code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries ,,Administered intravenously,,,,,0 ,,Administered subcutaneously,,,,,0 ,,Bilateral Procedure,,,,,0 ,,Distinct Procedural Service,,,,,0 ,,Drug or biological acquired with 340b drug pricing program discount,,,,,0 ,,"Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes",,,,,0 ,,Erythropoetic stimulating agent (esa) administered to treat anemia not due to anti-cancer radiotherapy or anti-cancer chemotherapy,,,,,0 ,,Investigational clinical service provided in a clinical research study that is in an approved clinical research study,,,,,0 ,,"Medicaid level of care 13, as defined by each state",,,,,0 ,,"Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital",,,,,0 ,,Right side (used to identify procedures performed on the right side of the body),,,,,0 ,,"Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the same day of the Procedure or Other Service",,,,,0 ,,"Technical Component; represents the costs of equipment, supplies, and technician personnel for a procedure, excluding the physician's interpretation. It is used when only the technical portion of a te",,,,,0 APC,0764,Ketorolac tromethamine inj,,,,,0 APC,0788,"Inj cefazolin sodium, hikma",,,,,0 APC,0792,"Inj, glycopyrrolate, 0.1 mg",,,,,0 APC,0795,"Inj, lidocaine in d5w, 1 mg",,,,,0 APC,0801,"Inj, methylpred sod succ 5mg",,,,,0 APC,1686,"Epoetin alfa, non-esrd",,,,,0 APC,2616,"Brachytx, non-str,Yttrium-90",,,,,0 APC,2641,"Brachytx, non-stranded,P-103",,,,,0 APC,2646,"Brachytx, non-str, HDR Ir-192",,,,,0 APC,5012,Clinic Visits and Related Services,,,,,0 APC,5021,Level 1 Type A ED Visits,,,,,0 APC,5022,Level 2 Type A ED Visits,,,,,0 APC,5023,Level 3 Type A ED Visits,,,,,0 APC,5024,Level 4 Type A ED Visits,,,,,0 APC,5025,Level 5 Type A ED Visits,,,,,0 APC,5041,Critical Care,,,,,0 APC,5045,Trauma Response with Critical Care,,,,,0 APC,5051,Level 1 Skin Procedures,,,,,0 APC,5052,Level 2 Skin Procedures,,,,,0 APC,5053,Level 3 Skin Procedures,,,,,0 APC,5054,Level 4 Skin Procedures,,,,,0 APC,5055,Level 5 Skin Procedures,,,,,0 APC,5071,Level 1 Excision/ Biopsy/ Incision and Drainage,,,,,0 APC,5072,Level 2 Excision/ Biopsy/ Incision and Drainage,,,,,0 APC,5073,Level 3 Excision/ Biopsy/ Incision and Drainage,,,,,0 APC,5091,Level 1 Breast/Lymphatic Surgery and Related Procedures,,,,,0 APC,5092,Level 2 Breast/Lymphatic Surgery and Related Procedures,,,,,0 APC,5093,Level 3 Breast/Lymphatic Surgery and Related Procedures,,,,,0 APC,5094,Level 4 Breast/Lymphatic Surgery and Related Procedures,,,,,0 APC,5101,Level 1 Strapping and Cast Application,,,,,0 APC,5111,Level 1 Musculoskeletal Procedures,,,,,0 APC,5112,Level 2 Musculoskeletal Procedures,,,,,0 APC,5113,Level 3 Musculoskeletal Procedures,,,,,0 APC,5114,Level 4 Musculoskeletal Procedures,,,,,0 APC,5115,Level 5 Musculoskeletal Procedures,,,,,0 APC,5116,Level 6 Musculoskeletal Procedures,,,,,0 APC,5151,Level 1 Airway Endoscopy,,,,,0 APC,5152,Level 2 Airway Endoscopy,,,,,0 APC,5153,Level 3 Airway Endoscopy,,,,,0 APC,5154,Level 4 Airway Endoscopy,,,,,0 APC,5155,Level 5 Airway Endoscopy,,,,,0 APC,5161,Level 1 ENT Procedures,,,,,0 APC,5162,Level 2 ENT Procedures,,,,,0 APC,5163,Level 3 ENT Procedures,,,,,0 APC,5164,Level 4 ENT Procedures,,,,,0 APC,5165,Level 5 ENT Procedures,,,,,0 APC,5166,Cochlear Implant Procedure,,,,,0 APC,5181,Level 1 Vascular Procedures,,,,,0 APC,5182,Level 2 Vascular Procedures,,,,,0 APC,5183,Level 3 Vascular Procedures,,,,,0 APC,5184,Level 4 Vascular Procedures,,,,,0 APC,5191,Level 1 Endovascular Procedures,,,,,0 APC,5192,Level 2 Endovascular Procedures,,,,,0 APC,5193,Level 3 Endovascular Procedures,,,,,0 APC,5194,Level 4 Endovascular Procedures,,,,,0 APC,5221,Level 1 Pacemaker and Similar Procedures,,,,,0 APC,5222,Level 2 Pacemaker and Similar Procedures,,,,,0 APC,5223,Level 3 Pacemaker and Similar Procedures,,,,,0 APC,5224,Level 4 Pacemaker and Similar Procedures,,,,,0 APC,5231,Level 1 ICD and Similar Procedures,,,,,0 APC,5232,Level 2 ICD and Similar Procedures,,,,,0 APC,5241,Level 1 Blood Product Exchange and Related Services,,,,,0 APC,5242,Level 2 Blood Product Exchange and Related Services,,,,,0 APC,5301,Level 1 Upper GI Procedures,,,,,0 APC,5302,Level 2 Upper GI Procedures,,,,,0 APC,5303,Level 3 Upper GI Procedures,,,,,0 APC,5311,Level 1 Lower GI Procedures,,,,,0 APC,5312,Level 2 Lower GI Procedures,,,,,0 APC,5313,Level 3 Lower GI Procedures,,,,,0 APC,5331,Complex GI Procedures,,,,,0 APC,5341,Level 1 Abdominal/Peritoneal/Biliary and Related Procedures,,,,,0 APC,5342,Level 2 Abdominal/Peritoneal/Biliary and Related Procedures,,,,,0 APC,5361,Level 1 Laparoscopy and Related Services,,,,,0 APC,5362,Level 2 Laparoscopy and Related Services,,,,,0 APC,5371,Level 1 Urology and Related Services,,,,,0 APC,5372,Level 2 Urology and Related Services,,,,,0 APC,5373,Level 3 Urology and Related Services,,,,,0 APC,5374,Level 4 Urology and Related Services,,,,,0 APC,5375,Level 5 Urology and Related Services,,,,,0 APC,5376,Level 6 Urology and Related Services,,,,,0 APC,5377,Level 7 Urology and Related Services,,,,,0 APC,5378,Level 8 Urology and Related Services,,,,,0 APC,5401,Dialysis,,,,,0 APC,5411,Level 1 Gynecologic Procedures,,,,,0 APC,5412,Level 2 Gynecologic Procedures,,,,,0 APC,5413,Level 3 Gynecologic Procedures,,,,,0 APC,5414,Level 4 Gynecologic Procedures,,,,,0 APC,5415,Level 5 Gynecologic Procedures,,,,,0 APC,5416,Level 6 Gynecologic Procedures,,,,,0 APC,5431,Level 1 Nerve Procedures,,,,,0 APC,5432,Level 2 Nerve Procedures,,,,,0 APC,5441,Level 1 Nerve Injections,,,,,0 APC,5442,Level 2 Nerve Injections,,,,,0 APC,5443,Level 3 Nerve Injections,,,,,0 APC,5461,Level 1 Neurostimulator and Related Procedures,,,,,0 APC,5462,Level 2 Neurostimulator and Related Procedures,,,,,0 APC,5463,Level 3 Neurostimulator and Related Procedures,,,,,0 APC,5464,Level 4 Neurostimulator and Related Procedures,,,,,0 APC,5465,Level 5 Neurostimulator and Related Procedures,,,,,0 APC,5471,Implantation of Drug Infusion Device,,,,,0 APC,5481,Laser Eye Procedures,,,,,0 APC,5491,Level 1 Intraocular Procedures,,,,,0 APC,5492,Level 2 Intraocular Procedures,,,,,0 APC,5493,Level 3 Intraocular Procedures,,,,,0 APC,5501,"Level 1 Extraocular, Repair, and Plastic Eye Procedures",,,,,0 APC,5502,"Level 2 Extraocular, Repair, and Plastic Eye Procedures",,,,,0 APC,5503,"Level 3 Extraocular, Repair, and Plastic Eye Procedures",,,,,0 APC,5504,"Level 4 Extraocular, Repair, and Plastic Eye Procedures",,,,,0 APC,5521,Level 1 Imaging without Contrast,,,,,0 APC,5522,Level 2 Imaging without Contrast,,,,,0 APC,5523,Level 3 Imaging without Contrast,,,,,0 APC,5524,Level 4 Imaging without Contrast,,,,,0 APC,5571,Level 1 Imaging with Contrast,,,,,0 APC,5572,Level 2 Imaging with Contrast,,,,,0 APC,5573,Level 3 Imaging with Contrast,,,,,0 APC,5591,Level 1 Nuclear Medicine and Related Services,,,,,0 APC,5592,Level 2 Nuclear Medicine and Related Services,,,,,0 APC,5593,Level 3 Nuclear Medicine and Related Services,,,,,0 APC,5594,Level 4 Nuclear Medicine and Related Services,,,,,0 APC,5611,Level 1 Therapeutic Radiation Treatment Preparation,,,,,0 APC,5612,Level 2 Therapeutic Radiation Treatment Preparation,,,,,0 APC,5613,Level 3 Therapeutic Radiation Treatment Preparation,,,,,0 APC,5621,Level 1 Radiation Therapy,,,,,0 APC,5622,Level 2 Radiation Therapy,,,,,0 APC,5623,Level 3 Radiation Therapy,,,,,0 APC,5624,Level 4 Radiation Therapy,,,,,0 APC,5626,Level 6 Radiation Therapy,,,,,0 APC,5627,Level 7 Radiation Therapy,,,,,0 APC,5661,Therapeutic Nuclear Medicine,,,,,0 APC,5671,Level 1 Pathology,,,,,0 APC,5672,Level 2 Pathology,,,,,0 APC,5673,Level 3 Pathology,,,,,0 APC,5674,Level 4 Pathology,,,,,0 APC,5691,Level 1 Drug Administration,,,,,0 APC,5692,Level 2 Drug Administration,,,,,0 APC,5693,Level 3 Drug Administration,,,,,0 APC,5694,Level 4 Drug Administration,,,,,0 APC,5721,Level 1 Diagnostic Tests and Related Services,,,,,0 APC,5722,Level 2 Diagnostic Tests and Related Services,,,,,0 APC,5723,Level 3 Diagnostic Tests and Related Services,,,,,0 APC,5724,Level 4 Diagnostic Tests and Related Services,,,,,0 APC,5731,Level 1 Minor Procedures,,,,,0 APC,5732,Level 2 Minor Procedures,,,,,0 APC,5733,Level 3 Minor Procedures,,,,,0 APC,5734,Level 4 Minor Procedures,,,,,0 APC,5735,Level 5 Minor Procedures,,,,,0 APC,5741,Level 1 Electronic Analysis of Devices,,,,,0 APC,5771,Cardiac Rehabilitation,,,,,0 APC,5781,Resuscitation and Cardioversion,,,,,0 APC,5791,Pulmonary Treatment,,,,,0 APC,5801,Ventilation Initiation and Management,,,,,0 APC,5811,Manipulation Therapy,,,,,0 APC,5821,Level 1 Health and Behavior Services,,,,,0 APC,9211,"Inj, morphine (fresenius)",,,,,0 APC,9254,Flotufolastat f18 diag 1 mci,,,,,0 APC,9290,"Inj, bupivacaine, nos, 0.5mg",,,,,0 APC,9291,"Inj, clindamycin phosp 300mg",,,,,0 APC,9363,"Inj, esmolol hcl, 10mg",,,,,0 APC,9404,"Inj, nitroglycerin, 5 mg",,,,,0 APC,9447,"Inj, releuko 1 mcg",,,,,0 APC,9509,"Frozen plasma, pooled, sd",,,,,0 APC,9512,RBC leukocytes reduced,,,,,0 APC,9513,"Plasma, frz between 8-24hour",,,,,0 APC,9522,RBC leukoreduced irradiated,,,,,0 APC,9536,Platelets pheresis path redu,,,,,0 APC,N700,Non-OPPS Clinic Services,,,,,0 APC,N800,Clinical Diagnostic Lab Services,,,,,0 APC,N801,Therapy Services,,,,,0 APC,N804,Mammography Services,,,,,0 APC,N805,Durable Medical Equipment,,,,,0 APC,N809,Other Medicine,,,,,0 APC,N811,"Observation, Other",,,,,0 APC,N900,Non-covered Services,,,,,0 APC,N902,Packaged Services,,,,,0 APC,N905,Not Recognized by OPPS,,,,,0 CDM,01502883,Or Per Minute Level 3,120.0,60.0,,,0 CDM,01722759,Pacu Phase I First Hr,2628.0,1314.0,,,0 CDM,0270,Noncdm Charge Record Medical Supplies,829.19,414.6,,,0 CDM,0272,Noncdm Charge Record Medical Supplies,479.9,239.95,,,0 CDM,0278,Noncdm Charge Record Medical Supplies,2204.9,1102.45,,,0 CDM,03751021,Renal Art/Vein Duplx-Bilat,3319.0,1659.5,,,0 CDM,03800335,Barium Enema,2236.0,1118.0,,,0 CDM,03800342,Inj For Vcug Or Cystogram,1389.0,694.5,,,0 CDM,03800366,Esophagram,764.0,382.0,,,0 CDM,03800373,Fluoroscopy Only,450.0,225.0,,,0 CDM,03800377,Upper G.I. (Ugi),2363.0,1181.5,,,0 CDM,03800378,Ugi With Small Bowel,2803.0,1401.5,,,0 CDM,03800402,Pulse Doppler Repeat Fetal,1630.0,815.0,,,0 CDM,03800439,Vcug,2221.0,1110.5,,,0 CDM,03800463,Gi Tube Placement Fluoro,1259.0,629.5,,,0 CDM,03800487,Bone Survey - Genetics,1954.0,977.0,,,0 CDM,03800544,Speech Video Swallow,1366.0,683.0,,,0 CDM,03810357,U/S Abdominal Complete,2512.0,1256.0,,,0 CDM,03810358,U/S Abdominal Ltd,1167.0,583.5,,,0 CDM,03810361,U/S Retroperitoneal (Complete),2247.0,1123.5,,,0 CDM,03810362,U/S Retroperitoneal Limited,1590.0,795.0,,,0 CDM,03810552,Ultrasound Spine,1725.0,862.5,,,0 CDM,03810558,Ultrasound - Hip(Manipulation),1464.0,732.0,,,0 CDM,03810560,Ultrasound Pylorus,1895.0,947.5,,,0 CDM,03810586,Portable Renal Ultrasound,2199.0,1099.5,,,0 CDM,03810588,Ultrasound Head Sngh,1298.0,649.0,,,0 CDM,03820003,Renal Scan,5430.0,2715.0,,,0 CDM,03820006,Chkd Transcath Pulmonary Valve,107588.25,53794.12,,,0 CDM,03820007,Chkd Implant Tcat Pulm Vlv Perq,49869.0,24934.5,,,0 CDM,03820008,Chkd Transcath Delivery System,27712.13,13856.06,,,0 CDM,03820010,Vascular Flow Study,1463.0,731.5,,,0 CDM,03820015,Vasc Dup Abd/Pelvis Retro,1653.0,826.5,,,0 CDM,03820019,Hepatobiliary Scan,2853.0,1426.5,,,0 CDM,03820036,Gastric Emptying Scan,3789.0,1894.5,,,0 CDM,03830002,Ct Head W/O,3774.0,1887.0,,,0 CDM,03830019,Ct Chest W/O,4522.0,2261.0,,,0 CDM,03830021,Cta Contrast W & W/O,6489.0,3244.5,,,0 CDM,03830034,Ct Abd Wet,4238.0,2119.0,,,0 CDM,03830041,Ct Cranio-Facial Dry,5138.0,2569.0,,,0 CDM,03830043,Ct Cor/Sag/Recon/3D,1908.0,954.0,,,0 CDM,03841004,Mri Brain W/O,6955.0,3477.5,,,0 CDM,03841006,Mri Brain W/Wo,9494.0,4747.0,,,0 CDM,03841007,X-Ray Exam Abdomen 2 Views,873.0,436.5,,,0 CDM,03841008,Us Chest,967.0,483.5,,,0 CDM,03841012,Us Lower Extremity,1174.0,587.0,,,0 CDM,03841013,Tas Congenital Car Anomal,5604.0,2802.0,,,0 CDM,03841014,Sp Cath Super / Inferior Vena Cava,3820.0,1910.0,,,0 CDM,03841019,Trluml Balo Angiop 1St Vein,6749.0,3374.5,,,0 CDM,03841020,Venogram Caval Super,3472.0,1736.0,,,0 CDM,03841021,Cd Valvuloplasty Ao,12037.0,6018.5,,,0 CDM,03841022,Cd Valvuloplasty Mitral,13863.0,6931.5,,,0 CDM,03841023,Pb Valvuloplasty; Pulmon Valve,19433.0,9716.5,,,0 CDM,03841024,Cd Drug Admin & Hemodynmic Meas,3702.0,1851.0,,,0 CDM,03841026,Cd Inject R Ventr / Atrail Angio,3712.0,1856.0,,,0 CDM,03841027,Cd Inject S Uprvlv Aortography,3932.0,1966.0,,,0 CDM,03841028,Cd Inject Pulm Art Hrt Cath,4818.0,2409.0,,,0 CDM,03841029,R&L Hrt Cath Chd Nml Nt Cnj,25024.0,12512.0,,,0 CDM,03841030,R&L Hrt Cath Chd Abnl Nt Cnj,25024.0,12512.0,,,0 CDM,03841031,Sp Cath Vein First Order Branch,5310.0,2655.0,,,0 CDM,03841032,Vasc Embolize/Occlude Venous,38990.0,19495.0,,,0 CDM,03841033,Vasc Embolize/Occlude Artery,38990.0,19495.0,,,0 CDM,03841034,Trluml Balo Angiop 1St Artery,6749.0,3374.5,,,0 CDM,03841035,Cd Inject L Ventr / Atrail Angio,3712.0,1856.0,,,0 CDM,03841036,Njx Drg Cgen C-Cathj Slctv Opacification S&I,3938.0,1969.0,,,0 CDM,03841037,Prq Trluml Pulmonary Art Balloon Angiop 1 Vsl,15013.0,7506.5,,,0 CDM,03841038,Ecmo/Ecls Insj Of Prph Cannula Birth-5 Yrs Perq,1542.0,771.0,,,0 CDM,03841039,Ecmo/Ecls Insj Of Prph Cannula 6 Yrs&Older Perq,1542.0,771.0,,,0 CDM,04040741,Videofluoroscopy,637.0,318.5,,,0 CDM,04040825,Videofluoroscopy Consult,334.0,167.0,,,0 CDM,04122728,General Anesth Set Up,833.0,416.5,,,0 CDM,04122730,Gen Anesthesia Per Minute,32.0,16.0,,,0 CDM,04553074,Holter Monitor - 24Hr,1417.0,708.5,,,0 CDM,04553113,Cardiology Portable Chg,519.0,259.5,,,0 CDM,04553114,Fetal Echo,2285.0,1142.5,,,0 CDM,04553115,Holter Scan Report,415.0,207.5,,,0 CDM,04553116,Holter Hook Up,1831.0,915.5,,,0 CDM,04553117,"Tte,Congenital,Complete",2979.0,1489.5,,,0 CDM,04553118,"Tte,Congential,Limited",1776.0,888.0,,,0 CDM,04553120,"Tte,Noncong Comp Fu/Limited",4953.0,2476.5,,,0 CDM,04583073,Color Flow Doppler,1425.0,712.5,,,0 CDM,04583078,Cardiac Doppler Ultrasound,1684.0,842.0,,,0 CDM,04583080,Cardiac Doppler Limited,982.0,491.0,,,0 CDM,04583106,Ekg Tracing Only,689.0,344.5,,,0 CDM,04590066,Trnsc Intrv Stnt-Int;Vn,19364.0,9682.0,,,0 CDM,04599176,Rt Hc Cong Nml Nat Conn,24434.0,12217.0,,,0 CDM,100230,Noncdm Charge Record Medical Supplies,126.5,63.25,,,0 CDM,100234,Noncdm Charge Record Medical Supplies,90.81,45.4,,,0 CDM,10187,Noncdm Charge Record Medical Supplies,71.67,35.84,,,0 CDM,101903,Noncdm Charge Record Medical Supplies,1507.74,753.87,,,0 CDM,101906,Noncdm Charge Record Medical Supplies,622.13,311.06,,,0 CDM,102147,Noncdm Charge Record Medical Supplies,989.0,494.5,,,0 CDM,102212,Noncdm Charge Record Medical Supplies,552.0,276.0,,,0 CDM,102225,Noncdm Charge Record Medical Supplies,552.0,276.0,,,0 CDM,102226,Noncdm Charge Record Medical Supplies,552.0,276.0,,,0 CDM,102236,Noncdm Charge Record Medical Supplies,552.0,276.0,,,0 CDM,102356,Noncdm Charge Record Medical Supplies,2044.9,1022.45,,,0 CDM,102357,Noncdm Charge Record Medical Supplies,2044.9,1022.45,,,0 CDM,102358,Noncdm Charge Record Medical Supplies,2044.9,1022.45,,,0 CDM,102572,Noncdm Charge Record Medical Supplies,62.21,31.1,,,0 CDM,102573,Noncdm Charge Record Medical Supplies,92.0,46.0,,,0 CDM,102715,Noncdm Charge Record Medical Supplies,2080.0,1040.0,,,0 CDM,103626,Noncdm Charge Record Medical Supplies,361.77,180.88,,,0 CDM,103627,Noncdm Charge Record Medical Supplies,385.99,193.0,,,0 CDM,103628,Noncdm Charge Record Medical Supplies,350.83,175.42,,,0 CDM,103629,Noncdm Charge Record Medical Supplies,602.6,301.3,,,0 CDM,103781,Noncdm Charge Record Medical Supplies,55.06,27.53,,,0 CDM,103782,Noncdm Charge Record Medical Supplies,55.06,27.53,,,0 CDM,10387,Noncdm Charge Record Medical Supplies,101.2,50.6,,,0 CDM,10400003,Intermediate Eye Exam,305.0,152.5,,,0 CDM,10400007,Quant Perimetr Gvf/Hvf Uni/Bil,335.0,167.5,,,0 CDM,10400008,Static/Kinetic Hvf Uni/Bil,326.0,163.0,,,0 CDM,10400015,Fluorescein Angiography,673.0,336.5,,,0 CDM,10400020,Fundus Photos,327.0,163.5,,,0 CDM,10400021,External Ocular Photography,201.0,100.5,,,0 CDM,10400022,Ophth A-Scan Biometry W/Comput,814.0,407.0,,,0 CDM,10400024,Ophth B-Scan W/Image Document,674.0,337.0,,,0 CDM,10400100,Biopy-One Eyelid,2880.0,1440.0,,,0 CDM,10400101,Disc Photos,327.0,163.5,,,0 CDM,10400103,Color Vision Testing,192.0,96.0,,,0 CDM,10400106,Corneal Topogra Mapping,380.0,190.0,,,0 CDM,10400109,Fit Contact Lens Occ Surf Dis,254.0,127.0,,,0 CDM,10400110,Fit Contact Lens Keratoconus,254.0,127.0,,,0 CDM,10400150,Removl Fb Conjunct Superficial,797.0,398.5,,,0 CDM,10400151,Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor,821.0,410.5,,,0 CDM,10400152,Removal Fb Cornea W/Burr,477.0,238.5,,,0 CDM,10400155,Intravitreal Inj Medictn 1 Eye,1289.0,644.5,,,0 CDM,10400156,Focal/Grid Laser,1799.0,899.5,,,0 CDM,10400157,Prf Laser,1799.0,899.5,,,0 CDM,10400158,"""Tenon""""s Injection""",1097.0,548.5,,,0 CDM,10400159,Tarsorrhaphy Severing,2977.0,1488.5,,,0 CDM,10400161,Repr Trichiasi Epilatn-Forceps,381.0,190.5,,,0 CDM,10400162,Eyelid Lesion Excisn W/O Close,2977.0,1488.5,,,0 CDM,10400163,Suture Eyelid Closure,3832.0,1916.0,,,0 CDM,10400164,Suture Eyelid Wound,6138.0,3069.0,,,0 CDM,10400165,Conjunctiva Biopsy- 1 Eye,2148.0,1074.0,,,0 CDM,10400166,Punctal Plug Insertion -1 Eye,255.0,127.5,,,0 CDM,10400167,"Corneal Pachymetry Us,Uni/Bil",193.0,96.5,,,0 CDM,10400169,Comprehensive Eye Exam,342.0,171.0,,,0 CDM,10400170,Refraction Only,53.0,26.5,,,0 CDM,10400171,Gonioscopy,152.0,76.0,,,0 CDM,10400178,Removal Fb Cornea W/Bur-Bilat,477.0,238.5,,,0 CDM,10400180,Intravitreal Inj Medictn-2 Eyes,1289.0,644.5,,,0 CDM,10400186,Punctal Plug Insertion-2 Eyes,382.0,191.0,,,0 CDM,10400188,Cont Lens-1Eyes-Excp Aphak,80.0,40.0,,,0 CDM,10400191,Iridoplasty,1525.0,762.5,,,0 CDM,10400192,Ectropion Repair,2804.0,1402.0,,,0 CDM,10400200,Closure Of Lacrimal,1940.0,970.0,,,0 CDM,10400201,Cover Eye W/ Membrane,2678.0,1339.0,,,0 CDM,10400202,Amniotic Membrane,1881.0,940.5,,,0 CDM,10400203,Conjunctivoplasty,2583.0,1291.5,,,0 CDM,10400204,Prob Of Lac Can W Or W_O Irrig,1377.0,688.5,,,0 CDM,10400205,Repair Tear Ducts,3383.0,1691.5,,,0 CDM,10400206,Blephartmy Drain Abscess,1510.0,755.0,,,0 CDM,10400207,Probe Nasolacrimal Duct,3448.0,1724.0,,,0 CDM,10400208,Repair Eyelid Wound,6138.0,3069.0,,,0 CDM,10400209,Repair Detach Retina,3611.0,1805.5,,,0 CDM,10400210,Laser Surgery Eye Strand Lt,2783.0,1391.5,,,0 CDM,10400212,Srep F/E/N/L/Mm; 2.5Cm/<,967.0,483.5,,,0 CDM,10400215,Simple Repair F/E/E/N/L/M 2.6Cm-5.0 Cm,1278.0,639.0,,,0 CDM,10400216,Remove Ocular Implant,10380.0,5190.0,,,0 CDM,10400217,Incise/Drain Eyelid Lining,2542.0,1271.0,,,0 CDM,10400218,Follow-Up Surgery Of Eye,6289.0,3144.5,,,0 CDM,10400219,Remove Eyelid Foreign Body,1762.0,881.0,,,0 CDM,10400220,Repair Of Eye Wound,10391.0,5195.5,,,0 CDM,10400221,Revision Of Upper Eyelid,6533.0,3266.5,,,0 CDM,10400222,Ciliary Transsleral Therapy,3652.0,1826.0,,,0 CDM,10400224,Removal Of Skin Tags,643.0,321.5,,,0 CDM,10400225,Revision Of Eyelid,2014.0,1007.0,,,0 CDM,10400226,Repair Entropion Excision Tarsal Wedge,4866.0,2433.0,,,0 CDM,10400227,Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj,4866.0,2433.0,,,0 CDM,10400228,Revision Of Upper Eyelid,7167.0,3583.5,,,0 CDM,10400229,Layr Closr Face=<2.5Cm,518.0,259.0,,,0 CDM,10400230,Remove Eyelid Lesion,1313.0,656.5,,,0 CDM,10400231,Tis Trnfr E/N/E/L 10 Sq Cm/<,6156.0,3078.0,,,0 CDM,10400232,Canthoplasty,3833.0,1916.5,,,0 CDM,10400233,Chemodenervation Face Unilat,605.0,302.5,,,0 CDM,10400234,Exc Of Chalazion:Mult Diff Lid,2876.0,1438.0,,,0 CDM,10400235,Injection Into Skin Lesions=<7,446.0,223.0,,,0 CDM,10400236,Shave Skin Lesion Face/Ears/Eyelids/Nose/Lips/Mucosa 0.6-1.0 Cm,446.0,223.0,,,0 CDM,10400237,Prob Nasolacrimal Duct Irrigat,1067.0,533.5,,,0 CDM,10400238,Temp Artery Biopsy,9378.0,4689.0,,,0 CDM,10400239,Exc Face-Mm B9+Marg 4,1111.0,555.5,,,0 CDM,20701101,Chgl Quest Mollecular Thyroid Panel,5867.0,2933.5,,,0 CDM,207016,Noncdm Charge Record Medical Supplies,3515.0,1757.5,,,0 CDM,207018,Noncdm Charge Record Medical Supplies,385.71,192.86,,,0 CDM,20701800,Chgl Ihc Count,150.0,75.0,,,0 CDM,207019,Noncdm Charge Record Medical Supplies,204.93,102.46,,,0 CDM,20701960,Chgl Arup-Mgmt Methylation By Pcr,600.0,300.0,,,0 CDM,207020,Noncdm Charge Record Medical Supplies,205.72,102.86,,,0 CDM,20702001,Chgl Surg Touch Prep-Additional,92.0,46.0,,,0 CDM,20702075,Chgl Surg Path Level 2 - Tech Only,438.0,219.0,,,0 CDM,20702076,Chgl Surg Path Level 3 - Tech Only,210.0,105.0,,,0 CDM,20702336,"Chgl Morphometric Analysis:Manual,E",687.0,343.5,,,0 CDM,207049,Noncdm Charge Record Medical Supplies,58.7,29.35,,,0 CDM,20705005,Chgl Lifenet Heart,572.0,286.0,,,0 CDM,20706861,Chgl 1P/19Q Deletion,742.0,371.0,,,0 CDM,20706863,Chgl Amyloid Protein,546.0,273.0,,,0 CDM,20706865,Chgl Ab Stain Addt'l (Ihc),245.0,122.5,,,0 CDM,20707000,Chgl Lifenet Vascular,319.0,159.5,,,0 CDM,20708000,Chgl Immunohistochem-Sp-Mc,258.0,129.0,,,0 CDM,20708001,Chgl Immunohistochem-Add't-Mc,258.0,129.0,,,0 CDM,20709650,"Chgl Insitu Ea Add Probe, Per Spec",467.0,233.5,,,0 CDM,20709651,Chgl Knight-Myd88,513.0,256.5,,,0 CDM,20709660,"Chgl Arup-Myd88 L265 Mutation, Pcr",704.0,352.0,,,0 CDM,20709661,"Chgl Mlh1 Promoter Methylation, Paraffin",681.0,340.5,,,0 CDM,20709662,"Chgl Mlh1 Promoter Methylation, Paraffin",131.0,65.5,,,0 CDM,20709663,Chgl Biother-Cancer Type Id,7856.0,3928.0,,,0 CDM,20709665,Chgl Arup-Huntington Disease,501.0,250.5,,,0 CDM,20709667,"Chgl (Qu) Alpha-1-Antitrypsin (Aat) Mutation Analysis, S/O",102.0,51.0,,,0 CDM,20709668,Chgl Quest-Tymp Dna Sequencing,1520.0,760.0,,,0 CDM,20709669,Chgl Lc-Pai-1 4G/5G Polymorphism,380.0,190.0,,,0 CDM,20709670,Chgl Arup-Ugt1A1 Genotyping,634.0,317.0,,,0 CDM,20709671,Chgl Quest-Lhon Mtdna Evaluation,2302.0,1151.0,,,0 CDM,20709673,Chgl Lc-Canavan Disease Mutation,285.0,142.5,,,0 CDM,20709674,Chgl Arup-Idh1 Mutation Exon 4,614.0,307.0,,,0 CDM,20709676,Chgl Lc-Jak2 Exons 12-15,366.0,183.0,,,0 CDM,20709681,Chgl Lc-Calr & Mpl Mutation Analysi,1822.0,911.0,,,0 CDM,20709686,Chgl Arup-Periodic Fever Syndromes,4935.0,2467.5,,,0 CDM,20709688,Chgl Lc-Gastrointestinal Prof Stool,700.0,350.0,,,0 CDM,20709695,Chgl Lc-Hla-A29 Uvetis Birshot Chor,634.0,317.0,,,0 CDM,20709698,Chgl Mayo-Hemophilia A F8 Gene,1267.0,633.5,,,0 CDM,20709699,Chgl Lc-Legionella Pneumophila Igg,84.0,42.0,,,0 CDM,20709700,Chgl Lc-Complement C4A Level,207.0,103.5,,,0 CDM,20709701,"Chgl (Lc) Mitotane, S/O",230.0,115.0,,,0 CDM,20709702,Chgl Lc-Prostaglandin D2 Urine,298.0,149.0,,,0 CDM,20709703,Chgl Lc-Haemophilus Influenza B Igg,191.0,95.5,,,0 CDM,20709704,Chgl Lc-Legionella Pneumophila Igm,84.0,42.0,,,0 CDM,20709705,Chgl Lc-Calr+Jak2 12-15+Mpl Mutatio,1280.0,640.0,,,0 CDM,20709708,Chgl Neogen-Tp53 Mutation Analysis,1646.0,823.0,,,0 CDM,20709709,Chgl Lc-Hla Drb1 Intermediate Resol,158.0,79.0,,,0 CDM,20709710,"Chgl Lc-Hla A,B,C,Dr1,3,4,5 Dq",1932.0,966.0,,,0 CDM,20709711,"Chgl (Lc) 81420 Maternit21 Plus, S/O",810.0,405.0,,,0 CDM,20709712,Chgl Lc-Afb Ident By Dna Probe,135.0,67.5,,,0 CDM,20709713,Chgl Lc-Afb Ident Gene Sequence,340.0,170.0,,,0 CDM,20709714,Chgl Lc-Tgfbr1 Fgs,1038.0,519.0,,,0 CDM,20709715,"Chgl (Lc) Potassium Fluid, S/O",37.0,18.5,,,0 CDM,20709719,Chgl Lc-Apoe Alzheimer's Risk,591.0,295.5,,,0 CDM,20709720,Chgl Lc-B-Cell Rearrangment Profile,685.0,342.5,,,0 CDM,20709722,Chgl Lc-Tcrb & Tcrg Gene Profile,765.0,382.5,,,0 CDM,20709724,Bcw-Serotonin Release Assay,678.0,339.0,,,0 CDM,20709725,Chgl Trans Growth Factor Beta 1,148.0,74.0,,,0 CDM,20709726,Chgl Lysosomal Acid Lipase,734.0,367.0,,,0 CDM,20709784,"Chgl (Lc) Clobazam, Serum Or Plasma, S/O",155.0,77.5,,,0 CDM,20709788,Chgl Sngh Surg Path Misc Sendout,89.22,44.61,,,0 CDM,207170,Noncdm Charge Record Medical Supplies,1471.6,735.8,,,0 CDM,207196,Noncdm Charge Record Medical Supplies,598.0,299.0,,,0 CDM,207198,Noncdm Charge Record Medical Supplies,312.8,156.4,,,0 CDM,207287,Noncdm Charge Record Medical Supplies,1364.48,682.24,,,0 CDM,207290,Noncdm Charge Record Medical Supplies,1104.0,552.0,,,0 CDM,207291,Noncdm Charge Record Medical Supplies,1012.0,506.0,,,0 CDM,207296,Noncdm Charge Record Medical Supplies,187.58,93.79,,,0 CDM,207460,Noncdm Charge Record Medical Supplies,1911.0,955.5,,,0 CDM,207501,Noncdm Charge Record Medical Supplies,1959.6,979.8,,,0 CDM,207514,Noncdm Charge Record Medical Supplies,9025.0,4512.5,,,0 CDM,207516,Noncdm Charge Record Medical Supplies,9025.0,4512.5,,,0 CDM,207526,Noncdm Charge Record Medical Supplies,84.33,42.16,,,0 CDM,207657,Noncdm Charge Record Medical Supplies,207.0,103.5,,,0 CDM,207659,Noncdm Charge Record Medical Supplies,2117.52,1058.76,,,0 CDM,207693,Noncdm Charge Record Medical Supplies,499.43,249.72,,,0 CDM,207695,Noncdm Charge Record Medical Supplies,138.54,69.27,,,0 CDM,207811,Noncdm Charge Record Medical Supplies,239.46,119.73,,,0 CDM,20785,Noncdm Charge Record Medical Supplies,32.2,16.1,,,0 CDM,207860,Noncdm Charge Record Medical Supplies,204.93,102.46,,,0 CDM,207865,Noncdm Charge Record Medical Supplies,6840.0,3420.0,,,0 CDM,207915,Noncdm Charge Record Medical Supplies,2208.0,1104.0,,,0 CDM,20800001,Chgl Serum Protein Electrophoresis,341.0,170.5,,,0 CDM,20800006,Chgl Haptoglobin,266.0,133.0,,,0 CDM,20800007,"Chgl Complement Ag, Each",315.0,157.5,,,0 CDM,20800009,Chgl T3 Uptake,299.0,149.5,,,0 CDM,20800010,Chgl Thyroxine,256.0,128.0,,,0 CDM,20800012,Chgl Hemoglobin Electrophoresis,562.0,281.0,,,0 CDM,20800014,Chgl Ldh Isoenzymes,139.0,69.5,,,0 CDM,20800019,"Chgl Hgh Growth Hormone (Somat), Ria",359.0,179.5,,,0 CDM,20800020,Chgl Cortisol Total,296.0,148.0,,,0 CDM,20800021,Chgl Renin Peripheral,275.0,137.5,,,0 CDM,20800024,Chgl 17 Oh Corticosteroids,361.0,180.5,,,0 CDM,20800025,Chgl 17 Ketosteroids,146.0,73.0,,,0 CDM,20800026,Chgl Vma 24 Hr Urine,185.0,92.5,,,0 CDM,20800029,Chgl Aldosterone Serum,465.0,232.5,,,0 CDM,20800030,Chgl 5-Hiaa Urine,152.0,76.0,,,0 CDM,20800031,Chgl Myoglobin Urine Quan,332.0,166.0,,,0 CDM,20800035,Chgl Heavy Metal Screen,233.0,116.5,,,0 CDM,20800036,Chgl Protein Elec Urine,193.0,96.5,,,0 CDM,20800039,Chgl Lead Urine,191.0,95.5,,,0 CDM,20800055,Chgl Lh,316.0,158.0,,,0 CDM,20800056,"Chgl Testosterone ,Total",256.0,128.0,,,0 CDM,20800059,Chgl Aminolevulinic Acid,247.0,123.5,,,0 CDM,20800061,Chgl Phospholipids,181.0,90.5,,,0 CDM,20800065,Chgl Igg Csf,111.0,55.5,,,0 CDM,20800066,Chgl Iga,111.0,55.5,,,0 CDM,20800067,Chgl Igg,111.0,55.5,,,0 CDM,20800068,Chgl Igm,111.0,55.5,,,0 CDM,20800069,Chgl Igd,111.0,55.5,,,0 CDM,20800073,Chgl Hemoglobin A2 Col,254.0,127.0,,,0 CDM,20800079,Chgl Acid Mucopolysacc,292.0,146.0,,,0 CDM,20800082,Chgl Am Acid Quan Plasma,215.0,107.5,,,0 CDM,20800084,Chgl Lead Blood,130.0,65.0,,,0 CDM,20800086,Chgl Glutethimide,266.0,133.0,,,0 CDM,20800088,Chgl Propoxyphene Quant,115.0,57.5,,,0 CDM,20800089,Chgl Phenytoin,313.0,156.5,,,0 CDM,20800090,Chgl Diazepam,375.0,187.5,,,0 CDM,20800091,Chgl Chlordiazepoxide,460.0,230.0,,,0 CDM,20800094,Chgl Phenothiazine Screen,401.0,200.5,,,0 CDM,20800097,Chgl Methadone Quantitative,115.0,57.5,,,0 CDM,20800098,Chgl Arsenic Blood,226.0,113.0,,,0 CDM,20800100,Chgl Copper Serum,247.0,123.5,,,0 CDM,20800114,Chgl Fsh,131.0,65.5,,,0 CDM,20800116,"Chgl Estrogen,Total Urine",343.0,171.5,,,0 CDM,20800117,"Chgl Insulin, Total",302.0,151.0,,,0 CDM,20800119,Chgl Digoxin,239.0,119.5,,,0 CDM,20800120,Chgl Digitoxin,266.0,133.0,,,0 CDM,20800130,Chga-Free T4,155.0,77.5,,,0 CDM,20800131,Chga-Hep B Surface Antigen,104.0,52.0,,,0 CDM,20800132,Chgl Antimony,139.0,69.5,,,0 CDM,20800138,Chgl Cea,368.0,184.0,,,0 CDM,20800140,Chgl Histamine,119.0,59.5,,,0 CDM,20800143,Chgl Cortisol Urine Free,296.0,148.0,,,0 CDM,20800151,Chgl Ck Isoenzymes,361.0,180.5,,,0 CDM,20800154,Chgl Beta Hcg Serum,403.0,201.5,,,0 CDM,20800156,"Chgl Cholinesterase, Rbc",248.0,124.0,,,0 CDM,20800157,Chgl Alcohol Methyl Glc,115.0,57.5,,,0 CDM,20800159,Chgl Phenobarbital,115.0,57.5,,,0 CDM,20800161,Chgl Protein Elec Csf,193.0,96.5,,,0 CDM,20800163,Chgl Theophylline,317.0,158.5,,,0 CDM,20800164,"Chgl (Lc) Procainamide, S/O",62.0,31.0,,,0 CDM,20800165,Chgl T3 Total,374.0,187.0,,,0 CDM,20800166,Chgl Gentamycin,302.0,151.0,,,0 CDM,20800167,Chgl Tobramycin,302.0,151.0,,,0 CDM,20800168,Chgl Gastrin Serum,443.0,221.5,,,0 CDM,20800169,Chgl Quinidine,228.0,114.0,,,0 CDM,20800170,Chgl Ethosuximide,407.0,203.5,,,0 CDM,20800171,Chgl Alpha Fetoprotein,212.0,106.0,,,0 CDM,20800172,Chgl Ascorbic Acid Serum,127.0,63.5,,,0 CDM,20800174,Chgl Ceruloplasmin,212.0,106.0,,,0 CDM,20800175,Chgl Chlorpromazine,174.0,87.0,,,0 CDM,20800177,Chgl Acth,652.0,326.0,,,0 CDM,20800178,"Chgl (Lc) Primidone, S/O",63.0,31.5,,,0 CDM,20800179,Chgl Nucleotidase,147.0,73.5,,,0 CDM,20800183,Chgl Morphine,115.0,57.5,,,0 CDM,20800185,Chgl Prolactin,247.0,123.5,,,0 CDM,20800186,Chgl Progesterone,362.0,181.0,,,0 CDM,20800188,Chgl Muramidase Serum,164.0,82.0,,,0 CDM,20800191,Chgl Amikacin,208.0,104.0,,,0 CDM,20800198,Chgl Manganese Plasma,99.0,49.5,,,0 CDM,20800199,Chgl Oxalate,140.0,70.0,,,0 CDM,20800200,Chgl Zinc Blood,216.0,108.0,,,0 CDM,20800207,Chga-Ferritin,258.0,129.0,,,0 CDM,20800210,Chgl C4 Complement,315.0,157.5,,,0 CDM,20800214,Chgl Amylase Serum,231.0,115.5,,,0 CDM,20800216,"Chgl Protein, Total",138.0,69.0,,,0 CDM,20800217,Chga-Albumin,72.0,36.0,,,0 CDM,20800218,Chgl Globulin Serum,129.0,64.5,,,0 CDM,20800219,Chgl Cholesterol,138.0,69.0,,,0 CDM,20800221,Chgl Creatinine Serum,161.0,80.5,,,0 CDM,20800222,Chgl Uric Acid Serum,159.0,79.5,,,0 CDM,20800223,Chgl Bilirubin Total,72.0,36.0,,,0 CDM,20800225,Chgl Calcium,71.0,35.5,,,0 CDM,20800226,Chgl Phosphorous,123.0,61.5,,,0 CDM,20800227,Chgl Cpk,138.0,69.0,,,0 CDM,20800228,Chgl Ldh,111.0,55.5,,,0 CDM,20800229,Chgl Ast (Sgot),131.0,65.5,,,0 CDM,20800230,Chgl Alt (Sgpt),72.0,36.0,,,0 CDM,20800232,Chgl Alkaline Phosphatase,164.0,82.0,,,0 CDM,20800233,Chga-Iron,239.0,119.5,,,0 CDM,20800235,Chgl Bromide Serum,208.0,104.0,,,0 CDM,20800238,Chgl Chloride,138.0,69.0,,,0 CDM,20800239,Chgl C02,96.0,48.0,,,0 CDM,20800240,Chgl Potassium,126.0,63.0,,,0 CDM,20800241,Chgl Sodium,123.0,61.5,,,0 CDM,20800242,Chgl Bun,130.0,65.0,,,0 CDM,20800249,Chgl Sodium Urine,65.0,32.5,,,0 CDM,20800250,Chgl Potassium Urine,94.0,47.0,,,0 CDM,20800251,Chgl Chloride Urine,66.0,33.0,,,0 CDM,20800252,"Chgl Urea Nitrogen, Urine",212.0,106.0,,,0 CDM,20800253,Chgl Glucose Urine Quan,193.0,96.5,,,0 CDM,20800254,Chgl Calcium Urine,65.0,32.5,,,0 CDM,20800256,Chgl Uric Acid Urine,172.0,86.0,,,0 CDM,20800257,Chgl Creatinine Urine,86.0,43.0,,,0 CDM,20800258,Chgl Amylase Urine,231.0,115.5,,,0 CDM,20800260,Chgl Porphobilinogen Quantitative,75.0,37.5,,,0 CDM,20800261,Chgl Porphyrins Quantitative,170.0,85.0,,,0 CDM,20800262,"Chgl Protein,Total Urine",130.0,65.0,,,0 CDM,20800264,Chgl Acetone Serum,138.0,69.0,,,0 CDM,20800265,Chgl Pyruvic Acid,140.0,70.0,,,0 CDM,20800266,Chgl Hdl Cholesterol,113.0,56.5,,,0 CDM,20800268,Chgl Aldolase,287.0,143.5,,,0 CDM,20800271,"Chgl Cholinesterase,Serum",248.0,124.0,,,0 CDM,20800281,Chgl Lithium,234.0,117.0,,,0 CDM,20800282,Chgl Sulfa Serum Level,757.0,378.5,,,0 CDM,20800285,Chgl Magnesium Serum,167.0,83.5,,,0 CDM,20800300,Chgl Hemoglobin Free,34.0,17.0,,,0 CDM,20800301,Chgl Triglyceride Serum,111.0,55.5,,,0 CDM,20800302,Chgl Ggt Serum,212.0,106.0,,,0 CDM,20800328,"Glucose,Quan.Blood",110.0,55.0,,,0 CDM,20800329,Chgl Bilirubin Direct,79.0,39.5,,,0 CDM,20800341,Chgl Nortriptyline,198.0,99.0,,,0 CDM,20800342,Chgl Amitriptyline Serum,204.0,102.0,,,0 CDM,20800347,Chgl Desipramine,235.0,117.5,,,0 CDM,20800348,Chgl Imipramine,167.0,83.5,,,0 CDM,20800351,Chgl Doxepin,262.0,131.0,,,0 CDM,20800352,Chgl Protriptyline,266.0,133.0,,,0 CDM,20800453,Chgl Alcohol Isopropyl Gc,115.0,57.5,,,0 CDM,20800456,Chgl Valproic Acid,374.0,187.0,,,0 CDM,20800462,Chgl Carbamazepine;Tot,185.0,92.5,,,0 CDM,20800472,Chgl Myelin Basic Protein,302.0,151.0,,,0 CDM,20800473,Chgl Oligoclonal Bands,377.0,188.5,,,0 CDM,20800474,Chgl Amoxapine,266.0,133.0,,,0 CDM,20800475,Chgl Lc-Lidocaine,63.0,31.5,,,0 CDM,20800476,Chgl Disopyramide,266.0,133.0,,,0 CDM,20800478,Chgl Anti Diuretic Hormone,422.0,211.0,,,0 CDM,20800486,Chgl Catecholamines:Fractionated,459.0,229.5,,,0 CDM,20800490,Chgl Homovanillic Acid,193.0,96.5,,,0 CDM,20800496,Chgl Orosomucoid,292.0,146.0,,,0 CDM,20800497,Chgl Creatine Urine,65.0,32.5,,,0 CDM,20800498,Chgl Cyanide Blood,360.0,180.0,,,0 CDM,20800499,Chgl Cyclic Amp Plasma,379.0,189.5,,,0 CDM,20800500,Chgl Hepatitis B Surface Ab,167.0,83.5,,,0 CDM,20800501,Hepatitis B Core Ab,130.0,65.0,,,0 CDM,20800502,Chgl Hepatitis A Ab Igm,114.0,57.0,,,0 CDM,20800505,Chgl Hepatitis Be Antibody,116.0,58.0,,,0 CDM,20800506,Chgl Cyclic Amp Urine,379.0,189.5,,,0 CDM,20800507,Chgl Cystine Urine Qnt,99.0,49.5,,,0 CDM,20800509,Chgl Dhea Sulf Serum,313.0,156.5,,,0 CDM,20800510,Chgl Dyphylline,208.0,104.0,,,0 CDM,20800511,Chgl Erythropoietin,239.0,119.5,,,0 CDM,20800512,Chgl Estradiol,351.0,175.5,,,0 CDM,20800513,Chgl Fatty Acids,330.0,165.0,,,0 CDM,20800514,Chgl Fecal Fats Quant,234.0,117.0,,,0 CDM,20800515,Chgl Folic Acid Rbc,216.0,108.0,,,0 CDM,20800516,Chgl Fsh Urine,131.0,65.5,,,0 CDM,20800517,Chgl Galactose-1-Phos Uridyl,309.0,154.5,,,0 CDM,20800518,Chgl Gallstone Infrared,158.0,79.0,,,0 CDM,20800523,Chgl 17 Oh Progesterone,489.0,244.5,,,0 CDM,20800525,Chgl Propranolol Serum,207.0,103.5,,,0 CDM,20800528,Chgl Mercury,131.0,65.5,,,0 CDM,20800532,Chgl Somatomedin C,267.0,133.5,,,0 CDM,20800536,Chgl Vip,441.0,220.5,,,0 CDM,20800537,Chgl-Lc-Nms-5 Fluorocytosine,152.0,76.0,,,0 CDM,20800541,Chgl Arsenic Quantitative,226.0,113.0,,,0 CDM,20800543,Chgl Bile Acids:Total,216.0,108.0,,,0 CDM,20800547,Chgl Methsuximide,115.0,57.5,,,0 CDM,20800549,Chgl Citric Acid Serum,126.0,63.0,,,0 CDM,20800550,Chgl Clonazepam,115.0,57.5,,,0 CDM,20800552,Chgl C Peptide Reactivity,259.0,129.5,,,0 CDM,20800554,Chgl Pepsinogen,172.0,86.0,,,0 CDM,20800556,Chgl Pyruvate Kinase Rbc,299.0,149.5,,,0 CDM,20800558,Chgl T3 Free,206.0,103.0,,,0 CDM,20800560,Chgl Transferrin,164.0,82.0,,,0 CDM,20800564,"Chgl Thiamine, Whole Blood",552.0,276.0,,,0 CDM,20800565,Chgl Vitamin B2,256.0,128.0,,,0 CDM,20800566,Chgl Vitamin B6,352.0,176.0,,,0 CDM,20800567,Chgl Vit B12 Unsat Bind,351.0,175.5,,,0 CDM,20800569,Chgl Vitamin D 25 Oh,231.0,115.5,,,0 CDM,20800572,Chgl Temazepam,438.0,219.0,,,0 CDM,20800582,Chgl Copper Urine,247.0,123.5,,,0 CDM,20800605,Chgl Amylase Isoenzymes,231.0,115.5,,,0 CDM,20800606,Chgl Albumin Fluid,75.0,37.5,,,0 CDM,20800608,Chgl Aldosterone Urine,465.0,232.5,,,0 CDM,20800609,Chgl Amylase Fluid,231.0,115.5,,,0 CDM,20800610,Chgl Hepatitis Be Antigen,300.0,150.0,,,0 CDM,20800611,Chgl Amobarbital,115.0,57.5,,,0 CDM,20800612,Chgl Arsenic Urine,226.0,113.0,,,0 CDM,20800615,Chgl Am Acid Quan Urine,215.0,107.5,,,0 CDM,20800624,Chgl Butalbital,115.0,57.5,,,0 CDM,20800625,Chgl Butabarbital,115.0,57.5,,,0 CDM,20800626,Chgl Benzene Urine,174.0,87.0,,,0 CDM,20800627,Chgl Berylium Urine,139.0,69.5,,,0 CDM,20800637,Chgl Cadmium Urine,174.0,87.0,,,0 CDM,20800638,Chkd-Caffeine,51.0,25.5,,,0 CDM,20800640,Chgl Chloral Hydrate Serum,63.0,31.5,,,0 CDM,20800641,Chgl Chloride Fluid,99.0,49.5,,,0 CDM,20800642,Creatine Serum,65.0,32.5,,,0 CDM,20800644,Chgl 11 Deoxycortisol,448.0,224.0,,,0 CDM,20800646,Chgl Diphenhydramine,266.0,133.0,,,0 CDM,20800648,Chgl D Xylose Blood,268.0,134.0,,,0 CDM,20800649,Chgl D Xylose Urine,268.0,134.0,,,0 CDM,20800650,Chgl Estriol Urine,424.0,212.0,,,0 CDM,20800660,Chgl Ethylene Glycol,191.0,95.5,,,0 CDM,20800661,Chgl Ethchlorvynol,115.0,57.5,,,0 CDM,20800662,Chgl Flurazepam Qnt,115.0,57.5,,,0 CDM,20800667,Chgl Hexachlorobenzene,63.0,31.5,,,0 CDM,20800669,Chgl Hexosaminadase Ab,248.0,124.0,,,0 CDM,20800673,Chgl Isoniazid,191.0,95.5,,,0 CDM,20800679,"Chgl 17 Ketosteroid Frac,24 Hr",383.0,191.5,,,0 CDM,20800682,Chgl Lactose Tolerance,131.0,65.5,,,0 CDM,20800687,Chgl Ldh Fluid,111.0,55.5,,,0 CDM,20800689,Chgl Maprotiline,266.0,133.0,,,0 CDM,20800690,Chgl Meperidine Serum,231.0,115.5,,,0 CDM,20800691,Chgl Mephobarbital,115.0,57.5,,,0 CDM,20800692,Chgl Meprobamate,115.0,57.5,,,0 CDM,20800693,Chgl Mephenytoin,266.0,133.0,,,0 CDM,20800696,Chgl Magnesium Urine,167.0,83.5,,,0 CDM,20800699,Chgl Myoglobin Serum,332.0,166.0,,,0 CDM,20800704,Chgl Potassium Fluid,126.0,63.0,,,0 CDM,20800710,Chgl Phenol Quan,174.0,87.0,,,0 CDM,20800714,Chgl Pentobarbital,201.0,100.5,,,0 CDM,20800723,Chgl Secobarbital,115.0,57.5,,,0 CDM,20800732,Chgl Sodium Fluid,66.0,33.0,,,0 CDM,20800733,Chgl Thiocyanate,152.0,76.0,,,0 CDM,20800734,Chgl Thioridazine,143.0,71.5,,,0 CDM,20800741,Chgl Thallium Urine,139.0,69.5,,,0 CDM,20800742,Chgl Trazadone,132.0,66.0,,,0 CDM,20800745,Chgl Urea Clearance,212.0,106.0,,,0 CDM,20800751,Chgl Vancomycin,302.0,151.0,,,0 CDM,20800752,Chgl Warfarin Serum,342.0,171.0,,,0 CDM,20800754,Chgl Zinc Urine,206.0,103.0,,,0 CDM,20800755,Chgl Bun (Urea Nitrogen) - Post Dia,130.0,65.0,,,0 CDM,20800801,Chgl Aprobarbital,115.0,57.5,,,0 CDM,20800802,Chgl Chloramphenicol,192.0,96.0,,,0 CDM,20800807,Chgl Citric Acid Urine,126.0,63.0,,,0 CDM,20800825,Chgl Methamphetamine,115.0,57.5,,,0 CDM,20800841,Chgl Alcohol Glc,115.0,57.5,,,0 CDM,20800842,Chgl Alpha Fetoprotein Fluid,258.0,129.0,,,0 CDM,20800844,Chgl Phencyclidine Quant,126.0,63.0,,,0 CDM,20800849,Chgl Acetone Glc,147.0,73.5,,,0 CDM,20800862,Chgl Albumin Csf,75.0,37.5,,,0 CDM,20800863,Chgl Alcohol Ethyl,518.0,259.0,,,0 CDM,20800865,Chgl Amphet Quan Urine,115.0,57.5,,,0 CDM,20800866,Chgl Androsterone Serum,771.0,385.5,,,0 CDM,20800868,Chgl Barbituate Quan,115.0,57.5,,,0 CDM,20800870,Chgl Benzodiaz Quan Serum,115.0,57.5,,,0 CDM,20800873,Chgl Electrolytes Panel,186.0,93.0,,,0 CDM,20800875,Chgl Codeine,115.0,57.5,,,0 CDM,20800876,Chgl Creatinine Clearance,185.0,92.5,,,0 CDM,20800884,Chgl Ife Serum,94.0,47.0,,,0 CDM,20800885,Chgl Ife Urine,301.0,150.5,,,0 CDM,20800892,Chgl Phenacetin,208.0,104.0,,,0 CDM,20800898,Chgl Phosphorus Urine,65.0,32.5,,,0 CDM,20800909,Chgl Catechol Frac Urine,459.0,229.5,,,0 CDM,20800911,Chgl Cea Fluid,368.0,184.0,,,0 CDM,20800917,Chgl Pcb,63.0,31.5,,,0 CDM,20800918,Chgl Nitrogen Urine,212.0,106.0,,,0 CDM,20800920,Chgl Streptomycin,266.0,133.0,,,0 CDM,20800938,Chgl Basic Metabolic Panel,400.0,200.0,,,0 CDM,20800944,Chgl Zinc Protoporphyrin,184.0,92.0,,,0 CDM,20800954,Chgl Thiopental,128.0,64.0,,,0 CDM,20800962,Chgl Aluminum Serum,313.0,156.5,,,0 CDM,20800963,Chgl Dhea Serum,422.0,211.0,,,0 CDM,20800964,Chgl Vitamin B12,387.0,193.5,,,0 CDM,20800965,Chgl Prostatic Acid Phos,110.0,55.0,,,0 CDM,20800966,Chgl Folic Acid Serum,359.0,179.5,,,0 CDM,20800967,Chgl Carotene,228.0,114.0,,,0 CDM,20800968,Chgl Leucine Amino Pep,502.0,251.0,,,0 CDM,20800970,Chgl Vitamin A,131.0,65.5,,,0 CDM,20800972,Chgl Alkaline Phos Isoenzymes,248.0,124.0,,,0 CDM,20800975,Chgl Androstenedione Serum,362.0,181.0,,,0 CDM,20800977,Chgl Calcitonin,465.0,232.5,,,0 CDM,20800978,Chga-Hemoglobin A1C,219.0,109.5,,,0 CDM,20800979,Chgl Chkd-Methotrexate Level,525.0,262.5,,,0 CDM,20800980,Chgl Paraldehyde,139.0,69.5,,,0 CDM,20800986,Chgl Angiotensin Conv Enzyme,309.0,154.5,,,0 CDM,20800989,Chgl Cocaine Screen,401.0,200.5,,,0 CDM,20800995,Chgl Thyrobinding Globulin,164.0,82.0,,,0 CDM,20800998,Chgl Prealbumin,317.0,158.5,,,0 CDM,20801004,Chgl Manganese Whole Blood,99.0,49.5,,,0 CDM,20801007,Chgl Crp,248.0,124.0,,,0 CDM,20801013,Chgl Beta-2-Microglobulin,206.0,103.0,,,0 CDM,20801014,Chgl Alcohol Urine,115.0,57.5,,,0 CDM,20801033,Chgl Ca-125 Tumor Ag,204.0,102.0,,,0 CDM,20801036,Chgl Glucola 1 Hour,64.0,32.0,,,0 CDM,20801038,Chgl Cannabinoids Screen,401.0,200.5,,,0 CDM,20801047,Chgl Hepatitis A Virus Ab Total,94.0,47.0,,,0 CDM,20801050,"Chgl Gastric Acid,Free & Total",63.0,31.5,,,0 CDM,20801054,Chgl Oligo Bands-Ms Profile,295.0,147.5,,,0 CDM,20801060,Chgl Tumor Necrosis Factor,1004.0,502.0,,,0 CDM,20801061,Chgl Creatinine Random Cf,86.0,43.0,,,0 CDM,20801062,Chgl Catecholamines Random,459.0,229.5,,,0 CDM,20801063,Chgl Human Epididymis Prot,705.0,352.5,,,0 CDM,20801064,"Chgl Ghrelin,Total",172.0,86.0,,,0 CDM,20801065,Chgl Lc-Adalimumab Conc,419.0,209.5,,,0 CDM,20801066,Chgl Lc-Anti-Adalimumab,482.0,241.0,,,0 CDM,20801083,"Chgl Potassium,Fecal",172.0,86.0,,,0 CDM,20801084,Chgl Pain Management Drug 13,401.0,200.5,,,0 CDM,20801085,Chgl Class B Drug Elisa/Non-Tlc,401.0,200.5,,,0 CDM,20801110,Chgl Renal Function Panel,464.0,232.0,,,0 CDM,20801120,Chgl Comprehensive Metabolic Panel,493.0,246.5,,,0 CDM,20801121,Chgl Hepatic Function Panel,310.0,155.0,,,0 CDM,20801130,Chgl Pth Intraoperative Baseline,507.0,253.5,,,0 CDM,20801131,Chgl Pth Intraoperative Additional,507.0,253.5,,,0 CDM,20801160,Chgl Lc-Infliximab Conc,397.0,198.5,,,0 CDM,20801161,Chgl Lc-Infliximab Ab,457.0,228.5,,,0 CDM,20801162,Chgl Hiv1/O/2-4Th Gen,79.0,39.5,,,0 CDM,20801163,Chgl Hiv-1 Ab Diff,107.0,53.5,,,0 CDM,20801164,Chgl Hiv-2 Ab Diff,107.0,53.5,,,0 CDM,20801261,"Chgl Propoxyphene Confirmation,Ur",130.0,65.0,,,0 CDM,20801300,Chgl Drug Screen 11,401.0,200.5,,,0 CDM,20801350,Chgl Chkd-Cmv Pcr Congenital,159.0,79.5,,,0 CDM,20801371,"Chgl Estrone,Serum",522.0,261.0,,,0 CDM,20801438,Chgl Basic Drug Screen-2,401.0,200.5,,,0 CDM,20801439,"Chgl Drug Screen Urine, Complete-11",401.0,200.5,,,0 CDM,20801441,Chgl Barbiturate Screen,401.0,200.5,,,0 CDM,20801442,Chgl Benzo Screen,401.0,200.5,,,0 CDM,20801443,Chgl Methadone Screen,401.0,200.5,,,0 CDM,20801445,Chgl Propoxyphene Screen,401.0,200.5,,,0 CDM,20801446,Chgl Cannabinoids Quant,115.0,57.5,,,0 CDM,20801447,Chgl Cocaine Quant,115.0,57.5,,,0 CDM,20801448,Chgl Opiate Screen,401.0,200.5,,,0 CDM,20801449,Chgl Amphetamine Screen,401.0,200.5,,,0 CDM,20801450,Chgl Prostatic Spec Ag,172.0,86.0,,,0 CDM,20801452,Chgl Apolipoprotein A1,211.0,105.5,,,0 CDM,20801453,Chgl Apolipoprotein B100,211.0,105.5,,,0 CDM,20801454,Chgl Alpha-1-Antitrypsin,172.0,86.0,,,0 CDM,20801455,Chgl Ibuprofen,342.0,171.0,,,0 CDM,20801456,Chgl Hepatitis B Core Igm Antibody,213.0,106.5,,,0 CDM,20801457,Chgl Tocainide,266.0,133.0,,,0 CDM,20801458,Chgl Ca 15 3,204.0,102.0,,,0 CDM,20801459,Chgl Buspar (Buspiron),191.0,95.5,,,0 CDM,20801460,Chgl Lc- Flecainide,175.0,87.5,,,0 CDM,20801461,Chgl Complement Total Ch50,414.0,207.0,,,0 CDM,20801462,Chgl Cyclosporine Mono,247.0,123.5,,,0 CDM,20801467,Chgl Lc-Amiodarone,312.0,156.0,,,0 CDM,20801468,Chgl Ca 19-9 Tumor Ag,204.0,102.0,,,0 CDM,20801469,Chgl Lasa-P Tumor Ag,172.0,86.0,,,0 CDM,20801471,"Chgl Vitamin D 1,25 Dioh",443.0,221.5,,,0 CDM,20801472,Chgl Renin Ivc,275.0,137.5,,,0 CDM,20801473,Chgl Renin Rr,275.0,137.5,,,0 CDM,20801474,Chgl Renin Lr,275.0,137.5,,,0 CDM,20801475,Chgl Creatinine Fluid,86.0,43.0,,,0 CDM,20801476,Chgl Hepatitis C Ab,91.0,45.5,,,0 CDM,20801484,Chgl Ck Mb,540.0,270.0,,,0 CDM,20801485,Chgl Drug Screen U-5,401.0,200.5,,,0 CDM,20801488,Chgl Parathormone Intact,507.0,253.5,,,0 CDM,20801489,Chgl Testosterone Free,533.0,266.5,,,0 CDM,20801491,Chgl Thy Stim Glob (Tsi),660.0,330.0,,,0 CDM,20801492,Chgl Fluoxetine,201.0,100.5,,,0 CDM,20801493,Chgl Lc-Dihydrotestosterone,231.0,115.5,,,0 CDM,20801494,Chgl Osteocalcin,531.0,265.5,,,0 CDM,20801497,Chgl Bhcg Triple Screen,344.0,172.0,,,0 CDM,20801498,Chgl Estriol Triple Screen,424.0,212.0,,,0 CDM,20801499,Chgl Afp Triple Screen,212.0,106.0,,,0 CDM,20801500,Chgl Hepatitis Panel Acute Viral,546.0,273.0,,,0 CDM,20801520,Chgl Iron Binding Capacity (P),170.0,85.0,,,0 CDM,20801522,Chgl T4 (P),243.0,121.5,,,0 CDM,20801525,Chgl Zinc Protoporphyrin(P),184.0,92.0,,,0 CDM,20801526,Chgl Lead Blood (P),191.0,95.5,,,0 CDM,20801528,Chgl Lipoprotein (A),361.0,180.5,,,0 CDM,20801530,Chgl Thyroid Cascade,212.0,106.0,,,0 CDM,20801531,Chgl Thyroid Replacement,212.0,106.0,,,0 CDM,20801532,Chgl T4 Free (Cascade),155.0,77.5,,,0 CDM,20801535,Chgl T4 Free (Replacement),155.0,77.5,,,0 CDM,20801536,Chgl Hepatitis B Surf Ab Quan,152.0,76.0,,,0 CDM,20801556,Chgl Lipid Panel Complete,170.0,85.0,,,0 CDM,20801640,"Chgl Prostatic Spec Ag, Screening",215.0,107.5,,,0 CDM,20801647,"Chgl Drug Screen Complete,Reflex-9",401.0,200.5,,,0 CDM,20801696,Chgl Inhibin B,864.0,432.0,,,0 CDM,20801701,"Chgl Homocystein, Serum",518.0,259.0,,,0 CDM,20801702,Chgl Methylmalonic Acid Plasma,541.0,270.5,,,0 CDM,20801703,Chgl Neurontin (Gabapentin),297.0,148.5,,,0 CDM,20801704,Chgl Fructosamine,191.0,95.5,,,0 CDM,20801706,Chgl Pancreatic Polypeptide,172.0,86.0,,,0 CDM,20801708,Chgl Chromium Plasma,257.0,128.5,,,0 CDM,20801709,Chgl Clozaril,339.0,169.5,,,0 CDM,20801711,Chgl Pth Related Peptide,343.0,171.5,,,0 CDM,20801712,Chgl Proinsulin,792.0,396.0,,,0 CDM,20801714,Chgl Somatostatin,667.0,333.5,,,0 CDM,20801716,Chgl Psa Total - %Free Psa,321.0,160.5,,,0 CDM,20801717,Chgl Insulin Free,164.0,82.0,,,0 CDM,20801721,Chgl Fk506 (Tacrolimus Level),268.0,134.0,,,0 CDM,20801722,Chgl Hgb F Quant,254.0,127.0,,,0 CDM,20801723,Chgl Lamictal,143.0,71.5,,,0 CDM,20801724,Chgl Dilantin Free,219.0,109.5,,,0 CDM,20801727,Chgl Rf Quant,62.0,31.0,,,0 CDM,20801728,Chgl Ca 27 29,204.0,102.0,,,0 CDM,20801730,Chgl Ldl Cholesterol Direct,94.0,47.0,,,0 CDM,20801735,Chgl Serotonin Serum,228.0,114.0,,,0 CDM,20801736,"Chgl Gtt,3 Spec And Glucola",131.0,65.5,,,0 CDM,20801739,Chgl Wellbutrin (Bupropion),201.0,100.5,,,0 CDM,20801740,Chgl Methadone Serum,160.0,80.0,,,0 CDM,20801741,Chgl Nicotine Screen Urine,401.0,200.5,,,0 CDM,20801742,"Chgl Pregnenolone,Serum",239.0,119.5,,,0 CDM,20801743,"Chgl T3,Reverse",280.0,140.0,,,0 CDM,20801744,Chgl Olanzapine Serum,259.0,129.5,,,0 CDM,20801747,Chgl Mdma Confirmation,115.0,57.5,,,0 CDM,20801752,Chgl Lipid Panel Hdl Ratio,170.0,85.0,,,0 CDM,20801802,Chgl H Pylori Urea Breath Test,969.0,484.5,,,0 CDM,20801820,"Chgl Estrogen Total,Serum",343.0,171.5,,,0 CDM,20801821,"Chgl Glucagon,Plasma",268.0,134.0,,,0 CDM,20801840,"Chgl Glucose,Post Glucose Dose(W/Gl",64.0,32.0,,,0 CDM,20801841,Chgl Dimeric Inhibin A,167.0,83.5,,,0 CDM,20801842,"Chgl Cortisol,Total-Add'l Test",296.0,148.0,,,0 CDM,20801843,Chgl Nmr Lipoprofile,219.0,109.5,,,0 CDM,20801844,Chgl Crp High Sensitivity,91.0,45.5,,,0 CDM,20801845,Chgl Cell Cept (Mycophenolic Acid),522.0,261.0,,,0 CDM,20801847,Chgl Hepatitis C Genotype,698.0,349.0,,,0 CDM,20801848,Chgl Selenium Blood,317.0,158.5,,,0 CDM,20801849,Chgl Oxcarbazepine,297.0,148.5,,,0 CDM,20801851,Chgl Sex Hormone Binding Globulin,330.0,165.0,,,0 CDM,20801854,Chgl Oxycodone Quant,115.0,57.5,,,0 CDM,20801855,Chgl Oxycodone Screen,401.0,200.5,,,0 CDM,20801860,"Chgl Alpha Subunit,Free",204.0,102.0,,,0 CDM,20801861,Chgl Neuron-Specific Enolase(Nse),167.0,83.5,,,0 CDM,20801862,Chgl Vitamin K,174.0,87.0,,,0 CDM,20801863,"Chgl Porphyrins,Serum",266.0,133.0,,,0 CDM,20801864,Chgl Coenzyme Q10,208.0,104.0,,,0 CDM,20801865,Chgl Lc - Vgcc Antibody,849.0,424.5,,,0 CDM,20801866,Chgl Bicarbonate Urine,96.0,48.0,,,0 CDM,20801867,Chgl Neurokinin A,172.0,86.0,,,0 CDM,20801869,Chgl Igfbp-3,321.0,160.5,,,0 CDM,20801870,"Chgl Alk Phos,Bone Specific",355.0,177.5,,,0 CDM,20801900,Chgl Chromogranin A,167.0,83.5,,,0 CDM,20801901,Chgl N-Telopeptide Urine,258.0,129.0,,,0 CDM,20801902,Chgl Lc-Creatinine Urine,42.0,21.0,,,0 CDM,20801903,Chgl Keppra,276.0,138.0,,,0 CDM,20801920,Chgl Glucagon-Like Peptide(Glp1),172.0,86.0,,,0 CDM,20801921,Chgl Afp W/Afp-L3% Serum,614.0,307.0,,,0 CDM,20801923,Chgl Carb-Def Transferrin(Cdt),585.0,292.5,,,0 CDM,20801925,"Chgl Iodine, Random Urine",368.0,184.0,,,0 CDM,20801928,Chgl Immunoglobulin A 1,163.0,81.5,,,0 CDM,20801929,Chgl Immunoglobulin A 2,163.0,81.5,,,0 CDM,20801930,Chgl Immunoglobulin A Total,111.0,55.5,,,0 CDM,20801932,Chgl Lc-Leflunomide Serum,530.0,265.0,,,0 CDM,20801933,Chgl Lanreotide,964.0,482.0,,,0 CDM,20801938,"Chgl Nicotine Quant,Serum",115.0,57.5,,,0 CDM,20802034,"Chgl Alpha-1-Antitrypsin,Total",172.0,86.0,,,0 CDM,20802035,"Chgl Alpha-1-Antitrypsin,Phenotype",184.0,92.0,,,0 CDM,20802036,Chgl Bhcg-First Trimester,328.0,164.0,,,0 CDM,20802037,Chgl Papp-A-First Trimester,223.0,111.5,,,0 CDM,20802039,Chgl Pancreastatin,172.0,86.0,,,0 CDM,20802040,Chgl Ocetreotide,266.0,133.0,,,0 CDM,20802051,Chgl D-Lactate,195.0,97.5,,,0 CDM,20802052,Chgl Glutathione,444.0,222.0,,,0 CDM,20802053,Chgl Quetiapine,431.0,215.5,,,0 CDM,20802054,Chgl Lorazepam,285.0,142.5,,,0 CDM,20802055,Chgl Cystatin C,692.0,346.0,,,0 CDM,20802089,Chgl General Chemistry Misc,191.54,95.77,,,0 CDM,20802100,Chgl Lc-Posaconazole,283.0,141.5,,,0 CDM,20802106,Chgl Creatine Kinase: Total (Lc),138.0,69.0,,,0 CDM,20802227,Chgl Cholesterol Fluid,138.0,69.0,,,0 CDM,20802228,Chgl Triglyceride Fluid,111.0,55.5,,,0 CDM,20802229,Chgl Drug Screen Urine - 3,401.0,200.5,,,0 CDM,20802230,"Chgl Gtt,Additional Specimen",66.0,33.0,,,0 CDM,20802231,"Chgl Carbon Monoxide,Blood",212.0,106.0,,,0 CDM,20802232,Chgl Rapamycin (Sirolimus),808.0,404.0,,,0 CDM,20802233,Chgl Glucose Postprandial,110.0,55.0,,,0 CDM,20802234,"Chgl Angiotensin Conv Enzyme,Csf",309.0,154.5,,,0 CDM,20802300,Chgl Topiramate,468.0,234.0,,,0 CDM,20802301,Chgl Tryptase,585.0,292.5,,,0 CDM,20802302,Chgl Trypsin Serum,172.0,86.0,,,0 CDM,20802303,Chgl Soluble Transferrin Recp Ab,452.0,226.0,,,0 CDM,20802304,"Chgl Histamine,Urine",119.0,59.5,,,0 CDM,20802305,Chgl Substance P,204.0,102.0,,,0 CDM,20802306,Chgl Lactoferrin,481.0,240.5,,,0 CDM,20802307,"Chgl N-Telopeptide,Serum",258.0,129.0,,,0 CDM,20802309,"Chgl Lc - Free Kappa Light Chain, Urine",164.0,82.0,,,0 CDM,20802310,"Chgl Lc - Free Lambda Light Chain, Urine",164.0,82.0,,,0 CDM,20802311,"Chgl Lc - Free Kappa Light Chain, Serum",164.0,82.0,,,0 CDM,20802312,"Chgl Free Lambda Light Chain, Serum",164.0,82.0,,,0 CDM,20802313,Chgl Lc-Voriconzaole,297.0,148.5,,,0 CDM,20802314,Chgl Cortisol Binding Globulin,344.0,172.0,,,0 CDM,20802315,"Chgl Cortisol, Total Serum",296.0,148.0,,,0 CDM,20802400,"Chgl 5 Hiaa,Random",152.0,76.0,,,0 CDM,20802402,Chgl Carnitine Free/Total,231.0,115.5,,,0 CDM,20802403,Chgl Adioponectin,716.0,358.0,,,0 CDM,20802404,Chgl Everolimus,970.0,485.0,,,0 CDM,20802405,Chgl Lc-Lacosamide,457.0,228.5,,,0 CDM,20802546,Chgl Interleukin-6,456.0,228.0,,,0 CDM,20802550,Chgl Therapuetic Drug Screen(P),401.0,200.5,,,0 CDM,20802553,Chgl Alpha Feto Screen(P),212.0,106.0,,,0 CDM,20802554,Chgl Estriol Screen(P),424.0,212.0,,,0 CDM,20802555,Chgl Papp-A Screen,223.0,111.5,,,0 CDM,20802556,Chgl Bhcg Seq Screen(P),344.0,172.0,,,0 CDM,20802557,Chgl Dimeric Inhibin A Screen(P),167.0,83.5,,,0 CDM,20802606,Chgl P1Np,258.0,129.0,,,0 CDM,20803100,Chgl Vitamin B3 (Nicotinic Acid),208.0,104.0,,,0 CDM,20803101,"Chgl Calcium,Urine (Ks Panel)",65.0,32.5,,,0 CDM,20803102,"Chgl Oxalate,Urine (Ks Panel)",86.0,43.0,,,0 CDM,20803103,"Chgl Chloride,Urine (Ks Panel)",66.0,33.0,,,0 CDM,20803104,"Chgl Ammonia,Urine (Ks Panel)",126.0,63.0,,,0 CDM,20803105,"Chgl Creatinine,Urine (Ks Panel)",86.0,43.0,,,0 CDM,20803106,"Chgl Magnesium,Urine (Ks Panel)",167.0,83.5,,,0 CDM,20803107,"Chgl Phosphorus,Urine (Ks Panel)",65.0,32.5,,,0 CDM,20803108,"Chgl Potassium,Urine (Ks Panel)",94.0,47.0,,,0 CDM,20803109,"Chgl Sodium,Urine (Ks Panel)",65.0,32.5,,,0 CDM,20803110,"Chgl Uric Acid,Urine (Ks Panel)",99.0,49.5,,,0 CDM,20803111,"Chgl Citrate,Urine (Ks Panel)",126.0,63.0,,,0 CDM,20803112,"Chgl Sulfate,Urine (Ks Panel)",65.0,32.5,,,0 CDM,20803113,"Chgl Cystine,Urine (Ks Panel)",99.0,49.5,,,0 CDM,20803114,"Chgl Urea Nitrogen,Urine (Ks Panel)",86.0,43.0,,,0 CDM,20803120,Chgl Antithyroid Peroxidase Ab,153.0,76.5,,,0 CDM,20803121,"Chgl Metanephrines,Plasma",514.0,257.0,,,0 CDM,20803123,Chgl Ganciclover,266.0,133.0,,,0 CDM,20803124,Chgl Adenosine Deaminase Fluid,436.0,218.0,,,0 CDM,20803128,Chgl Lp-Pla2,885.0,442.5,,,0 CDM,20803129,Chgl Sodium;Other Source,82.0,41.0,,,0 CDM,20803156,Chgl Zonisamide (Zonegran),297.0,148.5,,,0 CDM,20803200,Chgl Troponin T Quant,552.0,276.0,,,0 CDM,20803201,Chgl Nt-Pro-B-Type Natriuretic Pept,529.0,264.5,,,0 CDM,20803205,Chgl C-Telopeptide,258.0,129.0,,,0 CDM,20803210,"Chgl Tpmt By Gc/Ms,Quant",208.0,104.0,,,0 CDM,20803211,Chgl Acylcarnitine Profile,864.0,432.0,,,0 CDM,20803220,Chgl Lc- Itraconazole,297.0,148.5,,,0 CDM,20803225,Chgl Thyrotropin Receptor Ab,204.0,102.0,,,0 CDM,20803226,Chgl Platelet Neutralization,417.0,208.5,,,0 CDM,20803227,"Chgl Cortisol,Salivary",296.0,148.0,,,0 CDM,20803250,Chgl Lc-N-Methylhistamine Urine,405.0,202.5,,,0 CDM,20803300,Chgl Dibucaine Number,192.0,96.0,,,0 CDM,20803301,Chgl Calprotectin,655.0,327.5,,,0 CDM,20803302,Chgl Procalcitonin,925.0,462.5,,,0 CDM,20803303,"Chgl Inhibin A,Ultrasensitive",167.0,83.5,,,0 CDM,20803304,"Chgl Potassium,Rbc",126.0,63.0,,,0 CDM,20803305,"Chgl Zinc,Rbc",465.0,232.5,,,0 CDM,20803306,"Chgl Magnesium,Rbc",167.0,83.5,,,0 CDM,20803307,"Chgl Valproic Acid,Free",677.0,338.5,,,0 CDM,20803308,"Chgl Selenium,Rbc",317.0,158.5,,,0 CDM,20803309,"Chgl Porphyrins,Random Urine",284.0,142.0,,,0 CDM,20803310,"Chgl Calcium Urine,Random",65.0,32.5,,,0 CDM,20803311,Chgl Lc-14-3-3 Protein Tau,166.0,83.0,,,0 CDM,20803312,Chgl Lc-14-3-3 Protein,114.0,57.0,,,0 CDM,20803320,"Chgl Alpha-1-Antitrypsin,Stool",172.0,86.0,,,0 CDM,20803321,Chgl 18-Hydroxycorticosterone,208.0,104.0,,,0 CDM,20803353,Chgl Drug Screen 7,401.0,200.5,,,0 CDM,20803354,Chgl Drug Panel Blood 6,401.0,200.5,,,0 CDM,20803355,Chgl Drug Panel Blood 8,401.0,200.5,,,0 CDM,20803356,Chgl Meconium Drug Panel 5,401.0,200.5,,,0 CDM,20803400,Chgl Creatinine Urine-Random,86.0,43.0,,,0 CDM,20803401,Chgl Vma Urine-Random,206.0,103.0,,,0 CDM,20803402,"Chgl Metanephrines,Urine",206.0,103.0,,,0 CDM,20803403,"Chgl Cobalt,Plasma",139.0,69.5,,,0 CDM,20803404,"Chgl Nickel,Plasma",555.0,277.5,,,0 CDM,20803405,Chgl Chromium Urine Random,257.0,128.5,,,0 CDM,20803406,Chgl Lc - Pancreatic Elastase Fecal,872.0,436.0,,,0 CDM,20803408,Chgl Organic Acids;Qual,1562.0,781.0,,,0 CDM,20803409,Chgl Lc-Felbamate,168.0,84.0,,,0 CDM,20803410,Chgl Gabitril (Tiagabine),366.0,183.0,,,0 CDM,20803420,Chgl Prot Elec Serum W/Reflx,341.0,170.5,,,0 CDM,20803421,Chgl Prot Elec Urine W/Reflx,193.0,96.5,,,0 CDM,20803425,Chgl Alpha 2-Macroglobin (Nash),211.0,105.5,,,0 CDM,20803426,Chgl Bilirubin Total (Nash),72.0,36.0,,,0 CDM,20803427,"Chgl Cholesterol,Total (Nash)",138.0,69.0,,,0 CDM,20803428,"Chgl Glucose,Serum (Nash)",110.0,55.0,,,0 CDM,20803429,Chgl Ggt (Nash),212.0,106.0,,,0 CDM,20803430,Chgl Haptoglobin (Nash),266.0,133.0,,,0 CDM,20803431,Chgl Apolipoprotein A1 (Nash),211.0,105.5,,,0 CDM,20803432,Chgl Sgot(Ast)(Nash),131.0,65.5,,,0 CDM,20803433,Chgl Sgpt(Alt)(Nash),72.0,36.0,,,0 CDM,20803434,Chgl Triglycerides (Nash),111.0,55.5,,,0 CDM,20803440,"Chgl Lc-Estradiol, Free-Serum",34.0,17.0,,,0 CDM,20803441,Chgl Embryotoxicity Assay,1224.0,612.0,,,0 CDM,20803442,"Chgl Cadium,Blood",174.0,87.0,,,0 CDM,20803443,"Chgl Dexamethasone,Serum",266.0,133.0,,,0 CDM,20803444,"Chgl Testosterone,Free(P)",533.0,266.5,,,0 CDM,20803445,"Chgl Testosterone,Total(P)",256.0,128.0,,,0 CDM,20803461,Chgl Lc-Fabry Enzyme Analysis,285.0,142.5,,,0 CDM,20803462,Chgl Vitamin B7 (Biotin),812.0,406.0,,,0 CDM,20803463,Chgl Vitamin B5 (Pantothenic Acid),937.0,468.5,,,0 CDM,20803464,Chgl Pregabalin (Lyrica),213.0,106.5,,,0 CDM,20803470,Chgl Risperidone (Risperdal),266.0,133.0,,,0 CDM,20803480,Chgl Gamma Hydroxybutyric Acid Bl,401.0,200.5,,,0 CDM,20803501,Chgl Voltage Gated Potassium Ch Ab,172.0,86.0,,,0 CDM,20803502,Chgl Lc-Prostaglandin D2 Plasma,290.0,145.0,,,0 CDM,20803505,"Chgl Buprenorphine, Urine",401.0,200.5,,,0 CDM,20803508,Chgl 17 Hydroxypregnenolone,450.0,225.0,,,0 CDM,20803509,"Chgl Metylmalonic Acid, Ur.",917.0,458.5,,,0 CDM,20803510,"Chgl Sulfonylurea Screen, Serum",266.0,133.0,,,0 CDM,20803512,Chgl Buprenorphine Conf Ua,115.0,57.5,,,0 CDM,20803525,Chgl Sodium Urine Random,65.0,32.5,,,0 CDM,20803526,Chgl Potassium Urine Random,94.0,47.0,,,0 CDM,20803527,Chgl Cl Ur Rndm,46.0,23.0,,,0 CDM,20803528,Chgl Total Protien Random Urine,130.0,65.0,,,0 CDM,20803529,"Chgl Hiv 1/2 Antibody/Antigen Combo,Stat",79.0,39.5,,,0 CDM,20803543,Chgl Rivaroxaban,314.0,157.0,,,0 CDM,20803544,Chgl Lc-Rufinamide,146.0,73.0,,,0 CDM,20803550,"Chg - Molybdenum,Serum",139.0,69.5,,,0 CDM,20803610,Chgl Lc-Phosphatidylethanol (Peth),161.0,80.5,,,0 CDM,20803651,Chgl Flunitrazepam,115.0,57.5,,,0 CDM,20803656,Chg - Lc Apixaban,284.0,142.0,,,0 CDM,208040,Noncdm Charge Record Medical Supplies,460.0,230.0,,,0 CDM,20809801,Chg - Fluconazole,266.0,133.0,,,0 CDM,20810000,Chgl Leptin,172.0,86.0,,,0 CDM,20810001,Chgl Anti-Ige,62.0,31.0,,,0 CDM,20810006,Chgl Drug Abuse 8 Serum,401.0,200.5,,,0 CDM,20810007,Chg - Compliance Drug Screen,401.0,200.5,,,0 CDM,20810022,Chgl Lipid Cascade,170.0,85.0,,,0 CDM,208246,Noncdm Charge Record Medical Supplies,1030.4,515.2,,,0 CDM,20830004,Chgl Trypsin,380.0,190.0,,,0 CDM,20830016,Chgl Coproporphyrins,161.0,80.5,,,0 CDM,20830020,"Chgl Metanephrines,Fractionated",514.0,257.0,,,0 CDM,20830032,Chgl Hep Delta Antibody,209.0,104.5,,,0 CDM,20830043,Chgl Mexiletine (Mexitil),266.0,133.0,,,0 CDM,20830045,Chgl Haldol,224.0,112.0,,,0 CDM,20830047,Chgl Thyroglobulin,206.0,103.0,,,0 CDM,20830048,Chgl Clomipramine,266.0,133.0,,,0 CDM,20830049,Chgl Vitamin E,344.0,172.0,,,0 CDM,20830058,Chgl Albumin Serum(Ms Profile),72.0,36.0,,,0 CDM,20830059,Chgl Igg Serum,111.0,55.5,,,0 CDM,20830060,Chgl Albumin Csf(Ms Profile),75.0,37.5,,,0 CDM,20830061,Chgl Microalbumin Qnt Random U,164.0,82.0,,,0 CDM,20830065,Chgl Barbituate Quant Urine,115.0,57.5,,,0 CDM,20830066,Chgl Benzodiazepine Gcms,115.0,57.5,,,0 CDM,20830067,Chgl Fna Parathyroid (Pth),507.0,253.5,,,0 CDM,20830068,Chgl Fna Thyroglobulin,566.0,283.0,,,0 CDM,20830069,Chgl Lead Blood Adult,130.0,65.0,,,0 CDM,20830118,Chgl Vit D2 D3 Fractionated,231.0,115.5,,,0 CDM,20830120,Chg - Leukotriene E4,208.0,104.0,,,0 CDM,20830124,Chgl Oxalate,516.0,258.0,,,0 CDM,20830125,Chgl Vascular Endothelial Growth Factor,481.0,240.5,,,0 CDM,20830129,Chgl Lc Toxassure 13,247.0,123.5,,,0 CDM,20830130,Chgl Athena-Admark Phospho-Tau Ab42,860.0,430.0,,,0 CDM,20830132,"Chgl Lc-Iodine, Total (Serum)",139.0,69.5,,,0 CDM,20830133,Chgl Athena-Optic Atrophy (Opa1),3419.0,1709.5,,,0 CDM,20830134,"Chgl Lc-Zika Virus, Mac-Elisa, Igm",193.0,96.5,,,0 CDM,20830135,"Chgl Lc-Porphobilinogen, Quanturine",72.0,36.0,,,0 CDM,20830136,Chgl Lc-Hcv Ns5A Drug Resistance,480.0,240.0,,,0 CDM,20830137,Chgl Lc-Hcv Ns5A Drug Resistance,826.0,413.0,,,0 CDM,20830138,Chgl Lc-Igf-1 With Z Score,106.0,53.0,,,0 CDM,20830139,Chgl Lc-Early Sjogren's Syndrome,125.0,62.5,,,0 CDM,20830140,"Chgl (Lc) Opiate Confirmation, Urine, S/O",147.0,73.5,,,0 CDM,20830141,Chgl Lc-Maternit Genome,4216.0,2108.0,,,0 CDM,20830144,Chgl Lc-Myomarker 3 & 3 Plus Anti-Jo-1 Ab,69.0,34.5,,,0 CDM,20830145,Chgl Lc-Myomarker 3 & 3 Plus Anti-Pl-7 Ab,45.0,22.5,,,0 CDM,20830146,Chgl Lc-Myomarker 3 & 3 Plus Anti-Pl-12 Ab,45.0,22.5,,,0 CDM,20830147,Chgl Lc-Myomarker 3 & 3 Plus Anti-Ej Ab,45.0,22.5,,,0 CDM,20830148,Chgl Lc-Myomarker 3 & 3 Plus Anti-Oj Ab,45.0,22.5,,,0 CDM,20830149,Chgl Lc-Myomarker 3 & 3 Plus Anti-Srp Ab,45.0,22.5,,,0 CDM,20830150,Chgl Lc-Myomarker 3 & 3 Plus Anti-Mi-2 Ab,45.0,22.5,,,0 CDM,20830151,Chgl Lc-Myomarker 3 & 3 Plus Anti-Tif-1 Gamma Ab,69.0,34.5,,,0 CDM,20830152,Chgl Lc-Myomarker 3 & 3 Plus Anti-Mda-5 Ab (Cadm-140),69.0,34.5,,,0 CDM,20830153,Chgl Lc-Myomarker 3 & 3 Plus Anti-Nxp-2 (P140) Ab,69.0,34.5,,,0 CDM,20830154,Chgl Lc-Myomarker 3 & 3 Plus Anti-Pm/Scl-100 Ab,69.0,34.5,,,0 CDM,20830155,Chgl Lc-Myomarker 3 & 3 Plus Anti-U2 Rnp (Fibrillarin),45.0,22.5,,,0 CDM,20830156,Chgl Lc-Myomarker 3 & 3 Plus Anti-U2 Rnp Ab,45.0,22.5,,,0 CDM,20830157,Chgl Lc-Myomarker 3 & 3 Plus Anti-U1-Rnp Ab,69.0,34.5,,,0 CDM,20830158,Chgl Lc-Myomarker 3 & 3 Plus Anti-Ku Ab,45.0,22.5,,,0 CDM,20830159,"Chgl Lc-Myomarker 3 & 3 Plus Anti-Ss-A 52Kd Ab, Igg",69.0,34.5,,,0 CDM,20830160,Chgl Lc-Aspergillus Ab Did Flavus,33.0,16.5,,,0 CDM,20830161,Chgl Lc-Aspergillusab Did Fumigatus,33.0,16.5,,,0 CDM,20830162,Chgl Lc-Aspergillus Ab Did Niger,33.0,16.5,,,0 CDM,20830163,Chgl Lc-Rdl-Anti-Hmgcr Ab Igg,358.0,179.0,,,0 CDM,20830164,Chgl Lc-Viracor Thyroid Peroxidase,52.0,26.0,,,0 CDM,20830165,Chgl Lc-Viracor Thyroglobulin Ab,58.0,29.0,,,0 CDM,20830166,Chgl Lc-Viracor Tsh,61.0,30.5,,,0 CDM,20830167,Chgl Lc-Viracor Cu Index,462.0,231.0,,,0 CDM,20830184,Chgl Caredx Allomap Processing,194.0,97.0,,,0 CDM,20830185,"Chgl Phenobarbital, Serum",64.0,32.0,,,0 CDM,20830186,Chgl Lc-Arup Fatty Acid Profile Ess,928.0,464.0,,,0 CDM,20830187,Chgl Lc-Paliperidone Serum Orplasma,176.0,88.0,,,0 CDM,20830188,"Chgl (Lc) Fluphenazine Serum Or Plasma, S/O",97.0,48.5,,,0 CDM,20830189,Chgl Lc-Dabigatran,143.0,71.5,,,0 CDM,20830190,Chgl Lc-Vedolizumab/Antivedolizumab,314.0,157.0,,,0 CDM,20830191,Chgl Lc-Vedolizumab/Antivedolizumab,361.0,180.5,,,0 CDM,20830192,Chgl Lc-Hiv Hcv Hbv Donor Nat,245.0,122.5,,,0 CDM,20830193,Chgl Lc-Hepatitis C Virus Fibrosure,274.0,137.0,,,0 CDM,20830194,"Chgl (Arup) Perampanel Quantitative, S/O",378.0,189.0,,,0 CDM,20830195,Chgl Arup-Pml-Rara Translocation,812.0,406.0,,,0 CDM,20830197,Chgl Neogen-Ntrk Ngs Fusion Profile,1344.0,672.0,,,0 CDM,20830198,Chgl Lc-Cardio Familial Arrhythmia,5090.0,2545.0,,,0 CDM,20830199,Chgl Lc-Mumps Viral Culture,145.0,72.5,,,0 CDM,20830201,Chgl Lc-Rheumassure-Ra Factor,41.0,20.5,,,0 CDM,20830202,Chgl Lc-Rheumassure-Ccp Antibodies,93.0,46.5,,,0 CDM,20830203,Chgl Lc-Rheumassure-14 3 3 Eta Ra,113.0,56.5,,,0 CDM,20830204,Chgl Lc-F2 Isoprostane-Creatinine,106.0,53.0,,,0 CDM,20830205,Chgl Lc-F2 Isoprostane-Creatinine,26.0,13.0,,,0 CDM,20830206,Chgl Lc-14 3 3 Eta Rheum Arthritis,224.0,112.0,,,0 CDM,20830212,Chgl Billing Correction Clinical-Svbgh,285.2,142.6,,,0 CDM,20830213,Chgl Billing Correction Clinical-Swrmc,305.9,152.95,,,0 CDM,20830215,Chgl Billing Correction Clinical-Sngh,156.98,78.49,,,0 CDM,20830307,Chgl Neogen-Mds Cmml Profile,3981.0,1990.5,,,0 CDM,20831207,Chgl Lc-Drug Profile 12 Urine,270.0,135.0,,,0 CDM,20831209,Chgl Chkd-Hsv 1&2 Pcr,84.0,42.0,,,0 CDM,20831210,Chgl Chkd-Hsv 1&2 Pcr,84.0,42.0,,,0 CDM,20831211,Chgl Caredx Heartcare Processing,240.0,120.0,,,0 CDM,20831212,Chgl Covid Antibody - Chemistry,42.13,21.06,,,0 CDM,20831213,Chgl Covid-19,51.31,25.66,,,0 CDM,20831214,Chgl Drug Screen Urine 9,401.0,200.5,,,0 CDM,20831215,Chgl Covid Antibody Quantitative,42.13,21.06,,,0 CDM,20831216,Chgl Protein S Free,51.0,25.5,,,0 CDM,20831217,Chgl Drug Screen 10,401.0,200.5,,,0 CDM,20834,Noncdm Charge Record Medical Supplies,210.38,105.19,,,0 CDM,208350,Noncdm Charge Record Medical Supplies,1030.4,515.2,,,0 CDM,208352,Noncdm Charge Record Medical Supplies,1030.4,515.2,,,0 CDM,20847,Noncdm Charge Record Medical Supplies,239.38,119.69,,,0 CDM,20883,Noncdm Charge Record Medical Supplies,717.14,358.57,,,0 CDM,20900032,Chgl Donor Typing Opo Dnr,2300.0,1150.0,,,0 CDM,20900039,Chgl Hla Type Abc,2556.0,1278.0,,,0 CDM,20900091,Chgl Cd3 Pan T-Cell Marker,271.0,135.5,,,0 CDM,20900101,Chgl Cd19 B Lymph Ag-P,482.0,241.0,,,0 CDM,20900108,Chgl Cd4 Cd8 Absolute With Ratio,255.0,127.5,,,0 CDM,20900109,Chgl Cd4 Helper T Lymph,235.0,117.5,,,0 CDM,20900115,"Chgl Cd16 T,Plasma Nk Cell",210.0,105.0,,,0 CDM,20900146,Chgl Donor Organ Heart,2556.0,1278.0,,,0 CDM,20900155,Chgl Cd3 Leu4 Pan Tcell-P,271.0,135.5,,,0 CDM,20900169,Chgl Cd4 Cd8 Absolute With Ratio,255.0,127.5,,,0 CDM,20900195,Chgl Immunofluor Direct,330.0,165.0,,,0 CDM,20900205,Chgl Cd34 Stem Cell Marker,213.0,106.5,,,0 CDM,20900250,Chgl Serum Sep Storage,92.0,46.0,,,0 CDM,20900253,Chgl Urovysion Probe Ea - Manual,914.0,457.0,,,0 CDM,20900258,Chgl Dr/Dq Diagnostic,2556.0,1278.0,,,0 CDM,20900277,"Chgl Flow Cytometry,Cell Surface;Fi",432.0,216.0,,,0 CDM,20900278,"Chgl Flow Cytometry,Cell Surface;Se",250.0,125.0,,,0 CDM,20900279,"Chgl Flow Cytometry,Cell Surface;Ad",250.0,125.0,,,0 CDM,20900285,Chgl Flow Xm Renal,1278.0,639.0,,,0 CDM,20900286,Chgl Flow Xm Living Donor,925.0,462.5,,,0 CDM,20900287,Chgl Flow Xm Heart,1278.0,639.0,,,0 CDM,20900298,Chgl Flow Xm Pancreas,1278.0,639.0,,,0 CDM,20900301,Chgl Luminex Id1 Renal,1264.0,632.0,,,0 CDM,20900302,Chgl Luminex Id2 Renal,1126.0,563.0,,,0 CDM,20900304,Chgl Luminex Id1 Heart,1264.0,632.0,,,0 CDM,20900305,Chgl Luminex Id2 Heart,1126.0,563.0,,,0 CDM,20900307,Chgl Luminex Id1 Pancreas,1264.0,632.0,,,0 CDM,20900308,Chgl Luminex Id2 Pancreas,1126.0,563.0,,,0 CDM,20900312,Chgl Flow Cyto Smear,115.0,57.5,,,0 CDM,20900405,Chgl Flow I & Ii Ab Screen Renal,2303.0,1151.5,,,0 CDM,20900406,Chgl Flow I & Ii Ab Screen Heart,2303.0,1151.5,,,0 CDM,20900407,Chgl Flow I & Ii Ab Screen Lung,2303.0,1151.5,,,0 CDM,20900408,Chgl Flow I & Ii Ab Screen Pancreas,2303.0,1151.5,,,0 CDM,20900409,Chgl Hla Abc/Drdq Pancreas,4146.0,2073.0,,,0 CDM,20900410,Chgl Hla Abc/Drdq Heart,4146.0,2073.0,,,0 CDM,20900411,Chgl Hla Abc/Drdq Lr Donor,4146.0,2073.0,,,0 CDM,20900412,Chgl Hla Abc/Drdq Renal,4146.0,2073.0,,,0 CDM,20900413,Chgl Hla Abc/Drdq Dd Shared,4146.0,2073.0,,,0 CDM,20902,Noncdm Charge Record Medical Supplies,12.88,6.44,,,0 CDM,20902003,Chgl Lc Ovarian Malignancy Panel,442.0,221.0,,,0 CDM,20902004,Chgl Hla Dpa Renal,759.0,379.5,,,0 CDM,20902005,Chgl Hla Dpb Renal,759.0,379.5,,,0 CDM,20902006,Chgl Hla Dpa Heart,759.0,379.5,,,0 CDM,20902007,Chgl Hla Dpb Heart,759.0,379.5,,,0 CDM,20902008,Chgl Hla Dpa Pancreas,759.0,379.5,,,0 CDM,20902009,Chgl Hla Dpb Pancreas,759.0,379.5,,,0 CDM,20902010,Anti A1 Titer,271.0,135.5,,,0 CDM,20902011,Chgl Sars-Cov-2 Covid-19 Antibody,42.13,21.06,,,0 CDM,20902012,Chgl Sars-Cov-2 Covid-19 Antibody (No Modifier),42.13,21.06,,,0 CDM,20902013,Chgl Sars-Cov-2 Covid-19 Antibody (Modifier Cs),42.13,21.06,,,0 CDM,20902014,Chgl Ld Molecular Processing Fee,89.0,44.5,,,0 CDM,20903,Noncdm Charge Record Medical Supplies,25.88,12.94,,,0 CDM,20907681,Chgl Flow I & Ii Ab Screen Post,2303.0,1151.5,,,0 CDM,20907682,Chgl Luminex Dsa2 Renal,1126.0,563.0,,,0 CDM,20907687,Chgl Luminex Dsa1 Renal,1264.0,632.0,,,0 CDM,20937,Noncdm Charge Record Medical Supplies,979.52,489.76,,,0 CDM,20940,Noncdm Charge Record Medical Supplies,258.56,129.28,,,0 CDM,209417,Noncdm Charge Record Medical Supplies,2840.5,1420.25,,,0 CDM,209431,Noncdm Charge Record Medical Supplies,680.8,340.4,,,0 CDM,209432,Noncdm Charge Record Medical Supplies,680.8,340.4,,,0 CDM,209442,Noncdm Charge Record Medical Supplies,680.8,340.4,,,0 CDM,209454,Noncdm Charge Record Medical Supplies,92.0,46.0,,,0 CDM,209455,Noncdm Charge Record Medical Supplies,92.0,46.0,,,0 CDM,209457,Noncdm Charge Record Medical Supplies,92.0,46.0,,,0 CDM,209467,Noncdm Charge Record Medical Supplies,368.0,184.0,,,0 CDM,209475,Noncdm Charge Record Medical Supplies,363.4,181.7,,,0 CDM,209477,Noncdm Charge Record Medical Supplies,6.4,3.2,,,0 CDM,21000001,Chgl Pelvic Cytology Screening,65.0,32.5,,,0 CDM,21000060,Chgl Needle Asp/Fna Interp,438.0,219.0,,,0 CDM,21000078,Chgl Fna Adequacy By Tech,388.0,194.0,,,0 CDM,21000081,Chgl Cytology Cell Block,438.0,219.0,,,0 CDM,21000090,Chgl Cytology Smear,515.0,257.5,,,0 CDM,21000091,Chgl Cytology Fluid Conc,288.0,144.0,,,0 CDM,21000092,Chgl Cytology Scrape/Discharge,115.0,57.5,,,0 CDM,21000094,Chgl Liquid Based Nongyn Prep,345.0,172.5,,,0 CDM,21000099,Chgl Fna Adeq Add't,213.0,106.5,,,0 CDM,21000105,Chgl Imaged Pap,159.0,79.5,,,0 CDM,21000109,Chgl Liquid Based Nongyn Prp - Add'l,345.0,172.5,,,0 CDM,21000250,Chgl Touch Prep Cyto,789.0,394.5,,,0 CDM,21000251,Chgl Touch Prep Cyto Add'l,92.0,46.0,,,0 CDM,21000890,Chgl Pap- Thin Layer Screen,164.0,82.0,,,0 CDM,21000891,Chgl Pap Thin Layer Diagnostic,258.0,129.0,,,0 CDM,21003125,Chgl Cytology Level 5,726.0,363.0,,,0 CDM,21003126,Chgl Cytology Decal,191.0,95.5,,,0 CDM,21003127,Chgl Cytosmear Prep/Screen/Interp,115.0,57.5,,,0 CDM,210187,Noncdm Charge Record Medical Supplies,319.93,159.96,,,0 CDM,210212,Noncdm Charge Record Medical Supplies,204.93,102.46,,,0 CDM,210267,Noncdm Charge Record Medical Supplies,1265.0,632.5,,,0 CDM,210269,Noncdm Charge Record Medical Supplies,17057.25,8528.62,,,0 CDM,210331,Noncdm Charge Record Medical Supplies,2457.0,1228.5,,,0 CDM,21039,Noncdm Charge Record Medical Supplies,81.19,40.6,,,0 CDM,210391,Noncdm Charge Record Medical Supplies,19311.6,9655.8,,,0 CDM,210402,Noncdm Charge Record Medical Supplies,828.0,414.0,,,0 CDM,210423,Noncdm Charge Record Medical Supplies,1569.75,784.88,,,0 CDM,210427,Noncdm Charge Record Medical Supplies,599.43,299.72,,,0 CDM,210428,Noncdm Charge Record Medical Supplies,2664.5,1332.25,,,0 CDM,210433,Noncdm Charge Record Medical Supplies,3767.45,1883.72,,,0 CDM,210436,Noncdm Charge Record Medical Supplies,3767.45,1883.72,,,0 CDM,210437,Noncdm Charge Record Medical Supplies,3767.45,1883.72,,,0 CDM,210438,Noncdm Charge Record Medical Supplies,3767.45,1883.72,,,0 CDM,210443,Noncdm Charge Record Medical Supplies,2602.09,1301.04,,,0 CDM,210448,Noncdm Charge Record Medical Supplies,3767.45,1883.72,,,0 CDM,210453,Noncdm Charge Record Medical Supplies,3767.45,1883.72,,,0 CDM,210458,Noncdm Charge Record Medical Supplies,2753.22,1376.61,,,0 CDM,210474,Noncdm Charge Record Medical Supplies,17057.25,8528.62,,,0 CDM,210475,Noncdm Charge Record Medical Supplies,17057.25,8528.62,,,0 CDM,210670,Noncdm Charge Record Medical Supplies,101.2,50.6,,,0 CDM,210671,Noncdm Charge Record Medical Supplies,89.7,44.85,,,0 CDM,210679,Noncdm Charge Record Medical Supplies,249.17,124.58,,,0 CDM,210702,Noncdm Charge Record Medical Supplies,2131.96,1065.98,,,0 CDM,211143,Noncdm Charge Record Medical Supplies,253.0,126.5,,,0 CDM,211191,Noncdm Charge Record Medical Supplies,3.35,1.68,,,0 CDM,211192,Noncdm Charge Record Medical Supplies,1254.1,627.05,,,0 CDM,211227,Noncdm Charge Record Medical Supplies,1214.49,607.24,,,0 CDM,211259,Noncdm Charge Record Medical Supplies,838.5,419.25,,,0 CDM,211338,Noncdm Charge Record Medical Supplies,108.08,54.04,,,0 CDM,211407,Noncdm Charge Record Medical Supplies,88.64,44.32,,,0 CDM,211485,Noncdm Charge Record Medical Supplies,3325.0,1662.5,,,0 CDM,211489,Noncdm Charge Record Medical Supplies,3325.0,1662.5,,,0 CDM,211491,Noncdm Charge Record Medical Supplies,3325.0,1662.5,,,0 CDM,211493,Noncdm Charge Record Medical Supplies,3325.0,1662.5,,,0 CDM,211494,Noncdm Charge Record Medical Supplies,3325.0,1662.5,,,0 CDM,211496,Noncdm Charge Record Medical Supplies,3325.0,1662.5,,,0 CDM,211499,Noncdm Charge Record Medical Supplies,3325.0,1662.5,,,0 CDM,211502,Noncdm Charge Record Medical Supplies,2036.8,1018.4,,,0 CDM,211504,Noncdm Charge Record Medical Supplies,2036.8,1018.4,,,0 CDM,211507,Noncdm Charge Record Medical Supplies,2036.8,1018.4,,,0 CDM,211508,Noncdm Charge Record Medical Supplies,2036.8,1018.4,,,0 CDM,211520,Noncdm Charge Record Medical Supplies,2698.0,1349.0,,,0 CDM,211524,Noncdm Charge Record Medical Supplies,2698.0,1349.0,,,0 CDM,211525,Noncdm Charge Record Medical Supplies,2698.0,1349.0,,,0 CDM,211540,Noncdm Charge Record Medical Supplies,2698.0,1349.0,,,0 CDM,211614,Noncdm Charge Record Medical Supplies,4750.0,2375.0,,,0 CDM,211822,Noncdm Charge Record Medical Supplies,4782.45,2391.22,,,0 CDM,211976,Noncdm Charge Record Medical Supplies,1937.8,968.9,,,0 CDM,211980,Noncdm Charge Record Medical Supplies,1857.25,928.62,,,0 CDM,211981,Noncdm Charge Record Medical Supplies,72.88,36.44,,,0 CDM,211984,Noncdm Charge Record Medical Supplies,2049.3,1024.65,,,0 CDM,211986,Noncdm Charge Record Medical Supplies,786.6,393.3,,,0 CDM,212037,Noncdm Charge Record Medical Supplies,644.0,322.0,,,0 CDM,212096,Noncdm Charge Record Medical Supplies,92.0,46.0,,,0 CDM,212129,Noncdm Charge Record Medical Supplies,114.67,57.34,,,0 CDM,212161,Noncdm Charge Record Medical Supplies,101.43,50.72,,,0 CDM,212225,Noncdm Charge Record Medical Supplies,3066.6,1533.3,,,0 CDM,21235,Noncdm Charge Record Medical Supplies,13.26,6.63,,,0 CDM,213392,Noncdm Charge Record Medical Supplies,1867.6,933.8,,,0 CDM,213395,Noncdm Charge Record Medical Supplies,198.77,99.38,,,0 CDM,213396,Noncdm Charge Record Medical Supplies,120.31,60.16,,,0 CDM,213491,Noncdm Charge Record Medical Supplies,409.2,204.6,,,0 CDM,213653,Noncdm Charge Record Medical Supplies,2480.4,1240.2,,,0 CDM,213946,Noncdm Charge Record Medical Supplies,2080.0,1040.0,,,0 CDM,213948,Noncdm Charge Record Medical Supplies,5082.5,2541.25,,,0 CDM,213952,Noncdm Charge Record Medical Supplies,14763.0,7381.5,,,0 CDM,213966,Noncdm Charge Record Medical Supplies,12958.0,6479.0,,,0 CDM,214475,Noncdm Charge Record Medical Supplies,1007.4,503.7,,,0 CDM,214659,Noncdm Charge Record Medical Supplies,35.65,17.82,,,0 CDM,214662,Noncdm Charge Record Medical Supplies,1411.8,705.9,,,0 CDM,214752,Noncdm Charge Record Medical Supplies,524.4,262.2,,,0 CDM,214769,Noncdm Charge Record Medical Supplies,2208.0,1104.0,,,0 CDM,214816,Noncdm Charge Record Medical Supplies,48.9,24.45,,,0 CDM,214820,Noncdm Charge Record Medical Supplies,2838.75,1419.38,,,0 CDM,214821,Noncdm Charge Record Medical Supplies,1885.0,942.5,,,0 CDM,214887,Noncdm Charge Record Medical Supplies,199.0,99.5,,,0 CDM,214927,Noncdm Charge Record Medical Supplies,94.06,47.03,,,0 CDM,214929,Noncdm Charge Record Medical Supplies,86.56,43.28,,,0 CDM,215186,Noncdm Charge Record Medical Supplies,398.67,199.34,,,0 CDM,215190,Noncdm Charge Record Medical Supplies,2042.18,1021.09,,,0 CDM,215354,Noncdm Charge Record Medical Supplies,7594.3,3797.15,,,0 CDM,215374,Noncdm Charge Record Medical Supplies,295.92,147.96,,,0 CDM,215378,Noncdm Charge Record Medical Supplies,295.92,147.96,,,0 CDM,215381,Noncdm Charge Record Medical Supplies,1534.0,767.0,,,0 CDM,215387,Noncdm Charge Record Medical Supplies,1702.27,851.14,,,0 CDM,215403,Noncdm Charge Record Medical Supplies,174.8,87.4,,,0 CDM,215443,Noncdm Charge Record Medical Supplies,915.4,457.7,,,0 CDM,215513,Noncdm Charge Record Medical Supplies,920.0,460.0,,,0 CDM,215520,Noncdm Charge Record Medical Supplies,1156.74,578.37,,,0 CDM,215523,Noncdm Charge Record Medical Supplies,772.8,386.4,,,0 CDM,215525,Noncdm Charge Record Medical Supplies,665.67,332.84,,,0 CDM,215526,Noncdm Charge Record Medical Supplies,2090.74,1045.37,,,0 CDM,215527,Noncdm Charge Record Medical Supplies,1305.14,652.57,,,0 CDM,215528,Noncdm Charge Record Medical Supplies,1369.19,684.6,,,0 CDM,215529,Noncdm Charge Record Medical Supplies,1638.8,819.4,,,0 CDM,215763,Noncdm Charge Record Medical Supplies,552.0,276.0,,,0 CDM,215817,Noncdm Charge Record Medical Supplies,1824.67,912.34,,,0 CDM,215818,Noncdm Charge Record Medical Supplies,1300.69,650.34,,,0 CDM,215937,Noncdm Charge Record Medical Supplies,81.97,40.98,,,0 CDM,215939,Noncdm Charge Record Medical Supplies,81.97,40.98,,,0 CDM,216216,Noncdm Charge Record Medical Supplies,800.4,400.2,,,0 CDM,216217,Noncdm Charge Record Medical Supplies,565.8,282.9,,,0 CDM,216231,Noncdm Charge Record Medical Supplies,2528.9,1264.45,,,0 CDM,216278,Noncdm Charge Record Medical Supplies,2070.54,1035.27,,,0 CDM,216279,Noncdm Charge Record Medical Supplies,1670.97,835.48,,,0 CDM,216299,Noncdm Charge Record Medical Supplies,602.07,301.04,,,0 CDM,216398,Noncdm Charge Record Medical Supplies,4275.0,2137.5,,,0 CDM,216401,Noncdm Charge Record Medical Supplies,3910.2,1955.1,,,0 CDM,216411,Noncdm Charge Record Medical Supplies,786.74,393.37,,,0 CDM,216444,Noncdm Charge Record Medical Supplies,2840.5,1420.25,,,0 CDM,216487,Noncdm Charge Record Medical Supplies,1527.66,763.83,,,0 CDM,216509,Noncdm Charge Record Medical Supplies,333.5,166.75,,,0 CDM,216511,Noncdm Charge Record Medical Supplies,552.0,276.0,,,0 CDM,216525,Noncdm Charge Record Medical Supplies,105.8,52.9,,,0 CDM,216534,Noncdm Charge Record Medical Supplies,368.0,184.0,,,0 CDM,216569,Noncdm Charge Record Medical Supplies,343.71,171.86,,,0 CDM,216663,Noncdm Charge Record Medical Supplies,2048.23,1024.12,,,0 CDM,216664,Noncdm Charge Record Medical Supplies,1827.19,913.6,,,0 CDM,216893,Noncdm Charge Record Medical Supplies,105.8,52.9,,,0 CDM,216899,Noncdm Charge Record Medical Supplies,644.0,322.0,,,0 CDM,216930,Noncdm Charge Record Medical Supplies,64.4,32.2,,,0 CDM,217114,Noncdm Charge Record Medical Supplies,312.8,156.4,,,0 CDM,217126,Noncdm Charge Record Medical Supplies,2103.17,1051.58,,,0 CDM,217136,Noncdm Charge Record Medical Supplies,2582.1,1291.05,,,0 CDM,217162,Noncdm Charge Record Medical Supplies,1817.0,908.5,,,0 CDM,217196,Noncdm Charge Record Medical Supplies,2277.15,1138.58,,,0 CDM,217200,Noncdm Charge Record Medical Supplies,4913.64,2456.82,,,0 CDM,217308,Noncdm Charge Record Medical Supplies,1150.0,575.0,,,0 CDM,217325,Noncdm Charge Record Medical Supplies,565.8,282.9,,,0 CDM,217329,Noncdm Charge Record Medical Supplies,2413.0,1206.5,,,0 CDM,217364,Noncdm Charge Record Medical Supplies,128.8,64.4,,,0 CDM,217367,Noncdm Charge Record Medical Supplies,1923.72,961.86,,,0 CDM,217368,Noncdm Charge Record Medical Supplies,1998.79,999.4,,,0 CDM,217370,Noncdm Charge Record Medical Supplies,142.74,71.37,,,0 CDM,217371,Noncdm Charge Record Medical Supplies,837.2,418.6,,,0 CDM,217374,Noncdm Charge Record Medical Supplies,20.79,10.4,,,0 CDM,217534,Noncdm Charge Record Medical Supplies,2277.15,1138.58,,,0 CDM,217817,Noncdm Charge Record Medical Supplies,8360.0,4180.0,,,0 CDM,217818,Noncdm Charge Record Medical Supplies,8360.0,4180.0,,,0 CDM,2179,Noncdm Charge Record Medical Supplies,88.57,44.28,,,0 CDM,218116,Noncdm Charge Record Medical Supplies,2277.0,1138.5,,,0 CDM,21812,Noncdm Charge Record Medical Supplies,24.38,12.19,,,0 CDM,218572,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,21862,Noncdm Charge Record Medical Supplies,20.99,10.5,,,0 CDM,21863,Noncdm Charge Record Medical Supplies,21.3,10.65,,,0 CDM,220087,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,220089,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,220102,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,220114,Noncdm Charge Record Medical Supplies,920.0,460.0,,,0 CDM,220518,Noncdm Charge Record Medical Supplies,47.7,23.85,,,0 CDM,220520,Noncdm Charge Record Medical Supplies,17.86,8.93,,,0 CDM,220524,Noncdm Charge Record Medical Supplies,2340.0,1170.0,,,0 CDM,220538,Noncdm Charge Record Medical Supplies,405.29,202.64,,,0 CDM,220729,Noncdm Charge Record Medical Supplies,1690.0,845.0,,,0 CDM,220740,Noncdm Charge Record Medical Supplies,98.53,49.26,,,0 CDM,22100108,Chgl Travel Allowance - Mileage,12.0,6.0,,,0 CDM,22100110,Chgl Draw Fee-Lab Req Entry,39.0,19.5,,,0 CDM,22100300,Chgl Prenatal Panel,440.0,220.0,,,0 CDM,22112,Noncdm Charge Record Medical Supplies,16.04,8.02,,,0 CDM,22138,Noncdm Charge Record Medical Supplies,417.5,208.75,,,0 CDM,221623,Noncdm Charge Record Medical Supplies,851.0,425.5,,,0 CDM,221624,Noncdm Charge Record Medical Supplies,851.0,425.5,,,0 CDM,222203,Noncdm Charge Record Medical Supplies,2470.0,1235.0,,,0 CDM,222212,Noncdm Charge Record Medical Supplies,2470.0,1235.0,,,0 CDM,222241,Noncdm Charge Record Medical Supplies,920.0,460.0,,,0 CDM,22269,Noncdm Charge Record Medical Supplies,1073.93,536.96,,,0 CDM,22270,Noncdm Charge Record Medical Supplies,1073.92,536.96,,,0 CDM,22271,Noncdm Charge Record Medical Supplies,1073.93,536.96,,,0 CDM,223031,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,223070,Noncdm Charge Record Medical Supplies,1300.0,650.0,,,0 CDM,223219,Noncdm Charge Record Medical Supplies,1300.0,650.0,,,0 CDM,223823,Noncdm Charge Record Medical Supplies,101.43,50.72,,,0 CDM,223881,Noncdm Charge Record Medical Supplies,5225.0,2612.5,,,0 CDM,223882,Noncdm Charge Record Medical Supplies,2132.0,1066.0,,,0 CDM,223883,Noncdm Charge Record Medical Supplies,2992.5,1496.25,,,0 CDM,223884,Noncdm Charge Record Medical Supplies,5225.0,2612.5,,,0 CDM,223885,Noncdm Charge Record Medical Supplies,2132.0,1066.0,,,0 CDM,223886,Noncdm Charge Record Medical Supplies,2992.5,1496.25,,,0 CDM,223887,Noncdm Charge Record Medical Supplies,5225.0,2612.5,,,0 CDM,223910,Noncdm Charge Record Medical Supplies,146.05,73.02,,,0 CDM,223983,Noncdm Charge Record Medical Supplies,46.7,23.35,,,0 CDM,224165,Noncdm Charge Record Medical Supplies,264.96,132.48,,,0 CDM,224174,Noncdm Charge Record Medical Supplies,1191.4,595.7,,,0 CDM,224475,Noncdm Charge Record Medical Supplies,319.93,159.96,,,0 CDM,224488,Noncdm Charge Record Medical Supplies,1265.0,632.5,,,0 CDM,224495,Noncdm Charge Record Medical Supplies,1937.15,968.58,,,0 CDM,224501,Noncdm Charge Record Medical Supplies,511.0,255.5,,,0 CDM,224503,Noncdm Charge Record Medical Supplies,39.47,19.74,,,0 CDM,22518,Noncdm Charge Record Medical Supplies,46.4,23.2,,,0 CDM,22519,Noncdm Charge Record Medical Supplies,36.11,18.06,,,0 CDM,225418,Noncdm Charge Record Medical Supplies,1863.0,931.5,,,0 CDM,225419,Noncdm Charge Record Medical Supplies,1863.0,931.5,,,0 CDM,225463,Noncdm Charge Record Medical Supplies,2527.2,1263.6,,,0 CDM,22550,Noncdm Charge Record Medical Supplies,8.92,4.46,,,0 CDM,22554,Noncdm Charge Record Medical Supplies,10.15,5.08,,,0 CDM,225562,Noncdm Charge Record Medical Supplies,215.05,107.52,,,0 CDM,225563,Noncdm Charge Record Medical Supplies,911.03,455.52,,,0 CDM,22558,Noncdm Charge Record Medical Supplies,5.36,2.68,,,0 CDM,22564,Noncdm Charge Record Medical Supplies,8.12,4.06,,,0 CDM,225708,Noncdm Charge Record Medical Supplies,331.2,165.6,,,0 CDM,225990,Noncdm Charge Record Medical Supplies,1768.0,884.0,,,0 CDM,22601,Noncdm Charge Record Medical Supplies,7.14,3.57,,,0 CDM,22603,Noncdm Charge Record Medical Supplies,6.99,3.5,,,0 CDM,22604,Noncdm Charge Record Medical Supplies,7.14,3.57,,,0 CDM,226064,Noncdm Charge Record Medical Supplies,109.41,54.7,,,0 CDM,226066,Noncdm Charge Record Medical Supplies,19.56,9.78,,,0 CDM,22610,Noncdm Charge Record Medical Supplies,5.71,2.86,,,0 CDM,22613,Noncdm Charge Record Medical Supplies,14.66,7.33,,,0 CDM,226131,Noncdm Charge Record Medical Supplies,138.0,69.0,,,0 CDM,226166,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,226171,Noncdm Charge Record Medical Supplies,70.15,35.08,,,0 CDM,226200,Noncdm Charge Record Medical Supplies,59.8,29.9,,,0 CDM,226201,Noncdm Charge Record Medical Supplies,74.79,37.4,,,0 CDM,226202,Noncdm Charge Record Medical Supplies,59.8,29.9,,,0 CDM,226203,Noncdm Charge Record Medical Supplies,59.8,29.9,,,0 CDM,226224,Noncdm Charge Record Medical Supplies,531.3,265.65,,,0 CDM,226280,Noncdm Charge Record Medical Supplies,55.35,27.68,,,0 CDM,226289,Noncdm Charge Record Medical Supplies,680.8,340.4,,,0 CDM,226290,Noncdm Charge Record Medical Supplies,1988.03,994.02,,,0 CDM,226293,Noncdm Charge Record Medical Supplies,4170.5,2085.25,,,0 CDM,226298,Noncdm Charge Record Medical Supplies,1034.23,517.12,,,0 CDM,226310,Noncdm Charge Record Medical Supplies,180.5,90.25,,,0 CDM,22637,Noncdm Charge Record Medical Supplies,11.98,5.99,,,0 CDM,22638,Noncdm Charge Record Medical Supplies,11.6,5.8,,,0 CDM,22642,Noncdm Charge Record Medical Supplies,5.39,2.7,,,0 CDM,22643,Noncdm Charge Record Medical Supplies,5.38,2.69,,,0 CDM,22644,Noncdm Charge Record Medical Supplies,5.18,2.59,,,0 CDM,226516,Noncdm Charge Record Medical Supplies,5521.4,2760.7,,,0 CDM,226544,Noncdm Charge Record Medical Supplies,6165.5,3082.75,,,0 CDM,227225,Noncdm Charge Record Medical Supplies,49092.2,24546.1,,,0 CDM,227228,Noncdm Charge Record Medical Supplies,174.02,87.01,,,0 CDM,227258,Noncdm Charge Record Medical Supplies,1957.18,978.59,,,0 CDM,227341,Noncdm Charge Record Medical Supplies,276.0,138.0,,,0 CDM,227343,Noncdm Charge Record Medical Supplies,358.8,179.4,,,0 CDM,227348,Noncdm Charge Record Medical Supplies,805.92,402.96,,,0 CDM,227370,Noncdm Charge Record Medical Supplies,115.09,57.54,,,0 CDM,227371,Noncdm Charge Record Medical Supplies,86.02,43.01,,,0 CDM,227374,Noncdm Charge Record Medical Supplies,1607.88,803.94,,,0 CDM,227500,Noncdm Charge Record Medical Supplies,4112.46,2056.23,,,0 CDM,227504,Noncdm Charge Record Medical Supplies,2956.4,1478.2,,,0 CDM,227557,Noncdm Charge Record Medical Supplies,593.4,296.7,,,0 CDM,227558,Noncdm Charge Record Medical Supplies,593.4,296.7,,,0 CDM,227559,Noncdm Charge Record Medical Supplies,724.17,362.08,,,0 CDM,227565,Noncdm Charge Record Medical Supplies,593.4,296.7,,,0 CDM,227566,Noncdm Charge Record Medical Supplies,593.4,296.7,,,0 CDM,227570,Noncdm Charge Record Medical Supplies,593.4,296.7,,,0 CDM,227571,Noncdm Charge Record Medical Supplies,593.4,296.7,,,0 CDM,227572,Noncdm Charge Record Medical Supplies,776.9,388.45,,,0 CDM,227573,Noncdm Charge Record Medical Supplies,776.9,388.45,,,0 CDM,227574,Noncdm Charge Record Medical Supplies,776.9,388.45,,,0 CDM,227576,Noncdm Charge Record Medical Supplies,593.4,296.7,,,0 CDM,227585,Noncdm Charge Record Medical Supplies,167.44,83.72,,,0 CDM,227586,Noncdm Charge Record Medical Supplies,133.4,66.7,,,0 CDM,227587,Noncdm Charge Record Medical Supplies,201.48,100.74,,,0 CDM,227588,Noncdm Charge Record Medical Supplies,201.48,100.74,,,0 CDM,227589,Noncdm Charge Record Medical Supplies,133.4,66.7,,,0 CDM,227590,Noncdm Charge Record Medical Supplies,133.4,66.7,,,0 CDM,227595,Noncdm Charge Record Medical Supplies,201.48,100.74,,,0 CDM,227605,Noncdm Charge Record Medical Supplies,133.4,66.7,,,0 CDM,227607,Noncdm Charge Record Medical Supplies,201.48,100.74,,,0 CDM,227678,Noncdm Charge Record Medical Supplies,174.8,87.4,,,0 CDM,22781,Noncdm Charge Record Medical Supplies,23.17,11.58,,,0 CDM,22787,Noncdm Charge Record Medical Supplies,38.82,19.41,,,0 CDM,22799,Noncdm Charge Record Medical Supplies,12.42,6.21,,,0 CDM,228083,Noncdm Charge Record Medical Supplies,90.41,45.2,,,0 CDM,228141,Noncdm Charge Record Medical Supplies,2069.1,1034.55,,,0 CDM,228175,Noncdm Charge Record Medical Supplies,612.26,306.13,,,0 CDM,228427,Noncdm Charge Record Medical Supplies,1471.6,735.8,,,0 CDM,22843,Noncdm Charge Record Medical Supplies,54.19,27.1,,,0 CDM,228695,Noncdm Charge Record Medical Supplies,69.0,34.5,,,0 CDM,228702,Noncdm Charge Record Medical Supplies,88.3,44.15,,,0 CDM,228753,Noncdm Charge Record Medical Supplies,365.08,182.54,,,0 CDM,228759,Noncdm Charge Record Medical Supplies,138.09,69.04,,,0 CDM,22914,Noncdm Charge Record Medical Supplies,460.0,230.0,,,0 CDM,229194,Noncdm Charge Record Medical Supplies,1900.51,950.26,,,0 CDM,229349,Noncdm Charge Record Medical Supplies,2249.4,1124.7,,,0 CDM,229895,Noncdm Charge Record Medical Supplies,2210.0,1105.0,,,0 CDM,229896,Noncdm Charge Record Medical Supplies,1219.0,609.5,,,0 CDM,229938,Noncdm Charge Record Medical Supplies,161.0,80.5,,,0 CDM,229950,Noncdm Charge Record Medical Supplies,62.01,31.0,,,0 CDM,229971,Noncdm Charge Record Medical Supplies,5791.02,2895.51,,,0 CDM,229974,Noncdm Charge Record Medical Supplies,5693.03,2846.52,,,0 CDM,230491,Noncdm Charge Record Medical Supplies,3252.8,1626.4,,,0 CDM,230493,Noncdm Charge Record Medical Supplies,59.8,29.9,,,0 CDM,230495,Noncdm Charge Record Medical Supplies,73.6,36.8,,,0 CDM,230497,Noncdm Charge Record Medical Supplies,2912.7,1456.35,,,0 CDM,230590,Noncdm Charge Record Medical Supplies,5130.0,2565.0,,,0 CDM,230772,Noncdm Charge Record Medical Supplies,3306.0,1653.0,,,0 CDM,230967,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,231185,Noncdm Charge Record Medical Supplies,29.9,14.95,,,0 CDM,232073,Noncdm Charge Record Medical Supplies,970.6,485.3,,,0 CDM,232091,Noncdm Charge Record Medical Supplies,4170.5,2085.25,,,0 CDM,232102,Noncdm Charge Record Medical Supplies,3220.5,1610.25,,,0 CDM,232128,Noncdm Charge Record Medical Supplies,663.87,331.94,,,0 CDM,232129,Noncdm Charge Record Medical Supplies,663.87,331.94,,,0 CDM,232134,Noncdm Charge Record Medical Supplies,1339.71,669.86,,,0 CDM,232229,Noncdm Charge Record Medical Supplies,1352.0,676.0,,,0 CDM,232230,Noncdm Charge Record Medical Supplies,1817.0,908.5,,,0 CDM,232238,Noncdm Charge Record Medical Supplies,73.91,36.96,,,0 CDM,232239,Noncdm Charge Record Medical Supplies,73.6,36.8,,,0 CDM,232429,Noncdm Charge Record Medical Supplies,1357.0,678.5,,,0 CDM,232430,Noncdm Charge Record Medical Supplies,452.33,226.16,,,0 CDM,232446,Noncdm Charge Record Medical Supplies,506.0,253.0,,,0 CDM,232503,Noncdm Charge Record Medical Supplies,1574.04,787.02,,,0 CDM,232631,Noncdm Charge Record Medical Supplies,805.0,402.5,,,0 CDM,232640,Noncdm Charge Record Medical Supplies,1587.0,793.5,,,0 CDM,232893,Noncdm Charge Record Medical Supplies,342.65,171.32,,,0 CDM,233005,Noncdm Charge Record Medical Supplies,239.61,119.8,,,0 CDM,233032,Noncdm Charge Record Medical Supplies,2065.4,1032.7,,,0 CDM,233033,Noncdm Charge Record Medical Supplies,3834.2,1917.1,,,0 CDM,233034,Noncdm Charge Record Medical Supplies,6403.0,3201.5,,,0 CDM,233147,Noncdm Charge Record Medical Supplies,454.08,227.04,,,0 CDM,233148,Noncdm Charge Record Medical Supplies,438.62,219.31,,,0 CDM,233149,Noncdm Charge Record Medical Supplies,435.33,217.66,,,0 CDM,233150,Noncdm Charge Record Medical Supplies,455.31,227.66,,,0 CDM,233180,Noncdm Charge Record Medical Supplies,162.7,81.35,,,0 CDM,233193,Noncdm Charge Record Medical Supplies,423.2,211.6,,,0 CDM,233320,Noncdm Charge Record Medical Supplies,106.54,53.27,,,0 CDM,233321,Noncdm Charge Record Medical Supplies,1499.69,749.84,,,0 CDM,233322,Noncdm Charge Record Medical Supplies,1787.01,893.5,,,0 CDM,233323,Noncdm Charge Record Medical Supplies,671.37,335.68,,,0 CDM,233324,Noncdm Charge Record Medical Supplies,719.67,359.84,,,0 CDM,233328,Noncdm Charge Record Medical Supplies,644.0,322.0,,,0 CDM,233329,Noncdm Charge Record Medical Supplies,10639.51,5319.76,,,0 CDM,233363,Noncdm Charge Record Medical Supplies,397.29,198.64,,,0 CDM,233364,Noncdm Charge Record Medical Supplies,274.61,137.3,,,0 CDM,233404,Noncdm Charge Record Medical Supplies,598.0,299.0,,,0 CDM,234633,Noncdm Charge Record Medical Supplies,1150.0,575.0,,,0 CDM,236273,Noncdm Charge Record Medical Supplies,920.0,460.0,,,0 CDM,236274,Noncdm Charge Record Medical Supplies,920.0,460.0,,,0 CDM,236275,Noncdm Charge Record Medical Supplies,920.0,460.0,,,0 CDM,236276,Noncdm Charge Record Medical Supplies,920.0,460.0,,,0 CDM,236277,Noncdm Charge Record Medical Supplies,920.0,460.0,,,0 CDM,236279,Noncdm Charge Record Medical Supplies,920.0,460.0,,,0 CDM,236295,Noncdm Charge Record Medical Supplies,768.2,384.1,,,0 CDM,236330,Noncdm Charge Record Medical Supplies,920.0,460.0,,,0 CDM,236335,Noncdm Charge Record Medical Supplies,920.0,460.0,,,0 CDM,2366,Noncdm Charge Record Medical Supplies,42.63,21.32,,,0 CDM,2392,Noncdm Charge Record Medical Supplies,51.06,25.53,,,0 CDM,24311,Noncdm Charge Record Medical Supplies,5.82,2.91,,,0 CDM,244683,Noncdm Charge Record Medical Supplies,1610.0,805.0,,,0 CDM,244773,Noncdm Charge Record Medical Supplies,1461.08,730.54,,,0 CDM,244774,Noncdm Charge Record Medical Supplies,1461.08,730.54,,,0 CDM,245394,Noncdm Charge Record Medical Supplies,1950.0,975.0,,,0 CDM,245395,Noncdm Charge Record Medical Supplies,1950.0,975.0,,,0 CDM,245665,Noncdm Charge Record Medical Supplies,6222.5,3111.25,,,0 CDM,245666,Noncdm Charge Record Medical Supplies,6222.5,3111.25,,,0 CDM,24614,Noncdm Charge Record Medical Supplies,9.23,4.62,,,0 CDM,24898,Noncdm Charge Record Medical Supplies,5.36,2.68,,,0 CDM,24908,Noncdm Charge Record Medical Supplies,19.25,9.62,,,0 CDM,24909,Noncdm Charge Record Medical Supplies,90.3,45.15,,,0 CDM,24911,Noncdm Charge Record Medical Supplies,20.47,10.24,,,0 CDM,24917,Noncdm Charge Record Medical Supplies,38.28,19.14,,,0 CDM,24920,Noncdm Charge Record Medical Supplies,21.53,10.76,,,0 CDM,24921,Noncdm Charge Record Medical Supplies,19.64,9.82,,,0 CDM,24934,Noncdm Charge Record Medical Supplies,20.43,10.22,,,0 CDM,24942,Noncdm Charge Record Medical Supplies,69.98,34.99,,,0 CDM,24944,Noncdm Charge Record Medical Supplies,7.14,3.57,,,0 CDM,24952,Noncdm Charge Record Medical Supplies,39.56,19.78,,,0 CDM,24954,Noncdm Charge Record Medical Supplies,47.9,23.95,,,0 CDM,24956,Noncdm Charge Record Medical Supplies,39.3,19.65,,,0 CDM,24957,Noncdm Charge Record Medical Supplies,6.39,3.2,,,0 CDM,24958,Noncdm Charge Record Medical Supplies,5.74,2.87,,,0 CDM,25021,Noncdm Charge Record Medical Supplies,211.45,105.72,,,0 CDM,250555,Noncdm Charge Record Medical Supplies,920.0,460.0,,,0 CDM,250568,Noncdm Charge Record Medical Supplies,1300.0,650.0,,,0 CDM,250569,Noncdm Charge Record Medical Supplies,1300.0,650.0,,,0 CDM,250570,Noncdm Charge Record Medical Supplies,1300.0,650.0,,,0 CDM,250596,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,250601,Noncdm Charge Record Medical Supplies,995.0,497.5,,,0 CDM,250604,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,250606,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,25075,Noncdm Charge Record Medical Supplies,12.81,6.4,,,0 CDM,250846,Noncdm Charge Record Medical Supplies,1380.0,690.0,,,0 CDM,250847,Noncdm Charge Record Medical Supplies,1380.0,690.0,,,0 CDM,250848,Noncdm Charge Record Medical Supplies,1380.0,690.0,,,0 CDM,250849,Noncdm Charge Record Medical Supplies,1380.0,690.0,,,0 CDM,250878,Noncdm Charge Record Medical Supplies,1380.0,690.0,,,0 CDM,250879,Noncdm Charge Record Medical Supplies,1380.0,690.0,,,0 CDM,250880,Noncdm Charge Record Medical Supplies,1380.0,690.0,,,0 CDM,250881,Noncdm Charge Record Medical Supplies,1380.0,690.0,,,0 CDM,250896,Noncdm Charge Record Medical Supplies,1380.0,690.0,,,0 CDM,250897,Noncdm Charge Record Medical Supplies,1380.0,690.0,,,0 CDM,250898,Noncdm Charge Record Medical Supplies,1380.0,690.0,,,0 CDM,25241,Noncdm Charge Record Medical Supplies,27.28,13.64,,,0 CDM,25262,Noncdm Charge Record Medical Supplies,10.92,5.46,,,0 CDM,25359,Noncdm Charge Record Medical Supplies,7.11,3.56,,,0 CDM,25387,Noncdm Charge Record Medical Supplies,7.19,3.6,,,0 CDM,25418,Noncdm Charge Record Medical Supplies,40.78,20.39,,,0 CDM,25423,Noncdm Charge Record Medical Supplies,80.5,40.25,,,0 CDM,25433,Noncdm Charge Record Medical Supplies,23.04,11.52,,,0 CDM,25434,Noncdm Charge Record Medical Supplies,8.14,4.07,,,0 CDM,25466,Noncdm Charge Record Medical Supplies,7.41,3.7,,,0 CDM,25472,Noncdm Charge Record Medical Supplies,5.6,2.8,,,0 CDM,25489,Noncdm Charge Record Medical Supplies,5.68,2.84,,,0 CDM,2550,Noncdm Charge Record Medical Supplies,630.61,315.3,,,0 CDM,25531,Noncdm Charge Record Medical Supplies,5.82,2.91,,,0 CDM,25538,Noncdm Charge Record Medical Supplies,6.72,3.36,,,0 CDM,25558,Noncdm Charge Record Medical Supplies,37.9,18.95,,,0 CDM,25639,Noncdm Charge Record Medical Supplies,603.06,301.53,,,0 CDM,25707,Noncdm Charge Record Medical Supplies,67.3,33.65,,,0 CDM,257739,Noncdm Charge Record Medical Supplies,1950.0,975.0,,,0 CDM,257740,Noncdm Charge Record Medical Supplies,1950.0,975.0,,,0 CDM,257766,Noncdm Charge Record Medical Supplies,1950.0,975.0,,,0 CDM,257767,Noncdm Charge Record Medical Supplies,1950.0,975.0,,,0 CDM,257768,Noncdm Charge Record Medical Supplies,1950.0,975.0,,,0 CDM,25841,Noncdm Charge Record Medical Supplies,568.19,284.1,,,0 CDM,2596,Noncdm Charge Record Medical Supplies,42.8,21.4,,,0 CDM,259607,Noncdm Charge Record Medical Supplies,14250.0,7125.0,,,0 CDM,259624,Noncdm Charge Record Medical Supplies,7718.75,3859.38,,,0 CDM,259625,Noncdm Charge Record Medical Supplies,5541.67,2770.84,,,0 CDM,259626,Noncdm Charge Record Medical Supplies,4552.08,2276.04,,,0 CDM,259628,Noncdm Charge Record Medical Supplies,7220.0,3610.0,,,0 CDM,259630,Noncdm Charge Record Medical Supplies,460.0,230.0,,,0 CDM,259631,Noncdm Charge Record Medical Supplies,6270.0,3135.0,,,0 CDM,259638,Noncdm Charge Record Medical Supplies,1391.0,695.5,,,0 CDM,259639,Noncdm Charge Record Medical Supplies,8170.0,4085.0,,,0 CDM,259641,Noncdm Charge Record Medical Supplies,4370.0,2185.0,,,0 CDM,259642,Noncdm Charge Record Medical Supplies,5130.0,2565.0,,,0 CDM,259643,Noncdm Charge Record Medical Supplies,1380.0,690.0,,,0 CDM,259645,Noncdm Charge Record Medical Supplies,7790.0,3895.0,,,0 CDM,259646,Noncdm Charge Record Medical Supplies,8360.0,4180.0,,,0 CDM,259656,Noncdm Charge Record Medical Supplies,14440.0,7220.0,,,0 CDM,259659,Noncdm Charge Record Medical Supplies,7980.0,3990.0,,,0 CDM,259660,Noncdm Charge Record Medical Supplies,5890.0,2945.0,,,0 CDM,259661,Noncdm Charge Record Medical Supplies,6080.0,3040.0,,,0 CDM,259662,Noncdm Charge Record Medical Supplies,4370.0,2185.0,,,0 CDM,259665,Noncdm Charge Record Medical Supplies,6840.0,3420.0,,,0 CDM,259668,Noncdm Charge Record Medical Supplies,7600.0,3800.0,,,0 CDM,259684,Noncdm Charge Record Medical Supplies,15200.0,7600.0,,,0 CDM,2597,Noncdm Charge Record Medical Supplies,42.98,21.49,,,0 CDM,260029,Noncdm Charge Record Medical Supplies,6270.0,3135.0,,,0 CDM,26105,Noncdm Charge Record Medical Supplies,1099.4,549.7,,,0 CDM,26141,Noncdm Charge Record Medical Supplies,390.08,195.04,,,0 CDM,26227,Noncdm Charge Record Medical Supplies,267.92,133.96,,,0 CDM,26363,Noncdm Charge Record Medical Supplies,16.07,8.04,,,0 CDM,2644,Noncdm Charge Record Medical Supplies,41.64,20.82,,,0 CDM,265024,Noncdm Charge Record Medical Supplies,37855.24,18927.62,,,0 CDM,265121,Noncdm Charge Record Medical Supplies,2185.0,1092.5,,,0 CDM,265348,Noncdm Charge Record Medical Supplies,345.0,172.5,,,0 CDM,265355,Noncdm Charge Record Medical Supplies,1317.06,658.53,,,0 CDM,265385,Noncdm Charge Record Medical Supplies,115.51,57.76,,,0 CDM,265388,Noncdm Charge Record Medical Supplies,635.54,317.77,,,0 CDM,265396,Noncdm Charge Record Medical Supplies,805.0,402.5,,,0 CDM,265398,Noncdm Charge Record Medical Supplies,805.0,402.5,,,0 CDM,265399,Noncdm Charge Record Medical Supplies,805.0,402.5,,,0 CDM,265402,Noncdm Charge Record Medical Supplies,805.0,402.5,,,0 CDM,265407,Noncdm Charge Record Medical Supplies,805.0,402.5,,,0 CDM,265442,Noncdm Charge Record Medical Supplies,1690.83,845.42,,,0 CDM,265452,Noncdm Charge Record Medical Supplies,154.56,77.28,,,0 CDM,265495,Noncdm Charge Record Medical Supplies,1612.19,806.1,,,0 CDM,26588,Noncdm Charge Record Medical Supplies,17.34,8.67,,,0 CDM,26595,Noncdm Charge Record Medical Supplies,48.37,24.18,,,0 CDM,26672,Noncdm Charge Record Medical Supplies,86.2,43.1,,,0 CDM,2668,Noncdm Charge Record Medical Supplies,144.44,72.22,,,0 CDM,2703,Noncdm Charge Record Medical Supplies,39.1,19.55,,,0 CDM,270598,Noncdm Charge Record Medical Supplies,1300.0,650.0,,,0 CDM,27230,Noncdm Charge Record Medical Supplies,11.43,5.72,,,0 CDM,2733,Noncdm Charge Record Medical Supplies,39.1,19.55,,,0 CDM,27375,Noncdm Charge Record Medical Supplies,31.74,15.87,,,0 CDM,273887,Noncdm Charge Record Medical Supplies,10943.66,5471.83,,,0 CDM,273940,Noncdm Charge Record Medical Supplies,3578.61,1789.3,,,0 CDM,274393,Noncdm Charge Record Medical Supplies,4267.99,2134.0,,,0 CDM,274556,Noncdm Charge Record Medical Supplies,2701.12,1350.56,,,0 CDM,274714,Noncdm Charge Record Medical Supplies,2510.95,1255.48,,,0 CDM,274732,Noncdm Charge Record Medical Supplies,2510.95,1255.48,,,0 CDM,27563,Noncdm Charge Record Medical Supplies,7.09,3.54,,,0 CDM,276266,Noncdm Charge Record Medical Supplies,285.2,142.6,,,0 CDM,276267,Noncdm Charge Record Medical Supplies,966.0,483.0,,,0 CDM,276279,Noncdm Charge Record Medical Supplies,617.09,308.54,,,0 CDM,276378,Noncdm Charge Record Medical Supplies,2701.12,1350.56,,,0 CDM,276396,Noncdm Charge Record Medical Supplies,1644.79,822.4,,,0 CDM,27643,Noncdm Charge Record Medical Supplies,31.74,15.87,,,0 CDM,276533,Noncdm Charge Record Medical Supplies,4750.0,2375.0,,,0 CDM,276542,Noncdm Charge Record Medical Supplies,506.0,253.0,,,0 CDM,277449,Noncdm Charge Record Medical Supplies,1391.21,695.6,,,0 CDM,27888,Noncdm Charge Record Medical Supplies,33.7,16.85,,,0 CDM,28,Noncdm Charge Record Medical Supplies,2.72,1.36,,,0 CDM,28042,Noncdm Charge Record Medical Supplies,2.0,1.0,,,0 CDM,281591,Noncdm Charge Record Medical Supplies,2280.0,1140.0,,,0 CDM,281592,Noncdm Charge Record Medical Supplies,1900.0,950.0,,,0 CDM,281596,Noncdm Charge Record Medical Supplies,345.0,172.5,,,0 CDM,281597,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,281598,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,281599,Noncdm Charge Record Medical Supplies,115.0,57.5,,,0 CDM,281643,Noncdm Charge Record Medical Supplies,24350.4,12175.2,,,0 CDM,281644,Noncdm Charge Record Medical Supplies,19387.6,9693.8,,,0 CDM,281739,Noncdm Charge Record Medical Supplies,570.4,285.2,,,0 CDM,282857,Noncdm Charge Record Medical Supplies,4598.0,2299.0,,,0 CDM,282879,Noncdm Charge Record Medical Supplies,12290.15,6145.08,,,0 CDM,283168,Noncdm Charge Record Medical Supplies,2333.68,1166.84,,,0 CDM,286091,Noncdm Charge Record Medical Supplies,3610.0,1805.0,,,0 CDM,286092,Noncdm Charge Record Medical Supplies,3610.0,1805.0,,,0 CDM,286122,Noncdm Charge Record Medical Supplies,2535.0,1267.5,,,0 CDM,286206,Noncdm Charge Record Medical Supplies,1985.5,992.75,,,0 CDM,286207,Noncdm Charge Record Medical Supplies,2186.0,1093.0,,,0 CDM,286208,Noncdm Charge Record Medical Supplies,2286.25,1143.12,,,0 CDM,286209,Noncdm Charge Record Medical Supplies,2587.0,1293.5,,,0 CDM,286238,Noncdm Charge Record Medical Supplies,1207.5,603.75,,,0 CDM,286278,Noncdm Charge Record Medical Supplies,10185.9,5092.95,,,0 CDM,286304,Noncdm Charge Record Medical Supplies,848.29,424.14,,,0 CDM,286309,Noncdm Charge Record Medical Supplies,1405.56,702.78,,,0 CDM,286394,Noncdm Charge Record Medical Supplies,2840.5,1420.25,,,0 CDM,286410,Noncdm Charge Record Medical Supplies,115.0,57.5,,,0 CDM,286419,Noncdm Charge Record Medical Supplies,14820.0,7410.0,,,0 CDM,286420,Noncdm Charge Record Medical Supplies,14820.0,7410.0,,,0 CDM,287571,Noncdm Charge Record Medical Supplies,1840.0,920.0,,,0 CDM,287572,Noncdm Charge Record Medical Supplies,920.0,460.0,,,0 CDM,287596,Noncdm Charge Record Medical Supplies,1820.0,910.0,,,0 CDM,29028,Noncdm Charge Record Medical Supplies,176.18,88.09,,,0 CDM,290797,Noncdm Charge Record Medical Supplies,136.65,68.32,,,0 CDM,290799,Noncdm Charge Record Medical Supplies,2535.0,1267.5,,,0 CDM,290800,Noncdm Charge Record Medical Supplies,2736.0,1368.0,,,0 CDM,291450,Noncdm Charge Record Medical Supplies,4114.45,2057.22,,,0 CDM,29150,Noncdm Charge Record Medical Supplies,122.13,61.06,,,0 CDM,291521,Noncdm Charge Record Medical Supplies,8688.7,4344.35,,,0 CDM,291545,Noncdm Charge Record Medical Supplies,1115.5,557.75,,,0 CDM,291561,Noncdm Charge Record Medical Supplies,7594.3,3797.15,,,0 CDM,291617,Noncdm Charge Record Medical Supplies,1300.0,650.0,,,0 CDM,29182,Noncdm Charge Record Medical Supplies,39.33,19.66,,,0 CDM,29385,Noncdm Charge Record Medical Supplies,32.83,16.42,,,0 CDM,297585,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,297587,Noncdm Charge Record Medical Supplies,1430.0,715.0,,,0 CDM,297588,Noncdm Charge Record Medical Supplies,1430.0,715.0,,,0 CDM,297615,Noncdm Charge Record Medical Supplies,1430.0,715.0,,,0 CDM,297663,Noncdm Charge Record Medical Supplies,345.0,172.5,,,0 CDM,297664,Noncdm Charge Record Medical Supplies,1300.0,650.0,,,0 CDM,297676,Noncdm Charge Record Medical Supplies,1768.0,884.0,,,0 CDM,297682,Noncdm Charge Record Medical Supplies,1094.8,547.4,,,0 CDM,297683,Noncdm Charge Record Medical Supplies,1094.8,547.4,,,0 CDM,298110,Noncdm Charge Record Medical Supplies,4428.46,2214.23,,,0 CDM,298175,Noncdm Charge Record Medical Supplies,110.45,55.22,,,0 CDM,298181,Noncdm Charge Record Medical Supplies,928.51,464.26,,,0 CDM,298602,Noncdm Charge Record Medical Supplies,1300.0,650.0,,,0 CDM,2995,Noncdm Charge Record Medical Supplies,236.9,118.45,,,0 CDM,29971,Noncdm Charge Record Medical Supplies,206.95,103.48,,,0 CDM,30010062,Observation Hours,98.0,49.0,,,0 CDM,30010065,R&B Hospital At Home,2207.0,1103.5,,,0 CDM,3006,Noncdm Charge Record Medical Supplies,379.5,189.75,,,0 CDM,300951,Noncdm Charge Record Medical Supplies,1778.08,889.04,,,0 CDM,301020,Noncdm Charge Record Medical Supplies,82.86,41.43,,,0 CDM,301021,Noncdm Charge Record Medical Supplies,81.75,40.88,,,0 CDM,301023,Noncdm Charge Record Medical Supplies,1599.12,799.56,,,0 CDM,301235,Noncdm Charge Record Medical Supplies,1223.21,611.6,,,0 CDM,301630,Noncdm Charge Record Medical Supplies,48.44,24.22,,,0 CDM,301631,Noncdm Charge Record Medical Supplies,219.09,109.54,,,0 CDM,301632,Noncdm Charge Record Medical Supplies,164.6,82.3,,,0 CDM,301636,Noncdm Charge Record Medical Supplies,138.0,69.0,,,0 CDM,301637,Noncdm Charge Record Medical Supplies,174.8,87.4,,,0 CDM,301638,Noncdm Charge Record Medical Supplies,174.8,87.4,,,0 CDM,301639,Noncdm Charge Record Medical Supplies,1941.73,970.86,,,0 CDM,301640,Noncdm Charge Record Medical Supplies,1610.0,805.0,,,0 CDM,301652,Noncdm Charge Record Medical Supplies,257.16,128.58,,,0 CDM,301654,Noncdm Charge Record Medical Supplies,1266.93,633.46,,,0 CDM,301656,Noncdm Charge Record Medical Supplies,716.73,358.36,,,0 CDM,301657,Noncdm Charge Record Medical Supplies,1266.93,633.46,,,0 CDM,301658,Noncdm Charge Record Medical Supplies,1267.76,633.88,,,0 CDM,301659,Noncdm Charge Record Medical Supplies,661.2,330.6,,,0 CDM,301682,Noncdm Charge Record Medical Supplies,3119.42,1559.71,,,0 CDM,301700,Noncdm Charge Record Medical Supplies,509.54,254.77,,,0 CDM,301719,Noncdm Charge Record Medical Supplies,23.71,11.86,,,0 CDM,301745,Noncdm Charge Record Medical Supplies,1324.39,662.2,,,0 CDM,301822,Noncdm Charge Record Medical Supplies,1932.0,966.0,,,0 CDM,301838,Noncdm Charge Record Medical Supplies,276.0,138.0,,,0 CDM,301857,Noncdm Charge Record Medical Supplies,24.97,12.48,,,0 CDM,301859,Noncdm Charge Record Medical Supplies,30.54,15.27,,,0 CDM,301863,Noncdm Charge Record Medical Supplies,3610.0,1805.0,,,0 CDM,301865,Noncdm Charge Record Medical Supplies,856.11,428.06,,,0 CDM,301871,Noncdm Charge Record Medical Supplies,1897.5,948.75,,,0 CDM,301872,Noncdm Charge Record Medical Supplies,3767.45,1883.72,,,0 CDM,301875,Noncdm Charge Record Medical Supplies,2153.38,1076.69,,,0 CDM,30206,Noncdm Charge Record Medical Supplies,187.16,93.58,,,0 CDM,302210,Noncdm Charge Record Medical Supplies,3211.0,1605.5,,,0 CDM,302304,Noncdm Charge Record Medical Supplies,1701.83,850.92,,,0 CDM,302347,Noncdm Charge Record Medical Supplies,2056.2,1028.1,,,0 CDM,302363,Noncdm Charge Record Medical Supplies,1549.8,774.9,,,0 CDM,302364,Noncdm Charge Record Medical Supplies,1361.03,680.52,,,0 CDM,302381,Noncdm Charge Record Medical Supplies,10578.76,5289.38,,,0 CDM,302382,Noncdm Charge Record Medical Supplies,2179.55,1089.78,,,0 CDM,302384,Noncdm Charge Record Medical Supplies,570.03,285.02,,,0 CDM,302385,Noncdm Charge Record Medical Supplies,1457.99,729.0,,,0 CDM,302391,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,302949,Noncdm Charge Record Medical Supplies,828.0,414.0,,,0 CDM,3054,Noncdm Charge Record Medical Supplies,4.03,2.02,,,0 CDM,305543,Noncdm Charge Record Medical Supplies,1242.0,621.0,,,0 CDM,305546,Noncdm Charge Record Medical Supplies,1242.0,621.0,,,0 CDM,305556,Noncdm Charge Record Medical Supplies,58.19,29.1,,,0 CDM,305632,Noncdm Charge Record Medical Supplies,956.8,478.4,,,0 CDM,305633,Noncdm Charge Record Medical Supplies,266.8,133.4,,,0 CDM,305634,Noncdm Charge Record Medical Supplies,956.8,478.4,,,0 CDM,305638,Noncdm Charge Record Medical Supplies,400.2,200.1,,,0 CDM,305644,Noncdm Charge Record Medical Supplies,312.8,156.4,,,0 CDM,305691,Noncdm Charge Record Medical Supplies,1495.0,747.5,,,0 CDM,305838,Noncdm Charge Record Medical Supplies,1010.03,505.02,,,0 CDM,305993,Noncdm Charge Record Medical Supplies,55.02,27.51,,,0 CDM,305995,Noncdm Charge Record Medical Supplies,1554.37,777.18,,,0 CDM,306025,Noncdm Charge Record Medical Supplies,2574.0,1287.0,,,0 CDM,306026,Noncdm Charge Record Medical Supplies,2432.0,1216.0,,,0 CDM,306064,Noncdm Charge Record Medical Supplies,782.0,391.0,,,0 CDM,306065,Noncdm Charge Record Medical Supplies,782.0,391.0,,,0 CDM,306068,Noncdm Charge Record Medical Supplies,1853.34,926.67,,,0 CDM,306283,Noncdm Charge Record Medical Supplies,9500.0,4750.0,,,0 CDM,306284,Noncdm Charge Record Medical Supplies,3800.0,1900.0,,,0 CDM,306285,Noncdm Charge Record Medical Supplies,12350.0,6175.0,,,0 CDM,306290,Noncdm Charge Record Medical Supplies,1357.0,678.5,,,0 CDM,306295,Noncdm Charge Record Medical Supplies,1817.0,908.5,,,0 CDM,306297,Noncdm Charge Record Medical Supplies,1817.0,908.5,,,0 CDM,306300,Noncdm Charge Record Medical Supplies,391.0,195.5,,,0 CDM,306301,Noncdm Charge Record Medical Supplies,391.0,195.5,,,0 CDM,306317,Noncdm Charge Record Medical Supplies,1491.75,745.88,,,0 CDM,306334,Noncdm Charge Record Medical Supplies,49.54,24.77,,,0 CDM,306433,Noncdm Charge Record Medical Supplies,78.89,39.44,,,0 CDM,307222,Noncdm Charge Record Medical Supplies,4725.49,2362.74,,,0 CDM,307225,Noncdm Charge Record Medical Supplies,2418.47,1209.24,,,0 CDM,307239,Noncdm Charge Record Medical Supplies,1872.0,936.0,,,0 CDM,307253,Noncdm Charge Record Medical Supplies,3610.0,1805.0,,,0 CDM,307295,Noncdm Charge Record Medical Supplies,650.39,325.2,,,0 CDM,307299,Noncdm Charge Record Medical Supplies,711.85,355.92,,,0 CDM,307312,Noncdm Charge Record Medical Supplies,1035.0,517.5,,,0 CDM,307325,Noncdm Charge Record Medical Supplies,886.64,443.32,,,0 CDM,307329,Noncdm Charge Record Medical Supplies,735.26,367.63,,,0 CDM,307333,Noncdm Charge Record Medical Supplies,46.0,23.0,,,0 CDM,307334,Noncdm Charge Record Medical Supplies,58.6,29.3,,,0 CDM,307335,Noncdm Charge Record Medical Supplies,58.6,29.3,,,0 CDM,307339,Noncdm Charge Record Medical Supplies,269.55,134.78,,,0 CDM,307342,Noncdm Charge Record Medical Supplies,15460.09,7730.04,,,0 CDM,307361,Noncdm Charge Record Medical Supplies,3629.0,1814.5,,,0 CDM,30782,Noncdm Charge Record Medical Supplies,34.67,17.34,,,0 CDM,307822,Noncdm Charge Record Medical Supplies,4088.8,2044.4,,,0 CDM,307875,Noncdm Charge Record Medical Supplies,2537.76,1268.88,,,0 CDM,30793,Noncdm Charge Record Medical Supplies,35.0,17.5,,,0 CDM,307981,Noncdm Charge Record Medical Supplies,99.18,49.59,,,0 CDM,308004,Noncdm Charge Record Medical Supplies,2080.0,1040.0,,,0 CDM,30809,Noncdm Charge Record Medical Supplies,5.78,2.89,,,0 CDM,308135,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,308136,Noncdm Charge Record Medical Supplies,1725.0,862.5,,,0 CDM,308137,Noncdm Charge Record Medical Supplies,1625.0,812.5,,,0 CDM,30816,Noncdm Charge Record Medical Supplies,16.33,8.16,,,0 CDM,308317,Noncdm Charge Record Medical Supplies,473.8,236.9,,,0 CDM,308329,Noncdm Charge Record Medical Supplies,2257.45,1128.72,,,0 CDM,308404,Noncdm Charge Record Medical Supplies,7.44,3.72,,,0 CDM,30847,Noncdm Charge Record Medical Supplies,5.8,2.9,,,0 CDM,308573,Noncdm Charge Record Medical Supplies,1950.0,975.0,,,0 CDM,308580,Noncdm Charge Record Medical Supplies,1679.0,839.5,,,0 CDM,30865,Noncdm Charge Record Medical Supplies,5.38,2.69,,,0 CDM,30867,Noncdm Charge Record Medical Supplies,13.25,6.62,,,0 CDM,30873,Noncdm Charge Record Medical Supplies,21.23,10.62,,,0 CDM,30874,Noncdm Charge Record Medical Supplies,5.73,2.86,,,0 CDM,308782,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,30888,Noncdm Charge Record Medical Supplies,177.33,88.66,,,0 CDM,308912,Noncdm Charge Record Medical Supplies,1950.0,975.0,,,0 CDM,308916,Noncdm Charge Record Medical Supplies,1950.0,975.0,,,0 CDM,308928,Noncdm Charge Record Medical Supplies,920.0,460.0,,,0 CDM,308951,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,30902,Noncdm Charge Record Medical Supplies,176.54,88.27,,,0 CDM,309062,Noncdm Charge Record Medical Supplies,409.4,204.7,,,0 CDM,309063,Noncdm Charge Record Medical Supplies,368.0,184.0,,,0 CDM,309108,Noncdm Charge Record Medical Supplies,4618.43,2309.22,,,0 CDM,309109,Noncdm Charge Record Medical Supplies,1450.2,725.1,,,0 CDM,309110,Noncdm Charge Record Medical Supplies,1612.73,806.36,,,0 CDM,30914,Noncdm Charge Record Medical Supplies,179.29,89.64,,,0 CDM,30924,Noncdm Charge Record Medical Supplies,5.72,2.86,,,0 CDM,309729,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,30973,Noncdm Charge Record Medical Supplies,2.0,1.0,,,0 CDM,309760,Noncdm Charge Record Medical Supplies,2840.5,1420.25,,,0 CDM,30987,Noncdm Charge Record Medical Supplies,940.74,470.37,,,0 CDM,30992,Noncdm Charge Record Medical Supplies,5.82,2.91,,,0 CDM,30997,Noncdm Charge Record Medical Supplies,8.45,4.22,,,0 CDM,30999,Noncdm Charge Record Medical Supplies,19.97,9.98,,,0 CDM,31009,Noncdm Charge Record Medical Supplies,19.64,9.82,,,0 CDM,310135,Noncdm Charge Record Medical Supplies,2560.73,1280.36,,,0 CDM,310147,Noncdm Charge Record Medical Supplies,486.45,243.22,,,0 CDM,310164,Noncdm Charge Record Medical Supplies,2218.73,1109.36,,,0 CDM,31022,Noncdm Charge Record Medical Supplies,5.46,2.73,,,0 CDM,310474,Noncdm Charge Record Medical Supplies,2337.0,1168.5,,,0 CDM,310475,Noncdm Charge Record Medical Supplies,4664.5,2332.25,,,0 CDM,310476,Noncdm Charge Record Medical Supplies,8379.0,4189.5,,,0 CDM,310539,Noncdm Charge Record Medical Supplies,82.8,41.4,,,0 CDM,310612,Noncdm Charge Record Medical Supplies,1796.6,898.3,,,0 CDM,310613,Noncdm Charge Record Medical Supplies,1471.57,735.78,,,0 CDM,310614,Noncdm Charge Record Medical Supplies,1318.2,659.1,,,0 CDM,310893,Noncdm Charge Record Medical Supplies,1300.0,650.0,,,0 CDM,310963,Noncdm Charge Record Medical Supplies,6175.0,3087.5,,,0 CDM,31131,Noncdm Charge Record Medical Supplies,8.99,4.5,,,0 CDM,312126,Noncdm Charge Record Medical Supplies,15770.3,7885.15,,,0 CDM,312128,Noncdm Charge Record Medical Supplies,15770.3,7885.15,,,0 CDM,312148,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,312313,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,312612,Noncdm Charge Record Medical Supplies,2945.0,1472.5,,,0 CDM,312758,Noncdm Charge Record Medical Supplies,130.93,65.46,,,0 CDM,31276,Noncdm Charge Record Medical Supplies,20.19,10.1,,,0 CDM,312778,Noncdm Charge Record Medical Supplies,345.0,172.5,,,0 CDM,312780,Noncdm Charge Record Medical Supplies,1616.11,808.06,,,0 CDM,312781,Noncdm Charge Record Medical Supplies,1826.06,913.03,,,0 CDM,312824,Noncdm Charge Record Medical Supplies,1414.4,707.2,,,0 CDM,312858,Noncdm Charge Record Medical Supplies,3426.21,1713.1,,,0 CDM,312861,Noncdm Charge Record Medical Supplies,421.87,210.94,,,0 CDM,312879,Noncdm Charge Record Medical Supplies,9665.27,4832.64,,,0 CDM,312896,Noncdm Charge Record Medical Supplies,59.8,29.9,,,0 CDM,313350,Noncdm Charge Record Medical Supplies,1560.0,780.0,,,0 CDM,313373,Noncdm Charge Record Medical Supplies,94.3,47.15,,,0 CDM,313375,Noncdm Charge Record Medical Supplies,1560.0,780.0,,,0 CDM,313377,Noncdm Charge Record Medical Supplies,1817.0,908.5,,,0 CDM,313387,Noncdm Charge Record Medical Supplies,368.0,184.0,,,0 CDM,313403,Noncdm Charge Record Medical Supplies,839.5,419.75,,,0 CDM,313424,Noncdm Charge Record Medical Supplies,874.0,437.0,,,0 CDM,313430,Noncdm Charge Record Medical Supplies,269.28,134.64,,,0 CDM,313433,Noncdm Charge Record Medical Supplies,82.07,41.04,,,0 CDM,313759,Noncdm Charge Record Medical Supplies,1440.0,720.0,,,0 CDM,313760,Noncdm Charge Record Medical Supplies,1110.9,555.45,,,0 CDM,313761,Noncdm Charge Record Medical Supplies,1098.93,549.46,,,0 CDM,313762,Noncdm Charge Record Medical Supplies,1107.55,553.78,,,0 CDM,313763,Noncdm Charge Record Medical Supplies,1110.9,555.45,,,0 CDM,313770,Noncdm Charge Record Medical Supplies,5282.0,2641.0,,,0 CDM,313969,Noncdm Charge Record Medical Supplies,73.6,36.8,,,0 CDM,314010,Noncdm Charge Record Medical Supplies,3325.0,1662.5,,,0 CDM,314025,Noncdm Charge Record Medical Supplies,1535.56,767.78,,,0 CDM,314026,Noncdm Charge Record Medical Supplies,1636.04,818.02,,,0 CDM,314027,Noncdm Charge Record Medical Supplies,1535.56,767.78,,,0 CDM,314032,Noncdm Charge Record Medical Supplies,1535.56,767.78,,,0 CDM,314033,Noncdm Charge Record Medical Supplies,1736.51,868.26,,,0 CDM,314034,Noncdm Charge Record Medical Supplies,1636.04,818.02,,,0 CDM,314041,Noncdm Charge Record Medical Supplies,650.39,325.2,,,0 CDM,314043,Noncdm Charge Record Medical Supplies,650.39,325.2,,,0 CDM,314047,Noncdm Charge Record Medical Supplies,1334.0,667.0,,,0 CDM,314055,Noncdm Charge Record Medical Supplies,382.19,191.1,,,0 CDM,314067,Noncdm Charge Record Medical Supplies,1395.86,697.93,,,0 CDM,314070,Noncdm Charge Record Medical Supplies,13990.84,6995.42,,,0 CDM,314085,Noncdm Charge Record Medical Supplies,1468.84,734.42,,,0 CDM,314086,Noncdm Charge Record Medical Supplies,1660.83,830.42,,,0 CDM,314088,Noncdm Charge Record Medical Supplies,1468.84,734.42,,,0 CDM,314092,Noncdm Charge Record Medical Supplies,1468.84,734.42,,,0 CDM,314093,Noncdm Charge Record Medical Supplies,1660.83,830.42,,,0 CDM,314094,Noncdm Charge Record Medical Supplies,1517.99,759.0,,,0 CDM,314095,Noncdm Charge Record Medical Supplies,1468.84,734.42,,,0 CDM,314097,Noncdm Charge Record Medical Supplies,1395.86,697.93,,,0 CDM,314107,Noncdm Charge Record Medical Supplies,1395.86,697.93,,,0 CDM,314169,Noncdm Charge Record Medical Supplies,3372.5,1686.25,,,0 CDM,314204,Noncdm Charge Record Medical Supplies,1950.0,975.0,,,0 CDM,314205,Noncdm Charge Record Medical Supplies,3021.48,1510.74,,,0 CDM,314206,Noncdm Charge Record Medical Supplies,5700.0,2850.0,,,0 CDM,314241,Noncdm Charge Record Medical Supplies,2314.0,1157.0,,,0 CDM,314316,Noncdm Charge Record Medical Supplies,1422.74,711.37,,,0 CDM,314717,Noncdm Charge Record Medical Supplies,76.13,38.06,,,0 CDM,314789,Noncdm Charge Record Medical Supplies,33141.7,16570.85,,,0 CDM,314801,Noncdm Charge Record Medical Supplies,282.28,141.14,,,0 CDM,314803,Noncdm Charge Record Medical Supplies,677.47,338.74,,,0 CDM,314848,Noncdm Charge Record Medical Supplies,2208.0,1104.0,,,0 CDM,314849,Noncdm Charge Record Medical Supplies,1587.0,793.5,,,0 CDM,314875,Noncdm Charge Record Medical Supplies,57.27,28.64,,,0 CDM,314958,Noncdm Charge Record Medical Supplies,897.0,448.5,,,0 CDM,315509,Noncdm Charge Record Medical Supplies,1048.8,524.4,,,0 CDM,315510,Noncdm Charge Record Medical Supplies,1048.8,524.4,,,0 CDM,315511,Noncdm Charge Record Medical Supplies,1048.8,524.4,,,0 CDM,315512,Noncdm Charge Record Medical Supplies,1048.8,524.4,,,0 CDM,315513,Noncdm Charge Record Medical Supplies,1048.8,524.4,,,0 CDM,315514,Noncdm Charge Record Medical Supplies,1048.8,524.4,,,0 CDM,315515,Noncdm Charge Record Medical Supplies,1048.8,524.4,,,0 CDM,315938,Noncdm Charge Record Medical Supplies,1062.6,531.3,,,0 CDM,315952,Noncdm Charge Record Medical Supplies,72.68,36.34,,,0 CDM,315972,Noncdm Charge Record Medical Supplies,1280.33,640.16,,,0 CDM,315983,Noncdm Charge Record Medical Supplies,322.0,161.0,,,0 CDM,316000,Noncdm Charge Record Medical Supplies,38000.0,19000.0,,,0 CDM,316011,Noncdm Charge Record Medical Supplies,38000.0,19000.0,,,0 CDM,316015,Noncdm Charge Record Medical Supplies,2042.5,1021.25,,,0 CDM,316092,Noncdm Charge Record Medical Supplies,132.2,66.1,,,0 CDM,316109,Noncdm Charge Record Medical Supplies,9.83,4.92,,,0 CDM,316155,Noncdm Charge Record Medical Supplies,2587.0,1293.5,,,0 CDM,3164,Noncdm Charge Record Medical Supplies,56.4,28.2,,,0 CDM,316404,Noncdm Charge Record Medical Supplies,2658.1,1329.05,,,0 CDM,316408,Noncdm Charge Record Medical Supplies,2148.2,1074.1,,,0 CDM,316409,Noncdm Charge Record Medical Supplies,556.6,278.3,,,0 CDM,316464,Noncdm Charge Record Medical Supplies,4712.0,2356.0,,,0 CDM,316465,Noncdm Charge Record Medical Supplies,4712.0,2356.0,,,0 CDM,316487,Noncdm Charge Record Medical Supplies,4831.7,2415.85,,,0 CDM,316658,Noncdm Charge Record Medical Supplies,1610.0,805.0,,,0 CDM,316819,Noncdm Charge Record Medical Supplies,113.37,56.68,,,0 CDM,316820,Noncdm Charge Record Medical Supplies,128.15,64.08,,,0 CDM,316860,Noncdm Charge Record Medical Supplies,1003.84,501.92,,,0 CDM,316952,Noncdm Charge Record Medical Supplies,1884.22,942.11,,,0 CDM,31750,Noncdm Charge Record Medical Supplies,335.62,167.81,,,0 CDM,31752,Noncdm Charge Record Medical Supplies,143.23,71.62,,,0 CDM,317527,Noncdm Charge Record Medical Supplies,669.76,334.88,,,0 CDM,31753,Noncdm Charge Record Medical Supplies,188.22,94.11,,,0 CDM,317563,Noncdm Charge Record Medical Supplies,1430.0,715.0,,,0 CDM,317564,Noncdm Charge Record Medical Supplies,1560.0,780.0,,,0 CDM,317565,Noncdm Charge Record Medical Supplies,1610.0,805.0,,,0 CDM,317566,Noncdm Charge Record Medical Supplies,920.0,460.0,,,0 CDM,317579,Noncdm Charge Record Medical Supplies,1380.0,690.0,,,0 CDM,31766,Noncdm Charge Record Medical Supplies,186.76,93.38,,,0 CDM,317678,Noncdm Charge Record Medical Supplies,1035.0,517.5,,,0 CDM,317679,Noncdm Charge Record Medical Supplies,1035.0,517.5,,,0 CDM,317680,Noncdm Charge Record Medical Supplies,1035.0,517.5,,,0 CDM,31771,Noncdm Charge Record Medical Supplies,113.62,56.81,,,0 CDM,3178,Noncdm Charge Record Medical Supplies,7.32,3.66,,,0 CDM,317870,Noncdm Charge Record Medical Supplies,5.33,2.66,,,0 CDM,317934,Noncdm Charge Record Medical Supplies,598.0,299.0,,,0 CDM,317957,Noncdm Charge Record Medical Supplies,2185.0,1092.5,,,0 CDM,317958,Noncdm Charge Record Medical Supplies,2185.0,1092.5,,,0 CDM,318,Noncdm Charge Record Medical Supplies,335.11,167.56,,,0 CDM,318004,Noncdm Charge Record Medical Supplies,201.66,100.83,,,0 CDM,318005,Noncdm Charge Record Medical Supplies,201.66,100.83,,,0 CDM,318037,Noncdm Charge Record Medical Supplies,5850.33,2925.16,,,0 CDM,318071,Noncdm Charge Record Medical Supplies,825.32,412.66,,,0 CDM,318137,Noncdm Charge Record Medical Supplies,722.2,361.1,,,0 CDM,318224,Noncdm Charge Record Medical Supplies,1674.96,837.48,,,0 CDM,318229,Noncdm Charge Record Medical Supplies,1466.22,733.11,,,0 CDM,318235,Noncdm Charge Record Medical Supplies,356.87,178.44,,,0 CDM,318241,Noncdm Charge Record Medical Supplies,852.15,426.08,,,0 CDM,318252,Noncdm Charge Record Medical Supplies,1466.22,733.11,,,0 CDM,318255,Noncdm Charge Record Medical Supplies,1466.22,733.11,,,0 CDM,318261,Noncdm Charge Record Medical Supplies,1811.93,905.96,,,0 CDM,318262,Noncdm Charge Record Medical Supplies,1790.37,895.18,,,0 CDM,318263,Noncdm Charge Record Medical Supplies,450.33,225.16,,,0 CDM,318265,Noncdm Charge Record Medical Supplies,517.5,258.75,,,0 CDM,318266,Noncdm Charge Record Medical Supplies,2098.98,1049.49,,,0 CDM,318379,Noncdm Charge Record Medical Supplies,117.3,58.65,,,0 CDM,318738,Noncdm Charge Record Medical Supplies,795.8,397.9,,,0 CDM,318741,Noncdm Charge Record Medical Supplies,795.8,397.9,,,0 CDM,318750,Noncdm Charge Record Medical Supplies,14.46,7.23,,,0 CDM,318751,Noncdm Charge Record Medical Supplies,44.13,22.06,,,0 CDM,318773,Noncdm Charge Record Medical Supplies,3305.54,1652.77,,,0 CDM,318867,Noncdm Charge Record Medical Supplies,906.75,453.38,,,0 CDM,318888,Noncdm Charge Record Medical Supplies,218.27,109.14,,,0 CDM,318889,Noncdm Charge Record Medical Supplies,218.27,109.14,,,0 CDM,318954,Noncdm Charge Record Medical Supplies,534.66,267.33,,,0 CDM,319039,Noncdm Charge Record Medical Supplies,2448.21,1224.1,,,0 CDM,319046,Noncdm Charge Record Medical Supplies,1620.53,810.26,,,0 CDM,319304,Noncdm Charge Record Medical Supplies,30400.0,15200.0,,,0 CDM,319483,Noncdm Charge Record Medical Supplies,1204.65,602.32,,,0 CDM,319484,Noncdm Charge Record Medical Supplies,1204.65,602.32,,,0 CDM,319527,Noncdm Charge Record Medical Supplies,1541.0,770.5,,,0 CDM,319528,Noncdm Charge Record Medical Supplies,1150.0,575.0,,,0 CDM,319529,Noncdm Charge Record Medical Supplies,1150.0,575.0,,,0 CDM,319530,Noncdm Charge Record Medical Supplies,3800.0,1900.0,,,0 CDM,319531,Noncdm Charge Record Medical Supplies,3800.0,1900.0,,,0 CDM,319533,Noncdm Charge Record Medical Supplies,3800.0,1900.0,,,0 CDM,319535,Noncdm Charge Record Medical Supplies,3800.0,1900.0,,,0 CDM,319536,Noncdm Charge Record Medical Supplies,3800.0,1900.0,,,0 CDM,319537,Noncdm Charge Record Medical Supplies,3800.0,1900.0,,,0 CDM,319583,Noncdm Charge Record Medical Supplies,1560.0,780.0,,,0 CDM,319584,Noncdm Charge Record Medical Supplies,1560.0,780.0,,,0 CDM,319585,Noncdm Charge Record Medical Supplies,1560.0,780.0,,,0 CDM,319592,Noncdm Charge Record Medical Supplies,1560.0,780.0,,,0 CDM,319594,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,319596,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,319597,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,319601,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,319602,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,319604,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,319605,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,319988,Noncdm Charge Record Medical Supplies,1690.0,845.0,,,0 CDM,320016,Noncdm Charge Record Medical Supplies,1690.0,845.0,,,0 CDM,320488,Noncdm Charge Record Medical Supplies,116.82,58.41,,,0 CDM,320490,Noncdm Charge Record Medical Supplies,114.28,57.14,,,0 CDM,320500,Noncdm Charge Record Medical Supplies,368.0,184.0,,,0 CDM,320511,Noncdm Charge Record Medical Supplies,345.0,172.5,,,0 CDM,320514,Noncdm Charge Record Medical Supplies,345.0,172.5,,,0 CDM,320518,Noncdm Charge Record Medical Supplies,1051.56,525.78,,,0 CDM,320523,Noncdm Charge Record Medical Supplies,1481.2,740.6,,,0 CDM,320546,Noncdm Charge Record Medical Supplies,241.5,120.75,,,0 CDM,320558,Noncdm Charge Record Medical Supplies,69.0,34.5,,,0 CDM,320664,Noncdm Charge Record Medical Supplies,11780.0,5890.0,,,0 CDM,320668,Noncdm Charge Record Medical Supplies,3325.0,1662.5,,,0 CDM,320684,Noncdm Charge Record Medical Supplies,1916.01,958.0,,,0 CDM,320686,Noncdm Charge Record Medical Supplies,1117.78,558.89,,,0 CDM,320688,Noncdm Charge Record Medical Supplies,1135.05,567.52,,,0 CDM,320689,Noncdm Charge Record Medical Supplies,960.88,480.44,,,0 CDM,320690,Noncdm Charge Record Medical Supplies,720.59,360.3,,,0 CDM,320691,Noncdm Charge Record Medical Supplies,724.5,362.25,,,0 CDM,320692,Noncdm Charge Record Medical Supplies,841.62,420.81,,,0 CDM,320693,Noncdm Charge Record Medical Supplies,815.48,407.74,,,0 CDM,320694,Noncdm Charge Record Medical Supplies,821.25,410.62,,,0 CDM,320757,Noncdm Charge Record Medical Supplies,65.02,32.51,,,0 CDM,320759,Noncdm Charge Record Medical Supplies,63.99,32.0,,,0 CDM,320762,Noncdm Charge Record Medical Supplies,63.91,31.96,,,0 CDM,320763,Noncdm Charge Record Medical Supplies,59.8,29.9,,,0 CDM,320881,Noncdm Charge Record Medical Supplies,2574.0,1287.0,,,0 CDM,320974,Noncdm Charge Record Medical Supplies,21.28,10.64,,,0 CDM,320975,Noncdm Charge Record Medical Supplies,209.0,104.5,,,0 CDM,320989,Noncdm Charge Record Medical Supplies,6308.0,3154.0,,,0 CDM,320990,Noncdm Charge Record Medical Supplies,100.07,50.04,,,0 CDM,321074,Noncdm Charge Record Medical Supplies,527.47,263.74,,,0 CDM,321080,Noncdm Charge Record Medical Supplies,93.75,46.88,,,0 CDM,321081,Noncdm Charge Record Medical Supplies,1341.6,670.8,,,0 CDM,321083,Noncdm Charge Record Medical Supplies,695.52,347.76,,,0 CDM,321084,Noncdm Charge Record Medical Supplies,957.17,478.58,,,0 CDM,321085,Noncdm Charge Record Medical Supplies,966.0,483.0,,,0 CDM,321086,Noncdm Charge Record Medical Supplies,966.0,483.0,,,0 CDM,321087,Noncdm Charge Record Medical Supplies,966.0,483.0,,,0 CDM,321088,Noncdm Charge Record Medical Supplies,3800.0,1900.0,,,0 CDM,321090,Noncdm Charge Record Medical Supplies,2206.62,1103.31,,,0 CDM,321091,Noncdm Charge Record Medical Supplies,815.68,407.84,,,0 CDM,321388,Noncdm Charge Record Medical Supplies,194.16,97.08,,,0 CDM,321389,Noncdm Charge Record Medical Supplies,194.12,97.06,,,0 CDM,321391,Noncdm Charge Record Medical Supplies,184.0,92.0,,,0 CDM,321392,Noncdm Charge Record Medical Supplies,195.08,97.54,,,0 CDM,321424,Noncdm Charge Record Medical Supplies,531.3,265.65,,,0 CDM,321454,Noncdm Charge Record Medical Supplies,531.3,265.65,,,0 CDM,321458,Noncdm Charge Record Medical Supplies,249.83,124.92,,,0 CDM,321459,Noncdm Charge Record Medical Supplies,377.55,188.78,,,0 CDM,32176,Noncdm Charge Record Medical Supplies,132.45,66.22,,,0 CDM,321826,Noncdm Charge Record Medical Supplies,1099.4,549.7,,,0 CDM,32183,Noncdm Charge Record Medical Supplies,9.53,4.76,,,0 CDM,32186,Noncdm Charge Record Medical Supplies,6.51,3.26,,,0 CDM,32188,Noncdm Charge Record Medical Supplies,5.61,2.8,,,0 CDM,321912,Noncdm Charge Record Medical Supplies,542.8,271.4,,,0 CDM,321935,Noncdm Charge Record Medical Supplies,26.59,13.3,,,0 CDM,321975,Noncdm Charge Record Medical Supplies,292.7,146.35,,,0 CDM,321999,Noncdm Charge Record Medical Supplies,211.69,105.84,,,0 CDM,32201,Noncdm Charge Record Medical Supplies,39.21,19.6,,,0 CDM,32202,Noncdm Charge Record Medical Supplies,38.21,19.1,,,0 CDM,32203,Noncdm Charge Record Medical Supplies,40.48,20.24,,,0 CDM,322076,Noncdm Charge Record Medical Supplies,684.02,342.01,,,0 CDM,322077,Noncdm Charge Record Medical Supplies,197.8,98.9,,,0 CDM,322078,Noncdm Charge Record Medical Supplies,220.8,110.4,,,0 CDM,322079,Noncdm Charge Record Medical Supplies,220.8,110.4,,,0 CDM,32210,Noncdm Charge Record Medical Supplies,21.3,10.65,,,0 CDM,32212,Noncdm Charge Record Medical Supplies,20.99,10.5,,,0 CDM,32213,Noncdm Charge Record Medical Supplies,17.46,8.73,,,0 CDM,32214,Noncdm Charge Record Medical Supplies,18.86,9.43,,,0 CDM,32219,Noncdm Charge Record Medical Supplies,7.11,3.56,,,0 CDM,322208,Noncdm Charge Record Medical Supplies,1533.33,766.66,,,0 CDM,322210,Noncdm Charge Record Medical Supplies,184.09,92.04,,,0 CDM,322228,Noncdm Charge Record Medical Supplies,2877.55,1438.78,,,0 CDM,32227,Noncdm Charge Record Medical Supplies,11.36,5.68,,,0 CDM,32235,Noncdm Charge Record Medical Supplies,59.46,29.73,,,0 CDM,32236,Noncdm Charge Record Medical Supplies,87.4,43.7,,,0 CDM,32238,Noncdm Charge Record Medical Supplies,1777.39,888.7,,,0 CDM,32260,Noncdm Charge Record Medical Supplies,1685.53,842.76,,,0 CDM,32274,Noncdm Charge Record Medical Supplies,132.45,66.22,,,0 CDM,323022,Noncdm Charge Record Medical Supplies,920.0,460.0,,,0 CDM,323122,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,323123,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,323126,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,323127,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,323128,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,323323,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,323351,Noncdm Charge Record Medical Supplies,2080.0,1040.0,,,0 CDM,323357,Noncdm Charge Record Medical Supplies,2080.0,1040.0,,,0 CDM,323358,Noncdm Charge Record Medical Supplies,2080.0,1040.0,,,0 CDM,323359,Noncdm Charge Record Medical Supplies,2080.0,1040.0,,,0 CDM,323364,Noncdm Charge Record Medical Supplies,2080.0,1040.0,,,0 CDM,32387,Noncdm Charge Record Medical Supplies,38.24,19.12,,,0 CDM,323913,Noncdm Charge Record Medical Supplies,1690.0,845.0,,,0 CDM,323914,Noncdm Charge Record Medical Supplies,1690.0,845.0,,,0 CDM,324382,Noncdm Charge Record Medical Supplies,108.74,54.37,,,0 CDM,324383,Noncdm Charge Record Medical Supplies,674.64,337.32,,,0 CDM,324464,Noncdm Charge Record Medical Supplies,966.0,483.0,,,0 CDM,324467,Noncdm Charge Record Medical Supplies,966.0,483.0,,,0 CDM,324895,Noncdm Charge Record Medical Supplies,97.03,48.52,,,0 CDM,324896,Noncdm Charge Record Medical Supplies,220.06,110.03,,,0 CDM,324897,Noncdm Charge Record Medical Supplies,210.53,105.26,,,0 CDM,324898,Noncdm Charge Record Medical Supplies,402.38,201.19,,,0 CDM,324899,Noncdm Charge Record Medical Supplies,166.2,83.1,,,0 CDM,325087,Noncdm Charge Record Medical Supplies,2080.0,1040.0,,,0 CDM,325122,Noncdm Charge Record Medical Supplies,345.0,172.5,,,0 CDM,325129,Noncdm Charge Record Medical Supplies,345.0,172.5,,,0 CDM,32541,Noncdm Charge Record Medical Supplies,158.94,79.47,,,0 CDM,32544,Noncdm Charge Record Medical Supplies,158.94,79.47,,,0 CDM,32545,Noncdm Charge Record Medical Supplies,317.91,158.96,,,0 CDM,32554,Noncdm Charge Record Medical Supplies,339.88,169.94,,,0 CDM,32555,Noncdm Charge Record Medical Supplies,151.7,75.85,,,0 CDM,32556,Noncdm Charge Record Medical Supplies,317.91,158.96,,,0 CDM,325621,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,325669,Noncdm Charge Record Medical Supplies,33297.5,16648.75,,,0 CDM,325671,Noncdm Charge Record Medical Supplies,345.0,172.5,,,0 CDM,325676,Noncdm Charge Record Medical Supplies,345.0,172.5,,,0 CDM,325688,Noncdm Charge Record Medical Supplies,37905.0,18952.5,,,0 CDM,325726,Noncdm Charge Record Medical Supplies,531.3,265.65,,,0 CDM,32574,Noncdm Charge Record Medical Supplies,173.41,86.7,,,0 CDM,326346,Noncdm Charge Record Medical Supplies,1440.08,720.04,,,0 CDM,326347,Noncdm Charge Record Medical Supplies,1639.82,819.91,,,0 CDM,326635,Noncdm Charge Record Medical Supplies,524.4,262.2,,,0 CDM,326636,Noncdm Charge Record Medical Supplies,524.4,262.2,,,0 CDM,326770,Noncdm Charge Record Medical Supplies,1385.8,692.9,,,0 CDM,326773,Noncdm Charge Record Medical Supplies,1493.83,746.92,,,0 CDM,326779,Noncdm Charge Record Medical Supplies,987.36,493.68,,,0 CDM,326785,Noncdm Charge Record Medical Supplies,1430.0,715.0,,,0 CDM,326788,Noncdm Charge Record Medical Supplies,1672.57,836.28,,,0 CDM,326799,Noncdm Charge Record Medical Supplies,137.89,68.94,,,0 CDM,326800,Noncdm Charge Record Medical Supplies,133.29,66.64,,,0 CDM,326801,Noncdm Charge Record Medical Supplies,60.7,30.35,,,0 CDM,326802,Noncdm Charge Record Medical Supplies,137.89,68.94,,,0 CDM,326845,Noncdm Charge Record Medical Supplies,12682.5,6341.25,,,0 CDM,326978,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,326979,Noncdm Charge Record Medical Supplies,1587.0,793.5,,,0 CDM,326984,Noncdm Charge Record Medical Supplies,1560.0,780.0,,,0 CDM,326994,Noncdm Charge Record Medical Supplies,2069.1,1034.55,,,0 CDM,326996,Noncdm Charge Record Medical Supplies,2035.45,1017.72,,,0 CDM,326999,Noncdm Charge Record Medical Supplies,1055.7,527.85,,,0 CDM,327000,Noncdm Charge Record Medical Supplies,1055.7,527.85,,,0 CDM,327005,Noncdm Charge Record Medical Supplies,1456.16,728.08,,,0 CDM,327056,Noncdm Charge Record Medical Supplies,1959.45,979.72,,,0 CDM,32734,Noncdm Charge Record Medical Supplies,1412.32,706.16,,,0 CDM,327493,Noncdm Charge Record Medical Supplies,3372.5,1686.25,,,0 CDM,327561,Noncdm Charge Record Medical Supplies,904.18,452.09,,,0 CDM,327563,Noncdm Charge Record Medical Supplies,904.18,452.09,,,0 CDM,327565,Noncdm Charge Record Medical Supplies,904.18,452.09,,,0 CDM,327583,Noncdm Charge Record Medical Supplies,904.18,452.09,,,0 CDM,327601,Noncdm Charge Record Medical Supplies,1037.49,518.74,,,0 CDM,327609,Noncdm Charge Record Medical Supplies,904.18,452.09,,,0 CDM,327613,Noncdm Charge Record Medical Supplies,904.18,452.09,,,0 CDM,32764,Noncdm Charge Record Medical Supplies,11.07,5.54,,,0 CDM,32765,Noncdm Charge Record Medical Supplies,26.08,13.04,,,0 CDM,327727,Noncdm Charge Record Medical Supplies,904.18,452.09,,,0 CDM,327817,Noncdm Charge Record Medical Supplies,3562.73,1781.36,,,0 CDM,327847,Noncdm Charge Record Medical Supplies,3562.73,1781.36,,,0 CDM,32789,Noncdm Charge Record Medical Supplies,200.77,100.38,,,0 CDM,328016,Noncdm Charge Record Medical Supplies,10659.0,5329.5,,,0 CDM,328018,Noncdm Charge Record Medical Supplies,3192.0,1596.0,,,0 CDM,328071,Noncdm Charge Record Medical Supplies,1656.0,828.0,,,0 CDM,328084,Noncdm Charge Record Medical Supplies,2470.0,1235.0,,,0 CDM,328087,Noncdm Charge Record Medical Supplies,2705.6,1352.8,,,0 CDM,328088,Noncdm Charge Record Medical Supplies,1104.0,552.0,,,0 CDM,328090,Noncdm Charge Record Medical Supplies,6365.0,3182.5,,,0 CDM,328136,Noncdm Charge Record Medical Supplies,4005.2,2002.6,,,0 CDM,328142,Noncdm Charge Record Medical Supplies,1495.0,747.5,,,0 CDM,328144,Noncdm Charge Record Medical Supplies,8415.1,4207.55,,,0 CDM,328158,Noncdm Charge Record Medical Supplies,1380.0,690.0,,,0 CDM,328171,Noncdm Charge Record Medical Supplies,2080.88,1040.44,,,0 CDM,328186,Noncdm Charge Record Medical Supplies,547.4,273.7,,,0 CDM,328205,Noncdm Charge Record Medical Supplies,1847.82,923.91,,,0 CDM,328214,Noncdm Charge Record Medical Supplies,593.54,296.77,,,0 CDM,328265,Noncdm Charge Record Medical Supplies,2028.0,1014.0,,,0 CDM,32830,Noncdm Charge Record Medical Supplies,920.0,460.0,,,0 CDM,328454,Noncdm Charge Record Medical Supplies,208.84,104.42,,,0 CDM,328455,Noncdm Charge Record Medical Supplies,208.84,104.42,,,0 CDM,328456,Noncdm Charge Record Medical Supplies,208.84,104.42,,,0 CDM,328458,Noncdm Charge Record Medical Supplies,226.5,113.25,,,0 CDM,328464,Noncdm Charge Record Medical Supplies,192.97,96.48,,,0 CDM,328671,Noncdm Charge Record Medical Supplies,552.0,276.0,,,0 CDM,328685,Noncdm Charge Record Medical Supplies,1887.6,943.8,,,0 CDM,328690,Noncdm Charge Record Medical Supplies,1887.6,943.8,,,0 CDM,328693,Noncdm Charge Record Medical Supplies,1887.6,943.8,,,0 CDM,328695,Noncdm Charge Record Medical Supplies,2087.25,1043.62,,,0 CDM,328704,Noncdm Charge Record Medical Supplies,1461.1,730.55,,,0 CDM,328713,Noncdm Charge Record Medical Supplies,2500.16,1250.08,,,0 CDM,32873,Noncdm Charge Record Medical Supplies,17.63,8.82,,,0 CDM,328850,Noncdm Charge Record Medical Supplies,1679.0,839.5,,,0 CDM,328851,Noncdm Charge Record Medical Supplies,2565.0,1282.5,,,0 CDM,328916,Noncdm Charge Record Medical Supplies,2280.0,1140.0,,,0 CDM,32895,Noncdm Charge Record Medical Supplies,436.39,218.2,,,0 CDM,328954,Noncdm Charge Record Medical Supplies,4560.0,2280.0,,,0 CDM,328960,Noncdm Charge Record Medical Supplies,1309.97,654.98,,,0 CDM,328961,Noncdm Charge Record Medical Supplies,1309.97,654.98,,,0 CDM,328963,Noncdm Charge Record Medical Supplies,1304.0,652.0,,,0 CDM,328979,Noncdm Charge Record Medical Supplies,331.2,165.6,,,0 CDM,328981,Noncdm Charge Record Medical Supplies,3325.0,1662.5,,,0 CDM,328985,Noncdm Charge Record Medical Supplies,1266.93,633.46,,,0 CDM,328987,Noncdm Charge Record Medical Supplies,1345.5,672.75,,,0 CDM,32904,Noncdm Charge Record Medical Supplies,168.48,84.24,,,0 CDM,32910,Noncdm Charge Record Medical Supplies,32.38,16.19,,,0 CDM,329129,Noncdm Charge Record Medical Supplies,1104.0,552.0,,,0 CDM,329132,Noncdm Charge Record Medical Supplies,1560.0,780.0,,,0 CDM,329134,Noncdm Charge Record Medical Supplies,1560.0,780.0,,,0 CDM,329143,Noncdm Charge Record Medical Supplies,3103.65,1551.82,,,0 CDM,329146,Noncdm Charge Record Medical Supplies,1887.6,943.8,,,0 CDM,329151,Noncdm Charge Record Medical Supplies,2069.1,1034.55,,,0 CDM,329154,Noncdm Charge Record Medical Supplies,1950.0,975.0,,,0 CDM,32917,Noncdm Charge Record Medical Supplies,43.52,21.76,,,0 CDM,329187,Noncdm Charge Record Medical Supplies,1545.6,772.8,,,0 CDM,329239,Noncdm Charge Record Medical Supplies,2263.73,1131.86,,,0 CDM,329240,Noncdm Charge Record Medical Supplies,628.67,314.34,,,0 CDM,329330,Noncdm Charge Record Medical Supplies,1573.0,786.5,,,0 CDM,329348,Noncdm Charge Record Medical Supplies,1656.0,828.0,,,0 CDM,329559,Noncdm Charge Record Medical Supplies,2535.0,1267.5,,,0 CDM,329560,Noncdm Charge Record Medical Supplies,2535.0,1267.5,,,0 CDM,32969,Noncdm Charge Record Medical Supplies,295.23,147.62,,,0 CDM,32972,Noncdm Charge Record Medical Supplies,590.64,295.32,,,0 CDM,329804,Noncdm Charge Record Medical Supplies,2069.1,1034.55,,,0 CDM,329806,Noncdm Charge Record Medical Supplies,2069.1,1034.55,,,0 CDM,32984,Noncdm Charge Record Medical Supplies,968.39,484.2,,,0 CDM,330064,Noncdm Charge Record Medical Supplies,146.05,73.02,,,0 CDM,33019,Noncdm Charge Record Medical Supplies,852.2,426.1,,,0 CDM,33020,Noncdm Charge Record Medical Supplies,1815.68,907.84,,,0 CDM,33023,Noncdm Charge Record Medical Supplies,1398.4,699.2,,,0 CDM,33027,Noncdm Charge Record Medical Supplies,336.77,168.38,,,0 CDM,33028,Noncdm Charge Record Medical Supplies,613.85,306.92,,,0 CDM,33029,Noncdm Charge Record Medical Supplies,62.7,31.35,,,0 CDM,330362,Noncdm Charge Record Medical Supplies,2441.5,1220.75,,,0 CDM,330385,Noncdm Charge Record Medical Supplies,2070.0,1035.0,,,0 CDM,330391,Noncdm Charge Record Medical Supplies,25.35,12.68,,,0 CDM,330393,Noncdm Charge Record Medical Supplies,25.35,12.68,,,0 CDM,330394,Noncdm Charge Record Medical Supplies,20.29,10.14,,,0 CDM,330430,Noncdm Charge Record Medical Supplies,253.0,126.5,,,0 CDM,330431,Noncdm Charge Record Medical Supplies,253.0,126.5,,,0 CDM,33045,Noncdm Charge Record Medical Supplies,33.72,16.86,,,0 CDM,330507,Noncdm Charge Record Medical Supplies,920.0,460.0,,,0 CDM,33052,Noncdm Charge Record Medical Supplies,4.72,2.36,,,0 CDM,33053,Noncdm Charge Record Medical Supplies,7.54,3.77,,,0 CDM,330535,Noncdm Charge Record Medical Supplies,1887.6,943.8,,,0 CDM,330536,Noncdm Charge Record Medical Supplies,2069.1,1034.55,,,0 CDM,33054,Noncdm Charge Record Medical Supplies,8.69,4.34,,,0 CDM,330556,Noncdm Charge Record Medical Supplies,1690.0,845.0,,,0 CDM,330559,Noncdm Charge Record Medical Supplies,373.75,186.88,,,0 CDM,330572,Noncdm Charge Record Medical Supplies,172.77,86.38,,,0 CDM,330586,Noncdm Charge Record Medical Supplies,84.57,42.28,,,0 CDM,33059,Noncdm Charge Record Medical Supplies,72.45,36.22,,,0 CDM,330594,Noncdm Charge Record Medical Supplies,91.0,45.5,,,0 CDM,330599,Noncdm Charge Record Medical Supplies,529.0,264.5,,,0 CDM,33060,Noncdm Charge Record Medical Supplies,28.75,14.38,,,0 CDM,330606,Noncdm Charge Record Medical Supplies,391.0,195.5,,,0 CDM,330608,Noncdm Charge Record Medical Supplies,621.0,310.5,,,0 CDM,330609,Noncdm Charge Record Medical Supplies,621.0,310.5,,,0 CDM,330621,Noncdm Charge Record Medical Supplies,621.0,310.5,,,0 CDM,33066,Noncdm Charge Record Medical Supplies,152.58,76.29,,,0 CDM,33071,Noncdm Charge Record Medical Supplies,88.18,44.09,,,0 CDM,330843,Noncdm Charge Record Medical Supplies,1357.0,678.5,,,0 CDM,330844,Noncdm Charge Record Medical Supplies,1357.0,678.5,,,0 CDM,3309,Noncdm Charge Record Medical Supplies,17.51,8.76,,,0 CDM,330925,Noncdm Charge Record Medical Supplies,529.0,264.5,,,0 CDM,330949,Noncdm Charge Record Medical Supplies,2275.0,1137.5,,,0 CDM,330964,Noncdm Charge Record Medical Supplies,391.0,195.5,,,0 CDM,330973,Noncdm Charge Record Medical Supplies,391.0,195.5,,,0 CDM,330990,Noncdm Charge Record Medical Supplies,7600.0,3800.0,,,0 CDM,331161,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,331177,Noncdm Charge Record Medical Supplies,345.0,172.5,,,0 CDM,331290,Noncdm Charge Record Medical Supplies,1368.5,684.25,,,0 CDM,331291,Noncdm Charge Record Medical Supplies,1368.5,684.25,,,0 CDM,331292,Noncdm Charge Record Medical Supplies,1368.5,684.25,,,0 CDM,331407,Noncdm Charge Record Medical Supplies,2080.0,1040.0,,,0 CDM,33141,Noncdm Charge Record Medical Supplies,981.08,490.54,,,0 CDM,331473,Noncdm Charge Record Medical Supplies,345.0,172.5,,,0 CDM,331474,Noncdm Charge Record Medical Supplies,345.0,172.5,,,0 CDM,331504,Noncdm Charge Record Medical Supplies,2757.89,1378.94,,,0 CDM,331506,Noncdm Charge Record Medical Supplies,3003.9,1501.95,,,0 CDM,331533,Noncdm Charge Record Medical Supplies,906.75,453.38,,,0 CDM,331556,Noncdm Charge Record Medical Supplies,3305.54,1652.77,,,0 CDM,331567,Noncdm Charge Record Medical Supplies,3578.08,1789.04,,,0 CDM,331576,Noncdm Charge Record Medical Supplies,218.27,109.14,,,0 CDM,33159,Noncdm Charge Record Medical Supplies,250.52,125.26,,,0 CDM,331593,Noncdm Charge Record Medical Supplies,1196.0,598.0,,,0 CDM,331604,Noncdm Charge Record Medical Supplies,1325.61,662.8,,,0 CDM,331608,Noncdm Charge Record Medical Supplies,1581.3,790.65,,,0 CDM,33161,Noncdm Charge Record Medical Supplies,250.52,125.26,,,0 CDM,33162,Noncdm Charge Record Medical Supplies,1501.34,750.67,,,0 CDM,331664,Noncdm Charge Record Medical Supplies,1883.7,941.85,,,0 CDM,331671,Noncdm Charge Record Medical Supplies,1466.22,733.11,,,0 CDM,331735,Noncdm Charge Record Medical Supplies,57000.0,28500.0,,,0 CDM,331737,Noncdm Charge Record Medical Supplies,4009.0,2004.5,,,0 CDM,331738,Noncdm Charge Record Medical Supplies,4009.0,2004.5,,,0 CDM,331739,Noncdm Charge Record Medical Supplies,1794.0,897.0,,,0 CDM,331740,Noncdm Charge Record Medical Supplies,1794.0,897.0,,,0 CDM,331897,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,331903,Noncdm Charge Record Medical Supplies,12.04,6.02,,,0 CDM,331904,Noncdm Charge Record Medical Supplies,26.96,13.48,,,0 CDM,331905,Noncdm Charge Record Medical Supplies,360.64,180.32,,,0 CDM,331923,Noncdm Charge Record Medical Supplies,2033.01,1016.5,,,0 CDM,331991,Noncdm Charge Record Medical Supplies,2327.0,1163.5,,,0 CDM,331992,Noncdm Charge Record Medical Supplies,557.19,278.6,,,0 CDM,331996,Noncdm Charge Record Medical Supplies,161.0,80.5,,,0 CDM,3335,Noncdm Charge Record Medical Supplies,19.32,9.66,,,0 CDM,334,Noncdm Charge Record Medical Supplies,2.0,1.0,,,0 CDM,3340,Noncdm Charge Record Medical Supplies,20.19,10.1,,,0 CDM,3352,Noncdm Charge Record Medical Supplies,16.43,8.22,,,0 CDM,3355,Noncdm Charge Record Medical Supplies,15.96,7.98,,,0 CDM,3362,Noncdm Charge Record Medical Supplies,17.97,8.98,,,0 CDM,343,Noncdm Charge Record Medical Supplies,13.06,6.53,,,0 CDM,35210,Noncdm Charge Record Medical Supplies,58.19,29.1,,,0 CDM,35340,Noncdm Charge Record Medical Supplies,50.76,25.38,,,0 CDM,35343,Noncdm Charge Record Medical Supplies,2245.89,1122.94,,,0 CDM,35378,Noncdm Charge Record Medical Supplies,133.22,66.61,,,0 CDM,35395,Noncdm Charge Record Medical Supplies,695.98,347.99,,,0 CDM,35396,Noncdm Charge Record Medical Supplies,66.7,33.35,,,0 CDM,35504,Noncdm Charge Record Medical Supplies,358.8,179.4,,,0 CDM,35505,Noncdm Charge Record Medical Supplies,383.92,191.96,,,0 CDM,35533,Noncdm Charge Record Medical Supplies,437.0,218.5,,,0 CDM,35640,Noncdm Charge Record Medical Supplies,67.54,33.77,,,0 CDM,35642,Noncdm Charge Record Medical Supplies,141.8,70.9,,,0 CDM,35658,Noncdm Charge Record Medical Supplies,13.57,6.78,,,0 CDM,35830,Noncdm Charge Record Medical Supplies,83.17,41.58,,,0 CDM,35831,Noncdm Charge Record Medical Supplies,133.13,66.56,,,0 CDM,35832,Noncdm Charge Record Medical Supplies,114.79,57.4,,,0 CDM,35833,Noncdm Charge Record Medical Supplies,83.17,41.58,,,0 CDM,35834,Noncdm Charge Record Medical Supplies,91.94,45.97,,,0 CDM,35835,Noncdm Charge Record Medical Supplies,97.48,48.74,,,0 CDM,35836,Noncdm Charge Record Medical Supplies,83.17,41.58,,,0 CDM,35837,Noncdm Charge Record Medical Supplies,83.17,41.58,,,0 CDM,35838,Noncdm Charge Record Medical Supplies,83.17,41.58,,,0 CDM,35839,Noncdm Charge Record Medical Supplies,83.17,41.58,,,0 CDM,35840,Noncdm Charge Record Medical Supplies,83.17,41.58,,,0 CDM,35841,Noncdm Charge Record Medical Supplies,83.17,41.58,,,0 CDM,35842,Noncdm Charge Record Medical Supplies,83.17,41.58,,,0 CDM,35843,Noncdm Charge Record Medical Supplies,83.17,41.58,,,0 CDM,35844,Noncdm Charge Record Medical Supplies,83.17,41.58,,,0 CDM,35845,Noncdm Charge Record Medical Supplies,83.17,41.58,,,0 CDM,35847,Noncdm Charge Record Medical Supplies,67.3,33.65,,,0 CDM,35851,Noncdm Charge Record Medical Supplies,711.85,355.92,,,0 CDM,35857,Noncdm Charge Record Medical Supplies,958.79,479.4,,,0 CDM,35858,Noncdm Charge Record Medical Supplies,932.65,466.32,,,0 CDM,35859,Noncdm Charge Record Medical Supplies,1011.08,505.54,,,0 CDM,35860,Noncdm Charge Record Medical Supplies,932.65,466.32,,,0 CDM,35863,Noncdm Charge Record Medical Supplies,932.65,466.32,,,0 CDM,35932,Noncdm Charge Record Medical Supplies,111.46,55.73,,,0 CDM,35933,Noncdm Charge Record Medical Supplies,175.89,87.94,,,0 CDM,35936,Noncdm Charge Record Medical Supplies,362.79,181.4,,,0 CDM,35939,Noncdm Charge Record Medical Supplies,1638.02,819.01,,,0 CDM,35940,Noncdm Charge Record Medical Supplies,1647.22,823.61,,,0 CDM,359644,Noncdm Charge Record Medical Supplies,3040.0,1520.0,,,0 CDM,359645,Noncdm Charge Record Medical Supplies,3040.0,1520.0,,,0 CDM,359690,Noncdm Charge Record Medical Supplies,73.6,36.8,,,0 CDM,359691,Noncdm Charge Record Medical Supplies,92.0,46.0,,,0 CDM,359693,Noncdm Charge Record Medical Supplies,92.0,46.0,,,0 CDM,359696,Noncdm Charge Record Medical Supplies,2991.15,1495.58,,,0 CDM,359700,Noncdm Charge Record Medical Supplies,3271.02,1635.51,,,0 CDM,359704,Noncdm Charge Record Medical Supplies,105.8,52.9,,,0 CDM,359707,Noncdm Charge Record Medical Supplies,1404.0,702.0,,,0 CDM,359708,Noncdm Charge Record Medical Supplies,1137.12,568.56,,,0 CDM,359711,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,359712,Noncdm Charge Record Medical Supplies,1483.94,741.97,,,0 CDM,359714,Noncdm Charge Record Medical Supplies,575.0,287.5,,,0 CDM,359715,Noncdm Charge Record Medical Supplies,1341.67,670.84,,,0 CDM,359717,Noncdm Charge Record Medical Supplies,1403.0,701.5,,,0 CDM,359752,Noncdm Charge Record Medical Supplies,1736.51,868.26,,,0 CDM,359753,Noncdm Charge Record Medical Supplies,6175.0,3087.5,,,0 CDM,359756,Noncdm Charge Record Medical Supplies,6175.0,3087.5,,,0 CDM,35976,Noncdm Charge Record Medical Supplies,1019.13,509.56,,,0 CDM,35977,Noncdm Charge Record Medical Supplies,996.7,498.35,,,0 CDM,359806,Noncdm Charge Record Medical Supplies,680.8,340.4,,,0 CDM,359813,Noncdm Charge Record Medical Supplies,1866.15,933.08,,,0 CDM,359847,Noncdm Charge Record Medical Supplies,1131.81,565.9,,,0 CDM,359853,Noncdm Charge Record Medical Supplies,1054.22,527.11,,,0 CDM,359857,Noncdm Charge Record Medical Supplies,2650.5,1325.25,,,0 CDM,35996,Noncdm Charge Record Medical Supplies,101.48,50.74,,,0 CDM,36214,Noncdm Charge Record Medical Supplies,310.26,155.13,,,0 CDM,3648,Noncdm Charge Record Medical Supplies,118.37,59.18,,,0 CDM,36577,Noncdm Charge Record Medical Supplies,58.19,29.1,,,0 CDM,36592,Noncdm Charge Record Medical Supplies,473.8,236.9,,,0 CDM,36646,Noncdm Charge Record Medical Supplies,2.89,1.44,,,0 CDM,36647,Noncdm Charge Record Medical Supplies,22.87,11.44,,,0 CDM,36675,Noncdm Charge Record Medical Supplies,9.49,4.74,,,0 CDM,36714,Noncdm Charge Record Medical Supplies,42.68,21.34,,,0 CDM,36840,Noncdm Charge Record Medical Supplies,20.7,10.35,,,0 CDM,36880,Noncdm Charge Record Medical Supplies,397.16,198.58,,,0 CDM,36881,Noncdm Charge Record Medical Supplies,163.88,81.94,,,0 CDM,36882,Noncdm Charge Record Medical Supplies,271.96,135.98,,,0 CDM,36883,Noncdm Charge Record Medical Supplies,228.93,114.46,,,0 CDM,36884,Noncdm Charge Record Medical Supplies,1489.39,744.7,,,0 CDM,36885,Noncdm Charge Record Medical Supplies,77.79,38.9,,,0 CDM,36886,Noncdm Charge Record Medical Supplies,875.72,437.86,,,0 CDM,36887,Noncdm Charge Record Medical Supplies,334.51,167.26,,,0 CDM,36888,Noncdm Charge Record Medical Supplies,288.87,144.44,,,0 CDM,36890,Noncdm Charge Record Medical Supplies,178.67,89.34,,,0 CDM,36891,Noncdm Charge Record Medical Supplies,135.92,67.96,,,0 CDM,36892,Noncdm Charge Record Medical Supplies,334.24,167.12,,,0 CDM,36893,Noncdm Charge Record Medical Supplies,149.67,74.84,,,0 CDM,36895,Noncdm Charge Record Medical Supplies,390.51,195.26,,,0 CDM,36896,Noncdm Charge Record Medical Supplies,818.05,409.02,,,0 CDM,36897,Noncdm Charge Record Medical Supplies,271.0,135.5,,,0 CDM,36898,Noncdm Charge Record Medical Supplies,267.41,133.7,,,0 CDM,36902,Noncdm Charge Record Medical Supplies,839.57,419.78,,,0 CDM,36903,Noncdm Charge Record Medical Supplies,220.15,110.08,,,0 CDM,36904,Noncdm Charge Record Medical Supplies,180.25,90.12,,,0 CDM,36906,Noncdm Charge Record Medical Supplies,239.53,119.76,,,0 CDM,36907,Noncdm Charge Record Medical Supplies,260.53,130.26,,,0 CDM,36916,Noncdm Charge Record Medical Supplies,7.36,3.68,,,0 CDM,37056,Noncdm Charge Record Medical Supplies,45.69,22.84,,,0 CDM,37110,Noncdm Charge Record Medical Supplies,43.52,21.76,,,0 CDM,37112,Noncdm Charge Record Medical Supplies,43.52,21.76,,,0 CDM,37113,Noncdm Charge Record Medical Supplies,43.52,21.76,,,0 CDM,37115,Noncdm Charge Record Medical Supplies,43.52,21.76,,,0 CDM,37207,Noncdm Charge Record Medical Supplies,38.69,19.34,,,0 CDM,37430,Noncdm Charge Record Medical Supplies,715.02,357.51,,,0 CDM,37561,Noncdm Charge Record Medical Supplies,41.19,20.6,,,0 CDM,3764,Noncdm Charge Record Medical Supplies,15.9,7.95,,,0 CDM,37708,Noncdm Charge Record Medical Supplies,358.2,179.1,,,0 CDM,37709,Noncdm Charge Record Medical Supplies,606.92,303.46,,,0 CDM,37715,Noncdm Charge Record Medical Supplies,606.92,303.46,,,0 CDM,37719,Noncdm Charge Record Medical Supplies,703.03,351.52,,,0 CDM,37721,Noncdm Charge Record Medical Supplies,700.82,350.41,,,0 CDM,37734,Noncdm Charge Record Medical Supplies,302.5,151.25,,,0 CDM,37735,Noncdm Charge Record Medical Supplies,302.5,151.25,,,0 CDM,37742,Noncdm Charge Record Medical Supplies,324.0,162.0,,,0 CDM,37763,Noncdm Charge Record Medical Supplies,496.71,248.36,,,0 CDM,3786,Noncdm Charge Record Medical Supplies,16.2,8.1,,,0 CDM,37983,Noncdm Charge Record Medical Supplies,21.91,10.96,,,0 CDM,37984,Noncdm Charge Record Medical Supplies,18.61,9.3,,,0 CDM,38229,Noncdm Charge Record Medical Supplies,70.72,35.36,,,0 CDM,38231,Noncdm Charge Record Medical Supplies,2.0,1.0,,,0 CDM,38246,Noncdm Charge Record Medical Supplies,297.07,148.54,,,0 CDM,38314,Noncdm Charge Record Medical Supplies,18.98,9.49,,,0 CDM,38510,Noncdm Charge Record Medical Supplies,833.8,416.9,,,0 CDM,38545,Noncdm Charge Record Medical Supplies,711.85,355.92,,,0 CDM,38547,Noncdm Charge Record Medical Supplies,711.85,355.92,,,0 CDM,38548,Noncdm Charge Record Medical Supplies,711.85,355.92,,,0 CDM,38550,Noncdm Charge Record Medical Supplies,711.85,355.92,,,0 CDM,38551,Noncdm Charge Record Medical Supplies,711.85,355.92,,,0 CDM,38558,Noncdm Charge Record Medical Supplies,711.85,355.92,,,0 CDM,38560,Noncdm Charge Record Medical Supplies,766.36,383.18,,,0 CDM,38624,Noncdm Charge Record Medical Supplies,83.17,41.58,,,0 CDM,38806,Noncdm Charge Record Medical Supplies,36.39,18.2,,,0 CDM,38807,Noncdm Charge Record Medical Supplies,71.64,35.82,,,0 CDM,38808,Noncdm Charge Record Medical Supplies,55.48,27.74,,,0 CDM,38809,Noncdm Charge Record Medical Supplies,165.39,82.7,,,0 CDM,38843,Noncdm Charge Record Medical Supplies,139.55,69.78,,,0 CDM,38845,Noncdm Charge Record Medical Supplies,861.76,430.88,,,0 CDM,38846,Noncdm Charge Record Medical Supplies,861.76,430.88,,,0 CDM,38847,Noncdm Charge Record Medical Supplies,861.76,430.88,,,0 CDM,38848,Noncdm Charge Record Medical Supplies,861.76,430.88,,,0 CDM,38850,Noncdm Charge Record Medical Supplies,861.76,430.88,,,0 CDM,38871,Noncdm Charge Record Medical Supplies,217.12,108.56,,,0 CDM,39001,Noncdm Charge Record Medical Supplies,397.99,199.0,,,0 CDM,39027,Noncdm Charge Record Medical Supplies,690.51,345.26,,,0 CDM,39112,Noncdm Charge Record Medical Supplies,1000.16,500.08,,,0 CDM,39113,Noncdm Charge Record Medical Supplies,1034.77,517.38,,,0 CDM,39123,Noncdm Charge Record Medical Supplies,1700.64,850.32,,,0 CDM,39125,Noncdm Charge Record Medical Supplies,589.03,294.52,,,0 CDM,39466,Noncdm Charge Record Medical Supplies,1262.39,631.2,,,0 CDM,39497,Noncdm Charge Record Medical Supplies,54.02,27.01,,,0 CDM,3950,Noncdm Charge Record Medical Supplies,963.47,481.74,,,0 CDM,39562,Noncdm Charge Record Medical Supplies,711.85,355.92,,,0 CDM,3964,Noncdm Charge Record Medical Supplies,80.04,40.02,,,0 CDM,39649,Noncdm Charge Record Medical Supplies,932.65,466.32,,,0 CDM,39688,Noncdm Charge Record Medical Supplies,74.89,37.44,,,0 CDM,3982,Noncdm Charge Record Medical Supplies,80.04,40.02,,,0 CDM,3986,Noncdm Charge Record Medical Supplies,80.06,40.03,,,0 CDM,39885,Noncdm Charge Record Medical Supplies,190.67,95.34,,,0 CDM,39931,Noncdm Charge Record Medical Supplies,132.52,66.26,,,0 CDM,39942,Noncdm Charge Record Medical Supplies,58.19,29.1,,,0 CDM,40000000,Pace Va Medicaid Dual Rate,6154.63,3077.32,,,0 CDM,40003,Noncdm Charge Record Medical Supplies,21.33,10.66,,,0 CDM,40006,Noncdm Charge Record Medical Supplies,251.38,125.69,,,0 CDM,40048,Noncdm Charge Record Medical Supplies,499.53,249.76,,,0 CDM,40062,Noncdm Charge Record Medical Supplies,250.52,125.26,,,0 CDM,40069,Noncdm Charge Record Medical Supplies,316.71,158.36,,,0 CDM,40070,Noncdm Charge Record Medical Supplies,301.66,150.83,,,0 CDM,40074,Noncdm Charge Record Medical Supplies,238.59,119.3,,,0 CDM,40079,Noncdm Charge Record Medical Supplies,380.0,190.0,,,0 CDM,40081,Noncdm Charge Record Medical Supplies,79.76,39.88,,,0 CDM,40134,Noncdm Charge Record Medical Supplies,252.85,126.42,,,0 CDM,40346,Noncdm Charge Record Medical Supplies,73.01,36.5,,,0 CDM,40515,Noncdm Charge Record Medical Supplies,15.9,7.95,,,0 CDM,40516,Noncdm Charge Record Medical Supplies,15.01,7.5,,,0 CDM,40593,Noncdm Charge Record Medical Supplies,12.26,6.13,,,0 CDM,40601,Noncdm Charge Record Medical Supplies,48.13,24.06,,,0 CDM,40745,Noncdm Charge Record Medical Supplies,28.21,14.1,,,0 CDM,40748,Noncdm Charge Record Medical Supplies,21.74,10.87,,,0 CDM,40811,Noncdm Charge Record Medical Supplies,285.55,142.78,,,0 CDM,40812,Noncdm Charge Record Medical Supplies,171.9,85.95,,,0 CDM,40813,Noncdm Charge Record Medical Supplies,284.15,142.08,,,0 CDM,40815,Noncdm Charge Record Medical Supplies,435.8,217.9,,,0 CDM,40816,Noncdm Charge Record Medical Supplies,497.83,248.92,,,0 CDM,40817,Noncdm Charge Record Medical Supplies,188.73,94.36,,,0 CDM,40818,Noncdm Charge Record Medical Supplies,176.67,88.34,,,0 CDM,40821,Noncdm Charge Record Medical Supplies,418.57,209.28,,,0 CDM,40823,Noncdm Charge Record Medical Supplies,342.51,171.26,,,0 CDM,40824,Noncdm Charge Record Medical Supplies,375.65,187.82,,,0 CDM,40825,Noncdm Charge Record Medical Supplies,293.49,146.74,,,0 CDM,40826,Noncdm Charge Record Medical Supplies,308.47,154.24,,,0 CDM,40827,Noncdm Charge Record Medical Supplies,231.3,115.65,,,0 CDM,40828,Noncdm Charge Record Medical Supplies,547.46,273.73,,,0 CDM,40829,Noncdm Charge Record Medical Supplies,530.54,265.27,,,0 CDM,40830,Noncdm Charge Record Medical Supplies,340.01,170.0,,,0 CDM,40831,Noncdm Charge Record Medical Supplies,546.31,273.16,,,0 CDM,40849,Noncdm Charge Record Medical Supplies,460.0,230.0,,,0 CDM,4096,Noncdm Charge Record Medical Supplies,258.25,129.12,,,0 CDM,41017,Noncdm Charge Record Medical Supplies,58.03,29.02,,,0 CDM,41064,Noncdm Charge Record Medical Supplies,85.31,42.66,,,0 CDM,41065,Noncdm Charge Record Medical Supplies,71.06,35.53,,,0 CDM,41066,Noncdm Charge Record Medical Supplies,50.19,25.1,,,0 CDM,41109,Noncdm Charge Record Medical Supplies,57.59,28.8,,,0 CDM,41151,Noncdm Charge Record Medical Supplies,36.96,18.48,,,0 CDM,41229,Noncdm Charge Record Medical Supplies,3.47,1.74,,,0 CDM,41237,Noncdm Charge Record Medical Supplies,181.64,90.82,,,0 CDM,4138,Noncdm Charge Record Medical Supplies,2.19,1.1,,,0 CDM,41714,Noncdm Charge Record Medical Supplies,8.83,4.42,,,0 CDM,41727,Noncdm Charge Record Medical Supplies,68.21,34.1,,,0 CDM,41733,Noncdm Charge Record Medical Supplies,525.95,262.98,,,0 CDM,41739,Noncdm Charge Record Medical Supplies,53.29,26.64,,,0 CDM,41742,Noncdm Charge Record Medical Supplies,9.11,4.56,,,0 CDM,41744,Noncdm Charge Record Medical Supplies,49.38,24.69,,,0 CDM,41754,Noncdm Charge Record Medical Supplies,12.06,6.03,,,0 CDM,41755,Noncdm Charge Record Medical Supplies,20.99,10.5,,,0 CDM,41767,Noncdm Charge Record Medical Supplies,39.03,19.52,,,0 CDM,41769,Noncdm Charge Record Medical Supplies,39.19,19.6,,,0 CDM,41770,Noncdm Charge Record Medical Supplies,39.17,19.58,,,0 CDM,41777,Noncdm Charge Record Medical Supplies,53.57,26.78,,,0 CDM,41791,Noncdm Charge Record Medical Supplies,4.43,2.22,,,0 CDM,41793,Noncdm Charge Record Medical Supplies,8.87,4.44,,,0 CDM,41795,Noncdm Charge Record Medical Supplies,19.31,9.66,,,0 CDM,41797,Noncdm Charge Record Medical Supplies,12.24,6.12,,,0 CDM,41799,Noncdm Charge Record Medical Supplies,12.33,6.16,,,0 CDM,41802,Noncdm Charge Record Medical Supplies,10.78,5.39,,,0 CDM,41809,Noncdm Charge Record Medical Supplies,5.36,2.68,,,0 CDM,41810,Noncdm Charge Record Medical Supplies,5.36,2.68,,,0 CDM,41814,Noncdm Charge Record Medical Supplies,8.26,4.13,,,0 CDM,41815,Noncdm Charge Record Medical Supplies,7.9,3.95,,,0 CDM,41816,Noncdm Charge Record Medical Supplies,15.17,7.58,,,0 CDM,41826,Noncdm Charge Record Medical Supplies,7.3,3.65,,,0 CDM,41829,Noncdm Charge Record Medical Supplies,8.45,4.22,,,0 CDM,41830,Noncdm Charge Record Medical Supplies,8.45,4.22,,,0 CDM,41834,Noncdm Charge Record Medical Supplies,8.14,4.07,,,0 CDM,41835,Noncdm Charge Record Medical Supplies,9.12,4.56,,,0 CDM,41836,Noncdm Charge Record Medical Supplies,12.47,6.24,,,0 CDM,42117,Noncdm Charge Record Medical Supplies,1048.11,524.06,,,0 CDM,42198,Noncdm Charge Record Medical Supplies,463.07,231.54,,,0 CDM,42199,Noncdm Charge Record Medical Supplies,473.8,236.9,,,0 CDM,42229,Noncdm Charge Record Medical Supplies,100.79,50.4,,,0 CDM,42244,Noncdm Charge Record Medical Supplies,80.65,40.32,,,0 CDM,42770,Noncdm Charge Record Medical Supplies,437.0,218.5,,,0 CDM,42920,Noncdm Charge Record Medical Supplies,317.49,158.74,,,0 CDM,42944,Noncdm Charge Record Medical Supplies,76.54,38.27,,,0 CDM,42964,Noncdm Charge Record Medical Supplies,211.32,105.66,,,0 CDM,42970,Noncdm Charge Record Medical Supplies,211.32,105.66,,,0 CDM,42980,Noncdm Charge Record Medical Supplies,219.58,109.79,,,0 CDM,4303,Noncdm Charge Record Medical Supplies,27.45,13.72,,,0 CDM,43032,Noncdm Charge Record Medical Supplies,70.37,35.18,,,0 CDM,43053,Noncdm Charge Record Medical Supplies,156.81,78.4,,,0 CDM,4307,Noncdm Charge Record Medical Supplies,12.33,6.16,,,0 CDM,43195,Noncdm Charge Record Medical Supplies,57.45,28.72,,,0 CDM,43196,Noncdm Charge Record Medical Supplies,57.45,28.72,,,0 CDM,43197,Noncdm Charge Record Medical Supplies,57.45,28.72,,,0 CDM,43198,Noncdm Charge Record Medical Supplies,57.45,28.72,,,0 CDM,43203,Noncdm Charge Record Medical Supplies,66.24,33.12,,,0 CDM,43216,Noncdm Charge Record Medical Supplies,28.75,14.38,,,0 CDM,43300,Noncdm Charge Record Medical Supplies,161.77,80.88,,,0 CDM,43301,Noncdm Charge Record Medical Supplies,131.23,65.62,,,0 CDM,43310,Noncdm Charge Record Medical Supplies,235.04,117.52,,,0 CDM,43320,Noncdm Charge Record Medical Supplies,71.24,35.62,,,0 CDM,43334,Noncdm Charge Record Medical Supplies,43.7,21.85,,,0 CDM,43343,Noncdm Charge Record Medical Supplies,196.65,98.32,,,0 CDM,43364,Noncdm Charge Record Medical Supplies,23.63,11.82,,,0 CDM,43366,Noncdm Charge Record Medical Supplies,20.68,10.34,,,0 CDM,43367,Noncdm Charge Record Medical Supplies,20.68,10.34,,,0 CDM,43369,Noncdm Charge Record Medical Supplies,23.63,11.82,,,0 CDM,43445,Noncdm Charge Record Medical Supplies,1936.6,968.3,,,0 CDM,43459,Noncdm Charge Record Medical Supplies,1662.7,831.35,,,0 CDM,43509,Noncdm Charge Record Medical Supplies,640.55,320.28,,,0 CDM,43635,Noncdm Charge Record Medical Supplies,667.92,333.96,,,0 CDM,43636,Noncdm Charge Record Medical Supplies,743.94,371.97,,,0 CDM,43637,Noncdm Charge Record Medical Supplies,726.34,363.17,,,0 CDM,43777,Noncdm Charge Record Medical Supplies,5690.5,2845.25,,,0 CDM,43967,Noncdm Charge Record Medical Supplies,552.0,276.0,,,0 CDM,43987,Noncdm Charge Record Medical Supplies,193.2,96.6,,,0 CDM,44008,Noncdm Charge Record Medical Supplies,524.4,262.2,,,0 CDM,44009,Noncdm Charge Record Medical Supplies,867.91,433.96,,,0 CDM,44011,Noncdm Charge Record Medical Supplies,138.83,69.42,,,0 CDM,44014,Noncdm Charge Record Medical Supplies,158.06,79.03,,,0 CDM,4402,Noncdm Charge Record Medical Supplies,740.6,370.3,,,0 CDM,44161,Noncdm Charge Record Medical Supplies,20.7,10.35,,,0 CDM,44285,Noncdm Charge Record Medical Supplies,18.08,9.04,,,0 CDM,44289,Noncdm Charge Record Medical Supplies,52.03,26.02,,,0 CDM,44293,Noncdm Charge Record Medical Supplies,1323.83,661.92,,,0 CDM,44315,Noncdm Charge Record Medical Supplies,80.5,40.25,,,0 CDM,44448,Noncdm Charge Record Medical Supplies,1612.0,806.0,,,0 CDM,44817,Noncdm Charge Record Medical Supplies,15.89,7.94,,,0 CDM,44942,Noncdm Charge Record Medical Supplies,179.4,89.7,,,0 CDM,44950,Noncdm Charge Record Medical Supplies,787.2,393.6,,,0 CDM,44952,Noncdm Charge Record Medical Supplies,62.28,31.14,,,0 CDM,45012,Noncdm Charge Record Medical Supplies,34.21,17.1,,,0 CDM,45019,Noncdm Charge Record Medical Supplies,18.31,9.16,,,0 CDM,45020,Noncdm Charge Record Medical Supplies,20.51,10.26,,,0 CDM,45021,Noncdm Charge Record Medical Supplies,21.31,10.66,,,0 CDM,4510,Noncdm Charge Record Medical Supplies,543.81,271.9,,,0 CDM,45254,Noncdm Charge Record Medical Supplies,45.03,22.52,,,0 CDM,45256,Noncdm Charge Record Medical Supplies,1468.9,734.45,,,0 CDM,45314,Noncdm Charge Record Medical Supplies,1633.0,816.5,,,0 CDM,45357,Noncdm Charge Record Medical Supplies,434.61,217.3,,,0 CDM,45369,Noncdm Charge Record Medical Supplies,667.0,333.5,,,0 CDM,45372,Noncdm Charge Record Medical Supplies,667.0,333.5,,,0 CDM,45381,Noncdm Charge Record Medical Supplies,447.17,223.58,,,0 CDM,45384,Noncdm Charge Record Medical Supplies,981.96,490.98,,,0 CDM,45385,Noncdm Charge Record Medical Supplies,981.96,490.98,,,0 CDM,45386,Noncdm Charge Record Medical Supplies,981.96,490.98,,,0 CDM,45387,Noncdm Charge Record Medical Supplies,981.96,490.98,,,0 CDM,45395,Noncdm Charge Record Medical Supplies,286.9,143.45,,,0 CDM,45413,Noncdm Charge Record Medical Supplies,158.75,79.38,,,0 CDM,45417,Noncdm Charge Record Medical Supplies,230.44,115.22,,,0 CDM,4543,Noncdm Charge Record Medical Supplies,46.0,23.0,,,0 CDM,45452,Noncdm Charge Record Medical Supplies,12.45,6.22,,,0 CDM,45453,Noncdm Charge Record Medical Supplies,12.42,6.21,,,0 CDM,45495,Noncdm Charge Record Medical Supplies,33.39,16.7,,,0 CDM,45579,Noncdm Charge Record Medical Supplies,102.72,51.36,,,0 CDM,45601,Noncdm Charge Record Medical Supplies,792.31,396.16,,,0 CDM,45603,Noncdm Charge Record Medical Supplies,39.41,19.7,,,0 CDM,45607,Noncdm Charge Record Medical Supplies,8.8,4.4,,,0 CDM,45608,Noncdm Charge Record Medical Supplies,9.37,4.68,,,0 CDM,45610,Noncdm Charge Record Medical Supplies,45.65,22.82,,,0 CDM,45611,Noncdm Charge Record Medical Supplies,22.46,11.23,,,0 CDM,45622,Noncdm Charge Record Medical Supplies,11.86,5.93,,,0 CDM,45626,Noncdm Charge Record Medical Supplies,11.86,5.93,,,0 CDM,45641,Noncdm Charge Record Medical Supplies,91.23,45.62,,,0 CDM,45682,Noncdm Charge Record Medical Supplies,75.17,37.58,,,0 CDM,457,Noncdm Charge Record Medical Supplies,36.3,18.15,,,0 CDM,45729,Noncdm Charge Record Medical Supplies,45.26,22.63,,,0 CDM,45736,Noncdm Charge Record Medical Supplies,543.3,271.65,,,0 CDM,45748,Noncdm Charge Record Medical Supplies,708.08,354.04,,,0 CDM,45751,Noncdm Charge Record Medical Supplies,91.77,45.88,,,0 CDM,45752,Noncdm Charge Record Medical Supplies,542.62,271.31,,,0 CDM,458,Noncdm Charge Record Medical Supplies,20.4,10.2,,,0 CDM,45844,Noncdm Charge Record Medical Supplies,552.0,276.0,,,0 CDM,45855,Noncdm Charge Record Medical Supplies,10.45,5.22,,,0 CDM,45875,Noncdm Charge Record Medical Supplies,66.88,33.44,,,0 CDM,45878,Noncdm Charge Record Medical Supplies,123.16,61.58,,,0 CDM,45880,Noncdm Charge Record Medical Supplies,135.7,67.85,,,0 CDM,45882,Noncdm Charge Record Medical Supplies,139.87,69.94,,,0 CDM,45887,Noncdm Charge Record Medical Supplies,377.04,188.52,,,0 CDM,45888,Noncdm Charge Record Medical Supplies,411.59,205.8,,,0 CDM,46055,Noncdm Charge Record Medical Supplies,158.65,79.32,,,0 CDM,46196,Noncdm Charge Record Medical Supplies,394.73,197.36,,,0 CDM,46197,Noncdm Charge Record Medical Supplies,394.73,197.36,,,0 CDM,46202,Noncdm Charge Record Medical Supplies,351.62,175.81,,,0 CDM,46203,Noncdm Charge Record Medical Supplies,351.62,175.81,,,0 CDM,46204,Noncdm Charge Record Medical Supplies,351.62,175.81,,,0 CDM,46205,Noncdm Charge Record Medical Supplies,351.62,175.81,,,0 CDM,46208,Noncdm Charge Record Medical Supplies,351.62,175.81,,,0 CDM,46209,Noncdm Charge Record Medical Supplies,351.62,175.81,,,0 CDM,46300401,Spec-Fb-Removal Subcuta Tissue,1381.0,690.5,,,0 CDM,46300407,Sp-Arthrocentes-Int Jnt W/O Us,846.0,423.0,,,0 CDM,46300408,Spec-Arthrocent-Maj Jnt W/O Us,1046.0,523.0,,,0 CDM,46300409,Chgr Sp-Arthrocentesi-Sm Jnt W/O Us,919.0,459.5,,,0 CDM,46300465,Incision & Drainage Abscess Simple/Single,1305.0,652.5,,,0 CDM,46300466,Spec-I+D Abscess Complex Or Mu,1501.0,750.5,,,0 CDM,46300471,Spec-Endometrial Sample/Biopsy,974.0,487.0,,,0 CDM,46300472,Spec-Aerosol Nebulization,317.0,158.5,,,0 CDM,46300477,Spec-Iv Inf Therapy Up To 1Hr,672.0,336.0,,,0 CDM,46300485,Inj-Administration Fee,187.0,93.5,,,0 CDM,46300496,F/U Office O/P Min Prob Lev 1,344.0,172.0,,,0 CDM,46300497,Lab-Glucose Stick/Accucheck,110.0,55.0,,,0 CDM,46300550,Colposcopy,2719.0,1359.5,,,0 CDM,46300551,Colposcopy With Biospy,1119.0,559.5,,,0 CDM,46301121,Admin-Influenza Vaccine,96.0,48.0,,,0 CDM,46301122,Admin-Pneumococcal Vac,96.0,48.0,,,0 CDM,46301132,Chgr Spec-Arthrocent-Maj Jnt W/ Us,919.0,459.5,,,0 CDM,46301133,Cystoscopy,2864.0,1432.0,,,0 CDM,46301135,Insertion Of Iud,442.0,221.0,,,0 CDM,46301136,Skin Test Tb Intradermal (Sngh),38.0,19.0,,,0 CDM,46301137,Vaccine Inj Ea Addtl-Hepatitis,96.0,48.0,,,0 CDM,46301138,Vaccine Inj Ea Addl-Other (Sngh),96.0,48.0,,,0 CDM,46301140,Nail Debride 6 Or >Any Method (Sngh),204.0,102.0,,,0 CDM,46301142,Cervic Colp W Cervix Bx,4062.0,2031.0,,,0 CDM,46301143,Remove Drug Implant,1350.0,675.0,,,0 CDM,46301144,Remove Iud,667.0,333.5,,,0 CDM,46301145,Remove Impacted Ear Wax,221.0,110.5,,,0 CDM,46301146,Cystoscopy And Treatment,4294.0,2147.0,,,0 CDM,46301147,Biopsy Of Cervix,3830.0,1915.0,,,0 CDM,46301148,Hysteroscopy Biopsy,8987.0,4493.5,,,0 CDM,46301151,Admin-Pneumococcal Vacc Ea Add,96.0,48.0,,,0 CDM,46301152,Admin-Influenza Vacc Ea Addtl,96.0,48.0,,,0 CDM,46301153,Admin-Hepatitis B Vacc,96.0,48.0,,,0 CDM,46301154,Insert Temp Bladder Cath,317.0,158.5,,,0 CDM,46301155,Remove Contraceptive Device,2370.0,1185.0,,,0 CDM,46301156,Vaccine/Immun Inj-Other,96.0,48.0,,,0 CDM,46301157,App Short Leg Splint 29515,886.0,443.0,,,0 CDM,46301159,Methotrexate Im,567.0,283.5,,,0 CDM,46301161,Punct Aspiration Skin Les,630.0,315.0,,,0 CDM,46301162,Chemo Inj Sq_Im(Horm Anti),451.0,225.5,,,0 CDM,46301163,Nail Fold Wedge Excision,518.0,259.0,,,0 CDM,46301167,Insert Drug Implant,2114.0,1057.0,,,0 CDM,46301168,Remove/Insert Drug Implant,1554.0,777.0,,,0 CDM,46301169,Biopsy Vulva/Perineum 1 Lesion,2370.0,1185.0,,,0 CDM,46301170,Bx Vulva/Perineum Addtl Lesion,2467.0,1233.5,,,0 CDM,46301171,"Destroy Anal Lesion Smpl,Chem",1290.0,645.0,,,0 CDM,46301172,Destruct B9 Lesion 1-14,274.0,137.0,,,0 CDM,46301173,Destruct Premalg Lesion,290.0,145.0,,,0 CDM,46301174,Aspiration/Inj Ganglion Cyst,616.0,308.0,,,0 CDM,46301175,Bx Muscle Percutaneous,1863.0,931.5,,,0 CDM,46301176,"Cystourethro,Cal/Dil,M/F",6031.0,3015.5,,,0 CDM,46301177,Punch Bx Skin Single Lesion,787.0,393.5,,,0 CDM,46301178,Unlisted Proced Skin Mm,1360.0,680.0,,,0 CDM,46301180,Ther/Proph/Diag Iv Inf Init=<1Hr,730.0,365.0,,,0 CDM,46301181,Tangntl Bx Skin Ea Sep/Addl,714.0,357.0,,,0 CDM,46301182,Punch Bx Ea Addl Lesion,787.0,393.5,,,0 CDM,46301183,Incisional Bx Single Lesion,865.0,432.5,,,0 CDM,46301184,Incisional Bx Ea Addl Lesion,865.0,432.5,,,0 CDM,46301185,Diagnostic Laryngoscopy,785.0,392.5,,,0 CDM,46301186,Pare Benign Les; Sgl,748.0,374.0,,,0 CDM,46301187,Trim Skin Lesions 2 To 4,368.0,184.0,,,0 CDM,46301188,Pare/Cut Benign Hyperkerat>4,748.0,374.0,,,0 CDM,46301189,Tangntl Bx Skin Single Les,714.0,357.0,,,0 CDM,46301190,Exc H-F-Nk-Sp B9+Marg10 Mi,107.0,53.5,,,0 CDM,70200600,Sleep Study Unatt&Resp Efft,1014.0,507.0,,,0 CDM,70200700,Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time,966.0,483.0,,,0 CDM,70200999,Misc Pulmonary Procer,650.0,325.0,,,0 CDM,70202024,Neo Airway Box,428.0,214.0,,,0 CDM,70202025,Pulmonary Stress Testing,696.0,348.0,,,0 CDM,70202026,Exercise Tst Brncspsm,696.0,348.0,,,0 CDM,70202027,Sleep Study; Attended,2338.0,1169.0,,,0 CDM,703,Noncdm Charge Record Medical Supplies,300.09,150.04,,,0 CDM,70300001,Eeg Awake,1074.0,537.0,,,0 CDM,70300002,Eeg Asleep Or Coma,2239.0,1119.5,,,0 CDM,70300003,Eeg Awake And Asleep,1495.0,747.5,,,0 CDM,70300013,Eeg-Ver,754.0,377.0,,,0 CDM,70300015,Eeg-Nonintracranial Monit.,1498.0,749.0,,,0 CDM,70300021,Eeg Cerebral Death Eval,804.0,402.0,,,0 CDM,70300034,Hearing Aid Fitting & Orient,432.0,216.0,,,0 CDM,70300047,Modify Voice Prosthesis,339.0,169.5,,,0 CDM,70300048,Eval Voice Prosthe Use/Fit,908.0,454.0,,,0 CDM,70300065,Imped New: Acoustic Reflex,291.0,145.5,,,0 CDM,70300067,Oae-Simple,488.0,244.0,,,0 CDM,70300068,Oae-Complex,575.0,287.5,,,0 CDM,70300076,Aep Thrshld Est Mlt Freq I&R,1833.0,916.5,,,0 CDM,70300077,Aep Neurodiagnostic I&R,1833.0,916.5,,,0 CDM,70300120,Emg-1 Extremity,616.0,308.0,,,0 CDM,70300121,Emg-2 Extremities,493.0,246.5,,,0 CDM,70300122,Emg-3 Extremities,567.0,283.5,,,0 CDM,70300123,Emg-4 Extremities,567.0,283.5,,,0 CDM,70300124,Emg-Cranial Nerve Unilat,567.0,283.5,,,0 CDM,70300125,Emg - Cranial Bilateral,897.0,448.5,,,0 CDM,70300126,Emg Limitied Study,294.0,147.0,,,0 CDM,70300133,Electrocorticogram In O.R.,1687.0,843.5,,,0 CDM,70300157,Eeg-Sser Upper,1432.0,716.0,,,0 CDM,70300158,Eeg-Sser Lower,1432.0,716.0,,,0 CDM,70300170,Auditory Func Eval.Initl 60Min,802.0,401.0,,,0 CDM,70300171,Auditory Function Ea.Add 15Min,186.0,93.0,,,0 CDM,70300173,Eval Aud. Status Rehab Ea. 15Min,211.0,105.5,,,0 CDM,70300174,Aud Rehab Pre-Ling Hear Loss,562.0,281.0,,,0 CDM,70300180,Function Cortical Mapp To 1 Hr,1343.0,671.5,,,0 CDM,70300182,Eeg Funct Cort Ea Addtl Hr,1343.0,671.5,,,0 CDM,70300183,Needle Emg Limited Study 1 Ext,369.0,184.5,,,0 CDM,70300185,Eeg Extend Monito 41-60 Mins,573.0,286.5,,,0 CDM,70300186,Eeg Digital Anal Eeg Spike,926.0,463.0,,,0 CDM,70300187,Eeg Extend Greater Than 1Hr,650.0,325.0,,,0 CDM,70300198,Wada Activation,1143.0,571.5,,,0 CDM,70300210,Nerve Conduction Studies 1-2 Studies,584.0,292.0,,,0 CDM,70300212,"Nerve Conduction,5-6 Studies",838.0,419.0,,,0 CDM,70300213,"Nerve Conduction,7-8 Studies",952.0,476.0,,,0 CDM,70300214,"Nerve Conduction,9-10 Studies",1205.0,602.5,,,0 CDM,70300216,Nerve Conduction Studies 13/> Studies,1731.0,865.5,,,0 CDM,70300217,Intra-Op Assist Or 15 Min,220.0,110.0,,,0 CDM,70300218,"Intra-Op Tech,Non Or Per Hour",840.0,420.0,,,0 CDM,70300250,Needle Emg Anal Sphincter,1104.0,552.0,,,0 CDM,70300260,Optokineic Nystagamus Test,650.0,325.0,,,0 CDM,70300261,Posturagraphy Comptrzd Dynamic,503.0,251.5,,,0 CDM,70300262,Spontaneous Nystagamus Test,503.0,251.5,,,0 CDM,70300270,Somatosensory Test -Up&Low Limb,2859.0,1429.5,,,0 CDM,70300271,Tcemep Upper & Lower Extremities,2859.0,1429.5,,,0 CDM,70300500,Needle Emg-Extrmty W/Ncs Limit,346.0,173.0,,,0 CDM,70300501,Needle Emg Ea Extremty W/Paraspinl Area Complete,492.0,246.0,,,0 CDM,70300502,Needle Emg-Nonextrmty Wncs,346.0,173.0,,,0 CDM,70301000,Eeg Tcemep Lower Extrm,1719.0,859.5,,,0 CDM,70301001,Eeg Tcemep Upper Extrem,1719.0,859.5,,,0 CDM,70301100,Eeg Cont Rec W/Vid Eeg Tech,5184.0,2592.0,,,0 CDM,70301101,Eeg W/O Vid 2-12 Hr Unmntr,5184.0,2592.0,,,0 CDM,70301102,Eeg Wo Vid 2-12Hr Intmt Mntr,5184.0,2592.0,,,0 CDM,70301103,Eeg W/O Vid 2-12Hr Cont Mntr,5184.0,2592.0,,,0 CDM,70301104,Eeg Wo Vid Ea 12-26Hr Unmntr,5184.0,2592.0,,,0 CDM,70301105,Eeg W/O Vid Ea 12-26Hr Intmt,5184.0,2592.0,,,0 CDM,70301106,Eeg W/O Vid Ea 12-26Hr Cont,5184.0,2592.0,,,0 CDM,70301107,Veeg 2-12 Hr Unmonitored,5184.0,2592.0,,,0 CDM,70301108,Veeg 2-12 Hr Intmt Mntr,5184.0,2592.0,,,0 CDM,70301109,Veeg 2-12 Hr Cont Mntr,5184.0,2592.0,,,0 CDM,70301110,Veeg Ea 12-26 Hr Unmntr,5184.0,2592.0,,,0 CDM,70301111,Veeg Ea 12-26Hr Intmt Mntr,5184.0,2592.0,,,0 CDM,70301112,Veeg Ea 12-26Hr Cont Mntr,5184.0,2592.0,,,0 CDM,70301113,Eeg Phys/Qhp 2-12 Hr W/O Vid,5184.0,2592.0,,,0 CDM,70301114,Eeg Phys/Qhp 2-12 Hr W/Veeg,5184.0,2592.0,,,0 CDM,70301115,Eeg Phys/Qhp Ea Incr W/O Vid,5184.0,2592.0,,,0 CDM,70301116,Eeg Phy/Qhp Ea Incr W/Veeg,5184.0,2592.0,,,0 CDM,70301117,Eeg Phy/Qhp>36<60 Hr W/O Vid,5184.0,2592.0,,,0 CDM,70301118,Eeg Phy/Qhp>36<60 Hr W/Veeg,5184.0,2592.0,,,0 CDM,70301119,Eeg Phy/Qhp>60<84 Hr W/O Vid,5184.0,2592.0,,,0 CDM,70301120,Eeg Phy/Qhp>60<84 Hr W/Veeg,5184.0,2592.0,,,0 CDM,70301121,Eeg Phy/Qhp>84 Hr W/O Vid,5184.0,2592.0,,,0 CDM,70301122,Eeg Phy/Qhp>84 Hr W/Veeg,5184.0,2592.0,,,0 CDM,70400150,Strep A Assay W/Optic,179.0,89.5,,,0 CDM,70400450,Transcutaneous Bilirbin Scrn,63.0,31.5,,,0 CDM,70400558,Glucose Blood Atp,36.0,18.0,,,0 CDM,70400559,Act Atp,139.0,69.5,,,0 CDM,70400560,Hematocrit,27.0,13.5,,,0 CDM,70400561,Gastric Occult Blood,40.0,20.0,,,0 CDM,70400562,Gastric Ph,113.0,56.5,,,0 CDM,70400563,Dipstick Urine,107.0,53.5,,,0 CDM,70400564,Occult Blood Stool Atp,43.0,21.5,,,0 CDM,70400565,Venipuncture Draw Fee,39.0,19.5,,,0 CDM,70400567,Newborn Metabolic Screen,610.0,305.0,,,0 CDM,70400568,Umbilical Cath-Exc Trans,1443.0,721.5,,,0 CDM,70400572,Cranial Access Kit Seps,5244.0,2622.0,,,0 CDM,70400578,Lumbar Puncture-Neonate,2970.0,1485.0,,,0 CDM,70400579,Camino Insertion,4066.0,2033.0,,,0 CDM,70400580,Peritoneal Dialysis Per Hour,1428.0,714.0,,,0 CDM,70400593,Ats Abd Wound Vac Dressing,748.0,374.0,,,0 CDM,70400594,Licox Insertion,5164.0,2582.0,,,0 CDM,70400680,Venipuncture Draw Fee,39.0,19.5,,,0 CDM,70400900,Urine Preg Poc Clinitek,211.0,105.5,,,0 CDM,70400901,Urine Preg Poc,189.0,94.5,,,0 CDM,70402000,Observation Direct Referral,930.0,465.0,,,0 CDM,70404,Noncdm Charge Record Medical Supplies,559.98,279.99,,,0 CDM,70406813,Chgl Hemoglobin A1C (Poc),219.0,109.5,,,0 CDM,70418,Noncdm Charge Record Medical Supplies,495.85,247.92,,,0 CDM,70444,Noncdm Charge Record Medical Supplies,131.73,65.86,,,0 CDM,70447,Noncdm Charge Record Medical Supplies,193.02,96.51,,,0 CDM,70600017,Exercise Group,168.0,84.0,,,0 CDM,70600023,Swallow Eval/Barium Assist,606.0,303.0,,,0 CDM,70600024,Pt-Unna Boot Application,598.0,299.0,,,0 CDM,70600026,Pt-Electric Stim Other,105.0,52.5,,,0 CDM,70600030,St-Larngsc Exam Wo Stroboscopy,785.0,392.5,,,0 CDM,70600031,St-Diag Larngsc Flex/Rig,1445.0,722.5,,,0 CDM,70600190,Laryngeal Function Study,518.0,259.0,,,0 CDM,70600202,Office/Outpatient New Low Mdm 30 Minutes,344.0,172.0,,,0 CDM,70600203,Hyperbaric Chamber Treat,1127.0,563.5,,,0 CDM,70600206,Adl Training - Ot 15 Minutes,178.0,89.0,,,0 CDM,70600207,Hyperbaric Ekg Tracing,154.0,77.0,,,0 CDM,70600208,Adl Training - Pt 15 Minutes,178.0,89.0,,,0 CDM,70600300,Canalith Repositioning Proced Cpt 95992,225.0,112.5,,,0 CDM,70600781,Manual Ther Tech Ot,176.0,88.0,,,0 CDM,70600782,Manual Therapy Technique,176.0,88.0,,,0 CDM,70600800,Anodyne Infrared Treat,28.0,14.0,,,0 CDM,70600900,Contrast Bath,101.0,50.5,,,0 CDM,70600901,Electrical Stimulation,174.0,87.0,,,0 CDM,70600912,Electrical Stimulat Unattnd-Pt,209.0,104.5,,,0 CDM,70600915,Performance Test,150.0,75.0,,,0 CDM,70600916,Chg-Exercise - Isokinetic,185.0,92.5,,,0 CDM,70601003,Office/Outpatient New High Mdm 60 Minutes,344.0,172.0,,,0 CDM,70601112,Chg-Speech Treatment,521.0,260.5,,,0 CDM,70601113,Swallowing Evaluation,599.0,299.5,,,0 CDM,70601114,Swallowing Treatment,519.0,259.5,,,0 CDM,70601116,Speech/Swallow Therapy Group,277.0,138.5,,,0 CDM,70601120,Eval Performance Test Ot 15Mi,150.0,75.0,,,0 CDM,70601740,St Central Nervous Eval,562.0,281.0,,,0 CDM,70601742,Cognitive Linguistic Evaluation,562.0,281.0,,,0 CDM,70601802,Exercise Therapeutic -15 Min,185.0,92.5,,,0 CDM,70601815,Whirlpool/Fluido,126.0,63.0,,,0 CDM,70601817,Function Activity,205.0,102.5,,,0 CDM,70601820,Gait Train-Up To 15Min,178.0,89.0,,,0 CDM,70601827,Iontophoresis,138.0,69.0,,,0 CDM,70601836,Paraffin Bath,133.0,66.5,,,0 CDM,70601840,Prosth Train,273.0,136.5,,,0 CDM,70601844,Community/Work Integration 15M Ot,178.0,89.0,,,0 CDM,70601846,Mechanical Traction,150.0,75.0,,,0 CDM,70601848,Ultrasound,181.0,90.5,,,0 CDM,70601851,Vasopneumatic,142.0,71.0,,,0 CDM,70601852,Diathermy,118.0,59.0,,,0 CDM,70601855,Community/Work Integration 15M Pt,178.0,89.0,,,0 CDM,70603001,Aquatic Therapy 15,161.0,80.5,,,0 CDM,70603003,Dressing Small,84.87,42.44,,,0 CDM,70603004,Dressing Medium,125.24,62.62,,,0 CDM,70603005,Dressing Large,152.15,76.08,,,0 CDM,70603018,Elec Stim-Ot,174.0,87.0,,,0 CDM,70603020,Exercise - Therapeutic-Ot 15Mn,185.0,92.5,,,0 CDM,70603021,Fluidotherapy-Ot,126.0,63.0,,,0 CDM,70603022,Functional Activity - 15 Min,205.0,102.5,,,0 CDM,70603025,Paraffin Bath-Ot,133.0,66.5,,,0 CDM,70603028,Wheelchair Trn,178.0,89.0,,,0 CDM,70603029,Ultrasound-Ot,181.0,90.5,,,0 CDM,70603039,St Aphasia Assessment,304.0,152.0,,,0 CDM,70603042,Wound Irrigation,168.0,84.0,,,0 CDM,70603043,Orthotic Fitt/Train,205.0,102.5,,,0 CDM,70603044,Orth Fit/Train Ot 15 M,205.0,102.5,,,0 CDM,70603049,Work Hardening Addl 1Hr Pt,191.0,95.5,,,0 CDM,70603125,Neuromuscular Reed,218.0,109.0,,,0 CDM,70603127,Disch Environ/Home Asses-Ot-15,178.0,89.0,,,0 CDM,70603202,Contrast Bath-Ot,101.0,50.5,,,0 CDM,70603203,Electric Stimulation Unatnd-Ot,209.0,104.5,,,0 CDM,70603204,Exer Sup Grp Ot 1X Day Only,168.0,84.0,,,0 CDM,70603206,Iontophoresis Each 15 Min-Ot,138.0,69.0,,,0 CDM,70603207,Neuromuscular Reed,218.0,109.0,,,0 CDM,70603208,Prosth Train-Ot 15 M,273.0,136.5,,,0 CDM,70603210,Vasopneum Tx-Ot 20 M,142.0,71.0,,,0 CDM,70603211,Wheelchr Train-Ot 15,178.0,89.0,,,0 CDM,70603212,Work Hardening-Ot Initial 2Hr,507.0,253.5,,,0 CDM,70603213,Day Rehab Nursing Proc-10Min,86.0,43.0,,,0 CDM,70603218,Sens Integ Ot 15 Min,178.0,89.0,,,0 CDM,70603219,Sens Integr,178.0,89.0,,,0 CDM,70603220,F/U Office O/P Min Prob Lev 1,344.0,172.0,,,0 CDM,70603221,F/U Office Op Sf 10-19 Min Lv2,344.0,172.0,,,0 CDM,70603222,F/U Office Op Low 20-29 Min L3,344.0,172.0,,,0 CDM,70603223,Fiberoptic Endo Eval Of Swall,697.0,348.5,,,0 CDM,70603224,Speech Generat Dev Eval 60,885.0,442.5,,,0 CDM,70603225,Speech Generat Dev Eval Add 30,331.0,165.5,,,0 CDM,70603226,Speech Generat Dev Trmnt,662.0,331.0,,,0 CDM,70603227,Laryangeal & Swallow Eval Fibe,942.0,471.0,,,0 CDM,70603228,Laryangeal Eval Fiberoptic,767.0,383.5,,,0 CDM,70603234,Electrical Stimulation-St,174.0,87.0,,,0 CDM,70603236,F/U Office Op Mod 30-39 Min L4,344.0,172.0,,,0 CDM,70603237,Hypbrc Trmt-Wound Asmnt V-Est,344.0,172.0,,,0 CDM,70603239,Application Comp Wrap Below Knee,598.0,299.0,,,0 CDM,70603242,Applic Comp Wrap Ue/Hand,550.0,275.0,,,0 CDM,70603243,Work Hardening-Pt Initial 2Hr,585.0,292.5,,,0 CDM,70603244,Applic Comp Wrap Below Knee,598.0,299.0,,,0 CDM,70603247,Applic Comp Wrap Ue/Hand (Go),550.0,275.0,,,0 CDM,70604003,Post Op Shoe W Rocker Bottom,94.19,47.1,,,0 CDM,70604200,Evaluation Of Speech Fluency,657.0,328.5,,,0 CDM,70604201,Evaluate Speech Production,657.0,328.5,,,0 CDM,70604202,Speech Sound Lang Comprehen,657.0,328.5,,,0 CDM,70604203,Behavral Qualit Analys Voice,657.0,328.5,,,0 CDM,70604523,Pt Eval Low Complex 20 Mins,432.0,216.0,,,0 CDM,70604524,Pt Eval Mod Complex 30 Mins,527.0,263.5,,,0 CDM,70604525,Pt Eval High Complex 45 Mins,579.0,289.5,,,0 CDM,70604526,Pt Re-Eval Est Plan Care,247.0,123.5,,,0 CDM,70604527,Ot Eval Low Complex 30 Min,432.0,216.0,,,0 CDM,70604528,Ot Eval Mod Complex 45 Mins,527.0,263.5,,,0 CDM,70604529,Ot Eval High Complex 60 Mins,579.0,289.5,,,0 CDM,70604530,Ot Re-Eval Est Plan Care,273.0,136.5,,,0 CDM,70605020,Pt-Orthc/Prostc Mgmt Sbsq Enc,262.0,131.0,,,0 CDM,70605021,Ot-Orthc/Prostc Mgmt Sbsq Enc,262.0,131.0,,,0 CDM,70605025,Devel Tst Phys/Qhp 1St Hr,476.0,238.0,,,0 CDM,70605026,Devel Tst Phys/Qhp Ea Addl,239.0,119.5,,,0 CDM,70605027,Devel Tst Phys/Qhp 1St Hr,476.0,238.0,,,0 CDM,70605028,Devel Tst Phys/Qhp Ea Addl,239.0,119.5,,,0 CDM,70605032,Telehealth Self-Pay One Visit,49.99,25.0,,,0 CDM,70605040,St-Ther Ivntj Cog Func 1St 15,178.0,89.0,,,0 CDM,70605041,Ot-Ther Ivntj Cog Func 1St 15,178.0,89.0,,,0 CDM,70605042,Pt-Ther Ivntj Cog Func 1St 15,178.0,89.0,,,0 CDM,70605043,St-Ther Ivntj Cog Func Addl 15,178.0,89.0,,,0 CDM,70605044,Ot-Ther Ivntj Cog Func Addl 15,178.0,89.0,,,0 CDM,70605045,Pt-Ther Ivntj Cog Func Addl 15,178.0,89.0,,,0 CDM,70605046,Pt-Bfb Training 1St 15 Min,175.0,87.5,,,0 CDM,70605047,Ot-Bfb Training 1St 15 Min,175.0,87.5,,,0 CDM,70605049,Pt-Bfb Training Ea Addl 15 Min,175.0,87.5,,,0 CDM,70605052,Adult Self-Pay Rehab Rate,100.0,50.0,,,0 CDM,70605053,Peds Self-Pay Rehab Rate,83.0,41.5,,,0 CDM,70605054,Dry Needling Self-Pay Ot,35.0,17.5,,,0 CDM,70605055,Dry Needling Self-Pay Pt,35.0,17.5,,,0 CDM,70605056,Aep Scr Auditory Potential,589.0,294.5,,,0 CDM,70605057,Chiro Manipulation 1-2 Regions,90.0,45.0,,,0 CDM,70605058,Chiro Manipulation 3-4 Regions,110.0,55.0,,,0 CDM,70605059,Chiro Manipulation 5 Regions,187.0,93.5,,,0 CDM,70605060,Office/Outpatient New Sf Mdm 15 Minutes,344.0,172.0,,,0 CDM,70605061,Acupunct W/O Stimul 15 Min,183.0,91.5,,,0 CDM,70605062,Acupunct W/Stimul 15 Min,215.0,107.5,,,0 CDM,70605063,Acupuncture 1/> Ndls W/O Elec Stimj Ea 15 Min,183.0,91.5,,,0 CDM,70605065,Aquatic Therapy - Ot 15 Minute,161.0,80.5,,,0 CDM,70605066,Self-Pay Post Rehab Rate,30.0,15.0,,,0 CDM,70605067,Self-Pay Crutch Training Without Crutches,20.0,10.0,,,0 CDM,70605068,Self-Pay Crutch Training With Crutches Included,25.0,12.5,,,0 CDM,70605069,Self-Pay Massage - 2 Hours,100.0,50.0,,,0 CDM,70605072,Self-Pay Nutrition Consult,150.0,75.0,,,0 CDM,70605073,Self-Pay Nutrition Follow-Up,50.0,25.0,,,0 CDM,70605074,Self-Pay Massage - 1/2 Hours,50.0,25.0,,,0 CDM,70605075,Self-Pay Driving Evaluation,200.0,100.0,,,0 CDM,70605076,Mnt Subs Tx For Change Dx,50.0,25.0,,,0 CDM,70605077,Group Mnt 2 Or More 30 Mins,55.0,27.5,,,0 CDM,70605079,Self-Pay Massage - 1 Hour,75.0,37.5,,,0 CDM,70605080,Self-Pay Ugen Device Purchase,200.0,100.0,,,0 CDM,70605081,Self-Pay Ugen Home Monthly Fee,50.0,25.0,,,0 CDM,70605082,Self-Pay Ugen In-Clinic Fee,2.0,1.0,,,0 CDM,70605083,Telehealth Self-Pay Two Visit,75.0,37.5,,,0 CDM,70605084,Virtual Hep Self-Pay,25.0,12.5,,,0 CDM,70605085,Pt Rem Ther Mntr Ea Addl 20 Min,214.0,107.0,,,0 CDM,70605086,Ot Rem Ther Mntr Ea Addl 20 Min,214.0,107.0,,,0 CDM,70605087,Pt Rem Ther Mntr 1St 20 Min,263.0,131.5,,,0 CDM,70605088,Ot Rem Ther Mntr 1St 20 Min,263.0,131.5,,,0 CDM,70605089,Pt Rem Ther Mntr Dv Sply,292.0,146.0,,,0 CDM,70605090,Ot Rem Ther Mntr Dv Sply,292.0,146.0,,,0 CDM,70605091,Pt Rem Ther Mntr 1St Setup&Edu,162.0,81.0,,,0 CDM,70605092,Ot Rem Ther Mntr 1St Setup&Edu,162.0,81.0,,,0 CDM,70605093,Athletic Training Eval Low Complex 15 Mins,432.0,216.0,,,0 CDM,70605094,Athletic Training Eval Mod Complex 30 Mins,526.0,263.0,,,0 CDM,70605095,Athletic Training Eval High Complex 45 Mins,578.0,289.0,,,0 CDM,70605096,Athletic Training Re-Eval Est Plan Care 20 Mins,246.0,123.0,,,0 CDM,70605097,Acup 1/> Ndls W/Elec Stimj Ea 15 Min W/Re-Insj,215.0,107.5,,,0 CDM,70605098,Athletic Training Adl Training 15 Min,178.0,89.0,,,0 CDM,70605099,Athletic Training Manual Therapy Tqs,176.0,88.0,,,0 CDM,70605100,Athletic Training Contrast Bath 15 Min,101.0,50.5,,,0 CDM,70605101,Athletic Training Electrical Stimulation,174.0,87.0,,,0 CDM,70605102,Athletic Training Electrical Stimulat Unattnd,209.0,104.5,,,0 CDM,70605103,Athletic Training Performance Test,150.0,75.0,,,0 CDM,70605104,Athletic Training Therapeutic Exercises,185.0,92.5,,,0 CDM,70605105,Athletic Training Whirlpool Therapy,126.0,63.0,,,0 CDM,70605106,Athletic Training Function Activity,205.0,102.5,,,0 CDM,70605107,Athletic Training Gait Train Up To 15Min,178.0,89.0,,,0 CDM,70605108,Athletic Training Iontophoresis,138.0,69.0,,,0 CDM,70605109,Athletic Training Paraffin Bath,133.0,66.5,,,0 CDM,70605110,Athletic Training Mechanical Traction,150.0,75.0,,,0 CDM,70605111,Athletic Training Ultrasound Therapy,181.0,90.5,,,0 CDM,70605112,Athletic Training Vasopneumatic,142.0,71.0,,,0 CDM,70605113,Athletic Training Orthotic Fitt/Train,205.0,102.5,,,0 CDM,70605114,Athletic Training Neuromuscular Reed,218.0,109.0,,,0 CDM,70605115,Athletic Training Orthc/Prostc Mgmt Sbsq Enc,262.0,131.0,,,0 CDM,70605116,Self-Pay Rehab Rate Mechanical Traction,23.0,11.5,,,0 CDM,70605117,Self-Pay Rehab Rate Vasopnematic Treatment,12.0,6.0,,,0 CDM,70605118,"Self-Pay No Show Fee Pt, Ot, Slp, Chiro, Massage",40.0,20.0,,,0 CDM,70605119,Self-Pay Acupuncture Caregiver - New Client,138.0,69.0,,,0 CDM,70605120,Self-Pay Acupuncture Caregiver - Established Client,104.0,52.0,,,0 CDM,70605121,Self-Pay Cancer Acupuncture Initial,69.0,34.5,,,0 CDM,70605122,Self-Pay Cancer Acupuncture Subsequent,52.0,26.0,,,0 CDM,70605123,Self-Pay Us Diagnostic Complete Extremity/Joint Study,69.0,34.5,,,0 CDM,70605124,Self-Pay Diagnostic Limited Extremity/Joint Study,69.0,34.5,,,0 CDM,70605125,Self-Pay Massage Package; 30 Minutes X 3,135.0,67.5,,,0 CDM,70605126,Self-Pay Massage Package; 30 Minutes X 5,225.0,112.5,,,0 CDM,70605127,Self-Pay Massage Package; 60 Minutes X 3,200.0,100.0,,,0 CDM,70605128,Self-Pay Massage Package; 60 Minutes X 5,330.0,165.0,,,0 CDM,70605129,Qnhp Ol Digital Assmt&Mgmt Est Pt <7 D 5-10 Min,50.0,25.0,,,0 CDM,70605130,Qnhp Ol Digital Assmt&Mgmt Est Pt <7 D 11-20 Min,75.0,37.5,,,0 CDM,70605131,Qnhp Ol Digital Assmt&Mgmt Est Pt <7 D 21+ Min,100.0,50.0,,,0 CDM,70687,Noncdm Charge Record Medical Supplies,385.71,192.86,,,0 CDM,70695,Noncdm Charge Record Medical Supplies,304.98,152.49,,,0 CDM,70700211,Flight Fee - Loaded Mile,105.0,52.5,,,0 CDM,70700212,Transport - Base Rate - Single,15220.0,7610.0,,,0 CDM,70899,Noncdm Charge Record Medical Supplies,2045.2,1022.6,,,0 CDM,70900,Noncdm Charge Record Medical Supplies,2600.12,1300.06,,,0 CDM,70900504,Lap Band Adjustment,2626.0,1313.0,,,0 CDM,70901004,Endo Mano Esophageal,1107.0,553.5,,,0 CDM,70901011,Agile Patency Procedure,779.0,389.5,,,0 CDM,70901012,Hi Res Esophageal Motility St,779.0,389.5,,,0 CDM,70909,Noncdm Charge Record Medical Supplies,2007.07,1003.54,,,0 CDM,70945386,Endo M2A Cap Endo,4962.0,2481.0,,,0 CDM,70945387,Mod Sed Same Phys/Qhp Initial 15 Mins 5/> Yrs,646.0,323.0,,,0 CDM,70945388,Mod Sed Same Phys/Qhp Each Addl 15 Mins,646.0,323.0,,,0 CDM,70945389,Mod Sed Other Phys/Qhp Initial 15 Mins <5 Yrs,646.0,323.0,,,0 CDM,70945390,Mod Sed Other Phys/Qhp Initial 15 Mins 5/> Yrs,646.0,323.0,,,0 CDM,70945391,Mod Sed Other Phys/Qhp Each Addl 15 Mins,646.0,323.0,,,0 CDM,70945392,Endoscopy Case- First 30 Minutes,3382.21,1691.1,,,0 CDM,70945393,Endoscopy Case- Additional 15 Minutes,1522.17,761.08,,,0 CDM,71002,Noncdm Charge Record Medical Supplies,152.95,76.48,,,0 CDM,71019,Noncdm Charge Record Medical Supplies,87.4,43.7,,,0 CDM,71107,Noncdm Charge Record Medical Supplies,372.42,186.21,,,0 CDM,71119,Noncdm Charge Record Medical Supplies,10.83,5.42,,,0 CDM,71145,Noncdm Charge Record Medical Supplies,2509.71,1254.86,,,0 CDM,71200002,Hemo Critical Care Op 1:1,2130.0,1065.0,,,0 CDM,71200005,Capd Inpatient,1028.0,514.0,,,0 CDM,71200010,Cvvh Critical Care Setup,886.0,443.0,,,0 CDM,71200013,Ultrafiltration Daily,2331.0,1165.5,,,0 CDM,71200016,Ultrafiltration Circuit,2959.0,1479.5,,,0 CDM,71200017,Blood Administration,1611.0,805.5,,,0 CDM,71200018,Hemo Dialysis Ip 1:1,2130.0,1065.0,,,0 CDM,71200019,Hemo Dialysis Ip 2:1,2130.0,1065.0,,,0 CDM,71200020,Hemo Dialysis Ip 3:1,2130.0,1065.0,,,0 CDM,71200021,Hemo Dialysis Op 1:1,2130.0,1065.0,,,0 CDM,71200022,Hemo Dialysis Op 2:1,2130.0,1065.0,,,0 CDM,71200023,Hemo Dialysis Op 3:1,2130.0,1065.0,,,0 CDM,71200060,Cvvhd Critical Care Support,886.0,443.0,,,0 CDM,71200096,Hemo Critical Care Ip 1:1,2130.0,1065.0,,,0 CDM,71200201,External Cannula Declot,2701.0,1350.5,,,0 CDM,71321,Noncdm Charge Record Medical Supplies,84.55,42.28,,,0 CDM,71404,Noncdm Charge Record Medical Supplies,8.0,4.0,,,0 CDM,71405,Noncdm Charge Record Medical Supplies,90.53,45.26,,,0 CDM,715,Noncdm Charge Record Medical Supplies,275.08,137.54,,,0 CDM,71513,Noncdm Charge Record Medical Supplies,1855.31,927.66,,,0 CDM,71607,Noncdm Charge Record Medical Supplies,1755.0,877.5,,,0 CDM,71635,Noncdm Charge Record Medical Supplies,8.16,4.08,,,0 CDM,71650,Noncdm Charge Record Medical Supplies,2277.0,1138.5,,,0 CDM,71737,Noncdm Charge Record Medical Supplies,528.26,264.13,,,0 CDM,72047,Noncdm Charge Record Medical Supplies,383.92,191.96,,,0 CDM,72435,Noncdm Charge Record Medical Supplies,537.65,268.82,,,0 CDM,72602045,Davinci Set Up And Use,9500.0,4750.0,,,0 CDM,72602049,Dressing Change Not For Burns,4224.0,2112.0,,,0 CDM,72700050,Chgr-Pv Ankle Arm Index,720.0,360.0,,,0 CDM,72700071,Chgr-Pv Arterial Ue,1500.0,750.0,,,0 CDM,72700081,Chgr-Pv Arterial Le With Exercise,1858.0,929.0,,,0 CDM,72700100,Chgr-Pv Allen Test,720.0,360.0,,,0 CDM,72700170,Chgr-Pv Carotid Artery,1707.0,853.5,,,0 CDM,72700181,Chgr-Pv Digital Pressures,720.0,360.0,,,0 CDM,72700184,Chgr-Pv Penile Duplex,2070.0,1035.0,,,0 CDM,72700191,Chgr-Pv Graft Duplex,1476.0,738.0,,,0 CDM,72700193,Chgr-Pv Arterial Duplex,2209.0,1104.5,,,0 CDM,72700195,Manual Occlusion Of Pseudoaneu,874.0,437.0,,,0 CDM,72700201,Chgr-Pv Epigastric Artery,1476.0,738.0,,,0 CDM,72700207,Chgr-Pv Trauma Scan Le,1476.0,738.0,,,0 CDM,72700300,Chgr-Pv Mesenteric Duplex,2275.0,1137.5,,,0 CDM,72700302,Chgr-Pv Renal Artery Unilat,1807.0,903.5,,,0 CDM,72700304,Chgr-Pv Abd Renal,2275.0,1137.5,,,0 CDM,72700306,Chgr-Pv Abdominal Aorta Duplex,1399.0,699.5,,,0 CDM,72700308,Chgr-Pv Venous Exam Le,1476.0,738.0,,,0 CDM,72700310,Chgr-Pv Venous Duplex Le,2164.0,1082.0,,,0 CDM,72700312,Chgr-Pv Arterial Duplex Unilat,1476.0,738.0,,,0 CDM,72700314,Chgr-Pv Arterial Duplex Bilat,2213.0,1106.5,,,0 CDM,72700316,Chgr-Pv Vein Map Unilat,1476.0,738.0,,,0 CDM,72700318,Chgr-Pv Vein Map Bilat,2164.0,1082.0,,,0 CDM,72700320,Chgr-Pv Aortic Graft Le Unilat,1476.0,738.0,,,0 CDM,72700326,Chgr-Pv Renal Transplant,2275.0,1137.5,,,0 CDM,72700328,Chgr-Pv Intraop Carotid Duplex,1070.0,535.0,,,0 CDM,72700334,Chgr-Pv Groin Duplex Unilat,1476.0,738.0,,,0 CDM,72700336,Chgr-Pv Groin Duplex Bilat,2213.0,1106.5,,,0 CDM,72700338,Chgr-Pv Venous Exam Ue Unilat,1476.0,738.0,,,0 CDM,72700339,Chgr-Pv Venous Duplex Ue Bilat,2164.0,1082.0,,,0 CDM,72700340,Chgr-Pv Vein Map Ue Unilat,1476.0,738.0,,,0 CDM,72700341,Chgr-Pv Vein Map Ue Bilat,2164.0,1082.0,,,0 CDM,72700342,Chgr-Pv Arterial Duplex Ue Unilat,1476.0,738.0,,,0 CDM,72700344,Chgr-Pv Arterial Le Without Exercise,1500.0,750.0,,,0 CDM,72700346,Chgr-Pv Trauma Vein Duplex Le Unilat,1476.0,738.0,,,0 CDM,72700348,Chgr-Pv Avf Steal Study,1500.0,750.0,,,0 CDM,72700349,Chgr-Pv Trauma Duplex Le Bilat,2164.0,1082.0,,,0 CDM,72700350,Chgr-Pv Intraop Visceral Duplex,1807.0,903.5,,,0 CDM,72700351,Chgr-Pv Intraop Graft Duplex Le,1476.0,738.0,,,0 CDM,72700354,Chgr-Pv Portal Hepatic Duplex,2275.0,1137.5,,,0 CDM,72700355,Chgr-Pv Graft Duplex Le Bilateral,2213.0,1106.5,,,0 CDM,72700356,Chgr-Pv Ivc Duplex,1399.0,699.5,,,0 CDM,72700359,Chgr-Pv Abdominal Aorta Limited,928.0,464.0,,,0 CDM,72700362,Chgr-Pv Carotid Artery Unilat,1070.0,535.0,,,0 CDM,72700363,Chgr-Pv Transcranial Doppler,1801.0,900.5,,,0 CDM,72700364,Chgr-Pv Trauma Vein Duplex Ue Unilat,1476.0,738.0,,,0 CDM,72700366,Chgr-Pv Intraop Le Art Duplex Unilat,1476.0,738.0,,,0 CDM,72700368,Chgr-Pv Arterial Le With Cold Immersion,1500.0,750.0,,,0 CDM,72700369,Chgr-Pv Arterial Ue With Cold Immersion,1500.0,750.0,,,0 CDM,72700370,Chgr-Pv Dialysis Acces Duplex Ue Unilat,841.0,420.5,,,0 CDM,72700371,Chgr-Pv Dialysis Acces Duplex Le Unilat,841.0,420.5,,,0 CDM,72700377,Chgr-Pv Us Guidance For Needle,1655.0,827.5,,,0 CDM,72700378,Chgr-Pv Transcranial Doppler Ltd,956.0,478.0,,,0 CDM,72700379,Chgr-Pv Penile Duplex W/O Injection,1150.0,575.0,,,0 CDM,72700380,Chgr-Pv Portal-Hepatic Tips,2275.0,1137.5,,,0 CDM,72700402,Chgr-Pv Pancreatic Transplant,2275.0,1137.5,,,0 CDM,72700403,Chgr-Pv Liver Transplant,2275.0,1137.5,,,0 CDM,72701016,Chgr-Duplex Scan Extracranial Art Compl Bi Study,1707.0,853.5,,,0 CDM,72701017,Chgr-Duplex Scan Extracranial Art Uni/Lmtd Study,1070.0,535.0,,,0 CDM,72702008,Chgr-Pv Trauma Scan Le Bilat,2213.0,1106.5,,,0 CDM,72702020,Ni Self-Pay Screening Carotid,50.0,25.0,,,0 CDM,72702021,Ni Self-Pay Screening Aaa,50.0,25.0,,,0 CDM,72702022,Ni Self-Pay Screening Abi,50.0,25.0,,,0 CDM,72702023,"Ni Sp Screen Carotid,Aaa,Abi",99.0,49.5,,,0 CDM,72702101,Ehe Vascular Screening,222.53,111.26,,,0 CDM,72702102,Penile Injection,1157.0,578.5,,,0 CDM,72800001,Ect Treatment,1589.0,794.5,,,0 CDM,72800025,Family Therapy W/ Patient,459.0,229.5,,,0 CDM,72800174,Tcranial Mag Stim Tx Plan,989.0,494.5,,,0 CDM,72800175,Tcranial Magn Stim Tx Deli,989.0,494.5,,,0 CDM,72800176,Tcran Mag Stm Redet Motr,938.0,469.0,,,0 CDM,72800200,Initial Psych Assessment,624.0,312.0,,,0 CDM,72800202,Indiv Therapy (30 Min),301.0,150.5,,,0 CDM,72800203,Indiv Therapy (45 Min),414.0,207.0,,,0 CDM,72830,Noncdm Charge Record Medical Supplies,2579.16,1289.58,,,0 CDM,72900009,Chgr-Cd Erg In Addition To Cath,552.0,276.0,,,0 CDM,72900014,Chg-Iabp Procedure Only,11979.0,5989.5,,,0 CDM,72900018,Temporary Pacing Wire Procedur,10197.0,5098.5,,,0 CDM,72900019,Temporary Pacing Wire Procedur,10197.0,5098.5,,,0 CDM,72900027,Aicd Trnsvn Check Invasive Lab,1933.0,966.5,,,0 CDM,72900028,"Chgr-Cd Angio Ven 1St Ord(Renal, Jugular)",3327.0,1663.5,,,0 CDM,72900032,Ep Comprehensive Study,15568.0,7784.0,,,0 CDM,72900045,Stress Test - Cardiovascula,1502.0,751.0,,,0 CDM,72900048,Exercise Stress Echo W/O Contrast,2559.0,1279.5,,,0 CDM,72900065,Cardiopulmonary Resuscitation,1883.0,941.5,,,0 CDM,72900080,Ep Ventricular Study,9816.0,4908.0,,,0 CDM,72900081,Ep Atrial/His Study,9816.0,4908.0,,,0 CDM,72900092,Chgr-Cd Myocardial Biopsy With Cath,4346.0,2173.0,,,0 CDM,72900095,Ic Ablation Av Node,9263.0,4631.5,,,0 CDM,72900115,Supraventricular Mapping,7390.0,3695.0,,,0 CDM,72900120,Echocardiogram,1730.0,865.0,,,0 CDM,72900121,Mapping,7390.0,3695.0,,,0 CDM,72900122,Color Flow Velocity Mapping,823.0,411.5,,,0 CDM,72900124,Echo Limited Study,1191.0,595.5,,,0 CDM,72900126,Doppler Echo,1013.0,506.5,,,0 CDM,72900129,Chgr-Cn Tee W / O Contrast,3699.0,1849.5,,,0 CDM,72900131,Pharmacologic Stress Echo,2559.0,1279.5,,,0 CDM,72900146,Chgr-Cd Myocardial Biopsy Only,4346.0,2173.0,,,0 CDM,72900194,Chgr-Cd Monitoring Swan Procedure,3238.0,1619.0,,,0 CDM,72900199,Proc-Cardioverison,2400.0,1200.0,,,0 CDM,72900206,Pacemaker Temporary/Day,999.0,499.5,,,0 CDM,72900207,External Defibrillator,2400.0,1200.0,,,0 CDM,72900226,Intra-Aortic Balloon Fee,919.0,459.5,,,0 CDM,72900264,"Echo,3D",1402.0,701.0,,,0 CDM,72900403,Chgr-Cd Valvuloplasty Ao,12037.0,6018.5,,,0 CDM,72900404,Chgr-Cd Valvuloplasty Mitral,13863.0,6931.5,,,0 CDM,72900527,Cath Artery Abdm Pel Ext 1St,5396.0,2698.0,,,0 CDM,72900552,Chgr-Cd Ep Follow Up W / Pacing And Reco,6840.0,3420.0,,,0 CDM,72900553,Chgr-Cd Icd & Leads Check Same Day,2845.0,1422.5,,,0 CDM,72900616,Tilt Table Test,1509.0,754.5,,,0 CDM,72900617,Tilt Table/Medication Challenge,1509.0,754.5,,,0 CDM,72900619,Chgr-Cd Angiojetonly,10211.0,5105.5,,,0 CDM,72900620,"Chgr-Cd Asd Closure, Only",27590.0,13795.0,,,0 CDM,72900621,"Chgr-Cd Vsd Closure, Only",27590.0,13795.0,,,0 CDM,72900626,Event Recording & Hookup,361.0,180.5,,,0 CDM,72900801,Echo Limited Study W Contrast,2381.0,1190.5,,,0 CDM,72900802,Transesoph Echo W Contrast,4086.0,2043.0,,,0 CDM,72900803,Exercise Stress Echo Wcontrast,3832.0,1916.0,,,0 CDM,72900804,Chgr-Cn Pharmacologic Stress W / Contrast,3832.0,1916.0,,,0 CDM,72900902,Echocardiogram Complete W/O Contrast,3452.0,1726.0,,,0 CDM,72900903,Chgr-Cn Echocardiogram Comp W / Contrast,3688.0,1844.0,,,0 CDM,72901200,Pharmacologic Stress Test,1502.0,751.0,,,0 CDM,72902200,"Chgr-Angio Renal,1St Order,Uni",14030.0,7015.0,,,0 CDM,72902201,"Angio Renal,High Order,Uni",12217.0,6108.5,,,0 CDM,72902202,"Angio Renal,1St Order,Bilat",15986.0,7993.0,,,0 CDM,72902203,"Angio Renal,High Order,Bilat",12217.0,6108.5,,,0 CDM,72903001,Thrombectomy Mechanical Arterial,14793.0,7396.5,,,0 CDM,72903002,"Thromb,Mech Arterial,Addtl Ves",11938.0,5969.0,,,0 CDM,72903003,"Thromb,Mech Arterial,In Add",12870.0,6435.0,,,0 CDM,72903200,Dental Surgery Procedure,3951.0,1975.5,,,0 CDM,72904005,Nips Procedure,1287.0,643.5,,,0 CDM,72905212,Bundle Of His Recording Only,7180.0,3590.0,,,0 CDM,72905213,Intra Atrial Recording Only,7180.0,3590.0,,,0 CDM,72905214,Chgr-Cd Right Ventricular Recording On,4723.0,2361.5,,,0 CDM,72905215,Intra-Atrial Pacing,7180.0,3590.0,,,0 CDM,72905217,Intracardiac 3D Mapping,4728.0,2364.0,,,0 CDM,72905218,Aarhyhymia Induction By Pacing,4502.0,2251.0,,,0 CDM,72905219,Ep Study W/O Induction Of Arrh,9342.0,4671.0,,,0 CDM,72905220,Pharmacologic Stimulation,7450.0,3725.0,,,0 CDM,72905222,Chgr-Cn Spectral Analysis Follow Up Or Limit,861.0,430.5,,,0 CDM,72905228,Chgr-Cd Intercardiac Ultrasound,6706.0,3353.0,,,0 CDM,72905229,Chgr-Cd Pressure Wire Procedure,3559.0,1779.5,,,0 CDM,72905230,"Chgr-Cd Pressure Wire Place, Add Vessel",1152.0,576.0,,,0 CDM,72905245,Chgr-Cd Pocket Evacuation,4270.0,2135.0,,,0 CDM,72905254,Program/Eval Sgl Pacer,778.0,389.0,,,0 CDM,72905255,Program/Eval Dual Pacer,778.0,389.0,,,0 CDM,72905256,Program/Eval Bi-V Pacer,778.0,389.0,,,0 CDM,72905257,Program/Eval Sgl Trnsvn Defb,467.0,233.5,,,0 CDM,72905258,Program/Eval Dual Trnsvn Defb,467.0,233.5,,,0 CDM,72905259,Program/Eval Bi-V Transvn Defb,467.0,233.5,,,0 CDM,72905260,Inprs Prgrm Dev Eval Rhythm Mn,448.0,224.0,,,0 CDM,72905261,Peri-Procedure Pacer,278.0,139.0,,,0 CDM,72905262,Peri-Procedure Icd,555.0,277.5,,,0 CDM,72905263,Interroga Pacer,244.0,122.0,,,0 CDM,72905264,Interrogation Transven Defib,477.0,238.5,,,0 CDM,72905266,Interrogation Loop Recorder,632.0,316.0,,,0 CDM,72905267,Remote Interrogation Pacer,363.0,181.5,,,0 CDM,72905268,Remote Interrogation Icd,363.0,181.5,,,0 CDM,72905523,Ecg Transesophageal Cong,2208.0,1104.0,,,0 CDM,72905550,Vad Per Minute,44.0,22.0,,,0 CDM,72906001,Chgr-Cd Aortogram Thor Serial,6102.0,3051.0,,,0 CDM,72906002,Chgr-Cd Aortogram Abdomen Serial,5878.0,2939.0,,,0 CDM,72906003,Chgr-Cd Aortogram Abdomen W / Runoff,5878.0,2939.0,,,0 CDM,72906014,Chgr-Cd Angio Extr Bilat,5811.0,2905.5,,,0 CDM,72906017,Chgr-Cd Angio Visc Sel W / Or W / O F,9797.0,4898.5,,,0 CDM,72906018,"Chgr-Cd Angio Pelvic, Sel Or Supras",9797.0,4898.5,,,0 CDM,72906019,Chgr-Cd Angio Pulmonary Unilat,9797.0,4898.5,,,0 CDM,72906021,Angiogram Select Addl,3250.0,1625.0,,,0 CDM,72906022,Angio Venous Ivc,7838.0,3919.0,,,0 CDM,72906023,Chgr-Cd Angio Venous Renal Unilateral,7838.0,3919.0,,,0 CDM,72906024,Chgr-Cd Angio Venous Renal Bilateral,7838.0,3919.0,,,0 CDM,72906025,Angio Venous Sinus Or Jugular,3565.0,1782.5,,,0 CDM,72906027,"Chgr-Cd Thromboly, Angio Fol Up Exis Ca",3239.0,1619.5,,,0 CDM,72906042,Chgr-Cd Angio Extr Unilateral,4651.0,2325.5,,,0 CDM,72906046,Coagulation Time-Teg Poc,139.0,69.5,,,0 CDM,72906047,Fibrinogen-Teg Proc,167.0,83.5,,,0 CDM,72906048,Blood Plate Aggregtn-Teg Poc,295.0,147.5,,,0 CDM,72906049,Fibrinolysisn Screen Teg Poc,104.0,52.0,,,0 CDM,72906050,Platelet Aggregation Each,405.0,202.5,,,0 CDM,72906601,Chgr-Tee Probe Insertion Only,3323.0,1661.5,,,0 CDM,72906602,Tee Probe Insertion Only Cong,3323.0,1661.5,,,0 CDM,72906604,Thoracentesis W/ Img Guide,4726.0,2363.0,,,0 CDM,72906605,Cd-Nonsel Thor Aort+Arch Image,14991.0,7495.5,,,0 CDM,72906606,"Thromb,Angi Fol-Up Exchan Cat",12349.0,6174.5,,,0 CDM,72906607,Cd-Sel Cth Cca/Inom+Cerbl Imag,23788.0,11894.0,,,0 CDM,72906608,Cd-Sel Cth Ica/Inom+Cerbl Imag,23857.0,11928.5,,,0 CDM,72906609,Cd-Sel Cth Inom/Subc+Vert Imag,31690.0,15845.0,,,0 CDM,72906610,Cd-Sel Cth Vertbrl+Vert Image,31087.0,15543.5,,,0 CDM,72906613,Cd-Sel Cth Eca+Eca Image,9138.0,4569.0,,,0 CDM,72906614,Pci Angioplasty Addl Vsl,12037.0,6018.5,,,0 CDM,72906615,Pci Athrect/Angioplasty 1 Vsl,17473.0,8736.5,,,0 CDM,72906616,Pci Athrect/Angioplasty Addl,17473.0,8736.5,,,0 CDM,72906617,Ep&Ablatn Supravent Arrhytm,33791.0,16895.5,,,0 CDM,72906618,Ep&Ablatn Ventric Tachy+3D Map,38979.0,19489.5,,,0 CDM,72906619,Ablate Discrete Arrhytm Add-On,13538.0,6769.0,,,0 CDM,72906620,Ep&Ablatn Afib Pulm Vein Isol,33791.0,16895.5,,,0 CDM,72906621,Ablatn Afib Aftr Pul Vein Isol,13538.0,6769.0,,,0 CDM,72906626,Cd-Sel Cth Cca/Inom+Cervl Imag,18711.0,9355.5,,,0 CDM,72907050,Prq Card Stent W/Angio 1 Vsl,15849.0,7924.5,,,0 CDM,72907051,Prq Card Stent W/Angio Addl,15849.0,7924.5,,,0 CDM,72907052,Prq Card Stent/Ath/Angio,24434.0,12217.0,,,0 CDM,72907053,Prq Card Stent/Ath/Angio Addl,19709.0,9854.5,,,0 CDM,72907054,Prq Revasc Byp Graft 1 Vsl,15849.0,7924.5,,,0 CDM,72907055,Prq Revasc Byp Graft Addl,15849.0,7924.5,,,0 CDM,72907056,Prq Card Revasc Mi 1 Vsl,15849.0,7924.5,,,0 CDM,72907057,Prq Card Revasc Chronic 1Vsl,15849.0,7924.5,,,0 CDM,72907058,Prq Card Revasc Chronic Addl,15849.0,7924.5,,,0 CDM,72907059,Pci De Stent W/Angiopl 1 Vsl,33132.0,16566.0,,,0 CDM,72907060,Pci De Stent W/Angiopl Addl,22088.0,11044.0,,,0 CDM,72907061,Pci De Stent/Ath/Angio 1 Vsl,28833.0,14416.5,,,0 CDM,72907062,Pci De Stent/Ath/Angio Addtl,25438.0,12719.0,,,0 CDM,72907063,Pci Pyp Graft 1 Vsl-Des/At/Ag,22088.0,11044.0,,,0 CDM,72907064,Pci Byp Graft Addl-Des/At/Ag,22088.0,11044.0,,,0 CDM,72907065,Pci Mi 1 Vsl-Des/Ath/Angiopl,33132.0,16566.0,,,0 CDM,72907066,Pci Chronic 1Vsl-Des/Ath/Angi,22088.0,11044.0,,,0 CDM,72907067,Pci Chronic Addl-Des/Ath/Angi,22088.0,11044.0,,,0 CDM,72907080,Chgr Cd-Sel Cth Ica/Vertrbl+Image,9138.0,4569.0,,,0 CDM,72907085,Insert Cath Pleura W/Image,4726.0,2363.0,,,0 CDM,72907086,Pda Closure,27590.0,13795.0,,,0 CDM,72907097,Remove Vad Different Session,4448.0,2224.0,,,0 CDM,72907098,Carotid Stent Common Or Innomi,35078.0,17539.0,,,0 CDM,72908001,Electrophysiology Evaluation,2845.0,1422.5,,,0 CDM,72908002,Chgr-Thrombolytic Art Therapy,12349.0,6174.5,,,0 CDM,72908003,Chgr Thrombolytic Venous Therapy,9692.0,4846.0,,,0 CDM,72908004,Chgr Thromblytic Art/Ven Therapy,12349.0,6174.5,,,0 CDM,72908005,Chgr Cessj Therapy Cath Removal,12349.0,6174.5,,,0 CDM,72908007,Unlisted Cardiovascular Service/Procedure,386.0,193.0,,,0 CDM,72908025,Ambulatory Bp Analysis 24+Hrs,1144.0,572.0,,,0 CDM,72908100,Myocrd Strain Img Spckl Trck,851.0,425.5,,,0 CDM,72910510,"Catheter,Heartmate Php",48751.61,24375.8,,,0 CDM,72910512,Deb Subq Tissue 20 Sq Cm/<,1736.0,868.0,,,0 CDM,72910515,"Tee,2D Continuous Assessment",3585.0,1792.5,,,0 CDM,72910522,Echocardiography Tee,3642.0,1821.0,,,0 CDM,72910524,Transcath Mitral Valve Repair,51144.0,25572.0,,,0 CDM,72910525,Addl Transcath Mitral Valve,25845.0,12922.5,,,0 CDM,72910528,R&L Hrt Cath Chd Nml Nt Cnj,25024.0,12512.0,,,0 CDM,72910529,R&L Hrt Cath Chd Abnl Nt Cnj,25024.0,12512.0,,,0 CDM,72910530,Car Outp Meas Drg Cath Chd,1569.0,784.5,,,0 CDM,72910531,Interrogate Subq Defib,127.0,63.5,,,0 CDM,72910532,Prgrmg Dev Eval Scrms Remote,142.0,71.0,,,0 CDM,72910533,Perq Transcath Septal Reduxn,30673.0,15336.5,,,0 CDM,72910534,Prgrmg Dev Eval Impltbl Sys,127.0,63.5,,,0 CDM,72910535,Phleb Veins-Extrem 20+,11963.0,5981.5,,,0 CDM,72910536,Recovery Pvi First 30 Mins,1247.49,623.74,,,0 CDM,72910537,Recovery Phase I Pvi Each Addl 15 Mins,657.5,328.75,,,0 CDM,72910538,Recovery Phase Ii Pvi Each Addl 15 Mins,564.86,282.43,,,0 CDM,72910539,Ep-Cath Lab First 30 Mins,16215.0,8107.5,,,0 CDM,72910540,Ep-Cath Lab Each Addl 15 Mins,5980.0,2990.0,,,0 CDM,72910541,Rem Interrog Icpms <30 D Phys/Qhp,150.0,75.0,,,0 CDM,72910542,Rem Interrog Scrms <30 D Phys/Qhp,150.0,75.0,,,0 CDM,72929,Noncdm Charge Record Medical Supplies,740.6,370.3,,,0 CDM,72935,Noncdm Charge Record Medical Supplies,745.2,372.6,,,0 CDM,7295,Noncdm Charge Record Medical Supplies,11.86,5.93,,,0 CDM,7296,Noncdm Charge Record Medical Supplies,11.86,5.93,,,0 CDM,73000001,Cadaver Heart,162570.0,81285.0,,,0 CDM,73000501,Kidney Acquisition Charge- Cad,141949.0,70974.5,,,0 CDM,73000511,Cardiac Assist Dressing Lvad,133.0,66.5,,,0 CDM,73000512,Cardiac Assist Dressing Bivad,270.14,135.07,,,0 CDM,73000522,Office/Outpatient New Sf Mdm 15 Minutes,344.0,172.0,,,0 CDM,73000523,Office/Outpatient New Low Mdm 30 Minutes,344.0,172.0,,,0 CDM,73000524,Office/Outpatient New Moderate Mdm 45 Minutes,344.0,172.0,,,0 CDM,73000525,Office/Outpatient New High Mdm 60 Minutes,344.0,172.0,,,0 CDM,73000601,Kidney Aquistion Chrg-Ld,141949.0,70974.5,,,0 CDM,73000602,Pancreas Acquisition Charge,76258.0,38129.0,,,0 CDM,73000621,F/U Office O/P Min Prob Lev 1,344.0,172.0,,,0 CDM,73000622,F/U Office Op Sf 10-19 Min Lv2,344.0,172.0,,,0 CDM,73000623,F/U Office Op Low 20-29 Min L3,344.0,172.0,,,0 CDM,73000624,F/U Office Op Mod 30-39 Min L4,344.0,172.0,,,0 CDM,73000625,Follow Up Visit Level 5,344.0,172.0,,,0 CDM,73000626,F/U Of Op Sf 10-19 Min Lv2 -25,344.0,172.0,,,0 CDM,73000627,F/U Of Op Low 20-29 Min L3 -25,344.0,172.0,,,0 CDM,73000628,F/U Of O/P Min Prob Lev 1 -25,344.0,172.0,,,0 CDM,73000629,F/U Of Op Mod 30-39 Min L4 -25,344.0,172.0,,,0 CDM,73000630,Follow Up Visit Lvl 5 W/Mod 25,344.0,172.0,,,0 CDM,73000631,F/U Office Op Low 20-29 Min L3,344.0,172.0,,,0 CDM,73000632,F/U Office O/P Min Prob Lev 1,344.0,172.0,,,0 CDM,73100007,Kit Swan Ganz Introducer Arrow,39.0,19.5,,,0 CDM,73100010,Set V8631 Additive Adult Prim,46.58,23.29,,,0 CDM,73100011,Guide Spring Stainless Steel,46.58,23.29,,,0 CDM,73100012,Injection Fee,187.0,93.5,,,0 CDM,73100025,Ther/Proph Iv Inf Init=<1Hr,730.0,365.0,,,0 CDM,73100026,Ther/Proph/Diag Iv Inf Addon,404.0,202.0,,,0 CDM,73100851,Iv Cath Cv Double Iumen,367.43,183.72,,,0 CDM,73101986,Cath Hemodialysis (Each),421.25,210.62,,,0 CDM,73103108,Infusion Controller Set,172.85,86.42,,,0 CDM,73109165,Iv Tubing For Taxol Admin Ea,80.73,40.36,,,0 CDM,73200018,Ed Level Iv - Er Dept Visit,1819.0,909.5,,,0 CDM,73200019,Ed Level V - Er Dept Visit,2867.0,1433.5,,,0 CDM,73200020,Ed Critical Care 30-74 Minutes,5322.0,2661.0,,,0 CDM,73200022,Bravo Trauma Activation,7197.0,3598.5,,,0 CDM,73200023,Alpha Trauma Activation,7197.0,3598.5,,,0 CDM,73200024,Critical Care Add'l 30 Mins,1053.0,526.5,,,0 CDM,73200026,Level I - Er Dept Visit,260.0,130.0,,,0 CDM,73200027,Level Ii - Er Dept Visit,497.0,248.5,,,0 CDM,73200028,Level Iii - Er Dept Visit,982.0,491.0,,,0 CDM,73200030,96360 Hydration Infusion,672.0,336.0,,,0 CDM,73200031,96361 Hydration Inf Ea Addl Hr,323.0,161.5,,,0 CDM,73200032,96365 Drug Infusion 1St Hr,730.0,365.0,,,0 CDM,73200033,96366 Drug Inf Ea Addl Hr,404.0,202.0,,,0 CDM,73200500,10060 Incision & Drainage Abscess Simple/Single,1305.0,652.5,,,0 CDM,73200501,10061 I&D Skin Abscess-Complic,1501.0,750.5,,,0 CDM,73200502,10080 Pilonidal Cyst-Simple,950.0,475.0,,,0 CDM,73200503,10120 I&Fb Removal Subq-Simple,1381.0,690.5,,,0 CDM,73200504,10121 I&Fb Removal Subq-Comp,6803.0,3401.5,,,0 CDM,73200505,10140 I&D Hematoma/Fluid,4270.0,2135.0,,,0 CDM,73200506,10160 Punct Aspirat'n Skin Les,630.0,315.0,,,0 CDM,73200507,11000 Debrd Inf Skin-10% Body,680.0,340.0,,,0 CDM,73200509,11042 Debrd Skin&Subq 20Sqcm/<,1736.0,868.0,,,0 CDM,73200510,11200 Remov Mult Skin Tag 1-15,643.0,321.5,,,0 CDM,73200511,11730 Avul Nail Plate Simp-1,327.0,163.5,,,0 CDM,73200512,11732 Avul Nail Plate Ea Add,748.0,374.0,,,0 CDM,73200513,11740 Evac Subungual Hematoma,378.0,189.0,,,0 CDM,73200514,11750 Exc Nail&Matrx-Perm Rml,1368.0,684.0,,,0 CDM,73200516,11760 Repair Of Nailbed,1300.0,650.0,,,0 CDM,73200517,11765 Nail Fold Wedge Excision,518.0,259.0,,,0 CDM,73200518,12001 Simple Rep Trunk=<2.5Cm,923.0,461.5,,,0 CDM,73200519,12002 Simp Rep Trunk 2.6-7.5Cm,1551.0,775.5,,,0 CDM,73200520,12004 Simp Rep Trnk 7.6-12.5Cm,1708.0,854.0,,,0 CDM,73200521,12005 Simp Rep Trunk 12.6-20Cm,1877.0,938.5,,,0 CDM,73200522,12006 Simp Rep Trunk 20.1-30Cm,2067.0,1033.5,,,0 CDM,73200523,12007 Simple Rep Trunk>30Cm,2272.0,1136.0,,,0 CDM,73200524,12011 Simple Rep Face=<2.5Cm,967.0,483.5,,,0 CDM,73200525,12013 Simple Repair F/E/E/N/L/M 2.6Cm-5.0 Cm,1278.0,639.0,,,0 CDM,73200526,12014 Simp Rep Face 5.1-7.5Cm,1403.0,701.5,,,0 CDM,73200527,12015 Simp Rep Face 7.6-12.5Cm,1542.0,771.0,,,0 CDM,73200528,12016 Simp Rep Face 12.6-20Cm,1773.0,886.5,,,0 CDM,73200529,12018 Simp Rep Face >30Cm,2344.0,1172.0,,,0 CDM,73200530,12020 Rx Supfcl Wd Dehis-Simp,2150.0,1075.0,,,0 CDM,73200531,12021 Rx Supfcl Wd Deshi-Pack,1475.0,737.5,,,0 CDM,73200532,12031 Repair Intermediate S/A/T/E 2.5 Cm/<,1250.0,625.0,,,0 CDM,73200533,12032 Repair Intermediate S/A/T/E 2.6-7.5 Cm,1250.0,625.0,,,0 CDM,73200534,12034 Repair Intermediate S/A/T/E 7.6-12.5 Cm,1250.0,625.0,,,0 CDM,73200535,12035 Repair Intermediate S/A/T/E 12.6-20.0Cm,1250.0,625.0,,,0 CDM,73200536,12036 Repair Intermediate S/A/T/E 20.1-30.0 Cm,1894.0,947.0,,,0 CDM,73200538,12037 Repair Intermediate S/A/T/E >30.0 Cm,6196.0,3098.0,,,0 CDM,73200539,12041 Lay Clos Hnd/Ft=<2.5Cm,518.0,259.0,,,0 CDM,73200540,12042 Lay Cls Hnd/Ft 2.6-7.5Cm,518.0,259.0,,,0 CDM,73200541,12044 Lay Cls Hnd/F 7.6-12.5Cm,811.0,405.5,,,0 CDM,73200542,12045 Lay Cls Hnd/Ft 12.6-20Cm,811.0,405.5,,,0 CDM,73200543,12051 Layr Closr Face=<2.5Cm,518.0,259.0,,,0 CDM,73200544,12052 Layr Closr Face 2.6-5Cm,518.0,259.0,,,0 CDM,73200545,12053 Layr Clos Face 5.1-7.5Cm,518.0,259.0,,,0 CDM,73200546,12054 Lay Clos Face 7.6-12.5Cm,523.0,261.5,,,0 CDM,73200547,12055 Lay Clos Face 12.6-20Cm,730.0,365.0,,,0 CDM,73200548,12056 Layr Clos Face 20.1-30Cm,840.0,420.0,,,0 CDM,73200549,12057 Layr Closr Face >30Cm,967.0,483.5,,,0 CDM,73200550,13100 Comp Rep Trunk 1.1-2.5Cm,967.0,483.5,,,0 CDM,73200551,13101 Comp Rep Trunk 2.6-7.5Cm,2079.0,1039.5,,,0 CDM,73200552,13102 Comp Rep Trnk Ea Add 5Cm,1074.0,537.0,,,0 CDM,73200553,13120 Comp Rep Ext/1.1-2.5Cm,1288.0,644.0,,,0 CDM,73200554,13121 Comp Rep Ext/2.6-75.Cm,1478.0,739.0,,,0 CDM,73200555,13122 Comp Rep Ext/Ea Add 5Cm,331.0,165.5,,,0 CDM,73200556,13131 Comp Rep Face/1.1-2.5Cm,1321.0,660.5,,,0 CDM,73200557,13132 Comp Rep Face/2.6-7.5Cm,1523.0,761.5,,,0 CDM,73200558,13133 Comp Rep Fac/Ea Add 5Cm,748.0,374.0,,,0 CDM,73200560,13151 Comp Rep Eyeld/1.1-2.5Cm,2029.0,1014.5,,,0 CDM,73200561,13152 Comp Rep Eyeld/2.6-7.5Cm,2331.0,1165.5,,,0 CDM,73200562,13153 Cmp Rep Eyeld/Ea Add 5Cm,2680.0,1340.0,,,0 CDM,73200563,16000 1St Degree Burn-Init Rx,486.0,243.0,,,0 CDM,73200565,16030 Burn Dsrg/Debr W Anes-Lg,1368.0,684.0,,,0 CDM,73200566,16020 Dress/Debrd P-Thick Burn,748.0,374.0,,,0 CDM,73200567,16025 Burn Dsg/Dbrid S Anes-Md,748.0,374.0,,,0 CDM,73200569,19000 Breast Cyst Punc Aspirat,1104.0,552.0,,,0 CDM,73200571,20100 Penetr Wound Explor-Neck,1782.0,891.0,,,0 CDM,73200572,20101 Penetr Wound Expl-Chest,5583.0,2791.5,,,0 CDM,73200573,20102 Pen Wnd Expl-Abd/Flnk/Bk,5583.0,2791.5,,,0 CDM,73200574,20103 Penetr Wnd Expl-Extrem,2947.0,1473.5,,,0 CDM,73200575,20520 Rem Mscle/Tndn Fb Simpl,1753.0,876.5,,,0 CDM,73200576,20600 Arthrcents-Sm Jnt W/O Us,919.0,459.5,,,0 CDM,73200577,20605 Arthrcent-Int Jnt W/O Us,846.0,423.0,,,0 CDM,73200578,20610 Arthrcents-Mj Jnt W/O Us,1046.0,523.0,,,0 CDM,73200579,20650 Insert Wire/Pin Sk Trac,5137.0,2568.5,,,0 CDM,73200585,21315 Closed Tx Nose Fx W/O Stablj,4532.0,2266.0,,,0 CDM,73200586,21320 Closed Tx Nose Fx W/ Stablj,7213.0,3606.5,,,0 CDM,73200590,21453 Cl Rx Mand Fx-Dental Fix,10715.0,5357.5,,,0 CDM,73200591,21480 Clsd Rx Tmj Dislocation,297.0,148.5,,,0 CDM,73200597,23330 Removal Subq Fb Shoulder,3102.0,1551.0,,,0 CDM,73200599,23505 Clsd Rx Clav Fx W Manip,4299.0,2149.5,,,0 CDM,73200601,23545 Clsd Rx Ac Disl W Manip,2241.0,1120.5,,,0 CDM,73200603,23600 Cl Rx Humer Fx No Manip,787.0,393.5,,,0 CDM,73200604,23605 Clsd Rx Humer Fx W Manip,2867.0,1433.5,,,0 CDM,73200606,23650 Cl Rx Sh Dsl-Man-No Anes,2970.0,1485.0,,,0 CDM,73200609,24200 Rem Subq Fb Up Arm/Elbow,1753.0,876.5,,,0 CDM,73200610,24500 Cl Rx Hum Shft Fx No Man,687.0,343.5,,,0 CDM,73200613,24535 Cl Rx Condylr Fx W Mnip,1677.0,838.5,,,0 CDM,73200615,24565 Cl Rx Condylar Fx W Mnip,1677.0,838.5,,,0 CDM,73200617,24577 Cl Rx Condylr Fx W Man,5028.0,2514.0,,,0 CDM,73200618,24600 Rx Cl Elb Dslctn No Anes,758.0,379.0,,,0 CDM,73200620,24640 Rx Nursmd El W Mani-Chld,404.0,202.0,,,0 CDM,73200622,24655 Clsd Rx Radial Fx W Mnip,1677.0,838.5,,,0 CDM,73200623,24670 Cl Rx Prox Uln Fx No Man,396.0,198.0,,,0 CDM,73200624,24675 Cl Rx Prox Uln Fx W Manp,1677.0,838.5,,,0 CDM,73200626,25505 Cl Rx Radial Fx W Manip,3102.0,1551.0,,,0 CDM,73200629,25535 Clsd Rx Ulnar Fx W Manip,2901.0,1450.5,,,0 CDM,73200630,25560 Cl Tx Rad&Ul Fx No Manip,802.0,401.0,,,0 CDM,73200631,25565 Clsd Rx Rad&Ul Fx W Mnip,5028.0,2514.0,,,0 CDM,73200632,25600 Cl Rx Epiph Spen No Mnip,676.0,338.0,,,0 CDM,73200633,25605 Cl Rx Epiph Sepn W Manip,2208.0,1104.0,,,0 CDM,73200634,25622 Cl Rx Scaphod Fx-No Mnip,396.0,198.0,,,0 CDM,73200635,25624 Cl Tx Carpl Scaphoid Fx,2705.0,1352.5,,,0 CDM,73200637,25635 Cl Rx Carp Fx W Mnip Ea,1725.0,862.5,,,0 CDM,73200638,25650 Clsd Rx Ulnar Styloid Fx,720.0,360.0,,,0 CDM,73200640,25675 Cl Rx Radoulnr Dslo-Mnip,575.0,287.5,,,0 CDM,73200641,25690 Cl Rx Lunat Disl W Manip,4874.0,2437.0,,,0 CDM,73200642,26010 Smpl Drain Fngr Abscess,359.0,179.5,,,0 CDM,73200643,26011 Compl Drain Fing Abscess,2462.0,1231.0,,,0 CDM,73200644,26600 Cl Rx Metacarp Fx No Man,424.0,212.0,,,0 CDM,73200645,26605 Cl Rx Metcrpl Fx W Manip,1198.0,599.0,,,0 CDM,73200646,26641 Rx Car/Metcarp Dslo-Mnip,316.0,158.0,,,0 CDM,73200647,26645 Cl Rx Bennett Fx W Manip,1677.0,838.5,,,0 CDM,73200648,26670 Cl Rx Carpmetcarp Disloc,540.0,270.0,,,0 CDM,73200649,26700 Cl Rx M-P Dslo Sngl-Mnip,754.0,377.0,,,0 CDM,73200650,26705 Cl Rx M-P Dslo W Anes,1677.0,838.5,,,0 CDM,73200651,26720 Cl Rx Fngr Fx-No Mnip Ea,561.0,280.5,,,0 CDM,73200652,26725 Cl Rx Finger Fx W Man Ea,616.0,308.0,,,0 CDM,73200653,26740 Cl Rx M-P/I-P Fx No Mnip,739.0,369.5,,,0 CDM,73200654,26742 Cl Rx Mcp/Ip Fx W Manip,1677.0,838.5,,,0 CDM,73200655,26750 Closed Rx Dstl Finger Fx,802.0,401.0,,,0 CDM,73200656,26755 Cl Rx Dstl Fngr Fx W Man,802.0,401.0,,,0 CDM,73200657,26770 Cl Rx Ip Dslo Hand W Man,424.0,212.0,,,0 CDM,73200658,26775 Cl Rx Ip Dslo-Man & Anes,4759.0,2379.5,,,0 CDM,73200659,27086 Rmvl Subq Fb Pelvis/Hip,3019.0,1509.5,,,0 CDM,73200663,Treat Hip Socket Fracture,3983.0,1991.5,,,0 CDM,73200669,27250 Cl Rx Hip Dslo-No Anes,422.0,211.0,,,0 CDM,73200670,27265 Cl Rx Post Hip Arthr Dis,651.0,325.5,,,0 CDM,73200673,27502 Cl Rx Fem Shaft Fx W Man,5142.0,2571.0,,,0 CDM,73200674,27503 Cl Tx Sc/Tc Femur Fx Man,4606.0,2303.0,,,0 CDM,73200676,27510 Cl Tx Femur Fx Or Epiphy,2250.0,1125.0,,,0 CDM,73200681,27532 Cl Tx Prox Tibial Fx,3478.0,1739.0,,,0 CDM,73200683,27550 Cl Rx Knee Dslo-No Anes,526.0,263.0,,,0 CDM,73200684,27560 Cl Rx Patla Dslo-No Anes,430.0,215.0,,,0 CDM,73200686,27752 Cl Rx Tibial Fx W Manip,8533.0,4266.5,,,0 CDM,73200688,27762 Cl Rx Dstl Tib Fx W Mnip,4640.0,2320.0,,,0 CDM,73200690,27781 Cl Rx Fibula Fx W Manip,5727.0,2863.5,,,0 CDM,73200691,27786 Cl Rx Dstl Fib Fx-No Man,406.0,203.0,,,0 CDM,73200692,27788 Cl Rx Dstl Fib Fx W Mnip,478.0,239.0,,,0 CDM,73200693,27808 Cl Rx Bimaleor Fx-No Man,526.0,263.0,,,0 CDM,73200694,27810 Cl Rx Bimaleor Fx W Mnip,1677.0,838.5,,,0 CDM,73200695,27816 Cl Rx Trimaler Fx No Man,526.0,263.0,,,0 CDM,73200696,27818 Cl Rx Trimaleor Fx-Manip,2505.0,1252.5,,,0 CDM,73200697,27824 Cl Rx Dstl Tib Fx-No Man,748.0,374.0,,,0 CDM,73200698,27840 Cl Rx Ankl Dslo-No Anes,1464.0,732.0,,,0 CDM,73200699,28190 Removal Subq Fb-Foot,2523.0,1261.5,,,0 CDM,73200701,28405 Cl Rx Calcaneal Fx; W Ma,1132.0,566.0,,,0 CDM,73200703,28435 Cl Rx Talus Fx W Manip,1677.0,838.5,,,0 CDM,73200705,28455 Tx Tarsal Bone Fx;W Mani,3649.0,1824.5,,,0 CDM,73200706,28470 Cl Rx Metarsal Fx-No Mnp,581.0,290.5,,,0 CDM,73200707,28475 Cl Rx Metarsal Fx-Manip,1267.0,633.5,,,0 CDM,73200709,28495 Cl Rx Grt Tow Fx W Manip,1155.0,577.5,,,0 CDM,73200710,28510 Cl Rx Phalanx Fx-No Mnip,642.0,321.0,,,0 CDM,73200711,28515 Cl Rx Phalanx Fx W Manip,758.0,379.0,,,0 CDM,73200715,28630 Cl Rx Metphl Dsl-No Anes,597.0,298.5,,,0 CDM,73200716,28660 Cl Rx Ip Dislocatn-Toe,443.0,221.5,,,0 CDM,73200717,28665 Cl Rx Ip Disloc-Toe-Anes,1527.0,763.5,,,0 CDM,73200719,29075 Apply Short Arm Cast,599.0,299.5,,,0 CDM,73200720,29105 Apply Long Arm Splint,978.0,489.0,,,0 CDM,73200721,29125 Apply Short Arm Splint,844.0,422.0,,,0 CDM,73200722,29130 Apply Fngr Splint-Static,890.0,445.0,,,0 CDM,73200723,29240 Strapping-Shoulder,973.0,486.5,,,0 CDM,73200725,29405 Short Leg Cast,734.0,367.0,,,0 CDM,73200726,29505 App Long Leg Splint,751.0,375.5,,,0 CDM,73200727,29515 App Short Leg Splint,886.0,443.0,,,0 CDM,73200728,29530 Strapping-Knee,770.0,385.0,,,0 CDM,73200729,29540 Strapping-Ankle,734.0,367.0,,,0 CDM,73200730,29550 Strapping-Toes,751.0,375.5,,,0 CDM,73200731,30300 Remove Nose Fb-Office Px,262.0,131.0,,,0 CDM,73200732,30901 Control Nose Bleed-Smpl,938.0,469.0,,,0 CDM,73200734,30905 Nose Bl-Post Pack-Initl,546.0,273.0,,,0 CDM,73200735,30906 Nose Bl-Post Pack-Sbsqnt,546.0,273.0,,,0 CDM,73200736,31500 Endotrachl Intubatn-Emer,2264.0,1132.0,,,0 CDM,73200737,31502 Tracheotomy Tube Change,590.0,295.0,,,0 CDM,73200738,31505 Indirct Dxtic Laryngscpy,209.0,104.5,,,0 CDM,73200739,31575 Dxtic Fibreopt Laryngosc,785.0,392.5,,,0 CDM,73200740,31603 Emerg Trnstrach Tracheos,2099.0,1049.5,,,0 CDM,73200743,32551 Tube Thoracostomy,2596.0,1298.0,,,0 CDM,73200744,32160 Mj Thorctomy W Cardc Mas,1014.0,507.0,,,0 CDM,73200746,36000 Needle/Intracath In Vein,860.0,430.0,,,0 CDM,73200749,36405 Bl Draw <3Rs Scalp Vein,1044.0,522.0,,,0 CDM,73200750,36415 Routine Venipunct/Stick,39.0,19.5,,,0 CDM,73200751,36430 Bld Cmpnts Indirct Trnsf,1611.0,805.5,,,0 CDM,73200753,36600 Arterial Puncture,240.0,120.0,,,0 CDM,73200755,40650 Lip Rp Ful Thick-Vermil,1782.0,891.0,,,0 CDM,73200756,40654 Lip Rp Ful->1/2 Vert Ht,3563.0,1781.5,,,0 CDM,73200757,40800 I&D Cyt Vestbl Mouth-Smp,996.0,498.0,,,0 CDM,73200758,40830 Sut Lac Mouth To 2.5Cm,996.0,498.0,,,0 CDM,73200760,41000 I&D Les Intraoral Lingul,4014.0,2007.0,,,0 CDM,73200761,41250 Rp Lac Ant 2/3 Tong-2Cm,546.0,273.0,,,0 CDM,73200762,41252 Rp Lac Tongue Over 2Cm,3200.0,1600.0,,,0 CDM,73200763,41800 I&D Lesion Dentoalveolar,601.0,300.5,,,0 CDM,73200764,42000 I&D Palate/Uvula Lesion,803.0,401.5,,,0 CDM,73200765,42310 I&D Absc-Submax/Lingual,1640.0,820.0,,,0 CDM,73200766,42700 I&D Absc-Peritonsillar,1350.0,675.0,,,0 CDM,73200767,42809 Pharyngeal Fb Removal,1194.0,597.0,,,0 CDM,73200768,42960 Contrl Orophar Bleed-Smp,1902.0,951.0,,,0 CDM,73200770,43761 Repos Gtube Thru Duoden,2047.0,1023.5,,,0 CDM,73200771,45005 I&D Submuc Absc-Rectum,3297.0,1648.5,,,0 CDM,73200772,46040 I&D Ischo/Perirectl Absc,5597.0,2798.5,,,0 CDM,73200773,46050 I&D Supficl Perianl Absc,3297.0,1648.5,,,0 CDM,73200774,46083 Ext Incis-Thrombosd Pile,794.0,397.0,,,0 CDM,73200775,46608 Anoscopy With Removal Fb,3039.0,1519.5,,,0 CDM,73200777,51700 Bladder Irrigation,920.0,460.0,,,0 CDM,73200781,56405 I&D Vulva/Perineal Absc,981.0,490.5,,,0 CDM,73200782,56420 I&D Barth Bland Abscess,2107.0,1053.5,,,0 CDM,73200783,57200 Colporrhaphy (Nonobstet),3432.0,1716.0,,,0 CDM,73200784,57415 Rem Vaginal Foreign Body,7694.0,3847.0,,,0 CDM,73200785,58120 Nonobstetrical D&C,4678.0,2339.0,,,0 CDM,73200786,58301 Remove Iud,667.0,333.5,,,0 CDM,73200787,59409 Vaginal Delivery Only,4202.0,2101.0,,,0 CDM,73200788,59414 Deliver Placenta,3756.0,1878.0,,,0 CDM,73200789,59514 Caesarean Delivery Only,3908.0,1954.0,,,0 CDM,73200790,62270 Lumbar Sp Puncture-Dx,2970.0,1485.0,,,0 CDM,73200791,62272 Theraputic Sp Punc-Drai,2970.0,1485.0,,,0 CDM,73200792,62273 Epidur Inj Bl/Clot Patc,2067.0,1033.5,,,0 CDM,73200793,65205 Rmv Superficl Fb Conjun,797.0,398.5,,,0 CDM,73200794,65210 Rmv Embedded Fb Conjunct,821.0,410.5,,,0 CDM,73200795,65220 Removal Corneal Fb,477.0,238.5,,,0 CDM,73200796,"65222 Rmv Fb Cornea,Slit Lamp",345.0,172.5,,,0 CDM,73200797,69000 I&D Ear Absc/Hematm Simp,950.0,475.0,,,0 CDM,73200798,69200 Ext Audit Canal Fb Remov,585.0,292.5,,,0 CDM,73200799,69210 Impact Cerumen Rem Unila,373.0,186.5,,,0 CDM,73200804,96372 Injection (Sc) (Im),187.0,93.5,,,0 CDM,73200805,96374 Intravenous Injection,542.0,271.0,,,0 CDM,73200808,92950 Cardiopulm Resuscitation,1883.0,941.5,,,0 CDM,73200809,92953 Temp Trancutan Pacing,999.0,499.5,,,0 CDM,73200810,92960 Extern Elect Cardioversn,2400.0,1200.0,,,0 CDM,73200817,12017 Smple Rep Face 20.1-30Cm,2038.0,1019.0,,,0 CDM,73200823,12047 Lay Clos Hnd/Ft>30Cm,2594.0,1297.0,,,0 CDM,73200829,13160 2Nd Clos Of Surg Wound,6172.0,3086.0,,,0 CDM,73200830,29000 Appl Of Halo Body Cast,396.0,198.0,,,0 CDM,73200831,"29010 Appl Risser Jacket,Body",734.0,367.0,,,0 CDM,73200832,29015 Appl Risser Jac Inc Head,734.0,367.0,,,0 CDM,73200835,"29035 Appl Bdy Cast,Sh To Hips",734.0,367.0,,,0 CDM,73200836,"29040 Body Cast,Sh,Hips,Head",396.0,198.0,,,0 CDM,73200837,"29044 Bdy Cast,Sh,Hips,Thigh",734.0,367.0,,,0 CDM,73200838,"29046 Bdy Cast,Sh,Hips,2Thighs",734.0,367.0,,,0 CDM,73200839,29049 Appl Figure Eight,396.0,198.0,,,0 CDM,73200840,29055 Appl Shoulder Spica,734.0,367.0,,,0 CDM,73200841,29058 Appl Plaster Velpeau,396.0,198.0,,,0 CDM,73200842,"29085 Appl Cast Hand,Low Arm",382.0,191.0,,,0 CDM,73200844,29126 Appl Forearm Splint,338.0,169.0,,,0 CDM,73200845,29131 Appl Finger Splint,500.0,250.0,,,0 CDM,73200848,29280 Strapping Hand Or Finger,951.0,475.5,,,0 CDM,73200849,"29305 App Hip Spica Cast,1 Lg",734.0,367.0,,,0 CDM,73200850,29325 Hip Cast 1+Hlf Spica 2Lg,734.0,367.0,,,0 CDM,73200851,29345 Appl Long Leg Cast,734.0,367.0,,,0 CDM,73200853,29358 App Long Leg Cast Brace,734.0,367.0,,,0 CDM,73200855,"29425 App Sh Leg Cast,Walker",555.0,277.5,,,0 CDM,73200856,29435 App Patellar (Ptb) Cast,734.0,367.0,,,0 CDM,73200857,29440 Add Walker To Appl Cast,335.0,167.5,,,0 CDM,73200859,"29450 App Clubft Cast,Molding",335.0,167.5,,,0 CDM,73200860,29520 Strapping Of Hip,335.0,167.5,,,0 CDM,73200872,51701 Non-Indwel Bladder Cath,345.0,172.5,,,0 CDM,73200874,51702 Insert Temp Bladder Cath,317.0,158.5,,,0 CDM,73200875,"51703 Insert Bladder Cath,Comp",468.0,234.0,,,0 CDM,73200876,"90471 Immunization Admin,1 Vac",96.0,48.0,,,0 CDM,73200879,93005 Ecg 12-Lead - Ed Tracing,453.0,226.5,,,0 CDM,73200881,94150 Spec-Peak Flow Rate,356.0,178.0,,,0 CDM,73200882,94640 Hand-Held/Aerosl Nebuliz,317.0,158.5,,,0 CDM,73200883,94760 Pulse Oximetry Spot Chec,179.0,89.5,,,0 CDM,73200884,94761 Pulse Oximetry Mult Dete,688.0,344.0,,,0 CDM,73200886,20552 Trigger Point Injection,1244.0,622.0,,,0 CDM,73200887,Uds Collection Only,100.0,50.0,,,0 CDM,73200890,Drug Collection Screening,174.0,87.0,,,0 CDM,73200892,Urine Screen Sap 10 Colle,199.0,99.5,,,0 CDM,73200894,Uds Collection-Lab Corp,69.0,34.5,,,0 CDM,73200895,11012 Debridement Of Open Fx/D,3844.0,1922.0,,,0 CDM,73200896,16035 Escharotomy,727.0,363.5,,,0 CDM,73200897,20550 Inject Tend Sheath Lig T,735.0,367.5,,,0 CDM,73200949,21337 Clo Trt Nasal Septal Fx,4014.0,2007.0,,,0 CDM,73200950,21400 Clo Trt Orbit Fx-Exc Blo,1782.0,891.0,,,0 CDM,73200951,21450 Clo Trt Mandible Fx-No M,803.0,401.5,,,0 CDM,73200954,23540 Clsd Tx Ac Dislocation W,787.0,393.5,,,0 CDM,73200955,24000 Arthrotomy Elbow Inc Exp,7408.0,3704.0,,,0 CDM,73200959,25500 Clsd Tx Rad Shaft Fx Wo,396.0,198.0,,,0 CDM,73200960,25520 Clsd Tx Rad Shaft Fx Wit,1671.0,835.5,,,0 CDM,73200962,"26418 Extensor Tendon Repair,F",4181.0,2090.5,,,0 CDM,73200963,26989 Suture Tendon Sheath,299.0,149.5,,,0 CDM,73200965,27200 Clsd Tx Coccygeal Fx,396.0,198.0,,,0 CDM,73200967,27750 Clsd Tx Tibial Shaft Tx,891.0,445.5,,,0 CDM,73200968,27760 Clsd Tx Med Malleous Fx,526.0,263.0,,,0 CDM,73200969,28540 Clsd Tx Tarsal Bone Disl,526.0,263.0,,,0 CDM,73200970,30903 Cntrl Nasal Hemorr Ant C,1002.0,501.0,,,0 CDM,73200971,31605 Emerg Trach Cricothyroid,2133.0,1066.5,,,0 CDM,73200972,36400 Venipuncture Under Age 3,202.0,101.0,,,0 CDM,73200974,36680 Placemnt Needle Intraoss,713.0,356.5,,,0 CDM,73200975,43247 Upper Gi Endosc W Fb Rem,3278.0,1639.0,,,0 CDM,73200976,64405 Inject Anesth Agent Occi,1164.0,582.0,,,0 CDM,73200990,96376 Iv Inj Ea Seq Push,441.0,220.5,,,0 CDM,73200991,26952 Amputatn Fingr/Thumb-Flp,6090.0,3045.0,,,0 CDM,73200992,14040 Adjacent Tiss Tran 10Sqc,3633.0,1816.5,,,0 CDM,73200993,15240 Skin Full Grf Fac/Gen/Hf,5407.0,2703.5,,,0 CDM,73201003,33210 Temp Pacing Wire Proced,10197.0,5098.5,,,0 CDM,73201004,54235 Penile Injection,1157.0,578.5,,,0 CDM,73201005,58100 Endometrial Biopsy,974.0,487.0,,,0 CDM,73201006,54700 Drainage Of Scrotum,4153.0,2076.5,,,0 CDM,73201011,42330 Removal Salivary Stone,4198.0,2099.0,,,0 CDM,73201012,10180 I&D Complex Postop Wound,10236.0,5118.0,,,0 CDM,73201013,24505 Treat Humer Fractr W/Man,1677.0,838.5,,,0 CDM,73201021,67700 Blephartmy Drain Abscess,1510.0,755.0,,,0 CDM,73201022,46045 Incision Rectal Abscess,4143.0,2071.5,,,0 CDM,73201023,36589 Rem Tnld Cvc W/Oprt/Pump,2532.0,1266.0,,,0 CDM,73201025,67938 Remove Eyelid Forgn Body,1762.0,881.0,,,0 CDM,73201026,46600 Diagnostic Anoscopy,391.0,195.5,,,0 CDM,73201027,64400 Inj Trigeminal Nerve,1198.0,599.0,,,0 CDM,73201030,52000 Cystoscopy,2864.0,1432.0,,,0 CDM,73201049,46255 Remove Int/Ext Hem 1 Grp,4423.0,2211.5,,,0 CDM,73201050,51705 Chng Cystosto Tube;Simpl,946.0,473.0,,,0 CDM,73201060,26735 Treat Finger Fracture,8316.0,4158.0,,,0 CDM,73201070,54450 Preputial Stretching,1551.0,775.5,,,0 CDM,73201100,36590 Rem Tnnl Cvc W/Port/Pump,5244.0,2622.0,,,0 CDM,73201123,52005 Cystoscopy & Ureter Cath,9723.0,4861.5,,,0 CDM,73201140,40804 Removl Foregn Body Mouth,3074.0,1537.0,,,0 CDM,73201141,20822 Replantation Digit Compl,19976.0,9988.0,,,0 CDM,73201142,67930 Suture Eyelid Wound,6138.0,3069.0,,,0 CDM,73201143,40801 Drainage Of Mouth Lesion,3870.0,1935.0,,,0 CDM,73201144,21497 Interdental Wiring,2794.0,1397.0,,,0 CDM,73201145,23665 Cld Shld Dis/Hum Fx W/Mn,3870.0,1935.0,,,0 CDM,73201146,36002 Inj For Pseudoaneurysm,2109.0,1054.5,,,0 CDM,73201148,64505 Inj Suprapalatine Gangl,1140.0,570.0,,,0 CDM,73201149,"17250 Chemical Cautery,Tissue",476.0,238.0,,,0 CDM,73201150,57180 Vaginal Packing,795.0,397.5,,,0 CDM,73201151,11043 Deb Musc/Fascia 20Sqcm/<,2599.0,1299.5,,,0 CDM,73201153,30999 Nasal Surgery Procedure,812.0,406.0,,,0 CDM,73201200,49082 Abd Paracentesis,1801.0,900.5,,,0 CDM,73201201,49083 Abd Paracentesis W/Imag,3815.0,1907.5,,,0 CDM,73201202,49084 Peritoneal Lavage,1801.0,900.5,,,0 CDM,73201203,32554 Thoracentsis Wo Img Guid,2596.0,1298.0,,,0 CDM,73201204,32555 Thoracentsis W Img Guid,4726.0,2363.0,,,0 CDM,73201251,32561 Instillation Chest Tube,2058.0,1029.0,,,0 CDM,73201252,33020 Pericardiotomy,1908.0,954.0,,,0 CDM,73201253,61210 Burr Hole For Vent Cath,6531.0,3265.5,,,0 CDM,73201254,27664 Repr Leg Tendon W/O Grft,15536.0,7768.0,,,0 CDM,73201255,10021 Fine Needle Aspir Biopsy,1067.0,533.5,,,0 CDM,73201256,36620 A Line Insertion,1994.0,997.0,,,0 CDM,73201257,55899 Genital Surgery Proc,488.0,244.0,,,0 CDM,73201550,64450 Oth-Inj Oth Periph Nerve,2314.0,1157.0,,,0 CDM,73201552,23655 Clsd Should Dis W/Mp&Ane,3069.0,1534.5,,,0 CDM,73201553,"65235 Remvl Fb Eye,Anter Chmb",3650.0,1825.0,,,0 CDM,73201554,31238 Nasal/Sinus Endoscopy,2964.0,1482.0,,,0 CDM,73201555,51102 Drain Bldr W/Cath Insert,4675.0,2337.5,,,0 CDM,73201818,15050 Skin Pinch Graft,3598.0,1799.0,,,0 CDM,73201819,21440 Treat Dental Ridge Fx,3972.0,1986.0,,,0 CDM,73201820,92511 Nasopharyngoscopy,501.0,250.5,,,0 CDM,73201825,66030 Injectn Treatment Of Eye,2762.0,1381.0,,,0 CDM,73201826,31525 Dx Laryngoscopy Excl Nb,2535.0,1267.5,,,0 CDM,73201827,90472 Vaccine Inj Ea Addtl,96.0,48.0,,,0 CDM,73201828,Us Cardiac,1191.0,595.5,,,0 CDM,73201829,Us Abdominal,1445.0,722.5,,,0 CDM,73201830,Us Chest,778.0,389.0,,,0 CDM,73201831,Us Pregnant Transabdominal,999.0,499.5,,,0 CDM,73201832,Us Pregnant Transvaginal,847.0,423.5,,,0 CDM,73201833,Us Aaa,1118.0,559.0,,,0 CDM,73201834,Chgr Us Biliary,1445.0,722.5,,,0 CDM,73201835,Us Biliary Tract,1118.0,559.0,,,0 CDM,73201836,Chgr Us Post Void Residual,362.0,181.0,,,0 CDM,73201837,Us Focused Dvt Study,1476.0,738.0,,,0 CDM,73201838,Us Neck,1177.0,588.5,,,0 CDM,73201839,Us Axilla,613.0,306.5,,,0 CDM,73201840,Us Chest Wall,778.0,389.0,,,0 CDM,73201845,Us Pelvic Wall,860.0,430.0,,,0 CDM,73201846,Us Lower Extremity,613.0,306.5,,,0 CDM,73201847,Us Msk,613.0,306.5,,,0 CDM,73201849,Us Thoracic,778.0,389.0,,,0 CDM,73201850,Us Occular,674.0,337.0,,,0 CDM,73201851,Us Occular Fb,495.0,247.5,,,0 CDM,73201852,Us Guided Procedures,1655.0,827.5,,,0 CDM,73201854,Us Guided Vasc Access Place,1729.0,864.5,,,0 CDM,73201900,20950 Fluid Pressure Muscle,759.0,379.5,,,0 CDM,73201901,36593 Declot Vascular Access,1454.0,727.0,,,0 CDM,73201903,53060 Drainage Of Urethra Absc,4234.0,2117.0,,,0 CDM,73201905,41599 Tongue & Mouth Surgery,565.0,282.5,,,0 CDM,73201906,69399 Outer Ear Surgery Proced,565.0,282.5,,,0 CDM,73201907,14061 Tis Trnfr E/N/E/L10.1-30,6156.0,3078.0,,,0 CDM,73201908,42999 Throat Surgery Procedure,565.0,282.5,,,0 CDM,73201909,23575 Tx Shoulder Blade Fx Lt,2736.0,1368.0,,,0 CDM,73201910,41899 Dental Surgery Proc,3951.0,1975.5,,,0 CDM,73201911,26746 Treat Finger Fx Ea,7602.0,3801.0,,,0 CDM,73202000,Level 1 Forensic Nurse Exam,240.0,120.0,,,0 CDM,73202001,Level 2 Forensic Nurse Exam,696.0,348.0,,,0 CDM,73202002,Level 3 Forensic Nurse Exam,990.0,495.0,,,0 CDM,73202003,Level 4 Forensic Nurse Exam,1007.0,503.5,,,0 CDM,73202004,Level 5 Forensic Nurse Exam,1012.0,506.0,,,0 CDM,73202005,Level 6 Forensic Nurse Exam,1926.0,963.0,,,0 CDM,73202006,96411 Chem Iv Push Inj(Ea Add,538.0,269.0,,,0 CDM,73202007,96415 Chem Iv Inf Ea Add'l Hr,505.0,252.5,,,0 CDM,73202009,"96375 Non-Chem Iv Push Inj,Ea",441.0,220.5,,,0 CDM,73202010,96367 Non-Che Iv Inf Ad Seq In,371.0,185.5,,,0 CDM,73202011,96368 Non-Chem Iv Inf-Conc Inf,459.0,229.5,,,0 CDM,73202013,20612 Aspiratn/Inj Gangln Cyst,616.0,308.0,,,0 CDM,73202015,"19020 Mastotomy,Breast",4327.0,2163.5,,,0 CDM,73202020,31231 Nasal Endoscopy Dx,308.0,154.0,,,0 CDM,73202021,32556 Insert Cath Pleura W/O I,2596.0,1298.0,,,0 CDM,73202200,11045 Deb Subq Tissue Add-On,1368.0,684.0,,,0 CDM,73202201,43753 Tx Gastro Intub W/Asp,414.0,207.0,,,0 CDM,73202205,30020 Drainage Of Nose Lesion,1722.0,861.0,,,0 CDM,73202206,11044 Deb Bone 20 Sq Cm/<,5413.0,2706.5,,,0 CDM,73203001,76642 Ultrasound Breast Limited,1096.0,548.0,,,0 CDM,73206890,31237 Nasal/Sinus Endoscopy,6330.0,3165.0,,,0 CDM,73206891,36410 Nonroutine Bl Drw 3+ Yrs,367.0,183.5,,,0 CDM,73206893,94660 Pos Airway Pressure Cpap,1015.0,507.5,,,0 CDM,73210001,36555 Ins Non-Tunneled Cvc<5Yr,3942.0,1971.0,,,0 CDM,73210002,36556 Ins Non-Tunneld Cvc>=5Yr,4322.0,2161.0,,,0 CDM,73210004,36569 Ins Picc Wo Prt/Pmp>=5Yr,4322.0,2161.0,,,0 CDM,73210005,36580 Rpl Cvc Wo Pt/Pmp 1Site,4064.0,2032.0,,,0 CDM,73210006,36584 Rpl Picc Wo Pt/Pmp 1Site,4064.0,2032.0,,,0 CDM,73210008,G0008 Admin-Influenza Vaccine,96.0,48.0,,,0 CDM,73210015,36558 Ins Tnnld Cvc>=5Yr,5911.0,2955.5,,,0 CDM,73210016,43215 Esophagus Endoscopyw/Fb,2770.0,1385.0,,,0 CDM,73210020,10081 I&D Pilonidal Cyst Comp,5839.0,2919.5,,,0 CDM,73210021,27301 I&D Abscess Thigh/Knee,6042.0,3021.0,,,0 CDM,73210022,55100 Drain Scrotl Wall Absces,2995.0,1497.5,,,0 CDM,73210023,23930 I&D Up Arm/Elb Abs/Hem,4529.0,2264.5,,,0 CDM,73210024,67935 Sutr Eyeld Fullthickness,6138.0,3069.0,,,0 CDM,73210025,23931 I&D Up Arm/Bursa,8069.0,4034.5,,,0 CDM,73210026,54220 Irrigatn Of Cc-Priapism,3447.0,1723.5,,,0 CDM,73210027,40652 Cmplx Rpr 1/2 Vert Ht,3563.0,1781.5,,,0 CDM,73210028,40831 Cmplx Rep Vestbul>2.5Cm,3563.0,1781.5,,,0 CDM,73210029,"28192 Fb Removal Foot,Deep",5446.0,2723.0,,,0 CDM,73210031,25660 Clsd Tx W/Man Wrist Disl,396.0,198.0,,,0 CDM,73210032,27825 Fx Disloc W/Skel Tractn,5727.0,2863.5,,,0 CDM,73210033,41251 Cmplx Rep Post 1/3 Tng,1605.0,802.5,,,0 CDM,73210036,"52281 Cystourethro,Cal/Dil,M/F",6031.0,3015.5,,,0 CDM,73210037,94664 Demons&Eval Pt Hhn/Ippb,616.0,308.0,,,0 CDM,73210038,35226 Repair Blood Vessel Lesn,1538.0,769.0,,,0 CDM,73210040,24605 Elbow Dislocation W/Anes,4088.0,2044.0,,,0 CDM,73210042,36561 Ins Tnnl Cvc W/Port>=5Yr,7099.0,3549.5,,,0 CDM,73210043,27266 Treat Hip Dislocation,3870.0,1935.0,,,0 CDM,73210049,21422 Treat Mouth Roof Fractur,6216.0,3108.0,,,0 CDM,73210050,50386 Remove Stent Transureth,6292.0,3146.0,,,0 CDM,73210051,30000 Drainage Of Nose Lesion,4517.0,2258.5,,,0 CDM,73210052,92285 Externl Oculr Photogrphy,201.0,100.5,,,0 CDM,73210053,69020 Drain Outr Ear Canl Lesn,950.0,475.0,,,0 CDM,73210054,25260 Repair Forarm Tendn/Musc,5860.0,2930.0,,,0 CDM,73210055,27252 Hip Disloc-Trauma W/Anes,3693.0,1846.5,,,0 CDM,73210056,52310 Cystoscopy And Treatment,4294.0,2147.0,,,0 CDM,73210200,"90460 Immun Admin,<18 1St Comp",96.0,48.0,,,0 CDM,73210201,24201 Deep Rem Ab Ua/Elbow,7465.0,3732.5,,,0 CDM,73210860,D7140 Extraction Tooth,2012.0,1006.0,,,0 CDM,73210861,D7210 Surgical Rem Tooth,2012.0,1006.0,,,0 CDM,73210862,42720 Drainage Of Throat Abcss,6387.0,3193.5,,,0 CDM,73210863,41009 Drainage Of Mouth Lesion,1538.0,769.0,,,0 CDM,73210866,42300 Drainage Salivary Gland,4079.0,2039.5,,,0 CDM,73211555,64420 Nerve Block Inj Intercos,2320.0,1160.0,,,0 CDM,73220010,51710 Change Of Bladder Tube,3054.0,1527.0,,,0 CDM,73220011,36576 Rplc Cath Cva W/Prt/Pmp,1898.0,949.0,,,0 CDM,73220012,27599 Unlstd Proc Femr Or Knee,6136.0,3068.0,,,0 CDM,73220013,69209 Rem Impacted Ear Wax Uni,221.0,110.5,,,0 CDM,73220014,65150 Reinsert Ocular Implant,10048.0,5024.0,,,0 CDM,73220701,46320 Removal Hemorrhoid Clot,4198.0,2099.0,,,0 CDM,73220702,41017 Drainage Of Mouth Lesion,3636.0,1818.0,,,0 CDM,73220703,26951 Amputatn Finger/Thumb,3870.0,1935.0,,,0 CDM,73220710,20604 Arthrcents-Sm Jnt W/Us,919.0,459.5,,,0 CDM,73220711,20606 Arthrcent-Int Jnt W/Us,1259.0,629.5,,,0 CDM,73220712,20611 Arthrcents-Mj Jnt W/Us,919.0,459.5,,,0 CDM,73220719,37615 Ligation Of Neck Artery,8300.0,4150.0,,,0 CDM,73220720,31635 Bronchoscopy W/Fb Removl,4314.0,2157.0,,,0 CDM,73220721,21445 Treat Dental Ridge Fract,6832.0,3416.0,,,0 CDM,73220722,24620 Treat Elbow Fracture,4437.0,2218.5,,,0 CDM,73220723,64435 N Block Inj Paracervical,900.0,450.0,,,0 CDM,73220724,67028 Injection Eye Drug,1289.0,644.5,,,0 CDM,73220725,23675 Treat Dislocation/Fractu,3375.0,1687.5,,,0 CDM,73220726,45999 Unlistd Procedure Rectum,2766.0,1383.0,,,0 CDM,73220727,"49999 Unlstd Abdmn, Pert Omntm",9572.0,4786.0,,,0 CDM,73220728,37618 Ligation Of Extremity Ar,3740.0,1870.0,,,0 CDM,73220729,67800 Remove Eyelid Lesion,1313.0,656.5,,,0 CDM,73220730,97597 Debride Skin/=1 Mev,742.0,371.0,,,0 CDM,73306172,Intermediate >/=1 Mev,742.0,371.0,,,0 CDM,73306175,Complex >/=1 Mev,1129.0,564.5,,,0 CDM,73306176,Bid Complex >/=1 Mev,1129.0,564.5,,,0 CDM,73306184,"Hdr Brachytx,1Chnl Non-Skin",4748.0,2374.0,,,0 CDM,73306185,"Hdr Brcytx,1Ch,Lesion<=Cmskin",4748.0,2374.0,,,0 CDM,73306186,"Hdr Brachytx,2-12Chnl,Non-Skin",5458.0,2729.0,,,0 CDM,73306187,"Hdrbid Brcytx,2-12Chnl,Nonskin",5458.0,2729.0,,,0 CDM,73306188,"Hdr Brcytx,2+Ch,Lesion>2Cmskin",5458.0,2729.0,,,0 CDM,73306189,"Hdr Brcytx,12Chnl,Non-Skin",5914.0,2957.0,,,0 CDM,73306190,"Hdrbid Brcytx,>12Chnl,Non-Skin",5914.0,2957.0,,,0 CDM,73306191,Ldr Intrstitial Brachy Complex,5914.0,2957.0,,,0 CDM,73306201,Spec Dosmtry-Tld/Diodes Mod 76,757.0,378.5,,,0 CDM,73306204,Simulation - Simple Mod 59,1272.0,636.0,,,0 CDM,73306210,Chemotherapy Admin Intra-Arterial Push Tq,749.0,374.5,,,0 CDM,7338,Noncdm Charge Record Medical Supplies,15.51,7.76,,,0 CDM,73700001,Chgr-Sp Bx Bone Deep,7667.0,3833.5,,,0 CDM,73700026,Discission Cataract Yag Laser,2155.0,1077.5,,,0 CDM,73700031,Retinal Laser Prophylaxis,2155.0,1077.5,,,0 CDM,73700033,Iridotomy/Iridectomy By Laser,2155.0,1077.5,,,0 CDM,73700048,Excision Chalazion Single,1313.0,656.5,,,0 CDM,73700060,Canthoplasty,3833.0,1916.5,,,0 CDM,73700066,Trabeculopasty By Laser,2187.0,1093.5,,,0 CDM,73700074,Aqueous Paracentesis,2762.0,1381.0,,,0 CDM,73700100,Arterial Blood Gas Collection,240.0,120.0,,,0 CDM,73700156,Excision Conjunctival Lesion,2604.0,1302.0,,,0 CDM,73700205,Temp Balloon Occlusion Head/Ne,26053.0,13026.5,,,0 CDM,73700206,"Stent,Vert/Intrathor Cartd,Ini",26713.0,13356.5,,,0 CDM,73700208,"Stent Cervic Carotid,W/O Prote",28172.0,14086.0,,,0 CDM,73700209,Tcat Iv Stent Crv Crtd Art Embolic Protecj,32057.0,16028.5,,,0 CDM,73700210,Insert Tips Procedure,6671.0,3335.5,,,0 CDM,73700211,Chgr-Sp Revision Of Tips Procedure,15121.0,7560.5,,,0 CDM,73700215,Place Occlusive Device Ven/Art,875.0,437.5,,,0 CDM,73700222,Deep Sft Tiss Bx Thigh/Knee,8256.0,4128.0,,,0 CDM,73700224,Perq Abltj Lvr Cryoablation,17525.0,8762.5,,,0 CDM,73700229,Drain Ovarian Cyst(S) Vaginal,5082.0,2541.0,,,0 CDM,73700233,Cystoscopy,2864.0,1432.0,,,0 CDM,73700239,Picc Line Insertion Procedure,1405.0,702.5,,,0 CDM,73700250,Intra-Arterial Rpharm Rx,1749.0,874.5,,,0 CDM,73700271,Angio Venography Extremity,2543.0,1271.5,,,0 CDM,73700272,"Angio Aorta,In Add To",5300.0,2650.0,,,0 CDM,73700300,Cmptr Opth Dx Img Ant Segmt,486.0,243.0,,,0 CDM,73700301,Cmptr Ophth Img Optic Nerve,186.0,93.0,,,0 CDM,73700302,Cmptr Ophth Dx Img Post Segmt,186.0,93.0,,,0 CDM,73700303,Chemodenervation Face Unilat,605.0,302.5,,,0 CDM,73700304,Ecmo/Ecls Initiation Venous,1542.0,771.0,,,0 CDM,73700305,Ecmo/Ecls Initiation Artery,1542.0,771.0,,,0 CDM,73700306,Artery Expos/Graft Artery,310.0,155.0,,,0 CDM,73700307,Insertion Of Left Heart Vent,1542.0,771.0,,,0 CDM,73700308,Removal Of Left Heart Vent,1542.0,771.0,,,0 CDM,73700580,Chgr-Abscess/Drain Subdiaphramat/Phrenic Surgical Code,2446.0,1223.0,,,0 CDM,73700581,Chgr-Tube Thoracostomy Includes Water Seal,2596.0,1298.0,,,0 CDM,73700584,Chgr-Sp Ad Perineal,981.0,490.5,,,0 CDM,73700585,Chgr-Sp Ad Peritoneal,5040.0,2520.0,,,0 CDM,73700586,Aorta Cath (Femoral Axillary),5300.0,2650.0,,,0 CDM,73700595,"Chgr-Mm Bx Breast Perc Needle Core , Sep",2131.0,1065.5,,,0 CDM,73700597,Chgr-Sp Bx Muscle,1863.0,931.5,,,0 CDM,73700598,Bx Pancreas Percutaneous,2378.0,1189.0,,,0 CDM,73700600,Bx Renal Percutaneous,3012.0,1506.0,,,0 CDM,73700601,Bx Thyroid Percutaneous,2155.0,1077.5,,,0 CDM,73700602,Chgr-Sp Bx Transcatheter,6332.0,3166.0,,,0 CDM,73700603,Cath Art Abdm Adl Subslect Art,4587.0,2293.5,,,0 CDM,73700604,Cath Art Thor Brcep Brnch 1St,4701.0,2350.5,,,0 CDM,73700605,Cath Art Thor/Brcep Brch 2Nd,4772.0,2386.0,,,0 CDM,73700606,Cath Art Thor/Brcep Brnch 3Rd,4158.0,2079.0,,,0 CDM,73700607,Cath Arteries Abdm Pel Ext 1St,5396.0,2698.0,,,0 CDM,73700608,Cath Arteries Thor Addl 2Nd,2553.0,1276.5,,,0 CDM,73700609,Cath Artery Abdm Pel Ext 2Nd,5038.0,2519.0,,,0 CDM,73700610,Cath Artery Abdm Pel Ext 3Rd,5432.0,2716.0,,,0 CDM,73700611,Cath Artery R/L Pulmonary Art,5305.0,2652.5,,,0 CDM,73700612,Cath Artery Retro Extremity,4665.0,2332.5,,,0 CDM,73700614,Cath Artery Segment Pulmonary,3498.0,1749.0,,,0 CDM,73700617,Chgr-Sp Cath Super / Inferior Vena Cava,3820.0,1910.0,,,0 CDM,73700618,Chgr-Sp Cath Vein First Order Branch,5310.0,2655.0,,,0 CDM,73700619,Cath Vein For Venous Sampling,3951.0,1975.5,,,0 CDM,73700620,Cath Vein 2Nd Order More Selec,5305.0,2652.5,,,0 CDM,73700624,Injection Px Discography Each Level Lumbar,5357.0,2678.5,,,0 CDM,73700625,Needle Asp/Inj Renal Cyst/Pelv,3012.0,1506.0,,,0 CDM,73700627,Embolization Extracranial,15598.0,7799.0,,,0 CDM,73700628,Tcat Permanent Occlusion/Embolization Prq Cns,6602.0,3301.0,,,0 CDM,73700629,Extremity Vein Needle/Intracat,860.0,430.0,,,0 CDM,73700630,Fistula Or Sinus Tract Inj,1751.0,875.5,,,0 CDM,73700634,Chgr-Mm Injection Procedure Ductogram,3125.0,1562.5,,,0 CDM,73700637,Chgr-Cath & Saline/Contrast Sonohyster/Hysterosalpi,2548.0,1274.0,,,0 CDM,73700641,Chgr-Sp Perc Dil Bil. Strict W / O Stent,5492.0,2746.0,,,0 CDM,73700645,Chgr-Sp Foreign Body Retrieval,6376.0,3188.0,,,0 CDM,73700670,"Chgr-Sp Diskography Cervical Or Thoracic, Ea",3784.0,1892.0,,,0 CDM,73700679,Chgr-Sp Bx Livertransjuglar,3836.0,1918.0,,,0 CDM,73700689,Bx Abd/Retroperitoneal Percu,2263.0,1131.5,,,0 CDM,73700691,Chgr-Sp Bx Bone S Uperficial,5934.0,2967.0,,,0 CDM,73700696,Bx Pleura Percutaneous,2265.0,1132.5,,,0 CDM,73700704,Chgr Inj Proc Lumbar Myelogram/Ct,2647.0,1323.5,,,0 CDM,73700711,Chgr-Cath & Saline/Contrast Sonohyster/Hysterosalpi,2548.0,1274.0,,,0 CDM,73700721,Liver Percutan (Separate Proc),3012.0,1506.0,,,0 CDM,73700723,Chgr-Sp Perc Dil Bil. Strict W / Stent,5682.0,2841.0,,,0 CDM,73700769,Chgr-Puncture Aspiration Cyst Breast,1104.0,552.0,,,0 CDM,73700785,Circumcision - Newborn,313.0,156.5,,,0 CDM,73700792,Inj Proc For Shoulder Arthro,2689.0,1344.5,,,0 CDM,73700800,Lithotripter - Service,4686.0,2343.0,,,0 CDM,73700801,Cysto W Rem Fb/Stnt Ureth/Bldr,4294.0,2147.0,,,0 CDM,73700822,Puncture Aspiration Cyst Breast,1104.0,552.0,,,0 CDM,73700854,Repos Gtube Thru Duoden,2047.0,1023.5,,,0 CDM,73700856,Tube/Needle Jejunostomy,4196.0,2098.0,,,0 CDM,73700857,Chgr-Sp Convert G To J Tube,3355.0,1677.5,,,0 CDM,73700868,Cisternal/Lateral W/O Inj Spx,3366.0,1683.0,,,0 CDM,73700869,Chgr-Cistern Inj. Drug/Oth Dx,3366.0,1683.0,,,0 CDM,73700881,"Ad-Hematoma,Seroma",4270.0,2135.0,,,0 CDM,73700883,Ad-Lymph Node Ab,3230.0,1615.0,,,0 CDM,73700887,Chgr-Sp Ad Perc Chole,6440.0,3220.0,,,0 CDM,73700890,Chgr Breast Tomosynthesis 3D Add On,25.0,12.5,,,0 CDM,73700892,Ad-Ovarian Abscess,3748.0,1874.0,,,0 CDM,73700901,Biopsy Lymph Node/Needle,3650.0,1825.0,,,0 CDM,73701000,"Chgr-Sp Angio Renal, 1St Order, Uni",14030.0,7015.0,,,0 CDM,73701001,Ophthalmic Laser Proc (Diode),3652.0,1826.0,,,0 CDM,73701040,"Chgr-Sp Angio Renal, High Order, Uni - Rt",12217.0,6108.5,,,0 CDM,73701041,"Angio Renal,1St Order,Bilat",15986.0,7993.0,,,0 CDM,73701042,"Angio Renal,High Order,Bilat",12217.0,6108.5,,,0 CDM,73701043,Ivc Filter Placement,24756.0,12378.0,,,0 CDM,73701045,Ivc Filter Removal,21466.0,10733.0,,,0 CDM,73701046,"Paracentesis,Abd,W Imaging",3815.0,1907.5,,,0 CDM,73701200,Chgr-Sp Thrombectomy / Art Vein,7660.0,3830.0,,,0 CDM,73701216,Chgr-Sp Dilitation Of Ureter,4348.0,2174.0,,,0 CDM,73701217,Perc Portal Vein Cath,838.0,419.0,,,0 CDM,73701225,Loopogram,2825.0,1412.5,,,0 CDM,73701242,Cyst Asp Spinal Cord,1635.0,817.5,,,0 CDM,73701245,"Chgr-Sp Cyst Aspiration,Thyroid",2155.0,1077.5,,,0 CDM,73701252,Injection 1 Tendon Sheath/Ligament Aponeurosis,735.0,367.5,,,0 CDM,73701253,Proc-Inj Si W/Arth Diag,915.0,457.5,,,0 CDM,73701254,Proc-Inj Si W/ Or W/O Arth Tx,1531.0,765.5,,,0 CDM,73701259,Oth-Misc Proc Nervous System,871.0,435.5,,,0 CDM,73701261,Inj Epi Ct Sgl Lvl-W/Wo Fluoro,4240.0,2120.0,,,0 CDM,73701262,"Esi L/S,Transforamn-W/Wo Fluor",3649.0,1824.5,,,0 CDM,73701265,Proc-Inj Facet C/T Sgl W/O Sed,3935.0,1967.5,,,0 CDM,73701266,Inj Facet C/T 2Nd Lv-W/Wo Fluo,3052.0,1526.0,,,0 CDM,73701267,Proc-Inj Facet L/S W/O Sed,3734.0,1867.0,,,0 CDM,73701268,Inj L/S 2Nd Lvl-W/Wo Fluoro,3928.0,1964.0,,,0 CDM,73701269,Oth-Inj Greater Occipital Nrv,1164.0,582.0,,,0 CDM,73701271,Oth-Inj Ilioinguinal Nerve,2320.0,1160.0,,,0 CDM,73701272,Oth-Inj Intercostal Nerve Sgl,2320.0,1160.0,,,0 CDM,73701274,Proc-Inj L/T Pv Symp W/O Sed,2805.0,1402.5,,,0 CDM,73701275,Proc-Esi L/S W/Osed Tranforamn,3649.0,1824.5,,,0 CDM,73701276,Inj Epi L/S Ea +Lvl-W/Wo Fluor,3870.0,1935.0,,,0 CDM,73701279,Neu Face L/S Ea+Jnt-W/Wo Fluo,3809.0,1904.5,,,0 CDM,73701281,Oth-Inj Oth Periph Nerve,2314.0,1157.0,,,0 CDM,73701284,Proc-Inj Stellate Gang W/Sed,2805.0,1402.5,,,0 CDM,73701285,Proc-Inj Stellate Gang W/O Sed,2805.0,1402.5,,,0 CDM,73701286,Oth-Inj Suprascapular Nerve,1743.0,871.5,,,0 CDM,73701288,Ns-Perc Impl Neuro Trial,13865.0,6932.5,,,0 CDM,73701290,Pump-Refill&Maintenance-Non Md,389.0,194.5,,,0 CDM,73701291,Pump-Elec Anal-No Reprg Refill,844.0,422.0,,,0 CDM,73701292,Pump-Elec-Anal-Reprg Only,996.0,498.0,,,0 CDM,73701293,Pump-Impl/Repl Dev Int/Epi Drug,19789.0,9894.5,,,0 CDM,73701296,Proc-Epidural Blood Patch,2067.0,1033.5,,,0 CDM,73701297,Oth-Epi Cath Placement,7219.0,3609.5,,,0 CDM,73701298,Oth-Epi Cath Removal,2781.0,1390.5,,,0 CDM,73701319,"Ad-Sft Tissue,Neck Or Thrx",6042.0,3021.0,,,0 CDM,73701320,Chgr-Biopsy Soft Tissue Neck/Thorax,4085.0,2042.5,,,0 CDM,73701323,Place Enterocyclis Tube,2978.0,1489.0,,,0 CDM,73701330,Chgr-Ct Abscess/Drainage Pervesical Or Prevesical Surgical Code,4066.0,2033.0,,,0 CDM,73701331,Chgr-Injection Code Cystogram,3240.0,1620.0,,,0 CDM,73701332,Prostate/Us Or Mri/Bx,4838.0,2419.0,,,0 CDM,73701410,Removal Mult Skin Tag 1-15,643.0,321.5,,,0 CDM,73701411,Tap Block,2314.0,1157.0,,,0 CDM,73701412,Tap Block Bilateral,2314.0,1157.0,,,0 CDM,73701500,Chg Superior Hypogastric Plexus,2943.0,1471.5,,,0 CDM,73701550,Inj Proc Peritoneal-Ven Shunt,1203.0,601.5,,,0 CDM,73701551,Chgr-Sp Ligation Peritoneal-Ven Shunt,4517.0,2258.5,,,0 CDM,73701552,Chgr-Sp Removal Peritoneal-Ven Shunt,4981.0,2490.5,,,0 CDM,73701661,"Inj,Sclerothy Vasc Malfor,Face",814.0,407.0,,,0 CDM,73701662,Chgr Pleural Drainage Cath Repair,2176.0,1088.0,,,0 CDM,73701722,"Inj Proc, Contrast Venography",2543.0,1271.5,,,0 CDM,73701747,Chgr Proc-Inj Si W/ Or W/O Arth Tx,1531.0,765.5,,,0 CDM,73701790,Chgr-Injection Code Sialogram,798.0,399.0,,,0 CDM,73701793,Inj Proc For Elbow Arthrograph,798.0,399.0,,,0 CDM,73701794,Injection Wrist Arthrography,798.0,399.0,,,0 CDM,73701795,Injection Hip Arthrography W/O Anesthesia,798.0,399.0,,,0 CDM,73701797,Chgr-Njx Cstograpy/Voiding Urethrocstograpy,798.0,399.0,,,0 CDM,73701798,Chgr-Arthrogram Ankle Surgical Code,798.0,399.0,,,0 CDM,73701820,Perc Ablation Of Kidney,30220.0,15110.0,,,0 CDM,73701830,"Stem Cell Harvest, Autologous",6417.0,3208.5,,,0 CDM,73701831,"Stem Cell Transplant, Auto",5204.0,2602.0,,,0 CDM,73701900,Inj Facet C/T 3Rd+Lv-W/Wo Fluo,2871.0,1435.5,,,0 CDM,73701901,Inj L/S 3Rd+Lvl-W/Wo Fluoro,4302.0,2151.0,,,0 CDM,73701963,Chgr Inj Proc Lymphangiogram,1065.0,532.5,,,0 CDM,73701997,Proc-Inj Epi C/T Sgl Lvl W/Sed,4240.0,2120.0,,,0 CDM,73702002,Fluoro - For Spine Proc,1507.0,753.5,,,0 CDM,73702030,Inj Facet C/T Sgl-W/Wo Fluoro,3935.0,1967.5,,,0 CDM,73702033,Inj Facet L/S Sgl-W/Wo Fluoro,3734.0,1867.0,,,0 CDM,73702041,Oth-Inj Celiac Plexus,3366.0,1683.0,,,0 CDM,73702045,Neu Face C/T Ea+Jnt-W/Wo Fluo,2512.0,1256.0,,,0 CDM,73702130,Spy Angiogram,1809.0,904.5,,,0 CDM,73702200,Ns-Simple Anal W/Reprogr,867.0,433.5,,,0 CDM,73702201,Oth-Inj Intrmed Jnt/Bur W/O Us,846.0,423.0,,,0 CDM,73702202,Oth-Inj Neuro Subst Subarach,2285.0,1142.5,,,0 CDM,73702204,Oth-Neurolysis Celiac Plexus,3900.0,1950.0,,,0 CDM,73702538,St Bx Shoulder; Superficial,5092.0,2546.0,,,0 CDM,73702539,Exc Of Chalazion:Mult Diff Lid,2876.0,1438.0,,,0 CDM,73702540,Unlisted Proc Endocrine System,10230.0,5115.0,,,0 CDM,73702660,Bx Anorectal Wall,3828.0,1914.0,,,0 CDM,73702799,Chgr-Injection Code Dacroscystogram,2091.0,1045.5,,,0 CDM,73703013,Debridement-Nonselective Ot,748.0,374.0,,,0 CDM,73703016,Debridement-Nonselective Pt,748.0,374.0,,,0 CDM,73703017,Chgr-Sp Chemical Pleurodesis,5644.0,2822.0,,,0 CDM,73703036,Declot Vascular Access,1454.0,727.0,,,0 CDM,73703041,Chgr-Sp Splenoportogram,5049.0,2524.5,,,0 CDM,73703044,Chgr-Sp Biliary Brush Bx,5492.0,2746.0,,,0 CDM,73703045,Chgr-Sp Choledochal Stent,5777.0,2888.5,,,0 CDM,73703049,Abscessogram,616.0,308.0,,,0 CDM,73703050,Ureterography Thru Existing,3830.0,1915.0,,,0 CDM,73703051,Change Ureterostomy Cath.,4646.0,2323.0,,,0 CDM,73703052,Chgr-Sp S Uprapubic Cath,4675.0,2337.5,,,0 CDM,73703053,Chgr-Sp Ureteral Dilitation,10638.0,5319.0,,,0 CDM,73703056,Chgr-Puncture Pump Reservoir,999.0,499.5,,,0 CDM,73703057,Chgr-Lp Therapeutic,2970.0,1485.0,,,0 CDM,73703065,Chgr Arthrocentesis-Maj Jnt W/O Us,1046.0,523.0,,,0 CDM,73703071,Chgr-Sp Change Abscess Cath,3209.0,1604.5,,,0 CDM,73703131,Insert Non-Tunneled Cvc<5Yr,3942.0,1971.0,,,0 CDM,73703132,Insert Non-Tunneled Cvc>=5Yr,4322.0,2161.0,,,0 CDM,73703133,Ins Tnnld Cvc W/O Prt/Pmp<5Yr,7050.0,3525.0,,,0 CDM,73703134,Chgr-Implant Cath/Infusion Pump 36558,5911.0,2955.5,,,0 CDM,73703135,Ins Tnnld Cvc W/Port<5Yr,5911.0,2955.5,,,0 CDM,73703136,Chgr-Implant Cath/Infusion Pump 36561,7099.0,3549.5,,,0 CDM,73703137,Chgr-Insert Tunneled Cvc W/Pump,17044.0,8522.0,,,0 CDM,73703138,"Chgr-Ins Tnnld Caths,I.E. Tessio",10278.0,5139.0,,,0 CDM,73703139,Insrt Picc <5Yrs W/O Imaging,4322.0,2161.0,,,0 CDM,73703140,Insrt Picc >=5Yrs W/O Imaging,4322.0,2161.0,,,0 CDM,73703141,Insert Picc W/Port<5Yr,6242.0,3121.0,,,0 CDM,73703142,Insert Picc W/Port >5Yr,6242.0,3121.0,,,0 CDM,73703143,Chgr-Implant Cath/Infusion 36575,1898.0,949.0,,,0 CDM,73703144,Repair Cva W/Port/Pump,1898.0,949.0,,,0 CDM,73703146,Rpl Cvc W/O Prt/Pmp Same Site,4064.0,2032.0,,,0 CDM,73703147,Rpl Tnld Cvc W/O P/P Same Site,10299.0,5149.5,,,0 CDM,73703148,Chgr-Implant Cath/Infustion 36582,10299.0,5149.5,,,0 CDM,73703149,Chgr-Sp Rpl Tnnld Cvc W / Pmp Same Site,17618.0,8809.0,,,0 CDM,73703150,Replpicc Same Site Incl Image,4064.0,2032.0,,,0 CDM,73703151,Rpl Picc W/Prt Thru Same Acces,10299.0,5149.5,,,0 CDM,73703152,Rem Tnnld Cvc W/O Port/Pump,2532.0,1266.0,,,0 CDM,73703153,Rem Tnnld Cvc W/Port/Pump,5244.0,2622.0,,,0 CDM,73703154,Rem Pericath Obstr Sep Access,4118.0,2059.0,,,0 CDM,73703155,Rem Intralum Obst Thru Dvc Lum,1743.0,871.5,,,0 CDM,73703156,Reposition Cva,1743.0,871.5,,,0 CDM,73703174,Chgr-Insr Tun Cva 2Cath/Sites W Por,24960.0,12480.0,,,0 CDM,73703175,Debridmnt Selec-1St 20Sqcm/< Pt,676.0,338.0,,,0 CDM,73703177,Neg Press Wound W/Dme 50Cm,1368.0,684.0,,,0 CDM,73703182,Debridmnt Selec-Ea Adtl 20Sqcm Ot,748.0,374.0,,,0 CDM,73703184,Debridmnt Selec-1St 20Sqcm/< Ot,676.0,338.0,,,0 CDM,73703190,Chgr-Perc Sacral Aug-Uni W/Image Gd,9267.0,4633.5,,,0 CDM,73703191,Chgr-Perc Sacral Aug-Bil W/Image Gd,9267.0,4633.5,,,0 CDM,73703200,Incision & Drainage Abscess Simple/Single,1305.0,652.5,,,0 CDM,73703201,Puncture Aspiration Abscess Hematoma Bulla/Cyst,630.0,315.0,,,0 CDM,73703204,Perc Needle Bx Spinal Cord,2003.0,1001.5,,,0 CDM,73703207,Breast Puncture Aspir Cyst-Add,713.0,356.5,,,0 CDM,73703210,Chgr-Sp Insert Tnnld Pleural Cath W / Cuff,7105.0,3552.5,,,0 CDM,73703220,Fluoro - Other,1371.0,685.5,,,0 CDM,73703223,Ns-Complx Anal&Prog Phys/Qhp Skill,367.0,183.5,,,0 CDM,73703275,Bone Marrow;Aspiration Only,2230.0,1115.0,,,0 CDM,73703276,"Bone Marrow;Bx,Ndl Or Trocar",2505.0,1252.5,,,0 CDM,73703281,F/U Office Op Low 20-29 Min L3,344.0,172.0,,,0 CDM,73703283,Level 5-40 Min,344.0,172.0,,,0 CDM,73703284,F/U Of O/P Min Prob Lev 1 -25,344.0,172.0,,,0 CDM,73703285,F/U Of Op Low 20-29 Min L3 -25,344.0,172.0,,,0 CDM,73703300,Image Guided Rf Ablation Bone,16304.0,8152.0,,,0 CDM,73703301,Abltj 1/> Renal Tumor Prq Uni Radiofrequency,12483.0,6241.5,,,0 CDM,73703302,Abltj 1/> Lvr Tum Prq Rf,10758.0,5379.0,,,0 CDM,73703303,Ct Guided Rf Ablation Lung,13196.0,6598.0,,,0 CDM,73703304,Change Cystostomy Tube Simple,946.0,473.0,,,0 CDM,73703305,"Nerve Block,Intercostal,Sng",2320.0,1160.0,,,0 CDM,73703350,Chgr-Sp Place Fiducialrad Tx Nonprostrate,6916.0,3458.0,,,0 CDM,73703351,Place Fiducial-Prostate,4805.0,2402.5,,,0 CDM,73703352,Injection Sclerosant Multiple Incmptnt Veins,1535.0,767.5,,,0 CDM,73703400,"Asp,Paravertebral/Disc,Diag",2356.0,1178.0,,,0 CDM,73703401,Chgr Bx Breast 1St Lesion Strtctc,12312.0,6156.0,,,0 CDM,73703402,Chgr Bx Breast Add Lesion Strtctc,12312.0,6156.0,,,0 CDM,73703403,Chgr Bx Breast 1St Lesion Us Imag,6240.0,3120.0,,,0 CDM,73703404,Chgr Bx Breast Add Lesion Us Imag,6240.0,3120.0,,,0 CDM,73703405,Chgr Bx Breast 1St Lesion Mr Imag,12312.0,6156.0,,,0 CDM,73703406,Chgr Bx Breast Add Lesion Mr Imag,12312.0,6156.0,,,0 CDM,73703407,Chgr Perq Device Breast 1St Imag,5195.0,2597.5,,,0 CDM,73703408,Chgr Perq Device Breast Ea Imag,5195.0,2597.5,,,0 CDM,73703409,Chgr Perq Dev Breast 1St Strtctc,6726.0,3363.0,,,0 CDM,73703410,Chgr Perq Dev Breast Add Strtctc,6726.0,3363.0,,,0 CDM,73703411,Chgr Perq Dev Breast 1St Us Imag,5008.0,2504.0,,,0 CDM,73703412,Chgr Perq Dev Breast Add Us Imag,5008.0,2504.0,,,0 CDM,73703413,Chgr Perq Dev Breast 1St Mr Guide,6726.0,3363.0,,,0 CDM,73703414,Chgr Perq Dev Breast Add Mr Guide,6726.0,3363.0,,,0 CDM,73703415,Image Cath Fluid Colxn Visc,4332.0,2166.0,,,0 CDM,73703416,Image Cath Fluid Peri/Retro,5138.0,2569.0,,,0 CDM,73703417,Image Cath Fluid Trns/Vgnl,4202.0,2101.0,,,0 CDM,73703418,Vasc Embolize/Occlude Venous,38990.0,19495.0,,,0 CDM,73703419,Vasc Embolize/Occlude Artery,38990.0,19495.0,,,0 CDM,73703420,Vasc Embolize/Occlude Organ,38990.0,19495.0,,,0 CDM,73703421,Vasc Embolize/Occlude Bleed,38990.0,19495.0,,,0 CDM,73703422,Tr Cath Intra Vsc Stent 1 Art,13966.0,6983.0,,,0 CDM,73703423,Tr Cath Intra Vsc Stent 1 Vein,13966.0,6983.0,,,0 CDM,73703424,Trans Cath Stent Addl Artery,13966.0,6983.0,,,0 CDM,73703425,Trans Cath Stent Addl Vein,13966.0,6983.0,,,0 CDM,73703426,Image Cath Fluid Peri/Retro,5138.0,2569.0,,,0 CDM,73703427,Image Cath Fluid Colxn Visc,4332.0,2166.0,,,0 CDM,73703428,Laparo Drain Lymphocele,7420.0,3710.0,,,0 CDM,73703434,Chemodenerv Trunk Musc 1-5 Mus,2293.0,1146.5,,,0 CDM,73703525,Inc For Vagus N Elect Impl,125857.0,62928.5,,,0 CDM,73703560,Myelogram Lumbar-Cervical S&I,5681.0,2840.5,,,0 CDM,73703561,Myelogram Lumbar-Thoracic S&I,5681.0,2840.5,,,0 CDM,73703562,Myelography Lumbar Injection,5681.0,2840.5,,,0 CDM,73703563,Myelogram Lumbar-2+Regions S&I,7687.0,3843.5,,,0 CDM,73703650,Arthrocentesis-Sml Jnt W/Us,919.0,459.5,,,0 CDM,73703651,Oth-Inj Intrmed Jnt/Bur W/Us,1259.0,629.5,,,0 CDM,73703652,Chgr Arthrocentesis-Int Jnt W/ Us,1259.0,629.5,,,0 CDM,73703653,Arthrocentesis-Maj Jnt W/Us,919.0,459.5,,,0 CDM,73703654,Oth-Inj Major Jnt/Bur W/ Us,919.0,459.5,,,0 CDM,73703700,"Needle Biopsy,Salivary Gland",2278.0,1139.0,,,0 CDM,73703900,Destruction Intercostal Nerve,3826.0,1913.0,,,0 CDM,73703901,Dstrj Nulyt Agt Gnclr Nrv,6377.0,3188.5,,,0 CDM,73703902,Rf Abltj Nrv Nrvtg Si Jt,6377.0,3188.5,,,0 CDM,73703904,Revasc Intravasc Lithotripsy,14754.0,7377.0,,,0 CDM,73703905,Revasc Intra Lithotrip-Stent,29510.0,14755.0,,,0 CDM,73703906,Revasc Intra Lithotrip-Ather,29510.0,14755.0,,,0 CDM,73703907,Revasc Lithotrip-Stent-Ather,47473.0,23736.5,,,0 CDM,73703908,Injection Into Skin Lesions=<7,446.0,223.0,,,0 CDM,73703909,Manip Fing Jnt W An Ea,5028.0,2514.0,,,0 CDM,73703910,Dressing Chg Not For Burn,4224.0,2112.0,,,0 CDM,73703911,Ev Fempop Artl Revsc,31085.0,15542.5,,,0 CDM,73703919,Implt/Rpl Crtd Sns Dev Total,87944.0,43972.0,,,0 CDM,73703920,Bronchial Allergy Tests,1981.0,990.5,,,0 CDM,73703921,Repair Intermediate S/A/T/E 2.5 Cm/<,1250.0,625.0,,,0 CDM,73703922,Laser Abltn Ext Vein 1St Vein,10239.0,5119.5,,,0 CDM,73703923,Revasc Litohtrip Tibi/Perone,42936.0,21468.0,,,0 CDM,73703924,Unlisted Procedure Spine,6958.0,3479.0,,,0 CDM,73703926,Unlisted Musculoskeletal System Op,6958.0,3479.0,,,0 CDM,73703927,Stab Phleb Veins Xtr 10-20,11963.0,5981.5,,,0 CDM,73703928,Njx Noncmpnd Sclrsnt 1 Vein,8350.0,4175.0,,,0 CDM,73703929,Njx Noncmpnd Sclrsnt Mlt Vn,8350.0,4175.0,,,0 CDM,73703931,Unlisted Procedure Femur/Knee,6136.0,3068.0,,,0 CDM,73703934,Perq Lamot/Lam Lumbar,20321.0,10160.5,,,0 CDM,73703935,Abdomen Surgery Procedure,792.0,396.0,,,0 CDM,73703936,Inject Congenital Card Cath,3938.0,1969.0,,,0 CDM,73703937,Njx Sclrsnt Spider Veins,1240.0,620.0,,,0 CDM,73703969,Pelvis/Hip Joint Surgery,792.0,396.0,,,0 CDM,73703972,Exc Tr-Ext Mal+Marg 2.1-3 Cm,2263.0,1131.5,,,0 CDM,73703973,Explore Wound Abdomen/Flank/Back,5583.0,2791.5,,,0 CDM,73703974,Chemodenerv Trunk Musc 6/>,2709.0,1354.5,,,0 CDM,73703975,Ndl Insj W/O Njx 1 Or 2 Musc,90.0,45.0,,,0 CDM,73703976,Ndl Insj W/0 Njx 3+ Musc,90.0,45.0,,,0 CDM,73703977,Treat Finger Fracture Each,616.0,308.0,,,0 CDM,73703978,Tixagev And Cilgav Inj,150.5,75.25,,,0 CDM,73703979,Revasc Lithotr-Stent Tib/Per,65302.0,32651.0,,,0 CDM,73703980,Revasc Lithotr-Ather Tib/Per,65302.0,32651.0,,,0 CDM,73703981,Revasc Lith-Sten-Ath Tib/Per,65302.0,32651.0,,,0 CDM,73703982,Tas Congenital Car Anomal,5604.0,2802.0,,,0 CDM,73703983,Insertion Of Linq Loop Recorder - Alleviate Hf Study,7773.0,3886.5,,,0 CDM,73703985,Perq Transcath Cls Mitral,60090.0,30045.0,,,0 CDM,73703990,Tixagev And Cilgav Inj Hm,250.5,125.25,,,0 CDM,73703991,Mrgfus Strtctc Les Abltj,34539.0,17269.5,,,0 CDM,73703992,Bebtelovimab Injection,350.5,175.25,,,0 CDM,73703993,Unlisted Procedure Biliary Tract,4615.0,2307.5,,,0 CDM,73703995,"Jenevalve Trilogy Heart Valve System, Align Ar Study",45281.25,22640.62,,,0 CDM,73703997,Chgr Us Trgt Dyn Mbubb Ed Addl,868.0,434.0,,,0 CDM,73703998,Dialysis Repeated Eval,1028.0,514.0,,,0 CDM,73703999,Treat Hip Dislocation,3251.0,1625.5,,,0 CDM,73704001,Blind Cor Sinus Reducer Impl,28364.0,14182.0,,,0 CDM,73704003,Tis Trnfr Trunk 10 Sq Cm/<,7214.0,3607.0,,,0 CDM,73704004,Removal Sutr/Staple Req Anes,5377.0,2688.5,,,0 CDM,73704005,Njx Aa&/Strd Brch Pl Nfs Img,2927.0,1463.5,,,0 CDM,73704006,Njx Aa&/Strd Ax Nerve Img,1516.0,758.0,,,0 CDM,73704007,Njx Aa&/Strd Sciatic Nrv Img,1466.0,733.0,,,0 CDM,73704008,Njx Aa&/Strd Femoral Nrv Img,764.0,382.0,,,0 CDM,73704009,Njx Aa&/Strd Fem Nrv Nfs Img,2574.0,1287.0,,,0 CDM,73704010,Shave Skin Lesion Face/Ears/Eyelids/Nose/Lips/Mucosa 0.6-1.0 Cm,388.0,194.0,,,0 CDM,73704011,Drainage Of Eyelid Abscess,1313.0,656.5,,,0 CDM,73704012,Njx Aa&/Strd Brch Plxs Img,1012.0,506.0,,,0 CDM,73704013,Ecmo/Ecls Daily Mgmt-Venous,4724.0,2362.0,,,0 CDM,73704014,Ecmo/Ecls Daily Mgmt Artery,4724.0,2362.0,,,0 CDM,73704015,Chgr-Trluml Periph Athrc W/Rs&I Brchiocphl Ea Vsl,30401.0,15200.5,,,0 CDM,73704016,N Block Inj Plntr Dig Lt,1294.0,647.0,,,0 CDM,73704017,Insj/Rplcmt Temp Transvns 2Chmbr Pacg Eltrds Spx,10197.0,5098.5,,,0 CDM,73704019,Destruction Mal Lesion Trunk/Arm/Leg > 4.0 Cm,729.0,364.5,,,0 CDM,73704020,Perq Av Fistula Creation Uxtr Single Access,42680.0,21340.0,,,0 CDM,73704021,Biopsy Oropharynx,4886.0,2443.0,,,0 CDM,73704023,Unlisted Procedure Abdomen Peritoneum & Omentum,9572.0,4786.0,,,0 CDM,73704024,Chgr Cystoscopy & Ureter Catheter,9723.0,4861.5,,,0 CDM,73704025,Chgr Liver Imaging W/Vascular Flow,2286.0,1143.0,,,0 CDM,73704026,Imm Admn Sarscov2 Vaccine Single Dose,40.0,20.0,,,0 CDM,73704027,Magnetic Resonance Elastography,2256.0,1128.0,,,0 CDM,73704028,Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5Cm/<,923.0,461.5,,,0 CDM,73704029,Bldr Irrigation Smpl Lavage &/Instl,920.0,460.0,,,0 CDM,73704030,Artl Cath/Cannula Mntr/Transfusion Spx Prq,1904.0,952.0,,,0 CDM,73704031,Pressurized/Nonpressurized Inhalation Treatment,317.0,158.5,,,0 CDM,73704032,Simple Repair F/E/E/N/L/M 2.5Cm/<,967.0,483.5,,,0 CDM,73704033,Clsd Tx Shoulder Dislc W/Manipulation W/O Anes,2970.0,1485.0,,,0 CDM,73704034,Application Short Leg Splint Calf Foot,886.0,443.0,,,0 CDM,73704035,I&D Of Bartholins Gland Abscess,2107.0,1053.5,,,0 CDM,73704036,Diagnostic Lumbar Spinal Puncture,2970.0,1485.0,,,0 CDM,73704040,Percutaneous Transluminal Coronary Lithotripsy,231.0,115.5,,,0 CDM,73704041,Caregiver Training Strategies&Tq 1St 30 Minutes,126.0,63.0,,,0 CDM,73704042,Caregiver Training Strategies&Tq Ea Addl 15 Min,68.0,34.0,,,0 CDM,73704043,Group Caregiver Training Strategies & Technique,30.0,15.0,,,0 CDM,73704044,Tracheotomy Tube Change Prior To Fistula Tract,590.0,295.0,,,0 CDM,73704045,"Principal Illness Navigation Services By Certified Or Trained Auxiliary Personnel, 60 Minutes Per Mo",228.0,114.0,,,0 CDM,73704046,"Principal Illness Navigation Services, Additional 30 Minutes Per Calendar Month",228.0,114.0,,,0 CDM,73704047,Biliary Endo Prq T-Tube Dx W/Collect Spec Brush,16725.0,8362.5,,,0 CDM,73704048,Biliary Ndsc Intraoperative,16725.0,8362.5,,,0 CDM,73704049,Thrombolysis Cerebral Iv Infusion,2694.0,1347.0,,,0 CDM,73704050,I&D Perianal Abscess Superficial,3297.0,1648.5,,,0 CDM,73704051,Repair Complex F/C/C/M/N/Ax/G/H/F 2.6-7.5 Cm,1523.0,761.5,,,0 CDM,73704052,Simple Repair F/E/E/N/L/M 2.6Cm-5.0 Cm,1278.0,639.0,,,0 CDM,73704053,Ercp W/Biopsy Single/Multiple,8467.0,4233.5,,,0 CDM,73704301,Insert Temp Bladder Cath(Foley),317.0,158.5,,,0 CDM,73704440,Chgr-Insert Gastrostomy Tube Percutaneous,4085.0,2042.5,,,0 CDM,73704441,Chgr-Sp Rpl Gastrostomy Tube W / Rad S&I,2978.0,1489.0,,,0 CDM,73704442,Chgr-Injection / Checking Placement Of J Tube,1610.0,805.0,,,0 CDM,73704553,"Chgr-Sp Inj, Epidural, Blood / Clot Patch",2067.0,1033.5,,,0 CDM,73704555,Inj Sclerosing Agent Thera,2414.0,1207.0,,,0 CDM,73704600,Insert Peritoneal Venous Shunt,3940.0,1970.0,,,0 CDM,73704601,Revise Peritoneal Venous Shunt,4387.0,2193.5,,,0 CDM,73704702,Vppa Deb Bone 20 Sq Cm/<,5413.0,2706.5,,,0 CDM,73704704,Vppa Injctn For Pseudoaneurysm,2109.0,1054.5,,,0 CDM,73704706,Vppa Rem Tnld Cvc W/O Port/Pmp,2532.0,1266.0,,,0 CDM,73705021,Post Recovery Monitoring-Min,23.0,11.5,,,0 CDM,73705990,Uterine Fibroid Embolization,38990.0,19495.0,,,0 CDM,73706000,"Chgr Sp Inj,Sclerotherapy",814.0,407.0,,,0 CDM,73706181,Perq Vertebroplasty Uni/Bi Injx Cervicothoracic,8056.0,4028.0,,,0 CDM,73706182,Perq Vertebroplasty Uni/Bi Injection Lumbosacral,8071.0,4035.5,,,0 CDM,73706183,Vertebroplasty Addl Inject,6931.0,3465.5,,,0 CDM,73706184,"Kyphoplasty 1 Vrt Bdy,Thoracic",9586.0,4793.0,,,0 CDM,73706185,Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulj Lmbr,15943.0,7971.5,,,0 CDM,73706186,Kyphoplasty Ea Add Vb Thor/Lum,5734.0,2867.0,,,0 CDM,73706702,Oth-Inj Trigeminal Nerve,1198.0,599.0,,,0 CDM,73706708,Oth-Inj Major Jnt/Bur W/O Us,1046.0,523.0,,,0 CDM,73706709,Lysis Epi Adh 2+Day-W/Wo Fluor,4804.0,2402.0,,,0 CDM,73706710,Neu Face C/T Sgl Jt-W/Wo Fluor,3809.0,1904.5,,,0 CDM,73706711,Neu Face L/S Sgl Jnt-W/Wo Fluo,5495.0,2747.5,,,0 CDM,73706715,Proc-Inj Trig Pt 3+ Muscles,908.0,454.0,,,0 CDM,73706717,Oth-Neurol Oth Periph Nerve,2242.0,1121.0,,,0 CDM,73706720,Oth-Inj Intercostal Nrv Multi,3013.0,1506.5,,,0 CDM,73706725,Proc-Inj