ, LABETALOL HCL, 5MG",16.67,11.67,4754.0,5269.0,4
HCPCS,J1920,Labetalol HCl,16.36,11.45,0.17,5269.0,52
HCPCS,J1921,Labetalol HCl,19.625,13.74,2.37,5269.0,8
HCPCS,J1930,INJECTION; LANREOTIDE; 1 MG,22948.8,16064.16,35.39,99.09,14
HCPCS,J1930,Somatuline Depot,22622.905,15836.035,35.39,5269.0,50
HCPCS,J1932,Lanreotide,24454.82,17118.37,4754.0,5269.0,4
HCPCS,J1938,Furosemide,7.98,5.59,4754.0,5269.0,84
HCPCS,J1939,Bumetanide,9.02,6.31,0.63,5269.0,28
HCPCS,J1940,Furosemide,12.03,8.42,0.61,0.93,16
HCPCS,J1940,INJECTION; FUROSEMIDE; UP TO 20 MG,8.0,5.6,0.61,0.93,4
HCPCS,J1943,Aristada Initio,3348.42,2343.895,3.24,5269.0,11
HCPCS,J1944,Aristada,5471.555,3830.09,3.34,5269.0,54
HCPCS,J1950,INJECTION; LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION); PER 3.75 MG,4116.82,2881.77,1763.87,4938.84,21
HCPCS,J1950,Lupron Depot,9906.165,6934.315,4754.0,5269.0,8
HCPCS,J1953,INJECTION; LEVETIRACETAM; 10 MG,44.4,31.08,0.07,0.1,4
HCPCS,J1953,levETIRAcetam,50.88,35.62,0.07,5269.0,52
HCPCS,J1953,levETIRAcetam-Sodium Chloride,57.065,39.945,4754.0,5269.0,16
HCPCS,J1955,Carnitor,106.91,74.84,4754.0,5269.0,4
HCPCS,J1955,levOCARNitine,98.1,68.67,4754.0,5269.0,8
HCPCS,J1956,INJECTION; LEVOFLOXACIN; 250 MG,26.28,18.4,0.96,1.49,4
HCPCS,J1956,Levaquin,100.43,70.3,4754.0,5269.0,4
HCPCS,J1956,levoFLOXacin,44.0,30.8,4754.0,5269.0,4
HCPCS,J1956,levoFLOXacin in 5% Dextrose,18.665,13.065000000000001,0.96,5269.0,48
HCPCS,J1961,Sunlenca,0.01,0.01,22.3,62.44,14
HCPCS,J2002,Lidocaine HCl-Dextrose,21.32,14.92,4754.0,5269.0,12
HCPCS,J2020,LINEZOLID INJECTION,8.67,6.07,4754.0,5269.0,4
HCPCS,J2020,Linezolid,48.67,34.07,3.62,5269.0,12
HCPCS,J2060,INJECTION; LORAZEPAM; 2 MG,8.0,5.6,0.96,1.83,4
HCPCS,J2060,LORazepam,8.0,5.6,0.96,5269.0,48
HCPCS,J2175,Demerol,377.85,264.5,4754.0,5269.0,4
HCPCS,J2175,Demerol Hydrochloride,17.59,12.31,6.9,5269.0,36
HCPCS,J2175,INJECTION; MEPERIDINE HYDROCHLORIDE; PER 100 MG,8.0,5.6,6.9,11.93,4
HCPCS,J2175,Meperidine HCl,7.49,5.244999999999999,6.9,5269.0,12
HCPCS,J2182,INJECTION; MEPOLIZUMAB; 1 MG,8311.01,5817.71,31.89,89.29,14
HCPCS,J2182,Nucala,9907.76,6935.43,31.89,5269.0,18
HCPCS,J2182,Nucala PFS,10553.07,7387.15,4754.0,5269.0,4
HCPCS,J2185,INJECTION; MEROPENEM; 100 MG,28.32,19.82,0.39,0.73,4
HCPCS,J2185,Meropenem,16.5,11.55,0.39,5269.0,48
HCPCS,J2185,Meropenem Novaplus,8.25,5.78,4754.0,5269.0,4
HCPCS,J2210,INJECTION; METHYLERGONOVINE MALEATE; UP TO 0.2 MG,47.43,33.2,20.87,32.05,4
HCPCS,J2210,Methylergonovine Maleate,70.18,49.125,4754.0,5269.0,16
HCPCS,J2212,Relistor,389.425,272.6,4754.0,5269.0,12
HCPCS,J2248,Mycamine,385.69,269.985,4754.0,5269.0,8
HCPCS,J2248,micafungin sodium,132.0,92.4,4754.0,5269.0,8
HCPCS,J2250,INJ MIDAZOLAM HYDROCHLORIDE,90.75,63.53,4754.0,5269.0,4
HCPCS,J2250,INJECTION; MIDAZOLAM HYDROCHLORIDE; PER 1 MG,12.0,8.399999999999999,0.14,0.23,4
HCPCS,J2250,Midazolam,5.625,3.9399999999999995,0.14,5269.0,32
HCPCS,J2250,Midazolam HCl,3.83,2.68,0.14,5269.0,48
HCPCS,J2251,Midazolam-Sodium Chloride,72.0,50.4,0.26,0.46,4
HCPCS,J2260,Milrinone Lactate,25.25,17.68,4754.0,5269.0,4
HCPCS,J2260,Milrinone Lactate in Dextrose,42.9,30.03,4754.0,5269.0,12
HCPCS,J2265,Minocin,710.88,497.62,4754.0,5269.0,8
HCPCS,J2270,INJECTION; MORPHINE SULFATE; UP TO 10 MG,16.0,11.2,4.46,7.64,4
HCPCS,J2270,Infumorph 200,357.5,250.25,4754.0,5269.0,4
HCPCS,J2270,MORPHINE SULFATE INJECTION,56.93,39.85,4754.0,5269.0,4
HCPCS,J2270,Morphine Sulfate,7.01,4.91,4.46,5269.0,56
HCPCS,J2272,INJECTION; MORPHINE SULFATE (FRESENIUS KABI) NOT THERAPEUTICALLY EQUIVALENT TO J2270; UP TO 10 MG,11.84,8.29,7.28,12.15,4
HCPCS,J2272,Morphine Sulfate,8.39,5.87,7.28,5269.0,20
HCPCS,J2272,Simplist Morphine Sulfate MicroVault,7.9,5.53,4754.0,5269.0,8
HCPCS,J2274,Duramorph,74.575,52.205,14.43,5269.0,16
HCPCS,J2274,INJ MORPHINE PF EPID ITHC,438.02,306.615,4754.0,5269.0,8
HCPCS,J2274,INJECTION; MORPHINE SULFATE; PRESERVATIVE-FREE FOR EPIDURAL OR INTRATHECAL USE; 10 MG,47.79,33.45,14.43,18.37,4
HCPCS,J2278,Prialt,8787.85,6151.5,4754.0,5269.0,4
HCPCS,J2280,Avelox I.V.,140.25,98.18,4754.0,5269.0,4
HCPCS,J2280,INJECTION; MOXIFLOXACIN; 100 MG,105.6,73.92,8.77,15.42,4
HCPCS,J2280,Moxifloxacin HCl,113.3,79.31,8.77,5269.0,8
HCPCS,J2290,Nafcillin,32.315,22.625,4754.0,5269.0,16
HCPCS,J2290,Nafcillin Sodium,32.12,22.48,4754.0,5269.0,4
HCPCS,J2300,Nalbuphine HCl,12.26,8.58,4754.0,5269.0,8
HCPCS,J2300,Nubain,3.69,2.58,4754.0,5269.0,4
HCPCS,J2305,"INJ, NITROGLYCERIN, 5 MG",0.685,0.48,4754.0,5269.0,8
HCPCS,J2305,Nitroglycerin,42.77,29.94,4754.0,5269.0,4
HCPCS,J2305,Nitroglycerin-Dextrose,61.88,43.32,1.44,5269.0,8
HCPCS,J2310,INJECTION; NALOXONE HYDROCHLORIDE; PER 1 MG,24.0,16.8,8.06,11.92,4
HCPCS,J2310,Naloxone HCl,75.6,52.92,8.06,11.92,16
HCPCS,J2312,Naloxone HCl,39.88,27.92,,,0
HCPCS,J2315,Vivitrol,0.01,0.01,4.24,11.87,7
HCPCS,J2320,Nandrolone Decanoate,37.01,25.91,4754.0,5269.0,4
HCPCS,J2323,Tysabri,20490.52,14343.36,24.51,5269.0,18
HCPCS,J2327,INJECTION; RISANKIZUMAB-RZAA; INTRAVENOUS; 1 MG,48574.61,34002.23,14.93,41.8,7
HCPCS,J2327,Skyrizi 600MG/10ML,26762.685,18733.879999999997,14.93,5269.0,11
HCPCS,J2329,Briumvi,27843.26,19490.285,70.18,5269.0,11
HCPCS,J2350,INJECTION; OCRELIZUMAB; 1 MG,94629.03,66240.32,59.32,166.1,7
HCPCS,J2350,Ocrevus,75695.83499999999,52987.08500000001,59.32,5269.0,18
HCPCS,J2353,INJECTION; OCTREOTIDE; DEPOT FORM FOR INTRAMUSCULAR INJECTION; 1 MG,11079.12,7755.38,199.17,557.68,14
HCPCS,J2353,SandoSTATIN LAR Depot,11886.975,8320.88,199.17,5269.0,66
HCPCS,J2354,"OCTREOTIDE INJ, NON-DEPOT",136.65,95.66,4754.0,5269.0,4
HCPCS,J2354,Octreotide Acetate,168.0,117.6,4754.0,5269.0,48
HCPCS,J2354,SandoSTATIN,33.88,23.72,,,0
HCPCS,J2356,INJECTION; TEZEPELUMAB-EKKO; 1 MG,9986.19,6990.33,17.82,49.9,7
HCPCS,J2356,Tezspire PFS,11000.42,7700.295,17.82,5269.0,11
HCPCS,J2357,INJECTION; OMALIZUMAB; 5 MG,4985.860000000001,3490.105,45.5,127.4,14
HCPCS,J2357,Xolair,7123.075,4986.15,45.5,5269.0,11
HCPCS,J2357,Xolair Autoinjector,2025.05,1417.54,4754.0,5269.0,4
HCPCS,J2357,Xolair PFS,3323.91,2326.74,45.5,5269.0,61
HCPCS,J2359,OLANZapine,66.1,46.269999999999996,0.96,5269.0,16
HCPCS,J2371,INJ PHENYLEPHRINE HCL 20 MCG,15.73,11.01,4754.0,5269.0,4
HCPCS,J2371,Phenylephrine HCl,18.965,13.274999999999999,4754.0,5269.0,24
HCPCS,J2371,Phenylephrine HCl-Sodium Chloride,78.285,54.8,4754.0,5269.0,4
HCPCS,J2371,Vazculep,9.05,6.335,4754.0,5269.0,8
HCPCS,J2401,Chloroprocaine HCl,61.55,43.09,4754.0,5269.0,8
HCPCS,J2401,Nesacaine-MPF,61.55,43.09,0.04,5269.0,16
HCPCS,J2404,Cardene IV,208.45,145.91500000000002,4754.0,5269.0,20
HCPCS,J2404,niCARdipine HCl,58.41,40.89,4754.0,5269.0,16
HCPCS,J2405,INJECTION; ONDANSETRON HYDROCHLORIDE; PER 1 MG,12.325,8.629999999999999,0.1,0.16,4
HCPCS,J2405,Ondansetron,13.75,9.63,0.1,5269.0,52
HCPCS,J2405,Ondansetron Novaplus,1.65,1.16,4754.0,5269.0,8
HCPCS,J2426,Invega Sustenna,6127.1900000000005,4289.035,15.11,5269.0,65
HCPCS,J2427,Invega Trinza,19630.8,13741.56,12.99,5269.0,15
HCPCS,J2430,Pamidronate Disodium,99.53999999999999,69.67999999999999,4754.0,5269.0,16
HCPCS,J2440,Papaverine HCl,89.38,62.57,4754.0,5269.0,8
HCPCS,J2469,palonosetron hcl,49.5,34.65,1.19,5269.0,28
HCPCS,J2470,INJ PANTOPRAZOLE SODIUM 40MG,17.88,12.52,4754.0,5269.0,4
HCPCS,J2470,Pantoprazole Sodium,9.585,6.71,4754.0,5269.0,24
HCPCS,J2470,Protonix,13.96,9.77,4754.0,5269.0,4
HCPCS,J2470,Protonix IV,24.36,17.05,,,0
HCPCS,J2471,Pantoprazole Sodium,16.74,11.719999999999999,4754.0,5269.0,8
HCPCS,J2501,Zemplar,36.36,25.45,0.75,5269.0,12
HCPCS,J2505,"INJECTION, PEGFILGRASTIM 6MG",0.01,0.01,4754.0,5269.0,4
HCPCS,J2506,INJECTION; PEGFILGRASTIM; EXCLUDES BIOSIMILAR; 0.5 MG,16526.33,11568.435,122.84,343.95,28
HCPCS,J2506,Neulasta,16526.33,11568.435,122.84,5269.0,39
HCPCS,J2506,Neulasta Onpro,17649.48,12354.64,122.84,5269.0,81
HCPCS,J2507,Krystexxa,84543.23,59180.26,4754.0,5269.0,4
HCPCS,J2510,Penicillin G Procaine,120.63499999999999,84.44500000000001,4754.0,5269.0,12
HCPCS,J2515,Nembutal,4767.43,3337.205,4754.0,5269.0,8
HCPCS,J2515,PENTobarbital Sodium,3328.22,2329.75,4754.0,5269.0,4
HCPCS,J2515,PENTobarbital sodium,4551.25,3185.875,4754.0,5269.0,8
HCPCS,J2540,INJECTION; PENICILLIN G POTASSIUM; UP TO 600;000 UNITS,30.54,21.38,0.83,1.25,4
HCPCS,J2540,PENICILLIN G POTASSIUM INJ,31.94,22.36,4754.0,5269.0,16
HCPCS,J2540,Penicillin G Potassium,35.62,24.93,4754.0,5269.0,24
HCPCS,J2540,Pfizerpen,24.825000000000003,17.375,0.83,5269.0,12
HCPCS,J2543,INJECTION; PIPERACILLIN SODIUM/TAZOBACTAM SODIUM; 1 GRAM/0.125 GRAMS (1.125 GRAMS),13.23,9.26,1.05,1.93,4
HCPCS,J2543,PIPERACILLIN/TAZOBACTAM,15.13,10.59,4754.0,5269.0,20
HCPCS,J2543,Piperacillin and Tazobactam,15.13,10.59,1.05,5269.0,104
HCPCS,J2543,Zosyn,65.405,45.785,1.05,5269.0,28
HCPCS,J2545,Nebupent,458.95,321.27,4754.0,5269.0,4
HCPCS,J2545,Pentamidine Isethionate,247.5,173.25,4754.0,5269.0,8
HCPCS,J2547,Rapivab,870.82,609.57,4754.0,5269.0,8
HCPCS,J2550,INJECTION; PROMETHAZINE HCL; UP TO 50 MG,8.0,5.6,3.1,5.86,4
HCPCS,J2550,Promethazine HCl,5.5,3.85,3.1,5269.0,20
HCPCS,J2550,Promethazine HCl Novaplus,10.03,7.02,4754.0,5269.0,4
HCPCS,J2560,INJECTION; PHENOBARBITAL SODIUM; UP TO 120 MG,326.2,228.34,32.8,51.39,4
HCPCS,J2560,PHENOBARBITAL SODIUM INJ,186.88,130.82,4754.0,5269.0,4
HCPCS,J2560,PHENobarbital Sodium,257.145,180.0,32.8,5269.0,20
HCPCS,J2590,INJECTION; OXYTOCIN; UP TO 10 UNITS,16.56,11.59,0.55,0.62,3
HCPCS,J2590,OXYTOCIN INJECTION,7.43,5.205,4754.0,5269.0,8
HCPCS,J2590,Oxytocin,24.84,17.39,0.55,5269.0,19
HCPCS,J2590,Oxytocin Novaplus,7.465,5.225,0.55,5269.0,11
HCPCS,J2590,Pitocin,38.5,26.95,4754.0,5269.0,4
HCPCS,J2597,DDAVP,223.14,156.2,4754.0,5269.0,4
HCPCS,J2597,Desmopressin Acetate,104.5,73.15,4754.0,5269.0,16
HCPCS,J2597,Desmopressin Acetate Novaplus,87.31,61.12,4754.0,5269.0,8
HCPCS,J2598,Vasopressin,56.39,39.475,1.88,5269.0,36
HCPCS,J2598,Vasostrict,29.16,20.41,1.88,2.97,4
HCPCS,J2599,Vasopressin,137.5,96.25,4754.0,5269.0,8
HCPCS,J2675,Progesterone,89.42,62.595,4754.0,5269.0,8
HCPCS,J2675,Progesterone In Sesame Oil,82.23,57.56,4754.0,5269.0,4
HCPCS,J2679,fluPHENAZine HCl,528.2,369.74,4754.0,5269.0,4
HCPCS,J2680,fluPHENAZine Decanoate,330.0,231.0,4754.0,5269.0,4
HCPCS,J2690,INJECTION; PROCAINAMIDE HCL; UP TO 1 GM,220.95,154.67,187.2,964.68,11
HCPCS,J2690,Procainamide HCl,253.0,177.1,4754.0,5269.0,16
HCPCS,J2700,Oxacillin,42.475,29.735,4754.0,5269.0,8
HCPCS,J2700,Oxacillin Sodium,17.27,12.09,4754.0,5269.0,4
HCPCS,J2704,Diprivan,23.04,16.13,0.12,5269.0,36
HCPCS,J2704,"INJ, PROPOFOL, 10 MG",12.38,8.67,4754.0,5269.0,4
HCPCS,J2704,INJECTION; PROPOFOL; 10 MG,26.64,18.65,0.12,0.21,4
HCPCS,J2704,PremierPro Rx Diprivan,24.48,17.14,0.12,0.21,4
HCPCS,J2704,Propofol,22.28,15.6,0.12,5269.0,68
HCPCS,J2710,INJECTION; NEOSTIGMINE METHYLSULFATE; UP TO 0.5 MG,10.56,7.39,0.11,0.11,2
HCPCS,J2710,Neostigmine Methylsulfate,19.075,13.355,0.11,5269.0,30
HCPCS,J2720,INJ PROTAMINE SULFATE/10 MG,42.57,29.8,4754.0,5269.0,4
HCPCS,J2720,INJECTION; PROTAMINE SULFATE; PER 10 MG,74.31,52.02,2.13,2.71,4
HCPCS,J2720,Protamine Sulfate,58.44,40.910000000000004,2.13,5269.0,16
HCPCS,J2725,Thyrel Trh,113.0,79.1,4754.0,5269.0,4
HCPCS,J2730,Protopam Chloride,834.49,584.145,4754.0,5269.0,8
HCPCS,J2760,Phentolamine Mesylate,1250.9250000000002,875.65,4754.0,5269.0,12
HCPCS,J2765,INJECTION; METOCLOPRAMIDE HCL; UP TO 10 MG,8.05,5.64,1.04,1.79,4
HCPCS,J2765,Metoclopramide,7.025,4.92,1.04,5269.0,12
HCPCS,J2765,Metoclopramide HCl,8.025,5.619999999999999,1.04,5269.0,24
HCPCS,J2783,Elitek,9132.689999999999,6392.884999999999,4754.0,5269.0,8
HCPCS,J2783,RASBURICASE,3044.24,2130.97,4754.0,5269.0,4
HCPCS,J2785,INJECTION; REGADENOSON; 0.1 MG,48.0,33.6,7.05,23.35,4
HCPCS,J2785,Regadenoson,57.5,40.25,7.05,5269.0,16
HCPCS,J2790,HyperRHO Full Dose,227.79,159.45,4754.0,5269.0,8
HCPCS,J2790,INJECTION; RHO D IMMUNE GLOBULIN; HUMAN; FULL DOSE; 300 MICROGRAMS (1500 IU),286.0,200.2,79.98,136.01,4
HCPCS,J2790,RHO D IMMUNE GLOBULIN INJ,286.0,200.2,4754.0,5269.0,4
HCPCS,J2790,RhoGAM Ultra-Filtered Plus,286.0,200.2,79.98,136.01,4
HCPCS,J2791,Rhophylac,467.92,327.54,4754.0,5269.0,8
HCPCS,J2792,WinRho SDF,713.9,499.73,4754.0,5269.0,4
HCPCS,J2794,"INJ RISPERDAL CONSTA, 0.5 MG",887.37,621.16,4754.0,5269.0,4
HCPCS,J2794,RisperDAL Consta,1774.55,1242.19,11.18,5269.0,49
HCPCS,J2794,risperiDONE,2190.38,1533.27,11.18,5269.0,23
HCPCS,J2795,INJECTION; ROPIVACAINE HYDROCHLORIDE; 1 MG,54.22,37.95,0.07,0.14,4
HCPCS,J2795,Naropin,33.685,23.58,0.07,5269.0,20
HCPCS,J2795,ROPIVACAINE HCL INJECTION,46.675,32.67,4754.0,5269.0,8
HCPCS,J2795,ROPivacaine HCl,23.35,16.35,0.07,5269.0,16
HCPCS,J2796,INJECTION; ROMIPLOSTIM; 10 MICROGRAMS,12585.22,8809.65,,,0
HCPCS,J2796,Nplate,2265.355,1585.75,,,0
HCPCS,J2799,Uzedy,6320.33,4424.23,4754.0,5269.0,16
HCPCS,J2800,INJECTION; METHOCARBAMOL; UP TO 10 ML,14.31,10.02,6.17,9.25,4
HCPCS,J2800,Methocarbamol,16.39,11.47,6.17,5269.0,16
HCPCS,J2800,Robaxin,50.955,35.67,6.17,5269.0,8
HCPCS,J2802,Nplate,5678.135,3974.6949999999997,11.05,5269.0,51
HCPCS,J2805,sincalide,375.74,263.02,4754.0,5269.0,8
HCPCS,J2820,Leukine,739.525,517.665,4754.0,5269.0,8
HCPCS,J2850,Chirhostim,1443.75,1010.63,4754.0,5269.0,4
HCPCS,J2860,Sylvant,10940.205000000002,7658.145,4754.0,5269.0,8
HCPCS,J2865,Sulfamethoxazole/Trimethoprim,33.44,23.41,,,0
HCPCS,J2910,Solganal,384.32,269.02,4754.0,5269.0,4
HCPCS,J2916,Ferrlecit,87.45,61.22,4754.0,5269.0,4
HCPCS,J2916,INJECTION; SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE INJECTION; 12.5 MG,152.64,106.85,2.18,3.88,4
HCPCS,J2916,Sodium Ferric Gluconate Complex in Sucrose,120.04499999999999,84.035,2.18,5269.0,12
HCPCS,J2919,SOLU-Medrol,66.77,46.74,0.27,5269.0,10
HCPCS,J2919,SOLU-Medrol 125mg Vial,24.770000000000003,17.340000000000003,0.27,5269.0,10
HCPCS,J2919,SOLU-Medrol 1GM Vial,177.47,124.22999999999999,0.27,5269.0,6
HCPCS,J2919,SOLU-Medrol 40mg Vial,13.59,9.515,0.27,5269.0,10
HCPCS,J2919,SOLU-Medrol Novaplus 125mg Vial,23.5,16.45,4754.0,5269.0,4
HCPCS,J2919,SOLU-Medrol Novaplus 40mg Vial,191.945,134.35999999999999,4754.0,5269.0,8
HCPCS,J2919,methylPREDNISolone Sodium Succinate,74.94,52.46,4754.0,5269.0,12
HCPCS,J2941,Nutropin,971.08,679.76,4754.0,5269.0,4
HCPCS,J2997,ALTEPLASE RECOMBINANT,12100.5,8470.35,4754.0,5269.0,12
HCPCS,J2997,Activase,10560.44,7392.31,93.83,5269.0,36
HCPCS,J2997,Cathflo Activase,509.20500000000004,356.44,93.83,5269.0,40
HCPCS,J2997,INJECTION; ALTEPLASE RECOMBINANT; 1 MG,423.23,296.26,93.83,262.72,7
HCPCS,J3000,Streptomycin Sulfate,2062.5,1443.75,4754.0,5269.0,4
HCPCS,J3010,FENTANYL CITRATE INJECTION,9.41,6.59,4754.0,5269.0,12
HCPCS,J3010,INJECTION; FENTANYL CITRATE; 0.1 MG,16.0,11.2,0.99,1.58,4
HCPCS,J3010,fentaNYL Citrate,16.395,11.475000000000001,0.99,5269.0,92
HCPCS,J3010,fentaNYL Citrate-Sodium Chloride,34.765,24.335,0.99,5269.0,8
HCPCS,J3030,INJECTION; SUMATRIPTAN SUCCINATE; 6 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN; NOT FOR USE WHEN DRUG IS SELF ADMINISTERED),26.4,18.48,79.64,89.99,3
HCPCS,J3030,SUMAtriptan Succinate,28.325,19.83,79.64,5269.0,7
HCPCS,J3031,Ajovy,2076.67,1453.67,4754.0,5269.0,4
HCPCS,J3032,INJECTION; EPTINEZUMAB-JJMR; 1 MG,13160.38,9212.27,20.5,57.4,14
HCPCS,J3032,Vyepti,9247.789999999999,6473.455,20.5,5269.0,18
HCPCS,J3055,Talvey,17076.83,11953.78,4754.0,5269.0,8
HCPCS,J3095,Vibativ,1275.1100000000001,892.5749999999999,7.37,5269.0,43
HCPCS,J3101,TENECTEPLASE INJECTION,11408.74,7986.12,4754.0,5269.0,8
HCPCS,J3101,TNKase,10708.16,7495.715,153.11,5269.0,82
HCPCS,J3105,INJECTION; TERBUTALINE SULFATE; UP TO 1 MG,9.6,6.72,6.09,12.74,4
HCPCS,J3105,Terbutaline Sulfate,13.55,9.49,6.09,5269.0,12
HCPCS,J3110,Forteo,2029.92,1420.94,4754.0,5269.0,4
HCPCS,J3111,Evenity,4811.875,3368.315,12.11,5269.0,30
HCPCS,J3111,INJECTION; ROMOSOZUMAB-AQQG; 1 MG,6008.98,4206.29,12.11,33.91,14
HCPCS,J3121,Testosterone Enanthate,206.305,144.41,4754.0,5269.0,8
HCPCS,J3145,Aveed,5699.33,3989.53,4754.0,5269.0,4
HCPCS,J3230,INJECTION; CHLORPROMAZINE HCL; UP TO 50 MG,79.45,55.62,27.94,48.71,4
HCPCS,J3230,chlorproMAZINE HCl,85.245,59.675,27.94,5269.0,12
HCPCS,J3240,INJECTION; THYROTROPIN ALPHA; 0.9 MG; PROVIDED IN 1.1 MG VIAL,4745.38,3321.77,2125.64,5951.79,14
HCPCS,J3240,Thyrogen,5153.115,3607.185,2125.64,5951.79,29
HCPCS,J3241,Tepezza,49552.12,34686.48,369.31,5269.0,18
HCPCS,J3243,tigecycline,358.875,251.215,4754.0,5269.0,20
HCPCS,J3245,"INJ., TILDRAKIZUMAB, 1 MG",49393.96,34575.77,4754.0,5269.0,4
HCPCS,J3245,INJECTION; TILDRAKIZUMAB; 1 MG,49393.96,34575.77,123.79,346.61,7
HCPCS,J3245,Ilumya PFS,49393.96,34575.77,4754.0,5269.0,4
HCPCS,J3247,Cosentyx,2858.27,2000.79,18.07,5269.0,18
HCPCS,J3250,Tigan,16.3,11.41,4754.0,5269.0,4
HCPCS,J3260,INJECTION; TOBRAMYCIN SULFATE; UP TO 80 MG,180.0,126.0,2.55,4.35,4
HCPCS,J3260,TOBRAMYCIN SULFATE INJECTION,229.63,160.74,4754.0,5269.0,4
HCPCS,J3260,Tobramycin,21.39,14.97,2.55,5269.0,16
HCPCS,J3260,Tobramycin Sulfate,60.48,42.34,2.55,5269.0,32
HCPCS,J3262,Actemra,3362.26,2353.58,5.61,5269.0,117
HCPCS,J3262,INJECTION; TOCILIZUMAB; 1 MG,2151.215,1505.85,5.61,15.71,28
HCPCS,J3262,TOCILIZUMAB INJECTION,0.01,0.01,4754.0,5269.0,4
HCPCS,J3263,Loqtorzi,23977.315,16784.12,40.21,5269.0,11
HCPCS,J3265,Demadex,24.375,17.06,4754.0,5269.0,8
HCPCS,J3280,Torecan,11.99,8.39,4754.0,5269.0,4
HCPCS,J3285,Remodulin,13131.115000000002,9191.785,4754.0,5269.0,16
HCPCS,J3290,Tranexamic Acid,12.82,8.975,,,0
HCPCS,J3290,Tranexamic Acid-Sodium Chloride,57.065,39.95,,,0
HCPCS,J3300,INJECTION; TRIAMCINOLONE ACETONIDE; PRESERVATIVE FREE; 1 MG,1132.8,792.96,4.27,68.57,17
HCPCS,J3300,Triesence,1812.48,1268.74,4.27,68.57,38
HCPCS,J3301,INJECTION; TRIAMCINOLONE ACETONIDE; NOT OTHERWISE SPECIFIED; 10 MG,67.4,47.18,1.08,2.14,4
HCPCS,J3301,Kenalog-10,26.625,18.64,1.08,5269.0,8
HCPCS,J3301,Kenalog-40,33.705000000000005,23.595,1.08,2.14,4
HCPCS,J3301,Kenalog-80,48.205,33.745,4754.0,5269.0,4
HCPCS,J3301,TRIAMCINOLONE ACET INJ NOS,6.65,4.66,4754.0,5269.0,4
HCPCS,J3301,Triamcinolone Acetonide,22.814999999999998,15.975000000000001,1.08,5269.0,48
HCPCS,J3357,Stelara,40083.29,28058.3,4754.0,5269.0,4
HCPCS,J3357,Stelara PFS,60124.905,42087.43,4754.0,5269.0,8
HCPCS,J3357,USTEKINUMAB; FOR SUBCUTANEOUS INJECTION; 1 MG,66822.84,46775.99,,,0
HCPCS,J3357,Ustekinumab PFS,20042.0,14029.4,4754.0,5269.0,4
HCPCS,J3358,Stelara,5829.04,4080.33,4754.0,5269.0,4
HCPCS,J3358,USTEKINUMAB; FOR INTRAVENOUS INJECTION; 1 MG,19435.36,13604.75,12.49,34.97,7
HCPCS,J3360,INJECTION; DIAZEPAM; UP TO 5 MG,40.4,28.28,6.54,8.95,4
HCPCS,J3360,Simplist diazePAM,48.585,34.01,6.54,5269.0,12
HCPCS,J3360,diazePAM,68.98,48.29,6.54,5269.0,20
HCPCS,J3370,INJECTION; VANCOMYCIN HCL; 500 MG,78.15,54.71,3.77,9.43,4
HCPCS,J3370,Vancomycin HCl,28.8,20.16,3.77,9.43,28
HCPCS,J3372,INJECTION; VANCOMYCIN HCL (XELLIA) NOT THERAPEUTICALLY EQUIVALENT TO J3370; 500 MG,89.03999999999999,62.33,6.4,10.76,4
HCPCS,J3372,Vancomycin HCl (Premix),58.8,41.16,6.4,10.76,28
HCPCS,J3373,Vancomycin HCl,8.25,5.78,,,0
HCPCS,J3375,Vancomycin HCl (Premix),52.25,36.58,,,0
HCPCS,J3380,Entyvio,23269.78,16288.845000000001,21.37,5269.0,18
HCPCS,J3380,INJECTION; VEDOLIZUMAB; 1 MG,20799.8,14559.86,21.37,59.84,14
HCPCS,J3396,INJECTION; VERTEPORFIN; 0.1 MG,2350.86,1645.605,11.56,32.37,14
HCPCS,J3396,Visudyne,4701.71,3291.2,4754.0,5269.0,4
HCPCS,J3410,INJECTION; HYDROXYZINE HCL; UP TO 25 MG,74.09,51.86,13.87,16.2,4
HCPCS,J3410,hydrOXYzine HCl,90.715,63.5,13.87,5269.0,8
HCPCS,J3411,INJECTION; THIAMINE HCL; 100 MG,35.82,25.07,2.26,4.02,4
HCPCS,J3411,Thiamine HCl,18.88,13.215,2.26,5269.0,36
HCPCS,J3411,Thiamine HCl Novaplus,14.03,9.82,4754.0,5269.0,4
HCPCS,J3415,INJECTION; PYRIDOXINE HCL; 100 MG,5.98,4.19,15.0,24.25,4
HCPCS,J3415,Pyridoxine HCl,39.879999999999995,27.915,15.0,5269.0,12
HCPCS,J3420,Cyanocobalamin,9.35,6.55,1.42,5269.0,36
HCPCS,J3420,INJECTION; VITAMIN B-12 CYANOCOBALAMIN; UP TO 1000 MCG,16.61,11.63,1.42,4.61,4
HCPCS,J3424,Cyanokit,2638.6,1847.02,5.44,5269.0,11
HCPCS,J3430,INJECTION; PHYTONADIONE (VITAMIN K); PER 1 MG,134.66,94.26,2.8,4.75,4
HCPCS,J3430,Phytonadione,117.61,59.129999999999995,2.8,5269.0,20
HCPCS,J3430,Vitamin K1,67.33,47.13,2.8,5269.0,28
HCPCS,J3430,Vitamin K1 Novaplus,75.08,52.56,4754.0,5269.0,4
HCPCS,J3465,Voriconazole,96.25,67.38,4754.0,5269.0,4
HCPCS,J3473,Hylenex,143.755,100.63,0.36,5269.0,16
HCPCS,J3473,INJECTION; HYALURONIDASE; RECOMBINANT; 1 USP UNIT,134.06,93.84,0.36,0.59,4
HCPCS,J3475,INJ MAGNESIUM SULFATE,24.92,17.44,4754.0,5269.0,12
HCPCS,J3475,INJECTION; MAGNESIUM SULFATE; PER 500 MG,30.84,21.59,0.64,1.13,4
HCPCS,J3475,Magnesium Sulfate,20.0,14.0,0.64,5269.0,120
HCPCS,J3475,Magnesium Sulfate-Dextrose,18.8,13.16,0.64,5269.0,36
HCPCS,J3480,Dex/Lact. Ringers/Potassium Chl,25.925,18.15,0.11,5269.0,8
HCPCS,J3480,INJ POTASSIUM CHLORIDE,10.81,7.57,4754.0,5269.0,4
HCPCS,J3480,INJECTION; POTASSIUM CHLORIDE; PER 2 MEQ,8.0,5.6,0.11,0.19,4
HCPCS,J3480,Potassium Chl in Dextrose and Sodium Chl,30.25,21.18,4754.0,5269.0,4
HCPCS,J3480,Potassium Chl-Dextrose-Sodium Chl,16.5,11.55,4754.0,5269.0,4
HCPCS,J3480,Potassium Chloride,11.004999999999999,7.705,0.11,5269.0,60
HCPCS,J3480,Potassium Chloride Concentrate,7.605,5.324999999999999,0.11,5269.0,28
HCPCS,J3480,Potassium Chloride in Dextrose and Sodium Chloride,19.625,13.74,0.11,5269.0,16
HCPCS,J3480,Potassium Chloride in Sodium Chloride,24.75,17.33,0.11,5269.0,12
HCPCS,J3480,Potassium Chloride-Sodium Chloride,20.8,14.559999999999999,0.11,5269.0,20
HCPCS,J3485,Retrovir,80.3,56.21,4754.0,5269.0,12
HCPCS,J3486,Geodon,177.18,124.03,4754.0,5269.0,8
HCPCS,J3486,INJECTION; ZIPRASIDONE MESYLATE; 10 MG,112.8,78.96,10.22,15.96,4
HCPCS,J3486,Ziprasidone Mesylate,101.49000000000001,71.045,10.22,5269.0,28
HCPCS,J3489,INJECTION; ZOLEDRONIC ACID; 1 MG,180.0,126.0,6.94,11.79,4
HCPCS,J3489,Zoledronic Acid,183.005,128.10500000000002,6.94,5269.0,60
HCPCS,J3489,Zoledronic Acid Novaplus,123.75,86.63,4754.0,5269.0,4
HCPCS,J3490,Adrenalin,374.59,262.215,4754.0,5269.0,4
HCPCS,J3490,Asclera,58.165,40.72,4754.0,5269.0,8
HCPCS,J3490,Bridion,472.195,330.53499999999997,4754.0,5269.0,16
HCPCS,J3490,Briviact,530.255,371.18,4754.0,5269.0,4
HCPCS,J3490,DRUGS UNCLASSIFIED INJECTION,62.15,43.51,4754.0,5269.0,20
HCPCS,J3490,Datroway,35215.71,24651.0,,,0
HCPCS,J3490,Dextrose,39.88,27.92,4754.0,5269.0,4
HCPCS,J3490,EPINEPHrine,216.565,151.6,4754.0,5269.0,16
HCPCS,J3490,Etomidate,15.030000000000001,10.52,4754.0,5269.0,28
HCPCS,J3490,Gemcitabine,110.24,77.17,,,0
HCPCS,J3490,Gemcitabine HCl,238.32,166.82,,,0
HCPCS,J3490,Kineret PFS,579.39,405.57,4754.0,5269.0,8
HCPCS,J3490,Myxredlin,420.0,294.0,,,0
HCPCS,J3490,Ryanodex,9114.49,6380.14,4754.0,5269.0,4
HCPCS,J3490,UNCLASSIFIED DRUGS,1672.395,1170.675,,,0
HCPCS,J3490,Victoza Pen,747.33,523.13,4754.0,5269.0,4
HCPCS,J3490,liraglutide,645.71,452.0,4754.0,5269.0,8
HCPCS,J3490,mitoMYcin,1402.5,981.75,4754.0,5269.0,12
HCPCS,J3535,Spiriva HandiHaler,167.34,117.14,4754.0,5269.0,4
HCPCS,J3535,Spiriva Respimat Institutional Pack 10ACT,206.25,144.38,4754.0,5269.0,4
HCPCS,J3590,Dupixent PFS,5490.875,3843.615,4754.0,5269.0,16
HCPCS,J3590,Pegasys,2935.505,2054.855,4754.0,5269.0,8
HCPCS,J7030,INFUSION; NORMAL SALINE SOLUTION; 1000 CC,20.0,14.0,2.61,4.4,4
HCPCS,J7030,NORMAL SALINE SOLUTION INFUS,6.88,4.82,4754.0,5269.0,8
HCPCS,J7030,Sodium Chloride,20.0,14.0,2.61,4.4,4
HCPCS,J7040,INFUSION; NORMAL SALINE SOLUTION; STERILE (500 ML = 1 UNIT),20.0,14.0,1.3,2.2,4
HCPCS,J7040,NORMAL SALINE SOLUTION INFUS,15.13,10.59,4754.0,5269.0,4
HCPCS,J7040,Sodium Chloride,15.13,10.59,1.3,5269.0,36
HCPCS,J7040,Sodium Chloride Freeflex,33.0,23.1,4754.0,5269.0,4
HCPCS,J7042,5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT),20.0,14.0,4754.0,5269.0,4
HCPCS,J7042,Dextrose-Sodium Chloride,13.75,9.63,4754.0,5269.0,28
HCPCS,J7050,INFUSION; NORMAL SALINE SOLUTION; 250 CC,12.04,8.43,4754.0,5269.0,4
HCPCS,J7050,NORMAL SALINE SOLUTION INFUS,7.225,5.06,4754.0,5269.0,8
HCPCS,J7050,Sodium Chloride,14.094999999999999,9.870000000000001,0.65,5269.0,32
HCPCS,J7070,Dextrose,20.0,14.0,3.6,6.32,4
HCPCS,J7070,INFUSION; D5W; 1000 CC,20.0,14.0,3.6,6.32,4
HCPCS,J7120,Lactated Ringer's,13.75,9.63,4754.0,5269.0,12
HCPCS,J7120,RINGERS LACTATE INFUSION; UP TO 1000 CC,16.5,11.55,2.43,5269.0,8
HCPCS,J7121,Dextrose 5% In Ringers,15.13,10.59,4754.0,5269.0,4
HCPCS,J7121,Dextrose 5%/Lactated Ringers,8.25,5.78,4754.0,5269.0,4
HCPCS,J7121,Lactated Ringer's and 5% Dextrose,15.13,10.59,4754.0,5269.0,12
HCPCS,J7131,HYPERTONIC SALINE SOL,17.490000000000002,12.245,4754.0,5269.0,8
HCPCS,J7131,HYPERTONIC SALINE SOLUTION; 1 ML,12.2,8.54,0.09,0.09,2
HCPCS,J7131,Sodium Chloride,17.88,12.52,4754.0,5269.0,44
HCPCS,J7131,Sodium Chloride Concentrate,21.005,14.705,0.09,5269.0,28
HCPCS,J7168,Kcentra,13247.220000000001,9273.055,2.09,5269.0,15
HCPCS,J7168,PROTHROMBIN COMPLEX KCENTRA,8.2,5.74,4754.0,5269.0,4
HCPCS,J7169,Andexxa,6875.0,4812.5,4754.0,5269.0,12
HCPCS,J7175,Coagadex,64644.91499999999,45251.44,9.92,27.78,14
HCPCS,J7175,INJECTION; FACTOR X; (HUMAN); 1 I.U.,85622.4,59935.68,9.92,27.78,7
HCPCS,J7178,INJ HUMAN FIBRINOGEN CON NOS,4.18,2.93,4754.0,5269.0,4
HCPCS,J7178,RiaSTAP,4.18,2.93,4754.0,5269.0,4
HCPCS,J7188,Obizur,8.12,5.68,4754.0,5269.0,4
HCPCS,J7189,FACTOR VIIA RECOMB NOVOSEVEN,6.0,4.2,2.62,7.34,7
HCPCS,J7189,NovoSeven RT,7.73,5.41,4754.0,5269.0,4
HCPCS,J7190,FACTOR VIII,3.5,2.45,1.11,3.11,14
HCPCS,J7191,FACTOR VIII (PORCINE),11.0,7.7,5.46,15.29,7
HCPCS,J7192,FACTOR VIII RECOMBINANT NOS,5.0,3.5,1.59,4.45,14
HCPCS,J7192,Recombinate,8008.0,5605.6,1.59,4.45,7
HCPCS,J7194,Profilnine,4.07,2.85,4754.0,5269.0,16
HCPCS,J7195,FACTOR IX RECOMBINANT NOS,4.0,2.8,1.83,5.12,7
HCPCS,J7197,Thrombate III,12.27,8.59,4754.0,5269.0,8
HCPCS,J7198,ANTI-INHIBITOR,6.715,4.7,2.44,5269.0,11
HCPCS,J7198,Feiba,7.43,5.2,4754.0,5269.0,4
HCPCS,J7198,Feiba NF,7.43,5.2,4754.0,5269.0,4
HCPCS,J7295,NuvaRing,1341.7,939.19,4754.0,5269.0,4
HCPCS,J7297,LEVONORGESTREL-RELEASING INTRAUTERINE CONTRACEPTIVE SYSTEM (LILETTA); 52 MG,2129.67,1490.77,887.36,1002.72,3
HCPCS,J7297,Liletta,2345.965,1642.175,887.36,5269.0,7
HCPCS,J7298,LEVONORGESTREL-RELEASING INTRAUTERINE CONTRACEPTIVE SYSTEM (MIRENA); 52 MG,2776.3,1943.41,1156.79,1307.17,3
HCPCS,J7298,Mirena,3340.24,2338.17,4754.0,5269.0,4
HCPCS,J7300,INTRAUTERINE COPPER CONTRACEPTIVE,986.21,690.35,1085.0,1226.05,3
HCPCS,J7301,Skyla,2781.3,1946.91,4754.0,5269.0,4
HCPCS,J7307,ETONOGESTREL (CONTRACEPTIVE) IMPLANT SYSTEM; INCLUDING IMPLANT AND SUPPLIES,2915.12,2040.58,1156.28,1306.6,3
HCPCS,J7307,Nexplanon,3057.66,2140.365,1156.28,5269.0,7
HCPCS,J7318,Durolane,2312.09,1618.4650000000001,6.52,5269.0,67
HCPCS,J7318,"INJ, DUROLANE 1 MG",3066.26,2146.38,4754.0,5269.0,4
HCPCS,J7321,HYALURONAN OR DERIVATIVE; HYALGAN; SUPARTZ OR VISCO-3; FOR INTRA-ARTICULAR INJECTION; PER DOSE,1138.61,797.03,73.12,119.53,4
HCPCS,J7321,Supartz FX,652.33,456.63,73.12,5269.0,8
HCPCS,J7323,Euflexxa,1361.375,952.96,105.46,5269.0,50
HCPCS,J7323,HYALURONAN OR DERIVATIVE; EUFLEXXA; FOR INTRA-ARTICULAR INJECTION; PER DOSE,865.515,605.86,105.46,295.29,14
HCPCS,J7324,Orthovisc,1314.5,920.15,4754.0,5269.0,4
HCPCS,J7325,HYALURONAN OR DERIVATIVE; SYNVISC OR SYNVISC-ONE; FOR INTRA-ARTICULAR INJECTION; 1 MG,3287.0950000000003,2300.9700000000003,7.56,21.17,21
HCPCS,J7325,SYNVISC OR SYNVISC-ONE,1255.49,878.84,4754.0,5269.0,4
HCPCS,J7325,Synvisc,1175.595,822.915,7.56,5269.0,11
HCPCS,J7325,Synvisc One,2739.245,1917.47,7.56,5269.0,60
HCPCS,J7326,Gel-One,3162.5,2213.75,4754.0,5269.0,4
HCPCS,J7328,GelSyn-3,1067.0,746.9,0.67,5269.0,32
HCPCS,J7330,CULTURED CHONDROCYTES IMPLNT,139557.0,97689.9,44645.4,50449.3,3
HCPCS,J7500,AZATHIOPRINE ORAL 50MG,123.89,86.725,4754.0,5269.0,8
HCPCS,J7500,azaTHIOprine,63.5,44.455,2.56,5269.0,16
HCPCS,J7501,azaTHIOprine Sodium,687.5,481.25,4754.0,5269.0,4
HCPCS,J7502,cycloSPORINE,134.32,94.02499999999999,2.3,5269.0,16
HCPCS,J7502,"cycloSPORINE, modified",187.43,131.20000000000002,4754.0,5269.0,8
HCPCS,J7502,cycloSPORINE; modified,10.56,7.39,2.3,3.7,4
HCPCS,J7503,Envarsus XR,583.61,408.53,4754.0,5269.0,12
HCPCS,J7504,Atgam,13918.61,9743.03,4754.0,5269.0,8
HCPCS,J7507,TACROLIMUS; IMMEDIATE RELEASE; ORAL; 1 MG,2.53,1.77,0.27,0.4,4
HCPCS,J7507,Tacrolimus,252.18,176.53,0.27,5269.0,60
HCPCS,J7508,Astagraf XL,278.025,194.62,0.55,5269.0,16
HCPCS,J7509,METHYLPREDNISOLONE ORAL; PER 4 MG,2.37,1.66,0.25,0.37,4
HCPCS,J7509,Medrol,259.055,181.335,4754.0,5269.0,8
HCPCS,J7509,methylPREDNISolone,100.78999999999999,70.555,0.25,5269.0,24
HCPCS,J7510,PREDNISOLONE ORAL PER 5 MG,10.03,7.02,4754.0,5269.0,4
HCPCS,J7510,PREDNISOLONE ORAL; PER 5 MG,2.02,1.41,0.29,0.69,4
HCPCS,J7510,prednisoLONE,468.93,328.25,4754.0,5269.0,8
HCPCS,J7510,prednisoLONE Sodium Phosphate,56.77,39.74,0.29,5269.0,8
HCPCS,J7511,Thymoglobulin,9235.635,6464.945,1009.75,5269.0,11
HCPCS,J7512,PREDNISONE; IMMEDIATE RELEASE OR DELAYED RELEASE; ORAL; 1 MG,1.22,0.85,0.01,0.01,4
HCPCS,J7512,predniSONE,44.415000000000006,31.090000000000003,0.01,5269.0,192
HCPCS,J7513,Zenapax,1365.52,955.86,4754.0,5269.0,4
HCPCS,J7515,Gengraf,148.09,103.66,4754.0,5269.0,8
HCPCS,J7515,SandIMMUNE,195.09,136.565,4754.0,5269.0,8
HCPCS,J7515,"cycloSPORINE, modified",27.63,19.34,4754.0,5269.0,16
HCPCS,J7516,"INJ, CYCLOSPORINE 250MG",107.54,75.28,4754.0,5269.0,4
HCPCS,J7516,SandIMMUNE,195.74,137.02,4754.0,5269.0,8
HCPCS,J7516,cycloSPORINE,107.54,75.28,4754.0,5269.0,4
HCPCS,J7517,Cellcept,2357.19,1650.03,4754.0,5269.0,4
HCPCS,J7517,Mycophenolate Mofetil,26.39,18.474999999999998,0.2,5269.0,40
HCPCS,J7518,Mycophenolic Acid,36.52,25.56,0.5,5269.0,28
HCPCS,J7519,Mycophenolate Mofetil,201.44,141.01,4754.0,5269.0,12
HCPCS,J7520,Rapamune,18905.43,13233.8,4754.0,5269.0,4
HCPCS,J7520,Sirolimus,38.18,26.73,2.46,5269.0,12
HCPCS,J7520,Sirolimus AvPak,45.19,31.63,2.46,5269.0,12
HCPCS,J7525,Prograf,701.33,490.93,4754.0,5269.0,4
HCPCS,J7527,EVEROLIMUS; ORAL; 0. 25 MG,22.92,16.04,2.68,4.5,4
HCPCS,J7527,Zortress,90.56,63.39,4754.0,5269.0,20
HCPCS,J7527,everolimus,1651.985,1156.39,4754.0,5269.0,16
HCPCS,J7606,Perforomist,56.36,39.45,4754.0,5269.0,8
HCPCS,J7631,Cromolyn Sodium,14.96,10.47,4754.0,5269.0,4
HCPCS,J7674,"METHACHOLINE CHLORIDE, NEB",347.875,243.51500000000001,4754.0,5269.0,8
HCPCS,J7674,Provocholine,371.25,259.88,4754.0,5269.0,8
HCPCS,J7675,Provocholine,250.25,175.18,4754.0,5269.0,4
HCPCS,J7675,REPLACED,250.25,175.18,4754.0,5269.0,4
HCPCS,J7682,Bethkis,303.77,212.64,4754.0,5269.0,8
HCPCS,J7682,TOBRAMYCIN NON-COMP UNIT,303.77,212.64,4754.0,5269.0,4
HCPCS,J7999,"COMPOUNDED DRUG, NOC",66.075,46.25,4754.0,5269.0,16
HCPCS,J7999,COMPOUNDED DRUG; NOT OTHERWISE CLASSIFIED,50.400000000000006,35.28,,,0
HCPCS,J8499,Ganciclovir,1670.63,1169.44,4754.0,5269.0,4
HCPCS,J8499,Hepsera,4483.22,3138.25,4754.0,5269.0,4
HCPCS,J8499,Xeljanz,16701.14,11690.8,4754.0,5269.0,4
HCPCS,J8499,tetrabenazine,5237.235,3666.065,4754.0,5269.0,8
HCPCS,J8501,APREPITANT; ORAL; 5 MG,211.08,147.76,3.5,6.92,4
HCPCS,J8501,aprepitant,241.87,169.31,3.5,5269.0,24
HCPCS,J8515,Cabergoline,44.69,31.28,4754.0,5269.0,4
HCPCS,J8522,Capecitabine,165.0,115.5,4754.0,5269.0,4
HCPCS,J8522,Xeloda,8574.225,6001.96,4754.0,5269.0,8
HCPCS,J8530,CYCLOPHOSPHAMIDE ORAL 25 MG,1291.07,903.75,4754.0,5269.0,4
HCPCS,J8530,cycloPHOSphamide,1925.0,1347.5,4754.0,5269.0,12
HCPCS,J8540,DEXAMETHASONE; ORAL; 0.25 MG,7.42,5.19,0.07,0.14,4
HCPCS,J8540,ORAL DEXAMETHASONE,10.94,7.66,4754.0,5269.0,4
HCPCS,J8540,dexAMETHasone,93.23,65.265,0.07,5269.0,64
HCPCS,J8560,Etoposide,4760.42,3332.29,4754.0,5269.0,4
HCPCS,J8600,Alkeran,1556.5,1089.55,4754.0,5269.0,4
HCPCS,J8610,Methotrexate,164.07,114.85,4754.0,5269.0,4
HCPCS,J8610,Methotrexate AvPak,80.86,56.605000000000004,4754.0,5269.0,8
HCPCS,J8610,Methotrexate Sodium,79.985,55.99,4754.0,5269.0,8
HCPCS,J8700,TEMOZOLOMIDE,68.72,48.1,4754.0,5269.0,4
HCPCS,J8700,Temozolomide,633.345,443.345,4754.0,5269.0,8
HCPCS,J8999,Venclexta,357.92,250.54,4754.0,5269.0,4
HCPCS,J9000,DOXOrubicin HCl,159.35500000000002,111.55000000000001,3.65,5269.0,20
HCPCS,J9000,DOXOrubicin HCl Novaplus,152.63,106.84,4754.0,5269.0,4
HCPCS,J9000,INJECTION; DOXORUBICIN HYDROCHLORIDE; 10 MG,79.8,55.86,3.65,4.54,4
HCPCS,J9017,ARSENIC TRIOXIDE INJECTION,1866.43,1306.5,4754.0,5269.0,4
HCPCS,J9017,Arsenic Trioxide,1112.515,778.76,4754.0,5269.0,16
HCPCS,J9017,Trisenox,2688.1,1881.67,4754.0,5269.0,12
HCPCS,J9022,"INJ, ATEZOLIZUMAB,10 MG",0.01,0.01,4754.0,5269.0,4
HCPCS,J9022,INJECTION; ATEZOLIZUMAB; 10 MG,26217.84,18352.49,93.91,262.95,14
HCPCS,J9022,Tecentriq,26217.84,18352.49,93.91,5269.0,29
HCPCS,J9023,Bavencio,12172.275000000001,8520.59,104.99,5269.0,18
HCPCS,J9025,azaCITIDine,125.055,87.53999999999999,0.41,5269.0,16
HCPCS,J9026,Imdelltra,36000.0,25200.0,1566.59,5269.0,19
HCPCS,J9027,clofarabine,5225.0,3657.5,4754.0,5269.0,4
HCPCS,J9028,Anktiva,92185.0,64529.5,94.73,5269.0,11
HCPCS,J9029,Adstiladrin,154687.5,108281.25,4754.0,179969.41,15
HCPCS,J9030,BCG LIVE INTRAVESICAL 1MG,485.85,340.1,4754.0,5269.0,4
HCPCS,J9030,BCG LIVE INTRAVESICAL INSTILLATION; 1 MG,438.94500000000005,307.265,2.89,9.18,25
HCPCS,J9030,Tice BCG,407.72,285.4,2.89,5269.0,29
HCPCS,J9032,Beleodaq,6958.27,4870.79,4754.0,5269.0,4
HCPCS,J9033,Treanda,5107.785,3575.4500000000003,4754.0,5269.0,8
HCPCS,J9034,Bendeka,7468.405,5227.885,12.83,5269.0,18
HCPCS,J9034,INJECTION; BENDAMUSTINE HCL (BENDEKA); 1 MG,9321.28,6524.9,12.83,35.92,7
HCPCS,J9035,Avastin,5737.97,4016.58,73.63,5269.0,165
HCPCS,J9035,BEVACIZUMAB INJECTION,0.01,0.01,4754.0,5269.0,4
HCPCS,J9035,INJECTION; BEVACIZUMAB; 10 MG,5737.97,4016.58,73.63,206.16,21
HCPCS,J9039,Blincyto,15281.12,10696.78,4754.0,5269.0,4
HCPCS,J9040,Bleomycin,105.85,74.1,4754.0,5269.0,12
HCPCS,J9040,Bleomycin Sulfate,215.27499999999998,150.695,4754.0,5269.0,8
HCPCS,J9040,INJECTION; BLEOMYCIN SULFATE; 15 UNITS,242.22,169.55,23.12,29.1,4
HCPCS,J9041,INJECTION; BORTEZOMIB (VELCADE); 0.1 MG,131.965,92.375,2.07,2.71,4
HCPCS,J9041,Velcade,4408.25,3085.78,4754.0,5269.0,4
HCPCS,J9041,bortezomib,117.235,82.065,2.07,5269.0,48
HCPCS,J9042,Adcetris,34858.45,24400.92,4754.0,5269.0,4
HCPCS,J9043,CABAZITAXEL INJECTION,40078.83,28055.18,4754.0,5269.0,4
HCPCS,J9043,Jevtana,22634.45,15844.12,230.8,5269.0,32
HCPCS,J9045,CARBOplatin,123.32,86.32499999999999,3.72,5269.0,48
HCPCS,J9045,INJECTION; CARBOPLATIN; 50 MG,141.05,98.735,3.72,4.98,4
HCPCS,J9045,Paraplatin,120.95,84.67,4754.0,5269.0,4
HCPCS,J9047,INJECTION; CARFILZOMIB; 1 MG,1703.09,1192.16,55.61,155.71,21
HCPCS,J9047,Kyprolis,1662.15,1163.505,55.61,5269.0,198
HCPCS,J9050,Bicnu,471.38,329.97,4754.0,5269.0,4
HCPCS,J9050,CARMUSTINE INJECTION,471.38,329.97,4754.0,5269.0,4
HCPCS,J9055,CETUXIMAB INJECTION,0.01,0.01,4754.0,5269.0,4
HCPCS,J9055,Erbitux,1453.1799999999998,1017.2249999999999,80.34,5269.0,106
HCPCS,J9055,INJECTION; CETUXIMAB; 10 MG,15438.72,10807.1,80.34,224.95,42
HCPCS,J9060,CISplatin,101.35499999999999,70.94999999999999,3.27,5269.0,44
HCPCS,J9060,INJECTION; CISPLATIN; POWDER OR SOLUTION; 10 MG,110.21,77.15,3.27,5.59,4
HCPCS,J9061,INJECTION; AMIVANTAMAB-VMJW; 2 MG,52341.81,36639.27,22.56,63.17,7
HCPCS,J9061,Rybrevant,22736.665,15915.665,22.56,5269.0,15
HCPCS,J9063,Elahere,18651.49,13056.04,71.17,5269.0,18
HCPCS,J9065,Cladribine,1079.375,755.565,4754.0,5269.0,8
HCPCS,J9075,cycloPHOSphamide,607.2,425.04,0.58,5269.0,200
HCPCS,J9100,Cytarabine,57.48,40.24,0.92,5269.0,12
HCPCS,J9118,Asparlas,79849.36,55894.55,4754.0,5269.0,4
HCPCS,J9119,INJECTION; CEMIPLIMAB-RWLC; 1 MG,30043.65,21030.56,28.69,80.33,7
HCPCS,J9119,Libtayo,25456.22,17819.35,28.69,5269.0,18
HCPCS,J9120,DACTINomycin,2028.13,1419.69,4754.0,5269.0,12
HCPCS,J9130,DACARBAZINE 100 MG INJ,33.0,23.1,4754.0,5269.0,4
HCPCS,J9130,DACARBAZINE; 100 MG,127.55,89.29,3.69,5.16,4
HCPCS,J9130,Dacarbazine,33.54,23.48,4754.0,5269.0,16
HCPCS,J9144,Darzalex Faspro,24054.3,16838.01,55.06,5269.0,32
HCPCS,J9144,INJECTION; DARATUMUMAB; 10 MG AND HYALURONIDASE-FIHJ,23658.84,16561.19,55.06,154.17,14
HCPCS,J9145,Darzalex,8088.58,5817.14,70.79,5269.0,72
HCPCS,J9145,INJECTION; DARATUMUMAB; 10 MG,20829.17,14580.42,70.79,198.21,14
HCPCS,J9150,DAUNOrubicin HCl,360.64,252.45,4754.0,5269.0,8
HCPCS,J9153,Vyxeos,30195.0,21136.5,4754.0,5269.0,8
HCPCS,J9155,DEGARELIX INJECTION,2095.75,1467.03,4754.0,5269.0,4
HCPCS,J9155,Firmagon,2767.37,1937.16,4754.0,5269.0,8
HCPCS,J9171,DOCEtaxel,693.18,485.23,0.87,5269.0,56
HCPCS,J9171,INJECTION; DOCETAXEL; 1 MG,755.16,528.61,0.87,1.39,4
HCPCS,J9173,INJECTION; DURVALUMAB; 10 MG,29720.88,20804.62,86.27,241.56,14
HCPCS,J9173,Imfinzi,11810.32,8267.22,86.27,5269.0,57
HCPCS,J9176,Empliciti,6689.85,4682.895,8.04,5269.0,50
HCPCS,J9176,INJECTION; ELOTUZUMAB; 1 MG,4890.44,3423.31,8.04,22.51,42
HCPCS,J9177,INJECTION; ENFORTUMAB VEDOTIN-EJFV; 0.25 MG,28651.8,20056.26,36.72,102.82,21
HCPCS,J9177,Padcev,8918.575,6243.005,36.72,5269.0,92
HCPCS,J9179,Halaven,5752.8,4026.96,72.61,5269.0,46
HCPCS,J9179,INJECTION; ERIBULIN MESYLATE; 0.1 MG,3877.5,2714.25,72.61,203.31,21
HCPCS,J9179,eriBULin mesylate,3536.28,2475.4,4754.0,5269.0,4
HCPCS,J9181,Etoposide,62.65,43.855000000000004,1.05,5269.0,48
HCPCS,J9181,INJECTION; ETOPOSIDE; 10 MG,43.96,30.77,1.05,1.37,4
HCPCS,J9185,Fludarabine Phosphate,294.94,206.45999999999998,4754.0,5269.0,8
HCPCS,J9190,Fluorouracil,58.69,41.085,2.95,5269.0,64
HCPCS,J9190,INJECTION; FLUOROURACIL; 500 MG,97.33,68.13,2.95,4.45,4
HCPCS,J9201,Gemcitabine,90.24000000000001,63.17,3.65,5269.0,56
HCPCS,J9201,Gemcitabine HCl,127.85,89.495,3.65,5269.0,12
HCPCS,J9201,Gemcitabine Novaplus,35.81,25.07,4754.0,5269.0,4
HCPCS,J9201,IN GEMCITABINE HCL NOS 200MG,0.01,0.01,4754.0,5269.0,4
HCPCS,J9201,INJECTION; GEMCITABINE HYDROCHLORIDE; NOT OTHERWISE SPECIFIED; 200 MG,220.47,154.33,3.65,5.05,4
HCPCS,J9202,GOSERELIN ACETATE IMPLANT; PER 3.6 MG,2382.77,1667.94,777.5,2177.0,14
HCPCS,J9202,Zoladex,4885.795,3420.0550000000003,777.5,5269.0,36
HCPCS,J9203,Mylotarg,27830.934999999998,19481.655,240.16,5269.0,11
HCPCS,J9204,Poteligeo,13151.58,9206.11,4754.0,5269.0,4
HCPCS,J9205,Onivyde,8192.25,5734.58,65.96,5269.0,18
HCPCS,J9206,Camptosar,94.755,66.33,4754.0,5269.0,8
HCPCS,J9206,INJECTION; IRINOTECAN; 20 MG,100.8,70.56,2.7,4.04,4
HCPCS,J9206,Irinotecan HCl Novaplus,55.0,38.5,4754.0,5269.0,4
HCPCS,J9206,Irinotecan Hydrochloride,82.94,58.05499999999999,2.7,5269.0,28
HCPCS,J9207,INJECTION; IXABEPILONE; 1 MG,4108.13,2875.69,139.98,391.94,21
HCPCS,J9207,Ixempra,7498.58,5249.005,139.98,5269.0,41
HCPCS,J9208,Ifosfamide,198.39000000000001,138.875,4754.0,5269.0,16
HCPCS,J9209,Mesna,68.75,48.13,1.76,5269.0,16
HCPCS,J9209,Mesnex,68.75,48.13,4754.0,5269.0,4
HCPCS,J9211,IDArubicin Hydrochloride,368.17,257.72,4754.0,5269.0,4
HCPCS,J9211,Idamycin PFS,569.14,398.4,4754.0,5269.0,4
HCPCS,J9214,Intron A,781.525,547.065,4754.0,5269.0,8
HCPCS,J9217,Eligard,4029.17,2820.42,170.78,5269.0,66
HCPCS,J9217,LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION); 7.5 MG,14717.45,10302.22,170.78,478.18,21
HCPCS,J9217,LEUPROLIDE ACETATE SUSPNSION,3726.45,2608.52,4754.0,5269.0,12
HCPCS,J9217,Lupron Depot,16580.12,11606.08,170.78,5269.0,114
HCPCS,J9223,Zepzelca,20979.75,14685.825,210.78,5269.0,60
HCPCS,J9227,INJECTION; ISATUXIMAB-IRFC; 10 MG,9497.945,6648.5599999999995,84.29,236.01,28
HCPCS,J9227,Sarclisa,7176.83,5023.78,4754.0,5269.0,8
HCPCS,J9228,INJECTION; IPILIMUMAB; 1 MG,8772.77,6140.94,186.91,523.35,35
HCPCS,J9228,Yervoy,20887.54,14621.28,186.91,5269.0,78
HCPCS,J9229,Besponsa,65768.87,46038.21,4754.0,5269.0,4
HCPCS,J9255,Methotrexate,101.86,71.3,4754.0,5269.0,4
HCPCS,J9260,METHOTREXATE SODIUM; 50 MG,16.13,11.29,2.57,4.19,4
HCPCS,J9260,Methotrexate,19.99,13.99,4754.0,5269.0,12
HCPCS,J9260,Methotrexate Sodium,59.254999999999995,41.480000000000004,2.57,5269.0,28
HCPCS,J9261,Arranon,2222.42,1555.69,4754.0,5269.0,4
HCPCS,J9263,INJECTION; OXALIPLATIN; 0.5 MG,163.2,114.24,0.07,0.1,4
HCPCS,J9263,Oxaliplatin,132.0,92.4,0.07,5269.0,48
HCPCS,J9264,Abraxane,5604.48,3923.1349999999998,8.18,5269.0,60
HCPCS,J9264,INJECTION; PACLITAXEL PROTEIN-BOUND PARTICLES; 1 MG,5688.219999999999,3981.755,8.18,22.9,14
HCPCS,J9264,PACLITAXEL PROTEIN BOUND,0.01,0.01,4754.0,5269.0,4
HCPCS,J9264,Paclitaxel Protein-Bound Particles,4453.585,3117.51,8.18,5269.0,61
HCPCS,J9266,Oncaspar,73741.67,51619.17,4754.0,5269.0,4
HCPCS,J9267,INJECTION; PACLITAXEL; 1 MG,93.215,65.25,0.11,0.15,4
HCPCS,J9267,PACLitaxel,111.72,78.2,0.11,5269.0,44
HCPCS,J9268,Nipent,6979.610000000001,4885.725,4754.0,5269.0,8
HCPCS,J9269,Elzonris,92830.79,64981.55,4754.0,5269.0,4
HCPCS,J9271,INJECTION; PEMBROLIZUMAB; 1 MG,27753.99,19427.79,59.73,167.24,21
HCPCS,J9271,Keytruda,27481.83,19237.28,59.73,5269.0,68
HCPCS,J9272,INJECTION; DOSTARLIMAB-GXLY; 10 MG,33083.25,23158.28,247.44,692.83,7
HCPCS,J9272,Jemperli,30417.370000000003,21292.16,247.44,5269.0,18
HCPCS,J9273,Tivdak,20352.2,14246.54,4754.0,5269.0,4
HCPCS,J9274,Kimmtrak,57722.5,40405.75,4754.0,5269.0,4
HCPCS,J9280,mitoMYcin,2750.0,1925.0,4754.0,5269.0,12
HCPCS,J9286,Columvi,52798.795000000006,36959.155,2843.59,7962.05,11
HCPCS,J9289,Opdivo Qvantig,21843.47,15290.43,4754.0,5269.0,4
HCPCS,J9293,mitoXANTRONE hcl,1121.07,784.75,4754.0,5269.0,4
HCPCS,J9295,Portrazza,11906.82,8334.77,4754.0,5269.0,4
HCPCS,J9298,Opdualag,42410.45,29687.32,4754.0,5269.0,4
HCPCS,J9299,INJECTION; NIVOLUMAB; 1 MG,18323.14,12826.2,33.57,94.0,21
HCPCS,J9299,Opdivo,9131.485,6392.04,33.57,5269.0,135
HCPCS,J9301,Gazyva,22265.595,15585.915,81.62,5269.0,18
HCPCS,J9301,INJECTION; OBINUTUZUMAB; 10 MG,23684.98,16579.49,81.62,228.54,7
HCPCS,J9303,INJECTION; PANITUMUMAB; 10 MG,17391.84,12174.29,173.67,486.28,21
HCPCS,J9303,Vectibix,4982.04,3487.43,173.67,5269.0,61
HCPCS,J9305,Alimta,2223.65,1556.56,4754.0,5269.0,4
HCPCS,J9305,INJECTION; PEMETREXED; NOT OTHERWISE SPECIFIED; 10 MG,122.4,85.68,3.59,10.05,42
HCPCS,J9305,PEMEtrexed,217.315,152.12,3.59,5269.0,135
HCPCS,J9306,"INJECTION, PERTUZUMAB, 1 MG",0.01,0.01,4754.0,5269.0,4
HCPCS,J9306,INJECTION; PERTUZUMAB; 1 MG,15664.29,10965.0,17.01,47.63,14
HCPCS,J9306,Perjeta,18756.36,13129.45,17.01,5269.0,32
HCPCS,J9307,Folotyn,21090.11,14763.08,4754.0,5269.0,4
HCPCS,J9308,Cyramza,4127.18,2889.03,75.58,5269.0,103
HCPCS,J9308,"INJECTION, RAMUCIRUMAB",0.01,0.01,4754.0,5269.0,4
HCPCS,J9308,INJECTION; RAMUCIRUMAB; 5 MG,4284.69,2999.28,75.58,211.62,42
HCPCS,J9309,Polivy,27878.47,19514.93,136.77,5269.0,36
HCPCS,J9311,Rituxan Hycela,18085.6,12659.92,36.87,5269.0,36
HCPCS,J9312,INJECTION; RITUXIMAB; 10 MG,22548.48,15783.94,74.76,209.33,14
HCPCS,J9312,Rituxan,3833.25,2683.28,74.76,5269.0,71
HCPCS,J9316,INJECTION; PERTUZUMAB; TRASTUZUMAB; AND HYALURONIDASE-ZZXF; PER 10 MG,21786.17,15250.32,60.96,170.69,14
HCPCS,J9316,Phesgo,25512.63,17858.84,60.96,5269.0,36
HCPCS,J9317,Trodelvy,7049.63,4934.74,36.98,5269.0,32
HCPCS,J9319,Istodax,8796.29,6157.4,4754.0,5269.0,4
HCPCS,J9319,romiDEPsin,8713.79,6099.65,30.91,5269.0,22
HCPCS,J9320,Zanosar,960.39,672.27,4754.0,5269.0,4
HCPCS,J9329,Tevimbra,15328.5,10729.95,4754.0,5269.0,4
HCPCS,J9330,TEMSIROLIMUS INJECTION,4890.71,3423.5,4754.0,5269.0,4
HCPCS,J9330,Torisel,5500.88,3850.62,4754.0,5269.0,4
HCPCS,J9331,Fyarro,22599.2,15819.44,4754.0,5269.0,4
HCPCS,J9332,Vyvgart,19171.61,13420.130000000001,32.22,5269.0,25
HCPCS,J9333,Rystiggo,31576.04,22103.23,23.38,5269.0,11
HCPCS,J9334,Vyvgart Hytrulo,41049.235,28734.465,34.12,5269.0,18
HCPCS,J9345,Zynyz,35383.2,24768.24,4754.0,5269.0,4
HCPCS,J9347,Imjudo,95472.0,66830.4,143.02,5269.0,15
HCPCS,J9349,Monjuvi,3838.65,2687.06,4754.0,5269.0,8
HCPCS,J9351,Topotecan,381.04,266.73,4754.0,5269.0,4
HCPCS,J9351,Topotecan HCl,379.54499999999996,265.68,4754.0,5269.0,8
HCPCS,J9352,Yondelis,10145.69,7101.98,4754.0,5269.0,4
HCPCS,J9354,INJECTION; ADO-TRASTUZUMAB EMTANSINE; 1 MG,14150.42,9905.295,42.19,118.13,28
HCPCS,J9354,Kadcyla,16980.5,11886.35,42.19,5269.0,50
HCPCS,J9355,Herceptin,6732.38,4712.67,73.48,5269.0,46
HCPCS,J9355,INJ TRASTUZUMAB EXCL BIOSIMI,0.01,0.01,4754.0,5269.0,4
HCPCS,J9356,Herceptin Hylecta,12038.744999999999,8427.125,61.07,5269.0,18
HCPCS,J9357,Valstar,3041.9849999999997,2129.39,4754.0,5269.0,8
HCPCS,J9357,valrubicin,9666.220000000001,6766.355,1303.34,5269.0,15
HCPCS,J9358,Enhertu,8487.8,5941.46,31.3,5269.0,60
HCPCS,J9358,INJECTION; FAM-TRASTUZUMAB DERUXTECAN-NXKI; 1 MG,24736.13,17315.29,31.3,87.64,35
HCPCS,J9360,INJECTION; VINBLASTINE SULFATE; 1 MG,183.33,128.33,5.02,5.84,4
HCPCS,J9360,vinBLAStine Sulfate,101.02000000000001,70.715,5.02,5269.0,8
HCPCS,J9370,VINCRISTINE SULFATE; 1 MG,85.2,59.64,7.91,10.7,4
HCPCS,J9370,Vincasar PFS,41.39,28.97,4754.0,5269.0,4
HCPCS,J9370,vinCRIStine Sulfate,48.82,34.17,7.91,5269.0,12
HCPCS,J9370,vinCRIStine Sulfate Novaplus,30.34,21.24,4754.0,5269.0,4
HCPCS,J9380,Tecvayli,11658.375,8160.860000000001,34.58,5269.0,22
HCPCS,J9380,VINCRISTINE SULFATE; 5 MG,11658.375,8160.865,34.58,96.82,14
HCPCS,J9390,Vinorelbine,120.775,84.545,8.5,5269.0,16
HCPCS,J9394,Fulvestrant,1375.0,962.5,4754.0,5269.0,8
HCPCS,J9395,Fulvestrant,836.875,585.815,4754.0,5269.0,32
HCPCS,J9395,"INJECTION, FULVESTRANT",275.0,192.5,4754.0,5269.0,4
HCPCS,J9395,INJECTION; FULVESTRANT; 25 MG,2337.0150000000003,1635.91,,,0
HCPCS,J9400,Zaltrap,4400.0,3080.0,4754.0,5269.0,4
HCPCS,J9600,Photofrin,64138.25,44896.78,4754.0,5269.0,4
HCPCS,J9999,CHEMOTHERAPY DRUG,0.01,0.01,4754.0,5269.0,4
HCPCS,L0120,CERVICAL; FLEXIBLE; NON-ADJUSTABLE; PREFABRICATED; OFF-THE-SHELF (FOAM COLLAR),7.59,5.31,58.52,168.92,9
HCPCS,L0170,CERVICAL; COLLAR; MOLDED TO PATIENT MODEL,21.98,15.39,1019.07,2941.46,9
HCPCS,L0172,CERVICAL; COLLAR; SEMI-RIGID THERMOPLASTIC FOAM; TWO-PIECE; PREFABRICATED; OFF-THE-SHELF,34.65,24.26,193.46,558.38,9
HCPCS,L0174,CERVICAL; COLLAR; SEMI-RIGID; THERMOPLASTIC FOAM; TWO PIECE WITH THORACIC EXTENSION; PREFABRICATED; OFF-THE-SHELF,273.74,191.62,521.21,1504.47,9
HCPCS,L0625,LUMBAR ORTHOSIS; FLEXIBLE; PROVIDES LUMBAR SUPPORT; POSTERIOR EXTENDS FROM L-1 TO BELOW L-5 VERTEBRA; PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON THE INTERVERTEBRAL DISCS; INCLUDES STRAPS; CLOSU,20.79,14.55,60.97,176.32,9
HCPCS,L1830,KNEE ORTHOSIS; IMMOBILIZER; CANVAS LONGITUDINAL; PREFABRICATED; OFF-THE-SHELF,35.15,24.61,149.93,419.8,9
HCPCS,L1832,KNEE ORTHOSIS; ADJUSTABLE KNEE JOINTS (UNICENTRIC OR POLYCENTRIC); POSITIONAL ORTHOSIS; RIGID SUPPORT; PREFABRICATED ITEM THAT HAS BEEN TRIMMED; BENT; MOLDED; ASSEMBLED; OR OTHERWISE CUSTOMIZED TO FIT,268.92,188.24,845.49,2440.45,9
HCPCS,L1940,AFO MOLDED TO PATIENT PLASTI,730.0,511.0,824.95,2381.09,9
HCPCS,L2112,AFO TIBIAL FRACTURE SOFT,608.0,425.6,687.16,1983.46,9
HCPCS,L3260,SURGICAL BOOT/SHOE; EACH,19.8,13.86,,,0
HCPCS,L3265,PLASTAZOTE SANDAL; EACH,13.13,9.19,22.92,22.92,2
HCPCS,L3650,SHOULDER ORTHOSIS; FIGURE OF EIGHT DESIGN ABDUCTION RESTRAINER; PREFABRICATED; OFF-THE-SHELF,15.51,10.86,102.51,295.88,9
HCPCS,L3670,SHOULDER ORTHOSIS; ACROMIO/CLAVICULAR (CANVAS AND WEBBING TYPE); PREFABRICATED; OFF-THE-SHELF,166.72,116.7,209.06,603.46,9
HCPCS,L3702,ELBOW ORTHOTIC (EO); WITHOUT JOINTS; MAY INCLUDE SOFT INTERFACE; STRAPS; CUSTOM FABRICATED; INCLUDES FITTING AND ADJUSTMENT,492.0,344.4,315.21,882.59,14
HCPCS,L3702,EO W/O JOINTS CF,492.0,344.4,305.78,882.59,9
HCPCS,L3763,ELBOW-WRIST-HAND ORTHOTIC (EWHO); RIGID; WITHOUT JOINTS; MAY INCLUDE SOFT INTERFACE; STRAPS; CUSTOM FABRICATED; INCLUDES FITTING AND ADJUSTMENT,350.0,245.0,968.06,2710.57,7
HCPCS,L3763,EWHO RIGID W/O JNTS CF,1402.0,981.4,939.09,2710.57,18
HCPCS,L3806,WHFO W/JOINT(S) CUSTOM FAB,860.5,602.35,481.05,1388.49,18
HCPCS,L3806,WRIST-HAND-FINGER ORTHOTIC (WHFO); INCLUDES ONE OR MORE NONTORSION JOINT(S); TURNBUCKLES; ELASTIC BANDS/SPRINGS; MAY INCLUDE SOFT INTERFACE MATERIAL; STRAPS; CUSTOM FABRICATED; INCLUDES FITTING AND AD,710.0,497.0,495.89,1388.49,14
HCPCS,L3807,WHFO W/O JOINTS PRE CST,446.0,312.2,264.8,764.32,18
HCPCS,L3807,WRIST HAND FINGER ORTHOSIS; WITHOUT JOINT(S); PREFABRICATED ITEM THAT HAS BEEN TRIMMED; BENT; MOLDED; ASSEMBLED; OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISE,557.0,389.9,272.97,764.32,7
HCPCS,L3808,"WHFO, RIGID W/O JOINTS",542.0,379.4,612.55,1768.06,9
HCPCS,L3808,WRIST-HAND-FINGER ORTHOTIC (WHFO); RIGID WITHOUT JOINTS; MAY INCLUDE SOFT INTERFACE MATERIAL; STRAPS; CUSTOM FABRICATED; INCLUDES FITTING AND ADJUSTMENT,408.5,285.95,612.55,1768.06,37
HCPCS,L3809,WHFO W/O JOINTS PRE OTS,234.0,163.8,264.8,764.32,9
HCPCS,L3905,WHO W/NONTORSION JNT(S) CF,929.0,650.3,1050.2,3031.34,9
HCPCS,L3906,WHO W/O JOINTS CF,558.0,390.6,630.92,1821.09,9
HCPCS,L3906,WRIST-HAND ORTHOTIC (WHO); WITHOUT JOINTS; MAY INCLUDE SOFT INTERFACE; STRAPS; CUSTOM FABRICATED; INCLUDES FITTING AND ADJUSTMENT,346.5,242.55,650.39,1821.09,14
HCPCS,L3908,WHO COCK-UP NONMOLDE PRE OTS,231.0,161.7,122.1,352.41,9
HCPCS,L3908,WRIST HAND ORTHOSIS; WRIST EXTENSION CONTROL COCK-UP; NON MOLDED; PREFABRICATED; OFF-THE-SHELF,155.0,108.5,122.1,352.41,23
HCPCS,L3912,HFO FLEXION GLOVE PRE OTS,212.0,148.4,167.26,482.78,9
HCPCS,L3913,HAND-FINGER ORTHOTIC (HFO); WITHOUT JOINTS; MAY INCLUDE SOFT INTERFACE; STRAPS; CUSTOM FABRICATED; INCLUDES FITTING AND ADJUSTMENT,270.0,189.0,286.82,827.85,58
HCPCS,L3913,HFO W/O JOINTS CF,313.5,219.45000000000002,286.82,827.85,18
HCPCS,L3919,HAND ORTHOTIC; WITHOUT JOINTS; MAY INCLUDE SOFT INTERFACE; STRAPS; CUSTOM FABRICATED; INCLUDES FITTING AND ADJUSTMENT,95.0,66.5,286.82,827.85,16
HCPCS,L3919,HO W/O JOINTS CF,254.0,177.8,286.82,827.85,9
HCPCS,L3921,HFO W/JOINT(S) CF,715.0,500.5,340.15,981.85,9
HCPCS,L3923,HFO WITHOUT JOINTS PRE CST,165.0,115.5,89.76,259.06,27
HCPCS,L3924,HFO WITHOUT JOINTS PRE OTS,145.0,101.5,89.76,259.06,18
HCPCS,L3925,FO PIP DIP JNT/SPRNG PRE OTS,283.0,198.1,73.57,212.35,9
HCPCS,L3927,FINGER ORTHOSIS; PROXIMAL INTERPHALANGEAL (PIP)/DISTAL INTERPHALANGEAL (DIP); WITHOUT JOINT/SPRING; EXTENSION/FLEXION (E.G. STATIC OR RING TYPE); MAY INCLUDE SOFT INTERFACE MATERIAL; PREFABRICATED; OF,139.5,97.64999999999999,37.02,106.88,100
HCPCS,L3929,HAND FINGER ORTHOSIS; INCLUDES ONE OR MORE NONTORSION JOINT(S); TURNBUCKLES; ELASTIC BANDS/SPRINGS; MAY INCLUDE SOFT INTERFACE MATERIAL; STRAPS; PREFABRICATED ITEM THAT HAS BEEN TRIMMED; BENT; MOLDED;,179.0,125.3,126.14,364.08,16
HCPCS,L3929,HFO NONTORSION JNTS PRE CST,188.5,131.95,126.14,364.08,18
HCPCS,L3931,WHFO NONTORSION JOINT PREFAB,481.0,336.7,270.89,781.96,9
HCPCS,L3935,FINGER ORTHOTIC; NONTORSION JOINT; MAY INCLUDE SOFT INTERFACE; CUSTOM FABRICATED; INCLUDES FITTING AND ADJUSTMENT,136.5,95.55000000000001,233.93,675.22,86
HCPCS,L3935,FO NONTORSION JOINT CF,207.0,144.9,233.93,675.22,9
HCPCS,L4386,WALKING BOOT; NON-PNEUMATIC; WITH OR WITHOUT JOINTS; WITH OR WITHOUT INTERFACE MATERIAL; PREFABRICATED ITEM THAT HAS BEEN TRIMMED; BENT; MOLDED; ASSEMBLED; OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PA,107.05,74.94,184.47,532.45,9
HCPCS,L4387,WALKING BOOT; NON-PNEUMATIC; WITH OR WITHOUT JOINTS; WITH OR WITHOUT INTERFACE MATERIAL; PREFABRICATED; OFF-THE-SHELF,83.225,58.26,184.47,532.45,16
HCPCS,L4396,STATIC OR DYNAMI AFO PRE CST,239.0,167.3,191.98,554.12,9
HCPCS,L4398,FOOT DROP SPLINT PRE OTS,159.0,111.3,88.4,255.16,9
HCPCS,L8015,EXTERNAL BREAST PROSTHESIS GARMENT; WITH MASTECTOMY FORM; POST MASTECTOMY,125.4,87.78,69.89,201.74,9
HCPCS,L8509,TRACHEO-ESOPHAGEAL VOICE PROSTHESIS; INSERTED BY A LICENSED HEALTH CARE PROVIDER; ANY TYPE,1081.81,757.27,127.32,367.47,9
HCPCS,L8606,INJECTABLE BULKING AGENT; SYNTHETIC IMPLANT; URINARY TRACT; 1 ML SYRINGE; INCLUDES SHIPPING AND NECESSARY SUPPLIES,3795.0,2656.5,208.42,208.42,2
HCPCS,L8610,OCULAR IMPLANT,3290.1,2303.07,443.91,443.91,2
HCPCS,L8613,OSSICULA IMPLANT,1193.05,835.14,,,0
HCPCS,L8614,COCHLEAR DEVICE; INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS,149179.8,104425.86,34182.5,34182.5,2
HCPCS,L8699,PROSTHETIC IMPLANT; NOT OTHERWISE SPECIFIED,3388.24,2371.77,,,0
HCPCS,M0220,TIXAGEV AND CILGAV INJ,387.0,270.9,178.22,178.22,2
HCPCS,M0222,BEBTELOVIMAB INJECTION,1016.0,711.2,415.07,415.07,2
HCPCS,M0239,BAMLANIVIMAB-XXXX INFUSION,697.0,487.9,,,0
HCPCS,M0243,CASIRIVI AND IMDEVI INJ,1125.0,787.5,532.91,532.91,2
HCPCS,M0245,BAMLAN AND ETESEV INFUSION,1125.0,787.5,532.91,532.91,2
HCPCS,M1145,"MFN DRUG ADD-ON, PER DOSE",0.01,0.01,4754.0,5269.0,4
HCPCS,P9011,BLOOD SPLIT UNIT,291.0,203.7,155.08,434.22,7
HCPCS,P9012,CRYOPRECIPITATE EACH UNIT,283.0,198.1,71.6,200.48,9
HCPCS,P9016,RBC LEUKOCYTES REDUCED,5079.0,3555.3,184.0,515.2,11
HCPCS,P9016,RED BLOOD CELLS; LEUKOCYTES REDUCED; EACH UNIT,674.0,471.8,184.0,515.2,18
HCPCS,P9017,PLASMA 1 DONOR FRZ W/IN 8 HR,283.0,198.1,69.0,239.57,9
HCPCS,P9021,RED BLOOD CELLS UNIT,916.0,641.2,149.83,419.52,9
HCPCS,P9022,WASHED RED BLOOD CELLS UNIT,2378.0,1664.6,82.0,1026.96,9
HCPCS,P9031,PLATELETS LEUKOCYTES REDUCED,270.0,189.0,143.55,401.94,7
HCPCS,P9034,"PLATELETS, PHERESIS",1796.0,1257.2,307.45,860.86,9
HCPCS,P9035,PLATELET PHERES LEUKOREDUCED,2207.0,1544.9,509.08,1425.42,11
HCPCS,P9035,PLATELETS; PHERESIS; LEUKOCYTES REDUCED; EACH UNIT,2081.0,1456.7,509.08,1425.42,11
HCPCS,P9036,PLATELET PHERESIS IRRADIATED,1936.0,1355.2,657.0,2644.54,9
HCPCS,P9037,PLATELETS; PHERESIS; LEUKOCYTES REDUCED; IRRADIATED; EACH UNIT,2139.0,1497.3,268.0,1896.38,11
HCPCS,P9038,RBC IRRADIATED,720.0,504.0,144.51,821.0,9
HCPCS,P9039,RBC DEGLYCEROLIZED,2053.0,1437.1,268.0,872.12,9
HCPCS,P9040,RBC LEUKOREDUCED IRRADIATED,834.0,583.8,264.11,739.51,11
HCPCS,P9040,RED BLOOD CELLS; LEUKOCYTES REDUCED; IRRADIATED; EACH UNIT,1668.0,1167.6,264.11,739.51,11
HCPCS,P9044,CRYOPRECIPITATEREDUCEDPLASMA,222.0,155.4,69.0,367.92,9
HCPCS,P9045,"ALBUMIN (HUMAN), 5%, 250 ML",255.75,179.03,4754.0,5269.0,4
HCPCS,P9045,Albumin Human,380.88,266.62,4754.0,5269.0,4
HCPCS,P9045,Alburx,339.75,237.825,53.08,5269.0,58
HCPCS,P9045,Albutein,255.75,179.03,4754.0,5269.0,4
HCPCS,P9045,INFUSION; ALBUMIN (HUMAN); 5%; 250 ML,339.75,237.825,53.08,148.62,21
HCPCS,P9047,"ALBUMIN (HUMAN), 25%, 50ML",247.5,173.25,4754.0,5269.0,4
HCPCS,P9047,Albuked 25,460.8,322.56,53.08,5269.0,24
HCPCS,P9047,Albuminar-25,555.75,389.025,53.08,5269.0,11
HCPCS,P9047,Alburx,495.0,346.5,53.08,5269.0,35
HCPCS,P9047,Flexbumin,318.18,222.73,4754.0,5269.0,4
HCPCS,P9047,INFUSION; ALBUMIN (HUMAN); 25%; 50 ML,460.8,322.56,53.08,148.62,23
HCPCS,P9051,WHOLE BLOOD OR RED BLOOD CELLS; LEUKOCYTES REDUCED; CMV-NEGATIVE; EACH UNIT,780.0,546.0,150.84,422.35,9
HCPCS,P9052,"PLATELETS, HLA-M, L/R, UNIT",3269.0,2288.3,704.59,1972.85,9
HCPCS,P9052,PLATELETS; HLA-MATCHED LEUKOCYTES REDUCED; APHERESIS/PHERESIS; EACH UNIT,3576.0,2503.2,704.59,1972.85,9
HCPCS,P9053,PLATELETS; PHERESIS; LEUKOCYTES REDUCED; CMV-NEGATIVE; IRRADIATED; EACH UNIT,2273.0,1591.1,500.98,1402.74,11
HCPCS,P9054,"BLOOD, L/R, FROZ/DEGLY/WASH",4289.0,3002.3,263.89,821.0,18
HCPCS,P9055,PLATELETS; LEUKOCYTES REDUCED; CMV-NEGATIVE; APHERESIS/PHERESIS; EACH UNIT,2446.0,1712.2,249.26,697.93,9
HCPCS,P9056,"BLOOD, L/R, IRRADIATED",1307.0,914.9,84.14,468.0,9
HCPCS,P9057,"RBC, FRZ/DEG/WSH, L/R, IRRAD",2190.0,1533.0,420.62,1177.74,9
HCPCS,P9058,"RBC, L/R, CMV-NEG, IRRAD",881.0,616.7,248.18,694.9,11
HCPCS,P9058,RED BLOOD CELLS; LEUKOCYTES REDUCED; CMV-NEGATIVE; IRRADIATED; EACH UNIT,1678.0,1174.6,248.18,694.9,11
HCPCS,P9059,FRESH FROZEN PLASMA BETWEEN 8-24 HOURS OF COLLECTION; EACH UNIT,1136.0,795.2,73.41,205.55,11
HCPCS,P9059,"PLASMA, FRZ BETWEEN 8-24HOUR",284.0,198.8,73.41,205.55,11
HCPCS,P9073,PLATELETS; PHERESIS; PATHOGEN-REDUCED; EACH UNIT,1773.0,1241.1,604.45,1692.46,7
HCPCS,P9100,PATHOGEN TEST FOR PLATELETS,179.0,125.3,69.35,194.18,7
HCPCS,Q0114,FERN TEST,62.0,43.4,9.74,27.27,8
HCPCS,Q0138,Feraheme,4301.335,3010.935,0.36,1.01,14
HCPCS,Q0138,INJECTION; FERUMOXYTOL; FOR TREATMENT OF IRON DEFICIENCY ANEMIA; 1 MG (NON-ESRD USE),4301.335,3010.935,0.36,1.01,14
HCPCS,Q0138,ferumoxytol,2031.62,1422.13,4754.0,5269.0,4
HCPCS,Q0139,Feraheme,3282.46,2297.72,0.36,5269.0,11
HCPCS,Q0220,Evusheld,0.01,0.01,4754.0,5269.0,4
HCPCS,Q0220,Tixagevimab,0.01,0.01,4754.0,5269.0,4
HCPCS,Q0481,"MICROPRCSR CU ELEC VAD, REP",14992.0,10494.4,16941.02,48898.58,9
HCPCS,Q2009,Cerebyx,487.025,340.91999999999996,1.34,5269.0,17
HCPCS,Q2009,Cerebyx Novaplus,27.47,19.23,4754.0,5269.0,16
HCPCS,Q2009,Fosphenytoin Sodium,38.495000000000005,26.950000000000003,1.34,5269.0,33
HCPCS,Q2009,INJECTION; FOSPHENYTOIN; 50 MG PHENYTOIN EQUIVALENT,242.6,169.82,1.34,3.75,7
HCPCS,Q2049,Lipodox,2638.08,1846.66,4754.0,5269.0,4
HCPCS,Q2050,DOXOrubicin HCl Liposome,3000.0,2100.0,104.01,5269.0,65
HCPCS,Q2050,Doxil,824.415,577.0899999999999,104.01,5269.0,44
HCPCS,Q2050,INJECTION; DOXORUBICIN HYDROCHLORIDE; LIPOSOMAL; NOT OTHERWISE SPECIFIED; 10MG,3000.0,2100.0,104.01,291.23,7
HCPCS,Q3014,TELEHEALTH ORIGINATING SITE FACILITY FEE,58.0,40.6,23.28,23.28,2
HCPCS,Q4081,Epogen,170.77499999999998,119.545,4754.0,5269.0,32
HCPCS,Q4081,Procrit,1008.87,706.21,4754.0,5269.0,28
HCPCS,Q4100,SKIN SUBSTITUTE; NOT OTHERWISE SPECIFIED,27182.1,19027.469999999998,,,0
HCPCS,Q4101,APLIGRAF,115.5,80.85,49.71,354.26,18
HCPCS,Q4101,APLIGRAF; PER SQUARE CENTIMETER,1912.495,1338.745,49.71,354.26,32
HCPCS,Q4102,OASIS WOUND MATRIX,26.0,18.2,21.92,354.26,18
HCPCS,Q4102,OASIS WOUND MATRIX; PER SQUARE CENTIMETER,297.0,207.9,21.92,354.26,16
HCPCS,Q4103,OASIS BURN MATRIX,76.5,53.55,21.24,354.26,18
HCPCS,Q4103,OASIS BURN MATRIX; PER SQUARE CENTIMETER,38.36,26.85,21.24,354.26,9
HCPCS,Q4104,INTEGRA BILAYER MATRIX WOUND DRESSING (BMWD); PER SQUARE CENTIMETER,11133.94,7793.76,80.99,354.26,9
HCPCS,Q4105,INTEGRA DRT OR OMNIGRAFT,121.5,85.05,41.44,354.26,18
HCPCS,Q4107,GRAFTJACKET,431.0,301.7,117.58,354.26,9
HCPCS,Q4110,PRIMATRIX,162.0,113.4,63.87,354.26,9
HCPCS,Q4116,ALLODERM; PER SQUARE CENTIMETER,93094.65,65166.255,37.67,354.26,18
HCPCS,Q4118,MATRISTEM MICROMATRIX; 1 MG,8197.2,5738.04,4.17,4.17,2
HCPCS,Q4122,"DERMACELL, AWM, POROUS SQ CM",102.0,71.4,126.52,354.26,7
HCPCS,Q4124,OASIS TRI-LAYER WOUND MATRIX,10.0,7.0,15.18,354.26,9
HCPCS,Q4125,ARTHROFLEX; PER SQUARE CENTIMETER,6058.8,4241.16,126.52,354.26,7
HCPCS,Q4128,FLEXHD/ALLOPATCHHD/SQ CM,76.0,53.2,50.25,354.26,9
HCPCS,Q4130,STRATTICE TM; PER SQUARE CENTIMETER,4653.0,3257.1,27.12,354.26,9
HCPCS,Q4132,GRAFIX CORE AND GRAFIXPL CORE; PER SQUARE CENTIMETER,1470.15,1029.11,126.52,354.26,25
HCPCS,Q4132,"GRAFIX CORE, GRAFIXPL CORE",519.0,363.3,126.52,354.26,18
HCPCS,Q4133,GRAFIX PRIME; GRAFIXPL PRIME; STRAVIX AND STRAVIXPL; PER SQUARE CENTIMETER,2001.0,1400.7,126.52,354.26,67
HCPCS,Q4133,GRAFIX STRAVIX PRIME PL SQCM,523.5,366.45,126.52,354.26,18
HCPCS,Q4186,EPIFIX 1 SQ CM,651.0,455.7,126.52,354.26,18
HCPCS,Q4186,EPIFIX; PER SQUARE CENTIMETER,1152.0,806.4,126.52,354.26,7
HCPCS,Q4196,PURAPLY AM 1 SQ CM,479.0,335.3,126.52,354.26,9
HCPCS,Q4196,PURAPLY AM; PER SQUARE CENTIMETER,1916.0,1341.2,126.52,354.26,25
HCPCS,Q5100,Yesintek,1099.96,769.97,4754.0,5269.0,4
HCPCS,Q5101,"INJECTION, ZARXIO",754.5,528.15,4754.0,5269.0,4
HCPCS,Q5101,INJECTION; FILGRASTIM-SNDZ; BIOSIMILAR; (ZARXIO); 1 MICROGRAM,754.5,528.15,0.35,0.98,28
HCPCS,Q5101,Zarxio,754.5,528.15,0.35,5269.0,76
HCPCS,Q5103,INJECTION; INFLIXIMAB-DYYB; BIOSIMILAR; (INFLECTRA); 10 MG,14307.76,10015.43,24.22,67.82,28
HCPCS,Q5103,Inflectra,9084.29,6359.0,24.22,5269.0,46
HCPCS,Q5104,INJECTION; INFLIXIMAB-ABDA; BIOSIMILAR; (RENFLEXIS); 10 MG,5062.785,3543.95,27.75,77.7,42
HCPCS,Q5104,Renflexis,3748.12,2623.685,27.75,5269.0,36
HCPCS,Q5105,INJECTION; EPOETIN ALFA-EPBX; BIOSIMILAR; (RETACRIT) (FOR ESRD ON DIALYSIS); 100 UNITS,105.89,74.12,,,0
HCPCS,Q5105,Retacrit,284.025,198.815,4754.0,5269.0,56
HCPCS,Q5106,INJECTION; EPOETIN ALFA-EPBX; BIOSIMILAR; (RETACRIT) (FOR NON-ESRD USE); 1000 UNITS,661.8000000000001,463.26,7.57,21.2,28
HCPCS,Q5106,Retacrit,529.44,370.61,7.57,21.2,133
HCPCS,Q5107,INJECTION; BEVACIZUMAB-AWWB; BIOSIMILAR; (MVASI); 10 MG,1507.11,1054.98,23.84,66.75,28
HCPCS,Q5107,Mvasi,4102.67,3399.35,23.84,5269.0,92
HCPCS,Q5108,Fulphila,5375.32,3762.7250000000004,98.87,5269.0,18
HCPCS,Q5111,Udenyca,10750.625,7525.4400000000005,161.99,5269.0,22
HCPCS,Q5115,INJECTION; RITUXIMAB-ABBS; BIOSIMILAR; (TRUXIMA) 10 MG,6595.295,4616.705,30.15,84.42,42
HCPCS,Q5115,Truxima,1927.855,1349.495,30.15,5269.0,127
HCPCS,Q5116,Trazimera,9325.47,6527.83,4754.0,5269.0,4
HCPCS,Q5117,INJECTION; TRASTUZUMAB-ANNS; BIOSIMILAR; (KANJINTI); 10 MG,7170.264999999999,5019.1849999999995,51.44,144.03,14
HCPCS,Q5117,Kanjinti,9063.475,6344.43,51.44,5269.0,36
HCPCS,Q5117,Kanjinti Kit,10472.5,7330.75,4754.0,5269.0,4
HCPCS,Q5119,Ruxience,5677.06,3973.94,13.27,5269.0,43
HCPCS,Q5120,Ziextenzo,10795.21,7556.65,4754.0,5269.0,4
HCPCS,Q5122,INJECTION; PEGFILGRASTIM-APGF; BIOSIMILAR; (NYVEPRIA); 0.5 MG,9420.01,6594.01,133.05,372.54,21
HCPCS,Q5122,Nyvepria,10106.885,7074.82,133.05,5269.0,46
HCPCS,Q5136,Jubbonti,4411.36,3087.95,4754.0,5269.0,4
HCPCS,Q5136,Wyost,8822.72,6175.9,4754.0,5269.0,4
HCPCS,Q9956,Optison,344.305,241.015,4754.0,5269.0,8
HCPCS,Q9957,Definity,982.16,687.51,44.48,5269.0,16
HCPCS,Q9957,Definity RT,883.92,618.74,4754.0,5269.0,8
HCPCS,Q9957,"INJ PERFLUTREN LIP MICROS,ML",380.0,266.0,4754.0,5269.0,4
HCPCS,Q9957,INJECTION; PERFLUTREN LIPID MICROSPHERES; PER ML,893.5,625.45,44.48,68.94,4
HCPCS,Q9958,Cystografin,82.525,57.77,0.07,5269.0,12
HCPCS,Q9958,HIGH OSMOLAR CONTRAST MATERIAL; UP TO 149 MG/ML IODINE CONCENTRATION; PER ML,21.745,15.219999999999999,0.07,5269.0,8
HCPCS,Q9958,"HOCM <=149 MG/ML IODINE, 1ML",35.49,24.84,4754.0,5269.0,4
HCPCS,Q9961,Hypaque Meglumine,36.58,25.604999999999997,4754.0,5269.0,8
HCPCS,Q9962,Hypaque Sodium,18.43,12.9,4754.0,5269.0,4
HCPCS,Q9963,Gastrografin,59.41,41.59,0.22,5269.0,12
HCPCS,Q9963,HIGH OSMOLAR CONTRAST MATERIAL; 350-399 MG/ML IODINE CONCENTRATION; PER ML,79.2,55.44,4754.0,5269.0,4
HCPCS,Q9963,Hypaque-76,12.93,9.05,4754.0,5269.0,4
HCPCS,Q9963,MD-Gastroview,42.49,29.744999999999997,0.22,5269.0,12
HCPCS,Q9965,Omnipaque 180,123.04,86.13,4754.0,5269.0,4
HCPCS,Q9966,LOW OSMOLAR CONTRAST MATERIAL; 200-299 MG/ML IODINE CONCENTRATION; PER ML,110.45,77.32,4754.0,5269.0,4
HCPCS,Q9966,Omnipaque 240,107.8,75.46,0.39,5269.0,28
HCPCS,Q9967,Iodixanol,108.96,76.27,0.14,5269.0,32
HCPCS,Q9967,Isovue-200,60.23,42.16,4754.0,5269.0,4
HCPCS,Q9967,Isovue-300,64.49,45.14,4754.0,5269.0,4
HCPCS,Q9967,Isovue-370,139.7,97.79,4754.0,5269.0,4
HCPCS,Q9967,"LOCM 300-399MG/ML IODINE,1ML",112.755,78.93,4754.0,5269.0,8
HCPCS,Q9967,LOW OSMOLAR CONTRAST MATERIAL; 300-399 MG/ML IODINE CONCENTRATION; PER ML,160.18,112.125,0.14,5269.0,16
HCPCS,Q9967,Omnipaque 300,169.695,118.785,0.14,5269.0,28
HCPCS,Q9967,Omnipaque 350,232.44,162.70499999999998,0.14,5269.0,56
HCPCS,Q9967,Optiray 320,191.125,133.79,4754.0,5269.0,8
HCPCS,Q9967,Optiray 350,151.25,105.88,4754.0,5269.0,4
HCPCS,Q9967,Visipaque,273.225,191.26,0.14,5269.0,24
HCPCS,Q9968,INJECTION; NON-RADIOACTIVE; NON-CONTRAST; VISUALIZATION ADJUNCT (E.G.; METHYLENE BLUE; ISOSULFAN BLUE); 1 MG,1457.035,1019.9250000000001,9.81,27.47,42
HCPCS,Q9968,Isosulfan Blue,2914.06,2039.84,9.81,5269.0,50
HCPCS,Q9968,Methylene Blue,386.6,270.62,9.81,5269.0,39
HCPCS,Q9968,Provayblue,644.58,451.21,4754.0,5269.0,8
HCPCS,Q9982,FLUTEMETAMOL F18 DIAGNOSTIC,4666.0,3266.2,1944.01,5443.23,7
HCPCS,S2900,SURGICAL TECHNIQUES REQUIRING USE OF ROBOTIC SURGICAL SYSTEM (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),9090.5,6363.35,145.36,145.36,1
HCPCS,S3620,NB METABOLIC SCRN PANEL,184.0,128.8,55.0,55.0,1
HCPCS,S9140,DM PROGRAM F/U TO NON- MD,1921.0,1344.7,95.0,1269.0,7
HCPCS,S9447,INFANT SAFETY CLASS,40.0,28.0,95.0,95.0,1
HCPCS,S9480,INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES; PER DIEM,831.0,581.7,23.83,909.0,20
HCPCS,T1006,ALC/SUBS ABUSE COUNSELING,145.0,101.5,23.83,909.0,4
HCPCS,T1012,SUBST ABUSE SKILL DEVELOPM,14.0,9.8,23.83,909.0,4
HCPCS,T2003,NET ENCOUNTER/TRIP,12.0,8.4,23.83,909.0,4
HCPCS,U0001,2019-NCOV DIAGNOSTIC P,175.0,122.5,35.92,113.0,9
HCPCS,U0002,COVID-19 LAB TEST NON-CDC,175.0,122.5,51.31,143.67,9
HCPCS,U0003,COV-19 AMP PRB HGH THRUPUT,175.0,122.5,84.75,84.75,2
HCPCS,U0005,INFEC AGEN DETEC AMPLI PROBE,25.0,17.5,28.25,28.25,2
HCPCS,V2630,ANTERIOR CHAMBER INTRAOCULAR LENS,280.5,196.35,145.73,408.04,9
HCPCS,V2632,POSTERIOR CHAMBER INTRAOCULAR LENS,350.8,245.56,145.73,408.04,18
HCPCS,V2787,ASTIGMATISM CORRECTING FUNCTION OF INTRAOCULAR LENS,1666.5,1166.55,,,0
HCPCS,V2788,PRESBYOPIA CORRECTING FUNCTION OF INTRAOCULAR LENS,3349.5,2344.65,,,0
HCPCS,V2790,AMNIOTIC MEMBRANE FOR SURGICAL RECONSTRUCTION; PER PROCEDURE,4801.5,3361.05,1107.57,1107.57,2
MS-DRG,1,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEMWITHCOMORBITY,,,279535.12,786538.36,10
MS-DRG,10,PANCREAS TRANSPLANT,,,73468.51,202038.4,8
MS-DRG,100,SEIZURES WITH COMORBITY,,,20058.44,55160.71,10
MS-DRG,101,SEIZURES WITHOUT COMORBITY,,,9514.87,26165.89,10
MS-DRG,102,HEADACHES WITH COMORBITY,,,11740.4,32286.1,10
MS-DRG,103,HEADACHES WITHOUT COMORBITY,,,8838.92,24307.03,10
MS-DRG,11,TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMORBITY,,,55916.97,153771.67,10
MS-DRG,111,VERTIGO AND OTHER LABYRINTH DISORDERS,,,,,0
MS-DRG,113,ORBITAL PROCEDURES WITH COMPLICATION/COMORBITY,,,19767.02,66776.05,10
MS-DRG,114,ORBITAL PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,14106.65,38793.29,10
MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT,,,15961.1,43893.02,10
MS-DRG,116,INTRAOCULAR PROCEDURES WITH COMPLICATION/COMORBITY,,,18746.34,51552.43,10
MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,11373.39,31276.82,10
MS-DRG,12,TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMPLICATION,,,43294.66,119060.32,10
MS-DRG,120,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,,,0
MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH COMPLICATION/COMORBITY,,,9446.65,33474.84,10
MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT COMPLICATION/COMORBITY,,,8324.09,22891.25,10
MS-DRG,123,NEUROLOGICAL EYE DISORDERS,,,8454.59,23250.12,10
MS-DRG,124,OTHER DISORDERS OF THE EYE WITH COMORBITY,,,13801.84,37955.06,10
MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT COMORBITY,,,8140.6,22386.65,10
MS-DRG,13,TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITHOUT COMPLICATION/COMORBITY,,,29692.61,95607.45,10
MS-DRG,130,MAJOR HEAD & NECK PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,,,0
MS-DRG,131,CRANIAL/FACIAL PROCEDURES WITH COMPLICATION/COMORBITY,,,,,0
MS-DRG,133,OTHER EAR; NOSE; MOUTH & THROAT O.R. PROCEDURES WITH COMPLICATION/COMORBITY,,,,,0
MS-DRG,134,OTHER EAR; NOSE; MOUTH & THROAT O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,,,0
MS-DRG,135,SINUS & MASTOID PROCEDURES WITH COMPLICATION/COMORBITY,,,22435.88,61698.67,10
MS-DRG,136,SINUS & MASTOID PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,10663.82,29775.64,10
MS-DRG,137,MOUTH PROCEDURES WITH COMPLICATION/COMORBITY,,,15535.97,68756.21,10
MS-DRG,138,MOUTH PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,9347.66,36519.11,10
MS-DRG,139,SALIVARY GLAND PROCEDURES,,,12910.8,35504.7,10
MS-DRG,14,ALLOGENEIC BONE MARROW TRANSPLANT,,,122834.28,337794.27,10
MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC,,,43797.28,120442.52,10
MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC,,,22549.04,62009.86,10
MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,,,16588.08,45617.22,10
MS-DRG,143,OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH MCC,,,38509.17,115923.04,10
MS-DRG,144,OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH CC,,,17979.69,49444.15,10
MS-DRG,145,OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC,,,12570.28,34568.27,10
MS-DRG,146,EAR; NOSE; MOUTH & THROAT MALIGNANCY WITH COMORBITY,,,21899.65,60224.04,10
MS-DRG,147,EAR; NOSE; MOUTH & THROAT MALIGNANCY WITH COMPLICATION,,,13275.76,40665.85,10
MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC",,,8439.29,40665.85,10
MS-DRG,149,DYSEQUILIBRIUM,,,7975.42,21932.4,10
MS-DRG,150,EPISTAXIS WITH MCC,,,10761.55,38190.46,10
MS-DRG,151,EPISTAXIS WITHOUT COMORBITY,,,7796.01,21439.03,10
MS-DRG,152,OTITIS MEDIA & URI WITH COMORBITY,,,12365.36,34004.74,10
MS-DRG,153,OTITIS MEDIA & URI WITHOUT COMORBITY,,,7838.82,21556.76,10
MS-DRG,154,OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMORBITY,,,15335.0,44694.87,10
MS-DRG,155,OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMPLICATION,,,9656.57,26555.57,10
MS-DRG,156,OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITHOUT COMPLICATION/COMORBITY,,,7358.65,20236.29,10
MS-DRG,157,DENTAL & ORAL DISEASES WITH COMORBITY,,,17815.57,48992.82,10
MS-DRG,158,DENTAL & ORAL DISEASES WITH COMPLICATION,,,9588.26,26367.72,10
MS-DRG,159,DENTAL & ORAL DISEASES WITHOUT COMPLICATION/COMORBITY,,,7536.02,22922.08,10
MS-DRG,16,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC,,,60765.66,263354.27,10
MS-DRG,162,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,,,0
MS-DRG,163,MAJOR CHEST PROCEDURES WITH COMORBITY,,,46004.48,126512.32,10
MS-DRG,164,MAJOR CHEST PROCEDURES WITH COMPLICATION,,,26044.89,72704.26,10
MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,19828.02,54527.06,10
MS-DRG,166,OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY,,,38418.44,105650.71,10
MS-DRG,167,OTHER RESP SYSTEM O.R. PROCEDURES WITH COMPLICATION,,,18698.42,69594.27,10
MS-DRG,168,OTHER RESP SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,14243.26,49721.14,10
MS-DRG,169,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,,,0
MS-DRG,17,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC,,,55694.73,263354.27,10
MS-DRG,171,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI; HEART FAILURE OR SHOCK,,,,,0
MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM,,,30657.06,84306.91,8
MS-DRG,174,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,,,0
MS-DRG,175,PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE,,,14316.66,39370.82,10
MS-DRG,176,PULMONARY EMBOLISM WITHOUT COMORBITY,,,8519.84,35603.11,10
MS-DRG,177,RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY,,,16244.52,48470.15,10
MS-DRG,178,RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION,,,10263.17,48470.15,10
MS-DRG,179,RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY,,,8010.1,38284.33,10
MS-DRG,18,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,440557.5,1211533.12,8
MS-DRG,180,RESPIRATORY NEOPLASMS WITH COMORBITY,,,18317.15,50372.16,10
MS-DRG,181,RESPIRATORY NEOPLASMS WITH COMPLICATION,,,11231.69,41335.11,10
MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT COMPLICATION/COMORBITY,,,7997.86,41335.11,10
MS-DRG,183,MAJOR CHEST TRAUMA WITH COMORBITY,,,15910.13,43752.86,10
MS-DRG,184,MAJOR CHEST TRAUMA WITH COMPLICATION,,,11161.34,30693.68,10
MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT COMPLICATION/COMORBITY,,,8331.24,22910.91,10
MS-DRG,186,PLEURAL EFFUSION WITH COMORBITY,,,16201.71,44554.7,10
MS-DRG,187,PLEURAL EFFUSION WITH COMPLICATION,,,10396.72,31705.82,10
MS-DRG,188,PLEURAL EFFUSION WITHOUT COMPLICATION/COMORBITY,,,7624.72,25895.82,10
MS-DRG,189,PULMONARY EDEMA & RESPIRATORY FAILURE,,,12907.73,52457.79,10
MS-DRG,19,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS,,,73049.51,200886.15,8
MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY,,,11605.84,31916.06,10
MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION,,,8907.24,24494.91,10
MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY,,,6858.07,21262.29,10
MS-DRG,193,SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY,,,13713.12,37711.08,10
MS-DRG,194,SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION,,,8529.01,27362.08,10
MS-DRG,195,SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY,,,6720.43,21780.02,10
MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH COMORBITY,,,19552.78,53770.14,10
MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH COMPLICATION,,,9988.92,39568.09,10
MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION/COMORBITY,,,7614.53,39568.09,10
MS-DRG,199,PNEUMOTHORAX WITH COMORBITY,,,18297.77,50318.87,10
MS-DRG,2,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC,,,115839.57,318558.82,10
MS-DRG,20,INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMORBITY,,,80534.63,282121.95,10
MS-DRG,200,PNEUMOTHORAX WITH COMPLICATION,,,11520.19,31680.52,10
MS-DRG,201,PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY,,,7603.32,20909.13,10
MS-DRG,202,BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY,,,10214.25,28089.19,10
MS-DRG,203,BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY,,,7143.51,19644.65,10
MS-DRG,204,RESPIRATORY SIGNS & SYMPTOMS,,,8544.3,23496.83,10
MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY,,,18979.81,52194.48,10
MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY,,,9907.38,27245.3,10
MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS,,,65914.11,213057.98,10
MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS,,,28335.66,80747.02,10
MS-DRG,209,COMPLEX AORTIC ARCH PROCEDURES,,,115707.03,318194.33,10
MS-DRG,21,INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMPLICATION,,,54282.73,282121.95,10
MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES,,,111173.36,305726.74,10
MS-DRG,213,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES,,,58494.25,160859.19,10
MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT,,,101823.63,280014.98,10
MS-DRG,216,CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY,,,100047.66,275131.06,10
MS-DRG,217,CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMPLICATION,,,67347.48,222416.4,10
MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,67347.48,222416.4,10
MS-DRG,219,CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMORBITY,,,78592.5,216129.38,10
MS-DRG,22,INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITHOUT COMPLICATION/COMORBITY,,,32706.22,282121.95,10
MS-DRG,220,CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMPLICATION,,,54680.33,150370.91,10
MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,51697.3,144649.5,10
MS-DRG,222,CARDIAC DEFIB IMPLANT WITH CARDIAC CATH WITH AMI/HF/SHOCK WITH COMORBITY,,,,,0
MS-DRG,223,CARDIAC DEFIB IMPLANT WITH CARDIAC CATH WITH AMI/HF/SHOCK WITHOUT COMORBITY,,,,,0
MS-DRG,224,CARDIAC DEFIB IMPLANT WITH CARDIAC CATH WITHOUT AMI/HF/SHOCK WITH COMORBITY,,,,,0
MS-DRG,226,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH WITH COMORBITY,,,,,0
MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH COMORBITY,,,50751.21,139565.83,10
MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMORBITY,,,32421.79,129597.33,10
MS-DRG,23,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH COMORBITY OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,,,58732.81,161515.23,10
MS-DRG,230,MAJOR SMALL BOWEL PROCEDURES,,,,,0
MS-DRG,231,CORONARY BYPASS WITH PTCA WITH COMORBITY,,,86254.98,237201.2,10
MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC,,,62120.58,170831.6,10
MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATH WITH COMORBITY,,,78255.04,215201.36,10
MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATH WITHOUT COMORBITY,,,56004.64,154012.76,10
MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATH WITH COMORBITY,,,60142.77,165392.62,10
MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATH WITHOUT COMORBITY,,,43017.36,118297.74,10
MS-DRG,239,AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY,,,50489.2,138845.3,10
MS-DRG,24,CRANIO WITH MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX WITHOUT COMORBITY,,,40194.39,114926.89,10
MS-DRG,240,AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION,,,29373.5,92939.43,10
MS-DRG,241,AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITHOUT COMPLICATION/COMORBITY,,,14426.76,92939.43,10
MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY,,,32863.25,90373.94,10
MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION,,,22037.26,61557.84,10
MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY,,,18740.23,51535.63,10
MS-DRG,245,AICD GENERATOR PROCEDURES,,,46826.17,128771.97,10
MS-DRG,246,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH COMORBITY OR 4+ ARTERIES OR STENTS,,,,,0
MS-DRG,247,PERCUTANEOUS CARDIOVASC PROC WITH DRUG-ELUTING STENT WITHOUT COMORBITY,,,,,0
MS-DRG,248,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH COMORBITY OR 4+ ARTERIES OR STENTS,,,,,0
MS-DRG,249,PERCUTANEOUS CARDIOVASC PROC WITH NON-DRUG-ELUTING STENT WITHOUT COMORBITY,,,,,0
MS-DRG,25,CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMORBITY,,,46666.12,128331.83,10
MS-DRG,250,PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITH COMORBITY,,,22563.33,62049.16,10
MS-DRG,251,PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITHOUT COMORBITY,,,15549.24,42760.41,10
MS-DRG,252,OTHER VASCULAR PROCEDURES WITH COMORBITY,,,35875.83,98658.53,10
MS-DRG,253,OTHER VASCULAR PROCEDURES WITH COMPLICATION,,,26774.85,77689.01,10
MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,18477.2,56166.13,10
MS-DRG,255,UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMORBITY,,,27812.68,76484.87,10
MS-DRG,256,UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMPLICATION,,,17622.87,48462.89,10
MS-DRG,257,UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITHOUT COMPLICATION/COMORBITY,,,11447.82,42136.69,10
MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,,,23909.3,88952.46,10
MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT COMORBITY,,,20928.07,57552.19,10
MS-DRG,26,CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION,,,32010.94,102478.98,10
MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMORBITY,,,32275.18,92056.06,10
MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION,,,19586.41,53862.63,10
MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT COMPLICATION/COMORBITY,,,16929.6,46556.4,10
MS-DRG,263,VEIN LIGATION & STRIPPING,,,31482.85,86577.84,10
MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,,,34370.05,186032.23,10
MS-DRG,265,AICD LEAD PROCEDURES,,,37200.14,102300.38,10
MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITH COMORBITY,,,62791.39,172676.32,10
MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITHOUT COMORBITY,,,48848.85,134334.34,10
MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH COMORBITY,,,70432.48,193689.32,10
MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT COMORBITY,,,43368.08,119262.22,10
MS-DRG,27,CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,26033.66,88160.56,10
MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY,,,54104.32,148786.88,10
MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION,,,36569.09,110464.23,10
MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,26340.53,110464.23,10
MS-DRG,273,PERCUTANEOUS INTRACARDIAC PROCEDURES WITH COMORBITY,,,42372.02,116523.06,10
MS-DRG,274,PERCUTANEOUS INTRACARDIAC PROCEDURES WITHOUT COMORBITY,,,33871.49,93146.6,10
MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,,,73006.68,200768.37,10
MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR,,,61549.65,169261.54,10
MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC,,,47398.11,130344.8,10
MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC,,,57059.83,156914.53,10
MS-DRG,279,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,37079.85,101969.59,10
MS-DRG,28,SPINAL PROCEDURES WITH COMORBITY,,,61566.99,169309.22,10
MS-DRG,280,ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY,,,16666.59,45833.12,10
MS-DRG,281,ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION,,,9683.07,33275.53,10
MS-DRG,282,ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY,,,7684.87,29140.22,10
MS-DRG,283,ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY,,,20507.01,64304.19,10
MS-DRG,284,ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMPLICATION,,,7369.87,64304.19,10
MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC",,,6418.67,64304.19,10
MS-DRG,286,CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY,,,22872.23,62898.63,10
MS-DRG,287,CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY,,,11222.51,34563.5,10
MS-DRG,288,ACUTE & SUBACUTE ENDOCARDITIS WITH COMORBITY,,,27902.39,76731.57,10
MS-DRG,289,ACUTE & SUBACUTE ENDOCARDITIS WITH COMPLICATION,,,17714.63,55212.39,10
MS-DRG,29,SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS,,,35093.88,96508.17,10
MS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC,,,9791.14,55212.39,10
MS-DRG,291,HEART FAILURE & SHOCK WITH COMORBITY,,,13401.15,36853.16,10
MS-DRG,292,HEART FAILURE & SHOCK WITH COMPLICATION,,,8968.43,32798.83,10
MS-DRG,293,HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY,,,6083.24,32798.83,10
MS-DRG,296,CARDIAC ARREST; UNEXPLAINED WITH COMORBITY,,,16236.37,51400.27,10
MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC",,,6776.51,51400.27,10
MS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC",,,4952.64,51400.27,10
MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH COMORBITY,,,16958.19,46635.02,10
MS-DRG,3,ECMO OR TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITH MAJ O.R.,,,216701.85,595930.09,10
MS-DRG,30,SPINAL PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,22692.8,62405.2,10
MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION,,,11196.02,30789.06,10
MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY,,,7650.21,21038.08,10
MS-DRG,302,ATHEROSCLEROSIS WITH COMORBITY,,,12512.16,34408.44,10
MS-DRG,303,ATHEROSCLEROSIS WITHOUT COMORBITY,,,7176.14,19734.38,10
MS-DRG,304,HYPERTENSION WITH COMORBITY,,,12444.87,34223.39,10
MS-DRG,305,HYPERTENSION WITHOUT COMORBITY,,,8011.11,22030.55,10
MS-DRG,306,CARDIAC CONGENITAL & VALVULAR DISORDERS WITH COMORBITY,,,14463.29,45039.69,10
MS-DRG,307,CARDIAC CONGENITAL & VALVULAR DISORDERS WITHOUT COMORBITY,,,9622.93,26463.06,10
MS-DRG,308,CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY,,,12587.61,34615.93,10
MS-DRG,309,CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION,,,7813.33,22791.36,10
MS-DRG,31,VENTRICULAR SHUNT PROCEDURES WITH COMORBITY,,,45991.21,126475.83,10
MS-DRG,310,CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY,,,6084.29,17468.4,10
MS-DRG,311,ANGINA PECTORIS,,,7468.74,20539.04,10
MS-DRG,312,SYNCOPE & COLLAPSE,,,9198.83,25296.78,10
MS-DRG,313,CHEST PAIN,,,7653.27,21046.49,10
MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY,,,21571.36,59321.24,10
MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION,,,10133.7,30642.87,10
MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY,,,7266.87,19983.89,10
MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION,,,68481.17,188323.22,8
MS-DRG,318,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE,,,25007.03,68769.33,10
MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH COMORBITY,,,45811.77,152017.06,10
MS-DRG,32,VENTRICULAR SHUNT PROCEDURES WITH COMPLICATION,,,22038.28,61902.81,10
MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT COMORBITY,,,24834.74,152017.06,10
MS-DRG,321,CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION,,,28051.23,77140.88,10
MS-DRG,322,SHOULDER AND ELBOW JOINT REPLACEMENT,,,18286.54,50287.98,10
MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC,,,41903.56,122183.52,10
MS-DRG,324,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,32437.1,89202.02,10
MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE,,,33042.68,90867.37,10
MS-DRG,326,STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY,,,51159.02,145656.86,10
MS-DRG,327,STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION,,,25231.33,103094.06,10
MS-DRG,328,STOMACH; ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY,,,16648.24,45782.66,10
MS-DRG,329,MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY,,,47173.83,129728.03,10
MS-DRG,33,VENTRICULAR SHUNT PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,17266.05,47481.64,10
MS-DRG,330,MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION,,,24752.16,75016.63,10
MS-DRG,331,MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,17469.94,48042.34,10
MS-DRG,332,RECTAL RESECTION WITH MCC,,,37225.63,102370.48,10