Trig Pt 1-2 Muscles,1244.0,622.0,,,0 CDM,73706730,Lumbar Plexus Cont Nrve Block,2960.0,1480.0,,,0 CDM,73706900,Chgr-Check Cvad W/ Contrast,1063.0,531.5,,,0 CDM,73706981,Place Fiducial-Thoracic,5090.0,2545.0,,,0 CDM,73706982,"Place Fiducial-Abc,Plv,Retro",1888.0,944.0,,,0 CDM,73707005,Chgr-Rf Pudenal Nerve,1605.0,802.5,,,0 CDM,73707006,Chgr Rf Other Nerve Or Branch,2242.0,1121.0,,,0 CDM,73707014,Chgr-Nerve Block,3013.0,1506.5,,,0 CDM,73707015,Injection Pudendal Nerve,1686.0,843.0,,,0 CDM,73707021,Chgr- Botox Neck,879.0,439.5,,,0 CDM,73707029,Chgr-Pump Dye Study,412.0,206.0,,,0 CDM,73707035,Bleph Up Lid W/Excess Skin-Bila,7167.0,3583.5,,,0 CDM,73707045,Chgr Chemodenerv Face Musc Bilat,978.0,489.0,,,0 CDM,73707050,"Chgr-Trigger Point Inj, 3 Muscles",908.0,454.0,,,0 CDM,73707060,Chgr Ganglion Impar Sympath Ner Blo,871.0,435.5,,,0 CDM,73707065,Carpal Tunnel Injection,605.0,302.5,,,0 CDM,73707105,"Chgr-Cd Inf Pump W/Md Fill/Prog, Anal",860.0,430.0,,,0 CDM,73707106,Chgr-Cd Inf Pump Fill W/Prog And Anal,860.0,430.0,,,0 CDM,73707107,Thoracentesis W/O Img Guid,2596.0,1298.0,,,0 CDM,73707108,Thoracentesis W/Img Guid,4726.0,2363.0,,,0 CDM,73707109,Art Inf For Thrombolysis Init,12349.0,6174.5,,,0 CDM,73707110,Ven Inf For Thrombolysis Init,9692.0,4846.0,,,0 CDM,73707111,Art/Ven Inf Thrombolysis Subs,12349.0,6174.5,,,0 CDM,73707112,Thrombolysis Cessation,12349.0,6174.5,,,0 CDM,73707113,Card Art Inf Thrmbolysis Init,12349.0,6174.5,,,0 CDM,73707114,Card Ven Inf Thrmbolysis Init,9692.0,4846.0,,,0 CDM,73707115,Card Art/Ven Inf Thromb.Subs,12349.0,6174.5,,,0 CDM,73707116,Card-Thrombolysis Cessation,12349.0,6174.5,,,0 CDM,73707117,Chgr-Cessation Thrombolytic Ther W/Catheter Removal,12349.0,6174.5,,,0 CDM,73707152,Chgr Sphenocath Inj Sphenogangl Blk,871.0,435.5,,,0 CDM,73707153,Chgr Fluoro For Sphenocath,1896.0,948.0,,,0 CDM,73707160,Oth-Inj Small Jnt/Bur W/O Us,919.0,459.5,,,0 CDM,73707161,Oth-Inj Small Jnt/Bur W/Us,919.0,459.5,,,0 CDM,73707170,Unlisted Procedure Breast,9371.0,4685.5,,,0 CDM,73707200,Insert Cath Pleura W/O Image,2596.0,1298.0,,,0 CDM,73707201,Insert Cath Pleura W/Image,4726.0,2363.0,,,0 CDM,73707300,Corneal Lens For Aphakia 1 Eye,331.0,165.5,,,0 CDM,73707301,Corneal Lens For Aphakia 2Eyes,215.0,107.5,,,0 CDM,73707302,Corneolscleral Lens,331.0,165.5,,,0 CDM,73707303,Corneal Lens Aphakia 1 Eye Tc,331.0,165.5,,,0 CDM,73707304,Corneal Lens Aphakia 2 Eyes Tc,331.0,165.5,,,0 CDM,73707305,Corneolscleral Lens Tech,215.0,107.5,,,0 CDM,73707306,Modification Of Lens,331.0,165.5,,,0 CDM,73707307,Replacement Of Lens,215.0,107.5,,,0 CDM,73707750,Skin Test Tb Intradermal,38.0,19.0,,,0 CDM,73707800,Injection Tendon,627.0,313.5,,,0 CDM,73707801,Inj Sphenopalatine Ganglion,1140.0,570.0,,,0 CDM,73707900,Opthalmic Biometry Lenstar,405.0,202.5,,,0 CDM,73708000,Chgr-Us Aspiration Baker's Cyst Sc,616.0,308.0,,,0 CDM,73708005,Card-Ivc Filter Placement,24756.0,12378.0,,,0 CDM,73708007,Card-Ivc Filter Removal,21466.0,10733.0,,,0 CDM,73710004,Blood Transfusion,1611.0,805.5,,,0 CDM,73710008,Admin-Influenza Vaccine,96.0,48.0,,,0 CDM,73710009,Admin-Pneumococcal Vac,96.0,48.0,,,0 CDM,73710010,Admin-Hep B Vaccine,96.0,48.0,,,0 CDM,73710012,F/U Office O/P Min Prob Lev 1,344.0,172.0,,,0 CDM,73710014,Visit Port Flush,170.0,85.0,,,0 CDM,73710015,Vaccine/Immun Inj-Other,96.0,48.0,,,0 CDM,73710016,Vaccine Inj Ea Addtl-Influ,96.0,48.0,,,0 CDM,73710017,Vaccine Inj Ea Addtl-Pneumo,96.0,48.0,,,0 CDM,73710018,Vaccine Inj Ea Addtl-Hepatitis,96.0,48.0,,,0 CDM,73710019,Vaccine Inj Ea Addtl-Other,96.0,48.0,,,0 CDM,73710020,Ch Visit Port Flush Only,170.0,85.0,,,0 CDM,73710021,"Intrathecal Chemo Inj,Inc Lp",888.0,444.0,,,0 CDM,73710022,Chgr-Sp Rem Nephrostomy Tube W / Rad S&I,2101.0,1050.5,,,0 CDM,73710029,Destruct Premalg Lesion,290.0,145.0,,,0 CDM,73710791,Sclerotx Fluid Collection,4575.0,2287.5,,,0 CDM,73710792,Perq Art M-Thrombect &/Nfs,65587.0,32793.5,,,0 CDM,73720001,Card-Angio Venography Extremit,2543.0,1271.5,,,0 CDM,73720002,"Chgr-Cd Sng Angio Aorta, Add To",5300.0,2650.0,,,0 CDM,73720005,Chgr-Cd Sng Cath Vein 2Nd Ord Mo / Sele,5305.0,2652.5,,,0 CDM,73720010,Declot Vascular Access,1454.0,727.0,,,0 CDM,73720012,Insert Non-Tunneled Cvc<5Yr,3942.0,1971.0,,,0 CDM,73720013,Insert Non-Tunneled Cvc>=5Yr,4322.0,2161.0,,,0 CDM,73720014,Skin Test Tb Int Intradermal,38.0,19.0,,,0 CDM,73720015,Blood Draw-Implnt Venous Device,336.0,168.0,,,0 CDM,73720016,Blood Draw-Cvl/Pvl/Picc,336.0,168.0,,,0 CDM,73730789,Arthrocentesis-Sml Jnt W/O Us,919.0,459.5,,,0 CDM,73730790,Insert Tunneled Cv 2X Cath W S,17044.0,8522.0,,,0 CDM,73730791,Dx Lmbr Spi Pnxr W/Fluor/Ct,3876.0,1938.0,,,0 CDM,73730792,Ther Spi Pnxr Csf Fluor/Ct,3876.0,1938.0,,,0 CDM,73730793,Njx Aa&/Strd Nrv Nrvtg Si Jt,2318.0,1159.0,,,0 CDM,73730794,Implant Neuroelectrodes,20611.0,10305.5,,,0 CDM,73730795,Njx Aa&/Strd Gnclr Nrv Brnch,2320.0,1160.0,,,0 CDM,73730796,Core Ndl Bx Lng/Med Perq,3903.0,1951.5,,,0 CDM,73760130,Plmt Access Bil Tree Sm Bwl,9375.0,4687.5,,,0 CDM,73760131,Dilate Biliary Duct/Ampulla,921.0,460.5,,,0 CDM,73760132,Endoluminal Bx Biliary Tree,2010.0,1005.0,,,0 CDM,73760133,Ureteral Embolization/Occl,3028.0,1514.0,,,0 CDM,73760134,Insert Tun Ip Cath Perc,9957.0,4978.5,,,0 CDM,73760135,Balloon Dilate Urtrl Strix,1359.0,679.5,,,0 CDM,73760136,Chgr - Pvb Thoracic Single Inj Site,2807.0,1403.5,,,0 CDM,73760137,Chgr - Pvb Thoracic 2Nd+ Inj Site,172.0,86.0,,,0 CDM,73760138,Chgr - Pvb Thoracic Cont Infusion,2807.0,1403.5,,,0 CDM,73760139,Chgr - Irrigate Implant Venous Device,170.0,85.0,,,0 CDM,73760140,Chgr - Perq Dev Soft Tiss 1St Imag,1999.0,999.5,,,0 CDM,73760141,Chgr - Perq Dev Soft Tiss Add Imag,798.0,399.0,,,0 CDM,73760146,Ir Myelography Lumbar S&I,3078.0,1539.0,,,0 CDM,73760148,Circumcision Age=<28 Days,3021.0,1510.5,,,0 CDM,73766500,Instillation Chest Tube,2058.0,1029.0,,,0 CDM,73766501,Chest Tube Subq Day,2058.0,1029.0,,,0 CDM,73766502,Bil Endo W/ Stone Removal,5682.0,2841.0,,,0 CDM,73766503,Intrvasc Us Noncoronary 1St,1641.0,820.5,,,0 CDM,73766504,Intrvasc Us Noncoronary Addl,1641.0,820.5,,,0 CDM,73766505,Njx Cholangio Prq W/Img Gid Rs&I Existing Access,10411.0,5205.5,,,0 CDM,73766506,Inj Cholangiogram New Access,10411.0,5205.5,,,0 CDM,73766507,Plmt Biliary Drainage Cath Ext,7169.0,3584.5,,,0 CDM,73766508,Plmt Biliary Drain Cathint/Ext,7169.0,3584.5,,,0 CDM,73766509,Perq Plmt Bile Duct Exst Acces,15991.0,7995.5,,,0 CDM,73766510,Perq Plmt Bile New Ac W/O Cath,15737.0,7868.5,,,0 CDM,73766511,Perq Plmt Bile New Acc W/ Cath,15737.0,7868.5,,,0 CDM,73766512,Conversion Ext Bil Drg Cath,7595.0,3797.5,,,0 CDM,73766513,Exchange Biliary Drg Cath,7595.0,3797.5,,,0 CDM,73766514,Removal Duct Glbldr Calculi,6758.0,3379.0,,,0 CDM,73766515,Plmt Nephrostomy Catheter,5257.0,2628.5,,,0 CDM,73766516,Plmt Ureteral Stnt Prq Ext Acc,8712.0,4356.0,,,0 CDM,73766517,Plmt Ureteral Stnt Prq W/Ocath,8712.0,4356.0,,,0 CDM,73766518,Plmt Ureteral Stnt Prq W/Cath,8712.0,4356.0,,,0 CDM,73766519,Njx Px Nfrosgrm &/Urtrgrm New,3288.0,1644.0,,,0 CDM,73766520,Njx Px Nfrosgrm &/Urtrgrm Exst,3288.0,1644.0,,,0 CDM,73766521,Exchange Nephrostomy Cath,4767.0,2383.5,,,0 CDM,73766522,Plmt Nephroureteral Cath New A,4758.0,2379.0,,,0 CDM,73766523,Convert Nephrostomy Catheter,4758.0,2379.0,,,0 CDM,73766524,Endoluminal Bx Urtr Rnl Plvs,4758.0,2379.0,,,0 CDM,73766525,Removal Biliary Drg Cath,1551.0,775.5,,,0 CDM,73766700,Inj Retro Urethrocystography,2512.0,1256.0,,,0 CDM,73766714,Foot Or Toe Procedure,2451.0,1225.5,,,0 CDM,73766715,Incision Of Toe Tendon,4198.0,2099.0,,,0 CDM,73766716,Shave Les S/N/H/F/G; 0.5Cm/<,446.0,223.0,,,0 CDM,73766717,Shave Skin Lesion > 1Cm,446.0,223.0,,,0 CDM,73766718,Shave Skin Lesion 1.1-2.0 Cm,446.0,223.0,,,0 CDM,73766719,Shaving Lesion Over 2.0 Cm,634.0,317.0,,,0 CDM,73766731,Ir Sclerosing Node/Cyst/Tumor,18477.0,9238.5,,,0 CDM,73766751,Chgr - Keratomileusis,1183.0,591.5,,,0 CDM,73766752,Rx Supfcl Wd Dehis-Simp,2150.0,1075.0,,,0 CDM,73766754,Abd Paracentesis,1999.0,999.5,,,0 CDM,73766775,Chgr Us Guide Rf/Microwave Ablation,1120.0,560.0,,,0 CDM,73766800,Intro Cath Dialysis Circuit,3471.0,1735.5,,,0 CDM,73766801,Intro Cath Dialys Crct W/Angio,17381.0,8690.5,,,0 CDM,73766802,Intro Cth Dialys Crct Ang Stnt,35125.0,17562.5,,,0 CDM,73766803,Thrmbc/Nfs Dialysis Circuit,17381.0,8690.5,,,0 CDM,73766804,Thrmbc/Nfs Dialysis Crct Angio,35125.0,17562.5,,,0 CDM,73766805,Thrmb/Nfs Dial Crct Angio Stnt,53237.0,26618.5,,,0 CDM,73766806,Balo Angiop Ctr Dialysis Seg,6328.0,3164.0,,,0 CDM,73766807,Trluml Balo Angiop 1St Vein,6749.0,3374.5,,,0 CDM,73766808,Trluml Balo Angiop Addl Vein,6749.0,3374.5,,,0 CDM,73766811,Njx Interlaminar Crv/Thrc,3366.0,1683.0,,,0 CDM,73766812,Njx Interlaminar Lmbr/Sac,3876.0,1938.0,,,0 CDM,73766813,Njx Intrlmnr Crv/Thrc W/O Neur,3148.0,1574.0,,,0 CDM,73766814,Njx Intrlmnr Lmbr/Sac Cont Inf,3140.0,1570.0,,,0 CDM,73766815,Scr Mammo Bi Incl Cad,830.0,415.0,,,0 CDM,73766816,"Njx Interlaminar Crv/Thrc, Img",3876.0,1938.0,,,0 CDM,73766817,"Njx Interlaminar Lmbr/Sac, Img",3370.0,1685.0,,,0 CDM,73766818,"Njx Intrlam C/T W/O Neur, Img",3148.0,1574.0,,,0 CDM,73766819,"Njx Intrlam L/S Cont Inf, Img",3148.0,1574.0,,,0 CDM,73766820,Application On-Body Injector,168.0,84.0,,,0 CDM,73766821,Endovenous Mchnchem 1St Vein,8473.0,4236.5,,,0 CDM,73766822,Endovenous Mchnchem Add-On,4238.0,2119.0,,,0 CDM,73766823,Stent Plmt Ctr Dialysis Seg,1739.0,869.5,,,0 CDM,73766824,Dialysis Circuit Emboli,1739.0,869.5,,,0 CDM,73766825,Tx S Wnd Dehisc; Smpl,2150.0,1075.0,,,0 CDM,73766827,Ablate Bone Tumor(S) Perq,18476.0,9238.0,,,0 CDM,73766828,Excision Lesion Cornea Not Ptery,3810.0,1905.0,,,0 CDM,73766829,Dilate Salivary Gland,5466.0,2733.0,,,0 CDM,73766831,Evasc Rpr A-Ao Ndgft,4816.0,2408.0,,,0 CDM,73766832,Evasc Rpr A-Ao Ndgft Rpt,4816.0,2408.0,,,0 CDM,73766833,Evasc Rpr A-Unilac Ndgft,4816.0,2408.0,,,0 CDM,73766834,Evasc Rpr A-Unilac Ndgft Rpt,4816.0,2408.0,,,0 CDM,73766835,Evac Rpr A-Biiliac Ndgft,4816.0,2408.0,,,0 CDM,73766836,Evasc Rpr A-Biiliac Rpt,4816.0,2408.0,,,0 CDM,73766837,Evasc Rpr Ilio-Iliac Ndgft,4816.0,2408.0,,,0 CDM,73766838,Evasc Rpr Ilio-Iliac Rpt,4816.0,2408.0,,,0 CDM,73766839,Plmt Xtn Prosth Evasc Rpr,4816.0,2408.0,,,0 CDM,73766840,Dlyd Plmt Xtn Prosth 1St Vsl,4816.0,2408.0,,,0 CDM,73766841,Dlyd Plmt Xtn Prosth Ea Addl,4816.0,2408.0,,,0 CDM,73766843,Diagnostic Bone Marrow Biopsies & Aspirations,5494.0,2747.0,,,0 CDM,73766848,Removal Fb W/Slit Lamp,345.0,172.5,,,0 CDM,73766849,Prob Nasolacrimal Duct Irrigat,1067.0,533.5,,,0 CDM,73766850,Insert/Repl Neurostimulator,32343.0,16171.5,,,0 CDM,73766851,Unlisted Procedure Shoulder,693.0,346.5,,,0 CDM,73766854,Shave Skin Lesion Trunk/Arm/Leg 0.5 Cm/<,446.0,223.0,,,0 CDM,73766855,Shave Skin Lesion 0.6Cm-1.0Cm,446.0,223.0,,,0 CDM,73766856,Change Stent Via Transur,6403.0,3201.5,,,0 CDM,73766860,Cystourethroscopy Insrtd Stent,8569.0,4284.5,,,0 CDM,73766862,Fna Bx W/Us Gdn 1St Les,1977.0,988.5,,,0 CDM,73766863,Fna Bx W/Us Gdn Ea Addl,1977.0,988.5,,,0 CDM,73766864,Fna Bx W/Fluor Gdn 1St Les,2177.0,1088.5,,,0 CDM,73766866,Fna Bx W/Ct Gdn 1St Les,2394.0,1197.0,,,0 CDM,73766867,Fna Bx W/Ct Gdn Ea Addl,1276.0,638.0,,,0 CDM,73766870,Tangntl Bx Skin Single Les,714.0,357.0,,,0 CDM,73766871,Punch Bx Skin Single Lesion,787.0,393.5,,,0 CDM,73766872,Incal Bx Skn Single Les,865.0,432.5,,,0 CDM,73766875,Rplc Gtube No Revj Trc,1934.0,967.0,,,0 CDM,73766876,Rplc Gtube Revj Gstrst Trc,2128.0,1064.0,,,0 CDM,73766877,Dilat Xst Trc Ndurlgc Px,7474.0,3737.0,,,0 CDM,73766878,Dilat Xst Trc New Access Rcs,8222.0,4111.0,,,0 CDM,73766879,Change Of Bladder Tube,3054.0,1527.0,,,0 CDM,73766880,Ipack Nerve Block,871.0,435.5,,,0 CDM,73766881,Insrt Picc >=5Yrs Incl Imaging,6111.0,3055.5,,,0 CDM,73766882,Insrt Picc <5Yrs Incl Imaging,5958.0,2979.0,,,0 CDM,73766883,Njx Cntrst Kne Arthg/Ct/Mri,178.0,89.0,,,0 CDM,73766884,Ecmo Reposition Peripher Cnula,4141.0,2070.5,,,0 CDM,73766886,Circumcision > 28 Days,3200.0,1600.0,,,0 CDM,73766887,Fluid Pressure Muscle,759.0,379.5,,,0 CDM,73766888,Unlstd Proc Hemic Or Lymphatic,1344.0,672.0,,,0 CDM,73766889,Njx Sclrsnt 1 Incmptnt Vein,1228.0,614.0,,,0 CDM,73766890,Disruption Of Fibrin Sheath,814.0,407.0,,,0 CDM,73766891,I&D Lesion Dentoalveolar,601.0,300.5,,,0 CDM,73766892,Blind Interatrial Shunt Ide,56113.0,28056.5,,,0 CDM,73801802,Injection/Subc/Im,187.0,93.5,,,0 CDM,73810,Noncdm Charge Record Medical Supplies,4601.95,2300.98,,,0 CDM,73810008,Bladder Chemo,2136.0,1068.0,,,0 CDM,73810009,Therapeutic Phlebotomy,784.0,392.0,,,0 CDM,73810015,Chemo Iv Infusion Ea Addl Hour,505.0,252.5,,,0 CDM,73810022,Chemo Sq/Im-Non-Horm,567.0,283.5,,,0 CDM,73810023,Chemo Sq/Im-Horm,451.0,225.5,,,0 CDM,73810024,Chemo Ivp Initial,896.0,448.0,,,0 CDM,73810025,Chemo Ivp-Ea. Add,538.0,269.0,,,0 CDM,73810026,Chemo Iv Initial 1 Hr.,1475.0,737.5,,,0 CDM,73810027,Chemo Iv Infusion Ea Addl Hour,505.0,252.5,,,0 CDM,73810028,Chemo Iv Inf Proglong,2430.0,1215.0,,,0 CDM,73810029,Chemo Iv Inf Ea Sequ Hr,1049.0,524.5,,,0 CDM,73810030,Non-Chem Sq/Im,187.0,93.5,,,0 CDM,73810031,Non-Chem Ivp Initial,542.0,271.0,,,0 CDM,73810032,Non-Chem Ivp Ea Add. Drug,441.0,220.5,,,0 CDM,73810033,Hydration Iv Initial Hr,672.0,336.0,,,0 CDM,73810034,Hydration Inf Ea Ad Hr,323.0,161.5,,,0 CDM,73810035,Non-Chem Iv Inf Hr,730.0,365.0,,,0 CDM,73810036,Non-Chem Iv Ea Add Hr-To 8,404.0,202.0,,,0 CDM,73810037,Non-Chem Iv Inf Ea Sequ,371.0,185.5,,,0 CDM,73810038,Non-Chem Iv Inf-Concu,459.0,229.5,,,0 CDM,73810043,Blood Draw-Implanted Port,336.0,168.0,,,0 CDM,73810050,Non Chem Ivp Seq Same Dr,441.0,220.5,,,0 CDM,73810057,Casirivi And Imdevi Infusion,450.0,225.0,,,0 CDM,73810058,Bamlan And Etesev Infusion,582.0,291.0,,,0 CDM,73810059,Sotrovimab Infusion,450.0,225.0,,,0 CDM,73810061,Casiri And Imdev Repeat,450.0,225.0,,,0 CDM,73810062,Iv Peripheral Start Only,860.0,430.0,,,0 CDM,73810063,Adm Tocilizu Covid-19 1St,450.0,225.0,,,0 CDM,73810064,Adm Tocilizu Covid-19 2Nd,450.0,225.0,,,0 CDM,73810068,Tixagev And Cilgav Inj Hm,250.5,125.25,,,0 CDM,73810069,Tixagev And Cilgav Inj,150.5,75.25,,,0 CDM,73810075,Chemo Inj Sq/Im(Horm Anti),451.0,225.5,,,0 CDM,73810076,Chemo Inj Sq/Im(Non-Horm Anti),567.0,283.5,,,0 CDM,73810080,Sc Non-Chemo Infusn Up To 1Hr,732.0,366.0,,,0 CDM,73810081,Sc Non-Chemo Infusn Ea Addl Hr,214.0,107.0,,,0 CDM,73810082,Chg Sc Non-Chemo Infusn Reset Pump,402.0,201.0,,,0 CDM,73810100,Chg Capillary Blood Draw,47.0,23.5,,,0 CDM,73810101,Chg Blood Draw-Cvl/Pvl/Picc,336.0,168.0,,,0 CDM,73810102,Gastric Intubtn W/Aspiratn,414.0,207.0,,,0 CDM,73810103,Chg Insert Bladder Straight Cath,345.0,172.5,,,0 CDM,73810104,"Chg Insert Bladder Cath,Complex",468.0,234.0,,,0 CDM,73810105,Chg Us Urine Capacity Measure,362.0,181.0,,,0 CDM,73810106,Chg Catheterize For Urine Specimen,28.0,14.0,,,0 CDM,73810107,Chg Peritoneal Dialysis Op;Per Day,1028.0,514.0,,,0 CDM,73810108,Chemo Iv Inf Concur-1X Per Day,791.0,395.5,,,0 CDM,73810115,Chg Cadd Non-Chemo Infusion,973.0,486.5,,,0 CDM,74000002,Chgr-Cisternogram,2435.0,1217.5,,,0 CDM,74000003,Chgr-Orbits Ltd,363.0,181.5,,,0 CDM,74000004,Chgr-Mandible Ltd,387.0,193.5,,,0 CDM,74000005,Chgr-Mandible Complete,822.0,411.0,,,0 CDM,74000007,Chgr-Mastoids Complete,599.0,299.5,,,0 CDM,74000009,Chgr-Facial Bones Ltd,629.0,314.5,,,0 CDM,74000010,Chgr-Facial Bones Complete,1068.0,534.0,,,0 CDM,74000011,Chgr-Nasal Bones,596.0,298.0,,,0 CDM,74000012,Chgr-Dacrocystogram,735.0,367.5,,,0 CDM,74000014,Chgr-Orbits Complete,1067.0,533.5,,,0 CDM,74000015,Chgr-Sinuses Ltd,953.0,476.5,,,0 CDM,74000016,Chgr-Sinuses Complete,1607.0,803.5,,,0 CDM,74000017,Chgr-Sella Turcica,317.0,158.5,,,0 CDM,74000018,Chgr-Skull Ltd,1058.0,529.0,,,0 CDM,74000019,Chgr-Skull Complete,1409.0,704.5,,,0 CDM,74000020,Chgr-Teeth Single,148.0,74.0,,,0 CDM,74000021,Chgr-Teeth Complete,331.0,165.5,,,0 CDM,74000023,Chgr-Tmj Bilat,731.0,365.5,,,0 CDM,74000025,Chgr-Mr Tmj,4545.0,2272.5,,,0 CDM,74000026,Chgr-Cephlometrogram,317.0,158.5,,,0 CDM,74000027,Chgr-Panorex,751.0,375.5,,,0 CDM,74000028,Chgr-St Neck,877.0,438.5,,,0 CDM,74000033,Sialogram,1257.0,628.5,,,0 CDM,74000034,Chgr-Ct Head Region W/O Contrast,2656.0,1328.0,,,0 CDM,74000035,Chgr-Tmj Open/Closed,683.0,341.5,,,0 CDM,74000036,Chgr-Ct Head W/Wo Contrast,3511.0,1755.5,,,0 CDM,74000037,Chgr-Ct Head Region W/O Contrast,2720.0,1360.0,,,0 CDM,74000038,Chgr-Ct Head Region W/ Contrast,3241.0,1620.5,,,0 CDM,74000039,Chgr-Ct Head Region W/Wo Contrast,3726.0,1863.0,,,0 CDM,74000040,Chgr-Ct Facial W/O Contrast,2719.0,1359.5,,,0 CDM,74000041,Chgr-Ct Facial W/ Contrast,3125.0,1562.5,,,0 CDM,74000042,Chgr-Ct Facial W/Wo Contrast,3593.0,1796.5,,,0 CDM,74000043,Chgr-Ct St Neck W/O Contrast,1285.0,642.5,,,0 CDM,74000044,Chgr-Ct St Neck W/Contrast,3356.0,1678.0,,,0 CDM,74000045,Chgr-Ct St Neck W/Wo Contrast,3880.0,1940.0,,,0 CDM,74000046,Chgr-Mr Orbits W/O Contrast,4934.0,2467.0,,,0 CDM,74000047,"Chgr-Mr Face, Orbit, Head, Neck W/O Contrast",3865.0,1932.5,,,0 CDM,74000048,Chgr-Mr Face W/ Contrast,5097.0,2548.5,,,0 CDM,74000049,Chgr-Mr Head W/Wo Contrast,7331.0,3665.5,,,0 CDM,74000060,Chgr-Fluoroscopy Exam Charge,1371.0,685.5,,,0 CDM,74000063,Chgr-Ribs Unilateral,673.0,336.5,,,0 CDM,74000064,Chgr-Ribs Unilat W/ Pa Cxr,893.0,446.5,,,0 CDM,74000065,Chgr-Ribs Bilat,1225.0,612.5,,,0 CDM,74000066,Chgr-Ribs Bilat W / Pa Cxr,1410.0,705.0,,,0 CDM,74000067,Chgr-Sternum,694.0,347.0,,,0 CDM,74000068,Chgr-Sternoclavicular Joints,799.0,399.5,,,0 CDM,74000069,Chgr-Ct Chest Wo Contrast,2745.0,1372.5,,,0 CDM,74000070,Chgr-Ct Chest W/ Contrast,3559.0,1779.5,,,0 CDM,74000071,Chgr-Ct Chest W/Wo Contrast,3894.0,1947.0,,,0 CDM,74000072,Chgr-Mr Chest W/O Contrast,3636.0,1818.0,,,0 CDM,74000074,Chgr-Spine One View,562.0,281.0,,,0 CDM,74000075,Chgr-Cspine Ltd,804.0,402.0,,,0 CDM,74000076,Chgr-Cspine Complete,888.0,444.0,,,0 CDM,74000077,Chgr-Cspine Com With Flex/Ext,1195.0,597.5,,,0 CDM,74000079,Chgr-Tspine 2 Views,725.0,362.5,,,0 CDM,74000080,Chgr-Tspine Comp,721.0,360.5,,,0 CDM,74000081,Chgr-Thoracolumbar Spine 2 Views,960.0,480.0,,,0 CDM,74000083,Chgr-Lspine 2 Views,733.0,366.5,,,0 CDM,74000084,Chgr-Lspine Comp,1056.0,528.0,,,0 CDM,74000085,Chgr-Lspine Comp W/Bend Or Ext,1559.0,779.5,,,0 CDM,74000086,Chgr-Lspine 2 View With Flex/Ext,1141.0,570.5,,,0 CDM,74000087,Chgr-Ct Cervical Spine W / O Contrast,3200.0,1600.0,,,0 CDM,74000088,Chgr-Ct Cervical Spine W / Contrast,3678.0,1839.0,,,0 CDM,74000089,Chgr-Ct Cervical Spine W / Wo Contrast,4227.0,2113.5,,,0 CDM,74000090,Chgr-Ct Thoracic Spine W / O Contrast,3217.0,1608.5,,,0 CDM,74000091,Chgr-Ct Thoracic Spine W / Contrast,3724.0,1862.0,,,0 CDM,74000092,Chgr-Ct Thoracic Spine W / Wo Contrast,4280.0,2140.0,,,0 CDM,74000093,Chgr-Ct Lumbar Spine W / O Contrast,3217.0,1608.5,,,0 CDM,74000094,Chgr-Ct Lumbar Spine W / Contrast,3724.0,1862.0,,,0 CDM,74000095,Chgr-Ct Lumbar Spine W / Wo Contrast,4280.0,2140.0,,,0 CDM,74000096,Chgr-Mr Cervical Spine W / O Contrast,4000.0,2000.0,,,0 CDM,74000097,Chgr-Mr Cervical Spine W / Contrast,5273.0,2636.5,,,0 CDM,74000098,Chgr-Mr Thoracic Spine W / O Contrast,4000.0,2000.0,,,0 CDM,74000099,Chgr-Mr Thoracic Spine W / Contrast,5288.0,2644.0,,,0 CDM,74000100,Chgr-Mr Lumbar Spine W / O Contrast,4000.0,2000.0,,,0 CDM,74000101,Chgr-Mr Lumbar Spine W / Contrast,5288.0,2644.0,,,0 CDM,74000102,Chgr-Mr Cervical Spine W / Wo Contrast,6545.0,3272.5,,,0 CDM,74000103,Chgr-Mr Thoracic Spine W / Wo Contrast,6631.0,3315.5,,,0 CDM,74000104,Chgr-Mr Lumbar Spine W / Wo Contrast,6631.0,3315.5,,,0 CDM,74000105,Chgr-Pelvis,656.0,328.0,,,0 CDM,74000106,Chgr-Pelvis Views,868.0,434.0,,,0 CDM,74000107,Chgr-Ct Pelvis W / O Contrast,2948.0,1474.0,,,0 CDM,74000108,Chgr-Ct Pelvis W / Contrast,3388.0,1694.0,,,0 CDM,74000109,Chgr-Ct Pelvis W / Wo Contrast,3507.0,1753.5,,,0 CDM,74000110,Chgr-Mr Pelvis W / Contrast,5782.0,2891.0,,,0 CDM,74000112,Chgr-Si Joints,841.0,420.5,,,0 CDM,74000113,Chgr-Sacrum/Coccyx,839.0,419.5,,,0 CDM,74000118,Chgr-Sp Discogram Cervical,3978.0,1989.0,,,0 CDM,74000119,Chgr-Diskogram Lumbar Spine,4179.0,2089.5,,,0 CDM,74000120,Chgr-Clavicle,593.0,296.5,,,0 CDM,74000121,Chgr-Scapula,776.0,388.0,,,0 CDM,74000122,Chgr-Shoulder Ltd,445.0,222.5,,,0 CDM,74000123,Chgr-Shoulder Comp,638.0,319.0,,,0 CDM,74000124,Arthrogram Shoulder,1834.0,917.0,,,0 CDM,74000125,Chgr-Ac Joints,617.0,308.5,,,0 CDM,74000126,Chgr-Humerus,674.0,337.0,,,0 CDM,74000127,Chgr-Elbow Ltd,537.0,268.5,,,0 CDM,74000128,Chgr-Elbow Comp,902.0,451.0,,,0 CDM,74000129,Arthrogram Elbow,1596.0,798.0,,,0 CDM,74000130,Chgr-Forearm,659.0,329.5,,,0 CDM,74000131,Chgr-Upper Ext Infant < 1Year Old,326.0,163.0,,,0 CDM,74000132,Chgr-Wrist Ltd,509.0,254.5,,,0 CDM,74000133,Chgr-Wrist Comp,598.0,299.0,,,0 CDM,74000134,Arthrogram Wrist,2072.0,1036.0,,,0 CDM,74000135,Chgr-Hand Ltd,488.0,244.0,,,0 CDM,74000136,Chgr-Hand Comp,563.0,281.5,,,0 CDM,74000137,Chgr-Fingers,404.0,202.0,,,0 CDM,74000138,Chgr-Ct Ue Bilat W/O Contrast,2592.0,1296.0,,,0 CDM,74000139,Chgr-Ct Ue Bilat W/ Contrast,3000.0,1500.0,,,0 CDM,74000140,Chgr-Ct Ue Bilat W/Wo Contrast,3447.0,1723.5,,,0 CDM,74000141,Chgr-Mr Ue Unilat W/Wo Contrast,5078.0,2539.0,,,0 CDM,74000142,Chgr-Mr Ue Unilat W/Joint W/O Contrast,3865.0,1932.5,,,0 CDM,74000146,Arthrogram Hip,1596.0,798.0,,,0 CDM,74000150,Chgr-Knee Ltd,524.0,262.0,,,0 CDM,74000151,Chgr-Knee 3 Views,670.0,335.0,,,0 CDM,74000152,Chgr-Knee 4 Views,869.0,434.5,,,0 CDM,74000153,Arthrogram Knee,1581.0,790.5,,,0 CDM,74000154,Chgr-Tibia Fibula,622.0,311.0,,,0 CDM,74000155,Chgr-Lower Ext Infant,477.0,238.5,,,0 CDM,74000156,Chgr-Ankle Ltd,538.0,269.0,,,0 CDM,74000157,Chgr-Ankle Comp,631.0,315.5,,,0 CDM,74000158,Chgr-Ankle Arthrogra,1581.0,790.5,,,0 CDM,74000159,Chgr-Foot Ltd,592.0,296.0,,,0 CDM,74000160,Chgr-Foot Comp,633.0,316.5,,,0 CDM,74000161,Chgr-Heel,560.0,280.0,,,0 CDM,74000162,Chgr-Toes,502.0,251.0,,,0 CDM,74000163,Chgr-Ct Le Bilat W/O Contrast,2592.0,1296.0,,,0 CDM,74000164,Chgr-Ct Le Bilat W/ Contrast,3000.0,1500.0,,,0 CDM,74000165,Chgr-Ct Le Bilat W/Wo Contrast,3447.0,1723.5,,,0 CDM,74000166,Chgr-Mr Le Unilat W/Wo Contrast,5880.0,2940.0,,,0 CDM,74000167,Chgr-Mr Lower Ext W/O Contrast,3865.0,1932.5,,,0 CDM,74000171,Chgr-Abdomen Flat / Upright W / Pa Cxr,989.0,494.5,,,0 CDM,74000172,Chgr-Ct Abdomen W / O Contrast,2855.0,1427.5,,,0 CDM,74000173,Chgr-Ct Abdomen W / Contrast,3285.0,1642.5,,,0 CDM,74000174,Chgr-Ct Abdomen W/Wo Contrast,3781.0,1890.5,,,0 CDM,74000175,Chgr-Mr Abdomen W/O Contrast,3251.0,1625.5,,,0 CDM,74000177,Chgr-Barium Swallow,1175.0,587.5,,,0 CDM,74000178,Chgr-Barium Swallow Video,972.0,486.0,,,0 CDM,74000179,X-Ray Xm Upr Gi Trc 1Cntrst,1705.0,852.5,,,0 CDM,74000182,Chgr X-Ray Xm Upr Gi Trc 2Cntrst,1705.0,852.5,,,0 CDM,74000185,Chgr-Small Bowel Series,1577.0,788.5,,,0 CDM,74000187,Chgr-Barium Enema,1950.0,975.0,,,0 CDM,74000188,Chgr-Barium Enema W / Air Contrast,2241.0,1120.5,,,0 CDM,74000191,Chgr-Or Cholangiogram Intraop,1924.0,962.0,,,0 CDM,74000192,Cholangiogram Or Addl Vw,344.0,172.0,,,0 CDM,74000196,Chgr-Ercp Biliary System,1889.0,944.5,,,0 CDM,74000197,Chgr-Ercp Pancreatic System,1889.0,944.5,,,0 CDM,74000198,Chgr-Ercp Biliary And Pancreas,1889.0,944.5,,,0 CDM,74000199,Intro Gastrointestinal Tube,871.0,435.5,,,0 CDM,74000201,Chgr-Enteroclysis,2234.0,1117.0,,,0 CDM,74000202,Chgr-Sp Perc Transhepatic Dil Biliary,1521.0,760.5,,,0 CDM,74000203,Chgr-Ivp,2397.0,1198.5,,,0 CDM,74000206,Chgr-Ivp W / Tomograms,2700.0,1350.0,,,0 CDM,74000207,Chgr-Urography Retrograde,1930.0,965.0,,,0 CDM,74000208,Chgr-Nephrostogram,1036.0,518.0,,,0 CDM,74000209,Chgr-Cystogram,1308.0,654.0,,,0 CDM,74000210,Chgr-Vasogram,1207.0,603.5,,,0 CDM,74000212,Chgr-Urethrocystogram Retro,1027.0,513.5,,,0 CDM,74000213,Chgr-Voiding Cystogram,1027.0,513.5,,,0 CDM,74000214,Renal Cyst Study,756.0,378.0,,,0 CDM,74000217,Dilation Of Ureters(S),4591.0,2295.5,,,0 CDM,74000219,Chgr-Hysterosalopingogram,1651.0,825.5,,,0 CDM,74000222,Aortography Thoracic,5878.0,2939.0,,,0 CDM,74000223,Aortogram Thor Serial,6102.0,3051.0,,,0 CDM,74000224,Aortogram Abdomen Serial,5878.0,2939.0,,,0 CDM,74000225,Aortagram Abdomen W/ Runoff,5878.0,2939.0,,,0 CDM,74000235,Angiogram Spinal Sel,6102.0,3051.0,,,0 CDM,74000237,Angiogram Extr Bilat,5811.0,2905.5,,,0 CDM,74000240,Angiogram Visc Sel W/Or W/O Fl,9797.0,4898.5,,,0 CDM,74000241,Angiogram Adrenal Unilat,5597.0,2798.5,,,0 CDM,74000243,"Angiogram Pelvic,Sel Or Supras",9797.0,4898.5,,,0 CDM,74000244,Angiogram Pulmonary Unilat,9797.0,4898.5,,,0 CDM,74000245,Angiogram Pulmonary Bilat,9797.0,4898.5,,,0 CDM,74000246,Angiogram Internal Mammary,3472.0,1736.0,,,0 CDM,74000247,Angiogram Select Addl,3250.0,1625.0,,,0 CDM,74000249,Lymphangiogram Extr Unilat,2192.0,1096.0,,,0 CDM,74000250,Chgr-Sp Lymphangiogram Extremity Bilateral,2192.0,1096.0,,,0 CDM,74000252,Chgr-Sp Lymphangiogram Abd / Pel Bilateral,3565.0,1782.5,,,0 CDM,74000253,Chgr-Sp Splenoportogram Procedure,5597.0,2798.5,,,0 CDM,74000254,Angio Venous Extremity Unilate,2776.0,1388.0,,,0 CDM,74000255,Angio Venous Extremity Bilater,4159.0,2079.5,,,0 CDM,74000256,Chg Angio Venous Ivc,7838.0,3919.0,,,0 CDM,74000257,Chg Venogram Caval Super,3472.0,1736.0,,,0 CDM,74000258,Angio Venous Renal Unilateral,7838.0,3919.0,,,0 CDM,74000259,Angio Venous Renal Bilateral,7838.0,3919.0,,,0 CDM,74000260,Venogram Adrenal Unilat,7838.0,3919.0,,,0 CDM,74000261,Venogram Adrenal Bilat,9797.0,4898.5,,,0 CDM,74000262,Angio Venous Sinus Or Jugular,3565.0,1782.5,,,0 CDM,74000264,Venogram Orbital,4855.0,2427.5,,,0 CDM,74000265,Perc Trns Hep Port/Hemodymeva,7838.0,3919.0,,,0 CDM,74000266,Chgr-Sp Hepatic Veno W / Pressure,7838.0,3919.0,,,0 CDM,74000267,Venous Sampling W/ Catheter,7838.0,3919.0,,,0 CDM,74000268,Chgr-Embolization Trans Catheter,8216.0,4108.0,,,0 CDM,74000270,"Thromboly,Angio Fol-Up Exis Ca",3239.0,1619.5,,,0 CDM,74000278,Transcath Biopsy,3830.0,1915.0,,,0 CDM,74000282,Chgr-Change/Exchange Gi/Gu Tube,1000.0,500.0,,,0 CDM,74000284,Chgr-Fluoroscopy < 1Hour,1896.0,948.0,,,0 CDM,74000287,Chgr-Foreign Body Single View Child,331.0,165.5,,,0 CDM,74000288,Chgr-Bone Age Study,183.0,91.5,,,0 CDM,74000289,Chgr-Bone Length Study,260.0,130.0,,,0 CDM,74000290,Chgr-Bone Survey Limited,1524.0,762.0,,,0 CDM,74000291,Chgr-Bone Survey Complete,1794.0,897.0,,,0 CDM,74000292,Chgr-Bone Survey Infant,453.0,226.5,,,0 CDM,74000294,Fistula Or Sinus Tract,653.0,326.5,,,0 CDM,74000295,Chgr-Mammo Ductogram Single,905.0,452.5,,,0 CDM,74000296,Chgr-Mammo Ductogram Multiple,1430.0,715.0,,,0 CDM,74000301,Chgr-Mammo Breast Biopsy Specimen,1220.0,610.0,,,0 CDM,74000302,Chgr-Tomogram,309.0,154.5,,,0 CDM,74000306,Chgr-Ct Guided Stero Localization,2790.0,1395.0,,,0 CDM,74000307,"Chgr-Ct Asp, Bx Or Ad Exam",2790.0,1395.0,,,0 CDM,74000309,Chgr-Ct Treatment Planning,880.0,440.0,,,0 CDM,74000310,Chgr-Ct 3D Recon At Scanner,1402.0,701.0,,,0 CDM,74000311,Chgr-Ct Limited / Localized Follow Up,1300.0,650.0,,,0 CDM,74000313,Chgr-Mr Unlisted Procedure,2326.0,1163.0,,,0 CDM,74000314,Chgr-Us Sector Brain,1543.0,771.5,,,0 CDM,74000316,Ultrasound Unlisted Procedure,238.0,119.0,,,0 CDM,74000318,Us To Localize Fb In Eye,495.0,247.5,,,0 CDM,74000319,Ultrasound Thyroid/Soft Tissu,1177.0,588.5,,,0 CDM,74000320,Chgr-Us Chest,778.0,389.0,,,0 CDM,74000322,Chgr-Us Abdomen Complete,1737.0,868.5,,,0 CDM,74000323,Chgr-Us Abdomen Limited,1445.0,722.5,,,0 CDM,74000324,Chgr-Us Retroperitoneal,1517.0,758.5,,,0 CDM,74000325,Chgr-Us Retroperitoneal Limited,1118.0,559.0,,,0 CDM,74000326,Chgr-Us Kidney Transplant,1191.0,595.5,,,0 CDM,74000327,Chgr-Us Spinal Canal,1092.0,546.0,,,0 CDM,74000328,Chgr-Us Ob Complete >=14 Wks,1209.0,604.5,,,0 CDM,74000329,Chgr-Us Ob Comp Ea Add'l Gestation >=14 Wks,1725.0,862.5,,,0 CDM,74000330,Chgr-Us Ob Limited,999.0,499.5,,,0 CDM,74000331,Chgr-Us Transvaginal,1167.0,583.5,,,0 CDM,74000332,Chgr-Us Pelvic Non-Ob,1474.0,737.0,,,0 CDM,74000333,Chgr-Us Pelvis Nonob Limited,860.0,430.0,,,0 CDM,74000334,Chgr-Us Testicular Inc. Doppler,1417.0,708.5,,,0 CDM,74000335,Ultrasound Transrectal,1324.0,662.0,,,0 CDM,74000338,Chgr-Us Para Or Thoracentesis Charge,1655.0,827.5,,,0 CDM,74000340,U/S Guide Needle Placement,1655.0,827.5,,,0 CDM,74000341,Chgr-Us Guided Amniocentesis,1682.0,841.0,,,0 CDM,74000343,Chgr-Us Guide Intraoperative,1789.0,894.5,,,0 CDM,74000345,Chgr-Thyroiduptake Single,694.0,347.0,,,0 CDM,74000348,Chgr-Thyroid Scan With Uptake Single,2182.0,1091.0,,,0 CDM,74000349,Chgr-Thyroid Scan W / Multiple Uptakes,2182.0,1091.0,,,0 CDM,74000350,Chgr-Thyroid Imaging,1147.0,573.5,,,0 CDM,74000351,Chgr-Thyroid Mets Neck Chest,1520.0,760.0,,,0 CDM,74000353,Chgr-Thyroid Mets Whole Body,3494.0,1747.0,,,0 CDM,74000354,Chgr-Parathyroid Scan,2738.0,1369.0,,,0 CDM,74000355,Chgr-Adrenal Tumor Loc,2523.0,1261.5,,,0 CDM,74000357,Chgr-Bone Marrow Scan Limited,1622.0,811.0,,,0 CDM,74000358,Chgr-Bone Marrow Scan Multi,1868.0,934.0,,,0 CDM,74000359,Chgr-Bone Marrow Scan Whole Body,2331.0,1165.5,,,0 CDM,74000363,Chgr-Spleen Scan W / Wo Flow,1358.0,679.0,,,0 CDM,74000366,Chgr-Lymphatics + Lymph Glands,2785.0,1392.5,,,0 CDM,74000367,Chgr-Liver Scan Static Only,2286.0,1143.0,,,0 CDM,74000370,Chgr-Liver / Spleen Scan,2246.0,1123.0,,,0 CDM,74000371,Chgr-Liver / Spleen Scan W / Flow,2416.0,1208.0,,,0 CDM,74000372,Chgr-Hepatobiliary Scan,2244.0,1122.0,,,0 CDM,74000373,Chgr-Hepatobiliary W / Ef,3110.0,1555.0,,,0 CDM,74000375,Nm Salivary Gland Serial,1302.0,651.0,,,0 CDM,74000377,Chgr-Gastric Reflux Study,1302.0,651.0,,,0 CDM,74000378,Chgr-Gastric Emptyingliquid,2728.0,1364.0,,,0 CDM,74000379,Chgr-Gi Bleed Scan,1949.0,974.5,,,0 CDM,74000380,Chgr-Meckel's Scan,1949.0,974.5,,,0 CDM,74000381,Chgr-Shunt Patency,1302.0,651.0,,,0 CDM,74000383,Chgr-Bone Scan Limited,1655.0,827.5,,,0 CDM,74000384,Chgr-Bone Scan Multiple Area,1949.0,974.5,,,0 CDM,74000385,Chgr-Bone Scan Whole Body,2785.0,1392.5,,,0 CDM,74000386,Chgr-Nm Vascular Flow,876.0,438.0,,,0 CDM,74000387,Chgr-Bone Scan 3 Phase,3770.0,1885.0,,,0 CDM,74000390,Chgr-Cardiac Shunt Detection,1340.0,670.0,,,0 CDM,74000393,Chgr-Venogram Bilat Nuclear,1593.0,796.5,,,0 CDM,74000394,Chgr-Myo Rest Or Stress Single Planar,2708.0,1354.0,,,0 CDM,74000395,Chgr-Myo Rest / Stress Multi Planar Rad,3386.0,1693.0,,,0 CDM,74000396,Chgr-Myo Rest Or Stress Single Spect,3386.0,1693.0,,,0 CDM,74000397,Chgr-Myo Rest / Stress Multiple Spect,6336.0,3168.0,,,0 CDM,74000401,Chgr-Muga Scan,2696.0,1348.0,,,0 CDM,74000406,Chgr-Lung Scan Perfusion Only,988.0,494.0,,,0 CDM,74000413,Chgr-Pulmonary Quant Diff Function,2536.0,1268.0,,,0 CDM,74000415,Chgr-Brain Ltd Static W / Flow,4508.0,2254.0,,,0 CDM,74000416,Chgr-Brain Scan Complete,5343.0,2671.5,,,0 CDM,74000417,Chgr-Brain Scan Comp W / Flow,7667.0,3833.5,,,0 CDM,74000419,Chgr-Brain Scan Vasc Flow Only,873.0,436.5,,,0 CDM,74000420,Chgr-Cisternography Nuclear,1712.0,856.0,,,0 CDM,74000426,Chgr-Renal Scan Static,1552.0,776.0,,,0 CDM,74000427,Kidney Imaging With Flow,1552.0,776.0,,,0 CDM,74000429,Chgr-Renal Scan Function And Flow,2063.0,1031.5,,,0 CDM,74000433,Chgr-Renal Funct W / Pharm Int Single,2063.0,1031.5,,,0 CDM,74000435,Chgr-Uretheral Reflux Study,1708.0,854.0,,,0 CDM,74000437,Chgr-Testicular W / Flow + Scan,1548.0,774.0,,,0 CDM,74000439,Chgr Radiopharm Loc Planar,2255.0,1127.5,,,0 CDM,74000440,Chgr Nm Tumor Localization Multi,2255.0,1127.5,,,0 CDM,74000441,Chgr-Tumor Localization Whole Body,4579.0,2289.5,,,0 CDM,74000442,Chgr-Radiopharm Loc Spect,4579.0,2289.5,,,0 CDM,74000445,Unlisted Proc Neck Or Thorax,679.0,339.5,,,0 CDM,74000447,"Chgr-Radiopharmaceutical Therapy, Oral",2374.0,1187.0,,,0 CDM,74000451,"Chgr-Radiopharmaceutical Therapy, Intravenous",1230.0,615.0,,,0 CDM,74000452,Chgr-Diagnostic Lumbar Spinal Puncture,2970.0,1485.0,,,0 CDM,74000454,Chgr-Us Hysterosonogram W / Wo Colorflow,1310.0,655.0,,,0 CDM,74000501,Chgr-Us Ob High Level Scan,1420.0,710.0,,,0 CDM,74000520,Chgr-Defecography,1950.0,975.0,,,0 CDM,74000535,Chgr-Ct Head / St Neck W / Contrast,3053.0,1526.5,,,0 CDM,74000544,Fluoro Exam Cath/Vasc Lab,1896.0,948.0,,,0 CDM,74000732,Chgr-Mri Spectroscopy,3841.0,1920.5,,,0 CDM,74000749,Chgr-Us Arterial Duplex Ue,2209.0,1104.5,,,0 CDM,74000768,Chgr-Us Vein Duplex Le Bilat,2164.0,1082.0,,,0 CDM,74000773,Chgr-Us Vein Duplex Ue Unilat,1476.0,738.0,,,0 CDM,74000774,Chgr-Us Vein Duplex Ue Bilat,2164.0,1082.0,,,0 CDM,74000775,Chgr-Us Vein Duplex Le Unilat,1476.0,738.0,,,0 CDM,74000776,Chgr-Us Art Duplex Ue Rt,1476.0,738.0,,,0 CDM,74000778,Chgr-Us Art Duplex Le Bilat,2213.0,1106.5,,,0 CDM,74000779,Chgr-Us Arterial Duplex Le Unilat,1476.0,738.0,,,0 CDM,74000801,S&I Pta Fibrin Sheath,2112.0,1056.0,,,0 CDM,74000803,S&I Mech Rem Of Cath Obstruct,4237.0,2118.5,,,0 CDM,74000807,Chgr-Mr 3D Recon At Scanner,1402.0,701.0,,,0 CDM,74000815,Chgr-Mr Mra Pelvis W / Contrast,4600.0,2300.0,,,0 CDM,74000817,Chgr-Mr Mra Pelvis W / Wo Contrast,5554.0,2777.0,,,0 CDM,74000818,U/S Guide Needle Placmnt/Add'l,1655.0,827.5,,,0 CDM,74000819,Chgr-Mr Mra Pelvis W / O Contrast,4202.0,2101.0,,,0 CDM,74000824,Angiogram Adrenal Bilateral,7838.0,3919.0,,,0 CDM,74000830,Angiogram Extr Unilateral,4651.0,2325.5,,,0 CDM,74000837,Chgr-Us Ivc Duplex,1399.0,699.5,,,0 CDM,74000840,Chgr-Us Portal Hepatic Duplex,2275.0,1137.5,,,0 CDM,74000841,Chgr-Cd Renal Art / Vein Duplex Bilat,2275.0,1137.5,,,0 CDM,74000842,"Chgr-Art / Ven Dplx, Abd / Plv / Scrot, Ltd",1807.0,903.5,,,0 CDM,74000847,Chgr-Mr Mra Chest W / Contrast,3719.0,1859.5,,,0 CDM,74000848,Chgr-Mr Mra Chest W / O Contrast,3234.0,1617.0,,,0 CDM,74000849,Chgr-Mr Mra Chest W / Wo Contrast,4277.0,2138.5,,,0 CDM,74000850,Chgr-Mr Mra Lower Ext Bilat W / Contrast,4830.0,2415.0,,,0 CDM,74000852,Chgr-Mr Mra Lower Ext Bilat W / Wo Contrast,5554.0,2777.0,,,0 CDM,74000853,Chgr-Mr Mra Abdomen W / Contrast,4876.0,2438.0,,,0 CDM,74000854,Chgr-Mr Mra Abdomen W / O Contrast,4243.0,2121.5,,,0 CDM,74000855,Chgr-Mr Mra Abdomen W / Wo Contrast,5610.0,2805.0,,,0 CDM,74000856,Chgr-Mr Breast Lt Birad W / Contrast,6057.0,3028.5,,,0 CDM,74000861,Chgr-Mr Breast Bilat W/ Contrast,6766.0,3383.0,,,0 CDM,74000866,"Chgr - Mri Screen, Iac W&W/O Contrast",3491.0,1745.5,,,0 CDM,74000867,Chgr-Lymphangiography Pelvic/Abdominal Unilat Rs&I,3565.0,1782.5,,,0 CDM,74000868,Chgr-Radiologic Exam Esophagus Double Contrast Study,1175.0,587.5,,,0 CDM,74000869,Myocrd Img Pet Prfuj W/Metab 2Rtracer Cncrnt Ct,4526.0,2263.0,,,0 CDM,74000870,Chgr Us Nrv&Acc Strux 1 Xtr Compre W/Img Pr Extremity,784.0,392.0,,,0 CDM,74001000,Us Abdl Aorta Screen Aaa,1383.0,691.5,,,0 CDM,74001020,"Chgr-Lung Scan V / Q, Aerosol",2830.0,1415.0,,,0 CDM,74001025,Chgr-Renal Funct W / Wo Pharm Int,2063.0,1031.5,,,0 CDM,74001040,Ct 3D Recon At Workstation,1400.0,700.0,,,0 CDM,74001041,Chgr-Mri 3D Recon At Workstation,1400.0,700.0,,,0 CDM,74001100,Chgr-Thoracic Spine Min 4 Views,1177.0,588.5,,,0 CDM,74001101,Chgr-Hip Arthrogram Injection W / Anes,445.0,222.5,,,0 CDM,74001102,Chgr-Us Fetal Bpp W / O Non Stress Test,811.0,405.5,,,0 CDM,74001103,Chgr-Mammo Digital Screening Unilat,830.0,415.0,,,0 CDM,74001104,Chgr-Sp Open Revision Av Fistula,7660.0,3830.0,,,0 CDM,74001150,"Chgr-Or Teeth, Partial Set",331.0,165.5,,,0 CDM,74001257,Chgr-Cd Venogram Caval Super Ep Lab,3472.0,1736.0,,,0 CDM,74001283,Chgr-Sp Abscess Drainage,4239.0,2119.5,,,0 CDM,74001284,Fluoro Less Than 1 Hr - Specia,1896.0,948.0,,,0 CDM,74001402,"Chgr-Thrombo,Angi Fol-Up Exchan Cat",12349.0,6174.5,,,0 CDM,74001501,Percutan Plcmt Entcly Tube,921.0,460.5,,,0 CDM,74001502,Thrombo-Angio Foll-Up Exchang Catheterer,12349.0,6174.5,,,0 CDM,74001510,Chgr-Mammography Digital Implants,830.0,415.0,,,0 CDM,74001556,Therapeutic Inj Procedure,1507.0,753.5,,,0 CDM,74001602,Ob Us Follow-Up Per Fetus,447.0,223.5,,,0 CDM,74001861,Ct Thorax Lung Cancer Scr C-,842.0,421.0,,,0 CDM,74002000,Rp Loclzj Tum Spect W/Ct 1,4771.0,2385.5,,,0 CDM,74002001,Rp Loclzj Tum Spect 2 Areas,4771.0,2385.5,,,0 CDM,74002002,Rp Loclzj Tum Spect W/Ct 2,5580.0,2790.0,,,0 CDM,74002283,Chgr-Ad Procedural Charge,4239.0,2119.5,,,0 CDM,74002284,Chgr-Cd Flouro Less Than One Hr,1896.0,948.0,,,0 CDM,74002550,Chgr-Bone Density Study Central,1176.0,588.0,,,0 CDM,74002551,Chgr-Bone Density Study-Peripheral,663.0,331.5,,,0 CDM,74002964,Chgr-C14Py Breath Test,217.0,108.5,,,0 CDM,74002967,Chgr-Mri Orbits W / Contrast,5677.0,2838.5,,,0 CDM,74002968,Chgr-Mri Face / Orbit / Neck W / Wo Contrast,7093.0,3546.5,,,0 CDM,74002969,Chgr-Mra Head W / O Contrast,5027.0,2513.5,,,0 CDM,74002970,Chgr- Mra Head W / Contrast,5781.0,2890.5,,,0 CDM,74002971,Chgr- Mra Head W / Wo Contrast,6646.0,3323.0,,,0 CDM,74002972,Chgr-Mra Neck W / O Contrast,4231.0,2115.5,,,0 CDM,74002973,Chgr-Mra Neck W / Contrast,4863.0,2431.5,,,0 CDM,74002974,Chgr-Mra Neck W / Wo Contrast,6485.0,3242.5,,,0 CDM,74002975,Chgr-Mri Chest W/ Contrast,4183.0,2091.5,,,0 CDM,74002976,Chgr-Mri Chest W/Wo Contrast,5383.0,2691.5,,,0 CDM,74002977,Chgr-Mri Pelvis W/O Contrast,3724.0,1862.0,,,0 CDM,74002978,Chgr-Mri Pelvis W/Wo Contrast,6332.0,3166.0,,,0 CDM,74002979,Chgr-Mri Upp Ext Unilat W/O Contrast,3841.0,1920.5,,,0 CDM,74002980,Chgr-Mri Upp Ext Unilat W/ Contrast,4415.0,2207.5,,,0 CDM,74002981,Chgr-Mri Upp Ext W/ Joint Unilat W/ Contrast,5111.0,2555.5,,,0 CDM,74002982,Chgr-Mri Upp Ext W/ Joint Unilat W/Wo Contrast,7171.0,3585.5,,,0 CDM,74002983,Chgr-Mri Low Ext Unilat W/O Contrast,3865.0,1932.5,,,0 CDM,74002984,Chgr-Mri Low Ext Unilat W/ Contrast,5111.0,2555.5,,,0 CDM,74002985,Chgr-Mri Low Joint W Contrast,5111.0,2555.5,,,0 CDM,74002986,Chgr-Mri Low Joint W/Wo Contrast,6867.0,3433.5,,,0 CDM,74002987,Chgr-Mri Abdomen W / Contrast,4300.0,2150.0,,,0 CDM,74002988,Chgr-Mri Abdomen W / Wo Contrast,5707.0,2853.5,,,0 CDM,74002989,Chgr-Mri Guidance Needle Placement Rs&I,2832.0,1416.0,,,0 CDM,74002992,Chgr-Cta Head W/Wo Inc Post Proc,4442.0,2221.0,,,0 CDM,74002993,Chgr-Ct Cta Neck W / Wo Inc Post Proc,4462.0,2231.0,,,0 CDM,74002994,Chgr-Ct Cta Chest,4656.0,2328.0,,,0 CDM,74002995,Chgr-Ct Cta Pelvis W / Wo Inc Post Proc,4515.0,2257.5,,,0 CDM,74002996,Chgr-Ct Cta Upp Ext W/Wo Inc Pp,2549.0,1274.5,,,0 CDM,74002997,Chgr-Ct Cta Low Ext W/Wo Inc Pp,3968.0,1984.0,,,0 CDM,74002998,Chgr-Ct Cta Abdomen W/Wo Inc Pp,4376.0,2188.0,,,0 CDM,74002999,Chgr-Ct Cta Aa / Bilat Iliof Low Extremity,3416.0,1708.0,,,0 CDM,74003003,Superior Sagital Sinus,3239.0,1619.5,,,0 CDM,74003005,Chgr-Sp Hepatic Venogram No Pressure,5878.0,2939.0,,,0 CDM,74003011,Chgr-Ct Guide For Tissue Ablation,3328.0,1664.0,,,0 CDM,74003027,Chgr-Rad Phase Ii (Per Minute),39.0,19.5,,,0 CDM,74003062,Chgr-Mm Breast Puncture Aspiration Cyst Add,713.0,356.5,,,0 CDM,74003063,Chgr-Mammo Screen Conv Diag Unilat,766.0,383.0,,,0 CDM,74003064,Chgr-Mammo Screen Conv Diag Bilat,975.0,487.5,,,0 CDM,74003072,Chgr-Ct Self Pay Virtual Colon Scrn,542.0,271.0,,,0 CDM,74003075,Eec Ct Coronary Calcium Scoring,295.0,147.5,,,0 CDM,74003076,Chgr-Eec Ct Lung Scan,254.0,127.0,,,0 CDM,74003077,Eec Ct Abdomen And Pelvis,432.0,216.0,,,0 CDM,74003078,Chgr-Eec Ct Virtual Colonoscopy,614.0,307.0,,,0 CDM,74003097,Self-Pay Abbrev Breast Mri,399.0,199.5,,,0 CDM,74003950,Chgr-Ct Head Perfusion,3643.0,1821.5,,,0 CDM,74004017,Chgr-Intraluminal Dilation Of Structures Non,1597.0,798.5,,,0 CDM,74004028,Fine Needle Aspir Bx 1St Les,1067.0,533.5,,,0 CDM,74004030,Chgr-Us Prostate Volume Study,1162.0,581.0,,,0 CDM,74004031,Chgr-Us Ob Tv,847.0,423.5,,,0 CDM,74004032,Chgr-Us Ob High Level Scan Ea Add Gestation,756.0,378.0,,,0 CDM,74004035,"Rem Pericath Obs Sep Acc,S&I",2112.0,1056.0,,,0 CDM,74004036,"Rem Intralum Obs,Rad S&I",4237.0,2118.5,,,0 CDM,74004037,Fluoro Guide Place Or Replace,1548.0,774.0,,,0 CDM,74004038,"Us Guide,Place Or Replace",1729.0,864.5,,,0 CDM,74004039,Chgr-Standing Knees,432.0,216.0,,,0 CDM,74004040,Chgr-Ob Us < 14 Wks Single Fetus,1028.0,514.0,,,0 CDM,74004041,Us Preg Uterus Wk Transabdl Each Gestation,934.0,467.0,,,0 CDM,74004045,"Chgr-Ct Heart, Pulm Vein And Thrombus",2014.0,1007.0,,,0 CDM,74004046,Chgr-Ct Cta Heart Angiography,750.0,375.0,,,0 CDM,74004049,Chgr-Ct Hrt W/3D Image Congen,2014.0,1007.0,,,0 CDM,74004053,Chgr-Digital Screening Mammogram,830.0,415.0,,,0 CDM,74004054,Chgr-Digital Diagnostic Mammogram,975.0,487.5,,,0 CDM,74004055,Chgr-Digital Diagnostic Mammo Unilat,766.0,383.0,,,0 CDM,74004056,Chgr-Mammodigital Screening Employee Campaig,830.0,415.0,,,0 CDM,74004060,Guided Catheter Fluid Drain,4645.0,2322.5,,,0 CDM,74004550,Chgr-Sp Venography Portography W/O Hem,3239.0,1619.5,,,0 CDM,74004555,Mra Upper Extremity W/Wo Cont,4484.0,2242.0,,,0 CDM,74004558,Chgr-Us Infant Hips W/ Doctor,539.0,269.5,,,0 CDM,74004559,Chgr-Us Infant Hips No Doctor,327.0,163.5,,,0 CDM,74004561,Chgr-Us Ob W/ Nuchal,1117.0,558.5,,,0 CDM,74004562,Chgr-Us Ob W/ Nuchal Ea Add Ges,587.0,293.5,,,0 CDM,74004563,Hemodialysis Access Flow Study,1516.0,758.0,,,0 CDM,74004564,Chgr-Us Ob Cord Doppler,834.0,417.0,,,0 CDM,74005010,"Angio Renal,1St Order,Uni",14030.0,7015.0,,,0 CDM,74005100,"Revasc,Iliac",18394.0,9197.0,,,0 CDM,74005101,"Revasc,Iliac W/Stent",28713.0,14356.5,,,0 CDM,74005102,"Revasc,Iliac,Add-On",11901.0,5950.5,,,0 CDM,74005103,"Revasc,Iliac W/Stent,Add-On",28713.0,14356.5,,,0 CDM,74005104,"Revasc,Fem/Popl W/Tla",22413.0,11206.5,,,0 CDM,74005105,"Revasc,Fem/Popl W/Ather",34171.0,17085.5,,,0 CDM,74005106,"Revasc,Fem/Popl W/Stent",33686.0,16843.0,,,0 CDM,74005107,"Revasc,Fem/Popl Stnt & Ather",43253.0,21626.5,,,0 CDM,74005108,"Revasc,Tib/Per W/Tla",16768.0,8384.0,,,0 CDM,74005109,"Revasc,Tib/Per W/Ather",26094.0,13047.0,,,0 CDM,74005110,"Revasc,Tib/Per W/Stent",28036.0,14018.0,,,0 CDM,74005111,"Chgr-Sp Revasc, Tib / Per Stent & Ather",43357.0,21678.5,,,0 CDM,74005112,"Revasc,Tib/Per,Add-On",11901.0,5950.5,,,0 CDM,74005113,"Revasc,Tib/Per W/Ather,Add-On",22486.0,11243.0,,,0 CDM,74005115,"Revasc,Tib/Per Stnt&Ath,Add-On",38586.0,19293.0,,,0 CDM,74005120,Trluml Perip Athrc Iliac Art,26467.0,13233.5,,,0 CDM,74005200,Chgr Porc-Inj Facet C/T Sgl W/O Sed,3935.0,1967.5,,,0 CDM,74005201,Chgr Proc-Inj Facet C/T 2Nd Lvl,3052.0,1526.0,,,0 CDM,74005202,Chgr Proc-Inj Facet C/T 3Rd+Lvl,2871.0,1435.5,,,0 CDM,74005203,Chgr Proc-Inj Facet L/S W/O Sed,3734.0,1867.0,,,0 CDM,74005204,Chgr Proc-Inj L/S 2Nd Lvl,3928.0,1964.0,,,0 CDM,74005205,Chgr Proc-Inj L/S 3Rd+Lvl,4302.0,2151.0,,,0 CDM,74006023,Mra W/O&W/Dye Spinal Canal,4484.0,2242.0,,,0 CDM,74006024,Chgr Us Trgt Dyn Mbubb 1St Les,1355.0,677.5,,,0 CDM,74006025,Av Anastomosis Opn; Dir Anyste,9608.0,4804.0,,,0 CDM,74006026,Chgr-Contrast Enhanced Mammogram Unilat,766.0,383.0,,,0 CDM,74006027,Chgr-Contrast Enhanced Mammogram Bilat,975.0,487.5,,,0 CDM,74006030,Chgr-Mammo-Diagnostic-Unilat Birads 0,766.0,383.0,,,0 CDM,74006031,Chgr-Mammo-Post Clip Placement-Unilat,766.0,383.0,,,0 CDM,74006032,Chgr-Mammo-Post Clip Placement-Bilat,975.0,487.5,,,0 CDM,74006033,Chgr-Mammo-Diagnostic-Bilat Birads 0,975.0,487.5,,,0 CDM,74006200,Chgr-Cd Venogram Unilat,1593.0,796.5,,,0 CDM,74007000,"Chgr-Sentinel Node, Nonimaging",1087.0,543.5,,,0 CDM,74007001,"Chgr-Parathyroid Inj,Non-Imaging",395.0,197.5,,,0 CDM,74007002,Nonsel Thor Aort+Arch Aortgrm,14991.0,7495.5,,,0 CDM,74007003,Sel Cath Cca/Inom+Cervcl Image,18711.0,9355.5,,,0 CDM,74007004,Chgr-Sel Cath Cca/Inom+Cerbr Image,23788.0,11894.0,,,0 CDM,74007005,Sel Cath Ica/Inom+Cerebr Image,23857.0,11928.5,,,0 CDM,74007006,Sel Cath Inom/Subcl+Vert Image,31690.0,15845.0,,,0 CDM,74007007,Chgr-Sel Cath Vertbrl+Vert Image,31087.0,15543.5,,,0 CDM,74007008,Sel Cath Eca+Eca Image,9138.0,4569.0,,,0 CDM,74007061,"Chemical Cautery, Tissue",476.0,238.0,,,0 CDM,74007400,Us Bx Axilla,3125.0,1562.5,,,0 CDM,74007502,Chgr-Eec Digital Screening Bilat,101.0,50.5,,,0 CDM,74007600,Chgr-Us Extremity Comp Unilat,1568.0,784.0,,,0 CDM,74007601,Chgr-Us Extremity Ltd Anatomic Sp Unilat,613.0,306.5,,,0 CDM,74007602,Chgr-Ct Abd/Pelvis W/O Contrast,5801.0,2900.5,,,0 CDM,74007603,Chgr-Ct Abd/Pelvis W/ Contrast,6668.0,3334.0,,,0 CDM,74007604,Chgr-Ct Abd/Pelvis W/Wo,7669.0,3834.5,,,0 CDM,74007660,Chg Biophysical Profile (Bpp) W/Nst,910.0,455.0,,,0 CDM,74007700,Remove Ureter Stent Percut S&I,7006.0,3503.0,,,0 CDM,74007750,Sel Cath Ica/Vertrbl+Image,9138.0,4569.0,,,0 CDM,74008000,Chg Pet/Ct-Limited Area,8818.0,4409.0,,,0 CDM,74008001,Chg Pet/Ct-Skull Base To Mid Thigh,8818.0,4409.0,,,0 CDM,74008002,Chg Pet/Ct-Whole Body,8818.0,4409.0,,,0 CDM,74008003,Chg Pet Brain Imaging; Meta Eval,5061.0,2530.5,,,0 CDM,74008006,Chg Pet/Ct-Skull Base/Midthigh Abor,8818.0,4409.0,,,0 CDM,74008007,Chg Pet/Ct-Whole Body Aborted,8818.0,4409.0,,,0 CDM,74008090,Chgr-Pet / Ct Limited Area,8818.0,4409.0,,,0 CDM,74008091,Chgr-Pet / Ct Skull To Thigh,8818.0,4409.0,,,0 CDM,74008092,Chgr-Pet / Ct Whole Body,8818.0,4409.0,,,0 CDM,74008106,Chgr-Mr Cardiac W / Wo Contrast,4296.0,2148.0,,,0 CDM,74008108,Chgr-Mr Cardiac W / O Contrast,3044.0,1522.0,,,0 CDM,74008109,Chgr-Mr Cardiac W / Wo Contrast W / Stress,4888.0,2444.0,,,0 CDM,74008110,Chgr-Sp Conv G Tube To Gj Tube W / Rad S&I,4085.0,2042.5,,,0 CDM,74008111,Chgr-Sp 3D Recon At Workstation,1400.0,700.0,,,0 CDM,74008139,Chgr Abd&Pelvis W/O Contrast,5801.0,2900.5,,,0 CDM,74008150,Chgr-Ct Chestprochymal Study Sng Only,1968.0,984.0,,,0 CDM,74008151,"Chgr-Ct Colonography, Diagnostic W / O Contrast",816.0,408.0,,,0 CDM,74008152,"Chgr-Ct Colonography, Diagnostic W / Contrast",905.0,452.5,,,0 CDM,74008153,"Chgr-Ct Colonography, Screening",816.0,408.0,,,0 CDM,74008154,Njx Aa&/Strd Tfrm Epi C/T Ea,1955.0,977.5,,,0 CDM,74008155,Chg - Ct Heart Calcium Scoring,586.0,293.0,,,0 CDM,74008156,Chg - Si Joints-Sacroiliac,489.0,244.5,,,0 CDM,74008158,Hands And Wrists For Arthritis,773.0,386.5,,,0 CDM,74008164,Chg - Nm Parathyroid W Spect,3622.0,1811.0,,,0 CDM,74008166,Chg - Plcmnt Radiotherapy Catheter,27689.0,13844.5,,,0 CDM,74008203,Chgr-Pet / Ct Brain Imag Meta Eval Subs,5061.0,2530.5,,,0 CDM,74008210,Chg - Ct Biopsy Orbital Mass,5353.0,2676.5,,,0 CDM,74008400,Chgr-Or Tvar Desc Thor Aorta,3468.0,1734.0,,,0 CDM,74008401,Chgr-Or Tvar No Subclav,2614.0,1307.0,,,0 CDM,74008402,Chgr-Or Tvar Place Prox Ext Prosthesis,1640.0,820.0,,,0 CDM,74008403,Chgr-Or Tvar Distal Ext Post Repair,1736.0,868.0,,,0 CDM,74008404,Chg Mr - Neuro Ablation,871.0,435.5,,,0 CDM,74008710,Chgr Pet/Ct Amyvid Brain Imaging,8818.0,4409.0,,,0 CDM,74008712,Pet Image Only Ltd Area,10141.0,5070.5,,,0 CDM,74008713,Pet Image Only Skull-Thigh,10141.0,5070.5,,,0 CDM,74008714,Pet Image Only Full Body,10141.0,5070.5,,,0 CDM,74009002,"Chgr-Mr Brain, Fmri, Physician Administration",4022.0,2011.0,,,0 CDM,74009003,"Chgr-Mr Brain, Fmri, Nonphys Administration",4993.0,2496.5,,,0 CDM,74009130,Chgr Ct Self-Pay Cor Art Calc Score,90.0,45.0,,,0 CDM,74009425,Dxa Bone Dens-Axial&Fx Assess,1669.0,834.5,,,0 CDM,74009502,Chgr Ultrasound Breast Complete,1122.0,561.0,,,0 CDM,74009503,Chgr Ultrasound Breast Limited,1096.0,548.0,,,0 CDM,74009504,Chg Fracture Assessment Via Dxa,320.0,160.0,,,0 CDM,74009505,Chg- Gastric Empt/Bowel Transit,2728.0,1364.0,,,0 CDM,74009506,"Chg - Gastric Empt/Bowel Trans, Multi",3088.0,1544.0,,,0 CDM,74009520,Chgr Digital Diagnostic Unilat W/Tomo,47.0,23.5,,,0 CDM,74009522,Chgr Digital Diagnostic Implants Unilat W/ Tomo,47.0,23.5,,,0 CDM,74009523,Chgr Digital Diagnostic Bilat W/Tomo,47.0,23.5,,,0 CDM,74009525,Chgr Digital Diagnositc Implants Bilat W/Tomo,47.0,23.5,,,0 CDM,74009526,Chgr Digital Employee Implants W/ Tomo,37.0,18.5,,,0 CDM,74009528,Chgr Digital Screening Bilateral W/ Tomo,27.0,13.5,,,0 CDM,74009529,Chgr Digital Screening Employee W/ Tomo,37.0,18.5,,,0 CDM,74009530,Chgr Digital Screening Unilat W/ Tomo,37.0,18.5,,,0 CDM,74009536,Chgr Mrcp,3251.0,1625.5,,,0 CDM,74009538,Chgr-Intrvasc Us Noncoronary Addl,1641.0,820.5,,,0 CDM,74009539,Chgr-X-Ray Exam Entire Spi 1 Vw,269.0,134.5,,,0 CDM,74009540,Chgr-X-Ray Exam Entire Spi 2/3 Vw,339.0,169.5,,,0 CDM,74009541,Chgr-X-Ray Exam Entire Spi 4/5 Vw,644.0,322.0,,,0 CDM,74009542,Chgr-X-Ray Exam Entire Spi 6/> Vw,644.0,322.0,,,0 CDM,74009543,Chgr - X-Ray Exam Hip Uni 1 View,439.0,219.5,,,0 CDM,74009544,Chgr-X-Ray Exam Hip Uni 2-3 Views,501.0,250.5,,,0 CDM,74009545,Chgr-X-Ray Exam Hip Uni 4/> Views,681.0,340.5,,,0 CDM,74009546,Chgr-X-Ray Exam Hips Bi 2 Views,704.0,352.0,,,0 CDM,74009547,Chgr-X-Ray Exam Hips Bi 3-4 Views,715.0,357.5,,,0 CDM,74009548,Chgr-X-Ray Exam Hips Bi 5/> Views,835.0,417.5,,,0 CDM,74009549,Chgr-X-Ray Exam Of Femur 1,553.0,276.5,,,0 CDM,74009550,Chgr-X-Ray Exam Of Femur 2/>,668.0,334.0,,,0 CDM,74009551,Chgr-Intrvasc Us Noncoronary 1St,1641.0,820.5,,,0 CDM,74009552,Chgr-Intrvasc Us Noncoronary Addl,1641.0,820.5,,,0 CDM,74009553,Chgr-Stroke Cta Head W/Wo Inc Post,4442.0,2221.0,,,0 CDM,74010600,"Chgr-Nm Pul Quant Diff Funct, Perf",2536.0,1268.0,,,0 CDM,74010601,"Chgr-Ct Cta Abd&Plv,W/Wo Inc Post Proc",8882.0,4441.0,,,0 CDM,74010606,Chg-Csf Shunt Eval Patency,1877.0,938.5,,,0 CDM,74029138,Chg - Xy Myelogram Cervical,2483.0,1241.5,,,0 CDM,74029140,Chgr-Nm Parathyroid W Spect,3164.0,1582.0,,,0 CDM,74029142,St Bx Back/Flank; Superf,2665.0,1332.5,,,0 CDM,74029144,Chg-X-Ray Exam Chest 1 View,468.0,234.0,,,0 CDM,74029145,Chg-X-Ray Exam Chest 2 Views,563.0,281.5,,,0 CDM,74029146,Chg-X-Ray Exam Chest 3 Views,813.0,406.5,,,0 CDM,74029148,Chg-X-Ray Exam Chest 4+ Views,1016.0,508.0,,,0 CDM,74029149,Chg-X-Ray Exam Abdomen 1 View,554.0,277.0,,,0 CDM,74029150,Chg-X-Ray Exam Abdomen 2 Views,801.0,400.5,,,0 CDM,74029151,Chg-X-Ray Exam Abdomen 3+ Views,910.0,455.0,,,0 CDM,74029162,"Chg-Mri Cardiac, Velocity Flow Map",1709.0,854.5,,,0 CDM,74029163,Chg Open Mri Brain W_Wo Contrast,2082.0,1041.0,,,0 CDM,74029164,Chg Open Mri Brain Without Contrast,1874.0,937.0,,,0 CDM,74029165,Chg Open Mri Brain With Contrast,1978.0,989.0,,,0 CDM,74029166,"Mri Breast,Unilat,W/O Contrast",5506.0,2753.0,,,0 CDM,74029167,"Mri Breast,Bilat,W/O Contrast",6150.0,3075.0,,,0 CDM,74029168,Mri Breast C-+ W/Cad Uni,6396.0,3198.0,,,0 CDM,74029169,Mri Breast C-+ W/Cad Bi,7104.0,3552.0,,,0 CDM,74029170,Use Parenchyma,664.0,332.0,,,0 CDM,74029171,Use 1St Target Lesion,664.0,332.0,,,0 CDM,74029172,Use Ea Addl Target Lesion,664.0,332.0,,,0 CDM,74029173,Dilat Xst Trc Ndurlgc Px,7474.0,3737.0,,,0 CDM,74029174,Dilat Xst Trc New Access Rcs,8222.0,4111.0,,,0 CDM,74029175,Eec Tomo Screen Digital Bilat,37.0,18.5,,,0 CDM,74029176,Cad Breast Mri,323.0,161.5,,,0 CDM,74029200,Evasc Rpr A-Iliac Ndgft,4816.0,2408.0,,,0 CDM,74029201,Evasc Rpr N/A A-Iliac Ndgft,4816.0,2408.0,,,0 CDM,74029202,X-Ray Sm Int F-Thru Std,999.0,499.5,,,0 CDM,74029204,Ct Self-Pay Lung Ca Screen,351.0,175.5,,,0 CDM,74100013,Chg Psych Emer Resp With Med Svc Cpt 90792,667.0,333.5,,,0 CDM,74110,Noncdm Charge Record Medical Supplies,179.4,89.7,,,0 CDM,74352,Noncdm Charge Record Medical Supplies,441.6,220.8,,,0 CDM,74372,Noncdm Charge Record Medical Supplies,2002.0,1001.0,,,0 CDM,74464,Noncdm Charge Record Medical Supplies,441.6,220.8,,,0 CDM,74467,Noncdm Charge Record Medical Supplies,395.6,197.8,,,0 CDM,74468,Noncdm Charge Record Medical Supplies,395.6,197.8,,,0 CDM,74482,Noncdm Charge Record Medical Supplies,1495.0,747.5,,,0 CDM,74500002,Chg-Catheter Balloon,4444.29,2222.14,,,0 CDM,74500010,Chg-Electrode Lithotripter,2178.68,1089.34,,,0 CDM,74500017,Chg-Membrane Oxygenator,2035.0,1017.5,,,0 CDM,74500019,Chg-Cath 9 Or 10Fr,853.88,426.94,,,0 CDM,74500025,Hemaquet Ptca 23 Cm 6 7 Or 8F,291.87,145.94,,,0 CDM,74500045,Chg-Dilator Balloon Tts,651.02,325.51,,,0 CDM,74500048,Iabp Balloon Kit/Complete,2729.3,1364.65,,,0 CDM,74500051,Chg-Set Needle Aspiration 16Ga,148.01,74.0,,,0 CDM,74500052,Chg-Solution Acd-A,81.0,40.5,,,0 CDM,74500055,Chg-Bowl 135Cc,262.89,131.44,,,0 CDM,74500059,Chg-Bag Autolog Bld 300 Ml,39.33,19.66,,,0 CDM,74500060,Chg-Bag Autolog Bld 600 Ml,56.93,28.46,,,0 CDM,74500067,Chg-Vip Swan,408.0,204.0,,,0 CDM,74500095,Pacing Wire,528.89,264.44,,,0 CDM,74500097,Kit Manifold,56.0,28.0,,,0 CDM,74500105,Catheter Disposable Pack Extra,456.0,228.0,,,0 CDM,74500111,Chg-Crutch Adult Tall,154.22,77.11,,,0 CDM,74500119,Chg-Cath Foley 24Fr 30Cc 3Way,329.13,164.56,,,0 CDM,74500127,Chg-Bag Waste,65.21,32.6,,,0 CDM,74500129,Guidewire Wholey,232.0,116.0,,,0 CDM,74500130,Chg-Connector Y Replc 8932,387.09,193.54,,,0 CDM,74500140,Chg-Sorenchg-Son Liner,162.5,81.25,,,0 CDM,74500147,Chg-Set Stent Biliary,386.06,193.03,,,0 CDM,74500150,Chg-Tube Duo Feed,86.94,43.47,,,0 CDM,74500151,Chg-Cath Ercp,172.85,86.42,,,0 CDM,74500155,Guidewire,176.0,88.0,,,0 CDM,74500156,Chg-Tube Jejunostomy Replacement,311.54,155.77,,,0 CDM,74500163,Chg-Stent Pancreatic,373.64,186.82,,,0 CDM,74500165,Chg-Super Peg,194.58,97.29,,,0 CDM,74500167,Chg-Dilator Balloon Esoph Tts,421.25,210.62,,,0 CDM,74500178,Bandage Medicopaste,188.37,94.18,,,0 CDM,74500180,Chg-Bag Leg Drain Urinary,32.09,16.04,,,0 CDM,74500182,Needle Smart,436.77,218.38,,,0 CDM,74500184,Chg-Mainfold/Walrus,180.09,90.04,,,0 CDM,74500191,Chg-Motor Drive Unit,5759.78,2879.89,,,0 CDM,74500195,Chg-Balloon Ptca,441.0,220.5,,,0 CDM,74500196,Catheter Diagnostic Extra,56.0,28.0,,,0 CDM,74500198,Wire Introducer,19.67,9.84,,,0 CDM,74500199,Guidewire Diagnostic,141.0,70.5,,,0 CDM,74500200,"Drug Eluting Stent, Xience",2768.63,1384.32,,,0 CDM,74500207,Guidewire Ptca,689.31,344.66,,,0 CDM,74500208,Chg-Traction Bucks Med,136.62,68.31,,,0 CDM,74500223,Chg-Dilator Biliary Special,160.43,80.22,,,0 CDM,74500224,Chg-Snare Disp Assmb,136.62,68.31,,,0 CDM,74500226,Catheter Pacing,887.0,443.5,,,0 CDM,74500228,Chg-Forcep Radial Jaw Hot Biopsy,315.68,157.84,,,0 CDM,74500230,Chg-Hemostat Absorb Surgicel 4X8In,197.69,98.84,,,0 CDM,74500234,Chg-Tube Ng Ross 12Frx38,311.54,155.77,,,0 CDM,74500237,Saber Pta Balloon,253.58,126.79,,,0 CDM,74500239,Chg Icd Dual Chmber Momntm El Dr,17408.7,8704.35,,,0 CDM,74500244,Chg Icd Sngl Chmber Momntm El Vr,15964.88,7982.44,,,0 CDM,74500251,Chg Icd Biv Dfib Momntm,22851.0,11425.5,,,0 CDM,74500252,Carillon Mitral Cntr Sys Study,30273.75,15136.88,,,0 CDM,74500266,Chg-Bag Resuscitator Disp,520.61,260.3,,,0 CDM,74500276,Chg-Cath Ercp Bullet Tip .035 Wire,503.01,251.5,,,0 CDM,74500303,"Chg-Immobilizer Knee 24In Lg 18,20",270.14,135.07,,,0 CDM,74500304,Chg-Kit Gastrostomy,897.35,448.68,,,0 CDM,74500308,Chg-Immobilizer Shoulder W/Swathe,111.78,55.89,,,0 CDM,74500324,Chgr-Sp Cytology Brush Disp,155.25,77.62,,,0 CDM,74500326,Chg-Cath Umbilichg-Cal Art 3.5Fr,378.81,189.4,,,0 CDM,74500341,Chg-Lens Morgan Eye,78.66,39.33,,,0 CDM,74500348,Catheter Swan Ganz 6Fr,447.12,223.56,,,0 CDM,74500349,Chg-Introduc 8Fr Sheath 11Cm,386.06,193.03,,,0 CDM,74500377,Chg-Cath Coude,96.26,48.13,,,0 CDM,74500379,Chg-Tube Trach Shiley Cuffless,301.19,150.6,,,0 CDM,74500386,Shoe Post Op Female Med Velcro,89.01,44.5,,,0 CDM,74500404,Chg Chamber Aero,65.21,32.6,,,0 CDM,74500406,Chg-Pad Hypothermia,263.93,131.96,,,0 CDM,74500413,Chg-Splint Resting Hand Prefab,224.6,112.3,,,0 CDM,74500416,Chg-Collar Cerv Chg-Contour Univ,439.88,219.94,,,0 CDM,74500417,Catheter Dbl Lumen Udall,339.48,169.74,,,0 CDM,74500427,Chg-Cath Foley Sil 16Fr 5Cc,56.93,28.46,,,0 CDM,74500442,Chg-Pacing Swan,1205.0,602.5,,,0 CDM,74500445,Chg-Cath Quadrapolar,1616.67,808.34,,,0 CDM,74500497,Chg-Cath Sump Drain,564.08,282.04,,,0 CDM,74500498,Chg-Cath Swan-G Bipolar Pacing,398.48,199.24,,,0 CDM,74500502,Chg-Cath Thermodilution 7Fr (S-G),1344.47,672.24,,,0 CDM,74500524,Catheter Dilation Ultra Thin,884.93,442.46,,,0 CDM,74500526,Chg-Cath Nephrostomy Drain,156.29,78.14,,,0 CDM,74500533,Chg-Immobilizer Shoulder Unv,219.42,109.71,,,0 CDM,74500534,Chg-Cast Leg Short Fiberglass,510.26,255.13,,,0 CDM,74500535,Chg-Cast Arm Long Fiberglass,301.19,150.6,,,0 CDM,74500536,Chg-Cast Leg Long Fiberglass,373.64,186.82,,,0 CDM,74500537,Chg-Guidewire Glide,399.51,199.76,,,0 CDM,74500540,Chg Brace Hinged Knee,767.97,383.98,,,0 CDM,74500542,Chg-Guidewire Steerable Flex Tip,473.0,236.5,,,0 CDM,74500547,Chg-Leveen Inflator W/Press Gauge,263.93,131.96,,,0 CDM,74500556,Chg-Kit Swan-Ganz Introducer,173.88,86.94,,,0 CDM,74500570,Chg-Vena Cava Filter System,4115.16,2057.58,,,0 CDM,74500576,Chg-Sling Arm Medium,136.62,68.31,,,0 CDM,74500588,Chg-Lifter Leg,72.45,36.22,,,0 CDM,74500593,Chg-Airway,20.7,10.35,,,0 CDM,74500595,Catheter Triple Lumen,282.0,141.0,,,0 CDM,74500596,Chg-Tube Trach Shiley,198.72,99.36,,,0 CDM,74500599,Chg-Introduc 7Fr Cath Sheath,243.23,121.62,,,0 CDM,74500600,Chg-Bag Drain Urinary Anti Flex,38.3,19.15,,,0 CDM,74500606,Chg-Cath Triple Lumen Hemodial 6In,291.87,145.94,,,0 CDM,74500608,Catheter Trocar 32Fr 16 Inch,114.89,57.44,,,0 CDM,74500610,Chg-Boot L'nard,700.7,350.35,,,0 CDM,74500625,Catheter Wedge,159.39,79.7,,,0 CDM,74500635,Chg-Splint Wrist Right Med,333.27,166.64,,,0 CDM,74500640,Balloon Catheter Scoreflex Nc,1163.0,581.5,,,0 CDM,74500641,Guidewire Rotawire,1163.34,581.67,,,0 CDM,74500646,Guidewire Crossing Hornet 10,176.99,88.5,,,0 CDM,74500648,Catheter Abltn Bi-Direct Safire,907.7,453.85,,,0 CDM,74500649,Catheter Vasc U/S Opticross,1085.0,542.5,,,0 CDM,74500652,Fetal Pillow,1276.16,638.08,,,0 CDM,74500653,Sapien X4 - Alliance Trial,31050.0,15525.0,,,0 CDM,74500655,Catheter Corsinus Steer Marinr,810.0,405.0,,,0 CDM,74500656,Catheter Pacing Selectra 3D,312.0,156.0,,,0 CDM,74500657,Pacemaker Aveir Vr Leadless,10764.0,5382.0,,,0 CDM,74500659,Catheter Delivery Aveir,2083.46,1041.73,,,0 CDM,74500660,Cath Triple Loop Snare Aveir,3570.75,1785.38,,,0 CDM,74500661,Introducer Dilator Aveir,269.1,134.55,,,0 CDM,74500662,Nushield 1 Square Cm Waste,326.03,163.02,,,0 CDM,74500663,Neovasc Reducer System - Cosira Study,15525.0,7762.5,,,0 CDM,74500664,Nexeon Avx; Decellualarized Femoral Artery; Matracell Trial,2764.49,1382.24,,,0 CDM,74500665,Ensoetm,1318.0,659.0,,,0 CDM,74500667,Tightrail Guardian Motorized Dilator Sheath,4160.7,2080.35,,,0 CDM,74500668,Circulo Guidewire,401.58,200.79,,,0 CDM,74500669,Flexnav Delivery System,2975.63,1487.82,,,0 CDM,74500670,Navitor Tavi,31244.58,15622.29,,,0 CDM,74500683,Chg-Brace Wrist Prefab,114.89,57.44,,,0 CDM,74500686,Chg-Collector Fecal Adult,55.89,27.94,,,0 CDM,74500688,Chg Neg Wound Pressure System,262.89,131.44,,,0 CDM,74500701,Chg-Collector Specimen,186.3,93.15,,,0 CDM,74500712,Chg-Kit Cath Multi Lumen,336.38,168.19,,,0 CDM,74500722,Chg-Cath Drainage Bag,46.58,23.29,,,0 CDM,74500728,Catheter Trocar 32Fr 16 Inch,39.33,19.66,,,0 CDM,74500752,Chg-Temno Biop Dev Ct18/15,233.91,116.96,,,0 CDM,74500757,Chg Wheelchair Cushion Deluxe,84.87,42.44,,,0 CDM,74500758,Chg-Wheelchair Cushion Deluxe,582.71,291.36,,,0 CDM,74500760,Chg-Pad Foam Cylinder 1/4 Sheet,23.81,11.9,,,0 CDM,74500764,Chg-Dca Cutter,7533.77,3766.88,,,0 CDM,74500779,Chg-Needle Biopsy Klatskin,34.16,17.08,,,0 CDM,74500781,Chg-Set Groshong Picc Cath,439.88,219.94,,,0 CDM,74500784,Chg-Cautery High Temp Diag Key Med,42.44,21.22,,,0 CDM,74500789,Chg-Tube Trach Shiley 10,446.09,223.04,,,0 CDM,74500802,Chg-Set Thoravac,670.68,335.34,,,0 CDM,74500811,Chg-Set Extension Plain,135.59,67.8,,,0 CDM,74500821,Chg-Airway Nasopharynl 32Fr,38.3,19.15,,,0 CDM,74500836,Chg-Dilator Balloon Ercp,871.47,435.74,,,0 CDM,74500839,Chg-Dressing Change Major,223.0,111.5,,,0 CDM,74500841,Chg-Dressing Change Medium,154.0,77.0,,,0 CDM,74500842,Chg-Baskest Stone Retrieval Ercp,654.12,327.06,,,0 CDM,74500908,Chg-Bag Drain Stoma,291.87,145.94,,,0 CDM,74500944,Chg-Kit Introducer Swan Ganz,157.0,78.5,,,0 CDM,74500946,Chg-Tube Feeding Gastrostomy,30.02,15.01,,,0 CDM,74500948,Chg-Drain Unit Chest,494.0,247.0,,,0 CDM,74500953,Chg-Cath Foley 8Fr 3Cc,82.8,41.4,,,0 CDM,74500955,Chg-Dressing Wound Vigilon 4X4,72.45,36.22,,,0 CDM,74500964,Chg-Set Pneumothorax,370.53,185.26,,,0 CDM,74500965,Duostat,249.0,124.5,,,0 CDM,74500970,Chg-Set Thoracentesis 30In,34.16,17.08,,,0 CDM,74500977,Chg-Cath Foley Coude Tip 16Fr 5Cc,72.45,36.22,,,0 CDM,74500984,Chg-Humidifier Neb H2O 500Ml Ster,134.55,67.28,,,0 CDM,74500985,Chg-Dressing Abd Combined 5X9 Bx,19.67,9.84,,,0 CDM,74500989,Chg-Surgicel Hemostat Absorb 2X3,89.01,44.5,,,0 CDM,74500996,Chg-Enema Fleets,20.7,10.35,,,0 CDM,74501002,Chg-Ventriculostomy Ext Drng Bag,345.69,172.84,,,0 CDM,74501004,Chg-Ventriculostomy Cath,217.0,108.5,,,0 CDM,74501013,Chg-Umbilical Line Supplies,619.97,309.98,,,0 CDM,74501014,Chg-Cath Foley Chg-Carson Mod 16Fr 5Cc,82.8,41.4,,,0 CDM,74501033,Chg-Collar Cerv Stiff Neck Short,82.8,41.4,,,0 CDM,74501057,Chg-Tube Trach Cuff Fen 8D Disp,269.1,134.55,,,0 CDM,74501107,Guidewire Amplatz Super Stiff,224.0,112.0,,,0 CDM,74501111,Quantum Top Fill Flush,154.22,77.11,,,0 CDM,74501120,Chg-Binder Surgical Panel,108.68,54.34,,,0 CDM,74501149,Chg-Cath Trochg-Car 24Fr 16In,114.89,57.44,,,0 CDM,74501155,Chg-Bili-Lite Shield Eye Infant,33.12,16.56,,,0 CDM,74501167,Chg-Needle Biopsy Trucut,116.96,58.48,,,0 CDM,74501171,Chg-Water Distilled 3000Ml,165.6,82.8,,,0 CDM,74501176,Chg-Tube Suction Conn,134.55,67.28,,,0 CDM,74501177,Chg-Exercise Hand Aid,68.31,34.16,,,0 CDM,74501178,Chg-Tube Sump Salem 18Fr,69.35,34.68,,,0 CDM,74501179,Drain Chest Tube,69.35,34.68,,,0 CDM,74501181,Chg-Tube Stomach 12Fr,100.4,50.2,,,0 CDM,74501202,Chg-Td Swan,677.0,338.5,,,0 CDM,74501283,Chg-Cath Triple Lumen Hemodial 3In,291.87,145.94,,,0 CDM,74501297,Chg-Spinal Needle,21.74,10.87,,,0 CDM,74501310,Chg-Electrode Pacing Quik Pace,277.0,138.5,,,0 CDM,74501322,Catheter Embalectomy Fogarty,316.71,158.36,,,0 CDM,74501336,Chg-Bag Collector Fecal Inconti,39.33,19.66,,,0 CDM,74501337,Chg Stocking Knee High-Kendal,230.81,115.4,,,0 CDM,74501342,Chg-Cath Suction Clos 14Fr 13In,114.89,57.44,,,0 CDM,74501360,Chg-Oxy Swan,1258.56,629.28,,,0 CDM,74501393,Chg-Collar Cerv Med Foam,135.59,67.8,,,0 CDM,74501395,Chg-Trap Suction Polyp,42.44,21.22,,,0 CDM,74501413,Tube Feeding,21.74,10.87,,,0 CDM,74501426,Chg-Stapler Skin Prem 35W Disp,194.58,97.29,,,0 CDM,74501447,Chg-Speculum Vaginal Dichg-Sp,20.7,10.35,,,0 CDM,74501467,Hemaquet Standard,140.0,70.0,,,0 CDM,74501469,Chg-Brush Cytology Colon,37.26,18.63,,,0 CDM,74501512,Chg-Sponge Gelfoam Size 100,198.72,99.36,,,0 CDM,74501516,Chgr-Kit Jejunostomy,450.23,225.12,,,0 CDM,74501527,Chg-Immobilizer Knee 24In Cool Blue,155.25,77.62,,,0 CDM,74501539,Chg-Immobilizer Shoulder Med,329.13,164.56,,,0 CDM,74501543,Chg-Pack Peri Gyn A29171,358.11,179.06,,,0 CDM,74501544,Chg-Restraint Wrist Ankle,100.4,50.2,,,0 CDM,74501554,Chg-Ring Fallopian Bands,220.46,110.23,,,0 CDM,74501557,Chg-Blanket Adult Warmer,447.12,223.56,,,0 CDM,74501571,Chg-Cath Trochg-Car 28Fr 16In,113.85,56.92,,,0 CDM,74501574,Introducer Arrow 8.5,132.0,66.0,,,0 CDM,74501585,Chg-J Wire,56.93,28.46,,,0 CDM,74501597,Chg-Binder Abdominal Male,84.87,42.44,,,0 CDM,74501598,"Cu-64 Dotatate, 1 Mci",1505.7,752.85,,,0 CDM,74501599,Set Dsp Lvr X Heat Exch W Line,403.0,201.5,,,0 CDM,74501600,18Fgtp1 Tau Research,1.04,0.52,,,0 CDM,74501603,"Pet Radiopharmaceutical, Diagnosis, For Tumor Id, Noc-Per Dose",6480.0,3240.0,,,0 CDM,74501604,Research - Aortix System,1.04,0.52,,,0 CDM,74501605,Vivasight 2 Dlt,403.0,201.5,,,0 CDM,74501606,Trial Edwards Evoque Triscupid Valve - Triscend Ii Study,45229.5,22614.75,,,0 CDM,74501607,Consolidated Bag,437.81,218.9,,,0 CDM,74501608,Hmiii Travel Case,215.28,107.64,,,0 CDM,74501609,Stablization Belt,134.55,67.28,,,0 CDM,74501610,Standtall Radial Sheath Extensn,246.33,123.16,,,0 CDM,74501611,Et Tube Bronch Blocker,610.0,305.0,,,0 CDM,74501613,Bridge Occlusion Balloon,1364.13,682.06,,,0 CDM,74501614,Bridge Prep Kit,425.39,212.7,,,0 CDM,74501615,Sheath Tightrail Rotating Dilatr,2613.38,1306.69,,,0 CDM,74501616,Sheath Tightrail Subc Rot Dilatr,2018.25,1009.12,,,0 CDM,74501617,Trial Venous Valve - Savve Study,1.04,0.52,,,0 CDM,74501618,Chg-Kit Catheter Introducer,291.0,145.5,,,0 CDM,74501619,Piflufolastat F18 Per 1Mci,635.25,317.62,,,0 CDM,74501623,Kit Catheter Radial Artery,130.41,65.2,,,0 CDM,74501625,Chg-Kit Cent Ven Cath W/Arrow,106.61,53.3,,,0 CDM,74501626,Chg-Kit Colostomy Irrigation,373.64,186.82,,,0 CDM,74501632,Chg-Splint Leg Posterior,495.77,247.88,,,0 CDM,74501636,Chg-Cast Arm Short Adult,282.56,141.28,,,0 CDM,74501638,Chg-Cast Leg Short Adult,362.25,181.12,,,0 CDM,74501640,Chg-Kit Drainage Cath Ventricular,465.75,232.88,,,0 CDM,74501643,Chg-Stent Cotton Leung Bili 10Fr,759.69,379.84,,,0 CDM,74501663,Chg-Vasoseal,780.39,390.2,,,0 CDM,74501665,Chg-Brace Ankle Air,165.6,82.8,,,0 CDM,74501671,Chgr-Cd Kit Inflation Ptca Extra,439.88,219.94,,,0 CDM,74501673,Chg-Stent Biliary,759.69,379.84,,,0 CDM,74501683,Chg-Shoe Post Op Female Lg Lace Up,62.1,31.05,,,0 CDM,74501685,Chg-Shoe Post Op Female Md Lace Up,57.96,28.98,,,0 CDM,74501688,Chg-Elevator Arm W/Pockets,86.94,43.47,,,0 CDM,74501690,Chg-Shoe Post Op Male Lg Lace Up,62.1,31.05,,,0 CDM,74501698,Chg-Aligner Body Foam,84.87,42.44,,,0 CDM,74501701,Chg-Resuscitator W/Mask,231.0,115.5,,,0 CDM,74501704,Chg-Soap Body Wash Aloe Vesta,21.74,10.87,,,0 CDM,74501706,Chg-Water Ster,46.58,23.29,,,0 CDM,74501722,Kit Pericardiocentesis,457.0,228.5,,,0 CDM,74501746,Chg-Cath Thoracic Chest Tube Ra24F,197.69,98.84,,,0 CDM,74501766,Chg-Wafer Stoma W/Surfit Flange,292.91,146.46,,,0 CDM,74501767,Chg-Pouch Urostomy 1.75In Standard,148.01,74.0,,,0 CDM,74501769,Chg-Drain Jackson Pratt,492.66,246.33,,,0 CDM,74501770,Chg-Paste Stomahesive Protective,62.1,31.05,,,0 CDM,74501783,Chg-Sling Arm Immobilizer Lg,123.17,61.58,,,0 CDM,74501801,Chg Immobilizer Knee,208.04,104.02,,,0 CDM,74501804,Chg-Dressing Burn Pad 10Ply 18X18,21.74,10.87,,,0 CDM,74501849,Chg - Adapter Cap Locking,123.17,61.58,,,0 CDM,74501855,Chg-Cath Swan-G 7Fr,373.64,186.82,,,0 CDM,74501857,Chg-Airway Nasopharyn 28Fr,69.35,34.68,,,0 CDM,74501859,Chg-Airway Nasopharyn 34Fr,72.45,36.22,,,0 CDM,74501866,Chg-Stapler Skin Tissue Lt 35W,57.96,28.98,,,0 CDM,74501898,"Chg-Immobilizer Knee 24In Sm 14,16",186.3,93.15,,,0 CDM,74501901,"Chg-Immobilizer Knee 24In Med 16,18",180.09,90.04,,,0 CDM,74501902,Chg-Immobilizer Knee Xlg,186.3,93.15,,,0 CDM,74501948,Chg-Oxygen Mask Venturi Var Per Nt,57.96,28.98,,,0 CDM,74501973,Chg-Sleeve Compression Thigh L-Xl,365.36,182.68,,,0 CDM,74501980,Chg-Splint Knee Donjoy,821.79,410.9,,,0 CDM,74501981,Chg-Pillow Shoulder Abduction,332.24,166.12,,,0 CDM,74501982,Chg-Urine Meter W/Bag,62.1,31.05,,,0 CDM,74502000,Chg-Cath Multilumen Kit,690.35,345.18,,,0 CDM,74502003,Chg-Ez Wrap,204.93,102.46,,,0 CDM,74502023,Chg-Kit Multi Lumen Cent Ven Cath,924.26,462.13,,,0 CDM,74502073,Chg Nebulizer Hand Held Set Up,34.16,17.08,,,0 CDM,74502078,Chg-Dressing Duoderm 6X6,260.82,130.41,,,0 CDM,74502081,Chg-Pouch Drainable 4In 12In L Clr,132.48,66.24,,,0 CDM,74502121,Chg-Blanket Hypothermia,155.25,77.62,,,0 CDM,74502150,Chg-Cath Paceport,1344.47,672.24,,,0 CDM,74502151,Chg-Pressure Transducer Summit,329.13,164.56,,,0 CDM,74502161,Chg-Airway Nasopharyn 30Fr,38.3,19.15,,,0 CDM,74502163,Chg-Needle Emg Monopolar,33.12,16.56,,,0 CDM,74502167,Chg-Needle Sclerotherapy 25G Yellow,234.95,117.48,,,0 CDM,74502169,Chg-Needle Spinal 22Gx3.5,38.3,19.15,,,0 CDM,74502184,Chg-Needle Wang Retractable 22G,1265.81,632.9,,,0 CDM,74502185,Chg-Tube Trach Cuff Fen 4D,269.1,134.55,,,0 CDM,74502187,Chg-Sleeve Compression Thigh Reg,322.92,161.46,,,0 CDM,74502216,Chg Custom Birthing Pack,224.6,112.3,,,0 CDM,74502265,Chg-Pad Defibrillator 4.5X6In,260.0,130.0,,,0 CDM,74502285,Chg-Infusor Pressure 500Cc Disp,105.0,52.5,,,0 CDM,74502302,Chg-Drain Unit Chest Adult Blood,270.14,135.07,,,0 CDM,74502311,Chg-Flexiflo Ent Nutri Bag/1 Ea,33.12,16.56,,,0 CDM,74502328,Dressing Wound Gel 3 Oz,89.01,44.5,,,0 CDM,74502335,Catheter Triple Lumen Arrow Gu,399.0,199.5,,,0 CDM,74502337,Chg-Cath Thermo Venous 7.5Fr,410.9,205.45,,,0 CDM,74502340,Chg-Cco Swan,1317.0,658.5,,,0 CDM,74502356,Kit Quad Lumen Catheter,310.0,155.0,,,0 CDM,74502360,Chg-Dressing Mitraflex Sc 6X6In,72.45,36.22,,,0 CDM,74502371,Chg-Dressing Allevyn 8X8In,86.94,43.47,,,0 CDM,74502372,Chg-Dressing Allevyn 4X4In,34.16,17.08,,,0 CDM,74502383,Chg-Pad Tucks,23.81,11.9,,,0 CDM,74502421,Chg-Pillow Abduction Med,224.6,112.3,,,0 CDM,74502442,Chg-Anascope,32.09,16.04,,,0 CDM,74502456,Chg-Button Kit,1372.41,686.2,,,0 CDM,74502470,Chg-Pleuravac,574.43,287.22,,,0 CDM,74502521,Pouch Drainabl 1.75In12In Clea,111.78,55.89,,,0 CDM,74502524,Chg-Kit Gastrostomy 20Fr Otw Flex,373.64,186.82,,,0 CDM,74502531,Chg-Pouch Endo Specimen Retrieval,329.13,164.56,,,0 CDM,74502553,Chg-Angioject Catheter,5048.73,2524.36,,,0 CDM,74502585,Chg-Pack Peri Gyn A29176,360.18,180.09,,,0 CDM,74502596,Chg-Staples Ets,1038.11,519.06,,,0 CDM,74502610,Chg-Probe Gold,744.17,372.08,,,0 CDM,74502665,Chg-Rapid Prime Line,133.52,66.76,,,0 CDM,74502672,Chg-Staple Remover Skin,30.02,15.01,,,0 CDM,74502677,Chg-Resuscitator Adult Dmr,162.5,81.25,,,0 CDM,74502720,Chg-Set Cath Radial Artery,55.0,27.5,,,0 CDM,74502765,Sheath Large 9 10 11 12 14 F,217.0,108.5,,,0 CDM,74502778,Chg-Shoe Horn Long Handled,23.81,11.9,,,0 CDM,74502779,Chg-Shoe Horn Plated,32.09,16.04,,,0 CDM,74502780,Chg-Shoe Post Op Male Lg Velcro,198.72,99.36,,,0 CDM,74502781,Chg-Shoe Post Op Male Med Velcro,162.5,81.25,,,0 CDM,74502782,Chg-Shoe Post Op Male Sm Velcro,48.65,24.32,,,0 CDM,74502805,Chg Sleeve Compression (Knee),223.0,111.5,,,0 CDM,74502806,Chg-Sleeve Compression Thigh Sm,286.7,143.35,,,0 CDM,74502813,Chg-Sling,96.26,48.13,,,0 CDM,74502815,Chg-Sling Arm Large,30.02,15.01,,,0 CDM,74502823,Guidewire Ptca Specialty,392.0,196.0,,,0 CDM,74502826,Chg-Sphinctertome,547.52,273.76,,,0 CDM,74502844,Chg-Wrist Splint Velcro,155.25,77.62,,,0 CDM,74502851,Chg-Splint Material Ocl Med,132.48,66.24,,,0 CDM,74502858,Chg-Splint Wrist Forearm Left Lg,86.94,43.47,,,0 CDM,74502859,Chg-Splint Arm Fiberglass Long,180.09,90.04,,,0 CDM,74502860,Chg-Splint Leg Fiberglass Short,135.59,67.8,,,0 CDM,74502861,Chg-Splint Wrist Left Med,233.91,116.96,,,0 CDM,74502932,Steering Handle Extra,62.1,31.05,,,0 CDM,74502934,Stent Biliary Endoprosthesis,2540.93,1270.46,,,0 CDM,74502937,Chg-Stent J&J Coronary,8654.67,4327.34,,,0 CDM,74502981,Chg-Strap Montgomery 7.25X11.5In,23.81,11.9,,,0 CDM,74503000,Chg-Sucker Line,46.58,23.29,,,0 CDM,74503062,Suture,32.09,16.04,,,0 CDM,74503132,Chg-Surgicel Hemostat Absorb 2X14,139.73,69.86,,,0 CDM,74503136,Suture Ethilon,62.1,31.05,,,0 CDM,74503236,Chg-Bld Autotransfusor Set,1216.13,608.06,,,0 CDM,74503263,Suture Monocryl Ea,68.31,34.16,,,0 CDM,74503272,Chg-Suture Nylon,34.16,17.08,,,0 CDM,74503278,Chg-Immobilizer Knee 19In Cool Blue,99.36,49.68,,,0 CDM,74503334,Chg-Brush Microbiology Bronch,633.42,316.71,,,0 CDM,74503342,Chg-Nerve Stimulator,204.93,102.46,,,0 CDM,74503367,Chg-Suture 0 Silk,23.81,11.9,,,0 CDM,74503394,Chg-Kit Central Dressing,194.0,97.0,,,0 CDM,74503400,Chg-Tube Gastric Lavage Ewald,42.44,21.22,,,0 CDM,74503434,Chg-Suture 2 0 Vicryl (Dexon),30.02,15.01,,,0 CDM,74503444,Chg-Suture 3 0 Vicryl (Dexon),30.02,15.01,,,0 CDM,74503486,Chg-Sutures,351.9,175.95,,,0 CDM,74503502,Chg-Kit Thoracentesis,142.0,71.0,,,0 CDM,74503524,Catheter Thermaldilution,1506.96,753.48,,,0 CDM,74503576,Chg-Traction W/O Skel Set Up,336.38,168.19,,,0 CDM,74503584,Chg-Traction Bucks Small,136.62,68.31,,,0 CDM,74503590,Chg-Transducer Disp,154.0,77.0,,,0 CDM,74503601,Chg-Oximetry Transducer O2 Infant,136.62,68.31,,,0 CDM,74503605,Chg-Transmitter Pdt Carryall,896.31,448.16,,,0 CDM,74503606,Chg-Splint Finger,21.74,10.87,,,0 CDM,74503813,Chg-Triflo Inc Spiro S-U,334.31,167.16,,,0 CDM,74503843,Chg-Tube Feed 8Fr W/Tip,191.48,95.74,,,0 CDM,74503845,Chg-Tube Feeding 12Fr 36In,106.61,53.3,,,0 CDM,74503851,Chg-Tube Feeding Pump Set W/Spike,114.89,57.44,,,0 CDM,74503863,Chg-Tube Salem Sump,39.33,19.66,,,0 CDM,74503865,Chg-Tube Trach Shiley Cuff #6,571.32,285.66,,,0 CDM,74503870,Chg-Tube Sump Salem W/Valve 14Fr,30.02,15.01,,,0 CDM,74503871,Chg-Tube Sump Salem W/Valve 16Fr,30.02,15.01,,,0 CDM,74503872,Chg-Ube Sump Salem W/Valve 18Fr,32.09,16.04,,,0 CDM,74503874,Tube Trach,420.21,210.1,,,0 CDM,74503876,Chg-Tube Trach Cuff 8Dct,243.23,121.62,,,0 CDM,74503877,Chg-Tube Trach Cuff 6Dct W/Dic,243.23,121.62,,,0 CDM,74503909,Chg-Universal Cuff,46.58,23.29,,,0 CDM,74503919,Chg-Valve Speaking Trach 15Mm Id,489.56,244.78,,,0 CDM,74503924,Chg-Vent Bolt Press Mon Kit,599.27,299.64,,,0 CDM,74503927,Chg-Ventriculostomy Ext Drng Sys,583.0,291.5,,,0 CDM,74503932,Chg-Wafer Durahesive 1.75 45Mm,139.73,69.86,,,0 CDM,74503935,Chg-Wafer Surfit 1.75 45Mm,106.61,53.3,,,0 CDM,74503949,Chg-J Wire Extra Tri-Lum Flex Tip,45.0,22.5,,,0 CDM,74503958,Chg-Guidewire Spring .018X80Cm,39.33,19.66,,,0 CDM,74503959,Chg-Guidewire Spring .025X40Cm,68.31,34.16,,,0 CDM,74503969,Chg-Bag Drain Urinary Anti Chamber,34.16,17.08,,,0 CDM,74503993,Brush Cytology Disp,315.68,157.84,,,0 CDM,74504001,Avanti Sheath,96.0,48.0,,,0 CDM,74504002,Chg-Cath Coude 14Fr 5Cc,311.54,155.77,,,0 CDM,74504015,Chg-Cath Ercp Taper .025 Guidewire,759.69,379.84,,,0 CDM,74504017,Chg-Cath Fogarty Art Embol 5Fr 80Cm,698.63,349.32,,,0 CDM,74504021,Chg-Cath Fogarty Art Embol 4Fr Lo,495.77,247.88,,,0 CDM,74504026,Chg-Cath Foley 10Fr 3Cc,191.48,95.74,,,0 CDM,74504027,Chg-Cath Foley 12Fr 5Cc,183.2,91.6,,,0 CDM,74504028,Chg-Cath Foley 22Fr 30Cc,139.73,69.86,,,0 CDM,74504044,Chg-Cath Foley 18Fr 30Cc 3Way,198.72,99.36,,,0 CDM,74504045,Chg-Cath Foley 3W 18Fr,312.57,156.28,,,0 CDM,74504051,Chg-Cath Foley 22Fr 30Cc 3Way,329.13,164.56,,,0 CDM,74504064,Chg-Cath Swan-G 7Fr Lumen,520.61,260.3,,,0 CDM,74504066,Chg-Cath Thoracic 28Fr Straight,46.58,23.29,,,0 CDM,74504067,Chg-Cath Trach Chg-Care #220,269.1,134.55,,,0 CDM,74504096,Drape Microtek #5902,160.43,80.22,,,0 CDM,74504105,Chg-Pillow Abduction,683.1,341.55,,,0 CDM,74504129,Chg-Gel Intrasite,425.39,212.7,,,0 CDM,74504130,Chg-Glidewire,425.39,212.7,,,0 CDM,74504147,Chg-Arm Elevator W/Ice Bag,336.38,168.19,,,0 CDM,74504160,Chg-Needle Biopsy Jamshidi,186.3,93.15,,,0 CDM,74504165,Chg-Needle Epidur 17G X3-1/2,227.7,113.85,,,0 CDM,74504179,Chg-Set Bld Transfusion,205.0,102.5,,,0 CDM,74504181,Chg-Set Bld Warmer,209.07,104.54,,,0 CDM,74504183,Chg-Set Suture Disp,224.6,112.3,,,0 CDM,74504192,Chg-Snare Cook Dpol-1-12,397.44,198.72,,,0 CDM,74504195,Chg-Sponge Gelfoam Ster 12 Sq Cm,38.3,19.15,,,0 CDM,74504201,Chg-Stent Cotton Leung Bili 7Fr,541.31,270.66,,,0 CDM,74504220,Chg-Cast Boots,221.49,110.74,,,0 CDM,74504234,Chg-Cath Foley 16Fr 30Cc,130.41,65.2,,,0 CDM,74504261,Chg-Collar Cerv Soft,96.26,48.13,,,0 CDM,74504350,Shoe Post Op Sm Female Velcro,89.01,44.5,,,0 CDM,74504362,Chg-Crutch Adult Adjust Alum Med,159.39,79.7,,,0 CDM,74504366,Sup Adapter Tuohy Borst,134.55,67.28,,,0 CDM,74504367,Chg-Basket Stone Removal,863.19,431.6,,,0 CDM,74504368,Chg-Temno Biop Dev Ct18/20,233.91,116.96,,,0 CDM,74504369,Chg-Temno Biop Dev 20/15,200.79,100.4,,,0 CDM,74504371,Chg-Cath Biliary Drain,450.23,225.12,,,0 CDM,74504377,Chg-Emboli Micro Coils,297.05,148.52,,,0 CDM,74504380,Chgr-Forcep Biopsy 5.4Fr,796.95,398.48,,,0 CDM,74504381,Chg-Guidewire Angiographic,399.51,199.76,,,0 CDM,74504387,Chg-Indium Octreoscan,4039.0,2019.5,,,0 CDM,74504389,Introducer Set Perc,349.83,174.92,,,0 CDM,74504392,Chg-Temno Biop Dev Ct20/15,262.89,131.44,,,0 CDM,74504393,Chg-Temno Biop Dev 20/9 Add'l,140.76,70.38,,,0 CDM,74504394,Chg-Needle Homer Lok 8.9Cm,113.85,56.92,,,0 CDM,74504395,Chg-Needle Homer Mammo Lok 6.4Cm,111.78,55.89,,,0 CDM,74504403,Stent Palmaz,1571.13,785.56,,,0 CDM,74504406,Chg-Temno Biop Dev T18/15 Add'l,162.5,81.25,,,0 CDM,74504410,Chg-Guidewire Katzen Inf .035 145,712.08,356.04,,,0 CDM,74504411,Chg-Guidewire Snare Retriever,263.93,131.96,,,0 CDM,74504470,Chg Adhesion Barrier,660.33,330.16,,,0 CDM,74504480,Chgr-Sp Embo Microspheres 300500 Um,670.68,335.34,,,0 CDM,74504481,Chgr-Sp Embo Microspheres 500700 Um,670.68,335.34,,,0 CDM,74504482,Chgr-Sp Embo Microspheres 700900 Um,670.68,335.34,,,0 CDM,74504503,Catheter Foley,72.45,36.22,,,0 CDM,74504510,Chgr-Rp Tc99 Ceretec Per Dose,1087.0,543.5,,,0 CDM,74504515,Chg Bipolar Vns Lead Mdl 300 20/30,6555.69,3277.84,,,0 CDM,74504520,Balloon Peripheral,456.44,228.22,,,0 CDM,74504521,Stent Wall,5540.36,2770.18,,,0 CDM,74504543,Chg-Immobilizer Shoulder Cloth,84.87,42.44,,,0 CDM,74504575,Sheath Torquevue,1253.39,626.7,,,0 CDM,74504576,Amplatzer Amulet Laao,20234.25,10117.12,,,0 CDM,74504577,Sheath Delivery Steerable Amplatzer 14 Fr,1604.25,802.12,,,0 CDM,74504578,"Catheter,Ablation,Non-Cardia",527.85,263.92,,,0 CDM,74504583,Gore Tag Tbe,59512.5,29756.25,,,0 CDM,74504586,Gore Tbe Side Branch,34471.71,17235.86,,,0 CDM,74504587,Gore Tbe Extender,48613.95,24306.98,,,0 CDM,74504588,Gore Tbe Aortic Component,141422.4,70711.2,,,0 CDM,74504589,Tactisys Quartz Rf Cable,1309.28,654.64,,,0 CDM,74504590,Cg Future Annuloplasty System,2499.53,1249.76,,,0 CDM,74504591,Tactiflex Se,4467.0,2233.5,,,0 CDM,74504592,Acqcross Qx Integrated Transseptal Dialator/Needle,962.55,481.28,,,0 CDM,74504593,Hydrophyllic Prelude Snap,54.86,27.43,,,0 CDM,74504594,Liquogard Tubing,853.0,426.5,,,0 CDM,74504595,Rapid Eeg Headband,938.0,469.0,,,0 CDM,74504596,Quadrox-Oxygenator,1567.56,783.78,,,0 CDM,74504597,Rotaflow Centrifugal Pump,337.41,168.7,,,0 CDM,74504598,Ecmo/Vad Tubing Pack,506.12,253.06,,,0 CDM,74504599,Nautilus Mc3-Oxygenator,4463.96,2231.98,,,0 CDM,74504600,Centrimag With Amg-Oxy,19639.13,9819.56,,,0 CDM,74504601,Amg-Oxygenator,1428.3,714.15,,,0 CDM,74504602,Centrimag,14997.15,7498.58,,,0 CDM,74504603,Impede-Fx-12 171-190,35707.5,17853.75,,,0 CDM,74504604,Impede-Fx-12 91-110,23805.0,11902.5,,,0 CDM,74504605,"Impede, 5 Mm",1428.3,714.15,,,0 CDM,74504606,Impede-Fx-12 51-70,17853.75,8926.88,,,0 CDM,74504608,"Impede, 7 Mm",1428.3,714.15,,,0 CDM,74504609,Impede-Fx-12 9-30,11902.5,5951.25,,,0 CDM,74504610,Impede-Fx 12 71-90,20829.38,10414.69,,,0 CDM,74504611,Impede-Fx-12 131-150,29756.25,14878.12,,,0 CDM,74504612,Impede-Fx 12 31-50,14878.13,7439.06,,,0 CDM,74504613,"Impede, 10 Mm",1428.3,714.15,,,0 CDM,74504614,Impede-Fx-12 111-130,26780.63,13390.32,,,0 CDM,74504615,"Impede-Fx, 6 Mm",1369.31,684.66,,,0 CDM,74504616,"Impede-Fx, 8 Mm",1369.31,684.66,,,0 CDM,74504617,Impede-Fx-12 151-170,32731.88,16365.94,,,0 CDM,74504618,Ekos+ Catheter,4041.68,2020.84,,,0 CDM,74504619,Edwards Pascal,36421.65,18210.82,,,0 CDM,74504620,Pluvicto,39315.15,19657.58,,,0 CDM,74504623,Ambu Ascope Bronch,417.11,208.56,,,0 CDM,74504626,"""Chg Wheelchair Cushion 4 """"""",148.01,74.0,,,0 CDM,74504627,Farastar - Catheter Connection Cable,1364.13,682.06,,,0 CDM,74504628,Faradrive - Steerable Sheath,1666.35,833.18,,,0 CDM,74504629,Farapoint - Pfa Point Catheter Study,3868.83,1934.42,,,0 CDM,74504630,Farawave Pfa - Catheter,7736.63,3868.32,,,0 CDM,74504632,Chg-Reservoir 12Om Filtered Cardio,453.33,226.66,,,0 CDM,74504633,Chg-Pump Tubing,689.31,344.66,,,0 CDM,74504635,Chg-Cardioplegia Delivery System,495.0,247.5,,,0 CDM,74504636,Chg-Hemoconcentrator,252.0,126.0,,,0 CDM,74504640,Afo Pos Solid Ank Plastic Mo,873.54,436.77,,,0 CDM,74504641,"Flotufolastat F 18, Diagnostic, 1 Mci",1047.9,523.95,,,0 CDM,74504642,Detour Stent Graft System-Non Or,25875.0,12937.5,,,0 CDM,74504643,Tracheo-Esophageal Voice Prosthesis Classic Nonsterile,441.95,220.98,,,0 CDM,74504644,Tracheo-Esophageal Voice Prosthesis Classic Sterile,449.19,224.6,,,0 CDM,74504645,Tracheo-Esophageal Voice Prosthesis Advantage Nonsterile,673.79,336.9,,,0 CDM,74504646,Mr. Frosty Cardioplegia H/E,247.37,123.68,,,0 CDM,74504647,Mr. Frosty Standard H/E,214.25,107.12,,,0 CDM,74504648,Blue Rhino Trach Set,889.07,444.54,,,0 CDM,74504649,Impella Rp Flex With Smart Assist,29756.25,14878.12,,,0 CDM,74504650,Harmony Transcatheter Pulmonic Valve & Delivery Kit,49395.38,24697.69,,,0 CDM,74504651,Saavy Wire,1364.13,682.06,,,0 CDM,74504652,S3 Ultra Resilia Tavr Valve,40468.5,20234.25,,,0 CDM,74504653,Verasight 3D Ice,4046.85,2023.42,,,0 CDM,74504654,Coraflex Microcatheter,962.55,481.28,,,0 CDM,74504655,Coraforce Microcatheter,962.55,481.28,,,0 CDM,74504657,Coracross Catheter,1147.82,573.91,,,0 CDM,74504658,Sentinel Cerebral Protection System,4761.0,2380.5,,,0 CDM,74504659,Jada Device,1542.15,771.08,,,0 CDM,74504676,Chgr-Rp In111 Dtpa Per 0.5 Mci,2601.0,1300.5,,,0 CDM,74504678,Chgr-Rp Ga67 Per Mci,95.0,47.5,,,0 CDM,74504679,Chgr-Rp I123 Capsule Per 100 Uci,178.0,89.0,,,0 CDM,74504681,Chgr-Rp I131 Nal Tx Capsules Per Mci,89.0,44.5,,,0 CDM,74504683,Chgr-Rp In111 Labeled Wbc Per Dose,4126.0,2063.0,,,0 CDM,74504684,Chgr-Rp Tc99 Sestamibi Per Dose,640.0,320.0,,,0 CDM,74504685,Chgr-Rp Tc99 Dtpa Per Dose,1412.0,706.0,,,0 CDM,74504686,Chgr-Rp Tc99 Gb Agent Per Dose,207.0,103.5,,,0 CDM,74504687,Chgr-Rp Tc99 Mag3 Per Dose,756.0,378.0,,,0 CDM,74504688,Chgr-Rp Tc99 Labeled Rbc's Per Dose,241.0,120.5,,,0 CDM,74504689,Chgr-Rp Tc99 Tco4 Per Mci,15.0,7.5,,,0 CDM,74504690,Chgr-Rp Tl201 Per Mci,136.0,68.0,,,0 CDM,74504693,Chgr-Rp Tc 99 Neurolite Per Dose,1896.0,948.0,,,0 CDM,74504696,Brachytherapy Needle,38.0,19.0,,,0 CDM,74504700,Chg-Echotip Procore Needle 25Gx5Cm,388.13,194.06,,,0 CDM,74504716,Chgr-Rp Tc99 Ceretec Labeled Wbc Per Dose,1996.0,998.0,,,0 CDM,74504751,"Balloon,Aga Sizing",969.0,484.5,,,0 CDM,74504761,Bard Permcath,788.67,394.34,,,0 CDM,74504765,Angio Dyn Unif-Infus Sys-30Cm,320.85,160.42,,,0 CDM,74504766,Chgr-Cd Angiodyn Unifuseinfus Sys50Cm,371.57,185.78,,,0 CDM,74504768,Chgr-Cd Arrowgard Blue Lg Bore Multilum Cvc,474.03,237.02,,,0 CDM,74504769,Pressure Wire,1008.0,504.0,,,0 CDM,74504772,"Sheath,Trans Intro 406805/901",491.63,245.82,,,0 CDM,74504775,"Sheath,Trns Intro",491.63,245.82,,,0 CDM,74504779,"Sheath,Laser",4996.98,2498.49,,,0 CDM,74504782,Ept Blazer 4500Th/4500Thk2,3009.78,1504.89,,,0 CDM,74504786,"Laser,Lead Cutter",239.09,119.54,,,0 CDM,74504787,"Laser,Lld Accessory Kit",317.75,158.88,,,0 CDM,74504788,"Laser,Lld Kit",1363.1,681.55,,,0 CDM,74504789,"Needle,Transseptal",688.0,344.0,,,0 CDM,74504791,Rotoglide,213.0,106.5,,,0 CDM,74504792,Sealing Adaptor,192.0,96.0,,,0 CDM,74504804,Chg-Socket Insert Below Knee,349.83,174.92,,,0 CDM,74504805,Chg-Postop Nonwgt Br Dsg Abv Knee,777.29,388.64,,,0 CDM,74504807,"Fluciclovine F18, Diag, 1Mci",782.0,391.0,,,0 CDM,74504808,"Chg-Gallium Ga-68 Dotatate, Diag",89.0,44.5,,,0 CDM,74504818,Chg-Warm Air Tubes,39.33,19.66,,,0 CDM,74504850,Chgr-Mm Stereo Needle Guide Add'l,57.96,28.98,,,0 CDM,74504860,"Chgr-Catheter, Balloon Mustang",507.15,253.58,,,0 CDM,74504865,Chgr-Needle Homer Mammo Lock Ultra,72.45,36.22,,,0 CDM,74504894,Chg-Intervent Supplies (Heart),1383.8,691.9,,,0 CDM,74504895,Chg-Retrieval Snare Microvena,2189.03,1094.52,,,0 CDM,74504970,Battery Holster,915.98,457.99,,,0 CDM,74505017,Chg-Sutures Package,65.21,32.6,,,0 CDM,74505020,Grfx/Strvx Skin Sub Per Sqcm,181.13,90.56,,,0 CDM,74505021,Chg - Grafix Skin Sub Waste Sqcm,181.13,90.56,,,0 CDM,74505036,Chg - Cath Lantern,1112.63,556.32,,,0 CDM,74505037,Chg - Drain Resolve,112.0,56.0,,,0 CDM,74505038,Chg - Drain Resolve Biliary,122.13,61.06,,,0 CDM,74505041,Chg - Guide Surefire,464.72,232.36,,,0 CDM,74505042,Chg - Port Bard 8F Sl Non Power,508.19,254.1,,,0 CDM,74505043,Chg - Stent Biliary Wallflex Covered,1874.39,937.2,,,0 CDM,74505045,Chg - Trevo Provue Kit,8618.45,4309.22,,,0 CDM,74505051,Chg - Coil Target Xl 360 Soft 6-12Mm,2579.22,1289.61,,,0 CDM,74505052,Chg - Coil Target Xl 360 Std 6-12Mm,2579.22,1289.61,,,0 CDM,74505053,Chg - Coil Target Xl 360 Soft 14-20Mm,2814.17,1407.08,,,0 CDM,74505054,Chg - Coil Target Xl 360 Std 14-24Mm,2814.17,1407.08,,,0 CDM,74505055,Chg - Coil Target Xl Helical 14-24Mm,2110.37,1055.18,,,0 CDM,74505056,Chg - Coil Target Xl Helical 5-12Mm,1875.42,937.71,,,0 CDM,74505102,I131 Iodide Sol Rx Per 1 Mci,40.0,20.0,,,0 CDM,74505103,Tissue Sealer Small Jaw Disp,670.0,335.0,,,0 CDM,74505104,Trial Flortaucipir F 18 Inj. Tauvid,1.04,0.52,,,0 CDM,74505119,Chg-Cath Ptchg-Ca,425.39,212.7,,,0 CDM,74505160,Chg-Cath Picc 4Fr Pqe-4834G,315.68,157.84,,,0 CDM,74505161,Chg-Cath Picc 5Fr Dl P5Dg,422.28,211.14,,,0 CDM,74505166,Chg-Human Milk Fortifier 50Pk,291.87,145.94,,,0 CDM,74505201,Forceps Biopsy Jaws Disposable,297.0,148.5,,,0 CDM,74505202,Sheath Cook Biopsy,329.13,164.56,,,0 CDM,74505203,"Coil,Inlock,Vortx Dimd 2/3X2.3",944.96,472.48,,,0 CDM,74505204,"Coil,Inlock,Vortx Dimd 2/4X4.1",944.96,472.48,,,0 CDM,74505205,"Coil,Inlock,Vortx Dimd 2/5X5.8",944.96,472.48,,,0 CDM,74505206,"Coil,Inlock,Vortx Dimd 2/6X8.0",944.96,472.48,,,0 CDM,74505207,"Coil,Inlock,2D Helical 10X30",944.96,472.48,,,0 CDM,74505208,"Coil,Inlock,2D Helical 12X30",944.96,472.48,,,0 CDM,74505209,"Coil,Inlock,2D Helical 14X30",944.96,472.48,,,0 CDM,74505210,"Coil,Inlock,2D Helical 14X20",944.96,472.48,,,0 CDM,74505211,"Coil,Inlock,2D Helical 12X20",944.96,472.48,,,0 CDM,74505212,"Coil,Inlock,2D Helical 10X20",944.96,472.48,,,0 CDM,74505213,"Coil,Inlock,2D Helical 8X20",944.96,472.48,,,0 CDM,74505214,"Coil,Inlock,2D Helical 3X12",944.96,472.48,,,0 CDM,74505215,"Chgr-Sp Coil, Inlock, 2D Helical 4X15",944.96,472.48,,,0 CDM,74505216,"Coil,Inlock,2D Helical 5X15",944.96,472.48,,,0 CDM,74505217,"Coil,Inlock,2D Helical 6X20",944.96,472.48,,,0 CDM,74505218,"Coil,Inlock,2D Helical 6X10",944.96,472.48,,,0 CDM,74505219,"Coil,Inlock,2D Helical 3X6",944.96,472.48,,,0 CDM,74505220,"Coil,Inlock,2D Helical 5X8",473.0,236.5,,,0 CDM,74505221,"Coil,Inlock,2D Helical 4X8",944.96,472.48,,,0 CDM,74505223,Port-Bard Mri Mediport,1503.86,751.93,,,0 CDM,74505244,Chg-Rotablator Advancer,894.24,447.12,,,0 CDM,74505246,"Lead,Pacemaker Capsure Fix",4025.12,2012.56,,,0 CDM,74505305,Laser Catheter,4096.53,2048.26,,,0 CDM,74505471,"Sheath,Micropuncture Cook",183.0,91.5,,,0 CDM,74505472,"Sheath,Raabe Cook",189.41,94.7,,,0 CDM,74505473,"Catheter,Glidecath Terumo",119.03,59.52,,,0 CDM,74505474,"Chgr-Cd Catheter, Aqua Tempo Cordis",141.8,70.9,,,0 CDM,74505475,"Sheath,Pinnacle Terumo",115.0,57.5,,,0 CDM,74505520,Transducer Disposable Cardiac,66.0,33.0,,,0 CDM,74505600,Chg-Perclose Closer,1549.4,774.7,,,0 CDM,74505605,Chg-Stent Periph Wallchg-Stent,3627.68,1813.84,,,0 CDM,74505606,Rotoblator Advancer,3540.74,1770.37,,,0 CDM,74505610,Balloon Ptca Guidant,461.61,230.8,,,0 CDM,74505611,Balloon Peripheral Viatrac,507.15,253.58,,,0 CDM,74505612,Chg-Guidewire Ptca Medtronic Gt1,355.01,177.5,,,0 CDM,74505615,"Catheter,Ablation Conductor",2964.24,1482.12,,,0 CDM,74505620,Angioseal 6Fr,668.0,334.0,,,0 CDM,74505621,Angioseal 8Fr,645.0,322.5,,,0 CDM,74505626,"Chgr-Cd Lead, Pacemaker Tendril Dx",4025.12,2012.56,,,0 CDM,74505631,Angiojet Catheter,4248.68,2124.34,,,0 CDM,74505636,"Chgr-Cd Loop Recorder, Reveal",10081.94,5040.97,,,0 CDM,74505637,Stent Periph Herculink Otw Bil,1571.13,785.56,,,0 CDM,74505642,"Lead,Pacemaker Myocardial",4025.12,2012.56,,,0 CDM,74505756,Chg Vaginal Delivery Supply Charge,638.6,319.3,,,0 CDM,74505814,"Lead,Pacemaker Surefix",1834.02,917.01,,,0 CDM,74505822,"Catheter,Ablation Blazer Ii",2668.23,1334.12,,,0 CDM,74505823,"Catheter,Ablat Halo Irvine/Bio",2149.7,1074.85,,,0 CDM,74505824,Stent Coronary Guidant,1987.2,993.6,,,0 CDM,74505825,Stent Coronary Scimed,1571.13,785.56,,,0 CDM,74505826,Chgr-Cd Stent Coronary Cordis,4682.34,2341.17,,,0 CDM,74505827,Stent Coronary Medtronic,1571.13,785.56,,,0 CDM,74505828,Balloon Ptca Scimed,392.0,196.0,,,0 CDM,74505829,Balloon Ptca Cordis,1140.57,570.28,,,0 CDM,74505830,Balloon Ptca Medtronic,392.0,196.0,,,0 CDM,74505831,Catheter Guide Scimed,170.0,85.0,,,0 CDM,74505832,Catheter Guide Cordis,275.0,137.5,,,0 CDM,74505833,Catheter Guide Medtronic,168.0,84.0,,,0 CDM,74505834,Guidewire Ptca Scimed,255.0,127.5,,,0 CDM,74505836,Guidewire Ptca Medtronic,268.07,134.04,,,0 CDM,74505837,Indaflator Scimed,134.0,67.0,,,0 CDM,74505839,Angiojet Pump Set,940.82,470.41,,,0 CDM,74505844,"Catheter,Ablation Flex St Jude",3113.0,1556.5,,,0 CDM,74505857,Chg-Balloon Stonetome,1147.82,573.91,,,0 CDM,74505859,Chg-Cre Balloon Dilators,991.53,495.76,,,0 CDM,74505860,Chg-Dual Lumen Needle Knife,496.8,248.4,,,0 CDM,74505861,Chg-Dual Port Feed Tube Kit,132.48,66.24,,,0 CDM,74505866,Chg-Polyp Ligating Device,297.05,148.52,,,0 CDM,74505871,Chg-Tripod,173.88,86.94,,,0 CDM,74505876,Chg-Roth Retrieval Nte,668.61,334.3,,,0 CDM,74505884,Chg-Vac Pump Cannister Ea,163.53,81.76,,,0 CDM,74505900,Chgr-Rp Tc 99 Mdp Per Dose,126.0,63.0,,,0 CDM,74505901,Chgr-Rp Tc 99 Sulfur Colloid Per Dose,198.0,99.0,,,0 CDM,74505905,Chgr-Rp Tc 99 Maa Per Dose,1883.0,941.5,,,0 CDM,74505906,"Trial Vesper Venous Stent,Vivid",1.04,0.52,,,0 CDM,74506003,Chg-Suction Nasogastric,65.21,32.6,,,0 CDM,74506006,Chg Resuscitator-Neonatal,194.0,97.0,,,0 CDM,74506027,"Chgr-Sp Cath, Ureteral Stent Inlay 6X26",646.88,323.44,,,0 CDM,74506028,"Chgr-Sp Cath, Ureteral Stent Inlay 6X24",388.13,194.06,,,0 CDM,74506040,Chg-Splint Aluminum Finger,69.35,34.68,,,0 CDM,74506048,Chg-Needle Spinal 18Gx3.5,39.33,19.66,,,0 CDM,74506057,Chg-Stent,593.06,296.53,,,0 CDM,74506062,Chg-Electrode Fast Patch Defib Ecg,130.41,65.2,,,0 CDM,74506071,Guidewire .021 Dia 480Cm Long,132.48,66.24,,,0 CDM,74506077,Chg-Set Brodmerkel Colon Decompress,446.09,223.04,,,0 CDM,74506080,Chg-Kit Vent Bolt Pressure Monit,2388.78,1194.39,,,0 CDM,74506085,Chg-Needle Biopsy Asp 18 Disp,154.0,77.0,,,0 CDM,74506086,Chg-Bag Leg Dispoz A Bag,72.45,36.22,,,0 CDM,74506087,Chg-Code Blue Gastric Lavage Kit,214.25,107.12,,,0 CDM,74506091,Chg-Needle Klatskin,616.86,308.43,,,0 CDM,74506092,Chg-Snare Polypectomy,139.73,69.86,,,0 CDM,74506099,Chg-20 Fr Bard Tube Replacement,336.38,168.19,,,0 CDM,74506100,Chg-Needle Sclerotherapy,221.49,110.74,,,0 CDM,74506103,Chg-Sutures Pack,84.87,42.44,,,0 CDM,74506130,Chgr-Coaccess System 3.5 / 15 / 15,3100.86,1550.43,,,0 CDM,74506193,"Lead,Cs Attain Starfix",8479.76,4239.88,,,0 CDM,74506201,Chg-Retrieval Balloon Cath,541.31,270.66,,,0 CDM,74506212,Tack Endovascular System,2321.51,1160.76,,,0 CDM,74506213,Chg-Stent Wall-Colonic 90Mm,10033.29,5016.64,,,0 CDM,74506216,Chg-Stent Ultra Esophageal,8661.92,4330.96,,,0 CDM,74506221,Guidewire Roadrunner,362.25,181.12,,,0 CDM,74506250,Chg-Kit Cranial Access,629.0,314.5,,,0 CDM,74506262,Chg Bag Heartmate 11,556.83,278.42,,,0 CDM,74506264,"Chg Shower Bag Hrtm Ii,Rep",822.83,411.42,,,0 CDM,74506400,Chg Sys Contrlr Batt Ea-Rep,186.0,93.0,,,0 CDM,74506401,Chg Heartmate Battry Ea-Rep Only,1611.5,805.75,,,0 CDM,74506500,"Chg Afo Add Fx, Shoe Ank Jt",188.37,94.18,,,0 CDM,74506502,Chg Afo Add With D/Pf Assist Ea,134.55,67.28,,,0 CDM,74506503,Chg Afo Add With Df Assist Ea,110.75,55.38,,,0 CDM,74506505,Chg Afo Custom W/Ankle Joint,1082.61,541.3,,,0 CDM,74506507,Chg Afo Plastic Prefab,364.32,182.16,,,0 CDM,74506508,Chg Afo Solid Custom,898.38,449.19,,,0 CDM,74506509,Chg Afo Static Prefab,271.17,135.58,,,0 CDM,74506510,L3960 Sewho Airplane Abd Pre,893.21,446.6,,,0 CDM,74506512,Chg Ankle Rom Limit Joint,80.73,40.36,,,0 CDM,74506514,Big Grip W/C Only,19.67,9.84,,,0 CDM,74506517,Blue Knead Ball W/C Only,19.67,9.84,,,0 CDM,74506518,Chg Boot L'nard T Walker,271.17,135.58,,,0 CDM,74506519,Chg Boot Walk Pneu Aircast Prefab,470.93,235.46,,,0 CDM,74506520,"Chg Boot,Camboot Eq Non Pneumatic",257.72,128.86,,,0 CDM,74506522,Chg Cerv Collar Multipost Adj Cust,753.48,376.74,,,0 CDM,74506523,Chg Cerv Collar Semi Rig 2 Pce Cus,219.42,109.71,,,0 CDM,74506524,Chg Cerv Foam Collar Cust Non Adj,48.65,24.32,,,0 CDM,74506526,L3906 Who W/O Joints Cf,422.28,211.14,,,0 CDM,74506527,L3671 So Cap Design W/O Jnt Cf,497.84,248.92,,,0 CDM,74506529,L3999 Ue Orthotic No Specified,46.58,23.29,,,0 CDM,74506530,Chg Cranial Orthosis (Helmet) Cust,965.66,482.83,,,0 CDM,74506534,L3921 Hfo W/Joint(S) Cf,309.47,154.74,,,0 CDM,74506536,L3931 Whfo Nontorsion Jnt Pre,228.74,114.37,,,0 CDM,74506537,L3929 Hfo Nontors Jnt Pre Cust,99.36,49.68,,,0 CDM,74506540,L3806 Whfo W/Joint(S) Cf,436.77,218.38,,,0 CDM,74506546,L3760 Eo W/Jnt Adj Lock Pre,478.17,239.08,,,0 CDM,74506547,L3730 Eo Dbl Up Ex/Flx Asst Cf,1338.26,669.13,,,0 CDM,74506549,L3740 Eo Dbl Up Adj Lock Cf,1447.97,723.98,,,0 CDM,74506550,Exercise Eggs W/C Only,19.67,9.84,,,0 CDM,74506551,L3912 Hfo Flex Glove Pre Ots,85.91,42.96,,,0 CDM,74506558,Chg Foot Prost Energy Storing,912.87,456.44,,,0 CDM,74506561,"Chg Halo Add, Mri Compatible",2084.49,1042.24,,,0 CDM,74506562,Chg Halo Cervica Inc Jkt/Vest Cust,3950.6,1975.3,,,0 CDM,74506564,L3913 Hfo W/O Joints Cf,259.79,129.9,,,0 CDM,74506571,Chg Hip Add Flex/Ext/Abduct,508.19,254.1,,,0 CDM,74506573,Chg Hip Ortho Abdct Post Op Prefab,1743.98,871.99,,,0 CDM,74506575,L3763 Ewho Rigid W/O Jnts Cf,697.59,348.8,,,0 CDM,74506576,L3980 Ue Fx Ortho Humeral Pre,316.71,158.36,,,0 CDM,74506577,Isotoner/Edema Gloves,19.67,9.84,,,0 CDM,74506580,Chg Kafo Add Laminated/Comp,214.25,107.12,,,0 CDM,74506582,Chg Kafo Add Solid Stirrup,311.54,155.77,,,0 CDM,74506583,Chg Kafo Add Varus/Valgus Plastic,202.86,101.43,,,0 CDM,74506586,Chg Kafo Soft Interface Above,148.01,74.0,,,0 CDM,74506587,Chg Kafo Soft Interface Bka,139.73,69.86,,,0 CDM,74506588,Chg Knee Above Post Sock Multi,42.44,21.22,,,0 CDM,74506600,Chg Knee Add Ab Silesian Bandage,176.99,88.5,,,0 CDM,74506601,Chg Knee Add Above Sleeve Neoprene,315.68,157.84,,,0 CDM,74506607,Chg Knee Add Below Distal Cushion,171.81,85.9,,,0 CDM,74506608,Chg Knee Add Below Endo Alignable,594.09,297.04,,,0 CDM,74506615,Chg Knee Add Below Total Contact,557.87,278.94,,,0 CDM,74506616,Chg Knee Add Below Waist Belt Web,106.61,53.3,,,0 CDM,74506626,Chg Knee Bk Fit Post Op Rigid Drsg,1942.7,971.35,,,0 CDM,74506628,Chg Knee Below Prost Sock Multi,41.4,20.7,,,0 CDM,74506631,Chg Knee Below Ptb Socket Prefab,694.49,347.24,,,0 CDM,74506632,Chg Knee Orthosis Adj Joint Prefab,1078.47,539.24,,,0 CDM,74506635,Chg Knee Prost Above Shrinker,113.85,56.92,,,0 CDM,74506636,Chg Knee Prost Ab Sock Single Ply,19.67,9.84,,,0 CDM,74506637,Chg Knee Prost Below Shrinker,75.56,37.78,,,0 CDM,74506638,Chg Knee Prost Bk Sock Single Ply,17.6,8.8,,,0 CDM,74506642,"Knife,Case Rocker W/C Only",20.7,10.35,,,0 CDM,74506659,L3702 Eo W/O Jt Cf,277.38,138.69,,,0 CDM,74506662,"Chg Reacher,All Featherwght",37.0,18.5,,,0 CDM,74506671,L3927 Fo Pip Dip No Jt Pre Ots,37.26,18.63,,,0 CDM,74506675,Shoehorn,18.63,9.32,,,0 CDM,74506676,Chg Shoelaces Elastic All Sizes,14.49,7.24,,,0 CDM,74506678,Derm/Epidermal Gel Sheet,68.31,34.16,,,0 CDM,74506680,"L3995 Add Ue Ortho, Sock, Fx",60.03,30.02,,,0 CDM,74506681,Chg Sock Aid,19.0,9.5,,,0 CDM,74506682,Chg Soft Inner Face For Bka,139.73,69.86,,,0 CDM,74506683,L3925 Fo Pip Dip/Sprng Pre Ots,51.75,25.88,,,0 CDM,74506684,L3919 Ho W/O Joints Cf,259.79,129.9,,,0 CDM,74506686,Suction Brush,17.6,8.8,,,0 CDM,74506688,Chg Theraband (Per Yard),14.49,7.24,,,0 CDM,74506689,Chg Theraplus Soft Spastic Prefab,85.91,42.96,,,0 CDM,74506690,Chg Theraputty,14.49,7.24,,,0 CDM,74506691,"Chg Thoracic, Rib Belt, Custom",786.6,393.3,,,0 CDM,74506695,Chg Tlso Triplan 1 Pc Rigid Prefab,1600.11,800.06,,,0 CDM,74506696,Chg Tlso Triplan 2 Pc W/Liner Cust,2855.57,1427.78,,,0 CDM,74506702,L3908 Who Cock-Up Pre Ots,111.78,55.89,,,0 CDM,74506703,Chgr-Mm Biopsy Probe,1318.59,659.3,,,0 CDM,74506709,Perclose 6Fr,696.0,348.0,,,0 CDM,74506716,L3720 Eo Dbl Up W/Arm Cuff Cf,698.63,349.32,,,0 CDM,74506719,"Chg Knife, Rocker",43.47,21.74,,,0 CDM,74506722,Chg Tlso Prefabricated,619.97,309.98,,,0 CDM,74506741,L3808 Whfo Rigid W/O Jnt(S) Cf,359.15,179.58,,,0 CDM,74506743,Chg Wrist Be Prost Test Socket,345.69,172.84,,,0 CDM,74506750,"Chg Boot, Walk Cam Low Top",257.72,128.86,,,0 CDM,74506751,"Chg Boot, Walk Cam Pre Inflate",257.72,128.86,,,0 CDM,74506752,"Chg Boot, Walk Cam W/Dial",257.72,128.86,,,0 CDM,74506753,Chg Afo Ant Tib Prefab,1412.78,706.39,,,0 CDM,74506761,Chg Cervical Miami Collar,421.25,210.62,,,0 CDM,74506762,Chg Cervical Miami Padding,82.8,41.4,,,0 CDM,74506763,Chg Cervical Post Occ/Man Col Adj,579.6,289.8,,,0 CDM,74506770,Chg Hip Post Op Abduct Custom,1881.63,940.82,,,0 CDM,74506771,Chg Kafo Dble Solid Stirrup,1889.91,944.96,,,0 CDM,74506772,Chg Kafo Femur Fracture Fx Cast Rig,1961.33,980.66,,,0 CDM,74506774,Chg Knee Adj Motion Jnt Lerman,291.87,145.94,,,0 CDM,74506776,Chg Knee Bk Fork Strap,83.84,41.92,,,0 CDM,74506779,Chg Knee Cap Med Or Lat,209.07,104.54,,,0 CDM,74506780,Chg Knee Drop Lock,158.36,79.18,,,0 CDM,74506782,Chg-Knee Joint Torsion Straight,192.51,96.26,,,0 CDM,74506784,Chg Knee Oroth Elastic/Neopr,114.89,57.44,,,0 CDM,74506786,Chg Knee Socket Insert Wo Lock,955.31,477.66,,,0 CDM,74506789,"Chg Lso, Aspen Back Brace",1625.99,813.0,,,0 CDM,74506790,Chg Lso Corset Front,189.41,94.7,,,0 CDM,74506791,Chg Lso Corset Prefab,262.89,131.44,,,0 CDM,74506792,Chg Lso Flex Control Back Br,460.58,230.29,,,0 CDM,74506793,Chg Lso Sag Coronal Prefab,1701.54,850.77,,,0 CDM,74506794,Chg Lso Sag Coronal Shell Cust,1658.07,829.04,,,0 CDM,74506795,Chg Lso Sag Coronal Shell Pre,1701.54,850.77,,,0 CDM,74506796,Chg Lumbar Orthosis Flexible,99.36,49.68,,,0 CDM,74506797,Chg Lumbar Orthotic Sagett Prefab,654.12,327.06,,,0 CDM,74506801,L3650 So 8 Abd Restrnt Pre Ots,89.01,44.5,,,0 CDM,74506802,"Chg Shoe, Amb Post Op Custom",181.13,90.56,,,0 CDM,74506805,Chg Sock Femoral Length,104.54,52.27,,,0 CDM,74506809,Chg Tibial Pre Shell Molded Cust,879.75,439.88,,,0 CDM,74506810,Chg Tlso Ant Thor Extension,368.46,184.23,,,0 CDM,74506813,Chg Tlso Rigid Cust Plastc Lined,2688.93,1344.46,,,0 CDM,74506814,Chg Tlso Rigid Custom Lined,2504.7,1252.35,,,0 CDM,74506815,Chg Tlso Triplanar Prefab,1975.82,987.91,,,0 CDM,74506817,L3807 Whfo W/O Joints Pre Cust,297.05,148.52,,,0 CDM,74506827,Syvek Patch-Large,274.28,137.14,,,0 CDM,74506828,Syvek Patch-Small,176.99,88.5,,,0 CDM,74506890,Catheter His Bundle Medtronic,641.7,320.85,,,0 CDM,74506891,Catheter His Pacing Boston Sci,562.01,281.0,,,0 CDM,74506892,Guidewire Judo Straight Tip,176.99,88.5,,,0 CDM,74506900,Gps Single Kit,940.82,470.41,,,0 CDM,74506901,Chg Gps Double Kit,1633.23,816.62,,,0 CDM,74506902,Gps Mini Kit,707.94,353.97,,,0 CDM,74506903,Edwards Latex Free Swan Gans,1108.0,554.0,,,0 CDM,74507101,"Chgr Coil, Microvention Vfc",2799.68,1399.84,,,0 CDM,74507102,"Chgr Coil, Microven Hypersoft 3D",2750.0,1375.0,,,0 CDM,74507103,"Chgr Coil, Micro Hypsft 1.5-2.5Mm",1973.75,986.88,,,0 CDM,74507104,"Chgr Coil, Micro Hypersoft 3-4Mm",2045.16,1022.58,,,0 CDM,74507105,"Chgr Coil, Microven Hydroframe",3635.96,1817.98,,,0 CDM,74507106,"Chgr Coil, Microven 18 Hydroframe",4216.59,2108.3,,,0 CDM,74507107,"Chgr Coil, Microven 10 Hydrosoft",2564.73,1282.36,,,0 CDM,74507108,"Chgr Cath, Penumbra 5Maxace132",3693.92,1846.96,,,0 CDM,74507109,"Chgr Cath, Penumbra 5Maxace064",3693.92,1846.96,,,0 CDM,74507110,"Chgr Cath, Covidien Cello Balloon",1493.51,746.76,,,0 CDM,74507111,"Chgr Cath, Renegade 18 150Cm 2 Tip",1099.17,549.58,,,0 CDM,74507112,"Chgr Ball, Sceptor Xc 4X11",2077.25,1038.62,,,0 CDM,74507113,"Chgr Stent, Wall Flex 8.5F X 75Cm",2225.25,1112.62,,,0 CDM,74507114,"Chgr Guide, Surefire 5F 65Cm",297.05,148.52,,,0 CDM,74507115,"Chgr Port, Angiodynamics Mini 6.6F",408.83,204.42,,,0 CDM,74507122,"Pacemaker, Etrinsa, Biv",21797.1,10898.55,,,0 CDM,74507131,"Chgr-Sp Kyphx Express 1St, Kpe1003",7942.59,3971.3,,,0 CDM,74507500,"Chgr-Sp Drain System, Express Mini 500",149.04,74.52,,,0 CDM,74507700,"Chgr-Sp Introducer Sys, Vena Tech Lp",486.45,243.22,,,0 CDM,74507900,Chg Spyglass Probe,419.18,209.59,,,0 CDM,74508001,Chgr-Flurodeoxyglucose F18 45Mi,186.0,93.0,,,0 CDM,74508052,Chg-Strap Clavicle Adult Large,57.96,28.98,,,0 CDM,74508078,Splint Cock Up,62.1,31.05,,,0 CDM,74508150,Chgr-Sp Cath Powerline 6Fr Dl,320.85,160.42,,,0 CDM,74508169,Chg-Shoe Post Op Female Lg Velcro,162.5,81.25,,,0 CDM,74508227,Chg-Sling Arm Small,136.62,68.31,,,0 CDM,74508900,Chg-Humidifer Chamber,39.33,19.66,,,0 CDM,74508905,"Chg-Nasal Pillows,Lg.",110.75,55.38,,,0 CDM,74508906,"Chg-Nasal Pillows,Med.",123.17,61.58,,,0 CDM,74508907,"Chg-Nasal Pillows,Sm.",123.17,61.58,,,0 CDM,74508918,Chg-Oscillator Circuit,461.61,230.8,,,0 CDM,74508921,Sup Implant Adhes Barrier/Intrceed,1223.58,611.79,,,0 CDM,74508931,Chg Implant Mesh Graft Torso/Perin (C1781),1870.25,935.12,,,0 CDM,74509027,Chg-Jagwire,511.29,255.64,,,0 CDM,74509028,Catheter Triple Lumen Arrow 7F,541.31,270.66,,,0 CDM,74509090,Chg Catheter Kit Mac Ac,167.0,83.5,,,0 CDM,74509092,Chg Bowl Set Brat,141.8,70.9,,,0 CDM,74509100,Chg-System Fecal Management,809.0,404.5,,,0 CDM,74509120,Chg-Central Ven Oximetry Cath Kit,728.64,364.32,,,0 CDM,74509123,Chg-Foreign Body Hood,57.96,28.98,,,0 CDM,74509143,Chg-Casting Fiberglass 3In Roll,34.16,17.08,,,0 CDM,74509292,Chg Iupc,233.0,116.5,,,0 CDM,74509297,Chg-Needle Gripper Huber 20Gx1,42.44,21.22,,,0 CDM,74509450,Chg - Thoratex Mobile Power Unit,14019.08,7009.54,,,0 CDM,74509555,"Catheter,Palindrome Tdc",1321.7,660.85,,,0 CDM,74509900,Chgr-Cd Disposable Angiographic Kit,308.43,154.22,,,0 CDM,74509901,Chgr-Cd Pacemaker Service Kit,219.42,109.71,,,0 CDM,74509999,Chg Orthopedic Appliances 1,35.0,17.5,,,0 CDM,74510004,Chg-Dressing Saturated Wound,38.3,19.15,,,0 CDM,74510041,"Lead,Mdl282-283Endotkreliance",3064.64,1532.32,,,0 CDM,74510043,"Lead,Mdl285-286Endotakreliance",3064.64,1532.32,,,0 CDM,74510044,"Lead,Mdl292-293Endotakreliance",7500.0,3750.0,,,0 CDM,74510045,"Lead,Mdl295-296Endotakreliance",3064.64,1532.32,,,0 CDM,74510061,"Chgr-Sp Kit, Conf Spinal Cmt, Ndless Sys",1973.75,986.88,,,0 CDM,74510062,"Chgr-Sp Needle, Confidence Intr, 11G, 4In",234.95,117.48,,,0 CDM,74510063,"Chgr-Sp Needle, Confidence Intr, 11G, 6In",234.95,117.48,,,0 CDM,74510135,"Chgr-Sp Cath, Onestep Pruitt, 5Fr X 15",45.54,22.77,,,0 CDM,74510136,"Chgr-Sp Cath, Onestep Pruitt, 5Fr X 10",45.54,22.77,,,0 CDM,74510137,"Chgr-Sp Cath, Onestep Pruitt, 5Fr X 7",121.1,60.55,,,0 CDM,74510151,Picc Sl Arrow 4Fr,320.85,160.42,,,0 CDM,74510227,L3674 So Airplane W/Wo Jnt Cf,1301.0,650.5,,,0 CDM,74510228,"Chg Afo, Walk Boot Type Cus Fab",2361.87,1180.94,,,0 CDM,74510489,Chg-Splint 3In Ocl,20.7,10.35,,,0 CDM,74510800,"Implant,Cardiomems Hf System",25350.0,12675.0,,,0 CDM,74510801,"Pacemaker,Essentio Dr",31850.06,15925.03,,,0 CDM,74510802,"Pacemaker, Essentio Vr",8023.32,4011.66,,,0 CDM,74511051,Chgr-Sp Vasoseal Es Closure Device,970.83,485.42,,,0 CDM,74511052,Chg-Ventilator Setup Charge 94656,474.03,237.02,,,0 CDM,74511055,Chgr-Catheter Set,463.68,231.84,,,0 CDM,74511057,Chgr-Sp Wire Jcurve,133.52,66.76,,,0 CDM,74511058,Chgr-Sp Radifocus Introducer,185.27,92.64,,,0 CDM,74511059,Chgr-Sp Suture Monosof 70P16,34.16,17.08,,,0 CDM,74511060,Chg Adm Supplies New Born,311.0,155.5,,,0 CDM,74511063,Dressing Change/Supplies Min,82.0,41.0,,,0 CDM,74511064,Chg Admission/Supplies Women's Health,155.0,77.5,,,0 CDM,74511065,Chgr-Sp Introducer 7 Fr,1654.97,827.48,,,0 CDM,74511066,Chgr-Mm Disposable Probe Guide,60.0,30.0,,,0 CDM,74511068,Chgr-Mm Fna Needle Set,334.31,167.16,,,0 CDM,74511085,"Chgr-Sp Kyphx Bone Filler Device, Fo6B",338.45,169.22,,,0 CDM,74511102,Chgr-Sp Needle Kit Guide 21G,398.48,199.24,,,0 CDM,74511579,Chg-Huber Bent Needle,68.31,34.16,,,0 CDM,74511586,Chg-Screw Cortical 3.5Mm R Maxillo,50.72,25.36,,,0 CDM,74511888,"Drug Elut Stent,Resolut,Intgrt",3004.61,1502.3,,,0 CDM,74511890,"Glidesheath,Radial 6F Nitinol",194.0,97.0,,,0 CDM,74511892,"Glidesheath,Radial 5F Sskit 25",175.0,87.5,,,0 CDM,74511893,"Glidesheath,Radial 6F Sskit 25",200.79,100.4,,,0 CDM,74511899,"Glidesheath,Radial 5F Nitinol",200.79,100.4,,,0 CDM,74511971,Glidewire .018 & .035 Straight,291.87,145.94,,,0 CDM,74512003,Catheter Ureteral Open End 5F,68.31,34.16,,,0 CDM,74512005,Chg-Needle Biopsy Disp,306.36,153.18,,,0 CDM,74512141,Chg-Stapler Skin Regular,234.95,117.48,,,0 CDM,74512208,Chg-Suture Retriever,162.5,81.25,,,0 CDM,74512308,Chg-Kit Urine Collection,39.33,19.66,,,0 CDM,74512421,Go Gear Battery Charger,9687.6,4843.8,,,0 CDM,74512422,Gogear Battery Clips (2 Sets Of 2),1859.55,929.78,,,0 CDM,74512430,Chg Cath-Icy Start Up Kit Only,106.61,53.3,,,0 CDM,74512431,Bard Powerport Sl Mri 8 Fr,1420.02,710.01,,,0 CDM,74512432,Chg Cath-Thermoguard Icy Cath,1750.19,875.1,,,0 CDM,74512434,Chg Cath-Coolline Start Up Kit,639.63,319.82,,,0 CDM,74512435,Chg Cath-Icy Cath Only,1646.69,823.34,,,0 CDM,74512437,Chg Cath-Coolline Cath Only,956.34,478.17,,,0 CDM,74512450,Cath-Icy Start Up Kit Only,639.63,319.82,,,0 CDM,74512471,Chg-Shoe Flat,56.93,28.46,,,0 CDM,74512474,Dermabond,67.0,33.5,,,0 CDM,74512502,Chg-Probe Electrosurgical,311.54,155.77,,,0 CDM,74512616,Chg Nebulizer Rain Drop,19.67,9.84,,,0 CDM,74512622,Needle Spinal 20 G X 3.5,19.67,9.84,,,0 CDM,74512633,Sling Arm Xlg,21.74,10.87,,,0 CDM,74513003,Chg-Crutch Youth Adjust Alum,139.73,69.86,,,0 CDM,74513005,Chg Oasis Per Sq Sm Wasted-Q4102,32.09,16.04,,,0 CDM,74513015,"Chgr-Sp Jtube, Securlok, 14F X 7, 10Ml Bln",278.42,139.21,,,0 CDM,74513016,"Chgr-Sp Jtube, Securlok, 16F X 7, 10Ml Bln",278.42,139.21,,,0 CDM,74513018,"Chgr-Sp Jtube, Securlok, 18F X 7, 10Ml Bln",278.42,139.21,,,0 CDM,74513019,"Chgr-Sp Jtube, Securlok, 22F X 7, 10Ml Bln",278.42,139.21,,,0 CDM,74513021,Chg - Hw Implant Set,163958.49,81979.24,,,0 CDM,74513024,Chg Hw Implant Accessories,10336.55,5168.28,,,0 CDM,74513030,"Closure Device,Exoseal",512.33,256.16,,,0 CDM,74513032,"Closure,Mynx Cad,5Fr Grey",605.48,302.74,,,0 CDM,74513034,"Closure,Mynx Cad,6/7Fr Green",605.48,302.74,,,0 CDM,74513066,Chg-Tube Sump Salem 16Fr,32.09,16.04,,,0 CDM,74513602,"Lead,Defib,Quartet,Quadripolar",5499.99,2750.0,,,0 CDM,74514004,Cook Needles Eye Snare,660.33,330.16,,,0 CDM,74514011,Chgr-Cd Cook Byrd Dilator Sheath,364.32,182.16,,,0 CDM,74514015,Cook Bulldog Lead Extender,372.6,186.3,,,0 CDM,74514060,Peripheral Athrectomy Catheter,3540.74,1770.37,,,0 CDM,74514079,"Lead,Pacemaker Dextrus",1540.08,770.04,,,0 CDM,74514085,Chgr-Sp Filter Wire Embolic Protection,3313.04,1656.52,,,0 CDM,74514757,"Chgr-Sp Stent Bil Luminexx 14X60, 80 Cm",3615.26,1807.63,,,0 CDM,74514759,"Cath,Bln,Atlas,14X4,75 Cm,7 Fr",973.94,486.97,,,0 CDM,74514762,"Snare Kit,Goose Neck,6Fr,20Mm",660.33,330.16,,,0 CDM,74514800,D300 Rapid Infusor Disposable,208.04,104.02,,,0 CDM,74514801,Chg French Kit Cath Introducer,85.91,42.96,,,0 CDM,74514802,Chg Lg Bore Multilumen Introduce,202.86,101.43,,,0 CDM,74514803,Chg Insertion Kit Linear,298.0,149.0,,,0 CDM,74514804,Amplatzer Talisman Pfo Occluder,13448.79,6724.4,,,0 CDM,74514805,Chg-Antibacterial Pouch,1543.0,771.5,,,0 CDM,74514808,"Loop Recrdr,Reveal Linq Study",1.04,0.52,,,0 CDM,74514821,"Chg-Cath, Phenom Dis Access",1453.14,726.57,,,0 CDM,74515000,Chg-Tubing Disconnect 4,21.74,10.87,,,0 CDM,74515198,Chg-Pacemaker External,1492.47,746.24,,,0 CDM,74515200,"Catheter,Renegade",772.11,386.06,,,0 CDM,74515201,"Catheter,Renegade Hi Flo",1236.83,618.42,,,0 CDM,74515520,"Chgr-Sp Coil, Emb Vasc Str, 5 Mm Fbr Plat",97.29,48.64,,,0 CDM,74515521,"Chgr-Sp Coil, Emb Vasc Str, 2 Mm Fbr Plat",97.29,48.64,,,0 CDM,74515722,Chg-Rt & Lt Heart Cath Supply,307.4,153.7,,,0 CDM,74515723,"Chgr-Cd S Upply, Left Heart Cath",123.17,61.58,,,0 CDM,74515724,"Chgr-Cd S Upply, Right Heart Cath",180.09,90.04,,,0 CDM,74515727,Temporary Pacing Wire Only,853.88,426.94,,,0 CDM,74515728,Thermal Dilution Swan Only,535.1,267.55,,,0 CDM,74515735,Chgr-Cd S Upply Ptca,3225.06,1612.53,,,0 CDM,74515736,"Chgr-Cd Supply, Peripheral Diag Proc",166.64,83.32,,,0 CDM,74515737,"Chgr-Cd Supply, Peripheral Interv Proc",923.22,461.61,,,0 CDM,74515739,"Chgr-Cd S Upply, Rotoblator",4991.81,2495.9,,,0 CDM,74515743,Monitoring Swan Supply (Only),336.0,168.0,,,0 CDM,74515751,Chg Gogear Modular Belt Repl Only,799.02,399.51,,,0 CDM,74515753,Transseptal Approach Supply,308.43,154.22,,,0 CDM,74515762,Chg-Applicator Tip,83.84,41.92,,,0 CDM,74515763,Chg-Graft Delivery Syringe,256.68,128.34,,,0 CDM,74515767,Chg-Peritoneal Dialysis Sol.1.5%,39.33,19.66,,,0 CDM,74515768,Chg-Peritoneal Dialysis Sol.2.5%,39.33,19.66,,,0 CDM,74515769,Chg-Peritoneal Dialysis Sol.4.25%,39.33,19.66,,,0 CDM,74515793,Chg Travel Case,274.28,137.14,,,0 CDM,74515799,Sodium Fluoride F-18 =< 30 Mci,570.0,285.0,,,0 CDM,74515803,Chgr 18F Florbetapir,3728.0,1864.0,,,0 CDM,74516081,Chg Tlso Flex Trnk Sj-Ss Pre Ots,1236.83,618.42,,,0 CDM,74516670,"Catheter,Pta Balloon Chocolate",931.5,465.75,,,0 CDM,74517025,"Chgr-Cath Set, Schon Xl, 15",378.81,189.4,,,0 CDM,74517670,"Defib,Vivaquad Biv Attainstudy",41216.81,20608.4,,,0 CDM,74518056,Chg Catheter Expressway Extraction Cpt C1757,669.65,334.82,,,0 CDM,74518057,Chg Catheter Solent Prox1 C1757,2257.34,1128.67,,,0 CDM,74518058,Chg Catheter Solent Omni C1757,1910.61,955.3,,,0 CDM,74518060,Chg Hemobag Kit,600.0,300.0,,,0 CDM,74518061,"D-Stat,Flowable",357.08,178.54,,,0 CDM,74518064,"Catheter,Niagara",428.49,214.24,,,0 CDM,74518065,"Catheter,Schon",378.81,189.4,,,0 CDM,74518066,Crrt Cartridge Change Supply,417.11,208.56,,,0 CDM,74518067,Chg Picco Supply,1379.66,689.83,,,0 CDM,74518069,"Defib,Subq-Icd",39823.0,19911.5,,,0 CDM,74518070,"Chg Adhesiv/Liquid,Anytype,Per Oz-A4364",37.26,18.63,,,0 CDM,74518071,Chg Ostomy Belt-A4367,10.35,5.18,,,0 CDM,74518072,"Chg Ostomy Barr,Solid 4X4-A4372",11.39,5.7,,,0 CDM,74518073,"Chg Ostomy Pch,W/St Wear Barr-A4389",14.49,7.24,,,0 CDM,74518074,"Chg Ostomy Barr,Pectn Paste,Per Oz-A4406",31.05,15.52,,,0 CDM,74518076,"Chg Ostomy Pch,Drain,W/Flange-A5063",17.6,8.8,,,0 CDM,74518077,"Chg Ostomy Pch,Urinary W/Barrier-A5071",11.39,5.7,,,0 CDM,74518078,"Chg Wound Pouch,Each-A6154",34.16,17.08,,,0 CDM,74518079,Chg Contact Layer >48 Sq In -A6208,20.7,10.35,,,0 CDM,74518080,"Chg Ostomy Pch,Drainable W/Barr-A5061",33.12,16.56,,,0 CDM,74518081,Chg Foam Drg<=16 Sq In W/Border-A6212,13.46,6.73,,,0 CDM,74518082,Chg Foam Drg>16<=48 Sqin W/Border-A6213,15.53,7.76,,,0 CDM,74518083,Chg Foam Drg>48 Sq In W/Border-A6214,13.46,6.73,,,0 CDM,74518084,"Chg Foam Dressing, Filler, Per Gram-A6215",17.6,8.8,,,0 CDM,74518085,Chg Gauze <=16 In No W/Sal W/O Brd-A6222,7.25,3.62,,,0 CDM,74518086,Chg Gauze >16<=48 No W/Sal W/O Brd-A6223,7.25,3.62,,,0 CDM,74518087,Chg Gauze >48 In No W/Sal W/O Brd-A6224,7.25,3.62,,,0 CDM,74518088,Chg Hydrocolld Drg<=16 W/O Brdr-A6234,10.35,5.18,,,0 CDM,74518089,Chg Hydrocolld Drg >16<=48 W/O Brd-A6235,10.35,5.18,,,0 CDM,74518090,Chg Hydrocolld Drg > 48 In W/O Brd-A6236,8.28,4.14,,,0 CDM,74518091,Chg Hydrocolld Drg<=16 In W/Brdr-A6237,11.39,5.7,,,0 CDM,74518092,Chg Hydrocolld Drg>16<=48 W/Brdr-A6238,9.32,4.66,,,0 CDM,74518093,Chg Hydrocolld Drg>48 In W/Brdr-A6239,8.28,4.14,,,0 CDM,74518094,Chg Hydrogel Drg<=16 In W/O Brd-A6242,32.09,16.04,,,0 CDM,74518095,Chg Hydrogel Drg<16<=48 W/Brdr-A6243,49.68,24.84,,,0 CDM,74518096,Chg Hydrogel Drg<=16 In W/Brdr -A6245,13.46,6.73,,,0 CDM,74518097,"Chg Hydrogel Drg,Gel Filr,Per Floz-A6248",36.23,18.12,,,0 CDM,74518098,Chg Skin Sealnt Protect Moisturizr-A6250,13.46,6.73,,,0 CDM,74518099,Chg Absorpt Drg>16<=48 W/O Brdr-A6252,11.39,5.7,,,0 CDM,74518100,Chg Absorpt Drg>48 Sq In W/O Brdr-A6253,15.53,7.76,,,0 CDM,74518101,Chg Absorpt Drg<=16 Sq In W/Wbrdr-A6254,10.35,5.18,,,0 CDM,74518102,Chg Absorpt Drg>16<=48 In W/Brdr-A6255,11.39,5.7,,,0 CDM,74518103,"Chg Wound Fillr Gel/Paste,Per Fl Oz A6261",81.77,40.88,,,0 CDM,74518104,"Chg Wound Fillr Dry Form,Per Gram-A6262",30.02,15.01,,,0 CDM,74518105,"Chg Gauze,Impreg,No H20/Sal.Per Yd-A6266",23.81,11.9,,,0 CDM,74518106,"""Chg Conform Bnd,Widt>=3""""<5"""".Peryd-A6443""",18.63,9.32,,,0 CDM,74518107,"""Chg Light Comprsn Bnd>=""""<3""""<""""5,Peryd-A6449""",18.63,9.32,,,0 CDM,74518108,"""Chg Zinc Paste Bnd Wd>=3""""<5"""",Peryd-A6456""",14.49,7.24,,,0 CDM,74518109,"Chg Tubular Drsng,Any Width,Per Yd -A6457",56.93,28.46,,,0 CDM,74518400,"Catheter,Viewflex",2295.0,1147.5,,,0 CDM,74518408,"Lead,Pacemaker Ingevity Mri",1418.0,709.0,,,0 CDM,74518690,Chg Nicom Lead,168.0,84.0,,,0 CDM,74518691,Chg Halo Ablation Catheter,2097.95,1048.98,,,0 CDM,74518697,"Pacemaker,Advantio Sr",8914.46,4457.23,,,0 CDM,74518700,"Defib,Fortify Assura Dr",30632.9,15316.45,,,0 CDM,74518702,"Defib,Ellipse Dr",30632.9,15316.45,,,0 CDM,74518704,"Defib,Fortify Assura Vr",26612.96,13306.48,,,0 CDM,74518706,"Defib,Ellipse Vr",26612.96,13306.48,,,0 CDM,74518708,"Defib,Quadra Assura Biv",37714.37,18857.18,,,0 CDM,74518710,"Defib,Unify Assura Biv",31714.47,15857.24,,,0 CDM,74518715,Q-Guide Lead Tunnel Device,1796.0,898.0,,,0 CDM,74518716,"Catheter,Acuity Pro",3114.0,1557.0,,,0 CDM,74518721,"Defib,Inogen Dr",28690.2,14345.1,,,0 CDM,74518722,"Defib,Inogen Vr",90372.06,45186.03,,,0 CDM,74518723,"Defib,Inogen Biv",90372.06,45186.03,,,0 CDM,74518724,"Defib,Dynagen Biv",28300.01,14150.0,,,0 CDM,74518725,"Pacemaker,Valitude Biv",17437.68,8718.84,,,0 CDM,74518727,"Pacemaker,Accolade Dr",11619.95,5809.98,,,0 CDM,74518728,"Pacemaker,Accolade Vr",8023.32,4011.66,,,0 CDM,74518729,"Guide,Crnrysinus Worley Advncd",576.5,288.25,,,0 CDM,74518730,"Sheath,Lateral Vein Worley",691.38,345.69,,,0 CDM,74518750,"Catheter,Micro Asahi Corsair",800.0,400.0,,,0 CDM,74519053,"Lead,Defib,Subcutaneous,Rv",7970.0,3985.0,,,0 CDM,74519070,Chgr 5Fr Sgl Lumen Picc,256.68,128.34,,,0 CDM,74519071,5Fr Dual Lumen Picc,705.87,352.94,,,0 CDM,74519077,"Guidewire,Guidezilla",370.0,185.0,,,0 CDM,74519200,"Drug Eluting Stent,Zilver Ptx",2415.69,1207.84,,,0 CDM,74519206,Chg-Immobilizer Shoulder Lg,329.13,164.56,,,0 CDM,74520014,Chg-Enema Mineral Oil Adult 4.5Oz,180.09,90.04,,,0 CDM,74520251,Chg-Dressing Change,292.91,146.46,,,0 CDM,74521208,Chg-Non-Ionic Dye,8.28,4.14,,,0 CDM,74521306,Chgr Implantable Seed For Rsl,159.39,79.7,,,0 CDM,74521400,"Filter,Celect,Jugular",2887.65,1443.82,,,0 CDM,74521401,"Chgr-Sp Filter, Celect, Universal",2887.65,1443.82,,,0 CDM,74521402,"Filter,Celect,Femoral",2887.65,1443.82,,,0 CDM,74521403,"Chgr-Sp Device Retriever, Celect Filter",1433.48,716.74,,,0 CDM,74521562,Chgr-Sp Stent Viatorr 8 X 4,9452.66,4726.33,,,0 CDM,74521563,Chgr-Sp Stent Viatorr 8 X 6,9452.66,4726.33,,,0 CDM,74521564,Chgr-Sp Stent Viatorr 10 X 4,9452.66,4726.33,,,0 CDM,74521565,Chgr-Sp Stent Viatorr 10 X 5,9452.66,4726.33,,,0 CDM,74521566,Chgr-Sp Stent Viatorr 10 X 6,9452.66,4726.33,,,0 CDM,74521567,Chgr-Sp Stent Viatorr 10 X 7,9452.66,4726.33,,,0 CDM,74521568,Chgr-Sp Stent Viatorr 10 X 8,9452.66,4726.33,,,0 CDM,74521569,Chgr-Sp Stent Viatorr 12 X 4,9452.66,4726.33,,,0 CDM,74521570,Chgr-Sp Stent Viatorr 12 X 6,9452.66,4726.33,,,0 CDM,74521571,Chgr-Sp Stent Viatorr 12 X 8,9452.66,4726.33,,,0 CDM,74521572,Stent Smart 8X40X80 Cm,3445.52,1722.76,,,0 CDM,74521573,Chgr-Sp Stent Smart 9X40X80 Cm,3445.52,1722.76,,,0 CDM,74521574,Chgr-Sp Stent Smart 9X60X80 Cm,3445.52,1722.76,,,0 CDM,74521575,Chgr-Sp Stent Smart 9X30X80 Cm,3445.52,1722.76,,,0 CDM,74521576,Chgr-Sp Stent Smart 10X60X80 Cm,3316.14,1658.07,,,0 CDM,74521578,Chgr-Sp Stent Smart 12X40 X80 Cm,3100.86,1550.43,,,0 CDM,74521580,Chgr-Sp Stent Smart 14X40 X80 Cm,3445.52,1722.76,,,0 CDM,74521581,Chgr-Sp Stent Smart 10X40 X80 Cm,3445.52,1722.76,,,0 CDM,74521582,Chgr-Sp Stent Selfexp Smart 14 X 60,3100.86,1550.43,,,0 CDM,74521583,Chgr-Sp Set Angio Pump,831.11,415.56,,,0 CDM,74521584,Chgr-Sp Cath Xepeedior Angiojet 6 X 60,1321.7,660.85,,,0 CDM,74521587,Chgr-Sp Stent Neuroform 4 X 20,8798.54,4399.27,,,0 CDM,74521594,Chgr-Sp Stent Precise 10 X 40 Rx Nitinol,4135.86,2067.93,,,0 CDM,74521597,Chgr-Sp Stent Precise 5 X 40 Rx Nitinol,4135.86,2067.93,,,0 CDM,74521599,Chgr-Sp Stent Precise 6 X 30 Rx Nitinol,4135.86,2067.93,,,0 CDM,74521600,Chgr-Sp Stent Precise 6 X 40 Rx Nitinol,4135.86,2067.93,,,0 CDM,74521601,Chgr-Sp Stent Precise 7 X 20 Rx Nitinol,4135.86,2067.93,,,0 CDM,74521603,Chgr-Sp Stent Precise 7 X 40 Rx Nitinol,4135.86,2067.93,,,0 CDM,74521605,Chgr-Sp Stent Precise 8 X 40 Rx Nitinol,4135.86,2067.93,,,0 CDM,74521608,Chgr-Sp Stent Precise 9 X 40 Rx Nitinol,4135.86,2067.93,,,0 CDM,74521609,Filter Optiease Ivc 55Cm,4135.86,2067.93,,,0 CDM,74521618,Chgr-Sp Miniport T / Pu / 8 / 1.6 / 2.6 / 63,2008.94,1004.47,,,0 CDM,74521627,Chgr-Guidewire Synchro 1631,1067.09,533.54,,,0 CDM,74521628,Chgr-Sp Guidewire Ang Stiff .035 X 260,909.77,454.88,,,0 CDM,74521629,Chgr-Sp Cath Katzen Infusion 035 X 9 X 145,636.53,318.26,,,0 CDM,74521633,Chgr-Sp Guidewire Ang Reg .035 X 180,630.32,315.16,,,0 CDM,74521635,Chgr-Sp Cath Guide 6Fr 100Cm **Custom**,461.61,230.8,,,0 CDM,74521636,Chgr-Sp Cath Gd 7F 100Cm **Custom**,461.61,230.8,,,0 CDM,74521637,Chgr-Sp Guidewire 018 / 180 / 3 / 70 Ang,459.54,229.77,,,0 CDM,74521638,Chgr-Sp Guidewire 018 / 180 / 3 / 45 Ang,407.79,203.9,,,0 CDM,74521640,Chgr-Sp Cath Guide Str Xf 5F 90Cm,397.44,198.72,,,0 CDM,74521641,Chgr-Sp Cath Guide Str 5Fr 90Cm,397.44,198.72,,,0 CDM,74521642,Chgr-Sp Cath Guide Mpxf 5F 90Cm,397.44,198.72,,,0 CDM,74521643,Chgr-Sp Cath Guide Mp 5Fr 90Cm,397.44,198.72,,,0 CDM,74521706,"Catheter,Reflection Spiral",3144.33,1572.16,,,0 CDM,74521708,"Closure Device,Boomerang",546.48,273.24,,,0 CDM,74521709,Chgr-Cd Bentson Wire,121.1,60.55,,,0 CDM,74521710,"Guidewire,Ptca Terumo",176.0,88.0,,,0 CDM,74521714,"Stent,Peripheral Fluency",3944.39,1972.2,,,0 CDM,74521715,"Stent,Peripheral I-Cast",3337.88,1668.94,,,0 CDM,74521716,"Stent,Peripheral Viabahn",4657.5,2328.75,,,0 CDM,74521719,"Catheter,Thermacool",3098.79,1549.4,,,0 CDM,74521720,D-Stat Hemaband,144.0,72.0,,,0 CDM,74521723,"Drug Eluting Stent, Endeavor",9452.66,4726.33,,,0 CDM,74521725,"Drug Eluting Stent,Promus",2405.34,1202.67,,,0 CDM,74521727,"Fiducial Marker,Ea,Nm887-830",167.67,83.84,,,0 CDM,74521728,Chg Fiducial Mark Kt. Nm887712,368.46,184.23,,,0 CDM,74521729,Chg Fiducial Marker Pk Nw887709,400.55,200.28,,,0 CDM,74521730,"Catheter,Hexapolar",532.0,266.0,,,0 CDM,74521731,"Catheter,Decapolar",689.0,344.5,,,0 CDM,74521732,"Guidewire,Safesept Transseptal",440.91,220.46,,,0 CDM,74521733,"Dev Ret Sys,Celect Flt,11X80",1421.06,710.53,,,0 CDM,74521736,"Chgr-Sp Microcath,Progreat,2.8Fx110",1139.54,569.77,,,0 CDM,74521737,"Chgr-Sp Microcath,Progreat,2.8Fx130",1139.54,569.77,,,0 CDM,74521760,Chg - Coil Axium 3D 2-25Mm,1731.56,865.78,,,0 CDM,74521761,Chg - Coil Axium 3D Es 1-3.5Mm,2187.99,1094.0,,,0 CDM,74521762,Chg - Coil Axium 3D Ss 4-6Mm Dia,1731.56,865.78,,,0 CDM,74521763,Chg - Coil Axium Helical 1.5-20Mm,1319.63,659.82,,,0 CDM,74521764,Chg - Coil Axium Helix Ss 4-6 Mm Dia,1319.63,659.82,,,0 CDM,74521765,Chg - Coil Axium Helix Es 1-3 Mm Dia,1775.03,887.52,,,0 CDM,74521771,"Chg-Device, Enterprise",8035.74,4017.87,,,0 CDM,74521772,"Chg - Device, Lvis",8123.72,4061.86,,,0 CDM,74521773,"Chg - Device, Lvisj",9061.43,4530.72,,,0 CDM,74521880,"Catheter,Impella",42543.0,21271.5,,,0 CDM,74521885,Chgr-Sp Snare Ensnare 12X20,767.97,383.98,,,0 CDM,74521886,"Access Device, Arstasis",437.81,218.9,,,0 CDM,74523042,Chg-Suture Material,56.93,28.46,,,0 CDM,74524203,"Chgr-Sp Kyphx Express Introducer, T24A",1861.97,930.98,,,0 CDM,74525025,"Chgr-Sp Coil, 100202 Hesv",2892.83,1446.42,,,0 CDM,74525028,"Chgr-Sp Coil, 100304 Hesv",2411.55,1205.78,,,0 CDM,74525029,"Chgr-Sp Coil, 100306 Hesv",2678.58,1339.29,,,0 CDM,74525032,"Chgr-Sp Coil, 100408 Hesv",2941.47,1470.74,,,0 CDM,74525033,"Chgr-Sp Coil, 100410 Hesv",3208.5,1604.25,,,0 CDM,74525044,"Chgr-Sp Coil, 140407 Hesv",2812.1,1406.05,,,0 CDM,74525046,"Chgr-Sp Coil, 140510 Hesv",3208.5,1604.25,,,0 CDM,74525048,"Chgr-Sp Coil, 140610 Hesv",3208.5,1604.25,,,0 CDM,74525052,"Chgr-Sp Coil, 140715 Hesv",3649.41,1824.7,,,0 CDM,74525060,"Chgr-Sp Coil, 180610 Hesv",3517.97,1758.98,,,0 CDM,74525061,"Chgr-Sp Coil, 180710 Hesv",3517.97,1758.98,,,0 CDM,74525063,"Chgr-Sp Coil, 180815 Hesv",3959.91,1979.96,,,0 CDM,74525065,"Chgr-Sp Coil, 181015 Hesv",3959.91,1979.96,,,0 CDM,74525080,"Chgr-Sp Coil, 100610 Hesv",3208.5,1604.25,,,0 CDM,74525081,"Chgr-Sp Coil, 140515 Hesv",3649.41,1824.7,,,0 CDM,74525082,"Chgr-Sp Coil, 100201 Hsv",1894.05,947.02,,,0 CDM,74525083,"Chgr-Sp Coil, 100202 Hsv",1894.05,947.02,,,0 CDM,74525084,"Chgr-Sp Coil, 100203 Hsv",1894.05,947.02,,,0 CDM,74525085,"Chgr-Sp Coil, 100204 Hsv",1894.05,947.02,,,0 CDM,74525087,"Chgr-Sp Coil, 100304 Hsv",1894.05,947.02,,,0 CDM,74525088,"Chgr-Sp Coil, 100306 Hsv",1894.05,947.02,,,0 CDM,74525090,"Chgr-Sp Coil, 100404 Hsv",1974.78,987.39,,,0 CDM,74525091,"Chgr-Sp Coil, 100406 Hsv",1974.78,987.39,,,0 CDM,74525092,"Chgr-Sp Coil, 100408 Hsv",1974.78,987.39,,,0 CDM,74525099,"Chgr-Sp Coil, 100410 Ccv",2127.96,1063.98,,,0 CDM,74525100,"Chgr-Sp Coil, 100512 Ccv",2233.53,1116.76,,,0 CDM,74525101,"Chgr-Sp Coil, 180512 Ccv",2233.53,1116.76,,,0 CDM,74525102,"Chgr-Sp Coil, 180615 Ccv",2233.53,1116.76,,,0 CDM,74525103,"Chgr-Sp Coil, 180717 Ccv",2233.53,1116.76,,,0 CDM,74525104,"Chgr-Sp Coil, 180820 Ccv",2340.14,1170.07,,,0 CDM,74525105,"Chgr-Sp Coil, 180923 Ccv",2340.14,1170.07,,,0 CDM,74525106,"Chgr-Sp Coil, 181026 Ccv",2340.14,1170.07,,,0 CDM,74525107,"Chgr-Sp Coil, 181128 Ccv",2450.88,1225.44,,,0 CDM,74525108,"Chgr-Sp Coil, 181231 Ccv",2450.88,1225.44,,,0 CDM,74525109,"Chgr-Sp Coil, 181332 Ccv",2450.88,1225.44,,,0 CDM,74525110,"Chgr-Sp Coil, 181434 Ccv",2450.88,1225.44,,,0 CDM,74525114,"Chgr-Sp Coil, 100201 H2Hsv",2229.39,1114.7,,,0 CDM,74525115,"Chgr-Sp Coil, 100202 H2Hsv",2357.73,1178.86,,,0 CDM,74525116,"Chgr-Sp Coil, 100203 H2Hsv",2481.93,1240.96,,,0 CDM,74525117,"Chgr-Sp Coil, 100204 H2Hsv",2608.2,1304.1,,,0 CDM,74525118,"Chgr-Sp Coil, 100206 H2Hsv",2862.81,1431.4,,,0 CDM,74525119,"Chgr-Sp Coil, 100304 H2Hsv",2608.2,1304.1,,,0 CDM,74525120,"Chgr-Sp Coil, 100306 H2Hsv",2862.81,1431.4,,,0 CDM,74525121,"Chgr-Sp Coil, 100308 H2Hsv",3113.28,1556.64,,,0 CDM,74525122,"Chgr-Sp Coil, 100404 H2Hsv",2608.2,1304.1,,,0 CDM,74525123,"Chgr-Sp Coil, 100406 H2Hsv",2862.81,1431.4,,,0 CDM,74525124,"Chgr-Sp Coil, 100408 H2Hsv",3113.28,1556.64,,,0 CDM,74525128,"Chgr-Sp Coil, 100608 H2Hsv",3113.28,1556.64,,,0 CDM,74525130,"Chgr-Sp Coil, Crc14022530",3619.4,1809.7,,,0 CDM,74525131,"Chgr-Sp Coil, Crc14030330",3642.17,1821.08,,,0 CDM,74525132,"Chgr-Sp Coil, Crc14030430",3673.22,1836.61,,,0 CDM,74525133,"Chgr-Sp Coil, Crc14030630",3709.44,1854.72,,,0 CDM,74525134,"Chgr-Sp Coil, Crc14040630",3673.22,1836.61,,,0 CDM,74525135,"Chgr-Sp Coil, Crc14040830",3709.44,1854.72,,,0 CDM,74525136,"Chgr-Sp Coil, Crc14044530",3654.59,1827.3,,,0 CDM,74525137,"Chgr-Sp Coil, Crc14050730",3709.44,1854.72,,,0 CDM,74525138,"Chgr-Sp Coil, Crc14051230",3762.23,1881.12,,,0 CDM,74525145,"Chgr-Sp Coil, Crc14091430",3820.19,1910.1,,,0 CDM,74525206,Chg Cerv Collar Moldable.,764.87,382.44,,,0 CDM,74525210,L3764 Ewho W/Joint(S) Cf,877.68,438.84,,,0 CDM,74525211,"Cath,Hi Press Conquest,75Cm",655.16,327.58,,,0 CDM,74525212,Cath Agilis Hispro7.4F Bundled,1785.38,892.69,,,0 CDM,74525213,Chgr-Sp Paracentesis Kit 5Fr X 10Cm,342.59,171.3,,,0 CDM,74525214,Chgr-Sp Kit Cement Confidence 5Cc Mini,1733.63,866.82,,,0 CDM,74525215,Chgr-Sp Adapter Luer Conf Spnl Cmt Sys,437.81,218.9,,,0 CDM,74525216,L3905 Who W/Nontorsion Jnt Cf,949.1,474.55,,,0 CDM,74525220,L3935 Fo Nontorsion Joint Cf,250.47,125.24,,,0 CDM,74525223,L3961 Sewho Cap W/O Jnts Cf,1607.36,803.68,,,0 CDM,74525224,L3967 Sewho Airplan W/O Jnt Cf,1898.19,949.1,,,0 CDM,74525225,L3971 Sewho Cap W/Jnt(S) Cf,1800.9,900.45,,,0 CDM,74525226,L3973 Sewho Airplane W/Jnt Cf,1898.19,949.1,,,0 CDM,74525227,L3975 Sewhfo Cap W/O Jnt Cf Cust,1607.36,803.68,,,0 CDM,74525228,L3976 Sewhfo Airpln W/O Jnt Cf,1607.36,803.68,,,0 CDM,74525229,L3977 Sewhfo Cap W/Jnt(S) Cf,1800.9,900.45,,,0 CDM,74525230,L3978 Sewhfo Airplane W/Jnt Cf,1898.19,949.1,,,0 CDM,74525232,Chg Cath-Thermoguard Coolline Cath,1593.9,796.95,,,0 CDM,74525235,Chg Cerv Collar Flex Thermoplastic,237.02,118.51,,,0 CDM,74525277,"Chg Stent, Epic Selfexpnd Vas C1876",2587.5,1293.75,,,0 CDM,74525311,L3765 Ewhfo Rigid W/O Jnts Cf,1227.51,613.76,,,0 CDM,74525314,L3766 Ewhfo W/Joint(S) Cf,1298.93,649.46,,,0 CDM,74525637,"Chgr-Sp Microcoil, Presidio, Pc410041230",5223.65,2611.82,,,0 CDM,74525638,"Chgr-Sp Microcoil, Presidio, Pc410051730",5937.8,2968.9,,,0 CDM,74525639,"Chgr-Sp Microcoil, Presidio, Pc410062630",5324.04,2662.02,,,0 CDM,74525640,"Chgr-Sp Microcoil, Presidio, Pc410073030",5372.69,2686.34,,,0 CDM,74525641,"Chgr-Sp Microcoil, Presidio, Pc410082930",4919.36,2459.68,,,0 CDM,74526037,Chg-Nebulizer Handheld,89.01,44.5,,,0 CDM,74527116,Iodide-131 Cap Generic Per Mci,214.0,107.0,,,0 CDM,74527133,Chg-Endo Cath Jejun Peg/Pej Pigtail,112.82,56.41,,,0 CDM,74527136,Chg-Endo Bal Cre W/Guide Eso/Ply,661.37,330.68,,,0 CDM,74527137,Chg-Endo Balloon Cre Esoph,583.74,291.87,,,0 CDM,74527138,Chg-Endo Balloon Cre Pulm,764.87,382.44,,,0 CDM,74527140,Chg-Endo Balloon Ercp Dil,689.31,344.66,,,0 CDM,74527141,Chg-Endo Balloon Stone Retr,439.88,219.94,,,0 CDM,74527142,Chg-Endo Bronch Stchg-Ent,3431.03,1715.52,,,0 CDM,74527144,Chg-Endo Brush Bronch Micro 90Cm,60.03,30.02,,,0 CDM,74527145,Chg-Endo Brush Cyt 2.3Mm X150Cm,38.3,19.15,,,0 CDM,74527146,Chg-Endo Basket Stone,775.22,387.61,,,0 CDM,74527147,Chg-Endo Bx Sys Autocore M00512931,140.76,70.38,,,0 CDM,74527148,Chg-Endo Cln/Duod Stchg-Ent,3813.98,1906.99,,,0 CDM,74527149,Chg-Endo Ercp Cyt Brush,314.64,157.32,,,0 CDM,74527150,Chg-Endo Ercp Bili Cann,214.25,107.12,,,0 CDM,74527153,Chg-Endo Guide/Jagwire,449.19,224.6,,,0 CDM,74527154,Chg-Endo Infl Dev Breeze Rapid X,215.28,107.64,,,0 CDM,74527155,Chg-Endo Inj Sys Rapid Refill,65.21,32.6,,,0 CDM,74527156,Chg-Endo Intro Kit,727.61,363.8,,,0 CDM,74527157,Chg-Endo Peg Kit,301.19,150.6,,,0 CDM,74527158,Chg-Endo Ligating Poly Loop,255.65,127.82,,,0 CDM,74527161,Chg-Endo Wang Needle 21Ga,259.79,129.9,,,0 CDM,74527163,Chg-Endo Sphincto Nknf 00545840,525.78,262.89,,,0 CDM,74527164,Chg-Endo Overtube,378.81,189.4,,,0 CDM,74527165,Chg-Endo Peg Tube Y-Port Repl 20Fr,21.74,10.87,,,0 CDM,74527166,Chg-Endo Perc Trach Kit,879.75,439.88,,,0 CDM,74527167,Chg-Endo Probe Gold 10Fr,69.35,34.68,,,0 CDM,74527168,Chg-Endo Probe Gold 7Fr,495.77,247.88,,,0 CDM,74527170,Chg-Endo Clipping Device,450.23,225.12,,,0 CDM,74527171,Chg-Endo Snare Capt Oval,79.7,39.85,,,0 CDM,74527172,Chg-Endo Snvmcinc Autotome,656.19,328.1,,,0 CDM,74527173,Chg-Endo Snvmcinc Tapertome,656.19,328.1,,,0 CDM,74527174,Chg-Endo Spot Tattoo Ink 5Ml,62.1,31.05,,,0 CDM,74527175,Chg-Endo Trach Stchg-Ent,3431.03,1715.52,,,0 CDM,74527176,Chg-Endo Tube Ball Peg Repl,110.75,55.38,,,0 CDM,74527177,Chg-Endo Tube Jejunal,259.79,129.9,,,0 CDM,74527180,Chg-Endo Bili Stchg-Ent,270.14,135.07,,,0 CDM,74527181,"Brachytx Seed Strnd,Iodine-125",187.34,93.67,,,0 CDM,74527183,"Brachytx Seed Nonstd,Iodin-125",133.52,66.76,,,0 CDM,74527185,"Brachytx Seed Strnd,Pallad-103",214.25,107.12,,,0 CDM,74527187,"Brachytx Seed,Nonstd,Palld-103",207.0,103.5,,,0 CDM,74527191,Brachytx Seed Stranded Ces-131,421.25,210.62,,,0 CDM,74527193,Brachytx Seed Nonstrd Ces-131,421.25,210.62,,,0 CDM,74527199,"Chgr Device,Pipeline Fa-77425-16",14978.52,7489.26,,,0 CDM,74527204,"Device,Pipeline Fa-77425-18",14978.52,7489.26,,,0 CDM,74527205,"Device,Pipeline Fa-77450-16",14978.52,7489.26,,,0 CDM,74527206,"Device,Pipeline Fa-77475-16",14978.52,7489.26,,,0 CDM,74527276,"Stent,Epic Selfexpnd Vasc120Mm",4684.41,2342.2,,,0 CDM,74527400,Hmiii Implant Kit,134449.61,67224.8,,,0 CDM,74527401,Chg - Hmii Tunneling Tools,3027.38,1513.69,,,0 CDM,74527402,Hmiii Backup Controller,7219.13,3609.56,,,0 CDM,74527403,Chg - Hm Modular Cable,6496.7,3248.35,,,0 CDM,74527404,Chg Hm 14V Batteries(Set Of 4),3280.95,1640.48,,,0 CDM,74527405,Heartmate Holster Vest,699.66,349.83,,,0 CDM,74527406,Chg Heartmate Shower Bag (2),796.95,398.48,,,0 CDM,74527407,Chg Hmii Mobile Power Unit,10302.39,5151.2,,,0 CDM,74527502,Chg Bioline Cardiohelp Disposable,13778.96,6889.48,,,0 CDM,74527503,Chg Vascular Kit,257.72,128.86,,,0 CDM,74527504,Chg Avalon Cannula,3085.34,1542.67,,,0 CDM,74527505,Chg Fem Track Cannula,837.32,418.66,,,0 CDM,74527506,Chg Fem Flex Cannula,463.68,231.84,,,0 CDM,74529100,Chg Trach Pediatric Pdc/Plc,112.82,56.41,,,0 CDM,74529106,Chg Trach Adult Bivona,227.7,113.85,,,0 CDM,74529109,Chg Trach Shiley Proximal Ext,189.41,94.7,,,0 CDM,74529112,Chg Innercannula For Trach,18.63,9.32,,,0 CDM,74529116,Chg-Cardioplegia Table Line,160.43,80.22,,,0 CDM,74529117,Chg-Dlp Pressure Display Set,43.47,21.74,,,0 CDM,74529118,Chg Cardiov Proced Pk,240.0,120.0,,,0 CDM,74530300,Chg-Flowmeter Peak Tru Zone,96.26,48.13,,,0 CDM,74530327,Chgr-Introducer Sheath Denny,200.79,100.4,,,0 CDM,74530328,Chg-Cath Horn 7F Percut Dual,619.97,309.98,,,0 CDM,74530330,Snare Loop,1002.92,501.46,,,0 CDM,74530331,Chgr-Sp Snare Goose Neck Kit,2103.12,1051.56,,,0 CDM,74530338,Coils Tornado,349.83,174.92,,,0 CDM,74530339,Chgr-Sp Coils Complex Helical,1293.75,646.88,,,0 CDM,74530341,Coil Fibered Gdc 18 Vortex,2103.12,1051.56,,,0 CDM,74530342,Coil Vortex 3M Diamond,3487.95,1743.98,,,0 CDM,74530345,Chgr-Introducer Flexible X 24,212.18,106.09,,,0 CDM,74530346,Chgr-Cd Cath Marking 100Cmpiggsw,453.33,226.66,,,0 CDM,74533904,Chg Small Dressing Kit-Wound Vac,108.68,54.34,,,0 CDM,74533905,Chg Medium Dressing Kit-Wound Vac,139.73,69.86,,,0 CDM,74533906,Chg Large Dressing Kit-Wound Vac,165.6,82.8,,,0 CDM,74533908,Chg Canister Kit W/Isolyser-Wound Vac,142.83,71.42,,,0 CDM,74533911,Chg Wound Vac Soft Foam (10 X 15),173.88,86.94,,,0 CDM,74535127,Chg-Pediatric Straight Cath Kit,21.74,10.87,,,0 CDM,74536000,"Lead,Attain Prforma Quadripolr",5589.0,2794.5,,,0 CDM,74536004,"Lead,Defib Protego S",29921.85,14960.92,,,0 CDM,74536005,"Lead,Defib Protego Sd",31418.46,15709.23,,,0 CDM,74539070,"Pacemaker,Consulta Biv",21797.1,10898.55,,,0 CDM,74540011,Femostop,381.92,190.96,,,0 CDM,74540044,Ptca Guiding Catheter,115.0,57.5,,,0 CDM,74540050,Chgr-Sp Cath Arthrectomy Foxhollow,5793.93,2896.96,,,0 CDM,74540058,Chg-Chest Tube Insertion,492.66,246.33,,,0 CDM,74540059,Chg Picc Insertion Supplies,279.45,139.72,,,0 CDM,74540060,Chg-Umbilical Line Insert Supplies,449.19,224.6,,,0 CDM,74540062,Chg-Cath Ash Split 32Cm,1552.5,776.25,,,0 CDM,74540063,Cath Ash Split 28Cm,1552.5,776.25,,,0 CDM,74540080,Chgr-Stent Wall 14 / 60Mm B1,3655.62,1827.81,,,0 CDM,74540081,Chgr-Stent Wall 16 / 60Mm B1,3624.57,1812.28,,,0 CDM,74540084,Chgr-Balloon 164 Xxl 14552,507.15,253.58,,,0 CDM,74540090,Chgr-Tracker 18 133101,1496.61,748.3,,,0 CDM,74540091,Chgr-Tracker,1147.82,573.91,,,0 CDM,74540092,Chgr-Stent Palmaz 10 Mm P104M,2858.67,1429.34,,,0 CDM,74540101,Chgr-Transjugular Bx Gun,1206.81,603.4,,,0 CDM,74540102,Chgr-Stent Wall 08 / 40Mm H840,3602.84,1801.42,,,0 CDM,74540109,Chgr-Stent Wall 18 / 60Mm B186,3700.13,1850.06,,,0 CDM,74540113,Chgr-Filter Greenfield Stnls St,3734.28,1867.14,,,0 CDM,74540115,Chgr-Cath Savvy Pta Bln 10566,1337.22,668.61,,,0 CDM,74540133,Chgr-Introducer Tipss,1191.29,595.64,,,0 CDM,74540155,Rotoblator Burr,3754.0,1877.0,,,0 CDM,74540156,Rotoblator Wire,571.0,285.5,,,0 CDM,74540157,Catheter Guide Guidant,262.89,131.44,,,0 CDM,74540158,Guidewire Ptca Guidant,321.0,160.5,,,0 CDM,74540159,Indaflator Guidant,320.0,160.0,,,0 CDM,74540160,Cath Intravascular Ultrasound,2602.0,1301.0,,,0 CDM,74540161,Catheter Laser 1.4 Concentric,3561.0,1780.5,,,0 CDM,74540190,Chgr-Wire Rosen 1.5 Mm,111.78,55.89,,,0 CDM,74540191,Chgr-Wire Newton 15 Mm J,63.0,31.5,,,0 CDM,74540192,Chgr-Wire Bentson,59.0,29.5,,,0 CDM,74540194,Chgr-Wire 3 Mm J,205.0,102.5,,,0 CDM,74540195,Chgr-Device Inflation,409.86,204.93,,,0 CDM,74540196,Chgr-Temno Bx Sys Act,132.0,66.0,,,0 CDM,74540199,Chgr-Needle Bx Franseen 18G,105.57,52.78,,,0 CDM,74540201,Chgr-Needle Bx Fran Dfbn 18G,113.85,56.92,,,0 CDM,74540313,Chgr-Cement Delivery System,1765.71,882.86,,,0 CDM,74540317,Chgr-Balloon Obw/20/8/2/20Mm,687.24,343.62,,,0 CDM,74540320,Chgr-Cath 5Fx 100 Cm 21 Cm Marker,447.12,223.56,,,0 CDM,74540321,Chgr-Cath 5F Hohn Sl,705.87,352.94,,,0 CDM,74540322,Chgr-Cath Castaneda Otw Brush,2620.62,1310.31,,,0 CDM,74540326,Chgr-Cath Micro Prowler 14 / 2 Tip,1572.17,786.08,,,0 CDM,74540328,Chgr-Cath Micro Tracker 18 / 2 Cm Ext,939.78,469.89,,,0 CDM,74540329,Chgr-Cath Micromewi 2.9F / 150 / 10,713.12,356.56,,,0 CDM,74540330,Chgr-Cath Micromewi 2.9F / 150 / 5,713.12,356.56,,,0 CDM,74540331,Chgr-Cath Otw Teratola Device,2379.47,1189.74,,,0 CDM,74540332,Chgr-Cath Unifuse 5/90/30,386.06,193.03,,,0 CDM,74540333,Chgr-Cath Micro Tracker 18 / 2 Cm Ext,386.06,193.03,,,0 CDM,74540342,Snare 35Mm Loop Snare,988.43,494.22,,,0 CDM,74540348,Chgr-Stent 29Mm X 8Mm X 80Cm,3474.5,1737.25,,,0 CDM,74540350,Chgr-Stent 39Mm X 8Mm X 80Cm,3648.38,1824.19,,,0 CDM,74540351,Chgr-Stent Ave 10 X 24 / 75 Cm,4627.49,2313.74,,,0 CDM,74540354,Chgr-Stent Ave 5 X 16 / 75Cm,4627.49,2313.74,,,0 CDM,74540356,Chgr-Stent Ave 6 X 16 / 75Cm,4627.49,2313.74,,,0 CDM,74540358,Chgr-Stent Ave 7 X 15 / 75Cm,4627.49,2313.74,,,0 CDM,74540360,Chgr-Stent Ave 7 X 40 / 75Cm,4627.49,2313.74,,,0 CDM,74540361,Chgr-Stent Ave 8 X 26 / 75Cm,4627.49,2313.74,,,0 CDM,74540362,Chgr-Stent Ave 8 X 39 / 75Cm,4627.49,2313.74,,,0 CDM,74540364,Chgr-Stent Ave 9 X 38 / 75Cm,4627.49,2313.74,,,0 CDM,74540366,Chgr-Stent Wallstent 12 X 90 / 110 Cm,6047.51,3023.76,,,0 CDM,74540367,Chgr-Stent Wallstent 14 X 90 / 110 Cm,5447.21,2723.6,,,0 CDM,74540368,Chgr-Stent Wallstent 16 X 90 / 110 Cm,5720.45,2860.22,,,0 CDM,74540377,Chgr-Coils Mwce18S7 / 2 Tornado,311.54,155.77,,,0 CDM,74540378,Chgr-Coil Berenstein Lc 2.5 / 30,386.06,193.03,,,0 CDM,74540380,Chgr-Coils Gdc 010 / 4 X 4 Soft,1787.45,893.72,,,0 CDM,74540383,Chgr-Coils Gdc 010 / 4 X 10 2D,1845.41,922.7,,,0 CDM,74540384,Chgr-Coils Gdc 010 / 5 X 15 2D,1845.41,922.7,,,0 CDM,74540387,Chgr-Coils Gdc 010 / 7 X 25 2D,1945.8,972.9,,,0 CDM,74540388,Chgr-Coils Gdc 010 / 8 X 30 2D,1945.8,972.9,,,0 CDM,74540392,Chgr-Coils Gdc 018 / 9 X 30 2D,1945.8,972.9,,,0 CDM,74540394,Chgr-Coils Gdc 018 / 12 X 30 2D,2043.09,1021.54,,,0 CDM,74540396,Chgr-Coils Gdc 018 / 20 X 30,2120.72,1060.36,,,0 CDM,74540399,Chgr-Coils Gdc 018 / 20 X 30 2D,2180.75,1090.38,,,0 CDM,74540400,Chgr-Coils Gdc 10 Soft Sr 2 X 2,2480.9,1240.45,,,0 CDM,74540401,Chgr-Coils Gdc 10 Soft Sr 2 X 4,2480.9,1240.45,,,0 CDM,74540403,Chgr-Coils Gdc 10 Soft Sr 2 X 3,2554.38,1277.19,,,0 CDM,74540410,Cutting Balloon,1941.0,970.5,,,0 CDM,74540414,Chgr-Coils Gdc 103D 3 X 4,3267.5,1633.75,,,0 CDM,74540415,Chgr-Coils Gdc 103D 3 X 6,3267.5,1633.75,,,0 CDM,74540416,Chgr-Coils Gdc 103D 4 X 6,3267.5,1633.75,,,0 CDM,74540417,Chgr-Coils Gdc 103D 4 X 8,3364.79,1682.4,,,0 CDM,74540418,Chgr-Coils Gdc 103D 6 X 10,3462.08,1731.04,,,0 CDM,74540422,Chgr-Coils Gdc 103D 5 X 8,3602.84,1801.42,,,0 CDM,74540425,Chgr-Cath Micro Spinnaker 1.5Fl,1472.81,736.4,,,0 CDM,74540426,Chgr-Cath Micro Spinnaker 1.5Fxl,1472.81,736.4,,,0 CDM,74540427,Chgr-Cath Micro Spinnaker 1.8Fl,1373.45,686.72,,,0 CDM,74540428,Chgr-Cath Micro Spinnaker 1.8Fxl,1373.45,686.72,,,0 CDM,74540439,Chgr-Cd Snare Gooseneck 7 Mm,1962.36,981.18,,,0 CDM,74540440,Chgr-Embolic Pva 150250,386.06,193.03,,,0 CDM,74540441,Chgr-Cath Rosch Uchida Tj Set,1095.03,547.52,,,0 CDM,74540443,Chg-Biopsy Forcep-Hot,133.52,66.76,,,0 CDM,74540459,Chgr-Sp Glueliquid Embolic System,5554.85,2777.42,,,0 CDM,74540462,Chgr-Mammotome Probe Handheld 8G,796.95,398.48,,,0 CDM,74540463,"Chgr-Cd Sheath, Ksaw73890Rbshtlhc",469.89,234.94,,,0 CDM,74540470,"Chgr-Cd Sheath, Checkflo 16Fx35Cm Lrg",465.75,232.88,,,0 CDM,74540476,"Chgr-Sp Port, Pwr Duo Mri Chrono, 9.5F",1503.86,751.93,,,0 CDM,74540483,"Catheter,Diag Decapolar Courna",1566.99,783.5,,,0 CDM,74540489,"Catheter,Diagnostic Quad Josep",416.0,208.0,,,0 CDM,74540491,"Catheter,Diagnostic Stablemapr",2149.7,1074.85,,,0 CDM,74540492,"Catheter,Diagnostic Ultra Ice",2665.13,1332.56,,,0 CDM,74540495,"Chgr-Cd Catheter, Diagnostic Decapolar",713.12,356.56,,,0 CDM,74540496,"Catheter,Mapping Ensite",8792.33,4396.16,,,0 CDM,74540509,"Lead,Defib Endotak Endur Ez",9739.35,4869.68,,,0 CDM,74540511,"Adapt/Exten,Pacing/Neuro Lead",971.87,485.94,,,0 CDM,74540512,"Lead,Defib Reliance Sing-Coil",31418.46,15709.23,,,0 CDM,74540518,"Lead,Pacemaker Fineline Ii Ez",2492.28,1246.14,,,0 CDM,74540521,"Lead,Pacemaker Tendril Sdx",1834.02,917.01,,,0 CDM,74540522,"Lead,Pacemaker Capsurefix Novu",1595.0,797.5,,,0 CDM,74540562,"Chgr-Sp Kyphx Exp Introducer, T24C",972.9,486.45,,,0 CDM,74540584,Safe Sheath,62.0,31.0,,,0 CDM,74540585,Mullins Sheath,332.24,166.12,,,0 CDM,74540586,"Chgr-Cd Introducer, Peelaway",173.88,86.94,,,0 CDM,74540587,Wholey Wire,223.0,111.5,,,0 CDM,74540588,Glide Wire,326.0,163.0,,,0 CDM,74540596,"Balloon,Venogram",507.15,253.58,,,0 CDM,74540597,"Lead,Pacemaker Medtronic 6931",1834.02,917.01,,,0 CDM,74540601,Chgr-Sp Kit Gastro Flexifold W / Dilator 18Fr,248.4,124.2,,,0 CDM,74540605,"Lead,Cs Quickflex",5498.96,2749.48,,,0 CDM,74540625,Chgr-Mr Mammo Tome Bx Kit 8G 115Mm,1731.56,865.78,,,0 CDM,74540626,Chgr-Ackerman Bone Bx Needle,835.25,417.62,,,0 CDM,74540627,Bard 6Fr Powerline,320.85,160.42,,,0 CDM,74540670,"Chgr-Sp Lc Beads, Yellow Lbl, 100300 Um",4949.37,2474.68,,,0 CDM,74540672,"Chgr-Sp Lc Beads, Red Lbl, 500700 Um",4949.37,2474.68,,,0 CDM,74540681,"Chgr-Sp Ndl, Yueh Cent Cath, 5Fr, 19Gx7Cm",121.1,60.55,,,0 CDM,74540703,"Chgr-Catheter, Frontrunner Micro",885.96,442.98,,,0 CDM,74540705,"Catheter,Intracardiac Acunav",3000.0,1500.0,,,0 CDM,74540706,"Chgr-Cd Catheter, Localisa Reference",922.19,461.1,,,0 CDM,74540717,"Electrode,Ensite Navx",2850.0,1425.0,,,0 CDM,74540718,"Kit,Dsys",3158.82,1579.41,,,0 CDM,74540723,Peripheral Balloon,730.0,365.0,,,0 CDM,74540724,Chg-Abviser,2355.66,1177.83,,,0 CDM,74540750,Chgr-Cd Balloon Toray,4309.74,2154.87,,,0 CDM,74540751,"Lead,Pacemaker Acuity",8479.76,4239.88,,,0 CDM,74540779,"Chgr-Sp Bag, Collect, Cn2 Angiflus*",18.63,9.32,,,0 CDM,74540780,"Chgr-Sp Cath, Flexima Apd, 6Frx25Cm",183.2,91.6,,,0 CDM,74540781,"Chgr-Sp Ndl, Bx Trocar, 18Gax10Cm",29.0,14.5,,,0 CDM,74540783,"Chgr-Sp Ndl, Bx Trocar, 18Gax20Cm",30.02,15.01,,,0 CDM,74540880,"Chgr-Sp System, Fluid Mgt, Angiflush Iii",168.71,84.36,,,0 CDM,74540901,"Chgr-Sp Drainage Set Thalquick, 24 X 41",256.68,128.34,,,0 CDM,74540902,"Chgr-Sp Drainage Set Thalquick, 16 X 41",151.0,75.5,,,0 CDM,74549080,Resuscitator Child Manual Disp,148.01,74.0,,,0 CDM,74549081,Radial Edge Forcep,99.36,49.68,,,0 CDM,74550003,Punctal Plug Supply-Permanent,95.22,47.61,,,0 CDM,74550004,Guidewire Fathom .016,669.65,334.82,,,0 CDM,74550193,"Chgr-Cath,Ven,Powerline 6Fr",970.83,485.42,,,0 CDM,74550194,"Occluder Deliv Sys,Amplatzer",1312.38,656.19,,,0 CDM,74550195,"Chgr-Occluder,Amplatzer Duct 9Fr",2790.36,1395.18,,,0 CDM,74550196,"Chgr-Catheter,Duramax",582.71,291.36,,,0 CDM,74550218,Cath Neph/Uret Stent 8/22,607.55,303.78,,,0 CDM,74550220,Chgr-Wire Micro Dasher .014,704.84,352.42,,,0 CDM,74550228,Chgr-Wire V-18 .018,468.86,234.43,,,0 CDM,74550237,Chgr-Cath Guide Crossover Ii,565.11,282.56,,,0 CDM,74550255,Chgr-Cath Flex Biliary Dr 10F,447.12,223.56,,,0 CDM,74550257,Thoravent Chest Tube,359.15,179.58,,,0 CDM,74550258,Cath Flex Bil 08F 27-154,412.97,206.48,,,0 CDM,74550261,Chgr-Sheath Peelaway 14Fr,276.35,138.18,,,0 CDM,74550266,Chgr-Angioflush Iii,336.38,168.19,,,0 CDM,74550267,Chgr-Wire Nitinol .018 80Cm,399.51,199.76,,,0 CDM,74550268,Chgr-Balloon Diamond 7-2,1114.7,557.35,,,0 CDM,74550270,Chgr-Balloon Diamond 6-2,1114.7,557.35,,,0 CDM,74550272,Cath Nephrostomy 10Fr,447.12,223.56,,,0 CDM,74550274,Chgr-Balloon Diamond 4-2 5 /75,1114.7,557.35,,,0 CDM,74550275,Chgr-Balloon Diamond 4-2 5/120,1114.7,557.35,,,0 CDM,74550279,Chgr-Balloon Diamond 8-4,1114.7,557.35,,,0 CDM,74550281,Chgr-Coil 4Mmx30Mm,333.27,166.64,,,0 CDM,74550283,Chgr-Picc Sl Cook 5Fr,320.85,160.42,,,0 CDM,74550284,Chgr-Wire Glide .018 Ang,399.51,199.76,,,0 CDM,74550285,Chgr-Balloon Diamond 7-4,1114.7,557.35,,,0 CDM,74550286,Chgr-Balloon Diamond 9-2,1114.7,557.35,,,0 CDM,74550288,Chgr-Balloon Diamond 5-2,1114.7,557.35,,,0 CDM,74550289,Chgr-Coil Vortex 2Mmx4Mm,424.35,212.18,,,0 CDM,74550290,Chgr-Coil Vortex 2Mmx5Mm,424.35,212.18,,,0 CDM,74550291,Chgr-Coil 2Mmx10Mm,333.27,166.64,,,0 CDM,74550292,Chgr-Cath Tracker 18,1069.16,534.58,,,0 CDM,74550293,Chgr-Cath Drain Dawson Muel 8.5 Fr,156.29,78.14,,,0 CDM,74550298,Chgr-Cath Inf Pro-Infusion,484.38,242.19,,,0 CDM,74550299,Chgr-Coil 2Mmx3Mm,424.35,212.18,,,0 CDM,74550300,Coil Vortex 3Mm,447.12,223.56,,,0 CDM,74550301,Coil Helical 2/20,333.27,166.64,,,0 CDM,74550308,Chgr-Balloon Diamond 6-4,1114.7,557.35,,,0 CDM,74550310,Brite Sheath,175.95,87.98,,,0 CDM,74550312,Chgr-Cath Sizing 70Cm,510.26,255.13,,,0 CDM,74550313,Chgr-Cath Sizing 100Cm Straight,463.68,231.84,,,0 CDM,74550314,Chgr-Cath Sizing 100Cm Pigtail,463.68,231.84,,,0 CDM,74550323,Chgr-Cath Glide 65 Cm C3 5Fr,292.91,146.46,,,0 CDM,74550325,Chgr-Cath Guide Hockey,484.38,242.19,,,0 CDM,74550327,Chgr-Wire Measuring Graduated,399.51,199.76,,,0 CDM,74550328,Chgr-Sheath Checkflow 10Fr,291.87,145.94,,,0 CDM,74550330,Chgr-Cath Nephrostomy 12Fr,447.12,223.56,,,0 CDM,74550331,Chgr-Cath Biliary 10Fr Soft,447.12,223.56,,,0 CDM,74550335,Chgr-Picc Dl Arrow 5Fr,320.85,160.42,,,0 CDM,74550336,Cath Teratola Motor Drive,424.35,212.18,,,0 CDM,74550337,Cath Teratola 65Cm,1884.74,942.37,,,0 CDM,74550339,Chgr-Cath Drain 8.5 Ult,386.06,193.03,,,0 CDM,74550344,Chgr-Coil Micro 1.0,358.11,179.06,,,0 CDM,74550345,Chgr-Coil Micro 1.5-5,358.11,179.06,,,0 CDM,74550346,Chgr-Coil Micro 2.1,358.11,179.06,,,0 CDM,74550347,Picc Dl Vaxcel 5Fr,320.85,160.42,,,0 CDM,74550348,Cath Drain 8Fr,156.29,78.14,,,0 CDM,74550349,Cath Drain 10Fr,156.29,78.14,,,0 CDM,74550350,Cath Drain 12Fr,156.29,78.14,,,0 CDM,74550351,Chgr-Cath Drain 14Fr,412.97,206.48,,,0 CDM,74550353,Chgr-Wire Nitinol .018 75Cm,268.07,134.04,,,0 CDM,74550359,Chgr-Cath Drain Apdl 8Fr,156.29,78.14,,,0 CDM,74550360,Chgr-Cath Drain Apdl 10Fr,151.0,75.5,,,0 CDM,74550361,Chgr-Cath Inf Katzen 6Cm,779.36,389.68,,,0 CDM,74550363,Chgr-Wire Glide .018 45 Ang,565.11,282.56,,,0 CDM,74550364,Chgr-Wire Glide .018 70 Ang,565.11,282.56,,,0 CDM,74550365,Chgr-Wire Glide .035 Ss Long Taper,399.51,199.76,,,0 CDM,74550367,Chgr-Cath Drain Chest 14Fr,453.33,226.66,,,0 CDM,74550369,Chgr-Wire Glide .035 Shapeable,399.51,199.76,,,0 CDM,74550370,Coil Nester 6Mm,387.09,193.54,,,0 CDM,74550371,Chgr-Coil Nester 8 Mm,387.09,193.54,,,0 CDM,74550372,Coil Nester 10Mm,387.09,193.54,,,0 CDM,74550373,Coil Nester 4Mm,387.09,193.54,,,0 CDM,74550374,Coil Nester 12Mm,387.09,193.54,,,0 CDM,74550376,Chgr-Cath Guide Mani,771.08,385.54,,,0 CDM,74550382,Chgr-Wire Micro Taper .014,582.71,291.36,,,0 CDM,74550384,Chgr-Wire Glide .035 Ss Short Taper,399.51,199.76,,,0 CDM,74550385,Introducer Accustick,267.03,133.52,,,0 CDM,74550386,Chgr-Cath Inf Katzen 12 Cm,779.36,389.68,,,0 CDM,74550387,Chgr-Cath Inf Ps 90Cm X 20Cm,955.31,477.66,,,0 CDM,74550388,Chgr-Pva 355-500,723.47,361.74,,,0 CDM,74550389,Chgr-Pva 250-355,763.83,381.92,,,0 CDM,74550390,Chgr-Pva 500-710,763.83,381.92,,,0 CDM,74550393,Chgr-Cath Glide 100Cm Angle/Taper,292.91,146.46,,,0 CDM,74550396,Chgr-Glidewire Ang .025X180,399.51,199.76,,,0 CDM,74550397,Chgr-Cath Ureteral Stent 8/26,607.55,303.78,,,0 CDM,74550398,Chgr-Cath Ureteral Stent 8/24,607.55,303.78,,,0 CDM,74550400,Cath Neph/Uret Stent 8/24,364.32,182.16,,,0 CDM,74550404,Chgr-Wire Snare,333.27,166.64,,,0 CDM,74550405,Chgr-Cath Inf Ps 135Cm X 20Cm,955.31,477.66,,,0 CDM,74550407,Chgr-Wire Wholey,405.72,202.86,,,0 CDM,74550409,Chgr-Wire Micro Coil Pusher,484.38,242.19,,,0 CDM,74550410,Cath Snare 25Mm,660.33,330.16,,,0 CDM,74550411,Chgr-Angiojet,462.65,231.32,,,0 CDM,74550412,Chgr-Cath Ureteral Stent 8/20,607.55,303.78,,,0 CDM,74550413,Chgr-Cath Ureteral Stent 8/22,607.55,303.78,,,0 CDM,74550414,Chgr-Cath Stone Removal,874.58,437.29,,,0 CDM,74550416,Chgr-Cope Catheter Introducer,367.43,183.72,,,0 CDM,74550418,Chgr-Cath Inf Ps 90Cm X 30Cm,955.31,477.66,,,0 CDM,74550430,Serial Cast-Finger,48.65,24.32,,,0 CDM,74550439,Chg-Transcyte And Exudry,3989.93,1994.96,,,0 CDM,74550486,Chgr-Rp:I-131 Nal Dx Cap Per Mci,54.0,27.0,,,0 CDM,74550496,Chgr-Rp:Tc-99 Myoview Per Study,340.0,170.0,,,0 CDM,74550500,"Chgr-Catheter,Amplatzer Delivery",1038.11,519.06,,,0 CDM,74550515,Chgr-Cath Drain Duan 5Fr,342.59,171.3,,,0 CDM,74550516,Chgr-Cath Glide Str 5F 65Cm,269.1,134.55,,,0 CDM,74550517,Cath Groshing 7Fr,320.85,160.42,,,0 CDM,74550519,Chgr-Cath Neph / Uret Stent 8/26,488.52,244.26,,,0 CDM,74550522,Chgr-Cath Nephrostomy 8Fr,156.29,78.14,,,0 CDM,74550523,Chgr-Cath Sizing 70Cm Pigtail,471.96,235.98,,,0 CDM,74550524,Coil Vortex 4Mm,340.52,170.26,,,0 CDM,74550525,Chgr-Coil Micro 3.0,338.45,169.22,,,0 CDM,74550526,Picc Sl Vaxcel 5Fr,320.85,160.42,,,0 CDM,74550527,Chgr-Sheath Peelaway 16Fr,263.93,131.96,,,0 CDM,74550529,Chgr-Kit Cystagastrostomy 90,642.74,321.37,,,0 CDM,74550598,Cpm Pads Jace Universal K100,65.21,32.6,,,0 CDM,74550605,"""Dressing Stick,Economy 26 Inch""""""",19.67,9.84,,,0 CDM,74550635,"Handles,Builtup-Kings W/C Only",19.67,9.84,,,0 CDM,74550637,"Hand Helper Delux,Wht W/C Only",33.12,16.56,,,0 CDM,74550663,"Mirror Inspection,Flexible",61.07,30.54,,,0 CDM,74550683,Plate Guard Clear 8.5X10,21.74,10.87,,,0 CDM,74550852,Valve Spkng Trach 15Mm Id,220.46,110.23,,,0 CDM,74550858,"Wheels,Walker Rubber",135.59,67.8,,,0 CDM,74550863,Chgr-Pfo Occluder,8229.29,4114.64,,,0 CDM,74550864,"Sheath,Retrieval Filterwire",272.21,136.1,,,0 CDM,74550866,"Wire,Filter",3373.07,1686.54,,,0 CDM,74550870,"Pacemaker,Syncra-Bi-V",21797.1,10898.55,,,0 CDM,74550878,Chgr-Mammotome Needle / Probe,1188.0,594.0,,,0 CDM,74550879,Chgr-Micro Clip Tissue Marker,453.0,226.5,,,0 CDM,74550888,Chgr-Catheter Outback Ltd Reentry,3480.71,1740.36,,,0 CDM,74550891,Chgr-Probe Mammotome 11 Gauge,847.67,423.84,,,0 CDM,74550893,Chgr-Balloon 7X4 Hyperform 150Cm,2737.58,1368.79,,,0 CDM,74550895,Chgr-Balloon Ob/5/2/65/.025/8.5,879.75,439.88,,,0 CDM,74550904,Chgr-Cath Basket Retriever S-Strand,6763.73,3381.86,,,0 CDM,74550907,Chgr-Cath Excelsior Sl10 2Tip 150Cm,1654.97,827.48,,,0 CDM,74550908,Chgr-Cath Prowler 14-Angled 2-Tip,1845.41,922.7,,,0 CDM,74550909,Chgr-Cath Prowler 14J 2-Tip,1757.43,878.72,,,0 CDM,74550910,Chgr-Cath Renegade 115X20 1-Tip,1111.59,555.8,,,0 CDM,74550911,Chgr-Cath Renegade Hi-Flow 135X10,1630.13,815.06,,,0 CDM,74550912,Chgr-Coil 4X8 Ultrasoft Gdc-10,2703.42,1351.71,,,0 CDM,74550913,Chgr-Coil Pusher 177Cm 016,519.57,259.78,,,0 CDM,74550914,Chgr-Embolic Embogold 100-300Um 2Ml,778.32,389.16,,,0 CDM,74550915,Chgr-Embolic Embogold 300-500Um 2Ml,778.32,389.16,,,0 CDM,74550916,Chgr-Embolic Embogold 500-700Um 2Ml,778.32,389.16,,,0 CDM,74550917,Chgr-Embolic Embogold 700-900Um 2Ml,778.32,389.16,,,0 CDM,74550918,Chgr-Embolic Embosphere 9001200Um2Ml,778.32,389.16,,,0 CDM,74550919,Filter Trapease 90Cm,2639.25,1319.62,,,0 CDM,74550920,Chgr-Guide 0.008Inx200Cm Mirage,1147.82,573.91,,,0 CDM,74550922,Chgr-Needle 21Gx4Cm,989.46,494.73,,,0 CDM,74550925,Chgr-Sheath Ksaw8-38-90-Rb-Shtl-Hc,453.33,226.66,,,0 CDM,74550927,Chgr-Wire Transend .014X190Cm,638.6,319.3,,,0 CDM,74550928,Chgr-Cath 20 Marker Band 65Cm,360.18,180.09,,,0 CDM,74550941,Chgr-Cath 6.6F Pasv Single Lumen Ik,814.55,407.28,,,0 CDM,74550950,Foot Wrap Rigid Sole-Lge/Reg,224.6,112.3,,,0 CDM,74550952,Chitoseal,214.25,107.12,,,0 CDM,74550967,"Guidewire,Attain 6218",399.51,199.76,,,0 CDM,74550971,"Occluder,Apmplatzer Septal",12881.0,6440.5,,,0 CDM,74550972,"Chgr-Sheath,Attain 6216",198.72,99.36,,,0 CDM,74550975,Chgr-Stent-Neuroform 3.0X15Mm,9880.11,4940.06,,,0 CDM,74550976,Chgr-Stent-Neuroform 3.0X20Mm,9880.11,4940.06,,,0 CDM,74550977,Chgr-Stent-Neuroform 3.5X15Mm,9880.11,4940.06,,,0 CDM,74550978,Chgr-Stent-Neuroform 3.5X20Mm,9880.11,4940.06,,,0 CDM,74550980,Chgr-Stent-Neuroform 4.0X20Mm,9880.11,4940.06,,,0 CDM,74550982,Chgr-Stent-Neuroform 4.5X20Mm,9880.11,4940.06,,,0 CDM,74550983,Chgr-Coil Mtrx Soft Helical 2Mmx2Cm,2394.99,1197.5,,,0 CDM,74550984,Chgr-Coil Mtrx Soft Helical 2Mmx3Cm,2394.99,1197.5,,,0 CDM,74550985,Chgr-Coil Mtrx Soft Helical 2Mmx4Cm,2394.99,1197.5,,,0 CDM,74550986,Chgr-Coil Mtrx Soft Helical 2Mmx6Cm,2430.18,1215.09,,,0 CDM,74550987,Chgr-Coil Mtrx Soft 2D 3Mmx3Cm,2394.99,1197.5,,,0 CDM,74550988,Chgr-Coil Mtrx Soft 2D 3Mmx4Cm,2394.99,1197.5,,,0 CDM,74550989,Chgr-Coil Mtrx Soft 2D 3Mmx6Cm,2430.18,1215.09,,,0 CDM,74550990,Chgr-Coil Mtrx Soft 2D 4Mmx4Cm,2430.18,1215.09,,,0 CDM,74550992,Chgr-Coil Mtrx Soft 2D 4Mmx8Cm,2453.99,1227.0,,,0 CDM,74550994,Chgr-Coil Mtrx Soft 2D 5Mmx8Cm,2453.99,1227.0,,,0 CDM,74550995,Chgr-Coil Mtrx Std 2D 3Mmx8Cm,2430.18,1215.09,,,0 CDM,74550997,Chgr-Coil Mtrx Std 2D 4Mmx10Cm,2548.17,1274.08,,,0 CDM,74550998,Chgr-Coil Mtrx Std 2D 5Mmx10Cm,2549.21,1274.6,,,0 CDM,74551000,Chgr-Coil Mtrx Std 2D 6Mmx15Cm,2689.97,1344.98,,,0 CDM,74551002,Chgr-Coil Mtrx Std 2D 7Mmx20Cm,2689.97,1344.98,,,0 CDM,74551004,Chgr-Coil Mtrx Std 2D 8Mmx20Cm,2713.77,1356.88,,,0 CDM,74551014,Chgr-Coil Mtrx Firm 2D 10Mmx30Cm,2881.44,1440.72,,,0 CDM,74551015,Chgr-Coil Mtrx Firm 2D 12Mmx30Cm,2881.44,1440.72,,,0 CDM,74551018,Chgr-Coil Mtrx Ext Frm 2D 18Mmx30Cm,2901.11,1450.56,,,0 CDM,74551019,Chgr-Coil Mtrx Ext Frm 2D 20Mmx30Cm,3047.04,1523.52,,,0 CDM,74551021,Chgr-Coil Mtrx Std 3D 3Mmx6Cm,3042.9,1521.45,,,0 CDM,74551025,Chgr-Coil Mtrx Std 3D 5Mmx10Cm,3204.36,1602.18,,,0 CDM,74551033,Chgr-Coil Mtrx Firm 3D 10Mmx30Cm,3688.74,1844.37,,,0 CDM,74551034,Chgr-Coil Mtrx Firm 3D 12Mmx30Cm,3688.74,1844.37,,,0 CDM,74551035,Chgr-Coil Mtrx Firm 3D 14Mmx30Cm,3688.74,1844.37,,,0 CDM,74551038,Chgr-Coil Mtrx Ext Frm 3D 20Mmx30Cm,3743.6,1871.8,,,0 CDM,74551048,Retractor-Disposable,243.0,121.5,,,0 CDM,74551110,Inspiratory Muscle Traine,68.31,34.16,,,0 CDM,74551111,Peak Flow Meter Device,111.78,55.89,,,0 CDM,74551114,Spacing Device,79.7,39.85,,,0 CDM,74551133,"Brach Seed,High Dose Irid 192",915.0,457.5,,,0 CDM,74551136,Rooke Peri Operative Boot,282.56,141.28,,,0 CDM,74551139,Drive Line Stabilizers,170.78,85.39,,,0 CDM,74551200,Spec Care Nur Admiss/Supplies,570.0,285.0,,,0 CDM,74551253,"Brachytherapy Seed,Gold 198",229.77,114.88,,,0 CDM,74551257,Brachytherapy Seed Yttrium-90,17077.5,8538.75,,,0 CDM,74551260,Chgr-Cath Hemoglide 14.5Frx19 St,981.18,490.59,,,0 CDM,74551261,Cath Hohn 6Fr Dl,748.31,374.16,,,0 CDM,74551265,"Hm Ii Pm Patient Cable,Repl",2198.34,1099.17,,,0 CDM,74551266,Hmii Li Ion Battery Ea,1724.31,862.16,,,0 CDM,74551267,Chgr-Sp Trufill Dcs Syringe 11,506.12,253.06,,,0 CDM,74551268,"Chgr-Sp Coil, Galaxy Cx, Cf & Cr",2232.5,1116.25,,,0 CDM,74551269,"Chgr - Sp Coil, Galaxy Hx",1706.72,853.36,,,0 CDM,74551803,"Sys Control Heartmate,Rep Only",6809.27,3404.64,,,0 CDM,74551816,"Battery Holster,Replacement On",919.08,459.54,,,0 CDM,74551818,"Stabilization Belt Hrtmte,Rep",233.91,116.96,,,0 CDM,74551850,"Chgr-Closure Device,Boomerang",1536.98,768.49,,,0 CDM,74551860,"Universl Btry Chrgr,Repl Only",16629.35,8314.68,,,0 CDM,74551902,"Catheter,Ekos",3433.1,1716.55,,,0 CDM,74551903,"Catheter,Diamondback",4934.0,2467.0,,,0 CDM,74551904,"Catheter,Diamondback Firmwire",408.0,204.0,,,0 CDM,74551905,"Chgr-Catheter,Diamondback Tubing",926.33,463.16,,,0 CDM,74551906,Amplatzer Plug,1908.0,954.0,,,0 CDM,74551921,Cath Us Eagle 2.9 F 150 Ivus,2668.23,1334.12,,,0 CDM,74552000,"Chgr-Sp Micrus Cable, Ccb000262-20",986.36,493.18,,,0 CDM,74552002,"Chgr-Sp Coil,343202",2735.51,1367.76,,,0 CDM,74552008,"Chgr-Sp Coil,343304",2764.49,1382.24,,,0 CDM,74552012,"Chgr-Sp Coil,Che 100408-30",2818.31,1409.16,,,0 CDM,74552013,"Chgr-Sp Coil,Che 100410-30",2818.31,1409.16,,,0 CDM,74552014,"Chgr-Sp Coil,Che 100510-30",2683.76,1341.88,,,0 CDM,74552016,"Chgr-Sp Coil,Cfs 100201-30",2847.29,1423.64,,,0 CDM,74552017,"Chgr-Sp Coil,Cfs 100202-30",2847.29,1423.64,,,0 CDM,74552018,"Chgr-Sp Coil,Cfs 100203-30",2847.29,1423.64,,,0 CDM,74552019,"Chgr-Sp Coil,Cfs 100204-30",2847.29,1423.64,,,0 CDM,74552020,"Chgr-Sp Coil,Cfs 100206-30",2847.29,1423.64,,,0 CDM,74552021,"Chgr-Sp Coil,Cfs 100302-30",2847.29,1423.64,,,0 CDM,74552022,"Chgr-Sp Coil,Cfs 100304-30",2847.29,1423.64,,,0 CDM,74552023,"Chgr-Sp Coil,Cfs 100306-30",2847.29,1423.64,,,0 CDM,74552025,"Chgr-Sp Coil,Cfs 100404-30",2889.72,1444.86,,,0 CDM,74552026,"Chgr-Sp Coil,Cfs 100406-30",2889.72,1444.86,,,0 CDM,74552027,"Chgr-Sp Coil,Cfs 100408-30",2620.62,1310.31,,,0 CDM,74552032,"Chgr-Sp Coil,Che 100615-30",2222.15,1111.08,,,0 CDM,74552050,"Chgr-Sp Coil, 346407Sr",2576.12,1288.06,,,0 CDM,74552070,"Chgr-Sp Coil,348615",2824.52,1412.26,,,0 CDM,74552072,"Chgr-Sp Coil,347408Sr",2847.29,1423.64,,,0 CDM,74552077,"Chgr-Sp Coil,348820",2889.72,1444.86,,,0 CDM,74552094,"Chgr-Sp Coil,Csp 10020030",3161.93,1580.96,,,0 CDM,74552095,"Chgr-Sp Coil,Csp 10030030",3161.93,1580.96,,,0 CDM,74552096,"Chgr-Sp Coil,Csp 100400-30",3161.93,1580.96,,,0 CDM,74552101,"Chgr-Sp Coil,Csp 100500-30",3331.67,1665.84,,,0 CDM,74552102,"Chgr-Sp Coil,Csp 100600-30",3331.67,1665.84,,,0 CDM,74552103,"Chgr-Sp Coil,Csp 100700-30",3331.67,1665.84,,,0 CDM,74552109,"Chgr-Sp Coil,Csp 100800-30",3414.47,1707.24,,,0 CDM,74552110,"Chgr-Sp Coil,Csp 100900-30",3414.47,1707.24,,,0 CDM,74552130,"Chgr-Sp Stent,Snf34520",9549.95,4774.98,,,0 CDM,74552131,"Chgr-Sp Stent,Snf34020",9549.95,4774.98,,,0 CDM,74552133,"Chgr-Sp Stent,Snf34030",9761.09,4880.54,,,0 CDM,74552150,"Lead,Defib Durata/Optisure",8364.0,4182.0,,,0 CDM,74552151,"Lead,Defib Durata Single Coil",8266.55,4133.28,,,0 CDM,74552152,"Chgr-Penumbra,Paps1,Cann/Tub/Filt",533.03,266.52,,,0 CDM,74552153,"Chgr-Penumbra,Psc026,026 Catheter",316.71,158.36,,,0 CDM,74552154,"Chgr-Penumbra,Psc032,032 Catheter",2057.58,1028.79,,,0 CDM,74552155,"Chgr-Penumbra,Psc041,041 Catheter",2057.58,1028.79,,,0 CDM,74552156,"Chgr-Penumbra,Pss026,026 Separatr",4309.74,2154.87,,,0 CDM,74552157,"Chgr-Penumbra,Pss032,032 Separatr",4309.74,2154.87,,,0 CDM,74552158,"Chgr-Penumbra,Pss041,041 Separatr",4309.74,2154.87,,,0 CDM,74552159,"Chgr-Penumbra,Pst1,Asp Tubing",928.4,464.2,,,0 CDM,74552202,Tamponade Balloon,564.08,282.04,,,0 CDM,74552203,Endo Yueh Centesis Needle,55.89,27.94,,,0 CDM,74552205,Endo Catheter Qbd-6X3,441.95,220.98,,,0 CDM,74552206,Endo Monolith Lithotripter,954.27,477.14,,,0 CDM,74552207,Endo Eus Needle 22Gx5.2Fr,619.97,309.98,,,0 CDM,74552208,Endo Uos Needle 25Gx5.2Fr,619.97,309.98,,,0 CDM,74552213,Endo Jagtome 44 Rx,841.46,420.73,,,0 CDM,74552214,Endo Jagtome 49 Rx,841.46,420.73,,,0 CDM,74552215,Endo Jagtome 39 Rx,841.46,420.73,,,0 CDM,74552216,Endo Hydratome 44 Rx,1008.09,504.04,,,0 CDM,74552217,Endo Hydratome 49 Rx,1008.09,504.04,,,0 CDM,74552219,Endo Biop Forcep Rad Jaw 4 Jum,85.91,42.96,,,0 CDM,74552220,Endo Microbiology Brush,80.73,40.36,,,0 CDM,74552221,Gi Endo Bedside Supply Chg,531.99,266.0,,,0 CDM,74552330,"Chgr-Kypx Express Addl Fx,Kpe 1004",4887.27,2443.64,,,0 CDM,74552331,Chgr-Probe Percryo 2.4Mm,2075.18,1037.59,,,0 CDM,74552332,Probe Percryo 1.7Mm,2075.18,1037.59,,,0 CDM,74552341,Seprafilm,1571.13,785.56,,,0 CDM,74552344,"Catheter,Dynamic Xt",753.48,376.74,,,0 CDM,74552345,"Introducer,Steerable",2228.0,1114.0,,,0 CDM,74552347,"Catheter,Quick Cross",598.23,299.12,,,0 CDM,74552348,"Chgr-Catheter, Fox Hollow",4853.12,2426.56,,,0 CDM,74552349,Cryo-Ablation Catheter,4058.0,2029.0,,,0 CDM,74552352,Spider X Embolic Protection,2656.85,1328.42,,,0 CDM,74552354,"Catheter,Twin Pass Support",824.9,412.45,,,0 CDM,74552355,"Catheter,Venture",1938.56,969.28,,,0 CDM,74552356,"Catheter,Outback Re-Entry Cath",1988.24,994.12,,,0 CDM,74552372,Fad Discogram Kit,1581.48,790.74,,,0 CDM,74552374,Chgr-Rp:I-123 Mibg,4328.0,2164.0,,,0 CDM,74552379,"Defib,Virtuoso Dr Rf",90372.06,45186.03,,,0 CDM,74552388,"Lead,Defib Sprint Single-Coil",8874.0,4437.0,,,0 CDM,74552393,"Pacemaker,Micra Leadless Vr",11605.46,5802.73,,,0 CDM,74552405,"Lead,Pacemaker Selox",1063.0,531.5,,,0 CDM,74552407,"Lead,Pacemaker Tendril St",1338.0,669.0,,,0 CDM,74552409,"Chgr-Needle,Uniblate,15Cm",3832.61,1916.3,,,0 CDM,74553000,Hypothermia Large Kit Pad,3398.0,1699.0,,,0 CDM,74553005,Dermagraft Per Sq Cm,135.59,67.8,,,0 CDM,74553007,Theraskin Per Sq Cm,91.08,45.54,,,0 CDM,74553008,Theraskin Waste Per Sq Cm,91.08,45.54,,,0 CDM,74553013,"Cath,Throm,Trellis,Bvt8-080-30",3832.61,1916.3,,,0 CDM,74553031,"Stent,Boston Sci Express Ld",1571.13,785.56,,,0 CDM,74553032,"Stent,Boston Sci Express Sd",1571.13,785.56,,,0 CDM,74553033,"Stent,Cordis Smart Control",1571.13,785.56,,,0 CDM,74553034,"Cath,Hickman Dl Dacr Cuff,9.5F",320.85,160.42,,,0 CDM,74553040,"Chgr-Tube,Feed,Corflo,10Frx55",48.65,24.32,,,0 CDM,74553045,Oasis Wound Matrix Per Sq Cm,32.09,16.04,,,0 CDM,74553050,Watchman Closure Device,25799.0,12899.5,,,0 CDM,74553051,"Watchman Flx, Pinnacle Study",1.04,0.52,,,0 CDM,74554000,"Chgr-Needle,Confidence Intr,13G,4In",371.57,185.78,,,0 CDM,74554002,"Tray,Oncontrol Biops Sys 152Mm",219.42,109.71,,,0 CDM,74554007,Tru-Close Pneumothorax Kit,498.87,249.44,,,0 CDM,74554022,"Catheter,Smart Touch",5852.93,2926.46,,,0 CDM,74554695,Chgr-Rp I-123 Ioflupane Per Dose,4573.0,2286.5,,,0 CDM,74556001,"Catheter,Cxi",331.2,165.6,,,0 CDM,74556603,"Stent,Formula 414 Rx",4625.42,2312.71,,,0 CDM,74557712,Set Introducer Coaccess,189.41,94.7,,,0 CDM,74557714,"Loop Recorder,Confirm",15036.48,7518.24,,,0 CDM,74557715,Loop Recorder Reveal Linq Ii,5767.02,2883.51,,,0 CDM,74558011,Intra-Vascular Ultrasound Cath,2737.58,1368.79,,,0 CDM,74558014,"Gogear Bttry Clip,Repl Only",2540.93,1270.46,,,0 CDM,74558015,"Gogear Car Cable,Repl Only",471.96,235.98,,,0 CDM,74558016,"Gogear Travel Case,Rep Only",360.0,180.0,,,0 CDM,74560700,Biopatch Anti Microbial Dressi,20.7,10.35,,,0 CDM,74560836,"Catheter,Diag Attain Steerable",550.0,275.0,,,0 CDM,74560837,"Catheter,Diag Attain Left Hear",115.0,57.5,,,0 CDM,74560838,"Catheter,Diag Attain Deflectab",115.0,57.5,,,0 CDM,74561058,"Pacemaker,Verity Adx Xl Dr",11619.95,5809.98,,,0 CDM,74561065,"Lead,Pacemaker Fineline Ii Ste",1917.86,958.93,,,0 CDM,74561128,Pleurx Pleural Cath Drain Kit,171.81,85.9,,,0 CDM,74561129,Ats Abd Wound Vac Lg Canister,172.85,86.42,,,0 CDM,74561130,"Lead,Neurostim Test Kit",4288.01,2144.0,,,0 CDM,74561140,Sphenocath Catheter,241.16,120.58,,,0 CDM,74561200,Chgr-Implant Neuro Stimul Electrode,700.7,350.35,,,0 CDM,74561201,"Skin Sub,Apligraf Per Sq Cm",79.7,39.85,,,0 CDM,74561202,"Skin Sub,Apligraf Waste Sq Cm",79.7,39.85,,,0 CDM,74561290,Aquacel 6X6,65.21,32.6,,,0 CDM,74561291,Aquacel 8X12,99.36,49.68,,,0 CDM,74562000,Bravo Ph Capsule,712.08,356.04,,,0 CDM,74562050,"Chgr-Ndl,Ossflx Steer,1.0",3616.29,1808.14,,,0 CDM,74562206,Rotaflow Vad Implant,1522.0,761.0,,,0 CDM,74562207,"Chgr-Catheter,Penumbra Cat 3",1384.83,692.42,,,0 CDM,74562208,"Chgr-Catheter, Penumbra Cat 6",2250.09,1125.04,,,0 CDM,74562209,"Chgr-Catheter, Penumbra Cat 8",3440.34,1720.17,,,0 CDM,74562210,"Chgr-Separator, Penumbra Cat 3",1147.82,573.91,,,0 CDM,74562211,"Chgr-Separator, Penumbra Cat 6",1285.47,642.74,,,0 CDM,74562212,"Chgr-Separator, Penumbra Cat 8",2988.05,1494.02,,,0 CDM,74562215,Hmiii Contoller,14021.15,7010.58,,,0 CDM,74562218,"Catheter, Viance",2003.76,1001.88,,,0 CDM,74562219,"Catheter, Enteer",2953.89,1476.94,,,0 CDM,74562220,"Guidewire,Enteer",336.38,168.19,,,0 CDM,74562222,"Catheter, Penumbra Cat 12",8106.12,4053.06,,,0 CDM,74562223,"Separator, Penumbra Cat 12",2315.3,1157.65,,,0 CDM,74562224,"Encircle Device, Research Tmvr",41658.75,20829.38,,,0 CDM,74563006,"Loop Recorder,Reveal Xt",9289.13,4644.56,,,0 CDM,74563020,"Lead,Pacemaker Capsure",1418.0,709.0,,,0 CDM,74563199,Brevera Biopsy Needle-9G 13Cm,1515.0,757.5,,,0 CDM,74563200,Chgr-Needle Brst Loc 20Gx9Cm,89.01,44.5,,,0 CDM,74563201,Chgr-Needle Brst Loc 20Gx7Cm,89.01,44.5,,,0 CDM,74563202,Chgr-Needle Brst Loc Leloc 18Gx1Cm,243.23,121.62,,,0 CDM,74563203,"Chgr-Sp Coil,Csp 180200-30",2714.81,1357.4,,,0 CDM,74563204,"Chgr-Sp Coil,Csp 180300-30",2734.47,1367.24,,,0 CDM,74563206,"Chgr-Sp Coil,Csp 180500-30",2803.82,1401.91,,,0 CDM,74563207,"Chgr-Sp Coil,Csp 180600-30",2839.01,1419.5,,,0 CDM,74563208,"Chgr-Sp Coil,Csp 180700-30",2857.64,1428.82,,,0 CDM,74563209,"Chgr-Sp Coil,Csp 180800-30",2884.55,1442.28,,,0 CDM,74563210,"Chgr-Sp Coil,Csp 180900-30",2909.39,1454.7,,,0 CDM,74563211,"Chgr-Sp Coil,Csp 181000-30",2936.3,1468.15,,,0 CDM,74563212,"Chgr-Sp Coil,Csp 181100-30",2941.47,1470.74,,,0 CDM,74563213,"Chgr-Sp Coil,Csp 181200-30",2974.59,1487.3,,,0 CDM,74563214,"Chgr-Sp Coil,Csp 181300-30",2974.59,1487.3,,,0 CDM,74563215,"Chgr-Sp Coil,Csp 181300-30",2999.43,1499.72,,,0 CDM,74563216,"Chgr-Sp Coil,Csp 181300-30",3026.34,1513.17,,,0 CDM,74563217,"Chgr-Sp Coil,Csp 181600-30",3051.18,1525.59,,,0 CDM,74563219,"Chgr-Sp Coil,Csp 181800-30",3078.09,1539.04,,,0 CDM,74566229,Chgr-Rp:Tc-99 Dtpa Aerosol Per Stud,290.0,145.0,,,0 CDM,74566230,Chgr-Rp:Tc-99 Dmsa Per Dose,766.0,383.0,,,0 CDM,74567155,"Defib,Evera Mri Dr",27210.15,13605.08,,,0 CDM,74567156,"Defib,Evera Mri Vr",29812.14,14906.07,,,0 CDM,74567157,"Pacemaker,Assurity Sr",16906.73,8453.36,,,0 CDM,74567159,"Pacemaker,Assurity Dr",31850.06,15925.03,,,0 CDM,74567161,"Pacemaker,Allure Biv",17785.44,8892.72,,,0 CDM,74567163,"Lead, Defib Crt Lv Acuity",4449.0,2224.5,,,0 CDM,74567164,"Lead,Icd Reliance Single Coil",7762.5,3881.25,,,0 CDM,74567183,"Pacemaker,Allure Biv Multipace",14550.03,7275.02,,,0 CDM,74567184,"Defib,Quadra Assura Biv Mp",37714.37,18857.18,,,0 CDM,74567185,"Lead,Defib,Quartet,Quad Mp",5499.99,2750.0,,,0 CDM,74567186,"Pacemaker,Micra Leadless Av",14088.0,7044.0,,,0 CDM,74567187,"Introducer,Micra Sheath",819.0,409.5,,,0 CDM,74569079,"Loop Recorder,Reveal Linq",8975.0,4487.5,,,0 CDM,74570149,Set Generator Universal,132.48,66.24,,,0 CDM,74570200,Chgr-Cath Xpeedior Angiojet 130,2950.79,1475.4,,,0 CDM,74570201,Chgr-Snare Gooseneck 15 15Mm Kit,866.3,433.15,,,0 CDM,74570202,Pleurx Pleural Catheter,720.36,360.18,,,0 CDM,74570203,Chgr-Pleurx Pleural Cath Drain Kit,363.29,181.64,,,0 CDM,74570225,"Starclose,Closure",698.63,349.32,,,0 CDM,74570500,Chgr-Stent Wallstent 7F 10X94X110,3445.52,1722.76,,,0 CDM,74570602,Chgr-Cath Hohn 7Fr Dl,705.87,352.94,,,0 CDM,74570854,Chgr-Stent Viabil Bil Cvrd 10X6,9452.66,4726.33,,,0 CDM,74570855,Chgr-Stent Viabil Bil Cvrd 10X8,9452.66,4726.33,,,0 CDM,74570859,Chgr-Stent Viabil Cvrd 10X8 W/Hole,9452.66,4726.33,,,0 CDM,74570882,"Chgr-Dilator,Fascial/Ureth,8-24X37",610.65,305.32,,,0 CDM,74570883,"Chgr-Tube,Feed,Transgast-Jeju,18X22",113.85,56.92,,,0 CDM,74570884,"Chgr-Tube,Feed,Transgast-Jeju,18X45",113.85,56.92,,,0 CDM,74570885,"Chgr-Tube,Feed,Transgast-Jeju,22X45",588.92,294.46,,,0 CDM,74570886,"Chgr-Stent,Biliary,Luer Lock,14F",233.91,116.96,,,0 CDM,74570889,Chgr-Trufill Liq Embolic Sys/Cordis,4515.71,2257.86,,,0 CDM,74570891,Cath Merci Microcatheter 18L,1270.98,635.49,,,0 CDM,74570895,Maquet Ecmo Kit,3900.92,1950.46,,,0 CDM,74570896,Ecmo Transducer,520.61,260.3,,,0 CDM,74571701,"Lead,Pacemaker Fineline",1880.6,940.3,,,0 CDM,74571706,"Lead,Pacemaker Isoflex",4025.12,2012.56,,,0 CDM,74571720,"Access System,Axera",490.59,245.3,,,0 CDM,74571802,"Chgr-Sp Stent,Intracran,Wingspan",13245.93,6622.96,,,0 CDM,74571803,"Chgr-Sp Balloon,Intracran,Gateway",2964.24,1482.12,,,0 CDM,74571806,Ch-Grsurgicell Absorbable Hemostat,220.46,110.23,,,0 CDM,74571807,Lasso Catheter,2701.35,1350.68,,,0 CDM,74571812,Chgr-Device Merci Retrieval X5,5857.07,2928.54,,,0 CDM,74571814,Chgr-Cath Guide Concentric Balloon,2462.27,1231.14,,,0 CDM,74571815,Chgr-Cath Guide Merci Balloon 9Fr,1865.07,932.54,,,0 CDM,74571816,Chgr-Cath Merci Micro 14X,1270.98,635.49,,,0 CDM,74571817,"Chgr-Kyphx Latitude Curette,A11B",583.74,291.87,,,0 CDM,74571818,"Chgr-Kyphx One Step Addl Fx,Kpt1504",4899.69,2449.84,,,0 CDM,74571819,"Chgr-Kyphx Express Addl Fx,Kpe1002",5212.26,2606.13,,,0 CDM,74571820,"Chgr-Kyphx Express 1St Fx,Kpe1001",7740.77,3870.38,,,0 CDM,74571821,"Chgr-Kyphx One Step 1St Fx,Kpt1505",7785.27,3892.64,,,0 CDM,74571822,"Chgr-Kyphx Bone Cement Mixer,C01B",525.78,262.89,,,0 CDM,74571823,"Chgr-Kyphx Bone Biopsy Dvc,F05A",395.37,197.68,,,0 CDM,74571824,"Chgr-Kyphx Bone Biopsy Dvc,F07A",395.37,197.68,,,0 CDM,74571825,"Chgr-Kyphx Device Introducer,A10A",1194.39,597.2,,,0 CDM,74571826,"Chgr-Kyphx Elevate Bone Tamp,K16A",2554.38,1277.19,,,0 CDM,74571827,"Chgr-Kyphx Elevate Bone Tamp,K16B",2465.37,1232.68,,,0 CDM,74571828,"Chgr-Kyphx Exact Bone Tamp,K17A",2554.38,1277.19,,,0 CDM,74571829,"Chgr-Kyphx Exact Bone Tamp,K17B",2235.6,1117.8,,,0 CDM,74571830,"Chgr-Kyphx Bone Cement,C01A",306.36,153.18,,,0 CDM,74571840,Chgr-Cath Hickman #60069-2,1140.57,570.28,,,0 CDM,74571843,"Stent,Carotid Precise Nitinol",3749.81,1874.9,,,0 CDM,74571844,Embolic Protection Sys/Angiogu,3969.23,1984.62,,,0 CDM,74571846,"Catheter,Direct Sl",1320.0,660.0,,,0 CDM,74571847,"Catheter,Aim Cann",954.27,477.14,,,0 CDM,74571849,"Catheter,Pronto Extract",1324.8,662.4,,,0 CDM,74571850,Chgr-Snare Gooseneck 10Mm,823.86,411.93,,,0 CDM,74571851,Chgr-Haskel Tips Set,1938.56,969.28,,,0 CDM,74571852,Chgr-Stent Viatorr 8X8,9452.66,4726.33,,,0 CDM,74571853,Chgr-Hemoglide Bd-Pc2 Cath Ki-24Cm,924.26,462.13,,,0 CDM,74571854,Chgr-Hemoglide Bd-Pc2 Cath Ki-31Cm,924.26,462.13,,,0 CDM,74571855,Chgr-Hemoglide Bd-Pc2 Cath Ki-35Cm,924.26,462.13,,,0 CDM,74571856,Filter Vena Tech Lp,2372.22,1186.11,,,0 CDM,74571857,Chgr-Stent Smart 12X80X80Cm,3824.33,1912.16,,,0 CDM,74571858,"Chgr-Catheter,Supreme 20",2574.05,1287.02,,,0 CDM,74571861,"Catheter,Cour Quad",713.12,356.56,,,0 CDM,74571865,"Catheter,Langston",363.29,181.64,,,0 CDM,74571867,Chgr-Ep Lab D-Stat,410.9,205.45,,,0 CDM,74571868,"Chgr-Catheter,Bayliss",1496.61,748.3,,,0 CDM,74571869,"Chgr-Sheath,Bayliss",1422.09,711.04,,,0 CDM,74571870,Chgr-Sp Closure Angioseal,1019.48,509.74,,,0 CDM,74571871,Chgr-Sp Closure Perclose,464.72,232.36,,,0 CDM,74571872,Chgr-Sp Closure Starclose,574.43,287.22,,,0 CDM,74571873,"Chgr-Cath,Picc Power 5F Dual,130Cm",320.85,160.42,,,0 CDM,74571874,"Cath,Picc Power 5F Dual,75Cm",320.85,160.42,,,0 CDM,74571880,"Cath,Navistar Bi-Dir Tc Carto3",7886.0,3943.0,,,0 CDM,74571881,Chgr-Cath Ultrsnd Eagle Eye Vlcano,2320.0,1160.0,,,0 CDM,74571883,"Cath,Carto3 Siemenssoundstar",3872.0,1936.0,,,0 CDM,74571884,"Chgr-Electrodes,Carto 3 Lasso2515",3000.0,1500.0,,,0 CDM,74571886,"Catheter,Revolution Volcano",1334.12,667.06,,,0 CDM,74571887,"Cath,Carto3 Bidir Thermoez",8871.0,4435.5,,,0 CDM,74571888,"Catheter,Carto3 Bi Dir Curve",713.12,356.56,,,0 CDM,74571889,"Cath,Carto 3 Ref Patch 6Pack",584.0,292.0,,,0 CDM,74571900,Theraspheres Yttrium-90,75431.0,37715.5,,,0 CDM,74571991,"Cath,Atherectomy",8258.27,4129.14,,,0 CDM,74571992,"Chgr-Cath,Thrombectomy,Angiojet Dvx",2508.84,1254.42,,,0 CDM,74571999,"Cath,Dragonfly Ilumiem",1664.28,832.14,,,0 CDM,74572010,"Chgr-Cath Guide Envoy,670-258-00",608.58,304.29,,,0 CDM,74572018,"Chgr-Coil,100151Hs-V",1897.16,948.58,,,0 CDM,74572019,"Chgr-Coil,100152H2Hs-V",2319.44,1159.72,,,0 CDM,74572020,"Chgr-Coil,100152Hs-V",1897.16,948.58,,,0 CDM,74572021,"Chgr-Coil,100153Hs-V",1897.16,948.58,,,0 CDM,74572022,"Chgr-Coil,100202Cssr-V",2835.9,1417.95,,,0 CDM,74572023,"Chgr-Coil,100202Hfrm-V",4313.88,2156.94,,,0 CDM,74572024,"Chgr-Coil,100254Cssr-V",2876.27,1438.14,,,0 CDM,74572025,"Chgr-Coil,100254Hfrm-V",4354.25,2177.12,,,0 CDM,74572026,"Chgr-Coil,100306Cssr-V",2917.67,1458.84,,,0 CDM,74572027,"Chgr-Coil,10036Hfrm-V",4396.68,2198.34,,,0 CDM,74572028,"Chgr-Coil,100405Hfrm-V",4375.98,2187.99,,,0 CDM,74572029,"Chgr-Coil,100408Cssr-V",2959.07,1479.54,,,0 CDM,74572030,"Chgr-Sp Coil,100408Hfrm-V",4438.08,2219.04,,,0 CDM,74572031,"Chgr-Coil,100510Hfrm-V",4477.41,2238.7,,,0 CDM,74572032,"Chgr-Coil,100515Hfrm-V",4580.91,2290.46,,,0 CDM,74572033,"Chgr-Coil,100612Hfrm-V",4518.81,2259.4,,,0 CDM,74572034,"Chgr-Coil,100619Hfrm-V",4664.75,2332.38,,,0 CDM,74572035,"Chgr-Coil,100715Hfrm-V",4580.91,2290.46,,,0 CDM,74572036,"Chgr-Coil,100728Hfrm-V",4848.98,2424.49,,,0 CDM,74572037,"Chgr-Coil,100817Hfrm-V",4622.31,2311.16,,,0 CDM,74572038,"Chgr-Coil,100833Hfrm-V",4950.41,2475.2,,,0 CDM,74572039,"Chgr-Coil,100931Hfrm-V",4910.04,2455.02,,,0 CDM,74572040,"Chgr-Coil,101036Hfrm-V",5012.51,2506.26,,,0 CDM,74572041,"Chgr-Coil,180619Hfrm-V",5360.27,2680.14,,,0 CDM,74572042,"Chgr-Coil,180723Hfrm-V",5453.42,2726.71,,,0 CDM,74572043,"Chgr-Coil,180827Hfrm-V",5526.9,2763.45,,,0 CDM,74572044,"Chgr-Coil,180931Hfrm-V",5649.03,2824.52,,,0 CDM,74572045,"Chgr-Coil,180931Hfrm-V",5761.85,2880.92,,,0 CDM,74572046,"Chgr-Coil,181139Hfrm-V",5823.95,2911.98,,,0 CDM,74572047,"Chgr-Coil,181243Hfrm-V",5905.71,2952.86,,,0 CDM,74572048,"Chgr-Coil,181347Hfrm-V",5988.51,2994.26,,,0 CDM,74572049,"Chgr-Coil,181445Hfrm-V",5844.65,2922.32,,,0 CDM,74572050,"Chgr-Coil,4002C036",4540.55,2270.28,,,0 CDM,74572051,"Chgr-Coil,4002C0310",4622.31,2311.16,,,0 CDM,74572052,"Chgr-Coil,4002C0408R",4580.91,2290.46,,,0 CDM,74572053,"Chgr-Coil,4002C0412",4664.75,2332.38,,,0 CDM,74572054,"Chgr-Coil,4002C0510",4622.31,2311.16,,,0 CDM,74572055,"Chgr-Coil,4002C0610",4622.31,2311.16,,,0 CDM,74572056,"Chgr-Coil,4002C0615",4724.78,2362.39,,,0 CDM,74572057,"Chgr-Coil,4002C0620",4828.28,2414.14,,,0 CDM,74572058,"Chgr-Coil,4002C0710",4622.31,2311.16,,,0 CDM,74572059,"Chgr-Coil,4002C0720",4828.28,2414.14,,,0 CDM,74572060,"Chgr-Coil,4002C0820",4828.28,2414.14,,,0 CDM,74572061,"Chgr-Coil,4002C0820",5032.17,2516.08,,,0 CDM,74572062,"Chgr-Coil,4002C0925",4928.67,2464.34,,,0 CDM,74572063,"Chgr-Coil,4002C0935",5083.92,2541.96,,,0 CDM,74572064,"Chgr-Coil,4002C1030",5032.17,2516.08,,,0 CDM,74572065,"Chgr-Coil,4002C1040",5134.64,2567.32,,,0 CDM,74572066,"Chgr-Coil,4002C1135",5083.92,2541.96,,,0 CDM,74572067,"Chgr-Coil,4002C1145",5187.42,2593.71,,,0 CDM,74572068,"Chgr-Coil,4002C1235",5083.92,2541.96,,,0 CDM,74572069,"Chgr-Coil,4002C1245",5187.42,2593.71,,,0 CDM,74572070,"Chgr-Coil,4002C1335",5083.92,2541.96,,,0 CDM,74572071,"Chgr-Coil,4002C1348",5218.47,2609.24,,,0 CDM,74572072,"Chgr-Coil,4002C1440",5134.64,2567.32,,,0 CDM,74572073,"Chgr-Coil,4002C1450",5240.21,2620.1,,,0 CDM,74572074,"Chgr-Coil,4002C1545",5187.42,2593.71,,,0 CDM,74572075,"Chgr-Coil,4002C1557",5309.55,2654.78,,,0 CDM,74572076,"Chgr-Coil,4002C1645",5187.42,2593.71,,,0 CDM,74572077,"Chgr-Coil,4002C1660",5340.6,2670.3,,,0 CDM,74572078,"Chgr-Coil,4002C1845",5187.42,2593.71,,,0 CDM,74572079,"Chgr-Coil,4002C1857",5309.55,2654.78,,,0 CDM,74572080,"Chgr-Coil,4002C2045",5187.42,2593.71,,,0 CDM,74572081,"Chgr-Coil,4002C2060",5340.6,2670.3,,,0 CDM,74572082,"Chgr-Coil,4002C2245",5187.42,2593.71,,,0 CDM,74572083,"Chgr-Coil,4002C2260",5340.6,2670.3,,,0 CDM,74572084,"Chgr-Coil,4002C2448",5218.47,2609.24,,,0 CDM,74572085,"Chgr-Coil,4002C2457",5309.55,2654.78,,,0 CDM,74572086,"Chgr-Coil,4004C0306",4950.41,2475.2,,,0 CDM,74572087,"Chgr-Coil,4004C0310",5032.17,2516.08,,,0 CDM,74572088,"Chgr-Coil,4004C0408",4992.84,2496.42,,,0 CDM,74572089,"Chgr-Coil,4004C0412",5074.61,2537.3,,,0 CDM,74572090,"Chgr-Coil,4004C0509",5012.51,2506.26,,,0 CDM,74572091,"Chgr-Coil,4004C0513",5095.31,2547.66,,,0 CDM,74572092,"Chgr-Coil,4004C0610",5032.17,2516.08,,,0 CDM,74572093,"Chgr-Coil,4004C0615",5134.64,2567.32,,,0 CDM,74572094,"Chgr-Coil,4004C0620",5240.21,2620.1,,,0 CDM,74572095,"Chgr-Coil,4004C0715",5134.64,2567.32,,,0 CDM,74572096,"Chgr-Coil,4004C0720",5240.21,2620.1,,,0 CDM,74572097,"Chgr-Coil,4004C0820",5240.21,2620.1,,,0 CDM,74572098,"Chgr-Coil,4004C0830",5445.14,2722.57,,,0 CDM,74572099,"Chgr-Coil,4004C0925",5340.6,2670.3,,,0 CDM,74572100,"Chgr-Coil,4004C1020",5240.21,2620.1,,,0 CDM,74572101,"Chgr-Coil,4004C1020",5240.21,2620.1,,,0 CDM,74572102,"Chgr-Coil,4004C1030",5445.14,2722.57,,,0 CDM,74572103,"Chgr-Coil,4004C1040",5649.03,2824.52,,,0 CDM,74572104,"Chgr-Coil,4004C1135",5546.57,2773.28,,,0 CDM,74572105,"Chgr-Coil,4004C1145",5750.46,2875.23,,,0 CDM,74572106,"Chgr-Coil,4004C1235",5546.57,2773.28,,,0 CDM,74572107,"Chgr-Coil,4004C1245",5750.46,2875.23,,,0 CDM,74572108,"Chgr-Coil,4004C1335",5546.57,2773.28,,,0 CDM,74572109,"Chgr-Coil,4004C1348",5813.6,2906.8,,,0 CDM,74572110,"Chgr-Coil,4004C1440",5649.03,2824.52,,,0 CDM,74572111,"Chgr-Coil,4004C1450",5855.0,2927.5,,,0 CDM,74572112,"Chgr-Coil,4004C1545",5750.46,2875.23,,,0 CDM,74572113,"Chgr-Coil,4004C1557",5997.83,2998.92,,,0 CDM,74572114,"Chgr-Coil,4004C1645",5750.46,2875.23,,,0 CDM,74572115,"Chgr-Coil,4004C1660",6058.89,3029.44,,,0 CDM,74572116,"Chgr-Coil,4004C18450",5750.46,2875.23,,,0 CDM,74572117,"Chgr-Coil,4004C1857",5997.83,2998.92,,,0 CDM,74572118,"Chgr-Coil,4004C2045",5750.46,2875.23,,,0 CDM,74572119,"Chgr-Coil,4004C2060",6058.89,3029.44,,,0 CDM,74572120,"Chgr-Coil,4004C2245",5750.46,2875.23,,,0 CDM,74572121,"Chgr-Coil,4004C2260",6058.89,3029.44,,,0 CDM,74572122,"Chgr-Coil,4004C2448",5813.6,2906.8,,,0 CDM,74572123,"Chgr-Coil,4004C2457",5997.83,2998.92,,,0 CDM,74572124,"Chgr-Coil,4004J1",3350.3,1675.15,,,0 CDM,74572125,"Chgr-Coil,4004J10",5176.04,2588.02,,,0 CDM,74572126,"Chgr-Coil,4004J11",5218.47,2609.24,,,0 CDM,74572127,"Chgr-Coil,4004J12",5257.8,2628.9,,,0 CDM,74572128,"Chgr-Coil,4004J13",5300.24,2650.12,,,0 CDM,74572129,"Chgr-Coil,4004J14",5340.6,2670.3,,,0 CDM,74572130,"Chgr-Coil,4004J15",5380.97,2690.48,,,0 CDM,74572131,"Chgr-Coil,4004J2",3566.61,1783.3,,,0 CDM,74572132,"Chgr-Coil,4004J3",3779.82,1889.91,,,0 CDM,74572133,"Chgr-Coil,4004J4",3996.14,1998.07,,,0 CDM,74572134,"Chgr-Coil,4004J5",4211.42,2105.71,,,0 CDM,74572135,"Chgr-Coil,4004J6",4426.7,2213.35,,,0 CDM,74572136,"Chgr-Coil,4004J7",4643.01,2321.5,,,0 CDM,74572137,"Chgr-Coil,4004J8",4857.26,2428.63,,,0 CDM,74572138,"Chgr-Coil,4004J9",5074.61,2537.3,,,0 CDM,74572139,"Chgr- Sp Coil, 4006U0201",3524.18,1762.09,,,0 CDM,74572140,"Chgr-Coil,4006U0202",3738.42,1869.21,,,0 CDM,74572141,"Chgr- Sp Coil, 4006U0203",3954.74,1977.37,,,0 CDM,74572142,"Chgr-Coil,4006U0204",4170.02,2085.01,,,0 CDM,74572143,"Chgr-Coil,4006U0302",3738.42,1869.21,,,0 CDM,74572144,"Chgr-Coil,4006U0303",3954.74,1977.37,,,0 CDM,74572145,"Chgr-Coil,4006U0304",4170.02,2085.01,,,0 CDM,74572146,"Chgr- Coil,4006U0305",4386.33,2193.16,,,0 CDM,74572147,"Chgr-Coil,4006U0306",4600.58,2300.29,,,0 CDM,74572148,"Chgr-Coil,4006U0307",4817.93,2408.96,,,0 CDM,74572149,"Chgr-Coil,4006U0308",5032.17,2516.08,,,0 CDM,74572150,"Chgr-Coil,4006U0309",5248.49,2624.24,,,0 CDM,74572151,"Chgr-Coil,4006U0310",5351.99,2676.0,,,0 CDM,74572152,"Chgr-Coil,4006U0404",4170.02,2085.01,,,0 CDM,74572153,"Chgr-Coil,4006U0406",4600.58,2300.29,,,0 CDM,74572154,"Chgr-Coil,4006U0408",5032.17,2516.08,,,0 CDM,74572155,"Chgr-Coil,4006U0410",5351.99,2676.0,,,0 CDM,74572156,"Chgr-Coil,4006U0412",5474.12,2737.06,,,0 CDM,74572157,"Chgr-Coil,4006U0414",5555.88,2777.94,,,0 CDM,74572158,"Chgr-Coil,4006U0416",5640.75,2820.38,,,0 CDM,74572159,"Chgr-Coil,4006U0418",5721.48,2860.74,,,0 CDM,74572160,"Chgr-Coil,4006U0420",5803.25,2901.62,,,0 CDM,74572161,"Chgr-Coil,Cpl100152-30",2581.29,1290.64,,,0 CDM,74572162,"Chgr-Coil,Cpl100153-30",2581.29,1290.64,,,0 CDM,74572163,"Chgr-Coil,Cpl100201-20",2581.29,1290.64,,,0 CDM,74572164,"Chgr-Coil,Cpl100202-30",2581.29,1290.64,,,0 CDM,74572165,"Chgr-Coil,Cpl100203-20",2581.29,1290.64,,,0 CDM,74572166,"Chgr-Coil,Cpl100204-30",2581.29,1290.64,,,0 CDM,74572167,"Chgr-Coil,Cpl100206-30",2581.29,1290.64,,,0 CDM,74572168,"Chgr-Coil,Cpl100254-30",2581.29,1290.64,,,0 CDM,74572169,"Chgr-Coil,Cpl100256-30",2581.29,1290.64,,,0 CDM,74572170,"Chgr-Coil,Cpl100304-30",2581.29,1290.64,,,0 CDM,74572171,"Chgr-Coil,Cpl100306-30",2581.29,1290.64,,,0 CDM,74572172,"Chgr-Coil,Cpl100406-30",2581.29,1290.64,,,0 CDM,74572173,"Chgr-Coil,Cpl100408-30",2581.29,1290.64,,,0 CDM,74572174,"Chgr-Coil,Cpl100151-30",2581.29,1290.64,,,0 CDM,74572175,"Chgr-Coil,Cpl100252-30",2581.29,1290.64,,,0 CDM,74572176,"Chgr-Coil,Crc1401230-30",3687.71,1843.86,,,0 CDM,74572177,"Chgr-Coil,Crc140225-30",3360.65,1680.32,,,0 CDM,74572178,"Chgr-Coil,Crc140303-30",3380.31,1690.16,,,0 CDM,74572179,"Chgr-Coil,Crc140304-30",3410.33,1705.16,,,0 CDM,74572180,"Chgr-Coil,Crc140306-30",3442.41,1721.2,,,0 CDM,74572181,"Chgr-Coil,Crc140406-30",3410.33,1705.16,,,0 CDM,74572182,"Chgr-Coil,Crc140408-30",3442.41,1721.2,,,0 CDM,74572183,"Chgr-Coil,Crc140445-30",3390.66,1695.33,,,0 CDM,74572184,"Chgr-Coil,Crc140507-30",3442.41,1721.2,,,0 CDM,74572185,"Chgr-Coil,Crc140512-30",3492.09,1746.04,,,0 CDM,74572186,"Chgr-Coil,Crc140609-30",3483.81,1741.9,,,0 CDM,74572187,"Chgr-Coil,Crc140615-30",3544.88,1772.44,,,0 CDM,74572188,"Chgr-Coil,Crc140711-30",3504.51,1752.26,,,0 CDM,74572189,"Chgr-Coil,Crc140717-30",3566.61,1783.3,,,0 CDM,74572190,"Chgr-Coil,Crc140812-30",3524.18,1762.09,,,0 CDM,74572191,"Chgr-Coil,Crc140820-30",3585.24,1792.62,,,0 CDM,74572192,"Chgr-Coil,Crc140914-30",3544.88,1772.44,,,0 CDM,74572193,"Chgr-Coil,Crc140922-30",3595.59,1797.8,,,0 CDM,74572194,"Chgr-Coil,Crc141016-30",3566.61,1783.3,,,0 CDM,74572195,"Chgr-Coil,Crc141025-30",3647.34,1823.67,,,0 CDM,74572196,"Chgr-Coil,Crc141118-30",3585.24,1792.62,,,0 CDM,74572197,"Chgr-Coil,Crc141127-30",3667.01,1833.5,,,0 CDM,74572198,"Chgr-Coil,Crc141219-30",3605.94,1802.97,,,0 CDM,74572199,"Chgr-Coil,M0035422030",3552.12,1776.06,,,0 CDM,74572200,"Chgr-Coil,M0035422040",3552.12,1776.06,,,0 CDM,74572201,"Chgr-Coil,M0035422060",3552.12,1776.06,,,0 CDM,74572202,"Chgr-Coil,M0035422540",3552.12,1776.06,,,0 CDM,74572203,"Chgr-Coil,M0035423040",3552.12,1776.06,,,0 CDM,74572204,"Chgr-Coil,M0035423060",3552.12,1776.06,,,0 CDM,74572205,"Chgr- Coil,M0035423080",3552.12,1776.06,,,0 CDM,74572206,"Chgr-Coil,M0035423100",3552.12,1776.06,,,0 CDM,74572207,"Chgr-Coil,M0035424060",3552.12,1776.06,,,0 CDM,74572208,"Chgr-Coil,M0035424080",3552.12,1776.06,,,0 CDM,74572209,"Chgr-Coil,M0035424100",3552.12,1776.06,,,0 CDM,74572210,"Chgr-Coil,M0035424150",3552.12,1776.06,,,0 CDM,74572211,"Chgr-Coil,M0035425100",3552.12,1776.06,,,0 CDM,74572212,"Chgr-Coil,M0035425150",3552.12,1776.06,,,0 CDM,74572213,"Chgr-Coil,M0035432010",2368.08,1184.04,,,0 CDM,74572214,"Chgr-Coil,M0035432020",2368.08,1184.04,,,0 CDM,74572215,"Chgr-Coil,M0035432030",2368.08,1184.04,,,0 CDM,74572216,"Chgr-Coil,M0035432040",2368.08,1184.04,,,0 CDM,74572217,"Chgr-Coil,M0035432060",2368.08,1184.04,,,0 CDM,74572218,"Chgr-Coil,M0035432080",2368.08,1184.04,,,0 CDM,74572219,"Chgr-Coil,M0035432530",2368.08,1184.04,,,0 CDM,74572220,"Chgr-Coil,M0035432540",2368.08,1184.04,,,0 CDM,74572221,"Chgr-Coil,M0035432560",2368.08,1184.04,,,0 CDM,74572222,"Chgr-Coil,M0035433040",2368.08,1184.04,,,0 CDM,74572223,"Chgr-Coil,M0035433060",2368.08,1184.04,,,0 CDM,74572224,"Chgr-Coil,M0035433080",2368.08,1184.04,,,0 CDM,74572225,"Chgr-Coil,M0035433100",2368.08,1184.04,,,0 CDM,74572226,"Chgr-Coil,M0035434060",2368.08,1184.04,,,0 CDM,74572227,"Chgr-Coil,M0035434080",2368.08,1184.04,,,0 CDM,74572228,"Chgr-Coil,M0035434150",2368.08,1184.04,,,0 CDM,74572229,"Chgr-Coil,M0035461030",3552.12,1776.06,,,0 CDM,74572230,"Chgr-Coil,M0035461130",3552.12,1776.06,,,0 CDM,74572231,"Chgr-Coil,M0035461230",3552.12,1776.06,,,0 CDM,74572232,"Chgr-Coil,M0035461330",3552.12,1776.06,,,0 CDM,74572233,"Chgr-Coil,M0035461430",3552.12,1776.06,,,0 CDM,74572234,"Chgr-Coil,M0035461540",3552.12,1776.06,,,0 CDM,74572235,"Chgr-Coil,M0035463060",3156.75,1578.38,,,0 CDM,74572236,"Chgr-Coil,M0035463080",3156.75,1578.38,,,0 CDM,74572237,"Chgr-Coil,M0035464080",3156.75,1578.38,,,0 CDM,74572238,"Chgr-Coil,M0035464100",3156.75,1578.38,,,0 CDM,74572239,"Chgr-Coil,M0035464150",3156.75,1578.38,,,0 CDM,74572240,"Chgr-Coil,M0035465150",3156.75,1578.38,,,0 CDM,74572241,"Chgr-Coil,M0035465200",3156.75,1578.38,,,0 CDM,74572242,"Chgr-Coil,M0035466150",3552.12,1776.06,,,0 CDM,74572243,"Chgr-Coil,M0035466200",3552.12,1776.06,,,0 CDM,74572244,"Chgr-Coil,M0035466300",3552.12,1776.06,,,0 CDM,74572245,"Chgr-Coil,M0035467150",3552.12,1776.06,,,0 CDM,74572246,"Chgr-Coil,M0035467200",3552.12,1776.06,,,0 CDM,74572247,"Chgr-Coil,M0035467300",3552.12,1776.06,,,0 CDM,74572248,"Chgr-Coil,M0035468200",3552.12,1776.06,,,0 CDM,74572249,"Chgr-Coil,M0035468300",3552.12,1776.06,,,0 CDM,74572250,"Chgr-Coil,M0035469200",3552.12,1776.06,,,0 CDM,74572251,"Chgr-Coil,M0035469300",3552.12,1776.06,,,0 CDM,74572252,"Chgr-Coil,M0035471030",3353.4,1676.7,,,0 CDM,74572253,"Chgr-Coil,M0035471130",3353.4,1676.7,,,0 CDM,74572254,"Chgr-Coil,M0035471230",3353.4,1676.7,,,0 CDM,74572255,"Chgr-Coil,M0035471330",3353.4,1676.7,,,0 CDM,74572256,"Chgr-Coil,M0035471430",3353.4,1676.7,,,0 CDM,74572257,"Chgr-Coil,M0035472040",3353.4,1676.7,,,0 CDM,74572258,"Chgr-Coil,M0035473060",3353.4,1676.7,,,0 CDM,74572259,"Chgr-Coil,M0035473080",3353.4,1676.7,,,0 CDM,74572260,"Chgr-Coil,M0035473100",3353.4,1676.7,,,0 CDM,74572261,"Chgr-Coil,M0035474060",3353.4,1676.7,,,0 CDM,74572262,"Chgr-Coil,M0035474080",3353.4,1676.7,,,0 CDM,74572263,"Chgr-Coil,M0035474100",3353.4,1676.7,,,0 CDM,74572264,"Chgr-Coil,M0035474150",3353.4,1676.7,,,0 CDM,74572265,"Chgr-Coil,M0035475100",3353.4,1676.7,,,0 CDM,74572266,"Chgr-Coil,M0035475150",3353.4,1676.7,,,0 CDM,74572267,"Chgr-Coil,M0035475200",3353.4,1676.7,,,0 CDM,74572268,"Chgr-Coil,M0035476100",3353.4,1676.7,,,0 CDM,74572269,"Chgr-Coil, M0035476150",3353.4,1676.7,,,0 CDM,74572270,"Chgr-Coil,M0035476200",3353.4,1676.7,,,0 CDM,74572271,"Chgr-Coil,M0035476300",3353.4,1676.7,,,0 CDM,74572272,"Chgr-Coil,M0035477150",3353.4,1676.7,,,0 CDM,74572273,"Chgr-Coil,M0035477200",3353.4,1676.7,,,0 CDM,74572274,"Chgr-Coil,M0035477300",3353.4,1676.7,,,0 CDM,74572275,"Chgr-Coil,M0035478200",3353.4,1676.7,,,0 CDM,74572276,"Chgr-Coil,M0035478300",3353.4,1676.7,,,0 CDM,74572277,"Chgr-Coil,M0035479200",3353.4,1676.7,,,0 CDM,74572278,"Chgr-Coil,M0035479300",3353.4,1676.7,,,0 CDM,74572279,"Chgr-Coil,Nv-10-30-Helix",1337.22,668.61,,,0 CDM,74572280,"Chgr-Coil,Nv-2-4-Helix",1337.22,668.61,,,0 CDM,74572281,"Chgr-Coil,Nv-2-6-Helix",1337.22,668.61,,,0 CDM,74572282,"Chgr-Coil,Nv-2-8-Helix",1337.22,668.61,,,0 CDM,74572283,"Chgr-Coil,Nv-3-4-Helix",1337.22,668.61,,,0 CDM,74572284,"Chgr-Coil,Nv-3-8-Helix",1337.22,668.61,,,0 CDM,74572285,"Chgr-Coil,Nv-4-10-Helix",1337.22,668.61,,,0 CDM,74572286,"Chgr-Coil,Nv-4-8-Helix",1337.22,668.61,,,0 CDM,74572287,"Chgr-Coil,Nv-5-15-Helix",1337.22,668.61,,,0 CDM,74572288,"Chgr-Coil,Nv-5-20-Helix",1337.22,668.61,,,0 CDM,74572289,"Chgr-Coil,Nv-6-20-Helix",1337.22,668.61,,,0 CDM,74572290,"Chgr-Coil,Nv-7-30-Helix",1337.22,668.61,,,0 CDM,74572291,"Chgr-Coil,Nv-8-30-Helix",1337.22,668.61,,,0 CDM,74572292,"Chgr-Coil,Nv-9-30-Helix",1337.22,668.61,,,0 CDM,74572293,"Chgr-Coil,Pc4100412-30",4673.03,2336.52,,,0 CDM,74572294,"Chgr-Coil,Pc4100517-30",4730.99,2365.5,,,0 CDM,74572295,"Chgr-Coil,Pc4100626-30",4768.25,2384.12,,,0 CDM,74572296,"Chgr-Coil,Pc4100730-30",4815.86,2407.93,,,0 CDM,74572297,"Chgr-Coil,Pc4100829-30",4860.36,2430.18,,,0 CDM,74572298,"Chgr-Coil,Pc4181950-30",6420.11,3210.06,,,0 CDM,74572299,"Chgr-Coil,Pc4182050-30",6420.11,3210.06,,,0 CDM,74572300,"Chgr-Coil,Pv-12-30-Helix",1337.22,668.61,,,0 CDM,74572301,"Chgr-Coil,Pv-14-30-Helix",1337.22,668.61,,,0 CDM,74572302,"Chgr-Coil,Pv-16-40-Helix",1337.22,668.61,,,0 CDM,74572303,"Chgr-Coil,Pv-18-40-Helix",1337.22,668.61,,,0 CDM,74572304,"Chgr-Coil,Pv-20-50-Helix",1337.22,668.61,,,0 CDM,74572308,"""Chgr-Den Tunneler 18F,15"""",42-3100""",187.34,93.67,,,0 CDM,74572310,"Chgr-Detacher Concerto Coils,Id-1-5",105.57,52.78,,,0 CDM,74572311,Chgr-Detachment Handle Dh1,516.47,258.24,,,0 CDM,74572312,Chgr-Detachment Izds Connect Cables,101.43,50.72,,,0 CDM,74572318,"Chgr-Drain Set Thal-Quick,14X41",340.52,170.26,,,0 CDM,74572319,"Chgr-Drain Set Thal-Quick,18X41",340.52,170.26,,,0 CDM,74572323,"Chgr-Filt Antecub Shth,4439985",402.62,201.31,,,0 CDM,74572336,"Chgr- Sp Microcath,Progreat, 2.4Fx110",673.79,336.9,,,0 CDM,74572337,"Chgr-Microcath,Progreat,2.4Fx130",673.79,336.9,,,0 CDM,74572340,"Chgr-Penumbra Seperator,Psf026",6143.76,3071.88,,,0 CDM,74572341,"Chgr-Penumbra Seperator,Psf054",6143.76,3071.88,,,0 CDM,74572344,"Snare Elite 15Mm,8402",1433.48,716.74,,,0 CDM,74572351,"Chgr-Solitaire 4X15,Sfr-4-15",14890.55,7445.28,,,0 CDM,74572352,"Chgr-Solitaire 4X20,Sfr-4-20",14890.55,7445.28,,,0 CDM,74572353,"Chgr-Solitaire 6X20,Sfr-6-20",14890.55,7445.28,,,0 CDM,74572354,"Chgr-Solitaire 6X30,Sfr-6-30",14890.55,7445.28,,,0 CDM,74572361,Chgr-Wire Synchro 2 Soft,1245.11,622.56,,,0 CDM,74572370,"Balloon,Artic Front Cryo",8776.8,4388.4,,,0 CDM,74572371,"Sheath,Flexcath",2061.72,1030.86,,,0 CDM,74572372,"Catheter,Achieve",1944.77,972.38,,,0 CDM,74572373,"Cables,Achieve",441.95,220.98,,,0 CDM,74572374,Chgr Manual Retraction Kit,294.98,147.49,,,0 CDM,74572380,Chgr Guide Navien Rfx072-105-08Mp,1831.95,915.98,,,0 CDM,74572385,Chgr-Device Pipeline 10-20Mm Length,23216.09,11608.04,,,0 CDM,74572386,Chgr-Device Pipeline 25-35Mm Length,24886.58,12443.29,,,0 CDM,74572391,Amnexltis 1.5X1.5 Prsqcm Wst,575.46,287.73,,,0 CDM,74572392,Amnexl Tiss 12Mm Orsqcn Wst,477.14,238.57,,,0 CDM,74572393,Amnexl Tiss 15Mm Prsqcm Wst,260.82,130.41,,,0 CDM,74572394,Amnexl Tiss 2X3 Prsqcm Wste,262.89,131.44,,,0 CDM,74572395,Amnexl Tiss 4X4 Prsqcm Wste,112.82,56.41,,,0 CDM,74572396,Amnexl Tiss 4X8 Prsqcm Wste,72.45,36.22,,,0 CDM,74572401,Hw Pump,135705.06,67852.53,,,0 CDM,74572402,Hw Surgical Tools,8689.86,4344.93,,,0 CDM,74572403,Hw Driveline Ext Cable,3511.76,1755.88,,,0 CDM,74572404,Hw Outflow Graft,3900.92,1950.46,,,0 CDM,74572406,Hw Controller,12481.07,6240.54,,,0 CDM,74572407,Hw Battery Charger,11897.33,5948.66,,,0 CDM,74572408,Hw Monitor,19405.22,9702.61,,,0 CDM,74572409,Hw Controller Ac Adaptor,1952.01,976.0,,,0 CDM,74572410,Hw Controller Dc Adaptor,3511.76,1755.88,,,0 CDM,74572411,Hw Lithium Battery,1466.6,733.3,,,0 CDM,74572413,Hw Data Cable,879.75,439.88,,,0 CDM,74572414,Hw Monitor Ac Adaptor,2341.17,1170.58,,,0 CDM,74572415,Hw Patient Pack,831.11,415.56,,,0 CDM,74572416,Hw Waist Pack,831.11,415.56,,,0 CDM,74572417,Hw Shoulder Pack,879.75,439.88,,,0 CDM,74572418,Hw Shoulder Bag,586.85,293.42,,,0 CDM,74572420,Metacross .035 Pta Rx Balloon,163.53,81.76,,,0 CDM,74572430,"Stent,Zilver Self-Expanding",3270.6,1635.3,,,0 CDM,74572501,"Catheter,Crossboss",3540.74,1770.37,,,0 CDM,74572502,"Balloon Catheter,Stingray",2479.86,1239.93,,,0 CDM,74572521,Catheter Guide Extension,786.0,393.0,,,0 CDM,74572526,"Chgr-Coil,4006C0202",3567.65,1783.82,,,0 CDM,74572527,"Chgr-Coil,4006C0203",3762.23,1881.12,,,0 CDM,74572528,"Chgr-Coil,4006C0204",3958.88,1979.44,,,0 CDM,74572529,"Chgr-Coil,4006C0303",3762.23,1881.12,,,0 CDM,74572530,"Chgr-Coil,4006C0304",3958.88,1979.44,,,0 CDM,74572531,"Chgr-Coil,4006C0305",4151.39,2075.7,,,0 CDM,74572532,"Chgr-Coil,4006C0306",4347.0,2173.5,,,0 CDM,74572533,"Chgr-Coil,4006C0308",4737.2,2368.6,,,0 CDM,74572534,"Chgr-Coil,4006C0310",5126.36,2563.18,,,0 CDM,74572535,"Chgr-Coil,4006C0404",3958.88,1979.44,,,0 CDM,74572536,"Chgr-Coil,4006C0406",4347.0,2173.5,,,0 CDM,74572537,"Chgr-Coil,4006C0408",4737.2,2368.6,,,0 CDM,74572538,"Chgr-Coil,4006C0410",5126.36,2563.18,,,0 CDM,74572539,"Chgr-Coil,4002C2860",5386.14,2693.07,,,0 CDM,74572540,"Chgr-Coil,4002C2860",5386.14,2693.07,,,0 CDM,74572541,"Chgr-Coil,4004J25",5238.14,2619.07,,,0 CDM,74572545,Chgr-Microcath Penumbra Pxslim130,1729.49,864.74,,,0 CDM,74572550,"Defib,Evera Xt Dr",39057.8,19528.9,,,0 CDM,74572551,"Defib,Evera S Dr",86068.53,43034.26,,,0 CDM,74572552,"Defib,Evera Xt Vr",35377.34,17688.67,,,0 CDM,74572567,Chgr-Cath Penumbra Pns6F125Ber,665.51,332.76,,,0 CDM,74572569,"Chgr-Penumbra,Paps2,Cann/Tub/Filt",585.81,292.9,,,0 CDM,74572570,Chgr-Microcath Penumbra Vel160Str,1729.49,864.74,,,0 CDM,74572575,"Chgr-Ablate Probe,15Cm-17G,Lk15",3679.43,1839.72,,,0 CDM,74572576,"Chgr-Ablate Probe,20Cm-17G,Lk20",3679.43,1839.72,,,0 CDM,74572577,"Chgr-Ablate Probe,15Cm-17G,Ln15",3679.43,1839.72,,,0 CDM,74572578,"Chgr-Ablate Probe,20Cm-17G,Ln20",3679.43,1839.72,,,0 CDM,74572579,"Chgr-Ablate Probe,15Cm-17G,Pr15",3679.43,1839.72,,,0 CDM,74572580,"Chgr-Ablate Probe,20Cm-17G,Pr20",3555.0,1777.5,,,0 CDM,74572581,"Chgr-Ablate Probe,25Cm-13G,Sr25",3679.43,1839.72,,,0 CDM,74572590,Short Term Dialysis Cath Spply,680.0,340.0,,,0 CDM,74572600,"Pacemaker,Advisa Dr Mri",11619.95,5809.98,,,0 CDM,74572602,"Chgr-Microspheres,30-60 Um,10Ml",2881.44,1440.72,,,0 CDM,74572603,"Chgr-Microspheres,50-100 Um,10Ml",2881.44,1440.72,,,0 CDM,74572615,"Defib, Iperia Mri Dr; Df4",41216.81,20608.4,,,0 CDM,74572616,"Defib, Inventra Mri Dx",20803.5,10401.75,,,0 CDM,74572621,"Balloon,Drug Eluting Peripherl",1789.52,894.76,,,0 CDM,74572641,"Chgr-Coil,Rby4C2 50-60Cm Length",2634.08,1317.04,,,0 CDM,74572642,"Chgr-Coil,Rby4C 25-40Cm Length",2477.79,1238.9,,,0 CDM,74572643,"Chgr-Coil,Rby4C 20Cm Length",2321.51,1160.76,,,0 CDM,74572644,"Chgr-Coil,Rby4C 12-15Cm Length",2166.26,1083.13,,,0 CDM,74572645,"Chgr-Coil,Rby2C 10Cm Length",2011.01,1005.5,,,0 CDM,74572646,"Chgr-Coil,Rby2C 5-6Cm Length",1543.19,771.6,,,0 CDM,74572647,"Chgr-Coil,Rby4C 2-4Cm Length",1386.9,693.45,,,0 CDM,74572648,"Chgr-Coil,Rby4C 1Cm Length",1231.65,615.82,,,0 CDM,74572649,"Chgr-Coil,Rh1 Detach Handle",391.23,195.62,,,0 CDM,74572659,"Neoprene,Colditz Hand Basd Ots",155.25,77.62,,,0 CDM,74572665,"Catheter,Tacticath",3280.95,1640.48,,,0 CDM,74572672,Gore Dryseal Sheath 12F-16F,462.0,231.0,,,0 CDM,74572673,Chgr-Gore Stent Graft Balloon Cath,841.46,420.73,,,0 CDM,74572674,Chgr-Gore Rlt Endoprosthesis,13117.59,6558.8,,,0 CDM,74572675,Chgr-Gore Pla Endoprosthesis,3662.87,1831.44,,,0 CDM,74572676,Chgr-Gore Plc Endoprosthesis,5223.65,2611.82,,,0 CDM,74572677,Chgr-Gore Pll Endoprosthesis,3662.87,1831.44,,,0 CDM,74572678,Prevena Disp Incisn Manage Sys,877.68,438.84,,,0 CDM,74572679,Amnioexcel Tiss 12Mm Per Sq Cm,477.14,238.57,,,0 CDM,74572680,Amnioexcel Tiss 15Mm Per Sq Cm,260.82,130.41,,,0 CDM,74572681,Amnexcl Tiss 1.5X1.5 Per Sq Cm,575.46,287.73,,,0 CDM,74572682,Amnioexcel Tiss 2X3 Per Sq Cm,262.89,131.44,,,0 CDM,74572683,Amnioexcel Tiss 4X4 Per Sq Cm,112.82,56.41,,,0 CDM,74572684,Amnioexcel Tiss 4X8 Per Sq Cm,72.45,36.22,,,0 CDM,74572685,"Catheter, Microwave Ablation",2598.89,1299.44,,,0 CDM,74572686,"Probe/Needle, Cryo",1444.86,722.43,,,0 CDM,74572687,Sling Hemi Arm,75.56,37.78,,,0 CDM,74572688,Givmohr Sling,171.81,85.9,,,0 CDM,74572690,Bandit Strp Forearm Prefab Ots,170.78,85.39,,,0 CDM,74572694,Whfo No Jnt Prefab Ots,242.19,121.1,,,0 CDM,74572695,"Neoprene, Colditz, Hand Ots",57.96,28.98,,,0 CDM,74572699,Bolt Mini Cranial Fix Monteris,1765.71,882.86,,,0 CDM,74572700,Neurobl Driver Probe Robotic,3934.04,1967.02,,,0 CDM,74572702,"Drug Eluting Stent, Synergy",2741.0,1370.5,,,0 CDM,74572703,Allograft Amnioexcel Per Sq Cm,109.71,54.86,,,0 CDM,74572704,"Pacemaker,Accolade Mri Vr",8023.32,4011.66,,,0 CDM,74572705,"Pacemaker,Accolade Mri Dr",11227.0,5613.5,,,0 CDM,74576981,Snap Kit,365.36,182.68,,,0 CDM,74576992,Tandem Heart Rvad Implant,27949.0,13974.5,,,0 CDM,74576993,Hmii Pc Controller Battery,912.87,456.44,,,0 CDM,74576994,Impella 5.0 Pump,33327.0,16663.5,,,0 CDM,74576995,Impella Pump 5.5,51750.0,25875.0,,,0 CDM,74576996,Triclip G4 System,42849.0,21424.5,,,0 CDM,74577000,"Innova Bm Stent, Boston Sci",1571.13,785.56,,,0 CDM,74577001,"Defib,Amplia Mri Quad Df4",41216.81,20608.4,,,0 CDM,74577002,"Defib, Amplia Mri Df",41216.81,20608.4,,,0 CDM,74577004,"Balloon,Sterling",417.11,208.56,,,0 CDM,74577008,Kypho Cannula Cement,278.42,139.21,,,0 CDM,74577009,Kypho Cannula Access,231.84,115.92,,,0 CDM,74577010,Kypho Hand Drill,371.57,185.78,,,0 CDM,74577011,Kypho Mixer Cement,2482.97,1241.48,,,0 CDM,74577012,Kypho Balloon Kit,3213.68,1606.84,,,0 CDM,74577013,Kypho Biopsy Kit,220.46,110.23,,,0 CDM,74577015,Kypho Gun/Tips,1530.77,765.38,,,0 CDM,74577016,Kypho Curved Needle,1477.98,738.99,,,0 CDM,74577019,Rotaflow Pump Head,580.64,290.32,,,0 CDM,74577020,3/8 Inch Pump Tubing,180.09,90.04,,,0 CDM,74577021,Optisite Cannula,334.31,167.16,,,0 CDM,74577022,"Defib, Visia Mri Df4/Df1",30429.0,15214.5,,,0 CDM,74577023,Catheter Guide Ext Trapliner,946.0,473.0,,,0 CDM,74577024,Microcatheter Mamba,874.58,437.29,,,0 CDM,74577025,Rp Pluvicto Per Dose,59874.0,29937.0,,,0 CDM,74577026,Mrgfus Neuro Patient Acc Set,3570.75,1785.38,,,0 CDM,74577027,Catheter Mapping Carto Octaray,2642.0,1321.0,,,0 CDM,74577028,Clinical Trials Research Device - Token Charge,1.04,0.52,,,0 CDM,74577029,"Empower Pacemaker And Delivery, Modular Atp Study",12794.67,6397.34,,,0 CDM,74577030,Empower Retrieval Catheter & Components - Modular Atp Study,4165.88,2082.94,,,0 CDM,74579081,"Sheath,Visi Dilator",441.95,220.98,,,0 CDM,74579083,Thai Quick Chest Tube Kit,208.04,104.02,,,0 CDM,74579084,Trialysis Cath Triplelumen 20,460.0,230.0,,,0 CDM,74579085,Trialysis Cath Triplelumen 15,476.1,238.05,,,0 CDM,74579086,Medtronic Lumbar Drainage Kit,336.38,168.19,,,0 CDM,74579090,Prisma Flex M 100 Set Up,364.0,182.0,,,0 CDM,74579092,"Balloon,Drug Peripherl 150Mm",2374.29,1187.14,,,0 CDM,74580026,Cath Berenstein 40Cm,253.58,126.79,,,0 CDM,74580046,Coyote Balloon,461.61,230.8,,,0 CDM,74580052,E0191 Heel/Elbow Protecto,21.74,10.87,,,0 CDM,74580053,E1399 Miscellaneous Equip,23.81,11.9,,,0 CDM,74580061,A9300 Exercise Equipment,23.81,11.9,,,0 CDM,74580072,L0456 Tlso Flex Trnk Sj-Ss P,1045.35,522.68,,,0 CDM,74580073,L0464 3 Mod Sacro Scap Pre,1561.82,780.91,,,0 CDM,74580074,L0621 Si Belt,108.68,54.34,,,0 CDM,74580075,L1620-Ho Abd Contrl Hip Jt,178.02,89.01,,,0 CDM,74580076,"L1831-Ko, Positional Orth",361.22,180.61,,,0 CDM,74580077,L3030 Orthotics,305.33,152.66,,,0 CDM,74580078,"L3040 Foot Arch Suprt,Rem",56.93,28.46,,,0 CDM,74580079,L3923-Hfo-Without Joints,108.68,54.34,,,0 CDM,74580080,"L1845-Ko Dbl Up,Med/Later",1083.65,541.82,,,0 CDM,74580081,L1906-Afo-Multilig Ankle,141.8,70.9,,,0 CDM,74580082,L4350 Afo Stirrup,101.43,50.72,,,0 CDM,74580083,L2114-Afo-Fracture Semi-R,770.04,385.02,,,0 CDM,74580085,L3332 Heel Lift,25.88,12.94,,,0 CDM,74580086,L3350 Heel Wedge,22.77,11.38,,,0 CDM,74580107,Mustang Balloon,519.57,259.78,,,0 CDM,74580108,One Step Centesis Cath,113.85,56.92,,,0 CDM,74580120,Protege Everflex 100Mm Stent,1480.05,740.02,,,0 CDM,74580125,Rosen 35-180Cm,98.33,49.16,,,0 CDM,74580128,Sheath Destination,334.31,167.16,,,0 CDM,74580145,Turbohawk Atherectomy Cath,4656.47,2328.24,,,0 CDM,74580147,Viabahn Stent 6Mm X 10Cm,3868.83,1934.42,,,0 CDM,74580173,Mini Access Kit,121.1,60.55,,,0 CDM,74580176,Tr Band Regular 24Cm X Xrf06,228.74,114.37,,,0 CDM,74580177,Tr Band Large 29Cm X Xrf062,133.0,66.5,,,0 CDM,74580183,Plasmablade 3.0Mm (Suction),444.02,222.01,,,0 CDM,74580187,Nm Tilmanocept Dx Up To 0.5Mci,945.0,472.5,,,0 CDM,74580188,Lutonix Drug Eluting Balloon,3347.19,1673.6,,,0 CDM,74580189,Cath Drainage G-Tube 18Fr Mic,124.2,62.1,,,0 CDM,74580190,Mic Gj Tube 18F,377.78,188.89,,,0 CDM,74580191,4F Sl Bard Non-Power Picc,78.66,39.33,,,0 CDM,74580194,Neuwave Ablation Probe,2556.45,1278.22,,,0 CDM,74580196,Penumbra Benchmark 071 System,2379.47,1189.74,,,0 CDM,74580197,Penumbra 6F Neuronmax Straight,1184.04,592.02,,,0 CDM,74580201,Covidien Echelon Microcatheter,1019.48,509.74,,,0 CDM,74580204,Penumbra Max Aspiration Tubing,702.77,351.38,,,0 CDM,74580205,Penumbra Neuron Select Cath,299.12,149.56,,,0 CDM,74580206,Ev3 Spiderfx Protection Device,2869.02,1434.51,,,0 CDM,74580207,"Glove,Finger Flexion All-Sizes",68.31,34.16,,,0 CDM,74580208,Profore Padding Bandage,10.35,5.18,,,0 CDM,74580209,Profore Adherent Bandage,11.39,5.7,,,0 CDM,74580210,Cook 6F Shuttle Slip Cath,200.79,100.4,,,0 CDM,74580211,Cooled Rfa Kit,1203.71,601.86,,,0 CDM,74580212,Cooled Rfa Multi Kit,1785.38,892.69,,,0 CDM,74580213,Cooled Rfa Probe,641.7,320.85,,,0 CDM,74580215,Lead Lv Attain Stability Quad,6360.0,3180.0,,,0 CDM,74581101,Ascope 4 Broncho Slim 3.8/1.2,424.0,212.0,,,0 CDM,74581103,1 Bottle H2Mf +10 (50Ml),456.44,228.22,,,0 CDM,74581107,Interstim External Stimulator,641.7,320.85,,,0 CDM,74581108,1 Bottle Rtf H2Mf 26,292.91,146.46,,,0 CDM,74581109,1 Bottle Rtf H2Mf 28,379.85,189.92,,,0 CDM,74581110,Blood Filter To Rmve Cytokines,415.04,207.52,,,0 CDM,74581113,Ocs Heart Perfusion Set,77366.25,38683.12,,,0 CDM,74581114,Icd Single Chmbr Cobalt Mri Vr,14028.39,7014.2,,,0 CDM,74581115,Icd Dual Chmbr Cobalt Mri Dr,14781.0,7390.5,,,0 CDM,74581116,Icd Biv Defib Cobalt Mri Quad,20528.0,10264.0,,,0 CDM,74581117,Loop Recorder Lux Dx,5290.0,2645.0,,,0 CDM,74581119,Vascade Closure Device,660.0,330.0,,,0 CDM,74581151,Nushield 1 Square Cm,326.03,163.02,,,0 CDM,74581152,Lutetium Lu 177 Per Mci Waste,477.0,238.5,,,0 CDM,74581153,Trial Solve Wise Crt 1000 Elec,8927.91,4463.96,,,0 CDM,74581154,Trial Wise Crt 2K Delivery Cat,2380.5,1190.25,,,0 CDM,74581155,Trial Wise Crt Mod 3K Pul Gen Bat,5951.25,2975.62,,,0 CDM,74581156,Trial Wise Crt 4100 Pul Gen Trn,12497.63,6248.82,,,0 CDM,74581157,"Trial Juxtaflow Sys,Void Stdy",1.04,0.52,,,0 CDM,74581158,Kerecis Omega3 Per Sq Cm,193.55,96.78,,,0 CDM,74581159,Kerecis Omega3 Per Sq Cm Waste,193.55,96.78,,,0 CDM,74581160,Trial Cytosorb,1785.38,892.69,,,0 CDM,74581162,"Gen, Neuro, Carot Sinus Baro",46575.0,23287.5,,,0 CDM,74581163,Cath Suprapubic/Cystoscopic,804.2,402.1,,,0 CDM,74581164,"Lead, Pacing Lead Tempo",634.46,317.23,,,0 CDM,74581165,"Cath, Shockwave Coronary Ivl",11750.0,5875.0,,,0 CDM,74581166,"Sleeve, Sterile Shockwave Ivl",48.65,24.32,,,0 CDM,74581167,Icd Dual Chamber Entrant Mri,13092.75,6546.38,,,0 CDM,74581168,Icd Single Chamber Entrant Mri,10695.0,5347.5,,,0 CDM,74581169,Icd Biv Entrant Hf Crt-D,16068.38,8034.19,,,0 CDM,74581170,Versacrossrf Trnseptl Wire Kit,1437.0,718.5,,,0 CDM,74581171,Needle Brst Loc 20Gx5Cm,32.09,16.04,,,0 CDM,74581172,"Fluoroestradiol F18, 1Mci",1377.0,688.5,,,0 CDM,74581173,Trial [18F] Nav-4694 (Flutafuranol),1.04,0.52,,,0 CDM,74581174,Trial [18F] Mk-6240,1.04,0.52,,,0 CDM,74581175,Trial Pq Bypass Torus Stent Graft,1.04,0.52,,,0 CDM,74581176,Trial Merit Wrapsody Endovasc Stent,1.04,0.52,,,0 CDM,74581177,Probe Circa S-Cath Esoph Temp,962.55,481.28,,,0 CDM,74581178,"Probe, Robotic, Water-Jet",2975.63,1487.82,,,0 CDM,74597000,Med/Surg Supply - General,3621.0,1810.5,,,0 CDM,74597001,Med/Surg Supply - Sterile,1008.73,504.36,,,0 CDM,74597003,Med/Surg Supply - Pacemaker,6555.0,3277.5,,,0 CDM,74597004,Med/Surg Supply - Intraoc Lens,380.0,190.0,,,0 CDM,74597005,Med/Surg Supply - Other Implnt,817.03,408.52,,,0 CDM,74598001,Penumbra Catrx Kit W Canister,2651.0,1325.5,,,0 CDM,74599029,"Catheter, Glidepath",464.72,232.36,,,0 CDM,74599030,"Chgr-Cath,Thrombectomy Xpeedior",2172.47,1086.24,,,0 CDM,74599505,Caths-Infus/Unifuse 5Fr-135-20,138.69,69.34,,,0 CDM,74599547,Needle 18Gx15Cm Biopsy Temno,72.45,36.22,,,0 CDM,74599550,Balloon Cath Dorado 8-4-80,478.17,239.08,,,0 CDM,74599551,"Snare, Ensnare 4-8Mm",1043.28,521.64,,,0 CDM,74599552,"Snare, Ensnare 18-30Mm",577.53,288.76,,,0 CDM,74599555,"Stent,Herculink Elite 5X18X135",1278.23,639.12,,,0 CDM,74599556,"Stent,Herculink Elite 6X15X135",1278.23,639.12,,,0 CDM,74599564,Smart Stent 6X60X120,874.58,437.29,,,0 CDM,74599565,Ansel Sheath 6F X 45 Cm,110.75,55.38,,,0 CDM,74599566,Ansel Sheath 5F X 55 Cm,108.68,54.34,,,0 CDM,74599570,Midline Infusion Cath,224.6,112.3,,,0 CDM,74599571,Bard Cv Power Port 6F Sl Slim,441.95,220.98,,,0 CDM,74599572,4F Sl Bard Power Picc,121.1,60.55,,,0 CDM,74599573,5F Sl Bard Non-Power Picc,113.85,56.92,,,0 CDM,74599574,Bard Ultraverse .018 Balloon,278.42,139.21,,,0 CDM,74599584,Ebus Needle,361.22,180.61,,,0 CDM,74599615,Chg - Catheter Bs 5Fr,78.66,39.33,,,0 CDM,74599626,Chg - Glidesheath Terumo 6Fr Radial,112.82,56.41,,,0 CDM,74599700,Kit Repair Biotenodesis Arthrx,642.74,321.37,,,0 CDM,74599723,Ice Cryoablation Needle,1488.33,744.16,,,0 CDM,74599725,Chg - Target Detachable Coils,2184.89,1092.44,,,0 CDM,74599730,"Onyx Hd500 Kit,Aneurys",2678.58,1339.29,,,0 CDM,74599736,"Loop Recorder,Biomonitor",5933.66,2966.83,,,0 CDM,74599755,"Implt Grafix Core,3X4 Cm",181.13,90.56,,,0 CDM,74599760,Disposable Ambu Scope,476.0,238.0,,,0 CDM,74599781,"Pacemaker,Assurity Mri Sr Rf",3834.68,1917.34,,,0 CDM,74599791,Chgr Microwav Ablation Probe 13-17G,2474.69,1237.34,,,0 CDM,74599793,"Amplatzer Laao, Amulet Study",1.04,0.52,,,0 CDM,74599794,"Lead, Pacemaker Tendril Mri",524.75,262.38,,,0 CDM,74599795,"Lead, Defib Plexa Mri",3900.0,1950.0,,,0 CDM,74599796,"Lead, Defib Plexa Mri Df1",4036.5,2018.25,,,0 CDM,74599798,"Pacemaker, Etrinsa Dr-T",4036.5,2018.25,,,0 CDM,74599799,"Pacemaker,Assurity Mri Dr Rf",4709.25,2354.62,,,0 CDM,74599804,Chg-Soft Protect Helmet Pref,842.49,421.24,,,0 CDM,74599805,"Chg - Drug Elute Stent,Resolut,Onyx",1650.0,825.0,,,0 CDM,74599806,Chg - Col Cerv Sup Adj Bar/Thor Cust,595.13,297.56,,,0 CDM,74599807,"Defib, Ilivia Mri Dr-T Df4/Df1",15238.0,7619.0,,,0 CDM,74599808,"Defib, Intica Mri Dx",14462.06,7231.03,,,0 CDM,74599809,"Defib, Ilivia Mri Df",14462.06,7231.03,,,0 CDM,74599810,"Defib, Ilivia Mri Hf-T Qp Df",21424.5,10712.25,,,0 CDM,74599811,"Lead,Defib,Sentus Quadripolar",2489.18,1244.59,,,0 CDM,74599812,"Pacemaker, Edora Dr-T Mri",4709.25,2354.62,,,0 CDM,74599813,"Pacemaker, Edora Sr-T Mri",3834.68,1917.34,,,0 CDM,74599814,"Pacemaker, Percepta Crt-P",8745.75,4372.88,,,0 CDM,74599816,L1951-Prefab Spiral Afo,992.57,496.28,,,0 CDM,74599817,"Stent, Tryton Side Branch",1749.15,874.58,,,0 CDM,74599819,Denali Ivc Filter,1597.01,798.5,,,0 CDM,74599836,Chg-Absorpt Drg <=16 Sq In W/O B,7.25,3.62,,,0 CDM,74599840,Chg Sealant Tract Lung Bx,489.0,244.5,,,0 CDM,74599842,"Chg-Balloon, Ptca Biotronik",121.1,60.55,,,0 CDM,74599845,Azur 35D System,1618.74,809.37,,,0 CDM,74599846,Azur 18D System,1590.8,795.4,,,0 CDM,74599847,Framing Azur 35D,1518.35,759.18,,,0 CDM,74599848,Framing Azur 18D,1227.51,613.76,,,0 CDM,74599849,Azur Cx 018,1203.71,601.86,,,0 CDM,74599850,Azur Cx System 035,1423.13,711.56,,,0 CDM,74599851,Azur Controller Detachment,1343.43,671.72,,,0 CDM,74599854,"Pacemaker, Edora Mri Crt-P",8745.75,4372.88,,,0 CDM,74599855,Chg 5F Dl Bard Power Picc,104.54,52.27,,,0 CDM,74599866,"Chg-Defib, Vigiliant Mri Dr Df4",16965.0,8482.5,,,0 CDM,74599867,"Chg-Defib,Perciva Mini Mri Dr Df4",17558.78,8779.39,,,0 CDM,74599868,"Chg-Defib, Vigilant Mri Vr Df4",16045.61,8022.8,,,0 CDM,74599869,"Chg-Defib, Perciva Mini Mri Vr Df4",16045.61,8022.8,,,0 CDM,74599870,"Chg-Defib, Vigilant Mri Df4, Biv",23400.0,11700.0,,,0 CDM,74599871,"Chg-Pacemaker, Visionist Mri Crt-P",7670.0,3835.0,,,0 CDM,74599872,"Chg-Implant, Pivsd Occluder",8799.57,4399.78,,,0 CDM,74599873,Chg-Occluder Delivery System Ampl,998.78,499.39,,,0 CDM,74599874,"Defib, Elipse Mri Dr Df4",17827.88,8913.94,,,0 CDM,74599875,"Defib, Elipse Mri Vr Df4",16347.83,8173.92,,,0 CDM,74599876,"Catheter, Roxwood Anchor",1250.28,625.14,,,0 CDM,74599877,"Catheter, Trapper For Cto",427.0,213.5,,,0 CDM,74599881,Chg-Hm Iii Mobile Power Unit,9343.98,4671.99,,,0 CDM,74599883,Chg-Fiducial Marker Mri Compatible,296.01,148.0,,,0 CDM,74599884,"Chg-Catheter,Zelante Angiojet",3351.33,1675.66,,,0 CDM,74599885,"Chg-Catheter, Angiojet Avx",1002.92,501.46,,,0 CDM,74599886,"Chg-Balloon, Angiosculpt",1524.56,762.28,,,0 CDM,74599887,"Chg-Hydrogel Spacer,Spaceoar",3392.73,1696.36,,,0 CDM,74599888,"Drug Eluting Stent, Buma",1.04,0.52,,,0 CDM,74599889,Chg-Osteocool Fra Probe,4648.19,2324.1,,,0 CDM,74599890,Chg-Impl Stnth Vocal Cord,841.46,420.73,,,0 CDM,74599891,"Intrepid Tmvr System, Apollo",1.04,0.52,,,0 CDM,74599892,"Loop Recorder, Confirm Rx",6519.47,3259.74,,,0 CDM,74599893,"Chg-Neox 1K, 1Cm",244.26,122.13,,,0 CDM,74599894,"Tee Probe, Imacor Claritee",1785.38,892.69,,,0 CDM,74599895,Plasmablade 3.0Mm (Coagcap),656.19,328.1,,,0 CDM,74599898,Chg-Pta Balloon Admiral X120,1761.57,880.78,,,0 CDM,74599899,Chg-Embo Contour Particles 150-250,215.28,107.64,,,0 CDM,74599901,Chg-Sheath Endophys Pressure,1122.98,561.49,,,0 CDM,74599902,"Chg-Catheter, Angiogard 6X180 Cm",1785.38,892.69,,,0 CDM,74599903,"Chg-Cath,Neuroform Stabalizer",794.88,397.44,,,0 CDM,74599904,"Chg-Balloon Stent,Lifestream",3222.99,1611.5,,,0 CDM,74599905,"Chg-Catheter,Sofia 6F 125 Cm",1809.18,904.59,,,0 CDM,74599906,"Chg-Microcatheter,Ax Catalyst 5",1807.11,903.56,,,0 CDM,74599907,"Chg-Coil, Comp400 Ext Soft 3X4 Mm",2409.48,1204.74,,,0 CDM,74599908,"Chg-Catheter, Pta Balloon Advance",385.02,192.51,,,0 CDM,74599909,"Chg-Microcatheter, Ax Catalyst 6",2464.34,1232.17,,,0 CDM,74599910,"Chg-Delivery Sys, Onyx Syr Adt Apl",2678.58,1339.29,,,0 CDM,74599911,"Chg-Catheter, Arc Mini",1261.67,630.84,,,0 CDM,74599913,Chg-Savi Scout Reflector,806.0,403.0,,,0 CDM,74599914,Chg-Insole Peg Assist L3003,175.95,87.98,,,0 CDM,74599915,"Defib,Claria Mri Quad Df4",24219.0,12109.5,,,0 CDM,74599918,Chg-Rp:Tc-99 Pyp Per Dose,110.0,55.0,,,0 CDM,74599920,"Drug Eluting Stent, Vascular",1043.28,521.64,,,0 CDM,74599921,Chg-Aquapheresis-Filter Only,1572.17,786.08,,,0 CDM,74599922,Chg-1 Bottle H2Mf +6 (30Ml),291.87,145.94,,,0 CDM,74599923,Cardiomems Guidewire,441.95,220.98,,,0 CDM,74599924,"Chg-Sheath, Optiseal Peelable",47.0,23.5,,,0 CDM,74599925,Chg-Catheter Precision Infusion,4036.5,2018.25,,,0 CDM,74599926,Chg-Add Spinal Orthosis No Specifi,42.44,21.22,,,0 CDM,74599927,Chg-Rp:Tc-99 Hdp,52.0,26.0,,,0 CDM,74599929,Chg-Bard 9.6Fr Powerflow Iv Port,2315.3,1157.65,,,0 CDM,74599930,Chg-H2Mf Cr (10Ml),63.14,31.57,,,0 CDM,74599931,Chg-1/2 Bottle H2Mf +6 (15Ml),145.94,72.97,,,0 CDM,74599932,"Pacemaker,Azure Mri Dr",7700.0,3850.0,,,0 CDM,74599933,"Pacemaker,Azure Mri Sr",3834.68,1917.34,,,0 CDM,74599934,Chg-Needle Gore Tips Guiding Cath,316.71,158.36,,,0 CDM,74599935,Chg-Set Gore Tips Shunt Liver Acc,639.63,319.82,,,0 CDM,74599936,Sheath Gore Tips Introducer,424.35,212.18,,,0 CDM,74599937,Chg-Graft Sys Endopros Viatorr Tip,6660.23,3330.12,,,0 CDM,74599939,Device Penumbra Revasculariz,6177.92,3088.96,,,0 CDM,74599942,Chg Osteocool Bone Access Kit 10G,505.08,252.54,,,0 CDM,74599943,"Stent, Bare Metal Cobra Pzf",774.18,387.09,,,0 CDM,74599944,Sheath Tightrail Minirot Dilat,2281.14,1140.57,,,0 CDM,74599947,Chg 1 Bottle H2Mf +8 (40Ml),389.16,194.58,,,0 CDM,74599957,Pressure Sensing Sheath Kit 6F,1203.71,601.86,,,0 CDM,74599958,Pressure Sensing Sheath Kit 8F,1283.4,641.7,,,0 CDM,74599959,Retractor Esophgeal Esosure,634.46,317.23,,,0 CDM,74599960,Paragonix Sherpa-Pak,17107.0,8553.5,,,0 CDM,74599961,Liva Nova Inspire Pack,592.02,296.01,,,0 CDM,74599962,Implant Heart Valve Clip,36225.0,18112.5,,,0 CDM,74599963,Lutetium Lu 177 Per Mci,477.0,238.5,,,0 CDM,74599964,Epifix Per Sq Cm,372.6,186.3,,,0 CDM,74599965,Epifix Per Sq Cm Waste,372.6,186.3,,,0 CDM,74599966,Puraply Per Sqcm,180.09,90.04,,,0 CDM,74599967,Puraply Per Sqcm Waste,180.09,90.04,,,0 CDM,74599968,Puraply Am Per Sqcm,326.03,163.02,,,0 CDM,74599969,Puraply Am Per Sqcm Wasted,326.03,163.02,,,0 CDM,74599970,"Centera Thv, Exceed Study",38683.13,19341.56,,,0 CDM,74599971,Flowtriever System,13092.75,6546.38,,,0 CDM,74599972,Clottriever System,9522.0,4761.0,,,0 CDM,74599973,"Ablation Probe 17 Ga, 15 Cm",2664.09,1332.04,,,0 CDM,74599974,Valeo Biliary Stent,1163.34,581.67,,,0 CDM,74599975,Sealant Hemostatic Nonimplant,242.19,121.1,,,0 CDM,74599976,Drg Elute Stent Eluvia 40-60Mm,3088.44,1544.22,,,0 CDM,74599977,Drg Elute Stnt Eluvia 80-120Mm,3895.74,1947.87,,,0 CDM,74599978,Non-Heu Tc-99M Add-On/Dose,13.0,6.5,,,0 CDM,74599979,Tacticath Bidir Rf Ablation,3632.85,1816.42,,,0 CDM,74599980,Tacticath Unidir Rf Ablation,3465.18,1732.59,,,0 CDM,74599982,"Pascal Device, Clasp Study",35707.5,17853.75,,,0 CDM,74599983,"Drug Eluting Stent, Biotronik",1283.4,641.7,,,0 CDM,74599984,Shockwave Lithotripsy Balloon,3700.13,1850.06,,,0 CDM,74599985,Acurate Tavr Study Device,33327.0,16663.5,,,0 CDM,74599987,Handpiece Ligasure Impact,1002.92,501.46,,,0 CDM,74599988,Implant Clip/Rings Gyn,176.99,88.5,,,0 CDM,74599989,Biotronik Papyrus Stent,4036.5,2018.25,,,0 CDM,74599991,"M3 Sapien, Research Tmvr",1.04,0.52,,,0 CDM,74599992,Manta Vasc Closure Device,969.0,484.5,,,0 CDM,74599995,Cardiohelp Hls Circuit,15848.0,7924.0,,,0 CDM,74599996,Crescent Cannula,2975.63,1487.82,,,0 CDM,74599997,Next Gen Cannula,462.65,231.32,,,0 CDM,74599998,Leukofilter Art Lg6,385.02,192.51,,,0 CDM,74599999,Gun 18G 175Mm Full-Auto,288.77,144.38,,,0 CDM,74622,Noncdm Charge Record Medical Supplies,395.6,197.8,,,0 CDM,74700034,Chg Insertion Of Iud,442.0,221.0,,,0 CDM,74762,Noncdm Charge Record Medical Supplies,71.25,35.62,,,0 CDM,74771,Noncdm Charge Record Medical Supplies,1495.0,747.5,,,0 CDM,74775,Noncdm Charge Record Medical Supplies,1564.0,782.0,,,0 CDM,74804398,Chg-Probe Chg-Prostate,589.95,294.98,,,0 CDM,74813,Noncdm Charge Record Medical Supplies,1495.0,747.5,,,0 CDM,74849,Noncdm Charge Record Medical Supplies,933.8,466.9,,,0 CDM,74897,Noncdm Charge Record Medical Supplies,298.08,149.04,,,0 CDM,74899,Noncdm Charge Record Medical Supplies,5141.36,2570.68,,,0 CDM,74900034,Pacer Lead Stylet,275.0,137.5,,,0 CDM,74900178,"Lead,Pacemakr Capsure Sp Novus",4226.94,2113.47,,,0 CDM,74900404,"Lead,Defib Sprint 6947",43152.26,21576.13,,,0 CDM,74900700,"Pacemaker,Adapta Dr",33442.92,16721.46,,,0 CDM,74907234,Chg-Acid-Lead,33940.76,16970.38,,,0 CDM,74968,Noncdm Charge Record Medical Supplies,2856.14,1428.07,,,0 CDM,75212,Noncdm Charge Record Medical Supplies,1003.31,501.66,,,0 CDM,75300001,Chg Ecg 12-Lead Tracing Only,453.0,226.5,,,0 CDM,75300004,Chg 24 Up To 48Hr Holter Monr-Hookup And Record,418.0,209.0,,,0 CDM,75300005,Chg-Ecg-12 Lead Er Dept Trac,453.0,226.5,,,0 CDM,75300018,Chg 24 Up To 48Hr Holter Monitor Scan Analysis,601.0,300.5,,,0 CDM,75300052,Ext Ecg>48Hr<7D Recording,589.0,294.5,,,0 CDM,75300053,Uos Ext Ecg>48Hr<7D Scan A/R,978.0,489.0,,,0 CDM,75300054,Ext Ecg>7D<15D Recording,589.0,294.5,,,0 CDM,75300055,Uos Ext Ecg>7D<15D Scan A/R,978.0,489.0,,,0 CDM,75300502,Chg Event Monitor & Analysis,778.0,389.0,,,0 CDM,75400022,Counseling And Risk Factor Reduc,246.0,123.0,,,0 CDM,75400024,Initial Eval Cardiac Rehab -O/P,281.0,140.5,,,0 CDM,75400150,Chg 3 Day Cardiac Mainten Prg,40.0,20.0,,,0 CDM,75400151,Cardiovascular Therapy Inpatient,218.0,109.0,,,0 CDM,75400157,Self-Pay Phase Iii Rehab Unit Counter,158.0,79.0,,,0 CDM,75400158,Chg-2 Day Cardiac Mainten Prog,30.0,15.0,,,0 CDM,75400550,Chg Cardiovascular Therapy Outpatient,281.0,140.5,,,0 CDM,75400621,"Chg-Pul Strgth/Endur Indiv,Ea 15Mn",116.0,58.0,,,0 CDM,75400622,"Chg Pul Resp Funct Indiv, Ea 15 Mn",116.0,58.0,,,0 CDM,75400623,Chg-Pulmonary Rehabilitation Grp,116.0,58.0,,,0 CDM,75400626,Pr W/O Cont. Pulse Ox Mntr,210.0,105.0,,,0 CDM,75400627,Pr With Cont. Pulse Ox Mntr,210.0,105.0,,,0 CDM,75400631,Pritikin Icr With Exercise,281.0,140.5,,,0 CDM,75400632,Pritikin Icr W/O Exercise Each Session,281.0,140.5,,,0 CDM,75400701,Phase Ii Unmonitored Session,281.0,140.5,,,0 CDM,75402726,Unlist Proc Skin Mm,1360.0,680.0,,,0 CDM,75402728,Chg-P.A.D. Rehab,170.0,85.0,,,0 CDM,7560,Noncdm Charge Record Medical Supplies,41.31,20.66,,,0 CDM,75600001,Chg Or Per Minute-Womens Health,113.0,56.5,,,0 CDM,75600002,Chg Labor Care/Induction Per Day,2042.0,1021.0,,,0 CDM,75600003,Chg Non-Stress Test/Fetal Monitoring,856.0,428.0,,,0 CDM,75600005,Ligate Fallop Tube Abd/Vag; Pp,2972.0,1486.0,,,0 CDM,75600016,Chg Vag Del Out Of Dept/Recov/Supp,7136.0,3568.0,,,0 CDM,75600018,Chg Oxytocin Challenge Test/Fetal,838.0,419.0,,,0 CDM,75600026,Chg D&C Procedure&Recovery,2332.0,1166.0,,,0 CDM,75600051,Chg Amniocentesis Proc/Fetal Monitor,4079.0,2039.5,,,0 CDM,75600080,Chg Non-Delivery Recovery Lvl 1,2012.0,1006.0,,,0 CDM,75600081,Chg Non-Delivery Recovery Lvl 2,4080.0,2040.0,,,0 CDM,75600089,Chg C-Section Recovery Level 1,2012.0,1006.0,,,0 CDM,75600091,Chg Level I - L&D Er Dept Visit,260.0,130.0,,,0 CDM,75600095,Chg Level V - L&D Er Dept Visit,2867.0,1433.5,,,0 CDM,75600100,Chg Amnioinfusion,542.0,271.0,,,0 CDM,75600101,Chg External Cephalic Version,3374.0,1687.0,,,0 CDM,75600103,Tubal Ligation W/C-Sect,554.0,277.0,,,0 CDM,75600108,Fetal Scalp Blood,467.0,233.5,,,0 CDM,75600180,Abortion Induction W/Supp Vag,3025.0,1512.5,,,0 CDM,75600181,"Curettage,Postpartum",5266.0,2633.0,,,0 CDM,75600250,Treatment Of Missed Abortion,4517.0,2258.5,,,0 CDM,75600251,Trtmnt Missed Abortion 2Nd Tri,4517.0,2258.5,,,0 CDM,75600316,Chg C-Section Recovery Level 2,4080.0,2040.0,,,0 CDM,75600400,Chg Ultrasound L&D,999.0,499.5,,,0 CDM,75600508,Chg Cordocentesis (Cpt 59012),2203.0,1101.5,,,0 CDM,75600601,Chg Vaginal Del/Recovery/Supplies,7136.0,3568.0,,,0 CDM,75600610,Chg Amniocentesis Therapeutic,9159.0,4579.5,,,0 CDM,75600700,Intrauterine Blood Transfusion,2127.0,1063.5,,,0 CDM,75600701,Chg Doppler Interrogation Of Mca,792.0,396.0,,,0 CDM,75600702,Chg Or Base-Womens Health,4285.0,2142.5,,,0 CDM,75600703,Chg Deliver Placenta/Recover/Suppl,3756.0,1878.0,,,0 CDM,75600704,Chg C/S Del Out Of Dept/Recov/Supp,9575.0,4787.5,,,0 CDM,75601000,Cerclage Removal W/O Anes,658.0,329.0,,,0 CDM,75601001,Chg Circlage Removal W/Anes,3304.0,1652.0,,,0 CDM,75601002,Chg-Fetal Fluid Drainiage,3277.0,1638.5,,,0 CDM,75601003,Chg-Fetal Shunt Placement,3277.0,1638.5,,,0 CDM,75601040,Sterile Speculum Exam,344.0,172.0,,,0 CDM,75602019,Chg Cerclage Insertion,4678.0,2339.0,,,0 CDM,75606301,Chg - Lactation Class,50.0,25.0,,,0 CDM,75606302,Lactation Consult,125.0,62.5,,,0 CDM,75610051,Us Guided Needle Placement,560.0,280.0,,,0 CDM,75610054,Fetal Echo,2198.0,1099.0,,,0 CDM,75610055,Fern Testing-Poct,82.0,41.0,,,0 CDM,75610056,Insert Drug Implant,2114.0,1057.0,,,0 CDM,75610057,Insert Cervical Dilator,1337.0,668.5,,,0 CDM,75610058,Episiotomy Or Vaginal Repair,9266.0,4633.0,,,0 CDM,75610059,Car Seat/Bed Test Inft Thru 12 Mo 60 Min,95.0,47.5,,,0 CDM,75610060,Car Seat/Bed Test Inft Thru 12 Mo Ea Addl 30 Min,48.0,24.0,,,0 CDM,75700119,Chg-Recov Rm Delivery-Add'l 30,327.0,163.5,,,0 CDM,75700171,Chg Critical Care Recovery Per Hour,1839.0,919.5,,,0 CDM,75700172,Chg-Recovery/15Min Critical,453.0,226.5,,,0 CDM,75700254,Chg Pacu Base Endo/Gi,452.0,226.0,,,0 CDM,75700255,Chg Pacu Base Diag Svcs,452.0,226.0,,,0 CDM,75700350,Chg-Care Base Phase I,413.0,206.5,,,0 CDM,75700351,Chg-Care Phase I Addl Minutes,34.0,17.0,,,0 CDM,75704000,"Chg Extended Bo Recovery, Per Hr",167.0,83.5,,,0 CDM,75704002,Pacu Recovery First 30 Mins,1384.04,692.02,,,0 CDM,75704003,Pacu Recovery Phase I Each Addl 15 Mins,666.41,333.2,,,0 CDM,75704004,Pacu Recovery Phase Ii Each Addl 15 Mins,600.29,300.14,,,0 CDM,75704005,Recovery Phase I Each Addl 15 Mins,626.11,313.06,,,0 CDM,75704006,Recovery First 30 Mins,954.48,477.24,,,0 CDM,75704007,Recovery Phase Ii Each Addl 15 Mins,470.71,235.36,,,0 CDM,75800006,Chgr-Cd Insert Pacer & A Lead,18905.0,9452.5,,,0 CDM,75800015,Angio Ext(Art Insert)Add't To,4665.0,2332.5,,,0 CDM,75800016,Chgr-Cd Angio Left Or Right Pulmon Art,5305.0,2652.5,,,0 CDM,75800018,Chg Angio Right Heart Or Pulmonary Artery,6123.0,3061.5,,,0 CDM,75800019,Chgr-Cd Insert Pacer & V Lead,18905.0,9452.5,,,0 CDM,75800021,Repair 1 Electrode,3897.0,1948.5,,,0 CDM,75800023,Repair 2 Electrodes,5330.0,2665.0,,,0 CDM,75800033,Angio Svc Or Ivc,3820.0,1910.0,,,0 CDM,75800034,Chgr-Cd Insert Pacer & 2 Leads,23369.0,11684.5,,,0 CDM,75800035,Angio Svc Or Ivc In Additio To,3820.0,1910.0,,,0 CDM,75800036,Chg Angio Thoracic/Brach 1St Subclavian,4701.0,2350.5,,,0 CDM,75800037,Chg Angio Thorac Or Brachioc 2Nd Od Ima,4772.0,2386.0,,,0 CDM,75800038,Chg Ang/Ven 1St Order Renal Jugular Vein,5310.0,2655.0,,,0 CDM,75800039,"Ang/Ven/1St(Renal,Jugul)Add To",5310.0,2655.0,,,0 CDM,75800045,Ang/Thor Brach 1St(Subcl)Add,4701.0,2350.5,,,0 CDM,75800046,Ang/Thor/Brach 2Nd(Ima)Add To,4772.0,2386.0,,,0 CDM,75800048,Chgr-Cd Removal Of Pacemaker,9782.0,4891.0,,,0 CDM,75800049,Chgr-Cd Removal Of Lead:Single,5330.0,2665.0,,,0 CDM,75800050,Chgr-Cd Removal Of Leads:Dual,6763.0,3381.5,,,0 CDM,75800052,Chgr-Cd Aorta Cath,4132.0,2066.0,,,0 CDM,75800100,Chgr-Cd Insert Pacer: Single Chamber,17235.0,8617.5,,,0 CDM,75800131,Relocation Of Pacer Pocket,3610.0,1805.0,,,0 CDM,75800148,Chgr-Cd Insert Lead One,16024.0,8012.0,,,0 CDM,75800155,Chgr-Insert Lead Two,16530.0,8265.0,,,0 CDM,75800160,Chgr-Cdupgrade Pacer To Dual,27644.0,13822.0,,,0 CDM,75800162,Chgr-Cd Insert Pacer: Dual Chamber,18583.0,9291.5,,,0 CDM,75800196,Chg Angio Abd/Pel Ext/1St/Order In/Addition,5396.0,2698.0,,,0 CDM,75800197,Angio Abd/Pel Ext/2Nd Ord Addt,5038.0,2519.0,,,0 CDM,75800198,Angio Abd/Pel/Ext 3Rd Ord/Addt,5432.0,2716.0,,,0 CDM,75800199,Ang Abd/Pel/Ext/2Nd/3Rd/In Add,4587.0,2293.5,,,0 CDM,75800200,Angio Addt 2Nd/3Rd Tho Brac Bc,2553.0,1276.5,,,0 CDM,75800201,Angio Aorta,5300.0,2650.0,,,0 CDM,75800205,Angio Abd/Pelvic/Ext 3Rd Order,5432.0,2716.0,,,0 CDM,75800230,Angio Abd Pelvic Ext 1St Order,5396.0,2698.0,,,0 CDM,75800231,Angio Abd Pelvic Ext 2Nd Order,5038.0,2519.0,,,0 CDM,75800232,Angio Add 2Nd Or 3Rd Order Branch,4587.0,2293.5,,,0 CDM,75800235,Angio Extremity,4665.0,2332.5,,,0 CDM,75800251,Chgr-Cd Angiojet In Addition To Cath,10211.0,5105.5,,,0 CDM,75800254,Ivus,3938.0,1969.0,,,0 CDM,75800255,Ivus Each Additional Vessel,2650.0,1325.0,,,0 CDM,75800300,Chgr-Cd Insert Icd Generatorsingle Chamber,31031.0,15515.5,,,0 CDM,75800301,Chgr-Cd Insert Icd Generatordual Chamber,31031.0,15515.5,,,0 CDM,75800302,Chgr-Cd Insert Single Chamber Icd And Lead,42696.0,21348.0,,,0 CDM,75800303,Chgr-Cd Insert Dual Chamber Icd And Lead,42696.0,21348.0,,,0 CDM,75800498,Standard Pump Perfusion Setup,5704.0,2852.0,,,0 CDM,75800499,Perfusion Tech Per Minute,69.0,34.5,,,0 CDM,75800519,Chgr-Cd Pfo Procedure,27590.0,13795.0,,,0 CDM,75800521,Chgr-Cd Stent(S) Pl Carotid W / O Dis Embolic,28172.0,14086.0,,,0 CDM,75800633,Chgr-Cd Removal Of Icd,5330.0,2665.0,,,0 CDM,75800634,Chgr-Cd Removal Of Icd Leads,5330.0,2665.0,,,0 CDM,75800635,Chgr Icd Skin Pocket Relocation,3011.0,1505.5,,,0 CDM,75800638,Chgr-Cd Insert Coronary Sinus Lead,16059.0,8029.5,,,0 CDM,75800641,Change Cath For Thromboly,12349.0,6174.5,,,0 CDM,75800644,Chgr-Cd Embolization Intra / Spinal Cord,6602.0,3301.0,,,0 CDM,75800646,Bx Transcatheter,6332.0,3166.0,,,0 CDM,75800653,Angio Venous Extremity Unilateral,2776.0,1388.0,,,0 CDM,75800654,Angio Venous Extremity Bilateral,4159.0,2079.5,,,0 CDM,75800658,Venogram Caval Super,3472.0,1736.0,,,0 CDM,75800660,Angio Venography Extremity,2543.0,1271.5,,,0 CDM,75800661,Transcatheter Retrieval Percut,6376.0,3188.0,,,0 CDM,75800662,Pulmonary Nonselective,4855.0,2427.5,,,0 CDM,75800668,Transcath Biopsy,3830.0,1915.0,,,0 CDM,75800672,Chgr-Cd Perc Portal Vein Cath,838.0,419.0,,,0 CDM,75800676,Injection For Pseudoaneurysm,2109.0,1054.5,,,0 CDM,75800678,Chgr-Cd Replace Coronary Sinus Lead,16059.0,8029.5,,,0 CDM,75800679,Chgr-Cd Reposition Coronary Sinus Lead,5330.0,2665.0,,,0 CDM,75800680,Chgr-Cd Reposition Lead,5330.0,2665.0,,,0 CDM,75800692,Chgr-Cd Nonsel Iliac / Fem W / Card Cath,2752.0,1376.0,,,0 CDM,75800701,Removal Intra-Aortic Balloon,4376.0,2188.0,,,0 CDM,75800702,Proc Knee Manipultn W/Gen Anes,3273.0,1636.5,,,0 CDM,75800704,Proc Shoulder Manipultn W/Anes,3273.0,1636.5,,,0 CDM,75800705,Vasc Embolize/Occlude Venous,38990.0,19495.0,,,0 CDM,75800706,Vasc Embolize/Occlude Artery,38990.0,19495.0,,,0 CDM,75800707,Vasc Embolize/Occlude Organ,38990.0,19495.0,,,0 CDM,75800708,Vasc Embolize/Occlude Bleed,38990.0,19495.0,,,0 CDM,75800709,Stent Noncoronary;1St Artery,13966.0,6983.0,,,0 CDM,75800710,Stent Noncoronary;1St Vein,13966.0,6983.0,,,0 CDM,75800711,Stent Noncoronary Add Artery,13966.0,6983.0,,,0 CDM,75800712,Stent Noncoronary Add Vein,13966.0,6983.0,,,0 CDM,75801220,Chgr-Cd Ligation Of Av Fistula,9353.0,4676.5,,,0 CDM,75801420,Chgr-Cd Insert Nontunneled Cvc <5Yr,3942.0,1971.0,,,0 CDM,75801421,Insert Non-Tunneled Cvc>=5Yr,4322.0,2161.0,,,0 CDM,75801422,Insrt Picc <5Yrs W/O Imaging,4322.0,2161.0,,,0 CDM,75801423,Insrt Picc >=5Yrs W/O Imaging,4322.0,2161.0,,,0 CDM,75801424,Rpl Cvc W/O Prt/Pmp Same Site,4064.0,2032.0,,,0 CDM,75801425,Replpicc Same Site Incl Image,4064.0,2032.0,,,0 CDM,75801428,Rplc Cath Of Cva W/Prt/Pmp,4118.0,2059.0,,,0 CDM,75801429,Rem Tnnld Cvc W/O Port/Pump,2532.0,1266.0,,,0 CDM,75801430,Chgr-Cd Reposition Cva,1743.0,871.5,,,0 CDM,75801432,Rem Intralum Obst Thru Dvc Lum,1743.0,871.5,,,0 CDM,75801433,Chgr-Cd Removal Tnnld Cvc W / Port / Pump,5244.0,2622.0,,,0 CDM,75801434,Ins Tnnld Cvc W/O Prt/Pmp>=5Yr,5911.0,2955.5,,,0 CDM,75801436,Rpl Tnld Cvc W/O P/P Same Site,10299.0,5149.5,,,0 CDM,75801438,Ins Tnnld Cvc W/Port>=5 Yr,7099.0,3549.5,,,0 CDM,75801441,Rplc Tnnld Cvc W/Prt Same Site,10299.0,5149.5,,,0 CDM,75801445,U/S Guide For Venous Access,1729.0,864.5,,,0 CDM,75801446,Vasc Distal Embolic Protect Dev,814.0,407.0,,,0 CDM,75801447,"Thromb,Mechanical,Venous",14148.0,7074.0,,,0 CDM,75801448,"Chgr-Cd Thromb, Mechanical, Venous Recheck",14148.0,7074.0,,,0 CDM,75801449,"Fluoro Guide,Place Or Replace",1548.0,774.0,,,0 CDM,75801450,Proc Knee Dislocation W/Anes,2757.0,1378.5,,,0 CDM,75801452,Proc Hip Disloc-Spontan W/Anes,4923.0,2461.5,,,0 CDM,75801453,Proc Shoulder Disloc W/Anes,3069.0,1534.5,,,0 CDM,75801454,Holding In Or Minutes,41.0,20.5,,,0 CDM,75802000,Iliac Pta,18394.0,9197.0,,,0 CDM,75802001,Chgr-Cd Iliac Pta W / Stent,28713.0,14356.5,,,0 CDM,75802002,Chgr-Cd Iliac Pta Addt'l Vessel,11901.0,5950.5,,,0 CDM,75802003,Chgr-Cd Iliac Pta W / Stent Add Vessel,28713.0,14356.5,,,0 CDM,75802004,Chgr-Cd Fem / Pop Pta W / Tla,22413.0,11206.5,,,0 CDM,75802005,Chgr-Cd Fem / Pop Pta W / Ather,34171.0,17085.5,,,0 CDM,75802006,Chgr-Cd Fem / Pop Pta W / Stent,33686.0,16843.0,,,0 CDM,75802007,Chgr-Cd Fem / Pop Pta Stnt & Ather,43253.0,21626.5,,,0 CDM,75802008,Chgr-Cd Tp Pta W / Tla,16768.0,8384.0,,,0 CDM,75802009,Chgr-Cd Tp Pta W / Ather,26094.0,13047.0,,,0 CDM,75802010,Chgr-Cd Tp Pta W / Stent,28036.0,14018.0,,,0 CDM,75802012,Chgr-Cd Tp Pta Add Vessel,11901.0,5950.5,,,0 CDM,75802013,Chgr-Cd Tp Pta W / Ather Add Vessel,22486.0,11243.0,,,0 CDM,75802016,Chgr-Cd Insert Tun Ip Cath Perc,9957.0,4978.5,,,0 CDM,75802017,Chgr-Cd Right Heart Cath,15692.0,7846.0,,,0 CDM,75802018,Chgr-Cd Left Hrt Cath W / Ventrclgrphy,25716.0,12858.0,,,0 CDM,75802019,Chgr-Cd R&L Hrt Cath W / Ventriclgrphy,29491.0,14745.5,,,0 CDM,75802020,Chgr-Cd Coronary Artery Angio S&I,12825.0,6412.5,,,0 CDM,75802021,Chgr-Cd Coronary Art / Grft Angio S&I,12825.0,6412.5,,,0 CDM,75802022,Chgr-Cd Rhrt Coronary Artery Angio,28510.0,14255.0,,,0 CDM,75802023,Chgr-Cd Rhrt Art / Grft Angio,30359.0,15179.5,,,0 CDM,75802024,Chgr-Cd Lhrt Artery / Ventricle Angio,25716.0,12858.0,,,0 CDM,75802025,Chgr-Cd Lhrt Art / Grft Angio,27564.0,13782.0,,,0 CDM,75802026,Chgr-Cd R&L Hrt Art / Ventricle Angio,29491.0,14745.5,,,0 CDM,75802027,Chgr-Cd R&L Hrt Art / Grft Angio,31336.0,15668.0,,,0 CDM,75802028,Chgr-Cd Lhrt Cath Trnsptl Puncture,4972.0,2486.0,,,0 CDM,75802029,Chgr-Cd Drug Admin & Hemodynmic Meas,3702.0,1851.0,,,0 CDM,75802030,Chgr-Cd Exercise W / Hemodynamic Meas,4455.0,2227.5,,,0 CDM,75802033,Chgr-Cd Inject L Ventr / Atrail Angio,3712.0,1856.0,,,0 CDM,75802034,Chgr-Cd Inject R Ventr / Atrail Angio,3712.0,1856.0,,,0 CDM,75802035,Chgr-Cd Inject S Uprvlv Aortography,3932.0,1966.0,,,0 CDM,75802036,Chgr-Cd Inject Pulm Art Hrt Cath,4818.0,2409.0,,,0 CDM,75802037,Chgr-Cd Trluml Perip Athrc Renal Arter,24017.0,12008.5,,,0 CDM,75802041,Chgr-Cd Trluml Perip Athrc Iliac Arter,26467.0,13233.5,,,0 CDM,75802045,Insert Vad Artery Access,11979.0,5989.5,,,0 CDM,75802660,Iliac Pta,18394.0,9197.0,,,0 CDM,75802662,Iliac Pta Addt'l Vessel,11901.0,5950.5,,,0 CDM,75802665,Fem/Pop Pta W/Ather,34171.0,17085.5,,,0 CDM,75802667,Fem/Pop Pta Stnt & Ather,43253.0,21626.5,,,0 CDM,75802700,Insert Pm Gen-3+Chamb-Exist Ld,22842.0,11421.0,,,0 CDM,75802701,Insert Icd Gen-3+Cham-Exist Ld,41079.0,20539.5,,,0 CDM,75802702,Chgr Trnscth Tx Art Inf Thromb Init,12349.0,6174.5,,,0 CDM,75802703,Trnscth Tx Ven Inf Thromb Init,9692.0,4846.0,,,0 CDM,75802704,Trnscth Art/Ven Inf Thromb Sub,12349.0,6174.5,,,0 CDM,75802705,Trnscth Thrpy Thromb Cessation,12349.0,6174.5,,,0 CDM,75802750,Pci Angioplasty 1 Vsl,18805.0,9402.5,,,0 CDM,75802758,Insert Parachute Study Device,37626.0,18813.0,,,0 CDM,75802773,Remove Pulse Generator,5330.0,2665.0,,,0 CDM,75802774,Ins/Rep Subq Defibrillator,123782.0,61891.0,,,0 CDM,75802775,Insj Subq Impltbl Dfb Elctrd,9782.0,4891.0,,,0 CDM,75802776,Rmvl Of Subq Defibrillator,5330.0,2665.0,,,0 CDM,75802777,Rem&Replc Cvd Gen Sing Lead,35322.0,17661.0,,,0 CDM,75802778,Rem&Replc Cvd Gen Dual Lead,35322.0,17661.0,,,0 CDM,75802779,Rem&Replc Cvd Gen Mult Lead,41079.0,20539.5,,,0 CDM,75810030,Remove&Replace Ppm Gen-1 Cham,21531.0,10765.5,,,0 CDM,75810031,Remove&Replace Ppm Gen-2 Cham,21531.0,10765.5,,,0 CDM,75810032,Remove&Replace Ppm Gen-3+ Cham,23333.0,11666.5,,,0 CDM,75810033,Rem&Replc Cvd Gen Sing Lead,35322.0,17661.0,,,0 CDM,75810034,Rem&Replc Cvd Gen Dual Lead,35322.0,17661.0,,,0 CDM,75810035,Rem&Replc Cvd Gen Mult Lead,41079.0,20539.5,,,0 CDM,75810036,Evasc Prlng Admn Rx Agnt 1St,3743.0,1871.5,,,0 CDM,75810037,Evasc Prlng Admn Rx Agnt Add,3743.0,1871.5,,,0 CDM,75810038,Intrvasc Us Noncoronary 1St,1641.0,820.5,,,0 CDM,75810039,Intrvasc Us Noncoronary Addl,1641.0,820.5,,,0 CDM,75810041,Removal Neurostim Generator,15100.0,7550.0,,,0 CDM,75810042,Perq Clsr Tcat L Atr Apndge,10440.0,5220.0,,,0 CDM,75810043,Trluml Balo Angiop 1St Artery,6749.0,3374.5,,,0 CDM,75810044,Trluml Balo Angiop Addl Artery,6749.0,3374.5,,,0 CDM,75810050,Crep Trunk; 2.6-7.5Cm,2079.0,1039.5,,,0 CDM,75810051,C Rep Trunk; Ea Addtl 5 Cm/<,1074.0,537.0,,,0 CDM,75810052,Tcat Impl Wrls P-Art Prs Snr,86839.0,43419.5,,,0 CDM,75810053,Tcat Insj/Rpl Perm Ldls Pm,49062.0,24531.0,,,0 CDM,75810054,Tcat Rmvl Perm Ldls Pm,26826.0,13413.0,,,0 CDM,75810055,Insj Subq Car Rhythm Mntr,12794.0,6397.0,,,0 CDM,75810056,Rmvl Subq Car Rhythm Mntr,3516.0,1758.0,,,0 CDM,75810058,Insert Vad Art&Vein Access,11979.0,5989.5,,,0 CDM,75810059,Temp Artery Biopsy,9378.0,4689.0,,,0 CDM,75810100,Pericardiocentesis W/Imaging,3281.0,1640.5,,,0 CDM,75810101,Prcrd Drg 6Yr+ W/O Cgen Car,3281.0,1640.5,,,0 CDM,75810104,R Hrt Cath Chd Nml Nt Cnj,13867.0,6933.5,,,0 CDM,75810105,R Hrt Cath Chd Abnl Nt Cnj,13867.0,6933.5,,,0 CDM,75810108,Or First 30 Mins - Trauma,5075.84,2537.92,,,0 CDM,75810109,Or Each Addl 15 Mins - Trauma,2311.7,1155.85,,,0 CDM,75810112,Or First 30 Mins - Ng Only,4639.77,2319.88,,,0 CDM,75810113,Or Each Addl 15 Mins - Ng Only,2027.76,1013.88,,,0 CDM,75810114,Or First 30 Mins - Cardiac Ng Only,3977.14,1988.57,,,0 CDM,75810115,Or Each Addl 15 Mins - Cardiac Ng Only,1828.63,914.32,,,0 CDM,75900043,Anes Min Out Of Unit Heart Or,34.0,17.0,,,0 CDM,75900044,Anes-Out Of Unit Heart Or Base,1561.0,780.5,,,0 CDM,75900250,Epidural In L&D,1416.0,708.0,,,0 CDM,75902007,Ultrasound Guided Needle Place,1655.0,827.5,,,0 CDM,75903005,Anesthesia - Women's Health,1416.0,708.0,,,0 CDM,75903006,Anes Out Of Unit Minutes,34.0,17.0,,,0 CDM,75903007,Anes-Out Of Unit Or Base Chrge,1443.0,721.5,,,0 CDM,75908220,Spinal Nerve Block (L&D),1416.0,708.0,,,0 CDM,75920000,Anes Setup Women Health,1443.0,721.5,,,0 CDM,75920001,Anes Per Min Women Health,34.0,17.0,,,0 CDM,75920002,Anes General First 30 Mins,1362.98,681.49,,,0 CDM,75920003,Anes General Each Addl 15 Mins,588.77,294.38,,,0 CDM,75920004,Anes Block First 30 Mins,1311.61,655.8,,,0 CDM,75920005,Anes Block Each Addl 15 Mins,642.39,321.2,,,0 CDM,75920006,Anes Epi First 30 Mins,1432.22,716.11,,,0 CDM,75920007,Anes Epi Each Addl 15 Mins,716.12,358.06,,,0 CDM,75920008,Anes Mac First 30 Mins,1850.79,925.4,,,0 CDM,75920009,Anes Mac Each Addl 15 Mins,736.55,368.28,,,0 CDM,75920010,Anes Spinal First 30 Mins,1479.98,739.99,,,0 CDM,75920011,Anes Spinal Each Addl 15 Mins,674.57,337.28,,,0 CDM,75920012,Anes Trauma First 30 Mins,1359.27,679.64,,,0 CDM,75920013,Anes Trauma Each Addl 15 Mins,621.51,310.76,,,0 CDM,75920014,Anes Cardiac First 30 Mins,1372.94,686.47,,,0 CDM,75920015,Anes Cardiac Each Addl 15 Mins,583.31,291.66,,,0 CDM,75951,Noncdm Charge Record Medical Supplies,164.89,82.44,,,0 CDM,76100007,Office/Outpatient New High Mdm 60 Minutes,70.0,35.0,,,0 CDM,76100008,Diabetes Training Follow Up,70.0,35.0,,,0 CDM,76100009,Mnt Init Nutrn Ther; Each 15M,52.0,26.0,,,0 CDM,76100010,Mnt Reassess Nutr Ther; Ea 15M,52.0,26.0,,,0 CDM,76100011,Opt Dsmes Individ 30 Min Sessn,70.0,35.0,,,0 CDM,76100012,Opt Dsmes Group 30 Min Sessn,48.0,24.0,,,0 CDM,76100013,Carb Count Educ-Indiv 30 Min,70.0,35.0,,,0 CDM,76100015,Med Nutri Ther Grp 30 Min,48.0,24.0,,,0 CDM,76100017,Insulin Pump Train Ind 30 Min,70.0,35.0,,,0 CDM,76100018,Gestational Diabetes Ind-30 Mn,70.0,35.0,,,0 CDM,76100019,Dm Intensive Ind 30 Min,70.0,35.0,,,0 CDM,76100020,Insulin Init Train Ind 30 Min,70.0,35.0,,,0 CDM,76100021,Diabetes Monitor Ind 30 Min,70.0,35.0,,,0 CDM,76100025,Cont Gluc Mntr Phys/Qhp Eqp,887.0,443.5,,,0 CDM,76100027,Grp Medical Nutrition Therapy; Each 30 Mins,59.0,29.5,,,0 CDM,76100028,Diab Ed Consult Lvl1 1-30 Min,46.0,23.0,,,0 CDM,76100029,Diab Ed Consult Lvl2 31-60 Min,90.0,45.0,,,0 CDM,76100030,Diab Ed Consult Lvl3 +61 Min,137.0,68.5,,,0 CDM,76100031,Cont Gluc Mntr Pt Prov Eqp,396.0,198.0,,,0 CDM,76164,Noncdm Charge Record Medical Supplies,312.8,156.4,,,0 CDM,76166,Noncdm Charge Record Medical Supplies,1839.25,919.62,,,0 CDM,76276,Noncdm Charge Record Medical Supplies,161.96,80.98,,,0 CDM,76554,Noncdm Charge Record Medical Supplies,101.2,50.6,,,0 CDM,76557,Noncdm Charge Record Medical Supplies,13.58,6.79,,,0 CDM,76562,Noncdm Charge Record Medical Supplies,8.24,4.12,,,0 CDM,76563,Noncdm Charge Record Medical Supplies,11.61,5.8,,,0 CDM,76566,Noncdm Charge Record Medical Supplies,844.25,422.12,,,0 CDM,76584,Noncdm Charge Record Medical Supplies,187.83,93.92,,,0 CDM,76756,Noncdm Charge Record Medical Supplies,168.95,84.48,,,0 CDM,76757,Noncdm Charge Record Medical Supplies,172.21,86.1,,,0 CDM,76761,Noncdm Charge Record Medical Supplies,11.21,5.6,,,0 CDM,76768,Noncdm Charge Record Medical Supplies,713.11,356.56,,,0 CDM,76770,Noncdm Charge Record Medical Supplies,713.11,356.56,,,0 CDM,76777,Noncdm Charge Record Medical Supplies,11.73,5.86,,,0 CDM,76860,Noncdm Charge Record Medical Supplies,352.75,176.38,,,0 CDM,77102,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,77103,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,77112,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,775,Noncdm Charge Record Medical Supplies,21.76,10.88,,,0 CDM,77562,Noncdm Charge Record Medical Supplies,184.0,92.0,,,0 CDM,77617,Noncdm Charge Record Medical Supplies,381.45,190.72,,,0 CDM,77619,Noncdm Charge Record Medical Supplies,294.96,147.48,,,0 CDM,77621,Noncdm Charge Record Medical Supplies,297.66,148.83,,,0 CDM,77749,Noncdm Charge Record Medical Supplies,96.6,48.3,,,0 CDM,77853,Noncdm Charge Record Medical Supplies,416.25,208.12,,,0 CDM,77864,Noncdm Charge Record Medical Supplies,20.03,10.02,,,0 CDM,77955,Noncdm Charge Record Medical Supplies,2.75,1.38,,,0 CDM,77977,Noncdm Charge Record Medical Supplies,13.98,6.99,,,0 CDM,78031,Noncdm Charge Record Medical Supplies,8189.0,4094.5,,,0 CDM,78198,Noncdm Charge Record Medical Supplies,59.34,29.67,,,0 CDM,78214,Noncdm Charge Record Medical Supplies,14.41,7.2,,,0 CDM,78248,Noncdm Charge Record Medical Supplies,7.53,3.76,,,0 CDM,7873,Noncdm Charge Record Medical Supplies,1604.35,802.18,,,0 CDM,7883,Noncdm Charge Record Medical Supplies,19.66,9.83,,,0 CDM,7884,Noncdm Charge Record Medical Supplies,51.7,25.85,,,0 CDM,79170,Noncdm Charge Record Medical Supplies,381.8,190.9,,,0 CDM,79215,Noncdm Charge Record Medical Supplies,460.0,230.0,,,0 CDM,79216,Noncdm Charge Record Medical Supplies,460.0,230.0,,,0 CDM,79217,Noncdm Charge Record Medical Supplies,460.0,230.0,,,0 CDM,79268,Noncdm Charge Record Medical Supplies,809.6,404.8,,,0 CDM,7935,Noncdm Charge Record Medical Supplies,942.99,471.5,,,0 CDM,79527,Noncdm Charge Record Medical Supplies,123.97,61.98,,,0 CDM,79611,Noncdm Charge Record Medical Supplies,3.21,1.6,,,0 CDM,79612,Noncdm Charge Record Medical Supplies,2.0,1.0,,,0 CDM,79613,Noncdm Charge Record Medical Supplies,2.0,1.0,,,0 CDM,79614,Noncdm Charge Record Medical Supplies,2.38,1.19,,,0 CDM,79616,Noncdm Charge Record Medical Supplies,25.55,12.78,,,0 CDM,7969,Noncdm Charge Record Medical Supplies,188.87,94.44,,,0 CDM,79711,Noncdm Charge Record Medical Supplies,31.89,15.94,,,0 CDM,79712,Noncdm Charge Record Medical Supplies,61.79,30.9,,,0 CDM,79714,Noncdm Charge Record Medical Supplies,169.1,84.55,,,0 CDM,79844,Noncdm Charge Record Medical Supplies,759.0,379.5,,,0 CDM,79855,Noncdm Charge Record Medical Supplies,1555.2,777.6,,,0 CDM,79856,Noncdm Charge Record Medical Supplies,1602.5,801.25,,,0 CDM,79857,Noncdm Charge Record Medical Supplies,1641.75,820.88,,,0 CDM,79919,Noncdm Charge Record Medical Supplies,6.96,3.48,,,0 CDM,79942,Noncdm Charge Record Medical Supplies,207.18,103.59,,,0 CDM,79944,Noncdm Charge Record Medical Supplies,199.23,99.62,,,0 CDM,80025,Noncdm Charge Record Medical Supplies,273.81,136.9,,,0 CDM,80028,Noncdm Charge Record Medical Supplies,10.36,5.18,,,0 CDM,80037,Noncdm Charge Record Medical Supplies,6.83,3.42,,,0 CDM,80121,Noncdm Charge Record Medical Supplies,10.93,5.46,,,0 CDM,80403,Noncdm Charge Record Medical Supplies,534.43,267.22,,,0 CDM,80404,Noncdm Charge Record Medical Supplies,534.43,267.22,,,0 CDM,80418,Noncdm Charge Record Medical Supplies,203.0,101.5,,,0 CDM,80419,Noncdm Charge Record Medical Supplies,203.0,101.5,,,0 CDM,80420,Noncdm Charge Record Medical Supplies,203.0,101.5,,,0 CDM,80421,Noncdm Charge Record Medical Supplies,203.0,101.5,,,0 CDM,80428,Noncdm Charge Record Medical Supplies,139.29,69.64,,,0 CDM,80429,Noncdm Charge Record Medical Supplies,143.52,71.76,,,0 CDM,80430,Noncdm Charge Record Medical Supplies,157.62,78.81,,,0 CDM,80431,Noncdm Charge Record Medical Supplies,139.29,69.64,,,0 CDM,80434,Noncdm Charge Record Medical Supplies,164.96,82.48,,,0 CDM,80435,Noncdm Charge Record Medical Supplies,190.62,95.31,,,0 CDM,80438,Noncdm Charge Record Medical Supplies,534.43,267.22,,,0 CDM,80812,Noncdm Charge Record Medical Supplies,418.86,209.43,,,0 CDM,80836,Noncdm Charge Record Medical Supplies,1796.56,898.28,,,0 CDM,80837,Noncdm Charge Record Medical Supplies,1748.3,874.15,,,0 CDM,81000017,Unna Boot,598.0,299.0,,,0 CDM,81000018,Visit-Debrd Selec-1St 20Sqcm/<,676.0,338.0,,,0 CDM,81000019,Visit-Debrd Select-Ea Addtl 20Sqcm,748.0,374.0,,,0 CDM,81000021,Npwt Non-Disposable 50Sqcm,1368.0,684.0,,,0 CDM,81000023,F/U Office O/P Min Prob Lev 1,344.0,172.0,,,0 CDM,81000024,F/U Office Op Sf 10-19 Min Lv2,344.0,172.0,,,0 CDM,81000026,Supply-Speciality Dressing,65.0,32.5,,,0 CDM,81000027,Visit-Debride Nonselect,748.0,374.0,,,0 CDM,81000030,Pare/Cut Bengn Hyperkerat Sngl,748.0,374.0,,,0 CDM,81000031,Nail Debrid 6 Or>Any Method,204.0,102.0,,,0 CDM,81000032,Pare/Cut Benign Hyperkerat 2-4,368.0,184.0,,,0 CDM,81000033,Nail Debrid 1-5 By Any Method,478.0,239.0,,,0 CDM,81000034,Pare/Cut Benign Hyperk>4,748.0,374.0,,,0 CDM,81000040,Remove Unna Boot,1046.0,523.0,,,0 CDM,81000041,"Chemical Cautery,Tissue",476.0,238.0,,,0 CDM,81000042,Foam Drg>16<=48 Sqin W/O Brdr,43.47,21.74,,,0 CDM,81000043,Foam Drg>48 Sq In W/O Bordr,64.17,32.08,,,0 CDM,81000044,"Collagen Drsg,16 Sq In Or<",46.58,23.29,,,0 CDM,81000045,Collagen Drsg>16 Or <48 Sq In,46.58,23.29,,,0 CDM,81000046,"Collagen Drsg,>48 Sq In",372.6,186.3,,,0 CDM,81000047,Heel Prevention Waffle Boot,81.77,40.88,,,0 CDM,81000048,Heel Treatment Protect Boot,188.0,94.0,,,0 CDM,81000050,Chg Mepilex Foam Drsg<16 Sq In,43.47,21.74,,,0 CDM,81000060,Mist Ultrasound Therapy,1017.0,508.5,,,0 CDM,81000100,I&D Skin Abscess-Complic,1501.0,750.5,,,0 CDM,81000101,I&Fb Removal Subq-Simple,1381.0,690.5,,,0 CDM,81000102,I&Fb Removal Subq-Comp,6803.0,3401.5,,,0 CDM,81000103,I&D Complex Postop Wound,10236.0,5118.0,,,0 CDM,81000104,Debrd Inf Skin-10% Body,680.0,340.0,,,0 CDM,81000105,Debridment Of Open Fx/D,3844.0,1922.0,,,0 CDM,81000106,Debrd Skin&Subq 20Sqcm/<,1736.0,868.0,,,0 CDM,81000107,Deb Subq Tissue Add-On,1368.0,684.0,,,0 CDM,81000108,Avul Nail Plate Simp-1,327.0,163.5,,,0 CDM,81000109,Exc Nail&Matrx-Perm Rml,1368.0,684.0,,,0 CDM,81000110,App Rigid Tot Contact Lg,1046.0,523.0,,,0 CDM,81000111,Impacted Cerumen Removal,373.0,186.5,,,0 CDM,81000113,Additional Cleansing Of Skin,446.0,223.0,,,0 CDM,81000114,Debride Skin At Fx Site,2460.0,1230.0,,,0 CDM,81000115,Debride Skin Musc At Fx Site,2460.0,1230.0,,,0 CDM,81000116,Deb Musc/Fascia 20 Sq Cm/<,2599.0,1299.5,,,0 CDM,81000117,Deb Bone 20 Sq Cm/<,5413.0,2706.5,,,0 CDM,81000118,Deb Musc/Fascia Add-On,1326.0,663.0,,,0 CDM,81000119,Deb Bone Add-On,4100.0,2050.0,,,0 CDM,81000122,Trim Nail (S),217.0,108.5,,,0 CDM,81000123,Remove Nail Plate Add-On,748.0,374.0,,,0 CDM,81000124,Apply Multlay Comprs Lwr Leg,598.0,299.0,,,0 CDM,81000125,Excise Anal Ext Tag/Papilla,7767.0,3883.5,,,0 CDM,81000152,Implt Trilayer Mrtix Per Cm Sq,37.26,18.63,,,0 CDM,81000153,Oasis Trilayer Cm Sq Wasted,37.26,18.63,,,0 CDM,81000200,Apply Mult Compr Lwr Leg-Bilat,1196.0,598.0,,,0 CDM,81000201,Wound Prep F/N/Hf/G,2429.0,1214.5,,,0 CDM,81000202,Simple Rep Trunk=<2.5Cm,923.0,461.5,,,0 CDM,81000203,Simple Rep Trunk 2.5-7.5Cm,1551.0,775.5,,,0 CDM,81000204,Simple Rep Trunk 7.6-12.5Cm,1708.0,854.0,,,0 CDM,81000205,Simple Rep Trunk 12.6-20Cm,1877.0,938.5,,,0 CDM,81000206,Simple Rep Turnk 20.1-30Cm,2067.0,1033.5,,,0 CDM,81000207,Simple Rep Face=<2.5Cm,967.0,483.5,,,0 CDM,81000208,Simple Repair F/E/E/N/L/M 2.6Cm-5.0 Cm,1278.0,639.0,,,0 CDM,81000209,Simple Rep Face 5.1-7.5Cm,1403.0,701.5,,,0 CDM,81000210,Simple Rep Face 7.6-12.5Cm,1542.0,771.0,,,0 CDM,81000211,Simple Rep Face 12.6-20Cm,1773.0,886.5,,,0 CDM,81000217,Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/<,8296.0,4148.0,,,0 CDM,81000220,Wound Prep Trk/Arm/Leg,6203.0,3101.5,,,0 CDM,81000221,Alginate Drsg>16<=48 Sq In,72.45,36.22,,,0 CDM,81000222,Alginate Dressing <=16 Sq In,40.37,20.18,,,0 CDM,81000223,Alginate Dressing>48 Sq In,67.28,33.64,,,0 CDM,81000225,Contact Layer Drg<=16Sqin,38.3,19.15,,,0 CDM,81000226,Contact Layer Drg>16<=48Sqin,83.84,41.92,,,0 CDM,81000227,"Alginate Drsg,Filler,Per 6Inch",77.63,38.82,,,0 CDM,81000250,Skin Sub T/A/L-1St 25Sqcm-Proc,6203.0,3101.5,,,0 CDM,81000251,Skin Sub T/A/L-Add 25Sqcm-Proc,6203.0,3101.5,,,0 CDM,81000252,Skin Sub T/A/L-1St 100Sqc-Proc,10703.0,5351.5,,,0 CDM,81000253,Skin Sub T/A/L-Add 100Sqc-Proc,10703.0,5351.5,,,0 CDM,81000254,Skin Sub F/N/Hf-1St 25Sqc-Proc,6203.0,3101.5,,,0 CDM,81000255,Skin Sub F/N/Hf-Add 25Sqc-Proc,6203.0,3101.5,,,0 CDM,81000256,Skin Sub F/N/Hf-1St 100Sq-Proc,6203.0,3101.5,,,0 CDM,81000257,Skin Sub F/N/Hf-Add 100Sq-Proc,6203.0,3101.5,,,0 CDM,81000300,Exc Tr-Ext B9+Marg 4.0 Cm,8715.0,4357.5,,,0 CDM,81000402,Exc H-F-Nk-Sp B9+Marg 3.1-4,5630.0,2815.0,,,0 CDM,81000403,Exc H-F-Nk-Sp B9+Marg>4Cm,6893.0,3446.5,,,0 CDM,81000405,Exc Face -Mm B9+Marg>4 Cm,5241.0,2620.5,,,0 CDM,81000406,Exc Tr-Ext Mlg+Marg 0.6-1Cm,2263.0,1131.5,,,0 CDM,81000407,Exc Tr-Ext Mlg+Marg 1.1-2 Cm,1711.0,855.5,,,0 CDM,81000408,Exc Tr-Ext Mlg+Marg 2.1-3Cm,2263.0,1131.5,,,0 CDM,81000409,Exc Tr-Ext Mlg+Marg 3.1-4Cm,2263.0,1131.5,,,0 CDM,81000410,Exc Tr-Ext Mlg+Marg>4Cm,5372.0,2686.0,,,0 CDM,81000411,Exc H-F-Nk-Sp Mlg+Marg 0.5<,5372.0,2686.0,,,0 CDM,81000412,Exc H-Fnk-Sp Mlg+Marg 0.6-1,5372.0,2686.0,,,0 CDM,81000413,Exc H-F-Nk-Sp Mlg+Marg 1.1-2,5372.0,2686.0,,,0 CDM,81000414,Exc H-F-Nk-Sp Mlg+Marg 2.1-3,5372.0,2686.0,,,0 CDM,81000415,Exc H-F-Nk-Sp Mlg+Marg 3.1-4,5372.0,2686.0,,,0 CDM,81000416,Exc H-F-Nk-Sp Mlg+Mar> 4 Cm,9285.0,4642.5,,,0 CDM,81000417,Exc Face -Mm Malig+Marg 0.5<,4419.0,2209.5,,,0 CDM,81000418,Exc Face-Mm Malig+Marg 0.6-1,4419.0,2209.5,,,0 CDM,81000419,Exc Face-Mm-Malig+Marg 1.1-2,4419.0,2209.5,,,0 CDM,81000420,Exc Face-Mm Malig+Marg 2.1-3,4419.0,2209.5,,,0 CDM,81000421,Exc Face-Mm Malig+Marg 3.1-4,5044.0,2522.0,,,0 CDM,81000422,Exc Face-Mm Mlg+Marg> 4Cm,5900.0,2950.0,,,0 CDM,81000423,Lc Sksub T/A/L-1St 24Sqcm-Proc,2261.0,1130.5,,,0 CDM,81000424,Lc Sksub T/A/L-Add 25Sqcm-Proc,1136.0,568.0,,,0 CDM,81000427,Lc Sksub F/N/Hf-1St 25Sqc-Proc,2024.0,1012.0,,,0 CDM,81000440,Npwt Disposable 50Sqcm,1368.0,684.0,,,0 CDM,81000450,Graft Arms Legs Trunk <101Sqcm,6020.0,3010.0,,,0 CDM,81000451,Graft Hands Feet Face <101Sqcm,9917.0,4958.5,,,0 CDM,81000452,Epidermal Graph Trunk/Arm/Leg,5407.0,2703.5,,,0 CDM,81000453,Epidermal Graph Feet/Hand/Face,5407.0,2703.5,,,0 CDM,81000454,"Biopsy,Bone,Open;Superficial",10236.0,5118.0,,,0 CDM,81000455,Autograft Cellutome T/A/L,4753.0,2376.5,,,0 CDM,81000456,Autograft Cellutome F/H/F Add On,4753.0,2376.5,,,0 CDM,81000460,Tenotomy Per Toe Single Tendon,5944.0,2972.0,,,0 CDM,81000461,Tangntl Bx Skin Single Les,714.0,357.0,,,0 CDM,81000462,Punch Bx Skin Single Lesion,787.0,393.5,,,0 CDM,81000463,Incal Bx Skn Single Les,865.0,432.5,,,0 CDM,81000464,Tangntl Bx Skin Ea Sep/Addl,714.0,357.0,,,0 CDM,81000465,Punch Bx Skin Ea Sep/Addl,787.0,393.5,,,0 CDM,81000466,Incal Bx Skin Ea Sep/Addl,865.0,432.5,,,0 CDM,81000471,Ftsg Face/Genit/Hf =< 20 Sq Cm,5407.0,2703.5,,,0 CDM,81000476,Removal Sutr&Stapl Xreq Anes,1725.0,862.5,,,0 CDM,81000477,Removal Sutr/Stapl Xreq Anes,1150.0,575.0,,,0 CDM,81000478,Unna Boot - Bilateral,1196.0,598.0,,,0 CDM,81060,Noncdm Charge Record Medical Supplies,1991.25,995.62,,,0 CDM,81061,Noncdm Charge Record Medical Supplies,1749.33,874.66,,,0 CDM,81423,Noncdm Charge Record Medical Supplies,1028.52,514.26,,,0 CDM,81436,Noncdm Charge Record Medical Supplies,1020.77,510.38,,,0 CDM,81437,Noncdm Charge Record Medical Supplies,1022.72,511.36,,,0 CDM,81482,Noncdm Charge Record Medical Supplies,982.64,491.32,,,0 CDM,81488,Noncdm Charge Record Medical Supplies,1695.1,847.55,,,0 CDM,81545,Noncdm Charge Record Medical Supplies,372.6,186.3,,,0 CDM,81554,Noncdm Charge Record Medical Supplies,184.0,92.0,,,0 CDM,81558,Noncdm Charge Record Medical Supplies,214.87,107.44,,,0 CDM,81559,Noncdm Charge Record Medical Supplies,214.87,107.44,,,0 CDM,81560,Noncdm Charge Record Medical Supplies,214.87,107.44,,,0 CDM,81562,Noncdm Charge Record Medical Supplies,214.86,107.43,,,0 CDM,81565,Noncdm Charge Record Medical Supplies,260.74,130.37,,,0 CDM,81566,Noncdm Charge Record Medical Supplies,107.64,53.82,,,0 CDM,81570,Noncdm Charge Record Medical Supplies,762.92,381.46,,,0 CDM,81572,Noncdm Charge Record Medical Supplies,14.53,7.26,,,0 CDM,81581,Noncdm Charge Record Medical Supplies,15.27,7.64,,,0 CDM,81615,Noncdm Charge Record Medical Supplies,77.05,38.52,,,0 CDM,81618,Noncdm Charge Record Medical Supplies,395.6,197.8,,,0 CDM,81619,Noncdm Charge Record Medical Supplies,351.62,175.81,,,0 CDM,81621,Noncdm Charge Record Medical Supplies,70.67,35.34,,,0 CDM,8164,Noncdm Charge Record Medical Supplies,5.68,2.84,,,0 CDM,81856,Noncdm Charge Record Medical Supplies,79.35,39.68,,,0 CDM,81859,Noncdm Charge Record Medical Supplies,228.16,114.08,,,0 CDM,81862,Noncdm Charge Record Medical Supplies,228.16,114.08,,,0 CDM,81923,Noncdm Charge Record Medical Supplies,760.1,380.05,,,0 CDM,82006,Noncdm Charge Record Medical Supplies,631.99,316.0,,,0 CDM,82007,Noncdm Charge Record Medical Supplies,135.7,67.85,,,0 CDM,821,Noncdm Charge Record Medical Supplies,28.75,14.38,,,0 CDM,82267,Noncdm Charge Record Medical Supplies,2047.0,1023.5,,,0 CDM,82347,Noncdm Charge Record Medical Supplies,153.79,76.9,,,0 CDM,82352,Noncdm Charge Record Medical Supplies,1934.99,967.5,,,0 CDM,82358,Noncdm Charge Record Medical Supplies,212.02,106.01,,,0 CDM,82438,Noncdm Charge Record Medical Supplies,1522.6,761.3,,,0 CDM,825,Noncdm Charge Record Medical Supplies,28.75,14.38,,,0 CDM,82530,Noncdm Charge Record Medical Supplies,11.29,5.64,,,0 CDM,82531,Noncdm Charge Record Medical Supplies,920.0,460.0,,,0 CDM,82584,Noncdm Charge Record Medical Supplies,52.9,26.45,,,0 CDM,82614,Noncdm Charge Record Medical Supplies,2060.8,1030.4,,,0 CDM,82696,Noncdm Charge Record Medical Supplies,78.66,39.33,,,0 CDM,82697,Noncdm Charge Record Medical Supplies,78.66,39.33,,,0 CDM,82699,Noncdm Charge Record Medical Supplies,717.83,358.92,,,0 CDM,827,Noncdm Charge Record Medical Supplies,84.87,42.44,,,0 CDM,82701,Noncdm Charge Record Medical Supplies,717.85,358.92,,,0 CDM,82702,Noncdm Charge Record Medical Supplies,78.66,39.33,,,0 CDM,82812,Noncdm Charge Record Medical Supplies,95.96,47.98,,,0 CDM,82821,Noncdm Charge Record Medical Supplies,364.83,182.42,,,0 CDM,82823,Noncdm Charge Record Medical Supplies,0.29,0.14,,,0 CDM,82824,Noncdm Charge Record Medical Supplies,935.65,467.82,,,0 CDM,82882,Noncdm Charge Record Medical Supplies,2161.44,1080.72,,,0 CDM,83003,Noncdm Charge Record Medical Supplies,522.33,261.16,,,0 CDM,83027,Noncdm Charge Record Medical Supplies,1150.0,575.0,,,0 CDM,83199,Noncdm Charge Record Medical Supplies,114.31,57.16,,,0 CDM,83320,Noncdm Charge Record Medical Supplies,1542.53,771.26,,,0 CDM,83321,Noncdm Charge Record Medical Supplies,1542.53,771.26,,,0 CDM,83326,Noncdm Charge Record Medical Supplies,2828.68,1414.34,,,0 CDM,83329,Noncdm Charge Record Medical Supplies,396.89,198.44,,,0 CDM,83423,Noncdm Charge Record Medical Supplies,15394.94,7697.47,,,0 CDM,83479,Noncdm Charge Record Medical Supplies,1883.97,941.98,,,0 CDM,83488,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,83630,Noncdm Charge Record Medical Supplies,41.22,20.61,,,0 CDM,83632,Noncdm Charge Record Medical Supplies,4938.1,2469.05,,,0 CDM,84133,Noncdm Charge Record Medical Supplies,745.2,372.6,,,0 CDM,84134,Noncdm Charge Record Medical Supplies,699.2,349.6,,,0 CDM,84144,Noncdm Charge Record Medical Supplies,644.0,322.0,,,0 CDM,84280,Noncdm Charge Record Medical Supplies,670.69,335.34,,,0 CDM,84428,Noncdm Charge Record Medical Supplies,137.04,68.52,,,0 CDM,8505,Noncdm Charge Record Medical Supplies,5.06,2.53,,,0 CDM,85274,Noncdm Charge Record Medical Supplies,1676.7,838.35,,,0 CDM,85275,Noncdm Charge Record Medical Supplies,1676.7,838.35,,,0 CDM,853,Noncdm Charge Record Medical Supplies,49.68,24.84,,,0 CDM,858,Noncdm Charge Record Medical Supplies,21.76,10.88,,,0 CDM,8583,Noncdm Charge Record Medical Supplies,2225.6,1112.8,,,0 CDM,862,Noncdm Charge Record Medical Supplies,11.85,5.92,,,0 CDM,86414,Noncdm Charge Record Medical Supplies,23.24,11.62,,,0 CDM,86417,Noncdm Charge Record Medical Supplies,639.4,319.7,,,0 CDM,86428,Noncdm Charge Record Medical Supplies,371.45,185.72,,,0 CDM,86458,Noncdm Charge Record Medical Supplies,1820.0,910.0,,,0 CDM,86494,Noncdm Charge Record Medical Supplies,879.57,439.78,,,0 CDM,86500,Noncdm Charge Record Medical Supplies,677.56,338.78,,,0 CDM,86502,Noncdm Charge Record Medical Supplies,632.82,316.41,,,0 CDM,86601,Noncdm Charge Record Medical Supplies,1495.0,747.5,,,0 CDM,8667,Noncdm Charge Record Medical Supplies,29.64,14.82,,,0 CDM,86769,Noncdm Charge Record Medical Supplies,1035.0,517.5,,,0 CDM,86805,Noncdm Charge Record Medical Supplies,1718.62,859.31,,,0 CDM,86817,Noncdm Charge Record Medical Supplies,345.0,172.5,,,0 CDM,86832,Noncdm Charge Record Medical Supplies,571.61,285.8,,,0 CDM,86921,Noncdm Charge Record Medical Supplies,588.8,294.4,,,0 CDM,87036415,Draw Fee Venipuncture,39.0,19.5,,,0 CDM,87036416,Capillary Blood Specimen,47.0,23.5,,,0 CDM,87080305,Drug Test Prsmv Dir Opt Obs,18.0,9.0,,,0 CDM,87081001,Urinalysis Auto W/Scope,179.0,89.5,,,0 CDM,87081002,Urinalysis Nonauto W/O Scope,41.0,20.5,,,0 CDM,87081003,Urinalysis Auto W/O Scope,107.0,53.5,,,0 CDM,87081015,Urine Microscopic Only,44.0,22.0,,,0 CDM,87081025,Urine Pregnancy Test,285.0,142.5,,,0 CDM,87082270,Stool-Blood Hemocult,46.0,23.0,,,0 CDM,87082272,Occult Bld Feces 1-3 Tests,49.0,24.5,,,0 CDM,87082274,Assay Test For Blood Fecal,212.0,106.0,,,0 CDM,87082310,"Calcium,Total",71.0,35.5,,,0 CDM,87082435,"Chloride,Blood",138.0,69.0,,,0 CDM,87082570,"Creatinine,Other Sources",208.0,104.0,,,0 CDM,87082803,Blood Gas Mixed Wo O2 Sat,580.0,290.0,,,0 CDM,87082947,"Glucose,Quant",110.0,55.0,,,0 CDM,87082951,Glucose Tolerance Test(Gtt),131.0,65.5,,,0 CDM,87082962,Glucose Blood Test,36.0,18.0,,,0 CDM,87083036,"Hemoglobin,Glycated",219.0,109.5,,,0 CDM,87084132,Potassium,126.0,63.0,,,0 CDM,87084295,"Sodium,Serum",123.0,61.5,,,0 CDM,87084520,Bun,130.0,65.0,,,0 CDM,87085014,Hematocrit,130.0,65.0,,,0 CDM,87085018,Hgb,25.0,12.5,,,0 CDM,87085610,Prothrombin Time,184.0,92.0,,,0 CDM,87086308,Mono Screen Routine,209.0,104.5,,,0 CDM,87086510,Histoplasmosis Skin Test,55.0,27.5,,,0 CDM,87086580,Skin Test Tb Intradermal,41.0,20.5,,,0 CDM,87087084,Culture Of Specimen By Kit,98.0,49.0,,,0 CDM,87087220,Koh Prep,179.0,89.5,,,0 CDM,87087804,Influenza Assay W/Optic,298.0,149.0,,,0 CDM,87087880,Strep A Assay W/Optic,179.0,89.5,,,0 CDM,87090471,Immunization Admin,96.0,48.0,,,0 CDM,87090472,Vaccine Inj Ea Addtl-Other,96.0,48.0,,,0 CDM,87090473,Admin Influenza Virus Vac,96.0,48.0,,,0 CDM,87092227,Remote Dx Retinal Imaging,162.0,81.0,,,0 CDM,87092552,"Pure Tone Audiometry,Air",276.0,138.0,,,0 CDM,87093005,Electrocardiogram Tracing,453.0,226.5,,,0 CDM,87093016,Cardiovascular Stress Test,1502.0,751.0,,,0 CDM,87093017,Cardiovascular Stress Test,1502.0,751.0,,,0 CDM,87093041,Monitor Ecg,154.0,77.0,,,0 CDM,87093225,Ecg Monit/Reprt Up To 48 Hrs,418.0,209.0,,,0 CDM,87093226,Ecg Up To 48 Hrs Scan Anal Rpt,601.0,300.5,,,0 CDM,87093229,Remote 30 Day Ecg Tech Supp,390.0,195.0,,,0 CDM,87093242,Ext Ecg>48Hr<7D Recording,589.0,294.5,,,0 CDM,87093246,Ext Ecg>7D<15D Recording,589.0,294.5,,,0 CDM,87093270,Remote 30 Day Ecg Rev/Report,361.0,180.5,,,0 CDM,87093296,"Inter Device Eval,Up To 90 Day",363.0,181.5,,,0 CDM,87093786,Ambulatory Bp Mntr W/Sw 24 Hr+ Recording Only,420.0,210.0,,,0 CDM,87094640,Airway Inhal Trmt Sputum Ind,317.0,158.5,,,0 CDM,87094664,94664 Demon&Eval Pt Hhn/Ippb,616.0,308.0,,,0 CDM,87094760,Fc-Pulse Oximetry Spot Check,179.0,89.5,,,0 CDM,87094761,"Ear/Pulse Oximetry,02 Sat,Mult",688.0,344.0,,,0 CDM,87095044,Patch Or Application Test(S),1178.0,589.0,,,0 CDM,87095115,Immunotherapy One Injection,49.0,24.5,,,0 CDM,87095117,Immunotherapy Injections,70.0,35.0,,,0 CDM,87095250,Cont Gluc Mntr Phys/Qhp Eqp,887.0,443.5,,,0 CDM,87096138,Psycl/Nrpsyc Tech 1St,476.0,238.0,,,0 CDM,87096139,Psycl/Nrpsyc Tst Tech Ea,39.0,19.5,,,0 CDM,87096146,Psycl/Nrpsyc Tst Auto Result,37.0,18.5,,,0 CDM,87096372,Ther/Proph/Diag Inj Sc/Im,187.0,93.5,,,0 CDM,87096374,Thera/Prophy/Diag Inj;Iv Push,542.0,271.0,,,0 CDM,87096375,"Non-Chem Iv Push Inj,Ea Ad Seq",441.0,220.5,,,0 CDM,87096900,Ultraviolet Light Therapy,274.0,137.0,,,0 CDM,87099004,Obtaining Screen Pap Smear,72.0,36.0,,,0 CDM,87121833,Ko Adj Jnt Pos R Sup Pre Ots,1657.04,828.52,,,0 CDM,87123170,Foot Plas Heel Stabi Pre Ots,54.86,27.43,,,0 CDM,8716,Noncdm Charge Record Medical Supplies,88.17,44.08,,,0 CDM,87228,Noncdm Charge Record Medical Supplies,174.8,87.4,,,0 CDM,8723,Noncdm Charge Record Medical Supplies,934.26,467.13,,,0 CDM,87269,Noncdm Charge Record Medical Supplies,915.4,457.7,,,0 CDM,87271,Noncdm Charge Record Medical Supplies,630.84,315.42,,,0 CDM,87272,Noncdm Charge Record Medical Supplies,529.0,264.5,,,0 CDM,87272200,Radiologic Examination Sacroiliac Jnts <3 Views,489.0,244.5,,,0 CDM,87273,Noncdm Charge Record Medical Supplies,550.05,275.02,,,0 CDM,87275,Noncdm Charge Record Medical Supplies,529.0,264.5,,,0 CDM,87280,Noncdm Charge Record Medical Supplies,78.66,39.33,,,0 CDM,87282,Noncdm Charge Record Medical Supplies,874.0,437.0,,,0 CDM,87297351,Fecal Blood Scrn Immunoassay,178.0,89.0,,,0 CDM,87299661,Lidocaine Hcl Epinephrine Injection .5%,7.25,3.62,,,0 CDM,87300295,Ecg Monit/Reprt Up To 48 Hrs,601.0,300.5,,,0 CDM,87300297,Removal Sutr/Staple Req Anes,5377.0,2688.5,,,0 CDM,87309612,Cath For Specimen Collect Sgl,28.0,14.0,,,0 CDM,87310004,Fna Bx W/O Img Gdn Ea Addl,189.0,94.5,,,0 CDM,87310005,Fna Bx W/Us Gdn 1St Les,1977.0,988.5,,,0 CDM,87310006,Fna Bx W/Us Gdn Ea Addl,1977.0,988.5,,,0 CDM,87310007,Fna Bx W/Fluor Gdn 1St Les,2177.0,1088.5,,,0 CDM,87310009,Fna Bx W/Ct Gdn 1St Les,2394.0,1197.0,,,0 CDM,87310021,Fine Needle Aspiration W/,1067.0,533.5,,,0 CDM,87310035,Perq Dev Soft Tiss 1St Img,1999.0,999.5,,,0 CDM,87310040,Acne Surgery,446.0,223.0,,,0 CDM,87310060,Incision & Drainage Abscess Simple/Single,1305.0,652.5,,,0 CDM,87310061,Spec-I+D Abscess Complex Or Mu,1501.0,750.5,,,0 CDM,87310080,10080 Pilonidal Cyst-Simple,950.0,475.0,,,0 CDM,87310120,Spec-Fb Removal Subcuta Tissue,1381.0,690.5,,,0 CDM,87310121,10121 I&Fb Removal Subq-Comp,6803.0,3401.5,,,0 CDM,87310140,"Ad-Hematoma,Seroma",4270.0,2135.0,,,0 CDM,87310160,"Punc Asp Abs,Hem,Bulla,Cyst",630.0,315.0,,,0 CDM,87310180,Incision & Drainage Of Abscess,10236.0,5118.0,,,0 CDM,87311000,11000 Debrd Inf Skin-10% Body,637.0,318.5,,,0 CDM,87311042,11042 Debrd Skin&Subq 20Sqcm/<,1736.0,868.0,,,0 CDM,87311043,Deb Musc/Fascia 20 Sq Cm/<,2599.0,1299.5,,,0 CDM,87311044,Deb Bone 20 Sq Cm/<,5413.0,2706.5,,,0 CDM,87311045,11045 Deb Subq Tissue Add-On,1368.0,684.0,,,0 CDM,87311046,Deb Musc/Fascia Add-On=<20 Sq,1326.0,663.0,,,0 CDM,87311047,Deb Bone Add-On,4100.0,2050.0,,,0 CDM,87311055,Pare/Cut Bengn Hyperkerat Sngl,748.0,374.0,,,0 CDM,87311056,Pare/Cut Benign Hyperkerat 2-4,368.0,184.0,,,0 CDM,87311057,Pare/Cut Benign Hyperkerat>4,748.0,374.0,,,0 CDM,87311102,Tangntl Bx Skin Single Les,714.0,357.0,,,0 CDM,87311103,Tangntl Bx Skin Ea Sep/Addl,714.0,357.0,,,0 CDM,87311104,Punch Bx Skin Single Lesion,787.0,393.5,,,0 CDM,87311105,Punch Bx Skin Ea Sep/Addl,787.0,393.5,,,0 CDM,87311106,Incal Bx Skn Single Les,865.0,432.5,,,0 CDM,87311107,Incal Bx Skn Ea Sep/Addl,865.0,432.5,,,0 CDM,87311200,Chg - Removal Of Skin Tags Up To 15,643.0,321.5,,,0 CDM,87311201,Chg - Removal Of Add Skin Tags 10+,446.0,223.0,,,0 CDM,87311300,Shave Skin Lesion Trunk/Arm/Leg 0.5 Cm/<,446.0,223.0,,,0 CDM,87311301,Shave Skin Lesion Trunk/Arm/Leg 0.6-1.0 Cm,446.0,223.0,,,0 CDM,87311302,Shave Skin Lesion Trunk/Arm/Leg 1.1-2.0 Cm,446.0,223.0,,,0 CDM,87311303,Shave Skin Lesion Trunk/Arm/Leg >2.0 Cm,729.0,364.5,,,0 CDM,87311305,Shave Skin Lesion Scalp/Neck/Hands/Feet/Genitalia 0.5 Cm/<,446.0,223.0,,,0 CDM,87311306,Shave Skin Lesion Scalp/Neck/Hands/Feet/Genitalia 0.6 -1.0 Cm,446.0,223.0,,,0 CDM,87311307,Shave Skin Lesion Scalp/Neck/Hands/Feet/Genitalia 1.1-2.0 Cm,446.0,223.0,,,0 CDM,87311308,Shave Skin Lesion Scalp/Neck/Hands/Feet/Genitalia >2.0 Cm,634.0,317.0,,,0 CDM,87311310,Shave Skin Lesion Face/Ears/Eyelids/Nose/Lips/Mucosa 0.5 Cm/<,446.0,223.0,,,0 CDM,87311311,Shave Skin Lesion Face/Ears/Eyelids/Nose/Lips/Mucosa 0.6-1.0 Cm,446.0,223.0,,,0 CDM,87311312,Shave Skin Lesion Face/Ears/Eyelids/Nose/Lips/Mucosa 1.1-2.0 Cm,518.0,259.0,,,0 CDM,87311400,Sp-Exc-Benign Les 0.5Cm Or<,2039.0,1019.5,,,0 CDM,87311401,Chg - Exc Tr-Ext B9+Marg 0.6-1 Cm,1646.0,823.0,,,0 CDM,87311402,Chg - Exc Tr-Ext B9+Marg 1.2-2 Cm,2299.0,1149.5,,,0 CDM,87311403,Chg - Exc Tr-Ext B9+Marg 2.1-3 Cm,2665.0,1332.5,,,0 CDM,87311404,Chg - Removal Of Skin Lesion,8715.0,4357.5,,,0 CDM,87311406,Chg - Removal Of Skin Lesion,8715.0,4357.5,,,0 CDM,87311420,Chg - Exc H-F-Nk-Sp B9+Marg 0.5<,4100.0,2050.0,,,0 CDM,87311421,Chg - Exc H-F-Nk-Sp B9+Marg 0.5-1,3433.0,1716.5,,,0 CDM,87311422,Chg - Exc H-F-Nk-Sp B9+Marg 1.1-2,3169.0,1584.5,,,0 CDM,87311423,Chg - Exc H-F-Nk-Sp B9+Marg 2.1-3,4687.0,2343.5,,,0 CDM,87311424,Removal Of Skin Lesion,5630.0,2815.0,,,0 CDM,87311426,Removal Of Skin Lesion,6893.0,3446.5,,,0 CDM,87311440,Chg - Exc Face-Mm B9+Marg 0.54Cm,9285.0,4642.5,,,0 CDM,87311640,Exc Face-Mm Malig+Marg 0.5<,4419.0,2209.5,,,0 CDM,87311641,Chg - Exc Face-Mm Malig+Marg 0.6-1,4419.0,2209.5,,,0 CDM,87311642,Chg - Exc Face-Mm Malig+Marg 1.1-2,4419.0,2209.5,,,0 CDM,87311643,Chg - Exc Face-Mm Malig+Marg 2.1-3,4419.0,2209.5,,,0 CDM,87311644,Exc Face-Mm Malig+Marg 3.1-4,5023.0,2511.5,,,0 CDM,87311719,Chg - Trim Nail(S),217.0,108.5,,,0 CDM,87311720,Chg - Nail Debrid 1-5 By Any Method,612.0,306.0,,,0 CDM,87311721,Chg - Nail Debrid 6 Or>Any Method,204.0,102.0,,,0 CDM,87311730,Chg - 11730 Avul Nail Plate Simp-1,327.0,163.5,,,0 CDM,87311732,Chg - Remove Nail Plate Add-On,748.0,374.0,,,0 CDM,87311740,Evac Subungual Hematoma,378.0,189.0,,,0 CDM,87311750,Chg - 11750 Exc Nail&Matrx-Perm Rml,1368.0,684.0,,,0 CDM,87311760,Repair Of Nail Bed,1300.0,650.0,,,0 CDM,87311765,11765 Nail Fold Wedge Excision,518.0,259.0,,,0 CDM,87311770,Chg - Exc Pilonid Cyst;Smpl,6509.0,3254.5,,,0 CDM,87311771,Exc Pilonid Cyst; Extens,9013.0,4506.5,,,0 CDM,87311900,Injection Into Skin Lesions=<7,446.0,223.0,,,0 CDM,87311901,Added Skin Lesions Injection>7,699.0,349.5,,,0 CDM,87311952,Tx Contour Defects 5.1-10Cc,1976.0,988.0,,,0 CDM,87311954,Tx Contour Defects >10.0 Cc,1273.0,636.5,,,0 CDM,87311981,Insertion Drug Delivery Implant,1838.0,919.0,,,0 CDM,87311982,Removal Non-Biodegradable Drug Delivery Implant,1174.0,587.0,,,0 CDM,87311983,Rmvl W/Rinsj Non-Biodegradable Drug Dlvr Implt,1351.0,675.5,,,0 CDM,87312001,Chg - 12001 Simple Rep Trunk=<2.5Cm,923.0,461.5,,,0 CDM,87312002,Chg - 12002 Simp Rep Trunk 2.5-7.5Cm,1551.0,775.5,,,0 CDM,87312031,Repair Intermediate S/A/T/E 2.5 Cm/<,1250.0,625.0,,,0 CDM,87312032,Repair Intermediate S/A/T/E 2.6-7.5 Cm,1250.0,625.0,,,0 CDM,87312034,Repair Intermediate S/A/T/E 7.6-12.5 Cm,1250.0,625.0,,,0 CDM,87312035,Repair Intermediate S/A/T/E 12.6-20.0Cm,1250.0,625.0,,,0 CDM,87312041,Chg - 12041 Lay Clos Hnd/Ft=<2.5Cm,518.0,259.0,,,0 CDM,87312042,12042 Lay Cls Hnd/Ft 2.5-7.5Cm,518.0,259.0,,,0 CDM,87312044,Chg - 12044 Lay Cls Hnd/F 7.6-12.5Cm,811.0,405.5,,,0 CDM,87312051,Chg - 12051 Layr Closr Face=<2.5Cm,518.0,259.0,,,0 CDM,87312052,Chg - 12052 Layr Closr Face 2.6-5Cm,518.0,259.0,,,0 CDM,87312053,12053 Layr Clos Face 5.1-7.5Cm,518.0,259.0,,,0 CDM,87313101,13101 Comp Rep Trunk 2.6-7.5Cm,2079.0,1039.5,,,0 CDM,87313121,13121 Comp Rep Ext/2.6-75.Cm,1478.0,739.0,,,0 CDM,87313131,Crep F/G/H/F; 1-2.5Cm,1321.0,660.5,,,0 CDM,87313132,13132 Comp Rep Face/2.6-7.5Cm,1523.0,761.5,,,0 CDM,87313133,Comp Rep Fac/Ea Add 5Cm,748.0,374.0,,,0 CDM,87313152,13152 Comp Rep Eyeld/2.6-7.5Cm,2331.0,1165.5,,,0 CDM,87313160,Late Closure Of Wound,6172.0,3086.0,,,0 CDM,87314040,Chg - 14040 Adjacent Tiss Tran 10Sqc,3633.0,1816.5,,,0 CDM,87315002,Chg Wound Prep Trk/Arm/Leg 100Scm,6203.0,3101.5,,,0 CDM,87315004,Wound Prep F/N/Hf/G 100 Sq Cm/,2429.0,1214.5,,,0 CDM,87315271,Chg - Fc-App Skin Substi Graft 25 Sq,6203.0,3101.5,,,0 CDM,87315275,"Chg - Skn Subs-Face,Neck,Gen,Hnds 25",6203.0,3101.5,,,0 CDM,87315600,Delay Flap;Trunk,9437.0,4718.5,,,0 CDM,87315922,Exc C P Ulcer; W Flap,9437.0,4718.5,,,0 CDM,87315934,Exc S P Ulcer W Skin Flap,9437.0,4718.5,,,0 CDM,87315935,Exc S P Ulcer W Sf Ostectomy,9437.0,4718.5,,,0 CDM,87315945,Exc I P Ulcer W Skin Flap W Os,9437.0,4718.5,,,0 CDM,87315946,Esc I P Ulcer W Ostect & Flap,10506.0,5253.0,,,0 CDM,87315952,Exc T P Ulcer W Flap,9437.0,4718.5,,,0 CDM,87315953,Exc T P Ulcer W Sf & Ostect,9437.0,4718.5,,,0 CDM,87315956,Exc T P Ulcer; W Flap,5381.0,2690.5,,,0 CDM,87316020,Chg - Burn Debridement Small,748.0,374.0,,,0 CDM,87316025,Burn Debridement Medium,748.0,374.0,,,0 CDM,87317000,Chg - Destruct Premalg Lesion,290.0,145.0,,,0 CDM,87317003,Chg - Destruct Premalg Les 2-14,189.0,94.5,,,0 CDM,87317004,Chg - Destroy Premlg Lesions 15+,1326.0,663.0,,,0 CDM,87317110,Chg - Destruct B9 Lesion 1-14,274.0,137.0,,,0 CDM,87317111,Chg - Destruct Lesion 15 Or More,447.0,223.5,,,0 CDM,87317250,"Chg - Chemical Cautery,Tissue",476.0,238.0,,,0 CDM,87317260,Destruction Of Skin Lesions,547.0,273.5,,,0 CDM,87317261,Chg - Destruction Of Skin Lesions,729.0,364.5,,,0 CDM,87317262,Chg - Destruction Of Skin Lesions,729.0,364.5,,,0 CDM,87317263,Chg - Destruction Of Skin Lesions,729.0,364.5,,,0 CDM,87317264,Chg - Destruction Of Skin Lesions,729.0,364.5,,,0 CDM,87317271,Chg - Destruction Of Skin Lesions,729.0,364.5,,,0 CDM,87317272,Chg - Destruction Of Skin Lesions,729.0,364.5,,,0 CDM,87317273,Chg - Destruction Of Skin Lesions,1326.0,663.0,,,0 CDM,87317280,Chg - Destruction Of Skin Lesions,729.0,364.5,,,0 CDM,87317281,Chg - Destruction Of Skin Lesions,1326.0,663.0,,,0 CDM,87317282,Chg - Destruction Of Skin Lesions,1326.0,663.0,,,0 CDM,87317283,Chg - Destruction Of Skin Lesions,1326.0,663.0,,,0 CDM,87319000,Breast Puncture Aspir Cyst,1104.0,552.0,,,0 CDM,87319020,"Chg - Mastotomy,Breast",4327.0,2163.5,,,0 CDM,87319081,"Fc-Biops,Brest W/Plcmnt Of Lcl",12312.0,6156.0,,,0 CDM,87319083,"Chg - Fc-Biops,Brest W/Plcmnt Of Loc",6240.0,3120.0,,,0 CDM,87319084,"Chg - Fc-Biops,Brest W/Plcmnt Of Lcl",10782.0,5391.0,,,0 CDM,87319100,"Bx Breast Perc Needle Core,Sep",2131.0,1065.5,,,0 CDM,87319101,Bx Breast Open Incisional,10153.0,5076.5,,,0 CDM,87319120,Chg - Removal Of Breast Lesion,9792.0,4896.0,,,0 CDM,87319296,Chg - Place Po Breast Cath For Rad,27689.0,13844.5,,,0 CDM,87320206,Bx Muscle Percutaneous,1863.0,931.5,,,0 CDM,87320520,20520 Rem Mscle/Tndn Fb Simpl,1642.0,821.0,,,0 CDM,87320525,Remove Muscle Foreign Body,11516.0,5758.0,,,0 CDM,87320526,Carpal Tunnel Injection,605.0,302.5,,,0 CDM,87320527,"Chg - Fc-Injec,Enzym,Palmr Fascial",1219.0,609.5,,,0 CDM,87320550,Oth-Inj Sgl Tendon Sheath/Lig,735.0,367.5,,,0 CDM,87320551,Chg - 20551 Injection Tendon Origin/,627.0,313.5,,,0 CDM,87320552,Proc-Inj Trig Pt 1-2 Muscles,1244.0,622.0,,,0 CDM,87320553,Chg - Inject Trigger Points =/>3,908.0,454.0,,,0 CDM,87320600,Chg - Arthrocentesis-Sml Jnt W/O Us,919.0,459.5,,,0 CDM,87320604,Arthrocentesis Sml Jt Us Gd Lt,919.0,459.5,,,0 CDM,87320605,Arthrocentesis-Int Jnt W/O Us,843.0,421.5,,,0 CDM,87320606,Arthrocentesis-Int Jnt W/Us,1259.0,629.5,,,0 CDM,87320610,Chg - Arthrocentesis-Maj Jnt W/O Us,1107.0,553.5,,,0 CDM,87320611,Arthrocentesis-Maj Jnt W/Us,1312.0,656.0,,,0 CDM,87320612,Chg - Aspiration/Inj Ganglion Cyst,616.0,308.0,,,0 CDM,87320670,Chg - Removal Of Support Implant,6460.0,3230.0,,,0 CDM,87320680,"Removal Of Implant,Deep",8781.0,4390.5,,,0 CDM,87321011,Exc Face Les Sc < 2 Cm,4100.0,2050.0,,,0 CDM,87321012,Exc Face Les Sbq 2+ Cm,4100.0,2050.0,,,0 CDM,87321550,"Bx Soft Tissue,Neck Or Thrx",4085.0,2042.5,,,0 CDM,87321552,Chg - Exc Neck Les Sc 3+ Cm,11516.0,5758.0,,,0 CDM,87321555,Remove Lesion Neck/Chest,8715.0,4357.5,,,0 CDM,87321556,Remove Lesion Neck/Chest,11516.0,5758.0,,,0 CDM,87321930,Chg - Exc Back Les Sc <3 Cm,8715.0,4357.5,,,0 CDM,87321931,Chg - Exc Back Les Sc 3+ Cm,11516.0,5758.0,,,0 CDM,87321932,Exc Back Tum Deep < 5Cm,7828.0,3914.0,,,0 CDM,87322310,Chg - Treat Spine Fracture,987.0,493.5,,,0 CDM,87322900,Exc Abdl Tum Deep < 5 Cm,8627.0,4313.5,,,0 CDM,87322902,Exc Abd Les Sc < 3 Cm,8715.0,4357.5,,,0 CDM,87322903,Exc Abd Les Sc 3 Cm/>,9604.0,4802.0,,,0 CDM,87323065,Biopsy Shoulder Tissues,5092.0,2546.0,,,0 CDM,87323071,Exc Shoulder Les Sc > 3 Cm,10752.0,5376.0,,,0 CDM,87323075,Removal Of Shoulder Lesion,8715.0,4357.5,,,0 CDM,87323076,Exc Shoulder Tum Deep < 5 Cm,9305.0,4652.5,,,0 CDM,87323500,Chg - 23500 Clsd Rx Clv Fx No Manip,787.0,393.5,,,0 CDM,87323570,Chg - Treat Shoulder Blade Fx,765.0,382.5,,,0 CDM,87323600,Chg - 23600 Cl Rx Dumer Fx No Manip,787.0,393.5,,,0 CDM,87323620,Chg - Treat Humerus Fracture,765.0,382.5,,,0 CDM,87323650,Cl Rx Sh Dsl-Man-No Anes,2970.0,1485.0,,,0 CDM,87323800,"Arthrodesis,Glenohumeral Joint",10969.0,5484.5,,,0 CDM,87323931,Chg - 23931 I&D Up Arm/Bursa,8069.0,4034.5,,,0 CDM,87324071,Exc Arm/Elbow Les Sc 3+ Cm,11516.0,5758.0,,,0 CDM,87324075,Remove Arm/Elbow Lesion,8715.0,4357.5,,,0 CDM,87324076,Remove Arm/Elbow Lesion,8715.0,4357.5,,,0 CDM,87324500,24500 Cl Rx Hum Shft Fx No Man,687.0,343.5,,,0 CDM,87324530,Chg - 24530 Cls Tx Supra/Trans Hum F,396.0,198.0,,,0 CDM,87324560,24560 Cls Tx Hum Epicond Fx Wo,515.0,257.5,,,0 CDM,87324576,Cl Tx C Humerus Fx Wo Manip,802.0,401.0,,,0 CDM,87324650,Chg - 24650 Clsd Tx Rad Head/Neck Fx,750.0,375.0,,,0 CDM,87324670,24670 Cl Rx Prox Uln No Man,396.0,198.0,,,0 CDM,87325028,Deep I&D Absc - Farm/Wrist,10242.0,5121.0,,,0 CDM,87325071,Chg - Exc Forearm Les Sc>3 Cm,11516.0,5758.0,,,0 CDM,87325075,Chg - Removal Of Forearm Lesion,8715.0,4357.5,,,0 CDM,87325076,Removal Of Forearm Lesion.,4944.0,2472.0,,,0 CDM,87325500,Chg - 25500 Clsd Tx Rad Shaft Fx Wo,396.0,198.0,,,0 CDM,87325505,Treat Fracture Of Radius,3102.0,1551.0,,,0 CDM,87325530,Chg - 25530 Clsd Rx Ulnar Fx No Mnip,752.0,376.0,,,0 CDM,87325560,Cl Tx Rad&Ul Fx No Manip,802.0,401.0,,,0 CDM,87325600,Chg - 25600 Cl Rx Epih Spen No Mnip,676.0,338.0,,,0 CDM,87325605,Chg - 25605 Cl Rx Epih Spen W Mnip,2208.0,1104.0,,,0 CDM,87325622,Chg - 25622 Cl Rx Scaphod Fx-No Mnip,396.0,198.0,,,0 CDM,87325630,Chg - 25630 Cl Rx Carp Fx-No Mnip Ea,689.0,344.5,,,0 CDM,87325650,Chg - 25650 Clsd Rx Ulnar Styloid Fx,720.0,360.0,,,0 CDM,87326010,Chg - 26010 Smpl Drain Fngr Abscess,359.0,179.5,,,0 CDM,87326011,Compl Drain Fing Abscess,2462.0,1231.0,,,0 CDM,87326020,Dr Tendon Sheath 1 Dig And/Pal,10556.0,5278.0,,,0 CDM,87326034,Treat Hand Bone Lesion,8275.0,4137.5,,,0 CDM,87326055,Chg - Incise Finger Tendon Sheath,8275.0,4137.5,,,0 CDM,87326080,Chg - Explore/Treat Finger Joint.,8275.0,4137.5,,,0 CDM,87326115,Chg - Exc Hand Les Sc< 1.5 Cm,8715.0,4357.5,,,0 CDM,87326116,Chg - Removal Of Hand Lesion.,8715.0,4357.5,,,0 CDM,87326160,Remove Tendon Sheath Lesion,8275.0,4137.5,,,0 CDM,87326341,"Chg - Manip,Palmr Fascial Cord,Sngl",2372.0,1186.0,,,0 CDM,87326432,Repair Finger Tendon.,5274.0,2637.0,,,0 CDM,87326600,Chg - 26600 Cl Rx Metacarp Fx No Man,424.0,212.0,,,0 CDM,87326605,26605 Cl Rx Metcrpl Fx W Manip,1198.0,599.0,,,0 CDM,87326720,Chg - 26720 Cl Rx Fngr Fx-No Mnip Ea,561.0,280.5,,,0 CDM,87326725,26725 Cl Rx Finger Fx W Man Ea,616.0,308.0,,,0 CDM,87326740,Chg - 26740 Cl Rx M-P/I/P Fx No Mnip,739.0,369.5,,,0 CDM,87326750,Chg - 26750 Closed Rx Dstl Finger Fx,802.0,401.0,,,0 CDM,87326770,Chg - 26770 Cl Rx Ip Dslo Hand W Man,424.0,212.0,,,0 CDM,87326775,Cltx Iphal Jt Dislc W/Manj Req Anes,4759.0,2379.5,,,0 CDM,87327043,Exc Hip Pelvis Les Sc>3 Cm,11516.0,5758.0,,,0 CDM,87327047,Exc Hip Pelvis Les Sc>3 Cm,8586.0,4293.0,,,0 CDM,87327048,Remove Hip/Pelvis Lesion.,7828.0,3914.0,,,0 CDM,87327197,Clsd Tx Pelvic Ring Fx,396.0,198.0,,,0 CDM,87327220,27220 Clsd Tx Acetabulum Fx W/,355.0,177.5,,,0 CDM,87327230,Cltx Fem Fx Prox End Nck W/O Manj,869.0,434.5,,,0 