MS-DRG,333,RECTAL RESECTION WITH CC,,,24191.45,81911.65,10
MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC,,,17011.17,46780.72,10
MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH COMORBITY,,,36717.92,100974.28,10
MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH COMPLICATION,,,21810.93,61434.34,10
MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY,,,15962.12,43895.83,10
MS-DRG,34,CAROTID ARTERY STENT PROCEDURE WITH COMORBITY,,,39774.36,109379.49,8
MS-DRG,341,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAG WITH COMORBITY,,,,,0
MS-DRG,342,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAG WITH COMPLICATION,,,,,0
MS-DRG,343,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAG WITHOUT COMPLICATION/COMORBITY,,,,,0
MS-DRG,344,MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY,,,26644.35,73271.96,10
MS-DRG,345,MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION,,,15653.22,43046.36,10
MS-DRG,346,MINOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,12406.13,34116.86,10
MS-DRG,347,ANAL & STOMAL PROCEDURES WITH COMORBITY,,,23716.36,65219.99,10
MS-DRG,348,ANAL & STOMAL PROCEDURES WITH COMPLICATION,,,13656.03,37554.08,10
MS-DRG,349,ANAL & STOMAL PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,9188.63,25268.73,10
MS-DRG,35,CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION,,,24683.86,67880.62,8
MS-DRG,350,INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMORBITY,,,25717.63,70723.48,10
MS-DRG,351,INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION,,,15855.07,43601.44,10
MS-DRG,352,INGUINAL & FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,12218.54,33600.99,10
MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMORBITY,,,29898.55,82221.01,10
MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION,,,17464.86,48028.36,10
MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITHOUT COMPLICATION/COMORBITY,,,14025.08,38568.97,10
MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY,,,45097.13,124017.11,10
MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION,,,24021.19,66748.36,10
MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,14564.4,40052.1,10
MS-DRG,359,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC,,,35369.15,97265.16,10
MS-DRG,36,CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION/COMORBITY,,,20119.61,55328.93,8
MS-DRG,360,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,24926.5,68547.88,10
MS-DRG,364,OTHER SKIN; SUBCUTANEOUS TISSUE AND RELATED PROCEDURES,,,,,0
MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY,,,16542.21,45491.08,10
MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION,,,10509.88,28902.17,10
MS-DRG,37,EXTRACRANIAL PROCEDURES WITH COMORBITY,,,33875.59,93157.87,10
MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC,,,7457.53,22244.18,10
MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY,,,18389.54,50571.23,10
MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION,,,10721.95,29485.36,10
MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY,,,7728.71,25296.46,10
MS-DRG,374,DIGESTIVE MALIGNANCY WITH COMORBITY,,,22116.79,64342.71,10
MS-DRG,375,DIGESTIVE MALIGNANCY WITH COMPLICATION,,,12644.7,62838.66,10
MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT COMPLICATION/COMORBITY,,,9736.08,32757.69,10
MS-DRG,377,G.I. HEMORRHAGE WITH COMORBITY,,,18949.23,52110.38,10
MS-DRG,378,G.I. HEMORRHAGE WITH COMPLICATION,,,10311.1,28355.52,10
MS-DRG,379,G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY,,,6739.8,18836.46,10
MS-DRG,38,EXTRACRANIAL PROCEDURES WITH COMPLICATION,,,16855.19,62272.11,10
MS-DRG,380,COMPLICATED PEPTIC ULCER WITH COMORBITY,,,20317.38,55872.8,10
MS-DRG,381,COMPLICATED PEPTIC ULCER WITH COMPLICATION,,,11359.12,31237.58,10
MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION/COMORBITY,,,8474.98,27378.65,10
MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH COMORBITY,,,14389.05,39569.89,10
MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT COMORBITY,,,9027.53,24825.71,10
MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH COMORBITY,,,16444.33,45221.91,10
MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH COMPLICATION,,,10266.22,28232.1,10
MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION/COMORBITY,,,7258.72,22348.84,10
MS-DRG,388,G.I. OBSTRUCTION WITH COMORBITY,,,15368.78,42264.14,10
MS-DRG,389,G.I. OBSTRUCTION WITH COMPLICATION,,,8364.88,23003.42,10
MS-DRG,39,EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,12297.04,48482.03,10
MS-DRG,390,G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY,,,5858.97,16112.17,10
MS-DRG,391,ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY,,,13243.13,36418.61,10
MS-DRG,392,ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY,,,8260.89,22717.45,10
MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY,,,16617.64,45698.51,10
MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION,,,9852.32,27093.88,10
MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY,,,6929.44,19197.52,10
MS-DRG,397,APPENDIX PROCEDURES WITH MCC,,,24728.71,68003.95,10
MS-DRG,398,APPENDIX PROCEDURES WITH CC,,,15743.95,43295.86,10
MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC,,,11983.05,32953.39,10
MS-DRG,4,TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITHOUT MAJ O.R.,,,141526.64,465351.68,10
MS-DRG,40,PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMORBITY,,,39677.5,109113.12,10
MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,41301.55,132962.09,10
MS-DRG,403,PROCEDURES FOR OBESITY,,,,,0
MS-DRG,404,THYROID; PARATHYROID AND THYROGLOSSAL PROCEDURES,,,,,0
MS-DRG,405,PANCREAS; LIVER & SHUNT PROCEDURES WITH COMORBITY,,,56084.17,154231.47,10
MS-DRG,406,PANCREAS; LIVER & SHUNT PROCEDURES WITH COMPLICATION,,,29880.21,82170.58,10
MS-DRG,407,PANCREAS; LIVER & SHUNT PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,22941.55,63089.26,10
MS-DRG,408,BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMORBITY,,,36663.9,100825.72,10
MS-DRG,409,BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMPLICATION,,,22510.31,61903.35,10
MS-DRG,41,PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMPLICATION OR PERIPH NEUROSTIM,,,22728.49,66806.1,10
MS-DRG,410,BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY,,,16499.41,52030.67,10
MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH COMORBITY,,,33989.77,93471.87,10
MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH COMPLICATION,,,21747.73,59806.26,10
MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT COMPLICATION/COMORBITY,,,17241.57,47414.32,10
MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMORBITY,,,36633.3,100741.58,10
MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION,,,21382.76,58802.59,10
MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY,,,14211.67,39082.09,10
MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY,,,24642.06,67765.66,10
MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION,,,17558.63,48286.23,10
MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY,,,14237.15,39152.16,10
MS-DRG,42,PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITHOUT COMPLICATION/COMORBITY,,,17926.67,57640.32,10
MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY,,,35048.01,96382.03,10
MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION,,,18026.58,75300.26,10
MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,14580.71,66820.12,10
MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMORBITY,,,42652.39,117294.07,10
MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION,,,22618.38,111354.83,10
MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,15608.35,111354.83,10
MS-DRG,426,NON-HYPOVOLEMIC SODIUM DISORDERS,,,112673.03,309850.83,10
MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC,,,73905.89,203241.2,10
MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC,,,57628.69,158478.9,10
MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC,,,92164.97,253453.67,10
MS-DRG,43,MULTIPLE SCLEROSIS; OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES,,,,,0
MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC,,,59107.97,162546.92,10
MS-DRG,432,CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY,,,20378.55,56041.01,10
MS-DRG,433,CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION,,,11080.8,47535.8,10
MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC,,,7576.81,47535.8,10
MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY,,,19037.93,52354.31,10
MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION,,,11844.39,44430.46,10
MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION/COMORBITY,,,9012.25,44430.46,10
MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY,,,16932.69,46564.9,10
MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION,,,8888.88,28714.49,10
MS-DRG,44,INTRACRANIAL HEMORRHAGE,,,,,0
MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY,,,6648.07,28714.49,10
MS-DRG,441,DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY,,,18609.73,51176.76,10
MS-DRG,442,DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION,,,10154.08,36716.57,10
MS-DRG,443,DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITHOUT COMPLICATION/COMORBITY,,,7446.31,26550.65,10
MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH COMORBITY,,,17347.6,47705.9,10
MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH COMPLICATION,,,11470.23,31543.13,10
MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY,,,8747.19,24054.77,10
MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,68431.23,188185.88,10
MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,43547.5,119755.62,10
MS-DRG,45,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,,,0
MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,54647.7,150281.17,8
MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,33246.57,91428.07,8
MS-DRG,456,SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMORBITY,,,85984.82,236458.26,10
MS-DRG,457,SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMPLICATION,,,61106.19,168042.02,10
MS-DRG,458,SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITHOUT COMPLICATION/COMORBITY,,,42852.2,157901.75,10
MS-DRG,46,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,,,0
MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC,,,56619.4,155703.35,10
MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITHOUT COMORBITY,,,27431.38,76272.32,10
MS-DRG,463,WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY,,,58418.8,160651.7,10
MS-DRG,464,WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION,,,32067.02,116315.07,10
MS-DRG,465,WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITHOUT COMPLICATION/COMORBITY,,,18905.4,116315.07,10
MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY,,,53381.49,146799.1,10
MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION,,,36266.3,99732.32,10
MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY,,,28328.53,77903.46,10
MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT,,,31236.13,85899.36,10
MS-DRG,47,TRANSIENT ISCHEMIA,,,,,0
MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY,,,19977.89,54939.2,10
MS-DRG,471,CERVICAL SPINAL FUSION WITH COMORBITY,,,49541.08,136237.97,10
MS-DRG,472,CERVICAL SPINAL FUSION WITH COMPLICATION,,,30348.14,83457.38,10
MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY,,,25201.76,69304.84,10
MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMORBITY,,,42128.61,121216.29,10
MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION,,,23513.5,64662.12,10
MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITHOUT COMPLICATION/COMORBITY,,,12344.97,46809.56,10
MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY,,,35532.26,97713.72,10
MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION,,,25384.25,69806.69,10
MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY,,,19264.24,55009.07,10
MS-DRG,48,PERIPHERAL; CRANIAL AND AUTONOMIC NERVE DISORDERS,,,,,0
MS-DRG,480,HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY,,,30003.56,82509.79,10
MS-DRG,481,HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION,,,21666.17,59581.97,10
MS-DRG,482,HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY,,,16940.83,46587.28,10
MS-DRG,483,MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,,,28572.2,78573.55,10
MS-DRG,485,KNEE PROCEDURES WITH PDX OF INFECTION WITH COMORBITY,,,33212.93,91335.56,10
MS-DRG,486,KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION,,,21631.51,59486.65,10
MS-DRG,487,KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY,,,16280.19,44770.52,10
MS-DRG,488,KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY,,,18346.71,50453.45,10
MS-DRG,489,KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY,,,11698.6,32171.15,10
MS-DRG,492,LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMORBITY,,,37744.56,103797.54,10
MS-DRG,493,LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION,,,26168.24,71962.66,10
MS-DRG,494,LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY,,,20769.02,57114.81,10
MS-DRG,495,LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMORBITY,,,37276.6,102510.65,10
MS-DRG,496,LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMPLICATION,,,18703.54,51434.74,10
MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC,,,12631.45,34736.49,10
MS-DRG,498,LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITH COMPLICATION/COMORBITY,,,31068.93,85439.56,10
MS-DRG,499,LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITHOUT COMPLICATION/COMORBITY,,,20853.63,57347.48,10
MS-DRG,5,LIVER TRANSPLANT WITH COMORBITY OR INTESTINAL TRANSPLANT,,,105427.51,412469.62,10
MS-DRG,500,SOFT TISSUE PROCEDURES WITH COMORBITY,,,32577.77,89588.87,10
MS-DRG,501,SOFT TISSUE PROCEDURES WITH COMPLICATION,,,18134.64,53386.93,10
MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,14034.27,38594.24,10
MS-DRG,503,FOOT PROCEDURES WITH COMORBITY,,,24034.21,79111.81,10
MS-DRG,504,FOOT PROCEDURES WITH COMPLICATION,,,19369.25,53265.44,10
MS-DRG,505,FOOT PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,18590.36,51123.49,10
MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES,,,14067.9,40113.55,10
MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC,,,18729.02,51504.8,10
MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC,,,15752.12,43318.33,10
MS-DRG,51,VIRAL MENINGITIS,,,,,0
MS-DRG,510,SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMORBITY,,,23986.0,85543.32,10
MS-DRG,511,SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMPLICATION,,,21512.21,59158.58,10
MS-DRG,512,SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITHOUT COMPLICATION/COMORBITY,,,17189.58,47271.35,10
MS-DRG,513,HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY,,,16362.77,44997.62,10
MS-DRG,514,HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITHOUT COMPLICATION/COMORBITY,,,10735.18,29521.74,10
MS-DRG,515,OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY,,,32803.08,90208.47,10
MS-DRG,516,OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION,,,21498.96,70665.61,10
MS-DRG,517,OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY,,,15979.44,43943.46,10
MS-DRG,518,BACK & NECK PROC EXC SPINAL FUSION WITH COMORBITY OR DISC DEVICE/NEUROSTIM,,,38414.36,105639.49,10
MS-DRG,519,BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION,,,20704.79,56938.17,10
MS-DRG,52,SPINAL DISORDERS & INJURIES WITH COMPLICATION/COMORBITY,,,18778.96,51642.14,10
MS-DRG,520,BACK & NECK PROC EXC SPINAL FUSION WITHOUT COMPLICATION/COMORBITY,,,15543.11,42743.55,10
MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,,,29574.37,81329.52,10
MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,,,21902.69,60232.4,10
MS-DRG,53,SPINAL DISORDERS & INJURIES WITHOUT COMPLICATION/COMORBITY,,,10295.79,39764.95,10
MS-DRG,530,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,,,0
MS-DRG,531,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,,,0
MS-DRG,533,FRACTURES OF FEMUR WITH COMORBITY,,,12623.15,44812.6,10
MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC,,,8531.05,23460.39,10
MS-DRG,535,FRACTURES OF HIP & PELVIS WITH COMORBITY,,,13382.81,36802.73,10
MS-DRG,536,FRACTURES OF HIP & PELVIS WITHOUT COMORBITY,,,8546.34,23502.44,10
MS-DRG,537,SPRAINS; STRAINS; & DISLOCATIONS OF HIP; PELVIS & THIGH WITH COMPLICATION/COMORBITY,,,10041.95,28652.99,10
MS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC",,,7656.34,28652.99,10
MS-DRG,539,OSTEOMYELITIS WITH COMORBITY,,,20393.84,56083.06,10
MS-DRG,54,NERVOUS SYSTEM NEOPLASMS WITH COMORBITY,,,15879.54,43668.74,10
MS-DRG,540,OSTEOMYELITIS WITH COMPLICATION,,,13528.59,44869.27,10
MS-DRG,541,OSTEOMYELITIS WITHOUT COMPLICATION/COMORBITY,,,8340.41,44869.27,10
MS-DRG,542,PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY,,,18322.25,50386.19,10
MS-DRG,543,PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION,,,10793.31,37823.14,10
MS-DRG,544,PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITHOUT COMPLICATION/COMORBITY,,,8006.02,37823.14,10
MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH COMORBITY,,,25613.63,70437.48,10
MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH COMPLICATION,,,12071.73,39869.97,10
MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION/COMORBITY,,,8837.92,33685.61,10
MS-DRG,548,SEPTIC ARTHRITIS WITH COMORBITY,,,19998.29,54995.3,10
MS-DRG,549,SEPTIC ARTHRITIS WITH COMPLICATION,,,12620.23,34705.63,10
MS-DRG,55,NERVOUS SYSTEM NEOPLASMS WITHOUT COMORBITY,,,10707.66,29446.06,10
MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC,,,9224.32,28130.73,10
MS-DRG,551,MEDICAL BACK PROBLEMS WITH COMORBITY,,,15157.87,47851.76,10
MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT COMORBITY,,,10113.29,27811.55,10
MS-DRG,553,BONE DISEASES & ARTHROPATHIES WITH COMORBITY,,,12939.81,37203.62,10
MS-DRG,554,BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY,,,8775.75,24133.31,10
MS-DRG,555,SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITH COMORBITY,,,10865.51,37918.54,10
MS-DRG,556,SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY,,,8780.83,24147.28,10
MS-DRG,557,TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY,,,15471.74,42547.28,10
MS-DRG,558,TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY,,,9419.02,25902.3,10
MS-DRG,559,AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY,,,17159.21,53144.88,10
MS-DRG,56,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY,,,23996.74,65991.04,10
MS-DRG,560,AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION,,,11793.42,32431.9,10
MS-DRG,561,AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY,,,8508.62,23398.7,10
MS-DRG,562,FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY,,,13617.76,40806.26,10
MS-DRG,563,FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY,,,9442.48,25966.82,10
MS-DRG,564,OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY,,,16049.79,44136.92,10
MS-DRG,565,OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION,,,10246.88,28178.92,10
MS-DRG,566,OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY,,,7951.98,21867.94,10
MS-DRG,57,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY,,,13521.46,37184.01,10
MS-DRG,570,SKIN DEBRIDEMENT WITH COMORBITY,,,30297.19,83317.27,10
MS-DRG,571,SKIN DEBRIDEMENT WITH COMPLICATION,,,17537.23,66664.18,10
MS-DRG,572,SKIN DEBRIDEMENT WITHOUT COMPLICATION/COMORBITY,,,11999.37,34493.98,10
MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMORBITY,,,63024.05,184535.56,10
MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION,,,35703.52,98184.68,10
MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,18633.2,51241.3,10
MS-DRG,576,SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITH COMORBITY,,,50280.2,138270.55,10
MS-DRG,577,SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION,,,27336.57,75175.57,10
MS-DRG,578,SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITHOUT COMPLICATION/COMORBITY,,,14648.22,45897.58,10
MS-DRG,579,OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMORBITY,,,33329.14,91655.14,10
MS-DRG,58,MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMORBITY,,,17741.14,48788.14,10
MS-DRG,580,OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION,,,17929.73,49306.76,10
MS-DRG,581,OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY,,,15025.21,41319.33,10
MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH COMPLICATION/COMORBITY,,,19954.44,54874.71,10
MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT COMPLICATION/COMORBITY,,,17893.05,49205.89,10
MS-DRG,584,BREAST BIOPSY; LOCAL EXCISION & OTHER BREAST PROCEDURES WITH COMPLICATION/COMORBITY,,,22137.19,60877.27,10
MS-DRG,585,BREAST BIOPSY; LOCAL EXCISION & OTHER BREAST PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,19979.93,54944.81,10
MS-DRG,59,MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMPLICATION,,,12963.79,35650.42,10
MS-DRG,592,SKIN ULCERS WITH COMORBITY,,,20043.14,55118.64,10
MS-DRG,593,SKIN ULCERS WITH COMPLICATION,,,12407.15,34119.66,10
MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC,,,9149.89,26491.09,10
MS-DRG,595,MAJOR SKIN DISORDERS WITH COMORBITY,,,21933.26,60316.46,10
MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT COMORBITY,,,11348.92,37370.53,10
MS-DRG,597,MALIGNANT BREAST DISORDERS WITH COMORBITY,,,17308.86,59798.76,10
MS-DRG,598,MALIGNANT BREAST DISORDERS WITH COMPLICATION,,,11846.44,59798.76,10
MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,1812.29,22431.48,10
MS-DRG,6,LIVER TRANSPLANT WITHOUT COMORBITY,,,47586.72,412469.62,10
MS-DRG,60,MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITHOUT COMPLICATION/COMORBITY,,,9690.22,26648.1,10
MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH COMPLICATION/COMORBITY,,,10931.96,30062.89,10
MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION/COMORBITY,,,6480.86,18407.08,10
MS-DRG,602,CELLULITIS WITH COMORBITY,,,14802.97,40708.17,10
MS-DRG,603,CELLULITIS WITHOUT COMORBITY,,,9191.67,25277.09,10
MS-DRG,604,TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITH COMORBITY,,,15320.86,42132.36,10
MS-DRG,605,TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY,,,9651.47,26541.54,10
MS-DRG,606,MINOR SKIN DISORDERS WITH COMORBITY,,,14399.32,43284.64,10
MS-DRG,607,MINOR SKIN DISORDERS WITHOUT COMORBITY,,,9553.6,26272.4,10
MS-DRG,61,ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMORBITY,,,28421.32,78158.63,10
MS-DRG,611,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,,,0
MS-DRG,614,ADRENAL & PITUITARY PROCEDURES WITH COMPLICATION/COMORBITY,,,22658.12,65616.66,10
MS-DRG,615,ADRENAL & PITUITARY PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,14578.67,65616.66,10
MS-DRG,616,AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMORBITY,,,35866.66,98633.32,10
MS-DRG,617,AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION,,,19380.47,82357.3,10
MS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,14772.38,82357.3,10
MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC,,,29749.71,81811.7,10
MS-DRG,62,ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMPLICATION,,,18227.43,58448.56,10
MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH COMPLICATION,,,16627.85,59489.45,10
MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION/COMORBITY,,,15690.94,59230.27,10
MS-DRG,622,SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMORBITY,,,36598.65,100646.29,10
MS-DRG,623,SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION,,,18601.59,52998.25,10
MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,13075.92,52998.25,10
MS-DRG,625,THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMORBITY,,,21784.87,85532.07,10
MS-DRG,626,THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMPLICATION,,,15599.18,42897.74,10
MS-DRG,627,THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,13854.82,38100.75,10
MS-DRG,628,OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMORBITY,,,38307.31,105345.1,10
MS-DRG,629,OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION,,,22525.62,61945.46,10
MS-DRG,63,ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT COMPLICATION/COMORBITY,,,14624.55,58448.56,10
MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC",,,15192.4,41779.1,10
MS-DRG,633,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,,,0
MS-DRG,634,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,,,0
MS-DRG,636,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,,,0
MS-DRG,637,DIABETES WITH COMORBITY,,,14959.95,41139.86,10
MS-DRG,638,DIABETES WITH COMPLICATION,,,9449.6,25986.4,10
MS-DRG,639,DIABETES WITHOUT COMPLICATION/COMORBITY,,,6646.0,18276.5,10
MS-DRG,64,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY,,,20814.9,57240.98,10
MS-DRG,640,MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY,,,13929.26,38305.46,10
MS-DRG,641,MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY,,,8246.62,22678.21,10
MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM,,,14811.12,98146.34,10
MS-DRG,643,ENDOCRINE DISORDERS WITH COMORBITY,,,17094.8,47010.7,10
MS-DRG,644,ENDOCRINE DISORDERS WITH COMPLICATION,,,10762.71,29597.45,10
MS-DRG,645,ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY,,,8145.68,22400.62,10
MS-DRG,65,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS,,,10612.85,39576.71,10
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,,,48243.26,177970.67,10
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,,,38093.21,177970.67,10
MS-DRG,652,KIDNEY TRANSPLANT,,,33237.4,177970.67,10
MS-DRG,653,MAJOR BLADDER PROCEDURES WITH COMORBITY,,,47412.59,146546.81,10
MS-DRG,654,MAJOR BLADDER PROCEDURES WITH COMPLICATION,,,28851.53,79341.71,10
MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,21891.48,60201.57,10
MS-DRG,656,KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMORBITY,,,32771.48,90121.57,10
MS-DRG,657,KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION,,,18969.63,52166.48,10
MS-DRG,658,KIDNEY & URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION/COMORBITY,,,16133.39,49782.05,10
MS-DRG,659,KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY,,,26217.18,72097.24,10
MS-DRG,66,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY,,,7290.34,39576.71,10
MS-DRG,660,KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION,,,13787.55,52959.95,10
MS-DRG,661,KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY,,,10868.74,35831.67,10
MS-DRG,662,MINOR BLADDER PROCEDURES WITH COMORBITY,,,31524.65,86692.79,10
MS-DRG,663,MINOR BLADDER PROCEDURES WITH COMPLICATION,,,15811.24,43480.91,10
MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,10985.98,30211.44,10
MS-DRG,665,PROSTATECTOMY WITH MCC,,,23358.77,88366.52,10
MS-DRG,666,PROSTATECTOMY WITH COMPLICATION,,,18146.91,49904.0,10
MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC,,,11590.55,31874.01,10
MS-DRG,668,TRANSURETHRAL PROCEDURES WITH COMORBITY,,,21912.04,82725.69,10
MS-DRG,669,TRANSURETHRAL PROCEDURES WITH COMPLICATION,,,16135.44,44372.46,10
MS-DRG,67,NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITH COMORBITY,,,15286.2,42037.05,10
MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC,,,10276.41,28260.13,10
MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC,,,18612.81,51185.23,10
MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC,,,11318.34,40830.11,10
MS-DRG,673,OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY,,,43147.85,118656.59,10
MS-DRG,674,OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION,,,24154.74,66425.54,10
MS-DRG,675,OTHER KIDNEY & URINARY TRACT PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,17046.86,63247.29,10
MS-DRG,68,NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITHOUT COMORBITY,,,9125.43,25094.93,10
MS-DRG,680,MAJOR O.R. PROCEDURES FOR LYMPHATIC; HEMATOPOIETIC OR OTHER NEOPLASMS,,,,,0
MS-DRG,681,OTHER  O.R. PROCEDURES FOR LYMPHATIC; HEMATOPOIETIC OR OTHER NEOPLASMS,,,,,0
MS-DRG,682,RENAL FAILURE WITH COMORBITY,,,15411.59,42381.87,10
MS-DRG,683,RENAL FAILURE WITH COMPLICATION,,,9241.63,34506.74,10
MS-DRG,684,RENAL FAILURE WITHOUT COMPLICATION/COMORBITY,,,6432.94,34506.74,10
MS-DRG,686,KIDNEY & URINARY TRACT NEOPLASMS WITH COMORBITY,,,18701.5,51429.12,10
MS-DRG,687,KIDNEY & URINARY TRACT NEOPLASMS WITH COMPLICATION,,,10995.16,35576.61,10
MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC,,,8369.97,35576.61,10
MS-DRG,689,KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY,,,12142.09,33390.75,10
MS-DRG,69,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,,,8456.64,23255.76,10
MS-DRG,690,KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY,,,8565.72,23555.73,10
MS-DRG,691,LYMPHOMA; MYELOMA AND NON-ACUTE LEUKEMIA,,,,,0
MS-DRG,693,URINARY STONES WITH COMORBITY,,,12979.36,38554.95,10
MS-DRG,694,URINARY STONES WITHOUT COMORBITY,,,8282.29,22776.3,10
MS-DRG,695,KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITH COMORBITY,,,11973.87,32928.14,10
MS-DRG,696,KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITHOUT COMORBITY,,,7337.25,23610.42,10
MS-DRG,697,URETHRAL STRICTURE,,,5367.38,31077.78,10
MS-DRG,698,OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY,,,17179.38,47243.3,10
MS-DRG,699,OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION,,,10660.77,29317.12,10
MS-DRG,7,LUNG TRANSPLANT,,,132339.0,363932.25,8
MS-DRG,70,NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY,,,17285.43,47534.93,10
MS-DRG,700,OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY,,,7346.4,20202.6,10
MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION/COMORBITY,,,20705.8,56940.95,10
MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,15953.97,43873.42,10
MS-DRG,709,PENIS PROCEDURES WITH COMPLICATION/COMORBITY,,,24037.51,66103.15,10
MS-DRG,71,NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION,,,10772.91,30191.0,10
MS-DRG,710,PENIS PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,14598.05,40144.64,10
MS-DRG,711,TESTES PROCEDURES WITH COMPLICATION/COMORBITY,,,21557.08,59687.42,10
MS-DRG,712,TESTES PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,11524.28,42220.5,10
MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY,,,15639.97,43009.92,10
MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT COMPLICATION/COMORBITY,,,11093.02,30505.8,10
MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY WITH COMPLICATION/COMORBITY,,,23122.0,63585.5,10
MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC,,,15309.64,47852.61,10
MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITH COMPLICATION/COMORBITY,,,19586.41,53862.63,10
MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC,,,14005.71,38515.7,10
MS-DRG,72,NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY,,,8022.33,22061.41,10
MS-DRG,720,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,,,0
MS-DRG,721,POST-OPERATIVE; POST-TRAUMATIC; OTHER DEVICE INFECTIONS,,,,,0
MS-DRG,722,MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMORBITY,,,18762.66,51597.32,10
MS-DRG,723,MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMPLICATION,,,11962.64,49871.85,10
MS-DRG,724,MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY,,,6997.76,34690.19,10
MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH COMORBITY,,,12243.01,33668.28,10
MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY,,,7673.67,28753.12,10
MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH COMORBITY,,,13651.33,42435.14,10
MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT COMORBITY,,,8583.03,23603.33,10
MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH COMPLICATION/COMORBITY,,,11106.28,30542.27,10
MS-DRG,73,CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMORBITY,,,16668.62,45838.7,10
MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY,,,7163.91,19700.75,10
MS-DRG,734,PELVIC EVISCERATION; RAD HYSTERECTOMY & RAD VULVECTOMY WITH COMPLICATION/COMORBITY,,,22028.09,60577.25,10
MS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC",,,14030.18,45405.84,10
MS-DRG,736,UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMORBITY,,,36754.63,101075.23,10
MS-DRG,737,UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMPLICATION,,,21320.55,58631.51,10
MS-DRG,738,UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT COMPLICATION/COMORBITY,,,15284.14,52470.16,10
MS-DRG,739,UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITH COMORBITY,,,36839.26,101307.96,10
MS-DRG,74,CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY,,,10821.84,29760.06,10
MS-DRG,740,UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITH COMPLICATION,,,18761.64,51594.51,10
MS-DRG,741,UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITHOUT COMPLICATION/COMORBITY,,,14851.91,40842.75,10
MS-DRG,742,UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY,,,19018.55,52301.01,10
MS-DRG,743,UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY,,,12961.74,35644.79,10
MS-DRG,744,D&C; CONIZATION; LAPAROSCOPY & TUBAL INTERRUPTION WITH COMPLICATION/COMORBITY,,,16199.76,58309.13,10
MS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC",,,11909.64,32751.51,10
MS-DRG,746,VAGINA; CERVIX & VULVA PROCEDURES WITH COMPLICATION/COMORBITY,,,18022.5,49561.88,10
MS-DRG,747,VAGINA; CERVIX & VULVA PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,9077.5,30417.99,10
MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,14456.33,39754.91,10
MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION/COMORBITY,,,26489.37,72845.77,10
MS-DRG,75,VIRAL MENINGITIS WITH CC/MCC,,,14598.6,54619.59,10
MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY,,,15358.57,42236.07,10
MS-DRG,751,MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,,,0
MS-DRG,753,BIPOLAR DISORDERS,,,,,0
MS-DRG,754,MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY,,,19088.89,65996.75,10
MS-DRG,755,MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION,,,11402.96,65996.75,10
MS-DRG,756,MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY,,,10105.14,27789.13,10
MS-DRG,757,INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY,,,14128.2,41005.28,10
MS-DRG,758,INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION,,,10293.74,28307.78,10
MS-DRG,759,INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY,,,7078.27,19465.24,10
MS-DRG,76,VIRAL MENINGITIS WITHOUT CC/MCC,,,8725.77,23995.87,10
MS-DRG,760,MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH COMPLICATION/COMORBITY,,,10584.31,29106.85,10
MS-DRG,761,MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT COMPLICATION/COMORBITY,,,6129.13,16855.11,10
MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C,,,3736.0,30903.98,14
MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES,,,17540.3,48235.82,10
MS-DRG,77,HYPERTENSIVE ENCEPHALOPATHY WITH COMORBITY,,,,,0
MS-DRG,770,ABORTION WITH D&C; ASPIRATION CURETTAGE OR HYSTEROTOMY,,,10535.37,28972.27,10
MS-DRG,773,OPIOID ABUSE AND DEPENDENCE,,,,,0
MS-DRG,774,COCAINE ABUSE AND DEPENDENCE,,,3736.0,5504.0,4
MS-DRG,775,ALCOHOL ABUSE AND DEPENDENCE,,,3736.0,5504.0,4
MS-DRG,776,POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE,,,6987.53,19215.71,10
MS-DRG,779,ABORTION WITHOUT D&C,,,7611.23,24447.28,10
MS-DRG,78,HYPERTENSIVE ENCEPHALOPATHY WITH COMPLICATION,,,,,0
MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH COMORBITY,,,4156.0,69691.76,14
MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION,,,11120.56,30581.54,10
MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY,,,10077.62,27713.46,10
MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY,,,17129.45,47105.99,10
MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION,,,11698.6,32171.15,10
MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY,,,4156.0,27741.48,14
MS-DRG,789,NEONATES; DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY,,,18686.2,74094.84,10
MS-DRG,790,EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME; NEONATE,,,60906.36,312829.02,10
MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS,,,41694.06,114658.66,10
MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS,,,12748.8,69526.32,10
MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS,,,19657.2,117759.43,10
MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS,,,4164.14,42238.93,10
MS-DRG,795,NORMAL NEWBORN,,,2349.88,6462.17,10
MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC,,,3736.0,33578.57,14
MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC,,,10511.91,28907.75,10
MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY,,,3736.0,27693.82,14
MS-DRG,799,SPLENECTOMY WITH COMORBITY,,,45263.89,127832.82,10
MS-DRG,8,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,,,57451.31,801517.28,10
MS-DRG,80,NONTRAUMATIC STUPOR & COMA WITH COMORBITY,,,18765.72,51605.73,10
MS-DRG,800,SPLENIC PROCEDURES WITH CC,,,28954.51,79624.9,10
MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC,,,19774.0,54378.5,10
MS-DRG,802,OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMORBITY,,,40930.47,112558.79,10
MS-DRG,803,OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMPLICATION,,,19264.24,52976.66,10
MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC,,,14137.24,48618.29,10
MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY,,,3736.0,31117.02,14
MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION,,,7999.9,21999.72,10
MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY,,,3736.0,19762.46,14
MS-DRG,808,MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY,,,22822.26,62761.22,10
MS-DRG,809,MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION,,,13218.67,40147.08,10
MS-DRG,81,NONTRAUMATIC STUPOR & COMA WITHOUT COMORBITY,,,9443.49,37456.76,10
MS-DRG,810,MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITHOUT COMPLICATION/COMORBITY,,,10982.92,40147.08,10
MS-DRG,811,RED BLOOD CELL DISORDERS WITH COMORBITY,,,14629.65,40231.54,10
MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT COMORBITY,,,9673.91,26603.25,10
MS-DRG,813,COAGULATION DISORDERS,,,15863.22,43623.86,10
MS-DRG,814,RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMORBITY,,,16525.89,60484.74,10
MS-DRG,815,RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMPLICATION,,,10650.58,29289.09,10
MS-DRG,816,RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITHOUT COMPLICATION/COMORBITY,,,6756.13,18579.36,10
MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMORBITY,,,10988.87,64827.51,10
MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMPLICATION,,,10988.87,33359.92,10
MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,9079.52,24968.68,10
MS-DRG,82,TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMORBITY,,,23614.42,64939.66,10
MS-DRG,820,LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMORBITY,,,60104.02,165286.06,10
MS-DRG,821,LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMPLICATION,,,23135.26,88005.91,10
MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,12587.61,35246.6,10
MS-DRG,823,LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMORBITY,,,47054.55,129400.01,10
MS-DRG,824,LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMPLICATION,,,23410.51,106424.25,10
MS-DRG,825,LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITHOUT COMPLICATION/COMORBITY,,,14069.97,38692.42,10
MS-DRG,826,MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMORBITY,,,48002.67,132007.34,10
MS-DRG,827,MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMPLICATION,,,23875.4,84474.2,10
MS-DRG,828,MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITHOUT COMPLICATION/COMORBITY,,,17683.02,48628.3,10
MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURE WITH COMPLICATION/COMORBITY,,,32528.83,89454.28,10
MS-DRG,83,TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMPLICATION,,,14542.99,43415.96,10
MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC,,,15656.28,53840.6,10
MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMORBITY,,,9651.57,34573.91,10
MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMPLICATION,,,7669.57,21091.32,10
MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY,,,5643.85,15520.59,10
MS-DRG,834,ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMORBITY,,,56281.96,160688.91,10
MS-DRG,835,ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMPLICATION,,,21577.48,160688.91,10
MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC,,,12745.63,160688.91,10
MS-DRG,837,CHEMO WITH ACUTE LEUKEMIA AS SDX OR WITH HIGH DOSE CHEMO AGENT WITH COMORBITY,,,49292.32,135553.88,10
MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,,,21593.79,66679.23,10
MS-DRG,839,CHEMO WITH ACUTE LEUKEMIA AS SDX WITHOUT COMPLICATION/COMORBITY,,,15033.36,66679.23,10
MS-DRG,84,TRAUMATIC STUPOR & COMA; COMA >1 HR WITHOUT COMPLICATION/COMORBITY,,,10057.23,43415.96,10
MS-DRG,840,LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMORBITY,,,33292.44,94642.19,10
MS-DRG,841,LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION,,,16944.91,89400.63,10
MS-DRG,842,LYMPHOMA & NON-ACUTE LEUKEMIA WITHOUT COMPLICATION/COMORBITY,,,10613.86,58700.02,10
MS-DRG,843,OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMORBITY,,,20649.75,56786.81,10
MS-DRG,844,OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMPLICATION,,,12724.21,47880.11,10
MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC,,,8994.92,47880.11,10
MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMORBITY,,,19154.68,73543.88,10
MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION,,,13649.9,37537.22,10
MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT COMPLICATION/COMORBITY,,,8972.51,24674.4,10
MS-DRG,849,RADIOTHERAPY,,,17976.37,76824.08,10
MS-DRG,85,TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMORBITY,,,23474.75,66992.68,10
MS-DRG,850,PROCEDURE WITH DIAGNOSIS OF REHABILITATION; AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES,,,88595.73,243638.26,10
MS-DRG,853,INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY,,,50661.5,177180.81,10
MS-DRG,854,INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION,,,20683.37,177180.81,10
MS-DRG,855,INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY,,,15576.75,177180.81,10
MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY,,,39233.26,128387.9,10
MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION,,,22145.33,60899.66,10
MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC,,,14513.42,43592.51,10
MS-DRG,86,TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMPLICATION,,,13593.84,37383.06,10
MS-DRG,861,SIGNS; SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS,,,,,0
MS-DRG,862,POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY,,,18905.4,51989.85,10
MS-DRG,863,POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY,,,10486.44,28837.71,10
MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS,,,9362.95,25951.11,10
MS-DRG,865,VIRAL ILLNESS WITH COMORBITY,,,15587.96,42866.89,10
MS-DRG,866,VIRAL ILLNESS WITHOUT COMORBITY,,,9178.43,26260.56,10
MS-DRG,867,OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMORBITY,,,21652.91,65777.97,10
MS-DRG,868,OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMPLICATION,,,10824.9,65777.97,10
MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC,,,7752.17,65777.97,10
MS-DRG,87,TRAUMATIC STUPOR & COMA; COMA <1 HR WITHOUT COMPLICATION/COMORBITY,,,9638.21,26505.08,10
MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS,,,70778.09,210124.56,10
MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY,,,20116.55,55320.51,10
MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY,,,10745.38,46926.54,10
MS-DRG,876,O.R. PROCEDURE WITH PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,,,39715.21,109216.83,10
MS-DRG,88,CONCUSSION WITH COMORBITY,,,14094.41,38759.63,10
MS-DRG,880,ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,,,10102.11,27780.8,10
MS-DRG,881,DEPRESSIVE NEUROSES,,,9905.32,27239.63,10
MS-DRG,882,NEUROSES EXCEPT DEPRESSIVE,,,9860.82,30965.63,10
MS-DRG,883,DISORDERS OF PERSONALITY & IMPULSE CONTROL,,,20359.19,55987.77,10
MS-DRG,884,ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,,,16715.52,45967.68,10
MS-DRG,885,PSYCHOSES,,,14553.18,40021.25,10
MS-DRG,886,BEHAVIORAL & DEVELOPMENTAL DISORDERS,,,14614.9,59043.71,10
MS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES,,,11230.66,41943.51,10
MS-DRG,89,CONCUSSION WITH COMPLICATION,,,11513.07,31660.94,10
MS-DRG,890,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,,,0
MS-DRG,892,HIV WITH MAJOR HIV RELATED CONDITION,,,,,0
MS-DRG,894,ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA,,,6602.16,18155.94,10
MS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY",,,14744.87,40548.39,10
MS-DRG,896,ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY,,,18104.07,49786.19,10
MS-DRG,897,ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY,,,9313.01,25610.78,10
MS-DRG,90,CONCUSSION WITHOUT CC/MCC,,,8705.39,23939.82,10
MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH COMORBITY,,,29074.14,118516.45,10
MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION,,,19831.09,54535.5,10
MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT COMPLICATION/COMORBITY,,,12236.9,33651.48,10
MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH COMPLICATION/COMORBITY,,,37759.85,103839.59,10
MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC,,,15436.05,74834.76,10
MS-DRG,906,HAND PROCEDURES FOR INJURIES,,,20338.79,55931.67,10
MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY,,,39454.24,108499.16,10
MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION,,,20653.83,56798.03,10
MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION/COMORBITY,,,13695.79,37663.42,10
MS-DRG,91,OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY,,,18217.23,50097.38,10
MS-DRG,913,TRAUMATIC INJURY WITH COMORBITY,,,15384.9,46688.21,10
MS-DRG,914,TRAUMATIC INJURY WITHOUT COMORBITY,,,9340.53,25686.46,10
MS-DRG,915,ALLERGIC REACTIONS WITH COMORBITY,,,13601.74,48005.87,10
MS-DRG,916,ALLERGIC REACTIONS WITHOUT COMORBITY,,,7105.8,19540.95,10
MS-DRG,917,POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY,,,16302.63,44832.23,10
MS-DRG,918,POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY,,,9051.0,24890.25,10
MS-DRG,919,COMPLICATIONS OF TREATMENT WITH COMORBITY,,,18977.78,52188.89,10
MS-DRG,92,OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION,,,10742.32,29541.38,10
MS-DRG,920,COMPLICATIONS OF TREATMENT WITH COMPLICATION,,,10531.29,32006.13,10
MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION/COMORBITY,,,7331.12,20160.58,10
MS-DRG,922,OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITH COMORBITY,,,18147.91,49906.75,10
MS-DRG,923,OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITHOUT COMORBITY,,,10688.28,29392.77,10
MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT,,,217979.28,599443.02,10
MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHAL INJ WITH COMPLICATION/COMORBITY,,,73437.94,201954.34,8
MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC,,,33148.69,91158.9,8
MS-DRG,93,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY,,,8431.15,23185.66,10
MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HRS WITHOUT SKIN GRAFT,,,40013.94,110038.34,10
MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHAL INJ,,,22849.81,62836.98,8
MS-DRG,935,NON-EXTENSIVE BURNS,,,21314.45,58614.74,8
MS-DRG,939,O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMORBITY,,,37305.16,102589.19,10
MS-DRG,94,BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMORBITY,,,36192.9,99530.48,10
MS-DRG,940,O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION,,,24137.41,66377.88,10
MS-DRG,941,O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION/COMORBITY,,,20985.15,57709.16,10
MS-DRG,945,REHABILITATION WITH CC/MCC,,,10103.06,44277.09,10
MS-DRG,946,REHABILITATION WITHOUT CC/MCC,,,10103.06,33012.21,10
MS-DRG,947,SIGNS & SYMPTOMS WITH COMORBITY,,,13254.36,36449.49,10
MS-DRG,948,SIGNS & SYMPTOMS WITHOUT COMORBITY,,,8473.94,23303.33,10
MS-DRG,949,AFTERCARE WITH CC/MCC,,,12441.82,34215.0,10
MS-DRG,95,BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMPLICATION,,,26607.63,73170.98,10
MS-DRG,950,AFTERCARE WITHOUT COMPLICATION/COMORBITY,,,5407.2,18458.77,10
MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS,,,5981.3,16448.58,10
MS-DRG,952,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,,,0
MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,68935.88,258631.4,10
MS-DRG,956,LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA,,,38676.36,246407.89,10
MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY,,,77997.08,214491.97,10
MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION,,,43273.26,175704.87,10
MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION/COMORBITY,,,30327.77,175704.87,10
MS-DRG,96,BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY,,,26607.63,73170.98,10
MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY,,,28183.78,77505.4,10
MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION,,,15937.64,48236.67,10
MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,9901.25,48236.67,10
MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURE WITH COMORBITY,,,62719.01,172477.28,10
MS-DRG,97,NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMORBITY,,,37134.9,102120.98,10
MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURE WITHOUT COMORBITY,,,27200.97,113964.67,10
MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH COMORBITY,,,29735.44,81772.46,10
MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION,,,13515.34,66294.01,10
MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC,,,9515.89,66294.01,10
MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION,,,13542.85,47658.2,10
MS-DRG,98,NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMPLICATION,,,23709.23,65200.38,10
MS-DRG,981,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY,,,48145.4,132399.85,10
MS-DRG,982,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION,,,25377.12,69787.08,10
MS-DRG,983,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY,,,17786.99,48914.22,10
MS-DRG,987,NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY,,,35265.15,96979.16,10
MS-DRG,988,NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION,,,17069.27,46940.49,10
MS-DRG,989,NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY,,,12538.67,43735.39,10
MS-DRG,99,NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITHOUT COMPLICATION/COMORBITY,,,14202.47,43196.48,10
MS-DRG,998,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS,,,,,0
MS-DRG,999,UNGROUPABLE,,,,,0
NDC,00002-0213-01,HumuLIN R,0.43,0.3,,,0
NDC,00002-7669-01,Cyramza,2313.74,1619.615,75.58,211.62,42
NDC,00002-7678-01,Cyramza,16166.015,11316.21,75.58,211.62,49
NDC,00002-8215-01,HumuLIN R,0.755,0.53,4754.0,5269.0,4
NDC,00002-8501-01,HumuLIN R Concentrated U-500,8.93,6.25,,,0
NDC,00003-0293-05,Kenalog-40,33.705000000000005,23.595,1.08,2.14,4
NDC,00003-0315-05,Kenalog-80,44.93,31.45,,,0
NDC,00003-0371-13,Nulojix,2634.975,1844.48,3.89,10.89,42
NDC,00003-0494-20,Kenalog-10,20.0,14.0,1.08,2.14,4
NDC,00003-0893-21,Eliquis,23.78,16.65,,,0
NDC,00003-0893-31,Eliquis,23.78,16.65,,,0
NDC,00003-0894-21,Eliquis,23.78,16.65,,,0
NDC,00003-0894-31,Eliquis,23.78,16.65,,,0
NDC,00003-2187-13,Orencia,10529.86,7370.905000000001,44.77,125.36,14
NDC,00003-2291-11,Empliciti,4890.44,3423.31,8.04,22.51,21
NDC,00003-2327-11,Yervoy,19624.88,13737.42,186.91,523.35,70
NDC,00003-3734-13,Opdivo,36646.28,25652.4,33.57,94.0,42
NDC,00003-3772-11,Opdivo,3053.86,2137.7,33.57,94.0,42
NDC,00003-3774-12,Opdivo,11451.93,8016.349999999999,33.57,94.0,35
NDC,00003-4522-11,Empliciti,6996.48,4897.54,8.04,22.51,21
NDC,00005-2000-10,Prevnar 20,0.01,0.01,,,0
NDC,00006-0112-31,Januvia,45.84,32.09,,,0
NDC,00006-0221-28,Januvia,26.4,18.48,,,0
NDC,00006-0221-31,Januvia,30.25,21.18,,,0
NDC,00006-0277-28,Januvia,45.84,32.09,,,0
NDC,00006-0277-31,Januvia,45.84,32.09,,,0
NDC,00006-3026-02,Keytruda,27753.99,19427.79,59.73,167.24,42
NDC,00006-3026-04,Keytruda,0.01,0.01,59.73,167.24,14
NDC,00006-4047-41,RotaTeq,0.01,0.01,103.5,119.02,4
NDC,00006-4121-02,Gardasil 9,303.505,212.45499999999998,138.24,350.75,7
NDC,00006-4171-00,ProQuad,0.01,0.01,291.22,334.9,4
NDC,00006-4681-00,M-M-R II,102.005,71.405,99.49,114.41,4
NDC,00006-4827-00,Varivax,180.505,126.35499999999999,188.14,216.36,4
NDC,00006-4837-03,Pneumovax 23,281.0,196.7,133.47,153.49,4
NDC,00006-5423-12,Bridion,311.19,217.83,,,0
NDC,00006-5425-15,Bridion,570.0,399.0,,,0
NDC,00008-0923-60,Protonix IV,24.36,17.05,,,0
NDC,00008-4510-01,Mylotarg,27623.75,19336.63,240.16,672.45,7
NDC,00009-0011-04,Solu-CORTEF 100mg Vial,51.43,36.0,18.46,29.19,4
NDC,00009-0013-06,Solu-CORTEF 250mg Vial,39.96,27.97,18.46,29.19,4
NDC,00009-0018-20,SOLU-Medrol 1GM Vial,165.41,115.79,0.27,0.31,2
NDC,00009-0039-28,SOLU-Medrol 40mg Vial,11.65,8.16,0.27,0.31,2
NDC,00009-0047-22,SOLU-Medrol 125mg Vial,24.53,17.17,0.27,0.31,2
NDC,00009-0758-01,SOLU-Medrol,58.28,40.8,0.27,0.31,2
NDC,00009-0775-26,Cleocin Phosphate,8.0,5.6,2.27,3.11,4
NDC,00009-0870-26,Cleocin Phosphate,11.95,8.37,2.27,3.11,4
NDC,00009-0902-18,Cleocin Phosphate,11.74,8.22,2.27,3.11,4
NDC,00009-3073-03,DEPO-Medrol,31.27,21.89,0.13,0.15,2
NDC,00009-3073-23,DEPO-Medrol Novaplus,27.29,19.1,0.13,0.15,2
NDC,00009-3475-03,DEPO-Medrol,71.0,49.7,,,0
NDC,00019-4816-04,MD-Gastroview,39.6,27.72,0.22,5269.0,8
NDC,00023-1145-01,Botox,806.21,564.35,6.51,18.23,105
NDC,00023-3205-05,Lumigan,1206.17,844.32,,,0
NDC,00023-3919-50,Botox Cosmetic,564.72,395.30499999999995,6.51,18.23,35
NDC,00023-3921-02,Botox,1550.3999999999999,1682.18,6.51,18.23,112
NDC,00023-5858-01,Liletta,2129.67,1490.77,887.36,1002.72,3
NDC,00024-5824-11,Jevtana,16975.84,11883.09,230.8,646.24,28
NDC,00032-0047-70,Creon,20.6,14.42,,,0
NDC,00049-0014-83,Unasyn,34.95,24.47,2.12,2.89,4
NDC,00049-0116-28,Eraxis,458.14,320.7,0.46,0.76,4
NDC,00049-0530-28,Pfizerpen,14.66,10.26,0.83,1.25,4
NDC,00052-0602-02,Tice BCG,399.88,279.91499999999996,2.89,9.18,25
NDC,00053-7201-02,Zemaira,1446.44,1012.51,5.37,15.04,7
NDC,00053-7203-02,Zemaira,7279.01,5095.31,5.37,15.04,7
NDC,00053-7680-33,Albuminar-25,864.0,604.8,53.08,148.62,7
NDC,00054-0010-21,Flecainide Acetate,1.38,0.97,,,0
NDC,00054-0018-20,predniSONE,1.65,1.16,0.01,0.01,4
NDC,00054-0019-20,predniSONE,1.0,0.7,0.01,0.01,4
NDC,00054-0235-24,Morphine Sulfate,1.82,1.27,,,0
NDC,00054-0236-24,Morphine Sulfate,3.09,2.16,,,0
NDC,00054-0238-63,Morphine Sulfate,1.0,0.7,,,0
NDC,00054-0243-24,Codeine Sulfate,3.46,2.42,,,0
NDC,00054-0244-24,Codeine Sulfate,2.07,1.45,,,0
NDC,00054-0244-25,Codeine Sulfate,1.86,1.3,,,0
NDC,00054-0400-13,Desvenlafaxine Succinate,5.1,3.57,,,0
NDC,00054-0517-44,Morphine Sulfate,2.76,1.93,,,0
NDC,00054-0622-63,Dicyclomine HCl,5.76,4.03,,,0
NDC,00054-0710-20,Methadone HCl,1.0,0.7,,,0
NDC,00054-0748-25,Dicyclomine HCl,1.0,0.7,,,0
NDC,00054-2526-25,Lithium Carbonate,1.0,0.7,,,0
NDC,00054-3270-99,Fluticasone Propionate,32.76,22.93,,,0
NDC,00054-3555-63,Methadone HCl,13.83,9.68,,,0
NDC,00054-3566-99,Midazolam HCl,26.45,18.52,,,0
NDC,00054-3722-50,predniSONE,8.01,5.61,0.01,0.01,4
NDC,00054-3722-63,predniSONE,59.52,41.66,0.01,0.01,4
NDC,00054-4179-25,dexAMETHasone,1.0,0.7,0.07,0.14,4
NDC,00054-4183-25,dexAMETHasone,5.96,4.17,0.07,0.14,4
NDC,00054-4184-25,dexAMETHasone,11.9,8.33,0.07,0.14,4
NDC,00054-4297-31,Furosemide,1.0,0.7,,,0
NDC,00054-4299-31,Furosemide,1.0,0.7,,,0
NDC,00054-8175-25,dexAMETHasone,2.41,1.69,0.07,0.14,4
NDC,00054-8176-25,dexAMETHasone,7.42,5.19,0.07,0.14,4
NDC,00054-8297-25,Furosemide,1.0,0.7,,,0
NDC,00054-8299-25,Furosemide,1.0,0.7,,,0
NDC,00054-9817-25,predniSONE,1.4,0.98,0.01,0.01,4
NDC,00054-9828-25,predniSONE,1.0,0.7,0.01,0.01,4
NDC,00065-0518-01,Genteal Tears,17.17,12.02,,,0
NDC,00065-0530-01,Eye-Stream,47.88,33.52,,,0
NDC,00065-0543-01,Triesence,1812.48,1268.74,4.27,68.57,38
NDC,00065-0741-14,Tetracaine HCl,31.73,22.21,,,0
NDC,00065-8063-01,GenTeal Tears,2.0,1.4,,,0
NDC,00069-0234-20,Propofol,22.3,15.61,0.12,0.21,4
NDC,00069-0238-01,Ruxience,2752.52,1926.76,13.27,37.16,21
NDC,00069-0249-01,Ruxience,17203.2,12042.24,13.27,37.16,14
NDC,00069-0324-01,Nyvepria,10106.885,7074.82,133.05,372.54,42
NDC,00069-0809-01,Inflectra,9652.060000000001,6756.4400000000005,24.22,67.82,42
NDC,00069-1305-10,Retacrit,117.475,82.235,7.57,21.2,14
NDC,00069-1306-10,Retacrit,79.42,55.59,7.57,21.2,14
NDC,00069-1307-10,Retacrit,105.89,74.12,7.57,21.2,14
NDC,00069-1308-10,Retacrit,529.44,370.61,7.57,21.2,21
NDC,00069-1309-04,Retacrit,1061.0,742.7,7.57,21.2,42
NDC,00069-1311-10,Retacrit,529.44,370.61,7.57,21.2,28
NDC,00069-1542-20,DOXOrubicin HCl,68.28,47.8,,,0
NDC,00069-6001-21,Cerebyx,640.47,448.33,1.34,3.75,9
NDC,00071-0418-13,Nitrostat,97.02,67.91,,,0
NDC,00071-1012-68,Lyrica,24.29,17.0,,,0
NDC,00071-1014-41,Lyrica,26.72,18.7,,,0
NDC,00074-1658-01,Zemplar,36.36,25.45,0.75,1.08,4
NDC,00074-3346-03,Lupron Depot,15085.385,10559.77,170.78,478.18,49
NDC,00074-3473-03,Lupron Depot,29435.4,20604.78,170.78,478.18,21
NDC,00074-3642-03,Lupron Depot,5404.1,3782.87,170.78,478.18,28
NDC,00074-4552-90,Synthroid,4.56,3.19,,,0
NDC,00074-5015-01,Skyrizi 600MG/10ML,24287.31,17001.12,14.93,41.8,7
NDC,00078-0180-01,SandoSTATIN,33.88,23.72,,,0
NDC,00078-0659-20,Entresto,27.53,19.27,,,0
NDC,00078-0696-20,Entresto,55.06,38.54,,,0
NDC,00078-0734-61,Ilaris,46665.270000000004,32665.69,147.74,413.67,14
NDC,00078-0777-20,Entresto,27.53,19.27,,,0
NDC,00078-0811-81,SandoSTATIN LAR Depot,9689.44,6782.61,199.17,557.68,7
NDC,00078-0818-81,SandoSTATIN LAR Depot,11079.12,7755.38,199.17,557.68,14
NDC,00078-0825-81,SandoSTATIN LAR Depot,8295.08,5806.56,199.17,557.68,21
NDC,00078-0876-01,Tobradex,650.98,455.69,,,0
NDC,00078-1000-60,Leqvio,8197.4,5738.18,12.69,35.53,7
NDC,00078-1168-61,Cosentyx,2589.0150000000003,1812.31,18.07,50.6,14
NDC,00085-1132-04,Proventil HFA,191.36,133.95,,,0
NDC,00088-2219-05,Lantus SoloStar Pen,46.26,32.38,4754.0,5269.0,4
NDC,00093-0053-01,busPIRone HCl,1.0,0.7,,,0
NDC,00093-0053-05,busPIRone HCl,1.0,0.7,,,0
NDC,00093-0054-01,busPIRone HCl,1.0,0.7,,,0
NDC,00093-0054-05,busPIRone HCl,2.0,1.4,,,0
NDC,00093-0311-01,Loperamide HCl,1.0,0.7,,,0
NDC,00093-0311-05,Loperamide HCl,1.77,1.24,,,0
NDC,00093-0318-01,dilTIAZem HCl,1.0,0.7,,,0
NDC,00093-0752-01,Atenolol,1.0,0.7,,,0
NDC,00093-0771-98,Pravastatin Sodium,1.0,0.7,,,0
NDC,00093-0787-01,Atenolol,1.0,0.7,,,0
NDC,00093-0811-01,Nortriptyline HCl,1.0,0.7,,,0
NDC,00093-1010-42,Mupirocin,21.86,15.3,,,0
NDC,00093-1718-01,Warfarin Sodium,1.0,0.7,,,0
NDC,00093-2203-01,Metoclopramide,1.0,0.7,,,0
NDC,00093-2203-05,Metoclopramide,1.0,0.7,,,0
NDC,00093-2204-01,Metoclopramide,1.0,0.7,,,0
NDC,00093-2210-01,Sucralfate,1.0,0.7,,,0
NDC,00093-3145-01,Cephalexin,1.0,0.7,,,0
NDC,00093-3425-01,LORazepam,1.0,0.7,,,0
NDC,00093-3425-10,LORazepam,1.0,0.7,,,0
NDC,00093-3426-01,LORazepam,1.0,0.7,,,0
NDC,00093-3427-01,LORazepam,1.0,0.7,,,0
NDC,00093-5245-65,OLANZapine,4.29,3.0,,,0
NDC,00093-5246-65,OLANZapine,7.22,5.05,,,0
NDC,00093-7202-98,Pravastatin Sodium,1.0,0.7,,,0
NDC,00093-9020-65,cycloSPORINE; modified,10.56,7.39,2.3,3.7,4
NDC,00093-9147-01,Venlafaxine HCl,3.0,2.1,,,0
NDC,00093-9701-01,Carbidopa-Levodopa,1.07,0.75,,,0
NDC,00093-9702-01,Carbidopa-Levodopa,2.0,1.4,,,0
NDC,00093-9702-05,Carbidopa-Levodopa,1.78,1.25,,,0
NDC,00115-3511-01,pyRIDostigmine Bromide,1.96,1.37,,,0
NDC,00115-4411-01,Dantrolene Sodium,3.89,2.72,,,0
NDC,00115-5522-10,Fenofibrate,1.0,0.7,,,0
NDC,00116-4005-11,Lactulose,3.6,2.52,,,0
NDC,00121-0431-30,Milk Of Magnesia,4.68,3.28,,,0
NDC,00121-0530-05,Ferrous Sulfate,8.15,5.71,,,0
NDC,00121-0638-00,guaiFENesin DM,9.99,6.99,,,0
NDC,00121-0770-01,LORazepam,2.9,2.03,,,0
NDC,00121-0820-16,Theophylline,15.12,10.58,,,0
NDC,00121-0903-40,Lidocaine Viscous,8.97,6.28,,,0
NDC,00121-0942-16,PHENobarbital,7.3,5.11,,,0
NDC,00121-0945-00,Megestrol Acetate,10.04,7.03,,,0
NDC,00121-0948-16,Potassium Chloride,2.24,1.57,,,0
NDC,00121-0966-00,Children's Acetaminophen,11.14,7.8,,,0
NDC,00121-0974-00,Sucralfate,43.2,30.24,,,0
NDC,00121-0974-40,Sucralfate,24.36,17.05,,,0
NDC,00121-1154-00,Lactulose,3.6,2.52,,,0
NDC,00121-1154-40,Lactulose,3.96,2.77,,,0
NDC,00121-1744-00,guaiFENesin,7.66,5.36,,,0
NDC,00121-1762-30,Mag-AL Plus XS,9.08,6.36,,,0
NDC,00121-1775-40,Codeine Phosphate/guaiFENesin,8.1,5.67,,,0
NDC,00121-1971-00,Acetaminophen,4.88,3.42,,,0
NDC,00121-4675-00,Valproic Acid,6.0,4.2,,,0
NDC,00121-4799-40,levETIRAcetam,41.4,28.98,,,0
NDC,00121-4827-50,oxyCODONE HCl,13.86,9.7,,,0
NDC,00121-4948-94,Potassium Chloride,67.62,47.33,,,0
NDC,00121-4950-40,Lidocaine HCl Viscous,13.47,9.43,,,0
NDC,00132-0079-12,Fleet Glycerin Suppositories,1.0,0.7,,,0
NDC,00132-0201-40,Fleet Enema,2.56,1.79,,,0
NDC,00132-0301-40,Fleet Mineral Oil Enema,5.49,3.84,,,0
NDC,00143-9141-10,DOBUTamine HCl,18.29,12.8,9.26,16.1,4
NDC,00143-9162-10,Vancomycin HCl,28.8,20.16,3.77,9.43,4
NDC,00143-9249-20,Amoxicillin/Clavulanate Potassium,2.84,1.99,,,0
NDC,00143-9279-01,mitoMYcin,3033.6,2123.52,,,0
NDC,00143-9284-10,Pantoprazole Sodium,15.6,10.92,,,0
NDC,00143-9384-01,fosaprepitant dimeglumine,167.535,117.275,0.13,0.23,4
NDC,00143-9386-10,Acetaminophen,28.8,20.16,0.07,0.08,4
NDC,00143-9387-25,Triamcinolone Acetonide,21.450000000000003,15.015,1.08,2.14,4
NDC,00143-9503-01,acetaZOLAMIDE,105.51,73.86,26.23,45.98,4
NDC,00143-9506-10,Etomidate,14.93,10.45,,,0
NDC,00143-9510-01,Etoposide,17.66,12.36,1.05,1.37,4
NDC,00143-9512-01,Etoposide,24.52,17.16,1.05,1.37,4
NDC,00143-9514-25,droPERidol,11.62,8.13,2.5,2.5,2
NDC,00143-9519-10,Methotrexate Sodium,8.07,5.65,2.57,4.19,4
NDC,00143-9570-10,Sodium Ferric Gluconate Complex in Sucrose,152.64,106.85,2.18,3.88,4
NDC,00143-9621-25,Cyanocobalamin,16.61,11.63,1.42,4.61,4
NDC,00143-9622-01,Labetalol HCl,20.0,14.0,2.37,4.18,4
NDC,00143-9680-25,Glycopyrrolate,8.0,5.6,0.5,1.02,4
NDC,00143-9682-25,Glycopyrrolate,8.0,5.6,0.5,1.02,4
NDC,00143-9721-24,levoFLOXacin in 5% Dextrose,16.78,11.75,0.96,1.49,4
NDC,00143-9729-05,Benztropine Mesylate,72.0,50.4,16.45,26.88,4
NDC,00143-9746-10,Terbutaline Sulfate,9.6,6.72,6.09,12.74,4
NDC,00143-9873-10,Metoprolol Tartrate,7.42,5.19,,,0
NDC,00143-9875-25,Amiodarone HCl,8.0,5.6,0.29,0.33,3
NDC,00143-9924-90,ceFAZolin Sodium,8.0,5.6,1.24,1.58,4
NDC,00143-9977-22,Cefuroxime Sodium,14.04,9.83,1.89,3.32,4
NDC,00143-9983-03,ceFAZolin Sodium,8.0,5.6,1.24,1.58,4
NDC,00168-0007-15,Nystatin,38.49,26.94,,,0
NDC,00168-0020-31,Hydrocortisone,15.79,11.05,,,0
NDC,00168-0080-31,Hydrocortisone,7.92,5.54,,,0
NDC,00169-1833-11,NovoLIN R,1.16,0.81,4754.0,5269.0,4
NDC,00169-1834-11,NovoLIN N (NPH),3.72,2.6,,,0
NDC,00169-1837-11,NovoLIN 70/30,115.68,80.98,,,0
NDC,00169-3685-12,NovoLOG Mix 70/30,3.39,2.37,,,0
NDC,00169-6339-10,NovoLOG FlexPen,67.07,46.95,4754.0,5269.0,4
NDC,00169-6432-10,Levemir FlexPen,77.66,54.36,,,0
NDC,00172-2083-60,hydroCHLOROthiazide,1.0,0.7,,,0
NDC,00172-3927-60,diazePAM,1.0,0.7,,,0
NDC,00172-5728-60,Famotidine,1.0,0.7,,,0
NDC,00173-0859-14,Breo Ellipta,376.53,263.57,,,0
NDC,00173-0869-06,Anoro Ellipta,323.25,226.28,,,0
NDC,00173-0873-06,Incruse Ellipta,180.12,126.08,,,0
NDC,00173-0881-01,Nucala,16622.02,11635.414999999999,31.89,89.29,14
NDC,00173-0882-14,Breo Ellipta,376.53,263.57,,,0
NDC,00173-0887-14,Trelegy Ellipta,735.58,514.91,,,0
NDC,00173-0898-03,Jemperli,27751.49,19426.04,247.44,692.83,14
NDC,00185-0122-01,Nitrofurantoin Monohydrate/Macrocrystals,1.2,0.84,,,0
NDC,00186-0370-28,Symbicort 160/4.5,382.08,267.46,,,0
NDC,00186-0372-28,Symbicort 80/4.5,332.17,232.52,,,0
NDC,00186-0777-39,Brilinta,36.1,25.27,,,0
NDC,00223-1760-01,Sodium Chloride,1.0,0.7,,,0
NDC,00225-0800-47,Neo-Synephrine,8.32,5.82,,,0
NDC,00225-0810-47,Neo-Synephrine,9.33,6.53,,,0
NDC,00228-2027-10,ALPRAZolam,1.0,0.7,,,0
NDC,00228-2029-10,ALPRAZolam,1.0,0.7,,,0
NDC,00228-2031-10,ALPRAZolam,1.0,0.7,,,0
NDC,00228-2127-50,cloNIDine HCl,1.0,0.7,,,0
NDC,00228-2128-10,cloNIDine HCl,1.0,0.7,,,0
NDC,00228-2539-96,Carbidopa-Levodopa,1.095,0.7649999999999999,,,0
NDC,00245-0144-01,Pacerone,6.7,4.69,,,0
NDC,00245-0147-01,Pacerone,1.8,1.26,,,0
NDC,00245-0211-11,Midodrine HCl,1.0,0.7,,,0
NDC,00245-0212-11,Midodrine HCl,1.0,0.7,,,0
NDC,00245-0213-11,Midodrine HCl,1.44,1.01,,,0
NDC,00245-0360-30,Klor-Con,13.6,9.52,,,0
NDC,00245-5319-01,Klor-Con M20,2.62,1.83,,,0
NDC,00245-5319-11,Klor-Con M20,2.77,1.94,,,0
NDC,00245-5326-30,Klor-Con/EF,3.02,2.11,,,0
NDC,00254-3028-02,lubiprostone,7.2,5.04,,,0
NDC,00259-1610-01,Xeomin,2331.44,1632.01,5.25,14.7,35
NDC,00264-4100-90,Acetaminophen,19.44,13.61,0.05,0.1,4
NDC,00264-9587-20,Dextrose/Heparin Sodium,36.6,25.62,0.27,0.44,4
NDC,00264-9594-20,Lidocaine HCl-Dextrose,11.005,7.705,,,0
NDC,00270-0149-57,Cystografin,13.25,9.28,0.07,0.14,4
NDC,00270-0445-35,Gastrografin,55.37,38.76,0.22,5269.0,8
NDC,00270-0804-44,HIGH OSMOLAR CONTRAST MATERIAL; UP TO 149 MG/ML IODINE CONCENTRATION; PER ML,35.49,24.84,0.07,0.14,4
NDC,00270-5164-13,Multihance,104.695,73.285,2.7,5269.0,6
NDC,00270-5164-14,Multihance,238.31,166.815,2.7,5269.0,6
NDC,00270-5164-15,Multihance,227.02,158.91,2.7,5269.0,6
NDC,00281-0326-08,Nitro-Bid,5.82,4.07,,,0
NDC,00283-0610-26,Hurricaine One,28.97,20.28,,,0
NDC,00283-0679-02,Hurricaine,2.48,1.74,,,0
NDC,00299-0241-33,NON-COVERED ITEM OR SERVICE,29.92,20.94,,,0
NDC,00310-1105-30,Lokelma,196.92,137.84,,,0
NDC,00310-1110-30,Lokelma,65.64,45.95,,,0
NDC,00310-1110-39,Lokelma,65.64,45.95,,,0
NDC,00310-1730-30,Fasenra PFS,13624.2,9536.94,163.96,459.09,14
NDC,00310-4500-12,Imfinzi,8321.895,5825.325,86.27,241.56,14
NDC,00310-4535-30,Imjudo,95472.0,66830.4,143.02,400.46,7
NDC,00310-4611-50,Imfinzi,29720.88,20804.62,86.27,241.56,35
NDC,00338-0063-01,Doxil,475.44,332.81,104.01,291.23,21
NDC,00338-0067-01,Doxil,4041.6,2829.12,104.01,291.23,7
NDC,00338-0126-12,Myxredlin,420.0,294.0,,,0
NDC,00338-0709-48,Potassium Chloride,40.0,28.0,0.11,0.19,4
NDC,00338-1007-02,DOPamine HCl-dextrose,34.2,23.94,0.82,1.25,4
NDC,00338-1049-02,Nitroglycerin-Dextrose,58.0,40.599999999999994,1.44,2.11,4
NDC,00338-1055-48,metroNIDAZOLE,20.0,14.0,0.03,0.03,4
NDC,00338-1709-40,Magnesium Sulfate-Dextrose,20.0,14.0,0.64,1.13,4
NDC,00338-3612-24,Clindamycin Phosphate-Dextrose,25.68,17.98,2.27,3.11,4
NDC,00338-3814-24,Clindamycin Phosphate-Dextrose,25.66,17.96,2.27,3.11,4
NDC,00338-8503-02,Artiss,562.06,393.44,4754.0,5269.0,4
NDC,00338-9636-24,Zosyn,97.44,68.21,1.05,1.93,4
NDC,00338-9637-01,Artiss,562.06,393.44,4754.0,5269.0,4
NDC,00338-9638-12,Zosyn,60.96,42.67,1.05,1.93,4
NDC,00378-0088-01,Carbidopa-Levodopa,2.4899999999999998,1.7399999999999998,,,0
NDC,00378-0351-10,Haloperidol,1.0,0.7,,,0
NDC,00378-0825-01,cloZAPine,4.04,2.83,,,0
NDC,00378-1805-77,Levothyroxine Sodium,1.0,0.7,,,0
NDC,00378-3953-05,Atorvastatin Calcium,1.0,0.7,,,0
NDC,00378-6470-99,scopolamine,38.79,27.15,,,0
NDC,00395-0420-96,Calagesic,8.5,5.95,,,0
NDC,00406-0123-05,HYDROcodone bitartrate-acetaminophen,1.0,0.7,,,0
NDC,00406-0123-62,HYDROcodone bitartrate-acetaminophen,1.06,0.74,,,0
NDC,00406-0124-62,HYDROcodone bitartrate-acetaminophen,1.17,0.82,,,0
NDC,00406-0125-62,HYDROcodone bitartrate-acetaminophen,2.38,1.67,,,0
NDC,00406-0512-62,oxyCODONE HCl-acetaminophen,1.0,0.7,,,0
NDC,00406-0552-62,oxyCODONE HCl,1.1,0.77,,,0
NDC,00406-1236-01,diphenoxylate HCl-atropine sulfate,1.0,0.7,,,0
NDC,00406-3243-01,HYDROmorphone HCl,1.0,0.7,,,0
NDC,00406-5771-62,Methadone HCl,1.0,0.7,,,0
NDC,00406-8315-01,Morphine Sulfate,1.61,1.13,,,0
NDC,00406-8315-62,Morphine Sulfate,2.02,1.41,,,0
NDC,00406-8330-62,Morphine Sulfate,3.83,2.68,,,0
NDC,00406-8510-01,oxyCODONE HCl,1.0,0.7,,,0
NDC,00407-1412-10,Omnipaque 240,23.95,16.77,0.39,0.61,4
NDC,00407-1412-20,Omnipaque 240,22.09,15.46,0.39,5269.0,12
NDC,00407-1413-61,Omnipaque 300,22.25,15.58,0.14,5269.0,8
NDC,00407-1413-65,Omnipaque 300,222.51999999999998,155.76,0.14,5269.0,8
NDC,00407-1414-89,Omnipaque 350,121.2,84.84,0.14,5269.0,8
NDC,00407-1414-91,Omnipaque 350,208.11,145.68,0.14,5269.0,16
NDC,00407-1414-93,Omnipaque 350,334.08,233.86,0.14,5269.0,8
NDC,00407-1414-94,Omnipaque 350,308.88,216.22,0.14,0.19,4
NDC,00407-2223-16,Visipaque,144.85000000000002,101.4,0.14,5269.0,8
NDC,00407-2223-17,Visipaque,273.225,191.26,0.14,5269.0,8
NDC,00409-0125-25,Labetalol HCl,20.0,14.0,0.17,0.31,4
NDC,00409-0152-24,metroNIDAZOLE,20.0,14.0,0.03,0.03,4
NDC,00409-0183-01,Gemcitabine,22.4,15.68,3.65,5.05,4
NDC,00409-0201-20,DOCEtaxel,1104.425,773.095,0.87,1.39,4
NDC,00409-1005-20,Heparin Sodium-Sodium Chloride,16.5,11.55,0.27,0.44,4
NDC,00409-1041-30,Carbocaine,9.03,6.32,3.56,5.38,4
NDC,00409-1159-01,BUPivacaine HCl,8.0,5.6,0.01,0.02,4
NDC,00409-1159-02,BUPivacaine HCl,6.125,4.29,0.01,0.02,4
NDC,00409-1160-01,BUPivacaine HCl,16.0,11.2,0.01,0.02,4
NDC,00409-1162-01,BUPivacaine HCl,11.09,7.76,0.01,0.02,4
NDC,00409-1162-02,BUPivacaine HCl,8.0,5.6,,,0
NDC,00409-1165-02,BUPivacaine HCl,0.48,0.34,0.01,0.02,4
NDC,00409-1178-30,Demerol Hydrochloride,18.13,12.69,6.9,11.93,4
NDC,00409-1207-03,Gentamicin Sulfate,17.01,11.91,2.73,4.4,4
NDC,00409-1273-32,diazePAM,40.4,28.28,6.54,8.95,4
NDC,00409-1283-31,HYDROmorphone HCl,7.12,4.984999999999999,,,0
NDC,00409-1316-32,Heparin Sodium,9.93,6.95,0.27,0.44,4
NDC,00409-1319-01,Vancomycin HCl,91.24,63.87,3.77,9.43,4
NDC,00409-1560-10,Marcaine HCl,11.38,7.97,0.01,0.02,4
NDC,00409-1630-10,Atropine Sulfate,24.65,17.26,0.07,0.14,4
NDC,00409-1631-10,Calcium Chloride,34.71,24.3,,,0
NDC,00409-1761-02,Marcaine Spinal,8.0,5.6,0.01,0.02,4
NDC,00409-1761-10,Marcaine Spinal,8.0,5.6,0.01,0.02,4
NDC,00409-1778-05,Metoprolol Tartrate,1.43,1.0,,,0
NDC,00409-1886-02,levETIRAcetam,84.03,58.82,0.07,0.1,4
NDC,00409-1890-01,Morphine Sulfate,10.22,7.15,4.46,7.64,4
NDC,00409-1985-30,LORazepam,17.24,12.07,0.96,1.83,4
NDC,00409-2305-05,Midazolam HCl,8.0,5.6,0.14,0.23,4
NDC,00409-2339-34,Labetalol HCl,19.085,13.36,0.17,0.31,4
NDC,00409-2344-02,DOBUTamine HCl,16.66,11.66,9.26,16.1,4
NDC,00409-2344-88,DOBUTamine Novaplus,16.47,11.53,9.26,16.1,4
NDC,00409-2346-32,DOBUTamine HCl in Dextrose,60.5,42.35,9.26,16.1,4
NDC,00409-2634-05,HYDROmorphone HCl,89.91,62.94,,,0
NDC,00409-3300-24,Ciprofloxacin,20.0,14.0,1.86,3.15,4
NDC,00409-3414-01,Metoclopramide HCl,8.0,5.6,1.04,1.79,4
NDC,00409-4332-01,Vancomycin HCl,10.135,7.095000000000001,3.77,9.43,4
NDC,00409-4444-24,levoFLOXacin in 5% Dextrose,20.0,14.0,0.96,1.49,4
NDC,00409-4699-24,Propofol,51.84,36.29,0.12,0.21,4
NDC,00409-4777-02,Ciprofloxacin,20.0,14.0,1.86,3.15,4
NDC,00409-4921-34,EPINEPHrine HCl,12.58,8.81,0.81,1.23,4
NDC,00409-5921-01,Aminophylline,39.65,27.76,8.38,10.17,4
NDC,00409-6102-02,Furosemide,17.57,12.3,0.61,0.93,4
NDC,00409-6102-04,Furosemide,11.04,7.7299999999999995,0.61,0.93,4
NDC,00409-6102-10,Furosemide,14.02,9.81,0.61,0.93,4
NDC,00409-6533-21,Vancomycin HCl,41.93,29.355,3.77,9.43,4
NDC,00409-6562-01,Testosterone Cypionate,15.84,11.09,0.01,0.1,4
NDC,00409-7332-01,cefTRIAXone,8.0,5.6,3.18,11.16,4
NDC,00409-7334-10,cefTRIAXone,20.0,14.0,3.18,11.16,4
NDC,00409-7335-03,cefTRIAXone,8.0,5.6,3.18,11.16,4
NDC,00409-7338-01,cefTRIAXone,8.0,5.6,3.18,11.16,4
NDC,00409-7620-03,Heparin Sodium-Sodium Chloride,26.4,18.48,0.27,0.44,4
NDC,00409-7650-30,Heparin Sodium-Sodium Chloride,34.2,23.94,0.27,0.44,4
NDC,00409-7811-24,metroNIDAZOLE,20.0,14.0,0.03,0.03,4
NDC,00409-9093-38,fentaNYL Citrate,0.88,0.62,0.99,1.58,4
NDC,00409-9094-22,fentaNYL Citrate,32.0,22.4,0.99,1.58,4
NDC,00409-9094-25,fentaNYL Citrate,11.09,7.76,0.99,1.58,4
NDC,00409-9094-28,fentaNYL Citrate,8.0,5.6,0.99,1.58,4
NDC,00409-9094-61,fentaNYL Citrate,34.49,24.14,0.99,1.58,4
NDC,00409-9158-50,Vitamin K1,67.33,47.13,2.8,4.75,4
NDC,00456-1201-30,Linzess,43.28,30.3,,,0
NDC,00456-1202-30,Linzess,52.07,36.45,,,0
NDC,00469-0677-73,Astagraf XL,26.93,18.85,0.55,0.9,4
NDC,00469-0687-73,Astagraf XL,79.44,55.61,0.55,0.9,4
NDC,00469-3051-30,Ambisome,4376.77,3063.74,20.72,58.02,7
NDC,00480-0127-89,icosapent ethyl,5.54,3.88,,,0
NDC,00480-1342-08,risperiDONE,0.01,0.01,11.18,31.3,7
NDC,00480-8722-98,Levothyroxine Sodium,1.0,0.7,,,0
NDC,00517-0650-01,Injectafer,3111.02,2177.71,1.12,3.14,35
NDC,00517-0720-01,Betamethasone Sodium Phosphate-Betamethasone Ace,60.54,42.38,6.89,11.15,4
NDC,00517-1001-25,Atropine Sulfate,11.66,8.16,0.07,0.14,4
NDC,00517-2340-10,Venofer,440.79,308.54999999999995,0.23,0.62,4
NDC,00517-4002-25,Papaverine HCl,99.39,69.57,,,0
NDC,00517-4300-01,Paclitaxel Protein-Bound Particles,7119.69,4983.78,8.18,22.9,49
NDC,00517-5601-25,hydrOXYzine HCl,88.72,62.1,13.87,16.2,4
NDC,00517-9702-25,droPERidol,23.24,16.27,2.5,2.5,2
NDC,00527-1282-01,Dicyclomine HCl,1.0,0.7,,,0
NDC,00527-1313-01,Pilocarpine HCl,2.26,1.58,,,0
NDC,00527-2962-37,chlorproMAZINE HCl,2.41,1.69,,,0
NDC,00527-3280-46,Levothyroxine Sodium,1.0,0.7,,,0
NDC,00527-3281-46,Levothyroxine Sodium,1.0,0.7,,,0
NDC,00527-3282-43,Levothyroxine Sodium,1.0,0.7,,,0
NDC,00527-3282-46,Levothyroxine Sodium,1.0,0.7,,,0
NDC,00527-3283-46,Levothyroxine Sodium,1.0,0.7,,,0
NDC,00527-3286-46,Levothyroxine Sodium,1.0,0.7,,,0
NDC,00527-3290-46,Levothyroxine Sodium,1.0,0.7,,,0
NDC,00527-4591-13,oseltamivir phosphate,2.02,1.41,,,0
NDC,00527-5137-62,oseltamivir phosphate,4.03,2.82,,,0
NDC,00536-1008-36,Aspirin,1.0,0.7,,,0
NDC,00536-1047-10,Sodium Bicarbonate,1.0,0.7,,,0
NDC,00536-1053-01,Aspirin,1.0,0.7,,,0
NDC,00536-1178-01,Meclizine HCl,1.0,0.7,,,0
NDC,00536-1206-10,Calcium Carbonate,1.0,0.7,,,0
NDC,00536-1228-58,Phenaseptic,7.79,5.45,,,0
NDC,00536-1232-01,Aspirin,1.0,0.7,,,0
NDC,00536-1234-41,Low Dose Aspirin,1.0,0.7,,,0
NDC,00536-1268-12,Anti-Itch,15.27,10.69,,,0
NDC,00536-1286-36,Stomach Relief,2.18,1.53,,,0
NDC,00536-1297-01,Meclizine HCl,1.0,0.7,,,0
NDC,00536-1327-10,Acetaminophen,1.0,0.7,,,0
NDC,00536-1362-23,Nicotine Polacrilex,1.0,0.7,,,0
NDC,00536-7415-51,Enema,3.52,2.46,,,0
NDC,00548-5400-25,medroxyPROGESTERone acetate,60.12,42.08,0.57,0.81,3
NDC,00548-5900-00,Cortrosyn,255.8,179.06,28.59,44.33,4
NDC,00555-0066-02,Isoniazid,0.98,0.69,,,0
NDC,00555-0159-02,chlordiazePOXIDE HCl,1.0,0.7,,,0
NDC,00562-7805-01,RhoGAM Ultra-Filtered Plus,286.0,200.2,79.98,136.01,4
NDC,00574-0069-30,Glutose 15,7.67,5.37,,,0
NDC,00574-0070-30,Glutose 15,7.67,5.37,,,0
NDC,00574-0508-10,Ferrous Gluconate,1.0,0.7,,,0
NDC,00574-0508-11,Ferrous Gluconate,1.0,0.7,,,0
NDC,00574-0608-11,Ferrous Sulfate,1.0,0.7,,,0
NDC,00574-7034-12,Aspirin,2.81,1.97,,,0
NDC,00574-7050-12,Bisacodyl,1.0,0.7,,,0
NDC,00574-7050-50,Bisacodyl,1.0,0.7,,,0
NDC,00574-7110-12,Morphine Sulfate,9.6,6.72,,,0
NDC,00591-0241-01,LORazepam,1.0,0.7,,,0
NDC,00591-0242-01,LORazepam,1.0,0.7,,,0
NDC,00591-0605-01,Labetalol HCl,1.0,0.7,,,0
NDC,00591-0844-01,glipiZIDE,1.4,0.98,,,0
NDC,00591-2258-04,scopolamine,32.05,22.44,,,0
NDC,00591-2312-15,alvimopan,377.07,263.95,,,0
NDC,00591-2679-30,Lidocaine Novaplus,14.38,10.07,,,0
NDC,00591-2880-01,Verapamil HCl,3.5,2.45,,,0
NDC,00591-3159-01,Ursodiol,2.46,1.72,,,0
NDC,00591-3525-30,Lidocaine,7.19,5.03,,,0
NDC,00591-3540-60,buPROPion Hydrochloride SR,0.68,0.48,,,0
NDC,00591-3541-60,buPROPion Hydrochloride SR,1.0,0.7,,,0
NDC,00591-4102-01,Perphenazine,1.5,1.05,,,0
NDC,00591-5335-01,Trihexyphenidyl HCl,1.0,0.7,,,0
NDC,00591-5347-01,Probenecid,1.64,1.15,,,0
NDC,00597-0024-02,Combivent Respimat,1174.42,822.09,,,0
NDC,00597-0140-30,Tradjenta,42.01,29.41,,,0
NDC,00597-0140-90,Tradjenta,42.01,29.41,,,0
NDC,00597-0152-30,Jardiance,48.89,34.22,,,0
NDC,00597-0152-37,Jardiance,48.89,34.22,,,0
NDC,00597-0153-37,Jardiance,48.89,34.22,,,0
NDC,00597-0155-70,Stiolto Respimat Institutional Pack 10ACT,180.0,126.0,,,0
NDC,00597-0260-10,Glucagen Diagnostic Kit,411.84,288.29,164.86,461.61,14
NDC,00597-0355-56,Pradaxa,15.88,11.12,,,0
NDC,00597-0360-82,Pradaxa,7.94,5.56,,,0
NDC,00603-1880-16,Lidocaine,7.19,5.03,,,0
NDC,00603-2433-21,Benztropine Mesylate,2.0,1.4,,,0
NDC,00603-2544-21,Butalbital-Acetaminophen-Caffeine,2.7,1.89,,,0
NDC,00603-5336-21,predniSONE,1.0,0.7,0.01,0.01,4
NDC,00641-0367-25,dexAMETHasone Sodium Phosphate,8.0,5.6,0.12,0.19,4
NDC,00641-0376-25,diphenhydrAMINE HCl,8.0,5.6,0.82,1.31,4
NDC,00641-0477-25,PHENobarbital Sodium,328.32,229.82,32.8,51.39,4
NDC,00641-0928-25,Promethazine HCl,8.0,5.6,3.1,5.86,4
NDC,00641-1398-35,chlorproMAZINE HCl,79.45,55.62,27.94,48.71,4
NDC,00641-1410-35,Digoxin,13.2,9.24,9.06,15.39,4
NDC,00641-6007-10,Bumetanide,20.0,14.0,,,0
NDC,00641-6008-10,Bumetanide,13.06,9.14,0.63,1.1,4
NDC,00641-6013-10,dilTIAZem HCl,6.59,4.61,,,0
NDC,00641-6019-01,Duramorph,69.51,48.66,14.43,18.37,4
NDC,00641-6022-25,Famotidine,8.0,5.6,,,0
NDC,00641-6027-25,fentaNYL Citrate,15.3,10.71,0.99,1.58,4
NDC,00641-6028-25,fentaNYL Citrate,14.4,10.08,0.99,1.58,4
NDC,00641-6044-25,LORazepam,8.0,5.6,0.96,1.83,4
NDC,00641-6052-25,Meperidine HCl,8.0,5.6,6.9,11.93,4
NDC,00641-6057-25,Midazolam HCl,16.0,11.2,0.14,0.23,4
NDC,00641-6061-25,Midazolam HCl,8.0,5.6,0.14,0.23,4
NDC,00641-6078-25,Ondansetron,16.0,11.2,0.1,0.16,4
NDC,00641-6079-01,Ondansetron,14.325,10.03,0.1,0.16,4
NDC,00641-6103-10,Robaxin,67.2,47.04,6.17,9.25,4
NDC,00641-6116-10,Ampicillin-Sulbactam,10.08,7.06,2.12,2.89,4
NDC,00641-6125-25,Morphine Sulfate,8.0,5.6,4.46,7.64,4
NDC,00641-6126-25,Morphine Sulfate,8.0,5.6,4.46,7.64,4
NDC,00641-6136-25,Fosphenytoin Sodium,124.32,87.02,1.34,3.75,9
NDC,00641-6142-25,Phenylephrine HCl,19.2,13.44,,,0
NDC,00641-6145-25,dexAMETHasone Sodium Phosphate,2.66,1.86,0.12,0.19,4
NDC,00641-6205-10,Naloxone HCl,81.115,56.78,8.06,11.92,4
NDC,00641-6231-25,hydrALAZINE HCl,36.0,25.2,5.56,9.14,4
NDC,00641-9217-10,dilTIAZem HCl Novaplus,2.4,1.68,,,0
NDC,00699-3100-02,Topex Anesthetic,1.19,0.83,,,0
NDC,00703-3218-01,PACLitaxel,4.8,3.36,0.11,0.15,4
NDC,00703-4502-04,Metoclopramide HCl,8.05,5.64,1.04,1.79,4
NDC,00713-0223-15,Fluocinolone Acetonide,89.86,62.9,,,0
NDC,00713-0351-09,Prochlorperazine Edisylate,11.11,7.78,3.94,5.6,4
NDC,00713-0678-15,Nystatin,31.18,21.83,,,0
NDC,00781-1077-01,ALPRAZolam,1.0,0.7,,,0
NDC,00781-1486-01,Amitriptyline HCl,1.0,0.7,,,0
NDC,00781-1818-10,Furosemide,1.0,0.7,,,0
NDC,00781-2074-01,Triamterene/hydroCHLOROthiazide,1.0,0.7,,,0
NDC,00781-2103-01,Tacrolimus,6.61,4.63,0.27,0.4,4
NDC,00781-3113-95,Piperacillin and Tazobactam,12.39,8.67,1.05,1.93,4
NDC,00781-3114-95,Piperacillin and Tazobactam,16.48,11.54,1.05,1.93,4
NDC,00781-3232-95,Pantoprazole Sodium,11.76,8.23,,,0
NDC,00781-3246-64,Enoxaparin Sodium,8.84,6.19,1.24,4.97,4
NDC,00781-3289-09,Clindamycin,28.44,19.91,2.27,3.11,4
NDC,00781-3290-09,Clindamycin,34.8,24.36,2.27,3.11,4
NDC,00781-3299-69,Enoxaparin Sodium,51.66,36.16,1.24,4.97,4
NDC,00781-3312-75,palonosetron hcl,84.0,58.8,1.19,1.39,4
NDC,00781-3315-70,Oxaliplatin,37.44,26.21,0.07,0.1,4
NDC,00781-3317-80,Oxaliplatin,288.0,201.6,0.07,0.1,4
NDC,00781-3404-95,Ampicillin Sodium,13.27,9.29,1.0,1.65,4
NDC,00781-3407-95,Ampicillin Sodium,8.0,5.6,1.0,1.65,4
NDC,00781-3408-95,Ampicillin Sodium,17.05,11.94,1.0,1.65,4
NDC,00781-3411-95,Anectine,41.43,29.0,0.16,0.18,3
NDC,00781-3532-12,Fulvestrant,780.0,546.0,,,0
NDC,00781-3829-96,Glycopyrrolate,8.0,5.6,0.5,1.02,4
NDC,00781-5283-64,Cetirizine HCl,10.3,7.21,,,0
NDC,00781-7296-85,Albuterol Sulfate HFA,86.35,60.45,,,0
NDC,00832-0038-00,oxyBUTYnin Chloride,1.0,0.7,,,0
NDC,00832-0273-11,Morphine Sulfate,1.14,0.8,,,0
NDC,00832-0541-11,Bumetanide,1.0,0.7,,,0
NDC,00832-1212-01,Jantoven,1.0,0.7,,,0
NDC,00832-1213-01,Jantoven,1.07,0.75,,,0
NDC,00832-1215-01,Jantoven,1.92,1.34,,,0
NDC,00832-1216-01,Jantoven,1.0,0.7,,,0
NDC,00832-1218-01,Jantoven,1.39,0.97,,,0
NDC,00832-1510-11,Haloperidol,2.0,1.4,,,0
NDC,00832-7124-01,Divalproex Sodium,1.0,0.7,,,0
NDC,00904-0262-52,Stress Formula Vitamins,1.0,0.7,,,0
NDC,00904-0430-04,Doxycycline Hyclate,8.71,6.1,,,0
NDC,00904-0430-06,Doxycycline Hyclate,5.25,3.68,,,0
NDC,00904-0530-61,Tab-A-Vite,1.0,0.7,,,0
NDC,00904-0539-61,Thera,1.0,0.7,,,0
NDC,00904-1882-60,Calcium + D,1.0,0.7,,,0
NDC,00904-2056-61,diphenhydrAMINE HCl,1.0,0.7,,,0
NDC,00904-2533-21,Calamine Lotion,3.4,2.38,,,0
NDC,00904-2725-61,Sulfamethoxazole/Trimethoprim,1.0,0.7,,,0
NDC,00904-3865-75,Deep Sea,2.22,1.55,,,0
NDC,00904-5053-59,Sudogest,1.0,0.7,,,0
NDC,00904-5154-60,guaiFENesin,1.0,0.7,,,0
NDC,00904-5306-61,diphenhydrAMINE HCl,1.0,0.7,,,0
NDC,00904-5306-80,Banophen,1.0,0.7,,,0
NDC,00904-5307-60,Banophen,1.0,0.7,,,0
NDC,00904-5307-80,Banophen,1.0,0.7,,,0
NDC,00904-5524-61,Doxazosin Mesylate,2.36,1.65,,,0
NDC,00904-5725-14,Mintox,1.0,0.7,,,0
NDC,00904-5785-61,FLUoxetine HCl,1.0,0.7,,,0
NDC,00904-5853-40,Ibuprofen,0.16,0.11,,,0
NDC,00904-5853-61,Ibuprofen,1.0,0.7,,,0
NDC,00904-5854-61,Ibuprofen,1.0,0.7,,,0
NDC,00904-5892-61,Pravastatin Sodium,1.55,1.09,,,0
NDC,00904-5893-61,Pravastatin Sodium,1.71,1.2,,,0
NDC,00904-5959-61,Clindamycin HCl,2.38,1.67,,,0
NDC,00904-5984-26,Ammonium Lactate,10.57,7.4,,,0
NDC,00904-6007-61,LORazepam,1.0,0.7,,,0
NDC,00904-6008-61,LORazepam,1.0,0.7,,,0
NDC,00904-6009-61,LORazepam,1.0,0.7,,,0
NDC,00904-6082-61,Zolpidem Tartrate,1.0,0.7,,,0
NDC,00904-6084-61,Citalopram,1.0,0.7,,,0
NDC,00904-6085-61,Citalopram,1.0,0.7,,,0
NDC,00904-6255-49,Sore Throat Lozenges,1.0,0.7,,,0
NDC,00904-6290-61,Atorvastatin Calcium,1.0,0.7,,,0
NDC,00904-6291-61,Atorvastatin Calcium,1.0,0.7,,,0
NDC,00904-6292-61,Atorvastatin Calcium,1.0,0.7,,,0
NDC,00904-6293-04,Atorvastatin Calcium,1.04,0.73,,,0
NDC,00904-6294-61,Clopidogrel,1.0,0.7,,,0
NDC,00904-6300-61,Carvedilol,1.0,0.7,,,0
NDC,00904-6301-61,Carvedilol,1.0,0.7,,,0
NDC,00904-6302-61,Carvedilol,1.0,0.7,,,0
NDC,00904-6303-61,Carvedilol,1.0,0.7,,,0
NDC,00904-6305-21,Sore Throat Spray,5.95,4.17,,,0
NDC,00904-6322-06,Metoprolol Succinate,1.0,0.7,,,0
NDC,00904-6322-61,Metoprolol Succinate,2.1,1.47,,,0
NDC,00904-6323-61,Metoprolol Succinate,5.04,3.53,,,0
NDC,00904-6351-61,levoFLOXacin,1.59,1.11,,,0
NDC,00904-6364-61,Divalproex Sodium,5.67,3.97,,,0
NDC,00904-6369-61,amLODIPine Besylate,1.0,0.7,,,0
NDC,00904-6370-61,amLODIPine Besylate,1.0,0.7,,,0
NDC,00904-6371-61,amLODIPine Besylate,1.0,0.7,,,0
NDC,00904-6401-80,Tamsulosin HCl,1.0,0.7,,,0
NDC,00904-6407-61,Bisacodyl,1.0,0.7,,,0
NDC,00904-6412-92,Calcium Antacid,3.0,2.1,,,0
NDC,00904-6426-61,Escitalopram,2.0,1.4,,,0
NDC,00904-6467-07,Clopidogrel,63.78,44.65,,,0
NDC,00904-6474-61,Pantoprazole Sodium,1.0,0.7,,,0
NDC,00904-6475-61,Baclofen,1.02,0.71,,,0
NDC,00904-6500-61,Fluconazole,3.4,2.38,,,0
NDC,00904-6506-61,Memantine HCl,1.04,0.73,,,0
NDC,00904-6519-61,Mirtazapine,1.0,0.7,,,0
NDC,00904-6558-61,Morphine Sulfate,3.01,2.11,,,0
NDC,00904-6572-61,Allopurinol,1.62,1.13,,,0
NDC,00904-6617-61,hydrOXYzine HCl,1.0,0.7,,,0
NDC,00904-6618-61,hydrOXYzine HCl,1.0,0.7,,,0
NDC,00904-6619-61,Isosorbide Dinitrate,1.47,1.03,,,0
NDC,00904-6623-61,Tacrolimus,2.52,1.76,0.27,0.4,4
NDC,00904-6627-35,Ear Drops,4.54,3.18,,,0
NDC,00904-6638-61,QUEtiapine Fumarate,1.0,0.7,,,0
NDC,00904-6639-61,QUEtiapine Fumarate,1.13,0.79,,,0
NDC,00904-6665-61,Gabapentin,1.0,0.7,,,0
NDC,00904-6667-61,Gabapentin,1.48,1.04,,,0
NDC,00904-6717-60,Cetirizine HCl,1.0,0.7,,,0
NDC,00904-6717-61,Cetirizine HCl,1.0,0.7,,,0
NDC,00904-6718-39,Mucus Relief ER,2.45,1.72,,,0
NDC,00904-6719-80,Acetaminophen,1.0,0.7,,,0
NDC,00904-6730-59,Acetaminophen,1.0,0.7,,,0
NDC,00904-6730-60,Acetaminophen,3.0,2.1,,,0
NDC,00904-6730-61,Acetaminophen,2.0,1.4,,,0
NDC,00904-6730-80,Acetaminophen,1.0,0.7,,,0
NDC,00904-6747-59,Ibuprofen,1.0,0.7,,,0
NDC,00904-6751-80,Aspirin Low Dose,1.0,0.7,,,0
NDC,00904-6773-61,Acetaminophen,1.0,0.7,,,0
NDC,00904-6794-30,Aspirin Low Dose,1.0,0.7,,,0
NDC,00904-6794-80,Aspirin Low Dose,1.0,0.7,,,0
NDC,00904-6794-89,Aspirin Low Dose,1.0,0.7,,,0
NDC,00904-6797-61,Lisinopril,1.0,0.7,,,0
NDC,00904-6798-61,Lisinopril,1.0,0.7,,,0
NDC,00904-6799-61,Lisinopril,1.0,0.7,,,0
NDC,00904-6808-61,Montelukast Sodium,1.0,0.7,,,0
NDC,00904-6830-06,Finasteride,1.62,1.13,,,0
NDC,00904-6860-61,Divalproex Sodium,1.0,0.7,,,0
NDC,00904-6861-61,Divalproex Sodium,1.0,0.7,,,0
NDC,00904-6868-61,traZODone hydrochloride,1.0,0.7,,,0
NDC,00904-6870-45,Pantoprazole Sodium,1.0,0.7,,,0
NDC,00904-6888-06,Minocycline HCl,3.16,2.21,,,0
NDC,00904-6917-61,Omeprazole,1.0,0.7,,,0
NDC,00904-6923-61,predniSONE,1.0,0.7,0.01,0.01,4
NDC,00904-6927-61,Spironolactone,1.0,0.7,,,0
NDC,00904-6930-61,Potassium Chloride,12.27,8.59,,,0
NDC,00904-6931-76,PEG 3350,3.1,2.17,,,0
NDC,00904-6931-81,PEG 3350,6.2,4.34,,,0
NDC,00904-6938-06,Butalbital-Acetaminophen-Caffeine,8.67,6.07,,,0
NDC,00904-6950-61,Levothyroxine Sodium,1.13,0.79,,,0
NDC,00904-6966-61,oxyCODONE HCl,1.0,0.7,,,0
NDC,00904-6997-60,Docusate Calcium,1.0,0.7,,,0
NDC,00904-7000-61,Pregabalin,8.46,5.92,,,0
NDC,00904-7006-35,Nasal Decongestant,4.79,3.35,,,0
NDC,00904-7041-61,Allopurinol,1.0,0.7,,,0
NDC,00904-7043-04,DULoxetine HCl,3.5,2.45,,,0
NDC,00904-7045-61,DULoxetine HCl,3.45,2.42,,,0
NDC,00904-7083-61,Ciprofloxacin,1.0,0.7,,,0
NDC,00904-7122-61,busPIRone HCl,2.0,1.4,,,0
NDC,00904-7124-61,levETIRAcetam,1.0,0.7,,,0
NDC,00904-7127-61,predniSONE,1.22,0.85,0.01,0.01,4
NDC,00904-7134-70,guaiFENesin/Dextromethorphan HBr,6.89,4.82,,,0
NDC,00904-7153-61,Benzonatate,1.19,0.83,,,0
NDC,00904-7162-61,metFORMIN HCl,1.0,0.7,,,0
NDC,00904-7164-61,metFORMIN HCl,1.0,0.7,,,0
NDC,00904-7177-61,Furosemide,1.0,0.7,,,0
NDC,00904-7179-61,traMADol HCl,1.0,0.7,,,0
NDC,00904-7183-61,Docusate Sodium,1.0,0.7,,,0
NDC,00904-7187-61,Atenolol,1.0,0.7,,,0
NDC,00904-7193-61,Famotidine,1.0,0.7,,,0
NDC,00904-7200-61,Lisinopril,1.0,0.7,,,0
NDC,00904-7206-60,Simethicone,2.0,1.4,,,0
NDC,00904-7219-61,dilTIAZem HCl,1.16,0.81,,,0
NDC,00904-7227-61,clonazePAM,1.26,0.88,,,0
NDC,00904-7237-61,Banophen,1.0,0.7,,,0
NDC,00904-7239-61,Sodium Chloride,1.0,0.7,,,0
NDC,00904-7243-61,Ciprofloxacin,1.0,0.7,,,0
NDC,00904-7244-68,lacosamide,2.96,2.07,,,0
NDC,00904-7245-68,lacosamide,9.85,6.9,,,0
NDC,00904-7252-61,Senna-Lax,1.0,0.7,,,0
NDC,00904-7252-80,Senna,2.0,1.4,,,0
NDC,00904-7261-61,Sodium Bicarbonate,1.0,0.7,,,0
NDC,00904-7263-61,OXcarbazepine,2.03,1.42,,,0
NDC,00904-7279-72,Docusate Sodium,2.74,1.92,,,0
NDC,00904-7293-61,Potassium Chloride,4.5,3.15,,,0
NDC,00904-7305-61,Carvedilol,3.0,2.1,,,0
NDC,00904-7307-61,Carvedilol,2.0,1.4,,,0
NDC,00904-7308-61,Carvedilol,1.0,0.7,,,0
NDC,00904-7346-61,FLUoxetine HCl,1.0,0.7,,,0
NDC,00904-7350-06,Azithromycin,6.8,4.76,,,0
NDC,00904-7362-61,risperiDONE,1.0,0.7,,,0
NDC,00904-7376-61,Meclizine HCl,2.22,1.55,,,0
NDC,00904-7401-61,Cyclobenzaprine HCl,1.0,0.7,,,0
NDC,00904-7402-67,Bacitracin,1.0,0.7,,,0
NDC,00904-7418-44,Magnesium Citrate,7.11,4.98,,,0
NDC,00904-7421-46,lurasidone hydrochloride,1.61,1.13,,,0
NDC,00904-7427-30,Nasal Decongestant,6.19,4.33,,,0
NDC,00904-7435-35,Nasal Decongestant,4.79,3.35,,,0
NDC,00904-7440-61,Sennosides/Docusate Sodium,1.0,0.7,,,0
NDC,00904-7449-61,hydrALAZINE HCl,1.0,0.7,,,0
NDC,00904-7470-56,Sucralfate,24.89,17.42,,,0
NDC,00904-8805-67,Triple Antibiotic Ointment,1.0,0.7,,,0
NDC,00944-2700-04,Gammagard Liquid,2034.24,1423.97,47.29,132.41,7
NDC,00944-2700-05,Gammagard Liquid,8136.96,5695.87,47.29,132.41,7
NDC,00944-2700-07,Gammagard Liquid,12205.44,8543.81,47.29,132.41,21
NDC,00944-2843-10,Recombinate,8008.0,5605.6,1.59,4.45,7
NDC,00990-7074-26,Potassium Chloride,20.0,14.0,0.11,0.19,4
NDC,00990-7077-14,Potassium Chloride,20.0,14.0,0.11,0.19,4
NDC,00990-7107-09,Potassium Chloride in Dextrose and Sodium Chloride,20.0,14.0,0.11,0.19,4
NDC,00990-7111-09,Dex/Lact. Ringers/Potassium Chl,21.6,15.12,0.11,0.19,4
NDC,00990-7115-09,Potassium Chloride-Sodium Chloride,20.0,14.0,0.11,0.19,4
NDC,00990-7116-09,Potassium Chloride-Sodium Chloride,21.6,15.12,0.11,0.19,4
NDC,00990-7902-09,Potassium Chloride in Dextrose and Sodium Chloride,20.0,14.0,0.11,0.19,4
NDC,00990-7922-09,Dextrose,20.0,14.0,3.6,6.32,4
NDC,00990-7983-02,Sodium Chloride,20.0,14.0,0.65,1.1,4
NDC,00990-7983-03,Sodium Chloride,20.0,14.0,1.3,2.2,4
NDC,00990-7983-09,Sodium Chloride,20.0,14.0,2.61,4.4,4
NDC,00990-9257-39,Potassium Chloride in Sodium Chloride,19.25,13.48,0.11,0.19,4
NDC,01320-0301-40,NON-COVERED ITEM OR SERVICE,4.47,3.13,,,0
NDC,06332-3162-01,INJECTION; KETOROLAC TROMETHAMINE; PER 15 MG,6.84,4.79,0.39,1.09,7
NDC,10006-0730-27,Zinc Sulfate,1.0,0.7,,,0
NDC,10006073017,Vitamin B6,6.88,4.82,4754.0,5269.0,4
NDC,10006073027,Zinc Sulfate,11.0,7.7,4754.0,5269.0,4
NDC,10019-0120-01,Esmolol HCl,8.76,6.13,0.22,0.43,4
NDC,10019-0953-01,Mesna,60.0,42.0,1.76,2.02,4
NDC,10019-0955-01,cycloPHOSphamide,439.5,307.65,0.58,1.62,49
NDC,10019-0956-01,cycloPHOSphamide,1288.5549999999998,901.99,0.58,1.62,49
NDC,10019-0991-01,bortezomib,82.2,57.54,2.07,2.71,4
NDC,10019005561,Brevibloc,356.13,249.29,4754.0,5269.0,4
NDC,10019007587,Brevibloc,1385.73,970.01,4754.0,5269.0,4
NDC,10019092501,Ifosfamide,101.04,70.73,4754.0,5269.0,4
NDC,10019092582,Ifosfamide,101.04,70.73,4754.0,5269.0,4
NDC,10019092602,Ifosfamide,295.74,207.02,4754.0,5269.0,4
NDC,10019092616,Ifosfamide,295.74,207.02,4754.0,5269.0,4
NDC,10019095301,Mesna,68.75,48.13,4754.0,5269.0,4
NDC,10019095362,Mesna,68.75,48.13,4754.0,5269.0,4
NDC,10019095501,cycloPHOSphamide,1007.19,705.03,4754.0,5269.0,4
NDC,10019095550,cycloPHOSphamide,1007.19,705.03,4754.0,5269.0,4
NDC,10019095601,cycloPHOSphamide,1291.07,903.75,4754.0,5269.0,4
NDC,10019095616,cycloPHOSphamide,1291.07,903.75,4754.0,5269.0,4
NDC,10019099101,bortezomib,173.5,121.45,4754.0,5269.0,4
NDC,10106204101,Ferric Subsulfate,144.38,101.07,4754.0,5269.0,4
NDC,10119000252,Advanced Eye Relief Eye Wash,9.09,6.36,4754.0,5269.0,4
NDC,10119002090,Opcon-A Allergy,14.48,10.14,4754.0,5269.0,4
NDC,10122-0610-10,Cleviprex,205.32,143.72,,,0
NDC,10122031301,Cardene IV,279.4,195.58,4754.0,5269.0,4
NDC,10122031310,Cardene IV,279.4,195.58,4754.0,5269.0,4
NDC,10122031401,Cardene IV,279.4,195.58,4754.0,5269.0,4
NDC,10122031410,Cardene IV,279.4,195.58,4754.0,5269.0,4
NDC,10122061001,Cleviprex,242.42,169.69,4754.0,5269.0,4
NDC,10122061010,Cleviprex,242.42,169.69,4754.0,5269.0,4
NDC,10122061101,Cleviprex,484.83,339.38,4754.0,5269.0,4
NDC,10122061110,Cleviprex,484.83,339.38,4754.0,5269.0,4
NDC,10122062001,Kengreal,2753.3,1927.31,4754.0,5269.0,4
NDC,10122062010,Kengreal,27532.95,19273.07,4754.0,5269.0,4
NDC,10122082028,Bethkis,303.77,212.64,4754.0,5269.0,4
NDC,10122082056,Bethkis,303.77,212.64,4754.0,5269.0,4
NDC,10135-0673-01,rOPINIRole HCl,2.0,1.4,,,0
NDC,10135-0787-90,Ezetimibe,1.0,0.7,,,0
NDC,10135067181,Clotrimazole,37.05,25.94,4754.0,5269.0,4
NDC,10135067301,rOPINIRole HCl,22.0,15.4,4754.0,5269.0,4
NDC,10135067601,rOPINIRole HCl,22.0,15.4,4754.0,5269.0,4
NDC,10135078730,Ezetimibe,5.37,3.76,4754.0,5269.0,4
NDC,10135078790,Ezetimibe,12.13,8.49,4754.0,5269.0,4
NDC,10135078901,guaiFENesin,3.3,2.31,4754.0,5269.0,4
NDC,10147088206,Galantamine Hydrobromide,419.6,293.72,4754.0,5269.0,4
NDC,10147089303,Galantamine HBr,419.68,293.78,4754.0,5269.0,4
NDC,10223020103,Cetacaine,386.38,270.47,4754.0,5269.0,4
NDC,10337071052,Lida Mantle HC,98.86,69.2,4754.0,5269.0,4
NDC,10361077831,E-Z-Disk,749.65,524.76,4754.0,5269.0,4
NDC,10454-0710-10,Myobloc,0.01,0.01,13.29,37.21,7
NDC,10454071010,Myobloc,873.24,611.27,4754.0,5269.0,4
NDC,10454071110,Myobloc,1746.47,1222.53,4754.0,5269.0,4
NDC,10454071210,Myobloc,3492.94,2445.06,4754.0,5269.0,4
NDC,10481011108,Lugol's Strong Iodine,30.08,21.06,4754.0,5269.0,4
NDC,10572-0302-01,Lemon-Lime Flavor PEG-3350,67.2,47.04,,,0
NDC,10572010001,PEG 3350 And Electrolytes,66.0,46.2,4754.0,5269.0,4
NDC,10631009160,Eurax,1391.28,973.9,4754.0,5269.0,4
NDC,10631009260,Eurax,1391.12,973.78,4754.0,5269.0,4
NDC,10631009362,Kenalog,1456.52,1019.56,4754.0,5269.0,4
NDC,10702-0018-50,oxyCODONE HCl,1.0,0.7,,,0
NDC,10702-0056-01,oxyCODONE HCl,1.0,0.7,,,0
NDC,10702-0253-01,Butalbital-Acetaminophen-Caffeine,1.0,0.7,,,0
NDC,10702000301,Promethazine HCl,13.2,9.24,4754.0,5269.0,4
NDC,10702000801,oxyCODONE HCl,85.25,59.68,4754.0,5269.0,4
NDC,10702003645,Sodium Polystyrene Sulfonate,188.53,131.97,4754.0,5269.0,4
NDC,10702005601,oxyCODONE HCl,63.25,44.28,4754.0,5269.0,4
NDC,10702010001,Methylphenidate HCl,43.45,30.42,4754.0,5269.0,4
NDC,10702020101,oxyBUTYnin Chloride,24.2,16.94,4754.0,5269.0,4
NDC,10702025301,Butalbital-Acetaminophen-Caffeine,51.15,35.81,4754.0,5269.0,4
NDC,10742-0013-35,NON-COVERED ITEM OR SERVICE,5.61,3.93,,,0
NDC,10939074444,Sunmark Mineral Oil,9.11,6.38,4754.0,5269.0,4
NDC,10939095585,Foster&Thrive Saline Nasal Spray,4.24,2.97,4754.0,5269.0,4
NDC,10939095666,Foster&Thrive Selenium,13.48,9.44,4754.0,5269.0,4
NDC,10939095710,Foster&Thrive Vitamin B-12,8.8,6.16,4754.0,5269.0,4
NDC,10939095714,Foster&Thrive Vitamin B-6,9.08,6.36,4754.0,5269.0,4
NDC,11098007620,Promit,20.63,14.44,4754.0,5269.0,4
NDC,11098052603,Bal In Oil,242.24,169.57,4754.0,5269.0,4
NDC,11509020518,Cepacol Sore Throat,6.49,4.54,4754.0,5269.0,4
NDC,115107001,Dipyridamole,137.5,96.25,4754.0,5269.0,4
NDC,115107201,Dipyridamole,296.18,207.33,4754.0,5269.0,4
NDC,115136529,Sevelamer Carbonate,481.14,336.8,4754.0,5269.0,4
NDC,115136530,Sevelamer Carbonate,5.35,3.75,4754.0,5269.0,4
NDC,115169430,EPINEPHrine,412.5,288.75,4754.0,5269.0,4
NDC,115169449,EPINEPHrine,825.0,577.5,4754.0,5269.0,4
NDC,115169549,EPINEPHrine,825.0,577.5,4754.0,5269.0,4
NDC,115191101,riMANTAdine HCl,625.35,437.75,4754.0,5269.0,4
NDC,115201101,Orphenadrine Citrate,270.88,189.62,4754.0,5269.0,4
NDC,11523-1167-06,NON-COVERED ITEM OR SERVICE,14.66,10.26,,,0
NDC,11523726803,MiraLAX,34.1,23.87,4754.0,5269.0,4
NDC,115261101,Terbutaline Sulfate,770.0,539.0,4754.0,5269.0,4
NDC,115351101,pyRIDostigmine Bromide,224.4,157.08,4754.0,5269.0,4
NDC,115441101,Dantrolene Sodium,222.75,155.93,4754.0,5269.0,4
NDC,115703301,Fludrocortisone Acetate,162.25,113.58,4754.0,5269.0,4
NDC,116400511,Lactulose,4.13,2.89,4754.0,5269.0,4
NDC,116400530,Lactulose,4.13,2.89,4754.0,5269.0,4
NDC,11980017405,Pred Mild,441.1,308.77,4754.0,5269.0,4
NDC,11994-0011-16,Definity,804.84,563.39,44.48,68.94,4
NDC,11994001101,Definity,982.16,687.51,4754.0,5269.0,4
NDC,11994001104,Definity,1019.57,713.7,4754.0,5269.0,4
NDC,11994001116,Definity,982.16,687.51,4754.0,5269.0,4
NDC,11994001701,Definity RT,883.92,618.74,4754.0,5269.0,4
NDC,11994001720,Definity RT,883.92,618.74,4754.0,5269.0,4
NDC,121043130,Milk Of Magnesia,5.37,3.76,4754.0,5269.0,4
NDC,121048905,diphenhydrAMINE HCl,11.46,8.02,4754.0,5269.0,4
NDC,121050400,Acetaminophen-Codeine Phosphate,6.47,4.53,4754.0,5269.0,4
NDC,121050405,Acetaminophen-Codeine Phosphate,21.41,14.99,4754.0,5269.0,4
NDC,121053005,Ferrous Sulfate,9.34,6.54,4754.0,5269.0,4
NDC,121059516,Citric Acid/Sodium Citrate,39.03,27.32,4754.0,5269.0,4
NDC,121063800,guaiFENesin DM,5.72,4.0,4754.0,5269.0,4
NDC,121063805,guaiFENesin DM,5.72,4.0,4754.0,5269.0,4
NDC,121064616,Amantadine HCl,74.15,51.91,4754.0,5269.0,4
NDC,121065700,Acetaminophen,4.46,3.12,4754.0,5269.0,4
NDC,121065705,Acetaminophen,4.46,3.12,4754.0,5269.0,4
NDC,121067016,Ethosuximide,154.79,108.35,4754.0,5269.0,4
NDC,121067616,Citric Acid/Potassium Citrate,99.0,69.3,4754.0,5269.0,4
NDC,121067816,Nortriptyline HCl,521.61,365.13,4754.0,5269.0,4
NDC,121076616,Calcium Carbonate,27.32,19.12,4754.0,5269.0,4
NDC,121085416,Sulfatrim Pediatric,104.06,72.84,4754.0,5269.0,4
NDC,121086720,Vancomycin HCl,110.0,77.0,4754.0,5269.0,4
NDC,121086802,Nystatin,36.3,25.41,4754.0,5269.0,4
NDC,121089315,Chlorhexidine Gluconate,4.91,3.44,4754.0,5269.0,4
NDC,121089340,Chlorhexidine Gluconate,5.24,3.67,4754.0,5269.0,4
NDC,121094216,PHENobarbital,98.86,69.2,4754.0,5269.0,4
NDC,121094500,Megestrol Acetate,11.5,8.05,4754.0,5269.0,4
NDC,121094510,Megestrol Acetate,11.5,8.05,4754.0,5269.0,4
NDC,121094540,Megestrol Acetate,15.4,10.78,4754.0,5269.0,4
NDC,121096600,Children's Acetaminophen,3.19,2.23,4754.0,5269.0,4
NDC,121096605,Children's Acetaminophen,3.19,2.23,4754.0,5269.0,4
NDC,121097251,Lidocaine HCl,55.0,38.5,4754.0,5269.0,4
NDC,121097400,Sucralfate,16.64,11.65,4754.0,5269.0,4
NDC,121097410,Sucralfate,16.64,11.65,4754.0,5269.0,4
NDC,121097800,diphenhydrAMINE HCl,11.36,7.95,4754.0,5269.0,4
NDC,121097810,diphenhydrAMINE HCl,11.36,7.95,4754.0,5269.0,4
NDC,121103416,hydrOXYzine HCl,400.64,280.45,4754.0,5269.0,4
NDC,121104516,Nystatin,245.85,172.1,4754.0,5269.0,4
NDC,121115400,Lactulose,5.04,3.53,4754.0,5269.0,4
NDC,121115430,Lactulose,5.04,3.53,4754.0,5269.0,4
NDC,121115440,Lactulose,5.45,3.82,4754.0,5269.0,4
NDC,121119000,Citric Acid/Sodium Citrate,13.95,9.77,4754.0,5269.0,4
NDC,121119030,Citric Acid/Sodium Citrate,13.95,9.77,4754.0,5269.0,4
NDC,121157610,Metoclopramide,11.14,7.8,4754.0,5269.0,4
NDC,121159810,levETIRAcetam,28.19,19.73,4754.0,5269.0,4
NDC,121159820,levETIRAcetam,28.19,19.73,4754.0,5269.0,4
NDC,121174400,guaiFENesin,4.39,3.07,4754.0,5269.0,4
NDC,121174405,guaiFENesin,4.39,3.07,4754.0,5269.0,4
NDC,121176230,Mag-AL Plus XS,10.4,7.28,4754.0,5269.0,4
NDC,121177500,Codeine Phosphate/guaiFENesin,1.56,1.09,4754.0,5269.0,4
NDC,121177505,Codeine Phosphate/guaiFENesin,9.29,6.5,4754.0,5269.0,4
NDC,121177540,Codeine Phosphate/guaiFENesin,9.29,6.5,4754.0,5269.0,4
NDC,121182800,Children's Ibuprofen,3.36,2.35,4754.0,5269.0,4
NDC,121182810,Children's Ibuprofen,3.36,2.35,4754.0,5269.0,4
NDC,121197100,Acetaminophen,5.59,3.91,4754.0,5269.0,4
NDC,121197121,Acetaminophen,5.59,3.91,4754.0,5269.0,4
NDC,121204400,Children's Ibuprofen,3.58,2.51,4754.0,5269.0,4
NDC,121204410,Children's Ibuprofen,3.58,2.51,4754.0,5269.0,4
NDC,121467500,Valproic Acid,3.77,2.64,4754.0,5269.0,4
NDC,121467505,Valproic Acid,3.77,2.64,4754.0,5269.0,4
NDC,121467540,Valproic Acid,5.94,4.16,4754.0,5269.0,4
NDC,121482015,Theophylline,27.52,19.26,4754.0,5269.0,4
NDC,121482040,Theophylline,27.52,19.26,4754.0,5269.0,4
NDC,121482705,oxyCODONE HCl,15.89,11.12,4754.0,5269.0,4
NDC,121482750,oxyCODONE HCl,15.89,11.12,4754.0,5269.0,4
NDC,121495015,Lidocaine HCl Viscous,16.96,11.87,4754.0,5269.0,4
NDC,121495040,Lidocaine HCl Viscous,16.96,11.87,4754.0,5269.0,4
NDC,12164000125,Halothane,52.25,36.58,4754.0,5269.0,4
NDC,12496128302,Suboxone,444.68,311.28,4754.0,5269.0,4
NDC,126008802,Prevident,52.06,36.44,4754.0,5269.0,4
NDC,12843-0536-35,NON-COVERED ITEM OR SERVICE,1.0,0.7,,,0
NDC,12870000101,Silver Nitrate,207.63,145.34,4754.0,5269.0,4
NDC,12870000102,Silver Nitrate,193.33,135.33,4754.0,5269.0,4
NDC,13013202,Emcyt,4608.45,3225.92,4754.0,5269.0,4
NDC,13107-0001-30,Mirtazapine,2.6,1.82,,,0
NDC,13107-0003-34,Mirtazapine,1.0,0.7,,,0
NDC,13107-0084-05,LORazepam,1.0,0.7,,,0
NDC,13107000130,Mirtazapine,89.35,62.55,4754.0,5269.0,4
NDC,13107000334,Mirtazapine,30.94,21.66,4754.0,5269.0,4
NDC,13107001401,Glycopyrrolate,119.35,83.55,4754.0,5269.0,4
NDC,13107003134,Mirtazapine,24.51,17.16,4754.0,5269.0,4
NDC,13107005801,Acetaminophen-Codeine Phosphate,47.58,33.31,4754.0,5269.0,4
NDC,13107008405,LORazepam,68.75,48.13,4754.0,5269.0,4
NDC,13107015430,PARoxetine HCl,18.81,13.17,4754.0,5269.0,4
NDC,13107015530,PARoxetine HCl,19.64,13.75,4754.0,5269.0,4
NDC,13107031901,Clorazepate Dipotassium,273.63,191.54,4754.0,5269.0,4
NDC,131181067,Vimpat,272.47,190.73,4754.0,5269.0,4
NDC,132007912,Fleet Glycerin Suppositories,3.34,2.34,4754.0,5269.0,4
NDC,132020140,Fleet Enema,2.93,2.05,4754.0,5269.0,4
NDC,132020220,Pedia-Lax,3.82,2.67,4754.0,5269.0,4
NDC,132030140,Fleet Mineral Oil Enema,5.49,3.84,4754.0,5269.0,4
NDC,13259691,Idamycin PFS,569.14,398.4,4754.0,5269.0,4
NDC,135009070,Citrucel,40.84,28.59,4754.0,5269.0,4
NDC,135020001,Abreva,48.68,34.08,4754.0,5269.0,4
NDC,135050804,Nicorette,29.32,20.52,4754.0,5269.0,4
NDC,13517010030,Diazoxide,851.49,596.04,4754.0,5269.0,4
NDC,13517011201,PHENobarbital,184.25,128.98,4754.0,5269.0,4
NDC,13530117,Mycobutin,5349.85,3744.9,4754.0,5269.0,4
NDC,13533-0318-01,HyperRAB,13099.63,9169.74,279.95,783.86,7
NDC,13533013100,TDVAX,76.96,53.87,4754.0,5269.0,4
NDC,13533013101,TDVAX,76.96,53.87,4754.0,5269.0,4
NDC,13533031801,HyperRAB,1871.38,1309.97,4754.0,5269.0,4
NDC,13533031810,HyperRAB,1871.38,1309.97,4754.0,5269.0,4
NDC,13533033504,Gamastan,286.11,200.28,4754.0,5269.0,4
NDC,13533033512,Gamastan,1307.33,915.13,4754.0,5269.0,4
NDC,13533033513,Gamastan,1307.33,915.13,4754.0,5269.0,4
NDC,13533033540,Gamastan,286.11,200.28,4754.0,5269.0,4
NDC,13533060250,Thrombate III,12.27,8.59,4754.0,5269.0,4
NDC,13533060521,Thrombate III,12.27,8.59,4754.0,5269.0,4
NDC,13533063102,HyperRHO Full Dose,227.79,159.45,4754.0,5269.0,4
NDC,13533063103,HyperRHO Full Dose,227.79,159.45,4754.0,5269.0,4
NDC,13533063402,HyperTET,1785.22,1249.65,4754.0,5269.0,4
NDC,13533063601,HyperHEP B,458.68,321.08,4754.0,5269.0,4
NDC,13533063603,HyperHEP B,243.24,170.27,4754.0,5269.0,4
NDC,13533063605,HyperHEP B,2200.64,1540.45,4754.0,5269.0,4
NDC,13533063610,HyperHEP B,458.68,321.08,4754.0,5269.0,4
NDC,13533063630,HyperHEP B,243.24,170.27,4754.0,5269.0,4
NDC,13533063650,HyperHEP B,2200.64,1540.45,4754.0,5269.0,4
NDC,13533080012,Gamunex-C,409.04,286.33,4754.0,5269.0,4
NDC,13533080013,Gamunex-C,409.04,286.33,4754.0,5269.0,4
NDC,13533080020,Gamunex-C,2045.18,1431.63,4754.0,5269.0,4
NDC,13533080021,Gamunex-C,2045.18,1431.63,4754.0,5269.0,4
NDC,13533080024,Gamunex-C,8180.7,5726.49,4754.0,5269.0,4
NDC,13533080025,Gamunex-C,8180.7,5726.49,4754.0,5269.0,4
NDC,13533080040,Gamunex-C,16361.4,11452.98,4754.0,5269.0,4
NDC,13533080041,Gamunex-C,16361.4,11452.98,4754.0,5269.0,4
NDC,13533080071,Gamunex-C,4090.35,2863.25,4754.0,5269.0,4
NDC,13533080072,Gamunex-C,4090.35,2863.25,4754.0,5269.0,4
NDC,13668-0009-01,Citalopram Hydrobromide,1.0,0.7,,,0
NDC,13668-0010-01,Citalopram Hydrobromide,1.0,0.7,,,0
NDC,13668-0011-01,Citalopram Hydrobromide,1.0,0.7,,,0
NDC,13668-0105-01,Isosorbide Mononitrate,1.0,0.7,,,0
NDC,13668-0106-01,Isosorbide Mononitrate,11.24,7.87,,,0
NDC,13668-0484-50,Minocycline HCl,1.63,1.14,,,0
NDC,13668-0591-81,aprepitant,211.08,147.76,3.5,6.92,4
NDC,13668000701,Zolpidem Tartrate,24.75,17.33,4754.0,5269.0,4
NDC,13668000901,Citalopram Hydrobromide,15.68,10.98,4754.0,5269.0,4
NDC,13668001001,Citalopram Hydrobromide,14.03,9.82,4754.0,5269.0,4
NDC,13668001101,Citalopram Hydrobromide,15.68,10.98,4754.0,5269.0,4
NDC,13668008630,OLANZapine,202.13,141.49,4754.0,5269.0,4
NDC,13668010501,Isosorbide Mononitrate,35.75,25.03,4754.0,5269.0,4
NDC,13668010601,Isosorbide Mononitrate,71.5,50.05,4754.0,5269.0,4
NDC,13668021630,ARIPiprazole,19.23,13.46,4754.0,5269.0,4
NDC,13668046201,Anagrelide HCl,492.53,344.77,4754.0,5269.0,4
NDC,13668048450,Minocycline HCl,63.25,44.28,4754.0,5269.0,4
NDC,13668054994,Esomeprazole Magnesium,579.48,405.64,4754.0,5269.0,4
NDC,13668058630,Erythromycin,411.6,288.12,4754.0,5269.0,4
NDC,13811063930,rOPINIRole HCl,121.03,84.72,4754.0,5269.0,4
NDC,13811070610,Methylphenidate HCl,198.83,139.18,4754.0,5269.0,4
NDC,13811070910,Methylphenidate HCl,238.98,167.29,4754.0,5269.0,4
NDC,13845120202,cycloSERINE,5747.53,4023.27,4754.0,5269.0,4
NDC,13872589,Zinecard,1185.2,829.64,4754.0,5269.0,4
NDC,143117101,Captopril,278.58,195.01,4754.0,5269.0,4
NDC,143117301,Captopril,518.1,362.67,4754.0,5269.0,4
NDC,143122701,Dicyclomine HCl,76.45,53.52,4754.0,5269.0,4
NDC,143212522,Chloroquine Phosphate,231.0,161.7,4754.0,5269.0,4
NDC,143908701,DOXOrubicin HCl,385.0,269.5,4754.0,5269.0,4
NDC,143914101,DOBUTamine HCl,20.96,14.67,4754.0,5269.0,4
NDC,143914110,DOBUTamine HCl,20.96,14.67,4754.0,5269.0,4
NDC,143916401,Vancomycin HCl,151.25,105.88,4754.0,5269.0,4
NDC,143921001,Chloroprocaine HCl,61.55,43.09,4754.0,5269.0,4
NDC,143921010,Chloroprocaine HCl,61.55,43.09,4754.0,5269.0,4
NDC,143921801,IDArubicin Hydrochloride,368.17,257.72,4754.0,5269.0,4
NDC,143924001,Bleomycin,157.3,110.11,4754.0,5269.0,4
NDC,143924501,Dacarbazine,33.0,23.1,4754.0,5269.0,4
NDC,143924510,Dacarbazine,33.0,23.1,4754.0,5269.0,4
NDC,143924801,Dexrazoxane,1508.41,1055.89,4754.0,5269.0,4
NDC,143925201,DOPamine HCl,8.05,5.64,4754.0,5269.0,4
NDC,143925225,DOPamine HCl,8.05,5.64,4754.0,5269.0,4
NDC,143927301,Dihydroergotamine Mesylate,288.75,202.13,4754.0,5269.0,4
NDC,143927310,Dihydroergotamine Mesylate,288.75,202.13,4754.0,5269.0,4
NDC,143927901,mitoMYcin,1402.5,981.75,4754.0,5269.0,4
NDC,143928001,mitoMYcin,2750.0,1925.0,4754.0,5269.0,4
NDC,143928101,levETIRAcetam-Sodium Chloride,20.63,14.44,4754.0,5269.0,4
NDC,143928110,levETIRAcetam-Sodium Chloride,20.63,14.44,4754.0,5269.0,4
NDC,143928401,Pantoprazole Sodium,17.88,12.52,4754.0,5269.0,4
NDC,143928410,Pantoprazole Sodium,17.88,12.52,4754.0,5269.0,4
NDC,143928501,Amoxicillin,119.9,83.93,4754.0,5269.0,4
NDC,143933201,BUPivacaine HCl,6.88,4.82,4754.0,5269.0,4
NDC,143933210,BUPivacaine HCl,6.88,4.82,4754.0,5269.0,4
NDC,143938101,Doxycycline,57.92,40.54,4754.0,5269.0,4
NDC,143938110,Doxycycline,57.92,40.54,4754.0,5269.0,4
NDC,143938201,Cefepime,6.88,4.82,4754.0,5269.0,4
NDC,143938210,Cefepime,6.88,4.82,4754.0,5269.0,4
NDC,143938301,Cefepime,13.75,9.63,4754.0,5269.0,4
NDC,143938310,Cefepime,13.75,9.63,4754.0,5269.0,4
NDC,143938401,fosaprepitant dimeglumine,115.5,80.85,4754.0,5269.0,4
NDC,143938601,Acetaminophen,33.0,23.1,4754.0,5269.0,4
NDC,143938610,Acetaminophen,33.0,23.1,4754.0,5269.0,4
NDC,143938701,Triamcinolone Acetonide,14.3,10.01,4754.0,5269.0,4
NDC,143938725,Triamcinolone Acetonide,14.3,10.01,4754.0,5269.0,4
NDC,143947212,Tyzavan,49.5,34.65,4754.0,5269.0,4
NDC,143950301,acetaZOLAMIDE,120.89,84.62,4754.0,5269.0,4
NDC,143950401,CISplatin,42.22,29.55,4754.0,5269.0,4
NDC,143950601,Etomidate,17.11,11.98,4754.0,5269.0,4
NDC,143950610,Etomidate,17.11,11.98,4754.0,5269.0,4
NDC,143950801,Ketamine HCl,17.6,12.32,4754.0,5269.0,4
NDC,143950810,Ketamine HCl,17.6,12.32,4754.0,5269.0,4
NDC,143950901,Ketamine HCl,35.04,24.53,4754.0,5269.0,4
NDC,143950910,Ketamine HCl,35.04,24.53,4754.0,5269.0,4
NDC,143951001,Etoposide,25.77,18.04,4754.0,5269.0,4
NDC,143951101,Etoposide,104.5,73.15,4754.0,5269.0,4
NDC,143951201,Etoposide,209.0,146.3,4754.0,5269.0,4
NDC,143951401,droPERidol,26.62,18.63,4754.0,5269.0,4
NDC,143951425,droPERidol,26.62,18.63,4754.0,5269.0,4
NDC,143951901,Methotrexate Sodium,9.24,6.47,4754.0,5269.0,4
NDC,143951910,Methotrexate Sodium,9.24,6.47,4754.0,5269.0,4
NDC,143955301,Leucovorin Calcium,66.0,46.2,4754.0,5269.0,4
NDC,143955401,Leucovorin Calcium,44.0,30.8,4754.0,5269.0,4
NDC,143956401,Phentolamine Mesylate,1347.4,943.18,4754.0,5269.0,4
NDC,143956410,Phentolamine Mesylate,1347.4,943.18,4754.0,5269.0,4
NDC,143956601,azaTHIOprine Sodium,687.5,481.25,4754.0,5269.0,4
NDC,143957001,Sodium Ferric Gluconate Complex in Sucrose,87.45,61.22,4754.0,5269.0,4
NDC,143957010,Sodium Ferric Gluconate Complex in Sucrose,87.45,61.22,4754.0,5269.0,4
NDC,143957701,Lidocaine HCl,7.7,5.39,4754.0,5269.0,4
NDC,143957710,Lidocaine HCl,7.7,5.39,4754.0,5269.0,4
NDC,143958301,Irinotecan HCl Novaplus,55.0,38.5,4754.0,5269.0,4
NDC,143959401,Lidocaine HCl,6.08,4.26,4754.0,5269.0,4
NDC,143959425,Lidocaine HCl,6.08,4.26,4754.0,5269.0,4
NDC,143962201,Labetalol HCl,19.25,13.48,4754.0,5269.0,4
NDC,143966001,Metoprolol Tartrate,7.42,5.19,4754.0,5269.0,4
NDC,143966010,Metoprolol Tartrate,7.42,5.19,4754.0,5269.0,4
NDC,143967401,Argatroban,522.5,365.75,4754.0,5269.0,4
NDC,143968201,Glycopyrrolate,7.15,5.01,4754.0,5269.0,4
NDC,143968225,Glycopyrrolate,7.15,5.01,4754.0,5269.0,4
NDC,143968901,niCARdipine HCl,70.18,49.13,4754.0,5269.0,4
NDC,143968910,niCARdipine HCl,70.18,49.13,4754.0,5269.0,4
NDC,143970101,Irinotecan Hydrochloride,41.25,28.88,4754.0,5269.0,4
NDC,143970910,Milrinone Lactate,25.25,17.68,4754.0,5269.0,4
NDC,143971901,Milrinone Lactate in Dextrose,41.8,29.26,4754.0,5269.0,4
NDC,143971910,Milrinone Lactate in Dextrose,41.8,29.26,4754.0,5269.0,4
NDC,143972001,levoFLOXacin in 5% Dextrose,17.33,12.13,4754.0,5269.0,4
NDC,143972024,levoFLOXacin in 5% Dextrose,17.33,12.13,4754.0,5269.0,4
NDC,143972101,levoFLOXacin in 5% Dextrose,16.78,11.75,4754.0,5269.0,4
NDC,143972124,levoFLOXacin in 5% Dextrose,16.78,11.75,4754.0,5269.0,4
NDC,143972501,Progesterone,93.59,65.51,4754.0,5269.0,4
NDC,143972901,Benztropine Mesylate,165.0,115.5,4754.0,5269.0,4
NDC,143972905,Benztropine Mesylate,165.0,115.5,4754.0,5269.0,4
NDC,143974410,Granisetron Hydrochloride,24.75,17.33,4754.0,5269.0,4
NDC,143974601,Terbutaline Sulfate,11.0,7.7,4754.0,5269.0,4
NDC,143974610,Terbutaline Sulfate,11.0,7.7,4754.0,5269.0,4
NDC,143975001,Testosterone Enanthate,225.72,158.0,4754.0,5269.0,4
NDC,143978410,Flumazenil,17.88,12.52,4754.0,5269.0,4
NDC,143978501,Valproate Sodium,19.25,13.48,4754.0,5269.0,4
NDC,143978510,Valproate Sodium,19.25,13.48,4754.0,5269.0,4
NDC,143978701,Enalaprilat,14.6,10.22,4754.0,5269.0,4
NDC,143978710,Enalaprilat,14.6,10.22,4754.0,5269.0,4
NDC,143985101,methylPREDNISolone Sodium Succinate,115.2,80.64,4754.0,5269.0,4
NDC,143985201,levOCARNitine,98.1,68.67,4754.0,5269.0,4
NDC,143985210,levOCARNitine,98.1,68.67,4754.0,5269.0,4
NDC,143987501,Amiodarone HCl,5.51,3.86,4754.0,5269.0,4
NDC,143987525,Amiodarone HCl,5.51,3.86,4754.0,5269.0,4
NDC,143988750,Amoxicillin,8.94,6.26,4754.0,5269.0,4
NDC,143988815,Amoxicillin,8.25,5.78,4754.0,5269.0,4
NDC,143988880,Amoxicillin,4.61,3.23,4754.0,5269.0,4
NDC,143988980,Amoxicillin,7.26,5.08,4754.0,5269.0,4
NDC,143992490,ceFAZolin Sodium,3.77,2.64,4754.0,5269.0,4
NDC,143992701,Ciprofloxacin,39.88,27.92,4754.0,5269.0,4
NDC,143997722,Cefuroxime Sodium,16.08,11.26,4754.0,5269.0,4
NDC,143997790,Cefuroxime Sodium,16.08,11.26,4754.0,5269.0,4
NDC,143997922,Cefuroxime Sodium,8.04,5.63,4754.0,5269.0,4
NDC,143997990,Cefuroxime Sodium,8.04,5.63,4754.0,5269.0,4
NDC,143998303,ceFAZolin Sodium,30.39,21.27,4754.0,5269.0,4
NDC,143998391,ceFAZolin Sodium,30.39,21.27,4754.0,5269.0,4
NDC,145380001,Soriatane,48145.35,33701.75,4754.0,5269.0,4
NDC,14539067401,hydrOXYzine Pamoate,21.18,14.83,4754.0,5269.0,4
NDC,14789001002,Dicyclomine HCl,82.5,57.75,4754.0,5269.0,4
NDC,14789001007,Dicyclomine HCl,82.5,57.75,4754.0,5269.0,4
NDC,14789001505,Isoproterenol HCl,1650.0,1155.0,4754.0,5269.0,4
NDC,14789011605,Erythrocin Lactobionate,550.0,385.0,4754.0,5269.0,4
NDC,14789011607,Erythrocin Lactobionate,550.0,385.0,4754.0,5269.0,4
NDC,149047001,Actonel,2275.19,1592.63,4754.0,5269.0,4
NDC,149047801,Actonel,328.6,230.02,4754.0,5269.0,4
NDC,15054-0043-01,Onivyde,12288.5,8601.95,65.96,184.69,14
NDC,15054-0500-01,Dysport,0.01,0.01,8.8,24.64,7
NDC,15054-0530-06,Dysport,948.77,664.14,8.8,24.64,21
NDC,15054-1090-04,Somatuline Depot,19459.21,13621.45,35.39,99.09,14
NDC,15054-1120-04,Somatuline Depot,22948.8,16064.16,35.39,99.09,28
NDC,15054004301,Onivyde,8192.25,5734.58,4754.0,5269.0,4
NDC,15054050001,Dysport,2421.38,1694.97,4754.0,5269.0,4
NDC,15054053006,Dysport,1453.38,1017.37,4754.0,5269.0,4
NDC,15054109004,Somatuline Depot,22297.01,15607.91,4754.0,5269.0,4
NDC,15054112004,Somatuline Depot,26295.5,18406.85,4754.0,5269.0,4
NDC,15191113,Ixempra,9457.12,6619.98,4754.0,5269.0,4
NDC,15301260,Bicnu,471.38,329.97,4754.0,5269.0,4
NDC,15456098004,Sanctura,402.27,281.59,4754.0,5269.0,4
NDC,15584010101,Atripla,8235.48,5764.84,4754.0,5269.0,4
NDC,15798120,Oxacillin Sodium,17.27,12.09,4754.0,5269.0,4
NDC,16252053901,Isradipine,396.83,277.78,4754.0,5269.0,4
NDC,16252054001,Isradipine,580.25,406.18,4754.0,5269.0,4
NDC,16571-0401-10,Cetirizine HCl,1.0,0.7,,,0
NDC,16571-0664-01,metroNIDAZOLE,1.23,0.86,,,0
NDC,16571-0664-50,metroNIDAZOLE,1.17,0.82,,,0
NDC,16571-0673-01,PHENobarbital,3.86,2.7,,,0
NDC,16571-0813-20,Calcium Acetate,3.0,2.1,,,0
NDC,16571040110,Cetirizine HCl,20.63,14.44,4754.0,5269.0,4
NDC,16571066401,metroNIDAZOLE,49.5,34.65,4754.0,5269.0,4
NDC,16571066450,metroNIDAZOLE,247.5,173.25,4754.0,5269.0,4
NDC,16571067301,PHENobarbital,41.25,28.88,4754.0,5269.0,4
NDC,16571067401,PHENobarbital,44.0,30.8,4754.0,5269.0,4
NDC,16571067516,PHENobarbital,123.58,86.51,4754.0,5269.0,4
NDC,16571075453,Neomycin-Polymyxin B Sulfates-Bacitracin Zinc,109.86,76.9,4754.0,5269.0,4
NDC,16714-0007-01,Isosorbide Dinitrate,3.88,2.72,,,0
NDC,16714-0008-01,Isosorbide Dinitrate,1.89,1.32,,,0
NDC,16714-0014-01,Amoxicillin/Clavulanate Potassium,2.18,1.53,,,0
NDC,16714-0016-10,Enoxaparin Sodium,18.72,13.1,1.24,4.97,4
NDC,16714-0026-10,Enoxaparin Sodium,23.61,16.53,1.24,4.97,4
NDC,16714-0034-01,levETIRAcetam,1.0,0.7,,,0
NDC,16714-0035-01,levETIRAcetam,1.0,0.7,,,0
NDC,16714-0039-02,Colchicine,28.28,19.8,,,0
NDC,16714-0042-10,Allopurinol,1.0,0.7,,,0
NDC,16714-0046-10,Enoxaparin Sodium,41.69,29.18,1.24,4.97,4
NDC,16714-0052-01,Clopidogrel,1.0,0.7,,,0
NDC,16714-0052-02,Clopidogrel,1.0,0.7,,,0
NDC,16714-0052-11,Clopidogrel,1.0,0.7,,,0
NDC,16714-0070-02,Fulvestrant,3894.03,2725.82,,,0
NDC,16714-0071-04,Baclofen,3.0,2.1,,,0
NDC,16714-0081-10,hydrOXYzine HCl,1.0,0.7,,,0
NDC,16714-0082-10,hydrOXYzine HCl,1.0,0.7,,,0
NDC,16714-0083-10,hydrOXYzine HCl,1.0,0.7,,,0
NDC,16714-0099-01,Tacrolimus,14.64,10.25,0.27,0.4,4
NDC,16714-0110-01,Hydroxychloroquine Sulfate,6.03,4.22,,,0
NDC,16714-0137-01,PACLitaxel,115.85,81.095,0.11,0.15,4
NDC,16714-0141-01,ARIPiprazole,2.88,2.02,,,0
NDC,16714-0142-01,ARIPiprazole,2.88,2.02,,,0
NDC,16714-0143-01,ARIPiprazole,4.24,2.9699999999999998,,,0
NDC,16714-0159-01,Ondansetron HCl,1.34,0.94,,,0
NDC,16714-0166-01,Liothyronine Sodium,1.86,1.3,,,0
NDC,16714-0167-01,Liothyronine Sodium,2.4,1.68,,,0
NDC,16714-0171-01,tiZANidine HCl,2.0,1.4,,,0
NDC,16714-0172-01,tiZANidine HCl,1.0,0.7,,,0
NDC,16714-0173-01,Atorvastatin Calcium,1.0,0.7,,,0
NDC,16714-0173-03,Atorvastatin Calcium,1.0,0.7,,,0
NDC,16714-0175-01,Atorvastatin Calcium,1.0,0.7,,,0
NDC,16714-0176-02,Atorvastatin Calcium,1.0,0.7,,,0
NDC,16714-0200-30,Ondansetron,1.35,0.95,,,0
NDC,16714-0227-01,Carvedilol,43.52,30.46,,,0
NDC,16714-0229-01,Carvedilol,43.14,30.2,,,0
NDC,16714-0293-01,Amoxicillin/Clavulanate Potassium,5.19,3.63,,,0
NDC,16714-0299-03,Amoxicillin,1.0,0.7,,,0
NDC,16714-0355-02,levETIRAcetam,1.0,0.7,,,0
NDC,16714-0378-01,QUEtiapine Fumarate,1.56,1.09,,,0
NDC,16714-0388-01,Cefadroxil,2.82,1.97,,,0
NDC,16714-0391-02,Cefdinir,3.71,2.6,,,0
NDC,16714-0400-01,Cefuroxime Axetil,8.13,5.69,,,0
NDC,16714-0401-01,Cefuroxime Axetil,9.1,6.37,,,0
NDC,16714-0439-01,Nitrofurantoin Monohydrate/Macrocrystals,3.78,2.65,,,0
NDC,16714-0443-01,Enalapril Maleate,1.2,0.84,,,0
NDC,16714-0453-01,QUEtiapine,1.0,0.7,,,0
NDC,16714-0477-01,Amoxicillin/Clavulanate Potassium,1.56,1.09,,,0
NDC,16714-0478-01,Amoxicillin/Clavulanate Potassium,2.18,1.53,,,0
NDC,16714-0483-02,Clindamycin Palmitate HCl,26.07,18.25,,,0
NDC,16714-0496-01,clotrimazole-betamethasone dipropionate,52.6,36.82,,,0
NDC,16714-0549-01,lacosamide,4.15,2.91,,,0
NDC,16714-0558-01,Pravastatin Sodium,1.0,0.7,,,0
NDC,16714-0559-01,Pravastatin Sodium,2.0,1.4,,,0
NDC,16714-0560-01,Pravastatin Sodium,1.0,0.7,,,0
NDC,16714-0576-02,Allopurinol,1.0,0.7,,,0
NDC,16714-0577-01,Allopurinol,1.0,0.7,,,0
NDC,16714-0591-01,Digoxin,2.85,2.0,,,0
NDC,16714-0611-04,Sertraline HCl,1.0,0.7,,,0
NDC,16714-0612-05,Sertraline HCl,1.0,0.7,,,0
NDC,16714-0613-05,Sertraline HCl,1.0,0.7,,,0
NDC,16714-0621-01,Zolpidem Tartrate,2.0,1.4,,,0
NDC,16714-0631-01,Alendronate Sodium,1.0,0.7,,,0
NDC,16714-0633-02,Alendronate Sodium,2.09,1.46,,,0
NDC,16714-0634-02,Omeprazole,1.0,0.7,,,0
NDC,16714-0634-03,Omeprazole,2.0,1.4,,,0
NDC,16714-0661-01,Gabapentin,1.0,0.7,,,0
NDC,16714-0661-02,Gabapentin,1.0,0.7,,,0
NDC,16714-0663-02,Gabapentin,4.0,2.8,,,0
NDC,16714-0682-02,Simvastatin,1.0,0.7,,,0
NDC,16714-0683-02,Simvastatin,1.0,0.7,,,0
NDC,16714-0684-02,Simvastatin,1.0,0.7,,,0
NDC,16714-0694-01,Fluconazole,5.66,3.96,,,0
NDC,16714-0698-03,valACYclovir HCl,3.57,2.5,,,0
NDC,16714-0713-02,Tamsulosin HCl,1.0,0.7,,,0
NDC,16714-0715-03,Omeprazole,1.0,0.7,,,0
NDC,16714-0720-02,FLUoxetine HCl,1.0,0.7,,,0
NDC,16714-0721-02,FLUoxetine HCl,1.0,0.7,,,0
NDC,16714-0732-01,Celecoxib,2.38,1.67,,,0
NDC,16714-0733-01,Celecoxib,3.93,2.75,,,0
NDC,16714-0771-01,rasagiline,32.71,22.9,,,0
NDC,16714-0797-01,SUMAtriptan Succinate,4.26,2.98,,,0
NDC,16714-0799-02,Sunmark All Day Allergy,1.0,0.7,,,0
NDC,16714-0814-01,Sevelamer Carbonate,30.24,21.17,,,0
NDC,16714-0834-01,palonosetron hcl,678.51,474.96,1.19,1.39,4
NDC,16714-0835-01,Ziprasidone HCl,3.24,2.27,,,0
NDC,16714-0838-01,Ziprasidone HCl,2.33,1.63,,,0
NDC,16714-0852-02,Metoprolol Succinate,1.26,0.88,,,0
NDC,16714-0857-01,cycloPHOSphamide,1622.04,1135.43,0.58,1.62,7
NDC,16714-0878-01,Lidocaine,154.98,108.49,,,0
NDC,16714-0887-01,cloBAZam,8.41,5.89,,,0
NDC,16714-0889-10,Ertapenem,254.72,178.3,21.21,68.67,4
NDC,16714-0895-01,glipiZIDE,1.0,0.7,,,0
NDC,16714-0897-01,Permethrin,237.6,166.32,,,0
NDC,16714-0898-02,Loratadine,1.0,0.7,,,0
NDC,16714-0899-02,Fexofenadine HCl,1.0,0.7,,,0
NDC,16714-0950-01,Amphetamine Salt Combo,1.91,1.34,,,0
NDC,16714-0955-02,Ketoconazole,97.28,68.1,,,0
NDC,16714-0964-01,aspirin-dipyridamole,23.76,16.63,,,0
NDC,16714-0985-01,Triamcinolone Acetonide,7.06,4.94,,,0
NDC,16714-0986-01,Triamcinolone Acetonide,8.25,5.78,,,0
NDC,16714-0988-01,Rosuvastatin,1.0,0.7,,,0
NDC,16714-0989-01,Rosuvastatin,1.0,0.7,,,0
NDC,16714-0990-01,Rosuvastatin,1.0,0.7,,,0
NDC,16714-0991-01,Rosuvastatin,1.0,0.7,,,0
NDC,16714000301,fluPHENAZine HCl,713.63,499.54,4754.0,5269.0,4
NDC,16714000701,Isosorbide Dinitrate,193.05,135.14,4754.0,5269.0,4
NDC,16714000801,Isosorbide Dinitrate,216.15,151.31,4754.0,5269.0,4
NDC,16714000901,Isosorbide Dinitrate,241.45,169.02,4754.0,5269.0,4
NDC,16714001601,Enoxaparin Sodium,21.45,15.02,4754.0,5269.0,4
NDC,16714001610,Enoxaparin Sodium,21.45,15.02,4754.0,5269.0,4
NDC,16714002601,Enoxaparin Sodium,32.46,22.72,4754.0,5269.0,4
NDC,16714002610,Enoxaparin Sodium,32.46,22.72,4754.0,5269.0,4
NDC,16714003401,levETIRAcetam,89.1,62.37,4754.0,5269.0,4
NDC,16714003601,Enoxaparin Sodium,43.45,30.42,4754.0,5269.0,4
NDC,16714003610,Enoxaparin Sodium,43.45,30.42,4754.0,5269.0,4
NDC,16714004210,Allopurinol,57.75,40.43,4754.0,5269.0,4
NDC,16714004601,Enoxaparin Sodium,53.08,37.16,4754.0,5269.0,4
NDC,16714004610,Enoxaparin Sodium,53.08,37.16,4754.0,5269.0,4
NDC,16714005202,Clopidogrel,41.09,28.76,4754.0,5269.0,4
NDC,16714005211,Clopidogrel,66.28,46.4,4754.0,5269.0,4
NDC,16714005901,febuxostat,339.49,237.64,4754.0,5269.0,4
NDC,16714006301,carBAMazepine,251.9,176.33,4754.0,5269.0,4
NDC,16714007001,Fulvestrant,2230.96,1561.67,4754.0,5269.0,4
NDC,16714007002,Fulvestrant,2230.96,1561.67,4754.0,5269.0,4
NDC,16714007104,Baclofen,42.63,29.84,4754.0,5269.0,4
NDC,16714008110,hydrOXYzine HCl,29.15,20.41,4754.0,5269.0,4
NDC,16714008310,hydrOXYzine HCl,50.88,35.62,4754.0,5269.0,4
NDC,16714009901,Tacrolimus,419.1,293.37,4754.0,5269.0,4
NDC,16714010102,Gemfibrozil,29.54,20.68,4754.0,5269.0,4
NDC,16714011001,Hydroxychloroquine Sulfate,345.4,241.78,4754.0,5269.0,4
NDC,16714011301,FLUoxetine HCl,122.02,85.41,4754.0,5269.0,4
NDC,16714011601,rivastigmine,28.03,19.62,4754.0,5269.0,4
NDC,16714011602,rivastigmine,840.84,588.59,4754.0,5269.0,4
NDC,16714013201,Doxepin HCl,125.95,88.17,4754.0,5269.0,4
NDC,16714013701,PACLitaxel,237.74,166.42,4754.0,5269.0,4
NDC,16714014101,ARIPiprazole,99.0,69.3,4754.0,5269.0,4
NDC,16714014201,ARIPiprazole,98.84,69.19,4754.0,5269.0,4
NDC,16714014301,ARIPiprazole,97.11,67.98,4754.0,5269.0,4
NDC,16714014401,ARIPiprazole,95.13,66.59,4754.0,5269.0,4
NDC,16714014501,ARIPiprazole,113.44,79.41,4754.0,5269.0,4
NDC,16714015901,Ondansetron HCl,22.94,16.06,4754.0,5269.0,4
NDC,16714016001,Ondansetron HCl,26.16,18.31,4754.0,5269.0,4
NDC,16714016601,Liothyronine Sodium,212.3,148.61,4754.0,5269.0,4
NDC,16714016701,Liothyronine Sodium,275.0,192.5,4754.0,5269.0,4
NDC,16714017101,tiZANidine HCl,56.1,39.27,4754.0,5269.0,4
NDC,16714017201,tiZANidine HCl,65.18,45.63,4754.0,5269.0,4
NDC,16714018101,PARoxetine HCl,14.19,9.93,4754.0,5269.0,4
NDC,16714018201,PARoxetine HCl,11.39,7.97,4754.0,5269.0,4
NDC,16714019801,Voriconazole,201.55,141.09,4754.0,5269.0,4
NDC,16714019901,Voriconazole,646.97,452.88,4754.0,5269.0,4
NDC,16714020010,Ondansetron,1.54,1.08,4754.0,5269.0,4
NDC,16714020030,Ondansetron,46.2,32.34,4754.0,5269.0,4
NDC,16714021301,Raloxifene HCl,127.88,89.52,4754.0,5269.0,4
NDC,16714022701,Carvedilol,652.74,456.92,4754.0,5269.0,4
NDC,16714022801,Carvedilol,651.84,456.29,4754.0,5269.0,4
NDC,16714022901,Carvedilol,647.05,452.94,4754.0,5269.0,4
NDC,16714023401,Penicillin V Potassium,55.55,38.89,4754.0,5269.0,4
NDC,16714023501,Penicillin V Potassium,168.3,117.81,4754.0,5269.0,4
NDC,16714026801,Triamcinolone Acetonide,22.49,15.74,4754.0,5269.0,4
NDC,16714027601,Triamcinolone Acetonide,11.14,7.8,4754.0,5269.0,4
NDC,16714029201,Amoxicillin/Clavulanate Potassium,23.79,16.65,4754.0,5269.0,4
NDC,16714029203,Amoxicillin/Clavulanate Potassium,29.7,20.79,4754.0,5269.0,4
NDC,16714029301,Amoxicillin/Clavulanate Potassium,29.7,20.79,4754.0,5269.0,4
NDC,16714029303,Amoxicillin/Clavulanate Potassium,53.63,37.54,4754.0,5269.0,4
NDC,16714029601,Amoxicillin/Clavulanate Potassium,35.53,24.87,4754.0,5269.0,4
NDC,16714029701,Amoxicillin/Clavulanate Potassium,49.89,34.92,4754.0,5269.0,4
NDC,16714029801,Amoxicillin,14.03,9.82,4754.0,5269.0,4
NDC,16714029802,Amoxicillin,86.63,60.64,4754.0,5269.0,4
NDC,16714029903,Amoxicillin,24.75,17.33,4754.0,5269.0,4
NDC,16714035601,levETIRAcetam,146.85,102.8,4754.0,5269.0,4
NDC,16714035801,levETIRAcetam,131.38,91.97,4754.0,5269.0,4
NDC,16714036301,Tri-Linyah,65.15,45.61,4754.0,5269.0,4
NDC,16714036304,Tri-Linyah,65.15,45.61,4754.0,5269.0,4
NDC,16714037901,QUEtiapine Fumarate,368.78,258.15,4754.0,5269.0,4
NDC,16714038801,Cefadroxil,80.58,56.41,4754.0,5269.0,4
NDC,16714038802,Cefadroxil,145.2,101.64,4754.0,5269.0,4
NDC,16714040001,Cefuroxime Axetil,93.06,65.14,4754.0,5269.0,4
NDC,16714040101,Cefuroxime Axetil,182.0,127.4,4754.0,5269.0,4
NDC,16714044301,Enalapril Maleate,136.4,95.48,4754.0,5269.0,4
NDC,16714044401,Enalapril Maleate,140.53,98.37,4754.0,5269.0,4
NDC,16714044801,Amitriptyline HCl,124.03,86.82,4754.0,5269.0,4
NDC,16714047701,Amoxicillin/Clavulanate Potassium,35.53,24.87,4754.0,5269.0,4
NDC,16714048302,Clindamycin Palmitate HCl,130.35,91.25,4754.0,5269.0,4
NDC,16714048401,Divalproex Sodium,104.5,73.15,4754.0,5269.0,4
NDC,16714049601,clotrimazole-betamethasone dipropionate,60.27,42.19,4754.0,5269.0,4
NDC,16714052701,Ipratropium Bromide,99.54,69.68,4754.0,5269.0,4
NDC,16714052801,Propofol,14.25,9.98,4754.0,5269.0,4
NDC,16714052810,Propofol,14.25,9.98,4754.0,5269.0,4
NDC,16714053401,emtricitabine-tenofovir disoproxil fumarate,87.54,61.28,4754.0,5269.0,4
NDC,16714055701,metroNIDAZOLE,317.44,222.21,4754.0,5269.0,4
NDC,16714055801,Pravastatin Sodium,62.62,43.83,4754.0,5269.0,4
NDC,16714057001,Pravastatin Sodium,93.56,65.49,4754.0,5269.0,4
NDC,16714057602,Allopurinol,30.25,21.18,4754.0,5269.0,4
NDC,16714057701,Allopurinol,57.75,40.43,4754.0,5269.0,4
NDC,16714059001,Digoxin,325.88,228.12,4754.0,5269.0,4
NDC,16714059101,Digoxin,325.88,228.12,4754.0,5269.0,4
NDC,16714061104,Sertraline HCl,33.83,23.68,4754.0,5269.0,4
NDC,16714061201,Sertraline HCl,11.8,8.26,4754.0,5269.0,4
NDC,16714061204,Sertraline HCl,36.3,25.41,4754.0,5269.0,4
NDC,16714061205,Sertraline HCl,148.5,103.95,4754.0,5269.0,4
NDC,16714061305,Sertraline HCl,173.25,121.28,4754.0,5269.0,4
NDC,16714062101,Zolpidem Tartrate,15.95,11.17,4754.0,5269.0,4
NDC,16714062701,lamoTRIgine,1487.23,1041.06,4754.0,5269.0,4
NDC,16714062801,ciprofloxacin hcl-dexAMETHasone,565.44,395.81,4754.0,5269.0,4
NDC,16714063101,Alendronate Sodium,27.48,19.24,4754.0,5269.0,4
NDC,16714063201,Alendronate Sodium,14.28,10.0,4754.0,5269.0,4
NDC,16714063301,Alendronate Sodium,9.55,6.69,4754.0,5269.0,4
NDC,16714063302,Alendronate Sodium,47.74,33.42,4754.0,5269.0,4
NDC,16714063402,Omeprazole,33.0,23.1,4754.0,5269.0,4
NDC,16714063403,Omeprazole,330.0,231.0,4754.0,5269.0,4
NDC,16714064301,Moxifloxacin HCl,140.34,98.24,4754.0,5269.0,4
NDC,16714066101,Gabapentin,26.13,18.29,4754.0,5269.0,4
NDC,16714066102,Gabapentin,107.25,75.08,4754.0,5269.0,4
NDC,16714066201,Gabapentin,35.2,24.64,4754.0,5269.0,4
NDC,16714066301,Gabapentin,51.15,35.81,4754.0,5269.0,4
NDC,16714066302,Gabapentin,177.38,124.17,4754.0,5269.0,4
NDC,16714067102,Ondansetron,194.43,136.1,4754.0,5269.0,4
NDC,16714067301,fluPHENAZine HCl,713.63,499.54,4754.0,5269.0,4
NDC,16714068102,Simvastatin,28.22,19.75,4754.0,5269.0,4
NDC,16714068201,Simvastatin,7.84,5.49,4754.0,5269.0,4
NDC,16714068202,Simvastatin,26.49,18.54,4754.0,5269.0,4
NDC,16714068302,Simvastatin,28.47,19.93,4754.0,5269.0,4
NDC,16714068402,Simvastatin,33.66,23.56,4754.0,5269.0,4
NDC,16714069001,Propofol,59.4,41.58,4754.0,5269.0,4
NDC,16714069010,Propofol,59.4,41.58,4754.0,5269.0,4
NDC,16714069301,Fluconazole,151.64,106.15,4754.0,5269.0,4
NDC,16714069401,Fluconazole,64.77,45.34,4754.0,5269.0,4
NDC,16714069601,Fluconazole,156.89,109.82,4754.0,5269.0,4
NDC,16714069803,valACYclovir HCl,183.65,128.56,4754.0,5269.0,4
NDC,16714071701,entecavir,786.39,550.47,4754.0,5269.0,4
NDC,16714072002,FLUoxetine HCl,22.28,15.6,4754.0,5269.0,4
NDC,16714072102,FLUoxetine HCl,18.43,12.9,4754.0,5269.0,4
NDC,16714072901,Desonide,99.21,69.45,4754.0,5269.0,4
NDC,16714073201,Celecoxib,271.7,190.19,4754.0,5269.0,4
NDC,16714073301,Celecoxib,449.9,314.93,4754.0,5269.0,4
NDC,16714075301,Hydroxychloroquine Sulfate,345.4,241.78,4754.0,5269.0,4
NDC,16714075801,atomoxetine hydrochloride,336.19,235.33,4754.0,5269.0,4
NDC,16714075901,atomoxetine hydrochloride,337.1,235.97,4754.0,5269.0,4
NDC,16714076301,Calcipotriene,729.63,510.74,4754.0,5269.0,4
NDC,16714076302,Calcipotriene,1336.17,935.32,4754.0,5269.0,4
NDC,16714076901,Nystatin,47.73,33.41,4754.0,5269.0,4
NDC,16714077101,rasagiline,1124.31,787.02,4754.0,5269.0,4
NDC,16714079501,Terbinafine HCl,21.95,15.37,4754.0,5269.0,4
NDC,16714079601,SUMAtriptan Succinate,43.86,30.7,4754.0,5269.0,4
NDC,16714079701,SUMAtriptan Succinate,43.86,30.7,4754.0,5269.0,4
NDC,16714079902,Sunmark All Day Allergy,35.75,25.03,4754.0,5269.0,4
NDC,16714081302,Ezetimibe,78.96,55.27,4754.0,5269.0,4
NDC,16714081401,Sevelamer Carbonate,1557.77,1090.44,4754.0,5269.0,4
NDC,16714082001,tenofovir disoproxil fumarate,185.79,130.05,4754.0,5269.0,4
NDC,16714082101,Methylphenidate HCl,88.28,61.8,4754.0,5269.0,4
NDC,16714082901,Budesonide,861.58,603.11,4754.0,5269.0,4
NDC,16714083501,Ziprasidone HCl,222.59,155.81,4754.0,5269.0,4
NDC,16714083601,Ziprasidone HCl,140.58,98.41,4754.0,5269.0,4
NDC,16714083701,Ziprasidone HCl,160.55,112.39,4754.0,5269.0,4
NDC,16714083801,Ziprasidone HCl,159.56,111.69,4754.0,5269.0,4
NDC,16714085202,Metoprolol Succinate,717.75,502.43,4754.0,5269.0,4
NDC,16714085901,cycloPHOSphamide,931.95,652.37,4754.0,5269.0,4
NDC,16714086801,paliperidone,2075.21,1452.65,4754.0,5269.0,4
NDC,16714086901,paliperidone,3112.89,2179.02,4754.0,5269.0,4
NDC,16714087801,Lidocaine,177.58,124.31,4754.0,5269.0,4
NDC,16714088601,Bleomycin,105.85,74.1,4754.0,5269.0,4
NDC,16714088701,cloBAZam,481.8,337.26,4754.0,5269.0,4
NDC,16714089201,DAPTOmycin,1126.98,788.89,4754.0,5269.0,4
NDC,16714089401,glipiZIDE,18.48,12.94,4754.0,5269.0,4
NDC,16714089501,glipiZIDE,51.98,36.39,4754.0,5269.0,4
NDC,16714089701,Permethrin,272.25,190.58,4754.0,5269.0,4
NDC,16714089902,Fexofenadine HCl,84.7,59.29,4754.0,5269.0,4
NDC,16714095001,Amphetamine Salt Combo,190.58,133.41,4754.0,5269.0,4
NDC,16714095501,Ketoconazole,66.17,46.32,4754.0,5269.0,4
NDC,16714095502,Ketoconazole,111.46,78.02,4754.0,5269.0,4
NDC,16714095602,Dapsone,1459.02,1021.31,4754.0,5269.0,4
NDC,16714096301,abiraterone acetate,926.64,648.65,4754.0,5269.0,4
NDC,16714096401,aspirin-dipyridamole,816.09,571.26,4754.0,5269.0,4
NDC,16714097401,Mometasone Furoate,48.14,33.7,4754.0,5269.0,4
NDC,16714098501,Triamcinolone Acetonide,8.09,5.66,4754.0,5269.0,4
NDC,16714098601,Triamcinolone Acetonide,9.45,6.62,4754.0,5269.0,4
NDC,16714098603,Triamcinolone Acetonide,19.8,13.86,4754.0,5269.0,4
NDC,16714098701,Triamcinolone Acetonide,21.5,15.05,4754.0,5269.0,4
NDC,16714098801,Rosuvastatin,50.74,35.52,4754.0,5269.0,4
NDC,16714098901,Rosuvastatin,49.75,34.83,4754.0,5269.0,4
NDC,16714099101,Rosuvastatin,16.75,11.73,4754.0,5269.0,4
NDC,16729-0114-08,Etoposide,44.01,30.81,1.05,1.37,4
NDC,16729-0114-11,Etoposide,55.254999999999995,38.68,1.05,1.37,4
NDC,16729-0132-12,QUEtiapine Fumarate,1.0,0.7,,,0
NDC,16729-0443-10,buPROPion HCl XL,1.0,0.7,,,0
NDC,16729-0443-15,buPROPion HCl XL,1.0,0.7,,,0
NDC,16729-0448-15,Levothyroxine Sodium,1.0,0.7,,,0
NDC,16729-0449-15,Levothyroxine Sodium,1.0,0.7,,,0
NDC,16729-0450-15,Levothyroxine Sodium,1.0,0.7,,,0
NDC,16729-0451-15,Levothyroxine Sodium,1.0,0.7,,,0
NDC,16729-0452-15,Levothyroxine Sodium,1.0,0.7,,,0
NDC,16729-0453-15,Levothyroxine Sodium,1.0,0.7,,,0
NDC,16729-0455-15,Levothyroxine Sodium,1.0,0.7,,,0
NDC,16729000815,Pravastatin Sodium,30.2,21.14,4754.0,5269.0,4
NDC,16729002310,Bicalutamide,62.54,43.78,4754.0,5269.0,4
NDC,16729004201,Tacrolimus,160.6,112.42,4754.0,5269.0,4
NDC,16729004954,Temozolomide,236.01,165.21,4754.0,5269.0,4
NDC,16729007901,Carbidopa-Levodopa,173.25,121.28,4754.0,5269.0,4
NDC,16729009001,Finasteride,22.55,15.79,4754.0,5269.0,4
NDC,16729010811,mitoMYcin,1737.95,1216.57,4754.0,5269.0,4
NDC,16729011408,Etoposide,141.63,99.14,4754.0,5269.0,4
NDC,16729011411,Etoposide,283.25,198.28,4754.0,5269.0,4
NDC,16729011505,mitoMYcin,669.0,468.3,4754.0,5269.0,4
NDC,16729011638,mitoMYcin,3475.89,2433.12,4754.0,5269.0,4
NDC,16729013212,QUEtiapine Fumarate,22.61,15.83,4754.0,5269.0,4
NDC,16729013501,Allopurinol,57.75,40.43,4754.0,5269.0,4
NDC,16729015131,Topotecan HCl,385.0,269.5,4754.0,5269.0,4
NDC,16729016901,Escitalopram,33.0,23.1,4754.0,5269.0,4
NDC,16729018201,hydroCHLOROthiazide,25.03,17.52,4754.0,5269.0,4
NDC,16729026763,DOCEtaxel,74.25,51.98,4754.0,5269.0,4
NDC,16729026764,DOCEtaxel,252.45,176.72,4754.0,5269.0,4
NDC,16729027603,Fluorouracil,37.87,26.51,4754.0,5269.0,4
NDC,16729027668,Fluorouracil,37.87,26.51,4754.0,5269.0,4
NDC,16729027730,Methotrexate,11.64,8.15,4754.0,5269.0,4
NDC,16729027735,Methotrexate,101.86,71.3,4754.0,5269.0,4
NDC,16729028838,CISplatin,89.1,62.37,4754.0,5269.0,4
NDC,16729029805,Ondansetron,15.13,10.59,4754.0,5269.0,4
NDC,16729033101,acetaZOLAMIDE,137.5,96.25,4754.0,5269.0,4
NDC,16729033205,Oxaliplatin,137.5,96.25,4754.0,5269.0,4
NDC,16729035310,vilazodone hydrochloride,681.78,477.25,4754.0,5269.0,4
NDC,16729042210,Tacrolimus,274.98,192.49,4754.0,5269.0,4
NDC,16729043315,Ezetimibe,51.98,36.39,4754.0,5269.0,4
NDC,16729044315,buPROPion HCl XL,31.68,22.18,4754.0,5269.0,4
NDC,16729044410,buPROPion HCl XL,13.2,9.24,4754.0,5269.0,4
NDC,16729044715,Levothyroxine Sodium,22.28,15.6,4754.0,5269.0,4
NDC,16729044815,Levothyroxine Sodium,24.26,16.98,4754.0,5269.0,4
NDC,16729045015,Levothyroxine Sodium,18.32,12.82,4754.0,5269.0,4
NDC,16729045115,Levothyroxine Sodium,18.32,12.82,4754.0,5269.0,4
NDC,16729045215,Levothyroxine Sodium,25.99,18.19,4754.0,5269.0,4
NDC,16729045315,Levothyroxine Sodium,26.73,18.71,4754.0,5269.0,4
NDC,16729045515,Levothyroxine Sodium,25.25,17.68,4754.0,5269.0,4
NDC,16729045615,Levothyroxine Sodium,26.73,18.71,4754.0,5269.0,4
NDC,16729045715,Levothyroxine Sodium,26.73,18.71,4754.0,5269.0,4
NDC,16729047801,Methylphenidate HCl,53.63,37.54,4754.0,5269.0,4
NDC,16729050143,Furosemide,7.98,5.59,4754.0,5269.0,4
NDC,16729050164,Furosemide,7.98,5.59,4754.0,5269.0,4
NDC,16729052608,Atropine Sulfate,51.81,36.27,4754.0,5269.0,4
NDC,16729052663,Atropine Sulfate,51.81,36.27,4754.0,5269.0,4
NDC,168000215,Triamcinolone Acetonide,25.46,17.82,4754.0,5269.0,4
NDC,168000315,Triamcinolone Acetonide,10.23,7.16,4754.0,5269.0,4
NDC,168000415,Triamcinolone Acetonide,8.25,5.78,4754.0,5269.0,4
NDC,168000580,Triamcinolone Acetonide,25.52,17.86,4754.0,5269.0,4
NDC,168000615,Triamcinolone Acetonide,12.79,8.95,4754.0,5269.0,4
NDC,168000715,Nystatin,38.49,26.94,4754.0,5269.0,4
NDC,168001209,Bacitracin-Neo-Poly,76.83,53.78,4754.0,5269.0,4
NDC,168002031,Hydrocortisone,18.09,12.66,4754.0,5269.0,4
NDC,168002638,Bacitracin,131.67,92.17,4754.0,5269.0,4
NDC,168003315,Betamethasone Valerate,44.76,31.33,4754.0,5269.0,4
NDC,168003346,Betamethasone Valerate,91.33,63.93,4754.0,5269.0,4
NDC,168004046,Betamethasone Valerate,125.61,87.93,4754.0,5269.0,4
NDC,168004160,Betamethasone Valerate,165.0,115.5,4754.0,5269.0,4
NDC,168005515,Betamethasone Dipropionate,116.21,81.35,4754.0,5269.0,4
NDC,168005546,Betamethasone Dipropionate,232.41,162.69,4754.0,5269.0,4
NDC,168005646,Betamethasone Dipropionate,270.52,189.36,4754.0,5269.0,4
NDC,168005960,Fluocinolone Acetonide,91.91,64.34,4754.0,5269.0,4
NDC,168007938,Sulfacetamide Sodium,5.23,3.66,4754.0,5269.0,4
NDC,168008031,Hydrocortisone,9.08,6.36,4754.0,5269.0,4
NDC,168009915,Ketoconazole,41.25,28.88,4754.0,5269.0,4
NDC,168009930,Ketoconazole,68.73,48.11,4754.0,5269.0,4
NDC,168013460,Fluocinonide,110.06,77.04,4754.0,5269.0,4
NDC,168025815,clotrimazole-betamethasone dipropionate,46.37,32.46,4754.0,5269.0,4
NDC,168031004,Desonide,964.42,675.09,4754.0,5269.0,4
NDC,168031315,Ciclopirox,56.35,39.45,4754.0,5269.0,4
NDC,168032346,metroNIDAZOLE,196.27,137.39,4754.0,5269.0,4
NDC,168035730,Lidocaine-Prilocaine,41.5,29.05,4754.0,5269.0,4
NDC,16837029125,Pepcid Complete,24.27,16.99,4754.0,5269.0,4
NDC,16864024001,Domeboro,21.98,15.39,4754.0,5269.0,4
NDC,16864067001,Dermoplast First Aid,13.3,9.31,4754.0,5269.0,4
NDC,16864068002,Dermoplast Pain & Itch Spray,12.48,8.74,4754.0,5269.0,4
NDC,16864068003,Dermoplast Pain & Itch Spray,15.9,11.13,4754.0,5269.0,4
NDC,169183711,NovoLIN 70/30,132.55,92.79,4754.0,5269.0,4
NDC,169266015,Tresiba FlexTouch Pen,279.64,195.75,4754.0,5269.0,4
NDC,169300315,Novolin R FlexPen,50.11,35.08,4754.0,5269.0,4
NDC,169300715,NovoLIN 70/30 FlexPen,50.11,35.08,4754.0,5269.0,4
NDC,169347718,NovoLIN 70/30 Penfill,71.52,50.06,4754.0,5269.0,4
NDC,169368512,NovoLOG Mix 70/30,198.94,139.26,4754.0,5269.0,4
NDC,169368712,Levemir,296.59,207.61,4754.0,5269.0,4
NDC,169369619,NovoLOG Mix 70/30 FlexPen,76.85,53.8,4754.0,5269.0,4
NDC,169406012,Victoza Pen,747.33,523.13,4754.0,5269.0,4
NDC,169517303,Vagifem,124.22,86.95,4754.0,5269.0,4
NDC,169517304,Vagifem,279.38,195.57,4754.0,5269.0,4
NDC,169633910,NovoLOG FlexPen,76.85,53.8,4754.0,5269.0,4
NDC,169643210,Levemir FlexPen,88.98,62.29,4754.0,5269.0,4
NDC,169643255,Levemir FlexPen,88.98,62.29,4754.0,5269.0,4
NDC,169720101,NovoSeven RT,7.73,5.41,4754.0,5269.0,4
NDC,169750111,NovoLOG,198.94,139.26,4754.0,5269.0,4
NDC,172208360,hydroCHLOROthiazide,11.55,8.09,4754.0,5269.0,4
NDC,172208960,hydroCHLOROthiazide,22.55,15.79,4754.0,5269.0,4
NDC,172221860,sulfiSOXAZOLE,65.45,45.82,4754.0,5269.0,4
NDC,172234560,Procainamide HCl,139.43,97.6,4754.0,5269.0,4
NDC,172234760,Procainamide HCl,218.08,152.66,4754.0,5269.0,4
NDC,172295960,Ergoloid Mesylates,187.0,130.9,4754.0,5269.0,4
NDC,172297860,TOLAZamide,81.13,56.79,4754.0,5269.0,4
NDC,172300170,quiNINE Sulfate,820.88,574.62,4754.0,5269.0,4
NDC,17238090011,Bio Glo,57.75,40.43,4754.0,5269.0,4
NDC,17238090099,Bio Glo,1.0,0.7,4754.0,5269.0,4
NDC,172392660,diazePAM,13.2,9.24,4754.0,5269.0,4
NDC,172392760,diazePAM,25.58,17.91,4754.0,5269.0,4
NDC,172417160,quiNINE Sulfate,134.75,94.33,4754.0,5269.0,4
NDC,172417260,quiNINE Sulfate,166.65,116.66,4754.0,5269.0,4
NDC,172524060,Anagrelide HCl,492.53,344.77,4754.0,5269.0,4
NDC,172524160,Anagrelide HCl,229.08,160.36,4754.0,5269.0,4
NDC,172572860,Famotidine,30.8,21.56,4754.0,5269.0,4
NDC,172572960,Famotidine,61.6,43.12,4754.0,5269.0,4
NDC,172635960,traMADol HCl/Acetaminophen,165.0,115.5,4754.0,5269.0,4
NDC,172640649,Cromolyn Sodium,14.96,10.47,4754.0,5269.0,4
NDC,172731320,cycloSPORINE,648.45,453.92,4754.0,5269.0,4
NDC,172771160,Cimetidine,50.88,35.62,4754.0,5269.0,4
NDC,173038879,Beconase AQ,806.72,564.7,4754.0,5269.0,4
NDC,173052100,Serevent Diskus,1164.57,815.2,4754.0,5269.0,4
NDC,173052400,Imitrex,1543.3,1080.31,4754.0,5269.0,4
NDC,173064460,LaMICtal,2083.13,1458.19,4754.0,5269.0,4
NDC,173067200,Agenerase,848.76,594.13,4754.0,5269.0,4
NDC,173068101,Relenza,162.25,113.58,4754.0,5269.0,4
NDC,173068220,Ventolin HFA,156.82,109.77,4754.0,5269.0,4
NDC,173068224,Ventolin HFA,62.48,43.74,4754.0,5269.0,4
NDC,173069100,Trizivir,3685.77,2580.04,4754.0,5269.0,4
NDC,173069500,Advair Diskus 100/50,429.0,300.3,4754.0,5269.0,4
NDC,173069504,Advair Diskus 100/50,125.17,87.62,4754.0,5269.0,4
NDC,173069600,Advair Diskus 250/50,538.4,376.88,4754.0,5269.0,4
NDC,173069604,Advair Diskus 250/50,125.17,87.62,4754.0,5269.0,4
NDC,173069700,Advair Diskus 500/50,729.47,510.63,4754.0,5269.0,4
NDC,173069704,Advair Diskus 500/50,204.02,142.81,4754.0,5269.0,4
NDC,173071620,Advair HFA 115/21,877.05,613.94,4754.0,5269.0,4
NDC,173071720,Advair HFA 230/21,1209.22,846.45,4754.0,5269.0,4
NDC,173071920,Flovent HFA,753.03,527.12,4754.0,5269.0,4
NDC,173072100,Lexiva,1992.54,1394.78,4754.0,5269.0,4
NDC,173082318,Rythmol SR,2007.89,1405.52,4754.0,5269.0,4
NDC,173082418,Rythmol SR,2543.64,1780.55,4754.0,5269.0,4
NDC,173085914,Breo Ellipta,431.44,302.01,4754.0,5269.0,4
NDC,173086906,Anoro Ellipta,323.25,226.28,4754.0,5269.0,4
NDC,173087306,Incruse Ellipta,206.38,144.47,4754.0,5269.0,4
NDC,173088101,Nucala,9907.76,6935.43,4754.0,5269.0,4
NDC,173088214,Breo Ellipta,431.44,302.01,4754.0,5269.0,4
NDC,173088710,Trelegy Ellipta,1862.85,1304.0,4754.0,5269.0,4
NDC,173088714,Trelegy Ellipta,868.18,607.73,4754.0,5269.0,4
NDC,173089242,Nucala PFS,10553.07,7387.15,4754.0,5269.0,4
NDC,173089314,Trelegy Ellipta,868.18,607.73,4754.0,5269.0,4
NDC,173089601,Blenrep,24272.8,16990.96,4754.0,5269.0,4
NDC,173089803,Jemperli,33083.25,23158.28,4754.0,5269.0,4
NDC,17314932101,Polycitra-K,87.16,61.01,4754.0,5269.0,4
NDC,17478-0030-05,fentaNYL Citrate,8.0,5.6,0.99,1.58,4
NDC,17478-0504-10,Methylene Blue,214.78,150.345,9.81,27.47,14
NDC,17478-0542-02,Adenosine,12.96,9.07,0.56,0.98,4
NDC,17478004532,Tetracaine,208.85,146.2,4754.0,5269.0,4
NDC,17478006235,Artificial Tear,19.23,13.46,4754.0,5269.0,4
NDC,17478006412,Gonak,53.26,37.28,4754.0,5269.0,4
NDC,17478006705,ALfentanil HCl,29.04,20.33,4754.0,5269.0,4
NDC,17478010720,levoFLOXacin,44.0,30.8,4754.0,5269.0,4
NDC,17478020115,Phenylephrine HCl,247.5,173.25,4754.0,5269.0,4
NDC,17478020910,Ketorolac Tromethamine,88.06,61.64,4754.0,5269.0,4
NDC,17478025310,AK-Fluor,198.0,138.6,4754.0,5269.0,4
NDC,17478026312,Proparacaine HCl,96.53,67.57,4754.0,5269.0,4
NDC,17478028310,Gentamicin Sulfate,42.22,29.55,4754.0,5269.0,4
NDC,17478028435,Gentak,85.7,59.99,4754.0,5269.0,4
NDC,17478040303,Ful-Glo,99.0,69.3,4754.0,5269.0,4
NDC,17478042240,Mycophenolate Mofetil,203.5,142.45,4754.0,5269.0,4
NDC,17478050305,Dehydrated Alcohol,1228.58,860.01,4754.0,5269.0,4
NDC,17478051002,PHYSostigmine Salicylate,215.29,150.7,4754.0,5269.0,4
NDC,17478052603,Bal In Oil,465.5,325.85,4754.0,5269.0,4
NDC,17478054001,HYDROmorphone HCl,6.59,4.61,4754.0,5269.0,4
NDC,17478054602,Granisetron Hydrochloride,51.9,36.33,4754.0,5269.0,4
NDC,17478060901,Zioptan,21.09,14.76,4754.0,5269.0,4
NDC,17478060930,Zioptan,632.61,442.83,4754.0,5269.0,4
NDC,17478062312,Sodium Chloride,32.43,22.7,4754.0,5269.0,4
NDC,17478062512,Latanoprost,42.77,29.94,4754.0,5269.0,4
NDC,17478071310,Ofloxacin,46.07,32.25,4754.0,5269.0,4
NDC,17478071510,Brimonidine Tartrate,40.43,28.3,4754.0,5269.0,4
NDC,17478079201,Akten,58.44,40.91,4754.0,5269.0,4
NDC,17478079225,Akten,64.25,44.98,4754.0,5269.0,4
NDC,17478093710,dilTIAZem HCl,8.03,5.62,4754.0,5269.0,4
NDC,17772013130,Qelbree,1038.1,726.67,4754.0,5269.0,4
NDC,182000101,Niacin,3.85,2.7,4754.0,5269.0,4
NDC,182081101,Niacin,8.8,6.16,4754.0,5269.0,4
NDC,182151801,Ergoloid Mesylates,11.83,8.28,4754.0,5269.0,4
NDC,185012201,Nitrofurantoin Monohydrate/Macrocrystals,137.5,96.25,4754.0,5269.0,4
NDC,185014001,Etodolac,291.23,203.86,4754.0,5269.0,4
NDC,185021101,Benazepril HCl/hydroCHLOROthiazide,246.13,172.29,4754.0,5269.0,4
NDC,185027701,Benazepril HCl/hydroCHLOROthiazide,246.13,172.29,4754.0,5269.0,4
NDC,185112588,Flutamide,431.48,302.04,4754.0,5269.0,4
NDC,186037020,Symbicort 160/4.5,644.29,451.0,4754.0,5269.0,4
NDC,186037028,Symbicort 160/4.5,437.8,306.46,4754.0,5269.0,4
NDC,186037228,Symbicort 80/4.5,380.61,266.43,4754.0,5269.0,4
NDC,186077660,Brilinta,1278.09,894.66,4754.0,5269.0,4
NDC,186077739,Brilinta,2130.15,1491.11,4754.0,5269.0,4
NDC,186077760,Brilinta,1278.09,894.66,4754.0,5269.0,4
NDC,186107509,Rhinocort,101.53,71.07,4754.0,5269.0,4
NDC,186502031,NexIUM,757.11,529.98,4754.0,5269.0,4
NDC,186504031,NexIUM,757.11,529.98,4754.0,5269.0,4
NDC,18657-0117-04,Hylenex,134.06,93.84,0.36,0.59,4
NDC,18657011701,Hylenex,153.45,107.42,4754.0,5269.0,4
NDC,18657011702,Hylenex,153.45,107.42,4754.0,5269.0,4
NDC,18657011704,Hylenex,153.45,107.42,4754.0,5269.0,4
NDC,186604001,NexIUM I.V.,122.79,85.95,4754.0,5269.0,4
NDC,187000714,Virazole,274573.7,192201.59,4754.0,5269.0,4
NDC,187045302,Zelapar,15940.65,11158.46,4754.0,5269.0,4
NDC,187093801,Tasmar,29338.41,20536.89,4754.0,5269.0,4
NDC,187099395,Zovirax,412.5,288.75,4754.0,5269.0,4
NDC,187301330,Mestinon Timespan,3383.41,2368.39,4754.0,5269.0,4
NDC,187320447,Efudex,165.0,115.5,4754.0,5269.0,4
NDC,187355510,Ancobon,40890.85,28623.6,4754.0,5269.0,4
NDC,187510001,Elidel,822.36,575.65,4754.0,5269.0,4
NDC,187560015,Visudyne,4701.71,3291.2,4754.0,5269.0,4
NDC,19132306,Optiray 320,143.0,100.1,4754.0,5269.0,4
NDC,19132311,Optiray 320,239.25,167.48,4754.0,5269.0,4
NDC,19133306,Optiray 350,151.25,105.88,4754.0,5269.0,4
NDC,19270703,Optison,302.51,211.76,4754.0,5269.0,4
NDC,19481604,MD-Gastroview,45.38,31.77,4754.0,5269.0,4
NDC,19515-0808-52,FluLaval Quadrivalent 2022-2023 Formula,45.0,31.5,19.77,22.74,4
NDC,19515-0810-52,FluLaval 2024-2025 Formula,57.0,39.9,19.77,84.41,12
NDC,19515-0814-52,FluLaval Quadrivalent 2023-2024 Formula,69.0,48.3,22.35,25.7,4
NDC,19515-0904-52,FluLaval 2025-2026 Formula,45.0,31.5,19.77,25.7,8
NDC,19515090441,FluLaval 2025-2026 Formula,54.29,38.0,4754.0,5269.0,4
NDC,19515090452,FluLaval 2025-2026 Formula,54.29,38.0,4754.0,5269.0,4
NDC,19550506,Hexabrix,147.13,102.99,4754.0,5269.0,4
NDC,20555-0025-00,Oyster Shell Calcium with Vitamin D3,1.0,0.7,,,0
NDC,20555-0027-00,Tab-A-Vite Multivitamin,1.0,0.7,,,0
NDC,20555-0033-00,Vitamin D3,1.0,0.7,,,0
NDC,20555-0036-01,Melatonin,1.0,0.7,,,0
NDC,20555002500,Oyster Shell Calcium with Vitamin D3,25.58,17.91,4754.0,5269.0,4
NDC,20555002700,Tab-A-Vite Multivitamin,30.25,21.18,4754.0,5269.0,4
NDC,20555003300,Vitamin D3,13.2,9.24,4754.0,5269.0,4
NDC,20555003601,Melatonin,38.78,27.15,4754.0,5269.0,4
NDC,20555004000,Zinc Sulfate,50.88,35.62,4754.0,5269.0,4
NDC,206886201,Zosyn,69.85,48.9,4754.0,5269.0,4
NDC,2143401,Trulicity,678.7,475.09,4754.0,5269.0,4
NDC,2143480,Trulicity,678.7,475.09,4754.0,5269.0,4
NDC,21922-0017-05,Clobetasol Propionate,23.98,16.79,,,0
NDC,21922-0029-04,Mupirocin,60.02,42.01,,,0
NDC,21922000201,Clindamycin Phosphate,66.0,46.2,4754.0,5269.0,4
NDC,21922001604,Clobetasol Propionate,13.74,9.62,4754.0,5269.0,4
NDC,21922001705,Clobetasol Propionate,27.48,19.24,4754.0,5269.0,4
NDC,21922002505,Ketoconazole,68.73,48.11,4754.0,5269.0,4
NDC,223176001,Sodium Chloride,22.0,15.4,4754.0,5269.0,4
NDC,2240802,Capsule Empty Gelatin,18.15,12.71,4754.0,5269.0,4
NDC,2241002,Capsule Empty Gelatin,16.23,11.36,4754.0,5269.0,4
NDC,2241302,Capsule Empty Gelatin,34.1,23.87,4754.0,5269.0,4
NDC,224180100,Konsyl,79.75,55.83,4754.0,5269.0,4
NDC,225052547,Ayr Saline Nasal,7.64,5.35,4754.0,5269.0,4
NDC,225080047,Neo-Synephrine,9.53,6.67,4754.0,5269.0,4
NDC,225081047,Neo-Synephrine,10.69,7.48,4754.0,5269.0,4
NDC,228202710,ALPRAZolam,13.2,9.24,4754.0,5269.0,4
NDC,228202910,ALPRAZolam,13.48,9.44,4754.0,5269.0,4
NDC,228203110,ALPRAZolam,16.78,11.75,4754.0,5269.0,4
NDC,228207610,Temazepam,25.03,17.52,4754.0,5269.0,4
NDC,228212710,cloNIDine HCl,11.55,8.09,4754.0,5269.0,4
NDC,228212750,cloNIDine HCl,57.75,40.43,4754.0,5269.0,4
NDC,228212810,cloNIDine HCl,15.95,11.17,4754.0,5269.0,4
NDC,228254010,Carbidopa-Levodopa,80.3,56.21,4754.0,5269.0,4
NDC,228255111,Diclofenac Sodium DR,107.25,75.08,4754.0,5269.0,4
NDC,228257111,Indapamide,115.5,80.85,4754.0,5269.0,4
NDC,228262011,Isosorbide Mononitrate,139.98,97.99,4754.0,5269.0,4
NDC,228277811,Propranolol HCl,462.55,323.79,4754.0,5269.0,4
NDC,228277911,Propranolol HCl,5.41,3.79,4754.0,5269.0,4
NDC,228278011,Propranolol HCl,670.18,469.13,4754.0,5269.0,4
NDC,228305911,Mixed Amphetamine Salts,320.65,224.46,4754.0,5269.0,4
NDC,228306011,Mixed Amphetamine Salts,320.65,224.46,4754.0,5269.0,4
NDC,228306111,Mixed Amphetamine Salts,320.65,224.46,4754.0,5269.0,4
NDC,228306211,Mixed Amphetamine Salts,320.65,224.46,4754.0,5269.0,4
NDC,228308706,ALPRAZolam,190.74,133.52,4754.0,5269.0,4
NDC,23031204,Lacri-Lube S.O.P.,26.87,18.81,4754.0,5269.0,4
NDC,23040350,Refresh Plus,37.95,26.57,4754.0,5269.0,4
NDC,23050650,Refresh,38.5,26.95,4754.0,5269.0,4
NDC,23114501,Botox,1790.25,1253.18,4754.0,5269.0,4
NDC,23155-0191-01,buPROPion HCl,1.0,0.7,,,0
NDC,23155-0216-31,Cidofovir,1776.0,1243.2,524.48,1468.54,7
NDC,23155-0240-41,Metoclopramide,8.0,5.6,1.04,1.79,4
NDC,23155-0290-41,Amikacin Sulfate,28.8,20.16,0.86,1.36,4
NDC,23155-0294-42,Prochlorperazine Edisylate,13.06,9.14,3.94,5.6,4
NDC,23155-0500-01,hydrOXYzine HCl,1.0,0.7,,,0
NDC,23155-0501-01,hydrOXYzine HCl,1.0,0.7,,,0
NDC,23155-0501-10,hydrOXYzine HCl,1.0,0.7,,,0
NDC,23155-0549-31,Ondansetron,20.0,14.0,0.1,0.16,4
NDC,23155-0600-41,Midazolam,8.0,5.6,0.14,0.23,4
NDC,23155-0601-42,Midazolam,8.0,5.6,0.14,0.23,4
NDC,23155-0606-01,Glycopyrrolate,1.0,0.7,,,0
NDC,23155-0662-01,Calcitriol,1.31,0.92,,,0
NDC,23155-0723-01,Labetalol HCl,1.0,0.7,,,0
NDC,23155-0724-01,Labetalol HCl,1.0,0.7,,,0
NDC,23155-0763-01,Lithium Carbonate,1.0,0.7,,,0
NDC,23155-0794-01,Doxepin HCl,1.0,0.7,,,0
NDC,23155-0875-03,Letrozole,1.0,0.7,,,0
NDC,23155002601,Verapamil HCl,85.25,59.68,4754.0,5269.0,4
NDC,23155005901,Verapamil HCl,42.63,29.84,4754.0,5269.0,4
NDC,23155007001,methIMAzole,41.25,28.88,4754.0,5269.0,4
NDC,23155016031,Etomidate,15.29,10.7,4754.0,5269.0,4
NDC,23155016041,Etomidate,15.29,10.7,4754.0,5269.0,4
NDC,23155017801,Isosorbide Mononitrate,110.0,77.0,4754.0,5269.0,4
NDC,23155018631,Zoledronic Acid,825.0,577.5,4754.0,5269.0,4
NDC,23155019101,buPROPion HCl,77.0,53.9,4754.0,5269.0,4
NDC,23155019201,buPROPion HCl,101.75,71.23,4754.0,5269.0,4
NDC,23155019401,NIFEdipine,105.88,74.12,4754.0,5269.0,4
NDC,23155021631,Cidofovir,2035.0,1424.5,4754.0,5269.0,4
NDC,23155024031,Metoclopramide,6.05,4.24,4754.0,5269.0,4
NDC,23155024041,Metoclopramide,6.05,4.24,4754.0,5269.0,4
NDC,23155024601,Venlafaxine HCl,32.73,22.91,4754.0,5269.0,4
NDC,23155029031,Amikacin Sulfate,20.63,14.44,4754.0,5269.0,4
NDC,23155029041,Amikacin Sulfate,20.63,14.44,4754.0,5269.0,4
NDC,23155029431,Prochlorperazine Edisylate,15.4,10.78,4754.0,5269.0,4
NDC,23155029442,Prochlorperazine Edisylate,15.4,10.78,4754.0,5269.0,4
NDC,23155031331,acetaZOLAMIDE,109.18,76.43,4754.0,5269.0,4
NDC,23155034532,Propofol,22.28,15.6,4754.0,5269.0,4
NDC,23155034542,Propofol,22.28,15.6,4754.0,5269.0,4
NDC,23155036201,Amantadine HCl,35.75,25.03,4754.0,5269.0,4
NDC,23155047332,Furosemide,7.98,5.59,4754.0,5269.0,4
NDC,23155047333,Furosemide,8.94,6.26,4754.0,5269.0,4
NDC,23155047342,Furosemide,7.98,5.59,4754.0,5269.0,4
NDC,23155047344,Furosemide,8.94,6.26,4754.0,5269.0,4
NDC,23155048901,Desmopressin Acetate,288.48,201.94,4754.0,5269.0,4
NDC,23155049001,Desmopressin Acetate,323.95,226.77,4754.0,5269.0,4
NDC,23155050001,hydrOXYzine HCl,12.65,8.86,4754.0,5269.0,4
NDC,23155050101,hydrOXYzine HCl,15.68,10.98,4754.0,5269.0,4
NDC,23155050110,hydrOXYzine HCl,148.5,103.95,4754.0,5269.0,4
NDC,23155051200,niMODipine,330.0,231.0,4754.0,5269.0,4
NDC,23155051211,niMODipine,3.3,2.31,4754.0,5269.0,4
NDC,23155054931,Ondansetron,24.09,16.86,4754.0,5269.0,4
NDC,23155059431,amphotericin B liposome,700.57,490.4,4754.0,5269.0,4
NDC,23155060031,Midazolam,1.52,1.06,4754.0,5269.0,4
NDC,23155060041,Midazolam,1.52,1.06,4754.0,5269.0,4
NDC,23155060132,Midazolam,15.84,11.09,4754.0,5269.0,4
NDC,23155060142,Midazolam,15.84,11.09,4754.0,5269.0,4
NDC,23155060503,Modafinil,137.53,96.27,4754.0,5269.0,4
NDC,23155060601,Glycopyrrolate,32.73,22.91,4754.0,5269.0,4
NDC,23155066131,Isoproterenol HCl,385.0,269.5,4754.0,5269.0,4
NDC,23155066142,Isoproterenol HCl,385.0,269.5,4754.0,5269.0,4
NDC,23155068831,Octreotide Acetate,10.73,7.51,4754.0,5269.0,4
NDC,23155068841,Octreotide Acetate,10.73,7.51,4754.0,5269.0,4
NDC,23155072301,Labetalol HCl,78.93,55.25,4754.0,5269.0,4
NDC,23155072401,Labetalol HCl,112.2,78.54,4754.0,5269.0,4
NDC,23155076301,Lithium Carbonate,56.38,39.47,4754.0,5269.0,4
NDC,23155076701,Tetracycline HCl,467.5,327.25,4754.0,5269.0,4
NDC,23155079401,Doxepin HCl,47.58,33.31,4754.0,5269.0,4
NDC,23155079901,Perphenazine,73.7,51.59,4754.0,5269.0,4
NDC,23155080001,Perphenazine,83.6,58.52,4754.0,5269.0,4
NDC,23155082373,Cabergoline,44.69,31.28,4754.0,5269.0,4
NDC,23155083301,hydrALAZINE HCl,16.78,11.75,4754.0,5269.0,4
NDC,23155083711,"cycloSPORINE, modified",1.75,1.23,4754.0,5269.0,4
NDC,23155083730,"cycloSPORINE, modified",52.23,36.56,4754.0,5269.0,4
NDC,23155084851,Mycophenolate Mofetil,1244.32,871.02,4754.0,5269.0,4
NDC,23155085978,Vancomycin HCl,275.0,192.5,4754.0,5269.0,4
NDC,23155086003,Flucytosine,825.0,577.5,4754.0,5269.0,4
NDC,23155087503,Letrozole,24.75,17.33,4754.0,5269.0,4
NDC,23218105,Acular,757.44,530.21,4754.0,5269.0,4
NDC,2322730,Strattera,1087.35,761.15,4754.0,5269.0,4
NDC,2322830,Strattera,1087.35,761.15,4754.0,5269.0,4
NDC,2322930,Strattera,1181.4,826.98,4754.0,5269.0,4
NDC,2323130,Symbyax,1106.33,774.43,4754.0,5269.0,4
NDC,2323830,Strattera,1087.35,761.15,4754.0,5269.0,4
NDC,2323930,Strattera,1181.4,826.98,4754.0,5269.0,4
NDC,23320505,Lumigan,1451.18,1015.83,4754.0,5269.0,4
NDC,23361525,Zymaxid,505.18,353.63,4754.0,5269.0,4
NDC,23391950,Botox Cosmetic,995.5,696.85,4754.0,5269.0,4
NDC,23392102,Botox,3580.5,2506.35,4754.0,5269.0,4
NDC,23585801,Liletta,2562.26,1793.58,4754.0,5269.0,4
NDC,23608201,Infed,102.54,71.78,4754.0,5269.0,4
NDC,23608210,Infed,102.54,71.78,4754.0,5269.0,4
NDC,23615108,Crinone,86.28,60.4,4754.0,5269.0,4
NDC,23615109,Crinone,86.28,60.4,4754.0,5269.0,4
NDC,23649802,Ubrelvy,298.34,208.84,4754.0,5269.0,4
NDC,23649810,Ubrelvy,2983.34,2088.34,4754.0,5269.0,4
NDC,23650102,Ubrelvy,298.34,208.84,4754.0,5269.0,4
NDC,23650110,Ubrelvy,2983.34,2088.34,4754.0,5269.0,4
NDC,23905504,Acular PF,198.24,138.77,4754.0,5269.0,4
NDC,23916330,Restasis,887.7,621.39,4754.0,5269.0,4
NDC,23921105,Combigan,561.36,392.95,4754.0,5269.0,4
NDC,23932105,Alphagan P,534.71,374.3,4754.0,5269.0,4
NDC,23932110,Alphagan P,1068.93,748.25,4754.0,5269.0,4
NDC,23932115,Alphagan P,1603.64,1122.55,4754.0,5269.0,4
NDC,24065401,Sarclisa,2392.26,1674.58,4754.0,5269.0,4
NDC,24065601,Sarclisa,11961.4,8372.98,4754.0,5269.0,4
NDC,24135105,Neo-Synephrine,8.01,5.61,4754.0,5269.0,4
NDC,24135202,Neo-Synephrine,9.78,6.85,4754.0,5269.0,4
NDC,24159601,Primaquine Phosphate,562.65,393.86,4754.0,5269.0,4
NDC,2418230,Olumiant,7610.3,5327.21,4754.0,5269.0,4
NDC,24201-0100-24,Acetaminophen,21.72,15.2,0.05,0.08,4
NDC,24201-0101-04,valrubicin,15465.95,10826.17,1303.34,3649.35,7
NDC,24201001020,PENTobarbital Sodium,3328.22,2329.75,4754.0,5269.0,4
NDC,24201010001,Acetaminophen,29.98,20.99,4754.0,5269.0,4
NDC,24201010024,Acetaminophen,29.98,20.99,4754.0,5269.0,4
NDC,24201010101,valrubicin,3866.49,2706.54,4754.0,5269.0,4
NDC,24201010104,valrubicin,3866.49,2706.54,4754.0,5269.0,4
NDC,24208-0485-10,Dorzolamide HCl,81.58,57.11,,,0
NDC,24208-0486-10,Dorzolamide HCl-Timolol Maleate,119.98,83.99,,,0
NDC,24208-0635-62,Hydrocortisone/Neomycin/Polymyxin B,201.36,140.95,,,0
NDC,24208-0780-55,Bacitracin/Neomycin/Polymyxin,109.37,76.56,,,0
NDC,24208-0910-19,Erythromycin,23.84,16.69,,,0
NDC,24208029005,Tobramycin,32.32,22.62,4754.0,5269.0,4
NDC,24208029505,Tobramycin/dexAMETHasone,278.85,195.2,4754.0,5269.0,4
NDC,24208029905,Lotemax,887.95,621.57,4754.0,5269.0,4
NDC,24208031510,Polymyxin B/Trimethoprim Sulfate,29.57,20.7,4754.0,5269.0,4
NDC,24208031705,prednisoLONE Sod Phos/Sulfacetamide Sodium,41.25,28.88,4754.0,5269.0,4
NDC,24208034205,Desmopressin Acetate,541.78,379.25,4754.0,5269.0,4
NDC,24208034425,Flunisolide,164.87,115.41,4754.0,5269.0,4
NDC,24208035305,Alrex,834.77,584.34,4754.0,5269.0,4
NDC,24208035805,Zylet,924.11,646.88,4754.0,5269.0,4
NDC,24208038555,Muro-128,46.15,32.31,4754.0,5269.0,4
NDC,24208041105,Brimonidine Tartrate,39.88,27.92,4754.0,5269.0,4
NDC,24208044335,Lotemax,1002.49,701.74,4754.0,5269.0,4
NDC,24208044605,Besivance,632.61,442.83,4754.0,5269.0,4
NDC,24208045705,Diclofenac Sodium,38.5,26.95,4754.0,5269.0,4
NDC,24208048510,Dorzolamide HCl,93.48,65.44,4754.0,5269.0,4
NDC,24208050505,Levobunolol HCl,49.26,34.48,4754.0,5269.0,4
NDC,24208050801,loteprednol etabonate,529.82,370.87,4754.0,5269.0,4
NDC,24208053535,Zirgan,1312.08,918.46,4754.0,5269.0,4
NDC,24208053920,Miochol-E,359.07,251.35,4754.0,5269.0,4
NDC,24208054010,Dipivefrin HCl,11.66,8.16,4754.0,5269.0,4
NDC,24208055555,Bacitracin Zinc-Polymyxin B Sulfate,63.04,44.13,4754.0,5269.0,4
NDC,24208058060,Gentamicin Sulfate,98.21,68.75,4754.0,5269.0,4
NDC,24208058559,Tropicamide,22.0,15.4,4754.0,5269.0,4
NDC,24208063110,Hydrocortisone/Neomycin/Polymyxin B,230.73,161.51,4754.0,5269.0,4
NDC,24208063562,Hydrocortisone/Neomycin/Polymyxin B,230.73,161.51,4754.0,5269.0,4
NDC,24208067004,Sulfacetamide Sodium,134.07,93.85,4754.0,5269.0,4
NDC,24208072002,dexAMETHasone Sodium Phosphate,148.23,103.76,4754.0,5269.0,4
NDC,24208073006,Proparacaine HCl,96.49,67.54,4754.0,5269.0,4
NDC,24208073501,Cyclopentolate HCl,33.28,23.3,4754.0,5269.0,4
NDC,24208078055,Bacitracin/Neomycin/Polymyxin,125.32,87.72,4754.0,5269.0,4
NDC,24208078555,Bacitracin-HC-Neomycin-Polymyxin,143.12,100.18,4754.0,5269.0,4
NDC,24208079062,Gramicidin/Neomycin/Polymyxin B,140.39,98.27,4754.0,5269.0,4
NDC,24208079535,dexaMETHasone-Neomycin-Polymyxin,43.7,30.59,4754.0,5269.0,4
NDC,24208082555,Atropine Sulfate,48.16,33.71,4754.0,5269.0,4
NDC,24208083060,dexAMETHasone-Neomycin-Polymyxin,43.7,30.59,4754.0,5269.0,4
NDC,24208091019,Erythromycin,27.32,19.12,4754.0,5269.0,4
NDC,24279210,Ferrlecit,87.45,61.22,4754.0,5269.0,4
NDC,24338005008,Gliadel,116159.89,81311.92,4754.0,5269.0,4
NDC,24357-0701-06,Anecream,8.4,5.88,,,0
NDC,24357-0701-15,Anecream,44.02,30.81,,,0
NDC,24357070106,Anecream,9.63,6.74,4754.0,5269.0,4
NDC,24357070115,Anecream,44.02,30.81,4754.0,5269.0,4
NDC,24385003316,Glycerin,55.44,38.81,4754.0,5269.0,4
NDC,24385004994,Alum,4.67,3.27,4754.0,5269.0,4
NDC,24414260,Multaq,2227.5,1559.25,4754.0,5269.0,4
NDC,2446230,Cialis,792.66,554.86,4754.0,5269.0,4
NDC,2446430,Cialis,4644.92,3251.44,4754.0,5269.0,4
NDC,245002322,AmLactin,27.85,19.5,4754.0,5269.0,4
NDC,245002414,AmLactin,25.03,17.52,4754.0,5269.0,4
NDC,245008201,Hexavitamin,12.38,8.67,4754.0,5269.0,4
NDC,245014401,Pacerone,766.43,536.5,4754.0,5269.0,4
NDC,245014489,Pacerone,7.68,5.38,4754.0,5269.0,4
NDC,245014701,Pacerone,102.58,71.81,4754.0,5269.0,4
NDC,245014789,Pacerone,1.03,0.72,4754.0,5269.0,4
NDC,245016112,Rms,37.0,25.9,4754.0,5269.0,4
NDC,245021111,Midodrine HCl,66.0,46.2,4754.0,5269.0,4
NDC,245021211,Midodrine HCl,99.0,69.3,4754.0,5269.0,4
NDC,245027111,Oxandrolone,763.68,534.58,4754.0,5269.0,4
NDC,245027206,Oxandrolone,1554.3,1088.01,4754.0,5269.0,4
NDC,245036030,Klor-Con,123.75,86.63,4754.0,5269.0,4
NDC,245036089,Klor-Con,7.8,5.46,4754.0,5269.0,4
NDC,24510005010,Nucynta,3347.3,2343.11,4754.0,5269.0,4
NDC,24515010,Elitek,3044.24,2130.97,4754.0,5269.0,4
NDC,24515175,Elitek,15221.14,10654.8,4754.0,5269.0,4
NDC,24550131,Ambien CR,5908.65,4136.06,4754.0,5269.0,4
NDC,24552131,Ambien CR,5908.65,4136.06,4754.0,5269.0,4
NDC,245531601,Klor-Con 10,138.6,97.02,4754.0,5269.0,4
NDC,245531689,Klor-Con 10,1.39,0.97,4754.0,5269.0,4
NDC,245532630,Klor-Con/EF,103.71,72.6,4754.0,5269.0,4
NDC,245532689,Klor-Con/EF,3.46,2.42,4754.0,5269.0,4
NDC,24582411,Jevtana,40078.83,28055.18,4754.0,5269.0,4
NDC,24584001,Zaltrap,4400.0,3080.0,4754.0,5269.0,4
NDC,24584301,Leukine,721.49,505.04,4754.0,5269.0,4
NDC,24584305,Leukine,757.56,530.29,4754.0,5269.0,4
NDC,24591400,Dupixent PFS,5490.87,3843.61,4754.0,5269.0,4
NDC,24591401,Dupixent PFS,5490.87,3843.61,4754.0,5269.0,4
NDC,24591800,Dupixent PFS,5490.88,3843.62,4754.0,5269.0,4
NDC,24591801,Dupixent PFS,5490.88,3843.62,4754.0,5269.0,4
NDC,2473230,Olumiant,7610.3,5327.21,4754.0,5269.0,4
NDC,24979-0201-01,Dicyclomine HCl,3.0,2.1,,,0
NDC,24979002707,dilTIAZem HCl,53.71,37.6,4754.0,5269.0,4
NDC,24979020101,Dicyclomine HCl,44.0,30.8,4754.0,5269.0,4
NDC,25,Vendaje Human Amnion Tissue Allograft,5.805,4.0649999999999995,4754.0,5269.0,8
NDC,25010021027,Sodium Edecrin,13790.32,9653.22,4754.0,5269.0,4
NDC,25010021515,Edecrin,6721.83,4705.28,4754.0,5269.0,4
NDC,25010070515,Cuprimine,72018.65,50413.06,4754.0,5269.0,4
NDC,25016109,Demulen 1/35-28,89.94,62.96,4754.0,5269.0,4
NDC,25021-0109-10,cefOXitin Sodium,14.4,10.08,4.9,8.31,4
NDC,25021-0110-20,cefOXitin Sodium,48.0,33.6,4.9,8.31,4
NDC,25021-0114-87,Ciprofloxacin,20.0,14.0,1.86,3.15,4
NDC,25021-0131-82,metroNIDAZOLE,20.0,14.0,0.03,0.03,4
NDC,25021-0132-83,levoFLOXacin in 5% Dextrose,26.28,18.4,0.96,1.49,4
NDC,25021-0142-20,Ampicillin-Sulbactam,13.2,9.24,2.12,2.89,4
NDC,25021-0143-30,Ampicillin-Sulbactam,21.6,15.12,2.12,2.89,4
NDC,25021-0179-16,DAPTOmycin,267.43,187.2,0.91,1.05,4
NDC,25021-0184-82,Fluconazole in Sodium Chloride,24.75,17.33,2.77,4.58,4
NDC,25021-0184-87,Fluconazole in Sodium Chloride,33.6,23.52,2.77,4.58,4
NDC,25021-0192-87,Ciprofloxacin in Dextrose,40.0,28.0,1.86,3.15,4
NDC,25021-0204-05,Vinorelbine,172.8,120.96,8.5,10.27,4
NDC,25021-0207-51,DOXOrubicin HCl,109.33000000000001,76.53,3.65,4.54,4
NDC,25021-0235-50,Gemcitabine HCl,214.49,150.14,3.65,5.05,4
NDC,25021-0244-10,bortezomib,92.575,64.805,2.07,2.71,4
NDC,25021-0247-50,cycloPHOSphamide,178.42,124.89,0.58,1.62,21
NDC,25021-0248-51,cycloPHOSphamide,500.94,350.66,0.58,1.62,42
NDC,25021-0250-20,mitoMYcin,583.85,408.7,,,0
NDC,25021-0253-50,CISplatin,45.7,31.99,3.27,5.59,4
NDC,25021-0253-51,CISplatin,130.9,91.63,3.27,5.59,4
NDC,25021-0255-17,PACLitaxel,116.025,81.215,0.11,0.15,4
NDC,25021-0255-50,PACLitaxel,85.205,59.644999999999996,0.11,0.15,4
NDC,25021-0317-20,Labetalol HCl,20.0,14.0,0.17,0.31,4
NDC,25021-0319-05,dilTIAZem HCl,3.1,2.17,,,0
NDC,25021-0319-25,dilTIAZem HCl,25.03,17.52,,,0
NDC,25021-0415-10,Tranexamic Acid,10.51,7.36,,,0
NDC,25021-0500-02,Thiamine HCl,11.94,8.36,2.26,4.02,4
NDC,25021-0608-50,Propofol,8.0,5.6,0.12,0.21,4
NDC,25021-0673-76,Glydo,28.57,20.0,,,0
NDC,25021-0673-77,Glydo,15.24,10.67,,,0
NDC,25021-0790-02,Prochlorperazine Edisylate,12.72,8.9,3.94,5.6,4
NDC,25021-0812-30,Acetylcysteine,471.96,330.37,0.77,1.14,4
NDC,25021-0816-30,Leucovorin Calcium,382.745,267.91999999999996,5.14,7.31,4
NDC,25021-0826-82,Zoledronic Acid,432.0,302.4,6.94,11.79,4
NDC,25021010910,cefOXitin Sodium,16.5,11.55,4754.0,5269.0,4
NDC,25021011020,cefOXitin Sodium,27.5,19.25,4754.0,5269.0,4
NDC,25021011487,Ciprofloxacin,19.25,13.48,4754.0,5269.0,4
NDC,25021012120,Cefepime,16.5,11.55,4754.0,5269.0,4
NDC,25021012250,Cefepime,27.5,19.25,4754.0,5269.0,4
NDC,25021013281,levoFLOXacin in 5% Dextrose,11.55,8.09,4754.0,5269.0,4
NDC,25021013282,levoFLOXacin in 5% Dextrose,15.95,11.17,4754.0,5269.0,4
NDC,25021013283,levoFLOXacin in 5% Dextrose,30.12,21.08,4754.0,5269.0,4
NDC,25021013610,Ampicillin,11.0,7.7,4754.0,5269.0,4
NDC,25021014010,Nafcillin,22.58,15.81,4754.0,5269.0,4
NDC,25021014220,Ampicillin-Sulbactam,15.13,10.59,4754.0,5269.0,4
NDC,25021014610,Oxacillin,22.8,15.96,4754.0,5269.0,4
NDC,25021017302,Amikacin Sulfate,21.32,14.92,4754.0,5269.0,4
NDC,25021017915,DAPTOmycin,65.87,46.11,4754.0,5269.0,4
NDC,25021017916,DAPTOmycin,65.87,46.11,4754.0,5269.0,4
NDC,25021018010,Azithromycin,12.79,8.95,4754.0,5269.0,4
NDC,25021018066,Azithromycin Novaplus,8.05,5.64,4754.0,5269.0,4
NDC,25021018482,Fluconazole in Sodium Chloride,24.75,17.33,4754.0,5269.0,4
NDC,25021018487,Fluconazole in Sodium Chloride,38.5,26.95,4754.0,5269.0,4
NDC,25021018984,Foscarnet Sodium,1300.07,910.05,4754.0,5269.0,4
NDC,25021019287,Ciprofloxacin in Dextrose,19.25,13.48,4754.0,5269.0,4
NDC,25021019920,Ertapenem,55.0,38.5,4754.0,5269.0,4
NDC,25021020401,Vinorelbine,68.75,48.13,4754.0,5269.0,4
NDC,25021020405,Vinorelbine,247.5,173.25,4754.0,5269.0,4
NDC,25021020751,DOXOrubicin HCl,365.75,256.03,4754.0,5269.0,4
NDC,25021023002,Irinotecan Hydrochloride,47.22,33.05,4754.0,5269.0,4
NDC,25021023410,Gemcitabine HCl,33.14,23.2,4754.0,5269.0,4
NDC,25021023550,Gemcitabine HCl,136.54,95.58,4754.0,5269.0,4
NDC,25021024851,cycloPHOSphamide,695.75,487.03,4754.0,5269.0,4
NDC,25021025020,mitoMYcin,669.0,468.3,4754.0,5269.0,4
NDC,25021025351,CISplatin,110.0,77.0,4754.0,5269.0,4
NDC,25021025517,PACLitaxel,82.49,57.74,4754.0,5269.0,4
NDC,25021025550,PACLitaxel,165.0,115.5,4754.0,5269.0,4
NDC,25021026210,bortezomib,110.0,77.0,4754.0,5269.0,4
NDC,25021030167,Adenosine,44.0,30.8,4754.0,5269.0,4
NDC,25021030520,Chlorothiazide Sodium,165.0,115.5,4754.0,5269.0,4
NDC,25021030884,Esmolol HCl,453.75,317.63,4754.0,5269.0,4
NDC,25021031604,Norepinephrine Bitartrate,22.0,15.4,4754.0,5269.0,4
NDC,25021031905,dilTIAZem HCl,7.73,5.41,4754.0,5269.0,4
NDC,25021031925,dilTIAZem HCl,25.03,17.52,4754.0,5269.0,4
NDC,25021032210,Procainamide HCl,253.0,177.1,4754.0,5269.0,4
NDC,25021041510,Tranexamic Acid,10.51,7.36,4754.0,5269.0,4
NDC,25021041882,Tranexamic Acid-Sodium Chloride,56.38,39.47,4754.0,5269.0,4
NDC,25021045405,Octreotide Acetate,187.0,130.9,4754.0,5269.0,4
NDC,25021060103,Caffeine Citrate,55.01,38.51,4754.0,5269.0,4
NDC,25021060850,Propofol,40.15,28.11,4754.0,5269.0,4
NDC,25021061110,Neostigmine Methylsulfate,11.0,7.7,4754.0,5269.0,4
NDC,25021067187,ROPivacaine HCl,212.3,148.61,4754.0,5269.0,4
NDC,25021067376,Glydo,16.37,11.46,4754.0,5269.0,4
NDC,25021067377,Glydo,17.46,12.22,4754.0,5269.0,4
NDC,25021067420,Etomidate,13.31,9.32,4754.0,5269.0,4
NDC,25021067620,PENTobarbital sodium,3327.5,2329.25,4754.0,5269.0,4
NDC,25021067650,PENTobarbital sodium,5775.0,4042.5,4754.0,5269.0,4
NDC,25021068310,Ketamine HCl,26.13,18.29,4754.0,5269.0,4
NDC,25021079002,Prochlorperazine Edisylate,14.58,10.21,4754.0,5269.0,4
NDC,25021079705,Valproate Sodium,17.88,12.52,4754.0,5269.0,4
NDC,25021081230,Acetylcysteine,137.53,96.27,4754.0,5269.0,4
NDC,25021081430,Leucovorin Calcium,55.0,38.5,4754.0,5269.0,4
NDC,25021081630,Leucovorin Calcium,192.5,134.75,4754.0,5269.0,4
NDC,25021082273,Ibandronate Sodium,687.5,481.25,4754.0,5269.0,4
NDC,25021082682,Zoledronic Acid,495.0,346.5,4754.0,5269.0,4
NDC,25021082761,Ibandronate Sodium,687.5,481.25,4754.0,5269.0,4
NDC,25141160,Arthrotec,1458.11,1020.68,4754.0,5269.0,4
NDC,25142160,Arthrotec,1458.11,1020.68,4754.0,5269.0,4
NDC,25172003,Inspra,1219.85,853.9,4754.0,5269.0,4
NDC,254302802,lubiprostone,165.0,115.5,4754.0,5269.0,4
NDC,25510131,Kerlone,278.85,195.2,4754.0,5269.0,4
NDC,25682-0001-01,Soliris,46965.53,32875.87,45.03,126.08,7
NDC,25682-0025-01,Ultomiris,169065.63,118345.94,224.8,629.44,7
NDC,25682-0028-01,Ultomiris,30739.2,21517.44,224.8,629.44,28
NDC,25682000101,Soliris,17938.23,12556.76,4754.0,5269.0,4
NDC,25682002501,Ultomiris,17963.22,12574.25,4754.0,5269.0,4
NDC,25682002801,Ultomiris,65865.14,46105.6,4754.0,5269.0,4
NDC,258362501,Theophylline,196.08,137.26,4754.0,5269.0,4
NDC,258363801,Theophylline,139.7,97.79,4754.0,5269.0,4
NDC,259160501,Xeomin,737.0,515.9,4754.0,5269.0,4
NDC,259161001,Xeomin,1405.25,983.68,4754.0,5269.0,4
NDC,259162001,Xeomin,2810.5,1967.35,4754.0,5269.0,4
NDC,264180031,Sodium Chloride,7.43,5.2,4754.0,5269.0,4
NDC,264180032,Sodium Chloride,7.43,5.2,4754.0,5269.0,4
NDC,264191500,Procalamine,90.75,63.53,4754.0,5269.0,4
NDC,264194420,Potassium Chloride,64.63,45.24,4754.0,5269.0,4
NDC,264319511,Cefepime,82.09,57.46,4754.0,5269.0,4
NDC,264346220,Heparin Sodium-Sodium Chloride,27.5,19.25,4754.0,5269.0,4
NDC,264440054,Magnesium Sulfate-Dextrose,8.25,5.78,4754.0,5269.0,4
NDC,264446030,Nutrilipid,74.25,51.98,4754.0,5269.0,4
NDC,264751000,Dextrose,11.0,7.7,4754.0,5269.0,4
NDC,264751010,Dextrose,11.0,7.7,4754.0,5269.0,4
NDC,264751020,Dextrose,10.32,7.22,4754.0,5269.0,4
NDC,264752000,Dextrose,16.5,11.55,4754.0,5269.0,4
NDC,264761000,Dextrose-Sodium Chloride,11.0,7.7,4754.0,5269.0,4
NDC,264761010,Dextrose-Sodium Chloride,11.0,7.7,4754.0,5269.0,4
NDC,264761200,Dextrose-Sodium Chloride,8.25,5.78,4754.0,5269.0,4
NDC,264761600,Dextrose-Sodium Chloride,13.75,9.63,4754.0,5269.0,4
NDC,264761610,Dextrose-Sodium Chloride,12.38,8.67,4754.0,5269.0,4
NDC,264775000,Lactated Ringer's,8.25,5.78,4754.0,5269.0,4
NDC,264775100,Dextrose 5%/Lactated Ringers,8.25,5.78,4754.0,5269.0,4
NDC,264780000,Sodium Chloride,8.25,5.78,4754.0,5269.0,4
NDC,264780010,Sodium Chloride,8.4,5.88,4754.0,5269.0,4
NDC,264780020,Sodium Chloride,7.57,5.3,4754.0,5269.0,4
NDC,264780200,Sodium Chloride,11.0,7.7,4754.0,5269.0,4
NDC,264780510,Sodium Chloride,15.13,10.59,4754.0,5269.0,4
NDC,264958720,Dextrose/Heparin Sodium,43.32,30.32,4754.0,5269.0,4
NDC,264959410,Lidocaine HCl-Dextrose,24.75,17.33,4754.0,5269.0,4
NDC,264959420,Lidocaine HCl-Dextrose,22.0,15.4,4754.0,5269.0,4
NDC,270014955,Cystografin,151.8,106.26,4754.0,5269.0,4
NDC,270014957,Cystografin,151.8,106.26,4754.0,5269.0,4
NDC,270044535,Gastrografin,63.45,44.42,4754.0,5269.0,4
NDC,270131430,Isovue-200,60.23,42.16,4754.0,5269.0,4
NDC,270131530,Isovue-300,64.49,45.14,4754.0,5269.0,4
NDC,270131635,Isovue-370,139.7,97.79,4754.0,5269.0,4
NDC,270516413,Multihance,159.94,111.96,4754.0,5269.0,4
NDC,270516414,Multihance,234.06,163.84,4754.0,5269.0,4
NDC,270516415,Multihance,289.03,202.32,4754.0,5269.0,4
NDC,270526416,Multihance,759.97,531.98,4754.0,5269.0,4
NDC,270526417,Multihance,1519.93,1063.95,4754.0,5269.0,4
NDC,27241-0001-50,risperiDONE,1.65,1.16,,,0
NDC,27241-0003-06,risperiDONE,1.0,0.7,,,0
NDC,27241-0004-06,risperiDONE,1.0,0.7,,,0
NDC,27241-0049-10,Entacapone,2.88,2.02,,,0
NDC,27241-0097-06,DULoxetine HCl,1.0,0.7,,,0
NDC,27241-0098-03,DULoxetine HCl,1.0,0.7,,,0
NDC,27241-0098-09,DULoxetine HCl,1.0,0.7,,,0
NDC,27241-0099-03,DULoxetine HCl,1.0,0.7,,,0
NDC,27241-0099-90,DULoxetine HCl,1.0,0.7,,,0
NDC,27241-0160-01,Captopril,1.92,1.34,,,0
NDC,27241000150,risperiDONE,206.25,144.38,4754.0,5269.0,4
NDC,27241000306,risperiDONE,21.95,15.37,4754.0,5269.0,4
NDC,27241000450,risperiDONE,228.25,159.78,4754.0,5269.0,4
NDC,27241004910,Entacapone,165.0,115.5,4754.0,5269.0,4
NDC,27241006303,Voriconazole,618.75,433.13,4754.0,5269.0,4
NDC,27241009706,DULoxetine HCl,49.5,34.65,4754.0,5269.0,4
NDC,27241009803,DULoxetine HCl,24.75,17.33,4754.0,5269.0,4
NDC,27241009809,DULoxetine HCl,74.25,51.98,4754.0,5269.0,4
NDC,27241009903,DULoxetine HCl,24.75,17.33,4754.0,5269.0,4
NDC,27241009990,DULoxetine HCl,825.0,577.5,4754.0,5269.0,4
NDC,27241010806,cloNIDine HCl,233.81,163.67,4754.0,5269.0,4
NDC,27241012502,ranolazine,82.5,57.75,4754.0,5269.0,4
NDC,27241013909,oseltamivir phosphate,82.5,57.75,4754.0,5269.0,4
NDC,27241015919,valGANciclovir hydrochloride,2200.75,1540.53,4754.0,5269.0,4
NDC,27241016001,Captopril,220.0,154.0,4754.0,5269.0,4
NDC,27505000367,Revonto,192.5,134.75,4754.0,5269.0,4
NDC,2751001,HumaLOG,182.6,127.82,4754.0,5269.0,4
NDC,2751101,HumaLOG Mix 75/25,234.88,164.42,4754.0,5269.0,4
NDC,2751201,HumaLOG Mix 50/50,234.88,164.42,4754.0,5269.0,4
NDC,2764001,Alimta,2223.65,1556.56,4754.0,5269.0,4
NDC,2766901,Cyramza,3777.4700000000003,2644.23,4754.0,5269.0,8
NDC,2767801,Cyramza,20635.87,14445.11,4754.0,5269.0,4
NDC,2771601,Portrazza,11906.82,8334.77,4754.0,5269.0,4
NDC,27808-0002-01,risperiDONE,3.22,2.25,,,0
NDC,27808-0065-02,promethazine HCl-codeine phosphate,0.69,0.48,,,0