CDM,87327238,Cltx Inter/Peri/Subtrochanteric Fem Fx W/O Manj,4479.0,2239.5,,,0 CDM,87327246,Cltx Greater Trochanteric Fx W/O Manj,2659.0,1329.5,,,0 CDM,87327267,Cltx Thigh Fx,9197.0,4598.5,,,0 CDM,87327327,Removal Of Thigh Lesion,11516.0,5758.0,,,0 CDM,87327337,Exc Thigh/Knee Les Sc 3+Cm,11516.0,5758.0,,,0 CDM,87327500,Cl Tx Femoral Shaft Fx Wo Mani,925.0,462.5,,,0 CDM,87327501,Treatment Of Thigh Fracture,687.0,343.5,,,0 CDM,87327503,Cl Tx Sc/Tc Femur Fx W Manip,4606.0,2303.0,,,0 CDM,87327508,Cl Tx D Fem Fx Wo Manip,802.0,401.0,,,0 CDM,87327520,Chg - 27520 Closed Rx Patellar Fx,760.0,380.0,,,0 CDM,87327530,Chg - 27530 Cl Rx Tibia Fx-No Manip,760.0,380.0,,,0 CDM,87327538,Closed Tx Ic Sp Ortuberosity,802.0,401.0,,,0 CDM,87327613,Superf Sft Tiss Bx Leg/Ankle,5092.0,2546.0,,,0 CDM,87327618,Exc Leg/Ankle Tum<3Cm,8715.0,4357.5,,,0 CDM,87327632,Exc Leg/Ankle Les Sc 3+Cm,11129.0,5564.5,,,0 CDM,87327750,Closed Treatment Of Tibial,891.0,445.5,,,0 CDM,87327760,27760 Clsd Tx Med Malleous Fx,526.0,263.0,,,0 CDM,87327780,27780 Cl Rx Fibular Fx No Mnip,528.0,264.0,,,0 CDM,87327786,Chg - 27786 Cl Rx Dstl Fib Fx-No Man,406.0,203.0,,,0 CDM,87327808,Chg - 27808 Cl Rx Bimaleor Fx-No Man,526.0,263.0,,,0 CDM,87327816,Cl Tx Trimall Ankle Fx; Wo Man,526.0,263.0,,,0 CDM,87327818,Cl Tx Trimall Ankle Fx; W Mani,2505.0,1252.5,,,0 CDM,87328043,Chg - Exc Foot/Toe Tum Sc <1.5 Cm,6460.0,3230.0,,,0 CDM,87328070,Removal Of Foot Joint Lining,7217.0,3608.5,,,0 CDM,87328092,Exc Cyst/Ganglion - Toes,5579.0,2789.5,,,0 CDM,87328175,Resect Phalanx Of Toe Tumor,6391.0,3195.5,,,0 CDM,87328190,Chg - 28190 Removal Subq Fb-Foot,2523.0,1261.5,,,0 CDM,87328232,Chg - Incision Of Toe Tendon,4198.0,2099.0,,,0 CDM,87328234,Chg - Incision Of Foot Tendon,3995.0,1997.5,,,0 CDM,87328270,Release Of Foot Contracture,8393.0,4196.5,,,0 CDM,87328285,Revision Of Hammertoe,10890.0,5445.0,,,0 CDM,87328400,28400 Cl Rx Calcanl Fx-No Mnip,526.0,263.0,,,0 CDM,87328405,Cl Tx Calcaneal Fx; W Manip,1132.0,566.0,,,0 CDM,87328430,Cl Tx Talus Fx; Wo Manip,597.0,298.5,,,0 CDM,87328450,Tx Tarsal Bone Fx ; Wo Manipu,526.0,263.0,,,0 CDM,87328470,Chg - 28470 Cl Rx Metarsal Fx-No Mnp,581.0,290.5,,,0 CDM,87328490,28490 Cl Rx Grt Toe Fx-No Mnip,528.0,264.0,,,0 CDM,87328495,Cl Tx Fx Gt Phalanx(S);W Manip,1155.0,577.5,,,0 CDM,87328510,Chg - 28510 Cl Rx Phalanx Fx-No Mnip,642.0,321.0,,,0 CDM,87328515,28515 Cl Rx Phalanx Fx W Manip,758.0,379.0,,,0 CDM,87328530,Cl Tx Sesamoid Fracture,891.0,445.5,,,0 CDM,87328820,Chg - Amputation Of Toe,8393.0,4196.5,,,0 CDM,87328825,Chg - Partial Amputation Of Toe,8393.0,4196.5,,,0 CDM,87329065,Chg - 29065 Apply Long Arm Cast,790.0,395.0,,,0 CDM,87329075,Chg - 29075 Apply Short Arm Cast,599.0,299.5,,,0 CDM,87329085,"Chg - 29085 Appl Cast Hand,Low Arm",382.0,191.0,,,0 CDM,87329105,Chg - 29105 Apply Long Arm Splint,978.0,489.0,,,0 CDM,87329125,"Chg - App Short Arm Splint,Sta",844.0,422.0,,,0 CDM,87329130,"Chg - App Finger Splint,Static",890.0,445.0,,,0 CDM,87329131,29131 Appl Finger Splint,500.0,250.0,,,0 CDM,87329200,Chg - 29200 Strapping Of Chest,335.0,167.5,,,0 CDM,87329260,Chg - 29260 Strapping-Elbow/Wrist,761.0,380.5,,,0 CDM,87329280,Chg - 29280 Strapping Hand Or Finger,951.0,475.5,,,0 CDM,87329345,Application Of Long Leg Cast,734.0,367.0,,,0 CDM,87329405,Cast-Appl Short Leg:Bel Kne-To,734.0,367.0,,,0 CDM,87329425,Apply Wlkr Sh Leg Cast,555.0,277.5,,,0 CDM,87329505,29505 App Long Leg Splint,751.0,375.5,,,0 CDM,87329515,Chg - 29515 App Short Leg Splint,886.0,443.0,,,0 CDM,87329530,Strapping Knee,770.0,385.0,,,0 CDM,87329540,Chg - 29540 Strapping-Ankle,734.0,367.0,,,0 CDM,87329550,Chg - 29550 Strapping-Toes,751.0,375.5,,,0 CDM,87329580,Chg - Appl Paste Boot,598.0,299.0,,,0 CDM,87329581,Chg - Apply Multlay Comprs Lwr Leg,598.0,299.0,,,0 CDM,87329700,Remove Unna Boot,1046.0,523.0,,,0 CDM,87329837,Arthroscopy Elbow; Lim Debrid,8446.0,4223.0,,,0 CDM,87330100,Biopsy Intranasal,4884.0,2442.0,,,0 CDM,87330300,Removal Foreign Body Intranasal Office Procedure,262.0,131.0,,,0 CDM,87330471,Immunization Admin,96.0,48.0,,,0 CDM,87330801,Ablate Inf Turbinate Superf,3175.0,1587.5,,,0 CDM,87330901,Control Nose Bleed-Smpl,938.0,469.0,,,0 CDM,87331231,Nasal Endoscopy Diagnostic Uni/Bi Spx,807.0,403.5,,,0 CDM,87331237,Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx,6855.0,3427.5,,,0 CDM,87331575,Laryngoscopy Flexible Diagnostic,628.0,314.0,,,0 CDM,87331652,Bronch Ebus Samplng 1/2 Node,5927.0,2963.5,,,0 CDM,87331653,Bronch Ebus Samplng 3/> Node,5927.0,2963.5,,,0 CDM,87331654,Bronch Ebus Ivntj Perph Les,5927.0,2963.5,,,0 CDM,87332551,Insertion Of Chest Tube,2596.0,1298.0,,,0 CDM,87332554,"Chg - Thoracentesis,Needle/Cath,Asp",2596.0,1298.0,,,0 CDM,87333211,Temp Pacing Wire Proc-Dual Cha,10197.0,5098.5,,,0 CDM,87333906,"Chg - Echo,Transthracic,Realtm W/Img",3452.0,1726.0,,,0 CDM,87335530,Flex Sigm Cancer Screening,2220.0,1110.0,,,0 CDM,87336402,Chemo Hormon Antineopl Sq/Sm,451.0,225.5,,,0 CDM,87336470,Njx Sclrsnt 1 Incmptnt Vein,1228.0,614.0,,,0 CDM,87336475,Endovenous Rf 1St Vein,8071.0,4035.5,,,0 CDM,87336476,Endovenous Rf Vein Add-On,4236.0,2118.0,,,0 CDM,87336499,Unlisted Procedure Nervous Sys,871.0,435.5,,,0 CDM,87336536,Chg - Us Exam Of Head And Neck,1177.0,588.5,,,0 CDM,87336589,Rem Tnnld Cvc W/O Port/Pump,2532.0,1266.0,,,0 CDM,87336590,Chg - Rem Tnnld Cvc W/Port/Pump,5244.0,2622.0,,,0 CDM,87336705,Chg - Echo Exam Of Abdomen,1445.0,722.5,,,0 CDM,87336942,Chg - Echo Guide For Biopsy,1655.0,827.5,,,0 CDM,87337760,"Ligation,Leg Veins,Open",13231.0,6615.5,,,0 CDM,87337765,Stab Phleb Veins Xtr 10-20,11963.0,5981.5,,,0 CDM,87337766,Phleb Veins-Extrem 20+,11963.0,5981.5,,,0 CDM,87337785,Ligate/Divide/Excise Vein,11963.0,5981.5,,,0 CDM,87337799,Unlisted Vasc Procedure,814.0,407.0,,,0 CDM,87338500,Biopsy/Removal Of Lymph Node,12080.0,6040.0,,,0 CDM,87338505,Chg - Biopsy Lymph Node/Needle,3650.0,1825.0,,,0 CDM,87339127,Chg - Trim Nail(S),206.0,103.0,,,0 CDM,87339168,Re-Assess Nutrition Ther; Ea15,52.0,26.0,,,0 CDM,87339245,Init Foot Exam Pt Lops,325.0,162.5,,,0 CDM,87340490,Chg - Biopsy Of Lip,1722.0,861.0,,,0 CDM,87340808,Biopsy Vestibule Mouth,1244.0,622.0,,,0 CDM,87340812,Exc Lesion Mucosa & Sbmcsl Vestibule Smpl Rpr,3779.0,1889.5,,,0 CDM,87341010,Incision Of Tongue Fold,3823.0,1911.5,,,0 CDM,87341100,Biopsy Tongue Anterior Two-Thirds,1720.0,860.0,,,0 CDM,87341108,Biopsy Of Floor Of Mouth,5081.0,2540.5,,,0 CDM,87342100,Biopsy Palate Uvula,2353.0,1176.5,,,0 CDM,87342104,Exc Lesion Palate Uvula W/O Closure,7745.0,3872.5,,,0 CDM,87343999,Unlisted Procedure Stomach,2626.0,1313.0,,,0 CDM,87344385,Endoscopy Of Bowel Pouch,3452.0,1726.0,,,0 CDM,87345300,Proctosigmoidoscopy,2118.0,1059.0,,,0 CDM,87345327,"Proctosigmoidscpy,Rigid W/Stnt",4991.0,2495.5,,,0 CDM,87345330,Chg - Sigmoidoscopy,1930.0,965.0,,,0 CDM,87345331,Flexible Sigmoid For Biopsy,2118.0,1059.0,,,0 CDM,87345347,"Sigmoidoscopy,Flex W/Stent",5366.0,2683.0,,,0 CDM,87345378,Diagnostic Colonoscopy,2329.0,1164.5,,,0 CDM,87346040,Ad-Ishiore Perirectal,5597.0,2798.5,,,0 CDM,87346050,Chg - Ad-Perianal Superficial,3297.0,1648.5,,,0 CDM,87346083,Chg - 46083 Ext Incis-Thrombosd Pile,794.0,397.0,,,0 CDM,87346220,Excise Anal Ext Tag/Papilla,7767.0,3883.5,,,0 CDM,87346221,Chg - Ligation Of Hemorrhoid(S),2904.0,1452.0,,,0 CDM,87346230,Removal Of Anal Tabs,11732.0,5866.0,,,0 CDM,87346320,Chg - Removal Of Hemorrhoid Clot,4198.0,2099.0,,,0 CDM,87346600,Chg - 46600 Diagnostic Anoscopy,391.0,195.5,,,0 CDM,87346606,Chg - Anoscopy And Biopsy,5857.0,2928.5,,,0 CDM,87346607,Diagnostic Anoscopy & Biopsy,3173.0,1586.5,,,0 CDM,87346614,Anoscopy;Control Bleeding,2146.0,1073.0,,,0 CDM,87346615,Anoscopy,5857.0,2928.5,,,0 CDM,87346916,Cryosurgery Anal Lesion(S),729.0,364.5,,,0 CDM,87346922,"Chg - Destruction Anus Lesion,Excisn",7646.0,3823.0,,,0 CDM,87346930,Destroy Internal Hemorrhoids,2610.0,1305.0,,,0 CDM,87346948,Int Hrhc Tranal Dartlzj 2+,8693.0,4346.5,,,0 CDM,87349083,Abd Paracentesis W/Imaging,3815.0,1907.5,,,0 CDM,87351701,51701 Non-Indwel Bladder Cath,345.0,172.5,,,0 CDM,87351702,Insert Temp Bladder Cath(Foley,317.0,158.5,,,0 CDM,87351725,Simple Cystometrogram,867.0,433.5,,,0 CDM,87351728,Cystometrogram W/Vp,2339.0,1169.5,,,0 CDM,87351797,Intraabdominal Pressure Test,760.0,380.0,,,0 CDM,87351798,Measurment Post-Void Residual,362.0,181.0,,,0 CDM,87352334,Cysto W Retrogr Ins Guide Wire,7909.0,3954.5,,,0 CDM,87353600,Dil Ureth Strict Sound;Male In,938.0,469.0,,,0 CDM,87353601,Dilate Urethra Stricture,484.0,242.0,,,0 CDM,87353660,"Dilate Female Urethra, Initial",599.0,299.5,,,0 CDM,87354050,Destr Lesion(S) Penis Simple;,697.0,348.5,,,0 CDM,87354055,Chg - Destruction Penis Lesion(S),6498.0,3249.0,,,0 CDM,87354056,Chg - Cryosurgery Penis Lesion(S),446.0,223.0,,,0 CDM,87354100,Biopsy Of Penis,4339.0,2169.5,,,0 CDM,87354150,Circumcision W/Clamp/Oth Dev W/Block,3021.0,1510.5,,,0 CDM,87354162,Lysis Penil Circumcis Adhes,7006.0,3503.0,,,0 CDM,87354450,Foreskin Manipulation,1551.0,775.5,,,0 CDM,87355000,Punct Asp Hydrocele Tunica Vag,2263.0,1131.5,,,0 CDM,87355100,Drainage Of Scrotum Abscess,2995.0,1497.5,,,0 CDM,87355706,Prostate Saturation Sampling,10325.0,5162.5,,,0 CDM,87356405,Abscess Drainage Perineal,981.0,490.5,,,0 CDM,87356420,I&D Of Bartholins Gland Abscess,1832.0,916.0,,,0 CDM,87356501,Destroy Vulva Lesions Sim,6479.0,3239.5,,,0 CDM,87356605,Biopsy Vulva/Perineum 1 Lesion Spx,2061.0,1030.5,,,0 CDM,87356606,Biopsy Vulva/Perineum Each Addl Lesion,2145.0,1072.5,,,0 CDM,87357100,Biopsy Vaginal Mucosa Simple,1773.0,886.5,,,0 CDM,87357130,Excise Vaginal Septum,8568.0,4284.0,,,0 CDM,87357160,Fit&Insj Pessary/Oth Intravaginal Support Device,477.0,238.5,,,0 CDM,87357285,Repair Pervag Defect Vag,22038.0,11019.0,,,0 CDM,87357500,Biopsy Cervix Single/Mult/Excision Of Lesion Spx,3330.0,1665.0,,,0 CDM,87357510,Cautery Of Cervix; Electro/Thermal,9473.0,4736.5,,,0 CDM,87358100,Endometrial Bx W/Wo Endocervix Bx W/O Dilat Spx,974.0,487.0,,,0 CDM,87358110,Bx Done W/Colposcopy Add-On,611.0,305.5,,,0 CDM,87358300,Insertion Intrauterine Device Iud,384.0,192.0,,,0 CDM,87358301,Removal Intrauterine Device Iud,582.0,291.0,,,0 CDM,87359025,Fetal Nonstress Test,856.0,428.0,,,0 CDM,87360100,Bx Thyroid Percutaneous,2155.0,1077.5,,,0 CDM,87362270,Lumbar Puncture,2970.0,1485.0,,,0 CDM,87364400,Oth-Inj Trigeminal Nerve,1198.0,599.0,,,0 CDM,87364405,Oth-Inj Greater Occipital Nrv,1164.0,582.0,,,0 CDM,87364420,Inj Anesth; Intercostal Nerve,2320.0,1160.0,,,0 CDM,87364421,Chg - N Block Inj Intercost Mlt,3013.0,1506.5,,,0 CDM,87364425,Oth-Inj Iliongunial Nerve,2320.0,1160.0,,,0 CDM,87364435,Injection Aa&/Strd Paracervical Nerve,783.0,391.5,,,0 CDM,87364450,Chg - N Block Other Peripheral,2314.0,1157.0,,,0 CDM,87364455,Chg - N Block Inj Plantar Digit,1294.0,647.0,,,0 CDM,87364562,"Pessary, Non Rubber,Any Type",82.8,41.4,,,0 CDM,87364600,Destr W Neurolyt Trigem Nrv,3788.0,1894.0,,,0 CDM,87364611,Chemodenerv Saliv Glands,910.0,455.0,,,0 CDM,87364612,Chemodenervation Face Sightctr,605.0,302.5,,,0 CDM,87364615,Chg - Fc-Chemodenervatn Of Muscle(S,978.0,489.0,,,0 CDM,87364616,Fc-Chemodenervation Of Muscl(S,879.0,439.5,,,0 CDM,87364632,Chg - N Block Inj Common Digit,1294.0,647.0,,,0 CDM,87364642,Chg - Fc-Chemodenervation Of One Ext,2348.0,1174.0,,,0 CDM,87364643,Fc-Chemodenervation Of One Ext,1104.0,552.0,,,0 CDM,87364644,Fc-Chemodenervation Of One Ext,2293.0,1146.5,,,0 CDM,87364645,Fc-Chemodenrvaton Of One Extre,1104.0,552.0,,,0 CDM,87364646,Chemodenerv Trunk 1-5,2293.0,1146.5,,,0 CDM,87364859,Suture Ea Addtl Major Periph,3834.0,1917.0,,,0 CDM,87369100,Biopsy External Ear,566.0,283.0,,,0 CDM,87369200,Chg - 69200 Ext Audit Canal Fb Remov,585.0,292.5,,,0 CDM,87369202,Chg - Ca Screen;Pelvic/Breast Exam,259.0,129.5,,,0 CDM,87369205,Clear Outer Ear Canal,11516.0,5758.0,,,0 CDM,87369209,Chg - Remove Impacted Ear Wax Uni,221.0,110.5,,,0 CDM,87369210,Chg - Unilateral Spec-Ear Irrigation,373.0,186.5,,,0 CDM,87369220,Debridement Mastoidectomy Cavity Simple,492.0,246.0,,,0 CDM,87369433,Tympanostomy Local/Topical Anesthesia,1636.0,818.0,,,0 CDM,87370030,Chg - Eye For Foreign Body,363.0,181.5,,,0 CDM,87370110,Chg - Mandible Complete,822.0,411.0,,,0 CDM,87370120,Mastoids Less Than 3 Vw,280.0,140.0,,,0 CDM,87370140,Facial Bones Less Than 3 Vw,629.0,314.5,,,0 CDM,87370150,Chg - Facial Bones Complete,1068.0,534.0,,,0 CDM,87370160,Chg - Nasal Bones,596.0,298.0,,,0 CDM,87370200,Chg - Orbits Complete Min 4 Vw,1067.0,533.5,,,0 CDM,87370210,Chg - Sinuses Less Than 3 Vw,953.0,476.5,,,0 CDM,87370220,Sinuses Complete,1607.0,803.5,,,0 CDM,87370250,Chg - Skull Less Than 4 Vw,1058.0,529.0,,,0 CDM,87370260,Chg - Skull Complete,1409.0,704.5,,,0 CDM,87370328,Chg - Tmj Unilat Open & Closed,683.0,341.5,,,0 CDM,87370330,Chg - Tmj Bilat Open & Closed,731.0,365.5,,,0 CDM,87370360,Chg - Neck Soft Tissue,877.0,438.5,,,0 CDM,87371045,X-Ray Exam Chest 1 View,468.0,234.0,,,0 CDM,87371046,X-Ray Exam Chest 2 Views,563.0,281.5,,,0 CDM,87371047,X-Ray Exam Chest 3 Views,813.0,406.5,,,0 CDM,87371048,X-Ray Exam Chest 4+ Views,1016.0,508.0,,,0 CDM,87371100,Chg - Rib Unilat 2 Vw,673.0,336.5,,,0 CDM,87371101,Chg - Rib Unilat 2 Vw W/Pa Chest,893.0,446.5,,,0 CDM,87371110,Chg - Rib Bilat Min 3 Vw,1225.0,612.5,,,0 CDM,87371111,Rib Bilat W/Pa Chest Min 4 Vw,1410.0,705.0,,,0 CDM,87371120,Chg - Sternum,694.0,347.0,,,0 CDM,87371130,Chg - Sternoclavicular Joints 3 Vw,799.0,399.5,,,0 CDM,87372020,Spine One View,562.0,281.0,,,0 CDM,87372040,Chg - C-Spine Two Or Three Views,748.0,374.0,,,0 CDM,87372050,C-Spine Min 4 Vw,888.0,444.0,,,0 CDM,87372052,Chg - C-Spine Compl W/Flex & Ext,1195.0,597.5,,,0 CDM,87372070,Chg - Spine Thoracic Two Views,674.0,337.0,,,0 CDM,87372072,Chg - Spine Thoracic Three Views,721.0,360.5,,,0 CDM,87372074,T-Spine Min 4 Views,1177.0,588.5,,,0 CDM,87372080,Chg - Spine Thoracolumbar Two Views,960.0,480.0,,,0 CDM,87372082,X-Ray Exam Entire Spi 2/3 Vw,339.0,169.5,,,0 CDM,87372083,X-Ray Exam Entire Spi 4/5 Vw,644.0,322.0,,,0 CDM,87372084,X-Ray Exam Entire Spi 6/> Vw,644.0,322.0,,,0 CDM,87372100,Chg - Spine Lumbar Two Or Three View,733.0,366.5,,,0 CDM,87372110,Chg - Spine Lumbar Minimum Four View,1056.0,528.0,,,0 CDM,87372114,Chg - Spine Lumbar Comp W/Bending,1559.0,779.5,,,0 CDM,87372120,Chg - Spine Lumbar Bending Only 4 V,1141.0,570.5,,,0 CDM,87372170,Chg - Pelvis One Or Two Views,656.0,328.0,,,0 CDM,87372190,Chg - Pelvis Complete Min 3 Vw,868.0,434.0,,,0 CDM,87372202,Chg - Si Joints Greater Than 3 Vw,841.0,420.5,,,0 CDM,87372220,Chg - Sacrum & Coccyx,839.0,419.5,,,0 CDM,87373000,Chg - Clavicle,593.0,296.5,,,0 CDM,87373010,Chg - Scapula,776.0,388.0,,,0 CDM,87373020,Chg - Shoulder One View,445.0,222.5,,,0 CDM,87373030,Chg - Shoulder Two Views,638.0,319.0,,,0 CDM,87373050,A-C Joints Bilat,617.0,308.5,,,0 CDM,87373060,Chg - Humerus Min 2 Vw,674.0,337.0,,,0 CDM,87373070,Chg - Elbow Two Views,537.0,268.5,,,0 CDM,87373080,Chg - Elbow Min 3 Vw,902.0,451.0,,,0 CDM,87373090,Chg - Forearm Two Views,659.0,329.5,,,0 CDM,87373100,Chg - Wrist Two Views,509.0,254.5,,,0 CDM,87373110,Chg - Wrist Min 3 Vw,598.0,299.0,,,0 CDM,87373120,Chg - Hand Two Views,488.0,244.0,,,0 CDM,87373130,Chg - Hand Min 3 Vw,563.0,281.5,,,0 CDM,87373140,Chg - Fingers Min 2 Vw,404.0,202.0,,,0 CDM,87373501,Chg - X-Ray Exam Hip Uni 1 View,439.0,219.5,,,0 CDM,87373502,Chg - X-Ray Exam Hip Uni 2-3 Views,501.0,250.5,,,0 CDM,87373503,Chg - X-Ray Exam Hip Uni 4/> Views,681.0,340.5,,,0 CDM,87373521,Chg - X-Ray Exam Hips Bi 2 Views,704.0,352.0,,,0 CDM,87373522,Chg - X-Ray Exam Hips Bi 3-4 Views,715.0,357.5,,,0 CDM,87373523,X-Ray Exam Hips Bi 5/> Views,835.0,417.5,,,0 CDM,87373551,X-Ray Exam Of Femur 1,760.0,380.0,,,0 CDM,87373552,Chg - X-Ray Exam Of Femur 2/>,668.0,334.0,,,0 CDM,87373560,Chg - Knee Ap & Lat,524.0,262.0,,,0 CDM,87373562,Chg - Knee Ap/Lat/Obl Min 3 Vw,670.0,335.0,,,0 CDM,87373564,Chg - Knee Ap/Lat/Obl W/Add Vw,869.0,434.5,,,0 CDM,87373565,"Chg - Knees Standing,Ap",432.0,216.0,,,0 CDM,87373590,Chg - Tibia And Fibula Two Views,622.0,311.0,,,0 CDM,87373600,Chg - Ankle Two Views,538.0,269.0,,,0 CDM,87373610,Chg - Ankle Min 3 Vw,631.0,315.5,,,0 CDM,87373620,Chg - Foot Two Views,592.0,296.0,,,0 CDM,87373630,Chg - Foot Min 3 Vw,633.0,316.5,,,0 CDM,87373650,Chg - Calcaneous Min 2 Vw,560.0,280.0,,,0 CDM,87373660,Chg - Toes Min 2 Vw,502.0,251.0,,,0 CDM,87374018,X-Ray Exam Abdomen 1 View,554.0,277.0,,,0 CDM,87374019,X-Ray Exam Abdomen 2 Views,801.0,400.5,,,0 CDM,87374021,Radiologic Exam Abdomen 3+ Views,910.0,455.0,,,0 CDM,87374022,Chg - Abdomen Flat/Upright W/Pacxr,989.0,494.5,,,0 CDM,87374220,Urography Retrograde With/Wo Kub,873.0,436.5,,,0 CDM,87374712,Mri Fetal Sngl/1St Gestation,1076.0,538.0,,,0 CDM,87374713,Mri Fetal Ea Addl Gestation,853.0,426.5,,,0 CDM,87376376,3D Rendering W/Interp & Postprocess Supervision,1402.0,701.0,,,0 CDM,87376536,Chg - Ultrasound Thyroid/Soft Tissu,1177.0,588.5,,,0 CDM,87376604,Ultrasound Chest B-Scan,778.0,389.0,,,0 CDM,87376641,Chg - Ultrasound Breast Complete,1122.0,561.0,,,0 CDM,87376642,Chg - Ultrasound Breast Limited,1096.0,548.0,,,0 CDM,87376700,Chg - Ultrasound Abdomen,1737.0,868.5,,,0 CDM,87376705,Chg - Ultrasound Abdomen Limited,1445.0,722.5,,,0 CDM,87376770,Chg - Ultrasound Retroperitoneal,1517.0,758.5,,,0 CDM,87376775,Chg - Ultrasound Retro Limited,1118.0,559.0,,,0 CDM,87376801,Us Pregnant Uterus 14 Wk Transabdl 1/1St Gestation,960.0,480.0,,,0 CDM,87376802,Us Preg Uterus 14 Wk Transabdl Each Gestation,873.0,436.5,,,0 CDM,87376805,Us Preg Uterus After 1St Trimest 1/1St Gestation,1209.0,604.5,,,0 CDM,87376810,Us Preg Uterus > 1St Trimester Abdl Ea Gestation,1611.0,805.5,,,0 CDM,87376811,Us Preg Uterus W/Detail Fetal Anat 1St Gestation,1328.0,664.0,,,0 CDM,87376812,Us Preg Uterus Detail Fetal Anat Exam Ea Gestation,708.0,354.0,,,0 CDM,87376813,Us Fetal Nuchal Translucency 1St Gestation,1044.0,522.0,,,0 CDM,87376814,Us Fetal Nuchal Translucency Ea Addl Gestation,548.0,274.0,,,0 CDM,87376815,Us Pregnant Uterus Limited 1/> Fetuses,949.0,474.5,,,0 CDM,87376816,Us Preg Uterus Real Time F/U Trnsabdl Per Fetus,378.0,189.0,,,0 CDM,87376817,Us Preg Uterus Real Time W/Image Dcmtn Transvag,847.0,423.5,,,0 CDM,87376818,Fetal Biophysical Profile Non-Stress Testing,851.0,425.5,,,0 CDM,87376819,Fetal Biophysical Profile W/O Non-Stress Testing,757.0,378.5,,,0 CDM,87376820,Doppler Velocimetry Fetal Umbilical Artery,834.0,417.0,,,0 CDM,87376821,Doppler Velocimetry Fetal Middle Cerebral Art,740.0,370.0,,,0 CDM,87376825,Echo Fetal Cardiovasc W/Wo M-Mode Recording,2055.0,1027.5,,,0 CDM,87376826,Echo Fetal Cardiovasc W/Wo M-Mode Repeat Std,638.0,319.0,,,0 CDM,87376827,Doppler Echo Fetal Spectral Display Complete,301.0,150.5,,,0 CDM,87376828,Doppler Echo Fetal Puls Spectral F/U/Repeat,301.0,150.5,,,0 CDM,87376830,Chg - Ultrasound Transvaginal,1167.0,583.5,,,0 CDM,87376831,Saline Infus Sonohysterography W/Color Doppler,1310.0,655.0,,,0 CDM,87376856,Chg - Ultrasound Pelvis Non-Ob,1474.0,737.0,,,0 CDM,87376857,Chg - Ultrasound Pelvis Non-Ob Ltd,860.0,430.0,,,0 CDM,87376870,Chg - Ultrasound Testicular,1417.0,708.5,,,0 CDM,87376872,Ultrasound Transrectal,1324.0,662.0,,,0 CDM,87376881,"Chg - Ultrasound Extr Non-Vas,Comp",1568.0,784.0,,,0 CDM,87376882,"Chg - Ultrasound Extr Non-Vasc,Ltd",613.0,306.5,,,0 CDM,87376942,Chg - U/S Guide Needle Placement,1655.0,827.5,,,0 CDM,87377074,Bone Survey Limited,1524.0,762.0,,,0 CDM,87377075,Chg - Bone Survey Complete,1794.0,897.0,,,0 CDM,87377080,Chg - Bone Density Study-Central,1176.0,588.0,,,0 CDM,87377081,Chg - Bone Density Study-Peripheral,663.0,331.5,,,0 CDM,87378451,Chg - Fc-Myocardial Perfusn Imging,3386.0,1693.0,,,0 CDM,87378452,"Chg - Myocrdial Perfusion Imaging,T",6336.0,3168.0,,,0 CDM,87378472,"Chg - Cardiac Blood Pool Imaging,Gat",2696.0,1348.0,,,0 CDM,87383037,Glycosylated Hb Home Device,29.0,14.5,,,0 CDM,87387426,Sarscov Coronavirus Ag Ia,35.33,17.66,,,0 CDM,87387428,Sarscov & Inf Vir A&B Ag Ia,63.59,31.8,,,0 CDM,87387807,Rsv Assay W/Optic,129.0,64.5,,,0 CDM,87388150,Cytp Slides C/V Mnl Scr Under Phys,40.0,20.0,,,0 CDM,87390108,Diab Manage Trn Per Indv 30Min,70.0,35.0,,,0 CDM,87390402,Chg - Initial Preventive Exam,487.0,243.5,,,0 CDM,87390404,Ekg Tracing For Initial Prev,151.0,75.5,,,0 CDM,87390438,"Ppps,Initial Visit",953.0,476.5,,,0 CDM,87390439,"Ppps,Subseq Visit",639.0,319.5,,,0 CDM,87390444,"Annual Depression Screen, 5 To 15 Mins",51.0,25.5,,,0 CDM,87390445,High Inten Beh Couns Std 30M,207.0,103.5,,,0 CDM,87390447,Fc-Face To Face Obesity Counsl,85.0,42.5,,,0 CDM,87390471,"90471 Immunization Admin,1Vac",96.0,48.0,,,0 CDM,87390506,Comp Asses Care Plan Ccm Svc,58.0,29.0,,,0 CDM,87390785,Fc-Interactive Complexity,76.0,38.0,,,0 CDM,87390832,Chg - Psytx Pt&/Family 30 Minutes,301.0,150.5,,,0 CDM,87390834,"Chg - Psychotherapy,45Min W/Pt,Fmly",414.0,207.0,,,0 CDM,87390837,Chg - Psytx Pt&/Family 60 Minutes,439.0,219.5,,,0 CDM,87390847,Family Psytx W/Pt 50 Min,459.0,229.5,,,0 CDM,87392083,F/U Office Op Low 20-29 Min L3,304.0,152.0,,,0 CDM,87392086,Off Base Opioid Tx 70Min,335.0,167.5,,,0 CDM,87392087,"Off Base Opioid Tx, 60 M",335.0,167.5,,,0 CDM,87392088,"Off Base Opioid Tx, Add 30",168.0,84.0,,,0 CDM,87392230,Fluorescein Angioscopy Interpretation & Report,1185.0,592.5,,,0 CDM,87392537,Caloric Vstblr Test W/Rec Bith,591.0,295.5,,,0 CDM,87392538,Caloric Vstblr Test W/Rec Mono,591.0,295.5,,,0 CDM,87392540,Basic Vesticular Evaluation,650.0,325.0,,,0 CDM,87392551,Audiology-Screening,255.0,127.5,,,0 CDM,87392553,Pure Tone Audiometry Air & Bone,397.0,198.5,,,0 CDM,87392557,Audiology-Basic,708.0,354.0,,,0 CDM,87392567,Tympanometry,93.0,46.5,,,0 CDM,87392583,Select Picture Audiometry,293.0,146.5,,,0 CDM,87392653,Aep Neurodiagnostic Interpretation And Report,1833.0,916.5,,,0 CDM,87392960,Cardioversion Elective Externl,2400.0,1200.0,,,0 CDM,87392990,Pb Valvuloplasty; Pulmon Valve,19433.0,9716.5,,,0 CDM,87393015,Cardiovascular Stress Test,1502.0,751.0,,,0 CDM,87393050,Art Pressure Waveform Analys,110.0,55.0,,,0 CDM,87393226,Chg - 24 Hr Holter Monitor Scan Anly,601.0,300.5,,,0 CDM,87393242,Ext Ecg>48Hr<7D Recording,589.0,294.5,,,0 CDM,87393246,Ext Ecg>7D<15D Recording,589.0,294.5,,,0 CDM,87393260,Prgrmg Dev Eval Impltbl Sys,127.0,63.5,,,0 CDM,87393261,Interrogate Subq Defib,127.0,63.5,,,0 CDM,87393271,Event Monitor & Analysis,778.0,389.0,,,0 CDM,87393279,Chg - Program/Eval Sgl Pacer,778.0,389.0,,,0 CDM,87393280,Chg - Program/Eval Dual Pacer,778.0,389.0,,,0 CDM,87393281,Chg - Program/Eval Bi-V Pacer,778.0,389.0,,,0 CDM,87393282,Chg - Program/Eval Sgl Trnsvn Defb,467.0,233.5,,,0 CDM,87393283,Chg - Program/Eval Dual Trnsvn Defb,467.0,233.5,,,0 CDM,87393284,Chg - Program/Eval Bi-V Transvn Defb,467.0,233.5,,,0 CDM,87393285,"Chg - Prgrm Device Eval(In Prsn),Phy",448.0,224.0,,,0 CDM,87393288,Chg - Interrogation Pacer,244.0,122.0,,,0 CDM,87393289,Chg - Interrogation Transven Defib,477.0,238.5,,,0 CDM,87393290,Fc-Inter Device Eval(In Prsn),189.0,94.5,,,0 CDM,87393291,Chg - Interrogation Loop Recorder,632.0,316.0,,,0 CDM,87393293,Chg - Pm Phone R-Strip Device Eval,291.0,145.5,,,0 CDM,87393297,Rem Interrog Icpms <30 D Phys/Qhp,150.0,75.0,,,0 CDM,87393298,Rem Interrog Scrms <30 D Phys/Qhp,150.0,75.0,,,0 CDM,87393306,Tte W/Doppler Complete,3452.0,1726.0,,,0 CDM,87393307,"Chg - Echo,Trnsthoracic,Rltime W/Ima",1730.0,865.0,,,0 CDM,87393308,"Chg - Echo,Transthrcic W/Imge Doc 2D",1191.0,595.5,,,0 CDM,87393321,"Doplr Echo,Pulsd Wave And/Or C",861.0,430.5,,,0 CDM,87393325,Chg - Doppler Echocardiography Color,823.0,411.5,,,0 CDM,87393513,"Chg - Echo,Trnsthorac,Real-Time W/Im",1820.0,910.0,,,0 CDM,87393563,Chg - Inject Congenital Card Cath,3938.0,1969.0,,,0 CDM,87393660,Chg - Tilt Table Test,1509.0,754.5,,,0 CDM,87393880,Chg - Carotid Duplex Bilat,1707.0,853.5,,,0 CDM,87393882,Chg - Intraop Carotid Duplex,1070.0,535.0,,,0 CDM,87393922,Chg - Digital Waveforms And Pressure,720.0,360.0,,,0 CDM,87393923,Chg - Lower Ext Art Without Exercise,1500.0,750.0,,,0 CDM,87393924,Chg - Lower Extremity Arterial With,1858.0,929.0,,,0 CDM,87393925,Chg - Arterial Duplex Low Ext Bilat,2213.0,1106.5,,,0 CDM,87393926,Chg - Arterial Duplx Low Ext Uni/Ltd,1476.0,738.0,,,0 CDM,87393930,Art Duplex Upp Ext Bilat,2209.0,1104.5,,,0 CDM,87393931,Chg - Upper Torso Duplex Unilateral,1476.0,738.0,,,0 CDM,87393970,Chg - Venous Duplex Low Ext Bilat,2164.0,1082.0,,,0 CDM,87393971,Chg - Venous Duplex Low Ext Uni/Ltd,1476.0,738.0,,,0 CDM,87393975,Chg - Renal Artery/Vein Duplex Bilat,2275.0,1137.5,,,0 CDM,87393976,"Chg - Art/Ven Dplx,Abd/Plv/Scrot,Ltd",1807.0,903.5,,,0 CDM,87393978,Chg - Abdominal Aorta Duplex,1399.0,699.5,,,0 CDM,87393979,Chg - Intraop Thor Aorta Duplex,928.0,464.0,,,0 CDM,87393985,Dup-Scan Hemo Compl Bi Std,656.0,328.0,,,0 CDM,87393986,Dup-Scan Hemo Compl Uni Std,316.0,158.0,,,0 CDM,87393990,Chg - Hemodialysis Access Scan,841.0,420.5,,,0 CDM,87394010,Chg - Spirometry Basic,652.0,326.0,,,0 CDM,87394060,Chg - Spirometry W/Bronchodilators,950.0,475.0,,,0 CDM,87394150,"Vc,Total",356.0,178.0,,,0 CDM,87394618,Pulmonary Stress Testing,696.0,348.0,,,0 CDM,87394657,Chg - Prostate Ca Screening;Dre,62.0,31.0,,,0 CDM,87394690,O2 Uptake Exp Gas Analysis Rest Indirect Spx,416.0,208.0,,,0 CDM,87395012,Nitric Oxide Exp Gas Determina,292.0,146.0,,,0 CDM,87395860,Chg - Emg-1 Extremity,616.0,308.0,,,0 CDM,87395861,Emg-2 Extremities,493.0,246.5,,,0 CDM,87395867,Emg-Cranial Nerve Unilat,567.0,283.5,,,0 CDM,87395870,Needle Emg Limited Study 1 Ext,369.0,184.5,,,0 CDM,87395872,Needle Emg Jitter Blk Ea Muscl,567.0,283.5,,,0 CDM,87395874,Guide Nerv Destr Needle Emg,231.0,115.5,,,0 CDM,87395885,"Chg - Fc-Ndl Electrmygrphy,Extm,Lmtd",652.0,326.0,,,0 CDM,87395886,"Chg - Fc-Ndl Electrmygrphy,Extm,Cmpl",492.0,246.0,,,0 CDM,87395887,"Chg - Fc-Ndl Electrmygrphy,Non Extm",346.0,173.0,,,0 CDM,87395907,Fc-Nerve Conduct Studies;1-2,584.0,292.0,,,0 CDM,87395908,Chg - Fc-Nerve Conduct Studies;3-4,703.0,351.5,,,0 CDM,87395909,Chg - Fc-Nerve Conduct Studies;5-6,838.0,419.0,,,0 CDM,87395910,Chg - Fc-Nerve Conduct Studies;7-8,952.0,476.0,,,0 CDM,87395911,Chg - Fc-Nerve Conduct Studies;9-10,1205.0,602.5,,,0 CDM,87395912,Chg - Fc-Nerve Conduct Study;11-12,1444.0,722.0,,,0 CDM,87395913,Chg - Fc-Nerve Cond Study;13 Or Mor,1731.0,865.5,,,0 CDM,87395922,Fc-Autonomic Nerv Sys Fnc Test,652.0,326.0,,,0 CDM,87395923,"Chg - Fc-Autonmic Tsts/Sudomotr,>=1",765.0,382.5,,,0 CDM,87395924,Chg - Autonmic Tsts;W/At Lst 5 Min,377.0,188.5,,,0 CDM,87395933,Blink Reflex Test,503.0,251.5,,,0 CDM,87395937,Neuromuscular Junction Testing,861.0,430.5,,,0 CDM,87395970,Chg - Nx-Analysis W/O Reprogramming,652.0,326.0,,,0 CDM,87395976,Alys Smpl Cn Npgt Prgrmg,170.0,85.0,,,0 CDM,87395977,Alys Cplx Cn Npgt Prgrmg,529.0,264.5,,,0 CDM,87395983,Alys Brn Npgt Prgrmg 15 Min,170.0,85.0,,,0 CDM,87395984,Alys Brn Npgt Prgrmg Addl 15,220.0,110.0,,,0 CDM,87395992,Chg - Canalith Repositioning Proc,225.0,112.5,,,0 CDM,87396116,Chg - St Neurobehavior Assessment,779.0,389.5,,,0 CDM,87396121,Nubhvl Xm Phy/Qhp Ea Addl Hr,384.0,192.0,,,0 CDM,87396127,Brief Emotional/Behav Assmt,62.0,31.0,,,0 CDM,87396130,Psycl Tst Eval Phys/Qhp 1St,611.0,305.5,,,0 CDM,87396131,Psycl Tst Eval Phys/Qhp Ea,409.0,204.5,,,0 CDM,87396132,Nrpsyc Tst Eval Phys/Qhp 1St,611.0,305.5,,,0 CDM,87396133,Nrpsyc Tst Eval Phys/Qhp Ea,405.0,202.5,,,0 CDM,87396136,Psycl/Nrpsyc Tst Phy/Qhp 1St,147.0,73.5,,,0 CDM,87396137,Psycl/Nrpsyc Tst Phy/Qhp Ea,98.0,49.0,,,0 CDM,87396156,Hlth Bhv Assmt/Reassessment,201.0,100.5,,,0 CDM,87396158,Chg Hlth Bhv Ivntj Indiv 1St 30,201.0,100.5,,,0 CDM,87396159,Hlth Bhv Ivntj Indiv Ea Addl15,101.0,50.5,,,0 CDM,87396164,Hlth Bhv Ivntj Grp 1St 30,71.0,35.5,,,0 CDM,87396165,Hlth Bhv Ivntj Grp Ea Addl 15,35.0,17.5,,,0 CDM,87396167,Hlth Bhv Ivntj Fam 1St 30 Min,71.0,35.5,,,0 CDM,87396168,Hlth Bhv Ivntj Fam Ea Addl 15,35.0,17.5,,,0 CDM,87396360,"Iv Inf,Hydra;Int To 1 Hr",672.0,336.0,,,0 CDM,87396361,"Iv Inf,Hydra;Ea Add Hour",371.0,185.5,,,0 CDM,87396372,Non-Chemo Injection Sq/Im,187.0,93.5,,,0 CDM,87396401,Chemo Inj Sq/Im(Non-Horm Anti),567.0,283.5,,,0 CDM,87396405,Chemo Intralesional Up To 7,197.0,98.5,,,0 CDM,87396523,Irrigaj Implntd Venous Access Drug Delivery Syst,170.0,85.0,,,0 CDM,87396902,Trichogram,120.0,60.0,,,0 CDM,87396910,Chg - Uvb Therapy,274.0,137.0,,,0 CDM,87397124,Massge Therapy Ea 15 Mins,158.0,79.0,,,0 CDM,87397597,Chg - Visit Debrd Selec-1St 20Sqcm/<,676.0,338.0,,,0 CDM,87397598,Chg - Vist-Debir Selec-Eaadtl 20Sqcm,748.0,374.0,,,0 CDM,87397602,Visit-Debride Nonselect,748.0,374.0,,,0 CDM,87397605,Npwt Non-Disposable 50Sqcm,1368.0,684.0,,,0 CDM,87397607,Neg Press Wnd Tx <=50 Sq Cm,1368.0,684.0,,,0 CDM,87397802,Mnt Initial 15 Min,52.0,26.0,,,0 CDM,87397810,Acupunct W/O Stimul 15 Min,183.0,91.5,,,0 CDM,87398925,Omt One To Two Body Regions,148.0,74.0,,,0 CDM,87398926,Omt Three To Four Body Regions,148.0,74.0,,,0 CDM,87398927,Osteopathic Manipulation 5-6,112.0,56.0,,,0 CDM,87399024,F/U Office Op Low 20-29 Min L3,416.0,208.0,,,0 CDM,87399056,Admin Hepatitis B Vaccine,96.0,48.0,,,0 CDM,87399057,Admin Pneumococcal Vaccine,96.0,48.0,,,0 CDM,87399091,Coll & Interp Data Ea 30 Days,181.0,90.5,,,0 CDM,87399204,Office/Outpatient New Moderate Mdm 45 Minutes,456.0,228.0,,,0 CDM,87399211,F/U Office O/P Min Prob Lev 1,344.0,172.0,,,0 CDM,87399212,F/U Office Op Sf 10-19 Min Lv2,379.0,189.5,,,0 CDM,87399213,F/U Office Op Low 20-29 Min L3,416.0,208.0,,,0 CDM,87399214,F/U Office Op Mod 30-39 Min L4,456.0,228.0,,,0 CDM,87399215,Follow Up Visit Level 5,502.0,251.0,,,0 CDM,87399246,Lops;Follow Up,365.0,182.5,,,0 CDM,87399247,Lops;Treatment,306.0,153.0,,,0 CDM,87399358,Prolong Service W/O Contact,266.0,133.0,,,0 CDM,87399408,Alcohol/Subs Interv 15-30Mn,75.0,37.5,,,0 CDM,87399415,Prolong Clincl Staff Svc,47.0,23.5,,,0 CDM,87399416,Prolong Clincl Staff Svc Add,8.0,4.0,,,0 CDM,87399439,Chrnc Care Mgmt Svc Ea Addl,182.0,91.0,,,0 CDM,87399487,Cplx Chrnc Care 1St 60 Min,206.0,103.0,,,0 CDM,87399489,Cmplx Chron Care Addl 30 Min,103.0,51.5,,,0 CDM,87399490,Chron Care Mgmt Srvc 20 Min,182.0,91.0,,,0 CDM,87399497,Advncd Care Plan First 30 Min,215.0,107.5,,,0 CDM,87399498,Advncd Care Plan Addl 30 Min,215.0,107.5,,,0 CDM,87401810,Chg - Ko Elastic With Joints,202.86,101.43,,,0 CDM,87401812,Ko Elastic W/Joints Pre Ots,112.82,56.41,,,0 CDM,87401820,Ko W Condyl Pad & Jnts,251.51,125.76,,,0 CDM,87401832,Chg - Ko Adj Jnt Rigid Support,1213.02,606.51,,,0 CDM,87403060,Premold Long/Metatars Removble,89.01,44.5,,,0 CDM,87403260,"Surgical,Orthowedge Shoe/Boot",41.4,20.7,,,0 CDM,87403460,Heel New Rubber Standard,41.4,20.7,,,0 CDM,87403530,Orthopedic Half Sole,37.26,18.63,,,0 CDM,87403675,So Vest Canvas/Web Pre Ots,189.41,94.7,,,0 CDM,87403999,"Chg - Splint,Thumb Spica",20.7,10.35,,,0 CDM,87404190,Chg - Airsport,256.68,128.34,,,0 CDM,87404197,Afo Plastic Molded W/Ankle J,1466.6,733.3,,,0 CDM,87404386,Chg - Non-Pneum Walk Boot Prefab,67.28,33.64,,,0 CDM,87404389,"Chg - Knee Orthosis,Adj Knee Joints",1886.81,943.4,,,0 CDM,87404392,Chg - Afo Ankle Gauntlet,251.51,125.76,,,0 CDM,87404398,"Chg - Eo Withjoint,Prefabricated",1268.91,634.46,,,0 CDM,87404399,"Chg - Walking Boot,Pneumatic",823.86,411.93,,,0 CDM,87404400,Chg - Static Afo,471.96,235.98,,,0 CDM,87408450,Splint Digit,119.03,59.52,,,0 CDM,87443050,Premold Metatars Foot Arch Sup,53.82,26.91,,,0 CDM,87444,Noncdm Charge Record Medical Supplies,202.4,101.2,,,0 CDM,87444121,Theraskin Per 1 Sq Cm,101.43,50.72,,,0 CDM,87444133,Grafix Prime Per Sq Cm,211.14,105.57,,,0 CDM,87444186,Epifix Per Sq Cm,410.9,205.45,,,0 CDM,87444195,Puraply Per Sqcm,180.09,90.04,,,0 CDM,87444196,Puraply Am 1 Sq Cm,326.03,163.02,,,0 CDM,87444467,Knee Support: Elastic (Sm-Xlg),16.0,8.0,,,0 CDM,87464674,Belt Strap Sleev Grmnt Cover,16.0,8.0,,,0 CDM,87493917,Metacarp Fx Orthosis Pre Cst,108.68,54.34,,,0 CDM,87497523,"Cast,Fiberglass-Long Arm",67.28,33.64,,,0 CDM,87497525,"Chg - Cast,Fiberglass-Forearm",43.47,21.74,,,0 CDM,87497527,Chg - Cast Sup Ln Arm Splint Fbrg,37.26,18.63,,,0 CDM,87497528,"Cast,Plaster-Forearm Static",19.67,9.84,,,0 CDM,87497529,"Chg - Cast,Fiberglass-Forearm Static",30.02,15.01,,,0 CDM,87497533,"Cast,Fiberglass-Long Leg",102.47,51.24,,,0 CDM,87497537,"Chg - Cast,Fiberglass Short Leg",90.05,45.02,,,0 CDM,87497540,Cast Sup Gauntlet Fiberglass,43.47,21.74,,,0 CDM,87497544,Cast Sup Sht Leg Splnt Fbrgl,42.44,21.22,,,0 CDM,87497555,"Cast,Short Arm,Peds",92.12,46.06,,,0 CDM,87499056,Admin Hepatitis B Vaccine,96.0,48.0,,,0 CDM,87499057,Admin Pneumococcal Vaccine,96.0,48.0,,,0 CDM,87499083,Non-Sterile Gauze<= 16 Sq In,64.17,32.08,,,0 CDM,87499365,"Finger Orthosis,Non Torsion",13.46,6.73,,,0 CDM,87499502,Chg - Aerochamber,40.37,20.18,,,0 CDM,87499518,Chg - Ankle Splint,106.61,53.3,,,0 CDM,87499522,Ankle Support,67.28,33.64,,,0 CDM,87499524,Chg - Sling-Arm(All)-For Home Use,41.4,20.7,,,0 CDM,87499533,Chg - Post Op Shoe/Boot,41.4,20.7,,,0 CDM,87499540,Chg - Cerv Flexible Non-Adjustable,61.07,30.54,,,0 CDM,87499544,Chg - Slings,13.46,6.73,,,0 CDM,87499555,Chg - Shoulder Immobolizer,19.67,9.84,,,0 CDM,87499560,Chg - Ear Wicks,13.46,6.73,,,0 CDM,87499564,"Elbow Brace,Elastic",13.46,6.73,,,0 CDM,87499577,Chg - Splint-Finger,16.56,8.28,,,0 CDM,87499591,Chg - Immobiilzer-Knee,119.03,59.52,,,0 CDM,87499596,Chg - Jelco Catheter 20 Guage,13.46,6.73,,,0 CDM,87499597,Jelco Catheter 22 Gauge,12.42,6.21,,,0 CDM,87499607,Chg - Cannula-Nasal,11.39,5.7,,,0 CDM,87499622,Hand-Held Pefr Meter,52.79,26.4,,,0 CDM,87499650,Ring Removal,15.53,7.76,,,0 CDM,87499660,Chg - Shlder Fig 8 Abduct Restrain,27.95,13.98,,,0 CDM,87499695,Chg - Splint-Wrist Any Type,57.96,28.98,,,0 CDM,87499696,"Chg - Wrist Splint,Control Lock-Up",125.24,62.62,,,0 CDM,87499697,Chg - Wrist Cock-Up Non-Molded,125.24,62.62,,,0 CDM,87499705,Sterile 4X4'S Per Pk,12.42,6.21,,,0 CDM,87499745,Chg - Iv Tubing #10,12.42,6.21,,,0 CDM,87499770,Chg - Unna Boot Materials,77.63,38.82,,,0 CDM,87499970,"Chg - Ace Bandage,3 Inches",21.74,10.87,,,0 CDM,87499971,Chg - Ace Bandage-2 Inches,11.39,5.7,,,0 CDM,87499972,Chg - Ace Bandage-6Inches,13.46,6.73,,,0 CDM,87499973,Chg - Ace Bandage-4 Inches,21.74,10.87,,,0 CDM,87499977,"Splint,Finger",68.31,34.16,,,0 CDM,87661971,Prefab Afo W Ankle Jnt,550.62,275.31,,,0 CDM,87664338,Indwelling Catheter Latex,37.26,18.63,,,0 CDM,87664351,Straight Tip Urine Catheter,17.6,8.8,,,0 CDM,87664358,Urinary Leg Or Abdomen Bag,23.81,11.9,,,0 CDM,87773502,X-Ray Exam Hip Uni 2-3 Views,501.0,250.5,,,0 CDM,87773503,X-Ray Exam Hip Uni 4/> Views,681.0,340.5,,,0 CDM,87773706,Us Abdl Aorta Screen Aaa,1383.0,691.5,,,0 CDM,87899070,"Dilator,Meatal",12.42,6.21,,,0 CDM,87902212,Prolonged Office/Outpatient E/M Svc Ea 15 Min,49.0,24.5,,,0 CDM,87903908,Wrist Cock-Up Non-Molded,25.88,12.94,,,0 CDM,87903923,Chg - Thumb Guard Spic Splint,127.31,63.66,,,0 CDM,87909970,Sns With 80 Ml Bottle,37.26,18.63,,,0 CDM,87913908,Chg - Wrist Cock-Up Non-Molded,23.81,11.9,,,0 CDM,87915853,Removal Sutures/Staples Not Requiring Anesthesia,1150.0,575.0,,,0 CDM,87915879,Suction Lipectomy Lwr Extrem,11322.0,5661.0,,,0 CDM,87920666,Noncdm Charge Record,130.0,65.0,,,0 CDM,87925999,Unlisted Proced Forearm/Wrist,792.0,396.0,,,0 CDM,87926989,Unlisted Procedure Hands/Fingers,299.0,149.5,,,0 CDM,87932550,Insert Pleural Cath,7105.0,3552.5,,,0 CDM,87932555,Aspirate Pleura W/ Imaging,4726.0,2363.0,,,0 CDM,87933918,Metacarp Fx Orthosis Pre Ots,98.33,49.16,,,0 CDM,87939239,Hfo W/Joints,127.31,63.66,,,0 CDM,87939490,"Fc-Inj,Solesta Gel,1Ml Syr",1702.58,851.29,,,0 CDM,87939807,"Chg - Long Thumb Spica,Lt/Rt",303.26,151.63,,,0 CDM,87939907,"Chg - Boxers Fracture Brace,Lt/Rt",303.26,151.63,,,0 CDM,87939982,"Chg - Short Arm Fracture Brace,Lt/Rt",465.75,232.88,,,0 CDM,87949350,Deroyal Air/Gel Ankle Stirrup,27.95,13.98,,,0 CDM,87949392,Laparo & Rmvl Of Iud Abd Cavit,8747.0,4373.5,,,0 CDM,87962281,Treat Spinal Cord Lesion,2674.0,1337.0,,,0 CDM,87974425,Antegrade Urography Radiological Supvj & Interpj,1036.0,518.0,,,0 CDM,87975989,Abscess Drainage Under X-Ray,4239.0,2119.5,,,0 CDM,87976776,Us Exam K Transpl W/Doppler,1191.0,595.5,,,0 CDM,87978102,Bone Marrow Imaging Limited Area,1622.0,811.0,,,0 CDM,87978104,Bone Marrow Imaging Whole Body,2331.0,1165.5,,,0 CDM,87978582,Pulmonary Ventilation & Perfusion Imaging,2830.0,1415.0,,,0 CDM,87978597,Quant Differential Pulm Perfusion W/Wo Imaging,2536.0,1268.0,,,0 CDM,87978707,Kidney Img Morphology Vascular Flow 1 W/O Rx,2063.0,1031.5,,,0 CDM,87978709,Kidney Img Morphology Vascular Flow Multiple,2063.0,1031.5,,,0 CDM,87981000,N-Autom Urine Dip W Micro,20.0,10.0,,,0 CDM,87983982,Upper Ext Fx Orthosis Rad/Ul,342.59,171.3,,,0 CDM,87987804,Influenza Assay W/Optic,298.0,149.0,,,0 CDM,87989379,Unlisted Cardiovascular Service/Procedure,386.0,193.0,,,0 CDM,87990136,Adm Of Soc Dtr Assess 5-15 M,74.0,37.0,,,0 CDM,87990404,Chg - Rou Ecg W/12 Leads;Trac Only,151.0,75.5,,,0 CDM,87990413,Chg Pelvic Ring Fracture Uni/Bil,9198.0,4599.0,,,0 CDM,87990442,Annual Alcohol Screen 5 To 15 Mins,85.0,42.5,,,0 CDM,87990480,Imm Admn Sarscov2 Vaccine Single Dose,40.0,20.0,,,0 CDM,87990515,Insj Wcs Lv Compl Sys,89417.0,44708.5,,,0 CDM,87990516,Insj Wcs Lv Eltrd Only,30099.0,15049.5,,,0 CDM,87991318,Sarscov2 Vacc 3Mcg/0.3Ml Tris-Sucrose Im Use (Pfizer),68.63,34.32,,,0 CDM,87991319,Sarscov2 Vacc 10Mcg/0.3Ml Tris-Sucrose Im Use (Pfizer),92.17,46.08,,,0 CDM,87991320,Sarscov2 Vacc 30Mcg/0.3Ml Tris-Sucrose Im Use (Pfizer),137.66,68.83,,,0 CDM,87991321,Sarscov2 Vaccine 25 Mcg/0.25 Ml For Im Use (Moderna),153.22,76.61,,,0 CDM,87991322,Sarscov2 Vaccine 50 Mcg/0.5 Ml For Im Use (Moderna),153.22,76.61,,,0 CDM,87992729,Chg Unlisted Procedure Pelvis/Hip,792.0,396.0,,,0 CDM,87992972,Percutaneous Transluminal Coronary Lithotripsy,231.0,115.5,,,0 CDM,87993761,"Eo, Adj Lock Joint Prefab Ot",497.84,248.92,,,0 CDM,87993908,Wrist Cock-Up Non-Molded,49.68,24.84,,,0 CDM,87993999,Chg - Wrist Cock-Up Non-Molded,49.68,24.84,,,0 CDM,87994101,Apligraf Per 1 Sq Cm,166.64,83.32,,,0 CDM,87994124,Oasis Tri-Layer Wound Matrix,37.26,18.63,,,0 CDM,87994158,"Kerecis Omega3, Per Sq Cm",292.91,146.46,,,0 CDM,87994160,Nushield 1 Square Cm,214.25,107.12,,,0 CDM,87994387,Non-Pneum Walk Boot Pre Ots,241.16,120.58,,,0 CDM,87997169,Athletic Training Eval Low Complex 15 Mins,432.0,216.0,,,0 CDM,87997170,Athletic Training Eval Mod Complex 30 Mins,526.0,263.0,,,0 CDM,87997171,Athletic Training Eval High Complex 45 Mins,578.0,289.0,,,0 CDM,87997172,Athletic Training Re-Eval Est Plan Care 20 Mins,246.0,123.0,,,0 CDM,87999069,"Cast Sandal,Open Toe",17.6,8.8,,,0 CDM,87999070,"Chg - Splint,Finger(Stax)",14.49,7.24,,,0 CDM,87999111,Chg - Wet Mounts/W Preparations,62.0,31.0,,,0 CDM,87999112,Chg - Koh Preparations(Q0112),40.0,20.0,,,0 CDM,87999170,Mnt Ea 15 M After 2Nd Refrl,101.0,50.5,,,0 CDM,87999179,Unlisted Skin Tissue Procedure,1360.0,680.0,,,0 CDM,87999236,"Chg - Mepilex Lite,2.4X3.4;Each",43.47,21.74,,,0 CDM,87999239,"Mepilex,4X4;Each",43.47,21.74,,,0 CDM,87999241,"Chg - Mepilex Border,4X4;Each",16.56,8.28,,,0 CDM,87999361,Pneuma/Vac Walk Boot Pre Ots,347.76,173.88,,,0 CDM,87999471,Chg - Admin Flu Virus Vac,96.0,48.0,,,0 CDM,87999500,Chg - Technetium Tc-99M Sestamibi,735.0,367.5,,,0 CDM,87999538,Rp:Tc-99 Pyp Per Dose,127.0,63.5,,,0 CDM,87999907,Chg - Deroyal Wrist & Forearm Splnt,12.42,6.21,,,0 CDM,88011,Noncdm Charge Record Medical Supplies,605.59,302.8,,,0 CDM,88609,Noncdm Charge Record Medical Supplies,18.02,9.01,,,0 CDM,88611,Noncdm Charge Record Medical Supplies,72.13,36.06,,,0 CDM,88612,Noncdm Charge Record Medical Supplies,98.61,49.3,,,0 CDM,88613,Noncdm Charge Record Medical Supplies,36.73,18.36,,,0 CDM,88656,Noncdm Charge Record Medical Supplies,966.28,483.14,,,0 CDM,88696,Noncdm Charge Record Medical Supplies,501.75,250.88,,,0 CDM,88697,Noncdm Charge Record Medical Supplies,27.51,13.76,,,0 CDM,88704,Noncdm Charge Record Medical Supplies,136.16,68.08,,,0 CDM,88705,Noncdm Charge Record Medical Supplies,191.69,95.84,,,0 CDM,88706,Noncdm Charge Record Medical Supplies,212.18,106.09,,,0 CDM,88707,Noncdm Charge Record Medical Supplies,136.16,68.08,,,0 CDM,88708,Noncdm Charge Record Medical Supplies,198.6,99.3,,,0 CDM,88709,Noncdm Charge Record Medical Supplies,220.06,110.03,,,0 CDM,88714,Noncdm Charge Record Medical Supplies,137.94,68.97,,,0 CDM,88717,Noncdm Charge Record Medical Supplies,247.25,123.62,,,0 CDM,88728,Noncdm Charge Record Medical Supplies,150.42,75.21,,,0 CDM,88737,Noncdm Charge Record Medical Supplies,207.69,103.84,,,0 CDM,88739,Noncdm Charge Record Medical Supplies,214.82,107.41,,,0 CDM,88740,Noncdm Charge Record Medical Supplies,224.62,112.31,,,0 CDM,88745,Noncdm Charge Record Medical Supplies,240.83,120.42,,,0 CDM,88746,Noncdm Charge Record Medical Supplies,246.22,123.11,,,0 CDM,88774,Noncdm Charge Record Medical Supplies,43.47,21.74,,,0 CDM,88796,Noncdm Charge Record Medical Supplies,42.78,21.39,,,0 CDM,88799,Noncdm Charge Record Medical Supplies,43.47,21.74,,,0 CDM,88850,Noncdm Charge Record Medical Supplies,238.24,119.12,,,0 CDM,88864,Noncdm Charge Record Medical Supplies,30.47,15.24,,,0 CDM,88889,Noncdm Charge Record Medical Supplies,235.0,117.5,,,0 CDM,889,Noncdm Charge Record Medical Supplies,26.17,13.08,,,0 CDM,88908,Noncdm Charge Record Medical Supplies,155.16,77.58,,,0 CDM,88909,Noncdm Charge Record Medical Supplies,43.38,21.69,,,0 CDM,88913,Noncdm Charge Record Medical Supplies,114.68,57.34,,,0 CDM,88914,Noncdm Charge Record Medical Supplies,114.68,57.34,,,0 CDM,88915,Noncdm Charge Record Medical Supplies,114.68,57.34,,,0 CDM,88916,Noncdm Charge Record Medical Supplies,114.68,57.34,,,0 CDM,88928,Noncdm Charge Record Medical Supplies,395.6,197.8,,,0 CDM,88930,Noncdm Charge Record Medical Supplies,395.6,197.8,,,0 CDM,88931,Noncdm Charge Record Medical Supplies,395.6,197.8,,,0 CDM,88935,Noncdm Charge Record Medical Supplies,999.63,499.82,,,0 CDM,88936,Noncdm Charge Record Medical Supplies,999.63,499.82,,,0 CDM,88938,Noncdm Charge Record Medical Supplies,999.63,499.82,,,0 CDM,88941,Noncdm Charge Record Medical Supplies,414.0,207.0,,,0 CDM,88957,Noncdm Charge Record Medical Supplies,651.23,325.62,,,0 CDM,88958,Noncdm Charge Record Medical Supplies,809.92,404.96,,,0 CDM,88959,Noncdm Charge Record Medical Supplies,936.67,468.34,,,0 CDM,89124,Noncdm Charge Record Medical Supplies,304.98,152.49,,,0 CDM,89145,Noncdm Charge Record Medical Supplies,385.71,192.86,,,0 CDM,90184,Noncdm Charge Record Medical Supplies,553.2,276.6,,,0 CDM,90286,Noncdm Charge Record Medical Supplies,1019.13,509.56,,,0 CDM,90288,Noncdm Charge Record Medical Supplies,1019.13,509.56,,,0 CDM,90801,Noncdm Charge Record Medical Supplies,427.85,213.92,,,0 CDM,90802,Noncdm Charge Record Medical Supplies,460.16,230.08,,,0 CDM,90803,Noncdm Charge Record Medical Supplies,498.69,249.34,,,0 CDM,90804,Noncdm Charge Record Medical Supplies,448.31,224.16,,,0 CDM,90805,Noncdm Charge Record Medical Supplies,427.85,213.92,,,0 CDM,90825,Noncdm Charge Record Medical Supplies,632.82,316.41,,,0 CDM,90830,Noncdm Charge Record Medical Supplies,632.82,316.41,,,0 CDM,90882,Noncdm Charge Record Medical Supplies,760.66,380.33,,,0 CDM,90884,Noncdm Charge Record Medical Supplies,666.08,333.04,,,0 CDM,90885,Noncdm Charge Record Medical Supplies,984.91,492.46,,,0 CDM,90886,Noncdm Charge Record Medical Supplies,672.16,336.08,,,0 CDM,90888,Noncdm Charge Record Medical Supplies,681.6,340.8,,,0 CDM,90890,Noncdm Charge Record Medical Supplies,632.82,316.41,,,0 CDM,90892,Noncdm Charge Record Medical Supplies,697.26,348.63,,,0 CDM,90894,Noncdm Charge Record Medical Supplies,632.82,316.41,,,0 CDM,90896,Noncdm Charge Record Medical Supplies,632.82,316.41,,,0 CDM,90900,Noncdm Charge Record Medical Supplies,632.82,316.41,,,0 CDM,90904,Noncdm Charge Record Medical Supplies,632.82,316.41,,,0 CDM,90908,Noncdm Charge Record Medical Supplies,760.66,380.33,,,0 CDM,90912,Noncdm Charge Record Medical Supplies,632.82,316.41,,,0 CDM,91267,Noncdm Charge Record Medical Supplies,1599.78,799.89,,,0 CDM,91298,Noncdm Charge Record Medical Supplies,84.77,42.38,,,0 CDM,91445,Noncdm Charge Record Medical Supplies,345.0,172.5,,,0 CDM,91447,Noncdm Charge Record Medical Supplies,345.0,172.5,,,0 CDM,91700135,Chgl Research Study-Cut Slide,15.0,7.5,,,0 CDM,91700990,Chgl Research Study-Travel Histo,20.0,10.0,,,0 CDM,91700991,Chgl Research Study-Slide/Block Retrieval,67.0,33.5,,,0 CDM,91700993,Chgl Research Study-Admin,67.0,33.5,,,0 CDM,91702340,Chgl Research Study-Ihc Technical,67.0,33.5,,,0 CDM,91709786,Chgl Research Study-H&E,5.0,2.5,,,0 CDM,91747,Noncdm Charge Record Medical Supplies,1227.29,613.64,,,0 CDM,92000253,Chgl Research Study-Cytology Technical,67.0,33.5,,,0 CDM,92070,Noncdm Charge Record Medical Supplies,1215.78,607.89,,,0 CDM,92410,Noncdm Charge Record Medical Supplies,1415.7,707.85,,,0 CDM,9299,Noncdm Charge Record Medical Supplies,133.08,66.54,,,0 CDM,93269,Noncdm Charge Record Medical Supplies,434.7,217.35,,,0 CDM,93314,Noncdm Charge Record Medical Supplies,4645.5,2322.75,,,0 CDM,93315,Noncdm Charge Record Medical Supplies,4835.5,2417.75,,,0 CDM,93376,Noncdm Charge Record Medical Supplies,1300.0,650.0,,,0 CDM,93497,Noncdm Charge Record Medical Supplies,994.75,497.38,,,0 CDM,93689,Noncdm Charge Record Medical Supplies,800.4,400.2,,,0 CDM,93696,Noncdm Charge Record Medical Supplies,745.2,372.6,,,0 CDM,93699,Noncdm Charge Record Medical Supplies,745.2,372.6,,,0 CDM,94196,Noncdm Charge Record Medical Supplies,53.82,26.91,,,0 CDM,94507,Noncdm Charge Record Medical Supplies,1733.94,866.97,,,0 CDM,94511,Noncdm Charge Record Medical Supplies,745.2,372.6,,,0 CDM,94512,Noncdm Charge Record Medical Supplies,745.2,372.6,,,0 CDM,94523,Noncdm Charge Record Medical Supplies,800.4,400.2,,,0 CDM,94554,Noncdm Charge Record Medical Supplies,844.23,422.12,,,0 CDM,94563,Noncdm Charge Record Medical Supplies,2125.2,1062.6,,,0 CDM,94568,Noncdm Charge Record Medical Supplies,749.8,374.9,,,0 CDM,94569,Noncdm Charge Record Medical Supplies,726.8,363.4,,,0 CDM,94579,Noncdm Charge Record Medical Supplies,130.69,65.34,,,0 CDM,94718,Noncdm Charge Record Medical Supplies,818.15,409.08,,,0 CDM,94721,Noncdm Charge Record Medical Supplies,87.4,43.7,,,0 CDM,94722,Noncdm Charge Record Medical Supplies,109.25,54.62,,,0 CDM,94784,Noncdm Charge Record Medical Supplies,7.59,3.8,,,0 CDM,94817,Noncdm Charge Record Medical Supplies,96.6,48.3,,,0 CDM,95079,Noncdm Charge Record Medical Supplies,19.99,10.0,,,0 CDM,95080,Noncdm Charge Record Medical Supplies,30.53,15.26,,,0 CDM,95157,Noncdm Charge Record Medical Supplies,483.0,241.5,,,0 CDM,95238,Noncdm Charge Record Medical Supplies,1576.83,788.42,,,0 CDM,95348,Noncdm Charge Record Medical Supplies,239.62,119.81,,,0 CDM,95690,Noncdm Charge Record Medical Supplies,204.97,102.48,,,0 CDM,95710,Noncdm Charge Record Medical Supplies,196.47,98.24,,,0 CDM,958,Noncdm Charge Record Medical Supplies,6.97,3.48,,,0 CDM,95903,Noncdm Charge Record Medical Supplies,248.99,124.5,,,0 CDM,95920,Noncdm Charge Record Medical Supplies,5001.79,2500.9,,,0 CDM,95921,Noncdm Charge Record Medical Supplies,26.85,13.42,,,0 CDM,95922,Noncdm Charge Record Medical Supplies,5.83,2.92,,,0 CDM,95923,Noncdm Charge Record Medical Supplies,8.14,4.07,,,0 CDM,95926,Noncdm Charge Record Medical Supplies,5.66,2.83,,,0 CDM,95927,Noncdm Charge Record Medical Supplies,5.42,2.71,,,0 CDM,95928,Noncdm Charge Record Medical Supplies,24.58,12.29,,,0 CDM,95929,Noncdm Charge Record Medical Supplies,5.52,2.76,,,0 CDM,95930,Noncdm Charge Record Medical Supplies,33.76,16.88,,,0 CDM,95931,Noncdm Charge Record Medical Supplies,33.51,16.76,,,0 CDM,95932,Noncdm Charge Record Medical Supplies,39.18,19.59,,,0 CDM,95941,Noncdm Charge Record Medical Supplies,209.07,104.54,,,0 CDM,95943,Noncdm Charge Record Medical Supplies,662.33,331.16,,,0 CDM,95946,Noncdm Charge Record Medical Supplies,237.17,118.58,,,0 CDM,95950,Noncdm Charge Record Medical Supplies,261.27,130.64,,,0 CDM,95951,Noncdm Charge Record Medical Supplies,309.06,154.53,,,0 CDM,95952,Noncdm Charge Record Medical Supplies,331.65,165.82,,,0 CDM,95954,Noncdm Charge Record Medical Supplies,397.27,198.64,,,0 CDM,95955,Noncdm Charge Record Medical Supplies,502.32,251.16,,,0 CDM,95956,Noncdm Charge Record Medical Supplies,261.63,130.82,,,0 CDM,95957,Noncdm Charge Record Medical Supplies,126.01,63.0,,,0 CDM,95958,Noncdm Charge Record Medical Supplies,488.34,244.17,,,0 CDM,95959,Noncdm Charge Record Medical Supplies,369.21,184.6,,,0 CDM,95962,Noncdm Charge Record Medical Supplies,129.03,64.52,,,0 CDM,95968,Noncdm Charge Record Medical Supplies,114.62,57.31,,,0 CDM,95969,Noncdm Charge Record Medical Supplies,114.62,57.31,,,0 CDM,95983,Noncdm Charge Record Medical Supplies,1950.4,975.2,,,0 CDM,95991,Noncdm Charge Record Medical Supplies,26.52,13.26,,,0 CDM,95993,Noncdm Charge Record Medical Supplies,53.16,26.58,,,0 CDM,95995,Noncdm Charge Record Medical Supplies,8.21,4.1,,,0 CDM,95998,Noncdm Charge Record Medical Supplies,20.36,10.18,,,0 CDM,95999,Noncdm Charge Record Medical Supplies,15.13,7.56,,,0 CDM,96039,Noncdm Charge Record Medical Supplies,318.87,159.44,,,0 CDM,96043,Noncdm Charge Record Medical Supplies,366.39,183.2,,,0 CDM,96044,Noncdm Charge Record Medical Supplies,425.18,212.59,,,0 CDM,96072,Noncdm Charge Record Medical Supplies,218.72,109.36,,,0 CDM,96087,Noncdm Charge Record Medical Supplies,378.35,189.18,,,0 CDM,96270,Noncdm Charge Record Medical Supplies,297.07,148.54,,,0 CDM,96279,Noncdm Charge Record Medical Supplies,38.76,19.38,,,0 CDM,96293,Noncdm Charge Record Medical Supplies,323.38,161.69,,,0 CDM,96322,Noncdm Charge Record Medical Supplies,187.72,93.86,,,0 CDM,96324,Noncdm Charge Record Medical Supplies,40.48,20.24,,,0 CDM,96377,Noncdm Charge Record Medical Supplies,1051.57,525.78,,,0 CDM,96379,Noncdm Charge Record Medical Supplies,166.06,83.03,,,0 CDM,96384,Noncdm Charge Record Medical Supplies,504.74,252.37,,,0 CDM,96387,Noncdm Charge Record Medical Supplies,60.74,30.37,,,0 CDM,96390,Noncdm Charge Record Medical Supplies,135.7,67.85,,,0 CDM,96432,Noncdm Charge Record Medical Supplies,2264.86,1132.43,,,0 CDM,96500,Noncdm Charge Record Medical Supplies,245.1,122.55,,,0 CDM,96501,Noncdm Charge Record Medical Supplies,145.9,72.95,,,0 CDM,96502,Noncdm Charge Record Medical Supplies,180.08,90.04,,,0 CDM,96517,Noncdm Charge Record Medical Supplies,106.57,53.28,,,0 CDM,96523,Noncdm Charge Record Medical Supplies,91.94,45.97,,,0 CDM,96665,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,96684,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,96693,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,96717,Noncdm Charge Record Medical Supplies,1840.0,920.0,,,0 CDM,96813,Noncdm Charge Record Medical Supplies,1378.0,689.0,,,0 CDM,96818,Noncdm Charge Record Medical Supplies,12.46,6.23,,,0 CDM,96833,Noncdm Charge Record Medical Supplies,1590.45,795.22,,,0 CDM,96837,Noncdm Charge Record Medical Supplies,61.45,30.72,,,0 CDM,96842,Noncdm Charge Record Medical Supplies,227.85,113.92,,,0 CDM,96843,Noncdm Charge Record Medical Supplies,37.63,18.82,,,0 CDM,96844,Noncdm Charge Record Medical Supplies,118.0,59.0,,,0 CDM,96846,Noncdm Charge Record Medical Supplies,90.8,45.4,,,0 CDM,96870,Noncdm Charge Record Medical Supplies,76.54,38.27,,,0 CDM,96871,Noncdm Charge Record Medical Supplies,260.54,130.27,,,0 CDM,96875,Noncdm Charge Record Medical Supplies,2261.0,1130.5,,,0 CDM,96876,Noncdm Charge Record Medical Supplies,368.0,184.0,,,0 CDM,96889,Noncdm Charge Record Medical Supplies,44.9,22.45,,,0 CDM,96893,Noncdm Charge Record Medical Supplies,30.84,15.42,,,0 CDM,96894,Noncdm Charge Record Medical Supplies,14.24,7.12,,,0 CDM,96903,Noncdm Charge Record Medical Supplies,28.06,14.03,,,0 CDM,96904,Noncdm Charge Record Medical Supplies,84.17,42.08,,,0 CDM,96912,Noncdm Charge Record Medical Supplies,5.24,2.62,,,0 CDM,96920,Noncdm Charge Record Medical Supplies,111.47,55.74,,,0 CDM,96921,Noncdm Charge Record Medical Supplies,65.85,32.92,,,0 CDM,96922,Noncdm Charge Record Medical Supplies,57.24,28.62,,,0 CDM,96925,Noncdm Charge Record Medical Supplies,3.58,1.79,,,0 CDM,96933,Noncdm Charge Record Medical Supplies,180.03,90.02,,,0 CDM,97240,Noncdm Charge Record Medical Supplies,27.72,13.86,,,0 CDM,97284,Noncdm Charge Record Medical Supplies,4.78,2.39,,,0 CDM,97285,Noncdm Charge Record Medical Supplies,6.36,3.18,,,0 CDM,97286,Noncdm Charge Record Medical Supplies,3.2,1.6,,,0 CDM,97289,Noncdm Charge Record Medical Supplies,12.04,6.02,,,0 CDM,97310,Noncdm Charge Record Medical Supplies,970.6,485.3,,,0 CDM,97331,Noncdm Charge Record Medical Supplies,2095.78,1047.89,,,0 CDM,97379,Noncdm Charge Record Medical Supplies,199.1,99.55,,,0 CDM,97401,Noncdm Charge Record Medical Supplies,96.69,48.34,,,0 CDM,97449,Noncdm Charge Record Medical Supplies,28.06,14.03,,,0 CDM,97510,Noncdm Charge Record Medical Supplies,217.12,108.56,,,0 CDM,97520,Noncdm Charge Record Medical Supplies,57.24,28.62,,,0 CDM,97616,Noncdm Charge Record Medical Supplies,1233.62,616.81,,,0 CDM,97624,Noncdm Charge Record Medical Supplies,175.17,87.58,,,0 CDM,9783,Noncdm Charge Record Medical Supplies,365.33,182.66,,,0 CDM,9791,Noncdm Charge Record Medical Supplies,312.43,156.22,,,0 CDM,97975,Noncdm Charge Record Medical Supplies,296.61,148.3,,,0 CDM,97978,Noncdm Charge Record Medical Supplies,296.61,148.3,,,0 CDM,97998,Noncdm Charge Record Medical Supplies,889.33,444.66,,,0 CDM,98101,Noncdm Charge Record Medical Supplies,42.88,21.44,,,0 CDM,98104,Noncdm Charge Record Medical Supplies,1392.19,696.1,,,0 CDM,98107,Noncdm Charge Record Medical Supplies,92.0,46.0,,,0 CDM,98253,Noncdm Charge Record Medical Supplies,2005.11,1002.56,,,0 CDM,98254,Noncdm Charge Record Medical Supplies,2333.2,1166.6,,,0 CDM,98760,Noncdm Charge Record Medical Supplies,1006.76,503.38,,,0 CDM,98785,Noncdm Charge Record Medical Supplies,825.93,412.96,,,0 CDM,9880,Noncdm Charge Record Medical Supplies,114.5,57.25,,,0 CDM,98817,Noncdm Charge Record Medical Supplies,6.73,3.36,,,0 CDM,9882,Noncdm Charge Record Medical Supplies,67.3,33.65,,,0 CDM,9884,Noncdm Charge Record Medical Supplies,161.69,80.84,,,0 CDM,99271,Noncdm Charge Record Medical Supplies,595.26,297.63,,,0 CDM,99409,Noncdm Charge Record Medical Supplies,302.13,151.06,,,0 CDM,99412,Noncdm Charge Record Medical Supplies,243.8,121.9,,,0 CDM,99413,Noncdm Charge Record Medical Supplies,243.8,121.9,,,0 CDM,99674,Noncdm Charge Record Medical Supplies,736.0,368.0,,,0 CDM,A4100_0278,Noncdm Charge Record Medical Supplies,8242.41,4121.2,,,0 CDM,A6210_0272,Noncdm Charge Record Medical Supplies,66.79,33.4,,,0 CDM,C1713_0272,Noncdm Charge Record Medical Supplies,606.36,303.18,,,0 CDM,C1713_0278,Noncdm Charge Record Medical Supplies,334.12,167.06,,,0 CDM,C1725_0272,Noncdm Charge Record Medical Supplies,751.82,375.91,,,0 CDM,C1729_0272,Noncdm Charge Record Medical Supplies,101.28,50.64,,,0 CDM,C1729_0278,Noncdm Charge Record Medical Supplies,295.92,147.96,,,0 CDM,C1751_0278,Noncdm Charge Record Medical Supplies,1164.03,582.02,,,0 CDM,C1757_0272,Noncdm Charge Record Medical Supplies,547.4,273.7,,,0 CDM,C1758_0272,Noncdm Charge Record Medical Supplies,152.26,76.13,,,0 CDM,C1765_0278,Noncdm Charge Record Medical Supplies,1557.24,778.62,,,0 CDM,C1767_0278,Noncdm Charge Record Medical Supplies,1150.0,575.0,,,0 CDM,C1769_0272,Noncdm Charge Record Medical Supplies,498.81,249.4,,,0 CDM,C1769_0278,Noncdm Charge Record Medical Supplies,606.45,303.22,,,0 CDM,C1776_0278,Noncdm Charge Record Medical Supplies,7357.13,3678.56,,,0 CDM,C1822_0272,Noncdm Charge Record Medical Supplies,1900.0,950.0,,,0 CDM,C1822_0278,Noncdm Charge Record Medical Supplies,1900.0,950.0,,,0 CDM,C1887_0272,Noncdm Charge Record Medical Supplies,1003.86,501.93,,,0 CDM,C1894_0272,Noncdm Charge Record Medical Supplies,85.37,42.68,,,0 CDM,C1894_0278,Noncdm Charge Record Medical Supplies,245.33,122.66,,,0 CDM,C1897_0278,Noncdm Charge Record Medical Supplies,6555.0,3277.5,,,0 CDM,C2618_0278,Noncdm Charge Record Medical Supplies,2005.6,1002.8,,,0 CDM,C2625_0272,Noncdm Charge Record Medical Supplies,41.4,20.7,,,0 CDM,HBG1001,Hb Cdsm Evicore,0.01,0.01,,,0 CDM,HBG1002,Hb Cdsm Medcurrent,0.01,0.01,,,0 CDM,HBG1003,Hb Cdsm Medicalis,0.01,0.01,,,0 CDM,HBG1004,Hb Cdsm Ndsc,0.01,0.01,,,0 CDM,HBG1005,Hb Cdsm Nia,0.01,0.01,,,0 CDM,HBG1006,Hb Cdsm Test Approp,0.01,0.01,,,0 CDM,HBG1007,Hb Cdsm Aim,0.01,0.01,,,0 CDM,HBG1008,Hb Cdsm Cranberry Pk,0.01,0.01,,,0 CDM,HBG1009,Hb Cdsm Sage Health,0.01,0.01,,,0 CDM,HBG1010,Hb Cdsm Stanson,0.01,0.01,,,0 CDM,HBG1011,Hb Cdsm Qualified Nos,0.01,0.01,,,0 CDM,HBG1012,Hb Cdsm Agilemd's Clinical Decision Support Mechanism,0.01,0.01,,,0 CDM,HBG1013,Hb Cdsm Evidencecare's Imaging Advisor,0.01,0.01,,,0 CDM,HBG1014,Hb Cdsm Inveniqa's Semantic Answers In Medicine,0.01,0.01,,,0 CDM,HBG1015,Hb Cdsm Reliant Medical Group Cdsm,0.01,0.01,,,0 CDM,HBG1016,Hb Cdsm Speed Of Care Cdsm,0.01,0.01,,,0 CDM,HBG1017,Hb Cdsm Healthhelp's Clinical Decision Support Mechanism,0.01,0.01,,,0 CDM,HBG1018,Hb Cdsm Infinx Cdsm,0.01,0.01,,,0 CDM,HBG1019,Hb Cdsm Logicnets Auc Solution,0.01,0.01,,,0 CDM,ITM00000107,Noncdm Charge Record Medical Supplies,5301.0,2650.5,,,0 CDM,ITM00000113,Noncdm Charge Record Medical Supplies,2340.0,1170.0,,,0 CDM,ITM00000117,Noncdm Charge Record Medical Supplies,2945.0,1472.5,,,0 CDM,ITM00000210,Noncdm Charge Record Medical Supplies,3.96,1.98,,,0 CDM,ITM00000247,Noncdm Charge Record Medical Supplies,1357.0,678.5,,,0 CDM,ITM00000269,Noncdm Charge Record Medical Supplies,1490.6,745.3,,,0 CDM,ITM00000326,Noncdm Charge Record Medical Supplies,3515.0,1757.5,,,0 CDM,ITM00000404,Noncdm Charge Record Medical Supplies,13402.13,6701.06,,,0 CDM,ITM00000408,Noncdm Charge Record Medical Supplies,1872.0,936.0,,,0 CDM,ITM00000423,Noncdm Charge Record Medical Supplies,4796.55,2398.28,,,0 CDM,ITM00000440,Noncdm Charge Record Medical Supplies,1380.0,690.0,,,0 CDM,ITM00000670,Noncdm Charge Record Medical Supplies,1219.0,609.5,,,0 CDM,ITM00000672,Noncdm Charge Record Medical Supplies,1219.0,609.5,,,0 CDM,ITM00000673,Noncdm Charge Record Medical Supplies,1219.0,609.5,,,0 CDM,ITM00000743,Noncdm Charge Record Medical Supplies,14535.0,7267.5,,,0 CDM,ITM00000748,Noncdm Charge Record Medical Supplies,2660.0,1330.0,,,0 CDM,ITM00000926,Noncdm Charge Record Medical Supplies,537.47,268.74,,,0 CDM,ITM00000938,Noncdm Charge Record Medical Supplies,1443.26,721.63,,,0 CDM,ITM00000947,Noncdm Charge Record Medical Supplies,1443.26,721.63,,,0 CDM,ITM00000949,Noncdm Charge Record Medical Supplies,1681.16,840.58,,,0 CDM,ITM00000965,Noncdm Charge Record Medical Supplies,2208.0,1104.0,,,0 CDM,ITM00001053,Noncdm Charge Record Medical Supplies,4370.0,2185.0,,,0 CDM,ITM00001142,Noncdm Charge Record Medical Supplies,460.0,230.0,,,0 CDM,ITM00001143,Noncdm Charge Record Medical Supplies,460.0,230.0,,,0 CDM,ITM00001332,Noncdm Charge Record Medical Supplies,4573.21,2286.6,,,0 CDM,ITM00001346,Noncdm Charge Record Medical Supplies,2433.1,1216.55,,,0 CDM,ITM00001415,Noncdm Charge Record Medical Supplies,3610.0,1805.0,,,0 CDM,ITM00001416,Noncdm Charge Record Medical Supplies,3610.0,1805.0,,,0 CDM,ITM00001466,Noncdm Charge Record Medical Supplies,1690.0,845.0,,,0 CDM,ITM00001505,Noncdm Charge Record Medical Supplies,1950.0,975.0,,,0 CDM,ITM00001508,Noncdm Charge Record Medical Supplies,2069.1,1034.55,,,0 CDM,ITM00001522,Noncdm Charge Record Medical Supplies,1288.0,644.0,,,0 CDM,ITM00001569,Noncdm Charge Record Medical Supplies,1560.0,780.0,,,0 CDM,ITM00001589,Noncdm Charge Record Medical Supplies,2028.0,1014.0,,,0 CDM,ITM00001609,Noncdm Charge Record Medical Supplies,1380.0,690.0,,,0 CDM,ITM00001618,Noncdm Charge Record Medical Supplies,7220.0,3610.0,,,0 CDM,ITM00001652,Noncdm Charge Record Medical Supplies,460.0,230.0,,,0 CDM,ITM00001664,Noncdm Charge Record Medical Supplies,1560.0,780.0,,,0 CDM,ITM00001726,Noncdm Charge Record Medical Supplies,2464.8,1232.4,,,0 CDM,ITM00001727,Noncdm Charge Record Medical Supplies,2508.0,1254.0,,,0 CDM,ITM00001728,Noncdm Charge Record Medical Supplies,3648.0,1824.0,,,0 CDM,ITM00001729,Noncdm Charge Record Medical Supplies,6004.0,3002.0,,,0 CDM,ITM00001782,Noncdm Charge Record Medical Supplies,3752.5,1876.25,,,0 CDM,ITM00001879,Noncdm Charge Record Medical Supplies,4560.0,2280.0,,,0 CDM,ITM00001880,Noncdm Charge Record Medical Supplies,2280.0,1140.0,,,0 CDM,ITM00001926,Noncdm Charge Record Medical Supplies,584.43,292.22,,,0 CDM,ITM00001977,Noncdm Charge Record Medical Supplies,7410.0,3705.0,,,0 CDM,ITM00001979,Noncdm Charge Record Medical Supplies,1380.0,690.0,,,0 CDM,ITM00001999,Noncdm Charge Record Medical Supplies,699.2,349.6,,,0 CDM,ITM00002010,Noncdm Charge Record Medical Supplies,423.2,211.6,,,0 CDM,ITM00002022,Noncdm Charge Record Medical Supplies,1308.74,654.37,,,0 CDM,ITM00002087,Noncdm Charge Record Medical Supplies,1300.0,650.0,,,0 CDM,ITM00002116,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,ITM00002130,Noncdm Charge Record Medical Supplies,3239.5,1619.75,,,0 CDM,ITM00002154,Noncdm Charge Record Medical Supplies,10370.2,5185.1,,,0 CDM,ITM00002159,Noncdm Charge Record Medical Supplies,10370.2,5185.1,,,0 CDM,ITM00002161,Noncdm Charge Record Medical Supplies,10370.2,5185.1,,,0 CDM,ITM00002170,Noncdm Charge Record Medical Supplies,1300.0,650.0,,,0 CDM,ITM00002185,Noncdm Charge Record Medical Supplies,560.96,280.48,,,0 CDM,ITM00002186,Noncdm Charge Record Medical Supplies,560.96,280.48,,,0 CDM,ITM00002187,Noncdm Charge Record Medical Supplies,92.0,46.0,,,0 CDM,ITM00002189,Noncdm Charge Record Medical Supplies,1242.0,621.0,,,0 CDM,ITM00002202,Noncdm Charge Record Medical Supplies,2757.89,1378.94,,,0 CDM,ITM00002203,Noncdm Charge Record Medical Supplies,20234.22,10117.11,,,0 CDM,ITM00002204,Noncdm Charge Record Medical Supplies,3230.0,1615.0,,,0 CDM,ITM00002205,Noncdm Charge Record Medical Supplies,6593.33,3296.66,,,0 CDM,ITM00002216,Noncdm Charge Record Medical Supplies,1932.0,966.0,,,0 CDM,ITM00002288,Noncdm Charge Record Medical Supplies,1326.0,663.0,,,0 CDM,ITM00002294,Noncdm Charge Record Medical Supplies,40.65,20.32,,,0 CDM,ITM00002316,Noncdm Charge Record Medical Supplies,136.23,68.12,,,0 CDM,ITM00002341,Noncdm Charge Record Medical Supplies,138.54,69.27,,,0 CDM,ITM00002657,Noncdm Charge Record Medical Supplies,2275.0,1137.5,,,0 CDM,ITM00002658,Noncdm Charge Record Medical Supplies,2275.0,1137.5,,,0 CDM,ITM00002659,Noncdm Charge Record Medical Supplies,2275.0,1137.5,,,0 CDM,ITM00002660,Noncdm Charge Record Medical Supplies,2275.0,1137.5,,,0 CDM,ITM00002667,Noncdm Charge Record Medical Supplies,488.38,244.19,,,0 CDM,ITM00002669,Noncdm Charge Record Medical Supplies,544.59,272.3,,,0 CDM,ITM00002680,Noncdm Charge Record Medical Supplies,524.03,262.02,,,0 CDM,ITM00002701,Noncdm Charge Record Medical Supplies,700.95,350.48,,,0 CDM,ITM00002708,Noncdm Charge Record Medical Supplies,613.09,306.54,,,0 CDM,ITM00002715,Noncdm Charge Record Medical Supplies,671.55,335.78,,,0 CDM,ITM00002726,Noncdm Charge Record Medical Supplies,441.83,220.92,,,0 CDM,ITM00002732,Noncdm Charge Record Medical Supplies,585.72,292.86,,,0 CDM,ITM00002734,Noncdm Charge Record Medical Supplies,585.72,292.86,,,0 CDM,ITM00002743,Noncdm Charge Record Medical Supplies,613.09,306.54,,,0 CDM,ITM00002757,Noncdm Charge Record Medical Supplies,863.14,431.57,,,0 CDM,ITM00002759,Noncdm Charge Record Medical Supplies,595.98,297.99,,,0 CDM,ITM00002760,Noncdm Charge Record Medical Supplies,667.92,333.96,,,0 CDM,ITM00002774,Noncdm Charge Record Medical Supplies,1265.0,632.5,,,0 CDM,ITM00002782,Noncdm Charge Record Medical Supplies,1265.0,632.5,,,0 CDM,ITM00002787,Noncdm Charge Record Medical Supplies,585.72,292.86,,,0 CDM,ITM00002816,Noncdm Charge Record Medical Supplies,602.98,301.49,,,0 CDM,ITM00002818,Noncdm Charge Record Medical Supplies,9120.0,4560.0,,,0 CDM,ITM00002820,Noncdm Charge Record Medical Supplies,9120.0,4560.0,,,0 CDM,ITM00002840,Noncdm Charge Record Medical Supplies,3040.0,1520.0,,,0 CDM,ITM00002842,Noncdm Charge Record Medical Supplies,3040.0,1520.0,,,0 CDM,ITM00002843,Noncdm Charge Record Medical Supplies,3040.0,1520.0,,,0 CDM,ITM00002851,Noncdm Charge Record Medical Supplies,115.0,57.5,,,0 CDM,ITM00002852,Noncdm Charge Record Medical Supplies,115.0,57.5,,,0 CDM,ITM00002862,Noncdm Charge Record Medical Supplies,345.0,172.5,,,0 CDM,ITM00002863,Noncdm Charge Record Medical Supplies,345.0,172.5,,,0 CDM,ITM00002864,Noncdm Charge Record Medical Supplies,345.0,172.5,,,0 CDM,ITM00002882,Noncdm Charge Record Medical Supplies,1430.0,715.0,,,0 CDM,ITM00002883,Noncdm Charge Record Medical Supplies,1430.0,715.0,,,0 CDM,ITM00002884,Noncdm Charge Record Medical Supplies,1430.0,715.0,,,0 CDM,ITM00002890,Noncdm Charge Record Medical Supplies,1300.0,650.0,,,0 CDM,ITM00002893,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,ITM00002900,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,ITM00002901,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,ITM00002983,Noncdm Charge Record Medical Supplies,4796.55,2398.28,,,0 CDM,ITM00002987,Noncdm Charge Record Medical Supplies,2069.1,1034.55,,,0 CDM,ITM00003003,Noncdm Charge Record Medical Supplies,1300.0,650.0,,,0 CDM,ITM00003012,Noncdm Charge Record Medical Supplies,2346.5,1173.25,,,0 CDM,ITM00003013,Noncdm Charge Record Medical Supplies,2346.5,1173.25,,,0 CDM,ITM00003030,Noncdm Charge Record Medical Supplies,1702.27,851.14,,,0 CDM,ITM00003031,Noncdm Charge Record Medical Supplies,1779.65,889.82,,,0 CDM,ITM00003033,Noncdm Charge Record Medical Supplies,1779.65,889.82,,,0 CDM,ITM00003058,Noncdm Charge Record Medical Supplies,690.0,345.0,,,0 CDM,ITM00003296,Noncdm Charge Record Medical Supplies,1035.0,517.5,,,0 CDM,ITM00003303,Noncdm Charge Record Medical Supplies,6555.0,3277.5,,,0 CDM,ITM00003341,Noncdm Charge Record Medical Supplies,125.76,62.88,,,0 CDM,ITM00003361,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 CDM,ITM00003380,Noncdm Charge Record Medical Supplies,920.0,460.0,,,0 CDM,ITM00003510,Noncdm Charge Record Medical Supplies,139.4,69.7,,,0 CDM,ITM00003528,Noncdm Charge Record Medical Supplies,20768.9,10384.45,,,0 CDM,ITM00003530,Noncdm Charge Record Medical Supplies,135.78,67.89,,,0 CDM,ITM00003578,Noncdm Charge Record Medical Supplies,147.98,73.99,,,0 CDM,ITM00003641,Noncdm Charge Record Medical Supplies,1430.0,715.0,,,0 CDM,ITM00003794,Noncdm Charge Record Medical Supplies,1872.0,936.0,,,0 CDM,ITM00003913,Noncdm Charge Record Medical Supplies,73.74,36.87,,,0 CDM,ITM00004023,Noncdm Charge Record Medical Supplies,1950.0,975.0,,,0 CDM,ITM00004185,Noncdm Charge Record Medical Supplies,3040.0,1520.0,,,0 CDM,ITM00004321,Noncdm Charge Record Medical Supplies,3325.0,1662.5,,,0 CDM,ITM00004322,Noncdm Charge Record Medical Supplies,5472.0,2736.0,,,0 CDM,ITM00004482,Noncdm Charge Record Medical Supplies,632.87,316.44,,,0 CDM,ITM00004487,Noncdm Charge Record Medical Supplies,114.1,57.05,,,0 CDM,ITM00004498,Noncdm Charge Record Medical Supplies,1817.0,908.5,,,0 CDM,ITM00004510,Noncdm Charge Record Medical Supplies,271.4,135.7,,,0 CDM,ITM00004589,Noncdm Charge Record Medical Supplies,1560.0,780.0,,,0 CDM,ITM00004633,Noncdm Charge Record Medical Supplies,3325.0,1662.5,,,0 CDM,ITM00004853,Noncdm Charge Record Medical Supplies,1909.7,954.85,,,0 CDM,ITM00004854,Noncdm Charge Record Medical Supplies,1883.0,941.5,,,0 CDM,ITM00004856,Noncdm Charge Record Medical Supplies,2358.2,1179.1,,,0 CDM,ITM00004870,Noncdm Charge Record Medical Supplies,483.0,241.5,,,0 CDM,ITM00004896,Noncdm Charge Record Medical Supplies,18050.0,9025.0,,,0 CDM,ITM00004899,Noncdm Charge Record Medical Supplies,18335.0,9167.5,,,0 CDM,ITM00004906,Noncdm Charge Record Medical Supplies,71.47,35.74,,,0 CDM,ITM00004907,Noncdm Charge Record Medical Supplies,116.36,58.18,,,0 CDM,ITM00004916,Noncdm Charge Record Medical Supplies,97.26,48.63,,,0 CDM,ITM00005132,Noncdm Charge Record Medical Supplies,108.95,54.48,,,0 CDM,ITM00005136,Noncdm Charge Record Medical Supplies,72.11,36.06,,,0 CDM,ITM00005138,Noncdm Charge Record Medical Supplies,84.56,42.28,,,0 CDM,ITM00005349,Noncdm Charge Record Medical Supplies,53.18,26.59,,,0 CDM,ITM00005432,Noncdm Charge Record Medical Supplies,11352.5,5676.25,,,0 CDM,ITM00005478,Noncdm Charge Record Medical Supplies,2069.1,1034.55,,,0 CDM,ITM00005613,Noncdm Charge Record Medical Supplies,2069.1,1034.55,,,0 CDM,ITM00005636,Noncdm Charge Record Medical Supplies,999.62,499.81,,,0 CDM,ITM00005673,Noncdm Charge Record Medical Supplies,2087.8,1043.9,,,0 CDM,ITM00005714,Noncdm Charge Record Medical Supplies,864.8,432.4,,,0 CDM,ITM00005715,Noncdm Charge Record Medical Supplies,864.8,432.4,,,0 CDM,ITM00005735,Noncdm Charge Record Medical Supplies,588.8,294.4,,,0 CDM,ITM00005739,Noncdm Charge Record Medical Supplies,616.4,308.2,,,0 CDM,ITM00005827,Noncdm Charge Record Medical Supplies,2178.8,1089.4,,,0 CDM,ITM00005833,Noncdm Charge Record Medical Supplies,441.6,220.8,,,0 CDM,ITM00005918,Noncdm Charge Record Medical Supplies,800.4,400.2,,,0 CDM,ITM00006081,Noncdm Charge Record Medical Supplies,1921.74,960.87,,,0 CDM,ITM00007247,Noncdm Charge Record Medical Supplies,5967.9,2983.95,,,0 CDM,ITM00007540,Noncdm Charge Record Medical Supplies,200.0,100.0,,,0 CDM,ITM00007542,Noncdm Charge Record Medical Supplies,200.0,100.0,,,0 CDM,ITM00008238,Noncdm Charge Record Medical Supplies,230.0,115.0,,,0 HCPCS,00000,"Chgl (Qu) Serum Integrated Screen, Part 1, S/O",15.0,7.5,,,0 HCPCS,0001U,Rbc dna hea 35 ag 11 bld grp,,,720.0,864.0,9 HCPCS,0002M,Liver dis 10 assays w/ash,,,503.4,528.57,7 HCPCS,0002U,Onc clrct 3 ur metab alg plp,,,25.0,30.0,9 HCPCS,0003M,Liver dis 10 assays w/nash,,,503.4,528.57,7 HCPCS,0003U,Onc ovar 5 prtn ser alg scor,,,950.0,1140.0,9 HCPCS,0004M,Scoliosis dna alys,,,79.0,82.95,7 HCPCS,0005U,Onco prst8 3 gene ur alg,,,760.0,912.0,9 HCPCS,0006M,Onc hep gene risk classifier,,,150.0,157.5,7 HCPCS,0007M,Onc gastro 51 gene nomogram,,,375.0,393.75,7 HCPCS,0007U,Rx test prsmv ur w/def conf,,,114.43,137.32,9 HCPCS,0008U,Hpylori detcj abx rstnc dna,,,597.91,717.49,9 HCPCS,0009U,Onc brst ca erbb2 amp/nonamp,,,107.0,128.4,9 HCPCS,0010U,Nfct ds strn typ whl gen seq,,,427.26,512.71,9 HCPCS,0011M,Onc prst8 ca mrna 12 gen alg,,,760.0,912.0,9 HCPCS,0011U,Rx mntr lc-ms/ms oral fluid,,,114.43,137.32,9 HCPCS,0012M,Onc mrna 5 gen rsk urthl ca,,,760.0,912.0,9 HCPCS,0013M,Onc mrna 5 gen recr urthl ca,,,760.0,912.0,9 HCPCS,0015M,Adrnl cortcl tum bchm asy 25,,,1305.37,1566.44,9 HCPCS,0016M,Onc bladder mrna 209 gen alg,,,3489.63,4187.56,9 HCPCS,0016U,Onc hmtlmf neo rna bcr/abl1,,,163.96,242.9,9 HCPCS,0017M,Onc dlbcl mrna 20 genes alg,,,2510.21,3012.25,9 HCPCS,0017U,Onc hmtlmf neo jak2 mut dna,,,91.66,135.8,9 HCPCS,0018M,Trnsplj rnl meas cd154+cll,,,640.73,768.88,9 HCPCS,0018U,"Chgl (Lc) Thyramir Thyroid Mirna Classifier, S/O",2015.0,1007.5,,,0 HCPCS,0018U,Onc thyr 10 microrna seq alg,,,3002.09,3602.51,9 HCPCS,0019M,Cv ds plasma alys prtn bmrk,,,712.4,748.02,7 HCPCS,0019U,Onc rna tiss predict alg,,,3675.0,4410.0,9 HCPCS,0021U,Onc prst8 detcj 8 autoantb,,,760.0,912.0,9 HCPCS,0022U,Trgt gen seq dna&rna 23 gene,,,1950.0,2340.0,9 HCPCS,0023U,Onc aml dna detcj/nondetcj,,,248.51,298.21,9 HCPCS,0024U,Glyca nuc mr spectrsc quan,,,34.19,42.07,9 HCPCS,0025U,Tenofovir liq chrom ur quan,,,114.36,120.15,9 HCPCS,0026U,Onc thyr dna&mrna 112 genes,,,3600.0,4320.0,9 HCPCS,0027U,Jak2 gene trgt seq alys,,,121.91,180.62,9 HCPCS,0029U,Rx metab advrs trgt seq alys,,,742.27,890.72,9 HCPCS,0030U,Rx metab warf trgt seq alys,,,134.13,160.96,9 HCPCS,0031U,Cyp1a2 gene,,,174.81,209.77,9 HCPCS,0032U,Comt gene,,,174.81,209.77,9 HCPCS,0033U,Htr2a htr2c genes,,,349.62,419.54,5 HCPCS,0034U,Tpmt nudt15 genes,,,466.17,559.4,9 HCPCS,0035U,"Chgl (Qu) 14-3-3 Protein, Csf (Prion Disease), S/O",632.0,316.0,,,0 HCPCS,0035U,Neuro csf prion prtn qual,,,540.99,649.19,9 HCPCS,0036U,Xome tum & nml spec seq alys,,,4780.0,5736.0,9 HCPCS,0037U,"Chgl (Fmi) Foundationone Cdx, S/O",3515.0,1757.5,,,0 HCPCS,0037U,Trgt gen seq dna 324 genes,,,3500.0,4200.0,9 HCPCS,0038U,Vitamin d srm microsamp quan,,,29.6,39.47,9 HCPCS,0039U,Dna antb 2strand hi avidity,,,13.74,18.32,9 HCPCS,0040U,Bcr/abl1 gene major bp quan,,,409.9,546.54,9 HCPCS,0041U,B brgdrferi antb 5 prtn igm,,,17.21,20.65,9 HCPCS,0042T,Chgr-Ct Head Perfusion,3643.0,1821.5,,,0 HCPCS,0042T,Ct perfusion w/contrast cbf,,,1635.0,1682.0,3 HCPCS,0042U,B brgdrferi antb 12 prtn igg,,,17.21,20.65,9 HCPCS,0043U,Tbrf b grp antb 4 prtn igm,,,14.86,17.83,9 HCPCS,0044U,Tbrf b grp antb 4 prtn igg,,,14.86,17.83,9 HCPCS,0045U,Onc brst dux carc is 12 gene,,,3873.0,4647.6,9 HCPCS,0046U,Flt3 gene itd variants quan,,,198.61,427.8,9 HCPCS,0047U,Onc prst8 mrna 17 gene alg,,,3873.0,4647.6,9 HCPCS,0048U,Onc sld org neo dna 468 gene,,,2919.6,3503.52,9 HCPCS,0049U,Npm1 gene analysis quan,,,295.82,427.8,9 HCPCS,0050U,Trgt gen seq dna 194 genes,,,2916.6,3499.92,9 HCPCS,0051U,Rx mntr lc-ms/ms ur 31 pnl,,,246.76,259.27,9 HCPCS,0052U,Lpoprtn bld w/5 maj classes,,,33.86,40.63,9 HCPCS,0054T,Bone srgry cmptr fluor image,,,2375.0,2633.0,2 HCPCS,0054U,Rx mntr 14+ drugs & sbsts,,,198.62,208.68,9 HCPCS,0055T,Bone srgry cmptr ct/mri imag,,,2375.0,2633.0,2 HCPCS,0055U,Card hrt trnspl 96 dna seq,,,3240.0,3888.0,9 HCPCS,0058U,Onc merkel cll carc srm quan,,,322.96,430.62,9 HCPCS,0059U,Onc merkel cll carc srm +/-,,,322.96,430.62,9 HCPCS,0060U,Twn zyg gen seq alys chrms2,,,759.05,910.86,9 HCPCS,0061U,Tc meas 5 bmrk sfdi m-s alys,,,25.1,33.42,9 HCPCS,0062U,Ai sle igg&igm alys 80 bmrk,,,380.72,456.86,9 HCPCS,0063U,Neuro autism 32 amines alg,,,750.0,900.0,9 HCPCS,0064U,Antb tp total&rpr ia qual,,,31.33,37.6,9 HCPCS,0065U,Syfls tst nontreponemal antb,,,18.09,21.71,9 HCPCS,0066U,Pamg-1 ia cervico-vag fluid,,,15.29,15.29,3 HCPCS,0067U,Onc brst imhchem prfl 4 bmrk,,,1897.0,2276.4,9 HCPCS,0068U,Candida species pnl amp prb,,,142.63,171.16,9 HCPCS,0069U,Onc clrct microrna mir-31-3p,,,380.0,456.0,9 HCPCS,0070U,Cyp2d6 gen com&slct rar vrnt,,,676.37,811.64,9 HCPCS,0071T,Us leiomyomata ablate <200,,,3221.58,14111.0,10 HCPCS,0071U,Cyp2d6 full gene sequence,,,361.62,630.0,9 HCPCS,0072T,Us leiomyomata ablate >200,,,3221.58,14111.0,10 HCPCS,0072U,Cyp2d6 gen cyp2d6-2d7 hybrid,,,450.91,541.09,9 HCPCS,0073U,Cyp2d6 gen cyp2d7-2d6 hybrid,,,450.91,541.09,9 HCPCS,0074U,Cyp2d6 nonduplicated gene,,,450.91,541.09,9 HCPCS,0075T,Perq Stent/Chest Vert Art,,,5226.0,5790.0,2 HCPCS,0075T,"Stent,Vert/Intrathor Cartd,Ini",26713.0,13356.5,,,0 HCPCS,0075U,Cyp2d6 5' gene dup/mlt,,,450.91,541.09,9 HCPCS,0076T,S&I Stent/Chest Vert Art,,,5226.0,5790.0,2 HCPCS,0076U,Cyp2d6 3' gene dup/mlt,,,450.91,541.09,9 HCPCS,0077U,Ig paraprotein qual bld/ur,,,43.43,52.12,9 HCPCS,0078U,Pain mgt opi use gnotyp pnl,,,450.91,541.09,5 HCPCS,0080U,Onc lng 5 clin rsk factr alg,,,3520.0,4224.0,9 HCPCS,0082U,Rx test def 90+ rx/sbsts ur,,,246.92,296.3,9 HCPCS,0083U,Onc rspse chemo cntrst tomog,,,167.35,200.82,9 HCPCS,0084U,Rbc dna gnotyp 10 bld groups,,,720.0,864.0,9 HCPCS,0085T,Breath Test Heart Reject,,,5220.0,5220.0,1 HCPCS,0086U,Nfct ds bact&fng org id 6+,,,200.0,240.0,9 HCPCS,0087U,Crd hrt trnspl mrna 1283 gen,,,3159.42,3791.3,9 HCPCS,0088U,Trnsplj kdn algrft rej 1494,,,3159.42,3791.3,9 HCPCS,0089U,Onc mlnma prame & linc00518,,,760.0,912.0,9 HCPCS,0090U,Onc cutan mlnma mrna 23 gene,,,1950.0,2340.0,9 HCPCS,0092U,Onc lng 3 prtn bmrk plsm alg,,,2488.0,2985.6,9 HCPCS,0093U,Rx mntr 65 com drugs urine,,,62.14,74.57,9 HCPCS,0094U,Genome rapid sequence alys,,,7582.2,9098.64,9 HCPCS,0095U,Inflm ee elisa alys alg,,,771.98,926.38,9 HCPCS,0096U,Hpv hi risk types male urine,,,35.09,42.11,9 HCPCS,0099T,Implant Corneal Ring,,,6448.0,6448.0,1 HCPCS,0100T,Prosth Retina Receive&Gen,,,13700.0,60970.0,3 HCPCS,0101T,Extracorp shockwv tx hi enrg,,,245.48,19040.0,10 HCPCS,0101U,Hered colon ca do 15 genes,,,1403.76,1831.15,9 HCPCS,0102T,Extracorp shockwv tx anesth,,,3256.29,19040.0,10 HCPCS,0102U,Hered brst ca rltd do 17 gen,,,1303.95,1369.15,9 HCPCS,0103U,Hered ova ca pnl 24 genes,,,1341.58,1831.15,9 HCPCS,0105U,Neph ckd mult eclia tum nec,,,950.0,1140.0,9 HCPCS,0106T,Touch Quant Sensory Test,,,37.17,128.95,7 HCPCS,0106U,Gstr emptg 7 timed brth spec,,,874.49,1049.39,9 HCPCS,0107T,Vibrate Quant Sensory Test,,,37.17,128.95,7 HCPCS,0107U,C diff tox ag detcj ia stool,,,16.0,19.2,9 HCPCS,0108T,Cool Quant Sensory Test,,,58.71,203.66,7 HCPCS,0108U,Gi barrett esoph 9 prtn bmrk,,,3015.9,5197.5,9 HCPCS,0109T,Heat Quant Sensory Test,,,37.17,128.95,7 HCPCS,0109U,Id aspergillus dna 4 species,,,142.63,171.16,9 HCPCS,0110T,Nos Quant Sensory Test,,,132.41,459.34,7 HCPCS,0110U,Rx mntr 1+oral onc rx&sbsts,,,27.11,32.53,9 HCPCS,0111U,Onc colon ca kras&nras alys,,,682.29,818.75,9 HCPCS,0112U,Iadi 16s&18s rrna genes,,,356.13,427.36,9 HCPCS,0113U,Onc prst8 pca3&tmprss2-erg,,,760.0,912.0,9 HCPCS,0114U,Gi barretts esoph vim&ccna1,,,1938.01,2325.61,9 HCPCS,0115U,Respir iadna 18 viral&2 bact,,,275.35,330.42,9 HCPCS,0116U,Rx mntr nzm ia 35+oral flu,,,246.92,296.3,9 HCPCS,0117U,Pain mgmt 11 endogenous anal,,,840.65,1008.78,9 HCPCS,0118U,Trnsplj don-drv cll-fr dna,,,2753.25,3303.9,9 HCPCS,0119U,Crd ceramides liq chrom plsm,,,83.76,100.51,9 HCPCS,0120U,Onc b cll lymphm mrna 58 gen,,,2510.21,3346.94,9 HCPCS,0121U,Sc dis vcam-1 whole blood,,,509.2,611.04,9 HCPCS,0122U,Sc dis p-selectin whl blood,,,526.23,631.48,9 HCPCS,0123T,Scleral Fistulization,,,10181.0,10181.0,1 HCPCS,0123U,Mchnl fragility rbc prflg,,,357.63,429.16,9 HCPCS,0124T,Conjunctival Drug Placement,,,3408.0,3408.0,1 HCPCS,0126T,Chd Risk Imt Study,,,5220.0,5220.0,1 HCPCS,0129U,Hered brst ca rltd do panel,,,1303.95,1369.15,9 HCPCS,0130U,Hered colon ca do mrna pnl,,,584.9,701.88,9 HCPCS,0131U,Hered brst ca rltd do pnl 13,,,710.0,852.0,5 HCPCS,0132U,Hered ova ca rltd do pnl 17,,,741.64,889.97,5 HCPCS,0133U,Hered prst8 ca rltd do 11,,,690.29,828.35,9 HCPCS,0134U,Hered pan ca mrna pnl 18 gen,,,748.39,898.07,9 HCPCS,0135U,Hered gyn ca mrna pnl 12 gen,,,700.56,840.67,5 HCPCS,0136U,Atm mrna seq alys,,,407.43,488.92,9 HCPCS,0137U,Palb2 mrna seq alys,,,282.88,339.46,9 HCPCS,0138U,Brca1 brca2 mrna seq alys,,,468.33,562.0,9 HCPCS,0140U,Nfct ds fungi dna 15 trgt,,,156.75,188.1,9 HCPCS,0141U,"Chgl Genmark Eplex Bcid Gram-Positive, 4 Genes",397.0,198.5,,,0 HCPCS,0141U,Nfct ds bact&fng gram pos,,,156.75,188.1,9 HCPCS,0142U,"Chgl Genmark Eplex Bcid Gram-Negative, 6 Genes",594.0,297.0,,,0 HCPCS,0142U,Nfct ds bact&fng gram neg,,,156.75,188.1,9 HCPCS,0152U,Nfct bct fng prst dna >1000,,,2126.2,2551.44,9 HCPCS,0153U,Onc breast mrna 101 genes,,,3159.42,3791.3,9 HCPCS,0154U,Fgfr3 gene analysis,,,248.77,506.25,9 HCPCS,0155U,Pik3ca gene analysis,,,274.83,329.8,9 HCPCS,0156U,Copy number sequence alys,,,1740.0,2088.0,9 HCPCS,0157U,Apc mrna seq alys,,,282.88,339.46,9 HCPCS,0158U,Mlh1 mrna seq alys,,,282.88,339.46,9 HCPCS,0159U,Msh2 mrna seq alys,,,282.88,339.46,9 HCPCS,0160U,Msh6 mrna seq alys,,,282.88,339.46,9 HCPCS,0161U,Pms2 mrna seq alys,,,282.88,339.46,9 HCPCS,0162U,Hered colon ca trgt mrna pnl,,,486.54,583.85,9 HCPCS,0163U,Onc clrct scr 3 prtn alg,,,390.75,468.9,5 HCPCS,0164T,Remove Lumb Artif Disc Addl,,,2375.0,2633.0,2 HCPCS,0164U,Gi ibs ia anti-cdtb&vinculin,,,112.02,134.42,9 HCPCS,0165T,Revise Lumb Artif Disc Addl,,,2375.0,2633.0,2 HCPCS,0165U,Peanut allg spec asmt 64 epi,,,463.76,556.51,9 HCPCS,0166U,Liver ds 10 biochem asy srm,,,503.4,604.08,9 HCPCS,0167U,Chornc gonadotropin hcg ia,,,9.02,9.02,2 HCPCS,0169U,Nudt15&tpmt gene com vrnt,,,466.17,559.4,9 HCPCS,0170U,Neuro asd rna next gen seq,,,1950.0,2106.0,9 HCPCS,0171T,Lumbar spine proces distract,,,13700.0,13700.0,1 HCPCS,0171U,Trgt gen seq alys pnl dna 23,,,1519.06,1822.87,9 HCPCS,0172T,Lumbar spine process addl,,,13700.0,13700.0,1 HCPCS,0172U,Onc sld tum alys brca1 brca2,,,3030.0,3636.0,9 HCPCS,0173U,Psyc gen alys panel 14 genes,,,466.17,559.4,9 HCPCS,0174U,Onc solid tumor 30 prtn trgt,,,1305.37,1566.44,9 HCPCS,0175U,Psyc gen alys panel 15 genes,,,1336.09,1603.31,9 HCPCS,0176U,Cdtb&vinculin igg antb ia,,,64.19,77.03,9 HCPCS,0177U,Onc brst ca dna pik3ca 11,,,274.83,295.82,9 HCPCS,0178U,Peanut allg asmt epi clin rx,,,459.86,551.83,9 HCPCS,0179U,Onc nonsm cll lng ca alys 23,,,1943.21,2331.85,9 HCPCS,0180U,Abo gnotyp abo 7 exons,,,274.83,329.8,9 HCPCS,0181T,Corneal hysteresis,,,5220.0,5220.0,1 HCPCS,0181U,Co gnotyp aqp1 exon 1,,,185.2,222.24,9 HCPCS,0182U,Crom gnotyp cd55 exons 1-10,,,301.35,361.62,9 HCPCS,0183U,Di gnotyp slc4a1 exon 19,,,185.2,222.24,9 HCPCS,0184T,Exc rectal tumor endoscopic,,,6041.75,20959.15,9 HCPCS,0184U,Do gnotyp art4 exon 2,,,185.2,222.24,9 HCPCS,0185U,Fut1 gnotyp fut1 exon 4,,,185.2,222.24,9 HCPCS,0186T,Suprachoroidal drug delivery,,,7337.0,7337.0,1 HCPCS,0186U,Fut2 gnotyp fut2 exon 2,,,185.2,222.24,9 HCPCS,0187U,Fy gnotyp ackr1 exons 1-2,,,274.83,329.8,9 HCPCS,0188U,Ge gnotyp gypc exons 1-4,,,274.83,329.8,9 HCPCS,0189U,Gypa gnotyp ntrns 1 5 exon 2,,,274.83,329.8,9 HCPCS,0190T,Place intraoc radiation src,,,7337.0,7337.0,1 HCPCS,0190U,Gypb gnotyp ntrns 1 5 seux 3,,,274.83,329.8,9 HCPCS,0191T,Insert ant segment drain int,,,13700.0,13700.0,1 HCPCS,0191U,In gnotyp cd44 exons 2 3 6,,,274.83,329.8,9 HCPCS,0192T,Insert ant seg aqueous drainage devis; ext apprch,,,13700.0,13700.0,1 HCPCS,0192U,Jk gnotyp slc14a1 exon 9,,,274.83,329.8,9 HCPCS,0193U,Jr gnotyp abcg2 exons 2-26,,,282.88,339.46,9 HCPCS,0194U,Kel gnotyp kel exon 8,,,185.2,222.24,9 HCPCS,0195U,Klf1 targeted sequencing,,,375.25,450.3,9 HCPCS,0196U,Lu gnotyp bcam exon 3,,,185.2,222.24,9 HCPCS,0197U,Lw gnotyp icam4 exon 1,,,185.2,222.24,9 HCPCS,0198T,Ocular blood flow measure,,,132.41,459.34,7 HCPCS,0198U,Rhd&rhce gntyp rhd1-10&rhce5,,,282.88,339.46,9 HCPCS,0199U,Sc gnotyp ermap exons 4 12,,,274.83,329.8,9 HCPCS,0200T,Chgr-Perc Sacral Aug-Uni W/Image Gd,9267.0,4633.5,,,0 HCPCS,0200T,Perq sacral augmt unilat inj,,,7221.37,25051.33,10 HCPCS,0200U,Xk gnotyp xk exons 1-3,,,274.83,329.8,9 HCPCS,0201T,Chgr-Perc Sacral Aug-Bil W/Image Gd,9267.0,4633.5,,,0 HCPCS,0201T,Perq sacral augmt bilat inj,,,7221.37,25051.33,10 HCPCS,0201U,Yt gnotyp ache exon 2,,,185.2,222.24,9 HCPCS,0202T,Post vert arthrplst 1 lumbar,,,12777.04,44324.22,9 HCPCS,0202U,Nfct ds 22 trgt sars-cov-2,,,416.78,500.14,9 HCPCS,0203U,Ai ibd mrna xprsn prfl 17,,,760.0,912.0,9 HCPCS,0204U,Onc thyr mrna xprsn alys 593,,,3503.52,3503.52,2 HCPCS,0205U,Oph amd alys 3 gene variants,,,47.0,56.4,9 HCPCS,0206U,Neuro alzheimer cell aggregj,,,2215.4,2658.48,9 HCPCS,0207T,Clear eyelid gland w/heat,,,132.41,2633.0,9 HCPCS,0207U,Neuro alzheimer quan imaging,,,511.2,613.44,5 HCPCS,0208T,Audiometry air only,,,37.17,128.95,7 HCPCS,0209T,Audiometry air & bone,,,37.17,128.95,7 HCPCS,0209U,Cytog const alys interrog,,,787.15,944.58,9 HCPCS,0210T,Speech audiometry threshold,,,37.17,128.95,7 HCPCS,0210U,Syphilis tst antb ia quan,,,18.63,22.36,9 HCPCS,0211T,Speech audiom thresh & recog,,,37.17,128.95,7 HCPCS,0211U,Onc pan-tum dna&rna gnrj seq,,,4410.0,8877.75,9 HCPCS,0212T,Compre audiometry evaluation,,,128.06,444.23,7 HCPCS,0212U,Rare ds gen dna alys proband,,,5475.2,6570.24,9 HCPCS,0213T,Njx paravert w/us cer/thor,,,880.23,3880.0,10 HCPCS,0213U,Rare ds gen dna alys ea comp,,,2709.95,3251.94,9 HCPCS,0214T,Njx paravert w/us cer/thor,,,2375.0,3408.0,3 HCPCS,0214U,Rare ds xom dna alys proband,,,5224.6,6269.52,9 HCPCS,0215T,Njx paravert w/us cer/thor,,,2375.0,3408.0,3 HCPCS,0215U,Rare ds xom dna alys ea comp,,,2574.65,3089.58,9 HCPCS,0216T,Njx paravert w/us lumb/sac,,,880.23,3880.0,10 HCPCS,0216U,Neuro inh ataxia dna 12 com,,,1537.02,1844.42,9 HCPCS,0217T,Njx paravert w/us lumb/sac,,,2375.0,3408.0,3 HCPCS,0217U,Neuro inh ataxia dna 51 gene,,,2198.35,2638.02,9 HCPCS,0218T,Njx paravert w/us lumb/sac,,,2375.0,3408.0,3 HCPCS,0218U,Neuro musc dys dmd seq alys,,,2279.0,2734.8,9 HCPCS,0219T,Plmt post facet implt cerv,,,12777.04,44324.22,9 HCPCS,0219U,Nfct agt hiv gnrj seq alys,,,725.0,870.0,9 HCPCS,0220T,Plmt post facet implt thor,,,12777.04,44324.22,9 HCPCS,0220U,Onc brst ca ai assmt 12 feat,,,706.25,847.5,9 HCPCS,0221T,Plmt post facet implt lumb,,,7221.37,25051.33,10 HCPCS,0221U,Abo gnotyp next gnrj seq abo,,,274.83,329.8,9 HCPCS,0222T,Plmt post facet implt addl,,,2375.0,13700.0,3 HCPCS,0222U,Rhd&rhce gntyp next gnrj seq,,,282.88,339.46,9 HCPCS,0223U,Nfct ds 22 trgt sars-cov-2,,,416.78,500.12,9 HCPCS,0224U,Antibody sars-cov-2 titer(s),,,50.56,54.0,9 HCPCS,0225U,Chgl Mol Diag-Respiratory Viral Pnl,1722.0,861.0,,,0 HCPCS,0225U,Nfct ds dna&rna 21 sarscov2,,,416.78,500.12,9 HCPCS,0226T,Anosc high resol dx +-coll,,,5220.0,5220.0,1 HCPCS,0226U,Svnt sarscov2 elisa plsm srm,,,42.28,50.56,9 HCPCS,0227T,Anosc high resol dx w/bx,,,5220.0,5220.0,1 HCPCS,0227U,Rx asy prsmv 30+rx/metablt,,,62.14,74.57,9 HCPCS,0228T,Njx tfrml eprl w/us cer/thor,,,4564.0,4564.0,1 HCPCS,0228U,Onc prst8 ma molec prfl alg,,,173.03,207.64,9 HCPCS,0229T,Njx tfrml eprl w/us cer/thor,,,3408.0,3408.0,1 HCPCS,0229U,Bcat1 promoter mthyltn alys,,,230.4,403.2,9 HCPCS,0230T,Njx tfrml eprl w/us lumb/sac,,,4564.0,4564.0,1 HCPCS,0230U,Ar full sequence analysis,,,301.35,361.62,9 HCPCS,0231T,Njx tfrml eprl w/us lumb/sac,,,3408.0,3408.0,1 HCPCS,0231U,Cacna1a full gene analysis,,,846.27,1015.52,9 HCPCS,0232T,Njx platelet plasma,,,444.58,5220.0,10 HCPCS,0232U,Cstb full gene analysis,,,274.83,329.8,9 HCPCS,0233U,Fxn gene analysis,,,274.83,329.8,9 HCPCS,0234T,Chgr-Cd Trluml Perip Athrc Renal Arter,24017.0,12008.5,,,0 HCPCS,0234T,Trluml perip athrc renal art,,,11488.76,39855.12,9 HCPCS,0234U,Mecp2 full gene analysis,,,527.87,633.44,9 HCPCS,0235T,Trluml perip athrc visceral,,,5226.0,5790.0,2 HCPCS,0235U,Pten full gene analysis,,,600.0,720.0,9 HCPCS,0236T,Trluml perip athrc abd aorta,,,11488.76,39855.12,9 HCPCS,0236U,Smn1&smn2 full gene analysis,,,602.7,723.24,9 HCPCS,0237T,Chgr-Trluml Periph Athrc W/Rs&I Brchiocphl Ea Vsl,30401.0,15200.5,,,0 HCPCS,0237T,Trluml perip athrc brchiocph,,,11488.76,39855.12,9 HCPCS,0237U,Car ion chnlpthy gen seq pnl,,,584.9,701.88,9 HCPCS,0238T,Chgr-Cd Trluml Perip Athrc Iliac Arter,26467.0,13233.5,,,0 HCPCS,0238T,Trluml Perip Athrc Iliac Art,26467.0,13233.5,,,0 HCPCS,0238T,Trluml perip athrc iliac art,,,18243.62,63288.08,9 HCPCS,0238U,Onc lnch syn gen dna seq aly,,,584.9,701.88,9 HCPCS,0239U,Trgt gen seq alys pnl 311+,,,3500.0,4200.0,9 HCPCS,0240U,"Chgl Cepheid Covid, Influ A&B",250.0,125.0,,,0 HCPCS,0240U,Nfct ds vir resp rna 3 trgt,,,142.63,171.12,5 HCPCS,0241U,"Chgl Cepheid Covid, Influ A&B, Rsv",300.0,150.0,,,0 HCPCS,0241U,Nfct ds vir resp rna 4 trgt,,,142.63,171.12,5 HCPCS,0242U,Trgt gen seq alys pnl 55-74,,,5000.0,6000.0,9 HCPCS,0243U,Ob pe biochem assay pgf alg,,,64.41,77.29,9 HCPCS,0244U,Onc solid orgn dna 257 genes,,,3500.0,4200.0,9 HCPCS,0245T,Opn tx rib fx 1-2 ribs,,,13700.0,13700.0,1 HCPCS,0245U,"Chgl (Lc) Thygenext, S/O",1015.0,507.5,,,0 HCPCS,0245U,Onc thyr mut alys 10 gen&37,,,1266.07,1519.28,9 HCPCS,0246T,Opn tx rib fx 3-4 ribs,,,13700.0,13700.0,1 HCPCS,0246U,Rbc dna gnotyp 16 bld groups,,,720.0,864.0,9 HCPCS,0247T,Opn tx rib fx 5-6 ribs,,,13700.0,13700.0,1 HCPCS,0247U,Ob prtrm brth ibp4 shbg meas,,,750.0,900.0,9 HCPCS,0248T,Opn tx rib fx 7+ ribs,,,13700.0,13700.0,1 HCPCS,0248U,Onc brn sphrd cll 12 rx pnl,,,3033.86,3640.63,9 HCPCS,0249T,Ligation hemorrhoid w/us,,,7337.0,7337.0,1 HCPCS,0249U,Onc brst alys 32 phsprtn alg,,,2219.13,2662.96,9 HCPCS,0250U,Onc sld org neo dna 505 gene,,,2919.6,3503.52,9 HCPCS,0251U,Hepcidin-25 elisa serum/plsm,,,17.27,20.72,9 HCPCS,0252U,Ftl aneuploidy str alys dna,,,759.05,910.86,9 HCPCS,0253T,Insert aqueous drain device,,,4113.58,23971.0,10 HCPCS,0253U,Rprdtve med rna gen prfl 238,,,3159.42,3791.3,9 HCPCS,0254U,Reprdtve med alys 24 chrmsm,,,759.05,910.86,9 HCPCS,0255U,Andrology infertility assmt,,,31.6,37.92,9 HCPCS,0256U,Tma/tmao prfl ms/ms ur alg,,,159.95,191.94,9 HCPCS,0257U,Vlcad leuk nzm actv whl bld,,,712.47,854.96,9 HCPCS,0258U,Ai psor mrna 50-100 gen alg,,,3675.0,4410.0,9 HCPCS,0259U,Neph ckd nuc mrs meas gfr,,,52.71,63.25,9 HCPCS,0260U,Rare ds id opt genome mapg,,,1263.53,1516.24,9 HCPCS,0261U,Onc clrct ca img alys w/ai,,,2513.25,3015.9,9 HCPCS,0262U,Onc sld tum rt-pcr 7 gen,,,3200.0,3840.0,9 HCPCS,0263T,Im b1 mrw cel ther cmpl,,,4334.59,23971.0,9 HCPCS,0263U,Neuro asd meas 16 c metblt,,,750.0,900.0,9 HCPCS,0264T,Im b1 mrw cel ther xcl hrvst,,,4334.59,23971.0,9 HCPCS,0264U,Rare ds id opt genome mapg,,,1263.53,1516.24,9 HCPCS,0265T,Im b1 mrw cel ther hrvst onl,,,4334.59,23971.0,9 HCPCS,0265U,Rar do whl gn&mtcdrl dna als,,,5475.8,6570.96,9 HCPCS,0266T,Implt/Rpl Crtd Sns Dev Total,87944.0,43972.0,,,0 HCPCS,0266T,Implt/rpl crtd sns dev total,,,45861.0,50815.0,2 HCPCS,0266U,Unxpl cnst hrtbl do gn xprsn,,,3200.0,3840.0,9 HCPCS,0267T,Implt/rpl crtd sns dev lead,,,17187.0,19040.0,2 HCPCS,0267U,Rare do id opt gen mapg&seq,,,6739.33,8087.2,9 HCPCS,0268T,Implt/rpl crtd sns dev gen,,,45861.0,50815.0,2 HCPCS,0268U,Hem ahus gen seq alys 15 gen,,,608.17,729.8,9 HCPCS,0269T,Rev/remvl crtd sns dev total,,,26537.0,29398.0,2 HCPCS,0269U,Hem aut dm cgen trmbctpna 14,,,608.17,729.8,9 HCPCS,0270T,Rev/remvl crtd sns dev lead,,,17187.0,19040.0,2 HCPCS,0270U,Hem cgen coagj do 20 genes,,,608.17,729.8,9 HCPCS,0271T,Rev/remvl crtd sns dev gen,,,17187.0,19040.0,2 HCPCS,0271U,Hem cgen neutropenia 23 gen,,,608.17,729.8,9 HCPCS,0272U,Hem genetic bld do 51 genes,,,608.17,729.8,9 HCPCS,0273U,Hem gen hyprfibrnlysis 8 gen,,,608.17,729.8,9 HCPCS,0274T,Perq lamot/lam crv/thrc,,,5220.0,29398.0,10 HCPCS,0274U,Hem gen pltlt do 43 genes,,,608.17,729.8,9 HCPCS,0275T,Perq Lamot/Lam Lumbar,20321.0,10160.5,,,0 HCPCS,0275T,Perq lamot/lam lumbar,,,5220.0,29398.0,3 HCPCS,0275U,Hem heprn nduc trmbctpna srm,,,18.37,22.04,9 HCPCS,0276U,Hem inh thrombocytopenia 23,,,2448.56,2938.27,9 HCPCS,0277U,Hem gen pltlt funcj do 31,,,608.17,729.8,9 HCPCS,0278T,Tempr,,,128.06,2633.0,9 HCPCS,0278U,Hem gen thrombosis 12 genes,,,608.17,729.8,9 HCPCS,0279U,Hem vw factor&clgn iii bndg,,,11.53,13.84,9 HCPCS,0280U,Hem vw factor&clgn iv bndg,,,17.27,20.72,9 HCPCS,0281U,Hem vwd propeptide ag lvl,,,17.27,20.72,9 HCPCS,0282U,Rbc dna gntyp 12 bld grp gen,,,720.0,864.0,9 HCPCS,0283U,Vw factor type 2b eval plsm,,,18.4,22.08,9 HCPCS,0284U,Vw factor type 2n eval plsm,,,17.27,20.72,9 HCPCS,0285U,Onc rsps radj cll fr dna tox,,,443.31,531.97,9 HCPCS,0286U,Cep72 nudt15&tpmt gene alys,,,134.13,160.96,9 HCPCS,0287U,Onc thyr dna&mrna 112 genes,,,3600.0,4320.0,9 HCPCS,0288U,Onc lung mrna quan pcr 11&3,,,3873.0,4647.6,9 HCPCS,0289U,Neuro alzheimer mrna 24 gen,,,760.0,912.0,9 HCPCS,0290U,Pain mgmt mrna gen xprsn 36,,,760.0,912.0,9 HCPCS,0291U,Psyc mood do mrna 144 genes,,,1755.0,2106.0,9 HCPCS,0292U,Psyc strs do mrna 72 genes,,,1755.0,2106.0,9 HCPCS,0293U,Psyc suicidal idea mrna 54,,,760.0,912.0,9 HCPCS,0294U,Lngvty&mrtlty rsk mrna 18gen,,,760.0,912.0,5 HCPCS,0295U,Onc brst dux carc 7 proteins,,,2276.4,5706.75,9 HCPCS,0296U,Onc orl&/orop ca 20 mlc feat,,,1950.0,2106.0,9 HCPCS,0297T,Ext ecg scan w/report,,,646.0,664.0,3 HCPCS,0297U,Onc pan tum whl gen seq dna,,,2919.6,3503.52,9 HCPCS,0298U,Onc pan tum whl trns seq rna,,,2919.6,3503.52,9 HCPCS,0299T,Esw wound healing init wound,,,5220.0,5220.0,1 HCPCS,0299U,Onc pan tum whl gen opt mapg,,,1863.22,2235.86,9 HCPCS,0300T,Esw wound healing addl wound,,,5220.0,5220.0,1 HCPCS,0300U,Onc pan tum whl gen seq&opt,,,4183.13,5019.76,9 HCPCS,0301U,Iadna bartonella ddpcr,,,262.72,315.26,9 HCPCS,0302U,Iadna brtnla ddpcr flwg liq,,,361.37,433.64,9 HCPCS,0303U,Hem rbc ads whl bld hypoxic,,,2201.62,2641.94,9 HCPCS,0304U,Hem rbc ads whl bld normoxic,,,2075.8,2490.96,9 HCPCS,0305U,Hem rbc fnclty&dfrm shr strs,,,662.58,795.1,9 HCPCS,0306U,Onc mrd nxt-gnrj alys 1st,,,3878.45,4654.14,9 HCPCS,0307T,Rmvl icar ischm mntrng dvce,,,13700.0,13700.0,1 HCPCS,0307U,Onc mrd nxt-gnrj alys sbsq,,,794.49,953.39,9 HCPCS,0308T,Insj ocular telescope prosth,,,13700.0,56829.3,10 HCPCS,0308U,Crd cad alys 3 prtn plsm alg,,,390.75,468.9,9 HCPCS,0309U,Crd cv ds aly 4 prtn plm alg,,,390.75,468.9,9 HCPCS,0310U,Ped vsclts kd alys 3 bmrks,,,390.75,468.9,9 HCPCS,0311U,Nfct ds bct quan antmcrb sc,,,8.08,9.7,9 HCPCS,0312U,Ai ds sle alys 8 igg autoant,,,840.65,1008.78,9 HCPCS,0313T,Laps rmvl nstim array vagus,,,13700.0,13700.0,1 HCPCS,0313U,Onc pncrs dna&mrna seq 74,,,3600.0,4320.0,9 HCPCS,0314T,Laps rmvl vgl arry&pls gen,,,13700.0,13700.0,1 HCPCS,0314U,Onc cutan mlnma mrna 35 gene,,,1950.0,2340.0,9 HCPCS,0315T,Rmvl vagus nerve pls gen,,,13700.0,13700.0,1 HCPCS,0315U,Onc cutan sq cll ca mrna 40,,,8500.0,10200.0,9 HCPCS,0316T,Replc vagus nerve pls gen,,,13700.0,13700.0,1 HCPCS,0316U,B brgdrferi lyme ds ospa evl,,,18.66,22.39,9 HCPCS,0317T,Elec alys vagus nrv pls gen,,,5220.0,5220.0,1 HCPCS,0317U,Onc lung ca 4-prb fish assay,,,2030.0,2436.0,9 HCPCS,0318U,Ped whl gen mthyltn alys 50+,,,1770.48,2124.58,9 HCPCS,0319U,Neph rna pretrnspl perph bld,,,2650.0,3180.0,9 HCPCS,0320T,Insert subq defib electrode,,,13700.0,13700.0,1 HCPCS,0320U,Neph rna psttrnspl perph bld,,,2650.0,3180.0,9 HCPCS,0321U,Iadna gu pthgn 20bct&fng org,,,634.84,761.81,9 HCPCS,0322T,Rmvl subq defib pls gen,,,13700.0,13700.0,1 HCPCS,0322U,Neuro asd meas 14 acyl carn,,,750.0,900.0,9 HCPCS,0323U,Iadna cns pthgn next gen seq,,,2126.2,2551.44,9 HCPCS,0324T,Rmvl subq defib electrode,,,13700.0,13700.0,1 HCPCS,0325T,Repos subq defib eltrd &/gen,,,13700.0,13700.0,1 HCPCS,0326U,Trgt gen seq alys pnl 83+,,,5000.0,6000.0,9 HCPCS,0327U,Ftl aneuploidy trsmy dna seq,,,795.0,954.0,9 HCPCS,0328U,Drug assay 120+ rx&metablt,,,114.43,137.32,9 HCPCS,0329U,Onc neo xome&trns seq alys,,,3437.98,4125.58,9 HCPCS,0330T,Tear film img uni/bi w/i&r,,,37.17,128.95,7 HCPCS,0330U,Iadna vag pthgn panel 27 org,,,416.78,500.14,9 HCPCS,0331T,Heart symp image plnr,,,1288.43,4469.64,7 HCPCS,0331U,Onc hl neo opt gen mapping,,,1863.22,2235.86,9 HCPCS,0332T,Heart symp image plnr spect,,,1288.43,4469.64,7 HCPCS,0332U,Onc pan tum gen prflg 8 dna,,,1142.06,1370.47,9 HCPCS,0333U,Onc lvr surveilanc hcc cfdna,,,662.32,794.78,9 HCPCS,0334U,Onc sld orgn tgsa dna 84/+,,,3500.0,3675.0,9 HCPCS,0335T,Extraosseous joint stblztion,,,7221.37,25051.33,9 HCPCS,0335U,Rare ds whl gen seq fetal,,,5224.6,6269.52,9 HCPCS,0336U,Rare ds whl gen seq bld/slv,,,2574.65,3089.58,9 HCPCS,0337U,Onc plsm cell do&myeloma id,,,2435.0,2922.0,9 HCPCS,0338T,Trnscth renal symp denrv unl,,,5664.24,19649.53,9 HCPCS,0338U,Onc sld tum crcg tum cl slct,,,2435.0,2922.0,9 HCPCS,0339T,Trnscth renal symp denrv bil,,,5664.24,19649.53,9 HCPCS,0339U,Onc prst8 mrna hoxc6 & dlx1,,,760.0,912.0,9 HCPCS,0340U,Onc pan ca alys mrd plasma,,,2919.6,4704.0,9 HCPCS,0341U,Ftl aneup dna seq cmpr alys,,,1900.2,2280.24,9 HCPCS,0342T,Thxp apheresis w/hdl delip,,,4334.59,23971.0,9 HCPCS,0342U,Onc pncrtc ca mult ia eclia,,,897.0,1076.4,5 HCPCS,0343U,Onc prst8 xom aly 442 sncrna,,,760.0,912.0,9 HCPCS,0344U,Hep nafld semiq evl 28 lipid,,,792.17,950.6,9 HCPCS,0345T,Transcath mtral vlve repair,,,5226.0,5790.0,2 HCPCS,0345U,Psyc genom alys pnl 15 gen,,,1336.09,1603.31,9 HCPCS,0346U,Beta amyl a?40&a?42 lc-ms/ms,,,111.91,111.91,2 HCPCS,0347T,Ins bone device for rsa,,,58.71,2633.0,9 HCPCS,0347U,Rx metab/pcx dna 16 gen alys,,,1336.09,1603.31,9 HCPCS,0348T,RSA spine exam,,,104.04,360.93,7 HCPCS,0348U,Rx metab/pcx dna 25 gen alys,,,742.27,890.72,9 HCPCS,0349T,RSA upper extr exam,,,104.04,360.93,7 HCPCS,0349U,Rx metab/pcx dna 27gen rx ia,,,742.27,890.72,9 HCPCS,0350T,RSA lower extr exam,,,86.61,300.45,7 HCPCS,0350U,Rx metab/pcx dna 27 gen alys,,,1336.09,1603.31,9 HCPCS,0351U,Nfct ds bct/viral trail ip10,,,260.5,312.6,9 HCPCS,0352U,Nfct ds bv&vaginitis amp prb,,,171.16,171.16,2 HCPCS,0353U,Iadna chlmyd&gonorr amp prb,,,84.22,84.22,2 HCPCS,0355U,Apol1 risk variants,,,137.0,164.4,9 HCPCS,0356U,Onc orop 17 dna ddpcr alg,,,1800.0,2160.0,9 HCPCS,0358T,BIA whole body,,,28.78,99.86,7 HCPCS,0358U,Neuro alys b-amyl 1-42&1-40,,,260.5,312.6,9 HCPCS,0359U,Onc prst8 ca alys all psa,,,760.0,912.0,9 HCPCS,0360U,Onc lung elisa 7 autoant alg,,,782.93,1008.78,9 HCPCS,0361U,Neurflmnt lt chn dig ia quan,,,116.23,116.23,3 HCPCS,0362T,Expose behav assessment,,,37.29,129.36,7 HCPCS,0362U,Onc pap thyr ca rna 82&10,,,3600.0,4320.0,9 HCPCS,0363U,Onc urthl mrna 5 gen alg,,,760.0,912.0,9 HCPCS,0364U,Onc hl neo gen seq alys alg,,,2007.25,2107.61,7 HCPCS,0365U,Onc bldr 10 prb bldr ca,,,897.0,1076.4,9 HCPCS,0366U,Onc bldr 10 prb recr bldr ca,,,897.0,1076.4,9 HCPCS,0367U,Onc bldr 10 flwg trurl rescj,,,902.18,1082.62,9 HCPCS,0368U,Onc clrct ca mut&mthyltn mrk,,,416.78,416.78,3 HCPCS,0369U,Iadna gi pthgn 31 org&21 arg,,,416.78,500.14,5 HCPCS,0370U,Iadna surg wnd pthgn 34&21,,,416.78,500.14,5 HCPCS,0371U,Iadna gu pthgn semiq dna16&1,,,416.78,500.14,9 HCPCS,0372U,Nfct ds gu pthgn arg detcj,,,416.78,500.14,9 HCPCS,0373T,Exposure behavior treatment,,,37.29,129.36,7 HCPCS,0373U,Iadna rsp tr nfct 17 8 13&16,,,416.78,500.14,5 HCPCS,0374U,Iadna gu pthgn 21 org&21arg,,,416.78,500.14,5 HCPCS,0375U,Onc ovrn bchm asy 7 prtn alg,,,897.0,1076.4,9 HCPCS,0376T,Insert ant segment drain int,,,5220.0,5220.0,1 HCPCS,0376U,Onc prst8 ca img alys 128,,,706.25,847.5,9 HCPCS,0377U,Cv ds quan advsrm/plsm lprtn,,,47.58,57.1,9 HCPCS,0378U,Rfc1 repeat xpnsj vrnt alys,,,137.0,164.4,9 HCPCS,0379T,Vis field assmnt tech suppt,,,37.17,128.95,7 HCPCS,0379U,Tgsap sl or neo dna523&rna55,,,3288.51,3452.94,7 HCPCS,0380U,Rx metb advrs trgt sq aly 20,,,500.14,500.14,2 HCPCS,0381U,Maple syrup ur ds mntr quan,,,44.12,46.33,7 HCPCS,0382U,Hyprphenylalninmia mntr quan,,,51.64,54.22,7 HCPCS,0383U,Tyrosinemia typ i mntr quan,,,52.05,54.65,7 HCPCS,0384U,Neph ckd rsk hi stg kdn ds,,,750.0,900.0,9 HCPCS,0385U,Neph ckd alg rsk dbtc kdn ds,,,390.75,468.9,9 HCPCS,0387U,Onc mlnma ambra1&amlo,,,948.5,1138.2,9 HCPCS,0388U,Onc nonsm cll lng ca 37 gen,,,3500.0,3675.0,7 HCPCS,0389U,Ped fbrl kd ifi27&mcemp1 rna,,,70.2,73.71,7 HCPCS,0390U,Ob pe kdr eng&rbp4 ia alg,,,64.41,77.29,9 HCPCS,0391U,Onc sld tum dna&rna 437 gen,,,3600.0,4320.0,9 HCPCS,0392U,Rx metab genrx ia 16 genes,,,1336.09,1603.31,9 HCPCS,0393U,Neu prksn msfl ?-syncln prtn,,,540.99,649.19,9 HCPCS,0394U,Pfas 16 pfas compnd lc ms/ms,,,198.74,238.49,9 HCPCS,0395T,Hdr elctr ntrst/ntrcv brchtx,,,693.13,2404.51,7 HCPCS,0395U,Onc lng multiomics plsm alg,,,797.45,837.32,7 HCPCS,0397T,Ercp w/optical endomicroscpy,,,2375.0,2633.0,2 HCPCS,0398T,Mrgfus Strtctc Les Abltj,34539.0,17269.5,,,0 HCPCS,0398U,Gi baret esph dna mthyln aly,,,1755.0,1842.75,7 HCPCS,0399U,Neuro cere folate defncy srm,,,300.0,315.0,7 HCPCS,0400U,Ob xpnd car scr 145 genes,,,1456.88,1456.88,3 HCPCS,0401U,Crd c hrt ds 9 gen 12 vrnts,,,489.68,514.16,7 HCPCS,0402T,Collagen crosslinking cornea,,,2366.07,14111.0,9 HCPCS,0402U,Nfct agt sti mult amp prb tq,,,142.63,171.16,9 HCPCS,0403U,Onc prst8 mrna 18 gen dre ur,,,760.0,912.0,9 HCPCS,0404U,Onc brst semiq meas thym kn,,,322.96,387.55,9 HCPCS,0405U,Onc pncrtc 59 mthltn blk mrk,,,1770.48,2124.58,9 HCPCS,0406U,Onc lung flow cytmtry 5 mrk,,,760.0,912.0,9 HCPCS,0407U,Neph dbtc ckd mult eclia alg,,,950.0,1140.0,9 HCPCS,0408T,Insj/rplc cardiac modulj sys,,,31238.15,108366.8,9 HCPCS,0408U,Iaad blk ac wv bsnsr sarscv2,,,14.13,14.84,7 HCPCS,0409T,Insj/rplc car modulj pls gn,,,22136.77,76793.64,9 HCPCS,0409U,Onc sld tum dna 80 & rna 36,,,2919.6,3503.52,9 HCPCS,0410T,Insj/rplc car modulj atr elt,,,8235.66,35289.0,9 HCPCS,0410U,Onc pncrtc dna whl gn seq 5-,,,1160.0,1392.0,9 HCPCS,0411T,Insj/rplc car modulj vnt elt,,,8235.66,35289.0,9 HCPCS,0411U,Psyc genom alys pnl 15 gen,,,1336.09,1603.31,9 HCPCS,0412T,Rmvl cardiac modulj pls gen,,,3719.02,19040.0,9 HCPCS,0412U,Beta amyloid a?42/40 imprcip,,,750.0,787.5,7 HCPCS,0413T,Rmvl car modulj tranvns elt,,,3719.02,19040.0,9 HCPCS,0413U,Onc hl neo opt gen mapg dna,,,1263.53,1516.24,9 HCPCS,0414T,Rmvl & rpl car modulj pls gn,,,22136.77,76793.64,9 HCPCS,0414U,Onc lng aug alg aly whl sld8,,,706.25,847.5,9 HCPCS,0415T,Repos car modulj tranvns elt,,,624.29,3880.0,9 HCPCS,0415U,Cv ds acs bld alg 5 yr score,,,390.75,468.9,9 HCPCS,0416T,Reloc skin pocket pls gen,,,2053.37,7123.26,9 HCPCS,0417T,Prgrmg eval cardiac modulj,,,37.14,128.85,7 HCPCS,0417U,Rare ds alys 335 nuc genes,,,2842.53,2984.66,7 HCPCS,0418T,Interro eval cardiac modulj,,,37.14,128.85,7 HCPCS,0418U,Onc brst aug alg aly whl sl8,,,706.25,847.5,9 HCPCS,0419T,Dstrj neurofibroma xtnsv,,,735.52,2633.0,9 HCPCS,0419U,Nrpsyc gen seq vrnt aly 13,,,1336.09,1603.31,9 HCPCS,0420T,Dstrj neurofibroma xtnsv,,,735.52,2633.0,9 HCPCS,0420U,Onc urthl mrna xprsn 6 snp,,,1354.89,1394.74,4 HCPCS,0421T,Waterjet prostate abltj cmpl,,,21639.0,23971.0,2 HCPCS,0421U,Onc clrct scr sgl amp 8 rna,,,508.87,508.87,3 HCPCS,0422T,Tactile breast img uni/bi,,,86.61,300.45,7 HCPCS,0422U,Onc pan solid tum alys dna,,,1982.07,2040.37,4 HCPCS,0423U,Psyc genomic alys pnl 26 gen,,,416.78,437.62,7 HCPCS,0424U,Onc prst8 xom alys 53 sncrna,,,760.0,798.0,7 HCPCS,0425U,Genom rpd seq alys ea cmprtr,,,4176.28,4299.11,4 HCPCS,0426U,Genome ultra-rapid seq alys,,,7733.84,7961.31,4 HCPCS,0427U,Monocyte dstrbj wdth whl bld,,,4.48,4.7,7 HCPCS,0429U,Hpv orop swab 14 hi-risk typ,,,35.09,36.84,7 HCPCS,0430U,Gi malabs aat calpro pncrtc,,,61.54,64.62,7 HCPCS,0431U,Gly rcptr alpha1 igg srm/csf,,,36.57,38.4,7 HCPCS,0432U,Klhl11 antb sr/csf asy qual,,,36.57,38.4,7 HCPCS,0433U,Onc prst8 5 dna reg mrk pcr,,,760.0,798.0,7 HCPCS,0434U,Rx metab advrs vrnt alys 25,,,416.78,437.62,7 HCPCS,0435U,Onc chemo rx cytox csc 14 rx,,,3033.86,3185.55,7 HCPCS,0436U,Onc lng plsm alys 388 prtn,,,1534.32,1579.45,4 HCPCS,0437T,Impltj synth rnfcmt abdl wal,,,2375.0,2633.0,2 HCPCS,0437U,Psyc anxiety do mrna 15 bmrk,,,760.0,798.0,7 HCPCS,0438U,Rx metab advrs vrnt alys 33,,,416.78,437.62,7 HCPCS,0439U,Crd chd dna alys 5 snp 3 dna,,,871.08,896.7,4 HCPCS,0440T,Abltj perc uxtr/perph nrv,,,1943.35,23971.0,9 HCPCS,0440U,Crd chd dna alys 10 snp 6dna,,,871.08,896.7,4 HCPCS,0441T,Abltj perc lxtr/perph nrv,,,1943.35,23971.0,9 HCPCS,0441U,Nfct ds bct fngl/viral semiq,,,452.96,466.28,4 HCPCS,0442T,Abltj perc plex/trncl nrv,,,8733.71,30297.71,9 HCPCS,0442U,Nfct ds respir nfctj mxa&crp,,,41.38,43.45,7 HCPCS,0443T,R-t spctrl alys prst8 tiss,,,2375.0,2633.0,2 HCPCS,0443U,Neurflmnt lt chn ultrsens ia,,,118.55,122.04,4 HCPCS,0444T,1st plmt drug elut oc ins,,,2375.0,2633.0,2 HCPCS,0444U,Onc sld orgn neo tgsap 361,,,2919.6,3065.58,7 HCPCS,0445T,Sbsqt plmt drug elut oc ins,,,2375.0,2633.0,2 HCPCS,0445U,Abeta42 & ptau181 eclia csf,,,260.5,273.53,7 HCPCS,0446T,Insj impltbl glucose sensor,,,2375.0,14363.31,9 HCPCS,0446U,Ai ds sle alys 10 cytokine,,,840.65,882.68,7 HCPCS,0447T,Rmvl impltbl glucose sensor,,,199.67,2633.0,9 HCPCS,0447U,Ai ds sle alys 11 cytokine,,,840.65,882.68,7 HCPCS,0448T,Remvl insj impltbl gluc sens,,,2375.0,14363.31,9 HCPCS,0449T,Insj aqueous drain dev 1st,,,5295.75,23971.0,9 HCPCS,0449U,Car scr sev inh cond 5 genes,,,1824.88,1824.88,3 HCPCS,0450T,Insj aqueous drain dev each,,,2375.0,2633.0,2 HCPCS,0450U,Onc mm lc-ms/ms monoc p-prtn,,,43.43,43.43,3 HCPCS,0451U,Onc mm lc-ms/ms pep ion quan,,,43.43,43.43,3 HCPCS,0452U,Onc bldr mthyl penk lte-qmsp,,,192.0,201.6,7 HCPCS,0453U,Onc clrct ca cfdna qpcr asy,,,192.0,201.6,7 HCPCS,0454U,U rare ds id opt genome mapg,,,1263.53,1326.71,7 HCPCS,0455U,Nfct agt sti mult amp prb ur,,,142.63,149.76,7 HCPCS,0457U,Pfas 9 cmpnd lcms/ms pls/sr,,,198.74,208.68,7 HCPCS,0458U,Onc brst ca s100 a8&a9 elisa,,,260.5,273.53,7 HCPCS,0459U,Abeta42 & ttau eclia csf,,,260.5,273.53,7 HCPCS,0460U,Onc whl bld/bucc rtpcr 24gen,,,935.42,962.93,4 HCPCS,0461U,Onc rxgenom alys rtpcr 24gen,,,935.42,962.93,4 HCPCS,0462U,Melatonin lvl tst slp std7/9,,,17.27,18.13,7 HCPCS,0463U,Onc crvx mrna genxprsn 14bmk,,,775.2,798.0,4 HCPCS,0464T,Visual ep test for glaucoma,,,128.06,444.23,7 HCPCS,0464U,Onc clrct scr qrtsa dna mrk,,,591.92,621.52,7 HCPCS,0465U,Onc urthl carc dna qmsp 2gen,,,1938.01,2034.91,7 HCPCS,0466U,Crd cad dna gwas 564856 snp,,,352.34,362.7,4 HCPCS,0467U,Onc bldr dna ngs 60gen&aneup,,,1519.06,1595.01,7 HCPCS,0468U,Hep nash mir34a5p ?2m ykl40,,,251.7,264.29,7 HCPCS,0469U,Rare ds whl gen seq ftl samp,,,1197.94,1257.84,7 HCPCS,0470U,Onc orop detcj mrd 8 dna hpv,,,609.87,627.81,4 HCPCS,0471U,Onc clrc ca 35 vrn kras&nras,,,760.0,798.0,7 HCPCS,0472U,Ca vi psp&sp1 antb sj?gren,,,28.46,29.3,4 HCPCS,0473U,Onc sld tum bld/slv 648 gene,,,4500.0,4725.0,7 HCPCS,0474T,Insj aqueous drg dev io rsvr,,,5220.0,23971.0,3 HCPCS,0474U,Hered pan ca gsap 88gene ngs,,,1303.95,1369.15,7 HCPCS,0475U,Hered prst8 ca gsap 23 genes,,,1303.95,1369.15,7 HCPCS,0476U,Rx metab psyc 14gen&cyp2d6,,,416.78,437.62,7 HCPCS,0477U,Rx metab psy 14&cyp2d6 gn-rx,,,416.78,437.62,7 HCPCS,0478U,Onc nsclc dna&rna dpcr 9 gen,,,564.05,580.64,4 HCPCS,0479T,Fxjl abl lsr 1st 100 sq cm,,,735.52,5220.0,10 HCPCS,0479U,Tau phosphorylated ptau217,,,17.27,18.13,7 HCPCS,0480T,Fxjl abl lsr ea addl 100sqcm,,,2375.0,5220.0,3 HCPCS,0480U,Nfct ds csf metag ngs alys,,,2126.2,2232.51,7 HCPCS,0481T,Njx autol wbc concentrate,,,444.58,5220.0,10 HCPCS,0481U,Idh1 idh2&tert promoter ngs,,,674.24,707.95,7 HCPCS,0482U,Ob pe biochem asy sfit1&pigf,,,128.82,135.26,7 HCPCS,0483T,Tmvi percutaneous approach,,,5220.0,5790.0,3 HCPCS,0483U,Nfct ds ng gyra s91f pt mut,,,35.79,36.84,4 HCPCS,0484T,Tmvi transthoracic exposure,,,5220.0,5790.0,3 HCPCS,0484U,Nfct ds mgen 23s rrna pt mut,,,35.79,36.84,4 HCPCS,0485T,Oct mid ear i&r unilateral,,,37.17,128.95,7 HCPCS,0485U,Onc sol tum cfdna&rna ngs gm,,,3722.47,3831.95,4 HCPCS,0486T,Oct mid ear i&r bilateral,,,37.17,128.95,7 HCPCS,0486U,Onc pan sol tum ngs cfctdna,,,1677.14,1726.46,4 HCPCS,0487U,Onc sol tum cfcdna tgsap 84,,,2919.6,3065.58,7 HCPCS,0488U,Ob fetal ag nipt cfdna alys,,,759.05,759.05,3 HCPCS,0489T,Regn cell tx scldr hands,,,5220.0,5790.0,3 HCPCS,0490T,Regn cell tx scldr h mlt inj,,,5220.0,5790.0,3 HCPCS,0490U,Onc cutan/uveal mlnma cd146,,,2435.0,2556.75,7 HCPCS,0491T,Abl lsr opn wnd 1st 20 sqcm,,,5220.0,5220.0,1 HCPCS,0491U,Onc sol tum ctc slct er prtn,,,2435.0,2556.75,7 HCPCS,0492T,Abl lsr opn wnd addl 20 sqcm,,,5220.0,5220.0,1 HCPCS,0492U,Onc sol tum ctc slctn pd-l1,,,2435.0,2556.75,7 HCPCS,0493U,Trnspl med quan dd-cfdna ngs,,,2753.25,2890.91,7 HCPCS,0494T,Prep & cannulj cdvr don lung,,,5220.0,5790.0,3 HCPCS,0494U,Rbc ag ftl rhd gene alys ngs,,,759.05,797.0,7 HCPCS,0495T,Mntr cdvr don lng 1st 2 hrs,,,5226.0,5790.0,2 HCPCS,0495U,Onc prst8 alys crcg plsm prt,,,760.0,798.0,7 HCPCS,0496T,Mntr cdvr don lng ea addl hr,,,5226.0,5790.0,2 HCPCS,0496U,Onc clrct cfdna 8/7 genes,,,495.58,510.15,4 HCPCS,0497U,Onc prst8 mrna rt-pcr 6 gene,,,3873.0,4066.65,7 HCPCS,0498U,Onc clrct ngs mut detc 43gen,,,1372.22,1412.58,4 HCPCS,0499T,Cysto f/urtl strix/stenosis,,,5220.0,5220.0,1 HCPCS,0499U,Onc clrct&lng dna ngs 8gene,,,597.91,627.81,7 HCPCS,0500U,Autoinflam ds vexas synd dna,,,175.4,184.17,7 HCPCS,0502U,Hpv e6/e7 mrk hi-rsk typ crv,,,35.09,36.84,7 HCPCS,0503U,Neuro alz ds ?amyl&tau prtn,,,750.0,787.5,7 HCPCS,0504U,Nfct ds uti id 17 path orgs,,,416.78,437.62,7 HCPCS,0505T,Ev Fempop Artl Revsc,31085.0,15542.5,,,0 HCPCS,0505T,Ev fempop artl revsc,,,11488.76,39855.12,9 HCPCS,0505U,Nfct ds vag infctj id 32orgs,,,679.77,713.76,7 HCPCS,0506T,Mac pgmt opt dns meas hfp,,,58.71,203.66,7 HCPCS,0506U,Gi barretts esophgl cell 89,,,1938.01,2034.91,7 HCPCS,0507T,Near ifr 2img mibmn glnd i&r,,,58.71,203.66,7 HCPCS,0507U,Onc ovr dna whole gen w/5hmc,,,1160.0,1218.0,7 HCPCS,0509T,Pattern erg w/i&r,,,214.89,745.45,7 HCPCS,0510T,Rmvl sinus tarsi implant,,,3256.29,19040.0,9 HCPCS,0510U,Onc pncrtc ca alg alys 16gen,,,483.39,497.61,4 HCPCS,0511T,Rmvl&rinsj sinus tarsi implt,,,7221.37,25051.33,9 HCPCS,0511U,Onc sol tum 3dmicroenvir 36+,,,3033.86,3185.55,7 HCPCS,0512T,Esw integ wnd hlg 1st wnd,,,199.67,5220.0,10 HCPCS,0512U,Onc prst8 alys dgtz img msi,,,706.25,741.56,7 HCPCS,0513T,Esw integ wnd hlg ea addl,,,2375.0,5220.0,3 HCPCS,0513U,Onc prst8 alg alys msi&hrd,,,706.25,741.56,7 HCPCS,0514T,Intraop vis axis id pt fixj,,,5220.0,5220.0,1 HCPCS,0514U,Gi ibd ia quan deter adl lvl,,,38.57,40.5,7 HCPCS,0515T,Insj Wcs Lv Compl Sys,89417.0,44708.5,,,0 HCPCS,0515T,Insj wcs lv compl sys,,,22136.77,76793.64,9 HCPCS,0515U,Gi ibd ia quan deter ifx lvl,,,38.57,40.5,7 HCPCS,0516T,Insj Wcs Lv Eltrd Only,30099.0,15049.5,,,0 HCPCS,0516T,Insj wcs lv eltrd only,,,10401.81,36084.43,9 HCPCS,0516U,Rx metab rxgenomic gnotyp 40,,,416.78,437.62,7 HCPCS,0517T,Insj wcs lv pg compnt,,,10401.81,36084.43,9 HCPCS,0517U,Ther rx mntr 80+ psyactiv rx,,,246.92,259.27,7 HCPCS,0518T,Rmvl pg compnt wcs,,,3719.02,19040.0,10 HCPCS,0518U,Ther rx mntr 90+ pn&mtl hlth,,,246.92,259.27,7 HCPCS,0519T,Rmvl & rplcmt pg compnt wcs,,,5220.0,36084.43,10 HCPCS,0519U,Ther rx mntr meds p/d/a 110+,,,246.92,259.27,7 HCPCS,0520T,Rmvl&rplcmt pg wcs new eltrd,,,10401.81,60970.0,9 HCPCS,0520U,Ther rx mntr 200+ rx/sbsts,,,246.92,259.27,7 HCPCS,0521T,Interrog dev eval wcs ip,,,28.78,99.86,7 HCPCS,0521U,Rf iga&igm ccp antb sr-a ia,,,52.84,54.39,4 HCPCS,0522T,Prgrmg dev eval wcs ip,,,37.14,128.85,7 HCPCS,0522U,Ca vi psp&sp1 antb cl semiql,,,265.71,273.53,4 HCPCS,0523T,Ntrapx c ffr w/3d funcjl map,,,2375.0,2633.0,2 HCPCS,0523U,Onc soltum dna ngs snv 22gen,,,1379.13,1419.69,4 HCPCS,0524T,Ev cath dir chem abltj w/img,,,3142.32,19040.0,10 HCPCS,0524U,Ob pe sflt-1/plgf ia srm/pls,,,131.4,135.26,4 HCPCS,0525T,Insj/rplcmt compl iims,,,19169.21,66499.0,9 HCPCS,0525U,Onc sphrd cell cul 11-rx pnl,,,3094.54,3185.55,4 HCPCS,0526T,Insj/rplcmt iims eltrd only,,,8235.66,35289.0,9 HCPCS,0527T,Insj/rplcmt iims implt mntr,,,8235.66,35289.0,9 HCPCS,0527U,Hsv 1&2 vzv amp prb tq pthgn,,,145.48,149.76,4 HCPCS,0528T,Prgrmg dev eval iims ip,,,37.14,128.85,7 HCPCS,0528U,Lrt iad 18bct/8vir&7arg rna,,,647.54,666.58,4 HCPCS,0529T,Interrog dev eval iims ip,,,37.14,128.85,7 HCPCS,0530T,Removal complete iims,,,3719.02,19040.0,9 HCPCS,0530U,Onc pan-sol tum ctdna 77 gen,,,2977.99,3065.58,4 HCPCS,0531T,Removal iims electrode only,,,3719.02,19040.0,9 HCPCS,0532T,Removal iims implt mntr only,,,3719.02,19040.0,9 HCPCS,0532U,Rare ds whlgen&mitochdrl dna,,,5131.82,5282.76,4 HCPCS,0533U,Rx metab advrs gnotyp 16gens,,,425.12,437.62,4 HCPCS,0535U,Pfas lc-ms/ms plsm/srm quan,,,63.38,65.25,4 HCPCS,0536U,Rbcag ftl rhd pcr alys exon4,,,195.84,201.6,4 HCPCS,0537U,Onc clrct ca cfdna >2500 dmr,,,1524.9,1569.75,4 HCPCS,0538U,Onc sol tum ngts ffpe 600gen,,,3049.34,3139.03,4 HCPCS,0539U,Onc sol tumor cfctdna 152gen,,,3354.28,3452.94,4 HCPCS,0540U,Trnsplj med quan dd-cfdna,,,2808.32,2890.91,4 HCPCS,0541T,Myocardial imaging mcg,,,371.37,1288.29,7 HCPCS,0543T,Ta mv rpr w/artif chord tend,,,5226.0,5790.0,2 HCPCS,0543U,Onc sol tum ngs dna 517 gens,,,3049.34,3139.03,4 HCPCS,0544T,Tcat mv annulus rcnstj,,,5226.0,5790.0,2 HCPCS,0545T,Tcat tv annulus rcnstj,,,5226.0,5790.0,2 HCPCS,0545U,Achr antb id imfluor livecll,,,38.48,39.62,4 HCPCS,0546U,Ldns lrp4 antb imflr livecll,,,38.48,39.62,4 HCPCS,0547U,Neurflmnt lt chn cleia plsm,,,118.55,122.04,4 HCPCS,0548T,Tprnl balo cntnc dev bi,,,5220.0,5220.0,1 HCPCS,0548U,Gfap cleia plasma,,,118.55,122.04,4 HCPCS,0549T,Tprnl balo cntnc dev uni,,,5220.0,5220.0,1 HCPCS,0549U,Onc urthl dna mthyltd rt pcr,,,775.2,798.0,4 HCPCS,0550T,Tprnl balo cntnc dev rmvl ea,,,5220.0,5220.0,1 HCPCS,0551T,Tprnl balo cntnc dev adjmt,,,5220.0,5220.0,1 HCPCS,0553U,Repr med pga embry te strux,,,774.23,797.0,4 HCPCS,0554U,Repr med pga 24chrm te bx qc,,,774.23,797.0,4 HCPCS,0555T,B1 str&fx rsk transmis data,,,28.78,99.86,7 HCPCS,0555U,Repr med pga embryonic te qc,,,774.23,797.0,4 HCPCS,0556T,B1 str & fx rsk assessment,,,237.46,823.75,7 HCPCS,0556U,Nfct ds p-s dna&rna 12 trgts,,,145.48,149.76,4 HCPCS,0557U,Nfct ds bv dna mrk vag fluid,,,268.25,276.14,4 HCPCS,0558T,Ct scan f/biomchn ct alys,,,86.61,300.45,7 HCPCS,0558U,Onc clrct elisa bf7 ag serum,,,21.23,21.85,4 HCPCS,0559T,Antmc mdl 3d print 1st cmpnt,,,132.41,459.34,7 HCPCS,0559U,Onc brs quan elisa bf9ag srm,,,21.23,21.85,4 HCPCS,0560U,Onc mrd gsa cfdna baseline,,,3956.02,4072.37,4 HCPCS,0561T,Antmc guide 3d print 1st gd,,,132.41,459.34,7 HCPCS,0561U,Onc mrd gsa cfdna subsequent,,,810.38,834.21,4 HCPCS,0562U,Onc sol tum tgsa 33gens snvs,,,609.87,627.81,4 HCPCS,0563T,Evac meibomian glnd heat bi,,,58.71,2633.0,9 HCPCS,0563U,Nfct ds pthgn-sna 11vir&4bct,,,425.12,437.62,4 HCPCS,0564T,Onc chemo rx cytotox csc 14,,,59.35,59.35,2 HCPCS,0564U,Nfct ds pthgn-sna 10vir&4bct,,,425.12,437.62,4 HCPCS,0565T,Autol cell implt adps hrvg,,,2375.0,2633.0,2 HCPCS,0565U,Onc hcc ngs detc 6626epigalt,,,1183.2,1218.0,4 HCPCS,0566T,Autol cell implt adps njx,,,2375.0,2633.0,2 HCPCS,0566U,Onc lng qpcr-bsd alys 13dmrs,,,425.12,437.62,4 HCPCS,0567U,Rare ds whl gen seq srs&lrs,,,5131.82,5282.76,4 HCPCS,0568U,Neurol dementia ?amyl ptau,,,914.94,941.85,4 HCPCS,0569T,Ttvr perq appr 1st prosth,,,5226.0,5790.0,2 HCPCS,0570T,Ttvr perq ea addl prosth,,,5226.0,5790.0,2 HCPCS,0570U,Neurol tbi alys gfap&uch-l1,,,265.71,273.53,4 HCPCS,0571T,Insj/rplcmt icds ss eltrd,,,31238.15,108366.8,9 HCPCS,0571U,Onc sol tum dna80&rna10g ngs,,,2977.99,3065.58,4 HCPCS,0572T,Insertion ss dfb electrode,,,8235.66,35289.0,9 HCPCS,0573T,Removal ss dfb electrode,,,3719.02,19040.0,9 HCPCS,0574T,Repos prev ss impl dfb eltrd,,,3719.02,19040.0,9 HCPCS,0575T,Prgrmg dev eval icds ss ip,,,37.14,128.85,7 HCPCS,0575U,Trnsplj med lar rtpcr 4genes,,,387.6,399.0,4 HCPCS,0576T,Interrog dev eval icds ss ip,,,37.14,128.85,7 HCPCS,0576U,Trnsplj med lar quan ddcfdna,,,3304.8,3402.0,4 HCPCS,0577U,Onc ovr serum alys 39 gps,,,251.86,259.27,4 HCPCS,0578U,Onc cutan mln rna qpcr 10gen,,,3950.46,4066.65,4 HCPCS,0579T,Rem interrog dev icds tech,,,37.14,128.85,7 HCPCS,0579U,Nfro dbtc ckd elisa apoa4,,,398.56,410.29,4 HCPCS,0580T,Rmvl ss impl dfb pg only,,,3719.02,19040.0,9 HCPCS,0580U,Bbrgdrferi antb detc 24rprtn,,,17.55,18.07,4 HCPCS,0581T,Abltj mal brst tum perq crtx,,,3896.63,14111.0,9 HCPCS,0581U,Trnspl med antb nohla 39trgt,,,332.32,342.09,4 HCPCS,0582T,Trurl abltj mal prst8 tiss,,,5226.0,45549.04,9 HCPCS,0582U,Rare ds rpd whlgen dna vrnts,,,7733.84,7961.31,4 HCPCS,0583T,Tmpst auto tube dlvr sys,,,1544.13,5790.0,9 HCPCS,0583U,Rare ds rpd whlgen cmptr dna,,,3866.92,3980.66,4 HCPCS,0584T,Perq islet cell transplant,,,5226.0,5790.0,2 HCPCS,0584U,Neuro csf prion prtn qual,,,551.81,568.04,4 HCPCS,0585T,Laps islet cell transplant,,,5226.0,5790.0,2 HCPCS,0585U,Tgsap so neo cfdna 521 genes,,,2977.99,3065.58,4 HCPCS,0586T,Open islet cell transplant,,,5226.0,5790.0,2 HCPCS,0586U,Onc mrna gen xprsn 216 genes,,,2977.99,3065.58,4 HCPCS,0587T,Perq impltj/rplcmt isdns ptn,,,3499.0,22002.1,9 HCPCS,0587U,Ther rx mntr 60-150rx&metabl,,,116.72,120.15,4 HCPCS,0588T,Revision/removal isdns ptn,,,3479.32,19040.0,9 HCPCS,0588U,Nfct ds bct/vir 32genes mrna,,,775.2,798.0,4 HCPCS,0589U,Pfas24cmpnd hi-perf lc-ms/ms,,,202.71,208.68,4 HCPCS,0591U,Onc prst8 ca 3prtns plsm srm,,,775.2,798.0,4 HCPCS,0592U,Onc hl neo dna tgs 417 genes,,,2977.99,3065.58,4 HCPCS,0593U,Nfct ds gu pthgn dna 46trgt,,,647.54,666.58,4 HCPCS,0594T,Osteot hum xtrnl lngth dev,,,5220.0,29398.0,10 HCPCS,0595U,Nfct ds tfp vctrbrn&zoonotic,,,268.25,276.14,4 HCPCS,0596T,Temp fml iu vlv-pmp 1st insj,,,693.95,3880.0,9 HCPCS,0597T,Temp fml iu valve-pmp rplcmt,,,693.95,3880.0,9 HCPCS,0598T,Ncntc r-t fluor wnd img 1st,,,214.89,745.45,7 HCPCS,0598U,Gi ibs igg antb 18food items,,,306.0,315.0,4 HCPCS,0599U,Onc pncrtc ca mult ia serum,,,914.94,941.85,4 HCPCS,0600T,Ire abltj 1+tum organ perq,,,5220.0,36698.4,10 HCPCS,0601T,Ire abltj 1+tumors open,,,5220.0,36698.4,10 HCPCS,0609T,Mrs disc pain acquisj data,,,237.46,823.75,7 HCPCS,0611T,Mrs disc pain alg alys data,,,237.46,823.75,7 HCPCS,0613T,Perq tcat intratrl septl sht,,,5226.0,5790.0,2 HCPCS,0614T,Rmvl&rplcmt ss impl dfb pg,,,5220.0,76793.64,10 HCPCS,0615T,Eye mvmt alys w/o calbrj i&r,,,132.41,459.34,7 HCPCS,0616T,Insertion of iris prosthesis,,,5220.0,5220.0,1 HCPCS,0617T,Insj iris prosth w/rmvl&insj,,,5220.0,5220.0,1 HCPCS,0618T,Insj iris prosth sec io lens,,,5220.0,5220.0,1 HCPCS,0619T,Cysto w/prst8 commissurotomy,,,5220.0,14111.0,3 HCPCS,0620T,Evasc ven artlz tibl/prnl vn,,,31849.0,152065.9,9 HCPCS,0621T,Trabeculostomy interno laser,,,4113.58,23971.0,9 HCPCS,0622T,Trabeculostomy int lsr w/scp,,,5226.0,5790.0,2 HCPCS,0627T,Perq njx algc fluor lmbr 1st,,,12777.04,44324.22,9 HCPCS,0628T,Perq njx algc fluor lmbr ea,,,2375.0,2633.0,2 HCPCS,0629T,Perq njx algc ct lmbr 1st,,,12777.04,44324.22,9 HCPCS,0630T,Perq njx algc ct lmbr ea,,,2375.0,2633.0,2 HCPCS,0632T,Perq tcat us abltj nrv p-art,,,18243.62,63288.08,9 HCPCS,0633T,Ct breast w/3d uni c-,,,104.04,360.93,7 HCPCS,0634T,Ct breast w/3d uni c+,,,174.56,605.55,7 HCPCS,0635T,Ct breast w/3d uni c-/c+,,,174.56,605.55,7 HCPCS,0636T,Ct breast w/3d bi c-,,,237.46,823.75,7 HCPCS,0637T,Ct breast w/3d bi c+,,,347.2,1204.45,7 HCPCS,0638T,Ct breast w/3d bi c-/c+,,,347.2,1204.45,7 HCPCS,0640T,Ncntc nr ifr spctrsc wnd,,,37.17,128.95,7 HCPCS,0643T,Tcat l ventr rstrj dev implt,,,5226.0,5790.0,2 HCPCS,0644T,Tcat rmvl/dblk icar mas perq,,,5664.24,29398.0,9 HCPCS,0645T,Tcat impltj c sins rdctj dev,,,18243.62,63288.08,9 HCPCS,0646T,Ttvi/rplcmt w/prstc vlv perq,,,5226.0,5790.0,2 HCPCS,0647T,Insj gtube perq mag gastrpxy,,,1909.69,6624.83,9 HCPCS,0650T,Prgrmg Dev Eval Scrms Remote,142.0,71.0,,,0 HCPCS,0650T,Prgrmg dev eval scrms remote,,,37.14,128.85,7 HCPCS,0651T,Mag ctrld capsule endoscopy,,,902.63,5790.0,10 HCPCS,0652T,Egd flx transnasal dx br/wa,,,1909.69,6624.83,10 HCPCS,0653T,Egd flx transnasal bx 1/ml,,,1909.69,6624.83,10 HCPCS,0654T,Egd flx transnasal tube/cath,,,3836.96,13310.62,9 HCPCS,0655T,Tprnl focal abltj mal prst8,,,5336.05,18511.05,9 HCPCS,0656T,Vrt bdy tethering ant,,,5226.0,60533.69,9 HCPCS,0657T,Vrt bdy tethering ant 8+ seg,,,5226.0,60533.69,9 HCPCS,0658T,Elec impd spectrsc 1+skn les,,,58.71,5220.0,8 HCPCS,0659T,Tcat intra-c nfs supersat o2,,,5226.0,5790.0,2 HCPCS,0660T,Implt ant sgm io nbio rx sys,,,4113.58,23971.0,9 HCPCS,0661T,Rmvl&Rimpltj ant sgm implt,,,4113.58,23971.0,9 HCPCS,0662T,Scalp cool 1st meas&calbrj,,,5220.0,5220.0,1 HCPCS,0664T,Don hysterectomy open cdvr,,,5226.0,5790.0,2 HCPCS,0665T,Don hysterectomy open liv,,,5226.0,5790.0,2 HCPCS,0666T,Don hysterectomy laps liv,,,5226.0,5790.0,2 HCPCS,0667T,Don hysterectomy rcp uter,,,5226.0,5790.0,2 HCPCS,0668T,Bkbench prep don uter algrft,,,5226.0,5790.0,2 HCPCS,0669T,Bkbench rcnstj don uter ven,,,5226.0,5790.0,2 HCPCS,0670T,Bkbench rcnstj don uter artl,,,5226.0,5790.0,2 HCPCS,0671T,Insj ant sgm aq drg dev 1+,,,5295.75,18371.25,9 HCPCS,0672T,Ndovag cryg rf remdl tiss,,,5226.0,5790.0,2 HCPCS,0673T,Abltj b9 thyr ndul perq lasr,,,1643.67,5790.0,9 HCPCS,0674T,Laps insj nw/rpcmt prm isdss,,,30709.54,106533.01,9 HCPCS,0675T,Laps insj nw/rpcmt isdss 1ld,,,11089.19,38469.0,9 HCPCS,0676T,Laps insj nw/rpcmt isdss ea,,,2375.0,2633.0,2 HCPCS,0677T,Laps repos lead isdss 1st ld,,,10578.79,36698.4,9 HCPCS,0678T,Laps repos lead isdss ea add,,,2375.0,2633.0,2 HCPCS,0679T,Laps rmvl lead isdss,,,10578.79,36698.4,9 HCPCS,0680T,Insj/rplcmt pg only isdss,,,19306.96,66976.89,9 HCPCS,0681T,Rlcj pulse gen only isdss,,,3479.32,19040.0,9 HCPCS,0682T,Removal pulse gen only isdss,,,3479.32,19040.0,9 HCPCS,0683T,Prgrmg dev eval isdss ip,,,37.14,128.85,7 HCPCS,0685T,Interrog dev eval isdss ip,,,37.14,128.85,7 HCPCS,0689T,Quan us tis charac w/o dx us,,,86.61,300.45,7 HCPCS,0692T,Therapeutic ultrafiltration,,,1549.95,5376.86,7 HCPCS,0696T,Bdy surf mapg pm/cvdfb f/up,,,37.14,128.85,7 HCPCS,0699T,Njx pst chmbr eye medication,,,2296.74,14111.0,9 HCPCS,0707T,Njx b1 sub mtrl sbchdrl dfct,,,3256.29,19040.0,9 HCPCS,0708T,Id ca immntx prep & 1st njx,,,5226.0,5790.0,2 HCPCS,0709T,Id ca immntx each addl njx,,,5226.0,5790.0,2 HCPCS,0712T,N-nvs artl plaq alys quan,,,214.89,745.45,7 HCPCS,0714T,Tprnl lsr ablt b9 prst8 hypr,,,5336.05,18511.05,9 HCPCS,0716T,Car acous wavfrm rec cad rsk,,,58.71,2633.0,9 HCPCS,0717T,Adrc ther prtl rc tear,,,3526.71,19040.0,9 HCPCS,0718T,Adrc ther prtl rc tear njx,,,3526.71,19040.0,9 HCPCS,0719T,Pst vrt jt rplcmt lmbr 1 sgm,,,5226.0,5790.0,2 HCPCS,0720T,Prq elc nrv stim cn wo implt,,,5226.0,5790.0,2 HCPCS,0725T,Vestibular dev impltj uni,,,5226.0,5790.0,2 HCPCS,0726T,Rmvl implt vstibular dev uni,,,5226.0,5790.0,2 HCPCS,0727T,Rmvl&rplcmt implt vstblr dev,,,5226.0,5790.0,2 HCPCS,0730T,Trabeculotomy lsr w/oct gdn,,,5226.0,5790.0,2 HCPCS,0731T,Augmnt ai-based fcl phnt a/r,,,58.71,203.66,7 HCPCS,0732T,Immntx admn electroporatn im,,,5226.0,5790.0,2 HCPCS,0735T,Prep tum cav iort prim crnot,,,2375.0,2633.0,2 HCPCS,0736T,Colonic lavage 35+l water,,,128.06,2633.0,9 HCPCS,0737T,Xenograft impltj artclr surf,,,12777.04,44324.22,9 HCPCS,0739T,Abltj mal prst8 mag fld ndct,,,5226.0,5790.0,2 HCPCS,0740T,Rem auton alg nsln cal setup,,,58.71,203.66,7 HCPCS,0741T,Rem auton alg nsln data coll,,,37.14,128.85,7 HCPCS,0743T,B1 str & fx rsk vrt fx assmt,,,237.46,823.75,7 HCPCS,0744T,Insj bioprostc vlv fem vn,,,5537.77,29398.0,9 HCPCS,0745T,Car ablt rad arr n-invas loc,,,5226.0,5790.0,2 HCPCS,0746T,Car ablt rad arr cnv loc map,,,5226.0,5790.0,2 HCPCS,0747T,Car ablt rad arrhyt dlvr rad,,,5226.0,5790.0,2 HCPCS,0748T,Njx stm cl prdct anl sft tis,,,5226.0,5790.0,2 HCPCS,0764T,Asstv alg ecg rsk asmt cncrt,,,132.41,459.34,7 HCPCS,0765T,Asstv alg ecg rsk asmt prev,,,132.41,459.34,7 HCPCS,0766T,Tc mag stimj pn 1st tx 1nrv,,,214.89,745.45,7 HCPCS,0778T,Smmg cncrnt appl imu snr,,,128.06,444.23,7 HCPCS,0779T,Gi myoelectrical actv study,,,371.37,1288.29,7 HCPCS,0780T,Instlj fecal microbiota ssp,,,132.41,2633.0,9 HCPCS,0781T,Brnchsc rf dstrj pulm nrv bi,,,5226.0,5790.0,2 HCPCS,0782T,Brnchsc rf dstrj plm nrv uni,,,5226.0,5790.0,2 HCPCS,0783T,Tc auriculr neurostimulation,,,128.06,444.23,7 HCPCS,0784T,Ins/rplmt eltrd ra spi nstim,,,11089.19,38469.0,9 HCPCS,0785T,Revj/rmvl nea spi w/nstim,,,3479.32,19040.0,9 HCPCS,0786T,Insj/rplcmt prq ra sac nstim,,,11089.19,38469.0,9 HCPCS,0787T,Revj/rmvl nea sac w/nstim,,,3479.32,19040.0,9 HCPCS,0790T,Revj rplcmt/rmvl vrt tethrg,,,5226.0,60533.69,9 HCPCS,0793T,Prq tcat thrm ablt nrv p-art,,,18243.62,63288.08,9 HCPCS,0794T,Pt spec alg rx-onc tx option,,,58.71,2633.0,9 HCPCS,0795T,Tcat ins 2chmbr ldls pm cmpl,,,19169.21,66499.0,9 HCPCS,0796T,Tcat ins 2chmbr ldls pm ra,,,19169.21,66499.0,9 HCPCS,0797T,Tcat ins 2chmbr ldls pm rv,,,19169.21,66499.0,9 HCPCS,0798T,Tcat rmv 2chmbr ldls pm cmpl,,,3142.32,19040.0,9 HCPCS,0799T,Tcat rmvl 2chmbr ldls pm ra,,,3142.32,19040.0,9 HCPCS,0800T,Tcat rmvl 2chmbr ldls pm rv,,,3142.32,19040.0,9 HCPCS,0801T,Tcat rmv&rpl 2chmbr ldls pm,,,19169.21,66499.0,9 HCPCS,0802T,Tcat rmv&rpl2chmb ldls pm ra,,,19169.21,66499.0,9 HCPCS,0803T,Tcat rmv&rpl2chmb ldls pm rv,,,19169.21,66499.0,9 HCPCS,0804T,Prgrmg evl ldls pm 2chmbr ip,,,37.14,128.85,7 HCPCS,0805T,Tcat s&ivc prstc vl impl prq,,,5226.0,5790.0,2 HCPCS,0806T,Tcat s&ivc prstc vl impl opn,,,5226.0,5790.0,2 HCPCS,0807T,Pulm tiss vntj alys prev ct,,,214.89,745.45,7 HCPCS,0808T,Pulm tiss vntj alys w/ct,,,214.89,745.45,7 HCPCS,0810T,Subrta njx rx agt w/vtrc,,,4140.41,23971.0,9 HCPCS,0811T,Rem mlt day uroflow setup,,,132.5,459.64,7 HCPCS,0812T,Rem mlt day uroflow dev sply,,,128.06,444.23,7 HCPCS,0813T,Egd vol adjmt bariatric balo,,,902.63,5790.0,9 HCPCS,0814T,Prq njx biod osteo matrl fem,,,5226.0,5790.0,2 HCPCS,0816T,Opn insj/rplcmt ins ptn subq,,,19306.96,66976.89,9 HCPCS,0817T,Opn insj/rplcmt ins ptn subf,,,19306.96,66976.89,9 HCPCS,0818T,Revj/rmvl ins ptn subq,,,3479.32,19040.0,9 HCPCS,0819T,Revj/rmvl ins ptn subf,,,3479.32,19040.0,9 HCPCS,0823T,Tcat ins 1chmbr ldls pm ra,,,19169.21,66499.0,9 HCPCS,0824T,Tcat rmv 1chmbr ldls pm ra,,,3142.32,19040.0,9 HCPCS,0825T,Tcat rmv&rpl1chmb ldls pm ra,,,19169.21,66499.0,9 HCPCS,0826T,Prgrmg evl ldls pm 1chmbr ip,,,37.14,128.85,7 HCPCS,0857T,Opto-acoustic img breast uni,,,104.04,360.93,7 HCPCS,0861T,Rmvl pg wcs lv both compnt,,,3719.02,19040.0,9 HCPCS,0862T,Rlcj pg wcs lv battery only,,,2053.37,7123.26,9 HCPCS,0863T,Rlcj pg wcs lv trnsmtr only,,,2053.37,7123.26,9 HCPCS,0864T,Low ntsty eswt corpus cvrnsm,,,248.65,862.58,7 HCPCS,0865T,Quan mri alys brn w/o dx mri,,,237.46,823.75,7 HCPCS,0866T,Quan mri alys brn w/dx mri,,,237.46,823.75,7 HCPCS,0867T,Tpla b9 prst8 hyprplsa>=50ml,,,5336.05,18511.05,9 HCPCS,0868T,Hi-res gastric ep mapping,,,371.37,1288.29,7 HCPCS,0869T,Njx b1 sub mtrl hw fixj aug,,,3256.29,19040.0,9 HCPCS,0870T,Imp subq prtl ascts pmp sys,,,5226.0,5790.0,2 HCPCS,0871T,Rplcmt subq prtl ascites pmp,,,5226.0,5790.0,2 HCPCS,0872T,Rplcmt ndwllg bldr&prtl cath,,,5226.0,5790.0,2 HCPCS,0873T,Revj subq prtl asct pmp sys,,,5226.0,5790.0,2 HCPCS,0874T,Rmvl pertl ascites pmp sys,,,5226.0,5790.0,2 HCPCS,0881T,Cryotherapy oral cavity,,,444.58,1542.27,7 HCPCS,0882T,Intraop ther estim pn ue 1st,,,2375.0,2633.0,2 HCPCS,0883T,Intraop ther estim pn ue ea,,,2375.0,2633.0,2 HCPCS,0884T,Esphgsc flx 1st tndsc dilat,,,6041.75,20959.15,9 HCPCS,0885T,Colsc flx 1st tndsc dilat,,,6041.75,20959.15,9 HCPCS,0886T,Sgmdsc flx 1st tndsc dilat,,,6041.75,20959.15,9 HCPCS,0893T,N-invas assmt bld oxygnation,,,132.41,459.34,7 HCPCS,0894T,Cannulation liver allograft,,,5226.0,5790.0,2 HCPCS,0897T,N-invas augmnt arrhyt alys,,,854.62,2964.71,7 HCPCS,0898T,N-invas prst8 cancer est map,,,854.62,2964.71,7 HCPCS,0901T,Plmt bone marrow smplg port,,,5226.0,5790.0,2 HCPCS,0902T,Qtc ntrvl augmnt alg aly ecg,,,132.41,459.34,7 HCPCS,0904T,Ecg alg 12 ld rdcd trcg only,,,58.71,203.66,7 HCPCS,0906T,Coms ther 1st appl<=50 sq cm,,,199.67,692.67,7 HCPCS,0908T,Opn imp int nstm sys vgs nrv,,,5226.0,106533.01,9 HCPCS,0909T,Rplcmt int nstim sys vgs nrv,,,5226.0,106533.01,9 HCPCS,0910T,Rmvl int nstim sys vagus nrv,,,3479.32,12069.94,9 HCPCS,0911T,Elec aly nstm sys vgs nrv wo,,,58.71,203.66,7 HCPCS,0913T,Prq tcat ther rx ntrac balo1,,,11488.76,39855.12,9 HCPCS,0914T,Prq tcat thr rx ntrc bal sep,,,2375.0,2633.0,2 HCPCS,0915T,Insj perm ccm-d sys pg&eltrd,,,31238.15,108366.8,9 HCPCS,0916T,Insj perm ccm-d sys pg only,,,22136.77,76793.64,9 HCPCS,0917T,Insj perm ccm-d sys 1 lead,,,8235.66,35289.0,9 HCPCS,0918T,Insj perm ccm-d sys dual ld,,,8235.66,35289.0,9 HCPCS,0919T,Rmvl perm ccm-d sys pg only,,,3719.02,19040.0,9 HCPCS,0920T,Rmvl perm ccm-d sys 1 pac ld,,,3719.02,19040.0,9 HCPCS,0921T,Rmvl perm ccm-d sys 1 dfb ld,,,3719.02,19040.0,9 HCPCS,0922T,Rmvl perm ccm-d sys dual ld,,,3719.02,19040.0,9 HCPCS,0923T,Rmvl&rplcmt perm ccm-d pg,,,22136.77,76793.64,9 HCPCS,0924T,Rpos prv ccm-d trnsvns eltrd,,,624.29,3880.0,9 HCPCS,0925T,Rlcj skin pocket ccm-d pg,,,2053.37,7123.26,9 HCPCS,0926T,Prgrmg dev eval ccm-d ip,,,37.14,128.85,7 HCPCS,0927T,Interrog dev eval ccm-d ip,,,37.14,128.85,7 HCPCS,0929T,Rem interrog dev ccm-d tech,,,37.14,128.85,7 HCPCS,0930T,Ephys eval ccm-d ld 1st impl,,,1211.69,5790.0,9 HCPCS,0931T,Ephys eval ccm-d ld separate,,,1211.69,5790.0,9 HCPCS,0933T,Tcat impl wrls l atr prs snr,,,3226.37,23971.0,9 HCPCS,0935T,Cysto w/rnl pel symp dnrvtj,,,5226.0,5790.0,2 HCPCS,0941T,Cysto flx ins&xpns urtl scaf,,,5226.0,5790.0,2 HCPCS,0942T,Cysto flx rmv&rplc urtl scaf,,,5226.0,5790.0,2 HCPCS,0943T,Cysto flx rmvl urtl scaffold,,,5226.0,5790.0,2 HCPCS,0944T,3d cntr simula trgt lvr les,,,237.46,823.75,7 HCPCS,0945T,Intraop assmt abnl tum tiss,,,5226.0,5790.0,2 HCPCS,0946T,Ortho impl mvmt alys pair ct,,,104.04,360.93,7 HCPCS,0949T,Rem interrog dev ccm tech,,,37.14,128.85,7 HCPCS,0950T,Abltj b9 prst8 tissue hifu,,,9421.01,32681.98,7 HCPCS,0957T,Rev s-sclp eltr ra rcvr&tlmt,,,1600.27,5551.43,7 HCPCS,0958T,Rmv s-sclp eltr ra rcvr&tlmt,,,3256.29,11296.24,7 HCPCS,0959T,Rmv/rplc magnet coil assem,,,1643.67,5701.97,7 HCPCS,0962T,Asstv alg alys acous&ecg rec,,,132.41,459.34,7 HCPCS,0963T,Anosc sbmcsl njx bulking agt,,,1190.9,4131.28,7 HCPCS,0964T,I&cust prep jaw xpnsj 1arch,,,3299.54,11446.28,7 HCPCS,0965T,I&cst prp jw xpn dl arch non,,,3299.54,11446.28,7 HCPCS,0966T,I&cst prp jw xpn dl arch fxd,,,3299.54,11446.28,7 HCPCS,0967T,Tranal ins tmp clrc anst dev,,,1190.9,4131.28,7 HCPCS,0970T,Ablt b9 brst tum perq lsr ea,,,3896.63,13517.63,7 HCPCS,0971T,Ablt mal brst tum pq lsr uni,,,3896.63,13517.63,7 HCPCS,0973T,Slctv nzmtc dbrdmt t/a/l 1st,,,404.56,1403.45,7 HCPCS,0975T,Slctv nzmtc dbrdmt s/n/hf 1,,,404.56,1403.45,7 HCPCS,0977T,Upr gi bld detcj snr capsule,,,902.63,3131.27,7 HCPCS,0981T,Tcat impl wrls ivc snr,,,18243.62,63288.08,7 HCPCS,0982T,Rem mntr impl ivc snr set-up,,,132.5,459.64,7 HCPCS,0983T,Rem mntr impl ivc snr phys,,,37.14,128.85,7 HCPCS,0989T,Revj/rmvl ins ptn subq&subf,,,3479.32,12069.94,7 HCPCS,0991T,Cysto lo-nrg lithtrp&mcrsphr,,,9421.01,32681.98,7 HCPCS,0992T,N-invas assmt car rsk w/o ct,,,237.46,823.75,7 HCPCS,0993T,N-invas assmt car rsk w/ct,,,237.46,823.75,7 HCPCS,0996T,Ins&sclr fix caps bag prosth,,,2296.74,7967.52,7 HCPCS,10004,Fna Bx W/O Img Gdn Ea Addl,189.0,94.5,,,0 HCPCS,10004,Fna bx w/o img gdn ea addl,,,2375.0,5220.0,3 HCPCS,10005,10005 Fna Bx W/Us Gdn 1St Les,1977.0,988.5,,,0 HCPCS,10005,Fna Bx W/Us Gdn 1St Les,1977.0,988.5,,,0 HCPCS,10005,Fna bx w/us gdn 1st les,,,704.73,5220.0,10 HCPCS,10006,10006 Fna Bx W/Us Gdn Ea Addl,1977.0,988.5,,,0 HCPCS,10006,Fna Bx W/Us Gdn Ea Addl,1977.0,988.5,,,0 HCPCS,10006,Fna bx w/us gdn ea addl,,,2375.0,5220.0,3 HCPCS,10007,Fna Bx W/Fluor Gdn 1St Les,2177.0,1088.5,,,0 HCPCS,10007,Fna bx w/fluor gdn 1st les,,,704.73,5220.0,10 HCPCS,10008,Fna bx w/fluor gdn ea addl,,,2375.0,5220.0,3 HCPCS,10009,10009 Fna Bx W/Ct Gdn 1St Les,2394.0,1197.0,,,0 HCPCS,10009,Fna Bx W/Ct Gdn 1St Les,2394.0,1197.0,,,0 HCPCS,10009,Fna bx w/ct gdn 1st les,,,704.73,5220.0,10 HCPCS,10010,Fna Bx W/Ct Gdn Ea Addl,1276.0,638.0,,,0 HCPCS,10010,Fna bx w/ct gdn ea addl,,,2375.0,5220.0,3 HCPCS,10011,Fna bx w/mr gdn 1st les,,,704.73,5220.0,10 HCPCS,10012,Fna bx w/mr gdn ea addl,,,2375.0,5220.0,3 HCPCS,10021,10021 Fine Needle Aspir Biopsy,1067.0,533.5,,,0 HCPCS,10021,Fine Needle Aspir Bx 1St Les,1067.0,533.5,,,0 HCPCS,10021,Fine Needle Aspiration W/,1067.0,533.5,,,0 HCPCS,10021,Fna w/o image,,,404.56,5220.0,10 HCPCS,10022,Fna w/image,,,3408.0,3408.0,1 HCPCS,1002T,Air displacmnt plethysmograp,,,28.78,99.86,7 HCPCS,10030,10030 Guide Cathet Fluid Drain,4645.0,2322.5,,,0 HCPCS,10030,Guide cathet fluid drainage,,,704.73,5220.0,10 HCPCS,10030,Guided Catheter Fluid Drain,4645.0,2322.5,,,0 HCPCS,10035,Chgr - Perq Dev Soft Tiss 1St Imag,1999.0,999.5,,,0 HCPCS,10035,Perq Dev Soft Tiss 1St Img,1999.0,999.5,,,0 HCPCS,10035,Perq dev soft tiss 1st imag,,,704.73,3880.0,9 HCPCS,10036,Chgr - Perq Dev Soft Tiss Add Imag,798.0,399.0,,,0 HCPCS,10036,Perq dev soft tiss add imag,,,2375.0,2633.0,2 HCPCS,1003T,Arthrp 1st crp/mtcrpl prostc,,,12777.04,44324.22,7 HCPCS,10040,Acne Surgery,446.0,223.0,,,0 HCPCS,10040,Acne surgery,,,199.67,5220.0,10 HCPCS,1004T,Elec alys s-scl eeg wo prgrm,,,132.41,459.34,7 HCPCS,10060,10060 Incision & Drainage Abscess Simple/Single,1305.0,652.5,,,0 HCPCS,10060,Drainage of skin abscess,,,199.67,5220.0,10 HCPCS,10060,Incision & Drainage Abscess Simple/Single,1305.0,652.5,,,0 HCPCS,10061,10061 I&D Skin Abscess-Complic,1501.0,750.5,,,0 HCPCS,10061,Drainage of skin abscess,,,404.56,3408.0,10 HCPCS,10061,I&D Skin Abscess-Complic,1501.0,750.5,,,0 HCPCS,10061,Spec-I+D Abscess Complex Or Mu,1501.0,750.5,,,0 HCPCS,10080,10080 Pilonidal Cyst-Simple,950.0,475.0,,,0 HCPCS,10080,Drainage of pilonidal cyst,,,704.73,5220.0,10 HCPCS,10081,10081 I&D Pilonidal Cyst Comp,5839.0,2919.5,,,0 HCPCS,10081,Drainage of pilonidal cyst,,,704.73,5220.0,10 HCPCS,1008T,Rem mntr s-scl eeg sys setup,,,132.5,459.64,7 HCPCS,1010T,Cptr oph alys monoc eye mvmt,,,132.41,459.34,7 HCPCS,10120,10120 I&Fb Removal Subq-Simple,1381.0,690.5,,,0 HCPCS,10120,I&Fb Removal Subq-Simple,1381.0,690.5,,,0 HCPCS,10120,Remove foreign body,,,404.56,5220.0,10 HCPCS,10120,Spec-Fb Removal Subcuta Tissue,1381.0,690.5,,,0 HCPCS,10120,Spec-Fb-Removal Subcuta Tissue,1381.0,690.5,,,0 HCPCS,10121,10121 I&Fb Removal Subq-Comp,6803.0,3401.5,,,0 HCPCS,10121,I&Fb Removal Subq-Comp,6803.0,3401.5,,,0 HCPCS,10121,Remove foreign body,,,1643.67,5790.0,10 HCPCS,1012T,Mtrz ab ntrno trph scl/tr mw,,,4113.58,14270.21,7 HCPCS,1013T,Lap srg imp/rpl eso nea&pg/r,,,19306.96,66976.89,7 HCPCS,10140,10140 I&D Hematoma/Fluid,4270.0,2135.0,,,0 HCPCS,10140,"Ad-Hematoma,Seroma",4270.0,2135.0,,,0 HCPCS,10140,Chgr-Cd Pocket Evacuation,4270.0,2135.0,,,0 HCPCS,10140,Drainage of hematoma/fluid,,,1643.67,5790.0,10 HCPCS,10140,I&D Hematoma Seroma/Fluid Collection,4270.0,2135.0,,,0 HCPCS,1014T,Lap rv/rmv eso sph nstm eltr,,,11089.19,38469.0,7 HCPCS,1015T,Rev/rmv lw esoph sphnc npg/r,,,3479.32,12069.94,7 HCPCS,10160,10160 Punct Aspirat'n Skin Les,630.0,315.0,,,0 HCPCS,10160,"Punc Asp Abs,Hem,Bulla,Cyst",630.0,315.0,,,0 HCPCS,10160,Punct Aspiration Skin Les,630.0,315.0,,,0 HCPCS,10160,Puncture Aspiration Abscess Hematoma Bulla/Cyst,630.0,315.0,,,0 HCPCS,10160,Puncture drainage of lesion,,,404.56,5220.0,10 HCPCS,1017T,Elec aly npgs esoph sbsq w/o,,,58.71,203.66,7 HCPCS,10180,10180 I&D Complex Postop Wound,10236.0,5118.0,,,0 HCPCS,10180,Complex drainage wound,,,2890.77,14111.0,10 HCPCS,10180,I&D Complex Postop Wound,10236.0,5118.0,,,0 HCPCS,10180,Incision & Drainage Of Abscess,10236.0,5118.0,,,0 HCPCS,1018T,Elec alys npgs esoph sbsq w/,,,37.14,128.85,7 HCPCS,1019T,Lymphovenous bypass per xtr,,,6608.28,22924.49,7 HCPCS,1020T,Raman spectroscopy 1+skn les,,,58.71,203.66,7 HCPCS,1021T,Active thrc irrigation spx,,,624.29,2165.7,7 HCPCS,1025T,Alt elec fld dos&dlv sim mdl,,,133.76,464.03,7 HCPCS,11000,11000 Debrd Inf Skin-10% Body,658.5,329.25,,,0 HCPCS,11000,Debrd Inf Skin-10% Body,680.0,340.0,,,0 HCPCS,11000,Debride infected skin,,,404.56,5220.0,10 HCPCS,11001,Additional Cleansing Of Skin,446.0,223.0,,,0 HCPCS,11001,Debride infected skin add-on,,,2375.0,5220.0,3 HCPCS,11004,Debride genitalia & perineum,,,5220.0,5790.0,3 HCPCS,11005,Debride abdom wall,,,5220.0,5790.0,3 HCPCS,11006,Debride genit/per/abdom wall,,,5220.0,5790.0,3 HCPCS,11008,Remove mesh from abd wall,,,5220.0,19040.0,3 HCPCS,11010,11010 Debride Skin At Fx Site,2460.0,1230.0,,,0 HCPCS,11010,Debride Skin At Fx Site,2460.0,1230.0,,,0 HCPCS,11010,Debride skin at fx site,,,704.73,4564.0,10 HCPCS,11011,Debride Skin Musc At Fx Site,2460.0,1230.0,,,0 HCPCS,11011,Debride skin musc at fx site,,,704.73,4564.0,10 HCPCS,11012,11012 Debridement Of Open Fx/D,3844.0,1922.0,,,0 HCPCS,11012,Deb skin bone at fx site,,,2890.77,10028.23,10 HCPCS,11012,Debridment Of Open Fx/D,3844.0,1922.0,,,0 HCPCS,11042,11042 Debrd Skin&Subq 20Sqcm/<,1736.0,868.0,,,0 HCPCS,11042,Deb Subq Tissue 20 Sq Cm/<,1736.0,868.0,,,0 HCPCS,11042,Deb subq tissue 20 sq cm/<,,,404.56,4564.0,10 HCPCS,11042,Debrd Skin&Subq 20Sqcm/<,1736.0,868.0,,,0 HCPCS,11043,11043 Deb Musc/Fascia 20Sqcm/<,2599.0,1299.5,,,0 HCPCS,11043,Deb Musc/Fascia 20 Sq Cm/<,2599.0,1299.5,,,0 HCPCS,11043,Deb musc/fascia 20 sq cm/<,,,735.52,4564.0,10 HCPCS,11044,11044 Deb Bone 20 Sq Cm/<,5413.0,2706.5,,,0 HCPCS,11044,Deb Bone 20 Sq Cm/<,5413.0,2706.5,,,0 HCPCS,11044,Deb bone 20 sq cm/<,,,1643.67,5701.97,10 HCPCS,11044,Vppa Deb Bone 20 Sq Cm/<,5413.0,2706.5,,,0 HCPCS,11045,11045 Deb Subq Tissue Add-On,1368.0,684.0,,,0 HCPCS,11045,Deb Subq Tissue Add-On,1368.0,684.0,,,0 HCPCS,11045,Deb subq tissue add-on,,,2375.0,3408.0,3 HCPCS,11046,Deb Musc/Fascia Add-On,1326.0,663.0,,,0 HCPCS,11046,Deb Musc/Fascia Add-On=<20 Sq,1326.0,663.0,,,0 HCPCS,11046,Deb musc/fascia add-on,,,2375.0,3408.0,3 HCPCS,11047,Deb Bone Add-On,4100.0,2050.0,,,0 HCPCS,11047,Deb bone add-on,,,2375.0,4564.0,3 HCPCS,11055,11055 Pare Benign Les; Sgl,748.0,374.0,,,0 HCPCS,11055,Pare Benign Les; Sgl,748.0,374.0,,,0 HCPCS,11055,Pare/Cut Bengn Hyperkerat Sngl,748.0,374.0,,,0 HCPCS,11055,Trim skin lesion,,,199.67,5220.0,10 HCPCS,11056,Pare/Cut Benign Hyperkerat 2-4,368.0,184.0,,,0 HCPCS,11056,Trim Skin Lesions 2 To 4,368.0,184.0,,,0 HCPCS,11056,Trim skin lesions 2 to 4,,,199.67,5220.0,10 HCPCS,11057,Pare/Cut Benign Hyperk>4,748.0,374.0,,,0 HCPCS,11057,Pare/Cut Benign Hyperkerat>4,748.0,374.0,,,0 HCPCS,11057,Trim skin lesions over 4,,,199.67,5220.0,10 HCPCS,11100,Biopsy skin lesion,,,5220.0,5220.0,1 HCPCS,11101,Biopsy skin add-on,,,5220.0,5220.0,1 HCPCS,11102,11102 Tangntl Bx Skin Single Les,714.0,357.0,,,0 HCPCS,11102,Tangntl Bx Skin Single Les,714.0,357.0,,,0 HCPCS,11102,Tangntl bx skin single les,,,404.56,5220.0,10 HCPCS,11103,11103 Tangntl Bx Skin Ea Sep/Addl,714.0,357.0,,,0 HCPCS,11103,Tangntl Bx Skin Ea Sep/Addl,714.0,357.0,,,0 HCPCS,11103,Tangntl bx skin ea sep/addl,,,2375.0,5220.0,3 HCPCS,11104,11104 Punch Bx Skin Single Les,787.0,393.5,,,0 HCPCS,11104,Punch Bx Skin Single Lesion,787.0,393.5,,,0 HCPCS,11104,Punch bx skin single lesion,,,404.56,5220.0,10 HCPCS,11105,11105 Punch Biopsy Of Skin,787.0,393.5,,,0 HCPCS,11105,Punch Bx Ea Addl Lesion,787.0,393.5,,,0 HCPCS,11105,Punch Bx Skin Ea Sep/Addl,787.0,393.5,,,0 HCPCS,11105,Punch bx skin ea sep/addl,,,2375.0,5220.0,3 HCPCS,11106,Incal Bx Skn Single Les,1065.0,532.5,,,0 HCPCS,11106,Incal bx skn single les,,,735.52,5220.0,10 HCPCS,11106,Incisional Bx Single Lesion,865.0,432.5,,,0 HCPCS,11107,Incal Bx Skin Ea Sep/Addl,865.0,432.5,,,0 HCPCS,11107,Incal Bx Skn Ea Sep/Addl,1065.0,532.5,,,0 HCPCS,11107,Incal bx skn ea sep/addl,,,2375.0,5220.0,3 HCPCS,11107,Incisional Bx Ea Addl Lesion,865.0,432.5,,,0 HCPCS,11200,11200 Remov Mult Skin Tag 1-15,643.0,321.5,,,0 HCPCS,11200,Chg - Removal Of Skin Tags Up To 15,643.0,321.5,,,0 HCPCS,11200,Removal Mult Skin Tag 1-15,643.0,321.5,,,0 HCPCS,11200,Removal Of Skin Tags,643.0,321.5,,,0 HCPCS,11200,Removal of skin tags 2.0 Cm,729.0,364.5,,,0 HCPCS,11303,Shave skin lesion >2.0 cm,,,404.56,5220.0,10 HCPCS,11305,Shave Les S/N/H/F/G; 0.5Cm/<,446.0,223.0,,,0 HCPCS,11305,Shave Skin Lesion Scalp/Neck/Hands/Feet/Genitalia 0.5 Cm/<,446.0,223.0,,,0 HCPCS,11305,Shave skin lesion 0.5 cm/<,,,199.67,5220.0,10 HCPCS,11306,Shave Skin Lesion > 1Cm,446.0,223.0,,,0 HCPCS,11306,Shave Skin Lesion Scalp/Neck/Hands/Feet/Genitalia 0.6 -1.0 Cm,446.0,223.0,,,0 HCPCS,11306,Shave skin lesion 0.6-1.0 cm,,,199.67,5220.0,10 HCPCS,11307,Shave Skin Lesion 1.1-2.0 Cm,446.0,223.0,,,0 HCPCS,11307,Shave Skin Lesion Scalp/Neck/Hands/Feet/Genitalia 1.1-2.0 Cm,446.0,223.0,,,0 HCPCS,11307,Shave skin lesion 1.1-2.0 cm,,,199.67,5220.0,10 HCPCS,11308,Shave Skin Lesion Scalp/Neck/Hands/Feet/Genitalia >2.0 Cm,634.0,317.0,,,0 HCPCS,11308,Shave skin lesion >2.0 cm,,,404.56,5220.0,10 HCPCS,11308,Shaving Lesion Over 2.0 Cm,634.0,317.0,,,0 HCPCS,11310,Shave Skin Lesion Face/Ears/Eyelids/Nose/Lips/Mucosa 0.5 Cm/<,446.0,223.0,,,0 HCPCS,11310,Shave skin lesion 0.5 cm/<,,,199.67,5220.0,10 HCPCS,11311,Shave Skin Lesion Face/Ears/Eyelids/Nose/Lips/Mucosa 0.6-1.0 Cm,417.0,208.5,,,0 HCPCS,11311,Shave skin lesion 0.6-1.0 cm,,,199.67,5220.0,10 HCPCS,11312,Shave Skin Lesion Face/Ears/Eyelids/Nose/Lips/Mucosa 1.1-2.0 Cm,518.0,259.0,,,0 HCPCS,11312,Shave skin lesion 1.1-2.0 cm,,,404.56,5220.0,10 HCPCS,11313,Shave skin lesion >2.0 cm,,,404.56,5220.0,10 HCPCS,11400,Exc Tr-Ext B9+Marg 4.0 Cm,8715.0,4357.5,,,0 HCPCS,11406,Exc tr-ext b9+marg >4.0 cm,,,1643.67,5790.0,10 HCPCS,11420,11420 Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/<,4100.0,2050.0,,,0 HCPCS,11420,Chg - Exc H-F-Nk-Sp B9+Marg 0.5<,4100.0,2050.0,,,0 HCPCS,11420,Exc H-F-Nk-Sp B9+Marg 4Cm,6893.0,3446.5,,,0 HCPCS,11426,Exc h-f-nk-sp b9+marg >4 cm,,,2890.77,14111.0,10 HCPCS,11426,Removal Of Skin Lesion,6893.0,3446.5,,,0 HCPCS,11440,Chg - Exc Face-Mm B9+Marg 0.54 Cm,5241.0,2620.5,,,0 HCPCS,11446,Exc face-mm b9+marg >4 cm,,,2890.77,14111.0,10 HCPCS,11450,Removal sweat gland lesion,,,2890.77,14111.0,10 HCPCS,11450,"Removal,Sweat Gland Lesion",11516.0,5758.0,,,0 HCPCS,11451,Removal sweat gland lesion,,,2890.77,14111.0,10 HCPCS,11462,Removal sweat gland lesion,,,2890.77,14111.0,10 HCPCS,11463,Removal sweat gland lesion,,,2890.77,14111.0,10 HCPCS,11470,Exc Hidrad Umbil; S/I Rep,9285.0,4642.5,,,0 HCPCS,11470,Removal sweat gland lesion,,,2890.77,14111.0,10 HCPCS,11471,Removal sweat gland lesion,,,2890.77,14111.0,10 HCPCS,11600,Exc Tr-Ext Mlg+Marg 0.54Cm,5372.0,2686.0,,,0 HCPCS,11606,Exc tr-ext mal+marg >4 cm,,,1643.67,5790.0,10 HCPCS,11606,Removal Of Skin Lesion,5372.0,2686.0,,,0 HCPCS,11620,Exc H-F-Nk-Sp Mlg+Marg 0.5<,5372.0,2686.0,,,0 HCPCS,11620,Exc h-f-nk-sp mal+marg 0.5/<,,,1643.67,5701.97,10 HCPCS,11621,Chg - Exc H-F-Nk-Sp Mlg-Marg 0.6-1,5372.0,2686.0,,,0 HCPCS,11621,Exc H-Fnk-Sp Mlg+Marg 0.6-1,5372.0,2686.0,,,0 HCPCS,11621,Exc s/n/h/f/g mal+mrg 0.6-1,,,704.73,3880.0,10 HCPCS,11622,Chg - Exc H-F-Nk-Sp Mlg+Marg 1.1-2,5372.0,2686.0,,,0 HCPCS,11622,Exc H-F-Nk-Sp Mlg+Marg 1.1-2,5372.0,2686.0,,,0 HCPCS,11622,Exc s/n/h/f/g mal+mrg 1.1-2,,,704.73,3880.0,10 HCPCS,11623,Chg - Exc H-F-Nk-Sp Mlg+Marg 2.1-3,5372.0,2686.0,,,0 HCPCS,11623,Exc H-F-Nk-Sp Mlg+Marg 2.1-3,5372.0,2686.0,,,0 HCPCS,11623,Exc s/n/h/f/g mal+mrg 2.1-3,,,1643.67,5701.97,10 HCPCS,11624,Exc H-F-Nk-Sp Mlg+Marg 3.1-4,5372.0,2686.0,,,0 HCPCS,11624,Exc s/n/h/f/g mal+mrg 3.1-4,,,1643.67,5790.0,10 HCPCS,11624,Removal Of Skin Lesion,5372.0,2686.0,,,0 HCPCS,11626,Exc H-F-Nk-Sp Mlg+Mar> 4 Cm,9285.0,4642.5,,,0 HCPCS,11626,Exc H-F-Nk-Sp Mlg+Marg>4Cm,9285.0,4642.5,,,0 HCPCS,11626,Exc s/n/h/f/g mal+mrg >4 cm,,,2890.77,14111.0,10 HCPCS,11640,Exc Face -Mm Malig+Marg 0.5<,4419.0,2209.5,,,0 HCPCS,11640,Exc Face-Mm Malig+Marg 0.5<,4419.0,2209.5,,,0 HCPCS,11640,Exc f/e/e/n/l mal+mrg 0.5cm<,,,704.73,3880.0,10 HCPCS,11641,Chg - Exc Face-Mm Malig+Marg 0.6-1,4419.0,2209.5,,,0 HCPCS,11641,Exc Face-Mm Malig+Marg 0.6-1,4419.0,2209.5,,,0 HCPCS,11641,Exc f/e/e/n/l mal+mrg 0.6-1,,,704.73,3880.0,10 HCPCS,11642,Chg - Exc Face-Mm Malig+Marg 1.1-2,4419.0,2209.5,,,0 HCPCS,11642,Exc Face-Mm-Malig+Marg 1.1-2,4419.0,2209.5,,,0 HCPCS,11642,Exc f/e/e/n/l mal+mrg 1.1-2,,,704.73,3880.0,10 HCPCS,11643,Chg - Exc Face-Mm Malig+Marg 2.1-3,4419.0,2209.5,,,0 HCPCS,11643,Exc Face-Mm Malig+Marg 2.1-3,4419.0,2209.5,,,0 HCPCS,11643,Exc f/e/e/n/l mal+mrg 2.1-3,,,1643.67,5701.97,10 HCPCS,11644,Exc Face-Mm Malig+Marg 3.1-4,5033.5,2516.75,,,0 HCPCS,11644,Exc f/e/e/n/l mal+mrg 3.1-4,,,1643.67,5790.0,10 HCPCS,11646,Exc Face-Mm Mlg+Marg> 4Cm,5900.0,2950.0,,,0 HCPCS,11646,Exc f/e/e/n/l mal+mrg >4 cm,,,2890.77,14111.0,10 HCPCS,11719,11719 Trim Nail(S) Any Number,217.0,108.5,,,0 HCPCS,11719,Chg - Trim Nail(S),217.0,108.5,,,0 HCPCS,11719,Trim Nail (S),217.0,108.5,,,0 HCPCS,11719,Trim nail(s) any number,,,58.71,5220.0,10 HCPCS,11720,Chg - Nail Debrid 1-5 By Any Method,612.0,306.0,,,0 HCPCS,11720,Debride nail 1-5,,,58.71,5220.0,10 HCPCS,11720,Nail Debrid 1-5 By Any Method,478.0,239.0,,,0 HCPCS,11721,Chg - Nail Debrid 6 Or>Any Method,204.0,102.0,,,0 HCPCS,11721,Debride nail 6 or more,,,58.71,5220.0,10 HCPCS,11721,Nail Debrid 6 Or>Any Method,204.0,102.0,,,0 HCPCS,11721,Nail Debride 6 Or >Any Method (Sngh),204.0,102.0,,,0 HCPCS,11730,11730 Avul Nail Plate Simp-1,327.0,163.5,,,0 HCPCS,11730,Avul Nail Plate Simp-1,327.0,163.5,,,0 HCPCS,11730,Chg - 11730 Avul Nail Plate Simp-1,327.0,163.5,,,0 HCPCS,11730,Removal of nail plate,,,199.67,5220.0,10 HCPCS,11732,11732 Avul Nail Plate Ea Add,748.0,374.0,,,0 HCPCS,11732,Chg - Remove Nail Plate Add-On,748.0,374.0,,,0 HCPCS,11732,Remove Nail Plate Add-On,748.0,374.0,,,0 HCPCS,11732,Remove nail plate add-on,,,2375.0,5220.0,3 HCPCS,11740,11740 Evac Subungual Hematoma,378.0,189.0,,,0 HCPCS,11740,Drain blood from under nail,,,132.41,5220.0,10 HCPCS,11740,Evac Subungual Hematoma,378.0,189.0,,,0 HCPCS,11750,11750 Exc Nail&Matrx-Perm Rml,1368.0,684.0,,,0 HCPCS,11750,Chg - 11750 Exc Nail&Matrx-Perm Rml,1368.0,684.0,,,0 HCPCS,11750,Exc Nail&Matrx-Perm Rml,1368.0,684.0,,,0 HCPCS,11750,Removal of nail bed,,,404.56,3408.0,10 HCPCS,11752,Remove nail bed/finger tip,,,5220.0,5220.0,1 HCPCS,11755,Biopsy nail unit,,,704.73,3880.0,10 HCPCS,11760,11760 Repair Of Nailbed,1300.0,650.0,,,0 HCPCS,11760,Repair Of Nail Bed,1300.0,650.0,,,0 HCPCS,11760,Repair of nail bed,,,735.52,5220.0,10 HCPCS,11762,Reconstruction of nail bed,,,2053.37,7123.26,10 HCPCS,11765,11765 Nail Fold Wedge Excision,518.0,259.0,,,0 HCPCS,11765,Excision of nail fold toe,,,404.56,5220.0,10 HCPCS,11765,Nail Fold Wedge Excision,518.0,259.0,,,0 HCPCS,11770,Chg - Exc Pilonid Cyst;Smpl,6509.0,3254.5,,,0 HCPCS,11770,Remove pilonidal cyst simple,,,2890.77,14111.0,10 HCPCS,11771,Exc Pilonid Cyst; Extens,9013.0,4506.5,,,0 HCPCS,11771,Remove pilonidal cyst exten,,,2890.77,14111.0,10 HCPCS,11772,Remove pilonidal cyst compl,,,2890.77,14111.0,10 HCPCS,11900,11900 Injection Intralesional Up To & Includ 7 Lesions,388.0,194.0,,,0 HCPCS,11900,Inject skin lesions <=w 7,,,199.67,5220.0,10 HCPCS,11900,Injection Into Skin Lesions=<7,446.0,223.0,,,0 HCPCS,11901,Added Skin Lesions Injection>7,699.0,349.5,,,0 HCPCS,11901,Inject skin lesions >7,,,199.67,5220.0,10 HCPCS,11920,Correct skin color 6.0 cm/<,,,735.52,5220.0,10 HCPCS,11921,Correct skn color 6.1-20.0cm,,,735.52,5220.0,10 HCPCS,11922,Correct skin color ea 20.0cm,,,2375.0,5220.0,3 HCPCS,11950,Tx contour defects 1 cc/<,,,199.67,5220.0,10 HCPCS,11951,Tx contour defects 1.1-5.0cc,,,735.52,5220.0,10 HCPCS,11952,Tx Contour Defects 5.1-10Cc,1976.0,988.0,,,0 HCPCS,11952,Tx contour defects 5.1-10cc,,,735.52,5220.0,10 HCPCS,11954,Tx Contour Defects >10.0 Cc,1273.0,636.5,,,0 HCPCS,11954,Tx contour defects >10.0 cc,,,735.52,5220.0,10 HCPCS,11960,Insert tissue expander(s),,,3526.71,19040.0,10 HCPCS,11970,Replace tissue expander,,,5220.0,25051.33,10 HCPCS,11971,Remove tissue expander(s),,,2890.77,14111.0,10 HCPCS,11976,Remove Contraceptive Device,2370.0,1185.0,,,0 HCPCS,11976,Remove contraceptive capsule,,,704.73,3880.0,10 HCPCS,11980,Implant hormone pellet(s),,,444.58,5220.0,10 HCPCS,11981,11981 Insert Drug Implant,2114.0,1057.0,,,0 HCPCS,11981,Insert Drug Implant,2114.0,1057.0,,,0 HCPCS,11981,Insert drug implant device,,,132.41,5220.0,10 HCPCS,11981,Insertion Drug Delivery Implant,1838.0,919.0,,,0 HCPCS,11982,11982 Remove Drug Impl Nonbio,1350.0,675.0,,,0 HCPCS,11982,Removal Non-Biodegradable Drug Delivery Implant,1174.0,587.0,,,0 HCPCS,11982,Remove Drug Implant,1350.0,675.0,,,0 HCPCS,11982,Remove drug implant device,,,444.58,5220.0,10 HCPCS,11983,Remove/Insert Drug Implant,1554.0,777.0,,,0 HCPCS,11983,Remove/insert drug implant,,,444.58,5220.0,10 HCPCS,11983,Rmvl W/Rinsj Non-Biodegradable Drug Dlvr Implt,1351.0,675.5,,,0 HCPCS,12001,12001 Simple Rep Trunk=<2.5Cm,923.0,461.5,,,0 HCPCS,12001,Chg - 12001 Simple Rep Trunk=<2.5Cm,923.0,461.5,,,0 HCPCS,12001,Rpr s/n/ax/gen/trnk 2.5cm/<,,,199.67,5220.0,10 HCPCS,12001,Simple Rep Trunk=<2.5Cm,923.0,461.5,,,0 HCPCS,12001,Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5Cm/<,923.0,461.5,,,0 HCPCS,12002,12002 Simp Rep Trunk 2.6-7.5Cm,1551.0,775.5,,,0 HCPCS,12002,Chg - 12002 Simp Rep Trunk 2.5-7.5Cm,1551.0,775.5,,,0 HCPCS,12002,Rpr s/n/ax/gen/trnk2.6-7.5cm,,,199.67,5220.0,10 HCPCS,12002,Simple Rep Trunk 2.5-7.5Cm,1551.0,775.5,,,0 HCPCS,12004,12004 Simp Rep Trnk 7.6-12.5Cm,1708.0,854.0,,,0 HCPCS,12004,Rpr s/n/ax/gen/trk7.6-12.5cm,,,199.67,5220.0,10 HCPCS,12004,Simple Rep Trunk 7.6-12.5Cm,1708.0,854.0,,,0 HCPCS,12005,12005 Simp Rep Trunk 12.6-20Cm,1877.0,938.5,,,0 HCPCS,12005,Rpr s/n/a/gen/trk12.6-20.0cm,,,404.56,4564.0,10 HCPCS,12005,Simple Rep Trunk 12.6-20Cm,1877.0,938.5,,,0 HCPCS,12006,12006 Simp Rep Trunk 20.1-30Cm,2067.0,1033.5,,,0 HCPCS,12006,Rpr s/n/a/gen/trk20.1-30.0cm,,,404.56,4564.0,10 HCPCS,12006,Simple Rep Turnk 20.1-30Cm,2067.0,1033.5,,,0 HCPCS,12007,12007 Simple Rep Trunk>30Cm,2272.0,1136.0,,,0 HCPCS,12007,Rpr s/n/ax/gen/trnk >30.0 cm,,,199.67,4564.0,10 HCPCS,12011,12011 Simple Rep Face=<2.5Cm,967.0,483.5,,,0 HCPCS,12011,Rpr f/e/e/n/l/m 2.5 cm/<,,,199.67,5220.0,10 HCPCS,12011,Simple Rep Face=<2.5Cm,967.0,483.5,,,0 HCPCS,12011,Simple Repair F/E/E/N/L/M 2.5Cm/<,967.0,483.5,,,0 HCPCS,12011,Srep F/E/N/L/Mm; 2.5Cm/<,967.0,483.5,,,0 HCPCS,12013,12013 Simple Repair F/E/E/N/L/M 2.6Cm-5.0 Cm,1278.0,639.0,,,0 HCPCS,12013,Rpr f/e/e/n/l/m 2.6-5.0 cm,,,199.67,5220.0,10 HCPCS,12013,Simple Repair F/E/E/N/L/M 2.6Cm-5.0 Cm,1278.0,639.0,,,0 HCPCS,12014,12014 Simp Rep Face 5.1-7.5Cm,1403.0,701.5,,,0 HCPCS,12014,Rpr f/e/e/n/l/m 5.1-7.5 cm,,,199.67,5220.0,10 HCPCS,12014,Simple Rep Face 5.1-7.5Cm,1403.0,701.5,,,0 HCPCS,12015,12015 Simp Rep Face 7.6-12.5Cm,1542.0,771.0,,,0 HCPCS,12015,Rpr f/e/e/n/l/m 7.6-12.5 cm,,,199.67,5220.0,10 HCPCS,12015,Simple Rep Face 7.6-12.5Cm,1542.0,771.0,,,0 HCPCS,12016,12016 Simp Rep Face 12.6-20Cm,1773.0,886.5,,,0 HCPCS,12016,Rpr fe/e/en/l/m 12.6-20.0 cm,,,404.56,4564.0,10 HCPCS,12016,Simple Rep Face 12.6-20Cm,1773.0,886.5,,,0 HCPCS,12017,12017 Smple Rep Face 20.1-30Cm,2038.0,1019.0,,,0 HCPCS,12017,Rpr fe/e/en/l/m 20.1-30.0 cm,,,404.56,4564.0,10 HCPCS,12018,12018 Simp Rep Face >30Cm,2344.0,1172.0,,,0 HCPCS,12018,Rpr f/e/e/n/l/m >30.0 cm,,,199.67,4564.0,10 HCPCS,12020,12020 Rx Supfcl Wd Dehis-Simp,2150.0,1075.0,,,0 HCPCS,12020,Closure of split wound,,,735.52,3408.0,10 HCPCS,12020,Rx Supfcl Wd Dehis-Simp,2150.0,1075.0,,,0 HCPCS,12020,Tx S Wnd Dehisc; Smpl,2150.0,1075.0,,,0 HCPCS,12021,12021 Rx Supfcl Wd Deshi-Pack,1475.0,737.5,,,0 HCPCS,12021,Closure of split wound,,,404.56,3408.0,10 HCPCS,12031,12031 Repair Intermediate S/A/T/E 2.5 Cm/<,1250.0,625.0,,,0 HCPCS,12031,Intmd rpr s/a/t/ext 2.5 cm/<,,,404.56,5220.0,10 HCPCS,12031,Repair Intermediate S/A/T/E 2.5 Cm/<,1250.0,625.0,,,0 HCPCS,12032,12032 Repair Intermediate S/A/T/E 2.6-7.5 Cm,1250.0,625.0,,,0 HCPCS,12032,Intmd rpr s/a/t/ext 2.6-7.5,,,404.56,5220.0,10 HCPCS,12032,Repair Intermediate S/A/T/E 2.6-7.5 Cm,1250.0,625.0,,,0 HCPCS,12034,12034 Repair Intermediate S/A/T/E 7.6-12.5 Cm,1250.0,625.0,,,0 HCPCS,12034,Intmd rpr s/tr/ext 7.6-12.5,,,404.56,4564.0,10 HCPCS,12034,Repair Intermediate S/A/T/E 7.6-12.5 Cm,1250.0,625.0,,,0 HCPCS,12035,12035 Repair Intermediate S/A/T/E 12.6-20.0Cm,1250.0,625.0,,,0 HCPCS,12035,Intmd rpr s/a/t/ext 12.6-20,,,404.56,4564.0,10 HCPCS,12035,Repair Intermediate S/A/T/E 12.6-20.0Cm,1250.0,625.0,,,0 HCPCS,12036,12036 Repair Intermediate S/A/T/E 20.1-30.0 Cm,1894.0,947.0,,,0 HCPCS,12036,Intmd rpr s/a/t/ext 20.1-30,,,735.52,4564.0,10 HCPCS,12037,12037 Repair Intermediate S/A/T/E >30.0 Cm,6196.0,3098.0,,,0 HCPCS,12037,Intmd rpr s/tr/ext >30.0 cm,,,2053.37,7123.26,10 HCPCS,12041,12041 Lay Clos Hnd/Ft=<2.5Cm,518.0,259.0,,,0 HCPCS,12041,Chg - 12041 Lay Clos Hnd/Ft=<2.5Cm,518.0,259.0,,,0 HCPCS,12041,Intmd rpr n-hf/genit 2.5cm/<,,,404.56,5220.0,10 HCPCS,12041,Lay Clos Hnd/Ft=/<2.5Cm,518.0,259.0,,,0 HCPCS,12042,12042 Lay Cls Hnd/Ft 2.5-7.5Cm,518.0,259.0,,,0 HCPCS,12042,12042 Lay Cls Hnd/Ft 2.6-7.5Cm,518.0,259.0,,,0 HCPCS,12042,Intmd rpr n-hf/genit2.6-7.5,,,404.56,5220.0,10 HCPCS,12042,Lay Cls Hnd/Ft 2.6-7.5Cm,518.0,259.0,,,0 HCPCS,12044,12044 Lay Cls Hnd/F 7.6-12.5Cm,811.0,405.5,,,0 HCPCS,12044,Chg - 12044 Lay Cls Hnd/F 7.6-12.5Cm,811.0,405.5,,,0 HCPCS,12044,Intmd rpr n-hf/genit7.6-12.5,,,735.52,4564.0,10 HCPCS,12045,12045 Lay Cls Hnd/Ft 12.6-20Cm,811.0,405.5,,,0 HCPCS,12045,Intmd rpr n-hf/genit12.6-20,,,735.52,4564.0,10 HCPCS,12046,Intmd rpr n-hf/genit20.1-30,,,735.52,4564.0,10 HCPCS,12047,12047 Lay Clos Hnd/Ft>30Cm,2594.0,1297.0,,,0 HCPCS,12047,Intmd rpr n-hf/genit >30.0cm,,,2053.37,7123.26,10 HCPCS,12051,12051 Layr Closr Face=<2.5Cm,518.0,259.0,,,0 HCPCS,12051,Chg - 12051 Layr Closr Face=<2.5Cm,518.0,259.0,,,0 HCPCS,12051,Intmd rpr face/mm 2.5 cm/<,,,404.56,5220.0,10 HCPCS,12051,Layr Closr Face=/<2.5Cm,518.0,259.0,,,0 HCPCS,12051,Layr Closr Face=<2.5Cm,518.0,259.0,,,0 HCPCS,12052,12052 Layr Closr Face 2.6-5Cm,518.0,259.0,,,0 HCPCS,12052,Chg - 12052 Layr Closr Face 2.6-5Cm,518.0,259.0,,,0 HCPCS,12052,Intmd rpr face/mm 2.6-5.0 cm,,,404.56,5220.0,10 HCPCS,12052,Layr Closr Face 2.6-5Cm,518.0,259.0,,,0 HCPCS,12053,12053 Layr Clos Face 5.1-7.5Cm,518.0,259.0,,,0 HCPCS,12053,Intmd rpr face/mm 5.1-7.5 cm,,,404.56,5220.0,10 HCPCS,12054,12054 Lay Clos Face 7.6-12.5Cm,523.0,261.5,,,0 HCPCS,12054,Intmd rpr face/mm 7.6-12.5cm,,,404.56,4564.0,10 HCPCS,12055,12055 Lay Clos Face 12.6-20Cm,730.0,365.0,,,0 HCPCS,12055,Intmd rpr face/mm 12.6-20 cm,,,404.56,4564.0,10 HCPCS,12056,12056 Layr Clos Face 20.1-30Cm,840.0,420.0,,,0 HCPCS,12056,Intmd rpr face/mm 20.1-30.0,,,404.56,4564.0,10 HCPCS,12057,12057 Layr Closr Face >30Cm,967.0,483.5,,,0 HCPCS,12057,Intmd rpr face/mm >30.0 cm,,,404.56,4564.0,10 HCPCS,13100,13100 Comp Rep Trunk 1.1-2.5Cm,967.0,483.5,,,0 HCPCS,13100,Cmplx rpr trunk 1.1-2.5 cm,,,735.52,4564.0,10 HCPCS,13100,Comp Rep Trunk 1.1-2.5Cm,967.0,483.5,,,0 HCPCS,13101,13101 Comp Rep Trunk 2.6-7.5Cm,2079.0,1039.5,,,0 HCPCS,13101,Cmplx rpr trunk 2.6-7.5 cm,,,735.52,5220.0,10 HCPCS,13101,Crep Trunk; 2.6-7.5Cm,2079.0,1039.5,,,0 HCPCS,13102,13102 Comp Rep Trnk Ea Add 5Cm,1074.0,537.0,,,0 HCPCS,13102,C Rep Trunk; Ea Addtl 5 Cm/<,1074.0,537.0,,,0 HCPCS,13102,Cmplx rpr trunk addl 5cm/<,,,2375.0,3408.0,3 HCPCS,13120,13120 Comp Rep Ext/1.1-2.5Cm,1288.0,644.0,,,0 HCPCS,13120,Cmplx rpr s/a/l 1.1-2.5 cm,,,404.56,4564.0,10 HCPCS,13121,13121 Comp Rep Ext/2.6-75.Cm,1478.0,739.0,,,0 HCPCS,13121,Cmplx rpr s/a/l 2.6-7.5 cm,,,404.56,5220.0,10 HCPCS,13122,13122 Comp Rep Ext/Ea Add 5Cm,331.0,165.5,,,0 HCPCS,13122,Cmplx rpr s/a/l addl 5 cm/>,,,2375.0,3408.0,3 HCPCS,13131,13131 Comp Rep Face/1.1-2.5Cm,1321.0,660.5,,,0 HCPCS,13131,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,404.56,4564.0,10 HCPCS,13131,Comp Rep Face 1.1-2.5Cm,1321.0,660.5,,,0 HCPCS,13131,Crep F/G/H/F; 1-2.5Cm,1321.0,660.5,,,0 HCPCS,13132,13132 Comp Rep Face/2.6-7.5Cm,1523.0,761.5,,,0 HCPCS,13132,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,404.56,5220.0,10 HCPCS,13132,Comp Rep Face 2.6-7.5Cm,1523.0,761.5,,,0 HCPCS,13132,Repair Complex F/C/C/M/N/Ax/G/H/F 2.6-7.5 Cm,1523.0,761.5,,,0 HCPCS,13133,13133 Comp Rep Fac/Ea Add 5Cm,748.0,374.0,,,0 HCPCS,13133,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,2375.0,3408.0,3 HCPCS,13133,Comp Rep Fac/Ea Add 5Cm,748.0,374.0,,,0 HCPCS,13150,Repair of wound or lesion,,,5220.0,5220.0,1 HCPCS,13151,13151 Comp Rep Eyeld/1.1-2.5Cm,2029.0,1014.5,,,0 HCPCS,13151,Cmplx rpr e/n/e/l 1.1-2.5 cm,,,735.52,5220.0,10 HCPCS,13151,Comp Rep Eyeld 1.1-2.5Cm,2029.0,1014.5,,,0 HCPCS,13152,13152 Comp Rep Eyeld/2.6-7.5Cm,2331.0,1165.5,,,0 HCPCS,13152,Cmplx rpr e/n/e/l 2.6-7.5 cm,,,735.52,5220.0,10 HCPCS,13153,13153 Cmp Rep Eyeld/Ea Add 5Cm,2680.0,1340.0,,,0 HCPCS,13153,Cmplx rpr e/n/e/l addl 5cm/<,,,2375.0,3408.0,3 HCPCS,13160,13160 2Nd Clos Of Surg Wound,6172.0,3086.0,,,0 HCPCS,13160,Late Closure Of Wound,6172.0,3086.0,,,0 HCPCS,13160,Late closure of wound,,,3526.71,12234.34,10 HCPCS,14000,Tis Trnfr Trunk 10 Sq Cm/<,7214.0,3607.0,,,0 HCPCS,14000,Tis trnfr trunk 10 sq cm/<,,,2053.37,7123.26,10 HCPCS,14001,Tis trnfr trunk 10.1-30sqcm,,,2053.37,7123.26,10 HCPCS,14020,Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/<,8296.0,4148.0,,,0 HCPCS,14020,Tis trnfr s/a/l 10 sq cm/<,,,2053.37,7123.26,10 HCPCS,14021,Tis trnfr s/a/l 10.1-30 sqcm,,,2053.37,7123.26,10 HCPCS,14040,14040 Adjacent Tiss Tran 10Sqc,3633.0,1816.5,,,0 HCPCS,14040,Chg - 14040 Adjacent Tiss Tran 10Sqc,3633.0,1816.5,,,0 HCPCS,14040,Tis trnfr f/c/c/m/n/a/g/h/f,,,2053.37,7123.26,10 HCPCS,14041,Tis trnfr f/c/c/m/n/a/g/h/f,,,2053.37,7123.26,10 HCPCS,14060,14060 Tis Trnfr E/N/E/L 10 Sq Cm/<,6156.0,3078.0,,,0 HCPCS,14060,Tis Trnfr E/N/E/L 10 Sq Cm/<,6156.0,3078.0,,,0 HCPCS,14060,Tis trnfr e/n/e/l 10 sq cm/<,,,2053.37,7123.26,10 HCPCS,14061,14061 Tis Trnfr E/N/E/L10.1-30,6156.0,3078.0,,,0 HCPCS,14061,Tis trnfr e/n/e/l10.1-30sqcm,,,2053.37,7123.26,10 HCPCS,14301,Tis trnfr any 30.1-60 sq cm,,,3526.71,19040.0,10 HCPCS,14302,Tis trnfr addl 30 sq cm/<,,,2375.0,13700.0,3 HCPCS,14350,Filleted finger/toe flap,,,2053.37,7123.26,10 HCPCS,15002,Chg Wound Prep Trk/Arm/Leg 100Scm,6203.0,3101.5,,,0 HCPCS,15002,Wound Prep Trk/Arm/Leg,6203.0,3101.5,,,0 HCPCS,15002,Wound prep trk/arm/leg,,,735.52,5790.0,10 HCPCS,15003,Wound prep addl 100 cm,,,2375.0,3408.0,3 HCPCS,15004,Wound Prep F/N/Hf/G,2429.0,1214.5,,,0 HCPCS,15004,Wound Prep F/N/Hf/G 100 Sq Cm/,2429.0,1214.5,,,0 HCPCS,15004,Wound prep f/n/hf/g,,,404.56,4564.0,10 HCPCS,15005,Wnd prep f/n/hf/g addl cm,,,2375.0,3408.0,3 HCPCS,15011,Hrv skn cll ssp agrft 1st 25,,,2053.37,7123.26,9 HCPCS,15012,Hrv skn cll ssp agrft ea add,,,2375.0,2633.0,2 HCPCS,15013,Prepj skn cll ssp agrft 1st,,,7062.71,29398.0,9 HCPCS,15014,Prepj skn cll ssp agrft ea,,,2375.0,2633.0,2 HCPCS,15015,App skn cl ssp agrft t/a/l 1,,,2053.37,7123.26,9 HCPCS,15016,App skn cl ssp agrf t/a/l ea,,,2375.0,2633.0,2 HCPCS,15017,App skn cll ssp f/n/g/hf 1st,,,2053.37,7123.26,9 HCPCS,15018,App skn cll ssp f/n/g/hf ea,,,2375.0,2633.0,2 HCPCS,15040,Harvest cultured skin graft,,,2053.37,7123.26,10 HCPCS,15050,15050 Skin Pinch Graft,3598.0,1799.0,,,0 HCPCS,15050,Skin pinch graft,,,735.52,4564.0,10 HCPCS,15100,Graft Arms Legs Trunk <101Sqcm,6020.0,3010.0,,,0 HCPCS,15100,Skin splt grft trnk/arm/leg,,,2053.37,7123.26,10 HCPCS,15101,Skin splt grft t/a/l add-on,,,2375.0,5220.0,3 HCPCS,15110,Epidermal Graph Trunk/Arm/Leg,5407.0,2703.5,,,0 HCPCS,15110,Epidrm autogrft trnk/arm/leg,,,2053.37,7123.26,10 HCPCS,15111,Autograft Cellutome T/A/L,4753.0,2376.5,,,0 HCPCS,15111,Epidrm autogrft t/a/l add-on,,,2375.0,3408.0,3 HCPCS,15115,Epidermal Graph Feet/Hand/Face,5407.0,2703.5,,,0 HCPCS,15115,Epidrm a-grft face/nck/hf/g,,,2053.37,7123.26,10 HCPCS,15116,Autograft Cellutome F/H/F Add On,4753.0,2376.5,,,0 HCPCS,15116,Epidrm a-grft f/n/hf/g addl,,,2375.0,3408.0,3 HCPCS,15120,Graft Hands Feet Face <101Sqcm,9917.0,4958.5,,,0 HCPCS,15120,Skn splt a-grft fac/nck/hf/g,,,3526.71,19040.0,10 HCPCS,15121,Skn splt a-grft f/n/hf/g add,,,2375.0,5220.0,3 HCPCS,15130,Derm autograft trnk/arm/leg,,,2053.37,14111.0,10 HCPCS,15131,Derm autograft t/a/l add-on,,,2375.0,3408.0,3 HCPCS,15135,Derm autograft face/nck/hf/g,,,3526.71,19040.0,10 HCPCS,15136,Derm autograft f/n/hf/g add,,,2375.0,3408.0,3 HCPCS,15150,Cult skin grft t/arm/leg,,,2053.37,7123.26,10 HCPCS,15151,Cult skin grft t/a/l addl,,,2375.0,3408.0,3 HCPCS,15152,Cult skin graft t/a/l +%,,,2375.0,3408.0,3 HCPCS,15155,Cult skin graft f/n/hf/g,,,3526.71,19040.0,10 HCPCS,15156,Cult skin grft f/n/hfg add,,,2375.0,3408.0,3 HCPCS,15157,Cult epiderm grft f/n/hfg +%,,,2375.0,3408.0,3 HCPCS,15200,Skin full graft trunk,,,2053.37,14111.0,10 HCPCS,15201,Skin full graft trunk add-on,,,2375.0,4564.0,3 HCPCS,15220,Skin full graft sclp/arm/leg,,,2053.37,7123.26,10 HCPCS,15221,Skin full graft add-on,,,2375.0,4564.0,3 HCPCS,15240,15240 Skin Full Grf Fac/Gen/Hf,5407.0,2703.5,,,0 HCPCS,15240,Ftsg Face/Genit/Hf =< 20 Sq Cm,5407.0,2703.5,,,0 HCPCS,15240,Skin full grft face/genit/hf,,,2053.37,7123.26,10 HCPCS,15241,Skin full graft add-on,,,2375.0,5220.0,3 HCPCS,15260,15260 Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/<,5407.0,2703.5,,,0 HCPCS,15260,Skin full graft een & lips,,,2053.37,7123.26,10 HCPCS,15261,Skin full graft add-on,,,2375.0,4564.0,3 HCPCS,15271,Chg - Fc-App Skin Substi Graft 25 Sq,6203.0,3101.5,,,0 HCPCS,15271,Skin Sub T/A/L-1St 25Sqcm-Proc,6203.0,3101.5,,,0 HCPCS,15271,Skin sub graft trnk/arm/leg,,,735.52,5790.0,10 HCPCS,15272,Skin Sub T/A/L-Add 25Sqcm-Proc,6203.0,3101.5,,,0 HCPCS,15272,Skin sub graft t/a/l add-on,,,2375.0,3408.0,3 HCPCS,15273,Skin Sub T/A/L-1St 100Sqc-Proc,10703.0,5351.5,,,0 HCPCS,15273,Skin sub grft t/arm/lg child,,,2053.37,19040.0,10 HCPCS,15274,Skin Sub T/A/L-Add 100Sqc-Proc,10703.0,5351.5,,,0 HCPCS,15274,Skn sub grft t/a/l child add,,,2375.0,3408.0,3 HCPCS,15275,15275 Sub Grft F/S/N/H/F/G/M/D <100Sq Cm 1St 25 Sq Cm,6203.0,3101.5,,,0 HCPCS,15275,"Chg - Skn Subs-Face,Neck,Gen,Hnds 25",6203.0,3101.5,,,0 HCPCS,15275,Skin Sub F/N/Hf-1St 25Sqc-Proc,6203.0,3101.5,,,0 HCPCS,15275,Skin sub graft face/nk/hf/g,,,735.52,5790.0,10 HCPCS,15276,Skin Sub F/N/Hf-Add 25Sqc-Proc,6203.0,3101.5,,,0 HCPCS,15276,Skin sub graft f/n/hf/g addl,,,2375.0,3408.0,3 HCPCS,15277,Skin Sub F/N/Hf-1St 100Sq-Proc,6203.0,3101.5,,,0 HCPCS,15277,Skn sub grft f/n/hf/g child,,,2053.37,7123.26,10 HCPCS,15278,Skin Sub F/N/Hf-Add 100Sq-Proc,6203.0,3101.5,,,0 HCPCS,15278,Skn sub grft f/n/hf/g ch add,,,2375.0,3408.0,3 HCPCS,15570,Skin pedicle flap trunk,,,2053.37,7123.26,10 HCPCS,15572,Skin pedicle flap arms/legs,,,3526.71,19040.0,10 HCPCS,15574,Pedcle fh/ch/ch/m/n/ax/g/h/f,,,2053.37,7123.26,10 HCPCS,15576,Pedicle e/n/e/l/ntroral,,,2053.37,7123.26,10 HCPCS,15600,Delay Flap;Trunk,9437.0,4718.5,,,0 HCPCS,15600,Delay flap trunk,,,3526.71,19040.0,10 HCPCS,15610,Delay flap arms/legs,,,2053.37,14111.0,10 HCPCS,15620,Delay flap f/c/c/n/ax/g/h/f,,,2053.37,7123.26,10 HCPCS,15630,Delay flap eye/nos/ear/lip,,,2053.37,7123.26,10 HCPCS,15650,Transfer skin pedicle flap,,,2053.37,7337.0,10 HCPCS,15730,Mdfc flap w/prsrv vasc pedcl,,,3526.71,19040.0,10 HCPCS,15731,Forehead Flap w/Vasc Pedicle,,,3526.71,19040.0,10 HCPCS,15732,Muscle-skin graft head/neck,,,5220.0,5220.0,1 HCPCS,15733,Musc myoq/fscq flp h&n pedcl,,,3526.71,19040.0,10 HCPCS,15734,Muscle-skin graft trunk,,,3526.71,19040.0,10 HCPCS,15736,Muscle-skin graft arm,,,2053.37,7123.26,10 HCPCS,15738,Muscle-skin graft leg,,,3526.71,19040.0,10 HCPCS,15740,Island pedicle flap graft,,,2053.37,7123.26,10 HCPCS,15750,Neurovascular pedicle flap,,,3526.71,19040.0,10 HCPCS,15756,Free myo/skin flap microvasc,,,5220.0,14111.0,3 HCPCS,15757,Free skin flap microvasc,,,5220.0,14111.0,3 HCPCS,15758,Free fascial flap microvasc,,,5220.0,14111.0,3 HCPCS,15760,Composite skin graft,,,2053.37,7123.26,10 HCPCS,15769,Grfg autol soft tiss dir exc,,,3526.71,19040.0,10 HCPCS,15770,Derma-fat-fascia graft,,,3526.71,19040.0,10 HCPCS,15771,Grfg autol fat lipo 50 cc/<,,,3526.71,19040.0,10 HCPCS,15772,Grfg autol fat lipo ea addl,,,2375.0,5220.0,3 HCPCS,15773,Grfg autol fat lipo 25 cc/<,,,2053.37,7123.26,10 HCPCS,15774,Gfrg autol fat lipo ea addl,,,2375.0,5220.0,3 HCPCS,15775,Hair trnspl 1-15 punch grfts,,,404.56,5220.0,10 HCPCS,15776,Hair trnspl >15 punch grafts,,,404.56,5220.0,10 HCPCS,15777,Acellular derm matrix implt,,,2375.0,7337.0,3 HCPCS,15778,Impl absrb msh/prsth dly cls,,,5226.0,5790.0,2 HCPCS,15780,Dermabrasion total face,,,2890.77,14111.0,10 HCPCS,15781,Dermabrasion segmental face,,,704.73,3880.0,10 HCPCS,15782,Dermabrasion other than face,,,2890.77,10028.23,10 HCPCS,15783,Dermabrasion suprfl any site,,,404.56,3408.0,10 HCPCS,15786,Abrasion lesion single,,,199.67,5220.0,10 HCPCS,15787,Abrasion lesions add-on,,,2375.0,5220.0,3 HCPCS,15788,Chemical peel face epiderm,,,404.56,5220.0,10 HCPCS,15789,Chemical peel face dermal,,,735.52,5220.0,10 HCPCS,15792,Chemical peel nonfacial,,,735.52,5220.0,10 HCPCS,15793,Chemical peel nonfacial,,,404.56,5220.0,10 HCPCS,15819,Plastic surgery neck,,,3408.0,3408.0,1 HCPCS,15820,Revision of lower eyelid,,,2053.37,7123.26,10 HCPCS,15821,Revision of lower eyelid,,,2053.37,7123.26,10 HCPCS,15822,Revision Of Upper Eyelid,6533.0,3266.5,,,0 HCPCS,15822,Revision of upper eyelid,,,2053.37,7123.26,10 HCPCS,15823,Bleph Up Lid W/Excess Skin-Bila,7167.0,3583.5,,,0 HCPCS,15823,Revision Of Upper Eyelid,7167.0,3583.5,,,0 HCPCS,15823,Revision of upper eyelid,,,2053.37,7337.0,10 HCPCS,15824,Removal of forehead wrinkles,,,2053.37,7123.26,10 HCPCS,15825,Removal of neck wrinkles,,,3526.71,19040.0,10 HCPCS,15826,Removal of brow wrinkles,,,3526.71,19040.0,10 HCPCS,15828,Removal of face wrinkles,,,3526.71,19040.0,10 HCPCS,15829,Removal of skin wrinkles,,,3526.71,19040.0,10 HCPCS,15830,Exc Skin Abd,,,5220.0,23971.0,10 HCPCS,15832,Excise excessive skin thigh,,,2890.77,14111.0,10 HCPCS,15833,Excise excessive skin leg,,,2890.77,14111.0,10 HCPCS,15834,Excise excessive skin hip,,,2890.77,14111.0,10 HCPCS,15835,Excise excessive skin buttck,,,2890.77,14111.0,10 HCPCS,15836,Excise excessive skin arm,,,2890.77,10028.23,10 HCPCS,15837,Excise excess skin arm/hand,,,2890.77,10028.23,10 HCPCS,15838,Excise excess skin fat pad,,,2890.77,10028.23,10 HCPCS,15839,Excise excess skin & tissue,,,2890.77,10028.23,10 HCPCS,15840,Nerve palsy fascial graft,,,3526.71,19040.0,10 HCPCS,15841,Nerve palsy muscle graft,,,3526.71,19040.0,10 HCPCS,15842,Nerve palsy microsurg graft,,,2053.37,7123.26,10 HCPCS,15845,Skin and muscle repair face,,,3526.71,19040.0,10 HCPCS,15847,Exc Skin Abd Add-on,,,2375.0,5220.0,3 HCPCS,15850,Remove sutures same surgeon,,,3408.0,3408.0,1 HCPCS,15851,Removal Sutr/Staple Req Anes,5377.0,2688.5,,,0 HCPCS,15851,Remove sutures diff surgeon,,,2053.37,7123.26,10 HCPCS,15852,Dressing Change Not For Burns,4224.0,2112.0,,,0 HCPCS,15852,Dressing Chg Not For Burn,4224.0,2112.0,,,0 HCPCS,15852,Dressing change not for burn,,,735.52,5220.0,10 HCPCS,15853,Removal Sutr/Stapl Xreq Anes,1150.0,575.0,,,0 HCPCS,15853,Removal Sutures/Staples Not Requiring Anesthesia,1150.0,575.0,,,0 HCPCS,15853,Removal sutr/stapl xreq anes,,,2375.0,2633.0,2 HCPCS,15854,Removal Sutr&Stapl Xreq Anes,1725.0,862.5,,,0 HCPCS,15854,Removal sutr&stapl xreq anes,,,2375.0,2633.0,2 HCPCS,15860,Spy Angiogram,1809.0,904.5,,,0 HCPCS,15860,Test for blood flow in graft,,,444.58,5220.0,10 HCPCS,15876,Suction lipectomy head&neck,,,3526.71,19040.0,10 HCPCS,15877,Suction lipectomy trunk,,,3526.71,19040.0,10 HCPCS,15878,Suction lipectomy upr extrem,,,2053.37,7123.26,10 HCPCS,15879,Suction Lipectomy Lwr Extrem,11322.0,5661.0,,,0 HCPCS,15879,Suction lipectomy lwr extrem,,,3526.71,19040.0,10 HCPCS,15920,Removal of tail bone ulcer,,,2890.77,10028.23,10 HCPCS,15922,Exc C P Ulcer; W Flap,9437.0,4718.5,,,0 HCPCS,15922,Removal of tail bone ulcer,,,3526.71,19040.0,10 HCPCS,15931,Remove sacrum pressure sore,,,2890.77,14111.0,10 HCPCS,15933,Remove sacrum pressure sore,,,2890.77,14111.0,10 HCPCS,15934,Exc S P Ulcer W Skin Flap,9437.0,4718.5,,,0 HCPCS,15934,Remove sacrum pressure sore,,,3526.71,19040.0,10 HCPCS,15935,Exc S P Ulcer W Sf Ostectomy,9437.0,4718.5,,,0 HCPCS,15935,Remove sacrum pressure sore,,,3526.71,19040.0,10 HCPCS,15936,Remove sacrum pressure sore,,,2053.37,7123.26,10 HCPCS,15937,Remove sacrum pressure sore,,,2053.37,7123.26,10 HCPCS,15940,Remove hip pressure sore,,,2890.77,14111.0,10 HCPCS,15941,Remove hip pressure sore,,,2890.77,14111.0,10 HCPCS,15944,Remove hip pressure sore,,,3526.71,19040.0,10 HCPCS,15945,Exc I P Ulcer W Skin Flap W Os,9437.0,4718.5,,,0 HCPCS,15945,Remove hip pressure sore,,,2053.37,7123.26,10 HCPCS,15946,Esc I P Ulcer W Ostect & Flap,10506.0,5253.0,,,0 HCPCS,15946,Remove hip pressure sore,,,2053.37,14111.0,10 HCPCS,15950,Remove thigh pressure sore,,,1643.67,14111.0,10 HCPCS,15951,Remove thigh pressure sore,,,2890.77,14111.0,10 HCPCS,15952,Exc T P Ulcer W Flap,9437.0,4718.5,,,0 HCPCS,15952,Remove thigh pressure sore,,,2053.37,14111.0,10 HCPCS,15953,Exc T P Ulcer W Sf & Ostect,9437.0,4718.5,,,0 HCPCS,15953,Remove thigh pressure sore,,,3526.71,19040.0,10 HCPCS,15956,Exc T P Ulcer; W Flap,5381.0,2690.5,,,0 HCPCS,15956,Remove thigh pressure sore,,,2053.37,7123.26,10 HCPCS,15958,Remove thigh pressure sore,,,3526.71,19040.0,10 HCPCS,15999,Removal of pressure sore,,,704.73,5220.0,10 HCPCS,16000,16000 1St Degree Burn-Init Rx,486.0,243.0,,,0 HCPCS,16000,Initial treatment of burn(s),,,199.67,5220.0,10 HCPCS,16020,16020 Dress/Debrd P-Thick Burn,748.0,374.0,,,0 HCPCS,16020,Burn Debridement Small,748.0,374.0,,,0 HCPCS,16020,Chg - Burn Debridement Small,748.0,374.0,,,0 HCPCS,16020,Dress/debrid p-thick burn s,,,199.67,3408.0,10 HCPCS,16025,16025 Burn Dsg/Dbrid S Anes-Md,748.0,374.0,,,0 HCPCS,16025,Burn Debridement Medium,748.0,374.0,,,0 HCPCS,16025,Dress/debrid p-thick burn m,,,199.67,4564.0,10 HCPCS,16030,16030 Burn Dsrg/Debr W Anes-Lg,1368.0,684.0,,,0 HCPCS,16030,Burn Debridement Large,1368.0,684.0,,,0 HCPCS,16030,Dress/debrid p-thick burn l,,,404.56,4564.0,10 HCPCS,16035,16035 Escharotomy,727.0,363.5,,,0 HCPCS,16035,Incision of burn scab initi,,,404.56,5220.0,10 HCPCS,16036,Escharotomy addl incision,,,5220.0,5790.0,3 HCPCS,17000,Chg - Destruct Premalg Lesion,290.0,145.0,,,0 HCPCS,17000,Destruct Premalg Lesion,290.0,145.0,,,0 HCPCS,17000,Destruct premalg lesion,,,199.67,5220.0,10 HCPCS,17003,Chg - Destruct Premalg Les 2-14,189.0,94.5,,,0 HCPCS,17003,Destruct premalg les 2-14,,,2375.0,5220.0,3 HCPCS,17004,Chg - Destroy Premlg Lesions 15+,1326.0,663.0,,,0 HCPCS,17004,Destroy premal lesions 15/>,,,404.56,3408.0,10 HCPCS,17106,Destruction of skin lesions,,,404.56,3408.0,10 HCPCS,17107,Destruction of skin lesions,,,735.52,3408.0,10 HCPCS,17108,Destruction of skin lesions,,,2053.37,7123.26,10 HCPCS,17110,Chg - Destruct B9 Lesion 1-14,274.0,137.0,,,0 HCPCS,17110,Destruct B9 Lesion 1-14,274.0,137.0,,,0 HCPCS,17110,Destruct b9 lesion 1-14,,,199.67,5220.0,10 HCPCS,17111,Chg - Destruct Lesion 15 Or More,447.0,223.5,,,0 HCPCS,17111,Destruct lesion 15 or more,,,199.67,5220.0,10 HCPCS,17250,"17250 Chemical Cautery,Tissue",476.0,238.0,,,0 HCPCS,17250,"Chemical Cautery, Tissue",476.0,238.0,,,0 HCPCS,17250,"Chemical Cautery,Tissue",476.0,238.0,,,0 HCPCS,17250,Chemical cautery tissue,,,199.67,5220.0,10 HCPCS,17250,"Chg - Chemical Cautery,Tissue",476.0,238.0,,,0 HCPCS,17260,Destruction Of Skin Lesions,547.0,273.5,,,0 HCPCS,17260,Destruction of skin lesions,,,199.67,5220.0,10 HCPCS,17261,Chg - Destruction Of Skin Lesions,729.0,364.5,,,0 HCPCS,17261,Destruction of skin lesions,,,199.67,5220.0,10 HCPCS,17262,Chg - Destruction Of Skin Lesions,729.0,364.5,,,0 HCPCS,17262,Destruction of skin lesions,,,199.67,5220.0,10 HCPCS,17263,Chg - Destruction Of Skin Lesions,729.0,364.5,,,0 HCPCS,17263,Destruction of skin lesions,,,199.67,5220.0,10 HCPCS,17264,Chg - Destruction Of Skin Lesions,729.0,364.5,,,0 HCPCS,17264,Destruction of skin lesions,,,404.56,5220.0,10 HCPCS,17266,Destruction Mal Lesion Trunk/Arm/Leg > 4.0 Cm,729.0,364.5,,,0 HCPCS,17266,Destruction of skin lesions,,,404.56,3408.0,10 HCPCS,17270,Destruction of skin lesions,,,199.67,5220.0,10 HCPCS,17271,Chg - Destruction Of Skin Lesions,729.0,364.5,,,0 HCPCS,17271,Destruction of skin lesions,,,199.67,5220.0,10 HCPCS,17272,Chg - Destruction Of Skin Lesions,729.0,364.5,,,0 HCPCS,17272,Destruction of skin lesions,,,199.67,5220.0,10 HCPCS,17273,Chg - Destruction Of Skin Lesions,1326.0,663.0,,,0 HCPCS,17273,Destruction of skin lesions,,,404.56,5220.0,10 HCPCS,17274,Destruction of skin lesions,,,404.56,3408.0,10 HCPCS,17276,Destruction of skin lesions,,,404.56,3408.0,10 HCPCS,17280,Chg - Destruction Of Skin Lesions,729.0,364.5,,,0 HCPCS,17280,Destruction of skin lesions,,,199.67,5220.0,10 HCPCS,17281,Chg - Destruction Of Skin Lesions,1326.0,663.0,,,0 HCPCS,17281,Destruction of skin lesions,,,199.67,5220.0,10 HCPCS,17282,Chg - Destruction Of Skin Lesions,1326.0,663.0,,,0 HCPCS,17282,Destruction of skin lesions,,,199.67,5220.0,10 HCPCS,17283,Chg - Destruction Of Skin Lesions,1326.0,663.0,,,0 HCPCS,17283,Destruction of skin lesions,,,404.56,5220.0,10 HCPCS,17284,Destruction of skin lesions,,,735.52,3408.0,10 HCPCS,17286,Destruction of skin lesions,,,735.52,5220.0,10 HCPCS,17311,Mohs 1 stage h/n/hf/g,,,735.52,3408.0,10 HCPCS,17312,Mohs Addl Stage,,,2375.0,3408.0,3 HCPCS,17313,Mohs 1 stage t/a/l,,,735.52,3408.0,10 HCPCS,17314,Mohs addl stage t/a/l,,,2375.0,3408.0,3 HCPCS,17315,Mohs surg addl block,,,2375.0,3408.0,3 HCPCS,17340,Cryotherapy of skin,,,58.71,5220.0,10 HCPCS,17360,Skin peel therapy,,,199.67,5220.0,10 HCPCS,17380,Hair removal by electrolysis,,,735.52,5220.0,10 HCPCS,17999,17999 Unlisted Proc Skin Mm,1360.0,680.0,,,0 HCPCS,17999,Skin tissue procedure,,,199.67,5220.0,10 HCPCS,17999,Unlist Proc Skin Mm,1360.0,680.0,,,0 HCPCS,17999,Unlisted Proced Skin Mm,1360.0,680.0,,,0 HCPCS,17999,Unlisted Skin Tissue Procedure,1360.0,680.0,,,0 HCPCS,19000,19000 Breast Cyst Punc Aspirat,1104.0,552.0,,,0 HCPCS,19000,Breast Puncture Aspir Cyst,1104.0,552.0,,,0 HCPCS,19000,Chgr-Puncture Aspiration Cyst Breast,1104.0,552.0,,,0 HCPCS,19000,Drainage of breast lesion,,,704.73,3880.0,10 HCPCS,19000,Puncture Aspiration Cyst Breast,1104.0,552.0,,,0 HCPCS,19001,Breast Puncture Aspir Cyst-Add,713.0,356.5,,,0 HCPCS,19001,Chgr-Mm Breast Puncture Aspiration Cyst Add,713.0,356.5,,,0 HCPCS,19001,Drain breast lesion add-on,,,2375.0,3408.0,3 HCPCS,19020,"19020 Mastotomy,Breast",4327.0,2163.5,,,0 HCPCS,19020,"Chg - Mastotomy,Breast",4327.0,2163.5,,,0 HCPCS,19020,Incision of breast lesion,,,1643.67,14111.0,10 HCPCS,19030,Chgr-Mm Injection Procedure Ductogram,3125.0,1562.5,,,0 HCPCS,19030,Injection for breast x-ray,,,2375.0,5220.0,3 HCPCS,19081,Bx breast 1st lesion strtctc,,,1643.67,5790.0,10 HCPCS,19081,Chgr Bx Breast 1St Lesion Strtctc,12312.0,6156.0,,,0 HCPCS,19081,"Fc-Biops,Brest W/Plcmnt Of Lcl",12312.0,6156.0,,,0 HCPCS,19082,Bx breast add lesion strtctc,,,2375.0,5220.0,3 HCPCS,19082,Chgr Bx Breast Add Lesion Strtctc,12312.0,6156.0,,,0 HCPCS,19083,Bx breast 1st lesion us imag,,,1643.67,5790.0,10 HCPCS,19083,"Chg - Fc-Biops,Brest W/Plcmnt Of Loc",6240.0,3120.0,,,0 HCPCS,19083,Chgr Bx Breast 1St Lesion Us Imag,6240.0,3120.0,,,0 HCPCS,19084,Bx breast add lesion us imag,,,2375.0,5220.0,3 HCPCS,19084,"Chg - Fc-Biops,Brest W/Plcmnt Of Lcl",10782.0,5391.0,,,0 HCPCS,19084,Chgr Bx Breast Add Lesion Us Imag,6240.0,3120.0,,,0 HCPCS,19085,Bx breast 1st lesion mr imag,,,1643.67,5790.0,10 HCPCS,19085,Chgr Bx Breast 1St Lesion Mr Imag,12312.0,6156.0,,,0 HCPCS,19086,Bx breast add lesion mr imag,,,2375.0,5220.0,3 HCPCS,19086,Chgr Bx Breast Add Lesion Mr Imag,12312.0,6156.0,,,0 HCPCS,19100,"Bx Breast Perc Needle Core,Sep",2131.0,1065.5,,,0 HCPCS,19100,Bx breast percut w/o image,,,1643.67,5790.0,10 HCPCS,19100,"Chgr-Mm Bx Breast Perc Needle Core , Sep",2131.0,1065.5,,,0 HCPCS,19101,19101 Biopsy Of Breast Open,10154.0,5077.0,,,0 HCPCS,19101,Biopsy of breast open,,,3896.63,14111.0,10 HCPCS,19101,Bx Breast Open Incisional,10153.0,5076.5,,,0 HCPCS,19102,Bx Breast Percut W/Image,,,4564.0,4564.0,1 HCPCS,19103,Bx Breast Percut W/Device,,,4564.0,4564.0,1 HCPCS,19105,Cryosurg ablate fa each,,,3896.63,19040.0,10 HCPCS,19110,Nipple exploration,,,3896.63,14111.0,10 HCPCS,19112,Excise breast duct fistula,,,3896.63,14111.0,10 HCPCS,19120,Chg - Removal Of Breast Lesion,9792.0,4896.0,,,0 HCPCS,19120,Removal of breast lesion,,,3896.63,14111.0,10 HCPCS,19125,Excision breast lesion,,,3896.63,14111.0,10 HCPCS,19126,Excision addl breast lesion,,,2375.0,5220.0,3 HCPCS,19260,Removal of chest wall lesion,,,7337.0,7337.0,1 HCPCS,19281,Chgr Perq Device Breast 1St Imag,5195.0,2597.5,,,0 HCPCS,19281,Perq device breast 1st imag,,,1643.67,5790.0,10 HCPCS,19282,Chgr Perq Device Breast Ea Imag,5195.0,2597.5,,,0 HCPCS,19282,Perq device breast ea imag,,,2375.0,5220.0,3 HCPCS,19283,Chgr Perq Dev Breast 1St Strtctc,6726.0,3363.0,,,0 HCPCS,19283,Perq dev breast 1st strtctc,,,704.73,5220.0,10 HCPCS,19284,Chgr Perq Dev Breast Add Strtctc,6726.0,3363.0,,,0 HCPCS,19284,Perq dev breast add strtctc,,,2375.0,5220.0,3 HCPCS,19285,Chgr Perq Dev Breast 1St Us Imag,5008.0,2504.0,,,0 HCPCS,19285,Perq dev breast 1st us imag,,,704.73,5220.0,10 HCPCS,19286,Chgr Perq Dev Breast Add Us Imag,5008.0,2504.0,,,0 HCPCS,19286,Perq dev breast add us imag,,,2375.0,5220.0,3 HCPCS,19287,Chgr Perq Dev Breast 1St Mr Guide,6726.0,3363.0,,,0 HCPCS,19287,Perq dev breast 1st mr guide,,,704.73,5220.0,10 HCPCS,19288,Chgr Perq Dev Breast Add Mr Guide,6726.0,3363.0,,,0 HCPCS,19288,Perq dev breast add mr guide,,,2375.0,5220.0,3 HCPCS,19294,Prep tum cav iort prtl mast,,,2375.0,5220.0,3 HCPCS,19296,Chg - Place Po Breast Cath For Rad,27689.0,13844.5,,,0 HCPCS,19296,Chg - Plcmnt Radiotherapy Catheter,27689.0,13844.5,,,0 HCPCS,19296,Place po breast cath for rad,,,8134.14,29398.0,10 HCPCS,19297,Place breast cath for rad,,,13700.0,29398.0,3 HCPCS,19298,Place breast rad tube/caths,,,13700.0,47577.31,10 HCPCS,19300,Removal of Breast Tissue,,,3896.63,14111.0,10 HCPCS,19301,Partial Mastectomy,,,3896.63,14111.0,10 HCPCS,19302,P-Mastectomy w/LN Removal,,,6608.28,23971.0,10 HCPCS,19303,Mast simple complete,,,6448.0,22924.49,10 HCPCS,19304,Mast subq,,,6448.0,6448.0,1 HCPCS,19305,Mast radical,,,5220.0,5790.0,3 HCPCS,19306,Mast rad urban type,,,5220.0,5790.0,3 HCPCS,19307,Mast mod rad,,,6608.28,23971.0,10 HCPCS,19316,Suspension of breast,,,6448.0,22924.49,10 HCPCS,19318,Reduction of large breast,,,6448.0,23971.0,10 HCPCS,19324,Enlarge breast,,,6448.0,6448.0,1 HCPCS,19325,Enlarge breast with implant,,,8134.14,29398.0,10 HCPCS,19328,19328 Removal Of Intact Breast Implant,9324.0,4662.0,,,0 HCPCS,19328,Removal of breast implant,,,3408.0,19040.0,10 HCPCS,19330,Removal of implant material,,,3408.0,19040.0,10 HCPCS,19340,Immediate breast prosthesis,,,4564.0,28217.78,10 HCPCS,19342,Delayed breast prosthesis,,,5220.0,29398.0,10 HCPCS,19350,Breast reconstruction,,,3896.63,14111.0,10 HCPCS,19355,Correct inverted nipple(s),,,3896.63,19040.0,10 HCPCS,19357,Breast reconstruction,,,7337.0,47577.31,10 HCPCS,19361,Breast reconstr w/lat flap,,,5220.0,5790.0,3 HCPCS,19364,Breast reconstruction,,,5220.0,23971.0,3 HCPCS,19366,Breast reconstruction,,,7337.0,7337.0,1 HCPCS,19367,Breast reconstruction,,,5220.0,23971.0,3 HCPCS,19368,Breast reconstruction,,,5220.0,23971.0,3 HCPCS,19369,Breast reconstruction,,,5220.0,23971.0,3 HCPCS,19370,Surgery of breast capsule,,,3896.63,19040.0,10 HCPCS,19371,Removal of breast capsule,,,3896.63,19040.0,10 HCPCS,19380,Revise breast reconstruction,,,6608.28,23971.0,10 HCPCS,19396,Design custom breast implant,,,3896.63,19040.0,10 HCPCS,19499,Breast surgery procedure,,,3896.63,14111.0,10 HCPCS,19499,Unlisted Procedure Breast,9371.0,4685.5,,,0 HCPCS,20005,I&d abscess subfascial,,,4564.0,4564.0,1 HCPCS,20100,20100 Penetr Wound Explor-Neck,1782.0,891.0,,,0 HCPCS,20100,Explore wound neck,,,536.74,3408.0,10 HCPCS,20101,20101 Penetr Wound Expl-Chest,5583.0,2791.5,,,0 HCPCS,20101,Explore wound chest,,,2053.37,7123.26,10 HCPCS,20102,20102 Pen Wnd Expl-Abd/Flnk/Bk,5583.0,2791.5,,,0 HCPCS,20102,Explore Wound Abdomen/Flank/Back,5583.0,2791.5,,,0 HCPCS,20102,Explore wound abdomen,,,2053.37,7123.26,10 HCPCS,20103,20103 Penetr Wnd Expl-Extrem,2947.0,1473.5,,,0 HCPCS,20103,Explore wound extremity,,,1643.67,5701.97,10 HCPCS,20150,Excise epiphyseal bar,,,3256.29,23971.0,10 HCPCS,20200,Muscle biopsy,,,1643.67,5790.0,10 HCPCS,20205,Deep muscle biopsy,,,2890.77,10028.23,10 HCPCS,20206,Bx Muscle Percutaneous,1863.0,931.5,,,0 HCPCS,20206,Chgr-Sp Bx Muscle,1863.0,931.5,,,0 HCPCS,20206,Needle biopsy muscle,,,1643.67,5790.0,10 HCPCS,20220,Bone biopsy trocar/needle,,,1643.67,5701.97,10 HCPCS,20220,Chgr-Sp Bx Bone S Uperficial,5934.0,2967.0,,,0 HCPCS,20225,Bone biopsy trocar/needle,,,1643.67,5790.0,10 HCPCS,20225,Chgr-Sp Bx Bone Deep,7667.0,3833.5,,,0 HCPCS,20240,"Biopsy,Bone,Open;Superficial",10236.0,5118.0,,,0 HCPCS,20240,Bone biopsy open superficial,,,2890.77,14111.0,10 HCPCS,20245,Bone biopsy open deep,,,2890.77,14111.0,10 HCPCS,20250,Open bone biopsy,,,3256.29,19040.0,10 HCPCS,20251,Open bone biopsy,,,5220.0,25051.33,10 HCPCS,20500,Inj Sclerosing Agent Thera,2414.0,1207.0,,,0 HCPCS,20500,Injection of sinus tract,,,1544.13,5790.0,10 HCPCS,20501,Fistula Or Sinus Tract Inj,1751.0,875.5,,,0 HCPCS,20501,Inject sinus tract for x-ray,,,2375.0,5220.0,3 HCPCS,20520,20520 Rem Mscle/Tndn Fb Simpl,1697.5,848.75,,,0 HCPCS,20520,Removal of foreign body,,,1643.67,5701.97,10 HCPCS,20525,Removal of foreign body,,,2890.77,14111.0,10 HCPCS,20525,Remove Muscle Foreign Body,11516.0,5758.0,,,0 HCPCS,20526,20526 Carpal Tunnel Injection,605.0,302.5,,,0 HCPCS,20526,Carpal Tunnel Injection,605.0,302.5,,,0 HCPCS,20526,Ther injection carp tunnel,,,305.48,3408.0,10 HCPCS,20527,"Chg - Fc-Injec,Enzym,Palmr Fascial",1219.0,609.5,,,0 HCPCS,20527,Inj dupuytren cord w/enzyme,,,305.48,5220.0,10 HCPCS,20550,20550 Inject Tend Sheath Lig T,735.0,367.5,,,0 HCPCS,20550,Inj tendon sheath/ligament,,,305.48,3408.0,10 HCPCS,20550,Injection 1 Tendon Sheath/Ligament Aponeurosis,735.0,367.5,,,0 HCPCS,20550,Oth-Inj Sgl Tendon Sheath/Lig,735.0,367.5,,,0 HCPCS,20551,Chg - 20551 Injection Tendon Origin/,627.0,313.5,,,0 HCPCS,20551,Inj tendon origin/insertion,,,305.48,3408.0,10 HCPCS,20551,Injection Tendon,627.0,313.5,,,0 HCPCS,20552,20552 Trigger Point Injection,1244.0,622.0,,,0 HCPCS,20552,Inj Trigger Point 1/2 Muscl,1244.0,622.0,,,0 HCPCS,20552,Inj trigger point 1/2 muscl,,,305.48,3408.0,10 HCPCS,20552,Proc-Inj Trig Pt 1-2 Muscles,1244.0,622.0,,,0 HCPCS,20553,Chg - Inject Trigger Points =/>3,908.0,454.0,,,0 HCPCS,20553,"Chgr-Trigger Point Inj, 3 Muscles",908.0,454.0,,,0 HCPCS,20553,Inject trigger points 3/>,,,305.48,3408.0,10 HCPCS,20553,Proc-Inj Trig Pt 3+ Muscles,908.0,454.0,,,0 HCPCS,20555,Place ndl musc/tis for rt,,,3256.29,14111.0,10 HCPCS,20560,20560 Ndl Insj W/O Njx 1 Or 2 Musc,90.0,45.0,,,0 HCPCS,20560,Ndl Insj W/O Njx 1 Or 2 Musc,90.0,45.0,,,0 HCPCS,20560,Ndl insj w/o njx 1 or 2 musc,,,28.78,5220.0,10 HCPCS,20561,Ndl Insj W/0 Njx 3+ Musc,90.0,45.0,,,0 HCPCS,20561,Ndl insj w/o njx 3+ musc,,,28.78,5220.0,13 HCPCS,20600,20600 Arthrcents-Sm Jnt W/O Us,919.0,459.5,,,0 HCPCS,20600,Arthrocentesis-Sml Jnt W/O Us,919.0,459.5,,,0 HCPCS,20600,Chg - Arthrocentesis-Sml Jnt W/O Us,919.0,459.5,,,0 HCPCS,20600,Chgr Sp-Arthrocentesi-Sm Jnt W/O Us,919.0,459.5,,,0 HCPCS,20600,Drain/inj joint/bursa w/o us,,,305.48,3408.0,10 HCPCS,20600,Oth-Inj Small Jnt/Bur W/O Us,919.0,459.5,,,0 HCPCS,20604,20604 Arthrcents-Sm Jnt W/Us,919.0,459.5,,,0 HCPCS,20604,Arthrocentesis Sml Jt Us Gd Lt,919.0,459.5,,,0 HCPCS,20604,Arthrocentesis-Sml Jnt W/Us,919.0,459.5,,,0 HCPCS,20604,Drain/inj joint/bursa w/us,,,305.48,5220.0,10 HCPCS,20604,Oth-Inj Small Jnt/Bur W/Us,919.0,459.5,,,0 HCPCS,20605,20605 Arthrcent-Int Jnt W/O Us,846.0,423.0,,,0 HCPCS,20605,Arthrocentesis-Int Jnt W/O Us,843.0,421.5,,,0 HCPCS,20605,Arthrocentisis-Int Jnt W/O Us,846.0,423.0,,,0 HCPCS,20605,Drain/inj joint/bursa w/o us,,,305.48,3408.0,10 HCPCS,20605,Oth-Inj Intrmed Jnt/Bur W/O Us,846.0,423.0,,,0 HCPCS,20605,Sp-Arthrocentes-Int Jnt W/O Us,846.0,423.0,,,0 HCPCS,20606,20606 Arthrcent-Int Jnt W/Us,1259.0,629.5,,,0 HCPCS,20606,Arthrocentesis-Int Jnt W/Us,1259.0,629.5,,,0 HCPCS,20606,Chgr Arthrocentesis-Int Jnt W/ Us,1259.0,629.5,,,0 HCPCS,20606,Drain/inj joint/bursa w/us,,,702.49,5220.0,10 HCPCS,20606,Oth-Inj Intrmed Jnt/Bur W/Us,1259.0,629.5,,,0 HCPCS,20610,20610 Arthrcents-Mj Jnt W/O Us,1046.0,523.0,,,0 HCPCS,20610,Chg - Arthrocentesis-Maj Jnt W/O Us,1107.0,553.5,,,0 HCPCS,20610,Chgr Arthrocentesis-Maj Jnt W/O Us,1046.0,523.0,,,0 HCPCS,20610,Drain/inj joint/bursa w/o us,,,305.48,3408.0,10 HCPCS,20610,Oth-Inj Major Jnt/Bur W/O Us,1046.0,523.0,,,0 HCPCS,20610,Spec-Arthrocent-Maj Jnt W/O Us,1046.0,523.0,,,0 HCPCS,20611,20611 Arthrcents-Mj Jnt W/Us,919.0,459.5,,,0 HCPCS,20611,Arthrocentesis-Maj Jnt W/Us,1115.5,557.75,,,0 HCPCS,20611,Chgr Spec-Arthrocent-Maj Jnt W/ Us,919.0,459.5,,,0 HCPCS,20611,Drain/inj joint/bursa w/us,,,305.48,5220.0,10 HCPCS,20611,Oth-Inj Major Jnt/Bur W/ Us,919.0,459.5,,,0 HCPCS,20612,20612 Aspiratn/Inj Gangln Cyst,616.0,308.0,,,0 HCPCS,20612,Aspirate/inj ganglion cyst,,,305.48,3408.0,10 HCPCS,20612,Aspiration/Inj Ganglion Cyst,616.0,308.0,,,0 HCPCS,20612,Chg - Aspiration/Inj Ganglion Cyst,616.0,308.0,,,0 HCPCS,20612,Chgr-Us Aspiration Baker's Cyst Sc,616.0,308.0,,,0 HCPCS,20615,Treatment of bone cyst,,,704.73,5220.0,10 HCPCS,20650,20650 Insert Wire/Pin Sk Trac,5137.0,2568.5,,,0 HCPCS,20650,Insert and remove bone pin,,,3256.29,19040.0,10 HCPCS,20660,Apply rem fixation device,,,1600.27,5790.0,10 HCPCS,20661,Application of head brace,,,1600.27,5551.43,10 HCPCS,20662,Application of pelvis brace,,,1600.27,14111.0,10 HCPCS,20663,Application of thigh brace,,,3256.29,19040.0,10 HCPCS,20664,Application of halo,,,1600.27,5790.0,10 HCPCS,20665,Removal of fixation device,,,444.58,5220.0,10 HCPCS,20670,20670 Removal Implant Superficial Separate Procedure,6460.0,3230.0,,,0 HCPCS,20670,Chg - Removal Of Support Implant,6460.0,3230.0,,,0 HCPCS,20670,Removal of support implant,,,1643.67,5790.0,10 HCPCS,20680,"Removal Of Implant,Deep",8781.0,4390.5,,,0 HCPCS,20680,Removal of support implant,,,2890.77,14111.0,10 HCPCS,20690,Apply bone fixation device,,,4564.0,25051.33,10 HCPCS,20692,Apply bone fixation device,,,5220.0,44324.22,10 HCPCS,20693,Adjust bone fixation device,,,5220.0,25051.33,10 HCPCS,20694,Remove bone fixation device,,,1600.27,5790.0,10 HCPCS,20696,Comp multiplane ext fixation,,,13700.0,93677.4,10 HCPCS,20697,Comp ext fixate strut change,,,1600.27,10181.0,10 HCPCS,20700,Mnl prep&insj dp rx dlvr dev,,,2375.0,5220.0,3 HCPCS,20701,Rmvl deep rx delivery device,,,2375.0,5220.0,3 HCPCS,20702,Mnl prep&insj imed rx dev,,,2375.0,5220.0,3 HCPCS,20703,Rmvl imed rx delivery device,,,2375.0,5220.0,3 HCPCS,20704,Mnl prep&insj i-artic rx dev,,,2375.0,5220.0,3 HCPCS,20705,Rmvl i-artic rx delivery dev,,,2375.0,5220.0,3 HCPCS,20802,Replantation arm complete,,,5220.0,60533.69,10 HCPCS,20805,Replant forearm complete,,,5220.0,60533.69,10 HCPCS,20808,Replantation hand complete,,,5220.0,60533.69,10 HCPCS,20816,Replantation digit complete,,,1600.27,29398.0,10 HCPCS,20822,20822 Replantation Digit Compl,19976.0,9988.0,,,0 HCPCS,20822,Replantation digit complete,,,1600.27,14111.0,10 HCPCS,20824,Replantation thumb complete,,,1600.27,29398.0,10 HCPCS,20827,Replantation thumb complete,,,1600.27,29398.0,10 HCPCS,20838,Replantation foot complete,,,5220.0,60533.69,10 HCPCS,20900,Removal of bone for graft,,,5220.0,25051.33,10 HCPCS,20902,Removal of bone for graft,,,6448.0,25051.33,10 HCPCS,20910,Remove cartilage for graft,,,735.52,5220.0,10 HCPCS,20912,Remove cartilage for graft,,,3526.71,19040.0,10 HCPCS,20920,Removal of fascia for graft,,,2053.37,7123.26,10 HCPCS,20922,Removal of fascia for graft,,,2053.37,14111.0,10 HCPCS,20924,Removal of tendon for graft,,,6448.0,25051.33,10 HCPCS,20926,Removal of tissue for graft,,,6448.0,6448.0,1 HCPCS,20930,Sp bone algrft morsel add-on,,,2375.0,5220.0,3 HCPCS,20931,Sp bone algrft struct add-on,,,2375.0,5220.0,3 HCPCS,20932,Osteoart algrft w/surf & b1,,,2375.0,5220.0,3 HCPCS,20933,Hemicrt intrclry algrft prtl,,,2375.0,5220.0,3 HCPCS,20934,Intercalary algrft compl,,,2375.0,5220.0,3 HCPCS,20936,Sp bone agrft local add-on,,,5220.0,19040.0,3 HCPCS,20937,Sp bone agrft morsel add-on,,,5220.0,19040.0,3 HCPCS,20938,Sp bone agrft struct add-on,,,5220.0,19040.0,3 HCPCS,20939,Bone marrow aspir bone grfg,,,2375.0,5220.0,3 HCPCS,20950,20950 Fluid Pressure Muscle,759.0,379.5,,,0 HCPCS,20950,Fluid Pressure Muscle,759.0,379.5,,,0 HCPCS,20950,Fluid pressure muscle,,,704.73,3880.0,10 HCPCS,20955,Fibula bone graft microvasc,,,5220.0,25051.33,10 HCPCS,20956,Iliac bone graft microvasc,,,5220.0,29398.0,10 HCPCS,20957,Mt bone graft microvasc,,,5220.0,29398.0,10 HCPCS,20962,Other bone graft microvasc,,,5220.0,25051.33,10 HCPCS,20969,Bone/skin graft microvasc,,,5220.0,25051.33,10 HCPCS,20970,Bone/skin graft iliac crest,,,5220.0,25051.33,10 HCPCS,20972,Bone/skin graft metatarsal,,,6448.0,29398.0,10 HCPCS,20973,Bone/skin graft great toe,,,6448.0,29398.0,10 HCPCS,20974,Electrical bone stimulation,,,49.75,5220.0,7 HCPCS,20975,Electrical bone stimulation,,,2375.0,5220.0,3 HCPCS,20979,Us bone stimulation,,,28.78,5220.0,10 HCPCS,20982,Ablate bone tumor(s) perq,,,5220.0,60533.69,10 HCPCS,20982,Image Guided Rf Ablation Bone,16304.0,8152.0,,,0 HCPCS,20983,Ablate Bone Tumor(S) Perq,18476.0,9238.0,,,0 HCPCS,20983,Ablate bone tumor(s) perq,,,5220.0,29398.0,10 HCPCS,20985,Cptr-asst dir ms px,,,2375.0,5220.0,3 HCPCS,20999,Musculoskeletal surgery,,,245.48,5220.0,10 HCPCS,20999,Unlisted Musculoskeletal System Op,6958.0,3479.0,,,0 HCPCS,21010,Incision of jaw joint,,,3299.54,14111.0,10 HCPCS,21011,Exc Face Les Sc < 2 Cm,4100.0,2050.0,,,0 HCPCS,21011,Exc face les sc <2 cm,,,1643.67,5701.97,10 HCPCS,21012,Exc Face Les Sbq 2+ Cm,4100.0,2050.0,,,0 HCPCS,21012,Exc face les sbq 2 cm/>,,,1643.67,5701.97,10 HCPCS,21013,Exc face tum deep < 2 cm,,,1643.67,5701.97,10 HCPCS,21014,Exc face tum deep 2 cm/>,,,2890.77,10028.23,10 HCPCS,21015,Resect face/scalp tum < 2 cm,,,2890.77,10028.23,10 HCPCS,21016,Resect face/scalp tum 2 cm/>,,,2890.77,14111.0,10 HCPCS,21025,Excision of bone lower jaw,,,4564.0,23971.0,10 HCPCS,21026,Excision of facial bone(s),,,4564.0,20437.6,10 HCPCS,21029,Contour of face bone lesion,,,3299.54,14111.0,10 HCPCS,21030,Excise max/zygoma b9 tumor,,,5220.0,20437.6,10 HCPCS,21031,Remove exostosis mandible,,,3299.54,14111.0,10 HCPCS,21032,Remove exostosis maxilla,,,3299.54,14111.0,10 HCPCS,21034,Excise max/zygoma mal tumor,,,5220.0,23971.0,10 HCPCS,21040,Excise mandible lesion,,,3299.54,14111.0,10 HCPCS,21044,Removal of jaw bone lesion,,,4564.0,23971.0,10 HCPCS,21045,Extensive jaw surgery,,,5220.0,23971.0,10 HCPCS,21046,Remove mandible cyst complex,,,4564.0,23971.0,10 HCPCS,21047,Excise lwr jaw cyst w/repair,,,4564.0,23971.0,10 HCPCS,21048,Remove maxilla cyst complex,,,5220.0,23971.0,10 HCPCS,21049,Excis uppr jaw cyst w/repair,,,5220.0,23971.0,10 HCPCS,21050,Removal of jaw joint,,,5220.0,23971.0,10 HCPCS,21060,Remove jaw joint cartilage,,,4564.0,23971.0,10 HCPCS,21070,Remove coronoid process,,,5220.0,23971.0,10 HCPCS,21073,Mnpj of tmj w/anesth,,,1544.13,5790.0,10 HCPCS,21076,Prepare face/oral prosthesis,,,1544.13,5790.0,10 HCPCS,21077,Prepare face/oral prosthesis,,,5220.0,23971.0,10 HCPCS,21079,Prepare face/oral prosthesis,,,3299.54,23971.0,10 HCPCS,21080,Prepare face/oral prosthesis,,,3299.54,23971.0,10 HCPCS,21081,Prepare face/oral prosthesis,,,5220.0,23971.0,10 HCPCS,21082,Prepare face/oral prosthesis,,,3299.54,23971.0,10 HCPCS,21083,Prepare face/oral prosthesis,,,3299.54,23971.0,10 HCPCS,21084,Prepare face/oral prosthesis,,,3299.54,23971.0,10 HCPCS,21085,Prepare face/oral prosthesis,,,235.71,5220.0,10 HCPCS,21086,Prepare face/oral prosthesis,,,3299.54,23971.0,10 HCPCS,21087,Prepare face/oral prosthesis,,,5220.0,23971.0,10 HCPCS,21088,Prepare face/oral prosthesis,,,3299.54,23971.0,10 HCPCS,21089,Prepare face/oral prosthesis,,,235.71,5220.0,10 HCPCS,21100,Maxillofacial fixation,,,4564.0,23971.0,10 HCPCS,21110,Interdental fixation,,,1544.13,5790.0,10 HCPCS,21116,Injection jaw joint x-ray,,,2375.0,5220.0,3 HCPCS,21120,Reconstruction of chin,,,5891.41,20437.6,10 HCPCS,21121,Reconstruction of chin,,,3299.54,14111.0,10 HCPCS,21122,Reconstruction of chin,,,5891.41,20437.6,10 HCPCS,21123,Reconstruction of chin,,,3299.54,14111.0,10 HCPCS,21125,Augmentation lower jaw bone,,,5891.41,20437.6,10 HCPCS,21127,Augmentation lower jaw bone,,,5891.41,23971.0,10 HCPCS,21137,Reduction of forehead,,,3299.54,14111.0,10 HCPCS,21138,Reduction of forehead,,,5220.0,23971.0,10 HCPCS,21139,Reduction of forehead,,,5220.0,23971.0,10 HCPCS,21141,Lefort i-1 piece w/o graft,,,5220.0,23971.0,10 HCPCS,21142,Lefort i-2 piece w/o graft,,,5220.0,23971.0,10 HCPCS,21143,Lefort i-3/> piece w/o graft,,,5220.0,23971.0,10 HCPCS,21145,Lefort i-1 piece w/ graft,,,5220.0,23971.0,10 HCPCS,21146,Lefort i-2 piece w/ graft,,,5220.0,23971.0,10 HCPCS,21147,Lefort i-3/> piece w/ graft,,,5220.0,23971.0,10 HCPCS,21150,Lefort ii anterior intrusion,,,5220.0,23971.0,10 HCPCS,21151,Lefort ii w/bone grafts,,,5220.0,23971.0,10 HCPCS,21154,Lefort iii w/o lefort i,,,5220.0,23971.0,10 HCPCS,21155,Lefort iii w/ lefort i,,,5220.0,23971.0,10 HCPCS,21159,Lefort iii w/fhdw/o lefort i,,,5220.0,23971.0,10 HCPCS,21160,Lefort iii w/fhd w/ lefort i,,,5220.0,23971.0,10 HCPCS,21172,Reconstruct orbit/forehead,,,5220.0,23971.0,10 HCPCS,21175,Reconstruct orbit/forehead,,,5220.0,23971.0,10 HCPCS,21179,Reconstruct entire forehead,,,5220.0,23971.0,10 HCPCS,21180,Reconstruct entire forehead,,,5220.0,23971.0,10 HCPCS,21181,Contour cranial bone lesion,,,5891.41,20437.6,10 HCPCS,21182,Reconstruct cranial bone,,,5220.0,23971.0,10 HCPCS,21183,Reconstruct cranial bone,,,5220.0,23971.0,10 HCPCS,21184,Reconstruct cranial bone,,,5220.0,23971.0,10 HCPCS,21188,Reconstruction of midface,,,5220.0,23971.0,10 HCPCS,21193,Reconst lwr jaw w/o graft,,,5220.0,23971.0,10 HCPCS,21194,Reconst lwr jaw w/graft,,,5220.0,23971.0,10 HCPCS,21195,Reconst lwr jaw w/o fixation,,,5220.0,23971.0,10 HCPCS,21196,Reconst lwr jaw w/fixation,,,5220.0,23971.0,10 HCPCS,21198,Reconstr lwr jaw segment,,,5220.0,20437.6,10 HCPCS,21199,Reconstr Lwr Jaw W/Advance,,,5220.0,23971.0,10 HCPCS,21206,Reconstruct upper jaw bone,,,5891.41,23971.0,10 HCPCS,21208,Augmentation of facial bones,,,5891.41,23971.0,10 HCPCS,21209,Reduction of facial bones,,,5891.41,23971.0,10 HCPCS,21210,Face bone graft,,,5891.41,23971.0,10 HCPCS,21215,Lower jaw bone graft,,,5891.41,23971.0,10 HCPCS,21230,Rib cartilage graft,,,5891.41,23971.0,10 HCPCS,21235,Ear cartilage graft,,,5226.0,20437.6,10 HCPCS,21240,Reconstruction of jaw joint,,,5891.41,23971.0,10 HCPCS,21242,Reconstruction of jaw joint,,,5891.41,23971.0,10 HCPCS,21243,Reconstruction of jaw joint,,,7337.0,93677.4,10 HCPCS,21244,Reconstruction of lower jaw,,,5891.41,23971.0,10 HCPCS,21245,Reconstruction of jaw,,,5891.41,23971.0,10 HCPCS,21246,Reconstruction of jaw,,,5891.41,23971.0,10 HCPCS,21247,Reconstruct lower jaw bone,,,5220.0,23971.0,10 HCPCS,21248,Reconstruction of jaw,,,5891.41,23971.0,10 HCPCS,21249,Reconstruction of jaw,,,5891.41,23971.0,10 HCPCS,21255,Reconstruct lower jaw bone,,,5220.0,23971.0,10 HCPCS,21256,Reconstruction of orbit,,,5220.0,23971.0,10 HCPCS,21260,Revise eye sockets,,,5220.0,23971.0,10 HCPCS,21261,Revise eye sockets,,,5220.0,23971.0,10 HCPCS,21263,Revise eye sockets,,,5220.0,23971.0,10 HCPCS,21267,Revise eye sockets,,,5891.41,23971.0,10 HCPCS,21268,Revise eye sockets,,,5220.0,23971.0,10 HCPCS,21270,Augmentation cheek bone,,,5891.41,23971.0,10 HCPCS,21275,Revision orbitofacial bones,,,5891.41,23971.0,10 HCPCS,21280,Medial Canthopexy Separate Procedure,7622.0,3811.0,,,0 HCPCS,21280,Revision of eyelid,,,3299.54,23971.0,10 HCPCS,21282,Revision of eyelid,,,3299.54,11446.28,10 HCPCS,21295,Revision of jaw muscle/bone,,,1544.13,5790.0,10 HCPCS,21296,Revision of jaw muscle/bone,,,3299.54,14111.0,10 HCPCS,21299,Cranio/maxillofacial surgery,,,235.71,5220.0,10 HCPCS,21310,Closed tx nose fx w/o manj,,,4564.0,4564.0,1 HCPCS,21315,21315 Closed Tx Nose Fx W/O Stablj,4532.0,2266.0,,,0 HCPCS,21315,Closed tx nose fx w/o stablj,,,1544.13,5790.0,10 HCPCS,21320,21320 Closed Tx Nose Fx W/ Stablj,7213.0,3606.5,,,0 HCPCS,21320,Closed tx nose fx w/ stablj,,,3299.54,11446.28,10 HCPCS,21325,Open tx nose fx uncomplicatd,,,3299.54,14111.0,10 HCPCS,21330,Open tx nose fx w/skele fixj,,,5891.41,20437.6,10 HCPCS,21335,Open tx nose & septal fx,,,3299.54,14111.0,10 HCPCS,21336,Open tx septal fx w/wo stabj,,,3256.29,14111.0,10 HCPCS,21337,21337 Clo Trt Nasal Septal Fx,4014.0,2007.0,,,0 HCPCS,21337,Closed tx septal&nose fx,,,3299.54,11446.28,10 HCPCS,21338,Open nasoethmoid fx w/o fixj,,,5891.41,20437.6,10 HCPCS,21339,Open nasoethmoid fx w/ fixj,,,5891.41,20437.6,10 HCPCS,21340,Perq tx nasoethmoid fx,,,3299.54,23971.0,10 HCPCS,21343,Open tx dprsd front sinus fx,,,5220.0,23971.0,10 HCPCS,21344,Open tx compl front sinus fx,,,5220.0,23971.0,10 HCPCS,21345,Closed tx nose/jaw fx,,,1544.13,10181.0,10 HCPCS,21346,Opn tx nasomax fx w/fixj,,,5220.0,20437.6,10 HCPCS,21347,Opn tx nasomax fx multple,,,5220.0,23971.0,10 HCPCS,21348,Opn tx nasomax fx w/graft,,,5220.0,23971.0,10 HCPCS,21355,Perq tx malar fracture,,,3299.54,23971.0,10 HCPCS,21356,Opn tx dprsd zygomatic arch,,,5220.0,20437.6,10 HCPCS,21360,Opn tx dprsd malar fracture,,,5891.41,20437.6,10 HCPCS,21365,Opn tx complx malar fx,,,5891.41,23971.0,10 HCPCS,21366,Opn tx complx malar w/grft,,,5220.0,23971.0,10 HCPCS,21385,Opn tx orbit fx transantral,,,5891.41,23971.0,10 HCPCS,21386,Opn tx orbit fx periorbital,,,5220.0,23971.0,10 HCPCS,21387,Opn tx orbit fx combined,,,5220.0,23971.0,10 HCPCS,21390,Opn tx orbit periorbtl implt,,,5891.41,23971.0,10 HCPCS,21395,Opn tx orbit periorbt w/grft,,,5220.0,23971.0,10 HCPCS,21400,21400 Clo Trt Orbit Fx-Exc Blo,1782.0,891.0,,,0 HCPCS,21400,Closed tx orbit w/o manipulj,,,536.74,4564.0,10 HCPCS,21401,Closed tx orbit w/manipulj,,,1544.13,5790.0,10 HCPCS,21406,Opn tx orbit fx w/o implant,,,5891.41,23971.0,10 HCPCS,21407,Opn tx orbit fx w/implant,,,5891.41,23971.0,10 HCPCS,21408,Opn tx orbit fx w/bone grft,,,5891.41,23971.0,10 HCPCS,21421,Treat mouth roof fracture,,,3299.54,14111.0,10 HCPCS,21422,21422 Treat Mouth Roof Fractur,6216.0,3108.0,,,0 HCPCS,21422,Treat mouth roof fracture,,,5220.0,23971.0,10 HCPCS,21423,Treat mouth roof fracture,,,5220.0,23971.0,10 HCPCS,21431,Treat craniofacial fracture,,,5220.0,23971.0,10 HCPCS,21432,Treat craniofacial fracture,,,5220.0,23971.0,10 HCPCS,21433,Treat craniofacial fracture,,,5220.0,23971.0,10 HCPCS,21435,Treat craniofacial fracture,,,5220.0,23971.0,10 HCPCS,21436,Treat craniofacial fracture,,,5220.0,23971.0,10 HCPCS,21440,21440 Treat Dental Ridge Fx,3972.0,1986.0,,,0 HCPCS,21440,Treat dental ridge fracture,,,3299.54,14111.0,10 HCPCS,21445,21445 Treat Dental Ridge Fract,6832.0,3416.0,,,0 HCPCS,21445,Treat dental ridge fracture,,,5891.41,23971.0,10 HCPCS,21450,21450 Clo Trt Mandible Fx-No M,803.0,401.5,,,0 HCPCS,21450,Treat lower jaw fracture,,,536.74,5220.0,10 HCPCS,21451,Treat lower jaw fracture,,,1544.13,6448.0,10 HCPCS,21452,Treat lower jaw fracture,,,4564.0,20437.6,10 HCPCS,21453,21453 Cl Rx Mand Fx-Dental Fix,10715.0,5357.5,,,0 HCPCS,21453,Treat lower jaw fracture,,,5220.0,23971.0,10 HCPCS,21454,Treat lower jaw fracture,,,5891.41,20437.6,10 HCPCS,21461,Treat lower jaw fracture,,,5891.41,23971.0,10 HCPCS,21462,Treat lower jaw fracture,,,5891.41,23971.0,10 HCPCS,21465,Treat lower jaw fracture,,,5891.41,23971.0,10 HCPCS,21470,Treat lower jaw fracture,,,5891.41,23971.0,10 HCPCS,21480,21480 Clsd Rx Tmj Dislocation,297.0,148.5,,,0 HCPCS,21480,Reset dislocated jaw,,,245.48,3408.0,10 HCPCS,21485,Reset dislocated jaw,,,1544.13,5790.0,10 HCPCS,21490,Repair dislocated jaw,,,3299.54,23971.0,10 HCPCS,21495,Treat hyoid bone fracture,,,5220.0,5220.0,1 HCPCS,21497,21497 Interdental Wiring,2794.0,1397.0,,,0 HCPCS,21497,Interdental wiring,,,1544.13,5790.0,10 HCPCS,21499,Chg - Ct Biopsy Orbital Mass,5353.0,2676.5,,,0 HCPCS,21499,Head surgery procedure,,,235.71,5220.0,10 HCPCS,21501,"Ad-Sft Tissue,Neck Or Thrx",6042.0,3021.0,,,0 HCPCS,21501,Drain neck/chest lesion,,,2890.77,14111.0,10 HCPCS,21502,Drain chest lesion,,,3256.29,14111.0,10 HCPCS,21510,Drainage of bone lesion,,,3256.29,23971.0,10 HCPCS,21550,Biopsy of neck/chest,,,1643.67,5790.0,10 HCPCS,21550,"Bx Soft Tissue,Neck Or Thrx",4085.0,2042.5,,,0 HCPCS,21550,Chgr-Biopsy Soft Tissue Neck/Thorax,4085.0,2042.5,,,0 HCPCS,21552,Chg - Exc Neck Les Sc 3+ Cm,11516.0,5758.0,,,0 HCPCS,21552,Exc neck les sc 3 cm/>,,,2890.77,14111.0,10 HCPCS,21554,Exc neck tum deep 5 cm/>,,,2890.77,14111.0,10 HCPCS,21555,Exc neck les sc < 3 cm,,,1643.67,5790.0,10 HCPCS,21555,Remove Lesion Neck/Chest,8715.0,4357.5,,,0 HCPCS,21556,Exc neck tum deep < 5 cm,,,2890.77,14111.0,10 HCPCS,21556,Remove Lesion Neck/Chest,11516.0,5758.0,,,0 HCPCS,21557,Resect neck thorax tumor<5cm,,,2890.77,10028.23,10 HCPCS,21558,Resect neck tumor 5 cm/>,,,2890.77,14111.0,10 HCPCS,21600,Partial removal of rib,,,4564.0,25051.33,10 HCPCS,21601,Exc chest wall tumor w/ribs,,,2890.77,14111.0,10 HCPCS,21602,Exc ch wal tum w/o lymphadec,,,5220.0,29398.0,10 HCPCS,21603,Exc ch wal tum w/lymphadec,,,5220.0,29398.0,10 HCPCS,21610,Partial removal of rib,,,3256.29,19040.0,10 HCPCS,21615,Removal of rib,,,5220.0,29398.0,10 HCPCS,21616,Removal of rib and nerves,,,5220.0,29398.0,10 HCPCS,21620,Partial removal of sternum,,,3256.29,23971.0,10 HCPCS,21627,Sternal debridement,,,3256.29,29398.0,10 HCPCS,21630,Extensive sternum surgery,,,5220.0,29398.0,10 HCPCS,21632,Extensive sternum surgery,,,5220.0,5220.0,1 HCPCS,21685,Hyoid myotomy & suspension,,,3408.0,20437.6,10 HCPCS,21700,Revision of neck muscle,,,4564.0,25051.33,10 HCPCS,21705,Revision of neck muscle/rib,,,5220.0,29398.0,10 HCPCS,21720,Revision of neck muscle,,,3256.29,14111.0,10 HCPCS,21725,Revision of neck muscle,,,704.73,5220.0,10 HCPCS,21740,Reconstruction of sternum,,,5220.0,29398.0,10 HCPCS,21742,Repair stern/nuss w/o scope,,,3256.29,23971.0,10 HCPCS,21743,Repair sternum/nuss w/scope,,,3256.29,23971.0,10 HCPCS,21750,Repair of sternum separation,,,5220.0,29398.0,10 HCPCS,21800,Treatment of rib fracture,,,3408.0,3408.0,1 HCPCS,21805,Treatment of rib fracture,,,4564.0,4564.0,1 HCPCS,21811,Optx of rib fx w/fixj scope,,,5220.0,25051.33,10 HCPCS,21812,Treatment of rib fracture,,,5220.0,25051.33,10 HCPCS,21813,Treatment of rib fracture,,,1600.27,14111.0,10 HCPCS,21820,Treat sternum fracture,,,245.48,3408.0,10 HCPCS,21825,Treat sternum fracture,,,5220.0,29398.0,10 HCPCS,21899,21899 Unlistd Proc Neck/Thorax,679.0,339.5,,,0 HCPCS,21899,Neck/chest surgery procedure,,,235.71,5220.0,10 HCPCS,21899,Unlisted Proc Neck Or Thorax,679.0,339.5,,,0 HCPCS,21920,Biopsy soft tissue of back,,,1643.67,5701.97,10 HCPCS,21920,St Bx Back/Flank; Superf,2665.0,1332.5,,,0 HCPCS,21925,Biopsy soft tissue of back,,,1643.67,14111.0,10 HCPCS,21930,Chg - Exc Back Les Sc <3 Cm,8715.0,4357.5,,,0 HCPCS,21930,Exc Back Les Sc < 3 Cm,8715.0,4357.5,,,0 HCPCS,21930,Exc back les sc < 3 cm,,,1643.67,5790.0,10 HCPCS,21931,Chg - Exc Back Les Sc 3+ Cm,11516.0,5758.0,,,0 HCPCS,21931,Exc back les sc 3 cm/>,,,1643.67,14111.0,10 HCPCS,21932,Exc Back Tum Deep < 5Cm,7828.0,3914.0,,,0 HCPCS,21932,Exc back tum deep < 5 cm,,,2890.77,10181.0,10 HCPCS,21933,Exc back tum deep 5 cm/>,,,2890.77,14111.0,10 HCPCS,21935,Resect back tum < 5 cm,,,2890.77,10028.23,10 HCPCS,21936,Resect back tum 5 cm/>,,,2890.77,14111.0,10 HCPCS,22010,I&d p-spine c/t/cerv-thor,,,5220.0,29398.0,10 HCPCS,22015,I&d abscess p-spine l/s/ls,,,5220.0,29398.0,10 HCPCS,22100,Remove part of neck vertebra,,,5220.0,29398.0,10 HCPCS,22101,Remove part thorax vertebra,,,5220.0,29398.0,10 HCPCS,22102,Remove part lumbar vertebra,,,5220.0,29398.0,10 HCPCS,22103,Remove extra spine segment,,,2375.0,5220.0,3 HCPCS,22110,Remove part of neck vertebra,,,5220.0,29398.0,10 HCPCS,22112,Remove part thorax vertebra,,,5220.0,29398.0,10 HCPCS,22114,Remove part lumbar vertebra,,,5220.0,29398.0,10 HCPCS,22116,Remove extra spine segment,,,2375.0,5220.0,3 HCPCS,22206,Incis spine 3 column thorac,,,5220.0,29398.0,10 HCPCS,22207,Incis spine 3 column lumbar,,,5220.0,29398.0,10 HCPCS,22208,Incis spine 3 column adl seg,,,2375.0,5220.0,3 HCPCS,22210,Incis 1 vertebral seg cerv,,,5220.0,29398.0,10 HCPCS,22212,Incis 1 vertebral seg thorac,,,5220.0,29398.0,10 HCPCS,22214,Incis 1 vertebral seg lumbar,,,5220.0,29398.0,10 HCPCS,22216,Incis addl spine segment,,,2375.0,5220.0,3 HCPCS,22220,Incis w/discectomy cervical,,,5220.0,29398.0,10 HCPCS,22222,Incis w/discectomy thoracic,,,5220.0,29398.0,10 HCPCS,22224,Incis w/discectomy lumbar,,,5220.0,29398.0,10 HCPCS,22226,Revise extra spine segment,,,2375.0,5220.0,3 HCPCS,22305,Treat spine process fracture,,,3408.0,3408.0,1 HCPCS,22310,Chg - Treat Spine Fracture,987.0,493.5,,,0 HCPCS,22310,Closed tx vert fx w/o manj,,,245.48,3408.0,10 HCPCS,22315,Closed tx vert fx w/manj,,,3256.29,11296.24,10 HCPCS,22318,Treat odontoid fx w/o graft,,,5220.0,44324.22,10 HCPCS,22319,Treat odontoid fx w/graft,,,5220.0,44324.22,10 HCPCS,22325,Treat spine fracture,,,5220.0,44324.22,10 HCPCS,22326,Treat neck spine fracture,,,5220.0,44324.22,10 HCPCS,22327,Treat thorax spine fracture,,,5220.0,44324.22,10 HCPCS,22328,Treat each add spine fx,,,2375.0,5220.0,3 HCPCS,22505,Manipulation of spine,,,1600.27,5790.0,10 HCPCS,22510,Perq Vertebroplasty Uni/Bi Injx Cervicothoracic,8056.0,4028.0,,,0 HCPCS,22510,Perq cervicothoracic inject,,,3256.29,19040.0,10 HCPCS,22511,Perq Vertebroplasty Uni/Bi Injection Lumbosacral,8071.0,4035.5,,,0 HCPCS,22511,Perq lumbosacral injection,,,3256.29,19040.0,10 HCPCS,22512,Vertebroplasty Addl Inject,6931.0,3465.5,,,0 HCPCS,22512,Vertebroplasty addl inject,,,2375.0,5220.0,3 HCPCS,22513,"Kyphoplasty 1 Vrt Bdy,Thoracic",9586.0,4793.0,,,0 HCPCS,22513,Perq vertebral augmentation,,,5220.0,29398.0,10 HCPCS,22514,Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulj Lmbr,15943.0,7971.5,,,0 HCPCS,22514,Perq vertebral augmentation,,,5220.0,29398.0,10 HCPCS,22515,Kyphoplasty Ea Add Vb Thor/Lum,5734.0,2867.0,,,0 HCPCS,22515,Perq vertebral augmentation,,,2375.0,5220.0,3 HCPCS,22520,Percut Vertebroplasty Thor,,,13700.0,13700.0,1 HCPCS,22521,Percut Vertebroplasty Lumb,,,13700.0,13700.0,1 HCPCS,22522,Percut Vertebroplasty Addl,,,13700.0,13700.0,1 HCPCS,22526,Idet single level,,,13700.0,19040.0,3 HCPCS,22527,Idet 1 or more levels,,,13700.0,19040.0,3 HCPCS,22532,Lat thorax spine fusion,,,5220.0,44324.22,10 HCPCS,22533,Lat lumbar spine fusion,,,5220.0,60533.69,10 HCPCS,22534,Lat thor/lumb addl seg,,,2375.0,5220.0,3 HCPCS,22548,Neck spine fusion,,,5220.0,44324.22,10 HCPCS,22551,Neck spine fuse&remov bel c2,,,5220.0,44324.22,10 HCPCS,22552,Addl neck spine fusion,,,5220.0,23971.0,3 HCPCS,22554,Neck spine fusion,,,5220.0,44324.22,10 HCPCS,22556,Thorax spine fusion,,,5220.0,60533.69,10 HCPCS,22558,Lumbar spine fusion,,,5220.0,93677.4,10 HCPCS,22585,Additional spinal fusion,,,5220.0,29398.0,3 HCPCS,22586,Prescrl fuse w/ instr l5-s1,,,5220.0,60533.69,10 HCPCS,22590,Spine & skull spinal fusion,,,5220.0,44324.22,10 HCPCS,22595,Neck spinal fusion,,,5220.0,44324.22,10 HCPCS,22600,Neck spine fusion,,,5220.0,60533.69,10 HCPCS,22610,Thorax spine fusion,,,5220.0,60533.69,10 HCPCS,22612,Lumbar spine fusion,,,5220.0,60533.69,10 HCPCS,22614,Spine fusion extra segment,,,2375.0,5220.0,3 HCPCS,22630,Lumbar spine fusion,,,5220.0,93677.4,10 HCPCS,22632,Spine fusion extra segment,,,2375.0,5220.0,3 HCPCS,22633,Lumbar spine fusion combined,,,5220.0,93677.4,10 HCPCS,22634,Spine fusion extra segment,,,2375.0,5220.0,3 HCPCS,22800,Post fusion <=6 vert seg,,,5220.0,60533.69,10 HCPCS,22802,Post fusion 7-12 vert seg,,,5220.0,60533.69,10 HCPCS,22804,Post fusion 13/> vert seg,,,5220.0,60533.69,10 HCPCS,22808,Ant fusion 2-3 vert seg,,,5220.0,60533.69,10 HCPCS,22810,Ant fusion 4-7 vert seg,,,5220.0,60533.69,10 HCPCS,22812,Ant fusion 8/> vert seg,,,5220.0,60533.69,10 HCPCS,22818,Kyphectomy 1-2 segments,,,5220.0,60533.69,10 HCPCS,22819,Kyphectomy 3 or more,,,5220.0,60533.69,10 HCPCS,22830,Exploration of spinal fusion,,,5220.0,29398.0,10 HCPCS,22836,Ant thrc vrt body tethrg <7,,,5226.0,60533.69,9 HCPCS,22837,Ant thrc vrt body tethrg 8+,,,5226.0,60533.69,9 HCPCS,22838,Rev rplc/rmv thrc vrt tethrg,,,5226.0,60533.69,9 HCPCS,22840,Insert spine fixation device,,,2375.0,5220.0,3 HCPCS,22841,Insert spine fixation device,,,2375.0,5220.0,3 HCPCS,22842,Insert spine fixation device,,,2375.0,5220.0,3 HCPCS,22843,Insert spine fixation device,,,2375.0,5220.0,3 HCPCS,22844,Insert spine fixation device,,,2375.0,5220.0,3 HCPCS,22845,Insert spine fixation device,,,5220.0,29398.0,3 HCPCS,22846,Insert spine fixation device,,,5220.0,29398.0,3 HCPCS,22847,Insert spine fixation device,,,5220.0,29398.0,3 HCPCS,22848,Insert pelv fixation device,,,2375.0,5220.0,3 HCPCS,22849,Reinsert spinal fixation,,,5220.0,44324.22,10 HCPCS,22850,Remove spine fixation device,,,5220.0,29398.0,10 HCPCS,22852,Remove spine fixation device,,,5220.0,29398.0,10 HCPCS,22853,Insj biomechanical device,,,2375.0,2633.0,2 HCPCS,22854,Insj biomechanical device,,,2375.0,2633.0,2 HCPCS,22855,Remove spine fixation device,,,5220.0,29398.0,10 HCPCS,22856,Cerv artific diskectomy,,,5220.0,60533.69,10 HCPCS,22857,Lumbar Artif Diskectomy,,,5220.0,60533.69,10 HCPCS,22858,Second level cer diskectomy,,,2375.0,5220.0,3 HCPCS,22859,Insj biomechanical device,,,2375.0,2633.0,2 HCPCS,22860,Tot disc arthrp 2ntrspc lmbr,,,5226.0,5790.0,2 HCPCS,22861,Revise cerv artific disc,,,5220.0,60533.69,10 HCPCS,22862,Revise Lumbar Artif Disc,,,5220.0,60533.69,10 HCPCS,22864,Remove cerv artif disc,,,5220.0,29398.0,10 HCPCS,22865,Remove Lumb Artif Disc,,,5220.0,29398.0,10 HCPCS,22867,Insj stablj dev w/dcmprn,,,17449.63,60533.69,9 HCPCS,22868,Insj stablj dev w/dcmprn,,,2375.0,2633.0,2 HCPCS,22869,Insj stablj dev w/o dcmprn,,,12777.04,44324.22,9 HCPCS,22870,Insj stablj dev w/o dcmprn,,,2375.0,2633.0,2 HCPCS,22899,Spine surgery procedure,,,245.48,5220.0,10 HCPCS,22899,Unlisted Procedure Spine,6958.0,3479.0,,,0 HCPCS,22900,Exc Abdl Tum Deep < 5 Cm,8627.0,4313.5,,,0 HCPCS,22900,Exc abdl tum deep < 5 cm,,,2890.77,14111.0,10 HCPCS,22901,Exc abdl tum deep 5 cm/>,,,2890.77,14111.0,10 HCPCS,22902,Exc Abd Les Sc < 3 Cm,8715.0,4357.5,,,0 HCPCS,22902,Exc abd les sc < 3 cm,,,1643.67,10181.0,10 HCPCS,22903,Exc Abd Les Sc 3 Cm/>,9604.0,4802.0,,,0 HCPCS,22903,Exc abd les sc 3 cm/>,,,2890.77,14111.0,10 HCPCS,22904,Radical resect abd tumor<5cm,,,2890.77,10181.0,10 HCPCS,22905,Rad resect abd tumor 5 cm/>,,,2890.77,14111.0,10 HCPCS,22999,22999 Unlisted Abdomen Muscskl,792.0,396.0,,,0 HCPCS,22999,Abdomen Surgery Procedure,792.0,396.0,,,0 HCPCS,22999,Abdomen surgery procedure,,,245.48,5220.0,10 HCPCS,23000,Removal of calcium deposits,,,2890.77,10028.23,10 HCPCS,23020,Release shoulder joint,,,3256.29,19040.0,10 HCPCS,23030,Drain shoulder lesion,,,2890.77,14111.0,10 HCPCS,23031,Drain shoulder bursa,,,2890.77,14111.0,10 HCPCS,23035,Drain shoulder bone lesion,,,1600.27,14111.0,10 HCPCS,23040,Exploratory shoulder surgery,,,3256.29,19040.0,10 HCPCS,23044,Exploratory shoulder surgery,,,3256.29,19040.0,10 HCPCS,23065,Biopsy Shoulder Tissues,5092.0,2546.0,,,0 HCPCS,23065,Biopsy shoulder tissues,,,1643.67,5701.97,10 HCPCS,23065,St Bx Shoulder; Superficial,5092.0,2546.0,,,0 HCPCS,23066,Biopsy shoulder tissues,,,2890.77,14111.0,10 HCPCS,23071,Exc Shoulder Les Sc > 3 Cm,10752.0,5376.0,,,0 HCPCS,23071,Exc shoulder les sc 3 cm/>,,,1643.67,14111.0,10 HCPCS,23073,Exc shoulder tum deep 5 cm/>,,,2890.77,14111.0,10 HCPCS,23075,Exc shoulder les sc < 3 cm,,,1643.67,5790.0,10 HCPCS,23075,Removal Of Shoulder Lesion,8715.0,4357.5,,,0 HCPCS,23076,Exc Shoulder Tum Deep < 5 Cm,9305.0,4652.5,,,0 HCPCS,23076,Exc shoulder tum deep < 5 cm,,,2890.77,10028.23,10 HCPCS,23077,Resect shoulder tumor < 5 cm,,,2890.77,10028.23,10 HCPCS,23078,Resect shoulder tumor 5 cm/>,,,2890.77,14111.0,10 HCPCS,23100,Biopsy of shoulder joint,,,3256.29,14111.0,10 HCPCS,23101,Shoulder joint surgery,,,3256.29,19040.0,10 HCPCS,23105,Remove shoulder joint lining,,,6448.0,25051.33,10 HCPCS,23106,Incision of collarbone joint,,,3256.29,19040.0,10 HCPCS,23107,Explore treat shoulder joint,,,6448.0,25051.33,10 HCPCS,23120,Partial removal collar bone,,,3256.29,19040.0,10 HCPCS,23125,Removal of collar bone,,,3256.29,19040.0,10 HCPCS,23130,Remove shoulder bone part,,,3256.29,23971.0,10 HCPCS,23140,Removal of bone lesion,,,3256.29,14111.0,10 HCPCS,23145,Removal of bone lesion,,,3256.29,19040.0,10 HCPCS,23146,Removal of bone lesion,,,7221.37,25051.33,10 HCPCS,23150,Removal of humerus lesion,,,3256.29,19040.0,10 HCPCS,23155,Removal of humerus lesion,,,7221.37,25051.33,10 HCPCS,23156,Removal of humerus lesion,,,7221.37,25051.33,10 HCPCS,23170,Remove collar bone lesion,,,3256.29,19040.0,10 HCPCS,23172,Remove shoulder blade lesion,,,3256.29,19040.0,10 HCPCS,23174,Remove humerus lesion,,,4564.0,25051.33,10 HCPCS,23180,Remove collar bone lesion,,,6448.0,25051.33,10 HCPCS,23182,Remove shoulder blade lesion,,,6448.0,25051.33,10 HCPCS,23184,Remove humerus lesion,,,6448.0,25051.33,10 HCPCS,23190,Partial removal of scapula,,,3256.29,19040.0,10 HCPCS,23195,Removal of head of humerus,,,7221.37,25051.33,10 HCPCS,23200,Resect clavicle tumor,,,5220.0,29398.0,10 HCPCS,23210,Resect scapula tumor,,,5220.0,29398.0,10 HCPCS,23220,Resect prox humerus tumor,,,5220.0,29398.0,10 HCPCS,23330,23330 Removal Subq Fb Shoulder,3102.0,1551.0,,,0 HCPCS,23330,Remove shoulder foreign body,,,1643.67,5701.97,10 HCPCS,23331,Remove shoulder foreign body,,,3408.0,3408.0,1 HCPCS,23333,Remove shoulder fb deep,,,2890.77,10028.23,10 HCPCS,23334,Shoulder prosthesis removal,,,5220.0,25051.33,10 HCPCS,23335,Shoulder prosthesis removal,,,5220.0,25051.33,10 HCPCS,23350,Inj Proc For Shoulder Arthro,2689.0,1344.5,,,0 HCPCS,23350,Injection for shoulder x-ray,,,2375.0,5220.0,3 HCPCS,23395,Muscle transfer shoulder/arm,,,7221.37,25051.33,10 HCPCS,23397,Muscle transfers,,,7221.37,25051.33,10 HCPCS,23400,Fixation of shoulder blade,,,7221.37,25051.33,10 HCPCS,23405,Incision of tendon & muscle,,,4564.0,25051.33,10 HCPCS,23406,Incise tendon(s) & muscle(s),,,4564.0,25051.33,10 HCPCS,23410,Repair rotator cuff acute,,,7221.37,25051.33,10 HCPCS,23412,Repair rotator cuff chronic,,,7221.37,25051.33,10 HCPCS,23415,Release of shoulder ligament,,,7221.37,25051.33,10 HCPCS,23420,Repair of shoulder,,,7221.37,25051.33,10 HCPCS,23430,Repair biceps tendon,,,6448.0,25051.33,10 HCPCS,23440,Remove/transplant tendon,,,6448.0,25051.33,10 HCPCS,23450,Repair shoulder capsule,,,7221.37,29398.0,10 HCPCS,23455,Repair shoulder capsule,,,7221.37,29398.0,10 HCPCS,23460,Repair shoulder capsule,,,7221.37,29398.0,10 HCPCS,23462,Repair shoulder capsule,,,7221.37,25051.33,10 HCPCS,23465,Repair shoulder capsule,,,7221.37,25051.33,10 HCPCS,23466,Repair shoulder capsule,,,7221.37,25051.33,10 HCPCS,23470,Reconstruct shoulder joint,,,5220.0,44324.22,10 HCPCS,23472,Reconstruct shoulder joint,,,5220.0,60533.69,10 HCPCS,23473,Revis reconst shoulder joint,,,5220.0,44324.22,10 HCPCS,23474,Revis reconst shoulder joint,,,5220.0,44324.22,10 HCPCS,23480,Revision of collar bone,,,6448.0,25051.33,10 HCPCS,23485,Revision of collar bone,,,10181.0,44324.22,10 HCPCS,23490,Reinforce clavicle,,,5220.0,29398.0,10 HCPCS,23491,Reinforce shoulder bones,,,5220.0,44324.22,10 HCPCS,23500,Chg - 23500 Clsd Rx Clv Fx No Manip,787.0,393.5,,,0 HCPCS,23500,Treat clavicle fracture,,,245.48,3408.0,10 HCPCS,23505,23505 Clsd Rx Clav Fx W Manip,4299.0,2149.5,,,0 HCPCS,23505,Treat clavicle fracture,,,1600.27,5551.43,10 HCPCS,23515,Treat clavicle fracture,,,5220.0,29398.0,10 HCPCS,23520,Treat clavicle dislocation,,,1600.27,5790.0,10 HCPCS,23525,23525 Cl Tx Scclav Dislc W Man,1561.0,780.5,,,0 HCPCS,23525,Treat clavicle dislocation,,,245.48,3408.0,10 HCPCS,23530,Treat clavicle dislocation,,,5220.0,29398.0,10 HCPCS,23532,Treat clavicle dislocation,,,6448.0,25051.33,10 HCPCS,23540,23540 Clsd Tx Ac Dislocation W,787.0,393.5,,,0 HCPCS,23540,Treat clavicle dislocation,,,245.48,3408.0,10 HCPCS,23545,23545 Clsd Rx Ac Disl W Manip,2241.0,1120.5,,,0 HCPCS,23545,Treat clavicle dislocation,,,245.48,3408.0,10 HCPCS,23550,Treat clavicle dislocation,,,5220.0,29398.0,10 HCPCS,23552,Treat clavicle dislocation,,,6448.0,29398.0,10 HCPCS,23570,Chg - Treat Shoulder Blade Fx,765.0,382.5,,,0 HCPCS,23570,Treat shoulder blade fx,,,245.48,3408.0,10 HCPCS,23575,23575 Tx Shoulder Blade Fx Lt,2736.0,1368.0,,,0 HCPCS,23575,Treat shoulder blade fx,,,1600.27,5551.43,10 HCPCS,23585,Treat scapula fracture,,,5220.0,29398.0,10 HCPCS,23600,23600 Cl Rx Humer Fx No Manip,787.0,393.5,,,0 HCPCS,23600,Chg - 23600 Cl Rx Dumer Fx No Manip,787.0,393.5,,,0 HCPCS,23600,Treat humerus fracture,,,245.48,3408.0,10 HCPCS,23605,23605 Clsd Rx Humer Fx W Manip,2867.0,1433.5,,,0 HCPCS,23605,Treat humerus fracture,,,1600.27,14111.0,10 HCPCS,23615,Treat humerus fracture,,,6448.0,44324.22,10 HCPCS,23616,Treat humerus fracture,,,6448.0,60533.69,10 HCPCS,23620,Chg - Treat Humerus Fracture,765.0,382.5,,,0 HCPCS,23620,Treat humerus fracture,,,245.48,3408.0,10 HCPCS,23625,23625 Cl Tx Gr Tuberosity Fx,2769.0,1384.5,,,0 HCPCS,23625,Treat humerus fracture,,,1600.27,5790.0,10 HCPCS,23630,Treat humerus fracture,,,7221.37,29398.0,10 HCPCS,23650,23650 Cl Rx Sh Dsl-Man-No Anes,2970.0,1485.0,,,0 HCPCS,23650,Cl Rx Sh Dsl-Man-No Anes,2970.0,1485.0,,,0 HCPCS,23650,Clsd Tx Shoulder Dislc W/Manipulation W/O Anes,2970.0,1485.0,,,0 HCPCS,23650,Treat shoulder dislocation,,,245.48,3408.0,10 HCPCS,23655,23655 Clsd Should Dis W/Mp&Ane,3069.0,1534.5,,,0 HCPCS,23655,Proc Shoulder Disloc W/Anes,3069.0,1534.5,,,0 HCPCS,23655,Treat shoulder dislocation,,,1600.27,5790.0,10 HCPCS,23660,Treat shoulder dislocation,,,5220.0,29398.0,10 HCPCS,23665,23665 Cld Shld Dis/Hum Fx W/Mn,3870.0,1935.0,,,0 HCPCS,23665,Treat dislocation/fracture,,,1600.27,5551.43,10 HCPCS,23670,Treat dislocation/fracture,,,5220.0,29398.0,10 HCPCS,23675,23675 Treat Dislocation/Fractu,3375.0,1687.5,,,0 HCPCS,23675,Treat dislocation/fracture,,,1600.27,5551.43,10 HCPCS,23680,Treat dislocation/fracture,,,5220.0,44324.22,10 HCPCS,23700,Fixation of shoulder,,,1600.27,5790.0,10 HCPCS,23700,Proc Shoulder Manipultn W/Anes,3273.0,1636.5,,,0 HCPCS,23800,"Arthrodesis,Glenohumeral Joint",10969.0,5484.5,,,0 HCPCS,23800,Fusion of shoulder joint,,,6448.0,29398.0,10 HCPCS,23802,Fusion of shoulder joint,,,10181.0,44324.22,10 HCPCS,23900,Amputation of arm & girdle,,,5220.0,44324.22,10 HCPCS,23920,Amputation at shoulder joint,,,5220.0,44324.22,10 HCPCS,23921,Amputation follow-up surgery,,,2053.37,7123.26,10 HCPCS,23929,Shoulder surgery procedure,,,245.48,5220.0,10 HCPCS,23929,Unlisted Procedure Shoulder,693.0,346.5,,,0 HCPCS,23930,23930 I&D Up Arm/Elb Abs/Hem,4529.0,2264.5,,,0 HCPCS,23930,Drainage of arm lesion,,,2890.77,14111.0,10 HCPCS,23931,23931 I&D Up Arm/Bursa,8069.0,4034.5,,,0 HCPCS,23931,Chg - 23931 I&D Up Arm/Bursa,8069.0,4034.5,,,0 HCPCS,23931,Drainage of arm bursa,,,1643.67,5790.0,10 HCPCS,23935,Drain arm/elbow bone lesion,,,3256.29,14111.0,10 HCPCS,24000,24000 Arthrotomy Elbow Inc Exp,7408.0,3704.0,,,0 HCPCS,24000,Exploratory elbow surgery,,,3256.29,19040.0,10 HCPCS,24006,Release elbow joint,,,3256.29,19040.0,10 HCPCS,24065,Biopsy arm/elbow soft tissue,,,1643.67,5790.0,10 HCPCS,24065,Us Bx Axilla,3125.0,1562.5,,,0 HCPCS,24066,Biopsy arm/elbow soft tissue,,,2890.77,10028.23,10 HCPCS,24071,Exc Arm/Elbow Les Sc 3+ Cm,11516.0,5758.0,,,0 HCPCS,24071,Exc arm/elbow les sc 3 cm/>,,,2890.77,14111.0,10 HCPCS,24073,Ex arm/elbow tum deep 5 cm/>,,,2890.77,14111.0,10 HCPCS,24075,Exc arm/elbow les sc < 3 cm,,,1643.67,5790.0,10 HCPCS,24075,Remove Arm/Elbow Lesion,8715.0,4357.5,,,0 HCPCS,24076,Ex arm/elbow tum deep < 5 cm,,,2890.77,10028.23,10 HCPCS,24076,Remove Arm/Elbow Lesion,8715.0,4357.5,,,0 HCPCS,24077,Resect arm/elbow tum < 5 cm,,,2890.77,10028.23,10 HCPCS,24079,Resect arm/elbow tum 5 cm/>,,,2890.77,14111.0,10 HCPCS,24100,Biopsy elbow joint lining,,,3256.29,14111.0,10 HCPCS,24101,Explore/treat elbow joint,,,3256.29,19040.0,10 HCPCS,24102,Remove elbow joint lining,,,3256.29,19040.0,10 HCPCS,24105,Removal of elbow bursa,,,3256.29,14111.0,10 HCPCS,24110,Remove humerus lesion,,,3256.29,14111.0,10 HCPCS,24115,Remove/graft bone lesion,,,5220.0,25051.33,10 HCPCS,24116,Remove/graft bone lesion,,,5220.0,25051.33,10 HCPCS,24120,Remove elbow lesion,,,3256.29,14111.0,10 HCPCS,24125,Remove/graft bone lesion,,,3256.29,19040.0,10 HCPCS,24126,Remove/graft bone lesion,,,5220.0,25051.33,10 HCPCS,24130,Removal of head of radius,,,3256.29,19040.0,10 HCPCS,24134,Removal of arm bone lesion,,,4564.0,25051.33,10 HCPCS,24136,Remove radius bone lesion,,,3256.29,19040.0,10 HCPCS,24138,Remove elbow bone lesion,,,4564.0,25051.33,10 HCPCS,24140,Partial removal of arm bone,,,3256.29,19040.0,10 HCPCS,24145,Partial removal of radius,,,5220.0,25051.33,10 HCPCS,24147,Partial removal of elbow,,,3256.29,19040.0,10 HCPCS,24149,Radical resection of elbow,,,5220.0,25051.33,10 HCPCS,24150,Resect distal humerus tumor,,,5220.0,25051.33,10 HCPCS,24152,Resect radius tumor,,,5220.0,25051.33,10 HCPCS,24155,Removal of elbow joint,,,3256.29,19040.0,10 HCPCS,24160,Remove elbow joint implant,,,3256.29,19040.0,10 HCPCS,24164,Remove radius head implant,,,3256.29,19040.0,10 HCPCS,24200,24200 Rem Subq Fb Up Arm/Elbow,1753.0,876.5,,,0 HCPCS,24200,Removal of arm foreign body,,,1643.67,5701.97,10 HCPCS,24201,24201 Deep Rem Ab Ua/Elbow,7465.0,3732.5,,,0 HCPCS,24201,Removal of arm foreign body,,,2890.77,10028.23,10 HCPCS,24220,Inj Proc For Elbow Arthrograph,798.0,399.0,,,0 HCPCS,24220,Injection for elbow x-ray,,,2375.0,5220.0,3 HCPCS,24300,Manipulate elbow w/anesth,,,1600.27,6448.0,10 HCPCS,24301,Muscle/tendon transfer,,,6448.0,25051.33,10 HCPCS,24305,Arm tendon lengthening,,,3256.29,19040.0,10 HCPCS,24310,Revision of arm tendon,,,3256.29,14111.0,10 HCPCS,24320,Repair of arm tendon,,,5220.0,25051.33,10 HCPCS,24330,Revision of arm muscles,,,5220.0,29398.0,10 HCPCS,24331,Revision of arm muscles,,,5220.0,25051.33,10 HCPCS,24332,Tenolysis triceps,,,3256.29,19040.0,10 HCPCS,24340,Repair of biceps tendon,,,5220.0,25051.33,10 HCPCS,24341,Repair arm tendon/muscle,,,5220.0,25051.33,10 HCPCS,24342,Repair of ruptured tendon,,,5220.0,25051.33,10 HCPCS,24343,Repr elbow lat ligmnt w/tiss,,,3256.29,19040.0,10 HCPCS,24344,Reconstruct elbow lat ligmnt,,,5220.0,25051.33,10 HCPCS,24345,Repr elbw med ligmnt w/tissu,,,4564.0,25051.33,10 HCPCS,24346,Reconstruct elbow med ligmnt,,,5220.0,44324.22,10 HCPCS,24357,Repair elbow perc,,,3256.29,14111.0,10 HCPCS,24358,Repair elbow w/deb open,,,3256.29,19040.0,10 HCPCS,24359,Repair elbow deb/attch open,,,3256.29,19040.0,10 HCPCS,24360,Reconstruct elbow joint,,,7221.37,25051.33,10 HCPCS,24361,Reconstruct elbow joint,,,5220.0,60533.69,10 HCPCS,24362,Reconstruct elbow joint,,,7337.0,44324.22,10 HCPCS,24363,Replace elbow joint,,,5220.0,60533.69,10 HCPCS,24365,Reconstruct head of radius,,,7337.0,44324.22,10 HCPCS,24366,Reconstruct head of radius,,,5220.0,44324.22,10 HCPCS,24370,Revise reconst elbow joint,,,5220.0,44324.22,10 HCPCS,24371,Revise reconst elbow joint,,,5220.0,60533.69,10 HCPCS,24400,Revision of humerus,,,6448.0,25051.33,10 HCPCS,24410,Revision of humerus,,,6448.0,44324.22,10 HCPCS,24420,Revision of humerus,,,5220.0,25051.33,10 HCPCS,24430,Repair of humerus,,,5220.0,44324.22,10 HCPCS,24435,Repair humerus with graft,,,6448.0,44324.22,10 HCPCS,24470,Revision of elbow joint,,,3256.29,23971.0,10 HCPCS,24495,Decompression of forearm,,,4564.0,25051.33,10 HCPCS,24498,Reinforce humerus,,,5220.0,44324.22,10 HCPCS,24500,24500 Cl Rx Hum Shft Fx No Man,687.0,343.5,,,0 HCPCS,24500,Treat humerus fracture,,,245.48,3408.0,10 HCPCS,24505,24505 Treat Humer Fractr W/Man,1677.0,838.5,,,0 HCPCS,24505,Treat humerus fracture,,,1600.27,5551.43,10 HCPCS,24515,Treat humerus fracture,,,6448.0,44324.22,10 HCPCS,24516,Treat humerus fracture,,,6448.0,44324.22,10 HCPCS,24530,Chg - 24530 Cls Tx Supra/Trans Hum F,396.0,198.0,,,0 HCPCS,24530,Treat humerus fracture,,,245.48,3408.0,10 HCPCS,24535,24535 Cl Rx Condylr Fx W Mnip,1677.0,838.5,,,0 HCPCS,24535,Treat humerus fracture,,,1600.27,5551.43,10 HCPCS,24538,Treat humerus fracture,,,4564.0,25051.33,10 HCPCS,24545,Treat humerus fracture,,,6448.0,44324.22,10 HCPCS,24546,Treat humerus fracture,,,7337.0,44324.22,10 HCPCS,24560,24560 Cls Tx Hum Epicond Fx Wo,515.0,257.5,,,0 HCPCS,24560,Treat humerus fracture,,,245.48,3408.0,10 HCPCS,24565,24565 Cl Rx Condylar Fx W Mnip,1677.0,838.5,,,0 HCPCS,24565,Treat humerus fracture,,,1600.27,5551.43,10 HCPCS,24566,Treat humerus fracture,,,1600.27,14111.0,10 HCPCS,24575,Treat humerus fracture,,,5220.0,44324.22,10 HCPCS,24576,Cl Tx C Humerus Fx Wo Manip,802.0,401.0,,,0 HCPCS,24576,Treat humerus fracture,,,245.48,3408.0,10 HCPCS,24577,24577 Cl Rx Condylr Fx W Man,5028.0,2514.0,,,0 HCPCS,24577,Treat humerus fracture,,,1600.27,5551.43,10 HCPCS,24579,Treat humerus fracture,,,5220.0,44324.22,10 HCPCS,24582,Treat humerus fracture,,,4564.0,25051.33,10 HCPCS,24586,Treat elbow fracture,,,6448.0,44324.22,10 HCPCS,24587,Treat elbow fracture,,,7337.0,44324.22,10 HCPCS,24600,24600 Rx Cl Elb Dslctn No Anes,758.0,379.0,,,0 HCPCS,24600,Treat elbow dislocation,,,245.48,3408.0,10 HCPCS,24605,24605 Elbow Dislocation W/Anes,4088.0,2044.0,,,0 HCPCS,24605,Treat elbow dislocation,,,1600.27,5790.0,10 HCPCS,24615,Treat elbow dislocation,,,5220.0,29398.0,10 HCPCS,24620,24620 Treat Elbow Fracture,4437.0,2218.5,,,0 HCPCS,24620,Treat elbow fracture,,,1600.27,5790.0,10 HCPCS,24635,Treat elbow fracture,,,5220.0,29398.0,10 HCPCS,24640,24640 Rx Nursmd El W Mani-Chld,404.0,202.0,,,0 HCPCS,24640,Treat elbow dislocation,,,245.48,3408.0,10 HCPCS,24650,Chg - 24650 Clsd Tx Rad Head/Neck Fx,750.0,375.0,,,0 HCPCS,24650,Treat radius fracture,,,245.48,5220.0,10 HCPCS,24655,24655 Clsd Rx Radial Fx W Mnip,1677.0,838.5,,,0 HCPCS,24655,Treat radius fracture,,,1600.27,5551.43,10 HCPCS,24665,Treat radius fracture,,,6448.0,29398.0,10 HCPCS,24666,Treat radius fracture,,,6448.0,44324.22,10 HCPCS,24670,24670 Cl Rx Prox Uln Fx No Man,396.0,198.0,,,0 HCPCS,24670,24670 Cl Rx Prox Uln No Man,396.0,198.0,,,0 HCPCS,24670,Treat ulnar fracture,,,245.48,3408.0,10 HCPCS,24675,24675 Cl Rx Prox Uln Fx W Manp,1677.0,838.5,,,0 HCPCS,24675,Treat ulnar fracture,,,1600.27,5551.43,10 HCPCS,24685,Treat ulnar fracture,,,5220.0,29398.0,10 HCPCS,24800,Fusion of elbow joint,,,6448.0,25051.33,10 HCPCS,24802,Fusion/graft of elbow joint,,,7337.0,44324.22,10 HCPCS,24900,Amputation of upper arm,,,5220.0,44324.22,10 HCPCS,24920,Amputation of upper arm,,,5220.0,44324.22,10 HCPCS,24925,Amputation follow-up surgery,,,3256.29,14111.0,10 HCPCS,24930,Amputation follow-up surgery,,,5220.0,29398.0,10 HCPCS,24931,Amputate upper arm & implant,,,5220.0,44324.22,10 HCPCS,24935,Revision of amputation,,,5220.0,29398.0,10 HCPCS,24940,Revision of upper arm,,,5220.0,44324.22,10 HCPCS,24999,24999 Unlstd Proc Humer Elbow,754.0,377.0,,,0 HCPCS,24999,Upper arm/elbow surgery,,,245.48,5220.0,10 HCPCS,25000,Incision of tendon sheath,,,1600.27,14111.0,10 HCPCS,25001,Incise flexor carpi radialis,,,3256.29,14111.0,10 HCPCS,25020,Decompress forearm 1 space,,,1600.27,19040.0,10 HCPCS,25023,Decompress forearm 1 space,,,3256.29,19040.0,10 HCPCS,25024,Decompress forearm 2 spaces,,,3256.29,19040.0,10 HCPCS,25025,Decompress forearm 2 spaces,,,1600.27,14111.0,10 HCPCS,25028,Deep I&D Absc - Farm/Wrist,10242.0,5121.0,,,0 HCPCS,25028,Drainage of forearm lesion,,,3256.29,14111.0,10 HCPCS,25031,Drainage of forearm bursa,,,1600.27,14111.0,10 HCPCS,25035,Treat forearm bone lesion,,,4564.0,25051.33,10 HCPCS,25040,Explore/treat wrist joint,,,3256.29,19040.0,10 HCPCS,25065,Biopsy forearm soft tissues,,,1643.67,5701.97,10 HCPCS,25066,Biopsy forearm soft tissues,,,2890.77,14111.0,10 HCPCS,25071,Chg - Exc Forearm Les Sc>3 Cm,11516.0,5758.0,,,0 HCPCS,25071,Exc forearm les sc 3 cm/>,,,1643.67,14111.0,10 HCPCS,25073,Exc forearm tum deep 3 cm/>,,,2890.77,14111.0,10 HCPCS,25075,Chg - Removal Of Forearm Lesion,8715.0,4357.5,,,0 HCPCS,25075,Exc forearm les sc < 3 cm,,,1643.67,5790.0,10 HCPCS,25076,Exc forearm tum deep < 3 cm,,,1643.67,5790.0,10 HCPCS,25076,Removal Of Forearm Lesion.,4944.0,2472.0,,,0 HCPCS,25077,Resect forearm/wrist tum<3cm,,,2890.77,10028.23,10 HCPCS,25078,Resect forarm/wrist tum 3cm>,,,2890.77,14111.0,10 HCPCS,25085,Incision of wrist capsule,,,3256.29,14111.0,10 HCPCS,25100,Biopsy of wrist joint,,,3256.29,14111.0,10 HCPCS,25101,Explore/treat wrist joint,,,3256.29,19040.0,10 HCPCS,25105,Remove wrist joint lining,,,3256.29,19040.0,10 HCPCS,25107,Remove wrist joint cartilage,,,3256.29,19040.0,10 HCPCS,25109,Excise tendon forearm/wrist,,,3256.29,14111.0,10 HCPCS,25110,Remove wrist tendon lesion,,,1600.27,14111.0,10 HCPCS,25111,Remove wrist tendon lesion,,,1600.27,14111.0,10 HCPCS,25112,Reremove wrist tendon lesion,,,1600.27,14111.0,10 HCPCS,25115,Remove wrist/forearm lesion,,,1600.27,14111.0,10 HCPCS,25116,Remove wrist/forearm lesion,,,3256.29,14111.0,10 HCPCS,25118,Excise wrist tendon sheath,,,1600.27,14111.0,10 HCPCS,25119,Partial removal of ulna,,,3256.29,19040.0,10 HCPCS,25120,Removal of forearm lesion,,,3256.29,19040.0,10 HCPCS,25125,Remove/graft forearm lesion,,,1600.27,14111.0,10 HCPCS,25126,Remove/graft forearm lesion,,,3256.29,19040.0,10 HCPCS,25130,Removal of wrist lesion,,,3256.29,19040.0,10 HCPCS,25135,Remove & graft wrist lesion,,,5220.0,25051.33,10 HCPCS,25136,Remove & graft wrist lesion,,,5220.0,25051.33,10 HCPCS,25145,Remove forearm bone lesion,,,3256.29,19040.0,10 HCPCS,25150,Partial removal of ulna,,,3256.29,19040.0,10 HCPCS,25151,Partial removal of radius,,,3256.29,19040.0,10 HCPCS,25170,Resect radius/ulnar tumor,,,5220.0,25051.33,10 HCPCS,25210,Removal of wrist bone,,,3256.29,19040.0,10 HCPCS,25215,Removal of wrist bones,,,3256.29,19040.0,10 HCPCS,25230,Partial removal of radius,,,3256.29,19040.0,10 HCPCS,25240,Partial removal of ulna,,,3256.29,19040.0,10 HCPCS,25246,Injection Wrist Arthrography,798.0,399.0,,,0 HCPCS,25246,Injection for wrist x-ray,,,2375.0,5220.0,3 HCPCS,25248,Remove forearm foreign body,,,1600.27,14111.0,10 HCPCS,25250,Removal of wrist prosthesis,,,1600.27,5790.0,10 HCPCS,25251,Removal of wrist prosthesis,,,3256.29,19040.0,10 HCPCS,25259,Manipulate wrist w/anesthes,,,1600.27,5790.0,10 HCPCS,25260,25260 Repair Forarm Tendn/Musc,5860.0,2930.0,,,0 HCPCS,25260,Repair forearm tendon/muscle,,,3256.29,19040.0,10 HCPCS,25263,Repair forearm tendon/muscle,,,4564.0,25051.33,10 HCPCS,25265,Repair forearm tendon/muscle,,,3256.29,19040.0,10 HCPCS,25270,25270 Rep T/M Extensor Fa/W ; 1' Ea,10221.0,5110.5,,,0 HCPCS,25270,Repair forearm tendon/muscle,,,3256.29,19040.0,10 HCPCS,25272,Repair forearm tendon/muscle,,,3256.29,19040.0,10 HCPCS,25274,Repair forearm tendon/muscle,,,3256.29,19040.0,10 HCPCS,25275,Repair forearm tendon sheath,,,3256.29,19040.0,10 HCPCS,25280,Revise wrist/forearm tendon,,,3256.29,19040.0,10 HCPCS,25290,Incise wrist/forearm tendon,,,3256.29,19040.0,10 HCPCS,25295,Release wrist/forearm tendon,,,3256.29,14111.0,10 HCPCS,25300,Fusion of tendons at wrist,,,3256.29,19040.0,10 HCPCS,25301,Fusion of tendons at wrist,,,3256.29,19040.0,10 HCPCS,25310,Transplant forearm tendon,,,3256.29,19040.0,10 HCPCS,25312,Transplant forearm tendon,,,3256.29,23971.0,10 HCPCS,25315,Revise palsy hand tendon(s),,,5220.0,25051.33,10 HCPCS,25316,Revise palsy hand tendon(s),,,5220.0,29398.0,10 HCPCS,25320,Repair/revise wrist joint,,,5220.0,25051.33,10 HCPCS,25332,Revise wrist joint,,,3256.29,23971.0,10 HCPCS,25335,Realignment of hand,,,3256.29,23971.0,10 HCPCS,25337,Reconstruct ulna/radioulnar,,,7221.37,25051.33,10 HCPCS,25350,Revision of radius,,,5220.0,25051.33,10 HCPCS,25355,Revision of radius,,,3256.29,23971.0,10 HCPCS,25360,Revision of ulna,,,5220.0,25051.33,10 HCPCS,25365,Revise radius & ulna,,,5220.0,44324.22,10 HCPCS,25370,Revise radius or ulna,,,3256.29,23971.0,10 HCPCS,25375,Revise radius & ulna,,,3256.29,23971.0,10 HCPCS,25390,Shorten radius or ulna,,,5220.0,25051.33,10 HCPCS,25391,Lengthen radius or ulna,,,6448.0,44324.22,10 HCPCS,25392,Shorten radius & ulna,,,5220.0,25051.33,10 HCPCS,25393,Lengthen radius & ulna,,,6448.0,25051.33,10 HCPCS,25394,Repair carpal bone shorten,,,3256.29,23971.0,10 HCPCS,25400,Repair radius or ulna,,,5220.0,25051.33,10 HCPCS,25405,Repair/graft radius or ulna,,,6448.0,29398.0,10 HCPCS,25415,Repair radius & ulna,,,5220.0,29398.0,10 HCPCS,25420,Repair/graft radius & ulna,,,6448.0,29398.0,10 HCPCS,25425,Repair/graft radius or ulna,,,5220.0,25051.33,10 HCPCS,25426,Repair/graft radius & ulna,,,3256.29,23971.0,10 HCPCS,25430,Vasc graft into carpal bone,,,3256.29,23971.0,10 HCPCS,25431,Repair nonunion carpal bone,,,5220.0,25051.33,10 HCPCS,25440,Repair/graft wrist bone,,,6448.0,25051.33,10 HCPCS,25441,Reconstruct wrist joint,,,5220.0,44324.22,10 HCPCS,25442,Reconstruct wrist joint,,,5220.0,60533.69,10 HCPCS,25443,Reconstruct wrist joint,,,7221.37,25051.33,10 HCPCS,25444,Reconstruct wrist joint,,,7337.0,44324.22,10 HCPCS,25445,Reconstruct wrist joint,,,7221.37,25051.33,10 HCPCS,25446,Wrist replacement,,,5220.0,60533.69,10 HCPCS,25447,Repair wrist joints,,,3256.29,23971.0,10 HCPCS,25448,Arthrp ntrcrpl/crp/mtcrp ssp,,,3256.29,19040.0,9 HCPCS,25449,Remove wrist joint implant,,,7221.37,25051.33,10 HCPCS,25450,Revision of wrist joint,,,3256.29,23971.0,10 HCPCS,25455,Revision of wrist joint,,,3256.29,23971.0,10 HCPCS,25490,Reinforce radius,,,5220.0,25051.33,10 HCPCS,25491,Reinforce ulna,,,5220.0,44324.22,10 HCPCS,25492,Reinforce radius and ulna,,,3256.29,23971.0,10 HCPCS,25500,25500 Clsd Tx Rad Shaft Fx Wo,396.0,198.0,,,0 HCPCS,25500,Chg - 25500 Clsd Tx Rad Shaft Fx Wo,396.0,198.0,,,0 HCPCS,25500,Treat fracture of radius,,,245.48,5220.0,10 HCPCS,25505,25505 Cl Rx Radial Fx W Manip,3102.0,1551.0,,,0 HCPCS,25505,Treat Fracture Of Radius,3102.0,1551.0,,,0 HCPCS,25505,Treat fracture of radius,,,1600.27,5551.43,10 HCPCS,25515,Treat fracture of radius,,,5220.0,29398.0,10 HCPCS,25520,25520 Clsd Tx Rad Shaft Fx Wit,1671.0,835.5,,,0 HCPCS,25520,Treat fracture of radius,,,1600.27,5551.43,10 HCPCS,25525,Treat fracture of radius,,,6448.0,29398.0,10 HCPCS,25526,Treat fracture of radius,,,7221.37,29398.0,10 HCPCS,25530,Chg - 25530 Clsd Rx Ulnar Fx No Mnip,752.0,376.0,,,0 HCPCS,25530,Treat fracture of ulna,,,245.48,5220.0,10 HCPCS,25535,25535 Clsd Rx Ulnar Fx W Manip,2901.0,1450.5,,,0 HCPCS,25535,Treat fracture of ulna,,,245.48,3408.0,10 HCPCS,25545,Treat fracture of ulna,,,5220.0,29398.0,10 HCPCS,25560,25560 Cl Tx Rad&Ul Fx No Manip,802.0,401.0,,,0 HCPCS,25560,Cl Tx Rad&Ul Fx No Manip,802.0,401.0,,,0 HCPCS,25560,Treat fracture radius & ulna,,,245.48,5220.0,10 HCPCS,25565,25565 Clsd Rx Rad&Ul Fx W Mnip,5028.0,2514.0,,,0 HCPCS,25565,Treat fracture radius & ulna,,,1600.27,5551.43,10 HCPCS,25574,Treat fracture radius & ulna,,,5220.0,29398.0,10 HCPCS,25575,Treat fracture radius/ulna,,,5220.0,29398.0,10 HCPCS,25600,25600 Cl Rx Epiph Spen No Mnip,676.0,338.0,,,0 HCPCS,25600,Chg - 25600 Cl Rx Epih Spen No Mnip,676.0,338.0,,,0 HCPCS,25600,Treat fracture radius/ulna,,,245.48,5220.0,10 HCPCS,25605,25605 Cl Rx Epiph Sepn W Manip,2208.0,1104.0,,,0 HCPCS,25605,Chg - 25605 Cl Rx Epih Spen W Mnip,2208.0,1104.0,,,0 HCPCS,25605,Treat fracture radius/ulna,,,1600.27,5551.43,10 HCPCS,25606,Treat Fx Distal Radial,,,3256.29,14111.0,10 HCPCS,25607,Treat Fx Rad Extra-Articul,,,7221.37,29398.0,10 HCPCS,25608,Treat Fx Rad Intra-Articul,,,7221.37,29398.0,10 HCPCS,25609,Treat Fx Radial 3+ Frag,,,7221.37,29398.0,10 HCPCS,25622,25622 Cl Rx Scaphod Fx-No Mnip,396.0,198.0,,,0 HCPCS,25622,Chg - 25622 Cl Rx Scaphod Fx-No Mnip,396.0,198.0,,,0 HCPCS,25622,Treat wrist bone fracture,,,245.48,5220.0,10 HCPCS,25624,25624 Cl Tx Carpl Scaphoid Fx,2705.0,1352.5,,,0 HCPCS,25624,Treat wrist bone fracture,,,1600.27,5551.43,10 HCPCS,25628,Treat wrist bone fracture,,,5220.0,29398.0,10 HCPCS,25630,Chg - 25630 Cl Rx Carp Fx-No Mnip Ea,689.0,344.5,,,0 HCPCS,25630,Treat wrist bone fracture,,,245.48,5220.0,10 HCPCS,25635,25635 Cl Rx Carp Fx W Mnip Ea,1725.0,862.5,,,0 HCPCS,25635,Treat wrist bone fracture,,,1600.27,5551.43,10 HCPCS,25645,Treat wrist bone fracture,,,3256.29,29398.0,10 HCPCS,25650,25650 Clsd Rx Ulnar Styloid Fx,720.0,360.0,,,0 HCPCS,25650,Chg - 25650 Clsd Rx Ulnar Styloid Fx,720.0,360.0,,,0 HCPCS,25650,Treat wrist bone fracture,,,245.48,5220.0,10 HCPCS,25651,Pin ulnar styloid fracture,,,3256.29,14111.0,10 HCPCS,25652,Treat fracture ulnar styloid,,,5220.0,29398.0,10 HCPCS,25660,25660 Clsd Tx W/Man Wrist Disl,396.0,198.0,,,0 HCPCS,25660,Treat wrist dislocation,,,245.48,3408.0,10 HCPCS,25670,Treat wrist dislocation,,,5220.0,25051.33,10 HCPCS,25671,Pin radioulnar dislocation,,,3256.29,14111.0,10 HCPCS,25675,25675 Cl Rx Radoulnr Dslo-Mnip,575.0,287.5,,,0 HCPCS,25675,Treat wrist dislocation,,,245.48,3408.0,10 HCPCS,25676,Treat wrist dislocation,,,4564.0,25051.33,10 HCPCS,25680,Treat wrist fracture,,,245.48,4564.0,10 HCPCS,25685,Treat wrist fracture,,,5220.0,25051.33,10 HCPCS,25690,25690 Cl Rx Lunat Disl W Manip,4874.0,2437.0,,,0 HCPCS,25690,Treat wrist dislocation,,,1600.27,5790.0,10 HCPCS,25695,Treat wrist dislocation,,,4564.0,25051.33,10 HCPCS,25800,Fusion of wrist joint,,,6448.0,29398.0,10 HCPCS,25805,Fusion/graft of wrist joint,,,7221.37,29398.0,10 HCPCS,25810,Fusion/graft of wrist joint,,,7337.0,44324.22,10 HCPCS,25820,Fusion of hand bones,,,6448.0,25051.33,10 HCPCS,25825,Fuse hand bones with graft,,,7221.37,29398.0,10 HCPCS,25830,Fusion radioulnar jnt/ulna,,,7221.37,25051.33,10 HCPCS,25900,Amputation of forearm,,,5220.0,29398.0,10 HCPCS,25905,Amputation of forearm,,,5220.0,29398.0,10 HCPCS,25907,Amputation follow-up surgery,,,3256.29,14111.0,10 HCPCS,25909,Amputation follow-up surgery,,,5220.0,25051.33,10 HCPCS,25915,Amputation of forearm,,,5220.0,29398.0,10 HCPCS,25920,Amputate hand at wrist,,,3256.29,29398.0,10 HCPCS,25922,Amputate hand at wrist,,,1600.27,14111.0,10 HCPCS,25924,Amputation follow-up surgery,,,3256.29,29398.0,10 HCPCS,25927,Amputation of hand,,,3256.29,19040.0,10 HCPCS,25929,Amputation follow-up surgery,,,2053.37,7123.26,10 HCPCS,25931,Amputation follow-up surgery,,,3256.29,14111.0,10 HCPCS,25999,25999 Unlisted Proced Forearm/Wrist,792.0,396.0,,,0 HCPCS,25999,Forearm or wrist surgery,,,245.48,5220.0,10 HCPCS,25999,Unlisted Proced Forearm/Wrist,792.0,396.0,,,0 HCPCS,26010,26010 Smpl Drain Fngr Abscess,359.0,179.5,,,0 HCPCS,26010,Chg - 26010 Smpl Drain Fngr Abscess,359.0,179.5,,,0 HCPCS,26010,Drainage of finger abscess,,,199.67,5220.0,10 HCPCS,26011,26011 Compl Drain Fing Abscess,2462.0,1231.0,,,0 HCPCS,26011,Compl Drain Fing Abscess,2462.0,1231.0,,,0 HCPCS,26011,Drainage of finger abscess,,,1643.67,5790.0,10 HCPCS,26020,Dr Tendon Sheath 1 Dig And/Pal,10556.0,5278.0,,,0 HCPCS,26020,Drain hand tendon sheath,,,3256.29,11296.24,10 HCPCS,26025,Drainage of palm bursa,,,3256.29,11296.24,10 HCPCS,26030,Drainage of palm bursas,,,3256.29,11296.24,10 HCPCS,26034,Treat Hand Bone Lesion,8275.0,4137.5,,,0 HCPCS,26034,Treat hand bone lesion,,,1600.27,5790.0,10 HCPCS,26035,Decompress fingers/hand,,,3256.29,11296.24,10 HCPCS,26037,Decompress fingers/hand,,,3256.29,11296.24,10 HCPCS,26040,Release palm contracture,,,1600.27,6448.0,10 HCPCS,26045,Release palm contracture,,,3256.29,19040.0,10 HCPCS,26055,Chg - Incise Finger Tendon Sheath,8275.0,4137.5,,,0 HCPCS,26055,Incise finger tendon sheath,,,1600.27,5790.0,10 HCPCS,26060,Incision of finger tendon,,,1600.27,5790.0,10 HCPCS,26070,Explore/treat hand joint,,,1600.27,5790.0,10 HCPCS,26075,Explore/treat finger joint,,,3256.29,11296.24,10 HCPCS,26080,26080 Explore/Treat Finger Joint Ea,8275.0,4137.5,,,0 HCPCS,26080,Chg - Explore/Treat Finger Joint.,8275.0,4137.5,,,0 HCPCS,26080,Explore/treat finger joint,,,1600.27,6448.0,10 HCPCS,26100,Biopsy hand joint lining,,,3256.29,11296.24,10 HCPCS,26105,Biopsy finger joint lining,,,3256.29,11296.24,10 HCPCS,26110,Biopsy finger joint lining,,,1600.27,5790.0,10 HCPCS,26111,Exc hand les sc 1.5 cm/>,,,1643.67,14111.0,10 HCPCS,26113,Exc hand tum deep 1.5 cm/>,,,1643.67,14111.0,10 HCPCS,26115,Chg - Exc Hand Les Sc< 1.5 Cm,8715.0,4357.5,,,0 HCPCS,26115,Exc hand les sc < 1.5 cm,,,1643.67,5790.0,10 HCPCS,26116,Chg - Removal Of Hand Lesion.,8715.0,4357.5,,,0 HCPCS,26116,Exc hand tum deep < 1.5 cm,,,1643.67,5790.0,10 HCPCS,26117,Rad resect hand tumor < 3 cm,,,2890.77,10028.23,10 HCPCS,26118,Rad resect hand tumor 3 cm/>,,,2890.77,14111.0,10 HCPCS,26121,Release palm contracture,,,3256.29,19040.0,10 HCPCS,26123,Release palm contracture,,,3256.29,19040.0,10 HCPCS,26125,Release palm contracture,,,2375.0,6448.0,3 HCPCS,26130,Remove wrist joint lining,,,3256.29,11296.24,10 HCPCS,26135,Revise finger joint each,,,3256.29,19040.0,10 HCPCS,26140,Revise finger joint each,,,1600.27,5790.0,10 HCPCS,26145,Tendon excision palm/finger,,,1600.27,5790.0,10 HCPCS,26160,Remove Tendon Sheath Lesion,8275.0,4137.5,,,0 HCPCS,26160,Remove tendon sheath lesion,,,1600.27,5790.0,10 HCPCS,26170,Removal of palm tendon each,,,1600.27,5790.0,10 HCPCS,26180,Removal of finger tendon,,,1600.27,5790.0,10 HCPCS,26185,Remove finger bone,,,1600.27,6448.0,10 HCPCS,26200,Remove hand bone lesion,,,1600.27,5790.0,10 HCPCS,26205,Remove/graft bone lesion,,,5220.0,25051.33,10 HCPCS,26210,Removal of finger lesion,,,1600.27,5790.0,10 HCPCS,26215,Remove/graft finger lesion,,,3256.29,11296.24,10 HCPCS,26230,Partial removal of hand bone,,,3256.29,11296.24,10 HCPCS,26235,Partial removal finger bone,,,1600.27,5790.0,10 HCPCS,26236,26236 Part Exc Bone;Dstl Phlnx,3928.0,1964.0,,,0 HCPCS,26236,Partial removal finger bone,,,1600.27,5790.0,10 HCPCS,26250,Extensive hand surgery,,,3256.29,11296.24,10 HCPCS,26260,Resect prox finger tumor,,,3256.29,11296.24,10 HCPCS,26262,Resect distal finger tumor,,,1600.27,5790.0,10 HCPCS,26320,Removal of implant from hand,,,1643.67,5790.0,10 HCPCS,26340,Manip Fing Jnt W An Ea,5028.0,2514.0,,,0 HCPCS,26340,Manipulate finger w/anesth,,,1600.27,5551.43,10 HCPCS,26341,"Chg - Manip,Palmr Fascial Cord,Sngl",2372.0,1186.0,,,0 HCPCS,26341,Manipulat palm cord post inj,,,245.48,3408.0,10 HCPCS,26350,26350 Rep Flxr Tendon Not Zone 2 Wo Grft Ea,10221.0,5110.5,,,0 HCPCS,26350,Repair finger/hand tendon,,,3256.29,19040.0,10 HCPCS,26352,Repair/graft hand tendon,,,6448.0,25051.33,10 HCPCS,26356,Repair finger/hand tendon,,,3256.29,19040.0,10 HCPCS,26357,Repair finger/hand tendon,,,3256.29,19040.0,10 HCPCS,26358,Repair/graft hand tendon,,,6448.0,25051.33,10 HCPCS,26370,Repair finger/hand tendon,,,3256.29,19040.0,10 HCPCS,26372,Repair/graft hand tendon,,,6448.0,25051.33,10 HCPCS,26373,Repair finger/hand tendon,,,3256.29,19040.0,10 HCPCS,26390,Revise hand/finger tendon,,,6448.0,25051.33,10 HCPCS,26392,Repair/graft hand tendon,,,5220.0,25051.33,10 HCPCS,26410,26410 Rep Et Hand;Wo Fg Ea Tnd,5034.0,2517.0,,,0 HCPCS,26410,Repair hand tendon,,,1600.27,5790.0,10 HCPCS,26412,Repair/graft hand tendon,,,3256.29,19040.0,10 HCPCS,26415,Excision hand/finger tendon,,,3256.29,19040.0,10 HCPCS,26416,Graft hand or finger tendon,,,3256.29,19040.0,10 HCPCS,26418,"26418 Extensor Tendon Repair,F",4181.0,2090.5,,,0 HCPCS,26418,Repair finger tendon,,,1600.27,6448.0,10 HCPCS,26420,Repair/graft finger tendon,,,3256.29,19040.0,10 HCPCS,26426,Repair finger/hand tendon,,,3256.29,19040.0,10 HCPCS,26428,Repair/graft finger tendon,,,3256.29,19040.0,10 HCPCS,26432,Repair Finger Tendon.,5274.0,2637.0,,,0 HCPCS,26432,Repair finger tendon,,,1600.27,5790.0,10 HCPCS,26433,26433 Repair Finger Tendon,10224.0,5112.0,,,0 HCPCS,26433,Repair finger tendon,,,3256.29,11296.24,10 HCPCS,26434,Repair/graft finger tendon,,,3256.29,19040.0,10 HCPCS,26437,Realignment of tendons,,,3256.29,11296.24,10 HCPCS,26440,Release palm/finger tendon,,,1600.27,5790.0,10 HCPCS,26442,Release palm & finger tendon,,,3256.29,19040.0,10 HCPCS,26445,Release hand/finger tendon,,,3256.29,11296.24,10 HCPCS,26449,Release forearm/hand tendon,,,3256.29,19040.0,10 HCPCS,26450,Incision of palm tendon,,,3256.29,11296.24,10 HCPCS,26455,Incision of finger tendon,,,1600.27,5790.0,10 HCPCS,26460,Incise hand/finger tendon,,,1600.27,5790.0,10 HCPCS,26471,Fusion of finger tendons,,,3256.29,11296.24,10 HCPCS,26474,Fusion of finger tendons,,,1600.27,5790.0,10 HCPCS,26476,Tendon lengthening,,,3256.29,11296.24,10 HCPCS,26477,Tendon shortening,,,3256.29,11296.24,10 HCPCS,26478,Lengthening of hand tendon,,,3256.29,11296.24,10 HCPCS,26479,Shortening of hand tendon,,,3256.29,11296.24,10 HCPCS,26480,Transplant hand tendon,,,3256.29,19040.0,10 HCPCS,26483,Transplant/graft hand tendon,,,3256.29,19040.0,10 HCPCS,26485,Transplant palm tendon,,,3256.29,19040.0,10 HCPCS,26489,Transplant/graft palm tendon,,,3256.29,19040.0,10 HCPCS,26490,Revise thumb tendon,,,3256.29,19040.0,10 HCPCS,26492,Tendon transfer with graft,,,3256.29,19040.0,10 HCPCS,26494,Hand tendon/muscle transfer,,,3256.29,19040.0,10 HCPCS,26496,Revise thumb tendon,,,3256.29,19040.0,10 HCPCS,26497,Finger tendon transfer,,,3256.29,19040.0,10 HCPCS,26498,Finger tendon transfer,,,3256.29,19040.0,10 HCPCS,26499,Revision of finger,,,3256.29,14111.0,10 HCPCS,26500,Hand tendon reconstruction,,,5226.0,25051.33,10 HCPCS,26502,Hand tendon reconstruction,,,3256.29,19040.0,10 HCPCS,26508,Release thumb contracture,,,3256.29,11296.24,10 HCPCS,26510,Thumb tendon transfer,,,3256.29,19040.0,10 HCPCS,26516,Fusion of knuckle joint,,,3256.29,19040.0,10 HCPCS,26517,Fusion of knuckle joints,,,3256.29,19040.0,10 HCPCS,26518,Fusion of knuckle joints,,,5220.0,25051.33,10 HCPCS,26520,Release knuckle contracture,,,3256.29,11296.24,10 HCPCS,26525,Release finger contracture,,,1600.27,5790.0,10 HCPCS,26530,Revise knuckle joint,,,5220.0,25051.33,10 HCPCS,26531,Revise knuckle with implant,,,7221.37,25051.33,10 HCPCS,26535,Revise finger joint,,,3256.29,23971.0,10 HCPCS,26536,Revise/implant finger joint,,,7221.37,25051.33,10 HCPCS,26540,Repair hand joint,,,3256.29,11296.24,10 HCPCS,26541,Repair hand joint with graft,,,3256.29,19040.0,10 HCPCS,26542,Repair hand joint with graft,,,3256.29,11296.24,10 HCPCS,26545,Reconstruct finger joint,,,3256.29,19040.0,10 HCPCS,26546,Repair nonunion hand,,,6448.0,25051.33,10 HCPCS,26548,Reconstruct finger joint,,,3256.29,19040.0,10 HCPCS,26550,Construct thumb replacement,,,3256.29,19040.0,10 HCPCS,26551,Great toe-hand transfer,,,5220.0,25051.33,10 HCPCS,26553,Single transfer toe-hand,,,5220.0,25051.33,10 HCPCS,26554,Double transfer toe-hand,,,5220.0,25051.33,10 HCPCS,26555,Positional change of finger,,,5220.0,25051.33,10 HCPCS,26556,Toe joint transfer,,,5220.0,29398.0,10 HCPCS,26560,Repair of web finger,,,1600.27,5790.0,10 HCPCS,26561,Repair of web finger,,,3256.29,19040.0,10 HCPCS,26562,Repair of web finger,,,3256.29,19040.0,10 HCPCS,26565,Correct metacarpal flaw,,,3256.29,19040.0,10 HCPCS,26567,Correct finger deformity,,,3256.29,19040.0,10 HCPCS,26568,Lengthen metacarpal/finger,,,5220.0,25051.33,10 HCPCS,26580,Repair hand deformity,,,3256.29,11296.24,10 HCPCS,26587,Reconstruct extra finger,,,3256.29,11296.24,10 HCPCS,26590,Repair finger deformity,,,1600.27,7337.0,10 HCPCS,26591,Repair muscles of hand,,,3256.29,14111.0,10 HCPCS,26593,Release muscles of hand,,,3256.29,11296.24,10 HCPCS,26596,Excision constricting tissue,,,3256.29,11296.24,10 HCPCS,26600,26600 Cl Rx Metacarp Fx No Man,424.0,212.0,,,0 HCPCS,26600,Chg - 26600 Cl Rx Metacarp Fx No Man,424.0,212.0,,,0 HCPCS,26600,Treat metacarpal fracture,,,245.48,5220.0,10 HCPCS,26605,26605 Cl Rx Metcrpl Fx W Manip,1198.0,599.0,,,0 HCPCS,26605,Treat metacarpal fracture,,,245.48,4564.0,10 HCPCS,26607,Treat metacarpal fracture,,,3256.29,11296.24,10 HCPCS,26608,Treat metacarpal fracture,,,3256.29,14111.0,10 HCPCS,26615,Treat metacarpal fracture,,,3256.29,29398.0,10 HCPCS,26641,26641 Rx Car/Metcarp Dslo-Mnip,316.0,158.0,,,0 HCPCS,26641,Treat thumb dislocation,,,245.48,5220.0,10 HCPCS,26645,26645 Cl Rx Bennett Fx W Manip,1677.0,838.5,,,0 HCPCS,26645,Treat thumb fracture,,,1600.27,5551.43,10 HCPCS,26650,Treat thumb fracture,,,3256.29,14111.0,10 HCPCS,26665,Treat thumb fracture,,,3256.29,29398.0,10 HCPCS,26670,26670 Cl Rx Carpmetcarp Disloc,540.0,270.0,,,0 HCPCS,26670,Treat hand dislocation,,,245.48,5220.0,10 HCPCS,26675,Treat hand dislocation,,,1600.27,5551.43,10 HCPCS,26676,Pin hand dislocation,,,3256.29,14111.0,10 HCPCS,26685,Treat hand dislocation,,,3256.29,14111.0,10 HCPCS,26686,Treat hand dislocation,,,3256.29,29398.0,10 HCPCS,26700,26700 Cl Rx M-P Dslo Sngl-Mnip,754.0,377.0,,,0 HCPCS,26700,Treat knuckle dislocation,,,245.48,5220.0,10 HCPCS,26705,26705 Cl Rx M-P Dslo W Anes,1677.0,838.5,,,0 HCPCS,26705,Treat knuckle dislocation,,,1600.27,5551.43,10 HCPCS,26706,Pin knuckle dislocation,,,3256.29,11296.24,10 HCPCS,26715,Treat knuckle dislocation,,,3256.29,14111.0,10 HCPCS,26720,26720 Cl Rx Fngr Fx-No Mnip Ea,561.0,280.5,,,0 HCPCS,26720,Chg - 26720 Cl Rx Fngr Fx-No Mnip Ea,561.0,280.5,,,0 HCPCS,26720,Treat finger fracture each,,,245.48,5220.0,10 HCPCS,26725,26725 Cl Rx Finger Fx W Man Ea,616.0,308.0,,,0 HCPCS,26725,Treat Finger Fracture Each,616.0,308.0,,,0 HCPCS,26725,Treat finger fracture each,,,245.48,5220.0,10 HCPCS,26727,Treat finger fracture each,,,3256.29,14111.0,10 HCPCS,26735,26735 Treat Finger Fracture,8316.0,4158.0,,,0 HCPCS,26735,Treat finger fracture each,,,3256.29,14111.0,10 HCPCS,26740,26740 Cl Rx M-P/I-P Fx No Mnip,739.0,369.5,,,0 HCPCS,26740,Chg - 26740 Cl Rx M-P/I/P Fx No Mnip,739.0,369.5,,,0 HCPCS,26740,Treat finger fracture each,,,245.48,5220.0,10 HCPCS,26742,26742 Cl Rx Mcp/Ip Fx W Manip,1677.0,838.5,,,0 HCPCS,26742,Treat finger fracture each,,,1600.27,5551.43,10 HCPCS,26746,26746 Treat Finger Fx Ea,7602.0,3801.0,,,0 HCPCS,26746,Treat finger fracture each,,,3256.29,14111.0,10 HCPCS,26750,26750 Closed Rx Dstl Finger Fx,802.0,401.0,,,0 HCPCS,26750,Chg - 26750 Closed Rx Dstl Finger Fx,802.0,401.0,,,0 HCPCS,26750,Treat finger fracture each,,,245.48,5220.0,10 HCPCS,26755,26755 Cl Rx Dstl Fngr Fx W Man,802.0,401.0,,,0 HCPCS,26755,Treat finger fracture each,,,245.48,5220.0,10 HCPCS,26756,26756 Perc Sktl Phlng Fx Fnger,10151.0,5075.5,,,0 HCPCS,26756,Pin finger fracture each,,,3256.29,14111.0,10 HCPCS,26765,26765 Open Tx Distal Phalang,6700.0,3350.0,,,0 HCPCS,26765,Treat finger fracture each,,,3256.29,14111.0,10 HCPCS,26770,26770 Cl Rx Ip Dslo Hand W Man,424.0,212.0,,,0 HCPCS,26770,Chg - 26770 Cl Rx Ip Dslo Hand W Man,424.0,212.0,,,0 HCPCS,26770,Treat finger dislocation,,,245.48,5220.0,10 HCPCS,26775,26775 Cl Rx Ip Dslo-Man & Anes,4759.0,2379.5,,,0 HCPCS,26775,Cltx Iphal Jt Dislc W/Manj Req Anes,4759.0,2379.5,,,0 HCPCS,26775,Treat finger dislocation,,,278.35,5220.0,10 HCPCS,26776,Pin finger dislocation,,,3256.29,14111.0,10 HCPCS,26785,Treat finger dislocation,,,3256.29,14111.0,10 HCPCS,26820,Thumb fusion with graft,,,7221.37,25051.33,10 HCPCS,26841,Fusion of thumb,,,6448.0,25051.33,10 HCPCS,26842,Thumb fusion with graft,,,6448.0,25051.33,10 HCPCS,26843,Fusion of hand joint,,,5220.0,25051.33,10 HCPCS,26844,Fusion/graft of hand joint,,,5220.0,25051.33,10 HCPCS,26850,Fusion of knuckle,,,6448.0,25051.33,10 HCPCS,26852,Fusion of knuckle with graft,,,6448.0,25051.33,10 HCPCS,26860,Fusion of finger joint,,,3256.29,19040.0,10 HCPCS,26861,Fusion of finger jnt add-on,,,2375.0,4564.0,3 HCPCS,26862,Fusion/graft of finger joint,,,3256.29,19040.0,10 HCPCS,26863,Fuse/graft added joint,,,2375.0,5220.0,3 HCPCS,26910,Amputate metacarpal bone,,,3256.29,19040.0,10 HCPCS,26951,26951 Amputatn Finger/Thumb,3870.0,1935.0,,,0 HCPCS,26951,Amputation of finger/thumb,,,3256.29,11296.24,10 HCPCS,26952,26952 Amputatn Fingr/Thumb-Flp,6090.0,3045.0,,,0 HCPCS,26952,Amputation of finger/thumb,,,3256.29,11296.24,10 HCPCS,26989,26989 Suture Tendon Sheath,299.0,149.5,,,0 HCPCS,26989,Hand/finger surgery,,,245.48,5220.0,10 HCPCS,26989,Unlisted Procedure Hands/Fingers,299.0,149.5,,,0 HCPCS,26990,Drainage of pelvis lesion,,,3256.29,14111.0,10 HCPCS,26991,Drainage of pelvis bursa,,,1600.27,14111.0,10 HCPCS,26992,Drainage of bone lesion,,,3256.29,23971.0,10 HCPCS,27000,Incision of hip tendon,,,1600.27,14111.0,10 HCPCS,27001,Incision of hip tendon,,,3256.29,19040.0,10 HCPCS,27003,Incision of hip tendon,,,5220.0,25051.33,10 HCPCS,27005,Incision of hip tendon,,,3256.29,29398.0,10 HCPCS,27006,Incision of hip tendons,,,3256.29,19040.0,10 HCPCS,27025,Incision of hip/thigh fascia,,,3256.29,29398.0,10 HCPCS,27027,Buttock fasciotomy,,,7221.37,25051.33,10 HCPCS,27030,Drainage of hip joint,,,5220.0,25051.33,10 HCPCS,27033,Exploration of hip joint,,,5220.0,25051.33,10 HCPCS,27035,Denervation of hip joint,,,3256.29,19040.0,10 HCPCS,27036,Excision of hip joint/muscle,,,5220.0,25051.33,10 HCPCS,27040,Biopsy of soft tissues,,,1643.67,5701.97,10 HCPCS,27041,Biopsy of soft tissues,,,1643.67,5701.97,10 HCPCS,27043,Exc Hip Pelvis Les Sc>3 Cm,11516.0,5758.0,,,0 HCPCS,27043,Exc hip pelvis les sc 3 cm/>,,,2890.77,14111.0,10 HCPCS,27045,Exc hip/pelv tum deep 5 cm/>,,,2890.77,14111.0,10 HCPCS,27047,Exc Hip Pelvis Les Sc>3 Cm,8586.0,4293.0,,,0 HCPCS,27047,Exc hip/pelvis les sc < 3 cm,,,2890.77,10028.23,10 HCPCS,27048,Exc hip/pelv tum deep < 5 cm,,,2890.77,10028.23,10 HCPCS,27048,Remove Hip/Pelvis Lesion.,7828.0,3914.0,,,0 HCPCS,27049,Resect hip/pelv tum < 5 cm,,,2890.77,10028.23,10 HCPCS,27050,Biopsy of sacroiliac joint,,,1600.27,14111.0,10 HCPCS,27052,Biopsy of hip joint,,,1600.27,14111.0,10 HCPCS,27054,Removal of hip joint lining,,,3256.29,19040.0,10 HCPCS,27057,Buttock fasciotomy w/dbrdmt,,,1600.27,14111.0,10 HCPCS,27059,Resect hip/pelv tum 5 cm/>,,,2890.77,14111.0,10 HCPCS,27060,Removal of ischial bursa,,,7221.37,25051.33,10 HCPCS,27062,Remove femur lesion/bursa,,,3256.29,14111.0,10 HCPCS,27065,Remove hip bone les super,,,7221.37,25051.33,10 HCPCS,27066,Remove hip bone les deep,,,3256.29,19040.0,10 HCPCS,27067,Remove/graft hip bone lesion,,,7221.37,25051.33,10 HCPCS,27070,Part remove hip bone super,,,3256.29,29398.0,10 HCPCS,27071,Part removal hip bone deep,,,3256.29,29398.0,10 HCPCS,27075,Resect hip tumor,,,5220.0,29398.0,10 HCPCS,27076,Resect hip tum incl acetabul,,,5220.0,29398.0,10 HCPCS,27077,Resect hip tum w/innom bone,,,5220.0,29398.0,10 HCPCS,27078,Rsect hip tum incl femur,,,5220.0,29398.0,10 HCPCS,27080,Removal of tail bone,,,3256.29,19040.0,10 HCPCS,27086,27086 Rmvl Subq Fb Pelvis/Hip,3019.0,1509.5,,,0 HCPCS,27086,Remove hip foreign body,,,2890.77,10028.23,10 HCPCS,27087,Remove hip foreign body,,,3256.29,14111.0,10 HCPCS,27090,Removal of hip prosthesis,,,5220.0,25051.33,10 HCPCS,27091,Removal of hip prosthesis,,,5220.0,44324.22,10 HCPCS,27093,Injection Hip Arthrography W/O Anesthesia,798.0,399.0,,,0 HCPCS,27093,Injection for hip x-ray,,,2375.0,5220.0,3 HCPCS,27095,Chgr-Hip Arthrogram Injection W / Anes,445.0,222.5,,,0 HCPCS,27095,Injection for hip x-ray,,,2375.0,5220.0,3 HCPCS,27096,Inject sacroiliac joint,,,2375.0,5220.0,3 HCPCS,27097,Revision of hip tendon,,,3256.29,19040.0,10 HCPCS,27098,Transfer tendon to pelvis,,,3256.29,14111.0,10 HCPCS,27100,Transfer of abdominal muscle,,,6448.0,25051.33,10 HCPCS,27105,Transfer of spinal muscle,,,3256.29,23971.0,10 HCPCS,27110,Transfer of iliopsoas muscle,,,6448.0,25051.33,10 HCPCS,27111,Transfer of iliopsoas muscle,,,3256.29,23971.0,10 HCPCS,27120,Reconstruction of hip socket,,,5220.0,44324.22,10 HCPCS,27122,Reconstruction of hip socket,,,5220.0,29398.0,10 HCPCS,27125,Partial hip replacement,,,5220.0,44324.22,10 HCPCS,27130,Total hip arthroplasty,,,5220.0,44324.22,10 HCPCS,27132,Total hip arthroplasty,,,5220.0,44324.22,10 HCPCS,27134,Revise hip joint replacement,,,5220.0,44324.22,10 HCPCS,27137,Revise hip joint replacement,,,5220.0,44324.22,10 HCPCS,27138,Revise hip joint replacement,,,5220.0,44324.22,10 HCPCS,27140,Transplant femur ridge,,,5220.0,29398.0,10 HCPCS,27146,Incision of hip bone,,,5220.0,29398.0,10 HCPCS,27147,Revision of hip bone,,,5220.0,29398.0,10 HCPCS,27151,Incision of hip bones,,,5220.0,29398.0,10 HCPCS,27156,Revision of hip bones,,,5220.0,29398.0,10 HCPCS,27158,Revision of pelvis,,,5220.0,29398.0,10 HCPCS,27161,Incision of neck of femur,,,5220.0,29398.0,10 HCPCS,27165,Incision/fixation of femur,,,5220.0,29398.0,10 HCPCS,27170,Repair/graft femur head/neck,,,5220.0,29398.0,10 HCPCS,27175,Treat slipped epiphysis,,,3256.29,29398.0,10 HCPCS,27176,Treat slipped epiphysis,,,3256.29,29398.0,10 HCPCS,27177,Treat slipped epiphysis,,,3256.29,29398.0,10 HCPCS,27178,Treat slipped epiphysis,,,3256.29,29398.0,10 HCPCS,27179,Revise head/neck of femur,,,5220.0,29398.0,10 HCPCS,27181,Treat slipped epiphysis,,,5220.0,29398.0,10 HCPCS,27185,Revision of femur epiphysis,,,3256.29,29398.0,10 HCPCS,27187,Reinforce hip bones,,,5220.0,29398.0,10 HCPCS,27193,Treat pelvic ring fracture,,,3408.0,3408.0,1 HCPCS,27194,Treat pelvic ring fracture,,,4564.0,4564.0,1 HCPCS,27197,Clsd Tx Pelvic Ring Fx,396.0,198.0,,,0 HCPCS,27197,Clsd tx pelvic ring fx,,,245.48,2633.0,9 HCPCS,27198,Clsd tx pelvic ring fx,,,245.48,2633.0,9 HCPCS,27200,27200 Clsd Tx Coccygeal Fx,396.0,198.0,,,0 HCPCS,27200,Treat tail bone fracture,,,245.48,5220.0,10 HCPCS,27202,Treat tail bone fracture,,,3256.29,29398.0,10 HCPCS,27215,Treat pelvic fracture(s),,,3499.0,5220.0,3 HCPCS,27216,Treat pelvic ring fracture,,,5220.0,19040.0,3 HCPCS,27217,Treat pelvic ring fracture,,,5220.0,5790.0,3 HCPCS,27218,Treat pelvic ring fracture,,,5220.0,5790.0,3 HCPCS,27220,27220 Clsd Tx Acetabulum Fx W/,355.0,177.5,,,0 HCPCS,27220,Treat hip socket fracture,,,245.48,5220.0,10 HCPCS,27222,Treat Hip Socket Fracture,3983.0,1991.5,,,0 HCPCS,27222,Treat hip socket fracture,,,245.48,5220.0,10 HCPCS,27226,Treat hip wall fracture,,,5220.0,25051.33,10 HCPCS,27227,Treat hip fracture(s),,,5220.0,25051.33,10 HCPCS,27228,Treat hip fracture(s),,,5220.0,25051.33,10 HCPCS,27230,Cltx Fem Fx Prox End Nck W/O Manj,869.0,434.5,,,0 HCPCS,27230,Treat thigh fracture,,,245.48,3408.0,10 HCPCS,27232,27232 Cltx Fem Fx Prox End Nck W/Manj W/Wo Skel Tracj,866.0,433.0,,,0 HCPCS,27232,Treat thigh fracture,,,1600.27,5790.0,10 HCPCS,27235,Treat thigh fracture,,,5220.0,25051.33,10 HCPCS,27236,Treat thigh fracture,,,5220.0,29398.0,10 HCPCS,27238,Cltx Inter/Peri/Subtrochanteric Fem Fx W/O Manj,4479.0,2239.5,,,0 HCPCS,27238,Treat thigh fracture,,,1600.27,5551.43,10 HCPCS,27240,27240 Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj,4463.0,2231.5,,,0 HCPCS,27240,Treat thigh fracture,,,1600.27,5790.0,10 HCPCS,27244,Treat thigh fracture,,,5220.0,29398.0,10 HCPCS,27245,Treat thigh fracture,,,5220.0,25051.33,10 HCPCS,27246,Cltx Greater Trochanteric Fx W/O Manj,2659.0,1329.5,,,0 HCPCS,27246,Treat thigh fracture,,,245.48,3408.0,10 HCPCS,27248,Treat thigh fracture,,,5220.0,29398.0,10 HCPCS,27250,27250 Cl Rx Hip Dslo-No Anes,422.0,211.0,,,0 HCPCS,27250,Treat hip dislocation,,,245.48,3408.0,10 HCPCS,27252,27252 Hip Disloc-Trauma W/Anes,3693.0,1846.5,,,0 HCPCS,27252,Treat Hip Dislocation,3251.0,1625.5,,,0 HCPCS,27252,Treat hip dislocation,,,1600.27,5551.43,10 HCPCS,27253,Treat hip dislocation,,,3256.29,19040.0,10 HCPCS,27254,Treat hip dislocation,,,5220.0,25051.33,10 HCPCS,27256,Treat hip dislocation,,,245.48,5220.0,10 HCPCS,27257,Proc Hip Disloc-Spontan W/Anes,4923.0,2461.5,,,0 HCPCS,27257,Treat hip dislocation,,,1600.27,5551.43,10 HCPCS,27258,Treat hip dislocation,,,3256.29,19040.0,10 HCPCS,27259,Treat hip dislocation,,,3256.29,19040.0,10 HCPCS,27265,27265 Cl Rx Post Hip Arthr Dis,651.0,325.5,,,0 HCPCS,27265,Treat hip dislocation,,,245.48,3408.0,10 HCPCS,27266,27266 Treat Hip Dislocation,3870.0,1935.0,,,0 HCPCS,27266,Treat hip dislocation,,,1600.27,5790.0,10 HCPCS,27267,Cltx Thigh Fx,9197.0,4598.5,,,0 HCPCS,27267,Cltx thigh fx,,,3256.29,11296.24,10 HCPCS,27268,Cltx thigh fx w/mnpj,,,1600.27,19040.0,10 HCPCS,27269,Optx thigh fx,,,5220.0,25051.33,10 HCPCS,27275,Manipulation of hip joint,,,1600.27,5790.0,10 HCPCS,27278,Arthrd si jt prq wo tfxj dev,,,17449.63,60533.69,9 HCPCS,27279,Arthrodesis sacroiliac joint,,,5220.0,60533.69,10 HCPCS,27280,Fusion of sacroiliac joint,,,5220.0,60533.69,10 HCPCS,27282,Fusion of pubic bones,,,3256.29,29398.0,10 HCPCS,27284,Fusion of hip joint,,,5220.0,44324.22,10 HCPCS,27286,Fusion of hip joint,,,5220.0,44324.22,10 HCPCS,27290,Amputation of leg at hip,,,5220.0,60533.69,10 HCPCS,27295,Amputation of leg at hip,,,5220.0,60533.69,10 HCPCS,27299,Chg Unlisted Procedure Pelvis/Hip,792.0,396.0,,,0 HCPCS,27299,Pelvis/Hip Joint Surgery,792.0,396.0,,,0 HCPCS,27299,Pelvis/hip joint surgery,,,245.48,5220.0,10 HCPCS,27301,27301 I&D Abscess Thigh/Knee,6042.0,3021.0,,,0 HCPCS,27301,Drain thigh/knee lesion,,,2890.77,14111.0,10 HCPCS,27303,Drainage of bone lesion,,,3256.29,23971.0,10 HCPCS,27305,Incise thigh tendon & fascia,,,3256.29,14111.0,10 HCPCS,27306,Incision of thigh tendon,,,3256.29,14111.0,10 HCPCS,27307,Incision of thigh tendons,,,3256.29,19040.0,10 HCPCS,27310,Exploration of knee joint,,,3256.29,19040.0,10 HCPCS,27323,Biopsy thigh soft tissues,,,1643.67,5701.97,10 HCPCS,27324,Biopsy thigh soft tissues,,,2890.77,14111.0,10 HCPCS,27324,Deep Sft Tiss Bx Thigh/Knee,8256.0,4128.0,,,0 HCPCS,27325,Neurectomy hamstring,,,1943.35,6741.58,10 HCPCS,27326,Neurectomy popliteal,,,1943.35,6741.58,10 HCPCS,27327,Exc thigh/knee les sc < 3 cm,,,1643.67,14111.0,10 HCPCS,27327,Removal Of Thigh Lesion,11516.0,5758.0,,,0 HCPCS,27328,Exc thigh/knee tum deep <5cm,,,2890.77,10028.23,10 HCPCS,27329,Resect thigh/knee tum < 5 cm,,,2890.77,10028.23,10 HCPCS,27330,Biopsy knee joint lining,,,3256.29,19040.0,10 HCPCS,27331,Explore/treat knee joint,,,3256.29,19040.0,10 HCPCS,27332,Removal of knee cartilage,,,3256.29,19040.0,10 HCPCS,27333,Removal of knee cartilage,,,3256.29,19040.0,10 HCPCS,27334,Remove knee joint lining,,,3256.29,19040.0,10 HCPCS,27335,Remove knee joint lining,,,6448.0,25051.33,10 HCPCS,27337,Exc Thigh/Knee Les Sc 3+Cm,11516.0,5758.0,,,0 HCPCS,27337,Exc thigh/knee les sc 3 cm/>,,,2890.77,14111.0,10 HCPCS,27339,Exc thigh/knee tum dep 5cm/>,,,2890.77,14111.0,10 HCPCS,27340,Removal of kneecap bursa,,,3256.29,14111.0,10 HCPCS,27345,Removal of knee cyst,,,3256.29,14111.0,10 HCPCS,27347,Remove knee cyst,,,3256.29,14111.0,10 HCPCS,27350,Removal of kneecap,,,6448.0,25051.33,10 HCPCS,27355,Remove femur lesion,,,3256.29,19040.0,10 HCPCS,27356,Remove femur lesion/graft,,,6448.0,44324.22,10 HCPCS,27357,Remove femur lesion/graft,,,7221.37,25051.33,10 HCPCS,27358,Remove femur lesion/fixation,,,2375.0,7337.0,3 HCPCS,27360,Partial removal leg bone(s),,,3256.29,19040.0,10 HCPCS,27364,Resect thigh/knee tum 5 cm/>,,,2890.77,14111.0,10 HCPCS,27365,Resect femur/knee tumor,,,3256.29,29398.0,10 HCPCS,27369,Njx Cntrst Kne Arthg/Ct/Mri,178.0,89.0,,,0 HCPCS,27369,Njx cntrst kne arthg/ct/mri,,,2375.0,5220.0,3 HCPCS,27372,27372 Rem Deep Fb Thigh Or Knee,9604.0,4802.0,,,0 HCPCS,27372,Removal of foreign body,,,2890.77,14111.0,10 HCPCS,27380,Repair of kneecap tendon,,,3408.0,25051.33,10 HCPCS,27381,Repair/graft kneecap tendon,,,5220.0,25051.33,10 HCPCS,27385,Repair of thigh muscle,,,5220.0,25051.33,10 HCPCS,27386,Repair/graft of thigh muscle,,,5220.0,25051.33,10 HCPCS,27390,Incision of thigh tendon,,,3256.29,14111.0,10 HCPCS,27391,Incision of thigh tendons,,,3256.29,14111.0,10 HCPCS,27392,Incision of thigh tendons,,,3256.29,19040.0,10 HCPCS,27393,Lengthening of thigh tendon,,,4564.0,25051.33,10 HCPCS,27394,Lengthening of thigh tendons,,,5220.0,25051.33,10 HCPCS,27395,Lengthening of thigh tendons,,,3256.29,23971.0,10 HCPCS,27396,Transplant of thigh tendon,,,5220.0,25051.33,10 HCPCS,27397,Transplants of thigh tendons,,,5220.0,25051.33,10 HCPCS,27400,Revise thigh muscles/tendons,,,5220.0,25051.33,10 HCPCS,27403,Repair of knee cartilage,,,6448.0,25051.33,10 HCPCS,27405,Repair of knee ligament,,,6448.0,25051.33,10 HCPCS,27407,Repair of knee ligament,,,6448.0,29398.0,10 HCPCS,27409,Repair of knee ligaments,,,6448.0,25051.33,10 HCPCS,27412,Autochondrocyte implant knee,,,5220.0,29398.0,10 HCPCS,27415,Osteochondral knee allograft,,,5220.0,44324.22,10 HCPCS,27416,Osteochondral knee autograft,,,7221.37,25051.33,10 HCPCS,27418,Repair degenerated kneecap,,,5220.0,25051.33,10 HCPCS,27420,Revision of unstable kneecap,,,5220.0,25051.33,10 HCPCS,27422,Revision of unstable kneecap,,,7221.37,25051.33,10 HCPCS,27424,Revision/removal of kneecap,,,5220.0,25051.33,10 HCPCS,27425,Lat retinacular release open,,,3256.29,19040.0,10 HCPCS,27427,Reconstruction knee,,,5220.0,29398.0,10 HCPCS,27428,Reconstruction knee,,,6448.0,44324.22,10 HCPCS,27429,Reconstruction knee,,,6448.0,44324.22,10 HCPCS,27430,Revision of thigh muscles,,,6448.0,25051.33,10 HCPCS,27435,Incision of knee joint,,,3256.29,19040.0,10 HCPCS,27437,Revise kneecap,,,6448.0,25051.33,10 HCPCS,27438,Revise kneecap with implant,,,7337.0,44324.22,10 HCPCS,27440,Revision of knee joint,,,7337.0,44324.22,10 HCPCS,27441,Revision of knee joint,,,7337.0,44324.22,10 HCPCS,27442,Revision of knee joint,,,7337.0,44324.22,10 HCPCS,27443,Revision of knee joint,,,7337.0,44324.22,10 HCPCS,27445,Revision of knee joint,,,5220.0,29398.0,3 HCPCS,27446,Revision of knee joint,,,5220.0,44324.22,10 HCPCS,27447,Total knee arthroplasty,,,5220.0,44324.22,10 HCPCS,27448,Incision of thigh,,,5220.0,29398.0,10 HCPCS,27450,Incision of thigh,,,5220.0,29398.0,10 HCPCS,27454,Realignment of thigh bone,,,5220.0,29398.0,10 HCPCS,27455,Realignment of knee,,,5220.0,29398.0,10 HCPCS,27457,Realignment of knee,,,5220.0,25051.33,10 HCPCS,27458,Osteot femur imed lngth dev,,,7221.37,25051.33,7 HCPCS,27465,Shortening of thigh bone,,,5220.0,29398.0,10 HCPCS,27466,Lengthening of thigh bone,,,5220.0,29398.0,10 HCPCS,27468,Shorten/lengthen thighs,,,5220.0,29398.0,3 HCPCS,27470,Repair of thigh,,,5220.0,29398.0,10 HCPCS,27472,Repair/graft of thigh,,,5220.0,29398.0,10 HCPCS,27475,Surgery to stop leg growth,,,5220.0,25051.33,10 HCPCS,27477,Surgery to stop leg growth,,,5220.0,25051.33,10 HCPCS,27479,Surgery to stop leg growth,,,5220.0,25051.33,10 HCPCS,27485,Surgery to stop leg growth,,,5220.0,25051.33,10 HCPCS,27486,Revise/replace knee joint,,,5220.0,44324.22,10 HCPCS,27487,Revise/replace knee joint,,,5220.0,60533.69,10 HCPCS,27488,Removal of knee prosthesis,,,5220.0,44324.22,10 HCPCS,27495,Reinforce thigh,,,5220.0,29398.0,10 HCPCS,27496,Decompression of thigh/knee,,,3256.29,19040.0,10 HCPCS,27497,Decompression of thigh/knee,,,3256.29,14111.0,10 HCPCS,27498,Decompression of thigh/knee,,,1600.27,19040.0,10 HCPCS,27499,Decompression of thigh/knee,,,5220.0,25051.33,10 HCPCS,27500,Cl Tx Femoral Shaft Fx Wo Mani,925.0,462.5,,,0 HCPCS,27500,Treatment of thigh fracture,,,245.48,3408.0,10 HCPCS,27501,Treatment Of Thigh Fracture,687.0,343.5,,,0 HCPCS,27501,Treatment of thigh fracture,,,245.48,4564.0,10 HCPCS,27502,27502 Cl Rx Fem Shaft Fx W Man,5142.0,2571.0,,,0 HCPCS,27502,Treatment of thigh fracture,,,1600.27,5790.0,10 HCPCS,27503,27503 Cl Tx Sc/Tc Femur Fx Man,4606.0,2303.0,,,0 HCPCS,27503,Cl Tx Sc/Tc Femur Fx W Manip,4606.0,2303.0,,,0 HCPCS,27503,Treatment of thigh fracture,,,1600.27,5551.43,10 HCPCS,27506,Treatment of thigh fracture,,,5220.0,25051.33,10 HCPCS,27507,Treatment of thigh fracture,,,5220.0,25051.33,10 HCPCS,27508,Cl Tx D Fem Fx Wo Manip,802.0,401.0,,,0 HCPCS,27508,Treatment of thigh fracture,,,245.48,3408.0,10 HCPCS,27509,Treatment of thigh fracture,,,5220.0,25051.33,10 HCPCS,27510,27510 Cl Tx Femur Fx Or Epiphy,2250.0,1125.0,,,0 HCPCS,27510,Treatment of thigh fracture,,,1600.27,5551.43,10 HCPCS,27511,Treatment of thigh fracture,,,5220.0,44324.22,10 HCPCS,27513,Treatment of thigh fracture,,,5220.0,44324.22,10 HCPCS,27514,Treatment of thigh fracture,,,5220.0,44324.22,10 HCPCS,27516,Treat thigh fx growth plate,,,245.48,3408.0,10 HCPCS,27517,Treat thigh fx growth plate,,,1600.27,5551.43,10 HCPCS,27519,Treat thigh fx growth plate,,,5220.0,25051.33,10 HCPCS,27520,Chg - 27520 Closed Rx Patellar Fx,760.0,380.0,,,0 HCPCS,27520,Treat kneecap fracture,,,245.48,3408.0,10 HCPCS,27524,Treat kneecap fracture,,,5220.0,29398.0,10 HCPCS,27530,Chg - 27530 Cl Rx Tibia Fx-No Manip,760.0,380.0,,,0 HCPCS,27530,Treat knee fracture,,,245.48,3408.0,10 HCPCS,27532,27532 Cl Tx Prox Tibial Fx,3478.0,1739.0,,,0 HCPCS,27532,Treat knee fracture,,,3256.29,11296.24,10 HCPCS,27535,Treat knee fracture,,,5220.0,25051.33,10 HCPCS,27536,Treat knee fracture,,,5220.0,25051.33,10 HCPCS,27538,Closed Tx Ic Sp Ortuberosity,802.0,401.0,,,0 HCPCS,27538,Treat knee fracture(s),,,245.48,3408.0,10 HCPCS,27540,Treat knee fracture,,,5220.0,25051.33,10 HCPCS,27550,27550 Cl Rx Knee Dslo-No Anes,526.0,263.0,,,0 HCPCS,27550,Treat knee dislocation,,,245.48,3408.0,10 HCPCS,27552,Proc Knee Dislocation W/Anes,2757.0,1378.5,,,0 HCPCS,27552,Treat knee dislocation,,,1600.27,5790.0,10 HCPCS,27556,Treat knee dislocation,,,5220.0,25051.33,10 HCPCS,27557,Treat knee dislocation,,,5220.0,25051.33,10 HCPCS,27558,Treat knee dislocation,,,5220.0,25051.33,10 HCPCS,27560,27560 Cl Rx Patla Dslo-No Anes,430.0,215.0,,,0 HCPCS,27560,Treat kneecap dislocation,,,245.48,3408.0,10 HCPCS,27562,Treat kneecap dislocation,,,245.48,3408.0,10 HCPCS,27566,Treat kneecap dislocation,,,4564.0,29398.0,10 HCPCS,27570,Fixation of knee joint,,,1600.27,5790.0,10 HCPCS,27570,Proc Knee Manipultn W/Gen Anes,3273.0,1636.5,,,0 HCPCS,27580,Fusion of knee,,,5220.0,44324.22,10 HCPCS,27590,Amputate leg at thigh,,,3256.29,35289.0,10 HCPCS,27591,Amputate leg at thigh,,,3256.29,35289.0,10 HCPCS,27592,Amputate leg at thigh,,,3256.29,35289.0,10 HCPCS,27594,Amputation follow-up surgery,,,3256.29,14111.0,10 HCPCS,27596,Amputation follow-up surgery,,,3256.29,29398.0,10 HCPCS,27598,Amputate lower leg at knee,,,3256.29,29398.0,10 HCPCS,27599,27599 Unlstd Proc Femr Or Knee,6136.0,3068.0,,,0 HCPCS,27599,Leg surgery procedure,,,245.48,5220.0,10 HCPCS,27599,Unlisted Procedure Femur/Knee,6136.0,3068.0,,,0 HCPCS,27600,Decompression of lower leg,,,3256.29,14111.0,10 HCPCS,27601,Decompression of lower leg,,,3256.29,14111.0,10 HCPCS,27602,Decompression of lower leg,,,3256.29,19040.0,10 HCPCS,27603,27603 I&D Leg/Ankle Deep Absc,8600.0,4300.0,,,0 HCPCS,27603,Drain lower leg lesion,,,2890.77,14111.0,10 HCPCS,27604,Drain lower leg bursa,,,3256.29,14111.0,10 HCPCS,27605,Incision of achilles tendon,,,1600.27,14111.0,10 HCPCS,27606,Incision of achilles tendon,,,3256.29,14111.0,10 HCPCS,27607,Treat lower leg bone lesion,,,3256.29,14111.0,10 HCPCS,27610,Explore/treat ankle joint,,,3256.29,19040.0,10 HCPCS,27612,Exploration of ankle joint,,,3256.29,19040.0,10 HCPCS,27613,Biopsy lower leg soft tissue,,,1643.67,5701.97,10 HCPCS,27613,Superf Sft Tiss Bx Leg/Ankle,5092.0,2546.0,,,0 HCPCS,27614,Biopsy lower leg soft tissue,,,2890.77,14111.0,10 HCPCS,27615,Resect leg/ankle tum < 5 cm,,,2890.77,10028.23,10 HCPCS,27616,Resect leg/ankle tum 5 cm/>,,,2890.77,14111.0,10 HCPCS,27618,Exc Leg/Ankle Tum<3Cm,8715.0,4357.5,,,0 HCPCS,27618,Exc leg/ankle tum < 3 cm,,,1643.67,5790.0,10 HCPCS,27619,Exc leg/ankle tum deep <5 cm,,,2890.77,10028.23,10 HCPCS,27620,Explore/treat ankle joint,,,3256.29,19040.0,10 HCPCS,27625,Remove ankle joint lining,,,3256.29,19040.0,10 HCPCS,27626,Remove ankle joint lining,,,3256.29,19040.0,10 HCPCS,27630,Removal of tendon lesion,,,3256.29,14111.0,10 HCPCS,27632,Exc Leg/Ankle Les Sc 3+Cm,11129.0,5564.5,,,0 HCPCS,27632,Exc leg/ankle les sc 3 cm/>,,,2890.77,14111.0,10 HCPCS,27634,Exc leg/ankle tum dep 5 cm/>,,,2890.77,14111.0,10 HCPCS,27635,Remove lower leg bone lesion,,,3256.29,19040.0,10 HCPCS,27637,Remove/graft leg bone lesion,,,5220.0,25051.33,10 HCPCS,27638,Remove/graft leg bone lesion,,,5220.0,25051.33,10 HCPCS,27640,Partial removal of tibia,,,3256.29,19040.0,10 HCPCS,27641,Partial removal of fibula,,,3256.29,19040.0,10 HCPCS,27645,Resect tibia tumor,,,3256.29,29398.0,10 HCPCS,27646,Resect fibula tumor,,,3256.29,29398.0,10 HCPCS,27647,Resect talus/calcaneus tum,,,3256.29,19040.0,10 HCPCS,27648,Chgr-Arthrogram Ankle Surgical Code,798.0,399.0,,,0 HCPCS,27648,Injection for ankle x-ray,,,2375.0,5220.0,3 HCPCS,27650,Repair achilles tendon,,,5220.0,25051.33,10 HCPCS,27652,Repair/graft achilles tendon,,,5220.0,25051.33,10 HCPCS,27654,Repair of achilles tendon,,,5220.0,25051.33,10 HCPCS,27656,Repair leg fascia defect,,,3256.29,14111.0,10 HCPCS,27658,Repair of leg tendon each,,,3256.29,14111.0,10 HCPCS,27659,Repair of leg tendon each,,,4564.0,25051.33,10 HCPCS,27664,27664 Repr Leg Tendon W/O Grft,15536.0,7768.0,,,0 HCPCS,27664,Repair of leg tendon each,,,4564.0,25051.33,10 HCPCS,27665,Repair of leg tendon each,,,4564.0,25051.33,10 HCPCS,27675,Repair lower leg tendons,,,3256.29,14111.0,10 HCPCS,27676,Repair lower leg tendons,,,5220.0,25051.33,10 HCPCS,27680,Release of lower leg tendon,,,3256.29,19040.0,10 HCPCS,27681,Release of lower leg tendons,,,3256.29,19040.0,10 HCPCS,27685,Revision of lower leg tendon,,,3256.29,19040.0,10 HCPCS,27686,Revise lower leg tendons,,,3256.29,19040.0,10 HCPCS,27687,Revision of calf tendon,,,3256.29,19040.0,10 HCPCS,27690,Revise lower leg tendon,,,6448.0,25051.33,10 HCPCS,27691,Revise lower leg tendon,,,6448.0,25051.33,10 HCPCS,27692,Revise additional leg tendon,,,2375.0,5220.0,3 HCPCS,27695,Repair of ankle ligament,,,4564.0,25051.33,10 HCPCS,27696,Repair of ankle ligaments,,,4564.0,25051.33,10 HCPCS,27698,Repair of ankle ligament,,,4564.0,25051.33,10 HCPCS,27700,Revision of ankle joint,,,7221.37,25051.33,10 HCPCS,27702,Reconstruct ankle joint,,,5220.0,93677.4,10 HCPCS,27703,Reconstruction ankle joint,,,5220.0,60533.69,10 HCPCS,27704,Removal of ankle implant,,,3256.29,19040.0,10 HCPCS,27705,Incision of tibia,,,4564.0,25051.33,10 HCPCS,27707,Incision of fibula,,,3256.29,19040.0,10 HCPCS,27709,Incision of tibia & fibula,,,4564.0,44324.22,10 HCPCS,27712,Realignment of lower leg,,,5220.0,44324.22,10 HCPCS,27713,Osteot tibia imed lngth dev,,,7221.37,25051.33,7 HCPCS,27715,Revision of lower leg,,,5220.0,44324.22,10 HCPCS,27720,Repair of tibia,,,7221.37,29398.0,10 HCPCS,27722,Repair/graft of tibia,,,7221.37,29398.0,10 HCPCS,27724,Repair/graft of tibia,,,5220.0,29398.0,10 HCPCS,27725,Repair of lower leg,,,5220.0,29398.0,10 HCPCS,27726,Repair fibula nonunion,,,7221.37,29398.0,10 HCPCS,27727,Repair of lower leg,,,3256.29,29398.0,10 HCPCS,27730,Repair of tibia epiphysis,,,3256.29,19040.0,10 HCPCS,27732,Repair of fibula epiphysis,,,3256.29,19040.0,10 HCPCS,27734,Repair lower leg epiphyses,,,3256.29,19040.0,10 HCPCS,27740,Repair of leg epiphyses,,,3256.29,19040.0,10 HCPCS,27742,Repair of leg epiphyses,,,3256.29,23971.0,10 HCPCS,27745,Reinforce tibia,,,5220.0,29398.0,10 HCPCS,27750,27750 Clsd Tx Tibial Shaft Tx,891.0,445.5,,,0 HCPCS,27750,Closed Treatment Of Tibial,891.0,445.5,,,0 HCPCS,27750,Treatment of tibia fracture,,,245.48,3408.0,10 HCPCS,27752,27752 Cl Rx Tibial Fx W Manip,8533.0,4266.5,,,0 HCPCS,27752,Treatment of tibia fracture,,,1600.27,5790.0,10 HCPCS,27756,Treatment of tibia fracture,,,5220.0,25051.33,10 HCPCS,27758,Treatment of tibia fracture,,,6448.0,44324.22,10 HCPCS,27759,Treatment of tibia fracture,,,6448.0,44324.22,10 HCPCS,27760,27760 Clsd Tx Med Malleous Fx,526.0,263.0,,,0 HCPCS,27760,Cltx medial ankle fx,,,245.48,3408.0,10 HCPCS,27762,27762 Cl Rx Dstl Tib Fx W Mnip,4640.0,2320.0,,,0 HCPCS,27762,Cltx med ankle fx w/mnpj,,,1600.27,5790.0,10 HCPCS,27766,Optx medial ankle fx,,,5220.0,29398.0,10 HCPCS,27767,Cltx post ankle fx,,,245.48,3408.0,10 HCPCS,27768,27768 Cltx Post Ankle Fx W/Mnp,5129.0,2564.5,,,0 HCPCS,27768,Cltx post ankle fx w/mnpj,,,1600.27,5551.43,10 HCPCS,27769,Optx post ankle fx,,,7221.37,29398.0,10 HCPCS,27780,27780 Cl Rx Fibular Fx No Mnip,528.0,264.0,,,0 HCPCS,27780,Treatment of fibula fracture,,,245.48,3408.0,10 HCPCS,27781,27781 Cl Rx Fibula Fx W Manip,5727.0,2863.5,,,0 HCPCS,27781,Treatment of fibula fracture,,,1600.27,5551.43,10 HCPCS,27784,Treatment of fibula fracture,,,5220.0,29398.0,10 HCPCS,27786,27786 Cl Rx Dstl Fib Fx-No Man,406.0,203.0,,,0 HCPCS,27786,Chg - 27786 Cl Rx Dstl Fib Fx-No Man,406.0,203.0,,,0 HCPCS,27786,Treatment of ankle fracture,,,245.48,3408.0,10 HCPCS,27788,27788 Cl Rx Dstl Fib Fx W Mnip,478.0,239.0,,,0 HCPCS,27788,Treatment of ankle fracture,,,245.48,3408.0,10 HCPCS,27792,Treatment of ankle fracture,,,5220.0,29398.0,10 HCPCS,27808,27808 Cl Rx Bimaleor Fx-No Man,526.0,263.0,,,0 HCPCS,27808,Chg - 27808 Cl Rx Bimaleor Fx-No Man,526.0,263.0,,,0 HCPCS,27808,Treatment of ankle fracture,,,245.48,3408.0,10 HCPCS,27810,27810 Cl Rx Bimaleor Fx W Mnip,1677.0,838.5,,,0 HCPCS,27810,Treatment of ankle fracture,,,1600.27,5551.43,10 HCPCS,27814,Treatment of ankle fracture,,,5220.0,29398.0,10 HCPCS,27816,27816 Cl Rx Trimaler Fx No Man,526.0,263.0,,,0 HCPCS,27816,Cl Tx Trimall Ankle Fx; Wo Man,526.0,263.0,,,0 HCPCS,27816,Treatment of ankle fracture,,,245.48,3408.0,10 HCPCS,27818,27818 Cl Rx Trimaleor Fx-Manip,2505.0,1252.5,,,0 HCPCS,27818,Cl Tx Trimall Ankle Fx; W Mani,2505.0,1252.5,,,0 HCPCS,27818,Treatment of ankle fracture,,,1600.27,5551.43,10 HCPCS,27822,Treatment of ankle fracture,,,5220.0,29398.0,10 HCPCS,27823,Treatment of ankle fracture,,,5220.0,29398.0,10 HCPCS,27824,27824 Cl Rx Dstl Tib Fx-No Man,748.0,374.0,,,0 HCPCS,27824,Treat lower leg fracture,,,245.48,3408.0,10 HCPCS,27825,27825 Fx Disloc W/Skel Tractn,5727.0,2863.5,,,0 HCPCS,27825,Treat lower leg fracture,,,1600.27,5790.0,10 HCPCS,27826,Treat lower leg fracture,,,5220.0,29398.0,10 HCPCS,27827,Treat lower leg fracture,,,5220.0,44324.22,10 HCPCS,27828,Treat lower leg fracture,,,6448.0,44324.22,10 HCPCS,27829,Treat lower leg joint,,,4564.0,29398.0,10 HCPCS,27830,Treat lower leg dislocation,,,245.48,3408.0,10 HCPCS,27831,Treat lower leg dislocation,,,3256.29,11296.24,10 HCPCS,27832,Treat lower leg dislocation,,,4564.0,29398.0,10 HCPCS,27840,27840 Cl Rx Ankl Dslo-No Anes,1464.0,732.0,,,0 HCPCS,27840,Treat ankle dislocation,,,245.48,3408.0,10 HCPCS,27842,27842 Cl Tx Ankle Disloc W/Ane,5050.0,2525.0,,,0 HCPCS,27842,Treat ankle dislocation,,,1600.27,5790.0,10 HCPCS,27846,Treat ankle dislocation,,,5220.0,29398.0,10 HCPCS,27848,27848 Op Tx Ankle Disloc W Rep,8318.0,4159.0,,,0 HCPCS,27848,Treat ankle dislocation,,,5220.0,29398.0,10 HCPCS,27860,Fixation of ankle joint,,,3256.29,11296.24,10 HCPCS,27870,Fusion of ankle joint open,,,6448.0,44324.22,10 HCPCS,27871,Fusion of tibiofibular joint,,,6448.0,44324.22,10 HCPCS,27880,Amputation of lower leg,,,5220.0,35289.0,10 HCPCS,27881,Amputation of lower leg,,,3256.29,29398.0,10 HCPCS,27882,Amputation of lower leg,,,3256.29,29398.0,10 HCPCS,27884,Amputation follow-up surgery,,,3256.29,14111.0,10 HCPCS,27886,Amputation follow-up surgery,,,3256.29,29398.0,10 HCPCS,27888,Amputation of foot at ankle,,,3256.29,29398.0,10 HCPCS,27889,Amputation of foot at ankle,,,5220.0,25051.33,10 HCPCS,27892,Decompression of leg,,,3256.29,19040.0,10 HCPCS,27893,Decompression of leg,,,5220.0,25051.33,10 HCPCS,27894,Decompression of leg,,,3256.29,19040.0,10 HCPCS,27899,27899 Leg/Ankle Surgery Procedure,905.0,452.5,,,0 HCPCS,27899,Leg/ankle surgery procedure,,,245.48,5220.0,10 HCPCS,28001,Drainage of bursa of foot,,,1643.67,5790.0,10 HCPCS,28002,Treatment of foot infection,,,1600.27,14111.0,10 HCPCS,28003,Treatment of foot infection,,,3256.29,14111.0,10 HCPCS,28005,Treat foot bone lesion,,,3256.29,14111.0,10 HCPCS,28008,Incision of foot fascia,,,3256.29,14111.0,10 HCPCS,28010,Incision of toe tendon,,,1600.27,14111.0,10 HCPCS,28010,Tenotomy Per Toe Single Tendon,5944.0,2972.0,,,0 HCPCS,28011,Incision of toe tendons,,,1600.27,14111.0,10 HCPCS,28020,Exploration of foot joint,,,3256.29,14111.0,10 HCPCS,28022,Exploration of foot joint,,,3256.29,14111.0,10 HCPCS,28024,Exploration of toe joint,,,1600.27,14111.0,10 HCPCS,28035,Decompression of tibia nerve,,,1943.35,14111.0,10 HCPCS,28039,Exc foot/toe tum sc 1.5 cm/>,,,2890.77,14111.0,10 HCPCS,28041,Exc foot/toe tum dep 1.5cm/>,,,2890.77,14111.0,10 HCPCS,28043,Chg - Exc Foot/Toe Tum Sc <1.5 Cm,6460.0,3230.0,,,0 HCPCS,28043,Exc foot/toe tum sc < 1.5 cm,,,1643.67,5790.0,10 HCPCS,28045,Exc foot/toe tum deep <1.5cm,,,2890.77,10028.23,10 HCPCS,28046,Resect foot/toe tumor < 3 cm,,,2890.77,10028.23,10 HCPCS,28047,Resect foot/toe tumor 3 cm/>,,,2890.77,14111.0,10 HCPCS,28050,Biopsy of foot joint lining,,,3256.29,14111.0,10 HCPCS,28052,Biopsy of foot joint lining,,,3256.29,14111.0,10 HCPCS,28054,Biopsy of toe joint lining,,,3256.29,14111.0,10 HCPCS,28055,Neurectomy foot,,,1943.35,14111.0,10 HCPCS,28060,Partial removal foot fascia,,,3256.29,14111.0,10 HCPCS,28062,Removal of foot fascia,,,3256.29,14111.0,10 HCPCS,28070,Removal Of Foot Joint Lining,7217.0,3608.5,,,0 HCPCS,28070,Removal of foot joint lining,,,5220.0,25051.33,10 HCPCS,28072,Removal of foot joint lining,,,3256.29,14111.0,10 HCPCS,28080,Removal of foot lesion,,,1600.27,14111.0,10 HCPCS,28086,Excise foot tendon sheath,,,3256.29,14111.0,10 HCPCS,28088,Excise foot tendon sheath,,,3256.29,14111.0,10 HCPCS,28090,Removal of foot lesion,,,1600.27,14111.0,10 HCPCS,28092,Exc Cyst/Ganglion - Toes,5579.0,2789.5,,,0 HCPCS,28092,Removal of toe lesions,,,1600.27,14111.0,10 HCPCS,28100,Removal of ankle/heel lesion,,,3256.29,14111.0,10 HCPCS,28102,Remove/graft foot lesion,,,5220.0,29398.0,10 HCPCS,28103,Remove/graft foot lesion,,,5220.0,29398.0,10 HCPCS,28104,Removal of foot lesion,,,3256.29,14111.0,10 HCPCS,28106,Remove/graft foot lesion,,,5220.0,29398.0,10 HCPCS,28107,Remove/graft foot lesion,,,5220.0,29398.0,10 HCPCS,28108,Removal of toe lesions,,,1600.27,14111.0,10 HCPCS,28110,Part removal of metatarsal,,,3256.29,14111.0,10 HCPCS,28111,Part removal of metatarsal,,,3256.29,14111.0,10 HCPCS,28112,Part removal of metatarsal,,,3256.29,14111.0,10 HCPCS,28113,Part removal of metatarsal,,,3256.29,14111.0,10 HCPCS,28114,Removal of metatarsal heads,,,3256.29,14111.0,10 HCPCS,28116,Revision of foot,,,3256.29,14111.0,10 HCPCS,28118,Removal of heel bone,,,3256.29,14111.0,10 HCPCS,28119,Removal of heel spur,,,3256.29,14111.0,10 HCPCS,28120,Part removal of ankle/heel,,,3256.29,14111.0,10 HCPCS,28122,Partial removal of foot bone,,,3256.29,14111.0,10 HCPCS,28124,28124 Part Exc Bone;Phalnx Toe,3529.0,1764.5,,,0 HCPCS,28124,Partial removal of toe,,,3256.29,14111.0,10 HCPCS,28126,Partial removal of toe,,,3256.29,14111.0,10 HCPCS,28130,Removal of ankle bone,,,5220.0,25051.33,10 HCPCS,28140,Removal of metatarsal,,,3256.29,14111.0,10 HCPCS,28150,Removal of toe,,,3256.29,14111.0,10 HCPCS,28153,Partial removal of toe,,,3256.29,14111.0,10 HCPCS,28160,Partial removal of toe,,,3256.29,14111.0,10 HCPCS,28171,Resect tarsal tumor,,,3256.29,14111.0,10 HCPCS,28173,Resect metatarsal tumor,,,3256.29,14111.0,10 HCPCS,28175,Resect Phalanx Of Toe Tumor,6391.0,3195.5,,,0 HCPCS,28175,Resect phalanx of toe tumor,,,1600.27,14111.0,10 HCPCS,28190,28190 Removal Subq Fb-Foot,2523.0,1261.5,,,0 HCPCS,28190,Chg - 28190 Removal Subq Fb-Foot,2523.0,1261.5,,,0 HCPCS,28190,Removal of foot foreign body,,,704.73,3880.0,10 HCPCS,28192,"28192 Fb Removal Foot,Deep",5446.0,2723.0,,,0 HCPCS,28192,Removal of foot foreign body,,,1643.67,5790.0,10 HCPCS,28193,Removal of foot foreign body,,,1643.67,6448.0,10 HCPCS,28200,Repair of foot tendon,,,3256.29,14111.0,10 HCPCS,28202,Repair/graft of foot tendon,,,5220.0,25051.33,10 HCPCS,28208,28208 Repr Foot Extensor Tendo,10151.0,5075.5,,,0 HCPCS,28208,Repair of foot tendon,,,3256.29,14111.0,10 HCPCS,28210,Repair/graft of foot tendon,,,5220.0,29398.0,10 HCPCS,28220,Release of foot tendon,,,1600.27,14111.0,10 HCPCS,28222,Release of foot tendons,,,3256.29,14111.0,10 HCPCS,28225,Release of foot tendon,,,3256.29,14111.0,10 HCPCS,28226,Release of foot tendons,,,3256.29,14111.0,10 HCPCS,28230,Incision of foot tendon(s),,,1600.27,14111.0,10 HCPCS,28232,Chg - Incision Of Toe Tendon,4198.0,2099.0,,,0 HCPCS,28232,Incision Of Toe Tendon,4198.0,2099.0,,,0 HCPCS,28232,Incision of toe tendon,,,1600.27,14111.0,10 HCPCS,28234,Chg - Incision Of Foot Tendon,3995.0,1997.5,,,0 HCPCS,28234,Incision of foot tendon,,,1600.27,14111.0,10 HCPCS,28238,Revision of foot tendon,,,5220.0,29398.0,10 HCPCS,28240,Release of big toe,,,3256.29,14111.0,10 HCPCS,28250,Revision of foot fascia,,,3256.29,14111.0,10 HCPCS,28260,Release of midfoot joint,,,3256.29,14111.0,10 HCPCS,28261,Revision of foot tendon,,,1600.27,14111.0,10 HCPCS,28262,Revision of foot and ankle,,,6448.0,25051.33,10 HCPCS,28264,Release of midfoot joint,,,1600.27,23971.0,10 HCPCS,28270,Release Of Foot Contracture,8393.0,4196.5,,,0 HCPCS,28270,Release of foot contracture,,,3256.29,14111.0,10 HCPCS,28272,Release of toe joint each,,,1600.27,14111.0,10 HCPCS,28280,Fusion of toes,,,3256.29,14111.0,10 HCPCS,28285,Repair of hammertoe,,,3256.29,14111.0,10 HCPCS,28285,Revision Of Hammertoe,10890.0,5445.0,,,0 HCPCS,28286,Repair of hammertoe,,,3256.29,14111.0,10 HCPCS,28288,Partial removal of foot bone,,,3256.29,14111.0,10 HCPCS,28289,Corrj halux rigdus w/o implt,,,3256.29,14111.0,10 HCPCS,28290,Correction of bunion,,,4564.0,4564.0,1 HCPCS,28291,Corrj halux rigdus w/implt,,,7221.37,29398.0,9 HCPCS,28292,Correction hallux valgus,,,3256.29,19040.0,10 HCPCS,28293,Correction of bunion,,,5220.0,5220.0,1 HCPCS,28294,Correction of bunion,,,5220.0,5220.0,1 HCPCS,28295,Correction hallux valgus,,,3256.29,19040.0,9 HCPCS,28296,Correction hallux valgus,,,3256.29,19040.0,10 HCPCS,28297,Correction hallux valgus,,,5220.0,44324.22,10 HCPCS,28298,Correction hallux valgus,,,5220.0,25051.33,10 HCPCS,28299,Correction hallux valgus,,,7221.37,25051.33,10 HCPCS,28300,Incision of heel bone,,,4564.0,29398.0,10 HCPCS,28302,Incision of ankle bone,,,4564.0,25051.33,10 HCPCS,28304,Incision of midfoot bones,,,4564.0,29398.0,10 HCPCS,28305,Incise/graft midfoot bones,,,5220.0,29398.0,10 HCPCS,28306,Incision of metatarsal,,,6448.0,25051.33,10 HCPCS,28307,Incision of metatarsal,,,6448.0,25051.33,10 HCPCS,28308,Incision of metatarsal,,,3256.29,14111.0,10 HCPCS,28309,Incision of metatarsals,,,6448.0,29398.0,10 HCPCS,28310,Revision of big toe,,,5220.0,25051.33,10 HCPCS,28312,Revision of toe,,,3256.29,14111.0,10 HCPCS,28313,Repair deformity of toe,,,3256.29,14111.0,10 HCPCS,28315,Removal of sesamoid bone,,,3256.29,14111.0,10 HCPCS,28320,Repair of foot bones,,,6448.0,44324.22,10 HCPCS,28322,Repair of metatarsals,,,6448.0,25051.33,10 HCPCS,28340,Resect enlarged toe tissue,,,3256.29,14111.0,10 HCPCS,28341,Resect enlarged toe,,,3256.29,14111.0,10 HCPCS,28344,Repair extra toe(s),,,3256.29,14111.0,10 HCPCS,28345,Repair webbed toe(s),,,1600.27,14111.0,10 HCPCS,28360,Reconstruct cleft foot,,,5220.0,29398.0,10 HCPCS,28400,28400 Cl Rx Calcanl Fx-No Mnip,526.0,263.0,,,0 HCPCS,28400,Treatment of heel fracture,,,245.48,3408.0,10 HCPCS,28405,28405 Cl Rx Calcaneal Fx; W Ma,1132.0,566.0,,,0 HCPCS,28405,Cl Tx Calcaneal Fx; W Manip,1132.0,566.0,,,0 HCPCS,28405,Treatment of heel fracture,,,245.48,4564.0,10 HCPCS,28406,Treatment of heel fracture,,,4564.0,25051.33,10 HCPCS,28415,Treat heel fracture,,,5220.0,29398.0,10 HCPCS,28420,Treat/graft heel fracture,,,6448.0,44324.22,10 HCPCS,28430,Cl Tx Talus Fx; Wo Manip,597.0,298.5,,,0 HCPCS,28430,Treatment of ankle fracture,,,245.48,5220.0,10 HCPCS,28435,28435 Cl Rx Talus Fx W Manip,1677.0,838.5,,,0 HCPCS,28435,Treatment of ankle fracture,,,1600.27,5790.0,10 HCPCS,28436,Treatment of ankle fracture,,,4564.0,25051.33,10 HCPCS,28445,Treat ankle fracture,,,5220.0,29398.0,10 HCPCS,28446,Osteochondral talus autogrft,,,7221.37,29398.0,10 HCPCS,28450,Treat midfoot fracture each,,,245.48,5220.0,10 HCPCS,28450,Tx Tarsal Bone Fx ; Wo Manipu,526.0,263.0,,,0 HCPCS,28455,28455 Tx Tarsal Bone Fx;W Mani,3649.0,1824.5,,,0 HCPCS,28455,Treat midfoot fracture each,,,1600.27,5551.43,10 HCPCS,28456,Treat midfoot fracture,,,4564.0,25051.33,10 HCPCS,28465,Treat midfoot fracture each,,,5220.0,29398.0,10 HCPCS,28470,28470 Cl Rx Metarsal Fx-No Mnp,581.0,290.5,,,0 HCPCS,28470,Chg - 28470 Cl Rx Metarsal Fx-No Mnp,581.0,290.5,,,0 HCPCS,28470,Treat metatarsal fracture,,,245.48,5220.0,10 HCPCS,28475,28475 Cl Rx Metarsal Fx-Manip,1267.0,633.5,,,0 HCPCS,28475,Treat metatarsal fracture,,,245.48,5220.0,10 HCPCS,28476,Treat metatarsal fracture,,,3256.29,14111.0,10 HCPCS,28485,Treat metatarsal fracture,,,6448.0,29398.0,10 HCPCS,28490,28490 Cl Rx Grt Toe Fx-No Mnip,528.0,264.0,,,0 HCPCS,28490,Treat big toe fracture,,,245.48,5220.0,10 HCPCS,28495,28495 Cl Rx Grt Tow Fx W Manip,1155.0,577.5,,,0 HCPCS,28495,Cl Tx Fx Gt Phalanx(S);W Manip,1155.0,577.5,,,0 HCPCS,28495,Treat big toe fracture,,,245.48,5220.0,10 HCPCS,28496,Treat big toe fracture,,,3256.29,14111.0,10 HCPCS,28505,Treat big toe fracture,,,3256.29,14111.0,10 HCPCS,28510,28510 Cl Rx Phalanx Fx-No Mnip,642.0,321.0,,,0 HCPCS,28510,Chg - 28510 Cl Rx Phalanx Fx-No Mnip,642.0,321.0,,,0 HCPCS,28510,Treatment of toe fracture,,,245.48,5220.0,10 HCPCS,28515,28515 Cl Rx Phalanx Fx W Manip,758.0,379.0,,,0 HCPCS,28515,Treatment of toe fracture,,,245.48,5220.0,10 HCPCS,28525,Treat toe fracture,,,3256.29,14111.0,10 HCPCS,28530,Cl Tx Sesamoid Fracture,891.0,445.5,,,0 HCPCS,28530,Treat sesamoid bone fracture,,,245.48,5220.0,10 HCPCS,28531,Treat sesamoid bone fracture,,,5220.0,25051.33,10 HCPCS,28540,28540 Clsd Tx Tarsal Bone Disl,526.0,263.0,,,0 HCPCS,28540,Treat foot dislocation,,,245.48,5220.0,10 HCPCS,28545,28545 Treat Foot Dislocation,8838.0,4419.0,,,0 HCPCS,28545,Treat foot dislocation,,,3256.29,14111.0,10 HCPCS,28546,Treat foot dislocation,,,1600.27,14111.0,10 HCPCS,28555,Repair foot dislocation,,,4564.0,29398.0,10 HCPCS,28570,28570 Cl Tx Tal Jnt Dis Wo Ans,754.0,377.0,,,0 HCPCS,28570,Treat foot dislocation,,,245.48,5220.0,10 HCPCS,28575,Treat foot dislocation,,,3256.29,11296.24,10 HCPCS,28576,Treat foot dislocation,,,5220.0,25051.33,10 HCPCS,28585,Repair foot dislocation,,,5220.0,25051.33,10 HCPCS,28600,28600 Cl Tmt Jnt Dis; Wo Anes,890.0,445.0,,,0 HCPCS,28600,Treat foot dislocation,,,245.48,5220.0,10 HCPCS,28605,Treat foot dislocation,,,245.48,3408.0,10 HCPCS,28606,Treat foot dislocation,,,3256.29,14111.0,10 HCPCS,28615,Repair foot dislocation,,,5220.0,29398.0,10 HCPCS,28630,28630 Cl Rx Metphl Dsl-No Anes,597.0,298.5,,,0 HCPCS,28630,Treat toe dislocation,,,245.48,5220.0,10 HCPCS,28635,Treat toe dislocation,,,1600.27,5790.0,10 HCPCS,28636,Treat toe dislocation,,,3256.29,14111.0,10 HCPCS,28645,Repair toe dislocation,,,3256.29,14111.0,10 HCPCS,28660,28660 Cl Rx Ip Dislocatn-Toe,443.0,221.5,,,0 HCPCS,28660,Treat toe dislocation,,,245.48,5220.0,10 HCPCS,28665,28665 Cl Rx Ip Disloc-Toe-Anes,1527.0,763.5,,,0 HCPCS,28665,Treat toe dislocation,,,278.35,3408.0,10 HCPCS,28666,Treat toe dislocation,,,3256.29,14111.0,10 HCPCS,28675,Repair of toe dislocation,,,3256.29,14111.0,10 HCPCS,28705,Fusion of foot bones,,,6448.0,60533.69,10 HCPCS,28715,Fusion of foot bones,,,6448.0,44324.22,10 HCPCS,28725,Fusion of foot bones,,,6448.0,44324.22,10 HCPCS,28730,Fusion of foot bones,,,6448.0,44324.22,10 HCPCS,28735,Fusion of foot bones,,,6448.0,44324.22,10 HCPCS,28737,Revision of foot bones,,,7337.0,44324.22,10 HCPCS,28740,Fusion of foot bones,,,6448.0,29398.0,10 HCPCS,28750,Fusion of big toe joint,,,6448.0,29398.0,10 HCPCS,28755,Fusion of big toe joint,,,6448.0,25051.33,10 HCPCS,28760,Fusion of big toe joint,,,6448.0,29398.0,10 HCPCS,28800,Amputation of midfoot,,,3256.29,19040.0,10 HCPCS,28805,Amputation thru metatarsal,,,3256.29,14111.0,10 HCPCS,28810,Amputation toe & metatarsal,,,3256.29,14111.0,10 HCPCS,28820,"Amputation Toe,Mtp Jnt",8393.0,4196.5,,,0 HCPCS,28820,Amputation of toe,,,3256.29,14111.0,10 HCPCS,28820,Chg - Amputation Of Toe,8393.0,4196.5,,,0 HCPCS,28825,28825 Amputate Toe; Ip Joint,8393.0,4196.5,,,0 HCPCS,28825,Chg - Partial Amputation Of Toe,8393.0,4196.5,,,0 HCPCS,28825,"Partial Amputation Toe,Ip Jnt",8393.0,4196.5,,,0 HCPCS,28825,Partial amputation of toe,,,3256.29,14111.0,10 HCPCS,28890,Hi enrgy eswt plantar fascia,,,1600.27,19040.0,10 HCPCS,28899,Foot Or Toe Procedure,2451.0,1225.5,,,0 HCPCS,28899,Foot/toes surgery procedure,,,245.48,5220.0,10 HCPCS,29000,29000 Appl Of Halo Body Cast,396.0,198.0,,,0 HCPCS,29000,Application of body cast,,,278.35,3408.0,10 HCPCS,29010,"29010 Appl Risser Jacket,Body",734.0,367.0,,,0 HCPCS,29010,Application of body cast,,,278.35,5220.0,10 HCPCS,29015,29015 Appl Risser Jac Inc Head,734.0,367.0,,,0 HCPCS,29015,Application of body cast,,,278.35,5220.0,10 HCPCS,29020,Application of body cast,,,5220.0,5220.0,1 HCPCS,29025,Application of body cast,,,5220.0,5220.0,1 HCPCS,29035,"29035 Appl Bdy Cast,Sh To Hips",734.0,367.0,,,0 HCPCS,29035,Application of body cast,,,278.35,5220.0,10 HCPCS,29040,"29040 Body Cast,Sh,Hips,Head",396.0,198.0,,,0 HCPCS,29040,Application of body cast,,,278.35,5220.0,10 HCPCS,29044,"29044 Bdy Cast,Sh,Hips,Thigh",734.0,367.0,,,0 HCPCS,29044,Application of body cast,,,161.72,5220.0,10 HCPCS,29046,"29046 Bdy Cast,Sh,Hips,2Thighs",734.0,367.0,,,0 HCPCS,29046,Application of body cast,,,278.35,5220.0,10 HCPCS,29049,29049 Appl Figure Eight,396.0,198.0,,,0 HCPCS,29049,Application of figure eight,,,278.35,5220.0,10 HCPCS,29055,29055 Appl Shoulder Spica,734.0,367.0,,,0 HCPCS,29055,Application of shoulder cast,,,278.35,5220.0,10 HCPCS,29058,29058 Appl Plaster Velpeau,396.0,198.0,,,0 HCPCS,29058,Application of shoulder cast,,,278.35,5220.0,10 HCPCS,29065,Application of long arm cast,,,278.35,5220.0,10 HCPCS,29065,Chg - 29065 Apply Long Arm Cast,790.0,395.0,,,0 HCPCS,29075,29075 Apply Short Arm Cast,599.0,299.5,,,0 HCPCS,29075,Application of forearm cast,,,278.35,5220.0,10 HCPCS,29075,Chg - 29075 Apply Short Arm Cast,599.0,299.5,,,0 HCPCS,29085,"29085 Appl Cast Hand,Low Arm",382.0,191.0,,,0 HCPCS,29085,Apply hand/wrist cast,,,161.72,5220.0,10 HCPCS,29085,"Chg - 29085 Appl Cast Hand,Low Arm",382.0,191.0,,,0 HCPCS,29086,Apply finger cast,,,161.72,5220.0,10 HCPCS,29105,29105 Apply Long Arm Splint,978.0,489.0,,,0 HCPCS,29105,Apply long arm splint,,,161.72,5220.0,10 HCPCS,29105,Chg - 29105 Apply Long Arm Splint,978.0,489.0,,,0 HCPCS,29125,29125 Apply Short Arm Splint,844.0,422.0,,,0 HCPCS,29125,Apply forearm splint,,,132.41,5220.0,10 HCPCS,29125,"Chg - App Short Arm Splint,Sta",844.0,422.0,,,0 HCPCS,29126,29126 Appl Forearm Splint,338.0,169.0,,,0 HCPCS,29126,Apply forearm splint,,,132.41,5220.0,10 HCPCS,29130,29130 Apply Fngr Splint-Static,890.0,445.0,,,0 HCPCS,29130,Application of finger splint,,,132.41,5220.0,10 HCPCS,29130,"Chg - App Finger Splint,Static",890.0,445.0,,,0 HCPCS,29131,29131 Appl Finger Splint,500.0,250.0,,,0 HCPCS,29131,Application of finger splint,,,58.71,5220.0,10 HCPCS,29200,Chg - 29200 Strapping Of Chest,335.0,167.5,,,0 HCPCS,29200,Strapping of chest,,,161.72,5220.0,10 HCPCS,29240,29240 Strapping-Shoulder,973.0,486.5,,,0 HCPCS,29240,Strapping of shoulder,,,132.41,5220.0,10 HCPCS,29260,Chg - 29260 Strapping-Elbow/Wrist,761.0,380.5,,,0 HCPCS,29260,Strapping of elbow or wrist,,,58.71,5220.0,10 HCPCS,29280,29280 Strapping Hand Or Finger,951.0,475.5,,,0 HCPCS,29280,Chg - 29280 Strapping Hand Or Finger,951.0,475.5,,,0 HCPCS,29280,Strapping of hand or finger,,,58.71,5220.0,10 HCPCS,29305,"29305 App Hip Spica Cast,1 Lg",734.0,367.0,,,0 HCPCS,29305,Application of hip cast,,,278.35,5220.0,10 HCPCS,29325,29325 Hip Cast 1+Hlf Spica 2Lg,734.0,367.0,,,0 HCPCS,29325,Application of hip casts,,,278.35,5220.0,10 HCPCS,29345,29345 Appl Long Leg Cast,734.0,367.0,,,0 HCPCS,29345,Application Of Long Leg Cast,734.0,367.0,,,0 HCPCS,29345,Application of long leg cast,,,278.35,5220.0,10 HCPCS,29355,Application of long leg cast,,,278.35,5220.0,10 HCPCS,29358,29358 App Long Leg Cast Brace,734.0,367.0,,,0 HCPCS,29358,Apply long leg cast brace,,,278.35,5220.0,10 HCPCS,29365,Application of long leg cast,,,278.35,5220.0,10 HCPCS,29405,29405 Short Leg Cast,734.0,367.0,,,0 HCPCS,29405,Apply short leg cast,,,78.62,5220.0,13 HCPCS,29405,Cast-Appl Short Leg:Bel Kne-To,734.0,367.0,,,0 HCPCS,29425,"29425 App Sh Leg Cast,Walker",555.0,277.5,,,0 HCPCS,29425,Apply Wlkr Sh Leg Cast,555.0,277.5,,,0 HCPCS,29425,Apply short leg cast,,,278.35,5220.0,10 HCPCS,29435,29435 App Patellar (Ptb) Cast,734.0,367.0,,,0 HCPCS,29435,Apply short leg cast,,,278.35,5220.0,10 HCPCS,29440,29440 Add Walker To Appl Cast,335.0,167.5,,,0 HCPCS,29440,Addition of walker to cast,,,161.72,5220.0,10 HCPCS,29445,App Rigid Tot Contact Lg,1046.0,523.0,,,0 HCPCS,29445,Apply rigid leg cast,,,278.35,5220.0,10 HCPCS,29450,"29450 App Clubft Cast,Molding",335.0,167.5,,,0 HCPCS,29450,Application of leg cast,,,161.72,5220.0,10 HCPCS,29505,29505 App Long Leg Splint,751.0,375.5,,,0 HCPCS,29505,Application long leg splint,,,161.72,5220.0,10 HCPCS,29515,29515 App Short Leg Splint,886.0,443.0,,,0 HCPCS,29515,App Short Leg Splint 29515,886.0,443.0,,,0 HCPCS,29515,Application Short Leg Splint Calf Foot,886.0,443.0,,,0 HCPCS,29515,Application lower leg splint,,,161.72,5220.0,10 HCPCS,29515,Chg - 29515 App Short Leg Splint,886.0,443.0,,,0 HCPCS,29520,29520 Strapping Of Hip,335.0,167.5,,,0 HCPCS,29520,Strapping of hip,,,132.41,5220.0,10 HCPCS,29530,29530 Strapping-Knee,770.0,385.0,,,0 HCPCS,29530,Strapping Knee,770.0,385.0,,,0 HCPCS,29530,Strapping of knee,,,132.41,5220.0,10 HCPCS,29540,29540 Strapping-Ankle,734.0,367.0,,,0 HCPCS,29540,Chg - 29540 Strapping-Ankle,734.0,367.0,,,0 HCPCS,29540,Strapping of ankle and/or ft,,,161.72,5220.0,10 HCPCS,29550,29550 Strapping-Toes,751.0,375.5,,,0 HCPCS,29550,Chg - 29550 Strapping-Toes,751.0,375.5,,,0 HCPCS,29550,Strapping of toes,,,58.71,5220.0,10 HCPCS,29580,Application of paste boot,,,161.72,5220.0,10 HCPCS,29580,Chg - Appl Paste Boot,598.0,299.0,,,0 HCPCS,29580,Pt-Unna Boot Application,598.0,299.0,,,0 HCPCS,29580,Unna Boot,598.0,299.0,,,0 HCPCS,29580,Unna Boot - Bilateral,1196.0,598.0,,,0 HCPCS,29581,Applic Comp Wrap Below Knee,598.0,299.0,,,0 HCPCS,29581,Application Comp Wrap Below Knee,598.0,299.0,,,0 HCPCS,29581,Apply Mult Compr Lwr Leg-Bilat,1196.0,598.0,,,0 HCPCS,29581,Apply Multlay Comprs Lwr Leg,598.0,299.0,,,0 HCPCS,29581,Apply multlay comprs lwr leg,,,161.72,5220.0,10 HCPCS,29581,Chg - Apply Multlay Comprs Lwr Leg,598.0,299.0,,,0 HCPCS,29582,Apply multlay comprs upr leg,,,5220.0,5220.0,1 HCPCS,29583,Apply multlay comprs upr arm,,,5220.0,5220.0,1 HCPCS,29584,Appl multlay comprs arm/hand,,,161.72,5220.0,10 HCPCS,29584,Applic Comp Wrap Ue/Hand,550.0,275.0,,,0 HCPCS,29584,Applic Comp Wrap Ue/Hand (Go),550.0,275.0,,,0 HCPCS,29700,29700 Removal/Revision Of Cast,1046.0,523.0,,,0 HCPCS,29700,Removal/revision of cast,,,278.35,5220.0,10 HCPCS,29700,Remove Unna Boot,1046.0,523.0,,,0 HCPCS,29705,Removal/revision of cast,,,278.35,5220.0,10 HCPCS,29710,Removal/revision of cast,,,278.35,5220.0,10 HCPCS,29715,Removal/revision of cast,,,5220.0,5220.0,1 HCPCS,29720,Repair of body cast,,,161.72,5220.0,10 HCPCS,29730,Windowing of cast,,,161.72,5220.0,10 HCPCS,29740,Wedging of cast,,,278.35,5220.0,10 HCPCS,29750,Wedging of clubfoot cast,,,278.35,5220.0,10 HCPCS,29799,Casting/strapping procedure,,,161.72,5220.0,10 HCPCS,29800,Jaw arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29804,Jaw arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29805,Shoulder arthroscopy dx,,,3256.29,19040.0,10 HCPCS,29806,Shoulder arthroscopy/surgery,,,5220.0,29398.0,10 HCPCS,29807,Shoulder arthroscopy/surgery,,,5220.0,29398.0,10 HCPCS,29819,Shoulder arthroscopy/surgery,,,3256.29,29398.0,10 HCPCS,29820,Shoulder arthroscopy/surgery,,,5220.0,29398.0,10 HCPCS,29821,Shoulder arthroscopy/surgery,,,3256.29,29398.0,10 HCPCS,29822,Shoulder arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29823,Shoulder arthroscopy/surgery,,,3256.29,29398.0,10 HCPCS,29824,Shoulder arthroscopy/surgery,,,3256.29,29398.0,10 HCPCS,29825,Shoulder arthroscopy/surgery,,,3256.29,29398.0,10 HCPCS,29826,Shoulder arthroscopy/surgery,,,2375.0,5220.0,3 HCPCS,29827,Arthroscop rotator cuff repr,,,7221.37,29398.0,10 HCPCS,29828,Arthroscopy biceps tenodesis,,,7221.37,29398.0,10 HCPCS,29830,Elbow arthroscopy,,,3256.29,29398.0,10 HCPCS,29834,Elbow arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29835,Elbow arthroscopy/surgery,,,3256.29,29398.0,10 HCPCS,29836,Elbow arthroscopy/surgery,,,5220.0,29398.0,10 HCPCS,29837,Arthroscopy Elbow; Lim Debrid,8446.0,4223.0,,,0 HCPCS,29837,Elbow arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29838,Elbow arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29840,Wrist arthroscopy,,,3256.29,19040.0,10 HCPCS,29843,Wrist arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29844,Wrist arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29845,Wrist arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29846,Wrist arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29847,Wrist arthroscopy/surgery,,,5220.0,29398.0,10 HCPCS,29848,Wrist endoscopy/surgery,,,1600.27,19040.0,10 HCPCS,29850,Knee arthroscopy/surgery,,,1600.27,19040.0,10 HCPCS,29851,Knee arthroscopy/surgery,,,1600.27,23971.0,10 HCPCS,29855,Tibial arthroscopy/surgery,,,6448.0,29398.0,10 HCPCS,29856,Tibial arthroscopy/surgery,,,6448.0,44324.22,10 HCPCS,29860,Hip arthroscopy dx,,,6448.0,29398.0,10 HCPCS,29861,Hip arthro w/fb removal,,,6448.0,29398.0,10 HCPCS,29862,Hip arthr0 w/debridement,,,7221.37,29398.0,10 HCPCS,29863,Hip arthr0 w/synovectomy,,,3256.29,29398.0,10 HCPCS,29866,Autgrft implnt knee w/scope,,,5220.0,29398.0,10 HCPCS,29867,Allgrft implnt knee w/scope,,,5220.0,44324.22,10 HCPCS,29868,Meniscal trnspl knee w/scpe,,,5220.0,29398.0,10 HCPCS,29870,Knee arthroscopy dx,,,3256.29,19040.0,10 HCPCS,29871,Knee arthroscopy/drainage,,,3256.29,19040.0,10 HCPCS,29873,Knee arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29874,Knee arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29875,Knee arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29876,Knee arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29877,Knee arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29879,Knee arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29880,Knee arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29881,Knee arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29882,Knee arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29883,Knee arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29884,Knee arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29885,Knee arthroscopy/surgery,,,5220.0,29398.0,10 HCPCS,29886,Knee arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29887,Knee arthroscopy/surgery,,,5220.0,25051.33,10 HCPCS,29888,Knee arthroscopy/surgery,,,5220.0,29398.0,10 HCPCS,29889,Knee arthroscopy/surgery,,,5220.0,44324.22,10 HCPCS,29891,Ankle arthroscopy/surgery,,,3256.29,29398.0,10 HCPCS,29892,Ankle arthroscopy/surgery,,,5220.0,25051.33,10 HCPCS,29893,Scope plantar fasciotomy,,,3256.29,14111.0,10 HCPCS,29894,Ankle arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29895,Ankle arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29897,Ankle arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29898,Ankle arthroscopy/surgery,,,3256.29,19040.0,10 HCPCS,29899,Ankle arthroscopy/surgery,,,5220.0,29398.0,10 HCPCS,29900,Mcp joint arthroscopy dx,,,3256.29,19040.0,10 HCPCS,29901,Mcp joint arthroscopy surg,,,3256.29,29398.0,10 HCPCS,29902,Mcp joint arthroscopy surg,,,1600.27,19040.0,10 HCPCS,29904,Subtalar arthro w/fb rmvl,,,3256.29,19040.0,10 HCPCS,29905,Subtalar arthro w/exc,,,7221.37,25051.33,10 HCPCS,29906,Subtalar arthro w/deb,,,3256.29,19040.0,10 HCPCS,29907,Subtalar arthro w/fusion,,,12777.04,44324.22,10 HCPCS,29914,Hip arthro w/femoroplasty,,,7221.37,29398.0,10 HCPCS,29915,Hip arthro acetabuloplasty,,,7221.37,29398.0,10 HCPCS,29916,Hip arthro w/labral repair,,,7221.37,29398.0,10 HCPCS,29999,Arthroscopy of joint,,,245.48,5220.0,10 HCPCS,30000,30000 Drainage Of Nose Lesion,4517.0,2258.5,,,0 HCPCS,30000,Drainage of nose lesion,,,235.71,5220.0,10 HCPCS,30020,30020 Drainage Of Nose Lesion,1722.0,861.0,,,0 HCPCS,30020,Drainage of nose lesion,,,536.74,5220.0,10 HCPCS,30100,30100 Biopsy Intranasal,4884.0,2442.0,,,0 HCPCS,30100,Biopsy Intranasal,4884.0,2442.0,,,0 HCPCS,30100,Intranasal biopsy,,,1544.13,5790.0,10 HCPCS,30110,Removal of nose polyp(s),,,1544.13,5790.0,10 HCPCS,30115,Removal of nose polyp(s),,,3299.54,14111.0,10 HCPCS,30117,Removal of intranasal lesion,,,3299.54,11446.28,10 HCPCS,30118,Removal of intranasal lesion,,,3299.54,14111.0,10 HCPCS,30120,Revision of nose,,,3299.54,14111.0,10 HCPCS,30124,Removal of nose lesion,,,1544.13,5790.0,10 HCPCS,30125,Removal of nose lesion,,,4564.0,23971.0,10 HCPCS,30130,Excise inferior turbinate,,,3299.54,14111.0,10 HCPCS,30140,Resect inferior turbinate,,,3299.54,14111.0,10 HCPCS,30150,Partial removal of nose,,,5220.0,23971.0,10 HCPCS,30160,Removal of nose,,,5891.41,23971.0,10 HCPCS,30200,Injection treatment of nose,,,536.74,3408.0,10 HCPCS,30210,Nasal sinus therapy,,,1544.13,5790.0,10 HCPCS,30220,Insert nasal septal button,,,1544.13,5790.0,10 HCPCS,30300,30300 Remove Nose Fb-Office Px,262.0,131.0,,,0 HCPCS,30300,Removal Foreign Body Intranasal Office Procedure,262.0,131.0,,,0 HCPCS,30300,Remove nasal foreign body,,,132.41,5220.0,10 HCPCS,30310,Remove nasal foreign body,,,3299.54,11446.28,10 HCPCS,30320,Remove nasal foreign body,,,1544.13,5790.0,10 HCPCS,30400,Reconstruction of nose,,,5891.41,20437.6,10 HCPCS,30410,Reconstruction of nose,,,5891.41,23971.0,10 HCPCS,30420,Reconstruction of nose,,,5891.41,23971.0,10 HCPCS,30430,Revision of nose,,,5220.0,20437.6,10 HCPCS,30435,Revision of nose,,,5891.41,23971.0,10 HCPCS,30450,Revision of nose,,,5891.41,23971.0,10 HCPCS,30460,Revision of nose,,,5891.41,23971.0,10 HCPCS,30462,Revision of nose,,,5891.41,23971.0,10 HCPCS,30465,Repair Nasal Stenosis,,,5891.41,23971.0,10 HCPCS,30468,Rpr nsl vlv collapse w/implt,,,5891.41,23971.0,9 HCPCS,30469,Rpr nsl vlv collapse w/rmdlg,,,5891.41,23971.0,9 HCPCS,30520,Repair of nasal septum,,,3299.54,14111.0,10 HCPCS,30540,Repair nasal defect,,,5891.41,23971.0,10 HCPCS,30545,Repair nasal defect,,,5891.41,23971.0,10 HCPCS,30560,Release of nasal adhesions,,,536.74,4564.0,10 HCPCS,30580,Repair upper jaw fistula,,,5891.41,23971.0,10 HCPCS,30600,Repair mouth/nose fistula,,,5891.41,23971.0,10 HCPCS,30620,Intranasal reconstruction,,,5891.41,23971.0,10 HCPCS,30630,Repair nasal septum defect,,,3299.54,14111.0,10 HCPCS,30801,Ablate Inf Turbinate Superf,3175.0,1587.5,,,0 HCPCS,30801,Ablate inf turbinate superf,,,1544.13,5790.0,10 HCPCS,30802,Ablate inf turbinate submuc,,,1544.13,5790.0,10 HCPCS,30901,30901 Control Nose Bleed-Smpl,938.0,469.0,,,0 HCPCS,30901,Control Nose Bleed-Smpl,938.0,469.0,,,0 HCPCS,30901,Control of nosebleed,,,132.41,5220.0,10 HCPCS,30903,30903 Cntrl Nasal Hemorr Ant C,1002.0,501.0,,,0 HCPCS,30903,Control of nosebleed,,,132.41,3408.0,10 HCPCS,30905,30905 Nose Bl-Post Pack-Initl,546.0,273.0,,,0 HCPCS,30905,Control of nosebleed,,,132.41,3408.0,10 HCPCS,30906,30906 Nose Bl-Post Pack-Sbsqnt,546.0,273.0,,,0 HCPCS,30906,Repeat control of nosebleed,,,235.71,3408.0,10 HCPCS,30915,Ligation nasal sinus artery,,,3142.32,19040.0,10 HCPCS,30920,Ligation upper jaw artery,,,3142.32,19040.0,10 HCPCS,30930,Ther fx nasal inf turbinate,,,3299.54,14111.0,10 HCPCS,30999,30999 Nasal Surgery Procedure,812.0,406.0,,,0 HCPCS,30999,Nasal surgery procedure,,,235.71,5220.0,10 HCPCS,31000,Irrigation maxillary sinus,,,235.71,5220.0,10 HCPCS,31002,Irrigation sphenoid sinus,,,1544.13,5790.0,10 HCPCS,31020,Exploration maxillary sinus,,,3299.54,14111.0,10 HCPCS,31030,Exploration maxillary sinus,,,5220.0,23971.0,10 HCPCS,31032,Explore sinus remove polyps,,,5891.41,23971.0,10 HCPCS,31040,Exploration behind upper jaw,,,5220.0,20437.6,10 HCPCS,31050,Exploration sphenoid sinus,,,4564.0,23971.0,10 HCPCS,31051,Sphenoid sinus surgery,,,5891.41,23971.0,10 HCPCS,31070,Exploration of frontal sinus,,,4564.0,20437.6,10 HCPCS,31075,Exploration of frontal sinus,,,5891.41,23971.0,10 HCPCS,31080,Removal of frontal sinus,,,5891.41,23971.0,10 HCPCS,31081,Removal of frontal sinus,,,5891.41,23971.0,10 HCPCS,31084,Removal of frontal sinus,,,5891.41,23971.0,10 HCPCS,31085,Removal of frontal sinus,,,5891.41,23971.0,10 HCPCS,31086,Removal of frontal sinus,,,5891.41,23971.0,10 HCPCS,31087,Removal of frontal sinus,,,5891.41,23971.0,10 HCPCS,31090,Exploration of sinuses,,,5891.41,23971.0,10 HCPCS,31200,Removal of ethmoid sinus,,,4564.0,23971.0,10 HCPCS,31201,Removal of ethmoid sinus,,,1544.13,7337.0,10 HCPCS,31205,Removal of ethmoid sinus,,,3299.54,14111.0,10 HCPCS,31225,Removal of upper jaw,,,5220.0,5790.0,3 HCPCS,31230,Removal of upper jaw,,,5220.0,5790.0,3 HCPCS,31231,31231 Nasal Endoscopy Dx,308.0,154.0,,,0 HCPCS,31231,Nasal Endoscopy Diagnostic Uni/Bi Spx,807.0,403.5,,,0 HCPCS,31231,Nasal endoscopy dx,,,198.65,5220.0,10 HCPCS,31233,Nasal/sinus endoscopy dx,,,389.24,4564.0,10 HCPCS,31235,Nasal/sinus endoscopy dx,,,1771.35,6144.91,10 HCPCS,31237,31237 Nasal/Sinus Endoscopy,6330.0,3165.0,,,0 HCPCS,31237,Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx,6855.0,3427.5,,,0 HCPCS,31237,Nasal/sinus endoscopy surg,,,1771.35,6144.91,10 HCPCS,31238,31238 Nasal/Sinus Endoscopy,2964.0,1482.0,,,0 HCPCS,31238,Nasal/sinus endoscopy surg,,,1771.35,6144.91,10 HCPCS,31239,Nasal/sinus endoscopy surg,,,3710.44,14111.0,10 HCPCS,31240,Nasal/sinus endoscopy surg,,,1771.35,14111.0,10 HCPCS,31241,Nsl/sins ndsc w/artery lig,,,1771.35,14111.0,10 HCPCS,31242,Nsl/sinus ndsc rf abltj pnn,,,5891.41,23971.0,9 HCPCS,31243,Nsl/sinus ndsc cryoabltj pnn,,,5891.41,23971.0,9 HCPCS,31253,Nsl/sins ndsc total,,,5220.0,24365.15,10 HCPCS,31254,Revision of ethmoid sinus,,,5220.0,24365.15,10 HCPCS,31255,Removal of ethmoid sinus,,,7023.57,24365.15,10 HCPCS,31256,Exploration maxillary sinus,,,3710.44,14111.0,10 HCPCS,31257,Nsl/sins ndsc tot w/sphendt,,,5220.0,24365.15,10 HCPCS,31259,Nsl/sins ndsc sphn tiss rmvl,,,5220.0,24365.15,10 HCPCS,31267,Endoscopy maxillary sinus,,,5220.0,24365.15,10 HCPCS,31276,Sinus endoscopy surgical,,,5220.0,24365.15,10 HCPCS,31287,Nasal/sinus endoscopy surg,,,5220.0,24365.15,10 HCPCS,31288,Nasal/sinus endoscopy surg,,,5220.0,24365.15,10 HCPCS,31290,Nasal/sinus endoscopy surg,,,5220.0,5790.0,3 HCPCS,31291,Nasal/sinus endoscopy surg,,,5220.0,5790.0,3 HCPCS,31292,Nasal/sinus endoscopy surg,,,5220.0,24365.15,10 HCPCS,31293,Nasal/sinus endoscopy surg,,,5220.0,24365.15,10 HCPCS,31294,Nasal/sinus endoscopy surg,,,5220.0,24365.15,10 HCPCS,31295,Sinus endo w/balloon dil,,,7023.57,24365.15,10 HCPCS,31296,Sinus endo w/balloon dil,,,7023.57,24365.15,10 HCPCS,31297,Sinus endo w/balloon dil,,,7023.57,24365.15,10 HCPCS,31298,Nsl/sins ndsc w/sins dilat,,,5220.0,24365.15,10 HCPCS,31299,Sinus surgery procedure,,,235.71,5220.0,10 HCPCS,31300,Removal of larynx lesion,,,3299.54,14111.0,10 HCPCS,31320,Diagnostic incision larynx,,,4564.0,4564.0,1 HCPCS,31360,Removal of larynx,,,5220.0,5790.0,3 HCPCS,31365,Removal of larynx,,,5220.0,5790.0,3 HCPCS,31367,Partial removal of larynx,,,5220.0,5790.0,3 HCPCS,31368,Partial removal of larynx,,,5220.0,5790.0,3 HCPCS,31370,Partial removal of larynx,,,5220.0,5790.0,3 HCPCS,31375,Partial removal of larynx,,,5220.0,5790.0,3 HCPCS,31380,Partial removal of larynx,,,5220.0,5790.0,3 HCPCS,31382,Partial removal of larynx,,,5220.0,5790.0,3 HCPCS,31390,Removal of larynx & pharynx,,,5220.0,5790.0,3 HCPCS,31395,Reconstruct larynx & pharynx,,,5220.0,5790.0,3 HCPCS,31400,Revision of larynx,,,4564.0,23971.0,10 HCPCS,31420,Removal of epiglottis,,,4564.0,23971.0,10 HCPCS,31500,31500 Endotrachl Intubatn-Emer,2264.0,1132.0,,,0 HCPCS,31500,Insert emergency airway,,,235.71,3408.0,10 HCPCS,31502,31502 Tracheotomy Tube Change,590.0,295.0,,,0 HCPCS,31502,Change of windpipe airway,,,235.71,3408.0,10 HCPCS,31502,Tracheotomy Tube Change Prior To Fistula Tract,590.0,295.0,,,0 HCPCS,31505,31505 Indirct Dxtic Laryngscpy,209.0,104.5,,,0 HCPCS,31505,Diagnostic laryngoscopy,,,198.65,5220.0,10 HCPCS,31510,Laryngoscopy with biopsy,,,3710.44,12871.73,10 HCPCS,31511,Remove foreign body larynx,,,198.65,4564.0,10 HCPCS,31512,Removal of larynx lesion,,,3710.44,14111.0,10 HCPCS,31513,Injection into vocal cord,,,389.24,4564.0,10 HCPCS,31515,Laryngoscopy for aspiration,,,389.24,3408.0,10 HCPCS,31520,Dx laryngoscopy newborn,,,389.24,5220.0,10 HCPCS,31525,31525 Dx Laryngoscopy Excl Nb,2535.0,1267.5,,,0 HCPCS,31525,Dx laryngoscopy excl nb,,,1771.35,6144.91,10 HCPCS,31526,Dx laryngoscopy w/oper scope,,,1771.35,6144.91,10 HCPCS,31527,Laryngoscopy for treatment,,,3408.0,14111.0,10 HCPCS,31528,Laryngoscopy and dilation,,,3710.44,14111.0,10 HCPCS,31529,Laryngoscopy and dilation,,,3710.44,14111.0,10 HCPCS,31530,Laryngoscopy w/fb removal,,,1771.35,6144.91,10 HCPCS,31531,Laryngoscopy w/fb & op scope,,,3710.44,12871.73,10 HCPCS,31535,Laryngoscopy w/biopsy,,,3710.44,14111.0,10 HCPCS,31536,Laryngoscopy w/bx & op scope,,,3710.44,14111.0,10 HCPCS,31540,Laryngoscopy w/exc of tumor,,,3710.44,14111.0,10 HCPCS,31541,Larynscop w/tumr exc + scope,,,3710.44,14111.0,10 HCPCS,31545,Remove vc lesion w/scope,,,3710.44,14111.0,10 HCPCS,31546,Remove vc lesion scope/graft,,,6448.0,24365.15,10 HCPCS,31551,Laryngoplasty laryngeal sten,,,5891.41,23971.0,9 HCPCS,31552,Laryngoplasty laryngeal sten,,,5891.41,23971.0,9 HCPCS,31553,Laryngoplasty laryngeal sten,,,5891.41,23971.0,9 HCPCS,31554,Laryngoplasty laryngeal sten,,,5891.41,23971.0,9 HCPCS,31560,Laryngoscop w/arytenoidectom,,,7023.57,24365.15,10 HCPCS,31561,Larynscop remve cart + scop,,,7023.57,24365.15,10 HCPCS,31570,Laryngoscope w/vc inj,,,3710.44,12871.73,10 HCPCS,31571,Laryngoscop w/vc inj + scope,,,3710.44,14111.0,10 HCPCS,31572,Largsc w/laser dstrj les,,,3710.44,14111.0,9 HCPCS,31573,Largsc w/ther injection,,,1771.35,6144.91,9 HCPCS,31574,Largsc w/njx augmentation,,,1771.35,6144.91,9 HCPCS,31575,31575 Dxtic Fibreopt Laryngosc,785.0,392.5,,,0 HCPCS,31575,Diagnostic Laryngoscopy,785.0,392.5,,,0 HCPCS,31575,Diagnostic laryngoscopy,,,198.65,5220.0,10 HCPCS,31575,Laryngoscopy Flexible Diagnostic,628.0,314.0,,,0 HCPCS,31575,St-Larngsc Exam Wo Stroboscopy,785.0,392.5,,,0 HCPCS,31576,31576 Laryngoscopy Flexible W/Biopsy(Ies),3784.0,1892.0,,,0 HCPCS,31576,Laryngoscopy with biopsy,,,1771.35,6144.91,10 HCPCS,31577,31577 Largsc W/Rmvl Frn Bdy(S),1243.0,621.5,,,0 HCPCS,31577,Largsc w/rmvl foreign bdy(s),,,389.24,4564.0,10 HCPCS,31578,Largsc w/removal lesion,,,3710.44,12871.73,10 HCPCS,31579,Laryngoscopy telescopic,,,389.24,3408.0,10 HCPCS,31579,St-Diag Larngsc Flex/Rig,1445.0,722.5,,,0 HCPCS,31580,Laryngoplasty laryngeal web,,,5891.41,23971.0,10 HCPCS,31582,Revision of larynx,,,7337.0,7337.0,1 HCPCS,31584,Laryngoplasty fx rdctj fixj,,,5220.0,20437.6,10 HCPCS,31587,Laryngoplasty cricoid split,,,5220.0,23971.0,10 HCPCS,31588,Revision of larynx,,,7337.0,7337.0,1 HCPCS,31590,Reinnervate larynx,,,5891.41,23971.0,10 HCPCS,31591,Laryngoplasty medialization,,,5891.41,23971.0,9 HCPCS,31592,Cricotracheal resection,,,5891.41,23971.0,9 HCPCS,31595,Larynx nerve surgery,,,4564.0,4564.0,1 HCPCS,31599,Larynx surgery procedure,,,235.71,5220.0,10 HCPCS,31600,Incision of windpipe,,,3299.54,14111.0,10 HCPCS,31601,Incision of windpipe,,,5220.0,20437.6,10 HCPCS,31603,31603 Emerg Trnstrach Tracheos,2099.0,1049.5,,,0 HCPCS,31603,Incision of windpipe,,,1544.13,5790.0,10 HCPCS,31605,31605 Emerg Trach Cricothyroid,2133.0,1066.5,,,0 HCPCS,31605,Incision of windpipe,,,235.71,3408.0,10 HCPCS,31610,Incision of windpipe,,,5220.0,20437.6,10 HCPCS,31611,Surgery/speech prosthesis,,,3299.54,14111.0,10 HCPCS,31612,Puncture/clear windpipe,,,3299.54,14111.0,10 HCPCS,31613,Repair windpipe opening,,,3299.54,14111.0,10 HCPCS,31614,Repair windpipe opening,,,4564.0,23971.0,10 HCPCS,31615,31615 Tracheobronch Old Insc,1256.0,628.0,,,0 HCPCS,31615,Visualization of windpipe,,,536.74,3408.0,10 HCPCS,31622,31622 Dx Bronchoscope/Wash,4065.0,2032.5,,,0 HCPCS,31622,Dx Bronchoscope/Wash,4065.0,2032.5,,,0 HCPCS,31622,Dx bronchoscope/wash,,,1771.35,6144.91,10 HCPCS,31623,Bronch/Brush-Bedside,4065.0,2032.5,,,0 HCPCS,31623,Dx bronchoscope/brush,,,1771.35,6144.91,10 HCPCS,31624,Bronch/Alveolar Lavage-Bedside,4065.0,2032.5,,,0 HCPCS,31624,Dx bronchoscope/lavage,,,1771.35,6144.91,10 HCPCS,31625,Bronch/Bronch Bx(S)-Bedside,4065.0,2032.5,,,0 HCPCS,31625,Bronchoscopy w/biopsy(s),,,1771.35,6144.91,10 HCPCS,31626,Bronchoscopy W/Markers,15455.0,7727.5,,,0 HCPCS,31626,Bronchoscopy w/markers,,,5220.0,24365.15,10 HCPCS,31627,Navigational bronchoscopy,,,2375.0,5220.0,3 HCPCS,31628,Bronchoscopy/lung bx each,,,3710.44,12871.73,10 HCPCS,31629,Bronch/Needle Aspir Bxs Bedside,8342.0,4171.0,,,0 HCPCS,31629,Bronchoscopy/needle bx each,,,3710.44,19040.0,10 HCPCS,31630,Bronchoscopy dilate/fx repr,,,3710.44,19040.0,10 HCPCS,31631,Bronchoscopy dilate w/stent,,,4564.0,24365.15,10 HCPCS,31632,Bronchoscopy/lung bx addl,,,2375.0,4564.0,3 HCPCS,31633,Bronchoscopy/needle bx addl,,,2375.0,4564.0,3 HCPCS,31634,Bronch w/balloon occlusion,,,5220.0,24365.15,10 HCPCS,31635,31635 Bronchoscopy W/Fb Removl,4314.0,2157.0,,,0 HCPCS,31635,Bronchoscopy w/fb removal,,,1771.35,6144.91,10 HCPCS,31636,Bronchoscopy bronch stents,,,4564.0,24365.15,10 HCPCS,31637,Bronchoscopy stent add-on,,,2375.0,3408.0,3 HCPCS,31638,Bronchoscopy revise stent,,,4564.0,24365.15,10 HCPCS,31640,Bronchoscopy w/tumor excise,,,3710.44,19040.0,10 HCPCS,31641,Bronchoscopy treat blockage,,,3710.44,19040.0,10 HCPCS,31643,Diag bronchoscope/catheter,,,1771.35,6144.91,10 HCPCS,31645,Bronchoscopy clear airways,,,1771.35,6144.91,10 HCPCS,31646,Bronchoscopy reclear airway,,,389.24,3408.0,10 HCPCS,31647,Bronchial valve init insert,,,7023.57,24365.15,10 HCPCS,31648,Bronchial valve remov init,,,3710.44,19040.0,10 HCPCS,31649,Bronchial valve remov addl,,,1771.35,6144.91,10 HCPCS,31651,Bronchial valve addl insert,,,2375.0,10181.0,3 HCPCS,31652,Bronch Ebus Samplng 1/2 Node,5927.0,2963.5,,,0 HCPCS,31652,Bronch ebus samplng 1/2 node,,,3710.44,14111.0,10 HCPCS,31653,Bronch Ebus Samplng 3/> Node,5927.0,2963.5,,,0 HCPCS,31653,Bronch ebus samplng 3/> node,,,3710.44,14111.0,10 HCPCS,31654,Bronch Ebus Ivntj Perph Les,5927.0,2963.5,,,0 HCPCS,31654,Bronch ebus ivntj perph les,,,2375.0,5220.0,3 HCPCS,31660,Bronch thermoplsty 1 lobe,,,7023.57,24365.15,10 HCPCS,31661,Bronch thermoplsty 2/> lobes,,,7023.57,24365.15,10 HCPCS,31717,Bronchial brush biopsy,,,389.24,3408.0,10 HCPCS,31720,Clearance of airways,,,217.93,3408.0,10 HCPCS,31725,Clearance of airways,,,5220.0,5790.0,3 HCPCS,31730,Intro windpipe wire/tube,,,1771.35,6144.91,10 HCPCS,31750,Repair of windpipe,,,5891.41,23971.0,10 HCPCS,31755,Repair of windpipe,,,4564.0,23971.0,10 HCPCS,31760,Repair of windpipe,,,5220.0,5790.0,3 HCPCS,31766,Reconstruction of windpipe,,,5220.0,5790.0,3 HCPCS,31770,Repair/graft of bronchus,,,5220.0,5790.0,3 HCPCS,31775,Reconstruct bronchus,,,5220.0,5790.0,3 HCPCS,31780,Reconstruct windpipe,,,5220.0,5790.0,3 HCPCS,31781,Reconstruct windpipe,,,5220.0,5790.0,3 HCPCS,31785,Remove windpipe lesion,,,5891.41,20437.6,10 HCPCS,31786,Remove windpipe lesion,,,5220.0,5790.0,3 HCPCS,31800,Repair of windpipe injury,,,5220.0,5790.0,3 HCPCS,31805,Repair of windpipe injury,,,5220.0,5790.0,3 HCPCS,31820,Closure of windpipe lesion,,,3299.54,14111.0,10 HCPCS,31825,Repair of windpipe defect,,,3299.54,14111.0,10 HCPCS,31830,Revise windpipe scar,,,3299.54,14111.0,10 HCPCS,31899,31899 Unlisted Proc Trachea Br,524.0,262.0,,,0 HCPCS,31899,Airways surgical procedure,,,198.65,5220.0,10 HCPCS,32035,Thoracostomy w/rib resection,,,5220.0,5790.0,3 HCPCS,32036,Thoracostomy w/flap drainage,,,5220.0,5790.0,3 HCPCS,32096,Open wedge/bx lung infiltr,,,5220.0,5790.0,3 HCPCS,32097,Open wedge/bx lung nodule,,,5220.0,5790.0,3 HCPCS,32098,Open biopsy of lung pleura,,,5220.0,5790.0,3 HCPCS,32100,32100 Exploration Of Chest,7980.0,3990.0,,,0 HCPCS,32100,Exploration of chest,,,5220.0,5790.0,3 HCPCS,32110,32110 Explore/Repair Chest,7830.0,3915.0,,,0 HCPCS,32110,Explore/repair chest,,,5220.0,5790.0,3 HCPCS,32120,Re-exploration of chest,,,5220.0,5790.0,3 HCPCS,32124,Explore chest free adhesions,,,5220.0,5790.0,3 HCPCS,32140,Removal of lung lesion(s),,,5220.0,5790.0,3 HCPCS,32141,Remove/treat lung lesions,,,5220.0,5790.0,3 HCPCS,32150,Removal of lung lesion(s),,,5220.0,5790.0,3 HCPCS,32151,Remove lung foreign body,,,5220.0,5790.0,3 HCPCS,32160,32160 Mj Thorctomy W Cardc Mas,1014.0,507.0,,,0 HCPCS,32160,Open chest heart massage,,,5220.0,5790.0,3 HCPCS,32200,Drain open lung lesion,,,5220.0,5790.0,3 HCPCS,32201,"Drain, percut, lung lesion",,,3408.0,3408.0,1 HCPCS,32215,Treat chest lining,,,5220.0,5790.0,3 HCPCS,32220,Release of lung,,,5220.0,5790.0,3 HCPCS,32225,Partial release of lung,,,5220.0,5790.0,3 HCPCS,32310,Removal of chest lining,,,5220.0,5790.0,3 HCPCS,32320,Free/remove chest lining,,,5220.0,5790.0,3 HCPCS,32400,Bx Pleura Percutaneous,2265.0,1132.5,,,0 HCPCS,32400,Needle biopsy chest lining,,,1643.67,5790.0,10 HCPCS,32405,Percut bx lung/mediastinum,,,3408.0,3408.0,1 HCPCS,32408,Core Ndl Bx Lng/Med Perq,3903.0,1951.5,,,0 HCPCS,32408,Core ndl bx lng/med perq,,,1643.67,5790.0,9 HCPCS,32440,Remove lung pneumonectomy,,,5220.0,5790.0,3 HCPCS,32442,Sleeve pneumonectomy,,,5220.0,5790.0,3 HCPCS,32445,Removal of lung extrapleural,,,5220.0,5790.0,3 HCPCS,32480,Partial removal of lung,,,5220.0,5790.0,3 HCPCS,32482,Bilobectomy,,,5220.0,5790.0,3 HCPCS,32484,Segmentectomy,,,5220.0,5790.0,3 HCPCS,32486,Sleeve lobectomy,,,5220.0,5790.0,3 HCPCS,32488,Completion pneumonectomy,,,5220.0,5790.0,3 HCPCS,32491,Lung volume reduction,,,5220.0,5790.0,3 HCPCS,32501,Repair bronchus add-on,,,5220.0,5790.0,3 HCPCS,32503,Resect apical lung tumor,,,5220.0,5790.0,3 HCPCS,32504,Resect apical lung tum/chest,,,5220.0,5790.0,3 HCPCS,32505,Wedge resect of lung initial,,,5220.0,5790.0,3 HCPCS,32506,Wedge resect of lung add-on,,,5220.0,5790.0,3 HCPCS,32507,Wedge resect of lung diag,,,5220.0,5790.0,3 HCPCS,32540,Removal of lung lesion,,,5220.0,5790.0,3 HCPCS,32550,Chgr-Sp Insert Tnnld Pleural Cath W / Cuff,7105.0,3552.5,,,0 HCPCS,32550,Insert Pleural Cath,7105.0,3552.5,,,0 HCPCS,32550,Insert pleural cath,,,3563.21,19040.0,10 HCPCS,32551,32551 Tube Thoracostomy,2596.0,1298.0,,,0 HCPCS,32551,Chgr-Tube Thoracostomy Includes Water Seal,2596.0,1298.0,,,0 HCPCS,32551,Insertion Of Chest Tube,2596.0,1298.0,,,0 HCPCS,32551,Insertion of chest tube,,,1566.6,5434.61,10 HCPCS,32552,Chgr-Sp Rem Of Tunneled Cuffed Pleural Cath,1734.0,867.0,,,0 HCPCS,32552,Remove lung catheter,,,624.29,5220.0,10 HCPCS,32553,Ins mark thor for rt perq,,,1377.48,7337.0,10 HCPCS,32553,Place Fiducial-Thoracic,5090.0,2545.0,,,0 HCPCS,32554,32554 Thoracentsis Wo Img Guid,2596.0,1298.0,,,0 HCPCS,32554,Aspirate pleura w/o imaging,,,624.29,3880.0,10 HCPCS,32554,"Chg - Thoracentesis,Needle/Cath,Asp",2596.0,1298.0,,,0 HCPCS,32554,Thoracentesis W/O Img Guid,2596.0,1298.0,,,0 HCPCS,32555,32555 Thoracentsis W Img Guid,4726.0,2363.0,,,0 HCPCS,32555,Aspirate Pleura W/ Imaging,4726.0,2363.0,,,0 HCPCS,32555,Aspirate pleura w/ imaging,,,624.29,3880.0,10 HCPCS,32555,Thoracentesis W/ Img Guide,4726.0,2363.0,,,0 HCPCS,32555,Thoracentesis W/Img Guid,4726.0,2363.0,,,0 HCPCS,32556,32556 Insert Cath Pleura W/O I,2596.0,1298.0,,,0 HCPCS,32556,Insert Cath Pleura W/O Image,2596.0,1298.0,,,0 HCPCS,32556,Insert cath pleura w/o image,,,1909.69,6624.83,10 HCPCS,32557,32557 Insert Cath Pleura W/ Image,4726.0,2363.0,,,0 HCPCS,32557,Insert Cath Pleura W/Image,4726.0,2363.0,,,0 HCPCS,32557,Insert cath pleura w/ image,,,1566.6,5434.61,10 HCPCS,32560,Chgr-Sp Chemical Pleurodesis,5644.0,2822.0,,,0 HCPCS,32560,Treat pleurodesis w/agent,,,624.29,3880.0,10 HCPCS,32561,32561 Instillation Chest Tube,2058.0,1029.0,,,0 HCPCS,32561,Instillation Chest Tube,2058.0,1029.0,,,0 HCPCS,32561,Lyse chest fibrin init day,,,624.29,3880.0,10 HCPCS,32562,Chest Tube Subq Day,2058.0,1029.0,,,0 HCPCS,32562,Lyse chest fibrin subq day,,,624.29,3880.0,10 HCPCS,32601,Thoracoscopy diagnostic,,,5220.0,23971.0,10 HCPCS,32604,Thoracoscopy wbx sac,,,5220.0,36698.4,10 HCPCS,32606,Thoracoscopy w/bx med space,,,5220.0,23971.0,10 HCPCS,32607,Thoracoscopy w/bx infiltrate,,,10578.79,36698.4,10 HCPCS,32608,Thoracoscopy w/bx nodule,,,10578.79,36698.4,10 HCPCS,32609,Thoracoscopy w/bx pleura,,,6016.5,23971.0,10 HCPCS,32650,Thoracoscopy w/pleurodesis,,,5220.0,35289.0,3 HCPCS,32651,Thoracoscopy remove cortex,,,5220.0,35289.0,3 HCPCS,32652,Thoracoscopy rem totl cortex,,,5220.0,35289.0,3 HCPCS,32653,Thoracoscopy remov fb/fibrin,,,5220.0,29398.0,3 HCPCS,32654,Thoracoscopy contrl bleeding,,,5220.0,5790.0,3 HCPCS,32655,Thoracoscopy resect bullae,,,5220.0,35289.0,3 HCPCS,32656,Thoracoscopy w/pleurectomy,,,5220.0,35289.0,3 HCPCS,32658,Thoracoscopy w/sac fb remove,,,5220.0,5790.0,3 HCPCS,32659,Thoracoscopy w/sac drainage,,,5220.0,5790.0,3 HCPCS,32661,Thoracoscopy w/pericard exc,,,5220.0,5790.0,3 HCPCS,32662,Thoracoscopy w/mediast exc,,,5220.0,5790.0,3 HCPCS,32663,Thoracoscopy w/lobectomy,,,5220.0,5790.0,3 HCPCS,32664,Thoracoscopy w/ th nrv exc,,,5220.0,19040.0,3 HCPCS,32665,Thoracoscop w/esoph musc exc,,,5220.0,5790.0,3 HCPCS,32666,Thoracoscopy w/wedge resect,,,5220.0,5790.0,3 HCPCS,32667,Thoracoscopy w/w resect addl,,,5220.0,5790.0,3 HCPCS,32668,Thoracoscopy w/w resect diag,,,5220.0,5790.0,3 HCPCS,32669,Thoracoscopy remove segment,,,5220.0,5790.0,3 HCPCS,32670,Thoracoscopy bilobectomy,,,5220.0,5790.0,3 HCPCS,32671,Thoracoscopy pneumonectomy,,,5220.0,5790.0,3 HCPCS,32672,Thoracoscopy for lvrs,,,5220.0,5790.0,3 HCPCS,32673,Thoracoscopy w/thymus resect,,,5220.0,5790.0,3 HCPCS,32674,Thoracoscopy lymph node exc,,,5220.0,5790.0,3 HCPCS,32701,Thorax stereo rad targetw/tx,,,5220.0,5220.0,1 HCPCS,32800,Repair lung hernia,,,5220.0,5790.0,3 HCPCS,32810,Close chest after drainage,,,5220.0,5790.0,3 HCPCS,32815,Close bronchial fistula,,,5220.0,5790.0,3 HCPCS,32820,Reconstruct injured chest,,,5220.0,5790.0,3 HCPCS,32850,Donor pneumonectomy,,,5220.0,5790.0,3 HCPCS,32851,Lung transplant single,,,5220.0,5790.0,3 HCPCS,32852,Lung transplant with bypass,,,5220.0,5790.0,3 HCPCS,32853,Lung transplant double,,,5220.0,5790.0,3 HCPCS,32854,Lung transplant with bypass,,,5220.0,5790.0,3 HCPCS,32855,Prepare donor lung single,,,5220.0,5790.0,3 HCPCS,32856,Prepare donor lung double,,,5220.0,5790.0,3 HCPCS,32900,Removal of rib(s),,,5220.0,5790.0,3 HCPCS,32905,Revise & repair chest wall,,,5220.0,5790.0,3 HCPCS,32906,Revise & repair chest wall,,,5220.0,5790.0,3 HCPCS,32940,Revision of lung,,,5220.0,5790.0,3 HCPCS,32960,Therapeutic pneumothorax,,,624.29,3880.0,10 HCPCS,32994,Ablate pulm tumor perq crybl,,,5220.0,36698.4,10 HCPCS,32997,Total lung lavage,,,5220.0,5790.0,3 HCPCS,32998,Ct Guided Rf Ablation Lung,13196.0,6598.0,,,0 HCPCS,32998,Perq rf ablate tx pul tumor,,,6016.5,29398.0,10 HCPCS,32999,32999 Digital Thoracostomy,2176.0,1088.0,,,0 HCPCS,32999,Chest surgery procedure,,,624.29,5220.0,10 HCPCS,32999,Chgr Pleural Drainage Cath Repair,2176.0,1088.0,,,0 HCPCS,33010,Drainage of heart sac,,,4564.0,4564.0,1 HCPCS,33011,Repeat drainage of heart sac,,,4564.0,4564.0,1 HCPCS,33016,33016 Pericrdiocntesis W/Imgng,3281.0,1640.5,,,0 HCPCS,33016,Pericardiocentesis W/Imaging,3281.0,1640.5,,,0 HCPCS,33016,Pericardiocentesis w/imaging,,,1566.6,5434.61,10 HCPCS,33017,33017 Prcrd Drg6Yr+W/O Cgn Car,3281.0,1640.5,,,0 HCPCS,33017,Prcrd Drg 6Yr+ W/O Cgen Car,3281.0,1640.5,,,0 HCPCS,33017,Prcrd drg 6yr+ w/o cgen car,,,5220.0,5790.0,3 HCPCS,33018,Prcrd drg 0-5yr or w/anomly,,,5220.0,5790.0,3 HCPCS,33019,Perq prcrd drg insj cath ct,,,5220.0,5790.0,3 HCPCS,33020,33020 Pericardiotomy,1908.0,954.0,,,0 HCPCS,33020,Incision of heart sac,,,5220.0,5790.0,3 HCPCS,33025,Incision of heart sac,,,5220.0,5790.0,3 HCPCS,33030,Partial removal of heart sac,,,5220.0,5790.0,3 HCPCS,33031,Partial removal of heart sac,,,5220.0,5790.0,3 HCPCS,33050,Resect heart sac lesion,,,5220.0,5790.0,3 HCPCS,33120,Removal of heart lesion,,,5220.0,5790.0,3 HCPCS,33130,Removal of heart lesion,,,5220.0,5790.0,3 HCPCS,33140,Heart revascularize (tmr),,,5220.0,5790.0,3 HCPCS,33141,Heart Tmr W/Other Procedure,,,5220.0,5790.0,3 HCPCS,33202,Insert epicard eltrd open,,,5220.0,5790.0,3 HCPCS,33203,Insert epicard eltrd endo,,,5220.0,5790.0,3 HCPCS,33206,Chgr-Cd Insert Pacer & A Lead,18905.0,9452.5,,,0 HCPCS,33206,Insert heart pm atrial,,,5220.0,45084.0,10 HCPCS,33207,Chgr-Cd Insert Pacer & V Lead,18905.0,9452.5,,,0 HCPCS,33207,Insert heart pm ventricular,,,5220.0,45084.0,10 HCPCS,33208,Chgr-Cd Insert Pacer & 2 Leads,23369.0,11684.5,,,0 HCPCS,33208,Insrt heart pm atrial & vent,,,5220.0,45084.0,10 HCPCS,33210,33210 Temp Pacing Wire Proced,10197.0,5098.5,,,0 HCPCS,33210,Insert electrd/pm cath sngl,,,5220.0,29398.0,10 HCPCS,33210,Temporary Pacing Wire Procedur,10197.0,5098.5,,,0 HCPCS,33211,Insert card electrodes dual,,,5220.0,29398.0,10 HCPCS,33211,Insj/Rplcmt Temp Transvns 2Chmbr Pacg Eltrds Spx,10197.0,5098.5,,,0 HCPCS,33211,Temp Pacing Wire Proc-Dual Cha,10197.0,5098.5,,,0 HCPCS,33212,Chgr-Cd Insert Pacer: Single Chamber,17235.0,8617.5,,,0 HCPCS,33212,Insert pulse gen sngl lead,,,5220.0,45084.0,10 HCPCS,33213,Chgr-Cd Insert Pacer: Dual Chamber,18583.0,9291.5,,,0 HCPCS,33213,Insert pulse gen dual leads,,,5220.0,45084.0,10 HCPCS,33214,Chgr-Cdupgrade Pacer To Dual,27644.0,13822.0,,,0 HCPCS,33214,Upgrade of pacemaker system,,,5220.0,45084.0,10 HCPCS,33215,Chgr-Cd Reposition Lead,5330.0,2665.0,,,0 HCPCS,33215,Reposition pacing-defib lead,,,3142.32,19040.0,10 HCPCS,33216,Chgr-Cd Insert Lead One,16024.0,8012.0,,,0 HCPCS,33216,Insert 1 electrode pm-defib,,,5220.0,29398.0,10 HCPCS,33217,Chgr-Insert Lead Two,16530.0,8265.0,,,0 HCPCS,33217,Insert 2 electrode pm-defib,,,5220.0,29398.0,10 HCPCS,33218,Repair 1 Electrode,3897.0,1948.5,,,0 HCPCS,33218,Repair lead pace-defib one,,,3719.02,19040.0,10 HCPCS,33220,Repair 2 Electrodes,5330.0,2665.0,,,0 HCPCS,33220,Repair lead pace-defib dual,,,3719.02,19040.0,10 HCPCS,33221,Insert Pm Gen-3+Chamb-Exist Ld,22842.0,11421.0,,,0 HCPCS,33221,Insert pulse gen mult leads,,,5220.0,66499.0,10 HCPCS,33222,Relocation Of Pacer Pocket,3610.0,1805.0,,,0 HCPCS,33222,Relocation pocket pacemaker,,,2053.37,7123.26,10 HCPCS,33223,Chgr Icd Skin Pocket Relocation,3011.0,1505.5,,,0 HCPCS,33223,Relocate pocket for defib,,,2053.37,7123.26,10 HCPCS,33224,Chgr-Cd Replace Coronary Sinus Lead,16059.0,8029.5,,,0 HCPCS,33224,Insert pacing lead & connect,,,5220.0,45084.0,10 HCPCS,33225,Chgr-Cd Insert Coronary Sinus Lead,16059.0,8029.5,,,0 HCPCS,33225,L ventric pacing lead add-on,,,5220.0,45084.0,3 HCPCS,33226,Chgr-Cd Reposition Coronary Sinus Lead,5330.0,2665.0,,,0 HCPCS,33226,Reposition l ventric lead,,,3142.32,19040.0,10 HCPCS,33227,Remove&Replace Ppm Gen-1 Cham,21531.0,10765.5,,,0 HCPCS,33227,Remove&replace pm gen singl,,,5220.0,45084.0,10 HCPCS,33228,Remove&Replace Ppm Gen-2 Cham,21531.0,10765.5,,,0 HCPCS,33228,Remv&replc pm gen dual lead,,,5220.0,45084.0,10 HCPCS,33229,Remove&Replace Ppm Gen-3+ Cham,23333.0,11666.5,,,0 HCPCS,33229,Remv&replc pm gen mult leads,,,5220.0,66499.0,10 HCPCS,33230,Chgr-Cd Insert Icd Generatordual Chamber,31031.0,15515.5,,,0 HCPCS,33230,Insrt pulse gen w/dual leads,,,5220.0,138244.0,10 HCPCS,33231,Insert Icd Gen-3+Cham-Exist Ld,41079.0,20539.5,,,0 HCPCS,33231,Insrt pulse gen w/mult leads,,,5220.0,138244.0,10 HCPCS,33233,Chgr-Cd Removal Of Pacemaker,9782.0,4891.0,,,0 HCPCS,33233,Removal of pm generator,,,4564.0,28569.93,10 HCPCS,33234,Chgr-Cd Removal Of Lead:Single,5330.0,2665.0,,,0 HCPCS,33234,Removal of pacemaker system,,,3719.02,19040.0,10 HCPCS,33235,Chgr-Cd Removal Of Leads:Dual,6763.0,3381.5,,,0 HCPCS,33235,Removal pacemaker electrode,,,3719.02,19040.0,10 HCPCS,33236,Remove electrode/thoracotomy,,,5220.0,5790.0,3 HCPCS,33237,Remove electrode/thoracotomy,,,5220.0,5790.0,3 HCPCS,33238,Remove electrode/thoracotomy,,,5220.0,5790.0,3 HCPCS,33240,Chgr-Cd Insert Icd Generatorsingle Chamber,31031.0,15515.5,,,0 HCPCS,33240,Insrt pulse gen w/singl lead,,,5220.0,138244.0,10 HCPCS,33241,Chgr-Cd Removal Of Icd,5330.0,2665.0,,,0 HCPCS,33241,Remove Pulse Generator,5330.0,2665.0,,,0 HCPCS,33241,Remove pulse generator,,,3719.02,19040.0,10 HCPCS,33243,Remove eltrd/thoracotomy,,,5220.0,23971.0,3 HCPCS,33244,Chgr-Cd Removal Of Icd Leads,5330.0,2665.0,,,0 HCPCS,33244,Remove elctrd transvenously,,,3719.02,19040.0,10 HCPCS,33249,Chgr-Cd Insert Dual Chamber Icd And Lead,42696.0,21348.0,,,0 HCPCS,33249,Chgr-Cd Insert Single Chamber Icd And Lead,42696.0,21348.0,,,0 HCPCS,33249,Insj/rplcmt defib w/lead(s),,,5220.0,138244.0,10 HCPCS,33250,Ablate heart dysrhythm focus,,,5220.0,5790.0,3 HCPCS,33251,Ablate heart dysrhythm focus,,,5220.0,5790.0,3 HCPCS,33254,Ablate atria lmtd,,,5220.0,5790.0,3 HCPCS,33255,Ablate atria w/o bypass ext,,,5220.0,5790.0,3 HCPCS,33256,Ablate atria w/bypass exten,,,5220.0,5790.0,3 HCPCS,33257,Ablate atria lmtd add-on,,,5220.0,5790.0,3 HCPCS,33258,Ablate atria x10sv add-on,,,5220.0,5790.0,3 HCPCS,33259,Ablate atria w/bypass add-on,,,5220.0,5790.0,3 HCPCS,33261,Ablate heart dysrhythm focus,,,5220.0,5790.0,3 HCPCS,33262,Rem&Replc Cvd Gen Sing Lead,35322.0,17661.0,,,0 HCPCS,33262,Rmvl& replc pulse gen 1 lead,,,5220.0,138244.0,10 HCPCS,33263,Rem&Replc Cvd Gen Dual Lead,35322.0,17661.0,,,0 HCPCS,33263,Rmvl & rplcmt dfb gen 2 lead,,,5220.0,138244.0,10 HCPCS,33264,Rem&Replc Cvd Gen Mult Lead,41079.0,20539.5,,,0 HCPCS,33264,Rmvl & rplcmt dfb gen mlt ld,,,5220.0,138244.0,10 HCPCS,33265,Ablate atria lmtd endo,,,5220.0,5790.0,3 HCPCS,33266,Ablate atria x10sv endo,,,5220.0,5790.0,3 HCPCS,33267,Excl laa open any method,,,5226.0,5790.0,2 HCPCS,33268,Excl laa opn oth px any meth,,,5226.0,5790.0,2 HCPCS,33269,Excl laa thrscp any method,,,5226.0,5790.0,2 HCPCS,33270,Ins/Rep Subq Defibrillator,123782.0,61891.0,,,0 HCPCS,33270,Ins/rep subq defibrillator,,,5220.0,138244.0,10 HCPCS,33271,Insj Subq Impltbl Dfb Elctrd,9782.0,4891.0,,,0 HCPCS,33271,Insj subq impltbl dfb elctrd,,,5220.0,138244.0,10 HCPCS,33272,Rmvl Of Subq Defibrillator,5330.0,2665.0,,,0 HCPCS,33272,Rmvl of subq defibrillator,,,3719.02,138244.0,10 HCPCS,33273,Repos prev impltbl subq dfb,,,3719.02,19040.0,10 HCPCS,33274,Tcat Insj/Rpl Perm Ldls Pm,49062.0,24531.0,,,0 HCPCS,33274,Tcat insj/rpl perm ldls pm,,,5220.0,66499.0,10 HCPCS,33275,Tcat Rmvl Perm Ldls Pm,26826.0,13413.0,,,0 HCPCS,33275,Tcat rmvl perm ldls pm,,,3142.32,19040.0,10 HCPCS,33276,Insj phrnc nrv stim sys,,,43834.99,152065.9,9 HCPCS,33277,Insj phrnc nrv stim transvns,,,2375.0,2633.0,2 HCPCS,33278,Rmvl phrnc nrv stim sys,,,3479.32,19040.0,9 HCPCS,33279,Rmvl phrnc nrv stim transvns,,,3479.32,19040.0,9 HCPCS,33280,Rmvl phrnc nrv stim pg only,,,3479.32,19040.0,9 HCPCS,33281,Reposg phrnc nrv stim trnsvn,,,3479.32,19040.0,9 HCPCS,33284,Remove pat-active ht record,,,3408.0,3408.0,1 HCPCS,33285,Insertion Of Linq Loop Recorder - Alleviate Hf Study,7773.0,3886.5,,,0 HCPCS,33285,Insj Subq Car Rhythm Mntr,12794.0,6397.0,,,0 HCPCS,33285,Insj subq car rhythm mntr,,,5220.0,35289.0,10 HCPCS,33286,33286 Rmvl Subq Car Rhythm Mntr,3516.0,1758.0,,,0 HCPCS,33286,Rmvl Subq Car Rhythm Mntr,3516.0,1758.0,,,0 HCPCS,33286,Rmvl subq car rhythm mntr,,,704.73,5220.0,10 HCPCS,33287,Rmv&rplcmt phrnc nrv stim pg,,,30709.54,106533.01,9 HCPCS,33288,Rmv&rplcmt phrnc nrv stim ld,,,11089.19,38469.0,9 HCPCS,33289,Tcat Impl Wrls P-Art Prs Snr,86839.0,43419.5,,,0 HCPCS,33289,Tcat impl wrls p-art prs snr,,,5220.0,99026.31,10 HCPCS,33300,Repair of heart wound,,,5220.0,5790.0,3 HCPCS,33305,Repair of heart wound,,,5220.0,5790.0,3 HCPCS,33310,Exploratory heart surgery,,,5220.0,5790.0,3 HCPCS,33315,Exploratory heart surgery,,,5220.0,5790.0,3 HCPCS,33320,Repair major blood vessel(s),,,5220.0,5790.0,3 HCPCS,33321,Repair major vessel,,,5220.0,5790.0,3 HCPCS,33322,Repair major blood vessel(s),,,5220.0,5790.0,3 HCPCS,33330,Insert major vessel graft,,,5220.0,5790.0,3 HCPCS,33335,Insert major vessel graft,,,5220.0,5790.0,3 HCPCS,33340,Perq Clsr Tcat L Atr Apndge,10440.0,5220.0,,,0 HCPCS,33340,Perq clsr tcat l atr apndge,,,21639.0,23971.0,2 HCPCS,33361,Replace aortic valve perq,,,5220.0,5790.0,3 HCPCS,33362,Replace aortic valve open,,,5220.0,5790.0,3 HCPCS,33363,Replace aortic valve open,,,5220.0,5790.0,3 HCPCS,33364,Replace aortic valve open,,,5220.0,5790.0,3 HCPCS,33365,Replace aortic valve open,,,5220.0,5790.0,3 HCPCS,33366,Trcath replace aortic valve,,,5220.0,5790.0,3 HCPCS,33367,Replace aortic valve w/byp,,,5220.0,5790.0,3 HCPCS,33368,Replace aortic valve w/byp,,,5220.0,5790.0,3 HCPCS,33369,Replace aortic valve w/byp,,,5220.0,5790.0,3 HCPCS,33370,Tcat plmt&rmvl cepd perq,,,2375.0,2633.0,2 HCPCS,33390,Valvuloplasty aortic valve,,,5226.0,5790.0,2 HCPCS,33391,Valvuloplasty aortic valve,,,5226.0,5790.0,2 HCPCS,33404,Prepare heart-aorta conduit,,,5220.0,5790.0,3 HCPCS,33405,Replacement aortic valve opn,,,5220.0,5790.0,3 HCPCS,33406,Replacement aortic valve opn,,,5220.0,5790.0,3 HCPCS,33410,Replacement aortic valve opn,,,5220.0,5790.0,3 HCPCS,33411,Replacement of aortic valve,,,5220.0,5790.0,3 HCPCS,33412,Replacement of aortic valve,,,5220.0,5790.0,3 HCPCS,33413,Replacement of aortic valve,,,5220.0,5790.0,3 HCPCS,33414,Repair of aortic valve,,,5220.0,5790.0,3 HCPCS,33415,Revision subvalvular tissue,,,5220.0,5790.0,3 HCPCS,33416,Revise ventricle muscle,,,5220.0,5790.0,3 HCPCS,33417,Repair of aortic valve,,,5220.0,5790.0,3 HCPCS,33418,Repair tcat mitral valve,,,5220.0,5790.0,3 HCPCS,33418,Transcath Mitral Valve Repair,51144.0,25572.0,,,0 HCPCS,33419,Addl Transcath Mitral Valve,25845.0,12922.5,,,0 HCPCS,33419,Repair tcat mitral valve,,,2375.0,5220.0,3 HCPCS,33420,Revision of mitral valve,,,5220.0,5790.0,3 HCPCS,33422,Revision of mitral valve,,,5220.0,5790.0,3 HCPCS,33425,Repair of mitral valve,,,5220.0,5790.0,3 HCPCS,33426,Repair of mitral valve,,,5220.0,5790.0,3 HCPCS,33427,Repair of mitral valve,,,5220.0,5790.0,3 HCPCS,33430,Replacement of mitral valve,,,5220.0,5790.0,3 HCPCS,33440,Rplcmt a-valve tlcj autol pv,,,5220.0,5790.0,3 HCPCS,33460,Revision of tricuspid valve,,,5220.0,5790.0,3 HCPCS,33463,Valvuloplasty tricuspid,,,5220.0,5790.0,3 HCPCS,33464,Valvuloplasty tricuspid,,,5220.0,5790.0,3 HCPCS,33465,Replace tricuspid valve,,,5220.0,5790.0,3 HCPCS,33468,Revision of tricuspid valve,,,5220.0,5790.0,3 HCPCS,33470,Revision of pulmonary valve,,,5220.0,5220.0,1 HCPCS,33471,Valvotomy pulmonary valve,,,5220.0,5220.0,1 HCPCS,33474,Revision of pulmonary valve,,,5220.0,5790.0,3 HCPCS,33475,Replacement pulmonary valve,,,5220.0,5790.0,3 HCPCS,33476,Revision of heart chamber,,,5220.0,5790.0,3 HCPCS,33477,Chkd Implant Tcat Pulm Vlv Perq,49869.0,24934.5,,,0 HCPCS,33477,Implant tcat pulm vlv perq,,,5220.0,5790.0,3 HCPCS,33478,Revision of heart chamber,,,5220.0,5790.0,3 HCPCS,33496,Repair prosth valve clot,,,5220.0,5790.0,3 HCPCS,33500,Repair heart vessel fistula,,,5220.0,5790.0,3 HCPCS,33501,Repair heart vessel fistula,,,5220.0,5790.0,3 HCPCS,33502,Coronary artery correction,,,5220.0,5790.0,3 HCPCS,33503,Coronary artery graft,,,5220.0,5790.0,3 HCPCS,33504,Coronary artery graft,,,5220.0,5790.0,3 HCPCS,33505,Repair artery w/tunnel,,,5220.0,5790.0,3 HCPCS,33506,Repair artery translocation,,,5220.0,5790.0,3 HCPCS,33507,Repair art intramural,,,5220.0,5790.0,3 HCPCS,33508,Endoscopic vein harvest,,,2375.0,5220.0,3 HCPCS,33509,Ndsc hrv uxtr art 1 sgm cab,,,5226.0,5790.0,2 HCPCS,33510,Cabg vein single,,,5220.0,5790.0,3 HCPCS,33511,Cabg vein two,,,5220.0,5790.0,3 HCPCS,33512,Cabg vein three,,,5220.0,5790.0,3 HCPCS,33513,Cabg vein four,,,5220.0,5790.0,3 HCPCS,33514,Cabg vein five,,,5220.0,5790.0,3 HCPCS,33516,Cabg vein six or more,,,5220.0,5790.0,3 HCPCS,33517,Cabg artery-vein single,,,5220.0,5790.0,3 HCPCS,33518,Cabg artery-vein two,,,5220.0,5790.0,3 HCPCS,33519,Cabg artery-vein three,,,5220.0,5790.0,3 HCPCS,33521,Cabg artery-vein four,,,5220.0,5790.0,3 HCPCS,33522,Cabg artery-vein five,,,5220.0,5790.0,3 HCPCS,33523,Cabg art-vein six or more,,,5220.0,5790.0,3 HCPCS,33530,Coronary artery bypass/reop,,,5220.0,5790.0,3 HCPCS,33533,Cabg arterial single,,,5220.0,5790.0,3 HCPCS,33534,Cabg arterial two,,,5220.0,5790.0,3 HCPCS,33535,Cabg arterial three,,,5220.0,5790.0,3 HCPCS,33536,Cabg arterial four or more,,,5220.0,5790.0,3 HCPCS,33542,Removal of heart lesion,,,5220.0,5790.0,3 HCPCS,33545,Repair of heart damage,,,5220.0,5790.0,3 HCPCS,33548,Restore/remodel ventricle,,,5220.0,5790.0,3 HCPCS,33572,Open coronary endarterectomy,,,5220.0,5790.0,3 HCPCS,33600,Closure of valve,,,5220.0,5790.0,3 HCPCS,33602,Closure of valve,,,5220.0,5790.0,3 HCPCS,33606,Anastomosis/artery-aorta,,,5220.0,5790.0,3 HCPCS,33608,Repair anomaly w/conduit,,,5220.0,5790.0,3 HCPCS,33610,Repair by enlargement,,,5220.0,5790.0,3 HCPCS,33611,Repair double ventricle,,,5220.0,5790.0,3 HCPCS,33612,Repair double ventricle,,,5220.0,5790.0,3 HCPCS,33615,Repair modified fontan,,,5220.0,5790.0,3 HCPCS,33617,Repair single ventricle,,,5220.0,5790.0,3 HCPCS,33619,Repair single ventricle,,,5220.0,5790.0,3 HCPCS,33620,Apply r&l pulm art bands,,,5220.0,5790.0,3 HCPCS,33621,Transthor cath for stent,,,5220.0,5790.0,3 HCPCS,33622,Redo compl cardiac anomaly,,,5220.0,5790.0,3 HCPCS,33641,Repair heart septum defect,,,5220.0,5790.0,3 HCPCS,33645,Revision of heart veins,,,5220.0,5790.0,3 HCPCS,33647,Repair heart septum defects,,,5220.0,5790.0,3 HCPCS,33660,Repair of heart defects,,,5220.0,5790.0,3 HCPCS,33665,Repair of heart defects,,,5220.0,5790.0,3 HCPCS,33670,Repair of heart chambers,,,5220.0,5790.0,3 HCPCS,33675,Close Mult Vsd,,,5220.0,5790.0,3 HCPCS,33676,Close mult vsd w/resection,,,5220.0,5790.0,3 HCPCS,33677,Cl mult vsd w/rem pul band,,,5220.0,5790.0,3 HCPCS,33681,Repair heart septum defect,,,5220.0,5790.0,3 HCPCS,33684,Repair heart septum defect,,,5220.0,5790.0,3 HCPCS,33688,Repair heart septum defect,,,5220.0,5790.0,3 HCPCS,33690,Reinforce pulmonary artery,,,5220.0,5790.0,3 HCPCS,33692,Repair of heart defects,,,5220.0,5790.0,3 HCPCS,33694,Repair of heart defects,,,5220.0,5790.0,3 HCPCS,33697,Repair of heart defects,,,5220.0,5790.0,3 HCPCS,33702,Repair of heart defects,,,5220.0,5790.0,3 HCPCS,33710,Repair of heart defects,,,5220.0,5790.0,3 HCPCS,33720,Repair of heart defect,,,5220.0,5790.0,3 HCPCS,33722,Repair of heart defect,,,5220.0,5220.0,1 HCPCS,33724,Repair Venous Anomaly,,,5220.0,5790.0,3 HCPCS,33726,Repair Pul Venous Stenosis,,,5220.0,5790.0,3 HCPCS,33730,Repair heart-vein defect(s),,,5220.0,5790.0,3 HCPCS,33732,Repair heart-vein defect,,,5220.0,5790.0,3 HCPCS,33735,Revision of heart chamber,,,5220.0,5790.0,3 HCPCS,33736,Revision of heart chamber,,,5220.0,5790.0,3 HCPCS,33737,Revision of heart chamber,,,5220.0,5220.0,1 HCPCS,33741,Tas Congenital Car Anomal,5604.0,2802.0,,,0 HCPCS,33741,Tas congenital car anomal,,,5226.0,5790.0,2 HCPCS,33745,Tis cgen car anomal 1st shnt,,,5226.0,5790.0,2 HCPCS,33746,Tis cgen car anomal ea addl,,,5226.0,5790.0,2 HCPCS,33750,Major vessel shunt,,,5220.0,5790.0,3 HCPCS,33755,Major vessel shunt,,,5220.0,5790.0,3 HCPCS,33762,Major vessel shunt,,,5220.0,5790.0,3 HCPCS,33764,Major vessel shunt & graft,,,5220.0,5790.0,3 HCPCS,33766,Major vessel shunt,,,5220.0,5790.0,3 HCPCS,33767,Major vessel shunt,,,5220.0,5790.0,3 HCPCS,33768,Cavopulmonary shunting,,,5220.0,5790.0,3 HCPCS,33770,Repair great vessels defect,,,5220.0,5790.0,3 HCPCS,33771,Repair great vessels defect,,,5220.0,5790.0,3 HCPCS,33774,Repair great vessels defect,,,5220.0,5790.0,3 HCPCS,33775,Repair great vessels defect,,,5220.0,5790.0,3 HCPCS,33776,Repair great vessels defect,,,5220.0,5790.0,3 HCPCS,33777,Repair great vessels defect,,,5220.0,5790.0,3 HCPCS,33778,Repair great vessels defect,,,5220.0,5790.0,3 HCPCS,33779,Repair great vessels defect,,,5220.0,5790.0,3 HCPCS,33780,Repair great vessels defect,,,5220.0,5790.0,3 HCPCS,33781,Repair great vessels defect,,,5220.0,5790.0,3 HCPCS,33782,Nikaidoh proc,,,5220.0,5790.0,3 HCPCS,33783,Nikaidoh proc w/ostia implt,,,5220.0,5790.0,3 HCPCS,33786,Repair arterial trunk,,,5220.0,5790.0,3 HCPCS,33788,Revision of pulmonary artery,,,5220.0,5790.0,3 HCPCS,33800,Aortic suspension,,,5220.0,5790.0,3 HCPCS,33802,Repair vessel defect,,,5220.0,5790.0,3 HCPCS,33803,Repair vessel defect,,,5220.0,5790.0,3 HCPCS,33813,Repair septal defect,,,5220.0,5220.0,1 HCPCS,33814,Repair septal defect,,,5220.0,5790.0,3 HCPCS,33820,Revise major vessel,,,5220.0,42343.0,3 HCPCS,33822,Revise major vessel,,,5220.0,35289.0,3 HCPCS,33824,Revise major vessel,,,5220.0,42343.0,3 HCPCS,33840,Remove aorta constriction,,,5220.0,5790.0,3 HCPCS,33845,Remove aorta constriction,,,5220.0,5790.0,3 HCPCS,33851,Remove aorta constriction,,,5220.0,5790.0,3 HCPCS,33852,Repair septal defect,,,5220.0,5790.0,3 HCPCS,33853,Repair septal defect,,,5220.0,5790.0,3 HCPCS,33858,As-aort grf f/aortic dsj,,,5220.0,5790.0,3 HCPCS,33859,As-aort grf f/ds oth/thn dsj,,,5220.0,5790.0,3 HCPCS,33863,Ascending aortic graft,,,5220.0,5790.0,3 HCPCS,33864,Ascending aortic graft,,,5220.0,5790.0,3 HCPCS,33866,Aortic hemiarch graft,,,2375.0,5220.0,3 HCPCS,33871,Transvrs a-arch grf hypthrm,,,5220.0,5790.0,3 HCPCS,33875,Thoracic aortic graft,,,5220.0,5790.0,3 HCPCS,33877,Thoracoabdominal graft,,,5220.0,5790.0,3 HCPCS,33880,Endovasc taa repr incl subcl,,,5220.0,5790.0,3 HCPCS,33881,Endovasc taa repr w/o subcl,,,5220.0,5790.0,3 HCPCS,33883,Insert endovasc prosth taa,,,5220.0,5790.0,3 HCPCS,33884,Endovasc prosth taa add-on,,,5220.0,5790.0,3 HCPCS,33886,Endovasc prosth delayed,,,5220.0,5790.0,3 HCPCS,33889,Artery transpose/endovas taa,,,5220.0,5790.0,3 HCPCS,33891,Car-car bp grft/endovas taa,,,5220.0,5790.0,3 HCPCS,33894,Evasc st rpr thrc/aa acrs br,,,5226.0,5790.0,2 HCPCS,33895,Evasc st rpr thrc/aa x crsg,,,5226.0,5790.0,2 HCPCS,33897,Perq trluml angp nt/recr coa,,,5226.0,5790.0,2 HCPCS,33900,Perq p-art revsc 1 nm nt uni,,,11488.76,39855.12,9 HCPCS,33901,Perq p-art revsc 1 nm nt bi,,,11488.76,39855.12,9 HCPCS,33902,Perq p-art revsc 1 abnor uni,,,18243.62,63288.08,9 HCPCS,33903,Perq p-art revsc 1 abnor bi,,,11488.76,39855.12,9 HCPCS,33904,Perq p-art revsc each addl,,,2375.0,2633.0,2 HCPCS,33910,Remove lung artery emboli,,,5220.0,5790.0,3 HCPCS,33915,Remove lung artery emboli,,,5220.0,5790.0,3 HCPCS,33916,Surgery of great vessel,,,5220.0,5790.0,3 HCPCS,33917,Repair pulmonary artery,,,5220.0,5790.0,3 HCPCS,33920,Repair pulmonary atresia,,,5220.0,5790.0,3 HCPCS,33922,Transect pulmonary artery,,,5220.0,5790.0,3 HCPCS,33924,Remove pulmonary shunt,,,5220.0,5790.0,3 HCPCS,33925,Rpr pul art unifocal w/o cpb,,,5220.0,5790.0,3 HCPCS,33926,Repr pul art unifocal w/cpb,,,5220.0,5790.0,3 HCPCS,33927,Impltj tot rplcmt hrt sys,,,5220.0,5790.0,3 HCPCS,33928,Rmvl & rplcmt tot hrt sys,,,5220.0,5790.0,3 HCPCS,33929,Rmvl rplcmt hrt sys f/trnspl,,,5220.0,5790.0,3 HCPCS,33930,Removal of donor heart/lung,,,5220.0,5790.0,3 HCPCS,33933,Prepare donor heart/lung,,,5220.0,5790.0,3 HCPCS,33935,Transplantation heart/lung,,,5220.0,5790.0,3 HCPCS,33940,Removal of donor heart,,,5220.0,5790.0,3 HCPCS,33944,Prepare donor heart,,,5220.0,5790.0,3 HCPCS,33945,Transplantation of heart,,,5220.0,5790.0,3 HCPCS,33946,Ecmo/Ecls Initiation Venous,1542.0,771.0,,,0 HCPCS,33946,Ecmo/ecls initiation venous,,,5220.0,5790.0,3 HCPCS,33947,Ecmo/Ecls Initiation Artery,1542.0,771.0,,,0 HCPCS,33947,Ecmo/ecls initiation artery,,,5220.0,5790.0,3 HCPCS,33948,Ecmo/Ecls Daily Mgmt-Venous,4724.0,2362.0,,,0 HCPCS,33948,Ecmo/ecls daily mgmt-venous,,,5220.0,5790.0,3 HCPCS,33949,Ecmo/Ecls Daily Mgmt Artery,4724.0,2362.0,,,0 HCPCS,33949,Ecmo/ecls daily mgmt artery,,,5220.0,5790.0,3 HCPCS,33951,Ecmo/Ecls Insj Of Prph Cannula Birth-5 Yrs Perq,1542.0,771.0,,,0 HCPCS,33951,Ecmo/ecls insj prph cannula,,,5220.0,5790.0,3 HCPCS,33952,Ecmo/Ecls Insj Of Prph Cannula 6 Yrs&Older Perq,1542.0,771.0,,,0 HCPCS,33952,Ecmo/ecls insj prph cannula,,,5220.0,5790.0,3 HCPCS,33953,Ecmo/ecls insj prph cannula,,,5220.0,5790.0,3 HCPCS,33954,Ecmo/ecls insj prph cannula,,,5220.0,5790.0,3 HCPCS,33955,Ecmo/ecls insj ctr cannula,,,5220.0,5790.0,3 HCPCS,33956,Ecmo/ecls insj ctr cannula,,,5220.0,5790.0,3 HCPCS,33957,Ecmo/ecls repos perph cnula,,,5220.0,5790.0,3 HCPCS,33958,Ecmo/ecls repos perph cnula,,,5220.0,5790.0,3 HCPCS,33959,Ecmo/ecls repos perph cnula,,,5220.0,5790.0,3 HCPCS,33962,Ecmo Reposition Peripher Cnula,4141.0,2070.5,,,0 HCPCS,33962,Ecmo/ecls repos perph cnula,,,5220.0,5790.0,3 HCPCS,33963,Ecmo/ecls repos perph cnula,,,5220.0,5790.0,3 HCPCS,33964,Ecmo/ecls repos perph cnula,,,5220.0,5790.0,3 HCPCS,33965,Ecmo/ecls rmvl perph cannula,,,5220.0,5790.0,3 HCPCS,33966,Ecmo/ecls rmvl prph cannula,,,5220.0,5790.0,3 HCPCS,33967,Chg-Iabp Procedure Only,11979.0,5989.5,,,0 HCPCS,33967,Insert i-aort percut device,,,5220.0,50815.0,3 HCPCS,33968,Removal Intra-Aortic Balloon,4376.0,2188.0,,,0 HCPCS,33968,Remove aortic assist device,,,5220.0,50815.0,3 HCPCS,33969,Ecmo/ecls rmvl perph cannula,,,5220.0,5790.0,3 HCPCS,33970,Aortic circulation assist,,,5220.0,5790.0,3 HCPCS,33971,Aortic circulation assist,,,5220.0,5790.0,3 HCPCS,33973,Insert balloon device,,,5220.0,5790.0,3 HCPCS,33974,Remove intra-aortic balloon,,,5220.0,5790.0,3 HCPCS,33975,Implant ventricular device,,,5220.0,5790.0,3 HCPCS,33976,Implant ventricular device,,,5220.0,5790.0,3 HCPCS,33977,Remove ventricular device,,,5220.0,5790.0,3 HCPCS,33978,Remove ventricular device,,,5220.0,5790.0,3 HCPCS,33979,Insert intracorporeal device,,,5220.0,5790.0,3 HCPCS,33980,Remove intracorporeal device,,,5220.0,5790.0,3 HCPCS,33981,Replace vad pump ext,,,5220.0,5790.0,3 HCPCS,33982,Replace vad intra w/o bp,,,5220.0,5790.0,3 HCPCS,33983,Replace vad intra w/bp,,,5220.0,5790.0,3 HCPCS,33984,Ecmo/ecls rmvl prph cannula,,,5220.0,5790.0,3 HCPCS,33985,Ecmo/ecls rmvl ctr cannula,,,5220.0,5790.0,3 HCPCS,33986,Ecmo/ecls rmvl ctr cannula,,,5220.0,5790.0,3 HCPCS,33987,Artery Expos/Graft Artery,310.0,155.0,,,0 HCPCS,33987,Artery expos/graft artery,,,5220.0,5790.0,3 HCPCS,33988,Insertion Of Left Heart Vent,1542.0,771.0,,,0 HCPCS,33988,Insertion of left heart vent,,,5220.0,5790.0,3 HCPCS,33989,Removal Of Left Heart Vent,1542.0,771.0,,,0 HCPCS,33989,Removal of left heart vent,,,5220.0,5790.0,3 HCPCS,33990,Insert Vad Artery Access,11979.0,5989.5,,,0 HCPCS,33990,Insert vad artery access,,,5220.0,5790.0,3 HCPCS,33991,Insert Vad Art&Vein Access,11979.0,5989.5,,,0 HCPCS,33991,Insert vad art&vein access,,,5220.0,5790.0,3 HCPCS,33992,Remove Vad Different Session,4448.0,2224.0,,,0 HCPCS,33992,Remove vad different session,,,5220.0,5790.0,3 HCPCS,33993,Reposition vad diff session,,,5220.0,5790.0,3 HCPCS,33995,Insj perq vad r hrt venous,,,5226.0,5790.0,2 HCPCS,33997,Rmvl perq right heart vad,,,5226.0,5790.0,2 HCPCS,33999,Cardiac surgery procedure,,,624.29,5220.0,10 HCPCS,34001,Removal of artery clot,,,5220.0,5790.0,3 HCPCS,34051,Removal of artery clot,,,5220.0,5790.0,3 HCPCS,34101,Removal of artery clot,,,5220.0,29398.0,10 HCPCS,34111,Removal of arm artery clot,,,5220.0,29398.0,10 HCPCS,34151,Removal of artery clot,,,5220.0,5790.0,3 HCPCS,34201,Removal of artery clot,,,5220.0,29398.0,10 HCPCS,34203,Removal of leg artery clot,,,5220.0,29398.0,10 HCPCS,34401,Removal of vein clot,,,5220.0,5790.0,3 HCPCS,34421,Removal of vein clot,,,3142.32,19040.0,10 HCPCS,34451,Removal of vein clot,,,5220.0,5790.0,3 HCPCS,34471,Removal of vein clot,,,624.29,5220.0,10 HCPCS,34490,Removal of vein clot,,,3142.32,19040.0,10 HCPCS,34501,Repair valve femoral vein,,,5220.0,29398.0,10 HCPCS,34502,Reconstruct vena cava,,,5220.0,5790.0,3 HCPCS,34510,Transposition of vein valve,,,5220.0,29398.0,10 HCPCS,34520,Cross-over vein graft,,,5220.0,29398.0,10 HCPCS,34530,Leg vein fusion,,,3142.32,19040.0,10 HCPCS,34701,Evasc Rpr A-Ao Ndgft,4816.0,2408.0,,,0 HCPCS,34701,Evasc rpr a-ao ndgft,,,5220.0,5790.0,3 HCPCS,34702,Evasc Rpr A-Ao Ndgft Rpt,4816.0,2408.0,,,0 HCPCS,34702,Evasc rpr a-ao ndgft rpt,,,5220.0,5790.0,3 HCPCS,34703,Evasc Rpr A-Unilac Ndgft,4816.0,2408.0,,,0 HCPCS,34703,Evasc rpr a-unilac ndgft,,,5220.0,5790.0,3 HCPCS,34704,Evasc Rpr A-Unilac Ndgft Rpt,4816.0,2408.0,,,0 HCPCS,34704,Evasc rpr a-unilac ndgft rpt,,,5220.0,5790.0,3 HCPCS,34705,Evac Rpr A-Biiliac Ndgft,4816.0,2408.0,,,0 HCPCS,34705,Evac rpr a-biiliac ndgft,,,5220.0,5790.0,3 HCPCS,34706,Evasc Rpr A-Biiliac Rpt,4816.0,2408.0,,,0 HCPCS,34706,Evasc rpr a-biiliac rpt,,,5220.0,5790.0,3 HCPCS,34707,Evasc Rpr Ilio-Iliac Ndgft,4816.0,2408.0,,,0 HCPCS,34707,Evasc rpr ilio-iliac ndgft,,,5220.0,5790.0,3 HCPCS,34708,Evasc Rpr Ilio-Iliac Rpt,4816.0,2408.0,,,0 HCPCS,34708,Evasc rpr ilio-iliac rpt,,,5220.0,5790.0,3 HCPCS,34709,Plmt Xtn Prosth Evasc Rpr,4816.0,2408.0,,,0 HCPCS,34709,Plmt xtn prosth evasc rpr,,,5220.0,5790.0,3 HCPCS,34710,Dlyd Plmt Xtn Prosth 1St Vsl,4816.0,2408.0,,,0 HCPCS,34710,Dlyd plmt xtn prosth 1st vsl,,,5220.0,5790.0,3 HCPCS,34711,Dlyd Plmt Xtn Prosth Ea Addl,4816.0,2408.0,,,0 HCPCS,34711,Dlyd plmt xtn prosth ea addl,,,5220.0,5790.0,3 HCPCS,34712,Tcat dlvr enhncd fixj dev,,,5220.0,5790.0,3 HCPCS,34713,Perq access & clsr fem art,,,2375.0,5220.0,3 HCPCS,34714,Opn fem art expos cndt crtj,,,2375.0,5220.0,3 HCPCS,34715,Opn ax/subcla art expos,,,2375.0,5220.0,3 HCPCS,34716,Opn ax/subcla art expos cndt,,,2375.0,5220.0,3 HCPCS,34717,Evasc Rpr A-Iliac Ndgft,4816.0,2408.0,,,0 HCPCS,34717,Evasc rpr a-iliac ndgft,,,5220.0,5790.0,3 HCPCS,34718,Evasc Rpr N/A A-Iliac Ndgft,4816.0,2408.0,,,0 HCPCS,34718,Evasc rpr n/a a-iliac ndgft,,,5220.0,5790.0,3 HCPCS,34808,Endovas iliac a device addon,,,5220.0,5790.0,3 HCPCS,34812,Xpose for endoprosth femorl,,,5220.0,5790.0,3 HCPCS,34813,Femoral endovas graft add-on,,,5220.0,5790.0,3 HCPCS,34820,Xpose for endoprosth iliac,,,5220.0,5790.0,3 HCPCS,34830,Open Aortic Tube Prosth Repr,,,5220.0,5790.0,3 HCPCS,34831,Open Aortoiliac Prosth Repr,,,5220.0,5790.0,3 HCPCS,34832,Open Aortofemor Prosth Repr,,,5220.0,5790.0,3 HCPCS,34833,Xpose for endoprosth iliac,,,5220.0,5790.0,3 HCPCS,34834,Xpose endoprosth brachial,,,5220.0,5790.0,3 HCPCS,34839,Plnning pt spec fenest graft,,,5220.0,5220.0,1 HCPCS,34841,Endovasc visc aorta 1 graft,,,5220.0,5790.0,3 HCPCS,34842,Endovasc visc aorta 2 graft,,,5220.0,5790.0,3 HCPCS,34843,Endovasc visc aorta 3 graft,,,5220.0,5790.0,3 HCPCS,34844,Endovasc visc aorta 4 graft,,,5220.0,5790.0,3 HCPCS,34845,Visc & infraren abd 1 prosth,,,5220.0,5790.0,3 HCPCS,34846,Visc & infraren abd 2 prosth,,,5220.0,5790.0,3 HCPCS,34847,Visc & infraren abd 3 prosth,,,5220.0,5790.0,3 HCPCS,34848,Visc & infraren abd 4+ prost,,,5220.0,5790.0,3 HCPCS,35001,Repair defect of artery,,,5220.0,5790.0,3 HCPCS,35002,Repair artery rupture neck,,,5220.0,5790.0,3 HCPCS,35005,Repair defect of artery,,,5220.0,5790.0,3 HCPCS,35011,Repair defect of artery,,,5220.0,29398.0,10 HCPCS,35013,Repair artery rupture arm,,,5220.0,5790.0,3 HCPCS,35021,Repair defect of artery,,,5220.0,5790.0,3 HCPCS,35022,Repair artery rupture chest,,,5220.0,5790.0,3 HCPCS,35045,Repair defect of arm artery,,,5220.0,29398.0,10 HCPCS,35081,Repair defect of artery,,,5220.0,5790.0,3 HCPCS,35082,Repair artery rupture aorta,,,5220.0,5790.0,3 HCPCS,35091,Repair defect of artery,,,5220.0,5790.0,3 HCPCS,35092,Repair artery rupture aorta,,,5220.0,5790.0,3 HCPCS,35102,Repair defect of artery,,,5220.0,5790.0,3 HCPCS,35103,Repair artery rupture aorta,,,5220.0,5790.0,3 HCPCS,35111,Repair defect of artery,,,5220.0,5790.0,3 HCPCS,35112,Repair artery rupture spleen,,,5220.0,5790.0,3 HCPCS,35121,Repair defect of artery,,,5220.0,5790.0,3 HCPCS,35122,Repair artery rupture belly,,,5220.0,5790.0,3 HCPCS,35131,Repair defect of artery,,,5220.0,5790.0,3 HCPCS,35132,Repair artery rupture groin,,,5220.0,5790.0,3 HCPCS,35141,Repair defect of artery,,,5220.0,5790.0,3 HCPCS,35142,Repair artery rupture thigh,,,5220.0,5790.0,3 HCPCS,35151,Repair defect of artery,,,5220.0,5790.0,3 HCPCS,35152,Repair ruptd popliteal art,,,5220.0,5790.0,3 HCPCS,35180,Repair blood vessel lesion,,,1566.6,5434.61,10 HCPCS,35182,Repair blood vessel lesion,,,5220.0,5790.0,3 HCPCS,35184,Repair blood vessel lesion,,,3142.32,19040.0,10 HCPCS,35188,Repair blood vessel lesion,,,5537.77,29398.0,10 HCPCS,35189,Repair blood vessel lesion,,,5220.0,5790.0,3 HCPCS,35190,Repair blood vessel lesion,,,5220.0,29398.0,10 HCPCS,35201,Repair blood vessel lesion,,,5220.0,29398.0,10 HCPCS,35206,"35206 Repair Blood Vssl Dir,Up",6283.0,3141.5,,,0 HCPCS,35206,Repair blood vessel lesion,,,3142.32,19040.0,10 HCPCS,35207,35207 Rep Blood Vssl Dir;Hand,4590.0,2295.0,,,0 HCPCS,35207,Repair blood vessel lesion,,,3142.32,19040.0,10 HCPCS,35211,Repair blood vessel lesion,,,5220.0,5790.0,3 HCPCS,35216,Repair blood vessel lesion,,,5220.0,5790.0,3 HCPCS,35221,Repair blood vessel lesion,,,5220.0,5790.0,3 HCPCS,35226,35226 Repair Blood Vessel Lesn,1538.0,769.0,,,0 HCPCS,35226,Repair blood vessel lesion,,,704.73,5220.0,10 HCPCS,35231,Repair blood vessel lesion,,,3142.32,19040.0,10 HCPCS,35236,Repair blood vessel lesion,,,5220.0,29398.0,10 HCPCS,35241,Repair blood vessel lesion,,,5220.0,5790.0,3 HCPCS,35246,Repair blood vessel lesion,,,5220.0,5790.0,3 HCPCS,35251,Repair blood vessel lesion,,,5220.0,5790.0,3 HCPCS,35256,Repair blood vessel lesion,,,5220.0,29398.0,10 HCPCS,35261,Repair blood vessel lesion,,,3142.32,19040.0,10 HCPCS,35266,Repair blood vessel lesion,,,5220.0,29398.0,10 HCPCS,35271,Repair blood vessel lesion,,,5220.0,5790.0,3 HCPCS,35276,Repair blood vessel lesion,,,5220.0,5790.0,3 HCPCS,35281,Repair blood vessel lesion,,,5220.0,5790.0,3 HCPCS,35286,Repair blood vessel lesion,,,5220.0,29398.0,10 HCPCS,35301,Rechanneling of artery,,,5220.0,5790.0,3 HCPCS,35302,Rechanneling of Artery,,,5220.0,5790.0,3 HCPCS,35303,Rechanneling of Artery,,,5220.0,5790.0,3 HCPCS,35304,Rechanneling of Artery,,,5220.0,5790.0,3 HCPCS,35305,Rechanneling of Artery,,,5220.0,5790.0,3 HCPCS,35306,Rechanneling of Artery,,,5220.0,5790.0,3 HCPCS,35311,Rechanneling of artery,,,5220.0,5790.0,3 HCPCS,35321,Rechanneling of artery,,,5220.0,29398.0,10 HCPCS,35331,Rechanneling of artery,,,5220.0,5790.0,3 HCPCS,35341,Rechanneling of artery,,,5220.0,5790.0,3 HCPCS,35351,Rechanneling of artery,,,5220.0,5790.0,3 HCPCS,35355,Rechanneling of artery,,,5220.0,5790.0,3 HCPCS,35361,Rechanneling of artery,,,5220.0,5790.0,3 HCPCS,35363,Rechanneling of artery,,,5220.0,5790.0,3 HCPCS,35371,Rechanneling of artery,,,5220.0,5790.0,3 HCPCS,35372,Rechanneling of artery,,,5220.0,29398.0,10 HCPCS,35390,Reoperation carotid add-on,,,5220.0,5790.0,3 HCPCS,35400,Angioscopy,,,5220.0,5790.0,3 HCPCS,35500,Harvest vein for bypass,,,2375.0,5220.0,3 HCPCS,35501,Art byp grft ipsilat carotid,,,5220.0,5790.0,3 HCPCS,35506,Art byp grft subclav-carotid,,,5220.0,5790.0,3 HCPCS,35508,Art byp grft carotid-vertbrl,,,5220.0,5790.0,3 HCPCS,35509,Art byp grft contral carotid,,,5220.0,5790.0,3 HCPCS,35510,Art byp grft carotid-brchial,,,5220.0,5790.0,3 HCPCS,35511,Art byp grft subclav-subclav,,,5220.0,5790.0,3 HCPCS,35512,Art byp grft subclav-brchial,,,5220.0,5790.0,3 HCPCS,35515,Art byp grft subclav-vertbrl,,,5220.0,5790.0,3 HCPCS,35516,Art byp grft subclav-axilary,,,5220.0,5790.0,3 HCPCS,35518,Art byp grft axillary-axilry,,,5220.0,5790.0,3 HCPCS,35521,Art byp grft axill-femoral,,,5220.0,5790.0,3 HCPCS,35522,Art byp grft axill-brachial,,,5220.0,5790.0,3 HCPCS,35523,Art byp grft brchl-ulnr-rdl,,,5220.0,5790.0,3 HCPCS,35525,Art byp grft brachial-brchl,,,5220.0,5790.0,3 HCPCS,35526,Art byp grft aor/carot/innom,,,5220.0,5790.0,3 HCPCS,35531,Art byp grft aorcel/aormesen,,,5220.0,5790.0,3 HCPCS,35533,Art byp grft axill/fem/fem,,,5220.0,5790.0,3 HCPCS,35535,Art byp grft hepatorenal,,,5220.0,5790.0,3 HCPCS,35536,Art byp grft splenorenal,,,5220.0,5790.0,3 HCPCS,35537,Art byp grft aortoiliac,,,5220.0,5790.0,3 HCPCS,35538,Art byp grft aortobi-iliac,,,5220.0,5790.0,3 HCPCS,35539,Art byp grft aortofemoral,,,5220.0,5790.0,3 HCPCS,35540,Art byp grft aortbifemoral,,,5220.0,5790.0,3 HCPCS,35556,Art byp grft fem-popliteal,,,5220.0,5790.0,3 HCPCS,35558,Art byp grft fem-femoral,,,5220.0,5790.0,3 HCPCS,35560,Art byp grft aortorenal,,,5220.0,5790.0,3 HCPCS,35563,Art byp grft ilioiliac,,,5220.0,5790.0,3 HCPCS,35565,Art byp grft iliofemoral,,,5220.0,5790.0,3 HCPCS,35566,Art byp fem-ant-post tib/prl,,,5220.0,5790.0,3 HCPCS,35570,Art byp tibial-tib/peroneal,,,5220.0,5790.0,3 HCPCS,35571,Art byp pop-tibl-prl-other,,,5220.0,5790.0,3 HCPCS,35572,Harvest femoropopliteal vein,,,2375.0,5220.0,3 HCPCS,35583,Vein byp grft fem-popliteal,,,5220.0,5790.0,3 HCPCS,35585,Vein byp fem-tibial peroneal,,,5220.0,5790.0,3 HCPCS,35587,Vein byp pop-tibl peroneal,,,5220.0,5790.0,3 HCPCS,35600,Harvest art for cabg add-on,,,5220.0,5790.0,3 HCPCS,35601,Art byp common ipsi carotid,,,5220.0,5790.0,3 HCPCS,35606,Art byp carotid-subclavian,,,5220.0,5790.0,3 HCPCS,35612,Art byp subclav-subclavian,,,5220.0,5790.0,3 HCPCS,35616,Art byp subclav-axillary,,,5220.0,5790.0,3 HCPCS,35621,Art byp axillary-femoral,,,5220.0,5790.0,3 HCPCS,35623,Art byp axillary-pop-tibial,,,5220.0,5790.0,3 HCPCS,35626,Art byp aorsubcl/carot/innom,,,5220.0,5790.0,3 HCPCS,35631,Art byp aor-celiac-msn-renal,,,5220.0,5790.0,3 HCPCS,35632,Art byp ilio-celiac,,,5220.0,5790.0,3 HCPCS,35633,Art byp ilio-mesenteric,,,5220.0,5790.0,3 HCPCS,35634,Art byp iliorenal,,,5220.0,5790.0,3 HCPCS,35636,Art byp spenorenal,,,5220.0,5790.0,3 HCPCS,35637,Art byp aortoiliac,,,5220.0,5790.0,3 HCPCS,35638,Art byp aortobi-iliac,,,5220.0,5790.0,3 HCPCS,35642,Art byp carotid-vertebral,,,5220.0,5790.0,3 HCPCS,35645,Art byp subclav-vertebrl,,,5220.0,5790.0,3 HCPCS,35646,Art byp aortobifemoral,,,5220.0,5790.0,3 HCPCS,35647,Art byp aortofemoral,,,5220.0,5790.0,3 HCPCS,35650,Art byp axillary-axillary,,,5220.0,5790.0,3 HCPCS,35654,Art byp axill-fem-femoral,,,5220.0,5790.0,3 HCPCS,35656,Art byp femoral-popliteal,,,5220.0,5790.0,3 HCPCS,35661,Art byp femoral-femoral,,,5220.0,5790.0,3 HCPCS,35663,Art byp ilioiliac,,,5220.0,5790.0,3 HCPCS,35665,Art byp iliofemoral,,,5220.0,5790.0,3 HCPCS,35666,Art byp fem-ant-post tib/prl,,,5220.0,5790.0,3 HCPCS,35671,Art byp pop-tibl-prl-other,,,5220.0,5790.0,3 HCPCS,35681,Composite byp grft pros&vein,,,5220.0,5790.0,3 HCPCS,35682,Composite byp grft 2 veins,,,5220.0,5790.0,3 HCPCS,35683,Composite byp grft 3/> segmt,,,5220.0,5790.0,3 HCPCS,35685,Bypass graft patency/patch,,,2375.0,5220.0,3 HCPCS,35686,Bypass graft/av fist patency,,,2375.0,5220.0,3 HCPCS,35691,Art trnsposj vertbrl carotid,,,5220.0,5790.0,3 HCPCS,35693,Art trnsposj subclavian,,,5220.0,5790.0,3 HCPCS,35694,Art trnsposj subclav carotid,,,5220.0,5790.0,3 HCPCS,35695,Art trnsposj carotid subclav,,,5220.0,5790.0,3 HCPCS,35697,Reimplant artery each,,,5220.0,5790.0,3 HCPCS,35700,Reoperation bypass graft,,,5220.0,5790.0,3 HCPCS,35701,Exploration carotid artery,,,5220.0,5790.0,3 HCPCS,35702,Expl n/flwd surg uxtr art,,,5220.0,5790.0,3 HCPCS,35703,Expl n/flwd surg lxtr art,,,5220.0,5790.0,3 HCPCS,35800,Explore neck vessels,,,5220.0,29398.0,10 HCPCS,35820,Explore chest vessels,,,5220.0,5790.0,3 HCPCS,35840,Explore abdominal vessels,,,5220.0,5790.0,3 HCPCS,35860,Explore limb vessels,,,3142.32,19040.0,10 HCPCS,35870,Repair vessel graft defect,,,5220.0,5790.0,3 HCPCS,35875,Chgr-Sp Thrombectomy / Art Vein,7660.0,3830.0,,,0 HCPCS,35875,Removal of clot in graft,,,5537.77,29398.0,10 HCPCS,35876,Removal of clot in graft,,,5537.77,29398.0,10 HCPCS,35879,Revise graft w/vein,,,5220.0,29398.0,10 HCPCS,35881,Revise graft w/vein,,,5220.0,29398.0,10 HCPCS,35883,Revise Graft w/Nonauto Graft,,,5537.77,29398.0,10 HCPCS,35884,Revise graft w/vein,,,5537.77,29398.0,10 HCPCS,35901,Excision graft neck,,,5220.0,5790.0,3 HCPCS,35903,Excision graft extremity,,,3142.32,19040.0,10 HCPCS,35905,Excision graft thorax,,,5220.0,5790.0,3 HCPCS,35907,Excision graft abdomen,,,5220.0,5790.0,3 HCPCS,36000,36000 Needle/Intracath In Vein,860.0,430.0,,,0 HCPCS,36000,Extremity Vein Needle/Intracat,860.0,430.0,,,0 HCPCS,36000,Iv Peripheral Start Only,860.0,430.0,,,0 HCPCS,36000,Place needle in vein,,,2375.0,5220.0,3 HCPCS,36002,36002 Inj For Pseudoaneurysm,2109.0,1054.5,,,0 HCPCS,36002,Injection For Pseudoaneurysm,2109.0,1054.5,,,0 HCPCS,36002,Pseudoaneurysm injection trt,,,624.29,3880.0,10 HCPCS,36002,Vppa Injctn For Pseudoaneurysm,2109.0,1054.5,,,0 HCPCS,36005,Angio Venography Extremity,2543.0,1271.5,,,0 HCPCS,36005,Card-Angio Venography Extremit,2543.0,1271.5,,,0 HCPCS,36005,"Inj Proc, Contrast Venography",2543.0,1271.5,,,0 HCPCS,36005,Injection ext venography,,,2375.0,5220.0,3 HCPCS,36010,Angio Svc Or Ivc,3820.0,1910.0,,,0 HCPCS,36010,Angio Svc Or Ivc In Additio To,3820.0,1910.0,,,0 HCPCS,36010,Chgr-Sp Cath Super / Inferior Vena Cava,3820.0,1910.0,,,0 HCPCS,36010,Place catheter in vein,,,2375.0,5220.0,3 HCPCS,36010,Sp Cath Super / Inferior Vena Cava,3820.0,1910.0,,,0 HCPCS,36011,"Ang/Ven/1St(Renal,Jugul)Add To",5310.0,2655.0,,,0 HCPCS,36011,Chg Ang/Ven 1St Order Renal Jugular Vein,5310.0,2655.0,,,0 HCPCS,36011,Chgr-Sp Cath Vein First Order Branch,5310.0,2655.0,,,0 HCPCS,36011,Place catheter in vein,,,2375.0,5220.0,3 HCPCS,36011,Sp Cath Vein First Order Branch,5310.0,2655.0,,,0 HCPCS,36012,Cath Vein 2Nd Order More Selec,5305.0,2652.5,,,0 HCPCS,36012,Chgr-Cd Sng Cath Vein 2Nd Ord Mo / Sele,5305.0,2652.5,,,0 HCPCS,36012,Place catheter in vein,,,2375.0,5220.0,3 HCPCS,36013,Chg Angio Right Heart Or Pulmonary Artery,6123.0,3061.5,,,0 HCPCS,36013,Place catheter in artery,,,2375.0,5220.0,3 HCPCS,36014,Cath Artery R/L Pulmonary Art,5305.0,2652.5,,,0 HCPCS,36014,Chgr-Cd Angio Left Or Right Pulmon Art,5305.0,2652.5,,,0 HCPCS,36014,Place catheter in artery,,,2375.0,5220.0,3 HCPCS,36015,Cath Artery Segment Pulmonary,3498.0,1749.0,,,0 HCPCS,36015,Place catheter in artery,,,2375.0,5220.0,3 HCPCS,36100,Establish access to artery,,,2375.0,5220.0,3 HCPCS,36140,36140 Ns Cath-Extremity Artery,4665.0,2332.5,,,0 HCPCS,36140,Angio Ext(Art Insert)Add't To,4665.0,2332.5,,,0 HCPCS,36140,Angio Extremity,4665.0,2332.5,,,0 HCPCS,36140,Cath Artery Retro Extremity,4665.0,2332.5,,,0 HCPCS,36140,Establish access to artery,,,2375.0,5220.0,3 HCPCS,36147,Intro of needle/cath for dialysis,,,5220.0,5220.0,1 HCPCS,36160,Establish access to aorta,,,2375.0,5220.0,3 HCPCS,36200,Angio Aorta,5300.0,2650.0,,,0 HCPCS,36200,"Angio Aorta,In Add To",5300.0,2650.0,,,0 HCPCS,36200,Aorta Cath (Femoral Axillary),5300.0,2650.0,,,0 HCPCS,36200,"Chgr-Cd Sng Angio Aorta, Add To",5300.0,2650.0,,,0 HCPCS,36200,Place catheter in aorta,,,2375.0,5220.0,3 HCPCS,36215,Ang/Thor Brach 1St(Subcl)Add,4701.0,2350.5,,,0 HCPCS,36215,Cath Art Thor Brcep Brnch 1St,4701.0,2350.5,,,0 HCPCS,36215,Chg Angio Thoracic/Brach 1St Subclavian,4701.0,2350.5,,,0 HCPCS,36215,Place catheter in artery,,,2375.0,5220.0,3 HCPCS,36216,Ang/Thor/Brach 2Nd(Ima)Add To,4772.0,2386.0,,,0 HCPCS,36216,Cath Art Thor/Brcep Brch 2Nd,4772.0,2386.0,,,0 HCPCS,36216,Chg Angio Thorac Or Brachioc 2Nd Od Ima,4772.0,2386.0,,,0 HCPCS,36216,Place catheter in artery,,,2375.0,5220.0,3 HCPCS,36217,Cath Art Thor/Brcep Brnch 3Rd,4158.0,2079.0,,,0 HCPCS,36217,Place catheter in artery,,,2375.0,5220.0,3 HCPCS,36218,Angio Addt 2Nd/3Rd Tho Brac Bc,2553.0,1276.5,,,0 HCPCS,36218,Cath Arteries Thor Addl 2Nd,2553.0,1276.5,,,0 HCPCS,36218,Place catheter in artery,,,2375.0,5220.0,3 HCPCS,36221,Cd-Nonsel Thor Aort+Arch Image,14991.0,7495.5,,,0 HCPCS,36221,Nonsel Thor Aort+Arch Aortgrm,14991.0,7495.5,,,0 HCPCS,36221,Place cath thoracic aorta,,,3142.32,19040.0,10 HCPCS,36222,Cd-Sel Cth Cca/Inom+Cervl Imag,18711.0,9355.5,,,0 HCPCS,36222,Place cath carotid/inom art,,,3142.32,19040.0,10 HCPCS,36222,Sel Cath Cca/Inom+Cervcl Image,18711.0,9355.5,,,0 HCPCS,36223,Cd-Sel Cth Cca/Inom+Cerbl Imag,23788.0,11894.0,,,0 HCPCS,36223,Chgr-Sel Cath Cca/Inom+Cerbr Image,23788.0,11894.0,,,0 HCPCS,36223,Place cath carotid/inom art,,,5220.0,29398.0,10 HCPCS,36224,Cd-Sel Cth Ica/Inom+Cerbl Imag,23857.0,11928.5,,,0 HCPCS,36224,Place cath carotd art,,,5220.0,29398.0,10 HCPCS,36224,Sel Cath Ica/Inom+Cerebr Image,23857.0,11928.5,,,0 HCPCS,36225,Cd-Sel Cth Inom/Subc+Vert Imag,31690.0,15845.0,,,0 HCPCS,36225,Place cath subclavian art,,,3142.32,19040.0,10 HCPCS,36225,Sel Cath Inom/Subcl+Vert Image,31690.0,15845.0,,,0 HCPCS,36226,Cd-Sel Cth Vertbrl+Vert Image,31087.0,15543.5,,,0 HCPCS,36226,Chgr-Sel Cath Vertbrl+Vert Image,31087.0,15543.5,,,0 HCPCS,36226,Place cath vertebral art,,,5220.0,29398.0,10 HCPCS,36227,Cd-Sel Cth Eca+Eca Image,9138.0,4569.0,,,0 HCPCS,36227,Place cath xtrnl carotid,,,2375.0,5220.0,3 HCPCS,36227,Sel Cath Eca+Eca Image,9138.0,4569.0,,,0 HCPCS,36228,Chgr Cd-Sel Cth Ica/Vertrbl+Image,9138.0,4569.0,,,0 HCPCS,36228,Place cath intracranial art,,,2375.0,5220.0,3 HCPCS,36228,Sel Cath Ica/Vertrbl+Image,9138.0,4569.0,,,0 HCPCS,36245,Angio Abd Pelvic Ext 1St Order,5396.0,2698.0,,,0 HCPCS,36245,Cath Arteries Abdm Pel Ext 1St,5396.0,2698.0,,,0 HCPCS,36245,Cath Artery Abdm Pel Ext 1St,5396.0,2698.0,,,0 HCPCS,36245,Chg Angio Abd/Pel Ext/1St/Order In/Addition,5396.0,2698.0,,,0 HCPCS,36245,Ins cath abd/l-ext art 1st,,,2375.0,5220.0,3 HCPCS,36246,Angio Abd Pelvic Ext 2Nd Order,5038.0,2519.0,,,0 HCPCS,36246,Angio Abd/Pel Ext/2Nd Ord Addt,5038.0,2519.0,,,0 HCPCS,36246,Cath Artery Abdm Pel Ext 2Nd,5038.0,2519.0,,,0 HCPCS,36246,Ins cath abd/l-ext art 2nd,,,2375.0,5220.0,3 HCPCS,36247,Angio Abd/Pel/Ext 3Rd Ord/Addt,5432.0,2716.0,,,0 HCPCS,36247,Angio Abd/Pelvic/Ext 3Rd Order,5432.0,2716.0,,,0 HCPCS,36247,Cath Artery Abdm Pel Ext 3Rd,5432.0,2716.0,,,0 HCPCS,36247,Ins cath abd/l-ext art 3rd,,,2375.0,5220.0,3 HCPCS,36248,Ang Abd/Pel/Ext/2Nd/3Rd/In Add,4587.0,2293.5,,,0 HCPCS,36248,Angio Add 2Nd Or 3Rd Order Branch,4587.0,2293.5,,,0 HCPCS,36248,Cath Art Abdm Adl Subslect Art,4587.0,2293.5,,,0 HCPCS,36248,Ins cath abd/l-ext art addl,,,2375.0,5220.0,3 HCPCS,36251,"Angio Renal,1St Order,Uni",14030.0,7015.0,,,0 HCPCS,36251,"Chgr-Angio Renal,1St Order,Uni",14030.0,7015.0,,,0 HCPCS,36251,"Chgr-Sp Angio Renal, 1St Order, Uni",14030.0,7015.0,,,0 HCPCS,36251,Ins cath ren art 1st unilat,,,3142.32,19040.0,10 HCPCS,36252,"Angio Renal,1St Order,Bilat",15986.0,7993.0,,,0 HCPCS,36252,Ins cath ren art 1st bilat,,,3142.32,19040.0,10 HCPCS,36253,"Angio Renal,High Order,Uni",12217.0,6108.5,,,0 HCPCS,36253,"Chgr-Sp Angio Renal, High Order, Uni - Rt",12217.0,6108.5,,,0 HCPCS,36253,Ins cath ren art 2nd+ unilat,,,5220.0,29398.0,10 HCPCS,36254,"Angio Renal,High Order,Bilat",12217.0,6108.5,,,0 HCPCS,36254,Ins cath ren art 2nd+ bilat,,,3142.32,19040.0,10 HCPCS,36260,Insertion of infusion pump,,,5220.0,29398.0,10 HCPCS,36261,Revision of infusion pump,,,3719.02,19040.0,10 HCPCS,36262,Removal of infusion pump,,,3408.0,19040.0,10 HCPCS,36299,Vessel injection procedure,,,2375.0,5220.0,3 HCPCS,36400,36400 Venipuncture Under Age 3,202.0,101.0,,,0 HCPCS,36405,36405 Bl Draw <3Rs Scalp Vein,1044.0,522.0,,,0 HCPCS,36410,36410 Nonroutine Bl Drw 3+ Yrs,367.0,183.5,,,0 HCPCS,36410,Chgr-Vnpnxr 3 Years/> Phys/Qhp Skill,367.0,183.5,,,0 HCPCS,36410,Non-routine bl draw 3/> yrs,,,52.11,52.11,1 HCPCS,36415,36415 Routine Venipunct/Stick,39.0,19.5,,,0 HCPCS,36415,Chgl Draw Fee Nursing Home,39.0,19.5,,,0 HCPCS,36415,Chgl Draw Fee St Lukes,39.0,19.5,,,0 HCPCS,36415,Chgl Draw Fee Veni-Diabetes Inst,39.0,19.5,,,0 HCPCS,36415,Chgl Draw Fee-10Th Street,39.0,19.5,,,0 HCPCS,36415,Chgl Draw Fee-Edinburgh,39.0,19.5,,,0 HCPCS,36415,Chgl Draw Fee-First Colonial,39.0,19.5,,,0 HCPCS,36415,Chgl Draw Fee-Ft Norfolk,39.0,19.5,,,0 HCPCS,36415,Chgl Draw Fee-Gloucester,39.0,19.5,,,0 HCPCS,36415,Chgl Draw Fee-Iop,39.0,19.5,,,0 HCPCS,36415,Chgl Draw Fee-Lab Req Entry,39.0,19.5,,,0 HCPCS,36415,Chgl Draw Fee-Ndc,39.0,19.5,,,0 HCPCS,36415,Chgl Draw Fee-Neurol Spec,39.0,19.5,,,0 HCPCS,36415,Chgl Draw Fee-New Town,39.0,19.5,,,0 HCPCS,36415,Chgl Reg Entry Draw Fee Ghent Family,39.0,19.5,,,0 HCPCS,36415,Chgl Req Entry Draw Fee Hoffeimer Hall,39.0,19.5,,,0 HCPCS,36415,Draw Fee - Venipuncture Central Testing,39.0,19.5,,,0 HCPCS,36415,Draw Fee Venipuncture,39.0,19.5,,,0 HCPCS,36415,Routine venipuncture,,,3.6,16.42,10 HCPCS,36415,Venipuncture Draw Fee,39.0,19.5,,,0 HCPCS,36416,Capillary Blood Specimen,47.0,23.5,,,0 HCPCS,36416,Capillary blood draw,,,3.44,16.78,3 HCPCS,36416,Chg Capillary Blood Draw,47.0,23.5,,,0 HCPCS,36416,Chgl Draw Fee - Heel Stick,47.0,23.5,,,0 HCPCS,36416,Chgl Draw Fee-Heelstick,47.0,23.5,,,0 HCPCS,36416,Chgl Heel Stick-10Th Street,47.0,23.5,,,0 HCPCS,36416,Chgl Heel Stick-Edinburgh,47.0,23.5,,,0 HCPCS,36416,Chgl Heel Stick-First Colonial,47.0,23.5,,,0 HCPCS,36416,Chgl Heel Stick-Ft Norfolk,47.0,23.5,,,0 HCPCS,36416,Chgl Heel Stick-Gloucester,47.0,23.5,,,0 HCPCS,36416,Chgl Heel Stick-Ndc,47.0,23.5,,,0 HCPCS,36416,Chgl Heel Stick-New Town,47.0,23.5,,,0 HCPCS,36420,Vein access cutdown < 1 yr,,,132.41,5220.0,10 HCPCS,36425,Vein access cutdown > 1 yr,,,444.58,5220.0,10 HCPCS,36430,36430 Bld Cmpnts Indirct Trnsf,1611.0,805.5,,,0 HCPCS,36430,Blood Administration,1611.0,805.5,,,0 HCPCS,36430,Blood Transfusion,1611.0,805.5,,,0 HCPCS,36430,Blood transfusion service,,,439.06,3408.0,10 HCPCS,36440,Bl push transfuse 2 yr/<,,,439.06,3408.0,10 HCPCS,36450,Bl exchange/transfuse nb,,,439.06,3408.0,10 HCPCS,36450,Umbilical Cath-Exc Trans,1443.0,721.5,,,0 HCPCS,36455,Bl exchange/transfuse non-nb,,,439.06,3408.0,10 HCPCS,36456,Prtl exchange transfuse nb,,,439.06,2633.0,9 HCPCS,36460,Intrauterine Blood Transfusion,2127.0,1063.5,,,0 HCPCS,36460,Transfusion service fetal,,,439.06,3408.0,10 HCPCS,36465,Njx Noncmpnd Sclrsnt 1 Vein,8350.0,4175.0,,,0 HCPCS,36465,Njx noncmpnd sclrsnt 1 vein,,,2053.37,7123.26,10 HCPCS,36466,Njx Noncmpnd Sclrsnt Mlt Vn,8350.0,4175.0,,,0 HCPCS,36466,Njx noncmpnd sclrsnt mlt vn,,,2053.37,7123.26,10 HCPCS,36468,Injection(s) spider veins,,,404.56,5220.0,10 HCPCS,36468,Njx Sclrsnt Spider Veins,1240.0,620.0,,,0 HCPCS,36469,"Injection(s), spider veins",,,5220.0,5220.0,1 HCPCS,36470,Injection therapy of vein,,,404.56,5220.0,10 HCPCS,36470,Njx Sclrsnt 1 Incmptnt Vein,1228.0,614.0,,,0 HCPCS,36471,Injection Sclerosant Multiple Incmptnt Veins,1535.0,767.5,,,0 HCPCS,36471,Injection therapy of veins,,,404.56,5220.0,10 HCPCS,36473,Endovenous Mchnchem 1St Vein,8473.0,4236.5,,,0 HCPCS,36473,Endovenous mchnchem 1st vein,,,3142.32,19040.0,9 HCPCS,36474,Endovenous Mchnchem Add-On,4238.0,2119.0,,,0 HCPCS,36474,Endovenous mchnchem add-on,,,2375.0,2633.0,2 HCPCS,36475,Endovenous Rf 1St Vein,8071.0,4035.5,,,0 HCPCS,36475,Endovenous rf 1st vein,,,3142.32,19040.0,10 HCPCS,36476,Endovenous Rf Vein Add-On,4236.0,2118.0,,,0 HCPCS,36476,Endovenous rf vein add-on,,,2375.0,13700.0,3 HCPCS,36478,Endovenous laser 1st vein,,,3142.32,19040.0,10 HCPCS,36478,Laser Abltn Ext Vein 1St Vein,10239.0,5119.5,,,0 HCPCS,36479,Endovenous laser vein addon,,,2375.0,13700.0,3 HCPCS,36481,Chgr-Cd Perc Portal Vein Cath,838.0,419.0,,,0 HCPCS,36481,Insertion of catheter vein,,,2375.0,5220.0,3 HCPCS,36481,Perc Portal Vein Cath,838.0,419.0,,,0 HCPCS,36482,Endoven ther chem adhes 1st,,,5220.0,29398.0,10 HCPCS,36483,Endoven ther chem adhes sbsq,,,2375.0,5220.0,3 HCPCS,36500,Cath Vein For Venous Sampling,3951.0,1975.5,,,0 HCPCS,36500,Insertion of catheter vein,,,2375.0,5220.0,3 HCPCS,36510,36510 Insertion Of Catheter Vein,948.0,474.0,,,0 HCPCS,36510,Insertion of catheter vein,,,2375.0,5220.0,3 HCPCS,36511,Apheresis wbc,,,1549.95,5790.0,10 HCPCS,36511,Therapeutic Apheresis For Wbc,5581.0,2790.5,,,0 HCPCS,36512,Apheresis rbc,,,1549.95,5790.0,10 HCPCS,36512,Therapeutic Apheresis For Rbc,5581.0,2790.5,,,0 HCPCS,36513,Apheresis platelets,,,439.06,5220.0,10 HCPCS,36513,Therapeutic Apheresis Platelets,7431.0,3715.5,,,0 HCPCS,36514,Apheresis plasma,,,1549.95,5790.0,10 HCPCS,36514,Therapeutic Apheresis Plasma,5581.0,2790.5,,,0 HCPCS,36516,Apheresis selective,,,4334.59,23971.0,10 HCPCS,36522,Photopheresis,,,4334.59,23971.0,10 HCPCS,36555,36555 Ins Non-Tunneled Cvc<5Yr,3942.0,1971.0,,,0 HCPCS,36555,Chgr-Cd Insert Nontunneled Cvc <5Yr,3942.0,1971.0,,,0 HCPCS,36555,Insert Non-Tunneled Cvc<5Yr,3942.0,1971.0,,,0 HCPCS,36555,Insert non-tunnel cv cath,,,3142.32,10900.88,10 HCPCS,36556,36556 Ins Non-Tunneld Cvc>=5Yr,4322.0,2161.0,,,0 HCPCS,36556,Insert Non-Tunneled Cvc>=5Yr,4322.0,2161.0,,,0 HCPCS,36556,Insert non-tunnel cv cath,,,3142.32,10900.88,10 HCPCS,36557,Ins Tnnld Cvc W/O Prt/Pmp<5Yr,7050.0,3525.0,,,0 HCPCS,36557,Insert tunneled cv cath,,,4564.0,29398.0,10 HCPCS,36558,36558 Ins Tnnld Cvc>=5Yr,5911.0,2955.5,,,0 HCPCS,36558,Chgr-Implant Cath/Infusion Pump 36558,5911.0,2955.5,,,0 HCPCS,36558,Ins Tnnld Cvc W/O Prt/Pmp>=5Yr,5911.0,2955.5,,,0 HCPCS,36558,Insert tunneled cv cath,,,3142.32,19040.0,10 HCPCS,36560,Ins Tnnld Cvc W/Port<5Yr,5911.0,2955.5,,,0 HCPCS,36560,Insert tunneled cv cath,,,3142.32,19040.0,10 HCPCS,36561,36561 Ins Tnnl Cvc W/Port>=5Yr,7099.0,3549.5,,,0 HCPCS,36561,Chgr-Implant Cath/Infusion Pump 36561,7099.0,3549.5,,,0 HCPCS,36561,Ins Tnnld Cvc W/Port>=5 Yr,7099.0,3549.5,,,0 HCPCS,36561,Insert tunneled cv cath,,,3142.32,19040.0,10 HCPCS,36563,Chgr-Insert Tunneled Cvc W/Pump,17044.0,8522.0,,,0 HCPCS,36563,Insert tunneled cv cath,,,5220.0,29398.0,10 HCPCS,36565,"Chgr-Ins Tnnld Caths,I.E. Tessio",10278.0,5139.0,,,0 HCPCS,36565,Insert tunneled cv cath,,,3142.32,19040.0,10 HCPCS,36566,Insert Tunneled Cv 2X Cath W S,17044.0,8522.0,,,0 HCPCS,36566,Insert tunneled cv cath,,,5537.77,29398.0,10 HCPCS,36568,Insert picc cath,,,1566.6,5434.61,10 HCPCS,36568,Insrt Picc <5Yrs W/O Imaging,4322.0,2161.0,,,0 HCPCS,36569,36569 Ins Picc Wo Prt/Pmp>=5Yr,4322.0,2161.0,,,0 HCPCS,36569,Insert picc cath,,,1566.6,5434.61,10 HCPCS,36569,Insrt Picc >=5Yrs W/O Imaging,4322.0,2161.0,,,0 HCPCS,36570,Insert Picc W/Port<5Yr,6242.0,3121.0,,,0 HCPCS,36570,Insert picvad cath,,,3142.32,19040.0,10 HCPCS,36571,Insert Picc W/Port >5Yr,6242.0,3121.0,,,0 HCPCS,36571,Insert picvad cath,,,3142.32,19040.0,10 HCPCS,36572,Insj picc rs&i <5 yr,,,624.29,5220.0,10 HCPCS,36572,Insrt Picc <5Yrs Incl Imaging,5958.0,2979.0,,,0 HCPCS,36573,Insj picc rs&i 5 yr+,,,1566.6,5790.0,10 HCPCS,36573,Insrt Picc >=5Yrs Incl Imaging,6111.0,3055.5,,,0 HCPCS,36575,36575 Repair Cva Catheter,1898.0,949.0,,,0 HCPCS,36575,Chgr-Implant Cath/Infusion 36575,1898.0,949.0,,,0 HCPCS,36575,Repair tunneled cv cath,,,624.29,4564.0,10 HCPCS,36576,36576 Rplc Cath Cva W/Prt/Pmp,1898.0,949.0,,,0 HCPCS,36576,Repair Cva W/Port/Pump,1898.0,949.0,,,0 HCPCS,36576,Repair tunneled cv cath,,,1566.6,5434.61,10 HCPCS,36578,Replace tunneled cv cath,,,3142.32,19040.0,10 HCPCS,36578,Rplc Cath Of Cva W/Prt/Pmp,4118.0,2059.0,,,0 HCPCS,36580,36580 Rpl Cvc Wo Pt/Pmp 1Site,4064.0,2032.0,,,0 HCPCS,36580,Replace cvad cath,,,1566.6,5434.61,10 HCPCS,36580,Rpl Cvc W/O Prt/Pmp Same Site,4064.0,2032.0,,,0 HCPCS,36581,Replace tunneled cv cath,,,3142.32,19040.0,10 HCPCS,36581,Rpl Tnld Cvc W/O P/P Same Site,10299.0,5149.5,,,0 HCPCS,36582,Chgr-Implant Cath/Infustion 36582,10299.0,5149.5,,,0 HCPCS,36582,Replace tunneled cv cath,,,3142.32,19040.0,10 HCPCS,36582,Rplc Tnnld Cvc W/Prt Same Site,10299.0,5149.5,,,0 HCPCS,36583,Chgr-Sp Rpl Tnnld Cvc W / Pmp Same Site,17618.0,8809.0,,,0 HCPCS,36583,Replace tunneled cv cath,,,5220.0,29398.0,10 HCPCS,36584,36584 Rpl Picc Wo Pt/Pmp 1Site,4064.0,2032.0,,,0 HCPCS,36584,Replace picc cath,,,1566.6,5434.61,10 HCPCS,36584,Replpicc Same Site Incl Image,4064.0,2032.0,,,0 HCPCS,36585,Replace picvad cath,,,3142.32,19040.0,10 HCPCS,36585,Rpl Picc W/Prt Thru Same Acces,10299.0,5149.5,,,0 HCPCS,36589,36589 Rem Tnld Cvc W/Oprt/Pump,2532.0,1266.0,,,0 HCPCS,36589,Rem Tnnld Cvc W/O Port/Pump,2532.0,1266.0,,,0 HCPCS,36589,Removal tunneled cv cath,,,624.29,3880.0,10 HCPCS,36589,Vppa Rem Tnld Cvc W/O Port/Pmp,2532.0,1266.0,,,0 HCPCS,36590,36590 Rem Tnnl Cvc W/Port/Pump,5244.0,2622.0,,,0 HCPCS,36590,Chg - Rem Tnnld Cvc W/Port/Pump,5244.0,2622.0,,,0 HCPCS,36590,Chgr-Cd Removal Tnnld Cvc W / Port / Pump,5244.0,2622.0,,,0 HCPCS,36590,Rem Tnnld Cvc W/Port/Pump,5244.0,2622.0,,,0 HCPCS,36590,Removal tunneled cv cath,,,1566.6,5790.0,10 HCPCS,36591,Blood Draw-Implanted Port,336.0,168.0,,,0 HCPCS,36591,Blood Draw-Implnt Venous Device,336.0,168.0,,,0 HCPCS,36591,Draw blood off venous device,,,132.41,5220.0,10 HCPCS,36592,Blood Draw-Cvl/Pvl/Picc,336.0,168.0,,,0 HCPCS,36592,Chg Blood Draw-Cvl/Pvl/Picc,336.0,168.0,,,0 HCPCS,36592,Collect blood from picc,,,132.41,5220.0,10 HCPCS,36593,36593 Declot Vascular Access,1454.0,727.0,,,0 HCPCS,36593,Chgl Declot Vascular Access,1454.0,727.0,,,0 HCPCS,36593,Declot Vascular Access,1454.0,727.0,,,0 HCPCS,36593,Declot vascular device,,,328.72,5220.0,10 HCPCS,36595,Mech remov tunneled cv cath,,,3142.32,19040.0,10 HCPCS,36595,Rem Pericath Obstr Sep Access,4118.0,2059.0,,,0 HCPCS,36596,Mech remov tunneled cv cath,,,1566.6,5434.61,10 HCPCS,36596,Rem Intralum Obst Thru Dvc Lum,1743.0,871.5,,,0 HCPCS,36597,Chgr-Cd Reposition Cva,1743.0,871.5,,,0 HCPCS,36597,Reposition Cva,1743.0,871.5,,,0 HCPCS,36597,Reposition venous catheter,,,1566.6,5434.61,10 HCPCS,36598,Chgr-Check Cvad W/ Contrast,1063.0,531.5,,,0 HCPCS,36598,Inj w/fluor eval cv device,,,211.68,3408.0,10 HCPCS,36600,36600 Arterial Puncture,240.0,120.0,,,0 HCPCS,36600,Arterial Blood Gas Collection,240.0,120.0,,,0 HCPCS,36600,Withdrawal of arterial blood,,,132.41,5220.0,10 HCPCS,36620,36620 A Line Insertion,1994.0,997.0,,,0 HCPCS,36620,A-Line Insertion,1994.0,997.0,,,0 HCPCS,36620,Artl Cath/Cannula Mntr/Transfusion Spx Prq,1904.0,952.0,,,0 HCPCS,36620,Insertion catheter artery,,,2375.0,5220.0,3 HCPCS,36625,Insertion catheter artery,,,2375.0,5220.0,3 HCPCS,36640,Insertion catheter artery,,,3142.32,19040.0,10 HCPCS,36660,Insertion catheter artery,,,5220.0,5790.0,3 HCPCS,36680,36680 Placemnt Needle Intraoss,713.0,356.5,,,0 HCPCS,36680,Insert needle bone cavity,,,444.58,5220.0,10 HCPCS,36800,Insertion of cannula,,,5220.0,29398.0,10 HCPCS,36810,Insertion of cannula,,,3142.32,19040.0,10 HCPCS,36815,Insertion of cannula,,,5220.0,29398.0,10 HCPCS,36818,Av fuse uppr arm cephalic,,,5220.0,29398.0,10 HCPCS,36819,Av fuse uppr arm basilic,,,5220.0,29398.0,10 HCPCS,36820,Av fusion/forearm vein,,,5220.0,29398.0,10 HCPCS,36821,Av Anastomosis Opn; Dir Anyste,9608.0,4804.0,,,0 HCPCS,36821,Av fusion direct any site,,,3142.32,19040.0,10 HCPCS,36823,Insertion of cannula(s),,,5220.0,14111.0,3 HCPCS,36825,Artery-vein autograft,,,5537.77,29398.0,10 HCPCS,36830,Artery-vein nonautograft,,,5537.77,29398.0,10 HCPCS,36831,Open thrombect av fistula,,,5537.77,29398.0,10 HCPCS,36832,Av fistula revision open,,,5537.77,29398.0,10 HCPCS,36832,Chgr-Sp Open Revision Av Fistula,7660.0,3830.0,,,0 HCPCS,36833,Av fistula revision,,,5537.77,29398.0,10 HCPCS,36835,Artery to vein shunt,,,3142.32,19040.0,10 HCPCS,36836,Perq Av Fistula Creation Uxtr Single Access,42680.0,21340.0,,,0 HCPCS,36836,Prq av fstl crtj uxtr 1 acs,,,18243.62,63288.08,9 HCPCS,36837,Prq av fstl crt uxtr sep acs,,,18243.62,63288.08,9 HCPCS,36838,Dist revas ligation hemo,,,5220.0,29398.0,10 HCPCS,36860,External Cannula Declot,2701.0,1350.5,,,0 HCPCS,36860,External cannula declotting,,,1566.6,5434.61,10 HCPCS,36861,Cannula declotting,,,5220.0,29398.0,10 HCPCS,36870,"Av Fistula Revision, Open",,,13700.0,13700.0,1 HCPCS,36901,Intro Cath Dialysis Circuit,3471.0,1735.5,,,0 HCPCS,36901,Intro cath dialysis circuit,,,1566.6,5790.0,9 HCPCS,36902,Intro Cath Dialys Crct W/Angio,17381.0,8690.5,,,0 HCPCS,36902,Intro cath dialysis circuit,,,5664.24,29398.0,9 HCPCS,36903,Intro Cth Dialys Crct Ang Stnt,35125.0,17562.5,,,0 HCPCS,36903,Intro cath dialysis circuit,,,11488.76,39855.12,9 HCPCS,36904,Thrmbc/Nfs Dialysis Circuit,17381.0,8690.5,,,0 HCPCS,36904,Thrmbc/nfs dialysis circuit,,,5664.24,29398.0,9 HCPCS,36905,Thrmbc/Nfs Dialysis Crct Angio,35125.0,17562.5,,,0 HCPCS,36905,Thrmbc/nfs dialysis circuit,,,11488.76,39855.12,9 HCPCS,36906,Thrmb/Nfs Dial Crct Angio Stnt,53237.0,26618.5,,,0 HCPCS,36906,Thrmbc/nfs dialysis circuit,,,18243.62,63288.08,9 HCPCS,36907,Balo Angiop Ctr Dialysis Seg,6328.0,3164.0,,,0 HCPCS,36907,Balo angiop ctr dialysis seg,,,2375.0,2633.0,2 HCPCS,36908,Stent Plmt Ctr Dialysis Seg,1739.0,869.5,,,0 HCPCS,36908,Stent plmt ctr dialysis seg,,,2375.0,2633.0,2 HCPCS,36909,Dialysis Circuit Emboli,1739.0,869.5,,,0 HCPCS,36909,Dialysis circuit embolj,,,2375.0,2633.0,2 HCPCS,37140,Revision of circulation,,,5220.0,5790.0,3 HCPCS,37145,Revision of circulation,,,5220.0,5790.0,3 HCPCS,37160,Revision of circulation,,,5220.0,5790.0,3 HCPCS,37180,Revision of circulation,,,5220.0,5790.0,3 HCPCS,37181,Splice spleen/kidney veins,,,5220.0,5790.0,3 HCPCS,37182,Insert Tips Procedure,6671.0,3335.5,,,0 HCPCS,37182,Insert hepatic shunt (tips),,,5220.0,63288.08,10 HCPCS,37183,Chgr-Sp Revision Of Tips Procedure,15121.0,7560.5,,,0 HCPCS,37183,Remove hepatic shunt (tips),,,5220.0,35289.0,10 HCPCS,37184,Percthrombectmy Initial Artery,14793.0,7396.5,,,0 HCPCS,37184,Prim art m-thrmbc 1st vsl,,,13700.0,63288.08,10 HCPCS,37184,Thrombectomy Mechanical Arterial,14793.0,7396.5,,,0 HCPCS,37185,Percthrombectmy Add Art Samfam,11938.0,5969.0,,,0 HCPCS,37185,Prim art m-thrmbc sbsq vsl,,,2375.0,13700.0,3 HCPCS,37185,"Thromb,Mech Arterial,Addtl Ves",11938.0,5969.0,,,0 HCPCS,37186,Sec art thrombectomy add-on,,,2375.0,13700.0,3 HCPCS,37186,"Thromb,Mech Arterial,In Add",12870.0,6435.0,,,0 HCPCS,37186,Thrombectomy Post Interven Art,12870.0,6435.0,,,0 HCPCS,37187,Prq Transluminal Mechanical Thrombectomy Vein,14148.0,7074.0,,,0 HCPCS,37187,"Thromb,Mechanical,Venous",14148.0,7074.0,,,0 HCPCS,37187,Venous mech thrombectomy,,,11488.76,39855.12,10 HCPCS,37188,"Chgr-Cd Thromb, Mechanical, Venous Recheck",14148.0,7074.0,,,0 HCPCS,37188,Cont Thrombectom Vein Sepvisit,14148.0,7074.0,,,0 HCPCS,37188,Venous m-thrombectomy add-on,,,3142.32,19040.0,10 HCPCS,37191,Card-Ivc Filter Placement,24756.0,12378.0,,,0 HCPCS,37191,Ins endovas vena cava filtr,,,5220.0,29398.0,10 HCPCS,37191,Ivc Filter Placement,24756.0,12378.0,,,0 HCPCS,37192,Redo endovas vena cava filtr,,,3142.32,19040.0,10 HCPCS,37193,Card-Ivc Filter Removal,21466.0,10733.0,,,0 HCPCS,37193,Ivc Filter Removal,21466.0,10733.0,,,0 HCPCS,37193,Rem endovas vena cava filter,,,3142.32,19040.0,10 HCPCS,37195,"37195 Thrombolysis, Rbrl By Iv",2694.0,1347.0,,,0 HCPCS,37195,Thrombolysis Cerebral Iv Infusion,2694.0,1347.0,,,0 HCPCS,37195,Thrombolytic therapy stroke,,,328.72,3408.0,10 HCPCS,37197,Chgr-Sp Foreign Body Retrieval,6376.0,3188.0,,,0 HCPCS,37197,Remove intrvas foreign body,,,3142.32,19040.0,10 HCPCS,37197,Transcatheter Retrieval Percut,6376.0,3188.0,,,0 HCPCS,37200,Bx Transcatheter,6332.0,3166.0,,,0 HCPCS,37200,Chgr-Sp Bx Transcatheter,6332.0,3166.0,,,0 HCPCS,37200,Transcatheter biopsy,,,3408.0,29398.0,10 HCPCS,37202,Transcatheter therapy infuse,,,3408.0,3408.0,1 HCPCS,37210,Embolization Uterine Fibroid,,,13700.0,13700.0,1 HCPCS,37211,Art Inf For Thrombolysis Init,12349.0,6174.5,,,0 HCPCS,37211,Card Art Inf Thrmbolysis Init,12349.0,6174.5,,,0 HCPCS,37211,Chgr Trnscth Tx Art Inf Thromb Init,12349.0,6174.5,,,0 HCPCS,37211,Chgr-Thrombolytic Art Therapy,12349.0,6174.5,,,0 HCPCS,37211,Thrombolytic art therapy,,,5537.77,29398.0,10 HCPCS,37212,37212 Thrombolytic Venous The,9692.0,4846.0,,,0 HCPCS,37212,Card Ven Inf Thrmbolysis Init,9692.0,4846.0,,,0 HCPCS,37212,Chgr Thrombolytic Venous Therapy,9692.0,4846.0,,,0 HCPCS,37212,Thrombolytic venous therapy,,,3142.32,19040.0,10 HCPCS,37212,Trnscth Tx Ven Inf Thromb Init,9692.0,4846.0,,,0 HCPCS,37212,Ven Inf For Thrombolysis Init,9692.0,4846.0,,,0 HCPCS,37213,Art/Ven Inf Thrombolysis Subs,12349.0,6174.5,,,0 HCPCS,37213,Card Art/Ven Inf Thromb.Subs,12349.0,6174.5,,,0 HCPCS,37213,Change Cath For Thromboly,12349.0,6174.5,,,0 HCPCS,37213,Chgr Thromblytic Art/Ven Therapy,12349.0,6174.5,,,0 HCPCS,37213,Thromblytic art/ven therapy,,,3142.32,13700.0,10 HCPCS,37213,Thrombo-Angio Foll-Up Exchang Catheterer,12349.0,6174.5,,,0 HCPCS,37213,Trnscth Art/Ven Inf Thromb Sub,12349.0,6174.5,,,0 HCPCS,37214,Card-Thrombolysis Cessation,12349.0,6174.5,,,0 HCPCS,37214,Cessj therapy cath removal,,,3142.32,13700.0,10 HCPCS,37214,Chgr Cessj Therapy Cath Removal,12349.0,6174.5,,,0 HCPCS,37214,Chgr-Cessation Thrombolytic Ther W/Catheter Removal,12349.0,6174.5,,,0 HCPCS,37214,"Chgr-Thrombo,Angi Fol-Up Exchan Cat",12349.0,6174.5,,,0 HCPCS,37214,"Thromb,Angi Fol-Up Exchan Cat",12349.0,6174.5,,,0 HCPCS,37214,Thrombolysis Cessation,12349.0,6174.5,,,0 HCPCS,37214,Trnscth Thrpy Thromb Cessation,12349.0,6174.5,,,0 HCPCS,37215,Tcat Iv Stent Crv Crtd Art Embolic Protecj,32057.0,16028.5,,,0 HCPCS,37215,Transcath stent cca w/eps,,,5220.0,5790.0,3 HCPCS,37216,Chgr-Cd Stent(S) Pl Carotid W / O Dis Embolic,28172.0,14086.0,,,0 HCPCS,37216,"Stent Cervic Carotid,W/O Prote",28172.0,14086.0,,,0 HCPCS,37216,Transcath stent cca w/o eps,,,5220.0,5790.0,3 HCPCS,37217,Stent placemt retro carotid,,,5220.0,5790.0,3 HCPCS,37218,Carotid Stent Common Or Innomi,35078.0,17539.0,,,0 HCPCS,37218,Stent placemt ante carotid,,,5220.0,5790.0,3 HCPCS,37220,Iliac Pta,18394.0,9197.0,,,0 HCPCS,37220,Iliac revasc,,,5220.0,29398.0,3 HCPCS,37220,"Revasc,Iliac",18394.0,9197.0,,,0 HCPCS,37221,Chgr-Cd Iliac Pta W / Stent,28713.0,14356.5,,,0 HCPCS,37221,Iliac revasc w/stent,,,5220.0,35289.0,3 HCPCS,37221,"Revasc,Iliac W/Stent",28713.0,14356.5,,,0 HCPCS,37222,Chgr-Cd Iliac Pta Addt'l Vessel,11901.0,5950.5,,,0 HCPCS,37222,Iliac Pta Addt'l Vessel,11901.0,5950.5,,,0 HCPCS,37222,Iliac revasc add-on,,,5220.0,29398.0,3 HCPCS,37222,"Revasc,Iliac,Add-On",11901.0,5950.5,,,0 HCPCS,37223,Chgr-Cd Iliac Pta W / Stent Add Vessel,28713.0,14356.5,,,0 HCPCS,37223,Iliac revasc w/stent add-on,,,5220.0,29398.0,3 HCPCS,37223,"Revasc,Iliac W/Stent,Add-On",28713.0,14356.5,,,0 HCPCS,37224,Chgr-Cd Fem / Pop Pta W / Tla,22413.0,11206.5,,,0 HCPCS,37224,Fem/popl revas w/tla,,,5220.0,29398.0,3 HCPCS,37224,"Revasc,Fem/Popl W/Tla",22413.0,11206.5,,,0 HCPCS,37225,Chgr-Cd Fem / Pop Pta W / Ather,34171.0,17085.5,,,0 HCPCS,37225,Fem/Pop Pta W/Ather,34171.0,17085.5,,,0 HCPCS,37225,Fem/popl revas w/ather,,,5220.0,35289.0,3 HCPCS,37225,"Revasc,Fem/Popl W/Ather",34171.0,17085.5,,,0 HCPCS,37226,Chgr-Cd Fem / Pop Pta W / Stent,33686.0,16843.0,,,0 HCPCS,37226,Fem/popl revasc w/stent,,,5220.0,35289.0,3 HCPCS,37226,"Revasc,Fem/Popl W/Stent",33686.0,16843.0,,,0 HCPCS,37227,Chgr-Cd Fem / Pop Pta Stnt & Ather,43253.0,21626.5,,,0 HCPCS,37227,Fem/Pop Pta Stnt & Ather,43253.0,21626.5,,,0 HCPCS,37227,Fem/popl revasc stnt & ather,,,5220.0,50815.0,3 HCPCS,37227,"Revasc,Fem/Popl Stnt & Ather",43253.0,21626.5,,,0 HCPCS,37228,Chgr-Cd Tp Pta W / Tla,16768.0,8384.0,,,0 HCPCS,37228,"Revasc,Tib/Per W/Tla",16768.0,8384.0,,,0 HCPCS,37228,Tib/per revasc w/tla,,,5220.0,29398.0,3 HCPCS,37229,Chgr-Cd Tp Pta W / Ather,26094.0,13047.0,,,0 HCPCS,37229,"Revasc,Tib/Per W/Ather",26094.0,13047.0,,,0 HCPCS,37229,Tib/per revasc w/ather,,,5220.0,35289.0,3 HCPCS,37230,Chgr-Cd Tp Pta W / Stent,28036.0,14018.0,,,0 HCPCS,37230,"Revasc,Tib/Per W/Stent",28036.0,14018.0,,,0 HCPCS,37230,Tib/per revasc w/stent,,,5220.0,35289.0,3 HCPCS,37231,"Chgr-Sp Revasc, Tib / Per Stent & Ather",43357.0,21678.5,,,0 HCPCS,37231,Tib/per revasc stent & ather,,,5220.0,50815.0,3 HCPCS,37232,Chgr-Cd Tp Pta Add Vessel,11901.0,5950.5,,,0 HCPCS,37232,"Revasc,Tib/Per,Add-On",11901.0,5950.5,,,0 HCPCS,37232,Tib/per revasc add-on,,,5220.0,29398.0,3 HCPCS,37233,Chgr-Cd Tp Pta W / Ather Add Vessel,22486.0,11243.0,,,0 HCPCS,37233,"Revasc,Tib/Per W/Ather,Add-On",22486.0,11243.0,,,0 HCPCS,37233,Tibper revasc w/ather add-on,,,5220.0,35289.0,3 HCPCS,37234,Revsc opn/prq tib/pero stent,,,5220.0,29398.0,3 HCPCS,37235,"Revasc,Tib/Per Stnt&Ath,Add-On",38586.0,19293.0,,,0 HCPCS,37235,Tib/per revasc stnt & ather,,,5220.0,29398.0,3 HCPCS,37236,Open/perq place stent 1st,,,5220.0,39855.12,10 HCPCS,37236,Stent Noncoronary;1St Artery,13966.0,6983.0,,,0 HCPCS,37236,Tr Cath Intra Vsc Stent 1 Art,13966.0,6983.0,,,0 HCPCS,37237,Open/perq place stent ea add,,,5220.0,29398.0,3 HCPCS,37237,Stent Noncoronary Add Artery,13966.0,6983.0,,,0 HCPCS,37237,Trans Cath Stent Addl Artery,13966.0,6983.0,,,0 HCPCS,37238,Open/perq place stent same,,,5220.0,39855.12,10 HCPCS,37238,Stent Noncoronary;1St Vein,13966.0,6983.0,,,0 HCPCS,37238,Tr Cath Intra Vsc Stent 1 Vein,13966.0,6983.0,,,0 HCPCS,37238,Trnsc Intrv Stnt-Int;Vn,19364.0,9682.0,,,0 HCPCS,37239,Open/perq place stent ea add,,,5220.0,29398.0,3 HCPCS,37239,Stent Noncoronary Add Vein,13966.0,6983.0,,,0 HCPCS,37239,Trans Cath Stent Addl Vein,13966.0,6983.0,,,0 HCPCS,37241,Vasc Embolize/Occlude Venous,38990.0,19495.0,,,0 HCPCS,37241,Vasc embolize/occlude venous,,,5220.0,39855.12,10 HCPCS,37242,Vasc Embolize/Occlude Artery,38990.0,19495.0,,,0 HCPCS,37242,Vasc embolize/occlude artery,,,5220.0,63288.08,10 HCPCS,37243,Uterine Fibroid Embolization,38990.0,19495.0,,,0 HCPCS,37243,Vasc Embolize/Occlude Organ,38990.0,19495.0,,,0 HCPCS,37243,Vasc embolize/occlude organ,,,5220.0,39855.12,10 HCPCS,37244,Vasc Embolize/Occlude Bleed,38990.0,19495.0,,,0 HCPCS,37244,Vasc embolize/occlude bleed,,,5220.0,39855.12,10 HCPCS,37246,Trluml Balo Angiop 1St Artery,6749.0,3374.5,,,0 HCPCS,37246,Trluml balo angiop 1st art,,,5664.24,29398.0,9 HCPCS,37247,Trluml Balo Angiop Addl Artery,6749.0,3374.5,,,0 HCPCS,37247,Trluml balo angiop addl art,,,2375.0,2633.0,2 HCPCS,37248,Trluml Balo Angiop 1St Vein,6749.0,3374.5,,,0 HCPCS,37248,Trluml balo angiop 1st vein,,,5664.24,29398.0,9 HCPCS,37249,Trluml Balo Angiop Addl Vein,6749.0,3374.5,,,0 HCPCS,37249,Trluml balo angiop addl vein,,,2375.0,2633.0,2 HCPCS,37252,Chgr-Intrvasc Us Noncoronary 1St,1641.0,820.5,,,0 HCPCS,37252,Intrvasc Us Noncoronary 1St,1641.0,820.5,,,0 HCPCS,37252,Intrvasc us noncoronary 1st,,,2375.0,5220.0,3 HCPCS,37253,Chgr-Intrvasc Us Noncoronary Addl,1641.0,820.5,,,0 HCPCS,37253,Intrvasc Us Noncoronary Addl,1641.0,820.5,,,0 HCPCS,37253,Intrvasc us noncoronary addl,,,2375.0,5220.0,3 HCPCS,37254,Revsc evasc ivt angio sf 1st,,,5664.24,19649.53,7 HCPCS,37256,Revsc evasc ivt angio cplx 1,,,5664.24,19649.53,7 HCPCS,37258,Revsc evasc ivt stent sf 1st,,,11488.76,39855.12,7 HCPCS,37260,Revsc evasc ivt st cplx 1st,,,11488.76,39855.12,7 HCPCS,37263,Revsc evasc fpvt angio sf 1,,,5664.24,19649.53,7 HCPCS,37265,Revsc evsc fpvt angio cplx 1,,,5664.24,19649.53,7 HCPCS,37267,Revsc evsc fpvt stent sf 1st,,,11488.76,39855.12,7 HCPCS,37269,Revsc evasc fpvt st cplx 1st,,,11488.76,39855.12,7 HCPCS,37271,Revsc evsc fpvt athrc sf 1st,,,18243.62,63288.08,7 HCPCS,37273,Revsc evsc fpvt athrc cplx 1,,,18243.62,63288.08,7 HCPCS,37275,Rvsc evsc fpvt st athrc sf 1,,,18243.62,63288.08,7 HCPCS,37277,Rvsc evsc fpvt st athr cpx 1,,,18243.62,63288.08,7 HCPCS,37280,Revsc evsc tpvt angio sf 1st,,,11488.76,39855.12,7 HCPCS,37282,Rvsc evsc tpvt angio cplx 1,,,11488.76,39855.12,7 HCPCS,37284,Revsc evasc tpvt st sf 1st,,,18243.62,63288.08,7 HCPCS,37286,Revsc evasc tpvt st cplx 1st,,,18243.62,63288.08,7 HCPCS,37288,Revsc evsc tpvt athrc sf 1st,,,18243.62,63288.08,7 HCPCS,37290,Revsc evsc tpvt athrc cplx 1,,,18243.62,63288.08,7 HCPCS,37292,Rvsc evsc tpvt st athrc sf 1,,,18243.62,63288.08,7 HCPCS,37294,Rvsc evsc tpvt st athr cpx 1,,,18243.62,63288.08,7 HCPCS,37296,Revsc evasc imvt angio sf 1,,,11488.76,39855.12,7 HCPCS,37298,Revsc evsc imvt angio cplx 1,,,11488.76,39855.12,7 HCPCS,37500,Endoscopy ligate perf veins,,,5220.0,29398.0,3 HCPCS,37501,Vascular endoscopy procedure,,,624.29,5220.0,10 HCPCS,37565,37565 Ligation Intrnl Jug Vein,3429.0,1714.5,,,0 HCPCS,37565,Ligation of neck vein,,,3142.32,10900.88,10 HCPCS,37600,Ligation of neck artery,,,3142.32,19040.0,10 HCPCS,37605,Ligation of neck artery,,,3142.32,19040.0,10 HCPCS,37606,Ligation of neck artery,,,3142.32,19040.0,10 HCPCS,37607,Chgr-Cd Ligation Of Av Fistula,9353.0,4676.5,,,0 HCPCS,37607,Ligation of a-v fistula,,,3142.32,19040.0,10 HCPCS,37609,Temp Artery Biopsy,9378.0,4689.0,,,0 HCPCS,37609,Temporal artery procedure,,,1643.67,5790.0,10 HCPCS,37615,37615 Ligation Of Neck Artery,8300.0,4150.0,,,0 HCPCS,37615,Ligation of neck artery,,,3142.32,10900.88,10 HCPCS,37616,Ligation of chest artery,,,5220.0,5790.0,3 HCPCS,37617,Ligation of abdomen artery,,,5220.0,19210.81,10 HCPCS,37618,37618 Ligation Of Extremity Ar,3740.0,1870.0,,,0 HCPCS,37618,Ligation of extremity artery,,,5220.0,5790.0,3 HCPCS,37619,Ligation of inf vena cava,,,5220.0,29398.0,10 HCPCS,37650,Revision of major vein,,,3142.32,19040.0,10 HCPCS,37660,Revision of major vein,,,5220.0,5790.0,3 HCPCS,37700,Revise leg vein,,,3142.32,19040.0,10 HCPCS,37718,Ligate/strip short leg vein,,,3142.32,19040.0,10 HCPCS,37722,Ligate/strip long leg vein,,,3142.32,19040.0,10 HCPCS,37735,Removal of leg veins/lesion,,,3142.32,19040.0,10 HCPCS,37760,Ligate leg veins radical,,,3142.32,19040.0,10 HCPCS,37760,"Ligation,Leg Veins,Open",13231.0,6615.5,,,0 HCPCS,37761,Ligate leg veins open,,,3142.32,10900.88,10 HCPCS,37765,Stab Phleb Veins Xtr 10-20,11963.0,5981.5,,,0 HCPCS,37765,Stab phleb veins xtr 10-20,,,3142.32,19040.0,10 HCPCS,37766,Phleb Veins-Extrem 20+,11963.0,5981.5,,,0 HCPCS,37766,Phleb veins - extrem 20+,,,3142.32,19040.0,10 HCPCS,37780,Revision of leg vein,,,3142.32,10900.88,10 HCPCS,37785,Ligate/Divide/Excise Vein,11963.0,5981.5,,,0 HCPCS,37785,Ligate/divide/excise vein,,,3142.32,19040.0,10 HCPCS,37788,Revascularization penis,,,5220.0,5790.0,3 HCPCS,37790,Penile venous occlusion,,,3508.06,19040.0,10 HCPCS,37799,37799 Unlisted Vasc Procedure,814.0,407.0,,,0 HCPCS,37799,"Chgr Sp Inj,Sclerotherapy",814.0,407.0,,,0 HCPCS,37799,Disruption Of Fibrin Sheath,814.0,407.0,,,0 HCPCS,37799,"Inj,Sclerothy Vasc Malfor,Face",814.0,407.0,,,0 HCPCS,37799,Unlisted Vasc Procedure,814.0,407.0,,,0 HCPCS,37799,Vasc Distal Embolic Protect Dev,814.0,407.0,,,0 HCPCS,37799,Vascular surgery procedure,,,624.29,5220.0,10 HCPCS,38100,Removal of spleen total,,,5220.0,5790.0,3 HCPCS,38101,Removal of spleen partial,,,5220.0,5790.0,3 HCPCS,38102,Removal of spleen total,,,5220.0,5790.0,3 HCPCS,38115,Repair of ruptured spleen,,,5220.0,5790.0,3 HCPCS,38120,Laparoscopy splenectomy,,,7337.0,36698.4,10 HCPCS,38129,Laparoscope proc spleen,,,5220.0,23971.0,10 HCPCS,38200,Chgr-Sp Splenoportogram,5049.0,2524.5,,,0 HCPCS,38200,Injection for spleen x-ray,,,2375.0,5220.0,3 HCPCS,38204,Bl donor search management,,,5220.0,5220.0,1 HCPCS,38205,Harvest allogeneic stem cell,,,2375.0,5220.0,3 HCPCS,38206,Harvest auto stem cells,,,1549.95,5790.0,10 HCPCS,38206,"Stem Cell Harvest, Autologous",6417.0,3208.5,,,0 HCPCS,38207,Cryopreserve stem cells,,,439.06,3408.0,10 HCPCS,38208,Thaw preserved stem cells,,,439.06,3408.0,10 HCPCS,38209,Wash harvest stem cells,,,439.06,3408.0,10 HCPCS,38210,T-cell depletion of harvest,,,439.06,3408.0,10 HCPCS,38211,Tumor cell deplete of harvst,,,439.06,3408.0,10 HCPCS,38212,Rbc depletion of harvest,,,439.06,3408.0,10 HCPCS,38213,Platelet deplete of harvest,,,439.06,3408.0,10 HCPCS,38214,Volume deplete of harvest,,,439.06,3408.0,10 HCPCS,38215,Harvest stem cell concentrte,,,439.06,3408.0,10 HCPCS,38220,Bone Marrow;Aspiration Only,2230.0,1115.0,,,0 HCPCS,38220,Bone marrow aspiration,,,1643.67,5701.97,10 HCPCS,38221,"Bone Marrow;Bx,Ndl Or Trocar",2505.0,1252.5,,,0 HCPCS,38221,Bone marrow biopsy,,,1643.67,5701.97,10 HCPCS,38222,Diagnostic Bone Marrow Biopsies & Aspirations,5494.0,2747.0,,,0 HCPCS,38222,Dx bone marrow bx & aspir,,,2890.77,10028.23,10 HCPCS,38225,Car-t hrv bld-drv t lymphcyt,,,5226.0,5790.0,2 HCPCS,38226,Car-t prep t lymphcyt f/trns,,,5226.0,5790.0,2 HCPCS,38227,Car-t receipt&prepj admn,,,5226.0,5790.0,2 HCPCS,38228,Car-t admn autologous,,,328.72,2633.0,9 HCPCS,38230,Bone marrow harvest allogen,,,1549.95,5790.0,10 HCPCS,38232,Bone marrow harvest autolog,,,4334.59,23971.0,10 HCPCS,38240,Transplt allo hct/donor,,,5220.0,217159.59,10 HCPCS,38241,"Stem Cell Transplant, Auto",5204.0,2602.0,,,0 HCPCS,38241,Transplt autol hct/donor,,,1549.95,5790.0,10 HCPCS,38242,Transplt allo lymphocytes,,,1549.95,5790.0,10 HCPCS,38243,Transplj hematopoietic boost,,,1549.95,5790.0,10 HCPCS,38300,Ad-Lymph Node Ab,3230.0,1615.0,,,0 HCPCS,38300,Drainage lymph node lesion,,,2890.77,10028.23,10 HCPCS,38305,Drainage lymph node lesion,,,2890.77,14111.0,10 HCPCS,38308,Incision of lymph channels,,,3896.63,14111.0,10 HCPCS,38380,Thoracic duct procedure,,,5220.0,5790.0,3 HCPCS,38381,Thoracic duct procedure,,,5220.0,5790.0,3 HCPCS,38382,Thoracic duct procedure,,,5220.0,5790.0,3 HCPCS,38500,Biopsy/Removal Of Lymph Node,12080.0,6040.0,,,0 HCPCS,38500,Biopsy/removal lymph nodes,,,3896.63,14111.0,10 HCPCS,38505,38505 Bx/Exc Lymph Node Needle Superficial,3174.0,1587.0,,,0 HCPCS,38505,Biopsy Lymph Node/Needle,3650.0,1825.0,,,0 HCPCS,38505,Chg - Biopsy Lymph Node/Needle,3650.0,1825.0,,,0 HCPCS,38505,Needle biopsy lymph nodes,,,1643.67,5790.0,10 HCPCS,38510,Biopsy/removal lymph nodes,,,3896.63,14111.0,10 HCPCS,38520,Biopsy/removal lymph nodes,,,3896.63,14111.0,10 HCPCS,38525,Biopsy/removal lymph nodes,,,3896.63,14111.0,10 HCPCS,38530,Biopsy/removal lymph nodes,,,3896.63,14111.0,10 HCPCS,38531,Open bx/exc inguinofem nodes,,,3896.63,19040.0,10 HCPCS,38542,Explore deep node(s) neck,,,4564.0,29398.0,10 HCPCS,38550,Removal neck/armpit lesion,,,3896.63,14111.0,10 HCPCS,38555,Removal neck/armpit lesion,,,6448.0,22924.49,10 HCPCS,38562,Removal pelvic lymph nodes,,,5220.0,29398.0,10 HCPCS,38564,Removal abdomen lymph nodes,,,5220.0,5790.0,3 HCPCS,38570,Laparoscopy lymph node biop,,,6016.5,29398.0,10 HCPCS,38571,Laparoscopy lymphadenectomy,,,10578.79,36698.4,10 HCPCS,38572,Laparoscopy lymphadenectomy,,,10578.79,36698.4,10 HCPCS,38573,Laps pelvic lymphadec,,,5220.0,36698.4,10 HCPCS,38589,Laparoscope proc lymphatic,,,5220.0,23971.0,10 HCPCS,38700,Removal of lymph nodes neck,,,4564.0,22924.49,10 HCPCS,38720,Removal of lymph nodes neck,,,5220.0,22924.49,10 HCPCS,38724,Removal of lymph nodes neck,,,5220.0,14111.0,3 HCPCS,38740,Remove armpit lymph nodes,,,4564.0,29398.0,10 HCPCS,38745,Remove armpit lymph nodes,,,6016.5,29398.0,10 HCPCS,38746,Remove thoracic lymph nodes,,,5220.0,5790.0,3 HCPCS,38747,Remove abdominal lymph nodes,,,5220.0,5790.0,3 HCPCS,38760,Remove groin lymph nodes,,,4564.0,22924.49,10 HCPCS,38765,Remove groin lymph nodes,,,5220.0,5790.0,3 HCPCS,38770,Remove pelvis lymph nodes,,,5220.0,5790.0,3 HCPCS,38780,Remove abdomen lymph nodes,,,5220.0,5790.0,3 HCPCS,38790,Chgr Inj Proc Lymphangiogram,1065.0,532.5,,,0 HCPCS,38790,Inject for lymphatic x-ray,,,2375.0,5220.0,3 HCPCS,38792,"Chgr-Sentinel Node, Nonimaging",1087.0,543.5,,,0 HCPCS,38792,Ra tracer id of sentinl node,,,397.85,3408.0,10 HCPCS,38794,Access thoracic lymph duct,,,2375.0,5220.0,3 HCPCS,38900,Io map of sent lymph node,,,2375.0,5220.0,3 HCPCS,38999,Blood/lymph system procedure,,,439.06,5220.0,10 HCPCS,38999,Unlstd Proc Hemic Or Lymphatic,1344.0,672.0,,,0 HCPCS,39000,Exploration of chest,,,5220.0,5790.0,3 HCPCS,39010,Exploration of chest,,,5220.0,5790.0,3 HCPCS,39200,Resect mediastinal cyst,,,5220.0,5790.0,3 HCPCS,39220,Resect mediastinal tumor,,,5220.0,5790.0,3 HCPCS,39401,Mediastinoscpy w/medstnl bx,,,5220.0,23971.0,10 HCPCS,39402,Mediastinoscpy w/lmph nod bx,,,5220.0,23971.0,10 HCPCS,39499,Chest procedure,,,5220.0,5790.0,3 HCPCS,39501,Repair diaphragm laceration,,,5220.0,5790.0,3 HCPCS,39503,Repair of diaphragm hernia,,,5220.0,5790.0,3 HCPCS,39540,Repair of diaphragm hernia,,,5220.0,5790.0,3 HCPCS,39541,Repair of diaphragm hernia,,,5220.0,5790.0,3 HCPCS,39545,Revision of diaphragm,,,5220.0,5790.0,3 HCPCS,39560,Resect diaphragm simple,,,5220.0,5790.0,3 HCPCS,39561,Resect diaphragm complex,,,5220.0,5790.0,3 HCPCS,39599,Diaphragm surgery procedure,,,5220.0,5790.0,3 HCPCS,40490,Biopsy of lip,,,235.71,5220.0,10 HCPCS,40490,Chg - Biopsy Of Lip,1722.0,861.0,,,0 HCPCS,40500,Partial excision of lip,,,3299.54,11446.28,10 HCPCS,40510,Partial excision of lip,,,3299.54,14111.0,10 HCPCS,40520,Partial excision of lip,,,3299.54,11446.28,10 HCPCS,40525,Reconstruct lip with flap,,,3299.54,14111.0,10 HCPCS,40527,Reconstruct lip with flap,,,4564.0,20437.6,10 HCPCS,40530,Partial removal of lip,,,3299.54,14111.0,10 HCPCS,40650,40650 Lip Rp Ful Thick-Vermil,1782.0,891.0,,,0 HCPCS,40650,Repair lip,,,536.74,5220.0,10 HCPCS,40652,40652 Cmplx Rpr 1/2 Vert Ht,3563.0,1781.5,,,0 HCPCS,40652,Repair lip,,,536.74,5220.0,10 HCPCS,40654,40654 Lip Rp Ful->1/2 Vert Ht,3563.0,1781.5,,,0 HCPCS,40654,Repair lip,,,1544.13,5790.0,10 HCPCS,40700,Repair cleft lip/nasal,,,5891.41,23971.0,10 HCPCS,40701,Repair cleft lip/nasal,,,5891.41,23971.0,10 HCPCS,40702,Repair cleft lip/nasal,,,5220.0,23971.0,10 HCPCS,40720,Repair cleft lip/nasal,,,3299.54,23971.0,10 HCPCS,40761,Repair cleft lip/nasal,,,5220.0,23971.0,10 HCPCS,40799,40799 Lip Surgery Procedure,669.0,334.5,,,0 HCPCS,40799,Lip surgery procedure,,,235.71,5220.0,10 HCPCS,40800,40800 I&D Cyt Vestbl Mouth-Smp,996.0,498.0,,,0 HCPCS,40800,Drainage of mouth lesion,,,704.73,5220.0,10 HCPCS,40801,40801 Drainage Of Mouth Lesion,3870.0,1935.0,,,0 HCPCS,40801,Drainage of mouth lesion,,,536.74,4564.0,10 HCPCS,40804,40804 Removl Foregn Body Mouth,3074.0,1537.0,,,0 HCPCS,40804,Removal foreign body mouth,,,902.63,5790.0,10 HCPCS,40805,40805 Removal Foreign Body Mouth,3870.0,1935.0,,,0 HCPCS,40805,Removal foreign body mouth,,,536.74,4564.0,10 HCPCS,40806,Incision of lip fold,,,536.74,5220.0,10 HCPCS,40808,40808 Biopsy Vestibule Mouth,1244.0,622.0,,,0 HCPCS,40808,Biopsy Vestibule Mouth,1244.0,622.0,,,0 HCPCS,40808,Biopsy of mouth lesion,,,536.74,5220.0,10 HCPCS,40810,Excision of mouth lesion,,,3299.54,11446.28,10 HCPCS,40812,Exc Lesion Mucosa & Sbmcsl Vestibule Smpl Rpr,3779.0,1889.5,,,0 HCPCS,40812,Excise/repair mouth lesion,,,1544.13,5790.0,10 HCPCS,40814,Excise/repair mouth lesion,,,3299.54,14111.0,10 HCPCS,40816,Excision of mouth lesion,,,3299.54,14111.0,10 HCPCS,40818,Excise oral mucosa for graft,,,536.74,3408.0,10 HCPCS,40819,Excise lip or cheek fold,,,1544.13,5790.0,10 HCPCS,40820,Treatment of mouth lesion,,,3299.54,11446.28,10 HCPCS,40830,40830 Sut Lac Mouth To 2.5Cm,996.0,498.0,,,0 HCPCS,40830,Repair mouth laceration,,,235.71,5220.0,10 HCPCS,40831,40831 Cmplx Rep Vestbul>2.5Cm,3563.0,1781.5,,,0 HCPCS,40831,Repair mouth laceration,,,536.74,3408.0,10 HCPCS,40840,Reconstruction of mouth,,,4564.0,20437.6,10 HCPCS,40842,Reconstruction of mouth,,,5220.0,20437.6,10 HCPCS,40843,Reconstruction of mouth,,,5220.0,20437.6,10 HCPCS,40844,Reconstruction of mouth,,,5891.41,23971.0,10 HCPCS,40845,Reconstruction of mouth,,,5891.41,23971.0,10 HCPCS,40899,Mouth surgery procedure,,,235.71,5220.0,10 HCPCS,41000,41000 I&D Les Intraoral Lingul,4014.0,2007.0,,,0 HCPCS,41000,Drainage of mouth lesion,,,536.74,3408.0,10 HCPCS,41005,41005 I&D Absc/Cyst Tongue Fom,935.0,467.5,,,0 HCPCS,41005,Drainage of mouth lesion,,,235.71,3408.0,10 HCPCS,41006,Drainage of mouth lesion,,,1544.13,5790.0,10 HCPCS,41007,41007 I&D Abs/Cyst Fom; Submtl,5362.0,2681.0,,,0 HCPCS,41007,Drainage of mouth lesion,,,1544.13,5790.0,10 HCPCS,41008,41008 I&D Absc/Cys Fom;Submand,5482.0,2741.0,,,0 HCPCS,41008,Drainage of mouth lesion,,,3299.54,11446.28,10 HCPCS,41009,41009 Drainage Of Mouth Lesion,1538.0,769.0,,,0 HCPCS,41009,Drainage of mouth lesion,,,536.74,3408.0,10 HCPCS,41010,Incision Of Tongue Fold,3823.0,1911.5,,,0 HCPCS,41010,Incision of tongue fold,,,1544.13,5790.0,10 HCPCS,41015,Drainage of mouth lesion,,,536.74,3408.0,10 HCPCS,41016,41016 Eo I&D Absc/Cyst Fom Sub,7642.0,3821.0,,,0 HCPCS,41016,Drainage of mouth lesion,,,3408.0,20437.6,10 HCPCS,41017,41017 Drainage Of Mouth Lesion,3636.0,1818.0,,,0 HCPCS,41017,Drainage of mouth lesion,,,3299.54,11446.28,10 HCPCS,41018,41018 Xtroral I&D Floor Mastic,4886.0,2443.0,,,0 HCPCS,41018,Drainage of mouth lesion,,,1544.13,5790.0,10 HCPCS,41019,Place needles h&n for rt,,,5891.41,20437.6,10 HCPCS,41100,41100 Biopsy Of Tongue;Ant 2/3,1720.0,860.0,,,0 HCPCS,41100,Biopsy Tongue Anterior Two-Thirds,1720.0,860.0,,,0 HCPCS,41100,Biopsy of tongue,,,536.74,3408.0,10 HCPCS,41105,Biopsy of tongue,,,3299.54,11446.28,10 HCPCS,41108,Biopsy Of Floor Of Mouth,5081.0,2540.5,,,0 HCPCS,41108,Biopsy of floor of mouth,,,1643.67,5701.97,10 HCPCS,41110,Excision of tongue lesion,,,3299.54,11446.28,10 HCPCS,41112,Excision of tongue lesion,,,3299.54,11446.28,10 HCPCS,41113,Excision of tongue lesion,,,3299.54,11446.28,10 HCPCS,41114,Excision of tongue lesion,,,3299.54,14111.0,10 HCPCS,41115,Excision of tongue fold,,,1544.13,5790.0,10 HCPCS,41116,Excision of mouth lesion,,,3299.54,14111.0,10 HCPCS,41120,Partial removal of tongue,,,5891.41,23971.0,10 HCPCS,41130,Partial removal of tongue,,,5220.0,5790.0,3 HCPCS,41135,Tongue and neck surgery,,,5220.0,14111.0,3 HCPCS,41140,Removal of tongue,,,5220.0,5790.0,3 HCPCS,41145,Tongue removal neck surgery,,,5220.0,5790.0,3 HCPCS,41150,Tongue mouth jaw surgery,,,5220.0,5790.0,3 HCPCS,41153,Tongue mouth neck surgery,,,5220.0,5790.0,3 HCPCS,41155,Tongue jaw & neck surgery,,,5220.0,5790.0,3 HCPCS,41250,41250 Rp Lac Ant 2/3 Tong-2Cm,546.0,273.0,,,0 HCPCS,41250,Repair tongue laceration,,,444.58,4564.0,10 HCPCS,41251,41251 Cmplx Rep Post 1/3 Tng,1605.0,802.5,,,0 HCPCS,41251,Repair tongue laceration,,,235.71,4564.0,10 HCPCS,41252,41252 Rp Lac Tongue Over 2Cm,3200.0,1600.0,,,0 HCPCS,41252,Repair tongue laceration,,,235.71,4564.0,10 HCPCS,41500,Fixation of tongue,,,3408.0,3408.0,1 HCPCS,41510,Tongue to lip surgery,,,3299.54,11446.28,10 HCPCS,41512,Tongue suspension,,,5220.0,23971.0,10 HCPCS,41520,Reconstruction tongue fold,,,3299.54,23971.0,10 HCPCS,41530,Tongue base vol reduction,,,3299.54,14111.0,10 HCPCS,41599,41599 Tongue & Mouth Surgery,565.0,282.5,,,0 HCPCS,41599,Tongue and mouth surgery,,,235.71,5220.0,10 HCPCS,41800,41800 I&D Lesion Dentoalveolar,601.0,300.5,,,0 HCPCS,41800,Drainage of gum lesion,,,132.41,3408.0,10 HCPCS,41800,I&D Lesion Dentoalveolar,601.0,300.5,,,0 HCPCS,41805,Removal foreign body gum,,,1544.13,5790.0,10 HCPCS,41806,Removal foreign body jawbone,,,1544.13,5790.0,10 HCPCS,41820,Excision gum each quadrant,,,3299.54,14111.0,10 HCPCS,41821,Excision of gum flap,,,1544.13,5790.0,10 HCPCS,41822,Excision of gum lesion,,,1544.13,5790.0,10 HCPCS,41823,Excision of gum lesion,,,5220.0,20437.6,10 HCPCS,41825,Excision of gum lesion,,,3299.54,11446.28,10 HCPCS,41826,Excision of gum lesion,,,3299.54,14111.0,10 HCPCS,41827,Excision of gum lesion,,,4564.0,23971.0,10 HCPCS,41828,Excision of gum lesion,,,1544.13,5790.0,10 HCPCS,41830,Removal of gum tissue,,,3299.54,14111.0,10 HCPCS,41850,Treatment of gum lesion,,,1544.13,5790.0,10 HCPCS,41870,Gum graft,,,1544.13,5790.0,10 HCPCS,41872,Repair gum,,,3299.54,23971.0,10 HCPCS,41874,Repair tooth socket,,,3299.54,11446.28,10 HCPCS,41899,41899 Dental Surgery Proc,3951.0,1975.5,,,0 HCPCS,41899,Dental Surgery Procedure,3951.0,1975.5,,,0 HCPCS,41899,Dental surgery procedure,,,235.71,5220.0,10 HCPCS,42000,42000 I&D Palate/Uvula Lesion,803.0,401.5,,,0 HCPCS,42000,Drainage mouth roof lesion,,,235.71,4564.0,10 HCPCS,42100,42100 Biopsy Of Palate Uvula,2353.0,1176.5,,,0 HCPCS,42100,Biopsy Palate Uvula,2353.0,1176.5,,,0 HCPCS,42100,Biopsy roof of mouth,,,1544.13,5790.0,10 HCPCS,42104,Exc Lesion Palate Uvula W/O Closure,7745.0,3872.5,,,0 HCPCS,42104,Excision lesion mouth roof,,,3299.54,11446.28,10 HCPCS,42106,Excision lesion mouth roof,,,3299.54,11446.28,10 HCPCS,42107,Excision lesion mouth roof,,,4564.0,20437.6,10 HCPCS,42120,Remove palate/lesion,,,5891.41,20437.6,10 HCPCS,42140,Excision of uvula,,,3299.54,11446.28,10 HCPCS,42145,Repair palate pharynx/uvula,,,5891.41,20437.6,10 HCPCS,42160,Treatment mouth roof lesion,,,3299.54,11446.28,10 HCPCS,42180,Repair palate,,,536.74,3408.0,10 HCPCS,42182,Repair palate,,,4564.0,20437.6,10 HCPCS,42200,Reconstruct cleft palate,,,5891.41,23971.0,10 HCPCS,42205,Reconstruct cleft palate,,,3299.54,23971.0,10 HCPCS,42210,Reconstruct cleft palate,,,5891.41,23971.0,10 HCPCS,42215,Reconstruct cleft palate,,,5891.41,23971.0,10 HCPCS,42220,Reconstruct cleft palate,,,5891.41,23971.0,10 HCPCS,42225,Reconstruct cleft palate,,,5891.41,23971.0,10 HCPCS,42226,Lengthening of palate,,,5891.41,23971.0,10 HCPCS,42227,Lengthening of palate,,,5220.0,23971.0,10 HCPCS,42235,Repair palate,,,5891.41,23971.0,10 HCPCS,42260,Repair nose to lip fistula,,,5891.41,20437.6,10 HCPCS,42280,Preparation palate mold,,,536.74,5220.0,10 HCPCS,42281,Insertion palate prosthesis,,,5220.0,20437.6,10 HCPCS,42299,Palate/uvula surgery,,,235.71,5220.0,10 HCPCS,42300,42300 Drainage Salivary Gland,4079.0,2039.5,,,0 HCPCS,42300,Drainage of salivary gland,,,1544.13,5790.0,10 HCPCS,42305,Drainage of salivary gland,,,3299.54,14111.0,10 HCPCS,42310,42310 I&D Absc-Submax/Lingual,1640.0,820.0,,,0 HCPCS,42310,Drainage of salivary gland,,,536.74,3408.0,10 HCPCS,42320,Drainage of salivary gland,,,536.74,3408.0,10 HCPCS,42330,42330 Removal Salivary Stone,4198.0,2099.0,,,0 HCPCS,42330,Removal of salivary stone,,,3299.54,11446.28,10 HCPCS,42335,Removal of salivary stone,,,3299.54,14111.0,10 HCPCS,42340,Removal of salivary stone,,,3299.54,11446.28,10 HCPCS,42400,Biopsy of salivary gland,,,704.73,3880.0,10 HCPCS,42400,"Needle Biopsy,Salivary Gland",2278.0,1139.0,,,0 HCPCS,42405,Biopsy of salivary gland,,,1544.13,5790.0,10 HCPCS,42408,Excision of salivary cyst,,,3299.54,14111.0,10 HCPCS,42409,Drainage of salivary cyst,,,3299.54,14111.0,10 HCPCS,42410,Excise parotid gland/lesion,,,5220.0,23971.0,10 HCPCS,42415,Excise parotid gland/lesion,,,5891.41,23971.0,10 HCPCS,42420,Excise parotid gland/lesion,,,5891.41,23971.0,10 HCPCS,42425,Excise parotid gland/lesion,,,5891.41,23971.0,10 HCPCS,42426,Excise parotid gland/lesion,,,5220.0,14111.0,3 HCPCS,42440,Excise submaxillary gland,,,5220.0,23971.0,10 HCPCS,42450,Excise sublingual gland,,,4564.0,20437.6,10 HCPCS,42500,Repair salivary duct,,,5220.0,20437.6,10 HCPCS,42505,Repair salivary duct,,,5891.41,23971.0,10 HCPCS,42507,Parotid duct diversion,,,5220.0,23971.0,10 HCPCS,42508,Parotid duct diversion,,,6448.0,6448.0,1 HCPCS,42509,Parotid duct diversion,,,5891.41,23971.0,10 HCPCS,42510,Parotid duct diversion,,,3299.54,23971.0,10 HCPCS,42550,Chgr-Injection Code Sialogram,798.0,399.0,,,0 HCPCS,42550,Injection for salivary x-ray,,,2375.0,5220.0,3 HCPCS,42600,Closure of salivary fistula,,,3299.54,11446.28,10 HCPCS,42650,Dilate Salivary Gland,5466.0,2733.0,,,0 HCPCS,42650,Dilation of salivary duct,,,1544.13,5790.0,10 HCPCS,42660,Dilation of salivary duct,,,536.74,5220.0,10 HCPCS,42665,Ligation of salivary duct,,,3299.54,14111.0,10 HCPCS,42699,42699 Unlisted Salivary Gland,6520.0,3260.0,,,0 HCPCS,42699,Salivary surgery procedure,,,235.71,5220.0,10 HCPCS,42700,42700 I&D Absc-Peritonsillar,1350.0,675.0,,,0 HCPCS,42700,Drainage of tonsil abscess,,,235.71,3408.0,10 HCPCS,42720,42720 Drainage Of Throat Abcss,6387.0,3193.5,,,0 HCPCS,42720,Drainage of throat abscess,,,3299.54,11446.28,10 HCPCS,42725,Drainage of throat abscess,,,4564.0,23971.0,10 HCPCS,42800,42800 Biopsy Oropharynx,4886.0,2443.0,,,0 HCPCS,42800,Biopsy Oropharynx,4886.0,2443.0,,,0 HCPCS,42800,Biopsy of throat,,,1544.13,5356.68,10 HCPCS,42802,Biopsy of throat,,,3408.0,3408.0,1 HCPCS,42804,Biopsy of upper nose/throat,,,3299.54,11446.28,10 HCPCS,42806,Biopsy of upper nose/throat,,,3299.54,14111.0,10 HCPCS,42808,Excise pharynx lesion,,,3299.54,14111.0,10 HCPCS,42809,42809 Pharyngeal Fb Removal,1194.0,597.0,,,0 HCPCS,42809,Remove pharynx foreign body,,,444.58,3408.0,10 HCPCS,42810,Excision of neck cyst,,,3299.54,14111.0,10 HCPCS,42815,Excision of neck cyst,,,5891.41,23971.0,10 HCPCS,42820,Remove tonsils and adenoids,,,5220.0,20437.6,10 HCPCS,42821,Remove tonsils and adenoids,,,3299.54,14111.0,10 HCPCS,42825,Removal of tonsils,,,5891.41,20437.6,10 HCPCS,42826,Removal of tonsils,,,3299.54,14111.0,10 HCPCS,42830,Removal of adenoids,,,3299.54,14111.0,10 HCPCS,42831,Removal of adenoids,,,3299.54,14111.0,10 HCPCS,42835,Removal of adenoids,,,3299.54,14111.0,10 HCPCS,42836,Removal of adenoids,,,3299.54,14111.0,10 HCPCS,42842,Extensive surgery of throat,,,5220.0,20437.6,10 HCPCS,42844,Extensive surgery of throat,,,5220.0,23971.0,10 HCPCS,42845,Extensive surgery of throat,,,5220.0,5790.0,3 HCPCS,42860,Excision of tonsil tags,,,3299.54,14111.0,10 HCPCS,42870,Excision of lingual tonsil,,,5220.0,20437.6,10 HCPCS,42890,Partial removal of pharynx,,,5891.41,23971.0,10 HCPCS,42892,Revision of pharyngeal walls,,,5891.41,23971.0,10 HCPCS,42894,Revision of pharyngeal walls,,,5220.0,5790.0,3 HCPCS,42900,Repair throat wound,,,1544.13,5790.0,10 HCPCS,42950,Reconstruction of throat,,,4564.0,20437.6,10 HCPCS,42953,Repair throat esophagus,,,5220.0,5790.0,3 HCPCS,42955,Surgical opening of throat,,,1544.13,5790.0,10 HCPCS,42960,42960 Contrl Orophar Bleed-Smp,1902.0,951.0,,,0 HCPCS,42960,Control throat bleeding,,,536.74,3408.0,10 HCPCS,42961,Control throat bleeding,,,5220.0,14111.0,3 HCPCS,42962,42962 Crtl Opa Hemorrh W/ Surg,8402.0,4201.0,,,0 HCPCS,42962,Control throat bleeding,,,3299.54,14111.0,10 HCPCS,42970,Control nose/throat bleeding,,,235.71,5220.0,10 HCPCS,42971,Control nose/throat bleeding,,,5220.0,5790.0,3 HCPCS,42972,Control nose/throat bleeding,,,3299.54,11446.28,10 HCPCS,42975,Dise eval slp do brth flx dx,,,1771.35,6144.91,9 HCPCS,42999,42999 Throat Surgery Procedure,565.0,282.5,,,0 HCPCS,42999,Throat surgery procedure,,,235.71,5220.0,10 HCPCS,43020,Incision of esophagus,,,1544.13,5790.0,10 HCPCS,43030,Throat muscle surgery,,,5220.0,23971.0,10 HCPCS,43045,Incision of esophagus,,,5220.0,5790.0,3 HCPCS,43100,Excision of esophagus lesion,,,5220.0,5790.0,3 HCPCS,43101,Excision of esophagus lesion,,,5220.0,5790.0,3 HCPCS,43107,Removal of esophagus,,,5220.0,5790.0,3 HCPCS,43108,Removal of esophagus,,,5220.0,5790.0,3 HCPCS,43112,Removal of esophagus,,,5220.0,5790.0,3 HCPCS,43113,Removal of esophagus,,,5220.0,5790.0,3 HCPCS,43116,Partial removal of esophagus,,,5220.0,5790.0,3 HCPCS,43117,Partial removal of esophagus,,,5220.0,5790.0,3 HCPCS,43118,Partial removal of esophagus,,,5220.0,5790.0,3 HCPCS,43121,Partial removal of esophagus,,,5220.0,5790.0,3 HCPCS,43122,Partial removal of esophagus,,,5220.0,5790.0,3 HCPCS,43123,Partial removal of esophagus,,,5220.0,5790.0,3 HCPCS,43124,Removal of esophagus,,,5220.0,5790.0,3 HCPCS,43130,Removal of esophagus pouch,,,5220.0,23971.0,10 HCPCS,43135,Removal of esophagus pouch,,,5220.0,5790.0,3 HCPCS,43180,Esophagoscopy rigid trnso,,,5220.0,20437.6,10 HCPCS,43191,Esophagoscopy rigid trnso dx,,,1909.69,6624.83,10 HCPCS,43192,Esophagoscp rig trnso inject,,,1909.69,6624.83,10 HCPCS,43193,Esophagoscp rig trnso biopsy,,,1909.69,6624.83,10 HCPCS,43194,Esophagoscp rig trnso rem fb,,,1909.69,6624.83,10 HCPCS,43195,Esophagoscopy rigid balloon,,,3836.96,13310.62,10 HCPCS,43196,Esophagoscp guide wire dilat,,,1909.69,6624.83,10 HCPCS,43197,Esophagoscopy flex dx brush,,,902.63,5790.0,10 HCPCS,43198,Esophagosc flex trnsn biopsy,,,902.63,5790.0,10 HCPCS,43200,Esophagoscopy flexible brush,,,902.63,5790.0,10 HCPCS,43201,Esoph scope w/submucous inj,,,1909.69,6624.83,10 HCPCS,43202,Esophagoscopy flex biopsy,,,1909.69,6624.83,10 HCPCS,43204,Esoph scope w/sclerosis inj,,,1909.69,6624.83,10 HCPCS,43205,Esophagus endoscopy/ligation,,,1909.69,6624.83,10 HCPCS,43206,Esoph optical endomicroscopy,,,1909.69,7337.0,10 HCPCS,43210,Egd esophagogastrc fndoplsty,,,5220.0,36698.4,10 HCPCS,43211,Esophagoscop mucosal resect,,,1909.69,6624.83,10 HCPCS,43212,Esophagoscop stent placement,,,5220.0,20959.15,10 HCPCS,43213,Esophagoscopy retro balloon,,,1909.69,6624.83,10 HCPCS,43214,Esophagosc dilate balloon 30,,,1909.69,6624.83,10 HCPCS,43215,43215 Esophagus Endoscopyw/Fb,2770.0,1385.0,,,0 HCPCS,43215,Esophagoscopy flex remove fb,,,1909.69,6624.83,10 HCPCS,43216,Esophagoscopy lesion removal,,,1909.69,14111.0,10 HCPCS,43217,Esophagoscopy snare les remv,,,1909.69,6624.83,10 HCPCS,43219,Esophagus endoscopy,,,3408.0,3408.0,1 HCPCS,43220,Esophagoscopy balloon <30mm,,,1909.69,6624.83,10 HCPCS,43226,Esoph endoscopy dilation,,,1909.69,6624.83,10 HCPCS,43227,Esophagoscopy control bleed,,,1909.69,6624.83,10 HCPCS,43228,"Esoph endoscopy, ablation",,,4564.0,4564.0,1 HCPCS,43229,Esophagoscopy lesion ablate,,,3836.96,14111.0,10 HCPCS,43231,Esophagoscop ultrasound exam,,,1909.69,6624.83,10 HCPCS,43232,Esophagoscopy w/us needle bx,,,1909.69,6624.83,10 HCPCS,43233,Egd balloon dil esoph30 mm/>,,,1909.69,6624.83,10 HCPCS,43235,Egd diagnostic brush wash,,,902.63,5790.0,10 HCPCS,43236,Uppr gi scope w/submuc inj,,,902.63,5790.0,10 HCPCS,43237,Endoscopic us exam esoph,,,1909.69,6624.83,10 HCPCS,43238,Egd us fine needle bx/aspir,,,1909.69,6624.83,10 HCPCS,43239,Egd biopsy single/multiple,,,902.63,5790.0,10 HCPCS,43240,Egd w/transmural drain cyst,,,4564.0,20959.15,10 HCPCS,43241,Egd tube/cath insertion,,,1909.69,6624.83,10 HCPCS,43242,Egd us fine needle bx/aspir,,,1909.69,6624.83,10 HCPCS,43243,Egd injection varices,,,1909.69,6624.83,10 HCPCS,43244,Egd varices ligation,,,1909.69,6624.83,10 HCPCS,43245,Egd dilate stricture,,,1909.69,6624.83,10 HCPCS,43246,Egd place gastrostomy tube,,,1909.69,6624.83,10 HCPCS,43247,43247 Upper Gi Endosc W Fb Rem,3278.0,1639.0,,,0 HCPCS,43247,Egd remove foreign body,,,902.63,5790.0,10 HCPCS,43248,Egd guide wire insertion,,,902.63,5790.0,10 HCPCS,43249,Esoph egd dilation <30 mm,,,1909.69,6624.83,10 HCPCS,43250,Egd cautery tumor polyp,,,1909.69,6624.83,10 HCPCS,43251,Egd remove lesion snare,,,1909.69,6624.83,10 HCPCS,43252,Egd optical endomicroscopy,,,1909.69,7337.0,10 HCPCS,43253,Egd us transmural injxn/mark,,,1909.69,6624.83,10 HCPCS,43254,Egd endo mucosal resection,,,1909.69,6624.83,10 HCPCS,43255,Egd control bleeding any,,,1909.69,6624.83,10 HCPCS,43256,Uppr Gi Endoscopy W Stent,,,5220.0,5220.0,1 HCPCS,43257,Egd w/thrml txmnt gerd,,,3836.96,14111.0,10 HCPCS,43258,Operative upper GI endoscopy,,,5220.0,5220.0,1 HCPCS,43259,Egd us exam duodenum/jejunum,,,1909.69,6624.83,10 HCPCS,43260,Ercp w/specimen collection,,,3836.96,14111.0,10 HCPCS,43261,Endo cholangiopancreatograph,,,3836.96,14111.0,10 HCPCS,43261,Ercp W/Biopsy Single/Multiple,8467.0,4233.5,,,0 HCPCS,43262,Endo cholangiopancreatograph,,,3836.96,14111.0,10 HCPCS,43263,Ercp sphincter pressure meas,,,1909.69,14111.0,10 HCPCS,43264,Ercp remove duct calculi,,,3836.96,14111.0,10 HCPCS,43265,Ercp lithotripsy calculi,,,4564.0,20959.15,10 HCPCS,43266,Egd endoscopic stent place,,,5220.0,20959.15,10 HCPCS,43267,Endo cholangiopancreatograph,,,4564.0,4564.0,1 HCPCS,43268,Endo cholangiopancreatograph,,,4564.0,4564.0,1 HCPCS,43269,Endo cholangiopancreatograph,,,4564.0,4564.0,1 HCPCS,43270,Egd lesion ablation,,,1909.69,6624.83,10 HCPCS,43271,Endo cholangiopancreatograph,,,4564.0,4564.0,1 HCPCS,43272,Endo cholangiopancreatograph,,,4564.0,4564.0,1 HCPCS,43273,Endoscopic pancreatoscopy,,,2375.0,13700.0,3 HCPCS,43274,Ercp duct stent placement,,,5220.0,20959.15,10 HCPCS,43275,Ercp remove forgn body duct,,,1909.69,6624.83,10 HCPCS,43276,Ercp stent exchange w/dilate,,,5220.0,20959.15,10 HCPCS,43277,Ercp ea duct/ampulla dilate,,,3836.96,14111.0,10 HCPCS,43278,Ercp lesion ablate w/dilate,,,3836.96,14111.0,10 HCPCS,43279,Lap myotomy heller,,,5220.0,29398.0,3 HCPCS,43280,Laparoscopy fundoplasty,,,7337.0,36698.4,10 HCPCS,43281,Lap paraesophag hern repair,,,5220.0,36698.4,10 HCPCS,43282,Lap paraesoph her rpr w/mesh,,,5220.0,36698.4,10 HCPCS,43283,Lap esoph lengthening,,,5220.0,5790.0,3 HCPCS,43284,Laps esophgl sphnctr agmntj,,,10578.79,36698.4,9 HCPCS,43285,Rmvl esophgl sphnctr dev,,,6016.5,29398.0,9 HCPCS,43286,Esphg tot w/laps moblj,,,5220.0,5790.0,3 HCPCS,43287,Esphg dstl 2/3 w/laps moblj,,,5220.0,5790.0,3 HCPCS,43288,Esphg thrsc moblj,,,5220.0,5790.0,3 HCPCS,43289,Laparoscope proc esoph,,,5220.0,23971.0,10 HCPCS,43290,Egd flx trnsorl dplmnt balo,,,1909.69,6624.83,9 HCPCS,43291,Egd flx trnsorl rmvl balo,,,902.63,5790.0,9 HCPCS,43300,Repair of esophagus,,,5220.0,5790.0,3 HCPCS,43305,Repair esophagus and fistula,,,5220.0,5790.0,3 HCPCS,43310,Repair of esophagus,,,5220.0,5790.0,3 HCPCS,43312,Repair esophagus and fistula,,,5220.0,5790.0,3 HCPCS,43313,Esophagoplasty congenital,,,5220.0,5790.0,3 HCPCS,43314,Tracheo-esophagoplasty cong,,,5220.0,5790.0,3 HCPCS,43320,Fuse esophagus & stomach,,,5220.0,5790.0,3 HCPCS,43325,Revise esophagus & stomach,,,5220.0,5790.0,3 HCPCS,43327,Esoph fundoplasty lap,,,5220.0,5790.0,3 HCPCS,43328,Esoph fundoplasty thor,,,5220.0,5790.0,3 HCPCS,43330,Esophagomyotomy abdominal,,,5220.0,5790.0,3 HCPCS,43331,Esophagomyotomy thoracic,,,5220.0,5790.0,3 HCPCS,43332,Transab esoph hiat hern rpr,,,5220.0,5790.0,3 HCPCS,43333,Transab esoph hiat hern rpr,,,5220.0,5790.0,3 HCPCS,43334,Transthor diaphrag hern rpr,,,5220.0,5790.0,3 HCPCS,43335,Transthor diaphrag hern rpr,,,5220.0,5790.0,3 HCPCS,43336,Thorabd diaphr hern repair,,,5220.0,5790.0,3 HCPCS,43337,Thorabd diaphr hern repair,,,5220.0,5790.0,3 HCPCS,43338,Esoph lengthening,,,5220.0,5790.0,3 HCPCS,43340,Fuse esophagus & intestine,,,5220.0,5790.0,3 HCPCS,43341,Fuse esophagus & intestine,,,5220.0,5790.0,3 HCPCS,43351,Surgical opening esophagus,,,5220.0,5790.0,3 HCPCS,43352,Surgical opening esophagus,,,5220.0,5790.0,3 HCPCS,43360,Gastrointestinal repair,,,5220.0,5790.0,3 HCPCS,43361,Gastrointestinal repair,,,5220.0,5790.0,3 HCPCS,43400,Ligate esophagus veins,,,5220.0,29398.0,3 HCPCS,43405,Ligate/staple esophagus,,,5220.0,5790.0,3 HCPCS,43410,Repair esophagus wound,,,5220.0,5790.0,3 HCPCS,43415,Repair esophagus wound,,,5220.0,5790.0,3 HCPCS,43420,Repair esophagus opening,,,3299.54,14111.0,10 HCPCS,43425,Repair esophagus opening,,,5220.0,5790.0,3 HCPCS,43450,Dilate esophagus 1/mult pass,,,902.63,5790.0,10 HCPCS,43453,Dilate esophagus,,,1909.69,6624.83,10 HCPCS,43456,Dilate esophagus,,,4564.0,4564.0,1 HCPCS,43458,Dilate esophagus,,,4564.0,4564.0,1 HCPCS,43460,43460 Esopg/Gstr Tamponade W/Balo Sengstaken Type,4363.0,2181.5,,,0 HCPCS,43460,Pressure treatment esophagus,,,5220.0,5790.0,3 HCPCS,43496,Free jejunum flap microvasc,,,5220.0,5790.0,3 HCPCS,43497,Transorl lwr esophgl myotomy,,,6041.75,20959.15,9 HCPCS,43499,Esophagus surgery procedure,,,902.63,5790.0,10 HCPCS,43500,Surgical opening of stomach,,,5220.0,5790.0,3 HCPCS,43501,Surgical repair of stomach,,,5220.0,5790.0,3 HCPCS,43502,Surgical repair of stomach,,,5220.0,5790.0,3 HCPCS,43510,Surgical opening of stomach,,,902.63,5790.0,10 HCPCS,43520,Incision of pyloric muscle,,,5220.0,5790.0,3 HCPCS,43605,Biopsy of stomach,,,5220.0,14111.0,3 HCPCS,43610,Excision of stomach lesion,,,5220.0,5790.0,3 HCPCS,43611,Excision of stomach lesion,,,5220.0,5790.0,3 HCPCS,43620,Removal of stomach,,,5220.0,5790.0,3 HCPCS,43621,Removal of stomach,,,5220.0,5790.0,3 HCPCS,43622,Removal of stomach,,,5220.0,5790.0,3 HCPCS,43631,Removal of stomach partial,,,5220.0,5790.0,3 HCPCS,43632,Removal of stomach partial,,,5220.0,5790.0,3 HCPCS,43633,Removal of stomach partial,,,5220.0,5790.0,3 HCPCS,43634,Removal of stomach partial,,,5220.0,5790.0,3 HCPCS,43635,Removal of stomach partial,,,5220.0,5790.0,3 HCPCS,43640,Vagotomy & pylorus repair,,,5220.0,5790.0,3 HCPCS,43641,Vagotomy & pylorus repair,,,5220.0,5790.0,3 HCPCS,43644,Lap gastric bypass/roux-en-y,,,5220.0,29398.0,3 HCPCS,43645,Lap gastr bypass incl smll i,,,5220.0,29398.0,3 HCPCS,43647,Lap impl electrode antrum,,,11089.19,38469.0,10 HCPCS,43648,Lap revise/remv eltrd antrum,,,10578.79,36698.4,10 HCPCS,43651,Laparoscopy vagus nerve,,,6016.5,29398.0,10 HCPCS,43652,Laparoscopy vagus nerve,,,6016.5,29398.0,10 HCPCS,43653,Laparoscopy gastrostomy,,,6016.5,29398.0,10 HCPCS,43659,Laparoscope proc stom,,,5220.0,23971.0,10 HCPCS,43752,Nasal/orogastric w/tube plmt,,,444.58,5220.0,10 HCPCS,43752,Naso/Oro-Gastric Tube Plmt Req Phys&Fluor Gdnce,850.0,425.0,,,0 HCPCS,43753,43753 Tx Gastro Intub W/Asp,414.0,207.0,,,0 HCPCS,43753,Gastric Intubtn W/Aspiratn,414.0,207.0,,,0 HCPCS,43753,Tx gastro intub w/asp,,,214.89,3408.0,10 HCPCS,43754,Dx gastr intub w/asp spec,,,214.89,3408.0,10 HCPCS,43755,Dx gastr intub w/asp specs,,,128.06,3408.0,10 HCPCS,43756,Dx duod intub w/asp spec,,,902.63,5790.0,10 HCPCS,43757,Dx duod intub w/asp specs,,,902.63,5790.0,10 HCPCS,43760,Change gastrostomy tube,,,3408.0,3408.0,1 HCPCS,43761,43761 Repos Gtube Thru Duoden,2047.0,1023.5,,,0 HCPCS,43761,Repos Gtube Thru Duoden,2047.0,1023.5,,,0 HCPCS,43761,Reposition gastrostomy tube,,,248.65,3408.0,10 HCPCS,43762,43762 Rplc Gtube No Revj Trc,1934.0,967.0,,,0 HCPCS,43762,Rplc Gtube No Revj Trc,1934.0,967.0,,,0 HCPCS,43762,Rplc gtube no revj trc,,,248.65,5220.0,10 HCPCS,43763,43763 Rplc Gtube Rev Gstrt Trc,2128.0,1064.0,,,0 HCPCS,43763,Rplc Gtube Revj Gstrst Trc,2128.0,1064.0,,,0 HCPCS,43763,Rplc gtube revj gstrst trc,,,248.65,5220.0,10 HCPCS,43770,Lap place gastr adj device,,,5220.0,36698.4,10 HCPCS,43771,Lap revise gastr adj device,,,5220.0,19040.0,3 HCPCS,43772,Lap rmvl gastr adj device,,,3836.96,19040.0,10 HCPCS,43773,Lap replace gastr adj device,,,5220.0,23971.0,10 HCPCS,43774,Lap rmvl gastr adj all parts,,,3836.96,35289.0,10 HCPCS,43775,Lap sleeve gastrectomy,,,5220.0,29398.0,3 HCPCS,43800,Reconstruction of pylorus,,,5220.0,5790.0,3 HCPCS,43810,Fusion of stomach and bowel,,,5220.0,5790.0,3 HCPCS,43820,Fusion of stomach and bowel,,,5220.0,5790.0,3 HCPCS,43825,Fusion of stomach and bowel,,,5220.0,5790.0,3 HCPCS,43830,Place gastrostomy tube,,,1909.69,14111.0,10 HCPCS,43831,Place gastrostomy tube,,,902.63,5790.0,10 HCPCS,43832,Place gastrostomy tube,,,5220.0,5790.0,3 HCPCS,43840,Repair of stomach lesion,,,3836.96,19040.0,10 HCPCS,43842,V-band gastroplasty,,,5220.0,5790.0,3 HCPCS,43843,Gastroplasty w/o v-band,,,5220.0,23971.0,3 HCPCS,43845,Gastroplasty duodenal switch,,,5220.0,5790.0,3 HCPCS,43846,Gastric bypass for obesity,,,5220.0,5790.0,3 HCPCS,43847,Gastric bypass incl small i,,,5220.0,5790.0,3 HCPCS,43848,Revision gastroplasty,,,5220.0,5790.0,3 HCPCS,43850,Revise stomach-bowel fusion,,,5220.0,5220.0,1 HCPCS,43855,Revise stomach-bowel fusion,,,5220.0,5220.0,1 HCPCS,43860,Revise stomach-bowel fusion,,,5220.0,5790.0,3 HCPCS,43865,Revise stomach-bowel fusion,,,5220.0,5790.0,3 HCPCS,43870,Repair stomach opening,,,3408.0,14111.0,10 HCPCS,43880,Repair stomach-bowel fistula,,,5220.0,5790.0,3 HCPCS,43881,Impl/redo electrd antrum,,,5220.0,5790.0,3 HCPCS,43882,Revise/remove electrd antrum,,,5220.0,5790.0,3 HCPCS,43886,Revise gastric port open,,,3408.0,19040.0,10 HCPCS,43887,Remove gastric port open,,,2053.37,7123.26,10 HCPCS,43888,Change gastric port open,,,3526.71,19040.0,10 HCPCS,43889,Gstr rstcv px trnsorl esg,,,10578.79,36698.4,7 HCPCS,43999,43999 Unlisted Procedure Stomach,2626.0,1313.0,,,0 HCPCS,43999,Lap Band Adjustment,2626.0,1313.0,,,0 HCPCS,43999,Stomach surgery procedure,,,902.63,5790.0,10 HCPCS,43999,Unlisted Procedure Stomach,2626.0,1313.0,,,0 HCPCS,44005,Freeing of bowel adhesion,,,5220.0,5790.0,3 HCPCS,44010,Incision of small bowel,,,5220.0,5790.0,3 HCPCS,44015,Insert needle cath bowel,,,5220.0,5790.0,3 HCPCS,44015,Tube/Needle Jejunostomy,4196.0,2098.0,,,0 HCPCS,44020,Explore small intestine,,,5220.0,5790.0,3 HCPCS,44021,Decompress small bowel,,,5220.0,5790.0,3 HCPCS,44025,Incision of large bowel,,,5220.0,5790.0,3 HCPCS,44050,Reduce bowel obstruction,,,5220.0,5790.0,3 HCPCS,44055,Correct malrotation of bowel,,,5220.0,5790.0,3 HCPCS,44100,Biopsy of bowel,,,902.63,5790.0,10 HCPCS,44110,Excise intestine lesion(s),,,5220.0,5790.0,3 HCPCS,44111,Excision of bowel lesion(s),,,5220.0,5790.0,3 HCPCS,44120,Removal of small intestine,,,5220.0,5790.0,3 HCPCS,44121,Removal of small intestine,,,5220.0,5790.0,3 HCPCS,44125,Removal of small intestine,,,5220.0,5790.0,3 HCPCS,44126,Enterectomy w/o taper cong,,,5220.0,5790.0,3 HCPCS,44127,Enterectomy w/taper cong,,,5220.0,5790.0,3 HCPCS,44128,Enterectomy cong add-on,,,5220.0,5790.0,3 HCPCS,44130,Bowel to bowel fusion,,,5220.0,5790.0,3 HCPCS,44132,Enterectomy cadaver donor,,,5220.0,5790.0,3 HCPCS,44133,Enterectomy live donor,,,5220.0,5790.0,3 HCPCS,44135,Intestine transplnt cadaver,,,5220.0,5790.0,3 HCPCS,44136,Intestine transplant live,,,5220.0,5790.0,3 HCPCS,44137,Remove intestinal allograft,,,5220.0,5790.0,3 HCPCS,44139,Mobilization of colon,,,5220.0,5790.0,3 HCPCS,44140,Partial removal of colon,,,5220.0,5790.0,3 HCPCS,44141,Partial removal of colon,,,5220.0,5790.0,3 HCPCS,44143,Partial removal of colon,,,5220.0,5790.0,3 HCPCS,44144,Partial removal of colon,,,5220.0,5790.0,3 HCPCS,44145,Partial removal of colon,,,5220.0,5790.0,3 HCPCS,44146,Partial removal of colon,,,5220.0,5790.0,3 HCPCS,44147,Partial removal of colon,,,5220.0,5790.0,3 HCPCS,44150,Removal of colon,,,5220.0,5790.0,3 HCPCS,44151,Removal of colon/ileostomy,,,5220.0,5790.0,3 HCPCS,44155,Removal of colon/ileostomy,,,5220.0,5790.0,3 HCPCS,44156,Removal of colon/ileostomy,,,5220.0,5790.0,3 HCPCS,44157,Colectomy w/Ileoanal Anast,,,5220.0,5790.0,3 HCPCS,44158,Colectomy w/Neo-Rectum Pouch,,,5220.0,5790.0,3 HCPCS,44160,Removal of colon,,,5220.0,5790.0,3 HCPCS,44180,Lap enterolysis,,,6016.5,29398.0,10 HCPCS,44186,Lap jejunostomy,,,6016.5,29398.0,10 HCPCS,44187,Lap ileo/jejuno-stomy,,,5220.0,5790.0,3 HCPCS,44188,Lap colostomy,,,5220.0,5790.0,3 HCPCS,44202,Lap enterectomy,,,5220.0,23971.0,3 HCPCS,44203,Lap resect s/intestine addl,,,5220.0,23971.0,3 HCPCS,44204,Laparo partial colectomy,,,5220.0,23971.0,3 HCPCS,44205,Lap colectomy part w/ileum,,,5220.0,5790.0,3 HCPCS,44206,Lap part colectomy w/stoma,,,5220.0,5790.0,3 HCPCS,44207,L colectomy/coloproctostomy,,,5220.0,5790.0,3 HCPCS,44208,L colectomy/coloproctostomy,,,5220.0,5790.0,3 HCPCS,44210,Laparo total proctocolectomy,,,5220.0,5790.0,3 HCPCS,44211,Lap colectomy w/proctectomy,,,5220.0,5790.0,3 HCPCS,44212,Laparo total proctocolectomy,,,5220.0,5790.0,3 HCPCS,44213,Lap mobil splenic fl add-on,,,5220.0,5790.0,3 HCPCS,44227,Lap close enterostomy,,,5220.0,5790.0,3 HCPCS,44238,Laparoscope proc intestine,,,5220.0,23971.0,10 HCPCS,44300,Open bowel to skin,,,1909.69,6624.83,10 HCPCS,44310,Ileostomy/jejunostomy,,,5220.0,5790.0,3 HCPCS,44312,Revision of ileostomy,,,3408.0,19040.0,10 HCPCS,44314,Revision of ileostomy,,,3526.71,19040.0,10 HCPCS,44316,Devise bowel pouch,,,5220.0,5790.0,3 HCPCS,44320,Colostomy,,,5220.0,5790.0,3 HCPCS,44322,Colostomy with biopsies,,,5220.0,5790.0,3 HCPCS,44340,Revision of colostomy,,,3526.71,19040.0,10 HCPCS,44345,Revision of colostomy,,,3526.71,19040.0,10 HCPCS,44346,Revision of colostomy,,,3526.71,19040.0,10 HCPCS,44360,Small bowel endoscopy,,,1909.69,6624.83,10 HCPCS,44361,Small bowel endoscopy/biopsy,,,1909.69,6624.83,10 HCPCS,44363,Small bowel endoscopy,,,1909.69,6624.83,10 HCPCS,44364,Small bowel endoscopy,,,1909.69,6624.83,10 HCPCS,44365,Small bowel endoscopy,,,1909.69,6624.83,10 HCPCS,44366,Small bowel endoscopy,,,1909.69,6624.83,10 HCPCS,44369,Small bowel endoscopy,,,1909.69,6624.83,10 HCPCS,44370,Small Bowel Endoscopy/Stent,,,6041.75,20959.15,10 HCPCS,44372,44372 Sm Intstn Endo Perc Jeju,4659.0,2329.5,,,0 HCPCS,44372,Small bowel endoscopy,,,1909.69,6624.83,10 HCPCS,44373,Chgr-Sp Convert G To J Tube,3355.0,1677.5,,,0 HCPCS,44373,Small bowel endoscopy,,,1909.69,6624.83,10 HCPCS,44376,Small bowel endoscopy,,,1909.69,6624.83,10 HCPCS,44377,Small bowel endoscopy/biopsy,,,1909.69,6624.83,10 HCPCS,44378,Small bowel endoscopy,,,1909.69,6624.83,10 HCPCS,44379,S Bowel Endoscope W/Stent,,,6041.75,20959.15,10 HCPCS,44380,Small bowel endoscopy br/wa,,,902.63,5790.0,10 HCPCS,44381,Small bowel endoscopy br/wa,,,1909.69,6624.83,10 HCPCS,44382,Small bowel endoscopy,,,902.63,5790.0,10 HCPCS,44383,Ileoscopy W/Stent,,,13700.0,13700.0,1 HCPCS,44384,Small bowel endoscopy,,,1909.69,6624.83,10 HCPCS,44385,Endoscopy Of Bowel Pouch,3452.0,1726.0,,,0 HCPCS,44385,Endoscopy of bowel pouch,,,925.49,5790.0,10 HCPCS,44386,Endoscopy bowel pouch/biop,,,925.49,5790.0,10 HCPCS,44388,Colonoscopy thru stoma spx,,,925.49,5790.0,10 HCPCS,44389,Colonoscopy with biopsy,,,1190.9,5790.0,10 HCPCS,44390,Colonoscopy for foreign body,,,925.49,5790.0,10 HCPCS,44391,Colonoscopy for bleeding,,,1190.9,5790.0,10 HCPCS,44392,Colonoscopy & polypectomy,,,1190.9,5790.0,10 HCPCS,44393,"Colonoscopy, lesion removal",,,3408.0,3408.0,1 HCPCS,44394,Colonoscopy w/snare,,,1190.9,5790.0,10 HCPCS,44397,Colonoscopy W Stent,,,3408.0,3408.0,1 HCPCS,44401,Colonoscopy with ablation,,,1190.9,5790.0,10 HCPCS,44402,Colonoscopy w/stent plcmt,,,5220.0,20959.15,10 HCPCS,44403,Colonoscopy w/resection,,,1190.9,5790.0,10 HCPCS,44404,Colonoscopy w/injection,,,1190.9,5790.0,10 HCPCS,44405,Colonoscopy w/dilation,,,1190.9,5790.0,10 HCPCS,44406,Colonoscopy w/ultrasound,,,1190.9,5790.0,10 HCPCS,44407,Colonoscopy w/ndl aspir/bx,,,1190.9,5790.0,10 HCPCS,44408,Colonoscopy w/decompression,,,925.49,5790.0,10 HCPCS,44500,44500 Intro Gastrointestinal Tube,2978.0,1489.0,,,0 HCPCS,44500,Intro gastrointestinal tube,,,902.63,5790.0,10 HCPCS,44500,Place Enterocyclis Tube,2978.0,1489.0,,,0 HCPCS,44602,Suture small intestine,,,3836.96,14111.0,10 HCPCS,44603,Suture small intestine,,,5220.0,5790.0,3 HCPCS,44604,Suture large intestine,,,5220.0,5790.0,3 HCPCS,44605,Repair of bowel lesion,,,5220.0,5790.0,3 HCPCS,44615,Intestinal stricturoplasty,,,5220.0,5790.0,3 HCPCS,44620,Repair bowel opening,,,5220.0,5790.0,3 HCPCS,44625,Repair bowel opening,,,5220.0,5790.0,3 HCPCS,44626,Repair bowel opening,,,5220.0,5790.0,3 HCPCS,44640,Repair bowel-skin fistula,,,5220.0,5790.0,3 HCPCS,44650,Repair bowel fistula,,,5220.0,5790.0,3 HCPCS,44660,Repair bowel-bladder fistula,,,5220.0,5790.0,3 HCPCS,44661,Repair bowel-bladder fistula,,,5220.0,5790.0,3 HCPCS,44680,Surgical revision intestine,,,5220.0,5790.0,3 HCPCS,44700,Suspend bowel w/prosthesis,,,5220.0,5790.0,3 HCPCS,44701,Intraop colon lavage add-on,,,2375.0,5220.0,3 HCPCS,44705,Prepare fecal microbiota,,,5220.0,5220.0,1 HCPCS,44715,Prepare donor intestine,,,5220.0,5790.0,3 HCPCS,44720,Prep donor intestine/venous,,,5220.0,5790.0,3 HCPCS,44721,Prep donor intestine/artery,,,5220.0,5790.0,3 HCPCS,44799,44799 Unlist Proc Intestine,2738.0,1369.0,,,0 HCPCS,44799,Unlisted px small intestine,,,902.63,5790.0,10 HCPCS,44800,Excision of bowel pouch,,,5220.0,5790.0,3 HCPCS,44820,Excision of mesentery lesion,,,5220.0,5790.0,3 HCPCS,44850,Repair of mesentery,,,5220.0,5790.0,3 HCPCS,44899,Bowel surgery procedure,,,5220.0,5790.0,3 HCPCS,44900,Drain appendix abscess open,,,5220.0,5790.0,3 HCPCS,44950,Appendectomy,,,5220.0,22350.2,10 HCPCS,44955,Appendectomy add-on,,,2375.0,5220.0,3 HCPCS,44960,Appendectomy,,,5220.0,5790.0,3 HCPCS,44970,Laparoscopy appendectomy,,,6016.5,29398.0,10 HCPCS,44979,Laparoscope proc app,,,5220.0,23971.0,10 HCPCS,45000,Drainage of pelvic abscess,,,1190.9,5790.0,10 HCPCS,45005,45005 I&D Submuc Absc-Rectum,3297.0,1648.5,,,0 HCPCS,45005,Drainage of rectal abscess,,,1190.9,5790.0,10 HCPCS,45020,Drainage of rectal abscess,,,2762.33,9582.68,10 HCPCS,45100,Biopsy of rectum,,,2762.33,9582.68,10 HCPCS,45100,Bx Anorectal Wall,3828.0,1914.0,,,0 HCPCS,45108,Removal of anorectal lesion,,,2762.33,14111.0,10 HCPCS,45110,Removal of rectum,,,5220.0,5790.0,3 HCPCS,45111,Partial removal of rectum,,,5220.0,5790.0,3 HCPCS,45112,Removal of rectum,,,5220.0,5790.0,3 HCPCS,45113,Partial proctectomy,,,5220.0,5790.0,3 HCPCS,45114,Partial removal of rectum,,,5220.0,5790.0,3 HCPCS,45116,Partial removal of rectum,,,5220.0,5790.0,3 HCPCS,45119,Remove rectum w/reservoir,,,5220.0,5790.0,3 HCPCS,45120,Removal of rectum,,,5220.0,5790.0,3 HCPCS,45121,Removal of rectum and colon,,,5220.0,5790.0,3 HCPCS,45123,Partial proctectomy,,,5220.0,29398.0,3 HCPCS,45126,Pelvic exenteration,,,5220.0,5790.0,3 HCPCS,45130,Excision of rectal prolapse,,,5220.0,5790.0,3 HCPCS,45135,Excision of rectal prolapse,,,5220.0,5790.0,3 HCPCS,45136,Excise ileoanal reservior,,,5220.0,5790.0,3 HCPCS,45150,Excision of rectal stricture,,,1190.9,5790.0,10 HCPCS,45160,Excision of rectal lesion,,,2762.33,14111.0,10 HCPCS,45171,Exc rect tum transanal part,,,2762.33,14111.0,10 HCPCS,45172,Exc rect tum transanal full,,,2762.33,19040.0,10 HCPCS,45190,Destruction rectal tumor,,,2762.33,14111.0,10 HCPCS,45300,Proctosigmoidoscopy,2118.0,1059.0,,,0 HCPCS,45300,Proctosigmoidoscopy dx,,,925.49,3880.0,10 HCPCS,45303,Proctosigmoidoscopy dilate,,,1190.9,5790.0,10 HCPCS,45305,Proctosigmoidoscopy w/bx,,,1190.9,5790.0,10 HCPCS,45307,45307 Proctosgmdsc Rigid W/Rmvl Foreign Body,6082.0,3041.0,,,0 HCPCS,45307,Proctosigmoidoscopy fb,,,2762.33,14111.0,10 HCPCS,45308,Proctosigmoidoscopy removal,,,2762.33,9582.68,10 HCPCS,45309,Proctosigmoidoscopy removal,,,1190.9,5790.0,10 HCPCS,45315,Proctosigmoidoscopy removal,,,1190.9,5790.0,10 HCPCS,45317,Proctosigmoidoscopy bleed,,,1190.9,5790.0,10 HCPCS,45320,Proctosigmoidoscopy ablate,,,2762.33,14111.0,10 HCPCS,45321,Proctosigmoidoscopy volvul,,,2762.33,14111.0,10 HCPCS,45327,Proctosigmoidoscopy W/Stent,,,3408.0,20959.15,10 HCPCS,45327,"Proctosigmoidscpy,Rigid W/Stnt",4991.0,2495.5,,,0 HCPCS,45330,Chg - Sigmoidoscopy,1930.0,965.0,,,0 HCPCS,45330,Diagnostic sigmoidoscopy,,,925.49,3880.0,10 HCPCS,45331,Flexible Sigmoid For Biopsy,2118.0,1059.0,,,0 HCPCS,45331,Sigmoidoscopy and biopsy,,,925.49,3880.0,10 HCPCS,45332,Sigmoidoscopy w/fb removal,,,1190.9,5790.0,10 HCPCS,45333,Sigmoidoscopy & polypectomy,,,925.49,3880.0,10 HCPCS,45334,Sigmoidoscopy for bleeding,,,1190.9,5790.0,10 HCPCS,45335,Sigmoidoscopy w/submuc inj,,,925.49,3880.0,10 HCPCS,45337,Sigmoidoscopy & decompress,,,925.49,5790.0,10 HCPCS,45338,Sigmoidoscopy w/tumr remove,,,1190.9,5790.0,10 HCPCS,45339,Sigmoidoscopy,,,3408.0,3408.0,1 HCPCS,45340,Sig w/tndsc balloon dilation,,,1190.9,5790.0,10 HCPCS,45341,Sigmoidoscopy W/Ultrasound,,,925.49,5790.0,10 HCPCS,45342,Sigmoidoscopy W/Us Guide Bx,,,1190.9,5790.0,10 HCPCS,45345,Sigmodoscopy W/Stent,,,3408.0,3408.0,1 HCPCS,45346,Sigmoidoscopy w/ablation,,,1190.9,5790.0,10 HCPCS,45347,Sigmoidoscopy w/plcmt stent,,,5220.0,20959.15,10 HCPCS,45347,"Sigmoidoscopy,Flex W/Stent",5366.0,2683.0,,,0 HCPCS,45349,Sigmoidoscopy w/resection,,,2762.33,9582.68,10 HCPCS,45350,Sgmdsc w/band ligation,,,1190.9,5790.0,10 HCPCS,45355,Surgical colonoscopy,,,3408.0,3408.0,1 HCPCS,45378,Diagnostic Colonoscopy,2329.0,1164.5,,,0 HCPCS,45378,Diagnostic colonoscopy,,,925.49,5790.0,10 HCPCS,45379,Colonoscopy w/fb removal,,,1190.9,5790.0,10 HCPCS,45380,Colonoscopy and biopsy,,,1190.9,5790.0,10 HCPCS,45381,Colonoscopy submucous njx,,,1190.9,5790.0,10 HCPCS,45382,Colonoscopy w/control bleed,,,1190.9,5790.0,10 HCPCS,45383,Lesion removal colonoscopy,,,4564.0,4564.0,1 HCPCS,45384,Colonoscopy w/lesion removal,,,1190.9,5790.0,10 HCPCS,45385,Colonoscopy w/lesion removal,,,1190.9,5790.0,10 HCPCS,45386,Colonoscopy w/balloon dilat,,,1190.9,5790.0,10 HCPCS,45387,Colonoscopy W/Stent,,,3408.0,3408.0,1 HCPCS,45388,Colonoscopy w/ablation,,,1190.9,5790.0,10 HCPCS,45389,Colonoscopy w/stent plcmt,,,5220.0,20959.15,10 HCPCS,45390,Colonoscopy w/resection,,,2762.33,9582.68,10 HCPCS,45391,Colonoscopy w/endoscope us,,,1190.9,5790.0,10 HCPCS,45392,Colonoscopy w/endoscopic fnb,,,1190.9,5790.0,10 HCPCS,45393,Colonoscopy w/decompression,,,1190.9,5790.0,10 HCPCS,45395,Lap removal of rectum,,,5220.0,5790.0,3 HCPCS,45397,Lap remove rectum w/pouch,,,5220.0,5790.0,3 HCPCS,45398,Colonoscopy w/band ligation,,,1190.9,5790.0,10 HCPCS,45399,45399 Unlisted Procedure Colon,2807.0,1403.5,,,0 HCPCS,45399,Unlisted procedure colon,,,925.49,5790.0,10 HCPCS,45400,Laparoscopic proc,,,5220.0,19040.0,3 HCPCS,45402,Lap proctopexy w/sig resect,,,5220.0,5790.0,3 HCPCS,45499,Laparoscope proc rectum,,,5220.0,23971.0,10 HCPCS,45500,Repair of rectum,,,2762.33,14111.0,10 HCPCS,45505,Repair of rectum,,,2762.33,19040.0,10 HCPCS,45520,Treatment of rectal prolapse,,,925.49,5220.0,10 HCPCS,45540,Correct rectal prolapse,,,5220.0,5790.0,3 HCPCS,45541,Correct rectal prolapse,,,2762.33,19040.0,10 HCPCS,45550,Repair rectum/remove sigmoid,,,5220.0,5790.0,3 HCPCS,45560,Repair of rectocele,,,2762.33,19040.0,10 HCPCS,45562,Exploration/repair of rectum,,,5220.0,5790.0,3 HCPCS,45563,Exploration/repair of rectum,,,5220.0,5790.0,3 HCPCS,45800,Repair rect/bladder fistula,,,5220.0,5790.0,3 HCPCS,45805,Repair fistula w/colostomy,,,5220.0,5790.0,3 HCPCS,45820,Repair rectourethral fistula,,,5220.0,5790.0,3 HCPCS,45825,Repair fistula w/colostomy,,,5220.0,5790.0,3 HCPCS,45900,Reduction of rectal prolapse,,,925.49,3880.0,10 HCPCS,45905,Dilation of anal sphincter,,,1190.9,5790.0,10 HCPCS,45910,Dilation of rectal narrowing,,,1190.9,5790.0,10 HCPCS,45915,45915 Remove Fecal Impaction Or Fb,3746.0,1873.0,,,0 HCPCS,45915,Remove rectal obstruction,,,1190.9,5790.0,10 HCPCS,45990,Surg dx exam anorectal,,,2762.33,9582.68,10 HCPCS,45999,45999 Unlistd Procedure Rectum,2766.0,1383.0,,,0 HCPCS,45999,Rectum surgery procedure,,,925.49,5220.0,10 HCPCS,46020,Placement of seton,,,2762.33,14111.0,10 HCPCS,46030,Removal of rectal marker,,,1190.9,5790.0,10 HCPCS,46040,46040 I&D Ischo/Perirectl Absc,5597.0,2798.5,,,0 HCPCS,46040,Ad-Ishiore Perirectal,5597.0,2798.5,,,0 HCPCS,46040,Incision of rectal abscess,,,1190.9,5790.0,10 HCPCS,46045,46045 Incision Rectal Abscess,4143.0,2071.5,,,0 HCPCS,46045,Incision of rectal abscess,,,2762.33,14111.0,10 HCPCS,46050,46050 I&D Supficl Perianl Absc,3297.0,1648.5,,,0 HCPCS,46050,Chg - Ad-Perianal Superficial,3297.0,1648.5,,,0 HCPCS,46050,I&D Perianal Abscess Superficial,3297.0,1648.5,,,0 HCPCS,46050,Incision of anal abscess,,,925.49,3880.0,10 HCPCS,46060,Incision of rectal abscess,,,2762.33,9582.68,10 HCPCS,46070,Incision of anal septum,,,2762.33,9582.68,10 HCPCS,46080,Incision of anal sphincter,,,2762.33,9582.68,10 HCPCS,46083,46083 Ext Incis-Thrombosd Pile,794.0,397.0,,,0 HCPCS,46083,Chg - 46083 Ext Incis-Thrombosd Pile,794.0,397.0,,,0 HCPCS,46083,Incise external hemorrhoid,,,248.65,3408.0,10 HCPCS,46200,Removal of anal fissure,,,2762.33,14111.0,10 HCPCS,46220,Excise Anal Ext Tag/Papilla,7767.0,3883.5,,,0 HCPCS,46220,Excise anal ext tag/papilla,,,1190.9,5790.0,10 HCPCS,46221,Chg - Ligation Of Hemorrhoid(S),2904.0,1452.0,,,0 HCPCS,46221,Ligation of hemorrhoid(s),,,925.49,3880.0,10 HCPCS,46230,Removal Of Anal Tabs,11732.0,5866.0,,,0 HCPCS,46230,Removal of anal tags,,,2762.33,9582.68,10 HCPCS,46250,Remove ext hem groups 2+,,,2762.33,14111.0,10 HCPCS,46255,46255 Remove Int/Ext Hem 1 Grp,4423.0,2211.5,,,0 HCPCS,46255,Remove int/ext hem 1 group,,,2762.33,14111.0,10 HCPCS,46257,Remove in/ex hem grp & fiss,,,2762.33,14111.0,10 HCPCS,46258,Remove in/ex hem grp w/fistu,,,2762.33,14111.0,10 HCPCS,46260,Remove in/ex hem groups 2+,,,2762.33,14111.0,10 HCPCS,46261,Remove in/ex hem grps & fiss,,,2762.33,14111.0,10 HCPCS,46262,Remove in/ex hem grps w/fist,,,2762.33,14111.0,10 HCPCS,46270,Remove anal fist subq,,,2762.33,14111.0,10 HCPCS,46275,Remove anal fist inter,,,2762.33,14111.0,10 HCPCS,46280,Remove anal fist complex,,,2762.33,14111.0,10 HCPCS,46285,Remove anal fist 2 stage,,,2762.33,14111.0,10 HCPCS,46288,Repair anal fistula,,,2762.33,19040.0,10 HCPCS,46320,46320 Removal Hemorrhoid Clot,4198.0,2099.0,,,0 HCPCS,46320,Chg - Removal Of Hemorrhoid Clot,4198.0,2099.0,,,0 HCPCS,46320,Removal of hemorrhoid clot,,,1190.9,5790.0,10 HCPCS,46500,46500 Injection Into Hemorrhoids,2866.0,1433.0,,,0 HCPCS,46500,Injection into hemorrhoid(s),,,925.49,5220.0,10 HCPCS,46505,Chemodenervation anal musc,,,1190.9,5790.0,10 HCPCS,46600,46600 Diagnostic Anoscopy,391.0,195.5,,,0 HCPCS,46600,Chg - 46600 Diagnostic Anoscopy,391.0,195.5,,,0 HCPCS,46600,Diagnostic anoscopy spx,,,132.41,5220.0,10 HCPCS,46601,Diagnostic anoscopy,,,444.58,5220.0,10 HCPCS,46604,Anoscopy and dilation,,,1190.9,5790.0,10 HCPCS,46606,Anoscopy and biopsy,,,1190.9,5790.0,10 HCPCS,46606,Chg - Anoscopy And Biopsy,5857.0,2928.5,,,0 HCPCS,46607,Diagnostic Anoscopy & Biopsy,3173.0,1586.5,,,0 HCPCS,46607,Diagnostic anoscopy & biopsy,,,1190.9,5790.0,10 HCPCS,46608,46608 Anoscopy With Removal Fb,3039.0,1519.5,,,0 HCPCS,46608,Anoscopy remove for body,,,925.49,5790.0,10 HCPCS,46610,Anoscopy remove lesion,,,2762.33,14111.0,10 HCPCS,46611,Anoscopy,,,925.49,5790.0,10 HCPCS,46612,Anoscopy remove lesions,,,2762.33,14111.0,10 HCPCS,46614,Anoscopy control bleeding,,,1190.9,5790.0,10 HCPCS,46614,Anoscopy;Control Bleeding,2146.0,1073.0,,,0 HCPCS,46615,Anoscopy,5857.0,2928.5,2762.33,14111.0,10 HCPCS,46700,Repair of anal stricture,,,2762.33,14111.0,10 HCPCS,46705,Repair of anal stricture,,,5220.0,5790.0,3 HCPCS,46706,Repr of anal fistula w/glue,,,2762.33,14111.0,10 HCPCS,46707,Repair anorectal fist w/plug,,,2762.33,19040.0,10 HCPCS,46710,Repr per/vag pouch sngl proc,,,5220.0,5790.0,3 HCPCS,46712,Repr per/vag pouch dbl proc,,,5220.0,5790.0,3 HCPCS,46715,Rep perf anoper fistu,,,5220.0,5790.0,3 HCPCS,46716,Rep perf anoper/vestib fistu,,,5220.0,5790.0,3 HCPCS,46730,Construction of absent anus,,,5220.0,5790.0,3 HCPCS,46735,Construction of absent anus,,,5220.0,5790.0,3 HCPCS,46740,Construction of absent anus,,,5220.0,5790.0,3 HCPCS,46742,Repair of imperforated anus,,,5220.0,5790.0,3 HCPCS,46744,Repair of cloacal anomaly,,,5220.0,5790.0,3 HCPCS,46746,Repair of cloacal anomaly,,,5220.0,5790.0,3 HCPCS,46748,Repair of cloacal anomaly,,,5220.0,5790.0,3 HCPCS,46750,Repair of anal sphincter,,,2762.33,19040.0,10 HCPCS,46751,Repair of anal sphincter,,,5220.0,5790.0,3 HCPCS,46753,Reconstruction of anus,,,2762.33,14111.0,10 HCPCS,46754,Removal of suture from anus,,,2762.33,9582.68,10 HCPCS,46760,Repair of anal sphincter,,,2762.33,19040.0,10 HCPCS,46761,Repair of anal sphincter,,,2762.33,19040.0,10 HCPCS,46762,Implant artificial sphincter,,,10181.0,10181.0,1 HCPCS,46900,"Destroy Anal Lesion Smpl,Chem",1290.0,645.0,,,0 HCPCS,46900,Destruction anal lesion(s),,,404.56,3408.0,10 HCPCS,46910,Destruction anal lesion(s),,,2053.37,7123.26,10 HCPCS,46916,Cryosurgery Anal Lesion(S),729.0,364.5,,,0 HCPCS,46916,Cryosurgery anal lesion(s),,,199.67,5220.0,10 HCPCS,46917,Laser surgery anal lesions,,,2762.33,14111.0,10 HCPCS,46922,"Chg - Destruction Anus Lesion,Excisn",7646.0,3823.0,,,0 HCPCS,46922,Excision of anal lesion(s),,,2762.33,14111.0,10 HCPCS,46924,Destruction anal lesion(s),,,2762.33,14111.0,10 HCPCS,46930,Destroy Internal Hemorrhoids,2610.0,1305.0,,,0 HCPCS,46930,Destroy internal hemorrhoids,,,1190.9,7337.0,10 HCPCS,46940,Treatment of anal fissure,,,2762.33,9582.68,10 HCPCS,46942,Treatment of anal fissure,,,925.49,3880.0,10 HCPCS,46945,Remove by ligat int hem grp,,,2762.33,14111.0,10 HCPCS,46946,Remove by ligat int hem grps,,,2762.33,14111.0,10 HCPCS,46947,Hemorrhoidopexy by stapling,,,2762.33,19040.0,10 HCPCS,46948,Int Hrhc Tranal Dartlzj 2+,8693.0,4346.5,,,0 HCPCS,46948,Int hrhc tranal dartlzj 2+,,,2762.33,14111.0,10 HCPCS,46999,46999 Unlist Proc Anus,3609.0,1804.5,,,0 HCPCS,46999,Anus surgery procedure,,,925.49,5220.0,10 HCPCS,47000,Liver Percutan (Separate Proc),3012.0,1506.0,,,0 HCPCS,47000,Needle biopsy of liver,,,1643.67,5790.0,10 HCPCS,47001,Chgr-Sp Bx Livertransjuglar,3836.0,1918.0,,,0 HCPCS,47001,Needle biopsy liver add-on,,,2375.0,5220.0,3 HCPCS,47010,Open drainage liver lesion,,,5220.0,5790.0,3 HCPCS,47015,Inject/aspirate liver cyst,,,5220.0,5790.0,3 HCPCS,47100,Wedge biopsy of liver,,,5220.0,14111.0,3 HCPCS,47120,Partial removal of liver,,,5220.0,5790.0,3 HCPCS,47122,Extensive removal of liver,,,5220.0,5790.0,3 HCPCS,47125,Partial removal of liver,,,5220.0,5790.0,3 HCPCS,47130,Partial removal of liver,,,5220.0,5790.0,3 HCPCS,47133,Removal of donor liver,,,5220.0,5790.0,3 HCPCS,47135,Transplantation of liver,,,5220.0,5790.0,3 HCPCS,47140,Partial removal donor liver,,,5220.0,5790.0,3 HCPCS,47141,Partial removal donor liver,,,5220.0,5790.0,3 HCPCS,47142,Partial removal donor liver,,,5220.0,5790.0,3 HCPCS,47143,Prep donor liver whole,,,5220.0,5790.0,3 HCPCS,47144,Prep donor liver 3-segment,,,5220.0,5790.0,3 HCPCS,47145,Prep donor liver lobe split,,,5220.0,5790.0,3 HCPCS,47146,Prep donor liver/venous,,,5220.0,5790.0,3 HCPCS,47147,Prep donor liver/arterial,,,5220.0,5790.0,3 HCPCS,47300,Surgery for liver lesion,,,5220.0,5790.0,3 HCPCS,47350,Repair liver wound,,,5220.0,5790.0,3 HCPCS,47360,Repair liver wound,,,5220.0,5790.0,3 HCPCS,47361,Repair liver wound,,,5220.0,5790.0,3 HCPCS,47362,Repair liver wound,,,5220.0,5790.0,3 HCPCS,47370,Laparo ablate liver tumor rf,,,5220.0,36698.4,10 HCPCS,47371,Laparo ablate liver cryosurg,,,5220.0,36698.4,10 HCPCS,47379,Laparoscope procedure liver,,,5220.0,23971.0,10 HCPCS,47380,Open ablate liver tumor rf,,,5220.0,5790.0,3 HCPCS,47381,Open ablate liver tumor cryo,,,5220.0,5790.0,3 HCPCS,47382,Abltj 1/> Lvr Tum Prq Rf,10758.0,5379.0,,,0 HCPCS,47382,Percut ablate liver rf,,,5220.0,29398.0,10 HCPCS,47383,Perq Abltj Lvr Cryoablation,17525.0,8762.5,,,0 HCPCS,47383,Perq abltj lvr cryoablation,,,5220.0,36698.4,10 HCPCS,47384,Abltj ire liver 1+ tum perq,,,10578.79,36698.4,7 HCPCS,47399,Liver surgery procedure,,,704.73,5220.0,10 HCPCS,47400,Incision of liver duct,,,5220.0,5790.0,3 HCPCS,47420,Incision of bile duct,,,5220.0,5790.0,3 HCPCS,47425,Incision of bile duct,,,5220.0,5790.0,3 HCPCS,47460,Incise bile duct sphincter,,,5220.0,5790.0,3 HCPCS,47480,Incision of gallbladder,,,5220.0,5790.0,3 HCPCS,47490,Chgr-Sp Ad Perc Chole,6440.0,3220.0,,,0 HCPCS,47490,Incision of gallbladder,,,3563.21,19040.0,10 HCPCS,47510,"Insert catheter, bile duct",,,4564.0,4564.0,1 HCPCS,47511,Insert bile duct drain,,,13700.0,13700.0,1 HCPCS,47525,Change bile duct catheter,,,3408.0,3408.0,1 HCPCS,47530,Revise/reinsert bile tube,,,3408.0,3408.0,1 HCPCS,47531,Injection for cholangiogram,,,3563.21,19040.0,10 HCPCS,47531,Njx Cholangio Prq W/Img Gid Rs&I Existing Access,10411.0,5205.5,,,0 HCPCS,47532,Inj Cholangiogram New Access,10411.0,5205.5,,,0 HCPCS,47532,Injection for cholangiogram,,,3563.21,19040.0,10 HCPCS,47533,Plmt Biliary Drainage Cath Ext,7169.0,3584.5,,,0 HCPCS,47533,Plmt biliary drainage cath,,,3563.21,19040.0,10 HCPCS,47534,Plmt Biliary Drain Cathint/Ext,7169.0,3584.5,,,0 HCPCS,47534,Plmt biliary drainage cath,,,3563.21,19040.0,10 HCPCS,47535,Conversion Ext Bil Drg Cath,7595.0,3797.5,,,0 HCPCS,47535,Conversion ext bil drg cath,,,3563.21,19040.0,10 HCPCS,47536,Exchange Biliary Drg Cath,7595.0,3797.5,,,0 HCPCS,47536,Exchange biliary drg cath,,,3563.21,19040.0,10 HCPCS,47537,Removal Biliary Drg Cath,1551.0,775.5,,,0 HCPCS,47537,Removal biliary drg cath,,,902.63,5790.0,10 HCPCS,47538,Perq Plmt Bile Duct Exst Acces,15991.0,7995.5,,,0 HCPCS,47538,Perq plmt bile duct stent,,,5220.0,29398.0,10 HCPCS,47539,Perq Plmt Bile New Ac W/O Cath,15737.0,7868.5,,,0 HCPCS,47539,Perq plmt bile duct stent,,,5220.0,29398.0,10 HCPCS,47540,Perq Plmt Bile New Acc W/ Cath,15737.0,7868.5,,,0 HCPCS,47540,Perq plmt bile duct stent,,,5220.0,29398.0,10 HCPCS,47541,Plmt Access Bil Tree Sm Bwl,9375.0,4687.5,,,0 HCPCS,47541,Plmt access bil tree sm bwl,,,5220.0,22350.2,10 HCPCS,47542,Dilate Biliary Duct/Ampulla,921.0,460.5,,,0 HCPCS,47542,Dilate biliary duct/ampulla,,,2375.0,5220.0,3 HCPCS,47543,Endoluminal Bx Biliary Tree,2010.0,1005.0,,,0 HCPCS,47543,Endoluminal bx biliary tree,,,2375.0,5220.0,3 HCPCS,47544,Removal Duct Glbldr Calculi,6758.0,3379.0,,,0 HCPCS,47544,Removal duct glbldr calculi,,,2375.0,5220.0,3 HCPCS,47550,Bile duct endoscopy add-on,,,2375.0,5220.0,3 HCPCS,47550,Biliary Ndsc Intraoperative,16725.0,8362.5,,,0 HCPCS,47552,Biliary Endo Prq T-Tube Dx W/Collect Spec Brush,16725.0,8362.5,,,0 HCPCS,47552,Biliary endo perq dx w/speci,,,4564.0,22350.2,10 HCPCS,47553,Biliary endoscopy thru skin,,,5220.0,29398.0,10 HCPCS,47553,Chgr-Sp Biliary Brush Bx,5492.0,2746.0,,,0 HCPCS,47554,Bil Endo W/ Stone Removal,5682.0,2841.0,,,0 HCPCS,47554,Biliary endoscopy thru skin,,,5220.0,36698.4,10 HCPCS,47555,Biliary endoscopy thru skin,,,5220.0,22350.2,10 HCPCS,47555,Chgr-Sp Perc Dil Bil. Strict W / O Stent,5492.0,2746.0,,,0 HCPCS,47556,Biliary endoscopy thru skin,,,10578.79,36698.4,10 HCPCS,47556,Chgr-Sp Perc Dil Bil. Strict W / Stent,5682.0,2841.0,,,0 HCPCS,47560,Laparoscopy w/cholangio,,,5220.0,5220.0,1 HCPCS,47561,Laparo w/cholangio/biopsy,,,5220.0,5220.0,1 HCPCS,47562,Laparoscopic cholecystectomy,,,5220.0,29398.0,10 HCPCS,47563,Laparo cholecystectomy/graph,,,5220.0,29398.0,10 HCPCS,47564,Laparo cholecystectomy/explr,,,5220.0,36698.4,10 HCPCS,47570,Laparo cholecystoenterostomy,,,5220.0,5790.0,3 HCPCS,47579,Laparoscope proc biliary,,,5220.0,23971.0,10 HCPCS,47600,Removal of gallbladder,,,5220.0,23971.0,3 HCPCS,47605,Removal of gallbladder,,,5220.0,5790.0,3 HCPCS,47610,Removal of gallbladder,,,5220.0,5790.0,3 HCPCS,47612,Removal of gallbladder,,,5220.0,5790.0,3 HCPCS,47620,Removal of gallbladder,,,5220.0,5790.0,3 HCPCS,47630,Remove bile duct stone,,,5220.0,5220.0,1 HCPCS,47700,Exploration of bile ducts,,,5220.0,5790.0,3 HCPCS,47701,Bile duct revision,,,5220.0,5790.0,3 HCPCS,47711,Excision of bile duct tumor,,,5220.0,5790.0,3 HCPCS,47712,Excision of bile duct tumor,,,5220.0,5790.0,3 HCPCS,47715,Excision of bile duct cyst,,,5220.0,5790.0,3 HCPCS,47720,Fuse gallbladder & bowel,,,5220.0,5790.0,3 HCPCS,47721,Fuse upper gi structures,,,5220.0,5790.0,3 HCPCS,47740,Fuse gallbladder & bowel,,,5220.0,5790.0,3 HCPCS,47741,Fuse gallbladder & bowel,,,5220.0,5790.0,3 HCPCS,47760,Fuse bile ducts and bowel,,,5220.0,5790.0,3 HCPCS,47765,Fuse liver ducts & bowel,,,5220.0,5790.0,3 HCPCS,47780,Fuse bile ducts and bowel,,,5220.0,5790.0,3 HCPCS,47785,Fuse bile ducts and bowel,,,5220.0,5790.0,3 HCPCS,47800,Reconstruction of bile ducts,,,5220.0,5790.0,3 HCPCS,47801,Chgr-Sp Choledochal Stent,5777.0,2888.5,,,0 HCPCS,47801,Placement bile duct support,,,5220.0,5790.0,3 HCPCS,47802,Fuse liver duct & intestine,,,5220.0,5220.0,1 HCPCS,47900,Suture bile duct injury,,,5220.0,5790.0,3 HCPCS,47999,Bile tract surgery procedure,,,902.63,5790.0,10 HCPCS,47999,Unlisted Procedure Biliary Tract,4615.0,2307.5,,,0 HCPCS,48000,Drainage of abdomen,,,5220.0,5790.0,3 HCPCS,48001,Placement of drain pancreas,,,5220.0,5790.0,3 HCPCS,48020,Removal of pancreatic stone,,,5220.0,5790.0,3 HCPCS,48100,Biopsy of pancreas open,,,5220.0,5790.0,3 HCPCS,48102,Bx Pancreas Percutaneous,2378.0,1189.0,,,0 HCPCS,48102,Needle biopsy pancreas,,,1643.67,5790.0,10 HCPCS,48105,Resect/Debride Pancreas,,,5220.0,5790.0,3 HCPCS,48120,Removal of pancreas lesion,,,5220.0,5790.0,3 HCPCS,48140,Partial removal of pancreas,,,5220.0,5790.0,3 HCPCS,48145,Partial removal of pancreas,,,5220.0,5790.0,3 HCPCS,48146,Pancreatectomy,,,5220.0,5790.0,3 HCPCS,48148,Removal of pancreatic duct,,,5220.0,5790.0,3 HCPCS,48150,Partial removal of pancreas,,,5220.0,5790.0,3 HCPCS,48152,Pancreatectomy,,,5220.0,5790.0,3 HCPCS,48153,Pancreatectomy,,,5220.0,5790.0,3 HCPCS,48154,Pancreatectomy,,,5220.0,5790.0,3 HCPCS,48155,Removal of pancreas,,,5220.0,5790.0,3 HCPCS,48160,Pancreas removal/transplant,,,5220.0,5790.0,3 HCPCS,48400,Injection intraop add-on,,,5220.0,5790.0,3 HCPCS,48500,Surgery of pancreatic cyst,,,5220.0,5790.0,3 HCPCS,48510,Drain pancreatic pseudocyst,,,5220.0,5790.0,3 HCPCS,48520,Fuse pancreas cyst and bowel,,,5220.0,5790.0,3 HCPCS,48540,Fuse pancreas cyst and bowel,,,5220.0,5790.0,3 HCPCS,48545,Pancreatorrhaphy,,,5220.0,5790.0,3 HCPCS,48547,Duodenal exclusion,,,5220.0,5790.0,3 HCPCS,48548,Fuse Pancreas and Bowel,,,5220.0,5790.0,3 HCPCS,48550,Donor pancreatectomy,,,5220.0,5220.0,1 HCPCS,48551,Prep donor pancreas,,,5220.0,5220.0,1 HCPCS,48552,Prep donor pancreas/venous,,,5220.0,5220.0,1 HCPCS,48554,Transpl allograft pancreas,,,5220.0,5220.0,1 HCPCS,48556,Removal allograft pancreas,,,5220.0,5220.0,1 HCPCS,48999,Pancreas surgery procedure,,,704.73,5220.0,10 HCPCS,49000,Exploration of abdomen,,,5220.0,19040.0,3 HCPCS,49002,Reopening of abdomen,,,5220.0,5790.0,3 HCPCS,49010,Exploration behind abdomen,,,5220.0,22350.2,10 HCPCS,49013,Prpertl pel pack hemrrg trma,,,5220.0,5790.0,3 HCPCS,49014,Reexploration pelvic wound,,,5220.0,5790.0,3 HCPCS,49020,Chgr-Sp Ad Peritoneal,5040.0,2520.0,,,0 HCPCS,49020,Drainage abdom abscess open,,,5220.0,5790.0,3 HCPCS,49040,Chgr-Abscess/Drain Subdiaphramat/Phrenic Surgical Code,2446.0,1223.0,,,0 HCPCS,49040,Drain open abdom abscess,,,5220.0,5790.0,3 HCPCS,49060,Drain open retroperi abscess,,,5220.0,5790.0,3 HCPCS,49062,Drain to peritoneal cavity,,,5220.0,5790.0,3 HCPCS,49082,49082 Abd Paracentesis,1801.0,900.5,,,0 HCPCS,49082,Abd Paracentesis,1999.0,999.5,,,0 HCPCS,49082,Abd paracentesis,,,902.63,5790.0,10 HCPCS,49083,49083 Abd Paracentesis W/Imag,3815.0,1907.5,,,0 HCPCS,49083,Abd Paracentesis W/Imaging,3815.0,1907.5,,,0 HCPCS,49083,Abd paracentesis w/imaging,,,902.63,5790.0,10 HCPCS,49083,"Paracentesis,Abd,W Imaging",3815.0,1907.5,,,0 HCPCS,49084,49084 Peritoneal Lavage,1801.0,900.5,,,0 HCPCS,49084,Peritoneal lavage,,,902.63,5790.0,10 HCPCS,49180,Biopsy abdominal mass,,,1643.67,5790.0,10 HCPCS,49180,Bx Abd/Retroperitoneal Percu,2263.0,1131.5,,,0 HCPCS,49185,Sclerotx Fluid Collection,4575.0,2287.5,,,0 HCPCS,49185,Sclerotx fluid collection,,,1643.67,5701.97,10 HCPCS,49186,Opn exc/dstr ntra-abd 5 cm/<,,,12739.0,14111.0,2 HCPCS,49187,Opn exc/dstr ntra-abd 5.1-10,,,12739.0,14111.0,2 HCPCS,49188,Opn exc/dst ntra-abd 10.1-20,,,12739.0,14111.0,2 HCPCS,49189,Opn exc/dst ntra-abd 20.1-30,,,17187.0,19040.0,2 HCPCS,49190,Opn exc/dstr ntra-abd >30 cm,,,17187.0,19040.0,2 HCPCS,49203,Exc abd tum 5 cm or less,,,5220.0,5220.0,1 HCPCS,49203,Ir Sclerosing Node/Cyst/Tumor,18477.0,9238.5,,,0 HCPCS,49204,Exc abd tum over 5 cm,,,5220.0,5220.0,1 HCPCS,49205,Exc abd tum over 10 cm,,,5220.0,5220.0,1 HCPCS,49215,Excise sacral spine tumor,,,5220.0,5790.0,3 HCPCS,49250,Excision of umbilicus,,,3563.21,19040.0,10 HCPCS,49255,Removal of omentum,,,5220.0,22350.2,10 HCPCS,49320,Diag laparo separate proc,,,5220.0,23971.0,10 HCPCS,49321,Laparoscopy biopsy,,,6016.5,23971.0,10 HCPCS,49322,Laparoscopy aspiration,,,6016.5,23971.0,10 HCPCS,49323,Laparo Drain Lymphocele,7420.0,3710.0,,,0 HCPCS,49323,Laparo drain lymphocele,,,6016.5,23971.0,10 HCPCS,49324,Lap insert tunnel ip cath,,,6016.5,23971.0,10 HCPCS,49325,Lap Revision Perm IP Cath,,,6016.5,23971.0,10 HCPCS,49326,Lap w/Omentopexy Add-on,,,2375.0,13700.0,3 HCPCS,49327,Lap ins device for rt,,,2375.0,13700.0,3 HCPCS,49329,Laparo & Rmvl Of Iud Abd Cavit,8747.0,4373.5,,,0 HCPCS,49329,Laparo proc abdm/per/oment,,,5220.0,23971.0,10 HCPCS,49400,Air injection into abdomen,,,2375.0,5220.0,3 HCPCS,49402,Remove foreign body adbomen,,,3563.21,19040.0,10 HCPCS,49405,Image Cath Fluid Colxn Visc,4332.0,2166.0,,,0 HCPCS,49405,Image cath fluid colxn visc,,,1643.67,5790.0,10 HCPCS,49406,Image Cath Fluid Peri/Retro,5138.0,2569.0,,,0 HCPCS,49406,Image cath fluid peri/retro,,,1643.67,5790.0,10 HCPCS,49407,Image Cath Fluid Trns/Vgnl,4202.0,2101.0,,,0 HCPCS,49407,Image cath fluid trns/vgnl,,,1643.67,5790.0,10 HCPCS,49411,Ins mark abd/pel for rt perq,,,1377.48,5790.0,10 HCPCS,49411,"Place Fiducial-Abc,Plv,Retro",1888.0,944.0,,,0 HCPCS,49412,Ins device for rt guide open,,,5220.0,5790.0,3 HCPCS,49418,Chgr-Cd Insert Tun Ip Cath Perc,9957.0,4978.5,,,0 HCPCS,49418,Insert Tun Ip Cath Perc,9957.0,4978.5,,,0 HCPCS,49418,Insert tun ip cath perc,,,3563.21,19040.0,10 HCPCS,49419,Insert tun ip cath w/port,,,3408.0,29398.0,10 HCPCS,49421,Ins Intraper Drain Cath Perm,6381.0,3190.5,,,0 HCPCS,49421,Ins tun ip cath for dial opn,,,3408.0,19040.0,10 HCPCS,49422,Rem Perm Peritoneal Drain Cath,5352.0,2676.0,,,0 HCPCS,49422,Remove tunneled ip cath,,,3142.32,19040.0,10 HCPCS,49423,Chgr-Sp Change Abscess Cath,3209.0,1604.5,,,0 HCPCS,49423,Exchange drainage catheter,,,1909.69,6624.83,10 HCPCS,49424,Abscessogram,616.0,308.0,,,0 HCPCS,49424,Assess cyst contrast inject,,,2375.0,5220.0,3 HCPCS,49425,Insert Peritoneal Venous Shunt,3940.0,1970.0,,,0 HCPCS,49425,Insert abdomen-venous drain,,,5220.0,5790.0,3 HCPCS,49426,Revise Peritoneal Venous Shunt,4387.0,2193.5,,,0 HCPCS,49426,Revise abdomen-venous shunt,,,3563.21,19040.0,10 HCPCS,49427,Inj Proc Peritoneal-Ven Shunt,1203.0,601.5,,,0 HCPCS,49427,Injection abdominal shunt,,,2375.0,5220.0,3 HCPCS,49428,Chgr-Sp Ligation Peritoneal-Ven Shunt,4517.0,2258.5,,,0 HCPCS,49428,Ligation of shunt,,,5220.0,5790.0,3 HCPCS,49429,Chgr-Sp Removal Peritoneal-Ven Shunt,4981.0,2490.5,,,0 HCPCS,49429,Removal of shunt,,,3142.32,19040.0,10 HCPCS,49435,Insert Subq Exten to IP Cath,,,4564.0,5790.0,3 HCPCS,49436,Embedded IP Cath Exit-Site,,,1909.69,6624.83,10 HCPCS,49440,Chgr-Insert Gastrostomy Tube Percutaneous,4085.0,2042.5,,,0 HCPCS,49440,Place gastrostomy tube perc,,,1909.69,6624.83,10 HCPCS,49441,"Insert Duo/Jej Tube,W Rad S&I",4085.0,2042.5,,,0 HCPCS,49441,Place duod/jej tube perc,,,1909.69,6624.83,10 HCPCS,49442,Chgr-Sp Insert Colonic Tube W / Rad S&I,6587.0,3293.5,,,0 HCPCS,49442,Place cecostomy tube perc,,,1190.9,7337.0,10 HCPCS,49446,Change g-tube to g-j perc,,,1909.69,6624.83,10 HCPCS,49446,Chgr-Sp Conv G Tube To Gj Tube W / Rad S&I,4085.0,2042.5,,,0 HCPCS,49450,Chgr-Sp Rpl Gastrostomy Tube W / Rad S&I,2978.0,1489.0,,,0 HCPCS,49450,Replace g/c tube perc,,,902.63,5790.0,10 HCPCS,49451,Replace Duodenostomy/Jejunostomy Tube Perq,2239.0,1119.5,,,0 HCPCS,49451,Replace duod/jej tube perc,,,902.63,5790.0,10 HCPCS,49452,Replace g-j tube perc,,,902.63,5790.0,10 HCPCS,49452,Replacement Gastro-Jejunostomy Tube Percutaneous,2263.0,1131.5,,,0 HCPCS,49460,Fix g/colon tube w/device,,,902.63,5790.0,10 HCPCS,49460,"Remove Tube Obstruct,W Rad S&I",1343.0,671.5,,,0 HCPCS,49465,Chgr-Injection / Checking Placement Of J Tube,1610.0,805.0,,,0 HCPCS,49465,Fluoro exam of g/colon tube,,,237.46,5220.0,10 HCPCS,49491,Rpr hern preemie reduc,,,5220.0,20871.56,10 HCPCS,49492,Rpr ing hern premie blocked,,,3563.21,19040.0,10 HCPCS,49495,Rpr ing hernia baby reduc,,,3563.21,19040.0,10 HCPCS,49496,Rpr ing hernia baby blocked,,,3563.21,19040.0,10 HCPCS,49500,Rpr ing hernia init reduce,,,6442.74,22350.2,10 HCPCS,49501,Rpr ing hernia init blocked,,,3563.21,19040.0,10 HCPCS,49505,Prp i/hern init reduc >5 yr,,,3563.21,19040.0,10 HCPCS,49507,Prp i/hern init block >5 yr,,,3563.21,19040.0,10 HCPCS,49520,Rerepair ing hernia reduce,,,3563.21,19040.0,10 HCPCS,49521,Rerepair ing hernia blocked,,,6442.74,22350.2,10 HCPCS,49525,Repair ing hernia sliding,,,3563.21,19040.0,10 HCPCS,49540,Repair lumbar hernia,,,4564.0,20871.56,10 HCPCS,49550,Rpr rem hernia init reduce,,,3563.21,19040.0,10 HCPCS,49553,Rpr fem hernia init blocked,,,3563.21,19040.0,10 HCPCS,49555,Rerepair fem hernia reduce,,,3563.21,19040.0,10 HCPCS,49557,Rerepair fem hernia blocked,,,3563.21,19040.0,10 HCPCS,49560,Rpr ventral hern init reduc,,,6448.0,6448.0,1 HCPCS,49561,Rpr ventral hern init block,,,13700.0,13700.0,1 HCPCS,49565,Rerepair ventrl hern reduce,,,6448.0,6448.0,1 HCPCS,49566,Rerepair ventrl hern block,,,13700.0,13700.0,1 HCPCS,49568,Hernia repair w/mesh,,,10181.0,10181.0,1 HCPCS,49570,Rpr epigastric hern reduce,,,6448.0,6448.0,1 HCPCS,49572,Rpr epigastric hern blocked,,,13700.0,13700.0,1 HCPCS,49580,Rpr umbil hern reduc < 5 yr,,,6448.0,6448.0,1 HCPCS,49582,Rpr umbil hern block < 5 yr,,,13700.0,13700.0,1 HCPCS,49585,Rpr umbil hern reduc > 5 yr,,,6448.0,6448.0,1 HCPCS,49587,Rpr umbil hern block > 5 yr,,,13700.0,13700.0,1 HCPCS,49590,Repair spigelian hernia,,,5220.0,5220.0,1 HCPCS,49591,Rpr aa hrn 1st < 3 cm rdc,,,3563.21,19040.0,9 HCPCS,49592,Rpr aa hrn 1st < 3 ncr/strn,,,6016.5,29398.0,9 HCPCS,49593,Rpr aa hrn 1st 3-10 rdc,,,6442.74,22350.2,9 HCPCS,49594,Rpr aa hrn 1st 3-10 ncr/strn,,,6016.5,29398.0,9 HCPCS,49595,Rpr aa hrn 1st > 10 rdc,,,6442.74,22350.2,9 HCPCS,49596,Rpr aa hrn 1st > 10 ncr/strn,,,26537.0,29398.0,2 HCPCS,49600,Repair umbilical lesion,,,3563.21,19040.0,10 HCPCS,49605,Repair umbilical lesion,,,5220.0,5790.0,3 HCPCS,49606,Repair umbilical lesion,,,5220.0,5790.0,3 HCPCS,49610,Repair umbilical lesion,,,5220.0,5790.0,3 HCPCS,49611,Repair umbilical lesion,,,5220.0,5790.0,3 HCPCS,49613,Rpr aa hrn rcr < 3 rdc,,,3563.21,19040.0,9 HCPCS,49614,Rpr aa hrn rcr < 3 ncr/strn,,,6016.5,29398.0,9 HCPCS,49615,Rpr aa hrn rcr 3-10 rdc,,,6442.74,22350.2,9 HCPCS,49616,Rpr aa hrn rcr 3-10 ncr/strn,,,26537.0,29398.0,2 HCPCS,49617,Rpr aa hrn rcr > 10 rdc,,,26537.0,29398.0,2 HCPCS,49618,Rpr aa hrn rcr > 10 ncr/strn,,,26537.0,29398.0,2 HCPCS,49621,Rpr parastomal hernia rdc,,,26537.0,29398.0,2 HCPCS,49622,Rpr parastomal hrna ncr/strn,,,26537.0,29398.0,2 HCPCS,49623,Rmvl ninfct mesh hernia rpr,,,2375.0,2633.0,2 HCPCS,49650,Lap ing hernia repair init,,,6016.5,29398.0,10 HCPCS,49651,Lap ing hernia repair recur,,,6016.5,29398.0,10 HCPCS,49652,Lap vent/abd hernia repair,,,13700.0,13700.0,1 HCPCS,49653,Lap vent/abd hern proc comp,,,13700.0,13700.0,1 HCPCS,49654,Lap inc hernia repair,,,13700.0,13700.0,1 HCPCS,49655,Lap inc hern repair comp,,,13700.0,13700.0,1 HCPCS,49656,Lap inc hernia repair recur,,,13700.0,13700.0,1 HCPCS,49657,Lap inc hern recur comp,,,13700.0,13700.0,1 HCPCS,49659,Laparo proc hernia repair,,,5220.0,23971.0,10 HCPCS,49900,Repair of abdominal wall,,,5220.0,5790.0,3 HCPCS,49904,Omental flap extra-abdom,,,5220.0,5790.0,3 HCPCS,49905,Omental flap intra-abdom,,,5220.0,23971.0,3 HCPCS,49906,Free omental flap microvasc,,,5220.0,5790.0,3 HCPCS,49999,"49999 Unlstd Abdmn, Pert Omntm",9572.0,4786.0,,,0 HCPCS,49999,Abdomen surgery procedure,,,902.63,5790.0,10 HCPCS,49999,Unlisted Procedure Abdomen Peritoneum & Omentum,9572.0,4786.0,,,0 HCPCS,50010,Exploration of kidney,,,5220.0,5790.0,3 HCPCS,50020,Renal abscess open drain,,,2080.35,14111.0,10 HCPCS,50040,Drainage of kidney,,,5220.0,14111.0,3 HCPCS,50045,Exploration of kidney,,,5220.0,5790.0,3 HCPCS,50060,Removal of kidney stone,,,5220.0,5790.0,3 HCPCS,50065,Incision of kidney,,,5220.0,5790.0,3 HCPCS,50070,Incision of kidney,,,5220.0,5790.0,3 HCPCS,50075,Removal of kidney stone,,,5220.0,5790.0,3 HCPCS,50080,Removal of kidney stone,,,5220.0,32681.98,10 HCPCS,50081,Removal of kidney stone,,,5220.0,32681.98,10 HCPCS,50100,Revise kidney blood vessels,,,5220.0,5790.0,3 HCPCS,50120,Exploration of kidney,,,5220.0,5790.0,3 HCPCS,50125,Explore and drain kidney,,,5220.0,5790.0,3 HCPCS,50130,Removal of kidney stone,,,5220.0,5790.0,3 HCPCS,50135,Exploration of kidney,,,5220.0,5220.0,1 HCPCS,50200,Bx Renal Percutaneous,3012.0,1506.0,,,0 HCPCS,50200,Renal biopsy perq,,,1643.67,5790.0,10 HCPCS,50205,Renal biopsy open,,,5220.0,5790.0,3 HCPCS,50220,Remove kidney open,,,5220.0,5790.0,3 HCPCS,50225,Removal kidney open complex,,,5220.0,5790.0,3 HCPCS,50230,Removal kidney open radical,,,5220.0,5790.0,3 HCPCS,50234,Removal of kidney & ureter,,,5220.0,5790.0,3 HCPCS,50236,Removal of kidney & ureter,,,5220.0,5790.0,3 HCPCS,50240,Partial removal of kidney,,,5220.0,5790.0,3 HCPCS,50250,Cryoablate renal mass open,,,5220.0,5790.0,3 HCPCS,50280,Removal of kidney lesion,,,5220.0,5790.0,3 HCPCS,50290,Removal of kidney lesion,,,5220.0,5790.0,3 HCPCS,50300,Remove cadaver donor kidney,,,5220.0,5790.0,3 HCPCS,50320,Remove kidney living donor,,,5220.0,5790.0,3 HCPCS,50323,Prep cadaver renal allograft,,,5220.0,5790.0,3 HCPCS,50325,Prep donor renal graft,,,5220.0,5790.0,3 HCPCS,50327,Prep renal graft/venous,,,5220.0,5790.0,3 HCPCS,50328,Prep renal graft/arterial,,,5220.0,5790.0,3 HCPCS,50329,Prep renal graft/ureteral,,,5220.0,5790.0,3 HCPCS,50340,Removal of kidney,,,5220.0,5790.0,3 HCPCS,50360,Transplantation of kidney,,,5220.0,5790.0,3 HCPCS,50365,Transplantation of kidney,,,5220.0,5790.0,3 HCPCS,50370,Remove transplanted kidney,,,5220.0,5790.0,3 HCPCS,50380,Reimplantation of kidney,,,5220.0,5790.0,3 HCPCS,50382,Change ureter stent percut,,,2080.35,14111.0,10 HCPCS,50382,Rem/Repl Int Uret Stent W/S&I,7006.0,3503.0,,,0 HCPCS,50384,Remove Ureter Stent Percut S&I,7006.0,3503.0,,,0 HCPCS,50384,Remove ureter stent percut,,,2080.35,14111.0,10 HCPCS,50385,Change Stent Via Transur,6403.0,3201.5,,,0 HCPCS,50385,Change stent via transureth,,,2080.35,14111.0,10 HCPCS,50386,50386 Remove Stent Transureth,6292.0,3146.0,,,0 HCPCS,50386,Remove stent via transureth,,,2080.35,14111.0,10 HCPCS,50387,Change nephroureteral cath,,,2080.35,7216.83,10 HCPCS,50387,Chgr-Sp Rem / Repl Ext Uret Stent W / S&I,7006.0,3503.0,,,0 HCPCS,50389,Chgr-Sp Rem Nephrostomy Tube W / Rad S&I,2101.0,1050.5,,,0 HCPCS,50389,Remove renal tube w/fluoro,,,693.95,3880.0,10 HCPCS,50390,Drainage of kidney lesion,,,704.73,3880.0,10 HCPCS,50390,Needle Asp/Inj Renal Cyst/Pelv,3012.0,1506.0,,,0 HCPCS,50391,Instll rx agnt into rnal tub,,,248.65,3408.0,10 HCPCS,50392,Insert kidney drain,,,3408.0,3408.0,1 HCPCS,50393,Insert ureteral tube,,,3408.0,3408.0,1 HCPCS,50395,Create passage to kidney,,,3408.0,3408.0,1 HCPCS,50396,Measure kidney pressure,,,693.95,3880.0,10 HCPCS,50398,Change kidney tube,,,3408.0,3408.0,1 HCPCS,50400,Revision of kidney/ureter,,,5220.0,19040.0,3 HCPCS,50405,Revision of kidney/ureter,,,5220.0,19040.0,3 HCPCS,50430,Njx Px Nfrosgrm &/Urtrgrm New,3288.0,1644.0,,,0 HCPCS,50430,Njx px nfrosgrm &/urtrgrm,,,693.95,5220.0,10 HCPCS,50431,Njx Px Nfrosgrm &/Urtrgrm Exst,3288.0,1644.0,,,0 HCPCS,50431,Njx px nfrosgrm &/urtrgrm,,,693.95,5220.0,10 HCPCS,50432,Plmt Nephrostomy Catheter,5257.0,2628.5,,,0 HCPCS,50432,Plmt nephrostomy catheter,,,2080.35,14111.0,10 HCPCS,50433,Plmt Nephroureteral Cath New A,4758.0,2379.0,,,0 HCPCS,50433,Plmt nephroureteral catheter,,,3508.06,14111.0,10 HCPCS,50434,Convert Nephrostomy Catheter,4758.0,2379.0,,,0 HCPCS,50434,Convert nephrostomy catheter,,,2080.35,7216.83,10 HCPCS,50435,Exchange Nephrostomy Cath,4767.0,2383.5,,,0 HCPCS,50435,Exchange nephrostomy cath,,,2080.35,7216.83,10 HCPCS,50436,Dilat Xst Trc Ndurlgc Px,7474.0,3737.0,,,0 HCPCS,50436,Dilat xst trc ndurlgc px,,,3508.06,14111.0,10 HCPCS,50437,Dilat Xst Trc New Access Rcs,8222.0,4111.0,,,0 HCPCS,50437,Dilat xst trc new access rcs,,,3508.06,19040.0,10 HCPCS,50500,Repair of kidney wound,,,5220.0,5790.0,3 HCPCS,50520,Close kidney-skin fistula,,,3499.0,5220.0,3 HCPCS,50525,Close nephrovisceral fistula,,,5220.0,5790.0,3 HCPCS,50526,Close nephrovisceral fistula,,,5220.0,5790.0,3 HCPCS,50540,Revision of horseshoe kidney,,,5220.0,5790.0,3 HCPCS,50541,Laparo ablate renal cyst,,,7337.0,36698.4,10 HCPCS,50542,Laparo ablate renal mass,,,5220.0,36698.4,10 HCPCS,50543,Laparo partial nephrectomy,,,5220.0,36698.4,10 HCPCS,50544,Laparoscopy pyeloplasty,,,7337.0,36698.4,10 HCPCS,50545,Laparo Radical Nephrectomy,,,5220.0,5790.0,3 HCPCS,50546,Laparoscopic nephrectomy,,,5220.0,5790.0,3 HCPCS,50547,Laparo removal donor kidney,,,5220.0,5790.0,3 HCPCS,50548,Laparo remove w/ureter,,,5220.0,5790.0,3 HCPCS,50549,Laparoscope proc renal,,,5220.0,23971.0,10 HCPCS,50551,Kidney endoscopy,,,3408.0,18511.05,10 HCPCS,50553,Kidney endoscopy,,,3408.0,18511.05,10 HCPCS,50555,Kidney endoscopy & biopsy,,,3408.0,32681.98,10 HCPCS,50557,Kidney endoscopy & treatment,,,3408.0,32681.98,10 HCPCS,50561,Kidney endoscopy & treatment,,,3408.0,18511.05,10 HCPCS,50562,Renal scope w/tumor resect,,,3408.0,32681.98,10 HCPCS,50570,Kidney endoscopy,,,3408.0,12169.63,10 HCPCS,50572,Kidney endoscopy,,,693.95,3880.0,10 HCPCS,50574,Kidney endoscopy & biopsy,,,3408.0,12169.63,10 HCPCS,50575,Kidney endoscopy,,,5220.0,23971.0,10 HCPCS,50576,Kidney endoscopy & treatment,,,5220.0,32681.98,10 HCPCS,50580,Kidney endoscopy & treatment,,,5220.0,18511.05,10 HCPCS,50590,Fragmenting of kidney stone,,,3508.06,29398.0,10 HCPCS,50592,Abltj 1/> Renal Tumor Prq Uni Radiofrequency,12483.0,6241.5,,,0 HCPCS,50592,Perc rf ablate renal tumor,,,3408.0,29398.0,10 HCPCS,50593,Perc Ablation Of Kidney,30220.0,15110.0,,,0 HCPCS,50593,Perc cryo ablate renal tum,,,10578.79,36698.4,10 HCPCS,50600,Exploration of ureter,,,5220.0,5790.0,3 HCPCS,50605,Insert ureteral support,,,5220.0,5790.0,3 HCPCS,50606,Endoluminal Bx Urtr Rnl Plvs,4758.0,2379.0,,,0 HCPCS,50606,Endoluminal bx urtr rnl plvs,,,2375.0,5220.0,3 HCPCS,50610,Removal of ureter stone,,,5220.0,5790.0,3 HCPCS,50620,Removal of ureter stone,,,5220.0,5790.0,3 HCPCS,50630,Removal of ureter stone,,,5220.0,5790.0,3 HCPCS,50650,Removal of ureter,,,5220.0,5790.0,3 HCPCS,50660,Removal of ureter,,,5220.0,5790.0,3 HCPCS,50684,Injection for ureter x-ray,,,2375.0,5220.0,3 HCPCS,50684,Ureterography Thru Existing,3830.0,1915.0,,,0 HCPCS,50686,Measure ureter pressure,,,128.06,5220.0,10 HCPCS,50688,Change Ureterostomy Cath.,4646.0,2323.0,,,0 HCPCS,50688,Change of ureter tube/stent,,,2080.35,7216.83,10 HCPCS,50690,Injection for ureter x-ray,,,2375.0,5220.0,3 HCPCS,50690,Loopogram,2825.0,1412.5,,,0 HCPCS,50693,Plmt Ureteral Stnt Prq Ext Acc,8712.0,4356.0,,,0 HCPCS,50693,Plmt ureteral stent prq,,,3508.06,19040.0,10 HCPCS,50694,Plmt Ureteral Stnt Prq W/Ocath,8712.0,4356.0,,,0 HCPCS,50694,Plmt ureteral stent prq,,,3508.06,19040.0,10 HCPCS,50695,Plmt Ureteral Stnt Prq W/Cath,8712.0,4356.0,,,0 HCPCS,50695,Plmt ureteral stent prq,,,3508.06,19040.0,10 HCPCS,50700,Revision of ureter,,,5220.0,5790.0,3 HCPCS,50705,Ureteral Embolization/Occl,3028.0,1514.0,,,0 HCPCS,50705,Ureteral embolization/occl,,,2375.0,5220.0,3 HCPCS,50706,Balloon Dilate Urtrl Strix,1359.0,679.5,,,0 HCPCS,50706,Balloon dilate urtrl strix,,,2375.0,5220.0,3 HCPCS,50715,Release of ureter,,,5220.0,5790.0,3 HCPCS,50722,Release of ureter,,,5220.0,5790.0,3 HCPCS,50725,Release/revise ureter,,,5220.0,5790.0,3 HCPCS,50727,Revise ureter,,,3508.06,14111.0,10 HCPCS,50728,Revise ureter,,,5220.0,5790.0,3 HCPCS,50740,Fusion of ureter & kidney,,,5220.0,5790.0,3 HCPCS,50750,Fusion of ureter & kidney,,,5220.0,5790.0,3 HCPCS,50760,Fusion of ureters,,,5220.0,5790.0,3 HCPCS,50770,Splicing of ureters,,,5220.0,5790.0,3 HCPCS,50780,Reimplant ureter in bladder,,,5220.0,14111.0,3 HCPCS,50782,Reimplant ureter in bladder,,,5220.0,5790.0,3 HCPCS,50783,Reimplant ureter in bladder,,,5220.0,5790.0,3 HCPCS,50785,Reimplant ureter in bladder,,,5220.0,5790.0,3 HCPCS,50800,Implant ureter in bowel,,,5220.0,5790.0,3 HCPCS,50810,Fusion of ureter & bowel,,,5220.0,5790.0,3 HCPCS,50815,Urine shunt to intestine,,,5220.0,5790.0,3 HCPCS,50820,Construct bowel bladder,,,5220.0,5790.0,3 HCPCS,50825,Construct bowel bladder,,,5220.0,5790.0,3 HCPCS,50830,Revise urine flow,,,5220.0,5790.0,3 HCPCS,50840,Replace ureter by bowel,,,5220.0,5790.0,3 HCPCS,50845,Appendico-vesicostomy,,,5220.0,5790.0,3 HCPCS,50860,Transplant ureter to skin,,,5220.0,5790.0,3 HCPCS,50900,Repair of ureter,,,5220.0,5790.0,3 HCPCS,50920,Closure ureter/skin fistula,,,5220.0,5790.0,3 HCPCS,50930,Closure ureter/bowel fistula,,,5220.0,5790.0,3 HCPCS,50940,Release of ureter,,,5220.0,5790.0,3 HCPCS,50945,Laparoscopy ureterolithotomy,,,6016.5,29398.0,10 HCPCS,50947,Laparo New Ureter/Bladder,,,10578.79,36698.4,10 HCPCS,50948,Laparo New Ureter/Bladder,,,10578.79,36698.4,10 HCPCS,50949,Laparoscope proc ureter,,,5220.0,23971.0,10 HCPCS,50951,Endoscopy of ureter,,,3408.0,12169.63,10 HCPCS,50953,50953 Endoscopy Of Ureter,8486.0,4243.0,,,0 HCPCS,50953,Endoscopy of ureter,,,3408.0,12169.63,10 HCPCS,50955,Ureter endoscopy & biopsy,,,3408.0,18511.05,10 HCPCS,50957,Ureter endoscopy & treatment,,,3408.0,18511.05,10 HCPCS,50961,Ureter endoscopy & treatment,,,3408.0,18511.05,10 HCPCS,50970,Ureter endoscopy,,,3408.0,12169.63,10 HCPCS,50972,Ureter endoscopy & catheter,,,3408.0,12169.63,10 HCPCS,50974,Ureter endoscopy & biopsy,,,3408.0,18511.05,10 HCPCS,50976,Ureter endoscopy & treatment,,,3408.0,18511.05,10 HCPCS,50980,Ureter endoscopy & treatment,,,3408.0,18511.05,10 HCPCS,51020,Incise & treat bladder,,,3508.06,14111.0,10 HCPCS,51030,Incise & treat bladder,,,6448.0,6448.0,1 HCPCS,51040,Incise & drain bladder,,,2080.35,14111.0,10 HCPCS,51045,Incise bladder/drain ureter,,,2080.35,7216.83,10 HCPCS,51050,Removal of bladder stone,,,5336.05,18511.05,10 HCPCS,51060,Removal of ureter stone,,,2080.35,23971.0,10 HCPCS,51065,Remove ureter calculus,,,3508.06,14111.0,10 HCPCS,51080,Chgr-Ct Abscess/Drainage Pervesical Or Prevesical Surgical Code,4066.0,2033.0,,,0 HCPCS,51080,Drainage of bladder abscess,,,2890.77,10028.23,10 HCPCS,51100,Drain bladder by needle,,,248.65,5220.0,10 HCPCS,51101,Drain bladder by trocar/cath,,,854.62,5790.0,10 HCPCS,51102,51102 Drain Bldr W/Cath Insert,4675.0,2337.5,,,0 HCPCS,51102,Chgr-Sp S Uprapubic Cath,4675.0,2337.5,,,0 HCPCS,51102,Drain bl w/cath insertion,,,2080.35,14111.0,10 HCPCS,51500,Removal of bladder cyst,,,6016.5,20871.56,10 HCPCS,51520,Removal of bladder lesion,,,3508.06,14111.0,10 HCPCS,51525,Removal of bladder lesion,,,5220.0,19040.0,3 HCPCS,51530,Removal of bladder lesion,,,5220.0,19040.0,3 HCPCS,51535,Repair of ureter lesion,,,3508.06,14111.0,10 HCPCS,51550,Partial removal of bladder,,,5220.0,5790.0,3 HCPCS,51555,Partial removal of bladder,,,5220.0,5790.0,3 HCPCS,51565,Revise bladder & ureter(s),,,5220.0,5790.0,3 HCPCS,51570,Removal of bladder,,,5220.0,5790.0,3 HCPCS,51575,Removal of bladder & nodes,,,5220.0,5790.0,3 HCPCS,51580,Remove bladder/revise tract,,,5220.0,5790.0,3 HCPCS,51585,Removal of bladder & nodes,,,5220.0,5790.0,3 HCPCS,51590,Remove bladder/revise tract,,,5220.0,5790.0,3 HCPCS,51595,Remove bladder/revise tract,,,5220.0,5790.0,3 HCPCS,51596,Remove bladder/create pouch,,,5220.0,5790.0,3 HCPCS,51597,Removal of pelvic structures,,,5220.0,5790.0,3 HCPCS,51600,Chgr-Njx Cstograpy/Voiding Urethrocstograpy,798.0,399.0,,,0 HCPCS,51600,Injection for bladder x-ray,,,2375.0,5220.0,3 HCPCS,51605,Chgr-Injection Code Cystogram,3240.0,1620.0,,,0 HCPCS,51605,Preparation for bladder xray,,,2375.0,5220.0,3 HCPCS,51610,Inj Retro Urethrocystography,2512.0,1256.0,,,0 HCPCS,51610,Injection for bladder x-ray,,,2375.0,5220.0,3 HCPCS,51700,51700 Bladder Irrigation,920.0,460.0,,,0 HCPCS,51700,Bldr Irrigation Smpl Lavage &/Instl,920.0,460.0,,,0 HCPCS,51700,Irrigation of bladder,,,248.65,5220.0,10 HCPCS,51701,51701 Non-Indwel Bladder Cath,345.0,172.5,,,0 HCPCS,51701,Chg Insert Bladder Straight Cath,345.0,172.5,,,0 HCPCS,51701,Insert bladder catheter,,,132.41,5220.0,10 HCPCS,51702,51702 Insert Temp Bladder Cath,317.0,158.5,,,0 HCPCS,51702,Insert Temp Bladder Cath,317.0,158.5,,,0 HCPCS,51702,Insert Temp Bladder Cath(Foley,317.0,158.5,,,0 HCPCS,51702,Insert Temp Bladder Cath(Foley),317.0,158.5,,,0 HCPCS,51702,Insert temp bladder cath,,,132.41,5220.0,10 HCPCS,51703,"51703 Insert Bladder Cath,Comp",468.0,234.0,,,0 HCPCS,51703,"Chg Insert Bladder Cath,Complex",468.0,234.0,,,0 HCPCS,51703,Insert bladder cath complex,,,128.06,3408.0,10 HCPCS,51705,51705 Chng Cystosto Tube;Simpl,946.0,473.0,,,0 HCPCS,51705,Change Cystostomy Tube Simple,946.0,473.0,,,0 HCPCS,51705,Change of bladder tube,,,248.65,3408.0,10 HCPCS,51710,51710 Change Of Bladder Tube,3054.0,1527.0,,,0 HCPCS,51710,Change Of Bladder Tube,3054.0,1527.0,,,0 HCPCS,51710,Change of bladder tube,,,693.95,3880.0,10 HCPCS,51715,Endoscopic injection/implant,,,3508.06,19040.0,10 HCPCS,51720,Bladder Chemo,2136.0,1068.0,,,0 HCPCS,51720,Treatment of bladder lesion,,,693.95,3408.0,10 HCPCS,51721,Ins trurl ablt trnsdc thr us,,,5226.0,5790.0,2 HCPCS,51725,Simple Cystometrogram,867.0,433.5,,,0 HCPCS,51725,Simple cystometrogram,,,248.65,3408.0,10 HCPCS,51726,Complex cystometrogram,,,248.65,3408.0,10 HCPCS,51727,Cystometrogram w/up,,,693.95,5220.0,10 HCPCS,51728,Cystometrogram W/Vp,2339.0,1169.5,,,0 HCPCS,51728,Cystometrogram w/vp,,,693.95,5220.0,10 HCPCS,51729,Cystometrogram w/vp&up,,,693.95,5220.0,10 HCPCS,51736,Urine flow measurement,,,132.41,5220.0,10 HCPCS,51741,Electro-uroflowmetry first,,,214.89,5220.0,10 HCPCS,51784,Anal/urinary muscle study,,,128.06,5220.0,10 HCPCS,51785,Anal/urinary muscle study,,,248.65,3408.0,10 HCPCS,51785,Needle Emg Anal Sphincter,1104.0,552.0,,,0 HCPCS,51792,Urinary reflex study,,,58.71,5220.0,10 HCPCS,51797,Intraabdominal Pressure Test,760.0,380.0,,,0 HCPCS,51797,Intraabdominal pressure test,,,2375.0,5220.0,3 HCPCS,51798,Chg Us Urine Capacity Measure,362.0,181.0,,,0 HCPCS,51798,Chgr Us Post Void Residual,362.0,181.0,,,0 HCPCS,51798,Measurment Post-Void Residual,362.0,181.0,,,0 HCPCS,51798,Us urine capacity measure,,,58.71,5220.0,10 HCPCS,51800,Revision of bladder/urethra,,,5220.0,5790.0,3 HCPCS,51820,Revision of urinary tract,,,5220.0,5790.0,3 HCPCS,51840,Attach bladder/urethra,,,4978.43,17270.44,10 HCPCS,51841,Attach bladder/urethra,,,5220.0,14111.0,3 HCPCS,51845,Repair bladder neck,,,4978.43,23971.0,10 HCPCS,51860,Repair of bladder wound,,,5220.0,32681.98,10 HCPCS,51865,Repair of bladder wound,,,5220.0,19040.0,3 HCPCS,51880,Repair of bladder opening,,,3408.0,14111.0,10 HCPCS,51900,Repair bladder/vagina lesion,,,5220.0,19040.0,3 HCPCS,51920,Close bladder-uterus fistula,,,5220.0,14111.0,3 HCPCS,51925,Hysterectomy/bladder repair,,,5220.0,5790.0,3 HCPCS,51940,Correction of bladder defect,,,5220.0,5790.0,3 HCPCS,51960,Revision of bladder & bowel,,,5220.0,5790.0,3 HCPCS,51980,Construct bladder opening,,,5220.0,14111.0,3 HCPCS,51990,Laparo urethral suspension,,,6016.5,29398.0,10 HCPCS,51992,Laparo sling operation,,,6016.5,29398.0,10 HCPCS,51999,Laparoscope proc bla,,,5220.0,23971.0,10 HCPCS,52000,52000 Cystoscopy,2864.0,1432.0,,,0 HCPCS,52000,Cystoscopy,2864.0,1432.0,693.95,3880.0,10 HCPCS,52001,52001 Cystoscopy Removal Of Clots,9723.0,4861.5,,,0 HCPCS,52001,Cystoscopy removal of clots,,,3508.06,12169.63,10 HCPCS,52005,52005 Cystoscopy & Ureter Cath,9723.0,4861.5,,,0 HCPCS,52005,Chgr Cystoscopy & Ureter Catheter,9723.0,4861.5,,,0 HCPCS,52005,Cystoscopy & ureter catheter,,,2080.35,14111.0,10 HCPCS,52007,Cystoscopy and biopsy,,,3508.06,14111.0,10 HCPCS,52010,Cystoscopy & duct catheter,,,693.95,4564.0,10 HCPCS,52204,Cystoscopy w/biopsy(s),,,2080.35,14111.0,10 HCPCS,52214,Cystoscopy and treatment,,,3508.06,14111.0,10 HCPCS,52224,Cystoscopy and treatment,,,3508.06,14111.0,10 HCPCS,52234,Cystoscopy and treatment,,,3508.06,14111.0,10 HCPCS,52235,Cystoscopy and treatment,,,3508.06,14111.0,10 HCPCS,52240,Cystoscopy and treatment,,,5220.0,18511.05,10 HCPCS,52250,Cystoscopy and radiotracer,,,3508.06,14111.0,10 HCPCS,52260,Cystoscopy and treatment,,,2080.35,7216.83,10 HCPCS,52265,Cystoscopy and treatment,,,2080.35,7216.83,10 HCPCS,52270,Cystoscopy & revise urethra,,,2080.35,7216.83,10 HCPCS,52275,Cystoscopy & revise urethra,,,2080.35,14111.0,10 HCPCS,52276,Cystoscopy and treatment,,,2080.35,14111.0,10 HCPCS,52277,Cystoscopy and treatment,,,3508.06,14111.0,10 HCPCS,52281,"52281 Cystourethro,Cal/Dil,M/F",6031.0,3015.5,,,0 HCPCS,52281,Cystoscopy and treatment,,,2080.35,7216.83,10 HCPCS,52281,"Cystourethro,Cal/Dil,M/F",6031.0,3015.5,,,0 HCPCS,52282,Cystoscopy implant stent,,,3508.06,14111.0,10 HCPCS,52283,Cystoscopy and treatment,,,2080.35,14111.0,10 HCPCS,52284,Cysto rx balo cath urtl strx,,,5336.05,18511.05,9 HCPCS,52285,Cystoscopy and treatment,,,693.95,5790.0,10 HCPCS,52287,Cystoscopy chemodenervation,,,2080.35,7337.0,10 HCPCS,52290,Cystoscopy and treatment,,,2080.35,14111.0,10 HCPCS,52300,Cystoscopy and treatment,,,3508.06,14111.0,10 HCPCS,52301,Cystoscopy and treatment,,,3508.06,14111.0,10 HCPCS,52305,Cystoscopy and treatment,,,4564.0,18511.05,10 HCPCS,52310,52310 Cystoscopy And Treatment,4294.0,2147.0,,,0 HCPCS,52310,Cysto W Rem Fb/Stnt Ureth/Bldr,4294.0,2147.0,,,0 HCPCS,52310,Cystoscopy And Treatment,4294.0,2147.0,,,0 HCPCS,52310,Cystoscopy and treatment,,,2080.35,7216.83,10 HCPCS,52315,Cystoscopy And Treatment,6407.0,3203.5,,,0 HCPCS,52315,Cystoscopy and treatment,,,2080.35,14111.0,10 HCPCS,52317,Remove bladder stone,,,3408.0,14111.0,10 HCPCS,52318,Remove bladder stone,,,3508.06,14111.0,10 HCPCS,52320,Cystoscopy and treatment,,,3508.06,14111.0,10 HCPCS,52325,Cystoscopy stone removal,,,5336.05,18511.05,10 HCPCS,52327,Cystoscopy inject material,,,4564.0,23971.0,10 HCPCS,52330,Cystoscopy and treatment,,,3508.06,14111.0,10 HCPCS,52332,Cystoscopy and treatment,,,3508.06,14111.0,10 HCPCS,52332,Cystourethroscopy Insrtd Stent,8569.0,4284.5,,,0 HCPCS,52334,Create passage to kidney,,,3508.06,14111.0,10 HCPCS,52334,Cysto W Retrogr Ins Guide Wire,7909.0,3954.5,,,0 HCPCS,52341,Chgr-Sp Ureteral Dilitation,10638.0,5319.0,,,0 HCPCS,52341,Cysto W/Ureter Stricture Tx,,,3508.06,14111.0,10 HCPCS,52342,Cysto W/Up Stricture Tx,,,3508.06,14111.0,10 HCPCS,52343,Cysto W/Renal Stricture Tx,,,3508.06,14111.0,10 HCPCS,52344,Cysto/uretero stricture tx,,,3508.06,14111.0,10 HCPCS,52345,Cysto/Uretero W/Up Stricture,,,3508.06,14111.0,10 HCPCS,52346,Cystouretero W/Renal Strict,,,5220.0,18511.05,10 HCPCS,52351,Chgr-Sp Dilitation Of Ureter,4348.0,2174.0,,,0 HCPCS,52351,Cystouretero & or pyeloscope,,,3508.06,14111.0,10 HCPCS,52352,Cystouretero w/stone remove,,,3508.06,14111.0,10 HCPCS,52353,Cystouretero W/Lithotripsy,,,5336.05,23971.0,10 HCPCS,52354,Cystouretero W/Biopsy,,,5336.05,18511.05,10 HCPCS,52355,Cystouretero W/Excise Tumor,,,5336.05,18511.05,10 HCPCS,52356,Cysto/uretero w/lithotripsy,,,5220.0,23971.0,10 HCPCS,52400,Cystouretero W/Congen Repr,,,3508.06,14111.0,10 HCPCS,52402,Cystourethro cut ejacul duct,,,3508.06,14111.0,10 HCPCS,52441,Cystourethro w/implant,,,2375.0,5220.0,3 HCPCS,52442,Cystourethro w/addl implant,,,2375.0,5220.0,3 HCPCS,52443,Cysto 1st trurl prst8 comis,,,9421.01,32681.98,7 HCPCS,52450,Incision of prostate,,,3508.06,14111.0,10 HCPCS,52500,Revision of bladder neck,,,3508.06,14111.0,10 HCPCS,52597,Trurl rbtc wtrjt rescj prst8,,,9421.01,32681.98,7 HCPCS,52601,Prostatectomy (TURP),,,5336.05,23971.0,10 HCPCS,52630,Remove prostate regrowth,,,4564.0,23971.0,10 HCPCS,52640,Relieve bladder contracture,,,3508.06,14111.0,10 HCPCS,52647,Laser surgery of prostate,,,13700.0,23971.0,3 HCPCS,52648,Laser surgery of prostate,,,5336.05,23971.0,10 HCPCS,52649,Prostate laser enucleation,,,5336.05,23971.0,10 HCPCS,52700,Drainage of prostate abscess,,,3508.06,14111.0,10 HCPCS,53000,Incision of urethra,,,2080.35,14111.0,10 HCPCS,53010,Incision of urethra,,,3408.0,18511.05,10 HCPCS,53020,Incision of urethra,,,2080.35,14111.0,10 HCPCS,53025,Incision of urethra,,,2080.35,14111.0,10 HCPCS,53040,Drainage of urethra abscess,,,3508.06,14111.0,10 HCPCS,53060,53060 Drainage Of Urethra Absc,4234.0,2117.0,,,0 HCPCS,53060,Drainage of urethra abscess,,,2080.35,14111.0,10 HCPCS,53080,Drainage of urinary leakage,,,693.95,14111.0,10 HCPCS,53085,Drainage of urinary leakage,,,2080.35,14111.0,10 HCPCS,53200,Biopsy of urethra,,,2080.35,14111.0,10 HCPCS,53210,Removal of urethra,,,3508.06,19040.0,10 HCPCS,53215,Removal of urethra,,,5336.05,18511.05,10 HCPCS,53220,Treatment of urethra lesion,,,3508.06,19040.0,10 HCPCS,53230,Removal of urethra lesion,,,4564.0,19040.0,10 HCPCS,53235,Removal of urethra lesion,,,5220.0,18511.05,10 HCPCS,53240,Surgery for urethra pouch,,,3508.06,19040.0,10 HCPCS,53250,Removal of urethra gland,,,3508.06,14111.0,10 HCPCS,53260,Treatment of urethra lesion,,,3508.06,14111.0,10 HCPCS,53265,Treatment of urethra lesion,,,2080.35,14111.0,10 HCPCS,53270,Removal of urethra gland,,,3508.06,14111.0,10 HCPCS,53275,Repair of urethra defect,,,3508.06,14111.0,10 HCPCS,53400,Revise urethra stage 1,,,5220.0,19040.0,10 HCPCS,53405,Revise urethra stage 2,,,4564.0,19040.0,10 HCPCS,53410,Reconstruction of urethra,,,4564.0,19040.0,10 HCPCS,53415,Reconstruction of urethra,,,5220.0,23971.0,3 HCPCS,53420,Reconstruct urethra stage 1,,,5220.0,19040.0,10 HCPCS,53425,Reconstruct urethra stage 2,,,4564.0,19040.0,10 HCPCS,53430,Reconstruction of urethra,,,4564.0,19040.0,10 HCPCS,53431,Reconstruct urethra/bladder,,,4564.0,19040.0,10 HCPCS,53440,Male sling procedure,,,4564.0,45549.04,10 HCPCS,53442,Remove/revise male sling,,,3408.0,19040.0,10 HCPCS,53444,Insert tandem cuff,,,4564.0,71554.8,10 HCPCS,53445,Insert uro/ves nck sphincter,,,3408.0,71554.8,10 HCPCS,53446,Remove uro sphincter,,,3408.0,29398.0,10 HCPCS,53447,Remove/replace ur sphincter,,,3408.0,71554.8,10 HCPCS,53448,Remov/replc ur sphinctr comp,,,3499.0,5220.0,3 HCPCS,53449,Repair uro sphincter,,,3408.0,32681.98,10 HCPCS,53450,Revision of urethra,,,3408.0,19040.0,10 HCPCS,53451,Tprnl balo cntnc dev bi,,,13130.11,45549.04,9 HCPCS,53452,Tprnl balo cntnc dev uni,,,9421.01,32681.98,9 HCPCS,53453,Tprnl balo cntnc dev rmvl ea,,,3508.06,14111.0,9 HCPCS,53454,Tprnl balo cntnc dev adjmt,,,248.65,2633.0,9 HCPCS,53460,Revision of urethra,,,3408.0,14111.0,10 HCPCS,53500,Urethrlys transvag w/ scope,,,3508.06,19040.0,10 HCPCS,53502,Repair of urethra injury,,,3508.06,14111.0,10 HCPCS,53505,Repair of urethra injury,,,4564.0,19040.0,10 HCPCS,53510,Repair of urethra injury,,,4564.0,18511.05,10 HCPCS,53515,Repair of urethra injury,,,4564.0,19040.0,10 HCPCS,53520,Repair of urethra defect,,,4564.0,19040.0,10 HCPCS,53600,53600 Dil Ureth Strx;Male 1St,938.0,469.0,,,0 HCPCS,53600,Dil Ureth Strict Sound;Male In,938.0,469.0,,,0 HCPCS,53600,Dilate urethra stricture,,,248.65,3408.0,10 HCPCS,53601,Dilate Urethra Stricture,484.0,242.0,,,0 HCPCS,53601,Dilate urethra stricture,,,132.41,3408.0,10 HCPCS,53605,Dilate urethra stricture,,,3508.06,12169.63,10 HCPCS,53620,53620 Dilate Urethra Stricture,2428.0,1214.0,,,0 HCPCS,53620,Dilate urethra stricture,,,693.95,5220.0,10 HCPCS,53621,Dilate urethra stricture,,,248.65,3408.0,10 HCPCS,53660,"Dilate Female Urethra, Initial",599.0,299.5,,,0 HCPCS,53660,Dilation of urethra,,,128.06,5220.0,10 HCPCS,53661,Dilation of urethra,,,132.41,5220.0,10 HCPCS,53665,Dilation of urethra,,,2080.35,14111.0,10 HCPCS,53850,Prostatic microwave thermotx,,,3508.06,12169.63,10 HCPCS,53852,Prostatic rf thermotx,,,3508.06,23971.0,10 HCPCS,53854,Trurl dstrj prst8 tiss rf wv,,,3508.06,14111.0,10 HCPCS,53855,Insert prost urethral stent,,,2080.35,7216.83,10 HCPCS,53860,Transurethral rf treatment,,,2080.35,10181.0,10 HCPCS,53865,Cysto insj dev ischmc rmdlg,,,9421.01,32681.98,9 HCPCS,53866,Cathj rmvl dev ischmc rmdlg,,,248.65,2633.0,9 HCPCS,53899,53899 Urology Surgery Procedure,863.0,431.5,,,0 HCPCS,53899,Urology surgery procedure,,,248.65,5220.0,10 HCPCS,54000,Slitting of prepuce,,,3508.06,14111.0,10 HCPCS,54001,54001 Slit Prepuce Dorsal Or Lat; Not Newborn,6474.0,3237.0,,,0 HCPCS,54001,Slitting of prepuce,,,2080.35,14111.0,10 HCPCS,54015,Drain penis lesion,,,1643.67,6448.0,10 HCPCS,54050,Destr Lesion(S) Penis Simple;,697.0,348.5,,,0 HCPCS,54050,Destruction penis lesion(s),,,404.56,5220.0,10 HCPCS,54055,Chg - Destruction Penis Lesion(S),6498.0,3249.0,,,0 HCPCS,54055,Destruction penis lesion(s),,,2053.37,7123.26,10 HCPCS,54056,Chg - Cryosurgery Penis Lesion(S),446.0,223.0,,,0 HCPCS,54056,Cryosurgery penis lesion(s),,,199.67,5220.0,10 HCPCS,54057,Laser surg penis lesion(s),,,2053.37,7123.26,10 HCPCS,54060,Excision of penis lesion(s),,,2053.37,7123.26,10 HCPCS,54065,Destruction penis lesion(s),,,2053.37,7123.26,10 HCPCS,54100,Biopsy Of Penis,4339.0,2169.5,,,0 HCPCS,54100,Biopsy of penis,,,1643.67,5790.0,10 HCPCS,54105,Biopsy of penis,,,2890.77,14111.0,10 HCPCS,54110,Treatment of penis lesion,,,3508.06,23971.0,10 HCPCS,54111,Treat penis lesion graft,,,4564.0,23971.0,10 HCPCS,54112,Treat penis lesion graft,,,4564.0,32681.98,10 HCPCS,54115,Treatment of penis lesion,,,2890.77,14111.0,10 HCPCS,54120,Partial removal of penis,,,3508.06,19040.0,10 HCPCS,54125,Removal of penis,,,5220.0,5790.0,3 HCPCS,54130,Remove penis & nodes,,,5220.0,5790.0,3 HCPCS,54135,Remove penis & nodes,,,5220.0,5790.0,3 HCPCS,54150,Circumcision W/Clamp/Oth Dev W/Block,3021.0,1510.5,,,0 HCPCS,54150,Circumcision w/regionl block,,,2080.35,14111.0,10 HCPCS,54160,Circumcision Age=<28 Days,3021.0,1510.5,,,0 HCPCS,54160,Circumcision neonate,,,693.95,14111.0,10 HCPCS,54161,Circum 28 days or older,,,2080.35,14111.0,10 HCPCS,54161,Circumcision > 28 Days,3200.0,1600.0,,,0 HCPCS,54162,Lysis Penil Circumcis Adhes,7006.0,3503.0,,,0 HCPCS,54162,Lysis penil circumic lesion,,,2080.35,14111.0,10 HCPCS,54163,Repair of circumcision,,,2080.35,14111.0,10 HCPCS,54164,Frenulotomy of penis,,,2080.35,14111.0,10 HCPCS,54200,Treatment of penis lesion,,,248.65,3408.0,10 HCPCS,54205,Treatment of penis lesion,,,5336.05,19040.0,10 HCPCS,54220,54220 Irrigatn Of Cc-Priapism,3447.0,1723.5,,,0 HCPCS,54220,Treatment of penis lesion,,,248.65,3408.0,10 HCPCS,54230,Prepare penis study,,,2375.0,5220.0,3 HCPCS,54231,Dynamic cavernosometry,,,248.65,5790.0,10 HCPCS,54235,54235 Penile Injection,1157.0,578.5,,,0 HCPCS,54235,Penile Injection,1157.0,578.5,,,0 HCPCS,54235,Penile injection,,,248.65,5220.0,10 HCPCS,54240,Penis study,,,214.89,5220.0,10 HCPCS,54250,Penis study,,,248.65,5220.0,10 HCPCS,54250,Sleep Study Npt,913.0,456.5,,,0 HCPCS,54300,Revision of penis,,,3508.06,23971.0,10 HCPCS,54304,Revision of penis,,,3508.06,23971.0,10 HCPCS,54308,Reconstruction of urethra,,,5220.0,23971.0,10 HCPCS,54312,Reconstruction of urethra,,,3508.06,19040.0,10 HCPCS,54316,Reconstruction of urethra,,,5220.0,32681.98,10 HCPCS,54318,Reconstruction of urethra,,,3508.06,19040.0,10 HCPCS,54322,Reconstruction of urethra,,,3508.06,19040.0,10 HCPCS,54324,Reconstruction of urethra,,,3508.06,23971.0,10 HCPCS,54326,Reconstruction of urethra,,,3508.06,19040.0,10 HCPCS,54328,Revise penis/urethra,,,3508.06,23971.0,10 HCPCS,54332,Revise penis/urethra,,,3508.06,19040.0,10 HCPCS,54336,Revise penis/urethra,,,3508.06,19040.0,10 HCPCS,54340,Secondary urethral surgery,,,3508.06,19040.0,10 HCPCS,54344,Secondary urethral surgery,,,5220.0,32681.98,10 HCPCS,54348,Secondary urethral surgery,,,5220.0,19040.0,10 HCPCS,54352,Reconstruct urethra/penis,,,5220.0,23971.0,10 HCPCS,54360,Penis plastic surgery,,,3508.06,23971.0,10 HCPCS,54380,Repair penis,,,2080.35,19040.0,10 HCPCS,54385,Repair penis,,,2080.35,19040.0,10 HCPCS,54390,Repair penis and bladder,,,5220.0,23971.0,3 HCPCS,54400,Insert semi-rigid prosthesis,,,5220.0,45549.04,10 HCPCS,54401,Insert self-contd prosthesis,,,5220.0,71554.8,10 HCPCS,54405,Insert multi-comp penis pros,,,5220.0,71554.8,10 HCPCS,54406,Remove muti-comp penis pros,,,3508.06,19040.0,10 HCPCS,54408,Repair multi-comp penis pros,,,5220.0,23971.0,10 HCPCS,54410,Remove/replace penis prosth,,,5220.0,71554.8,10 HCPCS,54411,Remov/replc penis pros comp,,,2375.0,71554.8,10 HCPCS,54415,Remove self-contd penis pros,,,3508.06,19040.0,10 HCPCS,54416,Remv/repl penis contain pros,,,5220.0,71554.8,10 HCPCS,54417,Remv/replc penis pros compl,,,3499.0,71554.8,10 HCPCS,54420,Revision of penis,,,3508.06,19040.0,10 HCPCS,54430,Revision of penis,,,5220.0,5790.0,3 HCPCS,54435,Revision of penis,,,3508.06,19040.0,10 HCPCS,54437,Repair corporeal tear,,,3508.06,14111.0,10 HCPCS,54438,Replantation of penis,,,5220.0,5220.0,1 HCPCS,54440,Repair of penis,,,3508.06,19040.0,10 HCPCS,54450,54450 Preputial Stretching,1551.0,775.5,,,0 HCPCS,54450,Foreskin Manipulation,1551.0,775.5,,,0 HCPCS,54450,Preputial stretching,,,248.65,3408.0,10 HCPCS,54500,Biopsy of testis,,,2890.77,10028.23,10 HCPCS,54505,Biopsy of testis,,,3408.0,14111.0,10 HCPCS,54512,Excise Lesion Testis,,,3508.06,14111.0,10 HCPCS,54520,Removal of testis,,,3508.06,19040.0,10 HCPCS,54522,Orchiectomy partial,,,3508.06,14111.0,10 HCPCS,54530,Removal of testis,,,3563.21,19040.0,10 HCPCS,54535,Extensive testis surgery,,,3508.06,19040.0,10 HCPCS,54550,Exploration for testis,,,3563.21,19040.0,10 HCPCS,54560,Exploration for testis,,,2080.35,14111.0,10 HCPCS,54600,Reduce testis torsion,,,3508.06,14111.0,10 HCPCS,54620,Suspension of testis,,,3508.06,14111.0,10 HCPCS,54640,Suspension of testis,,,3563.21,19040.0,10 HCPCS,54650,Orchiopexy (Fowler-Stephens),,,3563.21,19040.0,10 HCPCS,54660,Revision of testis,,,4564.0,18511.05,10 HCPCS,54670,Repair testis injury,,,3508.06,14111.0,10 HCPCS,54680,Relocation of testis(es),,,3508.06,14111.0,10 HCPCS,54690,Laparoscopy orchiectomy,,,6016.5,29398.0,10 HCPCS,54692,Laparoscopy orchiopexy,,,6016.5,29398.0,10 HCPCS,54699,Laparoscope proc testis,,,5220.0,23971.0,10 HCPCS,54700,54700 Drainage Of Scrotum,4153.0,2076.5,,,0 HCPCS,54700,Drainage of scrotum,,,2080.35,14111.0,10 HCPCS,54800,Biopsy of epididymis,,,1643.67,5701.97,10 HCPCS,54830,Remove epididymis lesion,,,3508.06,14111.0,10 HCPCS,54840,Remove epididymis lesion,,,2080.35,14111.0,10 HCPCS,54860,Removal of epididymis,,,3508.06,14111.0,10 HCPCS,54861,Removal of epididymis,,,3508.06,14111.0,10 HCPCS,54865,Explore Epididymis,,,3408.0,14111.0,10 HCPCS,54900,Fusion of spermatic ducts,,,2080.35,14111.0,10 HCPCS,54901,Fusion of spermatic ducts,,,3508.06,14111.0,10 HCPCS,55000,Drainage of hydrocele,,,704.73,5220.0,10 HCPCS,55000,Punct Asp Hydrocele Tunica Vag,2263.0,1131.5,,,0 HCPCS,55040,Removal of hydrocele,,,3563.21,19040.0,10 HCPCS,55041,Removal of hydroceles,,,3563.21,19040.0,10 HCPCS,55060,Repair of hydrocele,,,3508.06,14111.0,10 HCPCS,55100,55100 Drain Scrotl Wall Absces,2995.0,1497.5,,,0 HCPCS,55100,Drainage Of Scrotum Abscess,2995.0,1497.5,,,0 HCPCS,55100,Drainage of scrotum abscess,,,1643.67,5790.0,10 HCPCS,55110,Explore scrotum,,,3508.06,14111.0,10 HCPCS,55120,Removal of scrotum lesion,,,2080.35,14111.0,10 HCPCS,55150,Removal of scrotum,,,3408.0,14111.0,10 HCPCS,55175,Revision of scrotum,,,3408.0,23971.0,10 HCPCS,55180,Revision of scrotum,,,4564.0,18511.05,10 HCPCS,55200,Incision of sperm duct,,,3508.06,14111.0,10 HCPCS,55250,Removal of sperm duct(s),,,2080.35,14111.0,10 HCPCS,55300,Prepare sperm duct x-ray,,,2375.0,5220.0,3 HCPCS,55400,Repair of sperm duct,,,3408.0,14111.0,10 HCPCS,55500,Removal of hydrocele,,,3508.06,19040.0,10 HCPCS,55520,Removal of sperm cord lesion,,,3508.06,14111.0,10 HCPCS,55530,Revise spermatic cord veins,,,3508.06,14111.0,10 HCPCS,55535,Revise spermatic cord veins,,,6442.74,22350.2,10 HCPCS,55540,Revise hernia & sperm veins,,,3563.21,19040.0,10 HCPCS,55550,Laparo ligate spermatic vein,,,6016.5,29398.0,10 HCPCS,55559,Laparo proc spermatic cord,,,5220.0,23971.0,10 HCPCS,55600,Incise sperm duct pouch,,,2080.35,14111.0,10 HCPCS,55605,Incise sperm duct pouch,,,3499.0,5220.0,3 HCPCS,55650,Remove sperm duct pouch,,,3499.0,5220.0,3 HCPCS,55680,Remove sperm pouch lesion,,,3408.0,14111.0,10 HCPCS,55700,Biopsy of prostate,,,4564.0,5790.0,3 HCPCS,55700,Prostate/Us Or Mri/Bx,4838.0,2419.0,,,0 HCPCS,55705,Biopsy of prostate,,,3508.06,12169.63,10 HCPCS,55706,Prostate Saturation Sampling,10325.0,5162.5,,,0 HCPCS,55706,Prostate saturation sampling,,,3508.06,12169.63,10 HCPCS,55707,Bx prst8 trct us guided,,,3508.06,12169.63,7 HCPCS,55708,Bx prst8 trct us w/mri fus 1,,,3508.06,12169.63,7 HCPCS,55709,Bx prst8 tprnl us guided,,,3508.06,12169.63,7 HCPCS,55710,Bx prst8 tprn us w/mri fus 1,,,3508.06,12169.63,7 HCPCS,55711,Bx prst8 trct mri-us 1st,,,3508.06,12169.63,7 HCPCS,55712,Bx prst8 tprnl mri-us 1st,,,3508.06,12169.63,7 HCPCS,55713,Bx prst8 in-bore ct/mri bx 1,,,5336.05,18511.05,7 HCPCS,55714,Bx prst8 in-bore ct/mri 1,,,5336.05,18511.05,7 HCPCS,55720,Drainage of prostate abscess,,,3408.0,14111.0,10 HCPCS,55725,Drainage of prostate abscess,,,3508.06,14111.0,10 HCPCS,55801,Removal of prostate,,,5220.0,5790.0,3 HCPCS,55810,Extensive prostate surgery,,,5220.0,5790.0,3 HCPCS,55812,Extensive prostate surgery,,,5220.0,5790.0,3 HCPCS,55815,Extensive prostate surgery,,,5220.0,5790.0,3 HCPCS,55821,Removal of prostate,,,5220.0,5790.0,3 HCPCS,55831,Removal of prostate,,,5220.0,5790.0,3 HCPCS,55840,Extensive prostate surgery,,,5220.0,5790.0,3 HCPCS,55842,Extensive prostate surgery,,,5220.0,5790.0,3 HCPCS,55845,Extensive prostate surgery,,,5220.0,5790.0,3 HCPCS,55860,Surgical exposure prostate,,,5220.0,18511.05,10 HCPCS,55862,Extensive prostate surgery,,,5220.0,5790.0,3 HCPCS,55865,Extensive prostate surgery,,,5220.0,5790.0,3 HCPCS,55866,Laparo radical prostatectomy,,,5220.0,36698.4,10 HCPCS,55867,Laps surg prst8ect smpl stot,,,10578.79,36698.4,9 HCPCS,55868,Lap srg prst8ct lymph nod bx,,,10578.79,36698.4,7 HCPCS,55869,Lap srg prst8ct bi pl lmphad,,,10578.79,36698.4,7 HCPCS,55870,Electroejaculation,,,916.63,3880.0,10 HCPCS,55873,Cryoablate Prostate,,,9421.01,35289.0,10 HCPCS,55874,Tprnl plmt biodegrdabl matrl,,,5220.0,29398.0,10 HCPCS,55875,Transperi needle place pros,,,5336.05,23971.0,10 HCPCS,55876,Place Fiducial-Prostate,4805.0,2402.5,,,0 HCPCS,55876,Place rt device/marker pros,,,1377.48,5790.0,10 HCPCS,55877,Abltj ire prst8 1+ tum perq,,,10578.79,36698.4,7 HCPCS,55880,Abltj mal prst8 tiss hifu,,,9421.01,32681.98,9 HCPCS,55881,Ablt trurl prst8 tis thrm us,,,5226.0,5790.0,2 HCPCS,55882,Ablt trurl prst8 tis trnsdcr,,,13130.11,45549.04,9 HCPCS,55899,55899 Genital Surgery Proc,488.0,244.0,,,0 HCPCS,55899,Genital surgery procedure,,,248.65,5220.0,10 HCPCS,55920,Place needles pelvic for rt,,,4978.43,19040.0,10 HCPCS,55970,Sex transformation m to f,,,4978.43,17270.44,8 HCPCS,55980,Sex transformation f to m,,,3508.06,12169.63,8 HCPCS,56405,56405 I&D Vulva/Perineal Absc,981.0,490.5,,,0 HCPCS,56405,Abscess Drainage Perineal,981.0,490.5,,,0 HCPCS,56405,Chgr-Sp Ad Perineal,981.0,490.5,,,0 HCPCS,56405,I & D of vulva/perineum,,,303.27,4564.0,10 HCPCS,56420,56420 I&D Barth Bland Abscess,2107.0,1053.5,,,0 HCPCS,56420,Drainage of gland abscess,,,201.2,3408.0,10 HCPCS,56420,I&D Of Bartholins Gland Abscess,1969.5,984.75,,,0 HCPCS,56440,Surgery for vulva lesion,,,3221.58,14111.0,10 HCPCS,56441,Lysis of labial lesion(s),,,3221.58,14111.0,10 HCPCS,56442,Hymenotomy,,,3221.58,14111.0,10 HCPCS,56501,Destroy Vulva Lesions Sim,6479.0,3239.5,,,0 HCPCS,56501,Destroy vulva lesions sim,,,2053.37,7123.26,10 HCPCS,56515,Destroy vulva lesion/s compl,,,2053.37,7123.26,10 HCPCS,56605,56605 Biopsy Of Vulva/Perineum,2370.0,1185.0,,,0 HCPCS,56605,Biopsy Vulva/Perineum 1 Lesion,2370.0,1185.0,,,0 HCPCS,56605,Biopsy Vulva/Perineum 1 Lesion Spx,2061.0,1030.5,,,0 HCPCS,56605,Biopsy of vulva/perineum,,,916.63,3880.0,10 HCPCS,56606,Biopsy Vulva/Perineum Each Addl Lesion,2145.0,1072.5,,,0 HCPCS,56606,Biopsy of vulva/perineum,,,2375.0,3408.0,3 HCPCS,56606,Bx Vulva/Perineum Addtl Lesion,2467.0,1233.5,,,0 HCPCS,56620,Partial removal of vulva,,,3221.58,14111.0,10 HCPCS,56625,Complete removal of vulva,,,3221.58,14111.0,10 HCPCS,56630,Extensive vulva surgery,,,4978.43,19040.0,10 HCPCS,56631,Extensive vulva surgery,,,5220.0,35289.0,3 HCPCS,56632,Extensive vulva surgery,,,5220.0,35289.0,3 HCPCS,56633,Extensive vulva surgery,,,5220.0,35289.0,3 HCPCS,56634,Extensive vulva surgery,,,5220.0,35289.0,3 HCPCS,56637,Extensive vulva surgery,,,5220.0,35289.0,3 HCPCS,56640,Extensive vulva surgery,,,5220.0,5790.0,3 HCPCS,56700,Partial removal of hymen,,,3221.58,14111.0,10 HCPCS,56740,Remove vagina gland lesion,,,3221.58,14111.0,10 HCPCS,56800,Repair of vagina,,,3221.58,14111.0,10 HCPCS,56805,Repair clitoris,,,3221.58,14111.0,10 HCPCS,56810,Repair of perineum,,,3221.58,14111.0,10 HCPCS,56820,Exam of vulva w/scope,,,201.2,5220.0,10 HCPCS,56821,Exam/biopsy of vulva w/scope,,,303.27,3408.0,10 HCPCS,57000,Exploration of vagina,,,3221.58,14111.0,10 HCPCS,57010,Drainage of pelvic abscess,,,3221.58,14111.0,10 HCPCS,57020,Drainage of pelvic fluid,,,4564.0,17270.44,10 HCPCS,57022,I & d vaginal hematoma pp,,,2890.77,10028.23,10 HCPCS,57023,I & d vag hematoma non-ob,,,2890.77,14111.0,10 HCPCS,57061,Destroy vag lesions simple,,,3221.58,14111.0,10 HCPCS,57065,Destroy vag lesions complex,,,3221.58,14111.0,10 HCPCS,57100,Biopsy Vaginal Mucosa Simple,1773.0,886.5,,,0 HCPCS,57100,Biopsy of vagina,,,916.63,3880.0,10 HCPCS,57105,Biopsy of vagina,,,3221.58,14111.0,10 HCPCS,57106,Remove vagina wall partial,,,3221.58,14111.0,10 HCPCS,57107,Remove vagina tissue part,,,3221.58,14111.0,10 HCPCS,57109,Vaginectomy partial w/nodes,,,3221.58,14111.0,10 HCPCS,57110,Remove vagina wall complete,,,5220.0,5790.0,3 HCPCS,57111,Remove vagina tissue compl,,,5220.0,19040.0,3 HCPCS,57120,Closure of vagina,,,4978.43,19040.0,10 HCPCS,57130,Excise Vaginal Septum,8568.0,4284.0,,,0 HCPCS,57130,Remove vagina lesion,,,3221.58,14111.0,10 HCPCS,57135,Remove vagina lesion,,,3221.58,14111.0,10 HCPCS,57150,Treat vagina infection,,,58.71,5220.0,10 HCPCS,57155,Insert uteri tandem/ovoids,,,3499.0,17270.44,10 HCPCS,57155,Insertion Of Ovoids And Tandem,4709.0,2354.5,,,0 HCPCS,57156,Ins vag brachytx device,,,303.27,3408.0,10 HCPCS,57160,Fit&Insj Pessary/Oth Intravaginal Support Device,477.0,238.5,,,0 HCPCS,57160,Insert pessary/other device,,,201.2,5220.0,10 HCPCS,57170,Fitting of diaphragm/cap,,,201.2,5220.0,10 HCPCS,57180,57180 Vaginal Packing,795.0,397.5,,,0 HCPCS,57180,Treat vaginal bleeding,,,201.2,3408.0,10 HCPCS,57200,57200 Colporrhaphy (Nonobstet),3432.0,1716.0,,,0 HCPCS,57200,Repair of vagina,,,3221.58,14111.0,10 HCPCS,57210,Repair vagina/perineum,,,3221.58,14111.0,10 HCPCS,57220,Revision of urethra,,,4978.43,23971.0,10 HCPCS,57230,Repair of urethral lesion,,,3221.58,14111.0,10 HCPCS,57240,Repair bladder & vagina,,,4978.43,19040.0,10 HCPCS,57250,Repair rectum & vagina,,,4978.43,19040.0,10 HCPCS,57260,Repair of vagina,,,4978.43,19040.0,10 HCPCS,57265,Extensive repair of vagina,,,4978.43,23971.0,10 HCPCS,57267,Insert mesh/pelvic flr addon,,,2375.0,10181.0,3 HCPCS,57268,Repair of bowel bulge,,,4978.43,17270.44,10 HCPCS,57270,Repair of bowel pouch,,,5220.0,14111.0,3 HCPCS,57280,Suspension of vagina,,,5220.0,14111.0,3 HCPCS,57282,Colpopexy extraperitoneal,,,5220.0,25601.02,10 HCPCS,57283,Colpopexy intraperitoneal,,,5220.0,25601.02,10 HCPCS,57284,Repair paravag defect open,,,4978.43,23971.0,10 HCPCS,57285,Repair Pervag Defect Vag,22038.0,11019.0,,,0 HCPCS,57285,Repair paravag defect vag,,,7379.83,25601.02,10 HCPCS,57287,Revise/Remove Sling Repair,,,3221.58,19040.0,10 HCPCS,57288,Repair bladder defect,,,4978.43,23971.0,10 HCPCS,57289,Repair bladder & vagina,,,7337.0,25601.02,10 HCPCS,57291,Construction of vagina,,,4978.43,17270.44,10 HCPCS,57292,Construct vagina with graft,,,4978.43,19040.0,10 HCPCS,57295,Revise vag graft via vagina,,,3221.58,14111.0,10 HCPCS,57296,Revise vag graft open abd,,,5220.0,5790.0,3 HCPCS,57300,Repair rectum-vagina fistula,,,3221.58,14111.0,10 HCPCS,57305,Repair rectum-vagina fistula,,,5220.0,5790.0,3 HCPCS,57307,Fistula repair & colostomy,,,5220.0,5790.0,3 HCPCS,57308,Fistula repair transperine,,,5220.0,14111.0,3 HCPCS,57310,Repair urethrovaginal lesion,,,5220.0,25601.02,10 HCPCS,57311,Repair urethrovaginal lesion,,,5220.0,19040.0,3 HCPCS,57320,Repair bladder-vagina lesion,,,4978.43,19040.0,10 HCPCS,57330,Repair bladder-vagina lesion,,,5220.0,25601.02,10 HCPCS,57335,Repair vagina,,,4978.43,17270.44,10 HCPCS,57400,Dilation of vagina,,,3221.58,14111.0,10 HCPCS,57410,Pelvic examination,,,3221.58,14111.0,10 HCPCS,57415,57415 Rem Vaginal Foreign Body,7694.0,3847.0,,,0 HCPCS,57415,Remove vaginal foreign body,,,3221.58,14111.0,10 HCPCS,57420,Exam of vagina w/scope,,,303.27,3408.0,10 HCPCS,57421,Exam/biopsy of vag w/scope,,,916.63,3880.0,10 HCPCS,57423,Repair paravag defect lap,,,10578.79,36698.4,10 HCPCS,57425,Laparoscopy surg colpopexy,,,5220.0,36698.4,10 HCPCS,57426,Revise prosth vag graft lap,,,7379.83,25601.02,10 HCPCS,57452,Colposcopy,2719.0,1359.5,,,0 HCPCS,57452,Exam of cervix w/scope,,,201.2,3408.0,10 HCPCS,57454,Bx/curett of cervix w/scope,,,303.27,3408.0,10 HCPCS,57454,Colposcopy With Biospy,1119.0,559.5,,,0 HCPCS,57455,57455 Cervic Colp W Cervix Bx,4062.0,2031.0,,,0 HCPCS,57455,Biopsy of cervix w/scope,,,303.27,3408.0,10 HCPCS,57455,Cervic Colp W Cervix Bx,4062.0,2031.0,,,0 HCPCS,57456,Endocerv curettage w/scope,,,303.27,3408.0,10 HCPCS,57460,Bx of cervix w/scope leep,,,3221.58,14111.0,10 HCPCS,57461,Conz of cervix w/scope leep,,,3221.58,14111.0,10 HCPCS,57465,Cam cervix uteri drg colp,,,2375.0,2633.0,2 HCPCS,57500,Biopsy Cervix Single/Mult/Excision Of Lesion Spx,3330.0,1665.0,,,0 HCPCS,57500,Biopsy Of Cervix,3830.0,1915.0,,,0 HCPCS,57500,Biopsy of cervix,,,916.63,3880.0,10 HCPCS,57505,Endocervical curettage,,,916.63,3880.0,10 HCPCS,57510,Cauterization of cervix,,,3221.58,14111.0,10 HCPCS,57510,Cautery Of Cervix; Electro/Thermal,9473.0,4736.5,,,0 HCPCS,57511,Cryocautery of cervix,,,303.27,3408.0,10 HCPCS,57513,Laser surgery of cervix,,,3221.58,14111.0,10 HCPCS,57520,Conization of cervix,,,3221.58,14111.0,10 HCPCS,57522,Conization of cervix,,,3221.58,14111.0,10 HCPCS,57530,Removal of cervix,,,4978.43,17270.44,10 HCPCS,57531,Removal of cervix radical,,,5220.0,5790.0,3 HCPCS,57540,Removal of residual cervix,,,5220.0,5790.0,3 HCPCS,57545,Remove cervix/repair pelvis,,,5220.0,5790.0,3 HCPCS,57550,Removal of residual cervix,,,4978.43,17270.44,10 HCPCS,57555,Remove cervix/repair vagina,,,4978.43,19040.0,10 HCPCS,57556,Remove cervix repair bowel,,,4978.43,23971.0,10 HCPCS,57558,D&C oF Cervical Stump,,,3221.58,14111.0,10 HCPCS,57700,Revision of cervix,,,3221.58,14111.0,10 HCPCS,57720,Revision of cervix,,,3221.58,14111.0,10 HCPCS,57800,Dilation of cervical canal,,,3221.58,14111.0,10 HCPCS,58100,58100 Endometrial Biopsy,974.0,487.0,,,0 HCPCS,58100,Biopsy of uterus lining,,,201.2,5220.0,10 HCPCS,58100,Endometrial Bx W/Wo Endocervix Bx W/O Dilat Spx,974.0,487.0,,,0 HCPCS,58100,Spec-Endometrial Sample/Biopsy,974.0,487.0,,,0 HCPCS,58110,Bx Done W/Colposcopy Add-On,611.0,305.5,,,0 HCPCS,58110,Bx done w/colposcopy add-on,,,2375.0,5220.0,3 HCPCS,58120,58120 Nonobstetrical D&C,4678.0,2339.0,,,0 HCPCS,58120,Dilation and curettage,,,3221.58,14111.0,10 HCPCS,58140,Myomectomy abdom method,,,5220.0,19040.0,3 HCPCS,58145,Myomectomy vag method,,,3221.58,14111.0,10 HCPCS,58146,Myomectomy abdom complex,,,5220.0,19040.0,3 HCPCS,58150,Total hysterectomy,,,5220.0,19040.0,3 HCPCS,58152,Total hysterectomy,,,5220.0,5790.0,3 HCPCS,58180,Partial hysterectomy,,,5220.0,19040.0,3 HCPCS,58200,Extensive hysterectomy,,,5220.0,5790.0,3 HCPCS,58210,Extensive hysterectomy,,,5220.0,5790.0,3 HCPCS,58240,Removal of pelvis contents,,,5220.0,5790.0,3 HCPCS,58260,Vaginal hysterectomy,,,4978.43,19040.0,10 HCPCS,58262,Vag hyst including t/o,,,4978.43,19040.0,10 HCPCS,58263,Vag hyst w/t/o & vag repair,,,4978.43,19040.0,10 HCPCS,58267,Vag hyst w/urinary repair,,,5220.0,19040.0,3 HCPCS,58270,Vag hyst w/enterocele repair,,,4978.43,19040.0,10 HCPCS,58275,Hysterectomy/revise vagina,,,5220.0,19040.0,3 HCPCS,58280,Hysterectomy/revise vagina,,,5220.0,19040.0,3 HCPCS,58285,Extensive hysterectomy,,,5220.0,5790.0,3 HCPCS,58290,Vag hyst complex,,,5220.0,25601.02,10 HCPCS,58291,Vag hyst incl t/o complex,,,4978.43,23971.0,10 HCPCS,58292,Vag hyst t/o & repair compl,,,5220.0,25601.02,10 HCPCS,58294,Vag hyst w/enterocele compl,,,4978.43,23971.0,10 HCPCS,58300,Chg Insertion Of Iud,442.0,221.0,,,0 HCPCS,58300,Insert intrauterine device,,,2375.0,5220.0,3 HCPCS,58300,Insertion Intrauterine Device Iud,384.0,192.0,,,0 HCPCS,58300,Insertion Of Iud,442.0,221.0,,,0 HCPCS,58301,58301 Remove Iud,667.0,333.5,,,0 HCPCS,58301,Removal Intrauterine Device Iud,582.0,291.0,,,0 HCPCS,58301,Remove Iud,667.0,333.5,,,0 HCPCS,58301,Remove intrauterine device,,,303.27,3408.0,10 HCPCS,58321,Artificial insemination,,,303.27,3408.0,10 HCPCS,58322,Artificial insemination,,,201.2,3408.0,10 HCPCS,58323,Sperm washing,,,201.2,3408.0,10 HCPCS,58340,Catheter for hysterography,,,2375.0,5220.0,3 HCPCS,58340,Chgr-Cath & Saline/Contrast Sonohyster/Hysterosalpi,2548.0,1274.0,,,0 HCPCS,58345,Reopen fallopian tube,,,3221.58,14111.0,10 HCPCS,58346,Insert heyman uteri capsule,,,4564.0,17270.44,10 HCPCS,58350,Reopen fallopian tube,,,4978.43,19040.0,10 HCPCS,58353,Endometr ablate thermal,,,4978.43,19040.0,10 HCPCS,58356,Endometrial cryoablation,,,4978.43,23971.0,10 HCPCS,58400,Suspension of uterus,,,5220.0,19040.0,3 HCPCS,58410,Suspension of uterus,,,5220.0,5790.0,3 HCPCS,58520,Repair of ruptured uterus,,,5220.0,5790.0,3 HCPCS,58540,Revision of uterus,,,5220.0,5790.0,3 HCPCS,58541,Lsh uterus 250 g or less,,,10578.79,36698.4,10 HCPCS,58542,Lsh w/t/o ut 250 g or less,,,10578.79,36698.4,10 HCPCS,58543,LSH Uterus Above 250 g,,,10578.79,36698.4,10 HCPCS,58544,LSH w/t/o Uterus Above 250 g,,,10578.79,36698.4,10 HCPCS,58545,Laparoscopic myomectomy,,,6016.5,23971.0,10 HCPCS,58546,Laparo-myomectomy complex,,,10578.79,36698.4,10 HCPCS,58548,Lap Radical Hyst,,,5220.0,23971.0,3 HCPCS,58550,Laparo-asst vag hysterectomy,,,6016.5,29398.0,10 HCPCS,58552,Laparo-vag hyst incl t/o,,,7337.0,36698.4,10 HCPCS,58553,Laparo-vag hyst complex,,,7337.0,36698.4,10 HCPCS,58554,Laparo-vag hyst w/t/o compl,,,7337.0,36698.4,10 HCPCS,58555,Hysteroscopy dx sep proc,,,3221.58,14111.0,10 HCPCS,58558,Hysteroscopy Biopsy,8987.0,4493.5,,,0 HCPCS,58558,Hysteroscopy biopsy,,,3221.58,14111.0,10 HCPCS,58559,Hysteroscopy lysis,,,4564.0,17270.44,10 HCPCS,58560,Hysteroscopy resect septum,,,4978.43,19040.0,10 HCPCS,58561,Hysteroscopy remove myoma,,,4978.43,19040.0,10 HCPCS,58562,Hysteroscopy remove fb,,,3221.58,14111.0,10 HCPCS,58563,Hysteroscopy ablation,,,4978.43,19040.0,10 HCPCS,58565,Hysteroscopy sterilization,,,4978.43,23971.0,10 HCPCS,58570,Tlh uterus 250 g or less,,,10578.79,36698.4,10 HCPCS,58571,Tlh w/t/o 250 g or less,,,10578.79,36698.4,10 HCPCS,58572,Tlh uterus over 250 g,,,10578.79,36698.4,10 HCPCS,58573,Tlh w/t/o uterus over 250 g,,,10578.79,36698.4,10 HCPCS,58575,Laps tot hyst resj mal,,,5220.0,19040.0,3 HCPCS,58578,Laparo proc uterus,,,5220.0,23971.0,10 HCPCS,58579,Hysteroscope procedure,,,201.2,5220.0,10 HCPCS,58580,Transcrv abltj utrn fibrd rf,,,7379.83,25601.02,9 HCPCS,58600,Division of fallopian tube,,,3221.58,14111.0,10 HCPCS,58605,Division of fallopian tube,,,5220.0,5790.0,3 HCPCS,58605,Ligate Fallop Tube Abd/Vag; Pp,2972.0,1486.0,,,0 HCPCS,58611,Ligate oviduct(s) add-on,,,5220.0,5790.0,3 HCPCS,58615,Occlude fallopian tube(s),,,3221.58,14111.0,10 HCPCS,58660,Laparoscopy lysis,,,6016.5,29398.0,10 HCPCS,58661,Laparoscopy remove adnexa,,,6016.5,29398.0,10 HCPCS,58662,Laparoscopy excise lesions,,,6016.5,29398.0,10 HCPCS,58670,Laparoscopy tubal cautery,,,5220.0,29398.0,10 HCPCS,58671,Laparoscopy tubal block,,,5220.0,29398.0,10 HCPCS,58672,Laparoscopy fimbrioplasty,,,6016.5,29398.0,10 HCPCS,58673,Laparoscopy salpingostomy,,,7337.0,36698.4,10 HCPCS,58674,Laps abltj uterine fibroids,,,10578.79,36698.4,9 HCPCS,58679,Laparo proc oviduct-ovary,,,5220.0,23971.0,10 HCPCS,58700,Removal of fallopian tube,,,5220.0,19040.0,3 HCPCS,58720,Removal of ovary/tube(s),,,5220.0,23971.0,3 HCPCS,58740,Adhesiolysis tube ovary,,,5220.0,14111.0,3 HCPCS,58750,Repair oviduct,,,5220.0,19040.0,3 HCPCS,58752,Revise ovarian tube(s),,,5220.0,19040.0,3 HCPCS,58760,Fimbrioplasty,,,5220.0,19040.0,3 HCPCS,58770,Create new tubal opening,,,3221.58,14111.0,10 HCPCS,58800,Drain Ovarian Cyst(S) Vaginal,5082.0,2541.0,,,0 HCPCS,58800,Drainage of ovarian cyst(s),,,3221.58,14111.0,10 HCPCS,58805,Drainage of ovarian cyst(s),,,3221.58,14111.0,10 HCPCS,58820,Drain ovary abscess open,,,3221.58,14111.0,10 HCPCS,58822,Ad-Ovarian Abscess,3748.0,1874.0,,,0 HCPCS,58822,Drain ovary abscess percut,,,5220.0,19040.0,3 HCPCS,58825,Transposition ovary(s),,,5220.0,19040.0,3 HCPCS,58900,Biopsy of ovary(s),,,3221.58,14111.0,10 HCPCS,58920,Partial removal of ovary(s),,,5220.0,25601.02,10 HCPCS,58925,Removal of ovarian cyst(s),,,4978.43,19040.0,10 HCPCS,58940,Removal of ovary(s),,,5220.0,19040.0,3 HCPCS,58943,Removal of ovary(s),,,5220.0,19040.0,3 HCPCS,58950,Resect ovarian malignancy,,,5220.0,19040.0,3 HCPCS,58951,Resect ovarian malignancy,,,5220.0,5790.0,3 HCPCS,58952,Resect ovarian malignancy,,,5220.0,5790.0,3 HCPCS,58953,Tah rad dissect for debulk,,,5220.0,5790.0,3 HCPCS,58954,Tah rad debulk/lymph remove,,,5220.0,5790.0,3 HCPCS,58956,Bso omentectomy w/tah,,,5220.0,5790.0,3 HCPCS,58957,Resect Recurrent Gyn Mal,,,5220.0,5220.0,1 HCPCS,58958,Resect Recur Gyn Mal w/Lym,,,5220.0,5790.0,3 HCPCS,58960,Exploration of abdomen,,,5220.0,29398.0,3 HCPCS,58970,Retrieval of oocyte,,,916.63,3880.0,10 HCPCS,58974,Transfer of embryo,,,916.63,3880.0,10 HCPCS,58976,Transfer of embryo,,,303.27,3408.0,10 HCPCS,58999,Genital surgery procedure,,,201.2,5220.0,10 HCPCS,59000,Amniocentesis diagnostic,,,916.63,5220.0,10 HCPCS,59000,Chg Amniocentesis Proc/Fetal Monitor,4079.0,2039.5,,,0 HCPCS,59001,Amniocentesis therapeutic,,,303.27,5220.0,10 HCPCS,59001,Chg Amniocentesis Therapeutic,9159.0,4579.5,,,0 HCPCS,59012,Chg Cordocentesis (Cpt 59012),2203.0,1101.5,,,0 HCPCS,59012,Fetal cord puncture prenatal,,,303.27,5220.0,10 HCPCS,59015,Chorion biopsy,,,916.63,5220.0,10 HCPCS,59020,Chg Oxytocin Challenge Test/Fetal,838.0,419.0,,,0 HCPCS,59020,Fetal contract stress test,,,201.2,5220.0,10 HCPCS,59025,Chg Non-Stress Test/Fetal Monitoring,856.0,428.0,,,0 HCPCS,59025,Fetal Nonstress Test,856.0,428.0,,,0 HCPCS,59025,Fetal non-stress test,,,201.2,5220.0,13 HCPCS,59030,Fetal Scalp Blood,467.0,233.5,,,0 HCPCS,59030,Fetal scalp blood sample,,,303.27,5220.0,10 HCPCS,59050,Fetal monitor w/report,,,2375.0,5220.0,3 HCPCS,59051,Fetal monitor/interpret only,,,5220.0,5790.0,3 HCPCS,59070,Chg Amnioinfusion,542.0,271.0,,,0 HCPCS,59070,Transabdom amnioinfus w/us,,,303.27,3408.0,10 HCPCS,59072,Umbilical cord occlud w/us,,,303.27,3408.0,10 HCPCS,59074,Chg-Fetal Fluid Drainiage,3277.0,1638.5,,,0 HCPCS,59074,Fetal fluid drainage w/us,,,303.27,3408.0,10 HCPCS,59076,Chg-Fetal Shunt Placement,3277.0,1638.5,,,0 HCPCS,59076,Fetal shunt placement w/us,,,303.27,3408.0,10 HCPCS,59100,Remove uterus lesion,,,4978.43,17270.44,10 HCPCS,59120,Treat ectopic pregnancy,,,5220.0,19040.0,3 HCPCS,59121,Treat ectopic pregnancy,,,5220.0,19040.0,3 HCPCS,59130,Treat ectopic pregnancy,,,5220.0,5790.0,3 HCPCS,59135,Treat ectopic pregnancy,,,5220.0,5220.0,1 HCPCS,59136,Treat ectopic pregnancy,,,5220.0,5790.0,3 HCPCS,59140,Treat ectopic pregnancy,,,5220.0,5790.0,3 HCPCS,59150,Treat ectopic pregnancy,,,5220.0,29398.0,10 HCPCS,59151,Treat ectopic pregnancy,,,5220.0,29398.0,10 HCPCS,59160,"Curettage,Postpartum",5266.0,2633.0,,,0 HCPCS,59160,D & c after delivery,,,3221.58,14111.0,10 HCPCS,59200,Insert Cervical Dilator,1337.0,668.5,,,0 HCPCS,59200,Insert cervical dilator,,,303.27,3408.0,10 HCPCS,59300,59300 Episiotomy Or Vag Rep,9266.0,4633.0,,,0 HCPCS,59300,Episiotomy Or Vaginal Repair,9266.0,4633.0,,,0 HCPCS,59300,Episiotomy or vaginal repair,,,3221.58,14111.0,10 HCPCS,59320,Chg Cerclage Insertion,4678.0,2339.0,,,0 HCPCS,59320,Revision of cervix,,,3221.58,14111.0,10 HCPCS,59325,Revision of cervix,,,5220.0,5790.0,3 HCPCS,59350,Repair of uterus,,,5220.0,5220.0,1 HCPCS,59400,Obstetrical care,,,5220.0,5220.0,1 HCPCS,59409,59409 Vaginal Delivery Only,4202.0,2101.0,,,0 HCPCS,59409,Obstetrical care,,,3221.58,14111.0,10 HCPCS,59410,Obstetrical care,,,5220.0,5220.0,1 HCPCS,59412,Antepartum manipulation,,,3221.58,14111.0,10 HCPCS,59412,Chg External Cephalic Version,3374.0,1687.0,,,0 HCPCS,59414,59414 Deliver Placenta,3756.0,1878.0,,,0 HCPCS,59414,Chg Deliver Placenta/Recover/Suppl,3756.0,1878.0,,,0 HCPCS,59414,Deliver placenta,,,3221.58,14111.0,10 HCPCS,59510,Cesarean delivery,,,5220.0,5220.0,1 HCPCS,59514,59514 Caesarean Delivery Only,3908.0,1954.0,,,0 HCPCS,59514,Cesarean delivery only,,,5220.0,5220.0,1 HCPCS,59515,Cesarean delivery,,,5220.0,5220.0,1 HCPCS,59525,Remove uterus after cesarean,,,5220.0,5220.0,1 HCPCS,59610,Vbac delivery,,,5220.0,5220.0,1 HCPCS,59612,Vbac delivery only,,,3221.58,14111.0,10 HCPCS,59614,Vbac care after delivery,,,5220.0,5220.0,1 HCPCS,59618,Attempted vbac delivery,,,5220.0,5220.0,1 HCPCS,59620,Attempted vbac delivery only,,,5220.0,5220.0,1 HCPCS,59622,Attempted vbac after care,,,5220.0,5220.0,1 HCPCS,59812,59812 Tx Incomplete Abortion Any Trimester Surgical,4517.0,2258.5,,,0 HCPCS,59812,Treatment of miscarriage,,,3221.58,14111.0,10 HCPCS,59820,Care of miscarriage,,,3221.58,14111.0,10 HCPCS,59820,Treatment Of Missed Abortion,4517.0,2258.5,,,0 HCPCS,59821,Treatment of miscarriage,,,3221.58,14111.0,10 HCPCS,59821,Trtmnt Missed Abortion 2Nd Tri,4517.0,2258.5,,,0 HCPCS,59830,Treat uterus infection,,,5220.0,5790.0,3 HCPCS,59840,Abortion,,,3221.58,14111.0,10 HCPCS,59841,Abortion,,,3221.58,14111.0,10 HCPCS,59850,Abortion,,,4564.0,5790.0,3 HCPCS,59851,Abortion,,,4564.0,5790.0,3 HCPCS,59852,Abortion,,,5220.0,5790.0,3 HCPCS,59855,Abortion,,,5220.0,5790.0,3 HCPCS,59855,Abortion Induction W/Supp Vag,3025.0,1512.5,,,0 HCPCS,59856,Abortion,,,5220.0,5790.0,3 HCPCS,59857,Abortion,,,5220.0,5790.0,3 HCPCS,59866,Abortion (mpr),,,303.27,3408.0,10 HCPCS,59870,Evacuate mole of uterus,,,3221.58,14111.0,10 HCPCS,59871,Chg Circlage Removal W/Anes,3304.0,1652.0,,,0 HCPCS,59871,Remove cerclage suture,,,3221.58,19040.0,10 HCPCS,59897,Fetal invas px w/us,,,201.2,5220.0,10 HCPCS,59898,Laparo proc ob care/deliver,,,5220.0,23971.0,10 HCPCS,59899,59899 Unlisted Procedure Maternity Care & Del,658.0,329.0,,,0 HCPCS,59899,Cerclage Removal W/O Anes,658.0,329.0,,,0 HCPCS,59899,Maternity care procedure,,,201.2,5220.0,10 HCPCS,60000,Drain thyroid/tongue cyst,,,1544.13,5790.0,10 HCPCS,60100,Biopsy of thyroid,,,704.73,3880.0,10 HCPCS,60100,Bx Thyroid Percutaneous,2155.0,1077.5,,,0 HCPCS,60200,Remove thyroid lesion,,,4564.0,29398.0,10 HCPCS,60210,Partial thyroid excision,,,5220.0,29398.0,10 HCPCS,60212,Partial thyroid excision,,,5220.0,29398.0,10 HCPCS,60220,Partial removal of thyroid,,,4564.0,29398.0,10 HCPCS,60225,Partial removal of thyroid,,,5220.0,29398.0,10 HCPCS,60240,Removal of thyroid,,,5220.0,29398.0,10 HCPCS,60252,Removal of thyroid,,,5220.0,23971.0,10 HCPCS,60254,Extensive thyroid surgery,,,5220.0,14111.0,3 HCPCS,60260,Repeat thyroid surgery,,,5220.0,23971.0,10 HCPCS,60270,Removal of thyroid,,,5220.0,5790.0,3 HCPCS,60271,Removal of thyroid,,,5220.0,23971.0,10 HCPCS,60280,Remove thyroid duct lesion,,,6016.5,29398.0,10 HCPCS,60281,Remove thyroid duct lesion,,,6016.5,29398.0,10 HCPCS,60300,60300 Aspir/Inj Thyroid Cyst,1874.0,937.0,,,0 HCPCS,60300,Aspir/inj thyroid cyst,,,704.73,5220.0,10 HCPCS,60300,"Chgr-Sp Cyst Aspiration,Thyroid",2155.0,1077.5,,,0 HCPCS,60500,Explore parathyroid glands,,,5220.0,23971.0,10 HCPCS,60502,Re-explore parathyroids,,,5891.41,23971.0,10 HCPCS,60505,Explore parathyroid glands,,,5220.0,5790.0,3 HCPCS,60512,Autotransplant parathyroid,,,2375.0,5220.0,3 HCPCS,60520,Removal of thymus gland,,,5220.0,23971.0,10 HCPCS,60521,Removal of thymus gland,,,5220.0,5790.0,3 HCPCS,60522,Removal of thymus gland,,,5220.0,5790.0,3 HCPCS,60540,Explore adrenal gland,,,5220.0,5790.0,3 HCPCS,60545,Explore adrenal gland,,,5220.0,5790.0,3 HCPCS,60600,Remove carotid body lesion,,,5220.0,5790.0,3 HCPCS,60605,Remove carotid body lesion,,,5220.0,5790.0,3 HCPCS,60650,Laparoscopy adrenalectomy,,,5220.0,23971.0,3 HCPCS,60659,Laparo proc endocrine,,,5220.0,23971.0,10 HCPCS,60660,Abltj 1/+thyr ndul 1lobe prq,,,1643.67,5790.0,9 HCPCS,60661,Abltj 1/+thyr ndul addl prq,,,2375.0,2633.0,2 HCPCS,60699,Endocrine surgery procedure,,,5220.0,29398.0,10 HCPCS,60699,Unlisted Proc Endocrine System,10230.0,5115.0,,,0 HCPCS,61000,Remove cranial cavity fluid,,,702.49,3880.0,10 HCPCS,61001,Remove cranial cavity fluid,,,702.49,3880.0,10 HCPCS,61020,Remove brain cavity fluid,,,880.23,3880.0,10 HCPCS,61026,Injection into brain canal,,,702.49,3880.0,10 HCPCS,61050,Cisternal/Lateral W/O Inj Spx,3366.0,1683.0,,,0 HCPCS,61050,Remove brain canal fluid,,,305.48,3408.0,10 HCPCS,61055,Chgr-Cistern Inj. Drug/Oth Dx,3366.0,1683.0,,,0 HCPCS,61055,Injection into brain canal,,,305.48,3408.0,10 HCPCS,61070,Brain canal shunt procedure,,,702.49,3880.0,10 HCPCS,61070,Chgr-Puncture Pump Reservoir,999.0,499.5,,,0 HCPCS,61105,Twist drill hole,,,5220.0,5790.0,3 HCPCS,61107,61107 Drill Skull For Implant,7767.0,3883.5,,,0 HCPCS,61107,Drill skull for implantation,,,5220.0,5790.0,3 HCPCS,61108,Drill skull for drainage,,,5220.0,5790.0,3 HCPCS,61120,Burr hole for puncture,,,5220.0,5790.0,3 HCPCS,61140,Pierce skull for biopsy,,,5220.0,5790.0,3 HCPCS,61150,Pierce skull for drainage,,,5220.0,5790.0,3 HCPCS,61151,Pierce skull for drainage,,,5220.0,5790.0,3 HCPCS,61154,Pierce skull & remove clot,,,5220.0,5790.0,3 HCPCS,61156,Pierce skull for drainage,,,5220.0,5790.0,3 HCPCS,61210,61210 Burr Hole For Vent Cath,6531.0,3265.5,,,0 HCPCS,61210,Pierce skull implant device,,,5220.0,5790.0,3 HCPCS,61215,Insert brain-fluid device,,,5220.0,30297.71,10 HCPCS,61250,Pierce skull & explore,,,5220.0,5790.0,3 HCPCS,61253,Pierce skull & explore,,,5220.0,5790.0,3 HCPCS,61304,Open skull for exploration,,,5220.0,5790.0,3 HCPCS,61305,Open skull for exploration,,,5220.0,5790.0,3 HCPCS,61312,Open skull for drainage,,,5220.0,5790.0,3 HCPCS,61313,Open skull for drainage,,,5220.0,5790.0,3 HCPCS,61314,Open skull for drainage,,,5220.0,5790.0,3 HCPCS,61315,Open skull for drainage,,,5220.0,5790.0,3 HCPCS,61316,Implt cran bone flap to abdo,,,5220.0,5790.0,3 HCPCS,61320,Open skull for drainage,,,5220.0,5790.0,3 HCPCS,61321,Open skull for drainage,,,5220.0,5790.0,3 HCPCS,61322,Decompressive craniotomy,,,5220.0,5790.0,3 HCPCS,61323,Decompressive lobectomy,,,5220.0,5790.0,3 HCPCS,61330,Decompress eye socket,,,3299.54,23971.0,10 HCPCS,61333,Explore orbit/remove lesion,,,5220.0,5790.0,3 HCPCS,61340,Subtemporal decompression,,,5220.0,5790.0,3 HCPCS,61343,Incise skull (press relief),,,5220.0,5790.0,3 HCPCS,61345,Relieve cranial pressure,,,5220.0,5790.0,3 HCPCS,61450,Incise skull for surgery,,,5220.0,5790.0,3 HCPCS,61458,Incise skull for brain wound,,,5220.0,5790.0,3 HCPCS,61460,Incise skull for surgery,,,5220.0,5790.0,3 HCPCS,61500,Removal of skull lesion,,,5220.0,29398.0,3 HCPCS,61501,Remove infected skull bone,,,5220.0,5790.0,3 HCPCS,61510,Removal of brain lesion,,,5220.0,5790.0,3 HCPCS,61512,Remove brain lining lesion,,,5220.0,5790.0,3 HCPCS,61514,Removal of brain abscess,,,5220.0,5790.0,3 HCPCS,61516,Removal of brain lesion,,,5220.0,5790.0,3 HCPCS,61517,Implt brain chemotx add-on,,,5220.0,5790.0,3 HCPCS,61518,Removal of brain lesion,,,5220.0,5790.0,3 HCPCS,61519,Remove brain lining lesion,,,5220.0,5790.0,3 HCPCS,61520,Removal of brain lesion,,,5220.0,5790.0,3 HCPCS,61521,Removal of brain lesion,,,5220.0,5790.0,3 HCPCS,61522,Removal of brain abscess,,,5220.0,5790.0,3 HCPCS,61524,Removal of brain lesion,,,5220.0,5790.0,3 HCPCS,61526,Removal of brain lesion,,,5220.0,5790.0,3 HCPCS,61530,Removal of brain lesion,,,5220.0,5790.0,3 HCPCS,61531,Implant brain electrodes,,,5220.0,5790.0,3 HCPCS,61533,Implant brain electrodes,,,5220.0,5790.0,3 HCPCS,61534,Removal of brain lesion,,,5220.0,5790.0,3 HCPCS,61535,Remove brain electrodes,,,5220.0,5790.0,3 HCPCS,61536,Removal of brain lesion,,,5220.0,5790.0,3 HCPCS,61537,Removal of brain tissue,,,5220.0,5790.0,3 HCPCS,61538,Removal of brain tissue,,,5220.0,5790.0,3 HCPCS,61539,Removal of brain tissue,,,5220.0,5790.0,3 HCPCS,61540,Removal of brain tissue,,,5220.0,5790.0,3 HCPCS,61541,Incision of brain tissue,,,5220.0,5790.0,3 HCPCS,61543,Removal of brain tissue,,,5220.0,5790.0,3 HCPCS,61544,Remove & treat brain lesion,,,5220.0,5790.0,3 HCPCS,61545,Excision of brain tumor,,,5220.0,5790.0,3 HCPCS,61546,Removal of pituitary gland,,,5220.0,5790.0,3 HCPCS,61548,Removal of pituitary gland,,,5220.0,5790.0,3 HCPCS,61550,Release of skull seams,,,5220.0,5790.0,3 HCPCS,61552,Release of skull seams,,,5220.0,5790.0,3 HCPCS,61556,Incise skull/sutures,,,5220.0,5790.0,3 HCPCS,61557,Incise skull/sutures,,,5220.0,5790.0,3 HCPCS,61558,Excision of skull/sutures,,,5220.0,5790.0,3 HCPCS,61559,Excision of skull/sutures,,,5220.0,5790.0,3 HCPCS,61563,Excision of skull tumor,,,5220.0,5790.0,3 HCPCS,61564,Excision of skull tumor,,,5220.0,5790.0,3 HCPCS,61566,Removal of brain tissue,,,5220.0,5790.0,3 HCPCS,61567,Incision of brain tissue,,,5220.0,5790.0,3 HCPCS,61570,Remove foreign body brain,,,5220.0,5790.0,3 HCPCS,61571,Incise skull for brain wound,,,5220.0,5790.0,3 HCPCS,61575,Skull base/brainstem surgery,,,5220.0,5790.0,3 HCPCS,61576,Skull base/brainstem surgery,,,5220.0,5790.0,3 HCPCS,61580,Craniofacial approach skull,,,5220.0,5790.0,3 HCPCS,61581,Craniofacial approach skull,,,5220.0,5790.0,3 HCPCS,61582,Craniofacial approach skull,,,5220.0,5790.0,3 HCPCS,61583,Craniofacial approach skull,,,5220.0,5790.0,3 HCPCS,61584,Orbitocranial approach/skull,,,5220.0,5790.0,3 HCPCS,61585,Orbitocranial approach/skull,,,5220.0,5790.0,3 HCPCS,61586,Resect nasopharynx skull,,,5220.0,5790.0,3 HCPCS,61590,Infratemporal approach/skull,,,5220.0,5790.0,3 