NDC,27808-0156-01,Rosuvastatin Calcium,1.0,0.7,,,0
NDC,27808-0157-01,Rosuvastatin Calcium,1.0,0.7,,,0
NDC,27808-0206-01,febuxostat,2.81,1.97,,,0
NDC,27808-0234-01,Doxycycline Hyclate,1.0,0.7,,,0
NDC,27808-0264-01,levETIRAcetam,1.0,0.7,,,0
NDC,27808000201,risperiDONE,55.03,38.52,4754.0,5269.0,4
NDC,27808006502,promethazine HCl-codeine phosphate,74.15,51.91,4754.0,5269.0,4
NDC,27808020601,febuxostat,96.28,67.4,4754.0,5269.0,4
NDC,27808023401,Doxycycline Hyclate,27.5,19.25,4754.0,5269.0,4
NDC,2803101,Glucagon Emergency Kit,772.2,540.54,4754.0,5269.0,4
NDC,281032608,Nitro-Bid,6.67,4.67,4754.0,5269.0,4
NDC,281032630,Nitro-Bid,102.96,72.07,4754.0,5269.0,4
NDC,281036510,DigiFab,1410.75,987.53,4754.0,5269.0,4
NDC,283061011,Hurricaine One,61.8,43.26,4754.0,5269.0,4
NDC,283061026,Hurricaine One,724.22,506.95,4754.0,5269.0,4
NDC,283067902,Hurricaine,84.02,58.81,4754.0,5269.0,4
NDC,283087131,Hurricaine,21.29,14.9,4754.0,5269.0,4
NDC,2841501,HumuLIN L,76.1,53.27,4754.0,5269.0,4
NDC,2850101,HumuLIN R Concentrated U-500,4089.25,2862.48,4754.0,5269.0,4
NDC,28595057004,spinosad,646.47,452.53,4754.0,5269.0,4
NDC,2879859,HumaLOG Mix 50/50 KwikPen,87.52,61.26,4754.0,5269.0,4
NDC,2879901,HumaLOG KwikPen,87.52,61.26,4754.0,5269.0,4
NDC,2879959,HumaLOG KwikPen,87.52,61.26,4754.0,5269.0,4
NDC,2882427,HumuLIN R Concentrated U-500 KwikPen,789.53,552.67,4754.0,5269.0,4
NDC,2897101,Forteo,2029.92,1420.94,4754.0,5269.0,4
NDC,29300-0130-01,hydroCHLOROthiazide,1.0,0.7,,,0
NDC,29300-0147-10,QUEtiapine Fumarate,1.0,0.7,,,0
NDC,29300-0171-16,Memantine HCl,2.0,1.4,,,0
NDC,29300-0172-16,Memantine HCl,1.0,0.7,,,0
NDC,29300-0398-10,amLODIPine Besylate,1.0,0.7,,,0
NDC,29300-0411-01,Atenolol,1.0,0.7,,,0
NDC,29300-0413-01,Cyclobenzaprine HCl,1.0,0.7,,,0
NDC,29300-0429-01,Zonisamide,1.0,0.7,,,0
NDC,29300012613,Bisoprolol Fumarate,22.03,15.42,4754.0,5269.0,4
NDC,29300012713,Bisoprolol Fumarate,22.03,15.42,4754.0,5269.0,4
NDC,29300013001,hydroCHLOROthiazide,27.5,19.25,4754.0,5269.0,4
NDC,29300013801,Divalproex Sodium,24.75,17.33,4754.0,5269.0,4
NDC,29300014710,QUEtiapine Fumarate,231.0,161.7,4754.0,5269.0,4
NDC,29300015001,QUEtiapine Fumarate,82.78,57.95,4754.0,5269.0,4
NDC,29300015519,Alfuzosin Hydrochloride,96.28,67.4,4754.0,5269.0,4
NDC,29300017116,Memantine HCl,41.25,28.88,4754.0,5269.0,4
NDC,29300017216,Memantine HCl,41.25,28.88,4754.0,5269.0,4
NDC,29300022019,Montelukast Sodium,39.6,27.72,4754.0,5269.0,4
NDC,29300022601,metroNIDAZOLE,51.98,36.39,4754.0,5269.0,4
NDC,29300022701,metroNIDAZOLE,105.05,73.54,4754.0,5269.0,4
NDC,29300029616,ranolazine,48.18,33.73,4754.0,5269.0,4
NDC,29300035501,traMADol HCl,12.93,9.05,4754.0,5269.0,4
NDC,29300041301,Cyclobenzaprine HCl,11.0,7.7,4754.0,5269.0,4
NDC,29300041519,Cyclobenzaprine HCl,12.13,8.49,4754.0,5269.0,4
NDC,29300042001,Amitriptyline HCl,25.85,18.1,4754.0,5269.0,4
NDC,29300042101,Amitriptyline HCl,56.1,39.27,4754.0,5269.0,4
NDC,29300042901,Zonisamide,50.6,35.42,4754.0,5269.0,4
NDC,29336040010,Calcium Disodium Versenate,261.25,182.88,4754.0,5269.0,4
NDC,2951501,HumuLIN 50/50,121.83,85.28,4754.0,5269.0,4
NDC,299382045,Metrogel,188.97,132.28,4754.0,5269.0,4
NDC,299383528,Metrogel,86.38,60.47,4754.0,5269.0,4
NDC,299383545,Metrogel,174.86,122.4,4754.0,5269.0,4
NDC,299384704,Clobex,2418.83,1693.18,4754.0,5269.0,4
NDC,299391816,Cetaphil Moisturizer,26.02,18.21,4754.0,5269.0,4
NDC,300154130,Prevacid,412.34,288.64,4754.0,5269.0,4
NDC,300731130,Prevacid,379.42,265.59,4754.0,5269.0,4
NDC,3031505,Kenalog-80,51.48,36.04,4754.0,5269.0,4
NDC,3037113,Nulojix,2667.17,1867.02,4754.0,5269.0,4
NDC,3049420,Kenalog-10,33.25,23.28,4754.0,5269.0,4
NDC,3052411,Sprycel,55680.57,38976.4,4754.0,5269.0,4
NDC,3052811,Sprycel,55680.57,38976.4,4754.0,5269.0,4
NDC,308,Vendaje Human Amnion Tissue Allograft,0.01,0.01,4754.0,5269.0,4
NDC,3089321,Eliquis,1667.33,1167.13,4754.0,5269.0,4
NDC,3089331,Eliquis,2779.15,1945.41,4754.0,5269.0,4
NDC,3089421,Eliquis,1667.33,1167.13,4754.0,5269.0,4
NDC,3089431,Eliquis,2779.15,1945.41,4754.0,5269.0,4
NDC,310009530,Daliresp,1257.14,880.0,4754.0,5269.0,4
NDC,310021020,Zomig,402.93,282.05,4754.0,5269.0,4
NDC,310021125,Zomig,222.57,155.8,4754.0,5269.0,4
NDC,310021321,Zomig-ZMT,218.38,152.87,4754.0,5269.0,4
NDC,310080060,Tudorza Pressair,1237.5,866.25,4754.0,5269.0,4
NDC,310110501,Lokelma,78.98,55.29,4754.0,5269.0,4
NDC,310110530,Lokelma,2369.24,1658.47,4754.0,5269.0,4
NDC,310110539,Lokelma,868.69,608.08,4754.0,5269.0,4
NDC,310111001,Lokelma,78.98,55.29,4754.0,5269.0,4
NDC,310111030,Lokelma,2369.24,1658.47,4754.0,5269.0,4
NDC,310111039,Lokelma,868.69,608.08,4754.0,5269.0,4
NDC,310173030,Fasenra PFS,16079.39,11255.57,4754.0,5269.0,4
NDC,310304000,Saphnelo,14961.76,10473.23,4754.0,5269.0,4
NDC,310320001,Andexxa,6875.0,4812.5,4754.0,5269.0,4
NDC,310320004,Andexxa,6875.0,4812.5,4754.0,5269.0,4
NDC,310320005,Andexxa,6875.0,4812.5,4754.0,5269.0,4
NDC,310450012,Imfinzi,2834.49,1984.14,4754.0,5269.0,4
NDC,310450525,Imjudo,9484.56,6639.19,4754.0,5269.0,4
NDC,310453530,Imjudo,113814.57,79670.2,4754.0,5269.0,4
NDC,310461150,Imfinzi,11810.32,8267.22,4754.0,5269.0,4
NDC,310610030,Onglyza,1333.95,933.77,4754.0,5269.0,4
NDC,310610530,Onglyza,1333.95,933.77,4754.0,5269.0,4
NDC,310620530,Farxiga,1649.26,1154.48,4754.0,5269.0,4
NDC,310744202,Evusheld,0.01,0.01,4754.0,5269.0,4
NDC,310889501,Tixagevimab,0.01,0.01,4754.0,5269.0,4
NDC,31604-0012-81,Vitamin B1,1.0,0.7,,,0
NDC,31604-0013-28,NON-COVERED ITEM OR SERVICE,1.0,0.7,,,0
NDC,31604-0014-86,NON-COVERED ITEM OR SERVICE,1.0,0.7,,,0
NDC,31604-0025-17,NON-COVERED ITEM OR SERVICE,1.0,0.7,,,0
NDC,31604001274,Folic Acid,11.69,8.18,4754.0,5269.0,4
NDC,31604001281,Vitamin B1,11.83,8.28,4754.0,5269.0,4
NDC,31604001338,B-Complex w/Vitamin C,18.43,12.9,4754.0,5269.0,4
NDC,31604001870,Vitamin D3,12.38,8.67,4754.0,5269.0,4
NDC,31722-0017-01,Famotidine,1.0,0.7,,,0
NDC,31722-0151-30,Valsartan,1.0,0.7,,,0
NDC,31722-0153-90,Valsartan,1.91,1.34,,,0
NDC,31722-0308-01,OLANZapine,48.0,33.6,0.96,1.55,4
NDC,31722-0533-01,Methocarbamol,1.0,0.7,,,0
NDC,31722-0542-01,Indomethacin,1.0,0.7,,,0
NDC,31722-0585-30,nebivolol hydrochloride,1.0,0.7,,,0
NDC,31722-0676-32,roflumilast,12.0,8.4,,,0
NDC,31722-0702-10,Losartan Potassium,1.0,0.7,,,0
NDC,31722-0702-90,Losartan Potassium,1.0,0.7,,,0
NDC,31722-0714-30,atomoxetine hydrochloride,35.82,25.07,,,0
NDC,31722-0721-50,levoFLOXacin,1.62,1.13,,,0
NDC,31722-0723-20,levoFLOXacin,1.74,1.22,,,0
NDC,31722-0728-30,Montelukast Sodium,1.71,1.2,,,0
NDC,31722-0729-30,Irbesartan,1.0,0.7,,,0
NDC,31722-0730-30,Irbesartan,1.0,0.7,,,0
NDC,31722-0731-30,Irbesartan,1.07,0.75,,,0
NDC,31722-0731-90,Irbesartan,1.07,0.75,,,0
NDC,31722-0738-30,Donepezil HCl,1.0,0.7,,,0
NDC,31722-0749-20,Linezolid,14.1,9.87,,,0
NDC,31722-0778-01,Acyclovir,1.0,0.7,,,0
NDC,31722-0899-01,Colchicine,1.0,0.7,,,0
NDC,31722-0935-02,Albendazole,72.0,50.4,,,0
NDC,31722001490,droxidopa,274.98,192.49,4754.0,5269.0,4
NDC,31722001701,Famotidine,14.58,10.21,4754.0,5269.0,4
NDC,31722001710,Famotidine,145.75,102.03,4754.0,5269.0,4
NDC,31722006331,Famotidine,60.5,42.35,4754.0,5269.0,4
NDC,31722013001,Potassium Citrate,68.75,48.13,4754.0,5269.0,4
NDC,31722014101,Captopril,220.0,154.0,4754.0,5269.0,4
NDC,31722015130,Valsartan,21.87,15.31,4754.0,5269.0,4
NDC,31722015290,Valsartan,80.44,56.31,4754.0,5269.0,4
NDC,31722018501,Mixed Amphetamine Salts,192.5,134.75,4754.0,5269.0,4
NDC,31722030801,OLANZapine,55.0,38.5,4754.0,5269.0,4
NDC,31722050430,efavirenz,220.03,154.02,4754.0,5269.0,4
NDC,31722050960,Zidovudine,123.75,86.63,4754.0,5269.0,4
NDC,31722053001,Torsemide,43.45,30.42,4754.0,5269.0,4
NDC,31722053612,levETIRAcetam,24.75,17.33,4754.0,5269.0,4
NDC,31722054201,Indomethacin,52.53,36.77,4754.0,5269.0,4
NDC,31722054501,Lithium Carbonate,17.88,12.52,4754.0,5269.0,4
NDC,31722055612,lopinavir-ritonavir,2433.09,1703.16,4754.0,5269.0,4
NDC,31722058530,nebivolol hydrochloride,19.23,13.46,4754.0,5269.0,4
NDC,31722058630,nebivolol hydrochloride,19.23,13.46,4754.0,5269.0,4
NDC,31722058790,nebivolol hydrochloride,57.67,40.37,4754.0,5269.0,4
NDC,31722062330,roflumilast,49.5,34.65,4754.0,5269.0,4
NDC,31722063031,oseltamivir phosphate,71.5,50.05,4754.0,5269.0,4
NDC,31722067631,roflumilast,6.88,4.82,4754.0,5269.0,4
NDC,31722067632,roflumilast,137.5,96.25,4754.0,5269.0,4
NDC,31722070090,Losartan Potassium,19.31,13.52,4754.0,5269.0,4
NDC,31722070190,Losartan Potassium,23.52,16.46,4754.0,5269.0,4
NDC,31722070210,Losartan Potassium,192.5,134.75,4754.0,5269.0,4
NDC,31722070290,Losartan Potassium,35.15,24.61,4754.0,5269.0,4
NDC,31722071390,Pantoprazole Sodium,27.72,19.4,4754.0,5269.0,4
NDC,31722071430,atomoxetine hydrochloride,134.31,94.02,4754.0,5269.0,4
NDC,31722071730,atomoxetine hydrochloride,146.03,102.22,4754.0,5269.0,4
NDC,31722072150,levoFLOXacin,46.2,32.34,4754.0,5269.0,4
NDC,31722072250,levoFLOXacin,53.08,37.16,4754.0,5269.0,4
NDC,31722072320,levoFLOXacin,39.71,27.8,4754.0,5269.0,4
NDC,31722072690,Montelukast Sodium,31.68,22.18,4754.0,5269.0,4
NDC,31722072830,Montelukast Sodium,29.29,20.5,4754.0,5269.0,4
NDC,31722072930,Irbesartan,19.23,13.46,4754.0,5269.0,4
NDC,31722073030,Irbesartan,22.03,15.42,4754.0,5269.0,4
NDC,31722073090,Irbesartan,59.4,41.58,4754.0,5269.0,4
NDC,31722073130,Irbesartan,30.28,21.2,4754.0,5269.0,4
NDC,31722073190,Irbesartan,81.68,57.18,4754.0,5269.0,4
NDC,31722073830,Donepezil HCl,12.13,8.49,4754.0,5269.0,4
NDC,31722077801,Acyclovir,58.3,40.81,4754.0,5269.0,4
NDC,31722081260,lacosamide,17.49,12.24,4754.0,5269.0,4
NDC,31722083260,valGANciclovir hydrochloride,687.56,481.29,4754.0,5269.0,4
NDC,31722087801,Mycophenolate Mofetil,49.5,34.65,4754.0,5269.0,4
NDC,31722093502,Albendazole,165.0,115.5,4754.0,5269.0,4
NDC,31722093747,Simple Syrup,37.73,26.41,4754.0,5269.0,4
NDC,31740987,Robaxin,34.71,24.3,4754.0,5269.0,4
NDC,31866512,Robitussin Head & Chest Congestion PE,11.36,7.95,4754.0,5269.0,4
NDC,32004770,Creon,1180.03,826.02,4754.0,5269.0,4
NDC,32110201,Aceon,673.48,471.44,4754.0,5269.0,4
NDC,32110301,Aceon,818.13,572.69,4754.0,5269.0,4
NDC,32121201,Creon,1180.03,826.02,4754.0,5269.0,4
NDC,3218713,Orencia,4262.5,2983.75,4754.0,5269.0,4
NDC,32263601,Creon,2338.6,1637.02,4754.0,5269.0,4
NDC,3229111,Empliciti,6383.22,4468.25,4754.0,5269.0,4
NDC,32301613,Creon,3551.08,2485.76,4754.0,5269.0,4
NDC,3232711,Yervoy,24900.54,17430.38,4754.0,5269.0,4
NDC,3232822,Yervoy,99601.92,69721.34,4754.0,5269.0,4
NDC,32909016802,Liquid Polibar Plus,99.28,69.5,4754.0,5269.0,4
NDC,32909072301,Readi-Cat 2,12.38,8.67,4754.0,5269.0,4
NDC,32909075003,E-Z-Paque,13.56,9.49,4754.0,5269.0,4
NDC,32909076401,E-Z-HD,16.55,11.59,4754.0,5269.0,4
NDC,32909077001,E-Z-Paste,149.82,104.87,4754.0,5269.0,4
NDC,32909077503,Readi-Cat 2,11.14,7.8,4754.0,5269.0,4
NDC,33342-0001-09,lamiVUDine,4.59,3.21,,,0
NDC,33342-0054-07,Pioglitazone,1.0,0.7,,,0
NDC,33342-0063-10,Valsartan,1.0,0.7,,,0
NDC,33342-0064-10,Valsartan,2.01,1.41,,,0
NDC,33342-0089-09,Rivastigmine Tartrate,4.8,3.36,,,0
NDC,33342-0256-66,oseltamivir phosphate,4.63,3.24,,,0
NDC,33342-0258-66,oseltamivir phosphate,6.0,4.2,,,0
NDC,33342-0299-07,Eszopiclone,4.17,2.92,,,0
NDC,33342-0333-15,Triamcinolone Acetonide,11.93,8.35,,,0
NDC,33342-0394-10,Levothyroxine Sodium,1.0,0.7,,,0
NDC,33342000109,lamiVUDine,137.45,96.22,4754.0,5269.0,4
NDC,33342002710,Donepezil HCl,19.31,13.52,4754.0,5269.0,4
NDC,33342005407,Pioglitazone,10.98,7.69,4754.0,5269.0,4
NDC,33342005507,Pioglitazone,15.1,10.57,4754.0,5269.0,4
NDC,33342005607,Pioglitazone,15.84,11.09,4754.0,5269.0,4
NDC,33342006207,Valsartan,33.5,23.45,4754.0,5269.0,4
NDC,33342006310,Valsartan,84.65,59.26,4754.0,5269.0,4
NDC,33342006410,Valsartan,103.21,72.25,4754.0,5269.0,4
NDC,33342007207,OLANZapine,39.6,27.72,4754.0,5269.0,4
NDC,33342008802,Rizatriptan Benzoate,1.76,1.23,4754.0,5269.0,4
NDC,33342008841,Rizatriptan Benzoate,31.64,22.15,4754.0,5269.0,4
NDC,33342008909,Rivastigmine Tartrate,54.95,38.47,4754.0,5269.0,4
NDC,33342009607,tenofovir disoproxil fumarate,43.98,30.79,4754.0,5269.0,4
NDC,33342009709,Tolterodine Tartrate,66.99,46.89,4754.0,5269.0,4
NDC,33342010207,Montelukast Sodium,5.37,3.76,4754.0,5269.0,4
NDC,33342010937,Risedronate Sodium,68.75,48.13,4754.0,5269.0,4
NDC,33342010950,Risedronate Sodium,206.25,144.38,4754.0,5269.0,4
NDC,33342018010,Olmesartan Medoxomil,75.99,53.19,4754.0,5269.0,4
NDC,33342025666,oseltamivir phosphate,53.02,37.11,4754.0,5269.0,4
NDC,33342025866,oseltamivir phosphate,68.75,48.13,4754.0,5269.0,4
NDC,33342026011,Entacapone,132.0,92.4,4754.0,5269.0,4
NDC,33342029907,Eszopiclone,47.77,33.44,4754.0,5269.0,4
NDC,33342030111,Eszopiclone,69.58,48.71,4754.0,5269.0,4
NDC,33342032186,Clobetasol Propionate,68.75,48.13,4754.0,5269.0,4
NDC,33342032815,Triamcinolone Acetonide,15.56,10.89,4754.0,5269.0,4
NDC,33342033315,Triamcinolone Acetonide,11.93,8.35,4754.0,5269.0,4
NDC,33342057109,Sacubitril-Valsartan,412.5,288.75,4754.0,5269.0,4
NDC,3373413,Opdivo,21843.5,15290.45,4754.0,5269.0,4
NDC,3375614,Opdivo,10921.72,7645.2,4754.0,5269.0,4
NDC,3377211,Opdivo,3640.6,2548.42,4754.0,5269.0,4
NDC,3377412,Opdivo,9101.4,6370.98,4754.0,5269.0,4
NDC,338001702,Dextrose,11.69,8.18,4754.0,5269.0,4
NDC,338001703,Dextrose,12.38,8.67,4754.0,5269.0,4
NDC,338001718,Dextrose,7.7,5.39,4754.0,5269.0,4
NDC,338001738,Dextrose,7.15,5.01,4754.0,5269.0,4
NDC,338002302,Dextrose,17.19,12.03,4754.0,5269.0,4
NDC,338002303,Dextrose,16.5,11.55,4754.0,5269.0,4
NDC,338002304,Dextrose,22.0,15.4,4754.0,5269.0,4
NDC,338004303,Sodium Chloride,12.38,8.67,4754.0,5269.0,4
NDC,338004304,Sodium Chloride,16.5,11.55,4754.0,5269.0,4
NDC,338004902,Sodium Chloride,11.69,8.18,4754.0,5269.0,4
NDC,338004903,Sodium Chloride,11.0,7.7,4754.0,5269.0,4
NDC,338004904,Sodium Chloride,13.75,9.63,4754.0,5269.0,4
NDC,338004911,Sodium Chloride,7.98,5.59,4754.0,5269.0,4
NDC,338004941,Sodium Chloride,7.02,4.91,4754.0,5269.0,4
NDC,338005403,Sodium Chloride,17.88,12.52,4754.0,5269.0,4
NDC,338006301,Doxil,880.44,616.31,4754.0,5269.0,4
NDC,338006701,Doxil,4631.0,3241.7,4754.0,5269.0,4
NDC,338007225,Ketorolac Tromethamine,4.82,3.37,4754.0,5269.0,4
NDC,338007703,Dextrose-Sodium Chloride,13.75,9.63,4754.0,5269.0,4
NDC,338007704,Dextrose-Sodium Chloride,16.5,11.55,4754.0,5269.0,4
NDC,338008503,Dextrose-Sodium Chloride,12.38,8.67,4754.0,5269.0,4
NDC,338008504,Dextrose-Sodium Chloride,16.5,11.55,4754.0,5269.0,4
NDC,338008903,Dextrose-Sodium Chloride,12.38,8.67,4754.0,5269.0,4
NDC,338008904,Dextrose-Sodium Chloride,16.5,11.55,4754.0,5269.0,4
NDC,338010820,Norepinephrine Bitartrate-Dextrose,91.44,64.01,4754.0,5269.0,4
NDC,338011704,Lactated Ringer's,13.75,9.63,4754.0,5269.0,4
NDC,338012504,Lactated Ringer's and 5% Dextrose,16.5,11.55,4754.0,5269.0,4
NDC,338020604,Clinimix E 8/14,330.0,231.0,4754.0,5269.0,4
NDC,338022104,Plasma-Lyte A pH-7.4,46.75,32.73,4754.0,5269.0,4
NDC,338032201,Recothrom,236.5,165.55,4754.0,5269.0,4
NDC,338032401,Recothrom,236.5,165.55,4754.0,5269.0,4
NDC,338034104,Cardioplegic Solution,145.75,102.03,4754.0,5269.0,4
NDC,338035703,Osmitrol,173.25,121.28,4754.0,5269.0,4
NDC,338041102,Lidocaine HCl-Dextrose,21.32,14.92,4754.0,5269.0,4
NDC,338051909,Intralipid,129.25,90.48,4754.0,5269.0,4
NDC,338055311,Sodium Chloride,19.94,13.96,4754.0,5269.0,4
NDC,338065604,Acetic Acid,24.75,17.33,4754.0,5269.0,4
NDC,338067104,Potassium Chl-Dextrose-Sodium Chl,16.5,11.55,4754.0,5269.0,4
NDC,338069104,Potassium Chloride in Sodium Chloride,30.25,21.18,4754.0,5269.0,4
NDC,338070341,Potassium Chloride,10.45,7.32,4754.0,5269.0,4
NDC,338070434,Potassium Chloride-Sodium Chloride,19.25,13.48,4754.0,5269.0,4
NDC,338070541,Potassium Chloride,10.59,7.41,4754.0,5269.0,4
NDC,338070548,Potassium Chloride,11.28,7.9,4754.0,5269.0,4
NDC,338070948,Potassium Chloride,10.73,7.51,4754.0,5269.0,4
NDC,338080304,Potassium Chl in Dextrose and Sodium Chl,30.25,21.18,4754.0,5269.0,4
NDC,338100502,DOPamine HCl-dextrose,32.32,22.62,4754.0,5269.0,4
NDC,338100702,DOPamine HCl-dextrose,39.19,27.43,4754.0,5269.0,4
NDC,338102141,Penicillin G Potassium,27.37,19.16,4754.0,5269.0,4
NDC,338102541,Penicillin G Potassium,29.57,20.7,4754.0,5269.0,4
NDC,338104902,Nitroglycerin-Dextrose,61.88,43.32,4754.0,5269.0,4
NDC,338105548,metroNIDAZOLE,6.33,4.43,4754.0,5269.0,4
NDC,338107302,DOBUTamine HCl in Dextrose,61.88,43.32,4754.0,5269.0,4
NDC,338107502,DOBUTamine HCl in Dextrose,110.0,77.0,4754.0,5269.0,4
NDC,338130141,Cefepime,74.25,51.98,4754.0,5269.0,4
NDC,338130501,Mesnex,68.75,48.13,4754.0,5269.0,4
NDC,338170940,Magnesium Sulfate-Dextrose,17.6,12.32,4754.0,5269.0,4
NDC,338355248,Vancomycin HCl-Dextrose,74.25,51.98,4754.0,5269.0,4
NDC,338358048,Vancomycin HCl-Dextrose,33.42,23.39,4754.0,5269.0,4
NDC,338361224,Clindamycin Phosphate-Dextrose,29.43,20.6,4754.0,5269.0,4
NDC,338361250,Clindamycin Phosphate-Dextrose,29.43,20.6,4754.0,5269.0,4
NDC,338381424,Clindamycin Phosphate-Dextrose,35.89,25.12,4754.0,5269.0,4
NDC,338381450,Clindamycin Phosphate-Dextrose,35.89,25.12,4754.0,5269.0,4
NDC,338630803,Dextrose-Sodium Chloride,11.0,7.7,4754.0,5269.0,4
NDC,338917891,Sympt-X G.I.,222.75,155.93,4754.0,5269.0,4
NDC,338954304,Sodium Chloride,15.13,10.59,4754.0,5269.0,4
NDC,338955524,dexmedeTOMIDine HCl-Sodium Chloride,40.15,28.11,4754.0,5269.0,4
NDC,338955712,dexmedeTOMIDine HCl-Sodium Chloride,54.45,38.12,4754.0,5269.0,4
NDC,338956001,Tisseel Prima,475.92,333.14,4754.0,5269.0,4
NDC,338956401,Tisseel Prima,801.96,561.37,4754.0,5269.0,4
NDC,338956801,Tisseel Prima,1967.63,1377.34,4754.0,5269.0,4
NDC,338963601,Zosyn,55.83,39.08,4754.0,5269.0,4
NDC,338963624,Zosyn,55.83,39.08,4754.0,5269.0,4
NDC,338963701,Artiss,663.36,464.35,4754.0,5269.0,4
NDC,338963801,Zosyn,69.85,48.9,4754.0,5269.0,4
NDC,338963812,Zosyn,69.85,48.9,4754.0,5269.0,4
NDC,338964101,Artiss,2528.49,1769.94,4754.0,5269.0,4
NDC,338966501,Doxil,4631.0,3241.7,4754.0,5269.0,4
NDC,338966701,Doxil,880.44,616.31,4754.0,5269.0,4
NDC,3452211,Empliciti,8510.87,5957.61,4754.0,5269.0,4
NDC,35573043330,Ketoconazole,86.71,60.7,4754.0,5269.0,4
NDC,35573044425,Levalbuterol,3.3,2.31,4754.0,5269.0,4
NDC,35573045491,Benzoyl Peroxide,21.17,14.82,4754.0,5269.0,4
NDC,36000-0009-24,Ciprofloxacin,20.0,14.0,1.86,3.15,4
NDC,36000-0283-25,Furosemide,8.0,5.6,,,0
NDC,36000-0284-25,Furosemide,8.0,5.6,0.61,0.93,4
NDC,36000-0308-10,Naloxone HCl,29.19,20.435000000000002,8.06,11.92,4
NDC,36000000924,Ciprofloxacin,9.9,6.93,4754.0,5269.0,4
NDC,36000028325,Furosemide,3.05,2.14,4754.0,5269.0,4
NDC,36000028425,Furosemide,4.32,3.02,4754.0,5269.0,4
NDC,36000029824,Ciprofloxacin in Dextrose Novaplus,6.6,4.62,4754.0,5269.0,4
NDC,36000030801,Naloxone HCl,13.75,9.63,4754.0,5269.0,4
NDC,36000030810,Naloxone HCl,13.75,9.63,4754.0,5269.0,4
NDC,36000032201,Labetalol HCl,5.83,4.08,4754.0,5269.0,4
NDC,36000032202,Labetalol HCl,5.83,4.08,4754.0,5269.0,4
NDC,3612001,Opdivo Qvantig,21843.47,15290.43,4754.0,5269.0,4
NDC,362055705,Cook-Waite Marcaine,3.85,2.7,4754.0,5269.0,4
NDC,37000-0024-04,Metamucil MultiHealth Fiber Sugar-Free,1.0,0.7,,,0
NDC,37000-0254-45,Metamucil MultiHealth Fiber,3.0,2.1,,,0
NDC,37000-0803-01,NON-COVERED ITEM OR SERVICE,12.06,8.44,,,0
NDC,37000002404,Metamucil MultiHealth Fiber Sugar-Free,30.45,21.32,4754.0,5269.0,4
NDC,37000002410,Metamucil MultiHealth Fiber Sugar-Free,1.0,0.7,4754.0,5269.0,4
NDC,37000003201,Pepto-Bismol,6.82,4.77,4754.0,5269.0,4
NDC,37000025445,Metamucil MultiHealth Fiber,40.06,28.04,4754.0,5269.0,4
NDC,37000045502,PriLOSEC OTC,27.61,19.33,4754.0,5269.0,4
NDC,37000045810,Metamucil MultiHealth Fiber,25.85,18.1,4754.0,5269.0,4
NDC,37024523,Dymista,605.24,423.67,4754.0,5269.0,4
NDC,37043001,Felbatol,4244.35,2971.05,4754.0,5269.0,4
NDC,3712511,Opdualag,42410.45,29687.32,4754.0,5269.0,4
NDC,37682210,Proctofoam-HC,534.55,374.19,4754.0,5269.0,4
NDC,37721125,Zomig,147.84,103.49,4754.0,5269.0,4
NDC,3773199,Maxipime,17.49,12.24,4754.0,5269.0,4
NDC,378001801,Metoprolol Tartrate,13.2,9.24,4754.0,5269.0,4
NDC,378005201,Pindolol,290.4,203.28,4754.0,5269.0,4
NDC,378008801,Carbidopa-Levodopa,190.03,133.02,4754.0,5269.0,4
NDC,378014491,Tamoxifen Citrate,62.87,44.01,4754.0,5269.0,4
NDC,378021301,Chlorthalidone,327.53,229.27,4754.0,5269.0,4
NDC,378022201,Chlorthalidone,265.65,185.96,4754.0,5269.0,4
NDC,378025477,Quinapril HCl,41.34,28.94,4754.0,5269.0,4
NDC,378031701,Cimetidine,101.75,71.23,4754.0,5269.0,4
NDC,378035101,Haloperidol,71.5,50.05,4754.0,5269.0,4
NDC,378050101,Bisoprolol/HCTZ,101.75,71.23,4754.0,5269.0,4
NDC,378057701,aMILoride HCl/hydroCHLOROthiazide,111.65,78.16,4754.0,5269.0,4
NDC,378061601,Thioridazine HCl,230.45,161.32,4754.0,5269.0,4
NDC,378082501,cloZAPine,231.28,161.9,4754.0,5269.0,4
NDC,378087116,cloNIDine,72.87,51.01,4754.0,5269.0,4
NDC,378087199,cloNIDine,291.48,204.04,4754.0,5269.0,4
NDC,378087216,cloNIDine,122.69,85.88,4754.0,5269.0,4
NDC,378087299,cloNIDine,490.75,343.53,4754.0,5269.0,4
NDC,378097301,cloZAPine,1206.98,844.89,4754.0,5269.0,4
NDC,378100101,Thiothixene,261.25,182.88,4754.0,5269.0,4
NDC,378102077,niCARdipine HCl,441.3,308.91,4754.0,5269.0,4
NDC,378104901,Doxepin HCl,128.7,90.09,4754.0,5269.0,4
NDC,378113401,Ketorolac Tromethamine,498.3,348.81,4754.0,5269.0,4
NDC,378115001,busPIRone HCl,29.98,20.99,4754.0,5269.0,4
NDC,378117101,Nadolol,496.38,347.47,4754.0,5269.0,4
NDC,378156001,Phenytoin Sodium Extended,140.8,98.56,4754.0,5269.0,4
NDC,378206301,Atenolol-Chlorthalidone,178.2,124.74,4754.0,5269.0,4
NDC,378222201,Nisoldipine,3619.55,2533.69,4754.0,5269.0,4
NDC,378247401,Diclofenac Potassium,287.65,201.36,4754.0,5269.0,4
NDC,378300501,Thiothixene,523.88,366.72,4754.0,5269.0,4
NDC,378301201,Captopril,298.38,208.87,4754.0,5269.0,4
NDC,378305001,clomiPRAMINE HCl,2473.08,1731.16,4754.0,5269.0,4
NDC,378326694,Etoposide,4760.42,3332.29,4754.0,5269.0,4
NDC,378334999,Estradiol Transdermal System (Once-Weekly),204.22,142.95,4754.0,5269.0,4
NDC,378335099,Estradiol Transdermal System (Once-Weekly),204.22,142.95,4754.0,5269.0,4
NDC,378335299,Estradiol Transdermal System (Once-Weekly),204.22,142.95,4754.0,5269.0,4
NDC,378361201,Liothyronine Sodium,233.75,163.63,4754.0,5269.0,4
NDC,378363401,Carvedilol,21.73,15.21,4754.0,5269.0,4
NDC,378363501,Cetirizine HCl,36.58,25.61,4754.0,5269.0,4
NDC,378395377,Atorvastatin Calcium,38.12,26.68,4754.0,5269.0,4
NDC,378408101,Dexmethylphenidate HCl,1999.25,1399.48,4754.0,5269.0,4
NDC,378410591,Abacavir,1325.94,928.16,4754.0,5269.0,4
NDC,378479106,Fluorouracil,651.2,455.84,4754.0,5269.0,4
NDC,378500193,Exemestane,315.81,221.07,4754.0,5269.0,4
NDC,378501001,Thiothixene,738.65,517.06,4754.0,5269.0,4
NDC,378505201,Carbidopa-Levodopa,241.45,169.02,4754.0,5269.0,4
NDC,378537501,Doxepin HCl,373.45,261.42,4754.0,5269.0,4
NDC,378609001,dilTIAZem HCl,797.5,558.25,4754.0,5269.0,4
NDC,378623301,Citalopram,27.78,19.45,4754.0,5269.0,4
NDC,378633380,Acamprosate Calcium,406.4,284.48,4754.0,5269.0,4
NDC,378638001,Verapamil HCl,418.83,293.18,4754.0,5269.0,4
NDC,378644001,Verapamil HCl,472.73,330.91,4754.0,5269.0,4
NDC,378668977,Pantoprazole Sodium,27.72,19.4,4754.0,5269.0,4
NDC,378700501,Loxapine Succinate,150.43,105.3,4754.0,5269.0,4
NDC,378718605,metFORMIN HCl,56.38,39.47,4754.0,5269.0,4
NDC,378728353,eth estradiol-norethindrone ace and ferrous fum,19.1,13.37,4754.0,5269.0,4
NDC,378728385,eth estradiol-norethindrone ace and ferrous fum,19.1,13.37,4754.0,5269.0,4
NDC,378820001,Ketoprofen,2379.3,1665.51,4754.0,5269.0,4
NDC,378827093,Albuterol Sulfate,1.0,0.7,4754.0,5269.0,4
NDC,378830401,Carbidopa/Levodopa/Entacapone,825.28,577.7,4754.0,5269.0,4
NDC,378910293,Nitroglycerin Transdermal System,1.69,1.18,4754.0,5269.0,4
NDC,378910493,Nitroglycerin Transdermal System,58.25,40.78,4754.0,5269.0,4
NDC,378911216,Nitroglycerin Transdermal System,2.25,1.58,4754.0,5269.0,4
NDC,378911293,Nitroglycerin Transdermal System,67.32,47.12,4754.0,5269.0,4
NDC,378912216,fentaNYL,34.84,24.39,4754.0,5269.0,4
NDC,378912298,fentaNYL,174.16,121.91,4754.0,5269.0,4
NDC,378912416,fentaNYL,75.79,53.05,4754.0,5269.0,4
NDC,378932232,Wixela Inhub,421.08,294.76,4754.0,5269.0,4
NDC,386000104,Gebauer's Ethyl Chloride,112.93,79.05,4754.0,5269.0,4
NDC,38779005705,Progesterone,2462.9,1724.03,4754.0,5269.0,4
NDC,38779056605,Tetracaine HCl,1563.38,1094.37,4754.0,5269.0,4
NDC,39001925,Claforan,14.22,9.95,4754.0,5269.0,4
NDC,39003705,Claforan,36.99,25.89,4754.0,5269.0,4
NDC,39328002415,Lidocaine,82.5,57.75,4754.0,5269.0,4
NDC,39328010610,Prenatal Plus Vitamins,99.0,69.3,4754.0,5269.0,4
NDC,395024392,Benzoin Compound,24.92,17.44,4754.0,5269.0,4
NDC,395024792,Benzoin,29.21,20.45,4754.0,5269.0,4
NDC,395030094,Boric Acid,38.85,27.2,4754.0,5269.0,4
NDC,395042096,Calagesic,11.69,8.18,4754.0,5269.0,4
NDC,395161994,Menthol,246.84,172.79,4754.0,5269.0,4
NDC,395266116,Simple Syrup,40.33,28.23,4754.0,5269.0,4
NDC,39822-0412-06,Tobramycin Sulfate,180.0,126.0,2.55,4.35,4
NDC,39822-1055-05,Amphotericin B,1.32,0.92,15.59,44.36,4
NDC,39822019001,acetaZOLAMIDE,86.63,60.64,4754.0,5269.0,4
NDC,39822041201,Tobramycin Sulfate,206.25,144.38,4754.0,5269.0,4
NDC,39822041206,Tobramycin Sulfate,206.25,144.38,4754.0,5269.0,4
NDC,39822070602,Streptomycin Sulfate,2062.5,1443.75,4754.0,5269.0,4
NDC,39822105505,Amphotericin B,132.0,92.4,4754.0,5269.0,4
NDC,39822110001,Folic Acid,96.25,67.38,4754.0,5269.0,4
NDC,39822120101,Neomycin and Polymyxin B Sulfates,28.27,19.79,4754.0,5269.0,4
NDC,39822120102,Neomycin and Polymyxin B Sulfates,30.05,21.04,4754.0,5269.0,4
NDC,39822120105,Neomycin and Polymyxin B Sulfates,31.08,21.76,4754.0,5269.0,4
NDC,39822200001,cloNIDine HCl,68.75,48.13,4754.0,5269.0,4
NDC,39822303001,Pentamidine Isethionate,247.5,173.25,4754.0,5269.0,4
NDC,39822303002,Pentamidine Isethionate,247.5,173.25,4754.0,5269.0,4
NDC,39822420001,Rocuronium Bromide,12.38,8.67,4754.0,5269.0,4
NDC,39822420002,Rocuronium Bromide,12.38,8.67,4754.0,5269.0,4
NDC,39822552502,Promethazine HCl,5.5,3.85,4754.0,5269.0,4
NDC,39822552503,Promethazine HCl,5.5,3.85,4754.0,5269.0,4
NDC,39822904501,Pancrelipase,88.83,62.18,4754.0,5269.0,4
NDC,39822995002,Amyl Nitrite,1.44,1.01,4754.0,5269.0,4
NDC,4003909,Valcyte,2942.97,2060.08,4754.0,5269.0,4
NDC,4015649,Accutane,6329.13,4430.39,4754.0,5269.0,4
NDC,4022001,Hivid,499.13,349.39,4754.0,5269.0,4
NDC,4022101,Hivid,625.63,437.94,4754.0,5269.0,4
NDC,4025905,Cellcept,2357.19,1650.03,4754.0,5269.0,4
NDC,4026706,Demadex,20.32,14.22,4754.0,5269.0,4
NDC,4026806,Demadex,28.43,19.9,4754.0,5269.0,4
NDC,4035730,Pegasys,2809.1,1966.37,4754.0,5269.0,4
NDC,4050109,Zenapax,1365.52,955.86,4754.0,5269.0,4
NDC,406012323,HYDROcodone bitartrate-acetaminophen,1.69,1.18,4754.0,5269.0,4
NDC,406012362,HYDROcodone bitartrate-acetaminophen,168.3,117.81,4754.0,5269.0,4
NDC,406012401,HYDROcodone bitartrate-acetaminophen,57.75,40.43,4754.0,5269.0,4
NDC,406012423,HYDROcodone bitartrate-acetaminophen,1.86,1.3,4754.0,5269.0,4
NDC,406012462,HYDROcodone bitartrate-acetaminophen,185.63,129.94,4754.0,5269.0,4
NDC,406012501,HYDROcodone bitartrate-acetaminophen,60.5,42.35,4754.0,5269.0,4
NDC,406012523,HYDROcodone bitartrate-acetaminophen,1.89,1.32,4754.0,5269.0,4
NDC,406012562,HYDROcodone bitartrate-acetaminophen,188.93,132.25,4754.0,5269.0,4
NDC,406012701,Methylphenidate HCl,1100.0,770.0,4754.0,5269.0,4
NDC,406048423,Acetaminophen-Codeine Phosphate,1.55,1.09,4754.0,5269.0,4
NDC,406048462,Acetaminophen-Codeine Phosphate,154.28,108.0,4754.0,5269.0,4
NDC,406051223,oxyCODONE HCl-acetaminophen,1.56,1.09,4754.0,5269.0,4
NDC,406051262,oxyCODONE HCl-acetaminophen,155.1,108.57,4754.0,5269.0,4
NDC,406055223,oxyCODONE HCl,1.37,0.96,4754.0,5269.0,4
NDC,406055262,oxyCODONE HCl,136.4,95.48,4754.0,5269.0,4
NDC,406114401,Methylphenidate HCl,77.28,54.1,4754.0,5269.0,4
NDC,406117003,Naltrexone HCl,159.64,111.75,4754.0,5269.0,4
NDC,406123601,diphenoxylate HCl-atropine sulfate,52.25,36.58,4754.0,5269.0,4
NDC,406152055,Cocaine HCl,3064.4,2145.08,4754.0,5269.0,4
NDC,406324301,HYDROmorphone HCl,51.7,36.19,4754.0,5269.0,4
NDC,406458004,Collodion,163.9,114.73,4754.0,5269.0,4
NDC,406577123,Methadone HCl,1.25,0.88,4754.0,5269.0,4
NDC,406577162,Methadone HCl,124.03,86.82,4754.0,5269.0,4
NDC,406831501,Morphine Sulfate,184.25,128.98,4754.0,5269.0,4
NDC,406831523,Morphine Sulfate,2.52,1.76,4754.0,5269.0,4
NDC,406831562,Morphine Sulfate,251.08,175.76,4754.0,5269.0,4
NDC,406833001,Morphine Sulfate,350.35,245.25,4754.0,5269.0,4
NDC,406833023,Morphine Sulfate,4.78,3.35,4754.0,5269.0,4
NDC,406833062,Morphine Sulfate,477.13,333.99,4754.0,5269.0,4
NDC,406838001,Morphine Sulfate,683.38,478.37,4754.0,5269.0,4
NDC,406838023,Morphine Sulfate,9.32,6.52,4754.0,5269.0,4
NDC,406838062,Morphine Sulfate,931.15,651.81,4754.0,5269.0,4
NDC,406839001,Morphine Sulfate,1012.0,708.4,4754.0,5269.0,4
NDC,406853001,oxyCODONE HCl,135.85,95.1,4754.0,5269.0,4
NDC,406895801,Dextroamphetamine Sulfate,379.5,265.65,4754.0,5269.0,4
NDC,406902576,fentaNYL Transdermal System,98.04,68.63,4754.0,5269.0,4
NDC,406996001,Temazepam,731.5,512.05,4754.0,5269.0,4
NDC,406996101,Temazepam,25.58,17.91,4754.0,5269.0,4
NDC,407069020,Omniscan,283.09,198.16,4754.0,5269.0,4
NDC,407074604,Hypaque Meglumine,17.47,12.23,4754.0,5269.0,4
NDC,407074920,Hypaque Meglumine,55.69,38.98,4754.0,5269.0,4
NDC,407076604,Hypaque Sodium,18.43,12.9,4754.0,5269.0,4
NDC,407077604,Hypaque-76,12.93,9.05,4754.0,5269.0,4
NDC,407141120,Omnipaque 180,123.04,86.13,4754.0,5269.0,4
NDC,407141210,Omnipaque 240,119.74,83.82,4754.0,5269.0,4
NDC,407141220,Omnipaque 240,126.56,88.59,4754.0,5269.0,4
NDC,407141230,Omnipaque 240,107.8,75.46,4754.0,5269.0,4
NDC,407141361,Omnipaque 300,127.47,89.23,4754.0,5269.0,4
NDC,407141363,Omnipaque 300,249.7,174.79,4754.0,5269.0,4
NDC,407141365,Omnipaque 300,364.24,254.97,4754.0,5269.0,4
NDC,407141489,Omnipaque 350,138.88,97.22,4754.0,5269.0,4
NDC,407141490,Omnipaque 350,207.7,145.39,4754.0,5269.0,4
NDC,407141491,Omnipaque 350,277.48,194.24,4754.0,5269.0,4
NDC,407141493,Omnipaque 350,382.8,267.96,4754.0,5269.0,4
NDC,407141494,Omnipaque 350,471.9,330.33,4754.0,5269.0,4
NDC,407193103,Telepaque,12.07,8.45,4754.0,5269.0,4
NDC,407222304,Visipaque,480.7,336.49,4754.0,5269.0,4
NDC,407222317,Visipaque,291.23,203.86,4754.0,5269.0,4
NDC,407270703,Optison,386.1,270.27,4754.0,5269.0,4
NDC,409000701,EPINEPHrine-lidocaine HCl,6.55,4.59,4754.0,5269.0,4
NDC,409000710,EPINEPHrine-lidocaine HCl,6.55,4.59,4754.0,5269.0,4
NDC,409012501,Labetalol HCl,10.89,7.62,4754.0,5269.0,4
NDC,409012525,Labetalol HCl,10.89,7.62,4754.0,5269.0,4
NDC,409014701,EPINEPHrine-lidocaine HCl,9.19,6.43,4754.0,5269.0,4
NDC,409014710,EPINEPHrine-lidocaine HCl,9.19,6.43,4754.0,5269.0,4
NDC,409015201,metroNIDAZOLE,5.78,4.05,4754.0,5269.0,4
NDC,409015224,metroNIDAZOLE,5.78,4.05,4754.0,5269.0,4
NDC,409018101,Gemcitabine,124.55,87.19,4754.0,5269.0,4
NDC,409018125,Gemcitabine Novaplus,35.81,25.07,4754.0,5269.0,4
NDC,409018201,Gemcitabine,249.09,174.36,4754.0,5269.0,4
NDC,409018301,Gemcitabine,25.67,17.97,4754.0,5269.0,4
NDC,409018601,Gemcitabine,139.65,97.76,4754.0,5269.0,4
NDC,409020110,DOCEtaxel,693.18,485.23,4754.0,5269.0,4
NDC,409020120,DOCEtaxel,1384.46,969.12,4754.0,5269.0,4
NDC,409030201,Topotecan,381.04,266.73,4754.0,5269.0,4
NDC,409080101,Nipent,8116.02,5681.21,4754.0,5269.0,4
NDC,409100501,Heparin Sodium-Sodium Chloride,16.5,11.55,4754.0,5269.0,4
NDC,409100520,Heparin Sodium-Sodium Chloride,16.5,11.55,4754.0,5269.0,4
NDC,409110232,Codeine Phosphate,6.99,4.89,4754.0,5269.0,4
NDC,409113403,Morphine Sulfate,42.85,30.0,4754.0,5269.0,4
NDC,409114001,Argatroban,747.15,523.01,4754.0,5269.0,4
NDC,409114102,Sodium Chloride,42.35,29.65,4754.0,5269.0,4
NDC,409114112,Sodium Chloride,42.35,29.65,4754.0,5269.0,4
NDC,409114402,Verapamil HCl,88.91,62.24,4754.0,5269.0,4
NDC,409114405,Verapamil HCl,80.79,56.55,4754.0,5269.0,4
NDC,409115901,BUPivacaine HCl,6.52,4.56,4754.0,5269.0,4
NDC,409115902,BUPivacaine HCl,6.69,4.68,4754.0,5269.0,4
NDC,409115918,BUPivacaine HCl,6.52,4.56,4754.0,5269.0,4
NDC,409115919,BUPivacaine HCl,6.69,4.68,4754.0,5269.0,4
NDC,409116201,BUPivacaine HCl,7.62,5.33,4754.0,5269.0,4
NDC,409116202,BUPivacaine HCl,7.35,5.15,4754.0,5269.0,4
NDC,409116218,BUPivacaine HCl,7.62,5.33,4754.0,5269.0,4
NDC,409116219,BUPivacaine HCl,6.19,4.33,4754.0,5269.0,4
NDC,409116502,BUPivacaine HCl,13.2,9.24,4754.0,5269.0,4
NDC,409116519,BUPivacaine HCl,13.2,9.24,4754.0,5269.0,4
NDC,409117603,Demerol Hydrochloride,16.61,11.63,4754.0,5269.0,4
NDC,409117630,Demerol Hydrochloride,16.61,11.63,4754.0,5269.0,4
NDC,409117803,Demerol Hydrochloride,20.78,14.55,4754.0,5269.0,4
NDC,409117830,Demerol Hydrochloride,20.78,14.55,4754.0,5269.0,4
NDC,409117930,Demerol Hydrochloride,17.59,12.31,4754.0,5269.0,4
NDC,409118069,Demerol Hydrochloride,17.59,12.31,4754.0,5269.0,4
NDC,409118130,Demerol,377.85,264.5,4754.0,5269.0,4
NDC,409120703,Gentamicin Sulfate,9.94,6.96,4754.0,5269.0,4
NDC,409120713,Gentamicin Sulfate,9.94,6.96,4754.0,5269.0,4
NDC,409125301,Demerol Hydrochloride,11.02,7.71,4754.0,5269.0,4
NDC,409125311,Demerol Hydrochloride,11.02,7.71,4754.0,5269.0,4
NDC,409127303,diazePAM,92.58,64.81,4754.0,5269.0,4
NDC,409127332,diazePAM,92.58,64.81,4754.0,5269.0,4
NDC,409127632,fentaNYL Citrate,7.0,4.9,4754.0,5269.0,4
NDC,409128303,HYDROmorphone HCl,7.15,5.01,4754.0,5269.0,4
NDC,409128331,HYDROmorphone HCl,7.15,5.01,4754.0,5269.0,4
NDC,409131203,HYDROmorphone HCl,9.26,6.48,4754.0,5269.0,4
NDC,409131230,HYDROmorphone HCl,9.26,6.48,4754.0,5269.0,4
NDC,409131901,Vancomycin HCl,597.39,418.17,4754.0,5269.0,4
NDC,409132305,Lidocaine HCl,20.0,14.0,4754.0,5269.0,4
NDC,409132315,Lidocaine HCl,20.0,14.0,4754.0,5269.0,4
NDC,409139121,Meropenem,56.94,39.86,4754.0,5269.0,4
NDC,409139122,Meropenem,56.94,39.86,4754.0,5269.0,4
NDC,409140212,Heparin Sodium,9.64,6.75,4754.0,5269.0,4
NDC,409146301,Nalbuphine HCl,12.26,8.58,4754.0,5269.0,4
NDC,409146371,Nalbuphine HCl,12.26,8.58,4754.0,5269.0,4
NDC,409156010,Marcaine HCl,14.28,10.0,4754.0,5269.0,4
NDC,409156018,Marcaine HCl,14.28,10.0,4754.0,5269.0,4
NDC,409159601,Precedex,137.5,96.25,4754.0,5269.0,4
NDC,409159610,Precedex,137.5,96.25,4754.0,5269.0,4
NDC,409163010,Atropine Sulfate,28.25,19.78,4754.0,5269.0,4
NDC,409163015,Atropine Sulfate,28.25,19.78,4754.0,5269.0,4
NDC,409163110,Calcium Chloride,34.71,24.3,4754.0,5269.0,4
NDC,409163140,Calcium Chloride,34.71,24.3,4754.0,5269.0,4
NDC,409163401,Vecuronium Bromide,36.82,25.77,4754.0,5269.0,4
NDC,409163485,Vecuronium Bromide,36.82,25.77,4754.0,5269.0,4
NDC,409166010,Precedex,137.5,96.25,4754.0,5269.0,4
NDC,409166035,Precedex,137.5,96.25,4754.0,5269.0,4
NDC,409166050,Precedex,77.0,53.9,4754.0,5269.0,4
NDC,409174610,Marcaine with EPINEPHrine,18.48,12.94,4754.0,5269.0,4
NDC,409174630,Marcaine with EPINEPHrine,31.93,22.35,4754.0,5269.0,4
NDC,409174670,Marcaine with EPINEPHrine,18.48,12.94,4754.0,5269.0,4
NDC,409174671,Marcaine with EPINEPHrine,31.93,22.35,4754.0,5269.0,4
NDC,409174910,Marcaine with EPINEPHrine,18.76,13.13,4754.0,5269.0,4
NDC,409174929,Marcaine with EPINEPHrine,26.98,18.89,4754.0,5269.0,4
NDC,409174970,Marcaine with EPINEPHrine,18.76,13.13,4754.0,5269.0,4
NDC,409174971,Marcaine with EPINEPHrine,26.98,18.89,4754.0,5269.0,4
NDC,409175250,Marcaine with EPINEPHrine,46.75,32.73,4754.0,5269.0,4
NDC,409175410,Magnesium Sulfate,112.07,78.45,4754.0,5269.0,4
NDC,409175415,Magnesium Sulfate,112.07,78.45,4754.0,5269.0,4
NDC,409175550,Marcaine with EPINEPHrine,50.33,35.23,4754.0,5269.0,4
NDC,409176105,Marcaine Spinal,18.07,12.65,4754.0,5269.0,4
NDC,409176110,Marcaine Spinal,18.07,12.65,4754.0,5269.0,4
NDC,409176118,Marcaine Spinal,18.07,12.65,4754.0,5269.0,4
NDC,409177510,Dextrose,56.63,39.64,4754.0,5269.0,4
NDC,409177540,Dextrose,56.63,39.64,4754.0,5269.0,4
NDC,409177805,Metoprolol Tartrate,3.57,2.5,4754.0,5269.0,4
NDC,409177815,Metoprolol Tartrate,3.57,2.5,4754.0,5269.0,4
NDC,409188602,levETIRAcetam,10.7,7.49,4754.0,5269.0,4
NDC,409188622,levETIRAcetam,10.7,7.49,4754.0,5269.0,4
NDC,409189001,Morphine Sulfate,5.86,4.1,4754.0,5269.0,4
NDC,409189003,Morphine Sulfate,5.86,4.1,4754.0,5269.0,4
NDC,409189101,Morphine Sulfate,5.36,3.75,4754.0,5269.0,4
NDC,409189301,Morphine Sulfate,6.35,4.45,4754.0,5269.0,4
NDC,409190201,Procainamide HCl,1127.04,788.93,4754.0,5269.0,4
NDC,409190211,Procainamide HCl,1127.04,788.93,4754.0,5269.0,4
NDC,409191832,Sodium Chloride,3.08,2.16,4754.0,5269.0,4
NDC,409198503,LORazepam,9.87,6.91,4754.0,5269.0,4
NDC,409198530,LORazepam,9.87,6.91,4754.0,5269.0,4
NDC,409205105,Ketamine HCl,22.87,16.01,4754.0,5269.0,4
NDC,409205115,Ketamine HCl,22.87,16.01,4754.0,5269.0,4
NDC,409226720,Labetalol HCl,10.89,7.62,4754.0,5269.0,4
NDC,409230504,Midazolam HCl,3.13,2.19,4754.0,5269.0,4
NDC,409230505,Midazolam HCl,3.13,2.19,4754.0,5269.0,4
NDC,409230516,Midazolam,3.25,2.28,4754.0,5269.0,4
NDC,409230517,Midazolam,3.25,2.28,4754.0,5269.0,4
NDC,409230801,Midazolam HCl,3.2,2.24,4754.0,5269.0,4
NDC,409233924,Labetalol HCl,24.99,17.49,4754.0,5269.0,4
NDC,409233934,Labetalol HCl,24.99,17.49,4754.0,5269.0,4
NDC,409234402,DOBUTamine HCl,19.09,13.36,4754.0,5269.0,4
NDC,409234462,DOBUTamine HCl,19.09,13.36,4754.0,5269.0,4
NDC,409234488,DOBUTamine Novaplus,13.97,9.78,4754.0,5269.0,4
NDC,409234631,DOBUTamine HCl in Dextrose,60.5,42.35,4754.0,5269.0,4
NDC,409234632,DOBUTamine HCl in Dextrose,60.5,42.35,4754.0,5269.0,4
NDC,409263405,HYDROmorphone HCl,41.94,29.36,4754.0,5269.0,4
NDC,409263425,HYDROmorphone HCl,41.94,29.36,4754.0,5269.0,4
NDC,409272301,Heparin Sodium,5.56,3.89,4754.0,5269.0,4
NDC,409272330,Heparin Sodium,5.56,3.89,4754.0,5269.0,4
NDC,409277623,Milrinone Lactate in Dextrose,44.0,30.8,4754.0,5269.0,4
NDC,409317701,EPINEPHrine-lidocaine HCl,10.59,7.41,4754.0,5269.0,4
NDC,409317803,EPINEPHrine-lidocaine HCl,21.87,15.31,4754.0,5269.0,4
NDC,409317818,EPINEPHrine-lidocaine HCl,21.87,15.31,4754.0,5269.0,4
NDC,409318201,EPINEPHrine-lidocaine HCl,9.19,6.43,4754.0,5269.0,4
NDC,409318211,EPINEPHrine-lidocaine HCl,9.19,6.43,4754.0,5269.0,4
NDC,409318905,Rocuronium Bromide,10.22,7.15,4754.0,5269.0,4
NDC,409318910,Rocuronium Bromide,10.22,7.15,4754.0,5269.0,4
NDC,409321312,diazePAM,159.15,111.41,4754.0,5269.0,4
NDC,409329451,Potassium Acetate,30.8,21.56,4754.0,5269.0,4
NDC,409329461,Potassium Acetate,30.8,21.56,4754.0,5269.0,4
NDC,409329905,Sodium Acetate,33.42,23.39,4754.0,5269.0,4
NDC,409329915,Sodium Acetate,33.42,23.39,4754.0,5269.0,4
NDC,409330803,Acetylcysteine,70.05,49.04,4754.0,5269.0,4
NDC,409330811,Acetylcysteine,70.05,49.04,4754.0,5269.0,4
NDC,409335201,Pentothal,107.45,75.22,4754.0,5269.0,4
NDC,409336510,HYDROmorphone HCl,11.65,8.16,4754.0,5269.0,4
NDC,409336511,HYDROmorphone HCl,11.65,8.16,4754.0,5269.0,4
NDC,409337504,Levophed,61.81,43.27,4754.0,5269.0,4
NDC,409337514,Levophed,61.81,43.27,4754.0,5269.0,4
NDC,409341401,Metoclopramide HCl,3.42,2.39,4754.0,5269.0,4
NDC,409341418,Metoclopramide HCl,3.42,2.39,4754.0,5269.0,4
NDC,409357801,Tobramycin Sulfate,8.21,5.75,4754.0,5269.0,4
NDC,409357811,Tobramycin Sulfate,8.21,5.75,4754.0,5269.0,4
NDC,409361301,BUPivacaine Spinal,7.84,5.49,4754.0,5269.0,4
NDC,409379501,Ketorolac Tromethamine,17.96,12.57,4754.0,5269.0,4
NDC,409379519,Ketorolac Tromethamine,17.96,12.57,4754.0,5269.0,4
NDC,409403101,Mannitol,16.78,11.75,4754.0,5269.0,4
NDC,409403116,Mannitol,16.78,11.75,4754.0,5269.0,4
NDC,409409001,Zinc Chloride,65.15,45.61,4754.0,5269.0,4
NDC,409409101,Manganese,102.52,71.76,4754.0,5269.0,4
NDC,409409201,Copper,87.21,61.05,4754.0,5269.0,4
NDC,409409301,Chromium,54.54,38.18,4754.0,5269.0,4
NDC,409427501,Lidocaine HCl,13.07,9.15,4754.0,5269.0,4
NDC,409427516,Lidocaine HCl,13.07,9.15,4754.0,5269.0,4
NDC,409427601,Lidocaine HCl,8.75,6.13,4754.0,5269.0,4
NDC,409427616,Lidocaine HCl,8.75,6.13,4754.0,5269.0,4
NDC,409427701,Lidocaine HCl,10.95,7.67,4754.0,5269.0,4
NDC,409427716,Lidocaine HCl,10.95,7.67,4754.0,5269.0,4
NDC,409427902,Lidocaine HCl,9.0,6.3,4754.0,5269.0,4
NDC,409427916,Lidocaine HCl,9.0,6.3,4754.0,5269.0,4
NDC,409428202,Lidocaine HCl,19.89,13.92,4754.0,5269.0,4
NDC,409428212,Lidocaine HCl,19.89,13.92,4754.0,5269.0,4
NDC,409428301,Lidocaine HCl,13.3,9.31,4754.0,5269.0,4
NDC,409428311,Lidocaine HCl,13.3,9.31,4754.0,5269.0,4
NDC,409433201,Vancomycin HCl,22.45,15.72,4754.0,5269.0,4
NDC,409433211,Vancomycin HCl,22.45,15.72,4754.0,5269.0,4
NDC,409434616,Aminocaproic Acid,20.02,14.01,4754.0,5269.0,4
NDC,409434673,Aminocaproic Acid,20.02,14.01,4754.0,5269.0,4
NDC,409444401,levoFLOXacin in 5% Dextrose,27.64,19.35,4754.0,5269.0,4
NDC,409444424,levoFLOXacin in 5% Dextrose,27.64,19.35,4754.0,5269.0,4
NDC,409452002,Heparin Sodium in Dextrose,30.25,21.18,4754.0,5269.0,4
NDC,409477723,Ciprofloxacin,7.7,5.39,4754.0,5269.0,4
NDC,409491111,Atropine Sulfate,50.77,35.54,4754.0,5269.0,4
NDC,409491134,Atropine Sulfate,50.77,35.54,4754.0,5269.0,4
NDC,409492811,Calcium Chloride,47.03,32.92,4754.0,5269.0,4
NDC,409492834,Calcium Chloride,47.03,32.92,4754.0,5269.0,4
NDC,409493301,EPINEPHrine,28.08,19.66,4754.0,5269.0,4
NDC,409493311,EPINEPHrine,28.08,19.66,4754.0,5269.0,4
NDC,409553414,Sodium Bicarbonate,60.83,42.58,4754.0,5269.0,4
NDC,409553424,Sodium Bicarbonate,60.83,42.58,4754.0,5269.0,4
NDC,409555502,Sodium Bicarbonate,21.3,14.91,4754.0,5269.0,4
NDC,409555512,Sodium Bicarbonate,21.3,14.91,4754.0,5269.0,4
NDC,409582001,DOPamine HCl,11.02,7.71,4754.0,5269.0,4
NDC,409582011,DOPamine HCl,11.02,7.71,4754.0,5269.0,4
NDC,409592101,Aminophylline,54.98,38.49,4754.0,5269.0,4
NDC,409592110,Aminophylline Novaplus,31.27,21.89,4754.0,5269.0,4
NDC,409592116,Aminophylline,54.98,38.49,4754.0,5269.0,4
NDC,409610202,Furosemide,11.51,8.06,4754.0,5269.0,4
NDC,409610204,Furosemide,8.07,5.65,4754.0,5269.0,4
NDC,409610210,Furosemide,16.06,11.24,4754.0,5269.0,4
NDC,409610218,Furosemide,8.07,5.65,4754.0,5269.0,4
NDC,409610219,Furosemide,11.51,8.06,4754.0,5269.0,4
NDC,409610220,Furosemide,16.06,11.24,4754.0,5269.0,4
NDC,409614309,Acetic Acid,13.75,9.63,4754.0,5269.0,4
NDC,409648201,Erythrocin Lactobionate,301.8,211.26,4754.0,5269.0,4
NDC,409648211,Erythrocin Lactobionate,301.8,211.26,4754.0,5269.0,4
NDC,409653102,Vancomycin HCl,27.05,18.94,4754.0,5269.0,4
NDC,409653112,Vancomycin HCl,27.05,18.94,4754.0,5269.0,4
NDC,409653301,Vancomycin HCl,44.33,31.03,4754.0,5269.0,4
NDC,409653311,Vancomycin HCl,44.78,31.35,4754.0,5269.0,4
NDC,409653321,Vancomycin HCl,44.78,31.35,4754.0,5269.0,4
NDC,409653361,Amerinet Choice Vancomycin Hydrochloride,14.06,9.84,4754.0,5269.0,4
NDC,409653501,Vancomycin HCl,23.06,16.14,4754.0,5269.0,4
NDC,409655701,Testosterone Cypionate,233.23,163.26,4754.0,5269.0,4
NDC,409662502,Sodium Bicarbonate,26.82,18.77,4754.0,5269.0,4
NDC,409662514,Sodium Bicarbonate,27.09,18.96,4754.0,5269.0,4
NDC,409662522,Sodium Bicarbonate,27.09,18.96,4754.0,5269.0,4
NDC,409662525,sodium bicarbonate Novaplus,24.89,17.42,4754.0,5269.0,4
NDC,409663714,Sodium Bicarbonate,58.03,40.62,4754.0,5269.0,4
NDC,409663724,Sodium Bicarbonate,58.03,40.62,4754.0,5269.0,4
NDC,409664802,Dextrose,14.3,10.01,4754.0,5269.0,4
NDC,409664816,Dextrose,14.3,10.01,4754.0,5269.0,4
NDC,409665106,Potassium Chloride,10.48,7.34,4754.0,5269.0,4
NDC,409665119,Potassium Chloride,10.48,7.34,4754.0,5269.0,4
NDC,409665305,Potassium Chloride,13.92,9.74,4754.0,5269.0,4
NDC,409665318,Potassium Chloride,13.92,9.74,4754.0,5269.0,4
NDC,409666075,Sodium Chloride,18.37,12.86,4754.0,5269.0,4
NDC,409669502,Amidate,17.82,12.47,4754.0,5269.0,4
NDC,409672723,Magnesium Sulfate-Dextrose,22.55,15.79,4754.0,5269.0,4
NDC,409672903,Magnesium Sulfate,15.13,10.59,4754.0,5269.0,4
NDC,409672909,Magnesium Sulfate,22.0,15.4,4754.0,5269.0,4
NDC,409672911,Magnesium Sulfate,44.55,31.19,4754.0,5269.0,4
NDC,409672921,Magnesium Sulfate,15.13,10.59,4754.0,5269.0,4
NDC,409672924,Magnesium Sulfate,44.55,31.19,4754.0,5269.0,4
NDC,409677802,LORazepam,4.69,3.28,4754.0,5269.0,4
NDC,409677811,LORazepam,4.69,3.28,4754.0,5269.0,4
NDC,409707514,Potassium Chloride,8.8,6.16,4754.0,5269.0,4
NDC,409710104,Sodium Chloride,15.82,11.07,4754.0,5269.0,4
NDC,409724803,Hetastarch/Sodium Chloride,116.88,81.82,4754.0,5269.0,4
NDC,409724813,Hetastarch/Sodium Chloride,116.88,81.82,4754.0,5269.0,4
NDC,409729501,Potassium Phosphate,40.68,28.48,4754.0,5269.0,4
NDC,409729511,Potassium Phosphate,40.68,28.48,4754.0,5269.0,4
NDC,409729973,Sodium Acetate,30.8,21.56,4754.0,5269.0,4
NDC,409729983,Sodium Acetate,30.8,21.56,4754.0,5269.0,4
NDC,409733201,cefTRIAXone,4.19,2.93,4754.0,5269.0,4
NDC,409733211,cefTRIAXone,4.19,2.93,4754.0,5269.0,4
NDC,409733410,cefTRIAXone,47.63,33.34,4754.0,5269.0,4
NDC,409733503,cefTRIAXone,7.96,5.57,4754.0,5269.0,4
NDC,409733513,cefTRIAXone,7.96,5.57,4754.0,5269.0,4
NDC,409733701,cefTRIAXone,2.1,1.47,4754.0,5269.0,4
NDC,409733711,cefTRIAXone,8.0,5.6,4754.0,5269.0,4
NDC,409733801,cefTRIAXone,2.66,1.86,4754.0,5269.0,4
NDC,409733811,cefTRIAXone,2.66,1.86,4754.0,5269.0,4
NDC,409739172,Sodium Phosphates,110.6,77.42,4754.0,5269.0,4
NDC,409739182,Sodium Phosphates,110.6,77.42,4754.0,5269.0,4
NDC,409751716,Dextrose,54.18,37.93,4754.0,5269.0,4
NDC,409751766,Dextrose,54.18,37.93,4754.0,5269.0,4
NDC,409765005,Heparin Sodium-Sodium Chloride,41.25,28.88,4754.0,5269.0,4
NDC,409765030,Heparin Sodium-Sodium Chloride,41.25,28.88,4754.0,5269.0,4
NDC,409765052,Heparin Sodium-Sodium Chloride,39.19,27.43,4754.0,5269.0,4
NDC,409771513,Mannitol,52.25,36.58,4754.0,5269.0,4
NDC,409780911,DOPamine HCl-dextrose,43.32,30.32,4754.0,5269.0,4
NDC,409780922,DOPamine HCl-dextrose,43.32,30.32,4754.0,5269.0,4
NDC,409792209,Dextrose,13.75,9.63,4754.0,5269.0,4
NDC,409792602,Dextrose-Sodium Chloride,14.44,10.11,4754.0,5269.0,4
NDC,409792903,Dextrose 5% In Ringers,15.13,10.59,4754.0,5269.0,4
NDC,409793009,Dextrose,13.75,9.63,4754.0,5269.0,4
NDC,409794103,Dextrose-Sodium Chloride,15.13,10.59,4754.0,5269.0,4
NDC,409795303,Lactated Ringer's,15.13,10.59,4754.0,5269.0,4
NDC,409798303,Sodium Chloride,15.13,10.59,4754.0,5269.0,4
NDC,409818301,Potassium Acetate,14.85,10.4,4754.0,5269.0,4
NDC,409818311,Potassium Acetate,14.85,10.4,4754.0,5269.0,4
NDC,40985027116,Biotin,11.5,8.05,4754.0,5269.0,4
NDC,409904516,BUPivacaine HCl with EPINEPHrine,10.89,7.62,4754.0,5269.0,4
NDC,409904517,BUPivacaine HCl with EPINEPHrine,10.89,7.62,4754.0,5269.0,4
NDC,409904601,BUPivacaine HCl with EPINEPHrine,25.58,17.91,4754.0,5269.0,4
NDC,409909332,fentaNYL Citrate,4.92,3.44,4754.0,5269.0,4
NDC,409909337,fentaNYL Citrate,4.92,3.44,4754.0,5269.0,4
NDC,409909338,fentaNYL Citrate,17.49,12.24,4754.0,5269.0,4
NDC,409909412,fentaNYL Citrate,7.73,5.41,4754.0,5269.0,4
NDC,409909416,fentaNYL Citrate,28.82,20.17,4754.0,5269.0,4
NDC,409909418,fentaNYL Citrate,9.41,6.59,4754.0,5269.0,4
NDC,409909422,fentaNYL Citrate,7.73,5.41,4754.0,5269.0,4
NDC,409909425,fentaNYL Citrate,9.41,6.59,4754.0,5269.0,4
NDC,409909428,fentaNYL Citrate,18.7,13.09,4754.0,5269.0,4
NDC,409909431,fentaNYL Citrate,28.82,20.17,4754.0,5269.0,4
NDC,409909441,fentaNYL Citrate,86.22,60.35,4754.0,5269.0,4
NDC,409909461,fentaNYL Citrate,86.22,60.35,4754.0,5269.0,4
NDC,409910420,DOPamine HCl,16.04,11.23,4754.0,5269.0,4
NDC,409910421,DOPamine HCl,16.04,11.23,4754.0,5269.0,4
NDC,409915701,Vitamin K1,13.06,9.14,4754.0,5269.0,4
NDC,409915731,Vitamin K1,13.06,9.14,4754.0,5269.0,4
NDC,409915750,Vitamin K1,13.06,9.14,4754.0,5269.0,4
NDC,409915801,Vitamin K1,134.66,94.26,4754.0,5269.0,4
NDC,409915825,Vitamin K1 Novaplus,75.08,52.56,4754.0,5269.0,4
NDC,409915831,Vitamin K1,134.66,94.26,4754.0,5269.0,4
NDC,409915850,Vitamin K1,134.66,94.26,4754.0,5269.0,4
NDC,409955805,Rocuronium Bromide,10.22,7.15,4754.0,5269.0,4
NDC,409955810,Rocuronium Bromide,19.69,13.78,4754.0,5269.0,4
NDC,409955831,Rocuronium Bromide,19.69,13.78,4754.0,5269.0,4
NDC,409956601,Cefepime,16.75,11.73,4754.0,5269.0,4
NDC,409956610,Cefepime,16.75,11.73,4754.0,5269.0,4
NDC,41100-0811-23,Afrin,14.66,10.26,,,0
NDC,41100081123,Afrin,16.79,11.75,4754.0,5269.0,4
NDC,4110020,Xeloda,2237.07,1565.95,4754.0,5269.0,4
NDC,4110150,Xeloda,14911.38,10437.97,4754.0,5269.0,4
NDC,41167413102,Allegra Allergy,21.98,15.39,4754.0,5269.0,4
NDC,41167424404,Children's Allegra Allergy,25.08,17.56,4754.0,5269.0,4
NDC,4142000007,Florastor,77.97,54.58,4754.0,5269.0,4
NDC,41679036503,MCT Oil,176.91,123.84,4754.0,5269.0,4
NDC,41679036513,MCT Oil,176.91,123.84,4754.0,5269.0,4
NDC,42023-0159-25,Adrenalin,45.705,31.994999999999997,0.81,1.23,4
NDC,42023-0164-10,Vasostrict,29.16,20.41,1.88,2.97,4
NDC,42023-0168-01,Adrenalin,60.14,42.1,0.81,1.23,4
NDC,42023010301,Adrenalin,689.04,482.33,4754.0,5269.0,4
NDC,42023010401,Aplisol,318.29,222.8,4754.0,5269.0,4
NDC,42023010405,Aplisol,1240.2,868.14,4754.0,5269.0,4
NDC,42023010501,Brevital Sodium,306.71,214.7,4754.0,5269.0,4
NDC,42023010701,Coly-Mycin M Parenteral,77.0,53.9,4754.0,5269.0,4
NDC,42023011510,Ketalar,36.69,25.68,4754.0,5269.0,4
NDC,42023011602,Pitocin,38.5,26.95,4754.0,5269.0,4
NDC,42023015901,Adrenalin,41.14,28.8,4754.0,5269.0,4
NDC,42023015925,Adrenalin,41.14,28.8,4754.0,5269.0,4
NDC,42023016801,Adrenalin,689.04,482.33,4754.0,5269.0,4
NDC,42023018201,Argatroban,1402.5,981.75,4754.0,5269.0,4
NDC,42023022101,Ertapenem,321.95,225.37,4754.0,5269.0,4
NDC,42023022110,Ertapenem,321.95,225.37,4754.0,5269.0,4
NDC,42023024401,Doxycycline,44.0,30.8,4754.0,5269.0,4
NDC,42023024410,Doxycycline,44.0,30.8,4754.0,5269.0,4
NDC,42037-0104-78,Debrox,10.77,7.54,,,0
NDC,42037010475,Gly-Oxide,11.68,8.18,4754.0,5269.0,4
NDC,42192-0330-01,NP Thyroid,3.67,2.57,,,0
NDC,42192032901,NP Thyroid,189.2,132.44,4754.0,5269.0,4
NDC,42192033001,NP Thyroid,210.1,147.07,4754.0,5269.0,4
NDC,42192033801,Hyoscyamine Sulfate ODT,123.75,86.63,4754.0,5269.0,4
NDC,42192033901,Hyoscyamine Sulfate,123.75,86.63,4754.0,5269.0,4
NDC,42192034001,Hyoscyamine Sulfate,123.75,86.63,4754.0,5269.0,4
NDC,42192061405,Phenytoin Sodium,13.7,9.59,4754.0,5269.0,4
NDC,42192061430,Phenytoin Sodium,13.7,9.59,4754.0,5269.0,4
NDC,42192080101,Phenazopyridine HCl,233.75,163.63,4754.0,5269.0,4
NDC,42195-0550-14,Ciprofloxacin,20.46,14.32,,,0
NDC,42195055014,Ciprofloxacin,357.59,250.31,4754.0,5269.0,4
NDC,42291-0154-10,Cyclobenzaprine HCl,1.0,0.7,,,0
NDC,42291-0471-01,Carbidopa-Levodopa,1.0,0.7,,,0
NDC,42291-0472-01,Carbidopa-Levodopa,2.0,1.4,,,0
NDC,42291-0477-30,Lidocaine,5.75,4.03,,,0
NDC,42291-0495-30,Lidocaine,5.75,4.03,,,0
NDC,42291007630,Clobetasol Propionate,9.49,6.64,4754.0,5269.0,4
NDC,42291008630,Acitretin,431.07,301.75,4754.0,5269.0,4
NDC,42291015410,Cyclobenzaprine HCl,101.75,71.23,4754.0,5269.0,4
NDC,42291046701,Carbidopa-Levodopa,30.8,21.56,4754.0,5269.0,4
NDC,42291047101,Carbidopa-Levodopa,22.0,15.4,4754.0,5269.0,4
NDC,42291077360,ranolazine,29.54,20.68,4754.0,5269.0,4
NDC,42291081790,Torsemide,122.02,85.41,4754.0,5269.0,4
NDC,42291085630,Valsartan,11.31,7.92,4754.0,5269.0,4
NDC,42291089730,Venlafaxine HCl,5.94,4.16,4754.0,5269.0,4
NDC,42291089790,Venlafaxine HCl,13.62,9.53,4754.0,5269.0,4
NDC,42291097360,valGANciclovir hydrochloride,605.55,423.89,4754.0,5269.0,4
NDC,42292002601,paliperidone,69.96,48.97,4754.0,5269.0,4
NDC,42292002620,paliperidone,6996.0,4897.2,4754.0,5269.0,4
NDC,42367054032,Ryanodex,9114.49,6380.14,4754.0,5269.0,4
NDC,42385-0977-01,metFORMIN HCl,1.0,0.7,,,0
NDC,42385094701,metFORMIN HCl,6.88,4.82,4754.0,5269.0,4
NDC,42385095330,emtricitabine-tenofovir disoproxil fumarate,68.73,48.11,4754.0,5269.0,4
NDC,42385097701,metFORMIN HCl,12.38,8.67,4754.0,5269.0,4
NDC,42385097790,metFORMIN HCl,11.14,7.8,4754.0,5269.0,4
NDC,42494-0416-25,PHENobarbital Sodium,326.19,228.33,32.8,51.39,4
NDC,42494041625,PHENobarbital Sodium,186.88,130.82,4754.0,5269.0,4
NDC,42571-0141-26,Dorzolamide HCl,81.58,57.11,,,0
NDC,42571-0161-42,Amoxicillin/Clavulanate Potassium,1.2,0.84,,,0
NDC,42571-0162-42,Amoxicillin/Clavulanate Potassium,1.65,1.16,,,0
NDC,42571013027,Travoprost,379.15,265.41,4754.0,5269.0,4
NDC,42571014126,Dorzolamide HCl,93.48,65.44,4754.0,5269.0,4
NDC,42571016142,Amoxicillin/Clavulanate Potassium,27.5,19.25,4754.0,5269.0,4
NDC,42571022030,rasagiline,656.7,459.69,4754.0,5269.0,4
NDC,42658000801,DACTINomycin,1375.0,962.5,4754.0,5269.0,4
NDC,42658001001,Cladribine,962.5,673.75,4754.0,5269.0,4
NDC,42658002101,DAUNOrubicin HCl,360.64,252.45,4754.0,5269.0,4
NDC,42658002102,DAUNOrubicin HCl,360.64,252.45,4754.0,5269.0,4
NDC,42747072601,Sancuso,1821.11,1274.78,4754.0,5269.0,4
NDC,42747076101,Poteligeo,13151.58,9206.11,4754.0,5269.0,4
NDC,42799-0806-01,Ivermectin,29.82,20.87,,,0
NDC,42799-0815-01,prednisoLONE Sodium Phosphate,4.04,2.83,0.29,0.69,4
NDC,42799010501,Methenamine Mandelate,412.5,288.75,4754.0,5269.0,4
NDC,42799010601,Methenamine Mandelate,825.0,577.5,4754.0,5269.0,4
NDC,42799012002,Bumetanide,467.5,327.25,4754.0,5269.0,4
NDC,42799080601,Ivermectin,227.76,159.43,4754.0,5269.0,4
NDC,42799081501,prednisoLONE Sodium Phosphate,109.5,76.65,4754.0,5269.0,4
NDC,42806-0102-01,Ethambutol HCl,3.04,2.13,,,0
NDC,42806-0151-34,Azithromycin,10.8,7.56,,,0
NDC,42806-0270-95,Cholestyramine Light,5.5,3.85,,,0
NDC,42806-0310-05,Doxycycline Hyclate,1.0,0.7,,,0
NDC,42806-0312-05,Doxycycline Hyclate,1.0,0.7,,,0
NDC,42806-0400-01,methylPREDNISolone,1.7200000000000002,1.2,0.25,0.37,4
NDC,42806-0410-01,buPROPion HCl,1.0,0.7,,,0
NDC,42806-0547-01,Vitamin D,1.0,0.7,,,0
NDC,42806-0549-09,Dutasteride,1.0,0.7,,,0
NDC,42806-0658-30,entecavir,1.0,0.7,,,0
NDC,42806-0714-01,Benzonatate,1.0,0.7,,,0
NDC,42806-0714-05,Benzonatate,1.0,0.7,,,0
NDC,42806005801,flavoxATE HCl,110.0,77.0,4754.0,5269.0,4
NDC,42806008701,Estradiol,19.8,13.86,4754.0,5269.0,4
NDC,42806010201,Ethambutol HCl,348.15,243.71,4754.0,5269.0,4
NDC,42806014448,Demeclocycline HCl,3026.1,2118.27,4754.0,5269.0,4
NDC,42806014731,Azithromycin,33.0,23.1,4754.0,5269.0,4
NDC,42806014932,Azithromycin,35.77,25.04,4754.0,5269.0,4
NDC,42806015134,Azithromycin,41.25,28.88,4754.0,5269.0,4
NDC,42806018615,Klayesta,19.27,13.49,4754.0,5269.0,4
NDC,42806027095,Cholestyramine Light,165.0,115.5,4754.0,5269.0,4
NDC,42806027098,Cholestyramine Light,2.75,1.93,4754.0,5269.0,4
NDC,42806031005,Doxycycline Hyclate,275.0,192.5,4754.0,5269.0,4
NDC,42806031250,Doxycycline Hyclate,27.5,19.25,4754.0,5269.0,4
NDC,42806035830,Leucovorin Calcium,111.21,77.85,4754.0,5269.0,4
NDC,42806041001,buPROPion HCl,33.0,23.1,4754.0,5269.0,4
NDC,42806054701,Vitamin D,33.0,23.1,4754.0,5269.0,4
NDC,42806054909,Dutasteride,81.43,57.0,4754.0,5269.0,4
NDC,42806054930,Dutasteride,26.4,18.48,4754.0,5269.0,4
NDC,42806055212,Omega-3-Acid Ethyl Esters,68.64,48.05,4754.0,5269.0,4
NDC,42806065830,entecavir,22.03,15.42,4754.0,5269.0,4
NDC,42806065930,entecavir,24.75,17.33,4754.0,5269.0,4
NDC,42806071401,Benzonatate,41.25,28.88,4754.0,5269.0,4
NDC,42806071405,Benzonatate,185.63,129.94,4754.0,5269.0,4
NDC,42806075760,sulfADIAZINE,2644.79,1851.35,4754.0,5269.0,4
NDC,42806079930,rifAMPin,386.1,270.27,4754.0,5269.0,4
NDC,42858-0001-10,oxyCODONE HCl,1.08,0.76,,,0
NDC,42858-0002-10,oxyCODONE HCl,3.12,2.18,,,0
NDC,42858-0118-30,Lidocaine,5.21,3.65,,,0
NDC,42858-0502-03,Buprenorphine,1.44,1.01,,,0
NDC,42858000101,oxyCODONE HCl,36.3,25.41,4754.0,5269.0,4
NDC,42858000110,oxyCODONE HCl,123.75,86.63,4754.0,5269.0,4
NDC,42858000301,oxyCODONE HCl,77.0,53.9,4754.0,5269.0,4
NDC,42858000501,oxyCODONE HCl,124.85,87.4,4754.0,5269.0,4
NDC,42858011830,Lidocaine,178.78,125.15,4754.0,5269.0,4
NDC,42858050103,Buprenorphine,43.98,30.79,4754.0,5269.0,4
NDC,42858050203,Buprenorphine,66.0,46.2,4754.0,5269.0,4
NDC,42858086706,droNABinol,340.07,238.05,4754.0,5269.0,4
NDC,42858086806,droNABinol,512.16,358.51,4754.0,5269.0,4
NDC,430047203,Actonel,937.7,656.39,4754.0,5269.0,4
NDC,430323015,Taclonex,1167.05,816.94,4754.0,5269.0,4
NDC,430375414,Estrace,948.09,663.66,4754.0,5269.0,4
NDC,43066-0150-10,Nexterone,83.28,58.3,2.55,2.55,1
NDC,43066-0360-20,Nexterone,110.89,77.62,2.55,2.55,1
NDC,43066000910,Cardene IV,137.5,96.25,4754.0,5269.0,4
NDC,43066001401,Oxaliplatin,48.13,33.69,4754.0,5269.0,4
NDC,43066015010,Nexterone,95.43,66.8,4754.0,5269.0,4
NDC,43066036020,Nexterone,127.05,88.94,4754.0,5269.0,4
NDC,43386-0050-19,GaviLyte-N with Flavor Pack,48.0,33.6,,,0
NDC,43386005019,GaviLyte-N with Flavor Pack,55.0,38.5,4754.0,5269.0,4
NDC,43386009019,GaviLyte-G with Flavor Pack,66.0,46.2,4754.0,5269.0,4
NDC,43386077001,Flucytosine,5500.0,3850.0,4754.0,5269.0,4
NDC,43386077101,Flucytosine,2750.0,1925.0,4754.0,5269.0,4
NDC,43547-0269-10,rOPINIRole HCl,1.0,0.7,,,0
NDC,43547-0275-09,Donepezil HCl,1.0,0.7,,,0
NDC,43547-0282-10,Escitalopram,1.0,0.7,,,0
NDC,43547-0339-06,risperiDONE,1.0,0.7,,,0
NDC,43547-0341-06,risperiDONE,2.0,1.4,,,0
NDC,43547-0352-11,Lisinopril,1.0,0.7,,,0
NDC,43547-0356-10,Lisinopril,1.0,0.7,,,0
NDC,43547-0356-11,Lisinopril,1.0,0.7,,,0
NDC,43547-0399-10,Cyclobenzaprine HCl,1.0,0.7,,,0
NDC,43547-0403-10,Furosemide,1.0,0.7,,,0
NDC,43547-0423-09,Losartan Potassium-hydroCHLOROthiazide,1.0,0.7,,,0
NDC,43547-0543-25,Glycopyrrolate,8.0,5.6,0.5,1.02,4
NDC,43547-0688-10,Ciprofloxacin,1.0,0.7,,,0
NDC,43547-0897-10,Bumetanide,2.0,1.4,,,0
NDC,43547026910,rOPINIRole HCl,33.0,23.1,4754.0,5269.0,4
NDC,43547027509,Donepezil HCl,41.34,28.94,4754.0,5269.0,4
NDC,43547027609,Donepezil HCl,41.34,28.94,4754.0,5269.0,4
NDC,43547028210,Escitalopram,41.25,28.88,4754.0,5269.0,4
NDC,43547028910,buPROPion HCl,68.75,48.13,4754.0,5269.0,4
NDC,43547029503,febuxostat,53.38,37.37,4754.0,5269.0,4
NDC,43547033510,Benazepril Hydrochloride,19.25,13.48,4754.0,5269.0,4
NDC,43547033710,Benazepril Hydrochloride,33.0,23.1,4754.0,5269.0,4
NDC,43547033906,risperiDONE,27.56,19.29,4754.0,5269.0,4
NDC,43547034206,risperiDONE,35.81,25.07,4754.0,5269.0,4
NDC,43547034306,risperiDONE,38.45,26.92,4754.0,5269.0,4
NDC,43547034406,risperiDONE,41.25,28.88,4754.0,5269.0,4
NDC,43547034506,levETIRAcetam,68.81,48.17,4754.0,5269.0,4
NDC,43547035110,Lisinopril,6.88,4.82,4754.0,5269.0,4
NDC,43547035211,Lisinopril,82.5,57.75,4754.0,5269.0,4
NDC,43547035610,Lisinopril,33.55,23.49,4754.0,5269.0,4
NDC,43547036109,Losartan Potassium,12.38,8.67,4754.0,5269.0,4
NDC,43547037609,Irbesartan,99.0,69.3,4754.0,5269.0,4
NDC,43547040210,Furosemide,13.2,9.24,4754.0,5269.0,4
NDC,43547040310,Furosemide,19.25,13.48,4754.0,5269.0,4
NDC,43547042309,Losartan Potassium-hydroCHLOROthiazide,14.11,9.88,4754.0,5269.0,4
NDC,43547042409,Losartan Potassium-hydroCHLOROthiazide,21.54,15.08,4754.0,5269.0,4
NDC,43547052603,nebivolol hydrochloride,19.14,13.4,4754.0,5269.0,4
NDC,43547054301,Glycopyrrolate,7.48,5.24,4754.0,5269.0,4
NDC,43547054325,Glycopyrrolate,7.48,5.24,4754.0,5269.0,4
NDC,43547054610,Enalapril Maleate,57.75,40.43,4754.0,5269.0,4
NDC,43547068810,Ciprofloxacin,31.63,22.14,4754.0,5269.0,4
NDC,43598-0128-11,methylPREDNISolone Sodium Succinate,52.8,36.96,,,0
NDC,43598-0165-30,OLANZapine,1.0,0.7,,,0
NDC,43598-0166-30,OLANZapine,1.0,0.7,,,0
NDC,43598-0210-25,SSD,18.0,12.6,,,0
NDC,43598-0283-35,DOXOrubicin HCl Liposome,2700.0,1890.0,104.01,291.23,14
NDC,43598-0405-16,Phytonadione,51.33,35.93,2.8,4.75,4
NDC,43598-0426-60,bortezomib,377.14,264.0,2.07,2.71,4
NDC,43598-0446-74,Nicotine Transdermal System,4.27,2.99,,,0
NDC,43598-0447-74,Nicotine Transdermal System,4.27,2.99,,,0
NDC,43598-0448-74,Nicotine Transdermal System,4.27,2.99,,,0
NDC,43598-0529-36,Neostigmine Methylsulfate,20.0,14.0,0.11,0.11,2
NDC,43598-0541-25,DOXOrubicin HCl Liposome,3000.0,2100.0,104.01,291.23,7
NDC,43598-0548-21,Propofol,12.77,8.94,0.12,0.21,4
NDC,43598-0635-10,levETIRAcetam,44.4,31.08,0.07,0.1,4
NDC,43598-0636-10,levETIRAcetam,72.0,50.4,0.07,0.1,4
NDC,43598-0848-58,Ziprasidone Mesylate,112.8,78.96,10.22,15.96,4
NDC,43598-0914-06,Vasopressin,110.4,77.28,1.88,2.97,4
NDC,43598000451,Augmentin,1681.97,1177.38,4754.0,5269.0,4
NDC,43598001253,Augmentin,2248.54,1573.98,4754.0,5269.0,4
NDC,43598005111,Calcitonin-Salmon,7318.72,5123.1,4754.0,5269.0,4
NDC,43598012811,methylPREDNISolone Sodium Succinate,60.5,42.35,4754.0,5269.0,4
NDC,43598013074,methylPREDNISolone Sodium Succinate,89.38,62.57,4754.0,5269.0,4
NDC,43598016530,OLANZapine,16.5,11.55,4754.0,5269.0,4
NDC,43598016630,OLANZapine,19.64,13.75,4754.0,5269.0,4
NDC,43598016860,lubiprostone,408.21,285.75,4754.0,5269.0,4
NDC,43598017001,Chlorthalidone,12.38,8.67,4754.0,5269.0,4
NDC,43598021040,SSD,145.2,101.64,4754.0,5269.0,4
NDC,43598021050,SSD,34.1,23.87,4754.0,5269.0,4
NDC,43598023018,colesevelam hydrochloride,453.92,317.74,4754.0,5269.0,4
NDC,43598028335,DOXOrubicin HCl Liposome,1237.5,866.25,4754.0,5269.0,4
NDC,43598032675,ciprofloxacin hcl-dexAMETHasone,317.28,222.1,4754.0,5269.0,4
NDC,43598033011,Zoledronic Acid Novaplus,123.75,86.63,4754.0,5269.0,4
NDC,43598033960,aspirin-dipyridamole,165.0,115.5,4754.0,5269.0,4
NDC,43598039467,tetrabenazine,2417.19,1692.03,4754.0,5269.0,4
NDC,43598040511,Phytonadione,117.61,82.33,4754.0,5269.0,4
NDC,43598040516,Phytonadione,117.61,82.33,4754.0,5269.0,4
NDC,43598042660,bortezomib,687.5,481.25,4754.0,5269.0,4
NDC,43598043611,Nitroglycerin,58.17,40.72,4754.0,5269.0,4
NDC,43598043635,Nitroglycerin,58.17,40.72,4754.0,5269.0,4
NDC,43598044671,Nicotine Transdermal System,4.89,3.42,4754.0,5269.0,4
NDC,43598044674,Nicotine Transdermal System,68.46,47.92,4754.0,5269.0,4
NDC,43598044771,Nicotine Transdermal System,4.89,3.42,4754.0,5269.0,4
NDC,43598044774,Nicotine Transdermal System,68.46,47.92,4754.0,5269.0,4
NDC,43598044828,Nicotine Transdermal System,123.44,86.41,4754.0,5269.0,4
NDC,43598044871,Nicotine Transdermal System,4.89,3.42,4754.0,5269.0,4
NDC,43598044874,Nicotine Transdermal System,68.46,47.92,4754.0,5269.0,4
NDC,43598052911,Neostigmine Methylsulfate,49.5,34.65,4754.0,5269.0,4
NDC,43598052936,Neostigmine Methylsulfate,49.5,34.65,4754.0,5269.0,4
NDC,43598054125,DOXOrubicin HCl Liposome,3437.5,2406.25,4754.0,5269.0,4
NDC,43598054821,Propofol,38.5,26.95,4754.0,5269.0,4
NDC,43598054850,Propofol,38.5,26.95,4754.0,5269.0,4
NDC,43598055030,lamoTRIgine,411.18,287.83,4754.0,5269.0,4
NDC,43598063510,levETIRAcetam,50.88,35.62,4754.0,5269.0,4
NDC,43598063552,levETIRAcetam,50.88,35.62,4754.0,5269.0,4
NDC,43598063610,levETIRAcetam,82.5,57.75,4754.0,5269.0,4
NDC,43598063652,levETIRAcetam,82.5,57.75,4754.0,5269.0,4
NDC,43598069811,carboprost tromethamine,877.23,614.06,4754.0,5269.0,4
NDC,43598069858,carboprost tromethamine,877.23,614.06,4754.0,5269.0,4
NDC,43598072511,ePHEDrine Sulfate,42.35,29.65,4754.0,5269.0,4
NDC,43598072525,ePHEDrine Sulfate,42.35,29.65,4754.0,5269.0,4
NDC,43598084811,Ziprasidone Mesylate,129.25,90.48,4754.0,5269.0,4
NDC,43598084858,Ziprasidone Mesylate,129.25,90.48,4754.0,5269.0,4
NDC,43598089430,Nitroglycerin,172.68,120.88,4754.0,5269.0,4
NDC,43598091406,Vasopressin,63.25,44.28,4754.0,5269.0,4
NDC,43598091411,Vasopressin,63.25,44.28,4754.0,5269.0,4
NDC,43598093109,Desmopressin Acetate,104.5,73.15,4754.0,5269.0,4
NDC,43598093111,Desmopressin Acetate,104.5,73.15,4754.0,5269.0,4
NDC,43825020001,Terlivaz,2717.0,1901.9,4754.0,5269.0,4
NDC,43900028300,Glutasolve,5.21,3.65,4754.0,5269.0,4
NDC,43900028330,Glutasolve,291.37,203.96,4754.0,5269.0,4
NDC,43975-0322-03,Tolterodine Tartrate,3.21,2.25,,,0
NDC,43975032203,Tolterodine Tartrate,27.48,19.24,4754.0,5269.0,4
NDC,43975032303,Tolterodine Tartrate,27.48,19.24,4754.0,5269.0,4
NDC,43975035003,paliperidone,178.78,125.15,4754.0,5269.0,4
NDC,43975035103,paliperidone,178.78,125.15,4754.0,5269.0,4
NDC,44087-3535-01,Bavencio,18585.99,13010.19,104.99,293.97,14
NDC,44087353501,Bavencio,5758.56,4030.99,4754.0,5269.0,4
NDC,44206-0251-10,Alburx,679.5,475.65,53.08,148.62,23
NDC,44206-0310-25,Alburx,216.0,151.2,53.08,148.62,7
NDC,44206-0310-50,Alburx,247.5,173.25,53.08,148.62,35
NDC,44206-0436-05,Privigen,2172.48,1520.74,50.28,140.78,14
NDC,44206-0437-10,Privigen,4344.96,3041.47,50.28,140.78,14
NDC,44206-0438-20,Privigen,9776.16,6843.3099999999995,50.28,140.78,14
NDC,44206-0439-40,Privigen,17379.84,12165.89,50.28,140.78,14
NDC,44206025105,Alburx,247.5,173.25,4754.0,5269.0,4
NDC,44206025110,Alburx,495.0,346.5,4754.0,5269.0,4
NDC,44206025191,Alburx,495.0,346.5,4754.0,5269.0,4
NDC,44206030001,Rhophylac,467.92,327.54,4754.0,5269.0,4
NDC,44206030090,Rhophylac,467.92,327.54,4754.0,5269.0,4
NDC,44206031025,Alburx,247.5,173.25,4754.0,5269.0,4
NDC,44206031050,Alburx,495.0,346.5,4754.0,5269.0,4
NDC,44206031090,Alburx,247.5,173.25,4754.0,5269.0,4
NDC,44206031091,Alburx,495.0,346.5,4754.0,5269.0,4
NDC,44206043605,Privigen,2638.08,1846.66,4754.0,5269.0,4
NDC,44206043710,Privigen,5276.15,3693.31,4754.0,5269.0,4
NDC,44206043820,Privigen,10552.3,7386.61,4754.0,5269.0,4
NDC,44206043940,Privigen,21104.6,14773.22,4754.0,5269.0,4
NDC,44206053211,Cytogam,4073.85,2851.7,4754.0,5269.0,4
NDC,44206053290,Cytogam,4073.85,2851.7,4754.0,5269.0,4
NDC,44523060201,Sodium Sulfacetamide-Sulfur,537.97,376.58,4754.0,5269.0,4
NDC,44567-0150-10,Ampicillin-Sulbactam,38.4,26.88,2.12,2.89,4
NDC,44567-0235-25,cefTAZidime,10.8,7.56,2.09,2.77,4
NDC,44567-0236-10,cefTAZidime,24.0,16.8,2.09,2.77,4
NDC,44567-0240-10,Cefepime,13.68,9.58,2.06,7.12,4
NDC,44567-0410-24,Magnesium Sulfate-Dextrose,20.0,14.0,0.64,1.13,4
NDC,44567-0420-24,Magnesium Sulfate,20.0,14.0,0.64,1.13,4
NDC,44567-0511-01,CISplatin,171.6,120.12,3.27,5.59,4
NDC,44567-0611-10,Midazolam-Sodium Chloride,72.0,50.4,0.26,0.46,4
NDC,44567-0620-24,Calcium Gluconate-Sodium Chloride,71.1,49.769999999999996,0.09,0.15,4
NDC,44567022110,Nafcillin,30.25,21.18,4754.0,5269.0,4
NDC,44567022210,Nafcillin,60.5,42.35,4754.0,5269.0,4
NDC,44567023525,cefTAZidime,12.38,8.67,4754.0,5269.0,4
NDC,44567023610,cefTAZidime,27.5,19.25,4754.0,5269.0,4
NDC,44567041024,Magnesium Sulfate-Dextrose,8.53,5.97,4754.0,5269.0,4
NDC,44567042000,Magnesium Sulfate,18.7,13.09,4754.0,5269.0,4
NDC,44567042024,Magnesium Sulfate,18.7,13.09,4754.0,5269.0,4
NDC,44567061101,Midazolam-Sodium Chloride,82.5,57.75,4754.0,5269.0,4
NDC,44567061110,Midazolam-Sodium Chloride,82.5,57.75,4754.0,5269.0,4
NDC,44567062001,Calcium Gluconate-Sodium Chloride,54.32,38.02,4754.0,5269.0,4
NDC,44567062024,Calcium Gluconate-Sodium Chloride,54.32,38.02,4754.0,5269.0,4
NDC,44567070725,ceFAZolin,4.54,3.18,4754.0,5269.0,4
NDC,44567080310,Piperacillin and Tazobactam,18.7,13.09,4754.0,5269.0,4
NDC,44567081110,Esmolol HCl,328.63,230.04,4754.0,5269.0,4
NDC,450020504,Children's ZyrTEC,31.48,22.04,4754.0,5269.0,4
NDC,45006951,Levaquin,100.43,70.3,4754.0,5269.0,4
NDC,45034660,Pancrease MT 20,658.08,460.66,4754.0,5269.0,4
NDC,45091032,Lactaid Fast Act,15.84,11.09,4754.0,5269.0,4
NDC,456040001,Teflaro,708.02,495.61,4754.0,5269.0,4
NDC,456040010,Teflaro,708.02,495.61,4754.0,5269.0,4
NDC,456045701,Armour Thyroid,236.78,165.75,4754.0,5269.0,4
NDC,456045801,Armour Thyroid,278.03,194.62,4754.0,5269.0,4
NDC,456060001,Teflaro,708.02,495.61,4754.0,5269.0,4
NDC,456060010,Teflaro,708.02,495.61,4754.0,5269.0,4
NDC,456120130,Linzess,1561.89,1093.32,4754.0,5269.0,4
NDC,456120230,Linzess,1561.89,1093.32,4754.0,5269.0,4
NDC,456120330,Linzess,1561.89,1093.32,4754.0,5269.0,4
NDC,456141030,Bystolic,502.76,351.93,4754.0,5269.0,4
NDC,456155060,Savella,1407.45,985.22,4754.0,5269.0,4
NDC,456224030,Fetzima,1447.55,1013.29,4754.0,5269.0,4
NDC,456228030,Fetzima,1447.55,1013.29,4754.0,5269.0,4
NDC,456241006,Saphris,577.89,404.52,4754.0,5269.0,4
NDC,456241060,Saphris,3467.31,2427.12,4754.0,5269.0,4
NDC,456261590,Tiazac,652.66,456.86,4754.0,5269.0,4
NDC,456270001,Avycaz,1142.26,799.58,4754.0,5269.0,4
NDC,456270010,Avycaz,1142.26,799.58,4754.0,5269.0,4
NDC,456340733,Namenda XR,1278.09,894.66,4754.0,5269.0,4
NDC,456342833,Namenda XR,1278.09,894.66,4754.0,5269.0,4
NDC,45802-0055-35,Triamcinolone Acetonide,10.84,7.59,,,0
NDC,45802-0056-35,Gentamicin Sulfate,108.62,76.03,,,0
NDC,45802-0059-35,Nystatin,33.59,23.51,,,0
NDC,45802-0060-01,Bacitracin,4.07,2.85,,,0
NDC,45802-0060-70,Bacitracin,1.0,0.7,,,0
NDC,45802-0112-22,Mupirocin,21.6,15.12,,,0
NDC,45802-0139-70,metroNIDAZOLE,305.6,213.92,,,0
NDC,45802-0143-01,Triple Antibiotic,4.81,3.37,,,0
NDC,45802-0143-70,Triple Antibiotic,1.0,0.7,,,0
NDC,45802-0422-35,Desonide,49.5,34.65,,,0
NDC,45802-0438-03,Hydrocortisone,5.04,3.53,,,0
NDC,45802-0580-84,scopolamine,38.52,26.96,,,0
NDC,45802-0650-87,Loratadine,1.0,0.7,,,0
NDC,45802-0730-33,Acetaminophen,1.0,0.7,,,0
NDC,45802-0759-30,Promethazine HCl,23.4,16.38,,,0
NDC,45802004064,Selenium Sulfide,27.39,19.17,4754.0,5269.0,4
NDC,45802004835,Nystatin,38.49,26.94,4754.0,5269.0,4
NDC,45802005435,Triamcinolone Acetonide,13.66,9.56,4754.0,5269.0,4
NDC,45802005535,Triamcinolone Acetonide,12.42,8.69,4754.0,5269.0,4
NDC,45802005536,Triamcinolone Acetonide,28.16,19.71,4754.0,5269.0,4
NDC,45802005635,Gentamicin Sulfate,108.62,76.03,4754.0,5269.0,4
NDC,45802005935,Nystatin,38.49,26.94,4754.0,5269.0,4
NDC,45802006000,Bacitracin,1.0,0.7,4754.0,5269.0,4
NDC,45802006001,Bacitracin,4.66,3.26,4754.0,5269.0,4
NDC,45802006070,Bacitracin,52.67,36.87,4754.0,5269.0,4
NDC,45802006435,Triamcinolone Acetonide,8.91,6.24,4754.0,5269.0,4
NDC,45802006436,Triamcinolone Acetonide,21.78,15.25,4754.0,5269.0,4
NDC,45802009735,Estradiol,197.99,138.59,4754.0,5269.0,4
NDC,45802009846,Mesalamine,35.97,25.18,4754.0,5269.0,4
NDC,45802009851,Mesalamine,27.56,19.29,4754.0,5269.0,4
NDC,45802011222,Mupirocin,24.75,17.33,4754.0,5269.0,4
NDC,45802012935,Halobetasol Propionate,90.75,63.53,4754.0,5269.0,4
NDC,45802013970,metroNIDAZOLE,55.06,38.54,4754.0,5269.0,4
NDC,45802014300,Triple Antibiotic,1.0,0.7,4754.0,5269.0,4
NDC,45802014301,Triple Antibiotic,5.51,3.86,4754.0,5269.0,4
NDC,45802014370,Triple Antibiotic,58.22,40.75,4754.0,5269.0,4
NDC,45802018816,Hemorrhoidal,7.22,5.05,4754.0,5269.0,4
NDC,45802020326,Acetaminophen Children's,6.49,4.54,4754.0,5269.0,4
NDC,45802025735,Mometasone Furoate,48.14,33.7,4754.0,5269.0,4
NDC,45802026937,Permethrin,82.5,57.75,4754.0,5269.0,4
NDC,45802027603,Hydrocortisone,5.78,4.05,4754.0,5269.0,4
NDC,45802035803,Anti-Itch Cream,5.93,4.15,4754.0,5269.0,4
NDC,45802036235,Tretinoin,81.56,57.09,4754.0,5269.0,4
NDC,45802039000,Tacrolimus,192.48,134.74,4754.0,5269.0,4
NDC,45802042235,Desonide,49.5,34.65,4754.0,5269.0,4
NDC,45802043411,Athlete's Foot,12.54,8.78,4754.0,5269.0,4
NDC,45802043803,Hydrocortisone,5.78,4.05,4754.0,5269.0,4
NDC,45802046564,Ketoconazole,60.72,42.5,4754.0,5269.0,4
NDC,45802046611,Econazole Nitrate,137.7,96.39,4754.0,5269.0,4
NDC,45802047264,Hydrocortisone Acetate-Pramoxine HCl,360.28,252.2,4754.0,5269.0,4
NDC,45802049535,Desoximetasone,112.91,79.04,4754.0,5269.0,4
NDC,45802052555,Ammonium Lactate,26.61,18.63,4754.0,5269.0,4
NDC,45802057800,Naloxone HCl,54.99,38.49,4754.0,5269.0,4
NDC,45802057884,Naloxone HCl,109.98,76.99,4754.0,5269.0,4
NDC,45802062626,Cetirizine HCl,11.22,7.85,4754.0,5269.0,4
NDC,45802065065,Loratadine,6.85,4.8,4754.0,5269.0,4
NDC,45802065087,Loratadine,33.0,23.1,4754.0,5269.0,4
NDC,45802073000,Acetaminophen,1.0,0.7,4754.0,5269.0,4
NDC,45802073030,Acetaminophen,11.69,8.18,4754.0,5269.0,4
NDC,45802073032,Acetaminophen,38.37,26.86,4754.0,5269.0,4
NDC,45802073200,Children's Fever Reducer,1.0,0.7,4754.0,5269.0,4
NDC,45802073230,Children's Fever Reducer,10.17,7.12,4754.0,5269.0,4
NDC,45802073233,Children's Fever Reducer,53.9,37.73,4754.0,5269.0,4
NDC,45802075830,Promethazine HCl,321.69,225.18,4754.0,5269.0,4
NDC,45802075900,Promethazine HCl,26.81,18.77,4754.0,5269.0,4
NDC,45802075930,Promethazine HCl,321.69,225.18,4754.0,5269.0,4
NDC,45802088014,Nystatin/Triamcinolone Acetonide,57.63,40.34,4754.0,5269.0,4
NDC,45802088094,Nystatin/Triamcinolone Acetonide,80.94,56.66,4754.0,5269.0,4
NDC,45802092341,Mesalamine,376.31,263.42,4754.0,5269.0,4
NDC,45802095001,Sodium Sulfacetamide-Sulfur,106.29,74.4,4754.0,5269.0,4
NDC,45802096126,Clobetasol Propionate,206.39,144.47,4754.0,5269.0,4
NDC,45802096694,Erythromycin,138.6,97.02,4754.0,5269.0,4
NDC,45963043864,Enulose,19.52,13.66,4754.0,5269.0,4
NDC,45963060755,Vinorelbine,49.5,34.65,4754.0,5269.0,4
NDC,45963060955,Fludarabine Phosphate,259.88,181.92,4754.0,5269.0,4
NDC,45963062357,Gemcitabine,24.57,17.2,4754.0,5269.0,4
NDC,46074905,Premarin Intravenous,1036.42,725.49,4754.0,5269.0,4
NDC,46081050,Antabuse,151.53,106.07,4754.0,5269.0,4
NDC,46086581,Premarin,395.73,277.01,4754.0,5269.0,4
NDC,46087221,Premarin Vaginal,1267.37,887.16,4754.0,5269.0,4
NDC,46087511,Prempro,194.81,136.37,4754.0,5269.0,4
NDC,46110081,Premarin,1944.53,1361.17,4754.0,5269.0,4
NDC,46110181,Premarin,1944.53,1361.17,4754.0,5269.0,4
NDC,46110281,Premarin,1944.53,1361.17,4754.0,5269.0,4
NDC,46110481,Premarin,1944.53,1361.17,4754.0,5269.0,4
NDC,46110511,Prempro,680.92,476.64,4754.0,5269.0,4
NDC,46110611,Prempro,680.92,476.64,4754.0,5269.0,4
NDC,46122022163,Good Neighbor Pharmacy Glycerin,10.32,7.22,4754.0,5269.0,4
NDC,46257911,Premphase,268.5,187.95,4754.0,5269.0,4
NDC,46287-0006-60,SPS Suspension,59.48,41.64,,,0
NDC,46287000601,SPS Suspension,577.54,404.28,4754.0,5269.0,4
NDC,46287000660,SPS Suspension,68.15,47.71,4754.0,5269.0,4
NDC,46287000901,Isoniazid,923.54,646.48,4754.0,5269.0,4
NDC,46287050030,Sorbitol,7.92,5.54,4754.0,5269.0,4
NDC,469042001,Cresemba,1084.55,759.19,4754.0,5269.0,4
NDC,469042099,Cresemba,1002.82,701.97,4754.0,5269.0,4
NDC,469052002,Cresemba,4456.3,3119.41,4754.0,5269.0,4
NDC,469052014,Cresemba,3887.23,2721.06,4754.0,5269.0,4
NDC,469064773,Astagraf XL,238.26,166.78,4754.0,5269.0,4
NDC,469067773,Astagraf XL,476.61,333.63,4754.0,5269.0,4
NDC,469068773,Astagraf XL,2383.02,1668.11,4754.0,5269.0,4
NDC,469160104,Vaprisol,1190.75,833.53,4754.0,5269.0,4
NDC,469160210,Vaprisol,1637.63,1146.34,4754.0,5269.0,4
NDC,469301601,Prograf,701.33,490.93,4754.0,5269.0,4
NDC,469305130,Ambisome,875.36,612.75,4754.0,5269.0,4
NDC,469321110,Mycamine,514.25,359.98,4754.0,5269.0,4
NDC,469325010,Mycamine,257.13,179.99,4754.0,5269.0,4
NDC,469342510,Vyloy,4400.0,3080.0,4754.0,5269.0,4
NDC,469442530,Vyloy,13200.0,9240.0,4754.0,5269.0,4
NDC,472011720,Tretinoin,230.18,161.13,4754.0,5269.0,4
NDC,472017934,Triple Antibiotic,9.53,6.67,4754.0,5269.0,4
NDC,472024260,Permethrin,272.25,190.58,4754.0,5269.0,4
NDC,472034556,Hydrocortisone,3.62,2.53,4754.0,5269.0,4
NDC,472037015,Betamethasone Valerate,61.55,43.09,4754.0,5269.0,4
NDC,472037915,clotrimazole-betamethasone dipropionate,27.85,19.5,4754.0,5269.0,4
NDC,472038245,Betamethasone Dipropionate Augmented,292.67,204.87,4754.0,5269.0,4
NDC,472080304,Desonide,964.42,675.09,4754.0,5269.0,4
NDC,472163016,Dextromethorphan/Promethazine,23.42,16.39,4754.0,5269.0,4
NDC,472191501,Mesalamine,12.15,8.51,4754.0,5269.0,4
NDC,472191530,Mesalamine,364.24,254.97,4754.0,5269.0,4
NDC,47335-0049-40,DOXOrubicin HCl Liposome,1080.0,756.0,104.01,291.23,7
NDC,47335-0050-40,DOXOrubicin HCl Liposome,3000.0,2100.0,104.01,291.23,7
NDC,47335-0343-83,Cetirizine HCl,7.98,5.59,,,0
NDC,47335-0485-83,Bicalutamide,1.2,0.84,,,0
NDC,47335-0993-01,metroNIDAZOLE,20.0,14.0,0.03,0.03,4
NDC,47335004940,DOXOrubicin HCl Liposome,1237.5,866.25,4754.0,5269.0,4
NDC,47335005040,DOXOrubicin HCl Liposome,3437.5,2406.25,4754.0,5269.0,4
NDC,47335008250,Lipodox,2638.08,1846.66,4754.0,5269.0,4
NDC,47335015340,Gemcitabine,77.0,53.9,4754.0,5269.0,4
NDC,47335017795,Ilumya PFS,49393.96,34575.77,4754.0,5269.0,4
NDC,47335017923,tetrabenazine,8057.28,5640.1,4754.0,5269.0,4
NDC,47335018788,Carbidopa-Levodopa,241.45,169.02,4754.0,5269.0,4
NDC,47335022090,Ketorolac Tromethamine,88.14,61.7,4754.0,5269.0,4
NDC,47335032186,Memantine HCl,33.66,23.56,4754.0,5269.0,4
NDC,47335032286,Memantine HCl,33.66,23.56,4754.0,5269.0,4
NDC,47335047281,imatinib mesylate,405.66,283.96,4754.0,5269.0,4
NDC,47335061540,Norepinephrine Bitartrate,24.04,16.83,4754.0,5269.0,4
NDC,47335061544,Norepinephrine Bitartrate,24.04,16.83,4754.0,5269.0,4
NDC,47335063249,Budesonide,8.21,5.75,4754.0,5269.0,4
NDC,47335067081,dilTIAZem HCl,201.22,140.85,4754.0,5269.0,4
NDC,47335067681,dilTIAZem HCl,231.42,161.99,4754.0,5269.0,4
NDC,47335089272,Temozolomide,1030.68,721.48,4754.0,5269.0,4
NDC,47335093140,Vecuronium Bromide,23.38,16.37,4754.0,5269.0,4
NDC,47335093144,Vecuronium Bromide,23.38,16.37,4754.0,5269.0,4
NDC,47781-0355-03,Buprenorphine-Naloxone,8.02,5.615,,,0
NDC,47781-0357-03,Buprenorphine-Naloxone,11.135,7.795,,,0
NDC,47781-0426-47,fentaNYL Transdermal System,30.4,21.28,,,0
NDC,47781029903,Nitroglycerin,77.8,54.46,4754.0,5269.0,4
NDC,47781030801,Nitrofurantoin Macrocrystals,645.98,452.19,4754.0,5269.0,4
NDC,47781033530,pyRIDostigmine Bromide,1330.32,931.22,4754.0,5269.0,4
NDC,47781035503,Buprenorphine-Naloxone,183.65,128.56,4754.0,5269.0,4
NDC,47781035511,Buprenorphine-Naloxone,6.13,4.29,4754.0,5269.0,4
NDC,47781035703,Buprenorphine-Naloxone,232.41,162.69,4754.0,5269.0,4
NDC,47781035711,Buprenorphine-Naloxone,7.75,5.43,4754.0,5269.0,4
NDC,47781042311,fentaNYL Transdermal System,44.67,31.27,4754.0,5269.0,4
NDC,47781042347,fentaNYL Transdermal System,223.33,156.33,4754.0,5269.0,4
NDC,47781042411,fentaNYL Transdermal System,19.61,13.73,4754.0,5269.0,4
NDC,47781042447,fentaNYL Transdermal System,98.04,68.63,4754.0,5269.0,4
NDC,47781042611,fentaNYL Transdermal System,34.84,24.39,4754.0,5269.0,4
NDC,47781042647,fentaNYL Transdermal System,174.16,121.91,4754.0,5269.0,4
NDC,47781042711,fentaNYL Transdermal System,55.06,38.54,4754.0,5269.0,4
NDC,47781042747,fentaNYL Transdermal System,275.28,192.7,4754.0,5269.0,4
NDC,47781042811,fentaNYL Transdermal System,75.79,53.05,4754.0,5269.0,4
NDC,47781042847,fentaNYL Transdermal System,378.93,265.25,4754.0,5269.0,4
NDC,47781060730,Disulfiram,233.31,163.32,4754.0,5269.0,4
NDC,47781064390,Levothyroxine Sodium,24.26,16.98,4754.0,5269.0,4
NDC,47781065790,Levothyroxine Sodium,30.45,21.32,4754.0,5269.0,4
NDC,47781072902,Vancomycin HCl,275.0,192.5,4754.0,5269.0,4
NDC,47781073002,Vancomycin HCl,550.0,385.0,4754.0,5269.0,4
NDC,480012789,icosapent ethyl,331.98,232.39,4754.0,5269.0,4
NDC,480134208,risperiDONE,2190.38,1533.27,4754.0,5269.0,4
NDC,480145308,risperiDONE,2920.61,2044.43,4754.0,5269.0,4
NDC,480259634,Fidaxomicin,12367.08,8656.96,4754.0,5269.0,4
NDC,480268806,Ticagrelor,1104.18,772.93,4754.0,5269.0,4
NDC,480329001,Paclitaxel Protein-Bound Particles,4400.0,3080.0,4754.0,5269.0,4
NDC,480347516,Nora-BE,68.46,47.92,4754.0,5269.0,4
NDC,480347519,Nora-BE,68.46,47.92,4754.0,5269.0,4
NDC,480869398,Levothyroxine Sodium,27.48,19.24,4754.0,5269.0,4
NDC,480872298,Levothyroxine Sodium,36.39,25.47,4754.0,5269.0,4
NDC,480973401,risperiDONE,2190.38,1533.27,4754.0,5269.0,4
NDC,480973501,risperiDONE,2920.61,2044.43,4754.0,5269.0,4
NDC,48433-0230-15,Lugol's Solution,77.42,54.19,,,0
NDC,48580501,Mavik,273.9,191.73,4754.0,5269.0,4
NDC,48582000155,Biotene Moisturizing Mouth Spray,15.72,11.0,4754.0,5269.0,4
NDC,48582080220,Biotene Dry Mouth Mouthwash,9.13,6.39,4754.0,5269.0,4
NDC,486111401,Uroqid-Acid No. 2,133.65,93.56,4754.0,5269.0,4
NDC,487020101,Ipratropium Bromide-Albuterol Sulfate,1.38,0.97,4754.0,5269.0,4
NDC,487590199,S-2 Inhalant,5.5,3.85,4754.0,5269.0,4
NDC,48783-0112-08,Monsel's,44.16,30.91,,,0
NDC,48783011208,Monsel's,50.6,35.42,4754.0,5269.0,4
NDC,487900330,Sodium Chloride,1.84,1.29,4754.0,5269.0,4
NDC,487900360,Sodium Chloride,1.0,0.7,4754.0,5269.0,4
NDC,487930133,Sodium Chloride,1.0,0.7,4754.0,5269.0,4
NDC,487950101,Albuterol Sulfate,1.0,0.7,4754.0,5269.0,4
NDC,487970101,Budesonide,25.59,17.91,4754.0,5269.0,4
NDC,487980101,Ipratropium Bromide,1.0,0.7,4754.0,5269.0,4
NDC,487990130,Albuterol Sulfate,1.38,0.97,4754.0,5269.0,4
NDC,487990401,Albuterol Sulfate,3.66,2.56,4754.0,5269.0,4
NDC,49001481,Unasyn,40.05,28.04,4754.0,5269.0,4
NDC,49001483,Unasyn,40.05,28.04,4754.0,5269.0,4
NDC,49011628,Eraxis,524.95,367.47,4754.0,5269.0,4
NDC,49052083,Pfizerpen,34.99,24.49,4754.0,5269.0,4
NDC,49052084,Pfizerpen,34.99,24.49,4754.0,5269.0,4
NDC,49100036374,Culturelle Health & Wellness Probiotic,45.13,31.59,4754.0,5269.0,4
NDC,49234045,Relpax,1332.68,932.88,4754.0,5269.0,4
NDC,49234079,Relpax,1332.68,932.88,4754.0,5269.0,4
NDC,49281-0124-65,Fluzone High-Dose 2024-2025 Formula,69.0,48.3,22.35,84.41,8
NDC,49281-0125-65,Fluzone High-Dose 2025-2026 Formula,69.0,48.3,19.77,84.41,12
NDC,49281-0400-10,Adacel,112.68,78.88,39.09,63.51,4
NDC,49281-0510-05,Pentacel,0.01,0.01,113.99,131.09,4
NDC,49281-0511-05,Pentacel,0.01,0.01,113.99,131.09,4
NDC,49281-0544-58,Pentacel-ActHIB Component,0.01,0.01,,,0
NDC,49281-0545-03,ActHIB,42.0,29.4,13.82,22.96,4
NDC,49281-0546-58,HAEMOPHILUS INFLUENZAE TYPE B VACCINE; PRP-T CONJUGATE,42.0,29.4,13.82,22.96,4
NDC,49281-0561-01,Pentacel-DTaP/IPV Component,0.01,0.01,113.99,131.09,4
NDC,49281-0575-00,Beyfortus,0.01,0.01,,,0
NDC,49281-0860-10,Ipol,0.01,0.01,,,0
NDC,49281012565,Fluzone High-Dose 2025-2026 Formula,235.07,164.55,4754.0,5269.0,4
NDC,49281012588,Fluzone High-Dose 2025-2026 Formula,215.67,150.97,4754.0,5269.0,4
NDC,49281021515,Tenivac,112.06,78.44,4754.0,5269.0,4
NDC,49281021588,Tenivac,112.07,78.45,4754.0,5269.0,4
NDC,49281022510,Diphtheria and Tetanus Toxoids Adsorbed,177.63,124.34,4754.0,5269.0,4
NDC,49281022558,Diphtheria and Tetanus Toxoids Adsorbed,177.63,124.34,4754.0,5269.0,4
NDC,49281025251,Imovax Rabies,1240.69,868.48,4754.0,5269.0,4
NDC,49281028610,Daptacel,77.4,54.18,4754.0,5269.0,4
NDC,49281028658,Daptacel,77.39,54.17,4754.0,5269.0,4
NDC,49281040010,Adacel,129.12,90.38,4754.0,5269.0,4
NDC,49281040020,Adacel,129.12,90.38,4754.0,5269.0,4
NDC,49281040058,Adacel,129.12,90.38,4754.0,5269.0,4
NDC,49281040089,Adacel,129.12,90.38,4754.0,5269.0,4
NDC,49281042550,Fluzone 2025-2026 Formula PFS,55.36,38.75,4754.0,5269.0,4
NDC,49281042588,Fluzone 2025-2026 Formula PFS,55.36,38.75,4754.0,5269.0,4
NDC,49281051005,Pentacel,281.68,197.18,4754.0,5269.0,4
NDC,49281054503,ActHIB,34.81,24.37,4754.0,5269.0,4
NDC,49281054758,ActHIB,34.82,24.37,4754.0,5269.0,4
NDC,49281056005,Pentacel,281.69,197.18,4754.0,5269.0,4
NDC,49281057415,Beyfortus,764.6899999999999,535.285,4754.0,5269.0,8
NDC,49281057488,Beyfortus,764.685,535.28,4754.0,5269.0,8
NDC,49281057500,Beyfortus,764.685,535.28,4754.0,5269.0,8
NDC,49281057515,Beyfortus,764.6899999999999,535.285,4754.0,5269.0,8
NDC,49281058905,Menactra,407.0,284.9,4754.0,5269.0,4
NDC,49281058958,Menactra,407.0,284.9,4754.0,5269.0,4
NDC,49281059010,MenQuadfi,470.87,329.61,4754.0,5269.0,4
NDC,49281059058,MenQuadfi,470.87,329.61,4754.0,5269.0,4
NDC,49281075221,Tubersol,318.29,222.8,4754.0,5269.0,4
NDC,49281075278,Tubersol,318.29,222.8,4754.0,5269.0,4
NDC,49281079051,Typhim Vi,423.23,296.26,4754.0,5269.0,4
NDC,49281086010,Ipol,1209.51,846.66,4754.0,5269.0,4
NDC,49281086078,Ipol,1209.51,846.66,4754.0,5269.0,4
NDC,49281091501,YF-VAX,646.71,452.7,4754.0,5269.0,4
NDC,49319028,Vfend I.V.,165.83,116.08,4754.0,5269.0,4
NDC,49344019,Diflucan,46.88,32.82,4754.0,5269.0,4
NDC,49348-0818-56,Sunmark Loratadine,1.0,0.7,,,0
NDC,49348-0973-16,Sunmark Pain Reliever,1.0,0.7,,,0
NDC,49348-0980-23,Sunmark Aspirin,1.0,0.7,,,0
NDC,49348001734,Sunmark Tussin DM,5.2,3.64,4754.0,5269.0,4
NDC,49348035625,Saline,4.24,2.97,4754.0,5269.0,4
NDC,49348068972,Miconazole Nitrate,6.03,4.22,4754.0,5269.0,4
NDC,49348085472,Sunmark Anti-Itch,6.49,4.54,4754.0,5269.0,4
NDC,49348087277,Sunmark Miconazole 7,20.55,14.39,4754.0,5269.0,4
NDC,49392020,Geodon,177.18,124.03,4754.0,5269.0,4
NDC,49392083,Geodon,177.18,124.03,4754.0,5269.0,4
NDC,49401-0101-01,Benlysta,5725.16,4007.61,57.16,160.05,42
NDC,49401-0102-01,Benlysta,5456.33,3819.4300000000003,57.16,160.05,14
NDC,49401010101,Benlysta,1780.49,1246.34,4754.0,5269.0,4
NDC,49401010201,Benlysta,5934.53,4154.17,4754.0,5269.0,4
NDC,49452216001,Coal Tar,339.63,237.74,4754.0,5269.0,4
NDC,49452358002,Hydrocortisone,479.33,335.53,4754.0,5269.0,4
NDC,49452549001,Podophyllum Resin,28.88,20.22,4754.0,5269.0,4
NDC,49452609001,Propylene Glycol,126.5,88.55,4754.0,5269.0,4
NDC,49452760001,Talc,169.13,118.39,4754.0,5269.0,4
NDC,49483-0481-12,Aspirin Low Dose,1.0,0.7,,,0
NDC,49483048112,Aspirin Low Dose,4.29,3.0,4754.0,5269.0,4
NDC,49502-0102-02,EPINEPHrine Auto-Injectors,412.5,288.75,,,0
NDC,49502010101,EPINEPHrine,412.5,288.75,4754.0,5269.0,4
NDC,49502010102,EPINEPHrine,825.0,577.5,4754.0,5269.0,4