HCPCS,61591,Infratemporal approach/skull,,,5220.0,5790.0,3 HCPCS,61592,Orbitocranial approach/skull,,,5220.0,5790.0,3 HCPCS,61595,Transtemporal approach/skull,,,5220.0,5790.0,3 HCPCS,61596,Transcochlear approach/skull,,,5220.0,5790.0,3 HCPCS,61597,Transcondylar approach/skull,,,5220.0,5790.0,3 HCPCS,61598,Transpetrosal approach/skull,,,5220.0,5790.0,3 HCPCS,61600,Resect/excise cranial lesion,,,5220.0,5790.0,3 HCPCS,61601,Resect/excise cranial lesion,,,5220.0,5790.0,3 HCPCS,61605,Resect/excise cranial lesion,,,5220.0,5790.0,3 HCPCS,61606,Resect/excise cranial lesion,,,5220.0,5790.0,3 HCPCS,61607,Resect/excise cranial lesion,,,5220.0,5790.0,3 HCPCS,61608,Resect/excise cranial lesion,,,5220.0,5790.0,3 HCPCS,61611,Transect artery sinus,,,5220.0,5790.0,3 HCPCS,61613,Remove aneurysm sinus,,,5220.0,5790.0,3 HCPCS,61615,Resect/excise lesion skull,,,5220.0,5790.0,3 HCPCS,61616,Resect/excise lesion skull,,,5220.0,5790.0,3 HCPCS,61618,Repair dura,,,5220.0,5790.0,3 HCPCS,61619,Repair dura,,,5220.0,5790.0,3 HCPCS,61623,Endovasc tempory vessel occl,,,5220.0,39855.12,10 HCPCS,61623,Temp Balloon Occlusion Head/Ne,26053.0,13026.5,,,0 HCPCS,61624,Chgr-Cd Embolization Intra / Spinal Cord,6602.0,3301.0,,,0 HCPCS,61624,Tcat Permanent Occlusion/Embolization Prq Cns,6602.0,3301.0,,,0 HCPCS,61624,Transcath occlusion cns,,,5220.0,63288.08,10 HCPCS,61626,Embolization Extracranial,15598.0,7799.0,,,0 HCPCS,61626,Transcath occlusion non-cns,,,5220.0,39855.12,10 HCPCS,61630,Intracranial angioplasty,,,5220.0,5790.0,3 HCPCS,61630,Pta Intracranial-Athro Stenos,17523.0,8761.5,,,0 HCPCS,61635,Intracran angioplsty w/stent,,,5220.0,5790.0,3 HCPCS,61635,Stent Intracranal Incpta Athro,16291.0,8145.5,,,0 HCPCS,61640,Dilate ic vasospasm init,,,5220.0,5790.0,3 HCPCS,61640,Pta Intracran-Vasospm Init Ves,17523.0,8761.5,,,0 HCPCS,61641,Chgr-Sp Pta Intracranvasospmaddsmfam,12514.0,6257.0,,,0 HCPCS,61641,Dilate ic vasospasm add-on,,,4564.0,5790.0,3 HCPCS,61642,Dilate ic vasospasm add-on,,,4564.0,5790.0,3 HCPCS,61642,Pta Intracran-Vasospmadddiffam,12514.0,6257.0,,,0 HCPCS,61645,Perq Art M-Thrombect &/Nfs,65587.0,32793.5,,,0 HCPCS,61645,Perq art m-thrombect &/nfs,,,5220.0,5790.0,3 HCPCS,61650,Evasc Prlng Admn Rx Agnt 1St,3743.0,1871.5,,,0 HCPCS,61650,Evasc prlng admn rx agnt 1st,,,5220.0,5790.0,3 HCPCS,61651,Evasc Prlng Admn Rx Agnt Add,3743.0,1871.5,,,0 HCPCS,61651,Evasc prlng admn rx agnt add,,,5220.0,5790.0,3 HCPCS,61680,Intracranial vessel surgery,,,5220.0,5790.0,3 HCPCS,61682,Intracranial vessel surgery,,,5220.0,5790.0,3 HCPCS,61684,Intracranial vessel surgery,,,5220.0,5790.0,3 HCPCS,61686,Intracranial vessel surgery,,,5220.0,5790.0,3 HCPCS,61690,Intracranial vessel surgery,,,5220.0,5790.0,3 HCPCS,61692,Intracranial vessel surgery,,,5220.0,5790.0,3 HCPCS,61697,Brain aneurysm repr complx,,,5220.0,5790.0,3 HCPCS,61698,Brain aneurysm repr complx,,,5220.0,5790.0,3 HCPCS,61700,Brain aneurysm repr simple,,,5220.0,5790.0,3 HCPCS,61702,Inner skull vessel surgery,,,5220.0,5790.0,3 HCPCS,61703,Clamp neck artery,,,5220.0,5790.0,3 HCPCS,61705,Revise circulation to head,,,5220.0,5790.0,3 HCPCS,61708,Revise circulation to head,,,5220.0,5790.0,3 HCPCS,61710,Revise circulation to head,,,5220.0,5790.0,3 HCPCS,61711,Fusion of skull arteries,,,5220.0,5790.0,3 HCPCS,61715,Mrgfus strtctc ablt trgt icr,,,11089.19,38469.0,9 HCPCS,61720,Incise skull/brain surgery,,,5220.0,30297.71,10 HCPCS,61735,Incise skull/brain surgery,,,5220.0,5790.0,3 HCPCS,61736,Litt icr 1 traj 1 smpl les,,,5226.0,5790.0,2 HCPCS,61737,Litt icr mlt trj mlt/cplx ls,,,5226.0,5790.0,2 HCPCS,61750,Incise skull/brain biopsy,,,5220.0,5790.0,3 HCPCS,61751,Brain biopsy w/ct/mr guide,,,5220.0,5790.0,3 HCPCS,61760,Implant brain electrodes,,,5220.0,5790.0,3 HCPCS,61770,Incise skull for treatment,,,3399.75,23971.0,10 HCPCS,61781,Scan proc cranial intra,,,2375.0,5220.0,3 HCPCS,61782,Scan proc cranial extra,,,2375.0,5220.0,3 HCPCS,61783,Scan proc spinal,,,2375.0,5220.0,3 HCPCS,61790,Treat trigeminal nerve,,,1943.35,14111.0,10 HCPCS,61791,Treat trigeminal tract,,,1943.35,14111.0,10 HCPCS,61796,Srs cranial lesion simple,,,5220.0,29398.0,3 HCPCS,61797,Srs cran les simple addl,,,5220.0,5790.0,3 HCPCS,61798,Srs cranial lesion complex,,,5220.0,29398.0,3 HCPCS,61799,Srs cran les complex addl,,,5220.0,5790.0,3 HCPCS,61800,Apply srs headframe add-on,,,2375.0,5220.0,3 HCPCS,61850,Implant neuroelectrodes,,,5220.0,5790.0,3 HCPCS,61860,Implant neuroelectrodes,,,5220.0,5790.0,3 HCPCS,61863,Implant neuroelectrode,,,5220.0,5790.0,3 HCPCS,61864,Implant neuroelectrde addl,,,5220.0,5790.0,3 HCPCS,61867,Implant neuroelectrode,,,5220.0,5790.0,3 HCPCS,61868,Implant neuroelectrde addl,,,5220.0,5790.0,3 HCPCS,61880,Revise/remove neuroelectrode,,,3479.32,19040.0,10 HCPCS,61885,Insert/Repl Neurostimulator,32343.0,16171.5,,,0 HCPCS,61885,Insrt/redo neurostim 1 array,,,4564.0,106533.01,10 HCPCS,61886,Implant neurostim arrays,,,5220.0,106533.01,10 HCPCS,61888,Removal Neurostim Generator,15100.0,7550.0,,,0 HCPCS,61888,Revise/remove neuroreceiver,,,3408.0,38469.0,10 HCPCS,61889,Ins sk-mnt crnl nstm pg/rcvr,,,5226.0,5790.0,2 HCPCS,61891,Rev/rplcmt sk-mnt crnl nstm,,,30709.54,106533.01,9 HCPCS,61892,Rmv sk-mnt crnl nstm pg/rcvr,,,3256.29,19040.0,9 HCPCS,62000,Treat skull fracture,,,3299.54,23971.0,10 HCPCS,62005,Treat skull fracture,,,5220.0,5790.0,3 HCPCS,62010,Treatment of head injury,,,5220.0,5790.0,3 HCPCS,62100,Repair brain fluid leakage,,,5220.0,5790.0,3 HCPCS,62115,Reduction of skull defect,,,5220.0,5790.0,3 HCPCS,62117,Reduction of skull defect,,,5220.0,5790.0,3 HCPCS,62120,Repair skull cavity lesion,,,5220.0,5790.0,3 HCPCS,62121,Incise skull repair,,,5220.0,5790.0,3 HCPCS,62140,Repair of skull defect,,,5220.0,5790.0,3 HCPCS,62141,Repair of skull defect,,,5220.0,5790.0,3 HCPCS,62142,Remove skull plate/flap,,,5220.0,5790.0,3 HCPCS,62143,Replace skull plate/flap,,,5220.0,5790.0,3 HCPCS,62145,Repair of skull & brain,,,5220.0,5790.0,3 HCPCS,62146,Repair of skull with graft,,,5220.0,5790.0,3 HCPCS,62147,Repair of skull with graft,,,5220.0,5790.0,3 HCPCS,62148,Retr bone flap to fix skull,,,5220.0,5790.0,3 HCPCS,62160,Neuroendoscopy add-on,,,2375.0,5220.0,3 HCPCS,62161,Dissect brain w/scope,,,5220.0,5790.0,3 HCPCS,62162,Remove colloid cyst w/scope,,,5220.0,5790.0,3 HCPCS,62164,Remove brain tumor w/scope,,,5220.0,5790.0,3 HCPCS,62165,Remove pituit tumor w/scope,,,5220.0,5790.0,3 HCPCS,62180,Establish brain cavity shunt,,,5220.0,5790.0,3 HCPCS,62190,Establish brain cavity shunt,,,5220.0,5790.0,3 HCPCS,62192,Establish brain cavity shunt,,,5220.0,5790.0,3 HCPCS,62194,Replace/irrigate catheter,,,1943.35,14111.0,10 HCPCS,62200,Establish brain cavity shunt,,,5220.0,5790.0,3 HCPCS,62201,Brain cavity shunt w/scope,,,5220.0,5790.0,3 HCPCS,62220,Establish brain cavity shunt,,,5220.0,5790.0,3 HCPCS,62223,Establish brain cavity shunt,,,5220.0,5790.0,3 HCPCS,62225,Replace/irrigate catheter,,,3399.75,11793.9,10 HCPCS,62230,Replace/revise brain shunt,,,4564.0,30297.71,10 HCPCS,62252,Csf Shunt Reprogram,,,305.66,3408.0,10 HCPCS,62256,Remove brain cavity shunt,,,5220.0,5790.0,3 HCPCS,62258,Replace brain cavity shunt,,,5220.0,5790.0,3 HCPCS,62263,Epidural lysis mult sessions,,,880.23,3880.0,10 HCPCS,62263,Lysis Epi Adh 2+Day-W/Wo Fluor,4804.0,2402.0,,,0 HCPCS,62264,Epidural lysis on single day,,,880.23,3880.0,10 HCPCS,62267,"Asp,Paravertebral/Disc,Diag",2356.0,1178.0,,,0 HCPCS,62267,Interdiscal perq aspir dx,,,704.73,3880.0,10 HCPCS,62268,Cyst Asp Spinal Cord,1635.0,817.5,,,0 HCPCS,62268,Drain spinal cord cyst,,,880.23,3880.0,10 HCPCS,62269,Needle biopsy spinal cord,,,1643.67,5790.0,10 HCPCS,62269,Perc Needle Bx Spinal Cord,2003.0,1001.5,,,0 HCPCS,62270,62270 Lumbar Sp Puncture-Dx,2970.0,1485.0,,,0 HCPCS,62270,Chgr-Diagnostic Lumbar Spinal Puncture,2970.0,1485.0,,,0 HCPCS,62270,Diagnostic Lumbar Spinal Puncture,2970.0,1485.0,,,0 HCPCS,62270,Lumbar Puncture,2970.0,1485.0,,,0 HCPCS,62270,Lumbar Puncture-Neonate,2970.0,1485.0,,,0 HCPCS,62270,Spinal fluid tap diagnostic,,,702.49,3880.0,10 HCPCS,62272,62272 Theraputic Sp Punc-Drai,2970.0,1485.0,,,0 HCPCS,62272,Chgr-Lp Therapeutic,2970.0,1485.0,,,0 HCPCS,62272,Drain cerebro spinal fluid,,,702.49,3880.0,10 HCPCS,62273,62273 Epidur Inj Bl/Clot Patc,2067.0,1033.5,,,0 HCPCS,62273,"Chgr-Sp Inj, Epidural, Blood / Clot Patch",2067.0,1033.5,,,0 HCPCS,62273,Inject epidural patch,,,702.49,3880.0,10 HCPCS,62273,Proc-Epidural Blood Patch,2067.0,1033.5,,,0 HCPCS,62280,Oth-Inj Neuro Subst Subarach,2285.0,1142.5,,,0 HCPCS,62280,Treat spinal cord lesion,,,880.23,3880.0,10 HCPCS,62281,Treat Spinal Cord Lesion,2674.0,1337.0,,,0 HCPCS,62281,Treat spinal cord lesion,,,880.23,3880.0,10 HCPCS,62282,Treat spinal canal lesion,,,880.23,3880.0,10 HCPCS,62284,Chgr Inj Proc Lumbar Myelogram/Ct,2647.0,1323.5,,,0 HCPCS,62284,Injection for myelogram,,,2375.0,5220.0,3 HCPCS,62287,Percutaneous diskectomy,,,1943.35,19040.0,10 HCPCS,62290,Inject for spine disk x-ray,,,2375.0,5220.0,3 HCPCS,62290,Injection Px Discography Each Level Lumbar,5357.0,2678.5,,,0 HCPCS,62291,"Chgr-Sp Diskography Cervical Or Thoracic, Ea",3784.0,1892.0,,,0 HCPCS,62291,Inject for spine disk x-ray,,,2375.0,5220.0,3 HCPCS,62292,Injection into disk lesion,,,1943.35,14111.0,10 HCPCS,62294,Injection into spinal artery,,,880.23,5220.0,10 HCPCS,62302,Myelogram Lumbar-Cervical S&I,5681.0,2840.5,,,0 HCPCS,62302,Myelography lumbar injection,,,780.16,5220.0,10 HCPCS,62303,Myelogram Lumbar-Thoracic S&I,5681.0,2840.5,,,0 HCPCS,62303,Myelography lumbar injection,,,780.16,5220.0,10 HCPCS,62304,Myelography Lumbar Injection,5681.0,2840.5,,,0 HCPCS,62304,Myelography lumbar injection,,,780.16,5220.0,10 HCPCS,62305,Myelogram Lumbar-2+Regions S&I,7687.0,3843.5,,,0 HCPCS,62305,Myelography lumbar injection,,,780.16,5220.0,10 HCPCS,62310,Inject spine c/t,,,3408.0,3408.0,1 HCPCS,62311,Inject spine l/s (cd),,,3408.0,3408.0,1 HCPCS,62318,"Inject spine w/cath, c/t",,,3408.0,3408.0,1 HCPCS,62319,Inject spine w/cath l/s (cd),,,3408.0,3408.0,1 HCPCS,62320,Njx Interlaminar Crv/Thrc,3366.0,1683.0,,,0 HCPCS,62320,Njx interlaminar crv/thrc,,,702.49,5220.0,10 HCPCS,62321,"Njx Interlaminar Crv/Thrc, Img",3876.0,1938.0,,,0 HCPCS,62321,Njx interlaminar crv/thrc,,,702.49,5220.0,10 HCPCS,62322,Njx Interlaminar Lmbr/Sac,3876.0,1938.0,,,0 HCPCS,62322,Njx interlaminar lmbr/sac,,,880.23,5220.0,10 HCPCS,62323,"Njx Interlaminar Lmbr/Sac, Img",3370.0,1685.0,,,0 HCPCS,62323,Njx interlaminar lmbr/sac,,,702.49,5220.0,10 HCPCS,62324,Njx Intrlmnr Crv/Thrc W/O Neur,3148.0,1574.0,,,0 HCPCS,62324,Njx interlaminar crv/thrc,,,880.23,5220.0,10 HCPCS,62325,"Njx Intrlam C/T W/O Neur, Img",3148.0,1574.0,,,0 HCPCS,62325,Njx interlaminar crv/thrc,,,880.23,5220.0,10 HCPCS,62326,Njx Intrlmnr Lmbr/Sac Cont Inf,3140.0,1570.0,,,0 HCPCS,62326,Njx interlaminar lmbr/sac,,,880.23,5220.0,10 HCPCS,62327,"Njx Intrlam L/S Cont Inf, Img",3148.0,1574.0,,,0 HCPCS,62327,Njx interlaminar lmbr/sac,,,880.23,5220.0,10 HCPCS,62328,Dx Lmbr Spi Pnxr W/Fluor/Ct,3876.0,1938.0,,,0 HCPCS,62328,Dx lmbr spi pnxr w/fluor/ct,,,702.49,5220.0,10 HCPCS,62329,Ther Spi Pnxr Csf Fluor/Ct,3876.0,1938.0,,,0 HCPCS,62329,Ther spi pnxr csf fluor/ct,,,702.49,5220.0,10 HCPCS,62330,Dcmprn prq rmv lig flv 1lmbr,,,7221.37,25051.33,7 HCPCS,62350,Implant spinal canal cath,,,4564.0,30297.71,10 HCPCS,62350,Oth-Epi Cath Placement,7219.0,3609.5,,,0 HCPCS,62351,Implant spinal canal cath,,,7221.37,29398.0,10 HCPCS,62355,Oth-Epi Cath Removal,2781.0,1390.5,,,0 HCPCS,62355,Remove spinal canal catheter,,,1943.35,14111.0,10 HCPCS,62360,Insert spine infusion device,,,4564.0,62225.49,10 HCPCS,62360,Pump-Impl/Repl Dev Int/Epi Drug,19789.0,9894.5,,,0 HCPCS,62361,Implant spine infusion pump,,,4564.0,62225.49,10 HCPCS,62362,Implant spine infusion pump,,,4564.0,62225.49,10 HCPCS,62365,Remove spine infusion device,,,3399.75,29398.0,10 HCPCS,62367,Analyze spine infus pump,,,305.66,4564.0,10 HCPCS,62367,Pump-Elec Anal-No Reprg Refill,844.0,422.0,,,0 HCPCS,62368,Analyze sp inf pump w/reprog,,,305.66,4564.0,10 HCPCS,62368,Pump-Elec-Anal-Reprg Only,996.0,498.0,,,0 HCPCS,62369,Anal sp inf pmp w/reprg&fill,,,305.66,5220.0,10 HCPCS,62369,Chgr-Cd Inf Pump Fill W/Prog And Anal,860.0,430.0,,,0 HCPCS,62370,Anl sp inf pmp w/mdreprg&fil,,,305.66,5220.0,10 HCPCS,62370,"Chgr-Cd Inf Pump W/Md Fill/Prog, Anal",860.0,430.0,,,0 HCPCS,62380,Ndsc dcmprn 1 ntrspc lumbar,,,7221.37,29398.0,9 HCPCS,63001,Remove spine lamina 1/2 crvl,,,5220.0,29398.0,10 HCPCS,63003,Remove spine lamina 1/2 thrc,,,5220.0,29398.0,10 HCPCS,63005,Remove spine lamina 1/2 lmbr,,,5220.0,29398.0,10 HCPCS,63011,Remove spine lamina 1/2 scrl,,,5220.0,29398.0,10 HCPCS,63012,Remove lamina/facets lumbar,,,5220.0,29398.0,10 HCPCS,63015,Remove spine lamina >2 crvcl,,,5220.0,29398.0,10 HCPCS,63016,Remove spine lamina >2 thrc,,,5220.0,29398.0,10 HCPCS,63017,Remove spine lamina >2 lmbr,,,5220.0,29398.0,10 HCPCS,63020,Neck spine disk surgery,,,5220.0,29398.0,10 HCPCS,63030,Low back disk surgery,,,5220.0,29398.0,10 HCPCS,63035,Spinal disk surgery add-on,,,2375.0,5220.0,3 HCPCS,63040,Laminotomy single cervical,,,5220.0,29398.0,10 HCPCS,63042,Laminotomy single lumbar,,,5220.0,29398.0,10 HCPCS,63043,Laminotomy addl cervical,,,5220.0,19040.0,3 HCPCS,63044,Laminotomy addl lumbar,,,5220.0,19040.0,3 HCPCS,63045,Remove spine lamina 1 crvl,,,5220.0,29398.0,10 HCPCS,63046,Remove spine lamina 1 thrc,,,5220.0,29398.0,10 HCPCS,63047,Remove spine lamina 1 lmbr,,,5220.0,29398.0,10 HCPCS,63048,Remove spinal lamina add-on,,,2375.0,5220.0,3 HCPCS,63050,Cervical laminoplsty 2/> seg,,,5220.0,5790.0,3 HCPCS,63051,C-laminoplasty w/graft/plate,,,5220.0,5790.0,3 HCPCS,63052,Lam facetc/frmt arthrd lum 1,,,2375.0,2633.0,2 HCPCS,63053,Lam factc/frmt arthrd lum ea,,,2375.0,2633.0,2 HCPCS,63055,Decompress spinal cord thrc,,,7221.37,29398.0,10 HCPCS,63056,Decompress spinal cord lmbr,,,7221.37,29398.0,10 HCPCS,63057,Decompress spine cord add-on,,,2375.0,13700.0,3 HCPCS,63064,Decompress spinal cord thrc,,,7221.37,29398.0,10 HCPCS,63066,Decompress spine cord add-on,,,2375.0,13700.0,3 HCPCS,63075,Neck spine disk surgery,,,5220.0,29398.0,10 HCPCS,63076,Neck spine disk surgery,,,2375.0,5220.0,3 HCPCS,63077,Spine disk surgery thorax,,,5220.0,5790.0,3 HCPCS,63078,Spine disk surgery thorax,,,5220.0,5790.0,3 HCPCS,63081,Remove vert body dcmprn crvl,,,5220.0,29398.0,3 HCPCS,63082,Remove vertebral body add-on,,,5220.0,5790.0,3 HCPCS,63085,Remove vert body dcmprn thrc,,,5220.0,5790.0,3 HCPCS,63086,Remove vertebral body add-on,,,5220.0,5790.0,3 HCPCS,63087,Remov vertbr dcmprn thrclmbr,,,5220.0,5790.0,3 HCPCS,63088,Remove vertebral body add-on,,,5220.0,5790.0,3 HCPCS,63090,Remove vert body dcmprn lmbr,,,5220.0,5790.0,3 HCPCS,63091,Remove vertebral body add-on,,,5220.0,5790.0,3 HCPCS,63101,Remove vert body dcmprn thrc,,,5220.0,5790.0,3 HCPCS,63102,Remove vert body dcmprn lmbr,,,5220.0,5790.0,3 HCPCS,63103,Remove vertebral body add-on,,,5220.0,5790.0,3 HCPCS,63170,Incise spinal cord tract(s),,,5220.0,5790.0,3 HCPCS,63172,Drainage of spinal cyst,,,5220.0,5790.0,3 HCPCS,63173,Drainage of spinal cyst,,,5220.0,5790.0,3 HCPCS,63180,Revise spinal cord ligaments,,,5220.0,5220.0,1 HCPCS,63182,Revise spinal cord ligaments,,,5220.0,5220.0,1 HCPCS,63185,Incise spine nrv half segmnt,,,5220.0,35289.0,3 HCPCS,63190,Incise spine nrv >2 segmnts,,,5220.0,35289.0,3 HCPCS,63191,Incise spine accessory nerve,,,5220.0,35289.0,3 HCPCS,63194,Incise spine & cord cervical,,,5220.0,5220.0,1 HCPCS,63195,Incise spine & cord thoracic,,,5220.0,5220.0,1 HCPCS,63196,Incise spine&cord 2 trx crvl,,,5220.0,5220.0,1 HCPCS,63197,Incise spine&cord 2 trx thrc,,,5220.0,5790.0,3 HCPCS,63198,Incise spin&cord 2 stgs crvl,,,5220.0,5220.0,1 HCPCS,63199,Incise spin&cord 2 stgs thrc,,,5220.0,5220.0,1 HCPCS,63200,Release spinal cord lumbar,,,5220.0,35289.0,3 HCPCS,63250,Revise spinal cord vsls crvl,,,5220.0,5790.0,3 HCPCS,63251,Revise spinal cord vsls thrc,,,5220.0,5790.0,3 HCPCS,63252,Revise spine cord vsl thrlmb,,,5220.0,35289.0,3 HCPCS,63265,Excise intraspinl lesion crv,,,5220.0,29398.0,10 HCPCS,63266,Excise intrspinl lesion thrc,,,5220.0,29398.0,10 HCPCS,63267,Excise intrspinl lesion lmbr,,,5220.0,25051.33,10 HCPCS,63268,Excise intrspinl lesion scrl,,,5220.0,29398.0,10 HCPCS,63270,Excise intrspinl lesion crvl,,,5220.0,5790.0,3 HCPCS,63271,Excise intrspinl lesion thrc,,,5220.0,5790.0,3 HCPCS,63272,Excise intrspinl lesion lmbr,,,5220.0,35289.0,3 HCPCS,63273,Excise intrspinl lesion scrl,,,5220.0,5790.0,3 HCPCS,63275,Bx/exc xdrl spine lesn crvl,,,5220.0,5790.0,3 HCPCS,63276,Bx/exc xdrl spine lesn thrc,,,5220.0,5790.0,3 HCPCS,63277,Bx/exc xdrl spine lesn lmbr,,,5220.0,35289.0,3 HCPCS,63278,Bx/exc xdrl spine lesn scrl,,,5220.0,5790.0,3 HCPCS,63280,Bx/exc idrl spine lesn crvl,,,5220.0,5790.0,3 HCPCS,63281,Bx/exc idrl spine lesn thrc,,,5220.0,5790.0,3 HCPCS,63282,Bx/exc idrl spine lesn lmbr,,,5220.0,35289.0,3 HCPCS,63283,Bx/exc idrl spine lesn scrl,,,5220.0,5790.0,3 HCPCS,63285,Bx/exc idrl imed lesn cervl,,,5220.0,5790.0,3 HCPCS,63286,Bx/exc idrl imed lesn thrc,,,5220.0,5790.0,3 HCPCS,63287,Bx/exc idrl imed lesn thrlmb,,,5220.0,35289.0,3 HCPCS,63290,Bx/exc xdrl/idrl lsn any lvl,,,5220.0,35289.0,3 HCPCS,63295,Repair laminectomy defect,,,5220.0,5790.0,3 HCPCS,63300,Remove vert xdrl body crvcl,,,5220.0,5790.0,3 HCPCS,63301,Remove vert xdrl body thrc,,,5220.0,5790.0,3 HCPCS,63302,Remove vert xdrl body thrlmb,,,5220.0,5790.0,3 HCPCS,63303,Remov vert xdrl bdy lmbr/sac,,,5220.0,5790.0,3 HCPCS,63304,Remove vert idrl body crvcl,,,5220.0,5790.0,3 HCPCS,63305,Remove vert idrl body thrc,,,5220.0,5790.0,3 HCPCS,63306,Remov vert idrl bdy thrclmbr,,,5220.0,5790.0,3 HCPCS,63307,Remov vert idrl bdy lmbr/sac,,,5220.0,5790.0,3 HCPCS,63308,Remove vertebral body add-on,,,5220.0,5790.0,3 HCPCS,63600,Remove spinal cord lesion,,,1943.35,14111.0,10 HCPCS,63610,Stimulation of spinal cord,,,1943.35,6741.58,10 HCPCS,63615,Remove lesion of spinal cord,,,7337.0,7337.0,1 HCPCS,63620,Srs spinal lesion,,,5220.0,29398.0,3 HCPCS,63621,Srs spinal lesion addl,,,5220.0,5790.0,3 HCPCS,63650,Implant neuroelectrodes,,,6342.39,29398.0,10 HCPCS,63650,Ns-Perc Impl Neuro Trial,13865.0,6932.5,,,0 HCPCS,63655,Implant neuroelectrodes,,,5220.0,66976.89,10 HCPCS,63661,Remove spine eltrd perq aray,,,1943.35,14111.0,10 HCPCS,63662,Remove spine eltrd plate,,,3479.32,19040.0,10 HCPCS,63663,Revise spine eltrd perq aray,,,6342.39,29398.0,10 HCPCS,63664,Revise spine eltrd plate,,,10181.0,38469.0,10 HCPCS,63685,Insrt/redo spine n generator,,,4564.0,106533.01,10 HCPCS,63688,Revise/remove neuroreceiver,,,3408.0,19040.0,10 HCPCS,63700,Repair of spinal herniation,,,5220.0,5790.0,3 HCPCS,63702,Repair of spinal herniation,,,5220.0,5790.0,3 HCPCS,63704,Repair of spinal herniation,,,5220.0,5790.0,3 HCPCS,63706,Repair of spinal herniation,,,5220.0,5790.0,3 HCPCS,63707,Repair spinal fluid leakage,,,5220.0,5790.0,3 HCPCS,63709,Repair spinal fluid leakage,,,5220.0,5790.0,3 HCPCS,63710,Graft repair of spine defect,,,5220.0,5790.0,3 HCPCS,63740,Install spinal shunt,,,5220.0,5790.0,3 HCPCS,63741,Install spinal shunt,,,5220.0,30297.71,10 HCPCS,63744,Revision of spinal shunt,,,3399.75,23971.0,10 HCPCS,63746,Removal of spinal shunt,,,1943.35,14111.0,10 HCPCS,64400,64400 Inj Trigeminal Nerve,1198.0,599.0,,,0 HCPCS,64400,N block inj trigeminal,,,305.48,3408.0,10 HCPCS,64400,Oth-Inj Trigeminal Nerve,1198.0,599.0,,,0 HCPCS,64402,N block inj facial,,,3408.0,3408.0,1 HCPCS,64405,64405 Inject Anesth Agent Occi,1164.0,582.0,,,0 HCPCS,64405,N block inj occipital,,,305.48,3408.0,10 HCPCS,64405,Oth-Inj Greater Occipital Nrv,1164.0,582.0,,,0 HCPCS,64408,N block inj vagus,,,305.48,3408.0,10 HCPCS,64410,N block inj phrenic,,,3408.0,3408.0,1 HCPCS,64412,Injection for nerve block,,,3408.0,3408.0,1 HCPCS,64413,N block inj cervical plexus,,,3408.0,3408.0,1 HCPCS,64415,64415 Njx Aa&/Strd Brch Plxs Img,1012.0,506.0,,,0 HCPCS,64415,N block inj brachial plexus,,,880.23,3880.0,10 HCPCS,64415,Njx Aa&/Strd Brch Plxs Img,1012.0,506.0,,,0 HCPCS,64416,N block cont infuse b plex,,,880.23,3880.0,10 HCPCS,64416,Njx Aa&/Strd Brch Pl Nfs Img,2927.0,1463.5,,,0 HCPCS,64417,N block inj axillary,,,880.23,3880.0,10 HCPCS,64417,Njx Aa&/Strd Ax Nerve Img,1516.0,758.0,,,0 HCPCS,64418,N block inj suprascapular,,,702.49,3880.0,10 HCPCS,64418,Oth-Inj Suprascapular Nerve,1743.0,871.5,,,0 HCPCS,64420,64420 Nerve Block Inj Intercos,2320.0,1160.0,,,0 HCPCS,64420,Inj Anesth; Intercostal Nerve,2320.0,1160.0,,,0 HCPCS,64420,N block inj intercost sng,,,702.49,3880.0,10 HCPCS,64420,"Nerve Block,Intercostal,Sng",2320.0,1160.0,,,0 HCPCS,64420,Oth-Inj Intercostal Nerve Sgl,2320.0,1160.0,,,0 HCPCS,64421,Chg - N Block Inj Intercost Mlt,3013.0,1506.5,,,0 HCPCS,64421,Chgr-Nerve Block,3013.0,1506.5,,,0 HCPCS,64421,N block inj intercost mlt,,,880.23,3880.0,10 HCPCS,64421,Oth-Inj Intercostal Nrv Multi,3013.0,1506.5,,,0 HCPCS,64425,64425 Njx Aa&/Strd Ii Ih Nerves,2320.0,1160.0,,,0 HCPCS,64425,N block inj ilio-ing/hypogi,,,702.49,3880.0,10 HCPCS,64425,Oth-Inj Ilioinguinal Nerve,2320.0,1160.0,,,0 HCPCS,64425,Oth-Inj Iliongunial Nerve,2320.0,1160.0,,,0 HCPCS,64430,Injection Pudendal Nerve,1686.0,843.0,,,0 HCPCS,64430,N block inj pudendal,,,880.23,3880.0,10 HCPCS,64435,64435 N Block Inj Paracervical,900.0,450.0,,,0 HCPCS,64435,Injection Aa&/Strd Paracervical Nerve,783.0,391.5,,,0 HCPCS,64435,N block inj paracervical,,,702.49,3880.0,10 HCPCS,64445,64445 Njx Aa&/Strd Sciatic Nrv Img,1466.0,733.0,,,0 HCPCS,64445,N block inj sciatic sng,,,702.49,3880.0,10 HCPCS,64445,Njx Aa&/Strd Sciatic Nrv Img,1466.0,733.0,,,0 HCPCS,64446,N blk inj sciatic cont inf,,,880.23,3880.0,10 HCPCS,64447,64447 Njx Aa&/Strd Femoral Nrv Img,764.0,382.0,,,0 HCPCS,64447,N block inj fem single,,,702.49,3880.0,10 HCPCS,64447,Njx Aa&/Strd Femoral Nrv Img,764.0,382.0,,,0 HCPCS,64448,N block inj fem cont inf,,,880.23,3880.0,10 HCPCS,64448,Njx Aa&/Strd Fem Nrv Nfs Img,2574.0,1287.0,,,0 HCPCS,64449,Lumbar Plexus Cont Nrve Block,2960.0,1480.0,,,0 HCPCS,64449,N block inj lumbar plexus,,,880.23,3880.0,10 HCPCS,64450,64450 Oth-Inj Oth Periph Nerve,2314.0,1157.0,,,0 HCPCS,64450,Chg - N Block Other Peripheral,2314.0,1157.0,,,0 HCPCS,64450,N block other peripheral,,,702.49,3880.0,10 HCPCS,64450,Oth-Inj Oth Periph Nerve,2314.0,1157.0,,,0 HCPCS,64451,Njx Aa&/Strd Nrv Nrvtg Si Jt,2318.0,1159.0,,,0 HCPCS,64451,Njx aa&/strd nrv nrvtg si jt,,,702.49,5220.0,10 HCPCS,64454,Njx Aa&/Strd Gnclr Nrv Brnch,2320.0,1160.0,,,0 HCPCS,64454,Njx aa&/strd gnclr nrv brnch,,,702.49,5220.0,10 HCPCS,64455,64455 N Block Inj Plntr Dig Lt,1294.0,647.0,,,0 HCPCS,64455,Chg - N Block Inj Plantar Digit,1294.0,647.0,,,0 HCPCS,64455,N Block Inj Plntr Dig Lt,1294.0,647.0,,,0 HCPCS,64455,N block inj plantar digit,,,305.48,5220.0,10 HCPCS,64461,Chgr - Pvb Thoracic Single Inj Site,2807.0,1403.5,,,0 HCPCS,64461,Pvb thoracic single inj site,,,702.49,5220.0,10 HCPCS,64462,Chgr - Pvb Thoracic 2Nd+ Inj Site,172.0,86.0,,,0 HCPCS,64462,Pvb thoracic 2nd+ inj site,,,2375.0,5220.0,3 HCPCS,64463,Chgr - Pvb Thoracic Cont Infusion,2807.0,1403.5,,,0 HCPCS,64463,Pvb thoracic cont infusion,,,702.49,5220.0,10 HCPCS,64466,Thrc fascial pln blk uni njx,,,2375.0,2633.0,2 HCPCS,64467,Thrc fascial pln blk uni nfs,,,2375.0,2633.0,2 HCPCS,64468,Thrc fascial pln blk bi njx,,,2375.0,2633.0,2 HCPCS,64469,Thrc fascial pln blk bi nfs,,,2375.0,2633.0,2 HCPCS,64473,Lwr xtr fscl pln blk uni njx,,,2375.0,2633.0,2 HCPCS,64474,Lwr xtr fscl pln blk uni nfs,,,2375.0,2633.0,2 HCPCS,64479,Inj Epi Ct Sgl Lvl-W/Wo Fluoro,4240.0,2120.0,,,0 HCPCS,64479,Inj foramen epidural c/t,,,880.23,3880.0,10 HCPCS,64479,Proc-Inj Epi C/T Sgl Lvl W/Sed,4240.0,2120.0,,,0 HCPCS,64480,Inj foramen epidural add-on,,,2375.0,3408.0,3 HCPCS,64480,Njx Aa&/Strd Tfrm Epi C/T Ea,1955.0,977.5,,,0 HCPCS,64483,"Esi L/S,Transforamn-W/Wo Fluor",3649.0,1824.5,,,0 HCPCS,64483,Inj foramen epidural l/s,,,880.23,3880.0,10 HCPCS,64483,Proc-Esi L/S W/Osed Tranforamn,3649.0,1824.5,,,0 HCPCS,64484,Inj Epi L/S Ea +Lvl-W/Wo Fluor,3870.0,1935.0,,,0 HCPCS,64484,Inj foramen epidural add-on,,,2375.0,3408.0,3 HCPCS,64486,Tap Block,2314.0,1157.0,,,0 HCPCS,64486,Tap block unil by injection,,,2375.0,5220.0,3 HCPCS,64487,Tap block uni by infusion,,,2375.0,5220.0,3 HCPCS,64488,Tap Block Bilateral,2314.0,1157.0,,,0 HCPCS,64488,Tap block bi injection,,,2375.0,5220.0,3 HCPCS,64489,Tap block bi by infusion,,,2375.0,5220.0,3 HCPCS,64490,Chgr Porc-Inj Facet C/T Sgl W/O Sed,3935.0,1967.5,,,0 HCPCS,64490,Inj Facet C/T Sgl-W/Wo Fluoro,3935.0,1967.5,,,0 HCPCS,64490,Inj paravert f jnt c/t 1 lev,,,880.23,3880.0,10 HCPCS,64490,Proc-Inj Facet C/T Sgl W/O Sed,3935.0,1967.5,,,0 HCPCS,64491,Chgr Proc-Inj Facet C/T 2Nd Lvl,3052.0,1526.0,,,0 HCPCS,64491,Inj Facet C/T 2Nd Lv-W/Wo Fluo,3052.0,1526.0,,,0 HCPCS,64491,Inj paravert f jnt c/t 2 lev,,,2375.0,3408.0,3 HCPCS,64492,Chgr Proc-Inj Facet C/T 3Rd+Lvl,2871.0,1435.5,,,0 HCPCS,64492,Inj Facet C/T 3Rd+Lv-W/Wo Fluo,2871.0,1435.5,,,0 HCPCS,64492,Inj paravert f jnt c/t 3 lev,,,2375.0,3408.0,3 HCPCS,64493,Chgr Proc-Inj Facet L/S W/O Sed,3734.0,1867.0,,,0 HCPCS,64493,Inj Facet L/S Sgl-W/Wo Fluoro,3734.0,1867.0,,,0 HCPCS,64493,Inj paravert f jnt l/s 1 lev,,,880.23,3880.0,10 HCPCS,64493,Proc-Inj Facet L/S W/O Sed,3734.0,1867.0,,,0 HCPCS,64494,Chgr Proc-Inj L/S 2Nd Lvl,3928.0,1964.0,,,0 HCPCS,64494,Inj L/S 2Nd Lvl-W/Wo Fluoro,3928.0,1964.0,,,0 HCPCS,64494,Inj paravert f jnt l/s 2 lev,,,2375.0,3408.0,3 HCPCS,64495,Chgr Proc-Inj L/S 3Rd+Lvl,4302.0,2151.0,,,0 HCPCS,64495,Inj L/S 3Rd+Lvl-W/Wo Fluoro,4302.0,2151.0,,,0 HCPCS,64495,Inj paravert f jnt l/s 3 lev,,,2375.0,3408.0,3 HCPCS,64505,64505 Inj Suprapalatine Gangl,1140.0,570.0,,,0 HCPCS,64505,Inj Sphenopalatine Ganglion,1140.0,570.0,,,0 HCPCS,64505,N block spenopalatine gangl,,,305.48,3408.0,10 HCPCS,64508,N block carotid sinus s/p,,,3408.0,3408.0,1 HCPCS,64510,N block stellate ganglion,,,880.23,3880.0,10 HCPCS,64510,Proc-Inj Stellate Gang W/O Sed,2805.0,1402.5,,,0 HCPCS,64510,Proc-Inj Stellate Gang W/Sed,2805.0,1402.5,,,0 HCPCS,64517,Chg Superior Hypogastric Plexus,2943.0,1471.5,,,0 HCPCS,64517,N block inj hypogas plxs,,,880.23,4564.0,10 HCPCS,64520,N block lumbar/thoracic,,,880.23,3880.0,10 HCPCS,64520,Proc-Inj L/T Pv Symp W/O Sed,2805.0,1402.5,,,0 HCPCS,64530,N block inj celiac pelus,,,880.23,3880.0,10 HCPCS,64530,Oth-Inj Celiac Plexus,3366.0,1683.0,,,0 HCPCS,64550,Apply neurostimulator,,,5220.0,5220.0,1 HCPCS,64553,Implant neuroelectrodes,,,3408.0,38469.0,10 HCPCS,64555,Implant neuroelectrodes,,,5220.0,29398.0,10 HCPCS,64561,Implant Neuroelectrodes,20611.0,10305.5,,,0 HCPCS,64561,Implant neuroelectrodes,,,5220.0,29398.0,10 HCPCS,64566,Neuroeltrd stim post tibial,,,305.48,3408.0,10 HCPCS,64567,Perq elec nrv field stimj cn,,,902.63,3131.27,7 HCPCS,64568,Inc For Vagus N Elect Impl,125857.0,62928.5,,,0 HCPCS,64568,Inc for vagus n elect impl,,,5220.0,152065.9,10 HCPCS,64569,Revise/repl vagus n eltrd,,,10181.0,38469.0,10 HCPCS,64570,Remove vagus n eltrd,,,3399.75,29398.0,10 HCPCS,64575,Implant neuroelectrodes,,,3408.0,38469.0,10 HCPCS,64580,Implant neuroelectrodes,,,3408.0,66976.89,10 HCPCS,64581,Implant neuroelectrodes,,,5220.0,35289.0,10 HCPCS,64582,Opn mpltj hpglsl nstm ary pg,,,30709.54,106533.01,9 HCPCS,64583,Rev/rplct hpglsl nstm ary pg,,,11089.19,38469.0,9 HCPCS,64584,Rmvl hpglsl nstim ary pg,,,3399.75,29398.0,9 HCPCS,64585,Revise/remove neuroelectrode,,,3408.0,19040.0,10 HCPCS,64590,Insrt/redo pn/gastr stimul,,,4564.0,66976.89,10 HCPCS,64595,Revise/rmv pn/gastr stimul,,,3408.0,19040.0,10 HCPCS,64596,Ins/rplcmt prq eltrd ra pn 1,,,11089.19,38469.0,9 HCPCS,64597,Ins/rplcm prq eltrd ra pn ea,,,2375.0,2633.0,2 HCPCS,64598,Revj/rmvl nea pn w/int nstim,,,3479.32,19040.0,9 HCPCS,64600,Destr W Neurolyt Trigem Nrv,3788.0,1894.0,,,0 HCPCS,64600,Injection treatment of nerve,,,880.23,3880.0,10 HCPCS,64605,Injection treatment of nerve,,,1943.35,14111.0,10 HCPCS,64610,Injection treatment of nerve,,,1943.35,14111.0,10 HCPCS,64611,Chemodenerv Saliv Glands,910.0,455.0,,,0 HCPCS,64611,Chemodenerv saliv glands,,,305.48,5220.0,10 HCPCS,64612,Chemodenervation Face Sightctr,605.0,302.5,,,0 HCPCS,64612,Chemodenervation Face Unilat,605.0,302.5,,,0 HCPCS,64612,Destroy nerve face muscle,,,305.48,3408.0,10 HCPCS,64613,"Destroy nerve, spine muscle",,,3408.0,3408.0,1 HCPCS,64614,"Destroy Nerve, Extrem Musc",,,3408.0,3408.0,1 HCPCS,64615,Chemodenerv musc migraine,,,305.48,5220.0,10 HCPCS,64615,Chg - Fc-Chemodenervatn Of Muscle(S,978.0,489.0,,,0 HCPCS,64615,Chgr Chemodenerv Face Musc Bilat,978.0,489.0,,,0 HCPCS,64616,Chemodenerv musc neck dyston,,,305.48,5220.0,10 HCPCS,64616,Chgr- Botox Neck,879.0,439.5,,,0 HCPCS,64616,Fc-Chemodenervation Of Muscl(S,879.0,439.5,,,0 HCPCS,64617,Chemodener muscle larynx emg,,,702.49,5220.0,10 HCPCS,64620,Destruction Intercostal Nerve,3826.0,1913.0,,,0 HCPCS,64620,Injection treatment of nerve,,,880.23,3880.0,10 HCPCS,64624,Dstrj Nulyt Agt Gnclr Nrv,6377.0,3188.5,,,0 HCPCS,64624,Dstrj nulyt agt gnclr nrv,,,1943.35,14111.0,10 HCPCS,64625,Rf Abltj Nrv Nrvtg Si Jt,6377.0,3188.5,,,0 HCPCS,64625,Rf abltj nrv nrvtg si jt,,,1943.35,14111.0,10 HCPCS,64628,Trml dstrj ios bvn 1st 2 l/s,,,12777.04,44324.22,9 HCPCS,64629,Trml dstrj ios bvn ea addl,,,2375.0,2633.0,2 HCPCS,64630,Chgr-Rf Pudenal Nerve,1605.0,802.5,,,0 HCPCS,64630,Injection treatment of nerve,,,880.23,4564.0,10 HCPCS,64632,Chg - N Block Inj Common Digit,1294.0,647.0,,,0 HCPCS,64632,N block inj common digit,,,305.48,5220.0,10 HCPCS,64633,Destroy cerv/thor facet jnt,,,1943.35,14111.0,10 HCPCS,64633,Neu Face C/T Sgl Jt-W/Wo Fluor,3809.0,1904.5,,,0 HCPCS,64634,Destroy c/th facet jnt addl,,,2375.0,3408.0,3 HCPCS,64634,Neu Face C/T Ea+Jnt-W/Wo Fluo,2512.0,1256.0,,,0 HCPCS,64635,Destroy lumb/sac facet jnt,,,1943.35,14111.0,10 HCPCS,64635,Neu Face L/S Sgl Jnt-W/Wo Fluo,5495.0,2747.5,,,0 HCPCS,64636,Destroy l/s facet jnt addl,,,2375.0,3408.0,3 HCPCS,64636,Neu Face L/S Ea+Jnt-W/Wo Fluo,3809.0,1904.5,,,0 HCPCS,64640,Chgr Rf Other Nerve Or Branch,2242.0,1121.0,,,0 HCPCS,64640,Injection treatment of nerve,,,880.23,3880.0,10 HCPCS,64640,Oth-Neurol Oth Periph Nerve,2242.0,1121.0,,,0 HCPCS,64642,Chemodenerv 1 extremity 1-4,,,702.49,5220.0,10 HCPCS,64642,Chg - Fc-Chemodenervation Of One Ext,2348.0,1174.0,,,0 HCPCS,64643,Chemodenerv 1 extrem 1-4 ea,,,2375.0,5220.0,3 HCPCS,64643,Fc-Chemodenervation Of One Ext,1104.0,552.0,,,0 HCPCS,64644,Chemodenerv 1 extrem 5/> mus,,,702.49,5220.0,10 HCPCS,64644,Fc-Chemodenervation Of One Ext,2293.0,1146.5,,,0 HCPCS,64645,Chemodenerv 1 extrem 5/> ea,,,2375.0,5220.0,3 HCPCS,64645,Fc-Chemodenrvaton Of One Extre,1104.0,552.0,,,0 HCPCS,64646,Chemodenerv Trunk 1-5,2293.0,1146.5,,,0 HCPCS,64646,Chemodenerv Trunk Musc 1-5 Mus,2293.0,1146.5,,,0 HCPCS,64646,Chemodenerv trunk musc 1-5,,,702.49,5220.0,10 HCPCS,64647,Chemodenerv Trunk Musc 6/>,2709.0,1354.5,,,0 HCPCS,64647,Chemodenerv trunk musc 6/>,,,702.49,5220.0,10 HCPCS,64650,Chemodenerv eccrine glands,,,305.48,3408.0,10 HCPCS,64653,Chemodenerv eccrine glands,,,305.48,3408.0,10 HCPCS,64655,Revj/rplcmt bat mod sys lead,,,3479.32,12069.94,7 HCPCS,64656,Revj/rplcmt bat mod sys pg,,,30709.54,106533.01,7 HCPCS,64657,Rmvl bat modulj sys tot sys,,,3399.75,11793.9,7 HCPCS,64658,Rmvl bat modul sys lead only,,,3479.32,12069.94,7 HCPCS,64659,Rmvl bat modulj sys pg only,,,3479.32,12069.94,7 HCPCS,64680,Injection treatment of nerve,,,880.23,4564.0,10 HCPCS,64680,Oth-Neurolysis Celiac Plexus,3900.0,1950.0,,,0 HCPCS,64681,Injection treatment of nerve,,,880.23,4564.0,10 HCPCS,64702,Revise finger/toe nerve,,,1943.35,14111.0,10 HCPCS,64704,Revise hand/foot nerve,,,1943.35,14111.0,10 HCPCS,64708,Revise arm/leg nerve,,,1943.35,14111.0,10 HCPCS,64712,Revision of sciatic nerve,,,1943.35,14111.0,10 HCPCS,64713,Revision of arm nerve(s),,,1943.35,14111.0,10 HCPCS,64714,Revise low back nerve(s),,,1943.35,14111.0,10 HCPCS,64716,Revision of cranial nerve,,,1943.35,14111.0,10 HCPCS,64718,Revise ulnar nerve at elbow,,,1943.35,14111.0,10 HCPCS,64719,Revise ulnar nerve at wrist,,,1943.35,14111.0,10 HCPCS,64721,Carpal tunnel surgery,,,1943.35,14111.0,10 HCPCS,64722,Relieve pressure on nerve(s),,,1943.35,14111.0,10 HCPCS,64726,Release foot/toe nerve,,,1943.35,14111.0,10 HCPCS,64727,Internal nerve revision,,,2375.0,3408.0,3 HCPCS,64728,Dcmprn median nrv carpl tunl,,,1943.35,6741.58,7 HCPCS,64732,Incision of brow nerve,,,1943.35,6741.58,10 HCPCS,64734,Incision of cheek nerve,,,1943.35,6741.58,10 HCPCS,64736,Incision of chin nerve,,,1943.35,6741.58,10 HCPCS,64738,Incision of jaw nerve,,,1943.35,6741.58,10 HCPCS,64740,Incision of tongue nerve,,,1943.35,14111.0,10 HCPCS,64742,Incision of facial nerve,,,1943.35,14111.0,10 HCPCS,64744,Incise nerve back of head,,,1943.35,14111.0,10 HCPCS,64746,Incise diaphragm nerve,,,1943.35,6741.58,10 HCPCS,64755,Incision of stomach nerves,,,5220.0,5790.0,3 HCPCS,64760,Incision of vagus nerve,,,5220.0,5790.0,3 HCPCS,64763,Incise hip/thigh nerve,,,1943.35,6741.58,10 HCPCS,64766,Incise hip/thigh nerve,,,1943.35,19040.0,10 HCPCS,64771,Sever cranial nerve,,,1943.35,14111.0,10 HCPCS,64772,Incision of spinal nerve,,,1943.35,14111.0,10 HCPCS,64774,Remove skin nerve lesion,,,1943.35,14111.0,10 HCPCS,64776,Remove digit nerve lesion,,,1943.35,14111.0,10 HCPCS,64778,Digit nerve surgery add-on,,,2375.0,4564.0,3 HCPCS,64782,Remove limb nerve lesion,,,1943.35,14111.0,10 HCPCS,64783,Limb nerve surgery add-on,,,2375.0,4564.0,3 HCPCS,64784,Remove nerve lesion,,,1943.35,14111.0,10 HCPCS,64786,Remove sciatic nerve lesion,,,3399.75,23971.0,10 HCPCS,64787,Implant nerve end,,,2375.0,4564.0,3 HCPCS,64788,Remove skin nerve lesion,,,1943.35,14111.0,10 HCPCS,64790,Removal of nerve lesion,,,1943.35,14111.0,10 HCPCS,64792,Removal of nerve lesion,,,3399.75,23971.0,10 HCPCS,64795,Biopsy of nerve,,,1943.35,14111.0,10 HCPCS,64802,Sympathectomy cervical,,,1943.35,6741.58,10 HCPCS,64804,Remove sympathetic nerves,,,1943.35,6741.58,10 HCPCS,64809,Remove sympathetic nerves,,,5220.0,5790.0,3 HCPCS,64818,Remove sympathetic nerves,,,5220.0,5790.0,3 HCPCS,64820,Sympathectomy digital artery,,,1943.35,14111.0,10 HCPCS,64821,Remove sympathetic nerves,,,3256.29,19040.0,10 HCPCS,64822,Remove sympathetic nerves,,,3256.29,19040.0,10 HCPCS,64823,Sympathectomy supfc palmar,,,3256.29,19040.0,10 HCPCS,64831,Repair of digit nerve,,,1943.35,19040.0,10 HCPCS,64832,Repair nerve add-on,,,2375.0,3408.0,3 HCPCS,64834,Repair of hand or foot nerve,,,3399.75,23971.0,10 HCPCS,64835,Repair of hand or foot nerve,,,3399.75,23971.0,10 HCPCS,64836,Repair of hand or foot nerve,,,3399.75,23971.0,10 HCPCS,64837,Repair nerve add-on,,,2375.0,3408.0,3 HCPCS,64840,Repair of leg nerve,,,4564.0,30297.71,10 HCPCS,64856,Repair/transpose nerve,,,4564.0,30297.71,10 HCPCS,64857,Repair arm/leg nerve,,,3399.75,23971.0,10 HCPCS,64858,Repair sciatic nerve,,,1943.35,19040.0,10 HCPCS,64859,Nerve surgery,,,2375.0,3408.0,3 HCPCS,64859,Suture Ea Addtl Major Periph,3834.0,1917.0,,,0 HCPCS,64861,Repair of arm nerves,,,1943.35,19040.0,10 HCPCS,64862,Repair of low back nerves,,,3399.75,23971.0,10 HCPCS,64864,Repair of facial nerve,,,5220.0,30297.71,10 HCPCS,64865,Repair of facial nerve,,,3399.75,23971.0,10 HCPCS,64866,Fusion of facial/other nerve,,,5220.0,5790.0,3 HCPCS,64868,Fusion of facial/other nerve,,,5220.0,5790.0,3 HCPCS,64870,Fusion of facial/other nerve,,,6448.0,6448.0,1 HCPCS,64872,Subsequent repair of nerve,,,2375.0,4564.0,3 HCPCS,64874,Repair & revise nerve add-on,,,2375.0,5220.0,3 HCPCS,64876,Repair nerve/shorten bone,,,2375.0,5220.0,3 HCPCS,64885,Nerve graft head/neck <=4 cm,,,4564.0,30297.71,10 HCPCS,64886,Nerve graft head/neck >4 cm,,,4564.0,30297.71,10 HCPCS,64890,Nerve graft hand/foot <=4 cm,,,4564.0,30297.71,10 HCPCS,64891,Nerve graft hand/foot >4 cm,,,4564.0,30297.71,10 HCPCS,64892,Nerve graft arm/leg <4 cm,,,4564.0,30297.71,10 HCPCS,64893,Nerve graft arm/leg >4 cm,,,3399.75,23971.0,10 HCPCS,64895,Nerve graft hand/foot <=4 cm,,,5220.0,30297.71,10 HCPCS,64896,Nerve graft hand/foot >4 cm,,,5220.0,30297.71,10 HCPCS,64897,Nerve graft arm/leg <=4 cm,,,5220.0,30297.71,10 HCPCS,64898,Nerve graft arm/leg >4 cm,,,5220.0,30297.71,10 HCPCS,64901,Nerve graft add-on,,,2375.0,4564.0,3 HCPCS,64902,Nerve graft add-on,,,2375.0,4564.0,3 HCPCS,64905,Nerve pedicle transfer,,,4564.0,30297.71,10 HCPCS,64907,Nerve pedicle transfer,,,3408.0,30297.71,10 HCPCS,64910,Nerve repair w/allograft,,,7337.0,30297.71,10 HCPCS,64911,Neurorraphy w/vein autograft,,,7337.0,30297.71,10 HCPCS,64912,Nrv rpr w/nrv algrft 1st,,,5220.0,30297.71,10 HCPCS,64913,Nrv rpr w/nrv algrft ea addl,,,2375.0,5220.0,3 HCPCS,64999,64999 Unlist Proc Nervous Sys,871.0,435.5,,,0 HCPCS,64999,Chg Mr - Neuro Ablation,871.0,435.5,,,0 HCPCS,64999,Chgr Ganglion Impar Sympath Ner Blo,871.0,435.5,,,0 HCPCS,64999,Chgr Sphenocath Inj Sphenogangl Blk,871.0,435.5,,,0 HCPCS,64999,Ipack Nerve Block,871.0,435.5,,,0 HCPCS,64999,Nervous system surgery,,,305.48,5220.0,10 HCPCS,64999,Oth-Misc Proc Nervous System,871.0,435.5,,,0 HCPCS,64999,Unlisted Procedure Nervous Sys,871.0,435.5,,,0 HCPCS,65091,Revise eye,,,3912.52,19040.0,10 HCPCS,65093,Revise eye with implant,,,3912.52,19040.0,10 HCPCS,65101,Removal of eye,,,3912.52,19040.0,10 HCPCS,65103,Remove eye/insert implant,,,3912.52,19040.0,10 HCPCS,65105,Remove eye/attach implant,,,3912.52,19040.0,10 HCPCS,65110,Removal of eye,,,3912.52,19040.0,10 HCPCS,65112,Remove eye/revise socket,,,3912.52,19040.0,10 HCPCS,65114,Remove eye/revise socket,,,3912.52,19040.0,10 HCPCS,65125,Revise ocular implant,,,2366.07,14111.0,10 HCPCS,65130,Insert ocular implant,,,3912.52,19040.0,10 HCPCS,65135,Insert ocular implant,,,3912.52,19040.0,10 HCPCS,65140,Attach ocular implant,,,3912.52,19040.0,10 HCPCS,65150,65150 Reinsert Ocular Implant,10048.0,5024.0,,,0 HCPCS,65150,Revise ocular implant,,,3912.52,19040.0,10 HCPCS,65155,Reinsert ocular implant,,,3912.52,19040.0,10 HCPCS,65175,Removal of ocular implant,,,3408.0,19040.0,10 HCPCS,65175,Remove Ocular Implant,10380.0,5190.0,,,0 HCPCS,65205,65205 Rmv Superficl Fb Conjun,797.0,398.5,,,0 HCPCS,65205,Remove foreign body from eye,,,132.41,5220.0,10 HCPCS,65205,Removl Fb Conjunct Superficial,797.0,398.5,,,0 HCPCS,65210,65210 Rmv Embedded Fb Conjunct,821.0,410.5,,,0 HCPCS,65210,Remove foreign body from eye,,,444.58,5220.0,10 HCPCS,65210,Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor,821.0,410.5,,,0 HCPCS,65220,65220 Removal Corneal Fb,477.0,238.5,,,0 HCPCS,65220,Removal Fb Cornea W/Bur-Bilat,477.0,238.5,,,0 HCPCS,65220,Removal Fb Cornea W/Burr,477.0,238.5,,,0 HCPCS,65220,Remove foreign body from eye,,,444.58,5220.0,10 HCPCS,65222,"65222 Rmv Fb Cornea,Slit Lamp",345.0,172.5,,,0 HCPCS,65222,Removal Fb W/Slit Lamp,345.0,172.5,,,0 HCPCS,65222,Remove foreign body from eye,,,132.41,5220.0,10 HCPCS,65235,"65235 Remvl Fb Eye,Anter Chmb",3650.0,1825.0,,,0 HCPCS,65235,Remove foreign body from eye,,,2296.74,14111.0,10 HCPCS,65260,Remove foreign body from eye,,,2296.74,7967.52,10 HCPCS,65265,Remove foreign body from eye,,,2296.74,14111.0,10 HCPCS,65270,Repair of eye wound,,,2366.07,14111.0,10 HCPCS,65272,Repair of eye wound,,,2366.07,14111.0,10 HCPCS,65273,Repair of eye wound,,,5220.0,5790.0,3 HCPCS,65275,Repair Of Eye Wound,10391.0,5195.5,,,0 HCPCS,65275,Repair of eye wound,,,3912.52,19040.0,10 HCPCS,65280,Repair of eye wound,,,5295.75,18371.25,10 HCPCS,65285,Repair of eye wound,,,5295.75,18371.25,10 HCPCS,65286,Repair of eye wound,,,2296.74,7967.52,10 HCPCS,65290,Repair of eye socket wound,,,3912.52,19040.0,10 HCPCS,65400,Excision Lesion Cornea Not Ptery,3810.0,1905.0,,,0 HCPCS,65400,Removal of eye lesion,,,992.09,5790.0,10 HCPCS,65410,Biopsy of cornea,,,2366.07,8208.02,10 HCPCS,65420,Removal of eye lesion,,,2366.07,14111.0,10 HCPCS,65426,Removal of eye lesion,,,2366.07,14111.0,10 HCPCS,65430,65430 Scraping Cornea Dx Smear,919.0,459.5,,,0 HCPCS,65430,Corneal smear,,,444.58,5220.0,10 HCPCS,65435,Curette/treat cornea,,,992.09,5790.0,10 HCPCS,65436,Curette/treat cornea,,,2366.07,14111.0,10 HCPCS,65450,Treatment of corneal lesion,,,315.88,5220.0,10 HCPCS,65600,Revision of cornea,,,2366.07,14111.0,10 HCPCS,65710,Corneal transplant,,,5295.75,23971.0,10 HCPCS,65730,Corneal transplant,,,4113.58,23971.0,10 HCPCS,65750,Corneal transplant,,,5295.75,23971.0,10 HCPCS,65755,Corneal transplant,,,4113.58,23971.0,10 HCPCS,65756,Corneal trnspl endothelial,,,4113.58,23971.0,10 HCPCS,65757,Prep corneal endo allograft,,,2375.0,5220.0,3 HCPCS,65760,Chgr - Keratomileusis,1183.0,591.5,,,0 HCPCS,65760,Revision of cornea,,,5220.0,14111.0,3 HCPCS,65765,Revision of cornea,,,5220.0,14111.0,3 HCPCS,65767,Corneal tissue transplant,,,5220.0,14111.0,3 HCPCS,65770,Revise cornea with implant,,,5220.0,50080.83,10 HCPCS,65771,Radial keratotomy,,,5220.0,14111.0,3 HCPCS,65772,Correction of astigmatism,,,992.09,6448.0,10 HCPCS,65775,Correction of astigmatism,,,2366.07,14111.0,10 HCPCS,65778,Cover Eye W/ Membrane,2678.0,1339.0,,,0 HCPCS,65778,Cover eye w/membrane,,,992.09,5790.0,10 HCPCS,65779,Cover eye w/membrane suture,,,3912.52,19040.0,10 HCPCS,65780,Ocular reconst transplant,,,3912.52,19040.0,10 HCPCS,65781,Ocular reconst transplant,,,5295.75,23971.0,10 HCPCS,65782,Ocular reconst transplant,,,3912.52,19040.0,10 HCPCS,65785,Impltj ntrstrml crnl rng seg,,,4113.58,23971.0,10 HCPCS,65800,65800 Drainage Of Eye,2762.0,1381.0,,,0 HCPCS,65800,Aqueous Paracentesis,2762.0,1381.0,,,0 HCPCS,65800,Drainage of eye,,,2296.74,7967.52,10 HCPCS,65810,65810 Paracent Ant Eye;Rem Vit,6340.0,3170.0,,,0 HCPCS,65810,Drainage of eye,,,2296.74,14111.0,10 HCPCS,65815,Drainage of eye,,,2296.74,14111.0,10 HCPCS,65820,Relieve inner eye pressure,,,3408.0,14270.21,10 HCPCS,65850,Incision of eye,,,2296.74,14111.0,10 HCPCS,65855,Trabeculopasty By Laser,2187.0,1093.5,,,0 HCPCS,65855,Trabeculoplasty laser surg,,,547.36,3880.0,10 HCPCS,65860,Incise inner eye adhesions,,,547.36,3880.0,10 HCPCS,65865,Incise inner eye adhesions,,,2296.74,14111.0,10 HCPCS,65870,Incise inner eye adhesions,,,2296.74,14111.0,10 HCPCS,65875,Incise inner eye adhesions,,,2296.74,14111.0,10 HCPCS,65880,Incise inner eye adhesions,,,4113.58,14270.21,10 HCPCS,65900,Remove eye lesion,,,2296.74,14111.0,10 HCPCS,65920,Remove implant of eye,,,2296.74,14111.0,10 HCPCS,65930,Remove blood clot from eye,,,2296.74,14111.0,10 HCPCS,66020,Injection treatment of eye,,,2296.74,7967.52,10 HCPCS,66030,66030 Injectn Treatment Of Eye,2762.0,1381.0,,,0 HCPCS,66030,Injection treatment of eye,,,2296.74,7967.52,10 HCPCS,66130,Remove eye lesion,,,2366.07,14111.0,10 HCPCS,66150,Glaucoma surgery,,,4113.58,14270.21,10 HCPCS,66155,Glaucoma surgery,,,4113.58,14270.21,10 HCPCS,66160,Glaucoma surgery,,,2296.74,14111.0,10 HCPCS,66165,Glaucoma surgery,,,6448.0,6448.0,1 HCPCS,66170,Glaucoma surgery,,,2296.74,14111.0,10 HCPCS,66172,Incision of eye,,,2296.74,14111.0,10 HCPCS,66174,Translum dil eye canal,,,4113.58,23971.0,10 HCPCS,66175,Trnslum dil eye canal w/stnt,,,5295.75,23971.0,10 HCPCS,66179,Aqueous shunt eye w/o graft,,,5220.0,23971.0,10 HCPCS,66180,Aqueous shunt eye w/graft,,,5295.75,23971.0,10 HCPCS,66183,Insert ant drainage device,,,4113.58,23971.0,10 HCPCS,66184,Revision of aqueous shunt,,,2296.74,14111.0,10 HCPCS,66185,Revise aqueous shunt eye,,,2296.74,14111.0,10 HCPCS,66220,Repair eye lesion,,,5220.0,5220.0,1 HCPCS,66225,Repair/graft eye lesion,,,5295.75,18371.25,10 HCPCS,66250,Follow-Up Surgery Of Eye,6289.0,3144.5,,,0 HCPCS,66250,Follow-up surgery of eye,,,2366.07,14111.0,10 HCPCS,66500,Incision of iris,,,2296.74,7967.52,10 HCPCS,66505,Incision of iris,,,2296.74,7967.52,10 HCPCS,66600,Remove iris and lesion,,,4113.58,14270.21,10 HCPCS,66605,Removal of iris,,,2296.74,23971.0,10 HCPCS,66625,Removal of iris,,,2296.74,7967.52,10 HCPCS,66630,Removal of iris,,,2296.74,7967.52,10 HCPCS,66635,Removal of iris,,,2296.74,14111.0,10 HCPCS,66680,Repair iris & ciliary body,,,2296.74,14111.0,10 HCPCS,66682,Repair iris & ciliary body,,,2296.74,14111.0,10 HCPCS,66683,Implantation iris prosthesis,,,16381.79,56829.3,9 HCPCS,66700,Destruction ciliary body,,,2296.74,7967.52,10 HCPCS,66710,Ciliary Transsleral Therapy,3652.0,1826.0,,,0 HCPCS,66710,Ciliary transsleral therapy,,,2366.07,14111.0,10 HCPCS,66710,Ophthalmic Laser Proc (Diode),3652.0,1826.0,,,0 HCPCS,66711,Ciliary endoscopic ablation,,,2296.74,14111.0,10 HCPCS,66720,Destruction ciliary body,,,2366.07,14111.0,10 HCPCS,66740,Destruction ciliary body,,,2366.07,14111.0,10 HCPCS,66761,Iridotomy/Iridectomy By Laser,2155.0,1077.5,,,0 HCPCS,66761,Revision of iris,,,547.36,3880.0,10 HCPCS,66762,Iridoplasty,1525.0,762.5,,,0 HCPCS,66762,Revision of iris,,,547.36,3880.0,10 HCPCS,66770,Removal of inner eye lesion,,,547.36,3880.0,10 HCPCS,66820,Incision secondary cataract,,,2296.74,7967.52,10 HCPCS,66821,After cataract laser surgery,,,547.36,4564.0,10 HCPCS,66821,Discission Cataract Yag Laser,2155.0,1077.5,,,0 HCPCS,66825,Reposition intraocular lens,,,2296.74,14111.0,10 HCPCS,66830,Removal of lens lesion,,,2296.74,14111.0,10 HCPCS,66840,Removal of lens material,,,2296.74,14111.0,10 HCPCS,66850,Removal of lens material,,,2296.74,14111.0,10 HCPCS,66852,Removal of lens material,,,4113.58,23971.0,10 HCPCS,66920,Extraction of lens,,,2296.74,14111.0,10 HCPCS,66930,Extraction of lens,,,4113.58,14270.21,10 HCPCS,66940,Extraction of lens,,,2296.74,7967.52,10 HCPCS,66982,Cataract surgery complex,,,2296.74,14111.0,10 HCPCS,66983,Cataract surg w/iol 1 stage,,,2296.74,14111.0,10 HCPCS,66984,Cataract surg w/iol 1 stage,,,2296.74,14111.0,10 HCPCS,66985,Insert lens prosthesis,,,2296.74,14111.0,10 HCPCS,66986,Exchange lens prosthesis,,,2296.74,14111.0,10 HCPCS,66987,Xcapsl ctrc rmvl cplx w/ecp,,,4113.58,23971.0,10 HCPCS,66988,Xcapsl ctrc rmvl w/ecp,,,4113.58,23971.0,10 HCPCS,66989,Xcpsl ctrc rmvl cplx insj 1+,,,5295.75,23971.0,9 HCPCS,66990,Ophthalmic endoscope add-on,,,2375.0,5220.0,3 HCPCS,66991,Xcapsl ctrc rmvl insj 1+,,,5295.75,23971.0,9 HCPCS,66999,66999 Unl Proc Ant Seg Of Eye,6520.0,3260.0,,,0 HCPCS,66999,Eye surgery procedure,,,2296.74,7967.52,10 HCPCS,67005,Partial removal of eye fluid,,,2296.74,14111.0,10 HCPCS,67010,Partial removal of eye fluid,,,2296.74,14111.0,10 HCPCS,67015,Release of eye fluid,,,2296.74,14111.0,10 HCPCS,67025,Replace eye fluid,,,2296.74,14111.0,10 HCPCS,67027,Implant eye drug system,,,6448.0,48171.14,10 HCPCS,67028,67028 Injection Eye Drug,1289.0,644.5,,,0 HCPCS,67028,Injection eye drug,,,328.72,3408.0,10 HCPCS,67028,Intravitreal Inj Medictn 1 Eye,1289.0,644.5,,,0 HCPCS,67028,Intravitreal Inj Medictn-2 Eyes,1289.0,644.5,,,0 HCPCS,67030,Incise inner eye strands,,,2296.74,14111.0,10 HCPCS,67031,Laser Surgery Eye Strand Lt,2783.0,1391.5,,,0 HCPCS,67031,Laser surgery eye strands,,,547.36,4564.0,10 HCPCS,67036,Removal of inner eye fluid,,,4113.58,23971.0,10 HCPCS,67039,Laser treatment of retina,,,4113.58,23971.0,10 HCPCS,67040,Laser treatment of retina,,,4113.58,23971.0,10 HCPCS,67041,Vit for macular pucker,,,4113.58,23971.0,10 HCPCS,67042,Vit for macular hole,,,4113.58,23971.0,10 HCPCS,67043,Vit for membrane dissect,,,4113.58,23971.0,10 HCPCS,67101,Repair detached retina crtx,,,2296.74,14111.0,10 HCPCS,67105,Repair Detach Retina,3611.0,1805.5,,,0 HCPCS,67105,Repair detached retina pc,,,547.36,3880.0,10 HCPCS,67107,Repair detached retina,,,4113.58,23971.0,10 HCPCS,67108,Repair detached retina,,,4113.58,23971.0,10 HCPCS,67110,Repair detached retina,,,2296.74,14111.0,10 HCPCS,67112,Rerepair detached retina,,,10181.0,10181.0,1 HCPCS,67113,Repair retinal detach cplx,,,5295.75,23971.0,10 HCPCS,67115,Release encircling material,,,4113.58,14270.21,10 HCPCS,67120,Remove eye implant material,,,2296.74,14111.0,10 HCPCS,67121,Remove eye implant material,,,2296.74,19040.0,10 HCPCS,67141,Treatment of retina,,,315.88,4564.0,10 HCPCS,67145,Retinal Laser Prophylaxis,2155.0,1077.5,,,0 HCPCS,67145,Treatment of retina,,,547.36,3880.0,10 HCPCS,67208,Treatment of retinal lesion,,,315.88,3408.0,10 HCPCS,67210,Focal/Grid Laser,1799.0,899.5,,,0 HCPCS,67210,Treatment of retinal lesion,,,547.36,3880.0,10 HCPCS,67218,Treatment of retinal lesion,,,3912.52,19040.0,10 HCPCS,67220,Treatment of choroid lesion,,,547.36,3880.0,10 HCPCS,67221,Ocular Photodynamic Ther,,,547.36,3880.0,10 HCPCS,67225,Eye photodynamic ther add-on,,,2375.0,3408.0,3 HCPCS,67227,Dstrj extensive retinopathy,,,3408.0,19040.0,10 HCPCS,67228,Prf Laser,1799.0,899.5,,,0 HCPCS,67228,Treatment x10sv retinopathy,,,547.36,3880.0,10 HCPCS,67229,Tr retinal les preterm inf,,,547.36,5220.0,10 HCPCS,67250,Reinforce eye wall,,,2366.07,14111.0,10 HCPCS,67255,Reinforce/graft eye wall,,,4113.58,14270.21,10 HCPCS,67299,Eye surgery procedure,,,2296.74,7967.52,10 HCPCS,67311,Revise eye muscle,,,2366.07,14111.0,10 HCPCS,67312,Revise two eye muscles,,,3912.52,19040.0,10 HCPCS,67314,Revise eye muscle,,,2366.07,14111.0,10 HCPCS,67316,Revise two eye muscles,,,2366.07,14111.0,10 HCPCS,67318,Revise eye muscle(s),,,2366.07,14111.0,10 HCPCS,67320,Revise eye muscle(s) add-on,,,2375.0,6448.0,3 HCPCS,67331,Eye surgery follow-up add-on,,,2375.0,6448.0,3 HCPCS,67332,Rerevise eye muscles add-on,,,2375.0,6448.0,3 HCPCS,67334,Revise eye muscle w/suture,,,2375.0,6448.0,3 HCPCS,67335,Eye suture during surgery,,,2375.0,6448.0,3 HCPCS,67340,Revise eye muscle add-on,,,2375.0,6448.0,3 HCPCS,67343,Release eye tissue,,,2366.07,14111.0,10 HCPCS,67345,Destroy nerve of eye muscle,,,315.88,3408.0,10 HCPCS,67346,Biopsy eye muscle,,,3408.0,19040.0,10 HCPCS,67399,Unlisted px extraocular musc,,,315.88,5220.0,10 HCPCS,67400,Explore/Biopsy Eye Socket,8039.0,4019.5,,,0 HCPCS,67400,Explore/biopsy eye socket,,,3912.52,19040.0,10 HCPCS,67405,Explore/drain eye socket,,,2366.07,14111.0,10 HCPCS,67412,Explore/treat eye socket,,,2366.07,14111.0,10 HCPCS,67413,Explore/treat eye socket,,,2366.07,14111.0,10 HCPCS,67414,Explr/decompress eye socket,,,3912.52,19040.0,10 HCPCS,67415,Aspiration orbital contents,,,2366.07,14111.0,10 HCPCS,67420,Explore/treat eye socket,,,3912.52,19040.0,10 HCPCS,67430,Explore/treat eye socket,,,3912.52,19040.0,10 HCPCS,67440,Explore/drain eye socket,,,3912.52,19040.0,10 HCPCS,67445,Explr/decompress eye socket,,,3912.52,19040.0,10 HCPCS,67450,Explore/biopsy eye socket,,,3912.52,19040.0,10 HCPCS,67500,Inject/treat eye socket,,,315.88,5220.0,10 HCPCS,67505,Inject/treat eye socket,,,315.88,3408.0,10 HCPCS,67515,"""Tenon""""s Injection""",1097.0,548.5,,,0 HCPCS,67515,Inject/treat eye socket,,,315.88,3408.0,10 HCPCS,67516,Sprchoroidal spc njx rx agt,,,328.72,2633.0,9 HCPCS,67550,Insert eye socket implant,,,3912.52,19040.0,10 HCPCS,67560,Revise eye socket implant,,,3912.52,19040.0,10 HCPCS,67570,Decompress optic nerve,,,3912.52,19040.0,10 HCPCS,67599,67599 Unlisted Procedure Orbit,874.0,437.0,,,0 HCPCS,67599,Orbit surgery procedure,,,315.88,5220.0,10 HCPCS,67700,67700 Blephartmy Drain Abscess,1510.0,755.0,,,0 HCPCS,67700,Blephartmy Drain Abscess,1510.0,755.0,,,0 HCPCS,67700,Drainage Of Eyelid Abscess,1313.0,656.5,,,0 HCPCS,67700,Drainage of eyelid abscess,,,315.88,3408.0,10 HCPCS,67710,Incision of eyelid,,,992.09,5790.0,10 HCPCS,67710,Tarsorrhaphy Severing,2977.0,1488.5,,,0 HCPCS,67715,67715 Canthotomy,5913.0,2956.5,,,0 HCPCS,67715,Incision of eyelid fold,,,2366.07,14111.0,10 HCPCS,67800,67800 Remove Eyelid Lesion,1313.0,656.5,,,0 HCPCS,67800,Excision Chalazion Single,1313.0,656.5,,,0 HCPCS,67800,Remove Eyelid Lesion,1313.0,656.5,,,0 HCPCS,67800,Remove eyelid lesion,,,315.88,3408.0,10 HCPCS,67801,Remove Eyelid Lesions,1969.0,984.5,,,0 HCPCS,67801,Remove eyelid lesions,,,992.09,5790.0,10 HCPCS,67805,Exc Of Chalazion:Mult Diff Lid,2876.0,1438.0,,,0 HCPCS,67805,Remove eyelid lesions,,,315.88,3408.0,10 HCPCS,67808,Remove eyelid lesion(s),,,2366.07,14111.0,10 HCPCS,67810,Biopsy eyelid & lid margin,,,315.88,3408.0,10 HCPCS,67810,Biopy-One Eyelid,2880.0,1440.0,,,0 HCPCS,67820,Repr Trichiasi Epilatn-Forceps,381.0,190.5,,,0 HCPCS,67820,Revise eyelashes,,,132.41,5220.0,10 HCPCS,67825,Revise Eyelashes,841.0,420.5,,,0 HCPCS,67825,Revise eyelashes,,,315.88,3408.0,10 HCPCS,67830,Revise eyelashes,,,992.09,5790.0,10 HCPCS,67835,Revise eyelashes,,,2366.07,14111.0,10 HCPCS,67840,Eyelid Lesion Excisn W/O Close,2977.0,1488.5,,,0 HCPCS,67840,Remove eyelid lesion,,,992.09,5790.0,10 HCPCS,67850,Treat Eyelid Lesion,2264.0,1132.0,,,0 HCPCS,67850,Treat eyelid lesion,,,992.09,5790.0,10 HCPCS,67875,Closure of eyelid by suture,,,992.09,5790.0,10 HCPCS,67875,Suture Eyelid Closure,3832.0,1916.0,,,0 HCPCS,67880,Revision Of Eyelid,2014.0,1007.0,,,0 HCPCS,67880,Revision of eyelid,,,2366.07,14111.0,10 HCPCS,67882,Constj Intermargin Adhes/Tarsor/Canthor W/Trpos,2804.0,1402.0,,,0 HCPCS,67882,Revision of eyelid,,,2366.07,14111.0,10 HCPCS,67900,Repair brow defect,,,2366.07,14111.0,10 HCPCS,67901,Repair eyelid defect,,,2366.07,14111.0,10 HCPCS,67902,Repair eyelid defect,,,3912.52,19040.0,10 HCPCS,67903,Repair eyelid defect,,,2366.07,14111.0,10 HCPCS,67904,Repair eyelid defect,,,2366.07,14111.0,10 HCPCS,67906,Repair eyelid defect,,,3912.52,19040.0,10 HCPCS,67908,Repair eyelid defect,,,2366.07,14111.0,10 HCPCS,67908,Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj,3835.0,1917.5,,,0 HCPCS,67909,Reduction Overcorrection Ptosis,2804.0,1402.0,,,0 HCPCS,67909,Revise eyelid defect,,,2366.07,14111.0,10 HCPCS,67911,Revise eyelid defect,,,2366.07,14111.0,10 HCPCS,67912,Correction eyelid w/implant,,,2366.07,14111.0,10 HCPCS,67914,Repair Ectropion Suture,2804.0,1402.0,,,0 HCPCS,67914,Repair eyelid defect,,,2366.07,14111.0,10 HCPCS,67915,Repair eyelid defect,,,2366.07,14111.0,10 HCPCS,67916,Repair Ectropion Excision Tarsal Wedge,2804.0,1402.0,,,0 HCPCS,67916,Repair eyelid defect,,,2366.07,14111.0,10 HCPCS,67917,Ectropion Repair,2804.0,1402.0,,,0 HCPCS,67917,Repair eyelid defect,,,2366.07,14111.0,10 HCPCS,67921,Repair Entropion Suture,2804.0,1402.0,,,0 HCPCS,67921,Repair eyelid defect,,,2366.07,14111.0,10 HCPCS,67922,Repair eyelid defect,,,2366.07,14111.0,10 HCPCS,67923,Repair Entropion Excision Tarsal Wedge,4866.0,2433.0,,,0 HCPCS,67923,Repair eyelid defect,,,2366.07,14111.0,10 HCPCS,67924,Repair eyelid defect,,,2366.07,14111.0,10 HCPCS,67930,67930 Suture Eyelid Wound,6138.0,3069.0,,,0 HCPCS,67930,Repair eyelid wound,,,2366.07,14111.0,10 HCPCS,67930,Suture Eyelid Wound,6138.0,3069.0,,,0 HCPCS,67935,67935 Sutr Eyeld Fullthickness,6138.0,3069.0,,,0 HCPCS,67935,Repair Eyelid Wound,6138.0,3069.0,,,0 HCPCS,67935,Repair eyelid wound,,,2366.07,14111.0,10 HCPCS,67938,67938 Remove Eyelid Forgn Body,1762.0,881.0,,,0 HCPCS,67938,Remove Eyelid Foreign Body,1762.0,881.0,,,0 HCPCS,67938,Remove eyelid foreign body,,,315.88,5220.0,10 HCPCS,67950,Canthoplasty,3833.0,1916.5,,,0 HCPCS,67950,Revision of eyelid,,,2366.07,14111.0,10 HCPCS,67961,Excision & Repair Eyelid < One-Fourth Lid Margin,4866.0,2433.0,,,0 HCPCS,67961,Revision of eyelid,,,2366.07,14111.0,10 HCPCS,67966,Revision of eyelid,,,2366.07,14111.0,10 HCPCS,67971,Reconstruction of eyelid,,,2366.07,14111.0,10 HCPCS,67973,Reconstruction of eyelid,,,2366.07,14111.0,10 HCPCS,67974,Reconstruction of eyelid,,,3912.52,19040.0,10 HCPCS,67975,Rcnstj Eyelid Full Thickness Second Stage,4866.0,2433.0,,,0 HCPCS,67975,Reconstruction of eyelid,,,2366.07,14111.0,10 HCPCS,67999,Revision of eyelid,,,315.88,5220.0,10 HCPCS,68020,Incise/Drain Eyelid Lining,2542.0,1271.0,,,0 HCPCS,68020,Incise/drain eyelid lining,,,992.09,5790.0,10 HCPCS,68040,Treatment of eyelid lesions,,,315.88,5220.0,10 HCPCS,68100,Biopsy of eyelid lining,,,2366.07,8208.02,10 HCPCS,68100,Conjunctiva Biopsy- 1 Eye,2148.0,1074.0,,,0 HCPCS,68110,Excision Conjunctival Lesion,2604.0,1302.0,,,0 HCPCS,68110,Remove eyelid lining lesion,,,2366.07,14111.0,10 HCPCS,68115,Remove eyelid lining lesion,,,2366.07,14111.0,10 HCPCS,68130,Remove eyelid lining lesion,,,2366.07,14111.0,10 HCPCS,68135,Remove eyelid lining lesion,,,2366.07,14111.0,10 HCPCS,68200,Subconjunctival Injection,894.0,447.0,,,0 HCPCS,68200,Treat eyelid by injection,,,444.58,5220.0,10 HCPCS,68320,Conjunctivoplasty W/Grf/Xtnsv Rearrangement,2804.0,1402.0,,,0 HCPCS,68320,Revise/graft eyelid lining,,,2366.07,14111.0,10 HCPCS,68325,Revise/graft eyelid lining,,,3912.52,19040.0,10 HCPCS,68326,Revise/graft eyelid lining,,,3912.52,19040.0,10 HCPCS,68328,Revise/graft eyelid lining,,,2366.07,14111.0,10 HCPCS,68330,Revise eyelid lining,,,2296.74,14111.0,10 HCPCS,68335,Revise/graft eyelid lining,,,3912.52,19040.0,10 HCPCS,68340,Separate eyelid adhesions,,,2366.07,14111.0,10 HCPCS,68360,Revise eyelid lining,,,3912.52,19040.0,10 HCPCS,68362,Revise eyelid lining,,,2366.07,14111.0,10 HCPCS,68371,Harvest eye tissue alograft,,,2366.07,14111.0,10 HCPCS,68399,Conjunctivoplasty,2583.0,1291.5,,,0 HCPCS,68399,Eyelid lining surgery,,,315.88,5220.0,10 HCPCS,68400,Incise/drain tear gland,,,992.09,5790.0,10 HCPCS,68420,Incise/drain tear sac,,,2366.07,8208.02,10 HCPCS,68420,Incision Drainage Lacrimal Sac,2804.0,1402.0,,,0 HCPCS,68440,Incise tear duct opening,,,315.88,3408.0,10 HCPCS,68440,Snip Incision Lacrimal Punctum,636.0,318.0,,,0 HCPCS,68500,Removal of tear gland,,,3912.52,19040.0,10 HCPCS,68505,Partial removal tear gland,,,3912.52,19040.0,10 HCPCS,68510,Biopsy Lacrimal Gland,2804.0,1402.0,,,0 HCPCS,68510,Biopsy of tear gland,,,2366.07,14111.0,10 HCPCS,68520,Removal of tear sac,,,3912.52,19040.0,10 HCPCS,68525,Biopsy of tear sac,,,2366.07,14111.0,10 HCPCS,68530,Clearance of tear duct,,,315.88,5220.0,10 HCPCS,68530,Rmvl Fb/Dacryolith Lacrimal Passages,636.0,318.0,,,0 HCPCS,68540,Remove tear gland lesion,,,2366.07,14111.0,10 HCPCS,68550,Remove tear gland lesion,,,3912.52,19040.0,10 HCPCS,68700,Repair Tear Ducts,3383.0,1691.5,,,0 HCPCS,68700,Repair tear ducts,,,2366.07,14111.0,10 HCPCS,68705,Revise tear duct opening,,,315.88,3408.0,10 HCPCS,68720,Create tear sac drain,,,3912.52,19040.0,10 HCPCS,68745,Create tear duct drain,,,3912.52,19040.0,10 HCPCS,68750,Create tear duct drain,,,3912.52,19040.0,10 HCPCS,68760,Close tear duct opening,,,315.88,5220.0,10 HCPCS,68760,Closure Of Lacrimal,1940.0,970.0,,,0 HCPCS,68761,Close tear duct opening,,,315.88,5220.0,10 HCPCS,68761,Punctal Plug Insertion -1 Eye,255.0,127.5,,,0 HCPCS,68761,Punctal Plug Insertion-2 Eyes,382.0,191.0,,,0 HCPCS,68770,Close tear system fistula,,,2366.07,8208.02,10 HCPCS,68801,Dilate tear duct opening,,,444.58,5220.0,10 HCPCS,68801,Dilation Lacrimal Punctum W/Wo Irrgation,660.0,330.0,,,0 HCPCS,68810,Prob Nasolacrimal Duct Irrigat,1067.0,533.5,,,0 HCPCS,68810,Probe nasolacrimal duct,,,315.88,3408.0,10 HCPCS,68811,Probe nasolacrimal duct,,,2366.07,14111.0,10 HCPCS,68815,Probe Nasolacrimal Duct,3448.0,1724.0,,,0 HCPCS,68815,Probe nasolacrimal duct,,,2366.07,14111.0,10 HCPCS,68816,Probe nl duct w/balloon,,,2366.07,14111.0,10 HCPCS,68840,Explore/irrigate tear ducts,,,315.88,5220.0,10 HCPCS,68840,Prob Of Lac Can W Or W_O Irrig,1377.0,688.5,,,0 HCPCS,68841,Insj rx elut implt lac canal,,,2366.07,14111.0,9 HCPCS,68850,Chgr-Injection Code Dacroscystogram,2091.0,1045.5,,,0 HCPCS,68850,Injection for tear sac x-ray,,,2375.0,5220.0,3 HCPCS,68899,Tear duct system surgery,,,315.88,5220.0,10 HCPCS,68899,Unlisted Procedure Lacrimal System,636.0,318.0,,,0 HCPCS,69000,69000 I&D Ear Absc/Hematm Simp,950.0,475.0,,,0 HCPCS,69000,Drain external ear lesion,,,704.73,5220.0,10 HCPCS,69005,69005 Dr Ext Ear Abscess/Hemat,4402.0,2201.0,,,0 HCPCS,69005,Drain external ear lesion,,,1643.67,5790.0,10 HCPCS,69020,69020 Drain Outr Ear Canl Lesn,950.0,475.0,,,0 HCPCS,69020,Drain outer ear canal lesion,,,704.73,5220.0,10 HCPCS,69090,Pierce earlobes,,,5226.0,5790.0,2 HCPCS,69100,Biopsy External Ear,566.0,283.0,,,0 HCPCS,69100,Biopsy of external ear,,,235.71,3408.0,10 HCPCS,69105,69105 Biopsy External Auditory Canal,3779.0,1889.5,,,0 HCPCS,69105,Biopsy of external ear canal,,,1544.13,5790.0,10 HCPCS,69110,Remove external ear partial,,,2890.77,10028.23,10 HCPCS,69120,Removal of external ear,,,4564.0,20437.6,10 HCPCS,69140,Remove ear canal lesion(s),,,4564.0,20437.6,10 HCPCS,69145,Remove ear canal lesion(s),,,2890.77,10028.23,10 HCPCS,69150,Extensive ear canal surgery,,,5220.0,20437.6,10 HCPCS,69155,Extensive ear/neck surgery,,,5220.0,5790.0,3 HCPCS,69200,69200 Ext Audit Canal Fb Remov,585.0,292.5,,,0 HCPCS,69200,Chg - 69200 Ext Audit Canal Fb Remov,585.0,292.5,,,0 HCPCS,69200,Clear outer ear canal,,,132.41,5220.0,10 HCPCS,69205,Clear Outer Ear Canal,11516.0,5758.0,,,0 HCPCS,69205,Clear outer ear canal,,,1643.67,5790.0,10 HCPCS,69209,69209 Rem Impacted Ear Wax Uni,221.0,110.5,,,0 HCPCS,69209,Chg - Remove Impacted Ear Wax Uni,221.0,110.5,,,0 HCPCS,69209,Remove Impacted Ear Wax,221.0,110.5,,,0 HCPCS,69209,Remove impacted ear wax uni,,,58.71,5220.0,10 HCPCS,69210,69210 Impact Cerumen Rem Unila,373.0,186.5,,,0 HCPCS,69210,Chg - Unilateral Spec-Ear Irrigation,373.0,186.5,,,0 HCPCS,69210,Impacted Cerumen Removal,373.0,186.5,,,0 HCPCS,69210,Remove impacted ear wax uni,,,58.71,5220.0,10 HCPCS,69220,Clean out mastoid cavity,,,199.67,5220.0,10 HCPCS,69220,Debridement Mastoidectomy Cavity Simple,492.0,246.0,,,0 HCPCS,69222,Clean out mastoid cavity,,,536.74,5220.0,10 HCPCS,69300,Revise external ear,,,3299.54,14111.0,10 HCPCS,69310,Rebuild outer ear canal,,,5220.0,23971.0,10 HCPCS,69320,Rebuild outer ear canal,,,5891.41,23971.0,10 HCPCS,69399,69399 Outer Ear Surgery Proced,565.0,282.5,,,0 HCPCS,69399,Outer ear surgery procedure,,,235.71,5220.0,10 HCPCS,69400,Inflate middle ear canal,,,5220.0,5220.0,1 HCPCS,69401,Inflate middle ear canal,,,5220.0,5220.0,1 HCPCS,69405,Catheterize middle ear canal,,,3408.0,3408.0,1 HCPCS,69420,Incision of eardrum,,,235.71,3408.0,10 HCPCS,69421,Incision of eardrum,,,3299.54,11446.28,10 HCPCS,69424,Remove ventilating tube,,,3299.54,19040.0,10 HCPCS,69433,69433 Create Eardrum Opening,1636.0,818.0,,,0 HCPCS,69433,Create eardrum opening,,,536.74,3408.0,10 HCPCS,69433,Tympanostomy Local/Topical Anesthesia,1636.0,818.0,,,0 HCPCS,69436,Create eardrum opening,,,1544.13,5790.0,10 HCPCS,69440,Exploration of middle ear,,,3299.54,14111.0,10 HCPCS,69450,Eardrum revision,,,3299.54,23971.0,10 HCPCS,69501,Mastoidectomy,,,5891.41,23971.0,10 HCPCS,69502,Mastoidectomy,,,5891.41,20437.6,10 HCPCS,69505,Remove mastoid structures,,,5891.41,23971.0,10 HCPCS,69511,Extensive mastoid surgery,,,5891.41,23971.0,10 HCPCS,69530,Extensive mastoid surgery,,,5891.41,23971.0,10 HCPCS,69535,Remove part of temporal bone,,,5220.0,5790.0,3 HCPCS,69540,Remove ear lesion,,,1544.13,5790.0,10 HCPCS,69550,Remove ear lesion,,,5891.41,23971.0,10 HCPCS,69552,Remove ear lesion,,,5891.41,23971.0,10 HCPCS,69554,Remove ear lesion,,,5220.0,5790.0,3 HCPCS,69601,Mastoid surgery revision,,,5891.41,23971.0,10 HCPCS,69602,Mastoid surgery revision,,,5891.41,23971.0,10 HCPCS,69603,Mastoid surgery revision,,,5891.41,23971.0,10 HCPCS,69604,Mastoid surgery revision,,,5891.41,23971.0,10 HCPCS,69605,Mastoid surgery revision,,,10181.0,10181.0,1 HCPCS,69610,Repair of eardrum,,,1544.13,14111.0,10 HCPCS,69620,Repair of eardrum,,,3299.54,14111.0,10 HCPCS,69631,Repair eardrum structures,,,5891.41,23971.0,10 HCPCS,69632,Rebuild eardrum structures,,,5891.41,23971.0,10 HCPCS,69633,Rebuild eardrum structures,,,5891.41,23971.0,10 HCPCS,69635,Repair eardrum structures,,,5891.41,23971.0,10 HCPCS,69636,Rebuild eardrum structures,,,5891.41,23971.0,10 HCPCS,69637,Rebuild eardrum structures,,,5891.41,23971.0,10 HCPCS,69641,Revise middle ear & mastoid,,,5891.41,23971.0,10 HCPCS,69642,Revise middle ear & mastoid,,,5891.41,23971.0,10 HCPCS,69643,Revise middle ear & mastoid,,,5891.41,23971.0,10 HCPCS,69644,Revise middle ear & mastoid,,,5891.41,23971.0,10 HCPCS,69645,Revise middle ear & mastoid,,,5891.41,23971.0,10 HCPCS,69646,Revise middle ear & mastoid,,,5891.41,23971.0,10 HCPCS,69650,Release middle ear bone,,,3299.54,14111.0,10 HCPCS,69660,Revise middle ear bone,,,5891.41,23971.0,10 HCPCS,69661,Revise middle ear bone,,,5891.41,23971.0,10 HCPCS,69662,Revise middle ear bone,,,5891.41,23971.0,10 HCPCS,69666,Repair middle ear structures,,,3299.54,14111.0,10 HCPCS,69667,Repair middle ear structures,,,3299.54,14111.0,10 HCPCS,69670,Remove mastoid air cells,,,5220.0,23971.0,10 HCPCS,69676,Remove middle ear nerve,,,3299.54,14111.0,10 HCPCS,69700,Close mastoid fistula,,,1544.13,5790.0,10 HCPCS,69705,Nps surg dilat eust tube uni,,,5891.41,23971.0,9 HCPCS,69706,Nps surg dilat eust tube bi,,,5891.41,23971.0,9 HCPCS,69710,Implant/replace hearing aid,,,5220.0,23971.0,3 HCPCS,69711,Remove/repair hearing aid,,,3299.54,23971.0,10 HCPCS,69714,Implant Temple Bone W/Stimul,,,5220.0,44324.22,10 HCPCS,69715,Temple Bne Implnt W/Stimulat,,,5220.0,5220.0,1 HCPCS,69716,Impltj oi implt skl tc esp,,,12777.04,44324.22,9 HCPCS,69717,Temple Bone Implant Revision,,,5220.0,25051.33,10 HCPCS,69718,Revise Temple Bone Implant,,,5220.0,5220.0,1 HCPCS,69719,Revj/rplcmt oi implt tc esp,,,12777.04,44324.22,9 HCPCS,69720,Release facial nerve,,,5891.41,23971.0,10 HCPCS,69725,Release facial nerve,,,5220.0,23971.0,10 HCPCS,69726,Rmvl oi implt skl perq esp,,,3256.29,19040.0,9 HCPCS,69727,Rmvl oi implt skl tc esp,,,3256.29,19040.0,9 HCPCS,69728,Rmv ntr oi imp sktc esp>=100,,,3256.29,19040.0,9 HCPCS,69729,Impl oi implt sk tc esp>=100,,,12777.04,44324.22,9 HCPCS,69730,Rplc oi implt sk tc esp>=100,,,12777.04,44324.22,9 HCPCS,69740,Repair facial nerve,,,5891.41,23971.0,10 HCPCS,69745,Repair facial nerve,,,5891.41,23971.0,10 HCPCS,69799,69799 Unlisted Procedure Middle Ear,687.0,343.5,,,0 HCPCS,69799,Middle ear surgery procedure,,,235.71,5220.0,10 HCPCS,69801,Incise inner ear,,,1544.13,7337.0,10 HCPCS,69805,Explore inner ear,,,5891.41,23971.0,10 HCPCS,69806,Explore inner ear,,,5891.41,23971.0,10 HCPCS,69820,Establish inner ear window,,,7337.0,7337.0,1 HCPCS,69840,Revise inner ear window,,,7337.0,7337.0,1 HCPCS,69905,Remove inner ear,,,5891.41,23971.0,10 HCPCS,69910,Remove inner ear & mastoid,,,5891.41,23971.0,10 HCPCS,69915,Incise inner ear nerve,,,3299.54,23971.0,10 HCPCS,69930,Implant cochlear device,,,10181.0,113832.84,10 HCPCS,69949,Inner ear surgery procedure,,,235.71,5220.0,10 HCPCS,69950,Incise inner ear nerve,,,5220.0,5790.0,3 HCPCS,69955,Release facial nerve,,,5220.0,23971.0,10 HCPCS,69960,Release inner ear canal,,,5220.0,23971.0,10 HCPCS,69970,Remove inner ear lesion,,,5220.0,23971.0,10 HCPCS,69979,Temporal bone surgery,,,235.71,5220.0,10 HCPCS,69990,Microsurgery add-on,,,2375.0,5220.0,3 HCPCS,70010,Contrast x-ray of brain,,,347.2,1204.45,7 HCPCS,70015,Chgr-Cisternogram,2435.0,1217.5,,,0 HCPCS,70015,Contrast x-ray of brain,,,780.16,2706.41,7 HCPCS,70030,Chg - Eye For Foreign Body,363.0,181.5,,,0 HCPCS,70030,Chgr-Orbits Ltd,363.0,181.5,,,0 HCPCS,70030,X-ray eye for foreign body,,,86.61,300.45,7 HCPCS,70100,Chgr-Mandible Ltd,387.0,193.5,,,0 HCPCS,70100,X-ray exam of jaw <4views,,,86.61,300.45,7 HCPCS,70110,Chg - Mandible Complete,822.0,411.0,,,0 HCPCS,70110,Chgr-Mandible Complete,822.0,411.0,,,0 HCPCS,70110,X-ray exam of jaw 4/> views,,,104.04,360.93,7 HCPCS,70120,Mastoids Less Than 3 Vw,280.0,140.0,,,0 HCPCS,70120,X-ray exam of mastoids,,,104.04,360.93,7 HCPCS,70130,Chgr-Mastoids Complete,599.0,299.5,,,0 HCPCS,70130,X-ray exam of mastoids,,,104.04,360.93,7 HCPCS,70134,X-ray exam of middle ear,,,543.79,1886.44,7 HCPCS,70140,Chgr-Facial Bones Ltd,629.0,314.5,,,0 HCPCS,70140,Facial Bones Less Than 3 Vw,629.0,314.5,,,0 HCPCS,70140,X-ray exam of facial bones,,,86.61,300.45,7 HCPCS,70150,Chg - Facial Bones Complete,1068.0,534.0,,,0 HCPCS,70150,Chgr-Facial Bones Complete,1068.0,534.0,,,0 HCPCS,70150,X-ray exam of facial bones,,,104.04,360.93,7 HCPCS,70160,Chg - Nasal Bones,596.0,298.0,,,0 HCPCS,70160,Chgr-Nasal Bones,596.0,298.0,,,0 HCPCS,70160,X-ray exam of nasal bones,,,86.61,300.45,7 HCPCS,70170,Chgr-Dacrocystogram,735.0,367.5,,,0 HCPCS,70170,X-ray exam of tear duct,,,237.46,823.75,7 HCPCS,70190,X-ray exam of eye sockets,,,86.61,300.45,7 HCPCS,70200,Chg - Orbits Complete Min 4 Vw,1067.0,533.5,,,0 HCPCS,70200,Chgr-Orbits Complete,1067.0,533.5,,,0 HCPCS,70200,X-ray exam of eye sockets,,,104.04,360.93,7 HCPCS,70210,Chg - Sinuses Less Than 3 Vw,953.0,476.5,,,0 HCPCS,70210,Chgr-Sinuses Ltd,953.0,476.5,,,0 HCPCS,70210,X-ray exam of sinuses,,,86.61,300.45,7 HCPCS,70220,Chgr-Sinuses Complete,1607.0,803.5,,,0 HCPCS,70220,Sinuses Complete,1607.0,803.5,,,0 HCPCS,70220,X-ray exam of sinuses,,,86.61,300.45,10 HCPCS,70240,Chgr-Sella Turcica,317.0,158.5,,,0 HCPCS,70240,X-ray exam pituitary saddle,,,86.61,300.45,7 HCPCS,70250,Chg - Skull Less Than 4 Vw,1058.0,529.0,,,0 HCPCS,70250,Chgr-Skull Ltd,1058.0,529.0,,,0 HCPCS,70250,X-ray exam of skull,,,104.04,360.93,7 HCPCS,70260,Chg - Skull Complete,1409.0,704.5,,,0 HCPCS,70260,Chgr-Skull Complete,1409.0,704.5,,,0 HCPCS,70260,X-ray exam of skull,,,104.04,449.0,10 HCPCS,70300,Chgr-Teeth Single,148.0,74.0,,,0 HCPCS,70300,X-ray exam of teeth,,,86.61,300.45,7 HCPCS,70310,"Chgr-Or Teeth, Partial Set",331.0,165.5,,,0 HCPCS,70310,X-ray exam of teeth,,,237.46,823.75,7 HCPCS,70320,Chgr-Teeth Complete,331.0,165.5,,,0 HCPCS,70320,Full mouth x-ray of teeth,,,237.46,823.75,7 HCPCS,70328,Chg - Tmj Unilat Open & Closed,683.0,341.5,,,0 HCPCS,70328,Chgr-Tmj Open/Closed,683.0,341.5,,,0 HCPCS,70328,X-ray exam of jaw joint,,,86.61,300.45,7 HCPCS,70330,Chg - Tmj Bilat Open & Closed,731.0,365.5,,,0 HCPCS,70330,Chgr-Tmj Bilat,731.0,365.5,,,0 HCPCS,70330,X-ray exam of jaw joints,,,86.61,300.45,7 HCPCS,70332,X-ray exam of jaw joint,,,237.46,823.75,7 HCPCS,70336,Chgr-Mr Tmj,4545.0,2272.5,,,0 HCPCS,70336,Magnetic image jaw joint,,,237.46,5369.86,11 HCPCS,70350,Chgr-Cephlometrogram,317.0,158.5,,,0 HCPCS,70350,X-ray head for orthodontia,,,86.61,300.45,7 HCPCS,70355,Chgr-Panorex,751.0,375.5,,,0 HCPCS,70355,Panoramic x-ray of jaws,,,86.61,300.45,7 HCPCS,70360,Chg - Neck Soft Tissue,877.0,438.5,,,0 HCPCS,70360,Chgr-St Neck,877.0,438.5,,,0 HCPCS,70360,X-ray exam of neck,,,86.61,300.45,7 HCPCS,70370,Throat x-ray & fluoroscopy,,,86.61,300.45,7 HCPCS,70371,Speech evaluation complex,,,237.46,823.75,7 HCPCS,70380,X-ray exam of salivary gland,,,86.61,300.45,7 HCPCS,70390,Sialogram,1257.0,628.5,,,0 HCPCS,70390,X-ray exam of salivary duct,,,237.46,823.75,7 HCPCS,70450,Chgr-Ct Head Region W/O Contrast,2656.0,1328.0,,,0 HCPCS,70450,Ct head/brain w/o dye,,,104.04,2753.72,11 HCPCS,70460,Chgr-Ct Head / St Neck W / Contrast,3053.0,1526.5,,,0 HCPCS,70460,Ct head/brain w/dye,,,174.56,4714.07,11 HCPCS,70470,Chgr-Ct Head W/Wo Contrast,3511.0,1755.5,,,0 HCPCS,70470,Ct head/brain w/o & w/dye,,,174.56,5224.75,11 HCPCS,70471,Cta h&n c+ w/noncontrast img,,,347.2,1204.45,7 HCPCS,70473,Ct cere prfu aly c+wo ct/cta,,,174.56,605.55,7 HCPCS,70480,Chgr-Ct Head Region W/O Contrast,2720.0,1360.0,,,0 HCPCS,70480,Ct orbit/ear/fossa w/o dye,,,104.04,2753.72,11 HCPCS,70481,Chgr-Ct Head Region W/ Contrast,3241.0,1620.5,,,0 HCPCS,70481,Ct orbit/ear/fossa w/dye,,,174.56,4714.07,11 HCPCS,70482,Chgr-Ct Head Region W/Wo Contrast,3726.0,1863.0,,,0 HCPCS,70482,Ct orbit/ear/fossa w/o&w/dye,,,174.56,5224.75,11 HCPCS,70486,Chgr-Ct Facial W/O Contrast,2719.0,1359.5,,,0 HCPCS,70486,Ct maxillofacial w/o dye,,,104.04,2753.72,11 HCPCS,70487,Chgr-Ct Facial W/ Contrast,3125.0,1562.5,,,0 HCPCS,70487,Ct maxillofacial w/dye,,,174.56,4714.07,11 HCPCS,70488,Chgr-Ct Facial W/Wo Contrast,3593.0,1796.5,,,0 HCPCS,70488,Ct maxillofacial w/o & w/dye,,,174.56,5224.75,11 HCPCS,70490,Chgr-Ct St Neck W/O Contrast,1285.0,642.5,,,0 HCPCS,70490,Ct soft tissue neck w/o dye,,,104.04,2753.72,11 HCPCS,70491,Chgr-Ct St Neck W/Contrast,3356.0,1678.0,,,0 HCPCS,70491,Ct soft tissue neck w/dye,,,174.56,4714.07,11 HCPCS,70492,Chgr-Ct St Neck W/Wo Contrast,3880.0,1940.0,,,0 HCPCS,70492,Ct sft tsue nck w/o & w/dye,,,174.56,5224.75,11 HCPCS,70496,Chgr-Cta Head W/Wo Inc Post Proc,4442.0,2221.0,,,0 HCPCS,70496,Chgr-Stroke Cta Head W/Wo Inc Post,4442.0,2221.0,,,0 HCPCS,70496,Ct angiography head,,,174.56,5381.8,11 HCPCS,70498,Chgr-Ct Cta Neck W / Wo Inc Post Proc,4462.0,2231.0,,,0 HCPCS,70498,Ct angiography neck,,,174.56,5381.8,11 HCPCS,70540,Chgr-Mr Orbits W/O Contrast,4934.0,2467.0,,,0 HCPCS,70540,Mri orbit/face/neck w/o dye,,,237.46,5369.86,11 HCPCS,70542,Chgr-Mri Orbits W / Contrast,5677.0,2838.5,,,0 HCPCS,70542,Mri Orbit/Face/Neck W/Dye,,,347.2,7211.2,11 HCPCS,70543,Chgr-Mri Face / Orbit / Neck W / Wo Contrast,7093.0,3546.5,,,0 HCPCS,70543,Mri orbt/fac/nck w/o &w/dye,,,347.2,8716.76,11 HCPCS,70544,Chgr-Mra Head W / O Contrast,5027.0,2513.5,,,0 HCPCS,70544,Mr Angiography Head W/O Dye,,,237.46,5369.86,11 HCPCS,70545,Chgr- Mra Head W / Contrast,5781.0,2890.5,,,0 HCPCS,70545,Mr Angiography Head W/Dye,,,347.2,7211.2,11 HCPCS,70546,Chgr- Mra Head W / Wo Contrast,6646.0,3323.0,,,0 HCPCS,70546,Mr angiograph head w/o&w/dye,,,347.2,8716.76,11 HCPCS,70547,Chgr-Mra Neck W / O Contrast,4231.0,2115.5,,,0 HCPCS,70547,Mr Angiography Neck W/O Dye,,,237.46,5369.86,11 HCPCS,70548,Chgr-Mra Neck W / Contrast,4863.0,2431.5,,,0 HCPCS,70548,Mr Angiography Neck W/Dye,,,347.2,7211.2,11 HCPCS,70549,Chgr-Mra Neck W / Wo Contrast,6485.0,3242.5,,,0 HCPCS,70549,Mr angiograph neck w/o&w/dye,,,347.2,8716.76,11 HCPCS,70551,"Chgr-Mr Face, Orbit, Head, Neck W/O Contrast",3865.0,1932.5,,,0 HCPCS,70551,Mri brain stem w/o dye,,,237.46,5369.86,11 HCPCS,70552,Chgr-Mr Face W/ Contrast,5097.0,2548.5,,,0 HCPCS,70552,Mri brain stem w/dye,,,347.2,7211.2,11 HCPCS,70553,"Chgr - Mri Screen, Iac W&W/O Contrast",3491.0,1745.5,,,0 HCPCS,70553,Chgr-Mr Head W/Wo Contrast,7331.0,3665.5,,,0 HCPCS,70553,Mri brain stem w/o & w/dye,,,347.2,8716.76,11 HCPCS,70554,"Chgr-Mr Brain, Fmri, Nonphys Administration",4993.0,2496.5,,,0 HCPCS,70554,Fmri brain by tech,,,237.46,5369.86,11 HCPCS,70555,"Chgr-Mr Brain, Fmri, Physician Administration",4022.0,2011.0,,,0 HCPCS,70555,Fmri brain by phys/psych,,,237.46,5369.86,11 HCPCS,70557,Chg Open Mri Brain Without Contrast,1874.0,937.0,,,0 HCPCS,70557,Mri brain w/o dye,,,543.79,5369.86,11 HCPCS,70558,Chg Open Mri Brain With Contrast,1978.0,989.0,,,0 HCPCS,70558,Mri brain w/dye,,,174.56,7211.2,11 HCPCS,70559,Chg Open Mri Brain W_Wo Contrast,2082.0,1041.0,,,0 HCPCS,70559,Mri brain w/o & w/dye,,,174.56,8716.76,11 HCPCS,71010,Chest x-ray 1 view frontal,,,248.0,254.0,3 HCPCS,71020,Chest x-ray 2vw frontal&latl,,,248.0,254.0,3 HCPCS,71045,Chg-X-Ray Exam Chest 1 View,468.0,234.0,,,0 HCPCS,71045,X-Ray Exam Chest 1 View,468.0,234.0,,,0 HCPCS,71045,X-ray exam chest 1 view,,,86.61,300.45,10 HCPCS,71046,Chg-X-Ray Exam Chest 2 Views,563.0,281.5,,,0 HCPCS,71046,X-Ray Exam Chest 2 Views,563.0,281.5,,,0 HCPCS,71046,X-ray exam chest 2 views,,,86.61,300.45,10 HCPCS,71047,Chg-X-Ray Exam Chest 3 Views,813.0,406.5,,,0 HCPCS,71047,X-Ray Exam Chest 3 Views,813.0,406.5,,,0 HCPCS,71047,X-ray exam chest 3 views,,,86.61,300.45,10 HCPCS,71048,Chg-X-Ray Exam Chest 4+ Views,1016.0,508.0,,,0 HCPCS,71048,X-Ray Exam Chest 4+ Views,1016.0,508.0,,,0 HCPCS,71048,X-ray exam chest 4+ views,,,104.04,360.93,10 HCPCS,71100,Chg - Rib Unilat 2 Vw,673.0,336.5,,,0 HCPCS,71100,Chgr-Ribs Unilateral,673.0,336.5,,,0 HCPCS,71100,X-ray exam ribs uni 2 views,,,86.61,316.0,10 HCPCS,71101,Chg - Rib Unilat 2 Vw W/Pa Chest,893.0,446.5,,,0 HCPCS,71101,Chgr-Ribs Unilat W/ Pa Cxr,893.0,446.5,,,0 HCPCS,71101,X-ray exam unilat ribs/chest,,,104.04,456.0,10 HCPCS,71110,Chg - Rib Bilat Min 3 Vw,1225.0,612.5,,,0 HCPCS,71110,Chgr-Ribs Bilat,1225.0,612.5,,,0 HCPCS,71110,X-ray exam ribs bil 3 views,,,104.04,360.93,10 HCPCS,71111,Chgr-Ribs Bilat W / Pa Cxr,1410.0,705.0,,,0 HCPCS,71111,Rib Bilat W/Pa Chest Min 4 Vw,1410.0,705.0,,,0 HCPCS,71111,X-ray exam ribs/chest4/> vws,,,104.04,360.93,10 HCPCS,71120,Chg - Sternum,694.0,347.0,,,0 HCPCS,71120,Chgr-Sternum,694.0,347.0,,,0 HCPCS,71120,X-ray exam breastbone 2/>vws,,,86.61,300.45,7 HCPCS,71130,Chg - Sternoclavicular Joints 3 Vw,799.0,399.5,,,0 HCPCS,71130,Chgr-Sternoclavicular Joints,799.0,399.5,,,0 HCPCS,71130,X-ray strenoclavic jt 3/>vws,,,86.61,300.45,7 HCPCS,71250,Chgr-Ct Chest Wo Contrast,2745.0,1372.5,,,0 HCPCS,71250,Ct thorax w/o dye,,,104.04,2753.72,11 HCPCS,71260,Chgr-Ct Chest W/ Contrast,3559.0,1779.5,,,0 HCPCS,71260,Ct thorax w/dye,,,174.56,4714.07,11 HCPCS,71270,Chgr-Ct Chest W/Wo Contrast,3894.0,1947.0,,,0 HCPCS,71270,Ct thorax w/o & w/dye,,,174.56,5224.75,11 HCPCS,71271,Ct Self-Pay Lung Ca Screen,351.0,175.5,,,0 HCPCS,71271,Ct Thorax Lung Cancer Scr C-,842.0,421.0,,,0 HCPCS,71271,Ct thorax lung cancer scr c-,,,104.04,360.93,10 HCPCS,71275,Chgr-Ct Cta Chest,4656.0,2328.0,,,0 HCPCS,71275,Ct angiography chest,,,174.56,5381.8,11 HCPCS,71550,Chgr-Mr Chest W/O Contrast,3636.0,1818.0,,,0 HCPCS,71550,Mri chest w/o dye,,,237.46,5369.86,11 HCPCS,71551,Chgr-Mri Chest W/ Contrast,4183.0,2091.5,,,0 HCPCS,71551,Mri Chest W/Dye,,,780.16,7211.2,11 HCPCS,71552,Chgr-Mri Chest W/Wo Contrast,5383.0,2691.5,,,0 HCPCS,71552,Mri chest w/o & w/dye,,,347.2,8716.76,11 HCPCS,71555,Mri angio chest w or w/o dye,,,2392.0,6189.1,4 HCPCS,72020,Chgr-Spine One View,562.0,281.0,,,0 HCPCS,72020,Spine One View,562.0,281.0,,,0 HCPCS,72020,X-ray exam of spine 1 view,,,86.61,300.45,7 HCPCS,72040,Chg - C-Spine Two Or Three Views,748.0,374.0,,,0 HCPCS,72040,Chgr-Cspine Ltd,804.0,402.0,,,0 HCPCS,72040,X-ray exam neck spine 2-3 vw,,,86.61,300.45,10 HCPCS,72050,C-Spine Min 4 Vw,888.0,444.0,,,0 HCPCS,72050,Chgr-Cspine Complete,888.0,444.0,,,0 HCPCS,72050,X-ray exam neck spine 4/5vws,,,104.04,369.0,10 HCPCS,72052,Chg - C-Spine Compl W/Flex & Ext,1195.0,597.5,,,0 HCPCS,72052,Chgr-Cspine Com With Flex/Ext,1195.0,597.5,,,0 HCPCS,72052,X-ray exam neck spine 6/>vws,,,104.04,490.0,10 HCPCS,72069,X-ray exam of trunk spine,,,88.0,90.0,3 HCPCS,72070,Chg - Spine Thoracic Two Views,674.0,337.0,,,0 HCPCS,72070,Chgr-Tspine 2 Views,725.0,362.5,,,0 HCPCS,72070,X-ray exam thorac spine 2vws,,,104.04,541.0,10 HCPCS,72072,Chg - Spine Thoracic Three Views,721.0,360.5,,,0 HCPCS,72072,Chgr-Tspine Comp,721.0,360.5,,,0 HCPCS,72072,X-ray exam thorac spine 3vws,,,104.04,360.93,10 HCPCS,72074,Chgr-Thoracic Spine Min 4 Views,1177.0,588.5,,,0 HCPCS,72074,T-Spine Min 4 Views,1177.0,588.5,,,0 HCPCS,72074,X-ray exam thorac spine4/>vw,,,104.04,360.93,10 HCPCS,72080,Chg - Spine Thoracolumbar Two Views,960.0,480.0,,,0 HCPCS,72080,Chgr-Thoracolumbar Spine 2 Views,960.0,480.0,,,0 HCPCS,72080,X-ray exam thoracolmb 2/> vw,,,86.61,412.0,10 HCPCS,72081,Chgr-X-Ray Exam Entire Spi 1 Vw,269.0,134.5,,,0 HCPCS,72081,X-ray exam entire spi 1 vw,,,86.61,300.45,7 HCPCS,72082,Chgr-X-Ray Exam Entire Spi 2/3 Vw,339.0,169.5,,,0 HCPCS,72082,X-Ray Exam Entire Spi 2/3 Vw,339.0,169.5,,,0 HCPCS,72082,X-ray exam entire spi 2/3 vw,,,104.04,360.93,7 HCPCS,72083,Chgr-X-Ray Exam Entire Spi 4/5 Vw,644.0,322.0,,,0 HCPCS,72083,X-Ray Exam Entire Spi 4/5 Vw,644.0,322.0,,,0 HCPCS,72083,X-ray exam entire spi 4/5 vw,,,104.04,360.93,7 HCPCS,72084,Chgr-X-Ray Exam Entire Spi 6/> Vw,644.0,322.0,,,0 HCPCS,72084,X-Ray Exam Entire Spi 6/> Vw,644.0,322.0,,,0 HCPCS,72084,X-ray exam entire spi 6/> vw,,,104.04,360.93,7 HCPCS,72100,Chg - Spine Lumbar Two Or Three View,733.0,366.5,,,0 HCPCS,72100,Chgr-Lspine 2 Views,733.0,366.5,,,0 HCPCS,72100,X-ray exam l-s spine 2/3 vws,,,104.04,360.93,10 HCPCS,72110,Chg - Spine Lumbar Minimum Four View,1056.0,528.0,,,0 HCPCS,72110,Chgr-Lspine Comp,1056.0,528.0,,,0 HCPCS,72110,X-ray exam l-2 spine 4/>vws,,,104.04,462.0,10 HCPCS,72114,Chg - Spine Lumbar Comp W/Bending,1559.0,779.5,,,0 HCPCS,72114,Chgr-Lspine Comp W/Bend Or Ext,1559.0,779.5,,,0 HCPCS,72114,X-ray exam l-s spine bending,,,104.04,530.0,10 HCPCS,72120,Chg - Spine Lumbar Bending Only 4 V,1141.0,570.5,,,0 HCPCS,72120,Chgr-Lspine 2 View With Flex/Ext,1141.0,570.5,,,0 HCPCS,72120,X-ray bend only l-s spine,,,104.04,414.0,10 HCPCS,72125,Chgr-Ct Cervical Spine W / O Contrast,3200.0,1600.0,,,0 HCPCS,72125,Ct neck spine w/o dye,,,104.04,2753.72,11 HCPCS,72126,Chgr-Ct Cervical Spine W / Contrast,3678.0,1839.0,,,0 HCPCS,72126,Ct neck spine w/dye,,,347.2,4714.07,11 HCPCS,72127,Chgr-Ct Cervical Spine W / Wo Contrast,4227.0,2113.5,,,0 HCPCS,72127,Ct neck spine w/o & w/dye,,,174.56,5224.75,11 HCPCS,72128,Chgr-Ct Thoracic Spine W / O Contrast,3217.0,1608.5,,,0 HCPCS,72128,Ct chest spine w/o dye,,,104.04,2753.72,11 HCPCS,72129,Chgr-Ct Thoracic Spine W / Contrast,3724.0,1862.0,,,0 HCPCS,72129,Ct chest spine w/dye,,,174.56,4714.07,11 HCPCS,72130,Chgr-Ct Thoracic Spine W / Wo Contrast,4280.0,2140.0,,,0 HCPCS,72130,Ct chest spine w/o & w/dye,,,174.56,5224.75,11 HCPCS,72131,Chgr-Ct Lumbar Spine W / O Contrast,3217.0,1608.5,,,0 HCPCS,72131,Ct lumbar spine w/o dye,,,104.04,2753.72,11 HCPCS,72132,Chgr-Ct Lumbar Spine W / Contrast,3724.0,1862.0,,,0 HCPCS,72132,Ct lumbar spine w/dye,,,347.2,4714.07,11 HCPCS,72133,Chgr-Ct Lumbar Spine W / Wo Contrast,4280.0,2140.0,,,0 HCPCS,72133,Ct lumbar spine w/o & w/dye,,,174.56,5224.75,11 HCPCS,72141,Chgr-Mr Cervical Spine W / O Contrast,4000.0,2000.0,,,0 HCPCS,72141,Mri neck spine w/o dye,,,237.46,5369.86,11 HCPCS,72142,Chgr-Mr Cervical Spine W / Contrast,5273.0,2636.5,,,0 HCPCS,72142,Mri neck spine w/dye,,,347.2,7211.2,11 HCPCS,72146,Chgr-Mr Thoracic Spine W / O Contrast,4000.0,2000.0,,,0 HCPCS,72146,Mri chest spine w/o dye,,,237.46,5369.86,11 HCPCS,72147,Chgr-Mr Thoracic Spine W / Contrast,5288.0,2644.0,,,0 HCPCS,72147,Mri chest spine w/dye,,,347.2,7211.2,11 HCPCS,72148,Chgr-Mr Lumbar Spine W / O Contrast,4000.0,2000.0,,,0 HCPCS,72148,Mri lumbar spine w/o dye,,,237.46,5369.86,11 HCPCS,72149,Chgr-Mr Lumbar Spine W / Contrast,5288.0,2644.0,,,0 HCPCS,72149,Mri lumbar spine w/dye,,,347.2,7211.2,11 HCPCS,72156,Chgr-Mr Cervical Spine W / Wo Contrast,6545.0,3272.5,,,0 HCPCS,72156,Mri neck spine w/o & w/dye,,,347.2,8716.76,11 HCPCS,72157,Chgr-Mr Thoracic Spine W / Wo Contrast,6631.0,3315.5,,,0 HCPCS,72157,Mri chest spine w/o & w/dye,,,347.2,8716.76,11 HCPCS,72158,Chgr-Mr Lumbar Spine W / Wo Contrast,6631.0,3315.5,,,0 HCPCS,72158,Mri lumbar spine w/o & w/dye,,,347.2,8716.76,11 HCPCS,72159,Mr angio spine w/o&w/dye,,,1648.0,6386.71,4 HCPCS,72170,Chg - Pelvis One Or Two Views,656.0,328.0,,,0 HCPCS,72170,Chgr-Pelvis,656.0,328.0,,,0 HCPCS,72170,X-ray exam of pelvis,,,104.04,360.93,10 HCPCS,72190,Chg - Pelvis Complete Min 3 Vw,868.0,434.0,,,0 HCPCS,72190,Chgr-Pelvis Views,868.0,434.0,,,0 HCPCS,72190,X-ray exam of pelvis,,,104.04,360.93,10 HCPCS,72191,Chgr-Ct Cta Pelvis W / Wo Inc Post Proc,4515.0,2257.5,,,0 HCPCS,72191,Ct angiograph pelv w/o&w/dye,,,174.56,5381.8,11 HCPCS,72192,Chgr-Ct Pelvis W / O Contrast,2948.0,1474.0,,,0 HCPCS,72192,Ct pelvis w/o dye,,,104.04,2753.72,11 HCPCS,72193,Chgr-Ct Pelvis W / Contrast,3388.0,1694.0,,,0 HCPCS,72193,Ct pelvis w/dye,,,174.56,4714.07,11 HCPCS,72194,Chgr-Ct Pelvis W / Wo Contrast,3507.0,1753.5,,,0 HCPCS,72194,Ct pelvis w/o & w/dye,,,174.56,5224.75,11 HCPCS,72195,Chgr-Mri Pelvis W/O Contrast,3724.0,1862.0,,,0 HCPCS,72195,Mri Pelvis W/O Dye,,,237.46,5369.86,11 HCPCS,72196,Chgr-Mr Pelvis W / Contrast,5782.0,2891.0,,,0 HCPCS,72196,Mri pelvis w/dye,,,347.2,7211.2,11 HCPCS,72197,Chgr-Mri Pelvis W/Wo Contrast,6332.0,3166.0,,,0 HCPCS,72197,Mri pelvis w/o & w/dye,,,347.2,8716.76,11 HCPCS,72198,Mr angio pelvis w/o & w/dye,,,2120.0,6265.83,4 HCPCS,72200,Chg - Si Joints-Sacroiliac,489.0,244.5,,,0 HCPCS,72200,Radiologic Examination Sacroiliac Jnts <3 Views,489.0,244.5,,,0 HCPCS,72200,X-ray exam si joints,,,104.04,452.0,10 HCPCS,72202,Chg - Si Joints Greater Than 3 Vw,841.0,420.5,,,0 HCPCS,72202,Chgr-Si Joints,841.0,420.5,,,0 HCPCS,72202,X-ray exam si joints 3/> vws,,,104.04,506.0,10 HCPCS,72220,Chg - Sacrum & Coccyx,839.0,419.5,,,0 HCPCS,72220,Chgr-Sacrum/Coccyx,839.0,419.5,,,0 HCPCS,72220,X-ray exam sacrum tailbone,,,86.61,300.45,10 HCPCS,72240,Chg - Xy Myelogram Cervical,2483.0,1241.5,,,0 HCPCS,72240,Myelography neck spine,,,780.16,2706.41,7 HCPCS,72255,Myelography thoracic spine,,,780.16,2706.41,7 HCPCS,72265,Ir Myelography Lumbar S&I,3078.0,1539.0,,,0 HCPCS,72265,Myelography l-s spine,,,780.16,2706.41,7 HCPCS,72270,Myelogphy 2/> spine regions,,,780.16,2706.41,7 HCPCS,72285,Chgr-Sp Discogram Cervical,3978.0,1989.0,,,0 HCPCS,72285,Discography cerv/thor spine,,,1943.35,6741.58,7 HCPCS,72295,Chgr-Diskogram Lumbar Spine,4179.0,2089.5,,,0 HCPCS,72295,X-ray of lower spine disk,,,1943.35,6741.58,7 HCPCS,73000,Chg - Clavicle,593.0,296.5,,,0 HCPCS,73000,Chgr-Clavicle,593.0,296.5,,,0 HCPCS,73000,X-ray exam of collar bone,,,86.61,300.45,10 HCPCS,73010,Chg - Scapula,776.0,388.0,,,0 HCPCS,73010,Chgr-Scapula,776.0,388.0,,,0 HCPCS,73010,X-ray exam of shoulder blade,,,104.04,360.93,7 HCPCS,73020,Chg - Shoulder One View,445.0,222.5,,,0 HCPCS,73020,Chgr-Shoulder Ltd,445.0,222.5,,,0 HCPCS,73020,X-ray exam of shoulder,,,86.61,300.45,10 HCPCS,73030,Chg - Shoulder Two Views,638.0,319.0,,,0 HCPCS,73030,Chgr-Shoulder Comp,638.0,319.0,,,0 HCPCS,73030,X-ray exam of shoulder,,,86.61,300.45,10 HCPCS,73040,Arthrogram Shoulder,1834.0,917.0,,,0 HCPCS,73040,Contrast x-ray of shoulder,,,347.2,1204.45,7 HCPCS,73050,A-C Joints Bilat,617.0,308.5,,,0 HCPCS,73050,Chgr-Ac Joints,617.0,308.5,,,0 HCPCS,73050,X-ray exam of shoulders,,,86.61,300.45,7 HCPCS,73060,Chg - Humerus Min 2 Vw,674.0,337.0,,,0 HCPCS,73060,Chgr-Humerus,674.0,337.0,,,0 HCPCS,73060,X-ray exam of humerus,,,86.61,300.45,10 HCPCS,73070,Chg - Elbow Two Views,537.0,268.5,,,0 HCPCS,73070,Chgr-Elbow Ltd,537.0,268.5,,,0 HCPCS,73070,X-ray exam of elbow,,,86.61,300.45,10 HCPCS,73080,Chg - Elbow Min 3 Vw,902.0,451.0,,,0 HCPCS,73080,Chgr-Elbow Comp,902.0,451.0,,,0 HCPCS,73080,X-ray exam of elbow,,,86.61,300.45,10 HCPCS,73085,Arthrogram Elbow,1596.0,798.0,,,0 HCPCS,73085,Contrast x-ray of elbow,,,347.2,1204.45,7 HCPCS,73090,Chg - Forearm Two Views,659.0,329.5,,,0 HCPCS,73090,Chgr-Forearm,659.0,329.5,,,0 HCPCS,73090,X-ray exam of forearm,,,86.61,300.45,10 HCPCS,73092,Chgr-Upper Ext Infant < 1Year Old,326.0,163.0,,,0 HCPCS,73092,X-ray exam of arm infant,,,104.04,360.93,7 HCPCS,73100,Chg - Wrist Two Views,509.0,254.5,,,0 HCPCS,73100,Chgr-Wrist Ltd,509.0,254.5,,,0 HCPCS,73100,X-ray exam of wrist,,,86.61,300.45,10 HCPCS,73110,Chg - Wrist Min 3 Vw,598.0,299.0,,,0 HCPCS,73110,Chgr-Wrist Comp,598.0,299.0,,,0 HCPCS,73110,X-ray exam of wrist,,,86.61,300.45,10 HCPCS,73115,Arthrogram Wrist,2072.0,1036.0,,,0 HCPCS,73115,Contrast x-ray of wrist,,,347.2,1204.45,7 HCPCS,73120,Chg - Hand Two Views,488.0,244.0,,,0 HCPCS,73120,Chgr-Hand Ltd,488.0,244.0,,,0 HCPCS,73120,X-ray exam of hand,,,104.04,360.93,10 HCPCS,73130,Chg - Hand Min 3 Vw,563.0,281.5,,,0 HCPCS,73130,Chgr-Hand Comp,563.0,281.5,,,0 HCPCS,73130,X-ray exam of hand,,,86.61,300.45,10 HCPCS,73140,Chg - Fingers Min 2 Vw,404.0,202.0,,,0 HCPCS,73140,Chgr-Fingers,404.0,202.0,,,0 HCPCS,73140,X-ray exam of finger(s),,,86.61,300.45,10 HCPCS,73200,Chgr-Ct Ue Bilat W/O Contrast,2592.0,1296.0,,,0 HCPCS,73200,Ct upper extremity w/o dye,,,104.04,2753.72,11 HCPCS,73201,Chgr-Ct Ue Bilat W/ Contrast,3000.0,1500.0,,,0 HCPCS,73201,Ct upper extremity w/dye,,,347.2,4714.07,11 HCPCS,73202,Chgr-Ct Ue Bilat W/Wo Contrast,3447.0,1723.5,,,0 HCPCS,73202,Ct uppr extremity w/o&w/dye,,,174.56,5224.75,11 HCPCS,73206,Chgr-Ct Cta Upp Ext W/Wo Inc Pp,2549.0,1274.5,,,0 HCPCS,73206,Ct angio upr extrm w/o&w/dye,,,174.56,5381.8,11 HCPCS,73218,Chgr-Mri Upp Ext Unilat W/O Contrast,3841.0,1920.5,,,0 HCPCS,73218,Mri Upper Extremity W/O Dye,,,237.46,5369.86,11 HCPCS,73219,Chgr-Mri Upp Ext Unilat W/ Contrast,4415.0,2207.5,,,0 HCPCS,73219,Mri Upper Extremity W/Dye,,,347.2,7211.2,11 HCPCS,73220,Chgr-Mr Ue Unilat W/Wo Contrast,5078.0,2539.0,,,0 HCPCS,73220,Mri uppr extremity w/o&w/dye,,,347.2,8716.76,11 HCPCS,73221,Chgr-Mr Ue Unilat W/Joint W/O Contrast,3865.0,1932.5,,,0 HCPCS,73221,Mri joint upr extrem w/o dye,,,237.46,5369.86,11 HCPCS,73222,Chgr-Mri Upp Ext W/ Joint Unilat W/ Contrast,5111.0,2555.5,,,0 HCPCS,73222,Mri joint upr extrem w/dye,,,780.16,7211.2,11 HCPCS,73223,Chgr-Mri Upp Ext W/ Joint Unilat W/Wo Contrast,7171.0,3585.5,,,0 HCPCS,73223,Mri joint upr extr w/o&w/dye,,,347.2,8716.76,11 HCPCS,73225,Mr angio upr extr w/o&w/dye,,,2605.0,6458.03,4 HCPCS,73501,Chg - X-Ray Exam Hip Uni 1 View,439.0,219.5,,,0 HCPCS,73501,Chgr - X-Ray Exam Hip Uni 1 View,439.0,219.5,,,0 HCPCS,73501,X-ray exam hip uni 1 view,,,86.61,477.0,10 HCPCS,73502,Chg - X-Ray Exam Hip Uni 2-3 Views,501.0,250.5,,,0 HCPCS,73502,Chgr-X-Ray Exam Hip Uni 2-3 Views,501.0,250.5,,,0 HCPCS,73502,X-Ray Exam Hip Uni 2-3 Views,501.0,250.5,,,0 HCPCS,73502,X-ray exam hip uni 2-3 views,,,86.61,477.0,10 HCPCS,73503,Chg - X-Ray Exam Hip Uni 4/> Views,681.0,340.5,,,0 HCPCS,73503,Chgr-X-Ray Exam Hip Uni 4/> Views,681.0,340.5,,,0 HCPCS,73503,X-Ray Exam Hip Uni 4/> Views,681.0,340.5,,,0 HCPCS,73503,X-ray exam hip uni 4/> views,,,104.04,360.93,7 HCPCS,73510,X-ray exam of hip,,,237.0,245.0,3 HCPCS,73520,X-ray exam of hips,,,436.0,448.0,3 HCPCS,73521,Chg - X-Ray Exam Hips Bi 2 Views,704.0,352.0,,,0 HCPCS,73521,Chgr-X-Ray Exam Hips Bi 2 Views,704.0,352.0,,,0 HCPCS,73521,X-ray exam hips bi 2 views,,,104.04,1028.0,10 HCPCS,73522,Chg - X-Ray Exam Hips Bi 3-4 Views,715.0,357.5,,,0 HCPCS,73522,Chgr-X-Ray Exam Hips Bi 3-4 Views,715.0,357.5,,,0 HCPCS,73522,X-ray exam hips bi 3-4 views,,,104.04,1028.0,10 HCPCS,73523,Chgr-X-Ray Exam Hips Bi 5/> Views,835.0,417.5,,,0 HCPCS,73523,X-Ray Exam Hips Bi 5/> Views,835.0,417.5,,,0 HCPCS,73523,X-ray exam hips bi 5/> views,,,104.04,1028.0,10 HCPCS,73525,Arthrogram Hip,1596.0,798.0,,,0 HCPCS,73525,Contrast x-ray of hip,,,347.2,1204.45,7 HCPCS,73550,X-ray exam of thigh,,,366.0,377.0,3 HCPCS,73551,Chgr-X-Ray Exam Of Femur 1,553.0,276.5,,,0 HCPCS,73551,X-Ray Exam Of Femur 1,760.0,380.0,,,0 HCPCS,73551,X-ray exam of femur 1,,,86.61,582.0,10 HCPCS,73552,Chg - X-Ray Exam Of Femur 2/>,668.0,334.0,,,0 HCPCS,73552,Chgr-X-Ray Exam Of Femur 2/>,668.0,334.0,,,0 HCPCS,73552,X-ray exam of femur 2/>,,,86.61,582.0,10 HCPCS,73560,Chg - Knee Ap & Lat,524.0,262.0,,,0 HCPCS,73560,Chgr-Knee Ltd,524.0,262.0,,,0 HCPCS,73560,X-ray exam of knee 1 or 2,,,86.61,300.45,10 HCPCS,73562,Chg - Knee Ap/Lat/Obl Min 3 Vw,670.0,335.0,,,0 HCPCS,73562,Chgr-Knee 3 Views,670.0,335.0,,,0 HCPCS,73562,X-ray exam of knee 3,,,86.61,300.45,10 HCPCS,73564,Chg - Knee Ap/Lat/Obl W/Add Vw,869.0,434.5,,,0 HCPCS,73564,Chgr-Knee 4 Views,869.0,434.5,,,0 HCPCS,73564,X-ray exam knee 4 or more,,,104.04,360.93,10 HCPCS,73565,"Chg - Knees Standing,Ap",432.0,216.0,,,0 HCPCS,73565,Chgr-Standing Knees,432.0,216.0,,,0 HCPCS,73565,X-ray exam of knees,,,86.61,300.45,10 HCPCS,73580,Arthrogram Knee,1581.0,790.5,,,0 HCPCS,73580,Contrast x-ray of knee joint,,,347.2,1204.45,7 HCPCS,73590,Chg - Tibia And Fibula Two Views,622.0,311.0,,,0 HCPCS,73590,Chgr-Tibia Fibula,622.0,311.0,,,0 HCPCS,73590,X-ray exam of lower leg,,,86.61,300.45,10 HCPCS,73592,Chgr-Lower Ext Infant,477.0,238.5,,,0 HCPCS,73592,X-ray exam of leg infant,,,86.61,300.45,7 HCPCS,73600,Chg - Ankle Two Views,538.0,269.0,,,0 HCPCS,73600,Chgr-Ankle Ltd,538.0,269.0,,,0 HCPCS,73600,X-ray exam of ankle,,,86.61,736.0,10 HCPCS,73610,Chg - Ankle Min 3 Vw,631.0,315.5,,,0 HCPCS,73610,Chgr-Ankle Comp,631.0,315.5,,,0 HCPCS,73610,X-ray exam of ankle,,,86.61,300.45,10 HCPCS,73615,Chgr-Ankle Arthrogra,1581.0,790.5,,,0 HCPCS,73615,Contrast x-ray of ankle,,,347.2,1204.45,7 HCPCS,73620,Chg - Foot Two Views,592.0,296.0,,,0 HCPCS,73620,Chgr-Foot Ltd,592.0,296.0,,,0 HCPCS,73620,X-ray exam of foot,,,86.61,300.45,10 HCPCS,73630,Chg - Foot Min 3 Vw,633.0,316.5,,,0 HCPCS,73630,Chgr-Foot Comp,633.0,316.5,,,0 HCPCS,73630,X-ray exam of foot,,,86.61,300.45,10 HCPCS,73650,Chg - Calcaneous Min 2 Vw,560.0,280.0,,,0 HCPCS,73650,Chgr-Heel,560.0,280.0,,,0 HCPCS,73650,X-ray exam of heel,,,86.61,300.45,10 HCPCS,73660,Chg - Toes Min 2 Vw,502.0,251.0,,,0 HCPCS,73660,Chgr-Toes,502.0,251.0,,,0 HCPCS,73660,X-ray exam of toe(s),,,86.61,300.45,10 HCPCS,73700,Chgr-Ct Le Bilat W/O Contrast,2592.0,1296.0,,,0 HCPCS,73700,Ct lower extremity w/o dye,,,104.04,2753.72,11 HCPCS,73701,Chgr-Ct Le Bilat W/ Contrast,3000.0,1500.0,,,0 HCPCS,73701,Ct lower extremity w/dye,,,174.56,4714.07,11 HCPCS,73702,Chgr-Ct Le Bilat W/Wo Contrast,3447.0,1723.5,,,0 HCPCS,73702,Ct lwr extremity w/o&w/dye,,,174.56,5224.75,11 HCPCS,73706,Chgr-Ct Cta Low Ext W/Wo Inc Pp,3968.0,1984.0,,,0 HCPCS,73706,Ct angio lwr extr w/o&w/dye,,,174.56,5381.8,11 HCPCS,73718,Chgr-Mri Low Ext Unilat W/O Contrast,3865.0,1932.5,,,0 HCPCS,73718,Mri Lower Extremity W/O Dye,,,237.46,5369.86,11 HCPCS,73719,Chgr-Mri Low Ext Unilat W/ Contrast,5111.0,2555.5,,,0 HCPCS,73719,Mri Lower Extremity W/Dye,,,347.2,7211.2,11 HCPCS,73720,Chgr-Mr Le Unilat W/Wo Contrast,5880.0,2940.0,,,0 HCPCS,73720,Mri lwr extremity w/o&w/dye,,,347.2,8716.76,11 HCPCS,73721,Chgr-Mr Lower Ext W/O Contrast,3865.0,1932.5,,,0 HCPCS,73721,Mri jnt of lwr extre w/o dye,,,237.46,5369.86,11 HCPCS,73722,Chgr-Mri Low Joint W Contrast,5111.0,2555.5,,,0 HCPCS,73722,Mri Joint Of Lwr Extr W/Dye,,,780.16,7211.2,11 HCPCS,73723,Chgr-Mri Low Joint W/Wo Contrast,6867.0,3433.5,,,0 HCPCS,73723,Mri joint lwr extr w/o&w/dye,,,347.2,8716.76,11 HCPCS,73725,Mr ang lwr ext w or w/o dye,,,1844.0,6298.87,4 HCPCS,74000,X-ray exam of abdomen,,,165.0,169.0,3 HCPCS,74018,Chg-X-Ray Exam Abdomen 1 View,554.0,277.0,,,0 HCPCS,74018,X-Ray Exam Abdomen 1 View,554.0,277.0,,,0 HCPCS,74018,X-ray exam abdomen 1 view,,,86.61,483.0,10 HCPCS,74019,Chg-X-Ray Exam Abdomen 2 Views,801.0,400.5,,,0 HCPCS,74019,X-Ray Exam Abdomen 2 Views,801.0,400.5,,,0 HCPCS,74019,X-ray exam abdomen 2 views,,,104.04,483.0,10 HCPCS,74020,X-ray exam of abdomen,,,178.0,183.0,3 HCPCS,74021,Chg-X-Ray Exam Abdomen 3+ Views,910.0,455.0,,,0 HCPCS,74021,Radiologic Exam Abdomen 3+ Views,910.0,455.0,,,0 HCPCS,74021,X-ray exam abdomen 3+ views,,,104.04,483.0,10 HCPCS,74022,Chg - Abdomen Flat/Upright W/Pacxr,989.0,494.5,,,0 HCPCS,74022,Chgr-Abdomen Flat / Upright W / Pa Cxr,989.0,494.5,,,0 HCPCS,74022,X-ray exam series abdomen,,,104.04,360.93,10 HCPCS,74150,Chgr-Ct Abdomen W / O Contrast,2855.0,1427.5,,,0 HCPCS,74150,Ct abdomen w/o dye,,,104.04,2753.72,11 HCPCS,74160,Chgr-Ct Abdomen W / Contrast,3285.0,1642.5,,,0 HCPCS,74160,Ct abdomen w/dye,,,174.56,4714.07,11 HCPCS,74170,Chgr-Ct Abdomen W/Wo Contrast,3781.0,1890.5,,,0 HCPCS,74170,Ct abdomen w/o & w/dye,,,174.56,5224.75,11 HCPCS,74174,"Chgr-Ct Cta Abd&Plv,W/Wo Inc Post Proc",8882.0,4441.0,,,0 HCPCS,74174,Ct angio abd&pelv w/o&w/dye,,,347.2,7655.69,11 HCPCS,74175,Chgr-Ct Cta Abdomen W/Wo Inc Pp,4376.0,2188.0,,,0 HCPCS,74175,Ct angio abdom w/o & w/dye,,,174.56,5381.8,11 HCPCS,74176,Chgr Abd&Pelvis W/O Contrast,5801.0,2900.5,,,0 HCPCS,74176,Chgr-Ct Abd/Pelvis W/O Contrast,5801.0,2900.5,,,0 HCPCS,74176,Ct abd & pelvis w/o contrast,,,237.46,4855.24,11 HCPCS,74177,Chgr-Ct Abd/Pelvis W/ Contrast,6668.0,3334.0,,,0 HCPCS,74177,Ct abd & pelv w/contrast,,,347.2,7655.69,11 HCPCS,74178,Chgr-Ct Abd/Pelvis W/Wo,7669.0,3834.5,,,0 HCPCS,74178,Ct abd & pelv 1/> regns,,,347.2,7655.69,11 HCPCS,74181,Chgr Mrcp,3251.0,1625.5,,,0 HCPCS,74181,Chgr-Mr Abdomen W/O Contrast,3251.0,1625.5,,,0 HCPCS,74181,Mri abdomen w/o dye,,,237.46,5369.86,11 HCPCS,74182,Chgr-Mri Abdomen W / Contrast,4300.0,2150.0,,,0 HCPCS,74182,Mri Abdomen W/Dye,,,347.2,7211.2,11 HCPCS,74183,Chgr-Mri Abdomen W / Wo Contrast,5707.0,2853.5,,,0 HCPCS,74183,Mri abdomen w/o & w/dye,,,347.2,8716.76,11 HCPCS,74185,Mri angio abdom w orw/o dye,,,2392.0,6260.42,4 HCPCS,74190,X-ray exam of peritoneum,,,543.79,1886.44,7 HCPCS,74210,Contrst x-ray exam of throat,,,174.56,605.55,7 HCPCS,74220,Chgr-Barium Swallow,1175.0,587.5,,,0 HCPCS,74220,Contrast x-ray esophagus,,,174.56,605.55,10 HCPCS,74220,Urography Retrograde With/Wo Kub,873.0,436.5,,,0 HCPCS,74221,Chgr-Radiologic Exam Esophagus Double Contrast Study,1175.0,587.5,,,0 HCPCS,74221,X-ray xm esophagus 2cntrst,,,174.56,605.55,7 HCPCS,74230,Chgr-Barium Swallow Video,972.0,486.0,,,0 HCPCS,74230,Cine/vid x-ray throat/esoph,,,174.56,650.0,10 HCPCS,74240,X-Ray Xm Upr Gi Trc 1Cntrst,1705.0,852.5,,,0 HCPCS,74240,X-ray upper gi delay w/o kub,,,174.56,605.55,10 HCPCS,74241,X-ray upper gi delay w/kub,,,442.0,455.0,3 HCPCS,74245,X-ray upper gi&small intest,,,600.0,617.0,3 HCPCS,74246,Chgr X-Ray Xm Upr Gi Trc 2Cntrst,1705.0,852.5,,,0 HCPCS,74246,Contrst x-ray uppr gi tract,,,174.56,605.55,7 HCPCS,74247,Contrst x-ray uppr gi tract,,,873.0,899.0,3 HCPCS,74248,X-Ray Sm Int F-Thru Std,999.0,499.5,,,0 HCPCS,74249,Contrst x-ray uppr gi tract,,,674.0,694.0,3 HCPCS,74250,Chgr-Small Bowel Series,1577.0,788.5,,,0 HCPCS,74250,X-ray exam of small bowel,,,174.56,605.55,10 HCPCS,74251,Chgr-Enteroclysis,2234.0,1117.0,,,0 HCPCS,74251,X-ray exam of small bowel,,,174.56,605.55,7 HCPCS,74261,"Chgr-Ct Colonography, Diagnostic W / O Contrast",816.0,408.0,,,0 HCPCS,74261,Ct colonography dx,,,104.04,2753.72,11 HCPCS,74262,"Chgr-Ct Colonography, Diagnostic W / Contrast",905.0,452.5,,,0 HCPCS,74262,Ct colonography dx w/dye,,,174.56,4714.07,11 HCPCS,74263,"Chgr-Ct Colonography, Screening",816.0,408.0,,,0 HCPCS,74263,Ct colonography screening,,,237.46,10870.34,8 HCPCS,74270,Chgr-Barium Enema,1950.0,975.0,,,0 HCPCS,74270,Chgr-Defecography,1950.0,975.0,,,0 HCPCS,74270,Contrast x-ray exam of colon,,,174.56,862.0,10 HCPCS,74280,Chgr-Barium Enema W / Air Contrast,2241.0,1120.5,,,0 HCPCS,74280,Contrast x-ray exam of colon,,,174.56,607.0,10 HCPCS,74283,Contrast x-ray exam of colon,,,174.56,605.55,7 HCPCS,74290,Contrast x-ray gallbladder,,,174.56,605.55,7 HCPCS,74300,Chgr-Or Cholangiogram Intraop,1924.0,962.0,,,0 HCPCS,74301,Cholangiogram Or Addl Vw,344.0,172.0,,,0 HCPCS,74328,Chgr-Ercp Biliary System,1889.0,944.5,,,0 HCPCS,74329,Chgr-Ercp Pancreatic System,1889.0,944.5,,,0 HCPCS,74330,Chgr-Ercp Biliary And Pancreas,1889.0,944.5,,,0 HCPCS,74340,Intro Gastrointestinal Tube,871.0,435.5,,,0 HCPCS,74355,Percutan Plcmt Entcly Tube,921.0,460.5,,,0 HCPCS,74360,Chgr-Intraluminal Dilation Of Structures Non,1597.0,798.5,,,0 HCPCS,74363,Chgr-Sp Perc Transhepatic Dil Biliary,1521.0,760.5,,,0 HCPCS,74400,Chgr-Ivp,2397.0,1198.5,,,0 HCPCS,74400,Contrst x-ray urinary tract,,,174.56,605.55,7 HCPCS,74410,Contrst x-ray urinary tract,,,174.56,605.55,7 HCPCS,74415,Chgr-Ivp W / Tomograms,2700.0,1350.0,,,0 HCPCS,74415,Contrst x-ray urinary tract,,,174.56,605.55,7 HCPCS,74420,Chgr-Urography Retrograde,1930.0,965.0,,,0 HCPCS,74420,Contrst x-ray urinary tract,,,347.2,1204.45,7 HCPCS,74425,Antegrade Urography Radiological Supvj & Interpj,1036.0,518.0,,,0 HCPCS,74425,Chgr-Nephrostogram,1036.0,518.0,,,0 HCPCS,74425,Contrst x-ray urinary tract,,,347.2,1204.45,7 HCPCS,74430,Chgr-Cystogram,1308.0,654.0,,,0 HCPCS,74430,Contrast x-ray bladder,,,347.2,1204.45,7 HCPCS,74440,Chgr-Vasogram,1207.0,603.5,,,0 HCPCS,74440,X-ray male genital tract,,,237.46,823.75,7 HCPCS,74445,X-ray exam of penis,,,104.04,360.93,7 HCPCS,74450,Chgr-Urethrocystogram Retro,1027.0,513.5,,,0 HCPCS,74450,X-ray urethra/bladder,,,237.46,823.75,7 HCPCS,74455,Chgr-Voiding Cystogram,1027.0,513.5,,,0 HCPCS,74455,X-ray urethra/bladder,,,237.46,823.75,7 HCPCS,74470,Renal Cyst Study,756.0,378.0,,,0 HCPCS,74470,X-ray exam of kidney lesion,,,543.79,1886.44,7 HCPCS,74485,Dilation Of Ureters(S),4591.0,2295.5,,,0 HCPCS,74485,X-ray guide gu dilation,,,2080.35,7216.83,7 HCPCS,74712,Mri Fetal Sngl/1St Gestation,1076.0,538.0,,,0 HCPCS,74712,Mri fetal sngl/1st gestation,,,237.46,823.75,7 HCPCS,74713,Mri Fetal Ea Addl Gestation,853.0,426.5,,,0 HCPCS,74740,Chgr-Hysterosalopingogram,1651.0,825.5,,,0 HCPCS,74740,X-ray female genital tract,,,237.46,823.75,7 HCPCS,74775,X-ray exam of perineum,,,237.46,823.75,7 HCPCS,75557,Cardiac mri for morph,,,237.46,5369.86,11 HCPCS,75557,Chgr-Mr Cardiac W / O Contrast,3044.0,1522.0,,,0 HCPCS,75559,Cardiac mri w/stress img,,,543.79,5369.86,11 HCPCS,75561,Cardiac mri for morph w/dye,,,347.2,8716.76,11 HCPCS,75561,Chgr-Mr Cardiac W / Wo Contrast,4296.0,2148.0,,,0 HCPCS,75563,Card mri w/stress img & dye,,,780.16,8716.76,11 HCPCS,75563,Chgr-Mr Cardiac W / Wo Contrast W / Stress,4888.0,2444.0,,,0 HCPCS,75565,Card mri veloc flow mapping,,,838.27,838.27,1 HCPCS,75565,"Chg-Mri Cardiac, Velocity Flow Map",1709.0,854.5,,,0 HCPCS,75571,Chg - Ct Heart Calcium Scoring,586.0,293.0,,,0 HCPCS,75571,Chgr Ct Self-Pay Cor Art Calc Score,90.0,45.0,,,0 HCPCS,75571,Ct hrt w/o dye w/ca test,,,86.61,787.52,8 HCPCS,75572,"Chgr-Ct Heart, Pulm Vein And Thrombus",2014.0,1007.0,,,0 HCPCS,75572,Ct hrt w/3d image,,,347.2,4238.98,11 HCPCS,75573,Chgr-Ct Hrt W/3D Image Congen,2014.0,1007.0,,,0 HCPCS,75573,Ct hrt w/3d image congen,,,347.2,4238.98,11 HCPCS,75574,Chgr-Ct Cta Heart Angiography,750.0,375.0,,,0 HCPCS,75574,Ct angio hrt w/3d image,,,347.2,4238.98,11 HCPCS,75580,N-invas est c ffr sw aly cta,,,854.62,2964.71,7 HCPCS,75600,Aortography Thoracic,5878.0,2939.0,,,0 HCPCS,75600,Contrast exam thoracic aorta,,,3142.32,10900.88,7 HCPCS,75605,Aortogram Thor Serial,6102.0,3051.0,,,0 HCPCS,75605,Chgr-Cd Aortogram Thor Serial,6102.0,3051.0,,,0 HCPCS,75605,Contrast exam thoracic aorta,,,5537.77,19210.81,7 HCPCS,75625,Aortogram Abdomen Serial,5878.0,2939.0,,,0 HCPCS,75625,Chgr-Cd Aortogram Abdomen Serial,5878.0,2939.0,,,0 HCPCS,75625,Contrast exam abdominl aorta,,,3142.32,10900.88,7 HCPCS,75630,Aortagram Abdomen W/ Runoff,5878.0,2939.0,,,0 HCPCS,75630,Chgr-Cd Aortogram Abdomen W / Runoff,5878.0,2939.0,,,0 HCPCS,75630,X-ray aorta leg arteries,,,3142.32,10900.88,7 HCPCS,75635,Chgr-Ct Cta Aa / Bilat Iliof Low Extremity,3416.0,1708.0,,,0 HCPCS,75635,Ct Angio Abdominal Arteries,,,174.56,5381.8,11 HCPCS,75705,Angiogram Spinal Sel,6102.0,3051.0,,,0 HCPCS,75705,Artery x-rays spine,,,5537.77,19210.81,7 HCPCS,75710,Angiogram Extr Unilateral,4651.0,2325.5,,,0 HCPCS,75710,Artery x-rays arm/leg,,,3142.32,10900.88,7 HCPCS,75710,Chgr-Cd Angio Extr Unilateral,4651.0,2325.5,,,0 HCPCS,75716,Angiogram Extr Bilat,5811.0,2905.5,,,0 HCPCS,75716,Artery x-rays arms/legs,,,3142.32,10900.88,7 HCPCS,75716,Chgr-Cd Angio Extr Bilat,5811.0,2905.5,,,0 HCPCS,75726,Angiogram Visc Sel W/Or W/O Fl,9797.0,4898.5,,,0 HCPCS,75726,Artery x-rays abdomen,,,5537.77,19210.81,7 HCPCS,75726,Chgr-Cd Angio Visc Sel W / Or W / O F,9797.0,4898.5,,,0 HCPCS,75731,Angiogram Adrenal Unilat,5597.0,2798.5,,,0 HCPCS,75731,Artery x-rays adrenal gland,,,3142.32,10900.88,7 HCPCS,75733,Angiogram Adrenal Bilateral,7838.0,3919.0,,,0 HCPCS,75733,Artery x-rays adrenals,,,3142.32,10900.88,7 HCPCS,75736,"Angiogram Pelvic,Sel Or Supras",9797.0,4898.5,,,0 HCPCS,75736,Artery x-rays pelvis,,,5537.77,19210.81,7 HCPCS,75736,"Chgr-Cd Angio Pelvic, Sel Or Supras",9797.0,4898.5,,,0 HCPCS,75741,Angiogram Pulmonary Unilat,9797.0,4898.5,,,0 HCPCS,75741,Artery x-rays lung,,,3142.32,10900.88,7 HCPCS,75741,Chgr-Cd Angio Pulmonary Unilat,9797.0,4898.5,,,0 HCPCS,75743,Angiogram Pulmonary Bilat,9797.0,4898.5,,,0 HCPCS,75743,Artery x-rays lungs,,,3142.32,10900.88,7 HCPCS,75746,Artery x-rays lung,,,3142.32,10900.88,7 HCPCS,75746,Pulmonary Nonselective,4855.0,2427.5,,,0 HCPCS,75756,Angiogram Internal Mammary,3472.0,1736.0,,,0 HCPCS,75756,Artery x-rays chest,,,3142.32,10900.88,7 HCPCS,75774,Angiogram Select Addl,3250.0,1625.0,,,0 HCPCS,75801,Lymph vessel x-ray arm/leg,,,624.29,2165.7,7 HCPCS,75801,Lymphangiogram Extr Unilat,2192.0,1096.0,,,0 HCPCS,75803,Chgr-Sp Lymphangiogram Extremity Bilateral,2192.0,1096.0,,,0 HCPCS,75803,Lymph vessel x-ray arms/legs,,,1566.6,5434.61,7 HCPCS,75805,Chgr-Lymphangiography Pelvic/Abdominal Unilat Rs&I,3565.0,1782.5,,,0 HCPCS,75805,Lymph vessel x-ray trunk,,,3142.32,10900.88,7 HCPCS,75807,Chgr-Sp Lymphangiogram Abd / Pel Bilateral,3565.0,1782.5,,,0 HCPCS,75807,Lymph vessel x-ray trunk,,,3142.32,10900.88,7 HCPCS,75809,Chgr-Pump Dye Study,412.0,206.0,,,0 HCPCS,75809,Nonvascular shunt x-ray,,,104.04,360.93,7 HCPCS,75810,Chgr-Sp Splenoportogram Procedure,5597.0,2798.5,,,0 HCPCS,75810,Vein x-ray spleen/liver,,,3142.32,10900.88,7 HCPCS,75820,Angio Venous Extremity Unilate,2776.0,1388.0,,,0 HCPCS,75820,Angio Venous Extremity Unilateral,2776.0,1388.0,,,0 HCPCS,75820,Vein x-ray arm/leg,,,1566.6,5434.61,7 HCPCS,75822,Angio Venous Extremity Bilater,4159.0,2079.5,,,0 HCPCS,75822,Angio Venous Extremity Bilateral,4159.0,2079.5,,,0 HCPCS,75822,Vein x-ray arms/legs,,,1566.6,5434.61,7 HCPCS,75825,Angio Venous Ivc,7838.0,3919.0,,,0 HCPCS,75825,Chg Angio Venous Ivc,7838.0,3919.0,,,0 HCPCS,75825,Vein x-ray trunk,,,3142.32,10900.88,7 HCPCS,75827,Chg Venogram Caval Super,3472.0,1736.0,,,0 HCPCS,75827,Chgr-Cd Venogram Caval Super Ep Lab,3472.0,1736.0,,,0 HCPCS,75827,Vein x-ray chest,,,1566.6,5434.61,7 HCPCS,75827,Venogram Caval Super,3472.0,1736.0,,,0 HCPCS,75831,Angio Venous Renal Unilateral,7838.0,3919.0,,,0 HCPCS,75831,Chgr-Cd Angio Venous Renal Unilateral,7838.0,3919.0,,,0 HCPCS,75831,Vein x-ray kidney,,,3142.32,10900.88,7 HCPCS,75833,Angio Venous Renal Bilateral,7838.0,3919.0,,,0 HCPCS,75833,Chgr-Cd Angio Venous Renal Bilateral,7838.0,3919.0,,,0 HCPCS,75833,Vein x-ray kidneys,,,3142.32,10900.88,7 HCPCS,75840,Vein x-ray adrenal gland,,,3142.32,10900.88,7 HCPCS,75840,Venogram Adrenal Unilat,7838.0,3919.0,,,0 HCPCS,75842,Venogram Adrenal Bilat,9797.0,4898.5,,,0 HCPCS,75860,Angio Venous Sinus Or Jugular,3565.0,1782.5,,,0 HCPCS,75860,Vein x-ray neck,,,3142.32,10900.88,7 HCPCS,75870,Superior Sagital Sinus,3239.0,1619.5,,,0 HCPCS,75870,Vein x-ray skull,,,3142.32,10900.88,7 HCPCS,75872,Vein x-ray skull epidural,,,624.29,2165.7,7 HCPCS,75880,Vein x-ray eye socket,,,624.29,2165.7,7 HCPCS,75880,Venogram Orbital,4855.0,2427.5,,,0 HCPCS,75885,Perc Trns Hep Port/Hemodymeva,7838.0,3919.0,,,0 HCPCS,75885,Vein x-ray liver w/hemodynam,,,3142.32,10900.88,7 HCPCS,75887,Chgr-Sp Venography Portography W/O Hem,3239.0,1619.5,,,0 HCPCS,75887,Vein x-ray liver w/o hemodyn,,,3142.32,10900.88,7 HCPCS,75889,Chgr-Sp Hepatic Veno W / Pressure,7838.0,3919.0,,,0 HCPCS,75889,Vein x-ray liver w/hemodynam,,,3142.32,10900.88,7 HCPCS,75891,Chgr-Sp Hepatic Venogram No Pressure,5878.0,2939.0,,,0 HCPCS,75891,Vein x-ray liver,,,3142.32,10900.88,7 HCPCS,75893,Venous Sampling W/ Catheter,7838.0,3919.0,,,0 HCPCS,75893,Venous sampling by catheter,,,5537.77,19210.81,7 HCPCS,75894,Chgr-Embolization Trans Catheter,8216.0,4108.0,,,0 HCPCS,75898,"Chgr-Cd Thromboly, Angio Fol Up Exis Ca",3239.0,1619.5,,,0 HCPCS,75898,Follow-up angiography,,,3142.32,10900.88,7 HCPCS,75898,"Thromboly,Angio Fol-Up Exis Ca",3239.0,1619.5,,,0 HCPCS,75901,"Rem Pericath Obs Sep Acc,S&I",2112.0,1056.0,,,0 HCPCS,75901,S&I Pta Fibrin Sheath,2112.0,1056.0,,,0 HCPCS,75902,"Rem Intralum Obs,Rad S&I",4237.0,2118.5,,,0 HCPCS,75902,S&I Mech Rem Of Cath Obstruct,4237.0,2118.5,,,0 HCPCS,75956,Chgr-Or Tvar Desc Thor Aorta,3468.0,1734.0,,,0 HCPCS,75957,Chgr-Or Tvar No Subclav,2614.0,1307.0,,,0 HCPCS,75958,Chgr-Or Tvar Place Prox Ext Prosthesis,1640.0,820.0,,,0 HCPCS,75959,Chgr-Or Tvar Distal Ext Post Repair,1736.0,868.0,,,0 HCPCS,75970,Transcath Biopsy,3830.0,1915.0,,,0 HCPCS,75984,Chgr-Change/Exchange Gi/Gu Tube,1000.0,500.0,,,0 HCPCS,75989,Abscess Drainage Under X-Ray,4239.0,2119.5,,,0 HCPCS,75989,Chgr-Ad Procedural Charge,4239.0,2119.5,,,0 HCPCS,75989,Chgr-Sp Abscess Drainage,4239.0,2119.5,,,0 HCPCS,76000,Chgr Fluoro For Sphenocath,1896.0,948.0,,,0 HCPCS,76000,Chgr-Cd Flouro Less Than One Hr,1896.0,948.0,,,0 HCPCS,76000,Chgr-Fluoroscopy < 1Hour,1896.0,948.0,,,0 HCPCS,76000,Fluoro Exam Cath/Vasc Lab,1896.0,948.0,,,0 HCPCS,76000,Fluoro Less Than 1 Hr - Specia,1896.0,948.0,,,0 HCPCS,76000,Fluoroscope examination,,,237.46,823.75,7 HCPCS,76010,Chgr-Foreign Body Single View Child,331.0,165.5,,,0 HCPCS,76010,X-ray nose to rectum,,,86.61,300.45,7 HCPCS,76014,Mr sfty implt&/fb asmt stf 1,,,28.78,99.86,7 HCPCS,76016,Mr safety deter phys/qhp,,,86.61,300.45,7 HCPCS,76017,Mr sfty med physics xm cstmz,,,237.46,823.75,7 HCPCS,76019,Mr safety implt pos&/immoblj,,,58.71,203.66,7 HCPCS,76080,Fistula Or Sinus Tract,653.0,326.5,,,0 HCPCS,76080,X-ray exam of fistula,,,543.79,1886.44,7 HCPCS,76098,Chgr-Mammo Breast Biopsy Specimen,1220.0,610.0,,,0 HCPCS,76098,X-ray exam breast specimen,,,421.0,1886.44,10 HCPCS,76100,Chgr-Tomogram,309.0,154.5,,,0 HCPCS,76100,X-ray exam of body section,,,104.04,360.93,7 HCPCS,76120,Cine/video x-rays,,,104.04,360.93,7 HCPCS,76145,Med physic dos eval rad exps,,,371.37,1288.29,7 HCPCS,76376,3D Rendering W/Interp & Postprocess Supervision,1402.0,701.0,,,0 HCPCS,76376,Chgr-Ct 3D Recon At Scanner,1402.0,701.0,,,0 HCPCS,76376,Chgr-Mr 3D Recon At Scanner,1402.0,701.0,,,0 HCPCS,76376,"Echo,3D",1402.0,701.0,,,0 HCPCS,76377,Chgr-Mri 3D Recon At Workstation,1400.0,700.0,,,0 HCPCS,76377,Chgr-Sp 3D Recon At Workstation,1400.0,700.0,,,0 HCPCS,76377,Ct 3D Recon At Workstation,1400.0,700.0,,,0 HCPCS,76380,CAT scan follow-up study,,,86.61,1568.48,11 HCPCS,76380,Chgr-Ct Limited / Localized Follow Up,1300.0,650.0,,,0 HCPCS,76390,Chgr-Mri Spectroscopy,3841.0,1920.5,,,0 HCPCS,76390,Mr spectroscopy,,,86.61,6397.61,8 HCPCS,76391,Magnetic Resonance Elastography,2256.0,1128.0,,,0 HCPCS,76391,Mr elastography,,,237.46,823.75,7 HCPCS,76496,Fluoroscopic procedure,,,86.61,300.45,7 HCPCS,76497,Ct procedure,,,86.61,1568.48,8 HCPCS,76498,Chgr-Mr Unlisted Procedure,2326.0,1163.0,,,0 HCPCS,76498,Mri procedure,,,86.61,5369.86,8 HCPCS,76499,Radiographic procedure,,,86.61,300.45,7 HCPCS,76506,Chgr-Us Sector Brain,1543.0,771.5,,,0 HCPCS,76506,Echo exam of head,,,104.04,360.93,7 HCPCS,76510,Ophth us b & quant a,,,132.41,459.34,7 HCPCS,76511,Ophth us quant a only,,,104.04,360.93,7 HCPCS,76512,Ophth B-Scan W/Image Document,674.0,337.0,,,0 HCPCS,76512,Ophth us b w/non-quant a,,,104.04,360.93,7 HCPCS,76512,Us Occular,674.0,337.0,,,0 HCPCS,76513,Echo exam of eye water bath,,,104.04,360.93,7 HCPCS,76514,"Corneal Pachymetry Us,Uni/Bil",193.0,96.5,,,0 HCPCS,76514,Echo exam of eye thickness,,,28.78,99.86,7 HCPCS,76516,Echo exam of eye,,,104.04,360.93,7 HCPCS,76519,Echo exam of eye,,,104.04,360.93,7 HCPCS,76519,Ophth A-Scan Biometry W/Comput,814.0,407.0,,,0 HCPCS,76529,Echo exam of eye,,,86.61,300.45,7 HCPCS,76529,Us Occular Fb,495.0,247.5,,,0 HCPCS,76529,Us To Localize Fb In Eye,495.0,247.5,,,0 HCPCS,76536,Chg - Ultrasound Thyroid/Soft Tissu,1177.0,588.5,,,0 HCPCS,76536,Chg - Us Exam Of Head And Neck,1177.0,588.5,,,0 HCPCS,76536,Ultrasound Thyroid/Soft Tissu,1177.0,588.5,,,0 HCPCS,76536,Us Neck,1177.0,588.5,,,0 HCPCS,76536,Us exam of head and neck,,,104.04,362.0,10 HCPCS,76604,Chgr-Us Chest,778.0,389.0,,,0 HCPCS,76604,Ultrasound Chest B-Scan,778.0,389.0,,,0 HCPCS,76604,Us Chest,778.0,389.0,,,0 HCPCS,76604,Us Chest Wall,778.0,389.0,,,0 HCPCS,76604,Us Thoracic,778.0,389.0,,,0 HCPCS,76604,Us exam chest,,,104.04,360.93,10 HCPCS,76641,Chg - Ultrasound Breast Complete,1122.0,561.0,,,0 HCPCS,76641,Chgr Ultrasound Breast Complete,1122.0,561.0,,,0 HCPCS,76641,Ultrasound breast complete,,,104.04,912.0,10 HCPCS,76642,76642 Ultrasound Breast Limited,1096.0,548.0,,,0 HCPCS,76642,Chg - Ultrasound Breast Limited,1096.0,548.0,,,0 HCPCS,76642,Chgr Ultrasound Breast Limited,1096.0,548.0,,,0 HCPCS,76642,Ultrasound breast limited,,,86.61,694.0,10 HCPCS,76700,Chg - Ultrasound Abdomen,1737.0,868.5,,,0 HCPCS,76700,Chgr-Us Abdomen Complete,1737.0,868.5,,,0 HCPCS,76700,Us exam abdom complete,,,104.04,536.0,10 HCPCS,76705,Chg - Echo Exam Of Abdomen,1445.0,722.5,,,0 HCPCS,76705,Chg - Ultrasound Abdomen Limited,1445.0,722.5,,,0 HCPCS,76705,Chgr Us Biliary,1445.0,722.5,,,0 HCPCS,76705,Chgr-Us Abdomen Limited,1445.0,722.5,,,0 HCPCS,76705,Echo exam of abdomen,,,104.04,428.0,10 HCPCS,76705,Us Abdominal,1445.0,722.5,,,0 HCPCS,76706,Us Abdl Aorta Screen Aaa,1383.0,691.5,,,0 HCPCS,76706,Us abdl aorta screen aaa,,,104.04,869.0,10 HCPCS,76770,Chg - Ultrasound Retroperitoneal,1517.0,758.5,,,0 HCPCS,76770,Chgr-Us Retroperitoneal,1517.0,758.5,,,0 HCPCS,76770,Us exam abdo back wall comp,,,104.04,462.0,10 HCPCS,76775,Chg - Ultrasound Retro Limited,1118.0,559.0,,,0 HCPCS,76775,Chgr-Us Retroperitoneal Limited,1118.0,559.0,,,0 HCPCS,76775,Us Aaa,1118.0,559.0,,,0 HCPCS,76775,Us Biliary Tract,1118.0,559.0,,,0 HCPCS,76775,Us exam abdo back wall lim,,,104.04,360.93,10 HCPCS,76776,Chgr-Us Kidney Transplant,1191.0,595.5,,,0 HCPCS,76776,Us Exam K Transpl W/Doppler,1191.0,595.5,,,0 HCPCS,76776,Us exam k transpl w/doppler,,,104.04,360.93,7 HCPCS,76800,Chgr-Us Spinal Canal,1092.0,546.0,,,0 HCPCS,76800,Us exam spinal canal,,,104.04,360.93,7 HCPCS,76801,Chgr-Ob Us < 14 Wks Single Fetus,1028.0,514.0,,,0 HCPCS,76801,Ob us < 14 wks single fetus,,,104.04,857.0,10 HCPCS,76801,Us Pregnant Uterus 14 Wk Transabdl 1/1St Gestation,960.0,480.0,,,0 HCPCS,76802,Us Preg Uterus 14 Wk Transabdl Each Gestation,873.0,436.5,,,0 HCPCS,76802,Us Preg Uterus Wk Transabdl Each Gestation,934.0,467.0,,,0 HCPCS,76805,Chgr-Us Ob Complete >=14 Wks,1209.0,604.5,,,0 HCPCS,76805,Ob us >/= 14 wks sngl fetus,,,104.04,587.0,10 HCPCS,76805,Us Preg Uterus After 1St Trimest 1/1St Gestation,1209.0,604.5,,,0 HCPCS,76810,Chgr-Us Ob Comp Ea Add'l Gestation >=14 Wks,1725.0,862.5,,,0 HCPCS,76810,Us Preg Uterus > 1St Trimester Abdl Ea Gestation,1611.0,805.5,,,0 HCPCS,76811,Chgr-Us Ob High Level Scan,1420.0,710.0,,,0 HCPCS,76811,Ob us detailed sngl fetus,,,237.46,1517.0,10 HCPCS,76811,Us Preg Uterus W/Detail Fetal Anat 1St Gestation,1328.0,664.0,,,0 HCPCS,76812,Chgr-Us Ob High Level Scan Ea Add Gestation,756.0,378.0,,,0 HCPCS,76812,Us Preg Uterus Detail Fetal Anat Exam Ea Gestation,708.0,354.0,,,0 HCPCS,76813,Chgr-Us Ob W/ Nuchal,1117.0,558.5,,,0 HCPCS,76813,Ob us nuchal meas 1 gest,,,104.04,360.93,7 HCPCS,76813,Us Fetal Nuchal Translucency 1St Gestation,1044.0,522.0,,,0 HCPCS,76814,Chgr-Us Ob W/ Nuchal Ea Add Ges,587.0,293.5,,,0 HCPCS,76814,Us Fetal Nuchal Translucency Ea Addl Gestation,548.0,274.0,,,0 HCPCS,76815,Chg Ultrasound L&D,999.0,499.5,,,0 HCPCS,76815,Chgr-Us Ob Limited,999.0,499.5,,,0 HCPCS,76815,Ob us limited fetus(s),,,104.04,424.0,10 HCPCS,76815,Us Pregnant Transabdominal,999.0,499.5,,,0 HCPCS,76815,Us Pregnant Uterus Limited 1/> Fetuses,949.0,474.5,,,0 HCPCS,76816,Ob Us Follow-Up Per Fetus,447.0,223.5,,,0 HCPCS,76816,Ob us follow-up per fetus,,,104.04,551.0,10 HCPCS,76816,Us Preg Uterus Real Time F/U Trnsabdl Per Fetus,378.0,189.0,,,0 HCPCS,76817,Chgr-Us Ob Tv,847.0,423.5,,,0 HCPCS,76817,Transvaginal us obstetric,,,104.04,421.0,10 HCPCS,76817,Us Preg Uterus Real Time W/Image Dcmtn Transvag,847.0,423.5,,,0 HCPCS,76817,Us Pregnant Transvaginal,847.0,423.5,,,0 HCPCS,76818,Chg Biophysical Profile (Bpp) W/Nst,910.0,455.0,,,0 HCPCS,76818,Fetal Biophysical Profile Non-Stress Testing,851.0,425.5,,,0 HCPCS,76818,Fetal biophys profile w/nst,,,104.04,1710.0,10 HCPCS,76819,Chgr-Us Fetal Bpp W / O Non Stress Test,811.0,405.5,,,0 HCPCS,76819,Fetal Biophysical Profile W/O Non-Stress Testing,757.0,378.5,,,0 HCPCS,76819,Fetal biophys profil w/o nst,,,104.04,360.93,7 HCPCS,76820,Chgr-Us Ob Cord Doppler,834.0,417.0,,,0 HCPCS,76820,Doppler Velocimetry Fetal Umbilical Artery,834.0,417.0,,,0 HCPCS,76820,Umbilical artery echo,,,104.04,360.93,7 HCPCS,76821,Chg Doppler Interrogation Of Mca,792.0,396.0,,,0 HCPCS,76821,Doppler Velocimetry Fetal Middle Cerebral Art,740.0,370.0,,,0 HCPCS,76821,Middle cerebral artery echo,,,104.04,360.93,7 HCPCS,76825,Echo Fetal Cardiovasc W/Wo M-Mode Recording,2055.0,1027.5,,,0 HCPCS,76825,Echo exam of fetal heart,,,543.79,1886.44,7 HCPCS,76825,Fetal Echo,2241.5,1120.75,,,0 HCPCS,76826,Echo Fetal Cardiovasc W/Wo M-Mode Repeat Std,638.0,319.0,,,0 HCPCS,76826,Echo exam of fetal heart,,,237.46,823.75,7 HCPCS,76827,Doppler Echo Fetal Spectral Display Complete,301.0,150.5,,,0 HCPCS,76827,Echo exam of fetal heart,,,104.04,360.93,7 HCPCS,76827,Pulse Doppler Repeat Fetal,1630.0,815.0,,,0 HCPCS,76828,Doppler Echo Fetal Puls Spectral F/U/Repeat,301.0,150.5,,,0 HCPCS,76828,Echo exam of fetal heart,,,104.04,360.93,7 HCPCS,76830,Chg - Ultrasound Transvaginal,1167.0,583.5,,,0 HCPCS,76830,Chgr-Us Transvaginal,1167.0,583.5,,,0 HCPCS,76830,Transvaginal us non-ob,,,104.04,375.0,10 HCPCS,76831,Chgr-Us Hysterosonogram W / Wo Colorflow,1310.0,655.0,,,0 HCPCS,76831,Echo exam uterus,,,237.46,823.75,7 HCPCS,76831,Saline Infus Sonohysterography W/Color Doppler,1310.0,655.0,,,0 HCPCS,76856,Chg - Ultrasound Pelvis Non-Ob,1474.0,737.0,,,0 HCPCS,76856,Chgr-Us Pelvic Non-Ob,1474.0,737.0,,,0 HCPCS,76856,Us exam pelvic complete,,,104.04,751.0,10 HCPCS,76857,Chg - Ultrasound Pelvis Non-Ob Ltd,860.0,430.0,,,0 HCPCS,76857,Chgr-Us Pelvis Nonob Limited,860.0,430.0,,,0 HCPCS,76857,Us Pelvic Wall,860.0,430.0,,,0 HCPCS,76857,Us exam pelvic limited,,,104.04,360.93,10 HCPCS,76870,76870 Ultrasound Testicular,1417.0,708.5,,,0 HCPCS,76870,Chg - Ultrasound Testicular,1417.0,708.5,,,0 HCPCS,76870,Chgr-Us Testicular Inc. Doppler,1417.0,708.5,,,0 HCPCS,76870,Us exam scrotum,,,104.04,442.0,10 HCPCS,76872,Ultrasound Transrectal,1324.0,662.0,,,0 HCPCS,76872,Us transrectal,,,104.04,360.93,7 HCPCS,76873,Chgr-Us Prostate Volume Study,1162.0,581.0,,,0 HCPCS,76873,Echograp trans r pros study,,,104.04,360.93,7 HCPCS,76881,"Chg - Ultrasound Extr Non-Vas,Comp",1568.0,784.0,,,0 HCPCS,76881,Chgr-Us Extremity Comp Unilat,1568.0,784.0,,,0 HCPCS,76881,Us xtr non-vasc complete,,,104.04,375.0,10 HCPCS,76882,"Chg - Ultrasound Extr Non-Vasc,Ltd",613.0,306.5,,,0 HCPCS,76882,Chgr-Us Extremity Ltd Anatomic Sp Unilat,613.0,306.5,,,0 HCPCS,76882,Us Axilla,613.0,306.5,,,0 HCPCS,76882,Us Lower Extremity,613.0,306.5,,,0 HCPCS,76882,Us Msk,613.0,306.5,,,0 HCPCS,76882,Us xtr non-vasc lmtd,,,104.04,506.0,10 HCPCS,76883,Chgr Us Nrv&Acc Strux 1 Xtr Compre W/Img Pr Extremity,784.0,392.0,,,0 HCPCS,76883,Us nrv&acc strux 1xtr compre,,,104.04,360.93,7 HCPCS,76885,Chgr-Us Infant Hips W/ Doctor,539.0,269.5,,,0 HCPCS,76885,Us exam infant hips dynamic,,,86.61,300.45,7 HCPCS,76886,Chgr-Us Infant Hips No Doctor,327.0,163.5,,,0 HCPCS,76886,Us exam infant hips static,,,86.61,300.45,7 HCPCS,76936,Echo guide for artery repair,,,214.89,745.45,7 HCPCS,76936,Manual Occlusion Of Pseudoaneu,874.0,437.0,,,0 HCPCS,76937,U/S Guide For Venous Access,1729.0,864.5,,,0 HCPCS,76937,"Us Guide,Place Or Replace",1729.0,864.5,,,0 HCPCS,76937,Us Guided Vasc Access Place,1729.0,864.5,,,0 HCPCS,76940,Chgr Us Guide Rf/Microwave Ablation,1120.0,560.0,,,0 HCPCS,76941,Us Guided Needle Placement,560.0,280.0,,,0 HCPCS,76942,Chg - Echo Guide For Biopsy,1655.0,827.5,,,0 HCPCS,76942,Chg - U/S Guide Needle Placement,1655.0,827.5,,,0 HCPCS,76942,Chgr-Pv Us Guidance For Needle,1655.0,827.5,,,0 HCPCS,76942,Chgr-Us Para Or Thoracentesis Charge,1655.0,827.5,,,0 HCPCS,76942,Echo guide for biopsy,,,715.0,736.0,3 HCPCS,76942,U/S Guide Needle Placement,1655.0,827.5,,,0 HCPCS,76942,U/S Guide Needle Placmnt/Add'l,1655.0,827.5,,,0 HCPCS,76942,Ultrasound Guided Needle Place,1655.0,827.5,,,0 HCPCS,76942,Us Guided Procedures,1655.0,827.5,,,0 HCPCS,76946,Chgr-Us Guided Amniocentesis,1682.0,841.0,,,0 HCPCS,76965,U/S Localization For Implants,2292.0,1146.0,,,0 HCPCS,76975,GI endoscopic ultrasound,,,237.46,823.75,7 HCPCS,76977,Us bone density measure,,,104.04,360.93,7 HCPCS,76978,Chgr Us Trgt Dyn Mbubb 1St Les,1355.0,677.5,,,0 HCPCS,76978,Us trgt dyn mbubb 1st les,,,347.2,1204.45,7 HCPCS,76979,Chgr Us Trgt Dyn Mbubb Ed Addl,868.0,434.0,,,0 HCPCS,76981,Use Parenchyma,664.0,332.0,,,0 HCPCS,76981,Use parenchyma,,,104.04,360.93,7 HCPCS,76982,Use 1St Target Lesion,664.0,332.0,,,0 HCPCS,76982,Use 1st target lesion,,,104.04,360.93,7 HCPCS,76983,Use Ea Addl Target Lesion,664.0,332.0,,,0 HCPCS,76998,Chgr-Us Guide Intraoperative,1789.0,894.5,,,0 HCPCS,76999,Echo examination procedure,,,86.61,300.45,7 HCPCS,76999,Ultrasound Unlisted Procedure,238.0,119.0,,,0 HCPCS,77001,Fluoro Guide Place Or Replace,1548.0,774.0,,,0 HCPCS,77001,"Fluoro Guide,Place Or Replace",1548.0,774.0,,,0 HCPCS,77002,Chgr-Fluoroscopy Exam Charge,1371.0,685.5,,,0 HCPCS,77002,Fluoro - Other,1371.0,685.5,,,0 HCPCS,77003,Fluoro - For Spine Proc,1507.0,753.5,,,0 HCPCS,77003,Therapeutic Inj Procedure,1507.0,753.5,,,0 HCPCS,77011,Chgr-Ct Guided Stero Localization,2790.0,1395.0,,,0 HCPCS,77011,Ct Guidance/Srs Localization,2790.0,1395.0,,,0 HCPCS,77012,"Chgr-Ct Asp, Bx Or Ad Exam",2790.0,1395.0,,,0 HCPCS,77013,Chgr-Ct Guide For Tissue Ablation,3328.0,1664.0,,,0 HCPCS,77014,CT Scan for Therapy Guide,,,2510.0,2582.0,3 HCPCS,77014,Chgr-Ct Treatment Planning,880.0,440.0,,,0 HCPCS,77014,Ct Treatment Planning,880.0,440.0,,,0 HCPCS,77021,Chgr-Mri Guidance Needle Placement Rs&I,2832.0,1416.0,,,0 HCPCS,77046,"Mri Breast,Unilat,W/O Contrast",5506.0,2753.0,,,0 HCPCS,77046,Mri breast c- unilateral,,,237.46,823.75,7 HCPCS,77047,"Mri Breast,Bilat,W/O Contrast",6150.0,3075.0,,,0 HCPCS,77047,Mri breast c- bilateral,,,237.46,823.75,7 HCPCS,77053,Chgr-Mammo Ductogram Single,905.0,452.5,,,0 HCPCS,77053,X-Ray of Mammary Duct,,,237.46,823.75,7 HCPCS,77054,Chgr-Mammo Ductogram Multiple,1430.0,715.0,,,0 HCPCS,77054,X-ray of mammary ducts,,,237.46,823.75,7 HCPCS,77055,"Mammogram, One Breast",,,397.0,408.0,3 HCPCS,77056,"Mammogram, Both Breasts",,,494.0,508.0,3 HCPCS,77057,"Mammogram, Screening",,,252.0,260.0,3 HCPCS,77058,Mri one breast,,,1324.0,8905.65,4 HCPCS,77059,Mri both breasts,,,3534.0,8828.83,4 HCPCS,77063,Breast tomosynthesis bi,,,23.44,24.13,4 HCPCS,77063,Chgr Digital Employee Implants W/ Tomo,37.0,18.5,,,0 HCPCS,77063,Chgr Digital Screening Bilateral W/ Tomo,27.0,13.5,,,0 HCPCS,77063,Chgr Digital Screening Employee W/ Tomo,37.0,18.5,,,0 HCPCS,77063,Chgr Digital Screening Unilat W/ Tomo,37.0,18.5,,,0 HCPCS,77063,Eec Tomo Screen Digital Bilat,37.0,18.5,,,0 HCPCS,77065,Chgr-Contrast Enhanced Mammogram Unilat,766.0,383.0,,,0 HCPCS,77065,Chgr-Digital Diagnostic Mammo Unilat,766.0,383.0,,,0 HCPCS,77065,Chgr-Mammo Screen Conv Diag Unilat,766.0,383.0,,,0 HCPCS,77065,Chgr-Mammo-Diagnostic-Unilat Birads 0,766.0,383.0,,,0 HCPCS,77065,Chgr-Mammo-Post Clip Placement-Unilat,766.0,383.0,,,0 HCPCS,77065,Dx mammo incl cad uni,,,86.31,408.0,7 HCPCS,77066,Chgr-Contrast Enhanced Mammogram Bilat,975.0,487.5,,,0 HCPCS,77066,Chgr-Digital Diagnostic Mammogram,975.0,487.5,,,0 HCPCS,77066,Chgr-Mammo Screen Conv Diag Bilat,975.0,487.5,,,0 HCPCS,77066,Chgr-Mammo-Diagnostic-Bilat Birads 0,975.0,487.5,,,0 HCPCS,77066,Chgr-Mammo-Post Clip Placement-Bilat,975.0,487.5,,,0 HCPCS,77066,Dx mammo incl cad bi,,,110.66,508.0,7 HCPCS,77067,Chgr-Digital Screening Mammogram,830.0,415.0,,,0 HCPCS,77067,Chgr-Eec Digital Screening Bilat,101.0,50.5,,,0 HCPCS,77067,Chgr-Mammo Digital Screening Unilat,830.0,415.0,,,0 HCPCS,77067,Chgr-Mammodigital Screening Employee Campaig,830.0,415.0,,,0 HCPCS,77067,Chgr-Mammography Digital Implants,830.0,415.0,,,0 HCPCS,77067,Scr Mammo Bi Incl Cad,830.0,415.0,,,0 HCPCS,77067,Scr mammo bi incl cad,,,91.33,260.0,7 HCPCS,77071,X-Ray Stress View,,,86.61,300.45,7 HCPCS,77072,Chgr-Bone Age Study,183.0,91.5,,,0 HCPCS,77072,X-Rays for Bone Age,,,104.04,360.93,7 HCPCS,77073,Chgr-Bone Length Study,260.0,130.0,,,0 HCPCS,77073,X-rays bone length studies,,,88.0,360.93,10 HCPCS,77074,Bone Survey Limited,1524.0,762.0,,,0 HCPCS,77074,Chgr-Bone Survey Limited,1524.0,762.0,,,0 HCPCS,77074,X-rays bone survey limited,,,104.04,360.93,7 HCPCS,77075,Chg - Bone Survey Complete,1794.0,897.0,,,0 HCPCS,77075,Chgr-Bone Survey Complete,1794.0,897.0,,,0 HCPCS,77075,X-rays bone survey complete,,,104.04,507.0,10 HCPCS,77076,Chgr-Bone Survey Infant,453.0,226.5,,,0 HCPCS,77076,X-rays bone survey infant,,,104.04,360.93,7 HCPCS,77077,Hands And Wrists For Arthritis,773.0,386.5,,,0 HCPCS,77077,Joint survey single view,,,104.04,360.93,7 HCPCS,77078,Ct bone density axial,,,86.61,1171.87,11 HCPCS,77080,Chg - Bone Density Study-Central,1176.0,588.0,,,0 HCPCS,77080,Chgr-Bone Density Study Central,1176.0,588.0,,,0 HCPCS,77080,Dxa bone density axial,,,104.04,414.0,10 HCPCS,77081,Chg - Bone Density Study-Peripheral,663.0,331.5,,,0 HCPCS,77081,Chgr-Bone Density Study-Peripheral,663.0,331.5,,,0 HCPCS,77081,Dxa bone density/peripheral,,,86.61,300.45,7 HCPCS,77084,Magnetic image bone marrow,,,237.46,5369.86,11 HCPCS,77085,Dxa Bone Dens-Axial&Fx Assess,1669.0,834.5,,,0 HCPCS,77085,Dxa bone density study,,,104.04,360.93,7 HCPCS,77086,Chg Fracture Assessment Via Dxa,320.0,160.0,,,0 HCPCS,77086,Fracture assessment via dxa,,,86.61,300.45,7 HCPCS,77090,Tbs techl prep&transmis data,,,86.61,300.45,7 HCPCS,77091,Tbs techl calculation only,,,86.61,300.45,7 HCPCS,77280,Set radiation therapy field,,,133.76,1316.0,10 HCPCS,77280,Simulation - Simple,1272.0,636.0,,,0 HCPCS,77280,Simulation - Simple Mod 59,1272.0,636.0,,,0 HCPCS,77285,Set radiation therapy field,,,372.63,1292.68,7 HCPCS,77285,Simulation - Intermediate,1892.0,946.0,,,0 HCPCS,77290,Set radiation therapy field,,,372.63,2058.0,10 HCPCS,77290,Simulation - Complex,2551.0,1275.5,,,0 HCPCS,77293,Respirator Motion Mgmt Simul,1519.0,759.5,,,0 HCPCS,77295,3-D Radiotherapy Plan,8680.0,4340.0,,,0 HCPCS,77295,3-d radiotherapy plan,,,1377.48,5218.0,10 HCPCS,77299,Radiation therapy planning,,,133.76,464.03,7 HCPCS,77300,Basic Dosimetry Calculation,827.0,413.5,,,0 HCPCS,77300,Radiation therapy dose plan,,,133.76,2072.0,10 HCPCS,77301,Intensity Modulated Trmt Plann,8247.0,4123.5,,,0 HCPCS,77301,Radiotherapy dose plan imrt,,,1377.48,8240.0,10 HCPCS,77306,Isodose Plan-Simple,1576.0,788.0,,,0 HCPCS,77306,Telethx isodose plan simple,,,372.63,1292.68,7 HCPCS,77307,Isodose Plan-Complex,1811.0,905.5,,,0 HCPCS,77307,Telethx isodose plan cplx,,,372.63,2739.0,10 HCPCS,77316,Brachy Isodose Plan-Simple,3328.0,1664.0,,,0 HCPCS,77316,Brachytx isodose plan simple,,,372.63,1292.68,7 HCPCS,77317,Brachy Isodose Plan-Intermed,4210.0,2105.0,,,0 HCPCS,77317,Brachytx isodose intermed,,,372.63,1292.68,7 HCPCS,77318,Brachytx isodose complex,,,372.63,1292.68,7 HCPCS,77318,Bracy Isodose Plan-Complex,5089.0,2544.5,,,0 HCPCS,77321,Special Teletherapy/Total Body,1838.0,919.0,,,0 HCPCS,77321,Special teletx port plan,,,372.63,1292.68,7 HCPCS,77331,Spec Dosmtry-Tld/Diodes Mod 76,757.0,378.5,,,0 HCPCS,77331,Special Dosimetry-Tld/Diodes,757.0,378.5,,,0 HCPCS,77331,Special radiation dosimetry,,,133.76,464.03,7 HCPCS,77332,Radiation treatment aid(s),,,133.76,464.03,7 HCPCS,77332,Rx Device - Simple,779.0,389.5,,,0 HCPCS,77333,Radiation treatment aid(s),,,133.76,464.03,7 HCPCS,77333,Rx Device - Intermediate,896.0,448.0,,,0 HCPCS,77334,Radiation treatment aid(s),,,372.63,3190.0,10 HCPCS,77334,Rx Device - Complex,1028.0,514.0,,,0 HCPCS,77336,Continuing Med Physic Consult,1278.0,639.0,,,0 HCPCS,77336,Continuing Med Physics Consult,1111.0,555.5,,,0 HCPCS,77336,Radiation physics consult,,,133.76,534.0,10 HCPCS,77338,Design mlc device for imrt,,,372.63,8074.0,10 HCPCS,77338,Imrt Mlc Device,15823.0,7911.5,,,0 HCPCS,77370,Radiation physics consult,,,133.76,464.03,10 HCPCS,77370,Special Med Physics Consult,1151.0,575.5,,,0 HCPCS,77371,Multisrce Photo Stereo Pad Del,29738.0,14869.0,,,0 HCPCS,77371,Srs multisource,,,7329.93,25427.91,7 HCPCS,77372,Srs Cranial Single Session,21017.0,10508.5,,,0 HCPCS,77372,Srs linear based,,,7329.93,25427.91,10 HCPCS,77373,SBRT Delivery,,,1779.47,10434.0,10 HCPCS,77373,"Sbrt Multi Fx Or Any Loc,1-5Fx",21017.0,10508.5,,,0 HCPCS,77385,Bid Imrt Tx-Simple,5006.0,2503.0,,,0 HCPCS,77385,Imrt Tx-Simple,5006.0,2503.0,,,0 HCPCS,77385,Ntsty modul rad tx dlvr smpl,,,4819.0,4957.0,3 HCPCS,77386,Bid Imrt Tx-Complex,5006.0,2503.0,,,0 HCPCS,77386,Imrt Tx-Complex,5006.0,2503.0,,,0 HCPCS,77386,Ntsty modul rad tx dlvr cplx,,,3807.0,3917.0,3 HCPCS,77387,Guidance for radiaj tx dlvr,,,1408.0,1448.0,3 HCPCS,77387,Image Guide Localiz-3D,949.0,474.5,,,0 HCPCS,77399,External radiation dosimetry,,,133.76,464.03,7 HCPCS,77402,Radiation treatment delivery,,,101.54,450.0,10 HCPCS,77402,Simple >/=1 Mev,742.0,371.0,,,0 HCPCS,77407,Intermediate >/=1 Mev,742.0,371.0,,,0 HCPCS,77407,Radiation treatment delivery,,,383.84,1331.58,7 HCPCS,77412,Bid Complex >/=1 Mev,1129.0,564.5,,,0 HCPCS,77412,Complex >/=1 Mev,1129.0,564.5,,,0 HCPCS,77412,Radiation treatment delivery,,,549.89,1907.59,10 HCPCS,77417,Port Film,400.0,200.0,,,0 HCPCS,77417,Radiology port images(s),,,936.0,964.0,3 HCPCS,77423,Neutron beam tx complex,,,549.89,1907.59,7 HCPCS,77424,Io rad tx delivery by x-ray,,,7329.93,25427.91,7 HCPCS,77424,Xray Intraop Sgl Tx Session,7813.0,3906.5,,,0 HCPCS,77425,Io rad tx deliver by elctrns,,,7329.93,25427.91,7 HCPCS,77436,Surf radj ther tx planning,,,37.17,128.95,7 HCPCS,77437,Surf radj ther supfc<=150kv,,,101.54,352.25,7 HCPCS,77438,Surf rad thr orthvlt>150-500,,,101.54,352.25,7 HCPCS,77470,Special Treatment Procedure,3700.0,1850.0,,,0 HCPCS,77470,Special radiation treatment,,,549.89,3641.0,10 HCPCS,77520,Proton trmt simple w/o comp,,,549.89,1907.59,7 HCPCS,77600,Hyperthermia treatment,,,383.84,1331.58,7 HCPCS,77605,Hyperthermia treatment,,,693.13,2404.51,7 HCPCS,77610,Hyperthermia treatment,,,549.89,1907.59,7 HCPCS,77615,Hyperthermia treatment,,,549.89,1907.59,7 HCPCS,77620,Hyperthermia treatment,,,549.89,1907.59,7 HCPCS,77750,Infus/Install Radioactive Solu,1862.0,931.0,,,0 HCPCS,77750,Infuse radioactive materials,,,383.84,1331.58,7 HCPCS,77761,Apply intrcav radiat simple,,,549.89,1907.59,7 HCPCS,77761,Intercavitary - Simple,2752.0,1376.0,,,0 HCPCS,77762,Apply intrcav radiat interm,,,549.89,1907.59,7 HCPCS,77762,Intercavitary - Intermediate,3184.0,1592.0,,,0 HCPCS,77763,Apply intrcav radiat compl,,,693.13,2404.51,7 HCPCS,77763,Intercavitary - Complex,3627.0,1813.5,,,0 HCPCS,77767,"Hdr Brcytx,1Ch,Lesion<=Cmskin",4748.0,2374.0,,,0 HCPCS,77767,Hdr rdncl skn surf brachytx,,,383.84,1331.58,7 HCPCS,77768,"Hdr Brcytx,2+Ch,Lesion>2Cmskin",5458.0,2729.0,,,0 HCPCS,77768,Hdr rdncl skn surf brachytx,,,383.84,1331.58,7 HCPCS,77770,"Hdr Brachytx,1Chnl Non-Skin",4748.0,2374.0,,,0 HCPCS,77770,Hdr rdncl ntrstl/icav brchtx,,,693.13,3806.0,10 HCPCS,77771,"Hdr Brachytx,2-12Chnl,Non-Skin",5458.0,2729.0,,,0 HCPCS,77771,Hdr rdncl ntrstl/icav brchtx,,,693.13,6811.0,10 HCPCS,77771,"Hdrbid Brcytx,2-12Chnl,Nonskin",5458.0,2729.0,,,0 HCPCS,77772,"Hdr Brcytx,12Chnl,Non-Skin",5914.0,2957.0,,,0 HCPCS,77772,Hdr rdncl ntrstl/icav brchtx,,,693.13,2404.51,7 HCPCS,77772,"Hdrbid Brcytx,>12Chnl,Non-Skin",5914.0,2957.0,,,0 HCPCS,77778,Apply interstit radiat compl,,,693.13,2404.51,7 HCPCS,77778,Interstitial - Complex,5914.0,2957.0,,,0 HCPCS,77778,Ldr Intrstitial Brachy Complex,5914.0,2957.0,,,0 HCPCS,77786,"Hdr brachytx, 2-12 channel",,,6071.0,6245.0,3 HCPCS,77789,Apply surf ldr radionuclide,,,101.54,352.25,7 HCPCS,77789,Surface App Of Radioelement,492.0,246.0,,,0 HCPCS,77790,Suprvsn & Hndlng Of Isotope,503.0,251.5,,,0 HCPCS,77799,Radium/radioisotope therapy,,,101.54,352.25,7 HCPCS,78012,Chgr-Thyroiduptake Single,694.0,347.0,,,0 HCPCS,78012,Thyroid uptake measurement,,,397.85,1380.17,7 HCPCS,78013,Chgr-Thyroid Imaging,1147.0,573.5,,,0 HCPCS,78013,Thyroid imaging w/blood flow,,,397.85,1380.17,7 HCPCS,78014,Chgr-Thyroid Scan W / Multiple Uptakes,2182.0,1091.0,,,0 HCPCS,78014,Chgr-Thyroid Scan With Uptake Single,2182.0,1091.0,,,0 HCPCS,78014,Thyroid imaging w/blood flow,,,397.85,1808.0,10 HCPCS,78015,Chgr-Thyroid Mets Neck Chest,1520.0,760.0,,,0 HCPCS,78015,Thyroid met imaging,,,397.85,1380.17,7 HCPCS,78016,Thyroid met imaging/studies,,,397.85,1380.17,7 HCPCS,78018,Chgr-Thyroid Mets Whole Body,3494.0,1747.0,,,0 HCPCS,78018,Thyroid met imaging body,,,540.36,1874.55,10 HCPCS,78070,Chgr-Parathyroid Scan,2738.0,1369.0,,,0 HCPCS,78070,Parathyroid planar imaging,,,397.85,1380.17,7 HCPCS,78071,Chgr-Nm Parathyroid W Spect,3164.0,1582.0,,,0 HCPCS,78071,Parathyrd planar w/wo subtrj,,,397.85,1380.17,7 HCPCS,78072,Chg - Nm Parathyroid W Spect,3622.0,1811.0,,,0 HCPCS,78072,Parathyrd planar w/spect&ct,,,540.36,1874.55,7 HCPCS,78075,Adrenal cortex & medulla img,,,1288.43,4469.64,7 HCPCS,78075,Chgr-Adrenal Tumor Loc,2523.0,1261.5,,,0 HCPCS,78099,Endocrine nuclear procedure,,,397.85,1380.17,7 HCPCS,78102,Bone Marrow Imaging Limited Area,1622.0,811.0,,,0 HCPCS,78102,Bone marrow imaging ltd,,,397.85,1380.17,7 HCPCS,78102,Chgr-Bone Marrow Scan Limited,1622.0,811.0,,,0 HCPCS,78103,Bone marrow imaging mult,,,397.85,1380.17,7 HCPCS,78103,Chgr-Bone Marrow Scan Multi,1868.0,934.0,,,0 HCPCS,78104,Bone Marrow Imaging Whole Body,2331.0,1165.5,,,0 HCPCS,78104,Bone marrow imaging body,,,397.85,1380.17,7 HCPCS,78104,Chgr-Bone Marrow Scan Whole Body,2331.0,1165.5,,,0 HCPCS,78110,Plasma volume single,,,1288.43,4469.64,7 HCPCS,78111,Plasma volume multiple,,,1288.43,4469.64,7 HCPCS,78120,Red cell mass single,,,397.85,1380.17,7 HCPCS,78121,Red cell mass multiple,,,540.36,1874.55,7 HCPCS,78122,Blood volume,,,540.36,1874.55,7 HCPCS,78130,Red cell survival study,,,397.85,1380.17,7 HCPCS,78140,Red cell sequestration,,,397.85,1380.17,7 HCPCS,78185,Chgr-Spleen Scan W / Wo Flow,1358.0,679.0,,,0 HCPCS,78185,Spleen imaging,,,397.85,1380.17,7 HCPCS,78191,Platelet survival,,,397.85,1380.17,7 HCPCS,78195,Chgr-Lymphatics + Lymph Glands,2785.0,1392.5,,,0 HCPCS,78195,Lymph system imaging,,,540.36,1874.55,10 HCPCS,78199,Blood/lymph nuclear exam,,,397.85,1380.17,7 HCPCS,78201,Chgr-Liver Scan Static Only,2286.0,1143.0,,,0 HCPCS,78201,Liver imaging,,,540.36,1874.55,7 HCPCS,78202,Chgr Liver Imaging W/Vascular Flow,2286.0,1143.0,,,0 HCPCS,78202,Liver imaging with flow,,,540.36,1874.55,7 HCPCS,78215,Chgr-Liver / Spleen Scan,2246.0,1123.0,,,0 HCPCS,78215,Liver and spleen imaging,,,397.85,1380.17,7 HCPCS,78216,Chgr-Liver / Spleen Scan W / Flow,2416.0,1208.0,,,0 HCPCS,78216,Liver & spleen image/flow,,,397.85,1380.17,7 HCPCS,78226,Chgr-Hepatobiliary Scan,2244.0,1122.0,,,0 HCPCS,78226,Hepatobiliary system imaging,,,397.85,2554.0,10 HCPCS,78227,Chgr-Hepatobiliary W / Ef,3110.0,1555.0,,,0 HCPCS,78227,Hepatobil syst image w/drug,,,540.36,2976.0,10 HCPCS,78230,Salivary gland imaging,,,397.85,1380.17,7 HCPCS,78231,Nm Salivary Gland Serial,1302.0,651.0,,,0 HCPCS,78231,Serial salivary imaging,,,397.85,1380.17,7 HCPCS,78232,Salivary gland function exam,,,397.85,1380.17,7 HCPCS,78258,Esophageal motility study,,,397.85,1380.17,7 HCPCS,78261,Gastric mucosa imaging,,,397.85,1380.17,7 HCPCS,78262,Chgr-Gastric Reflux Study,1302.0,651.0,,,0 HCPCS,78262,Gastroesophageal reflux exam,,,397.85,1380.17,7 HCPCS,78264,Chgr-Gastric Emptyingliquid,2728.0,1364.0,,,0 HCPCS,78264,Gastric emptying imag study,,,397.85,1784.0,10 HCPCS,78265,Chg- Gastric Empt/Bowel Transit,2728.0,1364.0,,,0 HCPCS,78265,Gastric emptying imag study,,,397.85,1380.17,7 HCPCS,78266,"Chg - Gastric Empt/Bowel Trans, Multi",3088.0,1544.0,,,0 HCPCS,78266,Gastric emptying imag study,,,540.36,1874.55,7 HCPCS,78267,Breath tst attain/anal c-14,,,11.06,11.61,7 HCPCS,78267,Chgr-C14Py Breath Test,217.0,108.5,,,0 HCPCS,78268,Breath test analysis c-14,,,94.41,99.13,7 HCPCS,78278,Acute GI blood loss imaging,,,397.85,1380.17,7 HCPCS,78278,Chgr-Gi Bleed Scan,1949.0,974.5,,,0 HCPCS,78282,GI protein loss exam,,,397.85,1380.17,7 HCPCS,78290,Chgr-Meckel's Scan,1949.0,974.5,,,0 HCPCS,78290,Meckels divert exam,,,397.85,1380.17,7 HCPCS,78291,Chgr-Shunt Patency,1302.0,651.0,,,0 HCPCS,78291,Leveen/shunt patency exam,,,397.85,1380.17,7 HCPCS,78299,GI nuclear procedure,,,397.85,1380.17,7 HCPCS,78300,Bone imaging limited area,,,397.85,1380.17,7 HCPCS,78300,Chgr-Bone Scan Limited,1655.0,827.5,,,0 HCPCS,78305,Bone imaging multiple areas,,,397.85,1380.17,7 HCPCS,78305,Chgr-Bone Scan Multiple Area,1949.0,974.5,,,0 HCPCS,78306,Bone imaging whole body,,,397.85,1380.17,10 HCPCS,78306,Chgr-Bone Scan Whole Body,2785.0,1392.5,,,0 HCPCS,78315,Bone imaging 3 phase,,,397.85,1380.17,10 HCPCS,78315,Chgr-Bone Scan 3 Phase,3770.0,1885.0,,,0 HCPCS,78320,Bone imaging (3D),,,1504.0,1548.0,3 HCPCS,78399,Musculoskeletal nuclear exam,,,397.85,1380.17,7 HCPCS,78414,Non-imaging heart function,,,540.36,1874.55,7 HCPCS,78428,Cardiac shunt imaging,,,397.85,1380.17,7 HCPCS,78428,Chgr-Cardiac Shunt Detection,1340.0,670.0,,,0 HCPCS,78429,Myocrd img pet 1 std w/ct,,,1423.08,4936.75,7 HCPCS,78430,Myocrd img pet rst/strs w/ct,,,1423.08,4936.75,7 HCPCS,78433,Myocrd Img Pet Prfuj W/Metab 2Rtracer Cncrnt Ct,4526.0,2263.0,,,0 HCPCS,78445,Chgr-Nm Vascular Flow,876.0,438.0,,,0 HCPCS,78445,Vascular flow imaging,,,397.85,1380.17,7 HCPCS,78451,Chg - Fc-Myocardial Perfusn Imging,3386.0,1693.0,,,0 HCPCS,78451,Chgr-Myo Rest Or Stress Single Spect,3386.0,1693.0,,,0 HCPCS,78451,Ht muscle image spect sing,,,1288.43,4469.64,7 HCPCS,78452,"Chg - Myocrdial Perfusion Imaging,T",6336.0,3168.0,,,0 HCPCS,78452,Chgr-Myo Rest / Stress Multiple Spect,6336.0,3168.0,,,0 HCPCS,78452,Ht muscle image spect mult,,,1288.43,4469.64,10 HCPCS,78453,Chgr-Myo Rest Or Stress Single Planar,2708.0,1354.0,,,0 HCPCS,78453,Ht muscle image planar sing,,,1288.43,4469.64,7 HCPCS,78454,Chgr-Myo Rest / Stress Multi Planar Rad,3386.0,1693.0,,,0 HCPCS,78454,Ht musc image planar mult,,,1288.43,4469.64,7 HCPCS,78456,Acute venous thrombus image,,,1288.43,4469.64,7 HCPCS,78457,Chgr-Cd Venogram Unilat,1593.0,796.5,,,0 HCPCS,78457,Venous thrombosis imaging,,,540.36,1874.55,7 HCPCS,78458,Chgr-Venogram Bilat Nuclear,1593.0,796.5,,,0 HCPCS,78458,Ven thrombosis images bilat,,,397.85,1380.17,7 HCPCS,78459,Heart muscle imaging (PET),,,1288.43,4469.64,7 HCPCS,78466,Heart infarct image,,,397.85,1380.17,7 HCPCS,78468,Heart infarct image (ef),,,540.36,1874.55,7 HCPCS,78469,Heart infarct image (3D),,,540.36,1874.55,7 HCPCS,78472,"Chg - Cardiac Blood Pool Imaging,Gat",2696.0,1348.0,,,0 HCPCS,78472,Chgr-Muga Scan,2696.0,1348.0,,,0 HCPCS,78472,Gated heart planar single,,,397.85,1380.17,10 HCPCS,78473,Gated heart multiple,,,397.85,1380.17,7 HCPCS,78481,Heart first pass single,,,540.36,1874.55,7 HCPCS,78483,Heart first pass multiple,,,540.36,1874.55,7 HCPCS,78491,Heart image (pet) single,,,1423.08,4936.75,7 HCPCS,78492,Heart image (pet) multiple,,,1423.08,4936.75,7 HCPCS,78494,Heart image spect,,,397.85,1380.17,7 HCPCS,78499,Cardiovascular nuclear exam,,,397.85,1380.17,7 HCPCS,78579,Lung ventilation imaging,,,397.85,1380.17,7 HCPCS,78580,Chgr-Lung Scan Perfusion Only,988.0,494.0,,,0 HCPCS,78580,Lung perfusion imaging,,,397.85,1380.17,7 HCPCS,78582,"Chgr-Lung Scan V / Q, Aerosol",2830.0,1415.0,,,0 HCPCS,78582,Lung ventilat&perfus imaging,,,540.36,2147.0,10 HCPCS,78582,Pulmonary Ventilation & Perfusion Imaging,2830.0,1415.0,,,0 HCPCS,78597,"Chgr-Nm Pul Quant Diff Funct, Perf",2536.0,1268.0,,,0 HCPCS,78597,Lung perfusion differential,,,397.85,1380.17,7 HCPCS,78597,Quant Differential Pulm Perfusion W/Wo Imaging,2536.0,1268.0,,,0 HCPCS,78598,Chgr-Pulmonary Quant Diff Function,2536.0,1268.0,,,0 HCPCS,78598,Lung perf&ventilat diferentl,,,540.36,1874.55,7 HCPCS,78599,Respiratory nuclear exam,,,397.85,1380.17,7 HCPCS,78600,Brain image < 4 views,,,397.85,1380.17,7 HCPCS,78601,Brain image w/flow < 4 views,,,397.85,1380.17,7 HCPCS,78601,Chgr-Brain Ltd Static W / Flow,4508.0,2254.0,,,0 HCPCS,78605,Brain image 4+ views,,,540.36,1874.55,7 HCPCS,78605,Chgr-Brain Scan Complete,5343.0,2671.5,,,0 HCPCS,78606,Brain image w/flow 4 + views,,,540.36,1874.55,7 HCPCS,78606,Chgr-Brain Scan Comp W / Flow,7667.0,3833.5,,,0 HCPCS,78608,Brain imaging (PET),,,1423.08,4936.75,7 HCPCS,78608,Chg Pet Brain Imaging; Meta Eval,5061.0,2530.5,,,0 HCPCS,78608,Chgr-Pet / Ct Brain Imag Meta Eval Subs,5061.0,2530.5,,,0 HCPCS,78610,Brain flow imaging only,,,540.36,1874.55,7 HCPCS,78610,Chgr-Brain Scan Vasc Flow Only,873.0,436.5,,,0 HCPCS,78630,Cerebrospinal fluid scan,,,540.36,1874.55,7 HCPCS,78630,Chgr-Cisternography Nuclear,1712.0,856.0,,,0 HCPCS,78635,CSF ventriculography,,,540.36,1874.55,7 HCPCS,78645,CSF shunt evaluation,,,540.36,1874.55,7 HCPCS,78645,Chg-Csf Shunt Eval Patency,1877.0,938.5,,,0 HCPCS,78650,CSF leakage imaging,,,1288.43,4469.64,7 HCPCS,78660,Nuclear exam of tear flow,,,397.85,1380.17,7 HCPCS,78699,Nervous system nuclear exam,,,397.85,1380.17,7 HCPCS,78700,Chgr-Renal Scan Static,1552.0,776.0,,,0 HCPCS,78700,Kidney imaging morphol,,,397.85,1380.17,7 HCPCS,78701,Kidney Imaging With Flow,1552.0,776.0,,,0 HCPCS,78701,Kidney imaging with flow,,,397.85,1380.17,7 HCPCS,78707,Chgr-Renal Scan Function And Flow,2063.0,1031.5,,,0 HCPCS,78707,K flow/funct image w/o drug,,,540.36,1874.55,7 HCPCS,78707,Kidney Img Morphology Vascular Flow 1 W/O Rx,2063.0,1031.5,,,0 HCPCS,78708,Chgr-Renal Funct W / Pharm Int Single,2063.0,1031.5,,,0 HCPCS,78708,K flow/funct image w/drug,,,540.36,1874.55,7 HCPCS,78709,Chgr-Renal Funct W / Wo Pharm Int,2063.0,1031.5,,,0 HCPCS,78709,K flow/funct image multiple,,,540.36,1874.55,10 HCPCS,78709,Kidney Img Morphology Vascular Flow Multiple,2063.0,1031.5,,,0 HCPCS,78725,Kidney function study,,,397.85,1380.17,7 HCPCS,78740,Chgr-Uretheral Reflux Study,1708.0,854.0,,,0 HCPCS,78740,Ureteral reflux study,,,397.85,1380.17,7 HCPCS,78761,Chgr-Testicular W / Flow + Scan,1548.0,774.0,,,0 HCPCS,78761,Testicular imaging w/flow,,,397.85,1380.17,7 HCPCS,78799,Genitourinary nuclear exam,,,397.85,1380.17,7 HCPCS,78800,Chgr Radiopharm Loc Planar,2255.0,1127.5,,,0 HCPCS,78800,Tumor imaging limited area,,,397.85,1380.17,7 HCPCS,78801,Chgr Nm Tumor Localization Multi,2255.0,1127.5,,,0 HCPCS,78801,Tumor imaging mult areas,,,397.85,1380.17,7 HCPCS,78802,Tumor imaging whole body,,,540.36,1874.55,7 HCPCS,78803,Chgr-Radiopharm Loc Spect,4579.0,2289.5,,,0 HCPCS,78803,Tumor imaging (3D),,,540.36,2381.0,10 HCPCS,78804,Chgr-Tumor Localization Whole Body,4579.0,2289.5,,,0 HCPCS,78804,Tumor imaging whole body,,,540.36,1874.55,7 HCPCS,78805,Abscess imaging ltd area,,,3394.0,3491.0,3 HCPCS,78808,"Chgr-Parathyroid Inj,Non-Imaging",395.0,197.5,,,0 HCPCS,78808,Iv inj ra drug dx study,,,397.85,1380.17,7 HCPCS,78811,Pet Image Only Ltd Area,10141.0,5070.5,,,0 HCPCS,78811,Pet image ltd area,,,1288.43,4469.64,7 HCPCS,78812,Pet Image Only Skull-Thigh,10141.0,5070.5,,,0 HCPCS,78812,Pet image skull-thigh,,,1423.08,4936.75,7 HCPCS,78813,Pet Image Only Full Body,10141.0,5070.5,,,0 HCPCS,78813,Pet image full body,,,1423.08,4936.75,7 HCPCS,78814,Chg Pet/Ct-Limited Area,8818.0,4409.0,,,0 HCPCS,78814,Chgr Pet/Ct Amyvid Brain Imaging,8818.0,4409.0,,,0 HCPCS,78814,Chgr-Pet / Ct Limited Area,8818.0,4409.0,,,0 HCPCS,78814,Pet image w/ct lmtd,,,1423.08,4936.75,7 HCPCS,78815,Chg Pet/Ct-Skull Base To Mid Thigh,8818.0,4409.0,,,0 HCPCS,78815,Chg Pet/Ct-Skull Base/Midthigh Abor,8818.0,4409.0,,,0 HCPCS,78815,Chgr-Pet / Ct Skull To Thigh,8818.0,4409.0,,,0 HCPCS,78815,Pet image w/ct skull-thigh,,,1423.08,4936.75,10 HCPCS,78816,Chg Pet/Ct-Whole Body,8818.0,4409.0,,,0 HCPCS,78816,Chg Pet/Ct-Whole Body Aborted,8818.0,4409.0,,,0 HCPCS,78816,Chgr-Pet / Ct Whole Body,8818.0,4409.0,,,0 HCPCS,78816,Pet image w/ct full body,,,1423.08,4936.75,10 HCPCS,78830,Rp Loclzj Tum Spect W/Ct 1,4771.0,2385.5,,,0 HCPCS,78830,Rp loclzj tum spect w/ct 1,,,1288.43,4469.64,7 HCPCS,78831,Rp Loclzj Tum Spect 2 Areas,4771.0,2385.5,,,0 HCPCS,78831,Rp loclzj tum spect 2 areas,,,1288.43,4469.64,7 HCPCS,78832,Rp Loclzj Tum Spect W/Ct 2,5580.0,2790.0,,,0 HCPCS,78832,Rp loclzj tum spect w/ct 2,,,1423.08,4936.75,7 HCPCS,78999,Nuclear diagnostic exam,,,397.85,1380.17,7 HCPCS,79005,"Chgr-Radiopharmaceutical Therapy, Oral",2374.0,1187.0,,,0 HCPCS,79005,Nuclear rx oral admin,,,232.22,2598.0,10 HCPCS,79005,Radiopharm-Oral Admin,2374.0,1187.0,,,0 HCPCS,79101,"Chgr-Radiopharmaceutical Therapy, Intravenous",1230.0,615.0,,,0 HCPCS,79101,Nuclear rx iv admin,,,232.22,805.57,7 HCPCS,79101,Radiopharmaceutical Therapy,1230.0,615.0,,,0 HCPCS,79200,Nuclear rx intracav admin,,,232.22,805.57,7 HCPCS,79300,Nuclr rx interstit colloid,,,232.22,805.57,7 HCPCS,79403,Hematopoietic nuclear tx,,,232.22,805.57,7 HCPCS,79403,Radiopharm Inf Radiolbl Antibo,1749.0,874.5,,,0 HCPCS,79440,Nuclear rx intra-articular,,,232.22,805.57,7 HCPCS,79445,Intra-Arterial Rpharm Rx,1749.0,874.5,,,0 HCPCS,79445,Nuclear rx intra-arterial,,,232.22,805.57,7 HCPCS,79999,Nuclear medicine therapy,,,232.22,805.57,7 HCPCS,80047,Chgl Basic Metabolic Panel,408.0,204.0,,,0 HCPCS,80047,Metabolic panel ionized ca,,,13.73,61.68,10 HCPCS,80048,Chgl Basic Metabolic Panel,243.0,121.5,,,0 HCPCS,80048,Metabolic panel total ca,,,8.46,61.68,10 HCPCS,80050,General health panel,,,49.37,223.34,3 HCPCS,80051,Chgl Electrolytes Panel,186.0,93.0,,,0 HCPCS,80051,Chgl Lyte Poc,186.0,93.0,,,0 HCPCS,80051,Electrolyte panel,,,7.01,50.41,10 HCPCS,80053,Chgl Comprehensive Metabolic Panel,493.0,246.5,,,0 HCPCS,80053,Comprehen metabolic panel,,,10.56,77.84,10 HCPCS,80055,Chgl Prenatal Panel,440.0,220.0,,,0 HCPCS,80055,Obstetric panel,,,47.81,325.63,10 HCPCS,80061,"Chgl (Qu) Advanced Lipid Panel, Cardio Iq (Our Nmr Lipoprotein Profile), S/O",8.0,4.0,,,0 HCPCS,80061,Chgl Lipid Cascade,170.0,85.0,,,0 HCPCS,80061,Chgl Lipid Panel Complete,170.0,85.0,,,0 HCPCS,80061,Chgl Lipid Panel Hdl Ratio,170.0,85.0,,,0 HCPCS,80061,Lipid panel,,,13.39,97.95,10 HCPCS,80069,Chgl Renal Function Panel,464.0,232.0,,,0 HCPCS,80069,Renal function panel,,,8.68,64.3,10 HCPCS,80074,Acute hepatitis panel,,,47.63,351.0,10 HCPCS,80074,Chgl Hepatitis Panel Acute Viral,546.0,273.0,,,0 HCPCS,80076,Chgl Hepatic Function Panel,310.0,155.0,,,0 HCPCS,80076,Hepatic function panel,,,8.17,59.36,10 HCPCS,80081,Obstetric panel,,,74.86,122.36,9 HCPCS,80100,Drug screen,,,184.23,184.23,1 HCPCS,80101,Drug screen,,,154.5,154.5,1 HCPCS,80102,Drug confirmation,,,97.27,97.27,1 HCPCS,80103,"Drug analysis, tissue prep",,,134.05,134.05,1 HCPCS,80104,Drug scrn 1+ class nonchromo,,,195.42,195.42,1 HCPCS,80143,Chgl Acetaminophen Level Stat,338.0,169.0,,,0 HCPCS,80143,Drug assay acetaminophen,,,18.64,22.37,9 HCPCS,80145,"Chgl (Qu) Adalimumab Level/Ada, Ibd, S/O",45.0,22.5,,,0 HCPCS,80145,Chgl Lc-Adalimumab Conc,419.0,209.5,,,0 HCPCS,80145,Drug assay adalimumab,,,38.57,46.28,9 HCPCS,80150,Assay of amikacin,,,15.08,110.82,10 HCPCS,80150,Chgl Amikacin,208.0,104.0,,,0 HCPCS,80150,Chgl Amikacin Peak,208.0,104.0,,,0 HCPCS,80150,Chgl Amikacin Trough,208.0,104.0,,,0 HCPCS,80151,"Chgl (Qu) Amiodarone, S/O",31.0,15.5,,,0 HCPCS,80151,Chgl Lc-Amiodarone,312.0,156.0,,,0 HCPCS,80151,Drug assay amiodarone,,,18.64,22.37,9 HCPCS,80152,Assay of amitriptyline,,,132.4,132.4,1 HCPCS,80154,Assay of benzodiazepines,,,136.41,136.41,1 HCPCS,80155,Chkd-Caffeine,51.0,25.5,,,0 HCPCS,80155,Drug assay caffeine,,,23.16,40.5,9 HCPCS,80156,Assay carbamazepine total,,,14.57,107.32,10 HCPCS,80156,Chgl Carbamazepine;Tot,185.0,92.5,,,0 HCPCS,80157,Assay carbamazepine free,,,13.25,99.63,10 HCPCS,80157,"Chgl (Qu) Carbamazepine Free, S/O",55.0,27.5,,,0 HCPCS,80158,"Chgl (Chkd) 80158 Cyclosporine, S/O",120.0,60.0,,,0 HCPCS,80158,Chgl Cyclosporine Mono,247.0,123.5,,,0 HCPCS,80158,Drug assay cyclosporine,,,18.05,128.51,10 HCPCS,80159,"Chgl (Qu) Clozapine, S/O",23.0,11.5,,,0 HCPCS,80159,Chgl Clozaril,339.0,169.5,,,0 HCPCS,80159,Drug assay clozapine,,,20.15,30.28,9 HCPCS,80160,Assay of desipramine,,,126.55,126.55,1 HCPCS,80161,"Asy carbamazepin 10,11-epxid",,,18.64,22.37,9 HCPCS,80162,Assay of digoxin total,,,13.28,99.8,10 HCPCS,80162,Chgl Digoxin,239.0,119.5,,,0 HCPCS,80163,Assay of digoxin free,,,13.28,21.68,9 HCPCS,80164,Assay dipropylacetic acd tot,,,13.54,99.06,10 HCPCS,80164,Chgl Valproic Acid,374.0,187.0,,,0 HCPCS,80165,"Chgl (Qu) Valproic Acid, Free, S/O",34.0,17.0,,,0 HCPCS,80165,"Chgl Valproic Acid,Free",677.0,338.5,,,0 HCPCS,80165,Dipropylacetic acid free,,,13.54,22.13,9 HCPCS,80166,Assay of doxepin,,,113.37,113.37,1 HCPCS,80167,"Chgl (Qu) 80167 Felbamate, S/O",34.0,17.0,,,0 HCPCS,80167,Chgl Lc-Felbamate,168.0,84.0,,,0 HCPCS,80167,Drug assay felbamate,,,18.64,22.37,9 HCPCS,80168,Assay of ethosuximide,,,16.34,119.11,10 HCPCS,80168,"Chgl (Qu) Ethosuximide, S/O",26.0,13.0,,,0 HCPCS,80168,Chgl Ethosuximide,407.0,203.5,,,0 HCPCS,80169,"Chgl (Qu) Everolimus, Lc/Ms/Ms, Blood, S/O",80.0,40.0,,,0 HCPCS,80169,Chgl Everolimus,970.0,485.0,,,0 HCPCS,80169,Drug assay everolimus,,,13.73,22.48,9 HCPCS,80170,Assay of gentamicin,,,16.38,119.34,10 HCPCS,80170,Chgl Gentamycin,302.0,151.0,,,0 HCPCS,80170,Chgl Gentamycin 80 Mgs (Garamycin),302.0,151.0,,,0 HCPCS,80170,Chgl Gentamycin Peak,302.0,151.0,,,0 HCPCS,80171,"Chgl (Qu) Gabapentin, S/O",29.0,14.5,,,0 HCPCS,80171,Chgl Neurontin (Gabapentin),297.0,148.5,,,0 HCPCS,80171,Drug screen quant gabapentin,,,21.67,22.75,9 HCPCS,80172,Assay of gold,,,119.93,119.93,1 HCPCS,80173,Assay Of Haloperidol,,,15.78,107.32,10 HCPCS,80173,"Chgl (Qu) Haloperidol, S/O",36.0,18.0,,,0 HCPCS,80173,Chgl Haldol,224.0,112.0,,,0 HCPCS,80174,Assay of imipramine,,,128.17,128.17,1 HCPCS,80175,"Chgl (Qu) Lamotrigine, S/O",24.0,12.0,,,0 HCPCS,80175,Chgl Lamictal,143.0,71.5,,,0 HCPCS,80175,Drug screen quan lamotrigine,,,13.25,21.71,9 HCPCS,80176,Assay of lidocaine,,,14.69,108.89,10 HCPCS,80176,"Chgl (Qu) Lidocaine, S/O",27.0,13.5,,,0 HCPCS,80176,Chgl Lc-Lidocaine,63.0,31.5,,,0 HCPCS,80177,"Chgl (Qu) Levetiracetam, S/O",27.0,13.5,,,0 HCPCS,80177,Chgl Keppra,276.0,138.0,,,0 HCPCS,80177,Drug scrn quan levetiracetam,,,13.25,21.71,9 HCPCS,80178,Assay of lithium,,,6.61,49.56,10 HCPCS,80178,Chgl Lithium,234.0,117.0,,,0 HCPCS,80179,Chgl Salicylate Level,193.0,96.5,,,0 HCPCS,80179,Drug assay salicylate,,,18.64,22.37,9 HCPCS,80180,"Chgl (Qu) Mycophenolic Acid Lc/Ms/Ms, S/O",45.0,22.5,,,0 HCPCS,80180,Chgl Cell Cept (Mycophenolic Acid),522.0,261.0,,,0 HCPCS,80180,Drug scrn quan mycophenolate,,,18.05,29.56,9 HCPCS,80181,"Chgl (Qu) Flecainide, S/O",30.0,15.0,,,0 HCPCS,80181,Chgl Lc- Flecainide,175.0,87.5,,,0 HCPCS,80181,Drug assay flecainide,,,18.64,22.37,9 HCPCS,80182,Assay of nortriptyline,,,99.06,99.06,1 HCPCS,80183,"Chgl (Qu) Oxcarbazepine Metabolite, S/O",40.0,20.0,,,0 HCPCS,80183,Chgl Oxcarbazepine,297.0,148.5,,,0 HCPCS,80183,Drug scrn quant oxcarbazepin,,,13.25,21.71,9 HCPCS,80184,Assay of phenobarbital,,,15.3,85.0,10 HCPCS,80184,"Chgl (Qu) Primidone And Phenobarbital, S/O",11.0,5.5,,,0 HCPCS,80184,"Chgl Phenobarbital, Serum",64.0,32.0,,,0 HCPCS,80185,Assay of phenytoin total,,,13.25,99.63,10 HCPCS,80185,Chgl Phenytoin,313.0,156.5,,,0 HCPCS,80186,Assay of phenytoin free,,,13.76,102.58,10 HCPCS,80186,"Chgl (Qu) Phenytoin, Free, S/O",26.0,13.0,,,0 HCPCS,80186,Chgl Dilantin Free,219.0,109.5,,,0 HCPCS,80187,Chgl Lc-Posaconazole,283.0,141.5,,,0 HCPCS,80187,Drug assay posaconazole,,,27.11,32.53,9 HCPCS,80188,Assay of primidone,,,16.59,123.51,10 HCPCS,80188,"Chgl (Lc) Primidone, S/O",63.0,31.5,,,0 HCPCS,80188,"Chgl (Qu) Primidone And Phenobarbital, S/O",14.0,7.0,,,0 HCPCS,80189,"Chgl (Qu) Itraconazole, S/O",73.0,36.5,,,0 HCPCS,80189,Chgl Lc- Itraconazole,297.0,148.5,,,0 HCPCS,80189,Drug assay itraconzaole,,,27.11,32.53,9 HCPCS,80190,Assay of procainamide,,,28.79,125.5,10 HCPCS,80192,Assay of procainamide,,,16.75,125.5,10 HCPCS,80192,"Chgl (Lc) Procainamide, S/O",62.0,31.0,,,0 HCPCS,80192,"Chgl (Qu) Procainamide, S/O",28.0,14.0,,,0 HCPCS,80193,"Chgl (Qu) Leflunomide Metabolite, S/O",95.0,47.5,,,0 HCPCS,80193,Chgl Lc-Leflunomide Serum,530.0,265.0,,,0 HCPCS,80193,Drug assay leflunomide,,,38.57,46.28,9 HCPCS,80194,Assay of quinidine,,,14.6,109.31,10 HCPCS,80194,"Chgl (Qu) Quinidine, S/O",10.0,5.0,,,0 HCPCS,80194,Chgl Quinidine,228.0,114.0,,,0 HCPCS,80195,Assay of sirolimus,,,13.73,97.27,10 HCPCS,80195,"Chgl (Chkd) 80195 Sirolimus, S/O",101.0,50.5,,,0 HCPCS,80195,Chgl Rapamycin (Sirolimus),808.0,404.0,,,0 HCPCS,80196,Assay of salicylate,,,53.36,53.36,1 HCPCS,80197,Assay of tacrolimus,,,13.73,97.27,10 HCPCS,80197,Chgl Fk506 (Tacrolimus Level),268.0,134.0,,,0 HCPCS,80198,Assay of theophylline,,,14.14,105.62,10 HCPCS,80198,Chgl Theophylline,317.0,158.5,,,0 HCPCS,80199,"Chgl (Qu) Tiagabine, Serum/Plasma, S/O",65.0,32.5,,,0 HCPCS,80199,Chgl Gabitril (Tiagabine),366.0,183.0,,,0 HCPCS,80199,Drug screen quant tiagabine,,,27.11,29.56,9 HCPCS,80200,Assay of tobramycin,,,16.13,117.46,10 HCPCS,80200,Chgl Tobramycin,302.0,151.0,,,0 HCPCS,80200,Chgl Tobramycin Peak,302.0,151.0,,,0 HCPCS,80200,Chgl Tobramycin Trough,302.0,151.0,,,0 HCPCS,80201,Assay of topiramate,,,11.92,89.63,10 HCPCS,80201,"Chgl (Qu) Topiramate, S/O",35.0,17.5,,,0 HCPCS,80201,Chgl Topiramate,468.0,234.0,,,0 HCPCS,80202,Assay of vancomycin,,,13.54,99.06,10 HCPCS,80202,Chgl Vancomycin,302.0,151.0,,,0 HCPCS,80202,Chgl Vancomycin Peak,302.0,151.0,,,0 HCPCS,80202,Chgl Vancomycin Trough,302.0,151.0,,,0 HCPCS,80203,"Chgl (Qu) Zonisamide, S/O",43.0,21.5,,,0 HCPCS,80203,Chgl Zonisamide (Zonegran),297.0,148.5,,,0 HCPCS,80203,Drug screen quant zonisamide,,,13.25,21.71,9 HCPCS,80204,Chgl Chkd-Methotrexate Level,525.0,262.5,,,0 HCPCS,80204,Chgl Qu-Methotrexate,35.0,17.5,,,0 HCPCS,80204,Drug assay methotrexate,,,38.57,46.28,9 HCPCS,80210,"Chgl (Qu) Rufinamide, S/O",71.0,35.5,,,0 HCPCS,80210,Chgl Lc-Rufinamide,146.0,73.0,,,0 HCPCS,80210,Drug assay rufinamide,,,27.11,32.53,9 HCPCS,80220,Drug asy hydroxychloroquine,,,18.64,22.37,9 HCPCS,80230,"Chgl (Qu) Infliximab Level/Ada, Ibd, S/O",45.0,22.5,,,0 HCPCS,80230,Chgl Lc-Infliximab Conc,397.0,198.5,,,0 HCPCS,80230,Drug assay infliximab,,,38.57,46.28,9 HCPCS,80235,"Chgl (Qu) Lacosamide, S/O",50.0,25.0,,,0 HCPCS,80235,Chgl Lc-Lacosamide,457.0,228.5,,,0 HCPCS,80235,Drug assay lacosamide,,,27.11,32.53,9 HCPCS,80280,"Chgl (Qu) Vedolizumab Quantitation With Antibodies, Serum, S/O",258.0,129.0,,,0 HCPCS,80280,Chgl Lc-Vedolizumab/Antivedolizumab,314.0,157.0,,,0 HCPCS,80280,Drug assay vedolizumab,,,38.57,46.28,9 HCPCS,80285,Chgl Lc-Voriconzaole,297.0,148.5,,,0 HCPCS,80285,Drug assay voriconazole,,,27.11,32.53,9 HCPCS,80299,Chg - Fluconazole,266.0,133.0,,,0 HCPCS,80299,Chg - Lc Apixaban,284.0,142.0,,,0 HCPCS,80299,"Chgl (Qu) 80299 Fondaparinux Sodium (Xa Inhibitor), S/O",129.0,64.5,,,0 HCPCS,80299,"Chgl (Qu) Clobazam And Metabolite, Serum/Plasma, S/O",97.0,48.5,,,0 HCPCS,80299,"Chgl (Qu) Clomipramine, S/O",32.0,16.0,,,0 HCPCS,80299,"Chgl (Qu) Coumadin, S/O",30.0,15.0,,,0 HCPCS,80299,"Chgl (Qu) Dabigatran With Reflex To Thrombin Time, S/O",36.0,18.0,,,0 HCPCS,80299,"Chgl (Qu) Dexamethasone, S/O",94.0,47.0,,,0 HCPCS,80299,"Chgl (Qu) Digitoxin, Serum/Plasma, S/O",68.0,34.0,,,0 HCPCS,80299,"Chgl (Qu) Diphenhydramine, Serum/Plasma, S/O",71.0,35.5,,,0 HCPCS,80299,"Chgl (Qu) Disopyramide, S/O",25.0,12.5,,,0 HCPCS,80299,"Chgl (Qu) Doxepin, S/O",31.0,15.5,,,0 HCPCS,80299,"Chgl (Qu) Flucytosine, Serum/Plasma, S/O",190.0,95.0,,,0 HCPCS,80299,"Chgl (Qu) Fluoxetine, S/O",34.0,17.0,,,0 HCPCS,80299,"Chgl (Qu) Furosemide, Serum/Plasma, S/O",92.0,46.0,,,0 HCPCS,80299,"Chgl (Qu) Ibuprofen, Serum/Plasma, S/O",71.0,35.5,,,0 HCPCS,80299,"Chgl (Qu) Isoniazid, Level, S/O",125.0,62.5,,,0 HCPCS,80299,"Chgl (Qu) Mexiletine, Serum/Plasma, S/O",88.0,44.0,,,0 HCPCS,80299,"Chgl (Qu) Mitotane, Serum/Plasma, S/O",92.0,46.0,,,0 HCPCS,80299,"Chgl (Qu) Olanzapine, S/O",79.0,39.5,,,0 HCPCS,80299,"Chgl (Qu) Paliperidone, S/O",111.0,55.5,,,0 HCPCS,80299,"Chgl (Qu) Paraldehyde And Metabolite, Serum/Plasma, S/O",81.0,40.5,,,0 HCPCS,80299,"Chgl (Qu) Pregabalin, S/O",117.0,58.5,,,0 HCPCS,80299,"Chgl (Qu) Quetiapine, Blood, S/O",98.0,49.0,,,0 HCPCS,80299,"Chgl (Qu) Quetiapine, Serum/Plasma, S/O",60.0,30.0,,,0 HCPCS,80299,"Chgl (Qu) Rivaroxaban, S/O",163.0,81.5,,,0 HCPCS,80299,"Chgl (Qu) Streptomycin, Level, S/O",111.0,55.5,,,0 HCPCS,80299,"Chgl (Qu) Thiopurine Metabolites, S/O",65.0,32.5,,,0 HCPCS,80299,"Chgl (Qu) Trazodone, Serum, S/O",72.0,36.0,,,0 HCPCS,80299,Chgl Amoxapine,266.0,133.0,,,0 HCPCS,80299,Chgl Buspar (Buspiron),191.0,95.5,,,0 HCPCS,80299,Chgl Chlorpromazine,174.0,87.0,,,0 HCPCS,80299,Chgl Clomipramine,266.0,133.0,,,0 HCPCS,80299,"Chgl Dexamethasone,Serum",266.0,133.0,,,0 HCPCS,80299,Chgl Digitoxin,266.0,133.0,,,0 HCPCS,80299,Chgl Diphenhydramine,266.0,133.0,,,0 HCPCS,80299,Chgl Disopyramide,266.0,133.0,,,0 HCPCS,80299,Chgl Fluoxetine,201.0,100.5,,,0 HCPCS,80299,Chgl Ganciclover,266.0,133.0,,,0 HCPCS,80299,Chgl Glutethimide,266.0,133.0,,,0 HCPCS,80299,Chgl Ibuprofen,342.0,171.0,,,0 HCPCS,80299,Chgl Isoniazid,191.0,95.5,,,0 HCPCS,80299,Chgl Lanreotide,964.0,482.0,,,0 HCPCS,80299,Chgl Lc - Rituximab And Anti-Rituximab Antibody,352.0,176.0,,,0 HCPCS,80299,Chgl Lc - Ustekinumab And Anti-Ustekinumab Antibody,334.0,167.0,,,0 HCPCS,80299,Chgl Maprotiline,266.0,133.0,,,0 HCPCS,80299,Chgl Mephenytoin,266.0,133.0,,,0 HCPCS,80299,Chgl Mexiletine (Mexitil),266.0,133.0,,,0 HCPCS,80299,Chgl Ocetreotide,266.0,133.0,,,0 HCPCS,80299,Chgl Olanzapine Serum,259.0,129.5,,,0 HCPCS,80299,Chgl Paraldehyde,139.0,69.5,,,0 HCPCS,80299,Chgl Pregabalin (Lyrica),213.0,106.5,,,0 HCPCS,80299,Chgl Propranolol Serum,207.0,103.5,,,0 HCPCS,80299,Chgl Protriptyline,266.0,133.0,,,0 HCPCS,80299,Chgl Quetiapine,431.0,215.5,,,0 HCPCS,80299,Chgl Risperidone (Risperdal),266.0,133.0,,,0 HCPCS,80299,Chgl Rivaroxaban,314.0,157.0,,,0 HCPCS,80299,Chgl Streptomycin,266.0,133.0,,,0 HCPCS,80299,"Chgl Sulfonylurea Screen, Serum",266.0,133.0,,,0 HCPCS,80299,Chgl Tocainide,266.0,133.0,,,0 HCPCS,80299,Chgl Trazadone,132.0,66.0,,,0 HCPCS,80299,Chgl Warfarin Serum,342.0,171.0,,,0 HCPCS,80299,Chgl Wellbutrin (Bupropion),201.0,100.5,,,0 HCPCS,80299,Quantitative assay drug,,,18.64,100.73,10 HCPCS,80305,Drug Test Prsmv Dir Opt Obs,18.0,9.0,,,0 HCPCS,80305,Drug test prsmv dir opt obs,,,12.6,17.95,9 HCPCS,80306,Drug test prsmv instrmnt,,,17.14,23.94,9 HCPCS,80307,Chg - Compliance Drug Screen,401.0,200.5,,,0 HCPCS,80307,"Chgl (Qu) 80307 Gamma-Hydroxybutyric Acid Screen, Serum/Plasma, S/O",129.0,64.5,,,0 HCPCS,80307,"Chgl (Qu) Comprehensive Drug Screen, Umbilical Cord Tissue, S/O",198.0,99.0,,,0 HCPCS,80307,"Chgl (Qu) Drug Abuse Panel 8, With Confirmation, Serum Or Plasma, S/O",91.0,45.5,,,0 HCPCS,80307,"Chgl (Qu) Drug Monitor, Synthetic Cannabinoids, W/Conf, U, S/O",42.0,21.0,,,0 HCPCS,80307,"Chgl (Qu) Drug Panel 5, Meconium, S/O",71.0,35.5,,,0 HCPCS,80307,"Chgl (Qu) Drug Screen Panel 9, Meconium, S/O",135.0,67.5,,,0 HCPCS,80307,"Chgl (Qu) Gamma-Hydroxybutyric Acid Screen, Urine, S/O",127.0,63.5,,,0 HCPCS,80307,"Chgl (Qu) Mdma/Mda Screen With Confirmation, Urine, S/O",65.0,32.5,,,0 HCPCS,80307,"Chgl (Qu) Pain Management, S/O",27.0,13.5,,,0 HCPCS,80307,"Chgl (Qu) Pdm Test 01, S/O",38.0,19.0,,,0 HCPCS,80307,"Chgl (Qu) Tramadol Screen With Reflex To Confirmation, Urine, S/O",63.0,31.5,,,0 HCPCS,80307,Chgl Amphetamine Screen,401.0,200.5,,,0 HCPCS,80307,Chgl Barbiturate Screen,401.0,200.5,,,0 HCPCS,80307,Chgl Basic Drug Screen-2,401.0,200.5,,,0 HCPCS,80307,Chgl Benzo Screen,401.0,200.5,,,0 HCPCS,80307,"Chgl Buprenorphine, Urine",401.0,200.5,,,0 HCPCS,80307,Chgl Cannabinoids Screen,401.0,200.5,,,0 HCPCS,80307,Chgl Class B Drug Elisa/Non-Tlc,401.0,200.5,,,0 HCPCS,80307,Chgl Cocaine Screen,401.0,200.5,,,0 HCPCS,80307,Chgl Drug Abuse 8 Serum,401.0,200.5,,,0 HCPCS,80307,Chgl Drug Panel Blood 6,401.0,200.5,,,0 HCPCS,80307,Chgl Drug Panel Blood 8,401.0,200.5,,,0 HCPCS,80307,Chgl Drug Screen 10,401.0,200.5,,,0 HCPCS,80307,Chgl Drug Screen 11,401.0,200.5,,,0 HCPCS,80307,Chgl Drug Screen 7,401.0,200.5,,,0 HCPCS,80307,"Chgl Drug Screen Complete,Reflex-9",401.0,200.5,,,0 HCPCS,80307,Chgl Drug Screen U-5,401.0,200.5,,,0 HCPCS,80307,Chgl Drug Screen Urine - 3,401.0,200.5,,,0 HCPCS,80307,Chgl Drug Screen Urine 9,401.0,200.5,,,0 HCPCS,80307,Chgl Drug Screen Urine Stat-6,401.0,200.5,,,0 HCPCS,80307,"Chgl Drug Screen Urine, Complete-11",401.0,200.5,,,0 HCPCS,80307,Chgl Gamma Hydroxybutyric Acid Bl,401.0,200.5,,,0 HCPCS,80307,Chgl Lc - Meconium Drug 10 Panel,147.0,73.5,,,0 HCPCS,80307,Chgl Lc - Thc Wb,189.0,94.5,,,0 HCPCS,80307,"Chgl Lc - Thc Wb, Reflexed",65.0,32.5,,,0 HCPCS,80307,Chgl Lc Drug Profile 14 Ua Monitor,202.0,101.0,,,0 HCPCS,80307,Chgl Lc Toxassure 13,247.0,123.5,,,0 HCPCS,80307,Chgl Lc-Ar-Drug Panel Umb Cord Qual,284.0,142.0,,,0 HCPCS,80307,Chgl Lc-Drug Profile 12 Urine,270.0,135.0,,,0 HCPCS,80307,Chgl Meconium Drug Panel 5,401.0,200.5,,,0 HCPCS,80307,Chgl Methadone Screen,401.0,200.5,,,0 HCPCS,80307,Chgl Nicotine Screen Urine,401.0,200.5,,,0 HCPCS,80307,Chgl Opiate Screen,401.0,200.5,,,0 HCPCS,80307,Chgl Oxycodone Screen,401.0,200.5,,,0 HCPCS,80307,Chgl Pain Management Drug 13,401.0,200.5,,,0 HCPCS,80307,Chgl Phenothiazine Screen,401.0,200.5,,,0 HCPCS,80307,Chgl Propoxyphene Screen,401.0,200.5,,,0 HCPCS,80307,Chgl Therapuetic Drug Screen(P),401.0,200.5,,,0 HCPCS,80307,Drug test prsmv chem anlyzr,,,62.14,95.77,9 HCPCS,80320,Drug screen quantalcohols,,,28.22,28.22,2 HCPCS,80321,Alcohols biomarkers 1or 2,,,17.64,17.64,2 HCPCS,80322,Alcohols biomarkers 3/more,,,17.64,17.64,2 HCPCS,80323,Alkaloids nos,,,49.02,49.02,2 HCPCS,80324,Drug screen amphetamines 1/2,,,25.38,25.38,2 HCPCS,80325,Amphetamines 3or 4,,,25.38,25.38,2 HCPCS,80326,Amphetamines 5 or more,,,25.38,25.38,2 HCPCS,80327,Anabolic steroid 1 or 2,,,42.16,42.16,2 HCPCS,80328,Anabolic steroid 3 or more,,,42.16,42.16,2 HCPCS,80329,Analgesics non-opioid 1 or 2,,,33.05,33.05,2 HCPCS,80330,Analgesics non-opioid 3-5,,,33.05,33.05,2 HCPCS,80331,Analgesics non-opioid 6/more,,,33.05,33.05,2 HCPCS,80332,Antidepressants class 1 or 2,,,29.32,29.32,2 HCPCS,80333,Antidepressants class 3-5,,,17.71,17.71,2 HCPCS,80334,Antidepressants class 6/more,,,11.66,11.66,2 HCPCS,80335,Antidepressant tricyclic 1/2,,,29.23,29.23,2 HCPCS,80336,Antidepressant tricyclic 3-5,,,29.23,29.23,2 HCPCS,80337,Tricyclic & cyclicals 6/more,,,29.23,29.23,2 HCPCS,80338,Antidepressant not specified,,,15.12,15.12,2 HCPCS,80339,Antiepileptics nos 1-3,,,24.19,24.19,2 HCPCS,80340,Antiepileptics nos 4-6,,,24.19,24.19,2 HCPCS,80341,Antiepileptics nos 7/more,,,24.19,24.19,2 HCPCS,80342,Antipsychotics nos 1-3,,,25.43,25.43,2 HCPCS,80343,Antipsychotics nos 4-6,,,25.43,25.43,2 HCPCS,80344,Antipsychotics nos 7/more,,,25.43,25.43,2 HCPCS,80345,Drug screening barbiturates,,,18.7,18.7,2 HCPCS,80346,Benzodiazepines1-12,,,32.33,32.33,2 HCPCS,80347,Benzodiazepines 13 or more,,,32.33,32.33,2 HCPCS,80348,Drug screening buprenorphine,,,19.44,19.44,2 HCPCS,80349,Cannabinoids natural,,,29.32,29.32,2 HCPCS,80350,Cannabinoids synthetic 1-3,,,29.32,29.32,2 HCPCS,80351,Cannabinoids synthetic 4-6,,,19.87,19.87,2 HCPCS,80352,Cannabinoid synthetic 7/more,,,19.44,19.44,2 HCPCS,80353,Drug screening cocaine,,,24.74,24.74,2 HCPCS,80354,Drug screening fentanyl,,,29.32,29.32,2 HCPCS,80355,Gabapentin non-blood,,,21.56,21.56,2 HCPCS,80356,Heroin metabolite,,,31.91,31.91,2 HCPCS,80357,Ketamine and norketamine,,,25.87,25.87,2 HCPCS,80358,Drug screening methadone,,,26.66,26.66,2 HCPCS,80359,Methylenedioxyamphetamines,,,25.44,25.44,2 HCPCS,80360,Methylphenidate,,,25.87,25.87,2 HCPCS,80361,Opiates 1 or more,,,41.98,41.98,2 HCPCS,80362,Opioids & opiate analogs 1/2,,,35.78,35.78,2 HCPCS,80363,Opioids & opiate analogs 3/4,,,25.49,25.49,2 HCPCS,80364,Opioid &opiate analog 5/more,,,19.01,19.01,2 HCPCS,80365,Drug screening oxycodone,,,31.91,31.91,2 HCPCS,80366,Drug screening pregabalin,,,25.87,25.87,2 HCPCS,80367,Drug screening propoxyphene,,,29.32,29.32,2 HCPCS,80368,Sedative hypnotics,,,28.03,28.03,2 HCPCS,80369,Skeletal muscle relaxant 1/2,,,28.78,28.78,2 HCPCS,80370,Skel musc relaxant 3 or more,,,28.78,28.78,2 HCPCS,80371,Stimulants synthetic,,,29.32,29.32,2 HCPCS,80372,Drug screening tapentadol,,,25.87,25.87,2 HCPCS,80373,Drug screening tramadol,,,25.87,25.87,2 HCPCS,80374,Stereoisomer analysis,,,25.44,25.44,2 HCPCS,80375,Drug/substance nos 1-3,,,26.59,26.59,2 HCPCS,80376,Drug/substance nos 4-6,,,29.66,29.66,2 HCPCS,80377,Drug/substance nos 7/more,,,29.66,29.66,2 HCPCS,80400,Acth stimulation panel,,,32.62,242.62,10 HCPCS,80402,Acth stimulation panel,,,86.96,642.38,10 HCPCS,80406,Acth stimulation panel,,,78.26,559.37,10 HCPCS,80408,Aldosterone suppression eval,,,125.5,934.67,10 HCPCS,80410,Calcitonin stimul panel,,,80.37,588.99,10 HCPCS,80412,CRH stimulation panel,,,566.42,2443.82,10 HCPCS,80414,Testosterone response,,,51.64,384.25,10 HCPCS,80415,Estradiol response panel,,,55.89,414.19,10 HCPCS,80416,Renin stimulation panel,,,209.32,986.84,10 HCPCS,80417,Renin stimulation panel,,,43.99,328.96,10 HCPCS,80418,Pituitary evaluation panel,,,579.48,4322.71,10 HCPCS,80420,Dexamethasone panel,,,123.79,536.7,10 HCPCS,80422,Glucagon tolerance panel,,,46.07,342.67,10 HCPCS,80424,Glucagon tolerance panel,,,50.5,367.41,10 HCPCS,80426,Gonadotropin hormone panel,,,148.41,1108.37,10 HCPCS,80428,Growth hormone panel,,,66.7,498.28,10 HCPCS,80430,Growth hormone panel,,,129.33,586.52,10 HCPCS,80432,Insulin suppression panel,,,165.61,971.59,10 HCPCS,80434,Insulin tolerance panel,,,173.82,753.59,10 HCPCS,80435,Insulin tolerance panel,,,103.0,769.9,10 HCPCS,80436,Metyrapone panel,,,91.16,668.25,10 HCPCS,80438,TRH stimulation panel,,,50.41,378.0,10 HCPCS,80439,TRH stimulation panel,,,67.21,504.07,10 HCPCS,80440,TRH stimulation panel,,,437.16,437.16,1 HCPCS,80500,Lab pathology consultation,,,98.63,98.63,1 HCPCS,80502,Lab pathology consultation,,,344.26,344.26,1 HCPCS,80503,Path clin consltj sf 5-20,,,51.86,179.91,9 HCPCS,80504,Path clin consltj mod 21-40,,,169.55,588.18,9 HCPCS,80505,Path clin consltj high 41-60,,,169.55,588.18,9 HCPCS,80506,Path clin consltj prolng svc,,,51.91,51.91,2 HCPCS,81000,N-Autom Urine Dip W Micro,20.0,10.0,,,0 HCPCS,81000,Urinalysis nonauto w/scope,,,4.02,23.66,10 HCPCS,81001,Chgl Urinalysis W/Micro,179.0,89.5,,,0 HCPCS,81001,Urinalysis Auto W/Scope,179.0,89.5,,,0 HCPCS,81001,Urinalysis auto w/scope,,,3.17,23.66,10 HCPCS,81002,Urinalysis Nonauto W/O Scope,41.0,20.5,,,0 HCPCS,81002,Urinalysis nonauto w/o scope,,,3.48,18.94,10 HCPCS,81003,Chgl Bile Urine,107.0,53.5,,,0 HCPCS,81003,Chgl Ketones Urine Stat,107.0,53.5,,,0 HCPCS,81003,Chgl Ph Urine,107.0,53.5,,,0 HCPCS,81003,Chgl Protein Urine Screen,107.0,53.5,,,0 HCPCS,81003,Chgl Urinalysis,107.0,53.5,,,0 HCPCS,81003,Chgl Urine Specific Gravity,107.0,53.5,,,0 HCPCS,81003,Dipstick Urine,107.0,53.5,,,0 HCPCS,81003,Urinalysis Auto W/O Scope,107.0,53.5,,,0 HCPCS,81003,Urinalysis auto w/o scope,,,2.25,16.93,10 HCPCS,81005,Urinalysis,,,2.17,16.33,10 HCPCS,81007,Urine screen for bacteria,,,4.42,31.48,10 HCPCS,81015,Microscopic exam of urine,,,3.05,22.49,10 HCPCS,81015,Urine Microscopic Only,44.0,22.0,,,0 HCPCS,81020,Urinalysis glass test,,,4.7,26.87,10 HCPCS,81025,Chg Pregnancy Test Urine Inpt,189.0,94.5,,,0 HCPCS,81025,Urine Preg Poc,189.0,94.5,,,0 HCPCS,81025,Urine Pregnancy Test,285.0,142.5,,,0 HCPCS,81025,Urine pregnancy test,,,8.61,45.1,10 HCPCS,81050,Urinalysis volume measure,,,3.64,22.32,10 HCPCS,81099,"Chgl (Qu) Specific Gravity Confirmation, Urine, S/O",15.0,7.5,,,0 HCPCS,81099,Urinalysis test procedure,,,37.32,37.32,1 HCPCS,81105,"Chgl (Qu) 81105 Human Platelet Antigen 1 Genotype, S/O",270.0,135.0,,,0 HCPCS,81105,Chgl Lc Hpa-1A (Pla1 Plt Ag) Genoty,491.0,245.5,,,0 HCPCS,81105,Hpa-1 genotyping,,,122.22,181.07,9 HCPCS,81106,Hpa-2 genotyping,,,122.22,181.07,9 HCPCS,81107,Hpa-3 genotyping,,,122.22,181.07,9 HCPCS,81108,Hpa-4 genotyping,,,122.22,181.07,9 HCPCS,81109,Hpa-5 genotyping,,,122.22,181.07,9 HCPCS,81110,Hpa-6 genotyping,,,122.22,181.07,9 HCPCS,81111,Hpa-9 genotyping,,,122.22,181.07,9 HCPCS,81112,Hpa-15 genotyping,,,122.22,181.07,9 HCPCS,81120,Idh1 common variants,,,193.25,231.9,9 HCPCS,81121,Idh2 common variants,,,295.79,354.95,9 HCPCS,81161,DMD dup/delet analysis,,,37.32,292.95,10 HCPCS,81162,Brca1&2 seq & full dup/del,,,1824.88,2983.03,9 HCPCS,81162,"Chgl (Qu) Brca Panel (Brca1, Brca2), S/O",1265.0,632.5,,,0 HCPCS,81162,Chgl Lc-Brca1/2 Comp Analysis,4897.0,2448.5,,,0 HCPCS,81162,Chgl Lc-Brcassure Comp Analysis,3007.0,1503.5,,,0 HCPCS,81163,Brca1&2 gene full seq alys,,,468.0,561.6,9 HCPCS,81163,Chgl Neo-Brca 1/2 Mutation Analysis For Tumors,665.0,332.5,,,0 HCPCS,81164,Brca1&2 gen ful dup/del alys,,,584.23,701.08,9 HCPCS,81165,Brca1 gene full seq alys,,,282.88,339.46,9 HCPCS,81166,Brca1 gene full dup/del alys,,,301.35,361.62,9 HCPCS,81167,Brca2 gene full dup/del alys,,,282.88,339.46,9 HCPCS,81168,Ccnd1/igh translocation alys,,,207.31,248.77,9 HCPCS,81170,Abl1 gene,,,300.0,395.41,9 HCPCS,81170,"Chgl (Qu) 81170 Abl Kinase Domain Mutation In Cml, Cell-Based, S/O",264.0,132.0,,,0 HCPCS,81170,Chgl Lc-Bcr-Abl1 Kinase Domain Mut,2259.0,1129.5,,,0 HCPCS,81171,Aff2 gene detc abnor alleles,,,137.0,164.4,9 HCPCS,81172,Aff2 gene charac alleles,,,274.83,329.8,9 HCPCS,81173,Ar gene full gene sequence,,,301.35,361.62,9 HCPCS,81174,Ar gene known famil variant,,,185.2,222.24,9 HCPCS,81175,Asxl1 full gene sequence,,,676.5,848.42,9 HCPCS,81176,Asxl1 gene target seq alys,,,241.9,358.37,9 HCPCS,81177,Atn1 gene detc abnor alleles,,,137.0,164.4,9 HCPCS,81178,Atxn1 gene detc abnor allele,,,137.0,164.4,9 HCPCS,81179,Atxn2 gene detc abnor allele,,,137.0,164.4,9 HCPCS,81180,Atxn3 gene detc abnor allele,,,137.0,164.4,9 HCPCS,81181,Atxn7 gene detc abnor allele,,,137.0,164.4,9 HCPCS,81182,Atxn8os gen detc abnor allel,,,137.0,164.4,9 HCPCS,81183,Atxn10 gene detc abnor allel,,,137.0,164.4,9 HCPCS,81184,Cacna1a gen detc abnor allel,,,137.0,164.4,9 HCPCS,81185,Cacna1a gene full gene seq,,,846.27,1015.52,9 HCPCS,81186,Cacna1a gen known famil vrnt,,,185.2,222.24,9 HCPCS,81187,Cnbp gene detc abnor allele,,,137.0,164.4,9 HCPCS,81188,Cstb gene detc abnor allele,,,137.0,164.4,9 HCPCS,81189,Cstb gene full gene sequence,,,274.83,329.8,9 HCPCS,81190,Cstb gene known famil vrnt,,,185.2,222.24,9 HCPCS,81191,Ntrk1 translocation analysis,,,207.31,248.77,9 HCPCS,81192,Ntrk2 translocation analysis,,,207.31,248.77,9 HCPCS,81193,Ntrk3 translocation analysis,,,207.31,248.77,9 HCPCS,81194,Chgl Mol Diag-Ntrk,687.0,343.5,,,0 HCPCS,81194,Chgl Neogen-Ntrk Ngs Fusion Profile,1344.0,672.0,,,0 HCPCS,81194,Ntrk translocation analysis,,,518.28,621.94,9 HCPCS,81195,Cytog genom-wid alys hem mal,,,1263.53,1956.38,7 HCPCS,81200,Aspa gene,,,47.25,56.7,9 HCPCS,81200,Chgl Lc-Canavan Disease Mutation,285.0,142.5,,,0 HCPCS,81201,Apc gene full sequence,,,780.0,936.0,9 HCPCS,81202,Apc gene known fam variants,,,280.0,336.0,9 HCPCS,81203,Apc gene dup/delet variants,,,200.0,240.0,9 HCPCS,81204,Ar gene charac alleles,,,137.0,164.4,9 HCPCS,81205,Bckdhb gene,,,94.99,113.99,9 HCPCS,81206,Bcr/abl1 gene major bp,,,163.96,268.43,9 HCPCS,81206,"Chgl (Lc) Brc/Abl Major Quant Pcr, S/O",502.0,251.0,,,0 HCPCS,81206,"Chgl (Qu) P210 Bcr-Abl1, S/O",103.0,51.5,,,0 HCPCS,81207,Bcr/abl1 gene minor bp,,,144.84,237.11,9 HCPCS,81207,"Chgl (Qu) P190 Bcr-Abl1, S/O",103.0,51.5,,,0 HCPCS,81208,Bcr/abl1 gene other bp,,,214.62,263.32,9 HCPCS,81209,Blm gene,,,39.31,47.17,9 HCPCS,81210,Braf gene,,,175.4,215.1,9 HCPCS,81210,Chgl Mol-Diag Braf Mutation,617.0,308.5,,,0 HCPCS,81210,Chgl Neogen-Braf Mutation Analysis,266.0,133.0,,,0 HCPCS,81210,Chgl Quest-Braf Mutation Thyroid,1350.0,675.0,,,0 HCPCS,81212,Brca1&2 185&5385&6174 var,,,212.04,462.0,9 HCPCS,81215,Brca1 gene known fam variant,,,111.89,394.01,9 HCPCS,81216,Brca2 gene full sequence,,,185.12,222.14,9 HCPCS,81217,Brca2 gene known fam variant,,,111.89,394.01,9 HCPCS,81218,Cebpa gene full sequence,,,241.9,395.41,9 HCPCS,81218,Chgl Lc-Cebpa Mutation Analysis,851.0,425.5,,,0 HCPCS,81218,Chgl Qu - Cebpa Mutation Analysis,505.0,252.5,,,0 HCPCS,81218,Chgl Umhs-Cebpa Mutation Detection,652.0,326.0,,,0 HCPCS,81219,Calr gene com variants,,,121.63,198.82,9 HCPCS,81219,Chgl Csi-Calreticulin,644.0,322.0,,,0 HCPCS,81219,Chgl Lc-Calr Mutation Analysis,1005.0,502.5,,,0 HCPCS,81220,Cftr gene com variants,,,556.6,667.92,9 HCPCS,81220,Chgl Lc-Cystic Fibrosis Mutation 97,519.0,259.5,,,0 HCPCS,81220,Chgl Lc-Cystic Fibrosis Profile,248.0,124.0,,,0 HCPCS,81220,Chgl Mol Diag Cf,7029.0,3514.5,,,0 HCPCS,81220,Chgl Mol Diag-Cystic Fibrosis 97,2796.0,1398.0,,,0 HCPCS,81221,Cftr gene known fam variants,,,97.22,116.66,9 HCPCS,81222,Cftr gene dup/delet variants,,,435.07,522.08,9 HCPCS,81223,Cftr gene full sequence,,,499.0,598.8,9 HCPCS,81224,Cftr gene intron poly t,,,168.75,202.5,9 HCPCS,81225,"Chgl (Qu) Accutype(R)Cp, Clopidogrel Cyp2C19 Genotype, S/O",288.0,144.0,,,0 HCPCS,81225,Chgl Lc-Cytochrome P450 2C19 Genoty,866.0,433.0,,,0 HCPCS,81225,Cyp2c19 gene com variants,,,291.36,350.16,9 HCPCS,81226,"Chgl (Qu) Cytochrome P450 2D6 Genotype, S/O",222.0,111.0,,,0 HCPCS,81226,Chgl Lc-Cytochrome P450 2D6 Genotyp,1108.0,554.0,,,0 HCPCS,81226,Cyp2d6 gene com variants,,,450.91,541.91,9 HCPCS,81227,"Chgl (Qu) Cytochrome P450 2C9 Genotype, S/O",266.0,133.0,,,0 HCPCS,81227,Cyp2c9 gene com variants,,,174.81,210.1,9 HCPCS,81228,Cytogen micrarray copy nmbr,,,900.0,1080.0,9 HCPCS,81229,Chgl Cgh Microarray Analysis,3827.0,1913.5,,,0 HCPCS,81229,Chgl Microarray-Snp,5820.0,2910.0,,,0 HCPCS,81229,Cytogen m array copy no&snp,,,1160.0,1392.0,9 HCPCS,81230,Cyp3a4 gene common variants,,,174.81,209.77,9 HCPCS,81231,Cyp3a5 gene common variants,,,174.81,209.77,9 HCPCS,81232,"Chgl (Qu) Dihydropyrimidine Dehydro, S/O",290.0,145.0,,,0 HCPCS,81232,Chgl Lc-Dpd 5-Fluorouracil Toxicity,539.0,269.5,,,0 HCPCS,81232,Chgl Mayo-Dpyd Fgs,1549.0,774.5,,,0 HCPCS,81232,Dpyd gene common variants,,,174.81,209.77,9 HCPCS,81233,Btk gene common variants,,,175.4,210.48,9 HCPCS,81234,Dmpk gene detc abnor allele,,,137.0,164.4,9 HCPCS,81235,Chgl Mol-Diag Egfr Mutation,882.0,441.0,,,0 HCPCS,81235,Chgl Neogen-Egfr Mutation Analysis,675.0,337.5,,,0 HCPCS,81235,Egfr gene com variants,,,324.58,396.01,9 HCPCS,81236,Ezh2 gene full gene sequence,,,282.88,339.46,9 HCPCS,81237,Ezh2 gene common variants,,,175.4,210.48,9 HCPCS,81238,F9 full gene sequence,,,600.0,720.0,9 HCPCS,81239,Dmpk gene charac alleles,,,274.83,329.8,9 HCPCS,81240,Chgl Mol Diag-Ptg,713.0,356.5,,,0 HCPCS,81240,Chgl Qu - Factor Ii Mutation,250.0,125.0,,,0 HCPCS,81240,F2 gene,,,65.69,80.56,9 HCPCS,81241,Chgl Lc- Factor V Leiden With Rfx R2,290.0,145.0,,,0 HCPCS,81241,Chgl Lc-Factor V Leiden Mutation,158.0,79.0,,,0 HCPCS,81241,Chgl Mol Diag-Factor V,782.0,391.0,,,0 HCPCS,81241,F5 gene,,,73.37,100.04,9 HCPCS,81242,Fancc gene,,,36.62,43.94,9 HCPCS,81243,Chgl Lc Fragile X Dna Prenatal,343.0,171.5,,,0 HCPCS,81243,Chgl Mol Diag-Fragile X,611.0,305.5,,,0 HCPCS,81243,Fmr1 gene detection,,,57.04,68.45,9 HCPCS,81244,Fmr1 gene characterization,,,44.89,53.87,9 HCPCS,81245,Flt3 gene,,,165.51,199.1,9 HCPCS,81246,Flt3 gene analysis,,,83.0,99.61,9 HCPCS,81247,G6pd gene alys cmn variant,,,174.81,209.77,9 HCPCS,81248,G6pd known familial variant,,,375.25,450.3,9 HCPCS,81249,G6pd full gene sequence,,,600.0,720.0,9 HCPCS,81250,G6pc gene,,,58.49,70.19,9 HCPCS,81251,Gba gene,,,47.25,56.7,9 HCPCS,81252,"Chgl (Lc) Gjb2 Fgs - Connexin 26, S/O",1173.0,586.5,,,0 HCPCS,81252,Gjb2 gene full sequence,,,101.12,121.34,9 HCPCS,81253,Gjb2 gene known fam variants,,,61.52,73.82,9 HCPCS,81254,Gjb6 gene com variants,,,35.0,42.0,9 HCPCS,81255,"Chgl (Qu) Tay-Sachs Disease Mutation Analysis, S/O",125.0,62.5,,,0 HCPCS,81255,Chgl Lc-Tay-Sachs Dna Analysis,504.0,252.0,,,0 HCPCS,81255,Hexa gene,,,51.45,61.74,9 HCPCS,81256,"Chgl (Qu) Hereditary Hemochromatosis Dna Mutation Analysis, S/O",75.0,37.5,,,0 HCPCS,81256,Chgl Lc-Hered Hemochromatosis Pcr,227.0,113.5,,,0 HCPCS,81256,Hfe gene,,,65.36,107.0,9 HCPCS,81257,"Chgl (Qu) 81257 Alpha-Globin Common Mutation Analysis, S/O",464.0,232.0,,,0 HCPCS,81257,Chgl Lc-Alpha Thalassemia,335.0,167.5,,,0 HCPCS,81257,Hba1/hba2 gene,,,102.26,122.71,9 HCPCS,81258,Hba1/hba2 gene fam vrnt,,,375.25,450.3,9 HCPCS,81259,"Chgl (Qu) Alpha-Globin Gene Sequencing, S/O O",461.0,230.5,,,0 HCPCS,81259,Hba1/hba2 full gene sequence,,,600.0,720.0,9 HCPCS,81260,Ikbkap gene,,,39.31,47.17,9 HCPCS,81261,Chgl Csi-B Cell Igh Gene Rearangemt,521.0,260.5,,,0 HCPCS,81261,Igh gene rearrange amp meth,,,197.99,324.13,9 HCPCS,81262,Igh gene rearrang dir probe,,,68.55,71.98,9 HCPCS,81263,"Chgl (Neo) Igh Clonality/Mrd By Ngs, S/O",425.0,212.5,,,0 HCPCS,81263,"Chgl (Qu) 81263 Cll, Igvh Mutation Status, Cell Based, S/O",322.0,161.0,,,0 HCPCS,81263,Chgl Lc-Igvh Somatic Hypermutation,1868.0,934.0,,,0 HCPCS,81263,Igh vari regional mutation,,,294.52,482.15,9 HCPCS,81264,Chgl Csi-B Cell Igk Gene Rearangemt,834.0,417.0,,,0 HCPCS,81264,Igk rearrangeabn clonal pop,,,172.73,244.46,9 HCPCS,81265,Chgl Lc-Maternal Cell Contamination,347.0,173.5,,,0 HCPCS,81265,Str markers specimen anal,,,233.07,352.06,9 HCPCS,81266,Str markers spec anal addl,,,304.81,365.77,9 HCPCS,81267,Chimerism anal no cell selec,,,207.46,339.64,9 HCPCS,81268,Chimerism anal w/cell select,,,260.79,426.94,9 HCPCS,81269,Hba1/hba2 gene dup/del vrnts,,,202.4,242.88,9 HCPCS,81270,Chgl Csi Jak2 V617F Mutation Detect,521.0,260.5,,,0 HCPCS,81270,"Chgl Lc-Jak2 V617F,Rfx Calr/E12/Mpl",528.0,264.0,,,0 HCPCS,81270,Chgl Lc-Qual Jak2 V617F Mutation,501.0,250.5,,,0 HCPCS,81270,Chgl Mol Diag-Jak2 Exon 14,723.0,361.5,,,0 HCPCS,81270,Jak2 gene,,,91.66,150.07,9 HCPCS,81271,"Chgl (Ma) 81271 Huntington Disease, Molecular Analysis, S/O",401.0,200.5,,,0 HCPCS,81271,"Chgl (Qu) 81271 Huntington Disease Mutation Analysis, S/O",365.0,182.5,,,0 HCPCS,81271,Chgl Arup-Huntington Disease,501.0,250.5,,,0 HCPCS,81271,Htt gene detc abnor alleles,,,137.0,164.4,9 HCPCS,81272,"Chgl (Qu) C-Kit Mutation Analysis, Cell-Based, S/O",330.0,165.0,,,0 HCPCS,81272,Chgl Lc-C-Kit Mutation In Tumors,1757.0,878.5,,,0 HCPCS,81272,Chgl Umhs-Kit Mutation For Gist,1005.0,502.5,,,0 HCPCS,81272,Kit gene targeted seq analys,,,329.51,395.41,9 HCPCS,81273,"Chgl (Lc) 81273 Kit (D816V) Digital Pcr, S/O",456.0,228.0,,,0 HCPCS,81273,"Chgl (Qu) 81273 Kit D816, Mutation Analysis (Mastocytosis), S/O",398.0,199.0,,,0 HCPCS,81273,Chgl Qu-Kit D816 Mutation Analysis,844.0,422.0,,,0 HCPCS,81273,Kit gene analys d816 variant,,,124.87,149.84,9 HCPCS,81274,Htt gene charac alleles,,,274.83,329.8,9 HCPCS,81275,Kras gene variants exon 2,,,193.25,236.98,9 HCPCS,81276,Chgl Lc-Kras Mutation By Snapshot,545.0,272.5,,,0 HCPCS,81276,Kras gene addl variants,,,193.25,236.63,9 HCPCS,81277,Cytogenomic neo microra alys,,,1160.0,1392.0,9 HCPCS,81278,Igh@/bcl2 translocation alys,,,207.31,248.77,9 HCPCS,81279,Chgl Lc-Jak2 Exon 12 Mutation Analy,1066.0,533.0,,,0 HCPCS,81279,Chgl Lc-Jak2 Exons 12-15,366.0,183.0,,,0 HCPCS,81279,Jak2 gene trgt sequence alys,,,185.2,222.24,9 HCPCS,81283,Chgl Lc-Il28B Polymorphism,734.0,367.0,,,0 HCPCS,81283,Ifnl3 gene,,,73.37,90.53,9 HCPCS,81284,Fxn gene detc abnor alleles,,,137.0,164.4,9 HCPCS,81285,Fxn gene charac alleles,,,274.83,329.8,9 HCPCS,81286,Fxn gene full gene sequence,,,274.83,329.8,9 HCPCS,81287,"Chgl (Neo) Neotype Dna & Rna Profile Brain W Mgmt, S/O",781.0,390.5,,,0 HCPCS,81287,Chgl Arup-Mgmt Methylation By Pcr,600.0,300.0,,,0 HCPCS,81287,Chgl Lc-Mgmt Gene Methylation Assay,1180.0,590.0,,,0 HCPCS,81287,Chgl Mgmt Promoter Methylation Analysis,501.0,250.5,,,0 HCPCS,81287,Mgmt gene methylation anal,,,99.61,130.87,9 HCPCS,81288,"Chgl Mlh1 Promoter Methylation, Paraffin",681.0,340.5,,,0 HCPCS,81288,Chgl Neo-Mlh1 Prom Methlataion Anal,620.0,310.0,,,0 HCPCS,81288,Mlh1 gene,,,192.32,228.11,9 HCPCS,81289,Fxn gene known famil variant,,,185.2,222.24,9 HCPCS,81290,Mcoln1 gene,,,39.31,47.17,9 HCPCS,81291,Chgl Lc - Mthfr Pcr,128.0,64.0,,,0 HCPCS,81291,"Chgl Qu-Mthfr, Dna Mutation Analysis",368.0,184.0,,,0 HCPCS,81291,Mthfr gene,,,65.34,71.46,9 HCPCS,81292,Mlh1 gene full seq,,,675.4,775.49,9 HCPCS,81293,Mlh1 gene known variants,,,310.87,347.55,9 HCPCS,81294,Mlh1 gene dup/delete variant,,,202.4,228.82,9 HCPCS,81295,Msh2 gene full seq,,,182.05,400.78,9 HCPCS,81296,Msh2 gene known variants,,,155.44,354.62,9 HCPCS,81297,Msh2 gene dup/delete variant,,,182.05,223.97,9 HCPCS,81298,Msh6 gene full seq,,,345.4,673.94,9 HCPCS,81299,"Chgl (Lc) Hnpcc: Msh6 (Known Mutation), S/O",432.0,216.0,,,0 HCPCS,81299,Msh6 gene known variants,,,193.49,323.4,9 HCPCS,81300,Msh6 gene dup/delete variant,,,194.02,249.9,9 HCPCS,81301,"Chgl (Neo) Microsatellite Instability By Pcr, S/O",497.0,248.5,,,0 HCPCS,81301,Chgl Arup - Microstellite Instability By Pcr,424.0,212.0,,,0 HCPCS,81301,Microsatellite instability,,,348.56,474.05,9 HCPCS,81302,Mecp2 gene full seq,,,527.87,633.44,9 HCPCS,81303,Mecp2 gene known variant,,,120.0,144.0,9 HCPCS,81304,Mecp2 gene dup/delet variant,,,150.0,180.0,9 HCPCS,81305,"Chgl (Ma) 81305 Myd88, L265P, Somatic Gene Mutation, Dna Allele-Specific Pcr, S/O",773.0,386.5,,,0 HCPCS,81305,"Chgl (Qu) Myd88, Mutation Analysis, S/O",404.0,202.0,,,0 HCPCS,81305,"Chgl Arup-Myd88 L265 Mutation, Pcr",704.0,352.0,,,0 HCPCS,81305,Chgl Knight-Myd88,513.0,256.5,,,0 HCPCS,81305,Chgl Neo-Myd88 Mutation Analysis,504.0,252.0,,,0 HCPCS,81305,Myd88 gene p.leu265pro vrnt,,,175.4,210.48,9 HCPCS,81306,Nudt15 gene common variants,,,291.36,349.63,9 HCPCS,81307,Palb2 gene full gene seq,,,339.46,710.32,9 HCPCS,81308,Palb2 gene known famil vrnt,,,301.35,361.62,9 HCPCS,81309,Chgl Neo- Pik3Ca Ldt Mutation Analy,767.0,383.5,,,0 HCPCS,81309,Pik3ca gene trgt seq alys,,,274.83,329.8,9 HCPCS,81310,Chgl Csi-Npm1 Mutation,535.0,267.5,,,0 HCPCS,81310,Chgl Lc-Npm1 Mutation Analysis,673.0,336.5,,,0 HCPCS,81310,Chgl Qu- Npm(Exon 12) Mut Cell-Base,537.0,268.5,,,0 HCPCS,81310,Npm1 gene,,,246.52,296.57,9 HCPCS,81311,Nras gene variants exon 2&3,,,295.79,354.95,9 HCPCS,81312,"Chgl (Gd) 81312 Pabpn1 Repeat Analysis, S/O",1215.0,607.5,,,0 HCPCS,81312,Chgl Quest-Opmd Dna Test,1311.0,655.5,,,0 HCPCS,81312,Pabpn1 gene detc abnor allel,,,137.0,164.4,9 HCPCS,81313,Chgl Lc-Prostate Cancer Gene3(Pca3),547.0,273.5,,,0 HCPCS,81313,Pca3/klk3 antigen,,,240.18,267.8,9 HCPCS,81314,Chgl Pdgfra Mutation Analysis,944.0,472.0,,,0 HCPCS,81314,Pdgfra gene,,,329.51,395.41,9 HCPCS,81315,"Chgl (Qu) Pml-Rara T(15;17), Quantitative Rt-Pcr, S/O",228.0,114.0,,,0 HCPCS,81315,Chgl Arup-Pml-Rara Translocation,812.0,406.0,,,0 HCPCS,81315,Chgl Lc-Pml-Rara Transcript Detect,1211.0,605.5,,,0 HCPCS,81315,Pml/raralpha com breakpoints,,,207.31,339.4,9 HCPCS,81316,Pml/raralpha 1 breakpoint,,,207.31,517.67,9 HCPCS,81317,Pms2 gene full seq analysis,,,676.5,937.55,9 HCPCS,81318,Pms2 known familial variants,,,221.53,347.55,9 HCPCS,81319,Pms2 gene dup/delet variants,,,203.5,265.99,9 HCPCS,81320,Plcg2 gene common variants,,,291.36,349.63,9 HCPCS,81321,Pten gene full sequence,,,600.0,720.84,9 HCPCS,81322,Pten gene known fam variant,,,46.6,70.08,9 HCPCS,81323,Pten gene dup/delet variant,,,105.12,315.0,9 HCPCS,81324,Pmp22 gene dup/delet,,,758.36,910.03,9 HCPCS,81325,Pmp22 gene full sequence,,,769.58,923.5,9 HCPCS,81326,Pmp22 gene known fam variant,,,46.6,63.42,9 HCPCS,81327,Chgl Lc-Epi Procolon Septin 9 Gene,347.0,173.5,,,0 HCPCS,81327,Sept9 methylation analysis,,,100.4,201.6,9 HCPCS,81328,Slco1b1 gene com variants,,,174.81,209.77,9 HCPCS,81329,Chgl Lc-Sma Carrier Testing,693.0,346.5,,,0 HCPCS,81329,Chgl Mol Diag-Sma Carrier Test Smn1,291.0,145.5,,,0 HCPCS,81329,Chgl Quest-Sma Diagnostic Test,1202.0,601.0,,,0 HCPCS,81329,Smn1 gene dos/deletion alys,,,137.0,164.4,9 HCPCS,81330,Smpd1 gene common variants,,,47.0,56.4,9 HCPCS,81331,"Chgl - Mol Diag-Snrpn Ube3A, Ma",765.0,382.5,,,0 HCPCS,81331,Snrpn/ube3a gene,,,51.07,61.28,9 HCPCS,81332,"Chgl (Qu) Alpha-1-Antitrypsin (Aat) Mutation Analysis, S/O",102.0,51.0,,,0 HCPCS,81332,Chgl Lc-Alpha1-Antitrypsin Defic,468.0,234.0,,,0 HCPCS,81332,Serpina1 gene,,,43.65,71.46,9 HCPCS,81333,Tgfbi gene common variants,,,137.0,164.4,9 HCPCS,81334,Runx1 gene targeted seq alys,,,329.51,395.41,9 HCPCS,81335,Chgl Lc-Il28B Polymorphism,746.0,373.0,,,0 HCPCS,81335,Tpmt gene com variants,,,174.81,209.77,9 HCPCS,81336,Smn1 gene full gene sequence,,,301.35,361.62,9 HCPCS,81337,Smn1 gen nown famil seq vrnt,,,185.2,222.24,9 HCPCS,81338,Chgl Csi-Mpl Mutation,521.0,260.5,,,0 HCPCS,81338,Chgl Lc-Mpl Mutation Analysis,1264.0,632.0,,,0 HCPCS,81338,Mpl gene common variants,,,150.33,180.4,9 HCPCS,81339,Mpl gene seq alys exon 10,,,185.2,222.24,9 HCPCS,81340,"Chgl (Qu) 81340 T-Cell Receptor (Tcr) Beta Gene Rearrangement, Pcr, S/O",390.0,195.0,,,0 HCPCS,81340,Chgl Csi T-Cell Recep Beta Gene Rea,727.0,363.5,,,0 HCPCS,81340,Chgl Lc - T-Cell Receptor Beta Gene Rearrangement,296.0,148.0,,,0 HCPCS,81340,Chgl Neo-T-Cell Receptor Beta Gene,950.0,475.0,,,0 HCPCS,81340,Trb@ gene rearrange amplify,,,208.92,342.02,9 HCPCS,81341,Trb@ gene rearrange dirprobe,,,49.59,81.18,9 HCPCS,81342,"Chgl (Qu) 81342 T-Cell Receptor (Tcr) Gamma Gene Rearrangement, Pcr, S/O",390.0,195.0,,,0 HCPCS,81342,Chgl Csi T-Cell Recep Gamma Gene Re,521.0,260.5,,,0 HCPCS,81342,Chgl Neo-T-Cell Receptor Gamma Gene,521.0,260.5,,,0 HCPCS,81342,Trg gene rearrangement anal,,,201.5,329.88,9 HCPCS,81343,Ppp2r2b gen detc abnor allel,,,137.0,164.4,9 HCPCS,81344,Tbp gene detc abnor alleles,,,137.0,164.4,9 HCPCS,81345,Chgl Neogen-Tert Promoter Mutation Analysis,322.0,161.0,,,0 HCPCS,81345,Tert gene targeted seq alys,,,185.2,222.24,9 HCPCS,81346,Tyms gene com variants,,,174.81,209.77,9 HCPCS,81347,Sf3b1 gene common variants,,,193.25,231.9,9 HCPCS,81348,Srsf2 gene common variants,,,175.4,210.48,9 HCPCS,81349,Cytog alys chrml abnr lw-ps,,,1197.94,1392.0,9 HCPCS,81350,"Chgl (Qu) 81350 Ugt1A1 Gene Polymorphism (Ta Repeat), S/O",56.0,28.0,,,0 HCPCS,81350,Chgl Arup-Ugt1A1 Genotyping,634.0,317.0,,,0 HCPCS,81350,Chgl Lc-Ugt1A1 Irinotecan Toxicity,697.0,348.5,,,0 HCPCS,81350,Chgl Mayo-Ugt1A1 Fgs,1711.0,855.5,,,0 HCPCS,81350,Ugt1a1 gene,,,234.0,280.8,9 HCPCS,81351,Tp53 gene full gene sequence,,,641.85,770.22,9 HCPCS,81352,"Chgl (Qu) Tp53 Somatic Mutation, Prognostic, S/O",970.0,485.0,,,0 HCPCS,81352,Chgl Lc-P53 Mutation Analysis,1271.0,635.5,,,0 HCPCS,81352,Chgl Neogen-Tp53 Mutation Analysis,1646.0,823.0,,,0 HCPCS,81352,Tp53 gene trgt sequence alys,,,329.51,395.41,9 HCPCS,81353,Tp53 gene known famil vrnt,,,308.0,369.6,9 HCPCS,81354,Cytog alys chrml abnor ogm,,,1288.8,1326.71,4 HCPCS,81355,Vkorc1 gene,,,88.2,105.84,9 HCPCS,81357,U2af1 gene common variants,,,193.25,231.9,9 HCPCS,81360,Zrsr2 gene common variants,,,193.25,231.9,9 HCPCS,81361,Hbb gene com variants,,,174.81,209.77,9 HCPCS,81362,Hbb gene known fam variant,,,375.25,450.3,9 HCPCS,81363,Hbb gene dup/del variants,,,202.4,242.88,9 HCPCS,81364,"Chgl (Qu) Beta-Globin Complete, S/O",240.0,120.0,,,0 HCPCS,81364,Chgl Lc-B-Thalassemia Hbb Fgs,1395.0,697.5,,,0 HCPCS,81364,Hbb full gene sequence,,,324.58,389.5,9 HCPCS,81370,Chgl Hla Abc/Drdq Pancreas,4146.0,2073.0,,,0 HCPCS,81370,Chgl Hla Abc/Drdq Dd Shared,4146.0,2073.0,,,0 HCPCS,81370,Chgl Hla Abc/Drdq Heart,4146.0,2073.0,,,0 HCPCS,81370,Chgl Hla Abc/Drdq Lr Donor,4146.0,2073.0,,,0 HCPCS,81370,Chgl Hla Abc/Drdq Renal,4146.0,2073.0,,,0 HCPCS,81370,"Chgl Lc-Hla A,B,C,Dr1,3,4,5 Dq",1932.0,966.0,,,0 HCPCS,81370,Hla i & ii typing lr,,,402.12,658.32,9 HCPCS,81371,Hla i & ii type verify lr,,,394.03,424.75,9 HCPCS,81372,Chgl Donor Organ Heart,2556.0,1278.0,,,0 HCPCS,81372,Chgl Hla Type Abc,2556.0,1278.0,,,0 HCPCS,81372,"Chgl Lc-Hla Typing A,B,C (Ir)",1178.0,589.0,,,0 HCPCS,81372,Hla i typing complete lr,,,361.63,423.77,9 HCPCS,81373,Chgl Lc-Hla B51 Disease Association,374.0,187.0,,,0 HCPCS,81373,Chgl Lc-Hla-A (Ir),420.0,210.0,,,0 HCPCS,81373,Chgl Lc-Hla-B (Ir),420.0,210.0,,,0 HCPCS,81373,Hla i typing 1 locus lr,,,127.43,182.32,9 HCPCS,81374,"Chgl (Qu) Hla-A29 Determination, S/O",190.0,95.0,,,0 HCPCS,81374,"Chgl (Qu) Hla-B27 Dna Typing, S/O",55.0,27.5,,,0 HCPCS,81374,"Chgl (Qu) Hla-B51 Determination, S/O",190.0,95.0,,,0 HCPCS,81374,Chgl Lc-Hla B27 Disease Association,159.0,79.5,,,0 HCPCS,81374,Hla i typing 1 antigen lr,,,74.33,119.1,9 HCPCS,81375,Chgl Dr/Dq Diagnostic,2556.0,1278.0,,,0 HCPCS,81375,"Chgl Lc-Hla Drb1,3,4,5,Dqb1 (Ir)",388.0,194.0,,,0 HCPCS,81375,Hla ii typing ag equiv lr,,,220.74,361.38,9 HCPCS,81376,"Chgl (Qu) Hla Typing For Celiac, S/O",29.0,14.5,,,0 HCPCS,81376,Chgl Hla Dpa Heart,759.0,379.5,,,0 HCPCS,81376,Chgl Hla Dpa Pancreas,759.0,379.5,,,0 HCPCS,81376,Chgl Hla Dpa Renal,759.0,379.5,,,0 HCPCS,81376,Chgl Hla Dpb Heart,759.0,379.5,,,0 HCPCS,81376,Chgl Hla Dpb Pancreas,759.0,379.5,,,0 HCPCS,81376,Chgl Hla Dpb Renal,759.0,379.5,,,0 HCPCS,81376,Chgl Lc-Hla Drb1 Intermediate Resol,158.0,79.0,,,0 HCPCS,81376,Hla ii typing 1 locus lr,,,122.22,200.09,9 HCPCS,81377,"Chgl (Qu) 81377 Hla-Dq Typing For Narcolepsy, S/O",159.0,79.5,,,0 HCPCS,81377,Chgl Lc-Celiac Hla Dq2 Assoc,412.0,206.0,,,0 HCPCS,81377,Hla ii type 1 ag equiv lr,,,94.74,150.3,9 HCPCS,81378,"Chgl Lc-Hla A,B,C,Drb1 Profile",2191.0,1095.5,,,0 HCPCS,81378,Hla i & ii typing hr,,,345.57,565.73,9 HCPCS,81379,Hla i typing complete hr,,,335.38,549.05,9 HCPCS,81380,Hla i typing 1 locus hr,,,177.25,290.17,9 HCPCS,81381,"Chgl (Qu) Hla-B*5701 Typing, S/O",155.0,77.5,,,0 HCPCS,81381,Chgl Lc-Hla B 5701,248.0,124.0,,,0 HCPCS,81381,Chgl Lc-Hla B 58:01,546.0,273.0,,,0 HCPCS,81381,Chgl Lc-Hla B*1502 Screen,520.0,260.0,,,0 HCPCS,81381,Chgl Lc-Hla-A29 Uvetis Birshot Chor,634.0,317.0,,,0 HCPCS,81381,Hla i typing 1 allele hr,,,154.84,178.4,9 HCPCS,81382,"Chgl (Qu) Hla Typing For Celiac, S/O",29.0,14.5,,,0 HCPCS,81382,Hla ii typing 1 loc hr,,,123.68,202.48,9 HCPCS,81383,"Chgl (Qu) 81383 Hla-Dq Typing For Narcolepsy, S/O",46.0,23.0,,,0 HCPCS,81383,Chgl Lc-Narcolepsy Evaluation,601.0,300.5,,,0 HCPCS,81383,Hla ii typing 1 allele hr,,,109.13,178.66,9 HCPCS,81400,"Chgl (Qu) Plasminogen Activator Inhibitor-1 4G/5G, S/O",112.0,56.0,,,0 HCPCS,81400,Chgl Lc-Pai-1 4G/5G Polymorphism,380.0,190.0,,,0 HCPCS,81400,Mopath procedure level 1,,,63.96,76.75,9 HCPCS,81401,"Chgl (Lc) 81401 Apoe Alzheimer's Risk, S/O",340.0,170.0,,,0 HCPCS,81401,"Chgl (Ma) 81401 Apolipoprotein E Genotyping, Blood, S/O",585.0,292.5,,,0 HCPCS,81401,"Chgl (Prom) 81401 Prometheus Crohn's Prognostic, S/O",790.0,395.0,,,0 HCPCS,81401,"Chgl (Qu) 81401 Admark? Apoe Genotype Analysis & Interpretation (Symptomatic), S/O",565.0,282.5,,,0 HCPCS,81401,"Chgl (Qu) 81401 Cardio Iq Apoe Genotype, S/O",293.0,146.5,,,0 HCPCS,81401,Chgl Lc-Apo E Genotyping Cardiorisk,621.0,310.5,,,0 HCPCS,81401,Chgl Lc-Apoe Alzheimer's Risk,591.0,295.5,,,0 HCPCS,81401,Mopath procedure level 2,,,137.0,164.4,9 HCPCS,81402,Chgl Lc-Cah 21-Hydroxylase (Cyp21),820.0,410.0,,,0 HCPCS,81402,Mopath procedure level 3,,,150.33,180.4,9 HCPCS,81403,"Chgl (Lc) 81403 Killer Immunoglobulin-Like Receptors (Kir), S/O",435.0,217.5,,,0 HCPCS,81403,"Chgl (Qu) Y Chromosome Microdeletion, Dna Analysis, S/O",258.0,129.0,,,0 HCPCS,81403,Chgl Mayo-Hemophilia A F8 Gene,1267.0,633.5,,,0 HCPCS,81403,Chgl Neogen-Nras Exon 4 Mutation,649.0,324.5,,,0 HCPCS,81403,Mopath procedure level 4,,,185.2,222.24,9 HCPCS,81404,Chgl Lc-Mefv Fgs,1979.0,989.5,,,0 HCPCS,81404,Chgl Lc-Von Hippel-Lindau Dis Fgs,1110.0,555.0,,,0 HCPCS,81404,Chgl Mayo-Transthyretin (Ttr Fgs),1386.0,693.0,,,0 HCPCS,81404,Chgl Mol Diag-Fgfr,707.0,353.5,,,0 HCPCS,81404,Mopath procedure level 5,,,274.83,329.8,9 HCPCS,81405,"Chgl (Lc) Calcium-Sensing Receptor (Casr) Gene Sequencing Analysis, S/O",1215.0,607.5,,,0 HCPCS,81405,"Chgl (Qu) 81405 Familial Hypocalciuric Hypercalcemia (Casr) Dna Sequencing Test, S/O",2035.0,1017.5,,,0 HCPCS,81405,Chgl - Lc Gla Full Gene Sequencing,1968.0,984.0,,,0 HCPCS,81405,Chgl Athena - Gfap (Alexander Disease) Sequencing Test,2295.0,1147.5,,,0 HCPCS,81405,"Chgl Lc-Men1 Gene, Seq Analysis",3403.0,1701.5,,,0 HCPCS,81405,Chgl Lc-Men2: Ret Gene Sequencing,791.0,395.5,,,0 HCPCS,81405,Chgl Lc-Tgfbr1 Fgs,1038.0,519.0,,,0 HCPCS,81405,Chgl Quest-Tymp Dna Sequencing,1520.0,760.0,,,0 HCPCS,81405,Mopath procedure level 6,,,301.35,361.62,9 HCPCS,81406,"Chgl (In) 81406 Invitae Multiple Endocrine Neoplasia Type 2 Test, S/O",1515.0,757.5,,,0 HCPCS,81406,Chgl Arup-Wilson Disease Atp7B Seq.,1978.0,989.0,,,0 HCPCS,81406,Chgl Lc-Aire Gene Autoimmune Polyglandular Syndrome Type 1,1386.0,693.0,,,0 HCPCS,81406,Chgl Lc-Wilson Disease Atp7B Fgs,2574.0,1287.0,,,0 HCPCS,81406,"Chgl Mayo-Pompe Disease, Full Gene",4394.0,2197.0,,,0 HCPCS,81406,Mopath procedure level 7,,,282.88,339.46,9 HCPCS,81407,Chgl Athena-Optic Atrophy (Opa1),3419.0,1709.5,,,0 HCPCS,81407,Chgl Neogen-Notch1 Mutation Analysi,1693.0,846.5,,,0 HCPCS,81407,Mopath procedure level 8,,,846.27,1015.52,9 HCPCS,81408,Chgl Lc-Fbn-1 Marfan Syndrome Fgs,5713.0,2856.5,,,0 HCPCS,81408,Chgl Ver-Vwf Fgs,2199.0,1099.5,,,0 HCPCS,81408,Mopath procedure level 9,,,2000.0,2400.0,9 HCPCS,81410,Aortic dysfunction/dilation,,,504.0,604.8,9 HCPCS,81411,Aortic dysfunction/dilation,,,1350.19,1620.23,9 HCPCS,81412,Ashkenazi jewish assoc dis,,,722.52,2570.99,9 HCPCS,81413,Car ion chnnlpath inc 10 gns,,,584.9,962.8,9 HCPCS,81413,Chgl Lc-Cardio Familial Arrhythmia,5090.0,2545.0,,,0 HCPCS,81414,Car ion chnnlpath inc 2 gns,,,584.9,962.8,9 HCPCS,81415,"Chgl (Gd) 81415 Diagnostic Testing / Xomedx / Whole Exome Sequence Analysis, S/O",5515.0,2757.5,,,0 HCPCS,81415,Exome sequence analysis,,,4780.0,5736.0,9 HCPCS,81416,Exome sequence analysis,,,12000.0,14400.0,9 HCPCS,81417,Exome re-evaluation,,,320.0,384.0,9 HCPCS,81418,Rx metab gen seq alys pnl 6,,,917.08,1100.5,9 HCPCS,81419,Epilepsy gen seq alys panel,,,2448.56,2938.27,9 HCPCS,81420,"Chgl (Lc) 81420 Maternit21 Plus Core (Chr21,18,13) No Gender, S/O",810.0,405.0,,,0 HCPCS,81420,"Chgl (Lc) 81420 Maternit21 Plus, S/O",810.0,405.0,,,0 HCPCS,81420,Chgl Lc-Maternit Genome,4216.0,2108.0,,,0 HCPCS,81420,Fetal chrmoml aneuploidy,,,759.05,962.8,9 HCPCS,81422,Fetal chrmoml microdeltj,,,759.05,962.8,9 HCPCS,81425,Genome sequence analysis,,,5031.2,6037.44,9 HCPCS,81426,Genome sequence analysis,,,2709.95,3251.94,9 HCPCS,81427,Genome re-evaluation,,,2337.65,2805.18,9 HCPCS,81430,Hearing loss sequence analys,,,1625.0,1950.0,9 HCPCS,81431,Hearing loss dup/del analys,,,679.57,815.48,9 HCPCS,81432,Chgl Lc Vistaseq Hereditary Cancer,5521.0,2760.5,,,0 HCPCS,81432,Hrdtry brst ca-rlatd dsordrs,,,1117.78,1369.15,9 HCPCS,81433,Hrdtry brst ca-rlatd dsordrs,,,438.93,722.52,5 HCPCS,81434,Hereditary retinal disorders,,,597.91,722.52,9 HCPCS,81435,Hereditary colon ca dsordrs,,,955.12,1369.15,9 HCPCS,81436,Hereditary colon ca dsordrs,,,584.9,955.12,5 HCPCS,81437,Heredtry nurondcrn tum dsrdr,,,722.52,1369.15,9 HCPCS,81438,Heredtry nurondcrn tum dsrdr,,,438.93,722.52,5 HCPCS,81439,Inherited cardmypthy 5 gns,,,584.9,962.8,9 HCPCS,81440,Mitochondrial gene,,,3324.0,3988.8,9 HCPCS,81441,Ibmfs seq alys pnl 30 genes,,,2448.56,2938.27,9 HCPCS,81442,Noonan spectrum disorders,,,722.52,2250.78,9 HCPCS,81443,Chgl Mach-Ahus Genetic Panel,4699.0,2349.5,,,0 HCPCS,81443,Chgl Qu-Limb Gridle Musc Dys Adv Ev,5899.0,2949.5,,,0 HCPCS,81443,Genetic tstg severe inh cond,,,2448.56,2938.27,9 HCPCS,81445,Chgl Mol Diag - Oncomine Precision Assay,2775.0,1387.5,,,0 HCPCS,81445,Chgl Mol Diag-Solid Tumor Dna Only,1971.0,985.5,,,0 HCPCS,81445,Targeted genomic seq analys,,,107.8,627.81,9 HCPCS,81448,Hrdtry perph neurphy panel,,,584.9,866.52,9 HCPCS,81449,Tgsap so neo 5-50 rna alys,,,597.91,717.49,9 HCPCS,81450,"Chgl (Neo) Neotype Lymphoma Profile, S/O",1150.0,575.0,,,0 HCPCS,81450,Chgl Br-Onkosight Aml Panel,1502.0,751.0,,,0 HCPCS,81450,Chgl Br-Onkosight Mds Panel,1586.0,793.0,,,0 HCPCS,81450,Chgl Br-Onkosight Myeloid Diso. Pnl,1665.0,832.5,,,0 HCPCS,81450,Chgl Lc-Intelligen(R) Myeloid,4036.0,2018.0,,,0 HCPCS,81450,Chgl Mayo-Oncoheme Ngs,4684.0,2342.0,,,0 HCPCS,81450,Chgl Neo-Neotype Aml Prognostic,2536.0,1268.0,,,0 HCPCS,81450,Chgl Neo-Neotype Myeloid Diso Prfil,4311.0,2155.5,,,0 HCPCS,81450,Chgl Neogen-Mds Cmml Profile,3981.0,1990.5,,,0 HCPCS,81450,Chgl Qu-Leukovantage Mpns,4080.0,2040.0,,,0 HCPCS,81450,Targeted genomic seq analys,,,107.8,797.51,9 HCPCS,81451,Tgsap hl neo 5-50 rna alys,,,759.53,911.44,9 HCPCS,81455,Targeted genomic seq analys,,,2919.6,3503.52,9 HCPCS,81456,Tgsap so/hl 51/< rna alys,,,2919.6,3503.52,9 HCPCS,81457,So neo gsap dna mcrstl ins,,,896.87,941.71,7 HCPCS,81458,So gsap dna cpy nmbr&mcrstl,,,1046.35,1098.67,7 HCPCS,81459,So neo gsap dna/dna&rna,,,2989.55,3139.03,7 HCPCS,81460,Whole mitochondrial genome,,,1287.0,1544.4,9 HCPCS,81462,So gsap cll fr dna/dna&rna,,,1195.83,1255.62,7 HCPCS,81463,So gsap cl fr cpy nmbr&mcrst,,,1345.31,1412.58,7 HCPCS,81464,So gsap cll fr mcrstl ins,,,3288.51,3452.94,7 HCPCS,81465,Whole mitochondrial genome,,,936.0,1123.2,9 HCPCS,81470,X-linked intellectual dblt,,,914.0,1096.8,9 HCPCS,81471,X-linked intellectual dblt,,,914.0,1096.8,9 HCPCS,81479,"Chgl (Ar) 81479 Alport Syndrome Panel, Sequencing And Del/Dupl, S/O",2408.0,1204.0,,,0 HCPCS,81479,"Chgl (Lc) 81479 Geneseq(R) Plus, Dmd, S/O",1275.0,637.5,,,0 HCPCS,81479,"Chgl (Lc) 81479 Jak2V617F Mutation Anls, Quantitative, W Reflex To Calr Mutation And Mdl Mutation An",215.0,107.5,,,0 HCPCS,81479,"Chgl (Lc) 81479 Scn10A Full Gene Sequencing Analysis, S/O",837.0,418.5,,,0 HCPCS,81479,"Chgl (Lc) 81479 Scn9A Full Gene Sequencing & Copy Number Analysis, S/O",837.0,418.5,,,0 HCPCS,81479,"Chgl (Lc) Hemophagocytic Lymphohistocytosis (Hlh) Genetic Analysis, S/O",2175.0,1087.5,,,0 HCPCS,81479,"Chgl (Ma) 81479 Cxcr4 Mutation Analysis, Somatic, Lymphoplasmacytic Lymphoma/Waldenstrom Macro, S/O",868.0,434.0,,,0 HCPCS,81479,"Chgl (Ma) 81479 Platelet Disorders, Comprehensive Gene Panel, Next-Generation Sequencing, Varies, S/",2540.0,1270.0,,,0 HCPCS,81479,"Chgl (Ma) 81479 T-Cell Receptor Gene Rearrangement, Pcr, S/O",812.0,406.0,,,0 HCPCS,81479,"Chgl (Neo) 81479 Cxcr4 Mutation Analysis, S/O",425.0,212.5,,,0 HCPCS,81479,"Chgl (Neo) 81479 Neo Comprehensive - Heme Cancers, S/O",4465.0,2232.5,,,0 HCPCS,81479,"Chgl (Neo) Neotype Cll Profile, S/O",515.0,257.5,,,0 HCPCS,81479,"Chgl (Neo) Neotype Dna & Rna Profile Brain W Mgmt, S/O",1253.0,626.5,,,0 HCPCS,81479,"Chgl (Prom) 81479 Prometheus Ibd Sgi Diagnostic, S/O",730.0,365.0,,,0 HCPCS,81479,"Chgl (Qu) 81479 Bcr-Abl1 Gene Rearrangement, Quantitative, Pcr, S/O",103.0,51.5,,,0 HCPCS,81479,"Chgl (Qu) 81479 Csf3R Mutation Analysis, S/O",115.0,57.5,,,0 HCPCS,81479,"Chgl (Qu) 81479 Jak2 V617F Mutation Analysis, S/O",140.0,70.0,,,0 HCPCS,81479,"Chgl (Qu) 81479 Jak2, Exon 12 Mutation Analysis, S/O",140.0,70.0,,,0 HCPCS,81479,"Chgl (Qu) 81479 Lynch Syndrome Panel, S/O",1360.0,680.0,,,0 HCPCS,81479,"Chgl (Qu) 81479 Myeloproliferative Neoplasms (Mpn) Mini Panel, S/O",1255.0,627.5,,,0 HCPCS,81479,"Chgl (Qu) Accutype(R) Warfarin, S/O",515.0,257.5,,,0 HCPCS,81479,"Chgl (Qu) B-Cell Clonality Panel (Igh.Igk), Pcr, S/O",522.0,261.0,,,0 HCPCS,81479,"Chgl (Qu) Calreticulin (Calr) Mutation Analysis, S/O",115.0,57.5,,,0 HCPCS,81479,"Chgl (Qu) Flt3 Mutation Analysis, S/O",365.0,182.5,,,0 HCPCS,81479,"Chgl (Qu) Mpl Mutation Analysis, S/O",165.0,82.5,,,0 HCPCS,81479,"Chgl (Qu) T-Cell Clonality Panel, S/O",615.0,307.5,,,0 HCPCS,81479,Chgl Arup-Idh1 Mutation Exon 4,614.0,307.0,,,0 HCPCS,81479,Chgl Arup-Periodic Fever Syndromes,4935.0,2467.5,,,0 HCPCS,81479,Chgl Bcr-Abl1 Quantitative,445.0,222.5,,,0 HCPCS,81479,Chgl Caris-Mi Profile,2935.0,1467.5,,,0 HCPCS,81479,Chgl Csi - Flt3 Mutation,562.0,281.0,,,0 HCPCS,81479,Chgl Csi - Idh1 & Idh2 Mutations,768.0,384.0,,,0 HCPCS,81479,Chgl Csi - Myd88,521.0,260.5,,,0 HCPCS,81479,Chgl Gd-Custom Panel,6372.0,3186.0,,,0 HCPCS,81479,Chgl Gtc - Hematology Profile Plus,3707.0,1853.5,,,0 HCPCS,81479,Chgl Gtc-Hematology Profile,3488.0,1744.0,,,0 HCPCS,81479,Chgl Lc - Ahus Genetic Analysis,2175.0,1087.5,,,0 HCPCS,81479,Chgl Lc - Pancreatitis Three-Gene Profile,3822.0,1911.0,,,0 HCPCS,81479,Chgl Lc-B-Cell Rearrangment Profile,685.0,342.5,,,0 HCPCS,81479,Chgl Lc-Bcr/Abl Quant Pcr,551.0,275.5,,,0 HCPCS,81479,Chgl Lc-Calr & Mpl Mutation Analysi,1822.0,911.0,,,0 HCPCS,81479,Chgl Lc-Calr+Jak2 12-15+Mpl Mutatio,1280.0,640.0,,,0 HCPCS,81479,Chgl Lc-Flt3 Idt & D835 Var Det Pcr,478.0,239.0,,,0 HCPCS,81479,Chgl Lc-Idh1 Idh2 Mutation Analysis,1134.0,567.0,,,0 HCPCS,81479,"Chgl Lc-Infertility-Male,Y Deletion",371.0,185.5,,,0 HCPCS,81479,Chgl Lc-Nras Mutation By Pcr Snpsht,1193.0,596.5,,,0 HCPCS,81479,Chgl Lc-Tcrb & Tcrg Gene Profile,765.0,382.5,,,0 HCPCS,81479,Chgl Ma - Flcn Full Gene Analysis,1976.0,988.0,,,0 HCPCS,81479,"Chgl Ma - Foxl2 Mutation Analysis, Tumor",1729.0,864.5,,,0 HCPCS,81479,Chgl Mol Diag - Extended Kras,718.0,359.0,,,0 HCPCS,81479,Chgl Mol Diag-Braf Ngs,535.0,267.5,,,0 HCPCS,81479,Chgl Mol Diag-Nras Mutation Analy,733.0,366.5,,,0 HCPCS,81479,Chgl Myeloid Ngs Panel,2437.0,1218.5,,,0 HCPCS,81479,Chgl Neo-B-Cell Gene Rearrangement,722.0,361.0,,,0 HCPCS,81479,Chgl Neo-Colorectal Tumor Profile,3164.0,1582.0,,,0 HCPCS,81479,Chgl Neo-Cxcr4 Mutation Analysis,637.0,318.5,,,0 HCPCS,81479,Chgl Neo-Neotype Brain Tumor Profil,5597.0,2798.5,,,0 HCPCS,81479,Chgl Neo-Neotype Lung Tumor Profile,5054.0,2527.0,,,0 HCPCS,81479,Chgl Neogen-Idh1 And Idh2 Mutations Analysis (Bi-Directional Seq),419.0,209.5,,,0 HCPCS,81479,Chgl Neogen-Neotype Pancreas Tumor Profile,2564.0,1282.0,,,0 HCPCS,81479,Chgl Neogen-Ras Raf Panel,2065.0,1032.5,,,0 HCPCS,81479,Chgl Neogenomics-Breast Tumor Profile,2116.0,1058.0,,,0 HCPCS,81479,Chgl Qu-Jak2 Exon 12 Mutation,652.0,326.0,,,0 HCPCS,81479,Chgl Qu-Lymphocyte Clonality Panel,2263.0,1131.5,,,0 HCPCS,81479,Chgl Qu-Sept9 Dna Squencing Test,1477.0,738.5,,,0 HCPCS,81479,Chgl Quest Mollecular Thyroid Panel,5867.0,2933.5,,,0 HCPCS,81479,Chgl Quest-Athena Notch3 Dna Seq,5210.0,2605.0,,,0 HCPCS,81479,Chgl Quest-Complete Hnpp Evaluation,2952.0,1476.0,,,0 HCPCS,81479,Chgl Quest-Lhon Mtdna Evaluation,2302.0,1151.0,,,0 HCPCS,81479,Chgl Wu - Myeloid Gene Panel By Ngs,1320.0,660.0,,,0 HCPCS,81479,Chgl-Neogen-Kras Mutation Analysis,739.0,369.5,,,0 HCPCS,81490,Autoimmune rheumatoid arthr,,,708.73,882.68,9 HCPCS,81490,"Chgl (Lc) Vectra, S/O",1004.0,502.0,,,0 HCPCS,81493,Cor artery disease mrna,,,1050.0,1250.82,9 HCPCS,81500,"Chgl (Qu) 81500 Roma (Risk Of Ovarian Malignancy Algorithm), S/O",467.0,233.5,,,0 HCPCS,81500,Chgl Lc Ovarian Malignancy Panel,442.0,221.0,,,0 HCPCS,81500,Onco (ovar) two proteins,,,260.5,312.6,9 HCPCS,81503,Onco (ovar) five proteins,,,897.0,1076.4,9 HCPCS,81504,Oncology tissue of origin,,,520.0,624.0,9 HCPCS,81506,Endo assay seven anal,,,68.92,97.24,9 HCPCS,81507,Fetal aneuploidy trisom risk,,,795.0,954.0,9 HCPCS,81508,"Chgl (Qu) First Trimester Screen, Hcg, S/O",60.0,30.0,,,0 HCPCS,81508,"Chgl (Qu) First Trimester Screen, Hyperglycosylated Hcg, S/O",218.0,109.0,,,0 HCPCS,81508,"Chgl (Qu) Sequential Integrated Screen, Part 1, S/O",72.0,36.0,,,0 HCPCS,81508,Ftl cgen abnor two proteins,,,54.3,65.16,9 HCPCS,81509,Ftl cgen abnor 3 proteins,,,1487.37,1784.84,9 HCPCS,81510,Ftl cgen abnor three anal,,,55.54,66.65,9 HCPCS,81511,"Chgl (Qu) Quad Screen, S/O",45.0,22.5,,,0 HCPCS,81511,"Chgl (Qu) Sequential Integrated Screen, Part 2, S/O",69.0,34.5,,,0 HCPCS,81511,"Chgl (Qu) Serum Integrated Screen, Part 2, S/O",266.0,133.0,,,0 HCPCS,81511,Ftl cgen abnor four anal,,,153.5,184.2,9 HCPCS,81512,Ftl cgen abnor five anal,,,69.52,83.42,9 HCPCS,81513,"Chgl (Qu) Sureswab(R) Advanced Vaginitis Plus, Tma, S/O",275.0,137.5,,,0 HCPCS,81513,Nfct ds bv rna vag flu alg,,,142.63,171.16,9 HCPCS,81514,Nfct ds bv&vaginitis dna alg,,,262.99,315.59,9 HCPCS,81515,Nfct ds bv&vaginitis dna alg,,,262.99,276.14,7 HCPCS,81517,"Chgl (Qu) 81517 Enhanced Liver Fibrosis (Elf) Score, S/O",355.0,177.5,,,0 HCPCS,81517,Liver ds alys 3 bmrk srm alg,,,176.19,211.43,9 HCPCS,81518,Onc brst mrna 11 genes,,,3873.0,4647.6,9 HCPCS,81519,Chgl Gh - Oncotype Dx Breast Cancer Assay,4635.0,2317.5,,,0 HCPCS,81519,Oncology breast mrna,,,3873.0,4099.01,9 HCPCS,81520,Onc breast mrna 58 genes,,,2510.21,3718.82,9 HCPCS,81521,Onc breast mrna 70 genes,,,3873.0,4647.6,9 HCPCS,81522,Onc breast mrna 12 genes,,,3873.0,4647.6,9 HCPCS,81523,Onc brst mrna 70 cnt 31 gene,,,3873.0,4647.6,9 HCPCS,81525,Oncology colon mrna,,,3116.0,3750.88,9 HCPCS,81528,Oncology colorectal scr,,,508.87,610.64,9 HCPCS,81529,Onc cutan mlnma mrna 31 gene,,,7193.0,8631.6,9 HCPCS,81535,Oncology gynecologic,,,579.46,695.35,9 HCPCS,81536,Oncology gynecologic,,,177.56,213.07,9 HCPCS,81538,Oncology lung,,,2552.14,3014.55,9 HCPCS,81539,Oncology prostate prob score,,,722.52,798.0,9 HCPCS,81540,Chgl Biother-Cancer Type Id,7856.0,3928.0,,,0 HCPCS,81540,Oncology tum unknown origin,,,3504.36,3937.5,9 HCPCS,81541,Onc prostate mrna 46 genes,,,3873.0,4647.6,9 HCPCS,81542,Onc prostate mrna 22 cnt gen,,,3873.0,4647.6,9 HCPCS,81546,"Onc thyr mrna 10,196 gen alg",,,3600.0,4320.0,9 HCPCS,81551,Onc prostate 3 genes,,,2030.0,2436.0,9 HCPCS,81552,Onc uveal mlnma mrna 15 gene,,,7776.0,9331.2,9 HCPCS,81554,Pulm ds ipf mrna 190 gen alg,,,5445.0,6600.0,9 HCPCS,81558,Trnspl rej kdn mrna qpcr 139,,,3240.0,3402.0,7 HCPCS,81560,Trnsplj pd lvr&bwl cd154+cll,,,640.73,768.88,9 HCPCS,81595,Cardiology hrt trnspl mrna,,,3240.0,3408.9,9 HCPCS,81596,"Chgl (Qu) 81596 Liver Fibrosis Fibrotest-Actitest Panel, S/O",140.0,70.0,,,0 HCPCS,81596,"Chgl (Qu) Liver Fibrosis, Fibrotest-Actitest Panel, S/O",140.0,70.0,,,0 HCPCS,81596,Chgl Lc-Hepatitis C Virus Fibrosure,274.0,137.0,,,0 HCPCS,81596,Nfct ds chrnc hcv 6 assays,,,72.19,86.63,9 HCPCS,82000,Assay of blood acetaldehyde,,,86.0,86.0,1 HCPCS,82003,Assay of acetaminophen,,,147.34,147.34,1 HCPCS,82009,Chgl Acetone Serum,138.0,69.0,,,0 HCPCS,82009,Test for acetone/ketones,,,4.52,32.57,10 HCPCS,82010,Acetone assay,,,8.17,59.02,10 HCPCS,82010,Chgl Acetone Glc,147.0,73.5,,,0 HCPCS,82010,Chgl Beta Hydroxybutyrate,147.0,73.5,,,0 HCPCS,82013,Acetylcholinesterase assay,,,12.29,80.74,10 HCPCS,82016,Acylcarnitines qual,,,16.49,103.18,10 HCPCS,82017,Acylcarnitines quant,,,16.87,106.7,10 HCPCS,82017,"Chgl (Qu) Acylcarnitine, Plasma, S/O",75.0,37.5,,,0 HCPCS,82017,Chgl Acylcarnitine Profile,864.0,432.0,,,0 HCPCS,82024,Assay of acth,,,38.62,286.04,10 HCPCS,82024,"Chgl (Qu) Acth, Plasma, S/O",21.0,10.5,,,0 HCPCS,82024,Chgl Acth,652.0,326.0,,,0 HCPCS,82030,Assay of adp & amp,,,25.8,177.9,10 HCPCS,82030,Chgl Cyclic Amp Plasma,379.0,189.5,,,0 HCPCS,82030,Chgl Cyclic Amp Urine,379.0,189.5,,,0 HCPCS,82040,Assay of serum albumin,,,4.95,35.67,10 HCPCS,82040,Chga-Albumin,72.0,36.0,,,0 HCPCS,82040,"Chgl (Qu) Igg Synthesis Rate/Index, Csf, S/O",7.0,3.5,,,0 HCPCS,82040,"Chgl (Qu) Multiple Sclerosis Panel 2, S/O",4.0,2.0,,,0 HCPCS,82040,"Chgl (Qu) Porphobilinogen, 24 Hr Ur, S/O",1.0,0.5,,,0 HCPCS,82040,"Chgl (Qu) Testosterone, Free, Bioavailable And Total, Ms, S/O",4.0,2.0,,,0 HCPCS,82040,Chgl Albumin,10.0,5.0,,,0 HCPCS,82040,Chgl Albumin Serum(Ms Profile),72.0,36.0,,,0 HCPCS,82042,Assay of urine albumin,,,7.78,33.48,10 HCPCS,82042,"Chgl (Qu) Albumin, Csf, S/O",19.0,9.5,,,0 HCPCS,82042,"Chgl (Qu) Csf Igg/Albumin Ratio, S/O",15.0,7.5,,,0 HCPCS,82042,"Chgl (Qu) Igg Synthesis Rate/Index, Csf, S/O",10.0,5.0,,,0 HCPCS,82042,"Chgl (Qu) Multiple Sclerosis Panel 2, S/O",6.0,3.0,,,0 HCPCS,82042,Chgl Albumin Csf,75.0,37.5,,,0 HCPCS,82042,Chgl Albumin Csf(Ms Profile),75.0,37.5,,,0 HCPCS,82042,Chgl Albumin Fluid,75.0,37.5,,,0 HCPCS,82043,Chgl Microalbumin Qnt Random U,164.0,82.0,,,0 HCPCS,82043,Microalbumin quantitative,,,5.78,41.52,10 HCPCS,82044,Microalbumin semiquant,,,6.23,29.62,10 HCPCS,82045,Albumin ischemia modified,,,33.94,251.71,10 HCPCS,82055,Assay of ethanol,,,80.12,80.12,1 HCPCS,82075,Assay of breath ethanol,,,20.71,88.18,10 HCPCS,82077,Assay spec xcp ur&breath ia,,,17.27,20.72,9 HCPCS,82077,Chgl Alcohol Ethyl,518.0,259.0,,,0 HCPCS,82085,Assay of aldolase,,,9.71,72.87,10 HCPCS,82085,"Chgl (Qu) Aldolase, S/O",21.0,10.5,,,0 HCPCS,82085,Chgl Aldolase,287.0,143.5,,,0 HCPCS,82088,Assay of aldosterone,,,40.75,302.89,10 HCPCS,82088,"Chgl (Qu) 82088 Aldosterone, 24-Hour Urine With Creatinine, S/O",38.0,19.0,,,0 HCPCS,82088,"Chgl (Qu) 82088 Aldosterone/Cortisol Ratio, Adrenal Vein Sampling 1 Site, S/O",79.0,39.5,,,0 HCPCS,82088,"Chgl (Qu) Aldosterone, Lc/Ms/Ms, S/O",34.0,17.0,,,0 HCPCS,82088,"Chgl (Qu) Aldosterone/Cortisol Ratio, 2 Sites, S/O",26.0,13.0,,,0 HCPCS,82088,"Chgl (Qu) Aldosterone/Cortisol Ratio, 3 Sites, S/O",24.0,12.0,,,0 HCPCS,82088,"Chgl (Qu) Aldosterone/Plasma Renin Activity Ratio, Lc/Ms/Ms, S/O",31.0,15.5,,,0 HCPCS,82088,Chgl Aldosterone Serum,465.0,232.5,,,0 HCPCS,82088,Chgl Aldosterone Urine,465.0,232.5,,,0 HCPCS,82101,Assay of urine alkaloids,,,208.8,208.8,1 HCPCS,82103,Alpha-1-antitrypsin total,,,13.44,99.37,10 HCPCS,82103,"Chgl (Qu) 82103 Alpha-1-Antitrysin, Random Feces, S/O",36.0,18.0,,,0 HCPCS,82103,"Chgl (Qu) Alpha 1 Antitrypsin (Aat) Qn And Phenotype, S/O",21.0,10.5,,,0 HCPCS,82103,"Chgl (Qu) Alpha-1-Antitrypsin Quantitation, S/O",25.0,12.5,,,0 HCPCS,82103,Chgl Alpha-1-Antitrypsin,172.0,86.0,,,0 HCPCS,82103,"Chgl Alpha-1-Antitrypsin,Stool",172.0,86.0,,,0 HCPCS,82103,"Chgl Alpha-1-Antitrypsin,Total",172.0,86.0,,,0 HCPCS,82104,Alpha-1-antitrypsin pheno,,,14.46,107.89,10 HCPCS,82104,"Chgl (Qu) Alpha 1 Antitrypsin (Aat) Qn And Phenotype, S/O",22.0,11.0,,,0 HCPCS,82104,"Chgl (Qu) Alpha-1-Antitrypsin (Aat) Phenotype, S/O",33.0,16.5,,,0 HCPCS,82104,"Chgl Alpha-1-Antitrypsin,Phenotype",184.0,92.0,,,0 HCPCS,82105,Alpha-fetoprotein serum,,,16.77,121.67,10 HCPCS,82105,"Chgl (Qu) Maternal Serum Afp, S/O",23.0,11.5,,,0 HCPCS,82105,Chgl Afp Triple Screen,212.0,106.0,,,0 HCPCS,82105,Chgl Alpha Feto Screen(P),212.0,106.0,,,0 HCPCS,82105,Chgl Alpha Fetoprotein,212.0,106.0,,,0 HCPCS,82106,Alpha-fetoprotein amniotic,,,17.0,121.67,10 HCPCS,82106,"Chgl (Qu) Alpha-Fetoprotein,Af W/Rfl To Ache/Fetal Hgb, S/O",37.0,18.5,,,0 HCPCS,82106,Chgl Alpha Fetoprotein Fluid,258.0,129.0,,,0 HCPCS,82107,Alpha-Fetoprotein L3,,,64.41,467.63,10 HCPCS,82107,"Chgl (Qu) Alpha-Fetoprotein (Afp) And Afp-L3, S/O",54.0,27.0,,,0 HCPCS,82107,Chgl Afp W/Afp-L3% Serum,614.0,307.0,,,0 HCPCS,82108,Assay of aluminum,,,25.48,176.53,10 HCPCS,82108,"Chgl (Qu) Aluminum, S/O",26.0,13.0,,,0 HCPCS,82108,Chgl Aluminum Serum,313.0,156.5,,,0 HCPCS,82120,Amines vaginal fluid qual,,,5.99,26.07,10 HCPCS,82127,Amino acid single qual,,,14.18,103.18,10 HCPCS,82128,Amino acids mult qual,,,13.87,103.18,10 HCPCS,82131,Amino acids single quant,,,22.98,126.81,10 HCPCS,82131,"Chgl (Qu) Cystine, 24-Hour Urine, S/O",28.0,14.0,,,0 HCPCS,82131,"Chgl (Qu) Tryptophan, S/O",112.0,56.0,,,0 HCPCS,82131,Chgl Cystine Urine Qnt,99.0,49.5,,,0 HCPCS,82131,"Chgl Cystine,Urine (Ks Panel)",99.0,49.5,,,0 HCPCS,82135,Assay aminolevulinic acid,,,16.45,122.18,10 HCPCS,82135,"Chgl (Qu) Delta-Aminolevulinic Acid, Random Urine, S/O",36.0,18.0,,,0 HCPCS,82135,Chgl Aminolevulinic Acid,247.0,123.5,,,0 HCPCS,82136,Amino acids quant 2-5,,,19.61,109.57,10 HCPCS,82139,Amino acids quan 6 or more,,,16.87,109.57,10 HCPCS,82139,"Chgl (Qu) Amino Acid Analysis, Lc/Ms, Urine, S/O",113.0,56.5,,,0 HCPCS,82139,Chgl Am Acid Quan Plasma,215.0,107.5,,,0 HCPCS,82139,Chgl Am Acid Quan Urine,215.0,107.5,,,0 HCPCS,82140,Assay of ammonia,,,14.57,106.39,10 HCPCS,82140,"Chgl (Qu) 82140 Stonerisk? Diagnostic Profile, S/O",17.0,8.5,,,0 HCPCS,82140,Chgl Ammonia Arterial,126.0,63.0,,,0 HCPCS,82140,Chgl Ammonia Stat,126.0,63.0,,,0 HCPCS,82140,"Chgl Ammonia,Urine (Ks Panel)",126.0,63.0,,,0 HCPCS,82143,Amniotic fluid scan,,,9.35,50.75,10 HCPCS,82145,Assay of amphetamines,,,111.02,111.02,1 HCPCS,82150,Assay of amylase,,,6.48,48.56,10 HCPCS,82150,"Chgl (Qu) Amylase Isoenzymes, S/O",15.0,7.5,,,0 HCPCS,82150,Chgl Amylase,15.0,7.5,,,0 HCPCS,82150,Chgl Amylase Fluid,231.0,115.5,,,0 HCPCS,82150,Chgl Amylase Isoenzymes,231.0,115.5,,,0 HCPCS,82150,Chgl Amylase Serum,231.0,115.5,,,0 HCPCS,82150,Chgl Amylase Urine,231.0,115.5,,,0 HCPCS,82154,Androstanediol glucuronide,,,28.83,211.67,10 HCPCS,82157,Assay of androstenedione,,,29.28,218.11,10 HCPCS,82157,"Chgl (Qu) Androstenedione, S/O",28.0,14.0,,,0 HCPCS,82157,Chgl Androstenedione Serum,362.0,181.0,,,0 HCPCS,82160,Assay of androsterone,,,25.55,184.97,10 HCPCS,82160,"Chgl (Qu) Androsterone, Serum, S/O",216.0,108.0,,,0 HCPCS,82160,Chgl Androsterone Serum,771.0,385.5,,,0 HCPCS,82163,Assay of angiotensin II,,,20.52,149.21,10 HCPCS,82164,Angiotensin I enzyme test,,,14.6,108.57,10 HCPCS,82164,"Chgl (Qu) Angiotensin Converting Enzyme (Ace), Csf, S/O",27.0,13.5,,,0 HCPCS,82164,"Chgl (Qu) Angiotensin Converting Enzyme, S/O",22.0,11.0,,,0 HCPCS,82164,Chgl Angiotensin Conv Enzyme,309.0,154.5,,,0 HCPCS,82164,"Chgl Angiotensin Conv Enzyme,Csf",309.0,154.5,,,0 HCPCS,82166,Assay anti-mullerian horm,,,38.62,46.34,9 HCPCS,82166,"Chgl (Qu) 82166 Anti-Mullerian Hormone (Amh), Female, S/O",35.0,17.5,,,0 HCPCS,82166,"Chgl (Qu) 82166 Anti-Mullerian Hormone (Amh), Male, S/O",117.0,58.5,,,0 HCPCS,82172,Assay of apolipoprotein,,,21.09,113.37,10 HCPCS,82172,"Chgl (Qu) Advanced Lipid Panel, Cardio Iq (Our Nmr Lipoprotein Profile), S/O",11.0,5.5,,,0 HCPCS,82172,"Chgl (Qu) Apolipoprotein A1, S/O",20.0,10.0,,,0 HCPCS,82172,"Chgl (Qu) Apolipoprotein B, S/O",19.0,9.5,,,0 HCPCS,82172,"Chgl (Qu) Apolipoprotein Evaluation, S/O",13.0,6.5,,,0 HCPCS,82172,Chgl Apolipoprotein A1,211.0,105.5,,,0 HCPCS,82172,Chgl Apolipoprotein A1 (Nash),211.0,105.5,,,0 HCPCS,82172,Chgl Apolipoprotein B100,211.0,105.5,,,0 HCPCS,82175,Assay of arsenic,,,18.97,137.17,10 HCPCS,82175,"Chgl (Qu) 82175 Arsenic, 24-Hour Urine, S/O",32.0,16.0,,,0 HCPCS,82175,"Chgl (Qu) 82175 Arsenic, Urine, S/O",25.0,12.5,,,0 HCPCS,82175,"Chgl (Qu) Arsenic, Blood, S/O",25.0,12.5,,,0 HCPCS,82175,"Chgl (Qu) Arsenic, Serum/Plasma, S/O",56.0,28.0,,,0 HCPCS,82175,"Chgl (Qu) Heavy Metals Group # 3, S/O",14.0,7.0,,,0 HCPCS,82175,"Chgl (Qu) Heavy Metals Panel (Venous), S/O",17.0,8.5,,,0 HCPCS,82175,"Chgl (Qu) Heavy Metals Panel, Random Urine, S/O",18.0,9.0,,,0 HCPCS,82175,Chgl Arsenic Blood,226.0,113.0,,,0 HCPCS,82175,Chgl Arsenic Quantitative,226.0,113.0,,,0 HCPCS,82175,Chgl Arsenic Urine,226.0,113.0,,,0 HCPCS,82180,Assay of ascorbic acid,,,9.89,69.44,10 HCPCS,82180,"Chgl (Qu) Vitamin C, S/O",22.0,11.0,,,0 HCPCS,82180,Chgl Ascorbic Acid Serum,127.0,63.5,,,0 HCPCS,82190,Atomic absorption,,,15.9,97.95,10 HCPCS,82205,Assay of barbiturates,,,85.0,85.0,1 HCPCS,82232,Assay of beta-2 protein,,,16.18,119.82,10 HCPCS,82232,"Chgl (Qu) Beta-2 Microglobulin, Ser, S/O",23.0,11.5,,,0 HCPCS,82232,"Chgl (Qu) Beta-2-Microglobulin, Urine, S/O",26.0,13.0,,,0 HCPCS,82232,Chgl Beta-2-Microglobulin,206.0,103.0,,,0 HCPCS,82233,Beta-amyloid 1-40 (abeta 40),,,131.5,135.37,4 HCPCS,82234,Beta-amyloid 1-42 (abeta 42),,,131.5,135.37,4 HCPCS,82239,Bile acids total,,,17.12,117.8,10 HCPCS,82239,"Chgl (Qu) Bile Acids, Total, S/O",24.0,12.0,,,0 HCPCS,82239,Chgl Bile Acids:Total,216.0,108.0,,,0 HCPCS,82240,Bile acids cholylglycine,,,26.58,175.88,10 HCPCS,82247,Bilirubin total,,,5.02,37.18,10 HCPCS,82247,"Chgl (Qu) Porphobilinogen, 24 Hr Ur, S/O",1.0,0.5,,,0 HCPCS,82247,Chgl Bilirubin Fluid,72.0,36.0,,,0 HCPCS,82247,Chgl Bilirubin Total,72.0,36.0,,,0 HCPCS,82247,Chgl Bilirubin Total (Nash),72.0,36.0,,,0 HCPCS,82247,Chgl Total Bilirubin,10.0,5.0,,,0 HCPCS,82248,Bilirubin direct,,,5.02,37.18,10 HCPCS,82248,Chgl Bilirubin Direct,79.0,39.5,,,0 HCPCS,82252,Fecal bilirubin test,,,4.56,32.4,10 HCPCS,82261,Assay of biotinidase,,,16.87,106.7,10 HCPCS,82270,Chgl Occult Blood Stool - Screen,46.0,23.0,,,0 HCPCS,82270,Chgl Stool Occult Blood X 3,46.0,23.0,,,0 HCPCS,82270,Occult blood feces,,,4.38,24.17,10 HCPCS,82270,Stool-Blood Hemocult,46.0,23.0,,,0 HCPCS,82271,Chgl Occult Blood Gastric,40.0,20.0,,,0 HCPCS,82271,Gastric Occult Blood,40.0,20.0,,,0 HCPCS,82271,Occult blood other sources,,,5.32,24.17,10 HCPCS,82272,Occult Bld Feces 1-3 Tests,49.0,24.5,,,0 HCPCS,82272,Occult Blood Stool Atp,43.0,21.5,,,0 HCPCS,82272,Occult bld feces 1-3 tests,,,4.23,24.17,10 HCPCS,82274,Assay Test For Blood Fecal,212.0,106.0,,,0 HCPCS,82274,Assay test for blood fecal,,,15.92,115.13,10 HCPCS,82286,Assay of bradykinin,,,5.16,51.66,10 HCPCS,82300,Assay of cadmium,,,23.64,165.43,10 HCPCS,82300,"Chgl (Qu) Cadmium, Blood, S/O",25.0,12.5,,,0 HCPCS,82300,"Chgl (Qu) Cadmium, Random Urine (Includes Mcg/L), S/O",33.0,16.5,,,0 HCPCS,82300,"Chgl (Qu) Heavy Metals Group # 3, S/O",17.0,8.5,,,0 HCPCS,82300,"Chgl Cadium,Blood",174.0,87.0,,,0 HCPCS,82300,Chgl Cadmium Urine,174.0,87.0,,,0 HCPCS,82306,"Chgl (Qu) Questassured? 25-Hydroxyvitamin D (D2, D3), S/O",30.0,15.0,,,0 HCPCS,82306,Chgl Vit D2 D3 Fractionated,231.0,115.5,,,0 HCPCS,82306,Chgl Vitamin D 25 Oh,231.0,115.5,,,0 HCPCS,82306,Vitamin d 25 hydroxy,,,29.6,220.3,10 HCPCS,82308,Assay of calcitonin,,,26.79,196.36,10 HCPCS,82308,"Chgl (Qu) Calcitonin, S/O",29.0,14.5,,,0 HCPCS,82308,Chgl Calcitonin,465.0,232.5,,,0 HCPCS,82310,Assay of calcium,,,5.16,38.54,10 HCPCS,82310,"Calcium,Total",71.0,35.5,,,0 HCPCS,82310,"Chgl (Qu) Porphobilinogen, 24 Hr Ur, S/O",1.0,0.5,,,0 HCPCS,82310,Chgl Calcium,71.0,35.5,,,0 HCPCS,82330,Assay of calcium,,,13.68,94.03,10 HCPCS,82330,Chgl Calcium Ionized,480.0,240.0,,,0 HCPCS,82330,Chgl Calcium Ionized I-Stat,480.0,240.0,,,0 HCPCS,82331,Calcium infusion test,,,8.89,38.88,10 HCPCS,82340,Assay of calcium in urine,,,6.03,44.19,10 HCPCS,82340,"Chgl (Qu) 82340 Stonerisk? Diagnostic Profile, S/O",7.0,3.5,,,0 HCPCS,82340,Chgl Calcium Urine,65.0,32.5,,,0 HCPCS,82340,"Chgl Calcium Urine,Random",65.0,32.5,,,0 HCPCS,82340,"Chgl Calcium,Urine (Ks Panel)",65.0,32.5,,,0 HCPCS,82355,Calculus analysis qual,,,11.58,84.83,10 HCPCS,82360,Calculus assay quant,,,12.87,94.17,10 HCPCS,82365,Calculus spectroscopy,,,12.9,92.84,10 HCPCS,82365,"Chgl (Qu) Stone Analysis Without Image, S/O",63.0,31.5,,,0 HCPCS,82365,Chgl Gallstone Infrared,158.0,79.0,,,0 HCPCS,82365,Chgl Lc-Stone Analysis,43.0,21.5,,,0 HCPCS,82370,X-ray assay calculus,,,12.52,92.73,10 HCPCS,82373,Assay c-d transfer measure,,,18.06,128.57,10 HCPCS,82373,"Chgl (Qu) Carbohydrate-Deficient Transferrin (Alcohol Use), S/O",28.0,14.0,,,0 HCPCS,82373,Chgl Carb-Def Transferrin(Cdt),585.0,292.5,,,0 HCPCS,82374,Assay blood carbon dioxide,,,4.88,35.67,10 HCPCS,82374,"Chgl (Qu) Bicarbonate, Urine, S/O",79.0,39.5,,,0 HCPCS,82374,"Chgl (Qu) Porphobilinogen, 24 Hr Ur, S/O",1.0,0.5,,,0 HCPCS,82374,Chgl Bicarbonate Urine,96.0,48.0,,,0 HCPCS,82374,Chgl C02,96.0,48.0,,,0 HCPCS,82374,Chgl Co2: I-Stat,96.0,48.0,,,0 HCPCS,82375,Assay carboxyhb quant,,,12.32,82.9,10 HCPCS,82375,"Chgl Carbon Monoxide,Blood",212.0,106.0,,,0 HCPCS,82375,Chgl Carboxy Hgb,212.0,106.0,,,0 HCPCS,82376,Assay carboxyhb qual,,,10.3,43.25,10 HCPCS,82378,Carcinoembryonic antigen,,,18.96,142.06,10 HCPCS,82378,"Chgl (Qu) Cea, Carcinoembryonic Antigen, Pancreatic Cyst Fluid, S/O",140.0,70.0,,,0 HCPCS,82378,Chgl Cea,368.0,184.0,,,0 HCPCS,82378,Chgl Cea Fluid,368.0,184.0,,,0 HCPCS,82379,Assay of carnitine,,,16.87,106.7,10 HCPCS,82379,"Chgl (Qu) Carnitine, S/O",37.0,18.5,,,0 HCPCS,82379,Chgl Carnitine Free/Total,231.0,115.5,,,0 HCPCS,82380,Assay of carotene,,,9.22,69.15,10 HCPCS,82380,"Chgl (Qu) Carotene, S/O",22.0,11.0,,,0 HCPCS,82380,Chgl Carotene,228.0,114.0,,,0 HCPCS,82382,Assay urine catecholamines,,,27.3,129.08,10 HCPCS,82383,Assay blood catecholamines,,,29.08,181.87,10 HCPCS,82384,Assay three catecholamines,,,25.25,183.72,10 HCPCS,82384,"Chgl (Qu) Catecholamines, Fract, 24 Hour Urine W/O Creat, S/O",29.0,14.5,,,0 HCPCS,82384,Chgl Catechol Frac Urine,459.0,229.5,,,0 HCPCS,82384,Chgl Catecholamines Random,459.0,229.5,,,0 HCPCS,82384,Chgl Catecholamines:Fractionated,459.0,229.5,,,0 HCPCS,82387,Assay of cathepsin-d,,,18.06,137.94,10 HCPCS,82390,Assay of ceruloplasmin,,,10.74,78.87,10 HCPCS,82390,"Chgl (Qu) Ceruloplasmin, S/O",21.0,10.5,,,0 HCPCS,82390,Chgl Ceruloplasmin,212.0,106.0,,,0 HCPCS,82397,Chemiluminescent assay,,,14.12,96.36,10 HCPCS,82397,"Chgl (Qu) Hmgcr Ab (Igg), S/O",200.0,100.0,,,0 HCPCS,82397,"Chgl (Qu) Inhibin B, S/O",95.0,47.5,,,0 HCPCS,82397,"Chgl (Qu) Vedolizumab Quantitation With Antibodies, Serum, S/O",107.0,53.5,,,0 HCPCS,82397,Chgl Anti Mullerian Hormone,343.0,171.5,,,0 HCPCS,82397,"Chgl Lc - Hepatitis B Surface Antigen, Quant, Monitor",621.0,310.5,,,0 HCPCS,82397,Chgl Lc - Rituximab And Anti-Rituximab Antibody,303.0,151.5,,,0 HCPCS,82397,Chgl Lc - Ustekinumab And Anti-Ustekinumab Antibody,287.0,143.5,,,0 HCPCS,82397,Chgl Lc-Anti-Adalimumab,482.0,241.0,,,0 HCPCS,82397,Chgl Lc-Infliximab Ab,457.0,228.5,,,0 HCPCS,82397,Chgl Lc-Vedolizumab/Antivedolizumab,361.0,180.5,,,0 HCPCS,82397,Chgl Pth Related Peptide,343.0,171.5,,,0 HCPCS,82415,Assay of chloramphenicol,,,12.67,93.66,10 HCPCS,82415,Chgl Chloramphenicol,192.0,96.0,,,0 HCPCS,82435,Assay of blood chloride,,,4.6,33.68,10 HCPCS,82435,"Chgl (Qu) Porphobilinogen, 24 Hr Ur, S/O",1.0,0.5,,,0 HCPCS,82435,Chgl Chloride,138.0,69.0,,,0 HCPCS,82435,Chgl Chloride I-Stat,138.0,69.0,,,0 HCPCS,82435,"Chloride,Blood",138.0,69.0,,,0 HCPCS,82436,Assay of urine chloride,,,5.75,36.27,10 HCPCS,82436,Chgl Chloride Urine,66.0,33.0,,,0 HCPCS,82436,"Chgl Chloride,Urine (Ks Panel)",66.0,33.0,,,0 HCPCS,82436,Chgl Cl Ur Rndm,46.0,23.0,,,0 HCPCS,82436,Chgl Cl Urine Random,48.0,24.0,,,0 HCPCS,82438,Assay other fluid chlorides,,,5.0,34.93,10 HCPCS,82438,Chgl Chloride Fluid,99.0,49.5,,,0 HCPCS,82441,"Chgl (Qu) Pcb Panel, Congeners, Serum/Plasma, S/O",112.0,56.0,,,0 HCPCS,82441,Chgl Chloral Hydrate Serum,63.0,31.5,,,0 HCPCS,82441,Chgl Hexachlorobenzene,63.0,31.5,,,0 HCPCS,82441,Chgl Pcb,63.0,31.5,,,0 HCPCS,82441,Test for chlorohydrocarbons,,,6.01,44.76,10 HCPCS,82465,Assay bld/serum cholesterol,,,4.35,32.63,10 HCPCS,82465,Chgl Cholesterol,138.0,69.0,,,0 HCPCS,82465,Chgl Cholesterol Fluid,138.0,69.0,,,0 HCPCS,82465,"Chgl Cholesterol,Total (Nash)",138.0,69.0,,,0 HCPCS,82480,Assay serum cholinesterase,,,7.87,57.57,10 HCPCS,82480,"Chgl (Qu) Cholinesterase , Serum, Plasma, Rbc, S/O",13.0,6.5,,,0 HCPCS,82480,"Chgl (Qu) Cholinesterase, Serum, S/O",23.0,11.5,,,0 HCPCS,82480,"Chgl (Qu) Cholinesterase, Serum, With Dibucaine Inhibition, S/O",11.0,5.5,,,0 HCPCS,82480,"Chgl Cholinesterase,Serum",248.0,124.0,,,0 HCPCS,82482,Assay rbc cholinesterase,,,9.81,55.86,10 HCPCS,82482,"Chgl (Qu) Cholinesterase , Serum, Plasma, Rbc, S/O",28.0,14.0,,,0 HCPCS,82482,"Chgl Cholinesterase, Rbc",248.0,124.0,,,0 HCPCS,82485,Assay chondroitin sulfate,,,20.65,146.86,10 HCPCS,82486,Gas/liquid chromatography,,,128.57,128.57,1 HCPCS,82487,Paper chromatography,,,112.09,112.09,1 HCPCS,82488,Paper chromatography,,,149.78,149.78,1 HCPCS,82489,Thin layer chromatography,,,131.26,131.26,1 HCPCS,82491,"Chromotography, quant, sing",,,128.57,128.57,1 HCPCS,82492,"Chromotography, quant, mult",,,128.57,128.57,1 HCPCS,82495,Assay of chromium,,,20.28,135.1,10 HCPCS,82495,"Chgl (Qu) Chromium, Blood, S/O",62.0,31.0,,,0 HCPCS,82495,"Chgl (Qu) Chromium, Plasma, S/O",52.0,26.0,,,0 HCPCS,82495,"Chgl (Qu) Chromium, Urine, S/O",50.0,25.0,,,0 HCPCS,82495,Chgl Chromium Plasma,257.0,128.5,,,0 HCPCS,82495,Chgl Chromium Urine Random,257.0,128.5,,,0 HCPCS,82507,Assay of citrate,,,27.8,198.57,10 HCPCS,82507,"Chgl (Qu) 82507 Stonerisk? Diagnostic Profile, S/O",32.0,16.0,,,0 HCPCS,82507,"Chgl (Qu) Citric Acid, 24-Hour Urine Without Creatinine, S/O",25.0,12.5,,,0 HCPCS,82507,"Chgl (Qu) Citric Acid, Random Urine, S/O",22.0,11.0,,,0 HCPCS,82507,"Chgl (Qu) Citric Acid, Serum, S/O",60.0,30.0,,,0 HCPCS,82507,"Chgl Citrate,Urine (Ks Panel)",126.0,63.0,,,0 HCPCS,82507,Chgl Citric Acid Serum,126.0,63.0,,,0 HCPCS,82507,Chgl Citric Acid Urine,126.0,63.0,,,0 HCPCS,82520,Assay of cocaine,,,107.89,107.89,1 HCPCS,82523,"Chgl (Qu) Collagen Cross-Linked N-Telopeptide (Ntx), Urine, S/O",32.0,16.0,,,0 HCPCS,82523,"Chgl (Qu) Collagen Type I C-Telopep, S/O",43.0,21.5,,,0 HCPCS,82523,"Chgl (Qu) N-Telopeptide Serum, S/O",34.0,17.0,,,0 HCPCS,82523,Chgl C-Telopeptide,258.0,129.0,,,0 HCPCS,82523,Chgl N-Telopeptide Urine,258.0,129.0,,,0 HCPCS,82523,"Chgl N-Telopeptide,Serum",258.0,129.0,,,0 HCPCS,82523,Chgl P1Np,258.0,129.0,,,0 HCPCS,82523,Collagen crosslinks,,,18.68,126.21,10 HCPCS,82525,Assay of copper,,,12.41,92.5,10 HCPCS,82525,"Chgl (Qu) Copper, 24 Hour Urine, S/O",22.0,11.0,,,0 HCPCS,82525,"Chgl (Qu) Copper, Random Urine, S/O",17.0,8.5,,,0 HCPCS,82525,"Chgl (Qu) Copper, S/O",22.0,11.0,,,0 HCPCS,82525,Chgl Biopsy Quan Copper Tissue,247.0,123.5,,,0 HCPCS,82525,Chgl Copper Serum,247.0,123.5,,,0 HCPCS,82525,Chgl Copper Urine,247.0,123.5,,,0 HCPCS,82528,Assay of corticosterone,,,22.52,164.1,10 HCPCS,82530,"Chgl (Qu) Cortisol, Free, 24-Hour Urine, S/O",20.0,10.0,,,0 HCPCS,82530,"Chgl (Qu) Cortisol, Lc/Ms, Saliva, S/O",40.0,20.0,,,0 HCPCS,82530,Cortisol free,,,16.71,124.82,10 HCPCS,82533,"Chgl (Qu) 82533 Aldosterone/Cortisol Ratio, Adrenal Vein Sampling 1 Site, S/O",32.0,16.0,,,0 HCPCS,82533,"Chgl (Qu) Aldosterone/Cortisol Ratio, 2 Sites, S/O",10.0,5.0,,,0 HCPCS,82533,"Chgl (Qu) Aldosterone/Cortisol Ratio, 3 Sites, S/O",10.0,5.0,,,0 HCPCS,82533,Chgl Cortisol Total,296.0,148.0,,,0 HCPCS,82533,Chgl Cortisol Urine Free,296.0,148.0,,,0 HCPCS,82533,"Chgl Cortisol, Total Serum",296.0,148.0,,,0 HCPCS,82533,"Chgl Cortisol,Salivary",296.0,148.0,,,0 HCPCS,82533,"Chgl Cortisol,Total-Add'l Test",296.0,148.0,,,0 HCPCS,82533,Total cortisol,,,16.3,121.32,10 HCPCS,82540,Assay of creatine,,,4.64,34.82,10 HCPCS,82540,"Chgl (Qu) 82540 Creatine, 24-Hour Urine, S/O",23.0,11.5,,,0 HCPCS,82540,"Chgl (Qu) Creatine, Serum, S/O",19.0,9.5,,,0 HCPCS,82540,Chgl Creatine Urine,65.0,32.5,,,0 HCPCS,82540,Creatine Serum,65.0,32.5,,,0 HCPCS,82541,"Column chromotography, qual",,,128.57,128.57,1 HCPCS,82542,Chg - Leukotriene E4,208.0,104.0,,,0 HCPCS,82542,"Chgl (Qu) 18-Hydroxycorticosterone, S/O",150.0,75.0,,,0 HCPCS,82542,"Chgl (Qu) Coenzyme Q10, S/O",40.0,20.0,,,0 HCPCS,82542,"Chgl (Qu) Fatty Acid Panel, Essential (C12-C22), Serum, S/O",159.0,79.5,,,0 HCPCS,82542,"Chgl (Qu) Glycosaminoglycans, Urine (Gags), S/O",53.0,26.5,,,0 HCPCS,82542,"Chgl (Qu) Iodine, Serum/Plasma, S/O",28.0,14.0,,,0 HCPCS,82542,"Chgl (Qu) Iodine, Random Urine, S/O",58.0,29.0,,,0 HCPCS,82542,"Chgl (Qu) Iodine,24-Hr Urine, S/O",58.0,29.0,,,0 HCPCS,82542,"Chgl (Qu) N-Methylhistamine, 24 Hour, Urine, S/O",223.0,111.5,,,0 HCPCS,82542,"Chgl (Qu) Porphyrins, Total Plasma, S/O",86.0,43.0,,,0 HCPCS,82542,Chgl 18-Hydroxycorticosterone,208.0,104.0,,,0 HCPCS,82542,Chgl Bromide Serum,208.0,104.0,,,0 HCPCS,82542,Chgl Coenzyme Q10,208.0,104.0,,,0 HCPCS,82542,Chgl Dyphylline,208.0,104.0,,,0 HCPCS,82542,"Chgl Hplc,Quantitative",208.0,104.0,,,0 HCPCS,82542,Chgl Lc - Omega Check (Epa + Dpa + Dha),87.0,43.5,,,0 HCPCS,82542,Chgl Lc-Arup Fatty Acid Profile Ess,928.0,464.0,,,0 HCPCS,82542,Chgl Lc-F2 Isoprostane-Creatinine,106.0,53.0,,,0 HCPCS,82542,Chgl Lc-N-Methylhistamine Urine,405.0,202.5,,,0 HCPCS,82542,Chgl Phenacetin,208.0,104.0,,,0 HCPCS,82542,"Chgl Tpmt By Gc/Ms,Quant",208.0,104.0,,,0 HCPCS,82542,Chgl Vitamin B3 (Nicotinic Acid),208.0,104.0,,,0 HCPCS,82542,Col chromotography qual/quan,,,24.09,128.57,10 HCPCS,82543,Column chromotograph/isotope,,,128.57,128.57,1 HCPCS,82544,Column chromotograph/isotope,,,128.57,128.57,1 HCPCS,82550,Assay of ck (cpk),,,6.51,48.9,10 HCPCS,82550,Chgl Cpk,138.0,69.0,,,0 HCPCS,82550,Chgl Creatine Kinase: Total (Lc),138.0,69.0,,,0 HCPCS,82552,Assay of cpk in blood,,,13.39,95.74,10 HCPCS,82552,Chgl Ck Isoenzymes,361.0,180.5,,,0 HCPCS,82553,Chgl Ck Mb,540.0,270.0,,,0 HCPCS,82553,Creatine mb fraction,,,11.55,75.4,10 HCPCS,82554,Creatine isoforms,,,11.87,81.54,10 HCPCS,82565,Assay of creatinine,,,5.12,38.37,10 HCPCS,82565,"Chgl (Qu) Porphobilinogen, 24 Hr Ur, S/O",1.0,0.5,,,0 HCPCS,82565,Chgl Creatinine - I-Stat,161.0,80.5,,,0 HCPCS,82565,Chgl Creatinine Serum,161.0,80.5,,,0 HCPCS,82570,Assay of urine creatinine,,,5.18,38.37,10 HCPCS,82570,"Chgl (Qu) 5-Hydroxyindoleacetic Acid(5-Hiaa), Random Ur W/Cr, S/O",7.0,3.5,,,0 HCPCS,82570,"Chgl (Qu) 82570 Aldosterone, 24-Hour Urine With Creatinine, S/O",5.0,2.5,,,0 HCPCS,82570,"Chgl (Qu) 82570 Arsenic, Urine, S/O",7.0,3.5,,,0 HCPCS,82570,"Chgl (Qu) 82570 Organic Acids, Comprehensive, Quantitative, Urine, S/O",34.0,17.0,,,0 HCPCS,82570,"Chgl (Qu) 82570 Stonerisk? Diagnostic Profile, S/O",6.0,3.0,,,0 HCPCS,82570,"Chgl (Qu) 82570 Vma (Vanillylmandelic Acid), Random Urine, S/O",7.0,3.5,,,0 HCPCS,82570,"Chgl (Qu) Amino Acid Analysis, Lc/Ms, Urine, S/O",35.0,17.5,,,0 HCPCS,82570,"Chgl (Qu) Cadmium, Random Urine (Includes Mcg/L), S/O",7.0,3.5,,,0 HCPCS,82570,"Chgl (Qu) Chromium, Urine, S/O",13.0,6.5,,,0 HCPCS,82570,"Chgl (Qu) Citric Acid, Random Urine, S/O",4.0,2.0,,,0 HCPCS,82570,"Chgl (Qu) Collagen Cross-Linked N-Telopeptide (Ntx), Urine, S/O",9.0,4.5,,,0 HCPCS,82570,"Chgl (Qu) Copper, 24 Hour Urine, S/O",9.0,4.5,,,0 HCPCS,82570,"Chgl (Qu) Copper, Random Urine, S/O",7.0,3.5,,,0 HCPCS,82570,"Chgl (Qu) Cortisol, Free, 24-Hour Urine, S/O",6.0,3.0,,,0 HCPCS,82570,"Chgl (Qu) Gamma-Hydroxybutyric Acid Confirmation, Urine, S/O",3.0,1.5,,,0 HCPCS,82570,"Chgl (Qu) Heavy Metals Panel, Random Urine, S/O",5.0,2.5,,,0 HCPCS,82570,"Chgl (Qu) Homovanillic Acid(Hva), Random Urine, S/O",8.0,4.0,,,0 HCPCS,82570,"Chgl (Qu) Lead, Urine, S/O",8.0,4.0,,,0 HCPCS,82570,"Chgl (Qu) Metanephrines, Fractionated, Lc/Ms/Ms, Random Ur, S/O",8.0,4.0,,,0 HCPCS,82570,"Chgl (Qu) Methylmalonic Acid Gc/Ms/Ms, Urine, S/O",7.0,3.5,,,0 HCPCS,82570,"Chgl (Qu) N-Methylhistamine, 24 Hour, Urine, S/O",54.0,27.0,,,0 HCPCS,82570,"Chgl (Qu) Nickel, Random Urine, S/O",17.0,8.5,,,0 HCPCS,82570,"Chgl (Qu) Oxalic Acid, Random Urine, S/O",9.0,4.5,,,0 HCPCS,82570,"Chgl (Qu) Thallium, Urine, S/O",13.0,6.5,,,0 HCPCS,82570,"Chgl (Qu) Zinc, Random Urine, S/O",12.0,6.0,,,0 HCPCS,82570,Chgl Creatinine Fluid,86.0,43.0,,,0 HCPCS,82570,Chgl Creatinine Random Cf,86.0,43.0,,,0 HCPCS,82570,Chgl Creatinine Urine,86.0,43.0,,,0 HCPCS,82570,Chgl Creatinine Urine-Random,86.0,43.0,,,0 HCPCS,82570,"Chgl Creatinine,Urine (Ks Panel)",86.0,43.0,,,0 HCPCS,82570,Chgl Lc-Creatinine Urine,42.0,21.0,,,0 HCPCS,82570,Chgl Lc-F2 Isoprostane-Creatinine,26.0,13.0,,,0 HCPCS,82570,"Creatinine,Other Sources",208.0,104.0,,,0 HCPCS,82575,Chgl Creatinine Clearance,185.0,92.5,,,0 HCPCS,82575,Creatinine clearance test,,,9.46,70.29,10 HCPCS,82585,Assay of cryofibrinogen,,,14.14,59.84,10 HCPCS,82585,"Chgl (Qu) Cryofibrinogen, S/O",27.0,13.5,,,0 HCPCS,82585,Chgl Cryofibrinogen,202.0,101.0,,,0 HCPCS,82595,Assay of cryoglobulin,,,6.47,46.38,10 HCPCS,82595,"Chgl (Qu) Cryoglobulin Scr W/Refl To Cryoglobulin Panel, S/O",19.0,9.5,,,0 HCPCS,82595,"Chgl (Qu) Cryoglobulin, Qualitative Analysis, S/O",3.0,1.5,,,0 HCPCS,82595,Chgl Cryoglobulin,167.0,83.5,,,0 HCPCS,82600,Assay of cyanide,,,19.4,143.39,10 HCPCS,82600,"Chgl (Qu) Cyanide, Blood, S/O",34.0,17.0,,,0 HCPCS,82600,Chgl Cyanide Blood,360.0,180.0,,,0 HCPCS,82607,"Chgl (Qu) Vitamin B12, S/O",18.0,9.0,,,0 HCPCS,82607,Chgl Vitamin B12,387.0,193.5,,,0 HCPCS,82607,Vitamin B-12,,,15.08,111.73,10 HCPCS,82608,B-12 binding capacity,,,14.32,106.53,10 HCPCS,82608,Chgl Vit B12 Unsat Bind,351.0,175.5,,,0 HCPCS,82610,"Chgl (Qu) Cystatin C W/ Glomerular Filtration Rate, Estimated (Egfr), S/O",35.0,17.5,,,0 HCPCS,82610,Chgl Cystatin C,692.0,346.0,,,0 HCPCS,82610,Cystatin c,,,18.52,93.18,10 HCPCS,82615,Test for urine cystines,,,9.55,60.26,10 HCPCS,82626,"Chgl (Qu) Dhea, Unconjugated, S/O",33.0,16.5,,,0 HCPCS,82626,Chgl Dhea Serum,422.0,211.0,,,0 HCPCS,82626,Dehydroepiandrosterone,,,25.27,182.58,10 HCPCS,82627,"Chgl (Qu) Dhea Sulfate, S/O",19.0,9.5,,,0 HCPCS,82627,Chgl Dhea Sulf Serum,313.0,156.5,,,0 HCPCS,82627,Dehydroepiandrosterone,,,22.23,165.29,10 HCPCS,82633,Desoxycorticosterone,,,30.98,225.5,10 HCPCS,82634,"Chgl (Qu) 11-Deoxycortisol, S/O",37.0,18.5,,,0 HCPCS,82634,Chgl 11 Deoxycortisol,448.0,224.0,,,0 HCPCS,82634,Deoxycortisol,,,29.28,212.83,10 HCPCS,82638,Assay of dibucaine number,,,12.25,91.53,10 HCPCS,82638,"Chgl (Qu) Cholinesterase, Serum, With Dibucaine Inhibition, S/O",18.0,9.0,,,0 HCPCS,82638,Chgl Dibucaine Number,192.0,96.0,,,0 HCPCS,82642,"Chgl (Qu) Dihydrotestosterone, S/O",48.0,24.0,,,0 HCPCS,82642,Chgl Lc-Dihydrotestosterone,231.0,115.5,,,0 HCPCS,82642,Dihydrotestosterone,,,29.28,39.04,9 HCPCS,82646,Assay of dihydrocodeinone,,,146.26,146.26,1 HCPCS,82649,Assay of dihydromorphinone,,,186.82,186.82,1 HCPCS,82651,Assay of dihydrotestosterone,,,187.07,187.07,1 HCPCS,82652,"Chgl (Qu) Vitamin D, 1, 25-Dihydroxy, Lc/Ms/Ms, S/O",28.0,14.0,,,0 HCPCS,82652,"Chgl Vitamin D 1,25 Dioh",443.0,221.5,,,0 HCPCS,82652,Vit d 1 25-dihydroxy,,,38.5,288.63,10 HCPCS,82653,"Chgl (Qu) Pancreatic Elastase-1, S/O",45.0,22.5,,,0 HCPCS,82653,Chgl Lc - Pancreatic Elastase Fecal,872.0,436.0,,,0 HCPCS,82653,El-1 fecal quantitative,,,22.97,27.56,9 HCPCS,82654,Assay of dimethadione,,,104.03,104.03,1 HCPCS,82656,Pancreatic elastase fecal,,,11.53,84.49,10 HCPCS,82657,"Chgl (Qu) 82657 Lysosomal Acid Lipase Activity, Blood, S/O",175.0,87.5,,,0 HCPCS,82657,"Chgl (Qu) Alpha-Galactosidase, Leukocytes, S/O",469.0,234.5,,,0 HCPCS,82657,"Chgl (Qu) Tpmt Activity, S/O",130.0,65.0,,,0 HCPCS,82657,Chgl Lc-Fabry Enzyme Analysis,285.0,142.5,,,0 HCPCS,82657,Chgl Lysosomal Acid Lipase,734.0,367.0,,,0 HCPCS,82657,Enzyme cell activity,,,22.17,128.57,10 HCPCS,82658,Enzyme cell activity ra,,,31.03,128.57,10 HCPCS,82664,"Chgl (Qu) Acetylcholinesterase, S/O",42.0,21.0,,,0 HCPCS,82664,Electrophoretic test,,,59.05,241.09,10 HCPCS,82666,Assay of epiandrosterone,,,158.98,158.98,1 HCPCS,82668,Assay of erythropoietin,,,18.79,138.17,10 HCPCS,82668,"Chgl (Qu) Erythropoietin (Epo), S/O",30.0,15.0,,,0 HCPCS,82668,Chgl Erythropoietin,239.0,119.5,,,0 HCPCS,82670,Assay of estradiol,,,27.94,207.09,10 HCPCS,82670,"Chgl (Qu) Estradiol, Free, S/O",82.0,41.0,,,0 HCPCS,82670,"Chgl (Qu) Estradiol, Ultrasensitive, Lc/Ms, S/O",31.0,15.5,,,0 HCPCS,82670,Chgl Estradiol,351.0,175.5,,,0 HCPCS,82670,"Chgl Lc-Estradiol, Free-Serum",34.0,17.0,,,0 HCPCS,82671,Assay of estrogens,,,32.3,234.04,10 HCPCS,82672,Assay of estrogen,,,21.7,157.36,10 HCPCS,82672,"Chgl (Qu) Estrogen, Total, Serum, S/O",30.0,15.0,,,0 HCPCS,82672,"Chgl Estrogen Total,Serum",343.0,171.5,,,0 HCPCS,82672,"Chgl Estrogen,Total Urine",343.0,171.5,,,0 HCPCS,82677,Assay of estriol,,,24.18,176.99,10 HCPCS,82677,"Chgl (Qu) Estriol, Serum, S/O",29.0,14.5,,,0 HCPCS,82677,Chgl Estriol Screen(P),424.0,212.0,,,0 HCPCS,82677,Chgl Estriol Triple Screen,424.0,212.0,,,0 HCPCS,82677,Chgl Estriol Urine,424.0,212.0,,,0 HCPCS,82679,Assay of estrone,,,24.95,180.94,10 HCPCS,82679,"Chgl (Qu) Estrone, S/O",30.0,15.0,,,0 HCPCS,82679,"Chgl Estrone,Serum",522.0,261.0,,,0 HCPCS,82681,Assay dir meas fr estradiol,,,27.94,33.53,9 HCPCS,82681,"Chgl (Qu) Estradiol, Free, S/O",73.0,36.5,,,0 HCPCS,82681,"Chgl Lc-Estradiol, Free-Serum",34.0,17.0,,,0 HCPCS,82690,Assay of ethchlorvynol,,,129.02,129.02,1 HCPCS,82693,Assay of ethylene glycol,,,14.9,106.3,10 HCPCS,82693,"Chgl (Qu) Ethylene Glycol, S/O",23.0,11.5,,,0 HCPCS,82693,Chgl Ethylene Glycol,191.0,95.5,,,0 HCPCS,82693,Chgl Qu-Ethylene Glycol,32.0,16.0,,,0 HCPCS,82696,Assay of etiocholanolone,,,26.24,173.52,10 HCPCS,82705,Chgl Fecal Fat Qualitative,119.0,59.5,,,0 HCPCS,82705,Fats/lipids feces qual,,,5.1,33.91,10 HCPCS,82710,"Chgl (Qu) Fecal Lipids, Total, S/O",36.0,18.0,,,0 HCPCS,82710,Chgl Fecal Fats Quant,234.0,117.0,,,0 HCPCS,82710,Fats/lipids feces quant,,,16.8,112.92,10 HCPCS,82715,Assay of fecal fat,,,22.97,112.27,10 HCPCS,82725,Assay of blood fatty acids,,,18.77,94.17,10 HCPCS,82725,"Chgl (Qu) Fatty Acid Panel, Essential (C12-C22), Serum, S/O",124.0,62.0,,,0 HCPCS,82725,"Chgl (Qu) Nonesterified Fatty Acids (Free Fatty Acids), S/O",24.0,12.0,,,0 HCPCS,82725,Chgl Fatty Acids,330.0,165.0,,,0 HCPCS,82726,Long chain fatty acids,,,19.75,128.57,10 HCPCS,82728,Assay of ferritin,,,13.63,101.47,10 HCPCS,82728,Chga-Ferritin,258.0,129.0,,,0 HCPCS,82731,Assay of fetal fibronectin,,,64.41,467.63,10 HCPCS,82731,Chgl Fetal Fibronectin,795.0,397.5,,,0 HCPCS,82735,Assay of fluoride,,,18.54,136.6,10 HCPCS,82742,Assay of flurazepam,,,143.22,143.22,1 HCPCS,82746,Assay of folic acid serum,,,14.7,108.72,10 HCPCS,82746,Chgl Folic Acid Serum,359.0,179.5,,,0 HCPCS,82747,Assay of folic acid rbc,,,17.65,123.2,10 HCPCS,82747,"Chgl (Qu) Folate, Rbc, S/O",20.0,10.0,,,0 HCPCS,82747,Chgl Folic Acid Rbc,216.0,108.0,,,0 HCPCS,82757,Assay of semen fructose,,,17.34,117.46,10 HCPCS,82759,Assay of rbc galactokinase,,,21.48,151.8,10 HCPCS,82760,Assay of galactose,,,11.2,81.05,10 HCPCS,82775,Assay galactose transferase,,,21.07,153.5,10 HCPCS,82775,Chgl Galactose-1-Phos Uridyl,309.0,154.5,,,0 HCPCS,82776,Galactose transferase test,,,11.74,60.86,10 HCPCS,82777,Galectin-3,,,21.36,97.38,10 HCPCS,82784,Assay iga/igd/igg/igm each,,,9.3,64.24,10 HCPCS,82784,"Chgl (Qu) 82784 Celiac Disease Panel, S/O",82.0,41.0,,,0 HCPCS,82784,"Chgl (Qu) Csf Igg/Albumin Ratio, S/O",20.0,10.0,,,0 HCPCS,82784,"Chgl (Qu) Culture,Virus, Body, S/O",1.0,0.5,,,0 HCPCS,82784,"Chgl (Qu) Iga Subclasses, S/O",38.0,19.0,,,0 HCPCS,82784,"Chgl (Qu) Igd, Serum, S/O",24.0,12.0,,,0 HCPCS,82784,"Chgl (Qu) Igg Synthesis Rate/Index, Csf, S/O",7.0,3.5,,,0 HCPCS,82784,"Chgl (Qu) Igg, Csf, S/O",21.0,10.5,,,0 HCPCS,82784,"Chgl (Qu) Immunoglobulin G Subclasses Panel, S/O",35.0,17.5,,,0 HCPCS,82784,"Chgl (Qu) Multiple Sclerosis Panel 2, S/O",4.0,2.0,,,0 HCPCS,82784,Chgl Iga,111.0,55.5,,,0 HCPCS,82784,Chgl Iga Quant,111.0,55.5,,,0 HCPCS,82784,Chgl Igd,111.0,55.5,,,0 HCPCS,82784,Chgl Igg,111.0,55.5,,,0 HCPCS,82784,Chgl Igg Csf,111.0,55.5,,,0 HCPCS,82784,Chgl Igg Serum,111.0,55.5,,,0 HCPCS,82784,"Chgl Igg Subclasses, Igg Quant",111.0,55.5,,,0 HCPCS,82784,Chgl Igm,111.0,55.5,,,0 HCPCS,82784,Chgl Immunoglobulin A Total,111.0,55.5,,,0 HCPCS,82785,Assay of ige,,,16.46,118.57,10 HCPCS,82785,"Chgl Ige Total,Allergy",139.0,69.5,,,0 HCPCS,82785,"Chgl Lc - Alpha-Gal Panel Immunoglobulin E, Total",33.0,16.5,,,0 HCPCS,82787,"Chgl (Qu) Iga Subclasses, S/O",17.0,8.5,,,0 HCPCS,82787,"Chgl (Qu) Immunoglobulin G Subclass4, S/O",26.0,13.0,,,0 HCPCS,82787,"Chgl (Qu) Immunoglobulin G Subclasses Panel, S/O",8.0,4.0,,,0 HCPCS,82787,Chgl Igg Subclass 1,172.0,86.0,,,0 HCPCS,82787,Chgl Igg Subclass 2,172.0,86.0,,,0 HCPCS,82787,Chgl Igg Subclass 3,172.0,86.0,,,0 HCPCS,82787,Chgl Igg Subclass 4,172.0,86.0,,,0 HCPCS,82787,Igg 1 2 3 or 4 each,,,8.02,47.29,10 HCPCS,82800,Blood pH,,,11.0,58.84,10 HCPCS,82803,Blood Gas Mixed Wo O2 Sat,580.0,290.0,,,0 HCPCS,82803,Blood gases any combination,,,26.07,134.96,10 HCPCS,82803,Chgl I-Stat Abg Arterial Cord Bld,552.0,276.0,,,0 HCPCS,82803,Chgl I-Stat Abg Venous Cord Bld,552.0,276.0,,,0 HCPCS,82803,"Chgl I-Stat Abg Venous Ph,Pco2,Po2",552.0,276.0,,,0 HCPCS,82803,"Chgl Ph, Pc02, P02: I-Stat",552.0,276.0,,,0 HCPCS,82805,Blood gases w/o2 saturation,,,48.78,202.46,10 HCPCS,82810,Blood gases o2 sat only,,,9.77,62.76,10 HCPCS,82810,Chgl O2 Saturation,130.0,65.0,,,0 HCPCS,82820,Hemoglobin-oxygen affinity,,,13.34,71.8,10 HCPCS,82930,"Chgl Gastric Acid,Free & Total",63.0,31.5,,,0 HCPCS,82930,Gastric analy w/ph ea spec,,,6.71,40.02,10 HCPCS,82938,Gastrin test,,,17.69,132.63,10 HCPCS,82941,Assay of gastrin,,,17.63,131.04,10 HCPCS,82941,"Chgl (Qu) Gastrin, S/O",23.0,11.5,,,0 HCPCS,82941,Chgl Gastrin Serum,443.0,221.5,,,0 HCPCS,82943,Assay of glucagon,,,14.29,100.22,10 HCPCS,82943,"Chgl (Qu) Glucagon, S/O",33.0,16.5,,,0 HCPCS,82943,"Chgl Glucagon,Plasma",268.0,134.0,,,0 HCPCS,82945,Chgl Glucose Urine Quan,193.0,96.5,,,0 HCPCS,82945,Chgl Glucose-Body Fluid Oth T,193.0,96.5,,,0 HCPCS,82945,Glucose Other Fluid,,,3.93,29.45,10 HCPCS,82946,Glucagon tolerance test,,,17.77,101.64,10 HCPCS,82947,Assay glucose blood quant,,,3.93,29.45,10 HCPCS,82947,"Chgl (Qu) Porphobilinogen, 24 Hr Ur, S/O",1.0,0.5,,,0 HCPCS,82947,Chgl Glucose I-Stat,110.0,55.0,,,0 HCPCS,82947,Chgl Glucose Postprandial,110.0,55.0,,,0 HCPCS,82947,"Chgl Glucose,Serum (Nash)",110.0,55.0,,,0 HCPCS,82947,"Glucose,Quan.Blood",110.0,55.0,,,0 HCPCS,82947,"Glucose,Quant",110.0,55.0,,,0 HCPCS,82948,Lab-Glucose Stick/Accucheck,110.0,55.0,,,0 HCPCS,82948,Reagent strip/blood glucose,,,5.04,23.03,10 HCPCS,82950,Chgl Glucola 1 Hour,64.0,32.0,,,0 HCPCS,82950,"Chgl Glucose,Post Glucose Dose(W/Gl",64.0,32.0,,,0 HCPCS,82950,Glucose test,,,4.75,35.33,10 HCPCS,82951,"Chgl Gtt,3 Spec And Glucola",131.0,65.5,,,0 HCPCS,82951,Chgl Lactose Tolerance,131.0,65.5,,,0 HCPCS,82951,Glucose Tolerance Test(Gtt),131.0,65.5,,,0 HCPCS,82951,Glucose tolerance test (GTT),,,12.87,91.05,10 HCPCS,82952,"Chgl Gtt,Additional Specimen",66.0,33.0,,,0 HCPCS,82952,GTT-added samples,,,3.92,26.92,10 HCPCS,82953,Glucose-tolbutamide test,,,105.88,105.88,1 HCPCS,82955,Assay of g6pd enzyme,,,9.7,67.76,10 HCPCS,82955,"Chgl (Qu) Glucose-6-Phosphate Dehydrogenase,(G-6-Pd), Quant, S/O",21.0,10.5,,,0 HCPCS,82955,Chgl G6Pd Quant(Lc),192.0,96.0,,,0 HCPCS,82960,Test for G6PD enzyme,,,6.05,44.87,10 HCPCS,82962,Glucose Blood Atp,36.0,18.0,,,0 HCPCS,82962,Glucose Blood Test,36.0,18.0,,,0 HCPCS,82962,Glucose blood test,,,3.28,16.84,10 HCPCS,82963,Assay of glucosidase,,,21.48,156.63,10 HCPCS,82965,Assay of gdh enzyme,,,13.15,55.38,10 HCPCS,82975,Assay of glutamine,,,116.13,116.13,1 HCPCS,82977,Assay of GGT,,,7.2,53.68,10 HCPCS,82977,Chgl Ggt,16.0,8.0,,,0 HCPCS,82977,Chgl Ggt (Nash),212.0,106.0,,,0 HCPCS,82977,Chgl Ggt Serum,212.0,106.0,,,0 HCPCS,82978,Assay of glutathione,,,15.45,99.97,10 HCPCS,82978,"Chgl (Qu) Total Glutathione, S/O",74.0,37.0,,,0 HCPCS,82978,Chgl Glutathione,444.0,222.0,,,0 HCPCS,82979,Assay rbc glutathione,,,9.44,51.18,10 HCPCS,82980,Assay of glutethimide,,,134.13,134.13,1 HCPCS,82985,Assay of glycated protein,,,16.76,109.17,10 HCPCS,82985,"Chgl (Qu) Alpha-1-Acid Glycoprotein, S/O",55.0,27.5,,,0 HCPCS,82985,"Chgl (Qu) Fructosamine, S/O",19.0,9.5,,,0 HCPCS,82985,Chgl Fructosamine,191.0,95.5,,,0 HCPCS,83001,Assay of gonadotropin (fsh),,,18.58,138.85,10 HCPCS,83001,Chgl Fsh,131.0,65.5,,,0 HCPCS,83001,Chgl Fsh Urine,131.0,65.5,,,0 HCPCS,83002,Assay of gonadotropin (lh),,,18.52,138.25,10 HCPCS,83002,Chgl Lh,316.0,158.0,,,0 HCPCS,83003,Assay growth hormone (hgh),,,16.67,124.53,10 HCPCS,83003,"Chgl (Qu) Growth Hormone(Gh), S/O",22.0,11.0,,,0 HCPCS,83003,"Chgl Hgh Growth Hormone (Somat), Ria",359.0,179.5,,,0 HCPCS,83006,Growth stimulation gene 2,,,35.92,79.38,9 HCPCS,83008,Assay of guanosine,,,124.82,124.82,1 HCPCS,83009,H pylori (c-13) blood,,,67.36,474.19,10 HCPCS,83010,Assay of haptoglobin quant,,,12.58,92.24,10 HCPCS,83010,Chgl Haptoglobin,266.0,133.0,,,0 HCPCS,83010,Chgl Haptoglobin (Nash),266.0,133.0,,,0 HCPCS,83012,Assay of haptoglobins,,,26.89,126.07,10 HCPCS,83013,"Chgl (Qu) Helicobacter Pylori, Urea Breath Test, S/O",60.0,30.0,,,0 HCPCS,83013,Chgl H Pylori Urea Breath Test,969.0,484.5,,,0 HCPCS,83013,H pylori (c-13) breath,,,67.36,481.27,10 HCPCS,83014,Chgl H. Pylori Test Administration,40.0,20.0,,,0 HCPCS,83014,H pylori drug admin,,,7.86,59.16,10 HCPCS,83015,Chgl Heavy Metal Screen,233.0,116.5,,,0 HCPCS,83015,Heavy metal qual any anal,,,20.94,132.4,10 HCPCS,83018,"Chg - Molybdenum,Serum",139.0,69.5,,,0 HCPCS,83018,"Chgl (Qu) Cobalt, Serum/Plasma, S/O",65.0,32.5,,,0 HCPCS,83018,"Chgl (Qu) Thallium, 24-Hour Urine, S/O",50.0,25.0,,,0 HCPCS,83018,"Chgl (Qu) Thallium, Urine, S/O",48.0,24.0,,,0 HCPCS,83018,"Chgl (Qu) Titanium, Blood, S/O",127.0,63.5,,,0 HCPCS,83018,Chgl Antimony,139.0,69.5,,,0 HCPCS,83018,Chgl Berylium Urine,139.0,69.5,,,0 HCPCS,83018,"Chgl Cobalt,Plasma",139.0,69.5,,,0 HCPCS,83018,Chgl Thallium Urine,139.0,69.5,,,0 HCPCS,83018,Heavy metal quant each nes,,,21.96,152.25,10 HCPCS,83020,Chgl Hemoglobin Electrophoresis,562.0,281.0,,,0 HCPCS,83020,Hemoglobin electrophoresis,,,12.87,86.28,10 HCPCS,83021,Chgl Hemoglobin A2 Col,254.0,127.0,,,0 HCPCS,83021,Chgl Hgb F Quant,254.0,127.0,,,0 HCPCS,83021,Hemoglobin chromotography,,,18.06,128.57,10 HCPCS,83026,Hemoglobin copper sulfate,,,4.01,17.78,10 HCPCS,83030,Fetal hemoglobin chemical,,,10.74,58.56,10 HCPCS,83033,"Chgl (Qu) Fetal Hemoglobin, Amnitoic Fluid, S/O",82.0,41.0,,,0 HCPCS,83033,Fetal hemoglobin assay qual,,,8.0,43.57,10 HCPCS,83036,Chga-Hemoglobin A1C,219.0,109.5,,,0 HCPCS,83036,Chgl Hemoglobin A1C (Poc),219.0,109.5,,,0 HCPCS,83036,Glycosylated hemoglobin test,,,9.71,71.97,10 HCPCS,83036,"Hemoglobin,Glycated",219.0,109.5,,,0 HCPCS,83037,Glycosylated Hb Home Device,29.0,14.5,,,0 HCPCS,83037,Glycosylated hb home device,,,9.71,71.97,10 HCPCS,83045,Blood methemoglobin test,,,6.49,35.84,10 HCPCS,83050,Blood methemoglobin assay,,,8.2,46.97,10 HCPCS,83050,Chgl Met Hgb,321.0,160.5,,,0 HCPCS,83051,Assay of plasma hemoglobin,,,7.31,48.05,10 HCPCS,83051,"Chgl (Qu) Hemoglobin, Free, Plasma, S/O",27.0,13.5,,,0 HCPCS,83051,Chgl Hemoglobin Free,34.0,17.0,,,0 HCPCS,83055,Blood sulfhemoglobin test,,,35.61,35.61,1 HCPCS,83060,Blood sulfhemoglobin assay,,,8.8,55.29,10 HCPCS,83065,Assay of hemoglobin heat,,,9.0,46.77,10 HCPCS,83068,Hemoglobin stability screen,,,9.47,54.47,10 HCPCS,83069,Assay of urine hemoglobin,,,3.95,27.95,10 HCPCS,83070,Assay of hemosiderin qual,,,4.75,32.26,10 HCPCS,83071,"Assay of hemosiderin, quant",,,48.76,48.76,1 HCPCS,83080,Assay of b hexosaminidase,,,16.87,106.7,10 HCPCS,83080,"Chgl (Qu) Hexosaminidase A And Total, Serum, S/O",228.0,114.0,,,0 HCPCS,83080,Chgl Hexosaminadase Ab,248.0,124.0,,,0 HCPCS,83088,Assay of histamine,,,29.53,216.04,10 HCPCS,83088,"Chgl (Qu) Histamine, 24-Hour Urine, S/O",61.0,30.5,,,0 HCPCS,83088,"Chgl (Qu) Histamine, Plasma, S/O",40.0,20.0,,,0 HCPCS,83088,Chgl Histamine,119.0,59.5,,,0 HCPCS,83088,"Chgl Histamine,Urine",119.0,59.5,,,0 HCPCS,83090,Assay Of Homocystine,,,17.92,126.81,10 HCPCS,83090,"Chgl (Qu) Homocysteine, S/O",27.0,13.5,,,0 HCPCS,83090,"Chgl Homocystein, Serum",518.0,259.0,,,0 HCPCS,83150,Assay of homovanillic acid,,,22.41,130.1,10 HCPCS,83150,"Chgl (Qu) Homovanillic Acid(Hva), Random Urine, S/O",31.0,15.5,,,0 HCPCS,83150,"Chgl (Qu) Homovanillic Acid, 24H Urine, S/O",38.0,19.0,,,0 HCPCS,83150,Chgl Homovanillic Acid,193.0,96.5,,,0 HCPCS,83491,Assay of corticosteroids 17,,,17.9,129.93,10 HCPCS,83491,Chgl 17 Oh Corticosteroids,361.0,180.5,,,0 HCPCS,83497,Assay of 5-hiaa,,,12.9,91.48,10 HCPCS,83497,"Chgl (Qu) 5 Hiaa, 24 Hour Urine, W/O Creatinine, S/O",22.0,11.0,,,0 HCPCS,83497,"Chgl (Qu) 5-Hydroxyindoleacetic Acid(5-Hiaa), Random Ur W/Cr, S/O",18.0,9.0,,,0 HCPCS,83497,"Chgl 5 Hiaa,Random",152.0,76.0,,,0 HCPCS,83497,Chgl 5-Hiaa Urine,152.0,76.0,,,0 HCPCS,83498,Assay of progesterone 17-d,,,27.17,199.85,10 HCPCS,83498,"Chgl (Qu) 17-Hydroxyprogest Lcmsms, S/O",27.0,13.5,,,0 HCPCS,83498,Chgl 17 Oh Progesterone,489.0,244.5,,,0 HCPCS,83499,Assay of progesterone 20-,,,183.86,183.86,1 HCPCS,83500,Assay free hydroxyproline,,,22.65,166.62,10 HCPCS,83505,Assay total hydroxyproline,,,24.3,180.03,10 HCPCS,83516,"Chgl (Qu) 21-Hydroxylase Antibody, S/O",104.0,52.0,,,0 HCPCS,83516,"Chgl (Qu) C1Q Ab (Igg), S/O",94.0,47.0,,,0 HCPCS,83516,"Chgl (Qu) Cytosolic 5?