NDC,49502010202,EPINEPHrine Auto-Injectors,825.0,577.5,4754.0,5269.0,4
NDC,49502050101,EpiPen Jr Auto-Injector,836.84,585.79,4754.0,5269.0,4
NDC,49502050102,EpiPen Jr Auto-Injector,1673.68,1171.58,4754.0,5269.0,4
NDC,49502060561,Perforomist,56.36,39.45,4754.0,5269.0,4
NDC,49502060595,Perforomist,56.36,39.45,4754.0,5269.0,4
NDC,49502080632,Yupelri,144.52,101.16,4754.0,5269.0,4
NDC,49502080693,Yupelri,144.52,101.16,4754.0,5269.0,4
NDC,49502090001,Emsam,6193.61,4335.53,4754.0,5269.0,4
NDC,49502090030,Emsam,6193.61,4335.53,4754.0,5269.0,4
NDC,49502090130,Emsam,6193.61,4335.53,4754.0,5269.0,4
NDC,49591005105,HepaGam B,2447.34,1713.14,4754.0,5269.0,4
NDC,49591005151,HepaGam B,2447.34,1713.14,4754.0,5269.0,4
NDC,496082430,Ela-Max 5,121.86,85.3,4754.0,5269.0,4
NDC,496088207,LMX 4,110.17,77.12,4754.0,5269.0,4
NDC,49702-0228-13,Tivicay,180.6,126.42,,,0
NDC,49702-0240-15,Cabenuva 600MG/900MG Kit,0.01,0.01,24.16,67.65,21
NDC,49702-0264-23,Apretude,0.01,0.01,7.15,20.02,21
NDC,49702020613,Epzicom,3552.21,2486.55,4754.0,5269.0,4
NDC,49702020718,Lexiva,3186.15,2230.31,4754.0,5269.0,4
NDC,49702021301,Retrovir,80.3,56.21,4754.0,5269.0,4
NDC,49702021305,Retrovir,80.3,56.21,4754.0,5269.0,4
NDC,49702021326,Retrovir,80.3,56.21,4754.0,5269.0,4
NDC,49702022318,Selzentry,4757.78,3330.45,4754.0,5269.0,4
NDC,49702022813,Tivicay,6394.17,4475.92,4754.0,5269.0,4
NDC,49884-0171-01,Colchicine,3.39,2.37,,,0
NDC,49884-0256-01,Minoxidil,1.0,0.7,,,0
NDC,49884-0257-01,Minoxidil,1.11,0.78,,,0
NDC,49884-0311-55,risperiDONE,8.4,5.88,,,0
NDC,49884-0320-55,OLANZapine,2.06,1.44,,,0
NDC,49884-0401-91,risperiDONE,15.94,11.16,,,0
NDC,49884005501,Imipramine HCl,66.0,46.2,4754.0,5269.0,4
NDC,49884011701,aMILoride HCl,248.33,173.83,4754.0,5269.0,4
NDC,49884016111,Calcitonin-Salmon,110.01,77.01,4754.0,5269.0,4
NDC,49884023183,Praziquantel,1096.1,767.27,4754.0,5269.0,4
NDC,49884025601,Minoxidil,57.75,40.43,4754.0,5269.0,4
NDC,49884025701,Minoxidil,126.5,88.55,4754.0,5269.0,4
NDC,49884028901,Megestrol Acetate,52.25,36.58,4754.0,5269.0,4
NDC,49884030202,Oxandrolone,2420.06,1694.04,4754.0,5269.0,4
NDC,49884030702,clonazePAM,152.46,106.72,4754.0,5269.0,4
NDC,49884030752,clonazePAM,2.55,1.79,4754.0,5269.0,4
NDC,49884031591,risperiDONE,314.55,220.19,4754.0,5269.0,4
NDC,49884040191,risperiDONE,511.36,357.95,4754.0,5269.0,4
NDC,49884048611,lamoTRIgine,669.08,468.36,4754.0,5269.0,4
NDC,49884055402,Zafirlukast,250.31,175.22,4754.0,5269.0,4
NDC,49884060911,Famotidine,277.45,194.22,4754.0,5269.0,4
NDC,49884064101,methIMAzole,113.85,79.7,4754.0,5269.0,4
NDC,49884070155,clomiPHENE Citrate,154.03,107.82,4754.0,5269.0,4
NDC,49884072401,Hydroxyurea,110.0,77.0,4754.0,5269.0,4
NDC,49884076852,tolvaptan,165.0,115.5,4754.0,5269.0,4
NDC,49884076854,tolvaptan,1650.0,1155.0,4754.0,5269.0,4
NDC,50016095711,Gel-One,3162.5,2213.75,4754.0,5269.0,4
NDC,50111-0327-01,hydrALAZINE HCl,1.0,0.7,,,0
NDC,50111-0328-03,hydrALAZINE HCl,1.0,0.7,,,0
NDC,50111-0398-01,hydrALAZINE HCl,1.0,0.7,,,0
NDC,50111-0398-03,hydrALAZINE HCl,1.0,0.7,,,0
NDC,50111-0433-02,traZODone hydrochloride,1.0,0.7,,,0
NDC,50111-0450-01,traZODone Hydrochloride,1.0,0.7,,,0
NDC,50111-0560-01,traZODone hydrochloride,1.0,0.7,,,0
NDC,50111-0561-01,traZODone hydrochloride,1.0,0.7,,,0
NDC,50111-0787-10,Azithromycin,10.2,7.14,,,0
NDC,50111-0916-01,Torsemide,5.06,3.54,,,0
NDC,50111032803,hydrALAZINE HCl,539.0,377.3,4754.0,5269.0,4
NDC,50111033301,metroNIDAZOLE,83.6,58.52,4754.0,5269.0,4
NDC,50111039701,hydrALAZINE HCl,100.65,70.46,4754.0,5269.0,4
NDC,50111039801,hydrALAZINE HCl,32.73,22.91,4754.0,5269.0,4
NDC,50111039803,hydrALAZINE HCl,310.75,217.53,4754.0,5269.0,4
NDC,50111045001,traZODone Hydrochloride,99.28,69.5,4754.0,5269.0,4
NDC,50111056001,traZODone hydrochloride,18.43,12.9,4754.0,5269.0,4
NDC,50111056101,traZODone hydrochloride,34.1,23.87,4754.0,5269.0,4
NDC,50111064701,FLUoxetine HCl,15.13,10.59,4754.0,5269.0,4
NDC,50111064801,FLUoxetine HCl,15.95,11.17,4754.0,5269.0,4
NDC,50111078710,Azithromycin,175.32,122.72,4754.0,5269.0,4
NDC,50111078855,Azithromycin,41.25,28.88,4754.0,5269.0,4
NDC,50111078867,Azithromycin,23.21,16.25,4754.0,5269.0,4
NDC,50111079320,Azithromycin,71.94,50.36,4754.0,5269.0,4
NDC,50111091501,Torsemide,130.63,91.44,4754.0,5269.0,4
NDC,50111091601,Torsemide,144.93,101.45,4754.0,5269.0,4
NDC,50111091701,Torsemide,169.13,118.39,4754.0,5269.0,4
NDC,501620212,Dramamine,7.56,5.29,4754.0,5269.0,4
NDC,50222026006,Dovonex,2177.34,1524.14,4754.0,5269.0,4
NDC,50222040360,Dovonex,1103.36,772.35,4754.0,5269.0,4
NDC,50228-0232-01,Metoclopramide,1.0,0.7,,,0
NDC,50228-0379-90,Ezetimibe,1.0,0.7,,,0
NDC,50228-0380-60,QUEtiapine Fumarate,1.0,0.7,,,0
NDC,50228-0382-60,QUEtiapine Fumarate,1.0,0.7,,,0
NDC,50228-0383-60,QUEtiapine Fumarate,1.0,0.7,,,0
NDC,50228-0427-30,solifenacin succinate,1.84,1.29,,,0
NDC,50228-0458-10,Carbidopa-Levodopa,1.0,0.7,,,0
NDC,50228-0461-01,Carbidopa-Levodopa,3.79,2.6500000000000004,,,0
NDC,50228-0481-01,dilTIAZem HCl,1.0,0.7,,,0
NDC,50228-0482-01,dilTIAZem HCl,3.0,2.1,,,0
NDC,50228010901,Carisoprodol,33.0,23.1,4754.0,5269.0,4
NDC,50228014490,buPROPion HCl XL,20.55,14.39,4754.0,5269.0,4
NDC,50228022601,Benztropine Mesylate,25.58,17.91,4754.0,5269.0,4
NDC,50228023001,Enalapril Maleate,55.0,38.5,4754.0,5269.0,4
NDC,50228023201,Metoclopramide,19.8,13.86,4754.0,5269.0,4
NDC,50228033410,Ethacrynic Acid,412.5,288.75,4754.0,5269.0,4
NDC,50228035290,Pregabalin,32.92,23.04,4754.0,5269.0,4
NDC,50228037990,Ezetimibe,12.87,9.01,4754.0,5269.0,4
NDC,50228038060,QUEtiapine Fumarate,13.7,9.59,4754.0,5269.0,4
NDC,50228038260,QUEtiapine Fumarate,21.95,15.37,4754.0,5269.0,4
NDC,50228038360,QUEtiapine Fumarate,27.56,19.29,4754.0,5269.0,4
NDC,50228042730,solifenacin succinate,27.48,19.24,4754.0,5269.0,4
NDC,50228045901,Carbidopa-Levodopa,28.33,19.83,4754.0,5269.0,4
NDC,50228046001,Carbidopa-Levodopa,44.0,30.8,4754.0,5269.0,4
NDC,50228046101,Carbidopa-Levodopa,68.75,48.13,4754.0,5269.0,4
NDC,50228048101,dilTIAZem HCl,16.5,11.55,4754.0,5269.0,4
NDC,50228048201,dilTIAZem HCl,19.25,13.48,4754.0,5269.0,4
NDC,50242-0040-62,Xolair,10196.06,7137.24,45.5,127.4,7
NDC,50242-0041-10,Cathflo Activase,846.45,592.52,93.83,262.72,7
NDC,50242-0041-64,Cathflo Activase,846.45,592.52,93.83,262.72,21
NDC,50242-0044-13,Activase,5280.225,3696.1549999999997,93.83,262.72,14
NDC,50242-0051-21,Rituxan,3607.76,2525.43,74.76,209.33,42
NDC,50242-0053-06,Rituxan,16911.36,11837.955,74.76,209.33,21
NDC,50242-0060-01,Avastin,1128.47,789.93,73.63,206.16,70
NDC,50242-0061-01,Avastin,6541.285,4578.9,73.63,206.16,91
NDC,50242-0070-01,Gazyva,19780.42,13846.29,81.62,228.54,14
NDC,50242-0077-01,Herceptin Hylecta,11220.58,7854.41,61.07,171.0,14
NDC,50242-0085-27,Activase,10560.44,7392.31,93.83,262.72,14
NDC,50242-0088-01,Kadcyla,16980.5,11886.35,42.19,118.13,42
NDC,50242-0103-01,Polivy,27878.47,19514.93,136.77,382.96,28
NDC,50242-0108-01,Rituxan Hycela,15783.8,11048.66,36.87,103.24,28
NDC,50242-0120-47,TNKase,10708.16,7495.715,153.11,523.52,60
NDC,50242-0127-01,Columvi,75783.96,53048.77,2843.59,7962.05,7
NDC,50242-0132-01,Herceptin,8602.48,6021.74,73.48,205.74,42
NDC,50242-0135-01,Actemra,2884.87,2019.41,5.61,15.71,35
NDC,50242-0136-01,Actemra,3186.99,2230.89,5.61,15.71,28
NDC,50242-0137-01,Actemra,5895.93,4127.15,5.61,15.71,42
NDC,50242-0145-01,Perjeta,23496.435,16447.504999999997,17.01,47.63,28
NDC,50242-0150-01,Ocrevus,94629.03,66240.32,59.32,166.1,14
NDC,50242-0176-01,TNKase,11408.735,7986.115,186.97,523.52,14
NDC,50242-0214-01,Xolair PFS,1661.96,1163.37,45.5,127.4,14
NDC,50242-0214-03,Xolair PFS,1699.35,1189.55,45.5,127.4,7
NDC,50242-0215-01,Xolair PFS,4985.860000000001,3490.105,45.5,127.4,14
NDC,50242-0215-03,Xolair PFS,3398.69,2379.08,45.5,127.4,7
NDC,50242-0227-01,Xolair PFS,0.01,0.01,45.5,127.4,7
NDC,50242-0245-01,Phesgo,38270.48,26789.34,60.96,170.69,7
NDC,50242-0260-01,Phesgo,23409.7,16386.79,60.96,170.69,21
NDC,50242-0917-01,Tecentriq,26217.84,18352.49,93.91,262.95,21
NDC,50242004062,Xolair,4050.09,2835.06,4754.0,5269.0,4
NDC,50242004110,Cathflo Activase,509.19,356.43,4754.0,5269.0,4
NDC,50242004163,Cathflo Activase,420.92,294.64,4754.0,5269.0,4
NDC,50242004164,Cathflo Activase,509.22,356.45,4754.0,5269.0,4
NDC,50242004413,Activase,12100.5,8470.35,4754.0,5269.0,4
NDC,50242005121,Rituxan,2583.68,1808.58,4754.0,5269.0,4
NDC,50242005306,Rituxan,12918.4,9042.88,4754.0,5269.0,4
NDC,50242006001,Avastin,2191.59,1534.11,4754.0,5269.0,4
NDC,50242006101,Avastin,8766.34,6136.44,4754.0,5269.0,4
NDC,50242006201,Tarceva,7481.1,5236.77,4754.0,5269.0,4
NDC,50242006301,Tarceva,20548.03,14383.62,4754.0,5269.0,4
NDC,50242006401,Tarceva,23241.33,16268.93,4754.0,5269.0,4
NDC,50242007001,Gazyva,24750.77,17325.54,4754.0,5269.0,4
NDC,50242007203,Nutropin,971.08,679.76,4754.0,5269.0,4
NDC,50242007701,Herceptin Hylecta,12856.91,8999.84,4754.0,5269.0,4
NDC,50242008527,Activase,24200.99,16940.69,4754.0,5269.0,4
NDC,50242008701,Kadcyla,17554.35,12288.05,4754.0,5269.0,4
NDC,50242008801,Kadcyla,10971.49,7680.04,4754.0,5269.0,4
NDC,50242010039,Pulmozyme,367.89,257.52,4754.0,5269.0,4
NDC,50242010040,Pulmozyme,367.89,257.52,4754.0,5269.0,4
NDC,50242010301,Polivy,10967.47,7677.23,4754.0,5269.0,4
NDC,50242010501,Polivy,51181.38,35826.97,4754.0,5269.0,4
NDC,50242010801,Rituxan Hycela,18085.6,12659.92,4754.0,5269.0,4
NDC,50242010901,Rituxan Hycela,20669.24,14468.47,4754.0,5269.0,4
NDC,50242012047,TNKase,22817.47,15972.23,4754.0,5269.0,4
NDC,50242012701,Columvi,29813.63,20869.54,4754.0,5269.0,4
NDC,50242013201,Herceptin,4285.66,2999.96,4754.0,5269.0,4
NDC,50242013501,Actemra,1460.69,1022.48,4754.0,5269.0,4
NDC,50242013601,Actemra,3651.76,2556.23,4754.0,5269.0,4
NDC,50242013701,Actemra,7303.51,5112.46,4754.0,5269.0,4
NDC,50242014501,Perjeta,18756.36,13129.45,4754.0,5269.0,4
NDC,50242015001,Ocrevus,56762.64,39733.85,4754.0,5269.0,4
NDC,50242017601,TNKase,22817.47,15972.23,4754.0,5269.0,4
NDC,50242021403,Xolair PFS,2025.05,1417.54,4754.0,5269.0,4
NDC,50242021455,Xolair Autoinjector,2025.05,1417.54,4754.0,5269.0,4
NDC,50242021503,Xolair PFS,4050.09,2835.06,4754.0,5269.0,4
NDC,50242022701,Xolair PFS,8100.21,5670.15,4754.0,5269.0,4
NDC,50242024501,Phesgo,38270.48,26789.34,4754.0,5269.0,4
NDC,50242026001,Phesgo,25512.63,17858.84,4754.0,5269.0,4
NDC,50242086001,Xofluza 1X40MG (40MG Dose),464.29,325.0,4754.0,5269.0,4
NDC,50242091701,Tecentriq,31870.74,22309.52,4754.0,5269.0,4
NDC,50242091801,Tecentriq,22309.56,15616.69,4754.0,5269.0,4
NDC,50242093301,Tecentriq Hybreza,31870.74,22309.52,4754.0,5269.0,4
NDC,50268-0069-15,Amantadine HCl AvPak,4.8,3.36,,,0
NDC,50268-0131-15,Bumetanide AvPak,9.6,6.72,,,0
NDC,50268-0152-15,Cephalexin AvPak,1.0,0.7,,,0
NDC,50268-0173-15,clonazePAM AvPak,1.23,0.86,,,0
NDC,50268-0175-15,clonazePAM AvPak,2.62,1.83,,,0
NDC,50268-0184-12,Clopidogrel AvPak,37.49,26.24,,,0
NDC,50268-0196-57,Capsaicin,9.99,6.99,,,0
NDC,50268-0260-13,Divalproex Sodium AvPak,9.73,6.81,,,0
NDC,50268-0314-15,Finasteride AvPak,1.37,0.96,,,0
NDC,50268-0350-15,Gemfibrozil AvPak,1.0,0.7,,,0
NDC,50268-0361-15,glipiZIDE AvPak,1.0,0.7,,,0
NDC,50268-0430-15,Indomethacin AvPak,1.0,0.7,,,0
NDC,50268-0524-15,Melatonin AvPak,1.0,0.7,,,0
NDC,50268-0540-15,Metoprolol Succinate AvPak,1.54,1.08,,,0
NDC,50268-0541-15,Metoprolol Succinate AvPak,1.25,0.88,,,0
NDC,50268-0640-15,PARoxetine HCl AvPak,1.83,1.28,,,0
NDC,50268-0662-15,Propranolol Hydrochloride AvPak,1.0,0.7,,,0
NDC,50268-0663-15,Propranolol Hydrochloride AvPak,7.08,4.96,,,0
NDC,50268-0679-15,OXcarbazepine AvPak,4.45,3.12,,,0
NDC,50268-0685-15,Prochlorperazine Maleate AvPak,2.87,2.01,,,0
NDC,50268-0718-13,Sirolimus AvPak,45.19,31.63,2.46,4.36,4
NDC,50268-0720-15,Sevelamer Carbonate AvPak,9.55,6.69,,,0
NDC,50268-0740-15,Tamsulosin HCl AvPak,1.0,0.7,,,0
NDC,50268-0851-15,Vitamin B1 AvPak,1.0,0.7,,,0
NDC,50268-0854-15,Vitamin B12 AvPak,1.0,0.7,,,0
NDC,50268-0858-15,Vitamin B6 AvPak,1.0,0.7,,,0
NDC,50268003711,Amitriptyline Hydrochloride AvPak,1.14,0.8,4754.0,5269.0,4
NDC,50268003715,Amitriptyline Hydrochloride AvPak,56.93,39.85,4754.0,5269.0,4
NDC,50268013111,Bumetanide AvPak,2.75,1.93,4754.0,5269.0,4
NDC,50268013115,Bumetanide AvPak,137.5,96.25,4754.0,5269.0,4
NDC,50268015211,Cephalexin AvPak,1.0,0.7,4754.0,5269.0,4
NDC,50268015215,Cephalexin AvPak,39.19,27.43,4754.0,5269.0,4
NDC,50268017511,clonazePAM AvPak,1.31,0.92,4754.0,5269.0,4
NDC,50268017515,clonazePAM AvPak,65.32,45.72,4754.0,5269.0,4
NDC,50268018715,Colchicine AvPak,511.5,358.05,4754.0,5269.0,4
NDC,50268019657,Capsaicin,11.45,8.02,4754.0,5269.0,4
NDC,50268025911,Divalproex Sodium AvPak,1.09,0.76,4754.0,5269.0,4
NDC,50268025915,Divalproex Sodium AvPak,54.04,37.83,4754.0,5269.0,4
NDC,50268031411,Finasteride AvPak,1.57,1.1,4754.0,5269.0,4
NDC,50268031415,Finasteride AvPak,78.24,54.77,4754.0,5269.0,4
NDC,50268033624,Ferrous Sulfate AvPak,10.22,7.15,4754.0,5269.0,4
NDC,50268035011,Gemfibrozil AvPak,1.0,0.7,4754.0,5269.0,4
NDC,50268035015,Gemfibrozil AvPak,47.03,32.92,4754.0,5269.0,4
NDC,50268036111,glipiZIDE AvPak,1.0,0.7,4754.0,5269.0,4
NDC,50268036115,glipiZIDE AvPak,39.05,27.34,4754.0,5269.0,4
NDC,50268041111,Hydrocortisone Acetate AvPak,3.92,2.74,4754.0,5269.0,4
NDC,50268041124,Hydrocortisone Acetate AvPak,94.05,65.84,4754.0,5269.0,4
NDC,50268043011,Indomethacin AvPak,1.0,0.7,4754.0,5269.0,4
NDC,50268043015,Indomethacin AvPak,49.23,34.46,4754.0,5269.0,4
NDC,50268044811,Isosorbide Dinitrate AvPak,2.25,1.58,4754.0,5269.0,4
NDC,50268044815,Isosorbide Dinitrate AvPak,112.34,78.64,4754.0,5269.0,4
NDC,50268052711,Methotrexate AvPak,3.18,2.23,4754.0,5269.0,4
NDC,50268052715,Methotrexate AvPak,158.54,110.98,4754.0,5269.0,4
NDC,50268064011,PARoxetine HCl AvPak,1.83,1.28,4754.0,5269.0,4
NDC,50268064015,PARoxetine HCl AvPak,91.44,64.01,4754.0,5269.0,4
NDC,50268066211,Propranolol Hydrochloride AvPak,1.0,0.7,4754.0,5269.0,4
NDC,50268066215,Propranolol Hydrochloride AvPak,36.03,25.22,4754.0,5269.0,4
NDC,50268066311,Propranolol Hydrochloride AvPak,1.18,0.83,4754.0,5269.0,4
NDC,50268066315,Propranolol Hydrochloride AvPak,58.85,41.2,4754.0,5269.0,4
NDC,50268067815,Polyvinyl Alcohol,22.44,15.71,4754.0,5269.0,4
NDC,50268067911,OXcarbazepine AvPak,1.49,1.04,4754.0,5269.0,4
NDC,50268067915,OXcarbazepine AvPak,74.12,51.88,4754.0,5269.0,4
NDC,50268071811,Sirolimus AvPak,25.89,18.12,4754.0,5269.0,4
NDC,50268071813,Sirolimus AvPak,776.58,543.61,4754.0,5269.0,4
NDC,50268073011,sulfaSALAzine AvPak,1.09,0.76,4754.0,5269.0,4
NDC,50268073015,sulfaSALAzine AvPak,54.45,38.12,4754.0,5269.0,4
NDC,50268074011,Tamsulosin HCl AvPak,1.0,0.7,4754.0,5269.0,4
NDC,50268074015,Tamsulosin HCl AvPak,39.19,27.43,4754.0,5269.0,4
NDC,50268076611,Terazosin HCl AvPak,2.32,1.62,4754.0,5269.0,4
NDC,50268076615,Terazosin HCl AvPak,115.64,80.95,4754.0,5269.0,4
NDC,50268081611,Zonisamide AvPak,1.54,1.08,4754.0,5269.0,4
NDC,50268081615,Zonisamide AvPak,76.87,53.81,4754.0,5269.0,4
NDC,50268085111,Vitamin B1 AvPak,1.0,0.7,4754.0,5269.0,4
NDC,50268085115,Vitamin B1 AvPak,23.1,16.17,4754.0,5269.0,4
NDC,50268085411,Vitamin B12 AvPak,1.0,0.7,4754.0,5269.0,4
NDC,50268085415,Vitamin B12 AvPak,26.4,18.48,4754.0,5269.0,4
NDC,50268085811,Vitamin B6 AvPak,1.0,0.7,4754.0,5269.0,4
NDC,50268085815,Vitamin B6 AvPak,32.32,22.62,4754.0,5269.0,4
NDC,50289325001,A.E.R,7.04,4.93,4754.0,5269.0,4
NDC,50383-0349-11,Docu Liquid,1.3,0.91,,,0
NDC,50383-0775-17,Lidocaine HCl Viscous,2.16,1.51,,,0
NDC,50383004224,prednisoLONE,145.86,102.1,4754.0,5269.0,4
NDC,50383005008,Cimetidine HCl,134.92,94.44,4754.0,5269.0,4
NDC,50383008704,Guaiatussin AC,29.53,20.67,4754.0,5269.0,4
NDC,50383017290,levOCARNitine,217.31,152.12,4754.0,5269.0,4
NDC,50383062750,Rx Choice Ferrous Sulfate Iron Supplement,11.69,8.18,4754.0,5269.0,4
NDC,50383070016,Fluticasone Propionate,35.86,25.1,4754.0,5269.0,4
NDC,50383074016,Albuterol Sulfate,133.98,93.79,4754.0,5269.0,4
NDC,50383074120,Albuterol Sulfate,132.83,92.98,4754.0,5269.0,4
NDC,50383082416,Sulfamethoxazole/Trimethoprim,214.56,150.19,4754.0,5269.0,4
NDC,50383096530,Morphine Sulfate,28.05,19.64,4754.0,5269.0,4
NDC,50419-0320-05,Eovist,196.56,137.59,21.15,5269.0,6
NDC,50419-0325-11,Gadavist,119.52,83.66499999999999,0.5,5269.0,6
NDC,50419-0325-12,Gadavist,268.91999999999996,188.245,0.5,5269.0,6
NDC,50419018805,Magnevist,127.05,88.94,4754.0,5269.0,4
NDC,50419018811,Magnevist,1141.25,798.88,4754.0,5269.0,4
NDC,50419018858,Magnevist,570.63,399.44,4754.0,5269.0,4
NDC,50419018881,Magnevist,127.05,88.94,4754.0,5269.0,4
NDC,50419032001,Eovist,375.38,262.77,4754.0,5269.0,4
NDC,50419032005,Eovist,375.38,262.77,4754.0,5269.0,4
NDC,50419032501,Gadavist,171.19,119.83,4754.0,5269.0,4
NDC,50419032511,Gadavist,171.19,119.83,4754.0,5269.0,4
NDC,50419032512,Gadavist,228.25,159.78,4754.0,5269.0,4
NDC,50419040203,Yasmin,354.2,247.94,4754.0,5269.0,4
NDC,50419040503,YAZ,471.24,329.87,4754.0,5269.0,4
NDC,50419042201,Skyla,2781.3,1946.91,4754.0,5269.0,4
NDC,50419042301,Mirena,3340.24,2338.17,4754.0,5269.0,4
NDC,50419048858,NexAVAR,35080.65,24556.46,4754.0,5269.0,4
NDC,50419052115,Betaseron,192.22,134.55,4754.0,5269.0,4
NDC,50419077701,Cipro,358.6,251.02,4754.0,5269.0,4
NDC,50458-0307-11,RisperDAL Consta,0.01,0.01,11.18,31.3,21
NDC,50458-0562-01,Invega Sustenna,2453.7650000000003,1717.6350000000002,15.11,42.31,21
NDC,50458-0563-01,Invega Sustenna,5710.78,3997.55,15.11,42.31,7
NDC,50458-0564-01,Invega Sustenna,8348.88,5844.22,15.11,42.31,21
NDC,50458-0577-10,Xarelto,22.79,15.95,,,0
NDC,50458-0578-10,Xarelto,45.57,31.9,,,0
NDC,50458-0579-10,Xarelto,45.57,31.9,,,0
NDC,50458-0580-10,Xarelto,54.83,38.38,,,0
NDC,50458-0596-01,risperiDONE,19.5,13.65,,,0
NDC,50458-0609-01,Invega Trinza,0.01,0.01,12.99,36.37,7
NDC,50458014030,Invokana,1646.04,1152.23,4754.0,5269.0,4
NDC,50458030601,RisperDAL Consta,1774.55,1242.19,4754.0,5269.0,4
NDC,50458030611,RisperDAL Consta,1774.55,1242.19,4754.0,5269.0,4
NDC,50458030701,RisperDAL Consta,2661.92,1863.34,4754.0,5269.0,4
NDC,50458030711,RisperDAL Consta,2661.92,1863.34,4754.0,5269.0,4
NDC,50458030801,RisperDAL Consta,3549.35,2484.55,4754.0,5269.0,4
NDC,50458030811,RisperDAL Consta,3549.35,2484.55,4754.0,5269.0,4
NDC,50458030911,RisperDAL Consta,887.37,621.16,4754.0,5269.0,4
NDC,50458034160,Pancreaze,330.28,231.2,4754.0,5269.0,4
NDC,50458055201,Invega,1547.79,1083.45,4754.0,5269.0,4
NDC,50458056101,Invega Sustenna,3271.62,2290.13,4754.0,5269.0,4
NDC,50458056201,Invega Sustenna,4907.52,3435.26,4754.0,5269.0,4
NDC,50458056301,Invega Sustenna,6543.6,4580.52,4754.0,5269.0,4
NDC,50458056401,Invega Sustenna,9815.17,6870.62,4754.0,5269.0,4
NDC,50458057701,Xarelto,27.42,19.19,4754.0,5269.0,4
NDC,50458057710,Xarelto,2741.2,1918.84,4754.0,5269.0,4
NDC,50458057760,Xarelto,1644.72,1151.3,4754.0,5269.0,4
NDC,50458057801,Xarelto,54.83,38.38,4754.0,5269.0,4
NDC,50458057810,Xarelto,5482.13,3837.49,4754.0,5269.0,4
NDC,50458057830,Xarelto,1644.64,1151.25,4754.0,5269.0,4
NDC,50458057890,Xarelto,4933.92,3453.74,4754.0,5269.0,4
NDC,50458057901,Xarelto,54.83,38.38,4754.0,5269.0,4
NDC,50458057910,Xarelto,5482.13,3837.49,4754.0,5269.0,4
NDC,50458057930,Xarelto,1644.64,1151.25,4754.0,5269.0,4
NDC,50458058010,Xarelto,5482.13,3837.49,4754.0,5269.0,4
NDC,50458058030,Xarelto,1644.64,1151.25,4754.0,5269.0,4
NDC,50458058801,Concerta,3636.05,2545.24,4754.0,5269.0,4
NDC,50458059601,risperiDONE,334.87,234.41,4754.0,5269.0,4
NDC,50458060801,Invega Trinza,19630.8,13741.56,4754.0,5269.0,4
NDC,50458060901,Invega Trinza,29445.49,20611.84,4754.0,5269.0,4
NDC,50474-0570-09,Briviact,117.84,82.49,,,0
NDC,50474-0710-79,Cimzia PFS,13726.06,9608.24,3.87,10.84,14
NDC,50474-0970-75,Briviact,886.9,620.83,,,0
NDC,50474-0982-84,Rystiggo,29040.0,20328.0,23.38,65.46,7
NDC,50474057009,Briviact,6751.25,4725.88,4754.0,5269.0,4
NDC,50474071079,Cimzia PFS,16498.44,11548.91,4754.0,5269.0,4
NDC,50474080103,Neupro,2375.92,1663.14,4754.0,5269.0,4
NDC,50474080403,Neupro,2375.92,1663.14,4754.0,5269.0,4
NDC,50474097075,Briviact,173.61,121.53,4754.0,5269.0,4
NDC,50474098284,Rystiggo,34112.08,23878.46,4754.0,5269.0,4
NDC,50484001030,Santyl,873.02,611.11,4754.0,5269.0,4
NDC,50580049698,Tylenol,19.8,13.86,4754.0,5269.0,4
NDC,50580053501,Children's Benadryl Allergy,15.91,11.14,4754.0,5269.0,4
NDC,50580053504,Children's Benadryl Allergy,15.91,11.14,4754.0,5269.0,4
NDC,50580053604,Children's Sudafed,15.91,11.14,4754.0,5269.0,4
NDC,50632-0010-01,RabAvert,993.39,695.37,319.75,895.3,7
NDC,50632001001,RabAvert,1195.18,836.63,4754.0,5269.0,4
NDC,50633-0310-11,Cyanokit,2395.2,1676.64,5.44,15.23,7
NDC,50633012011,DigiFab,13678.5,9574.95,4754.0,5269.0,4
NDC,50633021011,Voraxaze,118890.75,83223.53,4754.0,5269.0,4
NDC,50633031011,Cyanokit,2882.0,2017.4,4754.0,5269.0,4
NDC,50742-0175-01,Isosorbide Mononitrate,1.0,0.7,,,0
NDC,50742-0249-30,dilTIAZem HCl,1.0,0.7,,,0
NDC,50742-0251-90,dilTIAZem HCl,1.0,0.7,,,0
NDC,50742-0362-60,Ivabradine,2.07,1.45,,,0
NDC,50742-0364-30,Buprenorphine-Naloxone,6.17,4.32,,,0
NDC,50742-0484-01,bortezomib,354.96000000000004,248.46999999999997,,,0
NDC,50742-0505-04,scopolamine,22.8,15.96,,,0
NDC,50742-0505-24,scopolamine,22.8,15.96,,,0
NDC,50742-0620-01,NIFEdipine,1.0,0.7,,,0
NDC,50742-0621-01,NIFEdipine,1.0,0.7,,,0
NDC,50742-0622-01,NIFEdipine,1.35,0.95,,,0
NDC,50742011401,Desipramine HCl,79.75,55.83,4754.0,5269.0,4
NDC,50742017501,Isosorbide Mononitrate,15.13,10.59,4754.0,5269.0,4
NDC,50742024930,dilTIAZem HCl,33.25,23.28,4754.0,5269.0,4
NDC,50742025090,dilTIAZem HCl,59.16,41.41,4754.0,5269.0,4
NDC,50742025190,dilTIAZem HCl,88.61,62.03,4754.0,5269.0,4
NDC,50742034901,metOLazone,96.25,67.38,4754.0,5269.0,4
NDC,50742035001,metOLazone,151.25,105.88,4754.0,5269.0,4
NDC,50742036260,Ivabradine,123.75,86.63,4754.0,5269.0,4
NDC,50742036401,Buprenorphine-Naloxone,4.59,3.21,4754.0,5269.0,4
NDC,50742036430,Buprenorphine-Naloxone,137.53,96.27,4754.0,5269.0,4
NDC,50742037201,Buprenorphine,114.47,80.13,4754.0,5269.0,4
NDC,50742037204,Buprenorphine,457.86,320.5,4754.0,5269.0,4
NDC,50742044745,CARBOplatin,206.3,144.41,4754.0,5269.0,4
NDC,50742048401,bortezomib,825.0,577.5,4754.0,5269.0,4
NDC,50742050501,scopolamine,26.13,18.29,4754.0,5269.0,4
NDC,50742050504,scopolamine,104.5,73.15,4754.0,5269.0,4
NDC,50742050524,scopolamine,653.14,457.2,4754.0,5269.0,4
NDC,50742054901,fentaNYL Transdermal System,12.1,8.47,4754.0,5269.0,4
NDC,50742054905,fentaNYL Transdermal System,60.5,42.35,4754.0,5269.0,4
NDC,50742062001,NIFEdipine,68.75,48.13,4754.0,5269.0,4
NDC,50742062101,NIFEdipine,86.63,60.64,4754.0,5269.0,4
NDC,50742062201,NIFEdipine,154.0,107.8,4754.0,5269.0,4
NDC,50881000603,Zynyz,35383.2,24768.24,4754.0,5269.0,4
NDC,50881001303,Monjuvi,3838.65,2687.06,4754.0,5269.0,4
NDC,51079-0058-20,Chlorthalidone,4.6,3.22,,,0
NDC,51079-0074-20,hydrALAZINE HCl,1.0,0.7,,,0
NDC,51079-0075-20,hydrALAZINE HCl,1.0,0.7,,,0
NDC,51079-0076-20,hydrALAZINE HCl,1.0,0.7,,,0
NDC,51079-0086-20,Mirtazapine,1.0,0.7,,,0
NDC,51079-0103-20,Spironolactone,1.0,0.7,,,0
NDC,51079-0205-20,Allopurinol,2.27,1.59,,,0
NDC,51079-0255-20,Metoprolol Tartrate,1.0,0.7,,,0
NDC,51079-0284-20,diazePAM,1.0,0.7,,,0
NDC,51079-0285-20,diazePAM,1.0,0.7,,,0
NDC,51079-0286-20,diazePAM,1.0,0.7,,,0
NDC,51079-0438-20,Doxepin HCl,2.68,1.88,,,0
NDC,51079-0440-20,Levothyroxine Sodium,1.2,0.84,,,0
NDC,51079-0442-20,Levothyroxine Sodium,1.36,0.95,,,0
NDC,51079-0453-20,Midodrine HCl,5.48,3.84,,,0
NDC,51079-0684-20,Atenolol,1.0,0.7,,,0
NDC,51079-0690-20,Loperamide HCl,1.75,1.23,,,0
NDC,51079-0721-20,Mycophenolate Mofetil,3.28,2.3,0.2,0.31,4
NDC,51079-0734-20,Haloperidol,1.97,1.38,,,0
NDC,51079-0753-20,Sucralfate,1.0,0.7,,,0
NDC,51079-0888-20,Metoclopramide,1.92,1.34,,,0
NDC,51079-0991-20,traMADol HCl,1.0,0.7,,,0
NDC,51079005801,Chlorthalidone,526.08,368.26,4754.0,5269.0,4
NDC,51079005820,Chlorthalidone,526.08,368.26,4754.0,5269.0,4
NDC,51079007201,Furosemide,1.0,0.7,4754.0,5269.0,4
NDC,51079007220,Furosemide,17.88,12.52,4754.0,5269.0,4
NDC,51079007301,Furosemide,1.0,0.7,4754.0,5269.0,4
NDC,51079007320,Furosemide,18.7,13.09,4754.0,5269.0,4
NDC,51079007401,hydrALAZINE HCl,1.0,0.7,4754.0,5269.0,4
NDC,51079007420,hydrALAZINE HCl,62.98,44.09,4754.0,5269.0,4
NDC,51079007501,hydrALAZINE HCl,1.0,0.7,4754.0,5269.0,4
NDC,51079007520,hydrALAZINE HCl,60.5,42.35,4754.0,5269.0,4
NDC,51079008601,Mirtazapine,1.0,0.7,4754.0,5269.0,4
NDC,51079008620,Mirtazapine,45.38,31.77,4754.0,5269.0,4
NDC,51079010301,Spironolactone,1.0,0.7,4754.0,5269.0,4
NDC,51079010320,Spironolactone,49.5,34.65,4754.0,5269.0,4
NDC,51079016401,Voriconazole,23.47,16.43,4754.0,5269.0,4
NDC,51079016403,Voriconazole,703.81,492.67,4754.0,5269.0,4
NDC,51079020001,Methyldopa,49.5,34.65,4754.0,5269.0,4
NDC,51079020020,Methyldopa,49.5,34.65,4754.0,5269.0,4
NDC,51079020601,Allopurinol,173.53,121.47,4754.0,5269.0,4
NDC,51079020620,Allopurinol,173.53,121.47,4754.0,5269.0,4
NDC,51079025501,Metoprolol Tartrate,1.0,0.7,4754.0,5269.0,4
NDC,51079025520,Metoprolol Tartrate,26.13,18.29,4754.0,5269.0,4
NDC,51079028401,diazePAM,1.0,0.7,4754.0,5269.0,4
NDC,51079028420,diazePAM,17.6,12.32,4754.0,5269.0,4
NDC,51079028501,diazePAM,1.0,0.7,4754.0,5269.0,4
NDC,51079028520,diazePAM,18.43,12.9,4754.0,5269.0,4
NDC,51079028601,diazePAM,1.0,0.7,4754.0,5269.0,4
NDC,51079028620,diazePAM,20.08,14.06,4754.0,5269.0,4
NDC,51079030220,Flurazepam HCl,37.13,25.99,4754.0,5269.0,4
NDC,51079041901,Temazepam,44.83,31.38,4754.0,5269.0,4
NDC,51079043701,Doxepin HCl,1.94,1.36,4754.0,5269.0,4
NDC,51079043720,Doxepin HCl,193.05,135.14,4754.0,5269.0,4
NDC,51079043801,Doxepin HCl,267.58,187.31,4754.0,5269.0,4
NDC,51079043820,Doxepin HCl,267.58,187.31,4754.0,5269.0,4
NDC,51079044001,Levothyroxine Sodium,1.37,0.96,4754.0,5269.0,4
NDC,51079044020,Levothyroxine Sodium,136.95,95.87,4754.0,5269.0,4
NDC,51079044201,Levothyroxine Sodium,1.56,1.09,4754.0,5269.0,4
NDC,51079044220,Levothyroxine Sodium,155.1,108.57,4754.0,5269.0,4
NDC,51079044401,Levothyroxine Sodium,1.21,0.85,4754.0,5269.0,4
NDC,51079044420,Levothyroxine Sodium,120.73,84.51,4754.0,5269.0,4
NDC,51079044501,Levothyroxine Sodium,187.28,131.1,4754.0,5269.0,4
NDC,51079044520,Levothyroxine Sodium,187.28,131.1,4754.0,5269.0,4
NDC,51079045301,Midodrine HCl,3.14,2.2,4754.0,5269.0,4
NDC,51079045320,Midodrine HCl,313.5,219.45,4754.0,5269.0,4
NDC,51079045401,Simvastatin,1.0,0.7,4754.0,5269.0,4
NDC,51079045420,Simvastatin,32.45,22.72,4754.0,5269.0,4
NDC,51079051601,chlorproMAZINE HCl,4076.6,2853.62,4754.0,5269.0,4
NDC,51079051620,chlorproMAZINE HCl,4076.6,2853.62,4754.0,5269.0,4
NDC,51079051801,chlorproMAZINE HCl,1215.5,850.85,4754.0,5269.0,4
NDC,51079052220,Doxycycline Hyclate,23.1,16.17,4754.0,5269.0,4
NDC,51079056320,Amitriptyline HCl,314.33,220.03,4754.0,5269.0,4
NDC,51079056501,Thioridazine HCl,1.04,0.73,4754.0,5269.0,4
NDC,51079056520,Thioridazine HCl,103.68,72.58,4754.0,5269.0,4
NDC,51079056620,Thioridazine HCl,146.03,102.22,4754.0,5269.0,4
NDC,51079058020,Thioridazine HCl,207.9,145.53,4754.0,5269.0,4
NDC,51079065120,Doxepin HCl,457.6,320.32,4754.0,5269.0,4
NDC,51079067001,Methotrexate Sodium,7.62,5.33,4754.0,5269.0,4
NDC,51079067005,Methotrexate Sodium,152.35,106.65,4754.0,5269.0,4
NDC,51079068401,Atenolol,1.0,0.7,4754.0,5269.0,4
NDC,51079068420,Atenolol,25.03,17.52,4754.0,5269.0,4
NDC,51079072401,Zolpidem Tartrate,1.0,0.7,4754.0,5269.0,4
NDC,51079072420,Zolpidem Tartrate,30.53,21.37,4754.0,5269.0,4
NDC,51079072520,Zolpidem Tartrate,30.53,21.37,4754.0,5269.0,4
NDC,51079073401,Haloperidol,1.13,0.79,4754.0,5269.0,4
NDC,51079073420,Haloperidol,112.75,78.93,4754.0,5269.0,4
NDC,51079073501,Haloperidol,1.55,1.09,4754.0,5269.0,4
NDC,51079073520,Haloperidol,154.55,108.19,4754.0,5269.0,4
NDC,51079075301,Sucralfate,1.0,0.7,4754.0,5269.0,4
NDC,51079075320,Sucralfate,86.9,60.83,4754.0,5269.0,4
NDC,51079075901,Atenolol,1.0,0.7,4754.0,5269.0,4
NDC,51079075920,Atenolol,47.85,33.5,4754.0,5269.0,4
NDC,51079076601,Divalproex Sodium,4.05,2.84,4754.0,5269.0,4
NDC,51079076608,Divalproex Sodium,323.62,226.53,4754.0,5269.0,4
NDC,51079077801,HYDROcodone bitartrate-acetaminophen,99.83,69.88,4754.0,5269.0,4
NDC,51079080101,Metoprolol Tartrate,1.0,0.7,4754.0,5269.0,4
NDC,51079080120,Metoprolol Tartrate,21.18,14.83,4754.0,5269.0,4
NDC,51079087001,carBAMazepine,110.0,77.0,4754.0,5269.0,4
NDC,51079087020,carBAMazepine,110.0,77.0,4754.0,5269.0,4
NDC,51079088301,clonazePAM,1.0,0.7,4754.0,5269.0,4
NDC,51079088320,clonazePAM,35.75,25.03,4754.0,5269.0,4
NDC,51079088801,Metoclopramide,2.2,1.54,4754.0,5269.0,4
NDC,51079088820,Metoclopramide,219.45,153.62,4754.0,5269.0,4
NDC,51079092101,cloZAPine,1.79,1.25,4754.0,5269.0,4
NDC,51079092120,cloZAPine,178.75,125.13,4754.0,5269.0,4
NDC,51079095801,Doxazosin Mesylate,861.3,602.91,4754.0,5269.0,4
NDC,51079095820,Doxazosin Mesylate,861.3,602.91,4754.0,5269.0,4
NDC,51144-0020-01,Padcev,4044.94,2831.46,36.72,102.82,42
NDC,51144-0030-01,Padcev,13833.765,9683.635,36.72,102.82,42
NDC,51144000301,Tivdak,20352.2,14246.54,4754.0,5269.0,4
NDC,51144002001,Padcev,7724.75,5407.33,4754.0,5269.0,4
NDC,51144003001,Padcev,11587.13,8110.99,4754.0,5269.0,4
NDC,51144005001,Adcetris,34858.45,24400.92,4754.0,5269.0,4
NDC,51248015001,VESIcare,1060.13,742.09,4754.0,5269.0,4
NDC,51293-0811-01,Phenazopyridine HCl,1.32,0.92,,,0
NDC,51293081001,Phenazopyridine HCl,88.0,61.6,4754.0,5269.0,4
NDC,51407013901,Zonisamide,26.95,18.87,4754.0,5269.0,4
NDC,51409000722,Dermoplast Pain & Itch Spray,16.31,11.42,4754.0,5269.0,4
NDC,51479004215,Azactam,186.53,130.57,4754.0,5269.0,4
NDC,51525683104,TriLyte with Flavor Packs,66.0,46.2,4754.0,5269.0,4
NDC,51552005106,Acetic Acid,46.75,32.73,,,0
NDC,51552006909,Sodium Metabisulfite Anhydrous,19.25,13.48,4754.0,5269.0,4
NDC,51552010609,Lidocaine HCl,27.5,19.25,4754.0,5269.0,4
NDC,51552026909,Tetracaine HCl,20.63,14.44,4754.0,5269.0,4
NDC,51552045409,EPINEPHrine Bitartrate,41.25,28.88,4754.0,5269.0,4
NDC,51552134501,Lets Kit,199.38,139.57,4754.0,5269.0,4
NDC,51660-0200-30,Ezetimibe,1.0,0.7,,,0
NDC,51660020030,Ezetimibe,17.33,12.13,4754.0,5269.0,4
NDC,51672-1370-01,Mupirocin,180.0,126.0,,,0
NDC,51672-2002-01,Clotrimazole,12.24,8.57,,,0
NDC,51672-2080-01,Terbinafine HCl,15.45,10.82,,,0
NDC,51672-3020-09,Lidocaine,59.97,41.98,,,0
NDC,51672-4111-01,Phenytoin Sodium Extended,1.79,1.25,,,0
NDC,51672125301,Fluocinonide,100.2,70.14,4754.0,5269.0,4
NDC,51672126003,Clotrimazole,164.43,115.1,4754.0,5269.0,4
NDC,51672126403,Fluocinonide,106.92,74.84,4754.0,5269.0,4
NDC,51672126705,Triamcinolone Acetonide,177.3,124.11,4754.0,5269.0,4
NDC,51672127203,Nystatin/Triamcinolone Acetonide,110.39,77.27,4754.0,5269.0,4
NDC,51672127401,Betamethasone Dipropionate,96.86,67.8,4754.0,5269.0,4
NDC,51672127506,Clotrimazole,85.52,59.86,4754.0,5269.0,4
NDC,51672128408,Triamcinolone Acetonide,27.28,19.1,4754.0,5269.0,4
NDC,51672130200,Terconazole,99.06,69.34,4754.0,5269.0,4
NDC,51672131201,Mupirocin,23.39,16.37,4754.0,5269.0,4
NDC,51672131808,Ciclopirox Olamine,178.45,124.92,4754.0,5269.0,4
NDC,51672137001,Mupirocin,206.25,144.38,4754.0,5269.0,4
NDC,51672140004,Clindamycin Phosphate,165.0,115.5,4754.0,5269.0,4
NDC,51672200201,Clotrimazole,14.03,9.82,4754.0,5269.0,4
NDC,51672200202,Clotrimazole,18.15,12.71,4754.0,5269.0,4
NDC,51672200306,Clotrimazole,11.14,7.8,4754.0,5269.0,4
NDC,51672201002,Hydrocortisone,9.06,6.34,4754.0,5269.0,4
NDC,51672202001,Tolnaftate,8.42,5.89,4754.0,5269.0,4
NDC,51672203506,Miconazole 7,22.16,15.51,4754.0,5269.0,4
NDC,51672203701,Clotrimazole,99.28,69.5,4754.0,5269.0,4
NDC,51672207308,Children's Loratadine,21.78,15.25,4754.0,5269.0,4
NDC,51672207502,Bacitracin Zinc,12.81,8.97,4754.0,5269.0,4
NDC,51672208001,Terbinafine HCl,17.7,12.39,4754.0,5269.0,4
NDC,51672211402,FeverAll Infants',15.4,10.78,4754.0,5269.0,4
NDC,51672211502,FeverAll Children's,15.4,10.78,4754.0,5269.0,4
NDC,51672211602,FeverAll Jr. Strength,16.79,11.75,4754.0,5269.0,4
NDC,51672302002,Lidocaine,82.5,57.75,4754.0,5269.0,4
NDC,51672302009,Lidocaine,68.71,48.1,4754.0,5269.0,4
NDC,51672400101,Nortriptyline HCl,53.9,37.73,4754.0,5269.0,4
NDC,51672400305,Nortriptyline HCl,42.57,29.8,4754.0,5269.0,4
NDC,51672401105,clomiPRAMINE HCl,82.42,57.69,4754.0,5269.0,4
NDC,51672401106,clomiPRAMINE HCl,41.25,28.88,4754.0,5269.0,4
NDC,51672401205,clomiPRAMINE HCl,109.89,76.92,4754.0,5269.0,4
NDC,51672401306,clomiPRAMINE HCl,68.73,48.11,4754.0,5269.0,4
NDC,51672402301,acetaZOLAMIDE,96.25,67.38,4754.0,5269.0,4
NDC,51672402701,Warfarin Sodium,59.95,41.97,4754.0,5269.0,4
NDC,51672402901,Warfarin Sodium,64.63,45.24,4754.0,5269.0,4
NDC,51672403101,Warfarin Sodium,65.18,45.63,4754.0,5269.0,4
NDC,51672403201,Warfarin Sodium,65.45,45.82,4754.0,5269.0,4
NDC,51672404201,Clorazepate Dipotassium,273.63,191.54,4754.0,5269.0,4
NDC,51672404601,Enalapril/HCTZ,195.8,137.06,4754.0,5269.0,4
NDC,51672404709,carBAMazepine,194.29,136.0,4754.0,5269.0,4
NDC,51672404801,clotrimazole-betamethasone dipropionate,46.37,32.46,4754.0,5269.0,4
NDC,51672406901,Phenytoin,65.83,46.08,4754.0,5269.0,4
NDC,51672411101,Phenytoin Sodium Extended,68.2,47.74,4754.0,5269.0,4
NDC,51672414601,Phenytoin,115.78,81.05,4754.0,5269.0,4
NDC,51672415403,Calcipotriene,796.13,557.29,4754.0,5269.0,4
NDC,51672423008,Ivermectin,432.44,302.71,4754.0,5269.0,4
NDC,51672529404,Malathion,609.74,426.82,4754.0,5269.0,4
NDC,517003125,Cyanocobalamin,19.23,13.46,4754.0,5269.0,4
NDC,517037401,Provayblue,644.58,451.21,4754.0,5269.0,4
NDC,517037405,Provayblue,644.58,451.21,4754.0,5269.0,4
NDC,517037510,Indigo Carmine,19.8,13.86,4754.0,5269.0,4
NDC,517040125,Atropine Sulfate,22.0,15.4,4754.0,5269.0,4
NDC,517060201,Injectafer,539.97,377.98,4754.0,5269.0,4
NDC,517065001,Injectafer,4049.64,2834.75,4754.0,5269.0,4
NDC,517071001,Fomepizole,4761.93,3333.35,4754.0,5269.0,4
NDC,517072001,Betamethasone Sodium Phosphate-Betamethasone Ace,151.34,105.94,4754.0,5269.0,4
NDC,517074001,Methylergonovine Maleate,86.02,60.21,4754.0,5269.0,4
NDC,517074020,Methylergonovine Maleate,86.02,60.21,4754.0,5269.0,4
NDC,517090101,hydrALAZINE HCl,41.25,28.88,4754.0,5269.0,4
NDC,517090125,hydrALAZINE HCl,41.25,28.88,4754.0,5269.0,4
NDC,517100101,Atropine Sulfate,46.64,32.65,4754.0,5269.0,4
NDC,517100125,Atropine Sulfate,46.64,32.65,4754.0,5269.0,4
NDC,517102001,Vasopressin,137.5,96.25,4754.0,5269.0,4
NDC,517102025,Vasopressin,137.5,96.25,4754.0,5269.0,4
NDC,517190525,DOPamine HCl,9.0,6.3,4754.0,5269.0,4
NDC,517210201,Potassium Phosphates,131.88,92.32,4754.0,5269.0,4
NDC,517210225,Potassium Phosphates,131.88,92.32,4754.0,5269.0,4
NDC,517231001,Venofer,336.69,235.68,4754.0,5269.0,4
NDC,517231005,Venofer,357.17,250.02,4754.0,5269.0,4
NDC,517232510,Venofer,89.32,62.52,4754.0,5269.0,4
NDC,517234001,Venofer,178.62,125.03,4754.0,5269.0,4
NDC,517234010,Venofer,178.62,125.03,4754.0,5269.0,4
NDC,517250210,Caffeine-Sodium Benzoate,107.64,75.35,4754.0,5269.0,4
NDC,517271025,Calcium Chloride,51.02,35.71,4754.0,5269.0,4
NDC,517430001,Paclitaxel Protein-Bound Particles,4507.17,3155.02,4754.0,5269.0,4
NDC,517481025,Nitroglycerin,42.77,29.94,4754.0,5269.0,4
NDC,51754-0108-03,Tranexamic Acid-Sodium Chloride,57.75,40.43,,,0
NDC,51754010201,Zinc Chloride,65.04,45.53,4754.0,5269.0,4
NDC,51754010204,Zinc Chloride,65.04,45.53,4754.0,5269.0,4
NDC,51754010801,Tranexamic Acid-Sodium Chloride,57.75,40.43,4754.0,5269.0,4
NDC,51754010803,Tranexamic Acid-Sodium Chloride,57.75,40.43,4754.0,5269.0,4
NDC,51754050103,Caffeine Citrate,33.0,23.1,4754.0,5269.0,4
NDC,51754200104,Potassium Acetate,14.85,10.4,4754.0,5269.0,4
NDC,51754501201,Sodium Bicarbonate,20.35,14.25,4754.0,5269.0,4
NDC,51754501204,Sodium Bicarbonate,20.35,14.25,4754.0,5269.0,4
NDC,517560125,hydrOXYzine HCl,92.71,64.9,4754.0,5269.0,4
NDC,51759020210,Ajovy,2076.67,1453.67,4754.0,5269.0,4
NDC,51759030510,Uzedy,3611.3,2527.91,4754.0,5269.0,4
NDC,51759041010,Uzedy,5417.23,3792.06,4754.0,5269.0,4
NDC,51759052010,Uzedy,7223.43,5056.4,4754.0,5269.0,4
NDC,51759063010,Uzedy,9029.08,6320.36,4754.0,5269.0,4
NDC,517651025,Selenium,48.76,34.13,4754.0,5269.0,4
NDC,517656001,Selenious Acid,1124.86,787.4,4754.0,5269.0,4
NDC,517656005,Selenious Acid,1124.86,787.4,4754.0,5269.0,4
NDC,517671001,Calcium Chloride,55.61,38.93,4754.0,5269.0,4
NDC,517671010,Calcium Chloride,55.61,38.93,4754.0,5269.0,4
NDC,517721025,Multitrace-4 Concentrated,117.81,82.47,4754.0,5269.0,4
NDC,517760401,Acetylcysteine,41.47,29.03,4754.0,5269.0,4
NDC,517760425,Acetylcysteine,41.47,29.03,4754.0,5269.0,4
NDC,517912001,Aminocaproic Acid,28.27,19.79,4754.0,5269.0,4
NDC,517912025,Aminocaproic Acid,28.27,19.79,4754.0,5269.0,4
NDC,517920325,Multitrace-4 Pediatric,33.42,23.39,4754.0,5269.0,4
NDC,517930501,Tralement,77.53,54.27,4754.0,5269.0,4
NDC,517930525,Tralement,77.53,54.27,4754.0,5269.0,4
NDC,517970201,droPERidol,29.24,20.47,4754.0,5269.0,4
NDC,517970225,droPERidol,29.24,20.47,4754.0,5269.0,4
NDC,51801000630,Effer-K,32.51,22.76,4754.0,5269.0,4
NDC,51842530,AndroGel,57.12,39.98,4754.0,5269.0,4
NDC,51862-0460-47,cycloSPORINE,14.78,10.35,2.3,3.7,4
NDC,51862012560,dofetilide,1129.1,790.37,4754.0,5269.0,4
NDC,51862046001,cycloSPORINE,8.47,5.93,4754.0,5269.0,4
NDC,51862046047,cycloSPORINE,253.86,177.7,4754.0,5269.0,4
NDC,5197050,Prevnar,228.61,160.03,4754.0,5269.0,4
NDC,51991-0877-33,Eplerenone,3.85,2.7,,,0
NDC,51991007401,Ascomp w/Codeine,627.83,439.48,4754.0,5269.0,4
NDC,51991014417,Methylergonovine Maleate,54.34,38.04,4754.0,5269.0,4
NDC,51991014499,Methylergonovine Maleate,54.34,38.04,4754.0,5269.0,4
NDC,51991031133,Desvenlafaxine Succinate,62.29,43.6,4754.0,5269.0,4
NDC,51991038490,Folbic,190.83,133.58,4754.0,5269.0,4
NDC,51991062033,Anastrozole,24.75,17.33,4754.0,5269.0,4
NDC,51991083801,Cyproheptadine HCl,180.95,126.67,4754.0,5269.0,4
NDC,51991087733,Eplerenone,68.73,48.11,4754.0,5269.0,4
NDC,51991089730,rivastigmine,137.53,96.27,4754.0,5269.0,4
NDC,51991089799,rivastigmine,4.59,3.21,4754.0,5269.0,4
NDC,51991089830,rivastigmine,137.53,96.27,4754.0,5269.0,4
NDC,51991089899,rivastigmine,4.59,3.21,4754.0,5269.0,4
NDC,51991089930,rivastigmine,137.53,96.27,4754.0,5269.0,4
NDC,51991089999,rivastigmine,4.59,3.21,4754.0,5269.0,4
NDC,51991090601,Tetracycline HCl,457.88,320.52,4754.0,5269.0,4
NDC,5200001,Prevnar 20,696.34,487.44,4754.0,5269.0,4
NDC,5200010,Prevnar 20,753.1,527.17,4754.0,5269.0,4
NDC,52015008001,Dificid,14313.75,10019.63,4754.0,5269.0,4
NDC,52027303,NuvaRing,1341.7,939.19,4754.0,5269.0,4
NDC,52054033010,Daraprim,206250.0,144375.0,4754.0,5269.0,4
NDC,52060202,Tice BCG,485.85,340.1,4754.0,5269.0,4
NDC,52152034502,Desipramine HCl,751.58,526.11,4754.0,5269.0,4
NDC,52244010010,Theo-24,1063.98,744.79,4754.0,5269.0,4
NDC,52268001201,Suprep Bowel Prep Kit,328.07,229.65,4754.0,5269.0,4
NDC,52268010001,Golytely,66.0,46.2,4754.0,5269.0,4
NDC,5250033,Fibercon,25.74,18.02,4754.0,5269.0,4
NDC,525050390,Cerefolin,1554.55,1088.19,4754.0,5269.0,4
NDC,525085590,Foltx,96.03,67.22,4754.0,5269.0,4
NDC,52536-0107-10,Vancomycin HCl,20.85,14.6,,,0
NDC,52536010405,Vancomycin HCl,308.55,215.99,4754.0,5269.0,4
NDC,52536010710,Vancomycin HCl,416.63,291.64,4754.0,5269.0,4
NDC,52536088001,Verapamil HCl,1521.03,1064.72,4754.0,5269.0,4
NDC,52544063028,Microgestin Fe 1/20,59.14,41.4,4754.0,5269.0,4
NDC,52544093102,Infed,84.36,59.05,4754.0,5269.0,4
NDC,52544093107,Infed,84.62,59.23,4754.0,5269.0,4
NDC,52609000105,Alkeran,1556.5,1089.55,4754.0,5269.0,4
NDC,52652800101,Zonisade,1153.77,807.64,4754.0,5269.0,4
NDC,527058601,Dicyclomine HCl,55.0,38.5,4754.0,5269.0,4
NDC,527128201,Dicyclomine HCl,49.5,34.65,4754.0,5269.0,4
NDC,527131301,Pilocarpine HCl,112.2,78.54,4754.0,5269.0,4
NDC,527136701,Probenecid,554.13,387.89,4754.0,5269.0,4
NDC,527141001,Esterified Estrogen/MethylTESTOSTERone,308.0,215.6,4754.0,5269.0,4
NDC,527296137,chlorproMAZINE HCl,94.88,66.42,4754.0,5269.0,4
NDC,527296237,chlorproMAZINE HCl,117.15,82.01,4754.0,5269.0,4
NDC,527296337,chlorproMAZINE HCl,219.73,153.81,4754.0,5269.0,4
NDC,527328146,Levothyroxine Sodium,25.0,17.5,4754.0,5269.0,4
NDC,527328243,Levothyroxine Sodium,277.75,194.43,4754.0,5269.0,4
NDC,527328646,Levothyroxine Sodium,32.92,23.04,4754.0,5269.0,4
NDC,527459113,oseltamivir phosphate,23.1,16.17,4754.0,5269.0,4
NDC,527513762,oseltamivir phosphate,21.29,14.9,4754.0,5269.0,4
NDC,527600480,Lidocaine HCl,77.0,53.9,4754.0,5269.0,4
NDC,52800048856,Lubriderm Daily Moisture,19.8,13.86,4754.0,5269.0,4
NDC,52817-0270-10,Bisoprolol Fumarate,1.0,0.7,,,0
NDC,52817-0319-10,Baclofen,1.0,0.7,,,0
NDC,52817-0362-00,Metoprolol Tartrate,1.0,0.7,,,0
NDC,52817021010,Cyproheptadine HCl,30.25,21.18,4754.0,5269.0,4
NDC,52817027010,Bisoprolol Fumarate,52.25,36.58,4754.0,5269.0,4
NDC,52817029590,Sildenafil,24.75,17.33,4754.0,5269.0,4
NDC,52817031910,Baclofen,38.5,26.95,4754.0,5269.0,4
NDC,52817039110,Carbidopa-Levodopa,27.78,19.45,4754.0,5269.0,4
NDC,52817081615,Acetic Acid,77.02,53.91,4754.0,5269.0,4
NDC,53014021604,Valstar,995.78,697.05,4754.0,5269.0,4
NDC,53014072671,Dipentum,482.63,337.84,4754.0,5269.0,4
NDC,53276101002,Avitene Microfibrillar Collagen Hemostat,522.5,365.75,4754.0,5269.0,4
NDC,5328643,Ketoprofen,1.0,0.7,4754.0,5269.0,4
NDC,53329041009,Curad Mediplast,2.26,1.58,4754.0,5269.0,4
NDC,53436-0084-30,Veltassa,195.27,136.69,,,0
NDC,53436008401,Veltassa,97.64,68.35,4754.0,5269.0,4
NDC,53436008404,Veltassa,521.84,365.29,4754.0,5269.0,4
NDC,53436008430,Veltassa,2929.0,2050.3,4754.0,5269.0,4
NDC,53489012002,Doxycycline Hyclate,41.25,28.88,4754.0,5269.0,4
NDC,53489014101,quiNIDine Gluconate,1993.75,1395.63,4754.0,5269.0,4
NDC,53489014801,Thioridazine HCl,93.78,65.65,4754.0,5269.0,4
NDC,53489015001,Thioridazine HCl,164.73,115.31,4754.0,5269.0,4
NDC,53489037601,Trimethobenzamide HCl,359.98,251.99,4754.0,5269.0,4
NDC,53489038701,Minoxidil,127.88,89.52,4754.0,5269.0,4
NDC,536001583,Almacone Double Strength,9.77,6.84,4754.0,5269.0,4
NDC,536009185,Aluminum Hydroxide,18.22,12.75,4754.0,5269.0,4
NDC,536100715,Cal-Gest,7.84,5.49,4754.0,5269.0,4
NDC,536104710,Sodium Bicarbonate,44.0,30.8,4754.0,5269.0,4
NDC,536105556,Acne Medication 5,9.94,6.96,4754.0,5269.0,4
NDC,536105656,Acne Medication 10,10.52,7.36,4754.0,5269.0,4
NDC,536120610,Calcium Carbonate,24.75,17.33,4754.0,5269.0,4
NDC,536121195,Dibucaine,13.48,9.44,4754.0,5269.0,4
NDC,536122858,Phenaseptic,7.79,5.45,4754.0,5269.0,4
NDC,536123201,Aspirin,6.33,4.43,4754.0,5269.0,4
NDC,536123441,Low Dose Aspirin,7.26,5.08,4754.0,5269.0,4
NDC,536124810,Stimulant Laxative Plus Stool Softener,46.75,32.73,4754.0,5269.0,4
NDC,536125494,Sodium Chloride Hypertonicity,12.05,8.44,4754.0,5269.0,4
NDC,536126328,Bacitracin Zinc,6.86,4.8,4754.0,5269.0,4
NDC,536126720,Lidocaine,25.54,17.88,4754.0,5269.0,4
NDC,536126812,Anti-Itch,15.27,10.69,4754.0,5269.0,4
NDC,536128636,Stomach Relief,8.48,5.94,4754.0,5269.0,4
NDC,536129701,Meclizine HCl,8.25,5.78,4754.0,5269.0,4
NDC,536129901,Meclizine HCl,9.35,6.55,4754.0,5269.0,4
NDC,536130375,Infants' Simethicone Drops,6.03,4.22,4754.0,5269.0,4
NDC,536130485,Docusate Sodium,28.62,20.03,4754.0,5269.0,4
NDC,536131628,Zinc Oxide,5.7,3.99,4754.0,5269.0,4
NDC,536132594,Polyvinyl Alcohol,14.4,10.08,4754.0,5269.0,4
NDC,536132601,Pain Reliever Plus,7.43,5.2,4754.0,5269.0,4
NDC,536133709,Nicotine Polacrilex,70.1,49.07,4754.0,5269.0,4
NDC,536134897,Cough Syrup DM,6.17,4.32,4754.0,5269.0,4
NDC,536136223,Nicotine Polacrilex,63.83,44.68,4754.0,5269.0,4
NDC,536140894,Polyvinyl Alcohol,14.73,10.31,4754.0,5269.0,4
NDC,536193672,Pain & Fever,5.74,4.02,4754.0,5269.0,4
NDC,536252525,Capsaicin,19.14,13.4,4754.0,5269.0,4
NDC,536408956,Acne Medication 5,9.94,6.96,4754.0,5269.0,4
NDC,536589488,Nicotine Transdermal System,65.99,46.19,4754.0,5269.0,4
NDC,536718101,Natural Acidophilus,8.53,5.97,4754.0,5269.0,4
NDC,536730001,Nephro-Vite Vitamin B and C Complex,32.45,22.72,4754.0,5269.0,4
NDC,53720102,Zemaira,1.68,1.18,4754.0,5269.0,4
NDC,53720302,Zemaira,1.68,1.18,4754.0,5269.0,4
NDC,53746-0361-01,Folic Acid,1.0,0.7,,,0
NDC,53746-0745-01,Promethazine HCl,1.0,0.7,,,0
NDC,53746036101,Folic Acid,13.75,9.63,4754.0,5269.0,4
NDC,53746054201,Potassium Chloride,68.75,48.13,4754.0,5269.0,4
NDC,53746054501,Primidone,99.55,69.69,4754.0,5269.0,4
NDC,53746055401,Demeclocycline HCl,1741.3,1218.91,4754.0,5269.0,4
NDC,53746057301,Bethanechol Chloride,125.4,87.78,4754.0,5269.0,4
NDC,53746071101,guanFACINE HCl,154.0,107.8,4754.0,5269.0,4
NDC,53746074501,Promethazine HCl,22.0,15.4,4754.0,5269.0,4
NDC,53768032,Albuminar-25,247.5,173.25,4754.0,5269.0,4
NDC,53905006501,Tobi,168.54,117.98,4754.0,5269.0,4
NDC,54001020,Flecainide Acetate,157.85,110.5,4754.0,5269.0,4
NDC,54001021,Flecainide Acetate,94.71,66.3,4754.0,5269.0,4
NDC,54001121,Flecainide Acetate,154.77,108.34,4754.0,5269.0,4
NDC,54001720,predniSONE,58.85,41.2,4754.0,5269.0,4
NDC,54001820,predniSONE,62.7,43.89,4754.0,5269.0,4
NDC,54002125,Lithium Carbonate,91.85,64.3,4754.0,5269.0,4
NDC,54004544,Ipratropium Bromide,99.0,69.3,4754.0,5269.0,4
NDC,54004641,Ipratropium Bromide,99.0,69.3,4754.0,5269.0,4
NDC,54005746,Digoxin,384.95,269.47,4754.0,5269.0,4
NDC,54006258,Citalopram Hydrobromide,219.78,153.85,4754.0,5269.0,4
NDC,54007928,Balsalazide Disodium,580.58,406.41,4754.0,5269.0,4
NDC,54008013,Exemestane,895.87,627.11,4754.0,5269.0,4
NDC,54021125,Protriptyline HCl,1313.95,919.77,4754.0,5269.0,4
NDC,54023524,Morphine Sulfate,208.45,145.92,4754.0,5269.0,4
NDC,54023525,Morphine Sulfate,118.8,83.16,4754.0,5269.0,4
NDC,54023625,Morphine Sulfate,202.13,141.49,4754.0,5269.0,4
NDC,54023763,Morphine Sulfate,63.25,44.28,4754.0,5269.0,4
NDC,54023863,Morphine Sulfate,97.63,68.34,4754.0,5269.0,4
NDC,54024324,Codeine Sulfate,197.73,138.41,4754.0,5269.0,4
NDC,54024425,Codeine Sulfate,213.13,149.19,4754.0,5269.0,4
NDC,54031950,Linezolid,1847.59,1293.31,4754.0,5269.0,4
NDC,54033425,Cevimeline HCl,710.6,497.42,4754.0,5269.0,4
NDC,54038225,cycloPHOSphamide,2059.48,1441.64,4754.0,5269.0,4
NDC,54040013,Desvenlafaxine Succinate,87.62,61.33,4754.0,5269.0,4
NDC,54044949,Posaconazole,3610.53,2527.37,4754.0,5269.0,4
NDC,54047121,everolimus,2616.41,1831.49,4754.0,5269.0,4
NDC,54051744,Morphine Sulfate,47.28,33.1,4754.0,5269.0,4
NDC,54062263,Dicyclomine HCl,312.18,218.53,4754.0,5269.0,4
NDC,54070920,Methadone HCl,84.7,59.29,4754.0,5269.0,4
NDC,54071020,Methadone HCl,96.25,67.38,4754.0,5269.0,4
NDC,54074825,Dicyclomine HCl,55.0,38.5,4754.0,5269.0,4
NDC,54081221,Pyrazinamide,750.26,525.18,4754.0,5269.0,4
NDC,54092-0191-12,Pentasa,58.3,40.81,,,0
NDC,54092004801,Ethmozine,398.2,278.74,4754.0,5269.0,4
NDC,54092017312,Carbatrol,585.09,409.56,4754.0,5269.0,4
NDC,54092018701,Tigan,158.4,110.88,4754.0,5269.0,4
NDC,54092018981,Pentasa,2003.76,1402.63,4754.0,5269.0,4
NDC,54092019112,Pentasa,2003.76,1402.63,4754.0,5269.0,4
NDC,54092025245,Fosrenol,2971.74,2080.22,4754.0,5269.0,4
NDC,54092025290,Fosrenol,2971.74,2080.22,4754.0,5269.0,4
NDC,54092025490,Fosrenol,2971.74,2080.22,4754.0,5269.0,4
NDC,54092038101,Adderall XR,1958.83,1371.18,4754.0,5269.0,4
NDC,54092039101,Adderall XR,1958.83,1371.18,4754.0,5269.0,4
NDC,54092047612,Lialda,3089.13,2162.39,4754.0,5269.0,4
NDC,54092050410,Tigan Pediatric,63.47,44.43,4754.0,5269.0,4
NDC,54092051502,Intuniv,2671.35,1869.95,4754.0,5269.0,4
NDC,54092054601,Motegrity,1532.28,1072.6,4754.0,5269.0,4
NDC,54092055530,Daytrana,442.62,309.83,4754.0,5269.0,4
NDC,54092070001,Elaprase,8882.23,6217.56,4754.0,5269.0,4
NDC,54162050001,Hydrophor,26.22,18.35,4754.0,5269.0,4
NDC,54170107,Torecan,11.99,8.39,4754.0,5269.0,4
NDC,54252625,Lithium Carbonate,36.85,25.8,4754.0,5269.0,4
NDC,54252725,Lithium Carbonate,60.5,42.35,4754.0,5269.0,4
NDC,54288-0103-10,EPINEPHrine,14.165,9.915,1.89,2.93,4
NDC,54288-0142-10,Papaverine HCl,78.0,54.6,,,0
NDC,54288-0147-01,Methylene Blue,453.6,317.52,9.81,27.47,21
NDC,54288010001,Zoledronic Acid,61.88,43.32,4754.0,5269.0,4
NDC,54288010301,EPINEPHrine,30.25,21.18,4754.0,5269.0,4
NDC,54288010310,EPINEPHrine,30.25,21.18,4754.0,5269.0,4
NDC,54288010502,Ablysinol,2736.25,1915.38,4754.0,5269.0,4
NDC,54288010515,Ablysinol,2736.25,1915.38,4754.0,5269.0,4
NDC,54288012701,Tetracaine,233.75,163.63,4754.0,5269.0,4
NDC,54288012710,Tetracaine,233.75,163.63,4754.0,5269.0,4
NDC,54288014201,Papaverine HCl,89.38,62.57,4754.0,5269.0,4
NDC,54288014210,Papaverine HCl,89.38,62.57,4754.0,5269.0,4
NDC,54288014701,Methylene Blue,577.5,404.25,4754.0,5269.0,4
NDC,54288015401,EPINEPHrine,604.98,423.49,4754.0,5269.0,4
NDC,54309036,Butorphanol Tartrate,155.1,108.57,4754.0,5269.0,4
NDC,54311763,Calcium Carbonate,24.75,17.33,4754.0,5269.0,4
NDC,54318863,diazePAM,159.5,111.65,4754.0,5269.0,4
NDC,54319446,diphenoxylate HCl-atropine sulfate,192.56,134.79,4754.0,5269.0,4
NDC,54327099,Fluticasone Propionate,37.54,26.28,4754.0,5269.0,4
NDC,54329446,Furosemide,18.48,12.94,4754.0,5269.0,4
NDC,54350049,Lidocaine HCl Viscous,30.25,21.18,4754.0,5269.0,4
NDC,54350547,Lidocaine HCl,110.0,77.0,4754.0,5269.0,4
NDC,54355563,Methadone HCl,88.0,61.6,4754.0,5269.0,4
NDC,54356699,Midazolam HCl,357.6,250.32,4754.0,5269.0,4
NDC,54372250,predniSONE,220.11,154.08,4754.0,5269.0,4
NDC,54414622,Clotrimazole,380.96,266.67,4754.0,5269.0,4
NDC,54417925,dexAMETHasone,31.63,22.14,4754.0,5269.0,4
NDC,54418325,dexAMETHasone,136.4,95.48,4754.0,5269.0,4
NDC,54418425,dexAMETHasone,272.53,190.77,4754.0,5269.0,4
NDC,54418625,dexAMETHasone,408.93,286.25,4754.0,5269.0,4
NDC,54449613,Leucovorin Calcium,92.16,64.51,4754.0,5269.0,4
NDC,54458010022,Glucosamine-Chondroitin,30.86,21.6,4754.0,5269.0,4
NDC,54458111,Mercaptopurine,217.94,152.56,4754.0,5269.0,4
NDC,54474225,predniSONE,36.3,25.41,4754.0,5269.0,4
NDC,54474825,Torecan,134.48,94.14,4754.0,5269.0,4
NDC,54482014701,Carnitor,106.91,74.84,4754.0,5269.0,4
NDC,54485929,Triazolam,2017.13,1411.99,4754.0,5269.0,4
NDC,54629037701,Nature's Blend Oyster Shell Calcium w/Vitamin D3,12.65,8.86,4754.0,5269.0,4
NDC,54629089309,Omega-3,20.05,14.04,4754.0,5269.0,4
NDC,54643564601,Infuvite Pediatric,66.13,46.29,4754.0,5269.0,4
NDC,54643564901,Infuvite,42.3,29.61,4754.0,5269.0,4
NDC,54799043105,Homatropine Hbr,101.62,71.13,4754.0,5269.0,4
NDC,54804816,Aromatic Cascara,1.0,0.7,4754.0,5269.0,4
NDC,54817525,dexAMETHasone,276.1,193.27,4754.0,5269.0,4
NDC,54817625,dexAMETHasone,169.95,118.97,4754.0,5269.0,4
NDC,54818025,dexAMETHasone,60.78,42.55,4754.0,5269.0,4
NDC,54818125,dexAMETHasone,125.68,87.98,4754.0,5269.0,4
NDC,54829725,Furosemide,46.2,32.34,4754.0,5269.0,4
NDC,54829925,Furosemide,51.98,36.39,4754.0,5269.0,4
NDC,548301300,Lidocaine HCl,17.63,12.34,4754.0,5269.0,4
NDC,548336900,Naloxone HCl,46.62,32.63,4754.0,5269.0,4
NDC,54838-0501-40,Haloperidol Lactate,0.57,0.4,,,0
NDC,54838001150,Ferrous Sulfate,11.55,8.09,4754.0,5269.0,4
NDC,54838050115,Haloperidol,57.38,40.17,4754.0,5269.0,4
NDC,54838050140,Haloperidol Lactate,77.88,54.52,4754.0,5269.0,4
NDC,54838050280,hydrOXYzine HCl,222.43,155.7,4754.0,5269.0,4
NDC,54838051240,Doxepin HCl,552.09,386.46,4754.0,5269.0,4
NDC,548540000,medroxyPROGESTERone acetate,68.75,48.13,4754.0,5269.0,4
NDC,548540025,medroxyPROGESTERone acetate,68.75,48.13,4754.0,5269.0,4
NDC,548560800,Enoxaparin Sodium,88.01,61.61,4754.0,5269.0,4
NDC,548585000,Glucagon Emergency Kit,770.0,539.0,4754.0,5269.0,4
NDC,548590000,Cortrosyn,293.1,205.17,4754.0,5269.0,4
NDC,54859050504,Tusnel Diabetic,16.23,11.36,4754.0,5269.0,4
NDC,54879002101,cycloPHOSphamide,1375.0,962.5,4754.0,5269.0,4
NDC,54879002201,cycloPHOSphamide,1925.0,1347.5,4754.0,5269.0,4
NDC,54981725,predniSONE,53.35,37.35,4754.0,5269.0,4
NDC,54982825,predniSONE,49.78,34.85,4754.0,5269.0,4
NDC,55111-0163-30,OLANZapine,1.0,0.7,,,0
NDC,55111-0179-15,tiZANidine HCl,0.23,0.16,,,0
NDC,55111-0180-10,tiZANidine HCl,1.0,0.7,,,0
NDC,55111-0262-81,OLANZapine,4.15,2.91,,,0
NDC,55111-0263-81,OLANZapine,6.1,4.27,,,0
NDC,55111-0264-81,OLANZapine,9.0,6.3,,,0
NDC,55111-0469-01,Metoprolol Succinate,1.61,1.13,,,0
NDC,55111-0556-10,Decitabine,1152.0,806.4,1.64,2.77,4
NDC,55111-0671-31,Clopidogrel,99.71,69.8,,,0
NDC,55111-0685-07,Zoledronic Acid,180.0,126.0,6.94,11.79,4
NDC,55111-0688-52,Zoledronic Acid,720.0,504.0,6.94,11.79,4
NDC,55111011890,Famotidine,19.31,13.52,4754.0,5269.0,4
NDC,55111014810,FLUoxetine HCl,599.5,419.65,4754.0,5269.0,4
NDC,55111015430,Ondansetron HCl,43.89,30.72,4754.0,5269.0,4
NDC,55111016330,OLANZapine,11.72,8.2,4754.0,5269.0,4
NDC,55111016730,OLANZapine,30.36,21.25,4754.0,5269.0,4
NDC,55111017001,Oxaprozin,806.03,564.22,4754.0,5269.0,4
NDC,55111017915,tiZANidine HCl,34.24,23.97,4754.0,5269.0,4
NDC,55111018015,tiZANidine HCl,42.08,29.46,4754.0,5269.0,4
NDC,55111026279,OLANZapine,4.76,3.33,4754.0,5269.0,4
NDC,55111026281,OLANZapine,142.65,99.86,4754.0,5269.0,4
NDC,55111028050,levoFLOXacin,53.08,37.16,4754.0,5269.0,4
NDC,55111028448,FLUoxetine HCl,359.37,251.56,4754.0,5269.0,4
NDC,55111032001,Glimepiride,11.28,7.9,4754.0,5269.0,4
NDC,55111032101,Glimepiride,18.43,12.9,4754.0,5269.0,4
NDC,55111032890,Nateglinide,113.36,79.35,4754.0,5269.0,4
NDC,55111033901,amLODIPine Besylate-Benazepril HCl,40.98,28.69,4754.0,5269.0,4
NDC,55111034001,amLODIPine Besylate-Benazepril HCl,43.45,30.42,4754.0,5269.0,4
NDC,55111034101,amLODIPine Besylate-Benazepril HCl,50.33,35.23,4754.0,5269.0,4
NDC,55111035360,Rivastigmine Tartrate,96.2,67.34,4754.0,5269.0,4
NDC,55111039830,Lansoprazole,49.5,34.65,4754.0,5269.0,4
NDC,55111046601,Metoprolol Succinate,67.1,46.97,4754.0,5269.0,4
NDC,55111046901,Metoprolol Succinate,160.05,112.04,4754.0,5269.0,4
NDC,55111055610,Decitabine,1650.0,1155.0,4754.0,5269.0,4
NDC,55111058601,amLODIPine Besylate-Benazepril HCl,69.3,48.51,4754.0,5269.0,4
NDC,55111067810,Fondaparinux Sodium,64.63,45.24,4754.0,5269.0,4
NDC,55111068002,Fondaparinux Sodium,149.38,104.57,4754.0,5269.0,4
NDC,55111068507,Zoledronic Acid,206.25,144.38,4754.0,5269.0,4
NDC,55111068852,Zoledronic Acid,825.0,577.5,4754.0,5269.0,4
NDC,55111072901,Allopurinol,30.25,21.18,4754.0,5269.0,4
NDC,55111078301,Fexofenadine HCl,41.8,29.26,4754.0,5269.0,4
NDC,55135-0132-01,Trodelvy,11827.009999999998,8278.905,36.98,103.54,28
NDC,55135013201,Trodelvy,7049.63,4934.74,4754.0,5269.0,4
NDC,55150-0116-20,Ampicillin-Sulbactam,8.0,5.6,2.12,2.89,4
NDC,55150-0117-20,Ampicillin-Sulbactam,12.86,9.0,2.12,2.89,4
NDC,55150-0119-30,Piperacillin and Tazobactam,8.0,5.6,1.05,1.93,4
NDC,55150-0120-30,Piperacillin and Tazobactam,13.23,9.26,1.05,1.93,4
NDC,55150-0121-50,Piperacillin and Tazobactam,15.6,10.92,1.05,1.93,4
NDC,55150-0154-10,Acyclovir Sodium,29.7,20.79,0.06,0.1,4
NDC,55150-0167-10,BUPivacaine HCl,5.925,4.15,0.01,0.02,4
NDC,55150-0168-30,BUPivacaine HCl,5.875,4.115,0.01,0.02,4
NDC,55150-0169-10,BUPivacaine HCl,5.69,3.98,0.01,0.02,4
NDC,55150-0171-10,BUPivacaine HCl,8.0,5.6,0.01,0.02,4
NDC,55150-0173-01,SUMAtriptan Succinate,26.4,18.48,79.64,89.99,3
NDC,55150-0183-10,niCARdipine HCl,50.98,35.69,,,0
NDC,55150-0194-10,Esmolol HCl,10.035,7.025,0.22,0.43,4
NDC,55150-0198-30,ROPivacaine HCl,11.02,7.71,0.07,0.14,4
NDC,55150-0221-10,Etomidate,13.2,9.24,,,0
NDC,55150-0249-50,BUPivacaine HCl,6.12,4.285,0.01,0.02,4
NDC,55150-0282-20,Ertapenem,144.0,100.8,21.21,68.67,4
NDC,55150-0335-01,CARBOplatin,114.0,79.8,3.72,4.98,4
NDC,55150-0337-01,bortezomib,64.32,45.02,2.07,2.71,4
NDC,55150-0370-25,Vasopressin,135.0,94.5,1.88,2.97,4
NDC,55150-0402-25,Gentamicin Sulfate,6.6,4.62,2.73,4.4,4
NDC,55150011310,Ampicillin,13.33,9.33,4754.0,5269.0,4
NDC,55150011420,Ampicillin,19.54,13.68,4754.0,5269.0,4
NDC,55150011620,Ampicillin-Sulbactam,7.5,5.25,4754.0,5269.0,4
NDC,55150011720,Ampicillin-Sulbactam,14.73,10.31,4754.0,5269.0,4
NDC,55150011930,Piperacillin and Tazobactam,8.25,5.78,4754.0,5269.0,4
NDC,55150012030,Piperacillin and Tazobactam,15.13,10.59,4754.0,5269.0,4
NDC,55150012150,Piperacillin and Tazobactam,17.88,12.52,4754.0,5269.0,4
NDC,55150012315,Nafcillin,34.38,24.07,4754.0,5269.0,4
NDC,55150012824,Oxacillin,62.15,43.51,4754.0,5269.0,4
NDC,55150015410,Acyclovir Sodium,30.94,21.66,4754.0,5269.0,4
NDC,55150015520,Acyclovir Sodium,57.75,40.43,4754.0,5269.0,4
NDC,55150016102,Lidocaine HCl,6.11,4.28,4754.0,5269.0,4
NDC,55150016205,Lidocaine HCl,8.14,5.7,4754.0,5269.0,4
NDC,55150016330,Lidocaine HCl,8.75,6.13,4754.0,5269.0,4
NDC,55150016402,Lidocaine HCl,9.17,6.42,4754.0,5269.0,4
NDC,55150016505,Lidocaine HCl,7.32,5.12,4754.0,5269.0,4
NDC,55150016613,Sildenafil,508.75,356.13,4754.0,5269.0,4
NDC,55150016710,BUPivacaine HCl,6.3,4.41,4754.0,5269.0,4
NDC,55150016830,BUPivacaine HCl,6.44,4.51,4754.0,5269.0,4
NDC,55150016910,BUPivacaine HCl,7.24,5.07,4754.0,5269.0,4
NDC,55150017030,BUPivacaine HCl,7.1,4.97,4754.0,5269.0,4
NDC,55150017110,BUPivacaine HCl,7.21,5.05,4754.0,5269.0,4
NDC,55150017230,BUPivacaine HCl,12.79,8.95,4754.0,5269.0,4
NDC,55150017301,SUMAtriptan Succinate,30.25,21.18,4754.0,5269.0,4
NDC,55150017705,levETIRAcetam,8.25,5.78,4754.0,5269.0,4
NDC,55150018301,niCARdipine HCl,58.41,40.89,4754.0,5269.0,4
NDC,55150018310,niCARdipine HCl,58.41,40.89,4754.0,5269.0,4
NDC,55150018810,Tranexamic Acid,16.5,11.55,4754.0,5269.0,4
NDC,55150019830,ROPivacaine HCl,22.03,15.42,4754.0,5269.0,4
NDC,55150020200,Pantoprazole Sodium,8.25,5.78,4754.0,5269.0,4
NDC,55150020210,Pantoprazole Sodium,8.25,5.78,4754.0,5269.0,4
NDC,55150020720,Meropenem,16.5,11.55,4754.0,5269.0,4
NDC,55150020830,Meropenem,30.25,21.18,4754.0,5269.0,4
NDC,55150021910,eptifibatide,123.75,86.63,4754.0,5269.0,4
NDC,55150022110,Etomidate,15.13,10.59,4754.0,5269.0,4
NDC,55150022310,Methocarbamol,27.5,19.25,4754.0,5269.0,4
NDC,55150022505,Rocuronium Bromide,16.5,11.55,4754.0,5269.0,4
NDC,55150023501,Vecuronium Bromide,12.1,8.47,4754.0,5269.0,4
NDC,55150023510,Vecuronium Bromide,12.1,8.47,4754.0,5269.0,4
NDC,55150024950,BUPivacaine HCl,10.59,7.41,4754.0,5269.0,4
NDC,55150025050,BUPivacaine HCl,8.94,6.26,4754.0,5269.0,4
NDC,55150025110,Lidocaine HCl,7.15,5.01,4754.0,5269.0,4
NDC,55150025220,Lidocaine HCl,9.79,6.85,4754.0,5269.0,4
NDC,55150025350,Lidocaine HCl,16.5,11.55,4754.0,5269.0,4
NDC,55150025520,Lidocaine HCl,11.11,7.78,4754.0,5269.0,4
NDC,55150026705,fluPHENAZine Decanoate,330.0,231.0,4754.0,5269.0,4
NDC,55150028209,Ertapenem Novaplus,110.0,77.0,4754.0,5269.0,4
NDC,55150028220,Ertapenem,165.0,115.5,4754.0,5269.0,4
NDC,55150030401,dexAMETHasone Sodium Phosphate,12.1,8.47,4754.0,5269.0,4
NDC,55150030701,Acetaminophen,40.15,28.11,4754.0,5269.0,4
NDC,55150030724,Acetaminophen,40.15,28.11,4754.0,5269.0,4
NDC,55150030801,OLANZapine,97.46,68.22,4754.0,5269.0,4
NDC,55150030901,HYDROXYprogesterone Caproate,1877.02,1313.91,4754.0,5269.0,4
NDC,55150032901,medroxyPROGESTERone acetate,100.76,70.53,4754.0,5269.0,4
NDC,55150032925,medroxyPROGESTERone acetate,100.76,70.53,4754.0,5269.0,4
NDC,55150033501,CARBOplatin,117.57,82.3,4754.0,5269.0,4
NDC,55150033701,bortezomib,115.5,80.85,4754.0,5269.0,4
NDC,55150035201,Irinotecan Hydrochloride,39.88,27.92,4754.0,5269.0,4
NDC,55150037001,Vasopressin,77.0,53.9,4754.0,5269.0,4
NDC,55150037025,Vasopressin,77.0,53.9,4754.0,5269.0,4
NDC,55150038101,PEMEtrexed,412.5,288.75,4754.0,5269.0,4
NDC,55150038201,PEMEtrexed,1375.0,962.5,4754.0,5269.0,4
NDC,55150038601,CARBOplatin,137.94,96.56,4754.0,5269.0,4
NDC,55150040001,hydrALAZINE HCl,18.7,13.09,4754.0,5269.0,4
NDC,55150040025,hydrALAZINE HCl,18.7,13.09,4754.0,5269.0,4
NDC,55150040201,Gentamicin Sulfate,7.57,5.3,4754.0,5269.0,4
NDC,55150040225,Gentamicin Sulfate,7.57,5.3,4754.0,5269.0,4
NDC,55150043101,DACTINomycin,2028.13,1419.69,4754.0,5269.0,4
NDC,55150047101,Vancomycin HCl,55.28,38.7,4754.0,5269.0,4
NDC,55150047110,Vancomycin HCl,55.28,38.7,4754.0,5269.0,4
NDC,55292070254,Panhematin,30778.36,21544.85,4754.0,5269.0,4
NDC,55292070255,Panhematin,30778.36,21544.85,4754.0,5269.0,4
NDC,55390003410,Methotrexate Sodium,26.13,18.29,4754.0,5269.0,4
NDC,55390004501,Mesna,129.25,90.48,4754.0,5269.0,4
NDC,55390005110,Leucovorin Calcium,17.88,12.52,4754.0,5269.0,4
NDC,55390016401,Octreotide Acetate,660.0,462.0,4754.0,5269.0,4
NDC,55390024301,DOXOrubicin HCl Novaplus,152.63,106.84,4754.0,5269.0,4
NDC,55390035703,Cafcit,55.01,38.51,4754.0,5269.0,4
NDC,555003302,chlordiazePOXIDE HCl,40.43,28.3,4754.0,5269.0,4
NDC,555006602,Isoniazid,32.45,22.72,4754.0,5269.0,4
NDC,555015802,chlordiazePOXIDE HCl,52.53,36.77,4754.0,5269.0,4
NDC,555015902,chlordiazePOXIDE HCl,45.65,31.96,4754.0,5269.0,4
NDC,555017178,Mefloquine HCl,503.94,352.76,4754.0,5269.0,4
NDC,555021110,Norethindrone Acetate,254.93,178.45,4754.0,5269.0,4
NDC,555038102,Meperidine HCl,209.0,146.3,4754.0,5269.0,4
NDC,555061514,Pramipexole Dihydrochloride,48.02,33.61,4754.0,5269.0,4
NDC,555063302,Danazol,697.95,488.57,4754.0,5269.0,4
NDC,555063502,Danazol,1744.88,1221.42,4754.0,5269.0,4
NDC,555077902,medroxyPROGESTERone acetate,72.88,51.02,4754.0,5269.0,4
NDC,555080802,Tretinoin,7395.85,5177.1,4754.0,5269.0,4
NDC,555087202,medroxyPROGESTERone acetate,39.05,27.34,4754.0,5269.0,4
NDC,555088202,Hydroxyurea,154.0,107.8,4754.0,5269.0,4
NDC,555088602,Estradiol,84.43,59.1,4754.0,5269.0,4
NDC,555088702,Estradiol,110.83,77.58,4754.0,5269.0,4
NDC,5550919,Caltrate Bone Health,16.5,11.55,4754.0,5269.0,4
NDC,555095202,Dextroamphetamine Sulfate,412.5,288.75,4754.0,5269.0,4
NDC,555097102,Amphetamine Salt Combo,238.15,166.71,4754.0,5269.0,4
NDC,555108201,fentaNYL Citrate,1733.33,1213.33,4754.0,5269.0,4
NDC,55513-0021-04,Aranesp,1114.56,780.1949999999999,3.02,8.46,14
NDC,55513-0023-01,Aranesp,1114.56,780.19,3.02,8.46,21
NDC,55513-0025-04,Aranesp,2786.3999999999996,1950.48,3.02,8.46,28
NDC,55513-0027-04,Aranesp,5572.8,3900.96,3.02,8.46,21
NDC,55513-0032-01,Aranesp,10642.5,7449.75,3.02,8.46,7
NDC,55513-0057-04,Aranesp,417.96,292.57,3.02,8.46,42
NDC,55513-0077-01,Imdelltra,36000.0,25200.0,1566.59,4386.45,7
NDC,55513-0111-01,Aranesp,5572.8,3900.96,3.02,8.46,7
NDC,55513-0112-01,Tezspire PFS,9986.19,6990.33,17.82,49.9,7
NDC,55513-0126-01,Epogen,79.59,55.71,,,0
NDC,55513-0132-01,Kanjinti,9063.475,6344.43,51.44,144.03,28
NDC,55513-0148-01,Epogen,238.755,167.13,7.74,21.67,7
NDC,55513-0190-01,Neulasta,16526.33,11568.435,122.84,343.95,35
NDC,55513-0192-01,Neulasta Onpro,25351.07,17745.75,122.84,343.95,77
NDC,55513-0206-01,Mvasi,2260.6549999999997,1582.455,23.84,66.75,42
NDC,55513-0207-01,Mvasi,9126.235,6388.365,23.84,66.75,42
NDC,55513-0221-01,Nplate,22326.18,15628.33,11.05,30.94,21
NDC,55513-0223-01,Nplate,1573.1750000000002,1101.22,11.05,30.94,14
NDC,55513-0267-01,Epogen,239.535,167.675,7.74,21.67,7
NDC,55513-0710-01,Prolia,4286.69,3000.68,29.46,82.49,28
NDC,55513-0710-21,Prolia,4286.69,3000.68,29.46,82.49,63
NDC,55513-0730-01,Xgeva,8082.254999999999,5657.58,29.46,82.49,42
NDC,55513-0954-01,Vectibix,2484.55,1739.19,173.67,486.28,35
NDC,55513-0956-01,Vectibix,16563.65,11594.56,173.67,486.28,14
NDC,55513-0998-02,Evenity,6008.98,4206.29,12.11,33.91,14
NDC,55513000501,Aranesp,2128.5,1489.95,4754.0,5269.0,4
NDC,55513000504,Aranesp,2128.5,1489.95,4754.0,5269.0,4
NDC,55513002101,Aranesp,851.4,595.98,4754.0,5269.0,4
NDC,55513002104,Aranesp,851.4,595.98,4754.0,5269.0,4
NDC,55513002301,Aranesp,1277.1,893.97,4754.0,5269.0,4
NDC,55513002304,Aranesp,1277.1,893.97,4754.0,5269.0,4
NDC,55513002501,Aranesp,2128.5,1489.95,4754.0,5269.0,4
NDC,55513002504,Aranesp,2128.5,1489.95,4754.0,5269.0,4
NDC,55513002701,Aranesp,3192.75,2234.93,4754.0,5269.0,4
NDC,55513002704,Aranesp,3192.75,2234.93,4754.0,5269.0,4
NDC,55513002801,Aranesp,4257.0,2979.9,4754.0,5269.0,4
NDC,55513003201,Aranesp,10642.5,7449.75,4754.0,5269.0,4
NDC,55513005701,Aranesp,532.13,372.49,4754.0,5269.0,4
NDC,55513005704,Aranesp,532.13,372.49,4754.0,5269.0,4
NDC,55513005901,Imdelltra,4125.0,2887.5,4754.0,5269.0,4
NDC,55513006901,Imdelltra,41250.0,28875.0,4754.0,5269.0,4
NDC,55513007701,Imdelltra,41250.0,28875.0,4754.0,5269.0,4
NDC,55513011101,Aranesp,6385.5,4469.85,4754.0,5269.0,4
NDC,55513011201,Tezspire PFS,12014.65,8410.26,4754.0,5269.0,4
NDC,55513012601,Epogen,91.19,63.83,4754.0,5269.0,4
NDC,55513012610,Epogen,91.19,63.83,4754.0,5269.0,4
NDC,55513013201,Kanjinti,10472.5,7330.75,4754.0,5269.0,4
NDC,55513013760,Otezla,14640.12,10248.08,4754.0,5269.0,4
NDC,55513014101,Kanjinti,3740.2,2618.14,4754.0,5269.0,4
NDC,55513014801,Epogen,182.38,127.67,4754.0,5269.0,4
NDC,55513014810,Epogen,182.38,127.67,4754.0,5269.0,4
NDC,55513016001,Blincyto,15281.12,10696.78,4754.0,5269.0,4
NDC,55513016401,Kanjinti Kit,10472.5,7330.75,4754.0,5269.0,4
NDC,55513019001,Neulasta,17649.48,12354.64,4754.0,5269.0,4
NDC,55513019201,Neulasta Onpro,17649.48,12354.64,4754.0,5269.0,4
NDC,55513020601,Mvasi,1918.77,1343.14,4754.0,5269.0,4
NDC,55513020701,Mvasi,7674.97,5372.48,4754.0,5269.0,4
NDC,55513022101,Nplate,7570.81,5299.57,4754.0,5269.0,4
NDC,55513022201,Nplate,15141.56,10599.09,4754.0,5269.0,4
NDC,55513022301,Nplate,3785.46,2649.82,4754.0,5269.0,4
NDC,55513022321,Nplate,3785.46,2649.82,4754.0,5269.0,4
NDC,55513026701,Epogen,136.79,95.75,4754.0,5269.0,4
NDC,55513026710,Epogen,136.79,95.75,4754.0,5269.0,4
NDC,55513036955,Otezla Starter Pack,14640.25,10248.18,4754.0,5269.0,4
NDC,55513047801,Epogen,911.9,638.33,4754.0,5269.0,4
NDC,55513047810,Epogen,911.9,638.33,4754.0,5269.0,4
NDC,55513053001,Neupogen,865.79,606.05,4754.0,5269.0,4
NDC,55513053010,Neupogen,865.8,606.06,4754.0,5269.0,4
NDC,55513054601,Neupogen,1378.66,965.06,4754.0,5269.0,4
NDC,55513054610,Neupogen,1378.66,965.06,4754.0,5269.0,4
NDC,55513071001,Prolia,5157.44,3610.21,4754.0,5269.0,4
NDC,55513071021,Prolia,5157.44,3610.21,4754.0,5269.0,4
NDC,55513073001,Xgeva,9486.79,6640.75,4754.0,5269.0,4
NDC,55513073021,Xgeva,9486.79,6640.75,4754.0,5269.0,4
NDC,55513074101,Parsabiv,567.74,397.42,4754.0,5269.0,4
NDC,55513074110,Parsabiv,567.75,397.43,4754.0,5269.0,4
NDC,55513088001,Evenity,3614.77,2530.34,4754.0,5269.0,4
NDC,55513088002,Evenity,3614.77,2530.34,4754.0,5269.0,4
NDC,55513095401,Vectibix,4982.04,3487.43,4754.0,5269.0,4
NDC,55513095501,Vectibix,4668.13,3267.69,4754.0,5269.0,4
NDC,55513095601,Vectibix,19928.15,13949.71,4754.0,5269.0,4
NDC,55513099801,Evenity,3614.77,2530.34,4754.0,5269.0,4
NDC,55513099802,Evenity,3614.77,2530.34,4754.0,5269.0,4
NDC,55515005502,Cinobac,136.62,95.63,4754.0,5269.0,4
NDC,5555619,Caltrate Plus,17.33,12.13,4754.0,5269.0,4
NDC,55566-1050-01,Adstiladrin,154687.5,108281.25,64274.79,179969.41,7
NDC,55566-4100-01,Euflexxa,1731.02,1211.71,105.46,295.29,42
NDC,55566008105,Thyrel Trh,113.0,79.1,4754.0,5269.0,4
NDC,55566102001,Ortikos,3300.0,2310.0,4754.0,5269.0,4
NDC,55566105000,Adstiladrin,41868.75,29308.13,4754.0,5269.0,4
NDC,55566105001,Adstiladrin,167475.0,117232.5,4754.0,5269.0,4
NDC,55566220000,DDAVP,223.14,156.2,4754.0,5269.0,4
NDC,55566280001,Cervidil,1513.0,1059.1,4754.0,5269.0,4
NDC,55566410000,Euflexxa,991.73,694.21,4754.0,5269.0,4
NDC,55566410001,Euflexxa,991.73,694.21,4754.0,5269.0,4
NDC,55566830301,Firmagon,1343.24,940.27,4754.0,5269.0,4
NDC,55566840301,Firmagon,4191.5,2934.05,4754.0,5269.0,4
NDC,555902658,Junel Fe 1/20,59.14,41.4,4754.0,5269.0,4
NDC,555904358,Apri,56.6,39.62,4754.0,5269.0,4
NDC,555905058,Kariva,118.74,83.12,4754.0,5269.0,4
NDC,555906558,Tri-Lo-Sprintec,128.21,89.75,4754.0,5269.0,4
NDC,555912366,Jolessa,318.07,222.65,4754.0,5269.0,4
NDC,555913167,Ocella,151.85,106.3,4754.0,5269.0,4
NDC,555913179,Ocella,151.85,106.3,4754.0,5269.0,4
NDC,56051168,Lodosyn,942.43,659.7,4754.0,5269.0,4
NDC,56184012105,Little Noses Decongestant Nose Drops,8.79,6.15,4754.0,5269.0,4
NDC,57237-0017-60,DULoxetine HCl,1.0,0.7,,,0
NDC,57237-0018-30,DULoxetine HCl,1.0,0.7,,,0
NDC,57237-0018-90,DULoxetine HCl,1.0,0.7,,,0
NDC,57237-0019-90,DULoxetine HCl,1.0,0.7,,,0
NDC,57237-0041-01,Penicillin V Potassium,1.0,0.7,,,0
NDC,57237-0077-10,Ondansetron,1.0,0.7,,,0
NDC,57237-0102-01,Metoprolol Tartrate,1.0,0.7,,,0
NDC,57237-0156-30,Moxifloxacin HCl,15.0,10.5,,,0
NDC,57237-0182-90,Pramipexole Dihydrochloride,2.0,1.4,,,0
NDC,57237-0325-52,Glycerin Suppositories,1.0,0.7,,,0
NDC,57237-0326-21,Glycerin Suppositories Children's,2.61,1.83,,,0
NDC,57237004001,Penicillin V Potassium,22.28,15.6,4754.0,5269.0,4
NDC,57237004101,Penicillin V Potassium,55.0,38.5,4754.0,5269.0,4
NDC,57237004230,valACYclovir HCl,33.0,23.1,4754.0,5269.0,4
NDC,57237004290,valACYclovir HCl,96.28,67.4,4754.0,5269.0,4
NDC,57237007710,Ondansetron,20.71,14.5,4754.0,5269.0,4
NDC,57237007730,Ondansetron,20.22,14.15,4754.0,5269.0,4
NDC,57237010201,Metoprolol Tartrate,12.65,8.86,4754.0,5269.0,4
NDC,57237011490,Alfuzosin Hydrochloride,68.81,48.17,4754.0,5269.0,4
NDC,57237016190,Omeprazole,16.59,11.61,4754.0,5269.0,4
NDC,57237017190,Rosuvastatin Calcium,46.78,32.75,4754.0,5269.0,4
NDC,57237018090,Pramipexole Dihydrochloride,27.48,19.24,4754.0,5269.0,4
NDC,57237018290,Pramipexole Dihydrochloride,27.48,19.24,4754.0,5269.0,4
NDC,57237023301,Sulfamethoxazole/Trimethoprim,17.33,12.13,4754.0,5269.0,4
NDC,57237031301,Dextromethorphan HBr/guaiFENesin,7.43,5.2,4754.0,5269.0,4
NDC,57237031318,Dextromethorphan HBr/guaiFENesin,7.43,5.2,4754.0,5269.0,4
NDC,57237032552,Glycerin Suppositories,17.88,12.52,4754.0,5269.0,4
NDC,573017030,Advil Children's,13.2,9.24,4754.0,5269.0,4
NDC,573021825,Anbesol,10.99,7.69,4754.0,5269.0,4
NDC,573022510,Anbesol Maximum Strength,12.11,8.48,4754.0,5269.0,4
NDC,573070112,ChapStick Classic,2.77,1.94,4754.0,5269.0,4
NDC,574006915,Glutose 15,8.67,6.07,4754.0,5269.0,4
NDC,574006930,Glutose 15,8.67,6.07,4754.0,5269.0,4
NDC,574007216,Propylene Glycol,23.42,16.39,4754.0,5269.0,4
NDC,574010601,Bromocriptine Mesylate,826.1,578.27,4754.0,5269.0,4
NDC,574010603,Bromocriptine Mesylate,273.08,191.16,4754.0,5269.0,4
NDC,574010770,Clotrimazole,247.56,173.29,4754.0,5269.0,4
NDC,574012174,Actidose-Aqua,36.63,25.64,4754.0,5269.0,4
NDC,574014560,Trospium Chloride,131.01,91.71,4754.0,5269.0,4
NDC,574015004,Midazolam HCl,178.8,125.16,4754.0,5269.0,4
NDC,574024001,Repaglinide,55.0,38.5,4754.0,5269.0,4
NDC,574029201,aMILoride HCl,61.33,42.93,4754.0,5269.0,4
NDC,574030216,Ora-Sweet SF,48.84,34.19,4754.0,5269.0,4
NDC,574030316,Ora-Plus,48.84,34.19,4754.0,5269.0,4
NDC,574031116,Ora-Blend,48.13,33.69,4754.0,5269.0,4
NDC,574050801,Ferrous Gluconate,13.2,9.24,4754.0,5269.0,4
NDC,574050810,Ferrous Gluconate,118.25,82.78,4754.0,5269.0,4
NDC,574050811,Ferrous Gluconate,24.2,16.94,4754.0,5269.0,4
NDC,574052074,Actidose w/Sorbitol,36.63,25.64,4754.0,5269.0,4
NDC,574052174,Actidose-Aqua,36.63,25.64,4754.0,5269.0,4
NDC,574060801,Ferrous Sulfate,13.2,9.24,4754.0,5269.0,4
NDC,574060811,Ferrous Sulfate,24.2,16.94,4754.0,5269.0,4
NDC,574079001,methazolAMIDE,632.5,442.75,4754.0,5269.0,4
NDC,574081500,Acetylcysteine Novaplus,517.03,361.92,4754.0,5269.0,4
NDC,574081530,Acetylcysteine Novaplus,517.03,361.92,4754.0,5269.0,4
NDC,574086610,cycloSPORINE,107.54,75.28,4754.0,5269.0,4
NDC,574204230,Lidocaine-Prilocaine,41.5,29.05,4754.0,5269.0,4
NDC,574222520,Tretinoin,230.18,161.13,4754.0,5269.0,4
NDC,574232545,Tretinoin,435.11,304.58,4754.0,5269.0,4
NDC,574402235,Bacitracin,297.22,208.05,4754.0,5269.0,4
NDC,574402411,Erythromycin,19.93,13.95,4754.0,5269.0,4
NDC,574402450,Erythromycin,19.93,13.95,4754.0,5269.0,4
NDC,574403125,Tobramycin/dexAMETHasone,104.31,73.02,4754.0,5269.0,4
NDC,574703412,Aspirin,38.52,26.96,4754.0,5269.0,4
NDC,574705012,Bisacodyl,8.65,6.06,4754.0,5269.0,4
NDC,574705050,Bisacodyl,36.03,25.22,4754.0,5269.0,4
NDC,574711012,Morphine Sulfate,132.0,92.4,4754.0,5269.0,4
NDC,574722406,HYDROmorphone HCl,161.92,113.34,4754.0,5269.0,4
NDC,574722612,Compro,287.53,201.27,4754.0,5269.0,4
NDC,574985510,Budesonide,271.43,190.0,4754.0,5269.0,4
NDC,575620030,Proglycem,1338.15,936.71,4754.0,5269.0,4
NDC,57664-0167-58,Metoprolol Tartrate,1.0,0.7,,,0
NDC,57664037713,traMADol HCl,63.25,44.28,4754.0,5269.0,4
NDC,57664066583,Carvedilol,681.29,476.9,4754.0,5269.0,4
NDC,57665010141,Abelcet,288.75,202.13,4754.0,5269.0,4
NDC,57894-0030-01,Remicade,11911.765,8338.235,32.42,124.28,74
NDC,57894-0160-01,inFLIXimab,3648.0,2553.6,32.42,90.78,28
NDC,57894-0350-01,Simponi Aria,9596.13,6717.29,11.63,32.56,42
NDC,57894-0450-01,Tecvayli,11658.375,8160.860000000001,34.58,96.82,14
NDC,57894-0501-01,Rybrevant,35004.96,24503.47,22.56,63.17,7
NDC,57894-0503-01,Darzalex Faspro,23658.84,16561.19,55.06,154.17,28
NDC,57894-0505-05,Darzalex,853.385,597.37,70.79,198.21,14
NDC,57894-0505-20,Darzalex,12844.66,8991.265,70.79,198.21,42
NDC,57894-0650-02,Tremfya,40057.71,28040.4,72.94,204.23,7
NDC,57894003001,Remicade,3211.51,2248.06,4754.0,5269.0,4
NDC,57894005427,Stelara,5829.04,4080.33,4754.0,5269.0,4
NDC,57894006002,Stelara,40083.29,28058.3,4754.0,5269.0,4
NDC,57894006003,Stelara PFS,40083.29,28058.3,4754.0,5269.0,4
NDC,57894006103,Stelara PFS,80166.52,56116.56,4754.0,5269.0,4
NDC,57894016001,inFLIXimab,1306.25,914.38,4754.0,5269.0,4
NDC,57894035001,Simponi Aria,5497.78,3848.45,4754.0,5269.0,4
NDC,57894044101,Ustekinumab PFS,20042.0,14029.4,4754.0,5269.0,4
NDC,57894044901,Tecvayli,5633.46,3943.42,4754.0,5269.0,4
NDC,57894045001,Tecvayli,28730.77,20111.54,4754.0,5269.0,4
NDC,57894046901,Talvey,2382.82,1667.97,4754.0,5269.0,4
NDC,57894047001,Talvey,31770.84,22239.59,4754.0,5269.0,4
NDC,57894050100,Rybrevant,10468.37,7327.86,4754.0,5269.0,4
NDC,57894050101,Rybrevant,10468.37,7327.86,4754.0,5269.0,4
NDC,57894050205,Darzalex,2132.99,1493.09,4754.0,5269.0,4
NDC,57894050220,Darzalex,8088.58,5662.01,4754.0,5269.0,4
NDC,57894050301,Darzalex Faspro,29072.63,20350.84,4754.0,5269.0,4
NDC,57894050505,Darzalex,2132.99,1493.09,4754.0,5269.0,4
NDC,57894050520,Darzalex,8531.82,5972.27,4754.0,5269.0,4
NDC,57894051001,Rybrevant Faspro,34052.29,23836.6,4754.0,5269.0,4
NDC,57894051401,Rybrevant Faspro,47673.21,33371.25,4754.0,5269.0,4
NDC,57894065001,Tremfya,40057.71,28040.4,4754.0,5269.0,4
NDC,57894065002,Tremfya,40057.71,28040.4,4754.0,5269.0,4
NDC,57894080101,Imaavy,34320.0,24024.0,4754.0,5269.0,4
NDC,57896-0104-10,Acetaminophen,1.0,0.7,,,0
NDC,57896-0201-10,Acetaminophen,1.0,0.7,,,0
NDC,57896-0204-01,Acetaminophen,1.0,0.7,,,0
NDC,57896-0219-10,Acetaminophen,2.0,1.4,,,0
NDC,57896-0304-01,Stool Softener with Laxative,1.0,0.7,,,0
NDC,57896-0304-10,Stool Softener with Laxative,1.0,0.7,,,0
NDC,57896-0791-01,Gas Relief,3.0,2.1,,,0
NDC,57896-0851-01,Vitamin B1,1.0,0.7,,,0
NDC,57896-0864-06,Melatonin,1.0,0.7,,,0
NDC,57896-0901-01,Aspirin,1.0,0.7,,,0
NDC,57896-0901-10,Aspirin,1.0,0.7,,,0
NDC,57896-0921-01,Aspirin,1.0,0.7,,,0
NDC,57896-0981-01,Aspirin Adult Low Dose,1.0,0.7,,,0
NDC,57896-0981-12,Aspirin Adult Low Dose,1.0,0.7,,,0
NDC,57896010220,Acetaminophen,7.7,5.39,4754.0,5269.0,4
NDC,57896018105,Artificial Tears,4.67,3.27,4754.0,5269.0,4
NDC,57896030310,Stool Softener w/Laxative,35.75,25.03,4754.0,5269.0,4
NDC,57896030401,Stool Softener with Laxative,4.95,3.47,4754.0,5269.0,4
NDC,57896030410,Stool Softener with Laxative,35.75,25.03,4754.0,5269.0,4
NDC,57896063412,Magnesium Oxide,8.58,6.01,4754.0,5269.0,4
NDC,57896073101,Oyster Shell Calcium Plus Vitamin D,5.5,3.85,4754.0,5269.0,4
NDC,57896075201,Vitamin E,18.15,12.71,4754.0,5269.0,4
NDC,57896083701,lactobacillus combination,9.63,6.74,4754.0,5269.0,4
NDC,57896084401,phosphorus-potassium-sodium,82.5,57.75,4754.0,5269.0,4
NDC,57896085101,Vitamin B1,8.8,6.16,4754.0,5269.0,4
NDC,57896086406,Melatonin,6.77,4.74,4754.0,5269.0,4
NDC,57896086905,Probiotic,55.0,38.5,4754.0,5269.0,4
NDC,57896090101,Aspirin,4.13,2.89,4754.0,5269.0,4
NDC,57896090110,Aspirin,19.25,13.48,4754.0,5269.0,4
NDC,57970-0100-01,Dalvance,12809.74,8966.82,15.59,43.65,14
NDC,57970010001,Dalvance,4892.61,3424.83,4754.0,5269.0,4
NDC,58063045701,Didronel I.V.,185.63,129.94,4754.0,5269.0,4
NDC,58160-0810-52,Infanrix,30.005,21.005,31.25,43.18,4
NDC,58160-0812-52,Kinrix,51.005,35.705000000000005,39.09,76.65,8
NDC,58160-0820-43,Engerix-B,0.01,0.01,30.77,35.39,4
NDC,58160-0821-52,Engerix-B,76.505,53.555,70.38,81.41,4
NDC,58160-0825-52,Havrix Pediatric,0.01,0.01,40.62,46.71,4
NDC,58160-0826-52,Havrix,182.0,127.4,70.54,96.22,4
NDC,58160-0827-03,Menveo,0.01,0.01,160.52,184.6,4
NDC,58160-0842-52,Boostrix,86.675,60.675,18.83,81.41,12
NDC,58160-0912-52,Fluarix 2025-2026 Formula,0.01,0.01,19.77,22.74,4
NDC,58160-0955-09,Menveo,344.0,240.8,160.52,184.6,4
NDC,58160-0958-01,Menveo,344.0,240.8,160.52,184.6,4
NDC,58160-0976-20,Bexsero,0.01,0.01,241.52,257.75,3
NDC,58160081043,Infanrix,75.19,52.63,4754.0,5269.0,4
NDC,58160081052,Infanrix,75.19,52.63,4754.0,5269.0,4
NDC,58160081143,Pediarix,274.65,192.26,4754.0,5269.0,4
NDC,58160081152,Pediarix,274.65,192.26,4754.0,5269.0,4
NDC,58160081243,Kinrix,164.51,115.16,4754.0,5269.0,4
NDC,58160081252,Kinrix,164.51,115.16,4754.0,5269.0,4
NDC,58160081543,Twinrix,360.07,252.05,4754.0,5269.0,4
NDC,58160081552,Twinrix,360.07,252.05,4754.0,5269.0,4
NDC,58160082043,Engerix-B,39.2,27.439999999999998,4754.0,5269.0,8
NDC,58160082052,Engerix-B,39.2,27.439999999999998,4754.0,5269.0,8
NDC,58160082101,Engerix-B,196.6,137.62,4754.0,5269.0,4
NDC,58160082111,Engerix-B,196.6,137.62,4754.0,5269.0,4
NDC,58160082143,Engerix-B,196.6,137.62,4754.0,5269.0,4
NDC,58160082152,Engerix-B,196.6,137.62,4754.0,5269.0,4
NDC,58160082311,Shingrix,592.65,414.86,4754.0,5269.0,4
NDC,58160082543,Havrix Pediatric,105.54,73.88,4754.0,5269.0,4
NDC,58160082552,Havrix Pediatric,105.54,73.88,4754.0,5269.0,4
NDC,58160082643,Havrix,234.86,164.4,4754.0,5269.0,4
NDC,58160082652,Havrix,234.86,164.4,4754.0,5269.0,4
NDC,58160082803,Shingrix,592.65,414.86,4754.0,5269.0,4
NDC,58160084201,Boostrix,127.87,89.51,4754.0,5269.0,4
NDC,58160084211,Boostrix,127.87,89.51,4754.0,5269.0,4
NDC,58160084243,Boostrix,127.87,89.51,4754.0,5269.0,4
NDC,58160084252,Boostrix,127.87,89.51,4754.0,5269.0,4
NDC,58160091241,Fluarix 2025-2026 Formula,54.29,38.0,4754.0,5269.0,4
NDC,58160091252,Fluarix 2025-2026 Formula,54.29,38.0,4754.0,5269.0,4
NDC,58160095509,Menveo,456.5,319.55,4754.0,5269.0,4
NDC,58160097602,Bexsero,650.04,455.03,4754.0,5269.0,4
NDC,58160097620,Bexsero,650.04,455.03,4754.0,5269.0,4
NDC,58177005004,Pangestyme Ul20,499.13,349.39,4754.0,5269.0,4
NDC,58281056001,Lioresal Intrathecal Refill Kit,649.83,454.88,4754.0,5269.0,4
NDC,58281056002,Lioresal Intrathecal Refill Kit,1299.54,909.68,4754.0,5269.0,4
NDC,58406042534,Enbrel,2423.23,1696.26,4754.0,5269.0,4
NDC,58406043501,Enbrel,4406.74,3084.72,4754.0,5269.0,4
NDC,58468-0030-02,Thyrogen,5153.115,3607.185,2125.64,5951.79,21
NDC,58468-0040-01,Fabrazyme,17891.36,12523.95,230.32,644.9,14
NDC,58468-0041-01,Fabrazyme,12777.36,8944.15,230.32,644.9,14
NDC,58468-0080-01,Thymoglobulin,15392.72,10774.9,1009.75,2827.3,7
NDC,58468-0090-01,Synvisc,1095.7,766.99,7.56,21.17,7
NDC,58468-0090-03,Synvisc One,2739.245,1917.47,7.56,21.17,56
NDC,58468002101,Renagel,3681.32,2576.92,4754.0,5269.0,4
NDC,58468003001,Thyrogen,5560.85,3892.6,4754.0,5269.0,4
NDC,58468003002,Thyrogen,5560.85,3892.6,4754.0,5269.0,4
NDC,58468004001,Fabrazyme,21525.55,15067.89,4754.0,5269.0,4
NDC,58468004101,Fabrazyme,3074.56,2152.19,4754.0,5269.0,4
NDC,58468008001,Thymoglobulin,3078.55,2154.99,4754.0,5269.0,4
NDC,58468009001,Synvisc,1255.49,878.84,4754.0,5269.0,4
NDC,58468009003,Synvisc One,3766.46,2636.52,4754.0,5269.0,4
NDC,58468012701,Hectorol,19.13,13.39,4754.0,5269.0,4
NDC,58468020001,Lemtrada,81796.67,57257.67,4754.0,5269.0,4
NDC,58468022501,Cablivi,23572.12,16500.48,4754.0,5269.0,4
NDC,58468035703,Campath,4853.75,3397.63,4754.0,5269.0,4
NDC,58468466301,Cerezyme,4768.86,3338.2,4754.0,5269.0,4
NDC,58526000557,Ferrous Sulfate,9.42,6.59,4754.0,5269.0,4
NDC,58526000559,Ferrous Sulfate,9.42,6.59,4754.0,5269.0,4
NDC,58602-0604-07,Diclofenac Sodium,24.0,16.8,,,0
NDC,58602-0773-21,Pain Relief,1.0,0.7,,,0
NDC,58602060407,Diclofenac Sodium,27.5,19.25,4754.0,5269.0,4
NDC,58602070204,Loratadine,54.45,38.12,4754.0,5269.0,4
NDC,58657067601,Ciprofloxacin,52.25,36.58,4754.0,5269.0,4
NDC,58914-0080-52,Bentyl,201.74,141.22,24.99,40.83,4
NDC,58914050156,Canasa,3194.9,2236.43,4754.0,5269.0,4
NDC,58914078510,Urso 250,1514.43,1060.1,4754.0,5269.0,4
NDC,58980-0410-25,NON-COVERED ITEM OR SERVICE,1.0,0.7,,,0
NDC,58980-0415-12,Gentle Laxative,1.0,0.7,,,0
NDC,58980040912,Stratuscare,16.37,11.46,4754.0,5269.0,4
NDC,58980041012,Stratuscare Adult Glycerin Suppositories,5.38,3.77,4754.0,5269.0,4
NDC,58980041512,Gentle Laxative,7.56,5.29,4754.0,5269.0,4
NDC,58980060880,Urea,23.1,16.17,4754.0,5269.0,4
NDC,58980062380,X-Viate,67.79,47.45,4754.0,5269.0,4
NDC,59011-0410-20,OxyCONTIN,26.28,18.4,,,0
NDC,59011-0420-20,OxyCONTIN,29.81,20.87,,,0
NDC,59011-0440-20,OxyCONTIN,51.02,35.71,,,0
NDC,59011041010,OxyCONTIN,1558.15,1090.71,4754.0,5269.0,4
NDC,59011041020,OxyCONTIN,319.94,223.96,4754.0,5269.0,4
NDC,59011042010,OxyCONTIN,2905.65,2033.96,4754.0,5269.0,4
NDC,59011042020,OxyCONTIN,596.04,417.23,4754.0,5269.0,4
NDC,59011044010,OxyCONTIN,4976.13,3483.29,4754.0,5269.0,4
NDC,59011044020,OxyCONTIN,1020.36,714.25,4754.0,5269.0,4
NDC,59075072310,Prialt,8787.85,6151.5,4754.0,5269.0,4
NDC,591034801,Triamterene/hydroCHLOROthiazide,77.55,54.29,4754.0,5269.0,4
NDC,591037001,Loxapine Succinate,197.73,138.41,4754.0,5269.0,4
NDC,591037201,Loxapine Succinate,400.95,280.67,4754.0,5269.0,4
NDC,591039501,pentazocine HCl-naloxone HCl,567.05,396.94,4754.0,5269.0,4
NDC,591040401,Verapamil HCl,42.63,29.84,4754.0,5269.0,4
NDC,591044401,guanFACINE HCl,56.1,39.27,4754.0,5269.0,4
NDC,591046001,glipiZIDE,12.1,8.47,4754.0,5269.0,4
NDC,591058301,Propafenone HCl,139.43,97.6,4754.0,5269.0,4
NDC,591084401,glipiZIDE,79.75,55.83,4754.0,5269.0,4
NDC,591207072,Lidocaine-Prilocaine,19.49,13.64,4754.0,5269.0,4
NDC,591213680,Propofol,15.68,10.98,4754.0,5269.0,4
NDC,591213695,Propofol,15.68,10.98,4754.0,5269.0,4
NDC,591225804,scopolamine,146.89,102.82,4754.0,5269.0,4
NDC,591225854,scopolamine,36.73,25.71,4754.0,5269.0,4
NDC,591231215,alvimopan,12961.58,9073.11,4754.0,5269.0,4
NDC,591231245,alvimopan,432.06,302.44,4754.0,5269.0,4
NDC,591246501,Desmopressin Acetate,1507.83,1055.48,4754.0,5269.0,4
NDC,591252001,Chlorzoxazone,77.0,53.9,4754.0,5269.0,4
NDC,591288001,Verapamil HCl,400.13,280.09,4754.0,5269.0,4
NDC,591288201,Verapamil HCl,419.1,293.37,4754.0,5269.0,4
NDC,591292754,Levalbuterol Tartrate,162.16,113.51,4754.0,5269.0,4
NDC,591304105,Hydroxychloroquine Sulfate,4272.13,2990.49,4754.0,5269.0,4
NDC,591312879,Progesterone,85.25,59.68,4754.0,5269.0,4
NDC,591315901,Ursodiol,281.05,196.74,4754.0,5269.0,4
NDC,591320413,Podofilox,218.85,153.2,4754.0,5269.0,4
NDC,591321901,butalbital-aspirin-caffeine,301.13,210.79,4754.0,5269.0,4
NDC,591322126,Testosterone Enanthate,186.89,130.82,4754.0,5269.0,4
NDC,591352511,Lidocaine,8.24,5.77,4754.0,5269.0,4
NDC,591352530,Lidocaine,247.09,172.96,4754.0,5269.0,4
NDC,591354060,buPROPion Hydrochloride SR,40.76,28.53,4754.0,5269.0,4
NDC,591354160,buPROPion Hydrochloride SR,44.55,31.19,4754.0,5269.0,4
NDC,59137023101,Gleolan,8789.0,6152.3,4754.0,5269.0,4
NDC,591410201,Perphenazine,170.78,119.55,4754.0,5269.0,4
NDC,59148-0019-71,Abilify Maintena Vial,0.01,0.01,7.28,20.38,14
NDC,59148-0072-80,Abilify Maintena Dual-Chambered Syringe,0.01,0.01,7.28,20.38,7
NDC,59148001113,Abilify,2270.24,1589.17,4754.0,5269.0,4
NDC,59148001971,Abilify Maintena Vial,7987.21,5591.05,4754.0,5269.0,4
NDC,59148002050,Samsca,14305.42,10013.79,4754.0,5269.0,4
NDC,59148003713,Rexulti,4168.15,2917.71,4754.0,5269.0,4
NDC,59148023212,Abilify Maintena Vial,5990.41,4193.29,4754.0,5269.0,4
NDC,59148024512,Abilify Maintena Vial,7987.21,5591.05,4754.0,5269.0,4
NDC,591532501,probenecid-colchicine,221.93,155.35,4754.0,5269.0,4
NDC,591533501,Trihexyphenidyl HCl,41.25,28.88,4754.0,5269.0,4
NDC,591534701,Probenecid,163.35,114.35,4754.0,5269.0,4
NDC,591555701,Propranolol HCl,166.38,116.47,4754.0,5269.0,4
NDC,591566001,Sulindac,78.65,55.06,4754.0,5269.0,4
NDC,591566101,Sulindac,60.78,42.55,4754.0,5269.0,4
NDC,591569401,Minocycline HCl,72.88,51.02,4754.0,5269.0,4
NDC,591571401,Amoxapine,256.85,179.8,4754.0,5269.0,4
NDC,591571501,Amoxapine,440.55,308.39,4754.0,5269.0,4
NDC,591578301,Atenolol-Chlorthalidone,215.88,151.12,4754.0,5269.0,4
NDC,591671747,Nandrolone Decanoate,37.01,25.91,4754.0,5269.0,4