-Nucleotidase 1A (Cn-1A) Antibody, S/O",240.0,120.0,,,0 HCPCS,83516,"Chgl (Qu) Extended Myositis Specific Antibody (Msa) Panel, S/O",231.0,115.5,,,0 HCPCS,83516,"Chgl (Qu) Histone Antibodies, S/O",33.0,16.5,,,0 HCPCS,83516,"Chgl (Qu) Parietal Cell Ab, Elisa, S/O",36.0,18.0,,,0 HCPCS,83516,"Chgl (Qu) Phosphatidylserine/Prothrombin (Ps/Pt) Antibody (Igg), S/O",32.0,16.0,,,0 HCPCS,83516,"Chgl (Qu) Tysabri? Antibody Test, S/O",215.0,107.5,,,0 HCPCS,83516,Chgl Anti-Ige,62.0,31.0,,,0 HCPCS,83516,Chgl Glomerular Base Membrane Ab,62.0,31.0,,,0 HCPCS,83516,Chgl Ibd Infectious Agent Ab,62.0,31.0,,,0 HCPCS,83516,Chgl Lc-Anti-Cn-1A Ab (Nt5C1A) Ibm,307.0,153.5,,,0 HCPCS,83516,Chgl Lc-Anti-Pl-12 Ab,128.0,64.0,,,0 HCPCS,83516,Chgl Lc-Anti-Pl-7 Ab,128.0,64.0,,,0 HCPCS,83516,Chgl Lc-Myomarker 3 & 3 Plus Anti-Ej Ab,45.0,22.5,,,0 HCPCS,83516,Chgl Lc-Myomarker 3 & 3 Plus Anti-Ku Ab,45.0,22.5,,,0 HCPCS,83516,Chgl Lc-Myomarker 3 & 3 Plus Anti-Mi-2 Ab,45.0,22.5,,,0 HCPCS,83516,Chgl Lc-Myomarker 3 & 3 Plus Anti-Oj Ab,45.0,22.5,,,0 HCPCS,83516,Chgl Lc-Myomarker 3 & 3 Plus Anti-Pl-12 Ab,45.0,22.5,,,0 HCPCS,83516,Chgl Lc-Myomarker 3 & 3 Plus Anti-Pl-7 Ab,45.0,22.5,,,0 HCPCS,83516,Chgl Lc-Myomarker 3 & 3 Plus Anti-Srp Ab,45.0,22.5,,,0 HCPCS,83516,Chgl Lc-Myomarker 3 & 3 Plus Anti-U2 Rnp (Fibrillarin),45.0,22.5,,,0 HCPCS,83516,Chgl Lc-Myomarker 3 & 3 Plus Anti-U2 Rnp Ab,45.0,22.5,,,0 HCPCS,83516,Chgl Lc-Phospholipase A2 Receptor,322.0,161.0,,,0 HCPCS,83516,Chgl Lc-Rdl-Anti-Hmgcr Ab Igg,358.0,179.0,,,0 HCPCS,83516,"Chgl Myeloperoxidase (Mpo) Ab, Eia",62.0,31.0,,,0 HCPCS,83516,Chgl Parietal Cell Antibodies Ifa,62.0,31.0,,,0 HCPCS,83516,"Chgl Pr-3 Antibody,Eia",62.0,31.0,,,0 HCPCS,83516,Chgl Ribosomal P Protein,62.0,31.0,,,0 HCPCS,83516,Chgl-Lc - Anti-Tysabri Ab,322.0,161.0,,,0 HCPCS,83516,Immunoassay nonantibody,,,11.53,84.49,10 HCPCS,83518,Immunoassay dipstick,,,9.64,59.02,10 HCPCS,83519,"Chgl (Qu) 83519 Pepsinogen Ii, S/O",265.0,132.5,,,0 HCPCS,83519,"Chgl (Qu) Igf Binding Protein-1 (Igfbp-1), S/O",87.0,43.5,,,0 HCPCS,83519,"Chgl (Qu) Neurokinin A (Substance K, S/O",265.0,132.5,,,0 HCPCS,83519,"Chgl (Qu) Procollagen Type I Intact N Terminal Propeptide, S/O",195.0,97.5,,,0 HCPCS,83519,"Chgl (Qu) Pth-Related Protein (Pth-Rp), S/O",34.0,17.0,,,0 HCPCS,83519,"Chgl (Qu) Trypsin, S/O",96.0,48.0,,,0 HCPCS,83519,"Chgl (Qu) Vgkc Antibody, S/O",65.0,32.5,,,0 HCPCS,83519,"Chgl (Qu) Voltage-Gated Calcium, S/O",65.0,32.5,,,0 HCPCS,83519,Chgl 21 Hydroxylase Antibodies,172.0,86.0,,,0 HCPCS,83519,Chgl Achrb Pae,172.0,86.0,,,0 HCPCS,83519,Chgl Achrgn Pae,172.0,86.0,,,0 HCPCS,83519,"Chgl Ghrelin,Total",172.0,86.0,,,0 HCPCS,83519,Chgl Glucagon-Like Peptide(Glp1),172.0,86.0,,,0 HCPCS,83519,Chgl Immunoassay By Ria,172.0,86.0,,,0 HCPCS,83519,Chgl Immunoassay Quan Ria,172.0,86.0,,,0 HCPCS,83519,Chgl Lc-Musk Antibody Test,1781.0,890.5,,,0 HCPCS,83519,Chgl Neurokinin A,172.0,86.0,,,0 HCPCS,83519,Chgl Ntcc Pae,172.0,86.0,,,0 HCPCS,83519,Chgl Nvgkc Pae,172.0,86.0,,,0 HCPCS,83519,Chgl P/Qtcc Pae,172.0,86.0,,,0 HCPCS,83519,Chgl Pancreastatin,172.0,86.0,,,0 HCPCS,83519,Chgl Pancreatic Polypeptide,172.0,86.0,,,0 HCPCS,83519,Chgl Pepsinogen,172.0,86.0,,,0 HCPCS,83519,Chgl Qu - Acetylcholine Receptor,35.0,17.5,,,0 HCPCS,83519,Chgl Qu - Alpha 3 Ab,68.0,34.0,,,0 HCPCS,83519,Chgl Qu - Musk Antibody Test,871.0,435.5,,,0 HCPCS,83519,Chgl Qu - Vgkc Antibody,68.0,34.0,,,0 HCPCS,83519,Chgl Qu-Musk Antibody Test Reflex Myasthenia Gravis Panel,670.0,335.0,,,0 HCPCS,83519,Chgl Qu-Myasthenia Gravis Panel 2 With Reflex To Musk Antibody,103.0,51.5,,,0 HCPCS,83519,Chgl Trypsin Serum,172.0,86.0,,,0 HCPCS,83519,Chgl Voltage Gated Potassium Ch Ab,172.0,86.0,,,0 HCPCS,83519,Ria nonantibody,,,18.4,98.78,10 HCPCS,83520,"Chgl (Qu) 14-3-3 Eta Protein, S/O",113.0,56.5,,,0 HCPCS,83520,"Chgl (Qu) 14-3-3 Protein, Csf (Prion Disease), S/O",10.0,5.0,,,0 HCPCS,83520,"Chgl (Qu) 83520 Admark Phospho-Tau/Total-Tau/A Beta42, Analysis And Interp, Csf (Symptomatic), S/O",479.0,239.5,,,0 HCPCS,83520,"Chgl (Qu) 83520 Ige Antibody (Anti-Ige Igg), S/O",50.0,25.0,,,0 HCPCS,83520,"Chgl (Qu) 83520 Mag Antibody (Igm), Eia, S/O",94.0,47.0,,,0 HCPCS,83520,"Chgl (Qu) 83520 Mag-Sgpg Antibody (Igm), Eia, S/O",58.0,29.0,,,0 HCPCS,83520,"Chgl (Qu) Adalimumab Level/Ada, Ibd, S/O",20.0,10.0,,,0 HCPCS,83520,"Chgl (Qu) Adiponectin, S/O",90.0,45.0,,,0 HCPCS,83520,"Chgl (Qu) Alpha Subunit, S/O",60.0,30.0,,,0 HCPCS,83520,"Chgl (Qu) Chronic Urticaria Panel 3, S/O",80.0,40.0,,,0 HCPCS,83520,"Chgl (Qu) Desmoglein Antibodies (1 And 3), S/O",40.0,20.0,,,0 HCPCS,83520,"Chgl (Qu) Early Sjogren's Syndrome, S/O",20.0,10.0,,,0 HCPCS,83520,"Chgl (Qu) Extended Myositis Specific Antibody (Msa) Panel, S/O",305.0,152.5,,,0 HCPCS,83520,"Chgl (Qu) Ganglioside Gm-1 Antibody (Igg), Eia, S/O",34.0,17.0,,,0 HCPCS,83520,"Chgl (Qu) Glomerular Basement Membrane Antibody (Igg), S/O",30.0,15.0,,,0 HCPCS,83520,"Chgl (Qu) Human Transforming Growth Factor Beta 1 (Tgf-B1), S/O",79.0,39.5,,,0 HCPCS,83520,"Chgl (Qu) Igf Binding Protein-3, S/O",36.0,18.0,,,0 HCPCS,83520,"Chgl (Qu) Infliximab Level/Ada, Ibd, S/O",20.0,10.0,,,0 HCPCS,83520,"Chgl (Qu) Kappa/Lambda Light Chains, S/O",25.0,12.5,,,0 HCPCS,83520,"Chgl (Qu) Leptin, S/O",53.0,26.5,,,0 HCPCS,83520,"Chgl (Qu) Pancreastatin, S/O",135.0,67.5,,,0 HCPCS,83520,"Chgl (Qu) Pancreatic Polypeptide, Ecl, S/O",80.0,40.0,,,0 HCPCS,83520,"Chgl (Qu) Phospholipase A2 Receptor (Pla2R) Antibody, Elisa, S/O",271.0,135.5,,,0 HCPCS,83520,"Chgl (Qu) Rheumatoid Arthritis Diagnostic Identra(R) Pnl 2, S/O",57.0,28.5,,,0 HCPCS,83520,"Chgl (Qu) Rheumatoid Factor (Iga), S/O",20.0,10.0,,,0 HCPCS,83520,"Chgl (Qu) Rheumatoid Factor (Igm), S/O",20.0,10.0,,,0 HCPCS,83520,"Chgl (Qu) Sulfatide Autoantibody Test, S/O",221.0,110.5,,,0 HCPCS,83520,"Chgl (Qu) Thrombin-Antithrombin (Tat) Complex, S/O",108.0,54.0,,,0 HCPCS,83520,"Chgl (Qu) Trab (Tsh Receptor Binding Antibody), S/O",40.0,20.0,,,0 HCPCS,83520,"Chgl (Qu) Tryptase, S/O",30.0,15.0,,,0 HCPCS,83520,"Chgl (Qu) Tumor Necrosis Factor-Alpha, Highly Sensitive, S/O",93.0,46.5,,,0 HCPCS,83520,"Chgl (Qu) Vascular Endothelial Growth Factor (Vegf), Elisa, S/O",143.0,71.5,,,0 HCPCS,83520,Chgl Adioponectin,716.0,358.0,,,0 HCPCS,83520,"Chgl Alpha Subunit,Free",204.0,102.0,,,0 HCPCS,83520,Chgl Asialo Gm1 Igg Bill Only,89.0,44.5,,,0 HCPCS,83520,Chgl Asialo Gm1 Igm Bill Only,89.0,44.5,,,0 HCPCS,83520,Chgl Athena-Admark Phospho-Tau Ab42,860.0,430.0,,,0 HCPCS,83520,Chgl Gd1A Ab Igg Bill Only,89.0,44.5,,,0 HCPCS,83520,Chgl Gd1A Ab Igm Bill Only,89.0,44.5,,,0 HCPCS,83520,Chgl Gd1B Ab Igg Bill Only,89.0,44.5,,,0 HCPCS,83520,Chgl Gd1B Ab Igm Bill Only,89.0,44.5,,,0 HCPCS,83520,Chgl Gm1 Antibody Bill Only,89.0,44.5,,,0 HCPCS,83520,Chgl Gmi Autoantibody,525.0,262.5,,,0 HCPCS,83520,Chgl Gq1B Ab Igg Bill Only,89.0,44.5,,,0 HCPCS,83520,Chgl Igfbp-3,321.0,160.5,,,0 HCPCS,83520,Chgl Inhibin B,864.0,432.0,,,0 HCPCS,83520,Chgl Lc-14 3 3 Eta Rheum Arthritis,224.0,112.0,,,0 HCPCS,83520,Chgl Lc-Early Sjogren's Syndrome,125.0,62.5,,,0 HCPCS,83520,Chgl Lc-Myomarker 3 & 3 Plus Anti-Mda-5 Ab (Cadm-140),69.0,34.5,,,0 HCPCS,83520,Chgl Lc-Myomarker 3 Plus Anti-Sae1,69.0,34.5,,,0 HCPCS,83520,Chgl Lc-Rheumassure-14 3 3 Eta Ra,113.0,56.5,,,0 HCPCS,83520,Chgl Leptin,172.0,86.0,,,0 HCPCS,83520,"Chgl Neuronal Ab,Igg",312.0,156.0,,,0 HCPCS,83520,Chgl Pf 4 By Elisa,268.0,134.0,,,0 HCPCS,83520,Chgl Phosphatidic Acid Iga Abs,204.0,102.0,,,0 HCPCS,83520,Chgl Phosphatidic Acid Igg Abs,204.0,102.0,,,0 HCPCS,83520,Chgl Phosphatidic Acid Igm Abs,204.0,102.0,,,0 HCPCS,83520,Chgl Phosphatidylcholine Iga,204.0,102.0,,,0 HCPCS,83520,Chgl Phosphatidylcholine Igg,204.0,102.0,,,0 HCPCS,83520,Chgl Phosphatidylcholine Igm,204.0,102.0,,,0 HCPCS,83520,Chgl Phosphatidylethanolamine Iga,147.0,73.5,,,0 HCPCS,83520,Chgl Phosphatidylethanolamine Igg,147.0,73.5,,,0 HCPCS,83520,Chgl Phosphatidylethanolamine Igm,147.0,73.5,,,0 HCPCS,83520,Chgl Phosphatidylinositol Iga Abs,147.0,73.5,,,0 HCPCS,83520,Chgl Phosphatidylinositol Igg Abs,147.0,73.5,,,0 HCPCS,83520,Chgl Phosphatidylinositol Igm Abs,147.0,73.5,,,0 HCPCS,83520,Chgl Qu - Sensory Motor Neuropathy Panel,690.0,345.0,,,0 HCPCS,83520,Chgl Sm Pae,181.0,90.5,,,0 HCPCS,83520,Chgl Soluble Liver Ag-Ab,204.0,102.0,,,0 HCPCS,83520,Chgl Substance P,204.0,102.0,,,0 HCPCS,83520,Chgl Sulfatide Antibody,204.0,102.0,,,0 HCPCS,83520,Chgl Thyrotropin Receptor Ab,204.0,102.0,,,0 HCPCS,83520,Chgl Trans Growth Factor Beta 1,148.0,74.0,,,0 HCPCS,83520,Chgl Tryptase,585.0,292.5,,,0 HCPCS,83520,Chgl Tumor Necrosis Factor,1004.0,502.0,,,0 HCPCS,83520,Chgl Vascular Endothelial Growth Factor,481.0,240.5,,,0 HCPCS,83520,Chgl Zlc Adamts-13 Antibody Rflx,462.0,231.0,,,0 HCPCS,83520,Immunoassay quant nos nonab,,,17.27,97.38,10 HCPCS,83521,"Chgl (Qu) Kappa/Lambda Light Chains, Free With Ratio, Urine, S/O",38.0,19.0,,,0 HCPCS,83521,"Chgl Free Lambda Light Chain, Serum",164.0,82.0,,,0 HCPCS,83521,"Chgl Lc - Free Kappa Light Chain, Serum",164.0,82.0,,,0 HCPCS,83521,"Chgl Lc - Free Kappa Light Chain, Urine",164.0,82.0,,,0 HCPCS,83521,"Chgl Lc - Free Lambda Light Chain, Urine",164.0,82.0,,,0 HCPCS,83521,Ig light chains free each,,,17.27,20.72,9 HCPCS,83525,Assay of insulin,,,11.43,84.83,10 HCPCS,83525,"Chgl (Qu) Insulin, S/O",20.0,10.0,,,0 HCPCS,83525,"Chgl Insulin, Total",302.0,151.0,,,0 HCPCS,83527,Assay of insulin,,,12.95,95.2,10 HCPCS,83527,"Chgl (Qu) Insulin, Free, S/O",64.0,32.0,,,0 HCPCS,83527,Chgl Insulin Free,164.0,82.0,,,0 HCPCS,83528,Assay of intrinsic factor,,,19.82,118.91,10 HCPCS,83529,Asay of interleukin-6 (il-6),,,17.27,20.72,9 HCPCS,83529,Chgl Interleukin-6,456.0,228.0,,,0 HCPCS,83540,Assay of iron,,,6.47,47.97,10 HCPCS,83540,Chga-Iron,239.0,119.5,,,0 HCPCS,83540,Chgl Biopsy-Quan-Iron-Mayo,524.0,262.0,,,0 HCPCS,83550,Chgl Iron Binding Capacity (P),170.0,85.0,,,0 HCPCS,83550,Iron binding test,,,8.74,64.47,10 HCPCS,83570,Assay of idh enzyme,,,8.85,65.41,10 HCPCS,83582,Assay of ketogenic steroids,,,15.47,106.19,10 HCPCS,83586,Assay 17- ketosteroids,,,12.8,95.2,10 HCPCS,83586,Chgl 17 Ketosteroids,146.0,73.0,,,0 HCPCS,83593,"Chgl 17 Ketosteroid Frac,24 Hr",383.0,191.5,,,0 HCPCS,83593,Fractionation ketosteroids,,,28.5,183.27,10 HCPCS,83605,Assay of lactic acid,,,11.57,76.68,10 HCPCS,83605,"Chgl (Qu) D-Lactate, Plasma, S/O",366.0,183.0,,,0 HCPCS,83605,Chgl D-Lactate,195.0,97.5,,,0 HCPCS,83605,Chgl Lactate Arterial I-Stat,195.0,97.5,,,0 HCPCS,83605,Chgl Lactate I-Stat,195.0,97.5,,,0 HCPCS,83605,Chgl Lactic Acid Bld Stat,195.0,97.5,,,0 HCPCS,83605,Chgl Lactic Acid Csf Stat,195.0,97.5,,,0 HCPCS,83615,Chgl Ldh,111.0,55.5,,,0 HCPCS,83615,Chgl Ldh Fluid,111.0,55.5,,,0 HCPCS,83615,Lactate (LD) (LDH) enzyme,,,6.04,45.21,10 HCPCS,83625,Assay of ldh enzymes,,,12.79,90.14,10 HCPCS,83625,Chgl Ldh Isoenzymes,139.0,69.5,,,0 HCPCS,83630,Lactoferrin fecal (qual),,,19.7,147.03,10 HCPCS,83631,"Chgl (Qu) Lactoferrin, Quantitative, Stool, S/O",65.0,32.5,,,0 HCPCS,83631,Chgl Lactoferrin,481.0,240.5,,,0 HCPCS,83631,Lactoferrin fecal (quant),,,19.63,147.03,10 HCPCS,83632,Placental lactogen,,,20.22,150.46,10 HCPCS,83633,Test urine for lactose,,,9.46,40.21,10 HCPCS,83634,Assay of urine for lactose,,,81.54,81.54,1 HCPCS,83655,Assay of lead,,,12.11,89.97,10 HCPCS,83655,"Chgl (Qu) Heavy Metals Group # 3, S/O",9.0,4.5,,,0 HCPCS,83655,"Chgl (Qu) Heavy Metals Panel (Venous), S/O",11.0,5.5,,,0 HCPCS,83655,"Chgl (Qu) Heavy Metals Panel, Random Urine, S/O",12.0,6.0,,,0 HCPCS,83655,"Chgl (Qu) Lead (Venous), Osha And Zinc Protoporphyrin Eval, S/O",13.0,6.5,,,0 HCPCS,83655,"Chgl (Qu) Lead (Venous), S/O",22.0,11.0,,,0 HCPCS,83655,"Chgl (Qu) Lead And Zinc Protoporphyrin Evaluation, S/O",16.0,8.0,,,0 HCPCS,83655,"Chgl (Qu) Lead, 24-Hour Urine, S/O",28.0,14.0,,,0 HCPCS,83655,"Chgl (Qu) Lead, Capillary, S/O",23.0,11.5,,,0 HCPCS,83655,"Chgl (Qu) Lead, Urine, S/O",20.0,10.0,,,0 HCPCS,83655,Chgl Embryotoxicity Assay,1224.0,612.0,,,0 HCPCS,83655,"Chgl Lc-Lead,Blood, Filter Paper",69.0,34.5,,,0 HCPCS,83655,Chgl Lead Blood,130.0,65.0,,,0 HCPCS,83655,Chgl Lead Blood (P),191.0,95.5,,,0 HCPCS,83655,Chgl Lead Blood Adult,130.0,65.0,,,0 HCPCS,83655,Chgl Lead Urine,191.0,95.5,,,0 HCPCS,83661,L/s ratio fetal lung,,,21.99,162.73,10 HCPCS,83662,Foam stability fetal lung,,,18.91,126.07,10 HCPCS,83663,Fluoro polarize fetal lung,,,18.91,126.07,10 HCPCS,83664,Chgl Lamellar Body Counts,216.0,108.0,,,0 HCPCS,83664,Lamellar bdy fetal lung,,,19.32,126.07,10 HCPCS,83670,Assay of lap enzyme,,,9.81,66.6,10 HCPCS,83670,Chgl Leucine Amino Pep,502.0,251.0,,,0 HCPCS,83690,Assay of lipase,,,6.89,50.1,10 HCPCS,83690,Chgl Lipase,258.0,129.0,,,0 HCPCS,83690,Chgl Lipase Fluid,258.0,129.0,,,0 HCPCS,83695,Assay of lipoprotein(a),,,14.32,97.38,10 HCPCS,83695,"Chgl (Qu) Advanced Lipid Panel, Cardio Iq (Our Nmr Lipoprotein Profile), S/O",8.0,4.0,,,0 HCPCS,83695,"Chgl (Qu) Lipoprotein (A), S/O",22.0,11.0,,,0 HCPCS,83695,Chgl Lipoprotein (A),361.0,180.5,,,0 HCPCS,83698,Assay Lipoprotein Pla2,,,46.31,251.71,10 HCPCS,83698,"Chgl (Qu) Lp-Pla2 Activity, S/O",25.0,12.5,,,0 HCPCS,83698,Chgl Lp-Pla2,885.0,442.5,,,0 HCPCS,83700,Lipopro bld electrophoretic,,,11.26,81.39,10 HCPCS,83701,Lipoprotein bld hr fraction,,,33.86,165.77,10 HCPCS,83704,"Chgl (Qu) Advanced Lipid Panel, Cardio Iq (Our Nmr Lipoprotein Profile), S/O",19.0,9.5,,,0 HCPCS,83704,Chgl Nmr Lipoprofile,219.0,109.5,,,0 HCPCS,83704,Lipoprotein bld quan part,,,34.19,219.82,10 HCPCS,83718,Assay of lipoprotein,,,8.19,60.52,10 HCPCS,83718,Chgl Hdl Cholesterol,113.0,56.5,,,0 HCPCS,83719,Assay of blood lipoprotein,,,12.75,83.58,10 HCPCS,83721,Assay of blood lipoprotein,,,10.5,70.46,10 HCPCS,83721,"Chgl (Qu) Cardio Iq Direct Ldl, S/O",19.0,9.5,,,0 HCPCS,83721,Chgl Ldl Cholesterol Direct,94.0,47.0,,,0 HCPCS,83722,Lipoprtn dir meas sd ldl chl,,,34.19,42.07,9 HCPCS,83727,Assay of lrh hormone,,,17.19,128.51,10 HCPCS,83735,Assay of magnesium,,,6.7,50.27,10 HCPCS,83735,"Chgl (Qu) Magnesium, 24 Hour Urine, (W/O Creatinine), Aa, S/O",19.0,9.5,,,0 HCPCS,83735,"Chgl (Qu) 83735 Stonerisk? Diagnostic Profile, S/O",8.0,4.0,,,0 HCPCS,83735,"Chgl (Qu) Magnesium, Rbc, S/O",13.0,6.5,,,0 HCPCS,83735,Chgl Magnesium Serum,167.0,83.5,,,0 HCPCS,83735,Chgl Magnesium Urine,167.0,83.5,,,0 HCPCS,83735,"Chgl Magnesium,Rbc",167.0,83.5,,,0 HCPCS,83735,"Chgl Magnesium,Urine (Ks Panel)",167.0,83.5,,,0 HCPCS,83775,Assay malate dehydrogenase,,,7.37,55.21,10 HCPCS,83785,Assay of manganese,,,26.65,170.14,10 HCPCS,83785,"Chgl (Qu) Manganese, Blood, S/O",65.0,32.5,,,0 HCPCS,83785,"Chgl (Qu) Manganese, Serum, S/O",48.0,24.0,,,0 HCPCS,83785,Chgl Manganese Plasma,99.0,49.5,,,0 HCPCS,83785,Chgl Manganese Whole Blood,99.0,49.5,,,0 HCPCS,83788,Mass spectrometry qual,,,128.57,128.57,1 HCPCS,83789,Chgl Amyloid Protein,546.0,273.0,,,0 HCPCS,83789,"Chgl Iodine, Random Urine",368.0,184.0,,,0 HCPCS,83789,"Chgl Lc-Iodine, Total (Serum)",139.0,69.5,,,0 HCPCS,83789,Mass spectrometry qual/quan,,,24.11,128.57,10 HCPCS,83805,Assay of meprobamate,,,131.72,131.72,1 HCPCS,83825,Assay of mercury,,,16.26,121.1,10 HCPCS,83825,"Chgl (Qu) Heavy Metals Group # 3, S/O",12.0,6.0,,,0 HCPCS,83825,"Chgl (Qu) Heavy Metals Panel (Venous), S/O",14.0,7.0,,,0 HCPCS,83825,"Chgl (Qu) Heavy Metals Panel, Random Urine, S/O",16.0,8.0,,,0 HCPCS,83825,"Chgl (Qu) Mercury, 24-Hour Urine, S/O",33.0,16.5,,,0 HCPCS,83825,"Chgl (Qu) Mercury, S/O",25.0,12.5,,,0 HCPCS,83825,Chgl Mercury,131.0,65.5,,,0 HCPCS,83835,Assay of metanephrines,,,16.94,125.16,10 HCPCS,83835,"Chgl (Qu) Metanephrines, Fractionated, Lc/Ms/Ms, Random Ur, S/O",25.0,12.5,,,0 HCPCS,83835,"Chgl (Qu) Metanephrines, Fractionated,Lc/Ms/Ms,24-Hour Urine, S/O",31.0,15.5,,,0 HCPCS,83835,"Chgl (Qu) Metanephrines, Lc/Ms/Ms, S/O",35.0,17.5,,,0 HCPCS,83835,"Chgl Metanephrines,Fractionated",514.0,257.0,,,0 HCPCS,83835,"Chgl Metanephrines,Plasma",514.0,257.0,,,0 HCPCS,83835,"Chgl Metanephrines,Urine",206.0,103.0,,,0 HCPCS,83840,Assay of methadone,,,117.75,117.75,1 HCPCS,83857,Assay of methemalbumin,,,10.74,78.24,10 HCPCS,83858,Assay of methsuximide,,,109.31,109.31,1 HCPCS,83861,Microfluid analy tears,,,22.48,124.22,10 HCPCS,83864,"Chgl (Qu) Glycosaminoglycans, Urine (Gags), S/O",62.0,31.0,,,0 HCPCS,83864,Chgl Acid Mucopolysacc,292.0,146.0,,,0 HCPCS,83864,Chgl Orosomucoid,292.0,146.0,,,0 HCPCS,83864,Mucopolysaccharides,,,28.5,143.51,10 HCPCS,83866,Mucopolysaccharides screen,,,72.79,72.79,1 HCPCS,83872,Assay synovial fluid mucin,,,5.86,42.23,10 HCPCS,83873,Assay of csf protein,,,17.2,125.3,10 HCPCS,83873,"Chgl (Qu) Multiple Sclerosis Panel 2, S/O",15.0,7.5,,,0 HCPCS,83873,"Chgl (Qu) Myelin Basic Protein, S/O",26.0,13.0,,,0 HCPCS,83873,Chgl Myelin Basic Protein,302.0,151.0,,,0 HCPCS,83874,Assay of myoglobin,,,12.92,96.36,10 HCPCS,83874,"Chgl (Qu) Myoglobin, Urine, S/O",30.0,15.0,,,0 HCPCS,83874,Chgl Myoglobin Serum,332.0,166.0,,,0 HCPCS,83874,Chgl Myoglobin Urine Quan,332.0,166.0,,,0 HCPCS,83876,Assay myeloperoxidase,,,50.86,251.71,10 HCPCS,83880,Assay of natriuretic peptide,,,39.26,251.71,10 HCPCS,83880,Chgl Nt-Pro-B-Type Natriuretic Pept,529.0,264.5,,,0 HCPCS,83883,Assay nephelometry not spec,,,13.6,93.18,10 HCPCS,83883,"Chgl (Qu) Kappa/Lambda Light Chains, Total, W/Calc, 24Hr Ur, S/O",43.0,21.5,,,0 HCPCS,83883,"Chgl (Qu) Retinol Binding Protein, S/O",19.0,9.5,,,0 HCPCS,83883,Chgl Alpha 2-Macroglobin (Nash),211.0,105.5,,,0 HCPCS,83883,Chgl Immunoglobulin A 1,163.0,81.5,,,0 HCPCS,83883,Chgl Immunoglobulin A 2,163.0,81.5,,,0 HCPCS,83884,Assay neurflmnt light chain,,,118.55,122.04,4 HCPCS,83885,Assay of nickel,,,24.51,171.42,10 HCPCS,83885,"Chgl (Qu) Nickel, Random Urine, S/O",80.0,40.0,,,0 HCPCS,83885,"Chgl (Qu) Nickel, Serum/Plasma, S/O",71.0,35.5,,,0 HCPCS,83885,"Chgl Nickel,Plasma",555.0,277.5,,,0 HCPCS,83887,Assay of nicotine,,,170.77,170.77,1 HCPCS,83915,Assay of nucleotidase,,,11.15,83.07,10 HCPCS,83915,"Chgl (Qu) 5'Nucleotidase, S/O",30.0,15.0,,,0 HCPCS,83915,Chgl Nucleotidase,147.0,73.5,,,0 HCPCS,83916,"Chgl (Qu) Multiple Sclerosis Panel 2, S/O",21.0,10.5,,,0 HCPCS,83916,"Chgl (Qu) Oligoclonal Bands (Igg), Csf, S/O",27.0,13.5,,,0 HCPCS,83916,Chgl Oligo Bands-Ms Profile,295.0,147.5,,,0 HCPCS,83916,Chgl Oligoclonal Bands,377.0,188.5,,,0 HCPCS,83916,Oligoclonal bands,,,27.39,150.04,10 HCPCS,83918,"Chgl (Qu) 83918 Organic Acids, Comprehensive, Quantitative, Urine, S/O",134.0,67.0,,,0 HCPCS,83918,Organic acids total quant,,,23.6,122.52,10 HCPCS,83919,Chgl Organic Acids;Qual,1562.0,781.0,,,0 HCPCS,83919,Organic acids qual each,,,16.45,122.52,10 HCPCS,83921,"Chgl (Qu) Gamma-Hydroxybutyric Acid Confirmation, Urine, S/O",12.0,6.0,,,0 HCPCS,83921,"Chgl (Qu) Methylmalonic Acid Gc/Ms/Ms, Urine, S/O",25.0,12.5,,,0 HCPCS,83921,"Chgl (Qu) Methylmalonic Acid, S/O",25.0,12.5,,,0 HCPCS,83921,Chgl Methylmalonic Acid Plasma,541.0,270.5,,,0 HCPCS,83921,"Chgl Metylmalonic Acid, Ur.",917.0,458.5,,,0 HCPCS,83921,Organic acid single quant,,,21.21,122.52,10 HCPCS,83925,Assay of opiates,,,143.56,143.56,1 HCPCS,83930,Assay of blood osmolality,,,6.61,48.76,10 HCPCS,83930,Chgl Osmolality Serum,387.0,193.5,,,0 HCPCS,83935,Assay of urine osmolality,,,6.82,50.41,10 HCPCS,83935,Chgl Osmolality Urine,387.0,193.5,,,0 HCPCS,83937,Assay of osteocalcin,,,29.85,212.91,10 HCPCS,83937,"Chgl (Qu) Osteocalcin, N-Mid, S/O",39.0,19.5,,,0 HCPCS,83937,Chgl Osteocalcin,531.0,265.5,,,0 HCPCS,83945,Assay of oxalate,,,14.45,95.74,10 HCPCS,83945,"Chgl (Qu) 83945 Stonerisk? Diagnostic Profile, S/O",15.0,7.5,,,0 HCPCS,83945,"Chgl (Qu) Oxalate, Serum/Plasma, S/O",97.0,48.5,,,0 HCPCS,83945,"Chgl (Qu) Oxalic Acid, 24-Hour Urine Without Creatinine, S/O",23.0,11.5,,,0 HCPCS,83945,"Chgl (Qu) Oxalic Acid, Random Urine, S/O",23.0,11.5,,,0 HCPCS,83945,Chgl Oxalate,328.0,164.0,,,0 HCPCS,83945,"Chgl Oxalate,Urine (Ks Panel)",86.0,43.0,,,0 HCPCS,83950,Oncoprotein her-2/neu,,,64.41,467.63,10 HCPCS,83951,Oncoprotein dcp,,,64.41,467.63,10 HCPCS,83970,Assay of parathormone,,,41.28,310.36,10 HCPCS,83970,"Chgl (Qu) Pth, Intact, Fine Needle Aspirate, S/O",110.0,55.0,,,0 HCPCS,83970,Chgl Fna Parathyroid (Pth),507.0,253.5,,,0 HCPCS,83970,Chgl Parathormone Intact,507.0,253.5,,,0 HCPCS,83970,Chgl Pth Intraoperative Additional,507.0,253.5,,,0 HCPCS,83970,Chgl Pth Intraoperative Baseline,507.0,253.5,,,0 HCPCS,83986,Assay ph body fluid nos,,,3.58,25.08,10 HCPCS,83986,"Chgl (Qu) 83986 Stonerisk? Diagnostic Profile, S/O",4.0,2.0,,,0 HCPCS,83986,"Chgl (Qu) Ph, Body Fluid, S/O",21.0,10.5,,,0 HCPCS,83986,"Chgl (Qu) Ph, Feces, S/O",17.0,8.5,,,0 HCPCS,83986,Chgl Body Fluid Ph,181.0,90.5,,,0 HCPCS,83986,Chgl Ph Stool,181.0,90.5,,,0 HCPCS,83986,Chgl Qu - Body Fluid Ph,24.0,12.0,,,0 HCPCS,83986,Gastric Ph,113.0,56.5,,,0 HCPCS,83987,Exhaled breath condensate,,,3.58,115.47,10 HCPCS,83992,Assay for phencyclidine,,,25.26,108.03,3 HCPCS,83993,Assay for calprotectin fecal,,,19.63,147.03,10 HCPCS,83993,"Chgl (Qu) Calprotectin, Stool, S/O",45.0,22.5,,,0 HCPCS,83993,Chgl Calprotectin,655.0,327.5,,,0 HCPCS,84022,Assay of phenothiazine,,,114.03,114.03,1 HCPCS,84022,Noncdm Charge Record Lab,5.0,2.5,,,0 HCPCS,84030,Assay of blood pku,,,5.5,40.21,10 HCPCS,84030,Newborn Metabolic Screen,610.0,305.0,,,0 HCPCS,84035,Assay of phenylketones,,,3.98,26.18,10 HCPCS,84060,Assay acid phosphatase,,,7.64,54.7,10 HCPCS,84060,Chgl Acid Phosphatase,193.0,96.5,,,0 HCPCS,84061,Phosphatase forensic exam,,,58.56,58.56,1 HCPCS,84066,Assay prostate phosphatase,,,9.66,72.36,10 HCPCS,84066,"Chgl (Qu) 84066 Prostatic Acid Phosphatase (Pap), S/O",23.0,11.5,,,0 HCPCS,84066,Chgl Prostatic Acid Phos,110.0,55.0,,,0 HCPCS,84075,Assay alkaline phosphatase,,,5.18,38.82,10 HCPCS,84075,"Chgl (Qu) Alkaline Phosphatase Isoenzymes, S/O",5.0,2.5,,,0 HCPCS,84075,"Chgl (Qu) Alkaline Phosphatase, Bone Specific, S/O",38.0,19.0,,,0 HCPCS,84075,"Chgl (Qu) Porphobilinogen, 24 Hr Ur, S/O",1.0,0.5,,,0 HCPCS,84075,Chgl Alkaline Phosphatase,87.0,43.5,,,0 HCPCS,84078,Assay alkaline phosphatase,,,8.26,52.6,10 HCPCS,84080,Assay alkaline phosphatases,,,14.78,107.81,10 HCPCS,84080,"Chgl (Qu) Alkaline Phosphatase Isoenzymes, S/O",15.0,7.5,,,0 HCPCS,84080,"Chgl Alk Phos,Bone Specific",355.0,177.5,,,0 HCPCS,84080,Chgl Alkaline Phos Isoenzymes,248.0,124.0,,,0 HCPCS,84081,Assay phosphatidylglycerol,,,16.52,124.22,10 HCPCS,84085,Assay of rbc pg6d enzyme,,,9.44,50.47,10 HCPCS,84087,Assay phosphohexose enzymes,,,10.73,76.51,10 HCPCS,84100,Assay of phosphorus,,,4.74,35.33,10 HCPCS,84100,"Chgl (Qu) Porphobilinogen, 24 Hr Ur, S/O",1.0,0.5,,,0 HCPCS,84100,Chgl Phosphorous,123.0,61.5,,,0 HCPCS,84105,Assay of urine phosphorus,,,5.78,38.37,10 HCPCS,84105,"Chgl (Qu) 84105 Phosphate, 24 Hour Urine (W/O Creatinine), S/O",20.0,10.0,,,0 HCPCS,84105,"Chgl (Qu) 84105 Phosphate, Random Urine Without Creatinine, S/O",20.0,10.0,,,0 HCPCS,84105,"Chgl (Qu) 84105 Stonerisk? Diagnostic Profile, S/O",6.0,3.0,,,0 HCPCS,84105,Chgl Phosphorus Urine,65.0,32.5,,,0 HCPCS,84105,"Chgl Phosphorus,Urine (Ks Panel)",65.0,32.5,,,0 HCPCS,84106,Test for porphobilinogen,,,5.82,31.81,10 HCPCS,84110,Assay of porphobilinogen,,,8.44,59.16,10 HCPCS,84110,"Chgl (Qu) Porphobilinogen, 24 Hr Ur, S/O",2.0,1.0,,,0 HCPCS,84110,"Chgl (Qu) Porphobilinogen, Quantitative, Random Urine, S/O",28.0,14.0,,,0 HCPCS,84110,"Chgl Lc-Porphobilinogen, Quanturine",72.0,36.0,,,0 HCPCS,84110,Chgl Porphobilinogen Quantitative,75.0,37.5,,,0 HCPCS,84112,Chgl Amnisure,120.0,60.0,,,0 HCPCS,84112,Eval amniotic fluid protein,,,98.11,467.63,10 HCPCS,84119,Test urine for porphyrins,,,13.36,61.68,10 HCPCS,84120,Assay of urine porphyrins,,,14.71,108.23,10 HCPCS,84120,"Chgl (Qu) Porphyrins, Fractionated, Quantitative, Random Ur, S/O",21.0,10.5,,,0 HCPCS,84120,"Chgl (Qu) Porphyrins, Fractionated, Quantitative,24-Hr Urine, S/O",21.0,10.5,,,0 HCPCS,84120,Chgl Coproporphyrins,161.0,80.5,,,0 HCPCS,84120,Chgl Porphyrins Quantitative,170.0,85.0,,,0 HCPCS,84120,"Chgl Porphyrins,Random Urine",284.0,142.0,,,0 HCPCS,84126,Assay of feces porphyrins,,,39.11,182.1,10 HCPCS,84127,Assay of feces porphyrins,,,79.95,79.95,1 HCPCS,84132,Assay of serum potassium,,,4.76,34.62,10 HCPCS,84132,"Chgl (Qu) Porphobilinogen, 24 Hr Ur, S/O",1.0,0.5,,,0 HCPCS,84132,"Chgl (Qu) Potassium, Rbc, S/O",78.0,39.0,,,0 HCPCS,84132,Chgl Potassium,126.0,63.0,,,0 HCPCS,84132,Chgl Potassium Fluid,126.0,63.0,,,0 HCPCS,84132,Chgl Potassium I-Stat,126.0,63.0,,,0 HCPCS,84132,"Chgl Potassium,Rbc",126.0,63.0,,,0 HCPCS,84132,Potassium,126.0,63.0,,,0 HCPCS,84133,Assay of urine potassium,,,4.73,32.15,10 HCPCS,84133,"Chgl (Qu) 84133 Stonerisk? Diagnostic Profile, S/O",5.0,2.5,,,0 HCPCS,84133,Chgl Potassium Urine,94.0,47.0,,,0 HCPCS,84133,Chgl Potassium Urine Random,94.0,47.0,,,0 HCPCS,84133,"Chgl Potassium,Urine (Ks Panel)",94.0,47.0,,,0 HCPCS,84134,Assay of prealbumin,,,14.59,93.66,10 HCPCS,84134,Chgl Prealbumin,317.0,158.5,,,0 HCPCS,84135,Assay of pregnanediol,,,21.27,137.65,10 HCPCS,84138,Assay of pregnanetriol,,,21.05,140.64,10 HCPCS,84140,Assay of pregnenolone,,,20.67,145.24,10 HCPCS,84140,"Chgl (Qu) Pregnenolone, Lc/Ms, S/O",55.0,27.5,,,0 HCPCS,84140,"Chgl Pregnenolone,Serum",239.0,119.5,,,0 HCPCS,84143,Assay of 17-hydroxypregneno,,,22.81,158.36,10 HCPCS,84143,"Chgl (Qu) 17 Hydroxypregnenolone, S/O",50.0,25.0,,,0 HCPCS,84143,Chgl 17 Hydroxypregnenolone,450.0,225.0,,,0 HCPCS,84144,Assay of progesterone,,,20.86,155.09,10 HCPCS,84144,Chgl Progesterone,362.0,181.0,,,0 HCPCS,84145,Chgl Procalcitonin,925.0,462.5,,,0 HCPCS,84145,Procalcitonin (PCT),,,27.22,196.36,10 HCPCS,84146,Assay of prolactin,,,19.38,145.75,10 HCPCS,84146,"Chgl (Qu) Prolactin, Total And Monomeric, S/O",30.0,15.0,,,0 HCPCS,84146,Chgl Prolactin,247.0,123.5,,,0 HCPCS,84150,Assay of prostaglandin,,,41.77,175.2,10 HCPCS,84150,"Chgl (Qu) Prostaglandins D2, Serum Or Plasma, S/O",315.0,157.5,,,0 HCPCS,84150,"Chgl (Qu) Prostaglandins, Urine, S/O",340.0,170.0,,,0 HCPCS,84150,Chgl Lc-Prostaglandin D2 Plasma,290.0,145.0,,,0 HCPCS,84150,Chgl Lc-Prostaglandin D2 Urine,298.0,149.0,,,0 HCPCS,84150,"Chgl Mayo - 2, 3 Dinor 11 Beta - Prostaglandin F2 Alpha",437.0,218.5,,,0 HCPCS,84152,Assay of psa complexed,,,18.39,137.46,10 HCPCS,84153,Assay of psa total,,,18.39,137.46,10 HCPCS,84153,Chgl Prostatic Spec Ag,172.0,86.0,,,0 HCPCS,84154,Assay of psa free,,,18.39,137.46,10 HCPCS,84154,Chgl Psa Total - %Free Psa,321.0,160.5,,,0 HCPCS,84155,Assay of protein serum,,,3.67,27.38,10 HCPCS,84155,"Chgl (Qu) Porphobilinogen, 24 Hr Ur, S/O",1.0,0.5,,,0 HCPCS,84155,Chgl Globulin Serum,129.0,64.5,,,0 HCPCS,84155,"Chgl Protein, Total",138.0,69.0,,,0 HCPCS,84155,Chgl Total Protein,8.0,4.0,,,0 HCPCS,84156,Assay of protein urine,,,3.67,27.38,10 HCPCS,84156,"Chgl Protein,Total Urine",130.0,65.0,,,0 HCPCS,84156,Chgl Total Protien Random Urine,130.0,65.0,,,0 HCPCS,84157,Assay of protein other,,,4.0,27.38,10 HCPCS,84157,"Chgl (Qu) Culture,Virus, Body, S/O",1.0,0.5,,,0 HCPCS,84157,"Chgl (Qu) Protein Total And Protein Electrophoresis, Csf, S/O",5.0,2.5,,,0 HCPCS,84157,Chgl Body Fluid Protein,206.0,103.0,,,0 HCPCS,84160,Assay of protein any source,,,5.61,36.78,10 HCPCS,84163,Chgl Papp-A Screen,223.0,111.5,,,0 HCPCS,84163,Chgl Papp-A-First Trimester,223.0,111.5,,,0 HCPCS,84163,Pappa serum,,,15.05,101.27,10 HCPCS,84165,"Chgl (Qu) Cryoglobulin, Qualitative Analysis, S/O",5.0,2.5,,,0 HCPCS,84165,Chgl Prot Elec Serum W/Reflx,341.0,170.5,,,0 HCPCS,84165,Chgl Serum Protein Electrophoresis,341.0,170.5,,,0 HCPCS,84165,Protein e-phoresis serum,,,10.74,80.74,10 HCPCS,84166,"Chgl (Qu) Culture,Virus, Body, S/O",7.0,3.5,,,0 HCPCS,84166,"Chgl (Qu) Protein Total And Protein Electrophoresis, Csf, S/O",25.0,12.5,,,0 HCPCS,84166,Chgl Prot Elec Urine W/Reflx,193.0,96.5,,,0 HCPCS,84166,Chgl Protein Elec Csf,193.0,96.5,,,0 HCPCS,84166,Chgl Protein Elec Urine,193.0,96.5,,,0 HCPCS,84166,Protein e-phoresis/urine/csf,,,17.83,132.8,10 HCPCS,84181,"Chgl (Qu) 84181 Myelin Associated Glycoprotein (Mag) Antibody, With Reflex To Mag-Sgpg And Mag, Eia,",65.0,32.5,,,0 HCPCS,84181,"Chgl (Qu) Hsp-70 Antibody (Anti-68 Kd Antigen), S/O",150.0,75.0,,,0 HCPCS,84181,Chgl 68 Kd Autoantibodies,96.0,48.0,,,0 HCPCS,84181,Chgl Autoantibody Yo (Western Blot),108.0,54.0,,,0 HCPCS,84181,Chgl Qu - Autoantibody Hu (Western Blot),85.0,42.5,,,0 HCPCS,84181,Chgl Qu - Ri Ab Western Blot,108.0,54.0,,,0 HCPCS,84181,Mag Antibody Bill Only,96.0,48.0,,,0 HCPCS,84181,Western blot test,,,17.03,124.22,10 HCPCS,84182,"Chgl (Qu) Extended Myositis Specific Antibody (Msa) Panel, S/O",86.0,43.0,,,0 HCPCS,84182,"Chgl (Qu) Myositis Specific 11 Antibody Panel, S/O",27.0,13.5,,,0 HCPCS,84182,Chgl Lc-14-3-3 Protein,114.0,57.0,,,0 HCPCS,84182,"Chgl Qu - Paraneoplastic Ab, Lb",123.0,61.5,,,0 HCPCS,84182,Protein western blot test,,,29.21,129.62,10 HCPCS,84202,Assay RBC protoporphyrin,,,14.35,103.35,10 HCPCS,84202,"Chgl (Qu) Lead (Venous), Osha And Zinc Protoporphyrin Eval, S/O",15.0,7.5,,,0 HCPCS,84202,"Chgl (Qu) Lead And Zinc Protoporphyrin Evaluation, S/O",18.0,9.0,,,0 HCPCS,84202,"Chgl (Qu) Zinc Protoporphyrin (Zpp), S/O",21.0,10.5,,,0 HCPCS,84202,Chgl Zinc Protoporphyrin,184.0,92.0,,,0 HCPCS,84202,Chgl Zinc Protoporphyrin(P),184.0,92.0,,,0 HCPCS,84203,Test RBC protoporphyrin,,,9.74,63.1,10 HCPCS,84206,Assay of proinsulin,,,26.69,130.41,10 HCPCS,84206,"Chgl (Qu) Proinsulin, S/O",55.0,27.5,,,0 HCPCS,84206,Chgl Proinsulin,792.0,396.0,,,0 HCPCS,84207,Assay of vitamin b-6,,,28.1,197.92,10 HCPCS,84207,"Chgl (Qu) Vitamin B6, Plasma, S/O",23.0,11.5,,,0 HCPCS,84207,Chgl Vitamin B6,352.0,176.0,,,0 HCPCS,84210,Assay of pyruvate,,,14.48,79.61,10 HCPCS,84210,"Chgl (Qu) 84210 Pyruvic Acid (Pyruvate), Blood, S/O",24.0,12.0,,,0 HCPCS,84210,Chgl Pyruvic Acid,140.0,70.0,,,0 HCPCS,84220,Assay of pyruvate kinase,,,9.44,68.76,10 HCPCS,84220,"Chgl (Qu) 84220 Pyruvate Kinase Enzyme Activity, Blood , S/O",156.0,78.0,,,0 HCPCS,84220,Chgl Pyruvate Kinase Rbc,299.0,149.5,,,0 HCPCS,84228,Assay of quinine,,,11.63,83.81,10 HCPCS,84233,Assay of estrogen,,,87.88,467.63,10 HCPCS,84234,Assay of progesterone,,,64.88,468.54,10 HCPCS,84235,Assay of endocrine hormone,,,71.23,371.1,10 HCPCS,84238,Assay nonendocrine receptor,,,36.57,275.0,10 HCPCS,84238,"Chgl (Qu) Soluble Transferrin Receptor, S/O",25.0,12.5,,,0 HCPCS,84238,Chgl Soluble Transferrin Recp Ab,452.0,226.0,,,0 HCPCS,84244,Assay of renin,,,21.99,164.52,10 HCPCS,84244,"Chgl (Qu) Aldosterone/Plasma Renin Activity Ratio, Lc/Ms/Ms, S/O",17.0,8.5,,,0 HCPCS,84244,"Chgl (Qu) Plasma Renin Activity, Lc/Ms/Ms, S/O",28.0,14.0,,,0 HCPCS,84244,Chgl Renin Ivc,275.0,137.5,,,0 HCPCS,84244,Chgl Renin Lr,275.0,137.5,,,0 HCPCS,84244,Chgl Renin Peripheral,275.0,137.5,,,0 HCPCS,84244,Chgl Renin Rr,275.0,137.5,,,0 HCPCS,84252,Assay of vitamin b-2,,,20.24,141.72,10 HCPCS,84252,"Chgl (Qu) Vitamin B2 (Riboflavin), Plasma, S/O",39.0,19.5,,,0 HCPCS,84252,Chgl Vitamin B2,256.0,128.0,,,0 HCPCS,84255,Assay of selenium,,,25.53,181.87,10 HCPCS,84255,"Chgl (Qu) Selenium Rbc, S/O",54.0,27.0,,,0 HCPCS,84255,"Chgl (Qu) Selenium, Blood, S/O",28.0,14.0,,,0 HCPCS,84255,"Chgl (Qu) Selenium, S/O",30.0,15.0,,,0 HCPCS,84255,Chgl Selenium Blood,317.0,158.5,,,0 HCPCS,84255,"Chgl Selenium,Rbc",317.0,158.5,,,0 HCPCS,84260,Assay of serotonin,,,30.98,197.58,10 HCPCS,84260,"Chgl (Qu) Serotonin, Blood, S/O",40.0,20.0,,,0 HCPCS,84260,"Chgl (Qu) Serotonin, Serum, S/O",32.0,16.0,,,0 HCPCS,84260,Chgl Serotonin Serum,228.0,114.0,,,0 HCPCS,84270,Assay of sex hormone globul,,,21.73,155.35,10 HCPCS,84270,"Chgl (Qu) Sex Hormone Binding Globulin, S/O",30.0,15.0,,,0 HCPCS,84270,"Chgl (Qu) Testosterone, Free, Bioavailable And Total, Ms, S/O",17.0,8.5,,,0 HCPCS,84270,Chgl Sex Hormone Binding Globulin,330.0,165.0,,,0 HCPCS,84275,Assay of sialic acid,,,13.44,98.24,10 HCPCS,84275,Chgl Lasa-P Tumor Ag,172.0,86.0,,,0 HCPCS,84285,Assay of silica,,,25.21,168.64,10 HCPCS,84295,Assay of serum sodium,,,4.81,35.84,10 HCPCS,84295,"Chgl (Qu) Porphobilinogen, 24 Hr Ur, S/O",1.0,0.5,,,0 HCPCS,84295,Chgl Sodium,123.0,61.5,,,0 HCPCS,84295,Chgl Sodium I-Stat,123.0,61.5,,,0 HCPCS,84295,"Sodium,Serum",123.0,61.5,,,0 HCPCS,84300,Assay of urine sodium,,,5.06,35.44,10 HCPCS,84300,"Chgl (Qu) 84300 Stonerisk? Diagnostic Profile, S/O",6.0,3.0,,,0 HCPCS,84300,Chgl Sodium Urine,65.0,32.5,,,0 HCPCS,84300,Chgl Sodium Urine Random,65.0,32.5,,,0 HCPCS,84300,"Chgl Sodium,Urine (Ks Panel)",65.0,32.5,,,0 HCPCS,84302,Assay of sweat sodium,,,4.86,35.44,10 HCPCS,84302,"Chgl (Qu) Sodium, Feces, S/O",19.0,9.5,,,0 HCPCS,84302,Chgl Sodium Fluid,66.0,33.0,,,0 HCPCS,84302,Chgl Sodium;Other Source,82.0,41.0,,,0 HCPCS,84305,Assay of somatomedin,,,21.26,150.12,10 HCPCS,84305,"Chgl (Qu) Igf I, Lc/Ms, S/O",29.0,14.5,,,0 HCPCS,84305,Chgl Lc-Igf-1 With Z Score,106.0,53.0,,,0 HCPCS,84305,Chgl Somatomedin C,267.0,133.5,,,0 HCPCS,84307,Assay of somatostatin,,,18.28,133.39,10 HCPCS,84307,"Chgl (Qu) Somatostatin, S/O",75.0,37.5,,,0 HCPCS,84307,Chgl Somatostatin,667.0,333.5,,,0 HCPCS,84311,"Chgl (Qu) Adenosine Deaminase, Csf, S/O",130.0,65.0,,,0 HCPCS,84311,"Chgl (Qu) Adenosine Deaminase, Peritoneal Fluid, S/O",130.0,65.0,,,0 HCPCS,84311,"Chgl (Qu) Adenosine Deaminase, Pleural Fluid, S/O",75.0,37.5,,,0 HCPCS,84311,"Chgl (Qu) Hemoglobin, Free, Serum, S/O",30.0,15.0,,,0 HCPCS,84311,"Chgl (Qu) Phospholipids, S/O",24.0,12.0,,,0 HCPCS,84311,"Chgl (Qu) Potassium , Feces, S/O",22.0,11.0,,,0 HCPCS,84311,Chgl Adenosine Deaminase Fluid,436.0,218.0,,,0 HCPCS,84311,Chgl Fungitell(Beta D),642.0,321.0,,,0 HCPCS,84311,Chgl Phospholipids,181.0,90.5,,,0 HCPCS,84311,"Chgl Porphyrins,Serum",266.0,133.0,,,0 HCPCS,84311,Chgl Sulfa Serum Level,757.0,378.5,,,0 HCPCS,84311,Spectrophotometry,,,8.1,52.31,10 HCPCS,84315,Body fluid specific gravity,,,3.28,18.18,10 HCPCS,84315,Chgl Specific Grav Fluid,118.0,59.0,,,0 HCPCS,84375,Chromatogram assay sugars,,,33.7,121.18,10 HCPCS,84376,Chgl Reducing Subst Stool,91.0,45.5,,,0 HCPCS,84376,Sugars single qual,,,5.5,40.21,10 HCPCS,84377,Sugars multiple qual,,,5.5,40.21,10 HCPCS,84378,Sugars single quant,,,11.53,81.54,10 HCPCS,84379,Sugars multiple quant,,,11.53,81.54,10 HCPCS,84392,Assay of urine sulfate,,,5.49,35.44,10 HCPCS,84392,"Chgl (Qu) 84392 Stonerisk? Diagnostic Profile, S/O",6.0,3.0,,,0 HCPCS,84392,"Chgl Sulfate,Urine (Ks Panel)",65.0,32.5,,,0 HCPCS,84393,Tau phosphorylated ea,,,131.5,135.37,4 HCPCS,84394,Total tau,,,131.5,135.37,4 HCPCS,84402,Assay of free testosterone,,,25.47,190.45,10 HCPCS,84402,"Chgl (Qu) Testosterone, Free (Dialysis) And Total, Ms, S/O",12.0,6.0,,,0 HCPCS,84402,Chgl Testosterone Free,533.0,266.5,,,0 HCPCS,84402,"Chgl Testosterone,Free(P)",533.0,266.5,,,0 HCPCS,84403,Assay of total testosterone,,,25.81,192.13,10 HCPCS,84403,"Chgl (Qu) Testosterone, Free (Dialysis) And Total, Ms, S/O",13.0,6.5,,,0 HCPCS,84403,"Chgl (Qu) Testosterone, Free, Bioavailable And Total, Ms, S/O",21.0,10.5,,,0 HCPCS,84403,"Chgl Testosterone ,Total",256.0,128.0,,,0 HCPCS,84403,"Chgl Testosterone,Total(P)",256.0,128.0,,,0 HCPCS,84410,Testosterone bioavailable,,,51.28,87.06,9 HCPCS,84425,Assay of vitamin b-1,,,21.23,150.24,10 HCPCS,84425,"Chgl (Qu) Vitamin B1 (Thiamine), Blood Lc/Ms/Ms, S/O",23.0,11.5,,,0 HCPCS,84425,"Chgl Thiamine, Whole Blood",552.0,276.0,,,0 HCPCS,84430,Assay of thiocyanate,,,11.63,75.54,10 HCPCS,84430,"Chgl (Qu) Thiocyanate, S/O",26.0,13.0,,,0 HCPCS,84430,Chgl Thiocyanate,152.0,76.0,,,0 HCPCS,84431,Thromboxane urine,,,22.25,126.07,10 HCPCS,84432,Assay of thyroglobulin,,,16.06,115.73,10 HCPCS,84432,"Chgl (Qu) Qn Thyroglobulin Without Thyroglobulin Antibodies, S/O",25.0,12.5,,,0 HCPCS,84432,"Chgl (Qu) Thyroglobulin, Fine Needle Aspirate, S/O",45.0,22.5,,,0 HCPCS,84432,"Chgl (Qu) Thyroglobulin, Lc/Ms/Ms, S/O",40.0,20.0,,,0 HCPCS,84432,"Chgl (Qu) Thyroglobulin, S/O",30.0,15.0,,,0 HCPCS,84432,Chgl Fna Thyroglobulin,566.0,283.0,,,0 HCPCS,84432,Chgl Thyroglobulin,206.0,103.0,,,0 HCPCS,84433,Asy thiopurin s-mthyltrnsfrs,,,22.17,26.6,9 HCPCS,84436,Assay of total thyroxine,,,6.87,50.47,10 HCPCS,84436,"Chgl (Qu) Thyroid Panel, S/O",12.0,6.0,,,0 HCPCS,84436,Chgl T4 (P),243.0,121.5,,,0 HCPCS,84436,Chgl Thyroxine,256.0,128.0,,,0 HCPCS,84437,Assay of neonatal thyroxine,,,6.47,45.87,10 HCPCS,84439,Assay of free thyroxine,,,9.02,66.65,10 HCPCS,84439,Chga-Free T4,155.0,77.5,,,0 HCPCS,84439,Chgl T4 Free (Cascade),155.0,77.5,,,0 HCPCS,84439,Chgl T4 Free (Replacement),155.0,77.5,,,0 HCPCS,84442,Assay of thyroid activity,,,14.78,107.66,10 HCPCS,84442,"Chgl (Qu) Tbg (Thyroxine Binding Globulin), S/O",24.0,12.0,,,0 HCPCS,84442,Chgl Thyrobinding Globulin,164.0,82.0,,,0 HCPCS,84443,Assay thyroid stim hormone,,,16.8,126.07,10 HCPCS,84443,Chga-Tsh,212.0,106.0,,,0 HCPCS,84443,"Chgl (Qu) Chronic Urticaria Panel, S/O",37.0,18.5,,,0 HCPCS,84443,Chgl Lc-Viracor Tsh,61.0,30.5,,,0 HCPCS,84443,Chgl Thyroid Cascade,212.0,106.0,,,0 HCPCS,84443,Chgl Thyroid Replacement,212.0,106.0,,,0 HCPCS,84445,Assay of tsi globulin,,,50.86,340.57,10 HCPCS,84445,"Chgl (Qu) Tsi (Thyroid Stimulating Immunoglobulin), S/O",51.0,25.5,,,0 HCPCS,84445,Chgl Thy Stim Glob (Tsi),660.0,330.0,,,0 HCPCS,84446,Assay of vitamin e,,,14.18,103.83,10 HCPCS,84446,"Chgl (Qu) Vitamin E (Tocopherol), S/O",23.0,11.5,,,0 HCPCS,84446,Chgl Vitamin E,344.0,172.0,,,0 HCPCS,84449,Assay of transcortin,,,18.0,129.08,10 HCPCS,84449,"Chgl (Qu) Corticosteroid Binding Globulin (Cbg), S/O",100.0,50.0,,,0 HCPCS,84449,Chgl Cortisol Binding Globulin,344.0,172.0,,,0 HCPCS,84450,"Chgl (Qu) Porphobilinogen, 24 Hr Ur, S/O",1.0,0.5,,,0 HCPCS,84450,Chgl Ast,10.0,5.0,,,0 HCPCS,84450,Chgl Ast (Sgot),131.0,65.5,,,0 HCPCS,84450,Chgl Sgot(Ast)(Nash),131.0,65.5,,,0 HCPCS,84450,Transferase (AST) (SGOT),,,5.18,38.88,10 HCPCS,84460,Alanine amino (ALT) (SGPT),,,5.3,39.56,10 HCPCS,84460,Chgl Alt,13.0,6.5,,,0 HCPCS,84460,Chgl Alt (Sgpt),72.0,36.0,,,0 HCPCS,84460,Chgl Sgpt(Alt)(Nash),72.0,36.0,,,0 HCPCS,84466,Assay of transferrin,,,12.76,93.18,10 HCPCS,84466,"Chgl (Qu) Carbohydrate-Deficient Transferrin (Alcohol Use), S/O",19.0,9.5,,,0 HCPCS,84466,Chgl Transferrin,164.0,82.0,,,0 HCPCS,84478,Assay of triglycerides,,,5.74,43.08,10 HCPCS,84478,Chgl Triglyceride Fluid,111.0,55.5,,,0 HCPCS,84478,Chgl Triglyceride Serum,111.0,55.5,,,0 HCPCS,84478,Chgl Triglycerides (Nash),111.0,55.5,,,0 HCPCS,84479,Assay of thyroid (t3 or t4),,,6.47,47.63,10 HCPCS,84479,"Chgl (Qu) T3 Uptake, S/O",18.0,9.0,,,0 HCPCS,84479,"Chgl (Qu) Thyroid Panel, S/O",11.0,5.5,,,0 HCPCS,84479,Chgl T3 Uptake,299.0,149.5,,,0 HCPCS,84480,Assay triiodothyronine (t3),,,14.18,101.81,10 HCPCS,84480,Chgl T3 Total,374.0,187.0,,,0 HCPCS,84481,Chgl T3 Free,206.0,103.0,,,0 HCPCS,84481,Free assay (FT-3),,,16.94,119.93,10 HCPCS,84482,"Chgl T3,Reverse",280.0,140.0,,,0 HCPCS,84482,T3 reverse,,,15.76,110.08,10 HCPCS,84484,Assay of troponin quant,,,12.47,70.01,10 HCPCS,84484,Chgl Troponin T Quant,552.0,276.0,,,0 HCPCS,84485,Assay duodenal fluid trypsin,,,7.2,53.96,10 HCPCS,84488,Chgl Trypsin,380.0,190.0,,,0 HCPCS,84488,Test feces for trypsin,,,7.3,51.18,10 HCPCS,84490,Assay of feces for trypsin,,,9.93,54.95,10 HCPCS,84510,Assay of tyrosine,,,10.63,74.15,10 HCPCS,84512,Assay of troponin qual,,,10.09,54.81,10 HCPCS,84520,Assay of urea nitrogen,,,3.95,29.62,10 HCPCS,84520,Bun,130.0,65.0,,,0 HCPCS,84520,"Chgl (Qu) Porphobilinogen, 24 Hr Ur, S/O",1.0,0.5,,,0 HCPCS,84520,Chgl Bun,130.0,65.0,,,0 HCPCS,84520,Chgl Bun (Urea Nitrogen) - Post Dia,130.0,65.0,,,0 HCPCS,84520,Chgl Bun (Urea Nitrogen) I-Stat,130.0,65.0,,,0 HCPCS,84525,Urea nitrogen semi-quant,,,5.13,26.07,10 HCPCS,84540,Assay of urine/urea-n,,,5.56,35.02,10 HCPCS,84540,Chgl Nitrogen Urine,212.0,106.0,,,0 HCPCS,84540,"Chgl Urea Nitrogen, Urine",212.0,106.0,,,0 HCPCS,84540,"Chgl Urea Nitrogen,Urine (Ks Panel)",86.0,43.0,,,0 HCPCS,84545,Chgl Urea Clearance,212.0,106.0,,,0 HCPCS,84545,Urea-N clearance test,,,7.2,46.89,10 HCPCS,84550,Assay of blood/uric acid,,,4.52,33.99,10 HCPCS,84550,"Chgl (Qu) Porphobilinogen, 24 Hr Ur, S/O",1.0,0.5,,,0 HCPCS,84550,Chgl Uric Acid Serum,159.0,79.5,,,0 HCPCS,84560,Assay of urine/uric acid,,,5.08,34.82,10 HCPCS,84560,"Chgl (Qu) 84560 Stonerisk? Diagnostic Profile, S/O",6.0,3.0,,,0 HCPCS,84560,Chgl Uric Acid Urine,172.0,86.0,,,0 HCPCS,84560,"Chgl Uric Acid,Urine (Ks Panel)",99.0,49.5,,,0 HCPCS,84577,Assay of feces/urobilinogen,,,16.8,85.0,10 HCPCS,84578,Test urine urobilinogen,,,4.47,23.74,10 HCPCS,84580,Assay of urine urobilinogen,,,9.55,49.9,10 HCPCS,84583,Assay of urine urobilinogen,,,6.05,37.03,10 HCPCS,84585,Assay of urine vma,,,15.5,114.11,10 HCPCS,84585,"Chgl (Qu) 84585 Vma (Vanillylmandelic Acid), Random Urine, S/O",20.0,10.0,,,0 HCPCS,84585,"Chgl (Qu) Vma, 24H Urine W/O Creat, S/O",25.0,12.5,,,0 HCPCS,84585,Chgl Vma 24 Hr Urine,185.0,92.5,,,0 HCPCS,84585,Chgl Vma Urine-Random,206.0,103.0,,,0 HCPCS,84586,Assay of vip,,,35.33,207.52,10 HCPCS,84586,"Chgl (Qu) Vasoactive Intestinal Polypeptide (Vip), Plasma, S/O",103.0,51.5,,,0 HCPCS,84586,Chgl Vip,441.0,220.5,,,0 HCPCS,84588,Assay of vasopressin,,,33.94,251.71,10 HCPCS,84588,Chgl Anti Diuretic Hormone,422.0,211.0,,,0 HCPCS,84590,Assay of vitamin a,,,11.61,85.77,10 HCPCS,84590,"Chgl (Qu) Vitamin A (Retinol), S/O",25.0,12.5,,,0 HCPCS,84590,Chgl Vitamin A,131.0,65.5,,,0 HCPCS,84591,Assay Of Nos Vitamin,,,17.06,85.77,10 HCPCS,84591,"Chgl (Qu) Vitamin B3, S/O",45.0,22.5,,,0 HCPCS,84591,"Chgl (Qu) Vitamin B5 (Pantothenic Acid), S/O",65.0,32.5,,,0 HCPCS,84591,"Chgl (Qu) Vitamin B7 (Biotin), S/O",94.0,47.0,,,0 HCPCS,84591,Chgl Vitamin B5 (Pantothenic Acid),937.0,468.5,,,0 HCPCS,84591,Chgl Vitamin B7 (Biotin),812.0,406.0,,,0 HCPCS,84597,Assay of vitamin k,,,13.72,99.97,10 HCPCS,84597,"Chgl (Qu) Vitamin K, S/O",50.0,25.0,,,0 HCPCS,84597,Chgl Vitamin K,174.0,87.0,,,0 HCPCS,84600,Assay of volatiles,,,17.11,118.4,10 HCPCS,84600,Chgl Benzene Urine,174.0,87.0,,,0 HCPCS,84600,Chgl Phenol Quan,174.0,87.0,,,0 HCPCS,84620,Chgl D Xylose Blood,268.0,134.0,,,0 HCPCS,84620,Chgl D Xylose Urine,268.0,134.0,,,0 HCPCS,84620,Xylose tolerance test,,,12.91,85.65,10 HCPCS,84630,Assay of zinc,,,11.39,81.28,10 HCPCS,84630,"Chgl (Qu) Zinc, Random Urine, S/O",26.0,13.0,,,0 HCPCS,84630,"Chgl (Qu) Zinc, Rbc, S/O",37.0,18.5,,,0 HCPCS,84630,"Chgl (Qu) Zinc, S/O",22.0,11.0,,,0 HCPCS,84630,Chgl Zinc Blood,216.0,108.0,,,0 HCPCS,84630,Chgl Zinc Urine,206.0,103.0,,,0 HCPCS,84630,"Chgl Zinc,Rbc",465.0,232.5,,,0 HCPCS,84681,Assay of c-peptide,,,20.81,147.94,10 HCPCS,84681,"Chgl (Qu) C-Peptide, S/O",26.0,13.0,,,0 HCPCS,84681,Chgl C Peptide Reactivity,259.0,129.5,,,0 HCPCS,84702,Chgl Beta Hcg I-Stat,554.0,277.0,,,0 HCPCS,84702,Chgl Beta Hcg Serum,403.0,201.5,,,0 HCPCS,84702,Chgl Bhcg Seq Screen(P),344.0,172.0,,,0 HCPCS,84702,Chgl Bhcg Triple Screen,344.0,172.0,,,0 HCPCS,84702,Chgl Bhcg-First Trimester,328.0,164.0,,,0 HCPCS,84702,Chorionic gonadotropin test,,,15.05,101.27,10 HCPCS,84703,"Chgl Pregnancy, Serum",211.0,105.5,,,0 HCPCS,84703,Chorionic gonadotropin assay,,,7.52,56.06,10 HCPCS,84703,Urine Preg Poc Clinitek,211.0,105.5,,,0 HCPCS,84704,Hcg free betachain test,,,15.29,101.27,10 HCPCS,84830,Ovulation tests,,,12.7,71.71,10 HCPCS,84999,"Chgl (Lc) Potassium Fluid, S/O",37.0,18.5,,,0 HCPCS,84999,"Chgl (Qu) Osmolality, Feces, S/O",19.0,9.5,,,0 HCPCS,84999,Chgl Caredx Allosure Kidney Process,43.0,21.5,,,0 HCPCS,84999,Chgl General Chemistry Misc,191.54,95.77,,,0 HCPCS,84999,Chgl Osmolality Perfusate,416.0,208.0,,,0 HCPCS,84999,"Chgl Potassium,Fecal",172.0,86.0,,,0 HCPCS,84999,Clinical chemistry test,,,37.32,37.32,1 HCPCS,85002,Bleeding time test,,,4.82,33.43,10 HCPCS,85004,Automated diff wbc count,,,6.47,47.57,10 HCPCS,85007,Bl smear w/diff wbc count,,,3.8,24.94,10 HCPCS,85007,"Chgl (Qu) Porphobilinogen, 24 Hr Ur, S/O",1.0,0.5,,,0 HCPCS,85008,Bl smear w/o diff wbc count,,,3.43,24.94,10 HCPCS,85009,Manual diff wbc count b-coat,,,5.07,27.04,10 HCPCS,85013,Chgl Hematocrit-Spun,27.0,13.5,,,0 HCPCS,85013,Hematocrit,27.0,13.5,,,0 HCPCS,85013,Spun microhematocrit,,,4.07,17.78,10 HCPCS,85014,"Chgl (Qu) Porphobilinogen, 24 Hr Ur, S/O",1.0,0.5,,,0 HCPCS,85014,Chgl Hct,130.0,65.0,,,0 HCPCS,85014,Chgl Hct- I-Stat,130.0,65.0,,,0 HCPCS,85014,Hematocrit,130.0,65.0,2.37,17.78,10 HCPCS,85018,"Chgl (Qu) Porphobilinogen, 24 Hr Ur, S/O",1.0,0.5,,,0 HCPCS,85018,Chgl Hgb,25.0,12.5,,,0 HCPCS,85018,Hemoglobin,,,2.37,17.58,10 HCPCS,85018,Hemoglobin Atp,25.0,12.5,,,0 HCPCS,85018,Hgb,25.0,12.5,,,0 HCPCS,85025,"Chgl (Qu) Severe Combined Immunodeficiency (Scid) Panel, S/O",17.0,8.5,,,0 HCPCS,85025,Chgl Cbc With Diff,195.0,97.5,,,0 HCPCS,85025,Complete cbc w/auto diff wbc,,,7.77,57.0,10 HCPCS,85027,Chgl Cbc Without Diff,184.0,92.0,,,0 HCPCS,85027,Complete cbc automated,,,6.47,47.57,10 HCPCS,85032,Manual cell count each,,,4.31,32.26,10 HCPCS,85041,Automated rbc count,,,3.02,22.12,10 HCPCS,85044,Manual reticulocyte count,,,4.31,32.15,10 HCPCS,85045,Automated reticulocyte count,,,3.99,29.96,10 HCPCS,85046,Chgl Reticulocyte Count,167.0,83.5,,,0 HCPCS,85046,Reticyte/hgb concentrate,,,5.57,41.32,10 HCPCS,85048,Automated leukocyte count,,,2.54,18.83,10 HCPCS,85048,Chgl Absolute Neutrophil,107.0,53.5,,,0 HCPCS,85048,Chgl Eos Count,107.0,53.5,,,0 HCPCS,85048,Chgl Wbc Count,107.0,53.5,,,0 HCPCS,85049,Automated platelet count,,,4.48,33.43,10 HCPCS,85049,"Chgl Blood Ct, Platelet, Automated",216.0,108.0,,,0 HCPCS,85055,Reticulated platelet assay,,,35.74,162.53,10 HCPCS,85060,Blood smear interpretation,,,27.71,132.12,3 HCPCS,85097,Bone marrow interpretation,,,42.88,2781.52,10 HCPCS,85130,Chromogenic substrate assay,,,11.89,75.74,10 HCPCS,85170,Blood clot retraction,,,6.22,25.08,10 HCPCS,85175,Blood clot lysis time,,,7.81,33.31,10 HCPCS,85210,"Chgl (Qu) Factor Ii Activity,Clotting, S/O",41.0,20.5,,,0 HCPCS,85210,Chgl Lc - Factor Ii Assay,45.0,22.5,,,0 HCPCS,85210,Clot factor ii prothrom spec,,,12.98,79.38,10 HCPCS,85220,Blooc clot factor v test,,,17.65,122.6,10 HCPCS,85220,"Chgl (Qu) Factor V Activity And Human Inhibitor, S/O",125.0,62.5,,,0 HCPCS,85220,"Chgl (Qu) Factor V Activity,Clotting, S/O",41.0,20.5,,,0 HCPCS,85220,Chgl Lc - Factor V Assay,37.0,18.5,,,0 HCPCS,85230,"Chgl (Qu) Factor Vii Activity,Clotting, S/O",41.0,20.5,,,0 HCPCS,85230,Chgl Lc - Factor Vii Assay,52.0,26.0,,,0 HCPCS,85230,Clot factor vii proconvertin,,,17.9,124.22,10 HCPCS,85240,"Chgl (Qu) Factor Viii Inhibitor Pnl, S/O",75.0,37.5,,,0 HCPCS,85240,"Chgl (Qu) Von Willebrand Screen, S/O",26.0,13.0,,,0 HCPCS,85240,Chgl Factor Viii Assay,111.0,55.5,,,0 HCPCS,85240,Clot factor viii ahg 1 stage,,,17.9,118.57,10 HCPCS,85244,"Chgl (Qu) Factor Viii Antigen, S/O",95.0,47.5,,,0 HCPCS,85244,Clot factor viii reltd antgn,,,20.42,143.22,10 HCPCS,85245,"Chgl (Qu) Von Willebrand Screen, S/O",34.0,17.0,,,0 HCPCS,85245,Chgl Vonwillebrand Factor,288.0,144.0,,,0 HCPCS,85245,Clot factor viii vw ristoctn,,,22.94,159.32,10 HCPCS,85246,"Chgl (Qu) Von Willebrand Factor Antigen, S/O",39.0,19.5,,,0 HCPCS,85246,"Chgl (Qu) Von Willebrand Screen, S/O",34.0,17.0,,,0 HCPCS,85246,Chgl Lc - Von Willebrand Factor Ag,45.0,22.5,,,0 HCPCS,85246,Clot factor viii vw antigen,,,22.94,159.32,10 HCPCS,85247,"Chgl (Qu) Von Willebrand Antigen,Multimeric Analysis, S/O",60.0,30.0,,,0 HCPCS,85247,Chgl Factor Viii Vw Multimetric,422.0,211.0,,,0 HCPCS,85247,Clot factor viii multimetric,,,22.94,159.32,10 HCPCS,85250,"Chgl (Qu) 85250 Factor Ix Activity And Human Inhibitor, S/O",98.0,49.0,,,0 HCPCS,85250,Chgl Factor Ix Assay,748.0,374.0,,,0 HCPCS,85250,Clot factor ix ptc/chrstmas,,,19.04,132.26,10 HCPCS,85260,"Chgl (Qu) Factor X Activity, Chromogenic, S/O",142.0,71.0,,,0 HCPCS,85260,"Chgl (Qu) Factor X Activity,Clotting, S/O",42.0,21.0,,,0 HCPCS,85260,Chgl Lc - Factor X Assay,45.0,22.5,,,0 HCPCS,85260,Clot factor x stuart-power,,,17.9,125.22,10 HCPCS,85270,"Chgl (Qu) Factor Xi Activity,Clotting, S/O",41.0,20.5,,,0 HCPCS,85270,Chgl Lc - Factor Xi Assay,52.0,26.0,,,0 HCPCS,85270,Clot factor xi pta,,,17.9,125.81,10 HCPCS,85280,"Chgl (Qu) Factor Xii Activity,Clotting, S/O",41.0,20.5,,,0 HCPCS,85280,Chgl Lc - Factor Xii Assay,52.0,26.0,,,0 HCPCS,85280,Clot factor xii hageman,,,19.35,134.96,10 HCPCS,85290,"Chgl (Qu) Factor Xiii Functional, S/O",70.0,35.0,,,0 HCPCS,85290,Chgl Factor Xiii Assay,163.0,81.5,,,0 HCPCS,85290,Clot factor xiii fibrin stab,,,16.34,111.67,10 HCPCS,85291,"Chgl (Qu) Factor Xiii Screen, S/O",57.0,28.5,,,0 HCPCS,85291,Clot factor xiii fibrin scrn,,,9.11,65.29,10 HCPCS,85292,Chgl Fletcher Factor,239.0,119.5,,,0 HCPCS,85292,Clot factor fletcher fact,,,18.93,139.36,10 HCPCS,85293,Chgl Fitzgerald Factor,239.0,119.5,,,0 HCPCS,85293,Clot factor wght kininogen,,,18.93,139.16,10 HCPCS,85300,Antithrombin iii activity,,,11.85,82.25,10 HCPCS,85300,Chgl Antithrombin Iii,308.0,154.0,,,0 HCPCS,85301,Antithrombin iii antigen,,,10.81,81.28,10 HCPCS,85301,"Chgl (Qu) Antithrombin Iii Antigen, S/O",33.0,16.5,,,0 HCPCS,85301,Chgl Lc - Anti-Thrombin Iii Antigen,43.0,21.5,,,0 HCPCS,85302,"Chgl (Qu) Protein C Antigen, S/O",30.0,15.0,,,0 HCPCS,85302,"Chgl (Qu) Protein C, Activity And Antigen, S/O",24.0,12.0,,,0 HCPCS,85302,Chgl Protein C Antigen,247.0,123.5,,,0 HCPCS,85302,Clot inhibit prot c antigen,,,12.01,90.4,10 HCPCS,85303,"Chgl (Qu) Protein C, Activity And Antigen, S/O",28.0,14.0,,,0 HCPCS,85303,Chgl Protein C Functional,118.0,59.0,,,0 HCPCS,85303,Clot inhibit prot c activity,,,13.84,102.58,10 HCPCS,85305,"Chgl (Qu) Protein S Activity, Antigen, Total And Free, S/O",65.0,32.5,,,0 HCPCS,85305,"Chgl (Qu) Protein S, Total Antigen, S/O",39.0,19.5,,,0 HCPCS,85305,Chgl Lc - Protein S - Total,44.0,22.0,,,0 HCPCS,85305,Clot inhibit prot s total,,,11.61,87.27,10 HCPCS,85306,"Chgl (Qu) Protein S Activity, Antigen, Total And Free, S/O",43.0,21.5,,,0 HCPCS,85306,"Chgl (Qu) Protein S Activity, S/O",28.0,14.0,,,0 HCPCS,85306,Chgl Lc - Protein S Activity(Free),75.0,37.5,,,0 HCPCS,85306,Chgl Protein S Free,51.0,25.5,,,0 HCPCS,85306,Clot inhibit prot s free,,,15.32,111.07,10 HCPCS,85307,Assay Activated Protein C,,,15.32,111.07,10 HCPCS,85307,Chgl Activated Protein C,193.0,96.5,,,0 HCPCS,85335,"Chgl (Qu) Nijmegen Assay, S/O",122.0,61.0,,,0 HCPCS,85335,"Chgl (Qu) 85335 Factor Ix Activity And Human Inhibitor, S/O",66.0,33.0,,,0 HCPCS,85335,"Chgl (Qu) Adamts13 Inhibitor, S/O",235.0,117.5,,,0 HCPCS,85335,"Chgl (Qu) Factor V Activity And Human Inhibitor, S/O",91.0,45.5,,,0 HCPCS,85335,"Chgl (Qu) Factor Viii Inhibitor Pnl, S/O",54.0,27.0,,,0 HCPCS,85335,Chgl Lc - Inhibitor Titer,363.0,181.5,,,0 HCPCS,85335,Chgl Lc - Inhibitor Titer Fix,204.0,102.0,,,0 HCPCS,85335,Factor inhibitor test,,,12.87,90.88,10 HCPCS,85337,Thrombomodulin,,,17.27,76.51,10 HCPCS,85345,Coagulation time lee & white,,,4.69,31.07,10 HCPCS,85347,Act Atp,139.0,69.5,,,0 HCPCS,85347,Chgl Act - Atp,139.0,69.5,,,0 HCPCS,85347,Chgl Teg Koalin Analysis,139.0,69.5,,,0 HCPCS,85347,Coagulation Time-Teg Poc,139.0,69.5,,,0 HCPCS,85347,Coagulation time activated,,,4.28,30.56,10 HCPCS,85348,Coagulation time otr method,,,4.49,26.92,10 HCPCS,85360,Euglobulin lysis,,,8.41,60.69,10 HCPCS,85362,Fibrin degradation products,,,6.89,49.9,10 HCPCS,85366,Fibrinogen test,,,14.81,84.48,10 HCPCS,85370,Fibrinogen test,,,12.43,76.25,10 HCPCS,85378,Fibrin degrade semiquant,,,9.72,52.85,10 HCPCS,85379,Chgl D-Dimer Quantitation,313.0,156.5,,,0 HCPCS,85379,Fibrin degradation quant,,,10.18,71.28,10 HCPCS,85380,Fibrin degradj d-dimer,,,10.18,71.28,10 HCPCS,85384,Chgl Fibrinogen,167.0,83.5,,,0 HCPCS,85384,Chgl Teg Koalin Analysis,167.0,83.5,,,0 HCPCS,85384,Fibrinogen activity,,,9.72,63.7,10 HCPCS,85384,Fibrinogen-Teg Proc,167.0,83.5,,,0 HCPCS,85385,"Chgl (Qu) Fibrinogen Antigen, Nephelometry, S/O",24.0,12.0,,,0 HCPCS,85385,Chgl Fibrinogen Antigen,416.0,208.0,,,0 HCPCS,85385,Fibrinogen antigen,,,14.46,63.7,10 HCPCS,85390,Chgl Teg Koalin Analysis,104.0,52.0,,,0 HCPCS,85390,Fibrinolysins screen i&r,,,8.88,36.86,10 HCPCS,85390,Fibrinolysisn Screen Teg Poc,104.0,52.0,,,0 HCPCS,85396,Clotting assay whole blood,,,24.5,109.82,3 HCPCS,85397,"Chgl (Qu) Adamts13 Activity With Reflex To Inhibitor, S/O",95.0,47.5,,,0 HCPCS,85397,Chgl Adamts13 Activity,754.0,377.0,,,0 HCPCS,85397,Clotting funct activity,,,30.86,159.32,10 HCPCS,85400,Fibrinolytic plasmin,,,7.71,64.47,10 HCPCS,85410,"Chgl (Qu) Alpha 2-Antiplasmin, S/O",46.0,23.0,,,0 HCPCS,85410,Chgl Alpha 2 Antiplasmin,59.0,29.5,,,0 HCPCS,85410,Fibrinolytic antiplasmin,,,7.71,54.95,10 HCPCS,85415,"Chgl (Qu) Plasminogen Activator Inhibitor (Pai-1) Antigen, S/O",91.0,45.5,,,0 HCPCS,85415,Chgl Plasminogen Activator Inhibito,181.0,90.5,,,0 HCPCS,85415,Fibrinolytic plasminogen,,,17.19,116.41,10 HCPCS,85420,Chgl Plasminogen,502.0,251.0,,,0 HCPCS,85420,Fibrinolytic plasminogen,,,6.53,48.25,10 HCPCS,85421,Fibrinolytic plasminogen,,,10.18,74.83,10 HCPCS,85441,Chgl Heinz Body Prep,71.0,35.5,,,0 HCPCS,85441,Heinz bodies direct,,,4.2,31.07,10 HCPCS,85445,Heinz bodies induced,,,6.82,50.61,10 HCPCS,85460,Chgl Kleihauer-Betke,541.0,270.5,,,0 HCPCS,85460,Hemoglobin fetal,,,7.73,52.45,10 HCPCS,85461,Fetal Screen Test,89.0,44.5,,,0 HCPCS,85461,Hemoglobin fetal,,,9.36,48.39,10 HCPCS,85475,Hemolysin acid,,,8.87,62.76,10 HCPCS,85520,Chgl Anti-Xa Fondaparinux,127.0,63.5,,,0 HCPCS,85520,Chgl Factor X Act. Lmwh,127.0,63.5,,,0 HCPCS,85520,Chgl Factor X Act. Unfrac,127.0,63.5,,,0 HCPCS,85520,Heparin assay,,,13.09,91.39,10 HCPCS,85525,Heparin neutralization,,,11.84,82.3,10 HCPCS,85530,Heparin-protamine tolerance,,,13.09,101.81,10 HCPCS,85536,Iron Stain Peripheral Blood,,,6.88,47.57,10 HCPCS,85540,Chgl Lap,288.0,144.0,,,0 HCPCS,85540,Wbc alkaline phosphatase,,,8.6,63.1,10 HCPCS,85547,RBC mechanical fragility,,,8.6,58.16,10 HCPCS,85549,"Chgl (Qu) Lysozyme (Muramidase), S/O",24.0,12.0,,,0 HCPCS,85549,Chgl Muramidase Serum,164.0,82.0,,,0 HCPCS,85549,Muramidase,,,18.75,137.0,10 HCPCS,85555,RBC osmotic fragility,,,7.47,49.25,10 HCPCS,85557,Chgl Rbc Osmotic Fragility,211.0,105.5,,,0 HCPCS,85557,RBC osmotic fragility,,,13.36,92.9,10 HCPCS,85576,Blood Plate Aggregtn-Teg Poc,295.0,147.5,,,0 HCPCS,85576,Blood platelet aggregation,,,24.91,156.68,10 HCPCS,85576,Chgl Asprin Assay,360.0,180.0,,,0 HCPCS,85576,Chgl Heparin Agg-High,204.0,102.0,,,0 HCPCS,85576,Chgl Heparin Agg-Low,204.0,102.0,,,0 HCPCS,85576,Chgl P2Y12 Assay,332.0,166.0,,,0 HCPCS,85576,Chgl Plat Agg - Pfa Col Adp,211.0,105.5,,,0 HCPCS,85576,Chgl Plat Agg - Pfa Col Epi,211.0,105.5,,,0 HCPCS,85576,Chgl Plat Aggregation-Aracadonic Ac,308.0,154.0,,,0 HCPCS,85576,Chgl Platelet Aggregation-Adp,308.0,154.0,,,0 HCPCS,85576,Chgl Platelet Aggregation-Adp 1:4,308.0,154.0,,,0 HCPCS,85576,Chgl Platelet Aggregation-Collagen,308.0,154.0,,,0 HCPCS,85576,Chgl Platelet Aggregation-Epinephri,308.0,154.0,,,0 HCPCS,85576,Chgl Platelet Mapping Adp And Aa/Teg,126.0,63.0,,,0 HCPCS,85576,Chgl Ristocetin Aggreg,397.0,198.5,,,0 HCPCS,85576,Chgl Teg Koalin Analysis,126.0,63.0,,,0 HCPCS,85576,Platelet Aggregation Each,405.0,202.5,,,0 HCPCS,85597,Chgl Platelet Neutralization,417.0,208.5,,,0 HCPCS,85597,Phospholipid pltlt neutraliz,,,17.98,111.73,10 HCPCS,85598,"Chgl (Qu) Hexagonal Phase Confirmation, S/O",34.0,17.0,,,0 HCPCS,85598,Chgl Hexagonal Phase Phospholipid,721.0,360.5,,,0 HCPCS,85598,Hexagnal phosph pltlt neutrl,,,17.98,111.73,10 HCPCS,85610,"Chgl (Qu) Arsenic, Serum/Plasma, S/O",11.0,5.5,,,0 HCPCS,85610,Chgl Pt-Inr Poc,184.0,92.0,,,0 HCPCS,85610,Chgl Pt/Inr,184.0,92.0,,,0 HCPCS,85610,Prothrombin Time,184.0,92.0,,,0 HCPCS,85610,Prothrombin time,,,4.29,29.37,10 HCPCS,85611,Chgl Pt 1:1 Mix W/Normal,54.0,27.0,,,0 HCPCS,85611,Prothrombin test,,,3.94,29.56,10 HCPCS,85612,Viper venom prothrombin time,,,16.44,64.61,10 HCPCS,85613,Chgl Russell Viper Confirm-Dilute,84.0,42.0,,,0 HCPCS,85613,Chgl Russell Viper Screen-Dilute,84.0,42.0,,,0 HCPCS,85613,Russell viper venom diluted,,,9.58,64.61,10 HCPCS,85635,"Chgl (Qu) Reptilase Clotting Time, S/O",80.0,40.0,,,0 HCPCS,85635,Chgl Reptilase,450.0,225.0,,,0 HCPCS,85635,Reptilase test,,,9.85,69.15,10 HCPCS,85651,Rbc sed rate nonautomated,,,4.27,26.67,10 HCPCS,85652,"Chgl Sed Rate, Automated",155.0,77.5,,,0 HCPCS,85652,Rbc sed rate automated,,,2.7,20.19,10 HCPCS,85660,Chgl Sickle Cell Prep,201.0,100.5,,,0 HCPCS,85660,RBC sickle cell test,,,5.51,40.73,10 HCPCS,85670,Chgl Thrombin Time,65.0,32.5,,,0 HCPCS,85670,Thrombin time plasma,,,5.77,41.66,10 HCPCS,85675,Thrombin time titer,,,6.85,50.32,10 HCPCS,85705,Thromboplastin inhibition,,,9.63,64.3,10 HCPCS,85730,"Chgl (Qu) Von Willebrand Screen, S/O",9.0,4.5,,,0 HCPCS,85730,Chgl Ptt,225.0,112.5,,,0 HCPCS,85730,Thromboplastin time partial,,,6.01,44.76,10 HCPCS,85732,Chgl Ptt 1:1 W/Normal,181.0,90.5,,,0 HCPCS,85732,Thromboplastin time partial,,,6.47,47.91,10 HCPCS,85810,Blood viscosity examination,,,11.67,86.28,10 HCPCS,85810,"Chgl (Qu) Viscosity, Serum, S/O",27.0,13.5,,,0 HCPCS,85810,Chgl Lc-Viscosity Serum,131.0,65.5,,,0 HCPCS,85810,Chgl Viscosity Fluid,172.0,86.0,,,0 HCPCS,85999,Hematology procedure,,,37.32,37.32,1 HCPCS,86000,Agglutinins febrile antigen,,,6.98,48.76,10 HCPCS,86000,"Chgl (Qu) Francisella Tularensis Ab, S/O",53.0,26.5,,,0 HCPCS,86001,Allergen Specific Igg,,,7.82,37.89,10 HCPCS,86001,"Chgl (Qu) Aspergillus Fumigatus (M3) Igg, S/O",52.0,26.0,,,0 HCPCS,86001,Chgl Allergen Spec-Igg,46.0,23.0,,,0 HCPCS,86001,Chgl Allergy M5 Candida Igg,68.0,34.0,,,0 HCPCS,86003,Allergen specific IgE,,,5.22,37.89,10 HCPCS,86003,"Chgl (Qu) Raspberry (Rf 343) Ige **, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) 86003 American Cockroach (I206) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) 86003 Macadamia Nut (Rf345) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) 86003 Raspberry (Fr343) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Alpha 2-Antiplasmin, S/O",2.0,1.0,,,0 HCPCS,86003,"Chgl (Qu) Anchovy (F313) Ige, S/O",20.0,10.0,,,0 HCPCS,86003,"Chgl (Qu) Aureobasidium Pullulans (M12) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Basil (Rf269) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Blueberry (Rf288) Ige**, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Careless Weed (Amaranthus Palmeri) Ige, S/O",55.0,27.5,,,0 HCPCS,86003,"Chgl (Qu) Catfish Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Cinnamon (Rf220) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Clove (Rf268) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Coffee (Rf221) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Cotton Seed (K83) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Dill (Rf277) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Galactose-Alpha-1,3-Galactose (Alpha-Gal) Ige, S/O",76.0,38.0,,,0 HCPCS,86003,"Chgl (Qu) Ginger (F270) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Green Bean (F315) Ige**, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Gulf Flounder (F147) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Hackberry, Ige*, S/O",47.0,23.5,,,0 HCPCS,86003,"Chgl (Qu) Hop (Fruit Cone) (Humulus Lupus) (F324) Ige**, S/O",20.0,10.0,,,0 HCPCS,86003,"Chgl (Qu) Mushroom (Rf212) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Nutmeg (Rf282) Ige**, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Oregano (Rf283) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Pepper (Unripe) (Rf263) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Pine Nut (Rf253) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Rat Urine Protein (E74) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Red Snapper, Ige*, S/O",47.0,23.5,,,0 HCPCS,86003,"Chgl (Qu) Sweet Gum (Rt211) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Sweet Potato (F54) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Swordfish (Rf312) Ige**, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Tea (Rf222) Ige**, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Thyme (Rf273) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Vanilla (Rf234) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Virginia Live Oak (Rt218) Ige, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Watermelon (Rf329) Ige**, S/O",21.0,10.5,,,0 HCPCS,86003,"Chgl (Qu) Whitefish, Ige*, S/O",55.0,27.5,,,0 HCPCS,86003,"Chgl (Qu) Yellow Dock Weed (Rw23) Ige, S/O",20.0,10.0,,,0 HCPCS,86003,Chgl Allergen Spec - Ige,51.0,25.5,,,0 HCPCS,86003,Chgl Allergen Specific Ige(I),53.0,26.5,,,0 HCPCS,86003,Chgl Lc - Alpha-Gal Panel Beef Ige,11.0,5.5,,,0 HCPCS,86003,Chgl Lc - Alpha-Gal Panel Lamb Ige,11.0,5.5,,,0 HCPCS,86003,Chgl Lc - Alpha-Gal Panel Pork Ige,11.0,5.5,,,0 HCPCS,86005,Allergen specific IgE,,,7.97,51.4,10 HCPCS,86005,"Chgl (Qu) Magnesium, Rbc, S/O",14.0,7.0,,,0 HCPCS,86005,Chgl Allergen Mixes,37.0,18.5,,,0 HCPCS,86008,Allg spec ige recomb ea,,,17.93,26.57,9 HCPCS,86008,Chgl Allergen Ige Components,71.0,35.5,,,0 HCPCS,86008,Chgl Lc - Alpha-Gal Panel Allergen Spec Ige Recomb,32.0,16.0,,,0 HCPCS,86008,Chgl Lc-Allergen Spec Ige Recomb,84.0,42.0,,,0 HCPCS,86015,Actin antibody each,,,12.05,13.84,9 HCPCS,86015,"Chgl (Qu) Actin Antibody (Igg), S/O",24.0,12.0,,,0 HCPCS,86015,Chgl Lc - Smooth Muscle Antibodies,187.0,93.5,,,0 HCPCS,86021,"Chgl (Qu) Atypical P-Anca Titier, S/O",38.0,19.0,,,0 HCPCS,86021,"Chgl (Qu) C-Anca Titier, S/O",38.0,19.0,,,0 HCPCS,86021,"Chgl (Qu) Inflammatory Bowel Disease Differentiation Panel, S/O",18.0,9.0,,,0 HCPCS,86021,"Chgl (Qu) Myeloperoxidase Antibody, S/O",21.0,10.5,,,0 HCPCS,86021,"Chgl (Qu) P-Anca Titier, S/O",38.0,19.0,,,0 HCPCS,86021,"Chgl (Qu) Proteinase-3 Antibody, S/O",22.0,11.0,,,0 HCPCS,86021,Chgl Granulocyte Ab,167.0,83.5,,,0 HCPCS,86021,WBC antibody identification,,,15.05,102.27,10 HCPCS,86022,Bcw-Serotonin Release Assay,678.0,339.0,,,0 HCPCS,86022,"Chgl (Qu) 86022 Serotonin Releasing Assay (Sra), Unfractionated Heparin, S/O",53.0,26.5,,,0 HCPCS,86022,Chgl Platelet Antibody Indirect,193.0,96.5,,,0 HCPCS,86022,Chgl Serotonin Rel Assay-High,193.0,96.5,,,0 HCPCS,86022,Chgl Serotonin Rel Assay-Low,193.0,96.5,,,0 HCPCS,86022,Platelet Crossmatch,193.0,96.5,,,0 HCPCS,86022,Platelet antibodies,,,18.37,123.51,10 HCPCS,86023,"Chgl (Qu) Platelet Antibody, Direct (Igg), S/O",44.0,22.0,,,0 HCPCS,86023,Chgl Platelet Antibody Direct,94.0,47.0,,,0 HCPCS,86023,Immunoglobulin assay,,,12.46,89.12,10 HCPCS,86036,Anca screen each antibody,,,12.05,14.46,9 HCPCS,86036,"Chgl (Qu) Anca Screen With Reflex To Anca Titer, S/O",22.0,11.0,,,0 HCPCS,86036,"Chgl (Qu) Inflammatory Bowel Disease Differentiation Panel, S/O",25.0,12.5,,,0 HCPCS,86036,Chgl Lc - Ibd Panca,46.0,23.0,,,0 HCPCS,86037,Anca titer each antibody,,,12.05,14.46,9 HCPCS,86037,"Chgl (Qu) Atypical P-Anca Titer, S/O",75.0,37.5,,,0 HCPCS,86037,"Chgl (Qu) C-Anca Titer, S/O",35.0,17.5,,,0 HCPCS,86037,"Chgl (Qu) P-Anca Titer, S/O",35.0,17.5,,,0 HCPCS,86037,Chgl Lc - Neutro Atyp-Anca Ab,71.0,35.5,,,0 HCPCS,86037,Chgl Lc - Neutro C-Anca Ab,71.0,35.5,,,0 HCPCS,86037,Chgl Lc - Neutro P-Anca Ab,71.0,35.5,,,0 HCPCS,86038,Antinuclear antibodies,,,12.09,89.55,10 HCPCS,86038,Chgl Ana,275.0,137.5,,,0 HCPCS,86039,Antinuclear antibodies (ANA),,,11.16,83.64,10 HCPCS,86039,Chgl Ana Titer,244.0,122.0,,,0 HCPCS,86041,Acetylcholn rcptr bndng antb,,,18.4,22.08,9 HCPCS,86041,"Chgl (Qu) 86041 Acetylcholine Receptor Binding Antibody, S/O",35.0,17.5,,,0 HCPCS,86042,Acetylcholn rcptr blckg antb,,,18.4,22.08,9 HCPCS,86042,"Chgl (Qu) 86042 Acetylcholine Receptor Blocking Antibody, S/O",35.0,17.5,,,0 HCPCS,86042,Chgl Achr-Blocking Antibodies,164.0,82.0,,,0 HCPCS,86043,Acetylcholn rcptr modlg antb,,,12.05,14.46,9 HCPCS,86043,"Chgl (Qu) 86043 Acetylcholine Receptor Modulating Antibody, S/O",35.0,17.5,,,0 HCPCS,86043,Chgl Achr-Modulating Antibodies,164.0,82.0,,,0 HCPCS,86051,Aquaporin-4 antb elisa,,,11.53,13.84,9 HCPCS,86051,Chgl Lc - Nmo Igg (Elisa),761.0,380.5,,,0 HCPCS,86052,Aquaporin-4 antb cba each,,,12.05,14.46,9 HCPCS,86052,"Chgl (Qu) Aquaporin 4 Antibody, Titer, Serum, S/O",802.0,401.0,,,0 HCPCS,86052,"Chgl (Qu) Aquaporin 4 Titer, S/O",800.0,400.0,,,0 HCPCS,86052,"Chgl (Qu) Aquaporin-4 (Aqp4) (Nmo-Igg) Antibody With Reflex To Titer, Csf, S/O",365.0,182.5,,,0 HCPCS,86052,"Chgl (Qu) Aquaporin-4 (Aqp4) (Nmo-Igg) Antibody, S/O",655.0,327.5,,,0 HCPCS,86053,Aqaprn-4 antb flo cytmtry ea,,,14.46,39.62,9 HCPCS,86060,Antistreptolysin o titer,,,7.3,53.16,10 HCPCS,86060,"Chgl (Qu) Anti-Streptolysin O, S/O",20.0,10.0,,,0 HCPCS,86060,Chgl Aso Abs,105.0,52.5,,,0 HCPCS,86063,Antistreptolysin o screen,,,5.77,41.52,10 HCPCS,86077,Phys blood bank serv xmatch,,,20.08,271.76,10 HCPCS,86078,Phys blood bank serv reactj,,,42.88,588.18,10 HCPCS,86079,Phys blood bank serv authrj,,,20.08,271.76,10 HCPCS,86140,C-reactive protein,,,5.18,37.37,10 HCPCS,86140,Chgl Crp,248.0,124.0,,,0 HCPCS,86141,C-reactive protein hs,,,12.95,97.38,10 HCPCS,86141,Chgl Crp High Sensitivity,91.0,45.5,,,0 HCPCS,86146,Beta-2 glycoprotein antibody,,,25.45,153.08,10 HCPCS,86146,Chgl Beta-2 Iga,44.0,22.0,,,0 HCPCS,86146,Chgl Beta-2 Igg,44.0,22.0,,,0 HCPCS,86146,Chgl Beta-2 Igm,44.0,22.0,,,0 HCPCS,86147,Cardiolipin antibody ea ig,,,25.45,153.08,10 HCPCS,86147,"Chgl Anticardiolip Ab, Iga/G/M, Qn",44.0,22.0,,,0 HCPCS,86148,Anti-phospholipid antibody,,,16.07,111.73,10 HCPCS,86148,Chgl Phosphatidylserine Iga Abs,109.0,54.5,,,0 HCPCS,86152,Cell enumeration & id,,,15.25,263.32,10 HCPCS,86153,Cell enumeration phys interp,,,15.25,69.49,3 HCPCS,86155,Chemotaxis assay,,,15.99,116.07,10 HCPCS,86156,Cold agglutinin screen,,,8.07,47.71,10 HCPCS,86156,Reference Lab Cold Agglutinin Screen,75.0,37.5,,,0 HCPCS,86157,"Chgl (Qu) Cold Hemagglutinins, S/O",19.0,9.5,,,0 HCPCS,86157,Chgl Cold Agglutinins,160.0,80.0,,,0 HCPCS,86157,Cold agglutinin titer,,,8.06,58.5,10 HCPCS,86160,"Chgl (Qu) C1 Esterase Inhibitor, Protein, S/O",28.0,14.0,,,0 HCPCS,86160,"Chgl (Qu) Complement Component C1Q, S/O",14.0,7.0,,,0 HCPCS,86160,Chgl C1 Esterase Inhibitor Id,245.0,122.5,,,0 HCPCS,86160,Chgl C2 Complement,315.0,157.5,,,0 HCPCS,86160,Chgl C3A Complement,315.0,157.5,,,0 HCPCS,86160,Chgl C4 Complement,315.0,157.5,,,0 HCPCS,86160,Chgl C5A Complement,315.0,157.5,,,0 HCPCS,86160,"Chgl Complement Ag, Each",315.0,157.5,,,0 HCPCS,86160,Chgl Lc-Complement C4A Level,207.0,103.5,,,0 HCPCS,86160,Complement C1Q Quant,382.0,191.0,,,0 HCPCS,86160,Complement antigen,,,12.0,89.63,10 HCPCS,86161,"Chgl (Qu) C1 Inhibitor, Functional, S/O",34.0,17.0,,,0 HCPCS,86161,"Chgl (Qu) C3A Desarg Fragment, S/O",138.0,69.0,,,0 HCPCS,86161,Chgl C-1 Est Inh Funct'al,133.0,66.5,,,0 HCPCS,86161,Complement/function activity,,,12.0,89.63,10 HCPCS,86162,"Chgl (Qu) Complement, Total (Ch50), S/O",23.0,11.5,,,0 HCPCS,86162,Chgl Complement Total Ch50,414.0,207.0,,,0 HCPCS,86162,Complement total (ch50),,,20.32,150.29,10 HCPCS,86171,Complement fixation each,,,10.01,67.0,10 HCPCS,86185,Counterimmunoelectrophoresis,,,67.17,67.17,1 HCPCS,86200,Ccp antibody,,,12.95,97.38,10 HCPCS,86200,"Chgl (Qu) Rheumatoid Arthritis Diagnostic Identra(R) Pnl 2, S/O",48.0,24.0,,,0 HCPCS,86200,Chgl Citrulline Ab,136.0,68.0,,,0 HCPCS,86200,Chgl Lc-Rheumassure-Ccp Antibodies,93.0,46.5,,,0 HCPCS,86215,"Chgl (Qu) Dnase-B Antibody, S/O",25.0,12.5,,,0 HCPCS,86215,Chgl Dnase B Antibody,221.0,110.5,,,0 HCPCS,86215,Deoxyribonuclease antibody,,,13.25,98.72,10 HCPCS,86225,Chgl Dna Ab,301.0,150.5,,,0 HCPCS,86225,Dna antibody native,,,13.74,102.78,10 HCPCS,86226,Chgl Dna Ab Single Strand,130.0,65.0,,,0 HCPCS,86226,Dna antibody single strand,,,12.11,88.86,10 HCPCS,86231,Chgl Lc - Endomysial Iga Ab,82.0,41.0,,,0 HCPCS,86231,Ema each ig class,,,12.09,14.51,9 HCPCS,86235,"Chgl (Qu) Extended Myositis Specific Antibody (Msa) Panel, S/O",72.0,36.0,,,0 HCPCS,86235,"Chgl (Qu) Myositis Specific 11 Antibody Panel, S/O",22.0,11.0,,,0 HCPCS,86235,"Chgl (Qu) Sjogren's Antibodies (Ss-A,Ss-B), S/O",13.0,6.5,,,0 HCPCS,86235,Chgl Anti Rnp,136.0,68.0,,,0 HCPCS,86235,Chgl Anti Sm Smith,136.0,68.0,,,0 HCPCS,86235,Chgl Antichromatin Ab's,136.0,68.0,,,0 HCPCS,86235,Chgl Centromere Ab,136.0,68.0,,,0 HCPCS,86235,Chgl Histone Antibodies,136.0,68.0,,,0 HCPCS,86235,"Chgl Jo-1 Abs,Id",136.0,68.0,,,0 HCPCS,86235,Chgl Lc-Anti-Pm-Scl-75 Ab,240.0,120.0,,,0 HCPCS,86235,Chgl Lc-Myomarker 3 & 3 Plus Anti-Jo-1 Ab,69.0,34.5,,,0 HCPCS,86235,Chgl Lc-Myomarker 3 & 3 Plus Anti-Nxp-2 (P140) Ab,69.0,34.5,,,0 HCPCS,86235,Chgl Lc-Myomarker 3 & 3 Plus Anti-Pm/Scl-100 Ab,69.0,34.5,,,0 HCPCS,86235,"Chgl Lc-Myomarker 3 & 3 Plus Anti-Ss-A 52Kd Ab, Igg",69.0,34.5,,,0 HCPCS,86235,Chgl Lc-Myomarker 3 & 3 Plus Anti-Tif-1 Gamma Ab,69.0,34.5,,,0 HCPCS,86235,Chgl Lc-Myomarker 3 & 3 Plus Anti-U1-Rnp Ab,69.0,34.5,,,0 HCPCS,86235,Chgl Mi-2 Autoantibodies,136.0,68.0,,,0 HCPCS,86235,Chgl Scleroderma Ab,136.0,68.0,,,0 HCPCS,86235,Chgl Sjogren Ssa Antibody,136.0,68.0,,,0 HCPCS,86235,Chgl Sjogren Ssb Antibody,136.0,68.0,,,0 HCPCS,86235,Chgl Srp Antibody,136.0,68.0,,,0 HCPCS,86235,Nuclear antigen antibody,,,17.93,126.66,10 HCPCS,86243,Fc receptor,,,149.21,149.21,1 HCPCS,86255,"Chgl (Qu) Reticulin Iga Screen With Reflex To Titer, S/O",27.0,13.5,,,0 HCPCS,86255,"Chgl (Qu) Antiadrenal Antibody Screen With Reflex To Titer, S/O",35.0,17.5,,,0 HCPCS,86255,"Chgl (Qu) Caspr2 Antibody Test, S/O",226.0,113.0,,,0 HCPCS,86255,"Chgl (Qu) Copeptin, S/O",50.0,25.0,,,0 HCPCS,86255,"Chgl (Qu) Epidermal Antibodies With Reflex To Titers, S/O",50.0,25.0,,,0 HCPCS,86255,"Chgl (Qu) Hu Ab Screen W/Reflex To Titer And Western Blot, S/O",51.0,25.5,,,0 HCPCS,86255,"Chgl (Qu) Lgi1 Antibody Test, S/O",215.0,107.5,,,0 HCPCS,86255,"Chgl (Qu) Mitochondrial Antibody W/Refl Titer, S/O",21.0,10.5,,,0 HCPCS,86255,"Chgl (Qu) Myocardial Antibody Screen With Reflex To Titer, S/O",26.0,13.0,,,0 HCPCS,86255,"Chgl (Qu) Nmda Receptor Antibody Test, S/O",504.0,252.0,,,0 HCPCS,86255,"Chgl (Qu) Ri Ab Screen W/Reflex To Titer And Western Blot, S/O",99.0,49.5,,,0 HCPCS,86255,"Chgl (Qu) Striated Muscle Antibody, S/O",28.0,14.0,,,0 HCPCS,86255,"Chgl Adrenal Ab, Ifa",150.0,75.0,,,0 HCPCS,86255,Chgl Agn1 Pae,150.0,75.0,,,0 HCPCS,86255,Chgl Amphi Pae,150.0,75.0,,,0 HCPCS,86255,Chgl Ann1 Pae,150.0,75.0,,,0 HCPCS,86255,Chgl Ann2 Pae,150.0,75.0,,,0 HCPCS,86255,Chgl Ann3 Pae,150.0,75.0,,,0 HCPCS,86255,Chgl Arup - Mog Igg,352.0,176.0,,,0 HCPCS,86255,Chgl Athena - Lrp4 Autoantibody,1219.0,609.5,,,0 HCPCS,86255,Chgl Crmp5I Pae,150.0,75.0,,,0 HCPCS,86255,Chgl Hu Antobody Bill Only,150.0,75.0,,,0 HCPCS,86255,Chgl Hu Autoantibody,150.0,75.0,,,0 HCPCS,86255,Chgl N-Methyl-D-Asparate Recept Igg,150.0,75.0,,,0 HCPCS,86255,Chgl Pcc1 Pae,150.0,75.0,,,0 HCPCS,86255,Chgl Pcc2 Pae,150.0,75.0,,,0 HCPCS,86255,Chgl Pcct Pae,150.0,75.0,,,0 HCPCS,86255,"Chgl Qu - Aquaporin-4 Ab (Igg),Cba",265.0,132.5,,,0 HCPCS,86255,"Chgl Qu - Paraneop Ab, Cba-Ifa",115.0,57.5,,,0 HCPCS,86255,Chgl Qu - Paraneoplastic Ifa,32.0,16.0,,,0 HCPCS,86255,Chgl Qu-Striated Muscle Antibody,31.0,15.5,,,0 HCPCS,86255,Chgl Reticulin Ab Iga,150.0,75.0,,,0 HCPCS,86255,Chgl Ri Autoantibody,150.0,75.0,,,0 HCPCS,86255,Chgl Sensory Neuropathy Ab,150.0,75.0,,,0 HCPCS,86255,Chgl Skin Abs,150.0,75.0,,,0 HCPCS,86255,Chgl Yo Antibody,150.0,75.0,,,0 HCPCS,86255,Fluorescent antibody screen,,,12.05,88.86,10 HCPCS,86256,"Chgl (Qu) Basement Membrane Zone Antibody Titer, S/O",69.0,34.5,,,0 HCPCS,86256,"Chgl (Qu) Intercellular Substance Antibody Titer?, S/O",69.0,34.5,,,0 HCPCS,86256,"Chgl (Qu) Myocardial Antibody Titer, S/O",35.0,17.5,,,0 HCPCS,86256,"Chgl (Qu) Reticulin Iga Titer, S/O",68.0,34.0,,,0 HCPCS,86256,"Chgl Arup - Mog Igg, Reflexed",98.0,49.0,,,0 HCPCS,86256,Chgl Dna Ab (Cridthidia),167.0,83.5,,,0 HCPCS,86256,"Chgl Qu - Anna 3 Ab, Titer",115.0,57.5,,,0 HCPCS,86256,Chgl Qu - Anti-Striated Muscle Ab T,33.0,16.5,,,0 HCPCS,86256,Chgl Qu - Dna (Ds) Antibody Titer,34.0,17.0,,,0 HCPCS,86256,Chgl Qu - Endomysial Antibody Titer,78.0,39.0,,,0 HCPCS,86256,Chgl Qu - Hu Antibody Titer,85.0,42.5,,,0 HCPCS,86256,"Chgl Qu - Pca 2 Ab, Titer",115.0,57.5,,,0 HCPCS,86256,Chgl Qu - Ri Ab Titer,85.0,42.5,,,0 HCPCS,86256,Chgl Qu - Yo Antibody Titer,112.0,56.0,,,0 HCPCS,86256,Chgl Qu-Striated Muscle Ab Titer,35.0,17.5,,,0 HCPCS,86256,Chgl Sarcolemma Antibodies,167.0,83.5,,,0 HCPCS,86256,Chgl Striated Muscle Ab,167.0,83.5,,,0 HCPCS,86256,Fluorescent antibody titer,,,12.05,88.13,10 HCPCS,86258,"Chgl (Qu) 86258 Celiac Disease Panel, S/O",47.0,23.5,,,0 HCPCS,86258,"Chgl (Qu) 86258 Gliadin (Deamidated) Antibody (Igg), S/O",20.0,10.0,,,0 HCPCS,86258,"Chgl Gliandin Antibody,Iga",191.0,95.5,,,0 HCPCS,86258,"Chgl Gliandin Antibody,Igg",191.0,95.5,,,0 HCPCS,86258,Dgp antibody each ig class,,,12.05,13.84,9 HCPCS,86277,Growth hormone antibody,,,15.74,117.32,10 HCPCS,86280,Hemagglutination inhibition,,,8.19,59.36,10 HCPCS,86294,Immunoassay tumor qual,,,25.57,130.55,10 HCPCS,86300,"Chgl (Qu) Ca 27.29, S/O",23.0,11.5,,,0 HCPCS,86300,Chgl Ca 15 3,204.0,102.0,,,0 HCPCS,86300,Chgl Ca 27 29,204.0,102.0,,,0 HCPCS,86300,Immunoassay tumor ca 15-3,,,20.81,150.63,10 HCPCS,86301,Chgl Ca 19-9 Tumor Ag,204.0,102.0,,,0 HCPCS,86301,Immunoassay tumor ca 19-9,,,20.81,150.63,10 HCPCS,86304,Chgl Ca-125 Tumor Ag,204.0,102.0,,,0 HCPCS,86304,Immunoassay tumor ca 125,,,20.81,150.63,10 HCPCS,86305,"Chgl (Qu) He4, Ovarian Cancer Monitoring, S/O",177.0,88.5,,,0 HCPCS,86305,Chgl Human Epididymis Prot,705.0,352.5,,,0 HCPCS,86305,Human epididymis protein 4,,,20.81,150.63,10 HCPCS,86308,Chgl Heterophile Ab,209.0,104.5,,,0 HCPCS,86308,Heterophile antibody screen,,,5.18,38.54,10 HCPCS,86308,Mono Screen Routine,209.0,104.5,,,0 HCPCS,86309,Heterophile antibody titer,,,6.47,48.14,10 HCPCS,86310,Heterophile antibody absrbj,,,7.37,54.87,10 HCPCS,86316,"Chgl (Qu) Chromogranin A, Lc/Ms/Ms, S/O",71.0,35.5,,,0 HCPCS,86316,Chgl Chromogranin A,167.0,83.5,,,0 HCPCS,86316,Chgl Lc-Squamous Cell Ca Ag,351.0,175.5,,,0 HCPCS,86316,"Chgl Mol Diag,Ctc-Assay For Tumor A",167.0,83.5,,,0 HCPCS,86316,Chgl Neuron-Specific Enolase(Nse),167.0,83.5,,,0 HCPCS,86316,Immunoassay tumor other,,,20.81,150.63,10 HCPCS,86317,Chga-Tetanus,152.0,76.0,,,0 HCPCS,86317,"Chgl (Qu) Streptococcus Pneumoniae Igg Ab(23 Serotypes),Maid, S/O",3.0,1.5,,,0 HCPCS,86317,Chgl Diphtheria Antitoxoid,152.0,76.0,,,0 HCPCS,86317,Chgl Hepatitis B Surf Ab Quan,152.0,76.0,,,0 HCPCS,86317,Chgl Lc-14-3-3 Protein Tau,166.0,83.0,,,0 HCPCS,86317,Chgl Qu - Neisseria Meningitidis Igg Vaccine,119.0,59.5,,,0 HCPCS,86317,Chgl Rubella Igg Quant,152.0,76.0,,,0 HCPCS,86317,"Chgl Strep Pneumo Abs,Each",152.0,76.0,,,0 HCPCS,86317,Chgl Toxoplasma Igg Quant,152.0,76.0,,,0 HCPCS,86317,Immunoassay infectious agent,,,14.99,109.82,10 HCPCS,86318,"Chgl (Qu) 86318 Trypanosoma Cruzi Antibody Confirmation, S/O",181.0,90.5,,,0 HCPCS,86318,Immunoassay infectious agent,,,18.09,97.38,10 HCPCS,86320,"Chgl (Qu) Retinol Binding Protein, S/O",37.0,18.5,,,0 HCPCS,86320,Serum immunoelectrophoresis,,,29.92,165.77,10 HCPCS,86325,Other immunoelectrophoresis,,,23.13,167.56,10 HCPCS,86327,Immunoelectrophoresis assay,,,29.92,169.49,6 HCPCS,86328,Chgl Covid Antibody,46.0,23.0,,,0 HCPCS,86328,Ia nfct ab sarscov2 covid19,,,45.28,54.34,9 HCPCS,86329,"Chgl (Qu) Cryoglobulin Reflex, S/O",32.0,16.0,,,0 HCPCS,86329,Chgl Teichoic Acid Ab,391.0,195.5,,,0 HCPCS,86329,Immunodiffusion nes,,,14.05,100.65,10 HCPCS,86331,"Chgl (Qu) Hypersensitivity Pneumonitis Screen, S/O",17.0,8.5,,,0 HCPCS,86331,Chgl Pigeon Serum,135.0,67.5,,,0 HCPCS,86331,Immunodiffusion ouchterlony,,,11.98,87.95,10 HCPCS,86332,"Chgl (Qu) Immune Complex, C1Q, S/O",57.0,28.5,,,0 HCPCS,86332,Chgl C1Q Binding Assay,561.0,280.5,,,0 HCPCS,86332,Chgl Raji Cell Assay,561.0,280.5,,,0 HCPCS,86332,Immune complex assay,,,24.37,178.89,10 HCPCS,86334,"Chgl (Qu) Cryoglobulin Reflex, S/O",52.0,26.0,,,0 HCPCS,86334,"Chgl (Qu) Cryoglobulin, Qualitative Analysis, S/O",11.0,5.5,,,0 HCPCS,86334,Chgl Beta-2 Transferrin,94.0,47.0,,,0 HCPCS,86334,Chgl Ife Serum,94.0,47.0,,,0 HCPCS,86334,Chgl Ife Serum Bill Only,94.0,47.0,,,0 HCPCS,86334,Immunofix e-phoresis serum,,,22.34,167.39,10 HCPCS,86335,"Chgl (Qu) Beta-2 Transferrin, S/O",165.0,82.5,,,0 HCPCS,86335,"Chgl (Qu) Culture,Virus, Body, S/O",12.0,6.0,,,0 HCPCS,86335,Chgl Ife Urine,301.0,150.5,,,0 HCPCS,86335,Immunfix e-phorsis/urine/csf,,,29.35,219.82,10 HCPCS,86336,"Chgl (Qu) Inhibin A, S/O",43.0,21.5,,,0 HCPCS,86336,Chgl Dimeric Inhibin A,167.0,83.5,,,0 HCPCS,86336,Chgl Dimeric Inhibin A Screen(P),167.0,83.5,,,0 HCPCS,86336,"Chgl Inhibin A,Ultrasensitive",167.0,83.5,,,0 HCPCS,86336,Inhibin A,,,15.59,110.42,10 HCPCS,86337,Chgl Insulin Antibodies,222.0,111.0,,,0 HCPCS,86337,Insulin antibodies,,,21.41,155.94,10 HCPCS,86340,"Chgl (Qu) Intrinsic Factor Blocking Antibody, S/O",24.0,12.0,,,0 HCPCS,86340,Chgl Intrinsic Factor Ab,270.0,135.0,,,0 HCPCS,86340,Intrinsic factor antibody,,,15.08,112.18,10 HCPCS,86341,"Chgl (Qu) Glutamic Acid Decarboxylase-65 Antibody, S/O",45.0,22.5,,,0 HCPCS,86341,"Chgl (Qu) Zinc Transporter 8 (Znt8) Antibody, S/O",53.0,26.5,,,0 HCPCS,86341,Chgl Gad Ab,332.0,166.0,,,0 HCPCS,86341,Chgl Islet Cell Ab,332.0,166.0,,,0 HCPCS,86341,"Chgl Qu - Paraneoplastic Ab, Lb",123.0,61.5,,,0 HCPCS,86341,Chgl Zinc Transporter 8 Autoantibodies,332.0,166.0,,,0 HCPCS,86341,Islet cell antibody,,,23.57,139.1,10 HCPCS,86343,"Chgl (Qu) Chronic Urticaria Panel 3, S/O",58.0,29.0,,,0 HCPCS,86343,"Chgl (Qu) Chronic Urticaria Panel, S/O",25.0,12.5,,,0 HCPCS,86343,"Chgl (Qu) Histamine Release (Chronic Urticaria), S/O",106.0,53.0,,,0 HCPCS,86343,Leukocyte histamine release,,,12.46,89.49,10 HCPCS,86344,Leukocyte phagocytosis,,,10.39,59.16,10 HCPCS,86352,Cell function assay w/stim,,,116.76,981.96,10 HCPCS,86352,"Chgl (Qu) Immune Cell Function, S/O",155.0,77.5,,,0 HCPCS,86352,Chgl Functional Anti-Fcer,596.0,298.0,,,0 HCPCS,86352,Chgl Immuknow,596.0,298.0,,,0 HCPCS,86352,Chgl Lc-Cu Index,161.0,80.5,,,0 HCPCS,86352,Chgl Lc-Viracor Cu Index,462.0,231.0,,,0 HCPCS,86353,Lymphocyte transformation,,,49.03,358.61,10 HCPCS,86355,B cells total count,,,37.73,247.08,10 HCPCS,86355,"Chgl (Qu) Lymphocyte Subset Panel 1, S/O",19.0,9.5,,,0 HCPCS,86355,"Chgl (Qu) Lymphocyte Subset Panel 2, S/O",20.0,10.0,,,0 HCPCS,86355,"Chgl (Qu) Severe Combined Immunodeficiency (Scid) Panel, S/O",82.0,41.0,,,0 HCPCS,86355,Chgl Cd19 B Lymph Ag-P,482.0,241.0,,,0 HCPCS,86356,"Chgl (Qu) Cd57, Cd3, Cd8, Flow Cytometry, S/O",11.0,5.5,,,0 HCPCS,86356,"Chgl (Qu) Severe Combined Immunodeficiency (Scid) Panel, S/O",12.0,6.0,,,0 HCPCS,86356,Chgl Hnk1(Cd57)Quant,420.0,210.0,,,0 HCPCS,86356,Mononuclear cell antigen,,,26.78,162.53,10 HCPCS,86357,"Chgl (Qu) Lymphocyte Subset Panel 1, S/O",19.0,9.5,,,0 HCPCS,86357,"Chgl (Qu) Nk Cells, Lgls (Cd57), S/O",55.0,27.5,,,0 HCPCS,86357,"Chgl (Qu) Severe Combined Immunodeficiency (Scid) Panel, S/O",82.0,41.0,,,0 HCPCS,86357,"Chgl Cd16 T,Plasma Nk Cell",210.0,105.0,,,0 HCPCS,86357,Chgl Hnk1(Cd57)Total Count,210.0,105.0,,,0 HCPCS,86357,Nk cells total count,,,37.73,247.08,10 HCPCS,86359,"Chgl (Qu) Cd57, Cd3, Cd8, Flow Cytometry, S/O",31.0,15.5,,,0 HCPCS,86359,"Chgl (Qu) Lymphocyte Subset Panel 1, S/O",19.0,9.5,,,0 HCPCS,86359,"Chgl (Qu) Lymphocyte Subset Panel 2, S/O",20.0,10.0,,,0 HCPCS,86359,"Chgl (Qu) Severe Combined Immunodeficiency (Scid) Panel, S/O",82.0,41.0,,,0 HCPCS,86359,Chgl Cd3 Leu4 Pan Tcell-P,271.0,135.5,,,0 HCPCS,86359,Chgl Cd3 Pan T-Cell Marker,271.0,135.5,,,0 HCPCS,86359,T cells total count,,,37.73,247.08,10 HCPCS,86360,"Chgl (Qu) Lymphocyte Subset Panel 1, S/O",23.0,11.5,,,0 HCPCS,86360,"Chgl (Qu) Lymphocyte Subset Panel 2, S/O",24.0,12.0,,,0 HCPCS,86360,Chgl Cd4 Cd8 Absolute With Ratio,255.0,127.5,,,0 HCPCS,86360,T cell absolute count/ratio,,,46.98,310.18,10 HCPCS,86361,"Chgl (Qu) Severe Combined Immunodeficiency (Scid) Panel, S/O",58.0,29.0,,,0 HCPCS,86361,Chgl Cd4 Helper T Lymph,235.0,117.5,,,0 HCPCS,86361,T cell absolute count,,,26.78,162.53,10 HCPCS,86362,Mog-igg1 antb cba each,,,12.05,14.46,9 HCPCS,86363,Chgl Lc - Nmo Igg Csf,946.0,473.0,,,0 HCPCS,86363,Mog-igg1 antb flo cytmtry ea,,,14.46,39.62,9 HCPCS,86364,"Chgl (Qu) 86364 Celiac Disease Panel, S/O",45.0,22.5,,,0 HCPCS,86364,"Chgl (Qu) 86364 Tissue Transglutaminase (Ttg) Antibody (Igg), S/O",30.0,15.0,,,0 HCPCS,86364,Chgl T-Transglutaminase Iga,122.0,61.0,,,0 HCPCS,86364,Chgl T-Transglutaminase(Ttg)Igg,122.0,61.0,,,0 HCPCS,86364,Tiss trnsgltmnase ea ig clas,,,11.53,13.84,9 HCPCS,86366,"Chgl (Qu) 86366 Musk Antibody Test, S/O",465.0,232.5,,,0 HCPCS,86366,Muscle-specific kinase antb,,,18.4,22.08,9 HCPCS,86367,Chgl Cd34 Stem Cell Marker,213.0,106.5,,,0 HCPCS,86367,Stem cells total count,,,64.84,247.08,10 HCPCS,86376,"Chgl (Qu) Liver Kidney Microsome (Lkm-1) Antibody (Igg), S/O",39.0,19.5,,,0 HCPCS,86376,"Chgl (Qu) Chronic Urticaria Panel, S/O",32.0,16.0,,,0 HCPCS,86376,"Chgl (Qu) Thyroid Peroxidase And Thyroglobulin Antibodies, S/O",12.0,6.0,,,0 HCPCS,86376,"Chgl (Qu) Thyroid Peroxidase Antibody, S/O",20.0,10.0,,,0 HCPCS,86376,Chgl Antithyroid Peroxidase Ab,153.0,76.5,,,0 HCPCS,86376,Chgl Lc-Viracor Thyroid Peroxidase,52.0,26.0,,,0 HCPCS,86376,Chgl Liver-Kidney Microsomal Ab,153.0,76.5,,,0 HCPCS,86376,Microsomal antibody each,,,14.55,107.72,10 HCPCS,86378,Migration inhibitory factor,,,137.46,137.46,1 HCPCS,86381,"Chgl (Qu) Mitochondria M2 Antibody (Igg), Eia, S/O",21.0,10.5,,,0 HCPCS,86381,Chgl Lc - Mitochondrial Antibodies,118.0,59.0,,,0 HCPCS,86381,Mitochondrial antibody each,,,25.45,30.54,9 HCPCS,86382,"Chgl (Qu) Rabies Rffit Screen, S/O",80.0,40.0,,,0 HCPCS,86382,"Chgl (Qu) Rabies Vaccine Response End-Point Titer, S/O",105.0,52.5,,,0 HCPCS,86382,Chgl Polio Neutralization,152.0,76.0,,,0 HCPCS,86382,Chgl Polio Neutralization-Add'l,152.0,76.0,,,0 HCPCS,86382,Chgl Rabies Titer,152.0,76.0,,,0 HCPCS,86382,Neutralization test viral,,,16.91,121.18,10 HCPCS,86384,Nitroblue tetrazolium dye,,,13.61,83.64,10 HCPCS,86386,Nuclear matrix protein 22,,,21.78,112.09,10 HCPCS,86403,"Chgl (Qu) Cryptococcus Antibody, S/O",25.0,12.5,,,0 HCPCS,86403,Chgl Streptozyme,51.0,25.5,,,0 HCPCS,86403,Particle agglut antbdy scrn,,,11.54,74.83,10 HCPCS,86406,Particle agglut antbdy titr,,,10.64,76.68,10 HCPCS,86408,Neutrlzg antb sarscov2 scr,,,42.13,50.56,9 HCPCS,86409,Neutrlzg antb sarscov2 titer,,,79.61,126.4,9 HCPCS,86413,Sars-cov-2 antb quantitative,,,50.56,54.0,9 HCPCS,86430,"Chgl (Qu) 86430 Rheumatoid Factor Screen W/Reflex To Titer, Synovial Fld, S/O",50.0,25.0,,,0 HCPCS,86430,Rheumatoid factor test qual,,,6.14,42.43,10 HCPCS,86431,"Chgl (Qu) 86431 ?Rheumatoid Factor, La Titer, S/O",53.0,26.5,,,0 HCPCS,86431,"Chgl (Qu) Cryoglobulin Reflex, S/O",14.0,7.0,,,0 HCPCS,86431,"Chgl (Qu) Rheumatoid Arthritis Diagnostic Identra(R) Pnl 2, S/O",21.0,10.5,,,0 HCPCS,86431,Chgl Lc-Rheumassure-Ra Factor,41.0,20.5,,,0 HCPCS,86431,"Chgl Ra, Quant.",62.0,31.0,,,0 HCPCS,86431,Chgl Rf Quant,62.0,31.0,,,0 HCPCS,86431,Rheumatoid factor quant,,,5.67,42.43,10 HCPCS,86480,Chgl Quantiferon-Tb Gold Plus,99.0,49.5,,,0 HCPCS,86480,Chgl Tb Gold Gamma Interferon,99.0,49.5,,,0 HCPCS,86480,Tb test cell immun measure,,,61.98,459.74,10 HCPCS,86481,Tb ag response t-cell susp,,,100.0,558.43,10 HCPCS,86485,Skin test candida,,,6.47,99.86,10 HCPCS,86486,Skin test nos antigen,,,6.47,99.86,10 HCPCS,86490,Coccidioidomycosis skin test,,,6.47,27.95,3 HCPCS,86510,Histoplasmosis Skin Test,55.0,27.5,,,0 HCPCS,86510,Histoplasmosis skin test,,,6.47,128.95,10 HCPCS,86580,Skin Test Tb Int Intradermal,38.0,19.0,,,0 HCPCS,86580,Skin Test Tb Intradermal,39.5,19.75,,,0 HCPCS,86580,Skin Test Tb Intradermal (Sngh),38.0,19.0,,,0 HCPCS,86580,TB intradermal test,,,6.47,99.86,10 HCPCS,86581,Strptcs pneum antb serot ia,,,93.87,96.63,4 HCPCS,86590,Streptokinase antibody,,,12.66,78.24,10 HCPCS,86592,"Chgl (Lc) Vdrl Csf, S/O",20.0,10.0,,,0 HCPCS,86592,"Chgl Lc - Rpr, Reflex",12.0,6.0,,,0 HCPCS,86592,Chgl Rpr Stat,144.0,72.0,,,0 HCPCS,86592,Chgl Rpr With Reflex,144.0,72.0,,,0 HCPCS,86592,Chgl Vdrl Csf,144.0,72.0,,,0 HCPCS,86592,Syphilis test non-trep qual,,,4.27,31.47,10 HCPCS,86593,"Chgl Lc - Rpr, Quant Reflex",13.0,6.5,,,0 HCPCS,86593,Chgl Rpr (Sts) Titer,133.0,66.5,,,0 HCPCS,86593,Syphilis test non-trep quant,,,4.4,33.09,10 HCPCS,86596,Chgl Lc - Vgcc Antibody,849.0,424.5,,,0 HCPCS,86596,Chgl Qu - Vgcc Type N Ab,68.0,34.0,,,0 HCPCS,86596,Chgl Qu - Voltage-Gated Calcium,69.0,34.5,,,0 HCPCS,86596,Voltage-gtd ca chnl antb ea,,,12.05,22.08,9 HCPCS,86602,Antinomyces antibody,,,10.18,70.09,10 HCPCS,86602,Chgl Saccharomonospora Viridis Abs,108.0,54.0,,,0 HCPCS,86602,Chgl Thermoa. Vulgaris #2 Abs,108.0,54.0,,,0 HCPCS,86602,Chgl Thermoa.Vulgaris #1 Abs,108.0,54.0,,,0 HCPCS,86602,Chgl Thermoactinimyces Candidus,108.0,54.0,,,0 HCPCS,86602,Chgl Thermoactinomyces Sacc,108.0,54.0,,,0 HCPCS,86603,Adenovirus antibody,,,12.87,84.92,10 HCPCS,86603,"Chgl (Qu) Adenovirus Antibody, Serum, S/O",24.0,12.0,,,0 HCPCS,86603,Chgl Adenovirus Titer Cf,108.0,54.0,,,0 HCPCS,86606,Aspergillus antibody,,,15.05,100.42,10 HCPCS,86606,"Chgl (Qu) Aspergillus Antibodies, Immunodiffusion, Serum, S/O",8.0,4.0,,,0 HCPCS,86606,"Chgl (Qu) Hypersensitivity Pneumonitis Screen, S/O",22.0,11.0,,,0 HCPCS,86606,Chgl Aspergil. Flavus Abs,158.0,79.0,,,0 HCPCS,86606,Chgl Aspergil. Fumigatis #1 Abs,158.0,79.0,,,0 HCPCS,86606,Chgl Aspergil. Fumigatus #2 Abs,158.0,79.0,,,0 HCPCS,86606,Chgl Aspergil. Fumigatus #3 Abs,158.0,79.0,,,0 HCPCS,86606,Chgl Aspergil. Fumigatus #6 Abs,158.0,79.0,,,0 HCPCS,86606,Chgl Aspergil. Glaucus Igg,158.0,79.0,,,0 HCPCS,86606,Chgl Aspergil. Nidulans Igg,158.0,79.0,,,0 HCPCS,86606,Chgl Aspergil. Niger Igg,158.0,79.0,,,0 HCPCS,86606,Chgl Aspergillus Cf,158.0,79.0,,,0 HCPCS,86606,Chgl Aspergillus Id,158.0,79.0,,,0 HCPCS,86606,Chgl Fungal Screen Cf,158.0,79.0,,,0 HCPCS,86606,Chgl Lc-Aspergillus Ab Did Flavus,33.0,16.5,,,0 HCPCS,86606,Chgl Lc-Aspergillus Ab Did Niger,33.0,16.5,,,0 HCPCS,86606,Chgl Lc-Aspergillusab Did Fumigatus,33.0,16.5,,,0 HCPCS,86606,Chgl Qu-Fungal Panel-Aspergillus Flavus Ab,55.0,27.5,,,0 HCPCS,86606,Chgl Qu-Fungal Panel-Aspergillus Fumigatus Ab,55.0,27.5,,,0 HCPCS,86606,Chgl Qu-Fungal Panel-Aspergillus Niger Ab,55.0,27.5,,,0 HCPCS,86609,Bacterium antibody,,,12.88,89.55,10 HCPCS,86609,"Chgl (Qu) Hypersensitivity Pneumonitis Screen, S/O",5.0,2.5,,,0 HCPCS,86609,"Chgl Listeria Antibodies,Cf",121.0,60.5,,,0 HCPCS,86609,Chgl Micropoly Faeni Abs,105.0,52.5,,,0 HCPCS,86611,Bartonella Antibody,,,10.18,70.09,10 HCPCS,86611,"Chgl (Qu) B. Henselae Igg Titer, S/O",54.0,27.0,,,0 HCPCS,86611,"Chgl (Qu) B. Henselae Igm Titer, S/O",54.0,27.0,,,0 HCPCS,86611,"Chgl (Qu) B. Quintana Igg Titer, S/O",57.0,28.5,,,0 HCPCS,86611,"Chgl (Qu) B. Quintana Igm Titer, S/O",57.0,28.5,,,0 HCPCS,86611,"Chgl (Qu) Bartonella Antibody Panel, Ifa (Csf), S/O",16.0,8.0,,,0 HCPCS,86611,"Chgl (Qu) Bartonella Species Ab(Igg, Igm) W/Reflex To Titers, S/O",14.0,7.0,,,0 HCPCS,86611,"Chgl Bartonella Henselae Igg,Ifa",98.0,49.0,,,0 HCPCS,86611,"Chgl Bartonella Henselae Igm,Ifa",98.0,49.0,,,0 HCPCS,86611,"Chgl Bartonella Quintana Igg,Ifa",98.0,49.0,,,0 HCPCS,86611,"Chgl Bartonella Quintana Igm,Ifa",98.0,49.0,,,0 HCPCS,86612,Blastomyces antibody,,,12.9,86.34,10 HCPCS,86612,Chgl Blastomycosis Cf,167.0,83.5,,,0 HCPCS,86612,Chgl Blastomycosis Id,167.0,83.5,,,0 HCPCS,86612,Chgl Qu-Fungal Panel-Blastomyces Ab,48.0,24.0,,,0 HCPCS,86615,Bordetella antibody,,,13.19,93.75,10 HCPCS,86615,"Chgl (Qu) Bordetella Pertussis Toxin (Pt) Antibodies (Igg, Iga), Maid, S/O",53.0,26.5,,,0 HCPCS,86615,Chgl B. Pertussis Igg,138.0,69.0,,,0 HCPCS,86615,Chgl B. Pertussis Igm,138.0,69.0,,,0 HCPCS,86615,Chgl B.Pertussis Iga,138.0,69.0,,,0 HCPCS,86617,"Chgl (Qu) Lyme Disease Antibodies (Igg, Igm), Immunoblot, S/O",16.0,8.0,,,0 HCPCS,86617,Chgl Lyme Western Blot Igg,92.0,46.0,,,0 HCPCS,86617,Chgl Lyme Western Blot Igm,92.0,46.0,,,0 HCPCS,86617,Lyme disease antibody,,,15.49,113.71,10 HCPCS,86618,"Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O",20.0,10.0,,,0 HCPCS,86618,Chgl Borrelia Burgdoferi Igg Antibodies Csf,151.0,75.5,,,0 HCPCS,86618,Chgl Borrelia Burgdoferi Igm Antibodies Csf?,151.0,75.5,,,0 HCPCS,86618,Chgl Lyme Igm Antibody,151.0,75.5,,,0 HCPCS,86618,Chgl Lyme Igm/Igg Antibodies,151.0,75.5,,,0 HCPCS,86618,Lyme disease antibody,,,17.03,122.01,10 HCPCS,86619,Borrelia antibody,,,13.38,96.93,10 HCPCS,86622,Brucella antibody,,,8.93,63.39,10 HCPCS,86622,"Chgl (Qu) Brucella Ab Agglutination, S/O",39.0,19.5,,,0 HCPCS,86622,"Chgl (Qu) Brucella Antibodies (Igg, Igm), Eia With Reflex To Agglutination, S/O",25.0,12.5,,,0 HCPCS,86622,Chgl Brucella Abortus Igg Abs,98.0,49.0,,,0 HCPCS,86622,Chgl Brucella Abortus Igm Abs,98.0,49.0,,,0 HCPCS,86625,Campylobacter antibody,,,13.12,88.52,10 HCPCS,86628,Candida antibody,,,12.01,82.3,10 HCPCS,86628,"Chgl (Qu) Candida Albicans Antibody (Igg), S/O",47.0,23.5,,,0 HCPCS,86628,"Chgl (Qu) Candida Antibody, Immunodiffusion, S/O",21.0,10.5,,,0 HCPCS,86628,Chgl Candida Antibodies,209.0,104.5,,,0 HCPCS,86628,Chgl Candida Immune Complexes,209.0,104.5,,,0 HCPCS,86631,"Chgl (Qu) Chlamydia/Chlamydophila Antibody Panel 1 (Igg), S/O",15.0,7.5,,,0 HCPCS,86631,"Chgl (Qu) Chlamydophila Pneumoniae Antibodies (Igg,Iga,Igm), S/O",10.0,5.0,,,0 HCPCS,86631,Chgl C Pneumoniae Iga,51.0,25.5,,,0 HCPCS,86631,Chgl C Pneumoniae Igg,51.0,25.5,,,0 HCPCS,86631,Chgl C Psittaci Iga,51.0,25.5,,,0 HCPCS,86631,Chgl C Psittaci Igg,51.0,25.5,,,0 HCPCS,86631,Chgl C Trachomatis Iga,51.0,25.5,,,0 HCPCS,86631,Chgl C Trachomatis Igg,51.0,25.5,,,0 HCPCS,86631,Chgl Chlamydia Titer Cf,51.0,25.5,,,0 HCPCS,86631,Chlamydia antibody,,,11.82,82.73,10 HCPCS,86632,"Chgl (Qu) Chlamydia Trachomatis Antibody (Igm), S/O",27.0,13.5,,,0 HCPCS,86632,"Chgl (Qu) Chlamydophila Pneumoniae Antibodies (Igg,Iga,Igm), S/O",22.0,11.0,,,0 HCPCS,86632,Chgl C Pneumoniae Igm,51.0,25.5,,,0 HCPCS,86632,Chgl C Psittaci Igm,51.0,25.5,,,0 HCPCS,86632,Chgl C Trachomatis Igm,51.0,25.5,,,0 HCPCS,86632,Chgl Chlamydia Igm Ab,51.0,25.5,,,0 HCPCS,86632,Chlamydia igm antibody,,,12.68,89.97,10 HCPCS,86635,Chgl Coccidiodies Antibody Cf,159.0,79.5,,,0 HCPCS,86635,Chgl Coccidiodies Csf Serum,159.0,79.5,,,0 HCPCS,86635,Chgl Qu-Fungal Panel-Coccidioides Ab,43.0,21.5,,,0 HCPCS,86635,Coccidioides antibody,,,11.47,78.24,10 HCPCS,86638,"Chgl (Qu) Q Fever (Coxiella Burnetii)Ab (Igg,M)W/Refl Titers, S/O",13.0,6.5,,,0 HCPCS,86638,Chgl Q Fever,130.0,65.0,,,0 HCPCS,86638,Chgl Qu - Rickettsial Disease Panel,431.0,215.5,,,0 HCPCS,86638,Q fever antibody,,,12.12,79.78,10 HCPCS,86641,Chgl Cryptococcal Antibodies,228.0,114.0,,,0 HCPCS,86641,Cryptococcus antibody,,,14.41,97.04,10 HCPCS,86644,CMV antibody,,,14.39,105.96,10 HCPCS,86644,"Chgl (Qu) Torch Panel, Convalenscent, S/O",14.0,7.0,,,0 HCPCS,86644,Chgl Cmv Igg Avidity,221.0,110.5,,,0 HCPCS,86644,Chgl Cmv Igg Avidity Add't,221.0,110.5,,,0 HCPCS,86644,"Chgl Cytomegalovirus, Igg, Qn",221.0,110.5,,,0 HCPCS,86645,"Chgl Cytomegalovirus (Cmv) Ab, Igm",36.0,18.0,,,0 HCPCS,86645,Cmv antibody igm,,,16.85,113.09,10 HCPCS,86648,"Chgl (Qu) Diphtheria Antitoxoid, S/O",40.0,20.0,,,0 HCPCS,86648,Diphtheria antibody,,,15.21,102.98,10 HCPCS,86651,"Chgl (Qu) 86651 Abovirus Antibodies (Igg, Igm), Ifa Serum, S/O",24.0,12.0,,,0 HCPCS,86651,Chgl Arboviral Titers,116.0,58.0,,,0 HCPCS,86651,"Chgl Lc - Arboviral Antibodies, Ifa",50.0,25.0,,,0 HCPCS,86651,Encephalitis californ antbdy,,,13.19,92.04,10 HCPCS,86652,"Chgl (Qu) 86652 Abovirus Antibodies (Igg, Igm), Ifa Serum, S/O",24.0,12.0,,,0 HCPCS,86652,"Chgl Lc - Arboviral Antibodies, Ifa",50.0,25.0,,,0 HCPCS,86652,Encephaltis east eqne anbdy,,,13.19,92.04,10 HCPCS,86653,"Chgl (Qu) 86653 Abovirus Antibodies (Igg, Igm), Ifa Serum, S/O",24.0,12.0,,,0 HCPCS,86653,"Chgl Lc - Arboviral Antibodies, Ifa",50.0,25.0,,,0 HCPCS,86653,Encephaltis st louis antbody,,,13.19,92.04,10 HCPCS,86654,"Chgl (Qu) 86654 Abovirus Antibodies (Igg, Igm), Ifa Serum, S/O",24.0,12.0,,,0 HCPCS,86654,"Chgl Lc - Arboviral Antibodies, Ifa",50.0,25.0,,,0 HCPCS,86654,Encephaltis west eqne antbdy,,,13.19,92.04,10 HCPCS,86658,"Chgl (Qu) Coxsackie B (1-6) Antibodies, Serum, S/O",7.0,3.5,,,0 HCPCS,86658,"Chgl (Qu) Echovirus Antibodies, Csf, S/O",18.0,9.0,,,0 HCPCS,86658,Chgl Coxsackie A 10 Ab,105.0,52.5,,,0 HCPCS,86658,Chgl Coxsackie A 16 Ab,105.0,52.5,,,0 HCPCS,86658,Chgl Coxsackie A 2Ab,105.0,52.5,,,0 HCPCS,86658,Chgl Coxsackie A 4 Ab,105.0,52.5,,,0 HCPCS,86658,Chgl Coxsackie A 7 Ab,105.0,52.5,,,0 HCPCS,86658,Chgl Coxsackie A 9 Ab,105.0,52.5,,,0 HCPCS,86658,Chgl Coxsackie B1 Ab,105.0,52.5,,,0 HCPCS,86658,Chgl Coxsackie B2 Ab,105.0,52.5,,,0 HCPCS,86658,Chgl Coxsackie B3 Ab,105.0,52.5,,,0 HCPCS,86658,Chgl Coxsackie B4 Ab,105.0,52.5,,,0 HCPCS,86658,Chgl Coxsackie B5 Ab,105.0,52.5,,,0 HCPCS,86658,Chgl Coxsackie B6 Ab,105.0,52.5,,,0 HCPCS,86658,Chgl Echo 11 Ab,105.0,52.5,,,0 HCPCS,86658,Chgl Echo 30 Ab,105.0,52.5,,,0 HCPCS,86658,Chgl Echo 4 Ab,105.0,52.5,,,0 HCPCS,86658,Chgl Echo 7 Ab,105.0,52.5,,,0 HCPCS,86658,Chgl Echo 9 Ab,105.0,52.5,,,0 HCPCS,86658,"Chgl Polio Virus Ab, Cf",105.0,52.5,,,0 HCPCS,86658,Enterovirus antibody,,,13.03,85.65,10 HCPCS,86663,"Chgl Ebv Early Ag,Igg",99.0,49.5,,,0 HCPCS,86663,Epstein-barr antibody,,,13.12,96.28,10 HCPCS,86664,"Chgl (Qu) Epstein-Barr Virus Antibody Panel, S/O",21.0,10.5,,,0 HCPCS,86664,Chgl Epstein Barr Ab-Na,193.0,96.5,,,0 HCPCS,86664,Epstein-barr nuclear antigen,,,15.29,109.51,10 HCPCS,86665,"Chgl (Qu) 86665 Epstein-Barr Virus Viral Capsid Antigen (Vca) Antibody (Igm), S/O",23.0,11.5,,,0 HCPCS,86665,"Chgl (Qu) Epstein-Barr Virus Antibody Panel, S/O",13.0,6.5,,,0 HCPCS,86665,"Chgl (Qu) Epstein-Barr Virusviralcapsid Antigen (Vca)Ab(Igm), S/O",23.0,11.5,,,0 HCPCS,86665,"Chgl (Qu) Epstein-Barr Virusviralcapsidantigen (Vca)Ab(Igg), S/O",29.0,14.5,,,0 HCPCS,86665,Chgl Eb-Vca Ab Igg,189.0,94.5,,,0 HCPCS,86665,"Chgl Eb-Vca,Iga",189.0,94.5,,,0 HCPCS,86665,Chgl Epstein Barr Virus,189.0,94.5,,,0 HCPCS,86665,Epstein-barr capsid vca,,,18.14,123.37,10 HCPCS,86666,"Chgl (Qu) Anaplasma Phagocytophilum Antibodies (Igg, Igm), S/O",25.0,12.5,,,0 HCPCS,86666,"Chgl (Qu) Ehrlichia Chaffeen Ab G/M, S/O",17.0,8.5,,,0 HCPCS,86666,Chgl Anaplasma Phag Igg,104.0,52.0,,,0 HCPCS,86666,Chgl Anaplasma Phar Igm,104.0,52.0,,,0 HCPCS,86666,Chgl Ehrlic Igg Ab,104.0,52.0,,,0 HCPCS,86666,Chgl Ehrlic Igm Ab,104.0,52.0,,,0 HCPCS,86666,Ehrlichia Antibody,,,10.18,70.09,10 HCPCS,86668,Chgl Lc-Tularemia Agglutination,124.0,62.0,,,0 HCPCS,86668,Francisella tularensis,,,14.16,73.56,10 HCPCS,86671,"Chgl (Qu) Inflammatory Bowel Disease Differentiation Panel, S/O",15.0,7.5,,,0 HCPCS,86671,"Chgl (Qu) Saccharomyces Cerevisiae Antibodies(Asca)(Igg,Iga), S/O",33.0,16.5,,,0 HCPCS,86671,"Chgl (Qu) Saccharomyces Cerevisiae Antibody (Asca) (Iga), S/O",58.0,29.0,,,0 HCPCS,86671,Chgl A. Pullulans Abs,108.0,54.0,,,0 HCPCS,86671,Chgl Ibd Gasca,108.0,54.0,,,0 HCPCS,86671,Chgl Saccharomyces Cerevisiae Iga,108.0,54.0,,,0 HCPCS,86671,Chgl Saccharomyces Cerevisiae Igg,108.0,54.0,,,0 HCPCS,86671,Chgl Sporotrichosis Agglutination,108.0,54.0,,,0 HCPCS,86671,Fungus nes antibody,,,12.25,79.43,10 HCPCS,86674,Giardia lamblia antibody,,,14.72,107.47,10 HCPCS,86677,Chgl H Pylori Igm,143.0,71.5,,,0 HCPCS,86677,Chgl H. Pylori Iga Antibody,143.0,71.5,,,0 HCPCS,86677,Chgl Helicobacter Pylori Antibody,143.0,71.5,,,0 HCPCS,86677,Helicobacter pylori antibody,,,16.85,102.33,10 HCPCS,86682,"Chgl (Lc) Strongyloides, Igg Antibody, Qualitative, Eia, S/O",50.0,25.0,,,0 HCPCS,86682,"Chgl (Qu) Cysticercus Antibody, Elisa (Serum), S/O",71.0,35.5,,,0 HCPCS,86682,"Chgl (Qu) Schistosoma Igg Antibody, Fmi (Serum), S/O",67.0,33.5,,,0 HCPCS,86682,"Chgl (Qu) Strongyloides Antibody, S/O",65.0,32.5,,,0 HCPCS,86682,Chgl Cysticercus Ab Csf,109.0,54.5,,,0 HCPCS,86682,Chgl Echinococcus Titer,109.0,54.5,,,0 HCPCS,86682,Chgl Filariasis Ab,109.0,54.5,,,0 HCPCS,86682,"Chgl Lc-Arup-Cysticercosis Ab, Igg",154.0,77.0,,,0 HCPCS,86682,Chgl Qu - Echinococcus Igg Western Blot,275.0,137.5,,,0 HCPCS,86682,Chgl Schistosomiasis,109.0,54.5,,,0 HCPCS,86682,Chgl Strongylodiasis Ab,109.0,54.5,,,0 HCPCS,86682,Chgl Toxocara Ab,109.0,54.5,,,0 HCPCS,86682,Helminth antibody,,,13.01,88.86,10 HCPCS,86684,"Chgl (Qu) Haemophilus Influenzae Type B Antibody (Igg), S/O",48.0,24.0,,,0 HCPCS,86684,Chgl Lc-Haemophilus Influenza B Igg,191.0,95.5,,,0 HCPCS,86684,Hemophilus influenza antibdy,,,15.84,110.42,10 HCPCS,86687,"Chgl Htlv 1 Ab,Western Blot",204.0,102.0,,,0 HCPCS,86687,Htlv-i antibody,,,9.09,62.96,10 HCPCS,86688,"Chgl Htlv 2 Ab,Western Blot",204.0,102.0,,,0 HCPCS,86688,Htlv-ii antibody,,,14.0,92.58,10 HCPCS,86689,"Chgl (Qu) 86689?Htlv I/Ii, Confirmatory Assay, S/O",86.0,43.0,,,0 HCPCS,86689,"Chgl Hiv Ab,Western Blot",204.0,102.0,,,0 HCPCS,86689,Htlv/hiv confirmj antibody,,,19.35,142.14,10 HCPCS,86692,"Chgl (Qu) Hepatitis D Virus (Hdv) Antibody, Total, S/O",26.0,13.0,,,0 HCPCS,86692,Chgl Hep Delta Antibody,209.0,104.5,,,0 HCPCS,86692,Hepatitis delta agent antbdy,,,17.16,124.48,10 HCPCS,86694,Chgl Herpes Simples I/Ii Igm Comb,189.0,94.5,,,0 HCPCS,86694,Herpes simplex nes antbdy,,,14.39,105.96,10 HCPCS,86695,"Chgl (Qu) Herpes Simplex Virus 1/2 (Igg), W/Refl Hsv-2 Inhib, S/O",13.0,6.5,,,0 HCPCS,86695,"Chgl (Qu) Hsv 1/2 Igg,Type Specific, S/O",9.0,4.5,,,0 HCPCS,86695,"Chgl (Qu) Torch Panel, Convalenscent, S/O",13.0,6.5,,,0 HCPCS,86695,Chgl Herpes Simplex Igg 1,160.0,80.0,,,0 HCPCS,86695,Chgl Herpes Simplex Igm1,160.0,80.0,,,0 HCPCS,86695,Herpes simplex type 1 test,,,13.19,94.94,10 HCPCS,86696,"Chgl (Qu) Herpes Simplex Virus 1/2 (Igg), W/Refl Hsv-2 Inhib, S/O",20.0,10.0,,,0 HCPCS,86696,"Chgl (Qu) Herpes Simplex Virus 2 (Igg),W/Refl Hsv-2 Inhib, S/O",18.0,9.0,,,0 HCPCS,86696,"Chgl (Qu) Hsv 1/2 Igg,Type Specific, S/O",13.0,6.5,,,0 HCPCS,86696,"Chgl (Qu) Torch Panel, Convalenscent, S/O",18.0,9.0,,,0 HCPCS,86696,Chgl Herpes Simplex Igg 2,160.0,80.0,,,0 HCPCS,86696,Chgl Herpes Simplex Igm2,160.0,80.0,,,0 HCPCS,86696,Herpes simplex type 2 test,,,19.35,142.14,10 HCPCS,86698,Chgl Histoplasmosis Cf,179.0,89.5,,,0 HCPCS,86698,Chgl Histoplasmosis Id,179.0,89.5,,,0 HCPCS,86698,Chgl Qu-Fungal Panel-Histoplasma Ab,46.0,23.0,,,0 HCPCS,86698,Histoplasma antibody,,,13.79,89.69,10 HCPCS,86701,Chgl Hiv-1 Ab Diff,107.0,53.5,,,0 HCPCS,86701,Hiv-1antibody,,,8.89,65.8,10 HCPCS,86702,Chgl Hiv-2 Ab Diff,107.0,53.5,,,0 HCPCS,86702,Hiv-2 antibody,,,13.52,92.58,10 HCPCS,86703,Hiv-1/hiv-2 1 result antbdy,,,13.71,95.88,10 HCPCS,86704,Hep b core antibody total,,,12.05,89.29,10 HCPCS,86704,Hepatitis B Core Ab,130.0,65.0,,,0 HCPCS,86705,Chgl Hepatitis B Core Igm Antibody,213.0,106.5,,,0 HCPCS,86705,Hep b core antibody igm,,,11.77,87.19,10 HCPCS,86706,Chgl Hepatitis B Surface Ab,167.0,83.5,,,0 HCPCS,86706,Hep b surface antibody,,,10.74,79.55,10 HCPCS,86707,"Chgl (Qu) Hepatitis Be Antibody, S/O",21.0,10.5,,,0 HCPCS,86707,Chgl Hepatitis Be Antibody,116.0,58.0,,,0 HCPCS,86707,Hepatitis be antibody,,,11.57,85.82,10 HCPCS,86708,"Chgl (Qu) Hepatitis A Antibody, Total, S/O",24.0,12.0,,,0 HCPCS,86708,Chgl Hepatitis A Virus Ab Total,94.0,47.0,,,0 HCPCS,86708,Hepatitis a antibody,,,12.39,92.58,10 HCPCS,86709,Chgl Hepatitis A Ab Igm,114.0,57.0,,,0 HCPCS,86709,Hepatitis a igm antibody,,,11.26,82.79,10 HCPCS,86710,"Chgl (Qu) Influenza A And B Ab, Serum, S/O",14.0,7.0,,,0 HCPCS,86710,Chgl Influenza A,91.0,45.5,,,0 HCPCS,86710,Chgl Influenza B,91.0,45.5,,,0 HCPCS,86710,Chgl Parainfluenza 1,91.0,45.5,,,0 HCPCS,86710,Chgl Parainfluenza 2,91.0,45.5,,,0 HCPCS,86710,Chgl Parainfluenza 3,91.0,45.5,,,0 HCPCS,86710,Chgl Parainfluenza Cf,91.0,45.5,,,0 HCPCS,86710,Influenza virus antibody,,,13.55,96.36,10 HCPCS,86711,Chgl Qu - Jc Virus Stratified,345.0,172.5,,,0 HCPCS,86711,John cunningham antibody,,,16.89,105.96,10 HCPCS,86713,Chgl Lc-Legionella Pneumophila Igg,84.0,42.0,,,0 HCPCS,86713,Chgl Lc-Legionella Pneumophila Igm,84.0,42.0,,,0 HCPCS,86713,Legionella antibody,,,15.3,108.97,10 HCPCS,86717,"Chgl (Qu) Leishmania Antibody (Igg), S/O",104.0,52.0,,,0 HCPCS,86717,Chgl Leishmania Antibodies,44.0,22.0,,,0 HCPCS,86717,Chgl Leishmania Braziliensis Igg Abs,44.0,22.0,,,0 HCPCS,86717,Chgl Leishmania Braziliensis Igm Abs,44.0,22.0,,,0 HCPCS,86717,Chgl Leishmania Donovani Igg Abs,44.0,22.0,,,0 HCPCS,86717,Chgl Leishmania Donovani Igm Abs,44.0,22.0,,,0 HCPCS,86717,Chgl Leishmania Mexicana Igg Abs,44.0,22.0,,,0 HCPCS,86717,Chgl Leishmania Mexicana Igm Abs,44.0,22.0,,,0 HCPCS,86717,Chgl Leishmania Tropica Igg Abs,44.0,22.0,,,0 HCPCS,86717,Chgl Leishmania Tropica Igm Abs,44.0,22.0,,,0 HCPCS,86717,Leishmania antibody,,,12.25,81.11,10 HCPCS,86720,"Chgl (Qu) Leptospira Antibody, Igm, S/O",135.0,67.5,,,0 HCPCS,86720,Chgl Leptospira Abs,499.0,249.5,,,0 HCPCS,86720,Leptospira antibody,,,16.2,86.45,10 HCPCS,86723,Listeria monocytogenes,,,13.19,91.99,10 HCPCS,86727,Chgl Lcm Antibodies,160.0,80.0,,,0 HCPCS,86727,Lymph choriomeningitis ab,,,12.87,84.83,10 HCPCS,86729,Lympho venereum antibody,,,83.38,83.38,1 HCPCS,86732,Mucormycosis antibody,,,15.0,91.68,10 HCPCS,86735,"Chgl (Qu) Mumps Virus Antibody (Igm), S/O",34.0,17.0,,,0 HCPCS,86735,Chgl Mumps Antibody Igm,138.0,69.0,,,0 HCPCS,86735,Chgl Mumps Virus Igg,138.0,69.0,,,0 HCPCS,86735,Mumps antibody,,,13.05,94.43,10 HCPCS,86738,"Chgl (Qu) M. Pneumoniae Ab (Igm), S/O",25.0,12.5,,,0 HCPCS,86738,"Chgl (Qu) Mycoplasma Antibodies Igg, S/O",22.0,11.0,,,0 HCPCS,86738,"Chgl (Qu) Mycoplasma Pneumoniae Antibodies (Igg, Igm), S/O",16.0,8.0,,,0 HCPCS,86738,"Chgl Mycoplasma Igg,Eia",129.0,64.5,,,0 HCPCS,86738,"Chgl Mycoplasma Pneumonia Igm,Eia",129.0,64.5,,,0 HCPCS,86738,Mycoplasma antibody,,,13.24,95.94,10 HCPCS,86741,Neisseria meningitidis,,,13.19,91.39,10 HCPCS,86744,Nocardia antibody,,,15.99,91.39,10 HCPCS,86747,"Chgl (Qu) Parvovirus B19 Antibodies (Igg, Igm), S/O",18.0,9.0,,,0 HCPCS,86747,Chgl Parvovirus B19 Igg,160.0,80.0,,,0 HCPCS,86747,Chgl Parvovirus B19 Igm,160.0,80.0,,,0 HCPCS,86747,Parvovirus antibody,,,15.03,107.89,10 HCPCS,86750,Chgl Malaria Ab,297.0,148.5,,,0 HCPCS,86750,Malaria antibody,,,13.19,92.67,10 HCPCS,86753,"Chgl (Qu) 86753 Trypanosoma Cruzi Antibody, Total With Reflex To Confirmation, S/O",106.0,53.0,,,0 HCPCS,86753,"Chgl (Qu) Babesia Microti Antibodies (Igg, Igm), S/O",25.0,12.5,,,0 HCPCS,86753,"Chgl (Qu) E Histolytica Ab Igg, S/O",33.0,16.5,,,0 HCPCS,86753,"Chgl (Qu) Wa1 Igg Antibody,Ifa, S/O",85.0,42.5,,,0 HCPCS,86753,Chgl Babesia Igg,170.0,85.0,,,0 HCPCS,86753,Chgl Babesia Igm,170.0,85.0,,,0 HCPCS,86753,Chgl E Histolytica Igg,367.0,183.5,,,0 HCPCS,86753,Chgl Wa1 Igg Ab,152.0,76.0,,,0 HCPCS,86753,Protozoa antibody nos,,,12.39,80.37,10 HCPCS,86756,"Chgl (Qu) Respiratory Syncytial Virus Antibody, Serum, S/O",53.0,26.5,,,0 HCPCS,86756,Chgl Resp Syncytial Virus Ab,169.0,84.5,,,0 HCPCS,86756,Respiratory virus antibody,,,15.89,90.31,10 HCPCS,86757,"Chgl (Qu) Rickettsia(Rmsf) Abs, S/O",18.0,9.0,,,0 HCPCS,86757,Chgl Qu - Q Fever Igg Phase Ii Titer,86.0,43.0,,,0 HCPCS,86757,Chgl Qu - Q Fever Igm Phase I Titer,97.0,48.5,,,0 HCPCS,86757,Chgl Qu - Q Fever Igm Phase Ii Titer,97.0,48.5,,,0 HCPCS,86757,Chgl Qu - Q Fever Lgg Phase I Titer,86.0,43.0,,,0 HCPCS,86757,Chgl Qu - Rickettsia (Typhus Fever) Igg Titer,125.0,62.5,,,0 HCPCS,86757,Chgl Qu - Rickettsia (Typhus Fever) Igm Titer,139.0,69.5,,,0 HCPCS,86757,Chgl Qu - Rmsf Igg Titer,125.0,62.5,,,0 HCPCS,86757,Chgl Qu - Rmsf Igm Titer,139.0,69.5,,,0 HCPCS,86757,Chgl Rmsf Antibodies Igg Eia,276.0,138.0,,,0 HCPCS,86757,Chgl Rmsf Igm,276.0,138.0,,,0 HCPCS,86757,Chgl Typhus Fever Ab,248.0,124.0,,,0 HCPCS,86757,Rickettsia Antibody,,,19.35,142.14,10 HCPCS,86759,Rotavirus antibody,,,18.23,93.07,10 HCPCS,86762,"Chgl (Qu) Torch Panel, Convalenscent, S/O",14.0,7.0,,,0 HCPCS,86762,Chgl Rubella,222.0,111.0,,,0 HCPCS,86762,"Chgl Rubella Antibodies, Igm",36.0,18.0,,,0 HCPCS,86762,Rubella antibody,,,14.39,105.96,10 HCPCS,86765,"Chgl (Qu) Measles Antibody (Igm), S/O",35.0,17.5,,,0 HCPCS,86765,"Chgl Rubeola Abs, Eia, Qn",258.0,129.0,,,0 HCPCS,86765,Chgl Rubeola Igm,123.0,61.5,,,0 HCPCS,86765,Rubeola antibody,,,12.88,93.83,10 HCPCS,86768,"Chgl Salmonella H,Group A Abs",138.0,69.0,,,0 HCPCS,86768,"Chgl Salmonella H,Group B Abs",108.0,54.0,,,0 HCPCS,86768,"Chgl Salmonella H,Group D Abs",108.0,54.0,,,0 HCPCS,86768,"Chgl Salmonella O,Group D Ab.",108.0,54.0,,,0 HCPCS,86768,"Chgl Salmonella O,Group V",108.0,54.0,,,0 HCPCS,86768,Salmonella antibody,,,13.19,91.33,10 HCPCS,86769,Chgl Covid Antibody - Chemistry,42.13,21.06,,,0 HCPCS,86769,Chgl Covid Antibody Quantitative,42.13,21.06,,,0 HCPCS,86769,Chgl Sars-Cov-2 Covid-19 Antibody,42.13,21.06,,,0 HCPCS,86769,Chgl Sars-Cov-2 Covid-19 Antibody (Modifier Cs),42.13,21.06,,,0 HCPCS,86769,Chgl Sars-Cov-2 Covid-19 Antibody (No Modifier),42.13,21.06,,,0 HCPCS,86769,Sars-cov-2 covid-19 antibody,,,42.13,50.56,9 HCPCS,86771,Shigella antibody,,,22.67,94.34,10 HCPCS,86774,"Chgl (Qu) Tetanus Antitoxoid, S/O",32.0,16.0,,,0 HCPCS,86774,Tetanus antibody,,,14.8,103.83,10 HCPCS,86777,"Chgl (Qu) Torch Panel, Convalenscent, S/O",14.0,7.0,,,0 HCPCS,86777,"Chgl Toxoplasma Igg,Fluid",152.0,76.0,,,0 HCPCS,86777,Toxoplasma antibody,,,14.39,105.96,10 HCPCS,86778,"Chgl (Qu) Torch Panel, Convalenscent, S/O",14.0,7.0,,,0 HCPCS,86778,"Chgl Toxoplasma Gondii Ab, Igm Qn",36.0,18.0,,,0 HCPCS,86778,Toxoplasma antibody igm,,,14.41,104.17,10 HCPCS,86780,"Chgl (Qu) Syphilis Antibody Cascading Reflex, S/O",23.0,11.5,,,0 HCPCS,86780,"Chgl (Qu) Treponema Pallidum Ab Csf, S/O",26.0,13.0,,,0 HCPCS,86780,Chgl Lc-T Pallidum Screening Cascade,24.0,12.0,,,0 HCPCS,86780,Chgl Syphilus Igg,94.0,47.0,,,0 HCPCS,86780,Chgl Tp-Pa,94.0,47.0,,,0 HCPCS,86780,Treponema pallidum,,,13.24,96.19,10 HCPCS,86784,Chgl Trichinella Antibodies,166.0,83.0,,,0 HCPCS,86784,Trichinella antibody,,,12.56,81.39,10 HCPCS,86787,"Chgl (Qu) Varicella-Zoster Virus Antibody (Igm), S/O",23.0,11.5,,,0 HCPCS,86787,Chgl Varicella Igm Antibody,136.0,68.0,,,0 HCPCS,86787,Chgl Varicella Zoster Antibod Igm,136.0,68.0,,,0 HCPCS,86787,Varicella-zoster antibody,,,12.88,91.22,10 HCPCS,86788,"Chgl (Qu) West Nile Virus Antibodies (Igg, Igm), Csf, S/O",36.0,18.0,,,0 HCPCS,86788,"Chgl (Qu) West Nile Virus Antibodies (Igg, Igm), Serum, S/O",36.0,18.0,,,0 HCPCS,86788,Chgl West Nile Igm Ab,176.0,88.0,,,0 HCPCS,86788,West nile virus ab igm,,,16.85,113.09,10 HCPCS,86789,"Chgl (Qu) West Nile Virus Antibodies (Igg, Igm), Csf, S/O",30.0,15.0,,,0 HCPCS,86789,"Chgl (Qu) West Nile Virus Antibodies (Igg, Igm), Serum, S/O",30.0,15.0,,,0 HCPCS,86789,Chgl West Nile Igg Ab,152.0,76.0,,,0 HCPCS,86789,West Nile Virus Antibody,,,14.39,105.96,10 HCPCS,86790,"Chgl (Qu) 86790 Chikungunya Ab (Igg, Igm) W/Rflx To Titers, S/O",51.0,25.5,,,0 HCPCS,86790,"Chgl (Qu) 86790 Chikungunya Igg Titration, S/O",84.0,42.0,,,0 HCPCS,86790,"Chgl (Qu) 86790 Chikungunya Igm Titration, S/O",87.0,43.5,,,0 HCPCS,86790,"Chgl (Qu) Dengue Fever Antibodies (Igg,Igm), S/O",39.0,19.5,,,0 HCPCS,86790,"Chgl (Qu) Hepatitis E Antibodies (Igg, Igm), S/O",55.0,27.5,,,0 HCPCS,86790,"Chgl (Qu) Hepatitis E Antibody (Igg), S/O",62.0,31.0,,,0 HCPCS,86790,"Chgl (Qu) Htlv 1&2 Antibody Screen, S/O",91.0,45.5,,,0 HCPCS,86790,"Chgl (Qu) Htlv I/Ii Antibody,W/Reflex To Confirmatory Assay, S/O",37.0,18.5,,,0 HCPCS,86790,"Chgl (Qu) Parainfluenza Virus Ab (Types 1,2 And 3),Serum, S/O",11.0,5.5,,,0 HCPCS,86790,"Chgl (Qu) Rabies Rffit Serology Report End Point, S/O",118.0,59.0,,,0 HCPCS,86790,Chgl Chikungunya Igg Antibody,256.0,128.0,,,0 HCPCS,86790,Chgl Chikungunya Igm Antibody,256.0,128.0,,,0 HCPCS,86790,Chgl Dengue Fever Ab Igg,297.0,148.5,,,0 HCPCS,86790,Chgl Dengue Fever Ab Igm,297.0,148.5,,,0 HCPCS,86790,Chgl Herp 6 Igg,136.0,68.0,,,0 HCPCS,86790,Chgl Herp 6 Igm,152.0,76.0,,,0 HCPCS,86790,Chgl Herp 7 Igg Abs,136.0,68.0,,,0 HCPCS,86790,Chgl Herp 7 Igm Abs,189.0,94.5,,,0 HCPCS,86790,Chgl Htlv 1&2 Ab,290.0,145.0,,,0 HCPCS,86790,Virus antibody nos,,,12.88,89.2,10 HCPCS,86793,Yersinia antibody,,,13.19,89.97,10 HCPCS,86794,"Chgl (Qu) Zika Virus Igm Ab Capture (Mac), Elisa, S/O",185.0,92.5,,,0 HCPCS,86794,"Chgl Lc-Zika Virus, Mac-Elisa, Igm",193.0,96.5,,,0 HCPCS,86794,Zika virus igm antibody,,,16.85,24.96,9 HCPCS,86800,"Chgl (Qu) Anti-Thyroglobulin Antibo, S/O",20.0,10.0,,,0 HCPCS,86800,"Chgl (Qu) Chronic Urticaria Panel, S/O",35.0,17.5,,,0 HCPCS,86800,"Chgl (Qu) Thyroid Cancer Monitoring, S/O",23.0,11.5,,,0 HCPCS,86800,"Chgl (Qu) Thyroid Peroxidase And Thyroglobulin Antibodies, S/O",13.0,6.5,,,0 HCPCS,86800,Chgl Lc-Viracor Thyroglobulin Ab,58.0,29.0,,,0 HCPCS,86800,Chgl Thyroglobulin Antibody,169.0,84.5,,,0 HCPCS,86800,Thyroglobulin antibody,,,15.91,113.63,10 HCPCS,86803,Chgl Hepatitis C Ab,91.0,45.5,,,0 HCPCS,86803,Hepatitis c ab test,,,14.27,105.19,10 HCPCS,86804,Hep c ab test confirm,,,15.49,114.37,10 HCPCS,86805,Lymphocytotoxicity assay,,,89.87,368.01,10 HCPCS,86806,Lymphocytotoxicity assay,,,47.59,332.73,10 HCPCS,86807,Cytotoxic antibody screening,,,68.02,279.46,10 HCPCS,86808,Cytotoxic antibody screening,,,29.68,212.35,10 HCPCS,86812,Hla typing a b or c,,,25.81,192.98,10 HCPCS,86813,Chgl Donor Typing Opo Dnr,2300.0,1150.0,,,0 HCPCS,86813,Hla typing a b or c,,,58.0,408.42,10 HCPCS,86816,Hla typing dr/dq,,,30.17,208.29,10 HCPCS,86817,Hla typing dr/dq,,,106.14,473.09,10 HCPCS,86821,Lymphocyte culture mixed,,,36.56,412.94,10 HCPCS,86822,Lymphocyte culture primed,,,272.67,272.67,1 HCPCS,86825,Chgl Flow Xm Heart,1278.0,639.0,,,0 HCPCS,86825,Chgl Flow Xm Living Donor,925.0,462.5,,,0 HCPCS,86825,Chgl Flow Xm Pancreas,1278.0,639.0,,,0 HCPCS,86825,Chgl Flow Xm Renal,1278.0,639.0,,,0 HCPCS,86825,Hla x-math non-cytotoxic,,,109.49,487.51,10 HCPCS,86826,Hla x-match noncytotoxc addl,,,36.53,162.53,10 HCPCS,86828,Chgl Flow I & Ii Ab Screen Heart,2303.0,1151.5,,,0 HCPCS,86828,Chgl Flow I & Ii Ab Screen Lung,2303.0,1151.5,,,0 HCPCS,86828,Chgl Flow I & Ii Ab Screen Pancreas,2303.0,1151.5,,,0 HCPCS,86828,Chgl Flow I & Ii Ab Screen Post,2303.0,1151.5,,,0 HCPCS,86828,Chgl Flow I & Ii Ab Screen Renal,2303.0,1151.5,,,0 HCPCS,86828,Hla class i&ii antibody qual,,,64.19,279.46,10 HCPCS,86829,Hla class i/ii antibody qual,,,48.96,212.35,10 HCPCS,86830,Hla class i phenotype qual,,,95.52,591.57,10 HCPCS,86831,Hla class ii phenotype qual,,,81.88,507.08,10 HCPCS,86832,Chgl Luminex Dsa1 Renal,1264.0,632.0,,,0 HCPCS,86832,Chgl Luminex Id1 Heart,1264.0,632.0,,,0 HCPCS,86832,Chgl Luminex Id1 Pancreas,1264.0,632.0,,,0 HCPCS,86832,Chgl Luminex Id1 Renal,1264.0,632.0,,,0 HCPCS,86832,Hla class i high defin qual,,,209.28,929.62,10 HCPCS,86833,Chgl Luminex Dsa2 Renal,1126.0,563.0,,,0 HCPCS,86833,Chgl Luminex Id2 Heart,1126.0,563.0,,,0 HCPCS,86833,Chgl Luminex Id2 Pancreas,1126.0,563.0,,,0 HCPCS,86833,Chgl Luminex Id2 Renal,1126.0,563.0,,,0 HCPCS,86833,Hla class ii high defin qual,,,190.26,845.13,10 HCPCS,86834,Hla class i semiquant panel,,,357.56,2619.67,10 HCPCS,86835,Hla class ii semiquant panel,,,322.96,2366.15,10 HCPCS,86849,Chgl Ld Molecular Processing Fee,89.0,44.5,,,0 HCPCS,86849,Immunology procedure,,,37.32,37.32,1 HCPCS,86850,Antibody Screen (Iat),246.0,123.0,,,0 HCPCS,86850,RBC antibody screen,,,9.77,201.0,16 HCPCS,86850,Reference Lab Antibody Screen (Iat),188.0,94.0,,,0 HCPCS,86860,Eluate,382.0,191.0,,,0 HCPCS,86860,RBC antibody elution,,,30.2,588.18,10 HCPCS,86860,Reference Lab Elution,291.0,145.5,,,0 HCPCS,86870,Antibody Ident Charge,380.0,190.0,,,0 HCPCS,86870,RBC antibody identification,,,30.2,1237.5,10 HCPCS,86870,Reference Lab Antibody Identification,250.0,125.0,,,0 HCPCS,86880,Coombs test direct,,,5.39,203.66,13 HCPCS,86880,Direct Antiglobulin Complement,194.0,97.0,,,0 HCPCS,86880,Direct Antiglobulin Igg,194.0,97.0,,,0 HCPCS,86880,Direct Antiglobulin Poly,194.0,97.0,,,0 HCPCS,86880,Reference Lab Dat Each Antisera,128.0,64.0,,,0 HCPCS,86885,Coombs test indirect qual,,,5.72,588.18,13 HCPCS,86885,Reference Lab Abid Each Cell,92.0,46.0,,,0 HCPCS,86886,Anti A1 Titer,271.0,135.5,,,0 HCPCS,86886,"Chgl (Qu) Isohemagglutinin Titer, S/O",21.0,10.5,,,0 HCPCS,86886,Coombs test indirect titer,,,5.18,588.18,13 HCPCS,86886,Indirect Coombs Titer,271.0,135.5,,,0 HCPCS,86886,Reference Lab Coombs Titer,191.0,95.5,,,0 HCPCS,86890,Autologous blood process,,,59.72,588.18,10 HCPCS,86890,Chgl Autologous Bld Processing/Storage,1502.0,751.0,,,0 HCPCS,86891,Autologous blood op salvage,,,17.76,2781.52,10 HCPCS,86900,A1 Antigen Type Donor,136.0,68.0,,,0 HCPCS,86900,Abo,136.0,68.0,,,0 HCPCS,86900,Abo Neo,136.0,68.0,,,0 HCPCS,86900,Blood typing serologic abo,,,2.99,459.34,13 HCPCS,86900,Reference Lab Abo,108.0,54.0,,,0 HCPCS,86901,Blood typing serologic rh(d),,,2.99,128.95,13 HCPCS,86901,Reference Lab Rh,47.0,23.5,,,0 HCPCS,86901,Rh,131.0,65.5,,,0 HCPCS,86901,Rh Neo,131.0,65.5,,,0 HCPCS,86902,Ag Type Unit,380.0,190.0,,,0 HCPCS,86902,Blood type antigen donor ea,,,6.35,1237.5,13 HCPCS,86902,Reference Lab Ag Typing Per Unit,103.0,51.5,,,0 HCPCS,86904,Blood typing patient serum,,,16.34,203.66,13 HCPCS,86904,Reference Lab Ag Screen Pt Serum,82.0,41.0,,,0 HCPCS,86905,Blood typing rbc antigens,,,3.83,1237.5,13 HCPCS,86905,Rbc Antigen Typing Pt Each,380.0,190.0,,,0 HCPCS,86905,Reference Lab Antigen Typing Each Pt,115.0,57.5,,,0 HCPCS,86906,Bld typing serologic rh phnt,,,7.75,128.95,13 HCPCS,86906,Phenotype,131.0,65.5,,,0 HCPCS,86906,Reference Lab Rh Phenotype,82.0,41.0,,,0 HCPCS,86910,Blood typing paternity test,,,19.92,96.79,3 HCPCS,86911,Blood typing antigen system,,,17.32,83.75,3 HCPCS,86920,Compatibility test spin,,,17.76,588.18,10 HCPCS,86920,Immediate Spin Crossmatch,426.0,213.0,,,0 HCPCS,86921,37C Crossmatch,184.0,92.0,,,0 HCPCS,86921,Compatibility test incubate,,,17.76,588.18,10 HCPCS,86922,Ahg Crossmatch,347.0,173.5,,,0 HCPCS,86922,Compatibility test antiglob,,,30.2,588.18,10 HCPCS,86922,Reference Lab Ahg Crossmatch,161.0,80.5,,,0 HCPCS,86923,Compatibility test electric,,,17.76,588.18,10 HCPCS,86923,Electronic Crossmatch,405.0,202.5,,,0 HCPCS,86927,Plasma fresh frozen,,,17.76,588.18,10 HCPCS,86930,Frozen blood prep,,,59.72,588.18,10 HCPCS,86931,Frozen blood thaw,,,59.72,588.18,10 HCPCS,86932,Frozen blood freeze/thaw,,,37.17,375.9,10 HCPCS,86940,"Chgl (Lc) 86940 Isohemagglutinin Titer, S/O",35.0,17.5,,,0 HCPCS,86940,Hemolysins/agglutinins auto,,,8.77,57.91,10 HCPCS,86941,Hemolysins/agglutinins,,,12.11,87.84,10 HCPCS,86945,Blood product/irradiation,,,17.76,128.95,10 HCPCS,86945,Irradiation,105.0,52.5,,,0 HCPCS,86950,Leukacyte transfusion,,,17.76,588.18,10 HCPCS,86960,Vol reduction of blood/prod,,,17.76,588.18,10 HCPCS,86965,Pooling blood platelets,,,30.2,588.18,10 HCPCS,86965,Pro/Adm Fee Pool Comp,184.0,92.0,,,0 HCPCS,86970,Rbc pretx incubatj w/chemicl,,,17.76,203.66,10 HCPCS,86970,Reference Lab Pretreatment Per Cell,231.0,115.5,,,0 HCPCS,86970,Reference Lab Rbc Pretreatment,177.0,88.5,,,0 HCPCS,86971,Rbc pretx incubatj w/enzymes,,,17.76,588.18,10 HCPCS,86971,Reference Lab Enzyme Pretreat,169.0,84.5,,,0 HCPCS,86972,Rbc pretx incubatj w/density,,,17.76,588.18,10 HCPCS,86972,Reference Lab Hypotonic Separation,297.0,148.5,,,0 HCPCS,86972,Reference Lab Retic Separation,297.0,148.5,,,0 HCPCS,86975,Rbc serum pretx incubj drugs,,,30.2,1542.27,10 HCPCS,86975,Reference Lab Incubate With Drugs,169.0,84.5,,,0 HCPCS,86976,Rbc serum pretx id dilution,,,17.76,132.12,10 HCPCS,86976,Reference Lab Serum Dilution,98.0,49.0,,,0 HCPCS,86977,Rbc serum pretx incubj/inhib,,,59.72,588.18,10 HCPCS,86978,Rbc pretreatment serum,,,30.2,203.66,10 HCPCS,86978,Reference Lab Abs Of Serum,277.0,138.5,,,0 HCPCS,86985,Pro/Adm Split Products,184.0,92.0,,,0 HCPCS,86985,Split blood or products,,,17.76,588.18,10 HCPCS,86999,Transfusion procedure,,,17.76,99.86,10 HCPCS,87001,Small animal inoculation,,,90.99,90.99,1 HCPCS,87003,Small animal inoculation,,,16.84,124.87,10 HCPCS,87015,"Chgl (Qu) Afb Cult&Smear Prog Tb/Mai Probes,Id&Tb/Mai Sens, S/O",9.0,4.5,,,0 HCPCS,87015,"Chgl (Qu) Cyclospora And Isospora Examination, S/O",18.0,9.0,,,0 HCPCS,87015,Chgl Smear Concentration,44.0,22.0,,,0 HCPCS,87015,Specimen infect agnt concntj,,,6.68,47.29,10 HCPCS,87040,Blood culture for bacteria,,,10.32,75.06,10 HCPCS,87040,"Chgl Blood Culture,Brucella",207.0,103.5,,,0 HCPCS,87040,"Chgl Blood Culture,Ped",207.0,103.5,,,0 HCPCS,87040,"Chgl Blood Culture,Routine",207.0,103.5,,,0 HCPCS,87040,Chgl Transfusion Reaction Cult,207.0,103.5,,,0 HCPCS,87045,Chgl Stool Culture,245.0,122.5,,,0 HCPCS,87045,Feces culture aerobic bact,,,9.44,68.5,10 HCPCS,87046,"Chgl Vibrio Screen,Bill Only",33.0,16.5,,,0 HCPCS,87046,Chgl Yersina Media Worksheet,33.0,16.5,,,0 HCPCS,87046,Stool cultr aerobic bact ea,,,9.44,68.5,10 HCPCS,87070,Chgl Abscess Culture,107.0,53.5,,,0 HCPCS,87070,Chgl Body Fluid Culture,107.0,53.5,,,0 HCPCS,87070,Chgl Bronchial Culture,107.0,53.5,,,0 HCPCS,87070,Chgl Csf Cult,107.0,53.5,,,0 HCPCS,87070,Chgl Cystic Fibrosis Resp Cult,107.0,53.5,,,0 HCPCS,87070,Chgl Ear Culture,107.0,53.5,,,0 HCPCS,87070,Chgl Environmental Culture,107.0,53.5,,,0 HCPCS,87070,Chgl Eye Culture,107.0,53.5,,,0 HCPCS,87070,Chgl Foreign Body Culture,107.0,53.5,,,0 HCPCS,87070,Chgl Genital Culture,107.0,53.5,,,0 HCPCS,87070,Chgl Legionella Culture,107.0,53.5,,,0 HCPCS,87070,Chgl Prosthetic Culture,107.0,53.5,,,0 HCPCS,87070,Chgl Respiratory Culture,107.0,53.5,,,0 HCPCS,87070,Chgl Sterile Site Culture,107.0,53.5,,,0 HCPCS,87070,Chgl Tissue Culture Routine,107.0,53.5,,,0 HCPCS,87070,Chgl Umb/Placenta Culture,107.0,53.5,,,0 HCPCS,87070,Chgl Wound Culture,107.0,53.5,,,0 HCPCS,87070,Culture othr specimn aerobic,,,8.62,63.9,10 HCPCS,87071,Chgl Quantitative Bronchial Culture,30.0,15.0,,,0 HCPCS,87071,Culture aerobic quant other,,,9.89,68.5,10 HCPCS,87073,Culture Bacteria Anaerobic,,,9.66,68.5,10 HCPCS,87075,Chgl Anaerobic Culture,228.0,114.0,,,0 HCPCS,87075,Chgl C Anaprost,228.0,114.0,,,0 HCPCS,87075,Cultr bacteria except blood,,,9.47,69.15,10 HCPCS,87076,Chgl Organism Id-Anaerobic,99.0,49.5,,,0 HCPCS,87076,Culture anaerobe ident each,,,8.08,58.22,10 HCPCS,87077,Chgl Organism Id-Nonurine,189.0,94.5,,,0 HCPCS,87077,Culture Aerobic Identify,,,8.08,58.22,10 HCPCS,87081,"Chgl (Qu) Bordetella Pertussis/Parapertussis Culture, S/O",31.0,15.5,,,0 HCPCS,87081,"Chgl (Qu) Helicobacter Pylori Culture, S/O",35.0,17.5,,,0 HCPCS,87081,"Chgl (Qu) Legionella Culture, S/O",31.0,15.5,,,0 HCPCS,87081,Chgl Actinomyces Culture,74.0,37.0,,,0 HCPCS,87081,Chgl B.Pertussis Culture,74.0,37.0,,,0 HCPCS,87081,Chgl Corynebacteria Culture,74.0,37.0,,,0 HCPCS,87081,Chgl Cx Throat,74.0,37.0,,,0 HCPCS,87081,Chgl Gc Screen,74.0,37.0,,,0 HCPCS,87081,Chgl H. Pylori Culture,74.0,37.0,,,0 HCPCS,87081,Chgl H.Pylori Biopsy Screen,74.0,37.0,,,0 HCPCS,87081,Chgl Mrsa Screen/Culture,74.0,37.0,,,0 HCPCS,87081,Chgl Mrsa Surveillance,7.0,3.5,,,0 HCPCS,87081,Chgl Mssa Screen/Culture,74.0,37.0,,,0 HCPCS,87081,Chgl Vre Culture/Screen,74.0,37.0,,,0 HCPCS,87081,Culture screen only,,,6.63,47.29,10 HCPCS,87084,Culture Of Specimen By Kit,98.0,49.0,,,0 HCPCS,87084,Culture of specimen by kit,,,14.81,61.34,10 HCPCS,87086,Chgl Cx Urine,225.0,112.5,,,0 HCPCS,87086,Urine culture/colony count,,,8.07,59.07,10 HCPCS,87088,Urine bacteria culture,,,8.09,56.49,10 HCPCS,87101,Skin fungi culture,,,7.71,55.72,10 HCPCS,87102,Chgl Fungus Culture,262.0,131.0,,,0 HCPCS,87102,Fungus isolation culture,,,8.41,61.0,10 HCPCS,87103,Blood fungus culture,,,15.5,66.65,10 HCPCS,87103,Chgl Blood Culture Fungus,97.0,48.5,,,0 HCPCS,87106,Chgl Fungus Identification,97.0,48.5,,,0 HCPCS,87106,Fungi identification yeast,,,10.32,73.7,10 HCPCS,87107,Chgl Mold Identification,28.0,14.0,,,0 HCPCS,87107,Fungi identification mold,,,10.32,73.7,10 HCPCS,87109,"Chgl (Qu) Mycoplasma Hominis/Ureaplasma Culture, S/O",31.0,15.5,,,0 HCPCS,87109,Chgl Mycoplasma Culture,144.0,72.0,,,0 HCPCS,87109,Chgl Ureoplasma Ureolyticum,144.0,72.0,,,0 HCPCS,87109,Mycoplasma,,,15.39,106.3,10 HCPCS,87110,"Chgl (Qu) Chlamydiae Species, Culture, S/O",23.0,11.5,,,0 HCPCS,87110,Chgl Chlamydia Culture,131.0,65.5,,,0 HCPCS,87110,Chgl Chlamydia Psittaci Culture,131.0,65.5,,,0 HCPCS,87110,Chlamydia culture,,,19.6,135.67,10 HCPCS,87116,"Chgl (Qu) Afb Cult&Smear Prog Tb/Mai Probes,Id&Tb/Mai Sens, S/O",15.0,7.5,,,0 HCPCS,87116,Chgl Afb Culture,259.0,129.5,,,0 HCPCS,87116,Chgl Blood Culture Afb,259.0,129.5,,,0 HCPCS,87116,Mycobacteria culture,,,10.8,76.85,10 HCPCS,87118,Mycobacteric identification,,,14.61,79.69,10 HCPCS,87140,"Chgl (Qu) Chlamydiae Species, Culture, S/O",7.0,3.5,,,0 HCPCS,87140,"Chgl (Qu) Hsv Typing, S/O",55.0,27.5,,,0 HCPCS,87140,"Chgl (Qu) Rapid Respiratory Virus, S/O",20.0,10.0,,,0 HCPCS,87140,Culture type immunofluoresc,,,5.57,40.81,10 HCPCS,87143,Culture typing glc/hplc,,,12.52,86.85,10 HCPCS,87147,Chgl Culture Type Immunologic,60.0,30.0,,,0 HCPCS,87147,Culture type immunologic,,,5.18,37.69,10 HCPCS,87149,Chgl Lc-Afb Ident By Dna Probe,135.0,67.5,,,0 HCPCS,87149,Dna/rna direct probe,,,20.05,146.86,10 HCPCS,87150,Chgl - Group B Strep Naa,210.0,105.0,,,0 HCPCS,87150,Dna/rna amplified probe,,,35.09,249.69,10 HCPCS,87152,Culture Type Pulse Field Gel,,,7.74,38.88,10 HCPCS,87153,Chgl Lc-Afb Ident Gene Sequence,340.0,170.0,,,0 HCPCS,87153,Dna/rna sequencing,,,115.36,835.7,10 HCPCS,87154,Cul typ id bld pthgn 6+ trgt,,,218.06,261.67,9 HCPCS,87158,Culture typing added method,,,7.74,38.88,10 HCPCS,87164,Dark field examination,,,10.74,70.46,10 HCPCS,87166,Dark field examination,,,11.3,75.23,10 HCPCS,87168,Chgl - Macroscopic Exam;Arthropod,121.0,60.5,,,0 HCPCS,87168,Macroscopic Exam Arthropod,,,4.27,31.64,10 HCPCS,87169,"Chgl (Qu) Parasite Identification, Worm, S/O",28.0,14.0,,,0 HCPCS,87169,Macroscopic exam parasite,,,4.31,31.64,10 HCPCS,87172,"Chgl (Qu) Pinworm Examination, S/O",19.0,9.5,,,0 HCPCS,87172,Chgl Lc - Pinworm Preparation,32.0,16.0,,,0 HCPCS,87172,Pinworm Exam,,,4.27,31.64,10 HCPCS,87176,Tissue homogenization cultr,,,5.88,43.51,10 HCPCS,87177,"Chgl (Qu) Ova& Parasites, Stool Concentrate &Permanent Smear, S/O",14.5,7.25,,,0 HCPCS,87177,Chgl O&P-Conc,97.0,48.5,,,0 HCPCS,87177,Ova and parasites smears,,,8.9,65.23,10 HCPCS,87181,Microbe susceptible diffuse,,,4.75,28.03,10 HCPCS,87183,Sc std carbapenem resist gen,,,35.79,36.84,4 HCPCS,87184,Microbe susceptible disk,,,7.48,51.26,10 HCPCS,87185,Chgl Beta Lactamase,162.0,81.0,,,0 HCPCS,87185,Microbe susceptible enzyme,,,4.75,28.03,10 HCPCS,87186,"Chgl (Qu) Mycobacterium Avium Complex, Mic Panel, S/O",81.0,40.5,,,0 HCPCS,87186,"Chgl (Qu) Susceptibility, Yeast, Comprehensive Panel, S/O",477.0,238.5,,,0 HCPCS,87186,Chgl Breakpoint Sensitivity,179.0,89.5,,,0 HCPCS,87186,Chgl Mic(Minimal Inhibitor Conc.),179.0,89.5,,,0 HCPCS,87186,Microbe susceptible mic,,,8.65,63.05,10 HCPCS,87187,Microbe susceptible mlc,,,17.81,72.87,10 HCPCS,87188,Microbe suscept macrobroth,,,6.64,47.46,10 HCPCS,87190,Microbe suscept mycobacteri,,,7.31,39.02,10 HCPCS,87197,Bactericidal level serum,,,15.02,102.92,10 HCPCS,87205,"Chgl (Qu) Helicobacter Pylori Culture, S/O",23.0,11.5,,,0 HCPCS,87205,Chgl Eos Smear Urine,92.0,46.0,,,0 HCPCS,87205,Chgl Fungal Smear,92.0,46.0,,,0 HCPCS,87205,Chgl Gram Stain,92.0,46.0,,,0 HCPCS,87205,Chgl Smear - Giemsa/Gram Stain,92.0,46.0,,,0 HCPCS,87205,Chgl Wright's Stain,92.0,46.0,,,0 HCPCS,87205,Smear gram stain,,,4.27,31.33,10 HCPCS,87206,"Chgl (Qu) Afb Cult&Smear Prog Tb/Mai Probes,Id&Tb/Mai Sens, S/O",8.0,4.0,,,0 HCPCS,87206,Chgl Afb Smear,153.0,76.5,,,0 HCPCS,87206,"Chgl Afb Smear,Modified",153.0,76.5,,,0 HCPCS,87206,Chgl Cyclospora Smear,153.0,76.5,,,0 HCPCS,87206,Smear fluorescent/acid stai,,,5.39,39.31,10 HCPCS,87207,"Chgl (Qu) 87207 Malaria/Babesia/Other Blood Parasites, S/O",34.0,17.0,,,0 HCPCS,87207,"Chgl (Qu) Cyclospora And Isospora Examination, S/O",17.0,8.5,,,0 HCPCS,87207,"Chgl (Qu) Microsporidia Exam, S/O",47.0,23.5,,,0 HCPCS,87207,Chgl Malaria,44.0,22.0,,,0 HCPCS,87207,Chgl Microsporidium,44.0,22.0,,,0 HCPCS,87207,"Chgl Stain, Inclusion Bodies",44.0,22.0,,,0 HCPCS,87207,Smear special stain,,,5.99,43.51,10 HCPCS,87209,"Chgl (Qu) Ova& Parasites, Stool Concentrate &Permanent Smear, S/O",13.0,6.5,,,0 HCPCS,87209,Chgl Ova And Parasites - Perm Smear,87.0,43.5,,,0 HCPCS,87209,Smear complex stain,,,17.98,130.61,10 HCPCS,87210,Chgl India Ink Prep,153.0,76.5,,,0 HCPCS,87210,Chgl Koh Prep,153.0,76.5,,,0 HCPCS,87210,Chgl Orderable Wet Prep,153.0,76.5,,,0 HCPCS,87210,Smear wet mount saline/ink,,,5.82,31.64,10 HCPCS,87220,"Chgl (Qu) Scabies Examination, S/O",43.0,21.5,,,0 HCPCS,87220,Koh Prep,179.0,89.5,,,0 HCPCS,87220,Tissue exam for fungi,,,4.27,30.79,10 HCPCS,87230,Assay toxin or antitoxin,,,19.74,137.51,10 HCPCS,87230,"Chgl (Qu) Complement Component C1Q, S/O",20.0,10.0,,,0 HCPCS,87250,Virus inoculate eggs/animal,,,19.56,142.48,10 HCPCS,87252,"Chgl (Lc) 87252 Viral Culture, General, S/O",59.0,29.5,,,0 HCPCS,87252,"Chgl (Qu) Culture,Virus, Body, S/O",11.0,5.5,,,0 HCPCS,87252,Chgl Adenovirus Cult,488.0,244.0,,,0 HCPCS,87252,Chgl Cmv Early Ag-Blood Culture,488.0,244.0,,,0 HCPCS,87252,Chgl Enterovirus Cult,488.0,244.0,,,0 HCPCS,87252,Chgl Rubella Culture,488.0,244.0,,,0 HCPCS,87252,Virus inoculation tissue,,,26.07,185.62,10 HCPCS,87253,Virus inoculate tissue addl,,,20.2,138.45,10 HCPCS,87254,"Chgl (Qu) 87254 Enterovirus Culture, S/O",80.0,40.0,,,0 HCPCS,87254,"Chgl (Qu) Cytomegalovirus, Rapid Culture, S/O",59.0,29.5,,,0 HCPCS,87254,"Chgl (Qu) Influenza A And B Culture, Rapid Method, S/O",25.0,12.5,,,0 HCPCS,87254,"Chgl (Qu) Quinidine, S/O",7.0,3.5,,,0 HCPCS,87254,"Chgl (Qu) Varicella Zoster Virus Culture, Rapid Method, S/O",83.0,41.5,,,0 HCPCS,87254,"Chgl (Qu) Viral Respiratory, Rapid Culture With Reflex, S/O",56.0,28.0,,,0 HCPCS,87254,Chgl Cytomegalo Blood Cult,205.0,102.5,,,0 HCPCS,87254,Chgl Cytomegalo Viral Culture,205.0,102.5,,,0 HCPCS,87254,Chgl Influenza Cult,205.0,102.5,,,0 HCPCS,87254,Chgl Lc-Mumps Viral Culture,145.0,72.5,,,0 HCPCS,87254,Chgl Varicella Zoster Cult,205.0,102.5,,,0 HCPCS,87254,Chgl Viral Culture Resp,205.0,102.5,,,0 HCPCS,87254,Virus inoculation shell via,,,19.56,142.48,10 HCPCS,87255,"Chgl (Qu) Herpes Simplex Virus Culture With Reflex To Typing, S/O",25.0,12.5,,,0 HCPCS,87255,"Chgl (Qu) Herpes Simplex Virus Culture, S/O",23.0,11.5,,,0 HCPCS,87255,Chgl Herpes Culture,350.0,175.0,,,0 HCPCS,87255,Genet virus isolate hsv,,,33.86,246.17,10 HCPCS,87260,Adenovirus ag if,,,14.43,86.99,10 HCPCS,87265,Chgl B.Pertussis If Smear,130.0,65.0,,,0 HCPCS,87265,Pertussis ag if,,,11.98,86.99,10 HCPCS,87267,Enterovirus antibody dfa,,,13.42,86.99,10 HCPCS,87269,Giardia ag if,,,13.61,86.99,10 HCPCS,87270,Chgl Chlamydia Dfa,158.0,79.0,,,0 HCPCS,87270,Chlamydia trachomatis ag if,,,11.98,86.99,10 HCPCS,87271,Cytomegalovirus dfa,,,13.42,86.99,10 HCPCS,87272,Cryptosporidium ag if,,,11.98,86.99,10 HCPCS,87273,"Chgl (Qu) Herpes Simplex Virus, Type 1/2 Ag, Dfa, S/O",68.0,34.0,,,0 HCPCS,87273,Herpes simplex 2 ag if,,,11.98,86.99,10 HCPCS,87274,"Chgl (Qu) Herpes Simplex Virus, Type 1/2 Ag, Dfa, S/O",68.0,34.0,,,0 HCPCS,87274,Herpes simplex 1 ag if,,,11.98,86.99,10 HCPCS,87275,Influenza b ag if,,,12.25,86.99,10 HCPCS,87276,Influenza a ag if,,,16.07,86.99,10 HCPCS,87277,Legionella micdadei ag if,,,86.99,86.99,1 HCPCS,87278,"Chgl (Qu) Legionella Pneumophila Antigen, Dfa, S/O",40.0,20.0,,,0 HCPCS,87278,Chgl Legionella Dfa,116.0,58.0,,,0 HCPCS,87278,Legion pneumophilia ag if,,,15.6,86.99,10 HCPCS,87279,Parainfluenza ag if,,,16.43,86.99,10 HCPCS,87280,Respiratory syncytial ag if,,,13.42,86.99,10 HCPCS,87281,Pneumocystis carinii ag if,,,11.98,86.99,10 HCPCS,87283,Rubeola ag if,,,20.62,86.99,10 HCPCS,87285,Treponema pallidum ag if,,,12.18,86.99,10 HCPCS,87290,Varicella zoster ag if,,,13.42,86.99,10 HCPCS,87299,Antibody detection nos if,,,16.1,86.99,10 HCPCS,87300,Ag detection polyval if,,,11.98,86.99,10 HCPCS,87300,Chgl Herpes Dfa,76.0,38.0,,,0 HCPCS,87301,Adenovirus ag ia,,,11.98,86.99,10 HCPCS,87305,Aspergillus ag ia,,,11.98,86.99,10 HCPCS,87305,"Chgl (Qu) Aspergillus Antigen, Eia, Bal, S/O",99.0,49.5,,,0 HCPCS,87305,"Chgl (Qu) Aspergillus Antigen, Eia, Serum, S/O",120.0,60.0,,,0 HCPCS,87305,Chgl Aspergillus Galactamannan,294.0,147.0,,,0 HCPCS,87320,Chylmd trach ag ia,,,15.0,86.99,10 HCPCS,87324,Chgl 87324 Clostridium Difficile Assay,21.0,10.5,,,0 HCPCS,87324,Clostridium ag ia,,,11.98,86.99,10 HCPCS,87327,"Chgl Cryptococcal Ag Titer,Fluid",79.0,39.5,,,0 HCPCS,87327,"Chgl Cryptococcal Ag Titer,Serum",79.0,39.5,,,0 HCPCS,87327,Chgl Cryptococcal Antigen,79.0,39.5,,,0 HCPCS,87327,Chgl Cryptococcal Antigen Fluid,79.0,39.5,,,0 HCPCS,87327,Cryptococcus neoform ag ia,,,13.42,86.99,10 HCPCS,87328,Chgl Cryptosporidium,153.0,76.5,,,0 HCPCS,87328,Cryptosporidium ag ia,,,13.82,86.99,10 HCPCS,87329,Chgl Giardia Eia,115.0,57.5,,,0 HCPCS,87329,Giardia ag ia,,,11.98,86.99,10 HCPCS,87332,Cytomegalovirus ag ia,,,11.98,86.99,10 HCPCS,87335,E coli 0157 ag ia,,,12.66,86.99,10 HCPCS,87336,Entamoeb hist dispr ag ia,,,16.0,86.99,10 HCPCS,87337,"Chgl (Qu) Entamoeba Histolytica Antigen, Eia, S/O",49.0,24.5,,,0 HCPCS,87337,Chgl Entamoeba Histolytica Ag Eia,213.0,106.5,,,0 HCPCS,87337,Entamoeb hist group ag ia,,,11.98,86.99,10 HCPCS,87338,"Chgl (Qu) Helicobacter Pylori Antigen, Eia , Stool, S/O",37.0,18.5,,,0 HCPCS,87338,Chgl H. Pylori Antigen,151.0,75.5,,,0 HCPCS,87338,Hpylori stool ia,,,14.38,95.88,10 HCPCS,87339,H pylori ag ia,,,16.0,86.99,10 HCPCS,87340,Chga-Hep B Surface Antigen,104.0,52.0,,,0 HCPCS,87340,Hepatitis b surface ag ia,,,10.33,75.83,10 HCPCS,87341,Hepatitis b surface ag ia,,,10.33,75.83,10 HCPCS,87350,"Chgl (Qu) Hepatitis Be Antigen, S/O",22.0,11.0,,,0 HCPCS,87350,Chgl Hepatitis Be Antigen,300.0,150.0,,,0 HCPCS,87350,Hepatitis be ag ia,,,11.53,85.65,10 HCPCS,87380,Hepatitis delta ag ia,,,18.36,117.06,10 HCPCS,87385,Chgl Histoplasma Antigen,284.0,142.0,,,0 HCPCS,87385,Histoplasma capsul ag ia,,,13.25,86.99,10 HCPCS,87389,Hiv-1 ag w/hiv-1 & hiv-2 ab,,,24.08,174.04,10 HCPCS,87390,Hiv-1 ag ia,,,24.06,124.02,10 HCPCS,87391,Hiv-2 ag ia,,,21.9,124.02,10 HCPCS,87400,Influenza a/b ag ia,,,14.13,86.99,10 HCPCS,87420,Resp syncytial ag ia,,,13.91,86.99,10 HCPCS,87425,"Chgl (Qu) Rotavirus Antigen Detection, Eia, S/O",31.0,15.5,,,0 HCPCS,87425,Chgl Rotavirus Eia,151.0,75.5,,,0 HCPCS,87425,Rotavirus ag ia,,,11.98,86.99,10 HCPCS,87426,Chgl Covid Rapid Antigen,35.33,17.66,,,0 HCPCS,87426,Coronavirus ag ia,,,35.33,54.44,9 HCPCS,87426,Sarscov Coronavirus Ag Ia,35.33,17.66,,,0 HCPCS,87427,Chgl Shiga-Like Toxin,76.0,38.0,,,0 HCPCS,87427,Shiga-like toxin ag ia,,,11.98,86.99,10 HCPCS,87428,Chgl Flu+Sars Antigen Fia,64.0,32.0,,,0 HCPCS,87428,Sarscov & Inf Vir A&B Ag Ia,63.59,31.8,,,0 HCPCS,87428,Sarscov & inf vir a&b ag ia,,,70.29,88.28,9 HCPCS,87430,Strep a ag ia,,,16.81,86.99,10 HCPCS,87449,Ag detect nos ia mult,,,11.98,86.99,10 HCPCS,87449,"Chgl (Qu) Fungitell(R) (1-3)-B-D Glucan Assay, S/O",75.0,37.5,,,0 HCPCS,87449,"Chgl (Qu) Mvista? Blastomyces Ag Quantitative Eia, S/O",113.0,56.5,,,0 HCPCS,87449,Chgl 87449 Clostridium Difficile Assay,21.0,10.5,,,0 HCPCS,87449,Chgl Blastomyces Ag Urine,248.0,124.0,,,0 HCPCS,87449,"Chgl Legionella Antigen,Urine",248.0,124.0,,,0 HCPCS,87449,Chgl Norovirus Eia (Norwalk),248.0,124.0,,,0 HCPCS,87449,Chgl S.Pneumoniae Ag-Urine,248.0,124.0,,,0 HCPCS,87450,Ag detect nos ia single,,,64.47,64.47,1 HCPCS,87451,Ag detect polyval ia mult,,,10.51,64.47,10 HCPCS,87467,Hepatitis b surface ag quan,,,18.06,26.59,9 HCPCS,87468,Anaplsma phgcytophlm amp prb,,,35.09,42.11,9 HCPCS,87469,Babesia microti amp prb,,,35.09,42.11,9 HCPCS,87469,Chgl Babesia Dna Pcr,852.0,426.0,,,0 HCPCS,87470,Bartonella dna dir probe,,,146.86,146.86,1 HCPCS,87471,Bartonella dna amp probe,,,35.09,249.69,10 HCPCS,87471,"Chgl (Qu) Bartonella Dna, Real-Time Pcr, S/O",234.0,117.0,,,0 HCPCS,87471,Chgl Bartonella Dna Pcr,414.0,207.0,,,0 HCPCS,87472,Bartonella dna quant,,,42.84,310.78,10 HCPCS,87475,Lyme dis dna dir probe,,,20.05,146.86,10 HCPCS,87476,Lyme dis dna amp probe,,,35.09,249.69,10 HCPCS,87477,Lyme dis dna quant,,,300.19,300.19,1 HCPCS,87478,Borrelia miyamotoi amp prb,,,35.09,42.11,9 HCPCS,87480,Candida dna dir probe,,,20.05,146.86,10 HCPCS,87480,Chgl Candida Sp.Direct Probe,337.0,168.5,,,0 HCPCS,87481,Candida dna amp probe,,,35.09,249.69,10 HCPCS,87481,"Chgl (Qu) Sureswab(R) Advanced Vaginitis Plus, Tma, S/O",36.0,18.0,,,0 HCPCS,87481,"Chgl (Qu) Sureswab?,?Candidiasis, Pcr, S/O",11.0,5.5,,,0 HCPCS,87481,Chgl C Glabrata/C Species Aptima Sw,151.0,75.5,,,0 HCPCS,87481,"Chgl Candia Lusitaniae,Naa",151.0,75.5,,,0 HCPCS,87481,"Chgl Candid Glabrata,Naa",151.0,75.5,,,0 HCPCS,87481,"Chgl Candida Albicans,Naa",151.0,75.5,,,0 HCPCS,87481,"Chgl Candida Glabrata,Naa",151.0,75.5,,,0 HCPCS,87481,"Chgl Candida Krusei,Naa",151.0,75.5,,,0 HCPCS,87481,"Chgl Candida Parapsilosis,Naa",151.0,75.5,,,0 HCPCS,87481,"Chgl Candida Tropicalis,Naa",151.0,75.5,,,0 HCPCS,87482,Candida dna quant,,,55.74,293.46,10 HCPCS,87483,Chgl Meningitis/Encephalitis By Pcr,927.0,463.5,,,0 HCPCS,87483,Cns dna amp probe type 12-25,,,416.78,686.06,9 HCPCS,87484,Ehrlicha chaffeensis amp prb,,,35.09,42.11,9 HCPCS,87485,Chylmd pneum dna dir probe,,,20.05,146.86,10 HCPCS,87486,Chylmd pneum dna amp probe,,,35.09,249.69,10 HCPCS,87487,Chylmd pneum dna quant,,,42.84,310.78,10 HCPCS,87490,Chylmd trach dna dir probe,,,22.75,146.86,10 HCPCS,87491,"Chgl (Qu) 87491 Chlamydia Trachomatis Rna, Tma, Urogenital, S/O",38.0,19.0,,,0 HCPCS,87491,"Chgl (Qu) 87491 Chlamydia/N. Gonorrhoeae And T. Vaginalis Rna, Qualitative, Tma, Pap Vial, S/O",38.0,19.0,,,0 HCPCS,87491,"Chgl (Qu) 87491 Chlamydia/Neisseria Gonorrhoeae Rna, Tma, Urogenital, S/O",38.0,19.0,,,0 HCPCS,87491,"Chgl (Qu) 87491 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O",38.0,19.0,,,0 HCPCS,87491,"Chgl (Qu) Chlamydia-Gc, Rna, Tma, Throat, S/O",23.0,11.5,,,0 HCPCS,87491,"Chgl (Qu) Chlamydia/Gc, Rna, Tma, Rectal, S/O",20.0,10.0,,,0 HCPCS,87491,"Chgl (Qu) Sureswab(R) Advanced Vaginitis Plus, Tma, S/O",72.0,36.0,,,0 HCPCS,87491,"Chgl Chamydia Pharnygeal Swab,Naa",337.0,168.5,,,0 HCPCS,87491,"Chgl Chamydia Rectal Swab,Naa",337.0,168.5,,,0 HCPCS,87491,"Chgl Chlamydia Conjunctiva Swab,Naa",337.0,168.5,,,0 HCPCS,87491,Chgl Chlamydia Trac Naa,337.0,168.5,,,0 HCPCS,87491,"Chgl Chlamydia,Ampl Probe Other Flu",337.0,168.5,,,0 HCPCS,87491,"Chgl Chlamydia,Ampl Probe Ua",337.0,168.5,,,0 HCPCS,87491,Chylmd trach dna amp probe,,,35.09,249.69,10 HCPCS,87492,Chylmd trach dna quant,,,53.47,231.23,10 HCPCS,87493,C diff amplified probe,,,37.27,249.69,10 HCPCS,87493,"Chgl 87493 C.Diff Toxin Gene, Pcr",70.0,35.0,,,0 HCPCS,87494,Chlmy trch&neisra gonor mult,,,71.58,73.69,4 HCPCS,87495,Cytomeg dna dir probe,,,30.03,146.86,10 HCPCS,87496,"Chgl (Qu) Cytomegalovirus Dna,Qual, S/O",55.0,27.5,,,0 HCPCS,87496,Chgl Chkd-Cmv Pcr Congenital,159.0,79.5,,,0 HCPCS,87496,Chgl Cmv Pcr Congenital,83.0,41.5,,,0 HCPCS,87496,Cytomeg dna amp probe,,,35.09,249.69,10 HCPCS,87497,Chgl Cmv-Pcr Nonblood Qnt,337.0,168.5,,,0 HCPCS,87497,"Chgl Cytomegalovirus Dna Pcr,Qnt",337.0,168.5,,,0 HCPCS,87497,Cytomeg dna quant,,,42.84,310.78,10 HCPCS,87498,"Chgl Enterovirus Rna,Pcr Qual",690.0,345.0,,,0 HCPCS,87498,Enterovirus probe&revrs trns,,,35.09,249.69,10 HCPCS,87500,Vanomycin dna amp probe,,,35.09,249.69,10 HCPCS,87501,Influenza dna amp prob 1+,,,51.31,357.75,10 HCPCS,87502,Chgl Influenza A&B By Pcr,184.0,92.0,,,0 HCPCS,87502,Influenza dna amp probe,,,95.8,600.32,10 HCPCS,87503,Influenza dna amp prob addl,,,29.22,144.7,10 HCPCS,87505,Nfct agent detection gi,,,128.29,209.5,9 HCPCS,87506,"Chgl (Qu) 87506 Gastrointestinal Pathogen Panel, Real-Time Pcr, S/O",233.0,116.5,,,0 HCPCS,87506,Iadna-dna/rna probe tq 6-11,,,262.99,348.54,9 HCPCS,87507,Chgl Lc-Gastrointestinal Prof Stool,700.0,350.0,,,0 HCPCS,87507,Iadna-dna/rna probe tq 12-25,,,416.78,680.62,9 HCPCS,87510,Chgl Gardnerella Direct Probe,337.0,168.5,,,0 HCPCS,87510,Gardner vag dna dir probe,,,20.05,146.86,10 HCPCS,87511,Gardner vag dna amp probe,,,35.09,249.69,10 HCPCS,87512,Gardner vag dna quant,,,41.76,293.46,10 HCPCS,87513,H pylri clrthmcn rst amp prb,,,35.09,36.84,7 HCPCS,87515,Hepatitis b dna dir probe,,,146.86,146.86,1 HCPCS,87516,"Chgl (Qu) Donor, Hbv Discrimin, S/O",241.0,120.5,,,0 HCPCS,87516,Hepatitis b dna amp probe,,,35.09,249.69,10 HCPCS,87517,"Chgl (Qu) Hbv Dna, Qnt Pcr W/Reflex, S/O",85.0,42.5,,,0 HCPCS,87517,"Chgl Mol Diag,Hbv Quant",382.0,191.0,,,0 HCPCS,87517,Hepatitis b dna quant,,,42.84,310.78,10 HCPCS,87520,Hepatitis c rna dir probe,,,31.22,146.86,10 HCPCS,87521,"Chgl (Qu) Donor Hcv Nat, S/O",241.0,120.5,,,0 HCPCS,87521,Chgl Hcv Rna Naa Qual,282.0,141.0,,,0 HCPCS,87521,Hepatitis c probe&rvrs trnsc,,,35.09,249.69,10 HCPCS,87522,"Chgl Hep C Virus,Quant",399.0,199.5,,,0 HCPCS,87522,Hepatitis c revrs trnscrpj,,,42.84,310.78,10 HCPCS,87523,Hepatitis d quantification,,,42.84,51.41,9 HCPCS,87525,Hepatitis g dna dir probe,,,29.8,146.86,10 HCPCS,87526,Hepatitis g dna amp probe,,,39.26,249.69,10 HCPCS,87527,Hepatitis g dna quant,,,41.76,293.46,10 HCPCS,87528,Hsv dna dir probe,,,20.05,146.86,10 HCPCS,87529,Chgl Chkd-Hsv 1&2 Pcr,84.0,42.0,,,0 HCPCS,87529,Chgl Herpes Simplex 1&2 Pcr Qual,337.0,168.5,,,0 HCPCS,87529,"Chgl Hsv,Type I Pcr",535.0,267.5,,,0 HCPCS,87529,"Chgl Hsv,Type Ii Pcr",535.0,267.5,,,0 HCPCS,87529,Hsv dna amp probe,,,35.09,249.69,10 HCPCS,87530,"Chgl Herpes Simplex 1&2 Pcr Qnt,",337.0,168.5,,,0 HCPCS,87530,Hsv dna quant,,,42.84,310.78,10 HCPCS,87531,Hhv-6 dna dir probe,,,34.46,146.86,10 HCPCS,87532,Hhv-6 dna amp probe,,,35.09,249.69,10 HCPCS,87533,"Chgl (Qu) Herpes Virus 6 Dna, Quant, S/O",220.0,110.0,,,0 HCPCS,87533,"Chgl Humanherpes Virus-6 Pcr,Qnt",337.0,168.5,,,0 HCPCS,87533,"Chgl Humanherpes Virus-6 Pcr,Qnt No",337.0,168.5,,,0 HCPCS,87533,Hhv-6 dna quant,,,41.76,293.46,10 HCPCS,87534,Hiv-1 dna dir probe,,,21.92,146.86,10 HCPCS,87535,"Chgl (Qu) Donor Hiv-1 Nat, S/O",241.0,120.5,,,0 HCPCS,87535,"Chgl (Qu) Hiv1 Rna, Qualitative Real-Time Pcr, S/O",125.0,62.5,,,0 HCPCS,87535,"Chgl Lc - Hiv-1 Qualitative Rna, Diagnostic",75.0,37.5,,,0 HCPCS,87535,Hiv-1 probe&reverse trnscrpj,,,35.09,249.69,10 HCPCS,87536,"Chgl (Qu) Hiv 1 Rna, Qn Pcr W/Reflex To Genotype, S/O",65.0,32.5,,,0 HCPCS,87536,Chgl Hiv Rna Group,658.0,329.0,,,0 HCPCS,87536,Hiv-1 quant&revrse trnscrpj,,,85.1,600.26,10 HCPCS,87537,Hiv-2 dna dir probe,,,21.92,146.86,10 HCPCS,87538,"Chgl Lc - Hiv-2 Qualitative Rna, Diagnostic",72.0,36.0,,,0 HCPCS,87538,Hiv-2 probe&revrse trnscripj,,,35.09,249.69,10 HCPCS,87539,Hiv-2 quant&revrse trnscripj,,,58.62,300.19,10 HCPCS,87540,Legion pneumo dna dir prob,,,20.05,146.86,10 HCPCS,87541,Chgl Legionella Pneumophilia Amp,275.0,137.5,,,0 HCPCS,87541,Legion pneumo dna amp prob,,,35.09,249.69,10 HCPCS,87542,Legion pneumo dna quant,,,41.76,293.46,10 HCPCS,87550,Mycobacteria dna dir probe,,,20.05,146.86,10 HCPCS,87551,Mycobacteria dna amp probe,,,48.24,249.69,10 HCPCS,87552,Mycobacteria dna quant,,,42.84,310.78,10 HCPCS,87555,"Chgl (Qu) Afb Progressive Id, Probe, S/O",39.0,19.5,,,0 HCPCS,87555,M.tuberculo dna dir probe,,,26.88,146.86,10 HCPCS,87556,Chgl Lc - M. Tb Pcr,293.0,146.5,,,0 HCPCS,87556,Chgl M. Tuberculosis Pcr,85.0,42.5,,,0 HCPCS,87556,M.tuberculo dna amp probe,,,41.68,249.69,10 HCPCS,87557,M.tuberculo dna quant,,,42.84,310.78,10 HCPCS,87560,M.avium-intra dna dir prob,,,27.29,146.86,10 HCPCS,87561,M.avium-intra dna amp prob,,,35.09,249.69,10 HCPCS,87562,M.avium-intra dna quant,,,42.84,310.78,10 HCPCS,87563,Chgl Mycoplasma Genitalium,72.0,36.0,,,0 HCPCS,87563,M. genitalium amp probe,,,35.09,42.11,9 HCPCS,87564,Mtb rifampin rst amp prb tq,,,76.77,80.61,7 HCPCS,87580,M.pneumon dna dir probe,,,20.05,146.86,10 HCPCS,87581,M.pneumon dna amp probe,,,35.09,249.69,10 HCPCS,87582,M.pneumon dna quant,,,71.75,317.75,10 HCPCS,87590,N.gonorrhoeae dna dir prob,,,26.88,146.86,10 HCPCS,87591,"Chgl (Qu) 87591 Chlamydia/N. Gonorrhoeae And T. Vaginalis Rna, Qualitative, Tma, Pap Vial, S/O",38.0,19.0,,,0 HCPCS,87591,"Chgl (Qu) 87591 Chlamydia/Neisseria Gonorrhoeae Rna, Tma, Urogenital, S/O",38.0,19.0,,,0 HCPCS,87591,"Chgl (Qu) 87591 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O",38.0,19.0,,,0 HCPCS,87591,"Chgl (Qu) Chlamydia-Gc, Rna, Tma, Throat, S/O",23.0,11.5,,,0 HCPCS,87591,"Chgl (Qu) Chlamydia/Gc, Rna, Tma, Rectal, S/O",20.0,10.0,,,0 HCPCS,87591,"Chgl (Qu) Sureswab(R) Advanced Vaginitis Plus, Tma, S/O",72.0,36.0,,,0 HCPCS,87591,Chgl Gc Naa,332.0,166.0,,,0 HCPCS,87591,"Chgl Gc Pharyngeal Swab,Naa",332.0,166.0,,,0 HCPCS,87591,"Chgl Gc Rectal Swab,Naa",332.0,166.0,,,0 HCPCS,87591,"Chgl Gc,Ampl Probe Other Fluid",332.0,166.0,,,0 HCPCS,87591,"Chgl Gc,Ampl Probe Ua",332.0,166.0,,,0 HCPCS,87591,N.gonorrhoeae dna amp prob,,,35.09,249.69,10 HCPCS,87592,N.gonorrhoeae dna quant,,,42.84,292.78,10 HCPCS,87593,"Chgl (Qu) Monkeypox Virus Dna, Qual Rt Pcr, S/O",53.0,26.5,,,0 HCPCS,87593,"Chgl Lc - Monkeypox, Dna, Pcr",77.0,38.5,,,0 HCPCS,87593,Orthopoxvirus amp prb each,,,51.31,61.4,9 HCPCS,87594,Pneumcysts jirovecii amp prb,,,35.09,36.84,7 HCPCS,87620,"Hpv, dna, dir probe",,,146.86,146.86,1 HCPCS,87621,"Hpv, dna, amp probe",,,249.69,249.69,1 HCPCS,87622,"Hpv, dna, quant",,,293.46,293.46,1 HCPCS,87623,Hpv low-risk types,,,35.09,57.31,9 HCPCS,87624,"Chgl (Qu) 87624 Hpv Dna, High Risk, S/O",45.0,22.5,,,0 HCPCS,87624,"Chgl (Qu) 87624 Thinprep Pap And Hpv Dna With Reflex To Hpv Genotypes 16,18, S/O",41.0,20.5,,,0 HCPCS,87624,Chgl Hpv High Risk,312.0,156.0,,,0 HCPCS,87624,Hpv high-risk types,,,35.09,57.31,9 HCPCS,87625,"Chgl (Qu) 87625 Hpv Genotypes 16,18, S/O",45.0,22.5,,,0 HCPCS,87625,Chgl Hpv 16,258.0,129.0,,,0 HCPCS,87625,Hpv types 16 & 18 only,,,40.55,57.31,9 HCPCS,87626,Hpv sep hi-rsk typ&pool rslt,,,70.2,73.71,7 HCPCS,87627,Jt spc pthgn&rx rsist gen26+,,,693.37,713.76,4 HCPCS,87631,Resp virus 3-5 targets,,,142.63,900.25,10 HCPCS,87632,"Chgl (Qu) 87632 Respiratory Virus Pcr Panel Iv, S/O",1718.0,859.0,,,0 HCPCS,87632,Resp virus 6-11 targets,,,218.06,1492.9,10 HCPCS,87633,"Chgl (Uva) 87633 Filmarray Respiratory Panel 2 (Rp2), S/O",516.0,258.0,,,0 HCPCS,87633,Resp virus 12-25 targets,,,416.78,2917.28,10 HCPCS,87634,Chgl Rsv Pcr-Each Probe,337.0,168.5,,,0 HCPCS,87634,Rsv dna/rna amp probe,,,70.2,103.99,9 HCPCS,87635,"Chgl (Qu) 87635 Sars-Cov-2 Rna (Covid-19), Qualitative Naat, S/O",108.0,54.0,,,0 HCPCS,87635,Chgl Covid-19,51.31,25.66,,,0 HCPCS,87635,Sars-cov-2 covid-19 amp prb,,,51.31,61.57,9 HCPCS,87636,"Chgl Covid, Influ A&B Amp Prb",250.0,125.0,,,0 HCPCS,87636,Sarscov2 & inf a&b amp prb,,,142.63,171.12,9 HCPCS,87637,"Chgl Covid, Influ A&B, Rsv Amp Prb",300.0,150.0,,,0 HCPCS,87637,Sarscov2&inf a&b&rsv amp prb,,,142.63,171.12,9 HCPCS,87640,Staph a dna amp probe,,,35.09,249.69,10 HCPCS,87641,Mr-staph dna amp probe,,,35.09,249.69,10 HCPCS,87650,Strep a dna dir probe,,,20.05,146.86,10 HCPCS,87651,Strep a dna amp probe,,,35.09,249.69,10 HCPCS,87652,Strep a dna quant,,,41.76,293.46,10 HCPCS,87653,Strep b dna amp probe,,,35.09,249.69,10 HCPCS,87660,Chgl Trichomonoas Direct Probe,337.0,168.5,,,0 HCPCS,87660,Trichomonas vagin dir probe,,,20.05,146.86,10 HCPCS,87661,"Chgl (Qu) 87661 Chlamydia/N. Gonorrhoeae And T. Vaginalis Rna, Qualitative, Tma, Pap Vial, S/O",36.0,18.0,,,0 HCPCS,87661,"Chgl (Qu) 87661 Trichomonas Vaginalis Rna, Qualitative, Tma, Pap Vial, S/O",55.0,27.5,,,0 HCPCS,87661,"Chgl (Qu) Sureswab(R) Advanced Vaginitis Plus, Tma, S/O",69.0,34.5,,,0 HCPCS,87661,Chgl Trich Ampl Probe Ua,332.0,166.0,,,0 HCPCS,87661,Chgl Trich Vaginalis Naa,332.0,166.0,,,0 HCPCS,87661,Chgl Trichomonas Ampl Probe,332.0,166.0,,,0 HCPCS,87661,Trichomonas vaginalis amplif,,,35.09,57.44,9 HCPCS,87662,Zika virus dna/rna amp probe,,,51.31,76.02,9 HCPCS,87797,Detect agent nos dna dir,,,30.03,146.86,10 HCPCS,87798,Chg - Norovirus-Pcr,513.0,256.5,,,0 HCPCS,87798,"Chgl (Qu) 87798 Adenovirus Dna, Qualitative Rt Pcr, S/O",285.0,142.5,,,0 HCPCS,87798,"Chgl (Qu) Anaplasma Phagocytophilum Dna, Ql Real-Time Pcr, S/O",60.0,30.0,,,0 HCPCS,87798,"Chgl (Qu) Babesia Microti Dna, Real-Time Pcr, S/O",154.0,77.0,,,0 HCPCS,87798,"Chgl (Qu) Epstein Barr Virus Dna,Qualitative Real-Time Pcr, S/O",77.0,38.5,,,0 HCPCS,87798,"Chgl (Qu) Jc Polyoma Virus Dna,, S/O",163.0,81.5,,,0 HCPCS,87798,"Chgl (Qu) Jc Polyoma Virus Dna,R/T, S/O",148.0,74.0,,,0 HCPCS,87798,"Chgl (Qu) Parvovirus B19 Dna, Qualitative Real-Time Pcr, S/O",101.0,50.5,,,0 HCPCS,87798,Chgl B. Parapertussis Dna Pcr,355.0,177.5,,,0 HCPCS,87798,Chgl B. Pertussis Dna Pcr,355.0,177.5,,,0 HCPCS,87798,Chgl Epstein Barr Virus Dna Pcr Csf,659.0,329.5,,,0 HCPCS,87798,"Chgl Hhv-8,Dna Pcr",451.0,225.5,,,0 HCPCS,87798,"Chgl Infectious Agent, Amp",275.0,137.5,,,0 HCPCS,87798,Chgl M. Tuberculosis Rifampin Resistance Pcr,85.0,42.5,,,0 HCPCS,87798,Chgl Mycoplasma Hominis,72.0,36.0,,,0 HCPCS,87798,Chgl Parvo Pcr,321.0,160.5,,,0 HCPCS,87798,Chgl Toxoplasma Pcr,652.0,326.0,,,0 HCPCS,87798,"Chgl Tropheryma Whippelii Dna,Pcr",652.0,326.0,,,0 HCPCS,87798,Chgl Ureaplasma Spp,72.0,36.0,,,0 HCPCS,87798,Chgl Varicella Pcr,1076.0,538.0,,,0 HCPCS,87798,Chgl Vzv Lesion Pcr,78.0,39.0,,,0 HCPCS,87798,Chgl Vzv Pcr Csf,78.0,39.0,,,0 HCPCS,87798,Detect agent nos dna amp,,,35.09,249.69,10 HCPCS,87799,"Chgl (Qu) Epstein Barr Virus, Dna, S/O",85.0,42.5,,,0 HCPCS,87799,"Chgl Bk Virus Dna Pcr,Bld",250.0,125.0,,,0 HCPCS,87799,"Chgl Bk Virus Dna Pcr,Ua",250.0,125.0,,,0 HCPCS,87799,"Chgl Ebv Dna Pcr Qnt,Nonbld",568.0,284.0,,,0 HCPCS,87799,Chgl Ebv Plasma,87.0,43.5,,,0 HCPCS,87799,Chgl Epstein Barr Virus Dna Pcr,327.0,163.5,,,0 HCPCS,87799,"Chgl Hhv-7,Dna Pcr",1059.0,529.5,,,0 HCPCS,87799,Chgl Jc Virus Dna Pcr Csf,871.0,435.5,,,0 HCPCS,87799,"Chgl Jc Virus Dna,Pcr",1237.0,618.5,,,0 HCPCS,87799,Chgl Lc - Pneumocystis Jiroveci Qpcr Bal,352.0,176.0,,,0 HCPCS,87799,Chgl Varicella Pcr (Nonbld),1114.0,557.0,,,0 HCPCS,87799,Detect agent nos dna quant,,,42.84,314.64,10 HCPCS,87800,Detect agnt mult dna direc,,,43.67,293.8,10 HCPCS,87801,"Chgl (Qu) 87801 Borrelia Species Dna, Qualitative Real-Time Pcr, Miscellaneous, S/O",124.0,62.0,,,0 HCPCS,87801,"Chgl (Qu) 87801 Mycobacterium Tuberculosis Complex And Rifampin Resistance, Pcr, Non-Sputum, S/O",348.0,174.0,,,0 HCPCS,87801,"Chgl (Qu) Donor, Hiv/Hcv/Hbv Nat Procleix ( R) With Reflexes, S/O",86.0,43.0,,,0 HCPCS,87801,Chgl Bacterial Vaginosis Aptima Swab,504.0,252.0,,,0 HCPCS,87801,Chgl Bv Panel,504.0,252.0,,,0 HCPCS,87801,Chgl Lc-Hiv Hcv Hbv Donor Nat,245.0,122.5,,,0 HCPCS,87801,Chgl Lyme Dna Pcr,504.0,252.0,,,0 HCPCS,87801,Chgl Lyme Dna Pcr Csf,504.0,252.0,,,0 HCPCS,87801,Detect agnt mult dna ampli,,,70.2,499.33,10 HCPCS,87802,Strep b assay w/optic,,,12.73,86.99,10 HCPCS,87803,Clostridium toxin a w/optic,,,16.0,86.99,10 HCPCS,87804,Chgl Influenzae Rapid Screen A,298.0,149.0,,,0 HCPCS,87804,Chgl Influenzae Rapid Screen B,298.0,149.0,,,0 HCPCS,87804,Influenza Assay W/Optic,298.0,149.0,,,0 HCPCS,87804,Influenza assay w/optic,,,16.55,86.99,10 HCPCS,87806,"Chgl Hiv 1/2 Antibody/Antigen Combo,Stat",79.0,39.5,,,0 HCPCS,87806,Hiv antigen w/hiv antibodies,,,32.77,39.32,9 HCPCS,87807,Chgl Resp Sync Viral (Rsv) Ag,129.0,64.5,,,0 HCPCS,87807,Rsv Assay W/Optic,129.0,64.5,,,0 HCPCS,87807,Rsv assay w/optic,,,13.1,86.99,10 HCPCS,87808,Trichomonas assay w/optic,,,15.29,86.99,10 HCPCS,87809,Adenovirus assay w/optic,,,20.62,86.99,10 HCPCS,87810,Chylmd trach assay w/optic,,,20.62,86.99,10 HCPCS,87811,Sars-cov-2 covid19 w/optic,,,41.38,49.78,9 HCPCS,87812,Sarscov2&inf typ a&b w/optic,,,75.97,78.2,4 HCPCS,87850,N. gonorrhoeae assay w/optic,,,20.62,86.99,10 HCPCS,87880,Chgl Strep Screen Stat,179.0,89.5,,,0 HCPCS,87880,Strep A Assay W/Optic,179.0,89.5,,,0 HCPCS,87880,Strep a assay w/optic,,,16.53,86.99,10 HCPCS,87899,Agent nos assay w/optic,,,16.07,86.99,10 HCPCS,87899,"Chgl (Qu) Strep Pneumo Antigen Urine, S/O",162.0,81.0,,,0 HCPCS,87899,Chgl Campylobacter Antigen,64.0,32.0,,,0 HCPCS,87899,Chgl Strep Pneumo And Legionella Pneumo Antigen Urine,55.0,27.5,,,0 HCPCS,87900,Chgl Lc-Hcv Ns5A Drug Resistance,480.0,240.0,,,0 HCPCS,87900,Chgl Phenosense Phenotype,588.0,294.0,,,0 HCPCS,87900,Chgl Qu - Hiv-1 Genotype,40.0,20.0,,,0 HCPCS,87900,"Chgl Qu - Hiv-1 Genotype (Rti, Pi, Integrase)",56.0,28.0,,,0 HCPCS,87900,Phenotype infect agent drug,,,130.35,928.34,10 HCPCS,87901,Chgl Hiv-1 Genotype,1091.0,545.5,,,0 HCPCS,87901,Chgl Phenosense Genotype,1091.0,545.5,,,0 HCPCS,87901,Chgl Qu - Hiv-1 Genotype,71.0,35.5,,,0 HCPCS,87901,"Chgl Qu - Hiv-1 Genotype (Rti, Pi, Integrase)",99.0,49.5,,,0 HCPCS,87901,Genotype dna hiv reverse t,,,257.45,1717.77,10 HCPCS,87902,"Chgl (Qu) 87902 Hcv Rna Genotype 1 Ns5A Drug Resistance, S/O",515.0,257.5,,,0 HCPCS,87902,"Chgl (Qu) 87902 Hepatitis C Viral Rna, Lipa, S/O",126.0,63.0,,,0 HCPCS,87902,Chgl Hepatitis C Genotype,698.0,349.0,,,0 HCPCS,87902,Chgl Lc-Hcv Ns5A Drug Resistance,826.0,413.0,,,0 HCPCS,87902,Genotype dna/rna hep c,,,257.45,1717.77,10 HCPCS,87903,"Chgl (Qu) Phenosense(R), S/O",1217.0,608.5,,,0 HCPCS,87903,Chgl Hiv-1 Phenotype Result,4943.0,2471.5,,,0 HCPCS,87903,Chgl Phenosense Na 1-10 Drugs,2176.0,1088.0,,,0 HCPCS,87903,Phenotype dna hiv w/culture,,,488.66,3563.83,10 HCPCS,87904,"Chgl (Qu) Phenosense(R), S/O",6.0,3.0,,,0 HCPCS,87904,Chgl Hiv-1 Phenotype Add't Drug,270.0,135.0,,,0 HCPCS,87904,Chgl Hiv-1 Phenotype Add't Drug Gro,270.0,135.0,,,0 HCPCS,87904,Chgl Phenosense Na Add't Drugs,136.0,68.0,,,0 HCPCS,87904,Phenotype dna hiv w/clt add,,,26.07,185.62,10 HCPCS,87905,Sialidase enzyme assay,,,12.22,87.44,10 HCPCS,87906,Chgl Hiv-1 Integrase,568.0,284.0,,,0 HCPCS,87906,"Chgl Qu - Hiv-1 Genotype (Rti, Pi, Integrase)",50.0,25.0,,,0 HCPCS,87906,Chgl Qu - Hiv-1 Integrase Genotype,114.0,57.0,,,0 HCPCS,87906,Genotype dna/rna hiv,,,128.73,858.84,10 HCPCS,87910,Genotype cytomegalovirus,,,257.45,1717.77,10 HCPCS,87912,Genotype dna hepatitis b,,,257.45,1717.77,10 HCPCS,87913,Nfct agt gntyp alys sarscov2,,,257.45,308.94,9 HCPCS,87999,"Chgl (Ma) 87999 Respiratory Panel, Pcr, Varies, S/O",635.0,317.5,,,0 HCPCS,87999,Chgl Hiv-1 Coreceptor Tropism,6487.0,3243.5,,,0 HCPCS,87999,Chgl Hpv Pcr,297.0,148.5,,,0 HCPCS,87999,Microbiology procedure,,,37.32,37.32,1 HCPCS,88000,Autopsy (necropsy) gross,,,236.42,1269.25,3 HCPCS,88005,Autopsy (necropsy) gross,,,271.93,1481.32,3 HCPCS,88007,Autopsy (necropsy) gross,,,295.75,1552.06,3 HCPCS,88012,Autopsy (necropsy) gross,,,212.62,1269.25,3 HCPCS,88014,Autopsy (necropsy) gross,,,212.62,1163.12,3 HCPCS,88016,Autopsy (necropsy) gross,,,271.93,1622.75,3 HCPCS,88020,Autopsy (necropsy) complete,,,366.34,2186.66,3 HCPCS,88025,Autopsy (necropsy) complete,,,401.84,2115.94,3 HCPCS,88027,Autopsy (necropsy) complete,,,437.34,2257.4,3 HCPCS,88028,Autopsy (necropsy) complete,,,212.62,1269.25,3 HCPCS,88029,Autopsy (necropsy) complete,,,212.62,1269.25,3 HCPCS,88036,Limited autopsy,,,118.21,634.57,3 HCPCS,88037,Limited autopsy,,,94.39,563.91,3 HCPCS,88040,Forensic autopsy (necropsy),,,591.06,3526.54,3 HCPCS,88045,Coroners autopsy (necropsy),,,59.33,353.61,3 HCPCS,88099,Necropsy (autopsy) procedure,,,37.32,37.32,1 HCPCS,88104,Chgl Cytology Smear,515.0,257.5,,,0 HCPCS,88104,Cytopath fl nongyn smears,,,20.08,260.54,10 HCPCS,88106,Cytopath fl nongyn filter,,,20.08,362.87,10 HCPCS,88108,Chgl Cytology Fluid Conc,288.0,144.0,,,0 HCPCS,88108,Cytopath concentrate tech,,,20.08,310.78,10 HCPCS,88112,Chgl Liquid Based Nongyn Prp - Add'l,345.0,172.5,,,0 HCPCS,88112,Chgl Liquid Based Nongyn Prep,345.0,172.5,,,0 HCPCS,88112,Cytopath cell enhance tech,,,42.88,280.99,10 HCPCS,88120,Chgl Urovysion Probe Ea - Manual,914.0,457.0,,,0 HCPCS,88120,Cytp urne 3-5 probes ea spec,,,67.7,3087.39,10 HCPCS,88121,Chgl Urovysion Probe Ea-Automated,1586.0,793.0,,,0 HCPCS,88121,Cytp urine 3-5 probes cmptr,,,67.7,2782.15,10 HCPCS,88125,Forensic cytopathology,,,20.08,179.91,10 HCPCS,88130,Sex chromatin identification,,,17.98,112.86,10 HCPCS,88140,Sex chromatin identification,,,7.99,56.2,10 HCPCS,88141,"Chgl (Qu) 88141 Physician Interpretation, S/O",43.0,21.5,,,0 HCPCS,88141,Cytopath c/v interpret,,,38.26,173.13,3 HCPCS,88142,"Chgl (Qu) 88142 Thinprep Pap And Hpv Dna With Reflex To Hpv Genotypes 16,18, S/O",25.0,12.5,,,0 HCPCS,88142,"Chgl (Qu) 88142 Thinprep Pap, S/O",35.0,17.5,,,0 HCPCS,88142,Chgl Pap Thin Layer Diagnostic,258.0,129.0,,,0 HCPCS,88142,Cytopath c/v thin layer,,,20.26,144.5,10 HCPCS,88143,Cytopath c/v thin layer redo,,,23.04,142.31,10 HCPCS,88147,Cytopath c/v automated,,,19.56,82.45,10 HCPCS,88148,Cytopath c/v auto rescreen,,,18.19,98.89,10 HCPCS,88150,Cytopath c/v manual,,,18.16,79.43,10 HCPCS,88150,Cytp Slides C/V Mnl Scr Under Phys,40.0,20.0,,,0 HCPCS,88152,Cytopath c/v auto redo,,,18.16,79.43,10 HCPCS,88153,Cytopath c/v redo,,,18.16,79.43,10 HCPCS,88154,Cytopath c/v select,,,79.43,79.43,1 HCPCS,88155,Cytopath c/v index add-on,,,10.3,44.02,10 HCPCS,88160,Chgl Cytology Scrape/Discharge,115.0,57.5,,,0 HCPCS,88160,Chgl Flow Cyto Smear,115.0,57.5,,,0 HCPCS,88160,Chgl Touch Prep,115.0,57.5,,,0 HCPCS,88160,Cytopath smear other source,,,20.08,208.46,10 HCPCS,88161,Chgl Cytosmear Prep/Screen/Interp,115.0,57.5,,,0 HCPCS,88161,Cytopath smear other source,,,20.08,197.27,10 HCPCS,88162,Cytopath smear other source,,,42.88,312.63,10 HCPCS,88164,Cytopath tbs c/v manual,,,18.16,79.43,10 HCPCS,88165,Cytopath tbs c/v redo,,,18.16,79.43,10 HCPCS,88166,Cytopath tbs c/v auto redo,,,18.16,79.43,10 HCPCS,88167,Cytopath tbs c/v select,,,18.16,79.43,10 HCPCS,88172,Chgl Fna Adequacy By Tech,388.0,194.0,,,0 HCPCS,88172,Cytp dx eval fna 1st ea site,,,42.88,588.18,10 HCPCS,88173,Chgl Needle Asp/Fna Interp,438.0,219.0,,,0 HCPCS,88173,Cytopath eval fna report,,,42.88,437.36,10 HCPCS,88174,"Chgl (Qu) 88174 Thinprep Imaging System Pap (Imaging Fails), S/O",40.0,20.0,,,0 HCPCS,88174,Cytopath c/v auto in fluid,,,25.37,151.23,10 HCPCS,88175,"Chgl (Qu) 88175 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O",31.0,15.5,,,0 HCPCS,88175,Cytopath c/v auto fluid redo,,,26.61,186.64,10 HCPCS,88177,Chgl Fna Adeq Add't,213.0,106.5,,,0 HCPCS,88177,Cytp fna eval ea addl,,,13.25,42.86,3 HCPCS,88182,Cell marker study,,,42.88,405.72,10 HCPCS,88184,"Chgl (Qu) Paroxysmal Nocturnal Hemoglobinuria (Pnh) W/Flaer (High Sensitivity), S/O",199.0,99.5,,,0 HCPCS,88184,"Chgl (Qu) Zap-70, S/O",99.0,49.5,,,0 HCPCS,88184,"Chgl Flow Cytometry,Cell Surface;Fi",432.0,216.0,,,0 HCPCS,88184,"Chgl Flow Marker,Pnh First",432.0,216.0,,,0 HCPCS,88184,Flowcytometry/ tc 1 marker,,,20.08,1237.5,10 HCPCS,88185,"Chgl (Qu) Paroxysmal Nocturnal Hemoglobinuria (Pnh) W/Flaer (High Sensitivity), S/O",5.0,2.5,,,0 HCPCS,88185,"Chgl (Qu) Zap-70, S/O",16.0,8.0,,,0 HCPCS,88185,"Chgl Flow Cytometry,Cell Surface;Ad",250.0,125.0,,,0 HCPCS,88185,"Chgl Flow Cytometry,Cell Surface;Se",250.0,125.0,,,0 HCPCS,88185,"Chgl Flow Marker,Pnh Add't",250.0,125.0,,,0 HCPCS,88185,Flowcytometry/tc add-on,,,20.08,295.98,3 HCPCS,88187,"Chgl (Qu) Paroxysmal Nocturnal Hemoglobinuria (Pnh) W/Flaer (High Sensitivity), S/O",40.0,20.0,,,0 HCPCS,88187,Flowcytometry/read 2-8,,,12.5,375.9,3 HCPCS,88188,Flowcytometry/read 9-15,,,42.88,480.13,3 HCPCS,88189,Flowcytometry/read 16 & >,,,42.88,582.48,3 HCPCS,88199,Cytopathology procedure,,,12.5,179.91,10 HCPCS,88230,Chgl Cult F/Chrom: Lymphocytes,554.0,277.0,,,0 HCPCS,88230,Chgl Cult: Blood,554.0,277.0,,,0 HCPCS,88230,Chgl Cult: Blood Hi Res,554.0,277.0,,,0 HCPCS,88230,Chgl Lc-Chromosome Breakage Study,261.0,130.5,,,0 HCPCS,88230,Tissue culture lymphocyte,,,116.49,686.74,10 HCPCS,88233,Chgl Cult F/Chrom: Skin Or Other,2304.0,1152.0,,,0 HCPCS,88233,Chgl Cult: Skin Other,2304.0,1152.0,,,0 HCPCS,88233,Tissue culture skin/biopsy,,,140.73,881.71,10 HCPCS,88235,"Chgl (Qu) Chromosome Analysis, Chorionic Villus Sample, S/O",196.0,98.0,,,0 HCPCS,88235,Chgl Cult F/Chrom: Amniotic Fluid,629.0,314.5,,,0 HCPCS,88235,Tissue culture placenta,,,150.3,889.97,10 HCPCS,88237,Chgl Cult F/Chrom: Bone Marrow,1913.0,956.5,,,0 HCPCS,88237,Tissue culture bone marrow,,,143.75,781.51,10 HCPCS,88239,Chgl Cult F/Chrom: Other,1660.0,830.0,,,0 HCPCS,88239,Tissue culture tumor,,,147.52,968.07,10 HCPCS,88240,Cell cryopreserve/storage,,,13.07,69.15,10 HCPCS,88241,Frozen cell preparation,,,12.09,69.15,10 HCPCS,88245,Chromosome analysis 20-25,,,173.17,1033.02,10 HCPCS,88248,Chgl Lc-Chromosome Breakage Study,359.0,179.5,,,0 HCPCS,88248,Chromosome analysis 50-100,,,173.17,1271.61,10 HCPCS,88249,Chgl Lc-Chromosome Breakage Study,368.0,184.0,,,0 HCPCS,88249,Chromosome analysis 100,,,173.17,1271.61,10 HCPCS,88261,Chgl Ct 5 Cells: 1 Karyo W/Banding,2133.0,1066.5,,,0 HCPCS,88261,Chromosome analysis 5,,,264.34,1327.64,10 HCPCS,88262,Chgl Ct 15-20 : 2 Karyo +Band Bld,2021.0,1010.5,,,0 HCPCS,88262,Chgl Ct 15-20: 2 Karyo+Band Sk/Oth,2021.0,1010.5,,,0 HCPCS,88262,Chgl Ct15-20: 2Karyo+Band,2021.0,1010.5,,,0 HCPCS,88262,Chromosome analysis 15-20,,,125.49,937.09,10 HCPCS,88263,Chromosome analysis 45,,,150.29,1087.83,10 HCPCS,88264,Chgl Analyze 20-25 Cells,1785.0,892.5,,,0 HCPCS,88264,Chromosome analysis 20-25,,,144.61,937.09,10 HCPCS,88267,"Chgl (Qu) Chromosome Analysis, Chorionic Villus Sample, S/O",265.0,132.5,,,0 HCPCS,88267,Chromosome analys placenta,,,188.57,1344.37,10 HCPCS,88269,Chgl Ct Cells: 1 Karyo W/Banding,2003.0,1001.5,,,0 HCPCS,88269,Chromosome analys amniotic,,,173.66,1211.86,10 HCPCS,88271,Chgl Cytogenetic Dna Probe,686.0,343.0,,,0 HCPCS,88271,Chgl Cytogenetic Probe Subtelomeres,158.0,79.0,,,0 HCPCS,88271,Cytogenetics dna probe,,,21.42,145.92,10 HCPCS,88272,Cytogenetics 3-5,,,40.7,191.19,10 HCPCS,88273,"Chgl Chrom In Situ,10-30 Cells",395.0,197.5,,,0 HCPCS,88273,Cytogenetics 10-30,,,34.81,232.34,10 HCPCS,88274,Cytogenetics 25-99,,,42.38,255.15,10 HCPCS,88275,"Chgl Interphase In Situ,100-300 Cel",422.0,211.0,,,0 HCPCS,88275,Cytogenetics 100-300,,,51.19,294.03,10 HCPCS,88280,"Chgl (Qu) Chromosome Analysis, Chorionic Villus Sample, S/O",44.0,22.0,,,0 HCPCS,88280,Chgl Additional Karyotypes: Each,582.0,291.0,,,0 HCPCS,88280,Chromosome karyotype study,,,33.47,188.77,10 HCPCS,88283,Chromosome banding study,,,68.6,409.98,10 HCPCS,88285,Chgl Additional Cells Counted: Each,231.0,115.5,,,0 HCPCS,88285,Chromosome count additional,,,26.91,140.13,10 HCPCS,88289,Chgl Addt'l High Resolution Blood,490.0,245.0,,,0 HCPCS,88289,Chromosome study additional,,,34.43,231.09,10 HCPCS,88291,Cyto/molecular report,,,34.21,167.45,3 HCPCS,88299,Cytogenetic study,,,12.5,179.91,10 HCPCS,88300,Chgl Surg Path Level I,175.0,87.5,,,0 HCPCS,88300,Surgical path gross,,,20.08,99.86,10 HCPCS,88302,Chgl Surg Path Level 2 - Tech Only,438.0,219.0,,,0 HCPCS,88302,Chgl Surg Path Level Ii,438.0,219.0,,,0 HCPCS,88302,Tissue exam by pathologist,,,20.08,132.12,10 HCPCS,88304,Chgl Surg Path Level 3 - Tech Only,210.0,105.0,,,0 HCPCS,88304,Chgl Surg Path Level Iii,210.0,105.0,,,0 HCPCS,88304,Tissue exam by pathologist,,,42.88,182.36,10 HCPCS,88305,"Chgl B Cpt88305B, Bill Only",438.0,219.0,,,0 HCPCS,88305,Chgl Bone Marrow Asp Clot,438.0,219.0,,,0 HCPCS,88305,Chgl Bone Marrow Bx Interpret,438.0,219.0,,,0 HCPCS,88305,Chgl Cytology Cell Block,438.0,219.0,,,0 HCPCS,88305,Chgl Research Study-H&E,5.0,2.5,,,0 HCPCS,88305,Chgl Surg Path Level Iv,438.0,219.0,,,0 HCPCS,88305,Tissue exam by pathologist,,,42.88,182.36,10 HCPCS,88307,Chgl Cytology Level 5,726.0,363.0,,,0 HCPCS,88307,Chgl Surg Path Level V,726.0,363.0,,,0 HCPCS,88307,Tissue exam by pathologist,,,64.93,1237.5,10 HCPCS,88309,Chgl Surg Path Level Vi,1095.0,547.5,,,0 HCPCS,88309,Tissue exam by pathologist,,,64.93,2781.52,10 HCPCS,88311,Chgl Cytology Decal,191.0,95.5,,,0 HCPCS,88311,Chgl Decal Procedure,191.0,95.5,,,0 HCPCS,88311,Decalcify tissue,,,12.5,44.7,3 HCPCS,88312,Chgl Spec Stain Group I,115.0,57.5,,,0 HCPCS,88312,Special stains group 1,,,20.08,388.94,10 HCPCS,88313,"Chgl (Ark) Muscle Biopsy Panel, S/O",39.0,19.5,,,0 HCPCS,88313,"Chgl (Ark) Nerve Biopsy Panel, S/O",10.0,5.0,,,0 HCPCS,88313,"Chgl (Ma) Nerve Fiber Density, S/O",77.0,38.5,,,0 HCPCS,88313,Chgl Spec Stain Group Ii,76.0,38.0,,,0 HCPCS,88313,Chgl Special Stain Group Ii (9 Or M,76.0,38.0,,,0 HCPCS,88313,Special stains group 2,,,20.08,459.34,10 HCPCS,88314,"Chgl (Ark) Muscle Biopsy Panel, S/O",48.0,24.0,,,0 HCPCS,88314,Histochemical stains add-on,,,20.08,320.1,3 HCPCS,88319,"Chgl (Ark) Muscle Biopsy Panel, S/O",12.0,6.0,,,0 HCPCS,88319,Chgl Histochem - Enzyme,789.0,394.5,,,0 HCPCS,88319,Enzyme histochemistry,,,64.93,2781.52,10 HCPCS,88321,Microslide consultation,,,20.08,455.91,10 HCPCS,88323,"Chgl (Ha) Molar Pregnancy Comprehensive Consultation, S/O",159.0,79.5,,,0 HCPCS,88323,Chgl Consult Refer-Slide Prep,314.0,157.0,,,0 HCPCS,88323,Chgl Research Study-Cut Slide,15.0,7.5,,,0 HCPCS,88323,Chgl Slide Prepar/Block,314.0,157.0,,,0 HCPCS,88323,Microslide consultation,,,42.88,320.1,10 HCPCS,88325,Comprehensive review of data,,,64.93,705.34,10 HCPCS,88329,Chgl Consult During Surgery,169.0,84.5,,,0 HCPCS,88329,Path consult introp,,,20.08,203.66,10 HCPCS,88331,Chgl Or Consult W/Rapid Micro (1/2),194.0,97.0,,,0 HCPCS,88331,Path consult intraop 1 bloc,,,42.88,588.18,10 HCPCS,88332,Chgl Surg Path Frozen Add'l,74.0,37.0,,,0 HCPCS,88332,Path consult intraop addl,,,20.08,72.65,3 HCPCS,88333,Chgl Surg Touch Prep,789.0,394.5,,,0 HCPCS,88333,Chgl Touch Prep Cyto,789.0,394.5,,,0 HCPCS,88333,Intraop cyto path consult 1,,,20.08,2781.52,10 HCPCS,88334,Chgl Surg Touch Prep-Additional,92.0,46.0,,,0 HCPCS,88334,Chgl Touch Prep Cyto Add'l,92.0,46.0,,,0 HCPCS,88334,Intraop cyto path consult 2,,,20.08,148.87,3 HCPCS,88341,Chgl Immunohistochem-Add't-Mc,258.0,129.0,,,0 HCPCS,88341,Chgl Immunohistochem - Additional,258.0,129.0,,,0 HCPCS,88341,Immunohisto antb addl slide,,,54.56,54.56,2 HCPCS,88342,"Chgl (Ha) Molar Pregnancy Comprehensive Consultation, S/O",184.0,92.0,,,0 HCPCS,88342,"Chgl (Ma) Nerve Fiber Density, S/O",191.0,95.5,,,0 HCPCS,88342,"Chgl (Qu) Smooth Muscle Actin W/ Interp, S/O",104.0,52.0,,,0 HCPCS,88342,"Chgl (Qu) Tracp, Ihc With Interpretation, S/O",104.0,52.0,,,0 HCPCS,88342,"Chgl (Qu) Tracp, Ihc Without Interpretation, S/O",43.0,21.5,,,0 HCPCS,88342,Chgl Ihc Count,150.0,75.0,,,0 HCPCS,88342,Chgl Immunohistochem - Sp,258.0,129.0,,,0 HCPCS,88342,Chgl Immunohistochem-Sp-Mc,258.0,129.0,,,0 HCPCS,88342,Immunohisto antb 1st stain,,,42.88,588.18,10 HCPCS,88344,Chgl Ihc Multiplex Stain,330.0,165.0,,,0 HCPCS,88344,Immunohisto antibody slide,,,92.36,1237.5,9 HCPCS,88346,Chgl - Lsu - Immunofluorescence Staining,187.0,93.5,,,0 HCPCS,88346,Chgl Immunofluor Direct,330.0,165.0,,,0 HCPCS,88346,Immunofluor antb 1st stain,,,42.88,588.18,10 HCPCS,88347,Immunofluorescent study,,,225.18,225.18,1 HCPCS,88348,"Chgl (Ark) Muscle Biopsy Panel, S/O",830.0,415.0,,,0 HCPCS,88348,"Chgl (Ark) Nerve Biopsy Panel, S/O",311.0,155.5,,,0 HCPCS,88348,Chgl Electron Micro-Diag,1293.0,646.5,,,0 HCPCS,88348,Electron microscopy,,,197.77,3561.9,10 HCPCS,88349,Scanning electron microscopy,,,2173.57,2173.57,1 HCPCS,88350,Chgl Ab Stain Addt'l (Ihc),245.0,122.5,,,0 HCPCS,88350,Chgl Lsu - Immunofluorescence Staining,43.0,21.5,,,0 HCPCS,88350,Immunofluor antb addl stain,,,52.45,52.45,2 HCPCS,88355,Analysis skeletal muscle,,,42.88,588.18,10 HCPCS,88356,Analysis nerve,,,51.86,818.89,10 HCPCS,88356,"Chgl (Ma) Nerve Fiber Density, S/O",319.0,159.5,,,0 HCPCS,88358,Analysis tumor,,,42.88,588.18,10 HCPCS,88360,"Chgl (Neo) Neotype Dna & Rna Profile Brain W Mgmt, S/O",909.0,454.5,,,0 HCPCS,88360,"Chgl Morphometric Analysis:Manual,E",687.0,343.5,,,0 HCPCS,88360,Chgl Receptor Assay: Estrogen,687.0,343.5,,,0 HCPCS,88360,Chgl Receptor Assay: Progesterone,687.0,343.5,,,0 HCPCS,88360,Tumor immunohistochem/manual,,,42.88,588.18,10 HCPCS,88361,Chgl Morphometric Analysis:Ihc,421.0,210.5,,,0 HCPCS,88361,Tumor immunohistochem/comput,,,64.93,1237.5,10 HCPCS,88362,"Chgl (Ark) Nerve Biopsy Panel, S/O",134.0,67.0,,,0 HCPCS,88362,Nerve teasing preparations,,,64.93,2781.52,10 HCPCS,88363,Xm archive tissue molec anal,,,13.25,106.02,10 HCPCS,88364,Chgl In Situ Hybrid (Fish) Ea Add't,467.0,233.5,,,0 HCPCS,88364,"Chgl Insitu Ea Add Probe, Per Spec",467.0,233.5,,,0 HCPCS,88364,Insitu hybridization (fish),,,84.2,84.2,2 HCPCS,88365,"Chgl (Qu) Fish, Egfr, S/O",278.0,139.0,,,0 HCPCS,88365,Chgl In Situ Hybrid (Fish) Init,467.0,233.5,,,0 HCPCS,88365,"Chgl In Situ Hybrid,Interp And Rpt",467.0,233.5,,,0 HCPCS,88365,Insitu hybridization (fish),,,64.93,658.82,10 HCPCS,88366,Chgl In Situ Hybrid (Fish) Multi,467.0,233.5,,,0 HCPCS,88366,Insitu hybridization (fish),,,103.54,588.18,9 HCPCS,88367,Chgl 1P/19Q Deletion,742.0,371.0,,,0 HCPCS,88367,Insitu hybridization auto,,,64.93,1237.5,10 HCPCS,88368,Chgl Fish Hem Manual (Sp),363.0,181.5,,,0 HCPCS,88368,Chgl Fish Hematologic Add'tl Manual,363.0,181.5,,,0 HCPCS,88368,Chgl Fish Hematologic Manual,363.0,181.5,,,0 HCPCS,88368,Insitu hybridization manual,,,64.93,1237.5,10 HCPCS,88369,"Chgl Morph Analysis, Man Each Add't",143.0,71.5,,,0 HCPCS,88369,M/phmtrc alysishquant/semiq,,,58.43,58.43,2 HCPCS,88371,Protein western blot tissue,,,22.23,156.68,6 HCPCS,88372,Protein analysis w/probe,,,26.22,164.52,6 HCPCS,88373,M/phmtrc alys ishquant/semiq,,,46.82,46.82,2 HCPCS,88374,"Chgl Morph Analysis,Ea Multiplex",194.0,97.0,,,0 HCPCS,88374,M/phmtrc alys ishquant/semiq,,,169.55,588.18,9 HCPCS,88375,Optical endomicroscpy interp,,,15.25,69.49,3 HCPCS,88377,"Chgl (Ha) Molar Pregnancy Comprehensive Consultation, S/O",216.0,108.0,,,0 HCPCS,88377,"Chgl (Neo) Neotype Dna & Rna Profile Brain W Mgmt, S/O",134.0,67.0,,,0 HCPCS,88377,"Chgl Morph Analysis, Man Ea Multi",160.0,80.0,,,0 HCPCS,88377,M/phmtrc alys ishquant/semiq,,,169.55,588.18,9 HCPCS,88380,Microdissection laser,,,132.4,470.84,3 HCPCS,88381,Chgl Arup Microdissection,453.0,226.5,,,0 HCPCS,88381,"Chgl Mlh1 Promoter Methylation, Paraffin",131.0,65.5,,,0 HCPCS,88381,Microdissection manual,,,126.82,558.37,3 HCPCS,88387,Chgl Macroscopic Exam And Prep,131.0,65.5,,,0 HCPCS,88387,Chgl Mol Diag - Macrodisection,21.0,10.5,,,0 HCPCS,88387,Tiss exam molecular study,,,7.74,33.48,3 HCPCS,88388,Tiss ex molecul study add-on,,,10.75,52.11,3 HCPCS,88399,Chgl Lifenet Heart,572.0,286.0,,,0 HCPCS,88399,Chgl Lifenet Vascular,319.0,159.5,,,0 HCPCS,88399,Chgl Research Study-Admin,67.0,33.5,,,0 HCPCS,88399,Chgl Research Study-Cytology Technical,67.0,33.5,,,0 HCPCS,88399,Chgl Research Study-Ihc Technical,67.0,33.5,,,0 HCPCS,88399,Chgl Research Study-Slide/Block Retrieval,67.0,33.5,,,0 HCPCS,88399,Chgl Research Study-Travel Histo,20.0,10.0,,,0 HCPCS,88399,Chgl Sngh Surg Path Misc Sendout,89.22,44.61,,,0 HCPCS,88399,Surgical pathology procedure,,,12.5,179.91,10 HCPCS,88720,Bilirubin total transcut,,,5.02,37.18,10 HCPCS,88720,Transcutaneous Bilirbin Scrn,63.0,31.5,,,0 HCPCS,88738,Hgb quant transcutaneous,,,5.02,37.18,10 HCPCS,88740,Transcutaneous carboxyhb,,,8.63,37.18,10 HCPCS,88741,Transcutaneous methb,,,8.63,37.18,10 HCPCS,88749,In vivo lab service,,,37.32,37.32,1 HCPCS,89049,Chct for mal hyperthermia,,,12.5,588.18,10 HCPCS,89050,Body fluid cell count,,,4.72,33.26,10 HCPCS,89051,Body fluid cell count,,,5.6,40.56,10 HCPCS,89051,Chgl Body Fluid Diff,86.0,43.0,,,0 HCPCS,89051,Chgl Bronch. Lav Cell Ct/Diff,86.0,43.0,,,0 HCPCS,89051,Chgl Csf Profile,86.0,43.0,,,0 HCPCS,89051,Chgl Synovial Fluid Cell Ct/Diff,86.0,43.0,,,0 HCPCS,89055,Chgl Fecal Wbcs,40.0,20.0,,,0 HCPCS,89055,Leukocyte assessment fecal,,,4.27,31.33,10 HCPCS,89060,Chgl Bf Crystals,110.0,55.0,,,0 HCPCS,89060,Chgl Path Review For Crystals,110.0,55.0,,,0 HCPCS,89060,Exam synovial fluid crystals,,,7.33,53.16,10 HCPCS,89125,Specimen fat stain,,,5.88,30.56,10 HCPCS,89160,Exam feces for meat fibers,,,4.85,26.53,10 HCPCS,89190,Chgl Eos Smear,170.0,85.0,,,0 HCPCS,89190,Nasal smear for eosinophils,,,5.79,34.68,10 HCPCS,89220,Sputum specimen collection,,,20.08,588.18,10 HCPCS,89230,Collect sweat for test,,,13.06,179.91,10 HCPCS,89240,Pathology lab procedure,,,12.5,179.91,10 HCPCS,89250,Cultr oocyte/embryo <4 days,,,64.93,5798.77,10 HCPCS,89251,Cultr oocyte/embryo <4 days,,,64.93,6031.45,10 HCPCS,89253,Embryo hatching,,,64.93,588.18,10 HCPCS,89254,Oocyte identification,,,64.93,588.18,10 HCPCS,89255,Prepare embryo for transfer,,,51.86,330.63,10 HCPCS,89257,Sperm identification,,,51.86,179.91,10 HCPCS,89258,Cryopreservation embryo(s),,,64.93,2781.52,10 HCPCS,89259,Cryopreservation sperm,,,64.93,588.18,10 HCPCS,89260,Sperm isolation simple,,,51.86,208.46,10 HCPCS,89261,Sperm isolation complex,,,51.86,208.46,10 HCPCS,89264,Identify sperm tissue,,,51.86,330.63,10 HCPCS,89268,Insemination of oocytes,,,64.93,588.18,10 HCPCS,89272,Extended culture of oocytes,,,64.93,2781.52,10 HCPCS,89280,Assist oocyte fertilization,,,64.93,2781.52,10 HCPCS,89281,Assist oocyte fertilization,,,64.93,588.18,10 HCPCS,89290,Biopsy oocyte polar body,,,64.93,588.18,10 HCPCS,89291,Biopsy oocyte polar body,,,64.93,588.18,10 HCPCS,89300,Semen analysis w/huhner,,,9.84,60.35,10 HCPCS,89310,Semen analysis w/count,,,8.61,59.84,10 HCPCS,89320,Semen anal vol/count/mot,,,12.31,88.3,10 HCPCS,89321,Chgl Semen Analysis-Motility/Presence,181.0,90.5,,,0 HCPCS,89321,Semen anal sperm detection,,,12.05,88.3,10 HCPCS,89322,Semen anal strict criteria,,,15.5,115.28,10 HCPCS,89325,Sperm antibody test,,,10.67,77.33,10 HCPCS,89329,Sperm evaluation test,,,19.59,151.23,10 HCPCS,89330,Evaluation cervical mucus,,,10.38,73.56,10 HCPCS,89331,Retrograde ejaculation anal,,,19.59,144.5,10 HCPCS,89335,Cryopreserve testicular tiss,,,51.86,330.63,10 HCPCS,89337,Cryopreservation oocyte(s),,,169.55,588.18,9 HCPCS,89342,Storage/year embryo(s),,,64.93,588.18,10 HCPCS,89343,Storage/year sperm/semen,,,64.93,588.18,10 HCPCS,89344,Storage/year reprod tissue,,,64.93,588.18,10 HCPCS,89346,Storage/year oocyte(s),,,64.93,588.18,10 HCPCS,89352,Thawing cryopresrved embryo,,,64.93,588.18,10 HCPCS,89353,Thawing cryopresrved sperm,,,51.86,330.63,10 HCPCS,89354,Thaw cryoprsvrd reprod tiss,,,64.93,588.18,10 HCPCS,89356,Thawing cryopresrved oocyte,,,64.93,588.18,10 HCPCS,89398,Unlisted reprod med lab proc,,,12.5,179.91,9 HCPCS,90371,Hep b ig im,,,136.88,462.54,7 HCPCS,90375,Rabies ig im/sc,,,285.45,943.2,7 HCPCS,90376,Rabies ig heat treated,,,359.49,1247.09,10 HCPCS,90377,Rabies ig ht&sol human im/sc,,,226.69,839.33,7 HCPCS,90378,Rsv mab im 50mg,,,445.48,2548.34,10 HCPCS,90396,Varicella-zoster ig im,,,2409.06,8357.15,10 HCPCS,90460,"90460 Immun Admin,<18 1St Comp",96.0,48.0,,,0 HCPCS,90471,"90471 Immunization Admin,1 Vac",96.0,48.0,,,0 HCPCS,90471,"90471 Immunization Admin,1Vac",96.0,48.0,,,0 HCPCS,90471,Immunization Admin,96.0,48.0,,,0 HCPCS,90471,Immunization admin,,,71.65,547.0,10 HCPCS,90471,Vaccine/Immun Inj-Other,96.0,48.0,,,0 HCPCS,90472,90472 Vaccine Inj Ea Addtl,96.0,48.0,,,0 HCPCS,90472,Vaccine Inj Ea Addl-Other (Sngh),96.0,48.0,,,0 HCPCS,90472,Vaccine Inj Ea Addtl-Other,96.0,48.0,,,0 HCPCS,90473,Immune admin oral/nasal,,,71.65,248.57,7 HCPCS,90480,90480 Imm Admn Sarscov2 Vaccine Single Dose,40.0,20.0,,,0 HCPCS,90480,Imm Admn Sarscov2 Vaccine Single Dose,40.0,20.0,,,0 HCPCS,90611,Smallpox&monkeypox vac 0.5ml,,,0.01,0.04,10 HCPCS,90622,Vaccinia vrs vac 0.3 ml perq,,,0.01,0.04,10 HCPCS,90653,Iiv adjuvant vaccine im,,,265.5,295.55,3 HCPCS,90656,Iiv3 vacc no prsv 0.5 ml im,,,71.07,79.12,3 HCPCS,90657,Iiv3 vaccine splt 0.25 ml im,,,34.76,38.69,3 HCPCS,90658,Iiv3 vaccine splt 0.5 ml im,,,69.51,77.38,3 HCPCS,90660,Laiv3 vaccine intranasal,,,91.81,102.2,3 HCPCS,90661,Cciiv3 vac no prsv 0.5 ml im,,,117.18,130.45,3 HCPCS,90662,Iiv no prsv increased ag im,,,265.5,295.55,3 HCPCS,90670,Pcv13 vaccine im,,,820.41,913.28,3 HCPCS,90671,Pcv15 vaccine im,,,830.46,924.47,3 HCPCS,90672,Laiv4 vaccine intranasal,,,77.91,86.73,3 HCPCS,90673,Riv3 vaccine no preserv im,,,265.5,295.55,3 HCPCS,90674,Cciiv4 vac no prsv 0.5 ml im,,,95.72,106.55,3 HCPCS,90675,Rabies vaccine im,,,319.95,1104.59,7 HCPCS,90676,Rabies vaccine id,,,241.6,936.22,10 HCPCS,90677,Pcv20 vaccine im,,,995.02,1107.67,3 HCPCS,90682,Riv4 vacc recombinant dna im,,,205.14,228.37,3 HCPCS,90684,Pcv21 vaccine im,,,1042.69,1160.73,3 HCPCS,90686,Iiv4 vacc no prsv 0.5 ml im,,,62.74,69.84,3 HCPCS,90687,Iiv4 vaccine splt 0.25 ml im,,,29.32,32.64,3 HCPCS,90688,Iiv4 vaccine splt 0.5 ml im,,,58.64,65.28,3 HCPCS,90694,Vacc aiiv4 no prsrv 0.5ml im,,,216.18,240.65,3 HCPCS,90732,Ppsv23 vacc 2 yrs+ subq/im,,,424.43,472.48,3 HCPCS,90739,Hepb vacc 2 dose adult im,,,564.64,628.56,3 HCPCS,90740,Hepb vacc 3 dose immunsup im,,,522.86,582.05,3 HCPCS,90743,Hepb vacc 2 dose adolesc im,,,238.98,266.03,3 HCPCS,90744,Hepb vacc 3 dose ped/adol im,,,100.71,112.11,3 HCPCS,90746,Hepb vaccine 3 dose adult im,,,223.81,249.15,3 HCPCS,90747,Hepb vacc 4 dose immunsup im,,,447.59,498.26,3 HCPCS,90756,Cciiv4 vacc abx free im,,,90.69,100.96,3 HCPCS,90759,Hep b vac 3ag 10mcg 3 dos im,,,234.75,261.32,3 HCPCS,90785,Fc-Interactive Complexity,76.0,38.0,,,0 HCPCS,90791,Initial Psych Assessment,624.0,312.0,,,0 HCPCS,90792,Chg Psych Emer Resp With Med Svc Cpt 90792,667.0,333.5,,,0 HCPCS,90832,Chg - Psytx Pt&/Family 30 Minutes,301.0,150.5,,,0 HCPCS,90832,Indiv Therapy (30 Min),301.0,150.5,,,0 HCPCS,90834,"Chg - Psychotherapy,45Min W/Pt,Fmly",414.0,207.0,,,0 HCPCS,90834,Indiv Therapy (45 Min),414.0,207.0,,,0 HCPCS,90837,Chg - Psytx Pt&/Family 60 Minutes,439.0,219.5,,,0 HCPCS,90847,Family Psytx W/Pt 50 Min,459.0,229.5,,,0 HCPCS,90847,Family Therapy W/ Patient,459.0,229.5,,,0 HCPCS,90867,Tcranial Mag Stim Tx Plan,989.0,494.5,,,0 HCPCS,90867,Tcranial magn stim tx plan,,,214.89,745.45,7 HCPCS,90868,Tcranial Magn Stim Tx Deli,989.0,494.5,,,0 HCPCS,90868,Tcranial magn stim tx deli,,,214.89,745.45,7 HCPCS,90869,Tcran Mag Stm Redet Motr,938.0,469.0,,,0 HCPCS,90869,Tcran magn stim redetemine,,,214.89,745.45,7 HCPCS,90870,Ect Treatment,1589.0,794.5,,,0 HCPCS,90870,Electroconvulsive therapy,,,854.62,2964.71,7 HCPCS,90899,Psychiatric service/therapy,,,37.29,129.36,7 HCPCS,90901,Biofeedback train any meth,,,16.55,17.04,4 HCPCS,90912,Bfb training 1st 15 min,,,37.56,38.66,4 HCPCS,90912,Ot-Bfb Training 1St 15 Min,175.0,87.5,,,0 HCPCS,90912,Pt-Bfb Training 1St 15 Min,175.0,87.5,,,0 HCPCS,90913,Bfb training ea addl 15 min,,,21.1,21.72,4 HCPCS,90913,Pt-Bfb Training Ea Addl 15 Min,175.0,87.5,,,0 HCPCS,90935,Hemodialysis one evaluation,,,683.02,2369.43,7 HCPCS,90940,Hemodialysis Access Flow Study,1516.0,758.0,,,0 HCPCS,90945,Capd Inpatient,1028.0,514.0,,,0 HCPCS,90945,Chg Peritoneal Dialysis Op;Per Day,1028.0,514.0,,,0 HCPCS,90945,Dialysis one evaluation,,,415.26,1440.55,7 HCPCS,90947,Dialysis Repeated Eval,1028.0,514.0,,,0 HCPCS,90999,Cvvh Critical Care Setup,886.0,443.0,,,0 HCPCS,90999,Cvvhd Critical Care Support,886.0,443.0,,,0 HCPCS,91010,Endo Mano Esophageal,1107.0,553.5,,,0 HCPCS,91010,Esophagus motility study,,,371.37,2633.0,9 HCPCS,91013,Esophgl motil w/stim/perfus,,,2375.0,2633.0,2 HCPCS,91020,Gastric motility studies,,,371.37,2633.0,9 HCPCS,91022,Duodenal motility study,,,371.37,2633.0,9 HCPCS,91030,Acid perfusion of esophagus,,,371.37,2633.0,9 HCPCS,91034,Gastroesophageal reflux test,,,371.37,2633.0,9 HCPCS,91035,G-esoph reflx tst w/electrod,,,854.62,2964.71,9 HCPCS,91037,Esoph imped function test,,,214.89,2633.0,9 HCPCS,91038,Esoph imped funct test > 1hr,,,371.37,2633.0,9 HCPCS,91040,Esoph balloon distension tst,,,371.37,2633.0,9 HCPCS,91065,Breath hydrogen/methane test,,,214.89,2633.0,9 HCPCS,91110,Endo M2A Cap Endo,4962.0,2481.0,,,0 HCPCS,91110,Gi tract capsule endoscopy,,,902.63,5790.0,9 HCPCS,91111,Esophageal Capsule Endoscopy,,,902.63,5790.0,9 HCPCS,91112,Gi wireless capsule measure,,,902.63,5790.0,9 HCPCS,91113,Gi trc img intral colon i&r,,,925.49,3210.58,7 HCPCS,91117,Colon motility 6 hr study,,,214.89,2633.0,9 HCPCS,91120,Rectal sensation test,,,2375.0,2633.0,2 HCPCS,91122,Anal pressure record,,,279.0,2633.0,5 HCPCS,91124,Rct snsatn tone&cmplianc std,,,214.89,745.45,7 HCPCS,91125,Anrct mano rct snsatn&balo,,,371.37,1288.29,7 HCPCS,91132,Electrogastrography,,,214.89,2633.0,9 HCPCS,91133,Electrogastrography W/Test,,,132.41,2633.0,9 HCPCS,91200,Liver elastography,,,128.06,444.23,7 HCPCS,91299,Agile Patency Procedure,779.0,389.5,,,0 HCPCS,91299,Gastroenterology procedure,,,128.06,2633.0,9 HCPCS,91299,Hi Res Esophageal Motility St,779.0,389.5,,,0 HCPCS,91304,Coronavirus vaccine 5,,,513.7,571.85,3 HCPCS,91318,Sarscov2 Vacc 3Mcg/0.3Ml Tris-Sucrose Im Use (Pfizer),68.63,34.32,,,0 HCPCS,91318,Sarscov2 vac 3mcg trs-suc im,,,208.45,232.05,3 HCPCS,91319,Sarscov2 Vacc 10Mcg/0.3Ml Tris-Sucrose Im Use (Pfizer),92.17,46.08,,,0 HCPCS,91319,Sarscv2 vac 10mcg trs-suc im,,,279.14,310.74,3 HCPCS,91320,Sarscov2 Vacc 30Mcg/0.3Ml Tris-Sucrose Im Use (Pfizer),137.66,68.83,,,0 HCPCS,91320,Sarscv2 vac 30mcg trs-suc im,,,495.76,551.89,3 HCPCS,91321,Sarscov2 Vaccine 25 Mcg/0.25 Ml For Im Use (Moderna),153.22,76.61,,,0 HCPCS,91321,Sarscov2 vac 25 mcg/.25ml im,,,467.65,520.59,3 HCPCS,91322,Sarscov2 Vaccine 50 Mcg/0.5 Ml For Im Use (Moderna),153.22,76.61,,,0 HCPCS,91322,Sarscov2 vac 50 mcg/0.5ml im,,,514.05,572.24,3 HCPCS,92002,Eye exam new patient,,,132.5,459.64,7 HCPCS,92004,Eye exam new patient,,,132.5,459.64,7 HCPCS,92012,Eye exam establish patient,,,132.5,459.64,7 HCPCS,92012,Intermediate Eye Exam,305.0,152.5,,,0 HCPCS,92014,Comprehensive Eye Exam,342.0,171.0,,,0 HCPCS,92014,Eye exam&tx estab pt 1/>vst,,,132.5,459.64,7 HCPCS,92015,Refraction Only,53.0,26.5,,,0 HCPCS,92018,New eye exam & treatment,,,2366.07,14111.0,9 HCPCS,92019,Eye exam & treatment,,,2366.07,14111.0,9 HCPCS,92020,Gonioscopy,152.0,76.0,,,0 HCPCS,92020,Special eye evaluation,,,132.41,459.34,7 HCPCS,92025,Corneal Topogra Mapping,380.0,190.0,,,0 HCPCS,92025,Corneal Topography,,,58.71,203.66,7 HCPCS,92060,Special eye evaluation,,,58.71,203.66,7 HCPCS,92066,Orthop traing supvj phys/qhp,,,58.71,203.66,7 HCPCS,92071,Fit Contact Lens Occ Surf Dis,254.0,127.0,,,0 HCPCS,92072,Fit Contact Lens Keratoconus,254.0,127.0,,,0 HCPCS,92081,Visual field examination(s),,,58.71,203.66,7 HCPCS,92082,Quant Perimetr Gvf/Hvf Uni/Bil,335.0,167.5,,,0 HCPCS,92082,Visual field examination(s),,,58.71,203.66,7 HCPCS,92083,Static/Kinetic Hvf Uni/Bil,326.0,163.0,,,0 HCPCS,92083,Visual field examination(s),,,132.41,459.34,7 HCPCS,92132,Cmptr Opth Dx Img Ant Segmt,486.0,243.0,,,0 HCPCS,92132,Cmptr ophth dx img ant segmt,,,58.71,203.66,7 HCPCS,92133,Cmptr Ophth Img Optic Nerve,186.0,93.0,,,0 HCPCS,92133,Cmptr ophth img optic nerve,,,41.0,203.66,10 HCPCS,92134,Cmptr Ophth Dx Img Post Segmt,186.0,93.0,,,0 HCPCS,92134,Cptr ophth dx img post segmt,,,58.71,203.66,7 HCPCS,92136,Ophthalmic biometry,,,132.41,459.34,7 HCPCS,92136,Opthalmic Biometry Lenstar,405.0,202.5,,,0 HCPCS,92137,Cptrz oph img pst sg rta oct,,,214.89,745.45,7 HCPCS,92145,Corneal hysteresis deter,,,58.71,203.66,7 HCPCS,92201,Opscpy extnd rta draw uni/bi,,,58.71,203.66,7 HCPCS,92202,Opscpy extnd on/mac draw,,,58.71,203.66,7 HCPCS,92227,Remote Dx Retinal Imaging,162.0,81.0,,,0 HCPCS,92227,Remote dx retinal imaging,,,58.71,203.66,7 HCPCS,92228,Remote retinal imaging mgmt,,,37.17,128.95,7 HCPCS,92229,Img rta detc/mntr ds poc aly,,,58.71,203.66,7 HCPCS,92230,Eye exam with photos,,,371.37,1288.29,7 HCPCS,92230,Fluorescein Angioscopy Interpretation & Report,1185.0,592.5,,,0 HCPCS,92235,Fluorescein Angiography,673.0,336.5,,,0 HCPCS,92235,Fluorescein angrph uni/bi,,,214.89,745.45,7 HCPCS,92240,Icg angiography uni/bi,,,214.89,745.45,7 HCPCS,92242,Fluorescein icg angiography,,,214.89,745.45,7 HCPCS,92250,Disc Photos,327.0,163.5,,,0 HCPCS,92250,Eye exam with photos,,,132.41,459.34,7 HCPCS,92250,Fundus Photography,327.0,163.5,,,0 HCPCS,92250,Fundus Photos,327.0,163.5,,,0 HCPCS,92260,Ophthalmoscopy/dynamometry,,,37.17,128.95,7 HCPCS,92265,Eye muscle evaluation,,,58.71,203.66,7 HCPCS,92270,Electro-oculography,,,132.41,459.34,7 HCPCS,92273,Full field erg w/i&r,,,214.89,745.45,7 HCPCS,92274,Multifocal erg w/i&r,,,128.06,444.23,7 HCPCS,92283,Color Vision Testing,192.0,96.0,,,0 HCPCS,92283,Color vision examination,,,58.71,203.66,7 HCPCS,92284,Dark adaptation eye exam,,,444.58,1542.27,7 HCPCS,92285,92285 Externl Oculr Photogrphy,201.0,100.5,,,0 HCPCS,92285,External Ocular Photography,201.0,100.5,,,0 HCPCS,92285,Eye photography,,,37.17,128.95,7 HCPCS,92286,Internal eye photography,,,132.41,459.34,7 HCPCS,92287,Internal eye photography,,,132.41,459.34,7 HCPCS,92310,Cont Lens-1Eyes-Excp Aphak,80.0,40.0,,,0 HCPCS,92311,Contact lens fitting,,,444.58,1542.27,7 HCPCS,92311,Corneal Lens For Aphakia 1 Eye,331.0,165.5,,,0 HCPCS,92312,Contact lens fitting,,,132.41,459.34,7 HCPCS,92312,Corneal Lens For Aphakia 2Eyes,215.0,107.5,,,0 HCPCS,92313,Contact lens fitting,,,132.41,459.34,7 HCPCS,92313,Corneolscleral Lens,331.0,165.5,,,0 HCPCS,92315,Corneal Lens Aphakia 1 Eye Tc,331.0,165.5,,,0 HCPCS,92315,Rx cntact lens aphakia 1 eye,,,132.41,459.34,7 HCPCS,92316,Corneal Lens Aphakia 2 Eyes Tc,331.0,165.5,,,0 HCPCS,92316,Rx cntact lens aphakia 2 eye,,,132.41,459.34,7 HCPCS,92317,Corneolscleral Lens Tech,215.0,107.5,,,0 HCPCS,92317,Rx corneoscleral cntact lens,,,37.17,128.95,7 HCPCS,92325,Modification Of Lens,331.0,165.5,,,0 HCPCS,92325,Modification of contact lens,,,132.41,459.34,7 HCPCS,92326,Replacement Of Lens,215.0,107.5,,,0 HCPCS,92326,Replacement of contact lens,,,58.71,203.66,7 HCPCS,92352,Fit aphakia spectcl monofocl,,,58.71,203.66,7 HCPCS,92353,Fit aphakia spectcl multifoc,,,58.71,203.66,7 HCPCS,92354,Fit spectacles single system,,,37.17,128.95,7 HCPCS,92355,Fit spectacles compound lens,,,37.17,128.95,7 HCPCS,92358,Aphakia prosth service temp,,,58.71,203.66,7 HCPCS,92371,Repair & adjust spectacles,,,58.71,203.66,7 HCPCS,92499,Eye service or procedure,,,28.78,99.86,7 HCPCS,92502,Ear and throat examination,,,536.74,2633.0,9 HCPCS,92507,Chg-Speech Treatment,521.0,260.5,,,0 HCPCS,92507,Speech/hearing therapy,,,77.02,110.0,10 HCPCS,92508,Speech/Swallow Therapy Group,277.0,138.5,,,0 HCPCS,92508,Speech/hearing therapy,,,24.2,24.92,4 HCPCS,92511,92511 Nasopharyngoscopy,501.0,250.5,,,0 HCPCS,92511,Nasopharyngoscopy,,,198.65,689.12,7 HCPCS,92512,Nasal function studies,,,214.89,745.45,7 HCPCS,92516,Facial nerve function test,,,214.89,745.45,7 HCPCS,92517,Vemp test i&r cervical,,,128.06,444.23,7 HCPCS,92518,Vemp test i&r ocular,,,128.06,444.23,7 HCPCS,92519,Vemp tst i&r cervical&ocular,,,214.89,745.45,7 HCPCS,92520,Laryngeal Function Study,518.0,259.0,,,0 HCPCS,92520,Laryngeal function studies,,,132.41,459.34,7 HCPCS,92521,Evaluation Of Speech Fluency,657.0,328.5,,,0 HCPCS,92521,Evaluation of speech fluency,,,134.82,138.79,4 HCPCS,92522,Evaluate Speech Production,657.0,328.5,,,0 HCPCS,92522,Evaluate speech production,,,112.92,234.0,7 HCPCS,92523,Speech Sound Lang Comprehen,657.0,328.5,,,0 HCPCS,92523,Speech sound lang comprehen,,,228.0,253.95,10 HCPCS,92524,Behavral Qualit Analys Voice,657.0,328.5,,,0 HCPCS,92524,Behavral qualit analys voice,,,110.68,343.0,7 HCPCS,92526,Oral function therapy,,,85.08,138.0,10 HCPCS,92526,Swallowing Treatment,519.0,259.5,,,0 HCPCS,92537,Caloric Vstblr Test W/Rec Bith,591.0,295.5,,,0 HCPCS,92537,Caloric vstblr test w/rec,,,128.06,444.23,7 HCPCS,92538,Caloric Vstblr Test W/Rec Mono,591.0,295.5,,,0 HCPCS,92538,Caloric vstblr test w/rec,,,214.89,745.45,7 HCPCS,92540,Basic Vesticular Evaluation,650.0,325.0,,,0 HCPCS,92540,Basic vestibular evaluation,,,214.89,745.45,7 HCPCS,92541,Spontaneous Nystagamus Test,503.0,251.5,,,0 HCPCS,92541,Spontaneous nystagmus test,,,132.41,459.34,7 HCPCS,92542,Positional nystagmus test,,,132.41,459.34,7 HCPCS,92544,Optokineic Nystagamus Test,650.0,325.0,,,0 HCPCS,92544,Optokinetic nystagmus test,,,128.06,444.23,7 HCPCS,92545,Oscillating tracking test,,,214.89,745.45,7 HCPCS,92546,Sinusoidal rotational test,,,128.06,444.23,7 HCPCS,92548,Posturagraphy Comptrzd Dynamic,503.0,251.5,,,0 HCPCS,92548,Posturography,,,132.41,459.34,7 HCPCS,92549,Cdp-sot 6 cond w/i&r mct&adt,,,132.41,459.34,7 HCPCS,92550,Tympanometry & reflex thresh,,,27.44,745.45,10 HCPCS,92551,Audiology-Screening,255.0,127.5,,,0 HCPCS,92552,"Pure Tone Audiometry,Air",276.0,138.0,,,0 HCPCS,92552,Pure tone audiometry air,,,40.46,459.34,10 HCPCS,92553,Audiometry air & bone,,,128.06,444.23,7 HCPCS,92553,Pure Tone Audiometry Air & Bone,397.0,198.5,,,0 HCPCS,92555,Speech threshold audiometry,,,58.71,203.66,7 HCPCS,92556,Speech audiometry complete,,,58.71,203.66,7 HCPCS,92557,Audiology-Basic,708.0,354.0,,,0 HCPCS,92557,Comprehensive hearing test,,,42.58,444.23,10 HCPCS,92562,Loudness balance test,,,214.89,745.45,7 HCPCS,92563,Tone decay hearing test,,,37.17,128.95,7 HCPCS,92565,Stenger test pure tone,,,58.71,203.66,7 HCPCS,92567,Tympanometry,93.0,46.5,14.19,128.95,10 HCPCS,92568,Acoustic refl threshold tst,,,37.17,128.95,7 HCPCS,92568,Imped New: Acoustic Reflex,291.0,145.5,,,0 HCPCS,92570,Acoustic immitance testing,,,128.06,444.23,7 HCPCS,92571,Filtered speech hearing test,,,37.17,128.95,7 HCPCS,92572,Staggered spondaic word test,,,128.06,444.23,7 HCPCS,92575,Sensorineural acuity test,,,37.17,128.95,7 HCPCS,92576,Synthetic sentence test,,,37.17,128.95,7 HCPCS,92577,Stenger test speech,,,371.37,1288.29,7 HCPCS,92579,Visual audiometry (vra),,,214.89,745.45,7 HCPCS,92582,Conditioning play audiometry,,,128.06,444.23,7 HCPCS,92583,Select Picture Audiometry,293.0,146.5,,,0 HCPCS,92583,Select picture audiometry,,,58.71,203.66,7 HCPCS,92584,Electrocochleography,,,128.06,444.23,7 HCPCS,92587,Evoked auditory test limited,,,214.89,745.45,7 HCPCS,92587,Oae-Simple,488.0,244.0,,,0 HCPCS,92588,Evoked auditory tst complete,,,371.37,1288.29,7 HCPCS,92588,Oae-Complex,575.0,287.5,,,0 HCPCS,92591,Hearing Aid Fitting & Orient,432.0,216.0,,,0 HCPCS,92596,Ear protector evaluation,,,37.17,128.95,7 HCPCS,92597,Eval Voice Prosthe Use/Fit,908.0,454.0,,,0 HCPCS,92597,Modify Voice Prosthesis,339.0,169.5,,,0 HCPCS,92597,Oral speech device eval,,,71.86,73.97,4 HCPCS,92601,Cochlear implt f/up exam <7,,,128.06,444.23,7 HCPCS,92602,Reprogram cochlear implt 7/>,,,128.06,444.23,7 HCPCS,92603,Cochlear implt f/up exam 7/>,,,128.06,444.23,7 HCPCS,92604,Reprogram cochlear implt 7/>,,,128.06,444.23,7 HCPCS,92607,Ex for speech device rx 1hr,,,123.55,165.11,7 HCPCS,92607,Speech Generat Dev Eval 60,885.0,442.5,,,0 HCPCS,92608,Ex for speech device rx addl,,,48.3,49.72,4 HCPCS,92608,Speech Generat Dev Eval Add 30,331.0,165.5,,,0 HCPCS,92609,Speech Generat Dev Trmnt,662.0,331.0,,,0 HCPCS,92609,Use of speech device service,,,103.59,142.74,7 HCPCS,92610,Evaluate swallowing function,,,58.6,151.0,7 HCPCS,92610,Swallowing Evaluation,599.0,299.5,,,0 HCPCS,92611,Motion fluoroscopy/swallow,,,92.04,475.0,7 HCPCS,92611,Swallow Eval/Barium Assist,606.0,303.0,,,0 HCPCS,92612,Endoscopy swallow (fees) vid,,,54.5,56.1,4 HCPCS,92612,Fiberoptic Endo Eval Of Swall,697.0,348.5,,,0 HCPCS,92614,Laryangeal Eval Fiberoptic,767.0,383.5,,,0 HCPCS,92614,Laryngoscopic sensory vid,,,54.41,56.01,4 HCPCS,92616,Fees w/laryngeal sense test,,,80.44,82.8,4 HCPCS,92616,Laryangeal & Swallow Eval Fibe,942.0,471.0,,,0 HCPCS,92620,Auditory Func Eval.Initl 60Min,802.0,401.0,,,0 HCPCS,92620,Auditory function 60 min,,,128.06,444.23,7 HCPCS,92621,Auditory Function Ea.Add 15Min,186.0,93.0,,,0 HCPCS,92622,Dx aly aud oi snd prcsr 1st,,,128.06,444.23,7 HCPCS,92625,Tinnitus assessment,,,128.06,444.23,7 HCPCS,92626,Eval aud rehab status,,,128.06,444.23,7 HCPCS,92627,Eval Aud. Status Rehab Ea. 15Min,211.0,105.5,,,0 HCPCS,92630,Aud Rehab Pre-Ling Hear Loss,562.0,281.0,,,0 HCPCS,92640,Aud brainstem implt programg,,,128.06,444.23,7 HCPCS,92650,Aep Scr Auditory Potential,589.0,294.5,,,0 HCPCS,92651,Aep hearing status deter i&r,,,214.89,745.45,7 HCPCS,92652,Aep Thrshld Est Mlt Freq I&R,1833.0,916.5,,,0 HCPCS,92652,Aep thrshld est mlt freq i&r,,,214.89,745.45,7 HCPCS,92653,Aep Neurodiagnostic I&R,1833.0,916.5,,,0 HCPCS,92653,Aep Neurodiagnostic Interpretation And Report,1833.0,916.5,,,0 HCPCS,92653,Aep neurodiagnostic i&r,,,214.89,745.45,7 HCPCS,92700,Ent procedure/service,,,28.78,99.86,7 HCPCS,92920,Pci Angioplasty 1 Vsl,18805.0,9402.5,,,0 HCPCS,92920,Prq cardiac angioplast 1 art,,,5664.24,31373.0,9 HCPCS,92921,Pci Angioplasty Addl Vsl,12037.0,6018.5,,,0 HCPCS,92921,Prq cardiac angio addl art,,,28517.0,31373.0,2 HCPCS,92924,Pci Athrect/Angioplasty 1 Vsl,17473.0,8736.5,,,0 HCPCS,92924,Prq card angio/athrect 1 art,,,11488.76,39855.12,9 HCPCS,92925,Pci Athrect/Angioplasty Addl,17473.0,8736.5,,,0 HCPCS,92925,Prq card angio/athrect addl,,,28517.0,31373.0,2 HCPCS,92928,Prq Card Stent W/Angio 1 Vsl,15849.0,7924.5,,,0 HCPCS,92928,Prq card stent w/angio 1 vsl,,,11488.76,39855.12,9 HCPCS,92929,Prq Card Stent W/Angio Addl,15849.0,7924.5,,,0 HCPCS,92929,Prq card stent w/angio addl,,,33527.0,36886.0,2 HCPCS,92930,Prq tcat plmt ntrac st 2+les,,,18243.62,63288.08,7 HCPCS,92933,Prq Card Stent/Ath/Angio,24434.0,12217.0,,,0 HCPCS,92933,Prq card stent/ath/angio,,,18243.62,63288.08,9 HCPCS,92934,Prq Card Stent/Ath/Angio Addl,19709.0,9854.5,,,0 HCPCS,92934,Prq card stent/ath/angio,,,33527.0,36886.0,2 HCPCS,92937,Prq Revasc Byp Graft 1 Vsl,15849.0,7924.5,,,0 HCPCS,92937,Prq revasc byp graft 1 vsl,,,11488.76,39855.12,9 HCPCS,92938,Prq Revasc Byp Graft Addl,15849.0,7924.5,,,0 HCPCS,92938,Prq revasc byp graft addl,,,33527.0,36886.0,2 HCPCS,92941,Prq Card Revasc Mi 1 Vsl,15849.0,7924.5,,,0 HCPCS,92941,Prq card revasc mi 1 vsl,,,33527.0,36886.0,2 HCPCS,92943,Prq Card Revasc Chronic 1Vsl,15849.0,7924.5,,,0 HCPCS,92943,Prq card revasc chronic 1vsl,,,11488.76,39855.12,9 HCPCS,92944,Prq Card Revasc Chronic Addl,15849.0,7924.5,,,0 HCPCS,92944,Prq card revasc chronic addl,,,33527.0,36886.0,2 HCPCS,92945,Prq trl rvs ch occ ant&rtrgr,,,11488.76,39855.12,7 HCPCS,92950,92950 Cardiopulm Resuscitation,1883.0,941.5,,,0 HCPCS,92950,Cardiopulmonary Resuscitation,1883.0,941.5,,,0 HCPCS,92950,Heart/lung resuscitation cpr,,,214.89,2633.0,9 HCPCS,92950,Resuscitation Per Event,1883.0,941.5,,,0 HCPCS,92953,92953 Temp Trancutan Pacing,999.0,499.5,,,0 HCPCS,92953,Pacemaker Temporary/Day,999.0,499.5,,,0 HCPCS,92953,Temporary external pacing,,,657.77,3880.0,9 HCPCS,92960,92960 Extern Elect Cardioversn,2400.0,1200.0,,,0 HCPCS,92960,Cardioversion Elective Externl,2400.0,1200.0,,,0 HCPCS,92960,Cardioversion electric ext,,,657.77,3880.0,12 HCPCS,92960,External Defibrillator,2400.0,1200.0,,,0 HCPCS,92960,Proc-Cardioverison,2400.0,1200.0,,,0 HCPCS,92961,Cardioversion electric int,,,657.77,3880.0,9 HCPCS,92970,Cardioassist internal,,,5226.0,5790.0,2 HCPCS,92971,Cardioassist external,,,5226.0,5790.0,2 HCPCS,92972,Percutaneous Transluminal Coronary Lithotripsy,231.0,115.5,,,0 HCPCS,92973,Chgr-Cd Angiojet In Addition To Cath,10211.0,5105.5,,,0 HCPCS,92973,Chgr-Cd Angiojetonly,10211.0,5105.5,,,0 HCPCS,92973,Prq coronary mech thrombect,,,2375.0,2633.0,2 HCPCS,92974,Cath place cardio brachytx,,,2375.0,2633.0,2 HCPCS,92975,Dissolve clot heart vessel,,,5226.0,5790.0,2 HCPCS,92977,Dissolve clot heart vessel,,,2375.0,2633.0,2 HCPCS,92978,Endoluminl ivus oct c 1st,,,2375.0,2633.0,2 HCPCS,92978,Ivus,3938.0,1969.0,,,0 HCPCS,92979,Endoluminl ivus oct c ea,,,2375.0,2633.0,2 HCPCS,92979,Ivus Each Additional Vessel,2650.0,1325.0,,,0 HCPCS,92986,Cd Valvuloplasty Ao,12037.0,6018.5,,,0 HCPCS,92986,Chgr-Cd Valvuloplasty Ao,12037.0,6018.5,,,0 HCPCS,92986,Revision of aortic valve,,,5664.24,29398.0,9 HCPCS,92987,Cd Valvuloplasty Mitral,13863.0,6931.5,,,0 HCPCS,92987,Chgr-Cd Valvuloplasty Mitral,13863.0,6931.5,,,0 HCPCS,92987,Revision of mitral valve,,,11488.76,39855.12,9 HCPCS,92990,Pb Valvuloplasty; Pulmon Valve,19433.0,9716.5,,,0 HCPCS,92990,Revision of pulmonary valve,,,11488.76,39855.12,9 HCPCS,92997,Prq Trluml Pulmonary Art Balloon Angiop 1 Vsl,15013.0,7506.5,,,0 HCPCS,92997,Pul art balloon repr percut,,,11488.76,39855.12,9 HCPCS,92998,Pul art balloon repr percut,,,26537.0,29398.0,2 HCPCS,93005,93005 Ecg 12-Lead - Ed Tracing,453.0,226.5,,,0 HCPCS,93005,Chg Ecg 12-Lead Tracing Only,453.0,226.5,,,0 HCPCS,93005,Chg-Ecg-12 Lead Er Dept Trac,453.0,226.5,,,0 HCPCS,93005,Ekg/Bbtg/R,453.0,226.5,,,0 HCPCS,93005,Electrocardiogram Tracing,453.0,226.5,,,0 HCPCS,93005,Electrocardiogram tracing,,,58.71,213.0,10 HCPCS,93017,Cardiovascular Stress Test,1502.0,751.0,,,0 HCPCS,93017,Cardiovascular stress test,,,214.89,1035.0,10 HCPCS,93017,Pharmacologic Stress Test,1502.0,751.0,,,0 HCPCS,93017,Stress Test - Cardiovascula,1502.0,751.0,,,0 HCPCS,93024,Cardiac drug stress test,,,444.58,1542.27,7 HCPCS,93024,Chgr-Cd Erg In Addition To Cath,552.0,276.0,,,0 HCPCS,93025,Microvolt t-wave assess,,,128.06,444.23,7 HCPCS,93041,Hyperbaric Ekg Tracing,154.0,77.0,,,0 HCPCS,93041,Monitor Ecg,154.0,77.0,,,0 HCPCS,93041,Rhythm ecg tracing,,,58.71,203.66,7 HCPCS,93050,Art Pressure Waveform Analys,110.0,55.0,,,0 HCPCS,93050,Art pressure waveform analys,,,28.78,99.86,7 HCPCS,93145,Interrog crtd sins bat ip wo,,,128.06,444.23,7 HCPCS,93146,Interrog crtd sins bat ip w/,,,128.06,444.23,7 HCPCS,93225,Chg 24 Up To 48Hr Holter Monr-Hookup And Record,418.0,209.0,,,0 HCPCS,93225,Ecg Monit/Reprt Up To 48 Hrs,418.0,209.0,,,0 HCPCS,93225,Ecg monit/reprt up to 48 hrs,,,123.0,459.34,10 HCPCS,93225,Holter Hook Up,1831.0,915.5,,,0 HCPCS,93226,Chg - 24 Hr Holter Monitor Scan Anly,601.0,300.5,,,0 HCPCS,93226,Chg 24 Up To 48Hr Holter Monitor Scan Analysis,601.0,300.5,,,0 HCPCS,93226,Ecg Monit/Reprt Up To 48 Hrs,601.0,300.5,,,0 HCPCS,93226,Ecg Up To 48 Hrs Scan Anal Rpt,601.0,300.5,,,0 HCPCS,93226,Ecg monit/reprt up to 48 hrs,,,58.71,363.0,10 HCPCS,93229,Remote 30 Day Ecg Tech Supp,390.0,195.0,,,0 HCPCS,93229,Remote 30 day ecg tech supp,,,371.37,1288.29,7 HCPCS,93242,Ext Ecg>48Hr<7D Recording,589.0,294.5,,,0 HCPCS,93242,Ext ecg>48hr<7d recording,,,37.17,128.95,7 HCPCS,93243,Ext ecg>48hr<7d scan a/r,,,132.41,459.34,7 HCPCS,93243,Uos Ext Ecg>48Hr<7D Scan A/R,978.0,489.0,,,0 HCPCS,93246,Ext Ecg>7D<15D Recording,589.0,294.5,,,0 HCPCS,93246,Ext ecg>7d<15d recording,,,37.17,128.95,7 HCPCS,93247,Ext ecg>7d<15d scan a/r,,,132.41,459.34,7 HCPCS,93247,Uos Ext Ecg>7D<15D Scan A/R,978.0,489.0,,,0 HCPCS,93260,Prgrmg Dev Eval Impltbl Sys,127.0,63.5,,,0 HCPCS,93260,Prgrmg dev eval impltbl sys,,,37.14,128.85,7 HCPCS,93261,Interrogate Subq Defib,127.0,63.5,,,0 HCPCS,93261,Interrogate subq defib,,,37.14,128.85,7 HCPCS,93264,Rem mntr wrls p-art prs snr,,,37.14,128.85,7 HCPCS,93270,Event Recording & Hookup,361.0,180.5,,,0 HCPCS,93270,Remote 30 Day Ecg Rev/Report,361.0,180.5,,,0 HCPCS,93270,Remote 30 day ecg rev/report,,,37.14,128.85,7 HCPCS,93271,Chg Event Monitor & Analysis,778.0,389.0,,,0 HCPCS,93271,Ecg/monitoring and analysis,,,94.61,488.0,10 HCPCS,93271,Event Monitor & Analysis,778.0,389.0,,,0 HCPCS,93278,ECG/signal-averaged,,,58.71,203.66,7 HCPCS,93279,Chg - Program/Eval Sgl Pacer,778.0,389.0,,,0 HCPCS,93279,Pm device progr eval sngl,,,37.14,128.85,7 HCPCS,93279,Program/Eval Sgl Pacer,778.0,389.0,,,0 HCPCS,93280,Chg - Program/Eval Dual Pacer,778.0,389.0,,,0 HCPCS,93280,Pm device progr eval dual,,,37.14,234.0,10 HCPCS,93280,Program/Eval Dual Pacer,778.0,389.0,,,0 HCPCS,93281,Chg - Program/Eval Bi-V Pacer,778.0,389.0,,,0 HCPCS,93281,Pm device progr eval multi,,,37.14,128.85,7 HCPCS,93281,Program/Eval Bi-V Pacer,778.0,389.0,,,0 HCPCS,93282,Chg - Program/Eval Sgl Trnsvn Defb,467.0,233.5,,,0 HCPCS,93282,Prgrmg eval implantable dfb,,,37.14,138.0,10 HCPCS,93282,Program/Eval Sgl Trnsvn Defb,467.0,233.5,,,0 HCPCS,93283,Chg - Program/Eval Dual Trnsvn Defb,467.0,233.5,,,0 HCPCS,93283,Prgrmg eval implantable dfb,,,37.14,143.0,10 HCPCS,93283,Program/Eval Dual Trnsvn Defb,467.0,233.5,,,0 HCPCS,93284,Chg - Program/Eval Bi-V Transvn Defb,467.0,233.5,,,0 HCPCS,93284,Prgrmg eval implantable dfb,,,37.14,128.85,7 HCPCS,93284,Program/Eval Bi-V Transvn Defb,467.0,233.5,,,0 HCPCS,93285,"Chg - Prgrm Device Eval(In Prsn),Phy",448.0,224.0,,,0 HCPCS,93285,Ilr device eval progr,,,37.14,128.85,7 HCPCS,93285,Inprs Prgrm Dev Eval Rhythm Mn,448.0,224.0,,,0 HCPCS,93286,Peri-Procedure Pacer,278.0,139.0,,,0 HCPCS,93287,Peri-Procedure Icd,555.0,277.5,,,0 HCPCS,93288,Chg - Interrogation Pacer,244.0,122.0,,,0 HCPCS,93288,Interroga Pacer,244.0,122.0,,,0 HCPCS,93288,Pm device eval in person,,,37.14,128.85,10 HCPCS,93289,Chg - Interrogation Transven Defib,477.0,238.5,,,0 HCPCS,93289,Interrog device eval heart,,,37.14,128.85,7 HCPCS,93289,Interrogation Transven Defib,477.0,238.5,,,0 HCPCS,93290,Fc-Inter Device Eval(In Prsn),189.0,94.5,,,0 HCPCS,93290,Icm device eval,,,37.14,128.85,7 HCPCS,93291,Chg - Interrogation Loop Recorder,632.0,316.0,,,0 HCPCS,93291,Ilr device interrogate,,,28.78,99.86,7 HCPCS,93291,Interrogation Loop Recorder,632.0,316.0,,,0 HCPCS,93292,Wcd device interrogate,,,37.14,128.85,7 HCPCS,93293,Chg - Pm Phone R-Strip Device Eval,291.0,145.5,,,0 HCPCS,93293,Pm phone r-strip device eval,,,37.14,128.85,7 HCPCS,93296,"Inter Device Eval,Up To 90 Day",363.0,181.5,,,0 HCPCS,93296,Pm/icd remote tech serv,,,37.14,128.85,10 HCPCS,93296,Remote Interrogation Icd,363.0,181.5,,,0 HCPCS,93296,Remote Interrogation Pacer,363.0,181.5,,,0 HCPCS,93297,Icm device interrogat remote,,,37.14,128.85,7 HCPCS,93297,Rem Interrog Icpms <30 D Phys/Qhp,150.0,75.0,,,0 HCPCS,93298,Ilr device interrogat remote,,,37.14,128.85,7 HCPCS,93298,Rem Interrog Scrms <30 D Phys/Qhp,150.0,75.0,,,0 HCPCS,93303,Echo transthoracic,,,543.79,1886.44,7 HCPCS,93303,"Tte,Congenital,Complete",2979.0,1489.5,,,0 HCPCS,93304,Echo transthoracic,,,543.79,1886.44,7 HCPCS,93304,"Tte,Congential,Limited",1776.0,888.0,,,0 HCPCS,93306,"Chg - Echo,Transthracic,Realtm W/Img",3452.0,1726.0,,,0 HCPCS,93306,Echocardiogram Complete W/O Contrast,3452.0,1726.0,,,0 HCPCS,93306,Tte W/Doppler Complete,3452.0,1726.0,,,0 HCPCS,93306,Tte w/doppler complete,,,543.79,1886.44,10 HCPCS,93306,"Tte,Noncong Comp Fu/Limited",4953.0,2476.5,,,0 HCPCS,93307,"Chg - Echo,Trnsthoracic,Rltime W/Ima",1730.0,865.0,,,0 HCPCS,93307,Echocardiogram,1730.0,865.0,,,0 HCPCS,93307,Tte w/o doppler complete,,,237.46,823.75,7 HCPCS,93308,"Chg - Echo,Transthrcic W/Imge Doc 2D",1191.0,595.5,,,0 HCPCS,93308,Echo Limited Study,1191.0,595.5,,,0 HCPCS,93308,Tte f-up or lmtd,,,237.46,964.0,10 HCPCS,93308,Us Cardiac,1191.0,595.5,,,0 HCPCS,93312,Chgr-Cn Tee W / O Contrast,3699.0,1849.5,,,0 HCPCS,93312,Echo transesophageal,,,543.79,1886.44,10 HCPCS,93313,Chgr-Tee Probe Insertion Only,3323.0,1661.5,,,0 HCPCS,93313,Echo transesophageal,,,543.79,1886.44,7 HCPCS,93315,Ecg Transesophageal Cong,2208.0,1104.0,,,0 HCPCS,93315,Echo transesophageal,,,543.79,1886.44,7 HCPCS,93316,Echo transesophageal,,,543.79,1886.44,7 HCPCS,93316,Tee Probe Insertion Only Cong,3323.0,1661.5,,,0 HCPCS,93318,Echo Transesophageal Intraop,,,543.79,1886.44,7 HCPCS,93318,"Tee,2D Continuous Assessment",3585.0,1792.5,,,0 HCPCS,93320,Cardiac Doppler Ultrasound,1684.0,842.0,,,0 HCPCS,93320,Doppler Echo,1013.0,506.5,,,0 HCPCS,93321,Cardiac Doppler Limited,982.0,491.0,,,0 HCPCS,93321,Chgr-Cn Spectral Analysis Follow Up Or Limit,861.0,430.5,,,0 HCPCS,93321,"Doplr Echo,Pulsd Wave And/Or C",861.0,430.5,,,0 HCPCS,93325,Chg - Doppler Echocardiography Color,823.0,411.5,,,0 HCPCS,93325,Color Flow Doppler,1425.0,712.5,,,0 HCPCS,93325,Color Flow Velocity Mapping,823.0,411.5,,,0 HCPCS,93350,Exercise Stress Echo W/O Contrast,2559.0,1279.5,,,0 HCPCS,93350,Pharmacologic Stress Echo,2559.0,1279.5,,,0 HCPCS,93350,Stress tte only,,,543.79,1886.44,10 HCPCS,93351,"Chg - Echo,Trnsthorac,Real-Time W/Im",1820.0,910.0,,,0 HCPCS,93351,Stress tte complete,,,543.79,1886.44,7 HCPCS,93355,Echocardiography Tee,3642.0,1821.0,,,0 HCPCS,93356,Myocrd Strain Img Spckl Trck,851.0,425.5,,,0 HCPCS,93451,Chgr-Cd Right Heart Cath,15692.0,7846.0,,,0 HCPCS,93451,Right heart cath,,,3226.37,23971.0,10 HCPCS,93452,Chgr-Cd Left Hrt Cath W / Ventrclgrphy,25716.0,12858.0,,,0 HCPCS,93452,Left hrt cath w/ventrclgrphy,,,3226.37,23971.0,10 HCPCS,93453,Chgr-Cd R&L Hrt Cath W / Ventriclgrphy,29491.0,14745.5,,,0 HCPCS,93453,R&l hrt cath w/ventriclgrphy,,,3226.37,23971.0,10 HCPCS,93454,Chgr-Cd Coronary Artery Angio S&I,12825.0,6412.5,,,0 HCPCS,93454,Coronary artery angio s&i,,,3226.37,23971.0,10 HCPCS,93455,Chgr-Cd Coronary Art / Grft Angio S&I,12825.0,6412.5,,,0 HCPCS,93455,Coronary art/grft angio s&i,,,3226.37,23971.0,10 HCPCS,93456,Chgr-Cd Rhrt Coronary Artery Angio,28510.0,14255.0,,,0 HCPCS,93456,R hrt coronary artery angio,,,3226.37,23971.0,10 HCPCS,93457,Chgr-Cd Rhrt Art / Grft Angio,30359.0,15179.5,,,0 HCPCS,93457,R hrt art/grft angio,,,3226.37,23971.0,10 HCPCS,93458,Chgr-Cd Lhrt Artery / Ventricle Angio,25716.0,12858.0,,,0 HCPCS,93458,L hrt artery/ventricle angio,,,3226.37,23971.0,10 HCPCS,93459,Chgr-Cd Lhrt Art / Grft Angio,27564.0,13782.0,,,0 HCPCS,93459,L hrt art/grft angio,,,3226.37,23971.0,10 HCPCS,93460,Chgr-Cd R&L Hrt Art / Ventricle Angio,29491.0,14745.5,,,0 HCPCS,93460,R&l hrt art/ventricle angio,,,3226.37,23971.0,10 HCPCS,93461,Chgr-Cd R&L Hrt Art / Grft Angio,31336.0,15668.0,,,0 HCPCS,93461,R&l hrt art/ventricle angio,,,3226.37,23971.0,10 HCPCS,93462,Chgr-Cd Lhrt Cath Trnsptl Puncture,4972.0,2486.0,,,0 HCPCS,93462,L hrt cath trnsptl puncture,,,2375.0,5220.0,3 HCPCS,93463,Cd Drug Admin & Hemodynmic Meas,3702.0,1851.0,,,0 HCPCS,93463,Chgr-Cd Drug Admin & Hemodynmic Meas,3702.0,1851.0,,,0 HCPCS,93463,Drug admin & hemodynmic meas,,,2375.0,2633.0,2 HCPCS,93464,Chgr-Cd Exercise W / Hemodynamic Meas,4455.0,2227.5,,,0 HCPCS,93464,Exercise w/hemodynamic meas,,,2375.0,2633.0,2 HCPCS,93503,Chgr-Cd Monitoring Swan Procedure,3238.0,1619.0,,,0 HCPCS,93503,Insert/place heart catheter,,,1566.6,5434.61,10 HCPCS,93505,Biopsy of heart lining,,,3142.32,19040.0,10 HCPCS,93505,Chgr-Cd Myocardial Biopsy Only,4346.0,2173.0,,,0 HCPCS,93505,Chgr-Cd Myocardial Biopsy With Cath,4346.0,2173.0,,,0 HCPCS,93530,Rt heart cath congenital,,,5220.0,5220.0,1 HCPCS,93531,R & l heart cath congenital,,,5220.0,5220.0,1 HCPCS,93532,R & l heart cath congenital,,,5220.0,5220.0,1 HCPCS,93533,R & l heart cath congenital,,,5220.0,5220.0,1 HCPCS,93563,Chg - Inject Congenital Card Cath,3938.0,1969.0,,,0 HCPCS,93563,Inject Congenital Card Cath,3938.0,1969.0,,,0 HCPCS,93563,Inject congenital card cath,,,2375.0,2633.0,2 HCPCS,93564,Inject hrt congntl art/grft,,,2375.0,2633.0,2 HCPCS,93564,Njx Drg Cgen C-Cathj Slctv Opacification S&I,3938.0,1969.0,,,0 HCPCS,93565,Cd Inject L Ventr / Atrail Angio,3712.0,1856.0,,,0 HCPCS,93565,Chgr-Cd Inject L Ventr / Atrail Angio,3712.0,1856.0,,,0 HCPCS,93565,Inject l ventr/atrial angio,,,2375.0,2633.0,2 HCPCS,93566,Cd Inject R Ventr / Atrail Angio,3712.0,1856.0,,,0 HCPCS,93566,Chgr-Cd Inject R Ventr / Atrail Angio,3712.0,1856.0,,,0 HCPCS,93566,Inject r ventr/atrial angio,,,2375.0,2633.0,2 HCPCS,93567,Cd Inject S Uprvlv Aortography,3932.0,1966.0,,,0 HCPCS,93567,Chgr-Cd Inject S Uprvlv Aortography,3932.0,1966.0,,,0 HCPCS,93567,Inject suprvlv aortography,,,2375.0,2633.0,2 HCPCS,93568,Cd Inject Pulm Art Hrt Cath,4818.0,2409.0,,,0 HCPCS,93568,Chgr-Cd Inject Pulm Art Hrt Cath,4818.0,2409.0,,,0 HCPCS,93568,Inject pulm art hrt cath,,,2375.0,2633.0,2 HCPCS,93569,Njx cth slct p-art angrp uni,,,2375.0,2633.0,2 HCPCS,93571,Chgr-Cd Pressure Wire Procedure,3559.0,1779.5,,,0 HCPCS,93571,Heart flow reserve measure,,,2375.0,2633.0,2 HCPCS,93572,"Chgr-Cd Pressure Wire Place, Add Vessel",1152.0,576.0,,,0 HCPCS,93572,Heart flow reserve measure,,,2375.0,2633.0,2 HCPCS,93573,Njx cath slct p-art angrp bi,,,2375.0,2633.0,2 HCPCS,93574,Njx cath slct pulm vn angrph,,,2375.0,2633.0,2 HCPCS,93575,Njx cath slct p angrph mapca,,,2375.0,2633.0,2 HCPCS,93580,"Chgr-Cd Asd Closure, Only",27590.0,13795.0,,,0 HCPCS,93580,Chgr-Cd Pfo Procedure,27590.0,13795.0,,,0 HCPCS,93580,Transcath closure of asd,,,18243.62,63288.08,9 HCPCS,93581,"Chgr-Cd Vsd Closure, Only",27590.0,13795.0,,,0 HCPCS,93581,Transcath closure of vsd,,,18243.62,63288.08,9 HCPCS,93582,Pda Closure,27590.0,13795.0,,,0 HCPCS,93582,Perq transcath closure pda,,,18243.62,63288.08,9 HCPCS,93583,Perq Transcath Septal Reduxn,30673.0,15336.5,,,0 HCPCS,93583,Perq transcath septal reduxn,,,5226.0,5790.0,2 HCPCS,93590,Perq Transcath Cls Mitral,60090.0,30045.0,,,0 HCPCS,93590,Perq transcath cls mitral,,,18243.62,63288.08,9 HCPCS,93591,Perq transcath cls aortic,,,18243.62,63288.08,9 HCPCS,93592,Perq transcath closure each,,,2375.0,2633.0,2 HCPCS,93593,R Hrt Cath Chd Nml Nt Cnj,13867.0,6933.5,,,0 HCPCS,93593,R hrt cath chd nml nt cnj,,,3226.37,23971.0,9 HCPCS,93593,Rt Hc Cong Nml Nat Conn,24434.0,12217.0,,,0 HCPCS,93594,R Hrt Cath Chd Abnl Nt Cnj,13867.0,6933.5,,,0 HCPCS,93594,R hrt cath chd abnl nt cnj,,,3226.37,23971.0,9 HCPCS,93595,L hrt cath chd nm/abn nt cnj,,,3226.37,23971.0,9 HCPCS,93596,R&L Hrt Cath Chd Nml Nt Cnj,25024.0,12512.0,,,0 HCPCS,93596,R&l hrt cath chd nml nt cnj,,,3226.37,23971.0,9 HCPCS,93597,R&L Hrt Cath Chd Abnl Nt Cnj,25024.0,12512.0,,,0 HCPCS,93597,R&l hrt cath chd abnl nt cnj,,,3226.37,23971.0,9 HCPCS,93598,Car Outp Meas Drg Cath Chd,1569.0,784.5,,,0 HCPCS,93598,Car outp meas drg cath chd,,,2375.0,2633.0,2 HCPCS,93600,Bundle Of His Recording Only,7180.0,3590.0,,,0 HCPCS,93600,Bundle of His recording,,,7762.21,27559.0,9 HCPCS,93602,Intra Atrial Recording Only,7180.0,3590.0,,,0 HCPCS,93602,Intra-atrial recording,,,7762.21,27559.0,9 HCPCS,93603,Chgr-Cd Right Ventricular Recording On,4723.0,2361.5,,,0 HCPCS,93603,Right ventricular recording,,,1211.69,27559.0,9 HCPCS,93609,Map tachycardia add-on,,,25050.0,27559.0,2 HCPCS,93609,Mapping,7390.0,3695.0,,,0 HCPCS,93609,Supraventricular Mapping,7390.0,3695.0,,,0 HCPCS,93610,Intra-Atrial Pacing,7180.0,3590.0,,,0 HCPCS,93610,Intra-atrial pacing,,,7762.21,27559.0,9 HCPCS,93612,Intraventricular pacing,,,7762.21,27559.0,9 HCPCS,93613,Electrophys map 3d add-on,,,25050.0,27559.0,2 HCPCS,93613,Intracardiac 3D Mapping,4728.0,2364.0,,,0 HCPCS,93615,Esophageal recording,,,1211.69,27559.0,9 HCPCS,93616,Esophageal recording,,,1211.69,27559.0,9 HCPCS,93618,Aarhyhymia Induction By Pacing,4502.0,2251.0,,,0 HCPCS,93618,Heart rhythm pacing,,,1211.69,27559.0,9 HCPCS,93619,Electrophysiology evaluation,,,7762.21,27559.0,9 HCPCS,93619,Ep Study W/O Induction Of Arrh,9342.0,4671.0,,,0 HCPCS,93620,Electrophysiology evaluation,,,7762.21,27559.0,9 HCPCS,93620,Ep Comprehensive Study,15568.0,7784.0,,,0 HCPCS,93621,Electrophysiology evaluation,,,25050.0,27559.0,2 HCPCS,93621,Ep Atrial/His Study,9816.0,4908.0,,,0 HCPCS,93622,Electrophysiology evaluation,,,25050.0,27559.0,2 HCPCS,93622,Ep Ventricular Study,9816.0,4908.0,,,0 HCPCS,93623,Pharmacologic Stimulation,7450.0,3725.0,,,0 HCPCS,93623,Stimulation pacing heart,,,25050.0,27559.0,2 HCPCS,93624,Chgr-Cd Ep Follow Up W / Pacing And Reco,6840.0,3420.0,,,0 HCPCS,93624,Electrophysiologic study,,,7762.21,27559.0,9 HCPCS,93631,Heart pacing mapping,,,25050.0,27559.0,2 HCPCS,93640,"Chgr-Cd Angio Ven 1St Ord(Renal, Jugular)",3327.0,1663.5,,,0 HCPCS,93640,Evaluation heart device,,,25050.0,27559.0,2 HCPCS,93641,Chgr-Cd Icd & Leads Check Same Day,2845.0,1422.5,,,0 HCPCS,93641,Electrophysiology evaluation,,,25050.0,27559.0,2 HCPCS,93642,Aicd Trnsvn Check Invasive Lab,1933.0,966.5,,,0 HCPCS,93642,Electrophysiology evaluation,,,1211.69,27559.0,9 HCPCS,93644,Electrophysiology Evaluation,2845.0,1422.5,,,0 HCPCS,93644,Electrophysiology evaluation,,,25050.0,27559.0,2 HCPCS,93650,Ablate heart dysrhythm focus,,,7762.21,26927.53,9 HCPCS,93650,Ic Ablation Av Node,9263.0,4631.5,,,0 HCPCS,93653,Ep & ablate supravent arrhyt,,,15654.0,90238.25,12 HCPCS,93653,Ep&Ablatn Supravent Arrhytm,33791.0,16895.5,,,0 HCPCS,93654,Ep & ablate ventric tachy,,,15654.0,90238.25,12 HCPCS,93654,Ep&Ablatn Ventric Tachy+3D Map,38979.0,19489.5,,,0 HCPCS,93655,Ablate Discrete Arrhytm Add-On,13538.0,6769.0,,,0 HCPCS,93655,Ablate arrhythmia add on,,,15654.0,17227.0,2 HCPCS,93656,Ep&Ablatn Afib Pulm Vein Isol,33791.0,16895.5,,,0 HCPCS,93656,Tx atrial fib pulm vein isol,,,15654.0,90238.25,9 HCPCS,93657,Ablatn Afib Aftr Pul Vein Isol,13538.0,6769.0,,,0 HCPCS,93657,Tx l/r atrial fib addl,,,15654.0,17227.0,2 HCPCS,93660,Chg - Tilt Table Test,1509.0,754.5,,,0 HCPCS,93660,Tilt Table Test,1509.0,754.5,,,0 HCPCS,93660,Tilt Table/Medication Challenge,1509.0,754.5,,,0 HCPCS,93660,Tilt table evaluation,,,371.37,2633.0,12 HCPCS,93662,Chgr-Cd Intercardiac Ultrasound,6706.0,3353.0,,,0 HCPCS,93662,Intracardiac Ecg (Ice),,,2375.0,2633.0,2 HCPCS,93668,Chg-P.A.D. Rehab,170.0,85.0,,,0 HCPCS,93668,Peripheral Vascular Rehab,,,58.71,203.66,7 HCPCS,93701,Bioimpedance cv analysis,,,132.41,459.34,7 HCPCS,93702,Bis xtracell fluid analysis,,,128.06,444.23,7 HCPCS,93724,Nips Procedure,1287.0,643.5,,,0 HCPCS,93740,Temperature gradient studies,,,128.06,444.23,7 HCPCS,93745,Set-up cardiovert-defibrill,,,305.66,2633.0,9 HCPCS,93750,Interrogation vad in person,,,94.61,2633.0,9 HCPCS,93786,Ambulatory BP recording,,,132.41,459.34,7 HCPCS,93786,Ambulatory Bp Mntr W/Sw 24 Hr+ Recording Only,420.0,210.0,,,0 HCPCS,93788,Ambulatory BP analysis,,,132.41,459.34,7 HCPCS,93788,Ambulatory Bp Analysis 24+Hrs,1144.0,572.0,,,0 HCPCS,93797,Cardiac rehab,,,128.29,445.04,7 HCPCS,93797,Phase Ii Unmonitored Session,281.0,140.5,,,0 HCPCS,93798,Cardiac rehab/monitor,,,99.0,445.04,10 HCPCS,93798,Chg Cardiovascular Therapy Outpatient,281.0,140.5,,,0 HCPCS,93798,Initial Eval Cardiac Rehab -O/P,281.0,140.5,,,0 HCPCS,93799,Cardiovascular procedure,,,128.06,2633.0,9 HCPCS,93799,Unlisted Cardiovascular Service/Procedure,386.0,193.0,,,0 HCPCS,93880,Chg - Carotid Duplex Bilat,1707.0,853.5,,,0 HCPCS,93880,Chgr-Duplex Scan Extracranial Art Compl Bi Study,1707.0,853.5,,,0 HCPCS,93880,Chgr-Pv Carotid Artery,1707.0,853.5,,,0 HCPCS,93880,Extracranial bilat study,,,237.46,823.75,10 HCPCS,93882,Chg - Intraop Carotid Duplex,1070.0,535.0,,,0 HCPCS,93882,Chgr-Duplex Scan Extracranial Art Uni/Lmtd Study,1070.0,535.0,,,0 HCPCS,93882,Chgr-Pv Carotid Artery Unilat,1070.0,535.0,,,0 HCPCS,93882,Chgr-Pv Intraop Carotid Duplex,1070.0,535.0,,,0 HCPCS,93882,Extracranial uni/ltd study,,,104.04,360.93,7 HCPCS,93886,Chgr-Pv Transcranial Doppler,1801.0,900.5,,,0 HCPCS,93886,Intracranial complete study,,,237.46,823.75,7 HCPCS,93888,Chgr-Pv Transcranial Doppler Ltd,956.0,478.0,,,0 HCPCS,93888,Intracranial limited study,,,104.04,360.93,7 HCPCS,93892,Tcd emboli detect w/o inj,,,104.04,360.93,7 HCPCS,93893,Tcd emboli detect w/inj,,,104.04,360.93,7 HCPCS,93922,Chg - Digital Waveforms And Pressure,720.0,360.0,,,0 HCPCS,93922,Chgr-Pv Allen Test,720.0,360.0,,,0 HCPCS,93922,Chgr-Pv Ankle Arm Index,720.0,360.0,,,0 HCPCS,93922,Chgr-Pv Digital Pressures,720.0,360.0,,,0 HCPCS,93922,Upr/l xtremity art 2 levels,,,132.41,459.34,10 HCPCS,93923,Chg - Lower Ext Art Without Exercise,1500.0,750.0,,,0 HCPCS,93923,Chgr-Pv Arterial Le With Cold Immersion,1500.0,750.0,,,0 HCPCS,93923,Chgr-Pv Arterial Le Without Exercise,1500.0,750.0,,,0 HCPCS,93923,Chgr-Pv Arterial Ue,1500.0,750.0,,,0 HCPCS,93923,Chgr-Pv Arterial Ue With Cold Immersion,1500.0,750.0,,,0 HCPCS,93923,Chgr-Pv Avf Steal Study,1500.0,750.0,,,0 HCPCS,93923,Upr/lxtr art stdy 3+ lvls,,,214.89,745.45,10 HCPCS,93924,Chg - Lower Extremity Arterial With,1858.0,929.0,,,0 HCPCS,93924,Chgr-Pv Arterial Le With Exercise,1858.0,929.0,,,0 HCPCS,93924,Lwr xtr vasc stdy bilat,,,214.89,745.45,10 HCPCS,93925,Chg - Arterial Duplex Low Ext Bilat,2213.0,1106.5,,,0 HCPCS,93925,Chgr-Pv Arterial Duplex Bilat,2213.0,1106.5,,,0 HCPCS,93925,Chgr-Pv Graft Duplex Le Bilateral,2213.0,1106.5,,,0 HCPCS,93925,Chgr-Pv Groin Duplex Bilat,2213.0,1106.5,,,0 HCPCS,93925,Chgr-Pv Trauma Scan Le Bilat,2213.0,1106.5,,,0 HCPCS,93925,Chgr-Us Art Duplex Le Bilat,2213.0,1106.5,,,0 HCPCS,93925,Lower extremity study,,,237.46,823.75,10 HCPCS,93926,Chg - Arterial Duplx Low Ext Uni/Ltd,1476.0,738.0,,,0 HCPCS,93926,Chgr-Pv Aortic Graft Le Unilat,1476.0,738.0,,,0 HCPCS,93926,Chgr-Pv Arterial Duplex Unilat,1476.0,738.0,,,0 HCPCS,93926,Chgr-Pv Epigastric Artery,1476.0,738.0,,,0 HCPCS,93926,Chgr-Pv Groin Duplex Unilat,1476.0,738.0,,,0 HCPCS,93926,Chgr-Pv Intraop Graft Duplex Le,1476.0,738.0,,,0 HCPCS,93926,Chgr-Pv Intraop Le Art Duplex Unilat,1476.0,738.0,,,0 HCPCS,93926,Chgr-Pv Trauma Scan Le,1476.0,738.0,,,0 HCPCS,93926,Chgr-Us Arterial Duplex Le Unilat,1476.0,738.0,,,0 HCPCS,93926,Lower extremity study,,,104.04,630.0,10 HCPCS,93930,Art Duplex Upp Ext Bilat,2209.0,1104.5,,,0 HCPCS,93930,Chgr-Pv Arterial Duplex,2209.0,1104.5,,,0 HCPCS,93930,Chgr-Us Arterial Duplex Ue,2209.0,1104.5,,,0 HCPCS,93930,Upper extremity study,,,237.46,823.75,7 HCPCS,93931,Chg - Upper Torso Duplex Unilateral,1476.0,738.0,,,0 HCPCS,93931,Chgr-Pv Arterial Duplex Ue Unilat,1476.0,738.0,,,0 HCPCS,93931,Chgr-Pv Graft Duplex,1476.0,738.0,,,0 HCPCS,93931,Chgr-Us Art Duplex Ue Rt,1476.0,738.0,,,0 HCPCS,93931,Upper extremity study,,,104.04,360.93,7 HCPCS,93970,Chg - Venous Duplex Low Ext Bilat,2164.0,1082.0,,,0 HCPCS,93970,Chgr-Pv Trauma Duplex Le Bilat,2164.0,1082.0,,,0 HCPCS,93970,Chgr-Pv Vein Map Bilat,2164.0,1082.0,,,0 HCPCS,93970,Chgr-Pv Vein Map Ue Bilat,2164.0,1082.0,,,0 HCPCS,93970,Chgr-Pv Venous Duplex Le,2164.0,1082.0,,,0 HCPCS,93970,Chgr-Pv Venous Duplex Ue Bilat,2164.0,1082.0,,,0 HCPCS,93970,Chgr-Us Vein Duplex Le Bilat,2164.0,1082.0,,,0 HCPCS,93970,Chgr-Us Vein Duplex Ue Bilat,2164.0,1082.0,,,0 HCPCS,93970,Extremity study,,,237.46,1041.0,10 HCPCS,93971,Chg - Venous Duplex Low Ext Uni/Ltd,1476.0,738.0,,,0 HCPCS,93971,Chgr-Pv Trauma Vein Duplex Le Unilat,1476.0,738.0,,,0 HCPCS,93971,Chgr-Pv Trauma Vein Duplex Ue Unilat,1476.0,738.0,,,0 HCPCS,93971,Chgr-Pv Vein Map Ue Unilat,1476.0,738.0,,,0 HCPCS,93971,Chgr-Pv Vein Map Unilat,1476.0,738.0,,,0 HCPCS,93971,Chgr-Pv Venous Exam Le,1476.0,738.0,,,0 HCPCS,93971,Chgr-Pv Venous Exam Ue Unilat,1476.0,738.0,,,0 HCPCS,93971,Chgr-Us Vein Duplex Le Unilat,1476.0,738.0,,,0 HCPCS,93971,Chgr-Us Vein Duplex Ue Unilat,1476.0,738.0,,,0 HCPCS,93971,Extremity study,,,104.04,455.0,10 HCPCS,93971,Us Focused Dvt Study,1476.0,738.0,,,0 HCPCS,93975,Chg - Renal Artery/Vein Duplex Bilat,2275.0,1137.5,,,0 HCPCS,93975,Chgr-Cd Renal Art / Vein Duplex Bilat,2275.0,1137.5,,,0 HCPCS,93975,Chgr-Pv Abd Renal,2275.0,1137.5,,,0 HCPCS,93975,Chgr-Pv Liver Transplant,2275.0,1137.5,,,0 HCPCS,93975,Chgr-Pv Mesenteric Duplex,2275.0,1137.5,,,0 HCPCS,93975,Chgr-Pv Pancreatic Transplant,2275.0,1137.5,,,0 HCPCS,93975,Chgr-Pv Portal Hepatic Duplex,2275.0,1137.5,,,0 HCPCS,93975,Chgr-Pv Portal-Hepatic Tips,2275.0,1137.5,,,0 HCPCS,93975,Chgr-Pv Renal Transplant,2275.0,1137.5,,,0 HCPCS,93975,Chgr-Us Portal Hepatic Duplex,2275.0,1137.5,,,0 HCPCS,93975,Vascular study,,,237.46,899.0,10 HCPCS,93976,"Chg - Art/Ven Dplx,Abd/Plv/Scrot,Ltd",1807.0,903.5,,,0 HCPCS,93976,"Chgr-Art / Ven Dplx, Abd / Plv / Scrot, Ltd",1807.0,903.5,,,0 HCPCS,93976,Chgr-Pv Intraop Visceral Duplex,1807.0,903.5,,,0 HCPCS,93976,Chgr-Pv Renal Artery Unilat,1807.0,903.5,,,0 HCPCS,93976,Vascular study,,,104.04,1044.0,10 HCPCS,93978,Chg - Abdominal Aorta Duplex,1399.0,699.5,,,0 HCPCS,93978,Chgr-Pv Abdominal Aorta Duplex,1399.0,699.5,,,0 HCPCS,93978,Chgr-Pv Ivc Duplex,1399.0,699.5,,,0 HCPCS,93978,Chgr-Us Ivc Duplex,1399.0,699.5,,,0 HCPCS,93978,Vascular study,,,237.46,823.75,10 HCPCS,93979,Chg - Intraop Thor Aorta Duplex,928.0,464.0,,,0 HCPCS,93979,Chgr-Pv Abdominal Aorta Limited,928.0,464.0,,,0 HCPCS,93979,Vascular study,,,104.04,360.93,7 HCPCS,93980,Chgr-Pv Penile Duplex,2070.0,1035.0,,,0 HCPCS,93980,Penile vascular study,,,104.04,360.93,7 HCPCS,93981,Chgr-Pv Penile Duplex W/O Injection,1150.0,575.0,,,0 HCPCS,93981,Penile vascular study,,,104.04,360.93,7 HCPCS,93985,Dup-Scan Hemo Compl Bi Std,656.0,328.0,,,0 HCPCS,93985,Dup-scan hemo compl bi std,,,237.46,823.75,7 HCPCS,93986,Dup-Scan Hemo Compl Uni Std,316.0,158.0,,,0 HCPCS,93986,Dup-scan hemo compl uni std,,,104.04,360.93,7 HCPCS,93990,Chg - Hemodialysis Access Scan,841.0,420.5,,,0 HCPCS,93990,Chgr-Pv Dialysis Acces Duplex Le Unilat,841.0,420.5,,,0 HCPCS,93990,Chgr-Pv Dialysis Acces Duplex Ue Unilat,841.0,420.5,,,0 HCPCS,93990,Doppler flow testing,,,104.04,763.0,10 HCPCS,93998,Noninvas vasc dx study proc,,,28.78,99.86,7 HCPCS,94002,Hyperbaric/Ventilator Appl,2593.0,1296.5,,,0 HCPCS,94002,Vent Adult 1St Day,3300.0,1650.0,,,0 HCPCS,94002,Vent mgmt inpat init day,,,614.82,2132.85,7 HCPCS,94002,Ventilator Neonate-1St Day,2593.0,1296.5,,,0 HCPCS,94003,Vent Adult-Subsequent Day,2900.0,1450.0,,,0 HCPCS,94003,Vent Neonate- Subseq Day,2215.0,1107.5,,,0 HCPCS,94003,Vent mgmt inpat subq day,,,614.82,2132.85,7 HCPCS,94010,Breathing capacity test,,,214.89,745.45,10 HCPCS,94010,Chg - Spirometry Basic,652.0,326.0,,,0 HCPCS,94010,Mip/Mep Determination,652.0,326.0,,,0 HCPCS,94010,Pfs Complete W/O Bronc,652.0,326.0,,,0 HCPCS,94010,Spirometry Bedside,652.0,326.0,,,0 HCPCS,94010,Spirometry W/O Broncho,652.0,326.0,,,0 HCPCS,94011,Spirometry up to 2 yrs old,,,128.06,444.23,7 HCPCS,94012,Spirmtry w/brnchdil inf-2 yr,,,214.89,745.45,7 HCPCS,94013,Meas lung vol thru 2 yrs,,,371.37,1288.29,7 HCPCS,94014,Patient recorded spirometry,,,444.58,1542.27,7 HCPCS,94015,Patient recorded spirometry,,,214.89,745.45,7 HCPCS,94016,Review patient spirometry,,,24.89,25.62,4 HCPCS,94060,Chg - Spirometry W/Bronchodilators,950.0,475.0,,,0 HCPCS,94060,Evaluation of wheezing,,,371.37,1288.29,10 HCPCS,94060,Pfs Complete W/Bronchodilator,950.0,475.0,,,0 HCPCS,94060,Spirometry W/Bronchodil,950.0,475.0,,,0 HCPCS,94070,Airway Provocation Test,1531.0,765.5,,,0 HCPCS,94070,Evaluation of wheezing,,,371.37,1288.29,10 HCPCS,94150,94150 Spec-Peak Flow Rate,356.0,178.0,,,0 HCPCS,94150,"Vc,Total",356.0,178.0,,,0 HCPCS,94150,Vital capacity test,,,128.06,444.23,7 HCPCS,94200,Lung function test (MBC/MVV),,,58.71,203.66,7 HCPCS,94375,Respiratory flow volume loop,,,214.89,745.45,7 HCPCS,94450,Hypoxia response curve,,,128.06,444.23,7 HCPCS,94452,Hast,598.0,299.0,,,0 HCPCS,94452,Hast w/report,,,132.41,459.34,7 HCPCS,94453,Chgr - Hast W/ Oxygen,696.0,348.0,,,0 HCPCS,94453,Hast w/oxygen titrate,,,132.41,459.34,7 HCPCS,94610,Surfactant Admin Thru Tube,,,217.93,756.0,7 HCPCS,94610,Surfactant Administration,518.0,259.0,,,0 HCPCS,94617,Exercise Tst Brncspsm,696.0,348.0,,,0 HCPCS,94617,Exercise tst brncspsm,,,132.41,459.34,7 HCPCS,94618,Pulmonary Stress Testing,696.0,348.0,,,0 HCPCS,94618,Pulmonary stress testing,,,132.41,499.0,10 HCPCS,94619,Exercise tst brncspsm wo ecg,,,58.71,203.66,7 HCPCS,94620,Pulmonary stress test/simple,,,640.0,658.0,3 HCPCS,94621,Pulm Stress Test Complex,3068.0,1534.0,,,0 HCPCS,94621,Pulm stress test/complex,,,371.37,1288.29,10 HCPCS,94625,Phy/qhp op pulm rhb w/o mntr,,,58.71,203.66,7 HCPCS,94625,Pr W/O Cont. Pulse Ox Mntr,210.0,105.0,,,0 HCPCS,94626,Phy/qhp op pulm rhb w/mntr,,,58.71,203.66,7 HCPCS,94626,Pr With Cont. Pulse Ox Mntr,210.0,105.0,,,0 HCPCS,94640,94640 Hand-Held/Aerosl Nebuliz,317.0,158.5,,,0 HCPCS,94640,Aerosol/Day,317.0,158.5,,,0 HCPCS,94640,Airway Inhal Trmt Sputum Ind,317.0,158.5,,,0 HCPCS,94640,Airway inhalation treatment,,,217.93,756.0,7 HCPCS,94640,Intrapulmonary Secretion Clearance,296.5,148.25,,,0 HCPCS,94640,Ippb Initial,317.0,158.5,,,0 HCPCS,94640,Ippb Subsequent,317.0,158.5,,,0 HCPCS,94640,Metered Dose Inhaler Treatment,317.0,158.5,,,0 HCPCS,94640,Metered Dose Inhaler Tx Initial,317.0,158.5,,,0 HCPCS,94640,Mid Inline T.X.,317.0,158.5,,,0 HCPCS,94640,Nebulizer Hh Tx Initial,317.0,158.5,,,0 HCPCS,94640,Nebulizer Hh Tx Subsequent,317.0,158.5,,,0 HCPCS,94640,Nebulizer Inline Tx Subseq,276.0,138.0,,,0 HCPCS,94640,Nebulizer Treatment Vent Initi,317.0,158.5,,,0 HCPCS,94640,Pressurized/Nonpressurized Inhalation Treatment,317.0,158.5,,,0 HCPCS,94640,Spec-Aerosol Nebulization,317.0,158.5,,,0 HCPCS,94640,Spontaneous Heliox 1St Day,317.0,158.5,,,0 HCPCS,94640,Spontaneous Subseq Days,317.0,158.5,,,0 HCPCS,94640,Sputum Induction,317.0,158.5,,,0 HCPCS,94640,Vent Heox-Subsequent Day,317.0,158.5,,,0 HCPCS,94640,Vent Initial Heox 1St Day,317.0,158.5,,,0 HCPCS,94642,Aerosol inhalation treatment,,,217.93,756.0,7 HCPCS,94642,Nebulized Pentamidine Tx,420.0,210.0,,,0 HCPCS,94644,94644 Cbt 1St Hour,486.0,243.0,,,0 HCPCS,94644,Cbt 1st hour,,,132.41,459.34,7 HCPCS,94644,Continuous Inhal Tn Tx-1St Hr,486.0,243.0,,,0 HCPCS,94645,94645 Continuous Inhalation Treatment Ea Addl Hr,178.0,89.0,,,0 HCPCS,94645,Continuous Inhatn Tx-Addtl Hr,178.0,89.0,,,0 HCPCS,94660,94660 Pos Airway Pressure Cpap,1015.0,507.5,,,0 HCPCS,94660,Bipap/Capa,1015.0,507.5,,,0 HCPCS,94660,Bipap/Cpap,1015.0,507.5,,,0 HCPCS,94660,Cpap Neonatal 1St Day,1015.0,507.5,,,0 HCPCS,94660,Cpap Neonatal-Sub Day,1015.0,507.5,,,0 HCPCS,94660,Cpap Sleep Apnea/Day,1015.0,507.5,,,0 HCPCS,94660,Cpap Treatment,1015.0,507.5,,,0 HCPCS,94660,Pos airway pressure cpap,,,217.93,756.0,7 HCPCS,94664,94664 Demon&Eval Pt Hhn/Ippb,616.0,308.0,,,0 HCPCS,94664,94664 Demons&Eval Pt Hhn/Ippb,616.0,308.0,,,0 HCPCS,94664,Evaluate pt use of inhaler,,,217.93,756.0,7 HCPCS,94667,Acapella Initial,298.0,149.0,,,0 HCPCS,94667,Chest Physiotherapy Initial,298.0,149.0,,,0 HCPCS,94667,Chest wall manipulation,,,132.41,459.34,7 HCPCS,94668,Acapella Subseqent,198.0,99.0,,,0 HCPCS,94668,Chest Pt Subsequent,198.0,99.0,,,0 HCPCS,94668,Chest wall manipulation,,,132.41,459.34,7 HCPCS,94669,Mechanical chest wall oscill,,,217.93,756.0,7 HCPCS,94680,Exhaled air analysis o2,,,128.06,444.23,7 HCPCS,94681,Calorimetry Indirect,819.0,409.5,,,0 HCPCS,94681,Exhaled air analysis o2/co2,,,371.37,1288.29,7 HCPCS,94690,Exhaled air analysis,,,58.71,203.66,7 HCPCS,94690,Fick Cardiac Output,416.0,208.0,,,0 HCPCS,94690,O2 Uptake Exp Gas Analysis Rest Indirect Spx,416.0,208.0,,,0 HCPCS,94726,Pulm funct tst plethysmograp,,,371.37,1288.29,10 HCPCS,94726,Raw/Vtg W Bronch,860.0,430.0,,,0 HCPCS,94726,Raw/Vtg/Cl/Ct,860.0,430.0,,,0 HCPCS,94727,Frc By Nitrogen Washout,404.0,202.0,,,0 HCPCS,94727,Pulm function test by gas,,,214.89,1179.0,10 HCPCS,94728,Pulm funct test oscillometry,,,128.06,444.23,7 HCPCS,94729,Diffusion Studies,751.0,375.5,,,0 HCPCS,94760,94760 Pulse Oximetry Spot Chec,179.0,89.5,,,0 HCPCS,94760,Fc-Pulse Oximetry Spot Check,179.0,89.5,,,0 HCPCS,94760,Pulse Oximetry Spot Check,179.0,89.5,,,0 HCPCS,94761,94761 Pulse Oximetry Mult Dete,688.0,344.0,,,0 HCPCS,94761,"Ear/Pulse Oximetry,02 Sat,Mult",688.0,344.0,,,0 HCPCS,94761,Pulse Oximetry Multiple Determ,688.0,344.0,,,0 HCPCS,94762,Measure blood oxygen level,,,128.06,444.23,7 HCPCS,94762,Pulse Oximetry Cont,688.0,344.0,,,0 HCPCS,94762,Sleep Study Pulse Oxim,688.0,344.0,,,0 HCPCS,94770,Exhaled carbon dioxide test,,,136.0,139.0,3 HCPCS,94772,Breath recording infant,,,371.37,1288.29,7 HCPCS,94775,Ped home apnea rec hk-up,,,128.06,444.23,7 HCPCS,94776,Ped home apnea rec downld,,,128.06,444.23,7 HCPCS,94780,Car Seat/Bed Test Inft Thru 12 Mo 60 Min,95.0,47.5,,,0 HCPCS,94780,Car seat/bed test 60 min,,,37.17,128.95,7 HCPCS,94781,Car Seat/Bed Test Inft Thru 12 Mo Ea Addl 30 Min,48.0,24.0,,,0 HCPCS,94799,Aerosol Prostacyclin Daly,650.0,325.0,,,0 HCPCS,94799,Bal Mini Non-Fiberoptic,650.0,325.0,,,0 HCPCS,94799,Misc Pulmonary Procer,650.0,325.0,,,0 HCPCS,94799,Misc Respiratory Procedure,650.0,325.0,,,0 HCPCS,94799,Noncdm Charge Record,491.0,245.5,,,0 HCPCS,94799,Pulm Stress Test Incomplete,650.0,325.0,,,0 HCPCS,94799,Pulmonary service/procedure,,,128.06,444.23,7 HCPCS,95004,Percut allergy skin tests,,,854.62,2964.71,7 HCPCS,95012,Exhaled Nitric Oxide Meas,,,37.17,128.95,7 HCPCS,95012,Nitric Oxide Exp Gas Determina,292.0,146.0,,,0 HCPCS,95017,Perq & icut allg test venoms,,,28.78,99.86,7 HCPCS,95018,Perq&ic allg test drugs/biol,,,37.17,128.95,7 HCPCS,95024,Icut allergy test drug/bug,,,58.71,203.66,7 HCPCS,95027,Icut allergy titrate-airborn,,,28.78,99.86,7 HCPCS,95028,Icut allergy test-delayed,,,37.17,128.95,7 HCPCS,95044,Allergy patch tests,,,854.62,2964.71,7 HCPCS,95044,Patch Or Application Test(S),1178.0,589.0,,,0 HCPCS,95052,Photo patch test,,,58.71,203.66,7 HCPCS,95056,Photosensitivity tests,,,132.41,459.34,7 HCPCS,95060,Eye allergy tests,,,132.41,459.34,7 HCPCS,95065,Nose allergy test,,,37.17,128.95,7 HCPCS,95070,Bronchial Allergy Tests,1981.0,990.5,,,0 HCPCS,95070,Bronchial allergy tests,,,371.37,1288.29,7 HCPCS,95076,Ingest challenge ini 120 min,,,371.37,1288.29,7 HCPCS,95115,Immunotherapy One Injection,49.0,24.5,,,0 HCPCS,95115,Immunotherapy one injection,,,46.6,161.66,7 HCPCS,95117,Immunotherapy Injections,70.0,35.0,,,0 HCPCS,95117,Immunotherapy injections,,,46.6,161.66,7 HCPCS,95144,Antigen therapy services,,,46.6,161.66,7 HCPCS,95145,Antigen therapy services,,,46.6,161.66,7 HCPCS,95146,Antigen therapy services,,,46.6,161.66,7 HCPCS,95147,Antigen therapy services,,,71.65,248.57,7 HCPCS,95148,Antigen therapy services,,,71.65,248.57,7 HCPCS,95149,Antigen therapy services,,,71.65,248.57,7 HCPCS,95165,Antigen therapy services,,,46.6,161.66,7 HCPCS,95170,Antigen therapy services,,,46.6,161.66,7 HCPCS,95180,Rapid desensitization,,,444.58,1542.27,7 HCPCS,95199,Allergy immunology services,,,28.78,99.86,7 HCPCS,95249,Cont Gluc Mntr Pt Prov Eqp,396.0,198.0,,,0 HCPCS,95249,Cont gluc mntr pt prov eqp,,,58.71,203.66,7 HCPCS,95250,Cont Gluc Mntr Phys/Qhp Eqp,887.0,443.5,,,0 HCPCS,95250,Glucose monitoring cont,,,132.5,459.64,7 HCPCS,95700,Eeg Cont Rec W/Vid Eeg Tech,5184.0,2592.0,,,0 HCPCS,95700,Eeg cont rec w/vid eeg tech,,,214.89,745.45,7 HCPCS,95705,Eeg W/O Vid 2-12 Hr Unmntr,5184.0,2592.0,,,0 HCPCS,95705,Eeg w/o vid 2-12 hr unmntr,,,214.89,745.45,7 HCPCS,95706,Eeg Wo Vid 2-12Hr Intmt Mntr,5184.0,2592.0,,,0 HCPCS,95706,Eeg wo vid 2-12hr intmt mntr,,,214.89,745.45,7 HCPCS,95707,Eeg W/O Vid 2-12Hr Cont Mntr,5184.0,2592.0,,,0 HCPCS,95707,Eeg w/o vid 2-12hr cont mntr,,,214.89,745.45,7 HCPCS,95708,Eeg Wo Vid Ea 12-26Hr Unmntr,5184.0,2592.0,,,0 HCPCS,95708,Eeg wo vid ea 12-26hr unmntr,,,371.37,1288.29,7 HCPCS,95709,Eeg W/O Vid Ea 12-26Hr Intmt,5184.0,2592.0,,,0 HCPCS,95709,Eeg w/o vid ea 12-26hr intmt,,,371.37,1288.29,7 HCPCS,95710,Eeg W/O Vid Ea 12-26Hr Cont,5184.0,2592.0,,,0 HCPCS,95710,Eeg w/o vid ea 12-26hr cont,,,371.37,1288.29,7 HCPCS,95711,Veeg 2-12 Hr Unmonitored,5184.0,2592.0,,,0 HCPCS,95711,Veeg 2-12 hr unmonitored,,,214.89,745.45,7 HCPCS,95712,Veeg 2-12 Hr Intmt Mntr,5184.0,2592.0,,,0 HCPCS,95712,Veeg 2-12 hr intmt mntr,,,371.37,1288.29,7 HCPCS,95713,Veeg 2-12 Hr Cont Mntr,5184.0,2592.0,,,0 HCPCS,95713,Veeg 2-12 hr cont mntr,,,371.37,1288.29,7 HCPCS,95714,Veeg Ea 12-26 Hr Unmntr,5184.0,2592.0,,,0 HCPCS,95714,Veeg ea 12-26 hr unmntr,,,371.37,1288.29,7 HCPCS,95715,Veeg Ea 12-26Hr Intmt Mntr,5184.0,2592.0,,,0 HCPCS,95715,Veeg ea 12-26hr intmt mntr,,,371.37,1288.29,7 HCPCS,95716,Veeg Ea 12-26Hr Cont Mntr,5184.0,2592.0,,,0 HCPCS,95716,Veeg ea 12-26hr cont mntr,,,854.62,2964.71,7 HCPCS,95717,Eeg Phys/Qhp 2-12 Hr W/O Vid,5184.0,2592.0,,,0 HCPCS,95718,Eeg Phys/Qhp 2-12 Hr W/Veeg,5184.0,2592.0,,,0 HCPCS,95719,Eeg Phys/Qhp Ea Incr W/O Vid,5184.0,2592.0,,,0 HCPCS,95720,Eeg Phy/Qhp Ea Incr W/Veeg,5184.0,2592.0,,,0 HCPCS,95721,Eeg Phy/Qhp>36<60 Hr W/O Vid,5184.0,2592.0,,,0 HCPCS,95722,Eeg Phy/Qhp>36<60 Hr W/Veeg,5184.0,2592.0,,,0 HCPCS,95723,Eeg Phy/Qhp>60<84 Hr W/O Vid,5184.0,2592.0,,,0 HCPCS,95724,Eeg Phy/Qhp>60<84 Hr W/Veeg,5184.0,2592.0,,,0 HCPCS,95725,Eeg Phy/Qhp>84 Hr W/O Vid,5184.0,2592.0,,,0 HCPCS,95726,Eeg Phy/Qhp>84 Hr W/Veeg,5184.0,2592.0,,,0 HCPCS,95782,Polysom <6 yrs 4/> paramtrs,,,854.62,2964.71,7 HCPCS,95783,Polysom <6 yrs cpap/bilvl,,,854.62,2964.71,7 HCPCS,95800,Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time,966.0,483.0,,,0 HCPCS,95800,Slp stdy unattended,,,214.89,745.45,7 HCPCS,95801,Slp stdy unatnd w/anal,,,58.71,203.66,7 HCPCS,95803,Actigraphy testing,,,58.71,203.66,7 HCPCS,95805,Maintenance Wakefulness Test,2936.0,1468.0,,,0 HCPCS,95805,Multiple sleep latency test,,,854.62,2964.71,10 HCPCS,95805,Sleep Mslt,2936.0,1468.0,,,0 HCPCS,95806,Sleep Study Unatt&Resp Efft,1014.0,507.0,,,0 HCPCS,95806,Sleep study unatt&resp efft,,,214.89,1162.0,10 HCPCS,95807,Sleep Study; Attended,2338.0,1169.0,,,0 HCPCS,95807,Sleep study attended,,,371.37,1288.29,7 HCPCS,95808,Polysom any age 1-3> param,,,854.62,2964.71,7 HCPCS,95810,Polysom 6/> yrs 4/> param,,,854.62,2964.71,10 HCPCS,95810,Sleep Study Apnea&Eeg,4376.0,2188.0,,,0 HCPCS,95810,Sleep Study Apnea/Narco,4376.0,2188.0,,,0 HCPCS,95810,Sleep Study-Reduce Svc,4376.0,2188.0,,,0 HCPCS,95811,Polysom 6/>yrs cpap 4/> parm,,,854.62,2964.71,10 HCPCS,95811,Sleep Cpap Titration-Red Svc,2049.0,1024.5,,,0 HCPCS,95811,Sleep Study Cpap/Bipap,5908.0,2954.0,,,0 HCPCS,95812,Eeg 41-60 minutes,,,214.89,745.45,7 HCPCS,95812,Eeg Extend Monito 41-60 Mins,573.0,286.5,,,0 HCPCS,95813,Eeg Extend Greater Than 1Hr,650.0,325.0,,,0 HCPCS,95813,Eeg over 1 hour,,,214.89,745.45,7 HCPCS,95816,Eeg Awake,1074.0,537.0,,,0 HCPCS,95816,Eeg awake and drowsy,,,214.89,813.0,10 HCPCS,95819,Eeg Awake And Asleep,1495.0,747.5,,,0 HCPCS,95819,Eeg awake and asleep,,,214.89,871.0,10 HCPCS,95822,Eeg Asleep Or Coma,2239.0,1119.5,,,0 HCPCS,95822,Eeg coma or sleep only,,,214.89,745.45,7 HCPCS,95824,Eeg Cerebral Death Eval,804.0,402.0,,,0 HCPCS,95824,Eeg cerebral death only,,,371.37,1288.29,7 HCPCS,95829,Electrocorticogram In O.R.,1687.0,843.5,,,0 HCPCS,95836,Ecog impltd brn npgt <=30 d,,,37.14,128.85,7 HCPCS,95851,Range of motion measurements,,,6.69,6.89,4 HCPCS,95852,Range of motion measurements,,,4.99,5.13,4 HCPCS,95857,Cholinesterase challenge,,,214.89,745.45,7 HCPCS,95860,Chg - Emg-1 Extremity,616.0,308.0,,,0 HCPCS,95860,Emg-1 Extremity,616.0,308.0,,,0 HCPCS,95860,Muscle test one limb,,,132.41,459.34,7 HCPCS,95861,Emg-2 Extremities,493.0,246.5,,,0 HCPCS,95861,Muscle test 2 limbs,,,132.41,459.34,7 HCPCS,95863,Emg-3 Extremities,567.0,283.5,,,0 HCPCS,95863,Muscle test 3 limbs,,,128.06,444.23,7 HCPCS,95864,Emg-4 Extremities,567.0,283.5,,,0 HCPCS,95864,Muscle test 4 limbs,,,128.06,444.23,7 HCPCS,95865,Muscle test larynx,,,132.41,459.34,7 HCPCS,95866,Muscle test hemidiaphragm,,,128.06,444.23,7 HCPCS,95867,Emg-Cranial Nerve Unilat,567.0,283.5,,,0 HCPCS,95867,Muscle test cran nerv unilat,,,214.89,745.45,7 HCPCS,95868,Emg - Cranial Bilateral,897.0,448.5,,,0 HCPCS,95868,Muscle test cran nerve bilat,,,214.89,745.45,7 HCPCS,95869,Emg Limitied Study,294.0,147.0,,,0 HCPCS,95869,Muscle test thor paraspinal,,,214.89,745.45,7 HCPCS,95870,Muscle test nonparaspinal,,,132.41,459.34,7 HCPCS,95870,Needle Emg Limited Study 1 Ext,369.0,184.5,,,0 HCPCS,95872,Muscle test one fiber,,,214.89,745.45,7 HCPCS,95872,Needle Emg Jitter Blk Ea Muscl,567.0,283.5,,,0 HCPCS,95874,Guide Nerv Destr Needle Emg,231.0,115.5,,,0 HCPCS,95875,Limb exercise test,,,128.06,444.23,7 HCPCS,95885,"Chg - Fc-Ndl Electrmygrphy,Extm,Lmtd",652.0,326.0,,,0 HCPCS,95885,Needle Emg-Extrmty W/Ncs Limit,346.0,173.0,,,0 HCPCS,95886,"Chg - Fc-Ndl Electrmygrphy,Extm,Cmpl",492.0,246.0,,,0 HCPCS,95886,Needle Emg Ea Extremty W/Paraspinl Area Complete,492.0,246.0,,,0 HCPCS,95887,"Chg - Fc-Ndl Electrmygrphy,Non Extm",346.0,173.0,,,0 HCPCS,95887,Needle Emg-Nonextrmty Wncs,346.0,173.0,,,0 HCPCS,95905,Motor &/ sens nrve cndj test,,,444.58,1542.27,7 HCPCS,95907,Fc-Nerve Conduct Studies;1-2,584.0,292.0,,,0 HCPCS,95907,Nerve Conduction Studies 1-2 Studies,584.0,292.0,,,0 HCPCS,95907,Nvr cndj tst 1-2 studies,,,214.89,745.45,7 HCPCS,95908,Chg - Fc-Nerve Conduct Studies;3-4,703.0,351.5,,,0 HCPCS,95908,Nrv cndj tst 3-4 studies,,,214.89,745.45,7 HCPCS,95909,Chg - Fc-Nerve Conduct Studies;5-6,838.0,419.0,,,0 HCPCS,95909,"Nerve Conduction,5-6 Studies",838.0,419.0,,,0 HCPCS,95909,Nrv cndj tst 5-6 studies,,,214.89,745.45,7 HCPCS,95910,Chg - Fc-Nerve Conduct Studies;7-8,952.0,476.0,,,0 HCPCS,95910,"Nerve Conduction,7-8 Studies",952.0,476.0,,,0 HCPCS,95910,Nrv cndj test 7-8 studies,,,371.37,1288.29,7 HCPCS,95911,Chg - Fc-Nerve Conduct Studies;9-10,1205.0,602.5,,,0 HCPCS,95911,"Nerve Conduction,9-10 Studies",1205.0,602.5,,,0 HCPCS,95911,Nrv cndj test 9-10 studies,,,371.37,1288.29,7 HCPCS,95912,Chg - Fc-Nerve Conduct Study;11-12,1444.0,722.0,,,0 HCPCS,95912,Nrv cndj test 11-12 studies,,,371.37,1288.29,7 HCPCS,95913,Chg - Fc-Nerve Cond Study;13 Or Mor,1731.0,865.5,,,0 HCPCS,95913,Nerve Conduction Studies 13/> Studies,1731.0,865.5,,,0 HCPCS,95913,Nrv cndj test 13/> studies,,,371.37,1288.29,7 HCPCS,95919,Quan puplmtry phy/qhp uni/bi,,,132.41,459.34,7 HCPCS,95921,Autonomic nrv parasym inervj,,,128.06,444.23,7 HCPCS,95922,Autonomic nrv adrenrg inervj,,,132.41,459.34,7 HCPCS,95922,Fc-Autonomic Nerv Sys Fnc Test,652.0,326.0,,,0 HCPCS,95923,Autonomic nrv syst funj test,,,132.41,459.34,7 HCPCS,95923,"Chg - Fc-Autonmic Tsts/Sudomotr,>=1",765.0,382.5,,,0 HCPCS,95924,Ans parasymp & symp w/tilt,,,214.89,745.45,7 HCPCS,95924,Chg - Autonmic Tsts;W/At Lst 5 Min,377.0,188.5,,,0 HCPCS,95925,Eeg-Sser Upper,1432.0,716.0,,,0 HCPCS,95925,Somatosensory testing,,,214.89,745.45,7 HCPCS,95926,Eeg-Sser Lower,1432.0,716.0,,,0 HCPCS,95926,Somatosensory testing,,,214.89,745.45,7 HCPCS,95927,Somatosensory testing,,,214.89,745.45,7 HCPCS,95928,C motor evoked uppr limbs,,,854.62,2964.71,7 HCPCS,95928,Eeg Tcemep Lower Extrm,1719.0,859.5,,,0 HCPCS,95929,C motor evoked lwr limbs,,,371.37,1288.29,7 HCPCS,95929,Eeg Tcemep Upper Extrem,1719.0,859.5,,,0 HCPCS,95930,Eeg-Ver,754.0,377.0,,,0 HCPCS,95930,Visual evoked potential test,,,214.89,745.45,7 HCPCS,95933,Blink Reflex Test,503.0,251.5,,,0 HCPCS,95933,Blink reflex test,,,58.71,203.66,7 HCPCS,95937,Neuromuscular Junction Testing,861.0,430.5,,,0 HCPCS,95937,Neuromuscular junction test,,,128.06,444.23,7 HCPCS,95938,Somatosensory Test -Up&Low Limb,2859.0,1429.5,,,0 HCPCS,95938,Somatosensory testing,,,854.62,2964.71,7 HCPCS,95939,C motor evoked upr&lwr limbs,,,854.62,2964.71,7 HCPCS,95939,Tcemep Upper & Lower Extremities,2859.0,1429.5,,,0 HCPCS,95940,Intra-Op Assist Or 15 Min,220.0,110.0,,,0 HCPCS,95941,"Intra-Op Tech,Non Or Per Hour",840.0,420.0,,,0 HCPCS,95950,Ambulatory eeg monitoring,,,1054.0,1084.0,3 HCPCS,95954,EEG monitoring/giving drugs,,,371.37,1288.29,7 HCPCS,95955,Eeg-Nonintracranial Monit.,1498.0,749.0,,,0 HCPCS,95957,Eeg Digital Anal Eeg Spike,926.0,463.0,,,0 HCPCS,95958,EEG monitoring/function test,,,854.62,2964.71,7 HCPCS,95958,Wada Activation,1143.0,571.5,,,0 HCPCS,95961,Electrode stimulation brain,,,854.62,2964.71,7 HCPCS,95961,Function Cortical Mapp To 1 Hr,1343.0,671.5,,,0 HCPCS,95962,Eeg Funct Cort Ea Addtl Hr,1343.0,671.5,,,0 HCPCS,95965,Meg spontaneous,,,854.62,2964.71,7 HCPCS,95966,Meg evoked single,,,854.62,2964.71,7 HCPCS,95970,Analyze neurostim no prog,,,132.41,459.34,7 HCPCS,95970,Chg - Nx-Analysis W/O Reprogramming,652.0,326.0,,,0 HCPCS,95971,Ns-Simple Anal W/Reprogr,867.0,433.5,,,0 HCPCS,95972,Ns-Complx Anal&Prog 500 sq cm,,,404.56,1403.45,7 HCPCS,96999,Dermatological procedure,,,199.67,692.67,7 HCPCS,97010,Hot or cold packs therapy,,,7.73,7.73,3 HCPCS,97012,Athletic Training Mechanical Traction,150.0,75.0,,,0 HCPCS,97012,Mechanical Traction,150.0,75.0,,,0 HCPCS,97012,Mechanical traction therapy,,,14.44,21.06,7 HCPCS,97014,Electric stimulation therapy,,,20.56,20.56,3 HCPCS,97016,Athletic Training Vasopneumatic,142.0,71.0,,,0 HCPCS,97016,Vasopneum Tx-Ot 20 M,142.0,71.0,,,0 HCPCS,97016,Vasopneumatic,142.0,71.0,,,0 HCPCS,97016,Vasopneumatic device therapy,,,12.07,25.1,7 HCPCS,97018,Athletic Training Paraffin Bath,133.0,66.5,,,0 HCPCS,97018,Paraffin Bath,133.0,66.5,,,0 HCPCS,97018,Paraffin Bath-Ot,133.0,66.5,,,0 HCPCS,97018,Paraffin bath therapy,,,5.97,14.1,7 HCPCS,97022,Athletic Training Whirlpool Therapy,126.0,63.0,,,0 HCPCS,97022,Fluidotherapy-Ot,126.0,63.0,,,0 HCPCS,97022,Whirlpool therapy,,,15.75,30.56,7 HCPCS,97022,Whirlpool/Fluido,126.0,63.0,,,0 HCPCS,97024,Diathermy,118.0,59.0,,,0 HCPCS,97024,Diathermy eg microwave,,,7.3,7.52,4 HCPCS,97026,Anodyne Infrared Treat,28.0,14.0,,,0 HCPCS,97026,Infrared therapy,,,6.64,6.84,4 HCPCS,97028,Ultraviolet therapy,,,8.32,8.57,4 HCPCS,97032,Athletic Training Electrical Stimulation,174.0,87.0,,,0 HCPCS,97032,Elec Stim-Ot,174.0,87.0,,,0 HCPCS,97032,Electrical Stimulation,174.0,87.0,,,0 HCPCS,97032,Electrical Stimulation-St,174.0,87.0,,,0 HCPCS,97032,Electrical stimulation,,,14.79,24.7,7 HCPCS,97033,Athletic Training Iontophoresis,138.0,69.0,,,0 HCPCS,97033,Electric current therapy,,,19.15,28.35,7 HCPCS,97033,Iontophoresis,138.0,69.0,,,0 HCPCS,97033,Iontophoresis Each 15 Min-Ot,138.0,69.0,,,0 HCPCS,97034,Athletic Training Contrast Bath 15 Min,101.0,50.5,,,0 HCPCS,97034,Contrast Bath,101.0,50.5,,,0 HCPCS,97034,Contrast Bath-Ot,101.0,50.5,,,0 HCPCS,97034,Contrast bath therapy,,,14.1,14.51,4 HCPCS,97035,Athletic Training Ultrasound Therapy,181.0,90.5,,,0 HCPCS,97035,Ultrasound,181.0,90.5,,,0 HCPCS,97035,Ultrasound therapy,,,14.42,16.48,7 HCPCS,97035,Ultrasound-Ot,181.0,90.5,,,0 HCPCS,97036,Hydrotherapy,,,34.89,35.92,4 HCPCS,97037,Appl modality 1+lllt po pain,,,37.17,128.95,7 HCPCS,97110,Athletic Training Therapeutic Exercises,185.0,92.5,,,0 HCPCS,97110,Chg-Exercise - Isokinetic,185.0,92.5,,,0 HCPCS,97110,Exercise - Therapeutic-Ot 15Mn,185.0,92.5,,,0 HCPCS,97110,Exercise Therapeutic -15 Min,185.0,92.5,,,0 HCPCS,97110,Therapeutic exercises,,,29.3,42.08,7 HCPCS,97112,Athletic Training Neuromuscular Reed,218.0,109.0,,,0 HCPCS,97112,Neuromuscular Reed,218.0,109.0,,,0 HCPCS,97112,Neuromuscular reeducation,,,33.02,43.9,7 HCPCS,97113,Aquatic Therapy - Ot 15 Minute,161.0,80.5,,,0 HCPCS,97113,Aquatic Therapy 15,161.0,80.5,,,0 HCPCS,97113,Aquatic therapy/exercises,,,37.35,55.77,7 HCPCS,97116,Athletic Training Gait Train Up To 15Min,178.0,89.0,,,0 HCPCS,97116,Gait Train-Up To 15Min,178.0,89.0,,,0 HCPCS,97116,Gait training therapy,,,29.3,36.63,7 HCPCS,97124,Massage therapy,,,29.92,33.87,7 HCPCS,97124,Massge Therapy Ea 15 Mins,158.0,79.0,,,0 HCPCS,97129,Ot-Ther Ivntj Cog Func 1St 15,178.0,89.0,,,0 HCPCS,97129,Pt-Ther Ivntj Cog Func 1St 15,178.0,89.0,,,0 HCPCS,97129,St-Ther Ivntj Cog Func 1St 15,178.0,89.0,,,0 HCPCS,97129,Ther ivntj 1st 15 min,,,19.95,20.54,4 HCPCS,97130,Ot-Ther Ivntj Cog Func Addl 15,178.0,89.0,,,0 HCPCS,97130,Pt-Ther Ivntj Cog Func Addl 15,178.0,89.0,,,0 HCPCS,97130,St-Ther Ivntj Cog Func Addl 15,178.0,89.0,,,0 HCPCS,97130,Ther ivntj ea addl 15 min,,,18.7,19.25,4 HCPCS,97140,Athletic Training Manual Therapy Tqs,176.0,88.0,,,0 HCPCS,97140,Manual Ther Tech Ot,176.0,88.0,,,0 HCPCS,97140,Manual Therapy Technique,176.0,88.0,,,0 HCPCS,97140,Manual therapy 1/> regions,,,27.95,38.92,7 HCPCS,97150,Exer Sup Grp Ot 1X Day Only,168.0,84.0,,,0 HCPCS,97150,Exercise Group,168.0,84.0,,,0 HCPCS,97150,Group therapeutic procedures,,,18.16,22.45,7 HCPCS,97154,Grp adapt bhv tx by tech,,,37.29,129.36,7 HCPCS,97156,Fam adapt bhv tx gdn phy/qhp,,,37.29,129.36,7 HCPCS,97157,Mult fam adapt bhv tx gdn,,,37.29,129.36,7 HCPCS,97158,Grp adapt bhv tx by phy/qhp,,,37.29,129.36,7 HCPCS,97161,Pt Eval Low Complex 20 Mins,432.0,216.0,,,0 HCPCS,97161,Pt eval low complex 20 min,,,98.92,104.03,7 HCPCS,97162,Pt Eval Mod Complex 30 Mins,527.0,263.5,,,0 HCPCS,97162,Pt eval mod complex 30 min,,,98.92,104.03,7 HCPCS,97163,Pt Eval High Complex 45 Mins,579.0,289.5,,,0 HCPCS,97163,Pt eval high complex 45 min,,,98.92,104.03,7 HCPCS,97164,Pt Re-Eval Est Plan Care,247.0,123.5,,,0 HCPCS,97164,Pt re-eval est plan care,,,68.12,70.66,7 HCPCS,97165,Ot Eval Low Complex 30 Min,432.0,216.0,,,0 HCPCS,97165,Ot eval low complex 30 min,,,100.84,104.59,7 HCPCS,97166,Ot Eval Mod Complex 45 Mins,527.0,263.5,,,0 HCPCS,97166,Ot eval mod complex 45 min,,,100.84,104.59,7 HCPCS,97167,Ot Eval High Complex 60 Mins,579.0,289.5,,,0 HCPCS,97167,Ot eval high complex 60 min,,,100.84,104.59,7 HCPCS,97168,Ot Re-Eval Est Plan Care,273.0,136.5,,,0 HCPCS,97168,Ot re-eval est plan care,,,66.64,71.15,7 HCPCS,97169,Athletic Training Eval Low Complex 15 Mins,432.0,216.0,,,0 HCPCS,97170,Athletic Training Eval Mod Complex 30 Mins,526.0,263.0,,,0 HCPCS,97171,Athletic Training Eval High Complex 45 Mins,578.0,289.0,,,0 HCPCS,97172,Athletic Training Re-Eval Est Plan Care 20 Mins,246.0,123.0,,,0 HCPCS,97530,Athletic Training Function Activity,205.0,102.5,,,0 HCPCS,97530,Function Activity,205.0,102.5,,,0 HCPCS,97530,Functional Activity - 15 Min,205.0,102.5,,,0 HCPCS,97530,Therapeutic activities,,,35.32,45.31,7 HCPCS,97533,Sens Integ Ot 15 Min,178.0,89.0,,,0 HCPCS,97533,Sens Integr,178.0,89.0,,,0 HCPCS,97533,Sensory Integration,,,38.02,62.94,7 HCPCS,97535,Adl Training - Ot 15 Minutes,178.0,89.0,,,0 HCPCS,97535,Adl Training - Pt 15 Minutes,178.0,89.0,,,0 HCPCS,97535,Athletic Training Adl Training 15 Min,178.0,89.0,,,0 HCPCS,97535,Disch Environ/Home Asses-Ot-15,178.0,89.0,,,0 HCPCS,97535,Self care mngment training,,,32.65,45.25,7 HCPCS,97537,Community/Work Integration 15M Ot,178.0,89.0,,,0 HCPCS,97537,Community/Work Integration 15M Pt,178.0,89.0,,,0 HCPCS,97537,Community/work reintegration,,,32.33,33.29,4 HCPCS,97542,Wheelchair Trn,178.0,89.0,,,0 HCPCS,97542,Wheelchair mngment training,,,31.32,39.8,7 HCPCS,97542,Wheelchr Train-Ot 15,178.0,89.0,,,0 HCPCS,97545,Work Hardening-Ot Initial 2Hr,507.0,253.5,,,0 HCPCS,97545,Work Hardening-Pt Initial 2Hr,585.0,292.5,,,0 HCPCS,97546,Work Hardening Addl 1Hr Pt,191.0,95.5,,,0 HCPCS,97550,Caregiver Training Strategies&Tq 1St 30 Minutes,126.0,63.0,,,0 HCPCS,97550,Caregiver traing 1st 30 min,,,40.34,41.53,4 HCPCS,97551,Caregiver Training Strategies&Tq Ea Addl 15 Min,68.0,34.0,,,0 HCPCS,97551,Caregiver traing ea addl 15,,,21.41,22.04,4 HCPCS,97552,Group Caregiver Training Strategies & Technique,30.0,15.0,,,0 HCPCS,97552,Group caregiver training,,,9.41,9.69,4 HCPCS,97597,97597 Debride Skin50Sqcm,1368.0,684.0,,,0 HCPCS,97606,Neg Press Wound W/Dme >50Cm,1368.0,684.0,,,0 HCPCS,97606,Neg press wound tx >50 cm,,,404.56,1403.45,7 HCPCS,97606,Npwt Non-Disposable >50Sqcm,1368.0,684.0,,,0 HCPCS,97607,97607 Neg Press Wnd Tx <=50 Sq Cm,1368.0,684.0,,,0 HCPCS,97607,Neg Press Wnd Tx <=50 Sq Cm,1368.0,684.0,,,0 HCPCS,97607,Neg press wnd tx <=50 sq cm,,,404.56,1403.45,7 HCPCS,97607,Npwt Disposable 50 cm,,,404.56,1403.45,7 HCPCS,97608,Npwt Disposable >50Sqcm,1368.0,684.0,,,0 HCPCS,97610,Low frequency non-thermal us,,,199.67,692.67,7 HCPCS,97610,Mist Ultrasound Therapy,1017.0,508.5,,,0 HCPCS,97750,Athletic Training Performance Test,150.0,75.0,,,0 HCPCS,97750,Eval Performance Test Ot 15Mi,150.0,75.0,,,0 HCPCS,97750,Performance Test,150.0,75.0,,,0 HCPCS,97750,Physical performance test,,,33.99,42.53,7 HCPCS,97755,Assistive technology assess,,,38.11,39.23,4 HCPCS,97760,Athletic Training Orthotic Fitt/Train,205.0,102.5,,,0 HCPCS,97760,Orth Fit/Train Ot 15 M,205.0,102.5,,,0 HCPCS,97760,Orthotic Fitt/Train,205.0,102.5,,,0 HCPCS,97760,Orthotic mgmt and training,,,46.41,49.34,7 HCPCS,97761,Prosth Train,273.0,136.5,,,0 HCPCS,97761,Prosth Train-Ot 15 M,273.0,136.5,,,0 HCPCS,97761,Prosthetic training,,,40.72,41.92,4 HCPCS,97763,Athletic Training Orthc/Prostc Mgmt Sbsq Enc,262.0,131.0,,,0 HCPCS,97763,Orthc/prostc mgmt sbsq enc,,,50.42,62.83,7 HCPCS,97763,Ot-Orthc/Prostc Mgmt Sbsq Enc,262.0,131.0,,,0 HCPCS,97763,Pt-Orthc/Prostc Mgmt Sbsq Enc,262.0,131.0,,,0 HCPCS,97799,Wound Irrigation,168.0,84.0,,,0 HCPCS,97802,Medical nutrition indiv in,,,26.67,271.0,7 HCPCS,97802,Mnt Init Nutrn Ther; Each 15M,52.0,26.0,,,0 HCPCS,97802,Mnt Initial 15 Min,52.0,26.0,,,0 HCPCS,97803,Med nutrition indiv subseq,,,22.27,175.0,7 HCPCS,97803,Mnt Reassess Nutr Ther; Ea 15M,52.0,26.0,,,0 HCPCS,97803,Re-Assess Nutrition Ther; Ea15,52.0,26.0,,,0 HCPCS,97804,Grp Medical Nutrition Therapy; Each 30 Mins,59.0,29.5,,,0 HCPCS,97804,Medical nutrition group,,,12.44,12.81,4 HCPCS,97810,Acupunct W/O Stimul 15 Min,183.0,91.5,,,0 HCPCS,97810,Acupunct w/o stimul 15 min,,,28.78,99.86,10 HCPCS,97811,Acupunct w/o stimul addl 15m,,,32.95,32.95,3 HCPCS,97811,Acupuncture 1/> Ndls W/O Elec Stimj Ea 15 Min,183.0,91.5,,,0 HCPCS,97813,Acupunct W/Stimul 15 Min,215.0,107.5,,,0 HCPCS,97813,Acupunct w/stimul 15 min,,,28.78,99.86,10 HCPCS,97814,Acup 1/> Ndls W/Elec Stimj Ea 15 Min W/Re-Insj,215.0,107.5,,,0 HCPCS,97814,Acupunct w/stimul addl 15m,,,36.17,36.17,3 HCPCS,98925,Omt One To Two Body Regions,148.0,74.0,,,0 HCPCS,98925,Osteopath manj 1-2 regions,,,21.49,74.55,7 HCPCS,98926,Omt Three To Four Body Regions,148.0,74.0,,,0 HCPCS,98926,Osteopath manj 3-4 regions,,,21.49,74.55,7 HCPCS,98927,Osteopath manj 5-6 regions,,,21.49,74.55,7 HCPCS,98927,Osteopathic Manipulation 5-6,112.0,56.0,,,0 HCPCS,98928,Osteopath manj 7-8 regions,,,21.49,74.55,7 HCPCS,98929,Osteopath manj 9-10 regions,,,21.49,74.55,7 HCPCS,98940,Chiro Manipulation 1-2 Regions,90.0,45.0,,,0 HCPCS,98940,Chiropract manj 1-2 regions,,,21.49,74.55,10 HCPCS,98941,Chiro Manipulation 3-4 Regions,110.0,55.0,,,0 HCPCS,98941,Chiropract manj 3-4 regions,,,21.49,74.55,10 HCPCS,98942,Chiro Manipulation 5 Regions,187.0,93.5,,,0 HCPCS,98942,Chiropractic manj 5 regions,,,21.49,74.55,10 HCPCS,98943,Chiropract manj xtrspinl 1/>,,,30.65,30.65,3 HCPCS,98966,Hc pro phone call 5-10 min,,,10.43,10.74,4 HCPCS,98967,Hc pro phone call 11-20 min,,,20.2,20.79,4 HCPCS,98968,Hc pro phone call 21-30 min,,,29.39,30.25,4 HCPCS,98970,Qnhp Ol Digital Assmt&Mgmt Est Pt <7 D 5-10 Min,50.0,25.0,,,0 HCPCS,98970,Qnhp ol dig e/m svc 5-10min,,,10.43,10.74,4 HCPCS,98971,Qnhp Ol Digital Assmt&Mgmt Est Pt <7 D 11-20 Min,75.0,37.5,,,0 HCPCS,98971,Qnhp ol dig em svc 11-20min,,,19.16,19.72,4 HCPCS,98972,Qnhp Ol Digital Assmt&Mgmt Est Pt <7 D 21+ Min,100.0,50.0,,,0 HCPCS,98972,Qnhp ol dig e/m svc 21+ min,,,29.25,30.11,4 HCPCS,98975,Ot Rem Ther Mntr 1St Setup&Edu,162.0,81.0,,,0 HCPCS,98975,Pt Rem Ther Mntr 1St Setup&Edu,162.0,81.0,,,0 HCPCS,98975,Rem ther mntr 1st setup&edu,,,24.69,459.64,10 HCPCS,98976,Rem ther mntr dev sply resp,,,37.14,128.85,10 HCPCS,98977,Ot Rem Ther Mntr Dv Sply,292.0,146.0,,,0 HCPCS,98977,Pt Rem Ther Mntr Dv Sply,292.0,146.0,,,0 HCPCS,98977,Rem ther mntr dv sply mscskl,,,37.14,128.85,10 HCPCS,98978,Rem ther mntr dev sply cbt,,,37.14,128.85,7 HCPCS,98979,Rtm tx mgmt 1st 10 min,,,11.48,11.81,4 HCPCS,98980,Ot Rem Ther Mntr 1St 20 Min,263.0,131.5,,,0 HCPCS,98980,Pt Rem Ther Mntr 1St 20 Min,263.0,131.5,,,0 HCPCS,98980,Rem ther mntr 1st 20 min,,,25.87,37.83,7 HCPCS,98981,Ot Rem Ther Mntr Ea Addl 20 Min,214.0,107.0,,,0 HCPCS,98981,Pt Rem Ther Mntr Ea Addl 20 Min,214.0,107.0,,,0 HCPCS,98981,Rem ther mntr ea addl 20 min,,,25.52,37.4,7 HCPCS,98984,Rtm dev sply resp sys 2-15 d,,,37.14,128.85,7 HCPCS,98985,Rtm dev sply mscsk sys 2-15d,,,37.14,128.85,7 HCPCS,98986,Rtm dev sply cbt 2-15 d,,,37.14,128.85,7 HCPCS,99000,Chgl Specimen Handling Fee-10Th Street,24.0,12.0,,,0 HCPCS,99000,Specimen handling office-lab,,,6.92,6.92,2 HCPCS,99001,Chgl Collection Drug Scr-5,202.0,101.0,,,0 HCPCS,99001,Chgl Sendout For Further Testing,32.0,16.0,,,0 HCPCS,99001,Specimen handling pt-lab,,,8.23,8.23,2 HCPCS,99070,Sns With 80 Ml Bottle,37.26,18.63,,,0 HCPCS,99078,Group health education,,,44.0,46.0,3 HCPCS,99091,Coll & Interp Data Ea 30 Days,181.0,90.5,,,0 HCPCS,99152,Mod Sed Same Phys/Qhp Initial 15 Mins 5/> Yrs,646.0,323.0,,,0 HCPCS,99153,Mod Sed Same Phys/Qhp Each Addl 15 Mins,646.0,323.0,,,0 HCPCS,99155,Mod Sed Other Phys/Qhp Initial 15 Mins <5 Yrs,646.0,323.0,,,0 HCPCS,99156,Mod Sed Other Phys/Qhp Initial 15 Mins 5/> Yrs,646.0,323.0,,,0 HCPCS,99157,Mod Sed Other Phys/Qhp Each Addl 15 Mins,646.0,323.0,,,0 HCPCS,99170,Anogenital exam child w imag,,,201.2,697.97,7 HCPCS,99195,Phlebotomy,,,132.41,459.34,10 HCPCS,99195,Therapeutic Phlebotomy,784.0,392.0,,,0 HCPCS,99202,Office/outpatient visit new,,,65.29,65.29,3 HCPCS,99203,Office/outpatient visit new,,,98.91,98.91,3 HCPCS,99204,Office/outpatient visit new,,,167.47,167.47,3 HCPCS,99212,Office/outpatient visit est,,,32.87,32.87,3 HCPCS,99213,Office/outpatient visit est,,,65.81,65.81,3 HCPCS,99214,Office/outpatient visit est,,,101.51,101.51,3 HCPCS,99281,Chg Level I - L&D Er Dept Visit,260.0,130.0,,,0 HCPCS,99281,Emergency dept visit,,,83.92,291.12,7 HCPCS,99281,Level I - Er Dept Visit,260.0,130.0,,,0 HCPCS,99282,Emergency dept visit,,,152.81,530.1,7 HCPCS,99282,Level Ii - Er Dept Visit,497.0,248.5,,,0 HCPCS,99283,Emergency dept visit,,,271.67,942.43,7 HCPCS,99283,Level Iii - Er Dept Visit,982.0,491.0,,,0 HCPCS,99284,Ed Level Iv - Er Dept Visit,1819.0,909.5,,,0 HCPCS,99284,Emergency dept visit,,,415.26,1440.55,7 HCPCS,99285,Chg Level V - L&D Er Dept Visit,2867.0,1433.5,,,0 HCPCS,99285,Ed Level V - Er Dept Visit,2867.0,1433.5,,,0 HCPCS,99285,Emergency dept visit,,,592.67,2056.01,7 HCPCS,99291,Critical care first hour,,,822.06,2851.78,7 HCPCS,99291,Ed Critical Care 30-74 Minutes,5322.0,2661.0,,,0 HCPCS,99292,Critical Care Add'l 30 Mins,1053.0,526.5,,,0 HCPCS,99358,Prolong Service W/O Contact,266.0,133.0,,,0 HCPCS,99401,Counseling And Risk Factor Reduc,246.0,123.0,,,0 HCPCS,99406,Behav chng smoking 3-10 min,,,37.29,129.36,7 HCPCS,99407,Behav chng smoking > 10 min,,,37.29,129.36,7 HCPCS,99407,Smoking Cessation Vt>10 Mi,107.0,53.5,,,0 HCPCS,99415,Prolong Clincl Staff Svc,47.0,23.5,,,0 HCPCS,99416,Prolong Clincl Staff Svc Add,8.0,4.0,,,0 HCPCS,99421,Ol dig e/m svc 5-10 min,,,15.76,15.76,3 HCPCS,99422,Ol dig e/m svc 11-20 min,,,31.1,31.1,3 HCPCS,99423,Ol dig e/m svc 21+ min,,,49.8,49.8,3 HCPCS,99439,Chrnc Care Mgmt Svc Ea Addl,182.0,91.0,,,0 HCPCS,99445,Rem mntr physiol param 2-15,,,37.14,128.85,7 HCPCS,99453,Rem mntr physiol param setup,,,132.5,459.64,7 HCPCS,99454,Rem mntr physiol param dev,,,37.14,128.85,7 HCPCS,99460,Init nb em per day hosp,,,132.5,459.64,7 HCPCS,99463,Same day nb discharge,,,132.5,459.64,7 HCPCS,99464,Delivery Assist Per Half Hour,48.0,24.0,,,0 HCPCS,99465,Infant Resp Assist Whoc,792.0,396.0,,,0 HCPCS,99465,Nb resuscitation,,,657.77,2281.84,7 HCPCS,99473,Self-meas bp pt educaj/train,,,28.78,99.86,7 HCPCS,99484,Care mgmt svc bhvl hlth cond,,,37.29,129.36,7 HCPCS,99487,Cplx Chrnc Care 1St 60 Min,206.0,103.0,,,0 HCPCS,99489,Cmplx Chron Care Addl 30 Min,103.0,51.5,,,0 HCPCS,99490,Chron Care Mgmt Srvc 20 Min,182.0,91.0,,,0 HCPCS,99495,Trans care mgmt 14 day disch,,,132.5,459.64,7 HCPCS,99496,Trans care mgmt 7 day disch,,,132.5,459.64,7 HCPCS,99497,Advncd Care Plan First 30 Min,215.0,107.5,,,0 HCPCS,99498,Advncd Care Plan Addl 30 Min,215.0,107.5,,,0 HCPCS,A0431,Transport - Base Rate - Single,15220.0,7610.0,,,0 HCPCS,A0436,Flight Fee - Loaded Mile,105.0,52.5,,,0 HCPCS,A2006,Noncdm Charge Record Medical Supplies,115.14,57.57,,,0 HCPCS,A2008,Noncdm Charge Record Medical Supplies,138.54,69.27,,,0 HCPCS,A4100,Noncdm Charge Record Medical Supplies,4147.795,2073.895,,,0 HCPCS,A4338,Indwelling Catheter Latex,37.26,18.63,,,0 HCPCS,A4344,Chg-Cath Foley 16Fr 30Cc,130.41,65.2,,,0 HCPCS,A4351,Straight Tip Urine Catheter,17.6,8.8,,,0 HCPCS,A4358,Urinary Leg Or Abdomen Bag,23.81,11.9,,,0 HCPCS,A4364,"Chg Adhesiv/Liquid,Anytype,Per Oz-A4364",37.26,18.63,,,0 HCPCS,A4367,Chg Ostomy Belt-A4367,10.35,5.18,,,0 HCPCS,A4372,"Chg Ostomy Barr,Solid 4X4-A4372",11.39,5.7,,,0 HCPCS,A4389,"Chg Ostomy Pch,W/St Wear Barr-A4389",14.49,7.24,,,0 HCPCS,A4406,"Chg Ostomy Barr,Pectn Paste,Per Oz-A4406",31.05,15.52,,,0 HCPCS,A4467,Belt Strap Sleev Grmnt Cover,16.0,8.0,,,0 HCPCS,A4467,Knee Support: Elastic (Sm-Xlg),16.0,8.0,,,0 HCPCS,A4562,"Pessary, Non Rubber,Any Type",82.8,41.4,,,0 HCPCS,A4563,Vag inser rectal control sys,,,1673.11,1722.32,4 HCPCS,A4565,Chg - Sling-Arm(All)-For Home Use,41.4,20.7,,,0 HCPCS,A4565,Chg - Slings,13.46,6.73,,,0 HCPCS,A4565,Sling Hemi Arm,75.56,37.78,,,0 HCPCS,A4570,"Glove,Finger Flexion All-Sizes",68.31,34.16,,,0 HCPCS,A4570,"Splint,Finger",68.31,34.16,,,0 HCPCS,A4593,Neuromod sti sys adj rehab,,,50.36,51.84,4 HCPCS,A4614,Hand-Held Pefr Meter,52.79,26.4,,,0 HCPCS,A4615,Chg - Cannula-Nasal,11.39,5.7,,,0 HCPCS,A4627,Chg - Aerochamber,40.37,20.18,,,0 HCPCS,A4648,Chg Fiducial Mark Kt. Nm887712,368.46,184.23,,,0 HCPCS,A4648,Chg Fiducial Marker Pk Nw887709,400.55,200.28,,,0 HCPCS,A4648,Chg-Fiducial Marker Mri Compatible,296.01,148.0,,,0 HCPCS,A4648,Chg-Savi Scout Reflector,806.0,403.0,,,0 HCPCS,A4648,Chgr-Micro Clip Tissue Marker,453.0,226.5,,,0 HCPCS,A4648,"Fiducial Marker,Ea,Nm887-830",167.67,83.84,,,0 HCPCS,A4648,Noncdm Charge Record Medical Supplies,398.67,199.34,,,0 HCPCS,A4649,Cooled Rfa Kit,1203.71,601.86,,,0 HCPCS,A4649,Cooled Rfa Multi Kit,1785.38,892.69,,,0 HCPCS,A4649,Cooled Rfa Probe,641.7,320.85,,,0 HCPCS,A4650,Chgr Implantable Seed For Rsl,159.39,79.7,,,0 HCPCS,A5061,"Chg Ostomy Pch,Drainable W/Barr-A5061",33.12,16.56,,,0 HCPCS,A5063,"Chg Ostomy Pch,Drain,W/Flange-A5063",17.6,8.8,,,0 HCPCS,A5071,"Chg Ostomy Pch,Urinary W/Barrier-A5071",11.39,5.7,,,0 HCPCS,A6021,"Collagen Drsg,16 Sq In Or<",46.58,23.29,,,0 HCPCS,A6022,Collagen Drsg>16 Or <48 Sq In,46.58,23.29,,,0 HCPCS,A6023,"Collagen Drsg,>48 Sq In",372.6,186.3,,,0 HCPCS,A6025,Derm/Epidermal Gel Sheet,68.31,34.16,,,0 HCPCS,A6154,"Chg Wound Pouch,Each-A6154",34.16,17.08,,,0 HCPCS,A6196,Alginate Dressing <=16 Sq In,40.37,20.18,,,0 HCPCS,A6197,Alginate Drsg>16<=48 Sq In,72.45,36.22,,,0 HCPCS,A6197,Noncdm Charge Record Medical Supplies,72.13,36.06,,,0 HCPCS,A6198,Alginate Dressing>48 Sq In,67.28,33.64,,,0 HCPCS,A6198,Noncdm Charge Record Medical Supplies,98.61,49.3,,,0 HCPCS,A6199,"Alginate Drsg,Filler,Per 6Inch",77.63,38.82,,,0 HCPCS,A6199,Noncdm Charge Record Medical Supplies,36.73,18.36,,,0 HCPCS,A6203,Noncdm Charge Record Medical Supplies,4.78,2.39,,,0 HCPCS,A6206,Contact Layer Drg<=16Sqin,38.3,19.15,,,0 HCPCS,A6207,Contact Layer Drg>16<=48Sqin,83.84,41.92,,,0 HCPCS,A6208,Chg Contact Layer >48 Sq In -A6208,20.7,10.35,,,0 HCPCS,A6208,Noncdm Charge Record Medical Supplies,6.73,3.36,,,0 HCPCS,A6209,"Chg - Mepilex Lite,2.4X3.4;Each",43.47,21.74,,,0 HCPCS,A6209,Chg Mepilex Foam Drsg<16 Sq In,43.47,21.74,,,0 HCPCS,A6209,"Mepilex,4X4;Each",43.47,21.74,,,0 HCPCS,A6210,Foam Drg>16<=48 Sqin W/O Brdr,43.47,21.74,,,0 HCPCS,A6210,Noncdm Charge Record Medical Supplies,66.79,33.4,,,0 HCPCS,A6211,Foam Drg>48 Sq In W/O Bordr,64.17,32.08,,,0 HCPCS,A6212,"Chg - Mepilex Border,4X4;Each",16.56,8.28,,,0 HCPCS,A6212,Chg Foam Drg<=16 Sq In W/Border-A6212,13.46,6.73,,,0 HCPCS,A6213,Chg Foam Drg>16<=48 Sqin W/Border-A6213,15.53,7.76,,,0 HCPCS,A6214,Chg Foam Drg>48 Sq In W/Border-A6214,13.46,6.73,,,0 HCPCS,A6215,"Chg Foam Dressing, Filler, Per Gram-A6215",17.6,8.8,,,0 HCPCS,A6216,Non-Sterile Gauze<= 16 Sq In,64.17,32.08,,,0 HCPCS,A6222,Chg Gauze <=16 In No W/Sal W/O Brd-A6222,7.25,3.62,,,0 HCPCS,A6222,Noncdm Charge Record Medical Supplies,2.11,1.06,,,0 HCPCS,A6223,Chg Gauze >16<=48 No W/Sal W/O Brd-A6223,7.25,3.62,,,0 HCPCS,A6223,Noncdm Charge Record Medical Supplies,2.99,1.3399999999999999,,,0 HCPCS,A6224,Chg Gauze >48 In No W/Sal W/O Brd-A6224,7.25,3.62,,,0 HCPCS,A6224,Noncdm Charge Record Medical Supplies,3.08,1.54,,,0 HCPCS,A6234,Chg Hydrocolld Drg<=16 W/O Brdr-A6234,10.35,5.18,,,0 HCPCS,A6235,Chg Hydrocolld Drg >16<=48 W/O Brd-A6235,10.35,5.18,,,0 HCPCS,A6236,Chg Hydrocolld Drg > 48 In W/O Brd-A6236,8.28,4.14,,,0 HCPCS,A6237,Chg Hydrocolld Drg<=16 In W/Brdr-A6237,11.39,5.7,,,0 HCPCS,A6238,Chg Hydrocolld Drg>16<=48 W/Brdr-A6238,9.32,4.66,,,0 HCPCS,A6239,Chg Hydrocolld Drg>48 In W/Brdr-A6239,8.28,4.14,,,0 HCPCS,A6242,Chg Hydrogel Drg<=16 In W/O Brd-A6242,32.09,16.04,,,0 HCPCS,A6243,Chg Hydrogel Drg<16<=48 W/Brdr-A6243,49.68,24.84,,,0 HCPCS,A6245,Chg Hydrogel Drg<=16 In W/Brdr -A6245,13.46,6.73,,,0 HCPCS,A6248,"Chg Hydrogel Drg,Gel Filr,Per Floz-A6248",36.23,18.12,,,0 HCPCS,A6250,Chg Skin Sealnt Protect Moisturizr-A6250,13.46,6.73,,,0 HCPCS,A6251,Chg-Absorpt Drg <=16 Sq In W/O B,7.25,3.62,,,0 HCPCS,A6252,Chg Absorpt Drg>16<=48 W/O Brdr-A6252,11.39,5.7,,,0 HCPCS,A6253,Chg Absorpt Drg>48 Sq In W/O Brdr-A6253,15.53,7.76,,,0 HCPCS,A6254,Chg Absorpt Drg<=16 Sq In W/Wbrdr-A6254,10.35,5.18,,,0 HCPCS,A6254,Noncdm Charge Record Medical Supplies,2.0999999999999996,1.05,,,0 HCPCS,A6255,Chg Absorpt Drg>16<=48 In W/Brdr-A6255,11.39,5.7,,,0 HCPCS,A6257,Noncdm Charge Record Medical Supplies,3.185,1.59,,,0 HCPCS,A6258,Noncdm Charge Record Medical Supplies,3.51,1.75,,,0 HCPCS,A6259,Noncdm Charge Record Medical Supplies,7.71,3.86,,,0 HCPCS,A6261,"Chg Wound Fillr Gel/Paste,Per Fl Oz A6261",81.77,40.88,,,0 HCPCS,A6262,"Chg Wound Fillr Dry Form,Per Gram-A6262",30.02,15.01,,,0 HCPCS,A6266,"Chg Gauze,Impreg,No H20/Sal.Per Yd-A6266",23.81,11.9,,,0 HCPCS,A6441,Profore Padding Bandage,10.35,5.18,,,0 HCPCS,A6443,"""Chg Conform Bnd,Widt>=3""""<5"""".Peryd-A6443""",18.63,9.32,,,0 HCPCS,A6448,Chg - Ace Bandage-2 Inches,11.39,5.7,,,0 HCPCS,A6449,"""Chg Light Comprsn Bnd>=""""<3""""<""""5,Peryd-A6449""",18.63,9.32,,,0 HCPCS,A6449,"Chg - Ace Bandage,3 Inches",21.74,10.87,,,0 HCPCS,A6449,Chg - Ace Bandage-4 Inches,21.74,10.87,,,0 HCPCS,A6450,Chg - Ace Bandage-6Inches,13.46,6.73,,,0 HCPCS,A6454,Profore Adherent Bandage,11.39,5.7,,,0 HCPCS,A6456,"""Chg Zinc Paste Bnd Wd>=3""""<5"""",Peryd-A6456""",14.49,7.24,,,0 HCPCS,A6457,"Chg Tubular Drsng,Any Width,Per Yd -A6457",56.93,28.46,,,0 HCPCS,A6520,G com garmnt glove nghttime,,,128.98,132.77,4 HCPCS,A6521,G com garmnt glove nght cust,,,511.78,526.84,4 HCPCS,A6522,G com garment arm nighttime,,,313.41,322.62,4 HCPCS,A6523,G com garment arm nght custm,,,743.6,765.47,4 HCPCS,A6524,G com garmnt lwr leg/ft nght,,,391.01,402.51,4 HCPCS,A6525,G com garm lwrleg/ft ngt cus,,,789.38,812.6,4 HCPCS,A6526,G com garmt full leg/ft nght,,,706.92,727.71,4 HCPCS,A6527,G garmt full leg/ft nght cus,,,1299.94,1338.17,4 HCPCS,A6528,G com garment bra nighttime,,,679.75,699.74,4 HCPCS,A6529,G com garmt bra night custm,,,1074.1,1105.69,4 HCPCS,A6530,Compression stocking bk18-30,,,39.85,41.02,4 HCPCS,A6531,Compression stocking bk30-40,,,62.89,64.74,4 HCPCS,A6532,Compression stocking bk40-50,,,88.62,91.22,4 HCPCS,A6533,Gc stocking thighlngth 18-30,,,55.96,57.6,4 HCPCS,A6534,Gc stocking thighlngth 30-40,,,63.9,65.78,4 HCPCS,A6535,Gc stocking thighlngth 40-50,,,73.57,75.74,4 HCPCS,A6536,Gc stocking full lngth 18-30,,,75.43,77.65,4 HCPCS,A6537,Gc stocking full lngth 30-40,,,89.42,92.05,4 HCPCS,A6538,Gc stocking full lngth 40-50,,,104.7,107.78,4 HCPCS,A6539,Gc stocking waistlngth 18-30,,,99.82,102.75,4 HCPCS,A6540,Gc stocking waistlngth 30-40,,,119.01,122.51,4 HCPCS,A6541,Gc stocking waistlngth 40-50,,,140.97,145.12,4 HCPCS,A6545,Grad comp non-elastic BK,,,123.84,127.48,4 HCPCS,A6550,Prevena Disp Incisn Manage Sys,877.68,438.84,,,0 HCPCS,A6552,Grad com stocking bk 30-40,,,59.13,60.87,4 HCPCS,A6553,G com stcking bk 30-40 custm,,,230.91,237.7,4 HCPCS,A6554,Grad com stocking bk 40+,,,81.31,83.71,4 HCPCS,A6555,G com stcking bk 40+ custm,,,230.91,237.7,4 HCPCS,A6556,G com stcking thgh18-30 cust,,,316.46,325.76,4 HCPCS,A6557,G com stcking thgh30-40 cust,,,316.46,325.76,4 HCPCS,A6558,G com stcking thgh 40+ cust,,,326.57,336.18,4 HCPCS,A6562,G com stckng waist18-30 cust,,,1035.68,1066.14,4 HCPCS,A6563,G com stckng waist30-40 cust,,,1035.68,1066.14,4 HCPCS,A6564,G com stckng waist 40+ cust,,,1115.66,1148.47,4 HCPCS,A6565,Grad comp gauntlet custom,,,178.96,184.22,4 HCPCS,A6566,Grad com garment neck/head,,,259.85,267.49,4 HCPCS,A6567,G com garment neck/head cust,,,816.43,840.44,4 HCPCS,A6568,G com garment torso/shldr,,,169.59,174.57,4 HCPCS,A6569,G com garmnt torso/shdr cust,,,965.67,994.08,4 HCPCS,A6570,Grad com garment genital,,,115.55,118.94,4 HCPCS,A6571,G com garment genital custm,,,694.46,714.88,4 HCPCS,A6572,Grad com garment toe caps,,,107.21,110.37,4 HCPCS,A6573,Grad com garmnt toe cap cust,,,254.42,261.9,4 HCPCS,A6574,Custom gradient sleev/glov,,,324.35,333.89,4 HCPCS,A6575,Gradient comp sleev/glov,,,105.11,108.2,4 HCPCS,A6576,Custom grad com sleeve med,,,199.06,204.92,4 HCPCS,A6577,Custom grad cm sleeve heavy,,,164.76,169.61,4 HCPCS,A6578,Gradient comp sleeve,,,81.14,83.53,4 HCPCS,A6579,Custom grad com glove med,,,319.53,328.92,4 HCPCS,A6580,Custom grad com glove heavy,,,317.18,326.51,4 HCPCS,A6581,Gradient comp glove,,,74.45,76.64,4 HCPCS,A6582,Gradient comp gauntlet,,,49.65,51.11,4 HCPCS,A6583,Grad com wrap w straps bk,,,163.33,168.14,4 HCPCS,A6585,Grad com wrap w straps ak,,,193.39,199.08,4 HCPCS,A6586,Grad com wrap w straps leg,,,569.76,586.52,4 HCPCS,A6587,Grad com wrap w straps foot,,,74.63,76.83,4 HCPCS,A6588,Grad com wrap w straps arm,,,248.75,256.06,4 HCPCS,A6589,Grad com wrap w straps bra,,,98.2,101.08,4 HCPCS,A6594,G comp bandge liner lwr extr,,,35.75,36.8,4 HCPCS,A6595,G comp bandge liner upr extr,,,35.17,36.2,4 HCPCS,A6596,G comp bandge conform gauze,,,0.18,0.19,4 HCPCS,A6597,G comp bandage long stretch,,,1.58,1.63,4 HCPCS,A6598,G comp bandage med stretch,,,0.76,0.79,4 HCPCS,A6599,G comp bandage short stretch,,,1.73,1.78,4 HCPCS,A6600,G com bandge hgh dn foam sht,,,3.13,3.22,4 HCPCS,A6601,G com bandge hgh dn foam pad,,,3.52,3.62,4 HCPCS,A6602,G com bandge hgh dn foamroll,,,5.13,5.28,4 HCPCS,A6603,G com bandge low dn foamchnl,,,2.41,2.48,4 HCPCS,A6604,G com bandge low dn foam flt,,,1.41,1.45,4 HCPCS,A6605,G com bandage padded foam,,,1.6,1.65,4 HCPCS,A6606,G com bandage padded textile,,,4.76,4.9,4 HCPCS,A6607,G com bandage tub protct lyr,,,1.27,1.31,4 HCPCS,A6608,G com bandage tub protct pad,,,5.31,5.47,4 HCPCS,A6610,G com stcking bk 18-30 custm,,,230.91,237.7,4 HCPCS,A7041,"Chgr-Sp Drain System, Express Mini 500",149.04,74.52,,,0 HCPCS,A8000,Chg-Soft Protect Helmet Pref,842.49,421.24,,,0 HCPCS,A8003,Chg Cranial Orthosis (Helmet) Cust,965.66,482.83,,,0 HCPCS,A9300,A9300 Exercise Equipment,23.81,11.9,,,0 HCPCS,A9500,Chg - Technetium Tc-99M Sestamibi,735.0,367.5,,,0 HCPCS,A9500,Chgr-Rp Tc99 Sestamibi Per Dose,640.0,320.0,,,0 HCPCS,A9502,Chgr-Rp:Tc-99 Myoview Per Study,340.0,170.0,,,0 HCPCS,A9503,Chgr-Rp Tc 99 Mdp Per Dose,126.0,63.0,,,0 HCPCS,A9505,Chgr-Rp Tl201 Per Mci,136.0,68.0,,,0 HCPCS,A9506,Tc-99m graphite crucible,,,335.17,1163.24,10 HCPCS,A9512,Chgr-Rp Tc99 Tco4 Per Mci,15.0,7.5,,,0 HCPCS,A9513,Lutetium Lu 177 Per Mci,477.0,238.5,,,0 HCPCS,A9513,Lutetium Lu 177 Per Mci Waste,477.0,238.5,,,0 HCPCS,A9513,Lutetium lu 177 dotatat ther,,,323.33,1121.63,10 HCPCS,A9515,Choline c-11,,,2566.76,8904.22,10 HCPCS,A9516,Chgr-Rp I123 Capsule Per 100 Uci,178.0,89.0,,,0 HCPCS,A9517,Chgr-Rp I131 Nal Tx Capsules Per Mci,89.0,44.5,,,0 HCPCS,A9517,"I131 iodide cap, rx",,,24.55,85.17,10 HCPCS,A9517,Iodide-131 Cap Generic Per Mci,214.0,107.0,,,0 HCPCS,A9520,Nm Tilmanocept Dx Up To 0.5Mci,945.0,472.5,,,0 HCPCS,A9521,Chgr-Rp Tc99 Ceretec Per Dose,1087.0,543.5,,,0 HCPCS,A9521,Tc99m exametazime,,,946.26,3282.64,10 HCPCS,A9528,Chgr-Rp:I-131 Nal Dx Cap Per Mci,54.0,27.0,,,0 HCPCS,A9530,I131 Iodide Sol Rx Per 1 Mci,40.0,20.0,,,0 HCPCS,A9530,"I131 iodide sol, rx",,,21.19,73.92,10 HCPCS,A9537,Chgr-Rp Tc99 Gb Agent Per Dose,207.0,103.5,,,0 HCPCS,A9538,Chg-Rp:Tc-99 Pyp Per Dose,110.0,55.0,,,0 HCPCS,A9538,Rp:Tc-99 Pyp Per Dose,127.0,63.5,,,0 HCPCS,A9539,Chgr-Rp Tc99 Dtpa Per Dose,1412.0,706.0,,,0 HCPCS,A9540,Chgr-Rp Tc 99 Maa Per Dose,1883.0,941.5,,,0 HCPCS,A9541,Chgr-Rp Tc 99 Sulfur Colloid Per Dose,198.0,99.0,,,0 HCPCS,A9542,"In111 ibritumomab, dx",,,2537.7,2824.99,3 HCPCS,A9543,"Y90 ibritumomab, rx",,,57961.04,201158.91,10 HCPCS,A9547,In111 oxyquinoline,,,848.09,2942.07,10 HCPCS,A9548,Chgr-Rp In111 Dtpa Per 0.5 Mci,2601.0,1300.5,,,0 HCPCS,A9548,In111 pentetate,,,760.53,2638.33,10 HCPCS,A9551,Chgr-Rp:Tc-99 Dmsa Per Dose,766.0,383.0,,,0 HCPCS,A9552,Chgr-Flurodeoxyglucose F18 45Mi,186.0,93.0,,,0 HCPCS,A9556,Chgr-Rp Ga67 Per Mci,95.0,47.5,,,0 HCPCS,A9557,Chgr-Rp Tc 99 Neurolite Per Dose,1896.0,948.0,,,0 HCPCS,A9557,Tc99m bicisate,,,791.03,2744.13,10 HCPCS,A9560,Chgr-Rp Tc99 Labeled Rbc's Per Dose,241.0,120.5,,,0 HCPCS,A9561,Chg-Rp:Tc-99 Hdp,52.0,26.0,,,0 HCPCS,A9562,Chgr-Rp Tc99 Mag3 Per Dose,756.0,378.0,,,0 HCPCS,A9563,P32 na phosphate,,,283.8,984.53,10 HCPCS,A9567,Chgr-Rp:Tc-99 Dtpa Aerosol Per Stud,290.0,145.0,,,0 HCPCS,A9568,Technetium tc99m arcitumomab,,,2574.24,2865.67,3 HCPCS,A9569,Chgr-Rp Tc99 Ceretec Labeled Wbc Per Dose,1996.0,998.0,,,0 HCPCS,A9569,Technetium TC-99m auto WBC,,,952.81,3682.73,10 HCPCS,A9570,Chgr-Rp In111 Labeled Wbc Per Dose,4126.0,2063.0,,,0 HCPCS,A9570,Indium In-111 auto WBC,,,1125.25,3903.57,10 HCPCS,A9572,Chg-Indium Octreoscan,4039.0,2019.5,,,0 HCPCS,A9572,Indium In-111 pentetreotide,,,2040.96,7080.19,10 HCPCS,A9580,Sodium Fluoride F-18 =< 30 Mci,570.0,285.0,,,0 HCPCS,A9582,Chgr-Rp:I-123 Mibg,4328.0,2164.0,,,0 HCPCS,A9582,Iodine I-123 iobenguane,,,2363.85,8200.32,10 HCPCS,A9584,Chgr-Rp I-123 Ioflupane Per Dose,4573.0,2286.5,,,0 HCPCS,A9584,Iodine i-123 ioflupane,,,1415.49,4913.59,10 HCPCS,A9586,Chgr 18F Florbetapir,3728.0,1864.0,,,0 HCPCS,A9586,Florbetapir F18,,,1862.15,7768.95,10 HCPCS,A9587,"Chg-Gallium Ga-68 Dotatate, Diag",89.0,44.5,,,0 HCPCS,A9587,Gallium ga-68,,,50.62,180.86,10 HCPCS,A9588,"Fluciclovine F18, Diag, 1Mci",782.0,391.0,,,0 HCPCS,A9588,Fluciclovine f-18,,,328.72,1140.33,10 HCPCS,A9591,"Fluoroestradiol F18, 1Mci",1377.0,688.5,,,0 HCPCS,A9591,Fluoroestradiol f 18,,,469.63,1765.29,10 HCPCS,A9592,Copper cu 64 dotatate diag,,,606.17,2106.65,10 HCPCS,A9592,"Cu-64 Dotatate, 1 Mci",1505.7,752.85,,,0 HCPCS,A9593,Gallium ga-68 psma-11 ucsf,,,561.13,1946.6,10 HCPCS,A9594,"Gallium ga-68 psma-11, ucla",,,370.77,1317.48,10 HCPCS,A9595,"Piflu f-18, dia 1 millicurie",,,353.42,1226.03,10 HCPCS,A9595,Piflufolastat F18 Per 1Mci,635.25,317.62,,,0 HCPCS,A9596,Gallium illuccix 1 millicure,,,488.09,3446.69,10 HCPCS,A9597,"Pet Radiopharmaceutical, Diagnosis, For Tumor Id, Noc-Per Dose",6480.0,3240.0,,,0 HCPCS,A9600,Sr89 strontium,,,4229.26,14678.04,10 HCPCS,A9601,Flortaucipir inj 1 millicuri,,,3784.2,13133.4,10 HCPCS,A9602,Fluorodopa f-18 diag per mci,,,872.66,3027.31,10 HCPCS,A9604,Sm 153 lexidronam,,,3223.0,15274.78,10 HCPCS,A9606,Radium ra223 dichloride ther,,,175.67,608.1,7 HCPCS,A9607,Lutetium lu 177 vipivotide,,,260.96,905.27,10 HCPCS,A9607,Pluvicto,39315.15,19657.58,,,0 HCPCS,A9608,"Flotufolastat F 18, Diagnostic, 1 Mci",1047.9,523.95,,,0 HCPCS,A9608,Flotufolastat f18 diag 1 mci,,,684.64,2376.12,10 HCPCS,A9611,"Flurpiridaz f18, diag, 1 mci",,,540.6,1876.2,10 HCPCS,A9615,"Inj, pegulicianine, 1 mg",,,38.26,132.72,10 HCPCS,A9697,"Inj, magtrace per study dose",,,1279.08,40284.88,10 HCPCS,A9699,Rp Pluvicto Per Dose,59874.0,29937.0,,,0 HCPCS,A9800,Gallium locametz 1 millicuri,,,369.75,3091.98,10 HCPCS,B4082,Noncdm Charge Record Medical Supplies,21.345,10.675,,,0 HCPCS,B4087,Noncdm Charge Record Medical Supplies,147.98,73.99,,,0 HCPCS,C1052,Noncdm Charge Record Medical Supplies,4428.46,2214.23,,,0 HCPCS,C1604,Detour Stent Graft System-Non Or,25875.0,12937.5,,,0 HCPCS,C1713,"Chgr-Kyphx Bone Cement Mixer,C01B",525.78,262.89,,,0 HCPCS,C1713,"Chgr-Kyphx Bone Cement,C01A",306.36,153.18,,,0 HCPCS,C1713,Kypho Cannula Cement,278.42,139.21,,,0 HCPCS,C1713,Kypho Mixer Cement,2482.97,1241.48,,,0 HCPCS,C1713,Noncdm Charge Record Medical Supplies,989.9549999999999,494.98,,,0 HCPCS,C1714,"Chgr-Catheter, Fox Hollow",4853.12,2426.56,,,0 HCPCS,C1714,Chgr-Sp Cath Arthrectomy Foxhollow,5793.93,2896.96,,,0 HCPCS,C1714,Turbohawk Atherectomy Cath,4656.47,2328.24,,,0 HCPCS,C1715,Brachytherapy Needle,38.0,19.0,,,0 HCPCS,C1716,"Brachytherapy Seed,Gold 198",229.77,114.88,,,0 HCPCS,C1717,"Brach Seed,High Dose Irid 192",915.0,457.5,,,0 HCPCS,C1717,"Brachytx, non-str,hdr ir-192",,,364.64,1264.95,7 HCPCS,C1721,Chg Icd Dual Chmber Momntm El Dr,17408.7,8704.35,,,0 HCPCS,C1721,"Chg-Defib, Vigiliant Mri Dr Df4",16965.0,8482.5,,,0 HCPCS,C1721,"Chg-Defib,Perciva Mini Mri Dr Df4",17558.78,8779.39,,,0 HCPCS,C1721,"Defib, Elipse Mri Dr Df4",17827.88,8913.94,,,0 HCPCS,C1721,"Defib, Ilivia Mri Dr-T Df4/Df1",15238.0,7619.0,,,0 HCPCS,C1721,"Defib, Iperia Mri Dr; Df4",41216.81,20608.4,,,0 HCPCS,C1721,"Defib,Ellipse Dr",30632.9,15316.45,,,0 HCPCS,C1721,"Defib,Evera Mri Dr",27210.15,13605.08,,,0 HCPCS,C1721,"Defib,Evera S Dr",86068.53,43034.26,,,0 HCPCS,C1721,"Defib,Evera Xt Dr",39057.8,19528.9,,,0 HCPCS,C1721,"Defib,Fortify Assura Dr",30632.9,15316.45,,,0 HCPCS,C1721,"Defib,Inogen Dr",28690.2,14345.1,,,0 HCPCS,C1721,"Defib,Virtuoso Dr Rf",90372.06,45186.03,,,0 HCPCS,C1721,Icd Dual Chamber Entrant Mri,13092.75,6546.38,,,0 HCPCS,C1721,Icd Dual Chmbr Cobalt Mri Dr,14781.0,7390.5,,,0 HCPCS,C1722,Chg Icd Sngl Chmber Momntm El Vr,15964.88,7982.44,,,0 HCPCS,C1722,"Chg-Defib, Perciva Mini Mri Vr Df4",16045.61,8022.8,,,0 HCPCS,C1722,"Chg-Defib, Vigilant Mri Vr Df4",16045.61,8022.8,,,0 HCPCS,C1722,"Defib, Elipse Mri Vr Df4",16347.83,8173.92,,,0 HCPCS,C1722,"Defib, Ilivia Mri Df",14462.06,7231.03,,,0 HCPCS,C1722,"Defib, Intica Mri Dx",14462.06,7231.03,,,0 HCPCS,C1722,"Defib, Inventra Mri Dx",20803.5,10401.75,,,0 HCPCS,C1722,"Defib, Visia Mri Df4/Df1",30429.0,15214.5,,,0 HCPCS,C1722,"Defib,Ellipse Vr",26612.96,13306.48,,,0 HCPCS,C1722,"Defib,Evera Mri Vr",29812.14,14906.07,,,0 HCPCS,C1722,"Defib,Evera Xt Vr",35377.34,17688.67,,,0 HCPCS,C1722,"Defib,Fortify Assura Vr",26612.96,13306.48,,,0 HCPCS,C1722,"Defib,Inogen Vr",90372.06,45186.03,,,0 HCPCS,C1722,"Defib,Subq-Icd",39823.0,19911.5,,,0 HCPCS,C1722,Icd Single Chamber Entrant Mri,10695.0,5347.5,,,0 HCPCS,C1722,Icd Single Chmbr Cobalt Mri Vr,14028.39,7014.2,,,0 HCPCS,C1724,"Cath,Atherectomy",8258.27,4129.14,,,0 HCPCS,C1724,"Catheter,Crossboss",3540.74,1770.37,,,0 HCPCS,C1724,"Catheter,Diamondback",4934.0,2467.0,,,0 HCPCS,C1724,Peripheral Athrectomy Catheter,3540.74,1770.37,,,0 HCPCS,C1724,Rotoblator Advancer,3540.74,1770.37,,,0 HCPCS,C1724,Rotoblator Burr,3754.0,1877.0,,,0 HCPCS,C1725,Balloon Cath Dorado 8-4-80,478.17,239.08,,,0 HCPCS,C1725,Balloon Catheter Scoreflex Nc,1163.0,581.5,,,0 HCPCS,C1725,"Balloon Catheter,Stingray",2479.86,1239.93,,,0 HCPCS,C1725,Balloon Peripheral,456.44,228.22,,,0 HCPCS,C1725,Balloon Peripheral Viatrac,507.15,253.58,,,0 HCPCS,C1725,Balloon Ptca Cordis,1140.57,570.28,,,0 HCPCS,C1725,Balloon Ptca Guidant,461.61,230.8,,,0 HCPCS,C1725,Balloon Ptca Medtronic,392.0,196.0,,,0 HCPCS,C1725,Balloon Ptca Scimed,392.0,196.0,,,0 HCPCS,C1725,"Balloon,Aga Sizing",969.0,484.5,,,0 HCPCS,C1725,"Balloon,Sterling",417.11,208.56,,,0 HCPCS,C1725,"Balloon,Venogram",507.15,253.58,,,0 HCPCS,C1725,Bard Ultraverse .018 Balloon,278.42,139.21,,,0 HCPCS,C1725,Cath Berenstein 40Cm,253.58,126.79,,,0 HCPCS,C1725,"Cath,Bln,Atlas,14X4,75 Cm,7 Fr",973.94,486.97,,,0 HCPCS,C1725,"Cath,Hi Press Conquest,75Cm",655.16,327.58,,,0 HCPCS,C1725,"Catheter, Trapper For Cto",427.0,213.5,,,0 HCPCS,C1725,"Catheter,Pta Balloon Chocolate",931.5,465.75,,,0 HCPCS,C1725,"Catheter,Twin Pass Support",824.9,412.45,,,0 HCPCS,C1725,Chg-Balloon Ptca,441.0,220.5,,,0 HCPCS,C1725,"Chg-Balloon, Angiosculpt",1524.56,762.28,,,0 HCPCS,C1725,"Chg-Balloon, Ptca Biotronik",121.1,60.55,,,0 HCPCS,C1725,"Chg-Catheter, Pta Balloon Advance",385.02,192.51,,,0 HCPCS,C1725,Chg-Pta Balloon Admiral X120,1761.57,880.78,,,0 HCPCS,C1725,Chgr-Balloon 164 Xxl 14552,507.15,253.58,,,0 HCPCS,C1725,Chgr-Balloon Diamond 4-2 5 /75,1114.7,557.35,,,0 HCPCS,C1725,Chgr-Balloon Diamond 4-2 5/120,1114.7,557.35,,,0 HCPCS,C1725,Chgr-Balloon Diamond 5-2,1114.7,557.35,,,0 HCPCS,C1725,Chgr-Balloon Diamond 6-2,1114.7,557.35,,,0 HCPCS,C1725,Chgr-Balloon Diamond 6-4,1114.7,557.35,,,0 HCPCS,C1725,Chgr-Balloon Diamond 7-2,1114.7,557.35,,,0 HCPCS,C1725,Chgr-Balloon Diamond 7-4,1114.7,557.35,,,0 HCPCS,C1725,Chgr-Balloon Diamond 8-4,1114.7,557.35,,,0 HCPCS,C1725,Chgr-Balloon Diamond 9-2,1114.7,557.35,,,0 HCPCS,C1725,Chgr-Cath Savvy Pta Bln 10566,1337.22,668.61,,,0 HCPCS,C1725,"Chgr-Catheter, Balloon Mustang",507.15,253.58,,,0 HCPCS,C1725,Chgr-Gore Stent Graft Balloon Cath,841.46,420.73,,,0 HCPCS,C1725,Coyote Balloon,461.61,230.8,,,0 HCPCS,C1725,Cutting Balloon,1941.0,970.5,,,0 HCPCS,C1725,Metacross .035 Pta Rx Balloon,163.53,81.76,,,0 HCPCS,C1725,Mustang Balloon,519.57,259.78,,,0 HCPCS,C1725,Noncdm Charge Record Medical Supplies,1101.33,550.66,,,0 HCPCS,C1725,Peripheral Balloon,730.0,365.0,,,0 HCPCS,C1725,Saber Pta Balloon,253.58,126.79,,,0 HCPCS,C1725,Shockwave Lithotripsy Balloon,3700.13,1850.06,,,0 HCPCS,C1726,Noncdm Charge Record Medical Supplies,990.79,495.395,,,0 HCPCS,C1727,Noncdm Charge Record Medical Supplies,1232.2,616.1,,,0 HCPCS,C1729,Cath Drain 10Fr,156.29,78.14,,,0 HCPCS,C1729,Cath Drain 12Fr,156.29,78.14,,,0 HCPCS,C1729,Cath Drain 8Fr,156.29,78.14,,,0 HCPCS,C1729,Cath Drainage G-Tube 18Fr Mic,124.2,62.1,,,0 HCPCS,C1729,Cath Flex Bil 08F 27-154,412.97,206.48,,,0 HCPCS,C1729,Cath Nephrostomy 10Fr,447.12,223.56,,,0 HCPCS,C1729,Chg - Drain Resolve,112.0,56.0,,,0 HCPCS,C1729,Chg - Drain Resolve Biliary,122.13,61.06,,,0 HCPCS,C1729,Chg-Cath Nephrostomy Drain,156.29,78.14,,,0 HCPCS,C1729,Chgr-Cath Biliary 10Fr Soft,447.12,223.56,,,0 HCPCS,C1729,Chgr-Cath Drain 14Fr,412.97,206.48,,,0 HCPCS,C1729,Chgr-Cath Drain 8.5 Ult,386.06,193.03,,,0 HCPCS,C1729,Chgr-Cath Drain Apdl 10Fr,151.0,75.5,,,0 HCPCS,C1729,Chgr-Cath Drain Apdl 8Fr,156.29,78.14,,,0 HCPCS,C1729,Chgr-Cath Drain Chest 14Fr,453.33,226.66,,,0 HCPCS,C1729,Chgr-Cath Drain Dawson Muel 8.5 Fr,156.29,78.14,,,0 HCPCS,C1729,Chgr-Cath Drain Duan 5Fr,342.59,171.3,,,0 HCPCS,C1729,Chgr-Cath Flex Biliary Dr 10F,447.12,223.56,,,0 HCPCS,C1729,Chgr-Cath Nephrostomy 12Fr,447.12,223.56,,,0 HCPCS,C1729,Chgr-Cath Nephrostomy 8Fr,156.29,78.14,,,0 HCPCS,C1729,"Chgr-Drain Set Thal-Quick,14X41",340.52,170.26,,,0 HCPCS,C1729,"Chgr-Drain Set Thal-Quick,18X41",340.52,170.26,,,0 HCPCS,C1729,Chgr-Pleurx Pleural Cath Drain Kit,363.29,181.64,,,0 HCPCS,C1729,"Chgr-Sp Cath, Flexima Apd, 6Frx25Cm",183.2,91.6,,,0 HCPCS,C1729,"Chgr-Sp Cath, Onestep Pruitt, 5Fr X 10",45.54,22.77,,,0 HCPCS,C1729,"Chgr-Sp Cath, Onestep Pruitt, 5Fr X 15",45.54,22.77,,,0 HCPCS,C1729,"Chgr-Sp Cath, Onestep Pruitt, 5Fr X 7",121.1,60.55,,,0 HCPCS,C1729,"Chgr-Sp Drainage Set Thalquick, 16 X 41",151.0,75.5,,,0 HCPCS,C1729,"Chgr-Sp Drainage Set Thalquick, 24 X 41",256.68,128.34,,,0 HCPCS,C1729,"Chgr-Sp Ndl, Yueh Cent Cath, 5Fr, 19Gx7Cm",121.1,60.55,,,0 HCPCS,C1729,Chgr-Sp Paracentesis Kit 5Fr X 10Cm,342.59,171.3,,,0 HCPCS,C1729,Mic Gj Tube 18F,377.78,188.89,,,0 HCPCS,C1729,Noncdm Charge Record Medical Supplies,48.425,24.24,,,0 HCPCS,C1729,One Step Centesis Cath,113.85,56.92,,,0 HCPCS,C1729,Pleurx Pleural Catheter,720.36,360.18,,,0 HCPCS,C1729,Thoravent Chest Tube,359.15,179.58,,,0 HCPCS,C1730,Catheter Corsinus Steer Marinr,810.0,405.0,,,0 HCPCS,C1730,"Catheter,Achieve",1944.77,972.38,,,0 HCPCS,C1730,"Catheter,Carto3 Bi Dir Curve",713.12,356.56,,,0 HCPCS,C1730,"Catheter,Cour Quad",713.12,356.56,,,0 HCPCS,C1730,"Catheter,Decapolar",689.0,344.5,,,0 HCPCS,C1730,"Catheter,Diag Decapolar Courna",1566.99,783.5,,,0 HCPCS,C1730,"Catheter,Diagnostic Quad Josep",416.0,208.0,,,0 HCPCS,C1730,"Catheter,Dynamic Xt",753.48,376.74,,,0 HCPCS,C1730,"Catheter,Hexapolar",532.0,266.0,,,0 HCPCS,C1730,"Chgr-Cd Catheter, Diagnostic Decapolar",713.12,356.56,,,0 HCPCS,C1730,Lasso Catheter,2701.35,1350.68,,,0 HCPCS,C1731,"Catheter,Ablat Halo Irvine/Bio",2149.7,1074.85,,,0 HCPCS,C1731,"Catheter,Diagnostic Stablemapr",2149.7,1074.85,,,0 HCPCS,C1731,"Chgr-Electrodes,Carto 3 Lasso2515",3000.0,1500.0,,,0 HCPCS,C1732,"Cath,Carto3 Bidir Thermoez",8871.0,4435.5,,,0 HCPCS,C1732,"Cath,Navistar Bi-Dir Tc Carto3",7886.0,3943.0,,,0 HCPCS,C1732,Catheter Mapping Carto Octaray,2642.0,1321.0,,,0 HCPCS,C1732,"Catheter,Mapping Ensite",8792.33,4396.16,,,0 HCPCS,C1733,"Balloon,Artic Front Cryo",8776.8,4388.4,,,0 HCPCS,C1733,Catheter Abltn Bi-Direct Safire,907.7,453.85,,,0 HCPCS,C1733,"Catheter,Ablation Blazer Ii",2668.23,1334.12,,,0 HCPCS,C1733,"Catheter,Ablation Conductor",2964.24,1482.12,,,0 HCPCS,C1733,"Catheter,Reflection Spiral",3144.33,1572.16,,,0 HCPCS,C1733,Cryo-Ablation Catheter,4058.0,2029.0,,,0 HCPCS,C1733,Ept Blazer 4500Th/4500Thk2,3009.78,1504.89,,,0 HCPCS,C1733,Farawave Pfa - Catheter,7736.63,3868.32,,,0 HCPCS,C1734,Noncdm Charge Record Medical Supplies,6308.0,3154.0,,,0 HCPCS,C1750,Bard Permcath,788.67,394.34,,,0 HCPCS,C1750,Cath Ash Split 28Cm,1552.5,776.25,,,0 HCPCS,C1750,"Catheter, Glidepath",464.72,232.36,,,0 HCPCS,C1750,"Catheter,Palindrome Tdc",1321.7,660.85,,,0 HCPCS,C1750,Chg-Cath Ash Split 32Cm,1552.5,776.25,,,0 HCPCS,C1750,Chg-Kit Multi Lumen Cent Ven Cath,924.26,462.13,,,0 HCPCS,C1750,Chgr-Cath Hemoglide 14.5Frx19 St,981.18,490.59,,,0 HCPCS,C1750,Chgr-Cath Hickman #60069-2,1140.57,570.28,,,0 HCPCS,C1750,"Chgr-Catheter,Duramax",582.71,291.36,,,0 HCPCS,C1750,Chgr-Hemoglide Bd-Pc2 Cath Ki-24Cm,924.26,462.13,,,0 HCPCS,C1750,Chgr-Hemoglide Bd-Pc2 Cath Ki-31Cm,924.26,462.13,,,0 HCPCS,C1750,Chgr-Hemoglide Bd-Pc2 Cath Ki-35Cm,924.26,462.13,,,0 HCPCS,C1750,Noncdm Charge Record Medical Supplies,920.0,460.0,,,0 HCPCS,C1751,4F Sl Bard Non-Power Picc,78.66,39.33,,,0 HCPCS,C1751,4F Sl Bard Power Picc,121.1,60.55,,,0 HCPCS,C1751,5F Sl Bard Non-Power Picc,113.85,56.92,,,0 HCPCS,C1751,5Fr Dual Lumen Picc,705.87,352.94,,,0 HCPCS,C1751,Angio Dyn Unif-Infus Sys-30Cm,320.85,160.42,,,0 HCPCS,C1751,Bard 6Fr Powerline,320.85,160.42,,,0 HCPCS,C1751,Cath Groshing 7Fr,320.85,160.42,,,0 HCPCS,C1751,Cath Hohn 6Fr Dl,748.31,374.16,,,0 HCPCS,C1751,"Cath,Hickman Dl Dacr Cuff,9.5F",320.85,160.42,,,0 HCPCS,C1751,"Cath,Picc Power 5F Dual,75Cm",320.85,160.42,,,0 HCPCS,C1751,"Catheter,Ekos",3433.1,1716.55,,,0 HCPCS,C1751,Caths-Infus/Unifuse 5Fr-135-20,138.69,69.34,,,0 HCPCS,C1751,Chg 5F Dl Bard Power Picc,104.54,52.27,,,0 HCPCS,C1751,Chg Cath-Thermoguard Icy Cath,1750.19,875.1,,,0 HCPCS,C1751,Chg-Cath Picc 4Fr Pqe-4834G,315.68,157.84,,,0 HCPCS,C1751,Chg-Cath Picc 5Fr Dl P5Dg,422.28,211.14,,,0 HCPCS,C1751,Chgr 5Fr Sgl Lumen Picc,256.68,128.34,,,0 HCPCS,C1751,Chgr-Cath 5F Hohn Sl,705.87,352.94,,,0 HCPCS,C1751,Chgr-Cath 6.6F Pasv Single Lumen Ik,814.55,407.28,,,0 HCPCS,C1751,Chgr-Cath Hohn 7Fr Dl,705.87,352.94,,,0 HCPCS,C1751,"Chgr-Cath,Picc Power 5F Dual,130Cm",320.85,160.42,,,0 HCPCS,C1751,"Chgr-Cath,Ven,Powerline 6Fr",970.83,485.42,,,0 HCPCS,C1751,Chgr-Cd Angiodyn Unifuseinfus Sys50Cm,371.57,185.78,,,0 HCPCS,C1751,Chgr-Picc Dl Arrow 5Fr,320.85,160.42,,,0 HCPCS,C1751,Chgr-Picc Sl Cook 5Fr,320.85,160.42,,,0 HCPCS,C1751,Chgr-Sp Cath Powerline 6Fr Dl,320.85,160.42,,,0 HCPCS,C1751,Ekos+ Catheter,4041.68,2020.84,,,0 HCPCS,C1751,Kit Quad Lumen Catheter,310.0,155.0,,,0 HCPCS,C1751,Midline Infusion Cath,224.6,112.3,,,0 HCPCS,C1751,Noncdm Charge Record Medical Supplies,276.0,138.0,,,0 HCPCS,C1751,Picc Dl Vaxcel 5Fr,320.85,160.42,,,0 HCPCS,C1751,Picc Sl Arrow 4Fr,320.85,160.42,,,0 HCPCS,C1751,Picc Sl Vaxcel 5Fr,320.85,160.42,,,0 HCPCS,C1752,"Catheter,Niagara",428.49,214.24,,,0 HCPCS,C1752,"Catheter,Schon",378.81,189.4,,,0 HCPCS,C1752,"Chgr-Cath Set, Schon Xl, 15",378.81,189.4,,,0 HCPCS,C1752,Chgr-Cd Arrowgard Blue Lg Bore Multilum Cvc,474.03,237.02,,,0 HCPCS,C1752,Noncdm Charge Record Medical Supplies,767.395,383.7,,,0 HCPCS,C1752,Short Term Dialysis Cath Spply,680.0,340.0,,,0 HCPCS,C1753,Cath Intravascular Ultrasound,2602.0,1301.0,,,0 HCPCS,C1753,Cath Us Eagle 2.9 F 150 Ivus,2668.23,1334.12,,,0 HCPCS,C1753,Catheter Vasc U/S Opticross,1085.0,542.5,,,0 HCPCS,C1753,"Catheter,Revolution Volcano",1334.12,667.06,,,0 HCPCS,C1753,Chgr-Cath Ultrsnd Eagle Eye Vlcano,2320.0,1160.0,,,0 HCPCS,C1753,Intra-Vascular Ultrasound Cath,2737.58,1368.79,,,0 HCPCS,C1753,Noncdm Charge Record Medical Supplies,2314.0,1157.0,,,0 HCPCS,C1755,Noncdm Charge Record Medical Supplies,1319.67,659.8399999999999,,,0 HCPCS,C1756,Pacing Wire,528.89,264.44,,,0 HCPCS,C1757,Angiojet Catheter,4248.68,2124.34,,,0 HCPCS,C1757,Cath Teratola 65Cm,1884.74,942.37,,,0 HCPCS,C1757,"Cath,Throm,Trellis,Bvt8-080-30",3832.61,1916.3,,,0 HCPCS,C1757,Catheter Embalectomy Fogarty,316.71,158.36,,,0 HCPCS,C1757,"Catheter,Outback Re-Entry Cath",1988.24,994.12,,,0 HCPCS,C1757,"Catheter,Pronto Extract",1324.8,662.4,,,0 HCPCS,C1757,Chg - Trevo Provue Kit,8618.45,4309.22,,,0 HCPCS,C1757,Chg Catheter Expressway Extraction Cpt C1757,669.65,334.82,,,0 HCPCS,C1757,Chg Catheter Solent Omni C1757,1910.61,955.3,,,0 HCPCS,C1757,Chg Catheter Solent Prox1 C1757,2257.34,1128.67,,,0 HCPCS,C1757,Chg-Cath Fogarty Art Embol 4Fr Lo,495.77,247.88,,,0 HCPCS,C1757,Chg-Cath Fogarty Art Embol 5Fr 80Cm,698.63,349.32,,,0 HCPCS,C1757,"Chg-Catheter, Angiojet Avx",1002.92,501.46,,,0 HCPCS,C1757,"Chg-Catheter,Zelante Angiojet",3351.33,1675.66,,,0 HCPCS,C1757,Chgr-Angiojet,462.65,231.32,,,0 HCPCS,C1757,Chgr-Cath Otw Teratola Device,2379.47,1189.74,,,0 HCPCS,C1757,Chgr-Cath Penumbra Pns6F125Ber,665.51,332.76,,,0 HCPCS,C1757,Chgr-Cath Xpeedior Angiojet 130,2950.79,1475.4,,,0 HCPCS,C1757,"Chgr-Cath,Thrombectomy Xpeedior",2172.47,1086.24,,,0 HCPCS,C1757,"Chgr-Cath,Thrombectomy,Angiojet Dvx",2508.84,1254.42,,,0 HCPCS,C1757,"Chgr-Penumbra,Psc026,026 Catheter",316.71,158.36,,,0 HCPCS,C1757,"Chgr-Penumbra,Psc032,032 Catheter",2057.58,1028.79,,,0 HCPCS,C1757,"Chgr-Penumbra,Psc041,041 Catheter",2057.58,1028.79,,,0 HCPCS,C1757,"Chgr-Separator, Penumbra Cat 3",1147.82,573.91,,,0 HCPCS,C1757,"Chgr-Separator, Penumbra Cat 6",1285.47,642.74,,,0 HCPCS,C1757,"Chgr-Separator, Penumbra Cat 8",2988.05,1494.02,,,0 HCPCS,C1757,Clottriever System,9522.0,4761.0,,,0 HCPCS,C1757,Device Penumbra Revasculariz,6177.92,3088.96,,,0 HCPCS,C1757,Noncdm Charge Record Medical Supplies,529.0,264.5,,,0 HCPCS,C1757,Penumbra Catrx Kit W Canister,2651.0,1325.5,,,0 HCPCS,C1757,"Separator, Penumbra Cat 12",2315.3,1157.65,,,0 HCPCS,C1758,Noncdm Charge Record Medical Supplies,174.02,87.01,,,0 HCPCS,C1759,"Cath,Carto3 Siemenssoundstar",3872.0,1936.0,,,0 HCPCS,C1759,"Catheter,Diagnostic Ultra Ice",2665.13,1332.56,,,0 HCPCS,C1759,"Catheter,Intracardiac Acunav",3000.0,1500.0,,,0 HCPCS,C1759,"Catheter,Viewflex",2295.0,1147.5,,,0 HCPCS,C1760,Angioseal 6Fr,668.0,334.0,,,0 HCPCS,C1760,Angioseal 8Fr,645.0,322.5,,,0 HCPCS,C1760,Chg-Perclose Closer,1549.4,774.7,,,0 HCPCS,C1760,"Chgr-Closure Device,Boomerang",1536.98,768.49,,,0 HCPCS,C1760,Chgr-Sp Closure Angioseal,1019.48,509.74,,,0 HCPCS,C1760,Chgr-Sp Closure Perclose,464.72,232.36,,,0 HCPCS,C1760,Chgr-Sp Closure Starclose,574.43,287.22,,,0 HCPCS,C1760,"Closure Device,Boomerang",546.48,273.24,,,0 HCPCS,C1760,"Closure Device,Exoseal",512.33,256.16,,,0 HCPCS,C1760,"Closure,Mynx Cad,5Fr Grey",605.48,302.74,,,0 HCPCS,C1760,"Closure,Mynx Cad,6/7Fr Green",605.48,302.74,,,0 HCPCS,C1760,"D-Stat,Flowable",357.08,178.54,,,0 HCPCS,C1760,Noncdm Charge Record Medical Supplies,1198.02,599.01,,,0 HCPCS,C1760,Perclose 6Fr,696.0,348.0,,,0 HCPCS,C1760,"Starclose,Closure",698.63,349.32,,,0 HCPCS,C1760,Vascade Closure Device,660.0,330.0,,,0 HCPCS,C1761,"Cath, Shockwave Coronary Ivl",11750.0,5875.0,,,0 HCPCS,C1762,Noncdm Charge Record Medical Supplies,2002.0,1001.0,,,0 HCPCS,C1763,Noncdm Charge Record Medical Supplies,2833.3599999999997,1416.6799999999998,,,0 HCPCS,C1764,"Chgr-Cd Loop Recorder, Reveal",10081.94,5040.97,,,0 HCPCS,C1764,Loop Recorder Lux Dx,5290.0,2645.0,,,0 HCPCS,C1764,Loop Recorder Reveal Linq Ii,5767.02,2883.51,,,0 HCPCS,C1764,"Loop Recorder, Confirm Rx",6519.47,3259.74,,,0 HCPCS,C1764,"Loop Recorder,Biomonitor",5933.66,2966.83,,,0 HCPCS,C1764,"Loop Recorder,Confirm",15036.48,7518.24,,,0 HCPCS,C1764,"Loop Recorder,Reveal Linq",8975.0,4487.5,,,0 HCPCS,C1764,"Loop Recorder,Reveal Xt",9289.13,4644.56,,,0 HCPCS,C1764,"Loop Recrdr,Reveal Linq Study",1.04,0.52,,,0 HCPCS,C1765,Chg Adhesion Barrier,660.33,330.16,,,0 HCPCS,C1765,Noncdm Charge Record Medical Supplies,1529.29,764.645,,,0 HCPCS,C1765,Seprafilm,1571.13,785.56,,,0 HCPCS,C1765,Sup Implant Adhes Barrier/Intrceed,1223.58,611.79,,,0 HCPCS,C1766,Faradrive - Steerable Sheath,1666.35,833.18,,,0 HCPCS,C1766,"Introducer,Steerable",2228.0,1114.0,,,0 HCPCS,C1766,Noncdm Charge Record Medical Supplies,1495.0,747.5,,,0 HCPCS,C1766,"Sheath,Flexcath",2061.72,1030.86,,,0 HCPCS,C1767,Noncdm Charge Record Medical Supplies,37430.0,18715.0,,,0 HCPCS,C1768,Chg-Motor Drive Unit,5759.78,2879.89,,,0 HCPCS,C1768,Noncdm Charge Record Medical Supplies,2005.11,1002.56,,,0 HCPCS,C1769,Bridge Prep Kit,425.39,212.7,,,0 HCPCS,C1769,Cardiomems Guidewire,441.95,220.98,,,0 HCPCS,C1769,Chg-Guidewire Angiographic,399.51,199.76,,,0 HCPCS,C1769,Chg-Guidewire Glide,399.51,199.76,,,0 HCPCS,C1769,Chg-Guidewire Ptca Medtronic Gt1,355.01,177.5,,,0 HCPCS,C1769,Chg-Guidewire Steerable Flex Tip,473.0,236.5,,,0 HCPCS,C1769,Chg-Needle Homer Lok 8.9Cm,113.85,56.92,,,0 HCPCS,C1769,Chg-Needle Homer Mammo Lok 6.4Cm,111.78,55.89,,,0 HCPCS,C1769,Chgr-Cath Inf Katzen 6Cm,779.36,389.68,,,0 HCPCS,C1769,Chgr-Cd Bentson Wire,121.1,60.55,,,0 HCPCS,C1769,Chgr-Glidewire Ang .025X180,399.51,199.76,,,0 HCPCS,C1769,Chgr-Guidewire Synchro 1631,1067.09,533.54,,,0 HCPCS,C1769,Chgr-Needle Brst Loc 20Gx7Cm,89.01,44.5,,,0 HCPCS,C1769,Chgr-Needle Brst Loc 20Gx9Cm,89.01,44.5,,,0 HCPCS,C1769,Chgr-Needle Brst Loc Leloc 18Gx1Cm,243.23,121.62,,,0 HCPCS,C1769,Chgr-Needle Homer Mammo Lock Ultra,72.45,36.22,,,0 HCPCS,C1769,Chgr-Sp Guidewire 018 / 180 / 3 / 45 Ang,407.79,203.9,,,0 HCPCS,C1769,Chgr-Sp Guidewire 018 / 180 / 3 / 70 Ang,459.54,229.77,,,0 HCPCS,C1769,Chgr-Sp Guidewire Ang Reg .035 X 180,630.32,315.16,,,0 HCPCS,C1769,Chgr-Sp Guidewire Ang Stiff .035 X 260,909.77,454.88,,,0 HCPCS,C1769,Chgr-Wire Glide .018 45 Ang,565.11,282.56,,,0 HCPCS,C1769,Chgr-Wire Glide .018 70 Ang,565.11,282.56,,,0 HCPCS,C1769,Chgr-Wire Glide .018 Ang,399.51,199.76,,,0 HCPCS,C1769,Chgr-Wire Glide .035 Shapeable,399.51,199.76,,,0 HCPCS,C1769,Chgr-Wire Glide .035 Ss Long Taper,399.51,199.76,,,0 HCPCS,C1769,Chgr-Wire Glide .035 Ss Short Taper,399.51,199.76,,,0 HCPCS,C1769,Chgr-Wire Measuring Graduated,399.51,199.76,,,0 HCPCS,C1769,Chgr-Wire Micro Coil Pusher,484.38,242.19,,,0 HCPCS,C1769,Chgr-Wire Micro Dasher .014,704.84,352.42,,,0 HCPCS,C1769,Chgr-Wire Micro Taper .014,582.71,291.36,,,0 HCPCS,C1769,Chgr-Wire Nitinol .018 75Cm,268.07,134.04,,,0 HCPCS,C1769,Chgr-Wire Nitinol .018 80Cm,399.51,199.76,,,0 HCPCS,C1769,Chgr-Wire Synchro 2 Soft,1245.11,622.56,,,0 HCPCS,C1769,Chgr-Wire V-18 .018,468.86,234.43,,,0 HCPCS,C1769,Chgr-Wire Wholey,405.72,202.86,,,0 HCPCS,C1769,Glide Wire,326.0,163.0,,,0 HCPCS,C1769,Guidewire,176.0,88.0,,,0 HCPCS,C1769,Guidewire .021 Dia 480Cm Long,132.48,66.24,,,0 HCPCS,C1769,Guidewire Amplatz Super Stiff,224.0,112.0,,,0 HCPCS,C1769,Guidewire Crossing Hornet 10,176.99,88.5,,,0 HCPCS,C1769,Guidewire Diagnostic,141.0,70.5,,,0 HCPCS,C1769,Guidewire Fathom .016,669.65,334.82,,,0 HCPCS,C1769,Guidewire Judo Straight Tip,176.99,88.5,,,0 HCPCS,C1769,Guidewire Ptca,689.31,344.66,,,0 HCPCS,C1769,Guidewire Ptca Guidant,321.0,160.5,,,0 HCPCS,C1769,Guidewire Ptca Medtronic,268.07,134.04,,,0 HCPCS,C1769,Guidewire Ptca Scimed,255.0,127.5,,,0 HCPCS,C1769,Guidewire Ptca Specialty,392.0,196.0,,,0 HCPCS,C1769,Guidewire Roadrunner,362.25,181.12,,,0 HCPCS,C1769,Guidewire Rotawire,1163.34,581.67,,,0 HCPCS,C1769,Guidewire Wholey,232.0,116.0,,,0 HCPCS,C1769,"Guidewire,Attain 6218",399.51,199.76,,,0 HCPCS,C1769,"Guidewire,Enteer",336.38,168.19,,,0 HCPCS,C1769,"Guidewire,Guidezilla",370.0,185.0,,,0 HCPCS,C1769,"Guidewire,Ptca Terumo",176.0,88.0,,,0 HCPCS,C1769,"Guidewire,Safesept Transseptal",440.91,220.46,,,0 HCPCS,C1769,Needle Brst Loc 20Gx5Cm,32.09,16.04,,,0 HCPCS,C1769,Noncdm Charge Record Medical Supplies,222.71,111.355,,,0 HCPCS,C1769,Pressure Wire,1008.0,504.0,,,0 HCPCS,C1769,Rotoblator Wire,571.0,285.5,,,0 HCPCS,C1770,Chg-Probe Chg-Prostate,589.95,294.98,,,0 HCPCS,C1771,Noncdm Charge Record Medical Supplies,3267.11,1633.56,,,0 HCPCS,C1772,Noncdm Charge Record Medical Supplies,21895.875,10947.935000000001,,,0 HCPCS,C1773,Cath Snare 25Mm,660.33,330.16,,,0 HCPCS,C1773,Chgr-Cd Snare Gooseneck 7 Mm,1962.36,981.18,,,0 HCPCS,C1773,"Chgr-Penumbra Seperator,Psf026",6143.76,3071.88,,,0 HCPCS,C1773,"Chgr-Penumbra Seperator,Psf054",6143.76,3071.88,,,0 HCPCS,C1773,"Chgr-Penumbra,Pss026,026 Separatr",4309.74,2154.87,,,0 HCPCS,C1773,"Chgr-Penumbra,Pss032,032 Separatr",4309.74,2154.87,,,0 HCPCS,C1773,"Chgr-Penumbra,Pss041,041 Separatr",4309.74,2154.87,,,0 HCPCS,C1773,Chgr-Snare Gooseneck 10Mm,823.86,411.93,,,0 HCPCS,C1773,Chgr-Snare Gooseneck 15 15Mm Kit,866.3,433.15,,,0 HCPCS,C1773,"Chgr-Sp Device Retriever, Celect Filter",1433.48,716.74,,,0 HCPCS,C1773,Chgr-Sp Snare Ensnare 12X20,767.97,383.98,,,0 HCPCS,C1773,Chgr-Sp Snare Goose Neck Kit,2103.12,1051.56,,,0 HCPCS,C1773,Cook Needles Eye Snare,660.33,330.16,,,0 HCPCS,C1773,"Dev Ret Sys,Celect Flt,11X80",1421.06,710.53,,,0 HCPCS,C1773,Noncdm Charge Record Medical Supplies,1475.125,737.56,,,0 HCPCS,C1773,Sheath Tightrail Minirot Dilat,2281.14,1140.57,,,0 HCPCS,C1773,Sheath Tightrail Rotating Dilatr,2613.38,1306.69,,,0 HCPCS,C1773,Sheath Tightrail Subc Rot Dilatr,2018.25,1009.12,,,0 HCPCS,C1773,Snare 35Mm Loop Snare,988.43,494.22,,,0 HCPCS,C1773,"Snare Elite 15Mm,8402",1433.48,716.74,,,0 HCPCS,C1773,"Snare Kit,Goose Neck,6Fr,20Mm",660.33,330.16,,,0 HCPCS,C1773,"Snare, Ensnare 18-30Mm",577.53,288.76,,,0 HCPCS,C1773,"Snare, Ensnare 4-8Mm",1043.28,521.64,,,0 HCPCS,C1776,Noncdm Charge Record Medical Supplies,3519.38,1759.69,,,0 HCPCS,C1777,"Lead, Defib Plexa Mri",3900.0,1950.0,,,0 HCPCS,C1777,"Lead,Defib Durata Single Coil",8266.55,4133.28,,,0 HCPCS,C1777,"Lead,Defib Protego S",29921.85,14960.92,,,0 HCPCS,C1777,"Lead,Defib Reliance Sing-Coil",31418.46,15709.23,,,0 HCPCS,C1777,"Lead,Defib Sprint Single-Coil",8874.0,4437.0,,,0 HCPCS,C1777,"Lead,Icd Reliance Single Coil",7762.5,3881.25,,,0 HCPCS,C1777,"Lead,Mdl282-283Endotkreliance",3064.64,1532.32,,,0 HCPCS,C1777,"Lead,Mdl292-293Endotakreliance",7500.0,3750.0,,,0 HCPCS,C1778,Chg Bipolar Vns Lead Mdl 300 20/30,6555.69,3277.84,,,0 HCPCS,C1778,Noncdm Charge Record Medical Supplies,2850.0,1425.0,,,0 HCPCS,C1781,Chg Implant Mesh Graft Torso/Perin (C1781),1870.25,935.12,,,0 HCPCS,C1781,Noncdm Charge Record Medical Supplies,1443.43,721.72,,,0 HCPCS,C1782,Noncdm Charge Record Medical Supplies,2007.03,1003.52,,,0 HCPCS,C1783,Noncdm Charge Record Medical Supplies,3158.75,1579.375,,,0 HCPCS,C1784,"Drug Eluting Stent, Buma",1.04,0.52,,,0 HCPCS,C1785,"Pacemaker, Edora Dr-T Mri",4709.25,2354.62,,,0 HCPCS,C1785,"Pacemaker, Etrinsa Dr-T",4036.5,2018.25,,,0 HCPCS,C1785,"Pacemaker,Accolade Dr",11619.95,5809.98,,,0 HCPCS,C1785,"Pacemaker,Accolade Mri Dr",11227.0,5613.5,,,0 HCPCS,C1785,"Pacemaker,Adapta Dr",33442.92,16721.46,,,0 HCPCS,C1785,"Pacemaker,Advisa Dr Mri",11619.95,5809.98,,,0 HCPCS,C1785,"Pacemaker,Assurity Dr",31850.06,15925.03,,,0 HCPCS,C1785,"Pacemaker,Assurity Mri Dr Rf",4709.25,2354.62,,,0 HCPCS,C1785,"Pacemaker,Azure Mri Dr",7700.0,3850.0,,,0 HCPCS,C1785,"Pacemaker,Essentio Dr",31850.06,15925.03,,,0 HCPCS,C1785,"Pacemaker,Verity Adx Xl Dr",11619.95,5809.98,,,0 HCPCS,C1786,"Empower Pacemaker And Delivery, Modular Atp Study",12794.67,6397.34,,,0 HCPCS,C1786,Empower Retrieval Catheter & Components - Modular Atp Study,4165.88,2082.94,,,0 HCPCS,C1786,Pacemaker Aveir Vr Leadless,10764.0,5382.0,,,0 HCPCS,C1786,"Pacemaker, Edora Sr-T Mri",3834.68,1917.34,,,0 HCPCS,C1786,"Pacemaker, Essentio Vr",8023.32,4011.66,,,0 HCPCS,C1786,"Pacemaker,Accolade Mri Vr",8023.32,4011.66,,,0 HCPCS,C1786,"Pacemaker,Accolade Vr",8023.32,4011.66,,,0 HCPCS,C1786,"Pacemaker,Advantio Sr",8914.46,4457.23,,,0 HCPCS,C1786,"Pacemaker,Assurity Mri Sr Rf",3834.68,1917.34,,,0 HCPCS,C1786,"Pacemaker,Assurity Sr",16906.73,8453.36,,,0 HCPCS,C1786,"Pacemaker,Azure Mri Sr",3834.68,1917.34,,,0 HCPCS,C1786,"Pacemaker,Micra Leadless Av",14088.0,7044.0,,,0 HCPCS,C1786,"Pacemaker,Micra Leadless Vr",11605.46,5802.73,,,0 HCPCS,C1787,Noncdm Charge Record Medical Supplies,2745.5,1372.75,,,0 HCPCS,C1788,Bard Cv Power Port 6F Sl Slim,441.95,220.98,,,0 HCPCS,C1788,Bard Powerport Sl Mri 8 Fr,1420.02,710.01,,,0 HCPCS,C1788,Chg - Port Bard 8F Sl Non Power,508.19,254.1,,,0 HCPCS,C1788,Chg-Bard 9.6Fr Powerflow Iv Port,2315.3,1157.65,,,0 HCPCS,C1788,"Chgr-Sp Port, Pwr Duo Mri Chrono, 9.5F",1503.86,751.93,,,0 HCPCS,C1788,Noncdm Charge Record Medical Supplies,1185.885,592.94,,,0 HCPCS,C1788,Port-Bard Mri Mediport,1503.86,751.93,,,0 HCPCS,C1789,Noncdm Charge Record Medical Supplies,2621.25,1310.625,,,0 HCPCS,C1813,Noncdm Charge Record Medical Supplies,18037.135,9018.57,,,0 HCPCS,C1814,Noncdm Charge Record Medical Supplies,2007.07,1003.54,,,0 HCPCS,C1815,Noncdm Charge Record Medical Supplies,24574.85,12287.42,,,0 HCPCS,C1817,Amplatzer Talisman Pfo Occluder,13448.79,6724.4,,,0 HCPCS,C1817,Noncdm Charge Record Medical Supplies,1059.38,529.69,,,0 HCPCS,C1817,"Occluder,Apmplatzer Septal",12881.0,6440.5,,,0 HCPCS,C1820,Noncdm Charge Record Medical Supplies,37855.24,18927.62,,,0 HCPCS,C1821,Noncdm Charge Record Medical Supplies,3800.0,1900.0,,,0 HCPCS,C1822,Noncdm Charge Record Medical Supplies,17598.75,8799.375,,,0 HCPCS,C1825,"Gen, Neuro, Carot Sinus Baro",46575.0,23287.5,,,0 HCPCS,C1826,Noncdm Charge Record Medical Supplies,37905.0,18952.5,,,0 HCPCS,C1830,"Tray,Oncontrol Biops Sys 152Mm",219.42,109.71,,,0 HCPCS,C1874,Biotronik Papyrus Stent,4036.5,2018.25,,,0 HCPCS,C1874,"Chg - Drug Elute Stent,Resolut,Onyx",1650.0,825.0,,,0 HCPCS,C1874,"Chg-Balloon Stent,Lifestream",3222.99,1611.5,,,0 HCPCS,C1874,Chg-Graft Sys Endopros Viatorr Tip,6660.23,3330.12,,,0 HCPCS,C1874,Chgr-Sp Stent Viatorr 10 X 4,9452.66,4726.33,,,0 HCPCS,C1874,Chgr-Sp Stent Viatorr 10 X 5,9452.66,4726.33,,,0 HCPCS,C1874,Chgr-Sp Stent Viatorr 10 X 6,9452.66,4726.33,,,0 HCPCS,C1874,Chgr-Sp Stent Viatorr 10 X 7,9452.66,4726.33,,,0 HCPCS,C1874,Chgr-Sp Stent Viatorr 10 X 8,9452.66,4726.33,,,0 HCPCS,C1874,Chgr-Sp Stent Viatorr 12 X 4,9452.66,4726.33,,,0 HCPCS,C1874,Chgr-Sp Stent Viatorr 12 X 6,9452.66,4726.33,,,0 HCPCS,C1874,Chgr-Sp Stent Viatorr 12 X 8,9452.66,4726.33,,,0 HCPCS,C1874,Chgr-Sp Stent Viatorr 8 X 4,9452.66,4726.33,,,0 HCPCS,C1874,Chgr-Sp Stent Viatorr 8 X 6,9452.66,4726.33,,,0 HCPCS,C1874,Chgr-Stent Viabil Bil Cvrd 10X6,9452.66,4726.33,,,0 HCPCS,C1874,Chgr-Stent Viabil Bil Cvrd 10X8,9452.66,4726.33,,,0 HCPCS,C1874,Chgr-Stent Viabil Cvrd 10X8 W/Hole,9452.66,4726.33,,,0 HCPCS,C1874,Chgr-Stent Viatorr 8X8,9452.66,4726.33,,,0 HCPCS,C1874,Drg Elute Stent Eluvia 40-60Mm,3088.44,1544.22,,,0 HCPCS,C1874,Drg Elute Stnt Eluvia 80-120Mm,3895.74,1947.87,,,0 HCPCS,C1874,"Drug Elut Stent,Resolut,Intgrt",3004.61,1502.3,,,0 HCPCS,C1874,"Drug Eluting Stent, Biotronik",1283.4,641.7,,,0 HCPCS,C1874,"Drug Eluting Stent, Endeavor",9452.66,4726.33,,,0 HCPCS,C1874,"Drug Eluting Stent, Synergy",2741.0,1370.5,,,0 HCPCS,C1874,"Drug Eluting Stent, Vascular",1043.28,521.64,,,0 HCPCS,C1874,"Drug Eluting Stent, Xience",2768.63,1384.32,,,0 HCPCS,C1874,"Drug Eluting Stent,Promus",2405.34,1202.67,,,0 HCPCS,C1874,"Drug Eluting Stent,Zilver Ptx",2415.69,1207.84,,,0 HCPCS,C1874,Noncdm Charge Record Medical Supplies,6550.25,3275.125,,,0 HCPCS,C1874,"Stent,Peripheral Fluency",3944.39,1972.2,,,0 HCPCS,C1874,"Stent,Peripheral I-Cast",3337.88,1668.94,,,0 HCPCS,C1874,"Stent,Peripheral Viabahn",4657.5,2328.75,,,0 HCPCS,C1874,Viabahn Stent 6Mm X 10Cm,3868.83,1934.42,,,0 HCPCS,C1876,Chg - Stent Biliary Wallflex Covered,1874.39,937.2,,,0 HCPCS,C1876,"Chg Stent, Epic Selfexpnd Vas C1876",2587.5,1293.75,,,0 HCPCS,C1876,Chg-Stent Ultra Esophageal,8661.92,4330.96,,,0 HCPCS,C1876,Chg-Stent Wall-Colonic 90Mm,10033.29,5016.64,,,0 HCPCS,C1876,Chgr-Cd Stent Coronary Cordis,4682.34,2341.17,,,0 HCPCS,C1876,"Chgr-Sp Stent Bil Luminexx 14X60, 80 Cm",3615.26,1807.63,,,0 HCPCS,C1876,Chgr-Sp Stent Neuroform 4 X 20,8798.54,4399.27,,,0 HCPCS,C1876,Chgr-Sp Stent Precise 10 X 40 Rx Nitinol,4135.86,2067.93,,,0 HCPCS,C1876,Chgr-Sp Stent Precise 5 X 40 Rx Nitinol,4135.86,2067.93,,,0 HCPCS,C1876,Chgr-Sp Stent Precise 6 X 30 Rx Nitinol,4135.86,2067.93,,,0 HCPCS,C1876,Chgr-Sp Stent Precise 6 X 40 Rx Nitinol,4135.86,2067.93,,,0 HCPCS,C1876,Chgr-Sp Stent Precise 7 X 20 Rx Nitinol,4135.86,2067.93,,,0 HCPCS,C1876,Chgr-Sp Stent Precise 7 X 40 Rx Nitinol,4135.86,2067.93,,,0 HCPCS,C1876,Chgr-Sp Stent Precise 8 X 40 Rx Nitinol,4135.86,2067.93,,,0 HCPCS,C1876,Chgr-Sp Stent Precise 9 X 40 Rx Nitinol,4135.86,2067.93,,,0 HCPCS,C1876,Chgr-Sp Stent Selfexp Smart 14 X 60,3100.86,1550.43,,,0 HCPCS,C1876,Chgr-Sp Stent Smart 10X40 X80 Cm,3445.52,1722.76,,,0 HCPCS,C1876,Chgr-Sp Stent Smart 10X60X80 Cm,3316.14,1658.07,,,0 HCPCS,C1876,Chgr-Sp Stent Smart 12X40 X80 Cm,3100.86,1550.43,,,0 HCPCS,C1876,Chgr-Sp Stent Smart 14X40 X80 Cm,3445.52,1722.76,,,0 HCPCS,C1876,Chgr-Sp Stent Smart 9X30X80 Cm,3445.52,1722.76,,,0 HCPCS,C1876,Chgr-Sp Stent Smart 9X40X80 Cm,3445.52,1722.76,,,0 HCPCS,C1876,Chgr-Sp Stent Smart 9X60X80 Cm,3445.52,1722.76,,,0 HCPCS,C1876,Chgr-Stent 29Mm X 8Mm X 80Cm,3474.5,1737.25,,,0 HCPCS,C1876,Chgr-Stent 39Mm X 8Mm X 80Cm,3648.38,1824.19,,,0 HCPCS,C1876,Chgr-Stent Ave 10 X 24 / 75 Cm,4627.49,2313.74,,,0 HCPCS,C1876,Chgr-Stent Ave 5 X 16 / 75Cm,4627.49,2313.74,,,0 HCPCS,C1876,Chgr-Stent Ave 6 X 16 / 75Cm,4627.49,2313.74,,,0 HCPCS,C1876,Chgr-Stent Ave 7 X 15 / 75Cm,4627.49,2313.74,,,0 HCPCS,C1876,Chgr-Stent Ave 7 X 40 / 75Cm,4627.49,2313.74,,,0 HCPCS,C1876,Chgr-Stent Ave 8 X 26 / 75Cm,4627.49,2313.74,,,0 HCPCS,C1876,Chgr-Stent Ave 8 X 39 / 75Cm,4627.49,2313.74,,,0 HCPCS,C1876,Chgr-Stent Ave 9 X 38 / 75Cm,4627.49,2313.74,,,0 HCPCS,C1876,Chgr-Stent Smart 12X80X80Cm,3824.33,1912.16,,,0 HCPCS,C1876,Chgr-Stent Wall 08 / 40Mm H840,3602.84,1801.42,,,0 HCPCS,C1876,Chgr-Stent Wall 14 / 60Mm B1,3655.62,1827.81,,,0 HCPCS,C1876,Chgr-Stent Wall 16 / 60Mm B1,3624.57,1812.28,,,0 HCPCS,C1876,Chgr-Stent Wall 18 / 60Mm B186,3700.13,1850.06,,,0 HCPCS,C1876,Chgr-Stent Wallstent 12 X 90 / 110 Cm,6047.51,3023.76,,,0 HCPCS,C1876,Chgr-Stent Wallstent 14 X 90 / 110 Cm,5447.21,2723.6,,,0 HCPCS,C1876,Chgr-Stent Wallstent 16 X 90 / 110 Cm,5720.45,2860.22,,,0 HCPCS,C1876,Chgr-Stent Wallstent 7F 10X94X110,3445.52,1722.76,,,0 HCPCS,C1876,"Innova Bm Stent, Boston Sci",1571.13,785.56,,,0 HCPCS,C1876,Noncdm Charge Record Medical Supplies,4275.0,2137.5,,,0 HCPCS,C1876,Protege Everflex 100Mm Stent,1480.05,740.02,,,0 HCPCS,C1876,Smart Stent 6X60X120,874.58,437.29,,,0 HCPCS,C1876,Stent Biliary Endoprosthesis,2540.93,1270.46,,,0 HCPCS,C1876,Stent Coronary Guidant,1987.2,993.6,,,0 HCPCS,C1876,Stent Coronary Medtronic,1571.13,785.56,,,0 HCPCS,C1876,Stent Coronary Scimed,1571.13,785.56,,,0 HCPCS,C1876,Stent Palmaz,1571.13,785.56,,,0 HCPCS,C1876,Stent Periph Herculink Otw Bil,1571.13,785.56,,,0 HCPCS,C1876,Stent Smart 8X40X80 Cm,3445.52,1722.76,,,0 HCPCS,C1876,Stent Wall,5540.36,2770.18,,,0 HCPCS,C1876,"Stent, Tryton Side Branch",1749.15,874.58,,,0 HCPCS,C1876,"Stent,Boston Sci Express Ld",1571.13,785.56,,,0 HCPCS,C1876,"Stent,Boston Sci Express Sd",1571.13,785.56,,,0 HCPCS,C1876,"Stent,Carotid Precise Nitinol",3749.81,1874.9,,,0 HCPCS,C1876,"Stent,Cordis Smart Control",1571.13,785.56,,,0 HCPCS,C1876,"Stent,Epic Selfexpnd Vasc120Mm",4684.41,2342.2,,,0 HCPCS,C1876,"Stent,Formula 414 Rx",4625.42,2312.71,,,0 HCPCS,C1876,"Stent,Herculink Elite 5X18X135",1278.23,639.12,,,0 HCPCS,C1876,"Stent,Herculink Elite 6X15X135",1278.23,639.12,,,0 HCPCS,C1876,"Stent,Zilver Self-Expanding",3270.6,1635.3,,,0 HCPCS,C1876,Tack Endovascular System,2321.51,1160.76,,,0 HCPCS,C1876,Valeo Biliary Stent,1163.34,581.67,,,0 HCPCS,C1877,Chgr-Stent Palmaz 10 Mm P104M,2858.67,1429.34,,,0 HCPCS,C1878,Chg-Impl Stnth Vocal Cord,841.46,420.73,,,0 HCPCS,C1880,Chgr-Filter Greenfield Stnls St,3734.28,1867.14,,,0 HCPCS,C1880,"Chgr-Sp Filter, Celect, Universal",2887.65,1443.82,,,0 HCPCS,C1880,Denali Ivc Filter,1597.01,798.5,,,0 HCPCS,C1880,Filter Optiease Ivc 55Cm,4135.86,2067.93,,,0 HCPCS,C1880,Filter Trapease 90Cm,2639.25,1319.62,,,0 HCPCS,C1880,Filter Vena Tech Lp,2372.22,1186.11,,,0 HCPCS,C1880,"Filter,Celect,Femoral",2887.65,1443.82,,,0 HCPCS,C1880,"Filter,Celect,Jugular",2887.65,1443.82,,,0 HCPCS,C1882,Chg Icd Biv Dfib Momntm,22851.0,11425.5,,,0 HCPCS,C1882,"Chg-Defib, Vigilant Mri Df4, Biv",23400.0,11700.0,,,0 HCPCS,C1882,"Defib, Amplia Mri Df",41216.81,20608.4,,,0 HCPCS,C1882,"Defib, Ilivia Mri Hf-T Qp Df",21424.5,10712.25,,,0 HCPCS,C1882,"Defib,Amplia Mri Quad Df4",41216.81,20608.4,,,0 HCPCS,C1882,"Defib,Claria Mri Quad Df4",24219.0,12109.5,,,0 HCPCS,C1882,"Defib,Dynagen Biv",28300.01,14150.0,,,0 HCPCS,C1882,"Defib,Inogen Biv",90372.06,45186.03,,,0 HCPCS,C1882,"Defib,Quadra Assura Biv",37714.37,18857.18,,,0 HCPCS,C1882,"Defib,Quadra Assura Biv Mp",37714.37,18857.18,,,0 HCPCS,C1882,"Defib,Unify Assura Biv",31714.47,15857.24,,,0 HCPCS,C1882,"Defib,Vivaquad Biv Attainstudy",41216.81,20608.4,,,0 HCPCS,C1882,Icd Biv Defib Cobalt Mri Quad,20528.0,10264.0,,,0 HCPCS,C1882,Icd Biv Entrant Hf Crt-D,16068.38,8034.19,,,0 HCPCS,C1883,"Adapt/Exten,Pacing/Neuro Lead",971.87,485.94,,,0 HCPCS,C1884,Chgr-Sp Filter Wire Embolic Protection,3313.04,1656.52,,,0 HCPCS,C1884,"Chgr-Sp Lc Beads, Red Lbl, 500700 Um",4949.37,2474.68,,,0 HCPCS,C1884,"Chgr-Sp Lc Beads, Yellow Lbl, 100300 Um",4949.37,2474.68,,,0 HCPCS,C1884,Embolic Protection Sys/Angiogu,3969.23,1984.62,,,0 HCPCS,C1884,Noncdm Charge Record Medical Supplies,2850.0,1425.0,,,0 HCPCS,C1884,Spider X Embolic Protection,2656.85,1328.42,,,0 HCPCS,C1885,Catheter Laser 1.4 Concentric,3561.0,1780.5,,,0 HCPCS,C1885,Laser Catheter,4096.53,2048.26,,,0 HCPCS,C1886,"Catheter, Microwave Ablation",2598.89,1299.44,,,0 HCPCS,C1886,Chg Osteocool Bone Access Kit 10G,505.08,252.54,,,0 HCPCS,C1886,Chg-Osteocool Fra Probe,4648.19,2324.1,,,0 HCPCS,C1886,Neuwave Ablation Probe,2556.45,1278.22,,,0 HCPCS,C1886,Noncdm Charge Record Medical Supplies,3629.0,1814.5,,,0 HCPCS,C1887,Cath Agilis Hispro7.4F Bundled,1785.38,892.69,,,0 HCPCS,C1887,Catheter Guide Cordis,275.0,137.5,,,0 HCPCS,C1887,Catheter Guide Ext Trapliner,946.0,473.0,,,0 HCPCS,C1887,Catheter Guide Extension,786.0,393.0,,,0 HCPCS,C1887,Catheter Guide Guidant,262.89,131.44,,,0 HCPCS,C1887,Catheter Guide Medtronic,168.0,84.0,,,0 HCPCS,C1887,Catheter Guide Scimed,170.0,85.0,,,0 HCPCS,C1887,Catheter His Bundle Medtronic,641.7,320.85,,,0 HCPCS,C1887,Catheter His Pacing Boston Sci,562.01,281.0,,,0 HCPCS,C1887,"Catheter, Enteer",2953.89,1476.94,,,0 HCPCS,C1887,"Catheter, Penumbra Cat 12",8106.12,4053.06,,,0 HCPCS,C1887,"Catheter, Roxwood Anchor",1250.28,625.14,,,0 HCPCS,C1887,"Catheter, Viance",2003.76,1001.88,,,0 HCPCS,C1887,"Catheter,Acuity Pro",3114.0,1557.0,,,0 HCPCS,C1887,"Catheter,Aim Cann",954.27,477.14,,,0 HCPCS,C1887,"Catheter,Cxi",331.2,165.6,,,0 HCPCS,C1887,"Catheter,Diag Attain Deflectab",115.0,57.5,,,0 HCPCS,C1887,"Catheter,Diag Attain Left Hear",115.0,57.5,,,0 HCPCS,C1887,"Catheter,Diag Attain Steerable",550.0,275.0,,,0 HCPCS,C1887,"Catheter,Glidecath Terumo",119.03,59.52,,,0 HCPCS,C1887,"Catheter,Langston",363.29,181.64,,,0 HCPCS,C1887,"Catheter,Micro Asahi Corsair",800.0,400.0,,,0 HCPCS,C1887,"Catheter,Quick Cross",598.23,299.12,,,0 HCPCS,C1887,"Catheter,Renegade",772.11,386.06,,,0 HCPCS,C1887,"Catheter,Venture",1938.56,969.28,,,0 HCPCS,C1887,Chg - Cath Lantern,1112.63,556.32,,,0 HCPCS,C1887,Chg - Catheter Bs 5Fr,78.66,39.33,,,0 HCPCS,C1887,Chg - Guide Surefire,464.72,232.36,,,0 HCPCS,C1887,"Chg-Cath, Phenom Dis Access",1453.14,726.57,,,0 HCPCS,C1887,Chg-Needle Gore Tips Guiding Cath,316.71,158.36,,,0 HCPCS,C1887,Chg-Set Gore Tips Shunt Liver Acc,639.63,319.82,,,0 HCPCS,C1887,Chgr Guide Navien Rfx072-105-08Mp,1831.95,915.98,,,0 HCPCS,C1887,"Chgr- Sp Microcath,Progreat, 2.4Fx110",673.79,336.9,,,0 HCPCS,C1887,Chgr-Cath Glide 100Cm Angle/Taper,292.91,146.46,,,0 HCPCS,C1887,Chgr-Cath Glide 65 Cm C3 5Fr,292.91,146.46,,,0 HCPCS,C1887,Chgr-Cath Guide Crossover Ii,565.11,282.56,,,0 HCPCS,C1887,"Chgr-Cath Guide Envoy,670-258-00",608.58,304.29,,,0 HCPCS,C1887,Chgr-Cath Guide Hockey,484.38,242.19,,,0 HCPCS,C1887,Chgr-Cath Guide Mani,771.08,385.54,,,0 HCPCS,C1887,Chgr-Cath Renegade Hi-Flow 135X10,1630.13,815.06,,,0 HCPCS,C1887,"Chgr-Catheter, Penumbra Cat 6",2250.09,1125.04,,,0 HCPCS,C1887,"Chgr-Catheter, Penumbra Cat 8",3440.34,1720.17,,,0 HCPCS,C1887,"Chgr-Catheter,Penumbra Cat 3",1384.83,692.42,,,0 HCPCS,C1887,"Chgr-Cd Catheter, Aqua Tempo Cordis",141.8,70.9,,,0 HCPCS,C1887,Chgr-Coil Micro 1.0,358.11,179.06,,,0 HCPCS,C1887,Chgr-Microcath Penumbra Pxslim130,1729.49,864.74,,,0 HCPCS,C1887,"Chgr-Microcath,Progreat,2.4Fx130",673.79,336.9,,,0 HCPCS,C1887,"Chgr-Sp Microcath,Progreat,2.8Fx110",1139.54,569.77,,,0 HCPCS,C1887,"Chgr-Sp Microcath,Progreat,2.8Fx130",1139.54,569.77,,,0 HCPCS,C1887,Microcatheter Mamba,874.58,437.29,,,0 HCPCS,C1887,Noncdm Charge Record Medical Supplies,479.54999999999995,239.77499999999998,,,0 HCPCS,C1887,Penumbra Benchmark 071 System,2379.47,1189.74,,,0 HCPCS,C1887,Ptca Guiding Catheter,115.0,57.5,,,0 HCPCS,C1887,Rosen 35-180Cm,98.33,49.16,,,0 HCPCS,C1887,Sheath Destination,334.31,167.16,,,0 HCPCS,C1887,Sheath Gore Tips Introducer,424.35,212.18,,,0 HCPCS,C1887,"Sheath,Pinnacle Terumo",115.0,57.5,,,0 HCPCS,C1888,"Ablation Probe 17 Ga, 15 Cm",2664.09,1332.04,,,0 HCPCS,C1888,"Catheter,Ablation,Non-Cardia",527.85,263.92,,,0 HCPCS,C1889,Farapoint - Pfa Point Catheter Study,3868.83,1934.42,,,0 HCPCS,C1889,"Impede, 10 Mm",1428.3,714.15,,,0 HCPCS,C1889,"Impede, 5 Mm",1428.3,714.15,,,0 HCPCS,C1889,"Impede, 7 Mm",1428.3,714.15,,,0 HCPCS,C1889,Impede-Fx 12 31-50,14878.13,7439.06,,,0 HCPCS,C1889,Impede-Fx 12 71-90,20829.38,10414.69,,,0 HCPCS,C1889,"Impede-Fx, 6 Mm",1369.31,684.66,,,0 HCPCS,C1889,"Impede-Fx, 8 Mm",1369.31,684.66,,,0 HCPCS,C1889,Impede-Fx-12 111-130,26780.63,13390.32,,,0 HCPCS,C1889,Impede-Fx-12 131-150,29756.25,14878.12,,,0 HCPCS,C1889,Impede-Fx-12 151-170,32731.88,16365.94,,,0 HCPCS,C1889,Impede-Fx-12 171-190,35707.5,17853.75,,,0 HCPCS,C1889,Impede-Fx-12 51-70,17853.75,8926.88,,,0 HCPCS,C1889,Impede-Fx-12 9-30,11902.5,5951.25,,,0 HCPCS,C1889,Impede-Fx-12 91-110,23805.0,11902.5,,,0 HCPCS,C1889,Noncdm Charge Record Medical Supplies,2658.1,1329.05,,,0 HCPCS,C1889,Sentinel Cerebral Protection System,4761.0,2380.5,,,0 HCPCS,C1892,"Chg-Sheath, Optiseal Peelable",47.0,23.5,,,0 HCPCS,C1892,Chgr-Sheath Peelaway 16Fr,263.93,131.96,,,0 HCPCS,C1892,"Guide,Crnrysinus Worley Advncd",576.5,288.25,,,0 HCPCS,C1892,Noncdm Charge Record Medical Supplies,140.16,70.08,,,0 HCPCS,C1892,Safe Sheath,62.0,31.0,,,0 HCPCS,C1892,Sealing Adaptor,192.0,96.0,,,0 HCPCS,C1893,Catheter Pacing Selectra 3D,312.0,156.0,,,0 HCPCS,C1893,"Catheter,Direct Sl",1320.0,660.0,,,0 HCPCS,C1893,Chgr-Cd Cook Byrd Dilator Sheath,364.32,182.16,,,0 HCPCS,C1893,Mullins Sheath,332.24,166.12,,,0 HCPCS,C1893,Noncdm Charge Record Medical Supplies,175.695,87.85,,,0 HCPCS,C1893,"Sheath,Lateral Vein Worley",691.38,345.69,,,0 HCPCS,C1893,"Sheath,Trans Intro 406805/901",491.63,245.82,,,0 HCPCS,C1893,"Sheath,Trns Intro",491.63,245.82,,,0 HCPCS,C1893,"Sheath,Visi Dilator",441.95,220.98,,,0 HCPCS,C1894,Ansel Sheath 5F X 55 Cm,108.68,54.34,,,0 HCPCS,C1894,Ansel Sheath 6F X 45 Cm,110.75,55.38,,,0 HCPCS,C1894,Avanti Sheath,96.0,48.0,,,0 HCPCS,C1894,Brite Sheath,175.95,87.98,,,0 HCPCS,C1894,Chg - Glidesheath Terumo 6Fr Radial,112.82,56.41,,,0 HCPCS,C1894,Chgr-Cope Catheter Introducer,367.43,183.72,,,0 HCPCS,C1894,Chgr-Sheath Peelaway 14Fr,276.35,138.18,,,0 HCPCS,C1894,"Chgr-Sheath,Attain 6216",198.72,99.36,,,0 HCPCS,C1894,"Chgr-Sp Introducer Sys, Vena Tech Lp",486.45,243.22,,,0 HCPCS,C1894,"Glidesheath,Radial 5F Nitinol",200.79,100.4,,,0 HCPCS,C1894,"Glidesheath,Radial 5F Sskit 25",175.0,87.5,,,0 HCPCS,C1894,"Glidesheath,Radial 6F Nitinol",194.0,97.0,,,0 HCPCS,C1894,"Glidesheath,Radial 6F Sskit 25",200.79,100.4,,,0 HCPCS,C1894,Gore Dryseal Sheath 12F-16F,462.0,231.0,,,0 HCPCS,C1894,Hemaquet Standard,140.0,70.0,,,0 HCPCS,C1894,Hydrophyllic Prelude Snap,54.86,27.43,,,0 HCPCS,C1894,Introducer Dilator Aveir,269.1,134.55,,,0 HCPCS,C1894,Introducer Set Perc,349.83,174.92,,,0 HCPCS,C1894,"Introducer,Micra Sheath",819.0,409.5,,,0 HCPCS,C1894,Mini Access Kit,121.1,60.55,,,0 HCPCS,C1894,Noncdm Charge Record Medical Supplies,317.49,158.74,,,0 HCPCS,C1894,Penumbra 6F Neuronmax Straight,1184.04,592.02,,,0 HCPCS,C1894,Pressure Sensing Sheath Kit 6F,1203.71,601.86,,,0 HCPCS,C1894,Pressure Sensing Sheath Kit 8F,1283.4,641.7,,,0 HCPCS,C1894,Sheath Large 9 10 11 12 14 F,217.0,108.5,,,0 HCPCS,C1894,"Sheath,Micropuncture Cook",183.0,91.5,,,0 HCPCS,C1894,"Sheath,Raabe Cook",189.41,94.7,,,0 HCPCS,C1895,"Lead, Defib Plexa Mri Df1",4036.5,2018.25,,,0 HCPCS,C1895,"Lead,Defib Durata/Optisure",8364.0,4182.0,,,0 HCPCS,C1895,"Lead,Defib Endotak Endur Ez",9739.35,4869.68,,,0 HCPCS,C1895,"Lead,Defib Protego Sd",31418.46,15709.23,,,0 HCPCS,C1895,"Lead,Defib Sprint 6947",43152.26,21576.13,,,0 HCPCS,C1895,"Lead,Mdl285-286Endotakreliance",3064.64,1532.32,,,0 HCPCS,C1895,"Lead,Mdl295-296Endotakreliance",3064.64,1532.32,,,0 HCPCS,C1896,"Lead,Defib,Subcutaneous,Rv",7970.0,3985.0,,,0 HCPCS,C1897,"Lead,Neurostim Test Kit",4288.01,2144.0,,,0 HCPCS,C1897,Noncdm Charge Record Medical Supplies,1300.0,650.0,,,0 HCPCS,C1898,"Chgr-Cd Lead, Pacemaker Tendril Dx",4025.12,2012.56,,,0 HCPCS,C1898,"Lead, Pacemaker Tendril Mri",524.75,262.38,,,0 HCPCS,C1898,"Lead,Pacemaker Capsure",1418.0,709.0,,,0 HCPCS,C1898,"Lead,Pacemaker Capsure Fix",4025.12,2012.56,,,0 HCPCS,C1898,"Lead,Pacemaker Capsurefix Novu",1595.0,797.5,,,0 HCPCS,C1898,"Lead,Pacemaker Dextrus",1540.08,770.04,,,0 HCPCS,C1898,"Lead,Pacemaker Fineline",1880.6,940.3,,,0 HCPCS,C1898,"Lead,Pacemaker Fineline Ii Ez",2492.28,1246.14,,,0 HCPCS,C1898,"Lead,Pacemaker Fineline Ii Ste",1917.86,958.93,,,0 HCPCS,C1898,"Lead,Pacemaker Ingevity Mri",1418.0,709.0,,,0 HCPCS,C1898,"Lead,Pacemaker Isoflex",4025.12,2012.56,,,0 HCPCS,C1898,"Lead,Pacemaker Medtronic 6931",1834.02,917.01,,,0 HCPCS,C1898,"Lead,Pacemaker Myocardial",4025.12,2012.56,,,0 HCPCS,C1898,"Lead,Pacemaker Selox",1063.0,531.5,,,0 HCPCS,C1898,"Lead,Pacemaker Surefix",1834.02,917.01,,,0 HCPCS,C1898,"Lead,Pacemaker Tendril Sdx",1834.02,917.01,,,0 HCPCS,C1898,"Lead,Pacemaker Tendril St",1338.0,669.0,,,0 HCPCS,C1898,"Lead,Pacemakr Capsure Sp Novus",4226.94,2113.47,,,0 HCPCS,C1900,Lead Lv Attain Stability Quad,6360.0,3180.0,,,0 HCPCS,C1900,"Lead, Defib Crt Lv Acuity",4449.0,2224.5,,,0 HCPCS,C1900,"Lead,Attain Prforma Quadripolr",5589.0,2794.5,,,0 HCPCS,C1900,"Lead,Cs Attain Starfix",8479.76,4239.88,,,0 HCPCS,C1900,"Lead,Cs Quickflex",5498.96,2749.48,,,0 HCPCS,C1900,"Lead,Defib,Quartet,Quad Mp",5499.99,2750.0,,,0 HCPCS,C1900,"Lead,Defib,Quartet,Quadripolar",5499.99,2750.0,,,0 HCPCS,C1900,"Lead,Defib,Sentus Quadripolar",2489.18,1244.59,,,0 HCPCS,C1900,"Lead,Pacemaker Acuity",8479.76,4239.88,,,0 HCPCS,C2596,Noncdm Charge Record Medical Supplies,4750.0,2375.0,,,0 HCPCS,C2596,"Probe, Robotic, Water-Jet",2975.63,1487.82,,,0 HCPCS,C2613,Chg Sealant Tract Lung Bx,489.0,244.5,,,0 HCPCS,C2615,Noncdm Charge Record Medical Supplies,2191.84,1095.92,,,0 HCPCS,C2616,Brachytherapy Seed Yttrium-90,17077.5,8538.75,,,0 HCPCS,C2616,"Brachytx, non-str,Yttrium-90",,,18126.43,62881.55,7 HCPCS,C2616,Theraspheres Yttrium-90,75431.0,37715.5,,,0 HCPCS,C2617,Cath Neph/Uret Stent 8/22,607.55,303.78,,,0 HCPCS,C2617,Cath Neph/Uret Stent 8/24,364.32,182.16,,,0 HCPCS,C2617,Chgr-Cath Neph / Uret Stent 8/26,488.52,244.26,,,0 HCPCS,C2617,Chgr-Cath Ureteral Stent 8/20,607.55,303.78,,,0 HCPCS,C2617,Chgr-Cath Ureteral Stent 8/22,607.55,303.78,,,0 HCPCS,C2617,Chgr-Cath Ureteral Stent 8/24,607.55,303.78,,,0 HCPCS,C2617,Chgr-Cath Ureteral Stent 8/26,607.55,303.78,,,0 HCPCS,C2617,"Chgr-Sp Cath, Ureteral Stent Inlay 6X24",388.13,194.06,,,0 HCPCS,C2617,"Chgr-Sp Cath, Ureteral Stent Inlay 6X26",646.88,323.44,,,0 HCPCS,C2617,"Chgr-Stent,Biliary,Luer Lock,14F",233.91,116.96,,,0 HCPCS,C2617,Noncdm Charge Record Medical Supplies,473.8,236.9,,,0 HCPCS,C2618,Chgr-Probe Percryo 2.4Mm,2075.18,1037.59,,,0 HCPCS,C2618,Ice Cryoablation Needle,1488.33,744.16,,,0 HCPCS,C2618,Noncdm Charge Record Medical Supplies,2005.6,1002.8,,,0 HCPCS,C2618,Probe Percryo 1.7Mm,2075.18,1037.59,,,0 HCPCS,C2618,"Probe/Needle, Cryo",1444.86,722.43,,,0 HCPCS,C2621,"Chg-Pacemaker, Visionist Mri Crt-P",7670.0,3835.0,,,0 HCPCS,C2621,"Pacemaker, Edora Mri Crt-P",8745.75,4372.88,,,0 HCPCS,C2621,"Pacemaker, Etrinsa, Biv",21797.1,10898.55,,,0 HCPCS,C2621,"Pacemaker, Percepta Crt-P",8745.75,4372.88,,,0 HCPCS,C2621,"Pacemaker,Allure Biv",17785.44,8892.72,,,0 HCPCS,C2621,"Pacemaker,Allure Biv Multipace",14550.03,7275.02,,,0 HCPCS,C2621,"Pacemaker,Consulta Biv",21797.1,10898.55,,,0 HCPCS,C2621,"Pacemaker,Syncra-Bi-V",21797.1,10898.55,,,0 HCPCS,C2621,"Pacemaker,Valitude Biv",17437.68,8718.84,,,0 HCPCS,C2623,"Balloon,Drug Eluting Peripherl",1789.52,894.76,,,0 HCPCS,C2623,"Balloon,Drug Peripherl 150Mm",2374.29,1187.14,,,0 HCPCS,C2623,Lutonix Drug Eluting Balloon,3347.19,1673.6,,,0 HCPCS,C2624,"Implant,Cardiomems Hf System",25350.0,12675.0,,,0 HCPCS,C2625,Chg-Stent Periph Wallchg-Stent,3627.68,1813.84,,,0 HCPCS,C2625,Noncdm Charge Record Medical Supplies,395.165,197.58,,,0 HCPCS,C2626,Noncdm Charge Record Medical Supplies,793.635,396.82,,,0 HCPCS,C2627,Cath Suprapubic/Cystoscopic,804.2,402.1,,,0 HCPCS,C2627,"Chgr-Dilator,Fascial/Ureth,8-24X37",610.65,305.32,,,0 HCPCS,C2627,"Chgr-Tube,Feed,Transgast-Jeju,18X22",113.85,56.92,,,0 HCPCS,C2627,"Chgr-Tube,Feed,Transgast-Jeju,18X45",113.85,56.92,,,0 HCPCS,C2627,"Chgr-Tube,Feed,Transgast-Jeju,22X45",588.92,294.46,,,0 HCPCS,C2627,Noncdm Charge Record Medical Supplies,295.23,147.62,,,0 HCPCS,C2628,Bridge Occlusion Balloon,1364.13,682.06,,,0 HCPCS,C2628,Noncdm Charge Record Medical Supplies,1471.6,735.8,,,0 HCPCS,C2629,Noncdm Charge Record Medical Supplies,5690.5,2845.25,,,0 HCPCS,C2629,"Sheath,Laser",4996.98,2498.49,,,0 HCPCS,C2630,"Catheter,Ablation Flex St Jude",3113.0,1556.5,,,0 HCPCS,C2630,"Catheter,Smart Touch",5852.93,2926.46,,,0 HCPCS,C2630,"Catheter,Tacticath",3280.95,1640.48,,,0 HCPCS,C2630,"Catheter,Thermacool",3098.79,1549.4,,,0 HCPCS,C2631,Noncdm Charge Record Medical Supplies,1739.795,869.895,,,0 HCPCS,C2638,"Brachytx Seed Strnd,Iodine-125",187.34,93.67,,,0 HCPCS,C2639,"Brachytx Seed Nonstd,Iodin-125",133.52,66.76,,,0 HCPCS,C2640,"Brachytx Seed Strnd,Pallad-103",214.25,107.12,,,0 HCPCS,C2641,"Brachytx Seed,Nonstd,Palld-103",207.0,103.5,,,0 HCPCS,C2641,"Brachytx, non-stranded,P-103",,,65.77,228.16,7 HCPCS,C2642,Brachytx Seed Stranded Ces-131,421.25,210.62,,,0 HCPCS,C2643,Brachytx Seed Nonstrd Ces-131,421.25,210.62,,,0 HCPCS,C5271,Lc Sksub T/A/L-1St 24Sqcm-Proc,2261.0,1130.5,,,0 HCPCS,C5271,Low cost skin substitute app,,,2375.0,2633.0,2 HCPCS,C5272,Lc Sksub T/A/L-Add 25Sqcm-Proc,1136.0,568.0,,,0 HCPCS,C5272,Low cost skin substitute app,,,2375.0,2633.0,2 HCPCS,C5273,Low cost skin substitute app,,,5226.0,5790.0,2 HCPCS,C5274,Low cost skin substitute app,,,2375.0,2633.0,2 HCPCS,C5275,C5275 Low Cost Skin Subsit App,2024.0,1012.0,,,0 HCPCS,C5275,Lc Sksub F/N/Hf-1St 25Sqc-Proc,2024.0,1012.0,,,0 HCPCS,C5275,Low cost skin substitute app,,,2375.0,2633.0,2 HCPCS,C5276,Low cost skin substitute app,,,2375.0,2633.0,2 HCPCS,C5277,Low cost skin substitute app,,,2375.0,2633.0,2 HCPCS,C5278,Low cost skin substitute app,,,2375.0,2633.0,2 HCPCS,C7500,Deb bone 20 cm2 w/drug dev,,,5226.0,5790.0,2 HCPCS,C7501,Perc bx breast lesions stero,,,5226.0,5790.0,2 HCPCS,C7502,Perc bx breast lesions mr,,,5226.0,5790.0,2 HCPCS,C7503,Open exc cerv node(s) w/ id,,,5226.0,5790.0,2 HCPCS,C7504,Perq cvt&ls inj vert bodies,,,5226.0,5790.0,2 HCPCS,C7505,Perq ls&cvt inj vert bodies,,,5226.0,5790.0,2 HCPCS,C7506,Fusion of finger joints,,,5226.0,5790.0,2 HCPCS,C7507,Perq thor&lumb vert aug,,,5226.0,5790.0,2 HCPCS,C7508,Perq lumb&thor vert aug,,,5226.0,5790.0,2 HCPCS,C7509,Dx bronch w/ navigation,,,5226.0,5790.0,2 HCPCS,C7510,Bronch/lavag w/ navigation,,,5226.0,5790.0,2 HCPCS,C7511,Bronch/bpsy(s) w/ navigation,,,5226.0,5790.0,2 HCPCS,C7512,Bronch/bpsy(s) w/ ebus,,,5226.0,5790.0,2 HCPCS,C7513,Cath/angio dialcir w/aplasty,,,5226.0,5790.0,2 HCPCS,C7514,Cath/angio dial cir w/stents,,,5226.0,5790.0,2 HCPCS,C7515,Cath/angio dial cir w/embol,,,5226.0,5790.0,2 HCPCS,C7516,Cor angio w/ ivus or oct,,,5226.0,5790.0,2 HCPCS,C7517,Cor angio w/ilic/fem angio,,,5226.0,5790.0,2 HCPCS,C7518,Cor/gft angio w/ ivus or oct,,,5226.0,5790.0,2 HCPCS,C7519,Cor/gft angio w/ flow resrv,,,5226.0,5790.0,2 HCPCS,C7520,Cor/gft angio w/ilic/fem ang,,,5226.0,5790.0,2 HCPCS,C7521,R hrt angio w/ ivus or oct,,,5226.0,5790.0,2 HCPCS,C7522,R hrt angio w/flow resrv,,,5226.0,5790.0,2 HCPCS,C7523,L hrt angio w/ ivus or oct,,,5226.0,5790.0,2 HCPCS,C7524,L hrt angio w/flow resrv,,,5226.0,5790.0,2 HCPCS,C7525,L hrt gft ang w/ ivus or oct,,,5226.0,5790.0,2 HCPCS,C7526,L hrt gft ang w/flow resrv,,,5226.0,5790.0,2 HCPCS,C7527,R&l hrt angio w/ ivus or oct,,,5226.0,5790.0,2 HCPCS,C7528,R&l hrt angio w/flow resrv,,,5226.0,5790.0,2 HCPCS,C7529,R&l hrt gft ang w/flow resrv,,,5226.0,5790.0,2 HCPCS,C7530,Cath/aplasty dial cir w/stnt,,,5226.0,5790.0,2 HCPCS,C7531,Angio fem/pop w/ us,,,5226.0,5790.0,2 HCPCS,C7532,Angio w/ us non-coronary,,,5226.0,5790.0,2 HCPCS,C7533,Ptca w/ plcmt brachytx dev,,,5226.0,5790.0,2 HCPCS,C7534,Fem/pop revasc w/arthr & us,,,5226.0,5790.0,2 HCPCS,C7535,Fem/pop revasc w/stent & us,,,5226.0,5790.0,2 HCPCS,C7537,Insrt atril pm w/l vent lead,,,5226.0,5790.0,2 HCPCS,C7538,Insrt vent pm w/l vent lead,,,5226.0,5790.0,2 HCPCS,C7539,Insrt a & v pm w/l vent lead,,,5226.0,5790.0,2 HCPCS,C7540,Rmv&rplc pm dul w/l vnt lead,,,5226.0,5790.0,2 HCPCS,C7541,Ercp w/ pancreatoscopy,,,5226.0,5790.0,2 HCPCS,C7542,Ercp w/bx & pancreatoscopy,,,5226.0,5790.0,2 HCPCS,C7543,"Ercp w/otomy, pancreatoscopy",,,5226.0,5790.0,2 HCPCS,C7544,Ercp rmv calc pancreatoscopy,,,5226.0,5790.0,2 HCPCS,C7545,Exch bil cath w/ rmv calculi,,,5226.0,5790.0,2 HCPCS,C7546,Rep nph/urt cath w/dil stric,,,5226.0,5790.0,2 HCPCS,C7547,Cnvrt neph cath w/ dil stric,,,5226.0,5790.0,2 HCPCS,C7548,Exch neph cath w/ dil stric,,,5226.0,5790.0,2 HCPCS,C7549,Chge urtr stent w/ dil stric,,,5226.0,5790.0,2 HCPCS,C7550,Cysto w/ bx(s) w/ blue light,,,5226.0,5790.0,2 HCPCS,C7551,Exc neuroma w/ implnt nv end,,,5226.0,5790.0,2 HCPCS,C7552,R hrt art/grft ang hrt flow,,,5226.0,5790.0,2 HCPCS,C7553,R&l hrt art/vent ang drg ad,,,5226.0,5790.0,2 HCPCS,C7554,Cystureth blu li cyst fl img,,,5226.0,5790.0,2 HCPCS,C7555,Rmvl thyrd w/autotran parath,,,5226.0,5790.0,2 HCPCS,C7557,Cor angio/vent w/ffr,,,5226.0,5790.0,2 HCPCS,C7560,Ercp remove forgn body&endo,,,5226.0,5790.0,2 HCPCS,C7562,R&l hrt angio w/ffr & 3d map,,,5226.0,5790.0,2 HCPCS,C7563,Trluml ballo angiop all art,,,5226.0,5790.0,2 HCPCS,C7564,Vein mech throm w/intrvas us,,,5226.0,5790.0,2 HCPCS,C7565,Rpr aa hrn < 3 rdc w/ rmvl,,,5226.0,5790.0,2 HCPCS,C7900,"Hopd mntl hlt, 15-29 min",,,37.29,129.36,7 HCPCS,C7903,"Hopd mntl hlt, grp",,,37.29,129.36,7 HCPCS,C8001,3d anat seg imaging preop,,,128.06,444.23,7 HCPCS,C8003,Imp extar knee shck absrb,,,17449.63,60533.69,9 HCPCS,C8004,Sim ang w/prs cath rad emb,,,11488.76,39855.12,7 HCPCS,C8006,Inst pleu-perit shnt w pump,,,6442.74,22350.2,7 HCPCS,C8900,Chgr-Mr Mra Abdomen W / Contrast,4876.0,2438.0,,,0 HCPCS,C8900,"Mra w/cont, abd",,,347.2,7211.2,11 HCPCS,C8901,Chgr-Mr Mra Abdomen W / O Contrast,4243.0,2121.5,,,0 HCPCS,C8901,"Mra w/o cont, abd",,,237.46,5369.86,11 HCPCS,C8902,Chgr-Mr Mra Abdomen W / Wo Contrast,5610.0,2805.0,,,0 HCPCS,C8902,"Mra w/o fol w/cont, abd",,,347.2,8716.76,11 HCPCS,C8903,Chgr-Mr Breast Lt Birad W / Contrast,6057.0,3028.5,,,0 HCPCS,C8903,"Mri w/cont, breast, uni",,,174.56,7211.2,11 HCPCS,C8904,"Mri w/o cont, breast, uni",,,1081.0,5369.86,4 HCPCS,C8905,Mri Breast C-+ W/Cad Uni,6396.0,3198.0,,,0 HCPCS,C8905,"Mri w/o fol w/cont, brst, un",,,347.2,8716.76,11 HCPCS,C8906,Chgr-Mr Breast Bilat W/ Contrast,6766.0,3383.0,,,0 HCPCS,C8906,"Mri w/cont, breast, bi",,,347.2,7211.2,11 HCPCS,C8907,"Mri w/o cont, breast, bi",,,1353.0,5369.86,4 HCPCS,C8908,Mri Breast C-+ W/Cad Bi,7104.0,3552.0,,,0 HCPCS,C8908,"Mri w/o fol w/cont, breast,",,,347.2,8716.76,11 HCPCS,C8909,Chgr-Mr Mra Chest W / Contrast,3719.0,1859.5,,,0 HCPCS,C8909,"MRA w/cont, chest",,,347.2,7211.2,11 HCPCS,C8910,Chgr-Mr Mra Chest W / O Contrast,3234.0,1617.0,,,0 HCPCS,C8910,"MRA w/o cont, chest",,,237.46,5369.86,11 HCPCS,C8911,Chgr-Mr Mra Chest W / Wo Contrast,4277.0,2138.5,,,0 HCPCS,C8911,"MRA w/o fol w/cont, chest",,,347.2,8716.76,11 HCPCS,C8912,Chgr-Mr Mra Lower Ext Bilat W / Contrast,4830.0,2415.0,,,0 HCPCS,C8912,"Mra w/cont, lwr ext",,,347.2,7211.2,11 HCPCS,C8913,"Mra w/o cont, lwr ext",,,237.46,5369.86,11 HCPCS,C8914,Chgr-Mr Mra Lower Ext Bilat W / Wo Contrast,5554.0,2777.0,,,0 HCPCS,C8914,"Mra w/o fol w/cont, lwr ext",,,347.2,8716.76,11 HCPCS,C8918,Chgr-Mr Mra Pelvis W / Contrast,4600.0,2300.0,,,0 HCPCS,C8918,"MRA w/cont, pelvis",,,347.2,7211.2,11 HCPCS,C8919,Chgr-Mr Mra Pelvis W / O Contrast,4202.0,2101.0,,,0 HCPCS,C8919,"MRA w/o cont, pelvis",,,237.46,5369.86,11 HCPCS,C8920,Chgr-Mr Mra Pelvis W / Wo Contrast,5554.0,2777.0,,,0 HCPCS,C8920,"Mra w/o fol w/cont, pelvis",,,347.2,8716.76,11 HCPCS,C8921,"Tte w or w/o fol w/cont, com",,,780.16,2706.41,7 HCPCS,C8922,"Tte w or w/o fol w/cont, f/u",,,780.16,2706.41,7 HCPCS,C8923,"2d tte w or w/o fol w/con,co",,,780.16,2706.41,7 HCPCS,C8924,"2d tte w or w/o fol w/con,fu",,,347.2,1204.45,7 HCPCS,C8924,Echo Limited Study W Contrast,2381.0,1190.5,,,0 HCPCS,C8925,"2d tee w or w/o fol w/con,in",,,780.16,2706.41,7 HCPCS,C8925,Transesoph Echo W Contrast,4086.0,2043.0,,,0 HCPCS,C8926,"Tee w or w/o fol w/cont,cong",,,780.16,2706.41,7 HCPCS,C8927,"TEE w or w/o fol w/cont, mon",,,780.16,2706.41,7 HCPCS,C8928,Chgr-Cn Pharmacologic Stress W / Contrast,3832.0,1916.0,,,0 HCPCS,C8928,Exercise Stress Echo Wcontrast,3832.0,1916.0,,,0 HCPCS,C8928,"Tte w or w/o fol w/con,stres",,,780.16,2706.41,10 HCPCS,C8929,Chgr-Cn Echocardiogram Comp W / Contrast,3688.0,1844.0,,,0 HCPCS,C8929,"TTE w or wo fol wcon,Doppler",,,780.16,2706.41,10 HCPCS,C8930,"TTE w or w/o contr, cont ECG",,,780.16,2706.41,7 HCPCS,C8931,"MRA, w/dye, spinal canal",,,347.2,7211.2,11 HCPCS,C8932,"MRA, w/o dye, spinal canal",,,237.46,5369.86,11 HCPCS,C8933,"MRA, w/o&w/dye, spinal canal",,,347.2,8716.76,11 HCPCS,C8933,Mra W/O&W/Dye Spinal Canal,4484.0,2242.0,,,0 HCPCS,C8934,"MRA, w/dye, upper extremity",,,347.2,7211.2,11 HCPCS,C8935,"MRA, w/o dye, upper extr",,,237.46,5369.86,11 HCPCS,C8936,"MRA, w/o&w/dye, upper extr",,,347.2,8716.76,11 HCPCS,C8936,Mra Upper Extremity W/Wo Cont,4484.0,2242.0,,,0 HCPCS,C8937,Cad Breast Mri,323.0,161.5,,,0 HCPCS,C8957,Chg Cadd Non-Chemo Infusion,973.0,486.5,,,0 HCPCS,C8957,"Prolonged iv inf, req pump",,,211.68,734.33,7 HCPCS,C9067,Gallium ga-68 dotatoc,,,3.68,14.34,10 HCPCS,C9088,"Instill, bupivac and meloxic",,,2.58,2.87,3 HCPCS,C9089,"Bupivacaine implant, 1 mg",,,8.4,9.35,3 HCPCS,C9101,"Inj, oliceridine 0.1 mg",,,4.13,4.6,3 HCPCS,C9144,"Inj, bupivacaine (posimir)",,,1.62,1.81,3 HCPCS,C9145,"Inj, aponvie, 1 mg",,,1.95,6.8,10 HCPCS,C9174,"Datopotamab deruxtecan, 1 mg",,,160.21,178.35,3 HCPCS,C9175,"Inj, treosulfan, 50 mg",,,99.92,111.23,3 HCPCS,C9248,"Inj, clevidipine butyrate",,,9.16,10.2,3 HCPCS,C9250,Artiss fibrin sealant,,,144.73,502.93,10 HCPCS,C9257,Bevacizumab injection,,,1.87,6.48,10 HCPCS,C9356,Noncdm Charge Record Medical Supplies,102.22999999999999,51.114999999999995,,,0 HCPCS,C9460,"Injection, cangrelor",,,20.38,70.7,10 HCPCS,C9482,Sotalol hydrochloride IV,,,25.55,88.68,10 HCPCS,C9600,Pci De Stent W/Angiopl 1 Vsl,33132.0,16566.0,,,0 HCPCS,C9600,Perc drug-el cor stent sing,,,5220.0,39855.12,10 HCPCS,C9601,Pci De Stent W/Angiopl Addl,22088.0,11044.0,,,0 HCPCS,C9601,Perc drug-el cor stent bran,,,2375.0,5220.0,3 HCPCS,C9602,Pci De Stent/Ath/Angio 1 Vsl,28833.0,14416.5,,,0 HCPCS,C9602,Perc d-e cor stent ather s,,,5220.0,63288.08,10 HCPCS,C9603,Pci De Stent/Ath/Angio Addtl,25438.0,12719.0,,,0 HCPCS,C9603,Perc d-e cor stent ather br,,,2375.0,5220.0,3 HCPCS,C9604,Pci Pyp Graft 1 Vsl-Des/At/Ag,22088.0,11044.0,,,0 HCPCS,C9604,Perc d-e cor revasc t cabg s,,,5220.0,39855.12,10 HCPCS,C9605,Pci Byp Graft Addl-Des/At/Ag,22088.0,11044.0,,,0 HCPCS,C9605,Perc d-e cor revasc t cabg b,,,2375.0,5220.0,3 HCPCS,C9606,Pci Mi 1 Vsl-Des/Ath/Angiopl,33132.0,16566.0,,,0 HCPCS,C9606,Perc d-e cor revasc w AMI s,,,5220.0,5790.0,3 HCPCS,C9607,Pci Chronic 1Vsl-Des/Ath/Angi,22088.0,11044.0,,,0 HCPCS,C9607,Perc d-e cor revasc chro sin,,,5220.0,63288.08,10 HCPCS,C9608,Pci Chronic Addl-Des/Ath/Angi,22088.0,11044.0,,,0 HCPCS,C9608,Perc d-e cor revasc chro add,,,5220.0,39642.0,3 HCPCS,C9725,Place endorectal app,,,925.49,5220.0,10 HCPCS,C9726,Removal Of Applicator,4368.0,2184.0,,,0 HCPCS,C9726,Rxt breast appl place/remov,,,2375.0,5220.0,3 HCPCS,C9727,Insert palate implants,,,1544.13,5790.0,10 HCPCS,C9728,Chgr-Sp Place Fiducialrad Tx Nonprostrate,6916.0,3458.0,,,0 HCPCS,C9728,"Place device/marker, non pro",,,1377.48,5220.0,8 HCPCS,C9733,Non-ophthalmic FVA,,,347.2,1204.45,7 HCPCS,C9734,"U/s trtmt, not leiomyomata",,,12777.04,44324.22,7 HCPCS,C9738,Blue light cysto imag agent,,,2375.0,2633.0,2 HCPCS,C9739,Cystoscopy prostatic imp 1-3,,,5336.05,18511.05,9 HCPCS,C9740,Cysto impl 4 or more,,,9421.01,32681.98,9 HCPCS,C9746,Trans imp balloon cont,,,5220.0,5220.0,1 HCPCS,C9751,"Microwave bronch, 3d, ebus",,,5220.0,19040.0,3 HCPCS,C9753,Intraosseous destruct add'l,,,5220.0,5220.0,1 HCPCS,C9756,Fluorescence lymph map w/ICG,,,2375.0,2633.0,2 HCPCS,C9757,Spine/lumbar disk surgery,,,5220.0,44324.22,10 HCPCS,C9758,Blind Interatrial Shunt Ide,56113.0,28056.5,,,0 HCPCS,C9758,Interatrial shunt IDE,,,17047.24,59137.77,9 HCPCS,C9759,Transcath intraop microinf,,,2375.0,2633.0,2 HCPCS,C9760,Non-blind interatrial shunt,,,5220.0,92929.82,10 HCPCS,C9761,"Cysto, litho, vacuum kidney",,,9421.01,32681.98,9 HCPCS,C9762,Cardiac MRI seg dys strain,,,543.79,1886.44,7 HCPCS,C9763,Cardiac MRI seg dys stress,,,543.79,1886.44,7 HCPCS,C9764,Revasc Intravasc Lithotripsy,14754.0,7377.0,,,0 HCPCS,C9764,Revasc intravasc lithotripsy,,,5220.0,39855.12,10 HCPCS,C9765,Revasc Intra Lithotrip-Stent,29510.0,14755.0,,,0 HCPCS,C9765,Revasc intra lithotrip-stent,,,5220.0,63288.08,10 HCPCS,C9766,Revasc Intra Lithotrip-Ather,29510.0,14755.0,,,0 HCPCS,C9766,Revasc intra lithotrip-ather,,,5220.0,63288.08,10 HCPCS,C9767,Revasc Lithotrip-Stent-Ather,47473.0,23736.5,,,0 HCPCS,C9767,Revasc lithotrip-stent-ather,,,5220.0,63288.08,10 HCPCS,C9772,Revasc Litohtrip Tibi/Perone,42936.0,21468.0,,,0 HCPCS,C9772,Revasc lithotrip tibi/perone,,,11488.76,39855.12,9 HCPCS,C9773,Revasc Lithotr-Stent Tib/Per,65302.0,32651.0,,,0 HCPCS,C9773,Revasc lithotr-stent tib/per,,,18243.62,63288.08,9 HCPCS,C9774,Revasc Lithotr-Ather Tib/Per,65302.0,32651.0,,,0 HCPCS,C9774,Revasc lithotr-ather tib/per,,,18243.62,63288.08,9 HCPCS,C9775,Revasc Lith-Sten-Ath Tib/Per,65302.0,32651.0,,,0 HCPCS,C9775,Revasc lith-sten-ath tib/per,,,18243.62,63288.08,9 HCPCS,C9777,Esophag mucosal integ add-on,,,3836.96,14111.0,9 HCPCS,C9778,"Colpopexy, min/inv, ex-perit",,,4978.43,17270.44,9 HCPCS,C9779,ESD endoscopy or colonoscopy,,,3836.96,14111.0,9 HCPCS,C9780,Insert cv cath inf & sup app,,,8036.81,35289.0,9 HCPCS,C9781,Arthro/shoul surg; w/spacer,,,12777.04,44324.22,9 HCPCS,C9782,Blind myocar trpl bon marrow,,,17047.24,59137.77,9 HCPCS,C9783,Blind Cor Sinus Reducer Impl,28364.0,14182.0,,,0 HCPCS,C9783,Blind cor sinus reducer impl,,,11488.76,39855.12,9 HCPCS,C9784,Endo sleeve gastro w/tube,,,26537.0,29398.0,2 HCPCS,C9785,Endo outlet restrict w/tube,,,10578.79,36698.4,9 HCPCS,C9789,Instill pharm renal pelvis,,,1218.11,14111.0,9 HCPCS,C9792,Blind/nonblind trans atrial,,,9497.96,35289.0,9 HCPCS,C9793,Pre-plan 3d model w/ccta,,,854.62,2964.71,7 HCPCS,C9796,Rpr intst excl anrect fist,,,2762.33,14111.0,9 HCPCS,C9797,Vasc emb/occ w/prs cath,,,18243.62,63288.08,9 HCPCS,C9800,Dermal filler inj px/suppl,,,5220.0,5220.0,1 HCPCS,C9901,Endo defect closure GI tract,,,10578.79,36698.4,9 HCPCS,D0120,Periodic oral evaluation,,,132.5,459.64,7 HCPCS,D0140,Limit oral eval problm focus,,,132.5,459.64,7 HCPCS,D0150,Comprehensve oral evaluation,,,132.5,459.64,7 HCPCS,D0160,Extensv oral eval prob focus,,,132.5,459.64,7 HCPCS,D0170,"Re-eval,est pt,problem focus",,,132.5,459.64,7 HCPCS,D0171,Re-eval post-op visit,,,132.5,459.64,7 HCPCS,D0180,Comp periodontal evaluation,,,132.5,459.64,7 HCPCS,D0191,Assessment of a patient,,,132.5,459.64,7 HCPCS,D0210,Intraor complete film series,,,237.46,823.75,7 HCPCS,D0220,Intraoral periapical first,,,86.61,300.45,7 HCPCS,D0240,Intraoral occlusal film,,,86.61,300.45,7 HCPCS,D0250,Extraoral 2d project image,,,86.61,300.45,7 HCPCS,D0251,Extraoral posterior image,,,86.61,300.45,7 HCPCS,D0270,Dental bitewing single image,,,86.61,300.45,7 HCPCS,D0272,Dental bitewings two images,,,86.61,300.45,7 HCPCS,D0273,Bitewings - three images,,,237.46,823.75,7 HCPCS,D0274,Bitewings four images,,,237.46,823.75,7 HCPCS,D0277,Vert bitewings 7 to 8 images,,,237.46,823.75,7 HCPCS,D0310,Dental saliography,,,237.46,823.75,7 HCPCS,D0320,Dental tmj arthrogram incl i,,,237.46,823.75,7 HCPCS,D0321,Other tmj images by report,,,86.61,300.45,7 HCPCS,D0322,Dental tomographic survey,,,104.04,360.93,7 HCPCS,D0330,Panoramic image,,,237.46,823.75,7 HCPCS,D0340,2d cephalometric image,,,86.61,300.45,7 HCPCS,D0350,Oral/facial photo images,,,86.61,300.45,7 HCPCS,D0364,Cone beam ct capt & interp,,,104.04,360.93,7 HCPCS,D0365,Cone beam ct interprete man,,,104.04,360.93,7 HCPCS,D0366,Cone beam ct interprete max,,,104.04,360.93,7 HCPCS,D0367,Cone beam ct interp both jaw,,,104.04,360.93,7 HCPCS,D0368,Cone beam ct interprete TMJ,,,104.04,360.93,7 HCPCS,D0369,Max MRI capture & interprete,,,104.04,360.93,7 HCPCS,D0370,Max ultrasound capt & interp,,,104.04,360.93,7 HCPCS,D0371,Sialoendoscopy capt & interp,,,86.61,300.45,7 HCPCS,D0380,Cone beam ct capture limited,,,104.04,360.93,7 HCPCS,D0381,Cone beam ct capt mandible,,,104.04,360.93,7 HCPCS,D0382,Cone beam ct capt maxilla,,,104.04,360.93,7 HCPCS,D0383,Cone beam ct both jaws,,,104.04,360.93,7 HCPCS,D0384,Cone beam ct capture TMJ,,,104.04,360.93,7 HCPCS,D0385,Max MRI image capture,,,104.04,360.93,7 HCPCS,D0386,Max ultrasound image capture,,,104.04,360.93,7 HCPCS,D0393,Trtmnt simulation 3d image,,,86.61,300.45,7 HCPCS,D0394,Digital sub 2 or more images,,,86.61,300.45,7 HCPCS,D0395,Fusion 2 or more 3d images,,,86.61,300.45,7 HCPCS,D0701,Fracture of lower extremity M >=61.50,,,86.61,300.45,7 HCPCS,D0702,Fracture of lower extremity M >=52.50 and M <61.50,,,86.61,300.45,7 HCPCS,D0703,Fracture of lower extremity M >=41.50 and M <52.50,,,86.61,300.45,7 HCPCS,D0705,Extra oral post radio image,,,86.61,300.45,7 HCPCS,D0706,Intraoral occlus radio image,,,86.61,300.45,7 HCPCS,D0707,Intraoral periap radio image,,,86.61,300.45,7 HCPCS,D0708,Intraoral bite radio image,,,86.61,300.45,7 HCPCS,D0709,Intraoral cmplt radio images,,,86.61,300.45,7 HCPCS,D1110,Dental prophylaxis adult,,,132.5,459.64,7 HCPCS,D2956,Indirect rest remov,,,5226.0,5790.0,2 HCPCS,D2989,Excavate tooth non-restorabl,,,5226.0,5790.0,2 HCPCS,D3410,Apicoectomy - anterior,,,643.38,5220.0,8 HCPCS,D3421,Root surgery bicuspid,,,643.38,5220.0,8 HCPCS,D3425,Root surgery molar,,,643.38,5220.0,8 HCPCS,D3426,Root surgery ea add root,,,5220.0,5220.0,1 HCPCS,D3428,Bone graft peri per tooth,,,643.38,5220.0,8 HCPCS,D3429,Bone graft peri each addl,,,5220.0,5220.0,1 HCPCS,D3432,Guided tissue regeneration,,,643.38,5220.0,8 HCPCS,D3450,Root amputation,,,643.38,5220.0,8 HCPCS,D3471,Surg rep root res anterior,,,643.38,5790.0,9 HCPCS,D3472,Surg rep root res premolar,,,643.38,5790.0,9 HCPCS,D3473,Surg rep root res molar,,,643.38,5790.0,9 HCPCS,D3501,Surg exp root surf anterior,,,643.38,5790.0,9 HCPCS,D3502,Surg exp root surf premolar,,,643.38,5790.0,9 HCPCS,D3503,Surg exp root surf molar,,,643.38,5790.0,9 HCPCS,D3910,Isolation- tooth w rubb dam,,,643.38,5220.0,8 HCPCS,D3920,Tooth splitting,,,643.38,5220.0,8 HCPCS,D3921,D?cor or submerg erupt tooth,,,643.38,5790.0,9 HCPCS,D3999,Endodontic procedure,,,643.38,5220.0,8 HCPCS,D4210,Gingivectomy/plasty 4 or mor,,,3299.54,11446.28,8 HCPCS,D4211,Gingivectomy/plasty 1 to 3,,,3299.54,11446.28,8 HCPCS,D4212,Gingivectomy/plasty rest,,,3299.54,11446.28,8 HCPCS,D4230,Ana crown exp 4 or> per quad,,,3299.54,11446.28,8 HCPCS,D4231,Ana crown exp 1-3 per quad,,,1544.13,5356.68,8 HCPCS,D4240,Gingival flap proc w/ planin,,,3299.54,11446.28,8 HCPCS,D4241,Gngvl flap w rootplan 1-3 th,,,1544.13,5356.68,8 HCPCS,D4245,Apically positioned flap,,,1544.13,5356.68,8 HCPCS,D4249,Crown lengthen hard tissue,,,643.38,5220.0,8 HCPCS,D4260,Osseous surgery 4 or more,,,5220.0,20437.6,8 HCPCS,D4261,Osseous surg 1 to 3 teeth,,,3299.54,11446.28,8 HCPCS,D4263,Bone replce graft first site,,,643.38,5220.0,8 HCPCS,D4264,Bone replce graft each add,,,5220.0,5220.0,1 HCPCS,D4266,Guided tiss regen resorble,,,1544.13,5356.68,8 HCPCS,D4267,Guided tiss regen nonresorb,,,1544.13,5356.68,8 HCPCS,D4268,Surgical revision procedure,,,643.38,5220.0,8 HCPCS,D4270,Pedicle soft tissue graft pr,,,1544.13,5356.68,8 HCPCS,D4273,Auto tissue graft 1st tooth,,,1544.13,5356.68,8 HCPCS,D4274,Mesial/distal wedge proc,,,643.38,5220.0,8 HCPCS,D4275,Non-auto graft 1st tooth,,,1544.13,5356.68,8 HCPCS,D4276,Con tissue w dble ped graft,,,1544.13,5356.68,8 HCPCS,D4277,Soft tissue graft firsttooth,,,1544.13,5356.68,8 HCPCS,D4278,Soft tissue graft addl tooth,,,5220.0,5220.0,1 HCPCS,D4286,Remove non-resorb barrier,,,5226.0,5790.0,2 HCPCS,D4921,Gingival irrigation per quad,,,132.5,459.64,7 HCPCS,D4999,Unspecified periodontal proc,,,235.71,817.7,7 HCPCS,D5995,"Peri medicament w/seal, max",,,5226.0,5790.0,2 HCPCS,D5996,"Peri medicament w/seal, mand",,,5226.0,5790.0,2 HCPCS,D6010,Odontics endosteal implant,,,5220.0,5220.0,1 HCPCS,D6011,Second stage implant surgery,,,5220.0,5220.0,1 HCPCS,D6012,Endosteal implant,,,5220.0,5220.0,1 HCPCS,D6013,Surgical place mini implant,,,5220.0,5220.0,1 HCPCS,D6040,Odontics eposteal implant,,,5220.0,5220.0,1 HCPCS,D6050,Odontics transosteal implnt,,,5220.0,5220.0,1 HCPCS,D6051,Interim abutment,,,5220.0,5220.0,1 HCPCS,D6089,Access/retorq implant screw,,,5226.0,5790.0,2 HCPCS,D6103,Bone graft repair perimplant,,,5220.0,5220.0,1 HCPCS,D6104,Bone graft time of implant,,,5220.0,5220.0,1 HCPCS,D6105,Remove implant body,,,5226.0,5790.0,2 HCPCS,D6106,Tissue regen resorbable,,,5226.0,5790.0,2 HCPCS,D6107,Tissue regen non-resorbable,,,5226.0,5790.0,2 HCPCS,D6191,Semi precision abutment,,,5226.0,5790.0,2 HCPCS,D6192,Semi precision attachment,,,5226.0,5790.0,2 HCPCS,D6193,Replace implnt screw,,,5226.0,5790.0,2 HCPCS,D6197,Replace material prosthesis,,,5226.0,5790.0,2 HCPCS,D6198,Remove interim implant,,,5226.0,5790.0,2 HCPCS,D7111,Extraction coronal remnants,,,643.38,5220.0,8 HCPCS,D7140,D7140 Extraction Tooth,2012.0,1006.0,,,0 HCPCS,D7140,Extraction erupted tooth/exr,,,643.38,5220.0,8 HCPCS,D7210,D7210 Surgical Rem Tooth,2012.0,1006.0,,,0 HCPCS,D7210,Rem imp tooth w mucoper flp,,,1544.13,5356.68,8 HCPCS,D7220,Impact tooth remov soft tiss,,,643.38,5220.0,8 HCPCS,D7230,Impact tooth remov part bony,,,643.38,5220.0,8 HCPCS,D7240,Impact tooth remov comp bony,,,643.38,5220.0,8 HCPCS,D7241,Impact tooth rem bony w/comp,,,643.38,5220.0,8 HCPCS,D7250,Tooth root removal,,,643.38,5220.0,8 HCPCS,D7251,Coronectomy,,,1544.13,5356.68,8 HCPCS,D7252,Part extract for implant,,,5226.0,5790.0,2 HCPCS,D7259,Nerve dissection,,,5226.0,5790.0,2 HCPCS,D7260,Oral antral fistula closure,,,643.38,5220.0,8 HCPCS,D7261,Primary closure sinus perf,,,643.38,5220.0,8 HCPCS,D7270,Tooth reimplantation,,,643.38,5220.0,8 HCPCS,D7272,Tooth transplantation,,,643.38,5220.0,8 HCPCS,D7280,Exposure of unerupted tooth,,,643.38,5220.0,8 HCPCS,D7282,Mobilize erupted/malpos toot,,,5220.0,5220.0,1 HCPCS,D7283,Place device impacted tooth,,,5220.0,5220.0,1 HCPCS,D7284,Exc biopsy of saliv glands,,,5226.0,5790.0,2 HCPCS,D7285,Biopsy of oral tissue hard,,,5220.0,5220.0,1 HCPCS,D7286,Biopsy of oral tissue soft,,,5220.0,5220.0,1 HCPCS,D7287,Exfoliative cytolog collect,,,5220.0,5220.0,1 HCPCS,D7288,Brush biopsy,,,5220.0,5220.0,1 HCPCS,D7290,Repositioning of teeth,,,5220.0,5220.0,1 HCPCS,D7291,Transseptal fiberotomy,,,643.38,5220.0,8 HCPCS,D7292,Screw retained plate,,,5220.0,5220.0,1 HCPCS,D7293,Temp anchorage dev w flap,,,5220.0,5220.0,1 HCPCS,D7294,Temp anchorage dev w/o flap,,,5220.0,5220.0,1 HCPCS,D7295,"Bone harvest,auto graft proc",,,5220.0,5220.0,1 HCPCS,D7298,Remove screw retained plate,,,5226.0,5790.0,2 HCPCS,D7299,Rem anchorage device w/flap,,,5226.0,5790.0,2 HCPCS,D7300,Rem anchorage dev w/o flap,,,5226.0,5790.0,2 HCPCS,D7310,Alveoplasty w/ extraction,,,1544.13,5356.68,8 HCPCS,D7311,Alveoloplasty w/extract 1-3,,,1544.13,5356.68,8 HCPCS,D7320,Alveoplasty w/o extraction,,,1544.13,5356.68,8 HCPCS,D7321,Alveoloplasty not w/extracts,,,1544.13,5356.68,8 HCPCS,D7340,Vestibuloplasty ridge extens,,,5220.0,20437.6,8 HCPCS,D7350,Vestibuloplasty exten graft,,,5220.0,20437.6,8 HCPCS,D7410,Rad exc lesion up to 1.25 cm,,,1544.13,5356.68,8 HCPCS,D7411,Excision benign lesion>1.25c,,,1544.13,5356.68,8 HCPCS,D7412,Excision benign lesion compl,,,1544.13,5356.68,8 HCPCS,D7413,Excision malig lesion<=1.25c,,,1544.13,5356.68,8 HCPCS,D7414,Excision malig lesion>1.25cm,,,1544.13,5356.68,8 HCPCS,D7415,Excision malig les complicat,,,1544.13,5356.68,8 HCPCS,D7440,Malig tumor exc to 1.25 cm,,,3299.54,11446.28,8 HCPCS,D7441,Malig tumor > 1.25 cm,,,3299.54,11446.28,8 HCPCS,D7450,Rem odontogen cyst to 1.25cm,,,3299.54,11446.28,8 HCPCS,D7451,Rem odontogen cyst > 1.25 cm,,,3299.54,11446.28,8 HCPCS,D7460,Rem nonodonto cyst to 1.25cm,,,643.38,5220.0,8 HCPCS,D7461,Rem nonodonto cyst > 1.25 cm,,,643.38,5220.0,8 HCPCS,D7465,Lesion destruction,,,5220.0,5220.0,1 HCPCS,D7471,Rem exostosis any site,,,3299.54,11446.28,8 HCPCS,D7472,Removal of torus palatinus,,,643.38,5220.0,8 HCPCS,D7473,Remove torus mandibularis,,,643.38,5220.0,8 HCPCS,D7485,Surg reduct osseoustuberosit,,,5220.0,20437.6,8 HCPCS,D7490,Maxilla or mandible resectio,,,5220.0,5220.0,1 HCPCS,D7509,Marsupialization odon cyst,,,5226.0,5790.0,2 HCPCS,D7510,I&d absc intraoral soft tiss,,,704.73,5220.0,8 HCPCS,D7511,Incision/drain abscess intra,,,704.73,5220.0,8 HCPCS,D7520,I&d abscess extraoral,,,704.73,5220.0,8 HCPCS,D7521,Incision/drain abscess extra,,,704.73,5220.0,8 HCPCS,D7530,Removal fb skin/areolar tiss,,,643.38,5220.0,8 HCPCS,D7540,Removal of fb reaction,,,643.38,5220.0,8 HCPCS,D7550,Removal of sloughed off bone,,,643.38,5220.0,8 HCPCS,D7560,Maxillary sinusotomy,,,5220.0,5220.0,1 HCPCS,D7610,Maxilla open reduct simple,,,5220.0,5220.0,1 HCPCS,D7630,Open red simpl mandible fx,,,5220.0,5220.0,1 HCPCS,D7650,Open red simp malar/zygom fx,,,5220.0,5220.0,1 HCPCS,D7670,Closd rductn splint alveolus,,,3299.54,11446.28,7 HCPCS,D7671,Alveolus open reduction,,,5220.0,20437.6,8 HCPCS,D7680,Reduct simple facial bone fx,,,5220.0,5220.0,1 HCPCS,D7710,Maxilla open reduct compound,,,5220.0,5220.0,1 HCPCS,D7730,Open reduct compd mandble fx,,,5220.0,5220.0,1 HCPCS,D7750,Open red comp malar/zygma fx,,,5220.0,5220.0,1 HCPCS,D7770,Open reduc compd alveolus fx,,,5220.0,20437.6,8 HCPCS,D7771,Alveolus clsd reduc stblz te,,,3299.54,11446.28,7 HCPCS,D7780,Reduct compnd facial bone fx,,,5220.0,5220.0,1 HCPCS,D7810,Tmj open reduct-dislocation,,,5220.0,5220.0,1 HCPCS,D7830,Tmj manipulation under anest,,,5220.0,5220.0,1 HCPCS,D7840,Removal of tmj condyle,,,5220.0,5220.0,1 HCPCS,D7850,Tmj meniscectomy,,,5220.0,5220.0,1 HCPCS,D7852,Tmj repair of joint disc,,,5220.0,5220.0,1 HCPCS,D7854,Tmj excisn of joint membrane,,,5220.0,5220.0,1 HCPCS,D7856,Tmj cutting of a muscle,,,5220.0,5220.0,1 HCPCS,D7858,Tmj reconstruction,,,5220.0,5220.0,1 HCPCS,D7860,Tmj cutting into joint,,,5220.0,5220.0,1 HCPCS,D7865,Tmj reshaping components,,,5220.0,5220.0,1 HCPCS,D7870,Tmj aspiration joint fluid,,,5220.0,5220.0,1 HCPCS,D7871,Lysis + lavage w catheters,,,5220.0,5220.0,1 HCPCS,D7872,Tmj diagnostic arthroscopy,,,5220.0,5220.0,1 HCPCS,D7873,Tmj arthroscopy lysis adhesn,,,5220.0,5220.0,1 HCPCS,D7874,Tmj arthroscopy disc reposit,,,3256.29,11296.24,8 HCPCS,D7875,Tmj arthroscopy synovectomy,,,5220.0,5220.0,1 HCPCS,D7876,Tmj arthroscopy discectomy,,,5220.0,5220.0,1 HCPCS,D7877,Tmj arthroscopy debridement,,,5220.0,5220.0,1 HCPCS,D7910,Dent sutur recent wnd to 5cm,,,5220.0,5220.0,1 HCPCS,D7911,Dental suture wound to 5 cm,,,5220.0,5220.0,1 HCPCS,D7912,Suture complicate wnd > 5 cm,,,5220.0,5220.0,1 HCPCS,D7920,Dental skin graft,,,5220.0,5220.0,1 HCPCS,D7921,Collect & appl blood product,,,5220.0,5220.0,1 HCPCS,D7939,Indexing for osteotomy,,,5226.0,5790.0,2 HCPCS,D7940,Reshaping bone orthognathic,,,643.38,5220.0,8 HCPCS,D7941,Bone cutting ramus closed,,,5220.0,5220.0,1 HCPCS,D7943,Cutting ramus open w/graft,,,5220.0,5220.0,1 HCPCS,D7944,Bone cutting segmented,,,5220.0,5220.0,1 HCPCS,D7945,Bone cutting body mandible,,,5220.0,5220.0,1 HCPCS,D7946,Reconstruction maxilla total,,,5220.0,5220.0,1 HCPCS,D7947,Reconstruct maxilla segment,,,5220.0,5220.0,1 HCPCS,D7948,Reconstruct midface no graft,,,5220.0,5220.0,1 HCPCS,D7949,Reconstruct midface w/graft,,,5220.0,5220.0,1 HCPCS,D7950,Mandible graft,,,5220.0,20437.6,8 HCPCS,D7951,Sinus aug w bone or bone sub,,,5220.0,5220.0,1 HCPCS,D7952,Sinus augmentation vertical,,,5220.0,5220.0,1 HCPCS,D7953,Bone replacement graft,,,5220.0,5220.0,1 HCPCS,D7955,Repair maxillofacial defects,,,5220.0,5220.0,1 HCPCS,D7956,Tiss regen edent resorb,,,5226.0,5790.0,2 HCPCS,D7957,Tiss regen edent nonresorb,,,5226.0,5790.0,2 HCPCS,D7961,Buccal/labial frenectomy,,,5226.0,5790.0,2 HCPCS,D7962,Lingual frenectomy,,,5226.0,5790.0,2 HCPCS,D7963,Frenuloplasty,,,5220.0,5220.0,1 HCPCS,D7970,Excision hyperplastic tissue,,,5220.0,5220.0,1 HCPCS,D7971,Excision pericoronal gingiva,,,5220.0,5220.0,1 HCPCS,D7972,Surg redct fibrous tuberosit,,,5220.0,5220.0,1 HCPCS,D7980,Sialolithotomy,,,5220.0,5220.0,1 HCPCS,D7981,Excision of salivary gland,,,5220.0,5220.0,1 HCPCS,D7982,Sialodochoplasty,,,5220.0,5220.0,1 HCPCS,D7983,Closure of salivary fistula,,,5220.0,5220.0,1 HCPCS,D7990,Emergency tracheotomy,,,5220.0,5220.0,1 HCPCS,D7991,Dental coronoidectomy,,,5220.0,5220.0,1 HCPCS,D7993,Surg place craniofacial impl,,,5226.0,5790.0,2 HCPCS,D7994,Surg place zygomatic impl,,,5226.0,5790.0,2 HCPCS,D7995,Synthetic graft facial bones,,,5220.0,5220.0,1 HCPCS,D7996,Implant mandible for augment,,,5220.0,5220.0,1 HCPCS,D7997,Appliance removal,,,5220.0,5220.0,1 HCPCS,D7998,Intraoral place of fix dev,,,5220.0,5220.0,1 HCPCS,D7999,Oral surgery procedure,,,5220.0,5220.0,1 HCPCS,D9949,Repair sleep apnea appliance,,,5226.0,5790.0,2 HCPCS,E0155,"Wheels,Walker Rubber",135.59,67.8,,,0 HCPCS,E0191,E0191 Heel/Elbow Protecto,21.74,10.87,,,0 HCPCS,E0201,Penile contractur devic manu,,,149.45,153.85,4 HCPCS,E0736,Transcut tibial nerv stimula,,,53.43,55.0,4 HCPCS,E0738,Upper extremity rehab,,,2080.43,2141.62,4 HCPCS,E0739,Rehab sys active assist rt,,,1629.61,1677.54,4 HCPCS,E1399,E1399 Miscellaneous Equip,23.81,11.9,,,0 HCPCS,E1905,Vr cbt therapy,,,688.27,708.51,4 HCPCS,E2104,Glucose monitor w cartridge,,,55.61,57.25,4 HCPCS,G0008,Admin Influenza Virus Vac,96.0,48.0,,,0 HCPCS,G0008,Admin influenza virus vac,,,46.6,161.66,7 HCPCS,G0008,Admin-Influenza Vacc Ea Addtl,96.0,48.0,,,0 HCPCS,G0008,Admin-Influenza Vaccine,96.0,48.0,,,0 HCPCS,G0008,Chg - Admin Flu Virus Vac,96.0,48.0,,,0 HCPCS,G0008,G0008 Admin-Influenza Vaccine,96.0,48.0,,,0 HCPCS,G0008,Vaccine Inj Ea Addtl-Influ,96.0,48.0,,,0 HCPCS,G0009,Admin Pneumococcal Vaccine,96.0,48.0,,,0 HCPCS,G0009,Admin pneumococcal vaccine,,,46.6,161.66,7 HCPCS,G0009,Admin-Pneumococcal Vac,96.0,48.0,,,0 HCPCS,G0009,Admin-Pneumococcal Vacc Ea Add,96.0,48.0,,,0 HCPCS,G0009,Vaccine Inj Ea Addtl-Pneumo,96.0,48.0,,,0 HCPCS,G0010,Admin Hepatitis B Vaccine,96.0,48.0,,,0 HCPCS,G0010,Admin hepatitis b vaccine,,,46.6,161.66,7 HCPCS,G0010,Admin-Hep B Vaccine,96.0,48.0,,,0 HCPCS,G0010,Admin-Hepatitis B Vacc,96.0,48.0,,,0 HCPCS,G0010,G0010 Admin Hepatitis B Vaccine,96.0,48.0,,,0 HCPCS,G0010,Vaccine Inj Ea Addtl-Hepatitis,96.0,48.0,,,0 HCPCS,G0012,Injection of hiv prep drug,,,71.65,248.57,7 HCPCS,G0013,"Hiv prep counsel, clin staff",,,37.29,129.36,7 HCPCS,G0023,"Principal Illness Navigation Services By Certified Or Trained Auxiliary Personnel, 60 Minutes Per Mo",228.0,114.0,,,0 HCPCS,G0024,"Principal Illness Navigation Services, Additional 30 Minutes Per Calendar Month",228.0,114.0,,,0 HCPCS,G0027,Semen analysis,,,6.5,11.18,9 HCPCS,G0101,Chg - Ca Screen;Pelvic/Breast Exam,259.0,129.5,,,0 HCPCS,G0102,Chg - Prostate Ca Screening;Dre,62.0,31.0,,,0 HCPCS,G0103,"Chgl Prostatic Spec Ag, Screening",215.0,107.5,,,0 HCPCS,G0103,PSA Screening,,,19.31,31.61,9 HCPCS,G0104,CA screen;flexi sigmoidscope,,,925.49,5220.0,10 HCPCS,G0104,Flex Sigm Cancer Screening,2220.0,1110.0,,,0 HCPCS,G0105,Colorectal scrn; hi risk ind,,,925.49,4564.0,10 HCPCS,G0106,Colon CA screen;barium enema,,,5220.0,5220.0,1 HCPCS,G0108,Carb Count Educ-Indiv 30 Min,70.0,35.0,,,0 HCPCS,G0108,Diab Manage Trn Per Indv 30Min,70.0,35.0,,,0 HCPCS,G0108,Diab manage trn per indiv,,,56.07,57.72,4 HCPCS,G0108,Diabetes Monitor Ind 30 Min,70.0,35.0,,,0 HCPCS,G0108,Diabetes Training Follow Up,70.0,35.0,,,0 HCPCS,G0108,Dm Intensive Ind 30 Min,70.0,35.0,,,0 HCPCS,G0108,Gestational Diabetes Ind-30 Mn,70.0,35.0,,,0 HCPCS,G0108,Insulin Init Train Ind 30 Min,70.0,35.0,,,0 HCPCS,G0108,Insulin Pump Train Ind 30 Min,70.0,35.0,,,0 HCPCS,G0108,Office/Outpatient New High Mdm 60 Minutes,70.0,35.0,,,0 HCPCS,G0108,Opt Dsmes Individ 30 Min Sessn,70.0,35.0,,,0 HCPCS,G0109,Diab manage trn ind/group,,,16.13,16.6,4 HCPCS,G0109,Med Nutri Ther Grp 30 Min,48.0,24.0,,,0 HCPCS,G0109,Opt Dsmes Group 30 Min Sessn,48.0,24.0,,,0 HCPCS,G0117,Glaucoma scrn hgh risk direc,,,28.78,99.86,7 HCPCS,G0118,Glaucoma scrn hgh risk direc,,,37.17,128.95,7 HCPCS,G0120,Colon ca scrn; barium enema,,,5220.0,5220.0,1 HCPCS,G0121,Colon ca scrn not hi rsk ind,,,925.49,4564.0,10 HCPCS,G0123,Chgl Pap- Thin Layer Screen,164.0,82.0,,,0 HCPCS,G0123,Screen cerv/vag thin layer,,,20.26,34.82,9 HCPCS,G0124,Screen c/v thin layer by MD,,,33.78,33.78,2 HCPCS,G0127,Chg - Trim Nail(S),206.0,103.0,,,0 HCPCS,G0127,Trim nail(s),,,58.71,5220.0,10 HCPCS,G0128,Day Rehab Nursing Proc-10Min,86.0,43.0,,,0 HCPCS,G0130,Single energy x-ray study,,,104.04,360.93,7 HCPCS,G0136,Adm Of Soc Dtr Assess 5-15 M,74.0,37.0,,,0 HCPCS,G0136,Adm of soc dtr assess 5-15 m,,,37.29,129.36,7 HCPCS,G0141,"Scr c/v cyto,autosys and md",,,33.78,33.78,2 HCPCS,G0143,"Scr c/v cyto,thinlayer,rescr",,,27.05,34.82,9 HCPCS,G0144,"Scr c/v cyto,thinlayer,rescr",,,36.72,46.17,9 HCPCS,G0145,"Chgl (Qu) 88175 Thinprep Imaging System Pap, S/O",40.0,20.0,,,0 HCPCS,G0145,Chgl Imaged Pap,159.0,79.5,,,0 HCPCS,G0145,"Scr c/v cyto,thinlayer,rescr",,,26.49,45.53,9 HCPCS,G0147,"Scr c/v cyto, automated sys",,,18.19,19.56,9 HCPCS,G0148,"Scr c/v cyto, autosys, rescr",,,26.12,33.54,9 HCPCS,G0151,"HHCP-serv of pt,ea 15 min",,,42.28,42.28,3 HCPCS,G0152,"HHCP-serv of ot,ea 15 min",,,42.28,42.28,3 HCPCS,G0166,"Extrnl counterpulse, per tx",,,132.41,3408.0,8 HCPCS,G0168,Wound closure by adhesive,,,2375.0,2633.0,2 HCPCS,G0175,"Opps service,sched team conf",,,415.26,1440.55,7 HCPCS,G0183,Software meas of cardiac vol,,,86.61,300.45,7 HCPCS,G0186,"Dstry eye lesn,fdr vssl tech",,,547.36,3880.0,10 HCPCS,G0202,Scr mammo bi incl cad,,,252.0,260.0,3 HCPCS,G0204,Dx mammo incl cad bi,,,494.0,508.0,3 HCPCS,G0206,Dx mammo incl cad uni,,,397.0,408.0,3 HCPCS,G0235,PET not otherwise specified,,,397.85,1380.17,7 HCPCS,G0237,"Chg-Pul Strgth/Endur Indiv,Ea 15Mn",116.0,58.0,,,0 HCPCS,G0237,Therapeutic procd strg endur,,,28.78,108.0,10 HCPCS,G0238,"Chg Pul Resp Funct Indiv, Ea 15 Mn",116.0,58.0,,,0 HCPCS,G0238,"Oth resp proc, indiv",,,28.78,99.86,7 HCPCS,G0239,Chg-Pulmonary Rehabilitation Grp,116.0,58.0,,,0 HCPCS,G0239,"Oth resp proc, group",,,37.17,128.95,7 HCPCS,G0245,Init Foot Exam Pt Lops,325.0,162.5,,,0 HCPCS,G0245,Initial foot exam pt lops,,,132.5,459.64,7 HCPCS,G0246,Followup eval of foot pt lop,,,132.5,459.64,7 HCPCS,G0246,Lops;Follow Up,365.0,182.5,,,0 HCPCS,G0247,Lops;Treatment,306.0,153.0,,,0 HCPCS,G0247,Routine footcare pt w lops,,,199.67,5220.0,8 HCPCS,G0248,Demonstrate use home inr mon,,,132.5,459.64,7 HCPCS,G0249,Provide INR test mater/equip,,,132.5,459.64,7 HCPCS,G0257,Hemo Critical Care Ip 1:1,2130.0,1065.0,,,0 HCPCS,G0257,Hemo Critical Care Op 1:1,2130.0,1065.0,,,0 HCPCS,G0257,Hemo Dialysis Ip 1:1,2130.0,1065.0,,,0 HCPCS,G0257,Hemo Dialysis Ip 2:1,2130.0,1065.0,,,0 HCPCS,G0257,Hemo Dialysis Ip 3:1,2130.0,1065.0,,,0 HCPCS,G0257,Hemo Dialysis Op 1:1,2130.0,1065.0,,,0 HCPCS,G0257,Hemo Dialysis Op 2:1,2130.0,1065.0,,,0 HCPCS,G0257,Hemo Dialysis Op 3:1,2130.0,1065.0,,,0 HCPCS,G0257,Unsched dialysis ESRD pt hos,,,683.02,2369.43,7 HCPCS,G0259,Inject for sacroiliac joint,,,2375.0,5220.0,3 HCPCS,G0259,Proc-Inj Si W/Arth Diag,915.0,457.5,,,0 HCPCS,G0260,Chgr Proc-Inj Si W/ Or W/O Arth Tx,1531.0,765.5,,,0 HCPCS,G0260,Inj for sacroiliac jt anesth,,,702.49,3880.0,10 HCPCS,G0260,Proc-Inj Si W/ Or W/O Arth Tx,1531.0,765.5,,,0 HCPCS,G0268,Removal of impacted wax md,,,2375.0,5220.0,3 HCPCS,G0269,Occlusive device in vein art,,,2375.0,5220.0,3 HCPCS,G0269,Place Occlusive Device Ven/Art,875.0,437.5,,,0 HCPCS,G0270,MNT subs tx for change dx,,,22.27,22.92,4 HCPCS,G0270,Mnt Ea 15 M After 2Nd Refrl,101.0,50.5,,,0 HCPCS,G0270,Mnt Subs Tx For Change Dx,50.0,25.0,,,0 HCPCS,G0271,Group MNT 2 or more 30 mins,,,12.44,12.81,4 HCPCS,G0271,Group Mnt 2 Or More 30 Mins,55.0,27.5,,,0 HCPCS,G0276,Pild/placebo control clin tr,,,5220.0,29398.0,10 HCPCS,G0277,"Hbot, full body chamber, 30m",,,136.95,1170.0,10 HCPCS,G0277,Hyperbaric Chamber Treat,1127.0,563.5,,,0 HCPCS,G0278,Chgr-Cd Nonsel Iliac / Fem W / Card Cath,2752.0,1376.0,,,0 HCPCS,G0279,Chgr Digital Diagnositc Implants Bilat W/Tomo,47.0,23.5,,,0 HCPCS,G0279,Chgr Digital Diagnostic Bilat W/Tomo,47.0,23.5,,,0 HCPCS,G0279,Chgr Digital Diagnostic Implants Unilat W/ Tomo,47.0,23.5,,,0 HCPCS,G0279,Chgr Digital Diagnostic Unilat W/Tomo,47.0,23.5,,,0 HCPCS,G0279,"Tomosynthesis, mammo",,,12.73,13.1,4 HCPCS,G0281,Elec stim unattend for press,,,11.73,17.83,7 HCPCS,G0282,Pt-Electric Stim Other,105.0,52.5,,,0 HCPCS,G0283,Athletic Training Electrical Stimulat Unattnd,209.0,104.5,,,0 HCPCS,G0283,Elec stim other than wound,,,12.74,17.83,7 HCPCS,G0283,Electric Stimulation Unatnd-Ot,209.0,104.5,,,0 HCPCS,G0283,Electrical Stimulat Unattnd-Pt,209.0,104.5,,,0 HCPCS,G0289,"Arthro, loose body + chondro",,,2375.0,5220.0,3 HCPCS,G0293,"Non-cov surg proc,clin trial",,,37.17,128.95,7 HCPCS,G0294,"Non-cov proc, clinical trial",,,37.17,128.95,7 HCPCS,G0297,Ldct for lung ca screen,,,395.0,3172.42,4 HCPCS,G0302,Pre-op service LVRS complete,,,371.37,1288.29,7 HCPCS,G0303,Pre-op service LVRS 10-15dos,,,214.89,745.45,7 HCPCS,G0304,Pre-op service LVRS 1-9 dos,,,371.37,1288.29,7 HCPCS,G0305,Post op service LVRS min 6,,,371.37,1288.29,7 HCPCS,G0306,CBC/diffwbc w/o platelet,,,7.77,13.37,9 HCPCS,G0307,CBC without platelet,,,6.47,11.12,9 HCPCS,G0323,Care manage beh svs 20mins,,,37.29,129.36,7 HCPCS,G0328,Chgl Ifob,178.0,89.0,,,0 HCPCS,G0328,Fecal Blood Scrn Immunoassay,178.0,89.0,,,0 HCPCS,G0328,Fecal blood scrn immunoassay,,,18.05,27.34,9 HCPCS,G0329,Electromagntic tx for ulcers,,,10.66,10.97,4 HCPCS,G0330,Facility svs dental rehab,,,3299.54,11446.28,9 HCPCS,G0339,"Robot lin-radsurg com, first",,,21639.0,23971.0,2 HCPCS,G0340,Robt lin-radsurg fractx 2-5,,,17187.0,19040.0,2 HCPCS,G0341,Percutaneous islet celltrans,,,5220.0,5220.0,1 HCPCS,G0342,Laparoscopy islet cell trans,,,5220.0,5220.0,1 HCPCS,G0343,Laparotomy islet cell transp,,,5220.0,5220.0,1 HCPCS,G0364,Bone marrow aspirate &biopsy,,,3408.0,3408.0,1 HCPCS,G0378,Observation Hours,98.0,49.0,,,0 HCPCS,G0379,Direct refer hospital observ,,,592.67,2056.01,7 HCPCS,G0379,Observation Direct Referral,930.0,465.0,,,0 HCPCS,G0390,Alpha Trauma Activation,7197.0,3598.5,,,0 HCPCS,G0390,Bravo Trauma Activation,7197.0,3598.5,,,0 HCPCS,G0390,Trauma Respons w/hosp criti,,,1326.51,4601.73,7 HCPCS,G0396,Alcohol/Subs Interv 15-30Mn,75.0,37.5,,,0 HCPCS,G0396,Alcohol/subs interv 15-30mn,,,37.29,129.36,7 HCPCS,G0398,Home sleep test/type 2 porta,,,214.89,745.45,7 HCPCS,G0399,Home sleep test/type 3 porta,,,214.89,745.45,7 HCPCS,G0400,Home sleep test/type 4 porta,,,214.89,745.45,7 HCPCS,G0402,Chg - Initial Preventive Exam,487.0,243.5,,,0 HCPCS,G0402,Initial preventive exam,,,132.5,459.64,7 HCPCS,G0404,Chg - Rou Ecg W/12 Leads;Trac Only,151.0,75.5,,,0 HCPCS,G0404,EKG tracing for initial prev,,,28.78,99.86,7 HCPCS,G0404,Ekg Tracing For Initial Prev,151.0,75.5,,,0 HCPCS,G0412,Open tx iliac spine uni/bil,,,5220.0,29398.0,10 HCPCS,G0413,Chg Pelvic Ring Fracture Uni/Bil,9198.0,4599.0,,,0 HCPCS,G0413,Pelvic ring fracture uni/bil,,,7221.37,25051.33,10 HCPCS,G0414,Pelvic ring fx treat int fix,,,5220.0,29398.0,10 HCPCS,G0415,Open tx post pelvic fxcture,,,3256.29,29398.0,10 HCPCS,G0416,"Chgl (Ark) Muscle Biopsy Panel, S/O",880.0,440.0,,,0 HCPCS,G0416,"Chgl (Ark) Nerve Biopsy Panel, S/O",329.0,164.5,,,0 HCPCS,G0416,"Chgl (Ma) Nerve Fiber Density, S/O",873.0,436.5,,,0 HCPCS,G0416,Chgl Prostate Biopsies>4,1111.0,555.5,,,0 HCPCS,G0416,"Prostate biopsy, any mthd",,,356.73,1237.5,9 HCPCS,G0420,Ed svc CKD ind per session,,,113.86,117.21,4 HCPCS,G0421,Ed svc CKD grp per session,,,27.47,28.28,4 HCPCS,G0422,Intens cardiac rehab w/exerc,,,128.29,445.04,7 HCPCS,G0422,Pritikin Icr With Exercise,281.0,140.5,,,0 HCPCS,G0423,Intens cardiac rehab no exer,,,128.29,445.04,7 HCPCS,G0423,Pritikin Icr W/O Exercise Each Session,281.0,140.5,,,0 HCPCS,G0424,Pulmonary rehab w exer,,,133.0,137.0,3 HCPCS,G0428,Collagen Meniscus Implant,,,5220.0,5790.0,3 HCPCS,G0429,Dermal filler injection(s),,,2053.37,7123.26,8 HCPCS,G0432,EIA HIV-1/HIV-2 screen,,,19.57,23.16,9 HCPCS,G0433,ELISA HIV-1/HIV-2 screen,,,18.29,23.16,9 HCPCS,G0435,Oral hiv-1/hiv-2 screen,,,11.98,20.26,9 HCPCS,G0438,"PPPS, initial visit",,,174.72,179.85,4 HCPCS,G0438,"Ppps,Initial Visit",953.0,476.5,,,0 HCPCS,G0439,"PPPS, subseq visit",,,137.86,141.92,4 HCPCS,G0439,"Ppps,Subseq Visit",639.0,319.5,,,0 HCPCS,G0442,Annual Alcohol Screen 5 To 15 Mins,85.0,42.5,,,0 HCPCS,G0442,Annual alcohol screen 15 min,,,37.29,129.36,7 HCPCS,G0444,"Annual Depression Screen, 5 To 15 Mins",51.0,25.5,,,0 HCPCS,G0444,Depression Screen annual,,,37.29,129.36,7 HCPCS,G0445,High Inten Beh Couns Std 30M,207.0,103.5,,,0 HCPCS,G0446,Intens behave ther cardio dx,,,37.29,129.36,7 HCPCS,G0447,Fc-Face To Face Obesity Counsl,85.0,42.5,,,0 HCPCS,G0448,Place perm pacing cardiovert,,,5220.0,5790.0,3 HCPCS,G0452,Chgl Cytogenetic Interp,70.0,35.0,,,0 HCPCS,G0452,Molecular pathology interpr,,,22.45,22.45,2 HCPCS,G0453,Cont intraop neuro monitor,,,2375.0,2633.0,2 HCPCS,G0455,Fecal microbiota prep instil,,,925.49,3210.58,7 HCPCS,G0460,Autologous PRP for ulcers,,,2053.37,7123.26,7 HCPCS,G0463,F/U Of O/P Min Prob Lev 1 -25,344.0,172.0,,,0 HCPCS,G0463,F/U Of Op Low 20-29 Min L3 -25,344.0,172.0,,,0 HCPCS,G0463,F/U Of Op Mod 30-39 Min L4 -25,344.0,172.0,,,0 HCPCS,G0463,F/U Of Op Sf 10-19 Min Lv2 -25,344.0,172.0,,,0 HCPCS,G0463,F/U Office O/P Min Prob Lev 1,344.0,172.0,,,0 HCPCS,G0463,F/U Office Op Low 20-29 Min L3,344.0,172.0,,,0 HCPCS,G0463,F/U Office Op Mod 30-39 Min L4,400.0,200.0,,,0 HCPCS,G0463,F/U Office Op Sf 10-19 Min Lv2,361.5,180.75,,,0 HCPCS,G0463,Follow Up Visit Level 5,423.0,211.5,,,0 HCPCS,G0463,Follow Up Visit Lvl 5 W/Mod 25,344.0,172.0,,,0 HCPCS,G0463,Hospital outpt clinic visit,,,132.5,459.64,10 HCPCS,G0463,Hypbrc Trmt-Wound Asmnt V-Est,344.0,172.0,,,0 HCPCS,G0463,Initial Visit Est Pt Lvl 5,344.0,172.0,,,0 HCPCS,G0463,Lactation Consult,125.0,62.5,,,0 HCPCS,G0463,Level 5-40 Min,344.0,172.0,,,0 HCPCS,G0463,Office/Outpatient New High Mdm 60 Minutes,344.0,172.0,,,0 HCPCS,G0463,Office/Outpatient New Low Mdm 30 Minutes,344.0,172.0,,,0 HCPCS,G0463,Office/Outpatient New Moderate Mdm 45 Minutes,400.0,200.0,,,0 HCPCS,G0463,Office/Outpatient New Sf Mdm 15 Minutes,344.0,172.0,,,0 HCPCS,G0463,Re-Eval Delayed Tx Visit Lvl 5,344.0,172.0,,,0 HCPCS,G0463,Re-Evaluation Visit Level 5,344.0,172.0,,,0 HCPCS,G0463,Sterile Speculum Exam,344.0,172.0,,,0 HCPCS,G0471,Ven blood coll snf/hha,,,11.09,11.91,7 HCPCS,G0472,Hep c screen high risk/other,,,23.33,48.67,9 HCPCS,G0473,Group behave couns 2-10,,,37.29,129.36,7 HCPCS,G0475,Chgl Hiv1/O/2-4Th Gen,79.0,39.5,,,0 HCPCS,G0475,Hiv combination assay,,,24.08,39.64,9 HCPCS,G0476,Hpv combo assay ca screen,,,35.09,57.77,9 HCPCS,G0480,"Chgl (Arup) Perampanel Quantitative, S/O",378.0,189.0,,,0 HCPCS,G0480,"Chgl (Lc) Ar-Thc Umb Cord Tissue Qual, S/O",143.0,71.5,,,0 HCPCS,G0480,"Chgl (Lc) Clobazam, Serum Or Plasma, S/O",155.0,77.5,,,0 HCPCS,G0480,"Chgl (Lc) Fluphenazine Serum Or Plasma, S/O",97.0,48.5,,,0 HCPCS,G0480,"Chgl (Lc) Hydrocodone Confirm, Urine, S/O",117.0,58.5,,,0 HCPCS,G0480,"Chgl (Lc) Mitotane, S/O",230.0,115.0,,,0 HCPCS,G0480,"Chgl (Lc) Opiate Confirmation, Urine, S/O",147.0,73.5,,,0 HCPCS,G0480,"Chgl (Qu) Nicotine And Cotinine, Lc/Ms/Ms, Serum/Plasma, S/O",69.0,34.5,,,0 HCPCS,G0480,"Chgl (Qu) 80321 Drug Monitor, Phosphatidylethanol, B, S/O",127.0,63.5,,,0 HCPCS,G0480,"Chgl (Qu) 80323 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) 80324 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) 80335 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) 80339 Perampanel, Serum/Plasma, S/O",200.0,100.0,,,0 HCPCS,G0480,"Chgl (Qu) 80346 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) 80348 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) 80353 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) 80354 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) 80355 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) 80356 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) 80357 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) 80358 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) 80359 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) 80360 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) 80361 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) 80362 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) 80362 Drug Monitoring, Methylphenidate Metabolite Quant, Urine, S/O",30.0,15.0,,,0 HCPCS,G0480,"Chgl (Qu) 80365 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) 80366 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) 80368 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) 80369 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) 80372 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) 80373 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) 83992 Drug Monitoring Assess Panel, Extended, Quant, Urine, S/O",16.0,8.0,,,0 HCPCS,G0480,"Chgl (Qu) Alcohol, Ethyl Glc, S/O",33.0,16.5,,,0 HCPCS,G0480,"Chgl (Qu) Alcohol, Ethyl, S/O",23.0,11.5,,,0 HCPCS,G0480,"Chgl (Qu) Alcohol, Isopropyl, S/O",26.5,13.25,,,0 HCPCS,G0480,"Chgl (Qu) Alcohol, Methyl, S/O",33.0,16.5,,,0 HCPCS,G0480,"Chgl (Qu) Alcohol,Methyl, S/O",23.0,11.5,,,0 HCPCS,G0480,"Chgl (Qu) Amitriptyline, S/O",29.0,14.5,,,0 HCPCS,G0480,"Chgl (Qu) Amphetamine, Conf, Gc/, S/O",25.0,12.5,,,0 HCPCS,G0480,"Chgl (Qu) Amphetamine, Confirmation, Gc/Ms, Urine, S/O",15.0,7.5,,,0 HCPCS,G0480,"Chgl (Qu) Amphetamines, Confirmation Meconium, S/O",30.0,15.0,,,0 HCPCS,G0480,"Chgl (Qu) Amphetamines, Confirmation, Meconium, S/O",38.0,19.0,,,0 HCPCS,G0480,"Chgl (Qu) Amphetamines, Quantitative, Urine, S/O",48.0,24.0,,,0 HCPCS,G0480,"Chgl (Qu) Barbiturates, Confir, S/O",37.0,18.5,,,0 HCPCS,G0480,"Chgl (Qu) Barbiturates, Confirmation, Meconium, S/O",84.0,42.0,,,0 HCPCS,G0480,"Chgl (Qu) Barbiturates, Confirmation, Serum, S/O",37.0,18.5,,,0 HCPCS,G0480,"Chgl (Qu) Barbiturates, Urine, S/O",48.0,24.0,,,0 HCPCS,G0480,"Chgl (Qu) Benzodiazepine Verif, S/O",31.0,15.5,,,0 HCPCS,G0480,"Chgl (Qu) Benzodiazepine, Confirmation By Gcm, S/O",37.0,18.5,,,0 HCPCS,G0480,"Chgl (Qu) Benzodiazepine, Confirmation, Urine, S/O",37.0,18.5,,,0 HCPCS,G0480,"Chgl (Qu) Buprenorphine, Quantitative, Urine, S/O",30.0,15.0,,,0 HCPCS,G0480,"Chgl (Qu) Bupropion And Metabolite, Serum/Plasma, S/O",97.0,48.5,,,0 HCPCS,G0480,"Chgl (Qu) Chlordiazepoxide And Metabolites, S/O",95.0,47.5,,,0 HCPCS,G0480,"Chgl (Qu) Chlorpromazine, S/O",95.0,47.5,,,0 HCPCS,G0480,"Chgl (Qu) Clonazepam, S/O",29.0,14.5,,,0 HCPCS,G0480,"Chgl (Qu) Cocaine And Metabolites, Confirmation, S/P/B, S/O",37.0,18.5,,,0 HCPCS,G0480,"Chgl (Qu) Cocaine Conf Gcms, S, S/O",38.0,19.0,,,0 HCPCS,G0480,"Chgl (Qu) Cocaine Confirmation, Meconium, S/O",37.0,18.5,,,0 HCPCS,G0480,"Chgl (Qu) Cocaine Metabolites, Urine, S/O",37.0,18.5,,,0 HCPCS,G0480,"Chgl (Qu) Cocaine, Confirmation By Gcms, Meconium, S/O",30.0,15.0,,,0 HCPCS,G0480,"Chgl (Qu) Desipramine, S/O",31.0,15.5,,,0 HCPCS,G0480,"Chgl (Qu) Diazepam And Metabolite, S/O",38.0,19.0,,,0 HCPCS,G0480,"Chgl (Qu) Drug Monitoring, Amphetamines, Quantitative, Urine, S/O",30.0,15.0,,,0 HCPCS,G0480,"Chgl (Qu) Drug Monitoring, Barbiturates, Quantitative, Urine, S/O",30.0,15.0,,,0 HCPCS,G0480,"Chgl (Qu) Drug Monitoring, Benzodiazepines, Quantitative, Urine, S/O",30.0,15.0,,,0 HCPCS,G0480,"Chgl (Qu) Drug Monitoring, Buprenorphine And Naloxone, Quantitative, Urine, S/O",15.0,7.5,,,0 HCPCS,G0480,"Chgl (Qu) Drug Monitoring, Cocaine Metabolite, Quantitative, Urine, S/O",30.0,15.0,,,0 HCPCS,G0480,"Chgl (Qu) Drug Monitoring, Fentanyl, Quantitative, Urine Reflex, S/O",30.0,15.0,,,0 HCPCS,G0480,"Chgl (Qu) Drug Monitoring, Marijuana Metabolite, Quantitative, Urine, S/O",30.0,15.0,,,0 HCPCS,G0480,"Chgl (Qu) Drug Monitoring, Methadone Metabolite, Quantitative, Urine, S/O",30.0,15.0,,,0 HCPCS,G0480,"Chgl (Qu) Drug Monitoring, Methamphetamine D/L Isomers, Urine, S/O",30.0,15.0,,,0 HCPCS,G0480,"Chgl (Qu) Drug Monitoring, Opiates Expanded, Quantitative, Urine, S/O",15.0,7.5,,,0 HCPCS,G0480,"Chgl (Qu) Fentanyl And Metabolite, Blood, S/O",113.0,56.5,,,0 HCPCS,G0480,"Chgl (Qu) Flunitrazepam And Metabolites, Quantitative, Urine, S/O",30.0,15.0,,,0 HCPCS,G0480,"Chgl (Qu) Fluphenazine, Serum/Plasma, S/O",90.0,45.0,,,0 HCPCS,G0480,"Chgl (Qu) Imipramine, S/O",29.0,14.5,,,0 HCPCS,G0480,"Chgl (Qu) Marijuana Conf Gcms, S/O",60.0,30.0,,,0 HCPCS,G0480,"Chgl (Qu) Marijuana Metabolite, Quantitative, Urine, S/O",30.0,15.0,,,0 HCPCS,G0480,"Chgl (Qu) Marijuana, Confirmation By Gcms, Blood, S/O",70.0,35.0,,,0 HCPCS,G0480,"Chgl (Qu) Marijuana, Confirmation, Meconium, S/O",47.0,23.5,,,0 HCPCS,G0480,"Chgl (Qu) Marijuana, Confirmation, Serum, S/O",60.0,30.0,,,0 HCPCS,G0480,"Chgl (Qu) Meperidine, Gc/Ms, Serum, S/O",76.0,38.0,,,0 HCPCS,G0480,"Chgl (Qu) Meprobamate, S/O",31.0,15.5,,,0 HCPCS,G0480,"Chgl (Qu) Methadone, Confirmation By Gcms, Me, S/O",87.0,43.5,,,0 HCPCS,G0480,"Chgl (Qu) Methadone, Quant. Gc, S/O",38.0,19.0,,,0 HCPCS,G0480,"Chgl (Qu) Methadone, Quantitation, Serum, S/O",30.0,15.0,,,0 HCPCS,G0480,"Chgl (Qu) Methadone, Urine, S/O",37.0,18.5,,,0 HCPCS,G0480,"Chgl (Qu) Nicotine And Cotinine, Urine, S/O",50.0,25.0,,,0 HCPCS,G0480,"Chgl (Qu) Nortriptyline, S/O",28.0,14.0,,,0 HCPCS,G0480,"Chgl (Qu) Opiate Confirmation, S/O",19.0,9.5,,,0 HCPCS,G0480,"Chgl (Qu) Opiate, Confirmation, Meconium, S/O",19.0,9.5,,,0 HCPCS,G0480,"Chgl (Qu) Opiates, Confirmation, Urine, S/O",17.0,8.5,,,0 HCPCS,G0480,"Chgl (Qu) Oxycodone And Metabolite Total, Urine, S/O",78.0,39.0,,,0 HCPCS,G0480,"Chgl (Qu) Oxycodone, Confirmation, Urine, S/O",30.0,15.0,,,0 HCPCS,G0480,"Chgl (Qu) Pain Management, S/O",22.0,11.0,,,0 HCPCS,G0480,"Chgl (Qu) Pentobarbital, S/O",59.0,29.5,,,0 HCPCS,G0480,"Chgl (Qu) Phencyclidine By Gcms, S/O",38.0,19.0,,,0 HCPCS,G0480,"Chgl (Qu) Phencyclidine, Confirmation, Meconium, S/O",112.0,56.0,,,0 HCPCS,G0480,"Chgl (Qu) Phencyclidine, Urine, S/O",38.0,19.0,,,0 HCPCS,G0480,"Chgl (Qu) Propoxyphene, Confirmation By Gcms, S/O",129.0,64.5,,,0 HCPCS,G0480,"Chgl (Qu) Risperidone And Metabolite, S/O",94.0,47.0,,,0 HCPCS,G0480,"Chgl (Qu) Thioridazine And Metabolite, Serum/Plasma, S/O",82.0,41.0,,,0 HCPCS,G0480,"Chgl (Qu) Tramadol (Ultram) Gcms, Urine, S/O",20.0,10.0,,,0 HCPCS,G0480,"Chgl (Qu) Tricyclics By Hplc, Identification & Quantitation, S/O",10.0,5.0,,,0 HCPCS,G0480,"Chgl (Qu) Volatiles, S/O",52.0,26.0,,,0 HCPCS,G0480,Chgl Alcohol Glc,115.0,57.5,,,0 HCPCS,G0480,Chgl Alcohol Isopropyl Gc,115.0,57.5,,,0 HCPCS,G0480,Chgl Alcohol Methyl Glc,115.0,57.5,,,0 HCPCS,G0480,Chgl Alcohol Urine,115.0,57.5,,,0 HCPCS,G0480,Chgl Amitriptyline Serum,204.0,102.0,,,0 HCPCS,G0480,Chgl Amobarbital,115.0,57.5,,,0 HCPCS,G0480,Chgl Amphet Quan Urine,115.0,57.5,,,0 HCPCS,G0480,Chgl Aprobarbital,115.0,57.5,,,0 HCPCS,G0480,Chgl Barbituate Quan,115.0,57.5,,,0 HCPCS,G0480,Chgl Barbituate Quant Urine,115.0,57.5,,,0 HCPCS,G0480,Chgl Benzodiaz Quan Serum,115.0,57.5,,,0 HCPCS,G0480,Chgl Benzodiazepine Gcms,115.0,57.5,,,0 HCPCS,G0480,Chgl Buprenorphine Conf Ua,115.0,57.5,,,0 HCPCS,G0480,Chgl Butabarbital,115.0,57.5,,,0 HCPCS,G0480,Chgl Butalbital,115.0,57.5,,,0 HCPCS,G0480,Chgl Cannabinoids Quant,115.0,57.5,,,0 HCPCS,G0480,Chgl Chlordiazepoxide,460.0,230.0,,,0 HCPCS,G0480,Chgl Clonazepam,115.0,57.5,,,0 HCPCS,G0480,Chgl Cocaine Quant,115.0,57.5,,,0 HCPCS,G0480,Chgl Codeine,115.0,57.5,,,0 HCPCS,G0480,Chgl Desipramine,235.0,117.5,,,0 HCPCS,G0480,Chgl Diazepam,375.0,187.5,,,0 HCPCS,G0480,Chgl Doxepin,262.0,131.0,,,0 HCPCS,G0480,Chgl Ethchlorvynol,115.0,57.5,,,0 HCPCS,G0480,Chgl Flunitrazepam,115.0,57.5,,,0 HCPCS,G0480,Chgl Flurazepam Qnt,115.0,57.5,,,0 HCPCS,G0480,Chgl Imipramine,167.0,83.5,,,0 HCPCS,G0480,Chgl Lc-Dabigatran,143.0,71.5,,,0 HCPCS,G0480,Chgl Lc-Paliperidone Serum Orplasma,176.0,88.0,,,0 HCPCS,G0480,Chgl Lc-Phosphatidylethanol (Peth),161.0,80.5,,,0 HCPCS,G0480,Chgl Lorazepam,285.0,142.5,,,0 HCPCS,G0480,Chgl Mdma Confirmation,115.0,57.5,,,0 HCPCS,G0480,Chgl Meperidine Serum,231.0,115.5,,,0 HCPCS,G0480,Chgl Mephobarbital,115.0,57.5,,,0 HCPCS,G0480,Chgl Meprobamate,115.0,57.5,,,0 HCPCS,G0480,Chgl Methadone Quantitative,115.0,57.5,,,0 HCPCS,G0480,Chgl Methadone Serum,160.0,80.0,,,0 HCPCS,G0480,Chgl Methamphetamine,115.0,57.5,,,0 HCPCS,G0480,Chgl Methsuximide,115.0,57.5,,,0 HCPCS,G0480,Chgl Morphine,115.0,57.5,,,0 HCPCS,G0480,"Chgl Nicotine Quant,Serum",115.0,57.5,,,0 HCPCS,G0480,Chgl Nortriptyline,198.0,99.0,,,0 HCPCS,G0480,Chgl Oxycodone Quant,115.0,57.5,,,0 HCPCS,G0480,Chgl Pentobarbital,201.0,100.5,,,0 HCPCS,G0480,Chgl Phencyclidine Quant,126.0,63.0,,,0 HCPCS,G0480,Chgl Phenobarbital,115.0,57.5,,,0 HCPCS,G0480,"Chgl Propoxyphene Confirmation,Ur",130.0,65.0,,,0 HCPCS,G0480,Chgl Propoxyphene Quant,115.0,57.5,,,0 HCPCS,G0480,Chgl Secobarbital,115.0,57.5,,,0 HCPCS,G0480,Chgl Temazepam,438.0,219.0,,,0 HCPCS,G0480,Chgl Thiopental,128.0,64.0,,,0 HCPCS,G0480,Chgl Thioridazine,143.0,71.5,,,0 HCPCS,G0480,Chgl-Lc-Nms-5 Fluorocytosine,152.0,76.0,,,0 HCPCS,G0480,Drug test def 1-7 classes,,,95.93,120.15,9 HCPCS,G0481,Drug test def 8-14 classes,,,147.59,164.42,9 HCPCS,G0482,Drug test def 15-21 classes,,,198.74,208.68,9 HCPCS,G0483,Drug test def 22+ classes,,,246.92,259.27,9 HCPCS,G0498,Chemo extend iv infus w/pump,,,328.72,1140.35,7 HCPCS,G0499,Hepb screen high risk indiv,,,28.27,41.88,9 HCPCS,G0506,Comp Asses Care Plan Ccm Svc,58.0,29.0,,,0 HCPCS,G0516,"Insert drug del implant, >4",,,444.58,5220.0,10 HCPCS,G0517,Remove drug implant,,,444.58,5220.0,10 HCPCS,G0518,Remove w insert drug implant,,,444.58,5220.0,10 HCPCS,G0537,Risk ascvd tst once pr 12 mo,,,37.29,129.36,7 HCPCS,G0539,Initial care training 30 m,,,40.34,41.53,4 HCPCS,G0540,Train for caregiver add 15,,,21.41,22.04,4 HCPCS,G0541,No pt prsnt train initial 30,,,28.78,99.86,7 HCPCS,G0543,Group train w/o patient,,,28.78,99.86,7 HCPCS,G0552,Supply of digital device,,,132.5,459.64,7 HCPCS,G0553,Monthly tx for dmht 20mins,,,132.5,459.64,7 HCPCS,G0555,Replacment pt electronic sys,,,854.62,2964.71,7 HCPCS,G0556,Adv prim care mgmt lvl 1,,,37.29,129.36,7 HCPCS,G0557,Adv prim care mgmt lvl 2,,,37.29,129.36,7 HCPCS,G0560,Safety plan interven,,,40.06,41.23,4 HCPCS,G0561,"Temp tube delivery, unil",,,2375.0,2633.0,2 HCPCS,G0564,365 d implant glucose sensor,,,17187.0,19040.0,2 HCPCS,G0565,Rem/ins glu snsr 365 dif sit,,,17187.0,19040.0,2 HCPCS,G0566,3d bn img algor drvd fr mri,,,128.06,444.23,7 HCPCS,G0567,Screening Hep C detect,,,35.79,36.84,4 HCPCS,G0570,"Care manage serv, pr cal mo",,,37.29,129.36,7 HCPCS,G0659,Drug test def simple all cl,,,62.14,95.77,9 HCPCS,G1001,Hb Cdsm Evicore,0.01,0.01,,,0 HCPCS,G1002,Hb Cdsm Medcurrent,0.01,0.01,,,0 HCPCS,G1003,Hb Cdsm Medicalis,0.01,0.01,,,0 HCPCS,G1004,Hb Cdsm Ndsc,0.01,0.01,,,0 HCPCS,G1005,Hb Cdsm Nia,0.01,0.01,,,0 HCPCS,G1006,Hb Cdsm Test Approp,0.01,0.01,,,0 HCPCS,G1007,Hb Cdsm Aim,0.01,0.01,,,0 HCPCS,G1008,Hb Cdsm Cranberry Pk,0.01,0.01,,,0 HCPCS,G1009,Hb Cdsm Sage Health,0.01,0.01,,,0 HCPCS,G1010,Hb Cdsm Stanson,0.01,0.01,,,0 HCPCS,G1011,Hb Cdsm Qualified Nos,0.01,0.01,,,0 HCPCS,G1013,Hb Cdsm Evidencecare's Imaging Advisor,0.01,0.01,,,0 HCPCS,G1014,Hb Cdsm Inveniqa's Semantic Answers In Medicine,0.01,0.01,,,0 HCPCS,G1015,Hb Cdsm Reliant Medical Group Cdsm,0.01,0.01,,,0 HCPCS,G1016,Hb Cdsm Speed Of Care Cdsm,0.01,0.01,,,0 HCPCS,G1017,Hb Cdsm Healthhelp's Clinical Decision Support Mechanism,0.01,0.01,,,0 HCPCS,G1019,Hb Cdsm Logicnets Auc Solution,0.01,0.01,,,0 HCPCS,G2000,Blinded conv. Tx MDD clin tr,,,371.37,1288.29,7 HCPCS,G2011,Alcohol/sub abuse assess,,,28.78,99.86,7 HCPCS,G2061,Qual nonMD est pt 5-10m,,,15.76,15.76,3 HCPCS,G2062,Qual nonMD est pt 11-20m,,,31.1,31.1,3 HCPCS,G2063,Qual nonMD est pt 21>min,,,49.8,49.8,3 HCPCS,G2066,Noncdm Charge Record,130.0,65.0,,,0 HCPCS,G2086,Off Base Opioid Tx 70Min,335.0,167.5,,,0 HCPCS,G2087,"Off Base Opioid Tx, 60 M",335.0,167.5,,,0 HCPCS,G2088,"Off Base Opioid Tx, Add 30",168.0,84.0,,,0 HCPCS,G2170,Avf by tissue w thermal e,,,5220.0,5220.0,1 HCPCS,G2171,Avf use magnetic/art/ven,,,5220.0,5220.0,1 HCPCS,G2212,Prolonged Office/Outpatient E/M Svc Ea 15 Min,49.0,24.5,,,0 HCPCS,G2250,"Remot img sub by pt, non e/m",,,8.05,8.28,4 HCPCS,G2251,"Brief chkin, 5-10, non-e/m",,,10.77,11.09,4 HCPCS,G2252,"Brief chkin by md/qhp, 11-20",,,22.35,23.01,4 HCPCS,G9143,Warfarin respon genetic test,,,120.72,203.84,5 HCPCS,G9942,Adtl spine proc on same date,,,5220.0,5220.0,1 HCPCS,G9948,Adtl spine proc on same date,,,5220.0,5220.0,1 HCPCS,H1018,Hb Cdsm Infinx Cdsm,0.01,0.01,,,0 HCPCS,J0121,"Inj., omadacycline, 1 mg",,,4.1,14.2,7 HCPCS,J0129,Abatacept injection,,,44.99,157.49,7 HCPCS,J0138,"Injection, acetaminoph 10 mg",,,0.04,0.78,7 HCPCS,J0139,"Inj, adalimumab, 1 mg",,,291.7,324.72,3 HCPCS,J0172,"Inj, aducanumab-avwa, 2 mg",,,19.02,21.17,3 HCPCS,J0174,"Inj, lecanemab-irmb",,,1.35,4.71,7 HCPCS,J0175,"Inj, donanemab-azbt, 2 mg",,,4.22,14.66,7 HCPCS,J0177,"Inj, aflibercept hd, 1 mg",,,317.61,1131.88,7 HCPCS,J0178,Aflibercept injection,,,786.99,2796.74,7 HCPCS,J0179,"Inj, brolucizumab-dbll, 1 mg",,,353.03,1225.51,7 HCPCS,J0180,Agalsidase beta injection,,,234.76,815.12,7 HCPCS,J0184,"Inj, amisulpride, 1 mg",,,9.81,34.2,10 HCPCS,J0185,"Inj., aprepitant, 1 mg",,,1.67,6.27,7 HCPCS,J0202,"Injection, alemtuzumab",,,2478.49,8640.08,7 HCPCS,J0206,Inj allopurinol sodium 1 mg,,,4.82,16.07,7 HCPCS,J0208,Inj sodium thiosulfate 100mg,,,97.01,336.8,10 HCPCS,J0211,"Inj, nithiodote, 3mg / 125mg",,,2.28,7.9,10 HCPCS,J0217,Inj velmanase alfa-tycv 1 mg,,,474.54,1646.28,7 HCPCS,J0218,Inj olipudase alfa-rpcp 1mg,,,401.53,1394.12,7 HCPCS,J0219,Inj aval alfa-nqpt 4mg,,,82.53,285.86,7 HCPCS,J0221,Lumizyme injection,,,210.72,731.43,7 HCPCS,J0222,"Inj., patisiran, 0.1 mg",,,101.97,353.36,7 HCPCS,J0223,Inj givosiran 0.5 mg,,,119.71,414.85,7 HCPCS,J0224,"Inj. lumasiran, 0.5 mg",,,335.63,1165.01,7 HCPCS,J0225,"Inj, vutrisiran, 1 mg",,,5103.71,17642.86,7 HCPCS,J0248,"Inj, remdesivir, 1 mg?",,,6.86,23.82,7 HCPCS,J0256,Alpha 1 proteinase inhibitor,,,5.57,18.37,7 HCPCS,J0257,Glassia injection,,,5.75,20.21,7 HCPCS,J0287,Amphotericin b lipid complex,,,10.5,36.46,10 HCPCS,J0289,Amphotericin b liposome inj,,,21.91,80.07,7 HCPCS,J0291,"Inj., plazomicin, 5 mg",,,3.57,12.64,7 HCPCS,J0349,"Inj, rezafungin, 1 mg",,,10.84,37.59,7 HCPCS,J0391,"Inj, artesunate, 1mg",,,52.87,183.48,10 HCPCS,J0401,Inj aripiprazole ext rel 1mg,,,7.42,25.63,7 HCPCS,J0402,"Inj, abilify asimtufii, 1 mg",,,6.15,21.35,7 HCPCS,J0475,Baclofen 10 mg injection,,,184.85,622.4,7 HCPCS,J0480,Basiliximab,,,4780.59,16540.54,7 HCPCS,J0485,Belatacept injection,,,3.96,13.77,7 HCPCS,J0490,Belimumab injection,,,57.19,198.28,7 HCPCS,J0491,Inj anifrolumab-fnia 1mg,,,18.44,64.07,7 HCPCS,J0517,"Inj., benralizumab, 1 mg",,,167.88,595.18,7 HCPCS,J0558,PenG benzathine/procaine inj,,,19.91,61.49,7 HCPCS,J0561,Penicillin g benzathine inj,,,30.61,103.72,7 HCPCS,J0565,"Inj, bezlotoxumab, 10 mg",,,40.62,141.0,7 HCPCS,J0577,"Inj, brixadi, 7 days or less",,,429.05,1496.82,7 HCPCS,J0578,"Inj brixadi, more than 7 day",,,1716.2,5987.24,7 HCPCS,J0584,"Injection, burosumab-twza 1m",,,493.82,1704.76,7 HCPCS,J0585,"Injection,onabotulinumtoxina",,,6.63,23.01,7 HCPCS,J0586,Abobotulinumtoxina,,,8.93,32.46,7 HCPCS,J0587,"Inj, rimabotulinumtoxinb",,,13.55,47.22,7 HCPCS,J0588,Incobotulinumtoxin a,,,5.68,18.8,7 HCPCS,J0589,Inj daxibotulinumtoxina-lanm,,,3.21,11.01,7 HCPCS,J0594,Busulfan injection,,,0.9,6.51,7 HCPCS,J0596,"Injection, ruconest",,,37.5,130.06,7 HCPCS,J0597,"C-1 esterase, berinert",,,77.38,268.54,7 HCPCS,J0598,"C-1 esterase, cinryze",,,66.94,232.68,7 HCPCS,J0600,Edetate calcium disodium inj,,,6536.54,22849.18,7 HCPCS,J0630,Calcitonin salmon injection,,,2657.84,2958.73,3 HCPCS,J0638,Canakinumab injection,,,144.44,499.14,7 HCPCS,J0651,"Inj, levothyroxine, freskabi",,,6.97,25.13,7 HCPCS,J0652,"Inj, levothyroxine, hikma",,,16.35,18.2,3 HCPCS,J0666,"Inj, bupivacaine liposome",,,1.5,5.27,7 HCPCS,J0687,Inj cefazolin (wg crit care),,,3.18,3.54,3 HCPCS,J0688,"Inj cefazolin sodium, hikma",,,2.89,3.22,3 HCPCS,J0695,Inj ceftolozane tazobactam,,,9.25,32.32,7 HCPCS,J0699,"Inj, cefiderocol, 10 mg",,,2.47,8.5,7 HCPCS,J0712,Ceftaroline fosamil inj,,,4.31,15.01,7 HCPCS,J0714,Ceftazidime and avibactam,,,106.82,371.52,7 HCPCS,J0716,Centruroides immune f(ab),,,4969.38,17239.04,10 HCPCS,J0717,Certolizumab pegol inj 1mg,,,3.99,15.89,7 HCPCS,J0739,"Injection, cabotegravir 1 mg",,,7.16,24.89,7 HCPCS,J0740,Cidofovir injection,,,557.22,1874.01,7 HCPCS,J0741,"Inj, cabote rilpivir 2mg 3mg",,,24.12,83.65,7 HCPCS,J0742,Inj imip 4 cilas 4 releb 2mg,,,8.3,9.24,3 HCPCS,J0750,"Hiv prep, ftc/tdf 200/300mg",,,1.77,6.16,7 HCPCS,J0751,"Hiv prep, ftc/taf 200/25mg",,,72.75,252.3,7 HCPCS,J0775,"Collagenase, clost hist inj",,,77.42,258.99,7 HCPCS,J0791,Inj crizanlizumab-tmca 5mg,,,132.07,458.71,7 HCPCS,J0840,Crotalidae poly immune fab,,,1865.29,6588.4,7 HCPCS,J0841,Inj crotalidae im f(ab')2 eq,,,1066.05,3696.26,7 HCPCS,J0850,Cytomegalovirus imm IV /vial,,,1844.82,6405.42,7 HCPCS,J0870,"Injection, imetelstat, 1 mg",,,58.17,201.85,7 HCPCS,J0872,Daptomycin (xellia) unrefrig,,,0.16,0.18,3 HCPCS,J0873,"Inj, daptomycin (xellia)",,,0.13,0.14,3 HCPCS,J0875,"Injection, dalbavancin",,,15.93,55.05,7 HCPCS,J0879,"Difelikefalin, esrd on dialy",,,0.25,0.28,3 HCPCS,J0881,"Darbepoetin alfa, non-esrd",,,2.98,10.62,7 HCPCS,J0882,"Darbepoetin alfa, esrd use",,,2.98,10.62,7 HCPCS,J0883,Argatroban nonesrd use 1mg,,,0.81,2.62,7 HCPCS,J0885,"Epoetin alfa, non-esrd",,,8.71,27.19,7 HCPCS,J0888,Epoetin beta non esrd,,,4.48,4.99,3 HCPCS,J0891,Argatroban nonesrd (accord),,,1.85,6.44,10 HCPCS,J0896,Inj luspatercept-aamt 0.25mg,,,42.82,148.54,7 HCPCS,J0897,Denosumab injection,,,29.97,103.51,7 HCPCS,J0898,Argatroban nonesrd (auromed),,,4.61,5.13,3 HCPCS,J0911,Inst tauro 1.35mg/hep 100u,,,6.54,27.19,10 HCPCS,J1010,"Inj, methylpred acetate 1 mg",,,0.38,0.42,3 HCPCS,J1072,"Inj, testosterone, azmiro",,,1.35,4.71,7 HCPCS,J1096,Dexametha opth insert 0.1 mg,,,104.99,359.27,7 HCPCS,J1097,Phenylep ketorolac opth soln,,,98.85,344.87,10 HCPCS,J1105,"Dexmedetomidine film, 1 mcg",,,2.04,2.27,3 HCPCS,J1162,Digoxin immune fab (ovine),,,5271.59,17588.77,7 HCPCS,J1190,Dexrazoxane hcl injection,,,64.32,113.6,7 HCPCS,J1201,Inj. cetirizine hcl 0.5mg,,,16.85,58.06,7 HCPCS,J1203,"Inj, cipaglucosidase, 5 mg",,,93.04,317.89,7 HCPCS,J1212,Dimethyl sulfoxide 50% 50 ML,,,763.82,2629.87,7 HCPCS,J1290,Ecallantide injection,,,591.56,2053.16,7 HCPCS,J1299,"Inj, eculizumab, 2 mg",,,45.72,158.49,7 HCPCS,J1301,"Injection, edaravone, 1 mg",,,21.41,66.69,7 HCPCS,J1302,"Inj, sutimlimab-jome, 10 mg",,,19.24,64.11,7 HCPCS,J1303,"Inj., ravulizumab-cwvz 10 mg",,,229.61,797.17,7 HCPCS,J1304,Inj tofersen intrathec 1 mg,,,162.59,549.9,7 HCPCS,J1305,"Inj, evinacumab-dgnb, 5mg",,,197.63,671.72,7 HCPCS,J1306,"Injection, inclisiran, 1 mg",,,12.56,43.72,7 HCPCS,J1307,"Inj, crovalimab-akkz, 10 mg",,,562.54,1952.35,7 HCPCS,J1322,"Elosulfase alfa, injection",,,314.86,1086.07,7 HCPCS,J1323,"Inj, elranatamab-bcmm, 1 mg",,,187.75,656.0,7 HCPCS,J1326,"Inj, zolbetuximab-clzb, 2 mg",,,34.38,118.8,7 HCPCS,J1410,Inj estrogen conjugate 25 MG,,,399.9,1383.22,7 HCPCS,J1411,"Inj, hemgenix, per tx dose",,,0.03,13040073.86,10 HCPCS,J1412,Inj roctavian ml 2x10^13vc g,,,0.03,44420.49,10 HCPCS,J1413,Inj delandistrogene mox rokl,,,0.03,11735084.87,10 HCPCS,J1414,"Inj, beqvez, per tx dose",,,0.03,0.04,3 HCPCS,J1430,Ethanolamine oleate 100 mg,,,519.14,1839.1,7 HCPCS,J1434,"Inj, focinvez, 1mg",,,2.9,10.16,7 HCPCS,J1437,Inj. fe derisomaltose 10 mg,,,22.46,67.08,7 HCPCS,J1438,Etanercept injection,,,3437.2,3826.32,3 HCPCS,J1439,Inj ferric carboxymaltos 1mg,,,1.13,4.04,7 HCPCS,J1440,Fecal?microbiota jslm 1 ml,,,65.12,226.67,7 HCPCS,J1442,Inj filgrastim excl biosimil,,,1.02,3.5,7 HCPCS,J1447,Inj tbo filgrastim 1 microg,,,0.29,1.06,7 HCPCS,J1448,"Injection, trilaciclib, 1mg",,,5.57,19.08,7 HCPCS,J1449,Inj eflapegrastim-xnst 0.1mg,,,21.29,74.76,7 HCPCS,J1451,"Fomepizole, 15 mg",,,6.4,22.21,10 HCPCS,J1454,"Inj fosnetupitant, palonoset",,,587.01,2146.48,7 HCPCS,J1455,Foscarnet sodium injection,,,49.54,55.15,3 HCPCS,J1456,"Inj, fosaprepitant (teva)",,,1.05,4.0,7 HCPCS,J1459,Inj IVIG privigen 500 mg,,,51.75,178.52,7 HCPCS,J1460,Gamma globulin 1 CC inj,,,50.01,171.41,7 HCPCS,J1552,"Inj, alyglo, 500 mg",,,132.84,464.16,7 HCPCS,J1554,Inj. asceniv,,,506.67,1757.65,7 HCPCS,J1555,"Inj cuvitru, 100 mg",,,17.18,62.27,7 HCPCS,J1557,Gammaplex injection,,,64.96,221.14,7 HCPCS,J1558,"Inj. xembify, 100 mg",,,15.14,52.78,7 HCPCS,J1559,Hizentra injection,,,14.62,49.98,7 HCPCS,J1560,Gamma globulin > 10 CC inj,,,173.89,591.39,7 HCPCS,J1561,Gamunex-c/gammaked,,,49.94,170.03,7 HCPCS,J1566,"Immune globulin, powder",,,80.37,289.22,7 HCPCS,J1568,Octagam injection,,,48.48,171.27,7 HCPCS,J1569,Gammagard liquid injection,,,46.22,169.21,7 HCPCS,J1571,HepaGam B IM injection,,,67.97,253.68,7 HCPCS,J1572,Flebogamma injection,,,177.32,197.39,3 HCPCS,J1573,"Hepagam B intravenous, inj",,,67.97,253.68,7 HCPCS,J1575,Hyqvia 100mg immuneglobulin,,,18.51,65.1,7 HCPCS,J1576,"Inj, panzyga, 500 mg",,,74.46,263.59,7 HCPCS,J1595,Injection glatiramer acetate,,,510.04,567.78,3 HCPCS,J1596,"Inj, glycopyrrolate, 0.1 mg",,,1.37,1.52,3 HCPCS,J1598,Inj glycopyrrolate fres kabi,,,5.88,6.55,3 HCPCS,J1602,Golimumab for iv use 1mg,,,11.26,39.05,7 HCPCS,J1610,Glucagon hydrochloride/1 mg,,,186.1,693.1,7 HCPCS,J1611,"Inj glucagon hcl, fresenius",,,151.97,512.88,7 HCPCS,J1627,"Inj, granisetron, xr, 0.1 mg",,,4.37,17.56,7 HCPCS,J1628,"Inj., guselkumab, 1 mg",,,77.49,265.0,7 HCPCS,J1640,"Hemin, 1 mg",,,34.86,120.96,7 HCPCS,J1670,Tetanus immune globulin inj,,,604.86,2042.76,7 HCPCS,J1742,Ibutilide fumarate injection,,,175.75,775.47,10 HCPCS,J1743,Idursulfase injection,,,569.63,1977.3,7 HCPCS,J1744,Icatibant injection,,,370.18,412.09,3 HCPCS,J1745,Infliximab not biosimil 10mg,,,31.71,110.38,7 HCPCS,J1746,"Inj., ibalizumab-uiyk, 10 mg",,,80.84,281.04,7 HCPCS,J1747,"Inj, spesolimab-sbzo, 1 mg",,,67.04,232.68,7 HCPCS,J1750,Inj iron dextran,,,18.47,63.83,7 HCPCS,J1786,Imuglucerase injection,,,44.05,153.25,7 HCPCS,J1811,Fiasp for insulin pump use,,,24.68,27.47,3 HCPCS,J1823,"Inj. inebilizumab-cdon, 1 mg",,,505.46,1750.28,7 HCPCS,J1826,Interferon Beta-1A inj,,,7005.99,7799.12,3 HCPCS,J1833,"Injection, isavuconazonium",,,1.03,3.58,10 HCPCS,J1885,Ketorolac tromethamine inj,,,0.31,1.24,7 HCPCS,J1930,Lanreotide injection,,,34.73,129.78,7 HCPCS,J1931,Laronidase injection,,,40.67,141.18,7 HCPCS,J1932,"Inj, lanreotide, (cipla) 1mg",,,30.44,86.55,7 HCPCS,J1939,"Inj, bumetanide, 0.5 mg",,,1.94,2.16,3 HCPCS,J1943,"Inj., aristada initio, 1 mg",,,3.31,11.54,7 HCPCS,J1944,Aripirazole lauroxil 1 mg,,,3.41,11.79,7 HCPCS,J1950,Leuprolide acetate /3.75 mg,,,1764.93,6149.33,7 HCPCS,J1951,Inj fensolvi 0.25 mg,,,143.81,497.12,7 HCPCS,J1952,"Leuprolide inj, camcevi, 1mg",,,80.49,181.99,7 HCPCS,J1954,Leuprolide depot cipla 7.5mg,,,701.95,781.42,7 HCPCS,J1961,"Inj, lenacapavir, 1 mg",,,22.6,77.95,7 HCPCS,J2002,"Inj, lidocaine in d5w, 1 mg",,,0.03,0.04,3 HCPCS,J2182,"Injection, mepolizumab, 1mg",,,31.9,110.91,7 HCPCS,J2183,Inj meropenem (wg crit care),,,5.15,5.73,3 HCPCS,J2186,"Inj., meropenem, vaborbactam",,,2.23,7.72,10 HCPCS,J2265,Minocycline hydrochloride,,,2.72,9.45,10 HCPCS,J2267,"Inj, mirikizumab-mrkz, 1 mg",,,43.91,170.88,7 HCPCS,J2277,"Inj, motixafortide, 0.25 mg",,,25.72,89.28,7 HCPCS,J2278,Ziconotide injection,,,10.34,35.86,7 HCPCS,J2315,"Naltrexone, depot form",,,4.32,15.01,7 HCPCS,J2323,Natalizumab injection,,,24.48,85.42,7 HCPCS,J2326,"Inj, nusinersen, 0.1mg",,,1305.86,4530.08,10 HCPCS,J2327,Inj risankizumab-rzaa 1 mg,,,15.24,52.53,7 HCPCS,J2329,"Inj ublituximab-xiiy, 1 mg",,,72.17,254.53,7 HCPCS,J2350,"Injection, ocrelizumab, 1 mg",,,60.6,211.34,7 HCPCS,J2351,Inj ocrelizumab 1mg hya-ocsq,,,48.18,167.23,7 HCPCS,J2353,"Octreotide injection, depot",,,207.65,751.19,7 HCPCS,J2356,"Inj tezepelumab-ekko, 1mg",,,18.37,64.78,7 HCPCS,J2357,Omalizumab injection,,,45.49,143.58,7 HCPCS,J2358,Olanzapine long-acting inj,,,9.29,10.34,3 HCPCS,J2373,"Inj, immphentiv, 20 mcg",,,0.41,0.46,3 HCPCS,J2403,"Chloroprocaine opht gel, 1mg",,,0.59,2.12,7 HCPCS,J2406,"Injection, oritavancin 10 mg",,,43.33,146.56,7 HCPCS,J2407,"Injection, oritavancin",,,29.25,100.96,7 HCPCS,J2425,Palifermin injection,,,36.26,127.12,7 HCPCS,J2426,Paliperidone palmitate inj,,,15.41,53.38,7 HCPCS,J2427,"Inj, invega hafyera/trinza",,,13.26,45.88,7 HCPCS,J2428,"Inj, erzofri, 1 mg",,,17.1,60.71,7 HCPCS,J2468,"Inj, palonosetron (avyxa)",,,59.4,208.29,7 HCPCS,J2502,"Inj, pasireotide long acting",,,584.42,1995.82,7 HCPCS,J2506,Inj pegfilgrast ex bio 0.5mg,,,91.13,206.74,7 HCPCS,J2507,Pegloticase injection,,,3734.05,12881.56,7 HCPCS,J2508,Pegunigalsidase alfa-iwxj,,,232.72,815.19,7 HCPCS,J2510,Penicillin g procaine inj,,,150.06,167.05,3 HCPCS,J2547,"Injection, peramivir",,,1.71,5.95,10 HCPCS,J2561,"Inj, sezaby, 1 mg",,,1.22,4.22,10 HCPCS,J2562,Plerixafor injection,,,25.84,422.92,7 HCPCS,J2597,Inj desmopressin acetate,,,12.37,13.77,3 HCPCS,J2601,"Inj, vasopressin (baxter)",,,2.05,10.41,7 HCPCS,J2679,Inj fluphenazine hcl 1.25 mg,,,23.63,26.3,3 HCPCS,J2690,Procainamide hcl injection,,,300.58,687.89,7 HCPCS,J2724,Protein C concentrate,,,4.77,15.79,7 HCPCS,J2760,Phentolaine mesylate inj,,,440.66,1545.25,7 HCPCS,J2770,Quinupristin/dalfopristin,,,13.55,15.08,3 HCPCS,J2777,"Inj, faricimab-svoa, 0.1mg",,,34.55,122.06,7 HCPCS,J2778,Ranibizumab injection,,,88.11,322.53,7 HCPCS,J2779,"Inj, susvimo 0.1 mg",,,80.51,277.64,7 HCPCS,J2781,"Inj, pegcetacoplan, 1mg",,,141.96,502.36,7 HCPCS,J2782,Inj avacincaptad pegol 0.1mg,,,107.23,374.89,7 HCPCS,J2783,Rasburicase,,,385.07,1332.74,7 HCPCS,J2786,"Injection, reslizumab, 1mg",,,11.17,37.45,7 HCPCS,J2792,"Rho(D) immune globulin h, sd",,,25.97,108.93,7 HCPCS,J2794,"Risperidone, long acting",,,11.2,38.73,7 HCPCS,J2798,"Inj., perseris, 0.5 mg",,,12.38,42.98,7 HCPCS,J2799,"Inj, uzedy, 1 mg",,,25.54,88.78,7 HCPCS,J2801,"Inj, rykindo, 0.5 mg",,,13.29,46.13,10 HCPCS,J2802,"Inj, romiplostim 1 microgram",,,11.23,38.94,7 HCPCS,J2820,Sargramostim injection,,,51.37,198.56,7 HCPCS,J2840,Inj sebelipase alfa 1 mg,,,550.71,1910.5,10 HCPCS,J2850,Inj secretin synthetic human,,,41.33,155.02,10 HCPCS,J2860,"Injection, siltuximab",,,169.15,573.34,7 HCPCS,J2919,"Inj, methylpred sod succ 5mg",,,0.83,0.92,3 HCPCS,J2941,Somatropin injection,,,155.57,173.18,3 HCPCS,J2993,Reteplase injection,,,2962.67,10282.21,10 HCPCS,J2997,Alteplase recombinant,,,96.34,333.29,7 HCPCS,J2998,Inj plasminogen tvmh 1mg,,,33.42,115.94,10 HCPCS,J3032,Inj. eptinezumab-jjmr 1 mg,,,20.37,70.27,7 HCPCS,J3055,Inj talquetamab-tgvs 0.25 mg,,,74.07,256.3,7 HCPCS,J3060,"Inj, taliglucerace alfa 10 u",,,41.93,145.35,7 HCPCS,J3090,Inj tedizolid phosphate,,,2.0,6.76,7 HCPCS,J3095,Telavancin injection,,,7.26,26.44,7 HCPCS,J3101,Tenecteplase injection,,,175.67,608.67,7 HCPCS,J3111,Inj. romosozumab-aqqg 1 mg,,,12.31,42.48,7 HCPCS,J3145,Testosterone undecanoate 1mg,,,2.11,7.04,7 HCPCS,J3240,Thyrotropin injection,,,2158.65,7480.87,7 HCPCS,J3241,Inj. teprotumumab-trbw 10 mg,,,366.38,1271.18,7 HCPCS,J3245,"Inj., tildrakizumab, 1 mg",,,130.0,446.89,7 HCPCS,J3247,Inj secukinumab intrav 1mg,,,18.2,63.15,7 HCPCS,J3262,Tocilizumab injection,,,5.82,20.5,7 HCPCS,J3263,"Inj, toripalimab-tpzi, 1 mg",,,40.2,139.83,7 HCPCS,J3285,Treprostinil injection,,,55.8,196.4,7 HCPCS,J3299,Inj xipere 1 mg,,,48.93,169.92,7 HCPCS,J3300,Triamcinolone A inj PRS-free,,,24.99,86.77,7 HCPCS,J3304,Inj triamcinolone ace xr 1mg,,,18.66,64.46,7 HCPCS,J3315,Triptorelin pamoate,,,484.33,1741.33,7 HCPCS,J3316,"Inj., triptorelin xr 3.75 mg",,,3893.62,13355.89,7 HCPCS,J3357,"Ustekinumab sub cu inj, 1 mg",,,501.42,558.19,3 HCPCS,J3358,"Ustekinumab, iv inject, 1 mg",,,13.25,47.05,7 HCPCS,J3380,"Injection, vedolizumab",,,21.74,78.09,7 HCPCS,J3385,Velaglucerase alfa,,,388.99,1345.84,7 HCPCS,J3391,"Inj, atidarsagene autotemcel",,,0.03,15940646.38,10 HCPCS,J3392,"Inj, exagamglogene autotem",,,0.03,8251628.71,10 HCPCS,J3393,"Inj, betibeglogene autotemce",,,0.03,10423307.36,10 HCPCS,J3394,"Inj, lovotibeglogene autotem",,,0.03,11494411.63,10 HCPCS,J3396,Verteporfin injection,,,11.77,40.89,7 HCPCS,J3398,Inj luxturna 1 billion vec g,,,0.03,10624.44,10 HCPCS,J3399,Inj onase abepar-xioi treat,,,0.03,8687247.5,10 HCPCS,J3401,"Vyjuvek 5x10^9pfu/ml, 0.1 ml",,,1045.94,3671.4,7 HCPCS,J3424,Inj hydroxocobalamin iv 25mg,,,5.29,18.35,10 HCPCS,J3425,"Inj, hydroxocobalamin",,,0.03,0.04,3 HCPCS,J3490,Lidocaine Hcl Epinephrine Injection .5%,7.25,3.62,,,0 HCPCS,J7165,"Inj, human-lans, per i.u",,,1.58,5.47,10 HCPCS,J7168,Prothrombin complex kcentra,,,2.18,7.58,10 HCPCS,J7169,"Inj andexxa, 10 mg",,,134.0,465.72,10 HCPCS,J7170,"Inj., emicizumab-kxwh 0.5 mg",,,57.22,203.3,7 HCPCS,J7171,"Inj, adzynma, 10 iu",,,36.3,125.99,7 HCPCS,J7172,"Inj marstacim-hncq, 0.5 mg",,,52.12,179.51,7 HCPCS,J7175,"Inj, factor x, (human), 1iu",,,9.97,35.08,7 HCPCS,J7177,"Inj., fibryga, 1 mg",,,1.25,4.28,7 HCPCS,J7178,Human fibrinogen conc inj,,,1.55,5.38,7 HCPCS,J7179,Vonvendi inj 1 iu vwf:rco,,,1.89,6.55,7 HCPCS,J7180,Factor XIII anti-hem factor,,,10.97,38.16,7 HCPCS,J7181,Factor xiii recomb a-subunit,,,18.52,64.75,7 HCPCS,J7182,Factor viii recomb novoeight,,,1.57,5.38,7 HCPCS,J7183,Wilate injection,,,1.31,4.5,7 HCPCS,J7185,Xyntha inj,,,1.71,5.45,7 HCPCS,J7186,Antihemophilic viii/vwf comp,,,1.27,4.35,7 HCPCS,J7187,"Humate-P, inj",,,1.52,5.27,7 HCPCS,J7188,Factor viii recomb obizur,,,3.29,11.43,7 HCPCS,J7189,Factor viia,,,2.71,9.38,7 HCPCS,J7190,Factor viii,,,1.11,4.0,7 HCPCS,J7192,Factor viii recombinant nos,,,1.65,5.45,7 HCPCS,J7193,Factor ix non-recombinant,,,1.42,4.74,7 HCPCS,J7194,Factor ix complex,,,1.73,6.02,7 HCPCS,J7195,Factor ix recombinant nos,,,1.89,6.66,7 HCPCS,J7197,Antithrombin iii injection,,,4.19,14.48,7 HCPCS,J7198,Anti-inhibitor,,,2.46,8.67,7 HCPCS,J7201,Factor ix alprolix recomb,,,3.67,12.85,7 HCPCS,J7202,Factor ix idelvion inj,,,5.43,18.9,7 HCPCS,J7203,Factor ix recomb gly rebinyn,,,4.55,16.21,7 HCPCS,J7204,Inj recombin esperoct per iu,,,2.27,8.0,7 HCPCS,J7205,Factor viii fc fusion recomb,,,2.47,8.57,7 HCPCS,J7207,Factor viii pegylated recomb,,,2.14,7.61,7 HCPCS,J7208,Inj. jivi 1 iu,,,2.7,9.38,7 HCPCS,J7209,Factor viii nuwiq recomb 1iu,,,1.14,4.18,7 HCPCS,J7210,"Inj, afstyla, 1 i.u.",,,1.6,5.59,7 HCPCS,J7211,"Inj, kovaltry, 1 i.u.",,,1.6,5.59,7 HCPCS,J7213,"Inj, ixinity, 1 i.u.",,,1.95,6.76,7 HCPCS,J7214,Altuviiio per factor viii iu,,,4.76,16.53,7 HCPCS,J7308,Aminolevulinic acid hcl top,,,399.93,1394.3,7 HCPCS,J7311,Fluocinolone acetonide implt,,,347.12,1202.75,7 HCPCS,J7312,Dexamethasone intra implant,,,208.7,726.69,7 HCPCS,J7313,Fluocinol acet intravit imp,,,508.1,1762.21,7 HCPCS,J7314,"Inj., yutiq, 0.01 mg",,,540.49,1885.33,7 HCPCS,J7318,"Inj, durolane 1 mg",,,6.91,23.65,7 HCPCS,J7320,"Genvisc 850, inj, 1mg",,,5.89,21.31,7 HCPCS,J7322,Hymovis injection 1 mg,,,17.97,61.74,7 HCPCS,J7323,Euflexxa inj per dose,,,114.7,405.26,7 HCPCS,J7324,Orthovisc inj per dose,,,116.83,345.86,7 HCPCS,J7325,Synvisc or Synvisc-One,,,8.11,32.18,7 HCPCS,J7326,Gel-one,,,539.84,1855.03,7 HCPCS,J7327,Monovisc inj per dose,,,649.32,1871.17,7 HCPCS,J7329,"Inj, trivisc 1 mg",,,4.78,19.29,7 HCPCS,J7332,"Inj., triluron, 1 mg",,,10.47,35.97,7 HCPCS,J7336,Capsaicin 8% patch,,,3.49,11.97,7 HCPCS,J7340,Carbidopa levodopa ent 100ml,,,248.48,860.75,7 HCPCS,J7345,"Aminolevulinic acid, 10% gel",,,1.83,6.41,7 HCPCS,J7351,Inj bimatoprost itc imp 1mcg,,,218.12,751.75,7 HCPCS,J7352,"Afamelanotide implant, 1 mg",,,3002.29,10419.71,10 HCPCS,J7353,Anacaulase-bcdb 8.8% gel 1 g,,,59.47,206.45,10 HCPCS,J7354,"Cantharidin top, applicator",,,667.85,2370.35,7 HCPCS,J7355,Inj travoprost intra impl,,,199.64,691.19,7 HCPCS,J7402,Mometasone sinus sinuva,,,11.57,40.18,7 HCPCS,J7501,Azathioprine parenteral,,,259.15,899.0,10 HCPCS,J7504,Lymphocyte immune globulin,,,5237.79,17746.41,7 HCPCS,J7511,Antithymocyte globuln rabbit,,,1019.35,3527.22,7 HCPCS,J7525,Tacrolimus injection,,,268.41,928.29,7 HCPCS,J8510,Oral busulfan,,,10.32,298.1,10 HCPCS,J8522,"Capecitabine, oral, 50 mg",,,0.04,0.18,7 HCPCS,J8611,Oral methotrexate (jylamvo),,,18.84,65.6,7 HCPCS,J8612,Oral methotrexate (xatmep),,,23.13,80.22,7 HCPCS,J8655,Netupitant palonosetron oral,,,431.35,1449.7,7 HCPCS,J8670,"Rolapitant, oral, 1mg",,,1.89,5.52,7 HCPCS,J9015,Aldesleukin injection,,,3405.65,18766.46,10 HCPCS,J9017,Arsenic trioxide injection,,,18.63,20.74,3 HCPCS,J9021,"Inj, aspara, rylaze, 0.1 mg",,,56.58,195.76,7 HCPCS,J9022,"Inj, atezolizumab,10 mg",,,93.17,322.21,7 HCPCS,J9023,"Injection, avelumab, 10 mg",,,102.09,355.06,7 HCPCS,J9024,Inj atezolizumb 5mg hya-tqjs,,,32.22,112.01,7 HCPCS,J9026,"Inj, tarlatamab-dlle, 1 mg",,,1595.93,5548.91,7 HCPCS,J9027,Clofarabine injection,,,4.27,52.11,7 HCPCS,J9028,"Inj, nogapendekin pmln, 1mcg",,,96.56,333.18,7 HCPCS,J9029,"Inj, adstiladrin, per tx dos",,,64609.13,224545.92,7 HCPCS,J9032,"Injection, belinostat, 10mg",,,53.52,184.22,7 HCPCS,J9033,"Inj., treanda 1 mg",,,1.92,6.55,7 HCPCS,J9034,"Inj., bendeka 1 mg",,,13.76,46.44,7 HCPCS,J9035,Bevacizumab injection,,,74.67,258.6,7 HCPCS,J9036,Inj. belrapzo/bendamustine,,,12.53,42.44,7 HCPCS,J9038,Inj axatilimab-csfr 0.1 mg,,,56.76,191.44,7 HCPCS,J9039,"Injection, blinatumomab",,,167.54,577.76,7 HCPCS,J9042,Brentuximab vedotin inj,,,263.81,915.16,7 HCPCS,J9043,Cabazitaxel injection,,,231.82,803.93,7 HCPCS,J9046,"Inj, bortezomib, dr. reddy's",,,3.53,17.38,10 HCPCS,J9047,"Injection, carfilzomib, 1 mg",,,56.76,195.02,7 HCPCS,J9048,"Inj, bortezomib freseniuskab",,,7.11,58.41,10 HCPCS,J9050,Carmustine injection,,,243.23,614.69,7 HCPCS,J9052,"Inj, carmustine (accord)",,,264.89,919.34,10 HCPCS,J9054,Inj bortezomib boruzu 0.1 mg,,,26.67,92.78,7 HCPCS,J9055,Cetuximab injection,,,79.94,277.78,7 HCPCS,J9056,"Inj, bendamustine, 1 mg",,,30.45,99.33,7 HCPCS,J9061,"Inj, amivantamab-vmjw",,,22.99,78.62,7 HCPCS,J9063,"Inj, elahere, 1 mg",,,70.88,246.1,7 HCPCS,J9065,Inj cladribine per 1 mg,,,10.89,34.44,7 HCPCS,J9071,Inj cyclophosphamd auromedic,,,0.64,2.76,7 HCPCS,J9072,Inj cyclophos dr.reddy's 5mg,,,9.29,31.86,7 HCPCS,J9073,Inj cyclophosphamd (ingenus),,,0.8,4.11,7 HCPCS,J9074,"Inj, cyclophosphamd, sandoz",,,4.01,14.9,7 HCPCS,J9075,"Inj, cyclophosphamide, nos",,,0.49,2.19,7 HCPCS,J9119,"Inj., cemiplimab-rwlc, 1 mg",,,29.88,101.6,7 HCPCS,J9120,Dactinomycin injection,,,334.9,1072.34,7 HCPCS,J9144,"Daratumumab, hyaluronidase",,,56.68,193.53,7 HCPCS,J9145,"Injection, daratumumab 10 mg",,,72.8,247.23,7 HCPCS,J9150,Daunorubicin injection,,,62.84,69.95,3 HCPCS,J9153,"Inj daunorubicin, cytarabine",,,261.21,903.02,7 HCPCS,J9155,Degarelix injection,,,4.54,15.43,7 HCPCS,J9172,"Docetaxel (ingenus), 1 mg",,,51.79,173.74,7 HCPCS,J9173,"Inj., durvalumab, 10 mg",,,86.82,301.79,7 HCPCS,J9174,"Inj, docetaxel (beizray) 1mg",,,53.52,185.74,10 HCPCS,J9176,"Injection, elotuzumab, 1mg",,,8.04,27.9,7 HCPCS,J9177,Inj enfort vedo-ejfv 0.25mg,,,37.48,129.78,7 HCPCS,J9179,Eribulin mesylate injection,,,91.13,370.21,7 HCPCS,J9185,Fludarabine phosphate inj,,,227.85,253.64,3 HCPCS,J9200,Floxuridine injection,,,4210.58,14604.45,7 HCPCS,J9202,Goserelin acetate implant,,,748.34,2598.89,7 HCPCS,J9203,Gemtuzumab ozogamicin 0.1 mg,,,241.35,837.63,7 HCPCS,J9204,"Inj mogamulizumab-kpkc, 1 mg",,,253.47,879.69,7 HCPCS,J9205,Inj irinotecan liposome 1 mg,,,67.32,231.02,7 HCPCS,J9207,Ixabepilone injection,,,142.0,490.89,7 HCPCS,J9210,"Inj., emapalumab-lzsg, 1 mg",,,392.54,1351.01,7 HCPCS,J9217,Leuprolide acetate suspnsion,,,179.98,550.19,7 HCPCS,J9220,Indigotindisulfonate sod 1mg,,,10.16,35.26,10 HCPCS,J9223,"Inj. lurbinectedin, 0.1 mg",,,211.27,729.7,7 HCPCS,J9226,Supprelin LA implant,,,45921.06,161283.78,7 HCPCS,J9227,Inj. isatuximab-irfc 10 mg,,,83.54,293.32,7 HCPCS,J9228,Ipilimumab injection,,,187.15,649.27,7 HCPCS,J9229,Inj inotuzumab ozogam 0.1 mg,,,2752.01,9551.1,7 HCPCS,J9245,Inj melphalan hydrochl 50 MG,,,97.82,382.43,7 HCPCS,J9246,"Inj., evomela, 1 mg",,,18.87,61.49,7 HCPCS,J9248,Inj melphalan (hepzato) 1 mg,,,810.9,2788.78,7 HCPCS,J9249,"Inj, melphalan (apotex) 1 mg",,,66.07,229.32,10 HCPCS,J9261,Nelarabine injection,,,81.46,224.37,7 HCPCS,J9264,Paclitaxel protein bound,,,10.75,42.9,7 HCPCS,J9266,Pegaspargase injection,,,28992.54,100621.17,7 HCPCS,J9268,Pentostatin injection,,,2660.32,9005.37,7 HCPCS,J9269,Inj. tagraxofusp-erzs 10 mcg,,,364.07,1234.11,7 HCPCS,J9271,Inj pembrolizumab,,,61.5,207.3,7 HCPCS,J9272,"Inj, dostarlimab-gxly, 10 mg",,,248.59,863.12,7 HCPCS,J9273,"Inj tisotu vedotin-tftv, 1mg",,,192.54,667.82,7 HCPCS,J9274,"Inj, tebentafusp-tebn, 1 mcg",,,221.43,768.5,7 HCPCS,J9276,"Inj zanidatamab-hrii, 2 mg",,,25.55,88.78,7 HCPCS,J9280,Mitomycin injection,,,20.75,100.08,7 HCPCS,J9281,Mitomycin instillation,,,324.9,1123.67,7 HCPCS,J9286,"Inj glofitamab gxbm, 2.5 mg",,,2823.24,9807.82,7 HCPCS,J9289,Inj nivolumab 2 mg hyaluron,,,27.91,94.66,7 HCPCS,J9292,"Inj, pemetrexed (avyxa) 10mg",,,83.99,294.81,7 HCPCS,J9293,Mitoxantrone hydrochl / 5 MG,,,24.35,104.78,7 HCPCS,J9294,"Inj pemetrexed, hospira 10mg",,,3.62,17.45,7 HCPCS,J9295,"Injection, necitumumab, 1 mg",,,5.85,20.28,7 HCPCS,J9296,Inj pemetrexed (accord) 10mg,,,9.93,34.48,7 HCPCS,J9298,Inj nivol relatlimab 3mg/1mg,,,201.79,699.68,7 HCPCS,J9299,"Injection, nivolumab",,,33.62,116.82,7 HCPCS,J9301,Obinutuzumab inj,,,80.58,277.75,7 HCPCS,J9302,Ofatumumab injection,,,63.48,220.29,10 HCPCS,J9303,Panitumumab injection,,,176.49,610.83,7 HCPCS,J9304,"Inj. pemetrexed, 10 mg",,,47.25,186.7,7 HCPCS,J9305,Pemetrexed injection,,,4.44,13.2,7 HCPCS,J9306,"Injection, pertuzumab, 1 mg",,,17.36,59.79,7 HCPCS,J9307,Pralatrexate injection,,,400.48,1376.46,7 HCPCS,J9308,"Injection, ramucirumab",,,75.85,263.55,7 HCPCS,J9309,"Inj, polatuzumab vedotin 1mg",,,139.4,482.25,7 HCPCS,J9311,"Inj rituximab, hyaluronidase",,,37.43,130.84,7 HCPCS,J9312,"Inj., rituximab, 10 mg",,,76.72,268.79,7 HCPCS,J9313,"Inj., lumoxiti, 0.01 mg",,,23.86,82.8,10 HCPCS,J9314,Inj pemetrexed (teva) 10mg,,,12.05,16.32,7 HCPCS,J9316,"Pertuzu, trastuzu, 10 mg",,,63.34,224.4,7 HCPCS,J9317,Sacituzumab govitecan-hziy,,,37.0,128.36,7 HCPCS,J9318,Inj romidepsin non-lyo 0.1mg,,,29.09,100.96,7 HCPCS,J9319,Inj romidepsin lyophil 0.1mg,,,31.39,110.02,7 HCPCS,J9321,Inj epcoritamab-bysp 0.16 mg,,,56.96,197.04,7 HCPCS,J9323,Inj pemetrexed ditromethamin,,,0.13,36.6,7 HCPCS,J9324,"Inj, pemrydi rtu, 10 mg",,,77.32,283.55,7 HCPCS,J9325,Inj talimogene laherparepvec,,,75.41,260.37,7 HCPCS,J9328,Temozolomide injection,,,10.6,36.78,7 HCPCS,J9329,"Inj, tislelizumab-jsgr",,,58.59,203.27,7 HCPCS,J9330,Temsirolimus injection,,,27.25,114.31,7 HCPCS,J9331,Inj sirolimus prot part 1 mg,,,86.26,299.24,7 HCPCS,J9332,Inj efgartigimod 2mg,,,32.79,114.7,7 HCPCS,J9333,Inj ronzanolixizum-noli 1 mg,,,23.63,81.99,7 HCPCS,J9334,Inj efgart-alfa 2mg hya-qvfc,,,34.57,119.44,7 HCPCS,J9342,Inj thiotepa nos 1 mg,,,10.75,43.33,7 HCPCS,J9345,"Inj, retifanlimab-dlwr, 1 mg",,,31.17,106.13,7 HCPCS,J9347,"Inj, tremelimumab-actl, 1 mg",,,143.71,499.74,7 HCPCS,J9348,"Inj. naxitamab-gqgk, 1 mg",,,699.72,2428.12,7 HCPCS,J9349,"Inj., tafasitamab-cxix",,,14.6,49.84,7 HCPCS,J9350,"Inj mosunetuzumab-axgb, 1 mg",,,667.72,2310.74,7 HCPCS,J9352,Injection trabectedin 0.1mg,,,398.89,1356.07,7 HCPCS,J9353,"Inj. margetuximab-cmkb, 5 mg",,,53.54,178.59,7 HCPCS,J9354,"Inj, ado-trastuzumab emt 1mg",,,43.0,148.15,7 HCPCS,J9355,Trastuzumab injection,,,76.53,269.68,7 HCPCS,J9356,"Inj. herceptin hylecta, 10mg",,,62.66,222.91,7 HCPCS,J9357,Valrubicin injection,,,1349.81,4873.84,7 HCPCS,J9358,Inj fam-trastu deru-nxki 1mg,,,30.58,106.2,7 HCPCS,J9359,Inj lon tesirin-lpyl 0.075mg,,,221.24,767.26,7 HCPCS,J9380,Inj teclistamab cqyv 0.5 mg,,,34.25,117.78,7 HCPCS,J9381,Inj teplizumab mzwv 5 mcg,,,38.42,133.28,7 HCPCS,J9382,Inj zenocutuzumab-zbco 1 mg,,,33.57,115.47,7 HCPCS,J9393,"Inj, fulvestrant (teva)",,,42.5,163.58,10 HCPCS,J9394,"Inj, fulvestrant (fresenius)",,,10.56,28.11,7 HCPCS,J9395,"Injection, Fulvestrant",,,22.2,24.71,3 HCPCS,J9400,"Inj, ziv-aflibercept, 1mg",,,8.04,28.25,7 HCPCS,J9600,Porfimer sodium injection,,,24712.99,85768.61,10 HCPCS,K0672,Removable soft interface le,,,103.73,106.79,4 HCPCS,L0112,Cranial cervical orthosis,,,1712.44,1762.8,4 HCPCS,L0113,Cranial cervical torticollis,,,348.91,359.17,4 HCPCS,L0120,Cerv flex n/adj foam pre ots,,,32.77,33.74,4 HCPCS,L0120,Chg - Cerv Flexible Non-Adjustable,61.07,30.54,,,0 HCPCS,L0120,Chg Cerv Foam Collar Cust Non Adj,48.65,24.32,,,0 HCPCS,L0120,Noncdm Charge Record Medical Supplies,23.619999999999997,11.809999999999999,,,0 HCPCS,L0130,Chg Cerv Collar Flex Thermoplastic,237.02,118.51,,,0 HCPCS,L0130,Flex thermoplastic collar mo,,,231.66,238.48,4 HCPCS,L0140,Cervical semi-rigid adjustab,,,76.61,78.87,4 HCPCS,L0150,Cerv semi-rig adj molded chn,,,140.54,144.67,4 HCPCS,L0160,Cerv sr wire occ/man pre ots,,,183.58,188.98,4 HCPCS,L0170,Cervical collar molded to pt,,,755.9,778.13,4 HCPCS,L0170,Chg Cerv Collar Moldable.,764.87,382.44,,,0 HCPCS,L0172,Cerv col sr foam 2pc pre ots,,,163.89,168.71,4 HCPCS,L0172,Chg Cerv Collar Semi Rig 2 Pce Cus,219.42,109.71,,,0 HCPCS,L0174,Cerv sr 2pc thor ext pre ots,,,321.98,331.45,4 HCPCS,L0174,Chg Cervical Miami Collar,421.25,210.62,,,0 HCPCS,L0174,Noncdm Charge Record Medical Supplies,217.12,108.56,,,0 HCPCS,L0180,Cer post col occ/man sup adj,,,446.47,459.61,4 HCPCS,L0180,Chg Cervical Post Occ/Man Col Adj,579.6,289.8,,,0 HCPCS,L0190,Cerv collar supp adj cerv ba,,,580.61,597.69,4 HCPCS,L0190,Chg Cerv Collar Multipost Adj Cust,753.48,376.74,,,0 HCPCS,L0200,Cerv col supp adj bar & thor,,,605.29,623.09,4 HCPCS,L0200,Chg - Col Cerv Sup Adj Bar/Thor Cust,595.13,297.56,,,0 HCPCS,L0220,"Chg Thoracic, Rib Belt, Custom",786.6,393.3,,,0 HCPCS,L0220,Thor rib belt custom fabrica,,,165.29,170.15,4 HCPCS,L0450,Tlso flex trunk/thor pre ots,,,148.0,152.35,4 HCPCS,L0454,Tlso trnk sj-t9 pre cst,,,424.33,436.81,4 HCPCS,L0455,Tlso flex trnk sj-t9 pre ots,,,274.76,282.84,4 HCPCS,L0456,L0456 Tlso Flex Trnk Sj-Ss P,1045.35,522.68,,,0 HCPCS,L0456,Tlso flex trnk sj-ss pre cst,,,1216.85,1252.64,4 HCPCS,L0457,Chg Tlso Flex Trnk Sj-Ss Pre Ots,1236.83,618.42,,,0 HCPCS,L0457,Tlso flex trnk sj-ss pre ots,,,787.91,811.08,4 HCPCS,L0458,TLSO 2Mod symphis-xipho pre,,,1091.14,1123.24,4 HCPCS,L0460,Tlso 2 shl symphys-stern cst,,,1228.16,1264.28,4 HCPCS,L0462,Chg Tlso Triplanar Prefab,1975.82,987.91,,,0 HCPCS,L0462,TLSO 3Mod sacro-scap pre,,,1527.64,1572.57,4 HCPCS,L0464,L0464 3 Mod Sacro Scap Pre,1561.82,780.91,,,0 HCPCS,L0464,TLSO 4Mod sacro-scap pre,,,1818.63,1872.12,4 HCPCS,L0466,Tlso r fram soft ant pre cst,,,442.03,455.03,4 HCPCS,L0467,Tlso r fram soft pre ots,,,308.14,317.21,4 HCPCS,L0468,Tlso rig fram pelvic pre cst,,,585.61,602.84,4 HCPCS,L0469,Tlso rig fram pelvic pre ots,,,392.63,404.18,4 HCPCS,L0470,TLSO rigid frame pre subclav,,,747.27,769.25,4 HCPCS,L0472,Chg Tlso Prefabricated,619.97,309.98,,,0 HCPCS,L0472,TLSO rigid frame hyperex pre,,,473.93,487.87,4 HCPCS,L0480,TLSO rigid plastic custom fa,,,1669.0,1718.08,4 HCPCS,L0482,Chg Tlso Rigid Custom Lined,2504.7,1252.35,,,0 HCPCS,L0482,TLSO rigid lined custom fab,,,1938.61,1995.63,4 HCPCS,L0484,Chg Tlso Rigid Cust Plastc Lined,2688.93,1344.46,,,0 HCPCS,L0484,TLSO rigid plastic cust fab,,,2082.98,2144.25,4 HCPCS,L0486,Chg Tlso Triplan 2 Pc W/Liner Cust,2855.57,1427.78,,,0 HCPCS,L0486,TLSO rigidlined cust fab two,,,2209.93,2274.93,4 HCPCS,L0488,Chg Tlso Triplan 1 Pc Rigid Prefab,1600.11,800.06,,,0 HCPCS,L0488,TLSO rigid lined pre one pie,,,1228.16,1264.28,4 HCPCS,L0490,TLSO rigid plastic pre one,,,346.12,356.3,4 HCPCS,L0491,TLSO 2 piece rigid shell,,,939.64,967.28,4 HCPCS,L0492,TLSO 3 piece rigid shell,,,617.98,636.15,4 HCPCS,L0621,L0621 Si Belt,108.68,54.34,,,0 HCPCS,L0621,Sio flex pelvic/sacr pre ots,,,78.03,80.32,4 HCPCS,L0622,Sio flex pelvisacral custom,,,354.0,364.41,4 HCPCS,L0623,Sio rig pnl pelv/sac pre ots,,,139.87,143.99,4 HCPCS,L0625,Chg Lumbar Orthosis Flexible,99.36,49.68,,,0 HCPCS,L0625,Lo flex l1-below l5 pre ots,,,43.66,44.94,4 HCPCS,L0626,Lo sag rig pnl stays pre cst,,,95.35,98.15,4 HCPCS,L0627,Chg Lumbar Orthotic Sagett Prefab,654.12,327.06,,,0 HCPCS,L0627,Lo sag ri an/pos pnl pre cst,,,502.94,517.73,4 HCPCS,L0628,Lso flex no ri stays pre ots,,,66.47,68.43,4 HCPCS,L0630,Chg Lso Corset Prefab,262.89,131.44,,,0 HCPCS,L0630,Lso r post pnl sj-t9 pre cst,,,198.15,203.97,4 HCPCS,L0631,"Chg Lso, Aspen Back Brace",1625.99,813.0,,,0 HCPCS,L0631,Lso sag r an/pos pnl pre cst,,,1256.01,1292.95,4 HCPCS,L0633,Chg Lso Flex Control Back Br,460.58,230.29,,,0 HCPCS,L0633,Lso sc r pos/lat pnl pre cst,,,350.85,361.17,4 HCPCS,L0635,Lso sagit rigid panel prefab,,,1121.93,1154.93,4 HCPCS,L0636,Lso sagittal rigid panel cus,,,1660.88,1709.73,4 HCPCS,L0637,Chg Lso Sag Coronal Prefab,1701.54,850.77,,,0 HCPCS,L0637,Lso sc r ant/pos pnl pre cst,,,1314.37,1353.03,4 HCPCS,L0638,Lso sag-coronal panel custom,,,1613.66,1661.12,4 HCPCS,L0639,Chg Lso Sag Coronal Shell Pre,1701.54,850.77,,,0 HCPCS,L0639,Lso s/c shell/panel prefab,,,1314.37,1353.03,4 HCPCS,L0640,Chg Lso Sag Coronal Shell Cust,1658.07,829.04,,,0 HCPCS,L0640,Lso s/c shell/panel custom,,,1280.29,1317.95,4 HCPCS,L0641,Lo rig pos pnl l1-l5 pre ots,,,61.76,63.58,4 HCPCS,L0642,Lo sag ri an/pos pnl pre ots,,,325.72,335.3,4 HCPCS,L0643,Lso sag ctr rigi pos pre ots,,,128.33,132.1,4 HCPCS,L0648,Lso sag r an/pos pnl pre ots,,,813.44,837.36,4 HCPCS,L0649,Lso sc r pos/lat pnl pre ots,,,227.23,233.91,4 HCPCS,L0650,Lso sc r ant/pos pnl pre ots,,,941.2,968.89,4 HCPCS,L0651,LSO sag-co shell pnl pre ots,,,941.2,968.89,4 HCPCS,L0700,Ctlso a-p-l control molded,,,2396.12,2466.6,4 HCPCS,L0710,Ctlso a-p-l control w/ inter,,,2447.94,2519.94,4 HCPCS,L0720,Ctlso a-p-l control custom,,,2265.1,2331.72,4 HCPCS,L0810,Chg Halo Cervica Inc Jkt/Vest Cust,3950.6,1975.3,,,0 HCPCS,L0810,Halo cervical into jckt vest,,,3061.46,3151.5,4 HCPCS,L0820,Halo cervical into body jack,,,2747.85,2828.67,4 HCPCS,L0830,Halo cerv into milwaukee typ,,,3872.54,3986.44,4 HCPCS,L0859,"Chg Halo Add, Mri Compatible",2084.49,1042.24,,,0 HCPCS,L0859,MRI compatible system,,,1613.85,1661.32,4 HCPCS,L0861,Halo repl liner/interface,,,263.7,271.46,4 HCPCS,L0970,Tlso corset front,,,157.61,162.25,4 HCPCS,L0972,Chg Lso Corset Front,189.41,94.7,,,0 HCPCS,L0972,Lso corset front,,,141.57,145.73,4 HCPCS,L0974,Tlso full corset,,,210.22,216.4,4 HCPCS,L0976,Lso full corset,,,187.42,192.94,4 HCPCS,L0978,Axillary crutch extension,,,247.38,254.66,4 HCPCS,L0980,Peroneal straps pair pre ots,,,27.0,27.79,4 HCPCS,L0982,Stocking sup grips 4 pre ots,,,19.08,19.65,4 HCPCS,L0984,Chg Cervical Miami Padding,82.8,41.4,,,0 HCPCS,L0984,Protect body sock ea pre ots,,,79.22,81.55,4 HCPCS,L0999,Chg-Add Spinal Orthosis No Specifi,42.44,21.22,,,0 HCPCS,L1000,Ctlso milwauke initial model,,,2404.03,2474.73,4 HCPCS,L1005,Tension based scoliosis orth,,,3915.98,4031.16,4 HCPCS,L1010,Ctlso axilla sling,,,78.66,80.98,4 HCPCS,L1020,Kyphosis pad,,,101.32,104.3,4 HCPCS,L1025,Kyphosis pad floating,,,193.39,199.08,4 HCPCS,L1030,Lumbar bolster pad,,,74.56,76.76,4 HCPCS,L1040,Lumbar or lumbar rib pad,,,97.59,100.46,4 HCPCS,L1050,Sternal pad,,,117.63,121.09,4 HCPCS,L1060,Thoracic pad,,,141.09,145.24,4 HCPCS,L1070,Trapezius sling,,,137.76,141.81,4 HCPCS,L1080,Outrigger,,,77.48,79.76,4 HCPCS,L1085,Outrigger bil w/ vert extens,,,209.64,215.81,4 HCPCS,L1090,Lumbar sling,,,138.68,142.76,4 HCPCS,L1100,Ring flange plastic/leather,,,221.47,227.99,4 HCPCS,L1110,Ring flange plas/leather mol,,,299.36,308.16,4 HCPCS,L1120,Covers for upright each,,,50.62,52.11,4 HCPCS,L1200,Furnsh initial orthosis only,,,1836.48,1890.49,4 HCPCS,L1210,Lateral thoracic extension,,,306.69,315.71,4 HCPCS,L1220,Anterior thoracic extension,,,292.98,301.6,4 HCPCS,L1220,Chg Tlso Ant Thor Extension,368.46,184.23,,,0 HCPCS,L1230,Milwaukee type superstructur,,,751.0,773.08,4 HCPCS,L1240,Lumbar derotation pad,,,101.52,104.51,4 HCPCS,L1250,Anterior asis pad,,,101.52,104.51,4 HCPCS,L1260,Anterior thoracic derotation,,,103.66,106.71,4 HCPCS,L1270,Abdominal pad,,,105.29,108.39,4 HCPCS,L1280,Rib gusset (elastic) each,,,121.12,124.69,4 HCPCS,L1290,Lateral trochanteric pad,,,95.88,98.7,4 HCPCS,L1300,Body jacket mold to patient,,,2158.94,2222.44,4 HCPCS,L1310,Post-operative body jacket,,,2218.33,2283.57,4 HCPCS,L1600,Ho flex frejka w/cov pre cst,,,151.04,155.48,4 HCPCS,L1610,Ho frejka cov only pre cst,,,66.66,68.62,4 HCPCS,L1620,Ho flex pavlik harns pre cst,,,188.77,194.32,4 HCPCS,L1620,L1620-Ho Abd Contrl Hip Jt,178.02,89.01,,,0 HCPCS,L1630,Abduct control hip semi-flex,,,198.61,204.46,4 HCPCS,L1640,Pelv band/spread bar thigh c,,,604.58,622.37,4 HCPCS,L1650,HO abduction hip adjustable,,,305.95,314.95,4 HCPCS,L1652,HO bi thighcuffs w sprdr bar,,,436.11,448.94,4 HCPCS,L1660,HO abduction static plastic,,,200.59,206.49,4 HCPCS,L1680,Pelvic & hip control thigh c,,,1428.11,1470.12,4 HCPCS,L1681,Ho bilateral hip abduction,,,2691.56,2770.72,4 HCPCS,L1685,Chg Hip Post Op Abduct Custom,1881.63,940.82,,,0 HCPCS,L1685,Post-op hip abduct custom fa,,,1457.47,1500.33,4 HCPCS,L1686,Chg Hip Ortho Abdct Post Op Prefab,1743.98,871.99,,,0 HCPCS,L1686,HO post-op hip abduction,,,1345.78,1385.36,4 HCPCS,L1690,Combination bilateral HO,,,2365.93,2435.52,4 HCPCS,L1700,Leg perthes orth toronto typ,,,1789.94,1842.58,4 HCPCS,L1710,Legg perthes orth newington,,,2095.31,2156.94,4 HCPCS,L1720,Legg perthes orthosis trilat,,,1544.49,1589.92,4 HCPCS,L1730,Legg perthes orth scottish r,,,1326.57,1365.59,4 HCPCS,L1755,Legg perthes patten bottom t,,,2105.19,2167.11,4 HCPCS,L1810,Chg - Ko Elastic With Joints,202.86,101.43,,,0 HCPCS,L1810,Chg Brace Hinged Knee,767.97,383.98,,,0 HCPCS,L1810,Ko elastic with joints,,,115.43,118.83,4 HCPCS,L1812,Ko Elastic W/Joints Pre Ots,112.82,56.41,,,0 HCPCS,L1812,Ko elastic w/joints pre ots,,,87.42,90.0,4 HCPCS,L1820,Chg Knee Oroth Elastic/Neopr,114.89,57.44,,,0 HCPCS,L1820,Ko W Condyl Pad & Jnts,251.51,125.76,,,0 HCPCS,L1820,Ko elas w/ condyle pads & jo,,,178.83,184.09,4 HCPCS,L1830,Chg - Immobiilzer-Knee,119.03,59.52,,,0 HCPCS,L1830,Ko immob canvas long pre ots,,,78.77,81.09,4 HCPCS,L1830,Noncdm Charge Record Medical Supplies,59.02,29.51,,,0 HCPCS,L1831,Knee orth pos locking joint,,,360.1,370.69,4 HCPCS,L1831,"L1831-Ko, Positional Orth",361.22,180.61,,,0 HCPCS,L1832,"Chg - Knee Orthosis,Adj Knee Joints",1886.81,943.4,,,0 HCPCS,L1832,Chg - Ko Adj Jnt Rigid Support,1213.02,606.51,,,0 HCPCS,L1832,Chg Knee Orthosis Adj Joint Prefab,1078.47,539.24,,,0 HCPCS,L1832,Ko adj jnt pos r sup pre cst,,,828.94,853.32,4 HCPCS,L1832,Noncdm Charge Record Medical Supplies,7.53,3.76,,,0 HCPCS,L1833,Ko Adj Jnt Pos R Sup Pre Ots,1657.04,828.52,,,0 HCPCS,L1833,Ko adj jnt pos r sup pre ots,,,567.44,584.13,4 HCPCS,L1834,Ko w/0 joint rigid molded to,,,909.86,936.62,4 HCPCS,L1836,Ko rigid w/o joints pre ots,,,111.38,114.66,4 HCPCS,L1840,Ko derot ant cruciate custom,,,1211.96,1247.61,4 HCPCS,L1843,Ko single upright pre cst,,,1097.79,1130.07,4 HCPCS,L1843,Noncdm Charge Record Medical Supplies,390.08,195.04,,,0 HCPCS,L1844,Ko w/adj jt rot cntrl molded,,,1902.82,1958.79,4 HCPCS,L1845,Ko double upright pre cst,,,1139.22,1172.72,4 HCPCS,L1845,"L1845-Ko Dbl Up,Med/Later",1083.65,541.82,,,0 HCPCS,L1846,Ko w adj flex/ext rotat mold,,,1396.76,1437.84,4 HCPCS,L1847,Ko dbl upright w/air pre cst,,,703.72,724.42,4 HCPCS,L1848,Ko dbl upright w/air pre ots,,,703.72,724.42,4 HCPCS,L1850,Ko swedish type pre ots,,,256.53,264.08,4 HCPCS,L1851,Ko single upright prefab ots,,,748.97,770.99,4 HCPCS,L1852,Ko double upright prefab ots,,,714.5,735.51,4 HCPCS,L1860,Ko supracondylar socket mold,,,1257.73,1294.72,4 HCPCS,L1900,Afo sprng wir drsflx calf bd,,,316.21,325.51,4 HCPCS,L1902,Afo ankle gauntlet pre ots,,,109.26,112.48,4 HCPCS,L1902,Chg - Afo Ankle Gauntlet,251.51,125.76,,,0 HCPCS,L1904,Afo molded ankle gauntlet,,,657.07,676.4,4 HCPCS,L1906,Afo multilig ank sup pre ots,,,140.96,145.11,4 HCPCS,L1906,Chg - Airsport,256.68,128.34,,,0 HCPCS,L1906,Chg - Ankle Splint,106.61,53.3,,,0 HCPCS,L1906,L1906-Afo-Multilig Ankle,141.8,70.9,,,0 HCPCS,L1907,AFO supramalleolar custom,,,688.45,708.7,4 HCPCS,L1910,Afo sing bar clasp attach sh,,,320.11,329.52,4 HCPCS,L1920,Afo sing upright w/ adjust s,,,409.76,421.82,4 HCPCS,L1930,Afo plastic,,,277.28,285.43,4 HCPCS,L1930,Chg Afo Plastic Prefab,364.32,182.16,,,0 HCPCS,L1932,Afo rig ant tib prefab TCF/=,,,1091.8,1123.91,4 HCPCS,L1932,Chg Afo Ant Tib Prefab,1412.78,706.39,,,0 HCPCS,L1933,Afo rig ant tib tcf/= ots,,,1091.8,1123.91,4 HCPCS,L1940,Afo Pos Solid Ank Plastic Mo,873.54,436.77,,,0 HCPCS,L1940,Afo molded to patient plasti,,,579.67,596.72,4 HCPCS,L1945,Afo molded plas rig ant tib,,,1385.86,1426.62,4 HCPCS,L1950,Afo spiral molded to pt plas,,,918.89,945.91,4 HCPCS,L1951,AFO spiral prefabricated,,,1027.52,1057.74,4 HCPCS,L1951,L1951-Prefab Spiral Afo,992.57,496.28,,,0 HCPCS,L1952,Afo spiral prefab ots,,,1027.52,1057.74,4 HCPCS,L1960,Afo pos solid ank plastic mo,,,693.05,713.43,4 HCPCS,L1960,Chg Afo Solid Custom,898.38,449.19,,,0 HCPCS,L1970,Afo Plastic Molded W/Ankle J,1466.6,733.3,,,0 HCPCS,L1970,Afo plastic molded w/ankle j,,,834.03,858.56,4 HCPCS,L1970,Chg Afo Custom W/Ankle Joint,1082.61,541.3,,,0 HCPCS,L1971,"AFO w/ankle joint, prefab",,,573.47,590.34,4 HCPCS,L1971,Prefab Afo W Ankle Jnt,550.62,275.31,,,0 HCPCS,L1980,Afo sing solid stirrup calf,,,430.16,442.82,4 HCPCS,L1990,Afo doub solid stirrup calf,,,522.46,537.83,4 HCPCS,L2000,Kafo sing fre stirr thi/calf,,,1237.79,1274.2,4 HCPCS,L2005,KAFO sng/dbl mechanical act,,,5013.51,5160.97,4 HCPCS,L2010,Kafo sng solid stirrup w/o j,,,1154.7,1188.66,4 HCPCS,L2020,Chg Kafo Dble Solid Stirrup,1889.91,944.96,,,0 HCPCS,L2020,Kafo dbl solid stirrup band/,,,1453.91,1496.67,4 HCPCS,L2030,Kafo dbl solid stirrup w/o j,,,1319.82,1358.64,4 HCPCS,L2034,Kafo pla sin up w/wo k/a cus,,,2492.87,2566.19,4 HCPCS,L2035,KAFO plastic pediatric size,,,214.09,220.38,4 HCPCS,L2036,Kafo plas doub free knee mol,,,2253.55,2319.83,4 HCPCS,L2037,Kafo plas sing free knee mol,,,2102.43,2164.27,4 HCPCS,L2038,Kafo w/o joint multi-axis an,,,2135.74,2198.55,4 HCPCS,L2040,Hkafo torsion bil rot straps,,,259.03,266.65,4 HCPCS,L2050,Hkafo torsion cable hip pelv,,,558.34,574.76,4 HCPCS,L2060,Hkafo torsion ball bearing j,,,680.51,700.53,4 HCPCS,L2070,Hkafo torsion unilat rot str,,,174.76,179.9,4 HCPCS,L2080,Hkafo unilat torsion cable,,,421.59,433.99,4 HCPCS,L2090,Hkafo unilat torsion ball br,,,513.96,529.07,4 HCPCS,L2106,Afo tib fx cast plaster mold,,,796.94,820.38,4 HCPCS,L2108,Afo tib fx cast molded to pt,,,1387.61,1428.42,4 HCPCS,L2112,Afo tibial fracture soft,,,638.23,657.01,4 HCPCS,L2114,Afo tib fx semi-rigid,,,800.52,824.06,4 HCPCS,L2114,L2114-Afo-Fracture Semi-R,770.04,385.02,,,0 HCPCS,L2116,Afo tibial fracture rigid,,,921.07,948.16,4 HCPCS,L2126,Kafo fem fx cast thermoplas,,,1540.78,1586.1,4 HCPCS,L2128,Kafo fem fx cast molded to p,,,2181.84,2246.01,4 HCPCS,L2132,Kafo femoral fx cast soft,,,1182.92,1217.72,4 HCPCS,L2134,Kafo fem fx cast semi-rigid,,,1262.27,1299.4,4 HCPCS,L2136,Chg Kafo Femur Fracture Fx Cast Rig,1961.33,980.66,,,0 HCPCS,L2136,Kafo femoral fx cast rigid,,,1506.6,1550.91,4 HCPCS,L2180,"Chg Afo Add Fx, Shoe Ank Jt",188.37,94.18,,,0 HCPCS,L2180,Plas shoe insert w ank joint,,,140.59,144.72,4 HCPCS,L2182,Chg Knee Drop Lock,158.36,79.18,,,0 HCPCS,L2182,Drop lock knee,,,116.49,119.92,4 HCPCS,L2184,Limited motion knee joint,,,159.25,163.94,4 HCPCS,L2186,Adj motion knee jnt lerman t,,,220.89,227.39,4 HCPCS,L2186,Chg Knee Adj Motion Jnt Lerman,291.87,145.94,,,0 HCPCS,L2188,Quadrilateral brim,,,423.01,435.46,4 HCPCS,L2190,Waist belt,,,109.29,112.51,4 HCPCS,L2192,Pelvic band & belt thigh fla,,,479.96,494.08,4 HCPCS,L2200,Chg Ankle Rom Limit Joint,80.73,40.36,,,0 HCPCS,L2200,Limited ankle motion ea jnt,,,55.72,57.36,4 HCPCS,L2210,Chg Afo Add With Df Assist Ea,110.75,55.38,,,0 HCPCS,L2210,Dorsiflexion assist each joi,,,80.67,83.04,4 HCPCS,L2220,Chg Afo Add With D/Pf Assist Ea,134.55,67.28,,,0 HCPCS,L2220,Dorsi & plantar flex ass/res,,,95.98,98.8,4 HCPCS,L2230,Split flat caliper stirr & p,,,89.93,92.58,4 HCPCS,L2232,"Rocker bottom, contact AFO",,,121.77,125.35,4 HCPCS,L2240,Round caliper and plate atta,,,111.32,114.6,4 HCPCS,L2250,Foot plate molded stirrup at,,,451.31,464.58,4 HCPCS,L2260,Reinforced solid stirrup,,,234.96,241.87,4 HCPCS,L2265,Long tongue stirrup,,,138.04,142.1,4 HCPCS,L2270,Varus/valgus strap padded/li,,,64.71,66.61,4 HCPCS,L2275,Chg Kafo Add Varus/Valgus Plastic,202.86,101.43,,,0 HCPCS,L2275,Plastic mod low ext pad/line,,,152.58,157.07,4 HCPCS,L2280,Molded inner boot,,,533.56,549.26,4 HCPCS,L2300,Abduction bar jointed adjust,,,334.57,344.41,4 HCPCS,L2310,Abduction bar-straight,,,167.54,172.46,4 HCPCS,L2320,Non-molded lacer,,,241.17,248.26,4 HCPCS,L2330,Lacer molded to patient mode,,,504.82,519.67,4 HCPCS,L2335,Anterior swing band,,,311.67,320.84,4 HCPCS,L2340,Chg Tibial Pre Shell Molded Cust,879.75,439.88,,,0 HCPCS,L2340,Pre-tibial shell molded to p,,,674.74,694.59,4 HCPCS,L2350,Prosthetic type socket molde,,,1165.33,1199.6,4 HCPCS,L2360,Extended steel shank,,,60.64,62.42,4 HCPCS,L2370,Patten bottom,,,392.97,404.52,4 HCPCS,L2375,Torsion ank & half solid sti,,,165.98,170.87,4 HCPCS,L2380,Chg-Knee Joint Torsion Straight,192.51,96.26,,,0 HCPCS,L2380,Torsion straight knee joint,,,144.3,148.54,4 HCPCS,L2385,Straight knee joint heavy du,,,157.0,161.62,4 HCPCS,L2387,Add le poly knee custom kafo,,,226.2,232.85,4 HCPCS,L2390,Offset knee joint each,,,131.47,135.33,4 HCPCS,L2395,Offset knee joint heavy duty,,,183.4,188.79,4 HCPCS,L2397,Suspension sleeve lower ext,,,142.87,147.07,4 HCPCS,L2405,Knee joint drop lock ea jnt,,,106.66,109.8,4 HCPCS,L2415,Knee joint cam lock each joi,,,148.6,152.97,4 HCPCS,L2425,Knee disc/dial lock/adj flex,,,175.37,180.53,4 HCPCS,L2430,Knee jnt ratchet lock ea jnt,,,175.37,180.53,4 HCPCS,L2492,Knee lift loop drop lock rin,,,159.23,163.92,4 HCPCS,L2500,Thi/glut/ischia wgt bearing,,,380.93,392.13,4 HCPCS,L2510,Th/wght bear quad-lat brim m,,,854.68,879.82,4 HCPCS,L2520,Th/wght bear quad-lat brim c,,,563.79,580.38,4 HCPCS,L2525,Th/wght bear nar m-l brim mo,,,1521.11,1565.84,4 HCPCS,L2526,Th/wght bear nar m-l brim cu,,,868.04,893.57,4 HCPCS,L2530,Thigh/wght bear lacer non-mo,,,275.39,283.49,4 HCPCS,L2540,Thigh/wght bear lacer molded,,,495.55,510.12,4 HCPCS,L2550,Thigh/wght bear high roll cu,,,336.64,346.54,4 HCPCS,L2570,Hip clevis type 2 posit jnt,,,558.29,574.71,4 HCPCS,L2580,Pelvic control pelvic sling,,,543.99,559.99,4 HCPCS,L2600,Hip clevis/thrust bearing fr,,,297.89,306.65,4 HCPCS,L2610,Hip clevis/thrust bearing lo,,,315.52,324.8,4 HCPCS,L2620,Pelvic control hip heavy dut,,,354.78,365.21,4 HCPCS,L2622,Hip joint adjustable flexion,,,402.21,414.04,4 HCPCS,L2624,Chg Hip Add Flex/Ext/Abduct,508.19,254.1,,,0 HCPCS,L2624,Hip adj flex ext abduct cont,,,388.13,399.55,4 HCPCS,L2627,Plastic mold recipro hip & c,,,2117.94,2180.23,4 HCPCS,L2628,Metal frame recipro hip & ca,,,2083.3,2144.57,4 HCPCS,L2630,Pelvic control band & belt u,,,290.24,298.78,4 HCPCS,L2640,Pelvic control band & belt b,,,393.89,405.48,4 HCPCS,L2650,Pelv & thor control gluteal,,,167.71,172.64,4 HCPCS,L2660,Thoracic control thoracic ba,,,218.45,224.88,4 HCPCS,L2670,Thorac cont paraspinal uprig,,,211.84,218.07,4 HCPCS,L2680,Thorac cont lat support upri,,,196.23,202.0,4 HCPCS,L2750,Plating chrome/nickel pr bar,,,97.97,100.85,4 HCPCS,L2755,Carbon graphite lamination,,,159.83,164.54,4 HCPCS,L2755,Chg Kafo Add Laminated/Comp,214.25,107.12,,,0 HCPCS,L2760,Chg Kafo Add Solid Stirrup,311.54,155.77,,,0 HCPCS,L2760,Extension per extension per,,,71.22,73.31,4 HCPCS,L2768,Ortho sidebar disconnect,,,159.39,164.07,4 HCPCS,L2780,Non-corrosive finish,,,79.33,81.66,4 HCPCS,L2785,Drop lock retainer each,,,37.3,38.4,4 HCPCS,L2795,Knee control full kneecap,,,101.16,104.14,4 HCPCS,L2800,Chg Knee Cap Med Or Lat,209.07,104.54,,,0 HCPCS,L2800,Knee cap medial or lateral p,,,155.5,160.07,4 HCPCS,L2810,Knee control condylar pad,,,122.06,125.65,4 HCPCS,L2820,Chg Kafo Soft Interface Bka,139.73,69.86,,,0 HCPCS,L2820,Chg Soft Inner Face For Bka,139.73,69.86,,,0 HCPCS,L2820,Soft interface below knee se,,,101.79,104.78,4 HCPCS,L2830,Chg Kafo Soft Interface Above,148.01,74.0,,,0 HCPCS,L2830,Soft interface above knee se,,,110.12,113.36,4 HCPCS,L2840,Tibial length sock fx or equ,,,65.1,67.01,4 HCPCS,L2850,Chg Sock Femoral Length,104.54,52.27,,,0 HCPCS,L2850,Femoral lgth sock fx or equa,,,72.57,74.71,4 HCPCS,L2999,Ankle Support,67.28,33.64,,,0 HCPCS,L3000,Ft insert ucb berkeley shell,,,384.34,395.64,4 HCPCS,L3001,Foot insert remov molded spe,,,161.83,166.59,4 HCPCS,L3002,Foot insert plastazote or eq,,,197.6,203.42,4 HCPCS,L3003,Chg-Insole Peg Assist L3003,175.95,87.98,,,0 HCPCS,L3003,Foot insert silicone gel eac,,,213.22,219.49,4 HCPCS,L3010,Foot longitudinal arch suppo,,,213.22,219.49,4 HCPCS,L3020,Foot longitud/metatarsal sup,,,242.73,249.87,4 HCPCS,L3030,Foot arch support remov prem,,,93.38,96.13,4 HCPCS,L3030,L3030 Orthotics,305.33,152.66,,,0 HCPCS,L3031,Foot lamin/prepreg composite,,,149.86,154.27,4 HCPCS,L3040,Ft arch suprt premold longit,,,57.58,59.27,4 HCPCS,L3040,"L3040 Foot Arch Suprt,Rem",56.93,28.46,,,0 HCPCS,L3050,Foot arch supp premold metat,,,57.58,59.27,4 HCPCS,L3050,Premold Metatars Foot Arch Sup,53.82,26.91,,,0 HCPCS,L3060,Foot arch supp longitud/meta,,,90.22,92.87,4 HCPCS,L3060,Premold Long/Metatars Removble,89.01,44.5,,,0 HCPCS,L3070,Arch suprt att to sho longit,,,38.87,40.02,4 HCPCS,L3080,Arch supp att to shoe metata,,,38.87,40.02,4 HCPCS,L3090,Arch supp att to shoe long/m,,,49.81,51.27,4 HCPCS,L3100,Hallus-valgus nt dyn pre ots,,,52.9,54.45,4 HCPCS,L3140,Abduction rotation bar shoe,,,108.94,112.14,4 HCPCS,L3150,Abduct rotation bar w/o shoe,,,99.58,102.51,4 HCPCS,L3170,Foot Plas Heel Stabi Pre Ots,54.86,27.43,,,0 HCPCS,L3170,Foot plas heel stabi pre ots,,,62.26,64.09,4 HCPCS,L3224,Woman's shoe oxford brace,,,77.97,80.26,4 HCPCS,L3225,Man's shoe oxford brace,,,80.06,82.41,4 HCPCS,L3250,"Chg Shoe, Amb Post Op Custom",181.13,90.56,,,0 HCPCS,L3260,Chg - Post Op Shoe/Boot,41.4,20.7,,,0 HCPCS,L3260,Noncdm Charge Record Medical Supplies,18.12,9.06,,,0 HCPCS,L3260,Post Op Shoe W Rocker Bottom,94.19,47.1,,,0 HCPCS,L3260,"Surgical,Orthowedge Shoe/Boot",41.4,20.7,,,0 HCPCS,L3300,Sho lift taper to metatarsal,,,63.8,65.68,4 HCPCS,L3310,Shoe lift elev heel/sole neo,,,99.58,102.51,4 HCPCS,L3330,Lifts elevation metal extens,,,692.44,712.8,4 HCPCS,L3332,L3332 Heel Lift,25.88,12.94,,,0 HCPCS,L3332,Shoe lifts tapered to one-ha,,,90.22,92.87,4 HCPCS,L3334,Shoe lifts elevation heel /i,,,46.7,48.07,4 HCPCS,L3340,Shoe wedge sach,,,104.31,107.37,4 HCPCS,L3350,L3350 Heel Wedge,22.77,11.38,,,0 HCPCS,L3350,Shoe heel wedge,,,28.03,28.85,4 HCPCS,L3360,Shoe sole wedge outside sole,,,43.57,44.86,4 HCPCS,L3370,Shoe sole wedge between sole,,,60.65,62.43,4 HCPCS,L3380,Shoe clubfoot wedge,,,60.65,62.43,4 HCPCS,L3390,Shoe outflare wedge,,,60.65,62.43,4 HCPCS,L3400,Shoe metatarsal bar wedge ro,,,49.81,51.27,4 HCPCS,L3410,Shoe metatarsal bar between,,,113.58,116.92,4 HCPCS,L3420,Full sole/heel wedge btween,,,66.93,68.9,4 HCPCS,L3430,Sho heel count plast reinfor,,,196.06,201.83,4 HCPCS,L3440,Heel leather reinforced,,,93.38,96.13,4 HCPCS,L3450,Shoe heel sach cushion type,,,129.17,132.97,4 HCPCS,L3455,Shoe heel new leather standa,,,49.81,51.27,4 HCPCS,L3460,Heel New Rubber Standard,41.4,20.7,,,0 HCPCS,L3460,Shoe heel new rubber standar,,,41.98,43.22,4 HCPCS,L3465,Shoe heel thomas with wedge,,,71.56,73.67,4 HCPCS,L3470,Shoe heel thomas extend to b,,,76.23,78.48,4 HCPCS,L3480,Shoe heel pad & depress for,,,76.23,78.48,4 HCPCS,L3500,Ortho shoe add leather insol,,,35.79,36.84,4 HCPCS,L3510,Orthopedic shoe add rub insl,,,35.79,36.84,4 HCPCS,L3520,O shoe add felt w leath insl,,,38.87,40.02,4 HCPCS,L3530,Ortho shoe add half sole,,,38.87,40.02,4 HCPCS,L3530,Orthopedic Half Sole,37.26,18.63,,,0 HCPCS,L3540,Ortho shoe add full sole,,,62.26,64.09,4 HCPCS,L3550,O shoe add standard toe tap,,,10.86,11.18,4 HCPCS,L3560,O shoe add horseshoe toe tap,,,28.03,28.85,4 HCPCS,L3570,O shoe add instep extension,,,104.31,107.37,4 HCPCS,L3580,O shoe add instep velcro clo,,,79.37,81.7,4 HCPCS,L3590,O shoe convert to sof counte,,,65.35,67.27,4 HCPCS,L3595,Ortho shoe add march bar,,,51.34,52.85,4 HCPCS,L3600,Trans shoe calip plate exist,,,93.38,96.13,4 HCPCS,L3610,Trans shoe caliper plate new,,,122.92,126.54,4 HCPCS,L3620,Trans shoe solid stirrup exi,,,93.38,96.13,4 HCPCS,L3630,Trans shoe solid stirrup new,,,122.92,126.54,4 HCPCS,L3640,Shoe dennis browne splint bo,,,52.9,54.45,4 HCPCS,L3650,Chg - Shlder Fig 8 Abduct Restrain,27.95,13.98,,,0 HCPCS,L3650,L3650 So 8 Abd Restrnt Pre Ots,89.01,44.5,,,0 HCPCS,L3650,So 8 abd restraint pre ots,,,77.94,80.23,4 HCPCS,L3660,So 8 ab rstr can/web pre ots,,,117.88,121.35,4 HCPCS,L3670,Chg - Shoulder Immobolizer,19.67,9.84,,,0 HCPCS,L3670,Givmohr Sling,171.81,85.9,,,0 HCPCS,L3670,Noncdm Charge Record Medical Supplies,115.11,57.55,,,0 HCPCS,L3670,So acro/clav can web pre ots,,,155.78,160.37,4 HCPCS,L3671,L3671 So Cap Design W/O Jnt Cf,497.84,248.92,,,0 HCPCS,L3671,SO cap design w/o jnts CF,,,1003.35,1032.86,4 HCPCS,L3674,L3674 So Airplane W/Wo Jnt Cf,1301.0,650.5,,,0 HCPCS,L3674,SO airplane w/wo joint CF,,,1316.18,1354.89,4 HCPCS,L3675,So Vest Canvas/Web Pre Ots,189.41,94.7,,,0 HCPCS,L3675,So vest canvas/web pre ots,,,195.41,201.16,4 HCPCS,L3702,EO w/o joints CF,,,321.51,330.97,4 HCPCS,L3702,L3702 Eo W/O Jt Cf,277.38,138.69,,,0 HCPCS,L3710,Eo elas w/metal jnts pre ots,,,179.23,184.51,4 HCPCS,L3720,Forearm/arm cuffs free motio,,,799.74,823.26,4 HCPCS,L3720,L3720 Eo Dbl Up W/Arm Cuff Cf,698.63,349.32,,,0 HCPCS,L3730,Forearm/arm cuffs ext/flex a,,,1033.93,1064.34,4 HCPCS,L3730,L3730 Eo Dbl Up Ex/Flx Asst Cf,1338.26,669.13,,,0 HCPCS,L3740,Cuffs adj lock w/ active con,,,1225.82,1261.87,4 HCPCS,L3740,L3740 Eo Dbl Up Adj Lock Cf,1447.97,723.98,,,0 HCPCS,L3760,"Chg - Eo Withjoint,Prefabricated",1268.91,634.46,,,0 HCPCS,L3760,"EO withjoint, Prefabricated",,,556.82,573.2,4 HCPCS,L3760,L3760 Eo W/Jnt Adj Lock Pre,478.17,239.08,,,0 HCPCS,L3761,"Eo, Adj Lock Joint Prefab Ot",497.84,248.92,,,0 HCPCS,L3761,"Eo, adj lock joint prefab ot",,,556.82,573.2,4 HCPCS,L3762,Bandit Strp Forearm Prefab Ots,170.78,85.39,,,0 HCPCS,L3762,Eo rigid w/o joints pre ots,,,119.73,123.25,4 HCPCS,L3763,EWHO rigid w/o jnts CF,,,781.61,804.59,4 HCPCS,L3763,L3763 Ewho Rigid W/O Jnts Cf,697.59,348.8,,,0 HCPCS,L3764,EWHO w/joint(s) CF,,,1020.17,1050.18,4 HCPCS,L3764,L3764 Ewho W/Joint(S) Cf,877.68,438.84,,,0 HCPCS,L3765,EWHFO rigid w/o jnts CF,,,1427.76,1469.75,4 HCPCS,L3765,L3765 Ewhfo Rigid W/O Jnts Cf,1227.51,613.76,,,0 HCPCS,L3766,EWHFO w/joint(s) CF,,,1511.88,1556.35,4 HCPCS,L3766,L3766 Ewhfo W/Joint(S) Cf,1298.93,649.46,,,0 HCPCS,L3806,L3806 Whfo W/Joint(S) Cf,436.77,218.38,,,0 HCPCS,L3806,WHFO w/joint(s) custom fab,,,505.81,520.68,4 HCPCS,L3807,"Chg - Boxers Fracture Brace,Lt/Rt",303.26,151.63,,,0 HCPCS,L3807,"Chg - Long Thumb Spica,Lt/Rt",303.26,151.63,,,0 HCPCS,L3807,L3807 Whfo W/O Joints Pre Cust,297.05,148.52,,,0 HCPCS,L3807,Whfo w/o joints pre cst,,,278.43,286.62,4 HCPCS,L3808,L3808 Whfo Rigid W/O Jnt(S) Cf,359.15,179.58,,,0 HCPCS,L3808,"WHFO, rigid w/o joints",,,410.44,428.63,7 HCPCS,L3809,Whfo No Jnt Prefab Ots,242.19,121.1,,,0 HCPCS,L3809,Whfo w/o joints pre ots,,,274.45,286.62,7 HCPCS,L3900,Hinge extension/flex wrist/f,,,1623.58,1671.34,4 HCPCS,L3901,Hinge ext/flex wrist finger,,,1843.77,1898.0,4 HCPCS,L3904,Whfo electric custom fitted,,,3358.82,3457.61,4 HCPCS,L3905,L3905 Who W/Nontorsion Jnt Cf,949.1,474.55,,,0 HCPCS,L3905,Who w/nontorsion jnt(s) cf,,,1104.27,1136.75,4 HCPCS,L3906,L3906 Who W/O Joints Cf,422.28,211.14,,,0 HCPCS,L3906,Who w/o joints cf,,,483.3,504.69,7 HCPCS,L3908,Chg - Wrist Cock-Up Non-Molded,74.52499999999999,37.26,,,0 HCPCS,L3908,"Chg - Wrist Splint,Control Lock-Up",125.24,62.62,,,0 HCPCS,L3908,Chg Theraplus Soft Spastic Prefab,85.91,42.96,,,0 HCPCS,L3908,L3908 Who Cock-Up Pre Ots,111.78,55.89,,,0 HCPCS,L3908,Noncdm Charge Record Medical Supplies,38.69,19.34,,,0 HCPCS,L3908,Who cock-up nonmolde pre ots,,,76.06,79.42,7 HCPCS,L3908,Wrist Cock-Up Non-Molded,37.78,18.89,,,0 HCPCS,L3912,Hfo flexion glove pre ots,,,133.66,137.59,4 HCPCS,L3912,L3912 Hfo Flex Glove Pre Ots,85.91,42.96,,,0 HCPCS,L3913,HFO w/o joints CF,,,297.28,310.44,7 HCPCS,L3913,L3913 Hfo W/O Joints Cf,259.79,129.9,,,0 HCPCS,L3915,Who nontorsion jnts pre cst,,,591.89,609.29,4 HCPCS,L3916,Who nontorsion jnts pre ots,,,591.89,609.29,4 HCPCS,L3917,Metacarp Fx Orthosis Pre Cst,108.68,54.34,,,0 HCPCS,L3917,Metacarp fx orthosis pre cst,,,117.68,121.14,4 HCPCS,L3918,Metacarp Fx Orthosis Pre Ots,98.33,49.16,,,0 HCPCS,L3918,Metacarp fx orthosis pre ots,,,117.68,121.14,4 HCPCS,L3919,HO w/o joints CF,,,297.28,310.44,7 HCPCS,L3919,L3919 Ho W/O Joints Cf,259.79,129.9,,,0 HCPCS,L3921,HFO w/joint(s) CF,,,357.67,368.19,4 HCPCS,L3921,L3921 Hfo W/Joint(S) Cf,309.47,154.74,,,0 HCPCS,L3923,Chg - Thumb Guard Spic Splint,127.31,63.66,,,0 HCPCS,L3923,Hfo W/Joints,127.31,63.66,,,0 HCPCS,L3923,Hfo without joints pre cst,,,107.48,110.64,4 HCPCS,L3923,L3923-Hfo-Without Joints,108.68,54.34,,,0 HCPCS,L3924,Hfo without joints pre ots,,,105.93,110.64,7 HCPCS,L3924,"Neoprene, Colditz, Hand Ots",57.96,28.98,,,0 HCPCS,L3924,"Neoprene,Colditz Hand Basd Ots",155.25,77.62,,,0 HCPCS,L3925,Fo pip dip jnt/sprng pre ots,,,57.64,59.34,4 HCPCS,L3925,L3925 Fo Pip Dip/Sprng Pre Ots,51.75,25.88,,,0 HCPCS,L3927,Fo pip dip no jt spr pre ots,,,38.93,40.08,4 HCPCS,L3927,L3927 Fo Pip Dip No Jt Pre Ots,37.26,18.63,,,0 HCPCS,L3929,Hfo nontorsion jnts pre cst,,,102.12,105.13,4 HCPCS,L3929,L3929 Hfo Nontors Jnt Pre Cust,99.36,49.68,,,0 HCPCS,L3930,Hfo nontorsion jnts pre ots,,,102.12,105.13,4 HCPCS,L3931,L3931 Whfo Nontorsion Jnt Pre,228.74,114.37,,,0 HCPCS,L3931,WHFO nontorsion joint prefab,,,209.14,215.29,4 HCPCS,L3933,FO w/o joints CF,,,234.17,244.53,7 HCPCS,L3933,Serial Cast-Finger,48.65,24.32,,,0 HCPCS,L3935,FO nontorsion joint CF,,,245.97,253.21,4 HCPCS,L3935,L3935 Fo Nontorsion Joint Cf,250.47,125.24,,,0 HCPCS,L3960,L3960 Sewho Airplane Abd Pre,893.21,446.6,,,0 HCPCS,L3960,Sewho airplan desig abdu pos,,,843.7,868.52,4 HCPCS,L3961,L3961 Sewho Cap W/O Jnts Cf,1607.36,803.68,,,0 HCPCS,L3961,Sewho cap design w/o jnts cf,,,1870.77,1925.79,4 HCPCS,L3962,Sewho erbs palsey design abd,,,822.94,847.14,4 HCPCS,L3967,L3967 Sewho Airplan W/O Jnt Cf,1898.19,949.1,,,0 HCPCS,L3967,Sewho airplane w/o jnts cf,,,2208.77,2273.73,4 HCPCS,L3971,L3971 Sewho Cap W/Jnt(S) Cf,1800.9,900.45,,,0 HCPCS,L3971,Sewho cap design w/jnt(s) cf,,,2096.64,2158.31,4 HCPCS,L3973,L3973 Sewho Airplane W/Jnt Cf,1898.19,949.1,,,0 HCPCS,L3973,Sewho airplane w/jnt(s) cf,,,2208.77,2273.73,4 HCPCS,L3975,L3975 Sewhfo Cap W/O Jnt Cf Cust,1607.36,803.68,,,0 HCPCS,L3975,Sewhfo cap design w/o jnt cf,,,1870.77,1925.79,4 HCPCS,L3976,L3976 Sewhfo Airpln W/O Jnt Cf,1607.36,803.68,,,0 HCPCS,L3976,Sewhfo airplane w/o jnts cf,,,1870.77,1925.79,4 HCPCS,L3977,L3977 Sewhfo Cap W/Jnt(S) Cf,1800.9,900.45,,,0 HCPCS,L3977,Sewhfo cap desgn w/jnt(s) cf,,,2096.64,2158.31,4 HCPCS,L3978,L3978 Sewhfo Airplane W/Jnt Cf,1898.19,949.1,,,0 HCPCS,L3978,Sewhfo airplane w/jnt(s) cf,,,2208.77,2273.73,4 HCPCS,L3980,L3980 Ue Fx Ortho Humeral Pre,316.71,158.36,,,0 HCPCS,L3980,Up ext fx orthos humeral nos,,,367.27,378.07,4 HCPCS,L3981,Ue fx orth shoul cap forearm,,,1120.81,1153.77,4 HCPCS,L3982,"Chg - Short Arm Fracture Brace,Lt/Rt",465.75,232.88,,,0 HCPCS,L3982,Upper Ext Fx Orthosis Rad/Ul,342.59,171.3,,,0 HCPCS,L3982,Upper ext fx orthosis rad/ul,,,428.18,440.77,4 HCPCS,L3984,Upper ext fx orthosis wrist,,,394.77,406.38,4 HCPCS,L3995,"L3995 Add Ue Ortho, Sock, Fx",60.03,30.02,,,0 HCPCS,L3995,Sock fracture or equal each,,,40.91,42.12,4 HCPCS,L3999,"Chg - Splint,Thumb Spica",20.7,10.35,,,0 HCPCS,L3999,Chg - Wrist Cock-Up Non-Molded,49.68,24.84,,,0 HCPCS,L3999,Cpm Pads Jace Universal K100,65.21,32.6,,,0 HCPCS,L3999,"Elbow Brace,Elastic",13.46,6.73,,,0 HCPCS,L3999,L3999 Ue Orthotic No Specified,46.58,23.29,,,0 HCPCS,L4000,Repl girdle milwaukee orth,,,1613.53,1660.98,4 HCPCS,L4010,Replace trilateral socket br,,,786.61,809.75,4 HCPCS,L4020,Replace quadlat socket brim,,,1100.11,1132.47,4 HCPCS,L4030,Replace socket brim cust fit,,,591.77,609.18,4 HCPCS,L4040,Replace molded thigh lacer,,,482.9,497.1,4 HCPCS,L4045,Replace non-molded thigh lac,,,384.48,395.79,4 HCPCS,L4050,Replace molded calf lacer,,,483.89,498.12,4 HCPCS,L4055,Replace non-molded calf lace,,,313.34,322.56,4 HCPCS,L4060,Replace high roll cuff,,,372.49,383.45,4 HCPCS,L4070,Replace prox & dist upright,,,329.86,339.56,4 HCPCS,L4080,Repl met band kafo-afo prox,,,135.31,139.29,4 HCPCS,L4090,Repl met band kafo-afo calf/,,,106.76,109.9,4 HCPCS,L4100,Repl leath cuff kafo prox th,,,140.2,144.32,4 HCPCS,L4110,Repl leath cuff kafo-afo cal,,,105.6,108.71,4 HCPCS,L4130,Replace pretibial shell,,,592.21,609.63,4 HCPCS,L4205,Ortho dvc repair per 15 min,,,30.52,31.42,4 HCPCS,L4350,Ankle control ortho pre ots,,,117.32,120.77,4 HCPCS,L4350,Deroyal Air/Gel Ankle Stirrup,27.95,13.98,,,0 HCPCS,L4350,L4350 Afo Stirrup,101.43,50.72,,,0 HCPCS,L4360,"Chg - Walking Boot,Pneumatic",823.86,411.93,,,0 HCPCS,L4360,Chg Boot Walk Pneu Aircast Prefab,470.93,235.46,,,0 HCPCS,L4360,Noncdm Charge Record Medical Supplies,158.65,79.32,,,0 HCPCS,L4360,Pneumat walking boot pre cst,,,360.66,371.27,4 HCPCS,L4361,Pneuma/Vac Walk Boot Pre Ots,347.76,173.88,,,0 HCPCS,L4361,Pneuma/vac walk boot pre ots,,,360.66,371.27,4 HCPCS,L4370,Pneum full leg splnt pre ots,,,238.5,245.51,4 HCPCS,L4386,Chg - Non-Pneum Walk Boot Prefab,67.28,33.64,,,0 HCPCS,L4386,"Chg Boot, Walk Cam Low Top",257.72,128.86,,,0 HCPCS,L4386,"Chg Boot, Walk Cam Pre Inflate",257.72,128.86,,,0 HCPCS,L4386,"Chg Boot, Walk Cam W/Dial",257.72,128.86,,,0 HCPCS,L4386,"Chg Boot,Camboot Eq Non Pneumatic",257.72,128.86,,,0 HCPCS,L4386,Non-pneum walk boot pre cst,,,193.96,199.67,4 HCPCS,L4386,Noncdm Charge Record Medical Supplies,161.96,80.98,,,0 HCPCS,L4387,Non-Pneum Walk Boot Pre Ots,241.16,120.58,,,0 HCPCS,L4387,Non-pneum walk boot pre ots,,,193.96,199.67,4 HCPCS,L4387,Noncdm Charge Record Medical Supplies,203.20499999999998,101.605,,,0 HCPCS,L4392,Replace AFO soft interface,,,28.78,29.63,4 HCPCS,L4394,Replace foot drop spint,,,20.99,21.61,4 HCPCS,L4396,Chg - Static Afo,471.96,235.98,,,0 HCPCS,L4396,Chg Afo Static Prefab,271.17,135.58,,,0 HCPCS,L4396,Chg Boot L'nard T Walker,271.17,135.58,,,0 HCPCS,L4396,Static or dynami afo pre cst,,,205.29,211.32,4 HCPCS,L4397,Static or dynami afo pre ots,,,205.29,211.32,4 HCPCS,L4398,Foot drop splint pre ots,,,94.52,97.3,4 HCPCS,L4631,"Afo, walk boot type, cus fab",,,1950.89,2008.27,4 HCPCS,L4631,"Chg Afo, Walk Boot Type Cus Fab",2361.87,1180.94,,,0 HCPCS,L5000,Sho insert w arch toe filler,,,695.98,716.45,4 HCPCS,L5010,Mold socket ank hgt w/ toe f,,,1520.26,1564.97,4 HCPCS,L5020,Tibial tubercle hgt w/ toe f,,,2474.67,2547.46,4 HCPCS,L5050,Ank symes mold sckt sach ft,,,2865.78,2950.07,4 HCPCS,L5060,Symes met fr leath socket ar,,,3449.01,3550.45,4 HCPCS,L5100,Molded socket shin sach foot,,,2985.38,3073.18,4 HCPCS,L5105,Plast socket jts/thgh lacer,,,4738.44,4877.81,4 HCPCS,L5150,Mold sckt ext knee shin sach,,,4385.16,4514.14,4 HCPCS,L5160,Mold socket bent knee shin s,,,4769.64,4909.93,4 HCPCS,L5200,Kne sing axis fric shin sach,,,4154.78,4276.98,4 HCPCS,L5210,No knee/ankle joints w/ ft b,,,3030.14,3119.27,4 HCPCS,L5220,No knee joint with artic ali,,,3444.32,3545.62,4 HCPCS,L5230,Fem focal defic constant fri,,,4750.38,4890.1,4 HCPCS,L5250,Hip canad sing axi cons fric,,,6479.11,6669.67,4 HCPCS,L5270,Tilt table locking hip sing,,,6422.35,6611.24,4 HCPCS,L5280,Hemipelvect canad sing axis,,,6358.13,6545.13,4 HCPCS,L5301,Bk mold socket sach ft endo,,,2867.12,2951.44,4 HCPCS,L5312,"Knee disart, SACH ft, endo",,,4118.93,4240.08,4 HCPCS,L5321,Ak open end sach,,,4104.2,4224.92,4 HCPCS,L5331,Hip disart canadian sach ft,,,5807.6,5978.42,4 HCPCS,L5341,Hemipelvectomy canadian sach,,,6311.05,6496.67,4 HCPCS,L5400,Chg Knee Bk Fit Post Op Rigid Drsg,1942.7,971.35,,,0 HCPCS,L5400,Postop dress & 1 cast chg bk,,,1502.9,1547.1,4 HCPCS,L5410,Postop dsg bk ea add cast ch,,,658.45,677.82,4 HCPCS,L5420,Postop dsg & 1 cast chg ak/d,,,1898.1,1953.92,4 HCPCS,L5430,Postop dsg ak ea add cast ch,,,837.85,862.49,4 HCPCS,L5450,Chg Knee Below Ptb Socket Prefab,694.49,347.24,,,0 HCPCS,L5450,Postop app non-wgt bear dsg,,,535.98,551.74,4 HCPCS,L5460,Chg-Postop Nonwgt Br Dsg Abv Knee,777.29,388.64,,,0 HCPCS,L5460,Postop app non-wgt bear dsg,,,789.99,813.22,4 HCPCS,L5500,Init bk ptb plaster direct,,,1603.78,1650.95,4 HCPCS,L5505,Init ak ischal plstr direct,,,2171.94,2235.82,4 HCPCS,L5510,Prep BK ptb plaster molded,,,1817.99,1871.46,4 HCPCS,L5520,Perp BK ptb thermopls direct,,,1795.74,1848.56,4 HCPCS,L5530,Prep BK ptb thermopls molded,,,2273.05,2339.9,4 HCPCS,L5535,Prep BK ptb open end socket,,,2240.06,2305.95,4 HCPCS,L5540,Prep BK ptb laminated socket,,,2365.4,2434.97,4 HCPCS,L5560,Prep AK ischial plast molded,,,2427.02,2498.4,4 HCPCS,L5570,Prep AK ischial direct form,,,2523.24,2597.45,4 HCPCS,L5580,Prep AK ischial thermo mold,,,2945.7,3032.34,4 HCPCS,L5585,Prep AK ischial open end,,,3194.96,3288.93,4 HCPCS,L5590,Prep AK ischial laminated,,,3001.87,3090.16,4 HCPCS,L5595,Hip disartic sach thermopls,,,5276.47,5431.66,4 HCPCS,L5600,Hip disart sach laminat mold,,,5755.18,5924.45,4 HCPCS,L5610,Above knee hydracadence,,,2585.35,2661.39,4 HCPCS,L5611,Ak 4 bar link w/fric swing,,,2011.92,2071.09,4 HCPCS,L5613,Ak 4 bar ling w/hydraul swig,,,3060.27,3150.27,4 HCPCS,L5614,4-bar link above knee w/swng,,,2068.62,2129.46,4 HCPCS,L5615,Ak 4 bar link hydl swg/stanc,,,6970.3,7175.31,4 HCPCS,L5616,Ak univ multiplex sys frict,,,1695.97,1745.86,4 HCPCS,L5617,AK/BK self-aligning unit ea,,,685.87,706.04,4 HCPCS,L5618,Test socket symes,,,395.13,406.75,4 HCPCS,L5620,Test socket below knee,,,347.17,357.38,4 HCPCS,L5622,Test socket knee disarticula,,,530.19,545.78,4 HCPCS,L5624,Test socket above knee,,,505.86,520.74,4 HCPCS,L5626,Test socket hip disarticulat,,,711.06,731.98,4 HCPCS,L5628,Test socket hemipelvectomy,,,673.47,693.27,4 HCPCS,L5629,Below knee acrylic socket,,,514.29,529.42,4 HCPCS,L5630,Syme typ expandabl wall sckt,,,560.43,576.91,4 HCPCS,L5631,Ak/knee disartic acrylic soc,,,670.17,689.88,4 HCPCS,L5632,Symes type ptb brim design s,,,277.27,285.42,4 HCPCS,L5634,Symes type poster opening so,,,379.85,391.02,4 HCPCS,L5636,Symes type medial opening so,,,318.18,327.54,4 HCPCS,L5637,Below knee total contact,,,425.01,437.51,4 HCPCS,L5637,Chg Knee Add Below Total Contact,557.87,278.94,,,0 HCPCS,L5638,Below knee leather socket,,,607.71,625.58,4 HCPCS,L5639,Below knee wood socket,,,1425.65,1467.58,4 HCPCS,L5640,Knee disarticulat leather so,,,868.0,893.53,4 HCPCS,L5642,Above knee leather socket,,,777.09,799.94,4 HCPCS,L5643,Hip flex inner socket ext fr,,,1943.57,2000.73,4 HCPCS,L5644,Above knee wood socket,,,737.55,759.24,4 HCPCS,L5645,Bk flex inner socket ext fra,,,996.35,1025.65,4 HCPCS,L5646,Below knee cushion socket,,,684.19,704.31,4 HCPCS,L5647,Below knee suction socket,,,993.32,1022.53,4 HCPCS,L5648,Above knee cushion socket,,,822.13,846.31,4 HCPCS,L5649,Isch containmt/narrow m-l so,,,2495.89,2569.3,4 HCPCS,L5650,Tot contact ak/knee disart s,,,609.61,627.54,4 HCPCS,L5651,Ak flex inner socket ext fra,,,1499.62,1543.73,4 HCPCS,L5652,Suction susp ak/knee disart,,,544.42,560.44,4 HCPCS,L5653,Knee disart expand wall sock,,,726.76,748.14,4 HCPCS,L5654,Socket insert symes,,,414.14,426.32,4 HCPCS,L5655,Chg-Socket Insert Below Knee,349.83,174.92,,,0 HCPCS,L5655,Socket insert below knee,,,350.64,360.95,4 HCPCS,L5656,Socket insert knee articulat,,,493.95,508.47,4 HCPCS,L5658,Socket insert above knee,,,481.03,495.18,4 HCPCS,L5661,Multi-durometer symes,,,835.92,860.51,4 HCPCS,L5665,Multi-durometer below knee,,,639.38,658.18,4 HCPCS,L5666,Below knee cuff suspension,,,95.01,97.81,4 HCPCS,L5668,Bk molded distal cushion,,,126.86,130.59,4 HCPCS,L5668,Chg Knee Add Below Distal Cushion,171.81,85.9,,,0 HCPCS,L5670,Bk molded supracondylar susp,,,386.18,397.54,4 HCPCS,L5671,Bk/ak locking mechanism,,,621.14,639.41,4 HCPCS,L5672,Bk removable medial brim sus,,,471.85,485.73,4 HCPCS,L5673,Socket insert w lock mech,,,877.3,903.1,4 HCPCS,L5676,Bk knee joints single axis p,,,452.5,465.81,4 HCPCS,L5677,Bk knee joints polycentric p,,,615.69,633.8,4 HCPCS,L5678,Bk joint covers pair,,,49.58,51.04,4 HCPCS,L5679,Chg Knee Socket Insert Wo Lock,955.31,477.66,,,0 HCPCS,L5679,Socket insert w/o lock mech,,,731.07,752.58,4 HCPCS,L5680,Bk thigh lacer non-molded,,,432.48,445.2,4 HCPCS,L5681,Intl custm cong/latyp insert,,,1612.52,1659.95,4 HCPCS,L5682,Bk thigh lacer glut/ischia m,,,780.94,803.91,4 HCPCS,L5683,Initial custom socket insert,,,1612.52,1659.95,4 HCPCS,L5684,Bk fork strap,,,60.11,61.88,4 HCPCS,L5684,Chg Knee Bk Fork Strap,83.84,41.92,,,0 HCPCS,L5685,Below knee sus/seal sleeve,,,157.02,161.64,4 HCPCS,L5686,Bk back check,,,81.07,83.45,4 HCPCS,L5688,Bk waist belt webbing,,,76.28,78.52,4 HCPCS,L5688,Chg Knee Add Below Waist Belt Web,106.61,53.3,,,0 HCPCS,L5690,Bk waist belt padded and lin,,,147.7,152.04,4 HCPCS,L5692,Ak pelvic control belt light,,,171.43,176.47,4 HCPCS,L5694,Ak pelvic control belt pad/l,,,226.54,233.2,4 HCPCS,L5695,Ak sleeve susp neoprene/equa,,,237.64,244.63,4 HCPCS,L5695,Chg Knee Add Above Sleeve Neoprene,315.68,157.84,,,0 HCPCS,L5696,Ak/knee disartic pelvic join,,,259.71,267.35,4 HCPCS,L5697,Ak/knee disartic pelvic band,,,105.5,108.6,4 HCPCS,L5698,Ak/knee disartic silesian ba,,,131.21,135.07,4 HCPCS,L5698,Chg Knee Add Ab Silesian Bandage,176.99,88.5,,,0 HCPCS,L5699,Shoulder harness,,,232.83,239.67,4 HCPCS,L5700,Replace socket below knee,,,3597.5,3703.31,4 HCPCS,L5701,Replace socket above knee,,,4463.02,4594.29,4 HCPCS,L5702,Replace socket hip,,,5624.98,5790.42,4 HCPCS,L5703,Symes ankle w/o (sach) foot,,,2612.18,2689.01,4 HCPCS,L5704,Custom shape cover bk,,,733.51,755.09,4 HCPCS,L5705,Custom shape cover ak,,,1344.83,1384.38,4 HCPCS,L5706,Custom shape cvr knee disart,,,1311.71,1350.29,4 HCPCS,L5707,Custom shape cvr hip disart,,,1762.26,1814.1,4 HCPCS,L5710,Kne-shin exo sng axi mnl loc,,,449.12,462.33,4 HCPCS,L5711,Knee-shin exo mnl lock ultra,,,681.31,701.35,4 HCPCS,L5712,Knee-shin exo frict swg & st,,,538.07,553.9,4 HCPCS,L5714,Knee-shin exo variable frict,,,554.89,571.21,4 HCPCS,L5716,Knee-shin exo mech stance ph,,,910.13,936.89,4 HCPCS,L5718,Knee-shin exo frct swg & sta,,,1137.57,1171.02,4 HCPCS,L5722,Knee-shin pneum swg frct exo,,,1187.09,1222.0,4 HCPCS,L5724,Knee-shin exo fluid swing ph,,,1884.86,1940.3,4 HCPCS,L5726,Knee-shin ext jnts fld swg e,,,2475.02,2547.81,4 HCPCS,L5728,Knee-shin fluid swg & stance,,,3083.54,3174.23,4 HCPCS,L5780,Knee-shin pneum/hydra pneum,,,1486.73,1530.46,4 HCPCS,L5781,Lower limb pros vacuum pump,,,4904.95,5049.21,4 HCPCS,L5782,HD low limb pros vacuum pump,,,5170.91,5323.0,4 HCPCS,L5783,Add low ext mec limb vol sys,,,3213.07,3307.57,4 HCPCS,L5785,Exoskeletal bk ultralt mater,,,648.78,667.86,4 HCPCS,L5790,Exoskeletal ak ultra-light m,,,897.87,924.27,4 HCPCS,L5795,Exoskel hip ultra-light mate,,,1340.75,1380.18,4 HCPCS,L5810,Endoskel knee-shin mnl lock,,,623.73,642.08,4 HCPCS,L5811,Endo knee-shin mnl lck ultra,,,910.72,937.5,4 HCPCS,L5812,Endo knee-shin frct swg & st,,,705.9,726.66,4 HCPCS,L5814,Endo knee-shin hydral swg ph,,,4552.71,4686.61,4 HCPCS,L5816,Endo knee-shin polyc mch sta,,,1061.98,1093.22,4 HCPCS,L5818,Endo knee-shin frct swg & st,,,1199.18,1234.45,4 HCPCS,L5822,Endo knee-shin pneum swg frc,,,2326.52,2394.95,4 HCPCS,L5824,Endo knee-shin fluid swing p,,,1915.01,1971.33,4 HCPCS,L5826,Miniature knee joint,,,3866.58,3980.3,4 HCPCS,L5827,Endo knee shin single axis,,,7165.86,7376.62,4 HCPCS,L5828,Endo knee-shin fluid swg/sta,,,3650.4,3757.76,4 HCPCS,L5830,Endo knee-shin pneum/swg pha,,,2593.78,2670.07,4 HCPCS,L5840,Multi-axial knee/shin system,,,4573.8,4708.33,4 HCPCS,L5841,Addition endoskletl knee-shi,,,3114.2,3205.8,4 HCPCS,L5845,Knee-shin sys stance flexion,,,2197.23,2261.86,4 HCPCS,L5848,Knee-shin sys hydraul stance,,,1318.23,1357.0,4 HCPCS,L5850,Endo ak/hip knee extens assi,,,165.85,170.73,4 HCPCS,L5855,Mech hip extension assist,,,385.65,396.99,4 HCPCS,L5856,Elec knee-shin swing/stance,,,29428.25,30293.79,4 HCPCS,L5857,Elec knee-shin swing only,,,10442.3,10749.43,4 HCPCS,L5858,Stance phase only,,,22783.2,23453.29,4 HCPCS,L5859,Knee-shin pro flex/ext cont,,,17786.66,18309.8,4 HCPCS,L5910,Chg Knee Add Below Endo Alignable,594.09,297.04,,,0 HCPCS,L5910,Endo below knee alignable sy,,,455.47,468.87,4 HCPCS,L5920,Endo ak/hip alignable system,,,662.57,682.06,4 HCPCS,L5925,Above knee manual lock,,,419.59,431.93,4 HCPCS,L5926,Endoskel posit rotat unit,,,715.49,736.53,4 HCPCS,L5930,High activity knee frame,,,4126.22,4247.58,4 HCPCS,L5940,Endo bk ultra-light material,,,626.38,644.81,4 HCPCS,L5950,Endo ak ultra-light material,,,1058.17,1089.29,4 HCPCS,L5960,Endo hip ultra-light materia,,,1267.52,1304.8,4 HCPCS,L5961,"Endo poly hip, pneu/hyd/rot",,,5681.06,5848.15,4 HCPCS,L5962,Below knee flex cover system,,,733.99,755.58,4 HCPCS,L5964,Above knee flex cover system,,,1314.74,1353.41,4 HCPCS,L5966,Hip flexible cover system,,,1693.6,1743.41,4 HCPCS,L5968,Multiaxial ankle w dorsiflex,,,4454.75,4585.77,4 HCPCS,L5970,Foot external keel sach foot,,,274.14,282.2,4 HCPCS,L5971,"SACH foot, replacement",,,274.14,282.2,4 HCPCS,L5972,Flexible keel foot,,,440.09,453.03,4 HCPCS,L5973,Ank-foot sys dors-plant flex,,,21461.82,22093.05,4 HCPCS,L5974,Foot single axis ankle/foot,,,371.3,382.22,4 HCPCS,L5975,Combo ankle/foot prosthesis,,,568.29,585.01,4 HCPCS,L5976,Chg Foot Prost Energy Storing,912.87,456.44,,,0 HCPCS,L5976,Energy storing foot,,,699.32,719.89,4 HCPCS,L5978,Ft prosth multiaxial ankl/ft,,,364.42,375.13,4 HCPCS,L5979,Multi-axial ankle/ft prosth,,,2924.2,3010.2,4 HCPCS,L5980,Flex foot system,,,4629.93,4766.11,4 HCPCS,L5981,Flex-walk sys low ext prosth,,,4001.96,4119.66,4 HCPCS,L5982,Exoskeletal axial rotation u,,,721.9,743.14,4 HCPCS,L5984,Endoskeletal axial rotation,,,715.49,736.53,4 HCPCS,L5985,Lwr ext dynamic prosth pylon,,,346.18,356.36,4 HCPCS,L5986,Multi-axial rotation unit,,,795.5,818.9,4 HCPCS,L5987,Shank ft w vert load pylon,,,8818.62,9078.0,4 HCPCS,L5988,Vertical shock reducing pylo,,,2448.96,2520.99,4 HCPCS,L5990,User adjustable heel height,,,2224.02,2289.43,4 HCPCS,L5991,Low pros ext osseo connector,,,11990.14,12342.79,4 HCPCS,L6000,Part hand thumb rem,,,1659.18,1707.98,4 HCPCS,L6010,Part hand little/ring,,,1846.39,1900.7,4 HCPCS,L6020,Part hand no fingers,,,1721.46,1772.1,4 HCPCS,L6026,Part hand myo exclu term dev,,,5280.75,5436.07,4 HCPCS,L6050,Wrst MLd sck flx hng tri pad,,,2372.11,2441.88,4 HCPCS,L6055,Wrst mold sock w/exp interfa,,,3770.57,3881.47,4 HCPCS,L6100,Elb mold sock flex hinge pad,,,2403.31,2474.0,4 HCPCS,L6110,Elbow mold sock suspension t,,,2549.12,2624.1,4 HCPCS,L6120,Elbow mold doub splt soc ste,,,2970.64,3058.01,4 HCPCS,L6130,Elbow stump activated lock h,,,3232.6,3327.68,4 HCPCS,L6200,Elbow mold outsid lock hinge,,,3406.65,3506.84,4 HCPCS,L6205,Elbow molded w/ expand inter,,,5676.8,5843.76,4 HCPCS,L6250,Elbow inter loc elbow forarm,,,3353.27,3451.9,4 HCPCS,L6300,Shlder disart int lock elbow,,,4652.31,4789.14,4 HCPCS,L6310,Shoulder passive restor comp,,,3825.92,3938.44,4 HCPCS,L6320,Shoulder passive restor cap,,,2133.99,2196.76,4 HCPCS,L6350,Thoracic intern lock elbow,,,4891.2,5035.05,4 HCPCS,L6360,Thoracic passive restor comp,,,4015.4,4133.5,4 HCPCS,L6370,Thoracic passive restor cap,,,3022.95,3111.86,4 HCPCS,L6380,Postop dsg cast chg wrst/elb,,,1632.66,1680.68,4 HCPCS,L6382,Postop dsg cast chg elb dis/,,,1953.71,2011.17,4 HCPCS,L6384,Postop dsg cast chg shlder/t,,,2384.09,2454.21,4 HCPCS,L6386,Postop ea cast chg & realign,,,571.72,588.54,4 HCPCS,L6388,Postop applicat rigid dsg on,,,548.97,565.12,4 HCPCS,L6400,Below elbow prosth tiss shap,,,2903.66,2989.07,4 HCPCS,L6450,Elb disart prosth tiss shap,,,3849.95,3963.18,4 HCPCS,L6500,Above elbow prosth tiss shap,,,3853.09,3966.42,4 HCPCS,L6550,Shldr disar prosth tiss shap,,,4761.73,4901.78,4 HCPCS,L6570,Scap thorac prosth tiss shap,,,5777.61,5947.54,4 HCPCS,L6580,Wrist/elbow bowden cable mol,,,2016.75,2076.07,4 HCPCS,L6582,Wrist/elbow bowden cbl dir f,,,1718.64,1769.19,4 HCPCS,L6584,Elbow fair lead cable molded,,,2783.91,2865.79,4 HCPCS,L6586,Elbow fair lead cable dir fo,,,2435.33,2506.96,4 HCPCS,L6588,Shdr fair lead cable molded,,,4020.17,4138.41,4 HCPCS,L6590,Shdr fair lead cable direct,,,3677.32,3785.48,4 HCPCS,L6600,Polycentric hinge pair,,,248.13,255.42,4 HCPCS,L6605,Single pivot hinge pair,,,231.61,238.42,4 HCPCS,L6610,Flexible metal hinge pair,,,207.91,214.02,4 HCPCS,L6611,"Additional switch, ext power",,,504.75,519.59,4 HCPCS,L6615,Disconnect locking wrist uni,,,256.37,263.91,4 HCPCS,L6616,Disconnect insert locking wr,,,108.0,111.17,4 HCPCS,L6620,Flexion/extension wrist unit,,,402.33,414.16,4 HCPCS,L6621,Flex/ext wrist w/wo friction,,,2803.96,2886.43,4 HCPCS,L6623,Spring-ass rot wrst w/ latch,,,920.95,948.03,4 HCPCS,L6624,Flex/ext/rotation wrist unit,,,4616.8,4752.58,4 HCPCS,L6625,Rotation wrst w/ cable lock,,,670.15,689.86,4 HCPCS,L6628,Quick disconn hook adapter o,,,684.85,704.99,4 HCPCS,L6629,Lamination collar w/ couplin,,,182.69,188.07,4 HCPCS,L6630,Stainless steel any wrist,,,269.13,277.04,4 HCPCS,L6632,Latex suspension sleeve each,,,89.77,92.41,4 HCPCS,L6635,Lift assist for elbow,,,249.28,256.61,4 HCPCS,L6637,Nudge control elbow lock,,,517.45,532.67,4 HCPCS,L6638,Elec lock on manual pw elbow,,,3065.6,3155.76,4 HCPCS,L6640,Shoulder abduction joint pai,,,353.11,363.5,4 HCPCS,L6641,Excursion amplifier pulley t,,,234.68,241.58,4 HCPCS,L6642,Excursion amplifier lever ty,,,334.14,343.97,4 HCPCS,L6645,Shoulder flexion-abduction j,,,405.78,417.71,4 HCPCS,L6646,Multipo locking shoulder jnt,,,3866.42,3980.14,4 HCPCS,L6647,Shoulder lock actuator,,,636.52,655.24,4 HCPCS,L6648,Ext pwrd shlder lock/unlock,,,3987.65,4104.93,4 HCPCS,L6650,Shoulder universal joint,,,422.68,435.11,4 HCPCS,L6655,Standard control cable extra,,,93.81,96.57,4 HCPCS,L6660,Heavy duty control cable,,,114.62,117.99,4 HCPCS,L6665,Teflon or equal cable lining,,,65.54,67.46,4 HCPCS,L6670,Hook to hand cable adapter,,,62.13,63.96,4 HCPCS,L6672,Harness chest/shlder saddle,,,210.56,216.75,4 HCPCS,L6675,Harness figure of 8 sing con,,,149.96,154.37,4 HCPCS,L6676,Harness figure of 8 dual con,,,151.44,155.89,4 HCPCS,L6677,UE triple control harness,,,363.65,374.35,4 HCPCS,L6680,Chg Wrist Be Prost Test Socket,345.69,172.84,,,0 HCPCS,L6680,Test sock wrist disart/bel e,,,289.71,298.23,4 HCPCS,L6682,Test sock elbw disart/above,,,324.7,334.25,4 HCPCS,L6684,Test socket shldr disart/tho,,,435.27,448.08,4 HCPCS,L6686,Suction socket,,,809.43,833.24,4 HCPCS,L6687,Frame typ socket bel elbow/w,,,720.28,741.47,4 HCPCS,L6688,Frame typ sock above elb/dis,,,696.75,717.24,4 HCPCS,L6689,Frame typ socket shoulder di,,,841.4,866.14,4 HCPCS,L6690,Frame typ sock interscap-tho,,,911.2,938.0,4 HCPCS,L6691,Removable insert each,,,544.92,560.95,4 HCPCS,L6692,Silicone gel insert or equal,,,698.32,718.86,4 HCPCS,L6693,Lockingelbow forearm cntrbal,,,3480.27,3582.63,4 HCPCS,L6694,Elbow socket ins use w/lock,,,877.3,903.1,4 HCPCS,L6695,Elbow socket ins use w/o lck,,,731.07,752.58,4 HCPCS,L6696,Cus elbo skt in for con/atyp,,,1612.52,1659.95,4 HCPCS,L6697,Cus elbo skt in not con/atyp,,,1612.52,1659.95,4 HCPCS,L6698,Below/above elbow lock mech,,,621.14,639.41,4 HCPCS,L6700,Ue add ext power myoel,,,30100.39,30985.7,4 HCPCS,L6703,"Term dev, passive hand mitt",,,441.63,454.62,4 HCPCS,L6704,"Term dev, sport/rec/work att",,,731.3,752.81,4 HCPCS,L6706,Term dev mech hook vol open,,,435.7,448.52,4 HCPCS,L6707,Term dev mech hook vol close,,,1836.34,1890.35,4 HCPCS,L6708,Term dev mech hand vol open,,,1044.53,1075.25,4 HCPCS,L6709,Term dev mech hand vol close,,,1690.5,1740.22,4 HCPCS,L6711,"Ped term dev, hook, vol open",,,824.16,848.4,4 HCPCS,L6712,"Ped term dev, hook, vol clos",,,1517.44,1562.07,4 HCPCS,L6713,"Ped term dev, hand, vol open",,,1915.23,1971.56,4 HCPCS,L6714,"Ped term dev, hand, vol clos",,,1622.16,1669.87,4 HCPCS,L6715,"Term device, multi art digit",,,3870.26,3984.09,4 HCPCS,L6721,"Hook/hand, hvy dty, vol open",,,2883.19,2967.99,4 HCPCS,L6722,"Hook/hand, hvy dty, vol clos",,,2485.55,2558.65,4 HCPCS,L6805,Term dev modifier wrist unit,,,449.49,462.71,4 HCPCS,L6810,Term dev precision pinch dev,,,245.01,252.22,4 HCPCS,L6880,Elec hand ind art digits,,,29289.3,30150.75,4 HCPCS,L6881,Term dev auto grasp feature,,,5011.7,5159.1,4 HCPCS,L6882,Microprocessor control uplmb,,,3801.61,3913.42,4 HCPCS,L6883,Replc sockt below e/w disa,,,1981.58,2039.87,4 HCPCS,L6884,Replc sockt above elbow disa,,,2787.81,2869.81,4 HCPCS,L6885,Replc sockt shldr dis/interc,,,4015.4,4133.5,4 HCPCS,L6890,Prefab glove for term device,,,212.39,218.64,4 HCPCS,L6895,Custom glove for term device,,,773.04,795.77,4 HCPCS,L6900,Hand restorat thumb/1 finger,,,2006.27,2065.28,4 HCPCS,L6905,Hand restoration multiple fi,,,1969.59,2027.52,4 HCPCS,L6910,Hand restoration no fingers,,,2021.92,2081.38,4 HCPCS,L6915,Hand restoration replacmnt g,,,781.74,804.73,4 HCPCS,L6920,Wrist disarticul switch ctrl,,,9625.53,9908.63,4 HCPCS,L6925,Wrist disart myoelectronic c,,,10552.36,10862.72,4 HCPCS,L6930,Below elbow switch control,,,9105.97,9373.79,4 HCPCS,L6935,Below elbow myoelectronic ct,,,10775.33,11092.25,4 HCPCS,L6940,Elbow disarticulation switch,,,11871.29,12220.45,4 HCPCS,L6945,Elbow disart myoelectronic c,,,13277.8,13668.32,4 HCPCS,L6950,Above elbow switch control,,,12581.04,12951.07,4 HCPCS,L6955,Above elbow myoelectronic ct,,,15300.98,15751.01,4 HCPCS,L6960,Shldr disartic switch contro,,,16244.31,16722.08,4 HCPCS,L6965,Shldr disartic myoelectronic,,,18607.82,19155.11,4 HCPCS,L6970,Interscapular-thor switch ct,,,19999.68,20587.91,4 HCPCS,L6975,Interscap-thor myoelectronic,,,22079.9,22729.31,4 HCPCS,L7007,Adult electric hand,,,4529.19,4662.4,4 HCPCS,L7008,Pediatric electric hand,,,7651.47,7876.51,4 HCPCS,L7009,Adult electric hook,,,4631.64,4767.86,4 HCPCS,L7040,Prehensile actuator,,,3632.63,3739.47,4 HCPCS,L7045,Pediatric electric hook,,,2018.37,2077.73,4 HCPCS,L7170,Electronic elbow hosmer swit,,,7321.95,7537.3,4 HCPCS,L7180,Electronic elbow sequential,,,43600.26,44882.62,4 HCPCS,L7181,Electronic elbo simultaneous,,,49118.61,50563.28,4 HCPCS,L7185,Electron elbow adolescent sw,,,7496.47,7716.95,4 HCPCS,L7186,Electron elbow child switch,,,11447.73,11784.42,4 HCPCS,L7190,Elbow adolescent myoelectron,,,9760.11,10047.18,4 HCPCS,L7191,Elbow child myoelectronic ct,,,12330.15,12692.8,4 HCPCS,L7259,Electronic wrist rotator any,,,5206.86,5360.0,4 HCPCS,L7360,Six volt bat otto bock/eq ea,,,373.13,384.1,4 HCPCS,L7362,Battery chrgr six volt otto,,,336.14,346.03,4 HCPCS,L7364,Twelve volt battery utah/equ,,,621.32,639.6,4 HCPCS,L7366,Battery chrgr 12 volt utah/e,,,837.08,861.7,4 HCPCS,L7367,Replacemnt lithium ionbatter,,,477.26,491.3,4 HCPCS,L7368,Lithium ion battery charger,,,618.69,636.89,4 HCPCS,L7400,"Add ue prost be/wd, ultlite",,,375.72,386.77,4 HCPCS,L7401,Add ue prost a/e ultlite mat,,,420.64,433.01,4 HCPCS,L7402,Add ue prost s/d ultlite mat,,,454.24,467.6,4 HCPCS,L7403,Add UE prost b/e acrylic,,,451.43,464.71,4 HCPCS,L7404,Add UE prost a/e acrylic,,,681.38,701.42,4 HCPCS,L7405,Add UE prost s/d acrylic,,,891.12,917.33,4 HCPCS,L7406,Add to upp extr user adj mec,,,3213.07,3307.57,4 HCPCS,L7520,Repair prosthesis per 15 min,,,41.48,42.7,4 HCPCS,L7700,Pros soc insert gasket/seal,,,179.95,185.24,4 HCPCS,L8000,Mastectomy bra,,,45.59,46.94,4 HCPCS,L8000,Noncdm Charge Record Medical Supplies,117.185,58.59,,,0 HCPCS,L8001,Breast prosthesis bra & form,,,153.79,158.31,4 HCPCS,L8002,Brst prsth bra & bilat form,,,202.24,208.18,4 HCPCS,L8015,Ext breastprosthesis garment,,,73.49,75.65,4 HCPCS,L8020,Mastectomy form,,,312.43,321.62,4 HCPCS,L8030,Breast prosthes w/o adhesive,,,404.35,416.24,4 HCPCS,L8031,Breast prosthesis w adhesive,,,404.35,416.24,4 HCPCS,L8032,Reusable nipple prosthesis,,,48.02,49.43,4 HCPCS,L8035,Custom breast prosthesis,,,4491.17,4623.27,4 HCPCS,L8040,Nasal prosthesis,,,3124.52,3216.41,4 HCPCS,L8041,Midfacial prosthesis,,,3766.11,3876.87,4 HCPCS,L8042,Orbital prosthesis,,,4231.57,4356.03,4 HCPCS,L8043,Upper facial prosthesis,,,4739.42,4878.81,4 HCPCS,L8044,Hemi-facial prosthesis,,,5247.12,5401.45,4 HCPCS,L8045,Auricular prosthesis,,,3662.93,3770.67,4 HCPCS,L8046,Partial facial prosthesis,,,3385.23,3484.79,4 HCPCS,L8047,Nasal septal prosthesis,,,1734.97,1786.0,4 HCPCS,L8300,Truss single w/ standard pad,,,105.35,108.44,4 HCPCS,L8310,Truss double w/ standard pad,,,166.31,171.2,4 HCPCS,L8320,Truss addition to std pad wa,,,74.56,76.76,4 HCPCS,L8330,Truss add to std pad scrotal,,,61.65,63.46,4 HCPCS,L8400,Sheath below knee,,,21.7,22.33,4 HCPCS,L8410,Sheath above knee,,,28.97,29.82,4 HCPCS,L8415,Sheath upper limb,,,28.49,29.33,4 HCPCS,L8417,Pros sheath/sock w gel cushn,,,92.13,94.84,4 HCPCS,L8420,Chg Knee Below Prost Sock Multi,41.4,20.7,,,0 HCPCS,L8420,Prosthetic sock multi ply BK,,,25.58,26.33,4 HCPCS,L8430,Chg Knee Above Post Sock Multi,42.44,21.22,,,0 HCPCS,L8430,Prosthetic sock multi ply AK,,,27.64,28.46,4 HCPCS,L8435,Pros sock multi ply upper lm,,,26.25,27.03,4 HCPCS,L8440,Chg Knee Prost Below Shrinker,75.56,37.78,,,0 HCPCS,L8440,Shrinker below knee,,,52.22,53.76,4 HCPCS,L8460,Chg Knee Prost Above Shrinker,113.85,56.92,,,0 HCPCS,L8460,Shrinker above knee,,,83.22,85.67,4 HCPCS,L8465,Shrinker upper limb,,,73.67,75.84,4 HCPCS,L8470,Chg Knee Prost Bk Sock Single Ply,17.6,8.8,,,0 HCPCS,L8470,Pros sock single ply BK,,,8.33,8.58,4 HCPCS,L8480,Chg Knee Prost Ab Sock Single Ply,19.67,9.84,,,0 HCPCS,L8480,Pros sock single ply AK,,,11.5,11.83,4 HCPCS,L8485,Pros sock single ply upper l,,,14.44,14.87,4 HCPCS,L8500,Artificial larynx,,,1098.82,1131.13,4 HCPCS,L8501,Tracheostomy speaking valve,,,150.84,155.27,4 HCPCS,L8501,Valve Spkng Trach 15Mm Id,220.46,110.23,,,0 HCPCS,L8507,Trach-esoph voice pros pt in,,,51.35,52.86,4 HCPCS,L8509,Trach-esoph voice pros md in,,,133.86,137.8,4 HCPCS,L8509,Tracheo-Esophageal Voice Prosthesis Advantage Nonsterile,673.79,336.9,,,0 HCPCS,L8509,Tracheo-Esophageal Voice Prosthesis Classic Nonsterile,441.95,220.98,,,0 HCPCS,L8509,Tracheo-Esophageal Voice Prosthesis Classic Sterile,449.19,224.6,,,0 HCPCS,L8510,Voice amplifier,,,309.76,318.87,4 HCPCS,L8511,Indwelling trach insert,,,89.16,91.78,4 HCPCS,L8512,Gel cap for trach voice pros,,,2.64,2.72,4 HCPCS,L8513,Trach pros cleaning device,,,6.36,6.55,4 HCPCS,L8514,Repl trach puncture dilator,,,115.58,118.98,4 HCPCS,L8515,Gel cap app device for trach,,,77.36,79.63,4 HCPCS,L8603,Noncdm Charge Record Medical Supplies,2195.35,1097.68,,,0 HCPCS,L8605,"Fc-Inj,Solesta Gel,1Ml Syr",1702.58,851.29,,,0 HCPCS,L8610,Noncdm Charge Record Medical Supplies,161.0,80.5,,,0 HCPCS,L8612,Noncdm Charge Record Medical Supplies,2954.4,1477.2,,,0 HCPCS,L8615,Coch implant headset replace,,,552.89,569.15,4 HCPCS,L8616,Coch implant microphone repl,,,128.79,132.57,4 HCPCS,L8617,Coch implant trans coil repl,,,112.48,115.78,4 HCPCS,L8618,Coch implant tran cable repl,,,32.13,33.08,4 HCPCS,L8619,Coch imp ext proc/contr rplc,,,10453.37,10760.82,4 HCPCS,L8621,Repl zinc air battery,,,0.76,0.79,4 HCPCS,L8622,Repl alkaline battery,,,0.4,0.41,4 HCPCS,L8623,"Lith ion batt cid,non-earlvl",,,79.31,81.64,4 HCPCS,L8624,"Lith ion batt cid, ear level",,,197.7,203.51,4 HCPCS,L8625,Charger coch impl/aoi battry,,,231.51,238.32,4 HCPCS,L8627,CID ext speech process repl,,,8930.51,9193.17,4 HCPCS,L8628,CID ext controller repl,,,1522.79,1567.58,4 HCPCS,L8629,CID transmit coil and cable,,,219.48,225.94,4 HCPCS,L8680,Chgr-Implant Neuro Stimul Electrode,700.7,350.35,,,0 HCPCS,L8681,Pt prgrm for implt neurostim,,,1347.13,1386.76,4 HCPCS,L8683,Radiofq trsmtr for implt neu,,,6459.7,6649.69,4 HCPCS,L8684,Radiof trsmtr implt scrl neu,,,991.61,1020.78,4 HCPCS,L8689,External recharg sys intern,,,2114.57,2176.77,4 HCPCS,L8691,Osseointegrated snd proc rpl,,,2111.12,2173.22,4 HCPCS,L8693,"Aud osseo dev, abutment",,,1858.83,1913.5,4 HCPCS,L8694,Aoi transducer/actuator repl,,,1157.68,1191.73,4 HCPCS,L8695,External recharg sys extern,,,20.4,21.0,4 HCPCS,L8696,Ext antenna phren nerve stim,,,265.7,273.51,4 HCPCS,L8699,Noncdm Charge Record Medical Supplies,2535.0,1267.5,,,0 HCPCS,L8701,Pow ue rom dev ewh uprt cust,,,35669.53,36718.64,4 HCPCS,L8702,Pow ue rom dev ewhf uprt cus,,,70177.74,72241.8,4 HCPCS,M0220,M0220 Tixagev And Cilgav Inj,150.5,75.25,,,0 HCPCS,M0220,Tixagev And Cilgav Inj,150.5,75.25,,,0 HCPCS,M0221,M0221 Tixagev And Cilgav Inj Hm,250.5,125.25,,,0 HCPCS,M0221,Tixagev And Cilgav Inj Hm,250.5,125.25,,,0 HCPCS,M0222,Bebtelovimab Injection,350.5,175.25,,,0 HCPCS,M0222,M0222 Bebtelovimab Injection,350.5,175.25,,,0 HCPCS,M0240,Casiri And Imdev Repeat,450.0,225.0,,,0 HCPCS,M0243,Casirivi And Imdevi Infusion,450.0,225.0,,,0 HCPCS,M0243,M0243 Casirivi And Imdevi Infu,450.0,225.0,,,0 HCPCS,M0245,Bamlan And Etesev Infusion,582.0,291.0,,,0 HCPCS,M0245,M0245 Bamlan And Etesev Infusion,450.0,225.0,,,0 HCPCS,M0247,M0247 Sotrovimab Infusion,450.0,225.0,,,0 HCPCS,M0247,Sotrovimab Infusion,450.0,225.0,,,0 HCPCS,M0249,Adm Tocilizu Covid-19 1St,450.0,225.0,,,0 HCPCS,M0250,Adm Tocilizu Covid-19 2Nd,450.0,225.0,,,0 HCPCS,P2028,Cephalin floculation test,,,4.95,7.33,9 HCPCS,P2029,Congo red blood test,,,4.95,7.33,9 HCPCS,P2031,Hair analysis,,,4.95,7.33,5 HCPCS,P2033,Blood thymol turbidity,,,4.95,7.33,9 HCPCS,P2038,Blood mucoprotein,,,4.95,8.64,9 HCPCS,P3000,Chgl Pelvic Cytology (3 Slide),65.0,32.5,,,0 HCPCS,P3000,Chgl Pelvic Cytology Screening,65.0,32.5,,,0 HCPCS,P3000,Screen pap by tech w md supv,,,18.16,19.47,9 HCPCS,P3001,Screening pap smear by phys,,,33.78,33.78,2 HCPCS,P7001,Culture bacterial urine,,,18.62,18.62,2 HCPCS,P9010,Whole Blood,1666.0,833.0,,,0 HCPCS,P9011,Leukoreduced Rbc Divided,600.0,300.0,,,0 HCPCS,P9012,Cryoprecipitate,328.0,164.0,,,0 HCPCS,P9016,Leukoreduced Rbc,1389.0,694.5,,,0 HCPCS,P9016,Rbc leukocytes reduced,,,188.61,654.29,7 HCPCS,P9021,Chgl Directed Donor,706.0,353.0,,,0 HCPCS,P9021,Prbc Autologous,1389.0,694.5,,,0 HCPCS,P9022,Washed Rbc,1092.0,546.0,,,0 HCPCS,P9023,"Frozen plasma, pooled, sd",,,57.08,198.01,7 HCPCS,P9023,Octaplas-200 Ml,540.0,270.0,,,0 HCPCS,P9035,Chgl Lvds Non-Irradiated Platelet Pheresis,3794.0,1897.0,,,0 HCPCS,P9035,Chgl Washed Platelets Leukoreduced,2044.0,1022.0,,,0 HCPCS,P9037,Chgl Lvds Irradiated Platelet Pheresis,5013.0,2506.5,,,0 HCPCS,P9037,Chgl Washed Platelets Lr Irradiated,2223.0,1111.5,,,0 HCPCS,P9039,Deglycerolized Rbc,1527.0,763.5,,,0 HCPCS,P9040,Leukoreduced Rbc Irradiated,1666.0,833.0,,,0 HCPCS,P9040,RBC leukoreduced irradiated,,,270.72,939.14,7 HCPCS,P9044,Chgl Liquid Plasma,657.0,328.5,,,0 HCPCS,P9045,"Albumin (human), 5%, 250 ml",,,54.14,187.9,7 HCPCS,P9046,"Albumin (human), 25%, 20 ml",,,21.66,75.15,7 HCPCS,P9056,Chgl Whole Bld Leuco Reduced Irrad,1130.0,565.0,,,0 HCPCS,P9059,"Plasma, frz between 8-24hour",,,75.25,261.03,7 HCPCS,P9059,Thawed Plasma,540.0,270.0,,,0 HCPCS,P9073,Chgl Apheresis Platelet Pas,2008.0,1004.0,,,0 HCPCS,P9073,"Platelets, pathogen reduced",,,619.58,2149.35,7 HCPCS,P9100,Chgl Pathogen Test For Platelets,87.0,43.5,,,0 HCPCS,P9100,Pathogen test for platelets,,,30.6,203.66,9 HCPCS,P9603,Chgl Travel Allowance - Mileage,12.0,6.0,,,0 HCPCS,P9612,Cath For Specimen Collect Sgl,28.0,14.0,,,0 HCPCS,P9612,Catheterize for urine spec,,,3.6,9.81,9 HCPCS,P9612,Chg Catheterize For Urine Specimen,28.0,14.0,,,0 HCPCS,P9615,Urine specimen collect mult,,,3.6,9.09,5 HCPCS,Q0035,Cardiokymography,,,37.17,128.95,7 HCPCS,Q0091,Obtaining Screen Pap Smear,72.0,36.0,,,0 HCPCS,Q0091,Obtaining screen pap smear,,,10.68,99.86,9 HCPCS,Q0111,Chg - Wet Mounts/W Preparations,62.0,31.0,,,0 HCPCS,Q0111,Wet mounts/ w preparations,,,7.33,19.47,9 HCPCS,Q0112,Chg - Koh Preparations(Q0112),40.0,20.0,,,0 HCPCS,Q0112,Potassium hydroxide preps,,,5.83,7.33,9 HCPCS,Q0113,Pinworm examinations,,,4.27,9.3,9 HCPCS,Q0114,Fern Testing-Poct,82.0,41.0,,,0 HCPCS,Q0114,Fern test,,,9.74,12.29,9 HCPCS,Q0115,Post-coital mucous exam,,,17.02,26.25,9 HCPCS,Q0138,"Ferumoxytol, non-esrd",,,0.33,1.1,7 HCPCS,Q0139,"Ferumoxytol, esrd use",,,0.33,1.1,7 HCPCS,Q0224,"Inj, pemivibart, 4500 mg",,,23020.02,25626.06,3 HCPCS,Q0249,Tocilizumab for covid-19,,,24.07,26.8,3 HCPCS,Q0477,Chg - Hm Modular Cable,6496.7,3248.35,,,0 HCPCS,Q0477,Pwr module pt cable lvad rpl,,,951.04,979.01,4 HCPCS,Q0478,"Gogear Car Cable,Repl Only",471.96,235.98,,,0 HCPCS,Q0478,"Power adapter, combo vad",,,225.29,231.91,4 HCPCS,Q0479,Chg Hmii Mobile Power Unit,10302.39,5151.2,,,0 HCPCS,Q0479,"Power module combo vad, rep",,,14720.38,15153.34,4 HCPCS,Q0480,"driver pneumatic vad, rep",,,110408.22,113655.52,4 HCPCS,Q0481,Hmiii Contoller,14021.15,7010.58,,,0 HCPCS,Q0481,Hw Controller,12481.07,6240.54,,,0 HCPCS,Q0481,"microprcsr cu elec vad, rep",,,17813.06,18336.97,4 HCPCS,Q0482,"Sys Control Heartmate,Rep Only",6809.27,3404.64,,,0 HCPCS,Q0482,"microprcsr cu combo vad, rep",,,5579.38,5743.48,4 HCPCS,Q0483,"monitor elec vad, rep",,,22984.6,23660.62,4 HCPCS,Q0484,monitor elec or comb vad rep,,,4463.54,4594.82,4 HCPCS,Q0485,"monitor cable elec vad, rep",,,430.92,443.59,4 HCPCS,Q0486,mon cable elec/pneum vad rep,,,358.68,369.23,4 HCPCS,Q0487,"leads any type vad, rep only",,,418.46,430.76,4 HCPCS,Q0489,Chg - Thoratex Mobile Power Unit,14019.08,7009.54,,,0 HCPCS,Q0489,"pwr pck base combo vad, rep",,,19926.38,20512.45,4 HCPCS,Q0490,"emr pwr source elec vad, rep",,,861.93,887.28,4 HCPCS,Q0491,emr pwr source combo vad rep,,,1355.05,1394.9,4 HCPCS,Q0492,"emr pwr cbl elec vad, rep",,,109.15,112.36,4 HCPCS,Q0493,"emr pwr cbl combo vad, rep",,,310.87,320.01,4 HCPCS,Q0494,"emr hd pmp elec/combo, rep",,,263.06,270.8,4 HCPCS,Q0495,Go Gear Battery Charger,9687.6,4843.8,,,0 HCPCS,Q0495,Hw Battery Charger,11897.33,5948.66,,,0 HCPCS,Q0495,"Universl Btry Chrgr,Repl Only",16629.35,8314.68,,,0 HCPCS,Q0495,"charger elec/combo vad, rep",,,5120.56,5271.17,4 HCPCS,Q0496,Hmii Li Ion Battery Ea,1724.31,862.16,,,0 HCPCS,Q0496,"battery elec/combo vad, rep",,,1837.86,1891.91,4 HCPCS,Q0497,Gogear Battery Clips (2 Sets Of 2),1859.55,929.78,,,0 HCPCS,Q0497,"Gogear Bttry Clip,Repl Only",2540.93,1270.46,,,0 HCPCS,Q0497,"bat clps elec/comb vad, rep",,,573.89,590.77,4 HCPCS,Q0498,Battery Holster,915.98,457.99,,,0 HCPCS,Q0498,"Battery Holster,Replacement On",919.08,459.54,,,0 HCPCS,Q0498,Heartmate Holster Vest,699.66,349.83,,,0 HCPCS,Q0498,Hw Patient Pack,831.11,415.56,,,0 HCPCS,Q0498,Hw Shoulder Pack,879.75,439.88,,,0 HCPCS,Q0498,"holster elec/combo vad, rep",,,629.71,648.23,4 HCPCS,Q0499,Chg Gogear Modular Belt Repl Only,799.02,399.51,,,0 HCPCS,Q0499,Consolidated Bag,437.81,218.9,,,0 HCPCS,Q0499,Hmiii Travel Case,215.28,107.64,,,0 HCPCS,Q0499,Hw Waist Pack,831.11,415.56,,,0 HCPCS,Q0499,"Stabilization Belt Hrtmte,Rep",233.91,116.96,,,0 HCPCS,Q0499,belt/vest elec/combo vad rep,,,204.59,210.61,4 HCPCS,Q0500,"filters elec/combo vad, rep",,,37.44,38.55,4 HCPCS,Q0501,Chg Heartmate Shower Bag (2),796.95,398.48,,,0 HCPCS,Q0501,"Chg Shower Bag Hrtm Ii,Rep",822.83,411.42,,,0 HCPCS,Q0501,Hw Shoulder Bag,586.85,293.42,,,0 HCPCS,Q0501,"shwr cov elec/combo vad, rep",,,626.02,644.44,4 HCPCS,Q0502,"mobility cart pneum vad, rep",,,797.02,820.46,4 HCPCS,Q0503,Chg Heartmate Battry Ea-Rep Only,1611.5,805.75,,,0 HCPCS,Q0503,battery pneum vad replacemnt,,,1594.1,1640.98,4 HCPCS,Q0504,"pwr adpt pneum vad, rep veh",,,841.17,865.91,4 HCPCS,Q0506,Chg Hm 14V Batteries(Set Of 4),3280.95,1640.48,,,0 HCPCS,Q0506,Hmii Pc Controller Battery,912.87,456.44,,,0 HCPCS,Q0506,Hmiii Backup Controller,7219.13,3609.56,,,0 HCPCS,Q0506,Hw Lithium Battery,1466.6,733.3,,,0 HCPCS,Q0506,Lith-ion batt elec/pneum VAD,,,1047.07,1077.87,4 HCPCS,Q0508,Chg Bag Heartmate 11,556.83,278.42,,,0 HCPCS,Q0508,Chg Sys Contrlr Batt Ea-Rep,186.0,93.0,,,0 HCPCS,Q0508,Chg Travel Case,274.28,137.14,,,0 HCPCS,Q0508,Drive Line Stabilizers,170.78,85.39,,,0 HCPCS,Q0508,"Gogear Travel Case,Rep Only",360.0,180.0,,,0 HCPCS,Q0508,"Hm Ii Pm Patient Cable,Repl",2198.34,1099.17,,,0 HCPCS,Q0508,Hw Controller Ac Adaptor,1952.01,976.0,,,0 HCPCS,Q0508,Hw Controller Dc Adaptor,3511.76,1755.88,,,0 HCPCS,Q0508,Stablization Belt,134.55,67.28,,,0 HCPCS,Q2026,Radiesse injection,,,356.17,1235.59,10 HCPCS,Q2028,"Inj, sculptra, 0.5mg",,,2.2,7.64,10 HCPCS,Q2041,Axicabtagene ciloleucel car+,,,0.03,559891.68,7 HCPCS,Q2042,Tisagenlecleucel car-pos t,,,0.03,621312.51,7 HCPCS,Q2043,Sipuleucel-t auto cd54+,,,56377.77,198048.73,7 HCPCS,Q2049,Imported Lipodox inj,,,304.71,1872.16,10 HCPCS,Q2050,Doxorubicin inj 10mg,,,110.64,386.85,7 HCPCS,Q2053,Brexucabtagene car pos t,,,0.03,513769.84,7 HCPCS,Q2054,Lisocabtagene mara car pos t,,,0.03,590665.09,7 HCPCS,Q2055,Idecabtagene vicleucel car,,,0.03,585183.83,7 HCPCS,Q2056,Ciltacabtagene car-pos t,,,0.03,594162.39,7 HCPCS,Q2057,Afamitresgene autoleucel,,,0.03,809151.0,7 HCPCS,Q2058,Obecbtge autol up to 400 mil,,,0.03,984569.34,10 HCPCS,Q3027,Inj beta interferon im 1 mcg,,,182.75,203.44,3 HCPCS,Q4006,"Cast,Fiberglass-Long Arm",67.28,33.64,,,0 HCPCS,Q4010,"Chg - Cast,Fiberglass-Forearm",43.47,21.74,,,0 HCPCS,Q4012,"Cast,Short Arm,Peds",92.12,46.06,,,0 HCPCS,Q4014,Cast Sup Gauntlet Fiberglass,43.47,21.74,,,0 HCPCS,Q4018,Chg - Cast Sup Ln Arm Splint Fbrg,37.26,18.63,,,0 HCPCS,Q4021,"Cast,Plaster-Forearm Static",19.67,9.84,,,0 HCPCS,Q4022,"Chg - Cast,Fiberglass-Forearm Static",30.02,15.01,,,0 HCPCS,Q4030,"Cast,Fiberglass-Long Leg",102.47,51.24,,,0 HCPCS,Q4038,"Chg - Cast,Fiberglass Short Leg",90.05,45.02,,,0 HCPCS,Q4046,Cast Sup Sht Leg Splnt Fbrgl,42.44,21.22,,,0 HCPCS,Q4049,Chg - Splint-Finger,16.56,8.28,,,0 HCPCS,Q4051,Chg - Splint-Wrist Any Type,57.96,28.98,,,0 HCPCS,Q4100,Noncdm Charge Record Medical Supplies,1578.85,789.425,,,0 HCPCS,Q4101,Apligraf Per 1 Sq Cm,166.64,83.32,,,0 HCPCS,Q4101,"Skin Sub,Apligraf Per Sq Cm",79.7,39.85,,,0 HCPCS,Q4101,"Skin Sub,Apligraf Waste Sq Cm",79.7,39.85,,,0 HCPCS,Q4102,Chg Oasis Per Sq Sm Wasted-Q4102,32.09,16.04,,,0 HCPCS,Q4102,Oasis Wound Matrix Per Sq Cm,32.09,16.04,,,0 HCPCS,Q4104,Noncdm Charge Record Medical Supplies,106.335,53.165,,,0 HCPCS,Q4106,Dermagraft Per Sq Cm,135.59,67.8,,,0 HCPCS,Q4114,Noncdm Charge Record Medical Supplies,2660.0,1330.0,,,0 HCPCS,Q4116,Noncdm Charge Record Medical Supplies,82.86,41.43,,,0 HCPCS,Q4118,Noncdm Charge Record Medical Supplies,684.67,342.335,,,0 HCPCS,Q4121,Noncdm Charge Record Medical Supplies,61.59,30.8,,,0 HCPCS,Q4121,Theraskin Per 1 Sq Cm,101.43,50.72,,,0 HCPCS,Q4121,Theraskin Per Sq Cm,91.08,45.54,,,0 HCPCS,Q4121,Theraskin Waste Per Sq Cm,91.08,45.54,,,0 HCPCS,Q4124,Implt Trilayer Mrtix Per Cm Sq,37.26,18.63,,,0 HCPCS,Q4124,Oasis Tri-Layer Wound Matrix,37.26,18.63,,,0 HCPCS,Q4124,Oasis Trilayer Cm Sq Wasted,37.26,18.63,,,0 HCPCS,Q4128,Noncdm Charge Record Medical Supplies,52.485,26.245,,,0 HCPCS,Q4132,"Implt Grafix Core,3X4 Cm",181.13,90.56,,,0 HCPCS,Q4133,Chg - Grafix Skin Sub Waste Sqcm,181.13,90.56,,,0 HCPCS,Q4133,Grafix Prime Per Sq Cm,211.14,105.57,,,0 HCPCS,Q4133,Grfx/Strvx Skin Sub Per Sqcm,181.13,90.56,,,0 HCPCS,Q4133,Noncdm Charge Record Medical Supplies,335.95000000000005,167.97,,,0 HCPCS,Q4137,Allograft Amnioexcel Per Sq Cm,109.71,54.86,,,0 HCPCS,Q4137,Amnexcl Tiss 1.5X1.5 Per Sq Cm,575.46,287.73,,,0 HCPCS,Q4137,Amnexl Tiss 12Mm Orsqcn Wst,477.14,238.57,,,0 HCPCS,Q4137,Amnexl Tiss 15Mm Prsqcm Wst,260.82,130.41,,,0 HCPCS,Q4137,Amnexl Tiss 2X3 Prsqcm Wste,262.89,131.44,,,0 HCPCS,Q4137,Amnexl Tiss 4X4 Prsqcm Wste,112.82,56.41,,,0 HCPCS,Q4137,Amnexl Tiss 4X8 Prsqcm Wste,72.45,36.22,,,0 HCPCS,Q4137,Amnexltis 1.5X1.5 Prsqcm Wst,575.46,287.73,,,0 HCPCS,Q4137,Amnioexcel Tiss 12Mm Per Sq Cm,477.14,238.57,,,0 HCPCS,Q4137,Amnioexcel Tiss 15Mm Per Sq Cm,260.82,130.41,,,0 HCPCS,Q4137,Amnioexcel Tiss 2X3 Per Sq Cm,262.89,131.44,,,0 HCPCS,Q4137,Amnioexcel Tiss 4X4 Per Sq Cm,112.82,56.41,,,0 HCPCS,Q4137,Amnioexcel Tiss 4X8 Per Sq Cm,72.45,36.22,,,0 HCPCS,Q4148,"Chg-Neox 1K, 1Cm",244.26,122.13,,,0 HCPCS,Q4150,Noncdm Charge Record Medical Supplies,461.5,230.75,,,0 HCPCS,Q4158,Kerecis Omega3 Per Sq Cm,193.55,96.78,,,0 HCPCS,Q4158,Kerecis Omega3 Per Sq Cm Waste,193.55,96.78,,,0 HCPCS,Q4158,"Kerecis Omega3, Per Sq Cm",292.91,146.46,,,0 HCPCS,Q4158,Noncdm Charge Record Medical Supplies,95.505,48.63,,,0 HCPCS,Q4160,Nushield 1 Square Cm,270.14,135.07,,,0 HCPCS,Q4160,Nushield 1 Square Cm Waste,326.03,163.02,,,0 HCPCS,Q4186,Epifix Per Sq Cm,391.75,195.875,,,0 HCPCS,Q4186,Epifix Per Sq Cm Waste,372.6,186.3,,,0 HCPCS,Q4195,Puraply Per Sqcm,180.09,90.04,,,0 HCPCS,Q4195,Puraply Per Sqcm Waste,180.09,90.04,,,0 HCPCS,Q4196,Noncdm Charge Record Medical Supplies,180.5,90.25,,,0 HCPCS,Q4196,Puraply Am 1 Sq Cm,326.03,163.02,,,0 HCPCS,Q4196,Puraply Am Per Sqcm,326.03,163.02,,,0 HCPCS,Q4196,Puraply Am Per Sqcm Wasted,326.03,163.02,,,0 HCPCS,Q5099,"Inj ustekinumab-stba, 1 mg",,,7.66,8.53,3 HCPCS,Q5100,"Inj ustekinumab-kfce, 1 mg",,,10.08,26.23,7 HCPCS,Q5101,Inj filgrastim gcsf biosimil,,,0.47,1.31,7 HCPCS,Q5103,"Injection, inflectra",,,20.39,69.67,7 HCPCS,Q5104,"Injection, renflexis",,,27.54,88.68,7 HCPCS,Q5105,Inj Retacrit esrd on dialysi,,,2.42,2.69,3 HCPCS,Q5106,Inj Retacrit non-esrd use,,,8.01,26.8,7 HCPCS,Q5107,Inj mvasi 10 mg,,,28.42,102.13,7 HCPCS,Q5108,"Injection, fulphila",,,101.11,367.13,7 HCPCS,Q5110,Nivestym,,,0.31,1.03,7 HCPCS,Q5111,"Injection, udenyca 0.5 mg",,,108.46,481.58,7 HCPCS,Q5112,Inj ontruzant 10 mg,,,19.38,77.84,7 HCPCS,Q5113,Inj herzuma 10 mg,,,70.76,274.31,7 HCPCS,Q5114,Inj ogivri 10 mg,,,41.1,157.85,7 HCPCS,Q5115,Inj truxima 10 mg,,,29.97,110.38,7 HCPCS,Q5116,"Inj., trazimera, 10 mg",,,28.55,101.31,7 HCPCS,Q5117,"Inj., kanjinti, 10 mg",,,48.5,153.21,7 HCPCS,Q5118,"Inj., zirabev, 10 mg",,,26.28,84.71,7 HCPCS,Q5119,"Inj ruxience, 10 mg",,,28.4,93.81,7 HCPCS,Q5120,Inj pegfilgrastim-bmez 0.5mg,,,30.93,99.08,7 HCPCS,Q5121,"Inj. avsola, 10 mg",,,20.81,73.95,7 HCPCS,Q5122,"Inj, nyvepria",,,133.78,467.42,7 HCPCS,Q5123,"Inj. riabni, 10 mg",,,27.04,105.92,7 HCPCS,Q5124,"Inj. byooviz, 0.1 mg",,,63.03,220.01,7 HCPCS,Q5125,"Inj, releuko 1 mcg",,,0.38,1.45,7 HCPCS,Q5126,Inj alymsys 10 mg,,,38.57,150.8,7 HCPCS,Q5127,"Inj, stimufend, 0.5 mg",,,188.61,811.05,7 HCPCS,Q5128,"Inj, cimerli, 0.1 mg",,,87.88,306.25,7 HCPCS,Q5129,"Inj, vegzelma, 10 mg",,,40.76,154.41,7 HCPCS,Q5130,"Inj, fylnetra, 0.5 mg",,,140.72,528.2,7 HCPCS,Q5133,"Inj, tofidence, 1 mg",,,5.65,20.5,7 HCPCS,Q5135,"Inj, tyenne, 1 mg",,,4.5,16.6,7 HCPCS,Q5136,"Inj. denosumab-bbdz, 1 mg",,,28.09,97.49,7 HCPCS,Q5140,"Inj adalimumab-fkjp, 1 mg",,,277.11,308.48,3 HCPCS,Q5141,"Inj adalimumab-aaty, 1 mg",,,138.55,154.24,3 HCPCS,Q5142,"Inj adalimumab-ryvk, 1 mg",,,33.84,37.67,3 HCPCS,Q5143,"Inj adalimumab-adbm, 1 mg",,,33.17,36.92,3 HCPCS,Q5144,"Inj, idacio, 1 mg",,,28.37,31.58,3 HCPCS,Q5145,"Inj, abrilada, 1 mg",,,84.68,94.27,3 HCPCS,Q5147,"Inj, aflibercept-ayyh, 1 mg",,,876.55,3076.54,7 HCPCS,Q5148,"Inj, nyposi 1 mcg",,,0.56,1.95,7 HCPCS,Q5151,"Inj, eculizumab-aagh, 2 mg",,,31.98,110.98,7 HCPCS,Q5152,"Inj, eculizumab-aeeb, 2 mg?",,,41.12,146.87,7 HCPCS,Q9968,Visualization adjunct,,,8.9,30.87,10 HCPCS,Q9969,Non-HEU TC-99M add-on/dose,,,31.8,35.4,3 HCPCS,Q9969,Non-Heu Tc-99M Add-On/Dose,13.0,6.5,,,0 HCPCS,Q9982,flutemetamol f18 diagnostic,,,1982.89,6878.75,10 HCPCS,Q9983,florbetaben f18 diagnostic,,,1616.36,5607.25,10 HCPCS,Q9991,Buprenorph xr 100 mg or less,,,2056.75,6996.99,7 HCPCS,Q9992,Buprenorphine xr over 100 mg,,,2056.75,6996.99,7 HCPCS,Q9998,Ustekinumab-aekn inj,,,41.16,169.21,7 HCPCS,S0601,Screening protoscopy,,,5220.0,5220.0,1 HCPCS,S0800,Laser in situ keratomileusis (LASIK),,,5220.0,5220.0,1 HCPCS,S0810,Photorefractive keratectomy (PRK),,,5220.0,5220.0,1 HCPCS,S0812,Phototherapeutic keratectomy (PTK),,,5220.0,5220.0,1 HCPCS,S2053,"transplant sm. Intest, liver, allograft",,,5220.0,5220.0,1 HCPCS,S2054,Transplant multivisceral organs,,,5220.0,5220.0,1 HCPCS,S2055,"harvesting organs, cadaver donor",,,5220.0,5220.0,1 HCPCS,S2060,Lobar lung transplantation,,,5220.0,5220.0,1 HCPCS,S2061,"Donor lobectomy, live donor",,,5220.0,5220.0,1 HCPCS,S2065,Sim Panc/renal transplant,,,5220.0,5220.0,1 HCPCS,S2066,"Breast reconstruct, GAP",,,5220.0,5220.0,1 HCPCS,S2067,"Breast reconstruct, stacked DEIP or GAP",,,5220.0,5220.0,1 HCPCS,S2068,"Breast reconstruct, DEIP",,,5220.0,5220.0,1 HCPCS,S2070,Cystoerethroscopy,,,5220.0,5220.0,1 HCPCS,S2079,Heller esophagomyotomy,,,5220.0,5220.0,1 HCPCS,S2080,LAUP,,,5220.0,5220.0,1 HCPCS,S2083,"gastric band adjustment, percutaneous",,,5220.0,5220.0,1 HCPCS,S2095,"percut occlusion tumor dest, yttrium-90",,,5220.0,5220.0,1 HCPCS,S2102,"Iselt cell transplant, allogeneic",,,5220.0,5220.0,1 HCPCS,S2103,Adrenal tissue transplant to brain,,,5220.0,5220.0,1 HCPCS,S2112,"arthroscopy, harvest cartilage",,,5220.0,5220.0,1 HCPCS,S2115,"Osteotomy, peracteabular, with internal fixation",,,5220.0,5220.0,1 HCPCS,S2117,"Arthroereisis, subtalar",,,5220.0,5220.0,1 HCPCS,S2205,Minimally invasive direct co,,,5220.0,5220.0,1 HCPCS,S2206,Minimally invasive direct co,,,5220.0,5220.0,1 HCPCS,S2207,Minimally invasive direct co,,,5220.0,5220.0,1 HCPCS,S2208,Minimally invasive direct co,,,5220.0,5220.0,1 HCPCS,S2209,Minimally invasive direct co,,,5220.0,5220.0,1 HCPCS,S2225,"Myringotomy, laser-assisted",,,5220.0,5220.0,1 HCPCS,S2230,Implant semi-imp hear,,,5220.0,5220.0,1 HCPCS,S2235,Implant auditory brain imp,,,5220.0,5220.0,1 HCPCS,S2300,"Arthroscopy, shoulder, surgi",,,5220.0,5220.0,1 HCPCS,S2350,"Diskectomy, anterior, with d",,,5220.0,5220.0,1 HCPCS,S2351,"Diskectomy, anterior, with d",,,5220.0,5220.0,1 HCPCS,S2360,Vertebroplast cerv 1st,,,5220.0,5220.0,1 HCPCS,S2400,Fetal surg congen hernia,,,5220.0,5220.0,1 HCPCS,S2401,Fetal surg urin trac obstr,,,5220.0,5220.0,1 HCPCS,S2402,Fetal surg cong cyst malf,,,5220.0,5220.0,1 HCPCS,S2403,Fetal surg pulmon sequest,,,5220.0,5220.0,1 HCPCS,S2404,Fetal surg myelomeningo,,,5220.0,5220.0,1 HCPCS,S2405,Fetal surg sacrococ teratoma,,,5220.0,5220.0,1 HCPCS,S2409,Fetal surg noc,,,5220.0,5220.0,1 HCPCS,S2900,Robotic surgical system,,,5220.0,5220.0,1 HCPCS,S8450,Splint Digit,119.03,59.52,,,0 HCPCS,S9443,Chg - Lactation Class,50.0,25.0,,,0 HCPCS,S9472,Cardiac rehabilitation progr,,,740.0,761.0,3 HCPCS,S9473,Pulmonary rehabilitation pro,,,115.0,118.0,3 HCPCS,U0001,2019 nCoV diagnostic P,,,35.92,43.1,9 HCPCS,U0002,COVID-19 lab test non-CDC,,,51.31,61.57,9 HCPCS,U0004,Noncdm Charge Record Lab,100.0,50.0,,,0 HCPCS,U0005,Noncdm Charge Record Lab,29.0,14.5,,,0 HCPCS,V2524,Cntct lens hydrophil photoch,,,190.0,195.58,4 HCPCS,V2632,Noncdm Charge Record Medical Supplies,197.0,98.5,,,0 HCPCS,V2785,Noncdm Charge Record Medical Supplies,6718.4,3359.2,,,0 HCPCS,V2787,Noncdm Charge Record Medical Supplies,370.0,185.0,,,0 HCPCS,V2790,Amniotic Membrane,1881.0,940.5,,,0 MS-DRG,001,Heart Transplant Or Implant Of Heart Assist System With Mcc,,,231109.63,1153491.75,18 MS-DRG,002,Heart Transplant Or Implant Of Heart Assist System Without Mcc,,,94300.23,466428.22,18 MS-DRG,003,"Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major",,,175387.09,752093.74,15 MS-DRG,004,"Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R.",,,114951.01,490810.51,15 MS-DRG,005,Liver Transplant With Mcc Or Intestinal Transplant,,,85929.59,424390.49,18 MS-DRG,006,Liver Transplant Without Mcc,,,39429.27,190863.56,18 MS-DRG,007,Lung Transplant,,,107564.72,533043.18,18 MS-DRG,008,Simultaneous Pancreas And Kidney Transplant,,,47359.77,230690.94,18 MS-DRG,009,Bone marrow transplant,,,,,0 MS-DRG,010,Pancreas Transplant,,,60236.59,295358.99,18 MS-DRG,011,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc",,,46126.26,193260.58,15 MS-DRG,012,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc",,,35978.73,149389.74,15 MS-DRG,013,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc",,,25043.55,102113.7,15 MS-DRG,014,Allogeneic Bone Marrow Transplant,,,99923.54,494668.78,18 MS-DRG,016,Autologous Bone Marrow Transplant With Cc/Mcc,,,50024.31,244072.38,18 MS-DRG,017,Autologous Bone Marrow Transplant Without Cc/Mcc,,,45947.59,223598.9,18 MS-DRG,018,Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies,,,355352.83,1530139.34,15 MS-DRG,019,Simultaneous Pancreas And Kidney Transplant With Hemodialysis,,,59899.74,293667.27,18 MS-DRG,020,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc,,,65917.28,278823.06,15 MS-DRG,021,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc,,,44812.44,187580.51,15 MS-DRG,022,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc,,,27466.3,112587.99,15 MS-DRG,023,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla,,,48390.01,203047.45,15 MS-DRG,024,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc,,,33486.3,138614.26,15 MS-DRG,025,Craniotomy And Endovascular Intracranial Procedures With Mcc,,,38689.16,161107.77,15 MS-DRG,026,Craniotomy And Endovascular Intracranial Procedures With Cc,,,26907.33,110171.39,15 MS-DRG,027,Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc,,,22101.98,89396.44,15 MS-DRG,028,Spinal Procedures With Mcc,,,50668.52,212898.1,15 MS-DRG,029,Spinal Procedures With Cc Or Spinal Neurostimulators,,,29385.82,120886.63,15 MS-DRG,030,Spinal Procedures Without Cc/Mcc,,,19416.13,77784.72,15 MS-DRG,031,Ventricular Shunt Procedures With Mcc,,,38146.58,158762.04,15 MS-DRG,032,Ventricular Shunt Procedures With Cc,,,18889.95,75509.85,15 MS-DRG,033,Ventricular Shunt Procedures Without Cc/Mcc,,,15053.37,58923.2,15 MS-DRG,034,Carotid Artery Stent Procedures With Mcc,,,33148.63,137154.38,15 MS-DRG,035,Carotid Artery Stent Procedures With Cc,,,21016.82,84704.98,15 MS-DRG,036,Carotid Artery Stent Procedures Without Cc/Mcc,,,17347.45,68841.18,15 MS-DRG,037,Extracranial Procedures With Mcc,,,28406.39,116652.27,15 MS-DRG,038,Extracranial Procedures With Cc,,,14723.07,57495.21,15 MS-DRG,039,Extracranial Procedures Without Cc/Mcc,,,11058.61,41652.67,15 MS-DRG,040,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc",,,33070.76,136817.76,15 MS-DRG,041,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator",,,19444.82,77908.74,15 MS-DRG,042,"Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc",,,15584.48,61219.32,15 MS-DRG,043,Hyphema,,,,,0 MS-DRG,044,Acute Major Eye Infections,,,,,0 MS-DRG,045,Neurological eye disorders,,,,,0 MS-DRG,046,Other Disorders of the Eye Age >17 w CC,,,,,0 MS-DRG,047,Other Disorders of the Eye Age >17 w/o CC,,,,,0 MS-DRG,048,Other Disorders of the Eye Age 0-17,,,,,0 MS-DRG,049,Major Head & Neck Procedures,,,,,0 MS-DRG,050,Sialoadenectomy,,,,,0 MS-DRG,051,Salivary Gland Procedures Except Sialoadenectomy,,,,,0 MS-DRG,052,Spinal Disorders And Injuries With Cc/Mcc,,,16269.67,64181.6,15 MS-DRG,053,Spinal Disorders And Injuries Without Cc/Mcc,,,9449.73,34696.97,15 MS-DRG,054,Nervous System Neoplasms With Mcc,,,13938.71,54104.17,15 MS-DRG,055,Nervous System Neoplasms Without Mcc,,,9780.85,36128.51,15 MS-DRG,056,Degenerative Nervous System Disorders With Mcc,,,20464.41,82316.73,15 MS-DRG,057,Degenerative Nervous System Disorders Without Mcc,,,12042.96,45908.29,15 MS-DRG,058,Multiple Sclerosis And Cerebellar Ataxia With Mcc,,,15435.31,60574.42,15 MS-DRG,059,Multiple Sclerosis And Cerebellar Ataxia With Cc,,,11594.64,43970.05,15 MS-DRG,060,Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc,,,8962.88,32592.19,15 MS-DRG,061,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc",,,24021.5,97695.08,15 MS-DRG,062,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc",,,15826.26,62264.62,15 MS-DRG,063,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc",,,12929.77,49742.25,15 MS-DRG,064,Intracranial Hemorrhage Or Cerebral Infarction With Mcc,,,17906.42,71257.77,15 MS-DRG,065,Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours,,,9704.63,35798.97,15 MS-DRG,066,Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc,,,7033.53,24251.03,15 MS-DRG,067,Precerebral Occlusion Without Infarction With Mcc,,,13461.7,52041.92,15 MS-DRG,068,Precerebral Occlusion Without Infarction Without Mcc,,,8508.82,30629.15,15 MS-DRG,069,Transient Ischemia Without Thrombolytic,,,7971.16,28304.68,15 MS-DRG,070,Other Cerebrovascular Disorders With Mcc,,,15068.95,58990.52,15 MS-DRG,071,Other Cerebrovascular Disorders With Cc,,,9833.3,36355.28,15 MS-DRG,072,Other Cerebrovascular Disorders Without Cc/Mcc,,,7622.01,26795.19,15 MS-DRG,073,Cranial And Peripheral Nerve Disorders With Mcc,,,14573.08,56846.77,15 MS-DRG,074,Cranial And Peripheral Nerve Disorders Without Mcc,,,9872.65,36525.37,15 MS-DRG,075,Viral Meningitis With Cc/Mcc,,,17140.09,67944.7,15 MS-DRG,076,Viral Meningitis Without Cc/Mcc,,,8187.54,29240.14,15 MS-DRG,077,Hypertensive Encephalopathy With Mcc,,,41204.68,46191.18,2 MS-DRG,078,Hypertensive Encephalopathy With Cc,,,26590.37,29808.28,2 MS-DRG,079,Hypertensive Encephalopathy Without Cc/Mcc,,,17766.89,19917.0,2 MS-DRG,080,Nontraumatic Stupor And Coma With Mcc,,,16259.01,64135.54,15 MS-DRG,081,Nontraumatic Stupor And Coma Without Mcc,,,8764.54,31734.69,15 MS-DRG,082,Traumatic Stupor And Coma >1 Hour With Mcc,,,20157.06,80987.95,15 MS-DRG,083,Traumatic Stupor And Coma >1 Hour With Cc,,,12864.21,49458.78,15 MS-DRG,084,Traumatic Stupor And Coma >1 Hour Without Cc/Mcc,,,9257.94,33867.82,15 MS-DRG,085,Traumatic Stupor And Coma <1 Hour With Mcc,,,20044.77,80502.5,15 MS-DRG,086,Traumatic Stupor And Coma <1 Hour With Cc,,,12101.15,46159.87,15 MS-DRG,087,Traumatic Stupor And Coma <1 Hour Without Cc/Mcc,,,8921.08,32411.48,15 MS-DRG,088,Concussion With Mcc,,,12503.58,47899.68,15 MS-DRG,089,Concussion With Cc,,,10428.34,38927.79,15 MS-DRG,090,Concussion Without Cc/Mcc,,,8171.14,29169.27,15 MS-DRG,091,Other Disorders Of Nervous System With Mcc,,,15818.06,62229.19,15 MS-DRG,092,Other Disorders Of Nervous System With Cc,,,9808.72,36248.98,15 MS-DRG,093,Other Disorders Of Nervous System Without Cc/Mcc,,,7950.67,28216.09,15 MS-DRG,094,Bacterial And Tuberculous Infections Of Nervous System With Mcc,,,30269.35,124706.42,15 MS-DRG,095,Bacterial And Tuberculous Infections Of Nervous System With Cc,,,22563.42,91391.37,15 MS-DRG,096,Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc,,,22563.42,91391.37,15 MS-DRG,097,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc,,,31026.67,127980.52,15 MS-DRG,098,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc,,,20233.28,81317.49,15 MS-DRG,099,Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc,,,12590.46,48275.28,15 MS-DRG,100,Seizures With Mcc,,,17298.27,68628.57,15 MS-DRG,101,Seizures Without Mcc,,,8821.91,31982.73,15 MS-DRG,102,Headaches With Mcc,,,10611.11,39717.97,15 MS-DRG,103,Headaches Without Mcc,,,8278.51,29633.45,15 MS-DRG,104,Cardiac Valve & Oth Major Cardiothoracic Proc w Cardiac Cath,,,,,0 MS-DRG,105,Cardiac Valve & Oth Major Cardiothoracic Proc w/o Cardiac Cath,,,,,0 MS-DRG,106,Coronary Bypass w PTCA,,,,,0 MS-DRG,107,No Longer Valid,,,,,0 MS-DRG,108,Other Cardiothoracic Procedures,,,,,0 MS-DRG,109,No Longer Valid,,,,,0 MS-DRG,110,Major Cardiovascular Procedures w CC,,,,,0 MS-DRG,111,Major Cardiovascular Procedures w/o CC,,,,,0 MS-DRG,112,No Longer Valid,,,,,0 MS-DRG,113,Orbital Procedures With Cc/Mcc,,,20693.9,83308.88,15 MS-DRG,114,Orbital Procedures Without Cc/Mcc,,,12513.41,47942.2,15 MS-DRG,115,Extraocular Procedures Except Orbit,,,14004.28,54387.65,15 MS-DRG,116,Intraocular Procedures With Cc/Mcc,,,16243.44,64068.22,15 MS-DRG,117,Intraocular Procedures Without Cc/Mcc,,,10316.05,38442.35,15 MS-DRG,118,Cardiac Pacemaker Device Replacement,,,,,0 MS-DRG,119,Vein ligation & stripping,,,,,0 MS-DRG,120,Other circulatory system O.R. procedures,,,,,0 MS-DRG,121,Acute Major Eye Infections With Cc/Mcc,,,10958.62,41220.37,15 MS-DRG,122,Acute Major Eye Infections Without Cc/Mcc,,,7864.61,27844.04,15 MS-DRG,123,Neurological Eye Disorders,,,7969.52,28297.59,15 MS-DRG,124,Other Disorders Of The Eye With Mcc Or Thrombolytic Agent,,,12268.35,46882.73,15 MS-DRG,125,Other Disorders Of The Eye Without Mcc,,,7717.08,27206.23,15 MS-DRG,126,Acute & Subacute Endocarditis,,,,,0 MS-DRG,127,Heart Failure & Shock,,,,,0 MS-DRG,128,Deep Vein Thrombophlebitis,,,,,0 MS-DRG,129,Major Head & Neck Procedures W Cc/Mcc Or Major Device,,,,,0 MS-DRG,130,Major Head & Neck Procedures W/O Cc/Mcc,,,,,0 MS-DRG,131,Cranial/Facial Procedures W Cc/Mcc,,,,,0 MS-DRG,132,Cranial/Facial Procedures W/O Cc/Mcc,,,,,0 MS-DRG,133,"Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/Mcc",,,,,0 MS-DRG,134,"Other Ear, Nose, Mouth & Throat O.R. Procedures W/O Cc/Mcc",,,,,0 MS-DRG,135,Sinus And Mastoid Procedures With Cc/Mcc,,,19209.59,76891.78,15 MS-DRG,136,Sinus And Mastoid Procedures Without Cc/Mcc,,,9745.61,35976.14,15 MS-DRG,137,Mouth Procedures With Cc/Mcc,,,13662.5,52910.05,15 MS-DRG,138,Mouth Procedures Without Cc/Mcc,,,8687.5,31401.61,15 MS-DRG,139,Salivary Gland Procedures,,,11552.02,43785.79,15 MS-DRG,140,Major Head And Neck Procedures With Mcc,,,36382.79,151136.64,15 MS-DRG,141,Major Head And Neck Procedures With Cc,,,19300.57,77285.1,15 MS-DRG,142,Major Head And Neck Procedures Without Cc/Mcc,,,14508.34,56566.84,15 MS-DRG,143,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc",,,32131.5,132757.02,15 MS-DRG,144,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc",,,15627.1,61403.58,15 MS-DRG,145,"Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc",,,11278.27,42602.3,15 MS-DRG,146,"Ear, Nose, Mouth And Throat Malignancy With Mcc",,,18778.48,75027.95,15 MS-DRG,147,"Ear, Nose, Mouth And Throat Malignancy With Cc",,,11845.44,45054.33,15 MS-DRG,148,"Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc",,,7957.23,28244.44,15 MS-DRG,149,Dysequilibrium,,,7584.31,26632.19,15 MS-DRG,150,Epistaxis With Mcc,,,12337.2,47180.37,15 MS-DRG,151,Epistaxis Without Mcc,,,7440.06,26008.56,15 MS-DRG,152,Otitis Media And Uri With Mcc,,,11113.53,41890.07,15 MS-DRG,153,Otitis Media And Uri Without Mcc,,,7474.48,26157.38,15 MS-DRG,154,"Other Ear, Nose, Mouth And Throat Diagnoses With Mcc",,,14238.68,55401.06,15 MS-DRG,155,"Other Ear, Nose, Mouth And Throat Diagnoses With Cc",,,8935.84,32475.26,15 MS-DRG,156,"Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc",,,7088.44,24488.44,15 MS-DRG,157,Dental And Oral Diseases With Mcc,,,15495.14,60833.09,15 MS-DRG,158,Dental And Oral Diseases With Cc,,,8880.92,32237.85,15 MS-DRG,159,Dental And Oral Diseases Without Cc/Mcc,,,7231.06,25104.99,15 MS-DRG,160,Hernia Procedures Except Inguinal & Femoral Age >17 w/o CC,,,,,0 MS-DRG,161,Inguinal & Femoral Hernia Procedures Age >17 w CC,,,,,0 MS-DRG,162,Inguinal & Femoral Hernia Procedures Age >17 w/o CC,,,,,0 MS-DRG,163,Major Chest Procedures With Mcc,,,38157.24,158808.1,15 MS-DRG,164,Major Chest Procedures With Cc,,,22111.0,89435.42,15 MS-DRG,165,Major Chest Procedures Without Cc/Mcc,,,17113.04,67827.76,15 MS-DRG,166,Other Respiratory System O.R. Procedures With Mcc,,,32058.55,132441.66,15 MS-DRG,167,Other Respiratory System O.R. Procedures With Cc,,,16204.92,63901.68,15 MS-DRG,168,Other Respiratory System O.R. Procedures Without Cc/Mcc,,,12623.24,48417.02,15 MS-DRG,169,Mouth Procedures w/o CC,,,,,0 MS-DRG,171,Other Digestive System O.R. Procedures w/o CC,,,,,0 MS-DRG,173,Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism,,,25818.89,105465.76,15 MS-DRG,174,G.I. hemorrhage w CC,,,,,0 MS-DRG,175,Pulmonary Embolism With Mcc Or Acute Cor Pulmonale,,,12682.25,48672.14,15 MS-DRG,176,Pulmonary Embolism Without Mcc,,,8021.98,28524.37,15 MS-DRG,177,Respiratory Infections And Inflammations With Mcc,,,14232.13,55372.71,15 MS-DRG,178,Respiratory Infections And Inflammations With Cc,,,9423.5,34583.58,15 MS-DRG,179,Respiratory Infections And Inflammations Without Cc/Mcc,,,7612.17,26752.67,15 MS-DRG,180,Respiratory Neoplasms With Mcc,,,15898.39,62576.44,15 MS-DRG,181,Respiratory Neoplasms With Cc,,,10202.13,37949.81,15 MS-DRG,182,Respiratory Neoplasms Without Cc/Mcc,,,7602.34,26710.15,15 MS-DRG,183,Major Chest Trauma With Mcc,,,13963.3,54210.48,15 MS-DRG,184,Major Chest Trauma With Cc,,,10145.57,37705.32,15 MS-DRG,185,Major Chest Trauma Without Cc/Mcc,,,7870.35,27868.84,15 MS-DRG,186,Pleural Effusion With Mcc,,,14197.7,55223.89,15 MS-DRG,187,Pleural Effusion With Cc,,,9530.87,35047.77,15 MS-DRG,188,Pleural Effusion Without Cc/Mcc,,,7302.36,25413.26,15 MS-DRG,189,Pulmonary Edema And Respiratory Failure,,,11549.56,43775.16,15 MS-DRG,190,Chronic Obstructive Pulmonary Disease With Mcc,,,10502.92,39250.24,15 MS-DRG,191,Chronic Obstructive Pulmonary Disease With Cc,,,8333.43,29870.86,15 MS-DRG,192,Chronic Obstructive Pulmonary Disease Without Cc/Mcc,,,6686.02,22748.63,15 MS-DRG,193,Simple Pneumonia And Pleurisy With Mcc,,,12197.05,46574.45,15 MS-DRG,194,Simple Pneumonia And Pleurisy With Cc,,,8029.35,28556.26,15 MS-DRG,195,Simple Pneumonia And Pleurisy Without Cc/Mcc,,,6575.37,22270.27,15 MS-DRG,196,Interstitial Lung Disease With Mcc,,,16891.75,66871.04,15 MS-DRG,197,Interstitial Lung Disease With Cc,,,9203.03,33630.41,15 MS-DRG,198,Interstitial Lung Disease Without Cc/Mcc,,,7294.17,25377.83,15 MS-DRG,199,Pneumothorax With Mcc,,,15882.81,62509.12,15 MS-DRG,200,Pneumothorax With Cc,,,10434.08,38952.6,15 MS-DRG,201,Pneumothorax Without Cc/Mcc,,,7285.15,25338.85,15 MS-DRG,202,Bronchitis And Asthma With Cc/Mcc,,,9384.16,34413.5,15 MS-DRG,203,Bronchitis And Asthma Without Cc/Mcc,,,6915.51,23740.78,15 MS-DRG,204,Respiratory Signs And Symptoms,,,8041.65,28609.41,15 MS-DRG,205,Other Respiratory System Diagnoses With Mcc,,,16431.13,64879.65,15 MS-DRG,206,Other Respiratory System Diagnoses Without Mcc,,,9137.46,33346.94,15 MS-DRG,207,Respiratory System Diagnosis With Ventilator Support >96 Hours,,,54163.32,228007.16,15 MS-DRG,208,Respiratory System Diagnosis With Ventilator Support <=96 Hours,,,23952.65,97397.44,15 MS-DRG,209,Complex Aortic Arch Procedures,,,94193.68,401070.36,15 MS-DRG,210,Hip & Femur Procedures Except Major Joint Age >17 w CC,,,,,0 MS-DRG,211,Hip & Femur Procedures Except Major Joint Age >17 w/o CC,,,,,0 MS-DRG,212,Concomitant Aortic And Mitral Valve Procedures,,,90548.89,385312.86,15 MS-DRG,213,Endovascular Abdominal Aorta With Iliac Branch Procedures,,,48198.23,202218.29,15 MS-DRG,214,No Longer Valid,,,,,0 MS-DRG,215,Other Heart Assist System Implant,,,83032.29,352816.34,15 MS-DRG,216,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc,,,81604.53,346643.74,15 MS-DRG,217,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc,,,55315.68,232989.18,15 MS-DRG,218,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc,,,55315.68,232989.18,15 MS-DRG,219,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc,,,64355.93,272072.88,15 MS-DRG,220,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc,,,45132.08,188962.44,15 MS-DRG,221,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M,,,42733.92,178594.45,15 MS-DRG,222,"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With Mcc",,,204040.73,228733.27,2 MS-DRG,223,"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without Mcc",,,139073.14,155903.44,2 MS-DRG,224,"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With Mcc",,,188920.09,211782.76,2 MS-DRG,225,"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without Mcc",,,134782.65,151093.73,2 MS-DRG,226,Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc,,,170577.58,191220.49,2 MS-DRG,227,Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc,,,133796.63,149988.39,2 MS-DRG,228,Other Cardiothoracic Procedures With Mcc,,,41973.32,175306.17,15 MS-DRG,229,Other Cardiothoracic Procedures Without Mcc,,,27237.63,111599.38,15 MS-DRG,230,Other cardiothoracic procedures w/o CC/MCC,,,,,0 MS-DRG,231,Coronary Bypass With Ptca With Mcc,,,70516.09,298705.08,15 MS-DRG,232,Coronary Bypass With Ptca Without Mcc,,,51113.56,214822.17,15 MS-DRG,233,Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc,,,64084.64,270900.02,15 MS-DRG,234,Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc,,,46196.75,193565.31,15 MS-DRG,235,Coronary Bypass Without Cardiac Catheterization With Mcc,,,49523.53,207947.97,15 MS-DRG,236,Coronary Bypass Without Cardiac Catheterization Without Mcc,,,35755.79,148425.94,15 MS-DRG,237,Major cardiovasc procedures w MCC,,,,,0 MS-DRG,238,Major cardiovasc procedures w/o MCC,,,,,0 MS-DRG,239,Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc,,,41762.68,174395.52,15 MS-DRG,240,Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc,,,24787.01,101004.62,15 MS-DRG,241,Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc,,,12770.77,49054.83,15 MS-DRG,242,Permanent Cardiac Pacemaker Implant With Mcc,,,27592.52,113133.68,15 MS-DRG,243,Permanent Cardiac Pacemaker Implant With Cc,,,18889.13,75506.31,15 MS-DRG,244,Permanent Cardiac Pacemaker Implant Without Cc/Mcc,,,16238.52,64046.96,15 MS-DRG,245,Aicd Generator Procedures,,,38817.84,161664.08,15 MS-DRG,246,Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents,,,79824.41,89484.58,2 MS-DRG,247,Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without Mcc,,,50886.27,57044.4,2 MS-DRG,248,Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents,,,80208.16,89914.77,2 MS-DRG,249,Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without Mcc,,,48413.24,54272.1,2 MS-DRG,250,Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc,,,19312.04,77334.71,15 MS-DRG,251,Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc,,,13673.16,52956.11,15 MS-DRG,252,Other Vascular Procedures With Mcc,,,30014.45,123604.42,15 MS-DRG,253,Other Vascular Procedures With Cc,,,22697.83,91972.49,15 MS-DRG,254,Other Vascular Procedures Without Cc/Mcc,,,16027.06,63132.76,15 MS-DRG,255,Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc,,,23532.19,95579.67,15 MS-DRG,256,Upper Limb And Toe Amputation For Circulatory System Disorders With Cc,,,15340.23,60163.39,15 MS-DRG,257,Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc,,,10375.88,38701.01,15 MS-DRG,258,Cardiac Pacemaker Device Replacement With Mcc,,,27176.98,111337.17,15 MS-DRG,259,Cardiac Pacemaker Device Replacement Without Mcc,,,17997.4,71651.09,15 MS-DRG,260,Cardiac Pacemaker Revision Except Device Replacement With Mcc,,,28084.28,115259.72,15 MS-DRG,261,Cardiac Pacemaker Revision Except Device Replacement With Cc,,,16918.8,66987.98,15 MS-DRG,262,Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc,,,14782.9,57753.88,15 MS-DRG,263,Vein Ligation And Stripping,,,26482.77,108335.91,15 MS-DRG,264,Other Circulatory System O.R. Procedures,,,28803.9,118370.82,15 MS-DRG,265,Aicd Lead Procedures,,,31079.12,128207.3,15 MS-DRG,266,Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc,,,51652.86,217153.73,15 MS-DRG,267,Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc,,,40443.94,168694.19,15 MS-DRG,268,Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc,,,57795.81,243711.51,15 MS-DRG,269,Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc,,,36037.74,149644.87,15 MS-DRG,270,Other Major Cardiovascular Procedures With Mcc,,,44669.0,186960.41,15 MS-DRG,271,Other Major Cardiovascular Procedures With Cc,,,30571.79,126013.93,15 MS-DRG,272,Other Major Cardiovascular Procedures Without Cc/Mcc,,,22348.68,90463.0,15 MS-DRG,273,Percutaneous And Other Intracardiac Procedures With Mcc,,,35236.98,146182.97,15 MS-DRG,274,Percutaneous And Other Intracardiac Procedures Without Mcc,,,28403.11,116638.1,15 MS-DRG,275,Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc,,,59865.31,252658.59,15 MS-DRG,276,Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator,,,50654.58,212837.86,15 MS-DRG,277,Cardiac Defibrillator Implant Without Mcc,,,39277.64,163651.93,15 MS-DRG,278,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc,,,47045.04,197232.73,15 MS-DRG,279,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc,,,30982.41,127789.18,15 MS-DRG,280,"Acute Myocardial Infarction, Discharged Alive With Mcc",,,14571.44,56839.68,15 MS-DRG,281,"Acute Myocardial Infarction, Discharged Alive With Cc",,,8957.15,32567.39,15 MS-DRG,282,"Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc",,,7350.72,25622.33,15 MS-DRG,283,"Acute Myocardial Infarction, Expired With Mcc",,,17658.9,70187.67,15 MS-DRG,284,"Acute Myocardial Infarction, Expired With Cc",,,7097.46,24527.41,15 MS-DRG,285,"Acute Myocardial Infarction, Expired Without Cc/Mcc",,,6332.77,21221.42,15 MS-DRG,286,"Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc",,,19560.38,78408.36,15 MS-DRG,287,"Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc",,,10194.75,37917.92,15 MS-DRG,288,Acute And Subacute Endocarditis With Mcc,,,23604.32,95891.49,15 MS-DRG,289,Acute And Subacute Endocarditis With Cc,,,15414.0,60482.29,15 MS-DRG,290,Acute And Subacute Endocarditis Without Cc/Mcc,,,9044.02,32942.99,15 MS-DRG,291,Heart Failure And Shock With Mcc,,,11946.25,45490.17,15 MS-DRG,292,Heart Failure And Shock With Cc,,,8382.6,30083.47,15 MS-DRG,293,Heart Failure And Shock Without Cc/Mcc,,,6063.12,20055.64,15 MS-DRG,294,Deep Vein Thrombophlebitis With Cc/Mcc,,,32722.31,36682.28,2 MS-DRG,295,Deep Vein Thrombophlebitis Without Cc/Mcc,,,21047.38,23594.49,2 MS-DRG,296,"Cardiac Arrest, Unexplained With Mcc",,,14225.57,55344.36,15 MS-DRG,297,"Cardiac Arrest, Unexplained With Cc",,,6620.45,22465.16,15 MS-DRG,298,"Cardiac Arrest, Unexplained Without Cc/Mcc",,,5154.18,16126.01,15 MS-DRG,299,Peripheral Vascular Disorders With Mcc,,,14805.85,57853.09,15 MS-DRG,300,Peripheral Vascular Disorders With Cc,,,10173.44,37825.8,15 MS-DRG,301,Peripheral Vascular Disorders Without Cc/Mcc,,,7322.85,25501.85,15 MS-DRG,302,Atherosclerosis With Mcc,,,11231.55,42400.32,15 MS-DRG,303,Atherosclerosis Without Mcc,,,6941.74,23854.17,15 MS-DRG,304,Hypertension With Mcc,,,11177.46,42166.46,15 MS-DRG,305,Hypertension Without Mcc,,,7612.99,26756.21,15 MS-DRG,306,Cardiac Congenital And Valvular Disorders With Mcc,,,14339.5,55836.9,15 MS-DRG,307,Cardiac Congenital And Valvular Disorders Without Mcc,,,8908.79,32358.33,15 MS-DRG,308,Cardiac Arrhythmia And Conduction Disorders With Mcc,,,11292.2,42662.54,15 MS-DRG,309,Cardiac Arrhythmia And Conduction Disorders With Cc,,,7453.99,26068.79,15 MS-DRG,310,Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc,,,6063.94,20059.19,15 MS-DRG,311,Angina Pectoris,,,7176.96,24871.12,15 MS-DRG,312,Syncope And Collapse,,,8567.83,30884.27,15 MS-DRG,313,Chest Pain,,,7325.31,25512.48,15 MS-DRG,314,Other Circulatory System Diagnoses With Mcc,,,18514.57,73886.98,15 MS-DRG,315,Other Circulatory System Diagnoses With Cc,,,9319.41,34133.57,15 MS-DRG,316,Other Circulatory System Diagnoses Without Cc/Mcc,,,7014.68,24169.53,15 MS-DRG,317,Concomitant Left Atrial Appendage Closure And Cardiac Ablation,,,56227.08,236929.44,15 MS-DRG,318,Percutaneous Coronary Atherectomy Without Intraluminal Device,,,21276.64,85828.23,15 MS-DRG,319,Other Endovascular Cardiac Valve Procedures With Mcc,,,38002.33,158138.4,15 MS-DRG,320,Other Endovascular Cardiac Valve Procedures Without Mcc,,,21138.13,85229.4,15 MS-DRG,321,Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal,,,23723.98,96408.83,15 MS-DRG,322,Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc,,,15873.8,62470.14,15 MS-DRG,323,Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc,,,36891.77,153337.09,15 MS-DRG,324,Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc,,,27249.92,111652.53,15 MS-DRG,325,Coronary Intravascular Lithotripsy Without Intraluminal Device,,,27736.77,113757.31,15 MS-DRG,326,"Stomach, Esophageal And Duodenal Procedures With Mcc",,,42301.16,176723.53,15 MS-DRG,327,"Stomach, Esophageal And Duodenal Procedures With Cc",,,21456.95,86607.78,15 MS-DRG,328,"Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc",,,14556.69,56775.9,15 MS-DRG,329,Major Small And Large Bowel Procedures With Mcc,,,39097.32,162872.38,15 MS-DRG,330,Major Small And Large Bowel Procedures With Cc,,,21071.74,84942.38,15 MS-DRG,331,Major Small And Large Bowel Procedures Without Cc/Mcc,,,15217.29,59631.88,15 MS-DRG,332,Rectal Resection With Mcc,,,31099.61,128295.88,15 MS-DRG,333,Rectal Resection With Cc,,,20620.95,82993.51,15 MS-DRG,334,Rectal Resection Without Cc/Mcc,,,14848.47,58037.35,15 MS-DRG,335,Peritoneal Adhesiolysis With Mcc,,,30691.45,126531.27,15 MS-DRG,336,Peritoneal Adhesiolysis With Cc,,,18707.17,74719.68,15 MS-DRG,337,Peritoneal Adhesiolysis Without Cc/Mcc,,,14005.1,54391.19,15 MS-DRG,338,Appendectomy With Complicated Principal Diagnosis With Mcc,,,70793.07,79360.28,2 MS-DRG,339,Appendectomy With Complicated Principal Diagnosis With Cc,,,43395.23,48646.82,2 MS-DRG,340,Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc,,,31976.14,35845.81,2 MS-DRG,341,Appendectomy Without Complicated Principal Diagnosis With Mcc,,,60200.09,67485.37,2 MS-DRG,342,Appendectomy Without Complicated Principal Diagnosis With Cc,,,38726.33,43412.9,2 MS-DRG,343,Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc,,,29119.36,32643.32,2 MS-DRG,344,Minor Small And Large Bowel Procedures With Mcc,,,22592.93,91518.94,15 MS-DRG,345,Minor Small And Large Bowel Procedures With Cc,,,13756.76,53317.54,15 MS-DRG,346,Minor Small And Large Bowel Procedures Without Cc/Mcc,,,11146.31,42031.81,15 MS-DRG,347,Anal And Stomal Procedures With Mcc,,,20239.02,81342.29,15 MS-DRG,348,Anal And Stomal Procedures With Cc,,,12151.15,46376.02,15 MS-DRG,349,Anal And Stomal Procedures Without Cc/Mcc,,,8559.64,30848.84,15 MS-DRG,350,Inguinal And Femoral Hernia Procedures With Mcc,,,21847.9,88297.98,15 MS-DRG,351,Inguinal And Femoral Hernia Procedures With Cc,,,13919.04,54019.13,15 MS-DRG,352,Inguinal And Femoral Hernia Procedures Without Cc/Mcc,,,10995.51,41379.83,15 MS-DRG,353,Hernia Procedures Except Inguinal And Femoral With Mcc,,,25209.11,102829.47,15 MS-DRG,354,Hernia Procedures Except Inguinal And Femoral With Cc,,,15213.2,59614.16,15 MS-DRG,355,Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc,,,12447.85,47658.73,15 MS-DRG,356,Other Digestive System O.R. Procedures With Mcc,,,37427.79,155654.48,15 MS-DRG,357,Other Digestive System O.R. Procedures With Cc,,,20484.08,82401.77,15 MS-DRG,358,Other Digestive System O.R. Procedures Without Cc/Mcc,,,12881.42,49533.19,15 MS-DRG,359,Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc,,,29607.11,121843.35,15 MS-DRG,360,Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc,,,21211.89,85548.31,15 MS-DRG,361,Laparoscopy & Incisional Tubal Interruption,,,,,0 MS-DRG,362,Endoscopic Tubal Interruption,,,,,0 MS-DRG,363,"D&C, Conization & Radio-Implant, for Malignancy",,,,,0 MS-DRG,364,"D&C, Conization Except for Malignancy",,,,,0 MS-DRG,365,Other Female Reproductive System O.R. Procedures,,,,,0 MS-DRG,366,"Malignancy, female reproductive system w CC",,,,,0 MS-DRG,367,"Malignancy, Female Reproductive System w/o CC",,,,,0 MS-DRG,368,Major Esophageal Disorders With Mcc,,,14471.45,56407.38,15 MS-DRG,369,Major Esophageal Disorders With Cc,,,9621.85,35441.09,15 MS-DRG,370,Major Esophageal Disorders Without Cc/Mcc,,,7167.95,24832.15,15 MS-DRG,371,Major Gastrointestinal Disorders And Peritoneal Infections With Mcc,,,15956.58,62828.03,15 MS-DRG,372,Major Gastrointestinal Disorders And Peritoneal Infections With Cc,,,9792.32,36178.11,15 MS-DRG,373,Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc,,,7385.96,25774.69,15 MS-DRG,374,Digestive Malignancy With Mcc,,,18953.06,75782.7,15 MS-DRG,375,Digestive Malignancy With Cc,,,11338.1,42860.97,15 MS-DRG,376,Digestive Malignancy Without Cc/Mcc,,,8999.77,32751.65,15 MS-DRG,377,Gastrointestinal Hemorrhage With Mcc,,,16406.54,64773.35,15 MS-DRG,378,Gastrointestinal Hemorrhage With Cc,,,9462.02,34750.12,15 MS-DRG,379,Gastrointestinal Hemorrhage Without Cc/Mcc,,,6590.94,22337.59,15 MS-DRG,380,Complicated Peptic Ulcer With Mcc,,,17506.45,69528.59,15 MS-DRG,381,Complicated Peptic Ulcer With Cc,,,10304.58,38392.74,15 MS-DRG,382,Complicated Peptic Ulcer Without Cc/Mcc,,,7985.91,28368.46,15 MS-DRG,383,Uncomplicated Peptic Ulcer With Mcc,,,12740.45,48923.72,15 MS-DRG,384,Uncomplicated Peptic Ulcer Without Mcc,,,8430.14,30288.98,15 MS-DRG,385,Inflammatory Bowel Disease With Mcc,,,14392.77,56067.22,15 MS-DRG,386,Inflammatory Bowel Disease With Cc,,,9425.96,34594.21,15 MS-DRG,387,Inflammatory Bowel Disease Without Cc/Mcc,,,7008.12,24141.18,15 MS-DRG,388,Gastrointestinal Obstruction With Mcc,,,13528.09,52328.93,15 MS-DRG,389,Gastrointestinal Obstruction With Cc,,,7897.4,27985.77,15 MS-DRG,390,Gastrointestinal Obstruction Without Cc/Mcc,,,5882.8,19276.1,15 MS-DRG,391,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc",,,11819.21,44940.94,15 MS-DRG,392,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc",,,7813.8,27624.35,15 MS-DRG,393,Other Digestive System Diagnoses With Mcc,,,14532.1,56669.6,15 MS-DRG,394,Other Digestive System Diagnoses With Cc,,,9093.2,33155.59,15 MS-DRG,395,Other Digestive System Diagnoses Without Cc/Mcc,,,6743.39,22996.67,15 MS-DRG,396,Red Blood Cell Disorders Age 0-17,,,,,0 MS-DRG,397,Appendix Procedures With Mcc,,,21052.89,84860.89,15 MS-DRG,398,Appendix Procedures With Cc,,,13829.7,53632.9,15 MS-DRG,399,Appendix Procedures Without Cc/Mcc,,,10806.18,40561.3,15 MS-DRG,400,No Longer Valid,,,,,0 MS-DRG,401,Lymphoma & non-acute leukemia w other O.R. proc w CC,,,,,0 MS-DRG,402,Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical,,,34376.4,142462.4,15 MS-DRG,403,Lymphoma & non-acute leukemia w CC,,,,,0 MS-DRG,404,Lymphoma & Non-Acute Leukemia w/o CC,,,,,0 MS-DRG,405,"Pancreas, Liver And Shunt Procedures With Mcc",,,46260.68,193841.7,15 MS-DRG,406,"Pancreas, Liver And Shunt Procedures With Cc",,,25194.35,102765.69,15 MS-DRG,407,"Pancreas, Liver And Shunt Procedures Without Cc/Mcc",,,19616.12,78649.31,15 MS-DRG,408,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc,,,30648.01,126343.47,15 MS-DRG,409,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc,,,19269.42,77150.45,15 MS-DRG,410,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc,,,14437.03,56258.56,15 MS-DRG,411,Cholecystectomy With C.D.E. With Mcc,,,28498.18,117049.13,15 MS-DRG,412,Cholecystectomy With C.D.E. With Cc,,,18656.36,74499.99,15 MS-DRG,413,Cholecystectomy With C.D.E. Without Cc/Mcc,,,15033.7,58838.16,15 MS-DRG,414,Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc,,,30623.42,126237.17,15 MS-DRG,415,Cholecystectomy Except By Laparoscope Without C.D.E. With Cc,,,18362.94,73231.45,15 MS-DRG,416,Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc,,,12597.83,48307.17,15 MS-DRG,417,Laparoscopic Cholecystectomy Without C.D.E. With Mcc,,,20983.22,84559.7,15 MS-DRG,418,Laparoscopic Cholecystectomy Without C.D.E. With Cc,,,15288.6,59940.15,15 MS-DRG,419,Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc,,,12618.32,48395.76,15 MS-DRG,420,Hepatobiliary Diagnostic Procedures With Mcc,,,29348.94,120727.18,15 MS-DRG,421,Hepatobiliary Diagnostic Procedures With Cc,,,15664.8,61566.58,15 MS-DRG,422,Hepatobiliary Diagnostic Procedures Without Cc/Mcc,,,12894.53,49589.88,15 MS-DRG,423,Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc,,,35462.37,147157.4,15 MS-DRG,424,Other Hepatobiliary Or Pancreas O.R. Procedures With Cc,,,19356.3,77526.05,15 MS-DRG,425,Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc,,,13720.69,53161.63,15 MS-DRG,426,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made,,,91754.53,390525.2,15 MS-DRG,427,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc,,,60588.21,255783.87,15 MS-DRG,428,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc,,,47502.38,199209.95,15 MS-DRG,429,Combined Anterior And Posterior Cervical Spinal Fusion With Mcc,,,75267.34,319246.17,15 MS-DRG,430,Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc,,,48691.63,204351.42,15 MS-DRG,431,Childhood Mental Disorders,,,,,0 MS-DRG,432,Cirrhosis And Alcoholic Hepatitis With Mcc,,,17555.63,69741.2,15 MS-DRG,433,Cirrhosis And Alcoholic Hepatitis With Cc,,,10080.83,37425.39,15 MS-DRG,434,Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc,,,7263.84,25246.73,15 MS-DRG,435,Malignancy Of Hepatobiliary System Or Pancreas With Mcc,,,16477.85,65081.63,15 MS-DRG,436,Malignancy Of Hepatobiliary System Or Pancreas With Cc,,,10694.71,40079.4,15 MS-DRG,437,Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc,,,8417.85,30235.83,15 MS-DRG,438,Disorders Of Pancreas Except Malignancy With Mcc,,,14785.36,57764.51,15 MS-DRG,439,Disorders Of Pancreas Except Malignancy With Cc,,,8318.67,29807.08,15 MS-DRG,440,Disorders Of Pancreas Except Malignancy Without Cc/Mcc,,,6517.18,22018.69,15 MS-DRG,441,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc",,,16133.61,63593.4,15 MS-DRG,442,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc",,,9335.8,34204.44,15 MS-DRG,443,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc",,,7158.93,24793.17,15 MS-DRG,444,Disorders Of The Biliary Tract With Mcc,,,15118.94,59206.67,15 MS-DRG,445,Disorders Of The Biliary Tract With Cc,,,10393.91,38778.97,15 MS-DRG,446,Disorders Of The Biliary Tract Without Cc/Mcc,,,8204.75,29314.55,15 MS-DRG,447,Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody,,,56186.92,236755.81,15 MS-DRG,448,Multiple Level Spinal Fusion Except Cervical Without Mcc,,,36181.99,150268.51,15 MS-DRG,449,Poisoning & toxic Effects of Drugs Age >17 w CC,,,,,0 MS-DRG,450,Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F,,,45105.85,188849.05,15 MS-DRG,451,Single Level Spinal Fusion Except Cervical Without Mcc,,,27900.69,114465.99,15 MS-DRG,452,Complications of treatment w CC,,,,,0 MS-DRG,453,Combined Anterior And Posterior Spinal Fusion With Mcc,,,236147.45,264725.46,2 MS-DRG,454,Combined Anterior And Posterior Spinal Fusion With Cc,,,162993.28,182718.35,2 MS-DRG,455,Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc,,,122734.63,137587.69,2 MS-DRG,456,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,70298.89,297766.08,15 MS-DRG,457,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,50298.06,211296.49,15 MS-DRG,458,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,35623.02,147851.91,15 MS-DRG,459,Spinal Fusion Except Cervical With Mcc,,,176744.16,198133.33,2 MS-DRG,460,Spinal Fusion Except Cervical Without Mcc,,,97479.38,109276.1,2 MS-DRG,461,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc,,,46690.97,195701.98,15 MS-DRG,462,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc,,,23225.66,94254.44,15 MS-DRG,463,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,48137.58,201956.08,15 MS-DRG,464,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,26952.41,110366.28,15 MS-DRG,465,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,16371.3,64620.99,15 MS-DRG,466,Revision Of Hip Or Knee Replacement With Mcc,,,44087.9,184448.14,15 MS-DRG,467,Revision Of Hip Or Knee Replacement With Cc,,,30328.36,124961.54,15 MS-DRG,468,Revision Of Hip Or Knee Replacement Without Cc/Mcc,,,23946.91,97372.63,15 MS-DRG,469,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl,,,26284.43,107478.41,15 MS-DRG,470,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc,,,17233.52,68348.64,15 MS-DRG,471,Cervical Spinal Fusion With Mcc,,,41000.45,171100.16,15 MS-DRG,472,Cervical Spinal Fusion With Cc,,,25570.55,104392.11,15 MS-DRG,473,Cervical Spinal Fusion Without Cc/Mcc,,,21433.18,86505.02,15 MS-DRG,474,Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc,,,36609.0,152114.62,15 MS-DRG,475,Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc,,,20075.92,80637.15,15 MS-DRG,476,Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc,,,11097.14,41819.21,15 MS-DRG,477,Biopsies Of Musculoskeletal System And Connective Tissue With Mcc,,,29738.25,122410.3,15 MS-DRG,478,Biopsies Of Musculoskeletal System And Connective Tissue With Cc,,,21579.89,87139.29,15 MS-DRG,479,Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc,,,16659.8,65868.26,15 MS-DRG,480,Hip And Femur Procedures Except Major Joint With Mcc,,,25293.53,103194.44,15 MS-DRG,481,Hip And Femur Procedures Except Major Joint With Cc,,,18590.79,74216.51,15 MS-DRG,482,Hip And Femur Procedures Except Major Joint Without Cc/Mcc,,,14791.92,57792.85,15 MS-DRG,483,Major Joint Or Limb Reattachment Procedures Of Upper Extremities,,,24142.8,98219.5,15 MS-DRG,484,Major joint & limb reattachment proc of upper extremity w/o CC/MCC,,,,,0 MS-DRG,485,Knee Procedures With Principal Diagnosis Of Infection With Mcc,,,27873.64,114349.06,15 MS-DRG,486,Knee Procedures With Principal Diagnosis Of Infection With Cc,,,18562.92,74096.04,15 MS-DRG,487,Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc,,,14260.81,55496.73,15 MS-DRG,488,Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc,,,15922.15,62679.2,15 MS-DRG,489,Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc,,,10577.51,39572.69,15 MS-DRG,490,Back & neck proc exc spinal fusion w CC/MCC or disc device/neurostim,,,,,0 MS-DRG,491,Back & neck proc exc spinal fusion w/o CC/MCC,,,,,0 MS-DRG,492,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc",,,31516.79,130099.47,15 MS-DRG,493,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc",,,22210.17,89864.17,15 MS-DRG,494,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc",,,17869.54,71098.32,15 MS-DRG,495,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc,,,31140.59,128473.05,15 MS-DRG,496,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc,,,16209.02,63919.39,15 MS-DRG,497,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc,,,11327.45,42814.9,15 MS-DRG,498,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc,,,26150.01,106897.29,15 MS-DRG,499,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc,,,17937.57,71392.42,15 MS-DRG,500,Soft Tissue Procedures With Mcc,,,27363.03,112141.52,15 MS-DRG,501,Soft Tissue Procedures With Cc,,,15751.68,61942.18,15 MS-DRG,502,Soft Tissue Procedures Without Cc/Mcc,,,12455.22,47690.62,15 MS-DRG,503,Foot Procedures With Mcc,,,24300.16,98899.84,15 MS-DRG,504,Foot Procedures With Cc,,,16744.22,66233.23,15 MS-DRG,505,Foot Procedures Without Cc/Mcc,,,16118.04,63526.08,15 MS-DRG,506,Major Thumb Or Joint Procedures,,,12482.27,47807.55,15 MS-DRG,507,Major Shoulder Or Elbow Joint Procedures With Cc/Mcc,,,16229.51,64007.98,15 MS-DRG,508,Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc,,,13836.26,53661.25,15 MS-DRG,509,Arthroscopy,,,46808.97,52473.68,2 MS-DRG,510,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc",,,26180.34,107028.4,15 MS-DRG,511,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc",,,18467.03,73681.46,15 MS-DRG,512,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc",,,14991.9,58657.44,15 MS-DRG,513,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc",,,14327.2,55783.75,15 MS-DRG,514,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc",,,9802.98,36224.18,15 MS-DRG,515,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc,,,27544.16,112924.61,15 MS-DRG,516,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc,,,18456.38,73635.4,15 MS-DRG,517,Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc,,,14019.03,54451.43,15 MS-DRG,518,Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator,,,32055.27,132427.49,15 MS-DRG,519,Back And Neck Procedures Except Spinal Fusion With Cc,,,17817.9,70875.09,15 MS-DRG,520,Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc,,,13668.24,52934.85,15 MS-DRG,521,Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc,,,24948.47,101702.67,15 MS-DRG,522,Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc,,,18780.94,75038.58,15 MS-DRG,523,Alc/Drug Abuse or Depend w/o Rehabilitation therapy w/o CC,,,,,0 MS-DRG,524,Transient ischemia,,,,,0 MS-DRG,525,Other heart assist system implant,,,,,0 MS-DRG,526,No Longer Valid,,,,,0 MS-DRG,527,No Longer Valid,,,,,0 MS-DRG,528,Intracranial Vascular Proc w Pdx Hemorrhage,,,,,0 MS-DRG,529,Ventricular shunt procedures w CC,,,,,0 MS-DRG,530,Ventricular Shunt Procedures w/o CC,,,,,0 MS-DRG,531,Spinal Procedures w CC,,,,,0 MS-DRG,532,Spinal Procedures w/o CC,,,,,0 MS-DRG,533,Fractures Of Femur With Mcc,,,14273.11,55549.88,15 MS-DRG,534,Fractures Of Femur Without Mcc,,,8030.99,28563.35,15 MS-DRG,535,Fractures Of Hip And Pelvis With Mcc,,,11931.49,45426.39,15 MS-DRG,536,Fractures Of Hip And Pelvis Without Mcc,,,8043.29,28616.5,15 MS-DRG,537,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc",,,9245.65,33814.67,15 MS-DRG,538,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc",,,7327.77,25523.11,15 MS-DRG,539,Osteomyelitis With Mcc,,,17567.92,69794.35,15 MS-DRG,540,Osteomyelitis With Cc,,,12048.7,45933.09,15 MS-DRG,541,Osteomyelitis Without Cc/Mcc,,,7877.73,27900.73,15 MS-DRG,542,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc,,,15902.48,62594.16,15 MS-DRG,543,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc,,,9849.7,36426.15,15 MS-DRG,544,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc,,,7608.89,26738.5,15 MS-DRG,545,Connective Tissue Disorders With Mcc,,,21764.3,87936.56,15 MS-DRG,546,Connective Tissue Disorders With Cc,,,10877.48,40869.58,15 MS-DRG,547,Connective Tissue Disorders Without Cc/Mcc,,,8277.69,29629.91,15 MS-DRG,548,Septic Arthritis With Mcc,,,17249.92,68419.51,15 MS-DRG,549,Septic Arthritis With Cc,,,11318.43,42775.92,15 MS-DRG,550,Septic Arthritis Without Cc/Mcc,,,8588.32,30972.86,15 MS-DRG,551,Medical Back Problems With Mcc,,,15161.56,59390.93,15 MS-DRG,552,Medical Back Problems Without Mcc,,,9303.02,34062.7,15 MS-DRG,553,Bone Diseases And Arthropathies With Mcc,,,12048.7,45933.09,15 MS-DRG,554,Bone Diseases And Arthropathies Without Mcc,,,8227.7,29413.76,15 MS-DRG,555,Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc,,,12257.7,46836.66,15 MS-DRG,556,Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc,,,8231.79,29431.48,15 MS-DRG,557,"Tendonitis, Myositis And Bursitis With Mcc",,,13610.87,52686.81,15 MS-DRG,558,"Tendonitis, Myositis And Bursitis Without Mcc",,,8744.87,31649.65,15 MS-DRG,559,"Aftercare, Musculoskeletal System And Connective Tissue With Mcc",,,16708.98,66080.87,15 MS-DRG,560,"Aftercare, Musculoskeletal System And Connective Tissue With Cc",,,10653.73,39902.23,15 MS-DRG,561,"Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc",,,8012.96,28485.39,15 MS-DRG,562,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc",,,13101.89,50486.36,15 MS-DRG,563,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc",,,8763.72,31731.15,15 MS-DRG,564,Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc,,,14075.58,54695.92,15 MS-DRG,565,Other Musculoskeletal System And Connective Tissue Diagnoses With Cc,,,9410.39,34526.89,15 MS-DRG,566,Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc,,,7565.46,26550.7,15 MS-DRG,567,"Stomach, Esophageal & Duodenal Proc Age > 17 w CC w Major Gi Dx",,,,,0 MS-DRG,568,"Stomach, Esophageal & Duodenal Procedures Proc Age > 17 w CC w/o Major Gi Dx",,,,,0 MS-DRG,569,Major Small & Large Bowel Procedures w CC w Major Gi Dx,,,,,0 MS-DRG,570,Skin Debridement With Mcc,,,25529.57,104214.94,15 MS-DRG,571,Skin Debridement With Cc,,,15271.39,59865.74,15 MS-DRG,572,Skin Debridement Without Cc/Mcc,,,10819.29,40617.99,15 MS-DRG,573,Skin Graft For Skin Ulcer Or Cellulitis With Mcc,,,55119.8,232142.31,15 MS-DRG,574,Skin Graft For Skin Ulcer Or Cellulitis With Cc,,,29875.94,123005.59,15 MS-DRG,575,Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,16152.46,63674.9,15 MS-DRG,576,Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc,,,41594.66,173669.12,15 MS-DRG,577,Skin Graft Except For Skin Ulcer Or Cellulitis With Cc,,,23149.44,93924.9,15 MS-DRG,578,Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,14590.3,56921.18,15 MS-DRG,579,"Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc",,,27967.08,114753.01,15 MS-DRG,580,"Other Skin, Subcutaneous Tissue And Breast Procedures With Cc",,,15586.94,61229.95,15 MS-DRG,581,"Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc",,,13251.88,51134.81,15 MS-DRG,582,Mastectomy For Malignancy With Cc/Mcc,,,17214.67,68267.14,15 MS-DRG,583,Mastectomy For Malignancy Without Cc/Mcc,,,15557.43,61102.39,15 MS-DRG,584,"Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc",,,18969.45,75853.56,15 MS-DRG,585,"Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc",,,17235.16,68355.73,15 MS-DRG,592,Skin Ulcers With Mcc,,,17285.98,68575.42,15 MS-DRG,593,Skin Ulcers With Cc,,,11147.13,42035.35,15 MS-DRG,594,Skin Ulcers Without Cc/Mcc,,,8528.49,30714.19,15 MS-DRG,595,Major Skin Disorders With Mcc,,,18805.53,75144.88,15 MS-DRG,596,Major Skin Disorders Without Mcc,,,10296.38,38357.31,15 MS-DRG,597,Malignant Breast Disorders With Mcc,,,15087.8,59072.02,15 MS-DRG,598,Malignant Breast Disorders With Cc,,,10696.35,40086.48,15 MS-DRG,599,Malignant Breast Disorders Without Cc/Mcc,,,7730.2,27262.92,15 MS-DRG,600,Non-Malignant Breast Disorders With Cc/Mcc,,,9961.16,36908.05,15 MS-DRG,601,Non-Malignant Breast Disorders Without Cc/Mcc,,,6382.76,21437.57,15 MS-DRG,602,Cellulitis With Mcc,,,13073.21,50362.34,15 MS-DRG,603,Cellulitis Without Mcc,,,8562.1,30859.47,15 MS-DRG,604,"Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc",,,13489.57,52162.39,15 MS-DRG,605,"Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc",,,8931.74,32457.54,15 MS-DRG,606,Minor Skin Disorders With Mcc,,,13826.42,53618.73,15 MS-DRG,607,Minor Skin Disorders Without Mcc,,,8853.06,32117.38,15 MS-DRG,614,Adrenal And Pituitary Procedures With Cc/Mcc,,,19388.27,77664.24,15 MS-DRG,615,Adrenal And Pituitary Procedures Without Cc/Mcc,,,12892.89,49582.8,15 MS-DRG,616,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,30007.08,123572.53,15 MS-DRG,617,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc",,,16753.23,66272.21,15 MS-DRG,618,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,13048.62,50256.04,15 MS-DRG,619,O.R. Procedures For Obesity With Mcc,,,25089.44,102312.13,15 MS-DRG,620,O.R. Procedures For Obesity With Cc,,,14540.3,56705.03,15 MS-DRG,621,O.R. Procedures For Obesity Without Cc/Mcc,,,13787.08,53448.65,15 MS-DRG,622,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,30595.56,126116.69,15 MS-DRG,623,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc",,,16127.06,63565.05,15 MS-DRG,624,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,11684.79,44359.82,15 MS-DRG,625,"Thyroid, Parathyroid And Thyroglossal Procedures With Mcc",,,26177.06,107014.22,15 MS-DRG,626,"Thyroid, Parathyroid And Thyroglossal Procedures With Cc",,,13713.32,53129.74,15 MS-DRG,627,"Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc",,,12310.97,47066.98,15 MS-DRG,628,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc",,,31969.21,132055.43,15 MS-DRG,629,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc",,,19281.72,77203.6,15 MS-DRG,630,"Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc",,,13386.29,51715.92,15 MS-DRG,637,Diabetes With Mcc,,,13199.42,50908.03,15 MS-DRG,638,Diabetes With Cc,,,8769.46,31755.95,15 MS-DRG,639,Diabetes Without Cc/Mcc,,,6515.54,22011.6,15 MS-DRG,640,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc",,,12370.8,47325.65,15 MS-DRG,641,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc",,,7802.32,27574.74,15 MS-DRG,642,Inborn And Other Disorders Of Metabolism,,,13079.76,50390.69,15 MS-DRG,643,Endocrine Disorders With Mcc,,,14915.68,58327.91,15 MS-DRG,644,Endocrine Disorders With Cc,,,9825.11,36319.85,15 MS-DRG,645,Endocrine Disorders Without Cc/Mcc,,,7721.18,27223.94,15 MS-DRG,650,Kidney Transplant With Hemodialysis With Mcc,,,39957.09,166589.41,15 MS-DRG,651,Kidney Transplant With Hemodialysis Without Mcc,,,31797.1,131311.32,15 MS-DRG,652,Kidney Transplant,,,27893.32,114434.1,15 MS-DRG,653,Major Bladder Procedures With Mcc,,,44014.14,184129.24,15 MS-DRG,654,Major Bladder Procedures With Cc,,,24367.37,99190.4,15 MS-DRG,655,Major Bladder Procedures Without Cc/Mcc,,,18771.92,74999.6,15 MS-DRG,656,Kidney And Ureter Procedures For Neoplasm With Mcc,,,27518.76,112814.77,15 MS-DRG,657,Kidney And Ureter Procedures For Neoplasm With Cc,,,16422.93,64844.22,15 MS-DRG,658,Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc,,,14142.79,54986.48,15 MS-DRG,659,Kidney And Ureter Procedures For Non-Neoplasm With Mcc,,,22249.51,90034.25,15 MS-DRG,660,Kidney And Ureter Procedures For Non-Neoplasm With Cc,,,12256.88,46833.12,15 MS-DRG,661,Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc,,,9910.35,36688.36,15 MS-DRG,662,Minor Bladder Procedures With Mcc,,,26516.38,108481.19,15 MS-DRG,663,Minor Bladder Procedures With Cc,,,13883.8,53866.77,15 MS-DRG,664,Minor Bladder Procedures Without Cc/Mcc,,,10004.6,37095.85,15 MS-DRG,665,Prostatectomy With Mcc,,,27005.68,110596.6,15 MS-DRG,666,Prostatectomy With Cc,,,15761.51,61984.7,15 MS-DRG,667,Prostatectomy Without Cc/Mcc,,,10490.63,39197.09,15 MS-DRG,668,Transurethral Procedures With Mcc,,,25356.64,103467.28,15 MS-DRG,669,Transurethral Procedures With Cc,,,14144.43,54993.57,15 MS-DRG,670,Transurethral Procedures Without Cc/Mcc,,,9434.16,34629.65,15 MS-DRG,671,Urethral Procedures With Cc/Mcc,,,16136.07,63604.03,15 MS-DRG,672,Urethral Procedures Without Cc/Mcc,,,10271.79,38251.0,15 MS-DRG,673,Other Kidney And Urinary Tract Procedures With Mcc,,,35860.7,148879.49,15 MS-DRG,674,Other Kidney And Urinary Tract Procedures With Cc,,,20591.45,82865.95,15 MS-DRG,675,Other Kidney And Urinary Tract Procedures Without Cc/Mcc,,,14877.16,58161.37,15 MS-DRG,682,Renal Failure With Mcc,,,13562.51,52477.75,15 MS-DRG,683,Renal Failure With Cc,,,8602.26,31033.1,15 MS-DRG,684,Renal Failure Without Cc/Mcc,,,6344.24,21271.03,15 MS-DRG,685,Admit For Renal Dialysis,,,,,0 MS-DRG,686,Kidney And Urinary Tract Neoplasms With Mcc,,,16207.38,63912.31,15 MS-DRG,687,Kidney And Urinary Tract Neoplasms With Cc,,,10011.98,37127.75,15 MS-DRG,688,Kidney And Urinary Tract Neoplasms Without Cc/Mcc,,,7901.49,28003.49,15 MS-DRG,689,Kidney And Urinary Tract Infections With Mcc,,,10934.03,41114.07,15 MS-DRG,690,Kidney And Urinary Tract Infections Without Mcc,,,8058.86,28683.82,15 MS-DRG,691,Urinary Stones W Esw Lithotripsy W Cc/Mcc,,,,,0 MS-DRG,692,Urinary Stones W Esw Lithotripsy W/O Cc/Mcc,,,,,0 MS-DRG,693,Urinary Stones With Mcc,,,12443.75,47641.01,15 MS-DRG,694,Urinary Stones Without Mcc,,,7831.01,27698.76,15 MS-DRG,695,Kidney And Urinary Tract Signs And Symptoms With Mcc,,,10798.8,40529.41,15 MS-DRG,696,Kidney And Urinary Tract Signs And Symptoms Without Mcc,,,7071.23,24414.03,15 MS-DRG,697,Urethral Stricture,,,10257.86,38190.77,15 MS-DRG,698,Other Kidney And Urinary Tract Diagnoses With Mcc,,,14983.71,58622.01,15 MS-DRG,699,Other Kidney And Urinary Tract Diagnoses With Cc,,,9743.15,35965.51,15 MS-DRG,700,Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc,,,7078.61,24445.92,15 MS-DRG,707,Major Male Pelvic Procedures With Cc/Mcc,,,17818.72,70878.63,15 MS-DRG,708,Major Male Pelvic Procedures Without Cc/Mcc,,,13998.54,54362.84,15 MS-DRG,709,Penis Procedures With Cc/Mcc,,,20497.19,82458.46,15 MS-DRG,710,Penis Procedures Without Cc/Mcc,,,12908.46,49650.12,15 MS-DRG,711,Testes Procedures With Cc/Mcc,,,18503.09,73837.37,15 MS-DRG,712,Testes Procedures Without Cc/Mcc,,,10437.35,38966.77,15 MS-DRG,713,Transurethral Prostatectomy With Cc/Mcc,,,13746.1,53271.48,15 MS-DRG,714,Transurethral Prostatectomy Without Cc/Mcc,,,10090.66,37467.91,15 MS-DRG,715,Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc,,,19761.19,79276.49,15 MS-DRG,716,Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc,,,13480.55,52123.41,15 MS-DRG,717,Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc,,,16918.8,66987.98,15 MS-DRG,718,Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc,,,12432.27,47591.41,15 MS-DRG,722,"Malignancy, Male Reproductive System With Mcc",,,16256.55,64124.91,15 MS-DRG,723,"Malignancy, Male Reproductive System With Cc",,,10789.78,40490.43,15 MS-DRG,724,"Malignancy, Male Reproductive System Without Cc/Mcc",,,6798.3,23234.07,15 MS-DRG,725,Benign Prostatic Hypertrophy With Mcc,,,11015.18,41464.87,15 MS-DRG,726,Benign Prostatic Hypertrophy Without Mcc,,,7341.7,25583.35,15 MS-DRG,727,Inflammation Of The Male Reproductive System With Mcc,,,13578.08,52545.08,15 MS-DRG,728,Inflammation Of The Male Reproductive System Without Mcc,,,8072.79,28744.06,15 MS-DRG,729,Other Male Reproductive System Diagnoses With Cc/Mcc,,,10101.32,37513.98,15 MS-DRG,730,Other Male Reproductive System Diagnoses Without Cc/Mcc,,,6931.9,23811.65,15 MS-DRG,734,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc",,,18881.75,75474.42,15 MS-DRG,735,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc",,,12451.94,47676.45,15 MS-DRG,736,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc,,,30720.95,126658.83,15 MS-DRG,737,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc,,,18312.94,73015.3,15 MS-DRG,738,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc,,,13460.06,52034.83,15 MS-DRG,739,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc,,,30788.98,126952.94,15 MS-DRG,740,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc,,,16255.73,64121.37,15 MS-DRG,741,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc,,,13112.55,50532.43,15 MS-DRG,742,Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc,,,16462.27,65014.3,15 MS-DRG,743,Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc,,,11593.0,43962.96,15 MS-DRG,744,"D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc",,,18218.69,72607.81,15 MS-DRG,745,"D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc",,,10747.16,40306.18,15 MS-DRG,746,"Vagina, Cervix And Vulva Procedures With Cc/Mcc",,,15661.52,61552.4,15 MS-DRG,747,"Vagina, Cervix And Vulva Procedures Without Cc/Mcc",,,8470.3,30462.61,15 MS-DRG,748,Female Reproductive System Reconstructive Procedures,,,12794.54,49157.59,15 MS-DRG,749,Other Female Reproductive System O.R. Procedures With Cc/Mcc,,,22468.35,90980.34,15 MS-DRG,750,Other Female Reproductive System O.R. Procedures Without Cc/Mcc,,,13519.89,52293.5,15 MS-DRG,754,"Malignancy, Female Reproductive System With Mcc",,,16518.83,65258.8,15 MS-DRG,755,"Malignancy, Female Reproductive System With Cc",,,10339.82,38545.11,15 MS-DRG,756,"Malignancy, Female Reproductive System Without Cc/Mcc",,,9296.46,34034.36,15 MS-DRG,757,"Infections, Female Reproductive System With Mcc",,,13160.08,50737.94,15 MS-DRG,758,"Infections, Female Reproductive System With Cc",,,9448.09,34689.89,15 MS-DRG,759,"Infections, Female Reproductive System Without Cc/Mcc",,,6863.05,23514.0,15 MS-DRG,760,Menstrual And Other Female Reproductive System Disorders With Cc/Mcc,,,9681.68,35699.76,15 MS-DRG,761,Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc,,,6100.0,20215.1,15 MS-DRG,765,Cesarean Section W Cc/Mcc,,,,,0 MS-DRG,766,Cesarean Section W/O Cc/Mcc,,,,,0 MS-DRG,767,Vaginal Delivery W Sterilization &/Or D&C,,,,,0 MS-DRG,768,Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C,,,10207.04,37971.07,15 MS-DRG,769,Postpartum And Post Abortion Diagnoses With O.R. Procedures,,,15273.85,59876.37,15 MS-DRG,770,"Abortion With D&C, Aspiration Curettage Or Hysterotomy",,,9642.34,35529.67,15 MS-DRG,774,Vaginal Delivery W Complicating Diagnoses,,,,,0 MS-DRG,775,Vaginal Delivery W/O Complicating Diagnoses,,,,,0 MS-DRG,776,Postpartum And Post Abortion Diagnoses Without O.R. Procedures,,,6790.11,23198.64,15 MS-DRG,777,Ectopic Pregnancy,,,,,0 MS-DRG,778,Threatened Abortion,,,,,0 MS-DRG,779,Abortion Without D&C,,,8319.49,29810.62,15 MS-DRG,780,False Labor,,,,,0 MS-DRG,781,Other Antepartum Diagnoses W Medical Complications,,,,,0 MS-DRG,782,Other Antepartum Diagnoses W/O Medical Complications,,,,,0 MS-DRG,783,Cesarean Section With Sterilization With Mcc,,,21546.29,86994.01,15 MS-DRG,784,Cesarean Section With Sterilization With Cc,,,10112.79,37563.58,15 MS-DRG,785,Cesarean Section With Sterilization Without Cc/Mcc,,,9274.33,33938.69,15 MS-DRG,786,Cesarean Section Without Sterilization With Mcc,,,14943.55,58448.38,15 MS-DRG,787,Cesarean Section Without Sterilization With Cc,,,10577.51,39572.69,15 MS-DRG,788,Cesarean Section Without Sterilization Without Cc/Mcc,,,9282.53,33974.12,15 MS-DRG,789,"Neonates, Died Or Transferred To Another Acute Care Facility",,,16195.08,63859.15,15 MS-DRG,790,"Extreme Immaturity Or Respiratory Distress Syndrome, Neonate",,,50137.41,210601.98,15 MS-DRG,791,Prematurity With Major Problems,,,34691.94,143826.61,15 MS-DRG,792,Prematurity Without Major Problems,,,21497.93,86784.95,15 MS-DRG,793,Full Term Neonate With Major Problems,,,35598.43,147745.61,15 MS-DRG,794,Neonate With Other Significant Problems,,,13520.71,52297.04,15 MS-DRG,795,Normal Newborn,,,3061.72,7079.71,15 MS-DRG,796,Vaginal Delivery With Sterilization And/Or D&C With Mcc,,,10988.95,41351.48,15 MS-DRG,797,Vaginal Delivery With Sterilization And/Or D&C With Cc,,,9623.49,35448.17,15 MS-DRG,798,Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc,,,9268.6,33913.88,15 MS-DRG,799,Splenic Procedures With Mcc,,,38543.27,160477.04,15 MS-DRG,800,Splenic Procedures With Cc,,,24450.15,99548.28,15 MS-DRG,801,Splenic Procedures Without Cc/Mcc,,,17069.6,67639.96,15 MS-DRG,802,Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc,,,34078.06,141172.6,15 MS-DRG,803,Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc,,,16659.8,65868.26,15 MS-DRG,804,Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc,,,12538.0,48048.5,15 MS-DRG,805,Vaginal Delivery Without Sterilization Or D&C With Mcc,,,10269.33,38240.37,15 MS-DRG,806,Vaginal Delivery Without Sterilization Or D&C With Cc,,,7603.98,26717.24,15 MS-DRG,807,Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc,,,6949.93,23889.6,15 MS-DRG,808,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,19520.22,78234.73,15 MS-DRG,809,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,11799.54,44855.9,15 MS-DRG,810,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,10002.14,37085.22,15 MS-DRG,811,Red Blood Cell Disorders With Mcc,,,12933.87,49759.97,15 MS-DRG,812,Red Blood Cell Disorders Without Mcc,,,8949.77,32535.5,15 MS-DRG,813,Coagulation Disorders,,,13925.6,54047.48,15 MS-DRG,814,Reticuloendothelial And Immunity Disorders With Mcc,,,18854.7,75357.49,15 MS-DRG,815,Reticuloendothelial And Immunity Disorders With Cc,,,9734.95,35930.08,15 MS-DRG,816,Reticuloendothelial And Immunity Disorders Without Cc/Mcc,,,6604.06,22394.29,15 MS-DRG,817,Other Antepartum Diagnoses With O.R. Procedures With Mcc,,,20124.27,80846.21,15 MS-DRG,818,Other Antepartum Diagnoses With O.R. Procedures With Cc,,,10925.02,41075.09,15 MS-DRG,819,Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc,,,8471.94,30469.7,15 MS-DRG,820,Lymphoma And Leukemia With Major O.R. Procedures With Mcc,,,49492.38,207813.32,15 MS-DRG,821,Lymphoma And Leukemia With Major O.R. Procedures With Cc,,,19771.84,79322.55,15 MS-DRG,822,Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc,,,11292.2,42662.54,15 MS-DRG,823,Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc,,,39001.43,162457.8,15 MS-DRG,824,Lymphoma And Non-Acute Leukemia With Other Procedures With Cc,,,19993.14,80279.27,15 MS-DRG,825,Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc,,,12483.91,47814.64,15 MS-DRG,826,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc,,,39763.66,165753.17,15 MS-DRG,827,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc,,,20366.88,81895.06,15 MS-DRG,828,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C,,,15388.59,60372.45,15 MS-DRG,829,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc,,,27323.69,111971.44,15 MS-DRG,830,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc,,,13759.22,53328.17,15 MS-DRG,831,Other Antepartum Diagnoses Without O.R. Procedures With Mcc,,,11279.91,42609.39,15 MS-DRG,832,Other Antepartum Diagnoses Without O.R. Procedures With Cc,,,7338.42,25569.17,15 MS-DRG,833,Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc,,,5709.87,18528.44,15 MS-DRG,834,Acute Leukemia With Mcc,,,46419.68,194529.12,15 MS-DRG,835,Acute Leukemia With Cc,,,18519.49,73908.24,15 MS-DRG,836,Acute Leukemia Without Cc/Mcc,,,11419.24,43211.76,15 MS-DRG,837,Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc,,,40800.47,170235.57,15 MS-DRG,838,Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent,,,18532.6,73964.93,15 MS-DRG,839,Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,13258.44,51163.15,15 MS-DRG,840,Lymphoma And Non-Acute Leukemia With Mcc,,,27937.57,114625.45,15 MS-DRG,841,Lymphoma And Non-Acute Leukemia With Cc,,,14795.2,57807.03,15 MS-DRG,842,Lymphoma And Non-Acute Leukemia Without Cc/Mcc,,,9705.45,35802.51,15 MS-DRG,843,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc,,,17773.64,70683.74,15 MS-DRG,844,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc,,,11402.03,43137.35,15 MS-DRG,845,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc,,,8403.91,30175.59,15 MS-DRG,846,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc,,,22672.43,91862.65,15 MS-DRG,847,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc,,,12146.23,46354.76,15 MS-DRG,848,Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,8385.88,30097.64,15 MS-DRG,849,Radiotherapy,,,23631.37,96008.42,15 MS-DRG,850,Acute Leukemia With Other Procedures,,,72397.9,306840.72,15 MS-DRG,853,Infectious And Parasitic Diseases With O.R. Procedures With Mcc,,,41901.2,174994.35,15 MS-DRG,854,Infectious And Parasitic Diseases With O.R. Procedures With Cc,,,17800.69,70800.68,15 MS-DRG,855,Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc,,,13695.29,53051.78,15 MS-DRG,856,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc,,,38705.55,161178.64,15 MS-DRG,857,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc,,,18976.01,75881.91,15 MS-DRG,858,Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc,,,12840.44,49356.02,15 MS-DRG,862,Postoperative And Post-Traumatic Infections With Mcc,,,16371.3,64620.99,15 MS-DRG,863,Postoperative And Post-Traumatic Infections Without Mcc,,,9603.0,35359.59,15 MS-DRG,864,Fever And Inflammatory Conditions,,,8699.79,31454.76,15 MS-DRG,865,Viral Illness With Mcc,,,13704.3,53090.76,15 MS-DRG,866,Viral Illness Without Mcc,,,8551.44,30813.41,15 MS-DRG,867,Other Infectious And Parasitic Diseases Diagnoses With Mcc,,,18580.14,74170.45,15 MS-DRG,868,Other Infectious And Parasitic Diseases Diagnoses With Cc,,,9875.1,36536.0,15 MS-DRG,869,Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc,,,7404.81,25856.19,15 MS-DRG,870,Septicemia Or Severe Sepsis With Mv >96 Hours,,,58073.66,244912.72,15 MS-DRG,871,Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc,,,17344.99,68830.55,15 MS-DRG,872,Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc,,,9811.17,36259.61,15 MS-DRG,876,O.R. Procedures With Principal Diagnosis Of Mental Illness,,,33101.09,136948.87,15 MS-DRG,880,Acute Adjustment Reaction And Psychosocial Dysfunction,,,9294.0,34023.73,15 MS-DRG,881,Depressive Neuroses,,,9135.82,33339.85,15 MS-DRG,882,Neuroses Except Depressive,,,10225.08,38049.03,15 MS-DRG,883,Disorders Of Personality And Impulse Control,,,17540.06,69673.87,15 MS-DRG,884,Organic Disturbances And Intellectual Disability,,,14610.79,57009.76,15 MS-DRG,885,Psychoses,,,12872.4,49494.21,15 MS-DRG,886,Behavioral And Developmental Disorders,,,18433.43,73536.18,15 MS-DRG,887,Other Mental Disorder Diagnoses,,,10201.31,37946.27,15 MS-DRG,894,"Alcohol, Drug Abuse Or Dependence, Left Ama",,,6480.3,21859.23,15 MS-DRG,895,"Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy",,,13026.49,50160.37,15 MS-DRG,896,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc",,,15727.09,61835.87,15 MS-DRG,897,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc",,,8659.63,31281.14,15 MS-DRG,901,Wound Debridements For Injuries With Mcc,,,35819.72,148702.32,15 MS-DRG,902,Wound Debridements For Injuries With Cc,,,17115.5,67838.39,15 MS-DRG,903,Wound Debridements For Injuries Without Cc/Mcc,,,11010.26,41443.61,15 MS-DRG,904,Skin Grafts For Injuries With Cc/Mcc,,,31529.09,130152.63,15 MS-DRG,905,Skin Grafts For Injuries Without Cc/Mcc,,,13582.18,52562.8,15 MS-DRG,906,Hand Procedures For Injuries,,,17523.66,69603.01,15 MS-DRG,907,Other O.R. Procedures For Injuries With Mcc,,,32891.27,136041.76,15 MS-DRG,908,Other O.R. Procedures For Injuries With Cc,,,17776.92,70697.92,15 MS-DRG,909,Other O.R. Procedures For Injuries Without Cc/Mcc,,,12183.11,46514.21,15 MS-DRG,913,Traumatic Injury With Mcc,,,14821.42,57920.42,15 MS-DRG,914,Traumatic Injury Without Mcc,,,8681.76,31376.81,15 MS-DRG,915,Allergic Reactions With Mcc,,,15206.64,59585.81,15 MS-DRG,916,Allergic Reactions Without Mcc,,,6885.18,23609.67,15 MS-DRG,917,Poisoning And Toxic Effects Of Drugs With Mcc,,,14278.85,55574.69,15 MS-DRG,918,Poisoning And Toxic Effects Of Drugs Without Mcc,,,8448.99,30370.48,15 MS-DRG,919,Complications Of Treatment With Mcc,,,16429.49,64872.57,15 MS-DRG,920,Complications Of Treatment With Cc,,,9639.06,35515.5,15 MS-DRG,921,Complications Of Treatment Without Cc/Mcc,,,7066.32,24392.77,15 MS-DRG,922,"Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc",,,15762.33,61988.24,15 MS-DRG,923,"Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc",,,9765.28,36061.18,15 MS-DRG,927,Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft,,,176414.06,756533.62,15 MS-DRG,928,Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc,,,60212.01,254157.45,15 MS-DRG,929,Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc,,,27822.01,114125.83,15 MS-DRG,933,Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft,,,33341.23,137987.08,15 MS-DRG,934,Full Thickness Burn Without Skin Graft Or Inhalation Injury,,,19542.35,78330.4,15 MS-DRG,935,Non-Extensive Burns,,,18308.03,72994.04,15 MS-DRG,939,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc,,,31163.54,128572.27,15 MS-DRG,940,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc,,,20577.52,82805.71,15 MS-DRG,941,O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc,,,18043.29,71849.52,15 MS-DRG,945,Rehabilitation With Cc/Mcc,,,14116.56,54873.09,15 MS-DRG,946,Rehabilitation Without Cc/Mcc,,,10823.39,40635.71,15 MS-DRG,947,Signs And Symptoms With Mcc,,,11828.22,44979.92,15 MS-DRG,948,Signs And Symptoms Without Mcc,,,7985.09,28364.92,15 MS-DRG,949,Aftercare With Cc/Mcc,,,11175.0,42155.83,15 MS-DRG,950,Aftercare Without Cc/Mcc,,,6568.81,22241.92,15 MS-DRG,951,Other Factors Influencing Health Status,,,5981.16,19701.3,15 MS-DRG,955,Craniotomy For Multiple Significant Trauma,,,56592.63,238509.8,15 MS-DRG,956,"Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma",,,32265.91,133338.14,15 MS-DRG,957,Other O.R. Procedures For Multiple Significant Trauma With Mcc,,,63877.28,270003.54,15 MS-DRG,958,Other O.R. Procedures For Multiple Significant Trauma With Cc,,,35961.51,149315.33,15 MS-DRG,959,Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc,,,25554.16,104321.24,15 MS-DRG,963,Other Multiple Significant Trauma With Mcc,,,23830.53,96869.47,15 MS-DRG,964,Other Multiple Significant Trauma With Cc,,,13985.43,54306.15,15 MS-DRG,965,Other Multiple Significant Trauma Without Cc/Mcc,,,9132.54,33325.68,15 MS-DRG,969,Hiv With Extensive O.R. Procedures With Mcc,,,51594.67,216902.14,15 MS-DRG,970,Hiv With Extensive O.R. Procedures Without Mcc,,,23040.43,93453.63,15 MS-DRG,974,Hiv With Major Related Condition With Mcc,,,25077.97,102262.52,15 MS-DRG,975,Hiv With Major Related Condition With Cc,,,12038.04,45887.03,15 MS-DRG,976,Hiv With Major Related Condition Without Cc/Mcc,,,8822.73,31986.27,15 MS-DRG,977,Hiv With Or Without Other Related Condition,,,12060.17,45982.7,15 MS-DRG,981,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc,,,39878.41,166249.24,15 MS-DRG,982,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,21574.16,87114.49,15 MS-DRG,983,Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,15472.19,60733.88,15 MS-DRG,984,Prostatic O.R. Procedure Unrelated To Principal Diagnosis W Mcc,,,,,0 MS-DRG,985,Prostatic O.R. Procedure Unrelated To Principal Diagnosis W Cc,,,,,0 MS-DRG,986,Prostatic O.R. Procedure Unrelated To Principal Diagnosis W/O Cc/Mcc,,,,,0 MS-DRG,987,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc,,,29523.51,121481.93,15 MS-DRG,988,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,14895.19,58239.32,15 MS-DRG,989,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,11252.86,42492.45,15 MS-DRG,998,Principal Diagnosis Invalid As Discharge Diagnosis,,,,,0 MS-DRG,999,Ungroupable,,,,,0 NDC,0000-1069-57,PRISMASATE BKGK42.5 SOL 5000ML,142.0,71.0,,,0 NDC,0000-1075-01,PRISMASATE B22GK4/0 SOL 5000ML,142.0,71.0,,,0 NDC,0000-1075-80,PRISMASATE BK2/0 SOL 5000ML,142.0,71.0,,,0 NDC,0000-1139-18,PRISMASATE BK2/0 SOL 5000ML,142.0,71.0,,,0 NDC,0002-0213-01,INSULIN REGULAR 100 UNIT/ML SOLN,11.879999999999999,5.9399999999999995,,,0 NDC,0002-5123-01,PRASUGREL 10 MG TABS,3.6799999999999997,1.8399999999999999,,,0 NDC,0002-7510-01,INSULIN LISPRO 100 UNIT/ML SOLN,11.600000000000001,5.800000000000001,,,0 NDC,0002-7510-17,INSULIN LISPRO 100 UNIT/ML SOLN,11.56,5.78,,,0 NDC,0002-7533-01,INSULIN LISPRO 100 UNIT/ML SOLN,11.87,5.94,,,0 NDC,0002-8215-01,INSULIN REGULAR 100 UNIT/ML SOLN,11.62,5.81,,,0 NDC,0002-8215-17,INSULIN REGULAR FOR PUMP- PHARMACY SUPPLIED,126.54,63.27,,,0 NDC,0002-8315-01,INSULIN NPH 100 UNIT/ML SUSPENSION,11.945,5.975,,,0 NDC,0002-8715-01,INSULIN NPH & REGULAR 70/30 100 UNIT/ML (70-30) SUSPENSION,12.010000000000002,6.005000000000001,,,0 NDC,0002-8824-01,INSULIN U-500 REGULAR FOR PUMP- PHARMACY SUPPLIED,423.11,211.55,,,0 NDC,0003-0293-05,KENALOG PER 10 MG,44.0,22.0,,,0 NDC,0003-0293-20,KENALOG PER 10 MG,44.0,22.0,,,0 NDC,0003-0293-28,KENALOG PER 10 MG,27.5,13.75,,,0 NDC,0003-0371-13,BELATACEPT 250 MG SOLR 1 EACH VIAL,4493.89,2246.94,,,0 NDC,0003-0494-20,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION,78.06,39.03,,,0 NDC,0003-0893-31,APIXABAN 2.5 MG TABS,22.95,11.48,,,0 NDC,0003-0894-21,APIXABAN 5 MG TABS,22.95,11.48,,,0 NDC,0003-0894-31,APIXABAN 5 MG TABS,22.95,11.48,,,0 NDC,0003-2560-16,AZTREONAM 1 GRAM SOLR 1 EACH VIAL,173.19,86.6,,,0 NDC,0003-2570-16,AZTREONAM 2 GRAM SOLR 1 EACH VIAL,333.42,166.71,,,0 NDC,0004-0261-29,MYCOPHENOLATE 200 MG/ML SUSR,11.61,5.8,,,0 NDC,0005-0100-01,"N.MENINGITIDIS B,LIPID FHBP RC 120 MCG/0.5 ML SYRG",930.22,465.11,,,0 NDC,0005-1971-01,PNEUMOCOCCAL 13-VAL CONJ (PREVNAR 13) VACC 0.5 ML SYRG,1154.51,577.26,,,0 NDC,0005-1971-05,PNEUMOCOCCAL 13-VAL CONJ (PREVNAR 13) VACC 0.5 ML SYRG,1154.51,577.26,,,0 NDC,0005-2000-01,PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML SYRG,1288.835,644.4200000000001,,,0 NDC,0005-2000-02,PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML SYRG,1286.67,643.34,,,0 NDC,0005-2000-10,PCV20 VACCINE IM,1291.0,645.5,,,0 NDC,0005-4344-15,MULTIVITAMIN WITH MINERAL LIQD,1.0,0.5,,,0 NDC,0006-0112-01,SITAGLIPTIN PHOSPHATE 50 MG TABS,37.18,18.59,,,0 NDC,0006-0221-01,SITAGLIPTIN PHOSPHATE 25 MG TABS,37.18,18.59,,,0 NDC,0006-0227-61,RALTEGRAVIR 400 MG TABS,58.94,29.47,,,0 NDC,0006-0277-01,SITAGLIPTIN PHOSPHATE 100 MG TABS,37.18,18.59,,,0 NDC,0006-0277-28,SITAGLIPTIN PHOSPHATE 100 MG TABS,37.870000000000005,18.935000000000002,,,0 NDC,0006-0277-54,SITAGLIPTIN PHOSPHATE 100 MG TABS,37.18,18.59,,,0 NDC,0006-3025-00,BEZLOTOXUMAB 25 MG/ML SOLN 40 ML VIAL,13432.04,6716.02,,,0 NDC,0006-3069-01,DORAVIRINE 100 MG TABS,96.69,48.34,,,0 NDC,0006-3076-03,LETERMOVIR 480 MG TABS,286.87,143.44,,,0 NDC,0006-4094-01,HEP B VACCINE ADULT IM,201.0,100.5,,,0 NDC,0006-4096-01,HEP A VACCINE ADULT IM,230.0,115.0,,,0 NDC,0006-4119-01,"HUMAN PAPILLOMAV VAC,9-VAL(PF) 0.5 ML SUSPENSION",1447.81,723.9,,,0 NDC,0006-4121-02,"HUMAN PAPILLOMAV VAC,9-VAL(PF) 0.5 ML SYRG",1544.17,772.08,,,0 NDC,0006-4681-01,"MEASLES, MUMPS AND RUBELLA VACCINE 1,000-12,500 TCID50/0.5 ML SOLR",504.41,252.2,,,0 NDC,0006-4827-01,"VARICELLA VIRUS VACC LIVE (PF) 1,350 UNIT/0.5 ML SUSR",904.39,452.2,,,0 NDC,0006-5004-01,LETERMOVIR 480 MG/24 ML SOLN 24 ML VIAL,1616.875,808.44,,,0 NDC,0006-5004-02,LETERMOVIR 480 MG/24 ML SOLN 24 ML VIAL,1078.75,539.38,,,0 NDC,0006-5423-12,SUGAMMADEX 100 MG/ML SOLN,664.04,332.02,,,0 NDC,0006-5425-05,SUGAMMADEX 100 MG/ML SOLN,1416.25,708.12,,,0 NDC,0008-0923-51,PANTOPRAZOLE 40 MG SOLR 1 EACH VIAL,20.0,10.0,,,0 NDC,0008-4990-19,TIGECYCLINE 50 MG SOLR 1 EACH VIAL,359.24,179.62,,,0 NDC,0008-4990-20,TIGECYCLINE 50 MG SOLR 1 EACH VIAL,359.24,179.62,,,0 NDC,0009-0003-02,METHYLPREDNISOLONE SOD SUCC (PF) 500 MG/4 ML SOLR 1 EACH VIAL,298.63,149.32,,,0 NDC,0009-0005-01,"HYDROCORTISONE SOD SUCC (PF) 1,000 MG/8 ML SOLR 1 EACH VIAL",761.62,380.81,,,0 NDC,0009-0011-04,HYDROCORTISONE SOD SUCC (PF) 100 MG/2 ML SOLR,118.2,59.1,,,0 NDC,0009-0016-12,HYDROCORTISONE SOD SUCC (PF) 500 MG/4 ML SOLR 1 EACH VIAL,832.62,416.31,,,0 NDC,0009-0018-20,"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML SOLR 1 EACH VIAL",380.41,190.2,,,0 NDC,0009-0039-28,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLR,40.29,20.14,,,0 NDC,0009-0039-30,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLR,40.29,20.14,,,0 NDC,0009-0047-22,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLR,63.35,31.68,,,0 NDC,0009-0047-25,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLR,63.35,31.68,,,0 NDC,0009-0342-01,GELATIN ADSORBABLE SPONGE 100 SPGE,51.87,25.94,,,0 NDC,0009-0698-01,"METHYLPREDNISOLONE SOD SUCC 1,000 MG SOLR 1 EACH VIAL",205.63,102.82,,,0 NDC,0009-0825-01,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLR,21.424999999999997,10.715,,,0 NDC,0009-0856-05,CARBOPROST 250 MCG/ML SOLN,341.87,170.935,,,0 NDC,0009-0856-08,CARBOPROST 250 MCG/ML SOLN,252.5,126.25,,,0 NDC,0009-0902-11,CLINDAMYCIN 150 MG/ML SOLN,25.15,12.58,,,0 NDC,0009-3073-01,"INJ, METHYLPRED ACETATE 1 MG",28.0,14.0,,,0 NDC,0009-3073-03,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION,56.88,28.44,,,0 NDC,0009001103,HYDROCORTISONE SOD SUCC (PF) 100 MG/2 ML SOLR,61.52,30.76,,,0 NDC,0013-2576-91,IDARUBICIN 1 MG/ML SOLN 5 ML VIAL,82.8,41.4,,,0 NDC,0013-2586-10,IDARUBICIN 1 MG/ML SOLN 10 ML VIAL,528.4,264.2,,,0 NDC,0013-2586-91,IDARUBICIN 1 MG/ML SOLN 10 ML VIAL,524.4,262.2,,,0 NDC,0013-2596-91,IDARUBICIN 1 MG/ML SOLN 20 ML VIAL,390.4,195.2,,,0 NDC,0019-0862-07,IOTHALAMATE MEGLUMINE 17.2 % SOLN,800.0,400.0,,,0 NDC,0023-0403-50,CARBOXYMETHYLCELLULOSE 0.5 % DPET,1.0,0.5,,,0 NDC,0023-0403-70,CARBOXYMETHYLCELLULOSE 0.5 % DPET,1.0,0.5,,,0 NDC,0023-0850-50,BALANCED SALT SOLN 500 ML PLAS CONT,44.0,22.0,,,0 NDC,0023-1145-01,"INJECTION,ONABOTULINUMTOXINA",638.0,319.0,,,0 NDC,0023-3205-03,BIMATOPROST 0.01 % DROP 2.5 ML DROP BTL,433.09,216.54,,,0 NDC,0023-3921-02,"INJECTION,ONABOTULINUMTOXINA",1754.5,877.25,,,0 NDC,0023-5487-50,CARBOXYMETHYLCELLULOSE 0.5 % DPET,1.0,0.5,,,0 NDC,0023-5858-01,LEVONORGESTREL 20.4 MCG/24 HR (8 YRS) 52 MG IUD,883.1,441.55,,,0 NDC,0023-6082-01,IRON DEXTRAN COMPLEX 50 MG/ML SOLN 2 ML VIAL,55.34,27.67,,,0 NDC,0023-6082-10,IRON DEXTRAN COMPLEX 50 MG/ML SOLN 2 ML VIAL,56.66,28.33,,,0 NDC,0023-9205-15,CARBOXYMETHYLCELLULOSE 1 % DLGL 15 ML DROP BTL,1.0,0.5,,,0 NDC,0023-9232-01,"INJECTION,ONABOTULINUMTOXINA",1160.0,580.0,,,0 NDC,0023066704,WHITE PETROLATUM-MINERAL OIL 57.3-42.5 % OINT 3.5 G TUBE,11.46,5.73,,,0 NDC,0024-4142-60,DRONEDARONE 400 MG TABS,25.56,12.78,,,0 NDC,0024-5151-75,RASBURICASE 7.5 MG SOLR 1 EACH VIAL,17542.7,8771.35,,,0 NDC,0024-5926-05,INSULIN LISPRO 100 UNIT/ML SOLN,11.66,5.83,,,0 NDC,0025-1011-31,SPIRONOLACTONE-HCTZ,0.3,0.15,,,0 NDC,0032-0047-70,"LIPASE-PROTEASE-AMYLASE 12,000-38,000 -60,000 UNIT CPDR",12.665,6.335000000000001,,,0 NDC,0032-1212-01,"LIPASE-PROTEASE-AMYLASE 12,000-38,000 -60,000 UNIT CPDR",12.37,6.19,,,0 NDC,0032-1212-07,"LIPASE-PROTEASE-AMYLASE 12,000-38,000 -60,000 UNIT CPDR",12.87,6.44,,,0 NDC,0032-1224-01,"LIPASE-PROTEASE-AMYLASE 24,000-76,000 -120,000 UNIT CPDR",20.34,10.17,,,0 NDC,0032-1224-07,"LIPASE-PROTEASE-AMYLASE 24,000-76,000 -120,000 UNIT CPDR",27.44,13.72,,,0 NDC,0032-2636-01,"LIPASE-PROTEASE-AMYLASE 24,000-76,000 -120,000 UNIT CPDR",20.34,10.17,,,0 NDC,00338-1021-04,PENICILLIN G,7.44,3.72,,,0 NDC,0037-6822-10,HYDROCORTISONE-PRAMOXINE 1-1 % FOAM 10 G CAN,446.75,223.38,,,0 NDC,0046-0749-05,ESTROGENS (CONJUGATED) 25 MG SOLR,1786.42,893.21,,,0 NDC,0046-1101-81,ESTROGENS (CONJUGATED) 0.45 MG TABS,30.1,15.05,,,0 NDC,0046-1102-81,ESTROGENS (CONJUGATED) 0.625 MG TABS,3.51,1.7600000000000002,,,0 NDC,0049-0420-05,PENICILLIN,73.7,36.85,,,0 NDC,0049-0520-22,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLR 1 EACH VIAL,24.38,12.19,,,0 NDC,0049-0520-84,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLR,3.0700000000000003,1.5350000000000001,,,0 NDC,0049-0530-28,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLR 1 EACH VIAL,41.555,20.775,,,0 NDC,0049-3190-01,VORICONAZOLE 200 MG SOLR 1 EACH VIAL,154.64,77.32,,,0 NDC,0049-3190-28,VORICONAZOLE 200 MG SOLR,144.44,72.22,,,0 NDC,0052-4330-01,ETONOGESTREL 68 MG IMPL,1601.96,800.98,,,0 NDC,0053-7201-02,"ALPHA-1 PROTEINASE INHIB.