NDC,59267030401,Pfizer-BioNTech COVID-19 Bivalent Vacc 12yr &Older,0.01,0.01,4754.0,5269.0,4
NDC,59267030402,Pfizer-BioNTech COVID-19 Bivalent Vacc 12yr &Older,0.01,0.01,4754.0,5269.0,4
NDC,59267100001,Pfizer-BioNTech COVID-19 Vaccine,0.01,0.01,4754.0,5269.0,4
NDC,59267100002,Pfizer-BioNTech COVID-19 Vaccine,0.01,0.01,4754.0,5269.0,4
NDC,59267102501,Pfizer-BioNTech COVID-19 Vaccine Age 12yr & older,0.01,0.01,4754.0,5269.0,4
NDC,59267102504,Pfizer-BioNTech COVID-19 Vaccine Age 12yr & older,0.01,0.01,4754.0,5269.0,4
NDC,59267431501,Pfizer-BioNTech COVID-19 Vaccine 2023-2024 6mo<5yr,474.38,332.07,4754.0,5269.0,4
NDC,59267431502,Pfizer-BioNTech COVID-19 Vaccine 2023-2024 6mo<5yr,474.38,332.07,4754.0,5269.0,4
NDC,5928000200,NeilMed Sinus Rinse,25.3,17.71,4754.0,5269.0,4
NDC,59310030480,Qvar Redihaler,806.59,564.61,4754.0,5269.0,4
NDC,59338-0775-01,Feraheme,3282.46,2297.72,0.36,1.01,21
NDC,59338077501,Feraheme,3282.46,2297.72,4754.0,5269.0,4
NDC,59353006501,Korsuva,412.51,288.76,4754.0,5269.0,4
NDC,59353006512,Korsuva,412.51,288.76,4754.0,5269.0,4
NDC,59365503000,Trimo-San,78.9,55.23,4754.0,5269.0,4
NDC,59365606400,Lugol's Strong Iodine,23.87,16.71,4754.0,5269.0,4
NDC,59365606500,Astringyn,45.04,31.53,4754.0,5269.0,4
NDC,59365606501,Astringyn,45.04,31.53,4754.0,5269.0,4
NDC,59366222601,Urea,50.68,35.48,4754.0,5269.0,4
NDC,59385-0041-30,Symproic,44.54,31.18,,,0
NDC,59385004130,Symproic,1336.17,935.32,4754.0,5269.0,4
NDC,59390019850,Altalube,15.49,10.84,4754.0,5269.0,4
NDC,59417010210,Vyvanse,3554.65,2488.26,4754.0,5269.0,4
NDC,59417010310,Vyvanse,3554.65,2488.26,4754.0,5269.0,4
NDC,59417010410,Vyvanse,3554.65,2488.26,4754.0,5269.0,4
NDC,59417010710,Vyvanse,3554.65,2488.26,4754.0,5269.0,4
NDC,59528-4456-01,Nephron FA,1.36,0.95,,,0
NDC,59528061601,RenaPlex-D,33.0,23.1,4754.0,5269.0,4
NDC,59528445601,Nephron FA,155.38,108.77,4754.0,5269.0,4
NDC,59572-0711-01,Reblozyl,4886.4349999999995,3420.505,42.77,119.76,42
NDC,59572-0775-01,Reblozyl,28464.53,19925.17,42.77,119.76,14
NDC,59572020514,Thalomid,131594.54,92116.18,4754.0,5269.0,4
NDC,59572021095,Thalomid,106801.7,74761.19,4754.0,5269.0,4
NDC,59572071101,Reblozyl,11311.14,7917.8,4754.0,5269.0,4
NDC,59572077501,Reblozyl,33933.27,23753.29,4754.0,5269.0,4
NDC,59572098401,Istodax,8796.29,6157.4,4754.0,5269.0,4
NDC,59584013801,Candin,885.5,619.85,4754.0,5269.0,4
NDC,59630026601,Fetroja,640.31,448.22,4754.0,5269.0,4
NDC,59630026610,Fetroja,640.31,448.22,4754.0,5269.0,4
NDC,59630044010,Sular,5.0,3.5,4754.0,5269.0,4
NDC,59630050010,Sular,59.7,41.79,4754.0,5269.0,4
NDC,59651-0096-30,silodosin,2.4,1.68,,,0
NDC,59651-0247-01,Midodrine HCl,1.0,0.7,,,0
NDC,59651-0256-01,Propafenone HCl,1.12,0.78,,,0
NDC,59651-0339-50,Minocycline HCl,3.7,2.59,,,0
NDC,59651-0413-50,Hydrocortisone,0.48,0.34,,,0
NDC,59651-0457-01,Carbidopa-Levodopa,1.5,1.0499999999999998,,,0
NDC,59651-0484-01,predniSONE,1.0,0.7,0.01,0.01,4
NDC,59651-0485-01,predniSONE,2.0,1.4,0.01,0.01,4
NDC,59651-0488-01,predniSONE,1.25,0.88,0.01,0.01,4
NDC,59651-0489-01,predniSONE,1.0,0.7,0.01,0.01,4
NDC,59651-0575-90,Fenofibrate,1.0,0.7,,,0
NDC,59651-0723-01,clonazePAM,1.0,0.7,,,0
NDC,59651-0867-01,Ciprofloxacin,1.0,0.7,,,0
NDC,59651-0867-05,Ciprofloxacin,1.0,0.7,,,0
NDC,59651001890,Niacin,88.11,61.68,4754.0,5269.0,4
NDC,59651003247,Ibuprofen,68.94,48.26,4754.0,5269.0,4
NDC,59651008560,Darunavir,165.0,115.5,4754.0,5269.0,4
NDC,59651008630,Darunavir,165.0,115.5,4754.0,5269.0,4
NDC,59651009530,silodosin,82.5,57.75,4754.0,5269.0,4
NDC,59651009630,silodosin,82.5,57.75,4754.0,5269.0,4
NDC,59651015201,Progesterone,55.0,38.5,4754.0,5269.0,4
NDC,59651024130,imatinib mesylate,357.48,250.24,4754.0,5269.0,4
NDC,59651025601,Propafenone HCl,64.08,44.86,4754.0,5269.0,4
NDC,59651027530,roflumilast,24.75,17.33,4754.0,5269.0,4
NDC,59651029960,Tamoxifen Citrate,31.52,22.06,4754.0,5269.0,4
NDC,59651033950,Minocycline HCl,211.62,148.13,4754.0,5269.0,4
NDC,59651039401,Baclofen,13.48,9.44,4754.0,5269.0,4
NDC,59651041350,Hydrocortisone,23.65,16.56,4754.0,5269.0,4
NDC,59651041401,Hydrocortisone,78.65,55.06,4754.0,5269.0,4
NDC,59651043701,Digoxin,81.4,56.98,4754.0,5269.0,4
NDC,59651043801,Digoxin,81.4,56.98,4754.0,5269.0,4
NDC,59651045701,Carbidopa-Levodopa,18.7,13.09,4754.0,5269.0,4
NDC,59651048401,predniSONE,27.5,19.25,4754.0,5269.0,4
NDC,59651048501,predniSONE,33.55,23.49,4754.0,5269.0,4
NDC,59651048601,predniSONE,39.33,27.53,4754.0,5269.0,4
NDC,59651048801,predniSONE,47.58,33.31,4754.0,5269.0,4
NDC,59651048901,predniSONE,82.78,57.95,4754.0,5269.0,4
NDC,59651056501,Dicloxacillin Sodium,172.15,120.51,4754.0,5269.0,4
NDC,59651056601,Dicloxacillin Sodium,344.58,241.21,4754.0,5269.0,4
NDC,59651057590,Fenofibrate,54.95,38.47,4754.0,5269.0,4
NDC,59651064626,Mycophenolate Mofetil,405.68,283.98,4754.0,5269.0,4
NDC,59651065804,Nitroglycerin,25.92,18.14,4754.0,5269.0,4
NDC,59651072301,clonazePAM,11.55,8.09,4754.0,5269.0,4
NDC,59651084430,Doxepin,288.75,202.13,4754.0,5269.0,4
NDC,59651086601,Ciprofloxacin,61.88,43.32,4754.0,5269.0,4
NDC,59651086705,Ciprofloxacin,254.38,178.07,4754.0,5269.0,4
NDC,59651087401,buPROPion HCl,44.0,30.8,4754.0,5269.0,4
NDC,59676-0310-01,Procrit,1282.8,897.96,7.74,21.67,7
NDC,59676-0310-02,Procrit,688.145,481.70500000000004,7.74,21.67,7
NDC,59676-0320-04,Procrit,1008.87,706.21,7.74,21.67,63
NDC,59676-0340-01,Procrit,2752.675,1926.875,7.74,21.67,56
NDC,59676027801,Edurant,4079.22,2855.45,4754.0,5269.0,4
NDC,59676031000,Procrit,734.91,514.44,4754.0,5269.0,4
NDC,59676031001,Procrit,734.94,514.46,4754.0,5269.0,4
NDC,59676031002,Procrit,734.91,514.44,4754.0,5269.0,4
NDC,59676032000,Procrit,1469.88,1028.92,4754.0,5269.0,4
NDC,59676032004,Procrit,1469.88,1028.92,4754.0,5269.0,4
NDC,59676034000,Procrit,2939.75,2057.83,4754.0,5269.0,4
NDC,59676034001,Procrit,2939.75,2057.83,4754.0,5269.0,4
NDC,59676036001,Orthovisc,1314.5,920.15,4754.0,5269.0,4
NDC,59676056001,Prezista,2382.93,1668.05,4754.0,5269.0,4
NDC,59676056201,Prezista,5934.89,4154.42,4754.0,5269.0,4
NDC,59676057001,Intelence,4119.06,2883.34,4754.0,5269.0,4
NDC,59676057530,Prezcobix,6783.48,4748.44,4754.0,5269.0,4
NDC,59676058005,Janssen COVID-19 Vaccine,0.01,0.01,4754.0,5269.0,4
NDC,59676058015,Janssen COVID-19 Vaccine,0.01,0.01,4754.0,5269.0,4
NDC,59676061001,Yondelis,10145.69,7101.98,4754.0,5269.0,4
NDC,59676070101,Sirturo,82499.76,57749.83,4754.0,5269.0,4
NDC,597000302,Aptivus,5763.12,4034.18,4754.0,5269.0,4
NDC,597002402,Combivent Respimat,1386.06,970.24,4754.0,5269.0,4
NDC,597003937,Micardis,385.69,269.98,4754.0,5269.0,4
NDC,597004037,Micardis,385.69,269.98,4754.0,5269.0,4
NDC,597004137,Micardis,385.69,269.98,4754.0,5269.0,4
NDC,597004337,Micardis HCT,385.69,269.98,4754.0,5269.0,4
NDC,597004724,Viramune,539.88,377.92,4754.0,5269.0,4
NDC,597006801,Mexitil,391.6,274.12,4754.0,5269.0,4
NDC,597007575,Spiriva HandiHaler,167.34,117.14,4754.0,5269.0,4
NDC,597008717,Atrovent HFA,843.81,590.67,4754.0,5269.0,4
NDC,597010051,Spiriva Respimat Institutional Pack 10ACT,206.25,144.38,4754.0,5269.0,4
NDC,597014061,Tradjenta,4813.33,3369.33,4754.0,5269.0,4
NDC,597014090,Tradjenta,4332.0,3032.4,4754.0,5269.0,4
NDC,597015230,Jardiance,1730.94,1211.66,4754.0,5269.0,4
NDC,597015237,Jardiance,1730.94,1211.66,4754.0,5269.0,4
NDC,597015337,Jardiance,1730.94,1211.66,4754.0,5269.0,4
NDC,597015570,Stiolto Respimat Institutional Pack 10ACT,206.25,144.38,4754.0,5269.0,4
NDC,597016061,Spiriva Respimat,1450.33,1015.23,4754.0,5269.0,4
NDC,597019705,Praxbind,7015.8,4911.06,4754.0,5269.0,4
NDC,597026010,Glucagen Diagnostic Kit,471.9,330.33,4754.0,5269.0,4
NDC,597035509,Pradaxa,545.66,381.96,4754.0,5269.0,4
NDC,597035556,Pradaxa,545.66,381.96,4754.0,5269.0,4
NDC,597036055,Pradaxa,545.66,381.96,4754.0,5269.0,4
NDC,597036082,Pradaxa,545.66,381.96,4754.0,5269.0,4
NDC,59746-0001-06,methylPREDNISolone,1.55,1.09,0.25,0.37,4
NDC,59746-0010-32,risperiDONE,15.95,11.17,,,0
NDC,59746-0020-22,risperiDONE,5.23,3.66,,,0
NDC,59746-0030-22,risperiDONE,8.02,5.61,,,0
NDC,59746-0040-22,risperiDONE,18.51,12.96,,,0
NDC,59746-0115-06,Prochlorperazine Maleate,1.26,0.88,,,0
NDC,59746-0173-06,predniSONE,1.0,0.7,0.01,0.01,4
NDC,59746-0173-10,predniSONE,1.19,0.83,0.01,0.01,4
NDC,59746-0175-06,predniSONE,1.0,0.7,0.01,0.01,4
NDC,59746-0211-10,Cyclobenzaprine HCl,1.0,0.7,,,0
NDC,59746-0383-06,Terazosin HCl,1.0,0.7,,,0
NDC,59746-0384-06,Terazosin HCl,1.0,0.7,,,0
NDC,59746-0385-06,Terazosin HCl,1.0,0.7,,,0
NDC,59746000106,methylPREDNISolone,88.28,61.8,4754.0,5269.0,4
NDC,59746000314,methylPREDNISolone,341.69,239.18,4754.0,5269.0,4
NDC,59746001032,risperiDONE,137.04,95.93,4754.0,5269.0,4
NDC,59746002022,risperiDONE,167.71,117.4,4754.0,5269.0,4
NDC,59746003022,risperiDONE,257.18,180.03,4754.0,5269.0,4
NDC,59746004022,risperiDONE,518.21,362.75,4754.0,5269.0,4
NDC,59746005022,risperiDONE,700.09,490.06,4754.0,5269.0,4
NDC,59746011306,Prochlorperazine Maleate,95.98,67.19,4754.0,5269.0,4
NDC,59746011506,Prochlorperazine Maleate,143.83,100.68,4754.0,5269.0,4
NDC,59746017206,predniSONE,42.63,29.84,4754.0,5269.0,4
NDC,59746017306,predniSONE,48.13,33.69,4754.0,5269.0,4
NDC,59746017310,predniSONE,451.0,315.7,4754.0,5269.0,4
NDC,59746017506,predniSONE,51.43,36.0,4754.0,5269.0,4
NDC,59746038306,Terazosin HCl,49.5,34.65,4754.0,5269.0,4
NDC,59746038406,Terazosin HCl,49.5,34.65,4754.0,5269.0,4
NDC,59746038506,Terazosin HCl,49.5,34.65,4754.0,5269.0,4
NDC,59762-0073-01,Hydrocortisone,1.0,0.7,,,0
NDC,59762-0117-01,Mesalamine,25.61,17.93,,,0
NDC,59762-0131-02,Silver sulfADIAZINE,20.49,14.34,,,0
NDC,59762-0333-02,Latanoprost,6.0,4.2,,,0
NDC,59762-1061-01,diphenoxylate HCl-atropine sulfate,2.0,1.4,,,0
NDC,59762-3304-03,Nitroglycerin,22.62,15.83,,,0
NDC,59762-3719-01,ALPRAZolam,3.0,2.1,,,0
NDC,59762-3721-01,ALPRAZolam,1.0,0.7,,,0
NDC,59762-5000-05,sulfaSALAzine,3.0,2.1,,,0
NDC,59762-5007-01,miSOPROStol,3.2,2.24,,,0
NDC,59762001601,Clindamycin Palmitate HCl,113.85,79.7,4754.0,5269.0,4
NDC,59762004001,Trifluridine,355.41,248.79,4754.0,5269.0,4
NDC,59762005001,methylPREDNISolone,389.4,272.58,4754.0,5269.0,4
NDC,59762005501,medroxyPROGESTERone acetate,39.05,27.34,4754.0,5269.0,4
NDC,59762007301,Hydrocortisone,23.65,16.56,4754.0,5269.0,4
NDC,59762007401,Hydrocortisone,78.65,55.06,4754.0,5269.0,4
NDC,59762007501,Hydrocortisone,141.35,98.95,4754.0,5269.0,4
NDC,59762011701,Mesalamine,1152.36,806.65,4754.0,5269.0,4
NDC,59762011901,Phenelzine Sulfate,109.73,76.81,4754.0,5269.0,4
NDC,59762013102,Silver sulfADIAZINE,20.49,14.34,4754.0,5269.0,4
NDC,59762017006,Tolterodine Tartrate,245.69,171.98,4754.0,5269.0,4
NDC,59762033302,Latanoprost,6.88,4.82,4754.0,5269.0,4
NDC,59762040101,Sucralfate,48.13,33.69,4754.0,5269.0,4
NDC,59762045001,Micronized Colestipol Hydrochloride,347.16,243.01,4754.0,5269.0,4
NDC,59762053102,Phenytoin,65.83,46.08,4754.0,5269.0,4
NDC,59762054201,glipiZIDE XL,87.18,61.03,4754.0,5269.0,4
NDC,59762130804,Linezolid,1803.87,1262.71,4754.0,5269.0,4
NDC,59762135001,Rifabutin,3848.63,2694.04,4754.0,5269.0,4
NDC,59762200301,Ziprasidone HCl,185.63,129.94,4754.0,5269.0,4
NDC,59762201206,asenapine,990.66,693.46,4754.0,5269.0,4
NDC,59762225002,Ethosuximide,329.45,230.62,4754.0,5269.0,4
NDC,59762311001,Azithromycin,54.99,38.49,4754.0,5269.0,4
NDC,59762330403,Nitroglycerin,25.92,18.14,4754.0,5269.0,4
NDC,59762371803,Triazolam,2017.13,1411.99,4754.0,5269.0,4
NDC,59762372101,ALPRAZolam,12.93,9.05,4754.0,5269.0,4
NDC,59762372401,Flurbiprofen,163.35,114.35,4754.0,5269.0,4
NDC,59762500005,sulfaSALAzine,53.35,37.35,4754.0,5269.0,4
NDC,59762500701,miSOPROStol,109.4,76.58,4754.0,5269.0,4
NDC,59762500801,miSOPROStol,159.39,111.57,4754.0,5269.0,4
NDC,59762500901,Clindamycin Phosphate,238.92,167.24,4754.0,5269.0,4
NDC,59762502201,Quinapril HCl,226.96,158.87,4754.0,5269.0,4
NDC,59772246401,Nadolol,178.75,125.13,4754.0,5269.0,4
NDC,59922063101,Auryxia,4257.0,2979.9,4754.0,5269.0,4
NDC,59923060402,Fludarabine Phosphate,330.0,231.0,4754.0,5269.0,4
NDC,59930162001,Griseofulvin,68.75,48.13,4754.0,5269.0,4
NDC,6003310,Belsomra,426.8,298.76,4754.0,5269.0,4
NDC,6003330,Belsomra,1280.4,896.28,4754.0,5269.0,4
NDC,6009068,Edecrin,117.15,82.01,4754.0,5269.0,4
NDC,6011201,Januvia,3025.0,2117.5,4754.0,5269.0,4
NDC,6011228,Januvia,3025.0,2117.5,4754.0,5269.0,4
NDC,6011231,Januvia,907.5,635.25,4754.0,5269.0,4
NDC,60219-5522-09,Fenofibrate,1.0,0.7,,,0
NDC,60219107601,azaTHIOprine,123.75,86.63,4754.0,5269.0,4
NDC,60219150301,Erythromycin Ethylsuccinate,579.7,405.79,4754.0,5269.0,4
NDC,60219172206,etravirine,3540.08,2478.06,4754.0,5269.0,4
NDC,60219174903,Atropine Sulfate,120.43,84.3,4754.0,5269.0,4
NDC,60219204401,dexAMETHasone,408.93,286.25,4754.0,5269.0,4
NDC,60219552209,Fenofibrate,96.28,67.4,4754.0,5269.0,4
NDC,6022101,Januvia,30.25,21.18,4754.0,5269.0,4
NDC,6022128,Januvia,3025.0,2117.5,4754.0,5269.0,4
NDC,6022131,Januvia,907.5,635.25,4754.0,5269.0,4
NDC,6022154,Januvia,2722.5,1905.75,4754.0,5269.0,4
NDC,6022761,Isentress,5728.8,4010.16,4754.0,5269.0,4
NDC,60258-0006-01,PHOS-NaK,1.31,0.92,,,0
NDC,60258-0161-01,Rena-Vite Rx,1.0,0.7,,,0
NDC,60258000601,PHOS-NaK,149.6,104.72,4754.0,5269.0,4
NDC,60258000615,PHOS-NaK,1.5,1.05,4754.0,5269.0,4
NDC,60258016001,Rena-Vite,18.7,13.09,4754.0,5269.0,4
NDC,60258016101,Rena-Vite Rx,52.8,36.96,4754.0,5269.0,4
NDC,60258016201,Renal Caps,129.53,90.67,4754.0,5269.0,4
NDC,60267070550,Sodium Thiosulfate,330.0,231.0,4754.0,5269.0,4
NDC,6026718,Maxalt,1810.22,1267.15,4754.0,5269.0,4
NDC,6027701,Januvia,30.25,21.18,4754.0,5269.0,4
NDC,6027728,Januvia,3025.0,2117.5,4754.0,5269.0,4
NDC,6027731,Januvia,907.5,635.25,4754.0,5269.0,4
NDC,603020922,Magnesium Oxide,11.22,7.85,4754.0,5269.0,4
NDC,603116158,Dicyclomine HCl,312.18,218.53,4754.0,5269.0,4
NDC,603145047,Multi-Vit With Fluoride,37.4,26.18,4754.0,5269.0,4
NDC,603150858,PHENobarbital,196.42,137.49,4754.0,5269.0,4
NDC,603155410,Potassium Chloride,20.88,14.62,4754.0,5269.0,4
NDC,603155416,Potassium Chloride,626.18,438.33,4754.0,5269.0,4
NDC,603188010,Lidocaine,8.24,5.77,4754.0,5269.0,4
NDC,603188016,Lidocaine,247.09,172.96,4754.0,5269.0,4
NDC,603221721,Amitriptyline HCl,471.63,330.14,4754.0,5269.0,4
NDC,603241821,Belladonna Alkaloids-PHENobarbital,23.65,16.56,4754.0,5269.0,4
NDC,603243321,Benztropine Mesylate,38.23,26.76,4754.0,5269.0,4
NDC,603358221,Felodipine,154.0,107.8,4754.0,5269.0,4
NDC,603506221,Perphenazine,424.6,297.22,4754.0,5269.0,4
NDC,603516821,PHENobarbital,261.8,183.26,4754.0,5269.0,4
NDC,603533621,predniSONE,36.3,25.41,4754.0,5269.0,4
NDC,603786174,Triamcinolone Acetonide,7.43,5.2,4754.0,5269.0,4
NDC,60432006547,Amoxicillin/Clavulanate Potassium,279.27,195.49,4754.0,5269.0,4
NDC,60432006575,Amoxicillin/Clavulanate Potassium,142.32,99.62,4754.0,5269.0,4
NDC,60432012608,Megestrol Acetate,82.5,57.75,4754.0,5269.0,4
NDC,60432013350,Clobetasol Propionate,357.5,250.25,4754.0,5269.0,4
NDC,60432026415,Fluticasone Propionate,30.28,21.2,4754.0,5269.0,4
NDC,60432046608,dexAMETHasone,140.13,98.09,4754.0,5269.0,4
NDC,60432083460,Lindane,301.13,210.79,4754.0,5269.0,4
NDC,60505-0080-00,Sotalol HCl,88.5,61.95,,,0
NDC,60505-0141-00,glipiZIDE,1.0,0.7,,,0
NDC,60505-0170-07,Pravastatin Sodium,1.0,0.7,,,0
NDC,60505-0170-09,Pravastatin Sodium,1.06,0.74,,,0
NDC,60505-0823-06,Calcitonin-Salmon,205.9,144.13,,,0
NDC,60505-0829-01,Fluticasone Propionate,49.5,34.65,,,0
NDC,60505-1323-09,Pravastatin Sodium,1.0,0.7,,,0
NDC,60505-2580-08,Atorvastatin Calcium,1.0,0.7,,,0
NDC,60505-2580-09,Atorvastatin Calcium,1.0,0.7,,,0
NDC,60505-2671-09,Atorvastatin Calcium,1.0,0.7,,,0
NDC,60505-3110-00,OLANZapine,2.0,1.4,,,0
NDC,60505-3111-00,OLANZapine,1.0,0.7,,,0
NDC,60505-3140-00,OLANZapine,1.68,1.18,,,0
NDC,60505-3276-00,OLANZapine,12.6,8.82,,,0
NDC,60505-3438-03,Selegiline HCl,4.05,2.84,,,0
NDC,60505-3927-01,guanFACINE HCl,3.03,2.12,,,0
NDC,60505-4642-03,prasugrel hydrochloride,4.54,3.18,,,0
NDC,60505-6116-00,Regadenoson,60.0,42.0,7.05,23.35,4
NDC,60505-6128-01,Irinotecan Hydrochloride,122.4,85.68,2.7,4.04,4
NDC,60505-6130-05,Ondansetron,8.0,5.6,0.1,0.16,4
NDC,60505-6132-06,Oxaliplatin,38.4,26.88,0.07,0.1,4
NDC,60505-6132-07,Oxaliplatin,207.84,145.49,0.07,0.1,4
NDC,60505-6142-05,ceFAZolin,8.0,5.6,1.24,1.58,4
NDC,60505-6146-04,Cefepime,12.11,8.48,2.06,7.12,4
NDC,60505-6147-04,Cefepime,33.92,23.74,2.06,7.12,4
NDC,60505-6148-04,cefTRIAXone,2.1,1.47,3.18,11.16,4
NDC,60505-6157-04,Piperacillin and Tazobactam,8.42,5.89,1.05,1.93,4
NDC,60505-6193-01,palonosetron hcl,43.2,30.24,1.19,1.39,4
NDC,60505-6231-05,ceFAZolin,16.09,11.26,1.24,1.58,4
NDC,60505-6236-06,Deferoxamine Mesylate,62.16,43.51,9.02,14.06,4
NDC,60505003306,Pentoxifylline,116.33,81.43,4754.0,5269.0,4
NDC,60505004206,Acyclovir,49.5,34.65,4754.0,5269.0,4
NDC,60505008000,Sotalol HCl,24.75,17.33,4754.0,5269.0,4
NDC,60505009600,Doxazosin Mesylate,132.0,92.4,4754.0,5269.0,4
NDC,60505014100,glipiZIDE,13.48,9.44,4754.0,5269.0,4
NDC,60505016501,fluvoxaMINE Maleate,151.25,105.88,4754.0,5269.0,4
NDC,60505016601,fluvoxaMINE Maleate,165.0,115.5,4754.0,5269.0,4
NDC,60505016909,Pravastatin Sodium,64.6,45.22,4754.0,5269.0,4
NDC,60505017007,Pravastatin Sodium,1056.0,739.2,4754.0,5269.0,4
NDC,60505055302,Levobunolol HCl,27.37,19.16,4754.0,5269.0,4
NDC,60505056000,Ofloxacin,46.07,32.25,4754.0,5269.0,4
NDC,60505056401,Brimonidine Tartrate,421.69,295.18,4754.0,5269.0,4
NDC,60505059301,Travoprost,691.68,484.18,4754.0,5269.0,4
NDC,60505081500,Desmopressin Acetate,338.61,237.03,4754.0,5269.0,4
NDC,60505082306,Calcitonin-Salmon,205.9,144.13,4754.0,5269.0,4
NDC,60505082701,Ipratropium Bromide,99.0,69.3,4754.0,5269.0,4
NDC,60505083001,Mometasone Furoate,330.01,231.01,4754.0,5269.0,4
NDC,60505083305,Azelastine HCl,59.82,41.87,4754.0,5269.0,4
NDC,60505084505,Olopatadine HCl,247.52,173.26,4754.0,5269.0,4
NDC,60505132309,Pravastatin Sodium,95.04,66.53,4754.0,5269.0,4
NDC,60505257809,Atorvastatin Calcium,41.83,29.28,4754.0,5269.0,4
NDC,60505258009,Atorvastatin Calcium,59.65,41.76,4754.0,5269.0,4
NDC,60505265605,Triamterene/hydroCHLOROthiazide,374.0,261.8,4754.0,5269.0,4
NDC,60505265701,Triamterene/hydroCHLOROthiazide,77.55,54.29,4754.0,5269.0,4
NDC,60505285001,Alfuzosin Hydrochloride,96.25,67.38,4754.0,5269.0,4
NDC,60505290009,imatinib mesylate,1317.45,922.22,4754.0,5269.0,4
NDC,60505299703,DULoxetine HCl,40.51,28.36,4754.0,5269.0,4
NDC,60505311000,OLANZapine,53.9,37.73,4754.0,5269.0,4
NDC,60505311100,OLANZapine,63.53,44.47,4754.0,5269.0,4
NDC,60505311300,OLANZapine,95.98,67.19,4754.0,5269.0,4
NDC,60505314000,OLANZapine,191.68,134.18,4754.0,5269.0,4
NDC,60505325006,lamiVUDine HBV,1933.31,1353.32,4754.0,5269.0,4
NDC,60505327603,OLANZapine,103.71,72.6,4754.0,5269.0,4
NDC,60505327703,OLANZapine,152.96,107.07,4754.0,5269.0,4
NDC,60505328006,levETIRAcetam,122.27,85.59,4754.0,5269.0,4
NDC,60505343803,Selegiline HCl,242.72,169.9,4754.0,5269.0,4
NDC,60505351706,levETIRAcetam,183.65,128.56,4754.0,5269.0,4
NDC,60505392701,guanFACINE HCl,115.5,80.85,4754.0,5269.0,4
NDC,60505464203,prasugrel hydrochloride,68.07,47.65,4754.0,5269.0,4
NDC,60505464303,prasugrel hydrochloride,68.07,47.65,4754.0,5269.0,4
NDC,60505609700,Ibandronate Sodium,660.0,462.0,4754.0,5269.0,4
NDC,60505609800,tigecycline,288.75,202.13,4754.0,5269.0,4
NDC,60505609801,tigecycline,288.75,202.13,4754.0,5269.0,4
NDC,60505611600,Regadenoson,68.75,48.13,4754.0,5269.0,4
NDC,60505612801,Irinotecan Hydrochloride,41.25,28.88,4754.0,5269.0,4
NDC,60505613000,Ondansetron,1.27,0.89,4754.0,5269.0,4
NDC,60505613005,Ondansetron,1.27,0.89,4754.0,5269.0,4
NDC,60505613206,Oxaliplatin,55.0,38.5,4754.0,5269.0,4
NDC,60505613207,Oxaliplatin,110.0,77.0,4754.0,5269.0,4
NDC,60505614400,Cefepime Novaplus,16.77,11.74,4754.0,5269.0,4
NDC,60505614404,Cefepime Novaplus,7.7,5.39,4754.0,5269.0,4
NDC,60505614600,Cefepime,13.88,9.72,4754.0,5269.0,4
NDC,60505614604,Cefepime,13.88,9.72,4754.0,5269.0,4
NDC,60505614700,Cefepime,38.86,27.2,4754.0,5269.0,4
NDC,60505614704,Cefepime,38.86,27.2,4754.0,5269.0,4
NDC,60505614800,cefTRIAXone,4.19,2.93,4754.0,5269.0,4
NDC,60505614804,cefTRIAXone,4.19,2.93,4754.0,5269.0,4
NDC,60505615201,cefTRIAXone,6.19,4.33,4754.0,5269.0,4
NDC,60505615204,cefTRIAXone,6.19,4.33,4754.0,5269.0,4
NDC,60505615900,Piperacillin and Tazobactam,17.88,12.52,4754.0,5269.0,4
NDC,60505615904,Piperacillin and Tazobactam,17.88,12.52,4754.0,5269.0,4
NDC,60505619600,Ertapenem,82.5,57.75,4754.0,5269.0,4
NDC,60505619604,Ertapenem,82.5,57.75,4754.0,5269.0,4
NDC,60505619702,Sirolimus,2894.76,2026.33,4754.0,5269.0,4
NDC,60505622601,Atropine Sulfate,122.02,85.41,4754.0,5269.0,4
NDC,60505622904,DAPTOmycin,82.5,57.75,4754.0,5269.0,4
NDC,60505623100,ceFAZolin,16.09,11.26,4754.0,5269.0,4
NDC,60505623105,ceFAZolin,16.09,11.26,4754.0,5269.0,4
NDC,60505623600,Deferoxamine Mesylate,35.62,24.93,4754.0,5269.0,4
NDC,60505623606,Deferoxamine Mesylate,35.62,24.93,4754.0,5269.0,4
NDC,60505628900,eriBULin mesylate,3536.28,2475.4,4754.0,5269.0,4
NDC,60505706100,Nicotine Transdermal System,3.92,2.74,4754.0,5269.0,4
NDC,60505706200,Nicotine Transdermal System,3.92,2.74,4754.0,5269.0,4
NDC,6056840,Zolinza,41276.4,28893.48,4754.0,5269.0,4
NDC,60574310101,Cytogam,2326.5,1628.55,4754.0,5269.0,4
NDC,60574411301,Synagis,9454.28,6618.0,4754.0,5269.0,4
NDC,60574411401,Synagis,5006.82,3504.77,4754.0,5269.0,4
NDC,6057561,Janumet,907.5,635.25,4754.0,5269.0,4
NDC,6057761,Janumet,907.5,635.25,4754.0,5269.0,4
NDC,6067268,Cuprimine,178.75,125.13,4754.0,5269.0,4
NDC,60687-0112-21,Anastrozole,2.5,1.75,,,0
NDC,60687-0113-01,cloNIDine HCl,1.0,0.7,,,0
NDC,60687-0122-01,predniSONE,1.0,0.7,0.01,0.01,4
NDC,60687-0143-01,metFORMIN HCl,1.0,0.7,,,0
NDC,60687-0145-01,predniSONE,1.0,0.7,0.01,0.01,4
NDC,60687-0156-25,Phenytoin,7.2,5.04,,,0
NDC,60687-0161-01,Haloperidol,2.19,1.53,,,0
NDC,60687-0163-01,Cephalexin,2.0,1.4,,,0
NDC,60687-0178-01,Pravastatin Sodium,1.69,1.18,,,0
NDC,60687-0195-01,dilTIAZem HCl,1.94,1.36,,,0
NDC,60687-0206-01,dilTIAZem HCl,1.94,1.36,,,0
NDC,60687-0217-01,dilTIAZem HCl,1.47,1.03,,,0
NDC,60687-0224-01,Gemfibrozil,1.0,0.7,,,0
NDC,60687-0229-01,Loperamide HCl,4.08,2.86,,,0
NDC,60687-0242-01,Sertraline HCl,1.0,0.7,,,0
NDC,60687-0245-01,Rosuvastatin Calcium,3.36,2.35,,,0
NDC,60687-0253-01,Sertraline HCl,1.07,0.75,,,0
NDC,60687-0292-01,Donepezil HCl,1.0,0.7,,,0
NDC,60687-0303-01,Donepezil HCl,1.0,0.7,,,0
NDC,60687-0388-01,ALPRAZolam,1.0,0.7,,,0
NDC,60687-0413-01,Metoprolol Succinate,3.36,2.35,,,0
NDC,60687-0428-65,Finasteride,1.92,1.34,,,0
NDC,60687-0438-01,Mycophenolate Mofetil,2.64,1.85,0.2,0.31,4
NDC,60687-0439-01,Labetalol HCl,1.09,0.76,,,0
NDC,60687-0444-01,Amitriptyline HCl,4.18,2.93,,,0
NDC,60687-0446-01,Ibuprofen,1.0,0.7,,,0
NDC,60687-0453-01,Levothyroxine Sodium,1.12,0.78,,,0
NDC,60687-0457-01,Ibuprofen,1.0,0.7,,,0
NDC,60687-0473-01,Pregabalin,3.24,2.27,,,0
NDC,60687-0481-21,Buprenorphine,19.62,13.73,,,0
NDC,60687-0484-01,Pregabalin,9.7,6.79,,,0
NDC,60687-0487-01,Spironolactone,2.01,1.41,,,0
NDC,60687-0495-01,Pregabalin,3.24,2.27,,,0
NDC,60687-0506-01,Pregabalin,3.24,2.27,,,0
NDC,60687-0508-01,Levothyroxine Sodium,1.64,1.15,,,0
NDC,60687-0540-11,Digoxin,2.78,1.95,,,0
NDC,60687-0544-01,clonazePAM,1.42,0.99,,,0
NDC,60687-0555-01,clonazePAM,1.42,0.99,,,0
NDC,60687-0558-01,Cyclobenzaprine,1.0,0.7,,,0
NDC,60687-0559-01,Methocarbamol,1.2,0.84,,,0
NDC,60687-0579-01,HYDROmorphone HCl,1.72,1.2,,,0
NDC,60687-0580-01,Gabapentin,1.0,0.7,,,0
NDC,60687-0583-21,carBAMazepine,24.23,16.96,,,0
NDC,60687-0584-21,Mirtazapine,6.84,4.79,,,0
NDC,60687-0586-01,rifAMPin,4.47,3.13,,,0
NDC,60687-0587-01,Propranolol HCl,1.0,0.7,,,0
NDC,60687-0590-01,HYDROmorphone HCl,2.02,1.41,,,0
NDC,60687-0591-01,Gabapentin,3.0,2.1,,,0
NDC,60687-0593-01,hydroCHLOROthiazide,1.0,0.7,,,0
NDC,60687-0598-01,Propranolol HCl,2.22,1.55,,,0
NDC,60687-0622-01,Docusate Sodium-Sennosides,1.0,0.7,,,0
NDC,60687-0627-01,LORazepam,1.0,0.7,,,0
NDC,60687-0653-01,Potassium Chloride,8.16,5.71,,,0
NDC,60687-0656-21,Lisinopril,1.33,0.93,,,0
NDC,60687-0664-01,hydrOXYzine HCl,1.0,0.7,,,0
NDC,60687-0669-01,methIMAzole,9.87,6.91,,,0
NDC,60687-0670-01,oxyBUTYnin Chloride,1.1,0.77,,,0
NDC,60687-0675-01,hydrOXYzine HCl,1.0,0.7,,,0
NDC,60687-0681-01,Folic Acid,1.25,0.88,,,0
NDC,60687-0722-01,OXcarbazepine,4.24,2.97,,,0
NDC,60687-0730-01,Meclizine HCl,1.43,1.0,,,0
NDC,60687-0736-09,Pantoprazole Sodium,1.0,0.7,,,0
NDC,60687-0736-65,Pantoprazole Sodium,1.0,0.7,,,0
NDC,60687-0746-01,miSOPROStol,5.46,3.82,,,0
NDC,60687-0752-32,dabigatran etexilate mesylate,65.88,46.12,,,0
NDC,60687-0756-09,Potassium Chloride,1.23,0.86,,,0
NDC,60687-0795-01,traMADol HCl,2.0,1.4,,,0
NDC,60687-0800-17,Nystatin,4.56,3.19,,,0
NDC,60687-0807-01,chlordiazePOXIDE,3.65,2.56,,,0
NDC,60687-0812-01,busPIRone HCl,1.0,0.7,,,0
NDC,60687-0822-01,hydrALAZINE HCl,1.0,0.7,,,0
NDC,60687-0854-01,predniSONE,1.24,0.87,0.01,0.01,4
NDC,60687-0858-01,Digoxin,1.46,1.02,,,0
NDC,60687010511,medroxyPROGESTERone acetate,3.85,2.7,4754.0,5269.0,4
NDC,60687010521,medroxyPROGESTERone acetate,115.26,80.68,4754.0,5269.0,4
NDC,60687011211,Anastrozole,2.5,1.75,4754.0,5269.0,4
NDC,60687011221,Anastrozole,74.75,52.33,4754.0,5269.0,4
NDC,60687011301,cloNIDine HCl,83.6,58.52,4754.0,5269.0,4
NDC,60687011311,cloNIDine HCl,1.0,0.7,4754.0,5269.0,4
NDC,60687012125,Acamprosate Calcium,186.45,130.52,4754.0,5269.0,4
NDC,60687012195,Acamprosate Calcium,6.22,4.35,4754.0,5269.0,4
NDC,60687012201,predniSONE,46.2,32.34,4754.0,5269.0,4
NDC,60687012211,predniSONE,1.0,0.7,4754.0,5269.0,4
NDC,60687012901,Docusate Sodium,49.5,34.65,4754.0,5269.0,4
NDC,60687012911,Docusate Sodium,1.0,0.7,4754.0,5269.0,4
NDC,60687014301,metFORMIN HCl,59.68,41.78,4754.0,5269.0,4
NDC,60687014311,metFORMIN HCl,1.0,0.7,4754.0,5269.0,4
NDC,60687014501,predniSONE,54.45,38.12,4754.0,5269.0,4
NDC,60687014511,predniSONE,1.0,0.7,4754.0,5269.0,4
NDC,60687015625,Phenytoin,123.75,86.63,4754.0,5269.0,4
NDC,60687015695,Phenytoin,4.13,2.89,4754.0,5269.0,4
NDC,60687016101,Haloperidol,250.25,175.18,4754.0,5269.0,4
NDC,60687016111,Haloperidol,2.51,1.76,4754.0,5269.0,4
NDC,60687016301,Cephalexin,99.83,69.88,4754.0,5269.0,4
NDC,60687016311,Cephalexin,1.0,0.7,4754.0,5269.0,4
NDC,60687019501,dilTIAZem HCl,221.65,155.16,4754.0,5269.0,4
NDC,60687019511,dilTIAZem HCl,2.22,1.55,4754.0,5269.0,4
NDC,60687020601,dilTIAZem HCl,221.65,155.16,4754.0,5269.0,4
NDC,60687020611,dilTIAZem HCl,2.22,1.55,4754.0,5269.0,4
NDC,60687021111,Divalproex Sodium,2.05,1.44,4754.0,5269.0,4
NDC,60687021121,Divalproex Sodium,61.47,43.03,4754.0,5269.0,4
NDC,60687021701,dilTIAZem HCl,168.3,117.81,4754.0,5269.0,4
NDC,60687021711,dilTIAZem HCl,1.69,1.18,4754.0,5269.0,4
NDC,60687022401,Gemfibrozil,71.78,50.25,4754.0,5269.0,4
NDC,60687022411,Gemfibrozil,1.0,0.7,4754.0,5269.0,4
NDC,60687022801,dilTIAZem HCl,437.25,306.08,4754.0,5269.0,4
NDC,60687022811,dilTIAZem HCl,4.38,3.07,4754.0,5269.0,4
NDC,60687022901,Loperamide HCl,233.75,163.63,4754.0,5269.0,4
NDC,60687022911,Loperamide HCl,2.34,1.64,4754.0,5269.0,4
NDC,60687024201,Sertraline HCl,107.8,75.46,4754.0,5269.0,4
NDC,60687024211,Sertraline HCl,1.08,0.76,4754.0,5269.0,4
NDC,60687025301,Sertraline HCl,121.83,85.28,4754.0,5269.0,4
NDC,60687025311,Sertraline HCl,1.22,0.85,4754.0,5269.0,4
NDC,60687025844,Theophylline,30.28,21.2,4754.0,5269.0,4
NDC,60687025871,Theophylline,30.28,21.2,4754.0,5269.0,4
NDC,60687027562,Phenytoin,18.43,12.9,4754.0,5269.0,4
NDC,60687027566,Phenytoin,18.43,12.9,4754.0,5269.0,4
NDC,60687029201,Donepezil HCl,37.13,25.99,4754.0,5269.0,4
NDC,60687029211,Donepezil HCl,1.0,0.7,4754.0,5269.0,4
NDC,60687030301,Donepezil HCl,37.13,25.99,4754.0,5269.0,4
NDC,60687030311,Donepezil HCl,1.0,0.7,4754.0,5269.0,4
NDC,60687034501,Calcitriol,220.0,154.0,4754.0,5269.0,4
NDC,60687034511,Calcitriol,2.2,1.54,4754.0,5269.0,4
NDC,60687037511,droNABinol,19.46,13.62,4754.0,5269.0,4
NDC,60687037521,droNABinol,583.77,408.64,4754.0,5269.0,4
NDC,60687037701,ALPRAZolam,83.6,58.52,4754.0,5269.0,4
NDC,60687037711,ALPRAZolam,1.0,0.7,4754.0,5269.0,4
NDC,60687038425,Bumetanide,134.56,94.19,4754.0,5269.0,4
NDC,60687038495,Bumetanide,4.49,3.14,4754.0,5269.0,4
NDC,60687038694,droNABinol,787.49,551.24,4754.0,5269.0,4
NDC,60687038801,ALPRAZolam,101.2,70.84,4754.0,5269.0,4
NDC,60687038811,ALPRAZolam,1.02,0.71,4754.0,5269.0,4
NDC,60687039479,Ipratropium Bromide,1.0,0.7,4754.0,5269.0,4
NDC,60687039483,Ipratropium Bromide,1.0,0.7,4754.0,5269.0,4
NDC,60687039579,Albuterol Sulfate,1.0,0.7,4754.0,5269.0,4
NDC,60687039583,Albuterol Sulfate,1.0,0.7,4754.0,5269.0,4
NDC,60687041301,Metoprolol Succinate,384.45,269.12,4754.0,5269.0,4
NDC,60687041311,Metoprolol Succinate,3.85,2.7,4754.0,5269.0,4
NDC,60687042811,Finasteride,2.2,1.54,4754.0,5269.0,4
NDC,60687042865,Finasteride,110.0,77.0,4754.0,5269.0,4
NDC,60687043701,Amiodarone,101.48,71.04,4754.0,5269.0,4
NDC,60687043711,Amiodarone,1.02,0.71,4754.0,5269.0,4
NDC,60687043801,Mycophenolate Mofetil,302.5,211.75,4754.0,5269.0,4
NDC,60687043811,Mycophenolate Mofetil,3.03,2.12,4754.0,5269.0,4
NDC,60687043901,Labetalol HCl,124.85,87.4,4754.0,5269.0,4
NDC,60687043911,Labetalol HCl,1.25,0.88,4754.0,5269.0,4
NDC,60687044401,Amitriptyline HCl,159.5,111.65,4754.0,5269.0,4
NDC,60687044411,Amitriptyline HCl,1.6,1.12,4754.0,5269.0,4
NDC,60687044601,Ibuprofen,34.38,24.07,4754.0,5269.0,4
NDC,60687044611,Ibuprofen,1.0,0.7,4754.0,5269.0,4
NDC,60687045001,Labetalol HCl,160.33,112.23,4754.0,5269.0,4
NDC,60687045011,Labetalol HCl,1.61,1.13,4754.0,5269.0,4
NDC,60687045301,Levothyroxine Sodium,128.15,89.71,4754.0,5269.0,4
NDC,60687045311,Levothyroxine Sodium,1.29,0.9,4754.0,5269.0,4
NDC,60687045701,Ibuprofen,52.8,36.96,4754.0,5269.0,4
NDC,60687045711,Ibuprofen,1.0,0.7,4754.0,5269.0,4
NDC,60687045801,Glycopyrrolate,302.78,211.95,4754.0,5269.0,4
NDC,60687045811,Glycopyrrolate,3.03,2.12,4754.0,5269.0,4
NDC,60687047601,Spironolactone,126.5,88.55,4754.0,5269.0,4
NDC,60687047611,Spironolactone,1.27,0.89,4754.0,5269.0,4
NDC,60687047901,carBAMazepine,134.2,93.94,4754.0,5269.0,4
NDC,60687047911,carBAMazepine,1.35,0.95,4754.0,5269.0,4
NDC,60687048111,Buprenorphine,5.62,3.93,4754.0,5269.0,4
NDC,60687048121,Buprenorphine,168.47,117.93,4754.0,5269.0,4
NDC,60687048401,Pregabalin,370.43,259.3,4754.0,5269.0,4
NDC,60687048411,Pregabalin,3.71,2.6,4754.0,5269.0,4
NDC,60687048601,Levothyroxine Sodium,160.33,112.23,4754.0,5269.0,4
NDC,60687048611,Levothyroxine Sodium,1.61,1.13,4754.0,5269.0,4
NDC,60687048701,Spironolactone,200.75,140.53,4754.0,5269.0,4
NDC,60687048711,Spironolactone,2.01,1.41,4754.0,5269.0,4
NDC,60687049501,Pregabalin,370.43,259.3,4754.0,5269.0,4
NDC,60687049511,Pregabalin,3.71,2.6,4754.0,5269.0,4
NDC,60687050601,Pregabalin,370.43,259.3,4754.0,5269.0,4
NDC,60687050611,Pregabalin,3.71,2.6,4754.0,5269.0,4
NDC,60687050801,Levothyroxine Sodium,187.28,131.1,4754.0,5269.0,4
NDC,60687050811,Levothyroxine Sodium,1.88,1.32,4754.0,5269.0,4
NDC,60687055001,metroNIDAZOLE,206.25,144.38,4754.0,5269.0,4
NDC,60687055011,metroNIDAZOLE,2.07,1.45,4754.0,5269.0,4
NDC,60687055301,Isoniazid,302.5,211.75,4754.0,5269.0,4
NDC,60687055311,Isoniazid,3.03,2.12,4754.0,5269.0,4
NDC,60687055632,Mesalamine,381.7,267.19,4754.0,5269.0,4
NDC,60687055633,Mesalamine,19.09,13.36,4754.0,5269.0,4
NDC,60687055901,Methocarbamol,68.75,48.13,4754.0,5269.0,4
NDC,60687055911,Methocarbamol,1.0,0.7,4754.0,5269.0,4
NDC,60687056801,Methocarbamol,85.25,59.68,4754.0,5269.0,4
NDC,60687056811,Methocarbamol,1.0,0.7,4754.0,5269.0,4
NDC,60687057511,rifAMPin,8.76,6.13,4754.0,5269.0,4
NDC,60687057521,rifAMPin,262.77,183.94,4754.0,5269.0,4
NDC,60687057901,HYDROmorphone HCl,98.18,68.73,4754.0,5269.0,4
NDC,60687057911,HYDROmorphone HCl,1.0,0.7,4754.0,5269.0,4
NDC,60687058311,carBAMazepine,9.25,6.48,4754.0,5269.0,4
NDC,60687058321,carBAMazepine,277.45,194.22,4754.0,5269.0,4
NDC,60687058411,Mirtazapine,7.84,5.49,4754.0,5269.0,4
NDC,60687058421,Mirtazapine,234.96,164.47,4754.0,5269.0,4
NDC,60687058601,rifAMPin,511.5,358.05,4754.0,5269.0,4
NDC,60687058611,rifAMPin,5.12,3.58,4754.0,5269.0,4
NDC,60687058701,Propranolol HCl,68.75,48.13,4754.0,5269.0,4
NDC,60687058711,Propranolol HCl,1.0,0.7,4754.0,5269.0,4
NDC,60687059001,HYDROmorphone HCl,115.5,80.85,4754.0,5269.0,4
NDC,60687059011,HYDROmorphone HCl,1.16,0.81,4754.0,5269.0,4
NDC,60687059101,Gabapentin,38.5,26.95,4754.0,5269.0,4
NDC,60687059111,Gabapentin,1.0,0.7,4754.0,5269.0,4
NDC,60687059301,hydroCHLOROthiazide,57.75,40.43,4754.0,5269.0,4
NDC,60687059311,hydroCHLOROthiazide,1.0,0.7,4754.0,5269.0,4
NDC,60687060901,Propranolol HCl,153.73,107.61,4754.0,5269.0,4
NDC,60687060911,Propranolol HCl,1.54,1.08,4754.0,5269.0,4
NDC,60687061401,Sulfamethoxazole/Trimethoprim DS,72.33,50.63,4754.0,5269.0,4
NDC,60687061411,Sulfamethoxazole/Trimethoprim DS,1.0,0.7,4754.0,5269.0,4
NDC,60687062201,Docusate Sodium-Sennosides,44.0,30.8,4754.0,5269.0,4
NDC,60687062211,Docusate Sodium-Sennosides,1.0,0.7,4754.0,5269.0,4
NDC,60687066901,methIMAzole,164.18,114.93,4754.0,5269.0,4
NDC,60687066911,methIMAzole,1.65,1.16,4754.0,5269.0,4
NDC,60687067501,hydrOXYzine HCl,86.9,60.83,4754.0,5269.0,4
NDC,60687067511,hydrOXYzine HCl,1.0,0.7,4754.0,5269.0,4
NDC,60687068101,Folic Acid,47.58,33.31,4754.0,5269.0,4
NDC,60687068111,Folic Acid,1.0,0.7,4754.0,5269.0,4
NDC,60687069101,Demeclocycline HCl,1907.13,1334.99,4754.0,5269.0,4
NDC,60687069111,Demeclocycline HCl,19.08,13.36,4754.0,5269.0,4
NDC,60687072201,OXcarbazepine,242.83,169.98,4754.0,5269.0,4
NDC,60687072211,OXcarbazepine,2.43,1.7,4754.0,5269.0,4
NDC,60687073001,Meclizine HCl,163.35,114.35,4754.0,5269.0,4
NDC,60687073011,Meclizine HCl,1.64,1.15,4754.0,5269.0,4
NDC,60687073501,miSOPROStol,568.15,397.71,4754.0,5269.0,4
NDC,60687073511,miSOPROStol,5.69,3.98,4754.0,5269.0,4
NDC,60687073609,Pantoprazole Sodium,39.16,27.41,4754.0,5269.0,4
NDC,60687073611,Pantoprazole Sodium,1.0,0.7,4754.0,5269.0,4
NDC,60687074601,miSOPROStol,624.53,437.17,4754.0,5269.0,4
NDC,60687074611,miSOPROStol,6.25,4.38,4754.0,5269.0,4
NDC,60687075609,Potassium Chloride,112.42,78.69,4754.0,5269.0,4
NDC,60687075611,Potassium Chloride,1.41,0.99,4754.0,5269.0,4
NDC,60687079501,traMADol HCl,40.15,28.11,4754.0,5269.0,4
NDC,60687079511,traMADol HCl,1.0,0.7,4754.0,5269.0,4
NDC,60687080017,Nystatin,5.23,3.66,4754.0,5269.0,4
NDC,60687080040,Nystatin,5.23,3.66,4754.0,5269.0,4
NDC,60687080701,chlordiazePOXIDE,182.05,127.44,4754.0,5269.0,4
NDC,60687080711,chlordiazePOXIDE,1.83,1.28,4754.0,5269.0,4
NDC,60687082001,LORazepam,207.9,145.53,4754.0,5269.0,4
NDC,60687082011,LORazepam,2.08,1.46,4754.0,5269.0,4
NDC,60687082201,hydrALAZINE HCl,66.0,46.2,4754.0,5269.0,4
NDC,60687082211,hydrALAZINE HCl,1.0,0.7,4754.0,5269.0,4
NDC,60687083101,LORazepam,224.4,157.08,4754.0,5269.0,4
NDC,60687083111,LORazepam,2.25,1.58,4754.0,5269.0,4
NDC,60687084201,LORazepam,248.05,173.64,4754.0,5269.0,4
NDC,60687084211,LORazepam,2.49,1.74,4754.0,5269.0,4
NDC,60687085401,predniSONE,123.2,86.24,4754.0,5269.0,4
NDC,60687085411,predniSONE,1.24,0.87,4754.0,5269.0,4
NDC,60687085711,Divalproex Sodium,2.9,2.03,4754.0,5269.0,4
NDC,60687085721,Divalproex Sodium,86.88,60.82,4754.0,5269.0,4
NDC,60687086101,clonazePAM,162.25,113.58,4754.0,5269.0,4
NDC,60687086111,clonazePAM,1.63,1.14,4754.0,5269.0,4
NDC,60687087201,clonazePAM,162.25,113.58,4754.0,5269.0,4
NDC,60687087211,clonazePAM,1.63,1.14,4754.0,5269.0,4
NDC,60687088501,Mycophenolate Mofetil,179.3,125.51,4754.0,5269.0,4
NDC,60687088511,Mycophenolate Mofetil,1.8,1.26,4754.0,5269.0,4
NDC,60687092501,predniSONE,81.4,56.98,4754.0,5269.0,4
NDC,60687092511,predniSONE,1.0,0.7,4754.0,5269.0,4
NDC,6069761,Dolobid,196.35,137.45,4754.0,5269.0,4
NDC,60758-0119-05,prednisoLONE Acetate,105.6,73.92,,,0
NDC,60758001805,Sulfacetamide Sodium,85.94,60.16,4754.0,5269.0,4
NDC,60758008710,Dipivefrin HCl,11.83,8.28,4754.0,5269.0,4
NDC,60758011905,prednisoLONE Acetate,121.0,84.7,4754.0,5269.0,4
NDC,60758018805,Gentamicin Sulfate,11.99,8.39,4754.0,5269.0,4
NDC,60758061525,Gatifloxacin,259.96,181.97,4754.0,5269.0,4
NDC,60758077305,Ketorolac Tromethamine,183.65,128.56,4754.0,5269.0,4
NDC,60758080205,Timolol Maleate,8.2,5.74,4754.0,5269.0,4
NDC,60793-0701-10,Bicillin L-A,1014.85,710.4,31.97,89.52,28
NDC,60793-0702-10,Bicillin L-A,1499.93,1049.95,31.97,89.52,14
NDC,60793013101,Penicillin G Procaine,212.44,148.71,4754.0,5269.0,4
NDC,60793013110,Penicillin G Procaine,212.44,148.71,4754.0,5269.0,4
NDC,60793021505,Thrombin-JMI,208.4,145.88,4754.0,5269.0,4
NDC,60793031501,Thrombin-JMI,208.4,145.88,4754.0,5269.0,4
NDC,60793060002,Bicillin C-R,668.58,468.01,4754.0,5269.0,4
NDC,60793060010,Bicillin C-R,668.58,468.01,4754.0,5269.0,4
NDC,60793060102,Bicillin C-R,668.58,468.01,4754.0,5269.0,4
NDC,60793060501,AVINza,1458.88,1021.22,4754.0,5269.0,4
NDC,60793060701,AVINza,4259.75,2981.83,4754.0,5269.0,4
NDC,60793070001,Bicillin L-A,585.96,410.17,4754.0,5269.0,4
NDC,60793070010,Bicillin L-A,585.96,410.17,4754.0,5269.0,4
NDC,60793070102,Bicillin L-A,1014.85,710.4,4754.0,5269.0,4
NDC,60793070110,Bicillin L-A,1014.85,710.4,4754.0,5269.0,4
NDC,60793070204,Bicillin L-A,2079.6,1455.72,4754.0,5269.0,4
NDC,60793070210,Bicillin L-A,2079.6,1455.72,4754.0,5269.0,4
NDC,6090736,Mintezol,99.8,69.86,4754.0,5269.0,4
NDC,60977011401,Infumorph 200,357.5,250.25,4754.0,5269.0,4
NDC,60977014101,Protopam Chloride,1430.55,1001.39,4754.0,5269.0,4
NDC,60977014127,Protopam Chloride,238.43,166.9,4754.0,5269.0,4
NDC,61269051812,Pulmicort Flexhaler,727.65,509.36,4754.0,5269.0,4
NDC,61269073041,Miconazole 7,16.34,11.44,4754.0,5269.0,4
NDC,61269073063,Miconazole 7,16.34,11.44,4754.0,5269.0,4
NDC,61314-0227-05,Timolol Maleate,23.16,16.21,,,0
NDC,61314-0318-10,Zarxio,658.48,460.94,0.35,0.98,28
NDC,61314-0326-10,Zarxio,1130.38,791.265,0.35,0.98,28
NDC,61314-0628-10,Polymyxin B/Trimethoprim Sulfate,24.84,17.39,,,0
NDC,61314-0647-25,Tobramycin/dexAMETHasone,91.04,63.73,,,0
NDC,61314001425,Diclofenac Sodium,28.88,20.22,4754.0,5269.0,4
NDC,61314001601,Proparacaine HCl,96.53,67.57,4754.0,5269.0,4
NDC,61314001910,Dorzolamide HCl,68.75,48.13,4754.0,5269.0,4
NDC,61314004475,Trifluridine,539.04,377.33,4754.0,5269.0,4
NDC,61314012605,Ketorolac Tromethamine,77.0,53.9,4754.0,5269.0,4
NDC,61314014305,Brimonidine Tartrate,27.5,19.25,4754.0,5269.0,4
NDC,61314020415,Pilocarpine HCl,221.81,155.27,4754.0,5269.0,4
NDC,61314020615,Pilocarpine HCl,232.53,162.77,4754.0,5269.0,4
NDC,61314022505,Timolol Maleate,477.98,334.59,4754.0,5269.0,4
NDC,61314022605,Timolol Maleate,14.22,9.95,4754.0,5269.0,4
NDC,61314022705,Timolol Maleate,26.54,18.58,4754.0,5269.0,4
NDC,61314022894,Wyost,8822.72,6175.9,4754.0,5269.0,4
NDC,61314023710,Cromolyn Sodium,61.88,43.32,4754.0,5269.0,4
NDC,61314024063,Jubbonti,4411.36,3087.95,4754.0,5269.0,4
NDC,61314031801,Zarxio,754.49,528.14,4754.0,5269.0,4
NDC,61314031810,Zarxio,754.5,528.15,4754.0,5269.0,4
NDC,61314032601,Zarxio,1207.2,845.04,4754.0,5269.0,4
NDC,61314032605,Zarxio,1207.2,845.04,4754.0,5269.0,4
NDC,61314032610,Zarxio,1207.2,845.04,4754.0,5269.0,4
NDC,61314035502,Tropicamide,84.15,58.91,4754.0,5269.0,4
NDC,61314039601,Cyclopentolate HCl,32.87,23.01,4754.0,5269.0,4
NDC,61314054701,Latanoprost,29.43,20.6,4754.0,5269.0,4
NDC,61314062810,Polymyxin B/Trimethoprim Sulfate,28.47,19.93,4754.0,5269.0,4
NDC,61314063006,dexAMETHasone-Neomycin-Polymyxin,49.5,34.65,4754.0,5269.0,4
NDC,61314063136,dexAMETHasone-Neomycin-Polymyxin,49.51,34.66,4754.0,5269.0,4
NDC,61314063305,Gentamicin Sulfate,13.75,9.63,4754.0,5269.0,4
NDC,61314063705,prednisoLONE Acetate,121.69,85.18,4754.0,5269.0,4
NDC,61314064610,HC-Neomycin-Polymyxin,230.73,161.51,4754.0,5269.0,4
NDC,61314064725,Tobramycin/dexAMETHasone,104.31,73.02,4754.0,5269.0,4
NDC,61314065605,Ciprofloxacin HCl,38.5,26.95,4754.0,5269.0,4
NDC,61314065625,Ciprofloxacin HCl,28.88,20.22,4754.0,5269.0,4
NDC,61314066505,apraclonidine hcl,176.69,123.68,4754.0,5269.0,4
NDC,61314086601,Ziextenzo,10795.21,7556.65,4754.0,5269.0,4
NDC,61364018101,Rapivab,870.82,609.57,4754.0,5269.0,4
NDC,61364018103,Rapivab,870.82,609.57,4754.0,5269.0,4
NDC,61442011301,Acyclovir,83.33,58.33,4754.0,5269.0,4
NDC,61442014101,Lovastatin,29.7,20.79,4754.0,5269.0,4
NDC,61553036972,EPINEPHrine HCl-Sodium Chloride,56.63,39.64,4754.0,5269.0,4
NDC,61570006970,Procanbid,264.55,185.19,4754.0,5269.0,4
NDC,61570008510,Penicillin G Procaine,28.83,20.18,4754.0,5269.0,4
NDC,61570013125,Silvadene,21.45,15.02,4754.0,5269.0,4
NDC,61570054002,Tigan,16.3,11.41,4754.0,5269.0,4
NDC,61703-0309-06,vinCRIStine Sulfate,85.2,59.64,7.91,10.7,4
NDC,61703-0339-50,CARBOplatin,108.16,75.71,3.72,4.98,4
NDC,61703-0339-56,CARBOplatin,129.07,90.35,3.72,4.98,4
NDC,61703-0349-09,Irinotecan Hydrochloride,105.46,73.82,2.7,4.04,4
NDC,61703030346,Cytarabine,77.97,54.58,4754.0,5269.0,4
NDC,61703030906,vinCRIStine Sulfate,48.82,34.17,4754.0,5269.0,4
NDC,61703030916,vinCRIStine Sulfate,42.35,29.65,4754.0,5269.0,4
NDC,61703030925,vinCRIStine Sulfate Novaplus,30.34,21.24,4754.0,5269.0,4
NDC,61703032418,Pamidronate Disodium,39.71,27.8,4754.0,5269.0,4
NDC,61703032518,Pamidronate Disodium,124.83,87.38,4754.0,5269.0,4
NDC,61703033218,Bleomycin Sulfate,138.77,97.14,4754.0,5269.0,4
NDC,61703033918,CARBOplatin,36.85,25.8,4754.0,5269.0,4
NDC,61703033922,CARBOplatin,63.9,44.73,4754.0,5269.0,4
NDC,61703033950,CARBOplatin,129.69,90.78,4754.0,5269.0,4
NDC,61703033956,CARBOplatin,162.69,113.88,4754.0,5269.0,4
NDC,61703034909,Irinotecan Hydrochloride,60.42,42.29,4754.0,5269.0,4
NDC,61703035038,Methotrexate,19.99,13.99,4754.0,5269.0,4
NDC,61703036318,Oxaliplatin,132.0,92.4,4754.0,5269.0,4
NDC,61703036322,Oxaliplatin,264.0,184.8,4754.0,5269.0,4
NDC,61703040841,Methotrexate Sodium,100.98,70.69,4754.0,5269.0,4
NDC,61703042153,M.V.I. Pediatric,174.12,121.88,4754.0,5269.0,4
NDC,61703042283,M.V.I.ADULT,22.69,15.88,4754.0,5269.0,4
NDC,61755-0008-01,Libtayo,25085.495000000003,17559.845,28.69,80.33,14
NDC,61755000801,Libtayo,30043.65,21030.56,4754.0,5269.0,4
NDC,61874011530,Vraylar,4176.9,2923.83,4754.0,5269.0,4
NDC,61874013030,Vraylar,4176.9,2923.83,4754.0,5269.0,4
NDC,61874014530,Vraylar,4176.9,2923.83,4754.0,5269.0,4
NDC,61874016030,Vraylar,4176.9,2923.83,4754.0,5269.0,4
NDC,61938045606,Infasurf,2569.83,1798.88,4754.0,5269.0,4
NDC,61953000404,Flebogamma 5% DIF,2911.7,2038.19,4754.0,5269.0,4
NDC,61953000409,Flebogamma 5% DIF,2911.7,2038.19,4754.0,5269.0,4
NDC,61958-0701-01,Truvada,168.88,118.22,1.34,3.75,7
NDC,61958-1901-01,Genvoya,318.5,222.95,,,0
NDC,61958-2301-01,Vemlidy,115.33,80.73,,,0
NDC,61958-2501-01,Biktarvy,337.29,236.1,,,0
NDC,61958-2901-02,Veklury,3184.5950000000003,2229.22,6.9,19.32,14
NDC,61958-3002-01,Sunlenca,0.01,0.01,22.3,62.44,7
NDC,61958-3005-01,Sunlenca,0.01,0.01,22.3,62.44,7
NDC,61958050101,Hepsera,4483.22,3138.25,4754.0,5269.0,4
NDC,61958060101,Emtriva,1475.43,1032.8,4754.0,5269.0,4
NDC,61958060201,Emtriva,348.29,243.8,4754.0,5269.0,4
NDC,61958110101,Complera,10551.67,7386.17,4754.0,5269.0,4
NDC,61958120101,Stribild,12162.4,8513.68,4754.0,5269.0,4
NDC,61958170201,Zydelig,40212.98,28149.09,4754.0,5269.0,4
NDC,61958180101,Harvoni,86625.0,60637.5,4754.0,5269.0,4
NDC,61958190101,Genvoya,11594.31,8116.02,4754.0,5269.0,4
NDC,61958200201,Descovy,6056.33,4239.43,4754.0,5269.0,4
NDC,61958210101,Odefsey,10551.67,7386.17,4754.0,5269.0,4
NDC,61958230101,Vemlidy,4198.26,2938.78,4754.0,5269.0,4
NDC,61958250101,Biktarvy,11594.31,8116.02,4754.0,5269.0,4
NDC,61958250103,Biktarvy,11594.31,8116.02,4754.0,5269.0,4
NDC,61958290102,Veklury,1789.48,1252.64,4754.0,5269.0,4
NDC,62011-0047-02,Health Mart Nicotine Polacrilex,1.0,0.7,,,0
NDC,62011-0387-01,NON-COVERED ITEM OR SERVICE,1.0,0.7,,,0
NDC,62011003001,Health Mart Children's Ibuprofen,11.22,7.85,4754.0,5269.0,4
NDC,62011032301,Health Mart Children's All Day Allergy,12.54,8.78,4754.0,5269.0,4
NDC,62011048301,Heath Mart Earwax Removal,5.94,4.16,4754.0,5269.0,4
NDC,62037-0598-90,Cartia XT,1.55,1.09,,,0
NDC,62037059890,Cartia XT,138.85,97.2,4754.0,5269.0,4
NDC,62037069230,Matzim LA,220.11,154.08,4754.0,5269.0,4
NDC,62065330,Ultram ER,305.5,213.85,4754.0,5269.0,4
NDC,62103-0333-02,Boudreaux's Butt Paste,8.94,6.26,,,0
NDC,62103033302,Boudreaux's Butt Paste,8.94,6.26,4754.0,5269.0,4
NDC,62125115,Ortho Tri-Cyclen Lo,207.75,145.43,4754.0,5269.0,4
NDC,62135025037,prednisoLONE,792.0,554.4,4754.0,5269.0,4
NDC,62135075047,hydrOXYzine HCl,1374.9,962.43,4754.0,5269.0,4
NDC,62135084260,sulfADIAZINE,2609.81,1826.87,4754.0,5269.0,4
NDC,62144-5510-05,NON-COVERED ITEM OR SERVICE,80.04,56.03,,,0
NDC,62175011843,Omeprazole,165.0,115.5,4754.0,5269.0,4
NDC,62175027137,oxyBUTYnin Chloride,203.78,142.65,4754.0,5269.0,4
NDC,62175027237,oxyBUTYnin Chloride,208.73,146.11,4754.0,5269.0,4
NDC,62175030232,RABEprazole Sodium,38.78,27.15,4754.0,5269.0,4
NDC,62175044601,PEG 3350 And Electrolytes,33.0,23.1,4754.0,5269.0,4
NDC,62192015,Ortho Evra,207.82,145.47,4754.0,5269.0,4
NDC,62332-0055-31,cloNIDine HCl,1.0,0.7,,,0
NDC,62332-0142-31,Celecoxib,1.65,1.16,,,0
NDC,62332-0246-31,Amantadine HCl,1.0,0.7,,,0
NDC,62332-0582-04,Lidocaine-Prilocaine,19.83,13.88,,,0
NDC,62332-0678-16,DOCEtaxel,421.2,294.84000000000003,0.87,1.39,4
NDC,62332001131,Venlafaxine HCl,94.88,66.42,4754.0,5269.0,4
NDC,62332001231,Venlafaxine HCl,100.38,70.27,4754.0,5269.0,4
NDC,62332002531,Theophylline,356.68,249.68,4754.0,5269.0,4
NDC,62332005531,cloNIDine HCl,15.95,11.17,4754.0,5269.0,4
NDC,62332010030,ARIPiprazole,19.14,13.4,4754.0,5269.0,4
NDC,62332014231,Celecoxib,165.0,115.5,4754.0,5269.0,4
NDC,62332019030,febuxostat,41.25,28.88,4754.0,5269.0,4
NDC,62332019810,asenapine,99.06,69.34,4754.0,5269.0,4
NDC,62332019860,asenapine,990.66,693.46,4754.0,5269.0,4
NDC,62332024631,Amantadine HCl,110.0,77.0,4754.0,5269.0,4
NDC,62332025330,Azithromycin,379.92,265.94,4754.0,5269.0,4
NDC,62332039131,Nitrofurantoin Macrocrystals,116.88,81.82,4754.0,5269.0,4
NDC,62332050503,Moxifloxacin HCl,27.5,19.25,4754.0,5269.0,4
NDC,62332050725,bimatoprost,287.27,201.09,4754.0,5269.0,4
NDC,62332051910,Dorzolamide HCl,77.0,53.9,4754.0,5269.0,4
NDC,62332058204,Lidocaine-Prilocaine,22.72,15.9,4754.0,5269.0,4
NDC,62332060102,Ketorolac Tromethamine,5.5,3.85,4754.0,5269.0,4
NDC,62332060125,Ketorolac Tromethamine,5.5,3.85,4754.0,5269.0,4
NDC,62332066105,Brimonidine Tartrate,421.66,295.16,4754.0,5269.0,4
NDC,62332067816,DOCEtaxel,880.0,616.0,4754.0,5269.0,4
NDC,62332077931,Fluorouracil,163.35,114.35,4754.0,5269.0,4
NDC,62530000011,ure-Na,79.75,55.83,4754.0,5269.0,4
NDC,62541040510,Pancreaze,1821.05,1274.74,4754.0,5269.0,4
NDC,62559-0157-10,Polyethylene Glycol 3350,3.21,2.25,,,0
NDC,62559-0820-01,Mexiletine HCl,1.53,1.07,,,0
NDC,62559013807,Hydrocortisone,58.91,41.24,4754.0,5269.0,4
NDC,62559014901,Esterified Estrogens-methylTESTOSTERone,825.0,577.5,4754.0,5269.0,4
NDC,62559015801,fluvoxaMINE Maleate,151.25,105.88,4754.0,5269.0,4
NDC,62559016701,oxyCODONE HCl,321.75,225.23,4754.0,5269.0,4
NDC,62559026530,Tranexamic Acid,220.03,154.02,4754.0,5269.0,4
NDC,62559051001,Indapamide,49.5,34.65,4754.0,5269.0,4
NDC,62559063001,Erythromycin Ethylsuccinate,570.9,399.63,4754.0,5269.0,4
NDC,62559072101,Terbutaline Sulfate,275.0,192.5,4754.0,5269.0,4
NDC,62559074101,Thyroid,171.05,119.74,4754.0,5269.0,4
NDC,62559082001,Mexiletine HCl,174.35,122.05,4754.0,5269.0,4
NDC,62559099212,Fluconazole,45.78,32.05,4754.0,5269.0,4
NDC,62584-0266-01,Metoprolol Tartrate,1.0,0.7,,,0
NDC,62584026601,Metoprolol Tartrate,30.25,21.18,4754.0,5269.0,4
NDC,62584026611,Metoprolol Tartrate,1.0,0.7,4754.0,5269.0,4
NDC,62584073301,hydrALAZINE HCl,66.0,46.2,4754.0,5269.0,4
NDC,62584073311,hydrALAZINE HCl,1.0,0.7,4754.0,5269.0,4
NDC,62584098401,Warfarin Sodium,87.18,61.03,4754.0,5269.0,4
NDC,62584098411,Warfarin Sodium,1.0,0.7,4754.0,5269.0,4
NDC,62701080001,Nipent,5843.2,4090.24,4754.0,5269.0,4
NDC,62756-0459-83,Buprenorphine,4.4,3.08,,,0
NDC,62756014686,Rivastigmine Tartrate,96.2,67.34,4754.0,5269.0,4
NDC,62756014786,Rivastigmine Tartrate,96.2,67.34,4754.0,5269.0,4
NDC,62756025802,Zonisamide,57.48,40.24,4754.0,5269.0,4
NDC,62756058988,Liothyronine Sodium,150.98,105.69,4754.0,5269.0,4
NDC,62756079788,Divalproex Sodium,34.38,24.07,4754.0,5269.0,4
NDC,62756079888,Divalproex Sodium,69.03,48.32,4754.0,5269.0,4
NDC,62794010151,Sulfamylon,106.59,74.61,4754.0,5269.0,4
NDC,62856-0212-01,Leqembi,1223.09,856.16,1.33,3.72,35
NDC,62856-0215-01,Leqembi,1528.85,1070.2,1.33,3.72,7
NDC,62856-0389-01,Halaven,6260.4,4382.280000000001,72.61,203.31,42
NDC,62856010201,Fragmin,1376.61,963.63,4754.0,5269.0,4
NDC,62856021201,Leqembi,718.39,502.87,4754.0,5269.0,4
NDC,62856021501,Leqembi,1795.97,1257.18,4754.0,5269.0,4
NDC,62856027230,Fycompa,1707.75,1195.43,4754.0,5269.0,4
NDC,62856038901,Halaven,3877.5,2714.25,4754.0,5269.0,4
NDC,62856058352,Banzel,8712.0,6098.4,4754.0,5269.0,4
NDC,62935-0223-05,Eligard,3252.17,2276.52,170.78,478.18,14
NDC,62935-0227-10,Eligard,3792.03,2654.42,170.78,478.18,14
NDC,62935-0461-50,Eligard,6504.31,4553.02,170.78,478.18,7
NDC,62935-0756-80,Eligard,1084.06,758.84,170.78,478.18,7
NDC,62935022305,Eligard,3726.45,2608.52,4754.0,5269.0,4
NDC,62935022710,Eligard,3726.45,2608.52,4754.0,5269.0,4
NDC,62935030330,Eligard,4968.59,3478.01,4754.0,5269.0,4
NDC,62935046150,Eligard,7452.86,5217.0,4754.0,5269.0,4
NDC,62935075375,Eligard,1242.15,869.51,4754.0,5269.0,4
NDC,62935075680,Eligard,1242.15,869.51,4754.0,5269.0,4
NDC,62980001,Elmiron,1010.35,707.25,4754.0,5269.0,4
NDC,63010001030,Viracept,3338.78,2337.15,4754.0,5269.0,4
NDC,63010002770,Viracept,3338.61,2337.03,4754.0,5269.0,4
NDC,63020004901,Velcade,4408.25,3085.78,4754.0,5269.0,4
NDC,6302500,Zinplava,10450.0,7315.0,4754.0,5269.0,4
NDC,6302501,Zinplava,10450.0,7315.0,4754.0,5269.0,4
NDC,6302601,Keytruda,16218.73,11353.11,4754.0,5269.0,4
NDC,6302602,Keytruda,16218.73,11353.11,4754.0,5269.0,4
NDC,6302604,Keytruda,16218.73,11353.11,4754.0,5269.0,4
NDC,63032009025,Soriatane,1291.05,903.74,4754.0,5269.0,4
NDC,63037-0100-05,fentaNYL Citrate-Sodium Chloride,32.4,22.68,0.99,1.58,4
NDC,63037010005,fentaNYL Citrate-Sodium Chloride,37.13,25.99,4754.0,5269.0,4
NDC,6306901,Pifeltro,5059.73,3541.81,4754.0,5269.0,4
NDC,6308301,Keytruda Qlex,33086.25,23160.38,4754.0,5269.0,4
NDC,6308399,Keytruda Qlex,33086.25,23160.38,4754.0,5269.0,4
NDC,63256010030,Sclerosol Intrapleural,11.55,8.09,4754.0,5269.0,4
NDC,63304-0692-01,Clindamycin HCl,1.04,0.73,,,0
NDC,63304-0693-01,Clindamycin HCl,1.19,0.83,,,0
NDC,63304058531,Sotret,561.5,393.05,4754.0,5269.0,4
NDC,63304062410,Furosemide,38.5,26.95,4754.0,5269.0,4
NDC,63304062510,Furosemide,44.0,30.8,4754.0,5269.0,4
NDC,63304063628,Ganciclovir,1670.63,1169.44,4754.0,5269.0,4
NDC,63304069201,Clindamycin HCl,39.6,27.72,4754.0,5269.0,4
NDC,63304074301,PHENobarbital,14.58,10.21,4754.0,5269.0,4
NDC,63304077301,LORazepam,22.83,15.98,4754.0,5269.0,4
NDC,63304095601,Cefaclor,28.26,19.78,4754.0,5269.0,4
NDC,63323-0010-02,Gentamicin Sulfate,33.41,23.39,2.73,4.4,4
NDC,63323-0010-20,Gentamicin Sulfate,20.0,14.0,2.73,4.4,4
NDC,63323-0012-07,Oxytocin Novaplus,10.8,7.56,0.55,0.62,3
NDC,63323-0012-11,Oxytocin,24.84,17.39,0.55,0.62,3
NDC,63323-0013-02,Thiamine HCl,11.94,8.36,2.26,4.02,4
NDC,63323-0064-03,Magnesium Sulfate,10.9,7.63,0.64,1.13,4
NDC,63323-0093-30,Sodium Chloride Concentrate,20.97,14.68,0.09,0.09,2
NDC,63323-0095-61,Sodium Chloride Concentrate,16.27,11.39,0.09,0.09,2
NDC,63323-0103-51,CISplatin,100.86,70.6,3.27,5.59,4
NDC,63323-0103-65,CISplatin,72.185,50.53,3.27,5.59,4
NDC,63323-0104-50,Etoposide,60.61,42.425,1.05,1.37,4
NDC,63323-0106-01,Magnesium Sulfate,109.87,76.91,0.64,1.13,4
NDC,63323-0106-05,Magnesium Sulfate,30.84,21.59,0.64,1.13,4
NDC,63323-0106-15,Magnesium Sulfate,16.5,11.55,0.64,1.13,4
NDC,63323-0108-01,Magnesium Sulfate-Dextrose,20.0,14.0,0.64,1.13,4
NDC,63323-0117-10,Fluorouracil,79.60499999999999,55.724999999999994,2.95,4.45,4
NDC,63323-0117-20,Fluorouracil,20.525,14.364999999999998,2.95,4.45,4
NDC,63323-0117-51,Fluorouracil,31.74,22.215,2.95,4.45,4
NDC,63323-0117-61,Fluorouracil,68.525,47.97,2.95,4.45,4
NDC,63323-0118-05,Simplist Heparin Sodium,8.0,5.6,0.27,0.44,4
NDC,63323-0120-20,Cytarabine,45.15,31.61,0.92,1.34,4
NDC,63323-0130-11,Doxy 100,126.39,88.47,,,0
NDC,63323-0161-01,Ketorolac Tromethamine,14.815,10.37,0.39,1.09,39
NDC,63323-0162-01,Ketorolac Tromethamine,10.84,7.59,0.39,1.09,88
NDC,63323-0162-02,Ketorolac Tromethamine,14.76,10.334999999999999,0.39,1.09,60
NDC,63323-0165-05,dexAMETHasone Sodium Phosphate,16.59,11.61,0.12,0.19,4
NDC,63323-0180-01,Pyridoxine HCl,20.0,14.0,15.0,24.25,4
NDC,63323-0184-10,Folic Acid,8.0,5.6,,,0
NDC,63323-0229-05,Protamine Sulfate,74.31,52.02,2.13,2.71,4
NDC,63323-0229-30,Protamine Sulfate,25.4,17.78,2.13,2.71,4
NDC,63323-0254-10,Muri-Lube,47.96,33.57,,,0
NDC,63323-0269-29,Diprivan,25.2,17.64,0.12,0.21,4
NDC,63323-0269-50,Diprivan,20.88,14.614999999999998,0.12,0.21,4
NDC,63323-0269-65,Diprivan,8.0,5.6,0.12,0.21,4
NDC,63323-0269-69,PremierPro Rx Diprivan,24.48,17.14,0.12,0.21,4
NDC,63323-0276-02,Heparin Sodium,15.83,11.08,0.27,0.44,4
NDC,63323-0278-10,vinBLAStine Sulfate,54.2,37.94,5.02,5.84,4
NDC,63323-0286-35,Naropin,36.15,25.31,0.07,0.14,4
NDC,63323-0288-10,Naropin,6.25,4.38,0.07,0.14,4
NDC,63323-0293-37,Polocaine-MPF,21.22,14.85,3.56,5.38,4
NDC,63323-0303-51,Tobramycin Sulfate,200.4,140.28,2.55,4.35,4
NDC,63323-0306-02,Tobramycin Sulfate,20.0,14.0,2.55,4.35,4
NDC,63323-0306-30,Tobramycin Sulfate,15.84,11.09,2.55,4.35,4
NDC,63323-0318-01,Granisetron Hydrochloride,48.0,33.6,0.33,0.62,4
NDC,63323-0325-10,Acyclovir Sodium,65.43,45.8,0.06,0.1,4
NDC,63323-0360-19,Calcium Gluconate,36.075,25.255000000000003,0.05,0.08,4
NDC,63323-0376-01,Octreotide Acetate,131.19,91.835,4754.0,5269.0,4
NDC,63323-0377-01,Octreotide Acetate,238.52,166.96,4754.0,5269.0,4
NDC,63323-0401-20,Aztreonam,173.19,121.23,2.58,4.16,4
NDC,63323-0434-00,Acetaminophen,23.04,16.13,0.05,0.08,4
NDC,63323-0454-01,Morphine Sulfate,15.8,11.06,7.28,12.15,4
NDC,63323-0466-17,Sensorcaine-MPF,8.0,5.6,0.01,0.02,4
NDC,63323-0474-01,Haloperidol Lactate,14.38,10.07,1.26,2.32,4
NDC,63323-0478-27,Nesacaine-MPF,8.0,5.6,0.04,0.07,4
NDC,63323-0506-01,dexAMETHasone Sodium Phosphate,13.5,9.45,0.12,0.19,4
NDC,63323-0508-30,Meropenem,14.16,9.91,0.39,0.73,4
NDC,63323-0516-10,dexAMETHasone Sodium Phosphate,8.0,5.6,0.12,0.19,4
NDC,63323-0517-74,Heparin Sodium-Sodium Chloride,22.8,15.96,0.27,0.44,4
NDC,63323-0535-87,Enoxaparin Sodium,19.06,13.34,1.24,4.97,4
NDC,63323-0540-11,Heparin Sodium,6.98,4.89,0.27,0.44,4
NDC,63323-0540-15,Heparin Sodium,40.0,28.0,0.27,0.44,4
NDC,63323-0559-93,Enoxaparin Sodium,16.0,11.2,1.24,4.97,4
NDC,63323-0564-97,Enoxaparin Sodium,8.84,6.19,1.24,4.97,4
NDC,63323-0566-98,Enoxaparin Sodium,10.74,7.52,1.24,4.97,4
NDC,63323-0584-99,Enoxaparin Sodium,17.76,12.43,1.24,4.97,4
NDC,63323-0586-96,Enoxaparin Sodium,20.14,14.1,1.24,4.97,4
NDC,63323-0593-03,Glucagon,606.44,424.51,143.25,401.1,28
NDC,63323-0614-01,hydrALAZINE HCl,68.74,48.12,5.56,9.14,4
NDC,63323-0614-55,hydrALAZINE HCl Novaplus,8.4,5.88,5.56,9.14,4
NDC,63323-0616-03,Amiodarone HCl,5.51,3.86,0.29,0.33,3
NDC,63323-0642-20,Magnesium Sulfate,8.0,5.6,0.64,1.13,4
NDC,63323-0642-50,Magnesium Sulfate,8.0,5.6,0.64,1.13,4
NDC,63323-0651-02,Adenosine,60.23,42.16,0.56,0.98,4
NDC,63323-0655-99,Enoxaparin Sodium,23.96,16.77,1.24,4.97,4
NDC,63323-0664-01,diphenhydrAMINE HCl,8.0,5.6,0.82,1.31,4
NDC,63323-0665-01,Terbutaline Sulfate,13.55,9.49,6.09,12.74,4
NDC,63323-0739-12,Famotidine,8.0,5.6,,,0
NDC,63323-0751-01,Phenylephrine HCl,8.0,5.6,,,0
NDC,63323-0763-16,PACLitaxel,111.72,78.2,0.11,0.15,4
NDC,63323-0806-20,fentaNYL Citrate,20.4,14.28,0.99,1.58,4
NDC,63323-0852-25,HYDROmorphone HCl,13.184999999999999,9.23,,,0
NDC,63323-0885-10,Levothyroxine Sodium,85.15,59.61,6.94,19.43,7
NDC,63323-0926-88,romiDEPsin,8713.795,6099.655,30.91,86.55,14
NDC,63323-0930-01,Vasopressin,16.56,11.59,1.88,2.97,4
NDC,63323-0965-20,Potassium Chloride Concentrate,8.0,5.6,0.11,0.19,4
NDC,63323-0966-00,Zoledronic Acid,720.0,504.0,6.94,11.79,4
NDC,63323-0967-30,Potassium Chloride Concentrate,8.0,5.6,0.11,0.19,4
NDC,63323001001,Gentamicin Sulfate,12.76,8.93,4754.0,5269.0,4
NDC,63323001002,Gentamicin Sulfate,12.76,8.93,4754.0,5269.0,4
NDC,63323001003,Gentamicin Sulfate,91.63,64.14,4754.0,5269.0,4
NDC,63323001020,Gentamicin Sulfate,91.63,64.14,4754.0,5269.0,4
NDC,63323001202,Oxytocin,148.5,103.95,4754.0,5269.0,4
NDC,63323001203,Oxytocin,9.49,6.64,4754.0,5269.0,4
NDC,63323001207,Oxytocin Novaplus,4.13,2.89,4754.0,5269.0,4
NDC,63323001211,Oxytocin,9.49,6.64,4754.0,5269.0,4
NDC,63323001217,Oxytocin Novaplus,4.13,2.89,4754.0,5269.0,4
NDC,63323001230,Oxytocin,148.5,103.95,4754.0,5269.0,4
NDC,63323001301,Thiamine HCl,27.37,19.16,4754.0,5269.0,4
NDC,63323001302,Thiamine HCl,27.37,19.16,4754.0,5269.0,4
NDC,63323001309,Thiamine HCl Novaplus,14.03,9.82,4754.0,5269.0,4
NDC,63323003200,Sodium Acetate,24.2,16.94,4754.0,5269.0,4
NDC,63323003204,Sodium Acetate,24.2,16.94,4754.0,5269.0,4
NDC,63323004400,Cyanocobalamin,9.35,6.55,4754.0,5269.0,4
NDC,63323004401,Cyanocobalamin,9.35,6.55,4754.0,5269.0,4
NDC,63323006401,Magnesium Sulfate,6.25,4.38,4754.0,5269.0,4
NDC,63323006402,Magnesium Sulfate,4.35,3.05,4754.0,5269.0,4
NDC,63323006403,Magnesium Sulfate,6.25,4.38,4754.0,5269.0,4
NDC,63323006404,Magnesium Sulfate,7.76,5.43,4754.0,5269.0,4
NDC,63323006411,Magnesium Sulfate,7.76,5.43,4754.0,5269.0,4
NDC,63323008305,Sodium Bicarbonate,64.71,45.3,4754.0,5269.0,4
NDC,63323008861,Sodium Chloride Concentrate,32.45,22.72,4754.0,5269.0,4
NDC,63323009002,Sodium Chloride,14.25,9.98,4754.0,5269.0,4
NDC,63323009004,Sodium Chloride,23.98,16.79,4754.0,5269.0,4
NDC,63323009020,Sodium Chloride,14.25,9.98,4754.0,5269.0,4
NDC,63323009040,Sodium Chloride,23.98,16.79,4754.0,5269.0,4
NDC,63323009301,Sodium Chloride Concentrate,21.04,14.73,4754.0,5269.0,4
NDC,63323009330,Sodium Chloride Concentrate,21.04,14.73,4754.0,5269.0,4
NDC,63323009502,Sodium Chloride Concentrate,48.4,33.88,4754.0,5269.0,4
NDC,63323009561,Sodium Chloride Concentrate,48.4,33.88,4754.0,5269.0,4
NDC,63323010351,CISplatin,56.65,39.66,4754.0,5269.0,4
NDC,63323010364,CISplatin,226.6,158.62,4754.0,5269.0,4
NDC,63323010365,CISplatin,113.3,79.31,4754.0,5269.0,4
NDC,63323010425,Etoposide,171.05,119.74,4754.0,5269.0,4
NDC,63323010450,Etoposide,342.1,239.47,4754.0,5269.0,4
NDC,63323010600,Magnesium Sulfate,25.03,17.52,4754.0,5269.0,4
NDC,63323010601,Magnesium Sulfate,25.03,17.52,4754.0,5269.0,4
NDC,63323010602,Magnesium Sulfate,35.34,24.74,4754.0,5269.0,4
NDC,63323010605,Magnesium Sulfate,35.34,24.74,4754.0,5269.0,4
NDC,63323010615,Magnesium Sulfate,16.5,11.55,4754.0,5269.0,4
NDC,63323010800,Magnesium Sulfate-Dextrose,25.58,17.91,4754.0,5269.0,4
NDC,63323010801,Magnesium Sulfate-Dextrose,25.58,17.91,4754.0,5269.0,4
NDC,63323011310,Pentam,458.95,321.27,4754.0,5269.0,4
NDC,63323011700,Fluorouracil,9.41,6.59,4754.0,5269.0,4
NDC,63323011701,Fluorouracil,18.81,13.17,4754.0,5269.0,4
NDC,63323011710,Fluorouracil,9.41,6.59,4754.0,5269.0,4
NDC,63323011720,Fluorouracil,18.81,13.17,4754.0,5269.0,4
NDC,63323011751,Fluorouracil,40.29,28.2,4754.0,5269.0,4
NDC,63323011761,Fluorouracil,80.58,56.41,4754.0,5269.0,4
NDC,63323011801,Simplist Heparin Sodium,8.53,5.97,4754.0,5269.0,4
NDC,63323011805,Simplist Heparin Sodium,8.53,5.97,4754.0,5269.0,4
NDC,63323012020,Cytarabine,57.48,40.24,4754.0,5269.0,4
NDC,63323012250,Methotrexate Sodium,174.9,122.43,4754.0,5269.0,4
NDC,63323012310,Methotrexate Sodium,92.38,64.67,4754.0,5269.0,4
NDC,63323012710,Dacarbazine,34.08,23.86,4754.0,5269.0,4
NDC,63323012820,Dacarbazine,33.0,23.1,4754.0,5269.0,4
NDC,63323013002,Doxy 100,72.41,50.69,4754.0,5269.0,4
NDC,63323013011,Doxy 100,72.41,50.69,4754.0,5269.0,4
NDC,63323013210,mitoXANTRONE hcl,1121.07,784.75,4754.0,5269.0,4
NDC,63323013610,Bleomycin,91.08,63.76,4754.0,5269.0,4
NDC,63323014010,Cladribine,1196.25,837.38,4754.0,5269.0,4
NDC,63323016100,Ketorolac Tromethamine,10.32,7.22,4754.0,5269.0,4
NDC,63323016101,Ketorolac Tromethamine,10.32,7.22,4754.0,5269.0,4
NDC,63323016200,Ketorolac Tromethamine,15.68,10.98,4754.0,5269.0,4
NDC,63323016201,Ketorolac Tromethamine,15.68,10.98,4754.0,5269.0,4
NDC,63323016202,Ketorolac Tromethamine,22.55,15.79,4754.0,5269.0,4
NDC,63323016203,Ketorolac Tromethamine,22.55,15.79,4754.0,5269.0,4
NDC,63323017301,Gentamicin Sulfate Pediatric,16.97,11.88,4754.0,5269.0,4
NDC,63323017302,Gentamicin Sulfate Pediatric,16.97,11.88,4754.0,5269.0,4
NDC,63323018000,Pyridoxine HCl,59.76,41.83,4754.0,5269.0,4
NDC,63323018001,Pyridoxine HCl,59.76,41.83,4754.0,5269.0,4
NDC,63323018410,Folic Acid,175.78,123.05,4754.0,5269.0,4
NDC,63323018411,Folic Acid,73.43,51.4,4754.0,5269.0,4
NDC,63323018730,Sodium Chloride Concentrate,16.09,11.26,4754.0,5269.0,4
NDC,63323020101,Lidocaine HCl,7.79,5.45,4754.0,5269.0,4
NDC,63323020102,Lidocaine HCl,7.79,5.45,4754.0,5269.0,4
NDC,63323020103,Lidocaine HCl,7.32,5.12,4754.0,5269.0,4
NDC,63323020110,Lidocaine HCl,7.32,5.12,4754.0,5269.0,4
NDC,63323020801,Lidocaine HCl,10.32,7.22,4754.0,5269.0,4
NDC,63323020805,Lidocaine HCl,10.32,7.22,4754.0,5269.0,4
NDC,63323022110,Vancomycin HCl,19.25,13.48,4754.0,5269.0,4
NDC,63323022905,Protamine Sulfate,42.57,29.8,4754.0,5269.0,4
NDC,63323022930,Protamine Sulfate,145.48,101.84,4754.0,5269.0,4
NDC,63323024120,Glycophos,35.75,25.03,4754.0,5269.0,4
NDC,63323025410,Muri-Lube,62.65,43.86,4754.0,5269.0,4
NDC,63323026110,Progesterone In Sesame Oil,82.23,57.56,4754.0,5269.0,4
NDC,63323026203,Heparin Sodium,11.44,8.01,4754.0,5269.0,4
NDC,63323026206,Heparin Sodium,11.44,8.01,4754.0,5269.0,4
NDC,63323026922,Diprivan,16.5,11.55,4754.0,5269.0,4
NDC,63323026929,Diprivan,16.5,11.55,4754.0,5269.0,4
NDC,63323026930,Diprivan,41.25,28.88,4754.0,5269.0,4
NDC,63323026935,Diprivan,82.5,57.75,4754.0,5269.0,4
NDC,63323026950,Diprivan,41.25,28.88,4754.0,5269.0,4
NDC,63323026965,Diprivan,82.5,57.75,4754.0,5269.0,4
NDC,63323027601,Heparin Sodium,36.28,25.4,4754.0,5269.0,4
NDC,63323027602,Heparin Sodium,36.28,25.4,4754.0,5269.0,4
NDC,63323027810,vinBLAStine Sulfate,147.84,103.49,4754.0,5269.0,4
NDC,63323028110,fluPHENAZine HCl,528.2,369.74,4754.0,5269.0,4
NDC,63323028551,Naropin,111.93,78.35,4754.0,5269.0,4
NDC,63323028565,Naropin,111.93,78.35,4754.0,5269.0,4
NDC,63323028611,Naropin,62.13,43.49,4754.0,5269.0,4
NDC,63323028635,Naropin,62.13,43.49,4754.0,5269.0,4
NDC,63323028810,Naropin,31.22,21.85,4754.0,5269.0,4
NDC,63323029337,Polocaine-MPF,41.58,29.11,4754.0,5269.0,4
NDC,63323030351,Tobramycin Sulfate,229.63,160.74,4754.0,5269.0,4
NDC,63323030601,Tobramycin Sulfate,9.33,6.53,4754.0,5269.0,4
NDC,63323030602,Tobramycin Sulfate,9.33,6.53,4754.0,5269.0,4
NDC,63323030605,Tobramycin Sulfate,60.48,42.34,4754.0,5269.0,4
NDC,63323030630,Tobramycin Sulfate,60.48,42.34,4754.0,5269.0,4
NDC,63323031110,Calcium Gluconate,14.85,10.4,4754.0,5269.0,4
NDC,63323031501,Ganciclovir,267.5,187.25,4754.0,5269.0,4
NDC,63323031510,Ganciclovir,267.5,187.25,4754.0,5269.0,4
NDC,63323031801,Granisetron Hydrochloride,55.0,38.5,4754.0,5269.0,4
NDC,63323032201,Imipenem and Cilastatin,82.45,57.72,4754.0,5269.0,4
NDC,63323032225,Imipenem and Cilastatin,82.45,57.72,4754.0,5269.0,4
NDC,63323032293,Imipenem and Cilastatin Novaplus,30.84,21.59,4754.0,5269.0,4
NDC,63323032503,Acyclovir Sodium,41.25,28.88,4754.0,5269.0,4
NDC,63323032510,Acyclovir Sodium,41.25,28.88,4754.0,5269.0,4
NDC,63323032520,Acyclovir Sodium,96.25,67.38,4754.0,5269.0,4
NDC,63323034993,Imipenem and Cilastatin Novaplus,17.88,12.52,4754.0,5269.0,4
NDC,63323035610,caspofungin acetate,926.75,648.73,4754.0,5269.0,4
NDC,63323035810,caspofungin acetate,962.5,673.75,4754.0,5269.0,4
NDC,63323036001,Calcium Gluconate,27.56,19.29,4754.0,5269.0,4
NDC,63323036005,Calcium Gluconate,148.5,103.95,4754.0,5269.0,4
NDC,63323036019,Calcium Gluconate,27.56,19.29,4754.0,5269.0,4
NDC,63323036061,Calcium Gluconate,148.5,103.95,4754.0,5269.0,4
NDC,63323037110,DAPTOmycin,1225.07,857.55,4754.0,5269.0,4
NDC,63323037600,Octreotide Acetate,27.34,19.14,4754.0,5269.0,4
NDC,63323037601,Octreotide Acetate,27.34,19.14,4754.0,5269.0,4
NDC,63323037701,Octreotide Acetate,136.65,95.66,4754.0,5269.0,4
NDC,63323038510,cefoTEtan disodium,66.61,46.63,4754.0,5269.0,4
NDC,63323038620,cefoTEtan disodium,133.21,93.25,4754.0,5269.0,4
NDC,63323039306,Colistimethate,76.98,53.89,4754.0,5269.0,4
NDC,63323040101,Aztreonam,99.22,69.45,4754.0,5269.0,4
NDC,63323040120,Aztreonam,99.22,69.45,4754.0,5269.0,4
NDC,63323040201,Aztreonam,157.3,110.11,4754.0,5269.0,4
NDC,63323040220,Aztreonam,157.3,110.11,4754.0,5269.0,4
NDC,63323041701,Cisatracurium Besylate,50.6,35.42,4754.0,5269.0,4
NDC,63323041710,Cisatracurium Besylate,50.6,35.42,4754.0,5269.0,4
NDC,63323041801,Cisatracurium Besylate,458.15,320.71,4754.0,5269.0,4
NDC,63323041820,Cisatracurium Besylate,458.15,320.71,4754.0,5269.0,4
NDC,63323042405,Flumazenil,20.41,14.29,4754.0,5269.0,4
NDC,63323043400,Acetaminophen,26.4,18.48,4754.0,5269.0,4
NDC,63323043441,Acetaminophen,26.4,18.48,4754.0,5269.0,4
NDC,63323045100,Morphine Sulfate,8.39,5.87,4754.0,5269.0,4
NDC,63323045101,Morphine Sulfate,8.39,5.87,4754.0,5269.0,4
NDC,63323045400,Morphine Sulfate,7.9,5.53,4754.0,5269.0,4
NDC,63323045401,Morphine Sulfate,7.9,5.53,4754.0,5269.0,4
NDC,63323046157,Sensorcaine With EPINEPHrine,53.35,37.35,4754.0,5269.0,4
NDC,63323046217,Sensorcaine-MPF with EPINEPHrine,21.56,15.09,4754.0,5269.0,4
NDC,63323046237,Sensorcaine-MPF with EPINEPHrine,35.81,25.07,4754.0,5269.0,4
NDC,63323046557,Sensorcaine,34.65,24.26,4754.0,5269.0,4
NDC,63323046802,Sensorcaine-MPF with EPINEPHrine,33.25,23.28,4754.0,5269.0,4
NDC,63323046837,Sensorcaine-MPF with EPINEPHrine,33.25,23.28,4754.0,5269.0,4
NDC,63323046901,Haloperidol Decanoate,77.22,54.05,4754.0,5269.0,4
NDC,63323047217,Sensorcaine-MPF,16.37,11.46,4754.0,5269.0,4
NDC,63323047400,Haloperidol Lactate,16.48,11.54,4754.0,5269.0,4
NDC,63323047401,Haloperidol Lactate,16.48,11.54,4754.0,5269.0,4
NDC,63323047727,Nesacaine-MPF,66.83,46.78,4754.0,5269.0,4
NDC,63323047801,Nesacaine-MPF,61.55,43.09,4754.0,5269.0,4
NDC,63323047827,Nesacaine-MPF,61.55,43.09,4754.0,5269.0,4
NDC,63323048101,Xylocaine with EPINEPHrine,25.17,17.62,4754.0,5269.0,4
NDC,63323048157,Xylocaine with EPINEPHrine,25.17,17.62,4754.0,5269.0,4
NDC,63323048201,Xylocaine with EPINEPHrine,10.89,7.62,4754.0,5269.0,4
NDC,63323048203,Xylocaine with EPINEPHrine,15.4,10.78,4754.0,5269.0,4
NDC,63323048217,Xylocaine with EPINEPHrine,10.89,7.62,4754.0,5269.0,4
NDC,63323048227,Xylocaine with EPINEPHrine,15.4,10.78,4754.0,5269.0,4
NDC,63323048303,Xylocaine with EPINEPHrine,15.62,10.93,4754.0,5269.0,4
NDC,63323048327,Xylocaine with EPINEPHrine,15.62,10.93,4754.0,5269.0,4
NDC,63323048457,Xylocaine,15.27,10.69,4754.0,5269.0,4
NDC,63323048501,Xylocaine,9.35,6.55,4754.0,5269.0,4
NDC,63323048503,Xylocaine,15.68,10.98,4754.0,5269.0,4
NDC,63323048527,Xylocaine,9.35,6.55,4754.0,5269.0,4
NDC,63323048557,Xylocaine,15.68,10.98,4754.0,5269.0,4
NDC,63323048902,Xylocaine-MPF with EPINEPHrine,64.63,45.24,4754.0,5269.0,4
NDC,63323048917,Xylocaine-MPF with EPINEPHrine,32.21,22.55,4754.0,5269.0,4
NDC,63323048927,Xylocaine-MPF with EPINEPHrine,64.63,45.24,4754.0,5269.0,4
NDC,63323049101,Xylocaine-MPF,39.88,27.92,4754.0,5269.0,4
NDC,63323049157,Xylocaine-MPF,39.88,27.92,4754.0,5269.0,4
NDC,63323049204,Xylocaine-MPF,6.49,4.54,4754.0,5269.0,4
NDC,63323049209,Xylocaine-MPF,10.81,7.57,4754.0,5269.0,4
NDC,63323049227,Xylocaine-MPF,6.49,4.54,4754.0,5269.0,4
NDC,63323049231,Xylocaine-MPF,26.07,18.25,4754.0,5269.0,4
NDC,63323049257,Xylocaine-MPF,10.81,7.57,4754.0,5269.0,4
NDC,63323049401,Valproate Sodium,18.43,12.9,4754.0,5269.0,4
NDC,63323049405,Valproate Sodium,18.43,12.9,4754.0,5269.0,4
NDC,63323049504,Xylocaine-MPF,9.88,6.92,4754.0,5269.0,4
NDC,63323049507,Xylocaine-MPF,9.88,6.92,4754.0,5269.0,4
NDC,63323049509,Xylocaine-MPF,8.06,5.64,4754.0,5269.0,4
NDC,63323049527,Xylocaine-MPF,8.06,5.64,4754.0,5269.0,4
NDC,63323050600,dexAMETHasone Sodium Phosphate,20.63,14.44,4754.0,5269.0,4
NDC,63323050601,dexAMETHasone Sodium Phosphate,20.63,14.44,4754.0,5269.0,4
NDC,63323050701,Meropenem,8.25,5.78,4754.0,5269.0,4
NDC,63323050720,Meropenem,8.25,5.78,4754.0,5269.0,4
NDC,63323050721,Meropenem Novaplus,8.25,5.78,4754.0,5269.0,4
NDC,63323050801,Meropenem,16.23,11.36,4754.0,5269.0,4
NDC,63323050830,Meropenem,16.23,11.36,4754.0,5269.0,4
NDC,63323051610,dexAMETHasone Sodium Phosphate,42.6,29.82,4754.0,5269.0,4
NDC,63323051701,Heparin Sodium-Sodium Chloride,29.57,20.7,4754.0,5269.0,4
NDC,63323051774,Heparin Sodium-Sodium Chloride,29.57,20.7,4754.0,5269.0,4
NDC,63323051902,Heparin Sodium-Sodium Chloride,15.13,10.59,4754.0,5269.0,4
NDC,63323051977,Heparin Sodium-Sodium Chloride,15.13,10.59,4754.0,5269.0,4
NDC,63323052301,Heparin Sodium-Dextrose,29.57,20.7,4754.0,5269.0,4
NDC,63323052374,Heparin Sodium-Dextrose,29.57,20.7,4754.0,5269.0,4
NDC,63323053021,Sodium Chloride,11.0,7.7,4754.0,5269.0,4
NDC,63323053075,Sodium Chloride,11.0,7.7,4754.0,5269.0,4
NDC,63323054005,Heparin Sodium,20.0,14.0,4754.0,5269.0,4
NDC,63323054015,Heparin Sodium,20.0,14.0,4754.0,5269.0,4
NDC,63323054033,Heparin Sodium,19.64,13.75,4754.0,5269.0,4
NDC,63323054036,Heparin Sodium,19.64,13.75,4754.0,5269.0,4
NDC,63323055921,Enoxaparin Sodium,7.62,5.33,4754.0,5269.0,4
NDC,63323055993,Enoxaparin Sodium,7.62,5.33,4754.0,5269.0,4
NDC,63323056421,Enoxaparin Sodium,10.12,7.08,4754.0,5269.0,4
NDC,63323056497,Enoxaparin Sodium,10.12,7.08,4754.0,5269.0,4
NDC,63323056621,Enoxaparin Sodium,14.77,10.34,4754.0,5269.0,4
NDC,63323056698,Enoxaparin Sodium,14.77,10.34,4754.0,5269.0,4
NDC,63323058421,Enoxaparin Sodium,20.35,14.25,4754.0,5269.0,4
NDC,63323058499,Enoxaparin Sodium,20.35,14.25,4754.0,5269.0,4
NDC,63323058621,Enoxaparin Sodium,25.63,17.94,4754.0,5269.0,4
NDC,63323058696,Enoxaparin Sodium,25.63,17.94,4754.0,5269.0,4
NDC,63323058921,Enoxaparin Sodium,38.39,26.87,4754.0,5269.0,4
NDC,63323058994,Enoxaparin Sodium,38.39,26.87,4754.0,5269.0,4
NDC,63323059303,Glucagon,694.87,486.41,4754.0,5269.0,4
NDC,63323059603,Glucagon,694.87,486.41,4754.0,5269.0,4
NDC,63323059710,Deferoxamine Mesylate,40.59,28.41,4754.0,5269.0,4
NDC,63323059930,Deferoxamine Mesylate,113.3,79.31,4754.0,5269.0,4
NDC,63323060400,Propranolol HCl,31.57,22.1,4754.0,5269.0,4
NDC,63323060401,Propranolol HCl,31.57,22.1,4754.0,5269.0,4
NDC,63323061400,hydrALAZINE HCl,46.86,32.8,4754.0,5269.0,4
NDC,63323061401,hydrALAZINE HCl,46.86,32.8,4754.0,5269.0,4
NDC,63323061601,Amiodarone HCl,5.51,3.86,4754.0,5269.0,4
NDC,63323061603,Amiodarone HCl,5.51,3.86,4754.0,5269.0,4
NDC,63323062359,Sodium Chloride Freeflex,33.0,23.1,4754.0,5269.0,4
NDC,63323062474,Dextrose,8.25,5.78,4754.0,5269.0,4
NDC,63323063703,Arsenic Trioxide,1633.5,1143.45,4754.0,5269.0,4
NDC,63323063710,Arsenic Trioxide,1633.5,1143.45,4754.0,5269.0,4
NDC,63323064202,Magnesium Sulfate,64.08,44.86,4754.0,5269.0,4
NDC,63323064220,Magnesium Sulfate,24.92,17.44,4754.0,5269.0,4
NDC,63323064250,Magnesium Sulfate,64.08,44.86,4754.0,5269.0,4
NDC,63323064907,Levothyroxine Sodium,330.99,231.69,4754.0,5269.0,4
NDC,63323065102,Adenosine,30.12,21.08,4754.0,5269.0,4
NDC,63323065130,Adenosine,533.61,373.53,4754.0,5269.0,4
NDC,63323065521,Enoxaparin Sodium,30.5,21.35,4754.0,5269.0,4
NDC,63323065599,Enoxaparin Sodium,30.5,21.35,4754.0,5269.0,4
NDC,63323065820,Chlorothiazide Sodium,818.68,573.08,4754.0,5269.0,4
NDC,63323066500,Terbutaline Sulfate,54.18,37.93,4754.0,5269.0,4
NDC,63323066501,Terbutaline Sulfate,54.18,37.93,4754.0,5269.0,4
NDC,63323067105,dexmedeTOMIDine HCl-Sodium Chloride,118.25,82.78,4754.0,5269.0,4
NDC,63323067150,dexmedeTOMIDine HCl-Sodium Chloride,118.25,82.78,4754.0,5269.0,4
NDC,63323069210,Acetylcysteine,47.52,33.26,4754.0,5269.0,4
NDC,63323071050,Leucovorin Calcium,63.42,44.39,4754.0,5269.0,4
NDC,63323071100,Leucovorin Calcium,237.03,165.92,4754.0,5269.0,4
NDC,63323071501,Fulvestrant,1375.0,962.5,4754.0,5269.0,4
NDC,63323071505,Fulvestrant,1375.0,962.5,4754.0,5269.0,4
NDC,63323072901,micafungin sodium,132.0,92.4,4754.0,5269.0,4
NDC,63323072910,micafungin sodium,132.0,92.4,4754.0,5269.0,4
NDC,63323073809,Famotidine,4.95,3.47,4754.0,5269.0,4
NDC,63323073911,Famotidine,2.48,1.74,4754.0,5269.0,4
NDC,63323073912,Famotidine,2.48,1.74,4754.0,5269.0,4
NDC,63323075100,Phenylephrine HCl,8.8,6.16,4754.0,5269.0,4
NDC,63323075101,Phenylephrine HCl,8.8,6.16,4754.0,5269.0,4
NDC,63323076210,Topotecan HCl,374.09,261.86,4754.0,5269.0,4
NDC,63323080614,fentaNYL Citrate,23.38,16.37,4754.0,5269.0,4
NDC,63323080620,fentaNYL Citrate,23.38,16.37,4754.0,5269.0,4
NDC,63323080650,fentaNYL Citrate,68.75,48.13,4754.0,5269.0,4
NDC,63323082003,Smoflipid,103.13,72.19,4754.0,5269.0,4
NDC,63323082004,Smoflipid,78.38,54.87,4754.0,5269.0,4
NDC,63323082050,Smoflipid,103.13,72.19,4754.0,5269.0,4
NDC,63323082074,Smoflipid,78.38,54.87,4754.0,5269.0,4
NDC,63323085203,HYDROmorphone HCl,11.88,8.32,4754.0,5269.0,4
NDC,63323085225,HYDROmorphone HCl,11.88,8.32,4754.0,5269.0,4
NDC,63323087115,DAPTOmycin,1225.07,857.55,4754.0,5269.0,4
NDC,63323087715,Nebupent,458.95,321.27,4754.0,5269.0,4
NDC,63323088101,Sodium Phosphates,113.32,79.32,4754.0,5269.0,4
NDC,63323088116,Sodium Phosphates,113.32,79.32,4754.0,5269.0,4
NDC,63323088401,Sodium Phosphates,53.38,37.37,4754.0,5269.0,4
NDC,63323088406,Sodium Phosphates,53.38,37.37,4754.0,5269.0,4
NDC,63323088510,Levothyroxine Sodium,243.9,170.73,4754.0,5269.0,4
NDC,63323092517,romiDEPsin,8713.79,6099.65,4754.0,5269.0,4
NDC,63323092688,romiDEPsin,8713.79,6099.65,4754.0,5269.0,4
NDC,63323093000,Vasopressin,49.53,34.67,4754.0,5269.0,4
NDC,63323093001,Vasopressin,49.53,34.67,4754.0,5269.0,4
NDC,63323096010,tigecycline,429.0,300.3,4754.0,5269.0,4
NDC,63323096502,Potassium Chloride Concentrate,7.21,5.05,4754.0,5269.0,4
NDC,63323096503,Potassium Chloride Concentrate,6.3,4.41,4754.0,5269.0,4
NDC,63323096510,Potassium Chloride Concentrate,6.3,4.41,4754.0,5269.0,4
NDC,63323096520,Potassium Chloride Concentrate,7.21,5.05,4754.0,5269.0,4
NDC,63323096600,Zoledronic Acid,825.0,577.5,4754.0,5269.0,4
NDC,63323096730,Potassium Chloride Concentrate,10.81,7.57,4754.0,5269.0,4
NDC,63323098321,Piperacillin and Tazobactam,38.15,26.71,4754.0,5269.0,4
NDC,63323098323,Piperacillin and Tazobactam,38.15,26.71,4754.0,5269.0,4
NDC,63361024315,Vaxelis,418.57,293.0,4754.0,5269.0,4
NDC,63361024388,Vaxelis,418.33,292.83,4754.0,5269.0,4
NDC,63395010111,Floxin Otic Singles,196.35,137.45,4754.0,5269.0,4
NDC,63402019030,Lunesta,1983.88,1388.72,4754.0,5269.0,4
NDC,63402030430,Latuda,3901.43,2731.0,4754.0,5269.0,4
NDC,63402030830,Latuda,3901.43,2731.0,4754.0,5269.0,4
NDC,63402091101,Brovana,54.17,37.92,4754.0,5269.0,4
NDC,63402091130,Brovana,54.17,37.92,4754.0,5269.0,4
NDC,6340617,Indocin,4207.5,2945.25,4754.0,5269.0,4
NDC,63459-0103-10,Truxima,1319.065,923.345,30.15,84.42,77
NDC,63459-0104-50,Truxima,9740.74,6818.52,30.15,84.42,42
NDC,63459-0348-04,Bendeka,8133.86,5693.7,12.83,35.92,14
NDC,63459010310,Truxima,2325.27,1627.69,4754.0,5269.0,4
NDC,63459010450,Truxima,11626.32,8138.42,4754.0,5269.0,4
NDC,63459034804,Bendeka,6802.95,4762.07,4754.0,5269.0,4
NDC,63459039008,Treanda,2043.12,1430.18,4754.0,5269.0,4
NDC,63459039120,Treanda,8172.45,5720.72,4754.0,5269.0,4
NDC,63459040201,Gabitril,1696.75,1187.73,4754.0,5269.0,4
NDC,63459040401,Gabitril,1696.75,1187.73,4754.0,5269.0,4
NDC,63459060010,Trisenox,1866.43,1306.5,4754.0,5269.0,4
NDC,63459060106,Trisenox,3509.77,2456.84,4754.0,5269.0,4
NDC,63459060111,Trisenox,3509.77,2456.84,4754.0,5269.0,4
NDC,63459091011,Granix,687.12,480.98,4754.0,5269.0,4
NDC,63459091012,Granix,687.12,480.98,4754.0,5269.0,4
NDC,63459091015,Granix,687.13,480.99,4754.0,5269.0,4
NDC,63459091211,Granix,1099.7,769.79,4754.0,5269.0,4
NDC,63459091212,Granix,1099.7,769.79,4754.0,5269.0,4
NDC,63459091215,Granix,1099.69,769.78,4754.0,5269.0,4
NDC,63481007270,Moban,409.2,286.44,4754.0,5269.0,4
NDC,63481043210,Nubain,3.69,2.58,4754.0,5269.0,4
NDC,63481081860,Opana ER,2758.8,1931.16,4754.0,5269.0,4
NDC,6351659,Primaxin IV,2244.76,1571.33,4754.0,5269.0,4
NDC,6358275,Primaxin IM,897.85,628.5,4754.0,5269.0,4
NDC,63629106403,Spironolactone,13.86,9.7,4754.0,5269.0,4
NDC,63629248801,Ketorolac Tromethamine,186.73,130.71,4754.0,5269.0,4
NDC,63629873401,Voriconazole,183.07,128.15,4754.0,5269.0,4
NDC,63736-0024-03,NON-COVERED ITEM OR SERVICE,20.11,14.08,,,0
NDC,63736-0120-02,Nix Lice Treatment Creme Rinse,24.5,17.15,,,0
NDC,63736012002,Nix Lice Treatment Creme Rinse,24.5,17.15,4754.0,5269.0,4
NDC,63739-0097-10,NON-COVERED ITEM OR SERVICE,2.32,1.62,,,0
NDC,63739-0098-10,Mirtazapine,1.0,0.7,,,0
NDC,63739-0158-32,levETIRAcetam,13.13,9.19,,,0
NDC,63739-0160-56,NON-COVERED ITEM OR SERVICE,9.96,6.97,,,0
NDC,63739-0178-30,Clopidogrel,31.89,22.32,,,0
NDC,63739-0212-02,Aspirin,1.0,0.7,,,0
NDC,63739-0293-10,Metoclopramide HCl,1.0,0.7,,,0
NDC,63739-0327-10,hydrALAZINE HCl,1.0,0.7,,,0
NDC,63739-0328-10,hydrALAZINE HCl,2.0,1.4,,,0
NDC,63739-0432-01,Senna-Time S,20.54,14.38,,,0
NDC,63739-0434-01,Aspirin,1.0,0.7,,,0
NDC,63739-0434-02,Aspirin,1.0,0.7,,,0
NDC,63739-0478-10,Docusate Sodium,1.0,0.7,,,0
NDC,63739-0479-10,Baclofen,2.56,1.79,,,0
NDC,63739-0544-10,Spironolactone,1.0,0.7,,,0
NDC,63739-0545-10,Spironolactone,1.26,0.88,,,0
NDC,63739-0567-10,Tamsulosin HCl,1.0,0.7,,,0
NDC,63739-0571-10,Simvastatin,1.0,0.7,,,0
NDC,63739-0572-10,Simvastatin,1.0,0.7,,,0
NDC,63739-0573-10,Simvastatin,1.0,0.7,,,0
NDC,63739-0645-10,Famotidine,1.0,0.7,,,0
NDC,63739-0686-10,Losartan Potassium,1.26,0.88,,,0
NDC,63739-0698-10,Losartan Potassium,1.66,1.16,,,0
NDC,63739-0760-04,NON-COVERED ITEM OR SERVICE,3.39,2.37,,,0
NDC,63739-0902-10,Gabapentin,1.0,0.7,,,0
NDC,63739-0903-10,Gabapentin,1.0,0.7,,,0
NDC,63739-0963-10,PARoxetine HCl,1.0,0.7,,,0
NDC,63739-0976-10,NON-COVERED ITEM OR SERVICE,3.08,2.16,,,0
NDC,63739009810,Mirtazapine,36.3,25.41,4754.0,5269.0,4
NDC,63739012810,hydroCHLOROthiazide,21.18,14.83,4754.0,5269.0,4
NDC,63739017830,Clopidogrel,1096.1,767.27,4754.0,5269.0,4
NDC,63739022510,Simethicone,22.83,15.98,4754.0,5269.0,4
NDC,63739029310,Metoclopramide HCl,29.98,20.99,4754.0,5269.0,4
NDC,63739033310,Ondansetron HCl,140.8,98.56,4754.0,5269.0,4
NDC,63739047810,Docusate Sodium,9.63,6.74,4754.0,5269.0,4
NDC,63739057110,Simvastatin,41.53,29.07,4754.0,5269.0,4
NDC,63739057310,Simvastatin,47.58,33.31,4754.0,5269.0,4
NDC,63739079610,Allopurinol,139.7,97.79,4754.0,5269.0,4
NDC,63739090114,Heparin Sodium,34.85,24.4,4754.0,5269.0,4
NDC,63739090128,Heparin Sodium,34.85,24.4,4754.0,5269.0,4
NDC,63739098625,Heparin Sodium,36.8,25.76,4754.0,5269.0,4
NDC,6382210,Cancidas,928.71,650.1,4754.0,5269.0,4
NDC,63824-0008-32,Mucinex,1.41,0.99,,,0
NDC,63824-0008-34,Mucinex,2.44,1.71,,,0
NDC,63824-0710-16,Cepacol Sore Throat,1.0,0.7,,,0
NDC,63824-0713-16,Cepacol Sore Throat,1.0,0.7,,,0
NDC,63824000832,Mucinex,32.29,22.6,4754.0,5269.0,4
NDC,63824000834,Mucinex,55.88,39.12,4754.0,5269.0,4
NDC,63824017563,Delsym,26.19,18.33,4754.0,5269.0,4
NDC,63824071316,Cepacol Sore Throat,6.74,4.72,4754.0,5269.0,4
NDC,63824073016,Cepacol Sore Throat,6.74,4.72,4754.0,5269.0,4
NDC,63824073216,Cepacol,6.74,4.72,4754.0,5269.0,4
NDC,63824074416,Cepacol Sore Throat & Cough,6.74,4.72,4754.0,5269.0,4
NDC,63833-0387-02,Kcentra,26486.24,18540.37,2.09,5.85,7
NDC,63833038602,Kcentra,8.2,5.74,4754.0,5269.0,4
NDC,63833038702,Kcentra,8.2,5.74,4754.0,5269.0,4
NDC,63833089151,RiaSTAP,4.18,2.93,4754.0,5269.0,4
NDC,6383334,Fosamax,64.97,45.48,4754.0,5269.0,4
NDC,6384371,INVanz,353.82,247.67,4754.0,5269.0,4
NDC,6385601,Recarbrio,869.39,608.57,4754.0,5269.0,4
NDC,6385602,Recarbrio,869.39,608.57,4754.0,5269.0,4
NDC,6404701,RotaTeq,280.48,196.34,4754.0,5269.0,4
NDC,6404741,RotaTeq,280.48,196.34,4754.0,5269.0,4
NDC,6409301,Recombivax HB Pediatric-Adolescent,39.215,27.45,4754.0,5269.0,8
NDC,6409302,Recombivax HB Pediatric-Adolescent,39.215,27.45,4754.0,5269.0,8
NDC,6409601,Vaqta,228.21,159.75,4754.0,5269.0,4
NDC,6409602,Vaqta,228.21,159.75,4754.0,5269.0,4
NDC,641036721,dexAMETHasone Sodium Phosphate,3.93,2.75,4754.0,5269.0,4
NDC,641036725,dexAMETHasone Sodium Phosphate,3.93,2.75,4754.0,5269.0,4
NDC,641037621,diphenhydrAMINE HCl,3.23,2.26,4754.0,5269.0,4
NDC,641037625,diphenhydrAMINE HCl,3.23,2.26,4754.0,5269.0,4
NDC,641040012,Heparin Sodium,7.06,4.94,4754.0,5269.0,4
NDC,641040037,Heparin Sodium,7.06,4.94,4754.0,5269.0,4
NDC,641047721,PHENobarbital Sodium,188.1,131.67,4754.0,5269.0,4
NDC,641047725,PHENobarbital Sodium,188.1,131.67,4754.0,5269.0,4
NDC,641049321,Phenytoin Sodium,3.83,2.68,4754.0,5269.0,4
NDC,641049325,Phenytoin Sodium,3.83,2.68,4754.0,5269.0,4
NDC,641092821,Promethazine HCl,5.09,3.56,4754.0,5269.0,4
NDC,641092825,Promethazine HCl,5.09,3.56,4754.0,5269.0,4
NDC,641095625,Promethazine HCl Novaplus,10.03,7.02,4754.0,5269.0,4
NDC,641139831,chlorproMAZINE HCl,91.04,63.73,4754.0,5269.0,4
NDC,641139835,chlorproMAZINE HCl,91.04,63.73,4754.0,5269.0,4
NDC,641141031,Digoxin,15.13,10.59,4754.0,5269.0,4
NDC,641141035,Digoxin,15.13,10.59,4754.0,5269.0,4
NDC,6411901,Gardasil 9,902.94,632.06,4754.0,5269.0,4
NDC,6411903,Gardasil 9,902.94,632.06,4754.0,5269.0,4
NDC,6412101,Gardasil 9,902.94,632.06,4754.0,5269.0,4
NDC,6412102,Gardasil 9,902.94,632.06,4754.0,5269.0,4
NDC,641234139,HYDROmorphone HCl,58.96,41.27,4754.0,5269.0,4
NDC,641234141,HYDROmorphone HCl,58.96,41.27,4754.0,5269.0,4
NDC,641255541,Phenytoin Sodium,5.49,3.84,4754.0,5269.0,4
NDC,641255545,Phenytoin Sodium,5.49,3.84,4754.0,5269.0,4
NDC,641600701,Bumetanide,9.02,6.31,4754.0,5269.0,4
NDC,641600710,Bumetanide,9.02,6.31,4754.0,5269.0,4
NDC,641600801,Bumetanide,8.31,5.82,4754.0,5269.0,4
NDC,641600810,Bumetanide,8.31,5.82,4754.0,5269.0,4
NDC,641601301,dilTIAZem HCl,9.41,6.59,4754.0,5269.0,4
NDC,641601310,dilTIAZem HCl,9.41,6.59,4754.0,5269.0,4
NDC,641601410,dilTIAZem HCl,17.14,12.0,4754.0,5269.0,4
NDC,641601501,dilTIAZem HCl,25.03,17.52,4754.0,5269.0,4
NDC,641601510,dilTIAZem HCl,25.03,17.52,4754.0,5269.0,4
NDC,641601901,Duramorph,79.64,55.75,4754.0,5269.0,4
NDC,641601910,Duramorph,79.64,55.75,4754.0,5269.0,4
NDC,641602010,Duramorph,79.64,55.75,4754.0,5269.0,4
NDC,641602225,Famotidine,2.62,1.83,4754.0,5269.0,4
NDC,641602701,fentaNYL Citrate,5.85,4.1,4754.0,5269.0,4
NDC,641602725,fentaNYL Citrate,5.85,4.1,4754.0,5269.0,4
NDC,641604401,LORazepam,4.3,3.01,4754.0,5269.0,4
NDC,641604425,LORazepam,4.3,3.01,4754.0,5269.0,4
NDC,641604701,LORazepam,48.1,33.67,4754.0,5269.0,4
NDC,641604710,LORazepam,48.1,33.67,4754.0,5269.0,4
NDC,641605201,Meperidine HCl,6.98,4.89,4754.0,5269.0,4
NDC,641605225,Meperidine HCl,6.98,4.89,4754.0,5269.0,4
NDC,641605701,Midazolam HCl,1.79,1.25,4754.0,5269.0,4
NDC,641605725,Midazolam HCl,1.79,1.25,4754.0,5269.0,4
NDC,641605901,Midazolam HCl,3.83,2.68,4754.0,5269.0,4
NDC,641605910,Midazolam HCl,3.83,2.68,4754.0,5269.0,4
NDC,641606001,Midazolam HCl,18.98,13.29,4754.0,5269.0,4
NDC,641606010,Midazolam HCl,18.98,13.29,4754.0,5269.0,4
NDC,641606101,Midazolam HCl,3.3,2.31,4754.0,5269.0,4
NDC,641606125,Midazolam HCl,3.3,2.31,4754.0,5269.0,4
NDC,641607801,Ondansetron,2.62,1.83,4754.0,5269.0,4
NDC,641607825,Ondansetron,2.62,1.83,4754.0,5269.0,4
NDC,641607901,Ondansetron,21.62,15.13,4754.0,5269.0,4
NDC,641608001,Ondansetron Novaplus,1.65,1.16,4754.0,5269.0,4
NDC,641608025,Ondansetron Novaplus,1.65,1.16,4754.0,5269.0,4
NDC,641611601,Ampicillin-Sulbactam,11.55,8.09,4754.0,5269.0,4
NDC,641611610,Ampicillin-Sulbactam,11.55,8.09,4754.0,5269.0,4
NDC,641612501,Morphine Sulfate,6.87,4.81,4754.0,5269.0,4
NDC,641612525,Morphine Sulfate,6.87,4.81,4754.0,5269.0,4
NDC,641612601,Morphine Sulfate,7.77,5.44,4754.0,5269.0,4
NDC,641612625,Morphine Sulfate,7.77,5.44,4754.0,5269.0,4
NDC,641612701,Morphine Sulfate,7.01,4.91,4754.0,5269.0,4
NDC,641612725,Morphine Sulfate,7.01,4.91,4754.0,5269.0,4
NDC,641613601,Fosphenytoin Sodium,13.2,9.24,4754.0,5269.0,4
NDC,641613625,Fosphenytoin Sodium,13.2,9.24,4754.0,5269.0,4