(HUM) 1,000 MG SOLR",12089.48,6044.74,,,0 NDC,00536-1286-30,BISMUTH SUBSALICYLATE 262 MG/15 ML SUSPENSION,9.685,4.84,,,0 NDC,0054-0010-20,FLECAINIDE 50 MG TABS,1.39,0.7,,,0 NDC,0054-0011-20,FLECAINIDE 100 MG TABS,0.9199999999999999,0.45999999999999996,,,0 NDC,0054-0017-20,PREDNISONE 10 MG TABS,0.14,0.07,,,0 NDC,0054-0018-20,PREDNISONE 20 MG TABS,0.15,0.08,,,0 NDC,0054-0045-44,IPRATROPIUM 21 MCG (0.03 %) SPRY 30 ML CANISTER,103.9,51.95,,,0 NDC,0054-0046-41,IPRATROPIUM 42 MCG (0.06 %) SPRY 15 ML CANISTER,103.9,51.95,,,0 NDC,0054-0062-58,CITALOPRAM 10 MG/5 ML SOLN,5.07,2.54,,,0 NDC,0054-0063-44,RISPERIDONE 1 MG/ML SOLN,1.99,1.0,,,0 NDC,0054-0235-24,MORPHINE 15 MG TABS,2.15,1.08,,,0 NDC,0054-0243-24,CODEINE SULFATE 15 MG TABS,3.16,1.58,,,0 NDC,0054-0386-05,HYDROMORPHONE 1 MG/ML LIQD,31.0,15.5,,,0 NDC,0054-0386-63,HYDROMORPHONE 1 MG/ML LIQD,2.59,1.3,,,0 NDC,0054-0710-20,METHADONE 10 MG TABS,0.26,0.13,,,0 NDC,0054-3120-01,CALCITRIOL 1 MCG/ML SOLN,22.51,11.26,,,0 NDC,0054-3120-41,CALCITRIOL 1 MCG/ML SOLN,22.51,11.26,,,0 NDC,0054-3176-44,DEXAMETHASONE 1 MG/ML DROP,43.965,21.98,,,0 NDC,0054-3177-57,DEXAMETHASONE 0.5 MG/5 ML SOLN,1.48,0.74,,,0 NDC,0054-3177-63,DEXAMETHASONE 0.5 MG/5 ML SOLN,1.48,0.74,,,0 NDC,0054-3270-99,FLUTICASONE PROPIONATE 50 MCG/ACTUATION SPSN 16 G AER W/ADAP,12.54,6.27,,,0 NDC,0054-3294-46,FUROSEMIDE 60 ML BOTTLE,0.085,0.04,,,0 NDC,0054-3505-47,LIDOCAINE 4 % (40 MG/ML) SOLN 50 ML BOTTLE,71.0,35.5,,,0 NDC,0054-3553-44,METHADONE 10 MG/ML CONC,6.07,3.035,,,0 NDC,0054-3555-63,METHADONE 1MG/ML,0.03,0.02,,,0 NDC,0054-3722-50,PREDNISONE 5 MG/5 ML SOLN,34.105,17.05,,,0 NDC,0054-3727-63,PROPRANOLOL 20 MG/5 ML (4 MG/ML) SOLN,4.155,2.08,,,0 NDC,0054-4581-11,MERCAPTOPURINE 50 MG TABS,12.8,6.4,,,0 NDC,0054-8146-22,CLOTRIMAZOLE 10 MG TROC,3.97,1.98,,,0 NDC,0054-8175-25,DEXAMETHASONE 4 MG TABS,1.35,0.68,,,0 NDC,0054-8176-25,DEXAMETHASONE 2 MG TABS,1.67,0.8300000000000001,,,0 NDC,0054-8179-25,DEXAMETHASONE 0.5 MG TABS,1.33,0.66,,,0 NDC,0054-8297-25,FUROSEMIDE 20 MG TABS,0.02,0.01,,,0 NDC,0054-8299-25,FUROSEMIDE 40 MG TABS,0.02,0.01,,,0 NDC,0054-8496-19,LEUCOVORIN 5 MG TABS,7.0,3.5,,,0 NDC,0054-8526-25,LITHIUM 150 MG CAPS,1.27,0.64,,,0 NDC,0054-8527-25,LITHIUM 300 MG CAPS,0.6499999999999999,0.32999999999999996,,,0 NDC,0054-8550-25,METHOTREXATE 2.5 MG TABS 100 EACH BLIST PACK,7.02,3.51,,,0 NDC,0054-8724-25,PREDNISONE 5 MG TABS,1.17,0.58,,,0 NDC,0054-8740-25,PREDNISONE 2.5 MG TABS,0.24,0.12,,,0 NDC,0054-9817-25,PREDNISONE 10 MG TABS,0.15,0.08,,,0 NDC,0054051755,MORPHINE 100 MG/5 ML (20 MG/ML) SOLN,9.88,4.94,,,0 NDC,0065-0023-15,CARBACHOL 0.01 % SOLN,111.38,55.69,,,0 NDC,0065-0092-65,FLUORESCEIN 500 MG/5 ML (10 %) SOLN,325.0,162.5,,,0 NDC,0065-0359-02,CYCLOPENTOLATE-PHENYLEPHRINE 0.2-1 % DROP 2 ML DROP BTL,89.15,44.58,,,0 NDC,0065-0396-02,CYCLOPENTOLATE 1 % DROP,6.74,3.37,,,0 NDC,0065-0408-72,ARTIFICIAL TEAR 0.5 % DROP 15 ML DROP BTL,84.88,42.44,,,0 NDC,0065-0411-30,PROVIDONE-IODINE 5% 5 % SOLN,1.94,0.97,,,0 NDC,0065-0643-05,FORTIFIED TOBRAMYCIN EYE DROPS 15 MG/ML DROP 5 ML DROP BTL,49.0,24.5,,,0 NDC,0065-0741-14,TETRACAINE 0.5 % DROP,44.65,22.32,,,0 NDC,0065-0795-15,BALANCED SALT SOLN 15 ML BOTTLE,47.9,23.95,,,0 NDC,0065-0800-50,BALANCED SALT PLUS SOLN 500 ML BOTTLE,561.88,280.94,,,0 NDC,0067-0333-22,ALUM-MAG HYDROXIDE-SIMETH DS 400-400-40 MG/5 ML SUSPENSION,1.0,0.5,,,0 NDC,0068-0597-01,RIFAMPIN 600 MG SOLR 1 EACH VIAL,227.24,113.62,,,0 NDC,0069-0238-01,RITUXIMAB-PVVR 10 MG/ML SOLN 10 ML VIAL,13833.8,6916.9,,,0 NDC,0069-0249-01,RITUXIMAB-PVVR 10 MG/ML SOLN 50 ML VIAL,31037.0,15518.5,,,0 NDC,0069-0305-01,TRASTUZUMAB-QYYP 420 MG SOLR 1 EACH VIAL,11337.94,5668.97,,,0 NDC,0069-0338-01,SILDENAFIL (PULM.HYPERTENSION) 10 MG/12.5 ML SOLN,4627.5,2313.75,,,0 NDC,0069-1308-01,"EPOETIN ALFA-EPBX (ESRD) 10,000 UNIT/ML SOLN",706.5699999999999,353.28499999999997,,,0 NDC,0069-1311-01,"EPOETIN ALFA-EPBX (ESRD) 20,000 UNIT/ML SOLN",702.48,351.24,,,0 NDC,0069-1311-10,"EPOETIN ALFA-EPBX (NON-ESRD) 20,000 UNIT/ML SOLN",702.48,351.24,,,0 NDC,0069-2377-01,COVID VAC23-24(12UP)(RAXT)(PF) 30 MCG/0.3 ML SYRG,647.24,323.62,,,0 NDC,0069-2432-01,SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE (PFIZER),131.1,65.55,,,0 NDC,0069-2522-02,ELRANATAMAB-BCMM 40 MG/ML SOLN,8982.73,4491.36,,,0 NDC,0069-3034-20,DOXORUBICIN 2 MG/ML SOLN 100 ML VIAL,59.2,29.6,,,0 NDC,0069-4061-89,AZITHROMYCIN 250 MG TABS,1.995,0.9949999999999999,,,0 NDC,0069-4190-68,SILDENAFIL 10 MG TABS,1.3,0.65,,,0 NDC,0069-6001-21,FOSPHENYTOIN 500 MG PE/10 ML SOLN 10 ML VIAL,33.31,16.66,,,0 NDC,0071-0007-40,PHENYTOIN 50 MG CHEW,4.6,2.3,,,0 NDC,0071-0369-40,PHENYTOIN ER 100 MG CAPS,0.7849999999999999,0.395,,,0 NDC,0071-0418-13,NITROGLYCERIN 0.4 MG SUBL,1.22,0.61,,,0 NDC,0074-0576-11,VENETOCLAX 100 MG TABS,1335.7,667.85,,,0 NDC,0074-1658-01,PARICALCITOL 5 MCG/ML SOLN,61.88,30.94,,,0 NDC,0074-3023-13,POTASSIUM CHLORIDE 20 MEQ TBSR,2.0,1.0,,,0 NDC,0074-3108-32,"CYCLOSPORINE, MODIFIED 25 MG CAPS",2.81,1.41,,,0 NDC,0074-3109-32,"CYCLOSPORINE, MODIFIED 100 MG CAPS",10.23,5.12,,,0 NDC,0074-4552-11,LEVOTHYROXINE 50 MCG TABS,0.23,0.12,,,0 NDC,0074-7069-90,LEVOTHYROXINE 150 MCG TABS,1.23,0.62,,,0 NDC,0074-7269-50,"CYCLOSPORINE, MODIFIED-NEORAL 100 MG/ML SOLN",14.79,7.4,,,0 NDC,0078-0109-01,CYCLOSPORINE-SANDIMMUNE 250 MG/5 ML SOLN 5 ML AMPUL,246.91,123.46,,,0 NDC,0078-0109-61,CYCLOSPORINE-SANDIMMUNE 250 MG/5 ML SOLN 5 ML AMPUL,246.91,123.46,,,0 NDC,0078-0240-15,CYCLOSPORINE-SANDIMMUNE 25 MG CAPS,28.7,14.35,,,0 NDC,0078-0240-61,CYCLOSPORINE-SANDIMMUNE 25 MG CAPS,28.7,14.35,,,0 NDC,0078-0331-84,BASILIXIMAB 20 MG SOLR 1 EACH VIAL,18039.89,9019.939999999999,,,0 NDC,0078-0508-83,CARBAMAZEPINE 20 MG/ML SUSPENSION,3.99,2.0,,,0 NDC,0078-0568-45,ARTEMETHER-LUMEFANTRINE 20-120 MG TABS,115.3,57.65,,,0 NDC,0078-0659-20,SACUBITRIL-VALSARTAN 12-13 MG TABS,15.73,7.86,,,0 NDC,0078-0659-67,SACUBITRIL-VALSARTAN 24-26 MG TABS,26.35,13.18,,,0 NDC,0078-0696-20,SACUBITRIL-VALSARTAN 97-103 MG TABS,25.81,12.9,,,0 NDC,0078-0696-67,SACUBITRIL-VALSARTAN 97-103 MG TABS,26.08,13.04,,,0 NDC,0078-0722-10,BRINZOLAMIDE 1 % DRPS 10 ML DROP BTL,738.03,369.02,,,0 NDC,0078-0777-20,SACUBITRIL-VALSARTAN 49-51 MG TABS,25.81,12.9,,,0 NDC,0078-0813-01,TOBRAMYCIN 0.3 % OINT 3.5 G TUBE,377.54,188.77,,,0 NDC,0078-0818-81,OCTREOTIDE 20 MG SSRR,18600.245,9300.119999999999,,,0 NDC,0078-0825-81,OCTREOTIDE 30 MG SSRR,26858.38,13429.19,,,0 NDC,0078-0841-01,CIPROFLOXACIN HCL 0.3 % OINT 3.5 G TUBE,420.655,210.325,,,0 NDC,0078-0855-26,CIPROFLOX-HYDROCORTISONE 0.2-1 % DRPS 10 ML DROP BTL,231.38,115.69,,,0 NDC,0078-0876-01,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OINT 3.5 G TUBE,462.86,231.43,,,0 NDC,0078-1000-60,INCLISIRAN 284 MG/1.5 ML SYRG,14103.54,7051.77,,,0 NDC,0081067020,PSEUDOEPHEDRINE SR 120 MG TBSR,1.34,0.67,,,0 NDC,0084-2083-14,THIAMINE 100 MG TABS,1.0,0.5,,,0 NDC,0087-040201,PEDIATRIC MULTIVITAMIN NO.192 250 MCG-50 MG- 10 MCG/ML DROP,1.0,0.5,,,0 NDC,0087-0405-89,PEDI MV NO.189-FERROUS SULFATE 11 MG IRON/ML DROP,1.0,0.5,,,0 NDC,0088-2220-33,INSULIN GLARGINE 100 UNIT/ML SOLN,11.78,5.89,,,0 NDC,0093-0073-01,ZOLPIDEM 5 MG TABS,1.08,0.54,,,0 NDC,0093-0314-01,KETOROLAC 10 MG TABS,2.7,1.35,,,0 NDC,0093-0318-01,DILTIAZEM 30 MG TABS,1.18,0.59,,,0 NDC,0093-0319-01,DILTIAZEM 60 MG TABS,0.21,0.1,,,0 NDC,0093-0787-01,ATENOLOL 25 MG TABS,1.08,0.54,,,0 NDC,0093-0832-05,CLONAZEPAM 0.5 MG TABS,0.55,0.27,,,0 NDC,0093-0983-01,"NYSTATIN 500,000 UNIT TABS",3.37,1.68,,,0 NDC,0093-1177-01,NEOMYCIN 500 MG TABS,4.06,2.03,,,0 NDC,0093-1712-10,WARFARIN 0.5 MG TABS,1.09,0.54,,,0 NDC,0093-3060-56,RASAGILINE 0.5 MG TABS,5.5,2.75,,,0 NDC,0093-3145-01,CEPHALEXIN 250 MG CAPS,1.63,0.82,,,0 NDC,0093-3174-31,ALBUTEROL 90 MCG/ACTUATION HFAA 8.5 G CANISTER,126.93,63.46,,,0 NDC,0093-3213-01,CLONAZEPAM 2 MG TABS,1.12,0.56,,,0 NDC,0093-3427-01,LORAZEPAM 2 MG TABS,1.14,0.57,,,0 NDC,0093-4127-73,PENICILLIN V POTASSIUM 250 MG/5 ML SOLR,2.25,1.12,,,0 NDC,0093-4177-73,CEPHALEXIN 250 MG/5 ML SUSR,7.040000000000001,3.5199999999999996,,,0 NDC,0093-7295-05,CARVEDILOL 12.5 MG TABS,0.06,0.03,,,0 NDC,0093-7620-56,LETROZOLE 2.5 MG TABS,1.75,0.88,,,0 NDC,0093-7704-56,EMTRICITABINE-TENOFOVIR (TDF) 200-300 MG TABS,3.5,1.75,,,0 NDC,0093-8310-19,ELETRIPTAN 20 MG TABS,46.24,23.12,,,0 NDC,0093-8344-98,GLYBURIDE 5 MG TABS,1.21,0.6,,,0 NDC,0093-8740-01,MEXILETINE 200 MG CAPS,2.5,1.25,,,0 NDC,0093-8741-01,MEXILETINE 250 MG CAPS,3.07,1.54,,,0 NDC,0093-9290-67,CLONAZEPAM 0.125 MG ODT.,3.77,1.88,,,0 NDC,0093-9291-19,CLONAZEPAM 0.25 MG ODT.,2.77,1.38,,,0 NDC,0096-0732-04,HYDROCORTISONE 1 % LOTN 120 ML BOTTLE,120.0,60.0,,,0 NDC,0113-0065-10,OXYMETAZOLINE 0.05 % SPRY 30 ML SQUEEZ BTL,30.0,15.0,,,0 NDC,0113-0279-53,PHENYLEPHRINE-COCOA BUTTER 0.25-88.44 % SUPP,1.39,0.7,,,0 NDC,0115-1487-01,AMPHETAMINE-DEXTROAMPHETAMINE XR 10 MG CP24,1.7,0.85,,,0 NDC,0121-0431-30,MAGNESIUM HYDROXIDE 400 MG/5 ML SUSPENSION,4.51,2.26,,,0 NDC,0121-0489-05,DIPHENHYDRAMINE 12.5 MG/5 ML ELIX,1.0,0.5,,,0 NDC,0121-0581-05,HALOPERIDOL 2 MG/ML CONC,13.22,6.61,,,0 NDC,0121-0657-05,ACETAMINOPHEN 160 MG/5 ML (5 ML) SOLN,1.0,0.5,,,0 NDC,0121-0759-08,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) SOLN,6.08,3.04,,,0 NDC,0121-0770-55,LORAZEPAM 2 MG/ML CONC 0.5 ML ORAL SYRINGE,2.5,1.25,,,0 NDC,0121-0853-20,TRIMETHOPRIM-SULFAMETHOXAZOLE 40-200 MG/5 ML SUSPENSION,10.48,5.24,,,0 NDC,0121-0853-40,TRIMETHOPRIM-SULFAMETHOXAZOLE 40-200 MG/5 ML SUSPENSION,10.48,5.24,,,0 NDC,0121-0867-20,VANCOMYCIN 125 MG CAPS,4.44,2.22,,,0 NDC,0121-0868-05,"NYSTATIN 100,000 UNIT/ML SUSPENSION",3.94,1.97,,,0 NDC,0121-0893-15,CHLORHEXIDINE 0.12 % MWSH,4.83,2.42,,,0 NDC,0121-0905-05,DIAZEPAM 5 MG/5 ML SOLN,5.41,2.7,,,0 NDC,0121-0914-00,IBUPROFEN 100 MG/5 ML SUSPENSION,1.0,0.5,,,0 NDC,0121-0914-05,IBUPROFEN 100 MG/5 ML SUSPENSION,1.0,0.5,,,0 NDC,0121-0942-05,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ELIX,4.75,2.38,,,0 NDC,0121-0945-00,MEGESTROL 400 MG/10 ML SUSPENSION,10.465,5.234999999999999,,,0 NDC,0121-0972-51,LIDOCAINE 4 % (40 MG/ML) SOLN 50 ML BOTTLE,71.0,35.5,,,0 NDC,0121-0978-10,DIPHENHYDRAMINE 12.5 MG/5 ML ELIX,1.0,0.5,,,0 NDC,0121-1016-05,ATOVAQUONE 750 MG/5 ML SUSPENSION,54.18,27.09,,,0 NDC,0121-1154-30,LACTULOSE 20 GRAM/30 ML SOLN,3.42,1.71,,,0 NDC,0121-1154-40,LACTULOSE 10 GRAM/15 ML SOLN,3.42,1.71,,,0 NDC,0121-1276-10,DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML SYRP,5.74,2.87,,,0 NDC,0121-1488-10,GUAIFENESIN 100 MG/5 ML LIQD,1.9100000000000001,0.95,,,0 NDC,0121-1550-10,CODEINE-GUAIFENESIN 10-100 MG/5 ML LIQD,2.95,1.48,,,0 NDC,0121-1576-10,METOCLOPRAMIDE 5 MG/5 ML SOLN,5.17,2.58,,,0 NDC,0121-1744-05,GUAIFENESIN 100 MG/5 ML LIQD,3.0250000000000004,1.5150000000000001,,,0 NDC,0121-1762-30,ALUM-MAG HYDROXIDE-SIMETH DS 400-400-40 MG/5 ML SUSPENSION,1.0,0.5,,,0 NDC,0121-1775-05,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML 10-100 MG/5 ML,2.95,1.48,,,0 NDC,0121-1828-10,IBUPROFEN 100 MG/5 ML SUSPENSION,1.0,0.5,,,0 NDC,0121-1870-10,DOCUSATE SODIUM 50 MG/5 ML LIQD,2.12,1.06,,,0 NDC,0121-1894-10,CARBAMAZEPINE 20 MG/ML SUSPENSION,12.37,6.18,,,0 NDC,0121-1971-21,ACETAMINOPHEN 650 MG/20.3 ML SOLN,1.0,0.5,,,0 NDC,0121-2232-15,GUAIFENESIN 100 MG/5 ML LIQD,2.8,1.4,,,0 NDC,0121-2316-15,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15 ML SOLN,13.29,6.64,,,0 NDC,0121-4675-00,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) SOLN,2.86,1.43,,,0 NDC,0121-4675-05,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) SOLN,2.86,1.43,,,0 NDC,0121-4721-05,FLUOXETINE 20 MG/5 ML (4 MG/ML) SOLN,17.68,8.84,,,0 NDC,0121-4766-05,"CALCIUM CARBONATE 500 MG/5 ML (1,250 MG/5 ML) SUSPENSION",4.75,2.38,,,0 NDC,0121-4799-05,LEVETIRACETAM 500 MG/5 ML (5 ML) SOLN,2.72,1.36,,,0 NDC,0121-4827-05,OXYCODONE 5 MG/5 ML SOLN,13.16,6.58,,,0 NDC,0121-4827-40,OXYCODONE 5 MG/5 ML SOLN,14.16,7.08,,,0 NDC,0121-4950-15,LIDOCAINE 2 % SOLN,4.15,2.08,,,0 NDC,0121-4950-40,LIDOCAINE 2 % SOLN,4.15,2.08,,,0 NDC,0121053005,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML LIQD,7.54,3.77,,,0 NDC,0121059515,SODIUM CITRATE-CITRIC ACID 500-334 MG/5 ML SOLN,12.97,6.48,,,0 NDC,0121072208,SENNA LEAF EXTRACT 176 MG/5 ML SYRP,1.0,0.5,,,0 NDC,0121119030,SODIUM CITRATE-CITRIC ACID 500-334 MG/5 ML SOLN,6.4,3.2,,,0 NDC,0121472215,SENNA LEAF EXTRACT 176 MG/5 ML SYRP,1.0,0.5,,,0 NDC,0127303612,MINERAL OIL OIL 240 ML BOTTLE,7.48,3.74,,,0 NDC,0131-1810-67,LACOSAMIDE 200 MG/20 ML SOLN,208.75,104.38,,,0 NDC,0131-2477-60,LACOSAMIDE 50 MG TABS,1.26,0.63,,,0 NDC,0131-2478-60,LACOSAMIDE 100 MG TABS,1.95,0.98,,,0 NDC,0132-0079-50,GLYCERIN (ADULT) SUPP,1.14,0.57,,,0 NDC,0132-0081-12,GLYCERIN (CHILD) SUPP,1.01,0.5,,,0 NDC,0132-0201-40,SODIUM PHOSPHATES 19-7 GRAM/118 ML ENEM 133 ML SQUEEZ BTL,3.39,1.7,,,0 NDC,0132-0202-20,SODIUM PHOSPHATES 9.5-3.5 GRAM/59 ML ENEM,4.36,2.18,,,0 NDC,0132-0301-40,MINERAL OIL ENEM 133 ML SQUEEZ BTL,7.05,3.52,,,0 NDC,0132007900,GLYCERIN (ADULT) SUPP,1.14,0.57,,,0 NDC,0132030140,MINERAL OIL ENEM 133 ML SQUEEZ BTL,7.05,3.52,,,0 NDC,0143-1227-01,DICYCLOMINE 20 MG TABS,1.44,0.72,,,0 NDC,0143-9092-01,DOXORUBICIN 10 MG SOLR 1 EACH VIAL,2012.65,1006.32,,,0 NDC,0143-9093-01,DOXORUBICIN 50 MG SOLR 1 EACH VIAL,1287.635,643.8199999999999,,,0 NDC,0143-9098-01,BORTEZOMIB 3.5 MG SOLR,108.88,54.44,,,0 NDC,0143-9139-01,CEFAZOLIN 2 GRAM SOLR 1 EACH VIAL,33.0,16.5,,,0 NDC,0143-9140-01,CEFAZOLIN 3 GRAM SOLR 1 EACH VIAL,39.38,19.69,,,0 NDC,0143-9141-10,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) SOLN,79.76,39.88,,,0 NDC,0143-9152-01,VANCOMYCIN 1.25 GRAM SOLR 1 EACH VIAL,128.13,64.06,,,0 NDC,0143-9162-01,"VANCOMYCIN 1,000 MG SOLR 1 EACH VIAL",16.565,8.28,,,0 NDC,0143-9162-10,"VANCOMYCIN 1,000 MG SOLR",11.88,5.94,,,0 NDC,0143-9184-01,CALCIUM GLUCONATE 100 MG/ML (10%) SOLN 50 ML VIAL,120.08,60.04,,,0 NDC,0143-9209-10,CHLOROPROCAINE (PF) 20 MG/ML (2 %) SOLN,92.44500000000001,46.225,,,0 NDC,0143-9210-10,CHLOROPROCAINE 30 MG/ML (3 %) SOLN,26.979999999999997,13.489999999999998,,,0 NDC,0143-9218-01,IDARUBICIN 1 MG/ML SOLN 10 ML VIAL,556.0,278.0,,,0 NDC,0143-9219-01,IDARUBICIN 1 MG/ML SOLN 20 ML VIAL,556.0,278.0,,,0 NDC,0143-9250-01,ROCURONIUM 10 MG/ML SOLN,12.19,6.1,,,0 NDC,0143-9262-25,CEFAZOLIN 1 GRAM SOLR,12.2,6.1,,,0 NDC,0143-9277-01,DOXORUBICIN 50 MG SOLR 1 EACH VIAL,1050.91,525.46,,,0 NDC,0143-9284-01,PANTOPRAZOLE 40 MG SOLR,20.0,10.0,,,0 NDC,0143-9285-01,AMOXICILLIN 875 MG TABS,1.98,0.99,,,0 NDC,0143-9317-01,LEVOFLOXACIN 750 MG/150 ML PGBK,11.0,5.5,,,0 NDC,0143-9318-01,NOREPINEPHRINE 1 MG/ML SOLN 4 ML VIAL,23.13,11.56,,,0 NDC,0143-9329-01,BUPIVACAINE (MARCAINE) 0.5% SOLN,19.38,9.69,,,0 NDC,0143-9334-10,"BUPIVACAINE HCL INJECTION 0.5%, PER ML",0.84,0.42,,,0 NDC,0143-9355-01,VANCOMYCIN 750 MG SOLR 1 EACH VIAL,44.26,22.13,,,0 NDC,0143-9378-01,DAPTOMYCIN 500 MG SOLR,130.305,65.155,,,0 NDC,0143-9379-01,MIDAZOLAM (PF) IN 0.9 % NACL 1 MG/ML SOLN,47.12,23.56,,,0 NDC,0143-9380-01,MIDAZOLAM (PF) IN 0.9 % NACL 1 MG/ML SOLN,167.0,83.5,,,0 NDC,0143-9384-01,FOSAPREPITANT 150 MG SOLR 1 EACH VIAL,158.75,79.38,,,0 NDC,0143-9385-01,DECITABINE 50 MG SOLR 1 EACH VIAL,381.20000000000005,190.60000000000002,,,0 NDC,0143-9398-01,ERTAPENEM 1 GRAM SOLR 1 EACH VIAL,190.0,95.0,,,0 NDC,0143-9503-01,ACETAZOLAMIDE 500 MG SOLR,146.25,73.12,,,0 NDC,0143-9506-01,ETOMIDATE 2 MG/ML SOLN,16.69,8.34,,,0 NDC,0143-9507-01,ETOMIDATE 2 MG/ML SOLN,27.5,13.75,,,0 NDC,0143-9508-01,KETAMINE 50 MG/ML SOLN,25.13,12.56,,,0 NDC,0143-9509-01,KETAMINE 100 MG/ML SOLN 5 ML VIAL,54.47,27.24,,,0 NDC,0143-9510-01,ETOPOSIDE 20 MG/ML SOLN 5 ML VIAL,18.95,9.48,,,0 NDC,0143-9519-01,METHOTREXATE 25 MG/ML SOLN 2 ML VIAL,8.64,4.32,,,0 NDC,0143-9519-10,METHOTREXATE 25 MG/ML SOLN 2 ML VIAL,7.71,3.86,,,0 NDC,0143-9531-01,IFOSFAMIDE 1 GRAM/20 ML SOLN 20 ML VIAL,163.24,81.62,,,0 NDC,0143-9532-01,DEXMEDETOMIDINE 100 MCG/ML SOLN,24.38,12.19,,,0 NDC,0143-9542-10,NICARDIPINE 25 MG/10 ML SOLN 10 ML VIAL,111.88,55.94,,,0 NDC,0143-9551-10,DAUNORUBICIN 5 MG/ML 5 MG/ML SOLN 4 ML VIAL,1092.77,546.38,,,0 NDC,0143-9552-01,LEUCOVORIN CALCIUM 350 MG SOLR 1 EACH VIAL,106.23,53.12,,,0 NDC,0143-9553-01,LEUCOVORIN CALCIUM 200 MG SOLR 1 EACH VIAL,47.7,23.85,,,0 NDC,0143-9554-01,LEUCOVORIN CALCIUM 100 MG SOLR 1 EACH VIAL,57.5,28.75,,,0 NDC,0143-9564-01,PHENTOLAMINE MESYLATE 5 MG SOLR,2042.02,1021.01,,,0 NDC,0143-9566-01,AZATHIOPRINE 100 MG SOLR 1 EACH VIAL,371.24,185.62,,,0 NDC,0143-9570-01,SODIUM IRON GLUC 62.5 MG/5 ML SOLN 5 ML VIAL,53.75,26.88,,,0 NDC,0143-9570-10,SODIUM IRON GLUC 62.5 MG/5 ML SOLN 5 ML VIAL,78.125,39.065,,,0 NDC,0143-9577-01,"XYLOCAINE MPF INJECTION 1%, PER ML",6.0,3.0,,,0 NDC,0143-9595-01,LIDOCAINE-PF 10 MG/ML (1%) 10 MG/ML (1 %) SOLN,10.25,5.12,,,0 NDC,0143-9622-01,LABETALOL 5 MG/ML SOLN 20 ML VIAL,13.25,6.62,,,0 NDC,0143-9659-01,TESTOSTERONE CYPIONATE 200 MG/ML OIL,43.75,21.88,,,0 NDC,0143-9681-01,GLYCOPYRROLATE 0.2 MG/ML SOLN,10.31,5.16,,,0 NDC,0143-9682-01,GLYCOPYRROLATE 0.2 MG/ML SOLN,6.88,3.44,,,0 NDC,0143-9689-01,NICARDIPINE 25 MG/10 ML SOLN,111.88,55.94,,,0 NDC,0143-9689-10,NICARDIPINE 25 MG/10 ML SOLN 10 ML VIAL,221.25,110.62,,,0 NDC,0143-9701-01,IRINOTECAN 100 MG/5 ML SOLN 5 ML VIAL,52.3,26.15,,,0 NDC,0143-9702-01,IRINOTECAN 40 MG/2 ML SOLN 2 ML VIAL,38.5,19.25,,,0 NDC,0143-9708-01,MILRINONE 1 MG/ML SOLN 50 ML VIAL,88.44,44.22,,,0 NDC,0143-9710-01,MILRINONE 1 MG/ML SOLN 10 ML VIAL,125.94,62.97,,,0 NDC,0143-9719-01,MILRINONE 20 MG/100 ML (200 MCG/ML) PGBK,40.0,20.0,,,0 NDC,0143-9719-10,MILRINONE 20 MG/100 ML (200 MCG/ML) PGBK,6.12,3.06,,,0 NDC,0143-9720-01,LEVOFLOXACIN 750 MG/150 ML PGBK,11.0,5.5,,,0 NDC,0143-9721-01,LEVOFLOXACIN 500 MG/100 ML PGBK,10.4,5.2,,,0 NDC,0143-9722-01,LEVOFLOXACIN 250 MG/50 ML PGBK,14.4,7.2,,,0 NDC,0143-9724-01,CLONIDINE (0.01MG/ML) 0.01 MG/ML SOLN,9.08,4.54,,,0 NDC,0143-9729-01,BENZTROPINE 1 MG/ML SOLN,283.75,141.88,,,0 NDC,0143-9746-01,TERBUTALINE 1 MG/ML SOLN,10.63,5.32,,,0 NDC,0143-9754-01,METHYLPREDNISOLONE SOD SUCC 125 MG/2 ML SOLR,42.88,21.44,,,0 NDC,0143-9784-01,FLUMAZENIL 0.1 MG/ML SOLN,43.13,21.56,,,0 NDC,0143-9785-01,VALPROATE 500 MG/5 ML (100 MG/ML) SOLN 5 ML VIAL,15.38,7.69,,,0 NDC,0143-9785-10,VALPROATE 500 MG/5 ML (100 MG/ML) SOLN 5 ML VIAL,14.13,7.065,,,0 NDC,0143-9787-01,ENALAPRILAT 1.25 MG/ML SOLN,15.0,7.5,,,0 NDC,0143-9852-01,LEVOCARNITINE 200 MG/ML SOLN 5 ML VIAL,4.805,2.4050000000000002,,,0 NDC,0143-9856-01,CEFTRIAXONE 2 GRAM SOLR,14.5,7.25,,,0 NDC,0143-9857-01,CEFTRIAXONE 1 GRAM SOLR,8.88,4.44,,,0 NDC,0143-9875-01,AMIODARONE 50 MG/ML SOLN,13.43,6.72,,,0 NDC,0143-9886-01,AMOXICILLIN 200 MG/5 ML SUSR 100 ML BOTTLE,19.0,9.5,,,0 NDC,0143-9889-80,AMOXICILLIN 250 MG/5 ML SUSR,1.03,0.52,,,0 NDC,0143-9924-90,CEFAZOLIN 1 GRAM SOLR,7.35,3.68,,,0 NDC,0143-9927-01,CIPROFLOXACIN HCL 250 MG TABS,1.35,0.68,,,0 NDC,0168-0004-15,TRIAMCINOLONE ACETONIDE 0.1 % CREA 15 G TUBE,11.29,5.64,,,0 NDC,0168-0004-16,TRIAMCINOLONE ACETONIDE 0.1 % CREA 453.6 G JAR,62.92,31.46,,,0 NDC,0168-0006-15,TRIAMCINOLONE ACETONIDE 0.1 % OINT 15 G TUBE,8.72,4.36,,,0 NDC,0168-0006-16,TRIAMCINOLONE ACETONIDE 0.1 % OINT 453.6 G JAR,87.32,43.66,,,0 NDC,0168-0006-80,TRIAMCINOLONE ACETONIDE 0.1 % OINT 80 G TUBE,24.52,12.26,,,0 NDC,0168-0015-31,HYDROCORTISONE 1 % CREA 28.35 G TUBE,28.35,14.18,,,0 NDC,0168-0020-31,HYDROCORTISONE 1 % OINT 28.35 G TUBE,28.35,14.18,,,0 NDC,0168-0056-15,BETAMETHASONE DIPROPIONATE 0.05 % OINT 15 G TUBE,63.74,31.87,,,0 NDC,0168-0080-31,HYDROCORTISONE 2.5 % CREA 30 G TUBE,10.9,5.45,,,0 NDC,0168-0146-30,HYDROCORTISONE 2.5 % OINT 28.35 G TUBE,10.87,5.44,,,0 NDC,0168-0163-15,CLOBETASOL 0.05 % CREA 15 G TUBE,8.51,4.26,,,0 NDC,0168-0202-30,CLINDAMYCIN 1 % GEL 30 G TUBE,25.47,12.74,,,0 NDC,0168-0277-40,CLINDAMYCIN 2 % CREA 40 G TUBE/KIT,254.4,127.2,,,0 NDC,0169-1834-11,INSULIN NPH 100 UNIT/ML SUSPENSION,12.524999999999999,6.265,,,0 NDC,0169-1837-02,INSULIN NPH & REGULAR 70/30 100 UNIT/ML (70-30) SUSPENSION,20.28,10.14,,,0 NDC,0169-3685-12,INSULIN ASPART PROTAMINE & ASPART 70/30 100 UNIT/ML SOLN,13.379999999999999,6.6899999999999995,,,0 NDC,0169-5176-03,ESTRADIOL 10 MCG TABS,18.64,9.32,,,0 NDC,0169-7065-15,GLUCAGON 1 MG SOLR,1415.24,707.62,,,0 NDC,0169-7201-01,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) SOLR",7340.0,3670.0,,,0 NDC,0169-7202-01,"COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) SOLR",5360.0,2680.0,,,0 NDC,0169-7205-01,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) SOLR",30030.0,15015.0,,,0 NDC,0169-7501-11,INSULIN ASPART 100 UNIT/ML SOLN,50.36,25.18,,,0 NDC,0172-7313-20,"CYCLOSPORINE, MODIFIED-NEORAL 100 MG/ML SOLN",14.79,7.4,,,0 NDC,0173-0547-00,ATOVAQUONE 750 MG/5 ML SUSPENSION,52.84,26.42,,,0 NDC,0173-0682-24,ALBUTEROL 90 MCG/ACTUATION HFAA 8 G CANISTER,80.52,40.26,,,0 NDC,0173-0757-00,LAMOTRIGINE ER 200 MG TR24,4.81,2.4,,,0 NDC,0173-0859-14,FLUTICASONE FUROATE-VILANTEROL 100-25 MCG/DOSE DSDV 28 EACH BLIST PACK,408.48,204.24,,,0 NDC,0173-0874-14,FLUTICASONE FUROATE 100 MCG/ACTUATION DSDV 14 EACH BLIST PACK,249.22,124.61,,,0 NDC,0173-0881-01,"INJECTION, MEPOLIZUMAB, 1 MG",1.0,0.5,,,0 NDC,0173-0882-14,FLUTICASONE FUROATE-VILANTEROL 200-25 MCG/DOSE DSDV 28 EACH BLIST PACK,408.48,204.24,,,0 NDC,0173-0887-14,FLUTICASONE-UMECLIDIN-VILANTER 100-62.5-25 MCG DSDV 28 EACH BLIST PACK,749.96,374.98,,,0 NDC,0178055001,THERAPEUTIC MULTIVITAMIN TABS,1.0,0.5,,,0 NDC,0186-0776-60,TICAGRELOR 60 MG TABS,19.68,9.84,,,0 NDC,0186-0777-39,TICAGRELOR 90 MG TABS,19.34,9.67,,,0 NDC,0186-0916-12,BUDESONIDE 180 MCG/ACTUATION AEPB 1 EACH CANISTER,452.9,226.45,,,0 NDC,0187-0731-30,BUPROPION 300 MG TB24,1.17,0.58,,,0 NDC,0187-1704-05,PHYTONADIONE (VITAMIN K1)(5MG/5ML) 5 MG SYRG,42.47,21.24,,,0 NDC,0225-0805-47,PHENYLEPHRINE 0.5 % SPRY 15 ML SQUEEZ BTL,15.0,7.5,,,0 NDC,0225052547,NS NASAL GEL GEL 14.1 G JAR,10.28,5.14,,,0 NDC,0228-1410-03,LAMOTRIGINE ER 25 MG TR24,5.21,2.6,,,0 NDC,0228-2076-10,TEMAZEPAM 15 MG CAPS,0.7,0.35,,,0 NDC,0228-2127-10,CLONIDINE HCL 0.1 MG TABS,1.05,0.52,,,0 NDC,0228-2597-96,INDAPAMIDE 1.25 MG TABS,1.88,0.94,,,0 NDC,0228-2620-11,ISOSORBIDE MONONITRATE 20 MG TABS,2.02,1.01,,,0 NDC,0228-2631-11,ISOSORBIDE MONONITRATE 10 MG TABS,2.46,1.23,,,0 NDC,0245-0144-89,AMIODARONE 100 MG TABS,3.18,1.59,,,0 NDC,0245-0147-89,AMIODARONE 200 MG TABS,0.48,0.24,,,0 NDC,0245-0360-01,POTASSIUM CHLORIDE 20 MEQ PACK,4.88,2.44,,,0 NDC,0245-0360-89,POTASSIUM CHLORIDE 20 MEQ PACK,4.88,2.44,,,0 NDC,0245-1088-94,FERROUS SULFATE 325 MG (65 MG IRON) TABS,1.0,0.5,,,0 NDC,0245-5315-89,POTASSIUM CHLORIDE 8 MEQ TBSR,1.4,0.7,,,0 NDC,0245-5316-89,POTASSIUM CHLORIDE 10 MEQ TBSR,0.9299999999999999,0.46,,,0 NDC,0245-5317-01,POTASSIUM CHLORIDE ER 10 MEQ TBTQ,1.36,0.68,,,0 NDC,0245-5319-89,POTASSIUM CHLORIDE ER 20 MEQ TBTQ,0.53,0.26,,,0 NDC,0245010810,FERROUS SULFATE 325 MG 325 MG (65 MG IRON) TBEC,1.0,0.5,,,0 NDC,0245010889,FERROUS SULFATE 325 MG 325 MG (65 MG IRON) TBEC,1.0,0.5,,,0 NDC,0254-3028-02,LUBIPROSTONE 8 MCG CAPS,1.98,0.99,,,0 NDC,0254-3029-02,LUBIPROSTONE 24 MCG CAPS,2.3,1.15,,,0 NDC,0263-5085-01,WHITE PETROLATUM OINT 30 G TUBE,30.0,15.0,,,0 NDC,0264-1944-20,POTASSIUM CHLORIDE 2 MEQ/ML SOLN,5.09,2.54,,,0 NDC,0264-3153-11,CEFTRIAXONE 1 GRAM/50 ML PGBK,87.19999999999999,43.599999999999994,,,0 NDC,0264-4400-54,MAGNESIUM SULFATE 1G/D5W 100ML 1 GRAM/100 ML PGBK,9.8,4.9,,,0 NDC,0264-5600-52,CALCIUM GLUCONATE 100 MG/ML (10%) SOLN 100 ML FLEX CONT,306.25,153.12,,,0 NDC,0264-9587-20,"HEPARIN 25,000 UNIT/250 ML(100 UNIT/ML) SOLP",2.33,1.16,,,0 NDC,0264-9594-10,LIDOCAINE 4 MG/ML (0.4 %) SOLP,30.0,15.0,,,0 NDC,0264-9872-10,"HEPARIN 1,000 UNIT/500 ML SOLP",18.0,9.0,,,0 NDC,0270-0445-35,DIATRIZOATE MEG-DIATRIZOAT SOD 66-10 % SOLN,51.04,25.52,,,0 NDC,0270-0556-15,SINCALIDE 5 MCG SOLR,423.53,211.765,,,0 NDC,0270-5164-12,GADOBENATE DIMEGLUMINE 529 MG/ML (0.1MMOL/0.2ML) SOLN,75.0,37.5,,,0 NDC,0270-5164-13,GADOBENATE DIMEGLUMINE 529 MG/ML (0.1MMOL/0.2ML) SOLN,1.5,0.75,,,0 NDC,0270-5164-14,GADOBENATE DIMEGLUMINE 529 MG/ML (0.1MMOL/0.2ML) SOLN,225.0,112.5,,,0 NDC,0270-5164-15,GADOBENATE DIMEGLUMINE 529 MG/ML (0.1MMOL/0.2ML) SOLN,240.0,120.0,,,0 NDC,0270-7099-16,SULFUR HEXAFLUORIDE MICROSPHR 25 MG SUSR,275.86,137.93,,,0 NDC,0281-0326-08,NITROGLYCERIN 2 % OINT,7.61,3.8,,,0 NDC,0283-0679-02,BENZOCAINE 20 % SPRA,1.72,0.86,,,0 NDC,0299011022,SKIN CLEANSER COMB NO.42 CLSR 473 ML BOTTLE,39.08,19.54,,,0 NDC,0310-0282-60,QUETIAPINE SR 200 MG TB24,1.4,0.7,,,0 NDC,0310-1105-01,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM PWPK,49.68,24.84,,,0 NDC,0310-1110-01,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM PWPK,41.68,20.84,,,0 NDC,0310-4535-30,TREMELIMUMAB-ACTL 20 MG/ML SOLN 15 ML VIAL,153046.23,76523.12,,,0 NDC,0310-6205-30,DAPAGLIFLOZIN PROPANEDIOL 5 MG TABS,38.15,19.08,,,0 NDC,0310-6210-39,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABS,28.18,14.09,,,0 NDC,0316-0229-75,CAMPHOR-MENTHOL 0.5-0.5 % LOTN 222 ML BOTTLE,16.54,8.27,,,0 NDC,0338-0023-04,D10W% PARENTERAL NUTRITION COCKTAIL 500ML,69.53,34.76,,,0 NDC,0338-0069-10,KETOROLAC 15 MG/ML SOLN,7.44,3.72,,,0 NDC,0338-0072-25,KETOROLAC 30 MG/ML SOLN,6.88,3.44,,,0 NDC,0338-0112-20,NOREPINEPHRINE BITARTRATE-D5W 4 MG/250 ML (16 MCG/ML) SOLN,82.0,41.0,,,0 NDC,0338-0221-03,PLASMALYTE-A SOLP,56.0,28.0,,,0 NDC,0338-0341-04,CARDIOPLEGIC 16 MEQ/L (= K+) SOLN,315.0,157.5,,,0 NDC,0338-0357-02,MANNITOL 20 % SOLP,90.0,45.0,,,0 NDC,0338-0357-03,MANNITOL 20 % SOLP,78.0,39.0,,,0 NDC,0338-0409-03,LIDOCAINE 4 MG/ML (0.4 %) SOLP,30.0,15.0,,,0 NDC,0338-0411-02,LIDOCAINE 8 MG/ML (0.8 %) SOLP,33.0,16.5,,,0 NDC,0338-0424-18,"HEPARIN 1,000 UNIT/500 ML SOLP",18.0,9.0,,,0 NDC,0338-0433-04,"HEPARIN 2,000 UNIT/1,000 ML SOLP",26.0,13.0,,,0 NDC,0338-0503-48,GENTAMICIN 80 MG/100 ML PGBK,18.0,9.0,,,0 NDC,0338-0505-48,GENTAMICIN 100 MG/100 ML PGBK,19.2,9.6,,,0 NDC,0338-0507-48,GENTAMICIN 120 MG/100 ML PGBK,18.8,9.4,,,0 NDC,0338-0519-09,FAT EMULSION 20 % SYRG,33.03,16.52,,,0 NDC,0338-0519-58,FAT EMULSION 20 % EMUL 100 ML BAG,378.8,189.4,,,0 NDC,0338-0644-06,"AMINO ACID 10 % SOLP 2,000 ML BAG",44.0,22.0,,,0 NDC,0338-0656-04,"ACETIC ACID 0.25 % SOLN 1,000 ML BOTTLE",22.0,11.0,,,0 NDC,0338-0703-41,POTASSIUM CHLORIDE IN WATER 20 MEQ/50 ML PGBK,16.0,8.0,,,0 NDC,0338-0705-41,POTASSIUM CHLORIDE IN WATER 10 MEQ/50 ML PGBK,16.2,8.1,,,0 NDC,0338-0705-48,POTASSIUM CHLORIDE IN WATER 20 MEQ/100 ML PGBK,12.8,6.4,,,0 NDC,0338-0709-48,POTASSIUM CHLORIDE IN WATER 10 MEQ/100 ML PGBK,14.8,7.4,,,0 NDC,0338-0719-06,DEXTROSE 70 % SOLP,5.62,2.81,,,0 NDC,0338-1007-02,"DOPAMINE IN D5W 400 MG/250 ML (1,600 MCG/ML) SOLN",57.0,28.5,,,0 NDC,0338-1009-02,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) SOLN",81.0,40.5,,,0 NDC,0338-1051-02,NITROGLYCERIN 100 MG/250 ML (400 MCG/ML) SOLN,2.025,1.01,,,0 NDC,0338-1055-48,METRONIDAZOLE 500 MG/100 ML PGBK,6.4,3.2,,,0 NDC,0338-1077-02,"DOBUTAMINE 1,000 MG/250 ML (4,000 MCG/ML) SOLP",3.09,1.55,,,0 NDC,0338-1115-04,AMINO ACIDS 4.25% IN D10W W/LYTES 4.25 % SOLP,330.0,165.0,,,0 NDC,0338-1123-04,AMINO ACIDS 5% IN D15W W/LYTES 5 % SOLP,346.0,173.0,,,0 NDC,0338-1130-03,AMINO ACID (PREMASOL) 10 % SOLP 500 ML FLEX CONT,13.74,6.87,,,0 NDC,0338-1130-04,AMINO ACID (PREMASOL) 10 % SOLP,117.34,58.67,,,0 NDC,0338-1145-03,AMINO ACIDS 4.25% IN D10W W/LYTES 4.25 % SOLP,194.0,97.0,,,0 NDC,0338-1147-03,"AMINO ACIDS 5% IN D15W W/LYTES 5 % SOLP 1,000 ML BAG",159.5,79.75,,,0 NDC,0338-1305-01,MESNA 100 MG/ML SOLN 10 ML VIAL,28.795,14.395,,,0 NDC,0338-1709-40,MAGNESIUM SULFATE 1G/D5W 100ML 1 GRAM/100 ML PGBK,14.0,7.0,,,0 NDC,0338-3612-50,CLINDAMYCIN 600 MG/50 ML PGBK,18.0,9.0,,,0 NDC,0338-3814-50,CLINDAMYCIN 900 MG/50 ML PGBK,22.0,11.0,,,0 NDC,0338-6045-37,FLUCONAZOLE 400 MG/200 ML PGBK,19.6,9.8,,,0 NDC,0338-7032-01,"AMINO ACIDS 5% IN D15W W/LYTES 5 % SOLP 2,000 ML BAG",346.0,173.0,,,0 NDC,0338-9549-50,CLINDAMYCIN IN 0.9 % SOD CHLOR 600 MG/50 ML PGBK,44.8,22.4,,,0 NDC,0338-9555-24,DEXMEDETOMIDINE IN 0.9 % NACL 200 MCG/50 ML (4 MCG/ML) SOLN,57.6,28.8,,,0 NDC,0338-9557-12,DEXMEDETOMIDINE IN 0.9 % NACL 400 MCG/100 ML (4 MCG/ML) SOLN,101.6,50.8,,,0 NDC,0362-0557-05,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 CARTRIDGE",12.75,6.38,,,0 NDC,0362-9011-50,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 CARTRIDGE",12.75,6.38,,,0 NDC,0378-0018-01,METOPROLOL 12.5 MG TABS,0.55,0.27,,,0 NDC,0378-0085-01,CARBIDOPA-LEVODOPA 25-100 MG TABS,0.6699999999999999,0.32999999999999996,,,0 NDC,0378-0871-16,CLONIDINE 0.1 MG/24 HR PTWK,21.16,10.58,,,0 NDC,0378-0872-16,CLONIDINE 0.2 MG/24 HR PTWK,30.15,15.08,,,0 NDC,0378-0873-16,CLONIDINE 0.3 MG/24 HR PTWK,38.73,19.36,,,0 NDC,0378-2146-01,SPIRONOLACTONE TABS,1.15,0.58,,,0 NDC,0378-3350-16,ESTRADIOL 0.05 MG/24 HR PTWK,37.7,18.85,,,0 NDC,0378-3431-93,ARMODAFINIL 50 MG TABS,3.18,1.59,,,0 NDC,0378-4105-91,ABACAVIR 300 MG TABS,6.0,3.0,,,0 NDC,0378-6060-01,DILTIAZEM 12HR 60 MG CP12,8.5,4.25,,,0 NDC,0378-6232-01,CITALOPRAM 20 MG TABS,1.13,0.56,,,0 NDC,0378-6440-01,VERAPAMIL 24HR 240 MG C24P,6.16,3.08,,,0 NDC,0378-8700-06,ACYCLOVIR 5 % OINT 15 G TUBE,39.27,19.64,,,0 NDC,0378-9071-16,RIVASTIGMINE 9.5 MG/24 HOUR PT24,6.0,3.0,,,0 NDC,0378-9072-16,RIVASTIGMINE 13.3 MG/24 HOUR PT24,6.0,3.0,,,0 NDC,0378-9102-16,NITROGLYCERIN 0.1 MG/HR PT24,2.83,1.42,,,0 NDC,0378-9104-16,NITROGLYCERIN 0.2 MG/HR PT24,3.03,1.52,,,0 NDC,0378-9104-93,NITROGLYCERIN 0.2 MG/HR PT24,3.03,1.52,,,0 NDC,0378-9112-16,NITROGLYCERIN 0.4 MG/HR PT24,3.45,1.72,,,0 NDC,0378-9116-16,NITROGLYCERIN 0.6 MG/HR PT24,3.83,1.92,,,0 NDC,0378-9119-16,FENTANYL 12 MCG/HR PT72,38.48,19.24,,,0 NDC,0378-9121-16,FENTANYL 25 MCG/HR PT72,10.54,5.27,,,0 NDC,0378-9121-98,FENTANYL 25 MCG/HR PT72 5 EACH BOX,10.04,5.02,,,0 NDC,0378-9122-16,FENTANYL 50 MCG/HR PT72,17.66,8.83,,,0 NDC,0378-9122-98,FENTANYL 50 MCG/HR PT72,17.66,8.83,,,0 NDC,0378-9124-16,FENTANYL 100 MCG/HR PT72,29.61,14.8,,,0 NDC,0395-1031-16,GLYCERIN SOLN 473 ML BOTTLE,62.5,31.25,,,0 NDC,0395-2325-16,POVIDONE-IODINE 10 % SOLN,5.975,2.985,,,0 NDC,0395-2775-16,"IODINE, STRONG 5 % SOLN 473 ML BOTTLE",250.98,125.49,,,0 NDC,0395-4219-16,MINERAL OIL OIL 473 ML BOTTLE,13.77,6.88,,,0 NDC,0406-0123-23,HYDROCODONE-ACETAMINOPHEN 5-325 MG TABS,1.08,0.54,,,0 NDC,0406-0123-62,HYDROCODONE-ACETAMINOPHEN 5-325 MG TABS,1.08,0.54,,,0 NDC,0406-0124-23,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG TABS,1.1,0.55,,,0 NDC,0406-0124-62,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG TABS,1.1,0.55,,,0 NDC,0406-0125-01,HYDROCODONE-ACETAMINOPHEN 10-325 MG TABS,1.11,0.56,,,0 NDC,0406-0125-23,HYDROCODONE-ACETAMINOPHEN 10-325 MG TABS,1.11,0.56,,,0 NDC,0406-0484-23,ACETAMINOPHEN-CODEINE 300-30 MG TABS,1.39,0.7,,,0 NDC,0406-0512-23,OXYCODONE-ACETAMINOPHEN 5-325 MG TABS,1.21,0.6,,,0 NDC,0406-0512-62,OXYCODONE-ACETAMINOPHEN 5-325 MG TABS,1.21,0.6,,,0 NDC,0406-0522-23,OXYCODONE-ACETAMINOPHEN 7.5-325 MG TABS,1.26,0.63,,,0 NDC,0406-0523-23,OXYCODONE-ACETAMINOPHEN 10-325 MG TABS,1.34,0.67,,,0 NDC,0406-0527-10,METHADONE 10 MG/ML CONC,2.0300000000000002,1.02,,,0 NDC,0406-0552-23,OXYCODONE 5 MG TABS,0.12,0.06,,,0 NDC,0406-1170-03,NALTREXONE 50 MG TABS,3.35,1.68,,,0 NDC,0406-1236-01,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG TABS,0.79,0.39,,,0 NDC,0406-3243-01,HYDROMORPHONE 2 MG TABS,0.27,0.14,,,0 NDC,0406-3244-01,HYDROMORPHONE 4 MG TABS,0.31,0.16,,,0 NDC,0406-5755-23,METHADONE 5 MG TABS,1.17,0.58,,,0 NDC,0406-5771-23,METHADONE 10 MG TABS,0.395,0.195,,,0 NDC,0406-8315-23,MORPHINE SR 15 MG TBSR,1.05,0.53,,,0 NDC,0406-8390-01,MORPHINE SR 100 MG TBSR,4.25,2.12,,,0 NDC,0406-8390-23,MORPHINE SR 100 MG TBSR,3.75,1.87,,,0 NDC,0406-8557-01,OXYCODONE 20 MG/1 ML SYRG,94.36,47.18,,,0 NDC,0406-8557-30,OXYCODONE 20 MG/ML CONC 30 ML BOTTLE,50.18,25.09,,,0 NDC,0406-9000-76,FENTANYL 100 MCG/HR PT72,29.61,14.8,,,0 NDC,0407-1411-10,IOHEXOL (OMNIPAQUE) 180 MG/ML SOLN,28.0,14.0,,,0 NDC,0407-1411-20,IOHEXOL (OMNIPAQUE) 180 MG/ML SOLN,144.0,72.0,,,0 NDC,0407-1412-10,IOHEXOL 240 MG IODINE/ML SOLN,0.085,0.045,,,0 NDC,0407-1412-20,IOHEXOL 240 MG IODINE/ML SOLN,68.0,34.0,,,0 NDC,0407-1412-30,IOHEXOL 240 MG IODINE/ML SOLN,3.33,1.66,,,0 NDC,0407-1412-33,IOHEXOL 240 MG IODINE/ML SOLN,696.0,348.0,,,0 NDC,0407-1413-10,IOHEXOL 300 MG IODINE/ML SOLN,4.4,2.2,,,0 NDC,0407-1413-58,IOHEXOL 300 MG IODINE/ML SOLN,88.0,44.0,,,0 NDC,0407-1413-59,IOHEXOL 300 MG IODINE/ML SOLN,180.0,90.0,,,0 NDC,0407-1413-61,IOHEXOL 300 MG IODINE/ML SOLN,24.0,12.0,,,0 NDC,0407-1413-63,IOHEXOL 300 MG IODINE/ML SOLN,24.0,12.0,,,0 NDC,0407-1413-65,IOHEXOL 300 MG IODINE/ML SOLN,400.0,200.0,,,0 NDC,0407-1414-08,IOHEXOL 350 MG IODINE/ML SOLN,30.0,15.0,,,0 NDC,0407-1414-89,IOHEXOL 350 MG IODINE/ML SOLN,100.0,50.0,,,0 NDC,0407-1414-90,IOHEXOL 350 MG IODINE/ML SOLN,400.0,200.0,,,0 NDC,0407-1414-91,IOHEXOL 350 MG IODINE/ML SOLN,80.0,40.0,,,0 NDC,0407-1414-93,IOHEXOL 350 MG IODINE/ML SOLN,120.0,60.0,,,0 NDC,0407-2222-17,IODIXANOL 270 MG IODINE/ML SOLN,248.0,124.0,,,0 NDC,0407-2223-04,IODIXANOL 320 MG IODINE/ML SOLN,280.0,140.0,,,0 NDC,0407-2223-16,IODIXANOL 320 MG IODINE/ML SOLN,24.0,12.0,,,0 NDC,0407-2223-17,IODIXANOL 320 MG IODINE/ML SOLN,52.0,26.0,,,0 NDC,0407-2223-19,IODIXANOL 320 MG IODINE/ML SOLN,72.0,36.0,,,0 NDC,0407-2223-21,IODIXANOL 320 MG IODINE/ML SOLN,328.0,164.0,,,0 NDC,0409-0064-01,CARBOPROST 250 MCG/ML SOLN,431.24,215.62,,,0 NDC,0409-0125-01,LABETALOL 5 MG/ML SOLN 20 ML VIAL,13.25,6.62,,,0 NDC,0409-0152-01,METRONIDAZOLE 500 MG/100 ML PGBK,6.4,3.2,,,0 NDC,0409-0152-24,METRONIDAZOLE 500 MG/100 ML PGBK,6.4,3.2,,,0 NDC,0409-0181-01,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) SOLN 26.3 ML VIAL,148.815,74.405,,,0 NDC,0409-0182-01,GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) SOLN 52.6 ML VIAL,264.84,132.42,,,0 NDC,0409-0212-03,MILRINONE 1 MG/ML SOLN 50 ML VIAL,62.66,31.33,,,0 NDC,0409-0829-11,AZTREONAM 1 GRAM SOLR 1 EACH VIAL,173.19,86.6,,,0 NDC,0409-0830-11,AZTREONAM 2 GRAM SOLR 1 EACH VIAL,333.42,166.71,,,0 NDC,0409-1005-01,"HEPARIN 1,000 UNIT/500 ML SOLP",18.0,9.0,,,0 NDC,0409-1103-11,CISATRACURIUM 10 MG/ML CONC. (ICU USE ONLY) SOLN 20 ML VIAL,590.0,295.0,,,0 NDC,0409-1134-03,MORPHINE,54.01,27.005,,,0 NDC,0409-1159-02,BUPIVACAINE PF,8.05,4.02,,,0 NDC,0409-1159-18,BUPIVACAINE PF (MARCAINE-PF) 0.25% 0.25 % SOLN,12.13,6.06,,,0 NDC,0409-1160-01,BUPIVACAINE (MARCAINE) 0.25% 0.25% SOLN,22.81,11.4,,,0 NDC,0409-1162-02,"BUPIVACAINE HCL INJECTION 0.5%, PER ML",0.42,0.21,,,0 NDC,0409-1162-09,BUPIVACAINE,64.67,32.34,,,0 NDC,0409-1162-18,BUPIVACAINE PF (MARCAINE-PF) 0.5% 0.5% SOLN 10 ML VIAL,15.06,7.53,,,0 NDC,0409-1162-19,"BUPIVACAINE HCL INJECTION 0.5%, PER ML",0.42,0.21,,,0 NDC,0409-1163-18,BUPIVACAINE (MARCAINE) 0.5% SOLN,19.38,9.69,,,0 NDC,0409-1165-01,BUPIVACAINE PF 0.75% 0.75 % (7.5 MG/ML) SOLN,16.44,8.22,,,0 NDC,0409-1176-03,MEPERIDINE,12.61,6.3,,,0 NDC,0409-1207-13,GENTAMICIN 40 MG/ML SOLN,19.26,9.63,,,0 NDC,0409-1209-01,"LIDOCAINE-EPINEPHRINE 1.5 %-1:200,000 SOLN",17.63,8.82,,,0 NDC,0409-1273-03,DIAZEPAM 5 MG/ML SYRG,92.5,46.25,,,0 NDC,0409-1283-03,HYDROMORPHONE 1 MG/ML SYRG,15.59,7.8,,,0 NDC,0409-1283-17,HYDROMORPHONE 1 MG/ML SYRG,18.09,9.05,,,0 NDC,0409-1312-03,HYDROMORPHONE 2 MG/ML SYRG,25.2,12.6,,,0 NDC,0409-1319-01,VANCOMYCIN 10 GRAM SOLR,33.11,16.56,,,0 NDC,0409-1323-15,LIDOCAINE 100 MG/5 ML (2 %) SYRG,33.53,16.76,,,0 NDC,0409-1463-01,NALBUPHINE 10 MG/ML SOLN,30.305,15.155000000000001,,,0 NDC,0409-1463-71,NALBUPHINE 10 MG/ML SOLN,29.1,14.55,,,0 NDC,0409-1596-01,DEXMEDETOMIDINE IN 0.9 % NACL 400 MCG/100 ML (4 MCG/ML) SOLN,101.6,50.8,,,0 NDC,0409-1626-01,BUTORPHANOL 2 MG/ML SOLN,14.0,7.0,,,0 NDC,0409-1626-21,BUTORPHANOL 2 MG/ML SOLN,14.0,7.0,,,0 NDC,0409-1630-15,ATROPINE 0.1 MG/ML SYRG,65.0,32.5,,,0 NDC,0409-1631-40,CALCIUM CHLORIDE 100 MG/ML (10 %) SYRG,58.75,29.38,,,0 NDC,0409-1632-21,VECURONIUM 10 MG SOLR,27.25,13.62,,,0 NDC,0409-1660-50,DEXMEDETOMIDINE IN 0.9 % NACL 200 MCG/50 ML (4 MCG/ML) SOLN,57.6,28.8,,,0 NDC,0409-1746-10,"BUPIVACAINE 0.25%-EPINEPHRINE 1:200,000 (PF) 0.25 %-1:200,000 SOLN",28.81,14.4,,,0 NDC,0409-1746-30,"BUPIVACAINE 0.25%-EPINEPHRINE 1:200,000 (PF) 0.25 %-1:200,000 SOLN",24.25,12.12,,,0 NDC,0409-1778-05,METOPROLOL 5 MG/5 ML SOLN,7.56,3.78,,,0 NDC,0409-1778-15,METOPROLOL 5 MG/5 ML SOLN,7.56,3.78,,,0 NDC,0409-1886-02,LEVETIRACETAM 500 MG/5 ML SOLN,10.0,5.0,,,0 NDC,0409-1886-22,LEVETIRACETAM 500 MG/5 ML SOLN,10.0,5.0,,,0 NDC,0409-1890-03,MORPHINE 2 MG/ML SYRG,6.85,3.4299999999999997,,,0 NDC,0409-1891-03,MORPHINE 4 MG/ML SYRG,7.92,3.96,,,0 NDC,0409-1902-01,PROCAINAMIDE 100 MG/ML SOLN 10 ML VIAL,550.5,275.25,,,0 NDC,0409-1985-03,LORAZEPAM 2 MG/ML SYRG,6.88,3.44,,,0 NDC,0409-2050-01,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) SOLP,15.2,7.6,,,0 NDC,0409-2305-04,MIDAZOLAM PF 1 MG/ML SOLN,10.88,5.44,,,0 NDC,0409-2305-16,MIDAZOLAM PF 1 MG/ML SOLN,6.8,3.4,,,0 NDC,0409-2308-21,MIDAZOLAM (PF) 5 MG/ML SOLN 1 ML VIAL,8.37,4.18,,,0 NDC,0409-2339-24,LABETALOL 20 MG/4 ML (5 MG/ML) SYRG,28.88,14.44,,,0 NDC,0409-2344-02,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) SOLN,64.80000000000001,32.400000000000006,,,0 NDC,0409-2344-62,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) SOLN,66.80000000000001,33.400000000000006,,,0 NDC,0409-2585-01,CEFAZOLIN 1 GRAM SOLR,28.115,14.055,,,0 NDC,0409-2634-05,HYDROMORPHONE 5 ML VIAL,272.04,136.02,,,0 NDC,0409-2634-25,HYDROMORPHONE 0.01MG/ML BUPIV 0.125% (PF) 100ML NS,2.8499999999999996,1.4249999999999998,,,0 NDC,0409-2720-30,"HEPARIN 1,000 UNIT/ML SOLN",8.04,4.02,,,0 NDC,0409-2723-01,"HEPARIN 5,000 UNIT/ML SOLN",10.06,5.03,,,0 NDC,0409-2723-30,"HEPARIN 5,000 UNIT/ML SOLN",6.84,3.42,,,0 NDC,0409-2757-01,DAPTOMYCIN 50 MG/ML SOLR,109.55,54.78,,,0 NDC,0409-3177-01,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 SOLN",26.56,13.28,,,0 NDC,0409-3178-02,"LIDOCAINE 1%-EPINEPHRINE 1:100,000 1 %-1:100,000 SOLN",37.94,18.97,,,0 NDC,0409-3178-03,"LIDOCAINE 1%-EPINEPHRINE 1:100,000 1 %-1:100,000 SOLN",27.5,13.75,,,0 NDC,0409-3182-01,"LIDOCAINE 2%-EPINEPHRINE 1:100,000 2 %-1:100,000 SOLN",23.38,11.69,,,0 NDC,0409-3182-11,"LIDOCAINE 2%-EPINEPHRINE 1:100,000 2 %-1:100,000 SOLN",23.38,11.69,,,0 NDC,0409-3183-01,"LIDOCAINE-EPINEPHRINE PF 2 %-1:200,000 SOLN",34.0,17.0,,,0 NDC,0409-3299-15,SODIUM ACETATE 2 MEQ/ML SOLN 50 ML VIAL,6.05,3.02,,,0 NDC,0409-3299-16,SODIUM ACETATE 2 MEQ/ML SOLN 100 ML VIAL,6.05,3.02,,,0 NDC,0409-3300-01,CIPROFLOXACIN 400 MG/200 ML PGBK,11.6,5.8,,,0 NDC,0409-3300-24,CIPROFLOXACIN 400 MG/200 ML PGBK,11.6,5.8,,,0 NDC,0409-3308-03,ACETYLCYSTEINE 200 MG/ML (20 %) SOLN,20.71,10.36,,,0 NDC,0409-3308-11,ACETYLCYSTEINE 200 MG/ML (20 %) SOLN,20.71,10.36,,,0 NDC,0409-3385-11,PIPERACILLIN-TAZOBACTAM 3375 MG SOLR 1 EACH VIAL,21.25,10.62,,,0 NDC,0409-3414-01,METOCLOPRAMIDE 5 MG/ML SOLN,9.9,4.95,,,0 NDC,0409-3414-11,METOCLOPRAMIDE 5 MG/ML SOLN,9.9,4.95,,,0 NDC,0409-3414-18,METOCLOPRAMIDE 5 MG/ML SOLN,9.9,4.95,,,0 NDC,0409-3414-21,METOCLOPRAMIDE 5 MG/ML SOLN,9.9,4.95,,,0 NDC,0409-3510-21,ERTAPENEM 1 GRAM SOLR 1 EACH VIAL,252.5,126.25,,,0 NDC,0409-3515-11,VANCOMYCIN 1.5 GRAM SOLR 1 EACH VIAL,153.25,76.62,,,0 NDC,0409-3578-01,TOBRAMYCIN 300 MG,223.26,111.63,,,0 NDC,0409-3613-01,BUPIVACAINE 0.75% IN DEXTROSE 8.25% (INTRATHECAL) 0.75 % (7.5 MG/ML) SOLN,10.78,5.39,,,0 NDC,0409-3718-10,AMPICILLIN 500 MG SOLR,13.13,6.56,,,0 NDC,0409-3793-01,KETOROLAC 15 MG/ML SOLN,7.44,3.72,,,0 NDC,0409-3793-19,KETOROLAC 15 MG/ML SOLN,7.44,3.72,,,0 NDC,0409-3795-19,KETOROLAC 30 MG/ML SOLN,7.94,3.97,,,0 NDC,0409-3796-19,KETOROLAC 60 MG/2 ML SOLN,8.94,4.47,,,0 NDC,0409-3814-11,MORPHINE 0.5 MG/ML SOLN,54.38,27.19,,,0 NDC,0409-3815-12,MORPHINE 10 ML VIAL,27.86,13.93,,,0 NDC,0409-4031-16,MANNITOL 25 % SOLN 50 ML VIAL,4.37,2.18,,,0 NDC,0409-4090-11,ZINC CHLORIDE 1 MG/ML SOLN 10 ML VIAL,150.31,75.16,,,0 NDC,0409-4092-11,CUPERIC CHLORIDE (COPPER) 0.4 MG/ML SOLN 10 ML VIAL,83.75,41.88,,,0 NDC,0409-4264-01,HYDROMORPHONE 0.5 MG/0.5 ML SYRG,25.9,12.95,,,0 NDC,0409-4264-11,HYDROMORPHONE 0.5 MG/0.5 ML SYRG,25.9,12.95,,,0 NDC,0409-4275-16,LIDOCAINE 0.5% SOLN,32.19,16.1,,,0 NDC,0409-4276-01,LIDOCAINE (XYLOCAINE) 1% SOLN,12.38,6.19,,,0 NDC,0409-4276-02,LIDOCAINE (XYLOCAINE) 1% SOLN,20.0,10.0,,,0 NDC,0409-4276-16,"XYLOCAINE MPF INJECTION 1%, PER ML",9.190000000000001,4.595000000000001,,,0 NDC,0409-4276-17,LIDOCAINE (XYLOCAINE) 1% SOLN,20.0,10.0,,,0 NDC,0409-4277-16,LIDOCAINE (XYLOCAINE) 2% SOLN,13.0,6.5,,,0 NDC,0409-4278-01,LIDOCAINE 5 MG/ML (0.5 %) SOLN,29.38,14.69,,,0 NDC,0409-4278-16,LIDOCAINE 5 MG/ML (0.5 %) SOLN,29.38,14.69,,,0 NDC,0409-4279-02,LIDOCAINE-PF 10 MG/ML (1%) 10 MG/ML (1 %) SOLN,19.38,9.69,,,0 NDC,0409-4279-16,LIDOCAINE-PF 10 MG/ML (1%) 10 MG/ML (1 %) SOLN,19.38,9.69,,,0 NDC,0409-4282-12,LIDOCAINE (PF) 20 MG/ML (2 %) SOLN,29.06,14.53,,,0 NDC,0409-4283-01,LIDOCAINE 4% 40 MG/ML (4 %) SOLN,32.72,16.36,,,0 NDC,0409-4283-11,LIDOCAINE 4% 40 MG/ML (4 %) SOLN,32.72,16.36,,,0 NDC,0409-4332-01,VANCOMYCIN 125MG/5ML SOLN,5.52,2.76,,,0 NDC,0409-4332-11,VANCOMYCIN 500 MG SOLR,2.965,1.48,,,0 NDC,0409-4350-13,DILTIAZEM 100 MG SOLR,73.82,36.91,,,0 NDC,0409-4444-01,LEVOFLOXACIN 750 MG/150 ML PGBK,11.0,5.5,,,0 NDC,0409-4520-02,"HEPARIN 25,000 UNIT/250 ML(100 UNIT/ML) SOLP",37.5,18.75,,,0 NDC,0409-4699-33,PROPOFOL 10 MG/ML EMUL,39.69,19.84,,,0 NDC,0409-4699-50,PROPOFOL 10 MG/ML EMUL,11.5,5.75,,,0 NDC,0409-4713-02,LIDOCAINE (XYLOCAINE) 1% SOLN,3.725,1.86,,,0 NDC,0409-4713-12,LIDOCAINE-PF 10 MG/ML (1%) 10 MG/ML (1 %) SOLN,10.25,5.12,,,0 NDC,0409-4713-75,LIDOCAINE-PF 10 MG/ML (1%) 10 MG/ML (1 %) SOLN,10.25,5.12,,,0 NDC,0409-4759-01,ONDANSETRON 2 MG/ML SOLN,4.38,2.19,,,0 NDC,0409-4933-11,EPINEPHRINE 0.1 MG/ML SYRG,35.25,17.62,,,0 NDC,0409-5017-01,VANCOMYCIN 10 GRAM SOLR,33.11,16.56,,,0 NDC,0409-5082-11,CEFTAZIDIME 6.75MG/0.3ML,14.96,7.48,,,0 NDC,0409-5092-16,CEFTAZIDIME 6MG/0.3ML,17.5,8.75,,,0 NDC,0409-5534-14,SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) SYRG,374.095,187.04500000000002,,,0 NDC,0409-5921-16,AMINOPHYLLINE 250 MG/10 ML SOLN,91.94,45.97,,,0 NDC,0409-6102-04,FUROSEMIDE 10 MG/ML SOLN,8.75,4.38,,,0 NDC,0409-6102-18,FUROSEMIDE 10 MG/ML SOLN,7.5,3.75,,,0 NDC,0409-6102-19,FUROSEMIDE 10 MG/ML SOLN,6.880000000000001,3.4399999999999995,,,0 NDC,0409-6102-20,FUROSEMIDE 10 MG/ML SOLN,12.06,6.03,,,0 NDC,0409-6102-35,FUROSEMIDE 10 MG/ML SOLN,6.880000000000001,3.4399999999999995,,,0 NDC,0409-6482-01,ERYTHROMYCIN LACTOBIONATE 500 MG SOLR 1 EACH VIAL,375.565,187.78,,,0 NDC,0409-6482-11,ERYTHROMYCIN LACTOBIONATE 500 MG SOLR 1 EACH VIAL,223.4,111.7,,,0 NDC,0409-6509-01,VANCOMYCIN 5 GRAM SOLR,5.07,2.54,,,0 NDC,0409-6531-12,VANCOMYCIN 750 MG SOLR 1 EACH VIAL,44.26,22.13,,,0 NDC,0409-6533-11,"VANCOMYCIN 1,000 MG SOLR",11.88,5.94,,,0 NDC,0409-6533-31,"VANCOMYCIN 1,000 MG SOLR",7.210000000000001,3.6050000000000004,,,0 NDC,0409-6562-01,TESTOSTERONE CYPIONATE 200 MG/ML OIL,43.75,21.88,,,0 NDC,0409-6625-14,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) SOLN,41.88,20.94,,,0 NDC,0409-6625-22,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) SOLN,40.63,20.315,,,0 NDC,0409-6635-01,POTASSIUM CHLORIDE 2 MEQ/ML SOLN 5 ML VIAL,20.5,10.25,,,0 NDC,0409-6637-24,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) SYRG,70.31,35.16,,,0 NDC,0409-6648-02,D50W SOLP,26.88,13.44,,,0 NDC,0409-6651-06,POTASSIUM CHLORIDE 2 MEQ/ML SOLN 10 ML VIAL,15.06,7.53,,,0 NDC,0409-6651-19,POTASSIUM CHLORIDE 2 MEQ/ML SOLN 10 ML VIAL,15.06,7.53,,,0 NDC,0409-6653-18,POTASSIUM CHLORIDE 2 MEQ/ML SOLN,6.09,3.04,,,0 NDC,0409-6695-02,ETOMIDATE 2 MG/ML SOLN,27.5,13.75,,,0 NDC,0409-6695-12,ETOMIDATE 2 MG/ML SOLN,27.5,13.75,,,0 NDC,0409-6727-11,MAGNESIUM SULFATE 1G/D5W 100ML 1 GRAM/100 ML PGBK,14.0,7.0,,,0 NDC,0409-6727-55,MAGNESIUM SULFATE 1G/D5W 100ML 1 GRAM/100 ML PGBK,14.0,7.0,,,0 NDC,0409-6729-11,MAGNESIUM SULFATE 2G/50ML (4%) IN WATER PGBK,15.200000000000001,7.6000000000000005,,,0 NDC,0409-7295-11,POTASSIUM PHOSPHATES 3 MMOL/ML SOLN 15 ML VIAL,14.83,7.42,,,0 NDC,0409-7299-83,SODIUM ACETATE 2 MEQ/ML SOLN 20 ML VIAL,22.0,11.0,,,0 NDC,0409-7333-04,CEFTRIAXONE 1 GRAM SOLR,41.335,20.67,,,0 NDC,0409-7335-13,CEFTRIAXONE 2 GRAM SOLR 1 EACH VIAL,14.5,7.25,,,0 NDC,0409-7337-11,CEFTRIAXONE 250 MG SOLR 1 EACH VIAL,7.26,3.63,,,0 NDC,0409-7338-11,CEFTRIAXONE 500 MG SOLR 1 EACH VIAL,8.53,4.26,,,0 NDC,0409-7391-72,SODIUM PHOSPHATE 3 MMOL/ML SOLN 15 ML VIAL,116.69,58.34,,,0 NDC,0409-7418-13,DEXTRAN 40 IN DEXTROSE 5% 10 % SOLP,144.0,72.0,,,0 NDC,0409-7517-16,D50W SYRG,85.31,42.66,,,0 NDC,0409-7517-66,D50W SYRG,85.31,42.66,,,0 NDC,0409-7650-05,"HEPARIN (PORCINE)-0.45% NACL 25,000 UNIT/250 ML(100 UNIT/ML) SOLP",35.0,17.5,,,0 NDC,0409-7715-13,MANNITOL 20 % SOLP,78.0,39.0,,,0 NDC,0409-7809-11,"DOPAMINE IN D5W 400 MG/250 ML (1,600 MCG/ML) SOLN",57.0,28.5,,,0 NDC,0409-7810-11,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) SOLN",81.0,40.5,,,0 NDC,0409-7922-30,D12.5% SOLN 500 ML BAG,0.01,0.005,,,0 NDC,0409-8183-01,POTASSIUM ACETATE 2 MEQ/ML SOLN 20 ML VIAL,23.5,11.75,,,0 NDC,0409-8300-10,BIVALIRUDIN 0.1MG/ML FLUSH 0.1 MG/ML 1 EACH VIAL,9.48,4.74,,,0 NDC,0409-9093-32,FENTANYL CITRATE PF (SUBLIMAZE) 50 MCG/ML SOLN 2 ML AMPUL,16.7,8.35,,,0 NDC,0409-9094-12,FENTANYL CITRATE PF (SUBLIMAZE) 50 MCG/ML SOLN,9.92,4.96,,,0 NDC,0409-9094-16,FENTANYL CITRATE PF (SUBLIMAZE) 50 MCG/ML SOLN 20 ML VIAL,18.97,9.48,,,0 NDC,0409-9094-22,FENTANYL CITRATE PF (SUBLIMAZE) 50 MCG/ML SOLN 2 ML VIAL,9.92,4.96,,,0 NDC,0409-9094-25,FENTANYL CITRATE PF (SUBLIMAZE) 50 MCG/ML SOLN 5 ML VIAL,18.86,9.43,,,0 NDC,0409-9094-41,FENTANYL CITRATE PF (SUBLIMAZE) 50 MCG/ML SOLN,15.25,7.619999999999999,,,0 NDC,0409-9157-31,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML SYRG,32.16,16.08,,,0 NDC,0409-9300-10,ROPIVACAINE/CLONIDINE,126.51,63.26,,,0 NDC,0409-9566-01,CEFEPIME 1 GRAM SOLR 1 EACH VIAL,18.63,9.32,,,0 NDC,0409-9566-10,CEFEPIME 1 GRAM SOLR 1 EACH VIAL,18.63,9.32,,,0 NDC,0409-9735-01,CEFEPIME 2 GRAM SOLR 1 EACH VIAL,32.5,16.25,,,0 NDC,0435150012,AEROCHAMBER SPCR,161.9,80.95,,,0 NDC,0436-0672-16,SODIUM HYPOCHLORITE 0.125 % SOLN 473 ML BOTTLE,34.11,17.06,,,0 NDC,0436-0936-16,SODIUM HYPOCHLORITE 0.25 % SOLN 473 ML BOTTLE,34.11,17.06,,,0 NDC,0436-0946-16,SODIUM HYPOCHLORITE 0.5 % SOLN 473 ML BOTTLE,34.11,17.06,,,0 NDC,0456-0400-01,CEFTAROLINE FOSAMIL 400 MG SOLR 1 EACH VIAL,659.72,329.86,,,0 NDC,0456-0458-01,THYROID (PORK) 30 MG TABS,2.19,1.095,,,0 NDC,0456-1201-30,LINACLOTIDE 145 MCG CAPS,35.48,17.74,,,0 NDC,0456-1202-30,LINACLOTIDE 290 MCG CAPS,35.48,17.74,,,0 NDC,0456-1203-30,LINACLOTIDE 72 MCG CAPS,35.48,17.74,,,0 NDC,0456-1512-60,MILNACIPRAN 12.5 MG TABS,20.38,10.19,,,0 NDC,0456-2700-01,CEFTAZIDIME-AVIBACTAM 2.5 GRAM SOLR 1 EACH VIAL,751.2,375.6,,,0 NDC,0469-0520-01,ISAVUCONAZONIUM SULFATE 186 MG CAPS,910.74,455.37,,,0 NDC,0469-0520-02,ISAVUCONAZONIUM SULFATE 186 MG CAPS,910.74,455.37,,,0 NDC,0469-3016-01,TACROLIMUS 5 MG/ML SOLN 1 ML AMPUL,1242.415,621.21,,,0 NDC,0469-3051-30,AMPHOTERICIN B LIPOSOMAL 50 MG SUSR 1 EACH VIAL,3057.0,1528.5,,,0 NDC,0469-3211-10,MICAFUNGIN 100 MG SOLR 1 EACH VIAL,302.5,151.25,,,0 NDC,0469-3250-10,MICAFUNGIN 50 MG SOLR 1 EACH VIAL,452.5,226.25,,,0 NDC,0469-6501-89,REGADENOSON 0.4 MG/5 ML SYRG,82.0,41.0,,,0 NDC,0472-0082-16,ACYCLOVIR 200 MG/5 ML SUSPENSION,17.945,8.975000000000001,,,0 NDC,0472-1738-03,MICONAZOLE 200 MG SUPP,33.47,16.74,,,0 NDC,0480-3310-01,THEOPHYLLINE CR (12 HOUR) 300 MG TB12,2.8,1.4,,,0 NDC,0486-1111-01,POTASSIUM PHOSPHATE 500 MG TBSO,2.33,1.16,,,0 NDC,0487-0201-01,IPRATROPIUM-ALBUTEROL 0.5 MG-3 MG(2.5 MG BASE)/3 ML NEBU,1.9,0.95,,,0 NDC,0487-5901-99,RACEPINEPHRINE 2.25 % NEBU,2.875,1.435,,,0 NDC,0487-9301-33,SODIUM CHLORIDE 0.9 % NEBU,1.61,0.8,,,0 NDC,0487-9501-01,ALBUTEROL 2.5 MG /3 ML (0.083 %) NEBU,1.48,0.74,,,0 NDC,0487-9601-01,BUDESONIDE 0.25 MG/2 ML NBSP,6.0,3.0,,,0 NDC,0487-9701-01,BUDESONIDE 0.5 MG/2 ML NBSP,2.875,1.435,,,0 NDC,0487-9801-01,IPRATROPIUM 0.02 % SOLN,1.45,0.72,,,0 NDC,0487-9901-30,ALBUTEROL 2.5 MG/0.5 ML NEBU,2.5,1.25,,,0 NDC,0487-9904-01,ALBUTEROL 1.25 MG/3 ML NEBU,2.8,1.4,,,0 NDC,0487-9904-25,ALBUTEROL 1.25 MG/3 ML NEBU,2.8,1.4,,,0 NDC,0487900330,SODIUM CHLORIDE 3 % NEBU,2.0,1.0,,,0 NDC,0487900360,SODIUM CHLORIDE 3 % NEBU,2.0,1.0,,,0 NDC,0487900730,SODIUM CHLORIDE 7 % NEBU,1.76,0.88,,,0 NDC,0487900760,SODIUM CHLORIDE 7 % NEBU,1.76,0.88,,,0 NDC,0496-0882-05,LIDOCAINE 4 % CREA 5 G TUBE,9.05,4.52,,,0 NDC,0496-0882-06,LIDOCAINE 4 % CREA 5 G TUBE,9.05,4.52,,,0 NDC,0517-0031-01,"CYANOCOBALAMIN 1,000 MCG/ML SOLN",8.81,4.4,,,0 NDC,0517-0031-25,"CYANOCOBALAMIN 1,000 MCG/ML SOLN",19.5,9.75,,,0 NDC,0517-0374-01,METHYLENE BLUE 5 MG/ML SOLN 10 ML AMPUL,1467.44,733.72,,,0 NDC,0517-0650-01,FERRIC CARBOXYMALTOSE 50 MG IRON/ML SOLN 15 ML VIAL,6526.93,3263.46,,,0 NDC,0517-0720-01,BETAMETHASONE ACETATE & SODIUM PHOSPHATE (CELESTONE) 6 MG/ML SUSPENSION,236.25,118.12,,,0 NDC,0517-0740-01,METHYLERGONOVINE 0.2 MG/ML (1 ML) SOLN,45.0,22.5,,,0 NDC,0517-0901-01,HYDRALAZINE 20 MG/ML SOLN,24.38,12.19,,,0 NDC,0517-0955-01,OLANZAPINE 10 MG/2ML SOLR,127.5,63.75,,,0 NDC,0517-1001-01,ATROPINE 1 MG/ML SOLN,54.28,27.14,,,0 NDC,0517-1001-25,ATROPINE 1 MG/ML SOLN,106.06,53.03,,,0 NDC,0517-1004-01,ATROPINE 0.4 MG/ML SOLN,52.5,26.25,,,0 NDC,0517-1004-25,ATROPINE 0.4 MG/ML SOLN,58.75,29.375,,,0 NDC,0517-1010-25,ATROPINE 1 MG/ML SOLN,57.45,28.72,,,0 NDC,0517-1820-01,CHLOROTHIAZIDE 500 MG SOLR 1 EACH VIAL,200.5,100.25,,,0 NDC,0517-1980-01,DICYCLOMINE 10 MG/ML SOLN,78.25,39.12,,,0 NDC,0517-2102-01,POTASSIUM PHOSPHATES 3 MMOL/ML SOLN 15 ML VIAL,14.83,7.42,,,0 NDC,0517-2310-01,IRON SUCROSE 200 MG IRON/10 ML SOLN 10 ML VIAL,765.19,382.6,,,0 NDC,0517-2325-01,IRON SUCROSE 50 MG IRON/2.5 ML SOLN 2.5 ML VIAL,227.5,113.75,,,0 NDC,0517-2325-10,IRON SUCROSE 50 MG IRON/2.5 ML SOLN 2.5 ML VIAL,452.5,226.25,,,0 NDC,0517-2340-01,IRON SUCROSE 100 MG IRON/5 ML SOLN,170.0,85.0,,,0 NDC,0517-2340-10,IRON SUCROSE 100 MG IRON/5 ML SOLN 5 ML VIAL,340.0,170.0,,,0 NDC,0517-2340-25,IRON SUCROSE 100 MG IRON/5 ML SOLN 5 ML VIAL,226.25,113.125,,,0 NDC,0517-4002-25,PAPAVERINE 30 MG/ML SOLN,145.0,72.5,,,0 NDC,0517-4605-25,GLYCOPYRROLATE 0.2 MG/ML SOLN,19.75,9.88,,,0 NDC,0517-4810-01,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) SOLN,2.575,1.29,,,0 NDC,0517-4810-25,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) SOLN,2.7,1.35,,,0 NDC,0517-5601-25,HYDROXYZINE 50 MG/ML SOLN,178.31,89.16,,,0 NDC,0517-6710-01,CALCIUM CHLORIDE 100 MG/ML (10 %) SOLN 10 ML VIAL,49.06,24.53,,,0 NDC,0517-6710-10,CALCIUM CHLORIDE 100 MG/ML (10 %) SOLN,49.06,24.53,,,0 NDC,0517-7504-01,ACETYLCYSTEINE 100 MG/ML (10 %) SOLN,29.38,14.69,,,0 NDC,0517-7604-01,ACETYLCYSTEINE 200 MG/ML (20 %) SOLN,19.0,9.5,,,0 NDC,0517-7604-25,ACETYLCYSTEINE 200 MG/ML (20 %) SOLN,19.0,9.5,,,0 NDC,0517-9120-01,AMINOCAPROIC ACID 250 MG/ML SOLN 20 ML VIAL,35.88,17.939999999999998,,,0 NDC,0517-9191-01,AMINOCAPROIC ACID 250 MG/ML SOLN 20 ML VIAL,54.44,27.22,,,0 NDC,0517-9302-01,"TRACE ELEMENTS (MULTRYS) ZN-CU-MN-SE 1,000MCG-60MCG- 3 MCG-6 MCG/ML SOLN 1 ML VIAL",41.89,20.945,,,0 NDC,0517-9305-01,TRACE ELEMENTS ZN-CU-MN-SE 3 MG-0.3 MG-55 MCG-60 MCG/ML SOLN 1 ML VIAL,112.565,56.28,,,0 NDC,0517-9305-25,TRACE ELEMENTS ZN-CU-MN-SE 3 MG-0.3 MG-55 MCG-60 MCG/ML SOLN 1 ML VIAL,116.22,58.11,,,0 NDC,0517-9702-01,DROPERIDOL 2.5 MG/ML SOLN,58.44,29.22,,,0 NDC,0517-9702-25,DROPERIDOL 2.5 MG/ML SOLN,58.44,29.22,,,0 NDC,0521-2311-00,WHITE PETROLATUM GEL 52.5 G TUBE,1.88,0.94,,,0 NDC,0527-1552-01,BUTALBITAL-ASPIRIN-CAFFEINE 50-325-40 MG CAPS,2.8,1.4,,,0 NDC,0527-1789-01,FLUPHENAZINE 2.5 MG TABS,1.77,0.88,,,0 NDC,0527-1818-43,SUMATRIPTAN 5 MG/ACTUATION SPRY 6 EACH AER W/ADAP,100.58,50.29,,,0 NDC,0527-4117-37,PROPRANOLOL LA 80 MG CS24,1.67,0.84,,,0 NDC,0527-5125-70,LACTULOSE 10 GRAM/15 ML SOLN 473 ML BOTTLE,14.65,7.32,,,0 NDC,0527-6004-80,LIDOCAINE 4 % (40 MG/ML) SOLN 50 ML BOTTLE,71.0,35.5,,,0 NDC,0536-0091-85,ALUMINUM HYDROXIDE GEL 320 MG/5 ML SUSPENSION,1.0,0.5,,,0 NDC,0536-1048-15,CALCIUM CARBONATE 200 MG CALCIUM (500 MG) CHEW,1.0,0.5,,,0 NDC,0536-1055-56,BENZOYL PEROXIDE 5 % GEL 42.5 G TUBE,7.69,3.84,,,0 NDC,0536-1107-88,NICOTINE 14 MG/24 HR PT24,3.14,1.57,,,0 NDC,0536-1142-63,LEVONORGESTREL 1.5 MG TABS,19.2,9.6,,,0 NDC,0536-1161-37,DEXTROMETHORPHAN-GUAIFENESIN 30-600 MG TB12,1.0,0.5,,,0 NDC,0536-1186-12,PHENYLEPHRINE-COCOA BUTTER 0.25-88.44 % SUPP,1.39,0.7,,,0 NDC,0536-1202-07,LIDOCAINE 4 % PTMD,2.76,1.38,,,0 NDC,0536-1202-15,LIDOCAINE 4 % PTMD,3.68,1.84,,,0 NDC,0536-1217-94,TETRAHYDROZOLINE 0.05 % DROP 15 ML DROP BTL,1.0,0.5,,,0 NDC,0536-1232-01,ASPIRIN EC 325 MG TBEC,1.0,0.5,,,0 NDC,0536-1248-01,SENNA-DOCUSATE 8.6-50 MG TABS,1.0,0.5,,,0 NDC,0536-1248-10,SENNA-DOCUSATE 8.6-50 MG TABS,1.0,0.5,,,0 NDC,0536-1252-40,KETOTIFEN 0.025 % (0.035 %) DROP,6.395,3.2,,,0 NDC,0536-1253-91,SODIUM CHLORIDE 5 % OINT 3.5 G TUBE,25.54,12.77,,,0 NDC,0536-1254-94,SODIUM CHLORIDE 5 % DROP 15 ML DROP BTL,15.805,7.9,,,0 NDC,0536-1256-28,BACITRACIN 500 UNIT/GRAM OINT 30 G TUBE,30.0,15.0,,,0 NDC,0536-1263-28,BACITRACIN 500 UNIT/GRAM OINT 28 G TUBE,14.5,7.25,,,0 NDC,0536-1265-11,CLOTRIMAZOLE 1 % CREA 14.17 G TUBE,14.17,7.08,,,0 NDC,0536-1268-12,CAMPHOR-MENTHOL 0.5-0.5 % LOTN 222 ML BOTTLE,16.54,8.27,,,0 NDC,0536-1271-80,POVIDONE-IODINE 10 % OINT 28.4 G TUBE,6.27,3.14,,,0 NDC,0536-1294-97,DICLOFENAC SODIUM 1 % GEL 100 G TUBE,13.25,6.62,,,0 NDC,0536-1303-75,SIMETHICONE 40 MG/0.6 ML DRPS 30 ML DROP BTL,1.0,0.5,,,0 NDC,0536-1316-25,ZINC OXIDE 20 % OINT 60 G TUBE,60.0,30.0,,,0 NDC,0536-1316-28,ZINC OXIDE 20 % OINT 30 G TUBE,30.0,15.0,,,0 NDC,0536-1326-01,ASPIRIN-ACETAMINOPHEN-CAFFEINE 250-250-65 MG TABS,1.0,0.5,,,0 NDC,0536-1375-75,MICONAZOLE 2 % CREA 30 G TUBE,30.0,15.0,,,0 NDC,0536-1995-53,SELENIUM SULFIDE 1 % SHAM 207 ML BOTTLE,207.0,103.5,,,0 NDC,0536-2525-25,CAPSAICIN 0.025 % CREA 60 G TUBE,12.13,6.06,,,0 NDC,0536-5894-88,NICOTINE 7 MG/24 HR PT24,3.14,1.57,,,0 NDC,0536-5896-53,NICOTINE 21 MG/24 HR PT24,3.14,1.57,,,0 NDC,0536-7415-51,SODIUM PHOSPHATES 19-7 GRAM/118 ML ENEM 133 ML SQUEEZ BTL,3.39,1.7,,,0 NDC,0536110945,UREA 20 % CREA 85 G TUBE,26.29,13.14,,,0 NDC,0536135807,COENZYME 10 30 MG CAPS,1.56,0.78,,,0 NDC,0536440601,PYRIDOXINE (VITAMIN B6) 25 MG TABS,1.03,0.52,,,0 NDC,0536730001,B COMPLEX-VITAMIN C-FOLIC ACID 0.8 MG TABS,1.0,0.5,,,0 NDC,0538800924,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) CAPS",1.0,0.5,,,0 NDC,0538800927,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) CAPS",1.07,0.54,,,0 NDC,0548-5400-00,MEDROXYPROGESTERONE 150 MG/ML SUSPENSION,158.75,79.38,,,0 NDC,0548-5900-00,COSYNTROPIN 0.25 MG SOLR,422.6,211.3,,,0 NDC,0548-9090-10,HYALURONIDASE 150 UNIT/ML SOLN,98.02,49.01,,,0 NDC,0548-9502-00,ISOPROTERENOL 0.2 MG/ML SOLN 5 ML VIAL,877.5,438.75,,,0 NDC,0555-0159-02,CHLORDIAZEPOXIDE 25 MG CAPS,0.74,0.37,,,0 NDC,0555-0635-09,DANAZOL 200 MG CAPS,25.99,13.0,,,0 NDC,0555-0779-02,MEDROXYPROGESTERONE 10 MG TABS,1.9300000000000002,0.9650000000000001,,,0 NDC,0555-0872-02,MEDROXYPROGESTERONE 2.5 MG TABS,1.41,0.7,,,0 NDC,0555-0899-02,ESTRADIOL 0.5 MG TABS,1.11,0.56,,,0 NDC,0574-0106-01,BROMOCRIPTINE 2.5 MG TABS,9.51,4.75,,,0 NDC,0574-0107-14,CLOTRIMAZOLE 10 MG TROC,3.97,1.98,,,0 NDC,0574-0107-70,CLOTRIMAZOLE 10 MG TROC,3.97,1.98,,,0 NDC,0574-0275-00,POTASSIUM CHLORIDE 10 MEQ TBSR,0.9299999999999999,0.46,,,0 NDC,0574-0292-01,AMILORIDE 5 MG TABS,1.6,0.8,,,0 NDC,0574-0520-74,ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML SUSPENSION,40.96,20.48,,,0 NDC,0574-0521-74,ACTIVATED CHARCOAL 25 GRAM/120 ML SUSPENSION,40.96,20.48,,,0 NDC,0574-0850-10,DIHYDROERGOTAMINE 1 MG/ML SOLN,389.48,194.74,,,0 NDC,0574-4022-35,BACITRACIN 500 UNIT/GRAM OINT 3.5 G TUBE,276.2,138.1,,,0 NDC,0574-4024-11,ERYTHROMYCIN 5 MG/GRAM (0.5 %) OINT 1 G TUBE,24.12,12.06,,,0 NDC,0574-4024-50,ERYTHROMYCIN 5 MG/GRAM (0.5 %) OINT 1 G TUBE,24.12,12.06,,,0 NDC,0574-7034-12,ASPIRIN 300 MG SUPP,4.5,2.25,,,0 NDC,0574-7050-12,BISACODYL 10 MG SUPP,1.22,0.61,,,0 NDC,0574-7050-50,BISACODYL 10 MG SUPP,1.22,0.61,,,0 NDC,0574006915,DEXTROSE 40 % GEL,3.7,1.85,,,0 NDC,0574007015,DEXTROSE 40 % GEL 37.5 G TUBE,3.7,1.85,,,0 NDC,0574050811,FERROUS GLUCONATE 324 MG (37.5 MG IRON) TABS,1.065,0.53,,,0 NDC,0591-0343-01,VERAPAMIL 80 MG TABS,1.14,0.57,,,0 NDC,0591-0347-01,HYDROCHLOROTHIAZIDE 12.5 MG CAPS,1.16,0.58,,,0 NDC,0591-0404-01,VERAPAMIL 40 MG TABS,1.47,0.74,,,0 NDC,0591-0900-30,GLIPIZIDE XL 2.5 MG TR24,2.01,1.0,,,0 NDC,0591-2258-54,SCOPOLAMINE 1 MG OVER 3 DAYS PT3D,23.2,11.6,,,0 NDC,0591-2520-01,CHLORZOXAZONE 500 MG TABS,1.75,0.88,,,0 NDC,0591-2579-20,VALGANCICLOVIR 50 MG/ML SOLR,182.01,91.0,,,0 NDC,0591-2882-01,VERAPAMIL 24HR 180 MG C24P,5.57,2.78,,,0 NDC,0591-2998-01,URSODIOL,1.365,0.6849999999999999,,,0 NDC,0591-3159-01,URSODIOL 300 MG CAPS,2.0,1.0,,,0 NDC,0591-3217-26,TESTOSTERONE 1% GLPK 5 G PACKET,830.5,415.25,,,0 NDC,0591-3541-60,BUPROPION SR 150 MG SR12,1.11,0.56,,,0 NDC,0591-4012-01,VALPROIC ACID 250 MG CAPS,1.79,0.9,,,0 NDC,0591-4101-01,PERPHENAZINE 2 MG TABS,1.35,0.68,,,0 NDC,0591-5347-01,PROBENECID 500 MG TABS,2.7,1.35,,,0 NDC,0591-5694-60,MINOCYCLINE 50 MG CAPS,1.8599999999999999,0.9299999999999999,,,0 NDC,0597-0024-02,IPRATROPIUM-ALBUTEROL 20-100 MCG/ACTUATION MIST 4 G AER W/ADAP,768.64,384.32,,,0 NDC,0597-0087-17,IPRATROPIUM BROMIDE 17 MCG/ACTUATION HFAA 12.9 G AER W/ADAP,1186.16,593.08,,,0 NDC,0597-0100-51,TIOTROPIUM BROMIDE 2.5 MCG/ACTUATION MIST 4 G AER W/ADAP,193.5,96.75,,,0 NDC,0597-0100-61,TIOTROPIUM BROMIDE 2.5 MCG/ACTUATION MIST 4 G AER W/ADAP,193.5,96.75,,,0 NDC,0597-0155-70,TIOTROPIUM-OLODATEROL 2.5-2.5 MCG/ACTUATION MIST 4 G AER W/ADAP,193.5,96.75,,,0 NDC,0597-0192-61,OLODATEROL 2.5 MCG/ACTUATION MIST 4 G AER W/ADAP,434.87,217.44,,,0 NDC,0597-0355-56,DABIGATRAN 75 MG CAPS,14.014999999999999,7.01,,,0 NDC,0597-0360-82,DABIGATRAN 150 MG CAPS,13.0,6.5,,,0 NDC,0603-0857-05,GUAIFENESIN 100 MG/5 ML LIQD,5.05,2.52,,,0 NDC,0603-3581-21,FELODIPINE 2.5 MG TB24,2.925,1.46,,,0 NDC,0603-5338-21,PREDNISONE 10 MG TABS,0.15,0.08,,,0 NDC,0641-0367-21,DEXAMETHASONE 10 MG/ML SOLN,10.25,5.12,,,0 NDC,0641-0367-25,DEXAMETHASONE 10 MG/ML SOLN,10.25,5.12,,,0 NDC,0641-0376-21,DIPHENHYDRAMINE 50 MG/ML SOLN,7.63,3.82,,,0 NDC,0641-0376-25,DIPHENHYDRAMINE 50 MG/ML SOLN,7.63,3.82,,,0 NDC,0641-0391-12,"HEPARIN 1,000 UNIT/ML SOLN",6.39,3.2,,,0 NDC,0641-0400-37,"HEPARIN 5,000 UNIT/ML SOLN",6.84,3.42,,,0 NDC,0641-0476-21,PHENOBARBITAL 65 MG/ML SOLN,90.0,45.0,,,0 NDC,0641-0477-21,PHENOBARBITAL 130 MG/ML SOLN 1 ML VIAL,562.235,281.12,,,0 NDC,0641-0493-21,PHENYTOIN 50 MG/ML SOLN,9.75,4.88,,,0 NDC,0641-0493-25,PHENYTOIN 50 MG/ML SOLN,9.75,4.88,,,0 NDC,0641-0928-21,PROMETHAZINE 25 MG/ML SOLN,7.75,3.88,,,0 NDC,0641-1397-31,CHLORPROMAZINE 25 MG/ML SOLN,56.67,28.335,,,0 NDC,0641-1397-35,CHLORPROMAZINE 25 MG/ML SOLN,80.5,40.25,,,0 NDC,0641-1410-31,DIGOXIN 250 MCG/ML (0.25 MG/ML) SOLN,36.88,18.44,,,0 NDC,0641-1495-31,PROMETHAZINE 25 MG/ML SOLN,7.75,3.88,,,0 NDC,0641-2440-41,"HEPARIN 1,000 UNITS/ML SYRINGE (CRRT ONLY)",16.81,8.4,,,0 NDC,0641-6001-01,LORAZEPAM 2 MG/ML SOLN,11.36,5.68,,,0 NDC,0641-6007-01,BUMETANIDE 0.25 MG/ML SOLN 10 ML VIAL,16.69,8.345,,,0 NDC,0641-6007-10,BUMETANIDE 0.25 MG/ML SOLN 10 ML VIAL,55.28,27.64,,,0 NDC,0641-6008-01,BUMETANIDE 0.25 MG/ML SOLN,10.95,5.48,,,0 NDC,0641-6013-01,DILTIAZEM 5 MG/ML SOLN,15.81,7.9,,,0 NDC,0641-6020-01,MORPHINE 0.5 MG/ML SOLN,5.075,2.54,,,0 NDC,0641-6022-01,FAMOTIDINE (PF) 10 MG/ML SOLN,7.06,3.53,,,0 NDC,0641-6022-25,FAMOTIDINE (PF) 10 MG/ML SOLN,7.06,3.53,,,0 NDC,0641-6023-25,FAMOTIDINE 10 MG/ML SOLN 4 ML VIAL,13.63,6.82,,,0 NDC,0641-6027-01,FENTANYL CITRATE PF (SUBLIMAZE) 50 MCG/ML SOLN,9.92,4.96,,,0 NDC,0641-6029-01,FENTANYL CITRATE PF (SUBLIMAZE) 50 MCG/ML SOLN 20 ML VIAL,51.56,25.78,,,0 NDC,0641-6030-01,FENTANYL CITRATE 2500MCG IN 50ML 50 MCG/ML SOLN,131.6,65.8,,,0 NDC,0641-6044-01,LORAZEPAM 2 MG/ML SOLN,11.36,5.68,,,0 NDC,0641-6048-01,LORAZEPAM 2 MG/ML SOLN,11.36,5.68,,,0 NDC,0641-6052-01,MEPERIDINE,20.22,10.11,,,0 NDC,0641-6056-01,MIDAZOLAM 1 MG/ML SOLN 10 ML VIAL,71.0,35.5,,,0 NDC,0641-6057-01,MIDAZOLAM 1 MG/ML SOLN 2 ML VIAL,6.86,3.43,,,0 NDC,0641-6059-01,MIDAZOLAM 1 MG/ML SOLN 5 ML VIAL,8.27,4.14,,,0 NDC,0641-6061-01,MIDAZOLAM 5 MG/ML SOLN 1 ML VIAL,12.2,6.1,,,0 NDC,0641-6078-01,ONDANSETRON (PF) 4 MG/2 ML SOLN,5.38,2.69,,,0 NDC,0641-6078-25,ONDANSETRON (PF) 4 MG/2 ML SOLN,5.38,2.69,,,0 NDC,0641-6079-01,ONDANSETRON 2 MG/ML SOLN 20 ML VIAL,6.875,3.44,,,0 NDC,0641-6080-01,ONDANSETRON (PF) 4 MG/2 ML SOLN,5.38,2.69,,,0 NDC,0641-6084-01,PROMETHAZINE 25 MG/ML SOLN,7.75,3.88,,,0 NDC,0641-6103-01,METHOCARBAMOL 100 MG/ML SOLN,39.75,19.88,,,0 NDC,0641-6116-01,AMPICILLIN/SULBACTAM 1.5 GRAM SOLR 1 EACH VIAL,17.13,8.56,,,0 NDC,0641-6117-01,AMPICILLIN/SULBACTAM 3 GRAM SOLR 1 EACH VIAL,22.5,11.25,,,0 NDC,0641-6127-01,MORPHINE 10 MG/ML SOLN,9.85,4.92,,,0 NDC,0641-6127-25,MORPHINE 10 MG/ML SOLN,14.695,7.35,,,0 NDC,0641-6132-01,NALOXONE 0.4 MG/ML SOLN,28.75,14.38,,,0 NDC,0641-6135-01,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) SOLN,31.19,15.6,,,0 NDC,0641-6136-01,FOSPHENYTOIN 100 MG PE/2 ML SOLN,15.25,7.625,,,0 NDC,0641-6136-25,FOSPHENYTOIN 100 MG PE/2 ML SOLN 2 ML VIAL,59.5,29.75,,,0 NDC,0641-6142-01,PHENYLEPHRINE 10 MG/ML SOLN,9.56,4.78,,,0 NDC,0641-6164-01,CAFFEINE CITRATED 30 MG/1.5 ML SOLN,86.35,43.18,,,0 NDC,0641-6166-01,"AMIKACIN 1,000 MG/4 ML SOLN 4 ML VIAL",48.13,24.06,,,0 NDC,0641-6174-01,OCTREOTIDE 50 MCG/ML SOLN,17.0,8.5,,,0 NDC,0641-6175-01,OCTREOTIDE 100 MCG/ML SOLN,12.895,6.445,,,0 NDC,0641-6175-10,OCTREOTIDE 100 MCG/ML SOLN,23.75,11.88,,,0 NDC,0641-6176-01,OCTREOTIDE 500 MCG/ML SOLN,95.63,47.82,,,0 NDC,0641-6177-01,OCTREOTIDE ACETATE 200 MCG/ML SOLN 5 ML VIAL,172.5,86.25,,,0 NDC,0641-6178-01,"OCTREOTIDE 1,000 MCG/ML SOLN 5 ML VIAL",99.0,49.5,,,0 NDC,0641-6188-01,PHENYLEPHRINE 10 MG/ML SOLN 5 ML VIAL,33.75,16.88,,,0 NDC,0641-6189-01,PHENYLEPHRINE 10 MG/ML SOLN,33.75,16.88,,,0 NDC,0641-6189-10,PHENYLEPHRINE 10 MG/ML SOLN,33.75,16.88,,,0 NDC,0641-6194-10,PROPOFOL 10 MG/ML EMUL,11.5,5.75,,,0 NDC,0641-6206-01,HYDROMORPHONE 0.5 MG/0.5 ML SYRG,22.6,11.3,,,0 NDC,0641-6228-01,THIAMINE 100 MG/ML SOLN 2 ML VIAL,40.0,20.0,,,0 NDC,0641-6228-25,THIAMINE 100 MG/ML SOLN 2 ML VIAL,118.75,59.38,,,0 NDC,0641-6231-01,HYDRALAZINE 20 MG/ML SOLN,24.38,12.19,,,0 NDC,0641-6244-01,DIAZEPAM 5 MG/ML SYRG,92.5,46.25,,,0 NDC,0641-6247-01,FENTANYL CITRATE PF (SUBLIMAZE) 50 MCG/ML SOLN,16.7,8.35,,,0 NDC,0641-6253-01,REGADENOSON 0.4 MG/5 ML SYRG,82.0,41.0,,,0 NDC,0641-9217-01,DILTIAZEM 5 MG/ML SOLN,15.81,7.9,,,0 NDC,0699-3100-02,BENZOCAINE 20 % SPRA,46.964999999999996,23.48,,,0 NDC,0703-0018-01,HYDROMORPHONE (PF) 10 MG/ML SOLN,25.67,12.835,,,0 NDC,0703-0676-01,TREPROSTINIL 2.5 MG/ML SOLN 20 ML VIAL,483.8,241.9,,,0 NDC,0703-0686-01,TREPROSTINIL 5 MG/ML SOLN 20 ML VIAL,2546.5750000000003,1273.29,,,0 NDC,0703-0696-01,TREPROSTINIL 10 MG/ML SOLN 20 ML VIAL,7497.24,3748.62,,,0 NDC,0703-1501-02,ALPROSTADIL 10MCG/1ML SOLN 1 ML VIAL,7.584999999999999,3.795,,,0 NDC,0703-3213-01,PACLITAXEL 6 MG/ML CONC 5 ML VIAL,97.65,48.82,,,0 NDC,0703-3217-01,PACLITAXEL 6 MG/ML CONC 25 ML VIAL,307.6,153.8,,,0 NDC,0703-3678-01,METHOTREXATE 25 MG/ML SOLN 40 ML VIAL,982.59,491.3,,,0 NDC,0703-9258-01,GLYCINE DILUENT SOLN 50 ML VIAL,149.38,74.69,,,0 NDC,0703-9514-91,TRIMETHOPRIM-SULFAMETHOXAZOLE 80-400 MG/5 ML SOLN 10 ML VIAL,154.5,77.25,,,0 NDC,0703-9526-01,TRIMETHOPRIM-SULFAMETHOXAZOLE 80-400 MG/5 ML SOLN 30 ML VIAL,144.225,72.11,,,0 NDC,0713-0280-31,BACITRACIN 500 UNIT/GRAM OINT 28.4 G TUBE,28.4,14.2,,,0 NDC,0713-0351-02,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) SOLN,31.19,15.6,,,0 NDC,0713-0503-06,HYDROCORTISONE 25 MG SUPP,2.44,1.22,,,0 NDC,0713-0503-24,HYDROCORTISONE 25 MG SUPP,2.44,1.22,,,0 NDC,0713-0536-06,PROMETHAZINE 12.5 MG SUPP,15.225000000000001,7.615,,,0 NDC,0713-0637-37,METRONIDAZOLE 0.75 % GEL 45 G TUBE,344.04,172.02,,,0 NDC,0713-0659-15,BETAMETHASONE DIPROPIONATE 0.05 % CREA 15 G TUBE,32.03,16.02,,,0 NDC,0713-0676-53,TRIAMCINOLONE ACETONIDE 0.1 % LOTN 60 ML BOTTLE,64.0,32.0,,,0 NDC,0713-0683-15,GENTAMICIN 0.1 % CREA 15 G TUBE,44.73,22.36,,,0 NDC,0761-0195-20,CALCIUM CITRATE 200 MG (950 MG) TABS,1.0,0.5,,,0 NDC,0761032024,MAGNESIUM OXIDE 400 MG MAGNESIUM TABS,1.1,0.55,,,0 NDC,0781-1061-01,ALPRAZOLAM 0.25 MG TABS,0.12,0.06,,,0 NDC,0781-1061-05,ALPRAZOLAM 0.25 MG TABS,0.12,0.06,,,0 NDC,0781-1079-01,ALPRAZOLAM 1 MG TABS,1.11,0.56,,,0 NDC,0781-1486-01,AMITRIPTYLINE 10 MG TABS,1.16,0.58,,,0 NDC,0781-2074-01,TRIAMTERENE-HCTZ 37.5-25 MG CAPS,1.52,0.76,,,0 NDC,0781-2081-02,CALCIUM ACETATE(PHOSPHAT BIND) 667 MG CAPS,1.0,0.5,,,0 NDC,0781-2145-01,AMPICILLIN 500 MG CAPS,2.01,1.0,,,0 NDC,0781-3040-72,PYRIDOSTIGMINE 5 MG/ML SOLN,213.5,106.75,,,0 NDC,0781-3059-72,DIGOXIN 250 MCG/ML (0.25 MG/ML) SOLN,36.88,18.44,,,0 NDC,0781-3098-94,MEROPENEM 1 GRAM SOLR 1 EACH VIAL,32.19,16.1,,,0 NDC,0781-3110-90,PIPERACILLIN-TAZOBACTAM 2250 MG SOLR 1 EACH VIAL,21.19,10.6,,,0 NDC,0781-3113-90,PIPERACILLIN-TAZOBACTAM 3375 MG SOLR 1 EACH VIAL,21.25,10.62,,,0 NDC,0781-3114-91,PIPERACILLIN-TAZOBACTAM 4500 MG SOLR 1 EACH VIAL,37.56,18.78,,,0 NDC,0781-3156-06,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) SOLN",49.38,24.69,,,0 NDC,0781-3156-95,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) SOLN",49.38,24.69,,,0 NDC,0781-3159-72,OLANZAPINE 10 MG/2ML SOLR,127.5,63.75,,,0 NDC,0781-3209-90,CEFTRIAXONE 2 GRAM SOLR 1 EACH VIAL,14.5,7.25,,,0 NDC,0781-3232-94,PANTOPRAZOLE 40 MG SOLR,20.0,10.0,,,0 NDC,0781-3232-95,PANTOPRAZOLE 40 MG SOLR 1 EACH VIAL,20.0,10.0,,,0 NDC,0781-3288-09,CLINDAMYCIN 300 MG/50 ML PGBK,27.8,13.9,,,0 NDC,0781-3288-91,CLINDAMYCIN 300 MG/50 ML PGBK,29.1,14.55,,,0 NDC,0781-3289-09,CLINDAMYCIN 600 MG/50 ML PGBK,18.0,9.0,,,0 NDC,0781-3289-91,CLINDAMYCIN 600 MG/50 ML PGBK,18.0,9.0,,,0 NDC,0781-3290-09,CLINDAMYCIN 900 MG/50 ML PGBK,22.0,11.0,,,0 NDC,0781-3290-91,CLINDAMYCIN 900 MG/50 ML PGBK,22.0,11.0,,,0 NDC,0781-3312-75,PALONOSETRON 0.25 MG/5 ML SOLN,40.0,20.0,,,0 NDC,0781-3407-78,AMPICILLIN 500 MG SOLR,13.13,6.56,,,0 NDC,0781-3408-80,AMPICILLIN 2 GRAM SOLR 1 EACH VIAL,17.06,8.53,,,0 NDC,0781-3408-95,AMPICILLIN 2 GRAM SOLR 1 EACH VIAL,89.88,44.94,,,0 NDC,0781-3416-94,VORICONAZOLE 200 MG SOLR 1 EACH VIAL,217.285,108.64,,,0 NDC,0781-3433-46,LINEZOLID IN DEXTROSE 5% 600 MG/300 ML PGBK,50.0,25.0,,,0 NDC,0781-3440-71,COSYNTROPIN 0.25 MG SOLR,456.2,228.1,,,0 NDC,0781-3443-94,FONDAPARINUX 2.5 MG/0.5 ML SYRG,79.06,39.53,,,0 NDC,0781-3450-70,CEFAZOLIN,36.43,18.22,,,0 NDC,0781-3454-94,FONDAPARINUX 5 MG/0.4 ML SYRG,239.72,119.86,,,0 NDC,0781-3458-95,PHENYLEPHRINE 10 MG/ML SOLN 5 ML VIAL,33.75,16.88,,,0 NDC,0781-3465-94,FONDAPARINUX 7.5 MG/0.6 ML SYRG,185.31,92.66,,,0 NDC,0781-3466-70,PHENYLEPHRINE 10 MG/ML SOLN,33.75,16.88,,,0 NDC,0781-3481-70,TIGECYCLINE 50 MG SOLR 1 EACH VIAL,359.24,179.62,,,0 NDC,0781-3755-75,NOREPINEPHRINE 1 MG/ML SOLN,21.88,10.940000000000001,,,0 NDC,0781-3755-95,NOREPINEPHRINE 1 MG/ML SOLN,23.13,11.56,,,0 NDC,0781-5325-01,BROMOCRIPTINE 2.5 MG TABS,10.01,5.0,,,0 NDC,0781-6021-94,DILUENT FOR TREPROSTINIL (GLY) SOLN 50 ML VIAL,121.095,60.55,,,0 NDC,0781-6023-52,CLARITHROMYCIN 250 MG/5 ML SUSR,56.58,28.29,,,0 NDC,0781-6153-95,"PENICILLIN G POTASSIUM 300,000 SYRG",41.79,20.9,,,0 NDC,0781-6186-67,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % DRPS 7.5 ML DROP BTL,294.43,147.22,,,0 NDC,0781-7304-58,RIVASTIGMINE 4.6 MG/24 HOUR PT24,6.0,3.0,,,0 NDC,0781-8034-01,TRIFLUOPERAZINE 5 MG TABS,4.41,2.2,,,0 NDC,0781-9317-80,OXALIPLATIN 100 MG/20 ML SOLN 20 ML VIAL,60.86,30.43,,,0 NDC,0832-0038-01,OXYBUTYNIN 5 MG TABS,1.14,0.57,,,0 NDC,0832-0038-89,OXYBUTYNIN 5 MG TABS,1.14,0.57,,,0 NDC,0832-0512-01,BETHANECHOL 25 MG TABS,1.74,0.87,,,0 NDC,0832-0512-89,BETHANECHOL 25 MG TABS,1.74,0.87,,,0 NDC,0832-1120-65,TESTOSTERONE 1% GEL 5 G TUBE,2909.5,1454.75,,,0 NDC,0832-1211-00,WARFARIN 1 MG TABS,1.09,0.54,,,0 NDC,0832-1211-01,WARFARIN 0.5 MG TABS,1.09,0.54,,,0 NDC,0832-1211-89,WARFARIN 1 MG TABS,0.09,0.04,,,0 NDC,0832-1212-89,WARFARIN 2 MG TABS,0.09,0.04,,,0 NDC,0832-1214-89,WARFARIN 3 MG TABS,1.145,0.575,,,0 NDC,0832-1218-00,WARFARIN 7.5 MG TABS,0.13,0.06,,,0 NDC,0832-1218-89,WARFARIN 7.5 MG TABS,0.13,0.06,,,0 NDC,0832-1219-00,WARFARIN 10 MG TABS,0.6299999999999999,0.31000000000000005,,,0 NDC,0832-1219-89,WARFARIN 10 MG TABS,0.13,0.06,,,0 NDC,0832-1671-11,FLUVOXAMINE 50 MG TABS,2.145,1.075,,,0 NDC,0832-6032-05,FLUOXETINE 20 MG/5 ML (4 MG/ML) SOLN,17.68,8.84,,,0 NDC,0832-7123-89,DIVALPROEX DR 250 MG TBEC,0.36,0.18,,,0 NDC,0832-7124-89,DIVALPROEX DR 500 MG TBEC,0.39,0.2,,,0 NDC,0832051289,BETHANECHOL 25 MG TABS,1.74,0.87,,,0 NDC,0904-0012-61,CHLORPHENIRAMINE 4 MG TABS,1.02,0.51,,,0 NDC,0904-0428-04,DOXYCYCLINE HYCLATE 100 MG CAPS,1.34,0.67,,,0 NDC,0904-0734-31,"NEOMYCIN-BACITRACIN-POLYMYXIN 3.5MG-400 UNIT- 5,000 UNIT/GRAM OINT 28 G TUBE",28.0,14.0,,,0 NDC,0904-1315-46,BISMUTH SUBSALICYLATE 262 MG CHEW,1.0,0.5,,,0 NDC,0904-2056-61,DIPHENHYDRAMINE 50 MG CAPS,1.0,0.5,,,0 NDC,0904-2533-21,CALAMINE-ZINC OXIDE LOTN 177 ML BOTTLE,5.96,2.98,,,0 NDC,0904-2725-61,TRIMETHOPRIM-SULFAMETHOXAZOLE 160-800 MG TABS,0.77,0.385,,,0 NDC,0904-3854-61,CARBAMAZEPINE 100 MG CHEW,1.93,0.96,,,0 NDC,0904-3865-75,SODIUM CHLORIDE 0.65 % SPRA 44 ML SQUEEZ BTL,44.0,22.0,,,0 NDC,0904-5053-59,PSEUDOEPHEDRINE 30 MG TABS,1.025,0.515,,,0 NDC,0904-5306-61,DIPHENHYDRAMINE 25 MG CAPS,1.0,0.5,,,0 NDC,0904-5354-31,DIPHENHYDRAMINE-ZINC 2-0.1 % CREA 28 G TUBE,28.0,14.0,,,0 NDC,0904-5448-61,PENTOXIFYLLINE CR 400 MG TBSR,1.76,0.88,,,0 NDC,0904-5502-61,ENALAPRIL 5 MG TABS,1.16,0.58,,,0 NDC,0904-5524-61,DOXAZOSIN 4 MG TABS,0.2,0.1,,,0 NDC,0904-5611-61,ENALAPRIL 20 MG TABS,1.4,0.7,,,0 NDC,0904-5676-61,PAROXETINE 10 MG TABS,1.16,0.58,,,0 NDC,0904-5731-82,WHITE PETROLATUM GEL 368 G JAR,4.86,2.43,,,0 NDC,0904-5784-61,FLUOXETINE 10 MG CAPS,1.05,0.52,,,0 NDC,0904-5785-61,FLUOXETINE 20 MG CAPS,0.05,0.02,,,0 NDC,0904-5789-61,ACYCLOVIR 200 MG CAPS,1.14,0.57,,,0 NDC,0904-5853-40,IBUPROFEN 400 MG TABS,0.5700000000000001,0.29000000000000004,,,0 NDC,0904-5853-61,IBUPROFEN 400 MG TABS,0.07,0.04,,,0 NDC,0904-5854-60,IBUPROFEN 600 MG TABS,1.09,0.54,,,0 NDC,0904-5854-61,IBUPROFEN 600 MG TABS,1.09,0.54,,,0 NDC,0904-5891-61,PRAVASTATIN 10 MG TABS,1.05,0.52,,,0 NDC,0904-5892-61,PRAVASTATIN 20 MG TABS,0.5700000000000001,0.29000000000000004,,,0 NDC,0904-5921-61,DIGOXIN 125 MCG (0.125 MG) TABS,1.19,0.6,,,0 NDC,0904-5922-61,DIGOXIN 250 MCG (0.25 MG) TABS,1.21,0.6,,,0 NDC,0904-5959-61,CLINDAMYCIN 150 MG CAPS,1.86,0.93,,,0 NDC,0904-6007-61,LORAZEPAM 0.5 MG TABS,0.02,0.01,,,0 NDC,0904-6009-61,LORAZEPAM 2 MG TABS,0.6399999999999999,0.31999999999999995,,,0 NDC,0904-6082-61,ZOLPIDEM 5 MG TABS,0.5800000000000001,0.29000000000000004,,,0 NDC,0904-6084-61,CITALOPRAM 10 MG TABS,1.12,0.56,,,0 NDC,0904-6085-61,CITALOPRAM 20 MG TABS,0.13,0.06,,,0 NDC,0904-6172-61,CARBAMAZEPINE 200 MG TABS,1.12,0.56,,,0 NDC,0904-6187-61,PHENYTOIN ER 100 MG CAPS,0.69,0.35,,,0 NDC,0904-6255-49,SORE THROAT LOZENGE 15-3.6 MG LOZG,1.0,0.5,,,0 NDC,0904-6283-61,OLANZAPINE 2.5 MG TABS,0.19,0.1,,,0 NDC,0904-6290-61,ATORVASTATIN 10 MG TABS,1.03,0.52,,,0 NDC,0904-6291-61,ATORVASTATIN 20 MG TABS,0.05,0.02,,,0 NDC,0904-6292-61,ATORVASTATIN 40 MG TABS,0.07,0.04,,,0 NDC,0904-6293-04,ATORVASTATIN 80 MG TABS,1.12,0.56,,,0 NDC,0904-6294-61,CLOPIDOGREL 75 MG TABS,1.11,0.56,,,0 NDC,0904-6300-61,CARVEDILOL 3.125 MG TABS,0.03,0.02,,,0 NDC,0904-6302-61,CARVEDILOL 12.5 MG TABS,0.56,0.28,,,0 NDC,0904-6322-06,METOPROLOL XL 25 MG TB24,1.14,0.57,,,0 NDC,0904-6322-61,METOPROLOL XL 25 MG TB24,1.14,0.57,,,0 NDC,0904-6323-61,METOPROLOL XL 50 MG TB24,1.13,0.56,,,0 NDC,0904-6329-46,CARBOXYMETHYLCELLULOSE 0.5 % DPET,1.0,0.5,,,0 NDC,0904-6351-61,LEVOFLOXACIN 250 MG TABS,1.28,0.64,,,0 NDC,0904-6352-61,LEVOFLOXACIN 500 MG TABS,0.47,0.24,,,0 NDC,0904-6358-61,RISPERIDONE 0.5 MG TABS,0.8600000000000001,0.43000000000000005,,,0 NDC,0904-6359-61,RISPERIDONE 1 MG TABS,1.4,0.7,,,0 NDC,0904-6360-61,RISPERIDONE 2 MG TABS,1.66,0.83,,,0 NDC,0904-6361-61,RISPERIDONE 3 MG TABS,1.45,0.72,,,0 NDC,0904-6369-61,AMLODIPINE 2.5 MG TABS,1.02,0.51,,,0 NDC,0904-6370-61,AMLODIPINE 5 MG TABS,0.04,0.02,,,0 NDC,0904-6371-61,AMLODIPINE 10 MG TABS,1.05,0.52,,,0 NDC,0904-6373-61,ROPINIROLE 0.25 MG TABS,1.24,0.62,,,0 NDC,0904-6374-61,ROPINIROLE 1 MG TABS,1.24,0.62,,,0 NDC,0904-6376-61,OLANZAPINE 10 MG TABS,1.275,0.635,,,0 NDC,0904-6377-61,OLANZAPINE 5 MG TABS,0.73,0.37,,,0 NDC,0904-6407-61,BISACODYL EC 5 MG TBEC,1.0,0.5,,,0 NDC,0904-6418-61,TIZANIDINE 4 MG TABS,1.19,0.6,,,0 NDC,0904-6426-61,ESCITALOPRAM 10 MG TABS,0.6699999999999999,0.32999999999999996,,,0 NDC,0904-6436-04,TEMAZEPAM 7.5 MG CAPS,2.93,1.47,,,0 NDC,0904-6449-61,ISOSORBIDE MONONITRATE CR 30 MG TB24,1.11,0.56,,,0 NDC,0904-6450-61,ISOSORBIDE MONONITRATE CR 60 MG TB24,0.17,0.08,,,0 NDC,0904-6461-61,PROMETHAZINE 25 MG TABS,1.1,0.55,,,0 NDC,0904-6475-61,BACLOFEN 10 MG TABS,0.09,0.04,,,0 NDC,0904-6488-38,ARTIFICIAL TEARS OINT 3.5 G TUBE,11.46,5.73,,,0 NDC,0904-6501-06,FLUCONAZOLE 200 MG TABS,1.21,0.61,,,0 NDC,0904-6501-61,FLUCONAZOLE 200 MG TABS,1.5699999999999998,0.79,,,0 NDC,0904-6502-61,CELECOXIB 100 MG CAPS,0.6200000000000001,0.31000000000000005,,,0 NDC,0904-6505-61,MEMANTINE 5 MG TABS,1.41,0.7,,,0 NDC,0904-6516-61,MECLIZINE 12.5 MG TABS,1.05,0.52,,,0 NDC,0904-6522-61,SENNOSIDES 8.6 MG TABS,1.0,0.5,,,0 NDC,0904-6530-61,METHADONE 10 MG TABS,0.395,0.195,,,0 NDC,0904-6550-61,PROPRANOLOL 10 MG TABS,0.11,0.06,,,0 NDC,0904-6551-61,ONDANSETRON 4 MG TABS,1.44,0.72,,,0 NDC,0904-6552-61,ONDANSETRON 8 MG TABS,1.55,0.78,,,0 NDC,0904-6553-04,LINEZOLID 600 MG TABS,8.28,4.14,,,0 NDC,0904-6558-61,MORPHINE SR 30 MG TBSR,1.05,0.52,,,0 NDC,0904-6575-61,PHENOBARBITAL 32.4 MG TABS,1.36,0.68,,,0 NDC,0904-6583-04,LAMIVUDINE 150 MG TABS,5.0,2.5,,,0 NDC,0904-6596-04,VORICONAZOLE 50 MG TABS,7.699999999999999,3.85,,,0 NDC,0904-6617-61,HYDROXYZINE 25 MG TABS,0.5900000000000001,0.29000000000000004,,,0 NDC,0904-6619-61,ISOSORBIDE DINITRATE 10 MG TABS,0.8700000000000001,0.43000000000000005,,,0 NDC,0904-6620-61,ISOSORBIDE DINITRATE 20 MG TABS,0.6799999999999999,0.33999999999999997,,,0 NDC,0904-6622-61,PYRIDOSTIGMINE 60 MG TABS,1.37,0.68,,,0 NDC,0904-6623-61,TACROLIMUS 0.5 MG CAPS,1.5,0.75,,,0 NDC,0904-6624-61,TACROLIMUS 5 MG CAPS,3.0,1.5,,,0 NDC,0904-6627-35,CARBAMIDE PEROXIDE 6.5 % DROP 15 ML DROP BTL,1.05,0.52,,,0 NDC,0904-6636-61,BUPROPION 100 MG TABS,0.6599999999999999,0.32999999999999996,,,0 NDC,0904-6637-61,GLIPIZIDE 5 MG TABS,1.1,0.55,,,0 NDC,0904-6638-61,QUETIAPINE 25 MG TABS,1.09,0.54,,,0 NDC,0904-6640-61,QUETIAPINE 100 MG TABS,0.19,0.1,,,0 NDC,0904-6642-61,QUETIAPINE 300 MG TABS,0.38,0.19,,,0 NDC,0904-6663-61,ACETAZOLAMIDE 250 MG TABS,1.2650000000000001,0.635,,,0 NDC,0904-6665-61,GABAPENTIN 100 MG CAPS,0.04,0.02,,,0 NDC,0904-6666-61,GABAPENTIN 300 MG CAPS,1.07,0.54,,,0 NDC,0904-6667-61,GABAPENTIN 400 MG CAPS,0.08,0.04,,,0 NDC,0904-6671-06,SILDENAFIL 20 MG TABS,0.3,0.15,,,0 NDC,0904-6682-08,DOFETILIDE 250 MCG CAPS,0.8500000000000001,0.43000000000000005,,,0 NDC,0904-6683-08,DOFETILIDE 500 MCG CAPS,1.88,0.94,,,0 NDC,0904-6704-61,PRAMIPEXOLE 0.25 MG TABS,1.0150000000000001,0.505,,,0 NDC,0904-6705-06,PROPRANOLOL 20 MG TABS,0.6799999999999999,0.33999999999999997,,,0 NDC,0904-6705-61,PROPRANOLOL 20 MG TABS,0.6799999999999999,0.33999999999999997,,,0 NDC,0904-6706-06,OMEGA-3 1 GRAM CAPS,0.92,0.46,,,0 NDC,0904-6707-06,SEVELAMER CARBONATE 800 MG TABS,2.02,1.01,,,0 NDC,0904-6708-06,AZITHROMYCIN 250 MG TABS,2.33,1.16,,,0 NDC,0904-6709-61,GLYCOPYRROLATE 1 MG TABS,1.36,0.68,,,0 NDC,0904-6718-39,GUAIFENESIN ER 600 MG TA12,1.32,0.66,,,0 NDC,0904-6720-80,ACETAMINOPHEN 500 MG TABS,1.0,0.5,,,0 NDC,0904-6730-61,ACETAMINOPHEN 500 MG TABS,1.0,0.5,,,0 NDC,0904-6751-80,ASPIRIN EC 81 MG TBEC,1.0,0.5,,,0 NDC,0904-6761-30,OXYMETAZOLINE 0.05 % SPRY 30 ML SQUEEZ BTL,30.0,15.0,,,0 NDC,0904-6773-61,ACETAMINOPHEN 325 MG TABS,1.0,0.5,,,0 NDC,0904-6778-61,ROSUVASTATIN 5 MG TABS,0.54,0.27,,,0 NDC,0904-6780-61,ROSUVASTATIN 20 MG TABS,0.07,0.04,,,0 NDC,0904-6782-61,HALOPERIDOL 5 MG TABS,1.27,0.64,,,0 NDC,0904-6783-70,ASPIRIN EC 81 MG TBEC,1.0,0.5,,,0 NDC,0904-6794-80,ASPIRIN 81 MG CHEW,1.0,0.5,,,0 NDC,0904-6797-61,LISINOPRIL 5 MG TABS,1.03,0.52,,,0 NDC,0904-6798-61,LISINOPRIL 10 MG TABS,0.03,0.02,,,0 NDC,0904-6799-61,LISINOPRIL 20 MG TABS,0.04,0.02,,,0 NDC,0904-6801-61,QUETIAPINE SR 50 MG TB24,1.25,0.62,,,0 NDC,0904-6803-61,QUETIAPINE SR 200 MG TB24,1.4,0.7,,,0 NDC,0904-6804-61,QUETIAPINE SR 300 MG TB24,1.5,0.75,,,0 NDC,0904-6808-61,MONTELUKAST 10 MG TABS,1.15,0.58,,,0 NDC,0904-6817-06,MIDODRINE 2.5 MG TABS,0.24,0.12,,,0 NDC,0904-6817-61,MIDODRINE 2.5 MG TABS,0.24,0.12,,,0 NDC,0904-6818-06,MIDODRINE 5 MG TABS,0.8300000000000001,0.41000000000000003,,,0 NDC,0904-6818-61,MIDODRINE 5 MG TABS,1.37,0.6799999999999999,,,0 NDC,0904-6819-07,MIDODRINE 10 MG TABS,0.46,0.23,,,0 NDC,0904-6821-04,TENOFOVIR DISOPROXIL 300 MG TABS,3.72,1.86,,,0 NDC,0904-6825-61,HYDROCODONE-ACETAMINOPHEN 10-325 MG TABS,1.11,0.56,,,0 NDC,0904-6828-05,OXYCODONE 5 MG/5 ML SOLN,13.16,6.58,,,0 NDC,0904-6830-06,FINASTERIDE 5 MG TABS,1.2,0.6,,,0 NDC,0904-6830-61,FINASTERIDE 5 MG TABS,1.2,0.6,,,0 NDC,0904-6860-61,DIVALPROEX DR 250 MG TBEC,0.36,0.18,,,0 NDC,0904-6861-61,DIVALPROEX DR 500 MG TBEC,1.39,0.7,,,0 NDC,0904-6868-61,TRAZODONE 50 MG TABS,0.07,0.04,,,0 NDC,0904-6890-04,URSODIOL 250 MG TABS,3.9699999999999998,1.9849999999999999,,,0 NDC,0904-6917-61,OMEPRAZOLE 20 MG CPDR,0.06,0.03,,,0 NDC,0904-6923-61,PREDNISONE 10 MG TABS,0.14500000000000002,0.07500000000000001,,,0 NDC,0904-6926-61,SERTRALINE 100 MG TABS,0.5900000000000001,0.29000000000000004,,,0 NDC,0904-6927-61,SPIRONOLACTONE 25 MG TABS,0.6499999999999999,0.32999999999999996,,,0 NDC,0904-6931-86,POLYETHYLENE GLYCOL 17 GRAM PWPK,1.05,0.52,,,0 NDC,0904-6935-61,PALIPERIDONE 3 MG TR24,7.0,3.5,,,0 NDC,0904-6938-06,BUTALBITAL/ACETAMINOPHEN/CAFFEINE 50-325-40 MG TABS,1.16,0.58,,,0 NDC,0904-6949-61,LEVOTHYROXINE 25 MCG TABS,1.23,0.62,,,0 NDC,0904-6950-61,LEVOTHYROXINE 50 MCG TABS,0.73,0.37,,,0 NDC,0904-6966-61,OXYCODONE 5 MG TABS,0.12,0.06,,,0 NDC,0904-6990-61,PSEUDOEPHEDRINE 30 MG TABS,1.02,0.51,,,0 NDC,0904-6991-04,PREGABALIN 25 MG CAPS,1.07,0.54,,,0 NDC,0904-6992-61,PREGABALIN 50 MG CAPS,0.6100000000000001,0.31000000000000005,,,0 NDC,0904-6993-61,AMIODARONE 200 MG TABS,0.98,0.49,,,0 NDC,0904-6997-60,DOCUSATE CALCIUM 240 MG CAPS,1.0,0.5,,,0 NDC,0904-7000-61,PREGABALIN 75 MG CAPS,0.675,0.34,,,0 NDC,0904-7001-61,PREGABALIN 100 MG CAPS,0.14,0.07,,,0 NDC,0904-7008-61,LAMOTRIGINE 100 MG TABS,0.65,0.325,,,0 NDC,0904-7010-06,BUPRENORPHINE-NALOXONE 8-2 MG SUBL,3.48,1.74,,,0 NDC,0904-7016-04,BUMETANIDE 1 MG TABS,1.38,0.69,,,0 NDC,0904-7020-61,PRAZOSIN 1 MG CAPS,1.13,0.56,,,0 NDC,0904-7023-67,BACITRACIN 500 UNIT/GRAM OIPK,144.0,72.0,,,0 NDC,0904-7024-04,VORICONAZOLE 200 MG TABS,8.7,4.35,,,0 NDC,0904-7041-61,ALLOPURINOL 100 MG TABS,0.14,0.07,,,0 NDC,0904-7043-61,DULOXETINE 20 MG CPDR,1.16,0.58,,,0 NDC,0904-7044-61,DULOXETINE 30 MG CPDR,0.18,0.09,,,0 NDC,0904-7047-61,LOSARTAN 25 MG TABS,1.11,0.56,,,0 NDC,0904-7048-61,LOSARTAN 50 MG TABS,1.205,0.605,,,0 NDC,0904-7056-99,ASPIRIN-DIPYRIDAMOLE 25-200 MG CM12,2.3,1.15,,,0 NDC,0904-7057-61,METHOCARBAMOL 500 MG TABS,1.09,0.54,,,0 NDC,0904-7058-61,METHOCARBAMOL 750 MG TABS,0.14,0.07,,,0 NDC,0904-7064-41,ATOVAQUONE 750 MG/5 ML SUSPENSION,104.67,52.34,,,0 NDC,0904-7070-07,NADOLOL 20 MG TABS,1.19,0.6,,,0 NDC,0904-7070-61,NADOLOL 20 MG TABS,1.19,0.6,,,0 NDC,0904-7071-07,NADOLOL 40 MG TABS,1.3,0.65,,,0 NDC,0904-7076-61,VENLAFAXINE ER 150 MG CP24,0.8400000000000001,0.42000000000000004,,,0 NDC,0904-7078-61,MYCOPHENOLATE 500 MG TABS,1.4449999999999998,0.72,,,0 NDC,0904-7079-24,PHENYTOIN 100 MG/4 ML SUSPENSION,4.67,2.34,,,0 NDC,0904-7083-61,CIPROFLOXACIN HCL 500 MG TABS,0.97,0.49,,,0 NDC,0904-7094-61,OXYCODONE-ACETAMINOPHEN 7.5-325 MG TABS,1.26,0.63,,,0 NDC,0904-7095-61,OXYCODONE-ACETAMINOPHEN 10-325 MG TABS,1.34,0.67,,,0 NDC,0904-7097-61,TACROLIMUS 1 MG CAPS,0.88,0.44,,,0 NDC,0904-7103-04,EZETIMIBE 10 MG TABS,1.13,0.56,,,0 NDC,0904-7106-61,CAPTOPRIL 25 MG TABS,3.54,1.77,,,0 NDC,0904-7107-61,RIVASTIGMINE TARTRATE 1.5 MG CAPS,2.25,1.125,,,0 NDC,0904-7109-61,LABETALOL 100 MG TABS,0.31,0.15000000000000002,,,0 NDC,0904-7110-61,LABETALOL 200 MG TABS,0.32,0.16,,,0 NDC,0904-7119-06,CALCIUM ACETATE(PHOSPHAT BIND) 667 MG CAPS,1.0,0.5,,,0 NDC,0904-7120-04,COLCHICINE 0.6 MG TABS,1.01,0.51,,,0 NDC,0904-7123-61,LEVETIRACETAM 250 MG TABS,0.13,0.06,,,0 NDC,0904-7124-61,LEVETIRACETAM 500 MG TABS,0.21,0.1,,,0 NDC,0904-7127-61,PREDNISONE 20 MG TABS,0.15,0.08,,,0 NDC,0904-7129-61,CHLORPROMAZINE 10 MG TABS,1.41,0.7,,,0 NDC,0904-7130-61,CHLORPROMAZINE 25 MG TABS,1.6,0.8,,,0 NDC,0904-7132-61,CHLORPROMAZINE 100 MG TABS,1.18,0.59,,,0 NDC,0904-7140-04,GUANFACINE 1 MG TABS,1.44,0.72,,,0 NDC,0904-7153-61,BENZONATATE 100 MG CAPS,0.73,0.37,,,0 NDC,0904-7156-61,METRONIDAZOLE 250 MG TABS,0.52,0.26,,,0 NDC,0904-7158-61,FLUPHENAZINE 2.5 MG TABS,1.77,0.88,,,0 NDC,0904-7172-07,EMTRICITABINE-TENOFOVIR (TDF) 200-300 MG TABS,2.0,1.0,,,0 NDC,0904-7177-61,FUROSEMIDE 20 MG TABS,1.02,0.51,,,0 NDC,0904-7183-61,DOCUSATE SODIUM 100 MG CAPS,1.0,0.5,,,0 NDC,0904-7188-61,HYDROCORTISONE 10 MG TABS,1.86,0.93,,,0 NDC,0904-7189-04,NEBIVOLOL 5 MG TABS,1.67,0.84,,,0 NDC,0904-7193-61,FAMOTIDINE 20 MG TABS,1.0,0.5,,,0 NDC,0904-7205-46,BISMUTH SUBSALICYLATE 262 MG CHEW,1.0,0.5,,,0 NDC,0904-7211-04,DANTROLENE 25 MG CAPS,2.29,1.14,,,0 NDC,0904-7214-61,BUPROPION SR 150 MG SR12,1.11,0.56,,,0 NDC,0904-7216-61,POTASSIUM CHLORIDE 10 MEQ TBSR,1.29,0.64,,,0 NDC,0904-7218-61,DILTIAZEM 24HR 180 MG CP24,0.29,0.14,,,0 NDC,0904-7219-61,DILTIAZEM 24HR 240 MG CP24,1.41,0.7,,,0 NDC,0904-7224-61,FOLIC ACID 1 MG TABS,1.03,0.52,,,0 NDC,0904-7225-04,NEBIVOLOL 2.5 MG TABS,1.7,0.85,,,0 NDC,0904-7229-61,NIFEDIPINE 10 MG CAPS,2.16,1.08,,,0 NDC,0904-7236-61,MEGESTROL 40 MG TABS,1.59,0.8,,,0 NDC,0904-7237-60,DIPHENHYDRAMINE 25 MG CAPS,1.0,0.5,,,0 NDC,0904-7237-61,DIPHENHYDRAMINE 25 MG CAPS,1.0,0.5,,,0 NDC,0904-7243-61,CIPROFLOXACIN HCL 500 MG TABS,0.97,0.49,,,0 NDC,0904-7244-68,LACOSAMIDE 50 MG TABS,0.76,0.38,,,0 NDC,0904-7245-68,LACOSAMIDE 100 MG TABS,0.47,0.24,,,0 NDC,0904-7252-61,SENNOSIDES 8.6 MG TABS,1.0,0.5,,,0 NDC,0904-7257-61,CARBIDOPA-LEVODOPA 25-100 MG TABS,0.6699999999999999,0.32999999999999996,,,0 NDC,0904-7262-61,OXCARBAZEPINE 150 MG TABS,1.01,0.505,,,0 NDC,0904-7263-61,OXCARBAZEPINE 300 MG TABS,0.48,0.24,,,0 NDC,0904-7265-41,LEVETIRACETAM 500 MG/5 ML (5 ML) SOLN,2.72,1.36,,,0 NDC,0904-7266-61,DEXAMETHASONE 4 MG TABS,2.41,1.21,,,0 NDC,0904-7276-41,"NYSTATIN 100,000 UNIT/ML SUSPENSION",3.94,1.97,,,0 NDC,0904-7280-80,DOCUSATE SODIUM 100 MG CAPS,1.0,0.5,,,0 NDC,0904-7293-61,POTASSIUM CHLORIDE ER 20 MEQ TBTQ,0.53,0.26,,,0 NDC,0904-7304-61,PROMETHAZINE 25 MG TABS,1.05,0.52,,,0 NDC,0904-7305-61,CARVEDILOL 3.125 MG TABS,0.03,0.02,,,0 NDC,0904-7336-61,CEPHALEXIN 250 MG CAPS,1.475,0.74,,,0 NDC,0904-7346-61,FLUOXETINE 20 MG CAPS,0.05,0.02,,,0 NDC,0904-7350-06,AZITHROMYCIN 250 MG TABS,1.995,0.9949999999999999,,,0 NDC,0904-7361-61,RISPERIDONE 0.5 MG TABS,1.36,0.68,,,0 NDC,0904-7362-61,RISPERIDONE 1 MG TABS,0.4,0.2,,,0 NDC,0904-7363-61,RISPERIDONE 2 MG TABS,0.94,0.47,,,0 NDC,0904-7364-61,RISPERIDONE 3 MG TABS,0.95,0.47,,,0 NDC,0904-7427-30,OXYMETAZOLINE 0.05 % SPRY 30 ML SQUEEZ BTL,30.0,15.0,,,0 NDC,0904-7914-61,IBUPROFEN 200 MG TABS,1.0,0.5,,,0 NDC,0904052361,ASCORBIC ACID (VITAMIN C) 500 MG TABS,1.0,0.5,,,0 NDC,0904053961,MULTIVITAMIN WITH FOLIC ACID 400 MCG TABS,1.0,0.5,,,0 NDC,0904188361,"CALCIUM CARBONATE 500 MG CALCIUM (1,250 MG) TABS",1.0,0.5,,,0 NDC,0904208560,"VITAMIN A 10,000 UNIT CAPS",1.1,0.55,,,0 NDC,0904227260,NIACIN 500 MG TABS,1.04,0.52,,,0 NDC,0904522452,"LACTASE 3,000 UNIT TABS",1.18,0.59,,,0 NDC,0904531346,PRENATAL VIT-IRON-FOLIC ACID 27 MG IRON- 800 MCG TABS,1.08,0.54,,,0 NDC,0904531360,PRENATAL VIT-IRON-FOLIC ACID 27 MG IRON- 800 MCG TABS,1.08,0.54,,,0 NDC,0904546092,CALCIUM-VITAMIN D 500 MG-5 MCG (200 UNIT) TABS,1.5,0.75,,,0 NDC,0904560413,FISH OIL 500 MG CAPS,1.07,0.54,,,0 NDC,0904598426,LACTIC ACID 12 % LOTN 226 G BOTTLE,11.28,5.64,,,0 NDC,0904731813,FISH OIL 500 MG CAPS,1.07,0.54,,,0 NDC,0904775127,LANOLIN ALCOH-MIN OIL-W.PETRO-CERESIN CREA 454 G JAR,454.0,227.0,,,0 NDC,0941-0409-01,PERITONEAL DIALYSATE 1.5% LOW CALCIUM CA 2.5 MEQ/L- MG 0.5 MEQ/L SOLN,218.0,109.0,,,0 NDC,0941-0409-06,"PERITONEAL DIALYSATE 1.5% LOW CALCIUM CA 2.5 MEQ/L- MG 0.5 MEQ/L SOLN 2,000 ML FLEX CONT",34.0,17.0,,,0 NDC,0941-0411-05,PERITONEAL DIALYSATE 1.5% STANDARD CALCIUM CA 3.5 MEQ/L- MG 0.5 MEQ/L SOLN,138.0,69.0,,,0 NDC,0941-0411-11,PERITONEAL DIALYSATE 1.5% STANDARD CALCIUM CA 3.5 MEQ/L- MG 0.5 MEQ/L SOLN,218.0,109.0,,,0 NDC,0941-0413-01,"PERITONEAL DIALYSATE 2.5% STANDARD CALCIUM CA 3.5 MEQ/L- MG 0.5 MEQ/L SOLN 6,000 ML FLEX CONT",218.0,109.0,,,0 NDC,0941-0413-05,PERITONEAL DIALYSATE 2.5% STANDARD CALCIUM CA 3.5 MEQ/L- MG 0.5 MEQ/L SOLN,142.0,71.0,,,0 NDC,0941-0415-01,PERITONEAL DIALYSATE 4.25% STANDARD CALCIUM CA 3.5 MEQ/L- MG 0.5 MEQ/L SOLN,218.0,109.0,,,0 NDC,0941-0424-52,PERITONEAL DIALYSATE 1.5% LOW CALCIUM CA 2.5 MEQ/L- MG 0.5 MEQ/L SOLN,34.0,17.0,,,0 NDC,0941-0426-52,PERITONEAL DIALYSATE 1.5% STANDARD CALCIUM CA 3.5 MEQ/L- MG 0.5 MEQ/L SOLN,98.0,49.0,,,0 NDC,0941-0427-52,PERITONEAL DIALYSATE 2.5% STANDARD CALCIUM CA 3.5 MEQ/L- MG 0.5 MEQ/L SOLN,82.0,41.0,,,0 NDC,0941-0427-53,"PERITONEAL DIALYSATE 2.5% STANDARD CALCIUM CA 3.5 MEQ/L- MG 0.5 MEQ/L SOLN 2,500 ML BAG",182.0,91.0,,,0 NDC,0941-0429-52,PERITONEAL DIALYSATE 4.25% STANDARD CALCIUM CA 3.5 MEQ/L- MG 0.5 MEQ/L SOLN,114.0,57.0,,,0 NDC,0941-0430-52,"PERITONEAL DIALYSATE 2.5% LOW CALCIUM CA 2.5 MEQ/L- MG 0.5 MEQ/L SOLN 2,000 ML BAG",82.0,41.0,,,0 NDC,0941-0457-01,PERITONEAL DIALYSATE 2.5% LOW CALCIUM CA 2.5 MEQ/L- MG 0.5 MEQ/L SOLN,218.0,109.0,,,0 NDC,0941-0457-08,"PERITONEAL DIALYSATE 2.5% LOW CALCIUM CA 2.5 MEQ/L- MG 0.5 MEQ/L SOLN 2,000 ML FLEX CONT",82.0,41.0,,,0 NDC,0941-0459-01,PERITONEAL DIALYSATE 4.25% LOW CALCIUM CA 2.5 MEQ/L- MG 0.5 MEQ/L SOLN,218.0,109.0,,,0 NDC,0942-9504-10,SODIUM CITRATE 4 % SOLN,2.24,1.12,,,0 NDC,0944-2803-03,ALPHA-1 PROTEINASE INHIB.(HUM) 500 MG SOLR,10364.74,5182.37,,,0 NDC,0944-2804-04,"ALPHA-1 PROTEINASE INHIB.(HUM) 1,000 MG SOLR",30025.74,15012.87,,,0 NDC,0944-2815-01,"ALPHA-1 PROTEINASE INHIB.(HUM) 1,000 MG SOLR",20867.91,10433.96,,,0 NDC,0944-2884-01,ALPHA-1 PROTEINASE INHIB.(HUM) 1 GRAM/50 ML (2 %) SOLN,9981.17,4990.58,,,0 NDC,0944-3810-01,PEGASPARGASE 750 UNIT/ML SOLN,68003.42,34001.71,,,0 NDC,0990-6143-09,"ACETIC ACID 0.25 % SOLN 1,000 ML BOTTLE",22.0,11.0,,,0 NDC,0990-7074-26,POTASSIUM CHLORIDE IN WATER 10 MEQ/100 ML PGBK,14.8,7.4,,,0 NDC,0990-7075-14,POTASSIUM CHLORIDE IN WATER 10 MEQ/50 ML PGBK,16.2,8.1,,,0 NDC,0990-7075-26,POTASSIUM CHLORIDE IN WATER 20 MEQ/100 ML PGBK,12.8,6.4,,,0 NDC,0990-7077-14,POTASSIUM CHLORIDE IN WATER 20 MEQ/50 ML PGBK,16.0,8.0,,,0 NDC,0990-7120-07,DEXTROSE 70 % SOLP,5.62,2.81,,,0 NDC,0990-7715-03,MANNITOL 20 % SOLP,78.0,39.0,,,0 NDC,0990-7715-12,MANNITOL 20 % SOLP,90.0,45.0,,,0 NDC,0990-7918-19,DEXTROSE 70 % SOLP 500 ML FLEX CONT,80.63,40.32,,,0 NDC,0990-7935-19,D20W 20 % SOLP,48.0,24.0,,,0 NDC,0998-0408-15,ARTIFICIAL TEAR 0.5 % DROP 15 ML DROP BTL,84.88,42.44,,,0 NDC,1000670028,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABS,1.03,0.52,,,0 NDC,1000670038,CALCIUM-VITAMIN D 500 MG-5 MCG (200 UNIT) TABS,1.0,0.5,,,0 NDC,10019-055-61,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) SOLP",374.0,187.0,,,0 NDC,10019-075-87,"ESMOLOL 2,000 MG/100 ML SOLP 100 ML FLEX CONT",987.4,493.7,,,0 NDC,10019-079-01,BENDAMUSTINE 25 MG/ML SOLN 4 ML VIAL,11223.68,5611.84,,,0 NDC,10019-553-90,SCOPOLAMINE 1 MG OVER 3 DAYS PT3D,23.2,11.6,,,0 NDC,10019-672-10,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) SOLP",374.0,187.0,,,0 NDC,10019-953-01,MESNA 100 MG/ML SOLN 10 ML VIAL,25.3,12.65,,,0 NDC,10019-953-62,MESNA 100 MG/ML SOLN 10 ML VIAL,25.3,12.65,,,0 NDC,10122-510-01,PORACTANT ALFA 240 MG/3 ML SUSPENSION,2683.93,1341.96,,,0 NDC,10122-510-03,PORACTANT ALFA 240 MG/3 ML SUSPENSION,5223.17,2611.58,,,0 NDC,10135-532-01,BACLOFEN 10 MG TABS,1.09,0.54,,,0 NDC,10135-712-01,LABETALOL 200 MG TABS,0.32,0.16,,,0 NDC,10135-726-01,FLUPHENAZINE 2.5 MG TABS,1.77,0.88,,,0 NDC,10135-738-01,RIFABUTIN 150 MG CAPS,21.895,10.945,,,0 NDC,10135-775-01,PREDNISONE 2.5 MG TABS,0.24,0.12,,,0 NDC,10135-778-05,PREDNISONE 20 MG TABS,0.22999999999999998,0.12,,,0 NDC,10135-778-10,PREDNISONE 20 MG TABS,0.6499999999999999,0.32999999999999996,,,0 NDC,10135-779-01,PREDNISONE 50 MG TABS,1.45,0.72,,,0 NDC,10223-0201-3,CETACAINE 2 %-2 %-14 % (200 MG/SEC) SPRA,8.98,4.49,,,0 NDC,1031028313,BENZOCAINE-MENTHOL-ZINC CHLOR 20-0.26-0.15 % GEL 11.9 G TUBE,11.9,5.95,,,0 NDC,10356-201-00,AQUAPHOR OINT 420 G JAR,18.64,9.32,,,0 NDC,10454-711-10,INJ RIMABOTULINUMTOXINB 100 UN,850.0,425.0,,,0 NDC,10481-0112-8,FERRIC SUBSULFATE 0.2 TO 0.22 GRAM/ML SOLA,52.04,26.02,,,0 NDC,10631-407-01,HYDROCORTISONE 2.5 % CRPE 28.35 G TUBE,43.95,21.98,,,0 NDC,10702-003-01,PROMETHAZINE 25 MG TABS,1.0750000000000002,0.535,,,0 NDC,10702-253-01,BUTALBITAL/ACETAMINOPHEN/CAFFEINE 50-325-40 MG TABS,1.16,0.58,,,0 NDC,1093-9744-30,MINERAL OIL OIL,30.0,15.0,,,0 NDC,1093956433,BACITRACIN 500 UNIT/GRAM OINT 28.4 G TUBE,28.4,14.2,,,0 NDC,1093956833,"BACITRACIN ZINC-POLYMYXIN B 500-10,000 UNIT/GRAM OINT 28.4 G TUBE",6.07,3.04,,,0 NDC,1150900367,BENZOCAINE/RESORCIN 5-2 % CREA 28 G TUBE,10.31,5.16,,,0 NDC,11523-7268-3,POLYETHYLENE GLYCOL 17 GRAM PWPK,1.05,0.52,,,0 NDC,11523-7268-8,POLYETHYLENE GLYCOL 17 GRAM PWPK,1.05,0.52,,,0 NDC,1152372688,POLYETHYLENE GLYCOL 17 GRAM PWPK,1.05,0.52,,,0 NDC,11527-057-40,METHYL SALICYLATE-MENTHOL 15-10 % CREA 35 G TUBE,35.0,17.5,,,0 NDC,1191701440,GLUCOSE 4 GRAM CHEW,1.18,0.59,,,0 NDC,1191712183,"FOOD SUPPLEMT, LACTOSE-REDUCED 0.05 GRAM- 1.5 KCAL/ML LIQD",350.0,175.0,,,0 NDC,11994-011-01,"CONTRAST,DEFINITY",399.0,199.5,,,0 NDC,12165-100-01,SILVER NITRATE 75-25 % STCK 100 EACH TUBE,8.2,4.1,,,0 NDC,12772-194-15,POVIDONE-IODINE 10 % OINT 30 G TUBE,6.57,3.28,,,0 NDC,12870-0001-1,SILVER NITRATE 75-25 % STCK 100 EACH PACKET,73.0,36.5,,,0 NDC,13107-021-01,HYDROCODONE-ACETAMINOPHEN 10-325 MG TABS,1.11,0.56,,,0 NDC,13107-155-90,PAROXETINE 20 MG TABS,1.17,0.58,,,0 NDC,13517-100-30,DIAZOXIDE (DIABETIC USE) 50 MG/ML SUSPENSION,8.88,4.44,,,0 NDC,13533-131-00,TD VACCINE NO PRSRV>/= 7IM,60.0,30.0,,,0 NDC,13533-318-01,RABIES IMMUNE GLOB (PF) (1ML) 300 UNIT/ML SOLN,9870.44,4935.22,,,0 NDC,13533-318-05,RABIES IMMUNE GLOB (PF) (5ML) 300 UNIT/ML SOLN,13692.009999999998,6846.004999999999,,,0 NDC,13533-318-10,RABIES IMMUNE GLOB (PF) (1ML) 300 UNIT/ML SOLN,3337.64,1668.82,,,0 NDC,13533-318-50,RABIES IMMUNE GLOB (PF) (1ML) 300 UNIT/ML SOLN,5193.53,2596.76,,,0 NDC,13533-602-50,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT SOLR,9000.0,4500.0,,,0 NDC,13533-606-12,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT SOLR,36.0,18.0,,,0 NDC,13533-634-02,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML SYRG,3141.875,1570.935,,,0 NDC,13533-636-03,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML SYRG,495.8,247.9,,,0 NDC,13533-636-50,HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML (5 ML) SOLN,3912.34,1956.17,,,0 NDC,13533-705-01,"ALPHA-1 PROTEINASE INHIB.(HUM) 1,000 MG (+/-)/20 ML SOLN",2567.24,1283.62,,,0 NDC,13533-705-11,"ALPHA-1 PROTEINASE INHIB.(HUM) 1,000 MG (+/-)/20 ML SOLN",14941.06,7470.53,,,0 NDC,13668-086-30,OLANZAPINE ZYDIS 5 MG ODT.,3.31,1.66,,,0 NDC,13668-339-30,LAMOTRIGINE ER 25 MG TR24,4.16,2.08,,,0 NDC,13668-341-30,LAMOTRIGINE ER 100 MG TR24,5.01,2.51,,,0 NDC,13668-440-01,FENOFIBRATE MICRONIZED 67 MG CAPS,1.48,0.74,,,0 NDC,13668-482-01,MINOCYCLINE 50 MG CAPS,1.8599999999999999,0.9299999999999999,,,0 NDC,13668-581-30,TADALAFIL 20 MG TABS,2.5,1.25,,,0 NDC,13668-589-06,RISPERIDONE 1 MG/ML SOLN,1.99,1.0,,,0 NDC,1381152501,B COMPLEX-VITAMIN C-FOLIC ACID 1 MG CAPS,1.0,0.5,,,0 NDC,13925-522-01,PENTAMIDINE 300 MG SOLR,128.0,64.0,,,0 NDC,14789-011-07,ISOPROTERENOL 0.2 MG/ML SOLN 1 ML VIAL,251.88,125.94,,,0 NDC,14789-107-08,POTASSIUM CHLORIDE IN WATER 20 MEQ/50 ML PGBK,16.0,8.0,,,0 NDC,14789-108-16,POTASSIUM CHLORIDE IN WATER 20 MEQ/100 ML PGBK,12.8,6.4,,,0 NDC,14789-121-05,PAPAVERINE 30 MG/ML SOLN 2 ML VIAL,145.0,72.5,,,0 NDC,14789-121-07,PAPAVERINE 30 MG/ML SOLN 2 ML VIAL,145.0,72.5,,,0 NDC,14789-127-07,PHENOBARBITAL 65 MG/ML SOLN,90.0,45.0,,,0 NDC,14789-250-07,EPHEDRINE SULFATE 5 MG/ML SOLN,20.63,10.32,,,0 NDC,14789-900-07,PROCAINAMIDE 500 MG/ML SOLN 2 ML VIAL,912.03,456.02,,,0 NDC,14789-901-07,PROCAINAMIDE 100 MG/ML SOLN,60.04,30.02,,,0 NDC,15054-1120-4,LANREOTIDE 120 MG/0.5 ML SYRG,13222.96,6611.48,,,0 NDC,16169-01013,CONDOM DEVI,1.0,0.5,,,0 NDC,16571-203-10,DICLOFENAC DR 25 MG TBEC,2.35,1.18,,,0 NDC,16571-657-10,CEVIMELINE 30 MG CAPS,4.68,2.34,,,0 NDC,16571-683-03,CLOMIPRAMINE 25 MG CAPS,1.99,1.0,,,0 NDC,16571-723-60,MAFENIDE 85 MG/G CREA 56.7 G TUBE,212.75,106.38,,,0 NDC,16571-754-53,"NEOMYCIN-BACITRACIN-POLYMYXIN 3.5-400-10,000 MG-UNIT-UNIT/G OINT 3.5 G TUBE",56.97,28.48,,,0 NDC,16714-006-01,ENOXAPARIN 30 MG/0.3 ML SYRG,16.44,8.22,,,0 NDC,16714-006-10,ENOXAPARIN 30 MG/0.3 ML SYRG,16.44,8.22,,,0 NDC,16714-016-10,ENOXAPARIN 40 MG/0.4 ML SYRG,20.06,10.03,,,0 NDC,16714-026-01,ENOXAPARIN 60 MG/0.6 ML SYRG,27.94,13.97,,,0 NDC,16714-027-01,IRINOTECAN 40 MG/2 ML SOLN 2 ML VIAL,69.0,34.5,,,0 NDC,16714-036-01,ENOXAPARIN 80 MG/0.8 ML SYRG,37.57,18.78,,,0 NDC,16714-036-10,ENOXAPARIN 80 MG/0.8 ML SYRG,37.57,18.78,,,0 NDC,16714-046-01,ENOXAPARIN 100 MG/ML SYRG,46.31,23.16,,,0 NDC,16714-052-10,CLOPIDOGREL 75 MG TABS,1.11,0.56,,,0 NDC,16714-056-01,ENOXAPARIN 120 MG/0.8 ML SYRG,55.07,27.54,,,0 NDC,16714-066-01,ENOXAPARIN 150 MG/ML SYRG,68.38,34.19,,,0 NDC,16714-081-10,HYDROXYZINE 10 MG TABS,1.13,0.56,,,0 NDC,16714-082-10,HYDROXYZINE 25 MG TABS,1.09,0.54,,,0 NDC,16714-131-01,IRINOTECAN 100 MG/5 ML SOLN 5 ML VIAL,100.6,50.3,,,0 NDC,16714-234-01,PENICILLIN V POTASSIUM 250 MG TABS,1.49,0.74,,,0 NDC,16714-293-01,AMOXICILLIN-CLAVULANATE 400-57 MG/5 ML SUSR,38.8,19.4,,,0 NDC,16714-294-01,AMOXICILLIN-CLAVULANATE 600-42.9 MG/5 ML SUSR,2.15,1.08,,,0 NDC,16714-298-01,AMOXICILLIN 250 MG CAPS,1.14,0.57,,,0 NDC,16714-298-02,AMOXICILLIN 250 MG CAPS,1.14,0.57,,,0 NDC,16714-309-01,"VANCOMYCIN 1,000 MG SOLR 1 EACH VIAL",21.25,10.62,,,0 NDC,16714-358-01,LEVETIRACETAM 100 MG/ML SOLN,3.72,1.86,,,0 NDC,16714-398-01,CEFPROZIL 250 MG TABS,3.1,1.55,,,0 NDC,16714-443-01,ENALAPRIL 5 MG TABS,0.6599999999999999,0.32999999999999996,,,0 NDC,16714-496-01,CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % CREA 15 G TUBE,36.44,18.22,,,0 NDC,16714-517-01,VANCOMYCIN 5 GRAM SOLR,23.04,11.52,,,0 NDC,16714-556-01,ADENOSINE 3 MG/ML SOLN,276.04,138.02,,,0 NDC,16714-576-02,ALLOPURINOL 100 MG TABS,1.14,0.57,,,0 NDC,16714-611-01,SERTRALINE 25 MG TABS,1.06,0.53,,,0 NDC,16714-628-01,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % DRPS 7.5 ML DROP BTL,443.49,221.74,,,0 NDC,16714-633-01,ALENDRONATE 70 MG TABS,2.4,1.2,,,0 NDC,16714-661-02,GABAPENTIN 100 MG CAPS,1.04,0.52,,,0 NDC,16714-663-02,GABAPENTIN 400 MG CAPS,1.08,0.54,,,0 NDC,16714-683-02,SIMVASTATIN 20 MG TABS,1.06,0.53,,,0 NDC,16714-690-01,PROPOFOL 10 MG/ML EMUL,73.13,36.56,,,0 NDC,16714-692-10,FLUCONAZOLE 150 MG TABS,2.57,1.28,,,0 NDC,16714-695-01,FLUCONAZOLE 10 MG/ML SUSR,25.31,12.649999999999999,,,0 NDC,16714-696-01,FLUCONAZOLE 40 MG/ML SUSR,8.03,4.02,,,0 NDC,16714-717-01,ENTECAVIR 0.5 MG 0.5 MG TABS,4.34,2.17,,,0 NDC,16714-763-01,CALCIPOTRIENE 0.005 % CREA 60 G TUBE,95.92,47.96,,,0 NDC,16714-782-01,CLOBETASOL 0.05 % OINT 15 G TUBE,10.14,5.07,,,0 NDC,16714-796-01,SUMATRIPTAN 25 MG TABS,2.0,1.0,,,0 NDC,16714-798-01,SUMATRIPTAN 100 MG TABS,2.18,1.09,,,0 NDC,16714-813-02,EZETIMIBE 10 MG TABS,1.24,0.6200000000000001,,,0 NDC,16714-814-01,SEVELAMER CARBONATE 800 MG TABS,2.53,1.26,,,0 NDC,16714-950-01,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABS,1.23,0.62,,,0 NDC,16714-955-01,KETOCONAZOLE 2 % CREA 15 G TUBE,12.08,6.04,,,0 NDC,16714-986-04,TRIAMCINOLONE ACETONIDE 0.1 % CREA 454 G JAR,62.97,31.48,,,0 NDC,16729-048-54,TEMOZOLOMIDE 5 MG CAPS,7.06,3.53,,,0 NDC,16729-049-53,TEMOZOLOMIDE 20 MG CAPS,62.8,31.4,,,0 NDC,16729-050-53,TEMOZOLOMIDE 100 MG CAPS,127.93,63.96,,,0 NDC,16729-094-01,MYCOPHENOLATE 250 MG CAPS,2.12,1.06,,,0 NDC,16729-109-12,QUETIAPINE SR 150 MG TB24,1.35,0.68,,,0 NDC,16729-114-08,ETOPOSIDE 20 MG/ML SOLN 25 ML VIAL,38.96,19.48,,,0 NDC,16729-114-31,ETOPOSIDE 20 MG/ML SOLN 5 ML VIAL,22.4,11.2,,,0 NDC,16729-115-05,MITOMYCIN 5 MG SOLR 1 EACH VIAL,261.6,130.8,,,0 NDC,16729-116-38,MITOMYCIN 40 MG SOLR,896.0,448.0,,,0 NDC,16729-136-00,CLONAZEPAM 0.5 MG TABS,1.05,0.52,,,0 NDC,16729-213-01,DOXAZOSIN 4 MG TABS,1.2,0.6,,,0 NDC,16729-267-65,DOCETAXEL 160 MG/8 ML (20 MG/ML) SOLN 8 ML VIAL,536.25,268.12,,,0 NDC,16729-275-03,BIVALIRUDIN 250 MG SOLR 1 EACH VIAL,287.24,143.62,,,0 NDC,16729-277-30,METHOTREXATE 25 MG/ML SOLN 2 ML VIAL,7.71,3.86,,,0 NDC,16729-288-11,CISPLATIN 1 MG/ML SOLN 50 ML VIAL,18.12,9.06,,,0 NDC,16729-293-10,EPLERENONE 25 MG TABS,1.81,0.9,,,0 NDC,16729-321-15,OLMESARTAN 20 MG TABS,1.37,0.68,,,0 NDC,16729-440-10,CINACALCET 30 MG TABS,1.75,0.88,,,0 NDC,1678411761,BACITRACIN 500 UNIT/GRAM OINT 425 G JAR,425.0,212.5,,,0 NDC,16864-680-02,BENZOCAINE-MENTHOL 20-0.5 % AERO 56 G CANISTER,13.15,6.58,,,0 NDC,16864-680-03,BENZOCAINE-MENTHOL 20-0.5 % AERO 85 G CANISTER,19.45,9.72,,,0 NDC,17156-021-01,CHGR-RP IN111 LABELED WBC PER DOSE,3856.0,1928.0,,,0 NDC,17156-210-01,CHGR-RP I-123 IOFLUPANE PER DOSE,4274.0,2137.0,,,0 NDC,17238-900-99,FLUORESCEIN 1 MG STRP,1.38,0.69,,,0 NDC,17478-081-30,ROPIVACAINE (PF) 0.5% SOLN,13.440000000000001,6.720000000000001,,,0 NDC,17478-206-05,PHENYLEPHRINE 10% 10 % DROP,46.5,23.25,,,0 NDC,17478-283-10,FORTIFIED GENTAMICIN EYE DROPS 15 MG/ML DROP 5 ML DROP BTL,52.64,26.32,,,0 NDC,17478-288-10,TIMOLOL 0.5 % DROP,1.18,0.59,,,0 NDC,17478-291-11,CROMOLYN 4 % DROP 10 ML DROP BTL,79.75,39.88,,,0 NDC,17478-380-20,METHADONE,7.35,3.68,,,0 NDC,17478-711-10,LIDOCAINE 2 % JELL 5 ML TUBE,25.5,12.75,,,0 NDC,17478-717-10,KETOTIFEN 0.025 % (0.035 %) DROP,1.11,0.56,,,0 NDC,17856-0496-3,TRIMETHOPRIM-SULFAMETHOXAZOLE 40-200 MG/5 ML SUSPENSION,10.48,5.24,,,0 NDC,17856-0608-5,PROMETHAZINE 6.25 MG/5 ML SYRP 5 ML CUP,3.25,1.625,,,0 NDC,17856-1045-1,"NYSTATIN 100,000 UNIT/ML SUSPENSION",3.94,1.97,,,0 NDC,17856-1110-1,MINERAL OIL OIL,30.0,15.0,,,0 NDC,17856-1161-1,DICYCLOMINE 10 MG/5 ML SOLN,6.21,3.1,,,0 NDC,17856-1313-3,BISMUTH SUBSALICYLATE 262 MG/15 ML SUSPENSION,4.96,2.48,,,0 NDC,17856-5725-3,ALUM-MAG HYDROXIDE-SIMETH DS 400-400-40 MG/5 ML SUSPENSION,1.0,0.5,,,0 NDC,1785600102,MULTIVIT-MIN-FERROUS GLUCONATE 9 MG IRON/ 15 ML (15 ML) LIQD,1.0,0.5,,,0 NDC,1785602722,CHLORHEXIDINE 0.12 % MWSH,4.83,2.42,,,0 NDC,18657-117-01,"HYALURONIDASE, HUMAN RECOMB. 150 UNIT/ML SOLN",339.08,169.54,,,0 NDC,18657-117-02,"HYALURONIDASE, HUMAN RECOMB. 150 UNIT/ML SOLN",100.705,50.349999999999994,,,0 NDC,18657-117-04,"HYALURONIDASE, HUMAN RECOMB. 150 UNIT/ML SOLN",339.08,169.54,,,0 NDC,19515-810-41,IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE,71.565,35.78,,,0 NDC,19515-810-52,IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE,71.565,35.78,,,0 NDC,19515-814-41,INFLUEN QUAD IM 3YR AND OLDER,98.0,49.0,,,0 NDC,19515-818-41,INFLUENZA VACCINE ('24/'25) *LATEX FREE*,121.13,60.56,,,0 NDC,20555-01100,CETAPHIL CLEANSER CLSR 473 ML BOTTLE,10.93,5.46,,,0 NDC,2055500100,ASCORBIC ACID (VITAMIN C) 250 MG TABS,1.0,0.5,,,0 NDC,2055501900,FERROUS GLUCONATE TABS,1.0,0.5,,,0 NDC,2055502500,CALCIUM-CHOLECALCIFEROL (D3) 250 (625)-125 MG-UNIT TABS,1.0,0.5,,,0 NDC,2055502700,MULTIVITAMIN WITH FOLIC ACID 400 MCG TABS,1.0,0.5,,,0 NDC,2055503300,"CHOLECALCIFEROL 25 MCG (1,000 UNIT) TABS",1.0,0.5,,,0 NDC,2055503601,MELATONIN 3 MG TABS,1.03,0.52,,,0 NDC,2055504000,ZINC SULFATE 50 MG ZINC (220 MG) CAPS,1.09,0.54,,,0 NDC,2159934563,HYDROGEN PEROXIDE 3 % SOLN 237 ML BOTTLE,3.49,1.74,,,0 NDC,21922-017-04,CLOBETASOL 0.05 % OINT 15 G TUBE,10.14,5.07,,,0 NDC,21922-021-07,PERMETHRIN 5 % CREA 60 G TUBE,105.265,52.629999999999995,,,0 NDC,23155-001-10,HYDRALAZINE 10 MG TABS,1.05,0.52,,,0 NDC,23155-002-10,HYDRALAZINE 25 MG TABS,1.07,0.54,,,0 NDC,23155-026-01,VERAPAMIL 80 MG TABS,1.14,0.57,,,0 NDC,23155-029-01,FLUOXETINE 20 MG CAPS,1.05,0.52,,,0 NDC,23155-071-01,METHIMAZOLE 10 MG TABS,1.66,0.83,,,0 NDC,23155-194-01,NIFEDIPINE 10 MG CAPS,2.16,1.08,,,0 NDC,23155-216-31,CIDOFOVIR 75 MG/ML SOLN 5 ML VIAL,216.87,108.435,,,0 NDC,23155-290-31,AMIKACIN 500 MG/2 ML SOLN 2 ML VIAL,52.965,26.479999999999997,,,0 NDC,23155-290-32,"AMIKACIN 1,000 MG/4 ML SOLN 4 ML VIAL",46.88,23.439999999999998,,,0 NDC,23155-290-41,AMIKACIN 500 MG/2 ML SOLN 2 ML VIAL,52.965,26.479999999999997,,,0 NDC,23155-290-42,"AMIKACIN 1,000 MG/4 ML SOLN 4 ML VIAL",48.13,24.06,,,0 NDC,23155-294-31,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) SOLN,31.19,15.6,,,0 NDC,23155-501-01,HYDROXYZINE 25 MG TABS,0.675,0.335,,,0 NDC,23155-512-11,NIMODIPINE 30 MG CAPS,4.6,2.3,,,0 NDC,23155-530-06,TROSPIUM 20 MG TABS,2.24,1.12,,,0 NDC,23155-531-02,CALCIUM ACETATE(PHOSPHAT BIND) 667 MG CAPS,1.0,0.5,,,0 NDC,23155-601-42,MIDAZOLAM IN NORMAL SALINE 1 MG/ML SOLN 10 ML VIAL,149.3,74.65,,,0 NDC,23155-606-01,GLYCOPYRROLATE 1 MG TABS,1.36,0.68,,,0 NDC,23155-649-41,CARMUSTINE 100 MG SOLR 1 EACH VIAL,1851.23,925.62,,,0 NDC,23155-686-31,"OCTREOTIDE 1,000 MCG/ML SOLN 5 ML VIAL",99.0,49.5,,,0 NDC,23155-705-01,ENALAPRIL 5 MG TABS,1.16,0.58,,,0 NDC,23155-724-01,LABETALOL 200 MG TABS,0.32,0.16,,,0 NDC,23155-799-01,PERPHENAZINE 2 MG TABS,1.35,0.68,,,0 NDC,23155-833-01,HYDRALAZINE 25 MG TABS,1.14,0.57,,,0 NDC,23155-837-11,"CYCLOSPORINE, MODIFIED 25 MG CAPS",5.62,2.81,,,0 NDC,23155-858-78,VANCOMYCIN 125 MG CAPS,4.44,2.22,,,0 NDC,24200-0060-03,CALCIUM GLUCONATE,56.67,28.34,,,0 NDC,24200-0061-03,CALCIUM GLUCONATE,61.0,30.5,,,0 NDC,24200-052-15,SODIUM BICARBONATE 150 MEQ IN D5W 1000 ML,54.86,27.43,,,0 NDC,24200-0688-51,HEPARIN 1UNIT/ML NACL 0.45% FLUSH/5ML SYRINGE,5.79,2.9,,,0 NDC,24200-1116-10,NOREPINEPHRINE BITARTRATE-NS 4 MG/250 ML (16 MCG/ML) SOLN,74.0,37.0,,,0 NDC,24200-3449-50,FENTANYL 10MCG/ML BUPIVACAINE 0.2% IN 10ML NS,77.75,38.88,,,0 NDC,24201-400-02,CALCITONIN 200 UNIT/ML SOLN,13157.13,6578.56,,,0 NDC,24208-276-15,SODIUM CHLORIDE 2 % DROP 15 ML DROP BTL,54.13,27.06,,,0 NDC,24208-342-05,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) SPRY 5 ML AER W/ADAP,498.53,249.26,,,0 NDC,24208-463-25,LATANOPROST 0.005 % DROP 2.5 ML DROP BTL,14.04,7.02,,,0 NDC,24208-485-10,DORZOLAMIDE 2 % DROP,1.09,0.54,,,0 NDC,24208-486-10,DORZOLAMIDE-TIMOLOL 22.3-6.8 MG/ML DROP 10 ML DROP BTL,1.0,0.5,,,0 NDC,24208-555-55,"BACITRACIN-POLYMYXIN B 500-10,000 UNIT/GRAM OINT 3.5 G TUBE",49.65,24.82,,,0 NDC,24208-631-10,"NEOMYCIN-POLYMYXIN-HC OTIC 3.5-10,000-1 MG/ML-UNIT/ML-% SOLN 10 ML DROP BTL",73.03,36.52,,,0 NDC,24208-670-04,SULFACETAMIDE 10 % DROP 15 ML DROP BTL,84.525,42.260000000000005,,,0 NDC,24208-730-06,PROPARACAINE 0.5 % DROP 15 ML DROP BTL,123.54,61.77,,,0 NDC,24208-735-01,CYCLOPENTOLATE 1 % DROP,6.74,3.37,,,0 NDC,24208-780-55,"NEOMYCIN-BACITRACIN-POLYMYXIN 3.5-400-10,000 MG-UNIT-UNIT/G OINT 3.5 G TUBE",56.97,28.48,,,0 NDC,24208-785-55,"NEOMYCIN-BACITRACIN-POLY-HC 3.5-400-10,000 MG-UNIT/G-1% OINT 3.5 G TUBE",31.7,15.85,,,0 NDC,24208-790-62,"NEOMYCIN-GRAMICIDIN-POLYMYXIN 1.75 MG-10,000 UNIT-0.025MG/ML DROP 10 ML DROP BTL",97.01,48.5,,,0 NDC,24208-795-35,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/G-10,000 UNIT/G-0.1 % OINT 3.5 G TUBE",45.21,22.6,,,0 NDC,24208-830-60,"NEOMYCIN-POLYMYXIN-DEXAMETHASONE 3.5MG/ML-10,000 UNIT/ML-0.1 % DRPS 5 ML DROP BTL",36.16,18.08,,,0 NDC,24208-910-19,ERYTHROMYCIN 5 MG/GRAM (0.5 %) OINT 1 G TUBE,24.12,12.06,,,0 NDC,2420838762,"VIT A,C & E-LUTEIN-MINERALS 300 MCG-200 MG-27 MG-2 MG TABS",1.0,0.5,,,0 NDC,2420853210,"VIT A,C,E-ZINC-COPPER 4,296 MCG-226 MG-90 MG CAPS",1.56,0.78,,,0 NDC,2420853230,"VIT A,C,E-ZINC-COPPER 4,296 MCG-226 MG-90 MG CAPS",1.56,0.78,,,0 NDC,24385-165-53,TROLAMINE SALICYLATE 10 % CREA,5.76,2.88,,,0 NDC,24571-117-05,"PHOS DIALY NO.3 W-OUT CALC,DEX K (4)-MG (1.5 MEQ/L)-PO4 (1) SOLN",182.0,91.0,,,0 NDC,24571-117-06,"PHOS DIALY NO.3 W-OUT CALC,DEX K (4)-MG (1.5 MEQ/L)-PO4 (1) SOLN",182.0,91.0,,,0 NDC,24979-004-07,DONEPEZIL 23 MG TABS,3.5,1.75,,,0 NDC,25021-109-10,CEFOXITIN 1 GRAM SOLR,21.25,10.62,,,0 NDC,25021-110-20,CEFOXITIN 2 GRAM SOLR 1 EACH VIAL,40.0,20.0,,,0 NDC,25021-114-87,CIPROFLOXACIN 400 MG/200 ML PGBK,11.6,5.8,,,0 NDC,25021-115-06,CLINDAMYCIN 150 MG/ML SOLN,25.15,12.58,,,0 NDC,25021-121-20,CEFEPIME 1 GRAM SOLR 1 EACH VIAL,18.63,9.32,,,0 NDC,25021-122-50,CEFEPIME 2 GRAM SOLR 1 EACH VIAL,32.5,16.25,,,0 NDC,25021-128-50,CEFTAZIDIME 2 GRAM SOLR 1 EACH VIAL,40.03,20.02,,,0 NDC,25021-132-82,LEVOFLOXACIN 500 MG/100 ML PGBK,10.4,5.2,,,0 NDC,25021-132-83,LEVOFLOXACIN 750 MG/150 ML PGBK,11.0,5.5,,,0 NDC,25021-136-10,AMPICILLIN 1 GRAM SOLR 1 EACH VIAL,12.56,6.28,,,0 NDC,25021-143-30,AMPICILLIN/SULBACTAM 3 GRAM SOLR 1 EACH VIAL,22.5,11.25,,,0 NDC,25021-158-99,VANCOMYCIN 10 GRAM SOLR 1 EACH VIAL,39.23,19.62,,,0 NDC,25021-162-24,OXACILLIN,3.04,1.52,,,0 NDC,25021-184-82,FLUCONAZOLE 200 MG/100 ML PGBK,14.0,7.0,,,0 NDC,25021-184-87,FLUCONAZOLE 400 MG/200 ML PGBK,19.6,9.8,,,0 NDC,25021-185-10,GANCICLOVIR SODIUM 50 MG/ML SOLN 10 ML VIAL,26.0,13.0,,,0 NDC,25021-191-10,MICAFUNGIN 100 MG SOLR 1 EACH VIAL,302.5,151.25,,,0 NDC,25021-192-87,CIPROFLOXACIN 400 MG/200 ML PGBK,11.6,5.8,,,0 NDC,25021-207-25,DOXORUBICIN 50 MG/25 ML SOLN 25 ML VIAL,118.82,59.41,,,0 NDC,25021-207-51,DOXORUBICIN 2 MG/ML SOLN 100 ML VIAL,17.11,8.56,,,0 NDC,25021-223-20,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) SOLN 20 ML VIAL,88.55,44.28,,,0 NDC,25021-250-20,MITOMYCIN 5 MG SOLR 1 EACH VIAL,261.6,130.8,,,0 NDC,25021-255-05,PACLITAXEL 6 MG/ML CONC 5 ML VIAL,14.41,7.2,,,0 NDC,25021-255-17,PACLITAXEL 6 MG/ML CONC 16.7 ML VIAL,130.44,65.22,,,0 NDC,25021-258-61,MELPHALAN HCL 50 MG SOLR 1 EACH VIAL,4740.8,2370.4,,,0 NDC,25021-305-20,CHLOROTHIAZIDE 500 MG SOLR 1 EACH VIAL,200.5,100.25,,,0 NDC,25021-308-84,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) SOLP",374.0,187.0,,,0 NDC,25021-311-02,FUROSEMIDE 10 MG/ML SOLN,8.13,4.06,,,0 NDC,25021-315-01,PHENYLEPHRINE 10 MG/ML SOLN 1 ML VIAL,16.63,8.32,,,0 NDC,25021-316-04,NOREPINEPHRINE 1 MG/ML SOLN,23.13,11.56,,,0 NDC,25021-317-40,LABETALOL 5 MG/ML SOLN 40 ML VIAL,30.0,15.0,,,0 NDC,25021-318-02,ADENOSINE 3 MG/ML SOLN,18.13,9.06,,,0 NDC,25021-400-10,"HEPARIN 1,000 UNIT/ML SOLN 10 ML VIAL",12.44,6.22,,,0 NDC,25021-401-02,"HEPARIN PF 1,000 UNIT/ML SOLN",5.835,2.915,,,0 NDC,25021-418-82,"TRANEXAMIC ACID 1,000 MG/100 ML (10 MG/ML) PGBK",84.0,42.0,,,0 NDC,25021-467-05,"OCTREOTIDE 1,000 MCG/ML SOLN 5 ML VIAL",99.0,49.5,,,0 NDC,25021-500-02,THIAMINE 100 MG/ML SOLN,41.25,20.62,,,0 NDC,25021-601-03,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) SOLN,52.12,26.060000000000002,,,0 NDC,25021-602-03,CAFFEINE CITRATE,30.47,15.24,,,0 NDC,25021-608-20,PROPOFOL 10 MG/ML EMUL,11.5,5.75,,,0 NDC,25021-612-81,MAGNESIUM SULFATE 2G/50ML (4%) IN WATER PGBK,19.6,9.8,,,0 NDC,25021-655-02,MIDAZOLAM PF 1 MG/ML SOLN,2.35,1.18,,,0 NDC,25021-671-87,ROPIVACAINE 0.2% (PF) 2 MG/ML (0.2 %) SOLN 200 ML BAG,363.44,181.72,,,0 NDC,25021-673-77,LIDOCAINE 2 % JELP,20.04,10.02,,,0 NDC,25021-676-50,PENTOBARBITAL 50 MG/ML SOLN,3060.0,1530.0,,,0 NDC,25021-682-20,KETAMINE 10 MG/ML SOLN,120.8,60.4,,,0 NDC,25021-700-01,KETOROLAC 15 MG/ML SOLN,6.19,3.095,,,0 NDC,25021-751-10,PANTOPRAZOLE 40 MG SOLR 1 EACH VIAL,20.0,10.0,,,0 NDC,25021-777-02,ONDANSETRON (PF) 4 MG/2 ML SOLN,5.38,2.69,,,0 NDC,25021-790-02,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) SOLN,31.19,15.6,,,0 NDC,25021-791-20,LACOSAMIDE 200 MG/20 ML SOLN,206.25,103.12,,,0 NDC,25021-812-30,ACETYLCYSTEINE 200 MG/ML (20 %) SOLN 30 ML VIAL,194.775,97.39,,,0 NDC,25021-814-30,LEUCOVORIN CALCIUM 100 MG SOLR 1 EACH VIAL,57.5,28.75,,,0 NDC,25021-815-30,LEUCOVORIN CALCIUM 200 MG SOLR 1 EACH VIAL,96.0,48.0,,,0 NDC,25021-816-30,LEUCOVORIN CALCIUM 350 MG SOLR 1 EACH VIAL,218.73,109.36,,,0 NDC,25021-838-05,FLUPHENAZINE DECANOATE 25 MG/ML SOLN,100.0,50.0,,,0 NDC,25208-001-04,TIROFIBAN 250 MCG/ML CONC 15 ML VIAL,368.97,184.48,,,0 NDC,25682-025-01,RAVULIZUMAB-CWVZ 100 MG/ML SOLN 3 ML VIAL,24975.6,12487.8,,,0 NDC,25682-028-01,RAVULIZUMAB-CWVZ 100 MG/ML SOLN 11 ML VIAL,275677.75,137838.88,,,0 NDC,2697430464,AMINO ACIDS-PROTEIN HYDROLYS 15 GRAM- 100 KCAL/30 ML LIPK,5.2,2.6,,,0 NDC,2697441042,AMINO ACIDS-PROTEIN HYDROLYS 15 GRAM- 100 KCAL/30 ML LIPK,4.7,2.35,,,0 NDC,2697441052,AMINO ACIDS-PROTEIN HYDROLYS 15 GRAM- 100 KCAL/30 ML LIPK,5.2,2.6,,,0 NDC,27241-134-21,CHOLESTYRAMINE 4 GRAM PWPK,3.9,1.95,,,0 NDC,27241-161-01,CAPTOPRIL 25 MG TABS,6.09,3.04,,,0 NDC,2780-8086-05,HYDROCODONE-CHLORPHENIRAMINE 10-8 MG/5 ML SU12,19.51,9.76,,,0 NDC,27808-002-01,RISPERIDONE 1 MG/ML SOLN,1.25,0.62,,,0 NDC,27808-157-01,ROSUVASTATIN 20 MG TABS,0.5700000000000001,0.29000000000000004,,,0 NDC,28595-120-49,NITROGLYCERIN 400 MCG/SPRAY SPRY,473.66,236.83,,,0 NDC,29033-001-01,THEOPHYLLINE SR 400 MG TB24,3.33,1.66,,,0 NDC,29033-030-01,ACETAZOLAMIDE SR 500 MG CPSR,2.5,1.25,,,0 NDC,29300-126-13,BISOPROLOL 5 MG TABS,1.56,0.78,,,0 NDC,29300-188-13,BISOPROLOL/HCTZ 5-6.25 MG TABS,1.62,0.81,,,0 NDC,29300-189-13,BISOPROLOL/HCTZ 10-6.25 MG TABS,1.55,0.78,,,0 NDC,30768-00830,LYSINE 500 MG TABS,1.06,0.53,,,0 NDC,31722-013-30,DEFERASIROX 360 MG TABS,6.5,3.25,,,0 NDC,31722-014-90,DROXIDOPA 100 MG CAPS,4.33,2.16,,,0 NDC,31722-041-31,PROMETHAZINE 25 MG SUPP,14.45,7.22,,,0 NDC,31722-053-60,IVABRADINE 5 MG TABS,8.25,4.12,,,0 NDC,31722-243-30,LAMOTRIGINE ER 200 MG TR24,5.31,2.65,,,0 NDC,31722-308-01,OLANZAPINE 10 MG/2ML SOLR,127.5,63.75,,,0 NDC,31722-519-01,HYDRALAZINE 10 MG TABS,0.05,0.02,,,0 NDC,31722-520-01,HYDRALAZINE 25 MG TABS,0.07,0.04,,,0 NDC,31722-542-01,INDOMETHACIN 25 MG CAPS,1.29,0.64,,,0 NDC,31722-556-12,LOPINAVIR-RITONAVIR 200-50 MG TABS,31.59,15.8,,,0 NDC,31722-623-30,ROFLUMILAST 500 MCG TABS,1.88,0.94,,,0 NDC,31722-647-30,TADALAFIL 20 MG TABS,3.25,1.625,,,0 NDC,31722-701-90,LOSARTAN 50 MG TABS,1.14,0.57,,,0 NDC,31722-833-30,ENTECAVIR 0.5 MG 0.5 MG TABS,4.34,2.17,,,0 NDC,31722-868-03,TOLVAPTAN 15 MG TABS,72.93,36.46,,,0 NDC,31722-935-02,ALBENDAZOLE 200 MG TABS,103.15,51.58,,,0 NDC,33342-054-07,PIOGLITAZONE 15 MG TABS,1.16,0.58,,,0 NDC,33342-062-07,VALSARTAN 40 MG TABS,1.24,0.62,,,0 NDC,33342-063-10,VALSARTAN 80 MG TABS,1.355,0.6799999999999999,,,0 NDC,33342-089-09,RIVASTIGMINE TARTRATE 1.5 MG CAPS,2.0,1.0,,,0 NDC,33342-329-54,TRIAMCINOLONE ACETONIDE 0.1 % CREA 454 G JAR,62.97,31.48,,,0 NDC,35573-433-30,KETOCONAZOLE 200 MG TABS,4.15,2.08,,,0 NDC,35573-450-02,KETOROLAC 10 MG TABS,2.7,1.35,,,0 NDC,36000-148-01,FLUMAZENIL 0.1 MG/ML SOLN,43.13,21.56,,,0 NDC,36000-282-25,FUROSEMIDE 10 MG/ML SOLN,5.63,2.82,,,0 NDC,36000-284-25,FUROSEMIDE 10 MG/ML SOLN,12.06,6.03,,,0 NDC,36000-320-01,LABETALOL 5 MG/ML SOLN,28.88,14.44,,,0 NDC,36000-324-02,LABETALOL 5 MG/ML SOLN 40 ML VIAL,32.5,16.25,,,0 NDC,3848580857,PSYLLIUM PACK,1.0,0.5,,,0 NDC,38779-1284-8,FERRIC SUBSULFATE 20 TO 22 GRAM/100 ML SOLN 500 ML BOTTLE,90.25,45.12,,,0 NDC,3877906138,HOG ENEMA,39.3,19.65,,,0 NDC,3932806412,SODIUM HYPOCHLORITE 0.125 % SOLN 473 ML BOTTLE,34.11,17.06,,,0 NDC,39822-0310-5,NEOMYCIN 500 MG TABS,7.11,3.56,,,0 NDC,39822-1055-5,AMPHOTERICIN B CONVENTIONAL 50 MG SOLR 1 EACH VIAL,302.5,151.25,,,0 NDC,39822-1100-1,FOLIC ACID 5 MG/ML SOLN 10 ML VIAL,169.38,84.69,,,0 NDC,39822-1201-1,"NEOMYCIN-POLYMYXIN 40 MG-200,000 UNIT/ML SOLN",42.75,21.38,,,0 NDC,39822-2000-1,"CLONIDINE 1,000 MCG/10 ML (100 MCG/ML) SOLN",10.0,5.0,,,0 NDC,39822-3015-1,"NYSTATIN 100,000 UNIT/GRAM POWD 15 G BOTTLE",25.52,12.76,,,0 NDC,39822-3030-1,PENTAMIDINE 300 MG SOLR,128.0,64.0,,,0 NDC,39822-3030-2,PENTAMIDINE 300 MG SOLR,128.0,64.0,,,0 NDC,39822-4200-6,ROCURONIUM 10 MG/ML SOLN,33.63,16.82,,,0 NDC,39822-5525-2,PROMETHAZINE 25 MG/ML SOLN,7.75,3.88,,,0 NDC,4110080676,POLYETHYLENE GLYCOL 17 GRAM PWPK,1.05,0.52,,,0 NDC,4110081163,VIT A & D OINTMENT OINT 42.5 G TUBE,42.5,21.25,,,0 NDC,4110082076,POLYETHYLENE GLYCOL 17 GRAM/DOSE POWD 119 G JAR,10.64,5.32,,,0 NDC,41163-602-43,MAGNESIUM SULFATE 495 MG/5 GRAM GRAN,1.72,0.86,,,0 NDC,4116705724,TROLAMINE SALICYLATE 10 % CREA 141 G TUBE,8.9,4.45,,,0 NDC,4116773003,TROLAMINE SALICYLATE 10 % CREA 85 G TUBE,5.76,2.88,,,0 NDC,41388-210-41,BLISTEX 0.6-0.5-1.1-0.5 % OINT 10 G TUBE,5.8,2.9,,,0 NDC,42023-105-01,METHOHEXITAL 500 MG SOLR,140.755,70.375,,,0 NDC,42023-113-10,KETAMINE 10 MG/ML SOLN,120.8,60.4,,,0 NDC,42023-116-02,OXYTOCIN 10 UNIT/ML SOLN,19.32,9.66,,,0 NDC,42023-116-25,OXYTOCIN 10 UNIT/ML SOLN,11.88,5.94,,,0 NDC,42023-129-01,FLUPHENAZINE DECANOATE 25 MG/ML SOLN,75.625,37.81,,,0 NDC,42023-159-01,EPINEPHRINE 1 MG/ML (1 ML) SOLN,8.34,4.17,,,0 NDC,42023-164-01,VASOPRESSIN 20 UNIT/ML SOLN,829.83,414.92,,,0 NDC,42023-168-01,EPINEPHRINE 1 MG/ML SOLN,152.93,76.46,,,0 NDC,42023-173-01,GANCICLOVIR 500 MG SOLR 1 EACH VIAL,133.8,66.9,,,0 NDC,42023-187-01,DEXMEDETOMIDINE IN 0.9 % NACL 400 MCG/100 ML (4 MCG/ML) SOLN,101.6,50.8,,,0 NDC,42023-190-01,VASOPRESSIN 20 UNITS/50 ML PGBK,1546.12,773.06,,,0 NDC,42023-207-01,TREPROSTINIL 2.5 MG/ML SOLN 20 ML VIAL,2134.03,1067.02,,,0 NDC,42023-208-01,TREPROSTINIL 5 MG/ML SOLN 20 ML VIAL,2821.61,1410.8,,,0 NDC,42023-209-01,TREPROSTINIL 10 MG/ML SOLN 20 ML VIAL,7634.76,3817.38,,,0 NDC,42023-215-01,PHENYLEPHRINE 10 MG/ML SOLN 10 ML VIAL,65.0,32.5,,,0 NDC,42023-229-01,MICAFUNGIN 50 MG SOLR 1 EACH VIAL,452.5,226.25,,,0 NDC,42023-229-10,MICAFUNGIN 50 MG SOLR 1 EACH VIAL,301.25,150.625,,,0 NDC,42023-230-01,MICAFUNGIN 100 MG SOLR 1 EACH VIAL,302.5,151.25,,,0 NDC,42023-269-01,NEOSTIGMINE-GLYCOPYRROLATE 3 MG-0.6 MG/3ML (1 MG-0.2MG/ML) SYRG,79.97,39.98,,,0 NDC,4203710478,CARBAMIDE PEROXIDE 6.5 % DROP 15 ML DROP BTL,1.05,0.52,,,0 NDC,42192-339-01,HYOSCYAMINE 0.125 MG SUBL,1.38,0.69,,,0 NDC,42192-715-06,CICLOPIROX 8 % SOLN 6.6 ML BOTTLE,60.39,30.2,,,0 NDC,42291-076-15,CLOBETASOL 0.05 % CREA 15 G TUBE,8.51,4.26,,,0 NDC,42291-084-30,AZITHROMYCIN 600 MG TABS,14.469999999999999,7.234999999999999,,,0 NDC,42291-094-30,AZELASTINE 137 MCG (0.1 %) SPRY 30 ML SQUEEZ BTL,40.38,20.19,,,0 NDC,42291-266-01,"ERGOCALCIFEROL 50,000 UNIT CAPS",1.36,0.68,,,0 NDC,42291-412-60,DOFETILIDE 250 MCG CAPS,0.8500000000000001,0.43000000000000005,,,0 NDC,42291-413-60,DOFETILIDE 500 MCG CAPS,1.63,0.815,,,0 NDC,42291-459-30,CINACALCET 30 MG TABS,1.125,0.565,,,0 NDC,42291-476-60,LUBIPROSTONE 24 MCG CAPS,2.89,1.44,,,0 NDC,42291-772-10,PHENYTOIN ER 100 MG CAPS,1.19,0.6,,,0 NDC,42291-800-30,TENOFOVIR DISOPROXIL 300 MG TABS,3.72,1.86,,,0 NDC,42291-857-90,VALSARTAN 80 MG TABS,1.24,0.62,,,0 NDC,42291-897-90,VENLAFAXINE ER 37.5 MG CP24,1.15,0.58,,,0 NDC,42292-026-01,PALIPERIDONE 3 MG TR24,14.0,7.0,,,0 NDC,42292-038-01,LEVOTHYROXINE 88 MCG TABS,0.33,0.165,,,0 NDC,42292-039-01,LEVOTHYROXINE 112 MCG TABS,0.23,0.12,,,0 NDC,42292-054-01,COLCHICINE 0.6 MG TABS,1.51,0.76,,,0 NDC,42494-415-01,PHENOBARBITAL 65 MG/ML SOLN,85.0,42.5,,,0 NDC,42494-416-01,PHENOBARBITAL 130 MG/ML SOLN 1 ML VIAL,624.08,312.04,,,0 NDC,42543-141-01,HYDROCORTISONE,27.1,13.55,,,0 NDC,42543-406-01,POTASSIUM CITRATE ER 5 MEQ (540 MG) TBSR,2.4050000000000002,1.205,,,0 NDC,42571-137-25,KETOROLAC 0.5 % DROP 5 ML DROP BTL,76.0,38.0,,,0 NDC,42571-141-26,DORZOLAMIDE 2 % DROP 10 ML DROP BTL,9.62,4.8100000000000005,,,0 NDC,42571-160-30,AMOXICILLIN-CLAVULANATE 250-125 MG TABS,7.5,3.75,,,0 NDC,42571-161-01,AMOXICILLIN-CLAVULANATE 500-125 MG TABS,2.32,1.16,,,0 NDC,42571-161-42,AMOXICILLIN-CLAVULANATE 500-125 MG TABS,2.32,1.16,,,0 NDC,42658-021-01,DAUNORUBICIN 5 MG/ML 5 MG/ML SOLN 4 ML VIAL,1092.77,546.38,,,0 NDC,42658-021-02,DAUNORUBICIN 5 MG/ML 5 MG/ML SOLN 4 ML VIAL,2181.53,1090.76,,,0 NDC,42794-018-12,LIOTHYRONINE 5 MCG TABS,1.67,0.84,,,0 NDC,42799-605-01,LOPERAMIDE 2 MG CAPS,1.35,0.68,,,0 NDC,42799-806-01,IVERMECTIN 3 MG TABS,50.69,25.34,,,0 NDC,42806-087-01,ESTRADIOL 0.5 MG TABS,1.11,0.56,,,0 NDC,42806-088-01,ESTRADIOL 1 MG TABS,1.1,0.55,,,0 NDC,42806-270-98,CHOLESTYRAMINE 4 GRAM PWPK,3.65,1.82,,,0 NDC,42806-341-01,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABS,1.23,0.62,,,0 NDC,42806-425-01,BUPROPION SR 150 MG SR12,0.66,0.33,,,0 NDC,42806-501-09,NICARDIPINE 20 MG CAPS,6.23,3.12,,,0 NDC,42806-513-30,QUINIDINE SULFATE 200 MG TABS,1.74,0.87,,,0 NDC,42806-549-09,DUTASTERIDE 0.5 MG CAPS,1.39,0.7,,,0 NDC,42806-552-12,OMEGA-3 1 GRAM CAPS,0.92,0.46,,,0 NDC,42806-714-01,BENZONATATE 100 MG CAPS,1.23,0.62,,,0 NDC,42806-714-05,BENZONATATE 100 MG CAPS,1.23,0.62,,,0 NDC,42858-001-10,OXYCODONE 5 MG TABS,0.12,0.06,,,0 NDC,42858-103-01,OXYCODONE-ACETAMINOPHEN 7.5-325 MG TABS,1.355,0.675,,,0 NDC,42858-200-01,FENOFIBRATE MICRONIZED 200 MG CAPS,1.8849999999999998,0.94,,,0 NDC,42858-301-01,HYDROMORPHONE 2 MG TABS,1.195,0.6000000000000001,,,0 NDC,42858-301-25,HYDROMORPHONE 2 MG TABS,1.27,0.64,,,0 NDC,42858-302-25,HYDROMORPHONE 4 MG TABS,1.31,0.66,,,0 NDC,42858-703-03,PAROXETINE CR 12.5 MG TB24,3.49,1.74,,,0 NDC,43066-008-01,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) SOLN",24.38,12.19,,,0 NDC,43066-090-01,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) SOLN,31.19,15.6,,,0 NDC,43066-360-20,AMIODARONE 360 MG/200 ML (1.8 MG/ML) SOLN,186.8,93.4,,,0 NDC,43066-993-24,CLINDAMYCIN 600 MG/50 ML PGBK,18.0,9.0,,,0 NDC,43066-995-24,CLINDAMYCIN 900 MG/50 ML PGBK,22.0,11.0,,,0 NDC,43066-997-01,NOREPINEPHRINE 1 MG/ML SOLN,23.13,11.56,,,0 NDC,4329255538,RIBOFLAVIN 25 MG TABS,1.06,0.53,,,0 NDC,4329255812,CRANBERRY EXTRACT 425 MG CAPS,1.08,0.54,,,0 NDC,4329255857,GLUCOSAMINE 500 MG CAPS,1.16,0.58,,,0 NDC,4329256000,RIBOFLAVIN 100 MG TABS,1.08,0.54,,,0 NDC,43547-270-10,ROPINIROLE 1 MG TABS,1.24,0.62,,,0 NDC,43547-280-10,ESCITALOPRAM 5 MG TABS,1.16,0.58,,,0 NDC,43547-354-10,LISINOPRIL 20 MG TABS,0.54,0.27,,,0 NDC,43547-367-03,VALSARTAN 40 MG TABS,1.24,0.62,,,0 NDC,43547-548-10,ENALAPRIL 20 MG TABS,1.32,0.66,,,0 NDC,43547-640-01,GLYCOPYRROLATE 0.2 MG/ML SOLN,10.31,5.16,,,0 NDC,43598-051-11,CALCITONIN 200 UNIT/ML SOLN,10852.385,5426.195,,,0 NDC,43598-087-11,LACOSAMIDE 200 MG/20 ML SOLN,206.25,103.12,,,0 NDC,43598-127-45,METHYLPREDNISOLONE SOD SUCC 40 MG SOLR,28.0,14.0,,,0 NDC,43598-128-11,METHYLPREDNISOLONE SODIUM SUCC 500 MG SOLR 1 EACH VIAL,71.25,35.62,,,0 NDC,43598-129-01,METHYLPREDNISOLONE SOD SUCC 125 MG/2 ML SOLR 1 EACH VIAL,41.63,20.815,,,0 NDC,43598-129-25,METHYLPREDNISOLONE SOD SUCC 125 MG/2 ML SOLR 1 EACH VIAL,63.065,31.53,,,0 NDC,43598-130-74,"METHYLPREDNISOLONE SOD SUCC 1,000 MG SOLR 1 EACH VIAL",205.63,102.82,,,0 NDC,43598-210-40,SILVER SULFADIAZINE 1 % CREA 400 G JAR,122.8,61.4,,,0 NDC,43598-210-50,SILVER SULFADIAZINE 1 % CREA 50 G TUBE,42.88,21.44,,,0 NDC,43598-210-55,SILVER SULFADIAZINE 1 % CREA 50 G JAR,43.88,21.94,,,0 NDC,43598-326-75,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % DRPS 7.5 ML DROP BTL,294.43,147.22,,,0 NDC,43598-392-48,MELPHALAN HCL 50 MG SOLR 1 EACH VIAL,3704.0,1852.0,,,0 NDC,43598-405-11,PHYTONADIONE (VITAMIN K1) 10 MG/ML SOLN,269.79,134.9,,,0 NDC,43598-405-16,PHYTONADIONE (VITAMIN K1) 10 MG/ML SOLN,269.79,134.9,,,0 NDC,43598-413-11,DAPTOMYCIN 500 MG SOLR,41.92,20.96,,,0 NDC,43598-436-35,NITROGLYCERIN 0.4 MG SUBL,1.22,0.61,,,0 NDC,43598-446-71,NICOTINE 7 MG/24 HR PT24,3.14,1.57,,,0 NDC,43598-447-71,NICOTINE 14 MG/24 HR PT24,3.14,1.57,,,0 NDC,43598-448-71,NICOTINE 21 MG/24 HR PT24,3.14,1.57,,,0 NDC,43598-452-02,ALBENDAZOLE 200 MG TABS,103.15,51.58,,,0 NDC,43598-479-01,SEVELAMER CARBONATE 2400 MG PWPK,6.67,3.34,,,0 NDC,43598-529-36,NEOSTIGMINE METHYLSULFATE 5 MG/5 ML (1 MG/ML) SYRG,79.69,39.84,,,0 NDC,43598-616-11,"CHG - INJ,REGADENOSON,0.1MG,LEXISCAN",2256.0,1128.0,,,0 NDC,43598-698-11,CARBOPROST 250 MCG/ML SOLN,252.5,126.25,,,0 NDC,43598-751-01,BUPROPION SR 100 MG SR12,0.6200000000000001,0.31000000000000005,,,0 NDC,43598-848-11,ZIPRASIDONE 20 MG/ML (FINAL CONC.) SOLR 1 EACH VIAL,95.83,47.915,,,0 NDC,43598-914-06,VASOPRESSIN 20 UNIT/ML SOLN,829.83,414.92,,,0 NDC,43598-914-11,VASOPRESSIN 20 UNIT/ML SOLN,829.83,414.92,,,0 NDC,43598-914-25,VASOPRESSIN 20 UNIT/ML SOLN,829.83,414.92,,,0 NDC,43598-948-11,FOSAPREPITANT 150 MG SOLR 1 EACH VIAL,158.75,79.38,,,0 NDC,43598-975-11,DEXMEDETOMIDINE IN 0.9 % NACL 400 MCG/100 ML (4 MCG/ML) SOLN,101.6,50.8,,,0 NDC,43598-976-11,DEXMEDETOMIDINE IN 0.9 % NACL 200 MCG/50 ML (4 MCG/ML) SOLN,57.6,28.8,,,0 NDC,43598-977-10,DICLOFENAC SODIUM 1 % GEL 100 G TUBE,13.25,6.62,,,0 NDC,43825-606-41,"THROMBIN (RECOMNINANT) 5,000 UNIT SOLR 1 EACH KIT",185.0,92.5,,,0 NDC,4390036250,NUTRITION SUPPLEMENT-IMPAIRED DIGESTION 0.05-1 GRAM-KCAL/ML LIQD,26.2,13.1,,,0 NDC,43975-349-03,PALIPERIDONE 1.5 MG TR24,14.0,7.0,,,0 NDC,44206-251-10,"ALBUMIN, HUMAN 25 % SOLP",583.13,291.565,,,0 NDC,44206-251-91,"ALBUMIN, HUMAN 25 % SOLP",584.38,292.19,,,0 NDC,44206-300-01,RHIG,460.0,230.0,,,0 NDC,44206-310-25,"ALBUMIN, HUMAN 5% 5 % SOLP",291.88,145.94,,,0 NDC,44206-310-50,"ALBUMIN, HUMAN 5% 5 % SOLP",583.75,291.88,,,0 NDC,44206-310-90,"ALBUMIN, HUMAN 5% 5 % SOLP",293.13,146.56,,,0 NDC,44206-310-91,"ALBUMIN, HUMAN 5% 5 % SOLP",583.75,291.88,,,0 NDC,44206-436-05,IVIG 10 % SOLN,2375.0550000000003,1187.53,,,0 NDC,44206-436-90,IVIG 10 % SOLN,2375.0550000000003,1187.53,,,0 NDC,44206-437-10,IVIG 10 % SOLN,4614.14,2307.07,,,0 NDC,44206-437-91,IVIG 10 % SOLN,4614.14,2307.07,,,0 NDC,44206-438-20,IVIG 10 % SOLN,9224.28,4612.14,,,0 NDC,44206-438-92,IVIG 10 % SOLN,9502.220000000001,4751.110000000001,,,0 NDC,44206-439-40,IVIG 10 % SOLN,19001.440000000002,9500.720000000001,,,0 NDC,44206-439-93,IVIG 10 % SOLN,18450.56,9225.28,,,0 NDC,44567-101-10,AMPICILLIN 500 MG SOLR,13.13,6.56,,,0 NDC,44567-102-10,AMPICILLIN 1 GRAM SOLR 1 EACH VIAL,12.56,6.28,,,0 NDC,44567-211-10,AMPICILLIN/SULBACTAM 3 GRAM SOLR 1 EACH VIAL,22.5,11.25,,,0 NDC,44567-221-10,NAFCILLIN 1 GRAM SOLR 1 EACH VIAL,715.0,357.5,,,0 NDC,44567-222-10,NAFCILLIN 2 GRAM SOLR 1 EACH VIAL,53.81,26.9,,,0 NDC,44567-235-25,CEFTAZIDIME 1 GRAM SOLR,10.245,5.125,,,0 NDC,44567-241-10,CEFEPIME 2 GRAM SOLR 1 EACH VIAL,32.5,16.25,,,0 NDC,44567-246-25,CEFOXITIN 2 GRAM SOLR 1 EACH VIAL,40.0,20.0,,,0 NDC,44567-410-24,MAGNESIUM SULFATE 1G/D5W 100ML 1 GRAM/100 ML PGBK,14.0,7.0,,,0 NDC,44567-420-00,MAGNESIUM SULFATE 2G/50ML (4%) IN WATER PGBK,19.6,9.8,,,0 NDC,44567-420-24,MAGNESIUM SULFATE 2G/50ML (4%) IN WATER PGBK,19.6,9.8,,,0 NDC,44567-450-01,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) SOLP",374.0,187.0,,,0 NDC,44567-451-01,"ESMOLOL 2,000 MG/100 ML SOLP 100 ML BAG",986.4,493.2,,,0 NDC,44567-601-04,DEXMEDETOMIDINE 100 MCG/ML SOLN 10 ML VIAL,111.88,55.94,,,0 NDC,44567-610-01,MIDAZOLAM (PF) IN 0.9 % NACL 1 MG/ML SOLN,86.0,43.0,,,0 NDC,44567-611-01,MIDAZOLAM (PF) IN 0.9 % NACL 1 MG/ML SOLN,167.0,83.5,,,0 NDC,44567-620-01,"CALCIUM GLUC IN NACL, ISO-OSM 1 GRAM/50 ML SOLN",81.0,40.5,,,0 NDC,44567-621-01,"CALCIUM GLUC IN NACL, ISO-OSM 2 GRAM/100 ML SOLN",160.0,80.0,,,0 NDC,44567-701-25,CEFTRIAXONE 1 GRAM SOLR,8.88,4.44,,,0 NDC,44567-702-25,CEFTRIAXONE 2 GRAM SOLR,14.5,7.25,,,0 NDC,44567-706-25,CEFAZOLIN 500 MG SOLR 1 EACH VIAL,7.75,3.88,,,0 NDC,44567-707-25,CEFAZOLIN 1 GRAM SOLR 1 EACH VIAL,7.35,3.68,,,0 NDC,44567-802-10,PIPERACILLIN-TAZOBACTAM 3375 MG SOLR 1 EACH VIAL,21.25,10.62,,,0 NDC,44567-811-10,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) SOLP",480.0,240.0,,,0 NDC,44567-812-10,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) SOLP 100 ML BAG",1556.0,778.0,,,0 NDC,44567-845-01,CEFAZOLIN 3 GRAM SOLR 1 EACH VIAL,39.38,19.69,,,0 NDC,45567-0030-1,CHGR-RP TC 99 SULFUR COLLOID PER DOSE,185.0,92.5,,,0 NDC,45802-046-35,GENTAMICIN 0.1 % OINT 15 G TUBE,139.23,69.62,,,0 NDC,45802-048-35,"NYSTATIN 100,000 UNIT/GRAM OINT 15 G TUBE",19.11,9.56,,,0 NDC,45802-055-35,TRIAMCINOLONE ACETONIDE 0.1 % OINT 15 G TUBE,8.72,4.36,,,0 NDC,45802-055-36,TRIAMCINOLONE ACETONIDE 0.1 % OINT 80 G TUBE,48.04,24.02,,,0 NDC,45802-056-35,GENTAMICIN 0.1 % CREA 15 G TUBE,44.73,22.36,,,0 NDC,45802-059-35,NYSTATIN/BALMEX MIXTURE 8OZ 15 G TUBE,0.3,0.15,,,0 NDC,45802-060-03,BACITRACIN 500 UNIT/GRAM OINT 28 G TUBE,28.0,14.0,,,0 NDC,45802-060-05,BACITRACIN 500 UNIT/GRAM OINT 454 G JAR,454.0,227.0,,,0 NDC,45802-064-36,TRIAMCINOLONE ACETONIDE 0.1 % CREA 80 G TUBE,21.72,10.86,,,0 NDC,45802-097-35,ESTRADIOL 0.01 % (0.1 MG/GRAM) CREA 42.5 G TUBE,42.5,21.25,,,0 NDC,45802-112-22,MUPIROCIN 2 % OINT 22 G TUBE,30.72,15.36,,,0 NDC,45802-139-70,METRONIDAZOLE 0.75 % (37.5MG/5 GRAM) GEL 70 G TUBE,71.07,35.54,,,0 NDC,45802-141-67,CICLOPIROX 8 % SOLN 6.6 ML BOTTLE,60.39,30.2,,,0 NDC,45802-143-01,"NEOMYCIN-BACITRACIN-POLYMYXIN 3.5MG-400 UNIT- 5,000 UNIT/GRAM OINT 14 G TUBE",14.0,7.0,,,0 NDC,45802-210-01,NITROGLYCERIN 400 MCG/SPRAY SPRY,239.085,119.545,,,0 NDC,45802-269-37,PERMETHRIN 5 % CREA 60 G TUBE,106.0,53.0,,,0 NDC,45802-276-03,HYDROCORTISONE 1 % OINT 28 G TUBE,28.0,14.0,,,0 NDC,45802-410-59,OXYMETAZOLINE 0.05 % SPRY 30 ML SQUEEZ BTL,30.0,15.0,,,0 NDC,45802-433-21,DEXTROMETHORPHAN POLY COMPLEX SR 30 MG/5 ML 30 MG/5 ML SU12,1.62,0.81,,,0 NDC,45802-434-01,CLOTRIMAZOLE 1 % CREA 15 G TUBE,15.0,7.5,,,0 NDC,45802-438-03,HYDROCORTISONE 1 % CREA 28 G TUBE,28.0,14.0,,,0 NDC,45802-465-64,KETOCONAZOLE 2 % SHAM 120 ML BOTTLE,69.88,34.94,,,0 NDC,45802-562-01,CLINDAMYCIN 1 % SOLN 30 ML BOTTLE,34.6,17.3,,,0 NDC,45802-580-01,SCOPOLAMINE 1 MG OVER 3 DAYS PT3D,23.2,11.6,,,0 NDC,45802-730-00,ACETAMINOPHEN 650 MG SUPP,1.0,0.5,,,0 NDC,45802-730-32,ACETAMINOPHEN 650 MG SUPP,1.0,0.5,,,0 NDC,45802-732-00,ACETAMINOPHEN 120 MG SUPP,1.0,0.5,,,0 NDC,45802-758-00,PROMETHAZINE 12.5 MG SUPP,11.78,5.89,,,0 NDC,45802-758-30,PROMETHAZINE 12.5 MG SUPP,11.78,5.89,,,0 NDC,45802-759-00,PROMETHAZINE 25 MG SUPP,14.33,7.16,,,0 NDC,45802-759-30,PROMETHAZINE 25 MG SUPP,14.33,7.16,,,0 NDC,45802-880-14,"NYSTATIN-TRIAMCINOLONE 100,000-0.1 UNIT/G-% CREA 15 G TUBE",55.6,27.799999999999997,,,0 NDC,4580252555,LACTIC ACID 12 % LOTN 227 G BOTTLE,11.33,5.66,,,0 NDC,45963-438-64,LACTULOSE 10 GRAM/15 ML SOLN 473 ML BOTTLE,14.65,7.32,,,0 NDC,45963-609-55,FLUDARABINE 50 MG SOLR 1 EACH VIAL,464.78,232.39,,,0 NDC,45963-733-60,DOXORUBICIN 2 MG/ML SOLN 100 ML VIAL,17.11,8.56,,,0 NDC,46122-334-43,HYDROGEN PEROXIDE 3 % SOLN 473 ML BOTTLE,2.66,1.33,,,0 NDC,46287-006-60,SODIUM POLYSTYRENE SULF-SORBTL 15-20 GRAM/60 ML SUSPENSION,73.9,36.95,,,0 NDC,46581-830-06,LIDOCAINE 4 % PTMD,2.76,1.38,,,0 NDC,47335-330-40,CHLOROTHIAZIDE 500 MG SOLR 1 EACH VIAL,200.5,100.25,,,0 NDC,47335-931-40,VECURONIUM 10 MG SOLR,27.25,13.62,,,0 NDC,47335-931-44,VECURONIUM 10 MG SOLR,27.25,13.62,,,0 NDC,47335-956-88,ALFUZOSIN 10 MG TB24,1.35,0.68,,,0 NDC,47335-992-01,MAGNESIUM SULFATE 2G/50ML (4%) IN WATER PGBK,10.8,5.4,,,0 NDC,47335-993-01,METRONIDAZOLE 500 MG/100 ML PGBK,6.4,3.2,,,0 NDC,47781-014-01,HYOSCYAMINE SR 0.375 MG TB12,1.9,0.95,,,0 NDC,47781-176-01,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABS,1.46,0.73,,,0 NDC,47781-335-30,PYRIDOSTIGMINE CR 180 MG TBSR,18.61,9.3,,,0 NDC,47781-355-11,BUPRENORPHINE-NALOXONE 2-0.5 MG FILM,7.68,3.84,,,0 NDC,47781-357-11,BUPRENORPHINE-NALOXONE 8-2 MG FILM,7.34,3.67,,,0 NDC,47781-423-11,FENTANYL 12 MCG/HR PT72,38.48,19.24,,,0 NDC,47781-424-11,FENTANYL 25 MCG/HR PT72,10.54,5.27,,,0 NDC,47781-426-11,FENTANYL 50 MCG/HR PT72,17.66,8.83,,,0 NDC,47781-427-11,FENTANYL 75 MCG/HR PT72,23.79,11.9,,,0 NDC,47781-428-11,FENTANYL 100 MCG/HR PT72,53.22,26.61,,,0 NDC,47781-468-13,OSELTAMIVIR 30 MG CAPS,3.52,1.76,,,0 NDC,48433-202-30,MINERAL OIL OIL,30.0,15.0,,,0 NDC,48433-230-15,"IODINE, STRONG 5 % SOLN 14 ML BOTTLE",113.9,56.95,,,0 NDC,4902219018,CETAPHIL CLEANSER CLSR 473 ML BOTTLE,10.93,5.46,,,0 NDC,49281-400-10,"DIPH, PERTUS, TET VACCINE SYRG",290.02,145.01,,,0 NDC,49281-400-58,TDAP VACCINE >7 IM,216.51,108.255,,,0 NDC,49281-400-89,TDAP VACCINE >7 IM,143.0,71.5,,,0 NDC,49281-547-58,HAEMOPH B POLY CONJ-TET TOX/PF 10 MCG/0.5 ML SOLR,75.64,37.82,,,0 NDC,49281-590-05,"MENING VAC A,C,Y,W135,TET (PF) 10 MCG/0.5 ML SOLN",869.14,434.57,,,0 NDC,49281-590-58,"MENING VAC A,C,Y,W135,TET (PF) 10 MCG/0.5 ML SOLN",869.14,434.57,,,0 NDC,49281-752-21,SKIN TEST TB INTRADERMAL,41.0,20.5,,,0 NDC,49281-752-22,TUBERCULIN 5 TUB. UNIT /0.1 ML SOLN,106.95,53.48,,,0 NDC,49281-752-78,SKIN TEST TB INTRADERMAL,41.0,20.5,,,0 NDC,49348-011-34,CALAMINE-ZINC OXIDE LOTN 177 ML BOTTLE,5.96,2.98,,,0 NDC,49348-691-36,NICOTINE POLACRILEX 2 MG GUM,1.0,0.5,,,0 NDC,49348-817-09,FAMOTIDINE 20 MG TABS,1.0,0.5,,,0 NDC,49348-893-50,POLYETHYLENE GLYCOL 17 GRAM/DOSE POWD 119 G BOTTLE,13.85,6.92,,,0 NDC,49348-991-36,PHENOL AEROSOL SPRAY 1.4 % SPRA 177 ML BOTTLE,177.0,88.5,,,0 NDC,49401-101-01,BELIMUMAB 120 MG SOLR 1 EACH VIAL,3655.06,1827.53,,,0 NDC,49401-102-01,BELIMUMAB 400 MG SOLR 1 EACH VIAL,15406.95,7703.48,,,0 NDC,49502-102-01,EPINEPHRINE 0.3 MG/0.3 ML ATIN,764.1,382.05,,,0 NDC,49591-532-50,CYTOMEGALOVIRUS IMMUNE GLOB 50 MG/ML SOLN,9261.25,4630.62,,,0 NDC,49591-532-51,CYTOMEGALOVIRUS IMMUNE GLOB 50 MG/ML SOLN,36710.78,18355.39,,,0 NDC,49702-213-01,ZIDOVUDINE,37.09,18.54,,,0 NDC,49702-213-26,ZIDOVUDINE 10 MG/ML SOLN,185.0,92.5,,,0 NDC,49702-228-13,DOLUTEGRAVIR 50 MG TABS,109.03,54.52,,,0 NDC,49702-240-15,"INJ, CABOTE RILPIVIR 2MG 3MG",7.5,3.75,,,0 NDC,49702-264-23,CABOTEGRAVIR 600 MG/3 ML (200 MG/ML) SPSR,13483.45,6741.72,,,0 NDC,49884-155-76,VARENICLINE 0.5 MG TABS,3.95,1.98,,,0 NDC,49884-250-11,OLANZAPINE-FLUOXETINE 6-25 MG CAPS,25.17,12.58,,,0 NDC,49884-256-01,MINOXIDIL 2.5 MG TABS,1.8850000000000002,0.9450000000000001,,,0 NDC,49884-306-52,CLONAZEPAM 0.125 MG ODT.,3.77,1.88,,,0 NDC,49884-307-52,CLONAZEPAM 0.25 MG ODT.,3.77,1.88,,,0 NDC,49884-311-52,RISPERIDONE (DISINTEGRATING) 0.5 MG ODT.,4.34,2.17,,,0 NDC,49884-315-52,RISPERIDONE (DISINTEGRATING) 1 MG ODT.,7.03,3.51,,,0 NDC,49884-401-52,RISPERIDONE (DISINTEGRATING) 2 MG ODT.,10.02,5.01,,,0 NDC,49884-424-11,ALISKIREN 150 MG TABS,16.87,8.44,,,0 NDC,49884-465-64,CHOLESTYRAMINE 4 GRAM PWPK,3.9,1.95,,,0 NDC,49884-466-63,CHOLESTYRAMINE 4 GRAM PWPK,3.65,1.82,,,0 NDC,49884-768-52,TOLVAPTAN 15 MG TABS,72.93,36.46,,,0 NDC,49938-101-30,DAPSONE 100 MG TABS,4.24,2.12,,,0 NDC,50111-560-01,TRAZODONE 50 MG TABS,0.07,0.04,,,0 NDC,50111-560-02,TRAZODONE 50 MG TABS,0.64,0.32,,,0 NDC,50111-648-01,FLUOXETINE 20 MG CAPS,1.05,0.52,,,0 NDC,5019014263,SODIUM CHLORIDE 3 % NEBU,2.0,1.0,,,0 NDC,50228-381-60,QUETIAPINE SR 150 MG TB24,1.35,0.68,,,0 NDC,50228-423-60,RANOLAZINE 500 MG TB12,1.54,0.77,,,0 NDC,50228-457-01,CARBIDOPA-LEVODOPA 10-100 MG TABS,1.2149999999999999,0.605,,,0 NDC,50228-465-01,NABUMETONE 500 MG TABS,1.32,0.66,,,0 NDC,50228-481-01,DILTIAZEM 30 MG TABS,1.18,0.59,,,0 NDC,50228-482-01,DILTIAZEM 60 MG TABS,0.21,0.1,,,0 NDC,50242-040-62,OMALIZUMAB 150 MG/ML SOLR,11366.77,5683.38,,,0 NDC,50242-044-06,ALTEPLASE 50 MG SOLR 1 EACH VIAL,4378.37,2189.18,,,0 NDC,50242-044-13,ALTEPLASE 50 MG SOLR 1 EACH VIAL,4378.37,2189.18,,,0 NDC,50242-085-25,ALTEPLASE 100 MG SOLR 1 EACH VIAL,4378.37,2189.18,,,0 NDC,50242-085-27,ALTEPLASE 100 MG SOLR 1 EACH VIAL,4378.37,2189.18,,,0 NDC,50242-100-39,DORNASE ALPHA 1 MG/ML SOLN,229.035,114.52,,,0 NDC,50242-100-40,DORNASE ALPHA 1 MG/ML SOLN 2.5 ML AMPUL,297.76,148.88,,,0 NDC,50242-105-01,POLATUZUMAB VEDOTIN-PIIQ 140 MG SOLR 1 EACH VIAL,61342.06,30671.03,,,0 NDC,50242-120-47,TENECTEPLASE 50 MG SOLR 1 EACH VIAL,10104.52,5052.26,,,0 NDC,50242-132-01,TRASTUZUMAB 150 MG SOLR 1 EACH VIAL,10518.16,5259.08,,,0 NDC,50242-135-01,TOCILIZUMAB 80 MG/4 ML (20 MG/ML) SOLN 4 ML VIAL,1593.48,796.74,,,0 NDC,50242-136-01,TOCILIZUMAB 200 MG/10 ML (20 MG/ML) SOLN 10 ML VIAL,5099.18,2549.59,,,0 NDC,50268-037-11,AMITRIPTYLINE 10 MG TABS,1.16,0.58,,,0 NDC,50268-042-11,ACETAZOLAMIDE SR 500 MG CPSR,2.5,1.25,,,0 NDC,50268-050-11,ACEBUTOLOL 200 MG CAPS,2.76,1.38,,,0 NDC,50268-054-11,ACETAZOLAMIDE 250 MG TABS,1.51,0.76,,,0 NDC,50268-059-11,ATOMOXETINE 60 MG CAPS,4.15,2.08,,,0 NDC,50268-069-11,AMANTADINE HCL 100 MG CAPS,1.18,0.59,,,0 NDC,50268-069-15,AMANTADINE HCL 100 MG CAPS,1.18,0.59,,,0 NDC,50268-074-11,AZITHROMYCIN 250 MG TABS,1.16,0.58,,,0 NDC,50268-075-11,ANASTROZOLE 1 MG TABS,1.48,0.74,,,0 NDC,50268-086-11,ATOVAQUONE 750 MG/5 ML SUSPENSION,52.34,26.17,,,0 NDC,50268-087-11,ARIPIPRAZOLE 2 MG TABS,1.2,0.6,,,0 NDC,50268-088-11,ARIPIPRAZOLE 5 MG TABS,0.6699999999999999,0.32999999999999996,,,0 NDC,50268-089-11,ARIPIPRAZOLE 10 MG TABS,0.23,0.12,,,0 NDC,50268-090-11,ARIPIPRAZOLE 15 MG TABS,1.32,0.66,,,0 NDC,50268-093-11,ATORVASTATIN 10 MG TABS,0.05,0.03,,,0 NDC,50268-105-11,BACLOFEN 5 MG TABS,1.205,0.605,,,0 NDC,50268-106-11,BACLOFEN 10 MG TABS,0.09,0.04,,,0 NDC,50268-127-11,BISOPROLOL 5 MG TABS,1.56,0.78,,,0 NDC,50268-130-11,BUMETANIDE 0.5 MG TABS,1.46,0.73,,,0 NDC,50268-131-11,BUMETANIDE 1 MG TABS,1.38,0.69,,,0 NDC,50268-131-15,BUMETANIDE 1 MG TABS,1.38,0.69,,,0 NDC,50268-142-11,BUPROPION 75 MG TABS,1.13,0.56,,,0 NDC,50268-144-11,BUPRENORPHINE/NALOXONE 2-0.5 MG SUBL,2.46,1.23,,,0 NDC,50268-145-11,BUPRENORPHINE-NALOXONE 8-2 MG SUBL,3.48,1.74,,,0 NDC,50268-151-11,CEPHALEXIN 250 MG CAPS,0.32,0.16,,,0 NDC,50268-153-11,CINACALCET 30 MG TABS,0.75,0.38,,,0 NDC,50268-162-11,CHLORPROMAZINE 10 MG TABS,1.41,0.7,,,0 NDC,50268-163-11,CHLORPROMAZINE 25 MG TABS,0.6,0.3,,,0 NDC,50268-168-11,CELECOXIB 100 MG CAPS,1.175,0.5900000000000001,,,0 NDC,50268-171-11,CARBAMAZEPINE ER 12 HOUR 200 MG CM12,5.87,2.94,,,0 NDC,50268-173-11,CLONAZEPAM 0.5 MG TABS,1.05,0.52,,,0 NDC,50268-176-11,CILOSTAZOL 50 MG TABS,1.685,0.845,,,0 NDC,50268-179-11,CLARITHROMYCIN 500 MG TABS,3.29,1.64,,,0 NDC,50268-184-11,CLOPIDOGREL 300 MG TABS,19.86,9.93,,,0 NDC,50268-189-11,CYPROHEPTADINE 4 MG TABS,1.18,0.59,,,0 NDC,50268-191-11,CYCLOBENZAPRINE 10 MG TABS,1.05,0.52,,,0 NDC,50268-192-11,CLONIDINE HCL 0.1 MG TABS,0.55,0.27,,,0 NDC,50268-195-60,CAPSAICIN 0.025 % CREA 60 G TUBE,12.13,6.06,,,0 NDC,50268-259-11,DIVALPROEX ER 250 MG TB24,1.37,0.68,,,0 NDC,50268-278-11,DOXYCYCLINE HYCLATE 100 MG CAPS,1.34,0.67,,,0 NDC,50268-281-15,DOXYCYCLINE 100 MG CAPS,1.82,0.91,,,0 NDC,50268-297-11,"ERGOCALCIFEROL 50,000 UNIT CAPS",1.36,0.68,,,0 NDC,50268-298-11,EZETIMIBE 10 MG TABS,1.13,0.56,,,0 NDC,50268-314-11,FINASTERIDE 5 MG TABS,1.2,0.6,,,0 NDC,50268-321-11,FLECAINIDE 100 MG TABS,1.42,0.71,,,0 NDC,50268-330-11,FLUDROCORTISONE 0.1 MG TABS,1.8900000000000001,0.95,,,0 NDC,50268-337-11,FLUCONAZOLE 100 MG TABS,1.27,0.64,,,0 NDC,50268-358-11,GLIMEPIRIDE 1 MG TABS,1.08,0.54,,,0 NDC,50268-358-15,GLIMEPIRIDE 1 MG TABS,1.11,0.56,,,0 NDC,50268-360-11,GLIMEPIRIDE 4 MG TABS,1.15,0.58,,,0 NDC,50268-366-11,FLUPHENAZINE 1 MG TABS,2.2,1.1,,,0 NDC,50268-369-11,FLUPHENAZINE 10 MG TABS,2.305,1.15,,,0 NDC,50268-402-11,HYDROCODONE-ACETAMINOPHEN 10-325 MG TABS,1.11,0.56,,,0 NDC,50268-404-11,HYDROCHLOROTHIAZIDE 12.5 MG CAPS,1.16,0.58,,,0 NDC,50268-406-11,HYDROCORTISONE 10 MG TABS,1.86,0.93,,,0 NDC,50268-412-11,HYDROXYCHLOROQUINE 200 MG TABS,1.45,0.72,,,0 NDC,50268-430-11,INDOMETHACIN 25 MG CAPS,1.29,0.64,,,0 NDC,50268-448-11,ISOSORBIDE DINITRATE 10 MG TABS,1.57,0.78,,,0 NDC,50268-449-11,ISOSORBIDE DINITRATE 20 MG TABS,1.305,0.655,,,0 NDC,50268-470-11,LEVETIRACETAM 500 MG/5 ML (5 ML) SOLN,2.72,1.36,,,0 NDC,50268-476-11,LETROZOLE 2.5 MG TABS,1.75,0.88,,,0 NDC,50268-477-11,LEFLUNOMIDE 10 MG TABS,2.5,1.25,,,0 NDC,50268-478-11,LEFLUNOMIDE 20 MG TABS,2.5,1.25,,,0 NDC,50268-489-11,LORATADINE 10 MG TABS,1.0,0.5,,,0 NDC,50268-505-11,LOSARTAN 50 MG TABS,0.14,0.07,,,0 NDC,50268-520-11,METHOCARBAMOL 500 MG TABS,0.09,0.04,,,0 NDC,50268-521-11,METHOCARBAMOL 750 MG TABS,1.11,0.56,,,0 NDC,50268-522-11,MECLIZINE 12.5 MG TABS,0.55,0.27,,,0 NDC,50268-525-11,MELOXICAM 7.5 MG TABS,1.07,0.54,,,0 NDC,50268-527-11,METHOTREXATE 2.5 MG TABS,6.015,3.005,,,0 NDC,50268-530-11,METAXALONE 800 MG TABS,2.2,1.1,,,0 NDC,50268-530-15,METAXALONE 800 MG TABS,2.2,1.1,,,0 NDC,50268-534-11,METRONIDAZOLE 250 MG TABS,0.52,0.26,,,0 NDC,50268-540-11,METOPROLOL XL 25 MG TB24,1.14,0.57,,,0 NDC,50268-541-11,METOPROLOL XL 50 MG TB24,0.13,0.06,,,0 NDC,50268-549-11,METHENAMINE HIPPURATE 1 GRAM TABS,1.84,0.92,,,0 NDC,50268-550-11,METFORMIN ER 500 MG TB24,0.5700000000000001,0.29000000000000004,,,0 NDC,50268-551-11,METFORMIN ER 750 MG TB24,1.13,0.56,,,0 NDC,50268-563-11,MIDODRINE 10 MG TABS,0.46,0.23,,,0 NDC,50268-574-11,MONTELUKAST 5 MG CHEW,1.31,0.66,,,0 NDC,50268-576-11,MOXIFLOXACIN 400 MG TABS,7.45,3.72,,,0 NDC,50268-584-11,NIACIN ER 500 MG TB24,2.59,1.3,,,0 NDC,50268-585-11,PANTOPRAZOLE 20 MG TBEC,1.31,0.66,,,0 NDC,50268-592-11,NAPROXEN 275 MG TABS,1.5,0.75,,,0 NDC,50268-594-11,NAPROXEN 250 MG TABS,1.0,0.5,,,0 NDC,50268-597-11,NIFEDIPINE 24HR 30 MG TR24,0.26,0.13,,,0 NDC,50268-599-11,NIFEDIPINE 24HR 90 MG TR24,1.65,0.82,,,0 NDC,50268-603-11,NORTRIPTYLINE 10 MG CAPS,1.3,0.65,,,0 NDC,50268-604-11,NORTRIPTYLINE 25 MG CAPS,1.41,0.7,,,0 NDC,50268-625-11,NITROFURANTOIN MONOHYDRATE MACRO 100 MG CAPS,2.07,1.04,,,0 NDC,50268-632-11,QUETIAPINE 100 MG TABS,0.7,0.35,,,0 NDC,50268-635-11,QUETIAPINE 400 MG TABS,0.48,0.24,,,0 NDC,50268-649-05,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) SUSPENSION,19.119999999999997,9.559999999999999,,,0 NDC,50268-656-11,OMEPRAZOLE 20 MG CPDR,0.06,0.03,,,0 NDC,50268-662-11,PROPRANOLOL 10 MG TABS,0.145,0.075,,,0 NDC,50268-665-11,PRAVASTATIN 10 MG TABS,1.05,0.52,,,0 NDC,50268-666-11,PRAVASTATIN 20 MG TABS,1.175,0.5900000000000001,,,0 NDC,50268-678-15,POLYVINYL ALCOHOL 1.4 % DROP 15 ML DROP BTL,1.0,0.5,,,0 NDC,50268-683-11,POSACONAZOLE 100 MG TBEC,16.935,8.47,,,0 NDC,50268-684-11,PROCHLORPERAZINE 5 MG TABS,1.59,0.8,,,0 NDC,50268-686-11,PRIMIDONE 50 MG TABS,1.24,0.62,,,0 NDC,50268-708-11,RAMELTEON 8 MG TABS,4.12,2.06,,,0 NDC,50268-709-11,ROSUVASTATIN 10 MG TABS,0.785,0.39,,,0 NDC,50268-710-11,ROSUVASTATIN 20 MG TABS,0.62,0.31,,,0 NDC,50268-711-11,ROSUVASTATIN 40 MG TABS,1.1,0.55,,,0 NDC,50268-717-11,SILDENAFIL 20 MG TABS,1.3,0.65,,,0 NDC,50268-718-11,SIROLIMUS 1 MG TABS,17.19,8.6,,,0 NDC,50268-720-11,SEVELAMER CARBONATE 800 MG TABS,0.51,0.26,,,0 NDC,50268-722-11,RANOLAZINE 500 MG TB12,1.54,0.77,,,0 NDC,50268-724-11,SOTALOL 80 MG TABS,1.16,0.58,,,0 NDC,50268-725-11,SOTALOL 120 MG TABS,1.21,0.6,,,0 NDC,50268-738-11,TADALAFIL 5 MG TABS,1.5950000000000002,0.8,,,0 NDC,50268-740-11,TAMSULOSIN 0.4 MG CAPS,1.17,0.58,,,0 NDC,50268-743-11,ROPINIROLE 1 MG TABS,0.24,0.12,,,0 NDC,50268-754-11,TORSEMIDE 5 MG TABS,1.63,0.815,,,0 NDC,50268-758-11,TENOFOVIR DISOPROXIL 300 MG TABS,3.72,1.86,,,0 NDC,50268-759-11,TIZANIDINE 2 MG TABS,1.13,0.56,,,0 NDC,50268-760-11,TIZANIDINE 4 MG TABS,1.19,0.6,,,0 NDC,50268-764-11,TERAZOSIN 1 MG CAPS,1.435,0.7150000000000001,,,0 NDC,50268-766-11,TERAZOSIN 5 MG CAPS,1.3,0.65,,,0 NDC,50268-772-11,TRANEXAMIC ACID 650 MG TABS,10.0,5.0,,,0 NDC,50268-779-11,TEMAZEPAM 15 MG CAPS,0.2,0.1,,,0 NDC,50268-787-11,VALGANCICLOVIR 450 MG TABS,12.01,6.0,,,0 NDC,50268-787-12,VALGANCICLOVIR 450 MG TABS,23.02,11.51,,,0 NDC,50268-797-11,URSODIOL 300 MG CAPS,2.0,1.0,,,0 NDC,50268-803-11,VORICONAZOLE 200 MG TABS,7.7,3.85,,,0 NDC,50268-811-11,ZIPRASIDONE 20 MG CAPS,2.25,1.12,,,0 NDC,50268-816-11,ZONISAMIDE 100 MG CAPS,1.085,0.54,,,0 NDC,5026834611,FOLIC ACID 400 MCG TABS,1.02,0.51,,,0 NDC,5026837511,GLUCOSAMINE 500 MG CAPS,1.16,0.58,,,0 NDC,5026837611,GLUCOSAMINE-CHONDROIT-VIT C-MN 500-400 MG CAPS,1.55,0.78,,,0 NDC,5026885111,THIAMINE MONONITRATE 100 MG TABS,1.0,0.5,,,0 NDC,5026885211,CYANOCOBALAMIN 100 MCG TABS,1.05,0.52,,,0 NDC,5026885311,CYANOCOBALAMIN 250 MCG TABS,1.0,0.5,,,0 NDC,5026885315,CYANOCOBALAMIN 250 MCG TABS,1.0,0.5,,,0 NDC,5026885411,CYANOCOBALAMIN 500 MCG TABS,0.55,0.27,,,0 NDC,5026885511,"CYANOCOBALAMIN 1,000 MCG TABS",1.0,0.5,,,0 NDC,5026885811,PYRIDOXINE (VITAMIN B6) 50 MG TABS,1.02,0.51,,,0 NDC,5026886011,ASCORBIC ACID (VITAMIN C) 250 MG TABS,1.0,0.5,,,0 NDC,5026886311,CHOLECALCIFEROL 10 MCG (400 UNIT) TABS,1.0,0.5,,,0 NDC,5026886611,"CHOLECALCIFEROL 125 MCG (5,000 UNIT) TABS",1.07,0.54,,,0 NDC,50289-3250-1,WITCH HAZEL-GLYCERIN 12.5-50 % PADM 40 EACH BOX,8.98,4.49,,,0 NDC,50383-587-16,"NYSTATIN 100,000 UNIT/ML SUSPENSION 473 ML BOTTLE",1.88,0.94,,,0 NDC,50383-705-30,LORAZEPAM 2 MG/ML CONC 30 ML BOTTLE,1.75,0.88,,,0 NDC,50383-771-89,DOCUSATE SODIUM 50 MG/5 ML LIQD,2.62,1.31,,,0 NDC,50383-775-15,MAG&AL&SIM/DIPHENHYD/LIDOCAINE 200-25-400-40 MG/30 ML MWSH,2.69,1.34,,,0 NDC,50383-775-17,MAG&AL&SIM/DIPHENHYD/LIDOCAINE 200-25-400-40 MG/30 ML MWSH,2.69,1.34,,,0 NDC,50383-823-16,TRIMETHOPRIM-SULFAMETHOXAZOLE 40-200 MG/5 ML SUSPENSION,10.48,5.24,,,0 NDC,50419-250-01,RIOCIGUAT 0.5 MG TABS,328.02,164.01,,,0 NDC,50419-320-01,GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) SOLN,313.5,156.75,,,0 NDC,50419-320-05,GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) SOLN,399.0,199.5,,,0 NDC,50419-423-01,LEVONORGESTREL 21 MCG/24HR (UP TO 8 YRS) 52 MG IUD,1791.19,895.6,,,0 NDC,50458-140-30,CANAGLIFLOZIN 100 MG TABS,102.76,51.38,,,0 NDC,50458-577-01,RIVAROXABAN 2.5 MG TABS,22.47,11.24,,,0 NDC,50458-578-01,RIVAROXABAN 15 MG TABS,36.93,18.46,,,0 NDC,50458-578-10,RIVAROXABAN 15 MG TABS,36.93,18.46,,,0 NDC,50458-579-01,RIVAROXABAN 20 MG TABS,36.93,18.46,,,0 NDC,50458-579-10,RIVAROXABAN 20 MG TABS,36.93,18.46,,,0 NDC,50458-580-01,RIVAROXABAN 10 MG TABS,36.93,18.46,,,0 NDC,50458-580-10,RIVAROXABAN 10 MG TABS,37.655,18.825000000000003,,,0 NDC,50474-470-09,BRIVARACETAM 25 MG TABS,44.67,22.34,,,0 NDC,50474-570-09,BRIVARACETAM 50 MG TABS,44.67,22.34,,,0 NDC,50474-970-63,BRIVARACETAM 10 MG/ML SOLN,370.84,185.42,,,0 NDC,50484-010-30,COLLAGENASE 250 UNIT/GRAM OINT 30 G TUBE,725.85,362.92,,,0 NDC,50486-550-32,BENZOCAINE 10 % GEL 9.4 G TUBE,15.61,7.8,,,0 NDC,50580-457-11,ACETAMINOPHEN 500 MG TABS,1.0,0.5,,,0 NDC,50580-458-11,ACETAMINOPHEN 325 MG TABS,1.0,0.5,,,0 NDC,50632-010-01,RABIES VACCINE 2.5 UNIT SUSR,1890.63,945.32,,,0 NDC,50632-013-01,RABIES VACCINE 2.5 UNIT SUSR,1890.63,945.32,,,0 NDC,50633-120-11,DIGOXIN IMMUNE FAB 40 MG SOLR 1 EACH VIAL,128651.73,64325.87,,,0 NDC,50742-118-08,CABERGOLINE 0.5 MG TABS,7.09,3.54,,,0 NDC,50742-176-01,ISOSORBIDE MONONITRATE CR 60 MG TB24,1.18,0.59,,,0 NDC,50742-239-01,MEXILETINE 150 MG CAPS,2.05,1.02,,,0 NDC,50742-240-01,MEXILETINE 200 MG CAPS,2.5,1.25,,,0 NDC,50742-249-90,DILTIAZEM 24HR 180 MG CP24,0.79,0.39,,,0 NDC,50742-279-01,DICLOFENAC POTASSIUM 50 MG TABS,1.57,0.78,,,0 NDC,50742-447-45,CARBOPLATIN 10 MG/ML SOLN 45 ML VIAL,30.349999999999998,15.174999999999999,,,0 NDC,50742-505-01,SCOPOLAMINE 1 MG OVER 3 DAYS PT3D,23.2,11.6,,,0 NDC,50742-519-02,CYCLOPHOSPHAMIDE 200 MG/ML SOLN 2.5 ML VIAL,170.485,85.245,,,0 NDC,50742-520-05,CYCLOPHOSPHAMIDE 200 MG/ML SOLN 5 ML VIAL,344.5,172.25,,,0 NDC,50742-521-10,CYCLOPHOSPHAMIDE 200 MG/ML SOLN 10 ML VIAL,709.355,354.675,,,0 NDC,51079-023-01,METOLAZONE 2.5 MG TABS,1.6,0.8,,,0 NDC,51079-023-20,METOLAZONE 2.5 MG TABS,1.9000000000000001,0.9500000000000001,,,0 NDC,51079-028-01,TACROLIMUS 5 MG CAPS,2.3,1.15,,,0 NDC,51079-058-01,CHLORTHALIDONE 25 MG TABS,1.05,0.52,,,0 NDC,51079-073-01,FUROSEMIDE 40 MG TABS,1.02,0.51,,,0 NDC,51079-074-01,HYDRALAZINE 10 MG TABS,1.05,0.52,,,0 NDC,51079-074-20,HYDRALAZINE 10 MG TABS,1.05,0.52,,,0 NDC,51079-075-01,HYDRALAZINE 25 MG TABS,0.07,0.04,,,0 NDC,51079-083-01,ISONIAZID 300 MG TABS,1.48,0.74,,,0 NDC,51079-086-01,MIRTAZAPINE 15 MG TABS,0.8400000000000001,0.42000000000000004,,,0 NDC,51079-103-01,SPIRONOLACTONE 25 MG TABS,0.15,0.08,,,0 NDC,51079-103-20,SPIRONOLACTONE 25 MG TABS,1.15,0.58,,,0 NDC,51079-141-01,CHLORDIAZEPOXIDE 25 MG CAPS,0.74,0.37,,,0 NDC,51079-142-01,LITHIUM 450 MG TBSR,1.68,0.84,,,0 NDC,51079-205-01,ALLOPURINOL 100 MG TABS,0.14,0.07,,,0 NDC,51079-206-01,ALLOPURINOL 300 MG TABS,1.31,0.66,,,0 NDC,51079-206-20,ALLOPURINOL 300 MG TABS,1.31,0.66,,,0 NDC,51079-224-01,DICLOFENAC DR 75 MG TBEC,1.27,0.64,,,0 NDC,51079-255-01,METOPROLOL 25 MG TABS,0.55,0.27,,,0 NDC,51079-284-01,DIAZEPAM 2 MG TABS,1.08,0.54,,,0 NDC,51079-285-01,DIAZEPAM 5 MG TABS,1.08,0.54,,,0 NDC,51079-374-01,CHLORDIAZEPOXIDE 5 MG CAPS,1.27,0.64,,,0 NDC,51079-379-01,MYCOPHENOLATE 500 MG TABS,0.96,0.48,,,0 NDC,51079-387-01,LORAZEPAM 2 MG TABS,1.14,0.57,,,0 NDC,51079-436-01,DOXEPIN 10 MG CAPS,1.2,0.6,,,0 NDC,51079-437-01,DOXEPIN 25 MG CAPS,1.27,0.64,,,0 NDC,51079-440-01,LEVOTHYROXINE 50 MCG TABS,0.23,0.12,,,0 NDC,51079-441-01,LEVOTHYROXINE 75 MCG TABS,0.22,0.11,,,0 NDC,51079-442-01,LEVOTHYROXINE 100 MCG TABS,0.22,0.11,,,0 NDC,51079-444-01,LEVOTHYROXINE 25 MCG TABS,0.23,0.12,,,0 NDC,51079-453-01,MIDODRINE 5 MG TABS,1.33,0.66,,,0 NDC,51079-516-01,CHLORPROMAZINE 100 MG TABS,2.18,1.09,,,0 NDC,51079-518-01,CHLORPROMAZINE 10 MG TABS,1.41,0.7,,,0 NDC,51079-572-01,TRIFLUOPERAZINE 1 MG TABS,4.67,2.34,,,0 NDC,51079-630-01,PRAZOSIN 1 MG CAPS,0.6299999999999999,0.31000000000000005,,,0 NDC,51079-632-01,PRAZOSIN 5 MG CAPS,0.79,0.39,,,0 NDC,51079-644-01,CYCLOBENZAPRINE 10 MG TABS,1.05,0.52,,,0 NDC,51079-651-01,DOXEPIN 100 MG CAPS,1.07,0.53,,,0 NDC,51079-670-01,METHOTREXATE 2.5 MG TABS,4.515,2.255,,,0 NDC,51079-684-01,ATENOLOL 50 MG TABS,1.08,0.54,,,0 NDC,51079-721-01,MYCOPHENOLATE 250 MG CAPS,1.56,0.78,,,0 NDC,51079-721-20,MYCOPHENOLATE 250 MG CAPS,1.56,0.78,,,0 NDC,51079-733-01,HALOPERIDOL 0.5 MG TABS,1.2,0.6,,,0 NDC,51079-734-01,HALOPERIDOL 1 MG TABS,1.3599999999999999,0.6799999999999999,,,0 NDC,51079-734-20,HALOPERIDOL 1 MG TABS,1.99,1.0,,,0 NDC,51079-736-01,HALOPERIDOL 5 MG TABS,1.27,0.64,,,0 NDC,51079-746-20,DILTIAZEM 60 MG TABS,1.21,0.6,,,0 NDC,51079-753-01,SUCRALFATE 1 GRAM TABS,1.46,0.73,,,0 NDC,51079-759-01,ATENOLOL 25 MG TABS,1.04,0.52,,,0 NDC,51079-801-01,METOPROLOL 50 MG TABS,0.06,0.03,,,0 NDC,51079-810-20,GLIPIZIDE 5 MG TABS,1.1,0.55,,,0 NDC,51079-812-01,NADOLOL 20 MG TABS,1.19,0.6,,,0 NDC,51079-818-01,TACROLIMUS 1 MG CAPS,0.88,0.44,,,0 NDC,51079-821-01,LEVETIRACETAM 500 MG TABS,0.21,0.1,,,0 NDC,51079-863-01,CAPTOPRIL TABS,1.93,0.96,,,0 NDC,51079-886-01,METOCLOPRAMIDE 5 MG TABS,1.19,0.6,,,0 NDC,51079-886-20,METOCLOPRAMIDE 5 MG TABS,1.19,0.6,,,0 NDC,51079-888-01,METOCLOPRAMIDE 10 MG TABS,1.2,0.6,,,0 NDC,51079-917-01,VERAPAMIL 24HR 120 MG C24P,5.37,2.68,,,0 NDC,51079-921-01,CLOZAPINE 25 MG TABS,0.61,0.3,,,0 NDC,51079-921-20,CLOZAPINE 25 MG TABS,1.61,0.8,,,0 NDC,51079-922-01,CLOZAPINE 100 MG TABS,1.41,0.7,,,0 NDC,51079-922-20,CLOZAPINE 100 MG TABS,3.82,1.91,,,0 NDC,51079-924-01,DILTIAZEM 12HR 60 MG CP12,8.5,4.25,,,0 NDC,51079-925-01,DILTIAZEM 12HR 90 MG CP12,13.825000000000001,6.915000000000001,,,0 NDC,51079-928-01,LABETALOL 100 MG TABS,1.21,0.6,,,0 NDC,51079-931-01,CARVEDILOL 12.5 MG TABS,0.56,0.28,,,0 NDC,51079-978-01,CARBIDOPA-LEVODOPA CR 25-100 MG TBSR,1.38,0.69,,,0 NDC,51079-985-01,BUSPIRONE 5 MG TABS,1.08,0.54,,,0 NDC,51079-986-01,BUSPIRONE 10 MG TABS,0.08,0.04,,,0 NDC,51079-986-20,BUSPIRONE 10 MG TABS,0.5800000000000001,0.29000000000000004,,,0 NDC,51079-991-20,TRAMADOL 50 MG TABS,1.02,0.51,,,0 NDC,51079-992-01,FLUVOXAMINE 50 MG TABS,2.67,1.34,,,0 NDC,5122800006,CHOLECALCIFEROL 10 MCG/DROP (400 UNIT/DROP) DROP 2.5 ML DROP BTL,2.61,1.3,,,0 NDC,51293-810-01,PHENAZOPYRIDINE 100 MG TABS,2.215,1.105,,,0 NDC,51407-439-60,TAMOXIFEN 10 MG TABS,3.58,1.79,,,0 NDC,5155200516,ACETIC ACID (BULK) 3 % LIQD 500 ML BOTTLE,60.5,30.25,,,0 NDC,51660-204-69,PSEUDOEPHEDRINE SR 120 MG TBSR,1.34,0.67,,,0 NDC,51672-1259-1,CLOBETASOL 0.05 % OINT 15 G TUBE,10.14,5.07,,,0 NDC,51672-1260-3,CLOTRIMAZOLE 1 % SOLN 30 ML BOTTLE,45.19,22.6,,,0 NDC,51672-1267-5,TRIAMCINOLONE ACETONIDE 0.1 % PSTE 5 G TUBE,166.68,83.34,,,0 NDC,51672-1304-6,TERCONAZOLE 0.4 % CREA 45 G TUBE/KIT,126.37,63.18,,,0 NDC,51672-1318-2,CICLOPIROX 0.77 % CREA 30 G TUBE,47.41,23.7,,,0 NDC,51672-2001-2,MICONAZOLE 2 % CREA 30 G TUBE,30.0,15.0,,,0 NDC,51672-2003-6,CLOTRIMAZOLE 1 % CREA 45 G TUBE/KIT,45.0,22.5,,,0 NDC,51672-2010-2,HYDROCORTISONE 0.5 % CREA 28.4 G TUBE,28.4,14.2,,,0 NDC,51672-2035-6,MICONAZOLE 2 % CREA 45 G TUBE/KIT,45.0,22.5,,,0 NDC,51672-2080-1,TERBINAFINE HCL 1 % CREA 15 G TUBE,23.52,11.76,,,0 NDC,51672-2116-0,ACETAMINOPHEN 325 MG SUPP,1.0,0.5,,,0 NDC,51672-3020-9,LIDOCAINE 5 % OINT 35.44 G TUBE,15.27,7.64,,,0 NDC,51672-4011-6,CLOMIPRAMINE 25 MG CAPS,1.99,1.0,,,0 NDC,51672-4027-1,WARFARIN 1 MG TABS,0.09,0.04,,,0 NDC,51672-4037-1,ENALAPRIL 2.5 MG TABS,1.1749999999999998,0.585,,,0 NDC,51672-4123-1,CARBAMAZEPINE XR 12 HOUR 100 MG TB12,2.1,1.05,,,0 NDC,51672-4146-1,PHENYTOIN 50 MG CHEW,2.2,1.1,,,0 NDC,51754-0108-1,"TRANEXAMIC ACID 1,000 MG/100 ML (10 MG/ML) PGBK",67.6,33.8,,,0 NDC,51754-1000-4,MAGNESIUM SULFATE 500 MG/ML (50 %) SOLN 10 ML VIAL,13.31,6.66,,,0 NDC,51754-1006-1,NITROPRUSSIDE IN 0.9 % NACL 50 MG/100 ML (0.5 MG/ML) SOLN,277.5,138.75,,,0 NDC,51754-1007-1,CYSTEINE (L-CYSTEINE) 50 MG/ML SOLN 10 ML VIAL,115.67,57.835,,,0 NDC,51754-2001-4,POTASSIUM ACETATE 2 MEQ/ML SOLN 20 ML VIAL,23.5,11.75,,,0 NDC,51754-5001-1,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) SOLN 50 ML VIAL,40.63,20.315,,,0 NDC,51759-520-10,RISPERIDONE ER 100 MG/0.28 ML SERS,10748.1,5374.05,,,0 NDC,51759-630-10,RISPERIDONE 125 MG/0.35 ML SERS,13438.71,6719.36,,,0 NDC,51801-001-01,POTASSIUM BICARBONATE 25 MEQ TBEF,2.02,1.01,,,0 NDC,51862-486-01,TRIMETHOPRIM 100 MG TABS,1.51,0.76,,,0 NDC,5192712910,MINERAL OIL OIL 1 ML BOTTLE,1.03,0.52,,,0 NDC,51991-144-99,METHYLERGONOVINE 0.2 MG/ML (1 ML) SOLN,45.0,22.5,,,0 NDC,51991-311-33,DESVENLAFAXINE SUCCINATE 50 MG TB24,2.41,1.2,,,0 NDC,51991-312-33,DESVENLAFAXINE SUCCINATE 100 MG TB24,2.17,1.09,,,0 NDC,51991-312-90,DESVENLAFAXINE SUCCINATE 100 MG TB24,2.67,1.34,,,0 NDC,51991-379-99,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABS,38.5,19.25,,,0 NDC,51991-838-01,CYPROHEPTADINE 4 MG TABS,1.18,0.59,,,0 NDC,5199138490,FOLIC ACID-VIT B6-VIT B12 2.5-25-2 MG TABS,1.37,0.68,,,0 NDC,5199191333,LEVOMEFOLATE CA 3 MG-B6 35 MG-B12 2MG 3 MG-35 MG-2 MG -90.314 MG CAPS,5.18,2.59,,,0 NDC,52015-080-01,FIDAXOMICIN 200 MG TABS,272.94,136.47,,,0 NDC,52268-100-01,"POLYETHYLENE GLYCOL 236-22.74-6.74 -5.86 GRAM SOLR 4,000 ML BOTTLE",43.0,21.5,,,0 NDC,52536-183-03,ERYTHROMYCIN 333 MG TBEC,2.54,1.27,,,0 NDC,52817-235-30,RAMELTEON 8 MG TABS,4.12,2.06,,,0 NDC,52817-330-10,CYCLOBENZAPRINE 5 MG TABS,0.5800000000000001,0.29000000000000004,,,0 NDC,52817-332-10,CYCLOBENZAPRINE 10 MG TABS,1.05,0.52,,,0 NDC,52817-391-10,CARBIDOPA-LEVODOPA 25-100 MG TABS,1.17,0.58,,,0 NDC,52817-811-54,TRIAMCINOLONE ACETONIDE 0.1 % CREA 454 G JAR,62.97,31.48,,,0 NDC,52959-054-07,"BACITRACIN ZINC-POLYMYXIN B 500-10,000 UNIT/GRAM OINT 30 G TUBE",6.36,3.18,,,0 NDC,53014-548-05,HYDROCODONE-CHLORPHENIRAMINE 10-8 MG/5 ML SU12,19.51,9.76,,,0 NDC,53329-089-87,BACITRACIN 500 UNIT/GRAM OIPK,1.0,0.5,,,0 NDC,53489-141-01,QUINIDINE GLUCONATE SR 324 MG TBSR,16.16,8.08,,,0 NDC,53746-571-01,BETHANECHOL 5 MG TABS,1.635,0.815,,,0 NDC,53746-711-01,GUANFACINE 1 MG TABS,1.44,0.72,,,0 NDC,53746-831-53,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % DRPS 7.5 ML DROP BTL,368.96000000000004,184.48000000000002,,,0 NDC,54092-189-81,MESALAMINE SR 250 MG CPSR,10.11,5.06,,,0 NDC,54288-103-10,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) SOLN,71.25,35.62,,,0 NDC,54288-105-02,ETHYL ALCOHOL 99 % SOLN,8668.04,4334.02,,,0 NDC,54288-120-01,EPINEPHRINE 1 MG/ML SOLN,143.125,71.56,,,0 NDC,54288-141-01,MYCOPHENOLATE 500 MG SOLR 1 EACH VIAL,78.815,39.405,,,0 NDC,54288-141-04,MYCOPHENOLATE 500 MG SOLR 1 EACH VIAL,96.25,48.12,,,0 NDC,54288-147-01,METHYLENE BLUE 1 % (10 MG/ML) SOLN 10 ML VIAL,1078.62,539.31,,,0 NDC,54569-4557-0,CARBOXYMETHYLCELLULOSE 0.5 % DPET,1.0,0.5,,,0 NDC,54629-0580-01,CYANOCOBALAMIN 250 MCG TABS,1.0,0.5,,,0 NDC,54643-5647-0,MULTIVITAMINS - PEDIATRIC 80 MG-400 UNIT- 200 MCG/5 ML SOLN 50 ML VIAL,44.650000000000006,22.33,,,0 NDC,54643-5649-1,"MULTIVITAMIN 3,300 UNIT-150 MCG/10 ML (2 X 5 ML VIALS) SOLN 10 ML VIAL",86.13,43.06,,,0 NDC,54643-9015-2,"MULTIVITAMIN 3,300 UNIT-150 MCG/10 ML (2 X 5 ML VIALS) SOLN 100 ML VIAL",73.38,36.69,,,0 NDC,54838-566-70,LAMIVUDINE 10 MG/ML SOLN,6.37,3.19,,,0 NDC,54859-516-05,B COMPLEX-VITAMIN C-FOLIC ACID 900 MCG/5 ML LIQD,1.74,0.87,,,0 NDC,55045-2203-1,RIFABUTIN 150 MG CAPS,28.86,14.43,,,0 NDC,55111-262-79,OLANZAPINE ZYDIS 5 MG ODT.,3.31,1.66,,,0 NDC,55111-263-79,OLANZAPINE ZYDIS 10 MG ODT.,3.39,1.7,,,0 NDC,55111-302-30,DONEPEZIL 23 MG TABS,3.5,1.75,,,0 NDC,55111-328-90,NATEGLINIDE 60 MG TABS,2.37,1.18,,,0 NDC,55111-556-10,DECITABINE 50 MG SOLR 1 EACH VIAL,381.20000000000005,190.60000000000002,,,0 NDC,55111-652-07,BIVALIRUDIN 250 MG SOLR 1 EACH VIAL,129.84,64.92,,,0 NDC,55111-678-11,FONDAPARINUX 2.5 MG/0.5 ML SYRG,79.06,39.53,,,0 NDC,55111-685-07,ZOLEDRONIC ACID 4 MG/5 ML SOLN 5 ML VIAL,123.985,61.989999999999995,,,0 NDC,55111-688-52,ZOLEDRONIC ACID-MANNITOL&WATER 5 MG/100 ML PGBK,627.5,313.75,,,0 NDC,55111-694-07,PALONOSETRON 0.25 MG/5 ML SOLN,40.0,20.0,,,0 NDC,55150-112-10,AMPICILLIN 500 MG SOLR,13.13,6.56,,,0 NDC,55150-113-10,AMPICILLIN 1 GRAM SOLR 1 EACH VIAL,12.56,6.28,,,0 NDC,55150-114-20,AMPICILLIN 2 GRAM SOLR 1 EACH VIAL,17.06,8.53,,,0 NDC,55150-116-20,AMPICILLIN/SULBACTAM 1.5 GRAM SOLR 1 EACH VIAL,17.13,8.56,,,0 NDC,55150-117-20,AMPICILLIN/SULBACTAM 3 GRAM SOLR 1 EACH VIAL,22.5,11.25,,,0 NDC,55150-119-30,PIPERACILLIN-TAZOBACTAM 2250 MG SOLR 1 EACH VIAL,21.19,10.6,,,0 NDC,55150-120-30,PIPERACILLIN-TAZOBACTAM 3375 MG SOLR 1 EACH VIAL,21.25,10.62,,,0 NDC,55150-121-50,PIPERACILLIN-TAZOBACTAM 4500 MG SOLR 1 EACH VIAL,37.56,18.78,,,0 NDC,55150-123-15,NAFCILLIN 2 GRAM SOLR 1 EACH VIAL,53.81,26.9,,,0 NDC,55150-129-99,OXACILLIN 10 GRAM SOLR 1 EACH VIAL,74.74,37.37,,,0 NDC,55150-154-10,ACYCLOVIR 50 MG/ML SOLN,4.875,2.435,,,0 NDC,55150-155-20,ACYCLOVIR 50 MG/ML SOLN,29.61,14.809999999999999,,,0 NDC,55150-161-02,LIDOCAINE-PF 10 MG/ML (1%) 10 MG/ML (1 %) SOLN,9.06,4.53,,,0 NDC,55150-162-05,LIDOCAINE-PF 10 MG/ML (1%) 10 MG/ML (1 %) SOLN,9.0,4.5,,,0 NDC,55150-163-30,LIDOCAINE-PF 10 MG/ML (1%) 10 MG/ML (1 %) SOLN,19.38,9.69,,,0 NDC,55150-166-13,SILDENAFIL (PULM.HYPERTENSION) 10 MG/12.5 ML SOLN,1158.75,579.38,,,0 NDC,55150-167-10,"BUPIVACAINE HCL INJECTION 0.25%, PER ML",6.485,3.2399999999999998,,,0 NDC,55150-168-30,BUPIVACAINE PF (MARCAINE-PF) 0.25% 0.25 % SOLN,6.265,3.13,,,0 NDC,55150-169-10,BUPIVACAINE PF (MARCAINE-PF) 0.5% 0.5% SOLN 10 ML VIAL,8.790000000000001,4.3950000000000005,,,0 NDC,55150-170-30,BUPIVACAINE PF (MARCAINE-PF) 0.5% 0.5% SOLN,13.13,6.56,,,0 NDC,55150-173-01,SUMATRIPTAN 6 MG/0.5 ML SOLN,22.5,11.25,,,0 NDC,55150-173-05,SUMATRIPTAN 6 MG/0.5 ML SOLN,22.5,11.25,,,0 NDC,55150-174-10,AZITHROMYCIN 500 MG SOLR 1 EACH VIAL,20.79,10.4,,,0 NDC,55150-183-01,NICARDIPINE 25 MG/10 ML SOLN,111.88,55.94,,,0 NDC,55150-183-02,NICARDIPINE 25 MG/10 ML SOLN 10 ML VIAL,111.88,55.94,,,0 NDC,55150-183-10,NICARDIPINE 25 MG/10 ML SOLN 10 ML VIAL,220.0,110.0,,,0 NDC,55150-188-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) SOLN",24.38,12.19,,,0 NDC,55150-191-83,IBANDRONATE 3 MG/3 ML SYRG,1223.24,611.62,,,0 NDC,55150-192-01,ADENOSINE 3 MG/ML SOLN,104.065,52.035,,,0 NDC,55150-194-10,ESMOLOL 100 MG/10 ML (10 MG/ML) SOLN,30.0,15.0,,,0 NDC,55150-198-30,ROPIVACAINE (PF) 0.5% SOLN,13.254999999999999,6.63,,,0 NDC,55150-202-00,PANTOPRAZOLE 40 MG SOLR,20.0,10.0,,,0 NDC,55150-207-20,MEROPENEM 500 MG SOLR,16.25,8.12,,,0 NDC,55150-208-30,MEROPENEM 1 GRAM SOLR,23.735,11.870000000000001,,,0 NDC,55150-222-20,ETOMIDATE 2 MG/ML SOLN,27.5,13.75,,,0 NDC,55150-223-10,METHOCARBAMOL 100 MG/ML SOLN,39.75,19.88,,,0 NDC,55150-225-05,ROCURONIUM 10 MG/ML SOLN,12.19,6.1,,,0 NDC,55150-230-00,FONDAPARINUX 2.5 MG/0.5 ML SYRG,79.06,39.53,,,0 NDC,55150-232-00,FONDAPARINUX 7.5 MG/0.6 ML SYRG,185.31,92.66,,,0 NDC,55150-235-01,VECURONIUM 10 MG SOLR,27.25,13.62,,,0 NDC,55150-242-51,LINEZOLID IN DEXTROSE 5% 600 MG/300 ML PGBK,50.0,25.0,,,0 NDC,55150-249-50,"BUPIVACAINE HCL INJECTION 0.25%, PER ML",0.28,0.14,,,0 NDC,55150-251-10,LIDOCAINE (XYLOCAINE) 1% SOLN,12.25,6.12,,,0 NDC,55150-252-20,LIDOCAINE (XYLOCAINE) 1% SOLN,12.38,6.19,,,0 NDC,55150-254-10,LIDOCAINE (XYLOCAINE) 2% SOLN,13.0,6.5,,,0 NDC,55150-255-20,LIDOCAINE (XYLOCAINE) 2% SOLN,13.0,6.5,,,0 NDC,55150-282-20,ERTAPENEM 1 GRAM SOLR,221.25,110.625,,,0 NDC,55150-297-01,DEXMEDETOMIDINE IN 0.9 % NACL 400 MCG/100 ML (4 MCG/ML) SOLN,101.6,50.8,,,0 NDC,55150-301-01,PHENYLEPHRINE 10 MG/ML SOLN 5 ML VIAL,33.75,16.88,,,0 NDC,55150-304-01,DEXAMETHASONE PF 10 MG/ML SOLN 1 ML VIAL,18.91,9.455,,,0 NDC,55150-304-25,DEXAMETHASONE PF 10 MG/ML SOLN 1 ML VIAL,13.44,6.72,,,0 NDC,55150-308-01,OLANZAPINE 10 MG/2ML SOLR,127.5,63.75,,,0 NDC,55150-317-01,ISOPROTERENOL 0.2 MG/ML SOLN 5 ML AMPUL,440.0,220.0,,,0 NDC,55150-329-01,MEDROXYPROGESTERONE 150 MG/ML SUSPENSION,158.75,79.38,,,0 NDC,55150-337-01,BORTEZOMIB 3.5 MG SOLR,138.55,69.275,,,0 NDC,55150-345-01,NALOXONE 1 MG/ML SYRG,100.94,50.47,,,0 NDC,55150-352-01,IRINOTECAN 40 MG/2 ML SOLN 2 ML VIAL,34.5,17.25,,,0 NDC,55150-354-01,IRINOTECAN 300 MG/15 ML SOLN 15 ML VIAL,229.98,114.99,,,0 NDC,55150-365-01,AMPHOTERICIN B LIPOSOMAL 50 MG SUSR 1 EACH VIAL,8019.44,4009.72,,,0 NDC,55150-370-00,VASOPRESSIN 20 UNIT/ML SOLN,829.83,414.92,,,0 NDC,55150-370-01,VASOPRESSIN 20 UNIT/ML SOLN,829.83,414.92,,,0 NDC,55150-370-25,VASOPRESSIN 20 UNIT/ML SOLN,829.83,414.92,,,0 NDC,55150-386-01,CARBOPLATIN 10 MG/ML SOLN 60 ML VIAL,206.31,103.16,,,0 NDC,55150-438-01,KETAMINE 10 MG/ML SOLN,236.6,118.3,,,0 NDC,55150-438-10,KETAMINE 10 MG/ML SOLN,584.0,292.0,,,0 NDC,55150-471-01,VANCOMYCIN 1.25 GRAM SOLR 1 EACH VIAL,128.13,64.06,,,0 NDC,55154-7635-0,BACLOFEN 10 MG TABS,1.09,0.54,,,0 NDC,5529960104,ARTIFICIAL SALIVA SPRP 120 ML SQUEEZ BTL,32.08,16.04,,,0 NDC,55390-612-10,ACYCLOVIR 75MG/15ML SYRG,4.56,2.28,,,0 NDC,55513-132-01,TRASTUZUMAB-ANNS 420 MG SOLR 1 EACH VIAL,7311.76,3655.88,,,0 NDC,55513-141-01,TRASTUZUMAB-ANNS 150 MG SOLR 1 EACH VIAL,7311.74,3655.87,,,0 NDC,55513-148-01,"EPOETIN ALFA (ESRD) 4,000 UNIT/ML SOLN",389.58,194.79,,,0 NDC,55513-160-01,BLINATUMOMAB 35 MCG KIT 1 EACH VIAL,11796.31,5898.16,,,0 NDC,55513-190-01,PEGFILGRASTIM 6 MG/0.6 ML SYRG,25976.39,12988.2,,,0 NDC,55513-221-01,ROMIPLOSTIM 250 MCG SOLR,3085.55,1542.78,,,0 NDC,55513-222-01,ROMIPLOSTIM 500 MCG SOLR,28850.32,14425.16,,,0 NDC,55513-224-01,RITUXIMAB-ARRX 10 MG/ML SOLN 10 ML VIAL,3511.88,1755.94,,,0 NDC,55513-326-01,RITUXIMAB-ARRX 10 MG/ML SOLN 50 ML VIAL,17203.2,8601.6,,,0 NDC,55513-800-60,IVABRADINE 5 MG TABS,15.695,7.845000000000001,,,0 NDC,55513-810-60,IVABRADINE 7.5 MG TABS,8.25,4.12,,,0 NDC,55513-880-01,ROMOSOZUMAB-AQQG 105 MG/1.17 ML SYRG,10710.81,5355.4,,,0 NDC,55513-880-02,ROMOSOZUMAB-AQQG 210MG/2.34ML ( 105MG/1.17MLX2) SYRG,10955.279999999999,5477.639999999999,,,0 NDC,55513-998-02,ROMOSOZUMAB-AQQG 105 MG/1.17 ML SYRG,10710.81,5355.4,,,0 NDC,55566-2800-0,DINOPROSTONE 10 MG INSR,541.83,270.92,,,0 NDC,55566-2800-1,DINOPROSTONE 10 MG INSR,541.83,270.92,,,0 NDC,56151-1610-51,GLUCOSE 4 GRAM CHEW,1.115,0.5549999999999999,,,0 NDC,56151-1611-51,GLUCOSE 4 GRAM CHEW,1.05,0.52,,,0 NDC,56641-022-17,HYDROCORTISONE 0.5 % CREA 28.35 G TUBE,28.35,14.18,,,0 NDC,57074-001-88,ZINC OXIDE 13 % CREA 120 G TUBE,11.92,5.96,,,0 NDC,57237-040-01,PENICILLIN V POTASSIUM 250 MG TABS,1.24,0.62,,,0 NDC,57237-075-30,ONDANSETRON 4 MG TABS,1.44,0.72,,,0 NDC,57237-077-10,ONDANSETRON 4 MG ODT.,1.74,0.87,,,0 NDC,57237-099-60,CEFDINIR 300 MG CAPS,3.0,1.5,,,0 NDC,57237-114-90,ALFUZOSIN 10 MG TB24,1.35,0.68,,,0 NDC,57237-324-03,ALUM-MAG HYDROXIDE-SIMETH DS 400-400-40 MG/5 ML SUSPENSION,1.0,0.5,,,0 NDC,5751-3040-21,HYDROMORPHONE 2 MG/ML SOLN,11.43,5.72,,,0 NDC,57664-683-31,LINEZOLID IN DEXTROSE 5% 600 MG/300 ML PGBK,50.0,25.0,,,0 NDC,57841-1300-1,NALOXEGOL 12.5 MG TABS,29.11,14.56,,,0 NDC,57841-1301-3,NALOXEGOL 25 MG TABS,29.11,14.56,,,0 NDC,57894-030-01,INFLIXIMAB 100 MG SOLR 1 EACH VIAL,6911.24,3455.62,,,0 NDC,57894-160-01,INFLIXIMAB 100 MG SOLR 1 EACH VIAL,16031.240000000002,8015.620000000001,,,0 NDC,57894-350-01,GOLIMUMAB 12.5 MG/ML SOLN 4 ML VIAL,18783.68,9391.84,,,0 NDC,57896-111-09,BACITRACIN 500 UNIT/GRAM OIPK 1 EACH PACKET,1.0,0.5,,,0 NDC,57896-116-01,METHYL SALICYLATE-MENTHOL 15-10 % CREA 28 G TUBE,28.0,14.0,,,0 NDC,57896-147-01,DICLOFENAC SODIUM 1 % GEL 100 G TUBE,13.25,6.62,,,0 NDC,57896-303-01,SENNA-DOCUSATE 8.6-50 MG TABS,1.0,0.5,,,0 NDC,57896-791-01,SIMETHICONE 80 MG CHEW,1.0,0.5,,,0 NDC,57896-901-01,ASPIRIN 325 MG TABS,1.0,0.5,,,0 NDC,57896-921-01,ASPIRIN EC 325 MG TBEC,1.0,0.5,,,0 NDC,5789687503,COENZYME Q10 100 MG CAPS,1.36,0.68,,,0 NDC,57970-100-01,DALBAVANCIN 500 MG SOLN 1 EACH VIAL,7884.84,3942.42,,,0 NDC,58160-811-43,HEP B-DP(ACELL)T-POLIO VAC-PF 10 MCG-25LF-25 MCG-10LF/0.5 ML SYRG,497.88,248.94,,,0 NDC,58160-815-43,HEPATITIS A AND B VACCINE (PF) 720 ELISA UNIT- 20 MCG/ML SYRG,646.76,323.38,,,0 NDC,58160-819-12,VARICELLA-ZOSTER 50 MCG/0.5 ML SUSR,951.59,475.8,,,0 NDC,58160-820-43,HEPATITIS B VACCINE (PF) 10 MCG/0.5ML,198.96,99.48,,,0 NDC,58160-821-01,HEPATITIS B VIRUS VACCINE (PF) 20 MCG/ML SUSPENSION,718.45,359.225,,,0 NDC,58160-821-11,HEPATITIS B VIRUS VACCINE (PF) 20 MCG/ML SUSPENSION,388.5,194.25,,,0 NDC,58160-821-43,HEPATITIS B VIRUS VACCINE (PF) 20 MCG/ML SYRG,388.5,194.25,,,0 NDC,58160-823-11,HZV VACC RECOMBINANT IM,689.0,344.5,,,0 NDC,58160-826-43,"HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML SYRG",457.82,228.91,,,0 NDC,58160-826-52,"HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML SYRG",450.24,225.12,,,0 NDC,58160-828-03,HZV VACC RECOMBINANT IM,689.0,344.5,,,0 NDC,58160-964-12,RABIES VACCINE 2.5 UNIT SUSR,1890.63,945.32,,,0 NDC,58394-136-03,"COAGULATION FACTOR IX (RECOMB) 2,000 UNIT SOLR",10500.0,5250.0,,,0 NDC,58468-0080-1,ANTITHYMOCYTE GLOBULIN (RABBIT) 25 MG SOLR 1 EACH VIAL,16869.77,8434.88,,,0 NDC,58468-0123-0,DOXERCALCIFEROL 4 MCG/2 ML SOLN,13.75,6.88,,,0 NDC,58468-0123-1,DOXERCALCIFEROL 4 MCG/2 ML SOLN,13.75,6.88,,,0 NDC,58472-032-50,"LIDOCAINE 2%-EPINEPHRINE 1:100,000 2 %-1:100,000 SOLN",3.55,1.78,,,0 NDC,58602-702-83,LORATADINE 10 MG TABS,1.0,0.5,,,0 NDC,58657-675-01,CIPROFLOXACIN HCL 250 MG TABS,1.02,0.51,,,0 NDC,58865-014-01,THERAPEUTIC MULTIVITAMIN-MINERALS TABS,1.0,0.5,,,0 NDC,58914-080-52,DICYCLOMINE 10 MG/ML SOLN,78.25,39.12,,,0 NDC,58980-780-21,BALSAM PERU-CASTOR OIL OINT 56.7 G TUBE,65.7,32.85,,,0 NDC,5898096031,EMOLLIENT COMBINATION NO.10 EMUL 90 G TUBE,126.06,63.03,,,0 NDC,59011-410-20,OXYCODONE CR 10 MG TR12,7.76,3.88,,,0 NDC,59011-420-10,OXYCODONE ER/CR 20 MG TR12,14.53,7.26,,,0 NDC,59011-420-20,OXYCODONE ER/CR 20 MG TR12,13.53,6.76,,,0 NDC,59011-440-20,OXYCODONE ER/CR 40 MG TR12,17.87,8.94,,,0 NDC,59148-019-71,ARIPIPRAZOLE 400 MG SSRR,11551.23,5775.62,,,0 NDC,59148-045-80,ARIPIPRAZOLE 300 MG SERS,8899.97,4449.98,,,0 NDC,59148-072-80,ARIPIPRAZOLE 400 MG SERS,11551.23,5775.62,,,0 NDC,59310-610-31,RESLIZUMAB 10 MG/ML SOLN 10 ML VIAL,12968.3,6484.15,,,0 NDC,59390-004-10,GUAIFENESIN 100 MG/5 ML LIQD,2.41,1.2,,,0 NDC,59390-004-13,GUAIFENESIN 100 MG/5 ML LIQD,2.8,1.4,,,0 NDC,59390-205-05,FLUORESCEIN-PROPARACAINE 0.25-0.5 % DROP 5 ML DROP BTL,33.03,16.52,,,0 NDC,59630-266-01,CEFIDEROCOL 1 GRAM SOLR 1 EACH VIAL,1618.115,809.0550000000001,,,0 NDC,59630-266-10,CEFIDEROCOL 1 GRAM SOLR 1 EACH VIAL,1627.69,813.845,,,0 NDC,59651-026-75,AMOXICILLIN-CLAVULANATE 250-62.5 MG/5 ML SUSR,15.940000000000001,7.970000000000001,,,0 NDC,59651-138-30,NEBIVOLOL 5 MG TABS,1.67,0.84,,,0 NDC,59651-214-30,AZELASTINE 137 MCG (0.1 %) SPRY 30 ML SQUEEZ BTL,40.38,20.19,,,0 NDC,59651-241-30,IMATINIB 400 MG TABS,18.32,9.16,,,0 NDC,59651-299-60,TAMOXIFEN 10 MG TABS,3.58,1.79,,,0 NDC,59651-422-01,CEVIMELINE 30 MG CAPS,4.68,2.34,,,0 NDC,59651-456-01,CARBIDOPA-LEVODOPA 10-100 MG TABS,1.14,0.57,,,0 NDC,59651-491-01,PREDNISOLONE 5 MG TABS,146.41,73.2,,,0 NDC,59651-516-30,EXEMESTANE 25 MG TABS,4.3,2.15,,,0 NDC,59651-565-01,DICLOXACILLIN 250 MG CAPS,1.9,0.95,,,0 NDC,59651-780-30,GLIPIZIDE XL 2.5 MG TR24,1.51,0.76,,,0 NDC,59676-278-01,RILPIVIRINE HCL 25 MG TABS,80.01,40.0,,,0 NDC,59676-310-00,"EPOETIN ALFA (ESRD) 10,000 UNIT/ML SOLN",548.745,274.375,,,0 NDC,59676-310-01,"EPOETIN ALFA (NON-ESRD) 10,000 UNIT/ML SOLN",867.08,433.54,,,0 NDC,59676-310-02,"EPOETIN ALFA (ESRD) 10,000 UNIT/ML SOLN",867.08,433.54,,,0 NDC,59676-320-00,"EPOETIN ALFA (ESRD) 20,000 UNIT/ML SOLN",1662.92,831.46,,,0 NDC,59676-320-04,"EPOETIN ALFA (ESRD) 20,000 UNIT/ML SOLN",1185.42,592.71,,,0 NDC,59676-566-30,DARUNAVIR 800 MG TABS,7.0,3.5,,,0 NDC,59676-570-01,ETRAVIRINE 100 MG TABS,32.78,16.39,,,0 NDC,59746-010-32,RISPERIDONE (DISINTEGRATING) 0.5 MG ODT.,4.34,2.17,,,0 NDC,59746-030-22,RISPERIDONE (DISINTEGRATING) 2 MG ODT.,10.02,5.01,,,0 NDC,59746-113-06,PROCHLORPERAZINE 5 MG TABS,1.59,0.8,,,0 NDC,59746-171-06,PREDNISONE 1 MG TABS,1.42,0.71,,,0 NDC,59746-175-09,PREDNISONE 20 MG TABS,0.15,0.08,,,0 NDC,59746-383-06,TERAZOSIN 1 MG CAPS,1.29,0.64,,,0 NDC,59762-0074-1,HYDROCORTISONE 10 MG TABS,1.86,0.93,,,0 NDC,59762-0104-5,SULFASALAZINE EC 500 MG TBEC,2.98,1.49,,,0 NDC,59762-0333-2,LATANOPROST 0.005 % DROP 2.5 ML DROP BTL,9.75,4.88,,,0 NDC,59762-1004-1,NIFEDIPINE 10 MG CAPS,2.16,1.08,,,0 NDC,59762-1005-1,CABERGOLINE 0.5 MG TABS,7.09,3.54,,,0 NDC,59762-1061-1,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG TABS,1.435,0.7150000000000001,,,0 NDC,59762-1710-1,EPLERENONE 25 MG TABS,1.81,0.9,,,0 NDC,59762-2198-7,AZITHROMYCIN 250 MG TABS,1.16,0.58,,,0 NDC,59762-3051-5,AZITHROMYCIN 1 GRAM PACK,46.84,23.42,,,0 NDC,59762-3120-1,AZITHROMYCIN 200 MG/5 ML SUSR,23.42,11.71,,,0 NDC,59762-3304-3,NITROGLYCERIN 0.4 MG SUBL,1.22,0.61,,,0 NDC,59762-3719-1,ALPRAZOLAM 0.25 MG TABS,1.12,0.56,,,0 NDC,59762-5000-5,SULFASALAZINE 500 MG TABS,1.56,0.78,,,0 NDC,59762-5007-1,MISOPROSTOL 100 MCG TABS,1.61,0.8,,,0 NDC,59762-5008-1,MISOPROSTOL 200 MCG TABS,1.92,0.96,,,0 NDC,59762-5009-1,CLINDAMYCIN 2 % CREA 40 G TUBE/KIT,279.74,139.87,,,0 NDC,59762-5030-1,FLUCONAZOLE 40 MG/ML SUSR,15.05,7.52,,,0 NDC,60219-1522-1,TETRACYCLINE 250 MG CAPS,2.385,1.195,,,0 NDC,60219-1673-1,THIOTHIXENE 1 MG CAPS,6.42,3.21,,,0 NDC,60219-1721-7,ETRAVIRINE 100 MG TABS,32.78,16.39,,,0 NDC,60219-1749-3,ATROPINE 1 % DROP 5 ML DROP BTL,110.0,55.0,,,0 NDC,6025800601,PHOS-NAK 280-160-250 MG PWPK,1.96,0.98,,,0 NDC,6025800615,PHOS-NAK 280-160-250 MG PWPK,1.96,0.98,,,0 NDC,60267-705-50,SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) SOLN,671.25,335.62,,,0 NDC,60429-195-15,FLUTICASONE PROPIONATE 50 MCG/ACTUATION SPSN 16 G AER W/ADAP,12.54,6.27,,,0 NDC,60432-065-47,AMOXICILLIN-CLAVULANATE 250-62.5 MG/5 ML SUSR,20.92,10.46,,,0 NDC,60432-065-75,AMOXICILLIN-CLAVULANATE 250-62.5 MG/5 ML SUSR,8.13,4.065,,,0 NDC,60432-150-16,HYDROXYZINE 10 MG/5 ML SOLN,6.8,3.4,,,0 NDC,60505-0165-1,FLUVOXAMINE 50 MG TABS,3.085,1.545,,,0 NDC,60505-0257-1,DESMOPRESSIN 0.1 MG TABS,2.34,1.17,,,0 NDC,60505-0402-5,PAROXETINE 10 MG/5 ML SUSPENSION,54.550000000000004,27.275000000000002,,,0 NDC,60505-0582-4,MOXIFLOXACIN 0.5 % DROP,1.2349999999999999,0.62,,,0 NDC,60505-0823-6,CALCITONIN (SALMON) 200 UNIT/ACTUATION SPRY 3.7 ML SQUEEZ BTL,193.17,96.58,,,0 NDC,60505-0829-1,FLUTICASONE PROPIONATE 50 MCG/ACTUATION SPSN 16 G AER W/ADAP,12.54,6.27,,,0 NDC,60505-1003-1,KETOROLAC 0.5 % DROP,6.7,3.35,,,0 NDC,60505-3110-0,OLANZAPINE 2.5 MG TABS,0.28,0.14,,,0 NDC,60505-3111-0,OLANZAPINE 5 MG TABS,0.23,0.12,,,0 NDC,60505-3113-0,OLANZAPINE 10 MG TABS,0.21,0.1,,,0 NDC,60505-3250-6,LAMIVUDINE 100 MG TABS,26.75,13.38,,,0 NDC,60505-6097-0,IBANDRONATE 3 MG/3 ML SYRG,1223.24,611.62,,,0 NDC,60505-6116-0,"CHG - INJ,REGADENOSON,0.1MG,LEXISCAN",2256.0,1128.0,,,0 NDC,60505-6128-1,IRINOTECAN 100 MG/5 ML SOLN 5 ML VIAL,52.3,26.15,,,0 NDC,60505-6130-0,ONDANSETRON (PF) 4 MG/2 ML SOLN,2.88,1.44,,,0 NDC,60505-6132-7,OXALIPLATIN 100 MG/20 ML SOLN 20 ML VIAL,25.59,12.8,,,0 NDC,60505-6142-0,CEFAZOLIN 1 GRAM SOLR 1 EACH VIAL,7.35,3.68,,,0 NDC,60505-6146-0,CEFEPIME 1 GRAM SOLR 1 EACH VIAL,18.63,9.32,,,0 NDC,60505-6147-0,CEFEPIME 2 GRAM SOLR 1 EACH VIAL,32.5,16.25,,,0 NDC,60505-6152-1,CEFTRIAXONE 500 MG SOLR 1 EACH VIAL,8.53,4.26,,,0 NDC,60505-6157-0,PIPERACILLIN-TAZOBACTAM 3375 MG SOLR 1 EACH VIAL,21.25,10.62,,,0 NDC,60505-6159-0,PIPERACILLIN-TAZOBACTAM 4500 MG SOLR 1 EACH VIAL,37.56,18.78,,,0 NDC,60505-6196-0,ERTAPENEM 1 GRAM SOLR 1 EACH VIAL,158.75,79.375,,,0 NDC,60505-6202-1,CYCLOSPORINE 0.05 % DPET,12.27,6.14,,,0 NDC,60505-6226-1,ATROPINE 1 % DROP,7.04,3.52,,,0 NDC,60505-6231-0,CEFAZOLIN 2 GRAM SOLR,39.06,19.53,,,0 NDC,60505-6236-0,DEFEROXAMINE 500 MG SOLR,164.38,82.19,,,0 NDC,60505-6236-6,DEFEROXAMINE 500 MG SOLR 1 EACH VIAL,326.255,163.125,,,0 NDC,60505-7061-0,NICOTINE 7 MG/24 HR PT24,3.14,1.57,,,0 NDC,60505-7062-0,NICOTINE 14 MG/24 HR PT24,3.14,1.57,,,0 NDC,60505-7063-0,NICOTINE 21 MG/24 HR PT24,3.14,1.57,,,0 NDC,60505-7081-0,FENTANYL 25 MCG/HR PT72,10.54,5.27,,,0 NDC,60687-100-11,URSODIOL 300 MG CAPS,2.0,1.0,,,0 NDC,60687-104-11,KETOROLAC 10 MG TABS,2.7,1.35,,,0 NDC,60687-105-11,MEDROXYPROGESTERONE 10 MG TABS,1.62,0.81,,,0 NDC,60687-112-11,ANASTROZOLE 1 MG TABS,1.48,0.74,,,0 NDC,60687-112-21,ANASTROZOLE 1 MG TABS,1.48,0.74,,,0 NDC,60687-113-11,CLONIDINE HCL 0.1 MG TABS,1.05,0.52,,,0 NDC,60687-121-95,ACAMPROSATE 333 MG TBEC,5.93,2.96,,,0 NDC,60687-122-11,PREDNISONE 5 MG TABS,0.17,0.08,,,0 NDC,60687-127-11,OMEGA-3 1 GRAM CAPS,1.3,0.65,,,0 NDC,60687-134-11,PREDNISONE 10 MG TABS,0.14,0.07,,,0 NDC,60687-143-11,METFORMIN 850 MG TABS,1.05,0.52,,,0 NDC,60687-145-01,PREDNISONE 20 MG TABS,0.6499999999999999,0.32999999999999996,,,0 NDC,60687-145-11,PREDNISONE 20 MG TABS,0.15,0.08,,,0 NDC,60687-152-11,CEPHALEXIN 250 MG CAPS,1.32,0.66,,,0 NDC,60687-155-01,METFORMIN 500 MG TABS,1.04,0.52,,,0 NDC,60687-155-11,METFORMIN 500 MG TABS,1.04,0.52,,,0 NDC,60687-156-95,PHENYTOIN 50 MG CHEW,2.2,1.1,,,0 NDC,60687-168-11,ARIPIPRAZOLE 5 MG TABS,0.6699999999999999,0.32999999999999996,,,0 NDC,60687-173-11,MEMANTINE 5 MG TABS,0.9099999999999999,0.44999999999999996,,,0 NDC,60687-178-11,PRAVASTATIN 20 MG TABS,1.07,0.54,,,0 NDC,60687-179-11,ARIPIPRAZOLE 10 MG TABS,1.23,0.62,,,0 NDC,60687-191-11,ARIPIPRAZOLE 15 MG TABS,1.32,0.66,,,0 NDC,60687-195-11,DILTIAZEM 120 MG CP24,1.28,0.64,,,0 NDC,60687-206-11,DILTIAZEM 24HR 180 MG CP24,0.29,0.14,,,0 NDC,60687-210-11,SIMVASTATIN 40 MG TABS,1.09,0.54,,,0 NDC,60687-211-11,DIVALPROEX DR 125 MG TBEC,1.18,0.59,,,0 NDC,60687-215-11,PROPRANOLOL LA 60 MG CS24,1.6,0.8,,,0 NDC,60687-217-11,DILTIAZEM 24HR 240 MG CP24,1.41,0.7,,,0 NDC,60687-224-11,GEMFIBROZIL 600 MG TABS,1.32,0.66,,,0 NDC,60687-226-11,PROPRANOLOL LA 80 MG CS24,1.67,0.84,,,0 NDC,60687-228-11,DILTIAZEM 24HR 300 MG CP24,1.44,0.72,,,0 NDC,60687-229-11,LOPERAMIDE 2 MG CAPS,1.16,0.58,,,0 NDC,60687-230-11,ZONISAMIDE 100 MG CAPS,0.88,0.44,,,0 NDC,60687-231-11,SERTRALINE 25 MG TABS,0.56,0.28,,,0 NDC,60687-234-11,ROSUVASTATIN 5 MG TABS,1.04,0.52,,,0 NDC,60687-242-11,SERTRALINE 50 MG TABS,0.06,0.03,,,0 NDC,60687-245-11,ROSUVASTATIN 10 MG TABS,1.05,0.52,,,0 NDC,60687-253-11,SERTRALINE 100 MG TABS,0.09,0.04,,,0 NDC,60687-256-01,ROSUVASTATIN 20 MG TABS,1.07,0.54,,,0 NDC,60687-256-11,ROSUVASTATIN 20 MG TABS,1.17,0.58,,,0 NDC,60687-266-11,RALOXIFENE 60 MG TABS,2.05,1.02,,,0 NDC,60687-286-11,BROMOCRIPTINE 2.5 MG TABS,10.01,5.0,,,0 NDC,60687-292-11,DONEPEZIL 5 MG TABS,1.1,0.55,,,0 NDC,60687-293-11,NORTRIPTYLINE 25 MG CAPS,1.41,0.7,,,0 NDC,60687-299-95,ITRACONAZOLE 100 MG CAPS,11.0,5.5,,,0 NDC,60687-309-11,LINEZOLID 600 MG TABS,8.28,4.14,,,0 NDC,60687-313-95,NADOLOL 40 MG TABS,1.3,0.65,,,0 NDC,60687-325-11,LISINOPRIL 10 MG TABS,1.03,0.52,,,0 NDC,60687-327-11,QUETIAPINE 25 MG TABS,0.5900000000000001,0.29000000000000004,,,0 NDC,60687-333-11,LISINOPRIL 20 MG TABS,0.04,0.02,,,0 NDC,60687-340-11,BUPROPION 75 MG TABS,0.13,0.06,,,0 NDC,60687-345-11,CALCITRIOL 0.25 MCG CAPS,1.45,0.72,,,0 NDC,60687-368-11,BENZTROPINE 1 MG TABS,1.28,0.64,,,0 NDC,60687-369-11,DICYCLOMINE 10 MG CAPS,1.1,0.55,,,0 NDC,60687-373-11,EZETIMIBE 10 MG TABS,1.13,0.56,,,0 NDC,60687-373-21,EZETIMIBE 10 MG TABS,1.13,0.56,,,0 NDC,60687-375-11,DRONABINOL 2.5 MG CAPS,5.15,2.58,,,0 NDC,60687-375-21,DRONABINOL 2.5 MG CAPS,7.605,3.805,,,0 NDC,60687-377-11,ALPRAZOLAM 0.25 MG TABS,0.08,0.04,,,0 NDC,60687-380-11,DICYCLOMINE 20 MG TABS,1.44,0.72,,,0 NDC,60687-381-11,PHYTONADIONE (VITAMIN K1) 5 MG TABS,3.09,1.54,,,0 NDC,60687-382-11,QUETIAPINE 400 MG TABS,1.48,0.74,,,0 NDC,60687-384-95,BUMETANIDE 1 MG TABS,1.52,0.76,,,0 NDC,60687-385-95,COLESEVELAM 625 MG TABS,1.855,0.925,,,0 NDC,60687-389-11,COLCHICINE 0.6 MG TABS,1.51,0.76,,,0 NDC,60687-390-11,METOPROLOL XL 25 MG TB24,1.14,0.57,,,0 NDC,60687-391-11,PIOGLITAZONE 15 MG TABS,1.16,0.58,,,0 NDC,60687-397-95,MESALAMINE SR 1.2 GRAM TBEC,4.65,2.32,,,0 NDC,60687-398-11,MIDODRINE 5 MG TABS,1.37,0.6799999999999999,,,0 NDC,60687-402-11,METOPROLOL XL 50 MG TB24,0.6299999999999999,0.31000000000000005,,,0 NDC,60687-409-95,MIDODRINE 10 MG TABS,1.04,0.52,,,0 NDC,60687-419-11,CHLORPROMAZINE 10 MG TABS,1.41,0.7,,,0 NDC,60687-420-25,RITONAVIR 100 MG TABS,16.34,8.17,,,0 NDC,60687-420-95,RITONAVIR 100 MG TABS,16.34,8.17,,,0 NDC,60687-423-11,CLOBAZAM 10 MG TABS,1.42,0.71,,,0 NDC,60687-428-11,FINASTERIDE 5 MG TABS,1.2,0.6,,,0 NDC,60687-433-01,AMITRIPTYLINE 25 MG TABS,1.2,0.6,,,0 NDC,60687-433-11,AMITRIPTYLINE 25 MG TABS,1.2,0.6,,,0 NDC,60687-436-11,CELECOXIB 100 MG CAPS,0.675,0.33999999999999997,,,0 NDC,60687-438-11,MYCOPHENOLATE 500 MG TABS,1.46,0.73,,,0 NDC,60687-439-11,LABETALOL 100 MG TABS,0.41,0.2,,,0 NDC,60687-443-11,TRAZODONE 50 MG TABS,0.07,0.04,,,0 NDC,60687-446-11,IBUPROFEN 400 MG TABS,0.07,0.04,,,0 NDC,60687-450-11,LABETALOL 200 MG TABS,0.32,0.16,,,0 NDC,60687-451-11,EPLERENONE 25 MG TABS,1.81,0.9,,,0 NDC,60687-452-11,CHLORPROMAZINE 100 MG TABS,1.18,0.59,,,0 NDC,60687-459-11,PALIPERIDONE 3 MG TR24,6.5,3.25,,,0 NDC,60687-472-11,NITROFURANTOIN 50 MG CAPS,1.96,0.98,,,0 NDC,60687-473-11,PREGABALIN 25 MG CAPS,1.07,0.54,,,0 NDC,60687-480-11,GLIPIZIDE XL 2.5 MG TR24,1.51,0.76,,,0 NDC,60687-481-11,BUPRENORPHINE HCL 2 MG SUBL,1.92,0.96,,,0 NDC,60687-484-11,PREGABALIN 50 MG CAPS,1.11,0.56,,,0 NDC,60687-487-11,SPIRONOLACTONE 100 MG TABS,0.49,0.24,,,0 NDC,60687-492-11,BUPRENORPHINE HCL 8 MG SUBL,2.8,1.4,,,0 NDC,60687-492-21,BUPRENORPHINE HCL 8 MG SUBL,2.8,1.4,,,0 NDC,60687-495-11,PREGABALIN 75 MG CAPS,0.175,0.09,,,0 NDC,60687-506-11,PREGABALIN 100 MG CAPS,0.6399999999999999,0.31999999999999995,,,0 NDC,60687-513-11,DOXYCYCLINE HYCLATE 100 MG CAPS,1.34,0.67,,,0 NDC,60687-523-11,POSACONAZOLE 100 MG TBEC,20.0,10.0,,,0 NDC,60687-523-21,POSACONAZOLE 100 MG TBEC,40.8,20.4,,,0 NDC,60687-525-11,CINACALCET 30 MG TABS,1.125,0.565,,,0 NDC,60687-534-40,ATOVAQUONE 750 MG/5 ML SUSPENSION,52.34,26.17,,,0 NDC,60687-538-11,FEBUXOSTAT 40 MG TABS,1.41,0.7,,,0 NDC,60687-544-01,CLONAZEPAM 0.5 MG TABS,1.05,0.52,,,0 NDC,60687-544-11,CLONAZEPAM 0.5 MG TABS,1.05,0.52,,,0 NDC,60687-549-11,RANOLAZINE 500 MG TB12,1.54,0.77,,,0 NDC,60687-551-11,DIGOXIN 250 MCG (0.25 MG) TABS,1.21,0.6,,,0 NDC,60687-553-11,ISONIAZID 300 MG TABS,1.48,0.74,,,0 NDC,60687-556-33,MESALAMINE 400 MG CDTI,10.81,5.4,,,0 NDC,60687-558-11,CYCLOBENZAPRINE 10 MG TABS,1.05,0.52,,,0 NDC,60687-559-11,METHOCARBAMOL 500 MG TABS,1.09,0.54,,,0 NDC,60687-568-11,METHOCARBAMOL 750 MG TABS,1.1400000000000001,0.5700000000000001,,,0 NDC,60687-570-11,PRAMIPEXOLE 0.25 MG TABS,1.26,0.63,,,0 NDC,60687-579-11,HYDROMORPHONE 2 MG TABS,1.27,0.64,,,0 NDC,60687-582-11,HYDROCORTISONE 10 MG TABS,1.29,0.645,,,0 NDC,60687-583-11,CARBAMAZEPINE XR 12 HOUR 200 MG TB12,2.5,1.25,,,0 NDC,60687-586-11,RIFAMPIN 300 MG CAPS,5.904999999999999,2.955,,,0 NDC,60687-590-11,HYDROMORPHONE 4 MG TABS,0.31,0.16,,,0 NDC,60687-591-11,GABAPENTIN 300 MG CAPS,0.07,0.04,,,0 NDC,60687-592-11,PRAMIPEXOLE 1 MG TABS,1.33,0.66,,,0 NDC,60687-593-01,HYDROCHLOROTHIAZIDE 25 MG TABS,1.03,0.52,,,0 NDC,60687-593-11,HYDROCHLOROTHIAZIDE 25 MG TABS,1.03,0.52,,,0 NDC,60687-596-33,BUDESONIDE 3 MG CECX,1.98,0.99,,,0 NDC,60687-598-11,PROPRANOLOL 20 MG TABS,0.6799999999999999,0.33999999999999997,,,0 NDC,60687-602-11,GABAPENTIN 400 MG CAPS,1.08,0.54,,,0 NDC,60687-606-11,DICLOFENAC DR 50 MG TBEC,1.25,0.62,,,0 NDC,60687-607-11,DESVENLAFAXINE SUCCINATE 50 MG TB24,2.41,1.2,,,0 NDC,60687-612-11,VALSARTAN 40 MG TABS,1.24,0.62,,,0 NDC,60687-614-11,TRIMETHOPRIM-SULFAMETHOXAZOLE 160-800 MG TABS,1.18,0.59,,,0 NDC,60687-622-11,SENNA-DOCUSATE 8.6-50 MG TABS,1.0,0.5,,,0 NDC,60687-623-11,VALSARTAN 80 MG TABS,0.74,0.37,,,0 NDC,60687-627-11,LORAZEPAM 0.5 MG TABS,0.02,0.01,,,0 NDC,60687-630-11,NABUMETONE 500 MG TABS,1.32,0.66,,,0 NDC,60687-631-11,METOCLOPRAMIDE 10 MG TABS,1.2,0.6,,,0 NDC,60687-633-11,NITROFURANTOIN MONOHYDRATE MACRO 100 MG CAPS,2.07,1.04,,,0 NDC,60687-640-11,METFORMIN ER 500 MG TB24,0.07,0.04,,,0 NDC,60687-641-11,NEBIVOLOL 5 MG TABS,1.67,0.84,,,0 NDC,60687-649-11,LORAZEPAM 2 MG TABS,1.14,0.57,,,0 NDC,60687-656-11,LISINOPRIL 2.5 MG TABS,1.03,0.52,,,0 NDC,60687-657-11,LEVETIRACETAM 500 MG TABS,0.915,0.45499999999999996,,,0 NDC,60687-658-11,DICLOFENAC DR 75 MG TBEC,1.27,0.64,,,0 NDC,60687-660-11,PROMETHAZINE 12.5 MG TABS,1.15,0.58,,,0 NDC,60687-661-11,CARBIDOPA-LEVODOPA 25-100 MG TABS,0.17,0.08,,,0 NDC,60687-669-11,METHIMAZOLE 5 MG TABS,1.22,0.61,,,0 NDC,60687-671-40,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ELIX,8.5,4.25,,,0 NDC,60687-672-11,BUTALBITAL/ACETAMINOPHEN/CAFFEINE 50-325-40 MG TABS,1.16,0.58,,,0 NDC,60687-672-65,BUTALBITAL/ACETAMINOPHEN/CAFFEINE 50-325-40 MG TABS,1.16,0.58,,,0 NDC,60687-676-11,LACOSAMIDE 50 MG TABS,1.27,0.63,,,0 NDC,60687-677-11,ALLOPURINOL 100 MG TABS,0.14,0.07,,,0 NDC,60687-679-11,BISOPROLOL 5 MG TABS,1.56,0.78,,,0 NDC,60687-680-11,METHIMAZOLE 10 MG TABS,1.16,0.58,,,0 NDC,60687-687-11,LACOSAMIDE 100 MG TABS,0.97,0.49,,,0 NDC,60687-695-11,SUCRALFATE 1 GRAM TABS,1.46,0.73,,,0 NDC,60687-699-11,CEFDINIR 300 MG CAPS,3.0,1.5,,,0 NDC,60687-713-11,FENOFIBRATE MICRONIZED 200 MG CAPS,1.68,0.84,,,0 NDC,60687-717-11,DILTIAZEM 30 MG TABS,1.18,0.59,,,0 NDC,60687-720-11,LAMIVUDINE 150 MG TABS,5.0,2.5,,,0 NDC,60687-722-11,OXCARBAZEPINE 300 MG TABS,1.48,0.74,,,0 NDC,60687-723-21,DULOXETINE 20 MG CPDR,1.24,0.62,,,0 NDC,60687-725-11,PANTOPRAZOLE 20 MG TBEC,1.31,0.66,,,0 NDC,60687-728-11,DILTIAZEM 60 MG TABS,0.71,0.35,,,0 NDC,60687-734-01,DULOXETINE 30 MG CPDR,1.18,0.59,,,0 NDC,60687-735-11,MISOPROSTOL 100 MCG TABS,1.11,0.55,,,0 NDC,60687-742-11,AZITHROMYCIN 250 MG TABS,0.66,0.33,,,0 NDC,60687-746-11,MISOPROSTOL 200 MCG TABS,1.92,0.96,,,0 NDC,60687-756-11,POTASSIUM CHLORIDE ER 20 MEQ TBTQ,0.53,0.26,,,0 NDC,60687-768-11,GLIPIZIDE XL 2.5 MG TR24,1.7599999999999998,0.88,,,0 NDC,60687-778-11,MEXILETINE 150 MG CAPS,2.05,1.02,,,0 NDC,60687-786-11,ROFLUMILAST 500 MCG TABS,1.88,0.94,,,0 NDC,60687-792-11,AMOXICILLIN-CLAVULANATE 500-125 MG TABS,2.32,1.16,,,0 NDC,60687-795-11,TRAMADOL 50 MG TABS,1.02,0.51,,,0 NDC,60687-803-11,AMOXICILLIN-CLAVULANATE 875-125 MG TABS,2.09,1.04,,,0 NDC,60687-804-11,BACLOFEN 5 MG TABS,0.77,0.39,,,0 NDC,60687-807-11,CHLORDIAZEPOXIDE 25 MG CAPS,0.74,0.37,,,0 NDC,60687-810-11,POTASSIUM CHLORIDE 10 MEQ TBSR,1.29,0.64,,,0 NDC,60687-813-11,METHYLERGONOVINE 0.2 MG TABS,30.44,15.22,,,0 NDC,60687-836-01,CARBIDOPA-LEVODOPA 25-250 MG TABS,1.29,0.64,,,0 NDC,60758-119-05,PREDNISOLONE ACETATE 1 % DRPS,7.1,3.55,,,0 NDC,60758-801-05,TIMOLOL 0.5 % DROP,1.18,0.59,,,0 NDC,60758-802-05,TIMOLOL 0.25 % DROP 5 ML DROP BTL,11.43,5.72,,,0 NDC,60758-880-05,FLUOROMETHOLONE 0.1 % DRPS 5 ML DROP BTL,199.6,99.8,,,0 NDC,60793-205-05,"THROMBIN (BOVINE) 5,000 UNIT NSSY 1 EACH KIT",182.3,91.15,,,0 NDC,60793-215-05,"THROMBIN (BOVINE) 5,000 UNIT SOLR 1 EACH VIAL",164.2,82.1,,,0 NDC,60793-217-20,"THROMBIN 20,000 UNIT SOLR 1 EACH VIAL",482.69,241.34,,,0 NDC,60793-315-01,"THROMBIN (BOVINE) 5,000 UNIT SOLR 1 EACH VIAL",164.2,82.1,,,0 NDC,61314-019-10,DORZOLAMIDE 2 % DROP 10 ML DROP BTL,18.15,9.08,,,0 NDC,61314-044-75,TRIFLURIDINE 1 % DROP 7.5 ML DROP BTL,329.1,164.55,,,0 NDC,61314-126-05,KETOROLAC 0.5 % DROP,6.7,3.35,,,0 NDC,61314-143-05,BRIMONIDINE 0.2 % DROP,1.21,0.6,,,0 NDC,61314-143-10,BRIMONIDINE 0.2 % DROP 10 ML DROP BTL,21.97,10.98,,,0 NDC,61314-144-05,BRIMONIDINE 0.15 % DROP 5 ML DROP BTL,389.33,194.66,,,0 NDC,61314-203-15,PILOCARPINE 1 % DROP,1.74,0.87,,,0 NDC,61314-204-15,PILOCARPINE 2 % DROP,1.75,0.88,,,0 NDC,61314-226-05,TIMOLOL 0.25 % DROP 5 ML DROP BTL,11.43,5.72,,,0 NDC,61314-227-05,TIMOLOL 0.5 % DROP 5 ML DROP BTL,10.67,5.34,,,0 NDC,61314-227-10,TIMOLOL 0.5 % DROP 10 ML DROP BTL,29.04,14.52,,,0 NDC,61314-355-01,TROPICAMIDE 1 % DROP,1.6,0.8,,,0 NDC,61314-396-01,CYCLOPENTOLATE 1 % DROP,6.74,3.37,,,0 NDC,61314-547-01,LATANOPROST 0.005 % DROP 2.5 ML DROP BTL,9.75,4.88,,,0 NDC,61314-628-10,"POLYMYXIN B - TRIMETHOPRIM 10,000 UNIT- 1 MG/ML DROP 10 ML DROP BTL",33.97,16.98,,,0 NDC,61314-630-06,"NEOMYCIN-POLYMYXIN-DEXAMETHASONE 3.5MG/ML-10,000 UNIT/ML-0.1 % DRPS 5 ML DROP BTL",32.64,16.32,,,0 NDC,61314-631-36,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/G-10,000 UNIT/G-0.1 % OINT 3.5 G TUBE",45.21,22.6,,,0 NDC,61314-633-05,GENTAMICIN 0.3 % DROP 5 ML DROP BTL,16.26,8.13,,,0 NDC,61314-643-05,TOBRAMYCIN 0.3 % DROP,9.84,4.92,,,0 NDC,61314-645-11,"NEOMYCIN-POLYMYXIN-HC OTIC 3.5-10,000-1 MG/ML-UNIT/ML-% DRPS 10 ML DROP BTL",71.39,35.7,,,0 NDC,61314-647-05,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % DRPS 5 ML DROP BTL,92.63,46.32,,,0 NDC,61314-656-05,CIPROFLOXACIN HCL 0.3 % DROP,1.31,0.66,,,0 NDC,61314-656-25,CIPROFLOXACIN HCL 0.3 % DROP 2.5 ML DROP BTL,27.18,13.59,,,0 NDC,61322-1000-02,BENZOCAINE 20 % SPRA,1.36,0.68,,,0 NDC,61570-131-40,SILVER SULFADIAZINE 1 % CREA 400 G JAR,122.8,61.4,,,0 NDC,61570-131-55,SILVER SULFADIAZINE 1 % CREA 50 G TUBE,43.88,21.94,,,0 NDC,61703-303-46,CYTARABINE (PF) 20 MG/ML SOLN 50 ML VIAL,38.59,19.3,,,0 NDC,61703-305-38,CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) SOLN 5 ML VIAL,22.575000000000003,11.285,,,0 NDC,61703-305-58,CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) SOLN 5 ML VIAL,47.7,23.85,,,0 NDC,61703-309-06,VINCRISTINE 1 MG/ML SOLN 1 ML VIAL,51.16,25.58,,,0 NDC,61703-309-16,VINCRISTINE 2 MG/2 ML SOLN 2 ML VIAL,31.03,15.515,,,0 NDC,61703-326-18,PAMIDRONATE 90 MG/10 ML (9 MG/ML) SOLN 10 ML VIAL,229.94,114.97,,,0 NDC,61703-332-18,BLEOMYCIN 15 UNIT SOLR 1 EACH VIAL,98.11,49.06,,,0 NDC,61703-339-22,CARBOPLATIN 10 MG/ML SOLN 15 ML VIAL,40.945,20.47,,,0 NDC,61703-339-50,CARBOPLATIN 10 MG/ML SOLN 45 ML VIAL,155.73,77.86,,,0 NDC,61703-339-56,CARBOPLATIN 10 MG/ML SOLN 60 ML VIAL,182.70499999999998,91.35499999999999,,,0 NDC,61703-342-50,PACLITAXEL 6 MG/ML CONC 50 ML VIAL,71.59,35.8,,,0 NDC,61703-349-09,IRINOTECAN 100 MG/5 ML SOLN 5 ML VIAL,126.36,63.18,,,0 NDC,61703-350-37,METHOTREXATE 25 MG/ML SOLN,21.49,10.74,,,0 NDC,61703-408-41,METHOTREXATE 25 MG/ML SOLN 40 ML VIAL,61.34,30.67,,,0 NDC,61924-234-04,MICONAZOLE 2 % CREA 106 G TUBE,106.0,53.0,,,0 NDC,6192417804,EUCERIN CREA 107 G JAR,107.0,53.5,,,0 NDC,6192417816,EUCERIN CREA 454 G JAR,454.0,227.0,,,0 NDC,61958-0601-1,EMTRICITABINE 200 MG CAPS,32.72,16.36,,,0 NDC,61958-0701-1,EMTRICITABINE-TENOFOVIR (STARTER PACK) 30 EACH BOTTLE,325.2,162.6,,,0 NDC,61958-0801-1,AMBRISENTAN 5 MG TABS,76.6,38.3,,,0 NDC,61958-1401-1,COBICISTAT 150 MG TABS,51.375,25.685000000000002,,,0 NDC,61958-1901-1,ELVITEG-COB-EMTRI-TENOF ALAFEN 150-150-200-10 MG TABS,155.83,77.92,,,0 NDC,61958-2301-1,TENOFOVIR ALAFENAMIDE 25 MG TABS,81.29,40.64,,,0 NDC,61958-2501-1,BICTEGRAV-EMTRICIT-TENOFOV 50-200-25 MG TABS,164.51,82.26,,,0 NDC,61958-2901-2,REMDESIVIR 100 MG SOLR 1 EACH VIAL,2567.24,1283.62,,,0 NDC,62135-437-30,PREDNISOLONE 5 MG TABS,22.884999999999998,11.440000000000001,,,0 NDC,62135-502-47,HYDROXYZINE 10 MG/5 ML SOLN,4.42,2.21,,,0 NDC,62135-579-12,HYDRALAZINE 10 MG TABS,1.05,0.52,,,0 NDC,62135-712-15,LIDOCAINE 2 % SOLN,4.15,2.08,,,0 NDC,62135-750-47,HYDROXYZINE 10 MG/5 ML SOLN,2.035,1.02,,,0 NDC,62327-444-44,STERILE TALC 4 GRAM SUSR,293.0,146.5,,,0 NDC,62332-062-30,LEFLUNOMIDE 20 MG TABS,2.5,1.25,,,0 NDC,62332-086-31,FENOFIBRATE MICRONIZED 200 MG CAPS,1.68,0.84,,,0 NDC,62332-364-06,CLONAZEPAM 0.125 MG ODT.,3.77,1.88,,,0 NDC,62332-505-03,MOXIFLOXACIN 0.5 % DROP,1.31,0.66,,,0 NDC,62332-619-31,CYCLOPHOSPHAMIDE 50 MG CAPS,222.6,111.3,,,0 NDC,62332-678-08,DOCETAXEL 80 MG/8 ML (10 MG/ML) SOLN 8 ML VIAL,198.06,99.03,,,0 NDC,62332-690-02,DOXERCALCIFEROL 4 MCG/2 ML SOLN,13.75,6.88,,,0 NDC,62332-690-30,DOXERCALCIFEROL 4 MCG/2 ML SOLN,13.75,6.88,,,0 NDC,62530-00109,UREA 15 GRAM PWPK,11.5,5.75,,,0 NDC,62559-510-01,INDAPAMIDE 1.25 MG TABS,1.44,0.72,,,0 NDC,62559-630-01,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML SUSR,30.52,15.26,,,0 NDC,62559-721-01,TERBUTALINE 2.5 MG TABS,7.0,3.5,,,0 NDC,62559-820-01,MEXILETINE 150 MG CAPS,2.05,1.02,,,0 NDC,62559-822-01,MEXILETINE 250 MG CAPS,3.07,1.54,,,0 NDC,62584-265-11,METOPROLOL 25 MG TABS,0.05,0.02,,,0 NDC,62584-266-11,METOPROLOL 50 MG TABS,0.06,0.03,,,0 NDC,62584-733-11,HYDRALAZINE 25 MG TABS,0.07,0.04,,,0 NDC,62584-984-01,WARFARIN 2 MG TABS,1.09,0.54,,,0 NDC,62584-984-11,WARFARIN 2 MG TABS,0.09,0.04,,,0 NDC,62584-994-11,WARFARIN 5 MG TABS,0.11,0.06,,,0 NDC,62756-060-40,EPOPROSTENOL 1.5 MG SOLR,280.63,140.32,,,0 NDC,62756-224-83,TIAGABINE 4 MG TABS,5.82,2.91,,,0 NDC,62756-427-90,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % DRPS 7.5 ML DROP BTL,294.43,147.22,,,0 NDC,62756-589-88,LIOTHYRONINE 5 MCG TABS,1.67,0.84,,,0 NDC,62756-796-88,DIVALPROEX DR 125 MG TBEC,1.18,0.59,,,0 NDC,62756-956-01,MEXILETINE 200 MG CAPS,2.5,1.25,,,0 NDC,62756-957-01,MEXILETINE 250 MG CAPS,3.07,1.54,,,0 NDC,62856-212-01,LECANEMAB-IRMB 100 MG/ML SOLN 2 ML VIAL,1577.7800000000002,788.8900000000001,,,0 NDC,62856-215-01,LECANEMAB-IRMB 100 MG/ML SOLN 5 ML VIAL,2605.16,1302.58,,,0 NDC,62856-272-30,PERAMPANEL 2 MG TABS,133.01,66.5,,,0 NDC,63304-017-60,RANOLAZINE 500 MG TB12,1.54,0.77,,,0 NDC,63323-010-02,GENTAMICIN 40 MG/ML SOLN,8.09,4.04,,,0 NDC,63323-010-03,GENTAMICIN 40 MG/ML SOLN 20 ML VIAL,11.03,5.51,,,0 NDC,63323-010-96,GENTAMICIN 25MG/5ML,5.29,2.64,,,0 NDC,63323-013-01,THIAMINE 100 MG/ML SOLN,41.25,20.62,,,0 NDC,63323-024-01,MANNITOL 25 % SOLN,31.25,15.62,,,0 NDC,63323-047-01,"HEPARIN 5,000 UNIT/ML SOLN 10 ML VIAL",4.6,2.3,,,0 NDC,63323-064-01,MAGNESIUM SULFATE 500 MG/ML (50 %) SOLN 2 ML VIAL,9.5,4.75,,,0 NDC,63323-064-03,MAGNESIUM SULFATE 1 GRAM INJ,9.5,4.75,,,0 NDC,63323-064-04,MAGNESIUM SULFATE 500 MG/ML (50 %) SOLN,13.31,6.66,,,0 NDC,63323-064-21,MAGNESIUM SULFATE 500 MG/ML (50 %) SOLN 2 ML VIAL,9.5,4.75,,,0 NDC,63323-086-05,POTASSIUM PHOSPHATES 3 MMOL/ML SOLN 5 ML VIAL,95.06,47.53,,,0 NDC,63323-089-50,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) SOLN 50 ML VIAL,78.75,39.38,,,0 NDC,63323-103-51,CISPLATIN 1 MG/ML SOLN 50 ML VIAL,15.54,7.77,,,0 NDC,63323-103-65,CISPLATIN 1 MG/ML SOLN 100 ML VIAL,24.82,12.41,,,0 NDC,63323-104-01,ETOPOSIDE 20 MG/ML SOLN 5 ML VIAL,24.125,12.059999999999999,,,0 NDC,63323-104-06,ETOPOSIDE 20 MG/ML SOLN 5 ML VIAL,21.825000000000003,10.91,,,0 NDC,63323-104-25,ETOPOSIDE 20 MG/ML SOLN 25 ML VIAL,29.965,14.98,,,0 NDC,63323-106-02,MAGNESIUM SULFATE 2G/50ML (4%) IN WATER PGBK,19.6,9.8,,,0 NDC,63323-106-15,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) SOLP,6.95,3.475,,,0 NDC,63323-108-00,MAGNESIUM SULFATE 1G/D5W 100ML 1 GRAM/100 ML PGBK,14.0,7.0,,,0 NDC,63323-117-00,FLUOROURACIL 500 MG/10 ML SOLN 10 ML VIAL,29.3,14.65,,,0 NDC,63323-117-01,FLUOROURACIL 1 GRAM/20 ML SOLN 20 ML VIAL,24.97,12.48,,,0 NDC,63323-117-20,FLUOROURACIL 1 GRAM/20 ML SOLN 20 ML VIAL,29.58,14.79,,,0 NDC,63323-117-51,FLUOROURACIL 2.5 GRAM/50 ML SOLN 50 ML VIAL,58.74,29.37,,,0 NDC,63323-120-20,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) SOLN 20 ML VIAL,88.55,44.28,,,0 NDC,63323-127-00,DACARBAZINE 100 MG SOLR 1 EACH VIAL,56.99,28.5,,,0 NDC,63323-128-20,DACARBAZINE 200 MG SOLR 1 EACH VIAL,169.6,84.8,,,0 NDC,63323-130-02,DOXYCYCLINE 100 MG SOLR 1 EACH VIAL,94.21,47.1,,,0 NDC,63323-130-11,DOXYCYCLINE 100 MG SOLR 1 EACH VIAL,94.21,47.1,,,0 NDC,63323-132-12,MITOXANTRONE 2 MG/ML CONC 12.5 ML VIAL,513.08,256.54,,,0 NDC,63323-161-00,KETOROLAC 15 MG/ML SOLN,6.19,3.095,,,0 NDC,63323-162-00,KETOROLAC 30 MG/ML SOLN,6.88,3.44,,,0 NDC,63323-162-01,TORADOL PER 15MG,75.44,37.72,,,0 NDC,63323-173-01,GENTAMICIN 20 MG/2 ML SOLN 2 ML VIAL,9.34,4.67,,,0 NDC,63323-173-02,GENTAMICIN 20 MG/2 ML SOLN,7.055,3.525,,,0 NDC,63323-180-00,PYRIDOXINE (VITAMIN B6) 100 MG/ML SOLN,129.97,64.99,,,0 NDC,63323-184-10,FOLIC ACID 5 MG/ML SOLN 10 ML VIAL,169.38,84.69,,,0 NDC,63323-192-02,FLUDARABINE 50 MG/2 ML SOLN 2 ML VIAL,534.27,267.14,,,0 NDC,63323-201-02,LIDOCAINE (XYLOCAINE) 1% SOLN,7.074999999999999,3.54,,,0 NDC,63323-201-03,LIDOCAINE (XYLOCAINE) 1% SOLN,12.25,6.12,,,0 NDC,63323-201-10,LIDOCAINE (XYLOCAINE) 1% SOLN,12.25,6.12,,,0 NDC,63323-202-02,LIDOCAINE (XYLOCAINE) 2% SOLN,18.75,9.38,,,0 NDC,63323-208-01,LIDOCAINE HCL (PF) 20 MG/ML (2 %) SOLN 5 ML VIAL,9.56,4.78,,,0 NDC,63323-208-05,LIDOCAINE (PF) 20 MG/ML (2 %) SOLN,9.56,4.78,,,0 NDC,63323-221-33,VANCOMYCIN 500 MG SOLR,17.94,8.97,,,0 NDC,63323-221-41,VANCOMYCIN 3MG/0.3ML,14.96,7.48,,,0 NDC,63323-229-01,PROTAMINE 10 MG/ML SOLN,56.81,28.4,,,0 NDC,63323-229-05,PROTAMINE 10 MG/ML SOLN,56.81,28.4,,,0 NDC,63323-229-21,PROTAMINE 10 MG/ML SOLN,56.81,28.4,,,0 NDC,63323-229-30,PROTAMINE 10 MG/ML SOLN,194.17000000000002,97.09,,,0 NDC,63323-255-03,METHYLPREDNISOLONE SOD SUCC 40 MG SOLR,28.0,14.0,,,0 NDC,63323-258-03,METHYLPREDNISOLONE SOD SUCC 125 MG/2 ML SOLR,42.88,21.44,,,0 NDC,63323-262-03,"HEPARIN 5,000 UNIT/ML SOLN",5.59,2.795,,,0 NDC,63323-262-09,"HEPARIN 5,000 UNIT/ML SOLN",8.45,4.225,,,0 NDC,63323-269-50,PROPOFOL 10 MG/ML EMUL,39.69,19.84,,,0 NDC,63323-269-57,PROPOFOL 10 MG/ML EMUL,39.69,19.84,,,0 NDC,63323-269-65,PROPOFOL 10 MG/ML EMUL,73.13,36.56,,,0 NDC,63323-269-67,PROPOFOL 10 MG/ML EMUL,73.13,36.56,,,0 NDC,63323-273-01,SUMATRIPTAN 6 MG/0.5 ML SOLN,22.5,11.25,,,0 NDC,63323-276-01,"HEPARIN PF 1,000 UNIT/ML SOLN",2.53,1.26,,,0 NDC,63323-276-02,"HEPARIN PF 1,000 UNIT/ML SOLN 2 ML VIAL",35.705,17.855,,,0 NDC,63323-278-10,VINBLASTINE 1 MG/ML SOLN 10 ML VIAL,300.76,150.38,,,0 NDC,63323-281-10,FLUPHENAZINE 2.5 MG/ML SOLN,1202.94,601.47,,,0 NDC,63323-285-65,ROPIVACAINE 0.2% (PF) 2 MG/ML (0.2 %) SOLN,157.5,78.75,,,0 NDC,63323-286-23,ROPIVACAINE (PF) 0.5% SOLN,31.5,15.75,,,0 NDC,63323-303-55,TOBRAMYCIN 1.2 GRAM SOLR,416.84,208.42,,,0 NDC,63323-306-02,TOBRAMYCIN 40 MG/ML SOLN,14.13,7.06,,,0 NDC,63323-306-30,TOBRAMYCIN 40 MG/ML SOLN 30 ML VIAL,136.56,68.28,,,0 NDC,63323-322-01,IMIPENEM-CILASTATIN 500 MG SOLR 1 EACH VIAL,80.63,40.32,,,0 NDC,63323-322-25,IMIPENEM-CILASTATIN 500 MG SOLR 1 EACH VIAL,80.63,40.32,,,0 NDC,63323-325-03,ACYCLOVIR 50 MG/ML SOLN,5.42,2.71,,,0 NDC,63323-325-09,ACYCLOVIR 50 MG/ML SOLN 20 ML VIAL,56.25,28.12,,,0 NDC,63323-325-10,ACYCLOVIR 50 MG/ML SOLN 10 ML VIAL,42.815,21.405,,,0 NDC,63323-326-21,CEFEPIME 1 GRAM SOLR 1 EACH VIAL,18.63,9.32,,,0 NDC,63323-328-21,NAFCILLIN 2 GRAM SOLR 1 EACH VIAL,53.81,26.9,,,0 NDC,63323-340-21,CEFEPIME 2 GRAM SOLR 1 EACH VIAL,32.5,16.25,,,0 NDC,63323-360-01,CALCIUM GLUCONATE 100 MG/ML (10%) SOLN,65.13,32.56,,,0 NDC,63323-360-03,CALCIUM GLUCONATE 100 MG/ML (10%) SOLN,175.925,87.965,,,0 NDC,63323-360-05,CALCIUM GLUCONATE 100 MG/ML (10%) SOLN,65.545,32.775,,,0 NDC,63323-360-19,CALCIUM GLUCONATE 100 MG/ML (10%) SOLN 10 ML VIAL,9.7,4.85,,,0 NDC,63323-360-59,CALCIUM GLUCONATE 100 MG/ML (10%) SOLN 50 ML VIAL,676.25,338.12,,,0 NDC,63323-360-61,CALCIUM GLUCONATE 100 MG/ML (10%) SOLN 100 ML VIAL,616.25,308.12,,,0 NDC,63323-376-00,OCTREOTIDE 100 MCG/ML SOLN,23.28,11.64,,,0 NDC,63323-376-01,OCTREOTIDE 100 MCG/ML SOLN,23.28,11.64,,,0 NDC,63323-379-05,"OCTREOTIDE 1,000 MCG/ML SOLN 5 ML VIAL",195.5,97.75,,,0 NDC,63323-393-06,COLISTIMETHATE 150 MG SOLR,67.19,33.6,,,0 NDC,63323-398-12,AZITHROMYCIN 500 MG SOLR 1 EACH VIAL,20.79,10.4,,,0 NDC,63323-402-20,AZTREONAM 2 GRAM SOLR 1 EACH VIAL,333.42,166.71,,,0 NDC,63323-403-02,FOSPHENYTOIN 100 MG PE/2 ML SOLN 2 ML VIAL,70.5,35.25,,,0 NDC,63323-411-15,MIDAZOLAM 1 MG/ML SOLN 2 ML VIAL,6.86,3.43,,,0 NDC,63323-411-18,MIDAZOLAM 1 MG/ML SOLN 5 ML VIAL,8.27,4.14,,,0 NDC,63323-412-18,MIDAZOLAM 5 MG/ML SOLN 1 ML VIAL,12.2,6.1,,,0 NDC,63323-417-10,CISATRACURIUM 2 MG/ML SOLN,59.5,29.75,,,0 NDC,63323-418-01,CISATRACURIUM 10 MG/ML CONC. (ICU USE ONLY) SOLN 20 ML VIAL,590.0,295.0,,,0 NDC,63323-418-20,CISATRACURIUM 10 MG/ML CONC. (ICU USE ONLY) SOLN 20 ML VIAL,590.0,295.0,,,0 NDC,63323-424-05,FLUMAZENIL 0.1 MG/ML SOLN,43.13,21.56,,,0 NDC,63323-451-00,MORPHINE 10 MG/ML SOLN,11.93,5.96,,,0 NDC,63323-455-00,MORPHINE 5 MG/ML SOLN,22.22,11.11,,,0 NDC,63323-461-57,"BUPIVACAINE 0.25%-EPINEPHRINE 1:200,000 0.25 %-1:200,000 SOLN",39.69,19.84,,,0 NDC,63323-462-17,"BUPIVACAINE 0.5%-EPINEPHRINE 1:200,000 (PF) 0.5 %-1:200,000 SOLN",19.06,9.53,,,0 NDC,63323-462-31,"BUPIVACAINE 0.5%-EPINEPHRINE 1:200,000 (PF) 0.5 %-1:200,000 SOLN",19.75,9.88,,,0 NDC,63323-463-57,"BUPIVACAINE 0.5%-EPINEPHRINE 1:200,000 0.5 %-1:200,000 SOLN",42.81,21.4,,,0 NDC,63323-466-03,"BUPIVACAINE HCL INJECTION 0.5%, PER ML",10.47,5.235,,,0 NDC,63323-466-17,"BUPIVACAINE HCL INJECTION 0.5%, PER ML",0.84,0.42,,,0 NDC,63323-469-01,HALOPERIDOL DECANOATE 50 MG/ML SOLN,127.5,63.75,,,0 NDC,63323-471-01,HALOPERIDOL DECANOATE 100 MG/ML SOLN,171.25,85.62,,,0 NDC,63323-476-37,CHLOROPROCAINE 20 MG/ML (2 %) SOLN,60.25,30.12,,,0 NDC,63323-477-01,CHLOROPROCAINE (PF) 20 MG/ML (2 %) SOLN,4.17,2.08,,,0 NDC,63323-481-01,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 SOLN",26.56,13.28,,,0 NDC,63323-482-03,"LIDOCAINE 1%-EPINEPHRINE 1:100,000 1 %-1:100,000 SOLN",14.38,7.19,,,0 NDC,63323-482-05,"LIDOCAINE 1%-EPINEPHRINE 1:100,000 1 %-1:100,000 SOLN",27.5,13.75,,,0 NDC,63323-482-17,"LIDOCAINE 1%-EPINEPHRINE 1:100,000 1 %-1:100,000 SOLN",24.19,12.1,,,0 NDC,63323-483-03,"LIDOCAINE 2%-EPINEPHRINE 1:100,000 2 %-1:100,000 SOLN",23.38,11.69,,,0 NDC,63323-485-01,LIDOCAINE (XYLOCAINE) 1% SOLN,12.38,6.19,,,0 NDC,63323-485-03,LIDOCAINE (XYLOCAINE) 1% SOLN,20.0,10.0,,,0 NDC,63323-486-02,LIDOCAINE (XYLOCAINE) 2% SOLN,13.0,6.5,,,0 NDC,63323-487-01,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 SOLN 10 ML VIAL",59.28,29.64,,,0 NDC,63323-487-07,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 SOLN",66.06,33.03,,,0 NDC,63323-492-04,LIDOCAINE-PF 10 MG/ML (1%) 10 MG/ML (1 %) SOLN,9.06,4.53,,,0 NDC,63323-492-07,LIDOCAINE-PF 10 MG/ML (1%) 10 MG/ML (1 %) SOLN,19.38,9.69,,,0 NDC,63323-492-08,LIDOCAINE-PF 10 MG/ML (1%) 10 MG/ML (1 %) SOLN,29.56,14.78,,,0 NDC,63323-492-97,LIDOCAINE-PF 10 MG/ML (1%) 10 MG/ML (1 %) SOLN,29.56,14.78,,,0 NDC,63323-494-01,VALPROATE 500 MG/5 ML (100 MG/ML) SOLN 5 ML VIAL,15.38,7.69,,,0 NDC,63323-494-05,VALPROATE 500 MG/5 ML (100 MG/ML) SOLN 5 ML VIAL,15.38,7.69,,,0 NDC,63323-495-04,LIDOCAINE (PF) 20 MG/ML (2 %) SOLN,9.56,4.78,,,0 NDC,63323-506-01,DEXAMETHASONE PF 10 MG/ML SOLN,8.515,4.255,,,0 NDC,63323-507-01,MEROPENEM 500 MG SOLR 1 EACH VIAL,16.25,8.12,,,0 NDC,63323-508-01,MEROPENEM 1 GRAM SOLR 1 EACH VIAL,45.785000000000004,22.89,,,0 NDC,63323-508-21,MEROPENEM 1 GRAM SOLR 1 EACH VIAL,61.88,30.94,,,0 NDC,63323-508-30,MEROPENEM 1 GRAM SOLR 1 EACH VIAL,47.035,23.520000000000003,,,0 NDC,63323-517-01,"HEPARIN (PORCINE)-0.45% NACL 25,000 UNIT/250 ML(100 UNIT/ML) SOLP",22.545,11.27,,,0 NDC,63323-523-01,"HEPARIN 25,000 UNIT/250 ML(100 UNIT/ML) SOLP",35.0,17.5,,,0 NDC,63323-540-03,"HEPARIN 1,000 UNIT/ML SOLN",10.285,5.145,,,0 NDC,63323-540-05,"HEPARIN 1,000 UNIT/ML SOLN 10 ML VIAL",12.44,6.22,,,0 NDC,63323-540-07,"HEPARIN 1,000 UNIT/ML SOLN 10 ML VIAL",16.81,8.4,,,0 NDC,63323-545-01,HEPARIN 100 UNIT/ML SOLN,52.81,26.4,,,0 NDC,63323-545-05,HEPARIN 100 UNIT/ML SOLN,14.94,7.47,,,0 NDC,63323-559-21,ENOXAPARIN 30 MG/0.3 ML SYRG,16.44,8.22,,,0 NDC,63323-597-10,DEFEROXAMINE 500 MG SOLR 1 EACH VIAL,120.73,60.36,,,0 NDC,63323-599-30,DEFEROXAMINE 2 GRAM SOLR 1 EACH VIAL,99.38,49.69,,,0 NDC,63323-604-00,PROPRANOLOL 1 MG/ML SOLN,41.25,20.62,,,0 NDC,63323-604-01,PROPRANOLOL 1 MG/ML SOLN,196.25,98.12,,,0 NDC,63323-614-00,HYDRALAZINE 20 MG/ML SOLN,24.38,12.19,,,0 NDC,63323-614-21,HYDRALAZINE 20 MG/ML SOLN,24.38,12.19,,,0 NDC,63323-616-01,AMIODARONE 50 MG/ML SOLN,13.43,6.72,,,0 NDC,63323-616-03,AMIODARONE 50 MG/ML SOLN,13.43,6.72,,,0 NDC,63323-642-01,MAGNESIUM SULFATE 500 MG/ML (50 %) SOLN 20 ML VIAL,3.58,1.79,,,0 NDC,63323-647-10,LEVOTHYROXINE 200 MCG SOLR 1 EACH VIAL,984.92,492.46,,,0 NDC,63323-648-10,LEVOTHYROXINE 500 MCG SOLR,2354.36,1177.18,,,0 NDC,63323-649-07,LEVOTHYROXINE 100 MCG SOLR 1 EACH VIAL,511.93,255.96,,,0 NDC,63323-658-20,CHLOROTHIAZIDE 500 MG SOLR 1 EACH VIAL,200.5,100.25,,,0 NDC,63323-660-01,METOPROLOL 5 MG/5 ML SOLN,7.56,3.78,,,0 NDC,63323-664-00,DIPHENHYDRAMINE 50 MG/ML SOLN,7.63,3.82,,,0 NDC,63323-665-00,TERBUTALINE 1 MG/ML SOLN,10.63,5.32,,,0 NDC,63323-665-01,TERBUTALINE 1 MG/ML SOLN,10.63,5.32,,,0 NDC,63323-690-30,ACETYLCYSTEINE 200 MG/ML (20 %) SOLN,20.71,10.36,,,0 NDC,63323-694-04,ACETYLCYSTEINE 200 MG/ML (20 %) SOLN,19.0,9.5,,,0 NDC,63323-695-04,ACETYLCYSTEINE 100 MG/ML (10 %) SOLN,29.38,14.69,,,0 NDC,63323-710-50,LEUCOVORIN CALCIUM 200 MG SOLR 1 EACH VIAL,82.8,41.4,,,0 NDC,63323-711-00,LEUCOVORIN CALCIUM 500 MG SOLR 1 EACH VIAL,228.45,114.22,,,0 NDC,63323-713-03,LINEZOLID IN DEXTROSE 5% 600 MG/300 ML PGBK,50.0,25.0,,,0 NDC,63323-723-01,REMIFENTANIL 1 MG SOLR 1 EACH VIAL,265.8,132.9,,,0 NDC,63323-728-01,MICAFUNGIN 50 MG SOLR 1 EACH VIAL,308.75,154.375,,,0 NDC,63323-729-01,MICAFUNGIN 100 MG SOLR 1 EACH VIAL,301.25,150.625,,,0 NDC,63323-739-11,FAMOTIDINE (PF) 10 MG/ML SOLN,7.06,3.53,,,0 NDC,63323-760-20,MELPHALAN HCL 50 MG SOLR 1 EACH VIAL,4424.0,2212.0,,,0 NDC,63323-763-50,PACLITAXEL 6 MG/ML CONC 50 ML VIAL,98.39,49.2,,,0 NDC,63323-806-11,FENTANYL CITRATE PF (SUBLIMAZE) 50 MCG/ML SOLN,16.7,8.35,,,0 NDC,63323-806-12,FENTANYL CITRATE PF (SUBLIMAZE) 50 MCG/ML SOLN 2 ML VIAL,9.92,4.96,,,0 NDC,63323-811-00,OXACILLIN 10 GRAM SOLR 1 EACH BOTTLE,73.89,36.94,,,0 NDC,63323-815-04,"AMIKACIN 1,000 MG/4 ML SOLN 4 ML VIAL",48.13,24.06,,,0 NDC,63323-815-22,"AMIKACIN 1,000 MG/4 ML SOLN 4 ML VIAL",48.13,24.06,,,0 NDC,63323-851-50,HYDROMORPHONE (PF) 10 MG/ML SOLN,24.945,12.475,,,0 NDC,63323-852-03,HYDROMORPHONE 1 MG/ML SOLN,15.59,7.8,,,0 NDC,63323-853-03,HYDROMORPHONE 2 MG/ML SOLN,23.1,11.55,,,0 NDC,63323-877-15,PENTAMIDINE 300 MG SOLR,128.0,64.0,,,0 NDC,63323-881-01,SODIUM PHOSPHATE 3 MMOL/ML SOLN 15 ML VIAL,116.69,58.34,,,0 NDC,63323-883-30,DOXORUBICIN 50 MG/25 ML SOLN 25 ML VIAL,118.82,59.41,,,0 NDC,63323-895-10,LEVOTHYROXINE 100 MCG/ML SOLN,340.99,170.5,,,0 NDC,63323-930-00,VASOPRESSIN 20 UNIT/ML SOLN,829.83,414.92,,,0 NDC,63323-930-01,VASOPRESSIN 20 UNIT/ML SOLN,829.83,414.92,,,0 NDC,63323-940-04,NOREPINEPHRINE 1 MG/ML SOLN,64.375,32.19,,,0 NDC,63323-940-21,NOREPINEPHRINE 1 MG/ML SOLN,52.815,26.41,,,0 NDC,63323-963-30,ACETYLCYSTEINE 200 MG/ML (20 %) SOLN 30 ML VIAL,283.78,141.89,,,0 NDC,63323-965-02,POTASSIUM CHLORIDE 2 MEQ/ML SOLN 20 ML VIAL,16.88,8.44,,,0 NDC,63323-967-01,POTASSIUM CHLORIDE 2 MEQ/ML SOLN 30 ML VIAL,4.62,2.31,,,0 NDC,6332325410,"MINERAL OIL, LIGHT STERILE OIL",53.59,26.8,,,0 NDC,63402-202-30,ESLICARBAZEPINE 200 MG TABS,263.74,131.87,,,0 NDC,63402-304-30,LURASIDONE 40 MG TABS,4.26,2.13,,,0 NDC,63459-348-04,BENDAMUSTINE 25 MG/ML SOLN 4 ML VIAL,15140.84,7570.42,,,0 NDC,63629-1952-1,HYDROCORTISONE 2.5 % CRPE 30 G TUBE,46.45,23.22,,,0 NDC,63629-9257-1,FOLIC ACID 1 MG TABS,1.03,0.52,,,0 NDC,6373603751,BENZOCAINE 20 % OINT 28 G TUBE,14.62,7.31,,,0 NDC,6373612002,PERMETHRIN 1 % LIQD 59 ML BOTTLE,19.38,9.69,,,0 NDC,6373614308,ARTIFICIAL TEARS OINT 3.5 G TUBE,11.46,5.73,,,0 NDC,63739-003-33,TEMAZEPAM 7.5 MG CAPS,3.43,1.72,,,0 NDC,63739-008-33,VORICONAZOLE 200 MG TABS,7.7,3.85,,,0 NDC,63739-016-10,DILTIAZEM 24HR 240 MG CP24,1.41,0.7,,,0 NDC,63739-051-10,AMIODARONE 200 MG TABS,0.98,0.49,,,0 NDC,63739-052-74,CHLORHEXIDINE 0.12 % MWSH,4.83,2.42,,,0 NDC,63739-074-10,ARIPIPRAZOLE 10 MG TABS,0.23,0.12,,,0 NDC,63739-086-10,VALPROIC ACID 250 MG CAPS,1.79,0.9,,,0 NDC,63739-087-02,ACETAMINOPHEN 325 MG TABS,1.0,0.5,,,0 NDC,63739-098-10,MIRTAZAPINE 15 MG TABS,0.36,0.18,,,0 NDC,63739-145-10,MIDODRINE 5 MG TABS,1.37,0.6799999999999999,,,0 NDC,63739-158-70,LEVETIRACETAM 500 MG/5 ML (5 ML) SOLN,2.72,1.36,,,0 NDC,63739-160-10,"NYSTATIN 100,000 UNIT/ML SUSPENSION",3.94,1.97,,,0 NDC,63739-160-70,"NYSTATIN 100,000 UNIT/ML SUSPENSION",3.94,1.97,,,0 NDC,63739-164-74,POTASSIUM CHLORIDE,3.075,1.54,,,0 NDC,63739-196-01,MAGNESIUM HYDROXIDE 400 MG/5 ML SUSPENSION,4.51,2.26,,,0 NDC,63739-203-01,ATOVAQUONE 750 MG/5 ML SUSPENSION,52.34,26.17,,,0 NDC,63739-212-02,ASPIRIN EC 81 MG TBEC,1.0,0.5,,,0 NDC,63739-327-10,HYDRALAZINE 25 MG TABS,0.07,0.04,,,0 NDC,63739-367-10,ISOSORBIDE DINITRATE 20 MG TABS,1.27,0.635,,,0 NDC,63739-410-10,ALLOPURINOL 100 MG TABS,1.14,0.57,,,0 NDC,63739-432-02,SENNA-DOCUSATE 8.6-50 MG TABS,1.0,0.5,,,0 NDC,63739-434-02,ASPIRIN 81 MG CHEW,2.0,1.0,,,0 NDC,63739-483-10,HYDROXYZINE 10 MG TABS,1.13,0.56,,,0 NDC,63739-486-10,HYDROXYZINE 25 MG TABS,0.09,0.04,,,0 NDC,63739-506-01,DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML SYRP,5.74,2.87,,,0 NDC,63739-544-10,SPIRONOLACTONE 25 MG TABS,0.15,0.08,,,0 NDC,63739-567-10,TAMSULOSIN 0.4 MG CAPS,1.17,0.58,,,0 NDC,63739-569-10,ISOSORBIDE DINITRATE 10 MG TABS,1.37,0.68,,,0 NDC,63739-570-10,SIMVASTATIN 5 MG TABS,1.1,0.55,,,0 NDC,63739-572-10,SIMVASTATIN 20 MG TABS,1.06,0.53,,,0 NDC,63739-573-10,SIMVASTATIN 40 MG TABS,1.09,0.54,,,0 NDC,63739-645-10,FAMOTIDINE 20 MG TABS,1.0,0.5,,,0 NDC,63739-673-10,LOSARTAN 25 MG TABS,1.11,0.56,,,0 NDC,63739-686-10,LOSARTAN 50 MG TABS,0.14,0.07,,,0 NDC,63739-797-33,NIMODIPINE 30 MG CAPS,4.6,2.3,,,0 NDC,63739-888-10,PAROXETINE 10 MG TABS,1.16,0.58,,,0 NDC,63739-902-10,GABAPENTIN 100 MG CAPS,0.04,0.02,,,0 NDC,63739-903-10,GABAPENTIN 300 MG CAPS,0.07,0.04,,,0 NDC,63739-904-10,GABAPENTIN 400 MG CAPS,0.12,0.06,,,0 NDC,63739-953-11,"HEPARIN 5,000 UNIT/ML SOLN",6.84,3.42,,,0 NDC,63739-973-10,POTASSIUM CHLORIDE ER 20 MEQ TBTQ,0.53,0.26,,,0 NDC,63739-976-01,DOCUSATE SODIUM 50 MG/5 ML LIQD,2.12,1.06,,,0 NDC,63739-991-10,METHOCARBAMOL 500 MG TABS,0.09,0.04,,,0 NDC,6373915770,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML LIQD,7.54,3.77,,,0 NDC,63824-056-34,DEXTROMETHORPHAN-GUAIFENESIN 30-600 MG TB12,1.0,0.5,,,0 NDC,6382405620,DEXTROMETHORPHAN-GUAIFENESIN 30-600 MG TB12,1.0,0.5,,,0 NDC,63833-386-02,HUMAN PROTHROMBIN COMPLEX (KCENTRA/PCC4) 500 UNIT (400-620 UNIT) SOLR,4216.0,2108.0,,,0 NDC,63833-387-02,"HUMAN PROTHROMBIN COMPLEX (KCENTRA/PCC4) 1,000 UNIT (800-1240 UNIT) SOLR",8224.0,4112.0,,,0 NDC,63833-397-01,"HUMAN PROTHROMBIN COMPLEX (KCENTRA/PCC4) 1,000 UNIT (800-1240 UNIT) SOLR",8264.0,4132.0,,,0 NDC,63833-615-02,ANTIHEMOPHILIC FACTOR-VWF 250-600 UNIT SOLR,19692.0,9846.0,,,0 NDC,63833-616-02,"ANTIHEMOPHILIC FACTOR-VWF 500-1,200 UNIT SOLR",9297.0,4648.5,,,0 NDC,63833-825-02,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) KIT,16812.21,8406.1,,,0 NDC,63833-835-01,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) SOLR,43308.3,21654.15,,,0 NDC,64253-400-30,ATROPINE 0.1 MG/ML SYRG,60.28,30.14,,,0 NDC,64253-900-30,CALCIUM CHLORIDE 100 MG/ML (10 %) SYRG,58.75,29.38,,,0 NDC,6425322233,"HEPARIN, PORCINE (PF) 10 UNIT/ML SYRG",5.74,2.87,,,0 NDC,6425322235,HEPARIN 1UNIT/ML W/NACL 0.9% FLUSH 5ML SYRINGE,137.75,68.88,,,0 NDC,6425333330,HEPARIN PF 100 UNIT/ML SYRG,5.63,2.82,,,0 NDC,6425333335,HEPARIN PF 100 UNIT/ML SYRG,5.94,2.97,,,0 NDC,64281-110-05,METHACHOLINE CHLORIDE 0 TO 48 MG/3 ML NEBU,224.0,112.0,,,0 NDC,64380-152-01,TESTOSTERONE 1% GLPK 5 G PACKET,830.5,415.25,,,0 NDC,64380-172-01,OLANZAPINE ZYDIS 5 MG ODT.,2.31,1.16,,,0 NDC,64380-185-01,PROPAFENONE 325 MG CP12,3.25,1.62,,,0 NDC,64380-710-03,LAMIVUDINE 150 MG TABS,4.0,2.0,,,0 NDC,64380-722-06,TACROLIMUS 5 MG CAPS,1.21,0.605,,,0 NDC,64380-725-06,MYCOPHENOLATE 500 MG TABS,1.96,0.98,,,0 NDC,64380-734-08,HYDRALAZINE 25 MG TABS,0.07,0.04,,,0 NDC,64380-737-06,"ERGOCALCIFEROL 50,000 UNIT CAPS",1.36,0.68,,,0 NDC,64380-758-06,ACARBOSE 25 MG TABS,2.8,1.4,,,0 NDC,64380-782-06,PREDNISONE 1 MG TABS,1.21,0.6,,,0 NDC,64380-797-01,OSELTAMIVIR 30 MG CAPS,3.52,1.76,,,0 NDC,64380-799-01,OSELTAMIVIR 75 MG CAPS,4.52,2.26,,,0 NDC,64380-883-04,CINACALCET 30 MG TABS,0.75,0.38,,,0 NDC,64380-918-06,URSODIOL 250 MG TABS,3.9699999999999998,1.9849999999999999,,,0 NDC,64406-008-01,NATALIZUMAB 300 MG/15 ML SOLN 15 ML VIAL,39476.12,19738.06,,,0 NDC,64679-012-02,PIPERACILLIN-TAZOBACTAM 4500 MG SOLR 1 EACH VIAL,37.56,18.78,,,0 NDC,64679-465-50,LIDOCAINE 4 % (40 MG/ML) SOLN 50 ML BOTTLE,71.0,35.5,,,0 NDC,64679-465-51,LIDOCAINE 4 % (40 MG/ML) SOLN 50 ML BOTTLE,71.0,35.5,,,0 NDC,64764-080-60,LUBIPROSTONE 8 MCG CAPS,1.98,0.99,,,0 NDC,64764-300-20,VEDOLIZUMAB 300 MG SOLR 1 EACH VIAL,32832.71,16416.36,,,0 NDC,64764-730-30,VORTIOXETINE 10 MG TABS,57.74,28.87,,,0 NDC,64850-502-01,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABS,1.23,0.62,,,0 NDC,64850-511-01,AMPHETAMINE-DEXTROAMPHETAMINE XR 10 MG CP24,2.045,1.025,,,0 NDC,64950-342-05,HYDROCODONE-HOMATROPINE 5-1.5 MG/5 ML (5 ML) SYRP,23.89,11.94,,,0 NDC,64950-354-05,OXYCODONE 5 MG/5 ML SOLN,13.16,6.58,,,0 NDC,64950-362-04,COCAINE 4 % SOLN,276.5,138.25,,,0 NDC,64980-220-03,PYRIDOSTIGMINE CR 180 MG TBSR,18.61,9.3,,,0 NDC,64980-281-01,GLIPIZIDE XL 10 MG TR24,1.61,0.8,,,0 NDC,64980-320-05,TRIAMCINOLONE ACETONIDE 0.1 % PSTE 5 G TUBE,166.68,83.34,,,0 NDC,64980-324-30,HYDROCORTISONE 2.5 % CRPE 30 G TUBE,46.45,23.22,,,0 NDC,64980-376-03,ATOMOXETINE 40 MG CAPS,5.05,2.52,,,0 NDC,64980-511-10,CLINDAMYCIN 75 MG/5 ML SOLR,15.7,7.85,,,0 NDC,64980-514-05,TIMOLOL 0.5 % DROP,1.18,0.59,,,0 NDC,6498010401,POTASSIUM PHOSPHATE 250 MG TABS,2.02,1.01,,,0 NDC,6498014698,LACTOBACILLUS ACIDOPH 100 MILLION CELL GRPK,3.57,1.78,,,0 NDC,65162-188-10,NAPROXEN 250 MG TABS,1.0,0.5,,,0 NDC,65162-280-03,PALIPERIDONE 1.5 MG TR24,13.0,6.5,,,0 NDC,65162-281-03,PALIPERIDONE 3 MG TR24,7.5,3.75,,,0 NDC,65162-676-84,AZELASTINE 137 MCG (0.1 %) SPRA 30 ML SQUEEZ BTL,40.38,20.19,,,0 NDC,65162-681-10,PHENAZOPYRIDINE 100 MG TABS,1.81,0.9,,,0 NDC,65162-705-88,ESCITALOPRAM OXALATE 5 MG/5 ML SOLN,7.27,3.64,,,0 NDC,65162-835-96,ACYCLOVIR 5 % OINT 30 G TUBE,47.94,23.97,,,0 NDC,65162-880-03,LURASIDONE 40 MG TABS,2.63,1.32,,,0 NDC,65162-918-38,LIDOCAINE 5 % OINT 35.44 G TUBE,15.27,7.64,,,0 NDC,65219-020-03,AMPICILLIN 2 GRAM SOLR 1 EACH VIAL,17.06,8.53,,,0 NDC,65219-086-01,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) SOLN,23.0,11.5,,,0 NDC,65219-164-01,"CALCIUM GLUC IN NACL, ISO-OSM 2 GRAM/100 ML SOLN",160.0,80.0,,,0 NDC,65219-184-01,KETAMINE 10 MG/ML SOLN,120.8,60.4,,,0 NDC,65219-184-20,KETAMINE 10 MG/ML SOLN,584.0,292.0,,,0 NDC,65219-383-04,IODIXANOL 320 MG IODINE/ML SOLN,48.0,24.0,,,0 NDC,65219-447-02,ETOMIDATE 2 MG/ML SOLN,27.5,13.75,,,0 NDC,65219-531-01,FAT EMULSION (INTRALIPID) 20 % EMUL,2.525,1.2650000000000001,,,0 NDC,65219-531-10,FAT EMULSION 20 % EMUL 100 ML FLEX CONT,24.2,12.1,,,0 NDC,65219-533-01,FAT EMULSION (INTRALIPID) 20 % EMUL,104.0,52.0,,,0 NDC,65219-535-01,FAT EMULSION 20 % EMUL,132.0,66.0,,,0 NDC,65219-539-01,FAT EMULSION 20 % EMUL,2.865,1.43,,,0 NDC,65219-564-20,MITOMYCIN 5 MG SOLR 1 EACH VIAL,257.6,128.8,,,0 NDC,65219-570-01,BUMETANIDE 0.25 MG/ML SOLN,12.2,6.1,,,0 NDC,65219-590-04,TOCILIZUMAB-AAZG 80 MG/4 ML (20 MG/ML) SOLN 4 ML VIAL,3760.13,1880.06,,,0 NDC,65219-594-20,TOCILIZUMAB-AAZG 400 MG/20 ML (20 MG/ML) SOLN 20 ML VIAL,9471.56,4735.78,,,0 NDC,65219-800-01,PROPOFOL 10 MG/ML EMUL,11.5,5.75,,,0 NDC,65282-1605-1,LIDOCAINE-PF 10 MG/ML (1%) 10 MG/ML (1 %) SOLN,10.25,5.12,,,0 NDC,65649-303-03,RIFAXIMIN 550 MG TABS,90.66,45.33,,,0 NDC,65757-402-03,ARIPIPRAZOLE LAUROXIL 662 MG/2.4 ML SERS,10256.74,5128.37,,,0 NDC,65757-403-03,ARIPIPRAZOLE LAUROXIL 882 MG/3.2 ML SERS,13641.62,6820.81,,,0 NDC,65757-404-03,"ARIPIPRAZOLE LAUROXIL 1,064 MG/3.9 ML SERS",17200.9,8600.45,,,0 NDC,65757-500-03,ARIPIPRAZOLE LAUROXIL INITIO 675 MG/2.4 ML SERS,11089.26,5544.63,,,0 NDC,65862-008-01,METFORMIN 500 MG TABS,1.04,0.52,,,0 NDC,65862-021-06,MIRTAZAPINE 15 MG ODT.,2.28,1.14,,,0 NDC,65862-048-24,ZIDOVUDINE 10 MG/ML SYRP 240 ML BOTTLE,1.3199999999999998,0.6599999999999999,,,0 NDC,65862-057-24,NEVIRAPINE 50 MG/5 ML SUSPENSION,3.6500000000000004,1.83,,,0 NDC,65862-079-30,TERBINAFINE HCL 250 MG TABS,1.3,0.65,,,0 NDC,65862-133-99,HYDROCHLOROTHIAZIDE 25 MG TABS,1.03,0.52,,,0 NDC,65862-192-01,FLUOXETINE 10 MG CAPS,1.05,0.52,,,0 NDC,65862-246-08,LEVETIRACETAM 500 MG TABS,0.21,0.1,,,0 NDC,65862-293-90,ROSUVASTATIN 5 MG TABS,1.11,0.56,,,0 NDC,65862-301-30,EMTRICITABINE 200 MG CAPS,32.72,16.36,,,0 NDC,65862-390-10,ONDANSETRON 4 MG ODT.,1.74,0.87,,,0 NDC,65862-502-20,AMOXICILLIN-CLAVULANATE 500-125 MG TABS,2.32,1.16,,,0 NDC,65862-503-01,AMOXICILLIN-CLAVULANATE 875-125 MG TABS,2.09,1.04,,,0 NDC,65862-534-50,AMOXICILLIN-CLAVULANATE 400-57 MG/5 ML SUSR,31.38,15.69,,,0 NDC,65862-603-30,MOXIFLOXACIN 400 MG TABS,7.45,3.72,,,0 NDC,65862-670-01,REPAGLINIDE 0.5 MG TABS,1.44,0.72,,,0 NDC,65862-672-01,REPAGLINIDE 2 MG TABS,1.41,0.7,,,0 NDC,65862-687-30,RITONAVIR 100 MG TABS,16.34,8.17,,,0 NDC,65862-713-30,ATAZANAVIR 300 MG CAPS,17.5,8.75,,,0 NDC,65862-782-01,METHENAMINE HIPPURATE 1 GRAM TABS,1.84,0.92,,,0 NDC,65862-805-30,ARMODAFINIL 50 MG TABS,2.09,1.04,,,0 NDC,65862-830-30,PRASUGREL 10 MG TABS,1.77,0.88,,,0 NDC,65862-841-30,ENTECAVIR 0.5 MG 0.5 MG TABS,4.34,2.17,,,0 NDC,65862-921-27,SEVELAMER CARBONATE 800 MG TABS,0.765,0.385,,,0 NDC,65862-931-08,SEVELAMER CARBONATE 2400 MG PWPK,6.67,3.34,,,0 NDC,66215-402-01,EPOPROSTENOL 1.5 MG SOLR 1 EACH VIAL,301.685,150.845,,,0 NDC,66215-501-15,MACITENTAN 10 MG TABS,440.66,220.33,,,0 NDC,66215-501-30,MACITENTAN 10 MG TABS,459.18,229.59,,,0 NDC,66215-602-06,SELEXIPAG 200 MCG TABS,283.59,141.8,,,0 NDC,66259-146-01,INDOCYANINE GREEN 25 MG SOLR,618.11,309.06,,,0 NDC,66302-102-01,TREPROSTINIL 2.5 MG/ML SOLN 20 ML VIAL,1308.91,654.46,,,0 NDC,66302-105-01,TREPROSTINIL 5 MG/ML SOLN 20 ML VIAL,2821.6150000000002,1410.81,,,0 NDC,66302-110-01,TREPROSTINIL 10 MG/ML SOLN 20 ML VIAL,7634.76,3817.38,,,0 NDC,66302-206-03,TREPROSTINIL 1.74 MG/2.9 ML (0.6 MG/ML) NEBU 2.9 ML AMPUL,767.21,383.6,,,0 NDC,66302-302-01,TREPROSTINIL DIOLAMINE 0.25 MG TBSR,141.86,70.93,,,0 NDC,66302-302-02,TREPROSTINIL DIOLAMINE 0.25 MG TBSR,70.81,35.41,,,0 NDC,66302-310-01,TREPROSTINIL DIOLAMINE 1 MG TBSR,536.06,268.03,,,0 NDC,66302-310-02,TREPROSTINIL DIOLAMINE 1 MG TBSR,277.76,138.88,,,0 NDC,66553-001-01,ASPIRIN 325 MG TABS,1.0,0.5,,,0 NDC,66553-002-01,ASPIRIN 81 MG CHEW,1.0,0.5,,,0 NDC,66553-004-01,CALCIUM CARBONATE 200 MG CALCIUM (500 MG) CHEW,1.0,0.5,,,0 NDC,66553-008-01,SODIUM BICARBONATE 650 MG TABS,1.03,0.52,,,0 NDC,66658-234-01,ANAKINRA 100 MG/0.67 ML SYRG,954.54,477.27,,,0 NDC,66658-234-07,ANAKINRA 100 MG/0.67 ML SYRG,954.54,477.27,,,0 NDC,66689-020-01,MEGESTROL 400 MG/10 ML SUSPENSION,9.965,4.984999999999999,,,0 NDC,66689-023-01,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15 ML SOLN,13.29,6.64,,,0 NDC,66689-036-01,PHENYTOIN 100 MG/4 ML SUSPENSION,7.67,3.84,,,0 NDC,66689-053-01,MAGNESIUM HYDROXIDE 400 MG/5 ML SUSPENSION,4.51,2.26,,,0 NDC,66689-062-01,ATOVAQUONE 750 MG/5 ML SUSPENSION,52.84,26.42,,,0 NDC,66689-203-04,ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML SUSPENSION,40.96,20.48,,,0 NDC,66689-307-08,MYCOPHENOLATE 200 MG/ML SUSR,22.21,11.1,,,0 NDC,66689-347-02,SIROLIMUS 1 MG/ML SOLN,39.74,19.87,,,0 NDC,66758-050-02,DOCETAXEL 80 MG/8 ML (10 MG/ML) SOLN 8 ML VIAL,198.06,99.03,,,0 NDC,66794-155-02,BACLOFEN 20 ML VIAL,91.14,45.57,,,0 NDC,66794-219-63,LINEZOLID IN DEXTROSE 5% 600 MG/300 ML PGBK,50.0,25.0,,,0 NDC,66993-002-10,ESTRADIOL 0.01 % (0.1 MG/GRAM) CREA 42.5 G TUBE,42.5,21.25,,,0 NDC,66993-019-68,ALBUTEROL 90 MCG/ACTUATION HFAA 18 G CANISTER,126.94,63.47,,,0 NDC,66993-409-32,CARBAMAZEPINE ER 12 HOUR 300 MG CM12,8.3,4.15,,,0 NDC,66993-456-30,DAPAGLIFLOZIN PROPANEDIOL 5 MG TABS,38.15,19.08,,,0 NDC,67386-314-01,CLOBAZAM 10 MG TABS,1.92,0.96,,,0 NDC,67386-820-19,DROXIDOPA 100 MG CAPS,4.33,2.16,,,0 NDC,67457-118-50,ASCORBIC ACID 500 MG/ML SOLN 50 ML VIAL,552.5,276.25,,,0 NDC,67457-153-00,AMIODARONE 50 MG/ML SOLN,13.43,6.72,,,0 NDC,67457-163-00,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) SOLN,483.75,241.88,,,0 NDC,67457-196-02,THIAMINE 100 MG/ML SOLN,41.25,20.62,,,0 NDC,67457-197-10,TRANEXAMIC ACID 500MG/5ML SOLN,25.314999999999998,12.655,,,0 NDC,67457-217-20,METHADONE 10 MG/ML SOLN,11.13,5.56,,,0 NDC,67457-291-00,HYDRALAZINE 20 MG/ML SOLN,24.38,12.19,,,0 NDC,67457-292-00,NALOXONE 0.4 MG/ML SOLN,29.94,14.97,,,0 NDC,67457-323-25,MOXIFLOXACIN 400 MG/250 ML PGBK,178.0,89.0,,,0 NDC,67457-359-59,FLUPHENAZINE DECANOATE 25 MG/ML SOLN,75.625,37.81,,,0 NDC,67457-380-12,PARICALCITOL 5 MCG/ML SOLN,61.88,30.94,,,0 NDC,67457-390-54,ZOLEDRONIC ACID 4 MG/5 ML SOLN 5 ML VIAL,141.565,70.78,,,0 NDC,67457-420-00,DEXAMETHASONE 10 MG/ML SOLN 10 ML VIAL,27.5,13.75,,,0 NDC,67457-420-10,DEXAMETHASONE 10 MG/ML SOLN 10 ML VIAL,27.5,13.75,,,0 NDC,67457-422-00,DEXAMETHASONE 4 MG/ML SOLN,8.0,4.0,,,0 NDC,67457-423-00,DEXAMETHASONE 4 MG/ML SOLN,7.35,3.68,,,0 NDC,67457-426-00,HALOPERIDOL 5 MG/ML SOLN,8.0,4.0,,,0 NDC,67457-426-12,HALOPERIDOL 5 MG/ML SOLN,8.0,4.0,,,0 NDC,67457-428-00,TOBRAMYCIN 40 MG/ML SOLN,13.23,6.62,,,0 NDC,67457-428-30,TOBRAMYCIN 40 MG/ML SOLN,13.23,6.62,,,0 NDC,67457-430-10,PAMIDRONATE 30 MG/10 ML (3 MG/ML) SOLN 10 ML VIAL,177.75,88.88,,,0 NDC,67457-433-00,FAMOTIDINE (PF) 10 MG/ML SOLN,7.06,3.53,,,0 NDC,67457-436-50,DOXORUBICIN 50 MG SOLR 1 EACH VIAL,1050.91,525.46,,,0 NDC,67457-445-60,RIFAMPIN 600 MG SOLR,383.24,191.62,,,0 NDC,67457-446-10,PAMIDRONATE 90 MG/10 ML (9 MG/ML) SOLN 10 ML VIAL,229.94,114.97,,,0 NDC,67457-464-20,GEMCITABINE 200 MG SOLR 1 EACH VIAL,182.02,91.01,,,0 NDC,67457-516-00,FOSPHENYTOIN 100 MG PE/2 ML SOLN,19.5,9.75,,,0 NDC,67457-524-33,IBANDRONATE 3 MG/3 ML SYRG,1223.24,611.62,,,0 NDC,67457-528-10,LEUCOVORIN CALCIUM 100 MG SOLR 1 EACH VIAL,55.0,27.5,,,0 NDC,67457-530-35,LEUCOVORIN CALCIUM 350 MG SOLR 1 EACH VIAL,112.5,56.25,,,0 NDC,67457-532-08,DOCETAXEL 80 MG/8 ML (10 MG/ML) SOLN 8 ML VIAL,198.06,99.03,,,0 NDC,67457-567-00,MAGNESIUM SULFATE 1G/D5W 100ML 1 GRAM/100 ML PGBK,14.0,7.0,,,0 NDC,67457-582-00,FONDAPARINUX 2.5 MG/0.5 ML SYRG,79.06,39.53,,,0 NDC,67457-582-10,FONDAPARINUX 2.5 MG/0.5 ML SYRG,79.06,39.53,,,0 NDC,67457-583-00,FONDAPARINUX 5 MG/0.4 ML SYRG,239.72,119.86,,,0 NDC,67457-584-00,FONDAPARINUX 7.5 MG/0.6 ML SYRG,185.31,92.66,,,0 NDC,67457-619-10,ZOLEDRONIC ACID-MANNITOL&WATER 5 MG/100 ML PGBK,627.5,313.75,,,0 NDC,67457-640-00,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) SOLN,31.22,15.61,,,0 NDC,67457-657-25,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) SOLP",374.0,187.0,,,0 NDC,67457-675-02,CALCITONIN 200 UNIT/ML SOLN,11325.5,5662.75,,,0 NDC,67457-779-30,TRIMETHOPRIM-SULFAMETHOXAZOLE 80-400 MG/5 ML SOLN 30 ML VIAL,93.225,46.615,,,0 NDC,67457-823-12,VANCOMYCIN 1.25 GRAM SOLR 1 EACH VIAL,128.13,64.06,,,0 NDC,67457-824-15,VANCOMYCIN 1.5 GRAM SOLR 1 EACH VIAL,153.25,76.62,,,0 NDC,67457-852-00,NOREPINEPHRINE 1 MG/ML SOLN,52.815,26.41,,,0 NDC,67457-852-04,NOREPINEPHRINE 1 MG/ML SOLN,46.845,23.42,,,0 NDC,67457-855-00,ADENOSINE 3 MG/ML SOLN,18.13,9.06,,,0 NDC,67457-887-00,MEDROXYPROGESTERONE 150 MG/ML SUSPENSION,217.44,108.72,,,0 NDC,67457-994-05,REGADENOSON 0.4 MG/5 ML SYRG,82.0,41.0,,,0 NDC,67618-150-04,POVIDONE-IODINE 10 % SOLN,5.54,2.77,,,0 NDC,67684-2000-1,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) SOLN,16.0,8.0,,,0 NDC,67684-2000-2,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) SOLN,22.0,11.0,,,0 NDC,67684-2001-1,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) SOLN,11.0,5.5,,,0 NDC,67684-2001-2,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) SOLN,15.0,7.5,,,0 NDC,67684-2001-3,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) SOLN,10.1,5.05,,,0 NDC,67777-005-11,WHITE PETROLATUM OINT 28.4 G TUBE,28.4,14.2,,,0 NDC,67877-146-01,TEMAZEPAM 15 MG CAPS,1.2,0.6,,,0 NDC,67877-224-05,GABAPENTIN 400 MG CAPS,1.08,0.54,,,0 NDC,67877-261-06,RIZATRIPTAN 5 MG TABS,2.29,1.145,,,0 NDC,67877-286-60,RILUZOLE 50 MG TABS,3.0,1.5,,,0 NDC,67877-288-90,FINASTERIDE 5 MG TABS,1.2,0.6,,,0 NDC,67877-298-09,CHOLESTYRAMINE 4 GRAM PWPK,3.9,1.95,,,0 NDC,67877-419-20,LINEZOLID 600 MG TABS,8.28,4.14,,,0 NDC,67877-419-33,LINEZOLID 600 MG TABS,8.28,4.14,,,0 NDC,67877-503-30,CINACALCET 30 MG TABS,1.25,0.63,,,0 NDC,67877-506-51,COLESEVELAM 625 MG TABS,1.57,0.78,,,0 NDC,67877-543-60,CEFDINIR 300 MG CAPS,3.0,1.5,,,0 NDC,67877-638-30,LURASIDONE 20 MG TABS,2.17,1.08,,,0 NDC,67919-030-01,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM SOLR 1 EACH VIAL,1144.9299999999998,572.4649999999999,,,0 NDC,68047-253-01,HYOSCYAMINE 0.125 MG SUBL,1.38,0.69,,,0 NDC,68084-021-11,ABACAVIR 300 MG TABS,8.0,4.0,,,0 NDC,68084-027-01,WARFARIN 2.5 MG TABS,0.6000000000000001,0.30000000000000004,,,0 NDC,68084-027-11,WARFARIN 2.5 MG TABS,0.1,0.05,,,0 NDC,68084-041-11,MISOPROSTOL 200 MCG TABS,1.92,0.96,,,0 NDC,68084-045-01,PAROXETINE 20 MG TABS,1.26,0.63,,,0 NDC,68084-045-11,PAROXETINE 20 MG TABS,0.6699999999999999,0.32999999999999996,,,0 NDC,68084-075-11,TRETINOIN 10 MG CAPS,68.82,34.41,,,0 NDC,68084-094-11,CARBIDOPA-LEVODOPA 25-250 MG TABS,1.29,0.64,,,0 NDC,68084-097-11,ATORVASTATIN 10 MG TABS,0.53,0.27,,,0 NDC,68084-098-11,ATORVASTATIN 20 MG TABS,0.05,0.02,,,0 NDC,68084-099-11,ATORVASTATIN 40 MG TABS,1.07,0.54,,,0 NDC,68084-103-11,ZIPRASIDONE 20 MG CAPS,2.25,1.12,,,0 NDC,68084-106-11,ZIPRASIDONE 80 MG CAPS,1.75,0.88,,,0 NDC,68084-107-11,ACYCLOVIR 200 MG CAPS,1.14,0.57,,,0 NDC,68084-109-11,ACYCLOVIR 800 MG TABS,1.32,0.66,,,0 NDC,68084-119-11,MIRTAZAPINE 15 MG TABS,1.32,0.66,,,0 NDC,68084-128-11,OMEPRAZOLE 20 MG CPDR,1.06,0.53,,,0 NDC,68084-149-11,METHYLPREDNISOLONE 4 MG TABS,1.52,0.76,,,0 NDC,68084-155-11,PROMETHAZINE 25 MG TABS,1.1,0.55,,,0 NDC,68084-189-11,ZOLPIDEM 5 MG TABS,0.08,0.04,,,0 NDC,68084-203-11,PRIMIDONE 250 MG TABS,1.52,0.76,,,0 NDC,68084-204-11,MINOXIDIL 2.5 MG TABS,1.55,0.78,,,0 NDC,68084-205-11,MINOXIDIL 10 MG TABS,0.93,0.46,,,0 NDC,68084-214-11,BENZONATATE 100 MG CAPS,1.23,0.62,,,0 NDC,68084-215-11,VALACYCLOVIR 500 MG TABS,1.57,0.78,,,0 NDC,68084-220-11,ONDANSETRON 4 MG TABS,1.44,0.72,,,0 NDC,68084-229-11,AZATHIOPRINE 25 MG TABS,0.95,0.48,,,0 NDC,68084-243-11,CLINDAMYCIN 150 MG CAPS,1.86,0.93,,,0 NDC,68084-248-01,LORATADINE 10 MG TABS,1.0,0.5,,,0 NDC,68084-248-11,LORATADINE 10 MG TABS,1.0,0.5,,,0 NDC,68084-269-11,HYDROXYCHLOROQUINE 200 MG TABS,1.45,0.72,,,0 NDC,68084-270-11,RISPERIDONE 0.25 MG TABS,1.31,0.66,,,0 NDC,68084-271-11,RISPERIDONE 0.5 MG TABS,0.8600000000000001,0.43000000000000005,,,0 NDC,68084-280-11,ETHAMBUTOL 400 MG TABS,3.6,1.8,,,0 NDC,68084-281-11,CARBIDOPA-LEVODOPA CR 25-100 MG TBSR,1.38,0.69,,,0 NDC,68084-282-11,CARBIDOPA-LEVODOPA CR 50-200 MG TBSR,1.57,0.78,,,0 NDC,68084-284-11,HYDROXYUREA 500 MG CAPS,2.05,1.02,,,0 NDC,68084-288-11,FLUDROCORTISONE 0.1 MG TABS,2.39,1.2,,,0 NDC,68084-291-11,NALTREXONE 50 MG TABS,3.35,1.68,,,0 NDC,68084-299-11,TAMSULOSIN 0.4 MG CAPS,1.17,0.58,,,0 NDC,68084-310-11,DIVALPROEX ER 250 MG TB24,1.37,0.68,,,0 NDC,68084-313-11,DIVALPROEX DR 125 MG CDRS,2.5,1.25,,,0 NDC,68084-318-11,LAMOTRIGINE 25 MG TABS,1.06,0.53,,,0 NDC,68084-319-11,LAMOTRIGINE 100 MG TABS,0.1,0.05,,,0 NDC,68084-327-11,GLIMEPIRIDE 4 MG TABS,1.15,0.58,,,0 NDC,68084-342-11,TOPIRAMATE 25 MG TABS,1.08,0.54,,,0 NDC,68084-344-11,TOPIRAMATE 100 MG TABS,0.32,0.16,,,0 NDC,68084-346-11,LOSARTAN 25 MG TABS,0.67,0.34,,,0 NDC,68084-354-11,OXYCODONE 5 MG TABS,0.6200000000000001,0.31000000000000005,,,0 NDC,68084-376-11,PHENYTOIN ER 100 MG CAPS,0.19,0.1,,,0 NDC,68084-388-01,BENZTROPINE 1 MG TABS,1.28,0.64,,,0 NDC,68084-388-11,BENZTROPINE 1 MG TABS,1.28,0.64,,,0 NDC,68084-415-11,DIVALPROEX ER 500 MG TB24,0.36,0.18,,,0 NDC,68084-444-11,CARBAMAZEPINE 200 MG TABS,1.12,0.56,,,0 NDC,68084-447-11,HYDRALAZINE 10 MG TABS,1.05,0.52,,,0 NDC,68084-449-11,TACROLIMUS 0.5 MG CAPS,1.5,0.75,,,0 NDC,68084-511-11,SIMVASTATIN 10 MG TABS,1.05,0.52,,,0 NDC,68084-512-11,SIMVASTATIN 20 MG TABS,1.06,0.53,,,0 NDC,68084-536-11,CLOPIDOGREL 75 MG TABS,1.11,0.56,,,0 NDC,68084-539-01,TORSEMIDE 20 MG TABS,1.64,0.82,,,0 NDC,68084-539-11,TORSEMIDE 20 MG TABS,1.14,0.57,,,0 NDC,68084-572-11,GUAIFENESIN ER 600 MG TA12,1.32,0.66,,,0 NDC,68084-590-95,ATORVASTATIN 80 MG TABS,1.12,0.56,,,0 NDC,68084-597-11,NIFEDIPINE 24HR 30 MG TR24,0.26,0.13,,,0 NDC,68084-598-11,NIFEDIPINE 24HR 60 MG TR24,0.39,0.2,,,0 NDC,68084-602-11,PERPHENAZINE 4 MG TABS,0.41,0.2,,,0 NDC,68084-603-11,NIFEDIPINE 24HR 90 MG TR24,1.15,0.57,,,0 NDC,68084-617-01,ESCITALOPRAM 10 MG TABS,1.17,0.58,,,0 NDC,68084-640-11,LITHIUM ER 300 MG TBSR,1.45,0.72,,,0 NDC,68084-654-11,SOTALOL 80 MG TABS,1.16,0.58,,,0 NDC,68084-697-11,BUPROPION SR 100 MG SR12,1.12,0.56,,,0 NDC,68084-698-11,VENLAFAXINE ER 37.5 MG CP24,1.15,0.58,,,0 NDC,68084-708-95,BUPROPION SR 150 MG SR12,1.11,0.56,,,0 NDC,68084-710-11,OXYCODONE-ACETAMINOPHEN 10-325 MG TABS,1.34,0.67,,,0 NDC,68084-713-01,VENLAFAXINE ER 150 MG CP24,0.8400000000000001,0.42000000000000004,,,0 NDC,68084-713-11,VENLAFAXINE ER 150 MG CP24,0.34,0.17,,,0 NDC,68084-722-65,MOXIFLOXACIN 400 MG TABS,7.45,3.72,,,0 NDC,68084-728-11,FLUCONAZOLE 100 MG TABS,1.27,0.64,,,0 NDC,68084-729-11,GALANTAMINE 4 MG TABS,2.96,1.48,,,0 NDC,68084-735-11,FLUCONAZOLE 200 MG TABS,1.71,0.86,,,0 NDC,68084-738-11,METHADONE 10 MG TABS,2.06,1.03,,,0 NDC,68084-740-11,OLANZAPINE 10 MG TABS,0.275,0.135,,,0 NDC,68084-750-95,TRIAMTERENE-HCTZ 37.5-25 MG TABS,1.61,0.8,,,0 NDC,68084-752-95,CLOPIDOGREL 300 MG TABS,19.86,9.93,,,0 NDC,68084-753-95,CYCLOBENZAPRINE 5 MG TABS,1.08,0.54,,,0 NDC,68084-775-95,TIZANIDINE 2 MG TABS,1.13,0.56,,,0 NDC,68084-776-11,DIVALPROEX DR 250 MG TBEC,0.36,0.18,,,0 NDC,68084-805-11,METHYLPHENIDATE HCL 5 MG TABS,0.79,0.39,,,0 NDC,68084-808-11,TRAMADOL 50 MG TABS,0.02,0.01,,,0 NDC,68084-823-11,METHYLPHENIDATE HCL 10 MG TABS,1.38,0.69,,,0 NDC,68084-836-95,DOXAZOSIN 1 MG TABS,1.64,0.82,,,0 NDC,68084-844-11,VENLAFAXINE 37.5 MG TABS,1.15,0.58,,,0 NDC,68084-856-11,VENLAFAXINE 75 MG TABS,0.2,0.1,,,0 NDC,68084-859-01,LEVETIRACETAM 250 MG TABS,1.13,0.56,,,0 NDC,68084-859-11,LEVETIRACETAM 250 MG TABS,1.13,0.56,,,0 NDC,68084-875-11,MONTELUKAST 10 MG TABS,1.15,0.58,,,0 NDC,68084-895-11,HYDROCODONE-ACETAMINOPHEN 5-325 MG TABS,1.15,0.58,,,0 NDC,68084-896-95,VENLAFAXINE 25 MG TABS,1.14,0.57,,,0 NDC,68084-907-11,MYCOPHENOLATE EC 180 MG TBEC,1.55,0.78,,,0 NDC,68084-907-21,MYCOPHENOLATE EC 180 MG TBEC,1.55,0.78,,,0 NDC,68084-928-95,PILOCARPINE 5 MG TABS,2.16,1.08,,,0 NDC,68084-964-95,PROPYLTHIOURACIL 50 MG TABS,4.075,2.04,,,0 NDC,68084-965-95,VALGANCICLOVIR 450 MG TABS,12.01,6.0,,,0 NDC,68084-988-33,CALCIUM CARBONATE 200 MG CALCIUM (500 MG) CHEW,1.0,0.5,,,0 NDC,68084-996-11,PRAZOSIN 1 MG CAPS,1.19,0.5900000000000001,,,0 NDC,68094-001-59,MORPHINE 10 MG/5 ML SOLN,5.07,2.54,,,0 NDC,68094-008-59,CARBAMAZEPINE 20 MG/ML SUSPENSION,12.37,6.18,,,0 NDC,68094-031-59,METHADONE 5 MG/5 ML SOLN,1.46,0.73,,,0 NDC,68094-034-59,SEVELAMER CARBONATE 800 MG TABS,0.51,0.26,,,0 NDC,68094-044-59,CALCIUM ACETATE(PHOSPHAT BIND) 667 MG CAPS,1.0,0.5,,,0 NDC,68094-045-01,MORPHINE CONCENTRATE 10 MG/0.5 ML SYRG,9.88,4.94,,,0 NDC,68094-063-59,MEGESTROL 400 MG/10 ML SUSPENSION,10.27,5.14,,,0 NDC,68094-065-59,GUANFACINE 1 MG TABS,1.44,0.72,,,0 NDC,68094-101-20,PHENTOLAMINE MESYLATE 5 MG SOLR,2077.64,1038.82,,,0 NDC,68094-123-59,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) SUSPENSION,17.74,8.87,,,0 NDC,68094-129-59,LOPERAMIDE 1 MG/7.5 ML LIQD,2.35,1.18,,,0 NDC,68094-231-59,ACETAMINOPHEN 160 MG/5 ML (5 ML) SUSPENSION,1.0,0.5,,,0 NDC,68094-503-59,IBUPROFEN 100 MG/5 ML SUSPENSION,1.0,0.5,,,0 NDC,68094-503-62,IBUPROFEN 100 MG/5 ML SUSPENSION,1.0,0.5,,,0 NDC,68094-750-59,DIAZEPAM 5 MG/5 ML SOLN,7.0649999999999995,3.535,,,0 NDC,68094-756-59,FUROSEMIDE 40 MG/4 ML SOLN,2.34,1.17,,,0 NDC,68094-756-62,FUROSEMIDE 40 MG/4 ML SOLN,2.34,1.17,,,0 NDC,68094-763-59,ONDANSETRON 4 MG/5 ML SOLN,9.21,4.6,,,0 NDC,68094-904-50,METFORMIN ER 500 MG TB24,1.07,0.54,,,0 NDC,6809412059,MULTIVIT-MIN-FERROUS GLUCONATE 9 MG IRON/ 15 ML (15 ML) LIQD,1.0,0.5,,,0 NDC,68134-201-16,NAPROXEN 125 MG/5 ML SUSPENSION,1.0,0.5,,,0 NDC,6817600011,"MULTIVIT WITH MIN #53-FA-K-Q10 200 MCG-1,000 MCG-10 MG CAPS",2.48,1.24,,,0 NDC,68180-166-11,VANCOMYCIN 125 MG CAPS,3.9400000000000004,1.9700000000000002,,,0 NDC,68180-166-13,VANCOMYCIN 125 MG CAPS,4.44,2.22,,,0 NDC,68180-280-01,ETHAMBUTOL 100 MG TABS,3.28,1.64,,,0 NDC,68180-346-06,DARUNAVIR 800 MG TABS,7.0,3.5,,,0 NDC,68180-447-01,QUETIAPINE 100 MG TABS,0.2,0.1,,,0 NDC,68180-478-02,SIMVASTATIN 10 MG TABS,1.05,0.52,,,0 NDC,68180-604-06,DESVENLAFAXINE SUCCINATE 25 MG TB24,2.19,1.1,,,0 NDC,68180-657-01,DOXYCYCLINE MONOHYDRATE 25 MG/5 ML SUSR,64.84,32.42,,,0 NDC,68180-711-60,CEFDINIR 300 MG CAPS,3.0,1.5,,,0 NDC,68180-819-42,LANTHANUM CARBONATE 500 MG CHEW,20.82,10.41,,,0 NDC,68180-819-52,LANTHANUM CARBONATE 500 MG CHEW,15.865,7.9350000000000005,,,0 NDC,68180-963-01,ALBUTEROL 90 MCG/ACTUATION HFAA 8.5 G CANISTER,126.93,63.46,,,0 NDC,68180-980-03,LISINOPRIL 10 MG TABS,1.03,0.52,,,0 NDC,68180-981-01,LISINOPRIL 20 MG TABS,0.04,0.02,,,0 NDC,68308-152-15,"NYSTATIN 100,000 UNIT/GRAM POWD 15 G SQUEEZ BTL",25.52,12.76,,,0 NDC,68308-480-47,OXYCODONE-ACETAMINOPHEN 10-325 MG TABS,1.34,0.67,,,0 NDC,68382-040-01,PROMETHAZINE 12.5 MG TABS,1.15,0.58,,,0 NDC,68382-092-05,CARVEDILOL 3.125 MG TABS,1.03,0.52,,,0 NDC,68382-094-05,CARVEDILOL 12.5 MG TABS,0.06,0.03,,,0 NDC,68382-112-14,RISPERIDONE 0.25 MG TABS,1.31,0.66,,,0 NDC,68382-114-14,RISPERIDONE 1 MG TABS,1.4,0.7,,,0 NDC,68382-144-06,RAMIPRIL 1.25 MG CAPS,1.3599999999999999,0.6799999999999999,,,0 NDC,68382-146-01,RAMIPRIL 5 MG CAPS,1.36,0.68,,,0 NDC,68382-370-01,"NYSTATIN 100,000 UNIT/GRAM POWD 15 G BOTTLE",25.52,12.76,,,0 NDC,68382-447-14,BOSENTAN 125 MG TABS,99.93,49.96,,,0 NDC,68382-520-01,SIROLIMUS 0.5 MG TABS,13.57,6.79,,,0 NDC,68382-529-60,CHOLESTYRAMINE 4 GRAM PWPK,3.65,1.82,,,0 NDC,68382-798-01,LABETALOL 100 MG TABS,1.21,0.6,,,0 NDC,68382-799-01,LABETALOL 200 MG TABS,0.32,0.16,,,0 NDC,68382-805-05,TRAZODONE 50 MG TABS,1.07,0.54,,,0 NDC,68382-805-10,TRAZODONE 50 MG TABS,0.10500000000000001,0.05500000000000001,,,0 NDC,68382-857-01,TRIAMTERENE-HCTZ 75-50 MG TABS,1.62,0.81,,,0 NDC,68382-910-01,DOXYCYCLINE 100 MG SOLR 1 EACH VIAL,94.21,47.1,,,0 NDC,68382-982-06,LAMOTRIGINE ER 200 MG TR24,5.31,2.65,,,0 NDC,68382-997-01,ARSENIC TRIOXIDE 1 MG/ML SOLN 10 ML VIAL,732.5,366.25,,,0 NDC,68382-997-10,ARSENIC TRIOXIDE 1 MG/ML SOLN 10 ML VIAL,732.5,366.25,,,0 NDC,68462-128-01,ZONISAMIDE 25 MG CAPS,1.41,0.7,,,0 NDC,68462-157-40,ONDANSETRON 4 MG ODT.,1.74,0.87,,,0 NDC,68462-180-22,MUPIROCIN 2 % OINT 22 G TUBE,30.72,15.36,,,0 NDC,68462-181-17,CLOTRIMAZOLE 1 % CREA 15 G TUBE,15.0,7.5,,,0 NDC,68462-224-01,LITHIUM 450 MG TBSR,2.015,1.01,,,0 NDC,68462-259-01,ROPINIROLE 5 MG TABS,0.28,0.14,,,0 NDC,68462-292-01,VERAPAMIL 12HR 120 MG TBSR,2.475,1.2349999999999999,,,0 NDC,68462-304-50,NORETHINDRONE 5 MG TABS,2.8,1.4,,,0 NDC,68462-330-90,PRAMIPEXOLE 0.125 MG TABS,1.22,0.61,,,0 NDC,68462-395-30,OMEPRAZOLE 10 MG CPDR,1.28,0.64,,,0 NDC,68462-406-01,INDOMETHACIN 25 MG CAPS,1.58,0.79,,,0 NDC,68462-436-30,OLMESARTAN 5 MG TABS,1.23,0.62,,,0 NDC,68462-437-30,OLMESARTAN 20 MG TABS,1.37,0.68,,,0 NDC,68462-467-40,RIZATRIPTAN 5 MG ODT.,3.6,1.8,,,0 NDC,68462-469-40,BUMETANIDE 0.25 MG/ML SOLN,13.45,6.72,,,0 NDC,68462-497-76,ZOLMITRIPTAN 2.5 MG TABS,4.95,2.48,,,0 NDC,68462-501-65,CALCIPOTRIENE 0.005 % CREA 60 G TUBE,95.92,47.96,,,0 NDC,68462-580-01,FENOFIBRATE MICRONIZED 67 MG CAPS,0.98,0.49,,,0 NDC,68462-609-35,PIMECROLIMUS 1 % CREA 30 G TUBE,615.38,307.69,,,0 NDC,68462-639-25,NITROGLYCERIN 0.4 MG SUBL,1.22,0.61,,,0 NDC,68462-878-30,BISOPROLOL/HCTZ 2.5-6.25 MG TABS,1.61,0.8,,,0 NDC,68462-893-56,VARENICLINE 0.5 MG TABS,6.89,3.44,,,0 NDC,68516-3207-1,FACTOR IX COMPLEX 500 (+/-) UNIT SOLR,13770.0,6885.0,,,0 NDC,68516-5214-2,"ALBUMIN, HUMAN 5% 5 % SOLP",2908.75,1454.38,,,0 NDC,68516-5216-2,"ALBUMIN, HUMAN 25 % SOLP",875.315,437.655,,,0 NDC,68516-5216-4,"ALBUMIN, HUMAN 25 % SOLP",584.38,292.19,,,0 NDC,68682-011-10,ETHACRYNIC ACID 25 MG TABS,6.99,3.5,,,0 NDC,68682-200-25,CARBIDOPA 25 MG TABS,2.95,1.48,,,0 NDC,68682-201-75,PEG 3350-ELECTROLYTES-VIT C 100-7.5-2.691 GRAM PWPK 1 EACH PACKET,134.8,67.4,,,0 NDC,68682-813-05,TIMOLOL 0.5 % DROP 5 ML DROP BTL,20.15,10.08,,,0 NDC,68682-997-98,DILTIAZEM 24HR 240 MG CP24,1.41,0.7,,,0 NDC,68803-612-10,TRYPAN BLUE 0.06 % SYRG,426.92,213.46,,,0 NDC,68850-012-02,ETHAMBUTOL 400 MG TABS,4.6,2.3,,,0 NDC,68982-139-01,"ANTIHEMOPH.FVIII,HEK,B-DELETE 250 UNIT SOLR",2394.0,1197.0,,,0 NDC,68982-141-01,"ANTIHEMOPH.FVIII,HEK,B-DELETE 500 UNIT SOLR",4599.0,2299.5,,,0 NDC,68982-143-01,"ANTIHEMOPH.FVIII,HEK,B-DELETE 1000 UNIT SOLR",9544.5,4772.25,,,0 NDC,68982-147-01,"ANTIHEMOPH.FVIII,HEK,B-DELETE 2,500 UNIT SOLR",23724.0,11862.0,,,0 NDC,68982-151-01,"ANTIHEMOPH.FVIII,HEK,B-DELETE 4,000 UNIT SOLR",36135.0,18067.5,,,0 NDC,68982-182-01,ANTIHEMOPHILIC FACTOR-VWF 500-500 UNIT SOLR,4635.0,2317.5,,,0 NDC,68982-182-02,"ANTIHEMOPHILIC FACTOR-VWF 1,000-1,000 UNIT SOLR",8370.0,4185.0,,,0 NDC,68992-3010-1,TACROLIMUS 1 MG TB24,18.51,9.26,,,0 NDC,68992-3010-3,TACROLIMUS 1 MG TB24,14.72,7.359999999999999,,,0 NDC,68992-3040-1,TACROLIMUS 4 MG TB24,43.73,21.86,,,0 NDC,68992-3040-3,TACROLIMUS 4 MG TB24,42.03,21.02,,,0 NDC,68992-3075-3,TACROLIMUS 0.75 MG TB24,15.28,7.64,,,0 NDC,69097-122-03,TOPIRAMATE 25 MG TABS,1.12,0.56,,,0 NDC,69097-524-44,DICLOFENAC SODIUM 1 % GEL 100 G TUBE,13.25,6.62,,,0 NDC,69097-579-67,FOSFOMYCIN TROMETHAMINE 3 GRAM PACK,98.0,49.0,,,0 NDC,69097-642-02,EMTRICITABINE 200 MG CAPS,32.72,16.36,,,0 NDC,69097-644-48,SUMATRIPTAN 20 MG/ACTUATION SPRY 6 EACH AER W/ADAP,443.51,221.76,,,0 NDC,69097-708-31,PHYTONADIONE (VITAMIN K1) 10 MG/ML SOLN,269.79,134.9,,,0 NDC,69097-708-96,PHYTONADIONE (VITAMIN K1) 10 MG/ML SOLN 1 ML VIAL,269.79,134.9,,,0 NDC,69097-709-30,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML SOLN,17.33,8.66,,,0 NDC,69097-846-07,CYCLOBENZAPRINE 10 MG TABS,1.05,0.52,,,0 NDC,69238-1100-2,DOXYCYCLINE HYCLATE 100 MG CAPS,1.34,0.67,,,0 NDC,69238-1126-1,ETHACRYNIC ACID 25 MG TABS,4.0,2.0,,,0 NDC,69238-1305-1,CLOBAZAM 10 MG TABS,0.92,0.46,,,0 NDC,69238-1344-1,ALBUTEROL 2 MG TABS,2.09,1.04,,,0 NDC,69238-1489-1,BUMETANIDE 0.5 MG TABS,1.46,0.73,,,0 NDC,69238-1532-5,CLOBETASOL 0.05 % CREA 15 G TUBE,8.51,4.26,,,0 NDC,69238-1594-6,SIROLIMUS 1 MG/ML SOLN,39.74,19.87,,,0 NDC,69238-1605-8,METHYLERGONOVINE 0.2 MG TABS,30.44,15.22,,,0 NDC,69238-1617-1,POTASSIUM CHLORIDE 20 MEQ PACK,4.38,2.19,,,0 NDC,69238-2077-1,PROPRANOLOL 10 MG TABS,1.11,0.56,,,0 NDC,69238-2078-1,PROPRANOLOL 20 MG TABS,1.18,0.59,,,0 NDC,69315-133-01,IMIPRAMINE 10 MG TABS,1.16,0.58,,,0 NDC,69315-134-01,IMIPRAMINE 25 MG TABS,1.18,0.59,,,0 NDC,69315-306-15,"NYSTATIN 100,000 UNIT/GRAM POWD 15 G SQUEEZ BTL",25.52,12.76,,,0 NDC,69315-910-01,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG TABS,0.29,0.14,,,0 NDC,69339-136-03,DIAZEPAM 5 MG/ML SYRG,92.5,46.25,,,0 NDC,69339-138-19,CHLORHEXIDINE 0.12 % MWSH,1.4849999999999999,0.745,,,0 NDC,69339-153-01,MAGNESIUM HYDROXIDE 400 MG/5 ML SUSPENSION,6.13,3.06,,,0 NDC,69339-162-98,LUBIPROSTONE 8 MCG CAPS,1.98,0.99,,,0 NDC,69339-163-98,LUBIPROSTONE 24 MCG CAPS,2.3,1.15,,,0 NDC,69339-174-02,NITROGLYCERIN 0.4 MG SUBL,1.22,0.61,,,0 NDC,69344-102-33,INDOMETHACIN 50 MG SUPP,725.62,362.81,,,0 NDC,69367-212-01,PHENOBARBITAL 32.4 MG TABS,1.54,0.77,,,0 NDC,69367-243-24,HYDROCORTISONE 25 MG SUPP,2.44,1.22,,,0 NDC,69374-919-10,"SUCCINYLCHOLINE-SOD CL,ISO(PF) 200 MG/10 ML (20 MG/ML) SYRG",77.5,38.75,,,0 NDC,69374-924-05,ROCURONIUM 50 MG/5 ML (10 MG/ML) SYRG 5 ML SYRINGE,79.845,39.925,,,0 NDC,69374-946-34,LABETALOL 5 MG/ML SOLN,28.88,14.44,,,0 NDC,69374-957-10,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) SYRG 10 ML SYRINGE,29.88,14.94,,,0 NDC,69374-979-02,MORPHINE 2 MG/2 ML SYRG,18.5,9.25,,,0 NDC,69374-988-10,AMINO ACID 50 GRAM/1000 ML SOLN,644.4,322.2,,,0 NDC,69452-156-74,RIZATRIPTAN 5 MG ODT.,3.6,1.8,,,0 NDC,69452-206-20,DOXYLAMINE-PYRIDOXINE 10-10 MG TBEC,6.89,3.44,,,0 NDC,6954326010,B COMPLEX-VITAMIN C-FOLIC ACID 1 MG CAPS,1.0,0.5,,,0 NDC,69584-111-10,CARISOPRODOL 350 MG TABS,1.15,0.58,,,0 NDC,69616-272-30,PERAMPANEL 2 MG TABS,41.12,20.56,,,0 NDC,69618-020-15,CALCIUM CARBONATE 200 MG CALCIUM (500 MG) CHEW,1.0,0.5,,,0 NDC,69784-230-10,SODIUM ACETATE 2 MEQ/ML SOLN 50 ML VIAL,6.05,3.02,,,0 NDC,69784-231-10,SODIUM ACETATE 2 MEQ/ML SOLN 100 ML VIAL,20.94,10.47,,,0 NDC,69918-901-10,DESMOPRESSIN 4 MCG/ML SOLN 10 ML VIAL,468.75,234.38,,,0 NDC,70004-040-06,ATROPINE 0.8 MG/2 ML (0.4 MG/ML) SYRG,58.75,29.38,,,0 NDC,70004-085-44,OXYTOCIN IN NORMAL SALINE 30 UNIT/500 ML SOLN,34.0,17.0,,,0 NDC,70004-100-16,MORPHINE IN NACL 0.9 % 30 MG/30 ML (1 MG/ML) SPCA,57.74,28.87,,,0 NDC,70004-222-30,FENTANYL CITRATE 2500MCG IN 50ML 50 MCG/ML SOLN,69.565,34.78,,,0 NDC,70004-303-21,HYDROMORPHONE (PF)-0.9 % NACL 30 MG/30 ML (1 MG/ML) SPCA,75.74,37.87,,,0 NDC,70004-511-30,CALCIUM GLUCONATE,56.67,28.34,,,0 NDC,70004-600-12,EPHEDRINE 50 MG/10 ML (5 MG/ML) SYRG,155.63,77.82,,,0 NDC,70004-810-12,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) SYRG 10 ML SYRINGE,29.88,14.94,,,0 NDC,70004-850-09,ROCURONIUM 50 MG/5 ML (10 MG/ML) SYRG 5 ML SYRINGE,54.06,27.03,,,0 NDC,70004-908-12,SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) SYRG 10 ML SYRINGE,112.75,56.38,,,0 NDC,70004-924-44,VANCOMYCIN 1500MG/NS 500ML INFUSION,42.0,21.0,,,0 NDC,70004-928-44,VANCOMYCIN IN 0.9 % SODIUM CHL 2 GRAM/500 ML SOLN,66.0,33.0,,,0 NDC,70010-002-01,COLCHICINE 0.6 MG TABS,1.51,0.76,,,0 NDC,70010-491-01,METFORMIN ER 500 MG TB24,1.07,0.54,,,0 NDC,70010-770-01,METHOCARBAMOL 750 MG TABS,1.11,0.56,,,0 NDC,70069-021-01,DEXAMETHASONE PF 10 MG/ML SOLN,11.25,5.625,,,0 NDC,70069-051-01,DORZOLAMIDE-TIMOLOL 22.3-6.8 MG/ML DROP 10 ML DROP BTL,18.5,9.25,,,0 NDC,70069-064-01,ROPIVACAINE (PF) 0.5% SOLN,22.095,11.05,,,0 NDC,70069-101-01,METHOCARBAMOL 100 MG/ML SOLN,39.75,19.88,,,0 NDC,70069-121-01,TROPICAMIDE 1 % DROP,1.1,0.55,,,0 NDC,70069-131-01,TOBRAMYCIN 0.3 % DROP,9.84,4.92,,,0 NDC,70069-181-01,PILOCARPINE 1 % DROP,111.72500000000001,55.865,,,0 NDC,70069-191-01,PILOCARPINE 2 % DROP,1.75,0.88,,,0 NDC,70069-231-01,BRIMONIDINE 0.2 % DROP 5 ML DROP BTL,22.39,11.2,,,0 NDC,70069-261-01,NITROPRUSSIDE 25 MG/ML SOLN 2 ML VIAL,104.06,52.03,,,0 NDC,70069-271-01,VERAPAMIL 2.5 MG/ML SOLN,11.38,5.69,,,0 NDC,70069-363-01,TRIMETHOPRIM-SULFAMETHOXAZOLE 80-400 MG/5 ML SOLN 30 ML VIAL,88.475,44.235,,,0 NDC,70069-421-01,LATANOPROST 0.005 % DROP,9.75,4.88,,,0 NDC,70069-728-01,CALCIUM GLUCONATE 100 MG/ML (10%) SOLN 100 ML VIAL,309.38,154.69,,,0 NDC,70069-747-01,POTASSIUM PHOSPHATES 3 MMOL/ML SOLN 15 ML VIAL,14.83,7.42,,,0 NDC,70069-803-01,PHENYLEPHRINE 10 MG/ML SOLN,33.75,16.88,,,0 NDC,70069-810-01,VALGANCICLOVIR 50 MG/ML SOLR,25.835,12.915,,,0 NDC,7007457509,ALIMENTUM 22CAL/OZ 22CAL/OZ LIQD,480.0,240.0,,,0 NDC,7007464712,ALIMENTUM 24CAL/OZ 24CAL/OZ,480.0,240.0,,,0 NDC,70092-1038-17,NOREPINEPHRINE BITARTRATE-D5W 16 MG/250 ML (64 MCG/ML) SOLN,198.0,99.0,,,0 NDC,70092-1046-46,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) SYRG 10 ML SYRINGE,29.88,14.94,,,0 NDC,70092-1068-07,OXYTOCIN 30 UNIT/500 ML SOLN,6.865,3.43,,,0 NDC,70092-1073-44,ROCURONIUM 50 MG/5 ML (10 MG/ML) SYRG 5 ML SYRINGE,54.06,27.03,,,0 NDC,70092-1115-36,HYDROMORPHONE 0.2 MG/ML SOLN,128.6,64.3,,,0 NDC,70092-1119-44,KETAMINE IN NORMAL SALINE 50 MG/5 ML (10 MG/ML) SYRG,30.700000000000003,15.350000000000001,,,0 NDC,70092-1148-43,SODIUM CITRATE 4 % (3 ML) SYRG,78.09,39.045,,,0 NDC,70092-1177-35,MIDAZOLAM (PF) IN 0.9 % NACL 1 MG/ML SOLN,86.0,43.0,,,0 NDC,70092-1202-75,FENTANYL 2MCG/ML-BUPIVACAINE 0.125% IN 100ML NS 2 MCG/ML- 0.125 % RESV,407.0,203.5,,,0 NDC,70092-1235-03,CALCIUM GLUCONATE 2 GRAM/100 ML SOLN,100.0,50.0,,,0 NDC,70092-1293-49,HYDROMORPHONE (PF)-0.9 % NACL 30 MG/30 ML (1 MG/ML) SPCA,75.74,37.87,,,0 NDC,70092-1380-36,MORPHINE (PF) IN 0.9 % SOD CHL 1 MG/ML SOLN,94.4,47.2,,,0 NDC,70092-1433-50,ROPIVACAINE-EPI-CLONID-KETOROL 2.46-0.005- 0.0008-0.3MG/ML SYRG,9.725,4.86,,,0 NDC,70092-1475-50,D50W SYRG,85.31,42.66,,,0 NDC,70092-1509-35,FENTANYL CITRATE 2500MCG IN 50ML 50 MCG/ML SOLN,7.53,3.76,,,0 NDC,70092-1519-48,MORPHINE (PF) IN 0.9 % SOD CHL 30 MG/30 ML (1 MG/ML) SPCA,64.4,32.2,,,0 NDC,70092-1520-49,MORPHINE (PF) IN 0.9 % SOD CHL 30 MG/30 ML (1 MG/ML) SPCA,57.74,28.87,,,0 NDC,70092-1552-07,OXYTOCIN IN NORMAL SALINE 30 UNIT/500 ML SOLN,34.0,17.0,,,0 NDC,70092-2119-44,KETAMINE 10 MG/ML SOLN,33.2,16.6,,,0 NDC,70095-024-01,PANTOPRAZOLE 40 MG SOLR,20.0,10.0,,,0 NDC,70095-025-01,AZITHROMYCIN 500 MG SOLR 1 EACH VIAL,20.79,10.4,,,0 NDC,70095-050-01,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) SOLN 50 ML VIAL,41.88,20.94,,,0 NDC,70100-424-02,INDOCYANINE GREEN 25 MG SOLR,618.11,309.06,,,0 NDC,70121-1001-1,METHYLPREDNISOLONE SOD SUCC 125 MG/2 ML SOLR,63.065,31.53,,,0 NDC,70121-1049-1,TRIAMCINOLONE ACETONIDE (KENALOG) 40 MG/ML SUSPENSION,35.31,17.66,,,0 NDC,70121-1168-1,TRIAMCINOLONE ACETONIDE (KENALOG) 40 MG/ML SUSPENSION,1028.75,514.38,,,0 NDC,70121-1389-1,DEXMEDETOMIDINE IN 0.9 % NACL 400 MCG/100 ML (4 MCG/ML) SOLN,101.6,50.8,,,0 NDC,70121-1570-1,FILGRASTIM-AYOW 480 MCG/0.8 ML SYRG,1139.72,569.86,,,0 NDC,70121-1574-1,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION,3.62,1.81,,,0 NDC,70121-1574-5,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION,91.88,45.94,,,0 NDC,70121-1576-1,NOREPINEPHRINE 1 MG/ML SOLN,30.939999999999998,15.47,,,0 NDC,70121-1576-7,NOREPINEPHRINE 1 MG/ML SOLN,85.0,42.5,,,0 NDC,70121-1642-1,VASOPRESSIN 20 UNIT/ML SOLN,829.83,414.92,,,0 NDC,70121-1642-5,VASOPRESSIN 20 UNIT/ML SOLN,829.83,414.92,,,0 NDC,70324-901-01,PHENYLEPHRINE HCL IN 0.9% NACL 50 MG/250 ML (200 MCG/ML) SOLN,138.0,69.0,,,0 NDC,70408-146-34,PROMETHAZINE 6.25 MG/5 ML SYRP,1.83,0.92,,,0 NDC,70436-019-82,AZITHROMYCIN 500 MG SOLR 1 EACH VIAL,20.79,10.4,,,0 NDC,70436-022-82,VANCOMYCIN 5 GRAM SOLR,5.07,2.54,,,0 NDC,70436-203-82,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) SOLN,105.68,52.84,,,0 NDC,70461-024-03,IIV ADJUVANT VACCINE IM,62.0,31.0,,,0 NDC,70461-024-04,IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE,42.0,21.0,,,0 NDC,70505-100-10,DOXYLAMINE-PYRIDOXINE 10-10 MG TBEC,6.89,3.44,,,0 NDC,70512-812-01,LIDOCAINE 4 % PTMD,5.435,2.7199999999999998,,,0 NDC,70515-594-15,TIZANIDINE 4 MG TABS,1.19,0.6,,,0 NDC,70515-625-01,OMEPRAZOLE 2 MG/ML SUSPENSION,0.3,0.15,,,0 NDC,70594-047-01,VANCOMYCIN 5 GRAM SOLR,26.925,13.465,,,0 NDC,70594-111-01,ACETYLCYSTEINE 200 MG/ML (20 %) SOLN 30 ML VIAL,103.07,51.54,,,0 NDC,70594-111-02,ACETYLCYSTEINE 200 MG/ML (20 %) SOLN 30 ML VIAL,133.125,66.565,,,0 NDC,70594-114-01,BUPIVACAINE PF (MARCAINE-PF) 0.25% 0.25 % SOLN,12.13,6.06,,,0 NDC,70677-0021-1,CAFFEINE 200 MG TABS,1.03,0.52,,,0 NDC,70677-0051-1,MAGNESIUM CITRATE SOLN,4.55,2.28,,,0 NDC,70677-0058-1,SENNOSIDES 8.6 MG TABS,1.0,0.5,,,0 NDC,70677-1037-1,OXYMETAZOLINE 0.05 % SPRY 30 ML SQUEEZ BTL,30.0,15.0,,,0 NDC,70677-1110-1,MINERAL OIL OIL 473 ML BOTTLE,62.5,31.25,,,0 NDC,70677-1111-1,MAGNESIUM CITRATE SOLN,4.55,2.28,,,0 NDC,70677-1126-1,CAFFEINE 200 MG TABS,1.03,0.52,,,0 NDC,70677-1154-1,CARBAMIDE PEROXIDE 6.5 % DROP 15 ML DROP BTL,1.05,0.52,,,0 NDC,70700-107-16,ACYCLOVIR 5 % OINT 30 G TUBE,47.94,23.97,,,0 NDC,70700-162-01,PROGESTERONE 100 MG CAPS,1.6,0.8,,,0 NDC,70700-169-22,IRINOTECAN 40 MG/2 ML SOLN 2 ML VIAL,60.38,30.19,,,0 NDC,70700-172-22,NEOSTIGMINE METHYLSULFATE 1 MG/ML SOLN,16.25,8.12,,,0 NDC,70700-268-99,FOSFOMYCIN TROMETHAMINE 3 GRAM PACK,98.0,49.0,,,0 NDC,70700-269-30,DEFERASIROX 90 MG TABS,4.0,2.0,,,0 NDC,70700-271-30,DEFERASIROX 360 MG TABS,7.0,3.5,,,0 NDC,70710-1014-3,PHYTONADIONE (VITAMIN K1) 5 MG TABS,3.09,1.54,,,0 NDC,70710-1302-7,"MESALAMINE 1,000 MG SUPP",11.0,5.5,,,0 NDC,70710-1344-3,RAMELTEON 8 MG TABS,4.12,2.06,,,0 NDC,70710-1359-1,LACOSAMIDE 200 MG/20 ML SOLN,206.25,103.12,,,0 NDC,70710-1478-1,FOMEPIZOLE 1 GRAM/ML SOLN 1.5 ML VIAL,4567.3949999999995,2283.695,,,0 NDC,70710-1525-9,CARMUSTINE 100 MG SOLR 1 EACH VIAL,1955.23,977.62,,,0 NDC,70710-1724-1,MICAFUNGIN 50 MG SOLR 1 EACH VIAL,158.75,79.375,,,0 NDC,70710-1724-6,MICAFUNGIN 50 MG SOLR 1 EACH VIAL,301.25,150.625,,,0 NDC,70710-1725-1,MICAFUNGIN 100 MG SOLR 1 EACH VIAL,302.5,151.25,,,0 NDC,70748-129-06,LEFLUNOMIDE 10 MG TABS,2.5,1.25,,,0 NDC,70748-258-07,POSACONAZOLE 100 MG TBEC,10.934999999999999,5.470000000000001,,,0 NDC,70756-201-11,AMITRIPTYLINE 10 MG TABS,1.16,0.58,,,0 NDC,70756-609-15,OFLOXACIN 0.3 % DROP 5 ML DROP BTL,53.5,26.75,,,0 NDC,70756-614-30,PHENYLEPHRINE 10% 10 % DROP,7.0,3.5,,,0 NDC,70756-622-10,PHENYLEPHRINE 10 MG/ML SOLN 5 ML VIAL,33.75,16.88,,,0 NDC,70756-629-25,PHENYLEPHRINE 2.5 % DROP,8.03,4.02,,,0 NDC,70839-362-04,COCAINE 4 % SOLN,276.5,138.25,,,0 NDC,70842-160-01,MINOCYCLINE 100 MG SOLR 1 EACH VIAL,2365.64,1182.82,,,0 NDC,70860-100-41,AZITHROMYCIN 500 MG SOLR 1 EACH VIAL,20.79,10.4,,,0 NDC,70860-117-41,NAFCILLIN 2 GRAM SOLR 1 EACH VIAL,79.47,39.730000000000004,,,0 NDC,70860-218-05,CYCLOPHOSPHAMIDE 200 MG/ML SOLN 5 ML VIAL,883.61,441.8,,,0 NDC,70860-301-41,DILTIAZEM 5 MG/ML SOLN,15.81,7.9,,,0 NDC,70860-405-41,BUMETANIDE 0.25 MG/ML SOLN,10.95,5.48,,,0 NDC,70860-776-41,ONDANSETRON (PF) 4 MG/2 ML SOLN,5.38,2.69,,,0 NDC,70860-784-05,VALPROATE 500 MG/5 ML (100 MG/ML) SOLN 5 ML VIAL,15.38,7.69,,,0 NDC,70860-784-41,VALPROATE 500 MG/5 ML (100 MG/ML) SOLN 5 ML VIAL,15.38,7.69,,,0 NDC,70954-041-10,RIFABUTIN 150 MG CAPS,13.93,6.96,,,0 NDC,70954-135-10,DAPSONE 25 MG TABS,6.1,3.05,,,0 NDC,70954-136-10,DAPSONE 100 MG TABS,4.24,2.12,,,0 NDC,70954-136-20,DAPSONE 100 MG TABS,3.74,1.87,,,0 NDC,70954-212-10,TRIHEXYPHENIDYL 2 MG TABS,1.23,0.62,,,0 NDC,70954-273-10,FLUPHENAZINE 1 MG TABS,2.2,1.1,,,0 NDC,70954-484-10,PYRAZINAMIDE 500 MG TABS,22.45,11.22,,,0 NDC,71205-975-00,FLUOXETINE 20 MG CAPS,1.05,0.52,,,0 NDC,71225-133-01,DEXMEDETOMIDINE IN 0.9 % NACL 400 MCG/100 ML (4 MCG/ML) SOLN,101.6,50.8,,,0 NDC,71266-2001-8,SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) SYRG 10 ML SYRINGE,112.75,56.38,,,0 NDC,71266-2002-9,ROCURONIUM 50 MG/5 ML (10 MG/ML) SYRG 5 ML SYRINGE,54.06,27.03,,,0 NDC,71266-5035-1,HYDROMORPHONE 0.2 MG/ML SOLN,126.2,63.1,,,0 NDC,71266-5100-1,OXYTOCIN IN NORMAL SALINE 30 UNIT/500 ML SOLN,23.335,11.67,,,0 NDC,71266-5103-1,OXYTOCIN IN NORMAL SALINE 30 UNIT/500 ML SOLN,34.0,17.0,,,0 NDC,71266-8006-1,BEVACIZUMAB 1.25 MG/0.05 ML SYRG,1160.73,580.36,,,0 NDC,71266-8020-1,ARGININE-LYSINE-STERILE WATER 25-25 MG/ML SOLN,1182.0,591.0,,,0 NDC,71266-9011-9,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) SYRG 10 ML SYRINGE,29.88,14.94,,,0 NDC,71266-9080-2,"KETAMINE IN NACL, ISO-OSMOTIC 50 MG/5 ML (10 MG/ML) SYRG",33.2,16.6,,,0 NDC,71266-9081-1,"KETAMINE IN NACL, ISO-OSMOTIC 10 MG/ML SOLN",191.0,95.5,,,0 NDC,71285-0202-1,"CARDIOPLEGIC DEL NIDO PREMIX 26 MEQ/1,052.8 ML (POTASSIUM) SOLN",158.0,79.0,,,0 NDC,71285-6039-1,OXYTOCIN 30 UNIT/500 ML SOLN,4.645,2.3200000000000003,,,0 NDC,71285-7018-1,EPINEPHRINE HCL IN D5W 4 MG/250 ML (16 MCG/ML) SOLN,68.0,34.0,,,0 NDC,71288-016-15,DAPTOMYCIN 500 MG SOLR,40.67,20.335,,,0 NDC,71288-016-95,DAPTOMYCIN 500 MG SOLR,95.45,47.72,,,0 NDC,71288-023-20,"VANCOMYCIN 1,000 MG SOLR 1 EACH VIAL",21.25,10.62,,,0 NDC,71288-032-20,AMPICILLIN/SULBACTAM 3 GRAM SOLR 1 EACH VIAL,22.5,11.25,,,0 NDC,71288-101-10,OXALIPLATIN 50 MG/10 ML (5 MG/ML) SOLN 10 ML VIAL,24.51,12.26,,,0 NDC,71288-101-20,OXALIPLATIN 100 MG/20 ML SOLN 20 ML VIAL,46.76,23.380000000000003,,,0 NDC,71288-115-30,AZACITIDINE 100 MG SOLR,120.61,60.3,,,0 NDC,71288-118-10,BORTEZOMIB 3.5 MG SOLR,100.14,50.07,,,0 NDC,71288-161-20,LEUCOVORIN CALCIUM 100 MG SOLR 1 EACH VIAL,57.5,28.75,,,0 NDC,71288-163-30,LEUCOVORIN CALCIUM 350 MG SOLR 1 EACH VIAL,131.36,65.68,,,0 NDC,71288-164-50,LEUCOVORIN CALCIUM 500 MG SOLR 1 EACH VIAL,228.45,114.22,,,0 NDC,71288-167-50,PEMETREXED DISODIUM 500 MG SOLR 1 EACH VIAL,419.24,209.62,,,0 NDC,71288-201-85,"CHG - INJ,REGADENOSON,0.1MG,LEXISCAN",2256.0,1128.0,,,0 NDC,71288-203-10,FUROSEMIDE 10 MG/ML SOLN 10 ML VIAL,12.06,6.03,,,0 NDC,71288-303-01,"CYANOCOBALAMIN 1,000 MCG/ML SOLN",8.81,4.4,,,0 NDC,71288-402-10,"HEPARIN 1,000 UNIT/ML SOLN 10 ML VIAL",12.44,6.22,,,0 NDC,71288-403-01,"HEPARIN 5,000 UNIT/ML SOLN",6.84,3.42,,,0 NDC,71288-410-82,ENOXAPARIN 40 MG/0.4 ML SYRG,20.06,10.03,,,0 NDC,71288-427-10,BIVALIRUDIN 250 MG SOLR,162.98,81.49,,,0 NDC,71288-427-11,BIVALIRUDIN 250 MG SOLR 1 EACH VIAL,129.84,64.92,,,0 NDC,71288-432-80,ENOXAPARIN 30 MG/0.3 ML SYRG,16.44,8.22,,,0 NDC,71288-433-82,ENOXAPARIN 40 MG/0.4 ML SYRG,20.06,10.03,,,0 NDC,71288-436-88,ENOXAPARIN 100 MG/ML SYRG,46.31,23.16,,,0 NDC,71288-716-10,METHOCARBAMOL 100 MG/ML SOLN,39.75,19.88,,,0 NDC,71288-716-11,METHOCARBAMOL 100 MG/ML SOLN,39.75,19.88,,,0 NDC,71336-1003-1,VUTRISIRAN 25 MG/0.5 ML SYRG,466415.13,233207.56,,,0 NDC,7135101099,PHOS-NAK 280-160-250 MG PWPK,1.96,0.98,,,0 NDC,7135101250,LACTOBACILLUS ACIDOPH & BULGAR 1 MILLION CELL TABS,1.735,0.865,,,0 NDC,7135101399,LACTOBACILLUS ACIDOPH 100 MILLION CELL GRPK,3.57,1.78,,,0 NDC,7139974805,FERROUS SULFATE 15 MG ELEMENTAL IRON/ML DROP,1.9100000000000001,0.95,,,0 NDC,71699-050-30,CENOBAMATE 50 MG TABS,489.10999999999996,244.55499999999998,,,0 NDC,71776-005-15,NATAMYCIN 5 % DRPS 15 ML DROP BTL,1190.1,595.05,,,0 NDC,71839-124-01,GLYCOPYRROLATE,4.75,2.38,,,0 NDC,71839-137-01,CARBOPROST 250 MCG/ML SOLN,252.5,126.25,,,0 NDC,71839-143-01,NOREPINEPHRINE 1 MG/ML SOLN,21.88,10.940000000000001,,,0 NDC,71839-143-25,NOREPINEPHRINE 1 MG/ML SOLN,61.88,30.94,,,0 NDC,7214003147,"PANTOTHENIC AC-MIN OIL-PET,HYD 41 % OINT 396 G JAR",1.0,0.5,,,0 NDC,7214063608,"PANTOTHENIC AC-MIN OIL-PET,HYD 41 % OINT 396 G JAR",1.0,0.5,,,0 NDC,72205-005-30,ROSUVASTATIN 40 MG TABS,1.1,0.55,,,0 NDC,72205-028-30,FEBUXOSTAT 40 MG TABS,1.41,0.7,,,0 NDC,72205-039-60,DOFETILIDE 125 MCG CAPS,1.31,0.66,,,0 NDC,72205-051-08,ALBENDAZOLE 200 MG TABS,103.15,51.58,,,0 NDC,72205-085-30,TIAGABINE 4 MG TABS,5.82,2.91,,,0 NDC,72205-101-01,BUMETANIDE 0.25 MG/ML SOLN,10.95,5.48,,,0 NDC,72205-184-60,DARUNAVIR 600 MG TABS,4.0,2.0,,,0 NDC,72205-185-30,DARUNAVIR 800 MG TABS,7.0,3.5,,,0 NDC,72205-220-01,LACOSAMIDE 200 MG/20 ML SOLN,207.5,103.75,,,0 NDC,72266-102-01,LABETALOL 5 MG/ML SOLN,15.75,7.88,,,0 NDC,72266-103-01,LABETALOL 5 MG/ML SOLN 40 ML VIAL,45.0,22.5,,,0 NDC,72266-118-01,KETOROLAC 30 MG/ML SOLN,7.94,3.97,,,0 NDC,72266-119-01,TORADOL PER 15MG,72.0,36.0,,,0 NDC,72266-124-01,ONDANSETRON 2 MG/ML SOLN 20 ML VIAL,8.125,4.0600000000000005,,,0 NDC,72266-158-01,MOXIFLOXACIN 0.5 % DROP,1.31,0.66,,,0 NDC,72266-159-01,ERTAPENEM 1 GRAM SOLR 1 EACH VIAL,143.125,71.56,,,0 NDC,72266-160-41,ZIPRASIDONE 20 MG/ML (FINAL CONC.) SOLR 1 EACH VIAL,126.94,63.47,,,0 NDC,72266-197-01,DORZOLAMIDE 2 % DROP,9.62,4.8100000000000005,,,0 NDC,72266-234-01,KETOROLAC 15 MG/ML SOLN,7.44,3.72,,,0 NDC,72266-248-01,SINCALIDE 5 MCG SOLR 1 EACH VIAL,667.06,333.53,,,0 NDC,72266-251-01,CALCITRIOL 1 MCG/ML SOLN,39.94,19.97,,,0 NDC,72485-104-01,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) SOLN,53.37,26.68,,,0 NDC,72485-108-01,VERAPAMIL 2.5 MG/ML SOLN,11.38,5.69,,,0 NDC,72485-108-25,VERAPAMIL 2.5 MG/ML SOLN,11.38,5.69,,,0 NDC,72485-404-01,PIPERACILLIN-TAZOBACTAM 4500 MG SOLR 1 EACH VIAL,37.56,18.78,,,0 NDC,72485-406-01,NAFCILLIN 2 GRAM SOLR 1 EACH VIAL,78.22,39.11,,,0 NDC,72485-406-10,NAFCILLIN 2 GRAM SOLR 1 EACH VIAL,259.065,129.535,,,0 NDC,72485-415-04,MYCOPHENOLATE 500 MG SOLR 1 EACH VIAL,120.255,60.125,,,0 NDC,72485-417-01,AMPICILLIN/SULBACTAM 3 GRAM SOLR 1 EACH VIAL,22.5,11.25,,,0 NDC,72485-422-01,AMPICILLIN 2 GRAM SOLR 1 EACH VIAL,17.06,8.53,,,0 NDC,72485-505-01,PHENYLEPHRINE 10 MG/ML SOLN 5 ML VIAL,33.75,16.88,,,0 NDC,72485-617-10,KETOTIFEN 0.025 % (0.035 %) DROP 5 ML DROP BTL,11.68,5.84,,,0 NDC,72485-625-13,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % DRPS 7.5 ML DROP BTL,368.96000000000004,184.48000000000002,,,0 NDC,72485-670-31,ERYTHROMYCIN 5 MG/GRAM (0.5 %) OINT 1 G TUBE,24.12,12.06,,,0 NDC,72516-030-01,METOPROLOL XL 25 MG TB24,1.14,0.57,,,0 NDC,72578-002-01,ACYCLOVIR 200 MG CAPS,1.27,0.64,,,0 NDC,72578-082-06,ACYCLOVIR 5 % OINT 30 G TUBE,47.94,23.97,,,0 NDC,72603-101-01,OXALIPLATIN 100 MG/20 ML SOLN 20 ML VIAL,20.66,10.33,,,0 NDC,72603-107-01,DECITABINE 50 MG SOLR 1 EACH VIAL,381.20000000000005,190.60000000000002,,,0 NDC,72603-139-01,THIAMINE 100 MG/ML SOLN 2 ML VIAL,38.75,19.38,,,0 NDC,72603-139-25,THIAMINE 100 MG/ML SOLN 2 ML VIAL,41.25,20.62,,,0 NDC,72603-146-01,LABETALOL 5 MG/ML SOLN 20 ML VIAL,13.25,6.62,,,0 NDC,72603-152-01,DAPTOMYCIN 500 MG SOLR,29.049999999999997,14.524999999999999,,,0 NDC,72603-179-01,"HEPARIN 1,000 UNIT/ML SOLN",12.44,6.22,,,0 NDC,72603-180-01,NOREPINEPHRINE 1 MG/ML SOLN 4 ML VIAL,23.13,11.56,,,0 NDC,72603-180-10,NOREPINEPHRINE 1 MG/ML SOLN,63.125,31.560000000000002,,,0 NDC,72603-198-01,ZOLEDRONIC ACID 4 MG/5 ML SOLN 5 ML VIAL,140.0,70.0,,,0 NDC,72603-209-01,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) SOLN 50 ML VIAL,41.88,20.94,,,0 NDC,72603-209-25,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) SOLN 50 ML VIAL,120.63,60.32,,,0 NDC,72603-301-01,OXALIPLATIN 50 MG/10 ML (5 MG/ML) SOLN 10 ML VIAL,18.880000000000003,9.44,,,0 NDC,72603-412-01,"HEPARIN 5,000 UNIT/ML SOLN",6.84,3.42,,,0 NDC,72611-719-01,KETOROLAC 15 MG/ML SOLN,7.44,3.72,,,0 NDC,72611-722-01,KETOROLAC 30 MG/ML SOLN,75.97,37.985,,,0 NDC,72611-734-01,LABETALOL 5 MG/ML SOLN,15.75,7.88,,,0 NDC,72611-761-01,VANCOMYCIN 500 MG SOLR 1 EACH VIAL,17.94,8.97,,,0 NDC,72694-954-01,PEGASPARGASE 750 UNIT/ML SOLN 5 ML VIAL,68003.42,34001.71,,,0 NDC,72819-152-05,MITOMYCIN 5 MG SOLR 1 EACH VIAL,261.6,130.8,,,0 NDC,72888-024-06,POTASSIUM CHLORIDE 20 MEQ PACK,4.88,2.44,,,0 NDC,72888-036-00,CARVEDILOL 12.5 MG TABS,0.06,0.03,,,0 NDC,72888-100-20,ARIPIPRAZOLE 1 MG/ML SOLN,8.5,4.25,,,0 NDC,72888-125-15,LIDOCAINE 2 % SOLN,4.15,2.08,,,0 NDC,72893-001-01,MELPHALAN HCL-BETADEX SBES 50 MG SOLR 1 EACH VIAL,22391.0,11195.5,,,0 NDC,73013-1020-1,MORPHINE (PF) IN 0.9 % SOD CHL 30 MG/30 ML (1 MG/ML) SPCA,64.4,32.2,,,0 NDC,73013-1028-1,FENTANYL 2MCG/ML-BUPIVACAINE 0.125% IN 100ML NS 2 MCG/ML- 0.125 % RESV,407.0,203.5,,,0 NDC,73013-1042-1,HYDROMORPHONE 30MG IN 30ML NS 30 MG/30 ML (1 MG/ML) SPCA,75.74,37.87,,,0 NDC,73150-150-06,UBLITUXIMAB-XIIY (BRIUMVI) 25 MG/ML SOLN 6 ML VIAL,77646.19,38823.09,,,0 NDC,73293-0001-1,LIDOCAINE-PF 10 MG/ML (1%) 10 MG/ML (1 %) SOLN,10.25,5.12,,,0 NDC,73475-3041-5,EFGARTIGIMOD ALFA-FCAB 20 MG/ML SOLN 20 ML VIAL,56658.6,28329.3,,,0 NDC,73702-140-71,INDOMETHACIN 100 MG SUPP,338.0,169.0,,,0 NDC,7430000301,ZINC OXIDE 13 % CREA 113 G TUBE,11.28,5.64,,,0 NDC,7431200640,RIBOFLAVIN 100 MG TABS,1.08,0.54,,,0 NDC,75834-158-01,VERAPAMIL 12HR 180 MG TBSR,1.66,0.83,,,0 NDC,75834-159-01,VERAPAMIL 12HR 240 MG TBSR,1.58,0.79,,,0 NDC,75834-170-02,ZINC OXIDE 20 % OINT 56.7 G TUBE,56.7,28.35,,,0 NDC,75834-242-30,ERYTHROMYCIN 250 MG TABS,2.3499999999999996,1.1749999999999998,,,0 NDC,7583401060,"ERGOCALCIFEROL 200 MCG/ML (8,000 UNIT/ML) DROP",2.105,1.055,,,0 NDC,75907-023-11,CLONIDINE 0.1 MG/24 HR PTWK,21.16,10.58,,,0 NDC,75907-069-01,NORTRIPTYLINE 10 MG CAPS,1.3,0.65,,,0 NDC,75907-189-35,CYCLOPHOSPHAMIDE 200 MG/ML SOLN 10 ML VIAL,586.56,293.28,,,0 NDC,75907-190-07,CYCLOPHOSPHAMIDE 200 MG/ML SOLN 5 ML VIAL,404.79499999999996,202.39499999999998,,,0 NDC,75907-191-02,CYCLOPHOSPHAMIDE 200 MG/ML SOLN 2.5 ML VIAL,289.57,144.78,,,0 NDC,75987-130-15,TEPROTUMUMAB-TRBW 500 MG SOLR 1 EACH VIAL,141136.51,70568.25,,,0 NDC,76045-004-01,MORPHINE 2 MG/ML SYRG,22.22,11.11,,,0 NDC,76045-005-01,MORPHINE 4 MG/ML SYRG,22.22,11.11,,,0 NDC,76045-005-10,MORPHINE 4 MG/ML SYRG,22.22,11.11,,,0 NDC,76045-009-01,HYDROMORPHONE 1 MG/ML SYRG,18.09,9.05,,,0 NDC,76045-009-06,HYDROMORPHONE 0.5 MG/0.5 ML SYRG,25.9,12.95,,,0 NDC,76045-009-96,HYDROMORPHONE 0.5 MG/0.5 ML SYRG,13.18,6.59,,,0 NDC,76045-101-20,METOCLOPRAMIDE 5 MG/ML SYRG,19.13,9.56,,,0 NDC,76045-203-20,GLYCOPYRROLATE (PF) IN WATER 0.4 MG/2 ML (0.2 MG/ML) SYRG,89.25,44.62,,,0 NDC,76045-204-00,DIAZEPAM 5 MG/ML SYRG,92.5,46.25,,,0 NDC,76075-101-01,CARFILZOMIB 60 MG SOLR 1 EACH VIAL,8842.15,4421.08,,,0 NDC,76075-102-01,CARFILZOMIB 30 MG SOLR 1 EACH VIAL,11803.45,5901.72,,,0 NDC,76075-103-01,CARFILZOMIB 10 MG SOLR 1 EACH VIAL,1906.68,953.34,,,0 NDC,76204-100-01,IPRATROPIUM 0.02 % SOLN,1.45,0.72,,,0 NDC,76204-200-01,ALBUTEROL 2.5 MG /3 ML (0.083 %) NEBU,1.48,0.74,,,0 NDC,7620402260,SODIUM CHLORIDE 3 % NEBU,2.0,1.0,,,0 NDC,76282-214-90,SERTRALINE 100 MG TABS,1.09,0.54,,,0 NDC,76282-336-60,TROSPIUM 20 MG TABS,2.24,1.12,,,0 NDC,76282-629-90,CITALOPRAM 20 MG TABS,0.6299999999999999,0.31000000000000005,,,0 NDC,76329-1240-1,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML SYRG,157.06,78.53,,,0 NDC,76329-1912-1,MORPHINE 30 MG/30 ML (1 MG/ML) PCAS,89.06,44.53,,,0 NDC,76329-3012-5,LIDOCAINE 2 % JELP,18.25,9.12,,,0 NDC,76329-3013-5,LIDOCAINE 2 % JELP,20.23,10.12,,,0 NDC,76329-3302-1,D50W SYRG,85.31,42.66,,,0 NDC,76329-3304-1,CALCIUM CHLORIDE 100 MG/ML (10 %) SYRG,58.75,29.38,,,0 NDC,76329-3318-1,EPINEPHRINE 0.1 MG/ML SYRG,35.25,17.62,,,0 NDC,76329-3321-0,REGADENOSON 0.4 MG/5 ML SYRG,82.0,41.0,,,0 NDC,76329-3340-1,ATROPINE 0.1 MG/ML SYRG,55.56,27.78,,,0 NDC,76329-3352-1,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) SYRG,70.31,35.16,,,0 NDC,76329-3369-1,NALOXONE 1 MG/ML SYRG,100.94,50.47,,,0 NDC,76329-3390-1,LIDOCAINE 100 MG/5 ML (2 %) SYRG,33.53,16.76,,,0 NDC,76329-6300-5,LIDOCAINE HCL 4 % SOLN,51.97,25.98,,,0 NDC,76329-9060-0,EPINEPHRINE 1 MG/ML SOLN 30 ML VIAL,112.82,56.41,,,0 NDC,76385-102-01,PRIMAQUINE 26.3 MG (=15 MG BASE) TABS,7.73,3.86,,,0 NDC,76385-123-01,METHOCARBAMOL 500 MG TABS,1.09,0.54,,,0 NDC,76385-124-01,METHOCARBAMOL 750 MG TABS,1.11,0.56,,,0 NDC,77333-120-25,POLYCARBOPHIL 625 MG TABS,1.0,0.5,,,0 NDC,77333-812-25,SIMETHICONE 80 MG CHEW,1.0,0.5,,,0 NDC,7733311025,CALCIUM-VITAMIN D 500 MG-5 MCG (200 UNIT) TABS,1.0,0.5,,,0 NDC,7733311825,POLYCARBOPHIL 625 MG TABS,1.0,0.5,,,0 NDC,7733343025,"LACTASE 3,000 UNIT TABS",1.18,0.59,,,0 NDC,7733344125,LACTOBACILLUS ACIDOPH & BULGAR 1 MILLION CELL TABS,2.18,1.09,,,0 NDC,7733351625,MELATONIN 3 MG TABS,1.03,0.52,,,0 NDC,7733380025,SACCHAROMYCES BOULARDII 250 MG CAPS,2.09,1.04,,,0 NDC,7733380050,SACCHAROMYCES BOULARDII 250 MG CAPS,2.09,1.04,,,0 NDC,7733383125,SODIUM BICARBONATE 650 MG TABS,1.03,0.52,,,0 NDC,7733393425,THIAMINE MONONITRATE 100 MG TABS,1.0,0.5,,,0 NDC,7733393725,CYANOCOBALAMIN 500 MCG TABS,0.55,0.27,,,0 NDC,7733393825,"CYANOCOBALAMIN 1,000 MCG TABS",1.0,0.5,,,0 NDC,7733394025,PYRIDOXINE (VITAMIN B6) 50 MG TABS,1.02,0.51,,,0 NDC,7733395125,"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPS",1.0,0.5,,,0 NDC,7733398325,ZINC SULFATE 50 MG ZINC (220 MG) CAPS,1.09,0.54,,,0 NDC,7811201104,PHENOL AEROSOL SPRAY 1.4 % SPRA,89.0,44.5,,,0 NDC,7811201746,BENZOCAINE-MENTHOL 15-10 MG LOZG,1.0,0.5,,,0 NDC,7811273623,CARBAMIDE PEROXIDE 6.5 % DROP 15 ML DROP BTL,3.99,2.0,,,0 NDC,78206-118-01,BETAMETHASONE ACETATE & SODIUM PHOSPHATE (CELESTONE) 6 MG/ML SUSPENSION,236.25,118.12,,,0 NDC,78206-145-01,ETONOGESTREL 68 MG IMPL,1601.96,800.98,,,0 NDC,78206-162-01,INFLIXIMAB-ABDA 100 MG SOLR 1 EACH VIAL,12728.195,6364.094999999999,,,0 NDC,78670-003-67,DANTROLENE 20 MG SOLR,1647.92,823.96,,,0 NDC,7985407974,COENZYME Q10 100 MG CAPS,1.36,0.68,,,0 NDC,7985420195,RIBOFLAVIN 100 MG TABS,0.11,0.06,,,0 NDC,8065183004,SODIUM HYALURONATE 10 MG/ML SYRG,2013.8700000000001,1006.9350000000001,,,0 NDC,8065183055,SODIUM HYALURONATE 10 MG/ML SYRG,791.24,395.62,,,0 NDC,8065183135,CHONDROITIN SULF-SOD HYALURON 3 %-4 %(0.35ML) 1 % (0.4 ML) SYRG,1205.63,602.82,,,0 NDC,8065183150,CHONDROITIN-SODIUM HYALURONATE 3 %-4 %(0.5 ML) 1 % (0.55 ML) SYRG,1271.29,635.64,,,0 NDC,8065183905,CHONDROITIN-SODIUM HYALURONATE 4-3 % (40-30 MG/ML) SYRG,934.52,467.26,,,0 NDC,8068100200,ZINC GLUCONATE 50 MG TABS,1.06,0.53,,,0 NDC,8068101000,COENZYME Q10 100 MG CAPS,0.36,0.18,,,0 NDC,8068105700,NIACIN 100 MG TABS,1.05,0.52,,,0 NDC,8068107100,CYANOCOBALAMIN 100 MCG TABS,1.05,0.52,,,0 NDC,8068112600,B COMPLEX WITH C TABS,1.0,0.5,,,0 NDC,8068113400,VITAMIN E 45 MG (100 UNIT) CAPS,1.0,0.5,,,0 NDC,8068114000,CALCIUM CITRATE 200 MG (950 MG) TABS,1.0,0.5,,,0 NDC,8068115500,LANOLIN ALCOH-MIN OIL-W.PETRO-CERESIN CREA 113 G JAR,113.0,56.5,,,0 NDC,8068116500,CYANOCOBALAMIN 250 MCG TABS,1.0,0.5,,,0 NDC,80707-90159,LIDOCAINE 4 % PTMD,3.68,1.84,,,0 NDC,80830-2329-1,"TRANEXAMIC ACID 1,000 MG/100 ML (10 MG/ML) PGBK",84.0,42.0,,,0 NDC,80830-2363-1,"CALCIUM GLUC IN NACL, ISO-OSM 2 GRAM/100 ML SOLN",160.0,80.0,,,0 NDC,80830-2465-1,METRONIDAZOLE 500 MG/100 ML PGBK,6.4,3.2,,,0 NDC,81033-002-05,ACETAMINOPHEN 160 MG/5 ML (5 ML) SOLN,1.0,0.5,,,0 NDC,81033-002-20,ACETAMINOPHEN 650 MG/20.3 ML SOLN,1.0,0.5,,,0 NDC,81033-102-05,GUAIFENESIN 100 MG/5 ML LIQD,2.35,1.18,,,0 NDC,81033-102-10,GUAIFENESIN 100 MG/5 ML LIQD,1.41,0.7,,,0 NDC,81033-104-05,ATOVAQUONE 750 MG/5 ML SUSPENSION,104.67,52.34,,,0 NDC,8103350115,MULTIVIT-MIN-FERROUS GLUCONATE 12 MG IRON/15 ML LIQD,1.0,0.5,,,0 NDC,8113170017,OXYMETAZOLINE 0.05 % SOLN 30 ML SQUEEZ BTL,30.0,15.0,,,0 NDC,81284-315-00,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) SOLN,1991.24,995.62,,,0 NDC,81284-411-00,DIHYDROERGOTAMINE 1 MG/ML SOLN,230.36,115.18,,,0 NDC,81284-411-05,DIHYDROERGOTAMINE 1 MG/ML SOLN 1 ML AMPUL,230.36,115.18,,,0 NDC,81284-611-00,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) SOLN",24.38,12.19,,,0 NDC,82625-8801-1,NALOXEGOL 12.5 MG TABS,29.11,14.56,,,0 NDC,82625-8802-1,NALOXEGOL 25 MG TABS,29.11,14.56,,,0 NDC,82625-8802-3,NALOXEGOL 25 MG TABS,29.11,14.56,,,0 NDC,83090-011-01,DAPTOMYCIN 500 MG SOLR,112.88,56.44,,,0 NDC,83257-001-11,TRASTUZUMAB-DKST 150 MG SOLR 1 EACH VIAL,9100.26,4550.13,,,0 NDC,83634-400-10,BIVALIRUDIN 250 MG SOLR 1 EACH VIAL,129.84,64.92,,,0 NDC,83634-400-41,BIVALIRUDIN 250 MG SOLR 1 EACH VIAL,91.64,45.82,,,0 NDC,83634-451-10,DESMOPRESSIN 4 MCG/ML SOLN 10 ML VIAL,462.815,231.405,,,0 NDC,84389-111-48,"NEOMYCIN-BACITRACIN-POLYMYXIN 3.5MG-400 UNIT- 5,000 UNIT/GRAM OINT 28.4 G TUBE",28.4,14.2,,,0 NDC,8544-6369-81,SODIUM HYALURONATE 10 MG/ML SYRG,738.44,369.22,,,0 NDC,8544636981,SODIUM HYALURONATE 10 MG/ML SYRG,738.44,369.22,,,0 NDC,9999-0095-01,CEPHALEXIN 125 MG/5 ML SUSR,3.98,1.99,,,0 NDC,9999-0749-65,LAMIVUDINE 10 MG/ML SOLN,2.725,1.365,,,0 NDC,9999-2389-31,FENTANYL CITRATE 300MCG IN 30ML NS 300 MCG/30 ML (10 MCG/ML) SPCA,172.94,86.47,,,0 NDC,9999-2650-03,BACLOFEN TABS,1.09,0.54,,,0 NDC,9999-2650-13,METOPROLOL 12.5 MG TABS,1.05,0.52,,,0 NDC,9999-2846-57,DAPTOMYCIN 50 MG/ML SOLR,85.21,42.6,,,0 NDC,9999-2889-58,CHEMOTHERAPY MEDICATION TYPE-IN,2.01,1.0,,,0 NDC,9999-2900-80,LACTULOSE 200GM/NS 1000ML ENEMA,51.53,25.76,,,0 NDC,9999-2921-82,HYDROXYCHLOROQUINE 25 MG/ML SUSPENSION,32.41,16.2,,,0 NDC,9999-2921-83,HYDROXYCHLOROQUINE 25 MG/ML SUSPENSION,41.71,20.86,,,0 NDC,9999-2964-43,VANCOMYCIN ENEMA 500 MG,45.11,22.56,,,0 NDC,9999-2971-23,BEER,5.36,2.68,,,0 NDC,9999-9028-97,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML SUSR,3.45,1.72,,,0 NDC,9999-9913-56,CARBAMAZEPINE 20 MG/ML SUSPENSION,10.08,5.04,,,0 NDC,99999-0719-12,CETACAINE 2 %-2 %-14 % (200 MG/SEC) SPRA,23.494999999999997,11.75,,,0 NDC,99999-1401-13,MEDICATION TYPE-IN,0.505,0.2525,,,0 NDC,99999-1401-14,MEDICATION TYPE-IN 1 EACH CHARGE ON DISPENSE,4.46,2.23,,,0 NDC,99999-2307-54,COCAINE 4% WITH EPINEPHRINE 5ML TOPICAL SOLUTION,143.93,71.96,,,0 NDC,99999-2312-81,HYDROCORTISONE,31.56,15.78,,,0 NDC,99999-2650-13,METOPROLOL 12.5 MG TABS,1.05,0.52,,,0 NDC,99999-2959-92,TUBE FEED TYPE-IN,1.71,0.86,,,0 NDC,99999-5751-05,"NYSTATIN 100,000 UNIT/ML SUSPENSION",3.94,1.97,,,0 NDC,99999-993-65,AMANTADINE HCL 50 MG/5 ML SOLN,1.86,0.93,,,0 NDC,99999233690,IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE,22.0,11.0,,,0