NDC,641613801,Phenytoin Sodium Novaplus,3.19,2.23,4754.0,5269.0,4
NDC,641613825,Phenytoin Sodium Novaplus,3.19,2.23,4754.0,5269.0,4
NDC,641614201,Phenylephrine HCl,11.0,7.7,4754.0,5269.0,4
NDC,641614225,Phenylephrine HCl,11.0,7.7,4754.0,5269.0,4
NDC,641614501,dexAMETHasone Sodium Phosphate,2.66,1.86,4754.0,5269.0,4
NDC,641614525,dexAMETHasone Sodium Phosphate,2.66,1.86,4754.0,5269.0,4
NDC,641614601,dexAMETHasone Sodium Phosphate,3.03,2.12,4754.0,5269.0,4
NDC,641614625,dexAMETHasone Sodium Phosphate,3.03,2.12,4754.0,5269.0,4
NDC,641614901,Neostigmine Methylsulfate,24.75,17.33,4754.0,5269.0,4
NDC,641614910,Neostigmine Methylsulfate,24.75,17.33,4754.0,5269.0,4
NDC,641616410,Cafcit,27.5,19.25,4754.0,5269.0,4
NDC,641617401,Octreotide Acetate,12.38,8.67,4754.0,5269.0,4
NDC,641617410,Octreotide Acetate,12.38,8.67,4754.0,5269.0,4
NDC,641620501,Naloxone HCl,86.63,60.64,4754.0,5269.0,4
NDC,641620510,Naloxone HCl,86.63,60.64,4754.0,5269.0,4
NDC,641622801,Thiamine HCl,27.37,19.16,4754.0,5269.0,4
NDC,641622825,Thiamine HCl,27.37,19.16,4754.0,5269.0,4
NDC,641623101,hydrALAZINE HCl,38.5,26.95,4754.0,5269.0,4
NDC,641623125,hydrALAZINE HCl,38.5,26.95,4754.0,5269.0,4
NDC,6417100,ProQuad,786.97,550.88,4754.0,5269.0,4
NDC,6417101,ProQuad,786.97,550.88,4754.0,5269.0,4
NDC,64193042502,Feiba NF,7.43,5.2,4754.0,5269.0,4
NDC,64193042602,Feiba,7.43,5.2,4754.0,5269.0,4
NDC,64208-7752-01,Coagadex,43667.43,30567.2,9.92,27.78,7
NDC,64208-7753-01,Coagadex,85622.4,59935.68,9.92,27.78,7
NDC,64253-0400-91,Atropine Sulfate,48.0,33.6,0.07,0.14,4
NDC,64253-0900-36,Calcium Chloride,49.5,34.65,,,0
NDC,64253040030,Atropine Sulfate,27.5,19.25,4754.0,5269.0,4
NDC,64253040091,Atropine Sulfate,27.5,19.25,4754.0,5269.0,4
NDC,64253044422,Heparin Lock Flush,2.75,1.93,4754.0,5269.0,4
NDC,64253044425,Heparin Lock Flush,2.75,1.93,4754.0,5269.0,4
NDC,64253090030,Calcium Chloride,24.75,17.33,4754.0,5269.0,4
NDC,64253090036,Calcium Chloride,24.75,17.33,4754.0,5269.0,4
NDC,64253090091,Calcium Chloride,27.5,19.25,4754.0,5269.0,4
NDC,64281010006,Provocholine,250.25,175.18,4754.0,5269.0,4
NDC,64281011005,Provocholine,371.25,259.88,4754.0,5269.0,4
NDC,64281011006,Provocholine,371.25,259.88,4754.0,5269.0,4
NDC,6432903,Vaxneuvance,659.66,461.76,4754.0,5269.0,4
NDC,64365050802,AVINza,2523.4,1766.38,4754.0,5269.0,4
NDC,64380-0723-06,Calcitriol,1.0,0.7,,,0
NDC,64380-0725-06,Mycophenolate Mofetil,1.93,1.35,0.2,0.31,4
NDC,64380-0737-06,Vitamin D2,1.0,0.7,,,0
NDC,64380-0782-06,predniSONE,1.0,0.7,0.01,0.01,4
NDC,64380-0789-32,Lidocaine,35.98,25.19,,,0
NDC,64380-0799-01,oseltamivir phosphate,4.44,3.11,,,0
NDC,64380-0808-07,Ibuprofen,1.0,0.7,,,0
NDC,64380-0834-06,acetaZOLAMIDE,1.68,1.18,,,0
NDC,64380-0881-80,Sevelamer Carbonate,4.54,3.18,,,0
NDC,64380-0883-04,cinacalcet hydrochloride,3.6,2.52,,,0
NDC,64380-0884-04,cinacalcet hydrochloride,2.48,1.74,,,0
NDC,64380-0971-06,Hydrocortisone,2.36,1.65,,,0
NDC,64380015801,Megestrol Acetate,52.25,36.58,4754.0,5269.0,4
NDC,64380016001,Megestrol Acetate,99.0,69.3,4754.0,5269.0,4
NDC,64380016901,Imipramine HCl,29.7,20.79,4754.0,5269.0,4
NDC,64380026902,Propafenone HCl,64.08,44.86,4754.0,5269.0,4
NDC,64380070703,lamiVUDine-zidovudine,367.46,257.22,4754.0,5269.0,4
NDC,64380071003,lamiVUDine,110.06,77.04,4754.0,5269.0,4
NDC,64380072206,Tacrolimus,275.0,192.5,4754.0,5269.0,4
NDC,64380072306,Calcitriol,74.53,52.17,4754.0,5269.0,4
NDC,64380072506,Mycophenolate Mofetil,110.28,77.2,4754.0,5269.0,4
NDC,64380072606,Mycophenolate Mofetil,54.45,38.12,4754.0,5269.0,4
NDC,64380073706,Vitamin D2,61.6,43.12,4754.0,5269.0,4
NDC,64380076921,PEG 3350/Sod Cl/Sod Bicarb and Pot Cl,154.0,107.8,4754.0,5269.0,4
NDC,64380078206,predniSONE,20.35,14.25,4754.0,5269.0,4
NDC,64380078306,predniSONE,24.2,16.94,4754.0,5269.0,4
NDC,64380079701,oseltamivir phosphate,33.0,23.1,4754.0,5269.0,4
NDC,64380079901,oseltamivir phosphate,50.88,35.62,4754.0,5269.0,4
NDC,64380080807,Ibuprofen,88.0,61.6,4754.0,5269.0,4
NDC,64380083306,acetaZOLAMIDE,73.15,51.21,4754.0,5269.0,4
NDC,64380083406,acetaZOLAMIDE,96.25,67.38,4754.0,5269.0,4
NDC,64380088304,cinacalcet hydrochloride,41.25,28.88,4754.0,5269.0,4
NDC,64380088404,cinacalcet hydrochloride,74.25,51.98,4754.0,5269.0,4
NDC,64380091806,Ursodiol,206.25,144.38,4754.0,5269.0,4
NDC,64380091906,Ursodiol,275.0,192.5,4754.0,5269.0,4
NDC,64406-0008-01,Tysabri,20096.48,14067.535,24.51,68.63,14
NDC,64406000801,Tysabri,24417.86,17092.5,4754.0,5269.0,4
NDC,64597030160,Nuedexta,4327.95,3029.57,4754.0,5269.0,4
NDC,6467300,Meruvax II,50.61,35.43,4754.0,5269.0,4
NDC,64679-0925-02,Enalapril Maleate,1.2,0.84,,,0
NDC,64679001201,Piperacillin and Tazobactam,17.88,12.52,4754.0,5269.0,4
NDC,64679001202,Piperacillin and Tazobactam,17.88,12.52,4754.0,5269.0,4
NDC,64679092302,Enalapril Maleate,102.3,71.61,4754.0,5269.0,4
NDC,64679092402,Enalapril Maleate,129.8,90.86,4754.0,5269.0,4
NDC,64679092502,Enalapril Maleate,136.4,95.48,4754.0,5269.0,4
NDC,64679092602,Enalapril Maleate,193.88,135.72,4754.0,5269.0,4
NDC,6468100,M-M-R II,263.29,184.3,4754.0,5269.0,4
NDC,6468101,M-M-R II,263.29,184.3,4754.0,5269.0,4
NDC,6470900,Attenuvax,43.76,30.63,4754.0,5269.0,4
NDC,64720020510,rOPINIRole HCl,706.75,494.73,4754.0,5269.0,4
NDC,6475300,Mumpsvax,50.41,35.29,4754.0,5269.0,4
NDC,64764-0300-20,Entyvio,20799.8,14559.86,21.37,59.84,14
NDC,64764-0730-30,Trintellix,41.14,28.8,,,0
NDC,64764004613,Prevacid,3805.18,2663.63,4754.0,5269.0,4
NDC,64764008060,Amitiza,1020.53,714.37,4754.0,5269.0,4
NDC,64764017530,Dexilant,848.1,593.67,4754.0,5269.0,4
NDC,64764030020,Entyvio,25739.76,18017.83,4754.0,5269.0,4
NDC,64764030430,Duetact,1632.93,1143.05,4754.0,5269.0,4
NDC,64764054411,Prevacid SoluTab,3805.18,2663.63,4754.0,5269.0,4
NDC,64764054430,Prevacid SoluTab,38.06,26.64,4754.0,5269.0,4
NDC,64764067730,Uloric,907.59,635.31,4754.0,5269.0,4
NDC,64764073030,Trintellix,1413.89,989.72,4754.0,5269.0,4
NDC,64764080530,Rozerem,1069.86,748.9,4754.0,5269.0,4
NDC,6482700,Varivax,526.26,368.38,4754.0,5269.0,4
NDC,6482701,Varivax,526.26,368.38,4754.0,5269.0,4
NDC,6483701,Pneumovax 23,321.98,225.39,4754.0,5269.0,4
NDC,6483703,Pneumovax 23,321.98,225.39,4754.0,5269.0,4
NDC,6484100,Vaqta,231.91,162.34,4754.0,5269.0,4
NDC,64850051301,Mixed Amphetamine Salts,116.05,81.24,4754.0,5269.0,4
NDC,6494300,Pneumovax 23,321.98,225.39,4754.0,5269.0,4
NDC,6494301,Pneumovax 23,321.98,225.39,4754.0,5269.0,4
NDC,64950021610,Isoniazid,489.5,342.65,4754.0,5269.0,4
NDC,64950036204,Cocaine HCl,673.75,471.63,4754.0,5269.0,4
NDC,64950037416,Acetaminophen-Codeine Phosphate,712.82,498.97,4754.0,5269.0,4
NDC,64980-0104-01,Phospha 250 Neutral,1.63,1.14,,,0
NDC,64980-0339-01,Magnesium Oxide,1.0,0.7,,,0
NDC,64980-0514-05,Timolol Maleate,23.28,16.3,,,0
NDC,64980-0515-05,Ofloxacin,36.0,25.2,,,0
NDC,64980-0528-10,Sodium Bicarbonate,1.0,0.7,,,0
NDC,64980-0564-01,Furosemide,1.0,0.7,,,0
NDC,64980-0592-48,Lactulose,14.03,9.82,,,0
NDC,64980010401,Phospha 250 Neutral,93.23,65.26,4754.0,5269.0,4
NDC,64980020901,oxyBUTYnin Chloride,41.25,28.88,4754.0,5269.0,4
NDC,64980027903,glipiZIDE,9.66,6.76,4754.0,5269.0,4
NDC,64980033901,Magnesium Oxide,28.88,20.22,4754.0,5269.0,4
NDC,64980033990,Magnesium Oxide,1.0,0.7,4754.0,5269.0,4
NDC,64980051405,Timolol Maleate,26.68,18.68,4754.0,5269.0,4
NDC,64980056301,Furosemide,14.58,10.21,4754.0,5269.0,4
NDC,64980056401,Furosemide,17.88,12.52,4754.0,5269.0,4
NDC,64980059248,Lactulose,22.12,15.48,4754.0,5269.0,4
NDC,64980064203,Albuterol Sulfate,5.32,3.72,4754.0,5269.0,4
NDC,6498100,Recombivax HB Pediatric-Adolescent,0.01,0.01,4754.0,5269.0,4
NDC,6498101,Recombivax HB Pediatric-Adolescent,39.215,27.45,4754.0,5269.0,8
NDC,6499200,Recombivax HB,537.19,376.03,4754.0,5269.0,4
NDC,65000603,Moxeza,466.68,326.68,4754.0,5269.0,4
NDC,65002315,Miostat,127.8,89.46,4754.0,5269.0,4
NDC,65008515,Naphcon-A,21.58,15.11,4754.0,5269.0,4
NDC,65009265,Fluorescite,157.96,110.57,4754.0,5269.0,4
NDC,65027225,Pataday,513.26,359.28,4754.0,5269.0,4
NDC,65030355,Isopto Atropine,158.32,110.82,4754.0,5269.0,4
NDC,65034510,Alomide,542.85,380.0,4754.0,5269.0,4
NDC,65041130,Betadine,48.84,34.19,4754.0,5269.0,4
NDC,65042636,GenTeal,18.2,12.74,4754.0,5269.0,4
NDC,65051801,Genteal Tears,19.67,13.77,4754.0,5269.0,4
NDC,65053001,Eye-Stream,54.87,38.41,4754.0,5269.0,4
NDC,65064515,Natacyn,1302.51,911.76,4754.0,5269.0,4
NDC,65065435,Ciloxan,589.5,412.65,4754.0,5269.0,4
NDC,65074114,Tetracaine HCl,38.17,26.72,4754.0,5269.0,4
NDC,65079515,BSS,34.78,24.35,4754.0,5269.0,4
NDC,65079550,BSS,105.88,74.12,4754.0,5269.0,4
NDC,6508301,Keytruda Qlex,66172.49,46320.74,4754.0,5269.0,4
NDC,6508399,Keytruda Qlex,66172.49,46320.74,4754.0,5269.0,4
NDC,65143128,Systane Ultra,5.59,3.91,4754.0,5269.0,4
NDC,65145015101,Phytonadione,117.62,82.33,4754.0,5269.0,4
NDC,65145015110,Phytonadione,117.62,82.33,4754.0,5269.0,4
NDC,65162-0188-10,Naproxen,1.0,0.7,,,0
NDC,65162-0189-10,Naproxen,1.0,0.7,,,0
NDC,65162-0442-10,Meclizine HCl,1.0,0.7,,,0
NDC,65162-0464-50,Ibuprofen,1.0,0.7,,,0
NDC,65162-0465-10,Ibuprofen,1.0,0.7,,,0
NDC,65162-0465-50,Ibuprofen,1.0,0.7,,,0
NDC,65162-0681-10,Phenazopyridine HCl,1.0,0.7,,,0
NDC,65162-0682-10,Phenazopyridine HCl,1.16,0.81,,,0
NDC,65162-0687-84,LORazepam,2.54,1.78,,,0
NDC,65162-0791-08,Lidocaine,6.03,4.22,,,0
NDC,65162005703,Raloxifene HCl,53.63,37.54,4754.0,5269.0,4
NDC,65162018810,Naproxen,19.25,13.48,4754.0,5269.0,4
NDC,65162018910,Naproxen,25.3,17.71,4754.0,5269.0,4
NDC,65162035109,Sildenafil,24.75,17.33,4754.0,5269.0,4
NDC,65162041603,Buprenorphine-Naloxone,91.66,64.16,4754.0,5269.0,4
NDC,65162046410,Ibuprofen,21.73,15.21,4754.0,5269.0,4
NDC,65162046450,Ibuprofen,108.63,76.04,4754.0,5269.0,4
NDC,65162046510,Ibuprofen,30.25,21.18,4754.0,5269.0,4
NDC,65162053710,Benzonatate,116.88,81.82,4754.0,5269.0,4
NDC,65162063003,Itraconazole,137.53,96.27,4754.0,5269.0,4
NDC,65162066910,Acebutolol HCl,178.75,125.13,4754.0,5269.0,4
NDC,65162068110,Phenazopyridine HCl,88.0,61.6,4754.0,5269.0,4
NDC,65162068210,Phenazopyridine HCl,132.0,92.4,4754.0,5269.0,4
NDC,65162075009,Dutasteride,123.75,86.63,4754.0,5269.0,4
NDC,65162075110,Benazepril Hydrochloride,19.25,13.48,4754.0,5269.0,4
NDC,65162076110,Warfarin Sodium,44.55,31.19,4754.0,5269.0,4
NDC,65162077810,Budesonide,611.88,428.32,4754.0,5269.0,4
NDC,65162079104,Lidocaine,6.91,4.84,4754.0,5269.0,4
NDC,65162079108,Lidocaine,207.24,145.07,4754.0,5269.0,4
NDC,65162083594,Acyclovir,41.25,28.88,4754.0,5269.0,4
NDC,65162091322,Voriconazole,2205.64,1543.95,4754.0,5269.0,4
NDC,65219-0281-07,gadobutrol,131.625,92.135,0.5,5269.0,6
NDC,65219-0281-10,gadobutrol,93.83500000000001,65.685,0.5,5269.0,6
NDC,65219-0383-05,Iodixanol,21.8,15.26,0.14,5269.0,8
NDC,65219-0383-10,Iodixanol,125.30499999999999,87.715,0.14,5269.0,8
NDC,65219-0445-10,Etomidate,13.2,9.24,,,0
NDC,65219001801,Ampicillin,16.23,11.36,4754.0,5269.0,4
NDC,65219001810,Ampicillin,16.23,11.36,4754.0,5269.0,4
NDC,65219005209,Potassium Phosphates,65.95,46.17,4754.0,5269.0,4
NDC,65219005229,Potassium Phosphates,65.95,46.17,4754.0,5269.0,4
NDC,65219025700,ePHEDrine Sulfate,21.43,15.0,4754.0,5269.0,4
NDC,65219025701,ePHEDrine Sulfate,21.43,15.0,4754.0,5269.0,4
NDC,65219028103,gadobutrol,119.86,83.9,4754.0,5269.0,4
NDC,65219028107,gadobutrol,119.86,83.9,4754.0,5269.0,4
NDC,65219028108,gadobutrol,159.78,111.85,4754.0,5269.0,4
NDC,65219028110,gadobutrol,159.78,111.85,4754.0,5269.0,4
NDC,65219036801,LORazepam,5.23,3.66,4754.0,5269.0,4
NDC,65219036802,LORazepam,5.23,3.66,4754.0,5269.0,4
NDC,65219038302,Iodixanol,124.85,87.4,4754.0,5269.0,4
NDC,65219038304,Iodixanol,249.7,174.79,4754.0,5269.0,4
NDC,65219038305,Iodixanol,124.85,87.4,4754.0,5269.0,4
NDC,65219038310,Iodixanol,249.7,174.79,4754.0,5269.0,4
NDC,65219053301,Intralipid,133.38,93.37,4754.0,5269.0,4
NDC,65219053325,Intralipid,133.38,93.37,4754.0,5269.0,4
NDC,65219054601,Simplist ePHEDrine Sulfate +RFID,33.97,23.78,4754.0,5269.0,4
NDC,65219054605,Simplist ePHEDrine Sulfate +RFID,33.97,23.78,4754.0,5269.0,4
NDC,65250-0133-09,Exparel,663.55,464.49,1.66,4.65,7
NDC,65250-0266-09,Exparel,902.69,631.88,1.66,4.65,21
NDC,65250013309,Exparel,663.55,464.49,4754.0,5269.0,4
NDC,65250013310,Exparel,663.55,464.49,4754.0,5269.0,4
NDC,65250026604,Exparel,1096.37,767.46,4754.0,5269.0,4
NDC,65250026609,Exparel,1096.37,767.46,4754.0,5269.0,4
NDC,65250026620,Exparel,1096.37,767.46,4754.0,5269.0,4
NDC,65293-0001-01,Angiomax,449.28,314.5,0.25,0.34,4
NDC,65302-0504-10,INJECTION; SUCCINYLCHOLINE CHLORIDE; UP TO 20 MG,25.68,17.98,0.16,0.18,3
NDC,65414727,Simbrinza,580.83,406.58,4754.0,5269.0,4
NDC,6542302,Bridion,374.39,262.07,4754.0,5269.0,4
NDC,6542312,Bridion,374.39,262.07,4754.0,5269.0,4
NDC,6542505,Bridion,685.72,480.0,4754.0,5269.0,4
NDC,6542515,Bridion,685.72,480.0,4754.0,5269.0,4
NDC,65597-0406-01,Enhertu,10110.135,7077.095,31.3,87.64,56
NDC,65597-0801-01,Datroway,35215.71,24651.0,,,0
NDC,65597020330,Savaysa,1262.75,883.93,4754.0,5269.0,4
NDC,65597040601,Enhertu,8487.8,5941.46,4754.0,5269.0,4
NDC,65597080101,Datroway,13450.45,9415.32,4754.0,5269.0,4
NDC,65628-0205-10,Firvanq,6.68,4.68,,,0
NDC,65628020405,Firvanq,369.6,258.72,4754.0,5269.0,4
NDC,65649-0303-02,Xifaxan,138.54,96.98,,,0
NDC,65649-0303-03,Xifaxan,158.74,111.12,,,0
NDC,65649-0551-03,Relistor,311.54,218.08,4754.0,5269.0,4
NDC,65649010302,Apriso,1403.49,982.44,4754.0,5269.0,4
NDC,65649020175,MoviPrep,346.17,242.32,4754.0,5269.0,4
NDC,65649030103,Xifaxan,926.15,648.31,4754.0,5269.0,4
NDC,65649030302,Xifaxan,9523.97,6666.78,4754.0,5269.0,4
NDC,65649030303,Xifaxan,9523.97,6666.78,4754.0,5269.0,4
NDC,65649055102,Relistor,467.31,327.12,4754.0,5269.0,4
NDC,65649055103,Relistor,467.31,327.12,4754.0,5269.0,4
NDC,65757-0300-01,Vivitrol,0.01,0.01,4.24,11.87,7
NDC,65757-0401-03,Aristada,0.01,0.01,3.34,9.35,21
NDC,65757-0403-03,Aristada,0.01,0.01,3.34,9.35,7
NDC,65757-0404-03,Aristada,0.01,0.01,3.34,9.35,14
NDC,65757-0500-03,Aristada Initio,0.01,0.01,3.24,9.07,7
NDC,65757040103,Aristada,4375.25,3062.68,4754.0,5269.0,4
NDC,65757040203,Aristada,6567.86,4597.5,4754.0,5269.0,4
NDC,65757040303,Aristada,8750.48,6125.34,4754.0,5269.0,4
NDC,65757050003,Aristada Initio,6696.83,4687.78,4754.0,5269.0,4
NDC,65757065142,Lybalvi,4529.75,3170.83,4754.0,5269.0,4
NDC,65806301,GenTeal Tears,26.83,18.78,4754.0,5269.0,4
NDC,65862-0062-99,Metoprolol Tartrate,1.0,0.7,,,0
NDC,65862-0063-99,Metoprolol Tartrate,1.0,0.7,,,0
NDC,65862-0064-01,Metoprolol Tartrate,1.0,0.7,,,0
NDC,65862-0076-01,Ciprofloxacin,1.0,0.7,,,0
NDC,65862-0077-01,Ciprofloxacin,1.0,0.7,,,0
NDC,65862-0117-01,Benazepril Hydrochloride,1.0,0.7,,,0
NDC,65862-0147-36,SUMAtriptan Succinate,1.07,0.75,,,0
NDC,65862-0186-01,Clindamycin HCl,1.04,0.73,,,0
NDC,65862-0188-30,Ondansetron HCl,1.39,0.97,,,0
NDC,65862-0192-01,FLUoxetine HCl,1.0,0.7,,,0
NDC,65862-0201-90,Losartan Potassium,1.0,0.7,,,0
NDC,65862-0202-99,Losartan Potassium,1.0,0.7,,,0
NDC,65862-0211-50,Minocycline HCl,1.34,0.94,,,0
NDC,65862-0227-01,lamoTRIgine,1.0,0.7,,,0
NDC,65862-0228-01,lamoTRIgine,2.0,1.4,,,0
NDC,65862-0246-08,levETIRAcetam,1.0,0.7,,,0
NDC,65862-0295-90,Rosuvastatin Calcium,1.0,0.7,,,0
NDC,65862-0296-90,Rosuvastatin Calcium,1.0,0.7,,,0
NDC,65862-0354-30,emtricitabine-tenofovir disoproxil fumarate,2.4,1.68,1.34,3.75,7
NDC,65862-0357-05,Clopidogrel,1.0,0.7,,,0
NDC,65862-0373-01,Escitalopram,1.0,0.7,,,0
NDC,65862-0375-01,Escitalopram,1.0,0.7,,,0
NDC,65862-0390-10,Ondansetron,1.47,1.03,,,0
NDC,65862-0419-01,Sulfamethoxazole/Trimethoprim,1.0,0.7,,,0
NDC,65862-0420-01,Sulfamethoxazole/Trimethoprim,1.0,0.7,,,0
NDC,65862-0420-05,Sulfamethoxazole/Trimethoprim,1.0,0.7,,,0
NDC,65862-0458-60,Galantamine,3.62,2.53,,,0
NDC,65862-0468-90,Losartan Potassium-hydroCHLOROthiazide,1.0,0.7,,,0
NDC,65862-0469-30,Losartan Potassium-hydroCHLOROthiazide,1.0,0.7,,,0
NDC,65862-0469-90,Losartan Potassium-hydroCHLOROthiazide,1.0,0.7,,,0
NDC,65862-0470-30,Losartan Potassium-hydroCHLOROthiazide,1.0,0.7,,,0
NDC,65862-0475-01,Ramipril,1.0,0.7,,,0
NDC,65862-0496-47,Sulfamethoxazole/Trimethoprim,5.01,3.51,,,0
NDC,65862-0502-20,Amoxicillin/Clavulanate Potassium,1.06,0.74,,,0
NDC,65862-0503-20,Amoxicillin/Clavulanate Potassium,1.0,0.7,,,0
NDC,65862-0522-01,Naproxen,1.0,0.7,,,0
NDC,65862-0527-30,Venlafaxine HCl,1.88,1.32,,,0
NDC,65862-0528-30,Venlafaxine HCl,1.0,0.7,,,0
NDC,65862-0528-90,Venlafaxine HCl,1.0,0.7,,,0
NDC,65862-0534-50,Amoxicillin/Clavulanate Potassium,5.19,3.63,,,0
NDC,65862-0560-99,Pantoprazole Sodium,1.0,0.7,,,0
NDC,65862-0574-90,Montelukast Sodium,1.0,0.7,,,0
NDC,65862-0594-01,Divalproex Sodium,1.0,0.7,,,0
NDC,65862-0595-01,Divalproex Sodium,2.0,1.4,,,0
NDC,65862-0601-30,Modafinil,3.84,2.69,,,0
NDC,65862-0603-30,Moxifloxacin HCl,7.06,4.94,,,0
NDC,65862-0641-63,Azithromycin,3.53,2.47,,,0
NDC,65862-0670-01,Repaglinide,2.0,1.4,,,0
NDC,65862-0697-30,Venlafaxine HCl,1.0,0.7,,,0
NDC,65862-0697-90,Venlafaxine HCl,1.0,0.7,,,0
NDC,65862-0709-30,Raloxifene HCl,2.78,1.95,,,0
NDC,65862-0732-05,Amiodarone HCl,1.0,0.7,,,0
NDC,65862-0753-60,valGANciclovir hydrochloride,9.53,6.67,,,0
NDC,65862-0782-01,Methenamine Hippurate,3.84,2.69,,,0
NDC,65862-0832-30,cinacalcet hydrochloride,2.16,1.51,,,0
NDC,65862-0846-01,cloZAPine,2.62,1.83,,,0
NDC,65862-0908-01,Celecoxib,1.0,0.7,,,0
NDC,65862-0909-01,Celecoxib,1.0,0.7,,,0
NDC,65862-0921-27,Sevelamer Carbonate,1.0,0.7,,,0
NDC,65862000501,Citalopram Hydrobromide,15.68,10.98,4754.0,5269.0,4
NDC,65862000701,Citalopram Hydrobromide,15.68,10.98,4754.0,5269.0,4
NDC,65862001801,Cephalexin,30.25,21.18,4754.0,5269.0,4
NDC,65862002106,Mirtazapine,35.15,24.61,4754.0,5269.0,4
NDC,65862002760,Nevirapine,110.06,77.04,4754.0,5269.0,4
NDC,65862004824,Zidovudine,99.0,69.3,4754.0,5269.0,4
NDC,65862005090,Simvastatin,22.77,15.94,4754.0,5269.0,4
NDC,65862005724,Nevirapine,416.46,291.52,4754.0,5269.0,4
NDC,65862006201,Metoprolol Tartrate,6.05,4.24,4754.0,5269.0,4
NDC,65862006299,Metoprolol Tartrate,60.5,42.35,4754.0,5269.0,4
NDC,65862006301,Metoprolol Tartrate,7.7,5.39,4754.0,5269.0,4
NDC,65862006401,Metoprolol Tartrate,9.9,6.93,4754.0,5269.0,4
NDC,65862007101,Amoxicillin,17.6,12.32,4754.0,5269.0,4
NDC,65862007150,Amoxicillin,8.8,6.16,4754.0,5269.0,4
NDC,65862007601,Ciprofloxacin,61.88,43.32,4754.0,5269.0,4
NDC,65862009620,Cefpodoxime Proxetil,205.32,143.72,4754.0,5269.0,4
NDC,65862010701,Zidovudine,416.63,291.64,4754.0,5269.0,4
NDC,65862011260,Stavudine,258.06,180.64,4754.0,5269.0,4
NDC,65862011701,Benazepril Hydrochloride,23.65,16.56,4754.0,5269.0,4
NDC,65862014636,SUMAtriptan Succinate,8.25,5.78,4754.0,5269.0,4
NDC,65862014736,SUMAtriptan Succinate,10.99,7.69,4754.0,5269.0,4
NDC,65862014990,Finasteride,32.92,23.04,4754.0,5269.0,4
NDC,65862017760,Cefdinir,137.45,96.22,4754.0,5269.0,4
NDC,65862018601,Clindamycin HCl,118.25,82.78,4754.0,5269.0,4
NDC,65862018830,Ondansetron HCl,15.84,11.09,4754.0,5269.0,4
NDC,65862019201,FLUoxetine HCl,15.95,11.17,4754.0,5269.0,4
NDC,65862020299,Losartan Potassium,151.25,105.88,4754.0,5269.0,4
NDC,65862020768,Ribavirin,283.21,198.25,4754.0,5269.0,4
NDC,65862021960,Cefdinir,47.96,33.57,4754.0,5269.0,4
NDC,65862022560,Clarithromycin,153.95,107.77,4754.0,5269.0,4
NDC,65862022660,Clarithromycin,153.95,107.77,4754.0,5269.0,4
NDC,65862022701,lamoTRIgine,12.38,8.67,4754.0,5269.0,4
NDC,65862022801,lamoTRIgine,17.88,12.52,4754.0,5269.0,4
NDC,65862024608,levETIRAcetam,23.76,16.63,4754.0,5269.0,4
NDC,65862028601,Perindopril Erbumine,154.0,107.8,4754.0,5269.0,4
NDC,65862028701,Perindopril Erbumine,162.25,113.58,4754.0,5269.0,4
NDC,65862029390,Rosuvastatin Calcium,16.59,11.61,4754.0,5269.0,4
NDC,65862029590,Rosuvastatin Calcium,16.59,11.61,4754.0,5269.0,4
NDC,65862029690,Rosuvastatin Calcium,20.55,14.39,4754.0,5269.0,4
NDC,65862030130,Emtricitabine,1325.53,927.87,4754.0,5269.0,4
NDC,65862030612,FLUoxetine HCl,189.75,132.83,4754.0,5269.0,4
NDC,65862035430,emtricitabine-tenofovir disoproxil fumarate,82.5,57.75,4754.0,5269.0,4
NDC,65862035790,Clopidogrel,20.05,14.04,4754.0,5269.0,4
NDC,65862037301,Escitalopram,27.5,19.25,4754.0,5269.0,4
NDC,65862037401,Escitalopram,33.0,23.1,4754.0,5269.0,4
NDC,65862037501,Escitalopram,41.25,28.88,4754.0,5269.0,4
NDC,65862039010,Ondansetron,50.49,35.34,4754.0,5269.0,4
NDC,65862041901,Sulfamethoxazole/Trimethoprim,16.5,11.55,4754.0,5269.0,4
NDC,65862042001,Sulfamethoxazole/Trimethoprim,17.33,12.13,4754.0,5269.0,4
NDC,65862045860,Galantamine,108.57,76.0,4754.0,5269.0,4
NDC,65862046890,Losartan Potassium-hydroCHLOROthiazide,51.73,36.21,4754.0,5269.0,4
NDC,65862046930,Losartan Potassium-hydroCHLOROthiazide,23.52,16.46,4754.0,5269.0,4
NDC,65862046990,Losartan Potassium-hydroCHLOROthiazide,36.63,25.64,4754.0,5269.0,4
NDC,65862047030,Losartan Potassium-hydroCHLOROthiazide,23.52,16.46,4754.0,5269.0,4
NDC,65862047501,Ramipril,52.25,36.58,4754.0,5269.0,4
NDC,65862047701,Ramipril,57.75,40.43,4754.0,5269.0,4
NDC,65862049647,Sulfamethoxazole/Trimethoprim,118.37,82.86,4754.0,5269.0,4
NDC,65862049730,Efavirenz-Emtricitabine-Tenofovir Disoproxil Fumar,226.88,158.82,4754.0,5269.0,4
NDC,65862050220,Amoxicillin/Clavulanate Potassium,24.2,16.94,4754.0,5269.0,4
NDC,65862050301,Amoxicillin/Clavulanate Potassium,132.0,92.4,4754.0,5269.0,4
NDC,65862050320,Amoxicillin/Clavulanate Potassium,19.97,13.98,4754.0,5269.0,4
NDC,65862051230,Pioglitazone,10.98,7.69,4754.0,5269.0,4
NDC,65862052201,Naproxen,25.58,17.91,4754.0,5269.0,4
NDC,65862052730,Venlafaxine HCl,18.73,13.11,4754.0,5269.0,4
NDC,65862052830,Venlafaxine HCl,23.1,16.17,4754.0,5269.0,4
NDC,65862052890,Venlafaxine HCl,57.67,40.37,4754.0,5269.0,4
NDC,65862053350,Amoxicillin/Clavulanate Potassium,23.79,16.65,4754.0,5269.0,4
NDC,65862053450,Amoxicillin/Clavulanate Potassium,29.7,20.79,4754.0,5269.0,4
NDC,65862053650,levoFLOXacin,44.0,30.8,4754.0,5269.0,4
NDC,65862053820,levoFLOXacin,39.88,27.92,4754.0,5269.0,4
NDC,65862055990,Pantoprazole Sodium,15.1,10.57,4754.0,5269.0,4
NDC,65862056090,Pantoprazole Sodium,15.1,10.57,4754.0,5269.0,4
NDC,65862056099,Pantoprazole Sodium,137.5,96.25,4754.0,5269.0,4
NDC,65862057490,Montelukast Sodium,31.68,22.18,4754.0,5269.0,4
NDC,65862059401,Divalproex Sodium,34.1,23.87,4754.0,5269.0,4
NDC,65862059501,Divalproex Sodium,66.0,46.2,4754.0,5269.0,4
NDC,65862059760,lamiVUDine-zidovudine,343.7,240.59,4754.0,5269.0,4
NDC,65862059801,Tamsulosin HCl,21.18,14.83,4754.0,5269.0,4
NDC,65862060130,Modafinil,33.0,23.1,4754.0,5269.0,4
NDC,65862060330,Moxifloxacin HCl,242.64,169.85,4754.0,5269.0,4
NDC,65862061890,Quinapril,41.34,28.94,4754.0,5269.0,4
NDC,65862064130,Azithromycin,72.77,50.94,4754.0,5269.0,4
NDC,65862064163,Azithromycin,12.13,8.49,4754.0,5269.0,4
NDC,65862064169,Azithromycin,12.13,8.49,4754.0,5269.0,4
NDC,65862067001,Repaglinide,85.25,59.68,4754.0,5269.0,4
NDC,65862067201,Repaglinide,85.25,59.68,4754.0,5269.0,4
NDC,65862068730,ritonavir,220.03,154.02,4754.0,5269.0,4
NDC,65862069790,Venlafaxine HCl,68.81,48.17,4754.0,5269.0,4
NDC,65862070260,Ziprasidone HCl,68.81,48.17,4754.0,5269.0,4
NDC,65862070755,Amoxicillin,13.62,9.53,4754.0,5269.0,4
NDC,65862070780,Amoxicillin,8.58,6.01,4754.0,5269.0,4
NDC,65862071260,atazanavir sulfate,490.05,343.04,4754.0,5269.0,4
NDC,65862071330,atazanavir sulfate,490.05,343.04,4754.0,5269.0,4
NDC,65862073205,Amiodarone HCl,364.38,255.07,4754.0,5269.0,4
NDC,65862073260,Amiodarone HCl,44.55,31.19,4754.0,5269.0,4
NDC,65862075360,valGANciclovir hydrochloride,654.89,458.42,4754.0,5269.0,4
NDC,65862077628,Mili,29.42,20.59,4754.0,5269.0,4
NDC,65862077685,Mili,29.42,20.59,4754.0,5269.0,4
NDC,65862078201,Methenamine Hippurate,220.0,154.0,4754.0,5269.0,4
NDC,65862080630,armodafinil,90.18,63.13,4754.0,5269.0,4
NDC,65862083030,Prasugrel,68.07,47.65,4754.0,5269.0,4
NDC,65862084601,cloZAPine,257.68,180.38,4754.0,5269.0,4
NDC,65862084701,cloZAPine,563.48,394.44,4754.0,5269.0,4
NDC,65862090801,Celecoxib,30.25,21.18,4754.0,5269.0,4
NDC,65862090901,Celecoxib,49.5,34.65,4754.0,5269.0,4
NDC,65862092127,Sevelamer Carbonate,219.78,153.85,4754.0,5269.0,4
NDC,65862092528,Incassia,11.02,7.71,4754.0,5269.0,4
NDC,65862092585,Incassia,11.02,7.71,4754.0,5269.0,4
NDC,65862093008,Sevelamer Carbonate,5.2,3.64,4754.0,5269.0,4
NDC,65862093090,Sevelamer Carbonate,467.53,327.27,4754.0,5269.0,4
NDC,65862093108,Sevelamer Carbonate,5.2,3.64,4754.0,5269.0,4
NDC,65862093190,Sevelamer Carbonate,467.53,327.27,4754.0,5269.0,4
NDC,65862093630,Paricalcitol,122.35,85.65,4754.0,5269.0,4
NDC,65862094601,Dorzolamide HCl-Timolol Maleate,55.0,38.5,4754.0,5269.0,4
NDC,65924005,Durezol,347.6,243.32,4754.0,5269.0,4
NDC,65924007,Durezol,599.5,419.65,4754.0,5269.0,4
NDC,65930501,Bion Tears,34.19,23.93,4754.0,5269.0,4
NDC,66215010206,Tracleer,36887.9,25821.53,4754.0,5269.0,4
NDC,66215040201,Veletri,151.97,106.38,4754.0,5269.0,4
NDC,66215040301,Veletri,75.99,53.19,4754.0,5269.0,4
NDC,66215060606,Uptravi,65640.14,45948.1,4754.0,5269.0,4
NDC,66215071801,Uptravi,1091.92,764.34,4754.0,5269.0,4
NDC,66220-0315-22,Vibativ,1020.09,714.06,7.37,20.64,35
NDC,66220031511,Vibativ,1805.87,1264.11,4754.0,5269.0,4
NDC,66220031522,Vibativ,1805.87,1264.11,4754.0,5269.0,4
NDC,66288-6100-01,cefTRIAXone Sodium,10.8,7.56,3.18,11.16,4
NDC,66288-8100-01,Cefepime,22.8,15.96,2.06,7.12,4
NDC,66288110001,ceFAZolin,330.0,231.0,4754.0,5269.0,4
NDC,66288610001,cefTRIAXone Sodium,618.75,433.13,4754.0,5269.0,4
NDC,66288810001,Cefepime,1306.25,914.38,4754.0,5269.0,4
NDC,66302010101,Remodulin,3501.63,2451.14,4754.0,5269.0,4
NDC,66302010201,Remodulin,8754.08,6127.86,4754.0,5269.0,4
NDC,66302010501,Remodulin,17508.15,12255.71,4754.0,5269.0,4
NDC,66302011001,Remodulin,35016.3,24511.41,4754.0,5269.0,4
NDC,66302020603,Tyvaso,2174.42,1522.09,4754.0,5269.0,4
NDC,66479002356,Amicar,1821.05,1274.74,4754.0,5269.0,4
NDC,66479052001,Duraclon,121.0,84.7,4754.0,5269.0,4
NDC,66553-0004-01,Calcium Carbonate,1.0,0.7,,,0
NDC,66553000801,Sodium Bicarbonate,79.75,55.83,4754.0,5269.0,4
NDC,66591081551,Methadone HCl,188.1,131.67,4754.0,5269.0,4
NDC,66591083931,M.V.I. Pediatric,17.98,12.59,4754.0,5269.0,4
NDC,66658023001,Synagis,5006.82,3504.77,4754.0,5269.0,4
NDC,66658023101,Synagis,9454.28,6618.0,4754.0,5269.0,4
NDC,66658023401,Kineret PFS,579.39,405.57,4754.0,5269.0,4
NDC,66658023407,Kineret PFS,579.39,405.57,4754.0,5269.0,4
NDC,66685101100,Amoxicillin/Clavulanate Potassium,23.79,16.65,4754.0,5269.0,4
NDC,66689-0836-99,Methadone HCl,7.68,5.38,,,0
NDC,66689000802,Nystatin,33.0,23.1,4754.0,5269.0,4
NDC,66689003101,Metoclopramide,14.85,10.4,4754.0,5269.0,4
NDC,66689005301,Milk Of Magnesia,5.37,3.76,4754.0,5269.0,4
NDC,66689005399,Milk Of Magnesia,5.37,3.76,4754.0,5269.0,4
NDC,66689010502,Thyquidity,397.1,277.97,4754.0,5269.0,4
NDC,66689010504,Thyquidity,397.1,277.97,4754.0,5269.0,4
NDC,66689020208,Kerr Insta-Char,82.5,57.75,4754.0,5269.0,4
NDC,66689032702,Digoxin,327.2,229.04,4754.0,5269.0,4
NDC,66689077508,Phenytoin,205.96,144.17,4754.0,5269.0,4
NDC,66715030,Carac,2289.54,1602.68,4754.0,5269.0,4
NDC,66733-0948-23,Erbitux,1157.91,810.54,80.34,224.95,49
NDC,66733-0958-23,Erbitux,15438.72,10807.1,80.34,224.95,49
NDC,66733094823,Erbitux,2300.38,1610.27,4754.0,5269.0,4
NDC,66733095823,Erbitux,4600.75,3220.53,4754.0,5269.0,4
NDC,66758-0050-03,DOCEtaxel,882.0,617.4,0.87,1.39,4
NDC,66758001604,Phenylephrine HCl,25.14,17.6,4754.0,5269.0,4
NDC,66758005002,DOCEtaxel,550.0,385.0,4754.0,5269.0,4
NDC,66758005003,DOCEtaxel,1100.0,770.0,4754.0,5269.0,4
NDC,66758007138,Ciloxan,747.59,523.31,4754.0,5269.0,4
NDC,66794-0219-43,Linezolid,45.36,31.75,3.62,5.4,4
NDC,66794021943,Linezolid,51.98,36.39,4754.0,5269.0,4
NDC,66794021963,Linezolid,51.98,36.39,4754.0,5269.0,4
NDC,66794023002,dexmedeTOMIDine HCl,14.44,10.11,4754.0,5269.0,4
NDC,66794023042,dexmedeTOMIDine HCl,14.44,10.11,4754.0,5269.0,4
NDC,66825000201,Florastor,77.97,54.58,4754.0,5269.0,4
NDC,66860003003,Cefuroxime Sodium,8.25,5.78,4754.0,5269.0,4
NDC,66869040490,Livalo,2637.86,1846.5,4754.0,5269.0,4
NDC,66887000301,Xiaflex,19547.06,13682.94,4754.0,5269.0,4
NDC,66993-0078-96,Fluticasone Propionate HFA,319.07,223.35,,,0
NDC,66993-0079-96,Fluticasone Propionate HFA,427.2,299.04,,,0
NDC,66993-0432-85,Prazosin HCl,2.16,1.51,,,0
NDC,66993-0456-30,dapagliflozin propanediol,30.28,21.2,,,0
NDC,66993-0457-30,dapagliflozin propanediol,30.28,21.2,,,0
NDC,66993000210,Estradiol,197.99,138.59,4754.0,5269.0,4
NDC,66993006027,Atovaquone/Proguanil HCl,407.42,285.19,4754.0,5269.0,4
NDC,66993007896,Fluticasone Propionate HFA,365.6,255.92,4754.0,5269.0,4
NDC,66993007996,Fluticasone Propionate HFA,489.49,342.64,4754.0,5269.0,4
NDC,66993008096,Fluticasone Propionate HFA,760.26,532.18,4754.0,5269.0,4
NDC,66993037179,medroxyPROGESTERone acetate,198.0,138.6,4754.0,5269.0,4
NDC,66993043285,Prazosin HCl,110.39,77.27,4754.0,5269.0,4
NDC,66993045630,dapagliflozin propanediol,1040.74,728.52,4754.0,5269.0,4
NDC,66993045730,dapagliflozin propanediol,1040.74,728.52,4754.0,5269.0,4
NDC,66993087861,Calcipotriene,829.29,580.5,4754.0,5269.0,4
NDC,66993096245,metroNIDAZOLE,379.17,265.42,4754.0,5269.0,4
NDC,67066000501,Chirhostim,1443.75,1010.63,4754.0,5269.0,4
NDC,67108356509,Mesnex,2161.26,1512.88,4754.0,5269.0,4
NDC,67157010150,Ascor,735.08,514.56,4754.0,5269.0,4
NDC,67157010151,Ascor,735.08,514.56,4754.0,5269.0,4
NDC,67253065110,Propylthiouracil,206.25,144.38,4754.0,5269.0,4
NDC,67386-0130-51,Vyepti,13160.38,9212.27,20.5,57.4,14
NDC,67386013051,Vyepti,5335.2,3734.64,4754.0,5269.0,4
NDC,67405082505,Benzoyl Peroxide Wash,20.76,14.53,4754.0,5269.0,4
NDC,67457-0153-03,Amiodarone HCl,9.2,6.44,0.29,0.33,3
NDC,67457-0182-10,Esmolol HCl,2.89,2.02,0.22,0.43,4
NDC,67457-0217-20,Methadone HCl,64.61,45.23,20.61,32.16,4
NDC,67457-0220-05,Isosulfan Blue,2331.25,1631.875,9.81,27.47,42
NDC,67457-0265-10,levETIRAcetam,51.6,36.12,0.07,0.1,4
NDC,67457-0292-02,Naloxone HCl,25.75,18.025,8.06,11.92,4
NDC,67457-0323-25,Moxifloxacin HCl,105.6,73.92,8.77,15.42,4
NDC,67457-0385-99,Heparin Sodium,20.0,14.0,0.27,0.44,4
NDC,67457-0410-13,Haloperidol Decanoate,105.6,73.92,6.75,14.35,4
NDC,67457-0420-10,dexAMETHasone Sodium Phosphate,8.0,5.6,0.12,0.19,4
NDC,67457-0422-54,dexAMETHasone Sodium Phosphate,20.0,14.0,0.12,0.19,4
NDC,67457-0423-12,dexAMETHasone Sodium Phosphate,8.0,5.6,0.12,0.19,4
NDC,67457-0426-12,Haloperidol,8.0,5.6,1.26,2.32,4
NDC,67457-0428-30,Tobramycin,15.69,10.98,2.55,4.35,4
NDC,67457-0433-22,Famotidine,2.45,1.72,,,0
NDC,67457-0473-22,Tobramycin,21.39,14.97,2.55,4.35,4
NDC,67457-0530-35,Leucovorin Calcium,110.57,77.4,5.14,7.31,4
NDC,67457-0533-16,DOCEtaxel,615.84,431.09,0.87,1.39,4
NDC,67457-0638-10,Iron Sucrose,164.76,115.33,0.23,0.62,4
NDC,67457-0855-02,Adenosine,14.4,10.08,0.56,0.98,4
NDC,67457-0863-01,Granisetron Hydrochloride,24.0,16.8,0.33,0.62,4
NDC,67457-0887-99,medroxyPROGESTERone acetate,41.36,28.955,0.57,0.81,3
NDC,67457015300,Amiodarone HCl,12.11,8.48,4754.0,5269.0,4
NDC,67457015303,Amiodarone HCl,12.11,8.48,4754.0,5269.0,4
NDC,67457017750,Rimso-50,2006.82,1404.77,4754.0,5269.0,4
NDC,67457018200,Esmolol HCl,19.25,13.48,4754.0,5269.0,4
NDC,67457018210,Esmolol HCl,19.25,13.48,4754.0,5269.0,4
NDC,67457019805,Ultiva,370.48,259.34,4754.0,5269.0,4
NDC,67457019899,Ultiva,370.48,259.34,4754.0,5269.0,4
NDC,67457020725,Dexrazoxane,754.22,527.95,4754.0,5269.0,4
NDC,67457021202,Argatroban,1402.5,981.75,4754.0,5269.0,4
NDC,67457021720,Methadone HCl,1292.01,904.41,4754.0,5269.0,4
NDC,67457022000,Isosulfan Blue,3339.03,2337.32,4754.0,5269.0,4
NDC,67457022005,Isosulfan Blue,3339.03,2337.32,4754.0,5269.0,4
NDC,67457022800,Rocuronium Bromide,13.34,9.34,4754.0,5269.0,4
NDC,67457022805,Rocuronium Bromide,13.34,9.34,4754.0,5269.0,4
NDC,67457025600,bivalirudin,275.0,192.5,4754.0,5269.0,4
NDC,67457025610,bivalirudin,275.0,192.5,4754.0,5269.0,4
NDC,67457029200,Naloxone HCl,27.5,19.25,4754.0,5269.0,4
NDC,67457029202,Naloxone HCl,27.5,19.25,4754.0,5269.0,4
NDC,67457032325,Moxifloxacin HCl,121.0,84.7,4754.0,5269.0,4
NDC,67457034001,Vancomycin HCl,44.11,30.88,4754.0,5269.0,4
NDC,67457039054,Zoledronic Acid,121.0,84.7,4754.0,5269.0,4
NDC,67457042000,dexAMETHasone Sodium Phosphate,11.0,7.7,4754.0,5269.0,4
NDC,67457042010,dexAMETHasone Sodium Phosphate,11.0,7.7,4754.0,5269.0,4
NDC,67457042200,dexAMETHasone Sodium Phosphate,5.37,3.76,4754.0,5269.0,4
NDC,67457042254,dexAMETHasone Sodium Phosphate,5.37,3.76,4754.0,5269.0,4
NDC,67457042300,dexAMETHasone Sodium Phosphate,2.14,1.5,4754.0,5269.0,4
NDC,67457042312,dexAMETHasone Sodium Phosphate,2.14,1.5,4754.0,5269.0,4
NDC,67457042600,Haloperidol,2.42,1.69,4754.0,5269.0,4
NDC,67457042612,Haloperidol,2.42,1.69,4754.0,5269.0,4
NDC,67457042800,Tobramycin,59.9,41.93,4754.0,5269.0,4
NDC,67457042830,Tobramycin,59.9,41.93,4754.0,5269.0,4
NDC,67457043010,Pamidronate Disodium,74.25,51.98,4754.0,5269.0,4
NDC,67457043300,Famotidine,2.45,1.72,4754.0,5269.0,4
NDC,67457043322,Famotidine,2.45,1.72,4754.0,5269.0,4
NDC,67457043800,Vecuronium Bromide,15.68,10.98,4754.0,5269.0,4
NDC,67457044560,rifAMPin,423.78,296.65,4754.0,5269.0,4
NDC,67457044610,Pamidronate Disodium,257.29,180.1,4754.0,5269.0,4
NDC,67457047300,Tobramycin,5.45,3.82,4754.0,5269.0,4
NDC,67457047322,Tobramycin,5.45,3.82,4754.0,5269.0,4
NDC,67457051305,DACTINomycin,4009.7,2806.79,4754.0,5269.0,4
NDC,67457052920,Leucovorin Calcium,110.0,77.0,4754.0,5269.0,4
NDC,67457053035,Leucovorin Calcium,52.12,36.48,4754.0,5269.0,4
NDC,67457053316,DOCEtaxel,880.0,616.0,4754.0,5269.0,4
NDC,67457058200,Fondaparinux Sodium,68.36,47.85,4754.0,5269.0,4
NDC,67457058210,Fondaparinux Sodium,68.36,47.85,4754.0,5269.0,4
NDC,67457058400,Fondaparinux Sodium,160.88,112.62,4754.0,5269.0,4
NDC,67457058406,Fondaparinux Sodium,160.88,112.62,4754.0,5269.0,4
NDC,67457062910,eptifibatide,82.5,57.75,4754.0,5269.0,4
NDC,67457063110,eptifibatide,275.0,192.5,4754.0,5269.0,4
NDC,67457067502,Miacalcin,2750.0,1925.0,4754.0,5269.0,4
NDC,67457082312,Vancomycin HCl,55.28,38.7,4754.0,5269.0,4
NDC,67457082399,Vancomycin HCl,55.28,38.7,4754.0,5269.0,4
NDC,67457085200,Norepinephrine Bitartrate,48.02,33.61,4754.0,5269.0,4
NDC,67457085204,Norepinephrine Bitartrate,48.02,33.61,4754.0,5269.0,4
NDC,67457085350,acetaZOLAMIDE,110.0,77.0,4754.0,5269.0,4
NDC,67457085500,Adenosine,16.5,11.55,4754.0,5269.0,4
NDC,67457085502,Adenosine,16.5,11.55,4754.0,5269.0,4
NDC,67457086301,Granisetron Hydrochloride,27.5,19.25,4754.0,5269.0,4
NDC,67457088700,medroxyPROGESTERone acetate,94.58,66.21,4754.0,5269.0,4
NDC,67457088799,medroxyPROGESTERone acetate,94.58,66.21,4754.0,5269.0,4
NDC,67546021221,Alinia,1435.5,1004.85,4754.0,5269.0,4
NDC,67618010760,Slow-Mag,23.43,16.4,4754.0,5269.0,4
NDC,677042501,Niacin,7.7,5.39,4754.0,5269.0,4
NDC,67707013030,Antara,345.68,241.98,4754.0,5269.0,4
NDC,67850014005,Asclera,54.18,37.93,4754.0,5269.0,4
NDC,67850014105,Asclera,62.15,43.51,4754.0,5269.0,4
NDC,67871479006,Ethamolin,1385.73,970.01,4754.0,5269.0,4
NDC,67877-0146-01,Temazepam,1.0,0.7,,,0
NDC,67877-0197-05,amLODIPine Besylate,1.0,0.7,,,0
NDC,67877-0197-90,amLODIPine Besylate,1.0,0.7,,,0
NDC,67877-0198-05,amLODIPine Besylate,1.0,0.7,,,0
NDC,67877-0198-10,amLODIPine Besylate,1.0,0.7,,,0
NDC,67877-0199-10,amLODIPine Besylate,1.0,0.7,,,0
NDC,67877-0216-20,Cefuroxime Axetil,4.0,2.8,,,0
NDC,67877-0223-10,Gabapentin,2.0,1.4,,,0
NDC,67877-0246-01,QUEtiapine Fumarate,1.0,0.7,,,0
NDC,67877-0248-01,QUEtiapine Fumarate,1.0,0.7,,,0
NDC,67877-0249-01,QUEtiapine Fumarate,1.0,0.7,,,0
NDC,67877-0250-01,QUEtiapine Fumarate,1.0,0.7,,,0
NDC,67877-0525-60,ranolazine,1.0,0.7,,,0
NDC,67877-0543-60,Cefdinir,2.0,1.4,,,0
NDC,67877-0589-01,Colchicine,1.0,0.7,,,0
NDC,67877-0590-01,Metoprolol Succinate,1.0,0.7,,,0
NDC,67877-0592-01,Metoprolol Succinate,1.0,0.7,,,0
NDC,67877-0638-30,lurasidone hydrochloride,1.0,0.7,,,0
NDC,67877-0732-95,lacosamide,9.46,6.62,,,0
NDC,67877-0749-57,fosfomycin tromethamine,167.52,117.26,,,0
NDC,67877012420,Silver sulfADIAZINE,25.19,17.63,4754.0,5269.0,4
NDC,67877012425,Silver sulfADIAZINE,30.67,21.47,4754.0,5269.0,4
NDC,67877012440,Silver sulfADIAZINE,184.8,129.36,4754.0,5269.0,4
NDC,67877019705,amLODIPine Besylate,16.5,11.55,4754.0,5269.0,4
NDC,67877019790,amLODIPine Besylate,4.71,3.3,4754.0,5269.0,4
NDC,67877019810,amLODIPine Besylate,41.25,28.88,4754.0,5269.0,4
NDC,67877019890,amLODIPine Besylate,4.95,3.47,4754.0,5269.0,4
NDC,67877019910,amLODIPine Besylate,49.5,34.65,4754.0,5269.0,4
NDC,67877021560,Cefuroxime Axetil,86.63,60.64,4754.0,5269.0,4
NDC,67877022205,Gabapentin,48.13,33.69,4754.0,5269.0,4
NDC,67877022305,Gabapentin,74.25,51.98,4754.0,5269.0,4
NDC,67877022310,Gabapentin,129.25,90.48,4754.0,5269.0,4
NDC,67877024601,QUEtiapine Fumarate,33.28,23.3,4754.0,5269.0,4
NDC,67877024760,QUEtiapine Fumarate,29.54,20.68,4754.0,5269.0,4
NDC,67877024801,QUEtiapine Fumarate,50.88,35.62,4754.0,5269.0,4
NDC,67877024901,QUEtiapine Fumarate,16.78,11.75,4754.0,5269.0,4
NDC,67877025001,QUEtiapine Fumarate,19.53,13.67,4754.0,5269.0,4
NDC,67877025180,Triamcinolone Acetonide,24.2,16.94,4754.0,5269.0,4
NDC,67877028660,Riluzole,109.73,76.81,4754.0,5269.0,4
NDC,67877028890,Finasteride,21.29,14.9,4754.0,5269.0,4
NDC,67877029809,Cholestyramine,2.66,1.86,4754.0,5269.0,4
NDC,67877029860,Cholestyramine,159.39,111.57,4754.0,5269.0,4
NDC,67877031901,Ibuprofen,18.98,13.29,4754.0,5269.0,4
NDC,67877041920,Linezolid,151.25,105.88,4754.0,5269.0,4
NDC,67877041933,Linezolid,9.63,6.74,4754.0,5269.0,4
NDC,67877041984,Linezolid,288.75,202.13,4754.0,5269.0,4
NDC,67877042257,Cholestyramine Light,2.43,1.7,4754.0,5269.0,4
NDC,67877042260,Cholestyramine Light,145.7,101.99,4754.0,5269.0,4
NDC,67877042612,Mycophenolic Acid,61.05,42.74,4754.0,5269.0,4
NDC,67877045590,Finasteride,13.62,9.53,4754.0,5269.0,4
NDC,67877045747,Pregabalin,178.21,124.75,4754.0,5269.0,4
NDC,67877052560,ranolazine,48.18,33.73,4754.0,5269.0,4
NDC,67877054360,Cefdinir,137.45,96.22,4754.0,5269.0,4
NDC,67877054588,Cephalexin,35.75,25.03,4754.0,5269.0,4
NDC,67877054898,Cefdinir,24.05,16.84,4754.0,5269.0,4
NDC,67877058901,Colchicine,53.08,37.16,4754.0,5269.0,4
NDC,67877059201,Metoprolol Succinate,25.58,17.91,4754.0,5269.0,4
NDC,67877063830,lurasidone hydrochloride,32.1,22.47,4754.0,5269.0,4
NDC,67877071831,everolimus,687.56,481.29,4754.0,5269.0,4
NDC,67877071833,everolimus,11.46,8.02,4754.0,5269.0,4
NDC,67877075360,droNABinol,307.4,215.18,4754.0,5269.0,4
NDC,67877075460,droNABinol,566.78,396.75,4754.0,5269.0,4
NDC,67919003001,Zerbaxa,479.49,335.64,4754.0,5269.0,4
NDC,67919004102,Sivextro,6374.45,4462.12,4754.0,5269.0,4
NDC,67979000101,Valstar,5088.19,3561.73,4754.0,5269.0,4
NDC,67979051143,Aveed,5699.33,3989.53,4754.0,5269.0,4
NDC,68001052527,Fluorouracil,61.68,43.18,4754.0,5269.0,4
NDC,68001052532,Fluorouracil,141.35,98.95,4754.0,5269.0,4
NDC,68021217,Cepacol,4.01,2.81,4754.0,5269.0,4
NDC,68059701,Rifadin IV,491.04,343.73,4754.0,5269.0,4
NDC,68084-0215-21,valACYclovir HCl,30.72,21.5,,,0
NDC,68084-0221-01,Ondansetron Hydrochloride,2.31,1.62,,,0
NDC,68084-0229-01,azaTHIOprine,3.25,2.28,2.56,7.46,4
NDC,68084-0244-01,Clindamycin HCl,2.66,1.86,,,0
NDC,68084-0248-01,Loratadine,1.0,0.7,,,0
NDC,68084-0272-01,risperiDONE,1.15,0.81,,,0
NDC,68084-0299-01,Tamsulosin HCl,1.63,1.14,,,0
NDC,68084-0310-01,Divalproex Sodium,3.54,2.48,,,0
NDC,68084-0313-01,Divalproex Sodium,2.02,1.41,,,0
NDC,68084-0319-01,lamoTRIgine,1.39,0.97,,,0
NDC,68084-0326-01,Glimepiride,1.3,0.91,,,0
NDC,68084-0342-01,Topiramate,1.0,0.7,,,0
NDC,68084-0343-01,Topiramate,1.0,0.7,,,0
NDC,68084-0344-01,Topiramate,1.14,0.8,,,0
NDC,68084-0346-01,Losartan Potassium,1.24,0.87,,,0
NDC,68084-0347-01,Losartan Potassium,2.92,2.04,,,0
NDC,68084-0348-01,Losartan Potassium,1.91,1.34,,,0
NDC,68084-0354-01,oxyCODONE HCl,1.1,0.77,,,0
NDC,68084-0388-01,Benztropine Mesylate,1.18,0.83,,,0
NDC,68084-0415-01,Divalproex Sodium,5.25,3.68,,,0
NDC,68084-0415-02,Divalproex Sodium,41.62,29.13,,,0
NDC,68084-0536-01,Clopidogrel,1.0,0.7,,,0
NDC,68084-0559-01,Lovastatin,1.0,0.7,,,0
NDC,68084-0572-01,Mucinex,2.01,1.41,,,0
NDC,68084-0713-01,Venlafaxine HCl,1.71,1.2,,,0
NDC,68084-0728-01,Fluconazole,13.48,9.44,,,0
NDC,68084-0808-01,traMADol HCl,1.0,0.7,,,0
NDC,68084-0836-01,Doxazosin Mesylate,4.37,3.06,,,0
NDC,68084-0844-01,Venlafaxine HCl,2.06,1.44,,,0
NDC,68084-0854-01,Carvedilol,1.0,0.7,,,0
NDC,68084-0859-01,levETIRAcetam,1.8,1.26,,,0
NDC,68084-0907-21,Mycophenolic Acid,8.94,6.26,0.5,1.03,4
NDC,68084-0915-25,Sirolimus,33.32,23.32,2.46,4.36,4
NDC,68084-0918-25,Mycophenolic Acid,36.52,25.56,0.5,1.03,4
NDC,68084-0968-01,oxyCODONE HCl,1.72,1.2,,,0
NDC,68084002111,Abacavir,24.27,16.99,4754.0,5269.0,4
NDC,68084002121,Abacavir,727.98,509.59,4754.0,5269.0,4
NDC,68084004501,PARoxetine HCl,88.83,62.18,4754.0,5269.0,4
NDC,68084004511,PARoxetine HCl,88.83,62.18,4754.0,5269.0,4
NDC,68084009901,Atorvastatin Calcium,123.75,86.63,4754.0,5269.0,4
NDC,68084009911,Atorvastatin Calcium,1.24,0.87,4754.0,5269.0,4
NDC,68084010409,Ziprasidone HCl,609.4,426.58,4754.0,5269.0,4
NDC,68084010411,Ziprasidone HCl,7.62,5.33,4754.0,5269.0,4
NDC,68084015701,Morphine Sulfate,222.2,155.54,4754.0,5269.0,4
NDC,68084015711,Morphine Sulfate,2.23,1.56,4754.0,5269.0,4
NDC,68084018401,oxyCODONE HCl,262.35,183.65,4754.0,5269.0,4
NDC,68084018411,oxyCODONE HCl,262.35,183.65,4754.0,5269.0,4
NDC,68084018901,Zolpidem Tartrate,34.38,24.07,4754.0,5269.0,4
NDC,68084018911,Zolpidem Tartrate,1.0,0.7,4754.0,5269.0,4
NDC,68084021511,valACYclovir HCl,8.5,5.95,4754.0,5269.0,4
NDC,68084021521,valACYclovir HCl,254.93,178.45,4754.0,5269.0,4
NDC,68084022901,azaTHIOprine,185.9,130.13,4754.0,5269.0,4
NDC,68084022911,azaTHIOprine,1.86,1.3,4754.0,5269.0,4
NDC,68084024401,Clindamycin HCl,304.15,212.91,4754.0,5269.0,4
NDC,68084024411,Clindamycin HCl,304.15,212.91,4754.0,5269.0,4
NDC,68084024801,Loratadine,79.75,55.83,4754.0,5269.0,4
NDC,68084024811,Loratadine,79.75,55.83,4754.0,5269.0,4
NDC,68084026901,Hydroxychloroquine Sulfate,536.25,375.38,4754.0,5269.0,4
NDC,68084026911,Hydroxychloroquine Sulfate,536.25,375.38,4754.0,5269.0,4
NDC,68084028001,Ethambutol HCl,297.83,208.48,4754.0,5269.0,4
NDC,68084028011,Ethambutol HCl,2.98,2.09,4754.0,5269.0,4
NDC,68084028401,Hydroxyurea,253.0,177.1,4754.0,5269.0,4
NDC,68084028411,Hydroxyurea,2.53,1.77,4754.0,5269.0,4
NDC,68084029901,Tamsulosin HCl,162.53,113.77,4754.0,5269.0,4
NDC,68084029911,Tamsulosin HCl,1.63,1.14,4754.0,5269.0,4
NDC,68084031001,Divalproex Sodium,404.53,283.17,4754.0,5269.0,4
NDC,68084031011,Divalproex Sodium,4.05,2.84,4754.0,5269.0,4
NDC,68084031301,Divalproex Sodium,230.45,161.32,4754.0,5269.0,4
NDC,68084031311,Divalproex Sodium,2.31,1.62,4754.0,5269.0,4
NDC,68084031901,lamoTRIgine,52.8,36.96,4754.0,5269.0,4
NDC,68084031911,lamoTRIgine,52.8,36.96,4754.0,5269.0,4
NDC,68084032601,Glimepiride,148.78,104.15,4754.0,5269.0,4
NDC,68084032611,Glimepiride,1.49,1.04,4754.0,5269.0,4
NDC,68084034201,Topiramate,81.95,57.37,4754.0,5269.0,4
NDC,68084034211,Topiramate,81.95,57.37,4754.0,5269.0,4
NDC,68084034301,Topiramate,113.58,79.51,4754.0,5269.0,4
NDC,68084034311,Topiramate,1.14,0.8,4754.0,5269.0,4
NDC,68084034401,Topiramate,130.63,91.44,4754.0,5269.0,4
NDC,68084034411,Topiramate,130.63,91.44,4754.0,5269.0,4
NDC,68084034601,Losartan Potassium,141.35,98.95,4754.0,5269.0,4
NDC,68084034611,Losartan Potassium,1.42,0.99,4754.0,5269.0,4
NDC,68084034701,Losartan Potassium,166.38,116.47,4754.0,5269.0,4
NDC,68084034711,Losartan Potassium,166.38,116.47,4754.0,5269.0,4
NDC,68084034801,Losartan Potassium,190.85,133.6,4754.0,5269.0,4
NDC,68084034811,Losartan Potassium,190.85,133.6,4754.0,5269.0,4
NDC,68084035401,oxyCODONE HCl,125.4,87.78,4754.0,5269.0,4
NDC,68084035411,oxyCODONE HCl,125.4,87.78,4754.0,5269.0,4
NDC,68084035501,oxyCODONE HCl-acetaminophen,107.53,75.27,4754.0,5269.0,4
NDC,68084035511,oxyCODONE HCl-acetaminophen,107.53,75.27,4754.0,5269.0,4
NDC,68084038801,Benztropine Mesylate,134.75,94.33,4754.0,5269.0,4
NDC,68084038811,Benztropine Mesylate,1.35,0.95,4754.0,5269.0,4
NDC,68084044401,carBAMazepine,155.65,108.96,4754.0,5269.0,4
NDC,68084044411,carBAMazepine,1.56,1.09,4754.0,5269.0,4
NDC,68084044701,hydrALAZINE HCl,53.35,37.35,4754.0,5269.0,4
NDC,68084044711,hydrALAZINE HCl,53.35,37.35,4754.0,5269.0,4
NDC,68084044901,Tacrolimus,544.78,381.35,4754.0,5269.0,4
NDC,68084044911,Tacrolimus,544.78,381.35,4754.0,5269.0,4
NDC,68084045101,Tacrolimus,3288.18,2301.73,4754.0,5269.0,4
NDC,68084045111,Tacrolimus,3288.18,2301.73,4754.0,5269.0,4
NDC,68084047901,Calcium Acetate,384.73,269.31,4754.0,5269.0,4
NDC,68084047911,Calcium Acetate,3.85,2.7,4754.0,5269.0,4
NDC,68084049401,pyRIDostigmine Bromide,380.6,266.42,4754.0,5269.0,4
NDC,68084049411,pyRIDostigmine Bromide,380.6,266.42,4754.0,5269.0,4
NDC,68084053601,Clopidogrel,71.23,49.86,4754.0,5269.0,4
NDC,68084053611,Clopidogrel,1.0,0.7,4754.0,5269.0,4
NDC,68084057201,Mucinex,229.63,160.74,4754.0,5269.0,4
NDC,68084057211,Mucinex,2.3,1.61,4754.0,5269.0,4
NDC,68084059025,Atorvastatin Calcium,55.77,39.04,4754.0,5269.0,4
NDC,68084059095,Atorvastatin Calcium,1.86,1.3,4754.0,5269.0,4
NDC,68084071301,Venlafaxine HCl,170.5,119.35,4754.0,5269.0,4
NDC,68084071311,Venlafaxine HCl,1.71,1.2,4754.0,5269.0,4
NDC,68084072801,Fluconazole,514.53,360.17,4754.0,5269.0,4
NDC,68084072811,Fluconazole,5.15,3.61,4754.0,5269.0,4
NDC,68084082311,Methylphenidate HCl,4.56,3.19,4754.0,5269.0,4
NDC,68084082321,Methylphenidate HCl,136.79,95.75,4754.0,5269.0,4
NDC,68084083601,Doxazosin Mesylate,250.25,175.18,4754.0,5269.0,4
NDC,68084083611,Doxazosin Mesylate,2.51,1.76,4754.0,5269.0,4
NDC,68084084401,Venlafaxine HCl,235.95,165.17,4754.0,5269.0,4
NDC,68084084411,Venlafaxine HCl,2.36,1.65,4754.0,5269.0,4
NDC,68084084701,hydrOXYzine Pamoate,137.5,96.25,4754.0,5269.0,4
NDC,68084084711,hydrOXYzine Pamoate,1.38,0.97,4754.0,5269.0,4
NDC,68084085401,Carvedilol,32.73,22.91,4754.0,5269.0,4
NDC,68084085411,Carvedilol,1.0,0.7,4754.0,5269.0,4
NDC,68084085901,levETIRAcetam,68.75,48.13,4754.0,5269.0,4
NDC,68084085911,levETIRAcetam,1.0,0.7,4754.0,5269.0,4
NDC,68084086201,Doxazosin Mesylate,250.25,175.18,4754.0,5269.0,4
NDC,68084086211,Doxazosin Mesylate,2.51,1.76,4754.0,5269.0,4
NDC,68084089501,HYDROcodone bitartrate-acetaminophen,145.75,102.03,4754.0,5269.0,4
NDC,68084089511,HYDROcodone bitartrate-acetaminophen,1.46,1.02,4754.0,5269.0,4
NDC,68084090711,Mycophenolic Acid,10.25,7.18,4754.0,5269.0,4
NDC,68084090721,Mycophenolic Acid,307.32,215.12,4754.0,5269.0,4
NDC,68084091525,Sirolimus,1145.27,801.69,4754.0,5269.0,4
NDC,68084091595,Sirolimus,38.18,26.73,4754.0,5269.0,4
NDC,68084091825,Mycophenolic Acid,627.66,439.36,4754.0,5269.0,4
NDC,68084091895,Mycophenolic Acid,20.93,14.65,4754.0,5269.0,4
NDC,68084096801,oxyCODONE HCl,196.35,137.45,4754.0,5269.0,4
NDC,68084096811,oxyCODONE HCl,1.97,1.38,4754.0,5269.0,4
NDC,68094-0231-61,Acetaminophen,10.8,7.56,,,0
NDC,68094-0503-61,Children's Ibuprofen,9.44,6.61,,,0
NDC,68094003459,Sevelamer Carbonate,5.23,3.66,4754.0,5269.0,4
NDC,68094003464,Sevelamer Carbonate,470.25,329.18,4754.0,5269.0,4
NDC,68094006359,Megestrol Acetate,12.85,9.0,4754.0,5269.0,4
NDC,68094006362,Megestrol Acetate,13.12,9.18,4754.0,5269.0,4
NDC,68094010120,Phentolamine Mesylate,1154.45,808.12,4754.0,5269.0,4
NDC,68094023159,Acetaminophen,2.48,1.74,4754.0,5269.0,4
NDC,68094023161,Acetaminophen,2.48,1.74,4754.0,5269.0,4
NDC,68094049459,Ibuprofen Children's,2.58,1.81,4754.0,5269.0,4
NDC,68094049461,Ibuprofen Children's,2.58,1.81,4754.0,5269.0,4
NDC,68094085362,Naltrexone HCl,188.1,131.67,4754.0,5269.0,4
NDC,68094086759,Furosemide,5.64,3.95,4754.0,5269.0,4
NDC,68094086762,Furosemide,5.64,3.95,4754.0,5269.0,4
NDC,68180-0122-02,Cephalexin,1.0,0.7,,,0
NDC,68180-0214-30,cycloSPORINE,9.2,6.44,,,0
NDC,68180-0294-07,DULoxetine HCl,1.0,0.7,,,0
NDC,68180-0295-06,DULoxetine HCl,1.0,0.7,,,0
NDC,68180-0378-09,Losartan Potassium,1.0,0.7,,,0
NDC,68180-0396-01,Celecoxib,1.0,0.7,,,0
NDC,68180-0433-02,Bromfenac,180.0,126.0,,,0
NDC,68180-0467-07,Lovastatin,1.0,0.7,,,0
NDC,68180-0468-01,Lovastatin,1.0,0.7,,,0
NDC,68180-0469-01,Lovastatin,1.0,0.7,,,0
NDC,68180-0469-07,Lovastatin,1.0,0.7,,,0
NDC,68180-0512-01,Lisinopril,1.0,0.7,,,0
NDC,68180-0512-02,Lisinopril,1.0,0.7,,,0
NDC,68180-0711-60,Cefdinir,1.61,1.13,,,0
NDC,68180-0966-01,Levothyroxine Sodium,1.0,0.7,,,0
NDC,68180-0966-03,Levothyroxine Sodium,0.4,0.28,,,0
NDC,68180-0966-09,Levothyroxine Sodium,1.0,0.7,,,0
NDC,68180-0967-01,Levothyroxine Sodium,1.0,0.7,,,0
NDC,68180-0969-01,Levothyroxine Sodium,1.0,0.7,,,0
NDC,68180-0969-03,Levothyroxine Sodium,1.0,0.7,,,0
NDC,68180-0969-09,Levothyroxine Sodium,1.0,0.7,,,0
NDC,68180-0973-09,Levothyroxine Sodium,1.0,0.7,,,0
NDC,68180-0980-01,Lisinopril,1.0,0.7,,,0
NDC,68180-0981-03,Lisinopril,1.0,0.7,,,0
NDC,68180012101,Cephalexin,46.2,32.34,4754.0,5269.0,4
NDC,68180012202,Cephalexin,396.0,277.2,4754.0,5269.0,4
NDC,68180016006,Azithromycin,175.32,122.72,4754.0,5269.0,4
NDC,68180016611,Vancomycin HCl,6.88,4.82,4754.0,5269.0,4
NDC,68180016613,Vancomycin HCl,137.5,96.25,4754.0,5269.0,4
NDC,68180021430,cycloSPORINE,221.35,154.95,4754.0,5269.0,4
NDC,68180021709,Losartan Potassium-hydroCHLOROthiazide,36.63,25.64,4754.0,5269.0,4
NDC,68180028001,Ethambutol HCl,126.23,88.36,4754.0,5269.0,4
NDC,68180028101,Ethambutol HCl,349.53,244.67,4754.0,5269.0,4
NDC,68180029407,DULoxetine HCl,49.5,34.65,4754.0,5269.0,4
NDC,68180029506,DULoxetine HCl,24.75,17.33,4754.0,5269.0,4
NDC,68180032009,buPROPion HCl XL,56.43,39.5,4754.0,5269.0,4
NDC,68180034606,darunavir ethanolate,272.25,190.58,4754.0,5269.0,4
NDC,68180035109,Sertraline HCl,24.75,17.33,4754.0,5269.0,4
NDC,68180037609,Losartan Potassium,10.89,7.62,4754.0,5269.0,4
NDC,68180040203,Cefprozil,156.48,109.54,4754.0,5269.0,4
NDC,68180040501,cefixime,123.75,86.63,4754.0,5269.0,4
NDC,68180041109,Irbesartan,91.58,64.11,4754.0,5269.0,4
NDC,68180043302,Bromfenac,206.25,144.38,4754.0,5269.0,4
NDC,68180044001,Cephalexin,52.25,36.58,4754.0,5269.0,4
NDC,68180044002,Cephalexin,76.8,53.76,4754.0,5269.0,4
NDC,68180044101,Cephalexin,63.25,44.28,4754.0,5269.0,4
NDC,68180044102,Cephalexin,112.75,78.93,4754.0,5269.0,4
NDC,68180046707,Lovastatin,34.49,24.14,4754.0,5269.0,4
NDC,68180046801,Lovastatin,58.58,41.01,4754.0,5269.0,4
NDC,68180046901,Lovastatin,94.33,66.03,4754.0,5269.0,4
NDC,68180046907,Lovastatin,57.09,39.96,4754.0,5269.0,4
NDC,68180051201,Lisinopril,6.88,4.82,4754.0,5269.0,4
NDC,68180051301,Lisinopril,8.8,6.16,4754.0,5269.0,4
NDC,68180051901,Lisinopril/hydroCHLOROthiazide,38.78,27.15,4754.0,5269.0,4
NDC,68180055709,Quinapril,41.34,28.94,4754.0,5269.0,4
NDC,68180058801,Ramipril,84.15,58.91,4754.0,5269.0,4
NDC,68180059001,Ramipril,94.6,66.22,4754.0,5269.0,4
NDC,68180059101,Ramipril,104.23,72.96,4754.0,5269.0,4
NDC,68180060406,Desvenlafaxine Succinate,80.44,56.31,4754.0,5269.0,4
NDC,68180065701,Doxycycline,50.16,35.11,4754.0,5269.0,4
NDC,68180065806,rifAMPin,214.01,149.81,4754.0,5269.0,4
NDC,68180065906,rifAMPin,303.03,212.12,4754.0,5269.0,4
NDC,68180067801,oseltamivir phosphate,41.25,28.88,4754.0,5269.0,4
NDC,68180071160,Cefdinir,110.06,77.04,4754.0,5269.0,4
NDC,68180072304,Cefdinir,47.96,33.57,4754.0,5269.0,4
NDC,68180081942,Lanthanum Carbonate,1375.11,962.58,4754.0,5269.0,4
NDC,68180081952,Lanthanum Carbonate,687.56,481.29,4754.0,5269.0,4
NDC,68180084071,ethinyl estradiol-norgestimate,29.42,20.59,4754.0,5269.0,4
NDC,68180084073,ethinyl estradiol-norgestimate,29.42,20.59,4754.0,5269.0,4
NDC,68180085211,My Way,37.13,25.99,4754.0,5269.0,4
NDC,68180086106,Azithromycin,72.77,50.94,4754.0,5269.0,4
NDC,68180086111,Azithromycin,13.4,9.38,4754.0,5269.0,4
NDC,68180096601,Levothyroxine Sodium,39.88,27.92,4754.0,5269.0,4
NDC,68180096603,Levothyroxine Sodium,398.75,279.13,4754.0,5269.0,4
NDC,68180096701,Levothyroxine Sodium,40.7,28.49,4754.0,5269.0,4
NDC,68180096909,Levothyroxine Sodium,38.12,26.68,4754.0,5269.0,4
NDC,68180097309,Levothyroxine Sodium,38.61,27.03,4754.0,5269.0,4
NDC,68180098001,Lisinopril,12.38,8.67,4754.0,5269.0,4
NDC,68180098101,Lisinopril,18.7,13.09,4754.0,5269.0,4
NDC,68180098103,Lisinopril,176.0,123.2,4754.0,5269.0,4
NDC,68308-0152-15,Nystatin,16.82,11.77,,,0
NDC,68382-0041-01,Promethazine HCl,1.0,0.7,,,0
NDC,68382-0050-01,Meloxicam,1.0,0.7,,,0
NDC,68382-0079-01,Haloperidol,1.5,1.05,,,0
NDC,68382-0092-01,Carvedilol,1.0,0.7,,,0
NDC,68382-0092-05,Carvedilol,1.0,0.7,,,0
NDC,68382-0094-01,Carvedilol,1.0,0.7,,,0
NDC,68382-0095-05,Carvedilol,1.0,0.7,,,0
NDC,68382-0132-10,Tamsulosin HCl,1.0,0.7,,,0
NDC,68382-0135-10,Losartan Potassium,1.0,0.7,,,0
NDC,68382-0783-01,Doxazosin Mesylate,1.0,0.7,,,0
NDC,68382-0785-01,Doxazosin,1.0,0.7,,,0
NDC,68382-0805-05,traZODone hydrochloride,1.0,0.7,,,0
NDC,68382-0805-10,traZODone hydrochloride,1.0,0.7,,,0
NDC,68382-0806-01,traZODone hydrochloride,1.0,0.7,,,0
NDC,68382-0848-94,Esomeprazole Magnesium,18.74,13.12,,,0
NDC,68382-0997-10,Arsenic Trioxide,909.725,636.81,,,0
NDC,68382000514,Topiramate,218.63,153.04,4754.0,5269.0,4
NDC,68382002101,Venlafaxine HCl,99.0,69.3,4754.0,5269.0,4
NDC,68382002401,Atenolol,24.75,17.33,4754.0,5269.0,4
NDC,68382004101,Promethazine HCl,23.65,16.56,4754.0,5269.0,4
NDC,68382005001,Meloxicam,11.0,7.7,4754.0,5269.0,4
NDC,68382009201,Carvedilol,13.75,9.63,4754.0,5269.0,4
NDC,68382009205,Carvedilol,67.38,47.17,4754.0,5269.0,4
NDC,68382009401,Carvedilol,13.75,9.63,4754.0,5269.0,4
NDC,68382009505,Carvedilol,67.38,47.17,4754.0,5269.0,4
NDC,68382013210,Tamsulosin HCl,756.25,529.38,4754.0,5269.0,4
NDC,68382013510,Losartan Potassium,387.75,271.43,4754.0,5269.0,4
NDC,68382014406,Ramipril,25.58,17.91,4754.0,5269.0,4
NDC,68382014601,Ramipril,57.48,40.24,4754.0,5269.0,4
NDC,68382018701,Dipyridamole,153.73,107.61,4754.0,5269.0,4
NDC,68382018901,Dipyridamole,331.65,232.16,4754.0,5269.0,4
NDC,68382025501,oxyBUTYnin Chloride,95.43,66.8,4754.0,5269.0,4
NDC,68382052001,Sirolimus,1501.23,1050.86,4754.0,5269.0,4
NDC,68382053701,Potassium Citrate,154.83,108.38,4754.0,5269.0,4
NDC,68382055901,Nitrofurantoin Macrocrystals,165.83,116.08,4754.0,5269.0,4
NDC,68382056601,Metoprolol Succinate,62.7,43.89,4754.0,5269.0,4
NDC,68382058201,Liothyronine Sodium,98.18,68.73,4754.0,5269.0,4
NDC,68382065906,pyRIDostigmine Bromide,84.15,58.91,4754.0,5269.0,4
NDC,68382072216,Nateglinide,128.21,89.75,4754.0,5269.0,4
NDC,68382074516,Tiadylt ER,153.95,107.77,4754.0,5269.0,4
NDC,68382078301,Doxazosin Mesylate,38.5,26.95,4754.0,5269.0,4
NDC,68382078401,Doxazosin Mesylate,38.5,26.95,4754.0,5269.0,4
NDC,68382078501,Doxazosin,43.45,30.42,4754.0,5269.0,4
NDC,68382080001,Labetalol HCl,104.5,73.15,4754.0,5269.0,4
NDC,68382080501,traZODone hydrochloride,13.75,9.63,4754.0,5269.0,4
NDC,68382080505,traZODone hydrochloride,63.25,44.28,4754.0,5269.0,4
NDC,68382080601,traZODone hydrochloride,23.93,16.75,4754.0,5269.0,4
NDC,68382080701,traZODone hydrochloride,69.58,48.71,4754.0,5269.0,4
NDC,68382086002,Benztropine Mesylate,129.25,90.48,4754.0,5269.0,4
NDC,68382086010,Benztropine Mesylate,129.25,90.48,4754.0,5269.0,4
NDC,68382091601,methylPREDNISolone,113.3,79.31,4754.0,5269.0,4
NDC,68382099701,Arsenic Trioxide,1042.39,729.67,4754.0,5269.0,4
NDC,68382099710,Arsenic Trioxide,1042.39,729.67,4754.0,5269.0,4
NDC,68462-0163-05,Carvedilol,1.0,0.7,,,0
NDC,68462-0180-22,Mupirocin,21.6,15.12,,,0
NDC,68462-0190-01,Naproxen,1.0,0.7,,,0
NDC,68462-0221-01,Lithium Carbonate,1.0,0.7,,,0
NDC,68462-0234-01,Felodipine,1.0,0.7,,,0
NDC,68462-0253-01,rOPINIRole HCl,1.0,0.7,,,0
NDC,68462-0255-01,rOPINIRole HCl,1.0,0.7,,,0
NDC,68462-0256-01,rOPINIRole HCl,1.0,0.7,,,0
NDC,68462-0332-90,Pramipexole Dihydrochloride,1.0,0.7,,,0
NDC,68462-0406-01,Indomethacin,1.0,0.7,,,0
NDC,68462-0438-90,Olmesartan Medoxomil,1.53,1.07,,,0
NDC,68462-0469-54,Bumetanide,8.0,5.6,,,0
NDC,68462-0474-01,Ursodiol,7.12,4.98,,,0
NDC,68462-0583-40,aprepitant,422.16,295.51,3.5,6.92,4
NDC,68462-0639-45,Nitroglycerin,6.24,4.37,,,0
NDC,68462-0721-01,Theophylline,3.12,2.18,,,0
NDC,68462-0897-10,Octreotide Acetate,168.0,117.6,,,0
NDC,68462010860,Topiramate,11.06,7.74,4754.0,5269.0,4
NDC,68462013001,Zonisamide,101.2,70.84,4754.0,5269.0,4
NDC,68462013701,OXcarbazepine,82.5,57.75,4754.0,5269.0,4
NDC,68462015713,Ondansetron,37.87,26.51,4754.0,5269.0,4
NDC,68462015740,Ondansetron,1.27,0.89,4754.0,5269.0,4
NDC,68462016305,Carvedilol,78.38,54.87,4754.0,5269.0,4
NDC,68462018022,Mupirocin,24.75,17.33,4754.0,5269.0,4
NDC,68462018117,Clotrimazole,28.63,20.04,4754.0,5269.0,4
NDC,68462018147,Clotrimazole,70.29,49.2,4754.0,5269.0,4
NDC,68462018801,Naproxen,23.38,16.37,4754.0,5269.0,4
NDC,68462019001,Naproxen,33.0,23.1,4754.0,5269.0,4
NDC,68462019890,Pravastatin Sodium,93.56,65.49,4754.0,5269.0,4
NDC,68462020013,Telmisartan,65.34,45.74,4754.0,5269.0,4
NDC,68462020130,Telmisartan,39.19,27.43,4754.0,5269.0,4
NDC,68462022001,Lithium Carbonate,33.55,23.49,4754.0,5269.0,4
NDC,68462022101,Lithium Carbonate,24.2,16.94,4754.0,5269.0,4
NDC,68462022401,Lithium Carbonate,81.4,56.98,4754.0,5269.0,4
NDC,68462023301,Felodipine,41.53,29.07,4754.0,5269.0,4
NDC,68462023401,Felodipine,36.85,25.8,4754.0,5269.0,4
NDC,68462023501,Felodipine,52.25,36.58,4754.0,5269.0,4
NDC,68462025301,rOPINIRole HCl,33.0,23.1,4754.0,5269.0,4
NDC,68462025401,rOPINIRole HCl,33.0,23.1,4754.0,5269.0,4
NDC,68462025501,rOPINIRole HCl,33.0,23.1,4754.0,5269.0,4
NDC,68462025601,rOPINIRole HCl,33.0,23.1,4754.0,5269.0,4
NDC,68462025901,rOPINIRole HCl,38.5,26.95,4754.0,5269.0,4
NDC,68462028169,brimonidine tartrate-timolol maleate,76.62,53.63,4754.0,5269.0,4
NDC,68462029301,Verapamil HCl,88.83,62.18,4754.0,5269.0,4
NDC,68462030450,Norethindrone Acetate,82.5,57.75,4754.0,5269.0,4
NDC,68462031417,Nystatin/Triamcinolone Acetonide,57.63,40.34,4754.0,5269.0,4
NDC,68462033090,Pramipexole Dihydrochloride,27.48,19.24,4754.0,5269.0,4
NDC,68462033290,Pramipexole Dihydrochloride,27.48,19.24,4754.0,5269.0,4
NDC,68462038829,Marlissa,32.11,22.48,4754.0,5269.0,4
NDC,68462038884,Marlissa,32.11,22.48,4754.0,5269.0,4
NDC,68462040467,Atovaquone/Proguanil HCl,385.25,269.68,4754.0,5269.0,4
NDC,68462040601,Indomethacin,60.5,42.35,4754.0,5269.0,4
NDC,68462041820,Lidocaine,75.83,53.08,4754.0,5269.0,4
NDC,68462053435,Tacrolimus,274.98,192.49,4754.0,5269.0,4
NDC,68462057330,Voriconazole,618.75,433.13,4754.0,5269.0,4
NDC,68462058340,aprepitant,241.87,169.31,4754.0,5269.0,4
NDC,68462058385,aprepitant,1209.29,846.5,4754.0,5269.0,4
NDC,68462062102,Fosphenytoin Sodium,13.54,9.48,4754.0,5269.0,4
NDC,68462062154,Fosphenytoin Sodium,13.54,9.48,4754.0,5269.0,4
NDC,68462062210,Fosphenytoin Sodium,63.45,44.42,4754.0,5269.0,4
NDC,68462062264,Fosphenytoin Sodium,63.45,44.42,4754.0,5269.0,4
NDC,68462063925,Nitroglycerin,7.15,5.01,4754.0,5269.0,4
NDC,68462063945,Nitroglycerin,7.15,5.01,4754.0,5269.0,4
NDC,68462068201,Sirolimus,1100.0,770.0,4754.0,5269.0,4
NDC,68462068501,Tacrolimus,46.2,32.34,4754.0,5269.0,4
NDC,68462068601,Tacrolimus,80.3,56.21,4754.0,5269.0,4
NDC,68462072101,Theophylline,356.68,249.68,4754.0,5269.0,4
NDC,68462073329,Drospirenone-Ethinyl Estradiol,30.57,21.4,4754.0,5269.0,4
NDC,68462073384,Drospirenone-Ethinyl Estradiol,30.57,21.4,4754.0,5269.0,4
NDC,68462079201,Tretinoin,8098.2,5668.74,4754.0,5269.0,4
NDC,68462083665,Hydrocortisone Valerate,525.03,367.52,4754.0,5269.0,4
NDC,68462090401,posaconazole,742.52,519.76,4754.0,5269.0,4
NDC,68462093301,EPINEPHrine,30.25,21.18,4754.0,5269.0,4
NDC,68462093310,EPINEPHrine,30.25,21.18,4754.0,5269.0,4
NDC,68516320202,Profilnine,3.72,2.6,4754.0,5269.0,4
NDC,68516320502,Profilnine,4.07,2.85,4754.0,5269.0,4
NDC,68516320802,Profilnine,4.07,2.85,4754.0,5269.0,4
NDC,68516321102,Profilnine,4.18,2.93,4754.0,5269.0,4
NDC,68516521402,Albutein,255.75,179.03,4754.0,5269.0,4
NDC,68546014256,Azilect,3440.5,2408.35,4754.0,5269.0,4
NDC,68546017160,Austedo,15478.16,10834.71,4754.0,5269.0,4
NDC,68547050102,Giapreza,4853.75,3397.63,4754.0,5269.0,4
NDC,68585000575,Mag 64,13.7,9.59,4754.0,5269.0,4
NDC,68682-0106-10,NIFEdipine,1.08,0.76,,,0
NDC,68682010510,NIFEdipine,94.6,66.22,4754.0,5269.0,4
NDC,68682010610,NIFEdipine,123.75,86.63,4754.0,5269.0,4
NDC,68682017030,Phytonadione,4421.1,3094.77,4754.0,5269.0,4
NDC,68682040910,chlordiazePOXIDE Hydrochloride-Clidinium Bromide,1178.65,825.06,4754.0,5269.0,4
NDC,68682046410,brinzolamide,848.57,594.0,4754.0,5269.0,4
NDC,68682065220,diazePAM,834.3,584.01,4754.0,5269.0,4
NDC,68682090146,erythromycin-benzoyl peroxide,171.85,120.3,4754.0,5269.0,4
NDC,68727-0712-01,Zepzelca,19272.0,13490.4,210.78,590.18,56
NDC,68727071201,Zepzelca,22687.5,15881.25,4754.0,5269.0,4
NDC,68727074501,Vyxeos,30195.0,21136.5,4754.0,5269.0,4
NDC,68727074502,Vyxeos,30195.0,21136.5,4754.0,5269.0,4
NDC,68734070010,Zyflo,1648.02,1153.61,4754.0,5269.0,4
NDC,68803061210,VisionBlue,227.98,159.59,4754.0,5269.0,4
NDC,68803072205,TissueBlue,446.05,312.24,4754.0,5269.0,4
NDC,68803072225,TissueBlue,446.05,312.24,4754.0,5269.0,4
NDC,68817-0134-50,Abraxane,6863.79,4804.65,8.18,22.9,56
NDC,68817013450,Abraxane,4345.17,3041.62,4754.0,5269.0,4
NDC,68850001202,Myambutol,214.5,150.15,4754.0,5269.0,4
NDC,68968555201,Daytrana,16.56,11.59,4754.0,5269.0,4
NDC,68968555203,Daytrana,496.57,347.6,4754.0,5269.0,4
NDC,68968555401,Daytrana,16.56,11.59,4754.0,5269.0,4
NDC,68968555403,Daytrana,496.57,347.6,4754.0,5269.0,4
NDC,68982062303,Albumin Human,380.88,266.62,4754.0,5269.0,4
NDC,68982085003,Octagam 10%,5341.88,3739.32,4754.0,5269.0,4
NDC,68982085004,Octagam 10%,10683.75,7478.63,4754.0,5269.0,4
NDC,68982085005,Octagam 10%,16025.63,11217.94,4754.0,5269.0,4
NDC,68992301003,Envarsus XR,583.61,408.53,4754.0,5269.0,4
NDC,68992304003,Envarsus XR,2334.34,1634.04,4754.0,5269.0,4
NDC,68992307503,Envarsus XR,437.75,306.43,4754.0,5269.0,4
NDC,69011302,Haloperidol,3.3,2.31,4754.0,5269.0,4
NDC,69013501,Bosulif,59113.23,41379.26,4754.0,5269.0,4
NDC,69020901,Propofol,11.88,8.32,4754.0,5269.0,4
NDC,69020910,Propofol,11.88,8.32,4754.0,5269.0,4
NDC,69023801,Ruxience,1971.2,1379.84,4754.0,5269.0,4
NDC,69024230,Toviaz,797.37,558.16,4754.0,5269.0,4
NDC,69024901,Ruxience,9856.0,6899.2,4754.0,5269.0,4
NDC,69030501,Trazimera,9325.47,6527.83,4754.0,5269.0,4
NDC,69032401,Nyvepria,10793.76,7555.63,4754.0,5269.0,4
NDC,69033801,Revatio,746.7,522.69,4754.0,5269.0,4
NDC,69046956,Chantix,1290.68,903.48,4754.0,5269.0,4
NDC,69077038,Sutent,35510.4,24857.28,4754.0,5269.0,4
NDC,69080760,Selzentry,2577.14,1804.0,4754.0,5269.0,4
NDC,69080901,Inflectra,2602.27,1821.59,4754.0,5269.0,4
NDC,69097-0122-03,Topiramate,1.0,0.7,,,0
NDC,69097-0123-03,Topiramate,1.01,0.71,,,0
NDC,69097-0128-05,amLODIPine Besylate,1.0,0.7,,,0
NDC,69097-0142-60,Albuterol Sulfate,62.36,43.65,,,0
NDC,69097-0529-34,Esomeprazole Magnesium,18.74,13.12,,,0
NDC,69097-0579-67,fosfomycin tromethamine,144.0,100.8,,,0
NDC,69097-0720-44,Diclofenac Sodium,36.0,25.2,,,0
NDC,69097-0862-83,Calcium Acetate,0.6,0.42,,,0
NDC,69097012203,Topiramate,11.06,7.74,4754.0,5269.0,4
NDC,69097012303,Topiramate,15.02,10.51,4754.0,5269.0,4
NDC,69097012403,Topiramate,19.31,13.52,4754.0,5269.0,4
NDC,69097012805,amLODIPine Besylate,9.66,6.76,4754.0,5269.0,4
NDC,69097014260,Albuterol Sulfate,71.46,50.02,4754.0,5269.0,4
NDC,69097052834,Esomeprazole Magnesium,643.92,450.74,4754.0,5269.0,4
NDC,69097052934,Esomeprazole Magnesium,643.92,450.74,4754.0,5269.0,4
NDC,69097057967,fosfomycin tromethamine,165.0,115.5,4754.0,5269.0,4
NDC,69097072044,Diclofenac Sodium,41.25,28.88,4754.0,5269.0,4
NDC,69097080540,azaCITIDine,577.5,404.25,4754.0,5269.0,4
NDC,69097084705,Escitalopram,27.48,19.24,4754.0,5269.0,4
NDC,69097086283,Calcium Acetate,137.5,96.25,4754.0,5269.0,4
NDC,69097086707,Nadolol,44.0,30.8,4754.0,5269.0,4
NDC,69097087067,Lanreotide,24454.82,17118.37,4754.0,5269.0,4
NDC,69097099902,Phytonadione,1856.83,1299.78,4754.0,5269.0,4
NDC,69098030,Sutent,17634.38,12344.07,4754.0,5269.0,4
NDC,69100101,Xeljanz,16701.14,11690.8,4754.0,5269.0,4
NDC,69108506,Paxlovid 300MG;100MG Dose Pack,1.0,0.7,4754.0,5269.0,4
NDC,69108530,Paxlovid 300MG;100MG Dose Pack,1.0,0.7,4754.0,5269.0,4
NDC,69110104,Paxlovid 150MG;100MG Dose Pack,1.0,0.7,4754.0,5269.0,4
NDC,69110120,Paxlovid 150MG;100MG Dose Pack,1.0,0.7,4754.0,5269.0,4
NDC,69130501,Retacrit,60.67,42.47,4754.0,5269.0,4
NDC,69130510,Retacrit,60.67,42.47,4754.0,5269.0,4
NDC,69130601,Retacrit,91.0,63.7,4754.0,5269.0,4
NDC,69130610,Retacrit,91.0,63.7,4754.0,5269.0,4
NDC,69130701,Retacrit,121.33,84.93,4754.0,5269.0,4
NDC,69130710,Retacrit,121.33,84.93,4754.0,5269.0,4
NDC,69130801,Retacrit,303.33,212.33,4754.0,5269.0,4
NDC,69130810,Retacrit,303.33,212.33,4754.0,5269.0,4
NDC,69130901,Retacrit,1213.3,849.31,4754.0,5269.0,4
NDC,69130904,Retacrit,1213.3,849.31,4754.0,5269.0,4
NDC,69131101,Retacrit,606.65,424.66,4754.0,5269.0,4
NDC,69131110,Retacrit,606.65,424.66,4754.0,5269.0,4
NDC,69131801,Retacrit,606.65,424.66,4754.0,5269.0,4
NDC,69131810,Retacrit,606.65,424.66,4754.0,5269.0,4
NDC,69154220,DOXOrubicin HCl,179.85,125.9,4754.0,5269.0,4
NDC,69215030,Caduet,1511.65,1058.16,4754.0,5269.0,4
NDC,69217030,Caduet,2067.87,1447.51,4754.0,5269.0,4
NDC,69218030,Caduet,2067.87,1447.51,4754.0,5269.0,4
NDC,69219030,Caduet,2067.87,1447.51,4754.0,5269.0,4
NDC,69227030,Caduet,2067.87,1447.51,4754.0,5269.0,4
NDC,69236201,Comirnaty 2023-2024 Age 12 and older,316.25,221.38,4754.0,5269.0,4
NDC,69236210,Comirnaty 2023-2024 Age 12 and older,316.25,221.38,4754.0,5269.0,4
NDC,69238-1490-01,Bumetanide,1.0,0.7,,,0
NDC,69238-1991-07,Digoxin,1.0,0.7,,,0
NDC,69238-2077-01,Propranolol HCl,1.0,0.7,,,0
NDC,69238-2078-01,Propranolol HCl,2.0,1.4,,,0
NDC,69238-2078-07,Propranolol HCl,1.0,0.7,,,0
NDC,69238105103,Phytonadione,3300.0,2310.0,4754.0,5269.0,4
NDC,69238116609,Doxepin HCl,42.57,29.8,4754.0,5269.0,4
NDC,69238117109,Doxepin HCl,79.95,55.97,4754.0,5269.0,4
NDC,69238120202,buprenorphine,582.51,407.76,4754.0,5269.0,4
NDC,69238120502,buprenorphine,1546.88,1082.82,4754.0,5269.0,4
NDC,69238134401,Albuterol Sulfate,165.0,115.5,4754.0,5269.0,4
NDC,69238134501,Albuterol Sulfate,165.0,115.5,4754.0,5269.0,4
NDC,69238134903,tadalafil,74.25,51.98,4754.0,5269.0,4
NDC,69238138003,difluprednate,480.92,336.64,4754.0,5269.0,4
NDC,69238142103,silodosin,27.48,19.24,4754.0,5269.0,4
NDC,69238149001,Bumetanide,93.5,65.45,4754.0,5269.0,4
NDC,69238154001,Ursodiol,288.75,202.13,4754.0,5269.0,4
NDC,69238159403,Sirolimus,2406.2,1684.34,4754.0,5269.0,4
NDC,69238159406,Sirolimus,2406.2,1684.34,4754.0,5269.0,4
NDC,69238160502,Methylergonovine Maleate,544.5,381.15,4754.0,5269.0,4
NDC,69238161503,Ofloxacin,41.25,28.88,4754.0,5269.0,4
NDC,69238174608,Pilocarpine HCl,177.38,124.17,4754.0,5269.0,4
NDC,69238207807,Propranolol HCl,550.0,385.0,4754.0,5269.0,4
NDC,69238207901,Propranolol HCl,69.85,48.9,4754.0,5269.0,4
NDC,69238207907,Propranolol HCl,698.5,488.95,4754.0,5269.0,4
NDC,69238208101,Propranolol HCl,104.78,73.35,4754.0,5269.0,4
NDC,69239201,Comirnaty 2023-2024 Age 12 and older,330.0,231.0,4754.0,5269.0,4
NDC,69239210,Comirnaty 2023-2024 Age 12 and older,330.0,231.0,4754.0,5269.0,4
NDC,69252201,Elrexfio,22744.98,15921.49,4754.0,5269.0,4
NDC,69252202,Elrexfio,22744.98,15921.49,4754.0,5269.0,4
NDC,69265041,Procardia XL,646.25,452.38,4754.0,5269.0,4
NDC,69266041,Procardia XL,1014.48,710.14,4754.0,5269.0,4
NDC,69267066,Procardia XL,3627.8,2539.46,4754.0,5269.0,4
NDC,69292-0564-01,metOLazone,1.62,1.13,,,0
NDC,69292-0586-01,Haloperidol,3.12,2.18,,,0
NDC,69292053201,Propranolol HCl,55.83,39.08,4754.0,5269.0,4
NDC,69292056401,metOLazone,185.63,129.94,4754.0,5269.0,4
NDC,69292072225,Flurbiprofen Sodium,99.0,69.3,4754.0,5269.0,4
NDC,69303420,DOXOrubicin HCl,179.85,125.9,4754.0,5269.0,4
NDC,69315-0137-01,Benztropine Mesylate,1.0,0.7,,,0
NDC,69315-0904-01,LORazepam,1.0,0.7,,,0
NDC,69315-0905-01,LORazepam,1.0,0.7,,,0
NDC,69315013601,Benztropine Mesylate,38.23,26.76,4754.0,5269.0,4
NDC,69315013701,Benztropine Mesylate,44.28,31.0,4754.0,5269.0,4
NDC,69315013801,Benztropine Mesylate,56.38,39.47,4754.0,5269.0,4
NDC,69315018401,Leucovorin Calcium,299.48,209.64,4754.0,5269.0,4
NDC,69315021101,NIFEdipine,235.13,164.59,4754.0,5269.0,4
NDC,69315022601,Theophylline,803.28,562.3,4754.0,5269.0,4
NDC,69315030410,Dorzolamide HCl,93.48,65.44,4754.0,5269.0,4
NDC,69315030615,Nystatin,53.34,37.34,4754.0,5269.0,4
NDC,69315070150,ethacrynate sodium,5225.0,3657.5,4754.0,5269.0,4
NDC,69315090501,LORazepam,22.83,15.98,4754.0,5269.0,4
NDC,69315090505,LORazepam,114.13,79.89,4754.0,5269.0,4
NDC,69339-0149-19,Dextromethorphan HBr/guaiFENesin,9.99,6.99,,,0
NDC,69339-0151-19,diphenhydrAMINE HCl,9.84,6.89,,,0
NDC,69339-0157-17,levETIRAcetam,13.8,9.66,,,0
NDC,69339015105,diphenhydrAMINE HCl,5.64,3.95,4754.0,5269.0,4
NDC,69339015119,diphenhydrAMINE HCl,5.64,3.95,4754.0,5269.0,4
NDC,69339016001,Megestrol Acetate,16.48,11.54,4754.0,5269.0,4
NDC,69339016019,Megestrol Acetate,11.5,8.05,4754.0,5269.0,4
NDC,69344010233,Indocin,29857.17,20900.02,4754.0,5269.0,4
NDC,69367-0220-01,Sodium Chloride Tablets,1.0,0.7,,,0
NDC,69367-0250-01,Wes-Phos 250 Neutral,1.87,1.31,,,0
NDC,69367-0267-01,WesTab Plus,1.0,0.7,,,0
NDC,69367-0272-04,codeine-guaiFENesin,1.1,0.77,,,0
NDC,69367019050,Zoledronic Acid,60.5,42.35,4754.0,5269.0,4
NDC,69367022001,Sodium Chloride Tablets,22.0,15.4,4754.0,5269.0,4
NDC,69367024312,Hydrocortisone Acetate,380.59,266.41,4754.0,5269.0,4
NDC,69367025001,Wes-Phos 250 Neutral,93.23,65.26,4754.0,5269.0,4
NDC,69367026701,WesTab Plus,20.63,14.44,4754.0,5269.0,4
NDC,69367038901,Amitriptyline HCl,23.38,16.37,4754.0,5269.0,4
NDC,69374-0302-10,Phenylephrine HCl,39.92,27.94,,,0
NDC,69374-0932-33,Neostigmine Methylsulfate,15.84,11.09,0.11,0.11,2
NDC,69374-0946-04,Labetalol HCl,8.0,5.6,0.17,0.31,4
NDC,69374030010,Succinylcholine Chloride,23.93,16.75,4754.0,5269.0,4
NDC,69374030210,Phenylephrine HCl,152.46,106.72,4754.0,5269.0,4
NDC,69374090110,ePHEDrine Sulfate,54.87,38.41,4754.0,5269.0,4
NDC,69374092510,EPINEPHrine,16.5,11.55,4754.0,5269.0,4
NDC,69374093233,Neostigmine Methylsulfate,18.15,12.71,4754.0,5269.0,4
NDC,69374094905,Lidocaine HCl,13.75,9.63,4754.0,5269.0,4
NDC,69374096502,diazePAM,45.38,31.77,4754.0,5269.0,4
NDC,69374096750,Sodium Chloride,13.34,9.34,4754.0,5269.0,4
NDC,69374096810,Sodium Chloride,6.33,4.43,4754.0,5269.0,4
NDC,69420030,Viagra,7212.81,5048.97,4754.0,5269.0,4
NDC,69448000512,Paraplatin,120.95,84.67,4754.0,5269.0,4
NDC,69449401,Elrexfio,39286.78,27500.75,4754.0,5269.0,4
NDC,69449402,Elrexfio,39286.78,27500.75,4754.0,5269.0,4
NDC,69452-0389-98,Magnesium Citrate,3.56,2.49,,,0
NDC,69452-0390-98,Magnesium Citrate,3.56,2.49,,,0
NDC,69452013117,dofetilide,54.95,38.47,4754.0,5269.0,4
NDC,69452015120,Vitamin D,61.6,43.12,4754.0,5269.0,4
NDC,69452020713,Calcitriol,22.36,15.65,4754.0,5269.0,4
NDC,69452027520,Ketorolac Tromethamine,83.05,58.14,4754.0,5269.0,4
NDC,69452035060,Granisetron Hydrochloride,2.89,2.02,4754.0,5269.0,4
NDC,69452035092,Granisetron Hydrochloride,57.75,40.43,4754.0,5269.0,4
NDC,69488-0003-01,Lutathera,116400.0,81480.0,320.77,898.16,7
NDC,69532103,Paxlovid 300MG;100MG Dose Pack,411.44,288.01,4754.0,5269.0,4
NDC,69536016288,Plan B One-Step,89.38,62.57,4754.0,5269.0,4
NDC,69536018136,St. Joseph,7.13,4.99,4754.0,5269.0,4
NDC,69543-0379-30,Potassium Chloride,22.41,15.69,,,0
NDC,69543-0451-10,Potassium Chloride,13.49,9.44,,,0
NDC,69543012010,Acarbose,125.13,87.59,4754.0,5269.0,4
NDC,69543012110,Acarbose,128.43,89.9,4754.0,5269.0,4
NDC,69543038810,Ketorolac Tromethamine,296.45,207.52,4754.0,5269.0,4
NDC,69543045714,Ciprofloxacin,294.26,205.98,4754.0,5269.0,4
NDC,69547035302,Narcan,343.75,240.63,4754.0,5269.0,4
NDC,69547101,Cerebyx Novaplus,8.41,5.89,4754.0,5269.0,4
NDC,69547102,Cerebyx Novaplus,8.41,5.89,4754.0,5269.0,4
NDC,69547401,Cerebyx Novaplus,46.53,32.57,4754.0,5269.0,4
NDC,69547402,Cerebyx Novaplus,46.53,32.57,4754.0,5269.0,4
NDC,69584-0611-50,Methocarbamol,1.0,0.7,,,0
NDC,69584-0684-10,Primidone,2.0,1.4,,,0
NDC,69584009210,busPIRone HCl,12.1,8.47,4754.0,5269.0,4
NDC,69584042610,Imipramine HCl,18.98,13.29,4754.0,5269.0,4
NDC,69584068410,Primidone,66.83,46.78,4754.0,5269.0,4
NDC,69600110,Cerebyx,333.58,233.51,4754.0,5269.0,4
NDC,69600121,Cerebyx,333.58,233.51,4754.0,5269.0,4
NDC,69618003301,Simethicone,6.6,4.62,4754.0,5269.0,4
NDC,69784-0180-10,PEG 3350,5.65,3.96,,,0
NDC,69784023010,sodium acetate,49.92,34.94,4754.0,5269.0,4
NDC,69784023120,Sodium Acetate,68.48,47.94,4754.0,5269.0,4
NDC,69853010201,Andexxa,6875.0,4812.5,4754.0,5269.0,4
NDC,69918-0899-10,Desmopressin Acetate,211.66,148.16,,,0
NDC,69918073501,Isoproterenol HCl,385.0,269.5,4754.0,5269.0,4
NDC,69918073510,Isoproterenol HCl,385.0,269.5,4754.0,5269.0,4
NDC,69918089901,Desmopressin Acetate,104.5,73.15,4754.0,5269.0,4
NDC,69918089902,Desmopressin Acetate Novaplus,87.31,61.12,4754.0,5269.0,4
NDC,69918089910,Desmopressin Acetate,104.5,73.15,4754.0,5269.0,4
NDC,69918089911,Desmopressin Acetate Novaplus,87.31,61.12,4754.0,5269.0,4
NDC,699310002,Topex Anesthetic,77.44,54.21,4754.0,5269.0,4
NDC,70010-0002-01,Colchicine,1.0,0.7,,,0
NDC,70010-0065-01,metFORMIN HCl,1.0,0.7,,,0
NDC,70010-0135-01,Potassium Chloride,1.94,1.36,,,0
NDC,70010-0135-10,Potassium Chloride,1.94,1.36,,,0
NDC,70010-0148-05,Potassium Chloride,1.0,0.7,,,0
NDC,70010-0149-01,Butalbital-Acetaminophen-Caffeine,1.0,0.7,,,0
NDC,70010-0491-01,metFORMIN HCl,1.0,0.7,,,0
NDC,70010-0491-05,metFORMIN HCl,1.0,0.7,,,0
NDC,70010-0770-01,Methocarbamol,1.0,0.7,,,0
NDC,70010000201,Colchicine,82.5,57.75,4754.0,5269.0,4
NDC,70010004301,Methylphenidate HCl,171.33,119.93,4754.0,5269.0,4
NDC,70010006401,metFORMIN HCl,9.9,6.93,4754.0,5269.0,4
NDC,70010006501,metFORMIN HCl,11.0,7.7,4754.0,5269.0,4
NDC,70010013501,Potassium Chloride,96.53,67.57,4754.0,5269.0,4
NDC,70010013510,Potassium Chloride,965.25,675.68,4754.0,5269.0,4
NDC,70010013901,Naproxen,15.95,11.17,4754.0,5269.0,4
NDC,70010014801,Potassium Chloride,49.5,34.65,4754.0,5269.0,4
NDC,70010014805,Potassium Chloride,247.5,173.25,4754.0,5269.0,4
NDC,70010023301,traZODone hydrochloride,77.0,53.9,4754.0,5269.0,4
NDC,70010049105,metFORMIN HCl,59.13,41.39,4754.0,5269.0,4
NDC,70020-1910-01,Ixempra,2370.075,1659.05,139.98,391.94,14
NDC,70020-1911-01,Ixempra,14220.44,9954.31,139.98,391.94,7
NDC,70020191001,Ixempra,5540.04,3878.03,4754.0,5269.0,4
NDC,70020191002,Ixempra,5540.04,3878.03,4754.0,5269.0,4
NDC,70020191101,Ixempra,16620.12,11634.08,4754.0,5269.0,4
NDC,70020191102,Ixempra,16620.12,11634.08,4754.0,5269.0,4
NDC,70069-0017-01,Olopatadine HCl,18.12,12.68,,,0
NDC,70069-0021-25,dexAMETHasone Sodium Phosphate,8.0,5.6,0.12,0.19,4
NDC,70069-0051-01,Dorzolamide HCl-Timolol Maleate,48.0,33.6,,,0
NDC,70069-0101-25,Methocarbamol,14.31,10.02,6.17,9.25,4
NDC,70069-0191-01,Pilocarpine HCl,182.13,127.49,,,0
NDC,70069-0231-01,Brimonidine Tartrate,14.67,10.27,,,0
NDC,70069-0301-10,Succinylcholine Chloride,40.8,28.56,0.16,0.18,3
NDC,70069-0362-10,Sulfamethoxazole/Trimethoprim,33.44,23.41,,,0
NDC,70069-0651-01,brimonidine tartrate-timolol maleate,55.0,38.5,,,0
NDC,70069000501,Cyanocobalamin,9.79,6.85,4754.0,5269.0,4
NDC,70069000510,Cyanocobalamin,9.79,6.85,4754.0,5269.0,4
NDC,70069001701,Olopatadine HCl,20.77,14.54,4754.0,5269.0,4
NDC,70069005101,Dorzolamide HCl-Timolol Maleate,55.0,38.5,4754.0,5269.0,4
NDC,70069006401,ROPivacaine HCl,23.35,16.35,4754.0,5269.0,4
NDC,70069006425,ROPivacaine HCl,23.35,16.35,4754.0,5269.0,4
NDC,70069007101,Naloxone HCl,27.5,19.25,4754.0,5269.0,4
NDC,70069007110,Naloxone HCl,27.5,19.25,4754.0,5269.0,4
NDC,70069009101,Azelastine HCl,96.25,67.38,4754.0,5269.0,4
NDC,70069010101,Methocarbamol,16.39,11.47,4754.0,5269.0,4
NDC,70069010125,Methocarbamol,16.39,11.47,4754.0,5269.0,4
NDC,70069012101,Tropicamide,23.39,16.37,4754.0,5269.0,4
NDC,70069013101,Tobramycin,13.75,9.63,4754.0,5269.0,4
NDC,70069015101,Cisatracurium Besylate,273.63,191.54,4754.0,5269.0,4
NDC,70069015110,Cisatracurium Besylate,273.63,191.54,4754.0,5269.0,4
NDC,70069018101,Pilocarpine HCl,204.03,142.82,4754.0,5269.0,4
NDC,70069019101,Pilocarpine HCl,208.69,146.08,4754.0,5269.0,4
NDC,70069020101,Pilocarpine HCl,218.75,153.13,4754.0,5269.0,4
NDC,70069026101,Sodium Nitroprusside,55.0,38.5,4754.0,5269.0,4
NDC,70069030101,Succinylcholine Chloride,23.38,16.37,4754.0,5269.0,4
NDC,70069030110,Succinylcholine Chloride,23.38,16.37,4754.0,5269.0,4
NDC,70069031101,Polymyxin B Sulfate/Trimethoprim,25.91,18.14,4754.0,5269.0,4
NDC,70069036201,Sulfamethoxazole/Trimethoprim,33.44,23.41,4754.0,5269.0,4
NDC,70069036210,Sulfamethoxazole/Trimethoprim,33.44,23.41,4754.0,5269.0,4
NDC,70069042101,Latanoprost,13.62,9.53,4754.0,5269.0,4
NDC,70069056601,Brimonidine Tartrate,178.75,125.13,4754.0,5269.0,4
NDC,70069058201,Atropine Sulfate,114.4,80.08,4754.0,5269.0,4
NDC,70069058601,Travoprost,110.0,77.0,4754.0,5269.0,4
NDC,70069060101,Proparacaine HCl,96.28,67.4,4754.0,5269.0,4
NDC,70069068601,Ofloxacin,22.0,15.4,4754.0,5269.0,4
NDC,70069070101,Timolol Maleate,11.66,8.16,4754.0,5269.0,4
NDC,70092-1068-07,COMPOUNDED DRUG; NOT OTHERWISE CLASSIFIED,63.6,44.52,,,0
NDC,70092-1087-46,INJECTION; SUCCINYLCHOLINE CHLORIDE; UP TO 20 MG,54.39,38.07,0.16,0.18,3
NDC,70092-1238-47,COMPOUNDED DRUG; NOT OTHERWISE CLASSIFIED,18.24,12.77,,,0
NDC,70092-1380-36,COMPOUNDED DRUG; NOT OTHERWISE CLASSIFIED,37.2,26.04,,,0
NDC,70092-9042-05,Phenylephrine HCl-Sodium Chloride,72.0,50.4,,,0
NDC,70092904205,Phenylephrine HCl-Sodium Chloride,84.57,59.2,4754.0,5269.0,4
NDC,70095-0025-02,Azithromycin,9.63,6.74,2.41,4.25,4
NDC,70095002501,Azithromycin,9.63,6.74,4754.0,5269.0,4
NDC,70095002502,Azithromycin,9.63,6.74,4754.0,5269.0,4
NDC,70100072501,IC-Green,786.05,550.24,4754.0,5269.0,4
NDC,70100082502,IC-Green,786.05,550.24,4754.0,5269.0,4
NDC,70114-0101-01,Udenyca,10020.0,7014.0,161.99,453.57,14
NDC,70114-0340-01,Loqtorzi,21767.69,15237.38,40.21,112.59,7
NDC,70114010101,Udenyca,11481.25,8036.88,4754.0,5269.0,4
NDC,70114012001,Udenyca,11481.25,8036.88,4754.0,5269.0,4
NDC,70114034001,Loqtorzi,26186.94,18330.86,4754.0,5269.0,4
NDC,70121-1049-02,Triamcinolone Acetonide,30.599999999999998,21.419999999999998,1.08,2.14,4
NDC,70121-1049-05,Triamcinolone Acetonide,14.2,9.94,1.08,2.14,4
NDC,70121-1453-07,Meropenem,26.4,18.48,0.39,0.73,4
NDC,70121-1573-05,methylPREDNISolone Acetate,17.35,12.145,,,0
NDC,70121-1574-05,methylPREDNISolone Acetate,39.17,27.42,,,0
NDC,70121-1577-05,Phenylephrine HCl,18.73,13.11,,,0
NDC,70121104901,Triamcinolone Acetonide,23.38,16.37,4754.0,5269.0,4
NDC,70121104905,Triamcinolone Acetonide,23.38,16.37,4754.0,5269.0,4
NDC,70121116801,Triamcinolone Acetonide,119.22,83.45,4754.0,5269.0,4
NDC,70121123601,clofarabine,5225.0,3657.5,4754.0,5269.0,4
NDC,70121155201,methylPREDNISolone Acetate Novaplus,44.88,31.42,4754.0,5269.0,4
NDC,70121155205,methylPREDNISolone Acetate Novaplus,44.88,31.42,4754.0,5269.0,4
NDC,70121157301,methylPREDNISolone Acetate,26.5,18.55,4754.0,5269.0,4
NDC,70121157305,methylPREDNISolone Acetate,26.5,18.55,4754.0,5269.0,4
NDC,70121157401,methylPREDNISolone Acetate,44.88,31.42,4754.0,5269.0,4
NDC,70121157405,methylPREDNISolone Acetate,44.88,31.42,4754.0,5269.0,4
NDC,70121249605,Lioresal,90.67,63.47,4754.0,5269.0,4
NDC,70121250301,Lioresal Refill Kit,2599.14,1819.4,4754.0,5269.0,4
NDC,70257-0563-01,Lioresal Intrathecal Refill Kit,3733.3050000000003,2613.315,181.47,508.12,21
NDC,70257-0563-02,Lioresal Intrathecal Refill Kit,4536.68,3175.68,181.47,508.12,7
NDC,70257005105,HepaGam B,2447.34,1713.14,4754.0,5269.0,4
NDC,70257005151,HepaGam B,2447.34,1713.14,4754.0,5269.0,4
NDC,70257012611,Varizig,6002.07,4201.45,4754.0,5269.0,4
NDC,70257012651,Varizig,6002.07,4201.45,4754.0,5269.0,4
NDC,70257056002,Lioresal Intrathecal Refill Kit,649.77,454.84,4754.0,5269.0,4
NDC,70257056020,Lioresal Intrathecal Refill Kit,649.77,454.84,4754.0,5269.0,4
NDC,70257056255,Lioresal Intrathecal,90.67,63.47,4754.0,5269.0,4
NDC,703011301,HYDROmorphone HCl,25.91,18.14,4754.0,5269.0,4
NDC,703011303,HYDROmorphone HCl,25.91,18.14,4754.0,5269.0,4
NDC,703024101,Triamcinolone Acetonide,22.25,15.58,4754.0,5269.0,4
NDC,703024301,Triamcinolone Acetonide,112.89,79.02,4754.0,5269.0,4
NDC,703150102,Alprostadil,297.94,208.56,4754.0,5269.0,4
NDC,703165202,Dipyridamole,16.67,11.67,4754.0,5269.0,4
NDC,703165402,Dipyridamole,30.25,21.18,4754.0,5269.0,4
NDC,703291401,Vecuronium Bromide,17.33,12.13,4754.0,5269.0,4
NDC,703291403,Vecuronium Bromide,17.33,12.13,4754.0,5269.0,4
NDC,703315501,Bleomycin Sulfate,291.78,204.25,4754.0,5269.0,4
NDC,703321801,PACLitaxel,275.0,192.5,4754.0,5269.0,4
NDC,703367501,Methotrexate,24.84,17.39,4754.0,5269.0,4
NDC,703424601,CARBOplatin,57.75,40.43,4754.0,5269.0,4
NDC,703424801,CARBOplatin,178.7,125.09,4754.0,5269.0,4
NDC,703440211,Vincasar PFS,41.39,28.97,4754.0,5269.0,4
NDC,703450201,Metoclopramide HCl,9.22,6.45,4754.0,5269.0,4
NDC,703450204,Metoclopramide HCl,9.22,6.45,4754.0,5269.0,4
NDC,703463601,Zanosar,960.39,672.27,4754.0,5269.0,4
NDC,703514501,Leucovorin Calcium,52.12,36.48,4754.0,5269.0,4
NDC,703681121,medroxyPROGESTERone acetate,107.25,75.08,4754.0,5269.0,4
NDC,70377-0045-12,Pravastatin Sodium,1.0,0.7,,,0
NDC,70377000612,Rosuvastatin Calcium,27.48,19.24,4754.0,5269.0,4
NDC,70377001311,everolimus,4399.98,3079.99,4754.0,5269.0,4
NDC,70377004512,Pravastatin Sodium,41.34,28.94,4754.0,5269.0,4
NDC,703904001,Amikacin Sulfate,20.08,14.06,4754.0,5269.0,4
NDC,703904003,Amikacin Sulfate,67.41,47.19,4754.0,5269.0,4
NDC,703950303,SMZ-TMP Concentrate,17.25,12.08,4754.0,5269.0,4
NDC,703951401,SMZ-TMP Concentrate,34.49,24.14,4754.0,5269.0,4
NDC,703951403,SMZ-TMP Concentrate,34.49,24.14,4754.0,5269.0,4
NDC,70436-0019-82,Azithromycin,11.28,7.9,2.41,4.25,4
NDC,70436-0021-82,Vancomycin HCl,8.125,5.6899999999999995,3.77,9.43,4
NDC,70436-0023-82,Vancomycin HCl,28.8,20.16,3.77,9.43,4
NDC,70436-0232-52,Amiodarone HCl,24.75,17.33,0.29,0.33,3
NDC,70436001104,buPROPion HCl XL,109.65,76.76,4754.0,5269.0,4
NDC,70436001982,Azithromycin,12.93,9.05,4754.0,5269.0,4
NDC,70436002382,Vancomycin HCl,165.0,115.5,4754.0,5269.0,4
NDC,70436008955,Ganciclovir,121.0,84.7,4754.0,5269.0,4
NDC,70436023252,Amiodarone HCl,8.25,5.78,4754.0,5269.0,4
NDC,70436023272,Amiodarone HCl,8.25,5.78,4754.0,5269.0,4
NDC,70594-0041-03,Vancomycin HCl (Premix),44.775,31.345,6.4,10.76,4
NDC,70594-0042-03,Vancomycin HCl (Premix),41.2,28.84,6.4,10.76,4
NDC,70594-0043-02,Vancomycin HCl (Premix),59.485,41.64,6.4,10.76,4
NDC,70594-0044-02,Vancomycin HCl (Premix),72.1,50.47,6.4,10.76,4
NDC,70594-0056-03,Vancomycin HCl (Premix),30.9,21.630000000000003,6.4,10.76,4
NDC,70594-0057-02,Vancomycin HCl (Premix),52.25,36.58,6.4,10.76,4
NDC,70594-0058-02,Vancomycin HCl (Premix),66.695,46.685,6.4,10.76,4
NDC,70594-0066-01,DAPTOmycin,154.29,108.0,,,0
NDC,70594-0111-02,Acetylcysteine,466.4,326.48,0.77,1.14,4
NDC,70594004101,Vancomycin HCl (Premix),24.75,17.33,4754.0,5269.0,4
NDC,70594004103,Vancomycin HCl (Premix),24.75,17.33,4754.0,5269.0,4
NDC,70594004201,Vancomycin HCl (Premix),44.0,30.8,4754.0,5269.0,4
NDC,70594004203,Vancomycin HCl (Premix),44.0,30.8,4754.0,5269.0,4
NDC,70594004301,Vancomycin HCl (Premix),63.53,44.47,4754.0,5269.0,4
NDC,70594004302,Vancomycin HCl (Premix),63.53,44.47,4754.0,5269.0,4
NDC,70594004401,Vancomycin HCl (Premix),77.0,53.9,4754.0,5269.0,4
NDC,70594004402,Vancomycin HCl (Premix),77.0,53.9,4754.0,5269.0,4
NDC,70594005601,Vancomycin HCl (Premix),33.0,23.1,4754.0,5269.0,4
NDC,70594005603,Vancomycin HCl (Premix),33.0,23.1,4754.0,5269.0,4
NDC,70594005701,Vancomycin HCl (Premix),52.25,36.58,4754.0,5269.0,4
NDC,70594005702,Vancomycin HCl (Premix),52.25,36.58,4754.0,5269.0,4
NDC,70594005801,Vancomycin HCl (Premix),71.23,49.86,4754.0,5269.0,4
NDC,70594005802,Vancomycin HCl (Premix),71.23,49.86,4754.0,5269.0,4
NDC,70594006601,DAPTOmycin,137.5,96.25,4754.0,5269.0,4
NDC,70594011101,Acetylcysteine,165.0,115.5,4754.0,5269.0,4
NDC,70594011102,Acetylcysteine,165.0,115.5,4754.0,5269.0,4
NDC,70655000206,Fluconazole,16.5,11.55,4754.0,5269.0,4
NDC,70677-0032-01,Sunmark Nicotine Transdermal System,3.42,2.39,,,0
NDC,70677-1013-01,Foster&Thrive Mucus Relief,1.0,0.7,,,0
NDC,70677-1075-01,Foster&Thrive Antacid,2.0,1.4,,,0
NDC,70677-1110-01,Foster&Thrive Mineral Oil,0.44,0.31,,,0
NDC,70677-1111-01,Foster&Thrive Magnesium Citrate,4.98,3.49,,,0
NDC,70677-1138-03,Foster&Thrive Pain Reliever,1.0,0.7,,,0
NDC,70677-1154-01,Foster&Thrive Earwax Removal,6.16,4.31,,,0
NDC,70677-1184-01,Foster&Thrive Lice Killing Shampoo,14.28,10.0,,,0
NDC,70677-1189-01,Foster&Thrive Aspirin,1.0,0.7,,,0
NDC,70677003001,Sunmark Nicotine Transdermal System,54.79,38.35,4754.0,5269.0,4
NDC,70677003101,Sunmark Nicotine Transdermal System,54.79,38.35,4754.0,5269.0,4
NDC,70677005401,Sunmark Anti-Diarrheal,9.57,6.7,4754.0,5269.0,4
NDC,70677006701,Sunmark Antacid,7.84,5.49,4754.0,5269.0,4
NDC,70677011901,Sunmark Migraine Relief,11.14,7.8,4754.0,5269.0,4
NDC,70677100001,Foster&Thrive Antifungal,6.03,4.22,4754.0,5269.0,4
NDC,70677101201,Foster&Thrive Children's Allergy Relief,6.17,4.32,4754.0,5269.0,4
NDC,70677101202,Foster&Thrive Children's Allergy Relief,10.39,7.27,4754.0,5269.0,4
NDC,70677101301,Foster&Thrive Mucus Relief,29.48,20.64,4754.0,5269.0,4
NDC,70677101401,Foster&Thrive Allergy Relief,3.7,2.59,4754.0,5269.0,4
NDC,70677101501,Foster&Thrive Allergy Relief,3.7,2.59,4754.0,5269.0,4
NDC,70677101502,Foster&Thrive Allergy Relief,11.0,7.7,4754.0,5269.0,4
NDC,70677107501,Foster&Thrive Antacid,8.67,6.07,4754.0,5269.0,4
NDC,70677107801,Foster&Thrive Infants' Gas Relief,10.15,7.11,4754.0,5269.0,4
NDC,70677111001,Foster&Thrive Mineral Oil,15.61,10.93,4754.0,5269.0,4
NDC,70677111101,Foster&Thrive Magnesium Citrate,5.7,3.99,4754.0,5269.0,4
NDC,70677112201,Foster&Thrive Aspirin,5.5,3.85,4754.0,5269.0,4
NDC,70677112601,Foster&Thrive Stay Awake,3.79,2.65,4754.0,5269.0,4
NDC,70677112901,Foster&Thrive Sleep Aid,10.65,7.46,4754.0,5269.0,4
NDC,70677113301,Foster & Thrive Migraine Relief,11.14,7.8,4754.0,5269.0,4
NDC,70677113803,Foster&Thrive Pain Reliever,20.63,14.44,4754.0,5269.0,4
NDC,70677114301,Foster & Thrive Children's Pain & Fever,6.82,4.77,4754.0,5269.0,4
NDC,70677114501,Foster&Thrive Children's Ibuprofen IB,9.51,6.66,4754.0,5269.0,4
NDC,70677115003,Foster&Thrive Aspirin Low Dose,9.9,6.93,4754.0,5269.0,4
NDC,70677115401,Foster&Thrive Earwax Removal,7.06,4.94,4754.0,5269.0,4
NDC,70677118401,Foster&Thrive Lice Killing Shampoo,14.28,10.0,4754.0,5269.0,4
NDC,70677118601,Foster&Thrive Tussin,7.47,5.23,4754.0,5269.0,4
NDC,70677118901,Foster&Thrive Aspirin,4.68,3.28,4754.0,5269.0,4
NDC,70677119201,Foster&Thrive Nicotine Gum,46.59,32.61,4754.0,5269.0,4
NDC,70677119801,Foster&Thrive Caldyphen,10.23,7.16,4754.0,5269.0,4
NDC,70677121101,Foster&Thrive Antibiotic Ointment,6.88,4.82,4754.0,5269.0,4
NDC,70677121301,Foster&Thrive Anti-Itch Cream,10.16,7.11,4754.0,5269.0,4
NDC,70700-0167-25,Glycopyrrolate,8.0,5.6,0.5,1.02,4
NDC,70700-0172-23,Neostigmine Methylsulfate,20.0,14.0,0.11,0.11,2
NDC,70700-0268-94,fosfomycin tromethamine,192.77,134.94,,,0
NDC,70700-0289-22,Testosterone Cypionate,11.405000000000001,7.985,0.01,0.1,4
NDC,70700-0315-27,medroxyPROGESTERone acetate,94.58,66.21,0.57,0.81,3
NDC,70700016722,Glycopyrrolate,30.14,21.1,4754.0,5269.0,4
NDC,70700016725,Glycopyrrolate,30.14,21.1,4754.0,5269.0,4
NDC,70700018922,Fluorouracil,163.35,114.35,4754.0,5269.0,4
NDC,70700026894,fosfomycin tromethamine,220.88,154.62,4754.0,5269.0,4
NDC,70700027422,Estradiol Valerate,360.12,252.08,4754.0,5269.0,4
NDC,70700028922,Testosterone Cypionate,35.75,25.03,4754.0,5269.0,4
NDC,70700031522,medroxyPROGESTERone acetate,94.58,66.21,4754.0,5269.0,4
NDC,70700031525,medroxyPROGESTERone acetate,94.59,66.21,4754.0,5269.0,4
NDC,70700031527,medroxyPROGESTERone acetate,94.58,66.21,4754.0,5269.0,4
NDC,70710-1014-03,Phytonadione,67.53,47.27,,,0
NDC,70710-1137-03,Fluconazole,1.13,0.79,,,0
NDC,70710-1159-03,mirabegron,72.92,51.04,,,0
NDC,70710-1162-01,Meclizine HCl,1.0,0.7,,,0
NDC,70710-1359-06,Lacosamide,157.25,110.08,,,0
NDC,70710-1389-09,droxidopa,11.8,8.26,,,0
NDC,70710-1531-01,DOXOrubicin HCl Liposome,4069.92,2848.94,104.01,291.23,7
NDC,70710101403,Phytonadione,2321.06,1624.74,4754.0,5269.0,4
NDC,70710104703,Erythromycin,394.44,276.11,4754.0,5269.0,4
NDC,70710106201,Albuterol Sulfate,272.25,190.58,4754.0,5269.0,4
NDC,70710111001,Cyproheptadine HCl,121.83,85.28,4754.0,5269.0,4
NDC,70710113703,Fluconazole,26.98,18.89,4754.0,5269.0,4
NDC,70710115903,mirabegron,1093.71,765.6,4754.0,5269.0,4
NDC,70710116201,Meclizine HCl,52.53,36.77,4754.0,5269.0,4
NDC,70710124003,Zituvio,868.23,607.76,4754.0,5269.0,4
NDC,70710127206,Sacubitril-Valsartan,233.81,163.67,4754.0,5269.0,4
NDC,70710127406,Sacubitril-Valsartan,1675.58,1172.91,4754.0,5269.0,4
NDC,70710135901,Lacosamide,180.18,126.13,4754.0,5269.0,4
NDC,70710135906,Lacosamide,180.18,126.13,4754.0,5269.0,4
NDC,70710145701,Azithromycin,38.82,27.17,4754.0,5269.0,4
NDC,70710147801,Fomepizole,4125.0,2887.5,4754.0,5269.0,4
NDC,70710164301,Verapamil HCl,27.5,19.25,4754.0,5269.0,4
NDC,70710164307,Verapamil HCl,27.5,19.25,4754.0,5269.0,4
NDC,70710171001,Ketorolac Tromethamine,156.2,109.34,4754.0,5269.0,4
NDC,70710189903,Sitagliptin,220.03,154.02,4754.0,5269.0,4
NDC,70720-0950-36,Zoladex,2382.77,1667.94,777.5,2177.0,14
NDC,70720-0951-30,Zoladex,6680.72,4676.5,777.5,2177.0,14
NDC,70720095036,Zoladex,3090.87,2163.61,4754.0,5269.0,4
NDC,70720095130,Zoladex,8503.83,5952.68,4754.0,5269.0,4
NDC,70727-0497-25,Rhopressa,778.66,545.06,,,0
NDC,70727049725,Rhopressa,918.97,643.28,4754.0,5269.0,4
NDC,70748-0130-06,Leflunomide,1.2,0.84,,,0
NDC,70748-0332-02,prednisoLONE Acetate,121.0,84.7,,,0
NDC,70748012749,Varenicline,261.19,182.83,4754.0,5269.0,4
NDC,70748012906,Leflunomide,41.25,28.88,4754.0,5269.0,4
NDC,70748013006,Leflunomide,41.25,28.88,4754.0,5269.0,4
NDC,70748025807,posaconazole,1237.5,866.25,4754.0,5269.0,4
NDC,70748032302,Bumetanide,9.02,6.31,4754.0,5269.0,4
NDC,70748032311,Bumetanide,9.02,6.31,4754.0,5269.0,4
NDC,70748033202,prednisoLONE Acetate,121.0,84.7,4754.0,5269.0,4
NDC,70748038901,Prucalopride,157.41,110.19,4754.0,5269.0,4
NDC,70752013005,Triamcinolone Acetonide,78.38,54.87,4754.0,5269.0,4
NDC,70752017110,Propylthiouracil,202.13,141.49,4754.0,5269.0,4
NDC,70756-0004-11,Haloperidol,1.0,0.7,,,0
NDC,70756-0412-11,Nitrofurantoin Macrocrystals,2.04,1.43,,,0
NDC,70756000111,Haloperidol,20.63,14.44,4754.0,5269.0,4
NDC,70756000411,Haloperidol,27.5,19.25,4754.0,5269.0,4
NDC,70756042411,Doxepin HCl,47.58,33.31,4754.0,5269.0,4
NDC,70756060456,Tobramycin,19.65,13.76,4754.0,5269.0,4
NDC,70756060605,Verapamil HCl,47.85,33.5,4754.0,5269.0,4
NDC,70756060685,Verapamil HCl,47.85,33.5,4754.0,5269.0,4
NDC,70756060915,Ofloxacin,41.25,28.88,4754.0,5269.0,4
NDC,70756061430,Phenylephrine HCl,110.0,77.0,4754.0,5269.0,4
NDC,70756062925,Phenylephrine HCl,89.38,62.57,4754.0,5269.0,4
NDC,70756063825,Moxifloxacin HCl,26.26,18.38,4754.0,5269.0,4
NDC,70756064325,Lidocaine HCl,6.14,4.3,4754.0,5269.0,4
NDC,70756064825,Lidocaine HCl,11.55,8.09,4754.0,5269.0,4
NDC,70756064887,Lidocaine HCl,11.55,8.09,4754.0,5269.0,4
NDC,70756065225,Atropine Sulfate,120.43,84.3,4754.0,5269.0,4
NDC,70756065615,Timolol Maleate,23.1,16.17,4754.0,5269.0,4
NDC,70756066360,Sodium Chloride,1.29,0.9,4754.0,5269.0,4
NDC,70756080790,Lansoprazole,23.76,16.63,4754.0,5269.0,4
NDC,70839-0362-04,Cocaine HCl,705.6,493.92,,,0
NDC,70839036204,Cocaine HCl,808.5,565.95,4754.0,5269.0,4
NDC,70842016001,Minocin,710.88,497.62,4754.0,5269.0,4
NDC,70842016010,Minocin,710.88,497.62,4754.0,5269.0,4
NDC,70842024001,Rezzayo,5746.51,4022.56,4754.0,5269.0,4
NDC,70860-0100-10,Azithromycin,12.0,8.4,2.41,4.25,4
NDC,70860-0210-51,Zoledronic Acid,130.63,91.44,6.94,11.79,4
NDC,70860-0301-05,dilTIAZem HCl,6.19,4.33,,,0
NDC,70860-0601-10,Midazolam,8.0,5.6,0.14,0.23,4
NDC,70860-0700-02,Ketorolac Tromethamine,8.64,6.05,0.39,1.09,18
NDC,70860-0778-02,Prochlorperazine Edisylate,15.24,10.67,3.94,5.6,4
NDC,70860010010,Azithromycin,13.75,9.63,4754.0,5269.0,4
NDC,70860010041,Azithromycin,13.75,9.63,4754.0,5269.0,4
NDC,70860012620,Penicillin G Potassium,35.62,24.93,4754.0,5269.0,4
NDC,70860012641,Penicillin G Potassium,35.62,24.93,4754.0,5269.0,4
NDC,70860012751,Penicillin G Potassium,151.25,105.88,4754.0,5269.0,4
NDC,70860020017,PACLitaxel,77.53,54.27,4754.0,5269.0,4
NDC,70860020050,PACLitaxel,165.0,115.5,4754.0,5269.0,4
NDC,70860020550,Gemcitabine,115.17,80.62,4754.0,5269.0,4
NDC,70860030105,dilTIAZem HCl,7.73,5.41,4754.0,5269.0,4
NDC,70860030125,dilTIAZem HCl,25.03,17.52,4754.0,5269.0,4
NDC,70860030141,dilTIAZem HCl,7.73,5.41,4754.0,5269.0,4
NDC,70860030143,dilTIAZem HCl,25.03,17.52,4754.0,5269.0,4
NDC,70860060241,levETIRAcetam-Sodium Chloride,93.5,65.45,4754.0,5269.0,4
NDC,70860060282,levETIRAcetam-Sodium Chloride,93.5,65.45,4754.0,5269.0,4
NDC,70954-0005-10,oxyBUTYnin Chloride,2.0,1.4,,,0
NDC,70954-0019-50,Prazosin HCl,2.0,1.4,,,0
NDC,70954-0020-10,Prazosin HCl,1.0,0.7,,,0
NDC,70954-0201-10,Digoxin,1.0,0.7,,,0
NDC,70954-0443-10,miSOPROStol,6.36,4.45,,,0
NDC,70954-0455-10,Bisoprolol Fumarate,1.11,0.78,,,0
NDC,70954000510,oxyBUTYnin Chloride,24.2,16.94,4754.0,5269.0,4
NDC,70954001910,Prazosin HCl,39.33,27.53,4754.0,5269.0,4
NDC,70954001950,Prazosin HCl,62.37,43.66,4754.0,5269.0,4
NDC,70954002010,Prazosin HCl,52.8,36.96,4754.0,5269.0,4
NDC,70954002110,Prazosin HCl,74.8,52.36,4754.0,5269.0,4
NDC,70954004110,Rifabutin,3463.9,2424.73,4754.0,5269.0,4
NDC,70954013510,Dapsone,81.1,56.77,4754.0,5269.0,4
NDC,70954013610,Dapsone,99.75,69.83,4754.0,5269.0,4
NDC,70954020110,Digoxin,81.4,56.98,4754.0,5269.0,4
NDC,70954021210,Trihexyphenidyl HCl,41.25,28.88,4754.0,5269.0,4
NDC,70954024010,carBAMazepine,194.29,136.0,4754.0,5269.0,4
NDC,70954025220,Fludrocortisone Acetate,154.0,107.8,4754.0,5269.0,4
NDC,70954026110,Dicyclomine HCl,271.86,190.3,4754.0,5269.0,4
NDC,70954027310,fluPHENAZine HCl,165.0,115.5,4754.0,5269.0,4
NDC,70954027510,fluPHENAZine HCl,165.0,115.5,4754.0,5269.0,4
NDC,70954036510,Phenoxybenzamine HCl,7562.5,5293.75,4754.0,5269.0,4
NDC,70954044310,miSOPROStol,109.23,76.46,4754.0,5269.0,4
NDC,70954044410,miSOPROStol,159.23,111.46,4754.0,5269.0,4
NDC,70954044420,miSOPROStol,265.38,185.77,4754.0,5269.0,4
NDC,70954045510,Bisoprolol Fumarate,13.29,9.3,4754.0,5269.0,4
NDC,70954048410,Pyrazinamide,750.26,525.18,4754.0,5269.0,4
NDC,70954048420,Pyrazinamide,1118.46,782.92,4754.0,5269.0,4
NDC,70954049210,levOCARNitine,217.31,152.12,4754.0,5269.0,4
NDC,70954056510,Estradiol,23.93,16.75,4754.0,5269.0,4
NDC,70954068810,Prochlorperazine Maleate,94.88,66.42,4754.0,5269.0,4
NDC,70954093410,Nitazoxanide,2146.52,1502.56,4754.0,5269.0,4
NDC,71023724,Zarontin,365.2,255.64,4754.0,5269.0,4
NDC,71101668,Lyrica,2504.7,1753.29,4754.0,5269.0,4
NDC,71225013301,dexmedeTOMIDine HCl-Sodium Chloride,165.0,115.5,4754.0,5269.0,4
NDC,71225013302,dexmedeTOMIDine HCl-Sodium Chloride,165.0,115.5,4754.0,5269.0,4
NDC,71266-2001-02,Succinylcholine Chloride,21.92,15.34,0.16,0.18,3
NDC,71266200102,Succinylcholine Chloride,51.98,36.39,4754.0,5269.0,4
NDC,71288-0016-15,DAPTOmycin,108.0,75.6,0.91,1.05,4
NDC,71288-0023-21,Vancomycin HCl,8.0,5.6,3.77,9.43,4
NDC,71288-0031-21,Ampicillin-Sulbactam,12.32,8.62,2.12,2.89,4
NDC,71288-0032-21,Ampicillin-Sulbactam,39.22,27.45,2.12,2.89,4
NDC,71288-0113-10,Gemcitabine,88.23,61.76,3.65,5.05,4
NDC,71288-0114-50,Gemcitabine,154.33,108.03,3.65,5.05,4
NDC,71288-0115-30,azaCITIDine,89.64,62.75,0.41,0.49,4
NDC,71288-0117-06,Gemcitabine,54.67,38.27,3.65,5.05,4
NDC,71288-0118-10,bortezomib,51.015,35.714999999999996,2.07,2.71,4
NDC,71288-0119-20,Decitabine,139.2,97.44,1.64,2.77,4
NDC,71288-0166-10,PEMEtrexed,100.8,70.56,3.59,10.05,63
NDC,71288-0167-50,PEMEtrexed,511.2,357.84000000000003,3.59,10.05,56
NDC,71288-0201-85,Regadenoson,48.0,33.6,7.05,23.35,4
NDC,71288-0203-03,Furosemide,8.0,5.6,,,0
NDC,71288-0203-11,Furosemide,8.0,5.6,,,0
NDC,71288-0303-02,Cyanocobalamin,4.005,2.8049999999999997,1.42,4.61,4
NDC,71288-0402-11,Heparin Sodium,20.0,14.0,0.27,0.44,4
NDC,71288-0405-81,Heparin Sodium,10.2,7.14,0.27,0.44,4
NDC,71288-0409-05,palonosetron hcl,24.75,17.33,1.19,1.39,4
NDC,71288-0427-11,bivalirudin,192.5,134.75,0.25,0.34,4
NDC,71288-0434-92,HealthTrust Enoxaparin Sodium,11.2,7.84,1.24,4.97,4
NDC,71288-0600-11,Pantoprazole Sodium,8.0,5.6,,,0
NDC,71288-0807-02,Phenylephrine HCl,8.0,5.6,,,0
NDC,71288000631,Ampicillin-Sulbactam,22.47,15.73,4754.0,5269.0,4
NDC,71288000775,Ampicillin-Sulbactam,152.63,106.84,4754.0,5269.0,4
NDC,71288001615,DAPTOmycin,82.5,57.75,4754.0,5269.0,4
NDC,71288001910,tigecycline,288.75,202.13,4754.0,5269.0,4
NDC,71288001911,tigecycline,288.75,202.13,4754.0,5269.0,4
NDC,71288002730,Voriconazole,96.25,67.38,4754.0,5269.0,4
NDC,71288003020,Doxycycline,44.0,30.8,4754.0,5269.0,4
NDC,71288003021,Doxycycline,44.0,30.8,4754.0,5269.0,4
NDC,71288003120,Ampicillin-Sulbactam,14.11,9.88,4754.0,5269.0,4
NDC,71288003121,Ampicillin-Sulbactam,14.11,9.88,4754.0,5269.0,4
NDC,71288003220,Ampicillin-Sulbactam,22.47,15.73,4754.0,5269.0,4
NDC,71288003221,Ampicillin-Sulbactam,22.47,15.73,4754.0,5269.0,4
NDC,71288011310,Gemcitabine,25.28,17.7,4754.0,5269.0,4
NDC,71288011450,Gemcitabine,126.31,88.42,4754.0,5269.0,4
NDC,71288011530,azaCITIDine,123.75,86.63,4754.0,5269.0,4
NDC,71288011706,Gemcitabine,20.63,14.44,4754.0,5269.0,4
NDC,71288011810,bortezomib,115.5,80.85,4754.0,5269.0,4
NDC,71288016120,Leucovorin Calcium,44.0,30.8,4754.0,5269.0,4
NDC,71288016230,Leucovorin Calcium,66.0,46.2,4754.0,5269.0,4
NDC,71288016330,Leucovorin Calcium,71.5,50.05,4754.0,5269.0,4
NDC,71288016610,PEMEtrexed,82.5,57.75,4754.0,5269.0,4
NDC,71288016750,PEMEtrexed,412.5,288.75,4754.0,5269.0,4
NDC,71288018350,Paclitaxel Protein-Bound Particles,3910.64,2737.45,4754.0,5269.0,4
NDC,71288020185,Regadenoson,55.0,38.5,4754.0,5269.0,4
NDC,71288020202,Sodium Nitroprusside,82.5,57.75,4754.0,5269.0,4
NDC,71288020302,Furosemide,2.75,1.93,4754.0,5269.0,4
NDC,71288020303,Furosemide,2.75,1.93,4754.0,5269.0,4
NDC,71288020310,Furosemide,5.5,3.85,4754.0,5269.0,4
NDC,71288020311,Furosemide,5.5,3.85,4754.0,5269.0,4
NDC,71288030301,Cyanocobalamin,4.9,3.43,4754.0,5269.0,4
NDC,71288030302,Cyanocobalamin,4.9,3.43,4754.0,5269.0,4
NDC,71288040230,Heparin Sodium,19.23,13.46,4754.0,5269.0,4
NDC,71288040231,Heparin Sodium,19.23,13.46,4754.0,5269.0,4
NDC,71288040905,palonosetron hcl,24.75,17.33,4754.0,5269.0,4
NDC,71288042603,Enoxaparin Sodium,88.01,61.61,4754.0,5269.0,4
NDC,71288042710,bivalirudin,192.5,134.75,4754.0,5269.0,4
NDC,71288042711,bivalirudin,192.5,134.75,4754.0,5269.0,4
NDC,71288050201,Haloperidol Decanoate,55.0,38.5,4754.0,5269.0,4
NDC,71288050202,Haloperidol Decanoate,55.0,38.5,4754.0,5269.0,4
NDC,71288050502,dexmedeTOMIDine HCl,14.85,10.4,4754.0,5269.0,4
NDC,71288050503,dexmedeTOMIDine HCl,14.85,10.4,4754.0,5269.0,4
NDC,71288055585,Fulvestrant,254.38,178.07,4754.0,5269.0,4
NDC,71288055586,Fulvestrant,254.38,178.07,4754.0,5269.0,4
NDC,71288056383,liraglutide,645.71,452.0,4754.0,5269.0,4
NDC,71288056385,liraglutide,645.71,452.0,4754.0,5269.0,4
NDC,71288060010,Pantoprazole Sodium,8.17,5.72,4754.0,5269.0,4
NDC,71288060011,Pantoprazole Sodium,8.17,5.72,4754.0,5269.0,4
NDC,71288071410,Cisatracurium Besylate,27.5,19.25,4754.0,5269.0,4
NDC,71288071411,Cisatracurium Besylate,27.5,19.25,4754.0,5269.0,4
NDC,71288071910,Succinylcholine Chloride,13.75,9.63,4754.0,5269.0,4
NDC,71288071911,Succinylcholine Chloride,13.75,9.63,4754.0,5269.0,4
NDC,71288080202,Doxercalciferol,8.25,5.78,4754.0,5269.0,4
NDC,71288080204,Doxercalciferol,8.25,5.78,4754.0,5269.0,4
NDC,71288080320,Mycophenolate Mofetil,199.38,139.57,4754.0,5269.0,4
NDC,71288080321,Mycophenolate Mofetil,199.38,139.57,4754.0,5269.0,4
NDC,713011812,Acephen,16.08,11.26,4754.0,5269.0,4
NDC,713013212,Promethegan,885.16,619.61,4754.0,5269.0,4
NDC,713022315,Fluocinolone Acetonide,102.96,72.07,4754.0,5269.0,4
NDC,713022580,Triamcinolone Acetonide,16.28,11.4,4754.0,5269.0,4
NDC,713032615,Betamethasone Valerate,49.22,34.45,4754.0,5269.0,4
NDC,713032637,Betamethasone Valerate,100.49,70.34,4754.0,5269.0,4
NDC,713033986,Halobetasol Propionate,421.03,294.72,4754.0,5269.0,4
NDC,713035102,Prochlorperazine Edisylate,12.73,8.91,4754.0,5269.0,4
NDC,713035109,Prochlorperazine Edisylate,12.73,8.91,4754.0,5269.0,4
NDC,713050324,Anucort-HC,720.99,504.69,4754.0,5269.0,4
NDC,713053612,Promethegan,321.69,225.18,4754.0,5269.0,4
NDC,713056431,Nitroglycerin,1585.65,1109.96,4754.0,5269.0,4
NDC,713063415,Mometasone Furoate,48.14,33.7,4754.0,5269.0,4
NDC,713063737,metroNIDAZOLE,269.53,188.67,4754.0,5269.0,4
NDC,713063915,Halobetasol Propionate,243.83,170.68,4754.0,5269.0,4
NDC,713064015,Halobetasol Propionate,175.11,122.58,4754.0,5269.0,4
NDC,713065540,Triamcinolone Acetonide,177.3,124.11,4754.0,5269.0,4
NDC,713067653,Triamcinolone Acetonide,51.48,36.04,4754.0,5269.0,4
NDC,713067815,Nystatin,35.73,25.01,4754.0,5269.0,4
NDC,713068315,Gentamicin Sulfate,108.62,76.03,4754.0,5269.0,4
NDC,713070915,Fluocinolone Acetonide,80.44,56.31,4754.0,5269.0,4
NDC,71321080060,Magnesium L-lactate Dihydrate,37.29,26.1,4754.0,5269.0,4
NDC,71336-1003-01,Amvuttra,286442.4,200509.68,5009.56,14026.77,7
NDC,71336100301,Amvuttra,328215.25,229750.68,4754.0,5269.0,4
NDC,71351001101,Phosphorous,93.23,65.26,4754.0,5269.0,4
NDC,71351002105,Lidocaine HCl,5.09,3.56,4754.0,5269.0,4
NDC,71351002125,Lidocaine HCl,5.09,3.56,4754.0,5269.0,4
NDC,71351002305,Lidocaine HCl,7.04,4.93,4754.0,5269.0,4
NDC,71351002310,Lidocaine HCl,7.04,4.93,4754.0,5269.0,4
NDC,71399102801,diphenhydrAMINE HCl,5.23,3.66,4754.0,5269.0,4
NDC,71456000101,Sodium Bicarbonate,82.5,57.75,4754.0,5269.0,4
NDC,71699020030,Xcopri,3342.41,2339.69,4754.0,5269.0,4
NDC,71699020128,Xcopri Titration Pack 12.5MG/25MG,305.39,213.77,4754.0,5269.0,4
NDC,71715000101,Nuzyra,1313.29,919.3,4754.0,5269.0,4
NDC,71715000102,Nuzyra,1313.29,919.3,4754.0,5269.0,4
NDC,71715000221,Nuzyra,4472.33,3130.63,4754.0,5269.0,4
NDC,71715000227,Nuzyra,22361.96,15653.37,4754.0,5269.0,4
NDC,71715000228,Nuzyra,745.39,521.77,4754.0,5269.0,4
NDC,71773005005,Xerava,184.48,129.14,4754.0,5269.0,4
NDC,71773005012,Xerava,184.48,129.14,4754.0,5269.0,4
NDC,71776000515,Natacyn,2604.24,1822.97,4754.0,5269.0,4
NDC,72078003500,Ultiva,370.48,259.34,4754.0,5269.0,4
NDC,72078003502,Ultiva,370.48,259.34,4754.0,5269.0,4
NDC,72140-0452-31,Aquaphor,11.76,8.23,,,0
NDC,72140003147,Aquaphor Original Ointment,35.94,25.16,4754.0,5269.0,4
NDC,72140011019,Eucerin Original Healing,20.63,14.44,4754.0,5269.0,4
NDC,72140015,Ultravate,189.38,132.57,4754.0,5269.0,4
NDC,72140045231,Aquaphor,13.48,9.44,4754.0,5269.0,4
NDC,72162112807,Tobramycin/dexAMETHasone,42.63,29.84,4754.0,5269.0,4
NDC,72187040101,Elzonris,92830.79,64981.55,4754.0,5269.0,4
NDC,72205-0004-90,Rosuvastatin Calcium,1.0,0.7,,,0
NDC,72205-0011-90,Pregabalin,1.0,0.7,,,0
NDC,72205-0027-90,Rosuvastatin Calcium,1.0,0.7,,,0
NDC,72205-0031-01,Decitabine,275.62,192.93,1.64,2.77,4
NDC,72205-0368-91,Ticagrelor,2.13,1.49,,,0
NDC,72205000490,Rosuvastatin Calcium,16.59,11.61,4754.0,5269.0,4
NDC,72205000792,Capecitabine,165.0,115.5,4754.0,5269.0,4
NDC,72205001190,Pregabalin,16.59,11.61,4754.0,5269.0,4
NDC,72205001290,Pregabalin,16.59,11.61,4754.0,5269.0,4
NDC,72205001390,Pregabalin,16.59,11.61,4754.0,5269.0,4
NDC,72205001890,Pregabalin,20.55,14.39,4754.0,5269.0,4
NDC,72205002790,Rosuvastatin Calcium,16.59,11.61,4754.0,5269.0,4
NDC,72205003101,Decitabine,544.5,381.15,4754.0,5269.0,4
NDC,72205003960,dofetilide,54.95,38.47,4754.0,5269.0,4
NDC,72205004411,oseltamivir phosphate,50.88,35.62,4754.0,5269.0,4
NDC,72205004501,Thiotepa,1925.0,1347.5,4754.0,5269.0,4
NDC,72205004930,Aminocaproic Acid,893.73,625.61,4754.0,5269.0,4
NDC,72205005108,Albendazole,164.32,115.02,4754.0,5269.0,4
NDC,72205005401,fosaprepitant dimeglumine,68.75,48.13,4754.0,5269.0,4
NDC,72205016860,posaconazole,275.06,192.54,4754.0,5269.0,4
NDC,72205020501,Ziprasidone Mesylate,89.93,62.95,4754.0,5269.0,4
NDC,72205020507,Ziprasidone Mesylate,89.93,62.95,4754.0,5269.0,4
NDC,72205020830,lurasidone hydrochloride,55.03,38.52,4754.0,5269.0,4
NDC,72205021030,lurasidone hydrochloride,55.03,38.52,4754.0,5269.0,4
NDC,72205026130,vilazodone hydrochloride,92.82,64.97,4754.0,5269.0,4
NDC,72205028060,Sacubitril-Valsartan,275.06,192.54,4754.0,5269.0,4
NDC,72205028160,Sacubitril-Valsartan,275.06,192.54,4754.0,5269.0,4
NDC,72205028260,Sacubitril-Valsartan,275.06,192.54,4754.0,5269.0,4
NDC,72205036891,Ticagrelor,106.43,74.5,4754.0,5269.0,4
NDC,72266-0102-01,Labetalol HCl,40.0,28.0,0.17,0.31,4
NDC,72266-0118-25,Ketorolac Tromethamine,5.205,3.6449999999999996,0.39,1.09,32
NDC,72266-0119-25,Ketorolac Tromethamine,8.0,5.6,0.39,1.09,7
NDC,72266-0124-01,Ondansetron,12.75,8.925,0.1,0.16,4
NDC,72266-0127-05,Dicyclomine HCl,59.04,41.33,24.99,40.83,4
NDC,72266-0197-01,NON-COVERED ITEM OR SERVICE,36.0,25.2,,,0
NDC,72266-0234-25,Ketorolac Tromethamine,2.78,1.95,0.39,1.09,7
NDC,72266011801,Ketorolac Tromethamine,4.82,3.37,4754.0,5269.0,4
NDC,72266011825,Ketorolac Tromethamine,4.82,3.37,4754.0,5269.0,4
NDC,72266012401,Ondansetron,13.75,9.63,4754.0,5269.0,4
NDC,72266012705,Dicyclomine HCl,67.65,47.36,4754.0,5269.0,4
NDC,72266014601,Etomidate,12.21,8.55,4754.0,5269.0,4
NDC,72266014610,Etomidate,12.21,8.55,4754.0,5269.0,4
NDC,72266015801,Moxifloxacin HCl,31.91,22.34,4754.0,5269.0,4
NDC,72266016001,Ziprasidone Mesylate,90.18,63.13,4754.0,5269.0,4
NDC,72266016010,Ziprasidone Mesylate,90.18,63.13,4754.0,5269.0,4
NDC,72266016301,Tobramycin,211.75,148.23,4754.0,5269.0,4
NDC,72266016306,Tobramycin,211.75,148.23,4754.0,5269.0,4
NDC,72266023401,Ketorolac Tromethamine,2.78,1.95,4754.0,5269.0,4
NDC,72266023425,Ketorolac Tromethamine,2.78,1.95,4754.0,5269.0,4
NDC,72266024801,sincalide,375.74,263.02,4754.0,5269.0,4
NDC,72266024805,sincalide,375.74,263.02,4754.0,5269.0,4
NDC,72485-0101-25,diphenhydrAMINE HCl,8.0,5.6,0.82,1.31,4
NDC,72485-0403-10,Piperacillin and Tazobactam,12.03,8.42,1.05,1.93,4
NDC,72485-0417-10,Ampicillin-Sulbactam,25.44,17.81,2.12,2.89,4
NDC,72485-0617-10,Ketotifen Fumarate,15.6,10.92,,,0
NDC,72485-0670-31,Erythromycin,23.82,16.67,,,0
NDC,72485010101,diphenhydrAMINE HCl,4.4,3.08,4754.0,5269.0,4
NDC,72485010125,diphenhydrAMINE HCl,4.4,3.08,4754.0,5269.0,4
NDC,72485010501,Sodium Nitroprusside,55.0,38.5,4754.0,5269.0,4
NDC,72485010601,levETIRAcetam,6.88,4.82,4754.0,5269.0,4
NDC,72485010610,levETIRAcetam,6.88,4.82,4754.0,5269.0,4
NDC,72485051001,Tranexamic Acid,9.63,6.74,4754.0,5269.0,4
NDC,72485051010,Tranexamic Acid,9.63,6.74,4754.0,5269.0,4
NDC,72485061310,Ofloxacin,28.0,19.6,4754.0,5269.0,4
NDC,72485061710,Ketotifen Fumarate,17.88,12.52,4754.0,5269.0,4
NDC,72485063005,loteprednol etabonate,221.65,155.16,4754.0,5269.0,4
NDC,72485067031,Erythromycin,21.79,15.25,4754.0,5269.0,4
NDC,72493010603,Zusduri Kit,59125.0,41387.5,4754.0,5269.0,4
NDC,72508020407,Amoxicillin/Clavulanate Potassium,249.15,174.41,4754.0,5269.0,4
NDC,72511050101,Repatha PFS,787.47,551.23,4754.0,5269.0,4
NDC,72516-0030-01,Metoprolol Succinate,1.0,0.7,,,0
NDC,72516-0031-01,Metoprolol Succinate,1.0,0.7,,,0
NDC,72516-0033-01,Metoprolol Succinate,1.0,0.7,,,0
NDC,72516003001,Metoprolol Succinate,17.33,12.13,4754.0,5269.0,4
NDC,72516003101,Metoprolol Succinate,17.33,12.13,4754.0,5269.0,4
NDC,72516003301,Metoprolol Succinate,41.25,28.88,4754.0,5269.0,4
NDC,72578-0002-01,Acyclovir,1.44,1.01,,,0
NDC,72578-0090-01,Triamterene/hydroCHLOROthiazide,1.0,0.7,,,0
NDC,72578-0136-06,febuxostat,2.9,2.03,,,0
NDC,72578000201,Acyclovir,41.25,28.88,4754.0,5269.0,4
NDC,72578000205,Acyclovir,202.13,141.49,4754.0,5269.0,4
NDC,72578008403,Clindamycin Phosphate,99.0,69.3,4754.0,5269.0,4
NDC,72578008601,Desonide,56.56,39.59,4754.0,5269.0,4
NDC,72578009101,Desoximetasone,54.99,38.49,4754.0,5269.0,4
NDC,72578010369,Mirtazapine,1.18,0.83,4754.0,5269.0,4
NDC,72578010384,Mirtazapine,35.15,24.61,4754.0,5269.0,4
NDC,72579012101,Tevimbra,15328.5,10729.95,4754.0,5269.0,4
NDC,72603-0103-01,DOXOrubicin HCl Liposome,2325.6,1627.92,104.01,291.23,7
NDC,72603-0115-01,Tamsulosin HCl,1.0,0.7,,,0
NDC,72603-0118-01,Memantine HCl,1.0,0.7,,,0
NDC,72603-0128-10,Pantoprazole Sodium,10.92,7.64,,,0
NDC,72603-0129-01,icosapent ethyl,24.16,16.91,,,0
NDC,72603-0139-25,Thiamine HCl,11.27,7.89,2.26,4.02,4
NDC,72603-0142-01,Metoprolol Succinate,1.0,0.7,,,0
NDC,72603-0142-02,Metoprolol Succinate,1.26,0.88,,,0
NDC,72603-0143-03,Metoprolol Succinate,1.0,0.7,,,0
NDC,72603-0146-01,Labetalol HCl,20.0,14.0,0.17,0.31,4
NDC,72603-0152-01,DAPTOmycin,1475.32,1032.72,0.91,1.05,4
NDC,72603-0153-25,Ketorolac Tromethamine,8.0,5.6,0.39,1.09,25
NDC,72603-0157-01,OLANZapine,2.28,1.6,,,0
NDC,72603-0158-01,OLANZapine,1.41,0.99,,,0
NDC,72603-0161-25,Ketorolac Tromethamine,5.63,3.9399999999999995,0.39,1.09,39
NDC,72603-0170-01,Fludrocortisone Acetate,1.38,0.97,,,0
NDC,72603-0196-01,Nitrofurantoin Monohydrate/Macrocrystals,3.62,2.53,,,0
NDC,72603-0198-01,Zoledronic Acid,162.34,113.64,6.94,11.79,4
NDC,72603-0251-25,Furosemide,7.2,5.04,,,0
NDC,72603-0270-01,bortezomib,428.57,300.0,2.07,2.71,4
NDC,72603-0282-03,Atorvastatin Calcium,1.0,0.7,,,0
NDC,72603-0302-04,Polyethylene Glycol 3350,3.55,2.49,,,0
NDC,72603-0308-01,clonazePAM,1.0,0.7,,,0
NDC,72603-0335-10,Ampicillin-Sulbactam,14.49,10.14,2.12,2.89,4
NDC,72603011501,Tamsulosin HCl,67.65,47.36,4754.0,5269.0,4
NDC,72603011801,Memantine HCl,52.47,36.73,4754.0,5269.0,4
NDC,72603011901,Memantine HCl,52.47,36.73,4754.0,5269.0,4
NDC,72603012801,Pantoprazole Sodium,12.51,8.76,4754.0,5269.0,4
NDC,72603012810,Pantoprazole Sodium,12.51,8.76,4754.0,5269.0,4
NDC,72603012901,icosapent ethyl,830.28,581.2,4754.0,5269.0,4
NDC,72603013325,Furosemide,7.48,5.24,4754.0,5269.0,4
NDC,72603013901,Thiamine HCl,25.82,18.07,4754.0,5269.0,4
NDC,72603013925,Thiamine HCl,25.82,18.07,4754.0,5269.0,4
NDC,72603014202,Metoprolol Succinate,717.75,502.43,4754.0,5269.0,4
NDC,72603014303,Metoprolol Succinate,371.25,259.88,4754.0,5269.0,4
NDC,72603015201,DAPTOmycin,1126.98,788.89,4754.0,5269.0,4
NDC,72603015401,OLANZapine,14.28,10.0,4754.0,5269.0,4
NDC,72603015402,OLANZapine,42.82,29.97,4754.0,5269.0,4
NDC,72603015601,OLANZapine,16.5,11.55,4754.0,5269.0,4
NDC,72603015801,OLANZapine,42.16,29.51,4754.0,5269.0,4
NDC,72603016401,Desonide,55.4,38.78,4754.0,5269.0,4
NDC,72603016901,Prochlorperazine Maleate,143.0,100.1,4754.0,5269.0,4
NDC,72603017001,Fludrocortisone Acetate,158.13,110.69,4754.0,5269.0,4
NDC,72603017101,Famotidine,272.25,190.58,4754.0,5269.0,4
NDC,72603017901,Heparin Sodium,13.62,9.53,4754.0,5269.0,4
NDC,72603017925,Heparin Sodium,13.62,9.53,4754.0,5269.0,4
NDC,72603018001,Norepinephrine Bitartrate,35.15,24.61,4754.0,5269.0,4
NDC,72603018010,Norepinephrine Bitartrate,35.15,24.61,4754.0,5269.0,4
NDC,72603018401,Nitrofurantoin Macrocrystals,290.95,203.67,4754.0,5269.0,4
NDC,72603018601,Ofloxacin,41.25,28.88,4754.0,5269.0,4
NDC,72603019601,Nitrofurantoin Monohydrate/Macrocrystals,414.7,290.29,4754.0,5269.0,4
NDC,72603019801,Zoledronic Acid,186.01,130.21,4754.0,5269.0,4
NDC,72603021201,dexAMETHasone,31.63,22.14,4754.0,5269.0,4
NDC,72603021801,ROPivacaine HCl,37.62,26.33,4754.0,5269.0,4
NDC,72603021825,ROPivacaine HCl,37.62,26.33,4754.0,5269.0,4
NDC,72603022001,Ampicillin-Sulbactam,11.57,8.1,4754.0,5269.0,4
NDC,72603022010,Ampicillin-Sulbactam,11.57,8.1,4754.0,5269.0,4
NDC,72603025101,Furosemide,7.2,5.04,4754.0,5269.0,4
NDC,72603025125,Furosemide,7.2,5.04,4754.0,5269.0,4
NDC,72603026402,Atropine Sulfate,121.64,85.15,4754.0,5269.0,4
NDC,72603028203,Atorvastatin Calcium,588.5,411.95,4754.0,5269.0,4
NDC,72603028403,Atorvastatin Calcium,783.75,548.63,4754.0,5269.0,4
NDC,72603030201,Polyethylene Glycol 3350,3.6,2.52,4754.0,5269.0,4
NDC,72603030204,Polyethylene Glycol 3350,359.7,251.79,4754.0,5269.0,4
NDC,72603031501,methIMAzole,63.25,44.28,4754.0,5269.0,4
NDC,72603032102,Clindamycin Phosphate,112.37,78.66,4754.0,5269.0,4
NDC,72603032301,Clobetasol Propionate,19.85,13.9,4754.0,5269.0,4
NDC,72603032302,Clobetasol Propionate,39.69,27.78,4754.0,5269.0,4
NDC,72603033501,Ampicillin-Sulbactam,14.49,10.14,4754.0,5269.0,4
NDC,72603033510,Ampicillin-Sulbactam,14.49,10.14,4754.0,5269.0,4
NDC,72603038701,Tranexamic Acid,15.49,10.84,4754.0,5269.0,4
NDC,72603038710,Tranexamic Acid,15.49,10.84,4754.0,5269.0,4
NDC,72603052001,Phenylephrine HCl,89.38,62.57,4754.0,5269.0,4
NDC,72603053001,Phenylephrine HCl,110.0,77.0,4754.0,5269.0,4
NDC,72603055801,Mirtazapine,146.03,102.22,4754.0,5269.0,4
NDC,72603060501,Midodrine HCl,57.75,40.43,4754.0,5269.0,4
NDC,72603060601,Midodrine HCl,83.88,58.72,4754.0,5269.0,4
NDC,72603062101,lurasidone hydrochloride,54.04,37.83,4754.0,5269.0,4
NDC,72603066401,Levothyroxine Sodium,31.68,22.18,4754.0,5269.0,4
NDC,72611-0719-25,Ketorolac Tromethamine,8.0,5.6,0.39,1.09,18
NDC,72611-0722-25,Ketorolac Tromethamine,4.675,3.275,0.39,1.09,39
NDC,72611071601,Dexrazoxane,1097.25,768.08,4754.0,5269.0,4
NDC,72611076101,Vancomycin HCl,8.25,5.78,4754.0,5269.0,4
NDC,72611076110,Vancomycin HCl,8.25,5.78,4754.0,5269.0,4
NDC,72694051501,Asparlas,79849.36,55894.55,4754.0,5269.0,4
NDC,72694095401,Oncaspar,73741.67,51619.17,4754.0,5269.0,4
NDC,72780060,Westcort,431.64,302.15,4754.0,5269.0,4
NDC,72789013260,Acarbose,71.78,50.25,4754.0,5269.0,4
NDC,72789022201,Penicillin V Potassium,60.78,42.55,4754.0,5269.0,4
NDC,72810045,Westcort,83.29,58.3,4754.0,5269.0,4
NDC,72865-0234-01,NON-COVERED ITEM OR SERVICE,1.0,0.7,,,0
NDC,72865013912,Omega-3-Acid Ethyl Esters,80.52,56.36,4754.0,5269.0,4
NDC,72888-0004-05,Metoprolol Tartrate,1.0,0.7,,,0
NDC,72888-0012-00,Cyclobenzaprine HCl,1.0,0.7,,,0
NDC,72888-0024-07,Potassium Chloride,3.64,2.55,,,0
NDC,72888-0045-01,Primidone,1.0,0.7,,,0
NDC,72888-0046-01,Primidone,1.0,0.7,,,0
NDC,72888-0125-26,Lidocaine HCl Viscous,3.96,2.77,,,0
NDC,72888000405,Metoprolol Tartrate,35.75,25.03,4754.0,5269.0,4
NDC,72888001200,Cyclobenzaprine HCl,71.5,50.05,4754.0,5269.0,4
NDC,72888002406,Potassium Chloride,4.17,2.92,4754.0,5269.0,4
NDC,72888002407,Potassium Chloride,124.83,87.38,4754.0,5269.0,4
NDC,72888002410,Potassium Chloride,355.85,249.1,4754.0,5269.0,4
NDC,72888003501,Carvedilol,11.83,8.28,4754.0,5269.0,4
NDC,72888004601,Primidone,80.03,56.02,4754.0,5269.0,4
NDC,72888008001,traMADol HCl,8.25,5.78,4754.0,5269.0,4
NDC,72888008101,Isosorbide Dinitrate,56.38,39.47,4754.0,5269.0,4
NDC,72888008201,Isosorbide Dinitrate,57.75,40.43,4754.0,5269.0,4
NDC,72888008301,Isosorbide Dinitrate,63.25,44.28,4754.0,5269.0,4
NDC,72888012526,Lidocaine HCl Viscous,30.25,21.18,4754.0,5269.0,4
NDC,72888014135,Fluticasone Propionate,30.28,21.2,4754.0,5269.0,4
NDC,72888015022,Diclofenac Sodium,38.5,26.95,4754.0,5269.0,4
NDC,72888018230,Buprenorphine,25.33,17.73,4754.0,5269.0,4
NDC,72888046201,OXcarbazepine,37.13,25.99,4754.0,5269.0,4
NDC,72893000201,Beleodaq,6958.27,4870.79,4754.0,5269.0,4
NDC,72893000301,Folotyn,21090.11,14763.08,4754.0,5269.0,4
NDC,72903-0853-01,Elahere,37302.985,26112.09,71.17,199.28,14
NDC,72903085301,Elahere,18651.49,13056.04,4754.0,5269.0,4
NDC,73070-0103-15,Insulin Aspart FlexPen,123.735,86.61500000000001,4754.0,5269.0,4
NDC,73070010011,Insulin Aspart,198.94,139.26,4754.0,5269.0,4
NDC,73070010310,Insulin Aspart FlexPen,76.85,53.8,4754.0,5269.0,4
NDC,73070010315,Insulin Aspart FlexPen,76.85,53.8,4754.0,5269.0,4
NDC,73090042001,Sylvant,4376.08,3063.26,4754.0,5269.0,4
NDC,73090042101,Sylvant,17504.33,12253.03,4754.0,5269.0,4
NDC,73150-0150-06,Briumvi,25134.01,17593.81,70.18,196.5,7
NDC,73150015006,Briumvi,30552.51,21386.76,4754.0,5269.0,4
NDC,7336344,Compazine,56.14,39.3,4754.0,5269.0,4
NDC,73475-3041-05,Vyvgart,21319.67,14923.77,32.22,90.22,21
NDC,73475-3102-03,Vyvgart Hytrulo,37855.2,26498.64,34.12,95.54,14
NDC,73475304105,Vyvgart,17023.55,11916.49,4754.0,5269.0,4
NDC,73475310203,Vyvgart Hytrulo,44243.27,30970.29,4754.0,5269.0,4
NDC,73535020801,Monjuvi,3838.65,2687.06,4754.0,5269.0,4
NDC,73562010410,Viokace,1161.88,813.32,4754.0,5269.0,4
NDC,73562011501,Zenpep,585.2,409.64,4754.0,5269.0,4
NDC,73594931001,Monoferric,9657.21,6760.05,4754.0,5269.0,4
NDC,74057611,Venclexta,357.92,250.54,4754.0,5269.0,4
NDC,74104008,Survanta,1864.17,1304.92,4754.0,5269.0,4
NDC,74165801,Zemplar,41.67,29.17,4754.0,5269.0,4
NDC,74230401,Corlopam,216.57,151.6,4754.0,5269.0,4
NDC,74300-0010-67,Visine Dry Eye Relief,15.2,10.64,,,0
NDC,74300000070,Desitin Diaper Rash,11.4,7.98,4754.0,5269.0,4
NDC,74300001067,Visine Dry Eye Relief,17.41,12.19,4754.0,5269.0,4
NDC,74310832,Gengraf,151.72,106.2,4754.0,5269.0,4
NDC,74312000640,Vitamin B2,12.65,8.86,4754.0,5269.0,4
NDC,74312000650,Vitamin B6,12.65,8.86,4754.0,5269.0,4
NDC,74312002099,Coenzyme Q10,60.89,42.62,4754.0,5269.0,4
NDC,74312002610,Acidophilus,17.49,12.24,4754.0,5269.0,4
NDC,74312007901,Melatonin,13.86,9.7,4754.0,5269.0,4
NDC,74334603,Lupron Depot,17706.92,12394.84,4754.0,5269.0,4
NDC,74335201,Pentothal,53.46,37.42,4754.0,5269.0,4
NDC,74337704,Desoxyn,453.75,317.63,4754.0,5269.0,4
NDC,74347303,Lupron Depot,35414.48,24790.14,4754.0,5269.0,4
NDC,74364103,Lupron Depot,4953.06,3467.14,4754.0,5269.0,4
NDC,74364203,Lupron Depot,5902.36,4131.65,4754.0,5269.0,4
NDC,74366303,Lupron Depot,14859.27,10401.49,4754.0,5269.0,4
NDC,74368303,Lupron Depot,23609.3,16526.51,4754.0,5269.0,4
NDC,74379902,Humira PFS,19037.21,13326.05,4754.0,5269.0,4
NDC,74455211,Synthroid,455.13,318.59,4754.0,5269.0,4
NDC,74463701,Zemplar,16.67,11.67,4754.0,5269.0,4
NDC,74501501,Skyrizi 600MG/10ML,29238.06,20466.64,4754.0,5269.0,4
NDC,74602513,Cylert,282.43,197.7,4754.0,5269.0,4
NDC,74646332,Gengraf,144.46,101.12,4754.0,5269.0,4
NDC,74679922,Kaletra,2816.55,1971.59,4754.0,5269.0,4
NDC,74744401,Cimetidine HCl,4.4,3.08,4754.0,5269.0,4
NDC,74744716,Cimetidine HCl,8.94,6.26,4754.0,5269.0,4
NDC,75062430,Lovenox,20.47,14.33,4754.0,5269.0,4
NDC,75062603,Lovenox,204.66,143.26,4754.0,5269.0,4
NDC,75137058507,Compound W,16.43,11.5,4754.0,5269.0,4
NDC,75137085700,Dermoplast Pain Relieving Antibacterial,14.07,9.85,4754.0,5269.0,4
NDC,75150543,Nasacort,131.67,92.17,4754.0,5269.0,4
NDC,75150616,Nasacort AQ,312.37,218.66,4754.0,5269.0,4
NDC,75826-0115-10,Phenazopyridine HCl,1.0,0.7,,,0
NDC,75826011410,Phenazopyridine HCl,74.25,51.98,4754.0,5269.0,4
NDC,75826011510,Phenazopyridine HCl,101.75,71.23,4754.0,5269.0,4
NDC,75834-0147-12,Hydrocortisone Acetate,4.01,2.81,,,0
NDC,75834-0158-01,Verapamil HCl,1.0,0.7,,,0
NDC,75834-0256-01,Atorvastatin Calcium,1.0,0.7,,,0
NDC,75834002001,Vitamin D3,41.25,28.88,4754.0,5269.0,4
NDC,75834012401,Acyclovir,30.25,21.18,4754.0,5269.0,4
NDC,75834015801,Verapamil HCl,66.55,46.59,4754.0,5269.0,4
NDC,75834015901,Verapamil HCl,63.8,44.66,4754.0,5269.0,4
NDC,75834017101,Calcium Gluconate,27.56,19.29,4754.0,5269.0,4
NDC,75834017119,Calcium Gluconate,27.56,19.29,4754.0,5269.0,4
NDC,75834022101,carBAMazepine,41.25,28.88,4754.0,5269.0,4
NDC,75834025601,Atorvastatin Calcium,88.0,61.6,4754.0,5269.0,4
NDC,75834028030,Potassium Iodide,913.94,639.76,4754.0,5269.0,4
NDC,75907-0060-44,Nystatin,19.27,13.49,,,0
NDC,75907-0069-01,Nortriptyline HCl,1.0,0.7,,,0
NDC,75907002348,cloNIDine,145.9,102.13,4754.0,5269.0,4
NDC,75907002448,cloNIDine,245.67,171.97,4754.0,5269.0,4
NDC,75907005860,Tamoxifen Citrate,31.52,22.06,4754.0,5269.0,4
NDC,75907006044,Nystatin,19.27,13.49,4754.0,5269.0,4
NDC,75907006901,Nortriptyline HCl,53.63,37.54,4754.0,5269.0,4
NDC,75987-0130-15,Tepezza,48155.615,33708.93,369.31,1034.07,14
NDC,75987008010,Krystexxa,84543.23,59180.26,4754.0,5269.0,4
NDC,75987013015,Tepezza,49552.12,34686.48,4754.0,5269.0,4
NDC,75987015001,Uplizna,128561.13,89992.79,4754.0,5269.0,4
NDC,75987015003,Uplizna,128561.13,89992.79,4754.0,5269.0,4
NDC,76014-0004-25,Vazculep,8.0,5.6,,,0
NDC,76014000425,Vazculep,10.1,7.07,4754.0,5269.0,4
NDC,76014000430,Vazculep,10.1,7.07,4754.0,5269.0,4
NDC,76045-0204-20,Simplist diazePAM,29.52,20.66,6.54,8.95,4
NDC,76045000401,Simplist Morphine Sulfate MicroVault,7.9,5.53,4754.0,5269.0,4
NDC,76045000411,Simplist Morphine Sulfate MicroVault,7.9,5.53,4754.0,5269.0,4
NDC,76045000906,Simplist Dilaudid,11.42,7.99,4754.0,5269.0,4
NDC,76045000996,Simplist Dilaudid,11.42,7.99,4754.0,5269.0,4
NDC,76045020301,Simplist Glycopyrrolate,19.2,13.44,4754.0,5269.0,4
NDC,76045020310,Simplist Glycopyrrolate,19.2,13.44,4754.0,5269.0,4
NDC,76045020400,Simplist diazePAM,67.65,47.36,4754.0,5269.0,4
NDC,76045020420,Simplist diazePAM,67.65,47.36,4754.0,5269.0,4
NDC,76075-0101-01,Kyprolis,7074.39,4952.07,55.61,155.71,42
NDC,76075-0102-01,Kyprolis,3127.145,2189.0,55.61,155.71,56
NDC,76075-0103-01,Kyprolis,1179.06,825.34,55.61,155.71,84
NDC,76075010101,Kyprolis,9727.28,6809.1,4754.0,5269.0,4
NDC,76075010201,Kyprolis,4863.65,3404.56,4754.0,5269.0,4
NDC,76075010301,Kyprolis,1621.21,1134.85,4754.0,5269.0,4
NDC,76075010321,Kyprolis,1621.21,1134.85,4754.0,5269.0,4
NDC,76090101,Hyophen,741.95,519.37,4754.0,5269.0,4
NDC,76125-0150-10,Kedrab,8167.78,5717.45,240.13,672.36,7
NDC,76125-0792-10,Albuked 25,494.4,346.08000000000004,53.08,148.62,16
NDC,76125015010,Kedrab,9358.91,6551.24,4754.0,5269.0,4
NDC,76125079225,Albuked 25,132.0,92.4,4754.0,5269.0,4
NDC,76125079226,Albuked 25,132.0,92.4,4754.0,5269.0,4
NDC,76128015575,Photofrin,64138.25,44896.78,4754.0,5269.0,4
NDC,76204010001,Ipratropium Bromide,1.1,0.77,4754.0,5269.0,4
NDC,76204020001,Albuterol Sulfate,1.05,0.74,4754.0,5269.0,4
NDC,76204080001,Levalbuterol,4.4,3.08,4754.0,5269.0,4
NDC,76204080011,Levalbuterol,4.4,3.08,4754.0,5269.0,4
NDC,76204090001,Levalbuterol,4.4,3.08,4754.0,5269.0,4
NDC,76204090011,Levalbuterol,4.4,3.08,4754.0,5269.0,4
NDC,76282-0239-10,amLODIPine Besylate,1.0,0.7,,,0
NDC,76282-0568-90,Pregabalin,1.0,0.7,,,0
NDC,76282-0571-90,Pregabalin,3.0,2.1,,,0
NDC,76282-0704-45,oseltamivir phosphate,4.13,2.89,,,0
NDC,76282-0721-01,Prazosin HCl,0.16,0.11,,,0
NDC,76282021230,Sertraline,3.47,2.43,4754.0,5269.0,4
NDC,76282021390,Sertraline,8.67,6.07,4754.0,5269.0,4
NDC,76282025701,Nabumetone,178.75,125.13,4754.0,5269.0,4
NDC,76282056890,Pregabalin,5.94,4.16,4754.0,5269.0,4
NDC,76282072101,Prazosin HCl,15.68,10.98,4754.0,5269.0,4
NDC,76282072301,Prazosin HCl,33.28,23.3,4754.0,5269.0,4
NDC,76282072901,Lisinopril,3.58,2.51,4754.0,5269.0,4
NDC,76297-0001-01,Sodium Chloride,20.0,14.0,1.3,2.2,4
NDC,76297000101,Sodium Chloride,16.5,11.55,4754.0,5269.0,4
NDC,76297000102,Sodium Chloride,16.5,11.55,4754.0,5269.0,4
NDC,76297000122,Sodium Chloride,12.1,8.47,4754.0,5269.0,4
NDC,76297000131,Sodium Chloride,13.75,9.63,4754.0,5269.0,4
NDC,76297000132,Sodium Chloride,13.75,9.63,4754.0,5269.0,4
NDC,76310002415,Foscavir,1320.0,924.0,4754.0,5269.0,4
NDC,76310002425,Foscavir,1320.0,924.0,4754.0,5269.0,4
NDC,76329-3013-05,Lidocaine HCl,16.9,11.83,,,0
NDC,76329-3304-01,Calcium Chloride,57.76,40.43,,,0
NDC,76329-3318-01,EPINEPHrine,42.285,29.599999999999998,0.81,1.23,4
NDC,76329-3339-01,Atropine Sulfate,21.6,15.12,0.07,0.14,4
NDC,76329-3340-01,Atropine Sulfate,27.48,19.24,0.07,0.14,4
NDC,76329-3369-01,Naloxone HCl,62.290000000000006,43.605,8.06,11.92,4
NDC,76329-9060-00,EPINEPHrine,247.5,173.25,4754.0,5269.0,4
NDC,76329124001,Phytonadione,68.01,47.61,4754.0,5269.0,4
NDC,76329301105,Lidocaine HCl,16.5,11.55,4754.0,5269.0,4
NDC,76329301305,Lidocaine HCl,19.36,13.55,4754.0,5269.0,4
NDC,76329301505,Lidocaine HCl,28.0,19.6,4754.0,5269.0,4
NDC,76329330201,Dextrose,55.69,38.98,4754.0,5269.0,4
NDC,76329330401,Calcium Chloride,28.88,20.22,4754.0,5269.0,4
NDC,76329331601,EPINEPHrine HCl,27.09,18.96,4754.0,5269.0,4
NDC,76329331801,EPINEPHrine,37.79,26.45,4754.0,5269.0,4
NDC,76329334001,Atropine Sulfate,31.49,22.04,4754.0,5269.0,4
NDC,76329335201,Sodium Bicarbonate,54.18,37.93,4754.0,5269.0,4
NDC,76329336901,Naloxone HCl,90.75,63.53,4754.0,5269.0,4
NDC,76329339001,Lidocaine HCl,24.64,17.25,4754.0,5269.0,4
NDC,76329339905,Procainamide HCl,233.75,163.63,4754.0,5269.0,4
NDC,76329906000,EPINEPHrine,618.75,433.13,4754.0,5269.0,4
NDC,76336045518,Metopirone,3188.6,2232.02,4754.0,5269.0,4
NDC,76385-0133-01,Nadolol,3.99,2.79,,,0
NDC,76385010201,Primaquine Phosphate,367.95,257.57,4754.0,5269.0,4
NDC,76385013001,Cyproheptadine HCl,71.5,50.05,4754.0,5269.0,4
NDC,76385013301,Nadolol,44.0,30.8,4754.0,5269.0,4
NDC,76478050120,Nembutal,3328.11,2329.68,4754.0,5269.0,4
NDC,76478050150,Nembutal,6206.75,4344.73,4754.0,5269.0,4
NDC,766165675,Os-Cal 500+D,36.39,25.47,4754.0,5269.0,4
NDC,77333-0812-10,Simethicone,1.0,0.7,,,0
NDC,77333-0827-10,Sodium Bicarbonate,2.0,1.4,,,0
NDC,77333081210,Simethicone,64.63,45.24,4754.0,5269.0,4
NDC,77333081225,Simethicone,1.0,0.7,4754.0,5269.0,4
NDC,77771020201,Fexofenadine HCl,19.53,13.67,4754.0,5269.0,4
NDC,78001633,Pamelor,1052.04,736.43,4754.0,5269.0,4
NDC,78007305,Visken,297.0,207.9,4754.0,5269.0,4
NDC,78010901,SandIMMUNE,195.74,137.02,4754.0,5269.0,4
NDC,78010961,SandIMMUNE,195.74,137.02,4754.0,5269.0,4
NDC,78024015,SandIMMUNE,377.44,264.21,4754.0,5269.0,4
NDC,78024061,SandIMMUNE,12.74,8.92,4754.0,5269.0,4
NDC,78024915,Femara,2240.21,1568.15,4754.0,5269.0,4
NDC,78031434,Diovan HCT,2637.36,1846.15,4754.0,5269.0,4
NDC,78031534,Diovan HCT,2869.52,2008.66,4754.0,5269.0,4
NDC,78033184,Simulect,12788.47,8951.93,4754.0,5269.0,4
NDC,78035415,Lescol XL,1126.38,788.47,4754.0,5269.0,4
NDC,78037005,Ritalin LA,3470.78,2429.55,4754.0,5269.0,4
NDC,78037205,Ritalin LA,3648.43,2553.9,4754.0,5269.0,4
NDC,78037546,Elidel,471.82,330.27,4754.0,5269.0,4
NDC,78038205,Focalin,381.98,267.39,4754.0,5269.0,4
NDC,78041420,Zortress,3618.45,2532.92,4754.0,5269.0,4
NDC,78041461,Zortress,60.42,42.29,4754.0,5269.0,4
NDC,78041520,Zortress,5427.84,3799.49,4754.0,5269.0,4
NDC,78041561,Zortress,90.56,63.39,4754.0,5269.0,4
NDC,78041761,Zortress,30.17,21.12,4754.0,5269.0,4
NDC,78042015,Enablex,410.11,287.08,4754.0,5269.0,4
NDC,78042405,Ritalin LA,3470.78,2429.55,4754.0,5269.0,4
NDC,78043005,Focalin XR,1352.45,946.72,4754.0,5269.0,4
NDC,78043105,Focalin XR,1372.53,960.77,4754.0,5269.0,4
NDC,78043205,Focalin XR,1411.3,987.91,4754.0,5269.0,4
NDC,78047134,Diovan HCT,3635.53,2544.87,4754.0,5269.0,4
NDC,78047234,Diovan HCT,4124.59,2887.21,4754.0,5269.0,4
NDC,78048915,Exforge,1010.55,707.39,4754.0,5269.0,4
NDC,78049015,Exforge,1130.01,791.01,4754.0,5269.0,4
NDC,78049471,Tobi,404.46,283.12,4754.0,5269.0,4
NDC,78059620,Fanapt,2749.73,1924.81,4754.0,5269.0,4
NDC,78063941,Cosentyx Sensoready PEN,10492.95,7345.07,4754.0,5269.0,4
NDC,78063998,Cosentyx PFS,10492.95,7345.07,4754.0,5269.0,4
NDC,78065920,Entresto,1939.41,1357.59,4754.0,5269.0,4
NDC,78068361,Arranon,2222.42,1555.69,4754.0,5269.0,4
NDC,78068515,Promacta,21522.52,15065.76,4754.0,5269.0,4
NDC,78068615,Promacta,38949.0,27264.3,4754.0,5269.0,4
NDC,78069620,Entresto,1939.41,1357.59,4754.0,5269.0,4
NDC,78069802,Rydapt,1198.56,838.99,4754.0,5269.0,4
NDC,78069819,Rydapt,67118.13,46982.69,4754.0,5269.0,4
NDC,78072910,Betoptic S,1115.49,780.84,4754.0,5269.0,4
NDC,78073461,Ilaris,58806.97,41164.88,4754.0,5269.0,4
NDC,78077803,Nevanac,905.09,633.56,4754.0,5269.0,4
NDC,78079061,SandoSTATIN LAR Depot,9689.44,6782.61,4754.0,5269.0,4
NDC,78079761,SandoSTATIN LAR Depot,12694.83,8886.38,4754.0,5269.0,4
NDC,78080461,SandoSTATIN LAR Depot,19009.54,13306.68,4754.0,5269.0,4
NDC,78081181,SandoSTATIN LAR Depot,9689.44,6782.61,4754.0,5269.0,4
NDC,78081301,Tobrex,770.0,539.0,4754.0,5269.0,4
NDC,78081881,SandoSTATIN LAR Depot,12694.83,8886.38,4754.0,5269.0,4
NDC,78082581,SandoSTATIN LAR Depot,19009.54,13306.68,4754.0,5269.0,4
NDC,78084101,Ciloxan,747.59,523.31,4754.0,5269.0,4
NDC,78087601,Tobradex,819.76,573.83,4754.0,5269.0,4
NDC,78100060,Leqvio,9866.26,6906.38,4754.0,5269.0,4
NDC,781107701,ALPRAZolam,9.35,6.55,4754.0,5269.0,4
NDC,781107810,Atenolol,93.5,65.45,4754.0,5269.0,4
NDC,78112-0011-06,Chloraseptic,1.0,0.7,,,0
NDC,78112001106,Chloraseptic,7.28,5.1,4754.0,5269.0,4
NDC,781148601,Amitriptyline HCl,39.33,27.53,4754.0,5269.0,4
NDC,78116861,Cosentyx,6051.82,4236.27,4754.0,5269.0,4
NDC,781169501,Isosorbide Dinitrate,262.35,183.65,4754.0,5269.0,4
NDC,781194382,Amoxicillin/Clavulanate Potassium,519.37,363.56,4754.0,5269.0,4
NDC,781196160,Clarithromycin,161.21,112.85,4754.0,5269.0,4
NDC,781196260,Clarithromycin,161.21,112.85,4754.0,5269.0,4
NDC,781207401,Triamterene/hydroCHLOROthiazide,58.3,40.81,4754.0,5269.0,4
NDC,781210301,Tacrolimus,252.18,176.53,4754.0,5269.0,4
NDC,781214501,Ampicillin,142.45,99.72,4754.0,5269.0,4
NDC,781232106,aprepitant,241.86,169.3,4754.0,5269.0,4
NDC,781232151,aprepitant,1209.29,846.5,4754.0,5269.0,4
NDC,781235501,Lansoprazole,1247.13,872.99,4754.0,5269.0,4
NDC,781304072,Regonol,92.84,64.99,4754.0,5269.0,4
NDC,781304095,Regonol,92.84,64.99,4754.0,5269.0,4
NDC,781305670,Isoniazid,871.37,609.96,4754.0,5269.0,4
NDC,781305995,Digoxin,16.45,11.52,4754.0,5269.0,4
NDC,781307901,Fulvestrant,893.75,625.63,4754.0,5269.0,4
NDC,781307912,Fulvestrant,893.75,625.63,4754.0,5269.0,4
NDC,781309894,Meropenem,30.25,21.18,4754.0,5269.0,4
NDC,781309895,Meropenem,30.25,21.18,4754.0,5269.0,4
NDC,781311090,Piperacillin and Tazobactam,9.45,6.62,4754.0,5269.0,4
NDC,781311095,Piperacillin and Tazobactam,9.45,6.62,4754.0,5269.0,4
NDC,781311390,Piperacillin and Tazobactam,14.17,9.92,4754.0,5269.0,4
NDC,781311395,Piperacillin and Tazobactam,14.17,9.92,4754.0,5269.0,4
NDC,781311491,Piperacillin and Tazobactam,18.88,13.22,4754.0,5269.0,4
NDC,781311495,Piperacillin and Tazobactam,18.88,13.22,4754.0,5269.0,4
NDC,781312485,Nafcillin Sodium,32.12,22.48,4754.0,5269.0,4
NDC,781315401,ferumoxytol,2031.62,1422.13,4754.0,5269.0,4
NDC,781315606,Acetaminophen,29.7,20.79,4754.0,5269.0,4
NDC,781315695,Acetaminophen,29.7,20.79,4754.0,5269.0,4
NDC,781315894,bivalirudin,206.25,144.38,4754.0,5269.0,4
NDC,781315895,bivalirudin,206.25,144.38,4754.0,5269.0,4
NDC,781315972,OLANZapine,77.2,54.04,4754.0,5269.0,4
NDC,781316475,Octreotide Acetate,823.63,576.54,4754.0,5269.0,4
NDC,781318094,Piperacillin and Tazobactam,188.93,132.25,4754.0,5269.0,4
NDC,781320685,cefTRIAXone,8.0,5.6,4754.0,5269.0,4
NDC,781320695,cefTRIAXone,8.0,5.6,4754.0,5269.0,4
NDC,781320990,cefTRIAXone,18.41,12.89,4754.0,5269.0,4
NDC,781320995,cefTRIAXone,18.41,12.89,4754.0,5269.0,4
NDC,781321046,cefTRIAXone,92.02,64.41,4754.0,5269.0,4
NDC,781323394,cycloPHOSphamide,770.53,539.37,4754.0,5269.0,4
NDC,781323801,Enoxaparin Sodium,7.43,5.2,4754.0,5269.0,4
NDC,781323863,Enoxaparin Sodium,7.43,5.2,4754.0,5269.0,4
NDC,781324494,cycloPHOSphamide,1540.99,1078.69,4754.0,5269.0,4
NDC,781324602,Enoxaparin Sodium,10.12,7.08,4754.0,5269.0,4
NDC,781324664,Enoxaparin Sodium,10.12,7.08,4754.0,5269.0,4
NDC,781325089,Glatopa,343.75,240.63,4754.0,5269.0,4
NDC,781325394,azaCITIDine,495.0,346.5,4754.0,5269.0,4
NDC,781325603,Enoxaparin Sodium,20.66,14.46,4754.0,5269.0,4
NDC,781325666,Enoxaparin Sodium,20.66,14.46,4754.0,5269.0,4
NDC,781326204,Enoxaparin Sodium,27.54,19.28,4754.0,5269.0,4
NDC,781326268,Enoxaparin Sodium,27.54,19.28,4754.0,5269.0,4
NDC,781326805,Enoxaparin Sodium,34.43,24.1,4754.0,5269.0,4
NDC,781326869,Enoxaparin Sodium,34.43,24.1,4754.0,5269.0,4
NDC,781329009,Clindamycin,39.88,27.92,4754.0,5269.0,4
NDC,781329091,Clindamycin,39.88,27.92,4754.0,5269.0,4
NDC,781329905,Enoxaparin Sodium,51.66,36.16,4754.0,5269.0,4
NDC,781329969,Enoxaparin Sodium,51.66,36.16,4754.0,5269.0,4
NDC,781331275,palonosetron hcl,49.5,34.65,4754.0,5269.0,4
NDC,781331295,palonosetron hcl,49.5,34.65,4754.0,5269.0,4
NDC,781331570,Oxaliplatin,82.5,57.75,4754.0,5269.0,4
NDC,781331780,Oxaliplatin,165.0,115.5,4754.0,5269.0,4
NDC,781340278,Ampicillin Sodium,7.37,5.16,4754.0,5269.0,4
NDC,781340295,Ampicillin Sodium,7.37,5.16,4754.0,5269.0,4
NDC,781340485,Ampicillin Sodium,15.2,10.64,4754.0,5269.0,4
NDC,781340495,Ampicillin Sodium,15.2,10.64,4754.0,5269.0,4
NDC,781340778,Ampicillin Sodium,7.76,5.43,4754.0,5269.0,4
NDC,781340795,Ampicillin Sodium,7.76,5.43,4754.0,5269.0,4
NDC,781340880,Ampicillin Sodium,19.54,13.68,4754.0,5269.0,4
NDC,781340895,Ampicillin Sodium,19.54,13.68,4754.0,5269.0,4
NDC,781341170,Anectine,52.75,36.93,4754.0,5269.0,4
NDC,781341195,Anectine,52.75,36.93,4754.0,5269.0,4
NDC,781341694,Voriconazole,201.41,140.99,4754.0,5269.0,4
NDC,781345295,ceFAZolin,33.0,23.1,4754.0,5269.0,4
NDC,781353201,Fulvestrant,446.88,312.82,4754.0,5269.0,4
NDC,781353212,Fulvestrant,446.88,312.82,4754.0,5269.0,4
NDC,781375575,Norepinephrine Bitartrate,35.05,24.54,4754.0,5269.0,4
NDC,781375595,Norepinephrine Bitartrate,35.05,24.54,4754.0,5269.0,4
NDC,781382975,Glycopyrrolate,30.25,21.18,4754.0,5269.0,4
NDC,781382996,Glycopyrrolate,30.25,21.18,4754.0,5269.0,4
NDC,781528306,Cetirizine HCl,11.81,8.27,4754.0,5269.0,4
NDC,781528364,Cetirizine HCl,354.01,247.81,4754.0,5269.0,4
NDC,781566831,Voriconazole,765.27,535.69,4754.0,5269.0,4
NDC,781570301,oxyCODONE HCl,688.33,481.83,4754.0,5269.0,4
NDC,781602352,Clarithromycin,259.05,181.34,4754.0,5269.0,4
NDC,781604155,Amoxicillin,14.03,9.82,4754.0,5269.0,4
NDC,781610246,Amoxicillin/Clavulanate Potassium,29.7,20.79,4754.0,5269.0,4
NDC,781613694,Penicillin G Potassium,137.5,96.25,4754.0,5269.0,4
NDC,781615394,Penicillin G Sodium,126.72,88.7,4754.0,5269.0,4
NDC,781615395,Penicillin G Sodium,126.72,88.7,4754.0,5269.0,4
NDC,781705449,erythromycin-benzoyl peroxide,456.28,319.4,4754.0,5269.0,4
NDC,781713354,Estradiol Transdermal System (Once-Weekly),204.22,142.95,4754.0,5269.0,4
NDC,781713593,Moxifloxacin HCl,96.26,67.38,4754.0,5269.0,4
NDC,781713654,Estradiol Transdermal System (Once-Weekly),204.22,142.95,4754.0,5269.0,4
NDC,781717775,Brimonidine Tartrate,427.77,299.44,4754.0,5269.0,4
NDC,781729685,Albuterol Sulfate HFA,98.95,69.27,4754.0,5269.0,4
NDC,781806101,Captopril,233.75,163.63,4754.0,5269.0,4
NDC,781807501,Captopril,385.0,269.5,4754.0,5269.0,4
NDC,78206-0145-01,Nexplanon,2775.08,1942.56,1156.28,1306.6,3
NDC,78206-0162-01,Renflexis,5424.41,3797.09,27.75,77.7,28
NDC,78206011404,Asmanex Twisthaler,276.3,193.41,4754.0,5269.0,4
NDC,78206011801,Celestone Soluspan,120.07,84.05,4754.0,5269.0,4
NDC,78206012601,Dulera,942.2,659.54,4754.0,5269.0,4
NDC,78206012602,Dulera,637.8,446.46,4754.0,5269.0,4
NDC,78206012702,Dulera,637.8,446.46,4754.0,5269.0,4
NDC,78206014501,Nexplanon,3340.24,2338.17,4754.0,5269.0,4
NDC,78206016201,Renflexis,2071.83,1450.28,4754.0,5269.0,4
NDC,78206016299,Renflexis,2071.83,1450.28,4754.0,5269.0,4
NDC,78670000367,Revonto,192.5,134.75,4754.0,5269.0,4
NDC,79511050208,MG 217 Medicated Tar,17.82,12.47,4754.0,5269.0,4
NDC,79854-0016-80,NON-COVERED ITEM OR SERVICE,2.0,1.4,,,0
NDC,79854020195,Nature's Blend Vitamin B2,14.03,9.82,4754.0,5269.0,4
NDC,799000104,Calmoseptine,13.37,9.36,4754.0,5269.0,4
NDC,8010001,Besponsa,65768.87,46038.21,4754.0,5269.0,4
NDC,802392594,Sodium Chloride/Sodium Bicarbonate,41.33,28.93,4754.0,5269.0,4
NDC,80446040101,Kimmtrak,57722.5,40405.75,4754.0,5269.0,4
NDC,8065183055,Provisc,514.01,359.81,4754.0,5269.0,4
NDC,8065183085,Provisc,674.75,472.33,4754.0,5269.0,4
NDC,8065183135,Duovisc,955.28,668.7,4754.0,5269.0,4
NDC,8065183905,Viscoat,545.25,381.68,4754.0,5269.0,4
NDC,8065183975,Viscoat,716.46,501.52,4754.0,5269.0,4
NDC,80681-0072-00,Vitamin B12,1.0,0.7,,,0
NDC,80681-0086-00,Melatonin,1.0,0.7,,,0
NDC,80681-0128-00,Vitamin B12,1.0,0.7,,,0
NDC,80681-0155-00,Minerin Creme,6.51,4.56,,,0
NDC,80681-0168-01,Vitamin D3,1.0,0.7,,,0
NDC,80681001900,Niacinamide,7.98,5.59,4754.0,5269.0,4
NDC,80681002900,Calcium with Vitamin D3,4.29,3.0,4754.0,5269.0,4
NDC,80681004100,Melatonin,4.21,2.95,4754.0,5269.0,4
NDC,80681005000,Daily-Vite Multivitamin,7.43,5.2,4754.0,5269.0,4
NDC,80681005700,Niacin,4.4,3.08,4754.0,5269.0,4
NDC,80681005800,Oyster Shell Calcium,7.59,5.31,4754.0,5269.0,4
NDC,80681008600,Melatonin,2.64,1.85,4754.0,5269.0,4
NDC,80681009000,Niacin,23.93,16.75,4754.0,5269.0,4
NDC,80681009800,Vitamin B1,9.9,6.93,4754.0,5269.0,4
NDC,80681012800,Vitamin B12,6.08,4.26,4754.0,5269.0,4
NDC,80681013500,Zinc,7.98,5.59,4754.0,5269.0,4
NDC,80681013900,Calcium with Vitamin D3,9.08,6.36,4754.0,5269.0,4
NDC,80681014000,Calcium Citrate,9.63,6.74,4754.0,5269.0,4
NDC,80681015500,Minerin Creme,7.46,5.22,4754.0,5269.0,4
NDC,80681016900,Vitamin D3,5.23,3.66,4754.0,5269.0,4
NDC,8069001,Oruvail,747.73,523.41,4754.0,5269.0,4
NDC,80777-0102-96,Spikevax 2023-2024 Formula,311.0,217.7,138.24,158.98,4
NDC,80777-0110-96,Spikevax 2024-2025 Formula Ages 12 and up,155.505,108.85499999999999,138.24,158.98,8
NDC,80777-0112-01,Spikevax 2025-2026 Formula Ages 12 and up,0.01,0.01,,,0
NDC,80777-0113-09,Spikevax 2025-2026 6mo through 11yrs,0.01,0.01,,,0
NDC,80777-0291-80,Moderna COVID-19 Vaccine 24-25 6mo through 11yrs,0.01,0.01,138.24,158.98,4
NDC,80777010201,Spikevax 2023-2024 Formula,356.13,249.29,4754.0,5269.0,4
NDC,80777010204,Spikevax 2023-2024 Formula,352.0,246.4,4754.0,5269.0,4
NDC,80777010293,Spikevax 2023-2024 Formula,356.13,249.29,4754.0,5269.0,4
NDC,80777010295,Spikevax 2023-2024 Formula,352.0,246.4,4754.0,5269.0,4
NDC,80777010296,Spikevax 2023-2024 Formula,356.13,249.29,4754.0,5269.0,4
NDC,80777011001,Spikevax 2024-2025 Formula Ages 12 and up,389.95,272.97,4754.0,5269.0,4
NDC,80777011096,Spikevax 2024-2025 Formula Ages 12 and up,389.95,272.97,4754.0,5269.0,4
NDC,80777011296,Spikevax 2025-2026 Formula Ages 12 and up,389.95,272.97,4754.0,5269.0,4
NDC,80777011380,Spikevax 2025-2026 6mo through 11yrs,354.75,248.33,4754.0,5269.0,4
NDC,80777027399,Moderna COVID-19 Vaccine,0.01,0.01,4754.0,5269.0,4
NDC,80777028205,"Moderna COVID-19 Vaccine, Bivalent Age 6yr & Older",0.01,0.01,4754.0,5269.0,4
NDC,80777028299,"Moderna COVID-19 Vaccine, Bivalent Age 6yr & Older",0.01,0.01,4754.0,5269.0,4
NDC,80777028302,Moderna COVID-19 Vaccine Bivalent Booster 6mo<6yrs,0.01,0.01,4754.0,5269.0,4
NDC,80777028399,Moderna COVID-19 Vaccine Bivalent Booster 6mo<6yrs,0.01,0.01,4754.0,5269.0,4
NDC,80777028707,Moderna COVID-19 Vaccine 2023-2024 Ages 6mo<12yrs,352.0,246.4,4754.0,5269.0,4
NDC,80777028792,Moderna COVID-19 Vaccine 2023-2024 Ages 6mo<12yrs,352.0,246.4,4754.0,5269.0,4
NDC,80777029109,Moderna COVID-19 Vaccine 24-25 6mo through 11yrs,354.75,248.33,4754.0,5269.0,4
NDC,80777029180,Moderna COVID-19 Vaccine 24-25 6mo through 11yrs,354.75,248.33,4754.0,5269.0,4
NDC,80803015350,Fyarro,22599.2,15819.44,4754.0,5269.0,4
NDC,80830-2329-02,Tranexamic Acid-Sodium Chloride,56.38,39.47,,,0
NDC,80830169101,Potassium Phosphates,123.75,86.63,4754.0,5269.0,4
NDC,80830169102,Potassium Phosphates,123.75,86.63,4754.0,5269.0,4
NDC,80830232901,Tranexamic Acid-Sodium Chloride,56.38,39.47,4754.0,5269.0,4
NDC,80830232902,Tranexamic Acid-Sodium Chloride,56.38,39.47,4754.0,5269.0,4
NDC,80830232903,Tranexamic Acid-Sodium Chloride,56.38,39.47,4754.0,5269.0,4
NDC,8092351,Protonix,13.96,9.77,4754.0,5269.0,4
NDC,810073088,Neosporin,11.88,8.32,4754.0,5269.0,4
NDC,81033-0002-53,Acetaminophen,11.06,7.74,,,0
NDC,81033-0025-51,Lidocaine-Prilocaine,22.55,15.79,,,0
NDC,81033-0102-51,guaiFENesin,4.2,2.94,,,0
NDC,81033-0512-50,NON-COVERED ITEM OR SERVICE,2.63,1.84,,,0
NDC,81033000205,Acetaminophen,2.07,1.45,4754.0,5269.0,4
NDC,81033000220,Acetaminophen,55.27,38.69,4754.0,5269.0,4
NDC,81033000250,Acetaminophen,2.07,1.45,4754.0,5269.0,4
NDC,81033000253,Acetaminophen,5.53,3.87,4754.0,5269.0,4
NDC,81033002505,Lidocaine-Prilocaine,22.55,15.79,4754.0,5269.0,4
NDC,81033002551,Lidocaine-Prilocaine,22.55,15.79,4754.0,5269.0,4
NDC,81033010205,guaiFENesin,4.82,3.37,4754.0,5269.0,4
NDC,81033010251,guaiFENesin,4.82,3.37,4754.0,5269.0,4
NDC,81033050108,Multivitamin & Multimineral Liquid for Adults,41.07,28.75,4754.0,5269.0,4
NDC,8104205,Rapamune,18905.43,13233.8,4754.0,5269.0,4
NDC,81079888,Polysporin,13.83,9.68,4754.0,5269.0,4
NDC,8117901,Torisel,5500.88,3850.62,4754.0,5269.0,4
NDC,81284-0611-10,Tranexamic Acid,15.13,10.59,,,0
NDC,81284041100,Dihydroergotamine Mesylate,214.5,150.15,4754.0,5269.0,4
NDC,81284041105,Dihydroergotamine Mesylate,214.5,150.15,4754.0,5269.0,4
NDC,81284061100,Tranexamic Acid,15.13,10.59,4754.0,5269.0,4
NDC,81284061110,Tranexamic Acid,15.13,10.59,4754.0,5269.0,4
NDC,81284061200,Tranexamic Acid Novaplus,10.45,7.32,4754.0,5269.0,4
NDC,81284061210,Tranexamic Acid Novaplus,10.45,7.32,4754.0,5269.0,4
NDC,81298578101,Triamcinolone Acetonide,14.44,10.11,4754.0,5269.0,4
NDC,81298578105,Triamcinolone Acetonide,14.44,10.11,4754.0,5269.0,4
NDC,8137003640,Aveeno Bath Treatment,14.63,10.24,4754.0,5269.0,4
NDC,81421002101,Dulcolax,12.16,8.51,4754.0,5269.0,4
NDC,81481-0803-01,Anktiva,85920.0,60144.0,94.73,265.24,7
NDC,81481080301,Anktiva,98450.0,68915.0,4754.0,5269.0,4
NDC,81665-0102-10,Isosorbide Mononitrate,8.12,5.68,,,0
NDC,81665010210,Isosorbide Mononitrate,811.25,567.88,4754.0,5269.0,4
NDC,81665010310,Isosorbide Mononitrate,959.75,671.83,4754.0,5269.0,4
NDC,81665010710,Isoniazid,544.5,381.15,4754.0,5269.0,4
NDC,81665010810,Isoniazid,893.75,625.63,4754.0,5269.0,4
NDC,81665010830,Isoniazid,321.75,225.23,4754.0,5269.0,4
NDC,81964-0221-14,Amoxicillin/Clavulanate Potassium,1.14,0.8,,,0
NDC,81964022114,Amoxicillin/Clavulanate Potassium,25.91,18.14,4754.0,5269.0,4
NDC,82154044901,Pegasys,3061.91,2143.34,4754.0,5269.0,4
NDC,82182032105,Brimonidine Tartrate,221.87,155.31,4754.0,5269.0,4
NDC,82182077305,Brimonidine Tartrate,191.87,134.31,4754.0,5269.0,4
NDC,82293-0003-10,Midodrine HCl,1.0,0.7,,,0
NDC,82293-0004-10,Midodrine HCl,1.0,0.7,,,0
NDC,82293-0005-10,Midodrine HCl,2.0,1.4,,,0
NDC,82293000310,Midodrine HCl,30.25,21.18,4754.0,5269.0,4
NDC,82293000510,Midodrine HCl,49.5,34.65,4754.0,5269.0,4
NDC,82347-0505-05,Lidocaine,6.84,4.79,,,0
NDC,82347050505,Lidocaine,235.13,164.59,4754.0,5269.0,4
NDC,82584079201,Akten,64.25,44.98,4754.0,5269.0,4
NDC,82584079225,Akten,64.25,44.98,4754.0,5269.0,4
NDC,82625880101,Movantik,1200.05,840.04,4754.0,5269.0,4
NDC,82667-0600-05,Maxidex,189.75,132.83,,,0
NDC,82667020001,Iopidine,1830.05,1281.04,4754.0,5269.0,4
NDC,82667060005,Maxidex,189.75,132.83,4754.0,5269.0,4
NDC,8290236850,BD Lactinex,24.205,16.945,4754.0,5269.0,8
NDC,8290320109,BD Ultra-Fine Pen,171.88,120.32,4754.0,5269.0,4
NDC,8290328203,BD Ultra-Fine Pen,171.88,120.32,4754.0,5269.0,4
NDC,83002430,Cytadren,369.88,258.92,4754.0,5269.0,4
NDC,83006030,TEGretol-XR,416.35,291.45,4754.0,5269.0,4
NDC,832003800,oxyBUTYnin Chloride,33.55,23.49,4754.0,5269.0,4
NDC,832030400,chlorproMAZINE HCl,3023.08,2116.16,4754.0,5269.0,4
NDC,832051101,Bethanechol Chloride,174.63,122.24,4754.0,5269.0,4
NDC,832051189,Bethanechol Chloride,1.74,1.22,4754.0,5269.0,4
NDC,832051201,Bethanechol Chloride,251.35,175.95,4754.0,5269.0,4
NDC,832051289,Bethanechol Chloride,2.52,1.76,4754.0,5269.0,4
NDC,832121101,Jantoven,102.03,71.42,4754.0,5269.0,4
NDC,832121189,Jantoven,1.03,0.72,4754.0,5269.0,4
NDC,832121201,Jantoven,104.5,73.15,4754.0,5269.0,4
NDC,832121289,Jantoven,1.05,0.74,4754.0,5269.0,4
NDC,832121301,Jantoven,106.98,74.89,4754.0,5269.0,4
NDC,832121389,Jantoven,1.07,0.75,4754.0,5269.0,4
NDC,832121401,Jantoven,109.45,76.62,4754.0,5269.0,4
NDC,832121489,Jantoven,1.1,0.77,4754.0,5269.0,4
NDC,832121601,Jantoven,111.93,78.35,4754.0,5269.0,4
NDC,832121689,Jantoven,1.12,0.78,4754.0,5269.0,4
NDC,832121701,Jantoven,154.28,108.0,4754.0,5269.0,4
NDC,832121789,Jantoven,1.55,1.09,4754.0,5269.0,4
NDC,832121801,Jantoven,159.23,111.46,4754.0,5269.0,4
NDC,832141003,Moxifloxacin HCl,70.38,49.27,4754.0,5269.0,4
NDC,832142505,brimonidine tartrate-timolol maleate,351.98,246.39,4754.0,5269.0,4
NDC,832151011,Haloperidol,71.5,50.05,4754.0,5269.0,4
NDC,832153011,Haloperidol,139.15,97.41,4754.0,5269.0,4
NDC,83257-0005-41,Fulphila,5010.01,3507.01,98.87,276.84,14
NDC,83257000541,Fulphila,5740.63,4018.44,4754.0,5269.0,4
NDC,83257002611,Yesintek,1099.96,769.97,4754.0,5269.0,4
NDC,832602000,chlorproMAZINE HCl,622.05,435.44,4754.0,5269.0,4
NDC,832603212,FLUoxetine,137.94,96.56,4754.0,5269.0,4
NDC,832605211,Dicyclomine HCl,49.5,34.65,4754.0,5269.0,4
NDC,832712211,Divalproex Sodium,24.75,17.33,4754.0,5269.0,4
NDC,83490030760,Sodium Chloride,1.0,0.7,4754.0,5269.0,4
NDC,83634010641,Piperacillin and Tazobactam,20.63,14.44,4754.0,5269.0,4
NDC,83634010650,Piperacillin and Tazobactam,20.63,14.44,4754.0,5269.0,4
NDC,83634050081,Magnesium Sulfate,14.3,10.01,4754.0,5269.0,4
NDC,8451001,Mylotarg,28038.12,19626.68,4754.0,5269.0,4
NDC,85046003,Solganal,384.32,269.02,4754.0,5269.0,4
NDC,85063501,Claritin-D,400.4,280.28,4754.0,5269.0,4
NDC,85064705,Intron A,586.13,410.29,4754.0,5269.0,4
NDC,85104901,Vancenase AQ Double Strength,132.3,92.61,4754.0,5269.0,4
NDC,85113601,Integrilin,1496.28,1047.4,4754.0,5269.0,4
NDC,85119102,Intron A,976.92,683.84,4754.0,5269.0,4
NDC,85173701,Avelox I.V.,140.25,98.18,4754.0,5269.0,4
NDC,85177301,Cipro,300.85,210.6,4754.0,5269.0,4
NDC,87665001,Videx,84.48,59.14,4754.0,5269.0,4
NDC,87665101,Videx,168.8,118.16,4754.0,5269.0,4
NDC,87665201,Videx,337.43,236.2,4754.0,5269.0,4
NDC,87701040816,Good Neighbor Pharmacy Co Q10,15.35,10.75,4754.0,5269.0,4
NDC,88115330,Copaxone,5188.92,3632.24,4754.0,5269.0,4
NDC,88210201,Priftin,13.66,9.56,4754.0,5269.0,4
NDC,88210224,Priftin,327.69,229.38,4754.0,5269.0,4
NDC,88221901,Lantus SoloStar Pen,53.01,37.11,4754.0,5269.0,4
NDC,88221905,Lantus SoloStar Pen,53.01,37.11,4754.0,5269.0,4
NDC,88222033,Lantus,176.72,123.7,4754.0,5269.0,4
NDC,88250033,Apidra,234.28,164.0,4754.0,5269.0,4
NDC,89130-2020-01,Durolane,2312.09,1618.4650000000001,6.52,18.26,63
NDC,89130-3111-01,GelSyn-3,1350.0,945.0,0.67,1.88,28
NDC,89130-4444-01,Supartz FX,569.31,398.52,73.12,119.53,4
NDC,89130202001,Durolane,3066.26,2146.38,4754.0,5269.0,4
NDC,89130311101,GelSyn-3,1067.0,746.9,4754.0,5269.0,4
NDC,89130444401,Supartz FX,652.33,456.63,4754.0,5269.0,4
NDC,9001103,Solu-CORTEF 100mg Vial,61.88,43.32,4754.0,5269.0,4
NDC,9001104,Solu-CORTEF 100mg Vial,64.97,45.48,4754.0,5269.0,4
NDC,9001305,Solu-CORTEF 250mg Vial,120.17,84.12,4754.0,5269.0,4
NDC,9001306,Solu-CORTEF 250mg Vial,120.17,84.12,4754.0,5269.0,4
NDC,9001820,SOLU-Medrol 1GM Vial,189.53,132.67,4754.0,5269.0,4
NDC,9002201,Medrol,122.79,85.95,4754.0,5269.0,4
NDC,9003928,SOLU-Medrol 40mg Vial,17.79,12.45,4754.0,5269.0,4
NDC,9003930,SOLU-Medrol 40mg Vial,17.79,12.45,4754.0,5269.0,4
NDC,9003932,SOLU-Medrol Novaplus 40mg Vial,369.12,258.38,4754.0,5269.0,4
NDC,9003933,SOLU-Medrol Novaplus 40mg Vial,14.77,10.34,4754.0,5269.0,4
NDC,9004722,SOLU-Medrol 125mg Vial,28.65,20.06,4754.0,5269.0,4
NDC,9004725,SOLU-Medrol 125mg Vial,28.65,20.06,4754.0,5269.0,4
NDC,9004726,SOLU-Medrol Novaplus 125mg Vial,23.5,16.45,4754.0,5269.0,4
NDC,9005707,Xanax XR,1732.34,1212.64,4754.0,5269.0,4
NDC,9007301,Medrol,395.32,276.72,4754.0,5269.0,4
NDC,9027101,Depo-Estradiol,675.57,472.9,4754.0,5269.0,4
NDC,9029703,Gelfilm Ophthalmic,4091.18,2863.83,4754.0,5269.0,4
NDC,9031503,Gelfoam,260.21,182.15,4754.0,5269.0,4
NDC,9034201,Gelfoam,761.6,533.12,4754.0,5269.0,4
NDC,904001259,Allergy,2.2,1.54,4754.0,5269.0,4
NDC,904001280,Chlorpheniramine Maleate,13.75,9.63,4754.0,5269.0,4
NDC,904005300,Robafen DM,3.25,2.28,4754.0,5269.0,4
NDC,904026252,Stress Formula Vitamins,8.42,5.89,4754.0,5269.0,4
NDC,904043004,Doxycycline Hyclate,299.15,209.41,4754.0,5269.0,4
NDC,904043006,Doxycycline Hyclate,300.44,210.31,4754.0,5269.0,4
NDC,904052360,Vitamin C,7.15,5.01,4754.0,5269.0,4
NDC,904052361,Vitamin C,10.45,7.32,4754.0,5269.0,4
NDC,904053061,Tab-A-Vite,10.45,7.32,4754.0,5269.0,4
NDC,904053961,Thera,12.93,9.05,4754.0,5269.0,4
NDC,904072645,Tolnaftate,7.31,5.12,4754.0,5269.0,4
NDC,904110231,povidone-iodine,4.38,3.07,,,0
NDC,9041701,Depo-Testosterone,65.43,45.8,4754.0,5269.0,4
NDC,904188260,Calcium + D,3.85,2.7,4754.0,5269.0,4
NDC,904205661,diphenhydrAMINE HCl,12.65,8.86,4754.0,5269.0,4
NDC,904208560,Vitamin A,11.55,8.09,4754.0,5269.0,4
NDC,904227260,Niacin,8.8,6.16,4754.0,5269.0,4
NDC,904253321,Calamine Lotion,3.9,2.73,4754.0,5269.0,4
NDC,904272561,Sulfamethoxazole/Trimethoprim,51.43,36.0,4754.0,5269.0,4
NDC,904316260,Selenium,4.95,3.47,4754.0,5269.0,4
NDC,9043304,Gelfoam,230.73,161.51,4754.0,5269.0,4
NDC,9043601,R-Gene 10,115.5,80.85,4754.0,5269.0,4
NDC,904385461,carBAMazepine,140.8,98.56,4754.0,5269.0,4
NDC,904386575,Deep Sea,2.55,1.79,4754.0,5269.0,4
NDC,904404073,Aspirin Children's,2.28,1.6,4754.0,5269.0,4
NDC,904421360,Lactobacillus Acidophilus,7.98,5.59,4754.0,5269.0,4
NDC,904421551,L-Arginine,10.18,7.13,4754.0,5269.0,4
NDC,9045003,Colestid,741.51,519.06,4754.0,5269.0,4
NDC,904505359,Sudogest,5.78,4.05,4754.0,5269.0,4
NDC,904515460,guaiFENesin,9.35,6.55,4754.0,5269.0,4
NDC,904522452,Dairy Aid,12.87,9.01,4754.0,5269.0,4
NDC,904525646,Mapap Children's,3.06,2.14,4754.0,5269.0,4
NDC,904530760,Banophen,6.88,4.82,4754.0,5269.0,4
NDC,904541501,Miconazole 3 Combination Pack,21.15,14.81,4754.0,5269.0,4
NDC,904544561,Cimetidine,17.33,12.13,4754.0,5269.0,4
NDC,904552461,Doxazosin Mesylate,235.13,164.59,4754.0,5269.0,4
NDC,904557720,Children's Ibuprofen,11.22,7.85,4754.0,5269.0,4
NDC,9045701,Gelfoam,1754.83,1228.38,4754.0,5269.0,4
NDC,904578561,FLUoxetine HCl,26.13,18.29,4754.0,5269.0,4
NDC,904579146,Children's Mapap,5.53,3.87,4754.0,5269.0,4
NDC,904582360,Vitamin D,3.85,2.7,4754.0,5269.0,4
NDC,904585361,Ibuprofen,18.98,13.29,4754.0,5269.0,4
NDC,904585461,Ibuprofen,23.38,16.37,4754.0,5269.0,4
NDC,904589261,Pravastatin Sodium,154.83,108.38,4754.0,5269.0,4
NDC,904589361,Pravastatin Sodium,195.25,136.68,4754.0,5269.0,4
NDC,904592161,Digoxin,370.7,259.49,4754.0,5269.0,4
NDC,904595961,Clindamycin HCl,90.75,63.53,4754.0,5269.0,4
NDC,904598426,Ammonium Lactate,10.57,7.4,4754.0,5269.0,4
NDC,904600861,LORazepam,25.58,17.91,4754.0,5269.0,4
NDC,904608261,Zolpidem Tartrate,23.93,16.75,4754.0,5269.0,4
NDC,904608561,Citalopram,16.78,11.75,4754.0,5269.0,4
NDC,904625549,Sore Throat Lozenges,7.88,5.52,4754.0,5269.0,4
NDC,904627145,Ziprasidone HCl,603.68,422.58,4754.0,5269.0,4
NDC,904629061,Atorvastatin Calcium,67.65,47.36,4754.0,5269.0,4
NDC,904629161,Atorvastatin Calcium,83.05,58.14,4754.0,5269.0,4
NDC,904629261,Atorvastatin Calcium,87.45,61.22,4754.0,5269.0,4
NDC,904629304,Atorvastatin Calcium,35.73,25.01,4754.0,5269.0,4
NDC,904629461,Clopidogrel,64.9,45.43,4754.0,5269.0,4
NDC,904630161,Carvedilol,25.85,18.1,4754.0,5269.0,4
NDC,904630261,Carvedilol,22.83,15.98,4754.0,5269.0,4
NDC,904630521,Sore Throat Spray,6.82,4.77,4754.0,5269.0,4
NDC,904632206,Metoprolol Succinate,75.08,52.56,4754.0,5269.0,4
NDC,904635161,levoFLOXacin,60.5,42.35,4754.0,5269.0,4
NDC,904635261,levoFLOXacin,66.83,46.78,4754.0,5269.0,4
NDC,904636961,amLODIPine Besylate,38.23,26.76,4754.0,5269.0,4
NDC,904637061,amLODIPine Besylate,21.73,15.21,4754.0,5269.0,4
NDC,904637161,amLODIPine Besylate,29.98,20.99,4754.0,5269.0,4
NDC,904640761,Bisacodyl,7.43,5.2,4754.0,5269.0,4
NDC,904641292,Calcium Antacid,6.19,4.33,4754.0,5269.0,4
NDC,904642661,Escitalopram,42.08,29.46,4754.0,5269.0,4
NDC,904644061,hydrALAZINE HCl,28.88,20.22,4754.0,5269.0,4
NDC,904644161,hydrALAZINE HCl,34.38,24.07,4754.0,5269.0,4
NDC,904644961,Isosorbide Mononitrate,104.5,73.15,4754.0,5269.0,4
NDC,904646707,Clopidogrel,1096.1,767.27,4754.0,5269.0,4
NDC,904647461,Pantoprazole Sodium,82.5,57.75,4754.0,5269.0,4
NDC,904647561,Baclofen,116.05,81.24,4754.0,5269.0,4
NDC,904648838,Lubrifresh P.M.,14.83,10.38,4754.0,5269.0,4
NDC,904650061,Fluconazole,389.4,272.58,4754.0,5269.0,4
NDC,904650661,Memantine HCl,118.53,82.97,4754.0,5269.0,4
NDC,904651961,Mirtazapine,42.63,29.84,4754.0,5269.0,4
NDC,904655261,Ondansetron HCl,173.25,121.28,4754.0,5269.0,4
NDC,904655861,Morphine Sulfate,344.03,240.82,4754.0,5269.0,4
NDC,904657261,Allopurinol,185.35,129.75,4754.0,5269.0,4
NDC,904662361,Tacrolimus,288.75,202.13,4754.0,5269.0,4
NDC,904662735,Ear Drops,5.2,3.64,4754.0,5269.0,4
NDC,904663861,QUEtiapine Fumarate,79.75,55.83,4754.0,5269.0,4
NDC,904663961,QUEtiapine Fumarate,129.25,90.48,4754.0,5269.0,4
NDC,904666561,Gabapentin,32.18,22.53,4754.0,5269.0,4
NDC,904666661,Gabapentin,44.83,31.38,4754.0,5269.0,4
NDC,904666761,Gabapentin,56.38,39.47,4754.0,5269.0,4
NDC,904671760,Cetirizine HCl,12.38,8.67,4754.0,5269.0,4
NDC,904672852,Sudogest,14.85,10.4,4754.0,5269.0,4
NDC,904673061,Acetaminophen,10.18,7.13,4754.0,5269.0,4
NDC,904674759,Ibuprofen,5.78,4.05,4754.0,5269.0,4
NDC,904674860,Bisacodyl,4.4,3.08,4754.0,5269.0,4
NDC,904675180,Aspirin Low Dose,22.0,15.4,4754.0,5269.0,4
NDC,904677361,Acetaminophen,14.85,10.4,4754.0,5269.0,4
NDC,904679480,Aspirin Low Dose,24.75,17.33,4754.0,5269.0,4
NDC,904679489,Aspirin Low Dose,3.96,2.77,4754.0,5269.0,4
NDC,904679761,Lisinopril,17.88,12.52,4754.0,5269.0,4
NDC,904679861,Lisinopril,14.58,10.21,4754.0,5269.0,4
NDC,904679961,Lisinopril,18.7,13.09,4754.0,5269.0,4
NDC,904680861,Montelukast Sodium,90.75,63.53,4754.0,5269.0,4
NDC,904682960,Medi-Pads,11.28,7.9,4754.0,5269.0,4
NDC,904683006,Finasteride,92.95,65.07,4754.0,5269.0,4
NDC,904686061,Divalproex Sodium,54.73,38.31,4754.0,5269.0,4
NDC,904686161,Divalproex Sodium,53.63,37.54,4754.0,5269.0,4
NDC,904686861,traZODone hydrochloride,33.83,23.68,4754.0,5269.0,4
NDC,904687045,Pantoprazole Sodium,43.56,30.49,4754.0,5269.0,4
NDC,904691761,Omeprazole,61.6,43.12,4754.0,5269.0,4
NDC,904692361,predniSONE,42.63,29.84,4754.0,5269.0,4
NDC,904693181,PEG 3350,354.75,248.33,4754.0,5269.0,4
NDC,904693186,PEG 3350,3.55,2.49,4754.0,5269.0,4
NDC,904693561,paliperidone,3753.75,2627.63,4754.0,5269.0,4
NDC,904693806,Butalbital-Acetaminophen-Caffeine,248.33,173.83,4754.0,5269.0,4
NDC,904699760,Docusate Calcium,15.95,11.17,4754.0,5269.0,4
NDC,904700761,lamoTRIgine,46.75,32.73,4754.0,5269.0,4
NDC,904704161,Allopurinol,90.75,63.53,4754.0,5269.0,4
NDC,904705261,Doxepin HCl,167.2,117.04,4754.0,5269.0,4
NDC,904705361,Doxepin HCl,220.55,154.39,4754.0,5269.0,4
NDC,904705861,Methocarbamol,88.83,62.18,4754.0,5269.0,4
NDC,904709761,Tacrolimus,375.93,263.15,4754.0,5269.0,4
NDC,904711906,Calcium Acetate,139.29,97.5,4754.0,5269.0,4
NDC,904712261,busPIRone HCl,35.48,24.84,4754.0,5269.0,4
NDC,904712461,levETIRAcetam,57.48,40.24,4754.0,5269.0,4
NDC,904712761,predniSONE,46.48,32.54,4754.0,5269.0,4
NDC,904714110,Methotrexate,164.07,114.85,4754.0,5269.0,4
NDC,904714504,droNABinol,1418.34,992.84,4754.0,5269.0,4
NDC,904715361,Benzonatate,135.85,95.1,4754.0,5269.0,4
NDC,904716261,metFORMIN HCl,17.6,12.32,4754.0,5269.0,4
NDC,904716461,metFORMIN HCl,28.05,19.64,4754.0,5269.0,4
NDC,904717207,emtricitabine-tenofovir disoproxil fumarate,160.55,112.39,4754.0,5269.0,4
NDC,904717761,Furosemide,20.35,14.25,4754.0,5269.0,4
NDC,904717861,Furosemide,21.45,15.02,4754.0,5269.0,4
NDC,904718261,Divalproex Sodium,566.5,396.55,4754.0,5269.0,4
NDC,904718361,Docusate Sodium,13.48,9.44,4754.0,5269.0,4
NDC,904718761,Atenolol,53.9,37.73,4754.0,5269.0,4
NDC,904718861,Hydrocortisone,493.63,345.54,4754.0,5269.0,4
NDC,904720061,Lisinopril,38.23,26.76,4754.0,5269.0,4
NDC,904720660,Simethicone,8.25,5.78,4754.0,5269.0,4
NDC,904722761,clonazePAM,143.55,100.49,4754.0,5269.0,4
NDC,904723006,Saccharomyces Boulardii,96.67,67.67,4754.0,5269.0,4
NDC,904723760,Banophen,6.33,4.43,4754.0,5269.0,4
NDC,904723761,Banophen,11.28,7.9,4754.0,5269.0,4
NDC,904723961,Sodium Chloride,62.43,43.7,4754.0,5269.0,4
NDC,904724361,Ciprofloxacin,84.7,59.29,4754.0,5269.0,4
NDC,904724468,lacosamide,203.12,142.18,4754.0,5269.0,4
NDC,904724568,lacosamide,338.42,236.89,4754.0,5269.0,4
NDC,904725260,Senna,5.5,3.85,4754.0,5269.0,4
NDC,904725261,Senna-Lax,11.28,7.9,4754.0,5269.0,4
NDC,904725280,Senna,27.5,19.25,4754.0,5269.0,4
NDC,904726161,Sodium Bicarbonate,41.8,29.26,4754.0,5269.0,4
NDC,904726541,levETIRAcetam,9.05,6.34,4754.0,5269.0,4
NDC,904727641,Nystatin,3.28,2.3,4754.0,5269.0,4
NDC,904727670,Nystatin,3.28,2.3,4754.0,5269.0,4
NDC,904728060,Docusate Sodium,6.05,4.24,4754.0,5269.0,4
NDC,904730561,Carvedilol,25.03,17.52,4754.0,5269.0,4
NDC,904730761,Carvedilol,26.68,18.68,4754.0,5269.0,4
NDC,904730861,Carvedilol,25.03,17.52,4754.0,5269.0,4
NDC,904734661,FLUoxetine HCl,26.13,18.29,4754.0,5269.0,4
NDC,904735006,Azithromycin,169.82,118.87,4754.0,5269.0,4
NDC,904735061,Azithromycin,576.4,403.48,4754.0,5269.0,4
NDC,904736261,risperiDONE,97.63,68.34,4754.0,5269.0,4
NDC,904736361,risperiDONE,113.85,79.7,4754.0,5269.0,4
NDC,904736461,risperiDONE,137.5,96.25,4754.0,5269.0,4
NDC,904737661,Meclizine HCl,127.05,88.94,4754.0,5269.0,4
NDC,904740161,Cyclobenzaprine HCl,59.95,41.97,4754.0,5269.0,4
NDC,904740267,Bacitracin,46.73,32.71,4754.0,5269.0,4
NDC,904742146,lurasidone hydrochloride,18.4,12.88,4754.0,5269.0,4
NDC,904742446,lurasidone hydrochloride,34.41,24.09,4754.0,5269.0,4
NDC,904743535,Nasal Decongestant,5.49,3.84,4754.0,5269.0,4
NDC,904744861,hydrALAZINE HCl,65.45,45.82,4754.0,5269.0,4
NDC,904744961,hydrALAZINE HCl,81.4,56.98,4754.0,5269.0,4
NDC,904747056,Sucralfate,28.52,19.96,4754.0,5269.0,4
NDC,904747066,Sucralfate,28.52,19.96,4754.0,5269.0,4
NDC,904747835,Earwax Removal Drops,5.2,3.64,4754.0,5269.0,4
NDC,904750930,Aspirin Low Dose,59.4,41.58,4754.0,5269.0,4
NDC,904752713,Thera-M Plus Multivitamin,24.67,17.27,4754.0,5269.0,4
NDC,904791461,Ibuprofen,18.43,12.9,4754.0,5269.0,4
NDC,904792761,Bisacodyl,7.43,5.2,4754.0,5269.0,4
NDC,904880567,Triple Antibiotic Ointment,52.28,36.6,4754.0,5269.0,4
NDC,9069801,SOLU-Medrol,120.95,84.67,4754.0,5269.0,4
NDC,9075801,SOLU-Medrol,66.77,46.74,4754.0,5269.0,4
NDC,9082501,Solu-CORTEF,52.67,36.87,4754.0,5269.0,4
NDC,9085605,Hemabate,385.0,269.5,4754.0,5269.0,4
NDC,9085608,Hemabate,385.0,269.5,4754.0,5269.0,4
NDC,9087021,Cleocin Phosphate,6.85,4.8,4754.0,5269.0,4
NDC,9087026,Cleocin Phosphate,6.85,4.8,4754.0,5269.0,4
NDC,91332201,Niravam,797.23,558.06,4754.0,5269.0,4
NDC,91334101,Parcopa,512.88,359.02,4754.0,5269.0,4
NDC,91648701,Neupro,635.25,444.68,4754.0,5269.0,4
NDC,93005301,busPIRone HCl,14.3,10.01,4754.0,5269.0,4
NDC,93005305,busPIRone HCl,70.13,49.09,4754.0,5269.0,4
NDC,93005405,busPIRone HCl,96.25,67.38,4754.0,5269.0,4
NDC,93026492,Fluocinonide,622.55,435.79,4754.0,5269.0,4
NDC,93031101,Loperamide HCl,100.93,70.65,4754.0,5269.0,4
NDC,93031401,Ketorolac Tromethamine,296.45,207.52,4754.0,5269.0,4
NDC,93031801,dilTIAZem HCl,41.25,28.88,4754.0,5269.0,4
NDC,93031905,dilTIAZem HCl,317.63,222.34,4754.0,5269.0,4
NDC,93066116,Albuterol Sulfate,67.64,47.35,4754.0,5269.0,4
NDC,93068801,lamoTRIgine,121.28,84.9,4754.0,5269.0,4
NDC,9307301,DEPO-Medrol,31.27,21.89,4754.0,5269.0,4
NDC,9307303,DEPO-Medrol,31.27,21.89,4754.0,5269.0,4
NDC,93075201,Atenolol,9.63,6.74,4754.0,5269.0,4
NDC,93075601,Piroxicam,309.65,216.76,4754.0,5269.0,4
NDC,93075701,Piroxicam,580.53,406.37,4754.0,5269.0,4
NDC,93078701,Atenolol,9.35,6.55,4754.0,5269.0,4
NDC,93081101,Nortriptyline HCl,73.15,51.21,4754.0,5269.0,4
NDC,93081301,Nortriptyline HCl,124.03,86.82,4754.0,5269.0,4
NDC,93101042,Mupirocin,25.05,17.54,4754.0,5269.0,4
NDC,93102406,Nefazodone HCl,226.22,158.35,4754.0,5269.0,4
NDC,93106101,Sotalol HCl,77.0,53.9,4754.0,5269.0,4
NDC,93106201,Sotalol HCl,130.63,91.44,4754.0,5269.0,4
NDC,93117201,Penicillin VK,52.8,36.96,4754.0,5269.0,4
NDC,93117701,Neomycin Sulfate,305.25,213.68,4754.0,5269.0,4
NDC,9316901,Prostin VR Pediatric,465.7,325.99,4754.0,5269.0,4
NDC,9316906,Prostin VR Pediatric,465.7,325.99,4754.0,5269.0,4
NDC,93171201,Warfarin Sodium,59.95,41.97,4754.0,5269.0,4
NDC,93171501,Warfarin Sodium,64.9,45.43,4754.0,5269.0,4
NDC,93171601,Warfarin Sodium,65.18,45.63,4754.0,5269.0,4
NDC,93172001,Warfarin Sodium,100.1,70.07,4754.0,5269.0,4
NDC,93172301,Warfarin Sodium,96.25,67.38,4754.0,5269.0,4
NDC,93202623,Azithromycin,71.94,50.36,4754.0,5269.0,4
NDC,93202723,Azithromycin,71.94,50.36,4754.0,5269.0,4
NDC,93206301,QUEtiapine Fumarate,51.15,35.81,4754.0,5269.0,4
NDC,93206506,Cilostazol,52.47,36.73,4754.0,5269.0,4
NDC,93216519,Naloxone HCl,148.5,103.95,4754.0,5269.0,4
NDC,93216568,Naloxone HCl,297.0,207.9,4754.0,5269.0,4
NDC,93220301,Metoclopramide,20.08,14.06,4754.0,5269.0,4
NDC,93220305,Metoclopramide,96.25,67.38,4754.0,5269.0,4
NDC,93220401,Metoclopramide,19.8,13.86,4754.0,5269.0,4
NDC,93221001,Sucralfate,74.25,51.98,4754.0,5269.0,4
NDC,93221005,Sucralfate,327.25,229.08,4754.0,5269.0,4
NDC,93226801,Amoxicillin,89.93,62.95,4754.0,5269.0,4
NDC,93306619,Icatibant,8387.39,5871.17,4754.0,5269.0,4
NDC,93306634,Icatibant,8387.39,5871.17,4754.0,5269.0,4
NDC,93306693,Icatibant,8387.38,5871.17,4754.0,5269.0,4
NDC,93309256,armodafinil,108.33,75.83,4754.0,5269.0,4
NDC,93312301,Dicloxacillin Sodium,187.83,131.48,4754.0,5269.0,4
NDC,93312501,Dicloxacillin Sodium,375.65,262.96,4754.0,5269.0,4
NDC,93314501,Cephalexin,36.3,25.41,4754.0,5269.0,4
NDC,93314701,Cephalexin,59.95,41.97,4754.0,5269.0,4
NDC,93314705,Cephalexin,283.25,198.28,4754.0,5269.0,4
NDC,93319301,Ketoprofen,138.05,96.64,4754.0,5269.0,4
NDC,93321201,clonazePAM,11.55,8.09,4754.0,5269.0,4
NDC,93342201,Cyclobenzaprine HCl,12.65,8.86,4754.0,5269.0,4
NDC,93342501,LORazepam,12.1,8.47,4754.0,5269.0,4
NDC,93342601,LORazepam,13.75,9.63,4754.0,5269.0,4
NDC,93342701,LORazepam,21.18,14.83,4754.0,5269.0,4
NDC,9335902,Prepidil,1557.98,1090.59,4754.0,5269.0,4
NDC,93412573,Penicillin VK,22.0,15.4,4754.0,5269.0,4
NDC,93412574,Penicillin VK,31.9,22.33,4754.0,5269.0,4
NDC,93412773,Penicillin VK,24.48,17.14,4754.0,5269.0,4
NDC,93412774,Penicillin VK,35.75,25.03,4754.0,5269.0,4
NDC,93415580,Amoxicillin,14.44,10.11,4754.0,5269.0,4
NDC,93417773,Cephalexin,63.25,44.28,4754.0,5269.0,4
NDC,93417774,Cephalexin,112.75,78.93,4754.0,5269.0,4
NDC,9344801,Cleocin Vaginal,201.08,140.76,4754.0,5269.0,4
NDC,93512501,Benazepril Hydrochloride,44.55,31.19,4754.0,5269.0,4
NDC,93512701,Benazepril Hydrochloride,44.55,31.19,4754.0,5269.0,4
NDC,93524519,OLANZapine,4.91,3.44,4754.0,5269.0,4
NDC,93524565,OLANZapine,147.27,103.09,4754.0,5269.0,4
NDC,93524619,OLANZapine,7.22,5.05,4754.0,5269.0,4
NDC,93524665,OLANZapine,216.4,151.48,4754.0,5269.0,4
NDC,93524719,OLANZapine,10.64,7.45,4754.0,5269.0,4
NDC,93524765,OLANZapine,319.03,223.32,4754.0,5269.0,4
NDC,93537065,fentaNYL Citrate,1116.97,781.88,4754.0,5269.0,4
NDC,93537365,fentaNYL Citrate,2053.68,1437.58,4754.0,5269.0,4
NDC,93540189,Omega-3-Acid Ethyl Esters,545.82,382.07,4754.0,5269.0,4
NDC,93590786,Mesalamine,1659.24,1161.47,4754.0,5269.0,4
NDC,93613832,diazePAM Rectal Delivery System,734.89,514.42,4754.0,5269.0,4
NDC,9364301,Dramamine,6.12,4.28,4754.0,5269.0,4
NDC,93711306,Nefazodone HCl,237.44,166.21,4754.0,5269.0,4
NDC,93716601,Celecoxib,548.08,383.66,4754.0,5269.0,4
NDC,93727098,Pravastatin Sodium,98.01,68.61,4754.0,5269.0,4
NDC,93727256,Pioglitazone HCl,35.48,24.84,4754.0,5269.0,4
NDC,93727356,Pioglitazone HCl,38.45,26.92,4754.0,5269.0,4
NDC,93738698,Venlafaxine HCl,91.08,63.76,4754.0,5269.0,4
NDC,93753656,Anastrozole,26.73,18.71,4754.0,5269.0,4
NDC,93762998,imatinib mesylate,300.22,210.15,4754.0,5269.0,4
NDC,93770198,Levocetirizine Dihydrochloride,82.42,57.69,4754.0,5269.0,4
NDC,9379401,Corvert,1539.54,1077.68,4754.0,5269.0,4
NDC,9379422,Corvert Novaplus,258.17,180.72,4754.0,5269.0,4
NDC,93811956,Famciclovir,266.48,186.54,4754.0,5269.0,4
NDC,93812101,Doxazosin Mesylate,185.35,129.75,4754.0,5269.0,4
NDC,93820401,Cimetidine,165.28,115.7,4754.0,5269.0,4
NDC,93834301,glyBURIDE,44.0,30.8,4754.0,5269.0,4
NDC,93834401,glyBURIDE,71.5,50.05,4754.0,5269.0,4
NDC,93874001,Mexiletine HCl,432.58,302.81,4754.0,5269.0,4
NDC,93901819,"cycloSPORINE, modified",3.03,2.12,4754.0,5269.0,4
NDC,93901865,"cycloSPORINE, modified",90.75,63.53,4754.0,5269.0,4
NDC,93902019,"cycloSPORINE, modified",12.1,8.47,4754.0,5269.0,4
NDC,93902065,"cycloSPORINE, modified",362.76,253.93,4754.0,5269.0,4
NDC,93911401,Procainamide HCl,120.45,84.32,4754.0,5269.0,4
NDC,93914701,Venlafaxine HCl,85.53,59.87,4754.0,5269.0,4
NDC,93970101,Carbidopa-Levodopa,61.05,42.74,4754.0,5269.0,4
NDC,93970205,Carbidopa-Levodopa,339.63,237.74,4754.0,5269.0,4
NDC,941042452,Dianeal Low Calcium Peritoneal Dialysis w/Dextrose,143.0,100.1,4754.0,5269.0,4
NDC,944049302,Flexbumin,318.18,222.73,4754.0,5269.0,4
NDC,944270004,Gammagard Liquid,2400.89,1680.62,4754.0,5269.0,4
NDC,944270005,Gammagard Liquid,4801.78,3361.25,4754.0,5269.0,4
NDC,944270006,Gammagard Liquid,9603.55,6722.49,4754.0,5269.0,4
NDC,944270007,Gammagard Liquid,14405.33,10083.73,4754.0,5269.0,4
NDC,944270010,Gammagard Liquid,2400.89,1680.62,4754.0,5269.0,4
NDC,944270011,Gammagard Liquid,4801.78,3361.25,4754.0,5269.0,4
NDC,944270012,Gammagard Liquid,9603.55,6722.49,4754.0,5269.0,4
NDC,944284310,Recombinate,5.39,3.77,4754.0,5269.0,4
NDC,944295004,WinRho SDF,713.9,499.73,4754.0,5269.0,4
NDC,944500101,Obizur,8.12,5.68,4754.0,5269.0,4
NDC,9470913,Depo-SubQ Provera 104,144.74,101.32,4754.0,5269.0,4
NDC,9501301,Glyset,830.5,581.35,4754.0,5269.0,4
NDC,955101010,Enoxaparin Sodium,58.77,41.14,4754.0,5269.0,4
NDC,955101601,Enoxaparin Sodium,176.41,123.49,4754.0,5269.0,4
NDC,955102001,DOCEtaxel,299.75,209.83,4754.0,5269.0,4
NDC,955102104,DOCEtaxel,1196.25,837.38,4754.0,5269.0,4
NDC,955170510,Fexofenadine HCl-Pseudoephedrine HCl,512.88,359.02,4754.0,5269.0,4
NDC,955172801,Insulin Glargine Solostar,93.57,65.5,4754.0,5269.0,4
NDC,955172805,Insulin Glargine Solostar,93.57,65.5,4754.0,5269.0,4
NDC,9722401,Atgam,13918.61,9743.03,4754.0,5269.0,4
NDC,9722402,Atgam,13918.61,9743.03,4754.0,5269.0,4
NDC,9752903,Camptosar,113.5,79.45,4754.0,5269.0,4
NDC,9752904,Camptosar,76.01,53.21,4754.0,5269.0,4
NDC,990707426,Potassium Chloride,13.48,9.44,4754.0,5269.0,4
NDC,990707526,Potassium Chloride,7.43,5.2,4754.0,5269.0,4
NDC,990710709,Potassium Chloride in Dextrose and Sodium Chloride,19.25,13.48,4754.0,5269.0,4
NDC,990711109,Dex/Lact. Ringers/Potassium Chl,30.25,21.18,4754.0,5269.0,4
NDC,990711509,Potassium Chloride-Sodium Chloride,19.25,13.48,4754.0,5269.0,4
NDC,990711609,Potassium Chloride-Sodium Chloride,24.75,17.33,4754.0,5269.0,4
NDC,990771502,Mannitol,60.5,42.35,4754.0,5269.0,4
NDC,990771503,Mannitol,52.25,36.58,4754.0,5269.0,4
NDC,990771513,Mannitol,52.25,36.58,4754.0,5269.0,4
NDC,990790209,Potassium Chloride in Dextrose and Sodium Chloride,19.25,13.48,4754.0,5269.0,4
NDC,990792202,Dextrose,14.44,10.11,4754.0,5269.0,4
NDC,990792203,Dextrose,15.13,10.59,4754.0,5269.0,4
NDC,990792209,Dextrose,13.75,9.63,4754.0,5269.0,4
NDC,990792313,Dextrose,10.45,7.32,4754.0,5269.0,4
NDC,990792337,Dextrose,8.53,5.97,4754.0,5269.0,4
NDC,990792403,Dextrose-Sodium Chloride,17.88,12.52,4754.0,5269.0,4
NDC,990792409,Dextrose-Sodium Chloride,19.25,13.48,4754.0,5269.0,4
NDC,990792603,Dextrose-Sodium Chloride,15.13,10.59,4754.0,5269.0,4
NDC,990792609,Dextrose-Sodium Chloride,13.75,9.63,4754.0,5269.0,4
NDC,990792903,Lactated Ringer's and 5% Dextrose,15.13,10.59,4754.0,5269.0,4
NDC,990792909,Lactated Ringer's and 5% Dextrose,13.75,9.63,4754.0,5269.0,4
NDC,990793003,Dextrose,16.5,11.55,4754.0,5269.0,4
NDC,990793009,Dextrose,13.75,9.63,4754.0,5269.0,4
NDC,990793519,Dextrose,39.88,27.92,4754.0,5269.0,4
NDC,990793619,Dextrose,45.38,31.77,4754.0,5269.0,4
NDC,990794103,Dextrose-Sodium Chloride,15.13,10.59,4754.0,5269.0,4
NDC,990794109,Dextrose-Sodium Chloride,13.75,9.63,4754.0,5269.0,4
NDC,990795303,Lactated Ringer's,16.5,11.55,4754.0,5269.0,4
NDC,990795309,Lactated Ringer's,16.5,11.55,4754.0,5269.0,4
NDC,990798302,Sodium Chloride,14.44,10.11,4754.0,5269.0,4
NDC,990798303,Sodium Chloride,15.13,10.59,4754.0,5269.0,4
NDC,990798309,Sodium Chloride,13.75,9.63,4754.0,5269.0,4
NDC,990798325,Sodium Chloride,14.44,10.11,4754.0,5269.0,4
NDC,990798413,Sodium Chloride,10.45,7.32,4754.0,5269.0,4
NDC,990798420,Sodium Chloride,9.42,6.59,4754.0,5269.0,4
NDC,990798423,Sodium Chloride,10.45,7.32,4754.0,5269.0,4
NDC,990798436,Sodium Chloride,8.12,5.68,4754.0,5269.0,4
NDC,990798437,Sodium Chloride,8.25,5.78,4754.0,5269.0,4
NDC,990798503,Sodium Chloride,15.13,10.59,4754.0,5269.0,4
NDC,990798509,Sodium Chloride,16.5,11.55,4754.0,5269.0,4
NDC,990925739,Potassium Chloride in Sodium Chloride,19.25,13.48,4754.0,5269.0,4
NDC,99207051746,Lidex,250.64,175.45,4754.0,5269.0,4
NDC,998001615,Alcaine,71.61,50.13,4754.0,5269.0,4
NDC,K00000020,Vendaje Human Amnion Tissue Allograft,1.0,0.7,4754.0,5269.0,4
NDC,W0000025,Vendaje Human Amnion Tissue Allograft,5.28,3.7,4754.0,5269.0,4
NDC,W0000308,Vendaje Human Amnion Tissue Allograft,111.65,78.16,4754.0,5269.0,4